诸疮患久成 。常有脓水不绝。其脓不臭。内无歹肉。须先服参 归术芎大剂。托里为
或服以丸。尤宜用附子浸透。切作片。浓二三分。于疮上着艾灸之。仍服前托里之药。隔三
日再灸。不五七次。肌肉自长满矣。
至有脓水恶物。渐溃根深者。用面、硫黄、大蒜三物一处捣烂。看疮大小。捻作饼子。
分。安疮上。用艾炷灸二十一壮。一壮一易。后隔四五日。方用翠霞锭子。并信效锭子互用
。入疮内。歹肉尽去。好长肉平。然贴收敛之药。内服应病之剂。调理则瘥矣。
（附豆豉饼）
附子为末。唾津和为饼如三钱浓。安疮上。以艾炷灸之。漏大炷大。漏小炷小。但灸令
。不可令痛。干则易之。如困则止。来日如前再灸。直至肉平为效。仍用前补药作膏贴。豆
豉饼专治发背已溃未溃。用江西淡豆豉为末。唾津作饼置患处灸之。饼干再用唾津和之。疮
大用水和。捣成硬泥。根据疮大小作饼子浓三分。如已有疮孔。勿敷孔上。四布豉饼列艾其上
灸之。使微热勿令破肉。如热痛急易之。日灸二度。先有疮孔者。孔出汁即瘥。
隔蒜灸 元戎云。疮疡自外而入者不宜灸。自内而出者宜灸。外入者托之而不内。内出
之而令外。故经云陷者灸之。丹溪曰。痈疽之发。或因内有积热。或因外寒而郁内热。若于
始发之际。外灸以散其毒。治之之早。亦可移重就轻。转深于浅。东垣曰。初觉发背。欲结
未结。赤热肿痛。先以湿纸覆其上。立视纸先干处。即痈头也。取蒜切片如三钱浓。安头上
。用大艾炷灸之。三壮换一蒜片。痛者灸至不痛。不痛者灸至痛。早觉早灸为上。一日三
日。十灸十活。三日四日六七活。五六日三四活。过十数日不可灸。若有十数头作一处者。
用蒜研成膏。作薄饼铺头上。聚艾烧之。亦能活也。若初发赤肿。中间有一黄粟米头。便用
独蒜切去两头。取中间片浓薄。安头上。着艾灸十四壮。多至四十九壮。本事方云。一人四
月背疽。治之逾月益甚矣。以艾加疮头。自旦及暮。灸百五十壮。知痛乃已。明日镊去黑痂
。脓尽不痛。始别以药敷之。日一易。易时旋去前黑烂。月余乃平。
各种疮疡患病日久形成溃疡，常有脓水淋漓不断。其脓液不臭，内部没有腐坏的死肉。必须先服用人参、当归、白术、川芎的大剂量方剂，以托毒外出、补益气血。或者服用丸药，尤其适宜用附子浸泡透彻，切成厚约二三分的薄片，敷在疮口上，再用艾炷灸治。同时继续服用前述托里补益的药物。每隔三天再行灸治，不超过五到七次，肌肉自然生长丰满愈合。
如果有脓水恶物，逐渐溃烂且病根深固的情况，使用面粉、硫黄、大蒜三样东西一起捣烂，根据疮口的大小，捏成饼状，厚度约为二分，安放在疮口上。用艾炷灸二十一壮，每灸一壮更换一次蒜饼。之后每隔四五天，交替使用翠霞锭子和信效锭子，纳入疮口内，使腐肉完全去除，新肉生长平整。然后贴上收敛生肌的药物，内服对症的药剂，经过调理即可痊愈。
（附：豆豉饼法）
将附子研为粉末，用唾液调和成饼，厚度如三钱重硬币般大小，安放在疮口上，用艾炷灸治。漏管大则用大艾炷，漏管小则用小艾炷。只灸至温热舒适，不可令患者感到疼痛。饼干了则更换。如果患者感到困倦则停止，次日如前法再灸，直至肌肉长平为止。仍使用前法补益药物制成膏药贴敷。豆豉饼专门治疗发背疽，无论已溃或未溃。取江西产的淡豆豉研末，用唾液做成饼置于患处灸治。饼干了再用唾液调和。疮口大则用水调和，捣成硬泥。根据疮口大小做成厚约三分的饼子。如果已有疮孔，不要敷在孔上。四周布置豆豉饼，在上面排列艾炷灸治，使局部微热而不损伤肌肉。如果感觉热痛剧烈则立即更换。每天灸两次。先前有疮孔的，孔中流出汁液后就会痊愈。
隔蒜灸 元戎说：疮疡由外邪侵入引起的不宜灸，由内毒外发引起的宜灸。外邪侵入者通过托法使其不向内深入，内毒外发者引导其向外排出。所以医经说：“下陷的病症用灸法。”丹溪说：痈疽的发生，有的因为体内积热，有的因为外寒束缚导致内热郁结。如果在初发之际，外用灸法以消散毒邪，治疗得早，也可以使重症变轻，深症变浅。东垣说：初觉背部发疽，欲结未结之时，局部红热肿痛，先用湿纸覆盖在患处，立刻观察纸张哪里先干，那里就是痈头。取大蒜切片，厚度如三钱重硬币般大小，安放在痈头上。用大艾炷灸治，每灸三壮更换一片蒜片。原本痛的灸到不痛，原本不痛的灸到痛。早发现早灸为上策。发病一日三日，灸十次可活十个；三日四日，六七次可活；五六日，三四次可活。超过十多天就不宜再灸。如果有十几个痈头聚集在一起，将蒜研成膏，做成薄饼铺在痈头上，聚拢艾炷烧灼，也能救活。如果初发时红肿，中间有一个黄粟米大小的脓头，便用独蒜切去两头，取中间部分，厚度适中，安放在痈头上，用艾灸十四壮，多至四十九壮。《本事方》记载：有一人四月患背疽，治疗一个多月反而加重。用艾炷加在疮头上，从早晨到傍晚，灸了一百五十壮，直到感觉到疼痛才停止。第二天镊去黑痂，脓排尽且不痛，才开始另外用药敷贴，每天更换一次，换药时随即去掉前面的黑烂组织，一个月左右才平复。
Various sores and ulcers, after lingering for a long time, form open wounds with continuous discharge of pus. The pus is not foul-smelling, and there is no necrotic tissue inside. One must first administer a large dose of a decoction containing Ren Shen (Ginseng Radix), Dang Gui (Angelicae Sinensis Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), and Chuan Xiong (Ligustici Chuanxiong Rhizoma) to support the healthy qi and expel toxins outward. Alternatively, pills may be taken; it is especially suitable to use Fu Zi (Aconiti Lateralis Radix Praeparata) that has been thoroughly soaked, sliced into pieces approximately two or three fen thick, placed on the sore, and moxa-converted. Meanwhile, continue taking the aforementioned tonifying and supporting formulas. Moxa-convert again every three days. Within five to seven sessions, the flesh will naturally grow and fill the wound.
