（一名枯筋箭。）
初起如赤豆，渐渐微槁，日久破裂钻出筋头，蓬松枯槁如花之蕊，多生于手足胸乳之间
，系
之，或为丸常服；外用铜钱一个套疣上，以草纸穣代艾作七纠灸之，次日即落。如疣大者则
将草纸蘸湿套在疣上，或灸十四纠，断无不下之理。然不可专用外治，虽暂愈亦必复发。
附方（存验。）
用牛口涎涂之，自落。
归芍地黄汤（通用三十七。）
瘴疽者因受山岚瘴气，伏藏筋骨之间，初发黑色，顽痹如木石，重按之微痛。急用不换
金
证难治，须用砭法令出恶血，以熟附子三钱，生姜五钱煎服，接按阴疽则例治法。
不换金正气散
苍术（二钱，泔浸，炒） 藿香（二钱） 浓朴（二钱，姜炒） 陈皮（二钱） 半夏曲（二钱） 炙
甘草（一钱）
上加生姜五片、红枣二枚水煎服。
初起红点，次变黑色，其形小者如粟豆，大者如桃李，发无定处，疼痛应心，剥破脓如
豆汁
金正气散加入仙方活命饮服之，迟治妨命。
仙方活命饮（通用一。）
不换金正气散（见前。）
（附痘风疮、痘癞、丹瘤、痘后发斑。）
孩子因出痘多服凉药，血凝气滞，乘虚发毒，漫肿不红亦无 痛。医多以痘后火毒未尽
治之
。然亦有火毒未尽而发者，其发必红肿 痛，身热口渴，是不得不用清解，败毒汤加荆芥、
防风、蝉衣、柴胡主之，服一、二剂，外以三豆散敷之，则红退肿消而愈。如溃者用内托散
，贴洞天膏。
痘后发疮痒痛者，三豆散敷之妙。
痘后遍身疮癣，如疥如癞，渐次延开，脂水浸淫结痂成片，名痘风疮。先用升麻葛根汤
一、
失治，脓血淋漓，浸淫溃烂，肌无完肤，即成痘癞，须以大补气血为主，兼以解毒防风汤、
苦参丸随宜酌用。
痘后发丹瘤红肿作痛，手不可近，流移上下，过心肾则死，小柴胡加生地黄汤主之，外
用砭法砭去恶血自消。
痘后发斑，但红不肿不痛者是也，化斑汤主之。
升麻葛根汤
葛根 升麻 白芍 甘草（各等分）
上水一盏，煎七分去渣，服无时。
解毒防风汤
防风（二钱） 地骨皮（三钱） 生黄 荆芥穗 牛蒡子（各一钱）
上煎服，或加升麻五分。
苦参丸
苦参（一两） 白蒺藜 何首乌 牛蒡子 荆芥穗（各五钱）
上水煎服。
小柴胡汤
柴胡 人参 黄芩（各三钱） 炙甘草 半夏（制） 大生地（各二钱）
上为粗末，每服三钱，水一盏、姜三片、枣二枚煎至半盏，去渣温服。
化斑汤
人参 甘草（各一钱） 石膏 生地（各五钱） 知母 元参（各三钱） 糯米（一合）
上水煎，待米熟去渣，频频温服，无时。
三豆散
黑豆 绿豆 赤小豆（等分）
上为粗末，醋调如糊敷之，干则以鹅翎蘸醋时时润之，治痘痈，其效如神。
渗湿救苦散（一名灭斑散。）
密陀僧 生白芷 滑石（等分）
上研细末，干者白蜜调搽，湿者干掺。
小金丹（通用五十二。）
败毒汤（通用二。）
内托散（通用三十八。）
洞天膏（通用七十六。）
砭法（通用法。）
（枯筋箭是疣的别名。）
初起时像赤豆一样，逐渐变得干枯萎缩，日久破裂并钻出筋头，蓬松干枯如同花蕊，多生长在手足、胸部和乳房之间。可以用线系住根部，或者制成丸剂常服；外用方法是用一个铜钱套在疣上，用草纸芯代替艾绒进行七壮艾灸，第二天就会脱落。如果疣体较大，则将草纸蘸湿后套在疣上，或者灸十四壮，没有不脱落的道理。然而不能只依靠外治法，虽然暂时痊愈也必然会复发。
