此疮乃湿热邪所成，亦疮之最恶者。要看表里虚实，先须发散，攻去其邪毒，次用调和
血气，庶无再作之患。疮形高突而似杨梅，故名其名。北方名天 疮，非也。
表实者，宜先解表。（荆防败毒散。）湿胜者，宜先导湿。（羌活苍术胜湿汤、五苓散。）
里实者，宜先疏里。（内疏黄连汤。）表里俱实，宜解表攻里。（防风通圣散。）始然治之，
须量人虚实用药轻重；解攻之后，再调气血，滋补元气，要忌浓味。
凡此疮，服轻粉、水银等药，反收毒于内，以致迭发；屡服防风通圣散及败毒之剂，则气
血愈虚，而并坏者多矣。
（《秘方》）仙遗粮汤 治一切杨梅疮，不拘始终虚实，并可取效。
仙遗粮（二两。一名土茯苓，一名冷饭团。用鲜者去土净洗，入木石臼捶碎，水三碗，
煎二碗，去渣，再入下项药） 当归 生地黄 防风（各八分）
金银花（一钱） 皂角刺（六分） 黄连 连翘（各一钱） 甘草（四分） 木通 薏苡仁（各八分）
白术 白藓皮（各七分）
上咀，作一服。用遗粮汤二碗煎一碗，加灯心二十根煎，食远服。
捷法 治杨梅疮不论新入，及痈毒、鹅掌风并效，不过旬日而愈。
伏龙肝（二钱） 水银（一钱） 枯矾（三分） 白藓皮（七分） 百草霜（一分）
上为极细末，用香油少许调研如膏，以水银不见星为度。于无风处，将膏少许涂于手
足心，互相擦磨，尽，又涂又擦，以药尽为度。擦完却吃热葱羹一二碗助汗，以绵被重覆
出汗，汗后却服解毒散一剂，或服内疏黄连汤，三日一作为之，九日连三次，十二日之后
渐愈，再不必作，愈迟，再以五日一作，并汗。愈后可服萆 八珍汤。有热，加芩连。
薰法 雄黄（三分） 银朱（一钱） 没药（三分） 朱砂（五分） 官香（一钱） 枣肉（二枚，
研烂入药）
上前五味研为细末，以枣肉同研，搓作小条，用皮纸卷定，香油灯盏点火熏，置被中，
口含水，阴囊以布裹之，不可着烟。间日一次，尽药三条，愈。仍要服三黄解毒汤。
杨梅痈漏 不问年深者并效。
土萆 （五两） 金银花（一两） 皂角刺 花椒 牛蒡子 郁金 当归（各半两）
黑铅（化三两，入水银半两）
上咀，作五帖。以铅乘热擂成粉，分作五处。前药每帖水二盏，葱一根，煎一盏去渣，
再入铅粉煎至八分，食远服。铅粉用水出收起。盖杨梅痈漏，多因服轻粉积毒而成，此以水
银、黑铅、花椒，仍复收引轻粉之毒，盖从类而出也。每以五帖为一料，初服一帖，要取汗，
先以金银花（一两）、防风（半两）、花椒（半两）煎水二斗，用席围住不透风，先熏后洗，出汗。无金
银花，有忍冬藤叶更妙。二三十年患此，只用四料四汗，无不全愈。忌牛肉烧酒。妙方，
世人珍秘不传，予得之，治人，一一获效，故详载以公于天下，共起沉 而广济人也。
（万氏）治杨梅疮筋骨疼痛，久不愈者，立效。
土茯苓（一两） 花椒（二钱） 槐子（炒焦，二钱） 鱼膘（三钱，顷炒成珠） 麻黄 茜草
细茶（各一钱） 乌药 乳香（各一钱）
水二盏，姜三片，葱三根，煎一盏，通口服。甚者，数剂愈。
这种疮是由湿热邪气所致，也是疮疡中最严重的一种。诊治时要辨别表里、虚实的状况，首先应当使用发散的方法，攻逐体内的邪毒；随后再用调和气血的药物，这样才能避免病情反复发作的隐患。因为疮的形状高突且类似杨梅，所以得名“杨梅疮”。北方称之为“天疮”，这是错误的说法。
对于表实证的病人，适宜先解表。（可用荆防败毒散。）湿气偏盛的病人，适宜先导除湿邪。（可用羌活苍术胜湿汤、五苓散。）
里实证的病人，适宜先疏通里实。（可用内疏黄连汤。）如果表里俱实，则宜同时解表和攻里。（可用防风通圣散。）起初治疗时，必须根据患者体质的虚实来斟酌用药的轻重；在解表和攻里的治疗之后，再调理气血，滋补元气，并且要忌食油腻厚味的食物。
凡是患有此疮的人，如果服用轻粉、水银等药物，反而会将毒素收敛于体内，导致病情反复发作；如果屡次服用防风通圣散及各类败毒药物，会使气血更加虚弱，从而导致身体败坏的情况增多。
（出自《秘方》）仙遗粮汤：治疗各种杨梅疮，无论病程长短、体质虚实，均可取得疗效。
