一问曰∶何为脑花？答曰∶脑为诸阳之首，乃经络之总会也。花者如莲房样，或有数孔，或有十数孔，初起如粟米
大，微疼微痒，三、四日间则作热发疼，其毒亦渐长，无脓红肿，十数日后出脓者，则易治，若不出脓，中间烂如败絮
棉团者，则难治。问曰∶当何以治之？答曰∶初起者以“麻凉膏”敷之，再以“熏洗汤”熏洗之，待脓出尽时，以“解
毒膏”贴之，俟腐肉落尽，方可生肌；如气血盛而脉洪大者，可内服“中九丸”，其毒即可渐退而愈。昔有一妇人生此
疮，
无花如馒头样，红肿无孔，此为脑痈，不可以花法治之，因经他人敷草药过多，致表皮变硬，人皆以无名肿毒治之，故
多不应；余以“化肉膏”贴之，并用针开孔出脓，惟此后脓久不干，又用药线插之方愈。
二问曰∶何为对口花、对口疽、对口疔？答曰∶花者眼多；疽者顶平；疔者顶尖多痒。又问曰∶三者何以治之？答
曰∶名虽不同，其治则一。头者经络之径路，前有口舌相干，不可言易，先须认清五善、七恶，治疗方有把握。如在十
余日间有脓者，则易治，如不成脓，如一包败絮者，则难治。治法可内服“中九丸”，外敷“麻凉膏”，再用熏洗之
法，自易痊愈；如有管者，当用药线取之，然后再以生肌药敛口。
三问曰∶何为背花？答曰∶背花者其毒极重，脏腑皆系于背，故背心生毒，要有脓出方为顺症，烂肉落尽知痛者，
方好治。若初起如粟米大，兼有脓头者，不拘老幼，即灸艾火十余壮，其毒即出。此种病候，丸药取效者多，汤剂见效
者少。患此症者，须饮食、二便如常，有脓，周遭没有乌肉，兼知痛痒，方为善症。治法则一，可内服“中九丸”，外
用“化肉膏”化去腐肉，自易痊愈。
四问曰∶疔毒起于何经？答曰∶起于心经，乃极热恶症。发于六腑者易治，发于五脏者难治，不痛不痒，周遭乌黑
者难治。疔有三十六种，外有五种不测之症，或食牛羊犬马，或饮酒毒物而生，初起不疼不痒，或出水，或翻花，或无
头，不作脓，如冬瓜皮样，或头白，或乌黑，通走九窍，眼耳鼻口舌骨里，有生脓血，由头面传于咽喉者必死。且
疔生二、三日，必有外征确候，生于头面者，将走黄时，咽喉必痛；生于手足者，将走黄时，腋下必有疙瘩，其疔之附
近，亦必有红线内攻，与他疮殊异。凡初起时，如粟米大作痒，搔之不疼，未老先白头，三、四日后潮热寒战， 硬如
疔，或者出水，或者作疼，五、六日作紫青色，可内服“疔毒复生汤”（银花、生栀、骨皮、大力、木通、连翘、川
军、花粉、公英、菊花、乳香、没药，水煎服），外以针刺红线出血，涂以旱菸油，再以鲜马齿苋、鲜柏叶、明矾、鸡子
清，捣烂涂疔。诀云“治疔先刺血”是也。如手脚生疔，疼痛难忍者，以热香油洗之，再以虾蟆皮贴之。又有一种麻子
疔者，此起彼伏，连绵不已，是为恶症，可用“太岁墨”内服、外敷，可以化险为夷。
疔疮形象歌
初起如粟痒微生，未老白头痛渐增，一烧二热寒战起，三四发 硬如钉，破皮出水疼
痛少，五朝红紫六日青，人若犯此无脓症，先定吉凶办前程。
五问曰∶鬓疽、鬓漏、耳门痈，三者何辨？答曰∶疽者生于鬓毛间，状如疖子；平头
起者为痈，疼痛非常，或远年不收口者为鬓漏。初起者，先以“太岁墨”涂之，继服“金
蚣丸”，再服“中九丸”自愈。耳门痈者，生于耳门之间，三者虽然不同，而治法则一，相症施治，不可拘泥。
六问曰∶何为痰核、瘰 ？答曰∶痰核仅一、二相连；瘰 则重台、子母，三、五不
等，或有十余枚成串者。毒痰毒血，只有二大原因，俱以行痰、顺气、软坚、开郁之法治
之。凡症初起，或用海藻、昆布、螵蛸、海带等药生效者有之，或用斑蝥、全蝎等物攻下
者有之，或有用草药内服、外敷者有之。如用此数法均不生效时，硬者自以内消为上，未
穿溃者则用“化肉膏”敷贴，以药线落子，七日见功；如浮肿不消者，可用“金蚣丸”、
“中九丸”同服，“紫霞膏”亦有奇效。更有马刀 ，坚硬如石，多在耳前、耳后，缺
盆、颊车等处，坚而不溃，平而不尖，赤色如火烧烙，极痛难忍，急以“金蚣”、“中
九”二丸服之，如不生效，则无方可治。痰核则子午潮烧，是为痨病，亦多难治。
七问曰∶何为项下桃、担肩瘤、窜胁痈？答曰∶毒生于颚下者名项下桃；生于肩井上
者名担肩瘤；生于胁下者为窜胁痈。治法无二，可照前方选用。
八问曰∶何为暗门闩？答曰；生于耳根下对喉处，如门之有闩，故曰暗门闩。其治法与痈疽同。
九问曰∶何为乳痈、乳岩、乳花？答曰∶乳痈初起，红肿痛甚，或六、七日成脓，或
十余日成脓，或因有孕而内吹之，或因乳子而外吹之，皆为此病根源。初起可用蒲公英同
酒糟捣敷之，或以白头翁叶同酒糟捣敷之，或用马前子去皮毛，香油炸透研末，黄酒冲服
一分亦可，见汗即愈。乳岩则因七情气郁而成，初起形如豆大，至四、五年时，乃渐大如
弹子，或十余年方始发作，其硬如石，溃则状如山岩，故名乳岩。治法服“金蚣丸”、
“中九丸”后而生脓者，则为可治之症，若年久溃而不敛者难治。尤忌开刀，可令人血出
不止。倘有五善而无七恶者，尚属可治，否则百无一生。乳花者状如背花，眼多肉绽，治
法亦同。若三症毒未成脓者，俱可用内服仙方活命饮（山甲钱半，草节钱半，防风七分，
归尾一钱，陈皮七钱，银花二钱，乳香一钱，没药一钱，花粉一钱，贝母七分，白芷梢七
钱，头剂用生军二钱，酒煎服，二剂则去大黄），或“神效栝蒌散”及“连翘金贝散”等，亦可痊愈。
十问曰∶对心漏、对心痈，何以治之？答曰∶照前痈疽、漏疮、窜胁痈等法治之，或
可获万一生望，因此属于绝症也。
十一问曰∶何为上肚角、下肚角，鱼口、便毒，及阴疳、斗精疮？答曰∶上肚角平
