手大指头发，小点如粟，渐大如豆，或如桃李。或青、或紫、乍黄、乍黑、乍白。或
痒、或麻木不痛，或大痛彻心，此名调疽。属手太阴肺经积毒，毒盛者，宜截去之。四日
刺得血脓者生，得黑血者死。急服乌金散、紫金丹汗之。壮实者。一粒金丹下之。毒瓦斯攻
心，呕吐不食，膨胀者死。齿缝出血者死。 一人患此，色黑不痛，其指已死，令斩去之。
速服补药，恐黑上臂不治。彼不信，另服败毒药，手竟黑，遂不救。
手中指头结毒， 赤肿痛，（或不拘何指。）名天蛇头。若有脓裂开，有口唇如蛇头状，是
以名焉。属手厥阴心包络积热所致。宜服活命饮加柴胡、羌活、桔梗。黄连消毒饮、紫
金丹、乌金散选用。虽黑色顽麻，溃烂脱指者，亦不死。
丹溪云∶蒲公英草，清明时节如荠菜状，中开一朵花，如菊花者，取干与苍耳草二味，
等分为末，以好醋浓煎，浸洗即愈。
蒲公英忍冬酒，治天蛇头极效，累验。（见乳痈。）
〔世〕 治天蛇头，蒲公英捣细，水和调，去渣，服之。又捣渣盒患处，累效。
治天蛇头用 野落苏（即兼丝子） 金银花藤 天荞麦
上细切，用好米醋浓煎，先熏后洗。
又方 用人粪杂黄泥捣之，裹在患处，即愈。
拔毒散 治毒疮生于手指，赤肿坚硬，俗呼为发指。彻骨疼痛，不可忍者。
乳香（少许，研） 泥蜂窠（壁间，采研）
上为末。用酽醋调涂，干则以醋润之，痛立止。
治恶指，谚云天蛇头。
蜈蚣（一条，火上烧）
上以烟熏病指，一二次，即安。
治蛇消肿散 治蛇咬及蛇节疔、蛇腹疔、蛇头疔、蛇背疔等症。
蛇头抓 天瓠藤 木虱药 仙人薯 土木香 紫金藤 大小青
上擂酒温服，以渣敷之。
除瘴消痛散 治蛇头子，及一切蝮蛇瘴。
紫金藤（又名开心草）
上擂酒服之，以渣敷患处，大效。
又方 金脑香叶，擂酒服，以渣敷之。
又方 蛇头抓草，又名赤田 、又名一麻、二麻。有一个根，即一麻；有二个根，名
二麻。
上砍烂，酒炒缚之。
又方 紫金钟 六月雪
二味砍烂 糟炒缚之。
又方 溪汝子叶 过路蜈蚣
砍烂，糟炒缚之，如痛不止，用雄黄末烧烟熏之，不拘已成未成，即克取效。或加
蜈蚣等分，亦妙。
又方 紫金钟 到金钟 野芋子 香附子
上砍烂，糟炒缚之。
又方 井边羊苋子
砍烂，糟炒缚之。
又方 山布瓜根，磨醋刷；以赤梗蜈蚣、过路蜈蚣、穿山蜈蚣、飞天蜈蚣
煎水熏洗，亦效。
又方 独龙须根（即大叶白槲根）
砍烂，糟炒敷之。
地 蓄散 治病蛇头子。
耳环尻（又名琉璃草，又名花管草，又名地 蓄）
上擂酒服，又以砍烂，酒炒缚之。
敷毒方 治蛇头子，一切蝮蛇瘴。
地 蓄 金脑香 紫河车 飞天蜈蚣 紫蜈蚣 金凤尾 金鸡舌
上砍烂，酒炒缚之。
又方 地蜈蚣叶 溪汝村叶 砍烂，酒缚之。
又方 飞天蜈蚣叶 砍烂，冷缚之。
又方 金脑香叶（又名社茶） 砍烂，冷缚之。
又方 鸡卵一枚，开窍倾出，以指时数浸之。
又方 软骨草 赤麻 金盏草 耳环尻
上砍烂，盐、酒炒缚之。
又方 山蓼叶 山麻 地 蓄 田螺
上捣烂，盐、酒炒缚之。
又方 山布瓜根 金脑香叶
上捣烂，酒炒缚之。
浸毒散 治前证，并效。
毛藤子 石楠藤 铁凌角 穿山蜈蚣 背子蜈蚣 赤麻 金脑香 梭婆子根 飞
天蜈蚣 赤梗过路蜈蚣
上煎水，入些醋，和暖浸洗。
治蛇头疮 其形生时在手足上，疮傍一块开如蛇口之状，痛而流血不止者，此药治
之。
雄黄 蜈蚣 全蝎（各一钱）
上为细末。看疮湿劈开，入药擦在疮上，却以小油抹，裁帛拴住。如干，小油调搽。
五指头生疽，名为敦疽。系脏腑积热，治不可缓。宜内疏黄连汤、紫金丹、乌金散，及
一粒金丹下之。
