神授卫生散 治痈疽发背脑疽。丹瘤瘰 。恶毒疔疮。湿痰流注。及外科一切疮症。不问阴阳表里虚
实。但未成自消。已成者即溃。将溃者余毒自去。新血自生。功效甚速。诚外科首用之方也。
羌活 白芷 穿山甲（炒） 石决明（ ） 乳香 没药 大黄（生各一两） 沉香（五钱） 加防风
蝉蜕 僵蚕（各五钱）
各为末。和匀。每服五钱。用归尾一两。黄酒二碗。煎八分。调服。预用金银花一两煎汤一小碗，随用漱
口咽下。盖卧汗下。任其自然。
此若虚家藏之密方也。非彼秘而不传。但方贵乎平易。异则触目。如兵贵用正兵。奇则骇人。然正兵
常也。奇兵变也。余不敢秘。亦不混于前。另录之。用正用奇。存乎其人耳。
双解贵金丸 治背疽诸毒。木闷坚硬便闭。脉沉实者。
大黄（一斤） 白芷（十两）
为末。水丸。每服三五钱。五更时。用连须葱大者十余根。黄酒一碗。煮葱烂。取酒送药。盖卧出汗。过三
二时。行一二次。立效。
此宣通攻利之剂也。济之以葱、酒。力能发汗。故云双解。弱者随用生料四君子汤补之。老人虚人。每
服一钱。用人参加生姜煎汤送下。过一时再一服。得睡上半身得汗。睡觉则已。
一、肿毒初起肿痛不可忍者用∶
红花 穿山甲（炒各五钱） 归尾（三钱）
黄酒二钟。煎一钟。调阿魏五分麝香五厘服。
一、肿疡发于阴处及乳痈等症用∶
穿山甲（炒三两） 牛皮胶（炒五两）
为末。酒丸。每服三四钱。黄酒送下。未成者即消。已成者自敛。
一、肿疡已溃不穿及内痈等症用∶
皂角刺（一两） 黄 （五钱） 甘草（二钱） 乳香（一钱） 黄酒煎服。
一、痈疽肿毒。有死血阴毒在中则不痛。用远志酒饮之敷之则痛。有忧怒等气积而内攻则痛。饮之
敷之则止。或蕴热在内。热逼人手不可近。饮之敷之必凉。或气血虚寒。溃而不敛。及七情内郁者。
治之必愈。法用远志泔水浸。去心为末。每用五钱。黄酒一钟调之。澄清饮之。渣敷患处。余每以此
酒调对症药服。渣敷之更佳。
对口初起。不问偏正。用蛇蜕一条。烧灰酒服。即消。
复元通气散 乳痈腹痈。肿毒便毒。耳痛耳聋。由诸气闭塞者。
青皮（四两） 陈皮（四两） 穿山甲（二两） 甘草（三两半生半熟） 连翘（一两） 栝蒌仁（二两）
金银花（一两）
或末或丸。每服二钱。黄酒调服。
越鞠丸 治牙疼齿痛。口舌生疮。或胸膈痞满。呕吐吞酸。或腹胀腿酸等症。由六郁所致者多。故用之
悉效。
苍术（炒） 神曲（炒） 香附 山楂 栀子（炒） 抚芎 麦芽（炒）
等分为末。糊丸桐子大。每服七十丸。白汤送下。
神授卫生散：治疗痈疽、发背、脑疽、丹瘤、瘰疬、恶毒疔疮、湿痰流注，以及外科所有疮症。不论病证属于阴证还是阳证、表证还是里证、虚证还是实证，只要疮疡尚未形成脓液，即可自行消散；已经成脓的，随即溃破；即将溃破的，余毒自然清除，新血自生，功效非常迅速，确实是外科首选的方剂。
药材包括：羌活、白芷、穿山甲（炒制）、石决明（煅制）、乳香、没药、大黄（生用，各一两）、沉香（五钱），另加防风、蝉蜕、僵蚕（各五钱）。
将上述药物研为细末，混合均匀。每次服用五钱，用当归尾一两、黄酒二碗，煎至八分满，调服药粉。预先用金银花一两煎汤一小碗，随时用来漱口并咽下。服药后盖上被子卧床，让身体自然出汗或排便，顺其自然。
这原本是虚家珍藏的秘密方子，并非他们故意保密不传。只是方剂贵在平正简易，奇异则令人惊目，如同兵法中重视正兵，奇兵则令人骇异。然而正兵是常规，奇兵是变化。我不敢保密，也不混杂在前面的方剂中，单独记录于此。使用正兵还是奇兵，取决于使用者本人。
双解贵金丸：治疗背疽及其他各种毒肿，症状表现为胸闷坚硬、大便闭塞，脉象沉实者。
研为细末，用水泛为丸。每次服用三到五钱，在凌晨五更时分，用带须的大葱十余根、黄酒一碗，煮烂葱头，取酒送服药物。服药后盖被卧床出汗，经过两三个时辰后，排便一两次，立即见效。
这是宣通攻下的药剂，借助葱和酒的力量能够发汗，所以称为“双解”。体质虚弱者随后服用生料四君子汤以补益。老年人及体虚之人，每次服用一钱，用人参配合生姜煎汤送服。过一个时辰后再服一次，入睡后上半身出汗，醒来即止。
一、肿毒初起，肿痛剧烈难以忍受者使用：
红花、穿山甲（炒制，各五钱）、当归尾（三钱）。
用黄酒二钟，煎至一钟，调入阿魏五分、麝香五厘服用。
一、肿疡发生在阴部部位及乳痈等症使用：
穿山甲（炒制三两）、牛皮胶（炒制五两）。
研为细末，用酒泛为丸。每次服用三四钱，用黄酒送下。未成脓的即消散，已成脓的自行收敛。
一、肿疡已溃破但未穿透及内痈等症使用：
皂角刺（一两）、黄芪（五钱）、甘草（二钱）、乳香（一钱）。
用黄酒煎服。
一、痈疽肿毒，若有死血阴毒蕴结在中则不痛，饮用远志酒并外敷患处则会感到疼痛；若有忧怒等气机郁结而内攻则痛，饮用并外敷则可止痛；或者体内蕴热，热气逼人，手不可靠近，饮用并外敷则必感清凉；或者气血虚寒，溃破后不能愈合，以及七情内郁者，治疗必定痊愈。方法是用远志在泔水中浸泡，去心后研为细末。每次用五钱，用黄酒一钟调和，澄清后饮用，药渣敷于患处。我平时常用此酒调和对症的药物服用，药渣外敷效果更好。
对口疮初起，不论偏侧还是正中，用蛇蜕一条，烧成灰后用酒送服，即可消散。
复元通气散：治疗乳痈、腹痈、肿毒、便毒、耳痛、耳聋，由各种气机闭塞所致者。
药材包括：青皮（四两）、陈皮（四两）、穿山甲（二两）、甘草（三两半，一半生用一半熟用）、连翘（一两）、栝蒌仁（二两）、金银花（一两）。
