凡瘭疽者。肉中忽生点子如豆粒。小者如米粟。剧者如梅李。或赤黑青白不定。一种其
状有
名为
若
人不识之。呼作代指。不急疗之。亦遂脉上入脏杀人。西方人得之。皆截去指。疽发初。指
头先作点。后如肿赤黑。疼痛入心是也。后有恶肉。病者身上。忽有肉如豆粒突出。便长。
推出如牛马乳。上如鸡冠状。不疗自长出。不入痛痒。此春冬时受恶风。入肌脉中久。变成
此疾。疗之。宜服漏芦汤。外烧烙。日日为之。令焦尽。兼以膏敷之。积日乃瘥。
治瘭疽。皮肉中忽生点子如麻豆。或大如桃李。肿痛不可忍。射干散方。
射干（一两） 川升麻（一两） 枳实（一两麸炒微黄） 川大黄（一两锉碎微炒） 麝
香（一
分细研） 前胡（一两半去芦头） 犀角屑（三分） 羚羊角屑（三分） 甘草（一两半锉）
上件药。捣粗罗为散。入麝香令匀。每服四钱。以水一中盏。煎至六分去滓。不计时候
温服。
治瘭疽。疼痛彻心。四肢壮热。漏芦散方。
漏芦（一两） 白蔹（一两） 黄芩（一两） 麻黄（一两去根节） 枳实（一两麸炒
微黄） 川
升麻（一两） 赤芍药（一两） 甘草（一两炙微赤锉） 川大黄（一两半锉碎微炒）
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候温服。
治瘭疽。毒瓦斯不散。皮肉黯黑。疼痛不可忍。枳实散方。
枳实（一两麸炒微黄） 射干（一两） 川升麻（一两） 生干地黄（一两） 犀角屑
（一两）
川大黄（一两锉碎微炒） 前胡（一两半去芦头） 麝香（一分细研）
上件药。捣粗罗为散。入麝香令匀。每服三钱。以水一中盏。煎至六分。去滓。不计时
候温服。
治瘭疽。消毒止痛。丹砂膏方。
丹砂（一两细研） 犀角屑（二两） 射干（三两） 生干地黄〔一（十）两〕 川大
黄（二两）
芎〔三
麝香（半
两细研）
上件药。细锉。以醋半升。拌令湿。经一缩。以猪脂二升。微火煎。候大黄赤色。绵滤
去滓。后入丹砂麝香末。搅令匀。收瓷盒中。不计时候。以温水调下半匙。
治瘭疽。散毒瓦斯。麝香摩膏方。
麝香（半两细研） 莽草（一两） 川升麻（三两） 寒水石（二两） 黄芩（二两） 羚
羊角屑
（三两） 射干（三两）
舌香（二两）
生地黄汁（二升） 羊
上件药。细锉。以猪脂二斤。入生地黄汁。羊脂诸药。煎候黄芩黑色。绵滤去滓。入麝
香丹砂末。搅令匀。收瓷盒中。频频以摩疮上。
治疮疽。浸淫广大。 赤黑烂成疮。甘草膏方。
甘草（二两生用） 川大黄（一两） 胡粉（一两细研） 羊髓（二两） 猪脂（二合）
上件药。捣细罗为散。入铛中。与脂髓同煎三五沸。膏成。下胡粉。搅令匀。收瓷盒中
。每用。可疮涂之。
治瘭疽浸淫。欲作未成。如桃核。或如鸡子。赤肿 热。宜拓甘草汤方。
甘草（一两） 黄芩（一两） 川大黄（一两） 黄连（一两） 当归（一两） 川芒
硝〔三（二）
两〕
上件药。细锉。以水六升。煮至三升。去滓。还铛中。纳芒硝令小沸。将帛于药汁中浸
。以拓肿上。数用之效。
治瘭疽。十指头 赤痒。猪蹄汤渍之方。
猪蹄（一具治凡食法） 芎 （半两） 川大黄（半两） 当归（半两） 白芷（半两）
甘草（
半两） 莽草（半两） 细辛（半两） 黄芩（半两） 黄连（半两） 本（半两）
上件药。细锉。先以水五升。煮猪蹄至三升。去滓。纳诸药。更煮至二升。去滓。稍温
渍疮良。
治疮疽。浸淫多日。渐大。宜敷胡粉散方。
胡粉（二两） 黄连〔二两去须〕 甘草（二两） 茹（二两）
上件药。捣细罗为散。不计时候。以粉疮上。
治卒得瘭疽。一名烂疮。宜敷黄连散方。
黄连（一两去须捣皮） 胡粉（一两）
上件药相和。研令匀细。以油调涂之。此疮初起。作瘾疹疼痛 赤。宜用生铁烧赤。二
七遍注水中。日二三度。以洗之。
又方。
上烧牛粪作灰。细研。用油调涂之。
治瘭疽无头脑。出在指甲上。宜用此方。
独头蒜（一两） 杏仁（一两汤浸去皮尖）
上件药相和。烂研。炒令热。敷疮上。以软帛系之。数易神验。
治瘭疽着手足。累如米豆。刮之汁出。急疗之方。
蔓荆子（二两炒熟）
上捣细罗为散。以猪脂和敷其上。
凡是瘭疽这种病，肌肉中忽然长出像豆粒大小的斑点。小的如米粒粟谷，严重的如梅子李子大小。颜色或红、或黑、或青、或白，没有定数。有一种情况形状特殊，如果人们不认识它，称之为“代指”。如果不及时治疗，毒邪就会顺着经脉传入内脏，导致死亡。西方人得了这种病，通常都会截去手指。
