川乌（汤泡，去皮） 草乌（汤泡，去皮）
川芎 石斛
全蝎 当归
甘草 天麻
何首乌（各一钱）雄黄（六钱）
上十六味，为细末，炼蜜为丸，重三钱，朱砂为衣
，磁罐收贮。视年岁老壮，病势缓急，斟酌用之。如恶
疮初起二、三日间，或痈疽已成至十日前后，未出脓者
，状若伤寒，头痛烦渴，拘急恶寒，肢体疼痛，恶心呕
吐，四肢沈重，恍惚闷乱，皮肤壮热，及伤寒四时感冒
，传变疫证，恶寒身热，俱宜服之。用葱白九枝，煎汤
调服一丸，盖被出汗为效。如汗迟以葱汤催之，其汗必
出，如淋如洗，令其自收，不可露风，患者自快，疮未
成者即消，已成者即高肿溃脓。如病无表里相兼，不必
发散，只用热酒化服。
按语：此方原载诸风瘫痪门中，今移录于此者，盖疮疡皆起于
荣卫不调，气血凝滞，始生痈肿。此药专能发散，又能
顺气搜风，通行经络，所谓结者开之也。经云：汗之则
疮已，正与此相合也。服后当避风，忌冷物，戒房事，
如妇人有孕者勿服。
【方歌】万灵丹治诸痹病，此药犹能治肿疡，发表毒邪从汗解，
通行经络效非常，麻黄羌活荆防细，川草乌芎石斛苍，
全蝎当归甘草等，天麻何首共雄黄。
属性：凡肿疡初起时，肿高赤痛者，宜敷凉药，以寒胜热也。
然亦不可太过，过则毒为寒凝，变为阴证。如漫肿不红
，似有头而不痛者，宜敷温药，乃引毒外发也。经云：
发表不远热，敷热药亦发表之意。凡调敷药，须多搅，
则药稠粘。敷后贴纸，必须撕断，则不崩裂，不时用原
汁润之。盖借湿以通窍，干则药气不入，更添拘急之苦
矣。凡去敷药，必看毛孔有汗，意者为血脉通，热气散
也，反此者逆。
方剂：如意金黄散
组成：此散治痈疽发背，诸般疔肿，跌扑损伤，湿痰流毒，大
头时肿，漆疮火丹，风热天泡，肌肤赤肿，干湿脚气，
妇女乳痈，小儿丹毒，凡一切诸般顽恶热疮，无不应效
诚疮科之要药也。
组成：南星 陈皮
苍术（各二斤） 黄柏（五斤）
姜黄（五斤） 甘草（二斤）
白芷（五斤） 上白天花粉（十斤）
厚朴（二斤） 大黄（五斤）
上十味共为咀片，晒干磨三次，用细绢罗筛，贮磁
罐，勿泄气。凡遇红赤肿痛，发热未成脓者，及夏月时
，俱用茶清同蜜调敷。如欲作脓者，用葱汤同蜜调敷。
如漫肿无头，皮色不变，湿痰流毒，附骨痈疽，鹤膝风
等证，俱用葱酒煎调敷。如风热所生，皮肤亢热，色亮
游走不定，俱用蜜水调敷。如天泡火丹，赤游丹，黄水
漆疮，恶血攻注等证，俱用大蓝根叶捣汁调敷，加蜜亦
可。汤泼火烧，皮肤破烂，麻油调敷。以上诸引调法，
乃别寒热温凉之治法也。
【方歌】如意金黄敷阳毒，止痛消肿实良方，南陈苍柏姜黄草，
白芷天花朴大黄。
又方：五龙膏
主治：此膏治痈疽阴阳等毒，肿痛未溃者，敷之即拔出脓毒。
组成：五龙草（即乌蔹梅，详《本草纲目》蔓草部，俗名五爪
龙，江浙多产之）
金银花 猪莶草
车前草（连根叶） 陈小粉（各等份）
上四味俱用鲜草叶，一处捣烂，再加三年陈小粉，
并飞盐末二、三分，共捣为稠糊。遍敷疮上，中留一顶
，用膏贴盖，避风为主。若冬月草无鲜者，预采蓄下，
阴干为末，用陈米醋调敷，一如前法并效。如此方内五
龙草，或缺少不便，倍加猪莶草亦效。
【方歌】五龙膏用拔脓毒，平剂五龙草银花，莶草车前俱捣烂，
小粉飞盐搅糊搽。
又方：四虎散
主治：此散治痈疽肿硬，厚如牛领之皮，不作脓腐者，宜用此
方。
组成：草乌 狼毒
半夏 南星（各等份）
上四味为细末，用猪脑同捣，遍敷疮上，留顶出气
。
【方歌】四虎散敷阴疽痈，顽肿不痛治之平，厚似牛皮难溃腐，
草乌狼毒夏南星。
又方：真君妙贴散
主治：此散治痈疽诸毒，顽硬恶疮，散漫不作脓者，用此药敷
之，不痛者即痛，痛者即止。如皮破血流，湿烂疼苦，
天泡火丹，肺风酒刺等证，并用之皆效。
组成：荞面（五斤） 明净硫黄（为末，十斤）
白面（五斤）
上三味，共一处，用清水微拌，干湿得宜，赶成薄
片微晒，单纸包裹，风中阴干，收用。临时研细末，新
汲水调敷。如皮破血流湿烂者，用麻油调敷。天泡、火
丹、酒刺者，用靛汁调搽并效。
【方歌】真君妙贴硫二面，水调顽硬不痛脓，油调湿烂流血痛，
靛汁泡丹酒刺风。
又方：二青散
主治：此散治一切阳毒红肿，疼痛兴热等证，未成者即消。
组成：青黛 黄柏
白蔹 白薇（各一两）
青露（即芙蓉叶，三两） 白芨
白芷
水龙骨（即多年〔舟念〕船旧油灰）
白鲜皮（各一两） 天花粉（三两）
大黄（四两） 朴硝（一两）
上十二味为末，用醋、蜜调敷。已成者留顶，未成
者遍敷。
【方歌】二青散用敷阳毒，肿痛红热用之消，黛药蔹薇青露芨，
芷龙鲜粉大黄硝。
又方：坎宫锭子
主治：此锭子治热毒肿痛，焮赤诸疮，并搽痔疮最效。
组成：京墨（一两） 胡黄连（二钱）
熊胆（三钱） 麝香（五分）
儿茶（二钱） 冰片（七分）
牛黄（三分）
上七味为末，用猪胆汁为君，加生姜汁、大黄水浸
，取汁，酽醋各少许，相和药成锭。用凉水磨浓，以笔
蘸涂之。
【方歌】坎宫锭子最清凉，热肿诸疮并痔疮，京墨胡连熊胆麝，
儿茶冰片共牛黄。
又方：离宫锭子
主治：此锭子治疔毒肿毒，一切皮肉不变，漫肿无头，搽之立
效。
组成：血竭（三钱） 朱砂（二钱）
胆矾（三钱） 京墨（一两）
蟾酥（三钱） 麝香（一钱五分）
上六味为末，凉水调成锭，凉水磨浓涂之。
【方歌】离宫锭治诸疔毒，漫肿无头凉水涂，血竭朱砂为细末，
胆矾京墨麝蟾酥。
又方：白锭子
主治：此锭专敷初起诸毒，痈疽疔肿，流注痰包恶毒，及耳、
痔耳挺等证。
组成：白降丹（即白灵药，四钱） 银黝（二钱）
寒水石（二钱） 人中白（二钱）
上四味，共为细末，以白芨面打糊为锭，大小由人
，不可入口。每用以陈醋研敷患处，如干再上，自能消
毒。
【方歌】白锭专敷初起毒，痈疽疔肿与痰包，降丹银黝人中白，
寒水白及醋研消。
又方：蝌蚪拔毒散
主治：此散治无名大毒，一切火毒、瘟毒，敷之神效。