附方（经验验证有效。）
用牛口涎涂抹患处，疣体会自行脱落。
归芍地黄汤（通用方三十七。）
瘴疽是由于感受山岚瘴气，潜伏藏匿于筋骨之间，初发时呈黑色，坚硬麻木如木石，重按时有轻微疼痛。急需使用不换金正气散治疗，此证难治，必须使用砭法放出恶血，再用熟附子三钱、生姜五钱煎服，接着按照阴疽的条例治法进行治疗。
不换金正气散
苍术（二钱，米泔水浸泡，炒制） 藿香（二钱） 厚朴（二钱，姜汁炒） 陈皮（二钱） 半夏曲（二钱） 炙甘草（一钱）
上方加生姜五片、红枣二枚，用水煎服。
初起为红点，随后变为黑色，小的如粟豆，大的如桃李，发作部位不定，疼痛牵连心脏，剥破后流出如豆汁般的脓液。可用不换金正气散加入仙方活命饮服用，延误治疗会危及生命。
仙方活命饮（通用方一。）
不换金正气散（见前文。）
（附：痘风疮、痘癞、丹瘤、痘后发斑。）
儿童因出痘期间过多服用凉药，导致血凝气滞，乘虚毒发，表现为漫肿但不红也不痛。医生多以痘后火毒未尽来治疗。但也有因火毒未尽而发者，其发作必然红肿疼痛，伴有身热口渴，这时不得不用清解法，以败毒汤加荆芥、防风、蝉蜕、柴胡为主方，服用一至两剂，外用三豆散敷贴，则红肿消退而痊愈。如果已经溃破，使用内托散，贴洞天膏。
痘后发疮且痒痛者，用三豆散敷贴效果奇妙。
痘后遍身出现疮癣，如疥疮如癞疾，逐渐蔓延扩大，脂水浸淫结痂成片，名为痘风疮。先用升麻葛根汤一至两剂，若失治，则脓血淋漓，浸淫溃烂，肌肤无完肤，即形成痘癞，必须以大补气血为主，兼用解毒防风汤、苦参丸酌情选用。
痘后发丹瘤，红肿作痛，手不可触碰，流移上下，若波及心肾则致死，以小柴胡汤加生地黄为主方，外用砭法砭去恶血即可自消。
痘后发斑，只是发红而不肿不痛的就是这种情况，以化斑汤为主方。
升麻葛根汤
葛根 升麻 白芍 甘草（各等分）
以上用水一盏，煎至七分，去渣，随时服用。
解毒防风汤
防风（二钱） 地骨皮（三钱） 生黄芪 荆芥穗 牛蒡子（各一钱）
以上煎服，或加升麻五分。
苦参丸
苦参（一两） 白蒺藜 何首乌 牛蒡子 荆芥穗（各五钱）
以上用水煎服。
小柴胡汤
柴胡 人参 黄芩（各三钱） 炙甘草 半夏（制） 大生地（各二钱）
以上研为粗末，每次服用三钱，用水一盏、生姜三片、大枣二枚煎至半盏，去渣温服。
化斑汤
人参 甘草（各一钱） 石膏 生地（各五钱） 知母 玄参（各三钱） 糯米（一合）
以上用水煎，待米熟后去渣，频频温服，随时可服。
三豆散
黑豆 绿豆 赤小豆（等分）
以上研为粗末，用醋调成糊状敷之，干了则以鹅毛蘸醋时时润湿，治疗痘痈，效果如神。
渗湿救苦散（又名灭斑散。）
密陀僧 生白芷 滑石（等分）
以上研细末，干燥者用白蜜调搽，湿润者直接干掺。
小金丹（通用方五十二。）
败毒汤（通用方二。）
内托散（通用方三十八。）
洞天膏（通用方七十六。）
砭法（通用法则。）
(Kujinjian, also known as "Withered Tendon Arrow," is an alias for verruca.)
