治风热赤疹，搔之随手作疮方。
青羊脂（四两） 甘草 芍药（各三两） 寒水石 白芷 白芨 黄芩 防风 黄 升
麻
（各
上十二味 咀，先以水八升，煮石膏，竹叶，取四升，去滓，浸诸药，以不中水猪脂
二升合煎，膏成敷病上，良。
治瘾疹，百疗不瘥者方∶黄连（切） 芒硝（各五两）
上二味以水六升，煮取半，去滓洗之，日四五度。
治风瘙瘾疹，心迷闷乱方∶巴豆二两，以水七升，煮取三升，以故帛染汁拭之。大人小
儿以意加减。
又方 矾石二两为末，酒三升渍令消，以帛染拭病上。
又方 吴茱萸一升，酒五升，煮取一升半，帛染拭病上。
治风瘙瘾疹方 酪和盐熟煮摩之，随手即消，良。
又方 锻石淋取汁洗之，良。
又方 白芷根叶煮汁洗之。
治瘾疹百疗不瘥者方∶景天一升，一名慎火草，细捣取汁敷上，热炙手摩之，日三度，
瘥。
治暴气在表攻皮上瘾疹作疮方∶
槐枝叶煮洗之。
治小儿患瘾，疹八腹，体肿强而舌干方∶蚕沙二升，水二升煮，去滓，洗之，良。
又方 车前子为末，粉之，良。
又方 盐汤洗过，以蓼子 敷之。
又方 灸曲池二穴，小儿随年壮。发即灸之，神良。
（论一首十四条 方九十三首 灸法四首）
论曰∶瘭疽者，肉中忽生点子如豆粒，小者如黍粟，剧者如梅李，或赤、或黑、或青、
或白，其状不定，有根不浮肿，痛伤之应心，根深至肌，经久便四面悉肿 ，黯熟紫黑色，
能烂坏筋骨。若毒散，逐脉入脏杀人。南人名为拓着毒浓肉处，即割去之。亦烧铁烙之，令
焦如炭。或灸百壮。或饮葵根汁，或饮蓝青汁，若犀角汁及升麻汁、竹沥黄龙汤等诸单方治，
专去其热取瘥。其病喜着十指，故与代指相似，人不识之，呼作代指，不急治，亦逐脉上入
脏杀人。南方人得之，皆斩去其指。初指头先作黯 ，后始肿赤黑黯， 痛入心是也。
代指者，先肿 热痛，色不黯，缘爪甲边结脓。剧者，爪皆脱落。此谓之代指病也。但
得一物，冷药汁拓渍之佳。若热盛服漏芦汤，（方见本卷痈疽门）及拓渍之。敷升麻膏（方
见
本卷丹毒门）亦可。针去血，不妨洗渍涂膏也。复有恶肉病者，身上忽有肉如赤豆粒，突出
便长，推出如牛马乳，上如鸡冠状，不治自长出不止，亦不痛痒，此由春冬时受恶风入肌脉
中，变成此疾，治之宜服漏芦汤，外烧铁烙之，日日为之，令焦尽，即以升麻膏敷上，积日
乃瘥。
又有赤脉病者，身上忽有赤脉络起陇耸如死蚯蚓之状，视之如有水在脉中，长短皆逐脉
所处，此由春冬受恶风入络脉中，其血肉瘀所作也，宜五香连翘汤（方见本卷痈疽门）及竹
沥
等治之。刺去其血仍敷丹参膏（方见本卷痈疽门）。亦用白鸡屎涂之良。
恶核病者，肉中忽有核累累如梅李核，小者如豆粒，皮肉疼痛壮热恶寒是也。与诸疮根
瘰结筋相似。其疮根瘰 因疮而生，是缓无毒。恶核病卒然而起有毒，若不治入腹，烦闷
杀人，皆由冬月受温风，至春夏有暴寒相搏，气结成此毒也。但服五香汤主之（方见本卷痈
疽门）。又以小豆末敷之，亦煮汤渍时时洗之，消后以丹参膏敷之，令余核尽消。凡恶核初
似被射工毒无常定处，多恻恻然痛，或时不痛。人不痛者即不忧，不忧则救迟，救迟则杀人，
是以宜早防之。尤忌食鸡、鱼、猪、牛、马、驴等肉。其疾初如粟米，或似麻子，在肉里而
坚似 ，长甚速。初得多恶寒，须臾即短气，取吴茱萸半斤作末，水一升和，绞取汁，顿服，
以滓
凡KT 病喜发四肢，其状赤脉起如编绳，急痛壮热。其发于足，喜从 起至踝，亦如
编绳，故云KT 病也。发于肾，喜着腋之下，皆由久劳热气盛为湿凉所折，气结筋中成此
病也。若不急治，其久溃脓，亦令人筋挛缩也。若不消溃，其热气不散，多作趺病，漏芦汤
主之。泻后锋针数针去恶血，气针泻其根，核上敷小豆末，取消为度。又用治丹法治之。又
用治痈三味甘草散敷之（无方）。若溃，敷膏散一如痈法。
恶核KT 病瘭疽等，多起岭表，中土鲜有，南方人所食杂类繁多，感病亦复不一，仕
人往彼深须预防，防之无法，必遭其毒，惟五香汤、小豆散（即麻子小豆散，本卷痈疽门），
吴茱萸皆其要药。
凡附骨疽者，以其无破（《外台》作故）附骨成脓，故名附骨疽。喜着大节解中，丈夫、
产妇喜着 中，小儿多着脊背。大人急着者，先觉痛不得动摇，按之应骨痛，经日便觉皮肉
