南星浓朴天花粉 敷之百肿自当安
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、干湿脚
气、妇女乳痈、小儿丹毒，凡外科一切诸般顽恶肿毒，随手用之，无不应效，诚为疮家良便方也。
天花粉（上白，十斤） 黄柏（色重者） 大黄 姜黄（各五斤） 白芷（五斤） 紫浓朴 陈皮 甘草
苍术 天南星（各二斤）
以上共为咀片，晒极干燥，用大驴磨连磨三次，方用密绢罗厨筛出，瓷器收贮，勿令泄气。凡遇红赤肿痛，
发热未成脓者，及夏月火令时，俱用茶汤同蜜调敷；如微热微肿及大疮已成，欲作脓者，俱用葱汤同蜜调敷；
如漫肿无头，皮色不变，湿痰流毒、附骨痈疽、鹤膝风症等病，俱用葱酒煎调；如风热恶毒所生，患必皮肤亢
热，红色光亮，形状游走不定者，俱用蜜水调敷；如天泡、火丹、赤游丹、黄水漆疮、恶血攻注等症，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。
具此诸引理取寒热温凉制之。又在临用之际，顺合天时，洞窥病势，使引为当也。
四虎散
四虎散内用南星 草乌半夏效通灵
药内再添野狼毒力 痈疽顽肿即安宁
治痈疽肿硬，浓如牛领之皮，不作脓腐者宜用。
南星 草乌 半夏 野狼毒（各等分）
上为细末，用猪脑同捣，遍敷疮上，留正顶出气。
真君妙贴散
真君妙贴散奇功 荞面硫黄白面同
诸般异症皆堪效 常取收功掌握中
治痈疽、诸毒，及异形异类，顽硬大恶歹疮，走散不作脓者，宜用此药。不痛者即痛，痛甚者即止。
明净硫黄（为末，十斤） 荞面 白面（各五斤）
共一处，用清水微拌，干湿得宜，木箱内晒成面片，单纸包裹，风中阴干收用。临时再研极细，用
新汲水调敷；如皮破血流，湿烂疼苦等症，麻油调搽；天泡、火丹、肺风、酒刺、染布青汁调搽并效。
回阳玉龙膏
回阳王龙膏肉桂 白芷军姜仍在位
草乌赤芍与南星 热酒同调功更倍
治背疽阴病，不肿高，不 痛，不发热，不作脓及寒湿流注、鼓风久损、冷痛痹风、诸湿香港脚、手足顽麻、
筋骨疼痛，及一切皮色不变，漫肿无头，鹤膝风等，但无皮红肌热者，一概用之，俱有功效。
草乌（炒，三两） 军姜（煨，三两） 赤芍（炒） 白芷 南星（煨，各
一两） 肉桂（五钱）
上制毕，共为细末，热酒调敷，此药有军姜、肉桂、热血生血，既生既热，恐不能散而为害，故有草乌、
南星可以破恶气，祛风毒，活死肌，除骨痛，消结块，回阳气；又有赤芍、白芷，足以散滞血，住痛苦；加以
酒行药性，攻通气血，虽十分冷症，未有不愈者。诚为寒灰之焰，枯木之春，大抵病冷则肌肉阴烂，不知痛痒，
其有痛者，又多附骨之痛，设若不除，则寒根透髓，寻常之药固莫能及矣。
冲和膏
冲和膏内紫荆皮 独活菖蒲赤芍宜
白芷随方加减法 诸般百症可堪医
治痈疽、发背，阴阳不和，冷热不明者，宜用此药。
紫荆皮（炒，五两） 独活（炒，三两） 赤芍（炒，二两） 白芷（一两） 石菖蒲（一两半）
上为细末，葱汤、热酒俱可调敷。药中紫荆皮乃木之精，能破气、逐血、消肿；独活土之精，动荡凝滞血
脉，散骨中冷痛，去麻痹湿；石菖蒲水之精，善破坚硬，生血止痛，破风消肿；白芷金之精，能去风生肌定痛；
赤芍药火之精，能生血活血，散瘀除痛，盖血生则肌肉不死，血动则经络流通。故肌活不致烂痛，经通不致壅
肿，此为散风行气，活血消肿、祛冷软坚之良药也。其中五行相配用者，再无不效之理，又流毒、骨疽冷症尤效。
铁桶膏
铁桶膏中铜绿倍 胆矾轻粉郁金香
还有晋矾并白芨 醋调箍肿不开张
治发背将溃已溃时，根脚走散不收束者用此。
铜绿（五钱） 明矾（四钱） 胆矾（三钱） 五倍子（微炒，一两） 白芨（五
钱） 轻粉 郁金（各二钱） 麝香（三分）
上为极细末，用陈米醋一碗，杓内慢火熬至一小杯，候起金色黄泡为度。待温用上药一钱搅入膏内，每用
顿温，用新笔涂膏疮根上，以绵纸盖其疮根，自生绉纹，渐收渐紧，再不开大为效。
煮拔筒方
拔筒奇方羌独活 紫苏蕲艾石菖蒲
甘草白芷生葱等 一筒拔回寿命符
治发背已成将溃时，脓毒不得外发，必致内攻，乃生烦躁，重如负石，非此法拔提毒瓦斯难出也。
羌活 独活 紫苏 蕲艾 鲜菖蒲 甘草 白芷（各五钱） 连须葱（二两）
预用径口一寸二、三分新鲜嫩竹一段，长七寸，一头留节，用力 去外青，留内白一半，约浓一分许，靠
节钻一小孔，以闸极木条塞紧，将前药放入筒内，筒口用葱塞之，将筒横放锅内，以物压勿得浮起。用清水十大
碗淹筒煮数滚，约内药浓熟为度候用。再用披针于疮顶上一寸内品字放开三孔，深入浅寸，约筒圈内，将药筒
连汤用大瓷钵盛贮患者榻前，将筒药倒出，急用筒口乘热对疮合上，以手捺紧其筒，自然吸住，约待片时，药
筒已温，拔去塞孔木条，其筒自脱，将器倒出筒中物色看其何样，如有脓血相粘，鲜明红黄之色，亦有一、二
