王不留行（八月八日采）十分 蒴藋细叶（七月七日采）十分 桑东南根（白皮，三
月三日采）十分 甘草十八分 川椒（除目，及闭口，去汗）三分 黄芩二分 干姜
二分 芍药二分 厚朴二分
右九味，桑根皮以上三味，烧灰存性，勿令灰过，各别杵筛，合治之为散，服方寸匕
。小疮即粉之，大疮但服之，产后亦可服。如风寒，桑东根勿取之，前三物皆阴干百
日。
【集解】
徐彬曰：此乃概治金疮方也。盖王不留行，性苦平，能通利血脉，故反能止金疮血、
逐痛；蒴藋亦通利气血，尤善开痹，周身肌肉肺主之；桑根白皮最利肺气，东南根向
阳，生气尤全，以复肌肉之主气，故以此三物，甚多为君。甘草解毒和荣，尤多为臣
。椒、姜以养其胸中之阳，厚朴以疏其内结之气，芩、芍以清其阴分之热为佐。若有
风寒，此属经络客邪，桑皮止利肺气，不能逐外邪，故勿取。
@@@
浸淫疮，从口流向四肢者可治，从四肢流来入口者，不可治。
【注】
浸淫疮者，浸谓浸浸，淫谓不已，谓此疮浸淫留连不已也。从口流向四肢者轻，以从
内走外也，故曰可治；从四肢流走入口者重，以从外走内也，故曰不可治。浸淫者，
犹今之癞疠之类。
@@@
浸淫疮，黄连粉主之。
【按】
此承上条以明其治，黄连粉方脱简。
【集解】
尤怡曰：黄连粉方未见大意，以此为湿热浸淫之病，故取黄连一味为粉粉之，苦以燥
湿，寒以除热也。
【方剂组成】
王不留行（在农历八月八日采集）十分，蒴藋细叶（在农历七月七日采集）十分，桑树东南方向的根皮（白色树皮，在农历三月三日采集）十分，甘草十八分，川椒（去除黑点和闭口者，并除去出汗部分）三分，黄芩二分，干姜二分，芍药二分，厚朴二分。
以上九味药中，前三味（王不留行、蒴藋细叶、桑东南根皮）需烧成炭存性，注意不要烧成灰烬，分别捣碎过筛后混合制成散剂。服用时每次取一方寸匕的量。如果是小伤口，直接将药粉撒在患处；如果是大伤口，则内服此药粉；产后出血也可服用。如果遇到风寒情况，则不使用桑树东南根皮，前三味药均需阴干一百天。
【集解】
徐彬说：这是一个概括治疗金创（金属利器造成的创伤）的方子。王不留行，药性苦平，能通利血脉，所以反而能止住金创出血、消除疼痛；蒴藋也能通利气血，尤其善于开通痹阻，全身的肌肉由肺所主；桑根白皮最利于肺气，东南方向的根接受阳光照射，生气尤为完整，用来恢复作为肌肉主宰的气，所以这三味药用量最大，作为君药。甘草解毒调和营血，用量也较多，作为臣药。花椒、干姜用来温养胸中的阳气，厚朴用来疏通内部郁结的气机，黄芩、芍药用来清除阴分的余热，作为佐药。如果有风寒，这属于经络中的外邪，桑皮只能利肺气，不能驱逐外邪，所以不使用。
@@@
浸淫疮（一种渗出性皮肤疮疡），从口部向四肢蔓延的可以治愈，因为病邪从体内走向体表；从四肢向口部蔓延的，难以治愈，因为病邪从体表走向体内。
【注】
所谓浸淫疮，“浸”指逐渐浸润，“淫”指不止，意思是这种疮疡逐渐浸润、连绵不断。从口流向四肢的病情较轻，因为是从内部走向外部，所以说可以治愈；从四肢流走入口的病情较重，因为是从外部走向内部，所以说难以治愈。浸淫疮，类似于现在的麻风病等恶疾。
【按】
这条承接上一条来说明治疗方法，但黄连粉的方剂组成在简牍中脱漏了。
【集解】
尤怡说：黄连粉的方子没有看到，大意是认为这是湿热浸淫的疾病，所以只取黄连一味药研成粉末撒在患处，利用其苦味来燥湿，寒性来清热。
[Formula Composition]
*Wangbuliuxing* (Collected on the 8th day of the 8th lunar month) 10 parts; *Shuodi Xieye* (Leaves of *Acalypha australis*, collected on the 7th day of the 7th lunar month) 10 parts; *Sanggen Dongnanpi* (White bark of the southeast root of *Morus alba*, collected on the 3rd day of the 3rd lunar month) 10 parts; *Gancao* (Licorice Root) 18 parts; *Chuanjiao* (Sichuan Pepper, with black spots and closed pods removed, and sweat removed) 3 parts; *Huangqin* (Scutellaria Root) 2 parts; *Ganjiang* (Dried Ginger) 2 parts; *Shaoyao* (Peony Root) 2 parts; *Houpo* (Magnolia Bark) 2 parts.
