始生痈肿。此药专能发散，又能顺气搜风，通行经络，所谓结者开之也。经云∶汗之则疮
已，正与此相合也。服后当避风，忌冷物，戒房事，如妇人有孕者勿服。
【方歌】万灵丹治诸痹病，此药犹能治肿疡，发表毒邪从汗解，通行经络效非常。麻
黄羌活荆防细，川草乌芎石斛苍，全蝎当归甘草等，天麻何首共雄黄。
凡肿疡初起时，肿高赤痛者，宜敷凉药，以寒胜热也。然亦不可太过，过则毒为寒凝，
变为阴证。如漫肿不红，似有头而不痛者，宜敷温药，乃引毒外发也。经云∶发表不远热，
敷热药亦发表之意。凡调敷药，须多搅，则药稠粘。敷后贴纸，必须撕断，则不崩裂，不
时用原汁润之。盖借湿以通窍，干则药气不入，更添拘急之苦矣。凡去敷药必看毛孔有
汗，意者为血脉通，热气散也，反此者逆。
如意金黄散 此散治痈疽发背，诸般疔肿，跌扑损伤，湿痰流毒，大头时肿，漆疮
火丹，风热天泡，肌肤赤肿，干湿香港脚，妇女乳痈，小儿丹毒，凡一切诸般顽恶热疮，无
不应效，诚疮科之要药也。
南星 陈皮 苍术（各二斤） 黄柏（五斤） 姜黄（五斤） 甘草（二斤） 白芷（五斤）
上白天花粉（十斤） 浓朴（二斤） 大黄（五斤）
上十味共为咀片，晒干磨三次，用细绢罗筛，贮瓷罐，勿泄气。凡遇红赤肿痛，发
热未成脓者，及夏月时，俱用茶清同蜜调敷。
如欲作脓者，用葱汤同蜜调敷。如漫肿无头，皮色不变，湿痰流毒，附骨痈疽，鹤膝风等
证，俱用葱酒煎调敷。如风热所生，皮肤亢热，色亮游走不定，俱用蜜水调敷。如天泡
火丹，赤游丹，黄水漆疮，恶血攻注等证，俱用大蓝根叶捣汁调敷，加蜜亦可。汤泼火烧，
皮肤破烂，麻油调敷。以上诸引调法，乃别寒热温凉之治法也。
【方歌】如意金黄敷阳毒，止痛消肿实良方，南陈苍柏姜黄草，白芷天花朴大黄。
五龙膏 此膏治痈疽阴阳等毒，肿痛未溃者，敷之即拔出脓毒。
五龙草（即乌蔹。详《本草纲目》蔓草部。俗名五爪龙，江浙多产之） 金银花 草
车前草（连根叶） 陈小粉（各等分）
上四味俱用鲜草叶，一处捣烂，再加三年陈小粉，并飞盐末二三分，共捣为稠糊。遍
敷疮上，中留一顶，用膏贴盖，避风为主。若冬月草无鲜者，预采蓄下，阴干为末，用陈
米醋调敷，一如前法并效。如此方内五龙草，或缺少不便，倍加 草亦效。
【方歌】五龙膏用拔脓毒，平剂五龙草银花， 草车前俱捣烂，小粉飞盐搅糊搽。
四虎散 此散治痈疽肿硬，浓如牛领之皮，不作脓腐者，宜用此方。
草乌 野狼毒 半夏 南星（各等分）
上四味为细末，用猪脑同捣，遍敷疮上，留顶出气。
【方歌】四虎散敷阴疽痈，顽肿不痛治之平，浓似牛皮难溃腐，草乌野狼毒夏南星。
真君妙贴散 此散治痈疽诸毒，顽硬恶疮，散漫不作脓者，用此药敷之，不痛者即
痛，痛者即止。如皮破血流，湿烂疼苦，天泡火丹，肺风酒刺等证，并用之皆效。
荞面（五斤） 明净硫黄（为末，十斤） 白面（五斤）
上三味，共一处，用清水微拌，干湿得宜，赶成薄片微晒，单纸包裹，风中阴干，收
用。临时研细末，新汲水调敷。如皮破血流湿烂者，用麻油调敷。天泡、火丹、酒刺者，
用靛汁调搽并效。
【方歌】真君妙贴硫二面，水调顽硬不痛脓，油调湿烂流血痛，靛汁泡丹酒刺风。
二青散 此散治一切阳毒红肿，疼痛 热等证，未成者即消。
青黛 黄柏 白蔹 白薇（各一两） 青露（即芙蓉叶，三两） 白芨 白芷 水龙骨（即多年 船
旧油灰） 白鲜皮（各一两） 天花粉（三两） 大黄（四两） 朴硝（一两）
上十二味为末，用醋、蜜调敷。已成者留顶，未成者遍敷。
【方歌】二青散用敷阳毒，肿痛红热用之消，黛柏蔹薇青露芨，芷龙鲜粉大黄硝。
坎宫锭子 此锭子治热毒肿痛， 赤诸疮，并搽痔疮最效。
京墨（一两） 胡黄连（二钱） 熊胆（三钱） 麝香（五分） 儿茶（二钱） 冰片（七分）
牛黄（三分）
上七味为末，用猪胆汁为君，加生姜汁、大黄水，浸取汁，酽醋各少许，相和药成锭。
用凉水磨浓，以笔蘸涂之。
【方歌】坎宫锭子最清凉，热肿诸疮并痔疮，京墨胡连熊胆麝，儿茶冰片共牛黄。
离宫锭子 此锭子治疔毒肿毒，一切皮肉不变，漫肿无头，搽之立效。
血竭（三钱） 朱砂（二钱） 胆矾（三钱） 京墨（一两） 蟾酥（三钱） 麝香（一钱五分）
上六味为末，凉水调成锭，凉水磨浓涂之。
【方歌】离宫锭治诸疔毒，漫肿无头凉水涂，血竭朱砂为细末，胆矾京墨麝蟾酥。
白锭子 此锭专敷初起诸毒，痈疽疔肿，流注痰包恶毒，及耳痔、耳挺等证。
白降丹（即白灵药，四钱） 银黝（二钱） 寒水石（二钱） 人中白（二钱）
上四味，共为细末，以白芨面打糊为锭，大小由人，不可入口。每用以陈醋研敷患处，如干再上，
自能消毒。
【方歌】白锭专敷初起毒，痈疽疔肿与痰包，降丹银黝人中白，寒水白芨醋研消。
蝌蚪拔毒散 此散治无名大毒，一切火毒、瘟毒，敷之神效。
寒水石（研极细末） 净皮硝（研极细末） 川大黄（研极细末，各等分） 蛤蟆子（初夏时，河内