仙遗粮（二两。又名土茯苓，又名冷饭团。取鲜品，去净泥土洗净，放入木或石臼中捣碎，加水三碗，煎至二碗，滤去药渣，再加入以下药物）当归、生地黄、防风（各八分）、金银花（一钱）、皂角刺（六分）、黄连、连翘（各一钱）、甘草（四分）、木通、薏苡仁（各八分）、白术、白藓皮（各七分）。
以上药材切碎，作为一剂服用。用上述仙遗粮汤二碗，加入灯心草二十根，煎至一碗，饭后服用。
捷法：治疗杨梅疮，无论是新发还是久病，以及痈毒、鹅掌风均有效，不过十天即可痊愈。
伏龙肝（二钱）、水银（一钱）、枯矾（三分）、白藓皮（七分）、百草霜（一分）。
以上药物研成极细粉末，用少量香油调制成膏状，以水银不见闪光颗粒为度。在无风处，将少许药膏涂抹于手足心，互相摩擦，涂完后再涂再擦，直到药尽为止。擦完后喝一二碗热葱汤以助出汗，用厚绵被覆盖以促使出汗，出汗后服用解毒散一剂，或者服用内疏黄连汤，每三日进行一次，连续九日共三次，十二日后逐渐痊愈，不再复发；若痊愈较慢，可改为每五日一次，并配合发汗。痊愈后可服用萆薢八珍汤。若有热象，加黄芩、黄连。
薰法：雄黄（三分）、银朱（一钱）、没药（三分）、朱砂（五分）、官香（一钱）、枣肉（两枚，研烂入药）。
以上前五味药研为细末，与枣肉一同研磨，搓成小条，用皮纸卷好，在香油灯盏上点火熏烤，置于被中，口中含水，阴囊用布包裹以防烟熏。每隔一日一次，用完三条药即愈。之后仍需服用三黄解毒汤。
杨梅痈漏：无论患病时间长短均有效。
土萆薢（五两）、金银花（一两）、皂角刺、花椒、牛蒡子、郁金、当归（各半两）、黑铅（熔化三两，加入水银半两）。
以上药材切碎，作为五帖。将黑铅趁热研磨成粉，分为五份。每帖药加水二盏、葱一根，煎至一盏，滤去药渣，再加入铅粉煎至八分，饭后服用。铅粉用水清洗后收存。盖因杨梅痈漏多因服用轻粉积毒而成，此处用水银、黑铅、花椒，是为了重新收敛引导轻粉的毒素，这是利用同类相引的原理。每以五帖为一料，初次服用一帖，需取汗，先用金银花（一两）、防风（半两）、花椒（半两）煎水二斗，用席子围住不透风，先熏后洗，令其出汗。若无金银花，用忍冬藤叶更好。患此病二三十年者，只用四料、四次发汗，无不痊愈。忌食牛肉和烧酒。此为妙方，世人珍视保密不传，我得到此方，用于治疗患者，一一获得疗效，故详细记载以公之于天下，共同救治重病之人以广施救济。
（万氏方）治疗杨梅疮引起的筋骨疼痛，久治不愈者，立竿见影。
土茯苓（一两）、花椒（二钱）、槐子（炒焦，二钱）、鱼膘（三钱，顷炒成珠状）、麻黄、茜草、细茶（各一钱）、乌药、乳香（各一钱）。
加水二盏，生姜三片，葱三根，煎至一盏，一次性口服。病情严重者，服用数剂即可痊愈。
This sore is caused by damp-heat pathogenic factors and is the most severe among all sores. Diagnosis requires distinguishing between exterior/interior, deficiency/excess conditions. Initially, dispersing methods should be employed to attack and eliminate pathogenic toxins; subsequently, herbs that harmonize Qi and Blood are used to prevent recurrence. It is named "Yangmei Chuang" (Meadow Breadfruit Sore) because the shape of the sore is elevated and resembles a meadow breadfruit. In the North, it is called "Tian Chuang," which is incorrect.
