疮当分内外廉，外廉易治内难痊，外属三阳湿热结，内属三阴虚热缠。法宜搜风
除湿热，外贴三香夹纸钱。
【注】此证生在两胫内外廉骨，外廉属足三阳经湿热结聚，早治易于见效；内廉属三
阴有湿，兼血分虚热而成，更兼廉骨皮肉浇薄，难得见效，极其缠绵。初发先痒后痛，红
肿成片，破津紫水。新起宜贴三香膏，色紫贴夹纸膏；日久疮色紫黑，贴解毒紫金膏；又
年久顽 ，疮皮乌黑下陷，臭秽不堪者，用
蜈蚣饯法，去风毒、化瘀腐，盖贴黄蜡膏，渐效。初服黄 丸，日久者服四生丸，下元虚
冷者宜虎潜丸，常服甚效，但腿胫在至阴之下，生疮者当戒劳动，发物，其证可愈，否
则难痊。
\r 疮图\p04-34a212.bmp\r
三香膏
轻粉 乳香 松香（各等分）
共为末、香油调稠，用夹纸一面，以针密刺细孔，将药夹搽纸内；先以葱汤洗净患
处，将药纸有针孔一面，对疮贴之，三日一换。
【方歌】三香轻粉乳松香，研末油调纸内藏，葱汤洗患方贴药，初起 疮用此良。
夹纸膏
黄丹（炒） 轻粉 儿茶 没药 雄黄 血竭 五倍子（炒） 银朱 枯矾（各等分）
共为末，量疮大小，剪油纸二张，夹药于内，纸周遭用面糊粘住，纸上用针刺孔；先
将疮口用葱、椒煎汤洗净拭干，然后粘贴，以帛缚之，三日一洗，再换新药贴之。
【方歌】夹纸膏贴 疮破，黄丹轻粉儿茶没，雄黄竭倍银朱矾，油纸夹贴腐可脱。
解毒紫金膏
明净松香 皂矾（ 赤各一斤）
共研极细末，香油调稠；先用葱、艾、甘草煎汤洗净患处，再搽此药，油纸盖住，以
软布扎紧，三日一换，此药又治杨梅结毒，腐烂作臭，脓水淋漓，用之甚效。
【方歌】解毒紫金 疮烂，明净松香皂矾 ，二味研末香油调，葱艾草汤先洗患。
蜈蚣饯
蜈蚣 甘草 独活 白芷（各一钱）
桐油二两，将药煎滚；先以米泔水洗净 疮，水和白面作圈，围在疮之四边，勿令
泄气，将腿放平，以茶匙挑油，渐渐乘热加满，待油温取下，以后风毒自散，腐肉渐脱，
其功甚速。
【方歌】蜈蚣饯治久 疮，皮黑下陷臭难当，桐油煎草独活芷，白面圈疮油烫强。
黄蜡膏
血竭 赤石脂（ ） 龙骨（ 各三钱）
共为细末，香油一两，入血余栗子大一团，枯去渣；再入黄蜡一两，白胶香三钱，熔
化尽离火，下血竭等末，搅匀候冷，瓷罐盛之，用时捏作薄片贴疮上，绢帛缚定，三日
后翻过贴之。
【方歌】黄蜡血余竭白胶，石脂龙骨入油调，蜈蚣饯后此膏盖，肌肉能生痛自消。
黄 丸
黄 川乌头（炮，去皮、弦） 赤小豆 蒺藜（炒，去刺） 地龙（去土，炒） 川
楝子（盐水泡，去核） 茴香（炒） 防风（各一两） 乌药（五钱）
上为细末，酒煮，面糊为丸，如梧桐子大，每服十五丸，空心温酒送下，盐汤亦可，
妇人用醋煎滚，候温送下。
【方歌】黄 丸治 疮起，川乌赤豆共蒺藜，地龙川楝茴香炒，防风乌药酒糊宜。
四生丸
地龙（去土，炒） 白附子 僵蚕（炒） 草乌（去皮、尖，炮） 五灵脂（各等分）
上为细末，米糊为丸，如梧桐子大。每服三四十丸，食前茶、酒任下。
【方歌】四生 疮久缠绵，骨节多疼举动难，地龙白附僵蚕炒，草乌灵脂米糊丸。
虎潜丸
败龟板（酥炙，四两） 知母 黄柏（二味盐、酒炒） 熟地（各三两） 牛膝（酒蒸） 白芍（酒炒） 陈皮（盐
水润，各二两） 锁阳（酒润） 当归（酒洗，各一两五钱） 虎胫骨（酥炙，一两）
共研末，羯羊肉酒煮烂捣膏，和入药末内为丸，如梧桐子大。每服三钱，空心淡盐
汤送下，冬月加干姜一两。
【方歌】虎潜丸疗筋骨痿，下元虚冷精血亏，龟板锁阳膝虎胫，知柏芍陈熟地归。
疮疡应当区分内外侧，外侧容易治疗，内侧难以痊愈。外侧属于三阳经湿热邪气结聚，内侧属于三阴经虚热缠扰。治疗方法宜搜风除湿清热，外用贴敷三香夹纸膏。
【注】此证生于两小腿内外侧胫骨处，外侧属于足三阳经湿热结聚，早期治疗容易见效；内侧属于三阴经有湿，兼有血分虚热而成，再加上胫骨处皮肉单薄，难以见效，病情极其缠绵。初发时先痒后痛，红肿成片，破溃后流出紫红色水液。新起者适宜贴敷三香膏，颜色紫暗者贴敷夹纸膏；日久疮色紫黑，贴敷解毒紫金膏；又若年久顽疾，疮皮乌黑下陷，气味臭秽不堪的，使用蜈蚣饯法，以祛风毒、化瘀腐，上面盖贴黄蜡膏，逐渐见效。初起服用黄 丸，日久者服用四生丸，下元虚冷者适宜服用虎潜丸，常服非常有效。但腿胫位于至阴之下，生疮者应当戒除劳动和发物，这样病症可以痊愈，否则难以治愈。
