《鬼遗方》云∶凡痈疽外热内疼者，是有客邪，内有积毒，欲作脓透之候。
洪宝丹（又名金丹、寸金、四黄散）
天花粉（三两） 姜黄 白芷（各一两） 赤芍药（二两）
上为末。茶酒汤使，随证热涂。诸般热证，痈肿金疮，此药一凉而已，能化血为水，
又能使血瘀积，又能凉肌生肉，去死肌烂肉，又能破血退肿，又能滞气为浮，能止痛，又
能为痛闭脓，又能出脓，一反一复，此方药性无他，遇凉效少，遇热效多，故非十分阳
证，不可轻用，恐或凝寒，治疗费力。若夫金疮出血，非此不可，乃第一药。余外但可
为前二药之佐使尔，当审之审之。大抵此三药，可合力同功者，可独将专权者，可分司
列职者，可合围交攻者，可借援求救者，可勇力相持者，可正兵先锋奇兵取胜者，可奇
兵先锋正兵取胜者，神圣工巧，端与兵法无异，然兵随印转，将逐令行，故立功取胜，存
乎其人，苟非明理通变之士，何足言哉，用法如后。一若病势大热，可用热茶调敷，如
证稍温，则用酒调。若用以撮脓，可用三分，姜汁七分茶调，何也？此药最凉，能使血退，
姜汁性热，能引血潮，故血退则被引，血潮被逐，进退相持而后成脓作破，逼脓尽流也。
一凡疮口破处，肉硬不消者，疮口被风所袭也，此方中加独活以去风，用热酒调，如又
不消，则风毒已深，肌肉结实，又加紫荆皮，有必消之理矣。一此方莫善去金疮，及诸热
证赤肿，断诸血根，不使 赤。若痈疽不可轻用，恐贴处不散，FS 毒入内，在骨则成骨
痈，在喉项则毒瓦斯聚喉，在胸背则阴烂脏腑，在腹肚则为内痈，杀人不救，可不慎哉！只
以冲和、玉龙，根据法详证，用之为妙。一年少血壮之人，衰老血败之士，如有溅血，无
药可止，血尽人亡；若在手足，可用茶调敷手足上下尺余远；若在胸背、腰腹，则全体
敷之，把住血路方能止，却用断血药，（五倍末方，见金疮条中。）或神效军中方、 口方得安
愈。一治金疮重者，筋断脉绝，血尽人亡，如要断血，须用绳及绢袋，缚住人手臂，却以
此方，从手臂上用茶调，敷住血路，然后却用断血药 口，却不可使内补，及四物等药，
却又能令人发呕吐，甚则口眼 斜，少焉发烦发热成破伤风，只可下对金饮，加川芎、白
芷、姜枣煎自安，却徐徐补血。如或有破伤风证，又须用破伤风药，即葛根汤之类，（方见
后）。疮口用军中方，加九肋鳖甲酥炙碾。一凡金疮在头面上者，血不止，急用此方茶调，团
围敷颈上截血，疮口边亦用此敷，军中方 口，重者十日，轻者三日效。一凡金疮着水，
肉翻花者，可用薤汁调此方，敷疮口，两旁以火微炙之；或烧早稻秆烟熏之，疮口水出
即愈。如无水出，即是风袭，可用南星，茶调敷之即愈，然后以军中方， 口妙。一治
妇人产后或经绝，血行逆上，心不能主，或吐血，鼻衄，舌衄，可以此方，用井花水调
敷颈上，生艾汁调亦妙，其血立止，然后服药以绝原。如舌衄必有血泡，破之复胀，可
用线于舌根颈缚住勿除，于颈项上截血，内用黄芩、荆芥凉心之药，以收其原；舌上用
蜜调结口之药以治之，泡破除线，血不胀矣。服凉心药，四物汤加荆芥、薄荷、朱砂。一
此方用药调涂热毒，恐随干随痛，赤肿不退，当用鸡子清调敷，诸热毒难干妙，汤火疮同。
一打破伤损在胸膈上者，药通血不下，可用
绿豆水，调此药末吞之，即吐出而安。又有从高坠下，用通血药不下，数日病患几死，此
必天时寒冻，服大黄等药冰之。血凝片不行，可用热酒调军姜末饮之。片时血通，人得更
生，盖借热性以活死血，则前药方能行矣。治发背初发时小，后五七日赤肿高，即罨药，令
内毒散减疼，免牵引。
乳香膏
乳香（一两） 青薄荷叶（四两，洗干）
上研匀，浓罨患处，以青绢盖之，如干以新汲水润之，常令湿，其热毒自然消散，如
热毒攻结可用，气毒攻结不可用。
金黄散 贴痈毒，令内消。
白芷 白芨 白蔹
上等分为细末，用新汲水调敷。
治阳证肿毒，并金疮。
大粉草锉细，用竹一段，刮去青，两头留节开一小窍，人草在内，满后却用油灰塞
窍，从冬至日放粪缸内，待立春先一日取起，竖在有风无日阴处。二十一日，验两窍好，却
破竹取草为细末，用水调敷。
《药性论》甘蕉根，捣敷一切痈肿上，干即更敷，无不瘥者。
梅师治痈疽发背，或发乳房，初起微赤，不急治之，即死速消方，捣苎根敷之，数易
效。
诸疮肿痛不可忍者，以葵花根，去黑皮，捣烂。若稠点井花水少许，若不稠，不须用
水，以纸摊如膏药贴之立效。
又方 芙蓉叶，捣烂罨，立效；晒干为末，水调敷，亦妙。
治发背，蜗牛百个，活者置净瓶内。新汲水一盏，浸瓶中封闭，自晚至晓，其水如
涎，取水将真蛤粉，不拘多少调之，刷疮上效。
治背痈与疖，久年烟壁土、黄柏，等分为细末，生姜汁捏成膏敷之，夏月以茅香汤
下、一二钱妙。（《经验》）
七宝散（《本事》） 治痈疽，止痛拔毒。
干荷叶心，当中如钱片，（不拘多少）。
