外科之疮有治例，说与君家须切记。病端百出别根因，方法一囊岂同类。热与寒，通
与秘，其中消息知端的。通多不足秘多余，热实寒虚分症治。阳似阴，阴似阳，其中妙理
要推详，不分表里一例治，轻变重而重变亡。医者贵乎多应变，不可偏执用其方。且如表
症恶寒，宜用荆防败毒散。里症发热，可将内疏黄连汤。疮势已成，托里消毒散，诚为
正法。内脓将溃，十全大补汤，最得相当。人参养荣汤，治溃后虚热发作。木香流气饮，散
结肿寒湿为殃。饮食不甘，定用香砂开胃。精神怯少，须将参术回阳。阴虚阳虚，须八珍
最为要领。盗汗自汗，得独参一味可强。溃后多疼，乳香定痛散，功奇莫缓。脾虚下陷，
补中益气汤，功效尤良。曰燥谵言，泻实火须黄连解毒汤。心烦衄血，理虚阳必犀角地
黄汤。古法治痈疽，称述仙方活命饮。今时医发背，还期神授卫生汤。蟾酥丸、在外科
称为独品，护心散、解内毒号曰无双。讵知蜡矾丸护膜护心，可羡淡中有味。还赞玉红
膏生肌生肉，堪夸坏里呈祥。身凉自汗，腹痛肠鸣呕逆，岂逃异功散。睡卧不宁，虚阳
发躁脓多，定用圣愈汤。生脉散、接虚羸，（音雷）脉来微细。归脾汤、除惊悸，睡得安康。竹
叶石膏汤，治虚烦身热者，何须疑虑。麦冬清肺饮，除膈热有痰者，无待商量。金鲤汤，
治肺痈吐脓气急。元龟丹，攻结毒臭腐顽疮。风热生疮通圣散，疮疡狂躁破棺丹。小柴胡
汤、除客邪往来潮热，大防风汤、攻腿膝寒湿为殃。咽肿咽疼，定用清咽利膈散。斑红
斑紫，岂逃化斑解毒汤。八味丸解口干妙药，二神丸治脾泄奇方。香连丸为脏腑泻痢通用，
甘露饮治口齿腐烂相当。六和汤和脾止吐泻，双解散解表里内伤。逍遥散善治女人诸病，保
元汤常扶赤子多伤。皮肤毛发干焦，芦荟丸效应甚捷。咽喉口齿肿痛，冰硼散功实非常。
滋肾丸治下元肾虚不固，凉膈散解上焦膈热多烦。九龙丹消鱼口，吞之灭迹。二蚊散行
湿肿，服下安康。吕祖一枝梅，止痢定惊。称为仙药。真君妙贴饮，消疼止痛，号曰神方。
痔漏瘿瘤疔毒，古夸三品锭。痈疽流注诸风，今羡万灵丹。柴胡清肝汤，治鬓疽肝胆有效。
黄连消毒饮，医对口督脉尤良。小儿口内生疳，必用人中白散。大人咽喉肿痛，须将金
锁匙汤。下疳新久珍珠散，小便淋涩木通汤。玉真散破伤风有效，复元汤疗跌扑称强。提
肩散治胳膊强直作痛，拈痛汤除痛腿风湿相伤。小便生疳，龙胆泻肝服可羡。大头肿痛，
普济消毒饮何妨。便毒悬痈，内消散吞何足虑。臀痈腿病， 柴汤下自无殃。又有女子
阴疮，能肿能疼能至痒。在人活法，或消或补或虫妨。盖夫男子之囊痈，泻肝经之湿热。
小儿赤游丹，解毒兼砭血。凡治杨梅疮，戒熏为至切。舌下发痰包，利剪方能泄。出如
鸡蛋清，消痰是真诀。结毒与顽疮，紫金膏可设。风疮彻骨痒，雄黄散效绝。疔疮先刺
血，内毒宜汁汗泄。禁灸不禁针，怕绵（绵者毒
陷也）不怕铁（铁者入针坚硬有声）。又有失荣肿，坚硬如岩凸。强阴失道症，形状要分别。妇人之
乳岩，此中一例决。未破肉 棱，已溃流臭血。如此几般症，古今无治说。疮有数百种，
难以都陈白。惟在一点心，何须三寸舌。学人若向导，万事皆通彻。此为粗糙歌，可讥亦可阅。
外科疾病中的疮疡有固定的治疗法则，说给你听，必须牢记在心。病症的表现千变万化，其根源原因各不相同，治疗方法怎能一概而论呢？热证与寒证，通利与便秘，其中的细微变化需要知晓确切情况。通利之证多不足为虑，便秘之证往往多余且需处理，热证实证与寒证虚证需根据症状分别治疗。阳证似阴证，阴证似阳证，其中的奥妙道理要仔细推究详查，如果不分表里而一律对待治疗，轻症会变重，重症会导致死亡。医生贵在能够灵活应变，不可偏执于使用某一种固定方剂。
就像表证出现恶寒，适宜使用荆防败毒散。里证出现发热，可以使用内疏黄连汤。疮势已经形成，托里消毒散是正统的方法。内部脓液即将溃破，十全大补汤最为恰当。人参养荣汤，用于治疗溃后虚热发作。木香流气饮，用于消散因寒湿引起的结肿。饮食不甘味，定用香砂开胃（丸/散）。精神怯弱少力，须用参术回阳（方）。阴虚或阳虚，八珍汤是最关键的要领。盗汗或自汗，得独参一味即可强身。溃后疼痛较多，乳香定痛散功效奇特，不可迟缓。脾虚下陷，补中益气汤功效尤其良好。出现燥热谵语，泻实火需用黄连解毒汤。心烦鼻出血，调理虚阳必用犀角地黄汤。古法治疗痈疽，称颂仙方活命饮。当今医生治疗发背，还期望神授卫生汤。蟾酥丸，在外科称为独门珍品；护心散，解除内毒号称无双。岂知蜡矾丸能护膜护心，令人羡慕其中淡而有味的妙处。还称赞玉红膏能生肌长肉，值得夸耀在坏死组织中呈现吉祥。身体凉爽自汗，腹痛肠鸣呕吐逆气，怎能逃出异功散的治疗范围。睡卧不宁，虚阳发躁、脓液过多，定用圣愈汤。生脉散，接济虚弱消瘦之人，若脉象微细。