出。虽用温暖之药回其阳。亦必待其骨出净方愈。若正骨腐而则成废疾。副骨出而则安。
一背痈疽初生时未成。单用紫荆皮末调酒箍住。自然消散。或加白芷。名为一胜膏。
一又只用赤芍药木腊红内消酒调。名三胜膏。
一治久损加南星草乌二味末。与此方各半。热酒调敷如神。
一瘭疽乃心火热毒见于五心作痛者。其状如泡疹而血赤。外形虽小而内毒热甚。在心HT 间最难治
之。如在四肢手足心者可治之。虽可治。其治必早。若迟则毒在心HT 。令腐肉。虽神仙莫救也。如在
手心用洪宝丹外截其潮血。内以冲和膏留头收功。如在足心外洪宝丹敷胫踝骨四围一二寸阔。内以冲和膏收功。
回阳玉龙膏加减法
治诸阴发背。流注。鼓椎风。久损痛。冷痹。风湿。诸香港脚冷肿。无红赤色。痛不可忍者。及足
顽麻。妇人冷血风等症。盖此药性温热。故治诸阴。第一妙方也。
草乌（三两炒） 南星（一两炒） 军姜（二两煨） 香白芷 赤芍（一两炒） 肉桂（五钱）
上为细末。止用热酒调敷。用法于后。
夫人之血气周流一身。周而复始。无有间断。苟有一脏或
一腑亏虚。感外邪风寒暑湿袭入经络凝泣血脉有之。内七情交感。痰涎壅滞。令人寒热。久而血脉不
通。隧道阻塞。而有之。凡手足经络有虚有实。有寒有热。热则易治。寒则难痊。故庸俗不知虚实。
不辨寒热。如盲人骑瞎马。夜行深渊。岂有不危哉。凡学医之士。看此书。识其经络部位。辨其寒热
虚实。察其表里相应。则万不失一。况此方内有军姜肉桂足以御寒。能生血热血。草乌南星能破恶除
坚。祛风化毒。活死肌。除骨痛。消结块。赤芍白芷能散滞血。止痛生肌。加酒行药性。虽有十分冷
症。未有不愈。正如发寒灰之 。枯木之春。大抵冷症则肌肉阴烂。不知痛痒。有知痛者多附于骨。
痛久则侵入骨髓。非寻常药能及矣。惟有此方祛阴毒。回阳气。住骨中痛
如神。凡用当减当加。活法于下。
一治阴发背满疮面黑烂。四围好肉上用洪宝丹把住中间。以此膏敷之。一夜阳气自回。黑处皆红。
当察其红活以透即止。此药却以冲和膏收功。如欲作脓。又以南星草乌末加于冲和膏内用之。如阳已
回。黑以红。惟中间一点黑而不能红者。盖血已死也。可用朴硝明矾末。又方白丁香 砂乳香末唾调
匀。点于黑红交处一圈上。以冲和膏盖之。次早去药。黑死肉如割去。甘草水洗净方可上生肌合口药
收功。如黑肉未净。须去净为妙。
一冷流注多附骨硬不消。骨寒而痛。筋缩不能伸屈。庸俗误用刀针。又无脓血。止有屋漏清汁。
或有瘀黑血。宜此方敷之。如稍缓再加军姜白芷肉桂草乌等分。热酒调敷。则骨寒除而痛自止。气温
和而筋自伸。肉亦软而肿即消。亦不可无木腊。以其性能破坚肿最妙。亦不可多多亦解别药性故也。
一治鹤膝风痛。日夜难禁。皆起于风寒湿虚是也。内经云。风寒湿气合而为痹。痹者痛也。此症
有三。一是两膝相 。行步振掉。膝HT 胫骨而微肿。二是膝HT 胫骨交接处。大如鼓椎。腿股内消。皮缩裹骨。
三是上腿肿大。下胫冷消。盖足膝属肝。肝虚而受邪。凝泣血脉。有去无返。故上腿肿而愈大愈热。
下胫冷而愈瘦。筋愈缩。如此久而肉亦烂。骨亦腐。又云。腐骨一出。神仙无术。如未破。肌肉未死。
宜以此药酒调敷膝HT 骨上腿肿处。以住骨痛。使阳气自回。又冲和膏涂于下胫冷处。引其血气流通。
能贯经络。再以玉龙膏敷冷热交接处。引其无蓄积之阴。内再服追风丸。倍加乳香。以伸缩短之筋。
当在此方如法治之。无不愈者。如人欲出。方可用五积散加姜桂当归川乌牛膝槟榔木瓜为丸为散。茶
酒任意服之。应验如神。
一凡男妇久患冷痹血风。手足顽麻。不能举动。用绢绵袋盛此药长缚缠痛处。初如虫蚁行。是其
功也。如痹甚再加丁皮吴茱萸没药大川乌等分于内。缠之外。服追风丸。表里交攻。去病如神。
一风香港脚痛不可忍。服追风丸。外以此方加面用姜汁
调匀热敷效。如立止痛。加乳香没药末于内。酒调敷最妙。
一治久损骨筋疼痛。或坠压跌仆伤折。不曾出血。久凝于内。如鸡肺。附于肋间。轻如苔藓之晕。
少壮时血气冲和。不能为害。至年老力衰遇之。风寒湿气。其痛即发。宜此药热酒敷。内服搜损寻痛
丸。表里治之为妙。血气虚弱。病在胸肋腰背。谓之脱垢。不除之久变为血结劳病。岂论老少。重则
一身尽痛。轻则一拳半肘。急治之。此根蒂之病。劳未成易治。已成则难治。非此一剂而能除哉。
一法只用南星草乌少加肉桂。能去黑烂溃脓谓之小玉龙。此法大效。
一治石痈用小玉龙热酒敷。外用洪宝箍住四围。待成脓后破之。
一治吹乳乳痈等。初发切不可用凉药。恐水住其血。不能化乳。宜此方中加南星姜汁酒匀调热敷
即消。欲急消加草乌末能破恶除寒。如已成痈。则从冲和膏治之。或加草乌南星二味为妙。如破后当
