治大人、小儿，或在项上，或在颈，在胫，在臂。如肿毒者，多在皮里膜外，多是痰注作核不散，问其平日好食何
物，吐下后用药散结。在头项，僵蚕、炒大黄、酒浸青黛、胆星为末，蜜丸噙化。在颏颊下生痰核，二陈汤加连翘、防
风、川芎、皂角刺、酒芩、苍术、僵蚕。一妇人年四十余，面白形瘦，性急，因有大不如意，三月后房下胁骨作一
块，渐渐长掩心，微痛膈闷，饮食减四之三，每早觉口苦，两手脉微而短涩（详见四卷血气为病条）。
气血痰热，用椹子黑熟者，捣烂熬膏，汤调服。红者，晒干为末，服亦效。又方，用大田螺连肉烧灰存性，为末，
入麝香少许，湿则干糁，干则油调敷。又方，用夏枯草大能散结气，而有补养厥阴血脉之功，能退寒热，虚者，尽可
倚仗；若实者，以行散之药辅佐之，外施艾灸，亦渐取效。
破伤风、血凝心、针入肉游走，三证如神方，鸦翎烧灰
一钱，研细酒服。防风、全蝎之类，皆是要药。破伤风多死，非全蝎不开，用十个末之，酒下，日三次。破伤风
发热∶栝蒌仁（九钱） 滑石（一钱半） 南星 苍术 炒柏 赤芍药 陈皮（以上各一钱） 黄连 黄芩 白芷（以
上各五钱） 生甘草（少些） 上 咀，生姜三片，煎服。
膏药方，乳、没、水银、当归各五钱，川芎、贝母各一两，黄丹二两半，麻油六两，上 咀，除黄丹、水银外，先
将余药用麻油熬黑色，去粗，下黄丹、水银，又煎黑色，用桃、柳枝搅成膏。又方∶用生龙骨、血竭、赤石脂三味共
一两，血余如指大，黄腊一两，白胶香一两，香油量用。上先以香油煎三五沸，去血余，入黄蜡、白胶香，却入龙骨、
血竭、赤石脂，搅匀，安在水盆内，候冷取起，以瓷器盛之，每遇一疮，捻一薄片贴疮口，以竹箬贴在外，三日后翻
过再贴，仍服活血药。又方，用沙糖水煮冬青叶，三五沸捞起，石压干，将叶贴在疮上，日换二遍。又方，以头垢
烧灰和枣肉捣作膏，先以葱椒汤洗冷，以轻粉糁上，却用前药膏，以雨伞纸作膏贴之。又方，蛤粉、腊茶、苦参、青
黛、密陀僧，上先以河水洗净疮，却以腊月猪脂调敷。又方∶地骨皮（一两） 甘草节（半两） 白腊（半两） 上以
香油四两，入地骨、甘草，文武火熬熟，去粗，入黄丹一两半并白腊，紧火熬黑，白纸摊贴。又方，用冬青叶，醋煮
过，贴之。妇人脚胫HT 疮，多主血凝，服《局方》中补损黄 丸。HT 疮方，轻粉、定粉、瓦粉、玄明粉，上等分为
末，无根水调涂碗底，以北熟之艾五两熏之，艾尽为度，上为细末，用羯羊脚筒骨髓，调涂油纸上，葱椒汤洗过贴之，
绯帛缠定。又
方，黄连一两，切，水二盏，煎一盏，去粗，用油纸一张，入内煮干取出，以黄腊磨刷过，缚疮上。
治疗成人和儿童的结核（皮下结节），位置可能在颈部、颈侧、小腿或手臂。如果表现为肿胀毒块，多位于皮肤与筋膜之间，大多是由于痰湿凝聚成核而消散不去。需询问患者平时喜好食用何种食物，在采用吐法或下法之后，再用药散结。若病灶在头项部，可用僵蚕、炒大黄、酒浸青黛、胆南星研为细末，用蜂蜜制成丸药含化。若在颏部和脸颊下方生痰核，可用二陈汤加入连翘、防风、川芎、皂角刺、酒黄芩、苍术、僵蚕。有一位四十多岁的女性，面色白且形体消瘦，性格急躁，因为遇到大的不如意之事，三个月后乳房下方胁肋骨处出现一块肿块，逐渐长大遮盖心口部位，伴有轻微疼痛和胸膈闷胀感，饮食减少到原来的四分之一，每天早晨感觉口苦，两手脉象微细而短涩（详见第四卷血气为病条）。
针对气血痰热郁结的情况，选用桑葚中黑熟者，捣烂熬成膏状，用开水调服。红色的桑葚，晒干研为细末服用也有效。另一个方子，取大田螺连同肉一起烧成灰但保留药性，研为细末，加入少许麝香，患处潮湿则干撒粉末，干燥则用油调和后敷贴。又一个方子，夏枯草具有强大的散结气功效，且有补养厥阴经血脉的作用，能退去寒热症状，体质虚弱者可完全依赖此药；若属实证，则以行气散结的药物辅助，外用艾灸，也能逐渐见效。
治疗破伤风、血凝阻滞、针头入肉游走不出的三种病症的神效方：乌鸦羽毛烧成灰一钱，研细后用酒送服。防风、全蝎等药物都是关键要药。破伤风死亡率很高，若非全蝎不能开通闭塞，可用十个全蝎研末，用酒送服，每日三次。破伤风发热方：栝蒌仁（九钱）、滑石（一钱半）、天南星、苍术、炒黄柏、赤芍药、陈皮（以上各一钱）、黄连、黄芩、白芷（以上各五钱）、生甘草（少量）。将上述药材切碎，加生姜三片，煎煮后服用。
膏药方：乳香、没药、水银、当归各五钱，川芎、贝母各一两，黄丹二两半，麻油六两。将除黄丹、水银外的其余药材用麻油熬至黑色，滤去药渣，再加入黄丹、水银，继续煎至黑色，用桃枝、柳枝搅拌成膏。又一个方子：用生龙骨、血竭、赤石脂三味药共一两，血余炭如手指大小，黄蜡一两，松香一两，香油适量。先将香油煮沸三五次，去掉血余炭，加入黄蜡、松香，再加入龙骨、血竭、赤石脂，搅拌均匀，放入水盆中，冷却后取出，用瓷器盛装。每次遇到一个疮口，捏一片薄片贴在疮口上，外面用竹叶包裹固定，三天后翻面再贴，同时内服活血药物。又一个方子，用砂糖水煮冬青叶，煮沸三五次后捞出，用石头压干，将叶子贴在疮上，每天更换两次。又一个方子，将头垢烧成灰，和枣肉捣成膏，先用葱椒汤清洗并冷却，撒上轻粉，再用前面的药膏，用雨伞纸做成膏药贴敷。又一个方子，蛤粉、腊茶、苦参、青黛、密陀僧，先将疮口用河水洗净，然后用腊月猪脂调和敷贴。又一个方子：地骨皮（一两）、甘草节（半两）、白蜡（半两）。用香油四两，加入地骨皮、甘草，用文火武火交替熬熟，滤去药渣，加入黄丹一两半和白蜡，猛火熬黑，用白纸摊开贴敷。又一个方子，用冬青叶，醋煮过后，贴敷。妇女小腿部的臁疮（下肢慢性溃疡），多主因血凝所致，服用《局方》中的补损黄明胶丸。臁疮方：轻粉、定粉（铅粉）、瓦粉、玄明粉，上等分研为细末，用无根水调涂在碗底，用陈年艾绒五两熏烤，艾尽为止，将碗底刮下的细末，用公羊脚筒骨髓调和，涂在油纸上，用葱椒汤清洗疮口后贴敷，用红色丝帛缠紧固定。又一个方子，黄连一两，切片，加水两盏，煎至一盏，滤去药渣，用一张油纸浸入药液中煮干取出，用黄蜡磨刷过，绑缚在疮上。
