消瘰 。
生半夏（一两） 生山甲（三钱） 生甘遂（一钱） 生马钱子（四钱，剪碎） 皂角（三钱） 朱血竭（二钱）
上药前五味，用香油煎枯去渣，加黄丹收膏，火候到时将血竭研细搀膏中熔化和匀，随疮大小摊作膏药。
临用时每药一帖加麝香少许。
友人之女年五岁。项间起瘰 数个，年幼不能服药，为制此药，贴之全愈。
凡膏药中用黄丹，必以火炒过，然后以之熬膏，其胶粘之力始大。而麝香不早加入膏药中者，以麝香忌火也。
治瘰 已溃烂者，用此药擦之。他疮破后者亦可用之。
炉甘石（六钱， ） 乳香（三钱） 没药（三钱） 明雄黄（二钱） 蓬砂（三钱） 砂（二分） 冰片（三分）
共研细，收贮瓶中勿令透气。日擦患处三四次，用此药长肉。将平时收口不速者，可加珍珠一分， 研
细搀入，其 法详护眉神应散后。
治瘰 疮疡破后，气血亏损不能化脓生肌。或其疮数年不愈，外边疮口甚小，里边溃烂甚大，且有串至
他处不能敷药者。
生黄 （四两） 甘草（二两） 生明乳香（一两半） 生明没药（一两半） 生杭芍（二两）
天花粉（三两） 丹参（一两半）
上七味共为细末，开水送服三钱，日三次。若将散剂变作汤剂，须先将花粉改用四两八钱，一剂分作八
次煎服，较散剂生肌尤速。
从来治外科者，于疮疡破后不能化脓生肌者，不用八珍即用十全大补。不知此等药若遇阳分素虚之人服
之犹可，若非阳分素虚或兼有虚热者，连服数剂有不满闷烦热，饮食顿减者乎？夫人之后天，赖水谷以生气血，
赖气血以生肌肉，此自然之理也。而治疮疡者，欲使肌肉速生，先令饮食顿减，斯犹欲树之茂而先戕其根也。
虽疮家阴证，亦可用辛热之品，然林屋山人阳和汤，为治阴证第一妙方，而重用熟地一两以大滋真阴，则热药
自无偏胜之患，故用其方者，连服数十剂而无弊也。如此方重用黄 ，补气分以生肌肉，有丹参以开通之，则
补而不滞，有花粉、芍药以凉润之，则补而不热，又有乳香、没药、甘草化腐解毒，赞助黄 以成生肌之功。
况甘草与芍药并用，甘苦化合味同人参，能双补气血，则生肌之功愈速也。至变散剂为汤剂，花粉必加重者，
诚以黄 煎之则热力增，花粉煎之则凉力减，故必加重而其凉热之力始能平均相济也。至黄 必用生者，因生
用则补中有宣通之力，若炙之则一于温补，固于疮家不宜也。
一人年二十余。因抬物用力过度，腰疼半年不愈。忽于疼处发出一疮，在脊梁之旁，微似红肿，状若复
盂，大径七寸。疡医以为腰疼半年，始现此疮，其根蒂必深而难治。且其内外发热，饮食懒进，舌苔黄浓，脉
象滑数。知其证兼外感实热，投以白虎加人参汤，热退能食。数日，又复虚汗淋漓，昼夜不止，遂用龙骨、牡
蛎（皆不用 ）、生杭芍、生山药各一两为方，两剂汗止。继治以清火、消肿、解毒之药，若拙拟消乳汤，去
栝蒌加金线重楼、
三七（冲服）之类，更加鹿角霜钱许，以引经。惟消乳汤以知母为君重八钱，兹则所用不过五六钱。外用五倍
子、三七、枯矾、金线重楼、白芨为末，以束其根；乳香、没药、雄黄、金线重楼、三七为末，以敷其顶，皆
用醋调之。旬日疮消三分之二，其顶甚软。遂以乌金膏（以雄黄炒巴豆仁至黑色研细名乌金膏）调香油敷其软
处。二日，疮破出稠脓若干。将此内托生肌散改作汤剂，投之，外敷拙拟化腐生肌散。七八日间疮口长平，结
痂而愈。
徐灵胎治疮最重围药。以围药束住疮根，不使毒势散漫，又能阻隔周身之热力，不贯注于疮，则疮必易
愈。愚治此疮所用束根之药，实师徐氏之意也。
消瘰膏。
生半夏（一两） 生穿山甲（三钱） 生甘遂（一钱） 生马钱子（四钱，剪碎） 皂角（三钱） 朱砂血竭（二钱）
以上前五味药，用香油煎至枯焦后去渣，加入黄丹熬制成膏。火候到时，将血竭研成细末掺入膏中熔化并搅拌均匀，根据疮口大小摊制成膏药。