手指大指头处生发疔疮，初起小点如粟米，逐渐增大如豆粒，或者像桃子和李子的大小。颜色或青、或紫、忽黄、忽黑、忽白。感觉或痒、或麻木不痛，或者剧烈疼痛直达心脏，这种病名叫调疽（此处原文可能有误，通常指“手大指疽”或类似疔疮，但依原文翻译）。此病属于手太阴肺经积毒所致，毒势旺盛者，适宜截去患指。发病四天后，若针刺能放出血脓的则生，若放出黑血的则死。急需服用乌金散、紫金丹使其发汗。体质壮实者，服用一粒金丹通便泻下。若毒气攻心，出现呕吐、不能进食、腹部胀满的则死。若齿缝出血的则死。
有一人患此病，肤色发黑且不痛，其手指已经坏死，建议斩断手指。迅速服用补益药物，恐怕黑色蔓延至手臂就无法治疗了。那人不信，另外服用了败毒的药物，手部最终变黑，于是无法救治。
手中指头结聚毒邪，红肿疼痛，（或者不限于哪个手指），名叫天蛇头。如果有脓液破裂流出，伤口边缘像嘴唇一样，形状如蛇头，因此得名。此病属于手厥阴心包络积热所致。适宜服用活命饮加柴胡、羌活、桔梗。也可选用黄连消毒饮、紫金丹、乌金散。即使是黑色顽固麻木，溃烂脱指的，也不会死亡。
朱丹溪说：蒲公英草，在清明时节长得像荠菜，中间开一朵花，像菊花那样，取干燥的蒲公英和苍耳草两味药，等分为末，用好醋浓煎，浸泡清洗即可痊愈。
〔世传〕治疗天蛇头，将蒲公英捣碎细烂，用水调和，去渣，内服。又将药渣敷在患处，屡获良效。
治疗天蛇头用野落苏（即菟丝子）、金银花藤、天荞麦。
以上药材细切，用好米醋浓煎，先熏后洗。
拔毒散：治疗毒疮生于手指，红肿坚硬，俗称发指。疼痛彻骨，不可忍受。
乳香（少许，研碎）、泥蜂窠（采自墙壁间，研碎）。
以上制成粉末。用浓醋调匀涂抹，干了就用醋润湿，疼痛立即停止。
治疗恶指，谚语称为天蛇头。
蜈蚣（一条，在火上烧）。
以上用烟熏烤病指，一两次，即可安宁。
治蛇消肿散：治疗蛇咬伤及蛇节疔、蛇腹疔、蛇头疔、蛇背疔等症。
蛇头抓、天瓠藤、木虱药、仙人薯、土木香、紫金藤、大小青。
以上研磨后加酒温服，并将药渣敷于患处。
除瘴消痛散：治疗蛇头子，及一切蝮蛇瘴毒。
紫金藤（又名开心草）。
以上研磨后加酒服，并将药渣敷于患处，效果显著。
又一方：蛇头抓草，又名赤田[缺字]、又名一麻、二麻。有一个根的，叫一麻；有两个根的，叫二麻。
以上砍烂，用酒炒后缚扎患处。
又一方：溪汝子叶、过路蜈蚣。
砍烂，用酒糟炒后缚扎患处。如果疼痛不止，用雄黄末烧烟熏之，无论疮疡已成或未成，即刻见效。或者加入蜈蚣等分，也很好。
又一方：紫金钟、到金钟、野芋子、香附子。
以上砍烂，用酒糟炒后缚扎患处。
又一方：山布瓜根，磨醋刷涂；用赤梗蜈蚣、过路蜈蚣、穿山蜈蚣、飞天蜈蚣煎水熏洗，也有效。
地蓄散：治疗病蛇头子。
耳环尻（又名琉璃草，又名花管草，又名地蓄）。
以上研磨后加酒服，又将药砍烂，用酒炒后缚扎患处。
敷毒方：治疗蛇头子，一切蝮蛇瘴毒。
地蓄、金脑香、紫河车、飞天蜈蚣、紫蜈蚣、金凤尾、金鸡舌。
以上砍烂，用酒糟炒后缚扎患处。
又一方：鸡蛋一枚，开孔倒出蛋清蛋黄，用手指在其中浸泡数时辰。
又一方：软骨草、赤麻、金盏草、耳环尻。
以上砍烂，加盐、酒炒后缚扎患处。
又一方：山蓼叶、山麻、地蓄、田螺。
以上捣烂，加盐、酒炒后缚扎患处。
浸毒散：治疗上述病症，均有效。
毛藤子、石楠藤、铁凌角、穿山蜈蚣、背子蜈蚣、赤麻、金脑香、梭婆子根、飞天蜈蚣、赤梗过路蜈蚣。
以上煎水，加入少许醋，温热浸泡清洗。
治疗蛇头疮：其形态生成时在手足上，疮旁一块裂开如蛇口状，疼痛且流血不止，此药治疗它。
雄黄、蜈蚣、全蝎（各一钱）。
以上制成细末。看疮面湿润劈开，将药擦在疮上，再用少量油涂抹，裁剪帛布拴住固定。如果干了，用少量油调匀搽涂。
