（附论）
夫石疽与石痈之证同。比石痈为深。以寒客经络。气血结聚而不得散。隐于皮肤之内。
重按如石。故谓之石疽。痈疽皆热气所作。今寒气为根。故凝结不化。其毒内着。结硬如石
。治在温其经络。使热气得通。其毒外泄。故能腐热而发散。化脓血而出也。
方
沉香散（出圣惠方）治石疽肿毒结硬。口干烦热。四肢拘急。不得卧。
沉香 防风（去叉） 木香（各三分） 地骨皮 麦门冬（去心焙） 当归（切焙） 升
麻玄
参枳壳（去瓤麸炒） 羚羊角屑 独活（去芦头） 甘草（生锉） 赤芍药（各一两） 大
黄（锉
炒二两） 上粗捣筛。每服四钱。水一盏半。煎取七分。去滓。不拘时温服。
占斯散（出圣惠方）治石疽结坚。若坏或已成疽者。
木占斯 浓朴（去粗皮姜汁炙） 生干地黄（焙） 栝蒌（干者去皮） 败酱 防风（去
叉）
桔梗（炒） 人参 细辛（去苗叶各一两） 桂（去粗皮半两） 上为散。每服二钱。食前
温酒送
下。
地黄煎（出圣济总录）治石疽坚硬不消。
用生地黄净洗三斤。锉碎细研。以布绞去汁。入铜器内盛。重汤上煮。柳篦搅匀如糖。
以瓷盒盛。每日空心取一丸如弹子大。温酒调下。日午晚间服瘥。
（附论）
夫附骨疽者。以其无故附骨成脓。故名附骨疽。喜着大节解中。丈夫产妇喜着髀中。小
儿亦着脊背。大人急着者。先觉痛不得动摇。按之应骨痛。经日便觉皮肉渐急。洪肿如肥状
是也。小儿才手近。便大啼呼。即肢节有痛是也。大人缓着者。先觉肌烘烘然。经日便觉痛
痹不随。小儿四肢不能动摇。亦如不随状。看肢节解中。若有肌烘烘处。不知是附骨疽。令
遍身成肿不至溃。体皆有青黯。大人亦有不别。呼为贼风、风肿。不知是疽也。凡人身体患
热。当风取凉。风入骨解中。风热相搏。便成附骨疽。其候嗜眠沉重。忽忽耳鸣。又秋夏露
卧。为冷所折。风热伏结而作此疾。急者热多风少。缓者热少风多。小儿未知取风冷。何故
而有此疾。由其血盛肌嫩。为风折之。即使凝结故也。凡初得附骨疽。即须服漏芦汤下之。
敷小豆散得消。可服五香连翘汤。
凡贼风、其人体卒无热。中暴风冷。即骨解深痛。不废转动。按之应骨痛。久即结痛。
或结瘰 。其附骨疽久即肿而结脓。以此为异耳。若治附骨作贼风。则增益病深脓多。若治
贼风作附骨。即加风冷。遂成瘰 偏枯挛曲之疾也。疗之为效。皆在善始耳。若候附骨与贼
风为异者。附骨之始。未肿但痛而已。其贼风但痛不热。附骨则其上壮热。四体乍寒乍热。
小便赤。大便涩而无汗。若得下却热。开发腠理。便得消也。纵不消尽。亦得浮浅近外。凡
贼风、但夜痛。骨不可按。仰而不得回转。痛处不壮热。亦不乍寒乍热。多觉身体索索然冷
。欲得热熨痛处即小宽。时复有汗出。此为贼风症也。宜针灸熨爆服诸治风药即愈。
有久痈余疮。败为深疽者。在 胫间喜生疮。中水恶露冻不瘥。经年成骨疽。亦名 疮
。深烂青黑。四边坚强。中央脓血汁出。百药不瘥。汁溃好肉处皆虚肿。亦有碎骨出者。可
温赤龙皮汤渍。夏月日日洗。冬月四日一洗。青肉多敷白 茹散。食去恶肉。可三日敷之止
。后长敷家猪屎散得瘥止。取猪屎烧灰。作末如粉。致疮中令满。白汁出吮去。随更敷之瘥
止。若更青肉。复着白 茹散如前法。家猪屎散取平复。凡骨疽百疗不瘥者。可于疮上以次
灸之。三日三夜便瘥。如疮不瘥。瘥而复发。骨从疮中出者。名为骨疽。取鲜乌雌鸡二只。
去肉取骨。熬焦如炭。取三家牛 木刮取屑。三家甑算各一两。皆烧成灰。合导。疮中碎骨
当出数片瘥。
附骨疽与白虎、飞尸、沥节风皆相类。沥节风则走注不定。白虎飞尸痛浅。按之则便止
。附骨疽痛深。按之无益。一说白虎飞尸。亦能作脓着骨而生。及其腐溃。碎骨出尽方愈。
如是则附骨疽与白虎飞尸是一病。但深浅不同耳。白虎飞尸又俗名风煞。然痛浅。附骨疽少
有骨出者。宜拔毒热。不可一向泥于五香连翘漏芦之属。当先温肾。如灵宝膏及神药。唯存
针烙浅深刺拔其毒根则易愈。不尔、则顺脉流走。遍体洪肿。卒致不救。
附骨疽治之宜以热去毒。又当温肾。未可专用凉剂。若在针烙其病。务详浅深。刺拔其
毒根，则易愈。不尔、则顺脉流走。遍体洪肿。卒致不救。至于所患之时。犹或当于外证。
未溃以前发渴。乃脏腑焦燥。利下乃引饮无度。已溃而渴。则脓血去多。津液中干。或腹肠
胃暴虚。遂成下利。体虚受寒。则嗽声不息。气逆挟热。则痰盛于胸。热毒不泄。为二便秘
塞。毒瓦斯迫心。为呕哕惊悸。阴阳交争。血气不和。寒热并作。脏腑伤败。便血逆出。毒瓦斯
攻外。烦燥异常。惟须大方料药。同治可也。