观其源。若原于冷。用冲和收功。原于热。用洪宝膏退热生肌。须加乳香没药止痛。再服神效栝蒌散治之效。
一宿痰失道。痈肿无脓者。用此药点头病必旁出再作为佳。不然则元阳耗为败症。如遇败症。当
用玉龙膏敷之。拔毒成脓。内服通顺散加桔梗半夏当归肉桂等药。如病红活热骤。则用冲和膏为佳。
切不可用凉药。此药能拔毒成脓。有脓即止。亦不可过。若能用陷脉神剂尤妙。出在外科精要。
一治吐痈一症。十有九死。盖人之脾胃属坤土为阴。凡气血潮聚。趋热避寒。故多为内痈。不能
外现。间有微影欲出。或又被冷药所触。及服凉药。虽有神仙。莫能施治。可不慎乎。凡有此症。初觉腰
痛。且于按之痛苦。走闪移动。则为气块。若推根不动。外面微有红肿。则为内痈。急以此方拔出毒
气。作成外痈。则用冲和膏收功。内服通顺散加忍冬藤。治法如前。若痈自能外现。不可用此方。只
用冲和膏为妙。当顶用玉龙贴之。有头自现自破。
若流脓不快。根据法用洪宝丹三分。姜汁七分茶调敷之。脓出皆尽。内服十宣平补生肌。外则冲和收功。
此症阴多阳少。最损人。如将安之际。大服补气血药则易愈。若孕妇患此症。异乎平人。宜紫苏饮安
胎。勿轻用峻利。如临产则儿与脓俱下。若尚远则脓自大便下。若初萌则可消之宜早矣。
洪宝膏（性凉）
治诸热痈疽等毒。十分势热。宜用此药相兼用之。盖此性凉能化血。又能破肿止痛。若遇阴症阴
疮。能助痛。能凝血死肌烂肉。治金疮止血。乃第一药也。余外可为前二膏之佐辅尔。冲和性温。玉
龙性热。此洪宝性寒。此三药当参详。临症施治。在于活法加减也。如将之用兵。正兵奇兵伏兵之意。
立功取胜。非神圣工巧通变之士。岂能用之哉。
天花粉（三两） 姜黄（一两） 白芷（一两） 赤芍药（二两）
共为细末。茶酒蜜汤乘热涂之。
海上仙方
治内痈有脓及败血腥腐臭秽殊甚。遂至脐腹 痛。
乃败浊脓血所致。用此推之甚验。
白芷（一两） 白芍药（半两） 白矾（枯半两） 单叶赤葵根（二两）
上为末。用黄蜡白矾溶为丸桐子大。空心食前米饮送下三十丸。待脓出尽。宜十宣散补之效。
内痈奇方
大鲫鱼（一斤一个去肠鳞净少以枯矾入腹填腹一时辰洗去矾）
用猪油煎熟食之令净。治肠痈痢疾甚效。
追风丸
治男妇血风冷痹。手足麻及流注鼓椎风。
牛膝（三两酒浸炒） 当归（酒浸焙三两） 薏苡仁 白芷 川芎（各二两） 羌活 防风（炒）
川乌（一个炮） 赤芍（炒） 天麻（炒） 草乌（炒） 肉桂 干姜（炒各一两） 丁香 乳香
没药 木香 沉香（焙各五钱） 木瓜（炒二两）
上末蜜丸。每服三十丸酒下。香港脚用酒糊丸酒下。或用末酒调下。忌热酒茶半日。
搜风寻痛丸
治遍身痛久损骨痛。能接骨及金刀伤。
乳香 没药 茴香（各三钱炒） 当归（一两） 军姜（五钱炒） 肉桂（三钱） 川芎（一两）
丁皮（五钱） 薏苡仁（一两如筋绝麻绝加之二两） 独活（五钱炒） 草乌（五钱炒黄） 骨碎补
（二两炒） 赤芍（五钱炒） 白芷（五钱炒） 石粘藤（□□□）
上末蜜丸弹子大。用生姜嚼温酒吞下。或姜酒调末服亦可。如折伤先服此。一服觉遍身麻。次可
用药接骨。接骨方内再加草乌一钱半。亦酒调服量人老幼虚实加减用之。如服此药。其人麻不解。可
用大乌豆煎脓汁服之即解。如无以淡豆豉煎脓汁亦妙。如吐加姜汁。
神效复元通气散
治一切恶疮初觉时。连进三服如失。
当归（三两） 甘草（一两） 熟地黄（各一两五分） 黄 （一两） 白芍（一两） 天花粉
（一两） 金银花 生地黄（五钱）
上咀每服五钱。水酒各一钟煎八分温服。分上下食前后用之。
（痈疽发背）脓液排出。虽然使用温热的药物来回复阳气，但也必须等到死骨完全脱出才能痊愈。如果正常的骨骼腐烂，就会造成残疾；如果是副骨脱出，病情就会安定。
背部痈疽在初起尚未化脓时，单用紫荆皮粉末调酒外敷以箍住患处，自然能够消散。或者加入白芷，称为“一胜膏”。
治疗久病损伤，加入南星、草乌两味药的粉末，与此方各半量混合，用热酒调匀外敷，效果如神。
瘭疽是由于心火炽盛、热毒表现在五心（两手心、两足心及心口）作痛。其症状像疱疹但血色深红。外形虽然小，但内部热毒极重。若毒邪在心与膈膜之间，最难治疗；若在四肢手足心，则可以治疗。虽然可以治疗，但必须尽早处理。如果延误，毒邪深入心膈，导致肌肉腐烂，即使是神仙也无法挽救。如果在手心，外用洪宝丹截断潮血，内服冲和膏留头收功。如果在足心，外用洪宝丹敷于胫骨踝骨周围一二寸宽处，内服冲和膏收功。
回阳玉龙膏加减法
治疗各种阴证发背、流注、鼓椎风、久损疼痛、冷痹、风湿、各种香港脚冷肿（无红赤色）、痛不可忍，以及足部顽固麻木、妇人冷血风等症。因为此药性温热，所以是治疗各种阴证的第一妙方。