The finger's thumb develops a ding (a type of acute localized infection), initially small like millet grains, gradually enlarging to the size of a bean, or resembling a peach or plum. The color may be green, purple, suddenly yellow, black, or white. Sensations may include itching, numbness without pain, or severe pain penetrating to the heart. This condition is named Diao Ju (Tuning Carbuncle - *Note: likely a specific local name for thumb carbuncle*). It belongs to the accumulation of toxins in the Hand-Taiyin Lung Meridian. In cases of excessive toxin strength, amputation of the affected digit is advisable. If blood and pus can be drained by pricking on the fourth day, the patient will survive; if dark blood is discharged, death ensues. Urgently administer Wu Jin San (Black Gold Powder) and Zi Jin Dan (Purple Gold Pill) to induce sweating. For robust individuals, Yi Li Jin Dan (One-Pill Golden Pill) should be used to purge downwards. If the toxic vapors attack the Heart, accompanied by vomiting, anorexia, and abdominal distension, death occurs. Bleeding from the gum margins also indicates a fatal prognosis.
A certain person suffered from this condition; his skin was black and painless, and the finger had already died. He was advised to have it amputated. He was urged to quickly take tonic medicines, fearing that if the blackness spread up the arm, it would be incurable. He did not believe this and took other anti-toxic drugs instead. His hand eventually turned completely black, and he could not be saved.
