破伤风多死。防风、全蝎之类。非全蝎不开，十个为末，酒调，日三次。
破伤风，血凝心，鸦翅烧灰存性，研细，酒调一钱。
入方∶破伤风发热。
栝蒌子（九钱） 滑石（一钱半） 南星 苍术 赤芍 陈皮（一钱） 黄连 炒柏 黄芩 白芷（五
分） 甘草（些少）
上姜一片，煎服。
附方
天麻丸 治破伤风神效。
天麻 川乌（生去皮，各三钱） 草乌（生） 雄黄（各一钱）
上为末，酒糊丸梧子大。每服十丸，温酒下，无时。
《元戎》治破伤风欲死者。
川乌 南星 半夏（并生） 天麻（去芦，等分）
上为细末。每服一钱，豆淋酒调下，稍温服，次以酒三盏投之。
（附天泡疮、冻疮）
诸疮痛不可忍者，用苦寒药加黄连、黄芩，详上下根稍用，及引经药则可。又云
∶诸疮以当
下之；若性急面黑瘦，血热之人，因疮而痛，宜四物加黄连、黄芩、大力子、甘草。在下
焦者
其气能胜湿。
诸疮药 脓窠，治热燥湿为主，用无名异。干疥，开郁为主，用茱萸。虫疮如癣状，退
虫为主，芜荑、黑狗脊、白矾、雄黄、硫黄、水银。杀虫、樟脑、松香。头上多，加黄连、
方解石，蛇床定痒杀虫，松皮炭主脓。肿多者，加白芷开郁；痛多，加白芷、方解石；虫
，加藜芦、斑蝥；痒多，加枯矾；阴囊疮，加茱萸；湿多，香油调；干痒出血多，加大黄、
黄连，猪脂调；红色，加黄丹；青色，加青黛；虫多，加锡灰、芜荑、槟榔。在上多服通圣
散，在下多须用下。脚肿出血，分湿热用药。
入方∶疮有三种。
脓泡疮，治热为主。
黄芩 黄连 大黄（各三钱） 蛇床 寒水石（三两） 黄丹（半钱） 白矾（一钱） 轻粉 白芷 无
名异（少许，炒） 木香（少许，痛者用）
上为末。油调敷。
痧疮
芜荑（二钱） 剪草（二钱） 蛇床（三钱） 白矾（枯） 吴茱萸 黄柏（各一钱） 苍术 浓朴 雄黄
（各五分） 寒水石（二钱） 轻粉（十帖）
上为末。油调敷。
疥疮药 春天发疮疥，开郁为主，不宜抓破敷。
白矾（二钱） 吴茱萸（二钱） 樟脑（半钱） 轻粉（十 ） 寒水石（二钱半） 蛇床（三
钱） 黄柏 大黄
又方
芜荑 白矾（枯） 软石膏 大黄 樟脑（各半两，另入） 贯众 蛇床（各一两） 硫黄 雄黄
（各二钱半）
上为末。香油调。须先洗疮去痂，敷之。
一上散
雄黄（三钱半） 寒水石（一两） 蛇床 白胶香 黑狗脊（各一两） 黄连（五钱） 硫黄（三钱半） 吴
茱萸（三钱） 白矾（枯，五钱） 斑蝥（十四个，去翅足）
上硫黄、雄黄、寒水石，另研如粉，次入斑蝥和匀，蛇床、狗脊等为极细末同研匀。洗
疮，令汤透去痂，用腊猪油调，手心中擦热，鼻中臭三二次，却擦上。一上即愈。如痛甚肿满高起，加
水石一倍；如不苦痒，只加狗脊；如微痒，只加蛇床子；如疮中有虫，加雄黄；如喜火炙
汤洗，加硫黄。口臭不止，亦可愈也。
附方
四物汤 见妇人类。
大承气汤 见痢类。
郭氏升麻牛蒡子散 治时毒疮疹，脉浮，红在表者，疮发于头面胸膈之际。
升麻 牛蒡子 甘草 桔梗 葛根 玄参 麻黄（各一两） 连翘（一钱）
上 咀。姜三片，水二盏，作一服。