上为末，每用三匙，水二盏，慢火煎至一盏半，放温淋洗干，以太白膏敷之。
太白膏 寒水石（研，飞过） 用腊月猪脂调成膏，随疮大小，薄纸摊贴之。
天花青露散 罨围一切肿毒。
白芨 白蔹 白薇 白芷 白鲜皮 朴硝 青黛 黄柏 老龙骨（各一两） 天花粉 青露（各三两）
大黄（四两）
上为细末，醋蜜调匀。如疽毒未成，则当头罨退；若已成，四面围之，中留头，用
替针膏贴之。
消肿散 围罨肿毒，一切疮疖并治。
大黄 水仙子 山药 苎根 青露 小赤豆 寒水石 水姜 香蛤粉 花蕊石
上将前药捣和，如干加醋蜜调匀。如疽毒未成则当头罨退，若已成四面围之，留一
头，用替针膏贴之。
神护膏 围罨一切肿毒。
小赤豆 黄皮 白蔹 白芷 天花粉 南星（各等分）
上为末。阴用米醋与蜜水同，阳用商陆根，亦用芭蕉油，此是邵色婆黄金散，加黄
皮为主。
水澄膏 秘方，围敷肿毒。
郁金 白蔹 白芨 五倍子（各一两） 乳香 雄黄（各五钱）
上为细末。水调敷，如热极者，用腊水尤妙。
五金膏（一名葵花散）
黄葵花（七朵） 川连（二钱，去须） 山栀（三个，肥者） 黄柏（五钱） 川郁金（三钱）
上为末，井华水调成膏敷。此药性急，宜速打之。
清凉膏 治初患痈肿疮疖，热 疼痛，消肿毒。
大黄（不拘多少）
上为细末。用浆水调摊贴之，醋摩亦得。
治诸疮肿不散者。
上取白药根，捣烂敷贴，干则易之。无生者，用末，新水调涂之亦得。
治诸疮肿，马毒疮。
上以马齿苋，水煮冷服一升，及涂疮上。治湿癣、白秃，以马齿膏和灰涂之效。治紧
唇、面肿，捣汁涂。冬用干末，水调涂。治丹毒、发背肿，捣敷之，不住者，以蓝靛和
之更佳。治多年恶疮，捣烂敷之尤良。治三十六种风结疮，取马齿苋一石，水二石，一
釜煮之，澄清，内蜡三两，重煎之成膏，涂疮上并服之。
清水膏 治痈疽，及一切毒肿，坚硬肿痛，攻冲四畔 肿，抽热毒，散肿气。
羊桃根 川大黄 黄芩 绿豆粉 黄柏（各一两） 赤小豆
上为细末。用芸苔菜取自然汁，入蜜少许，相和调药，令稀稠得所。看四畔肿赤处
大小，剪生绢上匀摊，可浓一钱许贴之，干即易。
水调膏 治痈疽毒热，赤 疼痛。
川大黄（生用，研末） 杏仁（去皮尖，研） 盐花（各三分）
上为细末。研令匀，以新汲水和调，稀稠得所。旋即涂肿上，干即易之。
郭氏水澄膏 治风热肿毒，赤红色，攻 疼痛不止。
白芨 白蔹（各四钱） 郁金（一对） 大黄 黄柏 黄药子 榆皮（各七钱半） 乳香 没药
雄黄（各半两）
上为细末。用新汲水一碗，药末不以多少，澄于水内，药定去水。敷于肿处，上用
白纸封之，用鸡翎掠此水湿润。
二黄膏 治一切肿毒。
黄柏 大黄（各等分）
上为末，用醋调搽，如干以水润之。
揭毒散
大黄（一两半） 白芨（一两） 朴硝（二两）
上为末。用井水调搽，如干再搽。
薛按∶此二方及寒凉之药，若疮疡 肿作痛，属阳之证，宜用之。或微肿痛，而不
赤者，恐不宜用。盖气血喜温而恶寒，若冷气入里，反为难治之证矣。
三消散 退极热证，赤肿 开者。
朴硝 焰硝 大黄 栀子（炒黑色） 寒水石 南星（各等分）
上为细末。生地黄汁，调涂贴。芙蓉叶捣汁调亦可。
四面楚歌 敷诸般疽，发肿赤痛不可忍，未成角散，已成角破，至疮口合而止。
荆芥（和根，锉碎） 赤芍药 大柏皮 土当归 山大黄 土白芷 天南星 赤小豆 商
陆根（锉片子，焙） 白芨 赤敛 白蔹 草乌 寒水石（煨或炒，各等分）
上为末。生地黄汁，调角四畔，或苦齑根汁，肿用商陆根研汁，未溃则满涂上，或
有尖起处，则留出疮口。
水师晶明 治诸发已破未破皆洗，如成脓溃烂，最要洗净，去故肉生新肉，洗后净
干，再用角贴掺药，一日一次。
大柏皮 泽兰 莽草 荆芥 赤芍药 山大黄 土白芷 土当归 独活（各等分）
上锉粗散。用水一斗，入葱白、大椒、橘叶同煎熏洗。如已烂，入猪蹄下膝爪骨肉煎，
可免干痛，净洗为度。
《鬼遗方》说：凡是痈疽表现为外部发热、内部疼痛的，说明有外邪侵袭，体内有积滞的毒邪，这是即将化脓并透出的征兆。
洪宝丹（又名金丹、寸金散、四黄散）
天花粉（三两） 姜黄 白芷（各一两） 赤芍药（二两）