渐急，洪肿如肥状是也。小儿才手近便大呼，即是肢节有痛候也。大人缓着者，先觉肌烘烘
然，经日便觉痛痹不随。小儿四肢不能动摇，亦如不随状。看肢节解中，若有肌烘烘处，不
知是附骨疽。令遍身成肿不至溃，体皆有青黯，大人亦有不别，呼为贼风风肿，不知是疽也。
凡
又夏秋露卧，为冷所折，风热伏结而作此疾。急者热多风少，缓者风多热少。小儿未知取风
冷，何故而有此疾？由其血盛肌嫩为风折之，即使凝结故也。凡初得附骨疽，即服漏芦汤下
之。敷小豆散得消。可服五香连翘汤（方见本卷痈疽门中）。
凡贼风，其人体卒无热，中暴风冷，即骨解深痛不废转动，按之应骨痛，久即结痛，或
结瘰 ，其附骨疽久即肿而结脓，以此为异。若治附骨作贼风，则增益病深脓多。若治贼风
作附骨，则加风冷，遂成瘰 偏枯挛曲之疾也。疗之之效，皆在善始耳。此非天下至精，其
孰能与于此。若候附骨与贼风为异者，附骨之始，未肿但痛而已。其贼风但痛不热，附骨则
其上壮热，四体乍寒乍热，小便赤，大便涩而无汗，若得下却热并开发腠理，便得消也。纵
不消尽，亦得浮浅近外。凡贼风，但夜痛，骨不可按抑，不得回转，痛处不壮热，亦不乍寒
乍热，觉身体索索然，冷欲得热熨，痛处即小宽，时复有汗出，此为贼风证也。宜针灸熨爆。
服
又有风热毒相搏为肿，其状先肿上生瘭浆，如火灼处，名曰风热毒，治之一如丹法。
又有洪烛疮，身上忽生瘭浆，如沸汤洒。剧者遍头面，亦有胸胁腰腹肿缓，通体如火汤
灼瘭起者是也。治之法，急服漏芦汤下之，外以升麻膏敷之。其敷升麻膏若无效，一根据敷丹
方。
凡热疮起，便生白脓黄烂，疮起即浅，但出黄汁名肥疮。
浸淫疮者，浅，搔之，蔓延长不止。瘙痒者，初如疥，搔之转生汁，相连者是也。
疮者，初作亦如肥疮，喜着手足，常相对生，随月生死，痛痒坼裂，春夏秋冬随瘥剧
者是也。
有久痈余疮，败为深疽者，在 胫间喜生疮中水恶露寒冻不瘥，经年成骨疽，亦名
疮。深烂青黑，四边坚强，中央脓血汁出，百药不瘥，汁溃好肉处皆虚肿，亦有碎骨出者，
可温赤龙皮汤渍（方见二十三卷肠痈篇）。夏月日日洗，冬月四日一洗。青肉多可敷白 茹
散
（方见本卷痈疽门中）。食去恶肉，可三日一敷之止。后长敷家猪屎散（方见本卷痈疽门），
得
瘥止。取猪屎烧灰作末如粉，至疮中令满，白汁出吮去，随更敷之瘥止。若更青肉，复着白
茹散，如前法家猪屎散取平复。
凡骨疽百药不瘥者，可疮上以次灸之，三日三夜便瘥。如疮不瘥，瘥而复发，骨从孔中
出者，名为骨疽，取先死乌雌鸡一只，去肉取骨，熬焦如炭，取三家牛 木刮取屑，三家甑
HT
治瘭疽秘方∶
射干 甘草 枳实 升麻 干地黄 黄芩（各八分） 麝香（二分） 前胡（三分） 犀
角
（六分） 大黄（十分）
上十味 咀，以水九升，煮取三升，下大黄一沸，去滓，纳麝，分三服，瘥止。亦不
限剂数（《外台》无黄芩）。
治瘭疽着手足肩背、累累如米起色白，刮之汁出，瘥后复发方∶
黄 （六分） 升麻（四分） 款冬花（二分） 附子 苦参（《范汪》无） 赤小豆
（各一分）
上六味为末，酒服方寸匕，稍加，日三服。
【背景信息】
书名：备急千金要方 作者：孙思邈 朝代：唐·永徽三年 章节：青羊脂膏 / 瘭疽第六 类别：方剂
治疗风热引起的赤疹，抓挠后随即形成疮疡的方剂。
青羊脂（四两） 甘草 芍药（各三两） 寒水石 白芷 白芨 黄芩 防风 黄芪 升麻
（以上十二味药材）切碎，先用水八升，煮石膏、竹叶，取汁四升，滤去渣滓，将其他药物浸入其中，再加入未经过水煮的猪脂二升共同煎煮，制成膏药涂抹于患处，效果良好。
治疗瘾疹（荨麻疹），经过多种治疗均无效的方剂：
黄连（切碎） 芒硝（各五两）
以上两味药，用水六升，煎煮至剩半量，滤去渣滓，用此药液清洗患处，每日清洗四五次。
治疗因风邪瘙痒引起的瘾疹，伴有心神迷乱、胸闷烦闷的方剂：
巴豆二两，用水七升，煎煮至剩三升，用旧布蘸取药汁擦拭患处。成人和儿童的用量可根据情况酌情增减。
又一方：
矾石二两研成粉末，用酒三升浸泡使其溶解，用布蘸取擦拭患处。
又一方：
吴茱萸一升，酒五升，煎煮至剩一升半，用布蘸取擦拭患处。
治疗风邪瘙痒引起的瘾疹的方剂：
用酪（乳制品）调和盐煮熟后按摩患处，症状随即消退，效果良好。