To treat tubercles (subcutaneous nodules) in adults and children, located on the neck, lateral neck, shins, or arms. If presenting as swollen toxic masses, they are mostly located between the skin and fascia, largely due to phlegm condensing into nodules that do not dissipate. Inquire about the patient's dietary preferences; after employing emetic or purgative methods, use medication to resolve the nodules. For lesions on the head and neck, use *Bombyx Batryticatus* (Jiangcan), stir-fried *Rhei Radix et Rhizoma* (Chao Dahuang), indigo naturalis (*Qingdai*) soaked in wine, and *Arisaema cum Bile* (Danning), ground into powder, formed into honey pills for holding in the mouth to dissolve. For phlegm nodules arising under the chin and cheeks, use *Erchen Tang* (Two-Cured Decoction) added with *Forsythiae Fructus* (Lianqiao), *Saposhnikoviae Radix* (Fangfeng), *Chuanxiong Rhizome* (Chuanxiong), *Gleditsia Sinensis Spine* (Zaojiaoci), *Scutellariae Radix* (Huangqin) processed with wine, *Atractylodis Rhizoma* (Cangzhu), and *Bombyx Batryticatus* (Jiangcan). A woman over forty years old, with a pale complexion and thin body, irritable temperament, experienced a large dissatisfaction three months prior, after which a lump appeared below the breast near the costal margin, gradually enlarging to cover the heart area, accompanied by slight pain and chest diaphragmatic oppression, food intake reduced to one-quarter of normal, morning bitterness in the mouth, and both wrists showing a faint, short, and choppy pulse (see Volume 4, Blood and Qi Disease section).
For conditions involving qi, blood, phlegm, and heat stagnation, select ripe black mulberries (*Morus alba* fruit), mash them, and boil into an extract; take mixed with water. Red mulberries, dried and powdered, are also effective when taken. Another prescription: burn large river snails with flesh to ash while preserving their medicinal nature, grind into powder, add a small amount of *Moschus* (Shexiang); if the lesion is moist, sprinkle dry powder; if dry, mix with oil for topical application. Another prescription: *Prunella vulgaris* (Xiakucao) has strong efficacy in dispersing qi stagnation and nourishing the Jueyin channel blood vessels, relieving alternating chills and fever; it can be relied upon for deficiency patterns; for excess patterns, assist with herbs that promote circulation and dispersion, combined with external moxibustion, yielding gradual results.