When a toxic nodule forms on the middle finger of the hand, presenting with redness, swelling, and pain (or affecting any finger), it is named Tian She Tou (Heavenly Snake Head). If pus ruptures the skin, and the wound edges resemble lips shaped like a snake head, hence the name. This condition is caused by accumulated heat in the Hand-Jueyin Pericardium Meridian. It is suitable to administer Huo Ming Yin (Life-Saving Decoction) added with Chai Hu (Bupleuri Radix), Qiang Huo (Notopterygii Rhizoma et Radix), and Jie Geng (Platycodonis Radix). Alternatively, select from Huang Lian Xiao Du Yin (Coptis Detoxification Decoction), Zi Jin Dan (Purple Gold Pill), or Wu Jin San (Black Gold Powder). Even if the tissue becomes black, stubborn, and numb, leading to ulceration and loss of the finger, death does not necessarily follow.
Zhu Danxi stated: Dandelion herb (Taraxaci Herba), during the Qingming Festival, resembles Shepherd's Purse (Capsellae Bursa-Pastoris Herba) in appearance, with a single flower opening in the center resembling a chrysanthemum. Take dried Dandelion and Xuan Er Cao (Xanthii Herba) in equal proportions, grind into powder, decoct strongly with good vinegar, and soak/wash the area until healed.
Dandelion and Honeysuckle Wine (Yin Chen Hao Jiu variant context implied) is extremely effective for treating Tian She Tou, verified repeatedly. (See section on Breast Abscess).
[Worldly/Popular prescriptions] To treat Tian She Tou, crush fresh Dandelion finely, mix with water, strain, and ingest the liquid. Apply the dregs to the affected area; this has yielded repeated success.
For treating Tian She Tou, use Ye Luo Su (Cuscutae Semen, i.e., Dodder Seed), Jin Yin Hua Teng (Lonicerae Japonicae Caulis), and Tian Qiao Mai (Fagopyri Dibotryis Rhizoma).
Cut these herbs finely, decoct strongly with good rice vinegar. Fumigate first, then wash.
Another prescription: Mix human feces with yellow mud, pound into a paste, and wrap around the affected area. It will heal immediately.
Ba Du San (Toxin-Extracting Powder): Treats toxic sores arising on fingers, characterized by redness, swelling, and hardness, commonly called Fa Zhi (Hair Finger). Pain penetrates to the bone and is unbearable.
Ru Xiang (Frankincense) (a small amount, ground), Ni Feng Ke (Mud Wasp Nest) (collected from walls, ground).
Grind into powder. Mix with strong vinegar to apply. If dry, moisten with vinegar. Pain stops immediately.
Treating E Zhi (Evil Finger), colloquially known as Tian She Tou.
Wu Gong (Centipede) (one piece, roasted over fire).
Use the smoke to fumigate the diseased finger one or two times; peace follows.
Zhi She Xiao Zhong San (Snake-Calming Swelling-Reducing Powder): Treats snake bites and Snake Joint Ding, Snake Belly Ding, Snake Head Ding, Snake Back Ding, etc.
She Tou Zhua, Tian Hu Teng, Mu Shi Yao, Xian Ren Shu, Tu Mu Xiang, Zi Jin Teng, Da Qing and Xiao Qing.
Pound and mix with wine for warm oral administration. Apply the dregs externally.
Chu Zhang Xiao Tong San (Miasma-Removing Pain-Alleviating Powder): Treats Snake Head Zi and all types of Viper Miasma.
Zi Jin Teng (also known as Kai Xin Cao).
Pound and mix with wine for oral administration. Apply dregs externally. Highly effective.
Another prescription: Jin Nao Xiang leaves, pound and mix with wine for oral administration. Apply dregs externally.
Another prescription: She Tou Zhua grass, also known as Chi Tian [missing character], also known as Yi Ma (One Hemp) and Er Ma (Two Hemp). If it has one root, it is Yi Ma; if two roots, it is Er Ma.
Chop thoroughly, stir-fry with wine, and bind to the site.
Another prescription: Zi Jin Zhong, Liu Yue Xue.
Chop both thoroughly, stir-fry with wine lees, and bind.
Another prescription: Xi Ru Zi Ye, Guo Lu Wu Gong.
