黄鼓疔，走黄疔毒，散温肿及胸颈内热，便闭，防其内陷，拟化疔解毒。
地丁草 银花 赤芍 大贝 连翘 黄芩 花粉 人中白 元参 薄荷 桔梗 淡竹叶 野菊花头
疔红肿便闭，脉实者，必须用鲜生地、黄连、木通、生军之类。
蛇头疔，破溃，指节须脱，急宜清解火毒。
连翘 银花 甘草 黄芩 丹皮 花粉 赤芍 地丁 大贝 菊花
锁口疔，疮头不硬，致毒瓦斯走散，急为清散。
牛蒡子 甘菊 银花 赤芍 连翘 地丁草 大贝 草河车 淡竹叶 野菊花头
额颅血痣翻花，上及腮门，下至眼胞，肉翻峥 ，振动出血，脉数细，左弦，阴伤，心肝
火旺，宜犀角地黄汤治之。
犀角 鲜生地 连翘 赤芍 元参 粉甘草 象贝母 粉丹皮 知母 侧柏叶 藕节
腮颊为手阳明所过之地，骨槽风症缘阳明湿热与外风迫结而成。其来必骤，盖火性急
故也。今外溃已久，牙关不开，缘颊车中坚硬未消，开合不利。古之用中和汤者，因从病久
脉虚，故用黄 之补托，四物之养血，桂心、白芷以散结邪，银花、花粉、元参、贝母之清化蕴
毒。前言所议极是。但阳明多气多血之经，温补过施恐有偏弊之患，拟照古之中和汤不增不减可也。
川芎 当归 白芍 生地 肉桂 黄 花粉 粉甘草 桔梗 大贝 银花 红枣
骨槽风，颊车内外俱肿，内溃流脓宜清胃解毒自主外溃为要。
川连 石膏 元参 花粉 羚羊角 丹皮 赤芍 银花 甘草 黄芩 淡竹叶 芦根
骨槽风，溃后筋脉急缩，以致牙关紧强，兼之余蕴未清，腠理结核，两耳作鸣而音不
聪，厥少不和，阳浮于上。拟养阴清肝，兼和脉络。
北沙参 菊花 当归 白芍 广皮 石决明 白蒺藜 夏枯草 泽泻 丹皮 甘草 荷叶
丸方
川芎 当归 半夏 僵蚕 大贝 陈皮 茯苓 白蒺藜 北沙参 夏枯草 元参 白芷 甘草 海螵蛸
蜜水法丸，早膳后服三钱。
骨槽风症，窦汉卿名穿珠穿腮，心法曰∶牙上发、牙槽发，二者皆以手少阳三焦、足阳
明胃二经风火是。夫手少阳之经系手走头，足之阳明系头走足。恙由手经而入，始则牙痛颐
肿，面肿上过太阳，继入阳明，则由项及胸。初
时先下于前，嗣又慢补于后，以致毒火蕴遏，伤阴耗气，不能去毒化脓，散漫无定，脉象左
部散大，右部濡小，舌 目定，阳缩，头面无华，汗多，气血两败，已成陷症。药病不能医，
命由天定，非人力所能挽也。拟方尽人事而已。
西洋参 茯苓 甘草 银花 花粉 川石斛 麦冬 大贝母 绿豆
昨晚进汤药虽有转机，脉仍未起，未可为恃。原方中加生地五钱。
骨风溃久，牙骨已损，完功不易，当以补托。
黄 当归 党参 甘草 白术 白芍 川芎 肉桂 大生地 花粉 红枣
黄鼓疔，以及走黄疔毒（疔疮毒邪内陷攻心所致的危重证候），伴有散温肿（局部红肿扩散）及胸颈内部发热，大便闭结，为防止毒邪内陷，拟定化疔解毒之法。
地丁草 银花 赤芍 大贝 连翘 黄芩 花粉 人中白 元参 薄荷 桔梗 淡竹叶 野菊花头
疔疮红肿且大便闭结，脉象实有力者，必须使用鲜生地、黄连、木通、生军（生大黄）之类的药物。
蛇头疔，已经破溃，指节必将脱落，急需清解火毒。
连翘 银花 甘草 黄芩 丹皮 花粉 赤芍 地丁 大贝 菊花
锁口疔，疮头不坚硬，导致毒气走散，急需清热消散。
牛蒡子 甘菊 银花 赤芍 连翘 地丁草 大贝 草河车 淡竹叶 野菊花头
额颅部的血痣翻花（痔核外翻如花状），向上延伸至腮部，向下至眼睑，肌肉外翻高耸，轻微震动即出血，脉象数而细，左侧弦脉，属阴液损伤，心肝火旺，宜用犀角地黄汤治疗。
犀角 鲜生地 连翘 赤芍 元参 粉甘草 象贝母 粉丹皮 知母 侧柏叶 藕节
腮颊部位是手阳明大肠经经过的地方，骨槽风症是由于阳明湿热与外感风邪迫结而成。其发病必然急骤，因为火性急迫的缘故。如今外部溃烂已久，牙关不开，是因为颊车穴处坚硬未消，开合不利。古人使用中和汤，是因为病程久、脉象虚，所以用黄芪的补托作用，四物汤的养血功效，桂心、白芷以散结祛邪，银花、花粉、元参、贝母以清化解蕴毒。前言所议非常正确。但阳明经是多气多血的经脉，温补过度施用恐怕有偏颇弊端之患，拟按照古法中的中和汤，不增不减即可。
川芎 当归 白芍 生地 肉桂 黄芪 花粉 粉甘草 桔梗 大贝 银花 红枣
骨槽风，颊车穴内外都肿胀，内部溃烂流脓，应当以清胃解毒为主，外部溃烂愈合为关键。
川连 石膏 元参 花粉 羚羊角 丹皮 赤芍 银花 甘草 黄芩 淡竹叶 芦根