方
牛黄散（出圣惠方）治附骨疽。及一切恶疮。宜 药。
牛黄（细研） 麝香（细研） 木香 丁香 香子 乳香（细研） 朱砂（细研） 雄
黄黄
柏（锉） 苦参（锉） 腻粉（各一分） 上为细散。入研了药。同研令匀。剪单纸条子。
看疮眼
子大小。每一条子纸。用药末一字。以下捻药末在纸条子内。 于疮中。不计近远。如药无
力。纸条子自退。即根据前更用药末为纸 子、更 。候纸 渐短。直至好痊为度。若患恶疮。
不计在甚处。看疮眼子大小。皆用 子。不计个数。以瘥为度。
连翘汤（出圣济总录）治附骨疽。
连翘 射干 升麻 防己 黄芩（去黑心） 大黄（锉炒） 甘草（炙） 芍药 杏仁
（汤浸
去皮尖双仁各一两） 柴胡（去苗三两） 上粗捣筛。每服五钱。水一盏半。煎至七分。入
芒
硝一钱。去滓。空心服。
漏芦汤（出圣济总录）治附骨疽。
漏芦（去芦头） 升麻 连翘 麻黄（去根节各一两） 大黄（锉炒一两半） 防己 木
香
白蔹 沉香（各二分） 上粗捣筛。每服五钱。水一盏半。煎入竹叶七片至八分。再入芒硝
一
钱。搅匀去滓。空心温服。取利三二行。未利再服。
赤术散（出危氏方）治附骨疽脓出淋沥。久而不瘥。已破未破。
赤术（一斤米泔浸三宿取出洗净晒干再以大麻腐汁浸术止余二寸许入川椒二十一粒葱皂
根煮黑油出洗净焙干称） 破故纸（炒） 川楝（锉炒） 茯苓 舶上茴香（炒） 杜茴香 白
芷桃仁（去皮麸炒各半斤） 上为末。炼蜜丸如桐子大。每服五十丸。酒盐温汤送下。一
方老人加黑附子。
天灵盖散（出圣惠方）治附骨疽肿痛有脓。久而不瘥。
天灵盖（一两烧灰） 狗骨头（半两烧灰） 麝香（一钱细研） 黄连（一分去须） 黄
柏（
一分） 白矾（半两烧令斗尽） 上为细散。入麝香令匀。每用先煎甘草汤洗。拭干。用生
油调涂之。
天南星散（出圣济总录）治附骨疽。
天南星（炮） 附子（炮制去皮脐） 黄柏（去粗皮各半两） 铅丹（研一分） 麝香
（研半
分） 上附子、麝香、铅丹外。捣筛为末。入二味和匀。干敷疮上。日三。
麒麟竭散（出圣济总录）治附骨疽。涂敷。
麒麟竭 槟榔（锉） 黄连（去须） 马肠根（各一两） 上为散。先以油炒葱豉。入
腻粉
半两。和捣捻作饼子二片。用盐浆水洗疮。用饼拓疮上。以生帛缚定。三日后再用盐汤洗。
即涂敷散子。日三。
应痛丸（出外科精要）治走注疼痛。疑是附骨疽者。
苍术（去皮） 当归 草乌头（炮） 黑牵牛（各一两） 上为细末。用醋糊为丸。如
小豆
大。每服三十丸。空心醋汤下。
乱发汤（出圣济总录）治附骨洗方。
乱发灰（半两） 杏（捶碎二十一枚） 甘草（锉五寸） 盐花（半两） 上以浆水五
升。煎至
二升。滤去滓。通手洗疽。上有脓血。洗取净后。以绢缚定。每日三两遍洗妙。
天灵盖散（出圣济总录）治附骨疽疮及阴疮。久不瘥涂敷方。
天灵盖（酥炙一两） 狗骨（烧灰一两半） 白矾（烧灰一两半） 麝香（研一钱） 上
为散。
干敷疮口。日三次。
皂荚膏（出圣惠方）治附骨疽肿。
皂荚（十挺肥实无蛀者捶碎） 吴茱萸（二两末） 杏仁（二两汤泡去皮尖研如泥） 水
银（
一两以枣瓤同研令星尽） 上件药以头醋三升。煎皂荚取一升五合。滤去滓。下茱萸、杏仁
。以文火煎成膏。根据次下水银和匀。致不津器中。于故帛上涂。贴患处。
多年油脚（一两） 麝香（一钱细研） 猪骨髓（一两） 上都研为膏。涂于疮上。
龙骨粉膏（一名蟾蜍膏出千金方）治久疮痈败坏成骨疽。或骨从疮孔出。以
龙骨粉疮四面。浓二分。以膏着疮中。日二易。虫出如发。尽愈。膏方如下。
大虾蟆（一枚自死者） 乱发（一块鸡子大） 猪脂（一斤） 上取二味内脂中。煎略
消尽。
下待冷。更内盐一合搅匀。充前用之。一方先以桑白皮、乌头煎汤淋洗。拭干后。用药贴。
败酱汤（出圣济总录）治附骨疽。
败酱（二两） 大黄（锉炒二两） 桃仁（二两） 上粗捣筛。每服五钱。先取皂荚刺
一两。
锉碎。以水二盏。煎至一盏半。漉出下药。及朴硝一钱。同煎至八分。去滓。空心温服。
麝香散（出圣济总录）治附骨疽久不瘥。
麝香（研一分） 麒麟竭 密陀僧（ 各一两） 上为散。先用盐汤洗疮拭干。取活鳝
鱼一
条。锉碎研。拓疮上宿。明旦揭看。有虫即去。再拭干涂敷散子。日三。
乌鸡散（出圣惠方）治附骨疽久不瘥。骨从疮口出。
乌雌鸡骨（烧灰） 牛 木（刮烧灰三家者） 炊单（烧灰三家者各一两） 上合和研
细。敷
疮上。日三五度。碎骨出瘥。