升麻和气饮 治疮肿疖疥痒痛。
甘草 陈皮（各一两半） 芍药（七钱半） 大黄（半两，煨） 干葛 苍术 桔梗 升麻（各一两）
当归 半夏 茯苓 白芷（各二钱） 干姜 枳壳（各半钱，）《三因》有浓朴半两
上 咀。每服一两，水煎。
当归饮子 治疮疥、风癣、湿毒，燥痒疮。
当归 白芍 川芎 生地黄 白蒺藜 防风 荆芥（各一两） 何首乌 黄 甘草（各半两
上 咀。每服一两，水煎；或为末，每服一二钱，亦
天 疮 用防风通圣散末，及蚯蚓泥，略炒，蜜调敷，极妙。从肚皮上起者，是里热发
于外也，还服通圣散。见斑疹类。
冻疮 用煎热桐油，调密陀僧末敷。
脚上烂疮久不愈，先以豆腐浆水，洗三两次，悬钩渣
破伤风病情凶险，死亡率极高。治疗可用防风、全蝎等药物。其中全蝎具有通络止痉的功效，不可不用，可将十个全蝎研成粉末，用酒调服，每日三次。
破伤风是由于血液凝滞、气机郁结所致。可将鸦翅（乌鸦翅膀）烧成灰但保留药性，研成细末，用酒调服一钱。
【加入方剂】治疗破伤风伴有发热的情况：
栝蒌子（九钱）、滑石（一钱半）、天南星、苍术、赤芍、陈皮（一钱）、黄连、炒黄柏、黄芩、白芷（五分）、甘草（少许）。
以上药物加生姜一片，煎汤服用。
【附方】
天麻丸：治疗破伤风有显著疗效。
天麻、川乌（生用，去皮，各三钱）、草乌（生用）、雄黄（各一钱）。
以上药物研成粉末，用酒糊制作成梧桐子大小的丸剂。每次服用十丸，温酒送下，不拘时间。
《元戎》记载的治疗破伤风危重欲死者的方子：
川乌、天南星、半夏（均生用）、天麻（去芦头，用量相等）。
以上药物研成细末。每次服用一钱，用豆淋酒调服，稍温热时服用，随后再饮三盏酒。
（附录天泡疮、冻疮）
各种疮疡疼痛难以忍受的，使用苦寒药物并加入黄连、黄芩，根据病变部位的上下来选择根部和梢部的药材，以及引经药即可。又有说法称：各种疮疡应当采用攻下法治疗；如果是性情急躁、面色黑瘦、血热体质的人，因疮疡而疼痛，适宜用四物汤加上黄连、黄芩、牛蒡子、甘草。病位在下焦的，其药气能够胜湿。
各种疮疡用药：脓疱疮，以清热燥湿为主，使用无名异。干疥，以开郁散结为主，使用吴茱萸。虫疮类似癣状，以杀虫为主，使用芜荑、黑狗脊、白矾、雄黄、硫黄、水银。杀虫还可使用樟脑、松香。如果疮疡多发于头部，加黄连、方解石；蛇床子可定痒杀虫；松皮炭主治脓疮。肿胀多的，加白芷以开郁；疼痛多的，加白芷、方解石；虫多的，加藜芦、斑蝥；瘙痒多的，加枯矾；阴囊疮，加吴茱萸；湿气重的，用香油调和；干燥瘙痒且出血多的，加大黄、黄连，用猪脂调和；颜色红的，加黄丹；颜色青的，加青黛；虫多的，加锡灰、芜荑、槟榔。病位在上者多服用通圣散，病位在下者多须用攻下法。脚部肿胀出血，需分辨湿热用药。
【加入方剂】疮疡有三种类型。
脓泡疮，以清热为主。
黄芩、黄连、大黄（各三钱）、蛇床子、寒水石（三两）、黄丹（半钱）、白矾（一钱）、轻粉、白芷、无名异（少许，炒制）、木香（少许，疼痛者使用）。
以上药物研成粉末，用油调和后外敷。
痧疮