骨槽风，溃烂后筋脉紧急收缩，导致牙关紧强，兼有余毒未清，腠理间形成结核，两耳鸣响且听力不聪，厥阴与少阳不和，阳气浮越于上。拟养阴清肝，兼调和脉络。
北沙参 菊花 当归 白芍 广皮 石决明 白蒺藜 夏枯草 泽泻 丹皮 甘草 荷叶
丸方：
川芎 当归 半夏 僵蚕 大贝 陈皮 茯苓 白蒺藜 北沙参 夏枯草 元参 白芷 甘草 海螵蛸
用蜜水泛丸，早饭后服用三钱。
骨槽风症，窦汉卿名为穿珠穿腮，心法说：发于牙齿上方、发于牙槽，二者都与手少阳三焦经、足阳明胃经的风火有关。手少阳经系从手走向头，足阳明经系从头走向足。病邪由手经而入，起初牙痛颐部肿胀，面部肿胀上过太阳经，继而进入阳明经，则由颈部波及胸部。初起时先向下发展于前方，随后又在后方缓慢补充，导致毒火蕴遏，伤阴耗气，不能去毒化脓，毒势散漫无定，脉象左部散大，右部濡小，舌卷缩目直视，阳气内缩，头面无光泽，汗多，气血两败，已成陷症。药不对病无法医治，命运由天注定，非人力所能挽回。拟方仅尽人事而已。
西洋参 茯苓 甘草 银花 花粉 川石斛 麦冬 大贝母 绿豆
昨晚进服汤药虽有转机，但脉象仍未起，不可依赖此迹象。原方中加入生地五钱。
骨槽风溃烂日久，牙骨已受损，难以完全康复，应当以补托为主。
黄芪 当归 党参 甘草 白术 白芍 川芎 肉桂 大生地 花粉 红枣
Yellow Drum Ding (a type of carbuncle), along with Zouhuang Ding toxin (a critical condition where carbuncle toxin sinks inward and attacks the heart), accompanied by diffuse warm swelling and internal heat in the chest and neck, constipation. To prevent the toxin from sinking inward, a method of resolving Ding toxins and detoxifying is prescribed.
*Violariae Herba* (Didingcao), *Jasminis Officinalis Flos* (Yinhua), *Paeoniae Rubra Radix* (Chishao), *Fritillariae Thunbergii Bulbus* (Dabei), *Forsythiae Fructus* (Lianqiao), *Scutellariae Radix* (Huangqin), *Trichosanthis Radix* (Huafen), *Ningrois Albus* (Renzhongbai), *Scrophulariae Radix* (Yuanshen), *Menthae Haplocalycis Herba* (Bohe), *Platycodonis Radix* (Jiegeng), *Lophatheri Herba* (Dan Zhuyezi), *Chrysanthemi Indici Flos* (Yejuhua Tou).
For Ding (carbuncles) that are red and swollen with constipation and a solid pulse, fresh *Rehmanniae Radix* (Xianshengdi), *Coptidis Rhizoma* (Huanglian), *Akebiae Caulis* (Mutong), and raw *Rhei Radix et Rhizoma* (Shengjun) must be used.
Snake Head Ding (carbuncle on the fingertip), which has ruptured, will result in the shedding of finger joints; urgent clearing and resolving of fire toxin is required.
