两足心凸肿，上生黑豆疮，硬如钉，胫骨生碎孔髓流出，身发寒颤，惟思饮食，此是肝
肾冷热相吞。用韭子煎汤日服，外以炮川乌末敷之。
有指头忽先发痒，已而作痛，指甲现黑色，第二日脚趾俱黑，三日连足面俱黑至脚上胫
骨。
脚趾而不黑在脚面也。治法必须大补气血泻毒之味，用顾步汤；若已溃烂，多服数剂，无不
愈也。
顾步汤
牛膝 金钗石斛（各一两） 人参（三钱） 黄 （一两） 当归（一两） 金银花（三两）
上水煎，服一剂而黑色解，二剂而疼痛止，三剂全愈。
凡远行脚趼成泡，用白面水调涂之，一夜即平。
附方
女人裹脚方（名脱骨汤。）
杏仁（一钱） 桑白皮（四钱）
水五碗，新瓶煎三碗，入朴硝五钱、乳香一钱，封口煎化，置足于上，先熏后洗，三日
一作，十余次后，软若束绵矣。其生疮溃烂者，荆芥末敷之。
远行脚肿方
草乌、细辛、防风 各等分为末，铺鞋底内，以水拌湿布衬，踏之行。
冬月手足坼裂方（名黄蜡膏。）
清油五钱，慢火煎沸，入黄蜡一块同煎，光粉少许，熬紫色为度。先用热水洗患处，火
烘干
，多则硬。
疔疮者，言其疮形如丁盖之状也。古方论疔有十种，华元化论，疔有五色，《千金方
》说疔
。初起或如小疮，或如水泡，紫黄青黑无定色，痒、痛、麻木亦无定候。多生于头面肩臂手
足等处，令人烦躁闷乱，或憎寒头痛，或呕吐恶心，或肢体拘急。治宜针刺，挤出恶血，见
好血而止。取拔疔散 入，以膏掩之。其有疮头陷凹而针刺不痛无血者，则针疮四旁必令血
出，药从针孔 入，内服夺命丹或夺命汤汗之。夫疔毒险症也，其害最速。生头面耳鼻之间
，显而易见；生臂足衣遮之处，隐而难明。知觉早者，朝医夕愈，迟者枉死甚多。每每妇女
而患暗疔者，初时误作伤寒，至毒陷发肿，神昏牙紧，遂成走黄，多致不救。黄即毒也。疔
毒内走攻心，如在将昏之际，急用回疔散二钱，白汤送服。或以夺命丹五丸为末，葱汁调灌
之，少倾大痛，痛则毒化黄水，痛止病愈。
一、手、小臂，足、小腿生有红线，如丝一条延走者名红线疔。走至心腹或至喉内者难
救治
，气血逆行所致。急刺出血后，用浮萍草根敷之立愈。谨按∶医宗金鉴作红丝疔，不作红线
一、疔疮用针刺出毒血后，服拔疔散，（治红丝疔尤效。）紫花地丁、甘菊花各（一两），
水煎服二剂而疔毒散，三剂全愈。若已溃烂，亦用此方，但加当归二两，服之立愈。
一、刀镰疔∶形阔如韭叶，长有寸余，肉色紫黑，忌行针刺，用生矾三钱、葱白七根，
共捣
愈。迟治，走黄致命。
一、人患疔，须臾半面肿，不知疔患何处。用葱白七根、蜜一两，同捣敷之神效。
夺命丹
干蟾酥（酒化） 轻粉 麝香（各五分） 枯矾 寒水石（ ） 铜绿 制乳香 制没药（各
一钱） 朱砂（三钱，飞） 蜗牛（二十一个，连壳研为膏，如无即不用）
上各研为细末，取蜗牛、蟾酥研匀，入诸药，杵丸绿豆大，每服三丸。用葱白五寸捣烂
，安
催之，汗出为度。
夺命汤
银花 草河车 赤芍（各二钱） 蝉蜕 僵蚕 防风 羌活 独活 青皮 泽兰（各一钱
五分） 黄连 甘草（各一钱）
上水煎热服，暖卧取汗。
回疔散
土蜂窝（有子者一两） 蛇蜕（一条）
上用泥裹，火 存性，为末研和听用。
拔疔散
硫黄 蟾酥（等分）
上为细末，葱汁和蜜捣丸小米大，宜带长，以便插入疔疮内。
两足心部位出现凸起的肿胀，表面生出黑色的疔疮，质地坚硬如同钉子。胫骨处生出破碎的孔洞，骨髓流出，身体发冷颤抖，但唯独食欲正常、思食饮食。这是肝肾之间冷热之气相互交争所致。治疗应服用韭菜子煎煮的汤剂，每日饮用；外用炮制过的川乌粉末敷贴患处。
有的患者手指头突然先发痒，随后产生疼痛，指甲呈现黑色。第二天脚趾全部变黑，第三天蔓延至整个脚面，直至小腿胫骨部位。如果脚趾没有变黑，而是脚面变黑的话，治疗方法必须使用大补气血并泻解毒邪的药物，选用顾步汤；如果已经溃烂，多服用几剂，没有不能治愈的。
顾步汤：牛膝、金钗石斛（各一两），人参（三钱），黄芪（一两），当归（一两），金银花（三两）。以上药材用水煎煮，服用一剂后黑色消退，二剂后疼痛停止，三剂后完全痊愈。
凡是远行导致脚底老茧起泡，用白面粉加水调匀涂抹，一夜之间即可平复。
