初起七日之前。或已灸之后。未服他药者。宜蟾酥丸或绀珠丹汗之。如汗之不出。由毒瓦斯盛表里闭密
之故。则外兼神灯照法、桑柴烘法。能使已成者自溃。不脱者自脱。助汤剂合表里以成功。烘后以膏盖
顶上。提脓拔毒以御风寒。其根脚发肿。又在敷贴之力以束根本。若溃后者。则用铁桶膏围束疮口。庶
不开大。如阳疮肿痛。七日以后。自有黄色稠脓相粘膏上。每日用葱汤洗之。换膏贴之。其正脓出在十一日前
后。如未经灸者。内脓将结之际。皮浓无头而难穿者。用玄珠膏涂顶上。黑膏盖之。三五日脓从毛孔吸
出。久之列界。其腐成片而落。其内肉已平。则换生肌药。已溃而瘀腐不去者涂之。去腐如割。且无痛苦。
胜他药多矣。然必赖内托之功。方获捷效。
毒至十日以外。疮虽不腐。而红肿 痛者。由元气不能充足。或失于补托。或误用寒凉。或盖覆不暖所
致。治宜托里大补。以得脓为效。若疮口出黑血。遍身汗出。乃补托之征也。如期不作腐溃。形尚坚硬。乃
疮根闭固。为阴阳相半之症。必用神妙拔根法。不致内攻。倘内有脓。又便易出。
又以十五日至二十一日为期。过此外者。纵有稀脓。诚难归结。若无脓。为纯阴不治。故阳疮以十四日
为关。阴疮以二十一日为节。斯时务要脓出势定。不可过酿。候脓出方自腐脱。腐脱方自生肌。生肌方
自收敛。收敛方自疮平。此疮之关节次第也。如期不得脓者。后必多变。用药之法。初起以散肿内消为
主。已溃以排脓敛毒为主。脓尽以去腐内塞为主。腐尽以生肌敷痂为主。此治疮之定例也。
在发病七日之前，或者已经施灸之后，且尚未服用其他药物的情况下，适宜使用蟾酥丸或绀珠丹通过发汗的方法来治疗。如果发汗后汗液仍无法排出，这是由于毒气旺盛、表里闭塞紧密的缘故。此时应外兼用神灯照法和桑柴烘法，能使已经形成的脓疮自行溃破，未脱落的腐肉自行脱落，辅助汤剂调和表里以取得成功。烘烤之后，用膏药覆盖在头顶（注：此处原文“顶上”可能指患处或特定部位，依文意理解为覆盖疮口或相关部位），起到提脓拔毒以抵御风寒的作用。对于疮基周围发生的肿胀，又依靠敷贴的力量来束缚根本。如果疮口已经溃破，则使用铁桶膏围束疮口，以防其扩大。如果是阳证疮疡出现肿痛，七日以后，自然会有黄色的稠脓粘连在膏药上。每天用葱汤清洗疮口，更换膏药贴敷。正常的脓液排出通常在十一日前后。如果没有经过灸治，在内脓即将形成之际，皮肤厚实没有脓头而难以穿透时，用玄珠膏涂抹在顶部，再用黑膏覆盖。三到五日后，脓液从毛孔被吸出，久而久之界限分明。腐肉成片脱落，内部肌肉已经平整，这时更换生肌药物。对于已经溃破但瘀腐不去的情况，涂抹此药可以去除腐肉如同割除一般，而且没有痛苦，胜过其他药物很多。然而必须依赖内托的功效，才能获得迅速疗效。
毒邪发展到十日以外，疮口虽然不腐烂，但红肿疼痛，这是由于元气不能充足，或者失于补益托毒，或者误用了寒凉药物，或者覆盖保暖不足所导致。治疗应当采用托里大补的方法，以能够排脓为见效标准。如果疮口流出黑血，全身出汗，这是补托有效的征象。如果到了期限仍然不腐烂溃破，形态依然坚硬，这是疮根闭固，属于阴阳相半的病症。必须使用神妙拔根法，以防止毒邪内攻。如果内部有脓，也更容易排出。
又以十五日至二十一日作为期限。超过这个期限之外，即使有稀薄的脓液，也确实难以愈合收口。如果没有脓液，属于纯阴之症，难以治愈。所以阳证疮疡以十四天为关键节点，阴证疮疡以二十一天为节律。这个时候务必使脓液排出且势头稳定，不可过度酿脓。等待脓液排出后自然会腐烂脱落，腐肉脱落后自然会生长新肉，新肉生长后自然会收敛，收敛后疮面自然会平复。这是疮疡发展的关节次第。如果到了期限得不到脓液，后来必然产生多种变化。用药的原则是：初起以消散肿毒、内部消除为主；已溃破以排脓敛毒为主；脓液排尽以去除腐肉、内部填补为主；腐肉去尽以生肌敷痂为主。这是治疗疮疡的固定法则。
Before the seventh day of onset, or after moxibustion has been applied and no other medicines have been taken, it is appropriate to use Chan Su Wan (Toad Venom Pill) or Gan Zhu Dan (Crimson Pearl Pill) to induce sweating. If sweating does not occur despite treatment, it is due to the abundance of toxic qi and the tight closure of the exterior and interior. In such cases, external methods such as Shen Deng Zhao (Divine Lamp Illumination) and Sang Chai Hong (Mulberry Wood Roasting) should be combined. These methods can cause formed abscesses to spontaneously ulcerate and non-detached necrotic tissue to fall off, assisting decoctions in harmonizing the exterior and interior to achieve success. After roasting, apply a plaster over the affected area (or top of the head, depending on context interpretation) to promote pus discharge and draw out toxins, thereby defending against wind and cold. For swelling at the base of the lesion, rely on the power of topical applications to bind the root. If the sore has already ulcerated, use Tie Tong Gao (Iron Bucket Plaster) to encircle the wound opening to prevent it from enlarging. For yang-type sores presenting with swelling and pain, after seven days, thick yellow pus will naturally adhere to the plaster. Wash the area daily with Cong Tang (Scallion Decoction) and change the plaster. Normal pus discharge typically occurs around the eleventh day. If moxibustion was not performed, when internal pus