归脾汤，消除惊悸，使人睡得安康。竹叶石膏汤，治疗虚烦身热者，何必疑虑。麦冬清肺饮，清除膈间有热的痰证，无需商量。金鲤汤，治疗肺痈吐脓、气息急促。元龟丹，攻治结毒、臭腐顽疮。风热生疮用通圣散，疮疡狂躁用破棺丹。小柴胡汤，去除客邪往来引起的潮热；大防风汤，攻治腿膝寒湿造成的祸殃。咽喉肿痛，定用清咽利膈散。斑疹红紫，怎能逃过化斑解毒汤。八味丸是解口干的神妙药物，二神丸是治疗脾泄的奇方。香连丸是脏腑泻痢的通用药，甘露饮治疗口齿腐烂相当合适。六和汤调和脾胃止住吐泻，双解散解除表里内伤。逍遥散善于治疗妇女各种疾病，保元汤常扶助小儿的多处损伤。皮肤毛发干枯焦黄，芦荟丸疗效非常迅速。咽喉口齿肿痛，冰硼散功效实在非凡。滋肾丸治疗下元肾虚不固，凉膈散解除上焦膈热多烦。九龙丹消除鱼口（腹股沟淋巴结结核），吞服后痕迹消失。二蚊散行湿肿，服用后安康。吕祖一枝梅，止痢定惊，被称为仙药。真君妙贴饮，消肿止痛，号称神方。痔漏瘿瘤疔毒，古代夸赞三品锭。痈疽流注诸风，如今羡慕万灵丹。柴胡清肝汤，治疗鬓疽对肝胆有效。黄连消毒饮，医治对口疽对督脉尤良。小儿口内生疳，必用人中白散。大人咽喉肿痛，须将金锁匙汤。下疳新久用珍珠散，小便淋涩用木通汤。玉真散对破伤风有效，复元汤治疗跌打损伤称强。提肩散治疗胳膊强直作痛，拈痛汤除去痛腿风湿相伤。小便生疳，龙胆泻肝汤服用可羡。大头肿痛，普济消毒饮有何妨碍。便毒悬痈，内消散吞服何足忧虑。臀痈腿病，某某柴汤下服自然无殃。又有女子阴疮，能肿能疼能至痒。在于人的活法，或消或补或用虫药。大概男子囊痈，泻肝经湿热。小儿赤游丹，解毒兼砭血。凡是治疗杨梅疮，戒除熏蒸是最迫切的。舌下发痰包，利剪方能泄出，出如鸡蛋清，消痰是真诀。结毒与顽疮，紫金膏可以设置。风疮彻骨痒，雄黄散效果绝妙。疔疮先刺血，内毒宜通过汁液汗泄。禁灸不禁针，怕绵（绵者毒陷也）不怕铁（铁者入针坚硬有声）。又有失荣肿，坚硬如岩石凸起。强阴失道症，形状要分别。妇人之乳岩，此中一例决断。未破肉棱，已溃流臭血。如此几般症，古今无治说。疮有数百种，难以都陈述明白。惟在一点心，何须三寸舌。学人若向导，万事皆通彻。此为粗糙歌，可讥亦可阅。
There are fixed treatment principles for sores and ulcers in external medicine; I tell you to keep them firmly in mind. The manifestations of diseases vary endlessly with different root causes, so how can the methods be all the same? Heat versus cold, unobstructed versus constipated, one must know the precise details within these nuances. Unobstructed conditions are mostly insufficient (to worry about), while constipated conditions are often excessive and require handling; heat-excess and cold-deficiency patterns must be treated according to their specific symptoms. Yang patterns may resemble Yin patterns, and Yin patterns may resemble Yang patterns; the subtle principles involved must be carefully deduced and examined. If one treats both exterior and interior patterns indiscriminately with a single method, mild conditions will become severe, and severe conditions will lead to death. Physicians must excel in flexible adaptation and cannot rigidly adhere to using only one formula.