治疗瘾疹经多种治疗均无效的方剂：
景天一升，又名慎火草，细细捣碎取汁涂抹于患处，用手掌搓热后按摩，每日三次，即可痊愈。
治疗暴气在体表，侵袭皮肤导致瘾疹并形成疮疡的方剂：
用槐树的枝叶煮水清洗患处。
治疗小儿患瘾疹，伴有腹部胀满、身体肿胀僵硬且舌干的症状的方剂：
蚕沙二升，水二升煎煮，滤去渣滓，用此药液清洗患处，效果良好。
又一方：
灸曲池穴两个穴位，小儿根据年龄决定艾灸壮数（每岁一壮）。发病时立即施灸，效果神奇良好。
（本篇共有论述一首十四条，方剂九十三首，灸法四首）
论述说：瘭疽（一种急性化脓性感染），肌肉中突然生出如豆粒大小的点状物，小的如黍粟，严重的如梅李核，颜色或红、或黑、或青、或白，形状不定，有根基但不浮肿，疼痛剧烈甚至牵连心痛，病根深达肌肉，经久不愈则四周全部肿胀，变为暗紫黑色，能够腐烂破坏筋骨。如果毒邪扩散，随经脉传入内脏，可致人死亡。南方人称之为“拓着毒”，在肉厚处将其割除。也有的用烧红的铁器烙烫，使其焦黑如炭。或者灸百壮。或者饮用葵根汁，或饮用蓝青汁，以及犀角汁、升麻汁、竹沥、黄龙汤等单方进行治疗，专门清除热毒以求痊愈。这种病喜欢发生在十个手指上，所以与代指相似，人们不认识它，称为代指，如果不及时治疗，也会随经脉上行传入内脏致死。南方人得了这个病，都斩断手指。起初指头先出现暗色斑点，然后才肿胀发红发黑变暗，疼痛入心就是这种情况。
代指病，先是肿胀发热疼痛，颜色不发暗，沿着指甲边缘结脓。严重的，指甲全部脱落。这叫做代指病。只要找到一味冷性药汁拓渍（湿敷浸泡）即可。如果热势旺盛，服用漏芦汤（方剂见本卷痈疽门），并配合拓渍。也可以敷升麻膏（方剂见本卷丹毒门）。针刺放血，不妨碍后续的清洗、浸泡和涂膏。又有恶肉病，身上突然长出像赤豆粒一样的肉赘，突出后生长，推出来像牛马奶头，上面像鸡冠状，如果不治疗会自行生长不止，也不痛不痒，这是由于春冬时节受恶风侵入肌脉中，变成这种疾病，治疗宜服用漏芦汤，外用烧红的铁器烙烫，每天进行，直到焦枯为止，然后敷上升麻膏，经过多日才能痊愈。
又有赤脉病，身上突然有红色脉络隆起耸立，像死蚯蚓的样子，看起来好像脉中有水，长短都顺着经脉分布，这是由于春冬受恶风侵入络脉中，血肉瘀滞所致，适宜用五香连翘汤（方剂见本卷痈疽门）及竹沥等治疗。刺破放出血液，然后敷丹参膏（方剂见本卷痈疽门）。也可以用白鸡屎涂抹，效果良好。
恶核病，肌肉中突然有核状物累累相连，大的如梅李核，小的如豆粒，皮肉疼痛，高热恶寒。这与各种疮疡的根节瘰疬结筋相似。那些疮疡根节的瘰疬是因疮而生，属于缓慢且无毒性的。恶核病突然发作且有剧毒，如果不治疗进入腹部，会导致烦闷致死，这都是由于冬天受温风，到了春夏又有暴寒相搏，气凝结成这种毒邪所致。只需用五香汤主治（方剂见本卷痈疽门）。又用小豆末敷贴，也煮汤浸泡时时清洗，消散后用丹参膏敷贴，使剩余的核全部消散。凡是恶核初起时，好像被射工虫（古代传说中的一种毒虫）咬伤，没有固定位置，大多感到隐隐作痛，有时不痛。人不痛就不担忧，不担忧就救治迟缓，救治迟缓就会致死，所以应该早期预防。特别忌讳食用鸡、鱼、猪、牛、马、驴等肉类。这种病初起像粟米，或像麻子，在肉里坚硬似石，生长速度很快。初起多伴有恶寒，片刻即短气，取吴茱萸半斤研成粉末，用水一升调和，绞取汁液，一次性服下，用渣滓……（原文此处可能有缺漏或排版错误，结合上下文推测为外敷或继续描述）
凡……（原文此处可能有缺漏）病喜欢发于四肢，其症状是红色脉络隆起像编绳一样，紧急疼痛，高热。发于足部，喜欢从……（原文缺字）起至脚踝，也像编绳，所以叫……（原文缺字）病。发于肾经，喜欢附着在腋下，这都是由于长期劳累热气盛，被湿凉所折损，气结在筋中形成这种病。如果不及时治疗，久溃流脓，也会导致筋挛缩。如果不能消散溃破，热气不散，多发展为趺病（足背肿痛），以漏芦汤为主治。泻下后，用锋针多次针刺去除恶血，气针泻其病根，在核上敷小豆末，以消散为度。又用治丹毒的方法治疗。又用治痈的三味甘草散敷贴（无具体方剂）。如果溃破，敷膏散一如治痈的方法。