Among these nine herbs, the first three (*Wangbuliuxing*, *Shuodi Xieye*, and *Sanggen Dongnanpi*) are to be burned to charcoal while retaining their nature, being careful not to turn them completely into ash. They should be separately pounded and sifted, then mixed together to form a powder. The dosage is one "fangcun bi" (a measure equivalent to the size of a square inch spoon) per administration. For minor wounds, apply the powder topically; for major wounds, administer orally; it can also be taken postpartum. In cases of wind-cold, do not use the southeast root bark of mulberry; instead, the first three ingredients should be dried in the shade for one hundred days.
[Ji Jie - Collected Exegesis]
Xu Bin stated: This is a general formula for treating Jin Chuang (metal-induced traumatic injuries). *Wangbuliuxing* has a bitter and neutral nature, capable of promoting blood circulation and unblocking collaterals; thus, it can stop bleeding from trauma and relieve pain. *Shuodi* also promotes Qi and Blood circulation and is particularly effective in opening obstructions; muscles throughout the body are governed by the Lung. *Sanggen Baipi* (Mulberry Root Bark) is most beneficial for Lung Qi. The southeast root receives sunlight, preserving its vital energy more fully, thereby restoring the Qi that governs muscles. Therefore, these three herbs are used in large quantities as the Sovereign (Jun) herbs. *Gancao* detoxifies and harmonizes Ying (Nutritive) Qi, used in a relatively large quantity as the Minister (Chen) herb. *Jiaojiao* (Pepper) and *Ganjiang* warm and nourish the Yang Qi in the chest; *Houpo* disperses internal Qi stagnation; *Huangqin* and *Shaoyao* clear heat in the Yin aspect, serving as Assistant (Zuo) herbs. If wind-cold is present, this belongs to pathogenic factors lodging in the meridians. Since *Sanggen Baipi* only benefits Lung Qi and cannot expel external pathogens, it is excluded.
@@@
Jinying Chuang (Exudative dermatitis/ulcer), if it spreads from the mouth towards the limbs, is treatable, as the pathogen moves from the interior to the exterior. If it spreads from the limbs towards the mouth, it is untreatable, as the pathogen moves from the exterior to the interior.
[Zhu - Annotation]
Regarding Jinying Chuang, "Jin" refers to gradual infiltration, and "Yin" refers to incessant flow, meaning this ulcer infiltrates and persists continuously. Spreading from the mouth to the limbs indicates a mild condition because the pathogen exits from the interior to the exterior, hence it is considered treatable. Spreading from the limbs to the mouth indicates a severe condition because the pathogen enters from the exterior to the interior, hence it is considered untreatable. Jinying is similar to modern-day leprosy or similar malignant diseases.
@@@
For Jinying Chuang, Huanglian Fen (Coptis Powder) is the primary treatment.
[An - Commentary]
This clause follows the previous one to clarify the treatment method, but the specific composition of the Huanglian Fen formula is missing due to damage to the bamboo slips.
[Ji Jie - Collected Exegesis]
You Yi stated: The exact formula for Huanglian Fen is not recorded, but the general idea is that this is a disease caused by damp-heat infiltration. Therefore, only *Huanglian* (Coptis Rhizome) is taken, ground into powder, and applied topically. Its bitterness dries dampness, and its cold nature clears heat.