For patients with Exterior Excess syndrome, it is appropriate to first release the exterior. (Jingfang Baidu San / Jing-Jie and Fang-Feng Decoction for Overcoming Toxicity.) For those with predominant Dampness, it is appropriate to first guide out the Dampness. (Qianghuo Cangzhu Shengshi Tang / Notopterygium and Atractylodes Decoction for Overcoming Dampness, Wuling San / Five-Ingredient Poria Decoction.)
For patients with Interior Excess syndrome, it is appropriate to first purge the interior. (Neishu Huanglian Tang / Internal Purging Coptis Decoction.) If both Exterior and Interior are in an Excess state, it is appropriate to simultaneously release the exterior and purge the interior. (Fangfeng Tongsheng San / Saposhnikovia Universal Relief Powder.) Initially, treatment must consider the patient's constitution (deficiency or excess) to determine the dosage intensity; after releasing the exterior and purging the interior, one should then regulate Qi and Blood, tonify Yuan Qi, and strictly avoid rich and greasy foods.
In cases of this sore, taking Calomelas (Qingfen) or Mercury (Shuiyin) tends to trap the toxin internally, leading to recurrent outbreaks; frequent use of Fangfeng Tongsheng San and other detoxifying agents further depletes Qi and Blood, resulting in many cases of physical deterioration.
(From *Secret Formulas*) Xian Yiliang Tang: Treats all types of Yangmei Chuang, effective regardless of duration or constitutional status (deficiency/excess).
Xian Yiliang (Two taels. Also known as Tu Fuling [Smilax Glabra Rhizome], also known as Lengfantuan. Use fresh rhizomes, clean off soil thoroughly, crush in a wooden or stone mortar. Add three bowls of water, decoct until two bowls remain, strain dregs, then add the following ingredients): Danggui (Angelicae Sinensis Radix), Sheng Dihuang (Rehmanniae Radix Recens), Fangfeng (Saposhnikoviae Radix) (each 8 fen); Jinyinhua (Lonicerae Japonicae Flos) (1 qian); Zaogao Ci (Gleditsiae Spina) (6 fen); Huanglian (Coptidis Rhizoma), Lianqiao (Forsythiae Fructus) (each 1 qian); Gancao (Glycyrrhizae Radix et Rhizoma) (4 fen); Mutong (Akebiae Caulis), Yiyiren (Coicis Semen) (each 8 fen); Baizhu (Atractylodis Macrocephalae Rhizoma), Baixianpi (Dictamni Cortex) (each 7 fen).
Chop these ingredients into pieces for one dose. Take two bowls of the prepared Xian Yiliang decoction, add twenty stalks of Dengxincao (Junci Medulla), and decoct until one bowl remains. Take after meals.
Rapid Method: Effective for Yangmei Chuang whether new or chronic, as well for carbuncles/toxins and E Zhang Feng (Goose Palm Wind/Eczema of hands). Cure within ten days.
Fulonggan (Dragon's House Liver/Fired Earth) (2 qian), Shuiyin (Mercury) (1 qian), Kufan (Alum Calcined) (3 fen), Baixianpi (Dictamni Cortex) (7 fen), Baicaoshuang (Soot from Hundred Herbs) (1 fen).