恶核、……（原文缺字）、瘭疽等病，多起于岭南地区，中原地区很少见，南方人所食杂类繁多，感病也各不相同，仕人去那里必须深入预防，如果没有预防方法，必然遭受其毒害，只有五香汤、小豆散（即麻子小豆散，本卷痈疽门），吴茱萸都是其主要药物。
凡是附骨疽，因为它不破溃（《外台秘要》作“故”），附着在骨头周围化脓，所以名叫附骨疽。喜欢发生在大关节缝隙中，男子、产妇喜欢发生在……（原文缺字）中，小儿多发生在脊背。大人急发的，先觉得疼痛不能动摇，按压时对应骨头疼痛，过几天就觉得皮肉逐渐紧张，红肿得像肥胖的样子。小儿手刚靠近就大声呼叫，这就是肢节有痛的征兆。大人缓发的，先觉得肌肉烘热，过几天就觉得疼痛麻痹不能随意活动。小儿四肢不能动摇，也像不能随意的样子。查看肢节缝隙中，如果有肌肉烘热的地方，不知道是附骨疽。令全身肿胀但不溃破，身体都有青暗色，大人也不分辨，称为贼风风肿，不知道是疽病。
凡是……（原文缺字）又夏秋露宿，被冷气折损，风热伏结而生成这种病。急发的热多风少，缓发的风多热少。小儿不知道如何避风寒，为何会有这种病？是因为他们血盛肌嫩，被风邪折损，即使凝结的缘故。凡是初得附骨疽，就服用漏芦汤攻下。敷小豆散可以消散。可服用五香连翘汤（方剂见本卷痈疽门中）。
凡是贼风，其人突然没有发热，中暴风冷，即骨节深处疼痛但不妨碍转动，按压时对应骨头疼痛，久了就结成疼痛，或结成瘰疬，其附骨疽久了就肿胀结脓，以此作为区别。如果把附骨疽当作贼风治疗，则会增加病情深重、脓液增多。如果把贼风当作附骨疽治疗，则会加重风冷，遂成瘰疬、偏枯、挛曲的疾病。治疗的效果，都在于善于辨别始末。这不是天下最精通医术的人，谁能做到这一点呢？如果要辨别附骨疽与贼风的差异，附骨疽开始，未肿胀只是疼痛。贼风只是疼痛不发热，附骨疽则上部高热，四肢忽冷忽热，小便赤，大便涩而无汗，如果用攻下法退热并开发腠理，就能消散。即使不能完全消散，也能变得浮浅接近体表。凡是贼风，只是夜间疼痛，骨头不可按压抑制，不能回转，疼痛处不高热，也不忽冷忽热，感觉身体瑟瑟发抖，怕冷想要热敷，疼痛处稍微缓解，偶尔有出汗，这是贼风的证候。适宜针灸熨烫爆炙。服用……（原文缺字）
又有风热毒邪相搏导致肿胀，其症状是先肿胀上生瘭浆，像火烧的地方，名叫风热毒，治疗方法一如丹毒法。
又有洪烛疮，身上突然生出瘭浆，像沸水洒落。严重的遍及头面，也有胸胁腰腹肿胀松弛，通体如火汤灼烧起泡的。治疗方法，急服漏芦汤攻下，外用升麻膏敷贴。如果敷升麻膏无效，一律敷丹方。
浸淫疮，浅表，抓挠后蔓延延长不止。瘙痒者，初起像疥疮，抓挠后转生汁液，相连的是这种病。
……（原文缺字）疮，初起也像肥疮，喜欢长在手足，常相对而生，随月亮盈亏变化，痛痒开裂，春夏秋冬随季节不同而轻重变化。
有久痈余疮，败坏成为深疽的，在小腿胫骨间喜欢生疮，流出水样恶露，受寒冻不愈，经年成为骨疽，也叫……（原文缺字）疮。深烂青黑，四周坚强，中央脓血汁出，百药不愈，汁液溃烂好肉处皆虚肿，也有碎骨排出的，可用温赤龙皮汤浸泡（方剂见二十三卷肠痈篇）。夏天日日洗，冬天四天洗一次。青色肉芽多可敷白……（原文缺字）茹散（方剂见本卷痈疽门中）。除去恶肉，可三天敷一次停止。后来长肉敷家猪屎散（方剂见本卷痈疽门），得好为止。取猪屎烧灰研成粉末如粉状，填入疮中令满，白汁流出吸去，随时再敷，得好为止。如果再生青色肉芽，再敷白……（原文缺字）茹散，像前面方法用家猪屎散取平复。
凡是骨疽百药不愈的，可在疮上依次灸之，三日三夜即可痊愈。如果疮不愈，愈后复发，骨头从孔中出来的，名为骨疽，取先死的乌雌鸡一只，去掉肉取骨，熬焦如炭，取三家牛的……（原文缺字）木刮取屑，三家甑……（原文缺字）
治疗瘭疽的秘方：
射干 甘草 枳实 升麻 干地黄 黄芩（各八分） 麝香（二分） 前胡（三分） 犀角（六分） 大黄（十分）
以上十味药材切碎，用水九升，煎煮至剩三升，加入大黄再煮沸一次，滤去渣滓，纳入麝香，分三次服用，痊愈即止。也不限制剂量次数（《外台秘要》无黄芩）。
治疗瘭疽长在手足肩背，累累如米粒起，颜色白，刮之有汁出，痊愈后复发的方剂：
黄芪（六分） 升麻（四分） 款冬花（二分） 附子 苦参（《范汪方》无） 赤小豆（各一分）
