积风热诸毒于肺脏。发于肌肉而为疮疖。折疮愈余毒未散。故疮痂虽落。而瘢痕不灭。
法治
方
治面 疮瘢三十年以上。并冷疮姜瘢金疮瘢。
斑蝥 巴豆 密陀僧 胡粉 鸱脂（各三两） 煎金铫洮沙〔一（三）两〕 高良姜 海
蛤（
祛风膏
滑石 牙子盆硝 舶上硫黄 乳香（各等分） 轻粉 脑子 麝香（各少许） 上为细
末。
用酥
治久患疮痍后。瘢痕不灭方。
定川瓷味 白僵蚕 白附子 白芷（各二两） 珍珠末（半两） 野 脂（三升） 酥
（一两）
上
白僵蚕膏 治面上瘢痕。及患疮痍。瘥后不灭。
白僵蚕 白鱼 白石脂 白附子 鹰屎（各一分） 腊月猪脂（二两） 上除猪脂外。
捣罗
为末
六物灭瘢痕膏。
衣中白鱼 鸡矢白 鹰屎白 芍药 白蔹 上药等分研如粉。以乳汁和涂瘢上。日三良。
辛夷膏 治面上瘢痕。及一切疮瘥后。亦黑不灭。时复不止。
辛夷 鹰屎白 杜若 细辛（各半两） 白附子（三分） 上除鹰屎外。并锉碎。以酒
两盏
浸一
再以
治面上瘢方。
白僵蚕 珊瑚 白芷（各一两） 鸡矢白 朱砂（各一两） 上捣蜜和之。尤良。
治久患疮痍后。瘢痕不灭方。
当归膏 治面上瘢痕。
当归 白芷（各一两） 鹰粪白（半两） 乌鸡粪（一两） 上先将当归白芷锉碎。浸
一宿。
别熔
匀。
治面上及疮瘢不灭方。
鹰屎白 烂腐骨 尿白碱（各四钱） 麝香（二分） 上研令如粉。以葛布揩令面微疼。
以
脂和
玉屑膏 治面上瘢痕及风毒。
玉屑 密陀僧 白附子 珊瑚（各二两） 上捣为末。入乳钵内。都研令匀。每度用药
末
二钱
治灭痕。无问新旧必除方。
当归（一两） 猪脂（三斤） 白芷（一两） 上为捣绵裹。以酒二盏。煎十余沸。去
滓。日
五七
治灭瘢痕方。
禹余粮 半夏（各等分） 上为末。以鸡子黄和。先以新布拭瘢处令赤。后用药敷之。
勿
见风
治瘢痕凸出方。
鹰屎白（一两） 衣中白鱼（二十枚） 上为末。蜜和以敷。日三五度良。
又方
鹰屎白（二两） 白僵蚕（一两半） 上为末。蜜和敷之。日三。慎五辛生菜。又治一
切疮
瘥后
腊脂膏 治面上瘢痕方。
腊脂（四升） 大鼠（一枚） 上入铛中。以文火煎之。待鼠消尽。以新绵滤去渣。入
瓷盒
盛。
救急灭瘢方。
蒺藜子 山栀子（各一两） 上为散。醋浆和如泥。临卧时以涂之。旦洗去。
治瘢痕凸出方。
鹰屎白（一两） 白附子（一两） 上为细末。酥调涂凸上。日数次。
治一切疮瘥后。赤黑瘢痕不灭时。复痒不止方。
黄矾（烧令汁出） 胡粉（烧令黄各半两） 上为细研。以腊月猪脂和。更研如泥令匀。
先
以布
又方
鹰粪白 燕窝中草（各等分） 上研为末。以人乳汁和涂于瘢上。日三四度。夜卧时准
前
涂之
治热毒疮瘥后。瘢痕不灭方。（出圣惠方）
鸡子（一枚酒浸七日后取黄） 白僵蚕（二七枚） 上药与鸡子。相和令匀。先以布揩
疮瘢
赤痛
治灭瘢痕方。
用白蜜和鹰屎白三两。细研敷之。三服。则无问新旧必除。
治瘢痕凸出方。（出圣惠方）
用春夏以大麦面。秋冬以麦麸。好细绢下筛。以酥和敷之。
又方（出圣惠方）
夏以热瓦熨之。冬以冻凌熨之。
鸡子膏（出圣惠方）治疮瘢痕。无问新旧涂。
用鸡子五七枚。熟煮取黄。于铛中炒如黑脂膏。以物先揩瘢痕。然后涂膏。日三。九日
即
治面上瘢痕方。
用马苋汁。洗紧唇面 。马汁及射工毒。涂之瘥。
指爪破面。
用生姜自然汁。调轻粉敷破处。更无痕瑕。
真玉磨方（出圣济总录）治面上瘢痕。
取真玉平处一面。磨瘢痕。久则无痕。
治面上灭瘢方。
疗久疮。及金疮。凡百疮瘢方。能令高者就下。下者起平。（出肘后方）
取纯白色雌鸡一头笼之。煮豆赤小者饲之。七日即饿之。百日后。乃截羊肾脂饲。若不
得食
合。
治去疮瘢方。（出海上名方）
用白獭髓。杂玉屑、琥珀屑、涂之。一方用密陀僧末。水调涂。
治火烧疮灭瘢方。（出圣惠方）
用赤地利二两。捣罗为末。以生麻油调敷之疮上。以瘢灭为度。
又方（出肘后方）
以人精和鹰屎白涂之。日二。无问新旧必除。亦用白蜜和之。
治杂疮及灭旧瘢痕。
用白僵蚕、衣鱼、鹰屎白、三味。等分为末。入在面膏内和涂之。疮瘢即灭。（衣鱼多
