凡大毒溃烂。内毒未尽。若骤用生肌。则外实内溃。重者逼毒内攻。轻者反增溃烂。虽即收口。其于旁处
复生大疽。是知毒未尽。不可骤用生肌药也。只以贝叶膏贴之频换。俟生肉珠时。方用生肌药。如元气
弱者。须当大补以培其元。
生肌定痛散 溃烂红热肿痛有腐者。用此化腐定痛生肌。
生石膏（为末用甘草汤飞五七次每两加） 硼砂（五钱） 辰砂（三钱） 冰片（二分）
为末掺之。
定痛生肌散 溃烂红热肿痛无腐者。用此定痛生肌。
石膏（ 一两） 乳香 血竭 轻粉（各五钱） 冰片（一钱）
有水。加白芷 龙骨（各一钱） 不收口。加鸡内金（炙一钱）
为末掺之。
冷疮不收口者 干姜为末掺之。觉热如烘。平肌易愈。
诸疮发痒 用枯矾、干姜末掺之。
细茶 食盐 煎汤洗之。
乳香 没药 血竭 儿茶 三七（各二钱） 冰片（一钱） 麝香（二分）
热。加黄连（一钱）腐。加轻粉（一钱）有水。加龙骨（ 一钱）欲速收口。加珍珠（一两）或
加蟹黄（二钱法取团脐蟹蒸熟取黄晒干收用） 为末掺用。
或以前七味。加猪油半斤。黄蜡两许。稍温。用绵纸拖膏。贴痈疽破烂等疮。若杖伤。则三七倍之。
一用鲜鹿腿骨纸包。灰火内煨之。以黄脆为度。如黑焦色则无用矣。为细末掺之。生肌甚速。
月白珍珠散 新肉已满。不能生皮。及下疳腐痛。并汤火伤痛。
珍珠（一钱） 青缸花（五分） 轻粉（二两）
为末掺用。下疳腐烂。猪脊髓调搽。
一用鸡子清倾新瓦上。晒干取清为末。掺用。
凡是毒邪严重的疮疡已经溃烂，但体内的毒邪尚未清除干净。如果突然使用生肌收敛的药物，就会导致外部看似愈合而内部继续溃烂。病情重的会逼迫毒邪向内攻陷脏腑，病情轻的反而会增加溃烂的程度。即使伤口暂时闭合，在旁边也会再次长出大的痈疽。因此知道毒邪没有清除干净时，不可突然使用生肌药物。只需用贝叶膏贴敷并频繁更换。等到长出肉芽（像珍珠一样的颗粒）时，才可以使用生肌药物。如果元气虚弱的人，必须大补元气以培养根本。
生肌定痛散：适用于溃烂、红肿热痛且有腐肉的情况。用此药化除腐肉、止痛并促进肌肉生长。
生石膏（研成粉末，用甘草汤飞水五到七次，每两加...） 硼砂（五钱） 辰砂（三钱） 冰片（二分）
研成细末撒在患处。
定痛生肌散：适用于溃烂、红肿热痛但没有腐肉的情况。用此药止痛并促进肌肉生长。
石膏（一两） 乳香 血竭 轻粉（各五钱） 冰片（一钱）
如果有渗出液，加白芷、龙骨（各一钱）。如果伤口不收敛，加鸡内金（炙过一钱）。
研成细末撒在患处。
冷性疮疡伤口不收敛的：用干姜研成粉末撒在患处。感觉温热如烘烤一般，使创面平整容易愈合。
各种疮疡发痒的：用枯矾、干姜粉末撒在患处。再用细茶、食盐煎汤清洗。
乳香 没药 血竭 儿茶 三七（各二钱） 冰片（一钱） 麝香（二分）
有热象，加黄连（一钱）。有腐肉，加轻粉（一钱）。有渗出液，加龙骨（一钱）。想要快速收口，加珍珠（一两）或者加蟹黄（二钱，取法：团脐蟹蒸熟取黄晒干收藏使用）。
研成细末撒用。
或者用前面七味药，加猪油半斤，黄蜡少许。微温后，用绵纸拖制成膏药，贴敷痈疽破烂等疮疡。如果是杖伤，则三七加倍。
另一种方法：取新鲜鹿腿骨用纸包裹，在灰火中煨烤，直到变黄且脆为止。如果变成黑焦色就没有用了。研成细末撒用，生肌速度很快。
月白珍珠散：适用于新肉已长满但不能生皮，以及下疳腐烂疼痛，还有汤火烫伤。
珍珠（一钱） 青缸花（五分） 轻粉（二两）
研成细末撒用。下疳腐烂的，用猪脊髓调和涂抹。
另一种方法：取鸡蛋清倒在干净的瓦片上，晒干后取上面的清液研成粉末，撒用。
Whenever a severe toxic ulcer has ruptured but the internal toxin is not yet fully eliminated, sudden application of tissue-regenerating (Shengji) agents will result in apparent external healing while internal decay continues. Severe cases may force the toxin to attack inwardly, while mild cases may exacerbate the ulceration. Even if the wound closes temporarily, large carbuncles may reappear in adjacent areas. Thus, it is understood that when toxins are not fully cleared, tissue-regenerating drugs should not be used abruptly. Instead, apply Beiyegao (Shell Leaf Ointment) frequently changing the dressing. Only when granulation tissue resembling pearls appears should tissue-regenerating medicines be used. For patients with weak Yuanqi (Vital Energy), substantial tonification is required to nourish the root.