以上六味药研成粉末，用酒送服方寸匕，逐渐加量，每日三次服用。
[Background Information]
Book: *Beiji Qianjin Yaofang* (Essential Prescriptions Worth a Thousand Gold for Emergencies)
Author: Sun Simiao
Dynasty: Tang Dynasty, Yonghui Year 3
Chapter: Qingyang Zhi Gao / Biao Ju Chapter 6
Category: Formula
**Formula for treating wind-heat red rashes that form sores upon scratching:**
Qingyang Fat (Goat fat from a black female goat) (4 liang), Gancao (Licorice Root), Shaoyao (Peony Root) (each 3 liang), Hanshuishi (Calcitum), Baizhi (Angelica Dahurica), Baiji (Bletilla Rhizome), Huangqin (Scutellaria Root), Fangfeng (Saposhnikovia Root), Huangqi (Astragalus Root), Shengma (Cimicifuga Rhizome).
(The above twelve ingredients) are coarsely crushed. First, boil Shigao (Gypsum Fibrosum) and Zhuye (Bambusa Leaves) in 8 sheng of water to obtain 4 sheng of decoction. Strain out the dregs, and soak the other herbs in this liquid. Add 2 sheng of fresh pig fat (not previously boiled with water) and simmer together until an ointment is formed. Apply to the affected area; it is effective.
**Formula for treating Urticaria (Wind-Rash) that fails to heal after various treatments:**
Huanglian (Coptis Rhizome) (cut), Mangxiao (Natrii Sulfas) (each 5 liang).
Take the above two ingredients, boil in 6 sheng of water until reduced by half. Strain out the dregs and wash the affected area with the liquid, 4–5 times daily.
**Formula for treating wind-induced itching urticaria accompanied by mental confusion and chest oppression:**
Badou (Croton Seed) 2 liang. Boil in 7 sheng of water until reduced to 3 sheng. Dip an old cloth in the juice and wipe the affected area. Adjust the dosage for adults and children as appropriate.