又方（出圣济总录）治附骨疽积年发脓。骨出不瘥。
黄丹（细研） 腻粉（研各三钱） 鸡子（三枚煮熟去白用黄） 上将鸡子黄于铫子内。
以慢
火炒令黑。候自然为膏。于盏内入黄丹、腻粉和匀。用时先以米泔煎汤洗患处。拭干。用药
敷之。
治附骨疽。及鱼眼疮。（出圣惠方）
乱发灰（一两） 腻粉（二钱） 杏仁（五十枚烧令灰） 上同研细。入油二合。蜡半
两煎。
搅令匀。入瓷盒盛。净洗。贴之效。
小豆散（出圣济总录）治附骨疽内消。
赤小豆（一合） 糯米（炒黑二合） 上为散。水调如糊。摊故帛上涂贴。干即易。
治附骨疽积年发脓。骨出不瘥。（出圣惠方）
白矾（枯别研） 新枸杞子（自然汁） 上先将枸杞子汁。慢火熬成膏。后入白矾团合
坚实
阴干。捣罗为末。每用时以甘草水洗之。拭干。先唾涂疮上。次用药末周匝敷之。
治附骨疽及冷 。一切恶疮等。（一名蜣螂丸出圣惠方）
蜣螂（烧灰一两） 巴豆（半两去皮心研纸裹压去油） 上为细散。用敷疮上。旦换之。
多
时患者。不过三上效。一方用津调入孔中。
治疮久不瘥。瘥而复发。骨从孔中出者。名为骨疽。（出千金方）
用密陀僧为末。以猪脊骨髓调敷之。兼治痔漏不愈。
秦艽散（出圣济总录）治附骨疽久不瘥。或瘥。年岁再发。
用秦艽去苗土。捣罗为散。涂敷疮上。以帛缚定。日二三次。
牛胶散（出圣济总录）治附骨疽。积年发脓。骨出不瘥。
用水牛皮胶炙焦。细研为散。涂敷疮上。用生鲫鱼破开。外面贴定。时看有小虫出。更
以盐汤洗。敷上药。再加鱼贴。虫行尽。更敷药。
黑鲫膏（出千金方）治附骨疽未破。或脓出不尽。并久疽不瘥。
用黑色鲫鱼一个。去肠。入白盐令腹满。用绵缚定。以水二盏。内铜石器中煮。水尽干
焦为末。用猪油调敷。已破者干糁。小疼无怪。
疗髓疽日延深。嗜卧方。
用牡蛎、泽泻二味主之。
治附骨疽及鱼眼疮（出圣惠方）
以蜣螂七枚。和大麦面烂捣。封之。
又方（出圣惠方）
用蜣螂干者为末。以乌鸡脂涂疮口上。以散敷之。
又方（出圣惠方）
用猪骨头烧烟。熏之。
治疮久不瘥。瘥而复发。骨从孔中出。名为骨疽。
穿地作坑。口小里大深二尺。取干鸡屎二升。以艾及荆叶捣碎。和鸡屎令可。燃火坑中
烧之。令烟出。内疽于坑中熏之。以衣覆坑口。勿泄气。半日当有虫出。
治附骨疽（出千金方）
用槲皮烧末饮服方寸匕。槲叶亦可。
又方（出千金方）
用新剥鼠皮如钱孔大。贴肿上。即脓出。已溃者取猪脊上脂贴之。
抵圣散（王氏博济方）治骨疽疮。及冷漏久不合者。
滴乳香 腻粉 白矾（各等分烧存性） 上为细末。每遇患时。先以盐水洗之。以津唾
调
疮上必愈。
治附骨疽蚀等疮（本草）
以KT 螳烧为末。和腊月猪脂。敷之。
治骨癞病及 \x（本草）
以牛膝为末。酒服方寸匕。日三。
（附论）
石疽与石痈的证候相同，但比石痈病位更深。这是由于寒邪客于经络，导致气血结聚而不能消散，隐伏在皮肤之内。重按时感觉像石头一样坚硬，所以称为石疽。痈和疽通常是由热气引起的，现在以寒气为根本，所以凝结不化。其毒气内着，结块坚硬如石。治疗应当温通经络，使热气得以通畅，毒气向外宣泄，从而能够腐熟热毒并发散，化为脓血排出。
方剂
沉香散（出自《圣惠方》），治疗石疽肿毒结块坚硬，口干烦热，四肢拘急，无法安卧。
药材：沉香、防风（去叉）、木香（各三分）、地骨皮、麦门冬（去心焙干）、当归（切后焙干）、升麻、玄参、枳壳（去瓤麸炒）、羚羊角屑、独活（去芦头）、甘草（生锉碎）、赤芍药（各一两）、大黄（锉碎炒制二两）。
用法：将上述药物粗捣筛过。每次服用四钱，加水一盏半，煎取七分汁液，去渣滓。不拘时候，温服。
占斯散（出自《圣惠方》），治疗石疽结块坚硬，如果溃坏或已成疽者。
药材：木占斯、浓朴（去粗皮姜汁炙）、生干地黄（焙干）、栝蒌（干者去皮）、败酱、防风（去叉）、桔梗（炒）、人参、细辛（去苗叶，各一两）、桂（去粗皮半两）。
用法：将上述药物研为散剂。每次服用二钱，饭前用温酒送下。
地黄煎（出自《圣济总录》），治疗石疽坚硬不消。
用法：取生地黄净洗三斤，锉碎细研。用布绞取汁液，放入铜器中盛装，隔水加热煮至柳篦搅拌均匀如糖状。装入瓷盒中。每天空腹取一丸如弹子大小，用温酒调服。日午和晚间服用，痊愈为止。
（附论）
