翻花之症，由疮疡溃后，风寒袭于患处，或肝火血燥生风，或乳母肝火生风，必致疮口 肉突出如菌，或如指，大
小长短不同。如风邪乘袭者，先用补中益气汤加防风、天麻。风寒凝滞者，先用十宣散加羌活、天麻。儿肝火生风
者，先用加味逍遥散加羌活、天麻。母肝火生风者，先用加味小柴胡汤，次用加味逍遥散加漏芦、天麻。其风邪所乘，
外用豆豉饼。风寒所凝，外用葱熨法，更用太乙膏护疮口。突肉不消，更以藜芦膏涂之。如疮口不敛而恶寒发热者，元
气虚也，用补中益气汤。晡热内热者，气血俱虚也，用八珍汤，倍加参、 。食少难化者，脾气虚也，用五味异功散。
若饮食少思，大便不调，或肌肉消瘦，小便澄白者，此兼肝脾疳症也，用九味芦荟丸，以清肝火；用五味异功散，以补
脾气。外仍用熨治之法。
一小儿腿外 患痈，疮口陷而色黑，翻出如菌，久而不食，此元气虚弱，寒邪滞于患处，用十宣散加羌活、天麻，
及附子饼，患处渐赤，改用葱熨法而渐白，此寒邪去而元气虚，真气发见也，用补中益气汤及藜芦膏而痊。
一小儿臂患痈，疮口色白肉突翻，或如菌，或如指，用追蚀之药去而复作。余谓肝肺气虚，先用益气汤，再用托里
散、藜芦膏而愈。
一女子胁间患痈，疮口色赤翻出，肉如菌，寒热如疟，此肝经血燥生风所致，先用加味逍遥散，后用加味小柴胡汤
及藜芦膏而愈。
一小儿患此，疮口色赤肿痛，时出血脓，此肝经血分有热，用加味逍遥散加生地黄四剂，却以生地易熟地，月余血
热渐退；又用八珍汤、藜芦膏而突肉减；用十全大补汤而元气复；又用托里散而疮瘥。
一小儿患天蛇毒，脓出后指肿大色黯，疮口 肉，手背漫肿而不赤，饮食少思，大便不实，憎寒发热，惟用败毒行
气之药，余谓此脾胃虚弱，不能消化饮食、生长肌肉、外御风邪，非疮毒使然也。朝用益气汤，夕用异功散，两月余诸
症渐愈。后因饮食过度吐泻，患处不红活，出清水，用异功散、葱熨法、藜芦膏而愈。
一女子臂痈，溃后疮口突肉如菌，用毒药蚀之，突肉益甚，面青寒热，经候不调，此肝经血燥而生风，脾气虚而不
能生肌耳，先用加味逍遥散、五味异功散两月余，却用地黄丸、托里散而愈。
一小儿患前症，用药腐去疮口不敛，朝恶寒，暮发热，余谓因气血俱虚而然也，法当调补脾胃，则气血自生，疮口
自敛。不悟，仍攻其疮而殁。
一女子十五岁患前症，腐去而复生，面色青而或赤，余谓此肝胆二经风火妄动，盖肝血为阴为水，肝气为阳为火，
宜生肾水、滋肝血使火自息，而风自灭。不信，乃用祛风之剂，致血燥妄行，疮口出血不止而死。
藜芦膏 治疮口 肉凸起，或出二三寸肉者。
藜芦（不拘多少）
上为末，以生猪脂擂和搽凸 肉上。
八珍汤
加味逍遥散（二方见发热不止）
补中益气汤（方见肌肉不生）
托里散（方见热毒疮疡）
十全大补汤（方见便痈）
五味异功散（方见败毒之药）
地黄丸（方见作渴不止）
豆豉饼
葱熨法（二方见流注）
翻花疮这一病症，是由于疮疡溃破后，风寒之邪侵袭患处，或者因肝火旺盛、血液枯燥而生风，亦或是乳母肝火生风所致，必然导致疮口处的肌肉突出，形状像菌类或手指，大小长短各不相同。如果是风邪乘虚侵袭者，先用补中益气汤加入防风、天麻。若是风寒凝滞者，先用十宣散加入羌活、天麻。若是小儿自身肝火生风者，先用加味逍遥散加入羌活、天麻。若是乳母肝火生风者，先用加味小柴胡汤，随后用加味逍遥散加入漏芦、天麻。对于风邪所乘的情况，外用豆豉饼敷贴。对于风寒凝滞的情况，外用葱熨法，并再用太乙膏保护疮口。如果突出的肉芽不消退，再用藜芦膏涂抹。如果疮口不能愈合且伴有恶寒发热，这是元气虚弱，使用补中益气汤。如果在傍晚出现内热，这是气血俱虚，使用八珍汤，加倍人参、白术。如果饮食减少且难以消化，这是脾气虚弱，使用五味异功散。如果饮食少思，大便不调，或者肌肉消瘦，小便清长色白，这是兼有肝脾疳症，使用九味芦荟丸以清肝火；使用五味异功散以补脾气。外部仍然使用熨治的方法。
有一个小孩腿部外侧患痈，疮口凹陷且颜色发黑，翻出如菌状，长时间不吃东西，这是元气虚弱，寒邪滞留于患处，使用十宣散加入羌活、天麻，以及附子饼敷贴，患处逐渐变红，改用葱熨法后逐渐变白，这说明寒邪已去而元气虚弱，真气开始显现，使用补中益气汤及藜芦膏而痊愈。
有一个小孩手臂患痈，疮口颜色发白，肌肉突出翻转，有的像菌，有的像手指，使用腐蚀性的药物去除后又复发。我认为这是肝肺气虚，先用益气汤，再用托里散、藜芦膏而痊愈。
有一个女子胁间患痈，疮口颜色发红翻出，肉芽如菌状，寒热往来像疟疾一样，这是肝经血液枯燥生风所致，先用加味逍遥散，后用加味小柴胡汤及藜芦膏而痊愈。
有一个小孩患此病，疮口颜色红赤肿痛，时常流出血脓，这是肝经血分有热，使用加味逍遥散加入生地黄四剂，然后用生地黄替换熟地黄，一个多月后血热逐渐消退；又用八珍汤、藜芦膏使突出的肉芽减少；用十全大补汤使元气恢复；又用托里散使疮口愈合。
有一个小孩患天蛇毒（丹毒），脓液排出后手指肿大颜色暗紫，疮口肌肉突出，手背弥漫性肿胀但不发红，饮食少思，大便不成形，憎寒发热，只使用败毒行气的药物，我认为这是脾胃虚弱，不能消化饮食、生长肌肉、抵御外风邪气，并非疮毒本身造成的。早晨服用益气汤，晚上服用异功散，两个多月后各种症状逐渐痊愈。后来因为饮食过度导致吐泻，患处不再红润鲜活，流出清水，使用异功散、葱熨法、藜芦膏而痊愈。
有一个女子手臂患痈，溃破后疮口肉芽突出如菌状，使用毒药腐蚀，肉芽更加严重，面色青黄，寒热往来，月经失调，这是肝经血液枯燥而生风，脾气虚弱而不能生肌，先用加味逍遥散、五味异功散两个多月，然后用地黄丸、托里散而痊愈。