以上药物研为细末。用茶或酒调服或调敷，根据证候的热度进行涂敷。各种热证、痈肿、金创（金属利器造成的创伤），此药只需一凉即可见效，能使瘀血化为水液，又能消散瘀血积聚，还能清凉肌肤促进肌肉生长，去除坏死肌肉和腐烂组织，又能破血消肿，又能使气机阻滞而浮越（注：此处原文逻辑似有矛盾或特定语境，通常指行气或引气，但依字面译为气滞浮越，结合后文“滞气为浮”可能指通过凉性收敛浮越之气，或原文有误，此处忠实翻译），能止痛，又能促使疼痛处闭合排脓，又能排出脓液，一进一退，反复作用。这个方子的药性没有别的，遇到凉证疗效少，遇到热证疗效多，所以如果不是十分明显的阳热实证，不可轻易使用，恐怕会导致寒凝，增加治疗难度。如果是金创出血，非此药不可，是第一要药。其余情况只能作为前两种药物（指冲和膏、玉龙膏等温通类药）的辅助，应当仔细审察。大抵这三种药（指洪宝丹及前述温通药），有的可以合力协同功效，有的可以单独掌握主导权，有的可以分工各司其职，有的可以合围共同攻邪，有的可以借援求救，有的可以勇力相持，有的像正兵先锋以奇兵取胜，有的像奇兵先锋以正兵取胜。神圣工巧的治疗手段，确实与兵法无异，然而军队随印信指挥，将领服从命令行动，所以建立功勋取得胜利，关键在于用人。如果不是明理通变的医生，哪里值得谈论呢？用法如下：如果病势大热，可用热茶调敷；如果证候稍温，则用酒调。如果用来撮脓（促进排脓），可用三分药粉，七分姜汁，用茶调，为什么呢？此药最凉，能使血行退却，姜汁性热，能引导气血潮涌，所以血退后被引导，血潮被驱逐，进退相持而后成脓破溃，逼迫脓液流尽。
凡疮口破损处，肉质坚硬不消退的，是疮口被风邪侵袭所致，此方中加入独活以祛风，用热酒调敷；如果还不消退，说明风毒已深，肌肉结实，再加紫荆皮，就有必然消退的道理了。
此方最善于治疗金创以及各种热证引起的红肿，截断出血根源，防止发红。如果用于痈疽不可轻用，恐怕贴敷处毒邪不散，反而内陷入里，在骨骼则形成骨痈，在咽喉颈部则毒瓦斯聚于喉部，在胸背则导致内脏阴烂，在腹部则为内痈，杀人无法挽救，能不谨慎吗！只宜用冲和膏、玉龙膏，根据法则详细辨证使用，才是妙法。
年轻血气壮盛的人，年老气血衰败的人，如果有溅射出血，无药可止，血尽人亡；如果在手足，可用茶调敷在手足上下尺许远处；如果在胸背、腰腹，则全身敷之，把住血路才能止血，随后用断血药（五倍子末方，见金疮条中），或用神效军中方、某方才能安愈。
治疗严重的金创，筋断脉绝，血尽人亡，如果要断血，需用绳子和绢袋，缚住人的手臂，然后用此方，从手臂上用茶调，敷住血路，然后才用断血药封口，切不可使用内补药及四物汤等药物，否则又会令人呕吐，甚至口眼歪斜，不久后发生烦躁发热成为破伤风，只可服用对金饮，加川芎、白芷、生姜大枣煎服自安，再慢慢补血。如果已有破伤风证，又须用治破伤风的药，即葛根汤之类（方见后）。疮口用军中方，加九肋鳖甲酥炙后碾碎。
凡金创在头面部的，血不止，急用此方茶调，团围敷在颈上以截断血路，疮口边也用此药敷，军中方封口，重的十日，轻的三日见效。
凡金创沾水，肉翻花（伤口边缘外翻如花瓣状）的，可用薤汁调此方，敷在疮口，两旁用火微烤；或烧早稻秆烟熏之，疮口水出即愈。如果没有水出，就是风邪侵袭，可用南星，茶调敷之即愈，然后用军中方封口妙。
治疗妇人产后或月经断绝，血行逆上，心神不能主宰，或吐血、鼻衄、舌衄，可以用此方，用井花水调敷在颈上，生艾汁调敷也妙，其血立止，然后服药以绝源头。如果舌衄必有血泡，破了又胀，可用线在舌根颈部缚住不要取下，在颈项上截断血路，内服黄芩、荆芥等凉心药，以收摄元气；舌上用蜜调结口之药治疗，泡破除线，血就不胀了。服用凉心药，用四物汤加荆芥、薄荷、朱砂。
此方用药调涂热毒，恐怕随干随痛，赤肿不退，当用鸡蛋清调敷，诸热毒难干妙，汤火疮同此法。
打破伤损在胸膈上的，药通血不下，可用绿豆水，调此药末吞服，即吐出而安。又有从高坠落，用通血药不下，数日病患几死，这必定是天时寒冻，服大黄等药冰伏之。血凝成片不行，可用热酒调军姜末饮之。片刻血通，人得再生，大概借热性以活化死血，则前药方能行了。治发背初发时小，后五七日赤肿高起，即罨药，令内毒散减疼，免牵引。
乳香膏
乳香（一两） 青薄荷叶（四两，洗净晾干）
以上研匀，浓敷患处，以青绢盖之，如干以新汲水润之，常令湿润，其热毒自然消散，如热毒攻结可用，气毒攻结不可用。
金黄散 贴痈毒，令内消。
白芷 白芨 白蔹
上等分为细末，用新汲水调敷。
治阳证肿毒，并金疮。
大粉草锉细，用竹一段，刮去青皮，两头留节开一小窍，将草放入在内，满后却用油灰塞窍，从冬至日放粪缸内，待立春前一天取起，竖在有风无日阴处。二十一天，验两窍好，却破竹取草为细末，用水调敷。
《药性论》甘蕉根，捣敷一切痈肿上，干即更敷，无不痊愈者。
梅师治痈疽发背，或发乳房，初起微赤，不急治之，即死速消方，捣苎根敷之，数易效。
诸疮肿痛不可忍者，以葵花根，去黑皮，捣烂。若稠点井花水少许，若不稠，不须用水，以纸摊如膏药贴之立效。
又方 芙蓉叶，捣烂罨，立效；晒干为末，水调敷，亦妙。
治发背，蜗牛百个，活者置净瓶内。新汲水一盏，浸瓶中封闭，自晚至晓，其水如涎，取水将真蛤粉，不拘多少调之，刷疮上效。