附方：女人裹脚方（名为脱骨汤）：杏仁（一钱），桑白皮（四钱）。用水五碗，在新瓶中煎至三碗，加入朴硝五钱、乳香一钱，封口继续煎化，将脚置于药液上方，先熏蒸后清洗，每三天进行一次，十余次后，脚部会变得柔软如棉絮一般。那些生疮溃烂的，用荆芥末敷贴。
远行脚肿方：草乌、细辛、防风，各等分研为粉末，铺在鞋底内，用水拌湿布垫衬，穿着行走。
冬季手足皲裂方（名为黄蜡膏）：清油五钱，慢火煎沸，加入一块黄蜡同煎，加入少许光粉，熬至紫色为止。先用热水清洗患处，用火烘干，涂多了会变硬。
所谓疔疮，是指其疮形像钉子盖子一样的形状。古方论述疔疮有十种，华元化论述疔疮有五色，《千金方》也有关于疔疮的记载。初起时或像小疮，或像水泡，颜色紫、黄、青、黑不定，瘙痒、疼痛、麻木也没有固定的表现。多生于头部、面部、肩部、手臂、手足等处，令人烦躁闷乱，或憎恶寒冷、头痛，或呕吐恶心，或肢体拘急痉挛。治疗适宜针刺，挤出恶血，见到好血就停止。将拔疔散填入疮口，用膏药覆盖。如果有疮头凹陷且针刺不痛、不出血的，则必须针刺疮口四周，务必令血液流出，将药物从针孔填入，内服夺命丹或夺命汤以发汗。疔毒属于险重病症，危害最快。生在头面耳鼻之间的，显而易见；生在手臂足部衣物遮盖之处的，隐蔽而难以察觉。知觉敏锐者，早晨就医晚上痊愈，延误治疗者枉死很多。每每妇女患有暗疔的，起初误当作伤寒治疗，直到毒邪深陷引发肿胀，神志昏迷、牙关紧闭，遂成走黄（毒邪内陷攻心的危重证候），大多导致无法救治。“黄”即指毒邪。疔毒向内走窜攻心，如在将要昏厥之际，急用回疔散二钱，用白开水送服。或者将夺命丹五丸研为粉末，用葱汁调匀灌服，片刻后剧烈疼痛，疼痛则毒邪化解为黄水，疼痛停止则病愈。
一、手、小臂、足、小腿生有红线，如丝线一条延伸游走，名为红线疔。走到心腹或至喉内的，难以救治，这是气血逆行所致。急刺出血后，用浮萍草根敷贴，立即痊愈。谨按：《医宗金鉴》写作“红丝疔”，不作“红线”。
一、疔疮用针刺出毒血后，服用拔疔散（治疗红丝疔尤其有效）：紫花地丁、甘菊花各一两，水煎服二剂使疔毒消散，三剂完全痊愈。如果已经溃烂，也用此方，但增加当归二两，服用后立即痊愈。
一、刀镰疔：形状宽阔如韭菜叶，长有一寸多，肉色紫黑，忌讳进行针刺，用生矾三钱、葱白七根，共同捣烂敷贴，可愈。延误治疗，会导致走黄致命。
一、人患疔疮，须臾间半侧脸肿胀，不知疔疮患于何处。用葱白七根、蜂蜜一两，共同捣烂敷贴，效果神奇。
夺命丹：干蟾酥（酒化开）、轻粉、麝香（各五分）、枯矾、寒水石（缺具体剂量，原文留空）、铜绿、制乳香、制没药（各一钱）、朱砂（三钱，飞研）、蜗牛（二十一个，连壳研为膏，如果没有就不用）。以上各药研为细末，取蜗牛、蟾酥研匀，加入诸药，杵制成绿豆大小的丸药，每次服用三丸。用五寸长的葱白捣烂，塞入鼻孔中催嚏，以出汗为度。
夺命汤：银花、草河车、赤芍（各二钱）、蝉蜕、僵蚕、防风、羌活、独活、青皮、泽兰（各一钱五分）、黄连、甘草（各一钱）。以上用水煎热服，保暖卧床取汗。
The centers of both soles exhibit convex swelling, with black ding sores (a type of severe carbuncle) appearing on the surface, hard as nails. Fragmented holes form in the tibia with marrow oozing out. The body shivers with cold, yet there is a specific desire for food and drink. This indicates a conflict between cold and heat in the Liver and Kidney meridians. Treatment involves decocting Allii Tuberosi Semen (Jiu Zi) for daily oral administration, and externally applying powder of processed Aconiti Lateralis Radix Praeparata (Chuan Wu).