三香膏
轻粉、乳香、松香（各等分）
共同研为细末，用香油调成稠状，取一张夹纸，用针密密刺出细孔，将药夹搽在纸内；先用葱汤洗净患处，将药纸有针孔的一面，对着疮口贴敷，三天更换一次。
【方歌】三香轻粉乳松香，研末油调纸内藏，葱汤洗患方贴药，初起 疮用此良。
夹纸膏
黄丹（炒制）、轻粉、儿茶、没药、雄黄、血竭、五倍子（炒制）、银朱、枯矾（各等分）
共同研为细末，根据疮口大小，剪两张油纸，将药夹在中间，纸张四周用面糊粘住，纸上用针刺孔；先将疮口用葱、椒煎汤洗净擦干，然后粘贴，用帛带缚紧，三天清洗一次，再换新药贴敷。
【方歌】夹纸膏贴 疮破，黄丹轻粉儿茶没，雄黄竭倍银朱矾，油纸夹贴腐可脱。
解毒紫金膏
明净松香、皂矾（煅赤各一斤）
共同研成极细末，用香油调成稠状；先用葱、艾、甘草煎汤洗净患处，再搽此药，用油纸盖住，以软布扎紧，三天更换一次，此药又治杨梅结毒，腐烂发臭，脓水淋漓，使用它非常有效。
【方歌】解毒紫金 疮烂，明净松香皂矾 ，二味研末香油调，葱艾草汤先洗患。
蜈蚣饯
蜈蚣、甘草、独活、白芷（各一钱）
桐油二两，将药物煎煮至沸腾；先用米泔水洗净 疮，用水和白面做成圈，围在疮的四周，不要令漏气，将腿放平，用茶匙挑油，渐渐趁热加满，待油温后取下，以后风毒自然消散，腐肉逐渐脱落，其功效很快。
【方歌】蜈蚣饯治久 疮，皮黑下陷臭难当，桐油煎草独活芷，白面圈疮油烫强。
黄蜡膏
血竭、赤石脂（ ） 、龙骨（ ） （各三钱）
共同研为细末，用香油一两，加入血余炭栗子大一团，枯去渣滓；再加入黄蜡一两，白胶香三钱，熔化尽后离火，放入血竭等细末，搅匀冷却，盛于瓷罐中，用时捏作薄片贴在疮上，用绢帛缚定，三天后翻过来贴敷。
【方歌】黄蜡血余竭白胶，石脂龙骨入油调，蜈蚣饯后此膏盖，肌肉能生痛自消。
黄 丸
黄 、川乌头（炮制，去皮、弦）、赤小豆、蒺藜（炒制，去刺）、地龙（去土，炒制）、川楝子（盐水泡，去核）、茴香（炒制）、防风（各一两）、乌药（五钱）
以上药物研为细末，用酒煮，面糊制作成丸，如梧桐子大，每次服用十五丸，空腹用温酒送下，盐汤也可以，妇人用醋煎滚，候温送下。
【方歌】黄 丸治 疮起，川乌赤豆共蒺藜，地龙川楝茴香炒，防风乌药酒糊宜。
四生丸
地龙（去土，炒制）、白附子、僵蚕（炒制）、草乌（去皮、尖，炮制）、五灵脂（各等分）
以上药物研为细末，米糊制作成丸，如梧桐子大。每次服用三四十丸，饭前茶或酒任便送下。
【方歌】四生 疮久缠绵，骨节多疼举动难，地龙白附僵蚕炒，草乌灵脂米糊丸。
虎潜丸
败龟板（酥炙，四两）、知母、黄柏（这两味药用盐和酒炒制）、熟地黄（各三两）、牛膝（酒蒸）、白芍（酒炒）、陈皮（盐水润，各二两）、锁阳（酒润）、当归（酒洗，各一两五钱）、虎胫骨（酥炙，一两）
共同研为末，用羯羊肉酒煮烂捣成膏，和入药末内制作成丸，如梧桐子大。每次服用三钱，空腹淡盐汤送下，冬季加干姜一两。
Ulcers should be distinguished by their location on the medial or lateral aspects. Those on the lateral aspect are easy to treat, while those on the medial aspect are difficult to cure. The lateral aspect belongs to the accumulation of damp-heat in the Yang-meridians (Three Yang meridians), and the medial aspect belongs to the entanglement of deficiency-heat in the Yin-meridians (Three Yin meridians). The treatment method should involve searching for wind, removing dampness, clearing heat, and applying Sanxiang Jiazhi Gao externally.