组成：寒水石（研极细末） 净皮硝（研极细末）
川大黄（研极细末，各等份）
虾蟆子（初夏时，河内有蝌蚪成群，大头长尾者捞来，
收坛内泥封口，埋至秋天化成水）
上用蝌蚪水一大碗，入前药末，各二两，阴干再研
匀，收磁罐内。每用时，以水调涂患处。
【方歌】拔毒散治无名毒，火毒瘟毒俱可施，寒水硝黄蝌蚪水，
浸干药末水调之。
又方：二味拔毒散
主治：此散治风湿诸疮，红胀痛痒，疥痱等疾，甚效。
组成：明雄黄 白矾（各等份）
上二味为末，用茶清调化，鹅翎蘸扫患处，痒痛自
止，红肿即消。
【方歌】二味拔毒消红肿，风湿诸疮痛痒宁，一切肌肤疥痱疾，
雄矾为末用茶清。
又方：回阳玉龙膏
主治：此膏治痈疽阴疮，不发热，不兴痛，不肿高，不作脓，
及寒湿流注，冷痛痹风，脚气手足顽麻，筋骨疼痛，及
一切皮色不变，漫肿无头，鹤膝风等证。但无肌热者，
一概敷之，俱有功效。
组成：军姜（炒，三两） 肉桂（五钱）
赤芍（炒，三钱） 南星（一两）
草乌（炒，三两） 白芷（一两）
上六味制毕，共为细末，热酒调敷。
【方歌】回阳玉龙阴毒证，不热不疼不肿高，军姜桂芍星乌芷，
研末须将热酒调。
又方：冲和膏
主治：此膏治痈疽发背，阴阳不和，冷热相凝者，宜用此膏敷
之。能行气疏风，活血定痛，散瘀消肿，袪冷软坚，诚
良药也。
组成：紫荆皮（炒，五两） 独活（炒，三两）
白芷（三两） 赤芍（炒，二两）
石菖蒲（一两五钱）
上五味共为细末，葱汤、热酒俱可调敷。
【方歌】冲和发背痈疽毒，冷热相凝此药敷，行气疏风能活血，
紫荆独芷芍菖蒲。
又方：铁桶膏
主治：此膏治发背将溃已溃时，根脚走散，疮不收束者，宜用
此药围敷。
组成：胆矾（三钱） 铜绿（五钱）
麝香（三分） 白芨（五钱）
轻粉（二钱） 郁金（二钱）
五倍子（微炒，一两） 明矾（四钱）
上八味共为极细末，用陈米醋一碗，杓内慢火热至
一小杯，候起金色黄泡为度，待温，用药末一钱，搅入
醋内，炖温，用新笔涂于疮根周围，以棉纸覆盖药上，
疮根自生绉纹，渐收渐紧，其毒不致散大矣。
【方歌】铁桶膏收毒散大，周围敷上束疮根，胆矾铜绿及轻粉，
五倍明矾麝郁金。
又方：乌龙膏
主治：此膏治一切诸毒，红肿赤晕不消者，用此药敷上，极有
神效。
组成：木鳖子（去壳，二两） 草乌（半两）
小粉（四两） 半夏（二两）
上四味于铁铫，慢火炒焦，黑色为度，研细，以新
汲水调敷。一日一换，自外向里涂之，须留疮顶，令出
毒气。
【方歌】乌龙膏用治诸毒，赤晕能收治肿疡，木鳖草乌小粉夏，
凉水调敷功效良。
又方：神效千槌膏
主治：此膏专贴疮疡、疔毒初起，贴之即消。治瘰历连根拔出
，大人〔月廉〕疮，小儿蟺拱头等证，并效。
组成：土木鳖（去壳，二个） 白嫩松香（拣净，四两）
铜绿（研细，一钱） 乳香（二钱）
没药（二钱） 蓖麻子（去壳，七钱）
巴豆肉（五粒） 杏仁（去皮，一钱）
上八味合一处，石臼内捣三千余下，即成膏；取起
浸凉水中。用时随疮大小，用手捻成薄片，贴疮上用绢
盖之。
【方歌】干槌膏贴诸疔毒，瘰历〔月廉〕疮蟺拱头，木鳖松香铜
乳没，蓖麻巴豆杏仁投。
又方：马齿苋膏
主治：马齿苋性味清凉，能解诸毒，今用其一味，或服或敷，
甚有功效，所治诸证列后：
一治杨梅遍身如癞，喉硬如管者，取苋碗粗一握，酒水
煎服出汗。
一治发背诸毒。用苋一握，酒煎或水煮，冷服出汗，再
服退热去腐，三即即愈。并杵苋敷之。
一治多年顽疮、〔月廉〕疮，痛疼不收口者，杵苋敷之
，取虫。一日一换，三日后腐肉已尽，红肉如珠时，
换生肌药收口。
一治面肿唇紧，捣汁涂之。
一治妇人脐下生疮，痛痒连及二阴者，用苋四两，青黛
一两，研匀涂之。
一治湿癣白秃，取石灰末炒红，用苋汁熬膏，调匀涂之
。
一治丹毒加蓝靛根，和捣敷之。
【方歌】马齿苋膏只一味，杨梅发背服敷之，顽疮面肿捣汁用，
妇月阴疮共黛施，湿癣白秃如灰末，丹毒蓝根相和宜。
川乌（用热水浸泡，去皮） 草乌（用热水浸泡，去皮）
川芎 石斛
全蝎 当归
甘草 天麻
何首乌（以上各一钱）雄黄（六钱）
以上十六味药，研成细末，用炼蜜制成丸药，每丸重三钱，外用朱砂为衣，装入磁罐中密封保存。根据患者年龄老幼、体质强弱以及病势的缓急，酌情使用。如果是恶疮初起二、三天之间，或者痈疽已经形成至十日前后，尚未出脓的，症状类似伤寒，出现头痛、烦躁口渴、肢体拘急怕冷、全身疼痛、恶心呕吐、四肢沉重、神志恍惚烦闷乱躁、皮肤高热，以及伤寒四季感冒、传变而成的疫病证候，出现怕冷身体发热的，都适宜服用此药。用葱白九根，煎汤送服一丸，盖被出汗作为见效的标志。如果出汗迟缓，可用葱汤催汗，必然能出汗，如淋浴如洗澡般大汗淋漓，让其自然收敛，不可吹风受凉，患者会感到舒适，疮疡未形成的就会消散，已形成的就会高肿溃破出脓。如果病症没有表里兼夹的情况，不必发散，只用热酒化开服用。
按语：此方原本记载在诸风瘫痪门中，现在移录于此的原因，是因为疮疡都是因为营卫不调，气血凝滞，才产生痈肿。此药专门能够发散，又能顺气搜风，通行经络，这就是所谓“结者开之”的意思。经书说：“发汗则疮自愈”，正与此相符合。服药后应当避风，忌食生冷食物，戒除房事，如妇女有孕者禁止服用。
【方歌】万灵丹治疗各种痹症，此药还能治疗肿疡，发表毒邪从汗而解，通行经络效果非常，包含麻黄羌活荆芥防风细辛，川乌草乌川芎石斛苍术，全蝎当归甘草等，天麻何首乌共配雄黄。
属性：凡是肿疡初起时，肿胀高突、色红疼痛的，适宜敷用凉性药物，以寒胜热。但是也不可以太过分，过分了则毒邪被寒邪凝滞，变为阴证。如果是漫肿不红，似有头但不痛的，适宜敷用温性药物，以引导毒邪向外发散。经书说：“发表不远热”，敷用热药也是发表的意思。凡是调制外敷药，必须多搅拌，这样药稠粘。敷药后贴纸，必须撕断，这样不会崩裂，不时用原汁润湿它。借着湿气来通窍，干了则药气不能进入，更增添拘急的痛苦了。凡是去除外敷药，必须看毛孔有汗，意谓着血脉通畅，热气散发了，反之则为逆证。