Grind into an extremely fine powder. Mix with a small amount of Sesame Oil (Xiangyou) to form a paste, ensuring no visible mercury particles remain. In a windless place, apply a small amount of paste to the palms and soles, rubbing them against each other. Apply again and rub until the medicine is exhausted. After application, drink one to two bowls of hot Scallion Soup to induce sweating. Cover heavily with cotton quilts to promote sweating. After sweating, take one dose of Jiedu San (Detoxification Powder) or Neishu Huanglian Tang. Repeat every three days for three times over nine days. By the twelfth day, gradual recovery occurs, and recurrence ceases. If recovery is slow, repeat every five days with induced sweating. After cure, Banxia Bazhen Tang (Bistorta Eight-Tonifying Decoction) may be taken. If heat signs are present, add Huangqin (Scutellariae Radix) and Huanglian (Coptidis Rhizoma).
Fumigation Method: Xionghuang (Realgar), Yinzhu (Vermilion), Moyao (Myrrha), Zhusha (Cinnabar), Guanxiang (Official Fragrance/Musk substitute), Zaorou (Date Flesh - two dates, mashed).
Grind the first five ingredients into fine powder. Mix with mashed date flesh, roll into small strips, wrap tightly in rice paper. Ignite using a sesame oil lamp for fumigation. Place under blankets. Keep water in the mouth. Wrap the scrotum with cloth to protect from smoke. Perform once every other day. Complete three strips for a cure. Subsequently, continue taking Sanhuang Jiedu Tang (Three-Yellow Detoxification Decoction).
Yangmei Yonglou (Meadow Breadfruit Carbuncle and Fistula): Effective regardless of disease duration.
Tu Bixie (Smilacis Glabrae Rhizoma) (Five taels), Jinyinhua (Lonicerae Japonicae Flos) (One tael), Zaogao Ci (Gleditsiae Spina), Huajiao (Zanthoxylli Pericarpium), Niubangzi (Arctii Fructus), Yujin (Curcumae Longae Radix), Danggui (Angelicae Sinensis Radix) (each half tael), Heiqian (Black Lead) (Melted three taels, mixed with half tael of Shuiyin/Mercury).
Chop ingredients into pieces for five doses. Grind the black lead while hot into powder, dividing it into five portions. For each dose, decoct the herbs with two cups of water and one scallion root until one cup remains. Strain dregs, then add the lead powder and decoct until eight-tenths of a cup remains. Take after meals. Wash the lead powder with water before storage. This is because Yangmei Yonglou often results from accumulated toxicity due to Calomelas ingestion. Here, Mercury, Black Lead, and Zanthoxyllum are used to re-absorb and guide out the Calomelas toxicity, based on the principle of attracting like substances. Each course consists of five doses. The first dose induces sweating: decoct Jinyinhua (One tael), Fangfeng (Half tael), and Huajiao (Half tael) in two dou of water. Surround with mats to prevent drafts. Fumigate first, then wash, inducing sweat. If Jinyinhua is unavailable, Ren Dong Teng Ye (Honeysuckle Vine and Leaves) is superior. For chronic cases lasting 20-30 years, four courses (four sweat inductions) ensure complete cure. Avoid beef and distilled spirits. This is a miraculous formula, kept secret by others. I obtained it, treated patients with success, and thus record it in detail to share with the world, aiming to save the critically ill and benefit humanity.
(Wan Shi Formula): For Yangmei Chuang causing bone and joint pain, chronic and unhealed, providing immediate effect.
Tu Fuling (Smilacis Glabrae Rhizoma) (One tael), Huajiao (Zanthoxylli Pericarpium) (2 qian), Huaizi (Sophorae Fructus, stir-fried until charred) (2 qian), Yubiao (Fish Maw, fried until puffed) (3 qian), Mahuang (Ephedrae Herba), Qiancao (Rubiae Cordifoliae Radix), Xi Cha (Fine Tea) (each 1 qian), Wuyao (Linderae Radix), Ruxiang (Olibanum) (each 1 qian).
Add two cups of water, three slices of Ginger, three scallions. Decoct until one cup remains. Take orally in one go. For severe cases, several doses will bring a cure.