（一名疯毒、一名杨梅痈漏。）
结毒者，因患疮时毒瓦斯方炽，误用药水熏蒸或轻粉内伏或点药收敛。以致毒沉骨髓关窍
之中
唇缺、目蚀、喉穿、手足挛拘等证。治法∶初起者，日服三黄丸，再服取忍冬藤、牛蒡草、
甘
毒尽，色转红活，以洞天膏贴收功。盖圣灵丹治结毒，万全之功，无有出其右者。但方内有
犀黄、珍珠，价皆贵重，又不可减去分厘，需数十金方能合就，贫者奈何。又结毒紫金丹、
杨梅痈漏汤二方用之甚效，即年深者亦效，药资无多，又能取效。如患久虚弱者，更宜补助
为妙。忌食火酒、猪头、糟物、海味、茶、醋、椒、姜、大蒜、牛、羊、鸡、鹅、豆腐、面
筋、鲜鱼等。猪肉不忌。
一、结毒在咽喉者，可用七神散吹之。服药如前。
圣灵丹
珍珠 犀黄 冰片（各一钱） 琥珀（四钱，红色者佳） 劈砂 滴乳石（各三钱，明者佳
，即石钟乳）
上各制研粉，入飞罗面四两，研和密贮。每服取五分，煎土茯苓汤调下，再以汤送服。
一方加肥皂子一个，同土茯苓煎。如结毒在鼻、额者加辛夷三钱，同土茯苓煎。
结毒紫金丹
龟版（放炭火上炙燥，用新酒浆，笔蘸浆涂上，反复炙涂三次，以焦黄为度，研细末二
两） 石决明（用九孔者， 红，童便内浸一夜，为末） 朱砂（六钱，明亮者，飞末）
上共研极细末，烂饭或米饮为丸麻子大。每服一钱，量病上下，食前后下。筋骨疼痛用
酒下
喉唇鼻破坏，诸药不效者并妙，功可代圣灵丹。
杨梅痈漏方
黑铅（三两，溶化入水银五钱，乘热擂为粉，分作五分听用，后另入煎药用） 土茯苓（五
两） 忍冬（一两） 皂刺（一钱） 郁金（五分）
上 咀，入葱一茎各煎去渣再入铅粉一分煎，食远服。（铅粉煎后仍可取起。盖杨梅痈
漏，
，每料初一剂要取微汗。取汗法∶以金银花用藤叶一两，防风、荆芥、花椒各五钱煎汤二斗
，于不透风处先熏后洗，自然汗出即愈。二、三十年者，只用四料作四次汗之无不痊愈。
忌牛肉、烧酒、发物。徐春甫专用此方以治病者，一一获效，故详载之。
七神散
黄柏（蜜涂炙九次，研末，一钱） 僵蚕（新瓦焙燥，为末，一钱） 儿茶（五分，研末）
制乳香（五分） 制没药（五分） 冰片（五分） 人中白（ 末，一钱）
上共研极细末吹之。
三黄丸（通用四十九。）
洞天膏（通用七十六。）
结毒，是因为在患疮疡时，毒气正盛，误用药物熏蒸，或轻粉潜伏体内，或使用收敛类药物点涂。导致毒素深陷入骨髓和关节窍道之中，出现嘴唇缺损、眼睛被蚀、喉咙穿孔、手足拘挛抽搐等症状。治疗方法：初起阶段，每日服用三黄丸，接着服用忍冬藤、牛蒡草等药以尽除余毒，待患处颜色转为红润鲜活后，使用洞天膏贴敷以收功。圣灵丹治疗结毒，功效万全，没有能超过它的。但方中含有犀黄、珍珠，价格昂贵，且不可减少分量，需要数十金才能配制成功，贫困者该怎么办呢？另外，结毒紫金丹、杨梅痈漏汤两个方子使用效果很好，即使是病程长久的也有效，药费不多，又能见效。如果患病日久身体虚弱的人，更适宜配合补益疗法为妙。忌食火酒、猪头肉、糟制品、海味、茶、醋、花椒、姜、大蒜、牛肉、羊肉、鸡肉、鹅肉、豆腐、面筋、鲜鱼等。猪肉不忌。
一、结毒生在咽喉部位的，可用七神散吹入患处。服药方法如前所述。
圣灵丹
配方：珍珠、犀黄、冰片（各一钱）；琥珀（四钱，红色者佳）；劈砂、滴乳石（即石钟乳，各三钱，透明者佳）。
制法：将上述药材分别炮制后研成粉末，加入飞罗面四两，研磨混合均匀并密封储存。每次服用五分，用土茯苓煎煮的汤剂调服，再用该汤剂送服。
加减法：一方中加入肥皂子一个，同土茯苓一起煎煮。如果结毒生在鼻子、额头部位，加辛夷三钱，同土茯苓一起煎煮。
结毒紫金丹
配方：龟版（放在炭火上烤燥，用新酒浆蘸笔涂抹，反复炙烤涂抹三次，以焦黄色为度，研成细末二两）；石决明（选用九孔的，红色，在童便中浸泡一夜，研成末）；朱砂（六钱，明亮者，飞研成末）。
制法：以上药材共同研成极细末，用烂饭或米饮制成如麻子大小的丸药。每次服用一钱，根据病情上下部位，饭前或饭后服用。筋骨疼痛者用酒送服。对于喉唇鼻部破坏严重、其他药物无效的情况，此方也奇妙，功效可替代圣灵丹。
杨梅痈漏方
配方：黑铅（三两，熔化后加入水银五钱，趁热研磨成粉，分成五份备用，之后另入煎药用）；土茯苓（五两）；忍冬（一两）；皂刺（一钱）；郁金（五分）。
制法：将药材切碎，加入葱一根，煎煮去渣后，再放入一分铅粉煎煮，饭后远时服用。（铅粉煎煮后仍可取出。因为杨梅痈漏，每料药的第一剂要取微汗。取汗方法：用金银花藤叶一两，防风、荆芥、花椒各五钱，煎汤二斗，在不透风的地方先熏后洗，自然出汗即可痊愈。二三十年病程的，只用四料分四次发汗，无不痊愈。忌食牛肉、烧酒、发物。徐春甫专门用此方治病，一一获效，所以详细记载于此。）