脐，去脐四指；下肚角去前阴上三指，胯眼上二指；鱼口在胯眼，其形长；便毒同部位，
其形圆，与前诸症同一治法。鱼口便毒初起用“通圣散”，加蜈蚣去头足三分，清油炙过，
全蝎去头尾，洗去盐，三分，山甲五分炒，僵蚕五分炒，制乳香五分，制没药五分，此六
味共研细末，冲入煎药中服之，其毒即下，若年远日久者，则不必服此药，可照前法治之。
阴疳与蜡烛花不同，阴疳或破皮，或作痒，或疼痛，或皮烂；蜡烛花则必先有一小子，或
作痒，或作疼，渐烂开，出脓水，周遭渐大，长成肉球，其阴茎则烂而开花。治法先用
“化肉膏”化去肉球，再用广锡二钱，水银一钱，于铁勺中熔化搅匀后，倾出冷定，研为
细末，与天然散三钱和匀，干掺患处，内服“中九丸”。若烂至阴，则成斗精疮时，有如
黄油或如肉之物斗出，乃淫精风火湿热所出，可用“天然散”，加轻粉二钱，制儿茶一分，
石膏一分，制铜绿一分，醋煮石青一分，共研细末，有水则干掺，无水则用公猪胆汁调
搽，内服“中九丸”，即可渐痊。
十二问曰∶卵 、卵痈、卵花、卵漏，何以辨别？答曰∶卵者睾丸也，俗名卵子，如
肿而成脓，必要针开。卵痈者皮红肿大，毒在皮上。卵花者在肿处溃七、八眼，厥状如
花。卵漏者内穿一、二眼，出清脓黄水，日久不干。此皆湿热下坠膀胱，或者酒色过度而
成，此毒甚有卵子裂破而人不死者，亦有因患梅毒，其毒未尽而发此症者。治法外以紫苏
叶包之，并干掺“天然散”加赤石脂，内服“中九丸”。其余一切卵症，均可照此治法。
十三问曰∶附骨 、附骨痈、附骨疽、附骨漏，何以分别？答曰∶毒在胯尖上，不红
肿，有时而胯上作痛，有时而胯下作痛，时上时下，时好时歹，如胫骨样，至于时久而痛
在一处，皮肤如故，按之则疼痛，而现形不测，此为附骨疽也。治法内服“中九丸”，外
以“化肉膏”贴之，脓成者则针之。附骨 、附骨痈，则必先潮热，或乍寒乍热，先则骨
肉作疼，继则皮上红肿而硬，亦有因伤寒后而成此毒者，名为汗后脱遗，痛不可忍。治法
外以“麻凉膏”贴敷，内服“中九丸”。至于附骨漏者，必先因患痈疽 时，久不收口，
风邪内侵，兼之病者求功太急，致腐肉未化，毒出未尽，因之时久成茧成漏，脓水不干。
治法必须取出多骨，化茧去腐，后上“天然散”，服“中九丸”，方可痊愈。他如汗后脱
遗，在未穿溃时，亦有用蜡、醋调陈米粉敷之而愈者。
十四问曰∶鹤膝风、鹤膝痈、人面疮、 疮，何以别之？答曰∶鹤膝风者膝关节常常疼痛，时久后则膝头肿大，如
鹤之膝，故名鹤膝。治法内服止痛药；外用牛皮胶蒸化，入生姜汁调和成膏贴之。鹤膝痈以红肿痛者为佳，若不红、不
肿、不痛，且不作脓者，便不可治；若现出头来，终成绝症。人面疮者，膝上生一肉瘤，如人面样，耳目口鼻毕具，患
此症者，百难一痊。治法但以川贝一味研末敷之，是否能愈，姑尽人事。 疮者生在 儿骨上，或因外面跌破皮肉，受
风作痒，搔抓而成，或因疳毒愈后复发而成，或因风热、湿毒未尽驱除而成。治法若不痒者，以“紫霞膏”贴之，内服
“中九丸”，或用轻粉五分，生猪板油二两，同新蒸出之馒头皮共捣，涂之亦妙。
十五问曰∶裙边疮、蹭 、踝花、鹅掌疔、鹅掌风、牛皮癣，何以别之？答曰∶裙边
疮妇人多有之，因搔抓破皮，肌肉溃烂，年深日久，风湿热交炽，或因香港脚而血脉不行，
致成此症，其疮大多难治。盖足为诸阴之所会，肌肉浅薄，气血难到，故治疗不能速愈，
可用“紫霞膏”或“白玉膏”贴之，兼用熏洗等法，一方用好醋二碗，入土罐内，将白蜡
树叶不拘多少，入罐同煮，俟煮至一碗时，再入轻粉二钱，稍煮之后，用蜡叶贴之即愈。
蹭生于脚蹭上，穿头出脓者易治，如穿头后，日久年深，不能收口者难治，当以药线治
之。踝花生于螺蛳骨上，有眼出脓，须用药线夺下方好，若眼多而七恶有一、二见者，多
不可救。鹅掌疔生于脚板心，其状如瘤，出水流脓，若日久不收口者，当用药线落瘤，并
去败物，方可生肌。鹅掌风系生过杨梅毒疮，服药过急，收毒入内，不能发出，故发生此
疮，可内服“中九丸”，外用桐油搽之，兼用黑牛粪烧烟熏之，即可痊愈。牛皮癣生于颈
项及腰腕、胯腿之间，皆由风热之毒中于肌肤，必用银针外刺截住，以川槿皮磨醋搽之，
内服“中九丸”，或用烟硫、石青、生巴豆、川槿皮、锅烈搽之，无不愈者。
十六问曰∶何为痔漏？答曰∶痔生于肛门弦上，如榴子样者为痔，有眼孔而出脓水者
为漏。痔有二十四种，名虽不同，根源皆为湿热下注，或酒色劳碌所伤而成。少年发者极
少，至四五十岁时发者甚多。治法若痔上有眼者，以药线插之，其绵管即落，外用“天然
散”加赤石脂搽之，“生肌膏”盖之，再加银翠、石青更妙。若是血痔，可内服“中九
丸”，若是通肠痔漏，则先用三丫草（即牛蒡子草）透入肠内，然后插入药线，自能渐愈。
十七问曰∶口内有虫疳、热疳、走马牙疳等症，何以别之？答曰∶虫疳者是肉内有
虫，逞及傍骨，烂出肉如败絮是也。走马牙疳者口唇俱肿，外是好皮，内肉腐烂，鼻梁俱
脱，鼻腐烂如柑子皮是也，甚则眼耳口鼻，俱不可救，用醋洗去烂肉见血者，十有一、二
可治。治法用锅烈、铜绿、天然散各二分，药线末一分半，烟硫二厘，冰片三厘，共和匀
撒之，内服“中九丸”。此症如烂去皮肉，出水出脓者好治；如烂来像肝子样，又无脓血
者，则不可治。热疳则不过牙龈出血，洗搽之法，俱与上同，或以人中白 过，同白颈蚯
蚓、白砒（枣肉烧过）研末，搽之亦佳。
十八问曰∶何为鹅口疮？答曰∶满口舌上俱是白皮，口内流涎是也。治法以黄连、干