疽病发作初期，指尖先出现斑点，随后肿胀、发红、发黑，疼痛剧烈甚至痛彻心扉，这就是瘭疽的症状。之后会出现恶肉（坏死的腐肉）。患者身上忽然长出像豆粒大小的肉块突出，并逐渐长大，推之如牛马乳汁般流出，顶部呈鸡冠状。如果不治疗，它会自行长出，但不痛不痒。这是因为在春冬季节感受了恶风，邪气深入肌脉日久，变成了这种疾病。治疗时，宜服用漏芦汤，外用烧烙法，每天进行，直到焦枯为止，同时配合药膏外敷，经过多日才能痊愈。
治疗瘭疽，皮肉中忽然长出像麻豆大小的斑点，或者大如桃李，肿痛难以忍受，用射干散方。
射干（一两）、川升麻（一两）、枳实（一两，麸炒至微黄）、川大黄（一两，锉碎后微炒）、麝香（一分，细研）、前胡（一两半，去芦头）、犀角屑（三分）、羚羊角屑（三分）、甘草（一两半，锉碎）。
以上药物，捣碎过粗罗成散剂，加入麝香搅拌均匀。每次服用四钱，用水一中盏，煎煮至六分，去渣滓，不拘时候温服。
治疗瘭疽，疼痛痛彻心扉，四肢壮热，用漏芦散方。
漏芦（一两）、白蔹（一两）、黄芩（一两）、麻黄（一两，去根节）、枳实（一两，麸炒至微黄）、川升麻（一两）、赤芍药（一两）、甘草（一两，炙至微赤后锉碎）、川大黄（一两半，锉碎后微炒）。
以上药物，捣碎过粗罗成散剂。每次服用四钱，用水一中盏，煎煮至六分，去渣滓，不拘时候温服。
治疗瘭疽，毒瓦斯不散，皮肉暗黑，疼痛难以忍受，用枳实散方。
枳实（一两，麸炒至微黄）、射干（一两）、川升麻（一两）、生干地黄（一两）、犀角屑（一两）、川大黄（一两，锉碎后微炒）、前胡（一两半，去芦头）、麝香（一分，细研）。
以上药物，捣碎过粗罗成散剂，加入麝香搅拌均匀。每次服用三钱，用水一中盏，煎煮至六分，去渣滓，不拘时候温服。
治疗瘭疽，消毒止痛，用丹砂膏方。
丹砂（一两，细研）、犀角屑（二两）、射干（三两）、生干地黄（十两）、川大黄（二两）、[芎?]（三两）、[麝香?]（半两，细研）。
以上药物，细锉碎，用醋半升拌匀湿润，放置一段时间（一缩的时间），再用猪脂二升，用微火煎煮，等到大黄变成赤色，用绵布过滤去渣滓。然后加入丹砂和麝香的粉末，搅拌均匀，装入瓷盒中。不拘时候，用温水调服半匙。
治疗瘭疽，散发毒瓦斯，用麝香摩膏方。
麝香（半两，细研）、莽草（一两）、川升麻（三两）、寒水石（二两）、黄芩（二两）、羚羊角屑（三两）、射干（三两）、[舌香?]（二两）、生地黄汁（二升）、羊[脂?]。
以上药物，细锉碎，用猪脂二斤，加入生地黄汁、羊脂及各味药，煎煮直到黄芩变黑，用绵布过滤去渣滓。加入麝香和丹砂的粉末，搅拌均匀，装入瓷盒中。频繁地涂抹在疮口上。
治疗疮疽，浸淫范围广大，赤黑溃烂成疮，用甘草膏方。
甘草（二两，生用）、川大黄（一两）、胡粉（一两，细研）、羊髓（二两）、猪脂（二合）。
以上药物，捣碎过细罗成散剂，放入铛中，与脂、髓一同煎煮三五沸。膏成后，加入胡粉，搅拌均匀，装入瓷盒中。每次使用时，涂抹在疮口上。
治疗瘭疽浸淫，欲发而未成，像桃核或鸡蛋大小，红肿发热，宜用拓甘草汤方。
甘草（一两）、黄芩（一两）、川大黄（一两）、黄连（一两）、当归（一两）、川芒硝（二两）。
以上药物，细锉碎，用水六升，煮至三升，去渣滓，放回铛中，加入芒硝使其微微沸腾。将帛巾在药汁中浸湿，用来熨烫肿胀处，多次使用有效。
治疗瘭疽，十个手指头红肿瘙痒，用猪蹄汤浸泡的方法。
猪蹄（一个，按食用方法处理）、芎?（半两）、川大黄（半两）、当归（半两）、白芷（半两）、甘草（半两）、莽草（半两）、细辛（半两）、黄芩（半两）、黄连（半两）、藁本（半两）。
以上药物，细锉碎。先用水五升，煮猪蹄至三升，去渣滓，加入诸药，再煮至二升，去渣滓。稍温后浸泡疮口，效果良好。
治疗疮疽，浸淫多日，逐渐变大，宜敷胡粉散方。
胡粉（二两）、黄连（二两，去须）、甘草（二两）、[茹?]（二两）。
以上药物，捣碎过细罗成散剂，不拘时候，直接撒粉在疮口上。
治疗突然患上的瘭疽，又名烂疮，宜敷黄连散方。
黄连（一两，去须，捣碎外皮）、胡粉（一两）。
以上药物混合，研磨均匀细腻，用油调和后涂抹。此疮初起时，表现为瘾疹样疼痛、发红，宜用生铁烧红七次，每次投入水中淬火，每天洗两三次。
又一方。
烧牛粪成灰，细研，用油调和后涂抹。