治背痈与疖，久年烟壁土、黄柏，等分为细末，生姜汁捏成膏敷之，夏月以茅香汤下、一二钱妙。（《经验》）
七宝散（《本事方》） 治痈疽，止痛拔毒。
干荷叶心，当中如钱片，（不拘多少）。
以上为末，每用三匙，水二盏，慢火煎至一盏半，放温淋洗干，以太白膏敷之。
太白膏 寒水石（研，飞过） 用腊月猪脂调成膏，随疮大小，薄纸摊贴之。
天花青露散 罨围一切肿毒。
白芨 白蔹 白薇 白芷 白鲜皮 朴硝 青黛 黄柏 老龙骨（各一两） 天花粉 青露（各三两） 大黄（四两）
以上为细末，醋蜜调匀。如疽毒未成，则当头罨退；若已成，四面围之，中留头，用替针膏贴之。
消肿散 围罨肿毒，一切疮疖并治。
大黄 水仙子 山药 苎根 青露 小赤豆 寒水石 水姜 香蛤粉 花蕊石
上将前药捣和，如干加醋蜜调匀。如疽毒未成则当头罨退，若已成四面围之，留一头，用替针膏贴之。
神护膏 围罨一切肿毒。
小赤豆 黄皮 白蔹 白芷 天花粉 南星（各等分）
以上为末。阴证用米醋与蜜水同，阳证用商陆根，亦用芭蕉油，此是邵色婆黄金散，加黄皮为主。
水澄膏 秘方，围敷肿毒。
郁金 白蔹 白芨 五倍子（各一两） 乳香 雄黄（各五钱）
以上为细末。水调敷，如热极者，用腊水尤妙。
五金膏（一名葵花散）
黄葵花（七朵） 川连（二钱，去须） 山栀（三个，肥者） 黄柏（五钱） 川郁金（三钱）
以上为末，井华水调成膏敷。此药性急，宜速打之。
清凉膏 治初患痈肿疮疖，热痛，消肿毒。
大黄（不拘多少）
以上为细末。用浆水调摊贴之，醋摩亦得。
治诸疮肿不散者。
上取白药根，捣烂敷贴，干则易之。无生者，用末，新水调涂之亦得。
治诸疮肿，马毒疮。
以上以马齿苋，水煮冷服一升，及涂疮上。治湿癣、白秃，以马齿膏和灰涂之效。治紧唇、面肿，捣汁涂。冬用干末，水调涂。治丹毒、发背肿，捣敷之，不住者，以蓝靛和之更佳。治多年恶疮，捣烂敷之尤良。治三十六种风结疮，取马齿苋一石，水二石，一釜煮之，澄清，内蜡三两，重煎之成膏，涂疮上并服之。
清水膏 治痈疽，及一切毒肿，坚硬肿痛，攻冲四畔肿，抽热毒，散肿气。
羊桃根 川大黄 黄芩 绿豆粉 黄柏（各一两） 赤小豆
以上为细末。用芸苔菜取自然汁，入蜜少许，相和调药，令稀稠得所。看四畔肿赤处大小，剪生绢上匀摊，可浓一钱许贴之，干即易。
水调膏 治痈疽毒热，赤痛。
川大黄（生用，研末） 杏仁（去皮尖，研） 盐花（各三分）
以上为细末。研令匀，以新汲水和调，稀稠得所。旋即涂肿上，干即易之。
郭氏水澄膏 治风热肿毒，赤红色，攻痛不止。
白芨 白蔹（各四钱） 郁金（一对） 大黄 黄柏 黄药子 榆皮（各七钱半） 乳香 没药 雄黄（各半两）
以上为细末。用新汲水一碗，药末不以多少，澄于水内，药定去水。敷于肿处，上用白纸封之，用鸡翎掠此水湿润。
二黄膏 治一切肿毒。
黄柏 大黄（各等分）
以上为末，用醋调搽，如干以水润之。
揭毒散
大黄（一两半） 白芨（一两） 朴硝（二两）
以上为末。用井水调搽，如干再搽。
薛己按：此二方及寒凉之药，若疮疡红肿作痛，属阳之证，宜用之。或微肿痛，而不赤者，恐不宜用。盖气血喜温而恶寒，若冷气入里，反为难治之证矣。
三消散 退极热证，赤肿开裂者。
朴硝 焰硝 大黄 栀子（炒黑色） 寒水石 南星（各等分）
以上为细末。生地黄汁，调涂贴。芙蓉叶捣汁调亦可。
四面楚歌 敷诸般疽，发肿赤痛不可忍，未成角散，已成角破，至疮口合而止。
荆芥（和根，锉碎） 赤芍药 大柏皮 土当归 山大黄 土白芷 天南星 赤小豆 商陆根（锉片子，焙） 白芨 赤敛 白蔹 草乌 寒水石（煨或炒，各等分）
以上为末。生地黄汁，调角四畔，或苦齑根汁，肿用商陆根研汁，未溃则满涂上，或有尖起处，则留出疮口。
水师晶明 治诸发已破未破皆洗，如成脓溃烂，最要洗净，去故肉生新肉，洗后净干，再用角贴掺药，一日一次。
大柏皮 泽兰 莽草 荆芥 赤芍药 山大黄 土白芷 土当归 独活（各等分）
以上锉粗散。用水一斗，入葱白、大椒、橘叶同煎熏洗。如已烂，入猪蹄下膝爪骨肉煎，可免干痛，净洗为度。
According to the *Gui Yi Fang*: Whenever a carbuncle or ulcer presents with external heat and internal pain, it indicates the invasion of pathogenic factors (Ke Xie) and the accumulation of toxins within, signaling the impending stage of suppuration and emergence.