Initially appearing like a red bean, it gradually becomes slightly withered. After a long time, it ruptures and protrudes tendon-like heads, becoming fluffy and withered like the stamen of a flower. It mostly occurs between the hands, feet, chest, and breasts. It can be tied at the root with thread, or processed into pills for regular oral administration. For external treatment, place a copper coin over the verruca, use the core of straw paper instead of moxa for seven moxibustion cones (zhuang), and it will fall off the next day. If the verruca is large, soak the straw paper in water before placing it over the verruca, or perform fourteen moxibustion cones; there is no reason it would not fall off. However, one cannot rely solely on external treatment; although temporary healing may occur, recurrence is inevitable.
Attached Formula (Verified Experience.)
Apply saliva from a cow's mouth to the lesion; the verruca will fall off spontaneously.
Guizhi Tang (Cinnamon Twig Decoction) (General Formula 37.) [Note: Text says Guizhi Tang but context implies Gui Shao Di Huang Tang based on characters provided in source text "归芍地黄汤"] -> Correction: The source text explicitly says "归芍地黄汤" (Guisao Dihuang Tang). I will translate as such.
Guisao Dihuang Tang (Gui Shao Di Huang Decoction) (General Formula 37.)
Zhangju (Miasma Carbuncle) results from contracting mountain miasma qi, which lies dormant between the sinews and bones. Initially, it presents as black, hard, and numb like wood or stone, with slight pain upon heavy pressure. Urgently use Buhuanjin Zhengqi San (Golden Change Upright Qi Powder) for treatment. This condition is difficult to treat; one must use Bianfa (Stone Needle Therapy) to release evil blood, then decoct Shu Fuzi (Prepared Aconite Root, 3 qian) and Shengjiang (Fresh Ginger, 5 qian) for oral administration, followed by treatment according to the regulations for Yin Ju (Yin Abscess).
Buhuanjin Zhengqi San (Golden Change Upright Qi Powder)
Cangzhu (Atractylodis Rhizoma, 2 qian, soaked in rice wash water, stir-fried) Huoxiang (Pogostemonis Herba, 2 qian) Houpo (Magnoliae Officinalis Cortex, 2 qian, stir-fried with ginger juice) Chenpi (Citri Reticulatae Pericarpium, 2 qian) Banxia Qu (Pinelliae Fermentum, 2 qian) Zhi Gancao (Prepared Licorice Root, 1 qian)
Add five slices of Shengjiang (Fresh Ginger) and two Hongzao (Jujubae Fructus) to the above, decoct in water, and take orally.
It begins as red spots, which subsequently turn black. Small lesions resemble millet beans, while large ones resemble plums or peaches. They appear in不定 (indeterminate) locations, with pain radiating to the heart. Upon rupture, pus flows out resembling bean juice. Administer Buhuanjin Zhengqi San combined with Xianfang Huoming Yin (Immortal Life Elixir) orally. Delayed treatment endangers life.
Xianfang Huoming Yin (Immortal Life Elixir) (General Formula 1.)
Buhuanjin Zhengqi San (See above.)
(Attached: Dou Feng Chuang (Measles Wind Sore), Dou Lai (Measles Leprosy), Dan Liu (Dan Nodule), and Dou Hou Fa Ban (Macules after Measles).)
Children who take excessive cooling medicines during measles suffer from coagulated blood and stagnant qi. Toxin erupts due to deficiency, presenting as diffuse swelling without redness or pain. Physicians often attribute this to residual fire toxin after measles. However, some cases do arise from residual fire toxin; these present with definite redness, swelling, and pain, accompanied by fever and thirst. In such cases, clearing and resolving methods are necessary. Use Bai Du Tang (Toxin-Resolving Decoction) added with Jingjie (Schizonepetae Herba), Fangfeng (Saposhnikoviae Radix), Chanyi (Cicadae Periostracum), and Chaihu (Bupleuri Radix) as the main formula. Take one or two doses. Externally apply Sandou San (Three Beans Powder); redness will recede, swelling will subside, and recovery will follow. If ulcerated, use Neituo San (Internal Support Powder) and apply Dongtian Gao (Cave Heaven Ointment).
For sores itching and hurting after measles, applying Sandou San is excellent.
When sores and tinea appear all over the body after measles, resembling scabies or leprosy, spreading gradually with exudate oozing and crusting into patches, it is named Dou Feng Chuang. First, administer Shengma Gegen Tang (Kudzu and Cimicifuga Decoction) for one or two doses. If neglected, pus and blood flow profusely, erosion and ulceration spread, leaving no intact skin, forming Dou Lai. Treatment must focus primarily on greatly tonifying Qi and Blood, supplemented by Jiedu Fangfeng Tang (Detoxifying Saposhnikovia Decoction) and Kushen Wan (Sophora Pill) as appropriate.