杯许，其病乃是活疮，治必终愈。如拔出物色纯是败血气秽，紫黑稀水，而无脓意相粘者，其病气血内败，肌
肉不活，必是死疮，强治亦无功矣。此法家传，屡经有验，如阳疮易溃、易脓之症，不必用此以伤气血，此法
阴疮之用，要在十五日前后，坚硬不溃、不脓者行之最当，此法的有回天之效，医家不可缺也。
猪蹄汤
猪蹄汤内羌甘草 赤芍黄芩白芷归
加上露蜂房更妙 诸疮一洗脱凡衣
治痈疽、诸毒已溃流脓时用此汤洗，消毒瓦斯、去恶肉，回死肌、润疮口，又能散风消肿，腐尽则已。
羌活 甘草 赤芍 黄芩 白芷 当归 蜂房（各等分）
上为粗末，看疽疮大小用药多少。先将 猪前蹄一只，用白水六碗，煮蹄软为度，将汁滤清，吹去汁上油
花，用药一两投于汁中，再用微火煎十数沸，密绢滤去药渣，候汤半热，将软绢蘸汤淋于疮上，轻手挹去瘀脓
腐肉，其恶物随汤而下。洗讫，以绢帛挹干，照前总论次第如式用药。
又∶洗药方
洗药方中归独活 葱头白芷甘草撮
痈疽腐尽此淋之 生肌长肉常夸说
当归 独活 白芷 甘草（各二钱） 葱头（五个）
用水三碗，煎至药烂，滤清以绢帛蘸汤挹净疮上，随搽贴红黑二膏盖之，洗时切忌风寒为要。常治背疮轻
易者，以此代猪蹄汤用，其功亦效。
加味太一膏
太一膏中桂芷归 乳没丹参地芍魏
将军木鳖兼轻粉 血余槐柳共称奇
治发背、痈疽及一切恶疮，跌扑伤损、湿痰流毒、风湿、风温，遍身筋骨走注作痛，内伤风郁，心腹胸背
攻刺作痛，腿脚酸软，腰膝无力，汤泼火烧。刀伤、棒毒、五损内痈，七伤外症俱贴患处。又男子遗精，妇人
白带俱贴脐下。脏毒肠痈亦可丸服。诸般疮疖，血气癞痒，诸药不止痛痒者并效。
肉桂 白芷 当归 玄参 赤芍 生地 大黄 土木鳖（各二两） 真阿魏（三钱） 轻粉（四钱） 槐枝
柳枝（各一百段） 血余（一两）
东丹（四十两） 乳香末（五钱） 没药（末，三钱）
上十味，并槐柳枝，用真麻油足称五斤，将药浸入油内，春五、夏三、秋七、冬十，候日数已毕，入洁净
大锅内，慢火熬至药枯浮起为度。住火片时，用布袋滤净药渣，将油称准足数，将锅展净，复用细旧绢将油又
滤入锅内，要清洁为美；将血余投下，慢火熬至血余浮起，以柳棒挑看似膏溶化之象，方算熬熟。
净油一斤，将飞过黄丹六两五钱徐徐投入，火加大些，夏秋亢热，每油一斤加丹五钱，不住手搅，候锅内先发
青烟，后至白烟叠叠旋起，气味香馥者，其膏已成。即便住火，将膏滴入水中，试软硬得中，如老加熟油，若
稀亦加炒丹每各少许，渐渐加火，务要冬夏老嫩得所为佳。候烟尽，端下锅来，方下阿魏，切成薄片，散于膏
面上化尽；次下乳没、轻粉搅均倾入水内，以柳棍搂成一块，再换冷水浸片时，乘温每膏半斤扯拔百转成块，
又换冷水投浸，随用时每取一块铜杓内复化，随便摊贴至妙。
生肌玉红膏
生肌玉红膏更奇 其中淡味少人知
芷草归身轻粉衄 白占紫草效堪推
此膏专治痈疽、发背，诸般溃烂、棒毒等疮，用在已溃流脓时。先用甘草汤甚者用猪蹄药汤淋洗患上，软
绢挹净，用抿脚挑膏于掌中捺化，遍搽新腐肉上，外以太一膏盖之。大疮早晚洗换二次，内兼服大补脾胃暖药，
其腐肉易脱，新肉即生，疮口自敛。此乃外科收敛药中之神药也。
白芷（五钱） 甘草（一两二钱） 归身（二两） 瓜儿血衄 轻粉（各四钱） 白占（二两） 紫草（二
钱） 麻油（一斤）
先用当归、甘草、紫草、白芷四味，入油内浸三日，大杓内慢火熬药微枯色，细绢滤清，将油复入杓内，
煎滚下整血衄化尽，次下白占，微火亦化。先用茶钟四枚，预顿水中，将膏分作
四处，倾入钟内，候片时方下研极细轻粉，每钟内投和一钱搅匀，候至一伏时取起，不得加减，致取不效。
化腐紫霞膏
化腐紫霞膏粉衄 芭豆萆仁金顶砒
螺肉獐冰同共末 敷之铜铁也成灰
治发背已成，瘀肉不腐及不作脓者。又诸疮内有脓而外不穿溃者，俱用此膏。不腐烂者自腐，不穿溃者自
破。其功甚于乌金膏及碧霞锭子。
轻粉 萆麻仁（研，各三钱） 血衄（二钱） 芭豆（研，白仁，五钱） 朝脑（一钱） 金顶砒
（五分） 螺蛳肉（用肉晒干为末，二个）
上各为末，共碾一处，瓷罐收贮。临用时旋用麻油调搽顽硬肉上，以绵纸盖上或膏贴俱可，至顽者不过二
次即软，腐烂为脓，点诸疮顶亦破。
以上三十二方，凡大疮诸毒初起及已成时选用。
治疗痈疽、发背、各类疔肿、跌打损伤、湿痰流毒、大头时行肿胀、漆疮、火丹（一种急性皮肤炎症）、风热天泡（大疱性皮肤病）、肌肤红肿、干湿脚气、妇女乳痈、小儿丹毒，凡是外科一切顽固恶性的肿毒，随手使用此方，没有不奏效的，确实是疮疡科医生的良方便方。
天花粉（选上白者，十斤） 黄柏（颜色深重者） 大黄 姜黄（各五斤） 白芷（五斤） 紫浓朴 陈皮 甘草 苍术 天南星（各二斤）