方剂：如意金黄散
组成：此散治疗痈疽发背，各种疔肿，跌打损伤，湿痰流毒，大头时肿，漆疮火丹，风热天泡，肌肤赤肿，干湿脚气，妇女乳痈，小儿丹毒，凡是一切各种顽固恶热疮，无不应验，确实是疮科的重要药物。
组成：南星 陈皮
苍术（各二斤） 黄柏（五斤）
姜黄（五斤） 甘草（二斤）
白芷（五斤） 上白天花粉（十斤）
厚朴（二斤） 大黄（五斤）
以上十味药共同切成饮片，晒干磨三次，用细绢筛过，贮存在磁罐中，不要漏气。凡是遇到红赤肿痛，发热未成脓的，以及夏季时候，都用茶清同蜂蜜调敷。如果想要作脓的，用葱汤同蜂蜜调敷。如果是漫肿无头，皮色不变，湿痰流毒，附骨痈疽，鹤膝风等证候，都用葱酒煎调敷。如果是风热所生，皮肤亢热，颜色光亮游走不定的，都用蜜水调敷。如果是天泡火丹，赤游丹，黄水漆疮，恶血攻注等证候，都用大蓝根叶捣汁调敷，加蜂蜜也可以。汤泼火烧，皮肤破烂，用麻油调敷。以上各种引经调敷方法，是辨别寒热温凉的治疗方法。
【方歌】如意金黄敷阳毒，止痛消肿实良方，南星陈皮苍术黄柏姜黄甘草，白芷天花粉厚朴大黄。
又方：五龙膏
主治：此膏治疗痈疽阴阳等毒，肿痛未溃的，敷之即拔出脓毒。
组成：五龙草（即乌蔹梅，详见《本草纲目》蔓草部，俗名五爪龙，江浙多产之）
金银花 猪莶草
车前草（连根叶） 陈小粉（各等份）
以上四味都用鲜草叶，一处捣烂，再加三年陈陈小粉，并飞盐末二、三分，共同捣成稠糊。遍敷疮上，中间留一个顶，用膏贴盖，以避风为主。如果冬天没有鲜草，预先采集储存，阴干为末，用陈米醋调敷，一如前法同样有效。如此方内五龙草，如果缺少不便，加倍加入猪莶草也有效。
【方歌】五龙膏用拔脓毒，平剂五龙草银花，莶草车前俱捣烂，小粉飞盐搅糊搽。
又方：四虎散
主治：此散治疗痈疽肿硬，厚如牛颈之皮，不作脓腐的，适宜用此方。
组成：草乌 狼毒
半夏 南星（各等份）
以上四味研成细末，用猪脑共同捣烂，遍敷疮上，留顶出气。
【方歌】四虎散敷阴疽痈，顽肿不痛治之平，厚似牛皮难溃腐，草乌狼毒夏南星。
又方：真君妙贴散
主治：此散治疗痈疽诸毒，顽硬恶疮，散漫不作脓的，用此药敷之，不痛的即痛，痛的即止。如果皮破血流，湿烂疼苦，天泡火丹，肺风酒刺等证候，并用之皆有效。
组成：荞面（五斤） 明净硫黄（为末，十斤）
白面（五斤）
以上三味，共一处，用清水微拌，干湿得宜，赶成薄片微晒，单纸包裹，风中阴干，收用。临时研细末，新汲水调敷。如果皮破血流湿烂的，用麻油调敷。天泡、火丹、酒刺的，用靛汁调搽同样有效。
【方歌】真君妙贴硫二面，水调顽硬不痛脓，油调湿烂流血痛，靛汁泡丹酒刺风。
又方：二青散
主治：此散治疗一切阳毒红肿，疼痛兴热等证，未成的即消。
组成：青黛 黄柏
白蔹 白薇（各一两）
青露（即芙蓉叶，三两） 白芨
白芷
水龙骨（即多年〔舟念〕船旧油灰）
白鲜皮（各一两） 天花粉（三两）
大黄（四两） 朴硝（一两）
以上十二味为末，用醋、蜜调敷。已成者留顶，未成者遍敷。
【方歌】二青散用敷阳毒，肿痛红热用之消，黛药蔹薇青露芨，芷龙鲜粉大黄硝。
又方：坎宫锭子
主治：此锭子治疗热毒肿痛，焮赤诸疮，并搽痔疮最效。
组成：京墨（一两） 胡黄连（二钱）
熊胆（三钱） 麝香（五分）
儿茶（二钱） 冰片（七分）
牛黄（三分）
以上七味为末，用猪胆汁为君，加生姜汁、大黄水浸，取汁，酽醋各少许，相和药成锭。用凉水磨浓，以笔蘸涂之。
【方歌】坎宫锭子最清凉，热肿诸疮并痔疮，京墨胡连熊胆麝，儿茶冰片共牛黄。
又方：离宫锭子
主治：此锭子治疗疔毒肿毒，一切皮肉不变，漫肿无头，搽之立效。
组成：血竭（三钱） 朱砂（二钱）
胆矾（三钱） 京墨（一两）
蟾酥（三钱） 麝香（一钱五分）
以上六味为末，凉水调成锭，凉水磨浓涂之。
【方歌】离宫锭治诸疔毒，漫肿无头凉水涂，血竭朱砂为细末，胆矾京墨麝蟾酥。
又方：白锭子
主治：此锭专敷初起诸毒，痈疽疔肿，流注痰包恶毒，及耳、痔耳挺等证候。
组成：白降丹（即白灵药，四钱） 银黝（二钱）
寒水石（二钱） 人中白（二钱）
以上四味，共为细末，以白芨面打糊为锭，大小由人，不可入口。每用以陈醋研敷患处，如干再上，自能消毒。
【方歌】白锭专敷初起毒，痈疽疔肿与痰包，降丹银黝人中白，寒水白及醋研消。
又方：蝌蚪拔毒散
主治：此散治疗无名大毒，一切火毒、瘟毒，敷之神效。
组成：寒水石（研极细末） 净皮硝（研极细末）
川大黄（研极细末，各等份）
虾蟆子（初夏时，河内有蝌蚪成群，大头长尾者捞来，收坛内泥封口，埋至秋天化成水）
上用蝌蚪水一大碗，入前药末，各二两，阴干再研匀，收磁罐内。每用时，以水调涂患处。
【方歌】拔毒散治无名毒，火毒瘟毒俱可施，寒水硝黄蝌蚪水，浸干药末水调之。
又方：二味拔毒散
主治：此散治疗风湿诸疮，红胀痛痒，疥痱等疾，甚效。
组成：明雄黄 白矾（各等份）
以上二味为末，用茶清调化，鹅翎蘸扫患处，痒痛自止，红肿即消。
【方歌】二味拔毒消红肿，风湿诸疮痛痒宁，一切肌肤疥痱疾，雄矾为末用茶清。
又方：回阳玉龙膏
主治：此膏治疗痈疽阴疮，不发热，不兴痛，不肿高，不作脓，以及寒湿流注，冷痛痹风，脚气手足顽麻，筋骨疼痛，以及一切皮色不变，漫肿无头，鹤膝风等证候。只要没有肌热的，一概敷之，俱有功效。
组成：军姜（炒，三两） 肉桂（五钱）
赤芍（炒，三钱） 南星（一两）
草乌（炒，三两） 白芷（一两）
以上六味制毕，共为细末，热酒调敷。
【方歌】回阳玉龙阴毒证，不热不疼不肿高，军姜桂芍星乌芷，研末须将热酒调。
又方：冲和膏
主治：此膏治疗痈疽发背，阴阳不和，冷热相凝的，适宜用此膏敷之。能行气疏风，活血定痛，散瘀消肿，袪冷软坚，诚良药也。
组成：紫荆皮（炒，五两） 独活（炒，三两）