有蝌蚪成群，大头长尾者捞来，收坛内泥封口，埋至秋天化成水）
上用蝌蚪水一大碗，入前药末，各二两，阴干再研匀，收瓷罐内。每用时，以水调涂患处。
【方歌】拔毒散治无名毒，火毒瘟毒俱可施，寒水硝黄蝌蚪水，浸干药末水调之。
二味拔毒散 此散治风湿诸疮，红肿痛痒，疥痱等疾，甚效。
明雄黄 白矾（各等分）
上二味为末，用茶清调化，鹅翎蘸扫患处。痒痛自止，红肿即消。
【方歌】二味拔毒消红肿，风湿诸疮痛痒宁，一切肌肤疥痱疾，雄矾为末用茶清。
回阳玉龙膏 此膏治痈疽阴疮，不发热，不 痛，不肿高，不作脓，及寒热流注，冷
痛痹风，香港脚手足顽麻，筋骨疼痛，及一切皮色不变，漫肿无头，鹤膝风等证。但无肌
热者，一概敷之，俱有功效。
军姜（炒，三两） 肉桂（五钱） 赤芍（炒，三两） 南星（一两） 草乌（炒，三两）
白芷（一两）
上六味制毕，共为细末，热酒调敷。
【方歌】回阳玉龙阴毒证，不热不疼不肿高，军姜桂芍星乌芷，研末须将热酒调。
冲和膏 此膏治痈疽发背，阴阳不和，冷热相凝者，宜用此膏敷之。能行气疏风，活
血定痛，散瘀消肿，祛冷软坚，诚良药也。
紫荆皮（炒，五两） 独活（炒，三两） 白芷（三两） 赤芍（炒，二两） 石菖蒲（一两五钱）
上五味共为细末，葱汤、热酒俱可调敷。
【方歌】冲和发背痈疽毒，冷热相凝此药敷，行气疏风能活血，紫荆独芷芍菖蒲。
铁桶膏 此膏治发背将溃已溃时，根脚走散，疮不收束者，宜用此药围敷。
胆矾（三钱） 铜绿（五钱） 麝香（三分） 白芨（五钱） 轻粉（二钱） 郁金（二钱）
五倍子（微炒，一两） 明矾（四钱）
上八味共为极细末，用陈米醋一碗，杓内慢火熬至一小杯，候起金色黄泡为度，待
温，用药末一钱，搅入醋内，炖温，用新笔涂于疮根周遭，以棉纸覆盖药上，疮根自生
绉纹，渐收渐紧，其毒不致散大矣。
【方歌】铁桶膏收毒散大，周遭敷上束疮根，胆矾铜绿及轻粉，五倍明矾麝郁金。
乌龙膏 此膏治一切诸毒，红肿赤晕不消者，用此药敷上，极有神效。
木鳖子（去壳，二两） 草乌（半两） 小粉（四两） 半夏（二两）
上四味于铁铫内，慢火炒焦，黑色为度，研细，以新汲水调敷，一日一换，自外向里
涂之，须留疮顶，令出毒瓦斯。
【方歌】乌龙膏用治诸毒，赤晕能收治肿疡，木鳖草乌小粉夏，凉水调敷功效良。
神效千捶膏 此膏专贴疮疡、疔毒初起，贴之即消。治瘰 连根拔出，大人 疮，小
儿拱头等证，并效。
土木鳖（去壳，五个） 白嫩松香（拣净，四两） 铜绿（研细，一钱） 乳香（二钱）
没药（二钱） 蓖麻子（去壳，七钱） 巴豆肉（五粒） 杏仁（去皮，一钱）
上八味合一处，石臼内捣三千余下，即成膏；取起浸凉水中。用时随疮大小，用手
捻成薄片，贴疮上用绢盖之。
【方歌】千捶膏贴诸疔毒，瘰 疮 拱头，木鳖松香铜乳没，蓖麻巴豆杏仁投。
马齿苋膏 马齿苋性味清凉，能解诸毒。今用此一味，或服或敷，甚有功效，所治诸证列后∶
一、治杨梅遍身如癞，喉硬如管者，取苋碗粗一握，酒水煎服出汗。
一、治发背诸毒，用苋一握，酒煎或水煮，冷服出汗，再服退热去腐，三服即愈。并杵苋敷之。
一、治多年顽疮、 疮，疼痛不收口者，杵苋敷之，取虫。一日一换，三日后腐肉已
尽，红肉如珠时，换生肌药收口。
一、治面肿唇紧，捣汁涂之。
一、治妇女脐下生疮，痛痒连及二阴者，用苋四两，青黛一两，研匀敷之。
一、治湿癣白秃，取锻石末炒红，用苋汁熬膏，调匀涂之。
一、治丹毒，加蓝靛根，和捣敷之。
【方歌】马齿苋膏只一味，杨梅发背服敷之，顽疮面肿捣汁用，妇女阴疮共黛施，湿癣白秃加灰末，
丹毒蓝根相和宜。
痈肿初起时，此药专门能够发散邪气，又能顺气搜风，通行经络，这就是所说的“结者开之”（对郁结之证采用开通消散的方法）。《内经》说：“发汗则疮疡可愈”，正与此理相合。服药后应当避风，忌食生冷食物，禁止房事，如妇女有孕者不要服用。
【方歌】万灵丹治疗各种痹病，此药还能治疗肿疡，发表毒邪从汗而解，通行经络效果非常显著。麻黄、羌活、荆芥、防风、细辛，川乌、草乌、川芎、石斛、苍术，全蝎、当归、甘草等，天麻、何首乌共配雄黄。
凡是肿疡初起时，如果肿胀高突、色红疼痛的，适宜敷用凉性药物，以寒胜热。但是也不可以太过分，过分了则毒邪被寒凉凝滞，转变为阴证。如果是漫肿不红，似有头但不痛的，适宜敷用温性药物，这是为了引毒外发。《内经》说：“发表不远热”，敷用热药也是发表的意思。凡是调制外敷药，必须多搅拌，使药稠粘。敷药后贴纸，必须撕断，这样就不会崩裂，不时用原汁润湿它。大概借湿气以通窍，干燥则药气不能进入，更增添拘急的痛苦了。凡是去除外敷药时，必须看毛孔有汗，意谓血脉通畅，热气散出，反之则为逆证。
如意金黄散：此散治疗痈疽发背，各种疔肿，跌扑损伤，湿痰流毒，大头时肿，漆疮火丹，风热天泡，肌肤赤肿，干湿香港脚，妇女乳痈，小儿丹毒，凡是一切诸般顽恶热疮，没有不应验有效的，确实是疮科的重要药物。