以上药材共同切成饮片，晒至极干燥，用大驴磨连续研磨三次，然后用细密绢布筛出粉末，装入瓷器中密封保存，不要漏气。凡遇到红赤肿痛、发热但尚未成脓的情况，以及夏季火热季节，都用茶汤加蜂蜜调匀外敷；如微热微肿及大疮已成、即将化脓的情况，都用葱汤加蜂蜜调匀外敷；如漫肿无头、皮色不变、属湿痰流毒、附骨疽、鹤膝风等病症，都用葱酒煎煮后调匀外敷；如由风热恶毒所生，患处皮肤亢盛发热、红色光亮、形状游走不定的情况，都用蜜水调匀外敷；如天泡、火丹、赤游丹、黄水漆疮、恶血攻注等症状，都用大蓝根叶捣汁调匀外敷，加蜂蜜也可以；被汤水烫伤或火烧，皮肤破损的情况，用麻油调匀外敷。
具备这些不同的引经报使原理来选取寒热温凉的药物进行制约。又在临用时，顺应天时，洞察病势，使引经药得当。
四虎散内用南星、草乌、半夏，疗效通灵。
药内再添野狼毒，力增则痈疽顽肿即刻安宁。
真君妙贴散功效奇特，荞麦面、硫黄、白面一同使用。
各种怪异病症皆能奏效，常取此药在掌握之中收功。
治疗痈疽、诸毒，以及异形异类、顽固坚硬的大恶歹疮，走散不化脓者，适宜使用此药。不痛的即痛，痛甚的即止。
放在一起，用清水微微拌和，干湿适宜，放入木箱内晒成面片，用单纸包裹，在风中阴干备用。临时再研极细，用新汲取的水调匀外敷；如皮肤破损流血、湿烂疼痛等症，用麻油调匀搽涂；天泡、火丹、肺风、酒刺，用染布青汁调匀搽涂均有效。
回阳玉龙膏含肉桂、白芷、军姜仍在位。
草乌、赤芍与南星，热酒同调功效加倍。
治疗背疽阴证，不肿高、不痛、不发热、不化脓，以及寒湿流注、鼓风久损、冷痛痹风、诸湿香港脚（痛风）、手足顽麻、筋骨疼痛，以及一切皮色不变、漫肿无头、鹤膝风等，只要没有皮肤发红肌肉发热的症状，一概使用此药，均有功效。
草乌（炒，三两） 军姜（煨，三两） 赤芍（炒） 白芷 南星（煨，各一两） 肉桂（五钱）
制作完毕后，共研为细末，用热酒调匀外敷。此药有军姜、肉桂，能热血生血，既然生血又发热，恐怕不能消散反而为害，所以有草乌、南星可以破除恶气，祛除风毒，活络死肌，消除骨痛，消散结块，回复阳气；又有赤芍、白芷，足以散滞血，停止痛苦；加上酒行药性，攻通气血，即使是十分寒冷的病症，没有不痊愈的。这确实是寒灰中的火焰，枯木中的春天，大抵病冷则肌肉阴烂，不知痛痒，那些有痛的，又多属于附骨之痛，如果不除去，则寒根透髓，寻常药物固然无法企及。
冲和膏内含紫荆皮、独活、菖蒲、赤芍适宜。
白芷随方加减法，各种百症皆可医治。
紫荆皮（炒，五两） 独活（炒，三两） 赤芍（炒，二两） 白芷（一两） 石菖蒲（一两半）
研为细末，葱汤、热酒均可调匀外敷。药中紫荆皮乃木之精，能破气、逐血、消肿；独活乃土之精，动荡凝滞血脉，散骨中冷痛，去除麻痹湿气；石菖蒲乃水之精，善破坚硬，生血止痛，破风消肿；白芷乃金之精，能去风生肌定痛；赤芍药乃火之精，能生血活血，散瘀除痛，盖因血生则肌肉不死，血动则经络流通。故肌肉活动不致腐烂疼痛，经络通畅不致壅肿，这是散风行气、活血消肿、祛冷软坚的良药。其中五行相配使用，再没有不生效的道理，对于流毒、骨疽冷症尤其有效。
铁桶膏中铜绿加倍，胆矾、轻粉、郁金香。
还有晋矾并白芨，醋调箍肿不开张。
治疗发背将溃已溃时，根脚走散不收束者使用此药。
铜绿（五钱） 明矾（四钱） 胆矾（三钱） 五倍子（微炒，一两） 白芨（五钱） 轻粉 郁金（各二钱） 麝香（三分）
研为极细末，用陈米醋一碗，在勺内慢火熬至一小杯，待起金色黄泡为度。待温后将上述药一钱搅入膏内，每次用适量温热，用新笔将膏涂于疮根上，用绵纸覆盖其疮根，自生皱纹，逐渐收紧，不再扩大即为有效。
拔筒奇方用羌活、独活，紫苏、蕲艾、石菖蒲。
甘草、白芷、生葱等，一筒拔出挽回寿命符。
治疗发背已成将溃时，脓毒不得外发，必致内攻，产生烦躁，沉重如负石，非此法拔提毒瓦斯难以排出。
羌活 独活 紫苏 蕲艾 鲜菖蒲 甘草 白芷（各五钱） 连须葱（二两）
预先选用口径一寸二分、新鲜嫩竹一段，长七寸，一头留节，用力去掉外青皮，保留内白皮一半，约厚一分许，靠节处钻一小孔，用闸极木条塞紧，将前药放入筒内，筒口用葱塞住，将筒横放锅内，用物压住勿得浮起。用清水十大碗淹没竹筒煮数滚，约内药浓熟为度备用。再用披针于疮顶上一寸内品字形放开三孔，深入浅寸，约在筒圈范围内，将药筒连同汤用大瓷钵盛贮放在患者榻前，将筒药倒出，急用筒口乘热对疮合上，用手捺紧其筒，自然吸住，约待片刻，药筒已温，拔去塞孔木条，其筒自脱，将器倒出筒中物色看其何样，如有脓血相粘，鲜明红黄之色，也有一、二杯许，其病乃是活疮，治疗必终愈。如拔出物色纯是败血气秽，紫黑稀水，而无脓意相粘者，其病气血内败，肌肉不活，必是死疮，强行治疗也无功了。此法家传，屡经有验，如阳疮易溃、易脓之症，不必用此以伤气血，此法用于阴疮，要在十五日前后，坚硬不溃、不脓者施行最为恰当，此法确有回天之效，医家不可缺也。