**Another formula:**
Fanshi (Alumen) 2 liang, ground into powder. Soak in 3 sheng of wine until dissolved. Dip a cloth in the solution and wipe the affected area.
**Another formula:**
Wuzhuyu (Evodia Fruit) 1 sheng, Wine 5 sheng. Boil until reduced to 1.5 sheng. Dip a cloth in the solution and wipe the affected area.
**Formula for treating wind-induced itching urticaria:**
Mix cheese/dairy product (Lao) with salt, cook thoroughly, and massage onto the affected area. The symptoms will subside immediately; it is effective.
**Another formula:**
Wash the affected area with the juice obtained from Duan Shi (Burnt Lime/Slaked Lime leachate); it is effective.
**Another formula:**
Boil the roots and leaves of Baizhi (Angelica Dahurica) to make a decoction for washing the affected area.
**Formula for treating urticaria that fails to heal after various treatments:**
Jingtian (Tradescantia Zebrina) 1 sheng, also known as Shenhuo Cao. Finely pound and extract the juice. Apply to the affected area. Rub with warm hands. Apply three times daily; it will heal.
**Formula for treating sudden Qi attacking the exterior skin, causing urticaria and sores:**
Boil Huai tree branches and leaves to make a decoction for washing the affected area.
**Formula for pediatric urticaria accompanied by abdominal distension, body swelling and stiffness, and dry tongue:**
Can Sha (Silkworm Frass) 2 sheng, Water 2 sheng. Boil, strain out the dregs, and wash the affected area; it is effective.
**Another formula:**
Grind Cheqianzi (Plantago Seed) into powder and dust it on the affected area; it is effective.
**Another formula:**
Wash with salty soup, then apply Liao Zi (Polygonum orientale Seed) to the affected area.
**Another formula:**
Moxibustion at Quchi (LI11) acupoint, two points. For children, use one moxa cone per year of age. Apply immediately upon onset; it is miraculous and effective.
(There is one treatise containing fourteen clauses, ninety-three formulas, and four moxibustion methods in this chapter.)
**Treatise:**
Biao Ju (Acute Suppurative Infection) refers to small spots suddenly appearing in the flesh, like bean grains. Small ones are like millet seeds, severe cases like plum or cherry pits. They may be red, black, green, or white, with indeterminate shapes. They have a root but do not swell initially. Pain is severe, radiating to the heart. The root extends deep into the muscle. If left untreated for a long time, the surrounding area swells completely, turning dark purple-black, and can rot bones and tendons. If the toxin spreads along the meridians into the zang organs, it can cause death. People in the South call it "Tuo Zhuo Du" (Touching Poison). They cut it away from the thick flesh. Alternatively, they cauterize it with a hot iron until it is charred like carbon. Or they perform moxibustion (100 cones). Or they drink Kui Gen Juice (Kudzu Root Juice), Lan Qing Juice (Indigo Juice), Xijiao Juice (Rhinoceros Horn Juice - *note: modern substitutes used*), Shengma Juice (Cimicifuga Juice), Zhuli (Bamboo Sap), Huanglong Tang, etc., as single-herb remedies to clear heat and achieve cure. This disease tends to occur on the ten fingers, resembling Dai Zhi (Whitlow). People who do not recognize it call it Dai Zhi. If not treated urgently, the toxin travels up the meridians into the zang organs, causing death. People in the South amputate the finger. Initially, the fingertip becomes dark, then swells, turns red, black, and dark, with pain penetrating the heart.
Dai Zhi (Whitlow) begins with swelling, heat, and pain, without darkness of color. Pus forms along the nail edge. In severe cases, the nails fall off. This is called Dai Zhi disease. Applying cold herbal juice compresses is beneficial. If heat is excessive, take Loulu Tang (Euphorbia Decoction) (see this volume, Carbuncle and Fungus section) and apply compresses. Applying Shengma Gao (Cimicifuga Ointment) (see this volume, Erysipelas section) is also acceptable. Pricking to release blood does not hinder subsequent washing, soaking, or applying ointment.
There is also a condition called E Rou Bing (Malignant Flesh Disease), where fleshy growths suddenly appear on the body like red bean grains. They protrude and grow, resembling cow or horse teats when pushed, with a chicken-comb-like top. If untreated, they grow continuously without pain or itching. This is caused by evil wind entering the muscles and meridians during spring and winter. Treatment should involve taking Loulu Tang and externally cauterizing with a hot iron daily until charred, then applying Shengma Gao. It takes many days to heal.
There is also Chi Mai Bing (Red Meridian Disease), where red vascular networks suddenly rise on the body, swollen and convoluted like dead earthworms. It appears as if there is water within the vessels. The length varies according to the meridian distribution. This is caused by evil wind entering the collateral vessels during spring and winter, leading to blood and flesh stasis. Treatment should involve Wuxiang Liaoqiao Tang (Five-Aromatic Forsythia Decoction) (see this volume, Carbuncle and Fungus section) and Zhuli (Bamboo Sap). Puncture to release blood, then apply Danshen Gao (Salvia Miltiorrhiza Ointment) (see this volume, Carbuncle and Fungus section). Applying Bai Jishi (White Chicken Droppings) is also effective.