南星、陈皮、苍术（各二斤）、黄柏（五斤）、姜黄（五斤）、甘草（二斤）、白芷（五斤）、上好的天花粉（十斤）、浓朴（二斤）、大黄（五斤）。
以上十味共同切成饮片，晒干磨三次，用细绢筛过，贮存在瓷罐中，不要漏气。凡是遇到红赤肿痛，发热未成脓的，以及夏季时候，都用茶清同蜜调敷。
如果想要化脓的，用葱汤同蜜调敷。如果是漫肿无头，皮色不变，湿痰流毒，附骨痈疽，鹤膝风等证，都用葱酒煎调敷。如果是风热所生，皮肤亢热，色亮游走不定，都用蜜水调敷。如果是天泡火丹，赤游丹，黄水漆疮，恶血攻注等证，都用大蓝根叶捣汁调敷，加蜜也可以。汤泼火烧，皮肤破烂，用麻油调敷。以上各种引经调法，是辨别寒热温凉的治疗方法。
【方歌】如意金黄敷阳毒，止痛消肿实良方，南星、陈皮、苍术、黄柏、姜黄、甘草，白芷、天花粉、浓朴、大黄。
五龙膏：此膏治疗痈疽阴阳等毒，肿痛未溃破的，敷之即拔出脓毒。
五龙草（即乌蔹莓。详见《本草纲目》蔓草部。俗名五爪龙，江浙多产之）、金银花、车前草（连根叶）、陈小粉（各等分）。
以上四味都用鲜草叶，一处捣烂，再加三年陈陈小粉，并飞盐末二三分，共同捣为稠糊。遍敷疮上，中间留一顶，用膏贴盖，以避风为主。如果冬天没有鲜草，预先采集储存，阴干为末，用陈米醋调敷，一如前法同样有效。如此方内五龙草，如果缺少不便，加倍加入车前草也有效。
【方歌】五龙膏用拔脓毒，平剂五龙草银花，车前草、车前俱捣烂，小粉飞盐搅糊搽。
四虎散：此散治疗痈疽肿硬，厚如牛领之皮，不作脓腐的，适宜用此方。
草乌、野狼毒、半夏、南星（各等分）。
以上四味为细末，用猪脑同捣，遍敷疮上，留顶出气。
【方歌】四虎散敷阴疽痈，顽肿不痛治之平，厚似牛皮难溃腐，草乌、野狼毒、夏、南星。
真君妙贴散：此散治疗痈疽诸毒，顽硬恶疮，散漫不作脓的，用此药敷之，不痛的即痛，痛的即止。如果皮破血流，湿烂疼苦，天泡火丹，肺风酒刺等证，并用之皆有效。
荞面（五斤）、明净硫黄（为末，十斤）、白面（五斤）。
以上三味，共一处，用清水微拌，干湿得宜，赶成薄片微晒，单纸包裹，风中阴干，收用。临时研细末，新汲水调敷。如果皮破血流湿烂的，用麻油调敷。天泡、火丹、酒刺的，用靛汁调搽并有效。
【方歌】真君妙贴硫二面，水调顽硬不痛脓，油调湿烂流血痛，靛汁泡丹酒刺风。
二青散：此散治疗一切阳毒红肿，疼痛发热等证，未成脓的即消。
青黛、黄柏、白蔹、白薇（各一两）、青露（即芙蓉叶，三两）、白芨、白芷、水龙骨（即多年船旧油灰）、白鲜皮（各一两）、天花粉（三两）、大黄（四两）、朴硝（一两）。
以上十二味为末，用醋、蜜调敷。已成脓的留顶，未成脓的遍敷。
【方歌】二青散用敷阳毒，肿痛红热用之消，黛、柏、蔹、薇、青露、芨，芷、龙、鲜、粉、大黄、硝。
坎宫锭子：此锭子治疗热毒肿痛，赤诸疮，并搽痔疮最效。
京墨（一两）、胡黄连（二钱）、熊胆（三钱）、麝香（五分）、儿茶（二钱）、冰片（七分）、牛黄（三分）。
以上七味为末，用猪胆汁为君，加生姜汁、大黄水，浸取汁，酽醋各少许，相和药成锭。用凉水磨浓，以笔蘸涂之。
【方歌】坎宫锭子最清凉，热肿诸疮并痔疮，京墨、胡连、熊胆、麝，儿茶、冰片共牛黄。
离宫锭子：此锭子治疗疔毒肿毒，一切皮肉不变，漫肿无头，搽之立效。
血竭（三钱）、朱砂（二钱）、胆矾（三钱）、京墨（一两）、蟾酥（三钱）、麝香（一钱五分）。
以上六味为末，凉水调成锭，凉水磨浓涂之。
【方歌】离宫锭治诸疔毒，漫肿无头凉水涂，血竭、朱砂为细末，胆矾、京墨、麝、蟾酥。
白锭子：此锭专敷初起诸毒，痈疽疔肿，流注痰包恶毒，及耳痔、耳挺等证。
白降丹（即白灵药，四钱）、银黝（二钱）、寒水石（二钱）、人中白（二钱）。
以上四味，共同为细末，以白芨面打糊为锭，大小由人，不可入口。每用以陈醋研敷患处，如干再上，自能消毒。
【方歌】白锭专敷初起毒，痈疽疔肿与痰包，降丹、银黝、人中白，寒水、白芨、醋研消。
蝌蚪拔毒散：此散治疗无名大毒，一切火毒、瘟毒，敷之神效。
寒水石（研极细末）、净皮硝（研极细末）、川大黄（研极细末，各等分）、蛤蟆子（初夏时，河内有蝌蚪成群，大头长尾者捞来，收坛内泥封口，埋至秋天化成水）。
上用蝌蚪水一大碗，入前药末，各二两，阴干再研匀，收瓷罐内。每用时，以水调涂患处。
【方歌】拔毒散治无名毒，火毒瘟毒俱可施，寒水、硝、黄、蝌蚪水，浸干药末水调之。
二味拔毒散：此散治疗风湿诸疮，红肿痛痒，疥痱等疾，甚效。
明雄黄、白矾（各等分）。
以上二味为末，用茶清调化，鹅翎蘸扫患处。痒痛自止，红肿即消。
【方歌】二味拔毒消红肿，风湿诸疮痛痒宁，一切肌肤疥痱疾，雄矾为末用茶清。
回阳玉龙膏：此膏治疗痈疽阴疮，不发热，不疼痛，不肿高，不作脓，及寒热流注，冷痛痹风，香港脚手足顽麻，筋骨疼痛，及一切皮色不变，漫肿无头，鹤膝风等证。但无肌热的，一概敷之，俱有功效。