猪蹄汤内用羌活、甘草、赤芍、黄芩、白芷、当归。
加上露蜂房更妙，诸疮一洗脱凡衣。
治疗痈疽、诸毒已溃流脓时用此汤清洗，消毒瓦斯、去恶肉，回死肌、润疮口，又能散风消肿，腐尽则止。
研为粗末，视疽疮大小决定用药多少。先将猪前蹄一只，用白水六碗，煮蹄软为度，将汁滤清，吹去汁上油花，用药一两投入汁中，再用微火煎十余沸，密绢滤去药渣，候汤半热，将软绢蘸汤淋于疮上，轻手挹去瘀脓腐肉，其恶物随汤而下。洗毕，以绢帛挹干，照前总论次第如式用药。
又：洗药方
洗药方中用当归、独活、葱头、白芷、甘草撮。
痈疽腐尽此淋之，生肌长肉常被夸赞说。
用水三碗，煎至药烂，滤清以绢帛蘸汤挹净疮上，随搽贴红黑二膏覆盖之，洗时切忌风寒为要。常治背疮轻易者，以此代猪蹄汤用，其功亦效。
太一膏中含桂枝、白芷、当归、乳香、没药、丹参、地黄、赤芍、阿魏。
将军（大黄）、木鳖兼轻粉，血余、槐柳共称奇。
治疗发背、痈疽及一切恶疮，跌扑伤损、湿痰流毒、风湿、风温，遍身筋骨走注作痛，内伤风郁，心腹胸背攻刺作痛，腿脚酸软，腰膝无力，汤泼火烧。刀伤、棒毒、五损内痈，七伤外症俱贴患处。又男子遗精，妇人白带俱贴脐下。脏毒肠痈亦可丸服。诸般疮疖，血气癞痒，诸药不止痛痒者并效。
肉桂 白芷 当归 玄参 赤芍 生地 大黄 土木鳖（各二两） 真阿魏（三钱） 轻粉（四钱） 槐枝 柳枝（各一百段） 血余（一两）
上述十味，连同槐柳枝，用真麻油足称五斤，将药浸入油内，春五、夏三、秋七、冬十，候日数已毕，入洁净大锅内，慢火熬至药枯浮起为度。停火片刻，用布袋滤净药渣，将油称准足数，将锅展净，复用细旧绢将油又滤入锅内，要清洁为美；将血余投下，慢火熬至血余浮起，以柳棒挑看似膏溶化之象，方算熬熟。
净油一斤，将飞过黄丹六两五钱徐徐投入，火加大些，夏秋亢热，每油一斤加丹五钱，不住手搅，候锅内先发青烟，后至白烟叠叠旋起，气味香馥者，其膏已成。即便停火，将膏滴入水中，试软硬得中，如老加熟油，若稀亦加炒丹每各少许，渐渐加火，务要冬夏老嫩得所为佳。候烟尽，端下锅来，方下阿魏，切成薄片，散于膏面上化尽；次下乳没、轻粉搅均倾入水内，以柳棍搂成一块，再换冷水浸片时，乘温每膏半斤扯拔百转成块，又换冷水投浸，随用时每取一块铜杓内复化，随便摊贴至妙。
生肌玉红膏更奇妙，其中淡味少人知。
芷草归身轻粉衄，白占紫草效堪推。
此膏专治痈疽、发背，诸般溃烂、棒毒等疮，用在已溃流脓时。先用甘草汤甚者用猪蹄药汤淋洗患上，软绢挹净，用抿脚挑膏于掌中捺化，遍搽新腐肉上，外以太一膏盖之。大疮早晚洗换二次，内兼服大补脾胃暖药，其腐肉易脱，新肉即生，疮口自敛。此乃外科收敛药中之神药也。
白芷（五钱） 甘草（一两二钱） 归身（二两） 瓜儿血衄 轻粉（各四钱） 白占（二两） 紫草（二钱） 麻油（一斤）
先用当归、甘草、紫草、白芷四味，入油内浸三日，大杓内慢火熬药微枯色，细绢滤清，将油复入杓内，煎滚下整血衄化尽，次下白占，微火亦化。先用茶钟四枚，预顿水中，将膏分作四处，倾入钟内，候片时方下研极细轻粉，每钟内投和一钱搅匀，候至一伏时取起，不得加减，致取不效。
化腐紫霞膏含粉衄、芭豆、萆仁、金顶砒。
螺肉、獐冰同共末，敷之铜铁也成灰。
治疗发背已成，瘀肉不腐及不作脓者。又诸疮内有脓而外不穿溃者，俱用此膏。不腐烂者自腐，不穿溃者自破。其功甚于乌金膏及碧霞锭子。
轻粉 萆麻仁（研，各三钱） 血衄（二钱） 芭豆（研，白仁，五钱） 朝脑（一钱） 金顶砒（五分） 螺蛳肉（用肉晒干为末，二个）
上述各为末，共碾一处，瓷罐收贮。临用时旋用麻油调搽顽硬肉上，以绵纸盖上或膏贴俱可，至顽者不过二次即软，腐烂为脓，点诸疮顶亦破。
以上三十二方，凡大疮诸毒初起及已成时选用。
Arisaema Cum Bupleuri and Trichosanthes Root Poultice: External application can naturally alleviate various swellings and pains.