在衣
疗豆疮瘢面 。（出谭氏小儿方）
以密陀僧细研。水调。夜涂之。明旦洗去。平复矣。
治面上灭瘢。
用木兰香一斤。以三年米醋浸一日出。曝干为末。敷之。用醋浆渍一百日。干为末。服
方寸
【背景信息】
书名：普济方 作者：朱梓 朝代：明·永乐四年 章节：灭瘢痕（附论） 类别：方剂
【原文翻译】
风热等毒邪积聚于肺脏。发作于肌肉之间而形成疮疖。当疮疡愈合后，余毒未能消散。因此虽然疮痂已经脱落，但瘢痕依然存在。
治疗法则与方剂如下：
治疗面部三十年以上的疮瘢，以及冷疮留下的姜瘢、金创（金属利器造成的创伤）留下的瘢痕。
配方：斑蝥、巴豆、密陀僧、胡粉、鸱脂（鹰油，各三两）。用金锅在淘洗过的沙子上煎煮，加入洮沙一两、高良姜、海蛤。
祛风膏
配方：滑石、牙子盆硝、舶上硫黄、乳香（各等分）。轻粉、脑子（冰片）、麝香（各少许）。以上药物研成细末。
用法：用酥油调和涂抹。
治疗长期患有疮疡后，瘢痕不消退的方剂。
配方：定川瓷味（此处疑为衍文或特定药材别名，暂保留原意，指某种矿物或药引）、白僵蚕、白附子、白芷（各二两）。珍珠末（半两）。野豕脂（野猪油，三升）。酥（一两）。
用法：以上药物捣碎混合。
白僵蚕膏：治疗面部的瘢痕，以及患疮疡痊愈后瘢痕不消退的情况。
配方：白僵蚕、白鱼、白石脂、白附子、鹰屎（各一分）。腊月猪脂（二两）。以上除猪脂外，其余药物捣碎过筛。
用法：研成细末，与猪脂混合。
六物灭瘢痕膏。
配方：衣中白鱼、鸡矢白（鸡粪便中的白色部分）、鹰屎白、芍药、白蔹。以上药物等分研成粉末。用乳汁调和涂抹在瘢痕上，每日三次，效果良好。
辛夷膏：治疗面部瘢痕，以及一切疮疡痊愈后，颜色发黑不消退，时常瘙痒不止的情况。
配方：辛夷、鹰屎白、杜若、细辛（各半两）。白附子（三分）。以上除鹰屎外，全部切碎，用酒两盏浸泡一夜。
用法：再煎煮至适量，过滤后使用。
治疗面部瘢痕的方剂。
配方：白僵蚕、珊瑚、白芷（各一两）。鸡矢白、朱砂（各一两）。以上药物捣碎，用蜂蜜调和，效果尤佳。
治疗长期患有疮疡后，瘢痕不消退的方剂。
当归膏：治疗面部瘢痕。
配方：当归、白芷（各一两）。鹰粪白、乌鸡粪（一两）。以上先将当归、白芷切碎，浸泡一夜。
用法：另将油脂熔化，混合均匀。
治疗面部及疮疡瘢痕不消退的方剂。
配方：鹰屎白、烂腐骨、尿白碱（各四钱）。麝香（二分）。以上研磨成粉末。用葛布擦拭面部直至微痛。
用法：以油脂调和涂抹。
玉屑膏：治疗面部瘢痕及风毒。
配方：玉屑、密陀僧、白附子、珊瑚（各二两）。以上捣碎成末，放入乳钵中，充分研磨均匀。每次用药末二钱。
用法：治灭瘢痕。无论新旧，必能去除。
治疗瘢痕的方剂。
配方：当归（一两）。猪脂（三斤）。白芷（一两）。以上捣碎，用绵裹住，用酒两盏，煎煮十余沸。去渣。
用法：每日多次涂抹。
治疗灭瘢痕的方剂。
配方：禹余粮、半夏（各等分）。以上研成末。用鸡蛋黄调和。先用新布擦拭瘢痕处使其发红，然后用药敷之。
注意：勿见风。
治疗瘢痕凸出的方剂。
配方：鹰屎白（一两）。衣中白鱼（二十枚）。以上研成末，用蜜调和敷贴，每日三至五次，效果良好。
又一方。
配方：鹰屎白（二两）。白僵蚕（一两半）。以上研成末，用蜜调和敷贴，每日三次。禁忌食用五辛及生菜。又治疗一切疮疡痊愈后……
腊脂膏：治疗面部瘢痕的方剂。
配方：腊脂（四升）。大鼠（一枚）。以上放入锅中，用文火煎煮。待鼠肉消尽，用新棉过滤去渣。
用法：装入瓷盒盛放。
救急灭瘢方。
配方：蒺藜子、山栀子（各一两）。以上研成散剂。用醋浆调和如泥状。临睡前涂抹，早晨洗去。
治疗瘢痕凸出的方剂。
配方：鹰屎白（一两）。白附子（一两）。以上研成细末。用酥油调和涂于凸起处，每日数次。
治疗一切疮疡痊愈后，赤黑色瘢痕不消退且时常瘙痒不止的方剂。
配方：黄矾（烧至汁出）。胡粉（烧至黄色，各半两）。以上细研。用腊月猪脂调和，再次研磨如泥状使其均匀。
用法：先用布……
又一方。
配方：鹰粪白、燕窝中草（各等分）。以上研成末。用人乳汁调和涂抹于瘢痕上，每日三四次，夜间卧床时照前法涂抹。