白芷（三两） 赤芍（炒，二两）
石菖蒲（一两五钱）
以上五味共为细末，葱汤、热酒俱可调敷。
【方歌】冲和发背痈疽毒，冷热相凝此药敷，行气疏风能活血，紫荆独芷芍菖蒲。
又方：铁桶膏
主治：此膏治疗发背将溃已溃时，根脚走散，疮不收束的，适宜用此药围敷。
组成：胆矾（三钱） 铜绿（五钱）
麝香（三分） 白芨（五钱）
轻粉（二钱） 郁金（二钱）
五倍子（微炒，一两） 明矾（四钱）
以上八味共为极细末，用陈米醋一碗，杓内慢火热至一小杯，候起金色黄泡为度，待温，用药末一钱，搅入醋内，炖温，用新笔涂于疮根周围，以棉纸覆盖药上，疮根自生绉纹，渐收渐紧，其毒不致散大矣。
【方歌】铁桶膏收毒散大，周围敷上束疮根，胆矾铜绿及轻粉，五倍明矾麝郁金。
又方：乌龙膏
主治：此膏治疗一切诸毒，红肿赤晕不消的，用此药敷上，极有神效。
组成：木鳖子（去壳，二两） 草乌（半两）
小粉（四两） 半夏（二两）
以上四味于铁铫，慢火炒焦，黑色为度，研细，以新汲水调敷。一日一换，自外向里涂之，须留疮顶，令出毒气。
【方歌】乌龙膏用治诸毒，赤晕能收治肿疡，木鳖草乌小粉夏，凉水调敷功效良。
又方：神效千槌膏
主治：此膏专贴疮疡、疔毒初起，贴之即消。治疗瘰历连根拔出，大人〔月廉〕疮，小儿蟺拱头等证候，并有效。
组成：土木鳖（去壳，二个） 白嫩松香（拣净，四两）
铜绿（研细，一钱） 乳香（二钱）
没药（二钱） 蓖麻子（去壳，七钱）
巴豆肉（五粒） 杏仁（去皮，一钱）
以上八味合一处，石臼内捣三千余下，即成膏；取起浸凉水中。用时随疮大小，用手捻成薄片，贴疮上用绢盖之。
【方歌】干槌膏贴诸疔毒，瘰历〔月廉〕疮蟺拱头，木鳖松香铜乳没，蓖麻巴豆杏仁投。
又方：马齿苋膏
主治：马齿苋性味清凉，能解诸毒，今用其一味，或服或敷，甚有功效，所治诸证列后：
一治杨梅遍身如癞，喉硬如管者，取苋碗粗一握，酒水煎服出汗。
一治发背诸毒。用苋一握，酒煎或水煮，冷服出汗，再服退热去腐，三即即愈。并杵苋敷之。
一治多年顽疮、〔月廉〕疮，痛疼不收口者，杵苋敷之，取虫。一日一换，三日后腐肉已尽，红肉如珠时，换生肌药收口。
一治面肿唇紧，捣汁涂之。
一治妇人脐下生疮，痛痒连及二阴者，用苋四两，青黛一两，研匀涂之。
一治湿癣白秃，取石灰末炒红，用苋汁熬膏，调匀涂之。
一治丹毒加蓝靛根，和捣敷之。
Chuanwu (Caulis Aconiti Kusnezoffii, soaked in hot water, peel removed) Caowu (Caulis Aconiti Karakolicum, soaked in hot water, peel removed)
Chuanxiong (Rhizoma Chuanxiong) Shihu (Stem Dendrobii Nobile)
Quanxie (Scorpio) Danggui (Radix Angelicae Sinensis)
Gancao (Radix Glycyrrhizae Uralensis) Tianma (Rhizoma Gastrodiae)
Heshouwu (Radix Polygoni Multiflori) [Each of the above: 1 qian] Xionghuang (Realgar, 6 qian)
The above sixteen ingredients are ground into fine powder, formed into pills with refined honey, each pill weighing 3 qian, coated with Zhusha (Cinnabar), and stored in porcelain jars. Use according to the patient's age, constitution, and the severity of the condition. For malignant sores in the initial two to three days, or for carbuncles and ulcers that have formed but not yet suppurated within ten days, presenting symptoms similar to Shanghan (Cold Damage syndrome) such as headache, irritability, thirst, limb stiffness, aversion to cold, generalized pain, nausea, vomiting, heaviness of limbs, mental confusion, high skin fever, as well as seasonal colds complicated by epidemic diseases with aversion to cold and fever, this medicine is suitable. Administer one pill mixed with decoction of nine stalks of Congbai (Scallion White). Cover with blankets until sweating occurs, which indicates efficacy. If sweating is delayed, induce it with scallion decoction; profuse sweating like a shower should occur naturally. Avoid exposure to wind. The patient will feel comfortable; unformed sores will dissipate, and formed sores will swell, suppurate, and drain. If there are no exterior-interior complex syndromes, dispersing action is unnecessary; dissolve in hot wine instead.
