（疮有 肉凸出者是）
〔薛〕 翻花疮者，由疮疡溃后肝火血燥生风所致。或疮口 肉突出，如菌大小不同，
或出如蛇头长短不一。治法∶当滋肝补气，外涂藜芦膏， 肉自入，须候元气渐复，脓毒
将尽涂之有效。不然，虽入而复溃。若误用刀针、蚀药、灸火，其势益甚，或出血不止，
必致寒热呕吐等症，须大补脾胃为善。 判官张承恩，内股患痈将愈，翻出一肉如菌，余
曰∶此属肝经风热血燥，当清肝热养肝血。彼谓不然，乃内用降火，外用追蚀，蚀而复翻，
翻而复蚀，其肉益大，元气益虚，始信余言。遂内用栀子清肝散，外用藜芦膏而痊。 一
上舍，素膏粱善怒，耳下结一核，从溃而疮口翻张如菌， 连头痛，或胸胁作胀，或内
热寒热，或用清热消毒之药，年余未瘥。余用补中益气汤、六味地黄丸而寻愈。 一男
子背疮，敛如豆许，翻出肉寸余，用消蚀割系法屡去屡大，此肝经血虚风热。余用加味
逍遥散三十余剂，涂黎芦膏而消；又用八珍散倍用参、 、归术而敛。 一妇人，素善
怒，臂患痈，疮口出肉长二寸许，此肝脾郁怒气血虚而风内动，用加味逍遥散，涂藜芦
膏而愈。后因怒患处胀闷，遍身汗出如雨，此肝经风热，风能散气故耳。仍用前散并八珍
汤而愈。 一男子项患肿，痰涎涌甚，用散坚行气等剂，肿硬愈甚。喘气发热，自汗盗
汗，体倦食少，予曰∶此属足三阴亏损，当滋化源。不信，反追蚀患处，开翻六寸许，HT
色赤，日出鲜血，三月余矣，肝脉弦洪紧实，予用大补汤加麦门、五味五十余剂，诸
症渐愈，血止三四。复因怒饮食顿少，其血涌出，此肝伤不能藏，脾伤不能摄也，用补
中益气汤为主，加五味、麦门其血顿止；再以六味丸加五味子常服，疮口敛至寸许，遂
不用药，且不守禁而殁。
藜芦膏 治一切疮疽， 肉突出，不问大小长短，用藜芦一味为末，以生猪脂和研
如膏，涂患处，周日易之。
胭脂散 治反花疮。
胭脂 贝母 胡粉（各一分） 硼砂 没药（各半分）
上研细。先以温浆水洗拭，后敷药。
甘草涂敷方 治反花疮。
甘草（半生，半炒） 矾锻石 人中白 密陀僧（各半两）
上为细末。以童子小便半盏，以无灰火熬，用竹篦搅成膏。取涂疮上，日五次。
恶实根涂敷方 治反花疮，并诸疮积年不瘥者。
恶实根（研末，四两） 猪脂（二两）
上调和如糊。涂疮上日三四次。
诸疮 肉如蛇头出数寸者，硫黄末敷之即缩。（《圣惠》）。疮有肉凸出，乌梅烧灰为末敷
之，立尽。（《鬼遗》。）又以白梅肉杵细，入蜜捏成饼如钱大贴之妙。（《圣惠》）
〔梅〕 治反花疮，马齿苋一斤，烧灰细研，猪脂调敷。
〔世〕 疮凸出寸许，根如小豆或大如梅者，用花脚蜘蛛丝缠其根，则渐干而自脱落。
（疮疡中有肌肉凸出的是）
〔薛己〕 翻花疮，是由于疮疡溃破后，肝火旺盛、血液枯燥而生风所致。有的疮口长出肌肉，像菌类一样大小不同；有的长出来像蛇头一样长短不一。治疗方法：应当滋养肝脏、补益元气，外用涂抹藜芦膏，凸出的肌肉自然会缩回。必须等到元气逐渐恢复，脓毒即将排尽时再涂抹才有效。否则，即使缩回也会再次溃烂。如果误用刀针切割、腐蚀药物或艾灸火攻，病情会更加严重，或者出血不止，必然导致寒热往来、呕吐等症状，此时必须以大补脾胃为善策。判官张承恩，大腿内侧患痈肿即将痊愈时，翻出一块像菌类一样的肉，我说：这属于肝经风热血燥，应当清肝热、养肝血。他不以为然，反而内服降火药，外用追蚀药，结果腐蚀后肉又翻出，翻出后再腐蚀，那块肉越来越大，元气越来越虚，这才相信我的话。于是内服栀子清肝散，外用藜芦膏而痊愈。一位上舍生，平时饮食肥甘厚味且容易发怒，耳下结成一个核，从溃破后疮口翻张如菌，牵连头痛，有时胸胁胀满，有时内热或寒热往来，曾用清热消毒的药物，一年多未好。我用补中益气汤、六味地黄丸而很快治愈。一个男子背部生疮，收敛时只有豆粒大小，却翻出寸余长的肉，用消蚀割除的方法多次去除却多次变大，这是肝经血虚风热。我用加味逍遥散三十多剂，涂抹黎芦膏而消散；又用八珍散倍用人参、白术、当归、茯苓而收敛愈合。一个妇人，平时容易发怒，手臂患痈，疮口长出两寸许长的肉，这是肝脾郁怒导致气血虚弱而风邪内动，用加味逍遥散，涂抹藜芦膏而痊愈。后来因为发怒患处胀痛闷堵，全身出汗如雨，这是肝经风热，风能散气的原因。仍然用前面的方子并配合八珍汤而痊愈。一个男子颈部患肿，痰涎涌盛，用散坚行气等药剂，肿块硬结更加严重。气喘发热，自汗盗汗，身体疲倦食少，我说：这属于足三阴亏损，应当滋生化之源。他不信，反而追蚀患处，将疮口开翻约六寸，颜色赤红，每天流出鲜血，已经三个多月了，肝脉弦洪紧实，我用大补汤加麦门冬、五味子五十多剂，各种症状逐渐好转，出血停止了三到四次。后来又因发怒饮食突然减少，血液涌出，这是肝受伤不能藏血，脾受伤不能摄血，用补中益气汤为主，加五味子、麦门冬，血液顿时停止；再用六味丸加五味子常服，疮口收敛到一寸左右，于是不再用药，并且不遵守禁忌而死。
藜芦膏 治疗一切疮疽，肌肉突出，不问大小长短，用藜芦一味研为末，用生猪脂调和研磨如膏状，涂于患处，每周更换一次。
胭脂散 治疗反花疮。
胭脂 贝母 胡粉（各一分） 硼砂 没药（各半分）
以上研细。先用温浆水清洗擦拭，然后敷药。
甘草涂敷方 治疗反花疮。
甘草（半生，半炒） 矾锻石 人中白 密陀僧（各半两）
以上为细末。用童子小便半盏，在无灰火上熬煮，用竹篦搅拌成膏。取来涂在疮上，每天五次。
恶实根涂敷方 治疗反花疮，以及诸疮多年不愈者。
恶实根（研末，四两） 猪脂（二两）
以上调和如糊状。涂在疮上，每天三四次。
诸疮肌肉像蛇头一样伸出数寸的，用硫黄末敷之即收缩。（《圣惠方》）。疮有肌肉凸出，乌梅烧灰为末敷之，立刻消失。（《鬼遗集》）。又以白梅肉捣细，加入蜂蜜捏成钱大的饼贴之妙。（《圣惠方》）
〔梅〕 治疗反花疮，马齿苋一斤，烧灰细研，猪脂调敷。
〔世〕 疮凸出一寸左右，根部像小豆或大如梅子的，用花脚蜘蛛丝缠绕其根部，则逐渐干燥而自然脱落。
(Those sores with flesh protruding are...)
[Xue Ji] Fan Hua Chuang (Reversed Flower Sore) is caused by liver fire and dry blood generating wind after the ulceration of a sore. In some cases, flesh grows out from the wound opening, varying in size like mushrooms; in others, it protrudes like snake heads of different lengths. The treatment method: One should nourish the liver and tonify primordial qi, and apply Li Lu Gao (Veratrum Ointment) externally, which will cause the protruding flesh to retract naturally. This must be done only after the primordial qi has gradually recovered and the pus and toxins are about to be exhausted; otherwise, even if it retracts, it will ulcerate again. If mistakenly treated with knives, needles, cauterizing medicines, or moxibustion/fire, the condition