附骨疽，是因为无故附着在骨骼上成脓，所以叫附骨疽。它喜欢发生在大的关节缝隙中。成年男子和产妇喜欢发生在髀部（大腿内侧），小儿也常发生在脊背。发病急的大人，先觉得疼痛不能动摇，按压时感到骨头痛。过几天就觉得皮肉逐渐紧绷，红肿肥大像肥胖的样子。小儿只要手靠近患处就大声啼哭，这就是肢节有痛的表现。发病缓的大人，先觉得肌肉烘热感，过几天就觉得疼痛麻痹不能随意活动。小儿四肢不能动摇，也像不能随意活动的样子。查看肢节缝隙中，如果有肌肉烘热的地方，不知道是附骨疽，会导致遍身肿胀但不溃破，身体都有青暗色。大人也有分辨不清的，称之为贼风、风肿，不知道是疽。凡是人体患有热症，当风取凉，风邪进入骨缝中，风热相搏，便形成附骨疽。其症状表现为嗜睡沉重，恍惚耳鸣。又有在秋夏露宿，被寒气折伤，风热伏结而发作此疾。急性的热多风少，慢性的热少风多。小儿不懂得避风冷，为什么会有此疾？这是因为他们血气旺盛肌肉娇嫩，被风邪折伤，导致凝结的缘故。凡初得附骨疽，就必须服用漏芦汤泻下。敷小豆散使其消散，可以服用五香连翘汤。
凡是贼风，其人突然没有发热，中了暴风冷邪，就会骨缝深处疼痛，但不妨碍转动，按压时感到骨头痛。久了就会结聚疼痛，或者结成瘰疬。那附骨疽久了就会肿胀结脓，以此作为区别。如果把治附骨疽当作治贼风，则会增加病情深度，脓液增多。如果把治贼风当作治附骨疽，就会加重风冷，遂成瘰疬、偏枯、挛曲的疾病。治疗的效果，都在于善于辨别始因。如果要辨别附骨疽与贼风的不同：附骨疽开始，未肿胀只是疼痛；贼风只是痛而不热；附骨疽则上部壮热，四肢忽冷忽热，小便赤，大便涩而无汗。如果使用泻下法退热，开发腠理，就能消散。即使不能完全消散，也能变得浮浅近外。凡是贼风，只有夜间疼痛，骨头不可按压，仰卧不能回转，痛处不壮热，也不忽冷忽热，多觉得身体索索然发冷，想要热敷痛处才稍宽舒，时常有汗出，这是贼风的症状。适宜针灸、熨烫、爆灸及服用各种治风药即可痊愈。
有久痈余疮，败坏成为深疽的，在小腿胫间喜欢生疮，沾水恶露冻伤不愈，经年形成骨疽，也称为胫疮。深烂呈青黑色，四周坚强，中央脓血汁流出，百药不愈。汁液溃烂好肉处皆虚肿，也有碎骨排出的。可用温赤龙皮汤浸泡。夏天每日清洗，冬天每四天清洗一次。青色腐肉多时敷白茹散，去除恶肉，可三天敷一次停止。后来长期敷家猪屎散直到痊愈。取猪屎烧灰，研末如粉，填入疮中令满，白汁流出吸去，随即再敷，直到痊愈。如果再生青色腐肉，再次按前述方法敷白茹散。家猪屎散取平复。凡是骨疽百疗不愈的，可在疮上依次灸之，三日三夜即可痊愈。如果疮不愈，愈后复发，骨从疮中排出，名为骨疽。取鲜乌雌鸡两只，去肉取骨，熬焦如炭。取三家牛膝刮取屑，三家蒸笼竹算各一两，都烧成灰，合在一起做导药。疮中的碎骨应当排出数片即愈。
附骨疽与白虎病、飞尸病、沥节风都相似。沥节风则走注不定，白虎病和飞尸病痛位浅，按压就停止。附骨疽痛位深，按压无益。一说白虎病和飞尸病也能作脓附着在骨上生长，等到腐溃，碎骨排尽才愈。如果是这样，那么附骨疽与白虎飞尸是一种病，只是深浅不同罢了。白虎飞尸又俗名风煞，但痛位浅，附骨疽很少有骨排出的。应当拔除毒热，不可一味拘泥于五香连翘、漏芦之类。应当先温补肾，如灵宝膏及神药。只存留针烙，根据浅深刺拔其毒根则容易痊愈。不然，则顺脉流走，遍体洪肿，突然致死无法救治。
治疗附骨疽宜用热药去毒，又当温肾，不可专用凉剂。如果在针烙治疗该病，务必详察浅深，刺拔其毒根，则容易痊愈。不然，则顺脉流走，遍体洪肿，突然致死无法救治。至于患病之时，有时对应外证。未溃破以前发渴，是脏腑焦燥，利下则是引饮无度。已溃破而渴，则是脓血去多，津液中干。或者腹肠胃暴虚，遂成下利。体虚受寒，则咳嗽声不息。气逆挟热，则痰盛于胸。热毒不泄，导致二便秘塞。毒瓦斯迫心，导致呕哕惊悸。阴阳交争，血气不和，寒热并作，脏腑伤败，便血逆出。毒瓦斯攻外，烦躁异常。必须用大方料药，同治方可。
方剂
牛黄散（出自《圣惠方》），治疗附骨疽及一切恶疮，适宜插入药条。
药材：牛黄（细研）、麝香（细研）、木香、丁香、香子、乳香（细研）、朱砂（细研）、雄黄、黄柏（锉碎）、苦参（锉碎）、腻粉（各一分）。
用法：研为细散，加入已研好的药，共同研磨均匀。剪单纸条子，看疮眼大小，每一条纸用药末一字，捻药末在纸条子内，插入疮中。不计远近，如果药无力，纸条子自然退出，就按前面方法再用药末做纸插入。等待纸插入渐短，直到完全痊愈为止。如果患恶疮，不计在何处，看疮眼大小，都用插入法，不计个数，以痊愈为止。
连翘汤（出自《圣济总录》），治疗附骨疽。
