《鬼遗》云∶两手背发痈疽，初生如水刺无头脑，顽然满手背，肿满后聚毒成疮，深
入至骨而为发手背。此属五种，皆发毒之类也。手背肿毒，乃三阳经风热郁滞而发，宜
服活命饮加芩、连、山栀、桔梗、升麻。寒加桂枝，热加姜黄，水酒煎服。有表证者，紫
金丹、乌金散、夺命丹汗之。有里证者，一粒金丹、八阵散下之。老弱者，宜大补之剂。
柿根膏 治蜘蛛背。
紫背草 狐柿子根皮
上砍烂，糟炒缚之，又方，加岩松子，或单用亦可。
手心结毒， 赤肿痛，俗名病穿掌，又名穿窟天蛇，又名贫子盂。若偏于掌边者，名
穿边天蛇，又名穿埂天蛇，此手厥阴心胞络积热所致。初宜隔蒜灸之以泄其毒，服活命
饮加桂枝、姜黄。实者，量表里为汗下，于紫金丹、夺命丹、乌金散、一粒金丹选用，既
溃，参 大剂补之。
蜈蚣散 治病穿掌。
穿山蜈蚣 花心蜈蚣 背子蜈蚣 山苏木 飞天蜈蚣 金头蜈蚣 酒坛子根 赤牛
膝臭不待根 紫背草 紫金藤
上酒煎服。不饮酒人，水煎入少酒和服。又用过路蜈蚣、溪女叶，煎水浸洗。
又方
穿山蜈蚣 鸡屎子 金脑香 紫金藤
上水煎入酒和服。
敷穿掌穿板药
仙人掌根 鸡屎根皮 赤葛根皮 葛合根 山布瓜根 背子蜈蚣 山樟根皮 赤牛
膝落鸦枪根 天布瓜根 山枇杷根皮 紫河车 紫金皮
上擂烂，入醋少许，和涂患处。
又方
仙人掌根，磨米醋暖涂敷。又用藜芦子，煎醋熏，又用零香子，煎水浸洗。
浸洗方
石楠藤 赤牛膝 赤麻 八角茴香 赤 子 九节香 猪屎苏 穿山蜈蚣 铁菱
角含笑叶 铁梗子 落鸦枪 山蓼叶
上煎水，熏浸淋洗之。
溃烂者用搽末
旧饭筲烧存性，为末。地沥青扫患处，次搽末，或用生肌散，亦大效。饭筲要用农家
者，取其日日贮饭，藏气者效。
《鬼遗方》记载：两手手背发生痈疽，初起时像被水刺一样没有明显的头绪，僵硬地布满整个手背，肿胀满溢后聚集毒素形成疮疡，深入至骨骼便称为“发手背”。这属于五种类型，都是发毒一类的疾病。手背肿毒，是由于三阳经的风热郁滞而引发的，适宜服用活命饮，并加入黄芩、黄连、山栀、桔梗、升麻。若伴有寒象则加桂枝，热象明显则加姜黄，用水和酒煎煮后服用。如果有表证（邪在肌表），可用紫金丹、乌金散、夺命丹通过发汗的方法治疗。如果有里证（邪在脏腑），可用一粒金丹、八阵散通过泻下的方法治疗。年老体弱者，适宜使用大补的药剂。柿根膏可以治疗蜘蛛背（即手发背）。
紫背草，即狐柿子根皮。
将上述药材砍烂，用酒糟炒热后敷缚患处。另一方法，可加入岩松子，或者单用紫背草也可以。
手心结毒，红肿疼痛，俗称病穿掌，又名穿窟天蛇，又名贫子盂。如果偏向手掌边缘发生的，名为穿边天蛇，又名穿埂天蛇，这是由手厥阴心包络积热所致。初期适宜隔蒜灸以泄出毒素，同时服用活命饮，加入桂枝、姜黄。体质壮实者，需辨别表里，分别采用发汗或泻下法，从紫金丹、夺命丹、乌金散、一粒金丹中选用；溃破之后，需用人参等大剂量的补益药进行调理。蜈蚣散用于治疗病穿掌。
药材包括：穿山蜈蚣、花心蜈蚣、背子蜈蚣、山苏木、飞天蜈蚣、金头蜈蚣、酒坛子根、赤牛膝臭不待根、紫背草、紫金藤。
将上述药材用酒煎煮服用。不饮酒的人，用水煎煮后加入少量酒调和服用。另外，可使用过路蜈蚣、溪女叶，煎水浸泡清洗患处。
另一个方子：
穿山蜈蚣、鸡屎子、金脑香、紫金藤。
将上述药材用水煎煮，加入酒调和服用。
外敷治疗穿掌、穿板药的配方：
仙人掌根、鸡屎根皮、赤葛根皮、葛合根、山布瓜根、背子蜈蚣、山樟根皮、赤牛膝落鸦枪根、天布瓜根、山枇杷根皮、紫河车、紫金皮。
将上述药材捣烂，加入少许醋，调和后涂抹于患处。
另一个方子：
仙人掌根，磨碎后用米醋加热涂抹敷贴。另外使用藜芦子，煎醋熏蒸；再使用零香子，煎水浸泡清洗。
浸洗方：
石楠藤、赤牛膝、赤麻、八角茴香、赤子、九节香、猪屎苏、穿山蜈蚣、铁菱角含笑叶、铁梗子、落鸦枪、山蓼叶。
将上述药材煎水，用于熏蒸、浸泡和淋洗患处。
对于溃烂的情况，使用搽粉：
将旧的饭筲烧至存性（保留药性但炭化），研成粉末。在地沥青扫涂患处后，再撒上药粉，或者使用生肌散，也有很大疗效。饭筲必须使用农家用的，因为取其日日盛饭，蕴藏了饭气，所以效果显著。
According to the *Gui Yi Fang* (Ghost's Legacy): When carbuncles and sores occur on the dorsum of both hands, they initially appear like water stings without a distinct head, stiffly filling the entire hand. After swelling and fullness, toxins gather to form ulcers, penetrating deeply into the bone, which is termed "Fa Shou Bei" (Hand Emission Back). These belong to five categories, all falling under the type of "Fa Du" (emission poisons). Swelling and toxicity of the hand dorsum are caused by the stagnation of wind-heat in the three Yang meridians. It is appropriate to administer Huo Ming Yin (Decoction for Saving Life) with