草乌（三两，炒） 南星（一两，炒） 军姜（二两，煨） 香白芷 赤芍（一两，炒） 肉桂（五钱）
人的气血周身循环，周而复始，没有间断。如果有一脏或一腑亏虚，感受外邪风寒暑湿侵袭经络，凝滞血脉，会有这种情况。加上内伤七情交感，痰涎壅滞，令人寒热交替，久而久之血脉不通，隧道阻塞，也会产生病症。凡是手足经络，有虚有实，有寒有热。热证容易治疗，寒证难以痊愈。所以庸医不知虚实，不辨寒热，就像盲人骑瞎马，夜间行走深渊，岂有不危险的道理？凡学医的人，阅读此书，要认识经络部位，辨别寒热虚实，观察表里相应，那么万无一失。况且此方内有军姜、肉桂足以抵御寒冷，能生血热血；草乌、南星能破除恶毒坚结，祛风化毒，活络死肌，消除骨痛，消散结块；赤芍、白芷能散滞血，止痛生肌。加入酒以行药性，即使是非常严重的冷症，没有不愈的。正如点燃寒灰，枯木逢春。大抵冷症则肌肉阴烂，不知痛痒；有知觉痛的，多附着于骨。痛久则侵入骨髓，非寻常药物所能达到。只有此方能祛除阴毒，回复阳气，止住骨中疼痛，效果如神。凡是用此方，应当根据情况减少或增加剂量，灵活变通如下：
治疗阴证发背满疮面黑烂，四周围好肉上用洪宝丹把住中间，以此膏敷之。一夜之后阳气自回，黑处皆变红。应当观察其红活透发即止。此药却以冲和膏收功。如果想要化脓，又在冲和膏内加入南星、草乌粉末使用。如果阳气已回，黑变红，唯独中间一点黑而不能变红的，说明血已死。可用朴硝、明矾粉末，另一方法是白丁香、砂、乳香粉末，用唾液调匀，点涂在黑红交界处一圈上，以冲和膏覆盖。次日早晨去掉药物，黑死肉如割去一般，用甘草水洗净后方可上生肌合口药收功。如果黑肉未净，必须去除干净为好。
冷流注多附着于骨，坚硬不消，骨寒而痛，筋缩不能伸屈。庸医误用刀针，又没有脓血，只有屋漏清汁，或者有瘀黑血。适宜用此方敷之。如果稍缓，再加军姜、白芷、肉桂、草乌等分，热酒调敷，则骨寒除而痛自止。气温和而筋自伸，肉亦软而肿即消。也不可没有木腊，因为其性能破坚肿最妙。也不可过多，以免解别药性。
治疗鹤膝风疼痛，日夜难忍，皆起于风寒湿虚。《内经》说：风寒湿气合而为痹，痹者痛也。此症有三种：一是两膝相并，行步振掉，膝与胫骨交接处微肿；二是膝与胫骨交接处，大如鼓椎，腿股内侧消瘦，皮肤收缩包裹骨头；三是上腿肿大，下胫冷瘦。盖足膝属肝，肝虚而受邪，凝滞血脉，有去无返，所以上腿肿而愈大愈热，下胫冷而愈瘦，筋愈缩。如此久了肉亦烂，骨亦腐。又说：腐骨一出，神仙无术。如果未破，肌肉未死，宜以此药酒调敷膝与骨上腿肿处，以止骨痛，使阳气自回。再用冲和膏涂于下胫冷处，引其血气流通，能贯经络。再以玉龙膏敷于冷热交接处，引其无蓄积之阴。内再服追风丸，倍加乳香，以伸缩短之筋。应当在此方如法治之，无不愈者。如果人欲外出，方可用五积散加姜、桂、当归、川乌、牛膝、槟榔、木瓜为丸为散，茶酒任意服之，应验如神。
凡男女久患冷痹血风，手足顽麻，不能举动，用绢绵袋盛此药长缚缠痛处。初如虫蚁行，是其功效。如果痹症严重，再加丁皮、吴茱萸、没药、大川乌等分于内，缠之外，服追风丸，表里交攻，去病如神。
风香港脚痛不可忍，服追风丸，外以此方加面粉，用姜汁调匀热敷有效，如立止痛。加乳香、没药粉末于内，酒调敷最妙。
治疗久损骨筋疼痛，或坠压跌仆伤折，不曾出血，久凝于内，如鸡肺，附于肋间，轻如苔藓之晕。少壮时血气冲和，不能为害。至年老力衰遇之，风寒湿气，其痛即发。宜此药热酒敷，内服搜损寻痛丸，表里治之为妙。血气虚弱，病在胸肋腰背，谓之脱垢。不除之久变为血结劳病，岂论老少。重则一身尽痛，轻则一拳半肘。急治之，此根蒂之病，劳未成易治，已成则难治，非此一剂而能除哉。
一法只用南星、草乌，少加肉桂，能去黑烂溃脓，谓之小玉龙。此法大效。
治疗吹乳、乳痈等，初发切不可用凉药，恐水住其血，不能化乳。宜此方中加南星、姜汁、酒匀调热敷即消。欲急消加草乌粉末能破恶除寒。如已成痈，则从冲和膏治之，或加草乌、南星二味为妙。如破后当观其源，若原于冷，用冲和收功；原于热，用洪宝膏退热生肌，须加乳香、没药止痛，再服神效栝蒌散治之效。
宿痰失道，痈肿无脓者，用此药点头病必旁出再作为佳。不然则元阳耗为败症。如遇败症，当用玉龙膏敷之，拔毒成脓，内服通顺散加桔梗、半夏、当归、肉桂等药。如病红活热骤，则用冲和膏为佳。切不可用凉药。此药能拔毒成脓，有脓即止，亦不可过。若能用陷脉神剂尤妙，出在外科精要。