In some cases, the fingertips suddenly itch first, followed by pain, and the fingernails turn black. On the second day, all toes turn black, and by the third day, the blackness spreads to the entire dorsum of the foot up to the tibial region. If the toes remain unblackened but the dorsum of the foot turns black, the treatment must employ herbs that greatly tonify Qi and Blood while draining toxicity. Use Gubu Tang (Gobang Decoction); if ulceration has already occurred, taking several more doses will ensure recovery without exception.
Gubu Tang (Gobang Decoction): Achyranthis Bidentatae Radix (Niuxi), Dendrobii Nobile Caulis (Jinchai Shihu) (each 1 liang), Ginseng Radix et Rhizoma (Renshen) (3 qian), Astragali Radix (Huangqi), Angelicae Sinensis Radix (Danggui) (each 1 liang), Lonicerae Japonicae Flos (Jinyinhua) (3 liang). Decoct these ingredients in water. After one dose, the black discoloration resolves; after two doses, pain ceases; after three doses, full recovery is achieved.
For blisters formed from calluses due to long-distance walking, apply a paste made of white flour and water; it flattens overnight.
Supplementary Formula: Women's Foot-Binding Formula (named Tuogu Tang [Bone-Loosening Decoction]): Almond (Xingren) (1 qian), Morus Alba Cortex (Sangbaipi) (4 qian). Decoct in five bowls of water in a new jar until reduced to three bowls. Add Mirabilite (Puxiao) (5 qian) and Frankincense (Ruxiang) (1 qian), seal the container, and continue heating until dissolved. Place the feet above the vapor, fumigating first, then washing. Perform this procedure once every three days. After more than ten treatments, the feet become soft as cotton. For those with ulcers or open sores, apply Schizonepetae Spica (Jingjie) powder.
Formula for Swollen Feet from Long-Distance Walking: Aconitum Kusnezoffii Radix (Caowu), Asari Radix et Rhizoma (Xixin), Saposhnikoviae Radix (Fangfeng), ground into powder in equal parts. Spread inside the shoe sole, line with a cloth moistened with water, and walk upon it.
Formula for Winter Cracked Hands and Feet (named Huangla Gao [Yellow Wax Ointment]): Pure sesame oil (Qingyou) (5 qian), boiled slowly over low heat. Add a piece of yellow beeswax (Huangla) and boil together. Add a small amount of zinc oxide (Guangfen). Boil until purple. First wash the affected area with hot water, dry with fire/heat. Applying too much will cause hardness.