临用时，每贴药中加入少许麝香。
友人的女儿五岁。颈部起了数个瘰疬（颈部淋巴结结核），因年幼不能服药，便制作此药外贴，全部治愈。
凡是膏药中使用黄丹，必须先用火炒过，然后用来熬膏，其胶粘之力才大。而麝香不早点加入膏药中，是因为麝香忌讳火。
治疗已溃烂的瘰疬，用此药擦拭患处。其他疮疡破溃后也可使用。
炉甘石（六钱，煅制） 乳香（三钱） 没药（三钱） 明雄黄（二钱） 蓬砂（即硼砂，三钱） 硇砂（二分） 冰片（三分）
共同研成细末，收贮在瓶中，不要让透气。每天擦拭患处三四次，用此药促进肌肉生长。对于平时收口缓慢的，可加珍珠一分，研磨细末掺入，具体方法详见护眉神应散之后。
治疗瘰疬疮疡破溃后，气血亏损不能化脓生肌。或者疮疡数年不愈，外部疮口很小，内部溃烂很大，且有蔓延至他处无法敷药的。
生黄芪（四两） 甘草（二两） 生明乳香（一两半） 生明没药（一两半） 生杭芍（即白芍，二两）
天花粉（三两） 丹参（一两半）
以上七味药共同研为细末，开水送服三钱，每日三次。若将散剂改为汤剂，须先将天花粉改用四两八钱，一剂药分作八次煎服，比散剂生肌速度更快。
历来治疗外科者，对于疮疡破溃后不能化脓生肌的，不用八珍汤就用十全大补汤。不知道这些药物如果遇到素来阳气虚弱的人服用还可以，如果不是素来阳气虚弱或兼有虚热的人，连服数剂难道不会感到满闷烦热、饮食突然减少吗？人的后天之本，依赖水谷来生成气血，依赖气血来生成肌肉，这是自然的道理。而治疗疮疡者，想要使肌肉快速生长，却先让饮食突然减少，这就像想要树木茂盛却先砍断它的根一样。即使是疮家的阴证，也可以用辛热的药物，然而林屋山人的阳和汤，是治疗阴证的第一妙方，重用熟地黄一两以大量滋养真阴，那么热药自然没有偏胜的祸患，所以使用这个方子的人，连服数十剂也没有弊端。像本方重用黄芪，补气分以生成肌肉，有丹参来开通它，则补而不滞；有花粉、芍药来凉润它，则补而不热；又有乳香、没药、甘草化腐解毒，赞助黄芪来完成生肌的功效。况且甘草与芍药并用，甘苦化合味道如同人参，能双补气血，那么生肌的功效就更迅速了。至于将散剂变为汤剂，天花粉必须加重，确实因为黄芪煎煮则热力增加，天花粉煎煮则凉力减弱，所以必须加重而其凉热之力才能平均相济。至于黄芪必须用生的，因为生用则在补益中有宣通的力量，如果炙过则一味温补，本来就不适合疮家使用。
一个人二十多岁。因为抬物用力过度，腰痛半年不愈。忽然在疼痛处发出一疮，在脊梁旁边，微似红肿，形状像倒扣的盂，直径七寸。疡医认为腰痛半年，才出现这个疮，其根蒂必然深且难治。而且患者内外发热，饮食懒进，舌苔黄浓，脉象滑数。知道证候兼有外感实热，投以白虎加人参汤，热退能食。数日后，又反复虚汗淋漓，昼夜不止，于是用龙骨、牡蛎（均不煅）、生杭芍、生山药各一两作为方剂，两剂后汗止。继以清火、消肿、解毒的药物继续治疗，如我拟定的消乳汤，去掉栝蒌加上金线重楼、三七（冲服）之类，再加鹿角霜一钱许，作为引经药。只是消乳汤以知母为君药重八钱，这里所用不过五六钱。外用五倍子、三七、枯矾、金线重楼、白芨研为末，用来束住疮根；乳香、没药、雄黄、金线重楼、三七研为末，用来敷在疮顶，都用醋调匀。十天后疮消去了三分之二，疮顶很软。于是用乌金膏（将雄黄炒巴豆仁至黑色研细名为乌金膏）调香油敷在软处。两天后，疮破流出稠脓若干。将此内托生肌散改为汤剂，服用它，外敷我拟定的化腐生肌散。七八日间疮口长平，结痂而愈。
徐灵胎治疗疮疡最重视围药。用围药束住疮根，不让毒势散漫，又能阻隔周身的热力，不灌注到疮上，那么疮必定容易愈合。我治疗这个疮所用的束根之药，确实是效法徐氏的意思。
Xiaoluo Gao (Scrofula-Resolving Plaster).
