〔梅〕 治背疮肉长疾，皮不及裹，见风即成僵。以寒水石，烧研为细末，敷疮上，再
用铜绿细末上之，肉即不作僵矣。
《图经》古方∶疗恶疮痈肿，或连阴髀间疼痛，急挛牵入小腹不可忍，一宿则杀人者，
用茴香苗叶，捣取汁一升服之，日三四。用其滓，以贴肿上，冬中根亦可用。此外国方，
永嘉以来用之，起死神效。
精要犀角膏 治咽喉口舌生疮。昔有一贵人，因疽而生此证，医者以为心脏绝，尽
皆辞退。愚进此药，一日而安。
真琥珀（研） 生犀角（各一钱） 辰砂（研） 茯神（去木，各二钱） 真脑子（研，一字） 人参（去
芦） 酸枣仁（去皮，研，各二钱）
上人参、茯神、犀角为细末，人乳钵内别研，药味和匀，用蜜搜为膏子，以瓷瓶收
贮。俟其疾作，每服一弹子大，以麦门冬去心，浓煎汤化服。一日连服五服取效。（此方溃
疡不宜用。）
〔薛〕 东垣先生云∶疮疡热毒深固，呕哕心逆，发热而烦，脉沉而实，肿硬木闷，大
便秘结，此毒在脏，宜疏通之，故曰∶疏通其内，以绝其源。又曰∶疮疡及诸病面赤，虽
伏火热，不得妄攻其里，而阳气怫郁，邪气在经，宜发表以去之，故曰∶火郁则发之。凡
大便不通，饮食虽多，肚腹不胀，切不可通。若腹痞胀而不通者，乃直肠干涸也，宜用猪
胆汁导之。若肠胃气虚血涸而不通者，宜用十全大补汤培养之。若疮症属阳，或因入房
伤肾而不通者，宜用前汤，加姜附回阳，多有得生者。经云∶肾开窍于二阴，藏精于肾，
津液润则大便如常。若溃疡有此，因气血亏损，肠胃干涸，当大补为善。设若不审虚实，
而一于疏利者，鲜有不误。一人，仲夏患发背，黯肿尺余，皆有小头如铺黍状，四日矣，
此真气虚而邪气实，遂隔蒜灸，服活命饮二剂，其邪顿退，乃纯补其真，又将生脉散以
代茶饮，疮邪大退。余因他往，三日复视之，饮食不入，中央死肉，大便秘结，小便赤浊。
余曰∶中央肉死，毒瓦斯盛而脾气虚也。大便
不通，肠虚而不能传送。小便赤浊，脾虚而火下陷，治亦难矣。彼始云∶莫非间断补药
之过？予曰∶然。乃急用六君子加当归、柴胡、升麻，饮食渐进，大便自通；外用乌金
膏涂中央，三寸许，四围红肿渐消，中央黑腐渐去，乃敷当归膏，用地黄丸与前药间服，
将百剂而愈。一男子，腿患痈，因服克伐亏损元气，不能成脓。余为托里而溃，大补而
敛。但大便结燥，用十全大补汤，加麦门、五味而润。月余仍结，惑于人言，乃服润肠丸
而泻不止。余用补中益气汤送四神丸数服而止。
润肠丸 治脾胃伏火，大肠干燥，或风热血结，宜用此丸通之。若结在直肠，宜猪
胆汁导之。盖肾主五液，开窍于二阴，若津液滋润，大便通调。若津液不足，脾气亏损，
必当培补，犹忌前药。
麻子仁 桃仁（去皮尖，各一两） 羌活 当归尾 大黄（煨） 皂角刺 秦艽（各五钱）
上各另研为末，炼蜜或猪胆汁丸，桐子大。每服三四十丸，白汤下。若使猪胆汁导
之而不结燥，急补元气。
【梅】治疗背部疮疡肌肉生长过速（肉长疾），皮肤不足以包裹创面，见风后便形成僵硬的腐肉。使用寒水石，烧制后研磨成细末，敷在疮口上；再用铜绿的细末覆盖其上，僵硬的腐肉即可消除。
《图经》中的古方：治疗恶疮痈肿，或者疼痛牵连至阴部和大腿之间，紧急痉挛牵引至小腹，痛苦难忍，一夜间即可致人死亡的病症，使用茴香的苗叶，捣烂取汁一升服用，每日三到四次。使用剩下的药渣，贴在肿胀处，冬季也可以使用根部。这是外国的方子，自永嘉年间以来使用，有起死回生的神效。
精要犀角膏：治疗咽喉和口舌生疮。过去有一位权贵，因疽病而引发此证，医生认为心脏功能衰竭，全都辞退不干。我进献此药，一天病情就安定下来。
真琥珀（研碎） 生犀角（各一钱） 辰砂（研碎） 茯神（去除木质部分，各二钱） 真脑子（即冰片，研碎，一字量） 人参（去除芦头） 酸枣仁（去皮，研碎，各二钱）