"Ding Chuang" (Ding Sores) refers to sores shaped like a nail head. Ancient texts discuss ten types of Ding sores. Hua Yuanhua discussed five colors of Ding sores. The *Qianjin Fang* also records Ding sores. Initially, they may resemble small sores or blisters, with indeterminate colors such as purple, yellow, green, or black. Symptoms like itching, pain, or numbness are also variable. They often occur on the head, face, shoulders, arms, hands, and feet, causing restlessness and confusion, aversion to cold with headache, vomiting and nausea, or limb stiffness and spasms. Treatment should involve acupuncture to drain evil blood until healthy blood appears, then stop. Insert Babing San (Ding-Extracting Powder) into the wound and cover with an ointment. If the sore head is depressed and acupuncture causes no pain or bleeding, puncture the surrounding areas to ensure bleeding occurs, insert medicine through the needle hole, and internally administer Duoming Dan (Life-Restoring Pill) or Duoming Tang (Life-Restoring Decoction) to induce sweating. Ding toxin is a dangerous condition with rapid progression. Those occurring on the head, face, ears, or nose are obvious; those on arms or feet covered by clothing are hidden and difficult to identify. Early detection leads to cure within a day; delay often results in death. Women suffering from "hidden Ding" are often initially misdiagnosed as Taiyang disease (Exterior Syndrome). When the toxin sinks and causes swelling, leading to coma and trismus, it becomes Zouhuang (Spreading Yellow/Toxin invading the Heart), which is often fatal. "Huang" here refers to toxin. If Ding toxin moves inward attacking the Heart, approaching unconsciousness, urgently administer Huiding San (Ding-Reverting Powder) 2 qian with warm water. Alternatively, crush five pills of Duoming Dan into powder, mix with scallion juice, and force-feed. Soon, severe pain occurs; this pain signifies the toxin transforming into yellow fluid. When pain stops, the disease is cured.
1. Red lines appearing on the hands, forearms, feet, or calves, extending like a thread, are named Hongxian Ding (Red-Line Ding). If it reaches the heart/abdomen or throat, it is difficult to treat, caused by reverse flow of Qi and Blood. Acupuncture to bleed immediately, then apply floating duckweed root (Fuping) for instant recovery. Note: *Yizong Jinjian* writes this as "Hongsi Ding" (Red-Silk Ding), not "Hongxian".
2. After acupuncture drains toxic blood from a Ding sore, take Babing San (particularly effective for Hongsi Ding): Viola Yedoensis Herba (Zihua Diding), Chrysanthemi Indici Flos (Ganjuhua) (each 1 liang). Decoct in water, take two doses to dissipate toxin, three doses for full recovery. If ulcerated, use this formula but add Danggui (2 liang); immediate recovery follows.
3. Daolian Ding (Knife-Sickle Ding): Broad shape like a leek leaf, over one cun long, flesh color purple-black. Acupuncture is contraindicated. Use raw alum (Shengfan) (3 qian) and seven stalks of white scallion (Congbai), pounded together and applied. Delayed treatment leads to Zouhuang and death.
4. When a person suffers from Ding, half the face swells suddenly, and the location of the Ding is unknown. Apply seven stalks of white scallion and one liang of honey, pounded together. Effect is miraculous.
Duoming Dan (Life-Restoring Pill): Dried Toad Skin (Gan Chansu), dissolved in wine; Calomelas (Qingfen); Moschus (Shexiang) (each 5 fen); Calcined Alum (Kufan); Arsenolite (Han Shuishi); Malachite (Tonglv); Processed Frankincense (Zhi Ruxiang); Processed Myrrh (Zhi Moyao) (each 1 qian); Cinnabar (Zhusha), refined (3 qian); Snail (Woniu), 21 pieces, crushed with shell into paste (omit if unavailable). Grind all ingredients into fine powder. Mix snail and toad skin paste thoroughly, combine with other powders, and pound into pills the size of mung beans. Take three pills per dose. Crush five cun of white scallion, insert into nostrils to induce sneezing, until sweat appears.
Duoming Tang (Life-Restoring Decoction): Lonicerae Japonicae Flos (Yinhua), Phytolaccae Radix (Caoheche), Paeoniae Radix Rubra (Chishao) (each 2 qian); Cicadae Periostracum (Chantui), Bombyx Batryticatus (Jiangcan), Saposhnikoviae Radix (Fangfeng), Notopterygii Rhizoma et Radix (Qianghuo), Angelicae Pubescentis Radix (Duhuo), Citri Reticulatae Pericarpium (Qingpi), Polygoni Odorati Herba (Zelan) (each 1.5 qian); Coptidis Rhizoma (Huanglian), Glycyrrhizae Radix et Rhizoma (Gancao) (each 1 qian). Decoct in water, take hot, lie warm to induce sweat.
Huiding San (Ding-Reverting Powder): Earth Honeycomb (Tu Fengwo), preferably with larvae (1 liang); Ophichthidis Cutis Coriacea (Shetui). Wrap in mud and calcine in fire until carbonized (preserving nature). Grind into powder and mix for use.
Babing San (Ding-Extracting Powder): Realgar (Liuhuang), Toad Skin (Chansu) (equal parts). Grind into fine powder. Mix with scallion juice and honey to form pills the size of millet grains. Shape into long strips to facilitate insertion into the Ding sore.