有一个小孩患前症，用药腐蚀去除疮口后不愈合，早晨恶寒，晚上发热，我认为这是因为气血俱虚所致，治疗方法应当调补脾胃，则气血自然生成，疮口自然愈合。患者不听从，仍然攻伐疮口而死。
有一个十五岁的女子患前症，腐肉去除后又再生，面色青黄时而发红，我认为这是肝胆二经风火妄动，肝血属阴属水，肝气属阳属火，应当滋补肾水、滋养肝血使火自息，风自灭。患者不信，乃使用祛风的药剂，导致血液枯燥妄行，疮口出血不止而死。
藜芦膏：治疗疮口肌肉凸起，或长出二三寸长肉芽的情况。
藜芦（不拘多少）
研为细末，用生猪脂研磨调和，涂抹在凸起的肉芽上。
八珍汤
加味逍遥散（这两个方剂见“发热不止”章节）
补中益气汤（该方剂见“肌肉不生”章节）
托里散（该方剂见“热毒疮疡”章节）
十全大补汤（该方剂见“便痈”章节）
五味异功散（该方剂见“败毒之药”章节）
地黄丸（该方剂见“作渴不止”章节）
豆豉饼
葱熨法（这两个方法见“流注”章节）
Fan Hua Chuang (Flower-Flipping Ulcer) is a condition caused by wind-cold pathogens invading the affected area after an ulcer has ruptured, or due to liver fire causing blood dryness and generating wind, or even from the wet nurse's liver fire generating wind. This inevitably leads to tissue protruding from the wound opening, resembling mushrooms or fingers, varying in size and length. If caused by wind pathogen invasion, first use Buzhong Yiqi Tang (Supplement the Middle and Augment the Qi Decoction) with Fangfeng (Saposhnikovia Root) and Tianma (Gastrodia Rhizome). If caused by wind-cold stagnation, first use Shixuan San (Ten Acupoints Powder) with Qianghuo (Notopterygium Rhizome) and Tianma (Gastrodia Rhizome). If caused by the child's own liver fire generating wind, first use Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) with Qianghuo (Notopterygium Rhizome) and Tianma (Gastrodia Rhizome). If caused by the wet nurse's liver fire generating wind, first use Jiawei Xiao Chaihu Tang (Modified Minor Blue Dragon Decoction), followed by Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) with Loulu (Euphorbia Fissurana Root) and Tianma (Gastrodia Rhizome). For cases of wind pathogen invasion, apply Dou Chi Bing (Fermented Soybean Cake) externally. For wind-cold stagnation, apply Cong Yun Method (Scallion Moxibustion/Warming Therapy) externally, and further protect the wound with Taiyi Gao (Great Unity Plaster). If the protruding tissue does not subside, apply Lili Gao (Veratrum Plaster). If the wound fails to heal accompanied by aversion to cold and fever, it indicates deficiency of Yuan Qi (Primal Qi); use Buzhong Yiqi Tang (Supplement the Middle and Augment the Qi Decoction). If there is afternoon tidal fever and internal heat, it indicates deficiency of both Qi and Blood; use Bazhen Tang (Eight Treasure Decoction), doubling