七神散
配方：黄柏（蜜涂炙九次，研末，一钱）；僵蚕（新瓦焙燥，研末，一钱）；儿茶（五分，研末）；制乳香（五分）；制没药（五分）；冰片（五分）；人中白（研末，一钱）。
制法：以上药材共同研成极细末，吹入患处。
(Also known as Feng Du [Madness Toxin] or Yangmei Yong Lou [Mulberry-Shape Carbuncle and Fistula].)
Jie Du [Knot Toxin], arises when, during the onset of a sore, the pathogenic toxin is at its peak. Mistaken use of fumigation with medicinal herbs, internal retention of Calomel (Qingfen), or application of astringent medicines causes the toxin to sink deep into the bone marrow and joint cavities. This manifests as symptoms such as loss of lips, erosion of eyes, perforation of the throat, and contracture and spasms of the hands and feet. Treatment method: In the initial stage, take San Huang Wan (Three-Yellow Pill) daily, followed by decoctions containing Hengdong Teng (Lonicerae Japonicae Caulis) and Niubang Cao (Arctii Herba) to exhaust the residual toxin. Once the lesion color turns red and vibrant, apply Dongtian Gao (Cave Heaven Ointment) to achieve healing. Shengling Dan (Holy Spirit Pill) treats Jie Du with comprehensive efficacy, unsurpassed by any other formula. However, this formula contains Xi Huang (Calculus Bovis) and Zhenzhu (Margarita), which are expensive, and their dosages cannot be reduced even slightly. It costs dozens of taels of silver to prepare, posing a dilemma for the poor. Alternatively, Jiedu Zijin Dan (Purple Gold Pill for Knot Toxin) and Yangmei Yonglou Tang (Mulberry-Shape Carbuncle and Fistula Decoction) are highly effective, even for chronic cases, with low cost. For patients who have been ill for a long time and are weak, it is advisable to combine them with tonifying therapies. Dietary restrictions include fire wine, pig's head meat, fermented foods, seafood, tea, vinegar, Sichuan pepper, ginger, garlic, beef, mutton, chicken, goose, tofu, gluten, and fresh fish. Pork is not restricted.