It treats carbuncles, back abscesses, various types of ding swellings (acute localized infections), traumatic injuries, flowing toxicity of damp-phlegm, epidemic大头 swelling (large head swelling), lacquer dermatitis, huodan (acute skin inflammation), wind-heat bullae (bullous skin diseases), red and swollen skin, dry and damp jiaqi (gouty arthritis), women's ru Yong (breast abscess), children's dan du (erysipelas). For all kinds of stubborn and malignant swellings and toxins in surgery, using this prescription at hand is invariably effective; it is indeed an excellent and convenient prescription for wound specialists.
Trichosanthes Root (select the best white ones, 10 jin): Phellodendron Bark (those with deep color): Rhubarb: Curcuma Longa (each 5 jin): Angelica Dahurica (5 jin): Purple Zhenongpo (Thick-barked Magnolia Bark): Tangerine Peel: Licorice: Atractylodes: Arisaema (each 2 jin).
Grind the above herbs together into slices, sun-dry them until extremely dry, grind continuously three times using a large donkey mill, then sieve out the powder using fine silk gauze, store in porcelain vessels tightly sealed to prevent leakage. Whenever encountering red, hot, swollen, and painful conditions where pus has not yet formed, or during the summer heat season, mix with tea soup and honey for external application; if there is slight heat and swelling, or large sores have formed and are about to suppurate, mix with scallion soup and honey for external application; for diffuse swelling without a head, unchanged skin color, belonging to flowing toxicity of damp-phlegm, osteomyelitis (fuguju), crane knee disease (he xifeng), etc., decoct with scallion wine and mix for external application; for those generated by wind-heat toxic factors, where the affected skin is intensely hot, bright red, and migratory in shape, mix with honey water for external application; for bullae, huodan, chiyou dan (migratory erysipelas), yellow-water lacquer dermatitis, evil blood attacking and injecting, etc., crush Isatis Root leaves into juice and mix for external application, adding honey is also acceptable; for burns from boiling water or fire with broken skin, mix with sesame oil for external application.