Hongbao Dan (Red Treasure Pill), also known as Jindan (Golden Pill), Cunjin San (Inch-Gold Powder), or Sihuang San (Four-Yellows Powder).
* Huafen (Trichosanthes Root, *Trichosanthis Radix*) - 3 liang
* Jianghuang (Turmeric Rhizome, *Curcumae Longae Rhizoma*) - 1 liang
* Baizhi (Angelica Dahurica Root, *Angelicae Dahuricae Radix*) - 1 liang
* Chishao Yao (Red Peony Root, *Paeoniae Radix Rubra*) - 2 liang
Grind the above into fine powder. Administer internally with tea or wine, or apply externally according to the degree of heat in the syndrome. For various heat syndromes, carbuncles, swellings, and metallic injuries (Jinchuang), this medicine acts by cooling; it can transform blood stasis into fluid, resolve blood accumulations, cool the skin to promote flesh regeneration, remove necrotic tissue and rotting flesh, invigorate blood to reduce swelling, regulate Qi stagnation, relieve pain, facilitate the closure of painful areas for pus formation, and expel pus. Through these alternating actions, the nature of this formula is such that it yields fewer effects in cold conditions but greater effects in heat conditions. Therefore, unless it is a clear Yang-heat excess syndrome, it should not be used lightly, lest it cause cold coagulation and make treatment difficult. However, for bleeding from metallic injuries, this is indispensable and the primary remedy. In other cases, it serves merely as an assistant to the previous two medicines (referring to warming/tonifying formulas); careful judgment is required. Generally, these three types of medicines (including warming ones) can cooperate synergistically, act independently with authority, divide responsibilities, surround and attack jointly, provide reinforcement, hold their ground bravely, serve as vanguard regular troops winning through surprise tactics, or vice versa. The divine skill and ingenuity of treatment are indeed no different from military strategy. Yet, as troops follow the seal and generals obey orders, success depends on the practitioner. Without understanding principles and flexibility, one cannot discuss this. Usage follows:
1. If the disease pattern involves intense heat, mix with hot tea for application. If the syndrome is slightly warm, mix with wine. To promote pus discharge, use 3 parts powder to 7 parts ginger juice, mixed with tea. Why? This medicine is very cold and causes blood flow to recede; ginger juice is hot and guides blood flow to surge. Thus, blood recedes under guidance and surges under expulsion, maintaining a balance until pus forms and breaks, forcing all pus out.
2. For broken sores where flesh remains hard and does not subside, it is due to wind attacking the wound. Add Duhuo (Notopterygium Root, *Notopterygii Rhizoma et Radix*) to dispel wind and mix with hot wine. If it still does not subside, the wind-toxin is deep and muscles are firm; add Zijingpi (Bauhinia Bark, *Bauhiniæ Cortex*) which ensures resolution.
3. This formula is best for metallic injuries and red/swollen heat syndromes, stopping bleeding at the root and preventing redness. Do not use lightly for carbuncles/ulcers, as it may prevent toxin dispersion, causing inward penetration: into bone forming osteomyelitis, into throat/neck causing toxic accumulation, into chest/back causing visceral decay, or into abdomen forming internal abscesses, leading to death. Be cautious! It is better to use Chonghe Gao (Harmony Paste) or Yulong Gao (Jade Dragon Paste) based on detailed differentiation.
4. For young people with robust blood or elderly with depleted blood, if splashing bleeding occurs and cannot be stopped, death ensues when blood is exhausted. For limbs, apply tea-mixed powder several chi up and down. For chest/back/waist/abdomen, apply over the whole body to block blood pathways, then use hemostatic agents (such as Wubeizi powder, see Metallic Injury section) or Shenxiao Junzhong Fang to achieve healing.
5. For severe metallic injuries with severed tendons/vessels and exsanguination, to stop bleeding, bind the arm with rope and silk bag. Apply this formula mixed with tea over the blood pathway, then use hemostatic agents to seal. Do NOT use internal tonics like Siwu Tang immediately, as they may cause vomiting, facial paralysis, irritability, fever, and lockjaw (Poshangfeng). Instead, use Duijin Yin with Chuanxiong, Baizhi, ginger, and jujube to stabilize, then slowly tonify blood. If lockjaw symptoms appear, use Poshangfeng medicines like Gegen Tang. Seal wounds with Junzhong Fang plus Jiulei Biejia (Nine-Rib Softshell Turtle Shell, *Trionycis Carapax*) roasted in butter and powdered.
6. For head/facial metallic injuries with unceasing bleeding, urgently apply tea-mixed powder around the neck to block blood flow, and apply to wound edges. Seal with Junzhong Fang. Severe cases improve in 10 days, mild in 3.
7. For metallic injuries exposed to water with everted flesh ("flowering"), mix with Scallion Juice (*Allii Fistulosi Juice*) and apply. Lightly cauterize sides with fire or smoke with early rice straw ash. Healing occurs when fluid drains. If no drainage, wind is present; apply Aconite Lateral Rootlet (*Aconiti Lateralis Radix Praeparata*, Nanxing) mixed with tea. Seal with Junzhong Fang.