或制成散剂或丸剂。每次服用二钱，用黄酒调服。
越鞠丸：治疗牙疼、齿痛、口舌生疮，或者胸膈痞闷胀满、呕吐吞酸，或者腹胀、腿酸等症状，大多由六郁所致，因此使用此方全部有效。
药材包括：苍术（炒制）、神曲（炒制）、香附、山楂、栀子（炒制）、抚芎（川芎的一种）、麦芽（炒制）。
等分为细末，用糊制作成梧桐子大小的丸剂。每次服用七十丸，用白开水送下。
Shenshou Weisheng San: Treats carbuncles, sores on the back (Fabei), brain sores, erysipelas-like tumors, scrofula, malignant hard sores, flowing abscesses caused by damp-phlegm, and all types of surgical sores. Regardless of whether the condition is Yin or Yang, exterior or interior, deficiency or excess, if the sore has not yet formed pus, it will dissipate spontaneously; if pus has already formed, it will ulcerate immediately; if about to ulcerate, residual toxins will clear naturally, and new blood will generate. The efficacy is very rapid, making it truly the first-choice formula for surgery.
Ingredients include: Qianghuo (Notopterygii Rhizoma et Radix), Baizhi (Angelicae Dahuricae Radix), Chanshanjia (Pangolin Scales) (stir-fried), Shijueming (Concha Haliotidis) (calcined), Ruxiang (Olibanum), Moyao (Myrrha), Dahuang (Rhei Radix et Rhizoma) (raw, each 1 liang), Chenxiang (Aquilariae Lignum Resinatum) (5 qian), plus Fangfeng (Saposhnikoviae Radix), Chantui (Cicadae Periostracum), Jiangcan (Bombyx Batryticatus) (each 5 qian).
Grind the above herbs into fine powder and mix evenly. Take 5 qian per dose. Use Guiwei (Radix Angelicae Sinensis Caulis) 1 liang and Huangjiu (Yellow Wine) 2 bowls, decoct until reduced to 0.8 bowl volume, then mix with the powder for oral administration. Pre-decoct Jinyinhua (Lonicerae Japonicae Flos) 1 liang in a small bowl of water, use this liquid to rinse the mouth and swallow as needed. After taking the medicine, cover oneself with a quilt and lie down, allowing sweat or bowel movements to occur naturally.
This was originally a secret recipe kept by the Xu family, not because they intended to keep it hidden, but because formulas are valued for being simple and accessible; unusual ones attract attention. Just as in military strategy, regular troops are standard, while surprise troops are variable. I dare not keep it secret, nor mix it with previous formulas, so I record it separately. Whether to use regular or surprise methods depends on the practitioner.