姜、炒蒲黄各等分，为末搽之，出涎即愈。
又喉中有暗门闩是为喉痈，傍咽舌两边有两个肉瘤，如有眼，即以药线插入眼内落
瘤，吹药生肌敛口。又有牙眶骨上生痰痈，坚硬如石，发作时牙眶肿胀，歪在一边，可用
披针开眼，上入药线，此为恶症，十中难愈一、二，此症前未详及，故重言之。
一问：什么是脑花？回答：脑是诸阳经的汇聚之处，也是经络的总汇。所谓“花”，形状像莲房，有的有几个孔，有的有十几个孔。初起时像粟米大小，微痛微痒，三、四天后开始发热疼痛，毒势逐渐增长。如果没有脓液而红肿，十几天后出脓的，容易治疗；如果不出脓，中间腐烂像败絮棉团一样的，则难治疗。问：应当如何治疗？回答：初起时用“麻凉膏”外敷，再用“熏洗汤”熏洗，待脓液排尽后，用“解毒膏”贴敷，等到腐肉脱落干净，才可以生肌长肉；如果气血旺盛且脉象洪大的，可以内服“中九丸”，毒势即可逐渐消退而痊愈。过去有一位妇女长了这种疮，没有孔眼，像馒头一样，红肿无孔，这是脑痈，不能用治“花”的方法处理，因为经过他人敷用草药过多，导致表皮变硬，人们都把它当作无名肿毒来治，所以大多无效；我用“化肉膏”贴敷，并用针挑开孔洞排出脓液，只是后来脓水久久不干，又用药线插入引流才痊愈。
二问：什么是对口花、对口疽、对口疔？回答：“花”的特点是孔眼多；“疽”的特点是顶部平坦；“疔”的特点是顶部尖锐且多痒。又问：这三者如何治疗？回答：名称虽然不同，但治疗原则一致。头面部是经络的路径，前面与口舌相连，不可轻视，必须先认清五善七恶（判断预后的标准），治疗才有把握。如果在十几天内有脓形成的，就容易治疗；如果不形成脓液，像一包败絮一样的，就难治疗。治疗方法可内服“中九丸”，外敷“麻凉膏”，再用熏洗法，自然容易痊愈；如果有窦道（管状空洞），当用药线取出异物或引流，然后再用生肌药收敛伤口。
三问：什么是背花？回答：背花的毒势极重，脏腑都系连于背部，所以背部中心生毒，要有脓液排出才是顺症，腐肉落尽且感到疼痛的，才好治疗。如果初起像粟米大小，兼有脓头的，不论老少，立即灸艾火十余壮，毒势即可外出。这种病候，用丸药取效的多，用汤剂见效的少。患此症的人，必须饮食、大小便正常，有脓，周围没有黑肉，且知痛痒，这才是善症。治疗法则相同，可内服“中九丸”，外用“化肉膏”化解腐肉，自然容易痊愈。
四问：疔毒起源于哪条经脉？回答：起源于心经，是极热恶性的病症。发于六腑的容易治疗，发于五脏的难治疗，不痛不痒、周围乌黑的难治疗。疔有三十六种，外部有五种不可预测的病症，或因食用牛羊犬马肉，或因饮酒中毒而生。初起时不疼不痒，或出水，或翻花，或无头，不作脓，像冬瓜皮样，或头白，或乌黑，毒气通走九窍，在眼耳鼻口舌骨里生出脓血，由头面传于咽喉的必死。而且疔疮生二、三天，必有外在征象确切的候诊表现，生于头面的，将要发生“走黄”（毒邪内陷）时，咽喉必定疼痛；生于手足的，将要发生走黄时，腋下必定有疙瘩，疔疮附近也必定有红线向内攻窜，与其他疮疡不同。凡初起时，像粟米大并伴有瘙痒，搔抓不疼，未成熟先白头，三、四日后出现潮热寒战，坚硬如钉，或者出水，或者作痛，五、六日变成紫青色，可内服“疔毒复生汤”（金银花、生栀子、地骨皮、牛大力、木通、连翘、大黄、天花粉、蒲公英、菊花、乳香、没药，水煎服），外以针刺红线出血，涂以旱烟油，再用鲜马齿苋、鲜柏叶、明矾、鸡蛋清，捣烂涂于疔疮上。口诀说“治疔先刺血”就是这个道理。如果手脚生疔，疼痛难忍的，用热香油清洗，再以蛤蟆皮贴敷。又有一种麻子疔，此起彼伏，连绵不断，这是恶症，可用“太岁墨”内服、外敷，可以化险为夷。
疔疮形象歌诀：
初起像粟米微痒，未成熟先白头头痛渐增，一烧二热寒战起，三四天发硬如钉，破皮出水疼痛少，第五天红紫第六天青，人若犯此无脓症，先定吉凶办前程。
五问：鬓疽、鬓漏、耳门痈，三者如何辨别？回答：疽生于鬓毛之间，形状像疖子；平头突起的是痈，疼痛非常剧烈；或多年不愈合收口的是鬓漏。初起时，先用“太岁墨”涂抹，继服“金蚣丸”，再服“中九丸”即可自愈。耳门痈生于耳门之间，三者虽然不同，但治疗法则一致，根据症状施治，不可拘泥。
六问：什么是痰核、瘰疬？回答：痰核仅有一两个相连；瘰疬则呈重台、子母状，三五个不等，或有十余枚成串者。毒痰毒血，只有两大原因，都以行痰、顺气、软坚、开郁的方法治疗。凡是病症初起，有用海藻、昆布、海螵蛸、海带等药生效的，有用斑蝥、全蝎等物攻下的，有用草药内服、外敷的。如果使用这几法均不生效时，硬的以内消为上策，未穿溃的用“化肉膏”敷贴，用药线剔除结节，七日见效；如果浮肿不消，可用“金蚣丸”、“中九丸”同服，“紫霞膏”也有奇效。更有马刀瘿，坚硬如石，多在耳前、耳后、缺盆、颊车等处，坚硬不溃，平而不尖，赤色如火烧烙，极痛难忍，急服“金蚣”、“中九”二丸，如果不生效，则无方可治。痰核则伴有午时和子时的潮热，属于痨病，也多难治。
七问：什么是项下桃、担肩瘤、窜胁痈？回答：毒生于颚下者名叫项下桃；生于肩井穴上方者名叫担肩瘤；生于胁下者为窜胁痈。治疗方法没有两样，可照前面的方子选用。
八问：什么是暗门闩？回答：生于耳根下对着喉咙的地方，像门上有闩，所以叫暗门闩。其治疗方法与痈疽相同。