the dosage of Renshen (Ginseng Root) and Baizhu (Atractylodes Macrocephala Rhizome). If appetite is poor and digestion is difficult, it indicates Spleen Qi deficiency; use Wuwei Yigong San (Five-Ingredient Extraordinary Merit Powder). If there is lack of desire for food, irregular bowel movements, emaciation, and clear white urine, this involves Liver-Spleen Gan Syndrome (Childhood Malnutrition); use Jiuwei Lushan Wan (Nine-Ingredient Aloe Pill) to clear Liver Fire, and Wuwei Yigong San (Five-Ingredient Extraordinary Merit Powder) to tonify Spleen Qi. Externally, continue with warming therapy.
A child suffered from an abscess on the outer side of the leg. The wound was sunken and black, with tissue protruding like a mushroom, and the child refused food for a long time. This indicated deficiency of Yuan Qi (Primal Qi) and stagnation of cold pathogens in the affected area. Tenxuan San (Ten Acupoints Powder) with Qianghuo (Notopterygium Rhizome) and Tianma (Gastrodia Rhizome), along with Fuzi Bing (Aconite Cake), were applied. The affected area gradually turned red, then switched to Cong Yun Method (Scallion Warming Therapy) until it turned white. This indicated that cold pathogens had dispersed but Yuan Qi (Primal Qi) remained deficient, allowing True Qi to emerge. Buzhong Yiqi Tang (Supplement the Middle and Augment the Qi Decoction) and Lili Gao (Veratrum Plaster) were used, resulting in recovery.
A child suffered from an abscess on the arm. The wound was pale with protruding, flipping tissue, resembling mushrooms or fingers. Corrosive medicines were used to remove the tissue, but it recurred. It was considered Lung-Liver Qi deficiency. First, Yiqi Tang (Qi-Supplementing Decoction) was used, followed by Tuoli San (Interior-Supporting Powder) and Lili Gao (Veratrum Plaster), leading to recovery.
A woman suffered from an abscess between her ribs. The wound was red with tissue protruding like a mushroom, accompanied by alternating chills and fever similar to malaria. This was caused by Liver channel blood dryness generating wind. Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) was used first, followed by Jiawei Xiao Chaihu Tang (Modified Minor Blue Dragon Decoction) and Lili Gao (Veratrum Plaster), leading to recovery.