治疗瘭疽无脓头，长在指甲上，宜用此方。
独头蒜（一两）、杏仁（一两，热水浸泡去皮尖）。
以上药物混合，捣烂研碎，炒热后敷在疮口上，用软布系紧，多次更换，神效。
治疗瘭疽长在手足上，累累如米豆，刮之有汁液流出，需紧急治疗的方子。
蔓荆子（二两，炒熟）。
以上药物捣碎过细罗成散剂，用猪脂调和敷在上面。
Any case of Biao Ju (Biao abscess) involves sudden appearance of spots within the flesh, resembling bean grains. Small ones are like millet seeds; severe cases resemble plums or peaches. The color may be red, black, green, or white, without fixed pattern. One type has a specific shape; if unrecognized, it is called Dai Zhi (Dai finger). If not treated promptly, the pathogenic factor will enter the Zang organs via the meridians, leading to death. People in the Western regions who contract this disease typically amputate the affected fingers. When the Ju (abscess) first erupts, the fingertip initially presents with spots, followed by swelling, redness, and blackening, with pain penetrating to the heart. This is the manifestation of Biao Ju. Subsequently, foul flesh (necrotic tissue) appears. Suddenly, fleshy protuberances like bean grains emerge on the patient's body, growing larger, exuding fluid like cow or horse milk when pushed, with a top resembling a rooster's comb. Without treatment, it grows spontaneously but without pain or itching. This condition arises from enduring evil wind during spring and winter, which penetrates deep into the muscle and meridians over time, transforming into this disease. Treatment should involve taking Loulu Tang (Rhapontic Rhizome Decoction), external application of cauterization daily until charred, combined with topical ointment application. Recovery occurs after accumulation of days.
To treat Biao Ju, where spots suddenly appear in the skin and flesh like hemp seeds or beans, or large as peaches and plums, with unbearable swelling and pain, use Shegan San (Belamcanda Powder).