*Forsythiae Fructus* (Lianqiao), *Jasminis Officinalis Flos* (Yinhua), *Glycyrrhizae Radix et Rhizoma* (Gancao), *Scutellariae Radix* (Huangqin), *Moutan Cortex* (Danpi), *Trichosanthis Radix* (Huafen), *Paeoniae Rubra Radix* (Chishao), *Violariae Herba* (Diding), *Fritillariae Thunbergii Bulbus* (Dabei), *Chrysanthemi Flos* (Juhua).
Suokou Ding (carbuncle at the mouth corner), where the sore head is not hard, causing the toxin gas to scatter; urgent clearing and dispersing is required.
*Arisaematis Cum Bile Fructus* (Niubangzi), *Chrysanthemi Indici Flos* (Ganju), *Jasminis Officinalis Flos* (Yinhua), *Paeoniae Rubra Radix* (Chishao), *Forsythiae Fructus* (Lianqiao), *Violariae Herba* (Didingcao), *Fritillariae Thunbergii Bulbus* (Dabei), *Anemarrhenae Rhizoma* (Caoheche), *Lophatheri Herba* (Dan Zhuyeye), *Chrysanthemi Indici Flos* (Yejuhua Tou).
Blood moles on the forehead and skull undergoing "fan hua" (proliferation resembling flowers), extending up to the cheeks and down to the eyelids. The flesh protrudes prominently, and slight vibration causes bleeding. The pulse is rapid and fine, with a wiry quality on the left side. This indicates Yin injury and hyperactive Heart and Liver Fire. It should be treated with Xijiao Dihuang Tang.
*Rhinocerotis Cornu* (Xijiao), fresh *Rehmanniae Radix* (Xianshengdi), *Forsythiae Fructus* (Lianqiao), *Paeoniae Rubra Radix* (Chishao), *Scrophulariae Radix* (Yuanshen), refined *Glycyrrhizae Radix et Rhizoma* (Fen Gancao), *Fritillariae Cirrhosae Bulbus* (Xiang Beimu), *Moutan Cortex* (Fen Danpi), *Anemarrhenae Rhizoma* (Zhimu), *Platycladi Cacumen* (Ce Baiye), *Nelumbinis Plumula* (Ou Jie).
The cheek and jaw area is traversed by the Hand-Yangming Large Intestine Meridian. Gucaofeng (osteoperiostitis of the jaw) arises from the binding of Yangming damp-heat with external wind. Its onset is necessarily sudden because the nature of fire is swift. Currently, the external ulceration has persisted for a long time, and the jaw cannot open because the hardness around the Jiache acupoint has not subsided, impairing opening and closing. The ancients used Zhonghe Tang because the disease was chronic and the pulse was deficient; thus, they used *Astragali Radix* (Huangqi) for tonification and support, Siwu Tang for nourishing blood, *Cinnamomi Ramulus* (Guixin) and *Angelicae Dahuricae Radix* (Baizhi) to dissipate nodules and pathogenic factors, and *Jasminis Officinalis Flos* (Yinhua), *Trichosanthis Radix* (Huafen), *Scrophulariae Radix* (Yuanshen), and *Fritillariae Thunbergii Bulbus* (Beimu) to clear and transform accumulated toxins. The previous discussion is very correct. However, the Yangming meridian is rich in Qi and Blood; excessive use of warming tonics may cause bias and harm. It is proposed to follow the ancient Zhonghe Tang without adding or subtracting ingredients.
*Ligustici Chuanxiong Rhizoma* (Chuanxiong), *Angelicae Sinensis Radix* (Danggui), *Paeoniae Radix Alba* (Baishao), *Rehmanniae Radix* (Shengdi), *Cinnamomi Cortex* (Rougui), *Astragali Radix* (Huangqi), *Trichosanthis Radix* (Huafen), refined *Glycyrrhizae Radix et Rhizoma* (Fen Gancao), *Platycodonis Radix* (Jiegeng), *Fritillariae Thunbergii Bulbus* (Dabei), *Jasminis Officinalis Flos* (Yinhua), *Jujubae Fructus* (Hongzao).
Gucaofeng (osteoperiostitis of the jaw), with swelling both inside and outside the Jiache acupoint, and internal ulceration discharging pus. Treatment should primarily focus on clearing the Stomach and detoxifying, with the healing of external ulcerations being key.
*Coptidis Rhizoma* (Chuanlian), *Gypsum Fibrosum* (Shigao), *Scrophulariae Radix* (Yuanshen), *Trichosanthis Radix* (Huafen), *Saiga Tataricae Cornu* (Lingyangjiao), *Moutan Cortex* (Danpi), *Paeoniae Rubra Radix* (Chishao), *Jasminis Officinalis Flos* (Yinhua), *Glycyrrhizae Radix et Rhizoma* (Gancao), *Scutellariae Radix* (Huangqin), *Lophatheri Herba* (Dan Zhuyeye), *Phragmitis Rhizoma* (Lugen).