added Huang Qin (Scutellariae Radix), Lian Lian (Coptidis Rhizoma), Shan Zhi (Gardeniae Fructus), Jie Geng (Platycodonis Radix), and Sheng Ma (Cimicifugae Rhizoma). If cold signs are present, add Gui Zhi (Cinnamomi Ramulus); if heat signs are prominent, add Jiang Huang (Curcumae Longae Rhizoma). Decoct with water and wine for oral administration. For patients with exterior syndrome (pathogen in the muscle layer), Zi Jin Dan (Purple Gold Pill), Wu Jin San (Black Gold Powder), or Duo Ming Dan (Life-Seizing Pill) can be used to induce sweating. For patients with interior syndrome (pathogen in the viscera), Yi Li Jin Dan (One-Pill Golden Pill) or Ba Zhen San (Eight-Array Powder) can be used to induce purgation. For the elderly and weak, potent tonifying formulas are suitable. Shi Gen Gao (Persimmon Root Ointment) treats Spider Back (i.e., Hand Emission Back).
Zi Bei Cao (Purple-backed Herb), also known as the root bark of Hu Shi Zi (Fox Persimmon).
Mash the above herbs, stir-fry them with fermented grain residue (jiu zao) until hot, and bind them to the affected area. Another method: add Yan Song Zi (Rock Pine Seeds), or use Zi Bei Cao alone.
Toxic nodules in the palm present with redness, swelling, and pain. Colloquially known as Bing Chuan Zhang (Disease Piercing Palm), it is also called Chuan Ku Tian She (Piercing Cave Heavenly Snake) or Pin Zi Yu (Poor Man's Bowl). If it occurs偏于掌边 (on the edge of the palm), it is named Chuan Bian Tian She (Pierging Edge Heavenly Snake) or Chuan Geng Tian She (Piercing Ridge Heavenly Snake). This is caused by accumulated heat in the Pericardium Meridian of Hand-Jueyin. Initially, moxibustion with garlic slices should be performed to drain the toxin, accompanied by Huo Ming Yin (Decoction for Saving Life) with added Gui Zhi (Cinnamomi Ramulus) and Jiang Huang (Curcumae Longae Rhizoma). For those with excess constitution, differentiate between exterior and interior syndromes and apply sweating or purgative methods respectively, selecting from Zi Jin Dan (Purple Gold Pill), Duo Ming Dan (Life-Seizing Pill), Wu Jin San (Black Gold Powder), or Yi Li Jin Dan (One-Pill Golden Pill). After ulceration, use large doses of Ren Shen (Ginseng Radix et Rhizoma) and other tonics. Wu Gong San (Centipede Powder) treats Bing Chuan Zhang (Disease Piercing Palm).