Raw Banxia (Pinelliae Rhizoma, 1 liang), Raw Shanjia (Manis Squama, 3 qian), Raw Gansui (Radix Euphorbiae Kansui, 1 qian), Raw Maqianzi (Strychni Semen, 4 qian, cut into pieces), Zaojiao (Gleditsiae Sinensis Fructus, 3 qian), Zhuxuejie (Dragon's Blood with Cinnabar, 2 qian).
The first five herbs above are fried in sesame oil until charred, then the dregs are removed. Huangdan (Lithargyrum) is added to form the plaster. When the heat control is appropriate, Xuejie (Dragon's Blood) is ground into fine powder and mixed into the plaster until melted and uniform. It is then spread onto paper according to the size of the sore.
When applying, add a small amount of Shexiang (Moschus) to each plaster.
A friend's daughter, aged five, had several lumps of Luoli (scrofula/tuberculous lymphadenitis) on her neck. Due to her young age, she could not take oral medicine, so this plaster was prepared for external application, resulting in complete recovery.
Whenever Huangdan (Lithargyrum) is used in plasters, it must be roasted over fire before being used to boil the plaster; only then will its adhesive strength be significant. Shexiang (Moschus) is not added early because it fears fire.
For treating ulcerated Luoli (scrofula), apply this medicine by wiping. It can also be used for other sores after they have broken open.
Lu-gan-shi (Calamina, 6 qian, calcined), Ruxiang (Olibanum/Frankincense, 3 qian), Moyao (Myrrha/Myrrh, 3 qian), Ming Xionghuang (Realrealgar, 2 qian), Pengsha (Borax, 3 qian), Naosha (Sal Ammoniac, 2 fen), Bingpian (Borneolum Syntheticum, 3 fen).
Grind all together into fine powder, store in a bottle, and prevent air exposure. Wipe the affected area 3-4 times daily. This medicine promotes flesh growth. For cases where healing is usually slow, add 1 fen of Zhenzhu (Pearl), grind finely, and mix in. The method is detailed after Humei Shenyingsan.
For treating Luoli (scrofula) or sores that have broken open, where Qi and Blood deficiency prevents pus formation and flesh regeneration. Or for sores that do not heal for years, with a very small external opening but large internal ulceration, and spreading to areas where topical medication cannot reach.
Sheng Huangqi (Raw Astragali Radix, 4 liang), Gancao (Licorice Root, 2 liang), Sheng Ming Ruxiang (Raw Olibanum, 1.5 liang), Sheng Ming Moyao (Raw Myrrha, 1.5 liang), Sheng Hangshao (Raw Paeoniae Radix Alba, 2 liang), Tianhuafen (Trichosanthis Radix, 3 liang), Danshen (Salviae Miltiorrhizae Radix et Rhizoma, 1.5 liang).
Grind the seven herbs above into fine powder. Take 3 qian with boiled water, three times a day. If changing the powder to a decoction, change Tianhuafen (Trichosanthis Radix) to 4.8 liang initially. Divide one dose into eight portions for decoction and administration. This generates flesh faster than the powder form.
