凡治疮肿。初起一二日之间。宜药煎汤洗浴熏蒸。不过取其开通腠理。血脉调和。使无凝滞之意。
免其痛苦。亦消毒耳。如已溃洗之。令疮净而无脓。隔畔疙疤作痛之意也。杖疮亦然。近时杨梅疮生
于谷道。久治不愈。以五根煎汤入妇人净桶内。先熏后洗。不数次而愈。诸疮更妙。何但于梅毒乎。
夫赛火针之法。是余之所立。近因人畏其火针而不肯。因其骄奢。岂不误于生命乎。甘受其苦。
毒从何泄。余虽不敏。故立此一法。活人多矣。古之罕用。近用甚奇。岂敢自秘。用者思余之意也。
将药末放于疮顶上。亦看其疮之大小深浅。可用药多少于上。以
香点之。其药一射而入。其脓大泄而出。倾刻痛止。使疮者无妨。不慎其苦。亦人人少知耳。当秘之。
方俱载后。
夫代针者乃以药代其针也。虽脓已熟。或女体幼童骄恣辈。不便于针者。或恶针者。当以此药服
之。少刻即有头出。即破出脓以免痛苦。亦仁之于心也哉。方见后。
敷者化也散也。乃化散其毒。不令壅滞也。然疮之缓急。毒之冷熟。药亦有寒凉之性。妙在疮之
所宜。如赤肿 甚。洪宝膏寒性药敷之。如不变色而肿势深暗者。宜玉龙膏性温之药敷之。如不热不
凉以冲和膏乌龙膏以敷之。使脓易熟而毒不走。乃易于消散矣。
夫顽疖疮瘤妒其脓。半载整岁不能得愈者何也。盖于男妇不慎房室。故多有之。小儿亦因吮其欲
乳。更是一理也。亦有因跌撞妒其脓血未及。将愈又跌之。故
此成其顽疖不能得愈。百病不治者。可将银钱银匙烧赤。于疖上烙之。不数日而痊。先勿令知之。此
真良法也。如无银钱以铜钱物代之亦可。如血瘤子大如茄子。赘于肌体妨于动作。将利刃于瘤子细根
底一割去。即将银匙烧赤一烙之。则不血出。亦不复生。数日愈矣。
凡是治疗疮疡肿毒，在初起的一两天之间，适宜用药煎汤进行洗浴和熏蒸。这不过是为了取开通腠理（皮肤毛孔及纹理）、调和血脉、使气血没有凝滞的意思。从而避免患者的痛苦，也是起到消毒的作用。如果疮疡已经溃破再清洗，是为了让疮口洁净而没有脓液残留，消除周围硬结疙瘩疼痛的意思。杖疮（受杖刑造成的创伤）也是如此。近来杨梅疮（梅毒的一种表现）生在肛门处，久治不愈，用五根药煎汤倒入妇女的净桶（接尿便的器具）内，先熏后洗，没过几次就痊愈了。各种疮疡这样处理更加奇妙，何止是梅毒呢。
那赛火针的方法，是我所创立的。近来因为人们害怕火针而不肯使用，因为他们骄奢淫逸，难道不是误人性命吗？甘愿承受痛苦，毒素从哪里排泄出去呢？我虽然不聪敏，所以创立了这一方法，救活的人很多。古代很少使用，近来使用非常神奇，岂敢私自秘藏。使用者要思考我的用意。将药末放在疮顶之上，也要看疮的大小深浅，决定在上面用多少药，用香点燃它。那药一射入，脓液大量泄出，顷刻间疼痛停止，使患者无妨，不再遭受其苦，这也是人人都该少知一点的事。应当秘藏此法。方剂都记载在后面。
所谓代针，就是用药物代替针具。虽然脓已成熟，或者对于女性、幼童、骄纵任性之人，不便用针者，或者厌恶针具者，应当服用这种药。片刻之后就有脓头出现，随即破溃排脓以避免痛苦。这也是仁爱之心的体现啊。方剂见后面。
敷贴的意思是化解、消散，即化解消散其毒邪，不让其壅滞。然而疮疡的缓急、毒邪的寒热性质，药物也有寒凉之性，妙在适合疮疡的情况。如红肿严重，用寒性的洪宝膏敷贴；如不变色而肿势深暗者，宜用性温的玉龙膏敷贴；如不热不凉，以冲和膏、乌龙膏敷贴。使脓液容易成熟而毒邪不扩散，于是易于消散。
那些顽固的疖子、疮瘤嫉妒其脓液，半年整年不能痊愈的原因是什么呢？大概是因为男女不慎房事，所以多有发生。小儿也因为吸吮其欲望乳汁，也是一样的道理。也有因为跌撞嫉妒其脓血未及，将要痊愈又跌倒撞击，因此形成顽固疖子不能痊愈。百病不治者，可将银钱或银勺烧红，在疖子上烙烫，没过几天就痊愈了。事先不要让他知道。这真是好方法啊。如果没有银钱，用铜钱等物代替也可以。如血瘤子大如茄子，赘生于肌体妨碍动作，将利刃在瘤子细根部一切割去除，即将银勺烧红一烙烫，则不出血，也不再复发，数日痊愈。
Whenever treating sores and swellings, during the first one or two days of onset, it is appropriate to use decocted herbal medicine for bathing and fumigation. This is merely intended to open the couli (skin pores and interstices), harmonize the blood vessels, and prevent stagnation. It avoids suffering and also serves to disinfect. If washing after ulceration, the purpose is to cleanse the sore and remove pus, alleviating pain from surrounding indurations. The same applies to杖疮 (punishment wounds). Recently, 杨梅疮 (chancre/venereal sore) occurring in the anal region, which persists despite long-term treatment, can be cured by fumigating and then washing with a decoction of five roots poured into a chamber pot. After only a few treatments, it heals. This method is even more effective for other sores, not just venereal sores.