Commentary: This formula was originally recorded under the section for various wind-induced paralysis. It is reproduced here because sores and ulcers arise from disharmony of Ying (Nutrient) and Wei (Defensive) Qi, and stagnation of Qi and Blood, leading to swelling. This medicine specifically disperses, promotes Qi flow, expels wind, and unblocks meridians, embodying the principle of "opening blockages." The Classics state: "Sweating cures sores," which aligns perfectly with this method. After administration, avoid wind, refrain from cold foods, and abstain from sexual activity. Pregnant women should not take this medicine.
[Formula Song] Wanling Dan treats various Bi syndromes, this medicine also treats sores and ulcers, releasing exterior pathogenic toxins through sweat, unblocking meridians with extraordinary effect. Contains Mahuang (Ephedrae Herba), Qianghuo (Notopterygii Rhizoma et Radix), Jingjie (Schizonepetae Spica), Fangfeng (Saposhnikoviae Radix), Xixin (Asari Radix et Rhizoma), Chuanwu, Caowu, Chuanxiong, Shihu, Cangzhu (Atractylodis Rhizoma), Quanxie, Danggui, Gancao, Tianma, Heshouwu, and Xionghuang.
Attributes: When sores and ulcers first appear, if they are swollen, elevated, red, and painful, cool medicines should be applied externally to overcome heat with cold. However, excessive use causes toxin condensation due to cold, transforming into Yin syndromes. If swelling is diffuse without redness, appearing to have a head but painless, warm medicines should be applied to guide the toxin outward. The Classics state: "Releasing the exterior does not distance itself from heat"; applying warm medicines is also a method of releasing the exterior. When preparing external applications, stir frequently to ensure viscosity. After application, tearing off the paper prevents cracking. Moisten occasionally with original juice; moisture helps open pores, while dryness prevents medicinal qi penetration and increases stiffness and pain. When removing external medication, check for perspiration in pores, indicating unblocked blood vessels and dissipated heat; the opposite is adverse.