治疗热毒疮疡痊愈后，瘢痕不消退的方剂。（出自《圣惠方》）
配方：鸡子（一枚，用酒浸泡七日后取蛋黄）。白僵蚕（十四枚）。以上药物与鸡子混合均匀。先用布擦拭疮瘢……
症状：赤痛。
治疗灭瘢痕的方剂。
用法：用白蜜调和鹰屎白三两，细研后敷贴。服用三次（此处“服”疑为“敷”之误，或指内服外用结合，依语境多为外用），则无论新旧必能去除。
治疗瘢痕凸出的方剂。（出自《圣惠方》）
用法：春夏季节用大麦面，秋冬季节用麦麸，用细绢筛过，用酥油调和敷贴。
又一方（出自《圣惠方》）
夏天用热瓦熨烫，冬天用冻凌（冰块）熨烫。
鸡子膏（出自《圣惠方》）：治疗疮疡瘢痕。无论新旧均可涂抹。
用法：用鸡蛋五到七枚，煮熟取黄，在锅中炒至如黑脂膏状。先用物品擦拭瘢痕，然后涂膏，每日三次，九日即可见效。
治疗面部瘢痕的方剂。
用法：用马苋汁清洗紧绷的面唇。马汁及射工毒（一种毒虫或毒素），涂抹后可治愈。
指甲抓破面部。
用法：用生姜自然汁，调匀轻粉敷于破损处，更不留痕迹瑕疵。
真玉磨方（出自《圣济总录》）：治疗面部瘢痕。
用法：取真玉平整的一面，摩擦瘢痕，时间久了则无痕。
治疗面部灭瘢的方剂。
治疗长期疮疡，以及金创，各种瘢痕的方剂。能使高的变平，低的长平。（出自《肘后方》）
用法：取纯白色雌鸡一只关在笼中，喂煮熟的赤小豆。七日之后饥饿它。一百天后，截断羊肾脂来喂养它。如果不得食……
治疗去除疮瘢痕的方剂。（出自《海上名方》）
用法：用白獭髓，杂入玉屑、琥珀屑，涂抹患处。另一方法用密陀僧末，水调涂抹。
治疗火烧疮灭瘢的方剂。（出自《圣惠方》）
用法：用赤地利二两，捣碎过筛成末。用生麻油调敷在疮上，以瘢痕消失为度。
又一方（出自《肘后方》）
用法：用人精和鹰屎白涂之，每日两次。无论新旧必能去除。也可用白蜜调和。
治疗杂疮及灭旧瘢痕。
用法：用白僵蚕、衣鱼、鹰屎白，三味药等分为末。加入面膏内调和涂抹。疮瘢即灭。（衣鱼多在衣……）
[Background Information]
Book: Puji Fang (Universal Effective Prescriptions)
Author: Zhu Zi
Dynasty: Ming Dynasty, Yongle 4th Year
Chapter: Eliminating Keloids and Scars (With Discussion)
Category: Formulas
[Translation]
Wind-heat and various toxic pathogens accumulate in the Zang-organs of the Lung. They manifest in the muscles and flesh as sores and boils. After the sores heal, residual toxins remain unresolved. Therefore, although the scabs have fallen off, the keloids and scars persist.
Treatment Principles and Formulas:
For treating facial scars lasting over thirty years, as well as scars from cold sores (cold ulcers), ginger-shaped scars, and scars from metal weapon injuries (metal trauma).
Ingredients: Mylabris (Banmao), Croton Seed (Badou), Litharge (Mituo Seng), Lead Carbonate (Hufen), Eagle Fat (Chizhi) [each 3 liang]. Decoct in a gold pot using washed sand, adding Tao Sha (1 liang), Galangal (Gaoliang Jiang), and Seashell (Hai Ge).