Herbs include: Chuan Shan Wu Gong (Mountain-Climbing Centipede), Hua Xin Wu Gong (Flower-Heart Centipede), Bei Zi Wu Gong (Back-Seed Centipede), Shan Su Mu (Mountain Su Wood), Fei Tian Wu Gong (Flying-Heaven Centipede), Jin Tou Wu Gong (Golden-Head Centipede), Jiu Tan Zi Gen (Wine-Jar Root), Chi Niu Xi (Achyranthes Bidentata Root), Chou Bu Dai Gen (Stinky-Not-Waiting-Root), Zi Bei Cao (Purple-backed Herb), Zi Jin Teng (Purple-Gold Vine).
Decoct the above herbs in wine for oral administration. For those who do not drink alcohol, decoct with water and mix with a small amount of wine before taking. Additionally, Guo Lu Wu Gong (Passing-By Centipede) and Xi Nu Ye (Stream-Maiden Leaf) can be decocted in water for soaking and washing the affected area.
Another prescription:
Chuan Shan Wu Gong (Mountain-Climbing Centipede), Ji Shi Zi (Chicken Dropping Seed), Jin Nao Xiang (Golden-Brain Fragrance), Zi Jin Teng (Purple-Gold Vine).
Decoct the above herbs in water, mix with wine, and take orally.
External application for Chuan Zhang (Piercing Palm) and Chuan Ban Yao (Piercing Board Medicine):
Zhang Xian Ren Gen (Cactus Root), Ji Shi Gen Pi (Chicken Dropping Root Bark), Chi Ge Gen Pi (Red Kudzu Root Bark), Ge He Gen (Kudzu Union Root), Shan Bu Gua Gen (Mountain-Bag Melon Root), Bei Zi Wu Gong (Back-Seed Centipede), Shan Zhang Gen Pi (Mountain Camphor Root Bark), Chi Niu Xi Luo Ya Qiang Gen (Achyranthes Fallen-Crow-Spear Root), Tian Bu Gua Gen (Heaven-Bag Melon Root), Shan Pi Pa Gen Pi (Mountain Loquat Root Bark), Zi He Che (Placenta Humana), Zi Jin Pi (Purple-Gold Bark).
Mash the above herbs thoroughly, add a little vinegar, mix well, and apply to the affected area.
Another prescription:
Zhang Xian Ren Gen (Cactus Root), grind and apply warm with rice vinegar. Additionally, use Li Lu Zi (Veratrum Seed), decoct in vinegar for fumigation; then use Ling Xiang Zi (Zero-Fragrance Seed), decoct in water for soaking and washing.
Soaking and Washing Prescription:
Shi Nan Teng (Fatsia Vine), Chi Niu Xi (Achyranthes Bidentata Root), Chi Ma (Red Hemp), Ba Jiao Hui Xiang (Star Anise), Chi Zi (Red Seed), Jiu Jie Xiang (Nine-Joint Fragrance), Zhu Shi Su (Pig-Dung Perilla), Chuan Shan Wu Gong (Mountain-Climbing Centipede), Tie Ling Jiao Han Xiao Ye (Iron-Horned Magnolia Leaf), Tie Geng Zi (Iron-Stem Fruit), Luo Ya Qiang (Fallen-Crow-Spear), Shan Liao Ye (Mountain Pepper Leaf).
Decoct the above herbs in water for fumigation, soaking, and rinsing the affected area.
For ulcerated cases, use powdered application:
Burn old Fan Shao (Rice Basket) until carbonized but retaining medicinal properties, and grind into powder. Apply Di Qing Xi (Bitumen) to the affected area first, then sprinkle the powder. Alternatively, use Sheng Ji San (Tissue-Regenerating Powder), which is also highly effective. The rice basket must be one used by farmers, as it has stored the qi of daily rice storage, enhancing its efficacy.