Formula: Ruyi Jinhuang San
Composition: This powder treats carbuncles, back infections, various Ding (hard) swellings, traumatic injuries, flowing damp-phlegm toxins, acute facial swelling, lacquer dermatitis, fire blisters, wind-heat vesicles, red and swollen skin, wet and dry gout, breast abscesses in women, erysipelas in infants, and all kinds of stubborn, malignant, hot sores. It is indeed an essential medicine in surgery.
Ingredients: Nanxing (Arisaematis Rhizoma) Chenpi (Citri Reticulatae Pericarpium)
Cangzhu (Atractylodis Rhizoma, 2 jin each) Huangbo (Phellodendri Cortex, 5 jin)
Jianghuang (Curcumae Longae Rhizoma, 5 jin) Gancao (Glycyrrhizae Radix, 2 jin)
Baizhi (Angelicae Dahuricae Radix, 5 jin) Tianfen (Tinosporae Caulis, 10 jin)
Houpo (Magnoliae Officinalis Cortex, 2 jin) Dahuang (Rhei Radix et Rhizoma, 5 jin)
The above ten ingredients are sliced, dried, ground three times, sifted through fine silk, and stored in porcelain jars to prevent air leakage. For red, swollen, painful conditions with fever but no suppuration, and during summer, mix with tea liquor and honey for external application. To promote suppuration, mix with scallion decoction and honey. For diffuse swelling without a head, unchanged skin color, damp-phlegm toxins, deep-seated carbuncles, and knee-joint deformities (Crane Knee Wind), mix with scallion wine decoction. For wind-heat generated conditions with hot, shiny, migrating skin lesions, mix with honey water. For vesicles, fire blisters, erysipelas, yellow fluid lacquer dermatitis, and evil blood attacks, crush Dayegen (Isatidis Radix) leaves into juice for mixing; honey may be added. For burns and scalds with broken skin, mix with sesame oil. These various mixing methods constitute treatments distinguishing cold, heat, warmth, and coolness.
[Formula Song] Ruyi Jinhuang applies to Yang toxins, a good prescription for stopping pain and reducing swelling. Nanxing, Chenpi, Cangzhu, Huangbo, Jianghuang, Gancao, Baizhi, Tianfen, Houpo, Dahuang.
Another Formula: Wulong Gao
Indications: This ointment treats carbuncles and ulcers of Yin and Yang types, drawing out pus and toxins when applied to swollen and painful areas before ulceration.
Ingredients: Wulongcao (Causonis Japonicae Herba, also known as Wujiamei, see Compendium of Materia Medica, Vines section, common name Wuzhao Long, abundant in Jiangsu and Zhejiang) Jinyinhua (Lonicerae Japonicae Flos)
Xiansicao (Siegesbeckiae Herba) Cheqiancao (Plantaginis Herba, with roots and leaves) Xiaofen (Tapioca Starch) [Equal parts]
Use fresh herbs, pound together into a paste. Add aged Xiaofen (three-year-old starch) and Feiyan (calcined halloysite) 2-3 fen. Pound into a thick paste. Apply evenly over the sore, leaving the apex uncovered. Cover with plaster, primarily avoiding wind. In winter, if fresh herbs are unavailable, collect and store them previously, dry in shade, grind to powder, and mix with aged rice vinegar for application, equally effective. If Wulongcao is scarce, double the amount of Xiansicao for equivalent effect.
[Formula Song] Wulong Gao extracts pus and toxins, a mild formula of Wulongcao and Jinyinhua. Xiansicao and Cheqiancao pounded together, Xiaofen and calcined halloysite mixed into paste for application.
Another Formula: Sihhu San
Indications: This powder treats carbuncles and ulcers that are swollen and hard, thick like ox neck skin, without forming pus or necrosis.
Ingredients: Caowu (Aconiti Karakolicum Radix) Langdu (Stellerae Radix)
Banxia (Pinelliae Rhizoma) Nanxing (Arisaematis Rhizoma) [Equal parts]
Grind the four ingredients into fine powder. Pound together with pig brain. Apply evenly over the sore, leaving the apex open for gas escape.
[Formula Song] Sihhu San applies to Yin carbuncles and ulcers, treating stubborn swelling without pain effectively. Thick like ox skin, difficult to ulcerate and necrose, composed of Caowu, Langdu, Banxia, and Nanxing.
Another Formula: Zhenjun Miaotie San
Indications: This powder treats carbuncles, ulcers, various toxins, stubborn hard malignant sores, and diffuse non-suppurating lesions. Application causes painless areas to become painful and painful areas to cease pain. Effective for broken skin with bleeding, wet and rotting painful sores, vesicles, fire blisters, pulmonary wind, and acne rosacea.
Ingredients: Qiaomian (Buckwheat Flour, 5 jin) Mingjing Liuhuang (Sublimed Sulfur, powdered, 10 jin)
Baomian (Wheat Flour, 5 jin)
Mix the three ingredients with clean water, adjusting moisture appropriately. Form into thin slices, sun-dry slightly, wrap in single paper, and dry in the shade in the wind. Store for use. When needed, grind into fine powder and mix with fresh well water for application. For broken skin with bleeding and wet rot, mix with sesame oil. For vesicles, fire blisters, and acne rosacea, mix with indigo juice for application, equally effective.
[Formula Song] Zhenjun Miaotie uses sulfur and two flours, water-mixed for stubborn, painless, non-suppurating sores; oil-mixed for wet, bleeding, painful sores; indigo juice for vesicles, fire blisters, and acne wind.
Another Formula: Erqing San
Indications: This powder treats all Yang toxins with red swelling, pain, and heat. Unformed lesions will dissipate.