Utilize these different guiding principles to select cold, hot, warm, and cool properties to constrain the pathology. Furthermore, when applying, conform to the seasonal climate, thoroughly observe the disease trend, ensuring the guiding herbs are appropriate.
Four Tigers Powder
Four Tigers Powder contains Arisaema, Aconite, Pinellia, achieving spiritual efficacy.
Adding Wild Wolf Poison (Stemona) enhances strength, bringing peace to stubborn carbuncle swellings.
Suitable for treating carbuncles that are swollen and hard, thick like ox neck skin, without suppuration or putrefaction.
Arisaema: Aconite: Pinellia: Wild Wolf Poison (equal parts).
Grind into fine powder, mash together with pig brain, apply evenly over the sore, leaving the central top open for ventilation.
True Lord's Wonderful Pasting Powder
True Lord's Wonderful Pasting Powder works miraculously, combining Buckwheat Flour, Realgar, and Wheat Flour.
Effective for various strange ailments, often taken within grasp to achieve results.
Suitable for treating carbuncles, various toxins, as well as abnormal shapes and classes, stubbornly hard severe ulcers that spread without suppuration. It stops pain where there is none and alleviates severe pain.
Pure Realgar (ground into powder, 10 jin): Buckwheat Flour: Wheat Flour (each 5 jin).
Mix together, moisten slightly with clear water to achieve appropriate dryness and wetness, sun-dry into flour sheets in a wooden box, wrap in single paper, air-dry in the shade for use. When needed, grind extremely fine again, mix with newly drawn water for external application; for broken skin with bleeding, wet rot, and pain, apply with sesame oil; for bullae, huodan, lung wind, acne rosacea, mix with indigo dye juice for application, all effective.
Return Yang Jade Dragon Ointment
Return Yang Jade Dragon Ointment contains Cinnamon Twig, Angelica Dahurica, Ginger.
Aconite, Red Peony, and Arisaema doubled in effect when mixed with hot wine.
Treats yin-type back abscesses that do not swell high, are not painful, do not fever, do not suppurate, as well as cold-damp flowing injection, chronic damage from drum wind, cold pain bi syndrome, gouty arthritis due to dampness, numbness of hands and feet, bone and joint pain, and all conditions with unchanged skin color, diffuse swelling without a head, crane knee disease, etc., provided there is no red skin or hot muscle, generally applicable with efficacy.
Aconite (stir-fried, 3 liang): Ginger (roasted, 3 liang): Red Peony (stir-fried): Angelica Dahurica: Arisaema (roasted, each 1 liang): Cinnamon Twig (5 qian).
After preparation, grind all into fine powder, mix with hot wine for external application. This ointment contains Ginger and Cinnamon Twig, which warm the blood and generate blood. Since it generates blood and creates heat, it might fail to dissipate and cause harm; thus, Aconite and Arisaema are included to break evil qi, dispel wind-toxicity, revive dead tissue, eliminate bone pain, dissolve nodules, and restore yang qi; Red Peony and Angelica Dahurica sufficiently dissipate stagnant blood and stop pain; added wine promotes drug action, attacks and unblocks qi and blood. Even for severe cold syndromes, recovery is inevitable. This is truly the flame in cold ashes, the spring in dead wood. Generally, cold diseases cause Yin decay of muscles, leading to insensitivity to pain and itch; those with pain are often deep-seated bone pain. If not removed, the cold root penetrates the marrow, beyond the reach of ordinary medicines.
Harmonizing Paste
Harmonizing Paste contains Chinese Privet Bark, Pubescent Angelica, Acorus, Red Peony.
Angelica Dahurica allows for flexible addition and subtraction, treating hundreds of symptoms.
Suitable for treating carbuncles and back abscesses where yin and yang are disharmonious, and cold and heat are unclear.
Chinese Privet Bark (stir-fried, 5 liang): Pubescent Angelica (stir-fried, 3 liang): Red Peony (stir-fried, 2 liang): Angelica Dahurica (1 liang): Acorus Tatarinowii (1.5 liang).
Grind into fine powder, mix with scallion soup or hot wine for external application. In this medicine, Chinese Privet Bark is the essence of Wood, capable of breaking qi, driving out blood, reducing swelling; Pubescent Angelica is the essence of Earth, agitating stagnant blood vessels, dispersing cold pain in bones, removing numbness and dampness; Acorus is the essence of Water, good at breaking hardness, generating blood, stopping pain, dispersing wind and reducing swelling; Angelica Dahurica is the essence of Metal, capable of expelling wind, generating flesh, stabilizing pain; Red Peony is the essence of Fire, capable of generating and activating blood, dissipating stasis, removing pain. Since blood generation prevents muscle death and blood movement ensures meridian flow, muscles remain active without rotting or pain, and meridians stay unobstructed without congestion or swelling. This is an excellent medicine for dispersing wind, moving qi, activating blood, reducing swelling, dispelling cold, and softening hardness. The combination of Five Elements ensures efficacy, especially for flowing toxicity, bone abscesses, and cold syndromes.
Iron Bucket Ointment
Iron Bucket Ointment doubles Copper Green, along with Alum, Calomel, and Turmeric.
Plus Jin Alum and Bletilla, mixed with vinegar to bind swelling without opening.