For instance, when an exterior pattern presents with aversion to cold, Jingfang Baidu San (Aucklandia and Saposhnikovia Decoction to Overcome Toxins) is appropriate. When an interior pattern presents with fever, Neishu Huanglian Tang (Internal Purging Coptis Decoction) can be used. When the sore's momentum has fully formed, Tuoli Xiaodu San (Supporting the Interior and Eliminating Toxin Powder) is indeed the orthodox method. When internal pus is about to rupture, Shiquan Dabu Tang (Deca-Ingredient Great Tonifying Decoction) is most suitable. Renshen Yangrong Tang (Ginseng Nourishing the Vigor Decoction) treats post-ulceration deficiency-heat flare-ups. Muxiang Liqi Yin (Costus Regulating Qi Infusion) disperses swellings caused by cold-dampness. If appetite is poor, Xiangsha Kaiwei (Aucklandia and Amomum Opening the Stomach) should be used. If spirit is timid and energy low, Shen Zhu Huiyang (Ginseng and Atractylodes Restoring Yang) is required. For Yin deficiency or Yang deficiency, Bazhen Tang (Eight-Treasure Decoction) is the essential key. For night sweats or spontaneous sweating, a single ingredient of Renshen (Ginseng) can strengthen the body. For much pain after ulceration, Rufang Dingtong San (Frankincense Calming Pain Powder) has miraculous efficacy and should not be delayed. For Spleen deficiency with sinking, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) has excellent effects. For dryness and delirious speech, Xiedu Huo requires Huanglian Jiedu Tang (Coptis Decoction to Clear Toxins). For mental restlessness and epistaxis, Lixu Yang requires Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction). Ancient methods for treating carbuncles and sores praise Xianfang Huoming Yin (Immortal Formula Preserving Life Infusion). Modern physicians treating back carbuncles still rely on Shenshou Weisheng Tang (Divine Bestowal Health Protecting Decoction). Chansu Wan (Toad Venom Pill) is called a unique treasure in external medicine; Huxin San (Heart-Protecting Powder) is hailed as unparalleled in resolving internal toxins. Who knows that Lafan Wan (Beeswax and Alum Pill) protects membranes and the heart, admirable for its subtle flavor within blandness? Also praised is Yugong Gao (Jade Red Ointment) for generating flesh and tissue, worthy of praise for presenting auspicious signs amidst necrotic tissue. For cool body with spontaneous sweating, abdominal pain, borborygmus, vomiting, and regurgitation, Yigong San (Extraordinary Merit Powder) is indispensable. For restless sleep, deficiency-Yang agitation, and excessive pus, Shengyu Tang (Sage Replenishment Decoction) is definite. Shengmai San (Generate Pulse Powder) supports weak and emaciated patients, especially when the pulse is faint and fine. Guipi Tang (Restore the Spleen Decoction) removes palpitations and anxiety, ensuring peaceful sleep. Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction) treats deficiency-heat and restlessness, leaving no room for doubt. Maidong Qingfei Yin (Ophiopogon Clearing Lung Infusion) clears phlegm with heat in the chest, requiring no deliberation. Jinli Tang (Golden Carp Decoction) treats lung abscess with purulent sputum and rapid breathing. Yuandan Dan (Turtle Shell Pill) attacks toxic accumulations, foul-smelling, putrid, and stubborn sores. Fengre Shengchuang Tongsheng San (Wind-Heat Generating Sores Universal Salvation Powder) treats wind-heat sores; Chuangyang Kuangzao Poguadan (Sores Madness Breaking Coffin Pill) treats manic irritability from sores. Xiaochaihu Tang (Minor Bupleurum Decoction) removes pathogenic invaders causing alternating chills and fever; Dafangfeng Tang (Great Saposhnikovia Decoction) attacks cold-dampness afflicting the legs and knees. For swollen and painful throat, Qingyan Lige San (Clear Throat and Benefit Diaphragm Powder) is definite. For red and purple macules, Huaban Jiedu Tang (Resolve Macules and Clear Toxins Decoction) is unavoidable. Bawei Wan (Eight-Ingredient Pill) is a wonderful remedy for dry mouth; Ershen Wan (Two Divine Ingredients Pill) is a miraculous prescription for Spleen diarrhea. Xianglian Wan (Aucklandia and Coptis Pill) is universally used for organ-related dysentery; Ganlu Yin (Sweet Dew Infusion) is highly suitable for rotting gums and teeth. Liuhe