Qu Feng Gao (Wind-Expelling Ointment)
Ingredients: Talcum (Huashi), Sodium Nitrate (Yazi Penxiao), Imported Sulfur (Boshang Liuhuang), Frankincense (Ruxiang) [each equal parts]. Calomel (Qingfen), Borneol (Naozi), Musk (Shexiang) [each a small amount]. Grind all ingredients into a fine powder.
Usage: Mix with clarified butter (Su) and apply.
Formula for treating persistent scars after long-term suffering from sores and ulcers.
Ingredients: Dingchuan Ciwei (specific mineral/ingredient), Silkworm (Baijiangcan), Typhonium Rhizome (Baifuzi), Angelica Dahurica (Baizhi) [each 2 liang]. Pearl Powder (Zhenzhu Mo) (0.5 liang). Wild Boar Fat (Ye Shi Zhi) (3 sheng). Clarified Butter (Su) (1 liang).
Usage: Crush and mix the above ingredients.
Bai Jiangcan Gao (Silkworm Ointment): For treating facial scars and scars that persist after healing from sores and ulcers.
Ingredients: Silkworm (Baijiangcan), White Fish (Baiyu), Kaolin (Baishizhi), Typhonium Rhizome (Baifuzi), Eagle Droppings (Yingshi) [each 1 fen]. Pig Lard from the twelfth lunar month (Layue Zhizhi) (2 liang). Except for the pig lard, crush and sieve the other ingredients.
Usage: Grind into powder and mix with the pig lard.
Liu Wu Mie Bianhen Gao (Six-Ingredient Scar-Eliminating Ointment).
Ingredients: Clothes Moth Larvae (Yizhong Baiyu), Chicken Excrement White Part (Jishi Bai), Eagle Droppings White Part (Yingshi Bai), Peony Root (Shaoyao), Akebia Stem (Bailian). Grind the above ingredients in equal proportions into powder. Mix with milk and apply to the scar, three times daily, which is excellent.