Used when back abscesses are about to ulcerate or have ulcerated, with spreading roots that cannot be contained.
Copper Green (5 qian): Alum (4 qian): Blue Vitriol (3 qian): Chinese Gall (lightly stir-fried, 1 liang): Bletilla (5 qian): Calomel: Turmeric (each 2 qian): Musk (3 fen).
Grind into extremely fine powder, take one cup of aged rice vinegar, slowly boil in a spoon over low heat until reduced to a small cup, waiting for golden-yellow bubbles to rise. When warm, mix in one qian of the above powder into the paste. Apply warm each time, use a new brush to paint the ointment on the base of the sore, cover the base with cotton paper, causing wrinkles to form, gradually tightening until expansion stops, indicating effectiveness.
Boiling Suction Tube Formula
The miraculous suction tube formula uses Notopterygium, Pubescent Angelica, Perilla, Qiai, Acorus.
Licorice, Angelica Dahurica, fresh scallions, etc., one tube pulls back the life talisman.
Treats back abscesses that have formed and are about to ulcerate, where pus and toxin cannot exit externally, must attack internally, causing irritability and heaviness like carrying a stone. Only this method of pulling and lifting the toxic vapor can facilitate its exit.
Notopterygium: Pubescent Angelica: Perilla: Qiai (Mugwort): Fresh Acorus: Licorice: Angelica Dahurica (each 5 qian): Scallions with roots (2 liang).
Pre-select a section of fresh tender bamboo with an inner diameter of 1.2-1.3 cun, seven cun long, keeping one node intact. Forcefully remove the outer green skin, retaining half of the inner white layer, approximately one fen thick. Drill a small hole near the node, plug tightly with a wooden wedge, place the aforementioned herbs inside the tube, plug the tube mouth with scallions, place the tube horizontally in a pot, press down to prevent floating. Submerge ten bowls of clear water, boil several times until the internal herbs are cooked and concentrated, then set aside for use. Use a lancet to make three puncture holes in a triangular pattern within one cun of the abscess apex, inserting shallowly about one cun deep, roughly within the tube's circumference. Place the medicinal tube with broth in a large porcelain bowl beside the patient's bed. Pour out the tube contents, immediately press the hot tube mouth against the sore, hold firmly with hand, allowing natural suction. Wait briefly until the tube warms up, remove the wooden plug, and the tube will detach naturally. Examine the discharged material; if pus and blood are sticky, bright red and yellow, amounting to one or two cups, the disease is a living sore and will surely heal with treatment. If the discharged material is purely foul-smelling necrotic blood, purple-black thin fluid, without sticky pus, the disease involves internal failure of qi and blood, inactive muscles, indicating a dead sore; forced treatment will be futile. This family method has proven effective repeatedly. For yang sores that easily ulcerate and suppurate, this method should not be used to injure qi and blood. It is intended for yin sores, ideally applied around fifteen days before expected progression, for hard, non-ulcerating, non-suppurating cases. This method indeed has heaven-restoring effects and is indispensable for physicians.
Pig Trotter Soup
Pig Trotter Soup contains Notopterygium, Licorice, Red Peony, Scutellaria, Angelica Dahurica, Angelica Sinensis.
Adding Honeycomb is even better; washing all sores sheds their mundane attire.
Use this soup to wash when carbuncles and various toxins have ulcerated and are discharging pus, to disinfect toxic vapors, remove bad flesh, revive dead tissue, moisturize sore edges, disperse wind, reduce swelling, stopping once putrefaction is complete.
Notopterygium: Licorice: Red Peony: Scutellaria: Angelica Dahurica: Angelica Sinensis: Honeycomb (equal parts).
Grind into coarse powder, determine dosage based on the size of the abscess. First, boil one front pig trotter in six bowls of clear water until soft, filter the broth, blow away oil scum, add one liang of the herbal powder, simmer gently for ten boils, filter through fine silk gauze to remove dregs. When the soup is half-hot, dip soft silk gauze into the soup and pour over the sore, gently wipe away purulent and necrotic tissue, allowing foul matter to drain with the soup. After washing, dry with silk cloth, and apply medications according to the general discussion sequence.
Additionally: Washing Medicine Formula
Washing Medicine Formula contains Angelica Sinensis, Pubescent Angelica, Scallion Bulbs, Angelica Dahurica, Licorice.
For carbuncles where putrefaction is complete, this washing promotes flesh regeneration, often praised.
Angelica Sinensis: Pubescent Angelica: Angelica Dahurica: Licorice (each 2 qian): Scallion Bulbs (5 pieces).
Use three bowls of water, decoct until herbs are mushy, filter clearly, dip silk cloth in the liquid to wipe the sore clean, then apply Red or Black Ointments as dressing. Avoid wind and cold during washing. Often used for mild back sores as a substitute for Pig Trotter Soup, equally effective.
Modified Taiyi Plaster
Taiyi Plaster contains Cinnamon Twig, Angelica Dahurica, Angelica Sinensis, Notoginseng, Salvia, Rehmannia, Red Peony, Asarum.
Rhubarb, Momordica, Calomel, Human Hair, Locust Tree Branch, Willow Branch are collectively marvels.