军姜（炒，三两）、肉桂（五钱）、赤芍（炒，三两）、南星（一两）、草乌（炒，三两）、白芷（一两）。
以上六味制毕，共同为细末，热酒调敷。
【方歌】回阳玉龙阴毒证，不热不疼不肿高，军姜、桂、芍、星、乌、芷，研末须将热酒调。
冲和膏：此膏治疗痈疽发背，阴阳不和，冷热相凝的，适宜用此膏敷之。能行气疏风，活血定痛，散瘀消肿，祛冷软坚，诚良药也。
紫荆皮（炒，五两）、独活（炒，三两）、白芷（三两）、赤芍（炒，二两）、石菖蒲（一两五钱）。
以上五味共同为细末，葱汤、热酒俱可调敷。
【方歌】冲和发背痈疽毒，冷热相凝此药敷，行气疏风能活血，紫荆、独、芷、芍、菖蒲。
铁桶膏：此膏治疗发背将溃已溃时，根脚走散，疮不收束的，适宜用此药围敷。
胆矾（三钱）、铜绿（五钱）、麝香（三分）、白芨（五钱）、轻粉（二钱）、郁金（二钱）、五倍子（微炒，一两）、明矾（四钱）。
以上八味共同为极细末，用陈米醋一碗，杓内慢火熬至一小杯，候起金色黄泡为度，待温，用药末一钱，搅入醋内，炖温，用新笔涂于疮根周遭，以棉纸覆盖药上，疮根自生绉纹，渐收渐紧，其毒不致散大矣。
【方歌】铁桶膏收毒散大，周遭敷上束疮根，胆矾、铜绿及轻粉，五倍、明矾、麝、郁金。
乌龙膏：此膏治疗一切诸毒，红肿赤晕不消的，用此药敷上，极有神效。
木鳖子（去壳，二两）、草乌（半两）、小粉（四两）、半夏（二两）。
以上四味于铁铫内，慢火炒焦，黑色为度，研细，以新汲水调敷，一日一换，自外向里涂之，须留疮顶，令出毒瓦斯。
【方歌】乌龙膏用治诸毒，赤晕能收治肿疡，木鳖、草乌、小粉、夏，凉水调敷功效良。
神效千捶膏：此膏专贴疮疡、疔毒初起，贴之即消。治瘰疬连根拔出，大人疔疮，小儿拱头等证，并效。
土木鳖（去壳，五个）、白嫩松香（拣净，四两）、铜绿（研细，一钱）、乳香（二钱）、没药（二钱）、蓖麻子（去壳，七钱）、巴豆肉（五粒）、杏仁（去皮，一钱）。
以上八味合一处，石臼内捣三千余下，即成膏；取起浸凉水中。用时随疮大小，用手捻成薄片，贴疮上用绢盖之。
【方歌】千捶膏贴诸疔毒，瘰疬、疔疮、拱头，木鳖、松香、铜、乳、没，蓖麻、巴豆、杏仁投。
马齿苋膏：马齿苋性味清凉，能解诸毒。今用此一味，或服或敷，甚有功效，所治诸证列后：
一、治疗杨梅遍身如癞，喉硬如管者，取苋碗粗一握，酒水煎服出汗。
一、治疗发背诸毒，用苋一握，酒煎或水煮，冷服出汗，再服退热去腐，三服即愈。并杵苋敷之。
一、治疗多年顽疮、疔疮，疼痛不收口者，杵苋敷之，取虫。一日一换，三日后腐肉已尽，红肉如珠时，换生肌药收口。
一、治疗面肿唇紧，捣汁涂之。
一、治疗妇女脐下生疮，痛痒连及二阴者，用苋四两，青黛一两，研匀敷之。
一、治疗湿癣白秃，取锻石末炒红，用苋汁熬膏，调匀涂之。
一、治疗丹毒，加蓝靛根，和捣敷之。
When a carbuncle or swelling first appears, this medicine is specifically capable of dispersing pathogenic factors, smoothing Qi, searching out wind, and unblocking the meridians. This is what is meant by "opening that which is knotted" (using methods to open and dissipate stagnation). The Classics state: "Sweating will cure sores," which perfectly aligns with this principle. After taking it, one should avoid wind, refrain from cold foods, and abstain from sexual intercourse. Pregnant women should not take it.
[Prescription Verse] Wanling Dan treats various Bi syndromes; this medicine can also treat ulcerative swellings. It releases the exterior and expels toxic pathogens through sweating, with extraordinary efficacy in unblocking the meridians. Ephedrae Herba (Mahuang), Notopterygii Rhizoma et Radix (Qianghuo), Schizonepetae Spica (Jingjie), Saposhnikoviae Radix (Fangfeng), Asari Radix et Rhizoma (Xixin), Aconiti Lateralis Radix Praeparata (Chuanwu), Aconiti Radix (Caowu), Chuanxiong Rhizoma (Chuanxiong), Dendrobii Caulis (Shihu), Atractylodis Rhizoma (Cangzhu), Scorpion (Quanxie), Angelicae Sinensis Radix (Danggui), Glycyrrhizae Radix et Rhizoma (Gancao), Gastrodiae Rhizoma (Tianma), Polygoni Multiflori Radix (Heshouwu), and Realgar (Xionghuang) are combined.
For ulcerative swellings in their early stages, if the swelling is high, red, and painful, cool medicines should be applied to overcome heat with cold. However, it must not be excessive; otherwise, the toxin may be congealed by the cold, transforming into a Yin syndrome. If there is a diffuse swelling without redness, appearing to have a head but no pain, warm medicines should be applied to guide the toxin outward. The Classics state: "Releasing the exterior does not shun heat"; applying hot medicines is also a method of releasing the exterior. When preparing external applications, the mixture must be stirred frequently to ensure it is thick and sticky. After application, the paper covering must be torn off to prevent cracking. Moisten it occasionally with its own juice. Moisture helps open the pores; if dry, the medicinal qi cannot penetrate, causing additional stiffness and discomfort. When removing the external medicine, check for sweating at the pores, indicating that blood vessels are patent and heat is dissipating. The opposite condition is adverse.
Ruyi Jinhua San: This powder treats carbuncles, back infections, various Ding swellings, traumatic injuries, flowing toxins from damp-phlegm, epidemic大头肿 (large head swelling), lacquer dermatitis, fire blisters, wind-heat vesicles, red and swollen skin, wet and dry Hong Kong foot (tinea pedis), breast abscesses in women, and erysipelas in children. It is effective for all kinds of stubborn, malignant, hot sores, truly an essential medicine in surgery.