In cases where there is foul pus and debris, with gradual ulceration and deep-rooted infection, mix flour, Liu Huang (Sulfur), and Da Suan (Allium Sativum Bulbus) together until mashed. According to the size of the sore, shape the mixture into a cake, approximately two fen thick, and place it on the sore. Apply twenty-one moxa cones (zhuang). Replace the cake after each cone. Afterward, every four to five days, alternately apply Cui Xia Ding Zi (Emerald Cloud Pill) and Xin Xiao Ding Zi (Trustworthy Effectiveness Pill) into the wound to completely remove necrotic tissue and allow healthy flesh to grow flat. Then apply astringent and flesh-regenerating medicines externally, and take internal remedies corresponding to the disease condition. With proper regulation, recovery will occur.
(Attached: Fermented Soybean Bean Cake Method)
Grind Fu Zi (Aconiti Lateralis Radix Praeparata) into powder, mix with saliva to form a cake of thickness equivalent to a coin weighing three qian, place it on the sore, and moxa-convert. If the sinus tract is large, use a large moxa cone; if small, use a small one. Moxa only until warm and comfortable, ensuring no pain. Replace when dry. Stop if the patient feels fatigued; resume the next day as before, until the flesh levels out. Continue applying the previous tonifying medicine as a plaster. The Fermented Soybean Bean Cake is specifically used for treating Back Carbuncle (Fa Bei Ju), whether ulcerated or not. Take Dan Dou Chi (Sojae Semen Praeparatum) from Jiangxi, grind into powder, mix with saliva to form a cake, and place on the affected area for moxa-conversion. If the cake dries, re-moisten with saliva. For larger sores, mix with water and pound into a hard paste. Shape into cakes approximately three fen thick according to the sore's size. If there is already an opening, do not cover the hole directly. Arrange the bean cakes around the perimeter, place moxa cones on top, and moxa-convert until slightly warm without damaging the flesh. Change immediately if heat causes severe pain. Moxa twice daily. For those with pre-existing openings, healing occurs once fluid drains from the hole.
Moxibustion with Garlic Slice Yuan Rong stated: Sores caused by external pathogens are not suitable for moxibustion, while those originating internally are suitable. External pathogens should be expelled outward via supportive methods, preventing inward penetration; internal toxins should be guided outward. Thus, the classics state: "Depressed lesions are treated with moxibustion." Dan Xi said: The onset of carbuncles and sores may result from accumulated internal heat or external cold constraining internal heat. If moxibustion is applied externally at the initial stage to dissipate toxicity, early treatment can transform severe conditions into mild ones and deep lesions into superficial ones. Dong Yuan said: When initially suspecting a Back Carbuncle, before it fully forms, presenting with redness, heat, swelling, and pain, first cover the area with wet paper. Immediately observe which part of the paper dries first; this indicates the head of the carbuncle. Take garlic slices, approximately three qian in thickness equivalent, and place them on the head. Apply large moxa cones. Replace the garlic slice after every three cones. Moxa painful areas until they cease to hurt, and non-painful areas until they become painful. Early detection and early moxibustion are superior. If treated within one to three days, ten moxa sessions may save ten patients; within three to four days, six or seven sessions may save some; within five to six days, three or four sessions may save some. Do not moxa after more than ten days. If multiple heads cluster together, crush garlic into a paste, form a thin cake, lay it over the heads, and gather moxa cones to burn. This can also save lives. If initially red and swollen with a yellow millet-grain-sized pustule in the center, use a single clove of garlic, cut off both ends, take the middle slice of appropriate thickness, place it on the head, and moxa fourteen cones, up to forty-nine cones. *Ben Shi Fang* records: A person suffered from a back carbuncle in April; treatment for over a month worsened the condition. Moxa was applied directly to the sore head from morning till evening, totaling one hundred fifty cones, stopping only when pain was felt. The next day, black scabs were removed with tweezers. Once pus was exhausted and pain ceased, other medicinal applications began, changed daily. During changes, previous black necrotic tissue was removed. Recovery occurred after about a month.