九问：什么是乳痈、乳岩、乳花？回答：乳痈初起时，红肿疼痛剧烈，或六、七天成脓，或十几天成脓，或因怀孕而内吹（胎气影响），或因哺乳而外吹（乳汁淤积），都是此病的根源。初起可用蒲公英同酒糟捣碎敷之，或以白头翁叶同酒糟捣碎敷之，或用马钱子去皮毛，用香油炸透研末，黄酒冲服一分也可以，见汗即愈。乳岩则是因七情气郁而成，初起形状像豆子大，到四、五年时，才逐渐大如弹子，或十几年才发作，其硬如石头，溃烂后形状如山岩，所以名叫乳岩。治疗方法服用“金蚣丸”、“中九丸”后生脓的，则为可治之症，若年久溃烂而不愈合的难治。尤其忌讳动刀手术，可导致血流不止。如果有五善而无七恶的，尚属可治，否则百无一救。乳花形状像背花，孔眼多肉绽开，治疗方法也相同。如果这三种病症毒未成脓的，都可以内服仙方活命饮（穿山甲一钱半，甘草节一钱半，防风七分，当归尾一钱，陈皮七钱，金银花二钱，乳香一钱，没药一钱，天花粉一钱，贝母七分，白芷梢七钱，第一剂用生大黄二钱，酒煎服，第二剂则去掉大黄），或“神效栝蒌散”及“连翘金贝散”等，也可痊愈。
十问：对心漏、对心痈，如何治疗？回答：照前面痈疽、漏疮、窜胁痈等方法治疗，或许能获万分之一生的希望，因为这属于绝症。
十一问：什么是上肚角、下肚角，鱼口、便毒，及阴疳、斗精疮？回答：上肚角平脐，距离肚脐四指宽；下肚角距离前阴上三指，胯眼上二指；鱼口在胯眼处，形状长；便毒部位相同，形状圆，与前几种症状同一治法。鱼口便毒初起用“通圣散”，加蜈蚣去头足三分，清油炸过，全蝎去头尾，洗去盐分三分，穿山甲五分炒，僵蚕五分炒，制乳香五分，制没药五分，这六味共研细末，冲入煎好的药中服用，毒势即下，若年久日久的，则不必服此药，可照前法治之。阴疳与蜡烛花不同，阴疳或破皮，或作痒，或疼痛，或皮烂；蜡烛花则必先有一个小疙瘩，或作痒，或作疼，逐渐烂开，出脓水，周围逐渐变大，长成肉球，其阴茎则烂而开花。治疗方法先用“化肉膏”化去肉球，再用广锡二钱，水银一钱，在铁勺中熔化搅匀后，倒出冷却定型，研为细末，与天然散三钱和匀，干撒患处，内服“中九丸”。若烂至阴部，则成斗精疮时，有如黄油或如肉之物突出，乃淫精风火湿热所出，可用“天然散”，加轻粉二钱，制儿茶一分，石膏一分，制铜绿一分，醋煮石青一分，共研细末，有水则干撒，无水则用公猪胆汁调搽，内服“中九丸”，即可逐渐痊愈。
十二问：卵疝、卵痈、卵花、卵漏，如何辨别？回答：卵是指睾丸，俗名卵子，如果肿胀而成脓，必要针开。卵痈者皮肤红肿大，毒在皮上。卵花在肿胀处溃烂七、八个孔，形状如花。卵漏者内部穿通一、二个孔，流出清脓黄水，日久不干。这都是湿热下注膀胱，或者酒色过度而成，这种毒甚至有导致卵子裂破而人不死的，也有因患梅毒，毒未尽而发此症的。治疗方法外以紫苏叶包裹，并干撒“天然散”加赤石脂，内服“中九丸”。其余一切卵部病症，均可照此治法。
十三问：附骨疳、附骨痈、附骨疽、附骨漏，如何分别？回答：毒在胯尖上，不红肿，有时胯上作痛，有时胯下作痛，时上时下，时好时坏，像胫骨样，至于时间久了痛在一处，皮肤如故，按之则疼痛，而现形不测，此为附骨疽也。治疗方法内服“中九丸”，外以“化肉膏”贴之，脓成的则针之。附骨疳、附骨痈，则必先潮热，或乍寒乍热，先则骨肉作疼，继则皮上红肿而硬，也有因伤寒后而成此毒的，名为汗后脱遗，痛不可忍。治疗方法外以“麻凉膏”贴敷，内服“中九丸”。至于附骨漏者，必先因患痈疽时，久不收口，风邪内侵，兼之病人求功太急，致腐肉未化，毒出未尽，因此时间久了成茧成漏，脓水不干。治疗方法必须取出多骨，化茧去腐，后上“天然散”，服“中九丸”，方可痊愈。其他如汗后脱遗，在未穿溃时，也有用蜡、醋调陈米粉敷之而愈的。
十四问：鹤膝风、鹤膝痈、人面疮、 疮，如何辨别？回答：鹤膝风者膝关节常常疼痛，时间久了则膝头肿大，像鹤的膝盖，所以名叫鹤膝。治疗方法内服止痛药；外用牛皮胶蒸化，入生姜汁调和成膏贴之。鹤膝痈以红肿痛者为佳，若不红、不肿、不痛，且不作脓的，便不可治；若现出头来，终成绝症。人面疮者，膝上生一肉瘤，像人面样，耳目口鼻毕具，患此症的人，百难一痊。治疗方法但以川贝一味研末敷之，是否能愈，姑尽人事。 疮者生在 儿骨上，或因外面跌破皮肉，受风作痒，搔抓而成，或因疳毒愈后复发而成，或因风热、湿毒未尽驱除而成。治疗方法若不痒的，以“紫霞膏”贴之，内服“中九丸”，或用轻粉五分，生猪板油二两，同新蒸出之馒头皮共捣，涂之亦妙。
十五问：裙边疮、蹭 、踝花、鹅掌疔、鹅掌风、牛皮癣，如何辨别？回答：裙边疮妇人多有之，因搔抓破皮，肌肉溃烂，年深日久，风湿热交炽，或因香港脚而血脉不行，致成此症，其疮大多难治。盖足为诸阴之所会，肌肉浅薄，气血难到，故治疗不能速愈，可用“紫霞膏”或“白玉膏”贴之，兼用熏洗等法，一方用好醋二碗，入土罐内，将白蜡树叶不拘多少，入罐同煮，俟煮至一碗时，再入轻粉二钱，稍煮之后，用蜡叶贴之即愈。蹭生于脚蹭上，穿头出脓者易治，如穿头后，日久年深，不能收口者难治，当以药线治之。踝花生于螺蛳骨上，有眼出脓，须用药线夺下方好，若眼多而七恶有一、二见的，多不可救。鹅掌疔生于脚板心，其状如瘤，出水流脓，若日久不收口的，当用药线落瘤，并去败物，方可生肌。鹅掌风系生过杨梅毒疮，服药过急，收毒入内，不能发出，故发生此疮，可内服“中九丸”，外用桐油搽之，兼用黑牛粪烧烟熏之，即可痊愈。牛皮癣生于颈项及腰腕、胯腿之间，皆由风热之毒中于肌肤，必用银针外刺截住，以川槿皮磨醋搽之，内服“中九丸”，或用烟硫、石青、生巴豆、川槿皮、锅烈搽之，无不愈者。