Historically, surgeons treating sores that fail to generate pus and flesh after breaking open use either Bazhen Tang (Eight-Treasure Decoction) or Shiquan Dabu Tang (Ten Significant Tonifying Decoction). However, if these medicines are taken by someone who is constitutionally deficient in Yang, it may be acceptable. But for those not constitutionally deficient in Yang, or those with concomitant deficiency-heat, taking several doses would likely cause fullness, oppression, irritability, heat, and a sudden decrease in appetite. The post-heaven foundation relies on food and drink to generate Qi and Blood, and relies on Qi and Blood to generate flesh; this is natural law. Surgeons wishing to speed up flesh generation but causing a sudden decrease in appetite are like wanting a tree to flourish while cutting off its roots. Even for Yin syndromes in sores, acrid-hot substances can be used. Linwu Shanren's Yanghe Tang is the premier miraculous formula for Yin syndromes, using heavy doses of Shudi (Rehmanniae Radix Preparata, 1 liang) to greatly nourish True Yin, thus avoiding the risk of excessive heat from hot medicines. Therefore, users of this formula can take dozens of doses without detriment. This formula heavily uses Huangqi (Astragali Radix) to tonify Qi to generate flesh; Danshen (Salviae Miltierhizae Radix et Rhizoma) opens and unblocks it, preventing stagnation from tonification; Tianhuafen (Trichosanthis Radix) and Shaoyao (Paeoniae Radix) cool and moisten it, preventing heat from tonification; Ruxiang (Olibanum), Moyao (Myrrha), and Gancao (Licorice Root) resolve putrefaction and detoxify, assisting Huangqi (Astragali Radix) in generating flesh. Moreover, Gancao (Licorice Root) combined with Shaoyao (Paeoniae Radix) creates a sweet-bitter flavor akin to Renshen (Ginseng Radix et Rhizoma), double-tonifying Qi and Blood, thereby accelerating flesh generation. Regarding changing powder to decoction, Tianhuafen (Trichosanthis Radix) must be increased in dosage because decocting Huangqi (Astragali Radix) increases its heat, while decocting Tianhuafen (Trichosanthis Radix) decreases its cooling power; thus, increasing the dose allows their cooling and heating powers to balance. Huangqi (Astragali Radix) must be used raw because raw use provides unblocking power within tonification; if honey-fried, it becomes purely warm-tonifying, which is unsuitable for sores.
A man in his twenties suffered from waist pain for half a year due to excessive exertion while carrying objects. Suddenly, a sore appeared at the painful spot, beside the spine, slightly red and swollen, shaped like an inverted bowl, with a diameter of seven cun. The surgeon believed that since the sore appeared after half a year of pain, its root must be deep and difficult to treat. The patient had internal and external fever, poor appetite, thick yellow tongue coating, and a slippery, rapid pulse. Recognizing the syndrome involved exterior-contracted excess heat, Baizhu Jia Renshen Tang (White Tiger Decoction plus Ginseng) was administered. The fever subsided, and appetite returned. A few days later, profuse spontaneous sweating occurred day and night. Longgu (Fossilia Ossis Mastodi, uncalcined) and Muli (Concha Ostreae, uncalcined), each 1 liang, along with Sheng Hangshao (Raw Paeoniae Radix Alba, 1 liang) and Sheng Shanyao (Raw Dioscoreae Rhizoma, 1 liang) were prescribed. After two doses, sweating stopped. Subsequent treatment focused on clearing heat, reducing swelling, and detoxifying, using my proposed Xiaoru Tang (Breast-Reducing Decoction), removing Gualou (Trichosanthis Fructus), adding Jinxian Chonglou (Paris Polyphylla), Sanqi (Notoginseng Radix, taken with decoction), etc., plus a small amount (1 qian) of Lujiaoshuang (Antler Glue Powder) as a guiding herb. In Xiaoru Tang, Zhimu (Anemarrhenae Rhizoma) is the sovereign herb weighing 8 qian; here, only 5-6 qian was used. Externally, Wubeizi (Terminalia Chebula Fruit), Sanqi (Notoginseng Radix), Kufan (Alumen), Jinxian Chonglou (Paris Polyphylla), and Baiji (Bletillae Rhizoma) were ground into powder to bind the root; Ruxiang (Olibanum), Moyao (Myrrha), Xionghuang (Realgar), Jinxian Chonglou (Paris Polyphylla), and Sanqi (Notoginseng Radix) were ground into powder to apply to the top, all mixed with vinegar. Within ten days, two-thirds of the sore resolved, and the top became very soft. Wujin Gao (Black Gold Plaster, made by frying Xionghuang (Realgar) with Badou Ren (Crotonis Semen) until black, then grinding fine) mixed with sesame oil was applied to the soft area. Two days later, the sore broke and discharged thick pus. Neituo Shengji San (Internal-Supporting Flesh-Generating Powder) was changed to a decoction and administered, while Huafu Shengji San (Putrefaction-Resolving Flesh-Generating Powder) was applied externally. Within seven to eight days, the wound healed flat, formed a scab, and recovered.
Xu Lingtai placed great emphasis on Weiyao (Surrounding Medicine) when treating sores. By binding the root of the sore with surrounding medicine, the spread of toxicity is prevented, and the heat of the whole body is blocked from pouring into the sore, making it easier to heal. The root-binding medicine I used for this sore truly follows Xu's intention.