药材：连翘、射干、升麻、防己、黄芩（去黑心）、大黄（锉炒）、甘草（炙）、芍药、杏仁（汤浸去皮尖双仁，各一两）、柴胡（去苗三两）。
用法：粗捣筛。每次服用五钱，加水一盏半，煎至七分，入芒硝一钱，去渣滓，空腹服。
漏芦汤（出自《圣济总录》），治疗附骨疽。
药材：漏芦（去芦头）、升麻、连翘、麻黄（去根节，各一两）、大黄（锉炒一两半）、防己、木香、白蔹、沉香（各二分）。
用法：粗捣筛。每次服用五钱，加水一盏半，煎入竹叶七片至八分，再入芒硝一钱，搅匀去渣滓，空腹温服。取利二三行，未利再服。
赤术散（出自《危氏方》），治疗附骨疽脓出淋沥，久而不愈。已破未破皆可。
药材：赤术（一斤米泔浸三宿取出洗净晒干再以大麻腐汁浸术止余二寸许入川椒二十一粒葱皂根煮黑油出洗净焙干称）、破故纸（炒）、川楝（锉炒）、茯苓、舶上茴香（炒）、杜茴香、白芷、桃仁（去皮麸炒，各半斤）。
用法：研为末，炼蜜丸如桐子大。每次服用五十丸，酒盐温汤送下。一方老人加黑附子。
天灵盖散（出自《圣惠方》），治疗附骨疽肿痛有脓，久而不愈。
药材：天灵盖（一两烧灰）、狗骨头（半两烧灰）、麝香（一钱细研）、黄连（一分去须）、黄柏（一分）、白矾（半两烧令斗尽）。
用法：研为细散，入麝香令匀。每次先用甘草汤洗患处，拭干，用生油调涂之。
天南星散（出自《圣济总录》），治疗附骨疽。
药材：天南星（炮）、附子（炮制去皮脐）、黄柏（去粗皮，各半两）、铅丹（研一分）、麝香（研半分）。
用法：除附子、麝香、铅丹外，捣筛为末，入二味和匀，干敷疮上，每日三次。
麒麟竭散（出自《圣济总录》），治疗附骨疽，涂敷。
药材：麒麟竭、槟榔（锉）、黄连（去须）、马肠根（各一两）。
用法：研为散。先用油炒葱豉，入腻粉半两，和捣捻作饼子二片。用盐浆水洗疮，用饼拓疮上，以生帛缚定。三天后再用盐汤洗，即涂敷散子，每日三次。
应痛丸（出自《外科精要》），治疗走注疼痛，疑是附骨疽者。
药材：苍术（去皮）、当归、草乌头（炮）、黑牵牛（各一两）。
用法：研为细末，用醋糊为丸，如小豆大。每次服用三十丸，空腹醋汤下。
乱发汤（出自《圣济总录》），治疗附骨洗方。
药材：乱发灰（半两）、杏（捶碎二十一枚）、甘草（锉五寸）、盐花（半两）。
用法：以浆水五升，煎至二升，滤去渣滓，通手洗疽。上有脓血，洗取净后，以绢缚定，每日两三遍洗妙。
天灵盖散（出自《圣济总录》），治疗附骨疽疮及阴疮，久不愈涂敷方。
药材：天灵盖（酥炙一两）、狗骨（烧灰一两半）、白矾（烧灰一两半）、麝香（研一钱）。
用法：研为散，干敷疮口，日三次。
皂荚膏（出自《圣惠方》），治疗附骨疽肿。
药材：皂荚（十挺肥实无蛀者捶碎）、吴茱萸（二两末）、杏仁（二两汤泡去皮尖研如泥）、水银（一两以枣瓤同研令星尽）。
用法：以上药以头醋三升，煎皂荚取一升五合，滤去渣，下茱萸、杏仁，以文火煎成膏。根据次下水银和匀，致不津器中，于故帛上涂，贴患处。
多年油脚（一两）、麝香（一钱细研）、猪骨髓（一两）。上都研为膏，涂于疮上。
龙骨粉膏（一名蟾蜍膏，出自《千金方》），治疗久疮痈败坏成骨疽，或骨从疮孔出。以龙骨粉敷疮四面，厚二分，以膏着疮中，日二易。虫出如发，尽愈。膏方如下。
药材：大虾蟆（一枚自死者）、乱发（一块鸡子大）、猪脂（一斤）。
用法：取二味内脂中，煎略消尽。下待冷，更内盐一合搅匀，充前用之。一方先以桑白皮、乌头煎汤淋洗，拭干后，用药贴。
败酱汤（出自《圣济总录》），治疗附骨疽。
药材：败酱（二两）、大黄（锉炒二两）、桃仁（二两）。
用法：粗捣筛。每次服用五钱，先取皂荚刺一两，锉碎，以水二盏，煎至一盏半，漉出下药，及朴硝一钱，同煎至八分，去渣，空腹温服。
麝香散（出自《圣济总录》），治疗附骨疽久不愈。
药材：麝香（研一分）、麒麟竭、密陀僧（各一两）。
用法：研为散。先用盐汤洗疮拭干，取活鳝鱼一条，锉碎研，拓疮上宿，明旦揭看，有虫即去，再拭干涂敷散子，日三。
乌鸡散（出自《圣惠方》），治疗附骨疽久不愈，骨从疮口出。
药材：乌雌鸡骨（烧灰）、牛膝（刮烧灰三家者）、炊单（烧灰三家者，各一两）。
用法：合和研细，敷疮上，日三五度，碎骨出愈。
又方（出自《圣济总录》），治疗附骨疽积年发脓，骨出不愈。
药材：黄丹（细研）、腻粉（研，各三钱）、鸡子（三枚煮熟去白用黄）。
用法：上将鸡子黄于铫子内，以慢火炒令黑，候自然为膏。于盏内入黄丹、腻粉和匀。用时先以米泔煎汤洗患处，拭干，用药敷之。
治附骨疽，及鱼眼疮。（出自《圣惠方》）