十六问：什么是痔漏？回答：痔生于肛门弦上，像榴子样的是痔，有眼孔而出脓水的是漏。痔有二十四种，名称虽然不同，根源皆为湿热下注，或酒色劳碌所伤而成。少年发的极少，到四五十岁时发的很多。治疗方法若痔上有眼的，以药线插之，其绵管即落，外用“天然散”加赤石脂搽之，“生肌膏”盖之，再加银翠、石青更妙。若是血痔，可内服“中九丸”，若是通肠痔漏，则先用三丫草（即牛蒡子草）透入肠内，然后插入药线，自能渐愈。
十七问：口内有虫疳、热疳、走马牙疳等症，如何辨别？回答：虫疳是肉内有虫，蔓延及傍骨，烂出肉如败絮是也。走马牙疳者口唇俱肿，外是好皮，内肉腐烂，鼻梁俱脱，鼻腐烂如柑子皮是也，甚则眼耳口鼻，俱不可救，用醋洗去烂肉见血者的，十有一、二可治。治疗方法用锅烈、铜绿、天然散各二分，药线末一分半，烟硫二厘，冰片三厘，共和匀撒之，内服“中九丸”。此症如烂去皮肉，出水出脓的好治；如烂来像肝子样，又无脓血的，则不可治。热疳则不过牙龈出血，洗搽之法，俱与上同，或以人中白煅过，同白颈蚯蚓、白砒（枣肉烧过）研末，搽之亦佳。
十八问：什么是鹅口疮？回答：满口舌上俱是白皮，口内流涎是也。治疗方法以黄连、干姜、炒蒲黄各等分，为末搽之，出涎即愈。
另外喉中有暗门闩是为喉痈，傍咽舌两边有两个肉瘤，如有眼，即以药线插入眼内落瘤，吹药生肌敛口。又有牙眶骨上生痰痈，坚硬如石，发作时牙眶肿胀，歪在一边，可用披针开眼，上入药线，此为恶症，十中难愈一、二，此症前未详及，故重言之。
Question 1: What is "Nao Hua" (Brain Flower)? Answer: The brain is the head of all Yang meridians and the convergence of all collaterals. "Hua" resembles a lotus pod, with several or dozens of pores. Initially, it is as large as a millet grain, with slight pain and itching. After three to four days, heat and pain develop, and the pathogenic toxin gradually intensifies. If there is redness and swelling without pus for ten-plus days, followed by pus discharge, it is easy to treat. If no pus forms and the center rots like cotton waste, it is difficult to treat. Question: How should it be treated? Answer: At the onset, apply "Maliang Gao" (Cooling Hemp Paste) externally, then fumigate and wash with "Xunxi Tang" (Fumigation and Washing Decoction). When pus is fully discharged, apply "Jiedu Gao" (Detoxifying Paste). Only after all necrotic tissue falls off can muscle regeneration begin. If Qi and Blood are robust and the pulse is surging, internally administer "Zhongjiu Wan" (Nine-Step Pill), allowing the toxin to gradually recede and heal. In the past, a woman developed this sore without pores, resembling a steamed bun, with redness and swelling but no holes; this was "Nao Yong" (Brain Abscess), which cannot be treated using methods for "Hua". Due to excessive application of herbal remedies by others, the epidermis became hard, and it was misdiagnosed as an unnamed swelling-toxin, leading to treatment failure. I applied "Huaron Gao" (Flesh-Dissolving Paste) and punctured it with a needle to drain pus. However, the pus did not dry up for a long time; only after inserting medicinal threads for drainage did it heal.