A child suffered from this condition. The wound was red, swollen, painful, and intermittently discharged bloody pus. This indicated heat in the Liver channel Blood level. Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) with Sheng Dihuang (Rehmannia Glutinosa Root, Fresh) was administered for four doses. Subsequently, Sheng Dihuang (Rehmannia Glutinosa Root, Fresh) replaced Shu Dihuang (Rehmannia Glutinosa Root, Prepared). After more than a month, blood heat gradually subsided. Then, Bazhen Tang (Eight Treasure Decoction) and Lili Gao (Veratrum Plaster) reduced the protruding tissue. Shiquan Dabu Tang (Comprehensive Great Tonifying Decoction) restored Yuan Qi (Primal Qi), and Tuoli San (Interior-Supporting Powder) healed the wound.
A child suffered from Tianshe Du (Snake Poison/Cellulitis). After pus discharge, the fingers swelled and turned dark. The wound had protruding tissue, and the back of the hand was diffusely swollen but not red. There was poor appetite, loose stools, aversion to cold, and fever. Only detoxifying and Qi-moving medicines were used. It was reasoned that Spleen-Stomach weakness prevented proper digestion, muscle growth, and defense against external wind pathogens, rather than being solely due to the toxin itself. Yiqi Tang (Qi-Supplementing Decoction) was taken in the morning, and Yigong San (Extraordinary Merit Powder) in the evening. After over two months, symptoms gradually improved. Later, excessive eating led to vomiting and diarrhea. The affected area became non-vital and exuded clear fluid. Yigong San (Extraordinary Merit Powder), Cong Yun Method (Scallion Warming Therapy), and Lili Gao (Veratrum Plaster) led to recovery.
A woman suffered from an arm abscess. After rupture, tissue protruded like a mushroom. Toxic medicines were used for cauterization, worsening the protrusion. She presented with a blueish complexion, alternating chills and fever, and irregular menstruation. This indicated Liver channel blood dryness generating wind and Spleen Qi deficiency failing to generate flesh. Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) and Wuwei Yigong San (Five-Ingredient Extraordinary Merit Powder) were used for over two months, followed by Dihuang Wan (Rehmannia Pill) and Tuoli San (Interior-Supporting Powder), leading to recovery.
A child suffered from the aforementioned condition. Medicines corroded the tissue, but the wound failed to heal. Morning aversion to cold and evening fever occurred. It was reasoned that this was due to joint deficiency of Qi and Blood. The method should be to regulate and tonify the Spleen and Stomach, so that Qi and Blood would naturally generate and the wound would heal. The patient did not heed this advice, continued with attacking treatments, and died.
A fifteen-year-old woman suffered from the aforementioned condition. Corroded tissue regrew. Her complexion was blueish or reddish. It was reasoned that this was due to reckless movement of Wind-Fire in the Liver and Gallbladder channels. Liver Blood is Yin and Water; Liver Qi is Yang and Fire. One should nourish Kidney Water and tonify Liver Blood to extinguish Fire and Wind naturally. The patient did not believe this and used wind-dispelling agents, causing blood dryness and reckless bleeding, leading to death from uncontrollable hemorrhage from the wound.
Lili Gao (Veratrum Plaster): Treats protruding tissue at the wound opening or tissue growing two to three cun long.
Lili (Veratri Viridis Rhizoma, amount unspecified).
Grind into powder. Mix with fresh pig lard by rubbing and apply to the protruding tissue.
Bazhen Tang (Eight Treasure Decoction)
Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) (See "Unremitting Fever" for formulas)
Buzhong Yiqi Tang (Supplement the Middle and Augment the Qi Decoction) (See "Failure of Muscle Regeneration" for formula)
Tuoli San (Interior-Supporting Powder) (See "Heat-Toxic Ulcers" for formula)
Shiquan Dabu Tang (Comprehensive Great Tonifying Decoction) (See "Perianal Abscess" for formula)
Wuwei Yigong San (Five-Ingredient Extraordinary Merit Powder) (See "Detoxifying Medicines" for formula)
Dihuang Wan (Rehmannia Pill) (See "Unremitting Thirst" for formula)
Dou Chi Bing (Fermented Soybean Cake)
Cong Yun Method (Scallion Warming Therapy) (See "Flowing Abscesses" for methods)