治疗吐痈一症，十有九死。盖人之脾胃属坤土为阴，凡气血潮聚，趋热避寒，故多为内痈，不能外现。间有微影欲出，或又被冷药所触，及服凉药，虽有神仙，莫能施治，可不慎乎。凡有此症，初觉腰痛，且于按之痛苦，走闪移动，则为气块。若推根不动，外面微有红肿，则为内痈。急以此方拔出毒气，作成外痈，则用冲和膏收功。内服通顺散加忍冬藤，治法如前。若痈自能外现，不可用此方，只用冲和膏为妙。当顶用玉龙贴之，有头自现自破。若流脓不快，根据法用洪宝丹三分，姜汁七分茶调敷之，脓出皆尽，内服十宣平补生肌，外则冲和收功。此症阴多阳少，最损人。如将安之际，大服补气血药则易愈。若孕妇患此症，异乎平人，宜紫苏饮安胎，勿轻用峻利。如临产则儿与脓俱下，若尚远则脓自大便下。若初萌则可消之宜早矣。
洪宝膏（性凉）
治疗诸热痈疽等毒，十分势热，宜用此药相兼用之。盖此性凉能化血，又能破肿止痛。若遇阴症阴疮，能助痛，能凝血死肌烂肉，治金疮止血，乃第一药也。余外可为前二膏之佐辅尔。冲和性温，玉龙性热，此洪宝性寒，此三药当参详，临症施治，在于活法加减也。如将之用兵，正兵奇兵伏兵之意，立功取胜，非神圣工巧通变之士，岂能用之哉。
共为细末，茶酒蜜汤乘热涂之。
治疗内痈有脓及败血腥腐臭秽殊甚，遂至脐腹疼痛。乃败浊脓血所致。用此推之甚验。
白芷（一两） 白芍药（半两） 白矾（枯半两） 单叶赤葵根（二两）
上为末，用黄蜡、白矾溶为丸桐子大，空心食前米饮送下三十丸。待脓出尽，宜十宣散补之效。
大鲫鱼（一斤一个，去肠鳞净，少以枯矾入腹填腹一时辰，洗去矾）
牛膝（三两，酒浸炒） 当归（酒浸焙三两） 薏苡仁 白芷 川芎（各二两） 羌活 防风（炒） 川乌（一个，炮） 赤芍（炒） 天麻（炒） 草乌（炒） 肉桂 干姜（炒各一两） 丁香 乳香 没药 木香 沉香（焙各五钱） 木瓜（炒二两）
上末蜜丸。每服三十丸酒下。香港脚用酒糊丸酒下，或用末酒调下。忌热酒茶半日。
乳香 没药 茴香（各三钱炒） 当归（一两） 军姜（五钱炒） 肉桂（三钱） 川芎（一两） 丁皮（五钱） 薏苡仁（一两，如筋绝麻绝加之二两） 独活（五钱炒） 草乌（五钱炒黄） 骨碎补（二两炒） 赤芍（五钱炒） 白芷（五钱炒） 石粘藤（□□□）
上末蜜丸弹子大，用生姜嚼温酒吞下，或姜酒调末服亦可。如折伤先服此，一服觉遍身麻，次可用药接骨。接骨方内再加草乌一钱半，亦酒调服，量人老幼虚实加减用之。如服此药，其人麻不解，可用大乌豆煎浓汁服之即解。如无以淡豆豉煎浓汁亦妙。如吐加姜汁。
治疗一切恶疮初觉时，连进三服如失。
当归（三两） 甘草（一两） 熟地黄（各一两五分） 黄芪（一两） 白芍（一两） 天花粉（一两） 金银花 生地黄（五钱）
上咀，每服五钱，水酒各一钟煎八分，温服，分上下食前后用之。
(Pus discharge from carbuncle and gangrene on the back). Although warm herbs are used to restore Yang Qi, healing can only occur after the necrotic bone has completely detached. If the normal bone rots, it will result in disability; if the accessory bone detaches, the condition will stabilize.
When a dorsal carbuncle or gangrene first appears and has not yet suppurated, applying a paste of *Bauhinia purpurea* (Zijingpi) powder mixed with wine around the lesion can naturally dissipate it. Alternatively, adding *Angelica dahurica* (Baizhi) creates "Yisheng Gao" (One Victory Ointment).
Another method uses only *Paeonia lactiflora* (Chishaoyao) and *Lithocarpus glaber* (Molaxiang, Molax Hong) for internal resolution, taken or applied with wine, called "Sansheng Gao" (Three Victories Ointment).
