翻花疮者，由疮疡溃后，肝火血燥生风所致。或疮口 肉突出如菌，大小不同，或出如
蛇头
效，不然，虽入而复溃。若误用刀针、蚀药灸去，其势益甚，或出血不止，必致寒热呕吐等
症。须大补脾胃为善。
治验
判官张承恩，内股患痈将愈，翻出一肉如菌。余曰∶此属肝经风热血燥，当清肝热，养
肝血。彼
遂内用栀子清肝散，外用藜芦膏而痊。
一上舍，素膏粱善怒。耳下结一核，从溃，而疮口翻张如菌， 连头痛，或胸胁作胀，
或内热寒热。或用清热消毒之药，年余未瘥。余用补中益气汤、六味地黄丸而寻愈。
一男子背疮，敛如豆许，翻出肉寸余。用消蚀割击法，屡去屡大，此肝经血虚风热。余
用加味逍遥散三十余剂，涂藜芦膏而消；又用八珍散倍用参、 、归、术而敛。
一妇人素善怒，臂患痈，疮口出肉，长二寸许，此肝脾郁怒，气血虚而风内动。用加味
逍遥
前散并八珍汤而愈。
一男子项患肿，痰涎涌甚，用散坚行气等剂，肿硬愈甚，喘气发热，自汗盗汗，体倦食
少。余曰∶此属足三阴亏损，当滋化源。不信，反追蚀，患处开翻六寸许，HT 岩色赤，日出鲜血
，三月余矣，肝脉弦洪紧实。余用大补汤加麦门、五味，五十余剂，诸症渐愈，血止三四。
复因怒，饮食顿少，其血涌出，此肝伤不能藏，肺伤不能摄也。用补中益气汤为主，加五味
、麦门，其血顿止；再以六味丸加五味子常服，疮口敛至寸许。遂不用药，且不守禁而殁。
翻花疮，是由于疮疡溃烂之后，因肝火旺盛、血液枯燥而生风所导致。有的疮口长出肉芽突出如菌状，大小不一；有的形状像蛇头；或者虽然愈合后又再次溃烂。如果误用刀针切割、腐蚀药物或艾灸去除，病情会更加严重，甚至出现出血不止，必然导致寒热往来、呕吐等症状。此时应当以大补脾胃为最佳治疗方法。
治验记录：
判官张承恩，大腿内侧患痈肿即将痊愈时，翻出一块如菌状的肉芽。我说：“这属于肝经风热血燥，应当清泻肝热，滋养肝血。”于是他内服栀子清肝散，外用藜芦膏，最终痊愈。
一位上舍（国子监生），平时饮食肥甘厚味且容易发怒。耳下结成一个硬块，破溃后疮口翻张如菌状，牵连头痛，有时胸胁胀满，有时感到内部发热或寒热交替。之前有人使用清热消毒的药物，一年多未愈。我采用补中益气汤、六味地黄丸治疗，很快痊愈。
一名男子背部患疮，收敛后仅如豆粒大小，却翻出寸余长的肉芽。使用消蚀割除的方法，屡次去除却屡次长大，这是肝经血虚兼有风热。我使用加味逍遥散三十多剂，并涂抹藜芦膏使肉芽消退；随后又用八珍散加倍人参、白术、当归用量使其收口愈合。
一名妇女平时容易发怒，手臂患痈肿，疮口长出二寸许长的肉芽，这是肝脾郁怒，气血虚弱导致内风扰动。使用加味逍遥散和八珍汤治愈。
一名男子颈部患肿，痰涎涌盛，使用散坚行气等药剂，肿胀坚硬反而更甚，出现气喘发热、自汗盗汗、身体疲倦、食欲不振。我说：“这属于足三阴经亏损，应当滋生化之源。”患者不信，反而追求腐蚀疗法，患处翻开约六寸，颜色红赤如岩，每天流出鲜血，已持续三个多月，肝脉呈弦洪紧实之象。我使用大补汤加麦冬、五味子，五十多剂后，各种症状逐渐好转，出血停止了三到四次。后来因为发怒，饮食突然减少，血液再次涌出，这是肝受伤不能藏血，肺受伤不能摄血所致。我以补中益气汤为主方，加入五味子、麦冬，血液立刻停止；再让常服六味丸加五味子，疮口收敛至一寸左右。此后不再用药，且不遵守禁忌，最终死亡。
Fan Hua Chuang (Flower-like Ulcer) is caused by liver fire and dry blood generating wind after the ulceration of a sore. In some cases, flesh protrudes from the wound opening like a mushroom, varying in size; or it resembles a snake's head; or even if it heals, it ulcerates again. If mistakenly treated with knives, needles, caustic medicines, or moxibustion for removal, the condition will worsen, potentially leading to uncontrolled bleeding and symptoms such as alternating chills and fever, and vomiting. The best approach is to strongly tonify the Spleen and Stomach.