芜荑（二钱）、剪草（二钱）、蛇床子（三钱）、枯白矾、吴茱萸、黄柏（各一钱）、苍术、厚朴、雄黄（各五分）、寒水石（二钱）、轻粉（十帖）。
以上药物研成粉末，用油调和后外敷。
疥疮药：春天发生的疮疥，以开郁为主，不宜抓破后敷药。
白矾（二钱）、吴茱萸（二钱）、樟脑（半钱）、轻粉（十帖）、寒水石（二钱半）、蛇床子（三钱）、黄柏、大黄。
又一方：
芜荑、枯白矾、软石膏、大黄、樟脑（各半两，另入）、贯众、蛇床子（各一两）、硫黄、雄黄（各二钱半）。
以上药物研成粉末，用香油调和。必须先清洗疮面去除痂皮，然后敷药。
一上散
雄黄（三钱半）、寒水石（一两）、蛇床子、白胶香、黑狗脊（各一两）、黄连（五钱）、硫黄（三钱半）、吴茱萸（三钱）、枯白矾（五钱）、斑蝥（十四个，去翅足）。
将硫黄、雄黄、寒水石单独研磨成粉，其次加入斑蝥混合均匀，再将蛇床子、狗脊等药物研成极细末一同研磨均匀。清洗疮面，让热水渗透去除痂皮，用腊猪油调和，在手心中擦热，闻到臭味二三两次后，再涂抹在患处。一次即可痊愈。如果疼痛严重、肿胀高起，加水石一倍量；如果不觉得痒，只加狗脊；如果轻微瘙痒，只加蛇床子；如果疮中有虫，加雄黄；如果喜欢用火烤或热水洗，加硫黄。即使口臭不止，也能治愈。
【附方】
四物汤：见妇科类。
大承气汤：见痢疾类。
郭氏升麻牛蒡子散：治疗时行毒邪引起的疮疹，脉象浮，红疹在表层的，疮发于头面胸膈之间。
升麻、牛蒡子、甘草、桔梗、葛根、玄参、麻黄（各一两）、连翘（一钱）。
以上药物切碎。加生姜三片，水两盏，作为一剂服用。
升麻和气饮：治疗疮肿、疖子、疥疮、瘙痒疼痛。
甘草、陈皮（各一两半）、芍药（七钱半）、大黄（半两，煨制）、干葛、苍术、桔梗、升麻（各一两）、当归、半夏、茯苓、白芷（各二钱）、干姜、枳壳（各半钱），《三因方》中有厚朴半两。
以上药物切碎。每次服用一两，水煎服。
当归饮子：治疗疮疥、风癣、湿毒、干燥瘙痒的疮疡。
当归、白芍、川芎、生地黄、白蒺藜、防风、荆芥（各一两）、何首乌、黄芪、甘草（各半两）。
以上药物切碎。每次服用一两，水煎服；或者制成粉末，每次服用一二钱，也有效。
天疱疮：使用防风通圣散的粉末，以及蚯蚓泥，稍微炒制，用蜂蜜调和后外敷，效果极好。从肚皮上发起的，是里热发于体表的表现，还需内服通圣散。见斑疹类。
Traumatic tetanus is often fatal. Use herbs such as Fangfeng (Saposhnikovia Root) and Quanxie (Scorpion). Quanxie (Scorpion) is essential for its ability to unblock collaterals and stop spasms; it cannot be omitted. Grind ten scorpions into powder, mix with wine for administration, three times daily.