[Note] This condition arises on the inner and outer sides of the tibia of both lower legs. The lateral aspect belongs to the accumulation of damp-heat in the Foot Three Yang meridians; early treatment yields quick results. The medial aspect involves dampness in the Three Yin meridians combined with deficiency-heat in the blood level. Additionally, the skin and flesh over the tibial bone are thin, making it difficult to achieve results, and the condition is extremely lingering. Initially, there is itching followed by pain, redness, swelling forming patches, and upon rupture, purple fluid oozes out. For newly onset cases, apply Sanxiang Gao; if the color is purple, apply Jiazhi Gao. If the ulcer has persisted for a long time with a purple-black color, apply Jiedu Zijin Gao. For chronic stubborn ulcers where the skin is black, sunken, and foul-smelling, use the Wugong Qian method to dispel wind-toxin and resolve stasis and putrefaction, covering it with Huangla Gao until gradual improvement occurs. For initial stages, take Huang Wan; for prolonged cases, take Sisheng Wan; for those with deficiency-cold of the Lower Yuan (Lower Burner/Kidney system), Hujian Wan is suitable, which is very effective with regular use. However, since the lower legs are located below the point of Supreme Yin (Zhiyin), patients with leg ulcers must avoid labor and triggering foods (Fa Wu); otherwise, the condition may not heal.