Shengji Dingtong San (Tissue-Regulating and Pain-Relieving Powder): Indicated for ulcers presenting with redness, swelling, heat, pain, and necrotic tissue. This formula resolves necrosis, relieves pain, and promotes tissue regeneration.
Calcii Carbonas Preparatus (Shigao, Gypsum Fibrosum) (ground into powder, levigated five to seven times with Licorice Decoction, per tael added) Borax (Pingsha, Borneolum Syntheticum) Cinnabar (Chensha, Cinabris) Borneol (Bingpian, Borneolum)
Grind into fine powder and sprinkle on the affected area.
Dingtong Shengji San (Pain-Relieving and Tissue-Regulating Powder): Indicated for ulcers presenting with redness, swelling, heat, and pain without necrotic tissue. This formula relieves pain and promotes tissue regeneration.
Gypsum Fibrosum (Shigao, Calcii Sulfas) (1 liang) Frankincense (Ruxiang, Olibanum) Dragon's Blood (Xuexie, Sanguis Draconis) Calomelas (Qingfen, Hydrargyri Chloridum Mite) Borneol (Bingpian, Borneolum) (1 qian)
If there is exudate, add Angelica Dahurica (Baizhi, Radix Angelicae Dahuricae) and Fossilized Bone (Longgu, Os Mastodi et Ossis Femoris) (1 qian each). If the wound fails to close, add Chicken Gizzard Membrane (Jineijin, Endothelium Corneum Gigeriae Galli) (roasted, 1 qian).
Grind into fine powder and sprinkle on the affected area.
For cold-type ulcers failing to close: Sprinkle dried Ginger (Ganjiang, Zingiberis Rhizoma) powder on the wound. A sensation of warmth like baking will occur, smoothing the surface and facilitating healing.
For various ulcers causing itching: Sprinkle Alum (Kufan, Alumen) and dried Ginger (Ganjiang, Zingiberis Rhizoma) powder on the affected area. Then wash with a decoction of fine tea (Xicha, Camelliae Sinensis Folium) and salt (Yan, Natrii Chloridum).
Frankincense (Ruxiang, Olibanum) Myrrh (Moyao, Myrrha) Dragon's Blood (Xuexie, Sanguis Draconis) Catechu (Ercha, Catechu) Notoginseng Root (Sanqi, Panacis Quinquefolii Radix) (2 qian each) Borneol (Bingpian, Borneolum) (1 qian) Musk (Shexiang, Moschus) (2 fen)
If heat signs are present, add Coptis Rhizome (Huanglian, Coptidis Rhizoma) (1 qian). If necrotic tissue is present, add Calomelas (Qingfen, Hydrargyri Chloridum Mite) (1 qian). If there is exudate, add Fossilized Bone (Longgu, Os Mastodi et Ossis Femoris) (1 qian). To accelerate closure, add Pearl (Zhenzhu, Concha Margaritifera) (1 liang) or Crab Yellow (Xiehuan, 2 qian; method: steam mature female crab, extract yolk, dry and store).
Grind into fine powder and apply.
Alternatively, take the aforementioned seven herbs, add half a tael of Pig Fat (Zhuyou, Adip Suillum) and an appropriate amount of Beeswax (Huangla, Cera Flava). Warm slightly, spread onto cotton paper to make plasters, and apply to carbuncles, ulcers, and broken sores. For whip injuries, double the dosage of Notoginseng Root (Sanqi, Panacis Quinquefolii Radix).
Another method: Wrap fresh Deer Leg Bone in paper and roast in ash fire until yellow and brittle. If it turns black and charred, it is useless. Grind into fine powder and sprinkle; it regenerates tissue very rapidly.
Yuebai Zhenzhu San (Moon-White Pearl Powder): Indicated when new flesh has filled the wound but skin cannot regenerate, as well as for chancre with rotting and pain, and scalds/burns.
Pearl (Zhenzhu, Concha Margaritifera) (1 qian) Indigo Naturalis (Qinganghua, Folium Isatidis) (5 fen) Calomelas (Qingfen, Hydrargyri Chloridum Mite) (2 liang)
Grind into fine powder and apply. For chancre with rotting, mix with Porcine Spinal Cord (Zhujisuangui, Medulla Spinalis Sus Scrofa Domesticus) and apply.
Another method: Pour Egg White (Jiziqing, Albumen Ovi Galli) onto a clean tile, dry in the sun, collect the clear upper layer, grind into powder, and apply.