Question 2: What are "Duikou Hua" (Opposite-Mouth Flower), "Duikou Ju" (Opposite-Mouth Carbuncle), and "Duikou Ding" (Opposite-Mouth Spore)? Answer: "Hua" is characterized by multiple pores; "Ju" has a flat top; "Ding" has a sharp tip and is often itchy. Question: How are these three treated? Answer: Although named differently, their treatment principles are identical. The head is a pathway for meridians, connected anteriorly to the mouth and tongue, so it must not be taken lightly. One must first clearly identify the Five Good Signs and Seven Bad Signs (prognostic indicators) to ensure successful treatment. If pus forms within ten-plus days, it is easy to treat; if no pus forms and it resembles a packet of cotton waste, it is difficult to treat. Treatment involves internally administering "Zhongjiu Wan", externally applying "Maliang Gao", and using fumigation and washing methods, leading to natural recovery. If sinus tracts (tubes) are present, medicinal threads should be used to extract them, followed by muscle-regenerating medicines to close the wound.
Question 3: What is "Bei Hua" (Back Flower)? Answer: The toxicity of Bei Hua is extremely severe, as the Zang-Fu organs are connected to the back. Therefore, toxicity arising in the center of the back requires pus discharge to be considered a favorable condition (Shun Zheng). It is treatable only when necrotic tissue falls off completely and pain is felt. If it starts like a millet grain with a pus head, regardless of age, moxibustion with over ten moxa cones should be applied immediately to expel the toxin. For this condition, pills are more effective than decoctions. Patients must have normal diet and bowel/bladder functions, have pus, no blackened surrounding flesh, and feel pain/itching to be classified as having good signs. The treatment principle is consistent: internally take "Zhongjiu Wan", externally use "Huaron Gao" to dissolve necrotic tissue, ensuring easy recovery.
Question 4: Which meridian does "Ding Du" (Spore Toxin) originate from? Answer: It originates from the Heart Meridian and is an extremely hot, malignant condition. Those developing in the Six Fu Organs are easy to treat; those in the Five Zang Organs are difficult. Those that are painless, non-itchy, and surrounded by blackness are difficult to treat. There are thirty-six types of Ding, plus five unpredictable external types, caused by eating beef, mutton, dog, or horse meat, or drinking toxic substances. Initially painless and non-itchy, it may produce fluid, flower-like protrusions, or have no head and fail to form pus, resembling winter melon skin, with white or black heads. The toxin travels through the nine orifices, generating pus and blood in the eyes, ears, nose, mouth, tongue, and bones. Transmission from the head/face to the throat is fatal. Within two to three days of onset, specific external signs appear: for those on the head/face, throat pain indicates impending "Zou Huang" (spreading toxin/internal collapse); for those on hands/feet, lumps in the armpits and red lines attacking inward near the lesion indicate impending Zou Huang, distinct from other sores. Initially, like a millet grain with itching but no pain upon scratching, turning white before maturity, with tidal fever and chills after three to four days, hardness like a nail, fluid discharge, or pain, turning purple-blue on days five to six. Internally administer "Dingdu Fusheng Tang" (Honeysuckle, Gardenia, Tree Bark, Niu Dalì, Akebia, Forsythia, Rhubarb, Trichosanthes Root, Dandelion, Chrysanthemum, Frankincense, Myrrh, water decoction). Externally prick the red line to bleed, apply tobacco oil, then apply a paste of fresh Purslane, fresh Cypress leaves, Alum, and Egg White. As the saying goes, "Treat Ding by pricking blood first." For painful Ding on hands/feet, wash with hot sesame oil and apply Toad Skin. Another type, "Mazi Ding" (Hemp Seed Ding), rises and falls continuously, indicating a malignant condition; treat with "Taishui Mo" (Tai Sui Ink) internally and externally to turn danger into safety.
Song of Ding Appearance:
Initially like millet with slight itch, white head appears before maturity with increasing headache;
First burn, second heat, chills arise; by day three-four, hardens like a nail;
Skin breaks, fluid flows, pain decreases; day five red-purple, day six blue-green;
If one contracts this non-pus-forming condition, determine fortune or doom beforehand.
Question 5: How to distinguish "Bin Ju" (Temple Carbuncle), "Bin Lou" (Temple Sinus), and "Ermen Yong" (Ear Gate Abscess)? Answer: Ju arises between temple hairs, resembling a boil; Yong has a flat, raised head and extreme pain; Bin Lou fails to heal for many years. At onset, apply "Taishui Mo", then take "Jingong Wan" (Golden Centipede Pill) and "Zhongjiu Wan" for self-healing. Ermen Yong arises between the ear gates. Although different, their treatment principles are the same; treat according to symptoms without rigidity.