药材：乱发灰（一两）、腻粉（二钱）、杏仁（五十枚烧令灰）。
用法：同上研细，入油二合，蜡半两煎，搅令匀，入瓷盒盛，净洗，贴之效。
小豆散（出自《圣济总录》），治疗附骨疽内消。
药材：赤小豆（一合）、糯米（炒黑二合）。
用法：研为散，水调如糊，摊故帛上涂贴，干即易。
治附骨疽积年发脓，骨出不愈。（出自《圣惠方》）
药材：白矾（枯别研）、新枸杞子（自然汁）。
用法：上先将枸杞子汁，慢火熬成膏，后入白矾团合坚实，阴干，捣罗为末。每用时以甘草水洗之，拭干，先唾涂疮上，次用药末周匝敷之。
治附骨疽及冷漏，一切恶疮等。（一名蜣螂丸，出自《圣惠方》）
药材：蜣螂（烧灰一两）、巴豆（半两去皮心研纸裹压去油）。
用法：研为细散，用敷疮上，旦换之。多时患者，不过三上效。一方用津调入孔中。
治疮久不愈，愈而复发，骨从孔中出者，名为骨疽。（出自《千金方》）
用法：用密陀僧为末，以猪脊骨髓调敷之。兼治痔漏不愈。
秦艽散（出自《圣济总录》），治疗附骨疽久不愈，或愈，年岁再发。
用法：用秦艽去苗土，捣罗为散，涂敷疮上，以帛缚定，日二三次。
牛胶散（出自《圣济总录》），治疗附骨疽，积年发脓，骨出不愈。
用法：用水牛皮胶炙焦，细研为散，涂敷疮上，用生鲫鱼破开，外面贴定。时看有小虫出，更以盐汤洗，敷上药，再加鱼贴。虫行尽，更敷药。
黑鲫膏（出自《千金方》），治疗附骨疽未破，或脓出不尽，并久疽不愈。
用法：用黑色鲫鱼一个，去肠，入白盐令腹满，用绵缚定，以水二盏，内铜石器中煮，水尽干焦为末，用猪油调敷。已破者干糁，小疼无怪。
治附骨疽及鱼眼疮（出自《圣惠方》）
用法：以蜣螂七枚，和大麦面烂捣，封之。
又方（出自《圣惠方》）
用法：用蜣螂干者为末，以乌鸡脂涂疮口上，以散敷之。
又方（出自《圣惠方》）
用法：用猪骨头烧烟，熏之。
治疮久不愈，愈而复发，骨从孔中出，名为骨疽。
用法：穿地作坑，口小里大深二尺，取干鸡屎二升，以艾及荆叶捣碎，和鸡屎令可，燃火坑中烧之，令烟出，内疽于坑中熏之，以衣覆坑口，勿泄气。半日当有虫出。
治附骨疽（出自《千金方》）
用法：用槲皮烧末饮服方寸匕。槲叶亦可。
又方（出自《千金方》）
用法：用新剥鼠皮如钱孔大，贴肿上，即脓出。已溃者取猪脊上脂贴之。
抵圣散（王氏博济方），治疗骨疽疮，及冷漏久不合者。
药材：滴乳香、腻粉、白矾（各等分烧存性）。
用法：研为细末。每遇患时，先以盐水洗之，以津唾调疮上必愈。
(Attached Discussion)
The syndrome of Stone Abscess (Shiju) is identical to that of Stone Carbuncle (Shiyong), but the former is deeper. It occurs when cold pathogens invade the meridians, causing Qi and Blood to aggregate and fail to dissipate, hiding within the skin. Upon heavy pressure, it feels hard as stone, hence the name Stone Abscess. Carbuncles and abscesses are generally caused by heat pathogens; however, in this case, cold is the root cause, leading to coagulation without transformation. The toxicity adheres internally, forming a hard mass like stone. Treatment should focus on warming and unblocking the meridians, allowing heat Qi to flow freely and toxicity to vent externally, thereby rotting the heat toxin, dispersing it, and transforming it into pus and blood for discharge.