Traumatic tetanus involves blood stasis and qi stagnation. Burn crow wings (Yachi) to ash while preserving their medicinal properties, grind finely, and administer one qian mixed with wine.
[Added Formula] For traumatic tetanus accompanied by fever:
Gualouzi (Trichosanthis Fructus, 9 qian), Huashi (Talcum, 1.5 qian), Nanting (Arisaematis Rhizoma), Cangzhu (Atractylodis Rhizoma), Chishao (Paeoniae Radix Rubra), Chenpi (Citri Reticulatae Pericarpium, 1 qian), Huanglian (Coptidis Rhizoma), Chao Bai (Stir-baked Phellodendri Cortex), Huangqin (Scutellariae Radix), Baizhi (Angelicae Dahuricae Radix, 0.5 fen), Gancao (Licorice Root, a small amount).
Add one slice of Shengjiang (Zingiberis Rhizoma Recens), decoct in water, and take orally.
[Attached Formulas]
Tianma Wan (Gastrodia Pill): Highly effective for traumatic tetanus.
Tianma (Gastrodiae Rhizoma), Chuanwu (Aconiti Radix, raw, peeled, 3 qian each), Caowu (Aconiti Kusnezoffii Radix, raw), Xionghuang (Realgar, 1 qian each).
Grind into powder, make pills with wine paste the size of wutong seeds. Take ten pills each time, washed down with warm wine, at any time.
*Yuanrong* treats severe cases of traumatic tetanus where death seems imminent:
Chuanwu (Aconiti Radix), Nanting (Arisaematis Rhizoma), Banxia (Pinelliae Rhizoma, all raw), Tianma (Gastrodiae Rhizoma, remove rhizome, equal parts).
Grind into fine powder. Take one qian each time, mixed with Doulinjiu (wine soaked with soybeans), take when slightly warm, followed by drinking three cups of wine.
(Attached: Bullous Impetigo, Frostbite)
For various sores and ulcers with unbearable pain, use bitter-cold herbs added with Huanglian (Coptidis Rhizoma) and Huangqin (Scutellariae Radix). Select root or tip parts based on the location (upper or lower) and add guiding herbs accordingly. Another view states that various sores should be treated with purgation; if the patient is irritable, has a dark and thin complexion, and suffers from blood-heat type pain due to sores, use Siwu Tang (Four Substances Decoction) plus Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Niu Bang Zi (Arctii Fructus), and Gancao (Licorice Root). For lesions in the lower jiao, the qi of the medicine can overcome dampness.
Medicines for various sores:
For pustular sores, focus on clearing heat and drying dampness using Wumingyi (Haematitum).
For dry tinea/soriasis, focus on resolving depression/stagnation using Zhuyu (Evodiae Fructus).
For insect-induced sores resembling tinea, focus on expelling insects using Wuyi (Chrysobalanipomi Fructus), Heigouji (Drynariae Rhizoma), Baifan (Alumen), Xionghuang (Realgar), Liuhuang (Sulfur), and Shuiyin (Hydrargyrum). To kill insects, also use Zhangnao (Borneolum Syntheticum) and Songxiang (Pini Resina). If lesions are mostly on the head, add Huanglian (Coptidis Rhizoma) and Fangjieshi (Calcitum); Shechuangzi (Cnidii Fructus) stabilizes itching and kills insects; Songpitan (Pinus Bark Charcoal) treats pus. For excessive swelling, add Baizhi (Angelicae Dahuricae Radix) to resolve stagnation; for excessive pain, add Baizhi (Angelicae Dahuricae Radix) and Fangjieshi (Calcitum); for many insects, add Lilu (Veratris Rhizoma) and Banmao (Myodes Blister Beetle); for excessive itching, add Kufan (Burnt Alumen); for scrotal sores, add Zhuyu (Evodiae Fructus); for excessive dampness, mix with Sesame Oil; for dry, itchy, bleeding sores, add Dahuang (Rhei Radix et Rhizoma) and Huanglian (Coptidis Rhizoma), mix with Pig Fat; for red color, add Huangdan (Lithargyrum); for blue/green color, add Qingdai (Indigo Naturalis); for many insects, add Xihui (Tin Ash), Wuyi (Chrysobalanipomi Fructus), and Binglang (Arecae Semen). For upper body lesions, take Tongsheng San (Tongsheng Powder) frequently; for lower body lesions, purgation is often necessary. For swollen and bleeding feet, differentiate between damp-heat to prescribe medication.