将人参、茯神、犀角磨成细末，放入人乳钵中单独研磨，其他药物混合均匀，用蜂蜜调和制成膏状，用瓷瓶收藏储存。等到疾病发作时，每次服用如弹子大小的一块，用麦门冬（去心）浓煎汤液化开服下。一天连续服用五次以取效。（此方不适用于溃疡已溃破的情况。）
【薛】东垣先生说：疮疡热毒深重固结，出现呕吐呃逆、心中烦闷，发热且烦躁，脉象沉而有力，局部肿胀坚硬且麻木不仁，大便秘结，这是毒邪在脏腑，应当疏通，所以说：“疏通内部，以断绝病源。”又说：疮疡及其他疾病出现面色红赤，虽然体内潜伏火热，但不能妄自攻下里实，而是阳气郁闭，邪气在经络，应当发表以祛除邪气，所以说：“火郁则发散之。”凡是便秘，饮食虽多但腹部不胀满的，切不可通泄。如果腹部痞塞胀满而便秘的，是直肠干涸所致，适宜用猪胆汁导引通便。如果是肠胃气虚、血液枯竭导致的便秘，适宜用十全大补汤进行补益滋养。如果疮症属于阳证，或因房事伤肾导致的便秘，适宜用前方（十全大补汤），加入姜、附子以回阳救逆，多有获救者。经文说：肾开窍于前后二阴，精气藏于肾，津液滋润则大便正常。如果溃疡患者出现这种情况，是因为气血亏损，肠胃干涸，应当以大补为善。如果不审察虚实，一味地使用疏利通便的药物，很少有不误事的。有一人，在仲夏患发背疽，黯黑肿胀达一尺多，都有小头如同铺开的黍米状，已经四天了，这是真气虚弱而邪气实盛，于是采用隔蒜灸法，服用活命饮两剂，邪气顿时消退，随后纯用补益真气的方法，又用生脉散代替茶饮，疮疡邪气大退。我因他事外出，三天后复诊，发现饮食不进，中央部位出现死肉，大便秘结，小便赤浊。我说：中央肌肉坏死，是毒瓦斯旺盛而脾气虚弱。大便不通，是肠虚而不能传导。小便赤浊，是脾虚而火邪下陷，治疗也很困难了。那人起初说：莫非是间断服用补药的过错？我说：确实如此。于是急忙使用六君子汤加当归、柴胡、升麻，饮食逐渐进步，大便自然通畅；外用乌金膏涂抹中央部位，约三寸许，四周红肿逐渐消退，中央黑色腐肉逐渐去除，然后敷上当归膏，用地黄丸与前药交替服用，服完一百剂而痊愈。又一男子，腿部患痈，因服用克伐类药物亏损元气，不能成脓。我为其托里透脓，然后大补以促进收敛。但大便干结燥硬，用十全大补汤，加入麦门冬、五味子以润燥。一个多月仍然干结，听信他人之言，于是服用润肠丸导致腹泻不止。我用补中益气汤送服四神丸数次而止住。
润肠丸：治疗脾胃伏火，大肠干燥，或风热血结，适宜用此丸通泄。如果结滞在直肠，适宜用猪胆汁导引。因为肾主五液，开窍于前后二阴，如果津液滋润，大便通调。如果津液不足，脾气亏损，必须培补，尤其忌讳前述（润肠丸等）药物。
麻子仁 桃仁（去皮尖，各一两） 羌活 当归尾 大黄（煨制） 皂角刺 秦艽（各五钱）
以上各药分别研为细末，用炼蜜或猪胆汁制成丸药，如梧桐子大。每次服用三四十丸，白开水送下。如果使用猪胆汁导引而不干结燥硬的，应紧急补益元气。
[Mei] Treats the condition of excessive flesh growth in back sores (exuberant granulation tissue), where the skin is insufficient to cover the wound, and exposure to wind leads to the formation of stiff, necrotic flesh. Use Shuihushi (Calcitum, 寒水石), calcined and ground into a fine powder, applied to the sore; then cover with Tonglv (Chalcitis Viridis, 铜绿) fine powder, and the stiff flesh will disappear.