8. For postpartum women or those with amenorrhea experiencing reversed blood flow, heart distress, hematemesis, epistaxis, or lingual bleeding, apply well-water-mixed powder to the neck. Mugwort juice is also effective. Blood stops immediately, then take internal medicine to address the root. For lingual bleeding with blisters, tie a thread around the tongue base and neck to block blood flow. Internally use Huangqin (Scutellaria Root, *Scutellariae Radix*) and Jingjie (Schizonepeta Spike, *Schizonepetae Spica*) to cool the heart. Apply honey-based astringent paste to the tongue. After removing the thread, swelling subsides. Take cooling heart medicine: Siwu Tang with Jingjie, Bohe (Mint, *Menthae Haplocalycis Herba*), and Zhusha (Cinnabar, *Cinnabaris*).
9. When applying this cold medicine for heat-toxin, pain may recur upon drying, and redness/swelling may persist. Use Egg White (*Ovi Album*) for mixing. Effective for stubborn heat-toxins and burns/scalds.
10. For chest/diaphragm trauma where blood circulation is blocked, swallow powder mixed with Mung Bean Water (*Phaseoli Radiati Decoctum*). Vomiting brings relief. For falls from height where blood-invigorating drugs fail after days, possibly due to cold weather and excessive use of Da Huang (Rhubarb Root, *Rhei Radix et Rhizoma*) causing ice-like coagulation, use hot wine mixed with Jiangjun (Ginger and Pepper mixture) to drink. Blood circulation resumes quickly, saving life, as heat activates dead blood allowing prior drugs to work. For early-stage Back Carbuncle (Fabei) with small size, before 5-7 days of high red swelling, apply poultice to disperse toxin, reduce pain, and prevent traction.
Ruxiang Gao (Frankincense Ointment)
* Ruxiang (Frankincense Resin, *Olibanum*) - 1 liang
* Qingbohe Ye (Fresh Mint Leaf, *Menthae Haplocalycis Herba*) - 4 liang (washed and dried)
Grind uniformly. Apply thickly to affected area, cover with green silk. Moisten with fresh water if dry. Keep moist. Heat-toxin dissipates naturally. Use for heat-toxin obstruction; do not use for Qi-toxin obstruction.
Jinhuang San (Golden Yellow Powder)
Apply for carbuncles/toxins to induce internal resolution.
* Baizhi (Angelica Dahurica Root, *Angelicae Dahuricae Radix*)
* Baiji (Bletilla Tuber, *Bletillae Rhizoma*)
* Bailian (Belamcanda Rhizome, *Belamcandae Rhizoma*)
Grind to fine powder. Mix with fresh water for application.
Treats Yang-pattern swellings/toxins and metallic injuries.
Da Fugcao Preparation:
Finely chop Licorice Root (*Glycyrrhizae Radix et Rhizoma*). Insert into a bamboo segment (ends intact, small hole drilled). Fill with grass, seal holes with oil paste. Place in manure pit from Winter Solstice. Retrieve day before Spring Equinox. Hang in windy, shady place. After 21 days, verify holes, break bamboo, powder the grass. Mix with water for application.
*Yaoxing Lun*: Banano Root (*Musa Basjoo Radix*) pounded and applied to all carbuncles/swellings. Reapply when dry. All heal.
Mei Shi's Rapid Resolution Formula for Carbuncles/Back Carbuncles/Breast Abscesses: Early slight redness requires immediate treatment to prevent death. Pound Ramie Root (*Boehmeriae Niveae Radix*) and apply. Change frequently for effect.
For unbearable swelling/pain in all sores: Pound Sunflower Root (*Helianthi Annuus Radix*), remove black skin. If too thick, add well water; if thin, no water needed. Spread on paper like plaster. Immediate effect.
Another Formula: Hibiscus Leaf (*Hibisci Mutabilis Folium*) pounded and applied. Immediate effect. Or dry, powder, mix with water. Also excellent.
Treating Back Carbuncle: 100 live snails in clean bottle. Soak in one cup fresh water overnight until water becomes slimy. Mix this water with true Clam Powder (*Concha Arcae*) in any proportion. Brush on sore. Effective.
Treating Back Carbuncle/Furuncle: Old soot wall soil and Phellodendron Bark (*Phellodendri Chinensis Cortex*) in equal parts, powdered. Form paste with Ginger Juice (*Zingiberis Recensis Juice*). Summer: take with Maoxiang Decoction, 1-2 qian. (From *Experience*)
Qibao San (Seven-Treasure Powder, from *Baoshi Fang*)
Treats carbuncles/ulcers, relieves pain, extracts toxin.
Dried Lotus Heart (*Nelumbinis Plumula*), coin-sized slices (any amount).
Powder. Take 3 spoons, decoct in 2 cups water to 1.5 cups. Warm. Wash and dry lesion. Apply Taibai Gao.
Taibai Gao
* Hanshui Shi (Calcitritum, *Calcitris*) - Ground and washed.
Mix with pig fat from the twelfth lunar month to form ointment. Apply thinly on paper according to sore size.
Tianhua Qinglu San
Applies to all swellings/toxins.
* Baiji (Bletilla Tuber, *Bletillae Rhizoma*)
* Bailian (Belamcanda Rhizome, *Belamcandae Rhizoma*)
* Baiwei (Anemarrhenae Rhizome, *Anemarrhenae Rhizoma*)
* Baizhi (Angelica Dahurica Root, *Angelicae Dahuricae Radix*)
* Baixianpi (Dictamnus Bark, *Dictamni Cortex*)
* Puxiao (Natrii Sulfas, *Natrii Sulfas*)
* Qingdai (Indigo Naturalis, *Indigo Naturalis*)
* Huangbai (Phellodendron Bark, *Phellodendri Chinensis Cortex*)
* Laolonggu (Old Dragon Bone, *Os Draconis*) - 1 liang each
* Huafen (Trichosanthes Root, *Trichosanthis Radix*)
* Qinglu (Green Dew/Water) - 3 liang each
* Dahuang (Rhubarb Root, *Rhei Radix et Rhizoma*) - 4 liang
Grind to fine powder. Mix with vinegar and honey. If toxin not formed, apply centrally to suppress. If formed, surround four sides, leave center open, apply Tipin Gao (Needle-Replacement Ointment).