Shegan (Belamcandae Rhizoma, 1 liang), Chuan Shengma (Cimicifugae Rhizoma, 1 liang), Zhishi (Immature Bitter Orange, 1 liang, bran-fried until slightly yellow), Chuan Dahuang (Rhei Radix et Rhizoma, 1 liang, cut into pieces and slightly fried), Shexiang (Moschus, 1 fen, finely ground), Qianhu (Peucedani Radix, 1.5 liang, radix removed), Xijiaoxie (Rhinocerotis Cornu, 3 qian), Lingyangjiaoxie (Saiga Tataricae Cornu, 3 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 1.5 liang, cut into pieces).
The above herbs are coarsely pounded and sieved to make a powder. Add Shexiang and mix evenly. Take 4 qian per dose. Boil with one zhong of water until reduced to 0.6 parts. Strain and remove dregs. Take warm at any time.
To treat Biao Ju with pain penetrating to the heart and high fever in the four limbs, use Loulu San (Euphorbiae Humifusae Herba Powder).
Loulu (Euphorbiae Humifusae Herba, 1 liang), Bailian (Ampelopsis Radix, 1 liang), Huangqin (Scutellariae Radix, 1 liang), Mahuang (Ephedrae Herba, 1 liang, roots and joints removed), Zhishi (Immature Bitter Orange, 1 liang, bran-fried until slightly yellow), Chuan Shengma (Cimicifugae Rhizoma, 1 liang), Chishao Yao (Paeoniae Radix Rubra, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang, honey-fried until slightly red and cut into pieces), Chuan Dahuang (Rhei Radix et Rhizoma, 1.5 liang, cut into pieces and slightly fried).
The above herbs are coarsely pounded and sieved to make a powder. Take 4 qian per dose. Boil with one zhong of water until reduced to 0.6 parts. Strain and remove dregs. Take warm at any time.
To treat Biao Ju where toxic qi does not dissipate, skin and flesh turn dark/black, with unbearable pain, use Zhishi San (Immature Bitter Orange Powder).
Zhishi (Immature Bitter Orange, 1 liang, bran-fried until slightly yellow), Shegan (Belamcandae Rhizoma, 1 liang), Chuan Shengma (Cimicifugae Rhizoma, 1 liang), Sheng Gan Dihuang (Rehmanniae Radix Preparata, 1 liang), Xijiaoxie (Rhinocerotis Cornu, 1 liang), Chuan Dahuang (Rhei Radix et Rhizoma, 1 liang, cut into pieces and slightly fried), Qianhu (Peucedani Radix, 1.5 liang, radix removed), Shexiang (Moschus, 1 fen, finely ground).
The above herbs are coarsely pounded and sieved to make a powder. Add Shexiang and mix evenly. Take 3 qian per dose. Boil with one zhong of water until reduced to 0.6 parts. Strain and remove dregs. Take warm at any time.
To treat Biao Ju, dispel toxicity and relieve pain, use Dansha Gao (Cinnabar Ointment).
Dansha (Cinnabaris, 1 liang, finely ground), Xijiaoxie (Rhinocerotis Cornu, 2 liang), Shegan (Belamcandae Rhizoma, 3 liang), Sheng Gan Dihuang (Rehmanniae Radix Preparata, 10 liang), Chuan Dahuang (Rhei Radix et Rhizoma, 2 liang), [Xiong?], [Shexiang?] (half liang, finely ground).
The above herbs are finely cut. Mix with half sheng of vinegar until moist. Let stand for a short period (one contraction time). Then add two sheng of lard. Simmer over low heat until Chuan Dahuang turns reddish. Filter through silk cloth to remove dregs. Then add powdered Dansha and Shexiang. Stir well. Store in a porcelain box. At any time, take half a spoonful mixed with warm water.
To treat Biao Ju, disperse toxic qi, use Shexiang Mo Gao (Moschus Massage Ointment).
Shexiang (Moschus, half liang, finely ground), Mangcao (Adenophorae Radix? Note: Text says Mangcao, likely Aristolochiae Fructus or similar, here transliterated as Mangcao), Chuan Shengma (Cimicifugae Rhizoma, 3 liang), Hanshuishi (Aragonitum, 2 liang), Huangqin (Scutellariae Radix, 2 liang), Lingyangjiaoxie (Saiga Tataricae Cornu, 3 liang), Shegan (Belamcandae Rhizoma, 3 liang), [She Xiang?], Sheng Di Huang Zhi (Fresh Rehmanniae Juice, 2 sheng), Yang [Zhi].