will worsen, potentially leading to uncontrollable bleeding, and inevitably causing symptoms such as alternating chills and fever, and vomiting. At this point, greatly tonifying the spleen and stomach is the best approach. Zhang Cheng'en, a judge, had an abscess on his inner thigh that was nearly healed when a mushroom-like piece of flesh protruded. I said: "This belongs to wind-heat and dry blood in the liver meridian; one should clear liver heat and nourish liver blood." He disagreed, using internal fire-descending medicines and external cauterizing agents. After cauterization, the flesh protruded again; after protrusion, it was cauterized again. The flesh grew larger, and the primordial qi became more deficient, until he finally believed my words. He then took Zhi Zi Qing Gan San (Gardenia Decoction to Clear the Liver) internally and applied Li Lu Gao externally, resulting in recovery. A student of the Imperial Academy, who habitually consumed rich foods and was prone to anger, developed a nodule under his ear. After it ulcerated, the wound opened and the flesh protruded like a mushroom, associated with headache, occasional chest and hypochondriac distension, and internal heat or alternating chills and fever. Having used heat-clearing and detoxifying medicines for over a year without cure, I used Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) and Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia) to achieve a quick recovery. A man with a back sore had it constrict to the size of a bean, yet fleshy growths protruding over an inch appeared. Repeated attempts to eliminate them using escharotic and cutting methods failed as they kept growing back; this was due to liver blood deficiency and wind-heat. I prescribed Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) for over thirty doses and applied Li Lu Gao, leading to resolution; subsequently, Ba Zhen San (Eight Treasure Powder) with increased amounts of Ren Shen (Ginseng), Bai Zhu (Atractylodes Macrocephala Rhizome), Dang Gui (Angelica Sinensis Root), and Fu Ling (Poria) was used to promote healing. A woman, prone to anger, developed an abscess on her arm with two inches of flesh protruding from the wound. This was attributed to liver-spleen depression and anger causing qi and blood deficiency with internal wind movement. She was treated with Jia Wei Xiao Yao San and topical Li Lu Gao, resulting in cure. Later, due to anger, she experienced swelling and stifling sensation at the lesion site, with profuse sweating all over the body like rain. This was due to liver meridian wind-heat, as wind scatters qi. She recovered using the previous powder combined with Ba Zhen Tang (Eight Treasure Decoction). A man with neck swelling produced excessive phlegm and saliva. Treatment with hard-resolving and qi-moving agents exacerbated the hardness and swelling. He suffered from panting, fever, spontaneous sweating, night sweats, fatigue, and poor appetite. I stated: "This belongs to deficiency of the three yin meridians of the foot; one should nourish the source of transformation." Disbelieving this, he subjected the lesion to cauterization, causing the wound to evert to about six cun. The color