Dan Liu (Dan Nodule) appearing after measles presents with redness, swelling, and pain, intolerable to touch, migrating up and down. If it reaches the Heart or Kidney, death ensues. Treat with Xiao Chaihu Tang (Minor Bupleurum Decoction) added with Sheng Dihuang (Rehmanniae Radix). Externally, use Bianfa (Stone Needle Therapy) to remove evil blood, which will resolve spontaneously.
Macules appearing after measles are characterized by redness without swelling or pain. Treat with Huaban Tang (Macule-Transforming Decoction).
Shengma Gegen Tang (Kudzu and Cimicifuga Decoction)
Gegen (Puerariae Lobatae Radix) Shengma (Cimicifugae Rhizoma) Baishao (Paeoniae Radix Alba) Gancao (Glycyrrhizae Radix et Rhizoma) (Equal parts)
Decoct one cup of water until reduced to 0.7 cup, strain, and take at any time.
Jiedu Fangfeng Tang (Detoxifying Saposhnikovia Decoction)
Fangfeng (Saposhnikoviae Radix, 2 qian) Digupi (Lycii Cortex, 3 qian) Sheng Huangqi (Astragali Radix, 1 qian) Jingjie Sui (Schizonepetae Spica, 1 qian) Niubangzi (Arctii Fructus, 1 qian)
Decoct and take orally, or add Shengma (Cimicifugae Rhizoma, 0.5 qian).
Kushen Wan (Sophora Pill)
Kushen (Sophorae Flavescentis Radix, 1 liang) Baijili (Tribuli Fructus) Heshouwu (Polygoni Multiflori Radix) Niubangzi (Arctii Fructus) Jingjie Sui (Schizonepetae Spica) (Each 5 qian)
Decoct in water and take orally.
Xiao Chaihu Tang (Minor Bupleurum Decoction)
Chaihu (Bupleuri Radix) Renshen (Ginseng Radix) Huangqin (Scutellariae Radix) (Each 3 qian) Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma) Banxia (Pinelliae Rhizoma, prepared) Da Shengdi (Rehmanniae Radix, fresh) (Each 2 qian)
Grind into coarse powder. Take 3 qian per dose, decoct with one cup of water, three slices of ginger, and two jujubes until half a cup remains. Strain and take warm.
Huaban Tang (Macule-Transforming Decoction)
Renshen (Ginseng Radix) Gancao (Glycyrrhizae Radix et Rhizoma) (Each 1 qian) Shigao (Gypsum Fibrosum) Shengdi (Rehmanniae Radix) (Each 5 qian) Zhimu (Anemarrhenae Rhizoma) Yuanshen (Scrophulariae Radix) (Each 3 qian) Nuomi (Oryza Sativa Glutinosa, 1 he)
Decoct in water. When the rice is cooked, strain and take warm frequently, at any time.
Sandou San (Three Beans Powder)
Heidou (Phaseoli Semen Nigrum) Lv dou (Phaseoli Semen Mungo) Chixiaodou (Phaseoli Semen Adzukii) (Equal parts)
Grind into coarse powder. Mix with vinegar to form a paste for application. If dry, moisten with goose feather dipped in vinegar. Treats carbuncles after measles with miraculous efficacy.
Shenshi Jiuku San (Dampness-Draining Bitterness-Saving Powder), also known as Mieban San (Macule-Eliminating Powder).
Mituoseng (Lithargyrum) Sheng Baizhi (Angelicae Dahuricae Radix) Huashi (Talcum) (Equal parts)
Grind into fine powder. For dry lesions, mix with white honey for application. For wet lesions, sprinkle powder directly.
Xiao Jin Dan (Little Gold Pill) (General Formula 52.)
Baidu Tang (Toxin-Resolving Decoction) (General Formula 2.)
Neituo San (Internal Support Powder) (General Formula 38.)
Dongtian Gao (Cave Heaven Ointment) (General Formula 76.)
Bianfa (Stone Needle Therapy) (General Method.)