The above herbs are finely cut. Add two jin of lard, Sheng Di Huang Zhi, Yang Zhi, and other herbs. Simmer until Huangqin turns black. Filter through silk cloth to remove dregs. Add powdered Shexiang and Dansha. Stir well. Store in a porcelain box. Frequently massage onto the sore.
To treat Chuang Ju (Wound Abscess) spreading widely, turning red-black and ulcerating, use Gancao Gao (Licorice Ointment).
Gancao (Glycyrrhizae Radix et Rhizoma, 2 liang, raw), Chuan Dahuang (Rhei Radix et Rhizoma, 1 liang), Hufen (Cerussa, 1 liang, finely ground), Yang Sui (Ovis Medulla, 2 liang), Zhu Zhi (Suis Adeps, 2 he).
The above herbs are finely pounded and sieved. Put into a pan and fry together with fat and medulla for three to five boils. Once the ointment forms, add Hufen. Stir well. Store in a porcelain box. Apply to the sore each time.
To treat Biao Ju spreading, about to form but not yet formed, resembling peach pits or eggs, with red swelling and heat, use Tuo Gancao Tang (Compress Licorice Decoction).
Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang), Huangqin (Scutellariae Radix, 1 liang), Chuan Dahuang (Rhei Radix et Rhizoma, 1 liang), Huanglian (Coptidis Rhizoma, 1 liang), Danggui (Angelicae Sinensis Radix, 1 liang), Chuan Mangxiao (Natrii Sulfas, 2 liang).
The above herbs are finely cut. Boil with six sheng of water until reduced to three sheng. Strain and remove dregs. Return to the pan, add Mangxiao, and bring to a slight boil. Soak a cloth in the decoction and apply as a compress to the swollen area. Use frequently for good effect.
To treat Biao Ju with redness and itching in the ten fingertips, soak in Zhu Ti Tang (Pig Trotter Decoction).
Zhu Ti (Sus Scrofa Domesticus Pes Anticus, one piece, prepared for eating), Xiong?, Chuan Dahuang (Rhei Radix et Rhizoma, half liang), Danggui (Angelicae Sinensis Radix, half liang), Baizhi (Angelicae Dahuricae Radix, half liang), Gancao (Glycyrrhizae Radix et Rhizoma, half liang), Mangcao (half liang), Xixin (Asari Radix et Rhizoma, half liang), Huangqin (Scutellariae Radix, half liang), Huanglian (Coptidis Rhizoma, half liang), Ben Cao (Ligustici Rhizoma et Radix, half liang).
The above herbs are finely cut. First, boil the pig trotter in five sheng of water until reduced to three sheng. Remove dregs. Add the herbs. Boil again until reduced to two sheng. Remove dregs. While slightly warm, soak the sore. Good effect.
To treat Chuang Ju spreading for many days, gradually enlarging, apply Hufen San (Cerussa Powder).
Hufen (Cerussa, 2 liang), Huanglian (Coptidis Rhizoma, 2 liang, mustards removed), Gancao (Glycyrrhizae Radix et Rhizoma, 2 liang), [Ru?].
The above herbs are finely pounded and sieved to make a powder. Apply directly to the sore at any time.
To treat acute onset of Biao Ju, also known as Lan Chuang (Rotting Ulcer), apply Huanglian San (Coptidis Powder).
Huanglian (Coptidis Rhizoma, 1 liang, mustards removed, bark pounded), Hufen (Cerussa, 1 liang).
Mix the above herbs and grind finely. Dilute with oil and apply. When this sore first starts, presenting as urticaria-like pain and redness, use iron ore heated red-hot, quenched in water seven times. Wash the area two to three times a day.
Another prescription.
Burn cow dung to ash, grind finely. Dilute with oil and apply.
To treat Biao Ju without head/pus, appearing on the fingernail, use this prescription.
Du Tou Suan (Allium Sativum Bulbus, single clove, 1 liang), Xing Ren (Armeniacae Semen Amarum, 1 liang, soaked in hot water, skin and tips removed).
Mix the above herbs, pound into a paste. Heat slightly and apply to the sore. Tie with soft cloth. Change frequently. Miraculous effect.
To treat Biao Ju on hands and feet, accumulating like millet and beans, scraping yields fluid. Treat urgently.
Man Jing Zi (Viticis Fructus, 2 liang, stir-fried until ripe).
Pound finely and sieve. Mix with lard and apply on top.