Treats back abscesses, carbuncles, and all malignant sores, traumatic injuries, flowing toxicity of damp-phlegm, wind-damp, wind-warmth, wandering pain throughout body bones and joints, internal injury from wind stagnation, stabbing pain in heart, abdomen, chest, and back, soreness and weakness of legs and feet, weakness of waist and knees, burns and scalds. Knife wounds, clubbing injuries, five damages internal abscesses, seven injuries external symptoms are all applied to the affected area. Also applied below the navel for male seminal emission and female leukorrhea. Visceral toxin and intestinal abscess can also be taken as pills. Effective for various boils, blood-qiang itching, and any condition where other medicines fail to stop pain and itch.
Cinnamon Twig: Angelica Dahurica: Angelica Sinensis: Scrophularia: Red Peony: Rehmannia: Rhubarb: Momordica (each 2 liang): True Asarum (3 qian): Calomel (4 qian): Locust Tree Branch: Willow Branch (each 100 segments): Human Hair (1 liang).
Lead Monoxide (40 liang): Frankincense Powder (5 qian): Myrrh Powder (3 qian).
Take the above ten ingredients plus locust and willow branches, soak in five jin of pure sesame oil. Soak for five days in spring, three in summer, seven in autumn, ten in winter. When days are complete, put into a clean large pot, simmer gently until herbs float and wither. Stop fire for a moment, filter dregs through a cloth bag, weigh the oil accurately, clean the pot, filter oil again through fine old silk into the pot for cleanliness. Add human hair, simmer gently until hair floats, pick with willow stick to check if it resembles melted plaster, indicating readiness.
For one jin of purified oil, slowly add six liang five qian of calcined Lead Monoxide, increase fire slightly. In hot summer and autumn, add five qian of monoxide per jin of oil, stirring constantly. Wait for blue smoke first, then white smoke rising in layers, with fragrant aroma, indicating the plaster is formed. Immediately stop fire, drop plaster into water to test consistency. If too hard, add mature oil; if too thin, add fried monoxide slightly, gradually increasing fire, aiming for appropriate hardness in winter and summer. When smoke ceases, remove from heat, add Asarum sliced thinly, scatter on plaster surface to melt completely; next add frankincense, myrrh, calomel, stir evenly, pour into water, gather into a block with willow stick, soak in cold water for a while. While warm, take half a jin of plaster, pull and fold a hundred times into a block, soak in cold water again. When needed, take a piece, melt in a copper spoon, and apply as desired.
Flesh-Generating Jade Red Ointment
Flesh-Generating Jade Red Ointment is more wondrous, its mild nature known by few.
Angelica Dahurica, Licorice, Angelica Sinensis, Calomel, Blood Clot, White Beeswax, Lithospermum yield remarkable effects.
This ointment specifically treats carbuncles, back abscesses, various ulcerations, clubbing injuries, etc., used when already ulcerated and discharging pus. First wash the affected area with Licorice soup, or Pig Trotter medicinal soup for severe cases, wipe clean with soft silk, scoop ointment into palm, melt by pressing, apply evenly over new and necrotic flesh, cover externally with Taiyi Plaster. For large sores, wash and change twice morning and evening, internally take large tonifying spleen-stomach warming medicines, facilitating easy shedding of necrotic flesh, rapid growth of new flesh, and spontaneous closure of sore edges. This is the divine medicine among surgical astringents.
Angelica Dahurica (5 qian): Licorice (1.2 liang): Angelica Sinensis (2 liang): Blood Clot: Calomel (each 4 qian): White Beeswax (2 liang): Lithospermum (2 qian): Sesame Oil (1 jin).
First, soak Angelica Sinensis, Licorice, Lithospermum, and Angelica Dahurica in oil for three days. Simmer gently in a large spoon until slightly withered and colored, filter finely through silk, return oil to spoon, boil, add whole blood clot until melted, then add White Beeswax, melt over low heat. Prepare four tea cups, pre-soak in water. Divide plaster into four parts, pour into cups. Wait a moment, then add extremely fine Calomel, one qian per cup, stir evenly. Wait until one fu period (approx. 2 hours) to retrieve, do not alter dosage, lest efficacy be lost.
Rot-Decaying Purple Cloud Ointment
Rot-Decaying Purple Cloud Ointment contains Calomel, Blood Clot, Velvet Bean, Hemp Seed, Golden-Topped Arsenic.
Snail Meat, Borneol ground together, application turns copper and iron to ash.
Treats back abscesses that have formed, with necrotic flesh not decaying or not suppurating. Also for all sores containing pus internally but not penetrating externally. Non-decaying flesh will decay spontaneously, non-penetrating sores will rupture spontaneously. Its efficacy surpasses Wu Jin Gao and Bi Xia Ding Zi.
Calomel: Hemp Seed (ground, each 3 qian): Blood Clot (2 qian): Velvet Bean (ground, white kernel, 5 qian): Borneol (1 qian): Golden-Topped Arsenic (5 fen): Snail Meat (dried meat ground into powder, 2 pieces).
Grind each into powder, mix together, store in porcelain jar. When needed, mix with sesame oil to apply on stubborn hard flesh, cover with cotton paper or plaster. Stubborn cases soften after no more than two applications, rotting into pus; applying to the apex of various sores also causes rupture.
The above thirty-two prescriptions are selected for initial formation or established stages of major sores and various toxins.