E He Bing (Malignant Nodule Disease) involves sudden nodules in the flesh, clustered like plum pits or beans. The skin and flesh are painful, accompanied by high fever and aversion to cold. It resembles the root nodules of scrofula from other sores. The nodules arising from sores are slow and non-toxic. E He Bing arises suddenly and is toxic. If untreated and enters the abdomen, it causes oppression and death. This is caused by warm winds in winter colliding with sudden cold in spring and summer, condensing qi into toxicity. Treat primarily with Wuxiang Tang (Five-Aromatic Decoction) (see this volume, Carbuncle and Fungus section). Also apply Xiaodou Powder (Adzuki Bean Powder) externally, and wash frequently with a decoction. After resolution, apply Danshen Gao to dissipate remaining nodules. Initially, E He Bing resembles a bite from a "She Gong" (an ancient mythical poisonous insect), with no fixed location, often causing dull pain or no pain. Lack of pain leads to lack of concern, delayed treatment, and death. Therefore, early prevention is essential. Avoid chicken, fish, pork, beef, horse, and donkey meat. The lesion starts like millet or hemp seeds, hard inside the flesh, growing rapidly. Initially accompanied by aversion to cold, followed quickly by shortness of breath. Take Wu Zhu Yu (Evodia Fruit) 0.5 jin, grind into powder, mix with 1 sheng of water, squeeze out the juice, and take in one dose. Use the dregs... [Text fragment].
Fan ... [Text fragment] disease prefers the limbs. Symptoms include red vascular lines rising like braided ropes, urgent pain, and high fever. When occurring on the feet, it starts from ... [Text fragment] to the ankle, resembling braided ropes, hence the name ... [Text fragment] disease. When affecting the Kidney meridian, it prefers the axilla. This is caused by long-term labor generating excessive heat, which is suppressed by damp-cold, causing qi to knot in the tendons. If not treated urgently, chronic ulceration and pus discharge can lead to tendon contraction. If not resolved, persistent heat often leads to Fu Bing (foot swelling/pain), treated primarily with Loulu Tang. After purgation, puncture multiple times with a Feng Zhen (Sharp Needle) to remove bad blood. Use Qi Zhen (Qi Needle) to drain the root. Apply Xiaodou Powder on the nodule until it resolves. Treat using methods for Erysipelas. Also apply Sanwei Gancao San (Three-Ingredient Licorice Powder) for carbuncles (formula missing). If ulcerated, apply ointment/powder as for carbuncles.
E He Bing, ... [Text fragment], and Biao Ju often originate in Lingbiao (Southern regions) and are rare in Zhongtu (Central Plains). Southerners eat diverse foods, leading to varied diseases. Officials traveling there must prevent these illnesses rigorously. Without prevention, one will suffer the toxicity. Wuxiang Tang, Xiaodou San (Hemp Seed Adzuki Bean Powder, see this volume, Carbuncle and Fungus section), and Wu Zhu Yu are key medicines.
Fan Gu Ju (Bone-Attached Abscess) gets its name because it attaches to the bone and suppurates without initial surface rupture (*Waitai Mi Yao* reads "gu"). It prefers large joint spaces. Men and postpartum women prefer ... [Text fragment]. Children often get it on the back. Acute cases in adults begin with pain preventing movement; pressing elicits bone pain. After a day, skin and flesh become tight, swollen, and obese-looking. Children cry loudly when touched near the limb, indicating joint pain. Chronic cases in adults begin with a burning sensation in the muscle. After a day, pain and numbness prevent free movement. Children's limbs cannot move, appearing paralyzed. Examining joint spaces, if there is a burning sensation, it may be Fan Gu Ju. Generalized swelling without ulceration, with bluish-dark discoloration, is often mistaken by adults for Zei Feng (Thief Wind) or Wind Swelling, not recognizing it as Ju (Abscess).
... [Text fragment] Also, sleeping outdoors in summer and autumn exposes one to cold, while wind-heat lingers and knots, causing this disease. Acute cases have more heat than wind; chronic cases have more wind than heat. Children do not know how to avoid wind and cold; why do they get this? Because their blood is abundant and skin tender, wind attacks and causes condensation. Upon initial onset of Fan Gu Ju, take Loulu Tang to purge. Apply Xiaodou San to resolve. Can take Wuxiang Liaoqiao Tang (see this volume, Carbuncle and Fungus section).