Ingredients: Qingdai (Indigo Naturalis) Huangbo (Phellodendri Cortex)
Bailian (Pleurospermii Rhizoma) Baiwei (Cnemidariae Radix) [Each 1 liang]
Qinglu (Hibisci Mutabilis Folium, 3 liang) Baiji (Bletillae Rhizoma)
Baizhi (Angelicae Dahuricae Radix) Shuilonggu (Old boat pitch, i.e., aged caulking)
Baixianpi (Dictamni Cortex) [Each 1 liang] Tianfen (Tinosporae Caulis, 3 liang)
Dahuang (Rhei Radix et Rhizoma, 4 liang) Puxiao (Natri Sulfas, 1 liang)
Grind the twelve ingredients into powder. Mix with vinegar and honey for application. For formed lesions, leave the apex uncovered; for unformed lesions, apply evenly.
[Formula Song] Erqing San applies to Yang toxins, eliminating red, swollen, painful, and hot conditions. Qingdai, Bailian, Baiwei, Qinglu, Baiji, Baizhi, Shuilonggu, Baixianpi, Tianfen, Dahuang, Puxiao.
Another Formula: Kangong Dingzi
Indications: This solid stick treats heat-toxin swelling and pain, inflamed red sores, and is most effective for applying to hemorrhoids.
Ingredients: Jingmo (Beijing Ink, 1 liang) Huhuanglian (Coptidis Rhizoma, 2 qian)
Xiongdan (Ursi Fel, 3 qian) Shexiang (Moschus, 5 fen)
Ercha (Kadlecetiae Resina, 2 qian) Bingpian (Borneolum Syntheticum, 7 fen)
Niuhuang (Bovis Calculus, 3 fen)
Grind the seven ingredients into powder. Use pig bile as the main binder. Add ginger juice and rhubarb water infusion, extract the juice, add a small amount of strong vinegar, and mix to form sticks. Grind thickly with cold water and apply with a brush.
[Formula Song] Kangong Dingzi is the coolest, treating heat swelling, various sores, and hemorrhoids. Jingmo, Huhuanglian, Xiongdan, Shexiang, Ercha, Bingpian, and Niuhuang.
Another Formula: Ligong Dingzi
Indications: This solid stick treats Ding toxins and swelling toxins where skin and flesh do not change color, presenting as diffuse swelling without a head. Applying it yields immediate results.
Ingredients: Xuexie (Draconis Sanguis, 3 qian) Zhusha (Cinnabar, 2 qian)
Danfan (Chalcanthitum, 3 qian) Jingmo (Beijing Ink, 1 liang)
Chansu (Toadi Semen, 3 qian) Shexiang (Moschus, 1.5 qian)
Grind the six ingredients into powder. Mix with cold water to form sticks. Grind thickly with cold water and apply.
[Formula Song] Ligong Dingzi treats various Ding toxins, diffuse swelling without a head, applied with cold water. Xuexie and Zhusha ground fine, Danfan, Jingmo, Shexiang, and Chansu.
Another Formula: Bai Dingzi
Indications: This stick is specifically for applying to initial toxins, carbuncles, ulcers, Ding swellings, flowing phlegm packages, malignant toxins, and ear/hemorrhoid projections.
Ingredients: Baijiangdan (White Calomel, 4 qian) Yinyou (Silver Sulfide, 2 qian)
Han Shuishishi (Aragonitum, 2 qian) Renzhongbai (Human Tooth Ash, 2 qian)
Grind the four ingredients into fine powder. Make into sticks using Baiji flour paste. Size is optional. Do not ingest. Each time, grind with aged vinegar and apply to the affected area. Reapply if dry; it naturally detoxifies.
[Formula Song] Bai Dingzi applies to initial toxins, carbuncles, ulcers, and phlegm packages. Jiangdan, Yinyou, Renzhongbai, Han Shuishishi, and Baiji dissolved in vinegar eliminate.
Another Formula: Ketoubadu San
Indications: This powder treats unknown major toxins, all fire toxins, and plague toxins. Application is miraculous.
Ingredients: Han Shuishishi (Ground to very fine powder) Jing Pinxiao (Refined Glauber's Salt, Ground to very fine powder)
Chuan Dahuang (Rhei Radix et Rhizoma, Ground to very fine powder, equal parts)
Xiamazi (Tadpole seeds: In early summer, catch large-headed, long-tailed tadpoles from rivers, place in jars, seal with mud, bury until autumn when they liquefy)
Take one large bowl of tadpole water, add two liang each of the aforementioned powders, dry in shade, grind uniformly, and store in porcelain jars. When using, mix with water and apply to the affected area.
[Formula Song] Badu San treats unknown toxins, applicable to fire and plague toxins. Han Shuishishi, Pinxiao, Dahuang, and tadpole water; soak and dry the powder, then mix with water for application.
Another Formula: Erwei Badu San
Indications: This powder treats rheumatic sores with redness, swelling, pain, and itching, as well as scabies and prickly heat. Highly effective.
Ingredients: Ming Xionghuang (Realgar, purified) Baijian (Alumen, 1.5 g) [Equal parts]
Grind the two ingredients into powder. Dissolve in tea liquor. Sweep onto the affected area with a goose feather; itching and pain stop, redness and swelling dissipate.
[Formula Song] Erwei Badu eliminates redness and swelling, calming pain and itching in rheumatic sores. For all skin scabies and prickly heat, grind Xionghuang and Baijian into powder and mix with tea liquor.
Another Formula: Huiyang Yulong Gao
Indications: This ointment treats Yin carbuncles and ulcers without fever, pain, elevation, or suppuration, as well as cold-damp flowing injections, cold pain Bi wind, gout with numbness of hands and feet, bone and joint pain, and all conditions with unchanged skin color, diffuse swelling without a head, and Crane Knee Wind. Applicable to all cases without muscle heat.
Ingredients: Junjiang (Fried Ginger, 3 liang) Rougui (Cinnamomi Cortex, 5 qian)
Chishao (Fried Paeoniae Radix Rubra, 3 qian) Nanxing (Arisaematis Rhizoma, 1 liang)
Caowu (Fried Aconiti Karakolicum Radix, 3 liang) Baizhi (Angelicae Dahuricae Radix, 1 liang)
Process the six ingredients, grind into fine powder, and mix with hot wine for application.