Xinyi Gao (Magnolia Bud Ointment): For treating facial scars and any scars remaining after ulcer healing, especially those that are black, do not fade, and itch intermittently.
Ingredients: Magnolia Flower Bud (Xinyi), Eagle Droppings White Part (Yingshi Bai), Doreya (Duoruo), Asarum (Xixin) [each 0.5 liang]. Typhonium Rhizome (Baifuzi) (0.3 fen). Except for the eagle droppings, chop everything finely. Soak in two cups of wine overnight.
Usage: Simmer further and filter.
Formula for treating facial scars.
Ingredients: Silkworm (Baijiangcan), Coral (Shanhu), Angelica Dahurica (Baizhi) [each 1 liang]. Chicken Excrement White Part (Jishi Bai), Cinnabar (Zhusha) [each 1 liang]. Crush the ingredients and mix with honey; this is particularly effective.
Formula for treating persistent scars after long-term sores.
Danggui Gao (Angelica Sinensis Ointment): For treating facial scars.
Ingredients: Angelica Sinensis (Danggui), Angelica Dahurica (Baizhi) [each 1 liang]. Eagle Droppings White Part (Ying Fenbai), Black Chicken Droppings (Wuji Fen) (1 liang). First, chop the Danggui and Baizhi finely and soak overnight.
Usage: Melt the fat separately and mix evenly.
Formula for treating facial and ulcer scars that do not fade.
Ingredients: Eagle Droppings White Part (Yingshi Bai), Rotten Bone (Lanfu Gu), Urine-derived Alkali (Niaobaijian) [each 4 qian]. Musk (Shexiang) (2 fen). Grind into powder. Rub the face with a kudzu cloth until slightly painful.
Usage: Mix with fat/oil and apply.
Yu Xie Gao (Jade Dust Ointment): For treating facial scars and wind-toxicity.
Ingredients: Jade Dust (Yuxie), Litharge (Mituo Seng), Typhonium Rhizome (Baifuzi), Coral (Shanhu) [each 2 liang]. Crush into powder. Place in a mortar and grind thoroughly until uniform. Use 2 qian of powder per application.
Usage: To eliminate scars. Whether new or old, they will certainly be removed.
Formula for eliminating scars.
Ingredients: Angelica Sinensis (Danggui) (1 liang). Pig Lard (Zhuzhi) (3 jin). Angelica Dahurica (Baizhi) (1 liang). Crush these ingredients, wrap in cotton, and decoct in two cups of wine for about ten boils. Strain the dregs.
Usage: Apply multiple times daily.
Formula for eliminating scars.
Ingredients: Yuyuliang (Halloysitum), Pinellia Tuber (Banxia) [equal parts]. Grind into powder. Mix with egg yolk. First, rub the scar area with a new cloth until red, then apply the medicine.
Precaution: Avoid exposure to wind.
Formula for treating protruding scars.
Ingredients: Eagle Droppings White Part (Yingshi Bai) (1 liang). Clothes Moth Larvae (Yizhong Baiyu) (20 pieces). Grind into powder, mix with honey, and apply. Three to five times daily is good.
Another Formula.
Ingredients: Eagle Droppings White Part (Yingshi Bai) (2 liang). Silkworm (Baijiangcan) (1.5 liang). Grind into powder, mix with honey, and apply. Three times daily. Avoid Five Spices (garlic, chives, etc.) and raw vegetables. Also treats post-ulcer...
Lay Zhi Gao (Twelfth Month Lard Ointment): Formula for treating facial scars.
Ingredients: Twelfth Month Lard (Lay Zhi) (4 sheng). Large Rat (Da Shu) (1 piece). Place in a pan and decoct over low heat. When the rat is completely dissolved, filter through new cotton to remove residue.
Usage: Store in a porcelain box.
Emergency Scar-Eliminating Formula.
Ingredients: Tribulus Fruit (Jili Zi), Gardenia Fruit (Shanzhizi) [each 1 liang]. Grind into powder. Mix with vinegar slurry to form a paste. Apply before sleep, wash off in the morning.
Formula for treating protruding scars.