For treating chronic injuries, add powders of *Aconitum carmichaelii* processed (Nanxing) and *Aconitum kusnezoffii* (Caowu), mixing them equally with this formula. Apply with hot wine; the effect is miraculous.
Biao Ju (Acute Carbuncle) is caused by excessive Heart Fire and Heat Toxin manifesting as pain in the Five Centers (both palms, both soles, and the chest). The appearance resembles herpes but with dark red blood. Although the external manifestation is small, the internal heat toxin is severe. If the toxin is located between the Heart and Diaphragm, it is extremely difficult to treat; if it is in the limbs or palms/soles, it is treatable. However, treatment must be initiated early. Delay allows the toxin to penetrate the Heart-Diaphragm area, causing muscle necrosis, at which point even a divine physician cannot save the patient. For lesions on the palm, apply Hongbao Dan externally to intercept the congested blood, and administer Chonghe Gao internally to retain the head and conclude treatment. For lesions on the sole, apply Hongbao Dan externally around the tibia and ankle bones for a width of one to two cun, and administer Chonghe Gao internally to conclude treatment.
Huiyang Yulong Gao Modification Method
Treats various Yin-type dorsal carbuncles, flowing abscesses (Liuzhu), Drum-peg Wind (Guzhui Feng), chronic injury pain, cold Bi syndrome, wind-dampness, various types of Hong Kong Foot (Charcot foot-like symptoms) with cold swelling without redness, unbearable pain, stubborn numbness in the feet, and women's cold blood wind syndromes. Since this medicine is warm in nature, it is the premier effective formula for treating various Yin syndromes.
*Aconitum kusnezoffii* (Caowu) (3 liang, stir-fried), *Arisaema erubescens* (Nanxing) (1 liang, stir-fried), *Zingiber officinale* processed (Junjiang) (2 liang, baked), *Angelica dahurica* (Xiang Baizhi), *Paeonia lactiflora* (Chishao) (1 liang, stir-fried), *Cinnamomum cassia* (Rougui) (5 qian).