Tang (Six Harmonies Decoction) harmonizes the Spleen and stops vomiting and diarrhea; Shuangjie San (Double Release Powder) resolves exterior and interior injuries. Xiaoyao San (Free and Easy Wanderer Powder) excels in treating various women's diseases; Baoyuan Tang (Preserve Origin Decoction) often supports infants prone to injury. For dry and scorched skin and hair, Lushui Wan (Aloe Pill) has very swift effects. For swollen and painful throat and gums, Bingpeng San (Ice and Borax Powder) has extraordinary efficacy. Zishen Wan (Nourish Kidney Pill) treats insecurity of lower Yuan due to Kidney deficiency; Liangge San (Cool Diaphragm Powder) resolves upper Jiao diaphragmatic heat and vexation. Jiulong Dan (Nine Dragons Pill) eliminates fish-mouth (inguinal lymphadenitis); swallowing it makes traces disappear. Ewen San (Two Mosquitoes Powder) moves damp swelling; taking it brings health. Lüzu Yizhimei (Ancestor Lü's One Branch Plum) stops dysentery and calms fright, called an immortal medicine. Zhenjun Miaotie Yin (True Lord's Miraculous Paste Infusion) reduces swelling and relieves pain, hailed as a divine formula. For hemorrhoids, fistulas, goiters, and carbuncles, ancient times praised Sanpin Ding (Three Grades Pellet). For carbuncles, sores, flowing nodules, and various winds, today we admire Wanling Dan (Ten Thousand Spirits Pill). Chaihu Qinggan Tang (Bupleurum Clearing Liver Decoction) is effective for temporal carbuncles affecting the Liver and Gallbladder. Huanglian Xiaodu Yin (Coptis Eliminating Toxin Infusion) is particularly good for treating perioral carbuncles affecting the Du vessel. For children with mouth ulcers (kan), Renzhongbai San (Human Midsection Ash Powder) is essential. For adults with swollen and painful throats, Jin Suoshi Tang (Golden Lock Key Decoction) is required. For new or old chancre, Zhenzhu San (Pearl Powder) is used; for dribbling and astringency in urination, Mutong Tang (Akebia Decoction) is employed. Yuzhen San (True Jade Powder) is effective for tetanus; Fuyuan Tang (Restore Origin Decoction) is strong for treating falls and blows. Tijian San (Lifting Shoulder Powder) treats stiff and painful arms; Niantong Tang (Picking Pain Decoction) removes rheumatic injury causing painful legs. For genital ulcers, Longdan Xiegan Tang (Gentiana Draining Liver Decoction) is admirable. For large head swelling and pain, Puji Xiaodu Yin (Universal Benefit Eliminating Toxin Infusion) poses no objection. For venereal buboes and hanging perineal sores, Neixiao San (Internal Dissolving Powder) swallowed causes no worry. For buttock sores and leg diseases, [missing character]chai Tang administered internally ensures no disaster. There are also female yin sores, which can swell, hurt, and itch intensely. It depends on the physician's flexible approach: either resolve, tonify, or use insect medicines. Generally, male scrotal carbuncles involve draining damp-heat from the Liver channel. Infant erysipelas (chìyóudān) requires detoxification and bloodletting. Whenever treating yaws (méiyángchuāng), avoiding fumigation is most urgent. Sublingual phlegm nodules require sharp scissors to drain; if it emerges like egg white, resolving phlegm is the true secret. For toxic accumulations and stubborn sores, Zijin Gao (Purple Gold Ointment) can be applied. For bone-penetrating itchy wind sores, Xionghuang San (Realgar Powder) has supreme efficacy. For carbuncles, first prick to bleed; internal toxins should be expelled through sweat via juice/herbs. Moxibustion is forbidden, but acupuncture is allowed; fear cotton (cotton implies toxin sinking) but not iron (iron implies hard needles making sound). There is also Shirong swelling, hard as rock and protruding. Qiangyin Shidao syndrome shapes must be distinguished. Female breast cancer (rǔyán) is decided by this single principle. Before rupture, flesh is pricked-like; after rupture, foul blood flows. Regarding such several types of conditions, there is no cure described in ancient or modern times. There are hundreds of sores, difficult to state completely. Only with one point of heart/mind, why need three inches of tongue? If learners act as guides, all matters become thoroughly understood. This is a rough song, open to ridicule or reading.