The method of "Sai Huozhen" (Fire Needle Replacement) was established by me. Recently, people have been reluctant to use fire needles due to fear, often because of their indulgent lifestyles, which unfortunately endangers life. How can they endure suffering while toxins remain unexcreted? Although I am not particularly gifted, I established this method, saving many lives. It was rarely used in ancient times but is now found to be quite remarkable. I dare not keep it secret; users should reflect on my intent. Place the herbal powder on top of the sore, considering its size and depth to determine the amount of medicine. Ignite it with incense. The medicine penetrates instantly, causing large amounts of pus to drain out. Pain ceases immediately, sparing the patient further suffering. This knowledge should be kept somewhat confidential. The formulas are recorded below.
"Dai Zhen" (Needle Substitution) refers to using medicine instead of needles. Even if the pus is ripe, for women, young children, or those who are willful or afraid of needles, this medicine should be taken orally. Within a short time, a head will appear, rupturing to release pus and avoid pain. This reflects benevolence. The formula is seen later.
"Fufei" (Application/Poultice) means transformation and dispersion, i.e., transforming and dispersing toxicity to prevent obstruction. Depending on the urgency of the sore and the nature of the toxin, medicines vary in cold or cool properties. The key lies in suitability. For severe redness and swelling, apply Hongbao Gao (a cold-natured ointment). For swelling that is deep and dark without color change, apply Yulong Gao (a warm-natured ointment). For cases that are neither hot nor cold, apply Chonghe Gao or Wulong Gao. This facilitates pus maturation and prevents toxin spread, aiding resolution.
Why do stubborn boils, sores, and tumors fail to heal for half a year or a year? This is often due to improper sexual conduct in men and women. Children may also suffer from similar issues related to nursing desires. Additionally, trauma such as falls or collisions before the pus has fully drained can cause recurrence and chronicity. For such untreatable conditions, heat silver coins or silver spoons until red-hot and cauterize the boil. Healing occurs within a few days. Inform the patient beforehand. This is truly an excellent method. If silver is unavailable, copper coins can substitute. For hemangiomas the size of an eggplant attached to the body and hindering movement, cut off the base with a sharp blade and immediately cauterize with a red-hot silver spoon. This stops bleeding and prevents recurrence, leading to healing in a few days.