Shuangjie Guijin Wan: Treats back carbuncles and various other toxic swellings, presenting with chest stuffiness, hardness, constipation, and a deep, solid pulse.
Ingredients include: Dahuang (Rhei Radix et Rhizoma) (1 jin), Baizhi (Angelicae Dahuricae Radix) (10 liang).
Grind into powder and make pills using water. Take 3-5 qian per dose at the third watch (around 1-3 AM). Boil over ten large green onions with roots in one bowl of yellow wine until soft, take the wine to send down the pills. Cover with a quilt and lie down to induce sweating. After two to three hours, pass stool once or twice, and immediate effect is achieved.
This is a formula for promoting circulation and purging accumulation, assisted by green onions and wine to induce sweating, hence called "Double Resolution." For weak patients, subsequently administer Shengliao Sijunzi Tang (Raw Decoction of Four Gentlemen Decoction) to tonify. For elderly or deficient persons, take 1 qian per dose, sent down with a decoction of Renshen (Ginseng Radix et Rhizoma) and Shengjiang (Zingiberis Rhizoma Recens). One hour later, take another dose. Sleep ensues, with sweating on the upper body; upon waking, it stops.
1. For initial swelling and pain that is unbearable:
Honghua (Carthami Flos), Chanshanjia (Pangolin Scales) (stir-fried, each 5 qian), Guiwei (Radix Angelicae Sinensis Caulis) (3 qian).
Decoct in 2 zhong of yellow wine until reduced to 1 zhong. Mix with Awei (Asafoetida) 5 fen and Shexiang (Moschus) 5 li, then take orally.
2. For sores occurring in yin areas and mastitis (Ru Yong):
Chanshanjia (Pangolin Scales) (stir-fried, 3 liang), Niupijiao (Colla Corii Asini) (stir-fried, 5 liang).
Grind into powder and make pills using wine. Take 3-4 qian per dose, sent down with yellow wine. If not yet formed, it dissipates; if formed, it heals spontaneously.
3. For sores that have ulcerated but not penetrated, and internal abscesses:
Zaogelaci (Gleditsiae Sinensis Spina) (1 liang), Huangqi (Astragali Radix) (5 qian), Gancao (Glycyrrhizae Radix et Rhizoma) (2 qian), Ruxiang (Olibanum) (1 qian).
Decoct in yellow wine and take orally.
4. For carbuncles and toxic swellings where dead blood and yin toxins accumulate internally causing no pain: Drinking Yuanzhi (Polygalae Radix) wine and applying it externally induces pain. If pain is caused by emotional stagnation (worry/anger) attacking internally: drinking and applying stops the pain. If heat accumulates internally, making the area hot to the touch: drinking and applying brings cooling. If there is Qi and Blood deficiency with cold, leading to non-healing ulcers, or emotional depression: treatment ensures recovery. Method: Soak Yuanzhi in rice washing water, remove the heart, grind into powder. Take 5 qian per dose, mix with 1 zhong of yellow wine, let settle, drink the clear liquid, and apply the dregs to the affected area. I usually use this wine to mix with symptom-specific medicines for oral administration, and applying the dregs externally is even better.
For Duikou sore (carbuncle on the neck) at onset, regardless of lateral or central position: Burn one snake skin (Shetui) to ash, take with wine. It dissipates immediately.
Fuyuan Tongqi San: Treats mastitis, abdominal abscesses, swollen sores, groin abscesses, ear pain, deafness, caused by obstruction of Qi mechanisms.
Ingredients include: Qingpi (Citri Reticulatae Pericarpium Viride) (4 liang), Chenpi (Citri Reticulatae Pericarpium) (4 liang), Chanshanjia (Pangolin Scales) (2 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (3.5 liang, half raw, half processed), Lianqiao (Forsythiae Fructus) (1 liang), Gualouren (Trichosanthis Semen) (2 liang), Jinyinhua (Lonicerae Japonicae Flos) (1 liang).
Make into powder or pills. Take 2 qian per dose, mixed with yellow wine.
Yueju Wan: Treats toothache, gum pain, mouth and tongue sores, chest and diaphragm fullness/stuffiness, vomiting with acid regurgitation, abdominal distension, leg soreness, etc., mostly caused by the Six Stagnations (Liu Yu). Therefore, it is effective for all such conditions.
Ingredients include: Cangzhu (Atractylodis Rhizoma) (stir-fried), Shenqu (Massa Medicata Fermentata) (stir-fried), Xiangfu (Cyperi Rhizoma), Shanzha (Crataegi Fructus), Zhizi (Gardeniae Fructus) (stir-fried), Fuxiong (Ligusticum Chuanxiong Rhizoma), Maiya (Hordei Fructus Germinatus) (stir-fried).
Grind equally into powder, make pills using paste, size of paulownia seeds. Take 70 pills per dose, sent down with warm water.