1. For Jie Du located in the throat, Qishen San (Seven-God Powder) can be insufflated into the affected area. Oral medication follows the aforementioned method.
Shengling Dan (Holy Spirit Pill)
Ingredients: Zhenzhu (Margarita), Xi Huang (Calculus Bovis), Bingpian (Borneolum Syntheticum) (each 1 qian); Hupo (Succinum) (4 qian, red variety preferred); Pisha (Realgar), Dilushi (Stalactitum) (each 3 qian, transparent variety preferred).
Preparation: Process each ingredient separately, grind into powder, mix with 4 liang of refined flour, grind thoroughly, and store in a sealed container. Take 5 fen per dose, mixed with decoction of Tufuling (Smilacis Glabrae Rhizoma), and wash down with the same decoction.
Modifications: Add one Soap Nut (Feizaozi) to boil with Tufuling. If the toxin affects the nose or forehead, add Xinyi (Magnoliae Flos) 3 qian to boil with Tufuling.
Jiedu Zijin Dan (Purple Gold Pill for Knot Toxin)
Ingredients: Guiban (Testudinis Carapax et Plastrum) (roasted over charcoal until dry, coated repeatedly with new wine slurry using a brush, roasted three times until scorched yellow, ground to fine powder, 2 liang); Shijueming (Haliotidis Concha) (select nine-holed red shells, soaked overnight in children's urine, ground to powder); Zhusha (Cinnabaris) (6 qian, bright luster, levigated powder).
Preparation: Grind all ingredients to an extremely fine powder. Form pills the size of hemp seeds using soft rice or rice water. Take 1 qian per dose, administered before or after meals depending on the location of the disease. For bone and joint pain, administer with wine. This formula is also miraculous for severe destruction of the throat, lips, and nose where other medicines fail, serving as an alternative to Shengling Dan.
Yangmei Yonglou Fang (Mulberry-Shape Carbuncle and Fistula Formula)
Ingredients: Heiqian (Plumbum) (3 liang, melted and amalgamated with 5 qian of Hydrargyrum while hot, ground into powder, divided into five portions for later use in decoction); Tufuling (Smilacis Glabrae Rhizoma) (5 liang); Rendong (Lonicerae Japonicae Flos/Caulis) (1 liang); Zaoci (Gleditsiae Sinensis Spina) (1 qian); Yujin (Curcumae Longae Radix) (5 fen).
Preparation: Cut the herbs, add one stalk of Congbai (Allii fistulosi Bulbus), decoct, remove dregs, then add 1 fen of the prepared lead powder and decoct again. Take well after meals. (The lead powder can be retrieved after decoction. Since Yangmei Yonglou requires inducing mild sweating, the first dose of each batch should aim for slight perspiration. Method for inducing sweat: Decoct 1 liang of Lonicerae Japonicae Caulis leaves and stems, along with Fangfeng (Saposhnikoviae Radix), Jingjie (Schizonepetae Spica), and Huajiao (Zanthoxyli Pericarpium) each 5 qian, in two dou of water. Fumigate and then wash in a draft-free environment. Natural sweating leads to cure. For cases lasting 20-30 years, four batches administered over four sessions will ensure complete recovery. Avoid beef, distilled spirits, and "fa-wu" [hair-raising/triggering foods]. Xu Chunfu used this formula exclusively with success, hence recorded in detail.)
Qishen San (Seven-God Powder)
Ingredients: Huangbai (Phellodendri Cortex) (coated with honey, roasted nine times, ground to powder, 1 qian); Jiangcan (Bombyx Batryticatus) (roasted on a new tile until dry, ground to powder, 1 qian); Ercha (Catechu) (5 fen, ground to powder); Zhi Ruxiang (Frankincense) (5 fen); Zhi Moyao (Myrrha) (5 fen); Bingpian (Borneolum Syntheticum) (5 fen); Renzhongbai (Urinae Siccata) (ground to powder, 1 qian).
Preparation: Grind all ingredients to an extremely fine powder and insufflate into the affected area.
San Huang Wan (Three-Yellow Pill) (See General Formula No. 49.)
Dongtian Gao (Cave Heaven Ointment) (See General Formula No. 76.)