[Formula Song] Huiyang Yulong treats Yin toxin syndromes, without heat, pain, or elevation. Junjiang, Rougui, Chishao, Nanxing, Caowu, Baizhi; grind into powder and mix with hot wine.
Another Formula: Chonghe Gao
Indications: This ointment treats carbuncles and back infections caused by Yin-Yang disharmony and congealing of cold and heat. It promotes Qi circulation, dispels wind, invigorates blood, stops pain, resolves stasis, reduces swelling, dispels cold, and softens hardness. It is indeed a good medicine.
Ingredients: Zijingpi (Broussonetiae Cortex, fried, 5 liang) Duohuo (Notopterygii Rhizoma et Radix, fried, 3 liang)
Baizhi (Angelicae Dahuricae Radix, 3 liang) Chishao (Paeoniae Radix Rubra, fried, 2 liang)
Shichangpu (Acori Tatarinowii Rhizoma, 1.5 liang)
Grind the five ingredients into fine powder. Mix with scallion decoction or hot wine for application.
[Formula Song] Chonghe treats back infection toxins, applying to cold-heat congestion. Promotes Qi, dispels wind, invigorates blood. Zijingpi, Duohuo, Baizhi, Chishao, Shichangpu.
Another Formula: Tie Tong Gao
Indications: This ointment treats back infections about to ulcerate or already ulcerated, where the base spreads and the sore does not consolidate. Apply around the wound to encircle.
Ingredients: Danfan (Chalcanthitum, 3 qian) Tonglv (Verdigris, 5 qian)
Shexiang (Moschus, 3 fen) Baiji (Bletillae Rhizoma, 5 qian)
Qingfen (Calomelas, 2 qian) Yujin (Curcumae Radix, 2 qian)
Wubeizi (Myrobalani Fructus, lightly fried, 1 liang) Mingfan (Alumen, 4 qian)
Grind the eight ingredients into extremely fine powder. Take one bowl of aged rice vinegar, heat slowly in a ladle to one small cup until golden-yellow bubbles appear. Let cool slightly. Add one qian of medicine powder, stir into vinegar, warm, and apply with a new brush around the base of the sore. Cover with cotton paper. The sore base will wrinkle, gradually tightening, preventing toxin spread.
[Formula Song] Tie Tong Gao gathers toxins and prevents spread, encircling the sore base. Danfan, Tonglv, Qingfen, Wubeizi, Mingfan, Shexiang, Yujin.
Another Formula: Wulong Gao
Indications: This ointment treats all toxins where red swelling and red halos do not subside. Application is highly effective.
Ingredients: Mubiezi (Momordicae Semen, shelled, 2 liang) Caowu (Aconiti Karakolicum Radix, 0.5 liang)
Xiaofen (Tapioca Starch, 4 liang) Banxia (Pinelliae Rhizoma, 2 liang)
Stir-fry the four ingredients in an iron pot over low heat until scorched black. Grind fine. Mix with fresh well water for application. Change once daily. Apply from outside inward, leaving the apex open to allow toxin discharge.
[Formula Song] Wulong Gao treats various toxins, managing red halos and absorbing sores. Mubiezi, Caowu, Xiaofen, Banxia; mix with cold water for excellent efficacy.
Another Formula: Shenxiao Qenchui Gao
Indications: This ointment is specifically for initial sores and Ding toxins; application leads to immediate resolution. Effective for pulling out lymphatic tuberculosis roots, adult anal fissures, and infant snake-head abscesses.
Ingredients: Tu Mubiezi (Momordicae Semen, shelled, 2 pieces) Bainen Songxiang (Pure Pine Rosin, 4 liang)
Tonglv (Verdigris, finely ground, 1 qian) Ruxiang (Olibanum, 2 qian)
Moyao (Myrrha, 2 qian) Bamazi (Ricini Semen, shelled, 7 qian)
Badourou (Crotonis Semen, 5 kernels) Xingren (Armeniacae Semen Amarum, peeled, 1 qian)
Combine the eight ingredients. Pound in a stone mortar over 3,000 times to form an ointment. Remove and soak in cold water. When using, shape into thin slices according to sore size, apply to the sore, and cover with silk.
[Formula Song] Qenchui Gao applies to various Ding toxins, lymphatic tuberculosis, anal fissures, and snake-head abscesses. Mubiezi, Songxiang, Tonglv, Ruxiang, Moyao, Bamazi, Badou, Xingren.
Another Formula: Machixian Gao
Indications: Machixian has a cool nature and flavor, capable of resolving various toxins. Using this single herb, either orally or topically, is highly effective. Indications listed below:
1. Treats yaws covering the body like leprosy, with hard throat like a pipe. Take a handful of Machixian (bowl-thick), decoct with wine and water, drink to induce sweating.
2. Treats back infections. Take a handful of Machixian, decoct with wine or boil in water, drink cold to induce sweating. Repeat to reduce fever and remove necrotic tissue; heals in three doses. Also pound and apply externally.
3. Treats chronic stubborn sores and anal fissures with painful non-healing wounds. Pound and apply to extract worms. Change daily. After three days, when necrotic tissue is gone and red meat resembles pearls, switch to flesh-generating medicine to close the wound.
4. Treats facial swelling and tight lips. Crush and apply juice.
5. Treats sores below the navel in women, with pain and itching extending to the genitalia. Use 4 liang Machixian and 1 liang Qingdai, grind uniformly and apply.
6. Treats wet tinea capitis (white ringworm). Stir-fry lime powder until red, decoct Machixian juice into a paste, mix uniformly and apply.
7. Treats erysipelas. Add Isatis root, crush together and apply.
[Formula Song] Machixian Gao uses only one herb, taken or applied for yaws and back infections. Crushed juice for stubborn sores and facial swelling, combined with Qingdai for female genital sores. Lime powder for wet tinea, mixed with Isatis root for erysipelas.