Arisaema Cum Bile (Nanxing), Citri Reticulatae Pericarpium (Chenpi), Atractylodis Rhizoma (Cangzhu) (2 jin each), Phellodendri Cortex (Huangbai) (5 jin), Curcumae Longae Rhizoma (Jianghuang), Glycyrrhizae Radix et Rhizoma (Gancao) (2 jin), Angelicae Dahuricae Radix (Baizhi) (5 jin), Premium Poria Cocos (Tiānhuāfěn) (10 jin), Magnoliae Officinalis Cortex (Houpo) (2 jin), Rheum Palmatum Radix et Rhizoma (Dahuang) (5 jin).
The above ten ingredients are sliced, dried, ground three times, sifted through fine silk, and stored in porcelain jars to prevent air leakage. For cases of redness, swelling, pain, and fever before suppuration, as well as during summer, mix with tea infusion and honey for application.
To promote suppuration, mix with scallion decoction and honey. For diffuse swelling without a head, unchanged skin color, flowing toxins from damp-phlegm, deep-seated carbuncles, or knee-joint deformities like crane-knee wind, mix with scallion wine decoction. For conditions caused by wind-heat, characterized by burning skin, bright color, and migratory nature, mix with honey water. For vesicles, fire blisters, erysipelas, yellow-water lacquer dermatitis, or blood toxicity attacks, crush Isatidis Folium (Dayelgenye) leaves into juice for mixing; honey may be added. For burns or scalds with broken skin, use sesame oil for mixing. These various vehicles represent treatment methods distinguishing cold, heat, warmth, and coolness.
[Prescription Verse] Ruyi Jinhua San treats Yang toxins; it is an excellent formula for relieving pain and reducing swelling. Nanxing, Chenpi, Cangzhu, Huangbai, Jianghuang, Gancao, Baizhi, Tiānhuāfěn, Houpo, and Dahuang.
Wulong Gao: This ointment treats carbuncles and ulcers of Yin or Yang types, drawing out pus and toxins when applied to swollen and painful areas before rupture.
Vitis Amurensis Herba (Wulongcao, i.e., Ampelopsis japonica, detailed in Compendium of Materia Medica under Vines; commonly known as Five-claw Dragon, abundant in Jiangsu and Zhejiang), Lonicerae Japonicae Flos (Jinyinhua), Plantaginis Herba (Cheqiancao, including roots and leaves), and Tapioca Starch (Chen Xiaofen) (equal parts).
Use fresh herbs and leaves, pound them together, add three-year-old Tapioca Starch and two to three fen of refined salt, and pound into a thick paste. Apply evenly over the sore, leaving the apex uncovered, cover with an ointment patch, and prioritize avoiding wind. In winter, if fresh herbs are unavailable, collect and store them previously, dry in shade, grind into powder, and mix with aged rice vinegar for application, equally effective. If Wulongcao is scarce, double the amount of Cheqiancao for similar efficacy.
[Prescription Verse] Wulong Gao extracts pus and toxins; equal parts Wulongcao and Jinyinhua, Cheqiancao pounded together, mixed with starch and salt into a paste for application.
Sihu San: This powder treats hard, swollen carbuncles resembling ox neck skin that do not suppurate or necrose.
Aconiti Radix (Caowu), Euphorbiae Lathyridis Fructus (Yelangdu), Pinelliae Rhizoma (Banxia), Arisaema Cum Bile (Nanxing) (equal parts).
Grind the four ingredients into fine powder, mix with pig brain, apply evenly over the sore, leaving the apex open for gas release.
[Prescription Verse] Sihu San treats Yin carbuncles; it soothes stubborn, painless swellings. Thick like ox skin, difficult to rupture and necrose, Caowu, Yelangdu, Banxia, and Nanxing.
Zhenjun Miaotie San: This powder treats carbuncles, ulcers, stubborn hard malignant sores, and diffuse non-suppurating lesions. Applied externally, it converts painless areas to painful ones and stops pain in painful ones. It is effective for broken skin with bleeding, moist rotting pain, vesicles, fire blisters, pulmonary wind, and acne rosacea.
Fagopyri Dibotryis Semen (Qiaomian) (5 jin), Purified Realgar (Liu Huang) (ground, 10 jin), Tritici Vulgaris Semen (Baifan) (5 jin).
Mix the three ingredients lightly with clear water, achieving appropriate moisture, form into thin slices, sun-dry slightly, wrap in single paper, and dry in the shade in the wind for storage. When needed, grind into fine powder and mix with fresh water for application. For broken skin with bleeding and moist rot, use sesame oil. For vesicles, fire blisters, and acne, use indigo juice for rubbing.
[Prescription Verse] Zhenjun Miaotie contains sulfur and two flours; water mixes for hard, painless lumps; oil mixes for wet, bleeding, painful sores; indigo juice treats vesicles, blisters, and wind-acne.
Erqing San: This powder treats all Yang toxins with redness, swelling, pain, and fever, resolving lesions before suppuration.
Indigo Naturalis (Qingdai), Phellodendri Cortex (Huangbai), Ampelopsis Radix (Bailian), Cynanchi Atrati Radix (Baiwei) (1 liang each), Hibisci Mutabilis Folium (Qinglu, i.e., Rosae Rugosae Flos) (3 liang), Bletillae Rhizoma (Baiji), Angelicae Dahuricae Radix (Baizhi), Water Dragon Bone (Shuǐlónggǔ, i.e., old ship pitch), Dictamni Cortex (Baixianpi) (1 liang each), Premium Poria Cocos (Tiānhuāfěn) (3 liang), Rheum Palmatum Radix et Rhizoma (Dahuang) (4 liang), Natrii Sulfas (Piaoxiao) (1 liang).