Gucaofeng (osteoperiostitis of the jaw), after ulceration, leads to tight contraction of tendons and vessels, resulting in trismus (lockjaw). Accompanied by residual pathogens not cleared, subcutaneous nodules, tinnitus in both ears, and poor hearing. There is disharmony between Jueyin and Shaoyang, with Yang floating upward. The prescription aims to nourish Yin, clear Liver fire, and harmonize the collaterals.
*Glehniae Radix* (Beishashen), *Chrysanthemi Flos* (Juhua), *Angelicae Sinensis Radix* (Danggui), *Paeoniae Radix Alba* (Baishao), *Citri Reticulatae Pericarpium* (Guangpi), *Haliotidis Concha* (Shijueming), *Tribuli Fructus* (Bajili), *Prunellae Spica* (Xiakucao), *Alismatis Rhizoma* (Zexie), *Moutan Cortex* (Danpi), *Glycyrrhizae Radix et Rhizoma* (Gancao), *Nelumbinis Folium* (Heye).
Pill Formula:
*Ligustici Chuanxiong Rhizoma* (Chuanxiong), *Angelicae Sinensis Radix* (Danggui), *Pinelliae Rhizoma Preparatum* (Banxia), *Bombyx Batryticatus* (Jiangcan), *Fritillariae Thunbergii Bulbus* (Dabei), *Citri Reticulatae Pericarpium* (Chenpi), *Poria* (Fuling), *Tribuli Fructus* (Bajili), *Glehniae Radix* (Beishashen), *Prunellae Spica* (Xiakucao), *Scrophulariae Radix* (Yuanshen), *Angelicae Dahuricae Radix* (Baizhi), *Glycyrrhizae Radix et Rhizoma* (Gancao), *Sepiae Endoconcha* (Haipiaoxiao).
Made into pills with honey water, taken three qian after breakfast.
Gucaofeng (osteoperiostitis of the jaw), named "Chuanzhu Chuansai" (threading pearls through the cheek) by Dou Hanqing. The core method states: lesions arising above the teeth or from the dental alveolus are related to wind-fire in the Hand-Shaoyang Sanjiao Meridian and Foot-Yangming Stomach Meridian. The Hand-Shaoyang meridian runs from hand to head, while the Foot-Yangming meridian runs from head to foot. The pathogen enters via the Hand meridian; initially causing tooth pain and swelling of the cheek, facial swelling extending over the Taiyang region, then entering the Yangming meridian, spreading from the neck to the chest. Initially, it moves downward anteriorly, then slowly supplements posteriorly, causing toxic fire to accumulate, injuring Yin and consuming Qi. Unable to eliminate toxins and resolve suppuration, the pathogen scatters unpredictably. The pulse shows dispersion and enlargement on the left, and softness and smallness on the right. The tongue is curled, eyes fixed, Yang energy shrinks, the face lacks luster, sweating is profuse. Qi and Blood are both exhausted, constituting a sinking syndrome. The medicine does not match the disease and cannot cure it; fate is determined by Heaven, beyond human effort. The prescription is merely an attempt to do one's utmost.
*Panacis Ginseng Radix Rubra* (or *Codonopsis Radix* - Western Ginseng here likely refers to American Ginseng/Panax Quinquefolius, but standard WHO term for Xi Yang Shen is *American Ginseng Radix*), *Poria* (Fuling), *Glycyrrhizae Radix et Rhizoma* (Gancao), *Jasminis Officinalis Flos* (Yinhua), *Trichosanthis Radix* (Huafen), *Dendrobii Caulis* (Chuanshihu), *Ophiopogonis Radix* (Maidong), *Fritillariae Thunbergii Bulbus* (Dabei Mu), *Phaseoli Semen Mungo* (Lvdou).
Although there was some improvement last night after taking the decoction, the pulse has not yet risen, so this cannot be relied upon. Add five qian of *Rehmanniae Radix* (Shengdi) to the original formula.
Gucaofeng (osteoperiostitis of the jaw) has been ulcerated for a long time, and the jawbone is damaged. Complete recovery is difficult; treatment should focus on tonification and support.
*Astragali Radix* (Huangqi), *Angelicae Sinensis Radix* (Danggui), *Codonopsis Radix* (Dangshen), *Glycyrrhizae Radix et Rhizoma* (Gancao), *Atractylodis Macrocephalae Rhizoma* (Baizhu), *Paeoniae Radix Alba* (Baishao), *Ligustici Chuanxiong Rhizoma* (Chuanxiong), *Cinnamomi Cortex* (Rougui), large *Rehmanniae Radix* (Da Shengdi), *Trichosanthis Radix* (Huafen), *Jujubae Fructus* (Hongzao).