Ancient prescription from *Tujing*: For treating malignant sores and carbuncles, or pain radiating to the perineum and thighs, accompanied by severe spasms pulling into the lower abdomen that are unbearable and can be fatal within one night. Use Huixiangmiao Ye (Foeniculum Vulgare Seedlings and Leaves, 茴香苗叶), crushed to extract one sheng of juice, taken orally three to four times daily. Apply the remaining dregs to the swelling; the root may also be used in winter. This is a foreign prescription, used since the Yongjia era, with miraculous effects in reviving the dying.
Jingyao Xijiao Gao (Essential Rhinoceros Horn Ointment): Treats sores in the throat and tongue. In the past, a nobleman developed this condition due to a carbuncle. Physicians believed his heart function had failed and all resigned. I administered this medicine, and he was stabilized in one day.
Zhen Hupo (Amber, 真琥珀, ground) [1 qian], Sheng Xijiao (Fresh Rhinoceros Horn, 生犀角) [1 qian], Chensha (Cinnabar, 辰砂, ground), Fushen (Poria with Hostwood, 茯神, woody part removed) [2 qian], Zhen Naozi (Borneol, 真脑子, ground, 1 zi), Renshen (Ginseng Root, 人参, rhizome removed), Suanzaoren (Ziziphus Seed, 酸枣仁, skin removed, ground) [2 qian].
Grind Renshen, Fushen, and Xijiao into fine powder separately in a mortar with human milk. Mix other ingredients evenly, knead with honey to form an ointment, and store in a porcelain bottle. When the disease flares up, take a dose the size of a bullet, dissolve in strong decoction of Maimendong (Ophiopogon Root, 麦门冬, core removed), and take orally. Take five doses consecutively in one day for effect. (This prescription is not suitable for ulcerated wounds.)