Ingredients: Eagle Droppings White Part (Yingshi Bai) (1 liang). Typhonium Rhizome (Baifuzi) (1 liang). Grind into fine powder. Mix with clarified butter and apply to the protrusion several times daily.
Formula for treating persistent red/black scars and itching after all types of ulcer healing.
Ingredients: Yellow Alum (Huangfan) [calcined until liquid flows out]. Lead Carbonate (Hufen) [calcined until yellow, each 0.5 liang]. Grind finely. Mix with pig lard from the twelfth lunar month and grind again until smooth like mud.
Usage: First use cloth...
Another Formula.
Ingredients: Eagle Droppings White Part (Ying Fenbai), Grass from Swallow's Nest (Yanwo Zhongcao) [equal parts]. Grind into powder. Mix with human breast milk and apply to the scar three to four times daily. At night before bed, apply as before.
Formula for treating persistent scars after heat-toxic ulcers heal. (From *Shenghui Fang*)
Ingredients: Egg (1 piece, soaked in wine for seven days, take the yolk). Silkworm (Baijiangcan) (14 pieces). Mix the herbs with the egg yolk evenly. First rub the scar with cloth...
Symptoms: Redness and pain.
Formula for eliminating scars.
Usage: Mix 3 liang of Eagle Droppings White Part with white honey, grind finely, and apply. After three applications, whether new or old, the scar will certainly be removed.
Formula for treating protruding scars. (From *Shenghui Fang*)
Usage: In spring and summer, use barley flour; in autumn and winter, use wheat bran. Sieve through fine silk, mix with clarified butter, and apply.
Another Formula (From *Shenghui Fang*)
In summer, apply hot tiles; in winter, apply ice blocks.
Jizi Gao (Egg Yolk Ointment) (From *Shenghui Fang*): For treating ulcer scars. Applicable to both new and old scars.
Usage: Take 5-7 eggs, boil them hard, extract the yolks, and fry in a pan until resembling black grease ointment. First wipe the scar, then apply the ointment. Three times daily; visible results in nine days.
Formula for treating facial scars.
Usage: Wash the tight lips and face with Purslane juice. Horse juice and Shegong toxin (venom) can be treated by applying this.
Scratched face with fingernails.
Usage: Mix fresh Ginger Juice with Calomel (Qingfen) and apply to the broken skin; no trace or flaw will remain.
Real Jade Grinding Method (From *Shengji Zonglu*): For treating facial scars.
Usage: Take one flat side of real jade and grind it against the scar. Over time, the scar will disappear.
Formula for eliminating facial scars.
Formula for treating long-term sores, metal wounds, and all kinds of scars. It can flatten raised areas and fill depressed ones. (From *Zhouhou Fang*)
Usage: Take one pure white hen, keep it in a cage, and feed it boiled adzuki beans. After seven days, starve it. After one hundred days, cut sheep kidney fat and feed it. If it does not eat...
Formula for removing ulcer scars. (From *Haishang Mingfang*)
Usage: Use White Otter Marrow, mixed with Jade Dust and Amber Dust, and apply. Another method uses Litharge powder mixed with water for application.
Formula for eliminating scars from burns. (From *Shenghui Fang*)
Usage: Take 2 liang of Chidili (Polygonum aviculare), grind into powder. Mix with raw sesame oil and apply to the sore. Continue until the scar disappears.
Another Formula (From *Zhouhou Fang*)
Usage: Mix human semen with Eagle Droppings White Part and apply twice daily. Whether new or old, it will certainly be removed. Can also be mixed with white honey.
For treating miscellaneous sores and eliminating old scars.
Usage: Use Silkworm, Clothes Moth, and Eagle Droppings White Part. Grind these three ingredients in equal parts into powder. Add to facial ointment and mix for application. The scar will vanish. (Clothes moths are often found in clothes...)
For treating acne/pox scars on the face. (From *Tan Shi Xiao'er Fang*)
Usage: Grind Litharge finely, mix with water, apply at night, and wash off the next morning. The skin will become smooth.
For eliminating facial scars.
Usage: Take 1 jin of Magnolia Bark (Mulan Xiang), soak in three-year-old rice vinegar for one day, remove, dry, and grind into powder. Apply. Soak in vinegar slurry for one hundred days, dry, and grind into powder. Take 1 cun cube...