is about to form but the skin is thick without a visible head and difficult to penetrate, apply Xuan Zhu Gao (Mysterious Pearl Ointment) to the top and cover it with Hei Gao (Black Plaster). Within three to five days, pus will be drawn out through the pores. Over time, clear boundaries will form. The necrotic tissue will fall off in sheets, and the underlying flesh will become level. At this point, switch to ji sheng yao (flesh-regenerating medicine). Apply this ointment to ulcers where stasis and necrosis persist; it removes necrotic tissue as cleanly as cutting, without pain, and is superior to other medicines. However, it must rely on the efficacy of nei tuo (internal support and expulsion) to achieve rapid results.
If ten days have passed since onset, and although the sore does not necrose, it presents with redness, swelling, and pain, this is caused by insufficient yuan qi (original qi), failure to apply tonifying and supporting treatments, misuse of cold-natured herbs, or inadequate warmth in covering. Treatment should focus on tuo li da bu (greatly tonifying the interior and supporting the body's resistance), with the emergence of pus as the sign of effectiveness. If black blood flows from the wound and sweat appears all over the body, these are signs that the tonifying and supporting treatment is working. If the expected period passes without necrosis and ulceration, and the lesion remains hard, this indicates that the root of the sore is closed and solid, representing a condition of balanced yin and yang. It is necessary to use Shen Miao Ba Gen Fa (Divine Root-Pulling Method) to prevent internal invasion of pathogens. If there is pus inside, it will also be easier to drain.
The period from fifteen to twenty-one days serves as another benchmark. Beyond this timeframe, even if thin pus exists, it is truly difficult for the wound to heal and close. If there is no pus, it is a pure yin condition that is difficult to cure. Therefore, for yang sores, fourteen days is the critical threshold; for yin sores, twenty-one days is the limit. At this stage, it is essential to ensure that pus discharges steadily and does not accumulate excessively. Wait for pus discharge before natural necrosis and shedding occur; after necrotic tissue sheds, new flesh will naturally grow; after new flesh grows, contraction will naturally occur; after contraction, the wound surface will naturally flatten. This is the sequential order of sore development. If pus does not appear by the expected time, various complications will likely arise later. The principles of medication are: for initial onset, focus on san zhong nei xiao (dispelling swelling and resolving internally); for ulcerated sores, focus on pai nong lian du (draining pus and consolidating toxins); when pus is exhausted, focus on qu fu nei sai (removing necrosis and filling internally); when necrosis is completely removed, focus on sheng ji fu jia (generating flesh and applying scabs). This is the fixed protocol for treating sores.