[Xue] Mr. Dongyuan said: When heat-toxin from sores and ulcers is deep-seated and fixed, manifesting as vomiting, hiccups, cardiac discomfort, fever, irritability, pulse that is deep and forceful, local swelling that is hard and numb, and constipation, the toxin is in the zang organs. It should be unblocked, hence it is said: "Unblock the interior to cut off the source." It is also said: In sores and ulcers and other diseases, if the face is red, although there is latent fire-heat, do not rashly purge the interior. Instead, yang qi is constrained, and pathogenic factors are in the meridians; release the exterior to expel them, hence it is said: "When fire is constrained, disperse it." For constipation, even if food intake is large but the abdomen is not distended, do not use purgatives. If there is abdominal fullness and distension with constipation, it is due to dryness of the large intestine; use pig bile for enema. If constipation is due to deficiency of qi and blood in the stomach and intestines, use Shiquan Dabu Tang (Decoction for Ten-fold Tonification, 十全大补汤) to nourish. If the sore belongs to the yang syndrome, or constipation results from kidney injury due to sexual excess, use the aforementioned formula plus Jiang (Ginger, 姜) and Fu (Aconite Root, 附子) to restore yang; many survive. The classics state: The kidneys open into the two yin orifices, and essence is stored in the kidneys; when fluids are moistening, bowel movements are normal. If such symptoms occur in ulcer patients due to qi and blood deficiency and intestinal dryness, major tonification is best. If one fails to examine deficiency and excess and blindly uses draining methods, errors are common. One person suffered from a back carbuncle in midsummer, dark and swollen over a chi, with multiple heads resembling millet grains, lasting four days. This indicated deficiency of true qi and excess of pathogenic factors. Garlic-separated moxibustion was applied, and Muling Yin (Decoction for Saving Lives, 活命饮) was taken for two doses, causing the pathogen to recede rapidly. Then, pure tonification of true qi was employed, and Shengmai San (Pulse-Nourishing Powder, 生脉散) was used as tea substitute, greatly reducing the sore's pathogens. I left for other business and revisited after three days. Food intake had ceased, dead flesh appeared in the center, constipation occurred, and urine was red and turbid. I said: Central necrosis indicates abundant toxins and spleen qi deficiency. Constipation indicates intestinal weakness failing to transmit. Red turbid urine indicates spleen deficiency with sinking fire. Treatment is difficult. He initially asked: Is this due to interrupting tonic medicines? I said: Yes. Urgently, Liujunzi Tang (Six Gentlemen Decoction, 六君子汤) was modified with Danggui (Angelica Sinensis, 当归), Chaihu (Bupleurum Root, 柴胡), and Shengma (Cimicifuga Rhizome, 升麻). Food intake gradually improved, and bowel movements normalized. Waiyong Wujiangao (External Black Gold Ointment, 乌金膏) was applied to the center, about three cun. Surrounding redness and swelling subsided, and central black necrosis cleared. Then, Danggui Gao (Angelica Ointment, 当归膏) was applied, and Dihuang Wan (Rehmannia Pill, 地黄丸) was alternated with the internal medicine. After one hundred doses, he recovered. Another man had a thigh abscess. Due to taking harsh purgative drugs, his yuan qi was damaged, and pus could not form. I used Tuoli (Supporting the Interior) methods to induce suppuration, followed by major tonification to promote healing. However, stool was dry and hard. Shiquan Dabu Tang was used with added Maimendong and Wuweizi (Schisandra Fruit, 五味子) to moisten. After more than a month, it remained hard. Confused by others' advice, he took Runchang Wan (Intestine-Moistening Pill, 润肠丸), leading to persistent diarrhea. I stopped this using Buzhong Yiqi Tang (Decoction for Supplementing the Middle and Augmenting Qi, 补中益气汤) to deliver Sishen Wan (Four Spirits Pill, 四神丸) several times.
Runchang Wan: Treats latent fire in the spleen and stomach, dryness of the large intestine, or wind-blood stasis. Use this pill to unblock. If impaction is in the rectum, use pig bile enema. The kidneys govern the five fluids and open into the two yin orifices. If fluids are moistening, bowels are regulated. If fluids are insufficient and spleen qi is deficient, tonification is necessary, especially avoiding the aforementioned drugs.
Huo Ren (Hemp Seed, 麻子仁), Tao Ren (Peach Kernel, 桃仁, skin and tip removed) [1 liang each], Qianghuo (Notopterygium Rhizome, 羌活), Danggui Wei (Angelica Sinensis Tail, 当归尾), Huangda (Rhubarb Root, 大黄, stir-baked), Zaocishi (Gleditsia Spine, 皂角刺), Qin Jiao (Gentiana Macrophylla Root, 秦艽) [5 qian each].
Grind each ingredient separately into powder. Form pills with refined honey or pig bile, size of Sophora seeds. Take 30-40 pills per dose with warm water. If pig bile enema is used without dryness, urgently tonify yuan qi.