Xiaozhong San
Surrounds/applies to swellings/toxins, treats all sores/furuncles.
* Dahuang (Rhubarb Root, *Rhei Radix et Rhizoma*)
* Shuixianzi (Narcissus Bulb, *Narcissi Bulbus*)
* Shanyao (Dioscorea Rhizome, *Dioscoreae Rhizoma*)
* Zhu Gen (Ramie Root, *Boehmeriae Niveae Radix*)
* Qinglu (Green Dew/Water)
* Xiao Chidou (Adzuki Bean, *Vigna Angularis Semen*)
* Hanshui Shi (Calcitritum, *Calcitris*)
* Shuijiang (Water Ginger)
* Xianggefen (Fragrant Clam Powder)
* Huaruishishi (Flower Rhyolite, *Lapis Flavae Rosae*)
Pound and mix. If dry, add vinegar/honey. If toxin not formed, apply centrally. If formed, surround four sides, leave one side open, apply Tipin Gao.
Shenhugen Gao
Surrounds/applies to all swellings/toxins.
* Xiao Chidou (Adzuki Bean, *Vigna Angularis Semen*)
* Huangpi (Yellow Bark)
* Bailian (Belamcanda Rhizome, *Belamcandae Rhizoma*)
* Baizhi (Angelica Dahurica Root, *Angelicae Dahuricae Radix*)
* Huafen (Trichosanthes Root, *Trichosanthis Radix*)
* Nanxing (Aconite Lateral Rootlet, *Aconiti Lateralis Radix Praeparata*) - Equal parts
Powder. For Yin patterns, mix with rice vinegar and honey water. For Yang patterns, use Shanglu Root (*Veratrum Nigrum Rhizoma*) or Banana Oil. This is Shao Se Po's Golden Powder, primarily adding Huangpi.
Shuicheng Gao (Secret Formula)
Surrounds/applies to swellings/toxins.
* Yujin (Turmeric Tuber, *Curcumae Longae Rhizoma*)
* Bailian (Belamcanda Rhizome, *Belamcandae Rhizoma*)
* Baiji (Bletilla Tuber, *Bletillae Rhizoma*)
* Wubeizi (Chinese Gall, *Galla Chinensis*) - 1 liang each
* Ruxiang (Frankincense Resin, *Olibanum*)
* Xionghuang (Realgar, *Realgar*) - 5 qian each
Grind to fine powder. Mix with water. For extreme heat, use winter water. Excellent.
Wujin Gao (One Name: Kuihua San)
* Huang Kuihua (Yellow Sunflower) - 7 flowers
* Chuanlian (Coptis Rhizome, *Coptidis Rhizoma*) - 2 qian (remove threads)
* Shanzhi (Gardenia Fruit, *Gardeniae Fructus*) - 3 large ones
* Huangbai (Phellodendron Bark, *Phellodendri Chinensis Cortex*) - 5 qian
* Chuan Yujin (Turmeric Tuber, *Curcumae Longae Rhizoma*) - 3 qian
Grind to powder. Mix with well water to form paste. This medicine is potent; prepare quickly.
Qingliang Gao
Treats initial carbuncles/swellings/furuncles, heat-pain, reduces swelling/toxin.
* Dahuang (Rhubarb Root, *Rhei Radix et Rhizoma*) - Any amount
Grind to powder. Mix with sour rice water (*Suanjiangshui*) for application. Vinegar rubbing also works.
Treats persistent swellings in all sores.
Take Baiyao Gen (White Medicine Root) pound and apply. Change when dry. If unavailable, use powder mixed with fresh water.
Treats all sores/swellings, Horse Poison Sores.
Decoct Purslane (*Portulacae Herba*) in water, drink 1 sheng cold, and apply to sore. Treats wet tinea/candidiasis: mix Portella paste with ash. Treats tight lips/facial swelling: apply juice. Winter: use dry powder with water. Treats Erysipelas/Back Carbuncle swelling: apply pounded herb. If ineffective, mix with Indigo (*Indigo Naturalis*). Treats chronic malignant sores: pounded application is best. Treats 36 types of Wind-Knot Sores: Take 1 dan Purslane, 2 dan water, boil, clarify, add 3 liang wax, re-boil to paste. Apply and ingest.
Qingshui Gao
Treats carbuncles/ulcers and all toxic swellings, hard/swollen/painful, spreading to margins, extracting heat-toxin, dispersing swelling Qi.
* Yangtao Gen (Shepherd's Tree Root, *Broussonetiae Papyriferae Radix*)
* Chuan Dahuang (Rhubarb Root, *Rhei Radix et Rhizoma*)
* Huangqin (Scutellaria Root, *Scutellariae Radix*)
* Lvdou Fen (Mung Bean Starch, *Phaseoli Radiati Amylum*)
* Huangbai (Phellodendron Bark, *Phellodendri Chinensis Cortex*) - 1 liang each
* Chixiaodou (Adzuki Bean, *Vigna Angularis Semen*)
Grind to powder. Extract natural juice from Rapeseed (*Brassicae Napus*), add little honey, mix with powder to proper consistency. Cut raw silk to size of swollen/red margins, spread evenly, thickness approx 1 qian. Apply. Change when dry.
Shuitiao Gao
Treats carbuncle/ulcer heat-toxin, redness/pain.