Chop thoroughly, stir-fry with wine lees, and bind. If pain persists, fumigate with powdered Xiong Huang (Realgar) smoke. Effective whether the lesion is formed or unformed. Adding Wu Gong (Centipede) in equal parts is also excellent.
Another prescription: Zi Jin Zhong, Dao Jin Zhong, Ye Yu Zi, Xiang Fu Zi.
Chop thoroughly, stir-fry with wine lees, and bind.
Another prescription: Jing Bian Yang Xian Zi.
Chop thoroughly, stir-fry with wine lees, and bind.
Another prescription: Shan Bu Gua Gen (Root of Melia azedarach or similar), rub with ground vinegar. Decoct Chi Geng Wu Gong, Guo Lu Wu Gong, Chuan Shan Wu Gong, and Fei Tian Wu Gong in water for fumigation and washing. Also effective.
Another prescription: Du Long Xu Gen (i.e., Da Ye Bai Hu Gen / Root of Quercus variabilis), chop thoroughly, stir-fry with wine lees, and apply.
Di Xu San (Polygonum Aviculare Powder): Treats pathological Snake Head Zi.
Er Huan Kao (also known as Liu Li Cao, Hua Guan Cao, Di Xu).
Pound and mix with wine for oral administration. Chop another portion, stir-fry with wine, and bind externally.
Fu Du Fang (Toxin-Binding Formula): Treats Snake Head Zi and all viper miasmas.
Di Xu, Jin Nao Xiang, Zi He Che (Placenta Humana), Fei Tian Wu Gong, Zi Wu Gong, Jin Feng Wei, Jin Ji She.
Chop thoroughly, stir-fry with wine lees, and bind.
Another prescription: Di Wu Gong Ye, Xi Ru Cun Ye.
Chop thoroughly, bind with wine.
Another prescription: Fei Tian Wu Gong Ye.
Chop thoroughly, apply cold.
Another prescription: Jin Nao Xiang Ye (also known as She Cha).
Chop thoroughly, apply cold.
Another prescription: One chicken egg, open a hole, pour out contents, and soak the finger in it for several hours.
Another prescription: Ruan Gu Cao, Chi Ma, Jin Zhan Cao, Er Huan Kao.
Chop thoroughly, stir-fry with salt and wine, and bind.
Another prescription: Shan Liao Ye, Shan Ma, Di Xu, Tian Luo (Snail).
Pound thoroughly, stir-fry with salt and wine, and bind.
Another prescription: Shan Bu Gua Gen, Jin Nao Xiang Ye.
Pound thoroughly, stir-fry with wine, and bind.
Jin Du San (Toxin-Soaking Powder): Effective for the aforementioned conditions.
Mao Teng Zi, Shi Nan Teng, Tie Ling Jiao, Chuan Shan Wu Gong, Bei Zi Wu Gong, Chi Ma, Jin Nao Xiang, Suo Po Zi Gen, Fei Tian Wu Gong, Chi Geng Guo Lu Wu Gong.
Decoct in water, add some vinegar, and soak/wash while warm.
Treating Snake Head Chuang (Sore): When appearing on hands or feet, the sore presents with a split-like opening resembling a snake mouth beside it, causing pain and continuous bleeding. This medicine treats it.
Xiong Huang (Realgar), Wu Gong (Centipede), Quan Xie (Scorpion) (each 1 qian).
Grind into fine powder. If the sore is wet, split it open, apply the powder, then smear with a little oil, and secure with cut cloth strips. If dry, reapply with oil mixed with the powder.
Five fingers developing Ju (carbuncles) are named Dun Ju. This is due to accumulated heat in the Zang-Fu organs. Treatment must not be delayed. Administer Ne Shu Huang Lian Tang (Internal-Draining Coptis Decoction), Zi Jin Dan (Purple Gold Pill), Wu Jin San (Black Gold Powder), and Yi Li Jin Dan (One-Pill Golden Pill) to purge downwards.