Question 6: What are "Tan He" (Phlegm Nodule) and "Luo Li" (Scrofula)? Answer: Tan He consists of only one or two connected nodules; Luo Li presents in tiers or mother-child clusters, varying from three to five or even ten-plus in a string. Toxic phlegm and blood toxins stem from two main causes, treated by resolving phlegm, regulating Qi, softening hardness, and relieving depression. Early stage treatments include herbs like Seaweed, Kelp, Cuttlebone, or aggressive agents like Blister Beetle and Scorpion, or herbal decoctions/pastes. If these fail, internal resolution is best for hard nodules; for unbroken ones, apply "Huaron Gao" and use medicinal threads to remove nodules, showing results in seven days. For persistent edema, combine "Jingong Wan" and "Zhongjiu Wan"; "Zixia Gao" is also effective. "Madao Ying" (Knife-shaped Goiter) is stone-hard, located pre/post-auricularly or at Quepen/Jiache, flat, red-hot, and excruciatingly painful. Urgently take "Jingong" and "Zhongjiu" pills; if ineffective, no cure exists. Tan He accompanied by tidal fever at Wu and Zi hours indicates Tuberculosis (Lao Bing), which is also difficult to treat.
Question 7: What are "Xiangxia Tao" (Under-Chin Peach), "Dan Jian Liu" (Shoulder-Carrying Tumor), and "Cuan Xie Yong" (Flank-Attacking Abscess)? Answer: Toxin under the chin is Xiangxia Tao; toxin above Jianjing point is Dan Jian Liu; toxin under the flank is Cuan Xie Yong. Treatment is uniform; refer to previous prescriptions.
Question 8: What is "An Men Shuan" (Hidden Door Bolt)? Answer: Arising below the ear root opposite the throat, resembling a door bolt, hence the name. Treatment is the same as for abscesses and carbuncles.
Question 9: What are "Ru Yong" (Breast Abscess), "Ru Yan" (Breast Rock/Cancer), and "Ru Hua" (Breast Flower)? Answer: Ru Yong begins with severe redness, swelling, and pain, forming pus in six-seven or ten-plus days. Causes include pregnancy ("Nei Chui") or breastfeeding ("Wai Chui"). Treat early with Dandelion or Pulsatilla leaf pounded with wine lees, or powdered Strychnos seed fried in sesame oil taken with yellow wine (induces sweating for cure). Ru Yan results from emotional stagnation, starting bean-sized, growing to marble-sized over four-five years or decades, becoming stone-hard. Ulceration resembles rock cliffs. If pus forms after taking "Jingong Wan" and "Zhongjiu Wan", it is treatable; chronic non-healing ulcers are difficult. Surgery is strictly forbidden due to hemorrhage risk. Presence of Five Good Signs without Seven Bad Signs indicates treatability; otherwise, mortality is high. Ru Hua resembles Back Flower with fleshy protrusions; treatment is similar. For un-ulcerated cases of all three, internally administer "Xianfang Huoming Yin" (Panax Notoginseng, Licorice Node, Saposhnikovia, Angelica Tail, Tangerine Peel, Honeysuckle, Frankincense, Myrrh, Trichosanthes Root, Fritillaria, Angelica Dahurica, Rhubarb in first dose, removed in second, wine-decocted), "Shenxiao Gualou San", or "Lianqiao Jinbei San" for recovery.
Question 10: How to treat "Duixin Lou" (Heart-Opposing Sinus) and "Duixin Yong" (Heart-Opposing Abscess)? Answer: Follow previous treatments for abscesses, sinuses, and flank attacks. Survival chances are minimal as these are terminal conditions.
Question 11: What are "Shang Du Jiao" (Upper Belly Corner), "Xia Du Jiao" (Lower Belly Corner), "Yu Kou" (Fish Mouth), "Bian Du" (Urine Toxin), "Yin Gan" (Genital Chancre), and "Dou Jing Chuang" (Semen-Battling Sore)? Answer: Shang Du Jiao is level with the navel, four fingers away; Xia Du Jiao is three fingers above the genitals, two fingers above the groin crease. Yu Kou is in the groin crease, elongated; Bian Du is in the same location, round. All share the same treatment. For early Yu Kou/Bian Du, use "Tongsheng San" added with Centipede (head/feet removed, fried), Scorpion (head/tail removed, desalted), Pangolin Scale (fried), Silkworm (fried), Processed Frankincense, and Processed Myrrh, ground and mixed into decoction to expel toxin. For chronic cases, follow previous methods. Yin Gan differs from Candle Flower: Yin Gan involves skin breakdown, itching, pain, or rotting; Candle Flower starts as a small bump, ulcerates, discharges pus, grows into a fleshy ball, causing penile ulceration. Treat initially with "Huaron Gao" to dissolve the ball, then apply powder made from Tin, Mercury, and "Tianran San" (Natural Powder) internally mixed with "Zhongjiu Wan". If ulceration reaches the penis forming Dou Jing Chuang, with butter-like or fleshy protrusions due to sexual excess and damp-heat/fire, use "Tianran San" added with Calomel, Processed Child's Tea, Gypsum, Processed Malachite Green, and Vinegar-processed Azurite. Apply dry powder if wet, or mix with boar bile if dry, internally taking "Zhongjiu Wan" for gradual recovery.
Question 12: How to distinguish "Luan Han" (Testicular Hernia), "Luan Yong" (Testicular Abscess), "Luan Hua" (Testicular Flower), and "Luan Lou" (Testicular Sinus)? Answer: Luan refers to the testicle. Swelling with pus requires needle drainage. Luan Yong features red, swollen skin with superficial toxin. Luan Hua shows seven-eight ulcerations on the swelling, flower-like. Luan Lou has internal perforations discharging clear/yellow pus chronically. Causes include damp-heat sinking to the Bladder or excessive alcohol/sex. Even testicular rupture may not be fatal; syphilis residue can also cause this. Externally wrap with Perilla Leaf and dust with "Tianran San" plus Red Halloysite; internally take "Zhongjiu Wan". This applies to all testicular conditions.