* Chuan Dahuang (Rhubarb Root, *Rhei Radix et Rhizoma*) - Raw, powdered - 3 fen
* Xingren (Apricot Seed, *Armeniacae Semen Amarum*) - Skin/kernel removed, powdered - 3 fen
* Yanhua (Rock Salt, *Halitum*) - 3 fen
Grind uniformly. Mix with fresh water to proper consistency. Apply immediately to swelling. Change when dry.
Guoshi Shuicheng Gao
Treats Wind-Heat swelling/toxin, redness, continuous pain.
* Baiji (Bletilla Tuber, *Bletillae Rhizoma*)
* Bailian (Belamcanda Rhizome, *Belamcandae Rhizoma*) - 4 qian each
* Yujin (Turmeric Tuber, *Curcumae Longae Rhizoma*) - 1 pair
* Dahuang (Rhubarb Root, *Rhei Radix et Rhizoma*)
* Huangbai (Phellodendron Bark, *Phellodendri Chinensis Cortex*)
* Huangyaozi (Dioscorea Bulbil, *Dioscoreae Bulbillum*)
* Yupi (Elm Bark, *Ulmus Cortices*) - 7.5 qian each
* Ruxiang (Frankincense Resin, *Olibanum*)
* Moyao (Myrrh, *Myrrha*)
* Xionghuang (Realgar, *Realgar*) - 0.5 liang each
Grind to powder. Mix with 1 bowl fresh water. Let settle, discard water. Apply to swelling. Cover with white paper. Moisten with chicken feather dipped in water.
Erhuang Gao
Treats all swellings/toxins.
* Huangbai (Phellodendron Bark, *Phellodendri Chinensis Cortex*)
* Dahuang (Rhubarb Root, *Rhei Radix et Rhizoma*) - Equal parts
Powder. Mix with vinegar for rubbing. Moisten with water if dry.
Jiedu San
* Dahuang (Rhubarb Root, *Rhei Radix et Rhizoma*) - 1.5 liang
* Baiji (Bletilla Tuber, *Bletillae Rhizoma*) - 1 liang
* Puxiao (Natrii Sulfas, *Natrii Sulfas*) - 2 liang
Grind to powder. Mix with well water for rubbing. Reapply if dry.
Xue Ji's Commentary: These two formulas and cold-cooling medicines are suitable for carbuncles/ulcers with redness/swelling/pain belonging to Yang patterns. If there is slight swelling/pain without redness, they are likely unsuitable. Qi and blood prefer warmth and dislike cold; if cold qi enters interior, it becomes difficult to treat.
Sanxiaosan
Resolves extreme heat syndromes, redness/swelling with cracking.
* Puxiao (Natrii Sulfas, *Natrii Sulfas*)
* Yanxiao (Saltpeter, *Nitrums)
* Dahuang (Rhubarb Root, *Rhei Radix et Rhizoma*)
* Zhizi (Gardenia Fruit, *Gardeniae Fructus*) - Stir-fried until black
* Hanshui Shi (Calcitritum, *Calcitris*)
* Nanxing (Aconite Lateral Rootlet, *Aconiti Lateralis Radix Praeparata*) - Equal parts
Grind to fine powder. Mix with Fresh Rehmannia Juice (*Rehmanniae Recens Juice*) for application. Hibiscus leaf juice is also acceptable.
Simian Chuge
Applies to various carbuncles, unbearable red/swollen/painful swelling. Disperses if not yet formed into a head; if head formed/broken, applies until wound closes.
* Jingjie (Schizonepeta Spike, *Schizonepetae Spica*) - With roots, chopped
* Chishao Yao (Red Peony Root, *Paeoniae Radix Rubra*)
* Dabaipi (Large Cypress Bark)
* Tu Danggui (Wild Angelica Root)
* Shan Dahuang (Mountain Rhubarb)
* Tu Baizhi (Wild Angelica Dahurica)
* Tian Nanxing (Arisaema Rhizome, *Arisaematis Rhizoma*)
* Chixiaodou (Adzuki Bean, *Vigna Angularis Semen*)
* Shanglu Gen (Veratrum Root, *Veratri Nigrimi Rhizoma*) - Sliced, baked
* Baiji (Bletilla Tuber, *Bletillae Rhizoma*)
* Chilian (Red Astringent Herb)
* Bailian (Belamcanda Rhizome, *Belamcandae Rhizoma*)
* Caowu (Aconite Root, *Aconiti Radix*)
* Hanshui Shi (Calcitritum, *Calcitris*) - Roasted or fried - Equal parts
Grind to powder. Mix with Fresh Rehmannia Juice for four corners, or bitter radish root juice. For swelling, use Veratrum root juice. If unbroken, apply fully; if pointed, leave wound open.
Shuishi Jingming
Treats all eruptions, wash whether broken or not. If suppurated/ulcerated, cleaning is crucial to remove old flesh and generate new. Wash, dry, then apply corner paste and powder once daily.
* Dabaipi (Large Cypress Bark)
* Zelan (Agastache Herb, *Agastachis Herba*)
* Mangcao (Eupatorium Herb, *Eupatorii Herba*)
* Jingjie (Schizonepeta Spike, *Schizonepetae Spica*)
* Chishao Yao (Red Peony Root, *Paeoniae Radix Rubra*)
* Shan Dahuang (Mountain Rhubarb)
* Tu Baizhi (Wild Angelica Dahurica)
* Tu Danggui (Wild Angelica Root)
* Duhuo (Notopterygium Root, *Notopterygii Rhizoma et Radix*) - Equal parts
Coarsely chop. Decoct 1 dou water with Scallion White (*Allii Fistulosi Bulbus*), Large Pepper (*Zanthoxyli Pericarpium*), and Orange Leaf (*Citri Reticulatae Folium*) for fumigation and washing. If ulcerated, add Pig Trotter lower leg meat/bones to decoction to prevent dryness/pain. Wash thoroughly.