Grind all into fine powder. Mix with hot wine for external application. Usage is as follows:
Human Qi and Blood circulate throughout the body, completing cycles without interruption. If one Zang or Fu organ is deficient, external pathogens such as Wind, Cold, Summer-heat, or Dampness may invade the meridians, stagnating the Blood vessels. Additionally, emotional disturbances (Seven Emotions) interacting internally, along with Phlegm-Saliva obstruction, can cause alternating chills and fever. Over time, Blood vessels become blocked, and the tunnels obstructed, leading to disease. Meridians in the hands and feet have deficiency and excess, cold and heat patterns. Heat patterns are easy to treat; Cold patterns are difficult to cure. Therefore, mediocre physicians who do not understand deficiency/excess or distinguish cold/heat are like blind men riding blind horses walking into an abyss at night—how could they not be in danger? Physicians studying this book must recognize meridian locations, differentiate cold/heat and deficiency/excess, and observe the correspondence between exterior and interior. Then, one will rarely miss. Moreover, this formula contains Junjiang and Rougui sufficient to resist cold and generate warm Blood; Caowu and Nanxing can break down malignant accumulations, dispel wind, resolve toxins, revitalize dead tissue, relieve bone pain, and dissolve masses; Chishao and Baizhi can disperse stagnant Blood, relieve pain, and promote tissue regeneration. Adding wine promotes the action of the herbs. Even in severe cold cases, recovery is assured. It is like igniting cold ashes or bringing spring to dead wood. Generally, cold syndromes cause Yin rotting of muscles, resulting in loss of sensation; if pain is felt, it often attaches to the bone. Prolonged pain invades the Bone Marrow, beyond the reach of ordinary medicines. Only this formula can dispel Yin toxins, restore Yang Qi, and stop bone pain with miraculous effect. Dosage should be adjusted flexibly as follows:
For Yin-type dorsal carbuncles with black, rotting ulcers, apply Hongbao Dan around the healthy skin surrounding the lesion, leaving the center open, then apply this ointment. After one night, Yang Qi returns, and black areas turn red. Stop when redness becomes vibrant and penetrating. Conclude treatment with Chonghe Gao. To induce suppuration, add Nanxing and Caowu powders to Chonghe Gao. If Yang Qi has returned and black turns to red, but a central spot remains black, the blood there is dead. Apply a mixture of Nuxio (Puxiao) and Alum (Mingfan) powders. Another method uses Bai Dingxiang, Sand, and Ru Xiang powders mixed with saliva, applied in a circle at the junction of black and red areas, covered with Chonghe Gao. Remove the medication the next morning; the dead black flesh falls off like being cut away. Cleanse with Licorice water before applying tissue-regenerating agents to close the wound. Ensure all black necrotic tissue is removed.
Cold Liuzhu often adheres to the bone, remaining hard and unabsorbed, causing cold bone pain and tendon contraction preventing flexion/extension. Mediocre physicians mistakenly use needles/knives, finding no pus or blood, only clear fluid like dripping roof water, or dark clotted blood. This formula is suitable for application. If the condition is slightly slower, add equal parts of Junjiang, Baizhi, Rougui, and Caowu, mixed with hot wine. This eliminates bone cold, stops pain, warms the Qi, extends tendons, softens flesh, and reduces swelling. Molaxiang (Lithocarpus) should not be omitted due to its excellent ability to break down hard swellings, but avoid excessive amounts to prevent neutralizing other herb properties.
Treating Crane-Knee Wind (Knee Osteoarthritis/Tuberculosis) with unbearable day-and-night pain, caused by Wind-Cold-Dampness and Deficiency. The *Neijing* states: "Wind, Cold, and Dampness combine to form Bi, which is pain." There are three types: 1. Knees pressing together, trembling while walking, slight swelling at the knee-tibia junction. 2. Knee-tibia junction swollen like a drum peg, inner thighs wasted, skin shrinking around the bone. 3. Upper leg swollen, lower shin cold and wasted. The foot and knees belong to the Liver. Liver deficiency allows pathogenic invasion, stagnating Blood with no return, causing upper legs to swell and heat up, while lower shins become cold and emaciated, with tendons contracting. Prolonged cases lead to muscle rot and bone decay. It is said: "Once bone decays, even gods have no remedy." If not broken and muscle not dead, apply this medicine mixed with wine to the swollen upper leg near the knee to stop bone pain and restore Yang Qi. Apply Chonghe Gao to the cold lower shin to promote Qi-Blood flow through meridians. Apply Yulong Gao to the junction of cold and heat to draw out accumulated Yin. Internally administer Zhuifeng Wan with doubled Ru Xiang to extend contracted tendons. Follow this method for universal efficacy. For patients traveling, Wujie San plus Ginger, Cinnamon, Dang Gui, Chuanwu, Niuxi, Binglang, Mugua can be made into pills/powder, taken with tea or wine freely, with miraculous results.