Question 13: How to distinguish "Fugu Han" (Bone-Clinging Chancre), "Fugu Yong" (Bone-Clinging Abscess), "Fugu Ju" (Bone-Clinging Carbuncle), and "Fugu Lou" (Bone-Clinging Sinus)? Answer: Fugu Ju involves toxin at the hip tip, non-red/swollen, shifting pain between upper/lower hip, intermittent severity, resembling tibia pain. Chronic localized pain with normal skin but tenderness on pressure and unclear shape indicates Fugu Ju. Treat with "Zhongjiu Wan" internally and "Huaron Gao" externally; needle if pus forms. Fugu Han/Yong begins with tidal fever or alternating chills/heat, bone/muscle pain, followed by red/swollen/hard skin. Post-chickenpox variants are called "Hanhou Tuoyi" (Post-Sweat Abandonment), unbearable pain. Treat with "Maliang Gao" externally and "Zhongjiu Wan" internally. Fugu Lou results from non-healing abscesses invaded by wind pathogens and impatience, leading to callus/sinus formation with chronic pus. Must extract sequestra, remove callus/necrosis, apply "Tianran San", and take "Zhongjiu Wan". For Hanhou Tuoyi before ulceration, paste of wax, vinegar, and aged rice flour may heal it.
Question 14: How to distinguish "Hexi Feng" (Crane Knee Wind), "Hexi Yong" (Crane Knee Abscess), "Renmian Chuang" (Human Face Sore), and "Chan Chuang" (Chan Sore)? Answer: Hexi Feng causes chronic knee pain and eventual swelling like a crane's knee. Treat with internal analgesics and external Ox Hide Gelatin paste with Ginger Juice. Hexi Yong is favorable if red/swollen/painful; non-inflammatory/non-suppurating cases are untreatable; protruding heads indicate terminal stages. Renmian Chuang is a facial-looking tumor on the knee with eyes/nose/mouth; rarely curable. Treat with crushed Fritillaria externally. Chan Chuang arises on the shin bone from trauma/wind/itching, recurrent chancre toxin, or unresolved wind-heat/damp-toxin. If non-itchy, apply "Zixia Gao" and take "Zhongjiu Wan"; or apply paste of Calomel, Pig Fat, and Steamed Bun Skin.
Question 15: How to distinguish "Qunbian Chuang" (Skirt-Edge Sore), "Ceng Chuang" (Rubbing Sore), "Huai Hua" (Ankle Flower), "Ezhang Ding" (Goose Palm Spore), "Ezhang Feng" (Goose Palm Wind), and "Niupixuan" (Cowhide Ringworm)? Answer: Qunbian Chuang affects women, caused by scratching, chronic damp-heat-wind, or poor circulation from athlete's foot. Hard to treat due to thin flesh and poor Qi/blood flow at the feet. Apply "Zixia Gao" or "Baiyu Gao" and fumigate/wash with Vinegar and Wax Leaf decoction with Calomel. Ceng Chuang on the instep is easy if it drains pus; difficult if chronic/non-healing; treat with medicinal threads. Huai Hua on the ankle bone discharges pus via pores; treat with threads. Multiple pores with bad signs are incurable. Ezhang Ding on the sole resembles a tumor, discharging fluid/pus; treat with threads to remove tumor/necrosis for healing. Ezhang Feng follows Syphilis treatment errors, trapping toxin internally; treat with "Zhongjiu Wan", Tung Oil, and Black Cow Dung smoke. Niupixuan on neck/waist/legs is wind-heat toxin in skin; treat with silver needle acupuncture, Vitex Vinegar rub, "Zhongjiu Wan", or paste of Sulfur, Azurite, Croton Seed, Vitex, and Pot Residue.
Question 16: What is "Zhi Lou" (Hemorrhoidal Sinus)? Answer: Zhi arises on the anal rim, pomegranate-seed shaped; Lou has pores discharging pus/fluid. There are twenty-four types, rooted in damp-heat sinking or lifestyle damage. Rare in youth, common in middle age. Treat Zhi with pores using medicinal threads to drop the tube, apply "Tianran San" + Red Halloysite, cover with "Shengji Gao", add Silver/Green minerals. For bloody Zhi, take "Zhongjiu Wan". For intestinal fistulas, insert Tribulus (Arctium) herb into the intestine, then use medicinal threads for gradual healing.
Question 17: How to distinguish "Chong Gan" (Worm Chancre), "Re Gan" (Heat Chancre), and "Zouma Ya Gan" (Running-Horse Tooth Chancre) in the mouth? Answer: Chong Gan involves worms in flesh spreading to bone, rotting like waste. Zouma Ya Gan features swollen lips, healthy outer skin, rotten inner flesh, and nasal bridge collapse/rot resembling orange peel. Eye/ear/nose involvement is incurable; vinegar cleaning to reveal blood offers 10-20% survival. Treat with Pot Residue, Malachite Green, Tianran San, Thread Powder, Sulfur, and Borneol sprinkled internally with "Zhongjiu Wan". Ulcers with pus/fluid are treatable; liver-like non-pus ulcers are not. Re Gan involves gum bleeding; treat similarly or with Calcined Human Bone, Earthworm, and Arsenic powder.
Question 18: What is "Ekou Chuang" (Goose Mouth Sore)? Answer: White coating on tongue/mouth with salivation. Treat with equal parts Coptis, Dried Ginger, and Fried Knotweed powder applied externally; stops salivation and heals.
Additionally, "An Men Shuan" in the throat is "Hou Yong" (Throat Abscess). Two tumors beside the tongue/throat with pores should be treated with medicinal threads and muscle-regenerating powder. Phlegm abscesses on the jawbone are stone-hard, causing asymmetric swelling; treat with lancet opening and threads. This is malignant, with low cure rates, mentioned again here for emphasis.