Formulas
Chenxiang San (Sinking Wood Powder) [from *Shenghui Fang*]: Treats Stone Abscess with swollen toxins, hardened masses, dry mouth, irritability and heat, limb stiffness and urgency, and inability to lie down.
Ingredients: Chen Xiang (Aquilariae Lignum Resinatum), Fang Feng (Saposhnikoviae Radix, prepared), Mu Xiang (Aucklandiae Radix, each 3 fen), Di Gu Pi (Lycii Cortex), Mai Men Dong (Ophiopogonis Radix, prepared), Dang Gui (Angelicae Sinensis Radix, prepared), Sheng Ma (Bupleuri Radix), Xuan Shen (Scrophulariae Radix), Zhi Ke (Aurantii Fructus Pericarpium, stir-fried with bran), Ling Yang Jiao (Saiga Tataricae Cornu), Du Huo (Angelicae Pubescentis Radix, prepared), Gan Cao (Glycyrrhizae Radix et Rhizoma, raw), Chi Shao Yao (Paeoniae Radix Rubra, each 1 liang), Da Huang (Rhei Radix et Rhizoma, processed, 2 liang).
Usage: Coarsely grind and sieve. Take 4 qian per dose, add 1.5 sheng of water, decoct to obtain 0.7 sheng. Strain and take warm at any time.
Zhan Si San (Stemonae Radix Powder) [from *Shenghui Fang*]: Treats Stone Abscess with hard nodules, especially if ulcerated or formed into an abscess.
Ingredients: Mu Zhan Si (Stemonae Radix), Hou Po (Magnoliae Officinalis Cortex, ginger-juice processed), Sheng Di Huang (Rehmanniae Radix, dried), Gua Lou (Trichosanthis Fructus, dried, peeled), Bai Jiang Cao (Patriniae Herba), Fang Feng (Saposhnikoviae Radix, prepared), Jie Geng (Platycodonis Radix, stir-fried), Ren Shen (Ginseng Radix), Xi Xin (Asari Radix et Rhizoma, prepared), Gui (Cinnamomi Ramulus, prepared, 0.5 liang).
Usage: Grind into powder. Take 2 qian per dose before meals, washed down with warm wine.
Dihuang Jian (Rehmannia Paste) [from *Shengji Zonglu*]: Treats Stone Abscess with hardness that does not resolve.
Usage: Take 3 jin of fresh Rehmannia Root (Sheng Di Huang), wash clean, chop finely and grind. Squeeze out the juice using cloth. Place in a copper vessel and boil over a double boiler, stirring evenly with a willow whisk until it resembles sugar. Store in a porcelain box. Take one pill the size of a bullet on an empty stomach daily, mixed with warm wine. Take at noon and evening until cured.
(Attached Discussion)
Bone Abscess (Fugu Ju) gets its name because pus forms attached to the bone without apparent cause. It tends to occur in large joints. In adult men and postpartum women, it often affects the thigh (Bi); in children, it often affects the spine. In acute cases in adults, pain is felt first, preventing movement; pressing elicits bone pain. After a few days, the skin and flesh become tight, swollen, and fat-like. Children cry loudly when touched near the area, indicating joint pain. In chronic cases in adults, a burning sensation in the muscles is felt first, followed by painful numbness and immobility after a few days. Children's limbs cannot move, appearing similar to paralysis. If there is a burning sensation in the joint spaces, it may be mistaken for Bone Abscess, leading to generalized swelling without ulceration and a bluish-dark complexion. Adults may also confuse it with "Thief Wind" (Zeifeng) or "Wind Swelling," not realizing it is an abscess. Generally, when the body has heat and seeks coolness in the wind, wind enters the bone fissures. Wind and heat struggle, forming Bone Abscess. Symptoms include drowsiness, heaviness, and sudden tinnitus. Exposure to cold while sleeping outdoors in autumn or summer can also cause this disease due to trapped wind-heat. Acute cases have more heat and less wind; chronic cases have less heat and more wind. Why do children get this? Their blood is abundant and muscles tender, so wind injury causes coagulation. Initially, take Loulu Tang to purge. Apply Xiaodou San to reduce swelling. Wuxiang Lianqiao Tang can be taken.