Sanxiang Gao
Qingfen (Calomelas)
Ruxiang (Olibanum / Frankincense)
Songxiang (Pini Resina / Pine Rosin)
(Equal parts)
Grind all into fine powder, mix with sesame oil to a thick consistency. Take a piece of paper sandwiched between two layers, prick it densely with a needle to create small holes. Apply the medicine inside the paper layer. First, wash the affected area with scallion water. Then, apply the medicinal paper with the pricked side facing the ulcer. Change every three days.
[Fang Ge/Song] Sanxiang, Qingfen, Ruxiang, Songxiang, ground to powder mixed with oil and hidden in paper; wash the affected area with scallion water before applying; this is excellent for early-stage ulcers.
Jiazhi Gao
Huandan (Cinnabar calcined / Lead Monoxide prepared)
Qingfen (Calomelas)
Ercha (Terminalia chebula Retz.)
Moyao (Myrrha / Myrrh)
Xionghuang (Realgar)
Xuejie (Santalum album L. heartwood)
Wubeizi (Galla Chinensis)
Yinzhu (Vermilion / Mercury sulfide)
Kufan (Alumen Exsiccatum / Calcined Alum)
(Equal parts)
Grind all into fine powder. Cut two sheets of oiled paper according to the size of the ulcer. Place the medicine between the papers and seal the edges with wheat paste. Prick holes in the top paper. First, wash and dry the ulcer with a decoction of scallions and pepper. Then paste it, bind with cloth, wash every three days, and reapply fresh medicine.
[Fang Ge/Song] Jiazhi Gao applied to broken ulcers; Huandan, Qingfen, Ercha, Moyao, Xionghuang, Xuejie, Wubeizi, Yinzhu, Kufan; paste with oiled paper to detach necrotic tissue.
Jiedu Zijin Gao
Mingjing Songxiang (Clear Pine Rosin)
Zaofan (Melanterite / Ferrous sulfate heptahydrate calcined red)
(Each one jin)
Grind into extremely fine powder, mix with sesame oil to a thick consistency. First, wash the affected area with a decoction of scallions, mugwort, and licorice root. Then apply this medicine, cover with oiled paper, and tie tightly with soft cloth. Change every three days. This medicine is also effective for Chancre (Syphilitic sore) toxicity, rotting and foul-smelling with dripping pus.
[Fang Ge/Song] Jiedu Zijin treats rotten ulcers; Mingjing Songxiang and Zaofan ground to powder mixed with oil; wash the affected area first with scallion, mugwort, and licorice soup.
Wugong Qian
Wugong (Scolopendra subspinipes mutilans)
Gancao (Glycyrrhizae Radix et Rhizoma / Licorice Root)
Duhuo (Angelicae Pubescentis Radix / Pubescent Angelica Root)
Baizhi (Angelicae Dahuricae Radix / Dahurian Angelica Root)
(Each one qian)
Two liang of Tung oil. Boil the herbs in the oil. First, wash the ulcer with rice washing water. Make a ring of dough using water and white flour, place it around the four sides of the ulcer to prevent leakage. Keep the leg flat. Use a tea spoon to ladle hot oil gradually until full. When the oil cools, remove it. Thereafter, wind-toxin will dissipate naturally, and necrotic flesh will shed gradually. The effect is very rapid.
[Fang Ge/Song] Wugong Qian treats chronic ulcers; black sunken skin with unbearable odor; boil Gancao, Duhuo, Baizhi in Tung oil; make a white flour ring around the ulcer and scald strongly with oil.
Huangla Gao
Xuejie (Santalum album L. heartwood)
Chishizhi (Halloysitum Rubrum / Red Halloysite)
Longgu (Fossilia Os Mastodi et Cornu / Fossilized Mammal Bone)
(Each three qian)
Grind into fine powder. Use one liang of sesame oil, add a ball of Xueyu (Human hair carbon) the size of a chestnut, burn off dregs. Add one liang of Huangla (Beeswax) and three qian of Baijiaoxiang (Boswellia carterii gum / Olibanum Gum). Melt completely, then remove from fire. Add the powdered herbs, stir evenly, and cool. Store in a porcelain jar. When using, mold into thin slices and apply to the ulcer, binding with silk cloth. After three days, flip and apply to the other side.