Grind the twelve ingredients into powder, mix with vinegar and honey for application. Leave the apex uncovered for suppurated lesions; apply fully for non-suppurated lesions.
[Prescription Verse] Erqing San treats Yang toxins; it resolves redness, swelling, pain, and heat. Qingdai, Huangbai, Bailian, Baiwei, Qinglu, Baiji, Baizhi, Shuilonggu, Baixianpi, Tiānhuāfěn, Dahuang, and Piaoxiao.
Kangong Dingzi: This ingot treats heat-toxin swelling and pain, red sores, and is most effective for hemorrhoids.
Beijing Ink (Jingmo), Picrorhizae Rhizoma (Huhuanglian), Ursi Bile (Xiongdan), Moschus (Shexiang), Camelliae Semen (Ercha), Borax (Bingpian), Bovaris Calculus (Niuhuang).
Grind the seven ingredients into powder. Use pig bile as the principal binder, add ginger juice and Rheum palmatum water, soak to extract juice, add a little strong vinegar, and mix to form ingots. Grind with cold water to a thick consistency and paint on with a brush.
[Prescription Verse] Kangong Dingzi is most cooling; it treats heat swelling, sores, and hemorrhoids. Jingmo, Huhuanglian, Xiongdan, Shexiang, Ercha, Bingpian, and Niuhuang.
Ligong Dingzi: This ingot treats Ding toxins and swellings where skin and flesh remain unchanged, diffuse without a head; application yields immediate results.
Dragon's Blood (Xuèjié), Cinnabar (Zhusha), Alum (Danfan), Beijing Ink (Jingmo), Toad Venom (Chansu), Moschus (Shexiang).
Grind the six ingredients into powder, mix with cold water to form ingots, grind with cold water to a thick consistency, and apply.
[Prescription Verse] Ligong Dingzi treats various Ding toxins; apply with cold water for diffuse swelling without a head. Xuèjié and Zhusha ground fine, Danfan, Jingmo, Shexiang, and Chansu.
Bai Dingzi: This ingot is specifically for initial toxins, carbuncles, Ding swellings, flowing deposits, phlegm masses, malignant toxins, ear polyps, and ear projections.
White Calomel (Baijiangdan, i.e., Bai Lingyao, 4 qian), Silver Slag (Yinyou), Halloysitum Rubrum (Hanshuishi), Nitrum Humanum (Renzhongbai).
Grind the four ingredients into fine powder, bind with Bletilla flour paste into ingots of arbitrary size. Do not ingest. When used, grind with aged vinegar and apply to the affected area; reapply if dry, naturally disinfecting.
[Prescription Verse] Bai Dingzi treats initial toxins, carbuncles, Ding swellings, and phlegm masses. Baijiangdan, Yinyou, Renzhongbai, Hanshuishi, Baiji, and vinegar grind to eliminate.
Ketouba Du San: This powder treats nameless major toxins, all fire toxins, and pestilence toxins; application is miraculously effective.
Halloysitum Rubrum (Hanshuishi, ground extremely fine), Purified Glauber's Salt (Jing Pixiao, ground extremely fine), Rheum Palmatum Radix et Rhizoma (Chuan Dahuang, ground extremely fine) (equal parts), Tadpoles (Gaama Zi - catch large-headed, long-tailed tadpoles in early summer, seal in clay pots, bury until autumn when they liquefy).
Take one large bowl of tadpole water, add two liang each of the aforementioned powders, dry in shade, grind uniformly, and store in porcelain jars. When needed, mix with water and apply to the affected area.
[Prescription Verse] Ba Du San treats nameless toxins; applicable to fire and pestilence toxins. Hanshuishi, Pixiao, Dahuang, and tadpole water; soaked, dried, powdered, and mixed with water for application.
Erwei Ba Du San: This powder treats rheumatic sores with redness, swelling, pain, and itching, as well as scabies and prickly heat; highly effective.
Realgar (Ming Xionghuang), Alum (Baifan) (equal parts).
Grind the two ingredients into powder, dissolve in tea infusion, and sweep onto the affected area with a goose feather. Itching and pain cease, redness and swelling subside.
[Prescription Verse] Erwei Ba Du San reduces redness and swelling, calming pain and itching in rheumatic sores. For all skin scabies and prickly heat, Xionghuang and Baifan powder mixed with tea infusion.
Huiyang Yulong Gao: This ointment treats Yin carbuncles and ulcers without fever, pain, high swelling, or suppuration, as well as cold-heat flowing deposits, cold pain bi-wind, numbness in Hong Kong foot, bone and joint pain, and all conditions with unchanged skin color, diffuse swelling without a head, or crane-knee wind. It is effective for any case lacking muscular heat.
Zingiberis Rhizoma (Junjiang, stir-fried, 3 liang), Cinnamomi Cortex (Rougui, 5 qian), Paeoniae Radix Rubra (Chishao, stir-fried, 3 liang), Arisaema Cum Bile (Nanxing, 1 liang), Aconiti Radix (Caowu, stir-fried, 3 liang), Angelicae Dahuricae Radix (Baizhi, 1 liang).
Process the six ingredients, grind into fine powder, and mix with hot wine for application.
[Prescription Verse] Huiyang Yulong treats Yin toxin syndromes; no heat, no pain, no high swelling. Junjiang, Rougui, Chishao, Nanxing, Caowu, Baizhi; grind and mix with hot wine.