For men and women with chronic cold Bi and Blood Wind causing stubborn numbness and immobility, wrap this medicine in a silk bag and bind tightly around the painful area. Initially feeling like insects crawling indicates efficacy. For severe Bi, add Dingpi, Evodia (Wuzhuyu), Myrrh (Moyao), and large Chuanwu in equal parts inside the wrap. Take Zhuifeng Wan externally and internally to attack the disease from both sides.
For unbearable pain from Wind Hong Kong Foot, take Zhuifeng Wan. Externally, mix this formula with flour and ginger juice for hot compresses for immediate pain relief. Adding Ru Xiang and Moyao powders mixed with wine is optimal.
For chronic bone/tendon pain from injuries, or fractures/dislocations without bleeding that stagnate internally resembling chicken lungs attached to intercostal spaces, appearing faintly like moss. In youth, harmonious Qi-Blood prevents harm. In old age with declining strength, Wind-Cold-Dampness triggers pain. Apply this medicine with hot wine externally, and take Sousun Xuntong Wan internally for combined treatment. Weak Qi-Blood with pathology in chest/flanks/back/waist is called Degou. Untreated, it becomes Blood-Stasis Labor Disease regardless of age. Severe cases cause whole-body pain; mild cases affect one fist or half an elbow. Treat urgently. This is a root disease; pre-Labor stage is easy to treat, post-Labor is difficult. One dose is insufficient.
A simplified method uses only Nanxing and Caowu with a little Rougui to remove black rot and pus, called Xiao Yulong. This method is highly effective.
For Stone Carbuncle, apply Xiao Yulong with hot wine, surround with Hongbao Dan, and lanced after suppuration.
For Breasted Milk Carbuncle (Puerperal Mastitis), do not use cooling herbs initially, as they may congeal blood and prevent milk transformation. Add Nanxing, ginger juice, and wine to this formula for hot compresses to dissipate quickly. For rapid resolution, add Caowu powder to break cold/malignancy. If already suppurated, treat with Chonghe Gao, optionally adding Caowu and Nanxing. After rupture, determine the source: if Cold, use Chonghe Gao to conclude; if Heat, use Hongbao Gao to reduce heat and regenerate tissue, adding Ru Xiang and Moyao for pain, followed by Shenxiao Gulou San.
For retained Phlegm deviating from its pathway causing non-suppurating swellings, apply this medicine to the head of the lesion to encourage lateral drainage. Otherwise, Yuan Yang depletes into a defeat syndrome. For defeat syndromes, apply Yulong Gao to extract toxin and induce suppuration, internally taking Tongshun San plus Jiegeng, Banxia, Dang Gui, Rougui. If the lesion is red, vibrant, and hot, Chonghe Gao is better. Do not use cooling herbs. This formula extracts toxin and induces suppuration; stop once pus appears. Do not overuse. Using Xianmai Shenji (from Waikye Jingyao) is even better.
Treating Tu Yong (Vomiting Carbuncle/Internal Abscess): 9 out of 10 die. Spleen/Stomach belong to Kun Earth (Yin). Qi-Blood gathers, seeking heat and avoiding cold, thus mostly forming internal abscesses not visible externally. Occasionally slight signs appear, but if touched by cold herbs or cooling medicines, even gods cannot treat. Be cautious. Initial symptom: lower back pain, tender to touch, moving/shifting indicates Qi mass. Fixed root with slight external redness/swelling indicates internal abscess. Urgently use this formula to draw out toxin and convert to external abscess, concluding with Chonghe Gao. Internally take Tongshun San plus Honeysuckle Vine. If the abscess spontaneously externalizes, do not use this formula; use Chonghe Gao alone. Apply Yulong plaster to the head for spontaneous rupture. If pus drainage is slow, apply Hongbao Dan (3 parts) and ginger juice (7 parts) mixed with tea. Once pus is exhausted, internally take Shixuan San to tonify. Externally use Chonghe Gao. This syndrome has much Yin and little Yang, most damaging. When stabilizing, large doses of Qi-Blood tonics aid recovery. Pregnant women should use Zisu Yin to calm the fetus; avoid harsh purgatives. At delivery, fetus and pus pass together; if far from term, pus passes via stool. Early intervention can dissipate it.
Hongbao Gao (Cool Nature)
Treats all Heat-type carbuncles and toxic swellings with intense heat. Use this in conjunction with others. Its cool nature resolves Blood, breaks swellings, and relieves pain. For Yin syndromes/cracks, it aggravates pain, coagulates Blood, kills tissue, and stops bleeding from traumatic wounds, making it the primary herb for such cases. Otherwise, it serves as an assistant to the previous two ointments. Chonghe is Warm, Yulong is Hot, Hongbao is Cold. These three must be studied and applied flexibly based on clinical presentation, like military tactics (main, flank, ambush forces). Only masters of divine skill can utilize them effectively.