Zei Feng (Thief Wind): The person has no sudden fever. After exposure to sudden wind-cold, deep bone/joint pain occurs but rotation is not impaired. Pressing elicits bone pain. Over time, it knots into pain or scrofula. Unlike Fan Gu Ju, which eventually swells and suppurates. Treating Fan Gu Ju as Zei Feng worsens the depth and pus. Treating Zei Feng as Fan Gu Ju exacerbates wind-cold, leading to scrofula, hemiplegia, and contractures. Treatment efficacy depends on accurate differentiation. Only the most skilled physicians can do this. To differentiate: Fan Gu Ju starts with pain before swelling. Zei Feng has pain without heat. Fan Gu Ju has high heat on the surface, alternating chills and fever in the limbs, red urine, constipation, and anhidrosis. Purging reduces heat and opens pores, leading to resolution. Even if not fully resolved, it becomes superficial. Zei Feng causes night pain only. Bones cannot be pressed or rotated. The painful area is not hot, nor does it have alternating chills/fever. The body feels shivery, preferring heat application. Pain slightly relieves. Occasional sweating indicates Zei Feng syndrome. Acupuncture, moxibustion, and hot compresses are suitable. Take ... [Text fragment].
Wind-Heat Toxin conflict causes swelling. Initially, blisters form on the swelling, resembling burns. This is Wind-Heat Toxin. Treat as Erysipelas.
Hong Zhu Chu (Blazing Candle Sore): Sudden blisters on the body, like boiling water splashed. Severe cases cover the head and face, or cause swelling in the chest, ribs, waist, and abdomen. The whole body feels like boiling water burning and blistering. Treat urgently with Loulu Tang to purge. Externally apply Shengma Gao. If ineffective, apply Dan Fang (Erysipelas Formula).
Re Chu (Heat Sore): Starts with white pus and yellow decay. The sore is shallow. Discharging yellow fluid is called Fei Chu (Fatty Sore).
Jin Yin Chu (Oozing Sore): Superficial. Scratching causes spreading and extension. Itching starts like Scabies. Scratching produces fluid, connecting lesions.
... [Text fragment] Chu: Starts like Fei Chu. Prefers hands and feet, often symmetrical. Fluctuates with the moon cycle. Pain, itching, and cracking vary by season.
Chronic abscess sores degenerating into deep Ju: Preferably occurs between the tibia and fibula. Discharges watery foul exudate. Cold prevents healing. Becomes Bone Ju over years, also called ... [Text fragment] Chu. Deeply rotten, dark green/black. Borders are hard. Center discharges pus and blood. Unresponsive to hundred medicines. Healthy tissue around the discharge is swollen and empty. Fragmented bones may排出. Soak in warm Chilong Pi Tang (Dragon Skin Decoction) (Vol 23, Intestinal Abscess). Wash daily in summer, every four days in winter. If granulation tissue is excessive, apply Bai ... [Text fragment] Ru San (White ... Radish Powder) (this volume, Carbuncle section). Remove necrotic tissue, apply every three days until stopped. Then apply Jia Zhushi San (Domestic Pig Manure Powder) (this volume, Carbuncle section) until healed. Burn pig manure to ash, grind to powder, fill the wound. Suck out white discharge, reapply until healed. If green granulation returns, apply Bai ... [Text fragment] Ru San again, then Jia Zhushi San until flat.
For Bone Ju unresponsive to all medicines, moxibustion on the sore sequentially for three days and nights heals it. If it recurs and bone protrudes from the hole, it is named Bone Ju. Take one dead female black chicken, remove meat, keep bones, roast until charred. Scrape wood屑 from ... [Text fragment] trees from three families. ... [Text fragment]
Secret Formula for Biao Ju:
Shéyè (Belamcanda Rhizome), Gancao (Licorice Root), Zhishi (Immature Bitter Orange), Shengma (Cimicifuga Rhizome), Dihuang (Rehmannia Root), Huangqin (Scutellaria Root) (each 8 fen), Shexiang (Musk) (2 fen), Qianhu (Peucedanum Root) (3 fen), Xijiao (Rhinoceros Horn - *Substitute: Buffalo Horn*) (6 fen), Dahuang (Rhubarb Root) (10 fen).
Coarsely crush the above ten ingredients. Boil in 9 sheng of water until reduced to 3 sheng. Add Dahuang, boil once. Strain, add Shexiang. Divide into three doses. Stop when healed. Dosage is flexible (*Waitai Mi Yao* omits Huangqin).
Formula for Biao Ju on hands, feet, shoulders, and back, appearing like rice grains, white, discharging fluid when scraped, recurring after healing:
Huangqi (Astragalus Root) (6 fen), Shengma (Cimicifuga Rhizome) (4 fen), Kuandonghua (Coltsfoot Flower), Fuzi (Prepared Aconite Root), Kushen (Sophora Root) (*Fan Wang Fang* omits), Xiaohoudou (Adzuki Bean) (each 1 fen).
Grind the above six ingredients into powder. Take with wine, one fang cun bi (measure). Gradually increase. Take three times daily.