Chonghe Gao: This ointment treats carbuncles and back infections due to Yin-Yang disharmony and congealing of cold and heat. It promotes Qi movement, disperses wind, invigorates blood, relieves pain, dissipates stasis, reduces swelling, dispels cold, and softens hardness. It is indeed a good medicine.
Photiniaiae Folium (Zijingpi, stir-fried, 5 liang), Angelicae Pubescentis Radix (Duhuo, stir-fried, 3 liang), Angelicae Dahuricae Radix (Baizhi, 3 liang), Paeoniae Radix Rubra (Chishao, stir-fried, 2 liang), Acori Tatarinowii Rhizoma (Shichangpu, 1.5 liang).
Grind the five ingredients into fine powder, mix with scallion decoction or hot wine for application.
[Prescription Verse] Chonghe treats back infection toxins; applies to cold-heat congealing. Promotes Qi, disperses wind, invigorates blood. Zijingpi, Duhuo, Baizhi, Chishao, Shichangpu.
Tietong Gao: This ointment treats back infections about to rupture or already ruptured, where the base spreads and the sore does not contract. Apply around the wound.
Alum (Danfan, 3 qian), Verdigris (Tonglü, 5 qian), Moschus (Shexiang, 3 fen), Bletillae Rhizoma (Baiji, 5 qian), Calomel (Qingfen, 2 qian), Curcuma Aromatica Rhizoma (Yujin, 2 qian), Terminalia Chebula Retzii (Wubeizi, slightly stir-fried, 1 liang), Alum (Mingfan, 4 qian).
Grind the eight ingredients into extremely fine powder. Take one bowl of aged rice vinegar, simmer slowly in a ladle to one small cup until golden-yellow bubbles appear. While warm, mix one qian of powder into the vinegar, keep warm, and paint around the wound base with a new brush. Cover with cotton paper; the wound base will generate wrinkles, gradually tightening, preventing the toxin from spreading.
[Prescription Verse] Tietong Gao gathers toxins and prevents spread; apply around to bind the wound base. Danfan, Tonglü, Qingfen, Wubeizi, Mingfan, Shexiang, Yujin.
Wulong Gao: This ointment treats all toxins where redness, swelling, and red halos do not resolve; application is highly effective.
Momordicae Semen (Mubiezi, shelled, 2 liang), Aconiti Radix (Caowu, 0.5 liang), Tapioca Starch (Xiaofen, 4 liang), Pinelliae Rhizoma (Banxia, 2 liang).
Stir-fry the four ingredients in an iron pot over low heat until scorched and black, grind fine, mix with fresh water for application. Change once daily, applying from outside inward, leaving the apex open to allow toxin expulsion.
[Prescription Verse] Wulong Gao treats various toxins; resolves red halos and manages ulcerative swellings. Mubiezi, Caowu, Xiaofen, Banxia; mix with cold water for good efficacy.
Shenxiao Qianchui Gao: This ointment is specifically for initial carbuncles and Ding toxins; application causes immediate resolution. It treats lymphatic tuberculosis (Luoli) by extracting roots, adult Ding sores, and infant crown sores (Gingtou).
Wood Momordicae Semen (Mubiezi, shelled, 5), White Pine Resin (Songxiang, cleaned, 4 liang), Verdigris (Tonglü, ground fine, 1 qian), Frankincense (Ruxiang, 2 qian), Myrrh (Moyao, 2 qian), Castor Seed (Bimazi, shelled, 7 qian), Croton Seed Kernel (Badourou, 5 kernels), Apricot Seed (Xingren, peeled, 1 qian).
Combine the eight ingredients, pound in a stone mortar over 3,000 times to form an ointment; remove and soak in cold water. When needed, roll into thin sheets according to sore size, apply to the sore, and cover with silk.
[Prescription Verse] Qianchui Gao treats various Ding toxins, Luoli, sores, and crown sores. Mubiezi, Songxiang, Tonglü, Ruxiang, Moyao, Bimazi, Badou, Xingren.
Machixian Gao: Purslane (Machixian) has a cool nature and flavor, capable of resolving various toxins. Using this single herb, either orally or topically, is highly effective. Indications follow:
1. For yaws covering the body like leprosy and hardened throat: Take a handful of purslane, decoct with wine and water, drink to induce sweating.
2. For back infections: Take a handful of purslane, decoct with wine or water, drink cold to induce sweating. Repeat to reduce fever and remove necrotic tissue; cured after three doses. Also pound and apply externally.
3. For chronic stubborn sores or Ding sores with painful non-healing wounds: Pound and apply purslane to extract worms. Change daily; after three days when necrotic tissue is gone and red meat resembles pearls, switch to flesh-regenerating medicine to close the wound.
4. For facial swelling and tight lips: Crush into juice and apply.
5. For sores below the navel in women with pain and itching extending to the genitalia: Mix four liang of purslane with one liang of Indigo Naturalis, grind uniformly, and apply.
6. For tinea alba (white ringworm): Stir-fry lime powder until red, decoct purslane juice into a paste, mix, and apply.
7. For erysipelas: Add Indigo root, crush together, and apply.
[Prescription Verse] Machixian Gao uses only one herb; taken or applied for yaws and back infections. Crushed juice for stubborn sores and facial swelling; applied with Indigo for female genital sores. Lime powder added for tinea alba; Indigo root combined for erysipelas.