Divine formula for treating tetanus (Poshangfeng), blood coagulation stagnation, and migrating needle tips embedded in flesh: Burn crow feathers to ash, one qian, grind finely, and administer with wine. *Saposhnikoviae Radix* (Fangfeng) and *Fuller's Earth Scorpion* (Quanxie) are essential herbs. Tetanus often proves fatal; only *Fuller's Earth Scorpion* (Quanxie) can open blockages. Use ten scorpions, powdered, administered with wine, three times daily. Formula for tetanus with fever: *Trichosanthis Semen* (Gualouren, 9 qian), *Talcum* (Huashi, 1.5 qian), *Arisaema Cum Rizoma* (Nanxing), *Atractylodis Rhizoma* (Cangzhu), stir-fried *Phellodendri Cortex* (Chao Bai), *Red Peony Root* (Chishao), *Citrus Reticulatae Pericarpium* (Chenpi) (each 1 qian), *Coptidis Rhizoma* (Huanglian), *Scutellariae Radix* (Huangqin), *Angelicae Dahuricae Radix* (Baizhi) (each 5 qian), *Glycyrrhizae Radix et Rhizoma* (Sheng Gancao, small amount). Cut the ingredients, add three slices of fresh ginger, decoct, and take orally.
Plaster formula: *Boswelliae Resina* (Ruxiang), *Myrrhae Resina* (Moyao), *Hydrargyrum* (Shuiyin), *Angelicae Sinensis Radix* (Danggui) each 5 qian; *Chuanxiong Rhizome* (Chuanxiong), *Fritillariae Bulbus* (Beimu) each 1 liang; *Lithargyrum* (Huandan) 2.5 liang; *Sesamum Indicum Oil* (Mayou) 6 liang. Boil all ingredients except Lithargyrum and Hydrargyrum in Sesame Oil until black, filter out dregs, then add Lithargyrum and Hydrargyrum, boil again until black, stirring with peach and willow branches to form the plaster. Another formula: Combine *Os Draconis* (Sheng Longgu), *Draconis Sanguis* (Xuejie), and *Halloysit Rubrum* (Chishizhi) totaling 1 liang; *Capillis Carbonisatus* (Xuyuru) sized like a finger; *Cera Flava* (Huangla) 1 liang; *Resina Pini* (Baijiaoxiang) 1 liang; Sesame Oil as needed. First, boil Sesame Oil for three to five boils, remove *Capillis Carbonisatus*, add *Cera Flava* and *Resina Pini*, then add *Os Draconis*, *Draconis Sanguis*, and *Halloysit Rubrum*, stir evenly, place in a basin of water, cool, retrieve, and store in porcelain. For each sore, mold a thin slice and apply to the wound, cover with bamboo leaf externally, flip and reapply after three days, while internally administering blood-invigorating medicines. Another formula: Boil *Ilex Rotunda* leaves (Dongqingye) in rock sugar water for three to five boils, remove, press dry with stone, and apply leaves to the sore, changing twice daily. Another formula: Burn scalp dirt to ash, mix with jujube pulp to make a paste; first wash with green onion and pepper soup and cool, sprinkle *Calomelas* (Qingfen), then apply the aforementioned paste using umbrella paper as a backing. Another formula: *Concha Meretricis* (Gafen), aged tea (*Lacha*), *Sophorae Flavescentis Radix* (Kushen), *Indigo Naturalis* (Qingdai), *Lithargyrum* (Mituoseng); first clean the sore with river water, then apply mixed with pig lard from the twelfth lunar month. Another formula: *Cortex Lycii Radicis* (Digupi, 1 liang), *Glycyrrhizae Radix et Rhizoma* (Ganjie, half liang), *Cera Alba* (Baila, half liang). Add 4 liang of Sesame Oil, decoct *Cortex Lycii Radicis* and *Glycyrrhizae Radix et Rhizoma* with gentle and strong fire alternately until cooked, filter dregs, add 1.5 liang of Lithargyrum and *Cera Alba*, boil fiercely until black, spread on white paper for application. Another formula: Boil *Ilex Rotunda* leaves in vinegar, then apply. For women's leg ulcers (Lianchuang), primarily caused by blood coagulation, administer *Bu Sun Huangmingjiao Wan* (Tonify Loss Yellow-Mineral Gelatin Pill) from the *Formulas of the Bureau*. Formula for leg ulcers: *Calomelas* (Qingfen), *Cerussa* (Dingfen), tile powder, *Mirabilite* (Xuanmingfen); divide equally, grind to fine powder, mix with unrooted water, smear on the bottom of a bowl, fumigate with five liang of aged mugwort until exhausted, scrape off the fine powder, mix with marrow from male sheep leg bones, apply on oiled paper, wash sore with green onion and pepper soup before applying, and bind tightly with red silk. Another formula: *Coptidis Rhizoma* (Huanglian) 1 liang, sliced, decoct in two cups of water until one cup remains, filter dregs, soak a sheet of oiled paper in the liquid until dry, remove, brush with melted yellow wax, and bind to the sore.