[Added Formula] There are three types of sores.
Pustular impetigo, treat primarily by clearing heat:
Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Dahuang (Rhei Radix et Rhizoma, 3 qian each), Shechuangzi (Cnidii Fructus), Hanshuishi (Aqua Calcitae, 3 liang), Huangdan (Lithargyrum, 0.5 qian), Baifan (Alumen, 1 qian), Qingfen (Calomelas), Baizhi (Angelicae Dahuricae Radix), Wumingyi (Haematitum, a small amount, stir-fried), Muxiang (Aucklandiae Radix, a small amount, used if painful).
Grind into powder, mix with oil, and apply externally.
Sha Chuang (Mumps-like Sores)
Wuyi (Chrysobalanipomi Fructus, 2 qian), Jiancao (Euphorbiae Humifusae Herba, 2 qian), Shechuangzi (Cnidii Fructus, 3 qian), Ku Baifan (Burnt Alumen), Wuzhuyu (Evodiae Fructus), Huangbai (Phellodendri Cortex, 1 qian each), Cangzhu (Atractylodis Rhizoma), Houpo (Magnoliae Officinalis Cortex), Xionghuang (Realgar, 0.5 fen each), Hanshuishi (Aqua Calcitae, 2 qian), Qingfen (Calomelas, 10 sheets/packets).
Grind into powder, mix with oil, and apply externally.
Jie Chuang Yao (Sores Medicine): Spring-onset sores and tinea focus on resolving stagnation; do not scratch open before applying.
Baifan (Alumen, 2 qian), Wuzhuyu (Evodiae Fructus, 2 qian), Zhangnao (Borneolum Syntheticum, 0.5 qian), Qingfen (Calomelas, 10 packets), Hanshuishi (Aqua Calcitae, 2.5 qian), Shechuangzi (Cnidii Fructus, 3 qian), Huangbai (Phellodendri Cortex), Dahuang (Rhei Radix et Rhizoma).
Another Prescription:
Wuyi (Chrysobalanipomi Fructus), Ku Baifan (Burnt Alumen), Ruangao Shi (Soft Gypsum), Dahuang (Rhei Radix et Rhizoma), Zhangnao (Borneolum Syntheticum, half liang each, added separately), Guanzhong (Cyathulae Rhizoma), Shechuangzi (Cnidii Fructus, 1 liang each), Liuhuang (Sulfur), Xionghuang (Realgar, 2.5 qian each).
Grind into powder, mix with Sesame Oil. Must first wash the sore to remove crusts, then apply.
Yi Shang San (One Application Powder)
Xionghuang (Realgar, 3.5 qian), Hanshuishi (Aqua Calcitae, 1 liang), Shechuangzi (Cnidii Fructus), Baijiaoxiang (Elemi Resin), Heigouji (Drynariae Rhizoma, 1 liang each), Huanglian (Coptidis Rhizoma, 5 qian), Liuhuang (Sulfur, 3.5 qian), Wuzhuyu (Evodiae Fructus, 3 qian), Ku Baifan (Burnt Alumen, 5 qian), Banmao (Myodes Blister Beetle, 14 pieces, remove wings and feet).