[Fang Ge/Song] Huangla, Xueyu, Xuejie, Baijiaoxiang; Chishizhi and Longgu mixed with oil; after Wugong Qian, cover with this ointment; muscles can regenerate and pain disappears naturally.
Huang Wan
Huang (likely referring to a specific processed herb or typo for Huangqi/Huanglian, context suggests toxic/strong herb given ingredients)
Chuan Wutou (Aconiti Radix Preparata / Prepared Aconite Root, peeled and de-veined)
Chixiaodou (Phaseoli Semen Rubrum / Red Adzuki Bean)
Jili (Tribuli Fructus / Tribulus terrestris Fruit, stir-fried, thorns removed)
Dilong (Pheretima / Earthworm, cleaned, stir-fried)
Chuan Lianzi (Toosendan Fructus / Melia Toosendan Fruit, soaked in salt water, pips removed)
Huixiang (Foeniculi Fructus / Fennel Fruit, stir-fried)
Fangfeng (Saposhnikoviae Radix / Saposhnikovia Root, each one liang)
Wuyao (Linderae Radix / Lindera Root, five qian)
Grind all into fine powder. Cook with wine, form pills with wheat paste, sized like wutong seeds. Take fifteen pills per dose, swallowed with warm wine on an empty stomach; salt water is also acceptable. For women, boil vinegar, let cool to warm temperature, and swallow.
[Fang Ge/Song] Huang Wan treats the onset of ulcers; Chuanwu, Chixiaodou, and Jili together; Dilong, Chuanlianzi, stir-fried Huixiang; Fangfeng and Wuyao with wine paste are suitable.
Sisheng Wan
Dilong (Pheretima / Earthworm, cleaned, stir-fried)
Baifuzi (Typhonii Rhizoma / Typhonium Root)
Jiangcan (Bombyx Batryticatus / Silkworm)
Caowu (Aconiti Kusnezoffii Radix / Kusnezoff Monkshood Root, peeled and tip removed, prepared)
Wulingzhi (Trogopterori Faeces / Trogopterus Dung)
(Equal parts)
Grind all into fine powder. Form pills with rice paste, sized like wutong seeds. Take thirty to forty pills per dose, swallowed with tea or wine before meals.
[Fang Ge/Song] Sisheng treats chronic lingering ulcers; bone joints often hurt, movement is difficult; Dilong, Baifu, stir-fried Jiangcan; Caowu and Wulingzhi with rice paste pills.
Hujian Wan
Baiguiban (Testudinis Carapax et Plastrum Preparata / Tortoise Shell prepared with酥 roasting, four liang)
Zhimu (Anemarrhenae Rhizoma / Anemarrhena Rhizome)
Huangbai (Phellodendri Cortex / Phellodendron Bark, these two stir-fried with salt and wine)
Shudi (Rehmanniae Radix Preparata / Prepared Rehmannia Root, each three liang)
Niuxi (Achyranthis Bidentatae Radix / Achyranthes Root, steamed with wine)
Baishao (Paeoniae Radix Alba / White Peony Root, stir-fried with wine)
Chenpi (Citri Reticulatae Pericarpium / Tangerine Peel, moistened with salt water, each two liang)
Suoyang (Cynomorii Herba / Cynomorium Herb, moistened with wine)
Danggui (Angelicae Sinensis Radix / Dong Quai Root, washed with wine, each one liang five qian)
Hujinggu (Pantheris Os / Panther Bone, prepared with酥 roasting, one liang)
Grind all into powder. Cook male sheep meat in wine until tender, mash into paste, mix with the herbal powder to form pills, sized like wutong seeds. Take three qian per dose, swallowed with light salt water on an empty stomach. In winter, add one liang of Ganjiang (Dried Ginger).
[Fang Ge/Song] Hujian Wan treats flaccidity of tendons and bones; deficiency-cold of Lower Yuan, deficiency of essence and blood; Guiban, Suoyang, Niuxi, Hujing; Zhibo, Shaoyao, Chenpi, Shudi, Danggui.