Trichosanthes Root (Tianhuafen) (3 liang), Turmeric (Jianghuang) (1 liang), Angelica Dahurica (Baizhi) (1 liang), Red Peony Root (Chishaoyao) (2 liang).
Grind into fine powder. Apply hot with tea, wine, or honey water.
Haishang Xianfang (Immortal Formula from the Sea)
Treats internal abscesses with pus and foul-smelling败浊 (decayed turbid) pus/blood causing umbilical/abdominal pain. Effective for pushing out decayed pus/blood.
Angelica Dahurica (Baizhi) (1 liang), White Peony Root (Baishaoyao) (0.5 liang), Calcined Alum (Baifan) (0.5 liang), Single-leaf Malva Root (Danye Chi Kui Gen) (2 liang).
Grind into powder. Melt Yellow Wax and Alum to form pills size of paulownia seeds. Take 30 pills on an empty stomach before meals with rice water. After pus exhaustion, take Shixuan San to tonify.
Neibong Qifang (Miracle Formula for Internal Abscess)
Large Crucian Carp (1 jin, cleaned, gutted, scales removed, stuffed with a little calcined Alum for one hour, then washed clean).
Cook thoroughly in pork fat and eat completely. Highly effective for intestinal abscesses and dysentery.
Zhuifeng Wan (Wind-Chasing Pill)
Treats men and women with Blood Wind Cold Bi, limb numbness, flowing abscesses, and Drum-peg Wind.
Achyranthes Root (Niuxi) (3 liang, wine-soaked, fried), Angelica Sinensis (Dang Gui) (3 liang, wine-soaked, dried), Coix Seed (Yiyiren), Angelica Dahurica (Baizhi), Ligusticum Wallichii (Chuanxiong) (2 liang each), Notopterygium Root (Qianghuo), Saposhnikovia Root (Fangfeng) (fried), Aconite Root Lateralis Preparata (Chuanwu) (1 piece, processed), Red Peony Root (Chishao) (fried), Gastrodia Rhizome (Tianma) (fried), Aconite Root Kusnezoffii Preparata (Caowu) (fried), Cinnamon Bark (Rougui), Dried Ginger (Ganjiang) (fried, 1 liang each), Clove (Dingxiang), Frankincense (Ruxiang), Myrrh (Moyao), Costus Root (Muxiang), Agarwood (Chenxiang) (baked, 5 qian each), Quince (Mugua) (fried, 2 liang).
Grind into powder, make honey pills. Take 30 pills with wine. For Hong Kong Foot, make pills with wine paste and take with wine, or take powder mixed with wine. Avoid hot wine and tea for half a day.
Sousun Xuntong Wan (Search-Wound-Finding Pain Pill)
Treats whole-body pain, chronic bone pain from injuries, aids bone setting, and treats knife wounds.
Frankincense (Ruxiang), Myrrh (Moyao), Fennel Seed (Huixiang) (3 qian each, fried), Angelica Sinensis (Dang Gui) (1 liang), Dried Ginger (Junjiang) (5 qian, fried), Cinnamon Bark (Rougui) (3 qian), Ligusticum Wallichii (Chuanxiong) (1 liang), Evodia Peel (Dingpi) (5 qian), Coix Seed (Yiyiren) (1 liang, increase to 2 liang if tendon/nerves severed), Angelica Pubescens (Duhuo) (5 qian, fried), Aconite Root Kusnezoffii Preparata (Caowu) (5 qian, fried yellow), Drynaria Rhizome (Gusuibu) (2 liang, fried), Red Peony Root (Chishao) (5 qian, fried), Angelica Dahurica (Baizhi) (5 qian, fried), Stemona Root (Shizhan Teng) (□□□).
Grind into powder, make honey pills size of bullet seeds. Chew fresh ginger and swallow with warm wine, or mix powder with ginger-wine. For fractures, take this first; feeling whole-body numbness indicates effect, then proceed to bone-setting. Add 1.5 qian Caowu to bone-setting formula, taken with wine, adjusted for age/deficiency/excess. If numbness persists after taking this, drink decoction of large black soybeans (Da Wudou) to resolve it. Light fermented soybean (Dan Douchi) decoction is also good. Add ginger juice if vomiting occurs.
Shenxiao Fuyuan Tongqi San (Divine Efficacy Restoring Origin Promoting Qi Powder)
Treats all malignant sores at initial onset; take three consecutive doses for disappearance.
Angelica Sinensis (Dang Gui) (3 liang), Licorice Root (Gancao) (1 liang), Prepared Rehmannia Root (Shudihuang) (1.25 liang each), Astragalus Root (Huangqi) (1 liang), White Peony Root (Baishao) (1 liang), Trichosanthes Root (Tianhuafen) (1 liang), Honeysuckle Flower (Jinyinhua), Raw Rehmannia Root (Shengdihuang) (5 qian).
Coarsely grind. Take 5 qian per dose, decoct with one cup water and one cup wine until reduced to 80%. Take warm, before or after meals depending on location.