Grind Liuhuang (Sulfur), Xionghuang (Realgar), and Hanshuishi (Aqua Calcitae) separately into powder. Then add Banmao (Myodes Blister Beetle) and mix evenly. Grind Shechuangzi (Cnidii Fructus) and Gouji (Drynariae Rhizoma) into extremely fine powder and mix together. Wash the sore, let hot water penetrate to remove crusts, mix with lard pig fat, rub warm in palm, smell the odor two or three times, then apply to the lesion. It heals after one application. If pain is severe and swelling is high, double the amount of Shuishí (Water Stone/Hanshuishi); if not itchy, only add Gouji (Drynariae Rhizoma); if slightly itchy, only add Shechuangzi (Cnidii Fructus); if there are insects in the sore, add Xionghuang (Realgar); if preferring fire roasting or hot water washing, add Liuhuang (Sulfur). Even persistent bad breath can be cured.
[Attached Formulas]
Siwu Tang (Four Substances Decoction): See Gynecology section.
Da Chengqi Tang (Major Order the Qi Decoction): See Dysentery section.
Guoshi Shengma Niubangzi San (Guo's Ligusticum and Arctium Powder): Treats epidemic toxic sores/rashes, floating pulse, redness on the exterior, sores erupting on the head, face, chest, and diaphragm.
Shengma (Cimicifugae Rhizoma), Niubangzi (Arctii Fructus), Gancao (Licorice Root), Jiegeng (Platycodonis Radix), Gegen (Puerariae Lobatae Radix), Xuanshen (Scrophulariae Radix), Mahuang (Ephedrae Herba, 1 liang each), Lianqiao (Forsythiae Fructus, 1 qian).
Cut into pieces. Add three slices of Shengjiang (Zingiberis Rhizoma Recens), two cups of water, decoct as one dose.
Shengma Heqi Yin (Ligusticum Harmonizing Qi Decoction): Treats sores, boils, tinea, itching, and pain.
Gancao (Licorice Root), Chenpi (Citri Reticulatae Pericarpium, 1.5 liang each), Shaoyao (Paeoniae Radix, 7.5 qian), Dahuang (Rhei Radix et Rhizoma, half liang, baked), Gange (Radix Puerariae), Cangzhu (Atractylodis Rhizoma), Jiegeng (Platycodonis Radix), Shengma (Cimicifugae Rhizoma, 1 liang each), Danggui (Angelicae Sinensis Radix), Banxia (Pinelliae Rhizoma), Fuling (Poria), Baizhi (Angelicae Dahuricae Radix, 2 qian each), Ganjiang (Zingiberis Rhizoma), Zhike (Aurantii Fructus Immaturus, 0.5 qian each). *San Yin Fang* includes Houpo (Magnoliae Officinalis Cortex) half liang.
Cut into pieces. Take one liang each time, decoct in water.
Danggui Yinzi (Angelica Decoction Cup): Treats sores/tinea, wind-tinea, damp-toxin, dry itchy sores.
Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Chuanxiong (Ligustici Chuanxiong Rhizoma), Sheng Dihuang (Rehmanniae Radix Recens), Baijili (Tribuli Fructus), Fangfeng (Saposhnikoviae Radix), Jingjie (Schizonepetae Spica), 1 liang each; Heshouwu (Polygoni Multiflori Radix), Huangqi (Astragali Radix), Gancao (Licorice Root), half liang each.
Cut into pieces. Take one liang each time, decoct in water; or make into powder, take 1-2 qian each time, also effective.
Tian Pao Chuang (Bullous Impetigo): Use powder of Fangfeng Tongsheng San (Saposhnikovia Unblocking Vitality Powder), along with earthworm mud, lightly stir-fried, mixed with honey for external application, very excellent. Eruptions starting from the belly indicate interior heat manifesting externally; continue taking Tongsheng San internally. See Rash/Roseola section.
Dong Chuang (Frostbite): Use boiled hot Tung Oil, mix with Miduoseng (Litharge) powder for external application.
Chronic ulcerative sores on feet that do not heal: First wash two or three times with tofu brine water, then use Xanggou residue...