Case Records:
Zhang Cheng'en, a Judge, had an abscess on his inner thigh that was nearly healed when a mushroom-like piece of flesh protruded. I stated, "This belongs to Wind-Fire and Blood Dryness in the Liver Meridian; one should clear Liver Heat and nourish Liver Blood." He subsequently took Zhi Zi Qing Gan San (Gardenia Decoction to Clear the Liver) internally and applied Li Lu Gao (Veratrum Ointment) externally, resulting in a cure.
A student at the Imperial Academy, accustomed to a rich diet and prone to anger, developed a nodule below his ear. After it ulcerated, the wound opened and flared out like a mushroom, accompanied by headache, chest and hypochondriac distension, internal heat, or alternating chills and fever. Previous treatment with heat-clearing and detoxifying herbs failed to cure him after more than a year. I used Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) and Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia), and he recovered quickly.
A man had a back sore that contracted to the size of a bean but then produced a piece of flesh over an inch long. Using methods of erosion, cutting, and striking, the flesh was removed repeatedly but grew back larger each time. This indicated Blood Deficiency and Wind-Heat in the Liver Meridian. I prescribed Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) for over thirty doses and applied Veratrum Ointment until the growth subsided; subsequently, Ba Zhen San (Eight-Treasure Powder) with increased amounts of Ren Shen (Ginseng Root), Bai Zhu (Atractylodes Rhizome), and Dang Gui (Angelica Sinensis Root) was used to promote healing.
A woman who was prone to anger developed an arm abscess with two inches of flesh protruding from the wound. This was due to Liver and Spleen depression and anger, causing Qi and Blood deficiency and internal wind movement. She was cured using Jia Wei Xiao Yao San and Ba Zhen Tang (Eight-Treasures Decoction).
A man suffered from neck swelling with excessive phlegm and saliva. Treatment with formulas for dissipating hardness and moving Qi made the swelling and hardness worse, leading to panting, fever, spontaneous sweating, night sweats, fatigue, and poor appetite. I said, "This belongs to deficiency of the Foot Three Yin meridians; one should nourish the source of transformation." The patient did not believe this and instead pursued corrosive treatments, causing the affected area to open up about six inches, turning red like rock, with fresh blood flowing daily for over three months. The Liver pulse was wiry, surging, tight, and solid. I used Da Bu Tang (Great Tonification Decoction) plus Mai Men Dong (Ophiopogon Tuber) and Wu Wei Zi (Schisandra Fruit). After over fifty doses, all symptoms gradually improved, and bleeding stopped for three or four times. Later, due to anger and a sudden decrease in food intake, blood gushed out again. This indicated that the injured Liver could no longer store blood, and the injured Lung could no longer control it. I primarily used Bu Zhong Yi Qi Tang, adding Wu Wei Zi and Mai Men Dong, which immediately stopped the bleeding; then, Liu Wei Wan (Six-Ingredient Pill) with added Wu Wei Zi was taken regularly, causing the wound to contract to about one inch. Thereafter, no medicine was used, and he died because he did not observe dietary and lifestyle restrictions.