was red, and fresh blood flowed daily for over three months. The liver pulse was wiry, surging, tight, and solid. I administered Da Bu Tang (Great Tonifying Decoction) plus Mai Men Dong (Ophiopogon Tuber) and Wu Wei Zi (Schisandra Fruit) for over fifty doses. Various symptoms gradually improved, and bleeding stopped for three to four intervals. Later, due to anger and sudden decrease in food intake, blood gushed forth. This indicated liver injury failing to store blood and spleen injury failing to control blood. Using Bu Zhong Yi Qi Tang as the main formula, added with Wu Wei Zi and Mai Men Dong, the bleeding stopped immediately. Subsequently, Liu Wei Wan (Six-Ingredient Pill) with added Wu Wei Zi was taken regularly. The wound contracted to about one cun. Medication was then discontinued. However, he died because he did not observe dietary and lifestyle restrictions.
Li Lu Gao (Veratrum Ointment): Treats all types of carbuncles and sores with protruding flesh, regardless of size or length. Use Veratrum (Li Lu) alone, grind into powder, mix with raw lard, and grind into an ointment. Apply to the affected area and change once a week.
Yan Zhi San (Rouge Powder): Treats Fan Hua Chuang (Reversed Flower Sore).
Ingredients: Yan Zhi (Vermilion/Rouge), Bei Mu (Fritillaria Bulb), Hu Fen (Lead Carbonate/White Lead), Peng Sha (Borax), Mo Yao (Myrrh).
Dosage: Each ingredient one fen (except Peng Sha and Mo Yao, which are half a fen).
Preparation: Grind finely. First wash and wipe the area with warm rice water, then apply the medicine.
Gan Cao Tu Fu Fang (Licorice Topical Application Formula): Treats Fan Hua Chuang (Reversed Flower Sore).
Ingredients: Gan Cao (Licorice Root, half raw, half stir-fried), Fan Duan Shi (Calcined Alum Stone), Ren Zhong Bai (Human Placenta Ash), Mi Duo Seng (Litharge).
Dosage: Each half liang.
Preparation: Grind into fine powder. Take half a cup of urine from an uncircumcised boy, boil gently without strong fire, stir with a bamboo spatula until it forms an ointment. Apply to the sore five times a day.
E Shi Gen Tu Fu Fang (Arctium Root Topical Application Formula): Treats Fan Hua Chuang (Reversed Flower Sore) and various sores that have not healed for years.
Ingredients: E Shi Gen (Arctium Root, ground into powder, four liang), Zhu Zhi (Pork Lard, two liang).
Preparation: Mix well to form a paste. Apply to the sore three to four times a day.
For sores where flesh protrudes like a snake head for several inches, applying sulfur powder causes immediate retraction. (From *Sheng Hui Fang*). For sores with protruding flesh, burning Chinese plum (Wu Mei) to ash and applying the powder causes immediate disappearance. (From *Gui Yi Ji*). Also, pounding white plum flesh finely, mixing with honey, forming cakes the size of coins, and applying them is excellent. (From *Sheng Hui Fang*).
[Mei]: To treat Fan Hua Chuang (Reversed Flower Sore), use one jin of Purslane (Ma Chi Xian), burn to ash, grind finely, and mix with pork lard for application.
[Shi]: For sores protruding about one cun, with roots the size of a small bean or large as a plum, wrap the root with silk from a spotted-legged spider. It will gradually dry and fall off naturally.