Regarding Thief Wind (Zeifeng): The patient suddenly has no fever but suffers from sudden exposure to cold wind, causing deep bone pain without restricting movement. Pressing causes bone pain. Over time, it forms painful nodules or scrofula (Luoli). Bone Abscess, however, eventually swells and suppurates, which distinguishes it. Treating Bone Abscess as Thief Wind worsens the condition and increases pus. Treating Thief Wind as Bone Abscess exacerbates wind-cold, leading to scrofula, hemiplegia, and contractures. Accurate diagnosis at the onset is crucial. Differentiation: Bone Abscess starts with pain before swelling; Thief Wind is painful but not hot. Bone Abscess features high fever, alternating chills and heat in limbs, red urine, constipation, and anhidrosis. Purging heat and opening pores can resolve it. Even if not fully resolved, it becomes superficial. Thief Wind causes night pain, extreme tenderness to touch, inability to turn over, no high fever or alternating chills, feeling cold and shivering, slight relief with heat application, and occasional sweating. It responds to acupuncture, moxibustion, heat therapy, and wind-dispelling herbs.
Deep abscesses resulting from old ulcers often appear on the shins (Jing), worsening with water exposure and cold, becoming bone abscesses (Gu Ju) over years. They are dark green/black, hard around the edges, with purulent discharge in the center, resistant to treatment. The surrounding healthy tissue swells vacuously, and bone fragments may be expelled. Soak in Wen Chilong Pi Tang. Wash daily in summer, every four days in winter. Apply Bai Ru San for necrotic tissue; apply every three days. Long-term application of Jia Zhushi San cures it. Make a paste from burned pig manure powder and fill the wound. Suck away white discharge and reapply until healed. If necrotic tissue returns, use Bai Ru San again. For stubborn bone abscesses, moxa application on the wound for three days and nights cures it. If bones protrude from recurrent ulcers, it is called Bone Abscess. Burn two fresh female black chickens, keep the bones, char them, and mix with scraped stems from three families' oxen and bamboo steamers from three families (burned to ash). Use as a suppository/paste; bone fragments should expel.
Bone Abscess resembles White Tiger Disease (Baihu), Flying Corpse Disease (Feishi), and Dripping Joint Wind (Lijie Feng). Dripping Joint Wind migrates unpredictably; White Tiger and Flying Corpse diseases have shallow pain relieved by pressure. Bone Abscess has deep pain unaffected by pressure. Some say White Tiger and Flying Corpse diseases also form pus on bones and heal only after bone fragments expel. If so, they are the same disease differing only in depth. White Tiger/Flying Corpse (vulgarly "Wind Sha") has shallow pain; Bone Abscess rarely expels bone. Clear heat-toxin; do not rely solely on Wuxiang Lianqiao or Loulu formulas. First warm the Kidney (Shen), e.g., Lingbao Gao or Shenyao. Only then use needle/cautery based on depth to extract the toxin root. Otherwise, toxins spread via meridians, causing generalized edema and sudden death.
Treatment requires heat-warming to dispel toxins and warm the Kidneys; avoid pure cooling agents. When using needle/cautery, determine depth to extract the toxin root. Otherwise, toxins spread, causing generalized edema and death. During illness, symptoms vary: thirst before ulceration indicates organ dryness; excessive drinking during diarrhea indicates fluid loss; thirst after ulceration indicates fluid depletion from pus/blood loss. Sudden spleen/stomach deficiency causes diarrhea. Cold invasion causes cough. Qi rebellion with heat causes chest phlegm. Unvented heat-toxin causes constipation. Toxic fumes attacking the heart cause vomiting, hiccups, palpitations. Yin-Yang conflict and Qi-Blood disharmony cause alternating chills/fever, organ damage, bloody regurgitation. External toxin attack causes extreme restlessness. Large-dose multi-herb formulas are needed.
Formulas
Niuhuang San (Calculus Bovis Powder) [from *Shenghui Fang*]: Treats Bone Abscess and all malignant ulcers; suitable for inserting medicinal strips.
Ingredients: Niu Huang (Calculus Bovis), She Xiang (Moschus), Mu Xiang (Aucklandiae Radix), Ding Xiang (Caryophylli Flos), Xiang Zi (Elettaria Cardamomum Seed), Ru Xiang (Olibanum), Zhu Sha (Cinnabaris), Xiong Huang (Realgar), Huang Bo (Phellodendri Cortex), Ku Shen (Sophorae Flavescentis Radix), Ni Fen (Calomel, each 1 fen).
Usage: Grind into fine powder, mix well. Cut single-ply paper strips according to wound size. Place a small amount of powder on each strip, roll into a plug, and insert into the wound. Remove if ineffective and replace. Continue until healed. For malignant ulcers anywhere, use plugs until healed.
Lianqiao Tang (Forsythia Decoction) [from *Shengji Zonglu*]: Treats Bone Abscess.
Ingredients: Lian Qiao (Forsythiae Fructus), She Gan (Belamcandae Radix), Sheng Ma (Bupleuri Radix), Fang Ji (Stephaniae Tetrandrae Radix), Huang Qin (Scutellariae Radix), Da Huang (Rhei Radix et Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried), Shao Yao (Paeoniae Radix), Xing Ren (Armeniacae Semen Amarum), Chai Hu (Bupleuri Radix, 3 liang).
Usage: Coarsely grind. Take 5 qian, add 1.5 sheng water, decoct to 0.7 sheng. Add Mang Xiao (Natrii Sulfas, 1 qian), strain, and take on an empty stomach.
Loulu Tang (Rhapontici Radix Decoction) [from *Shengji Zonglu*]: Treats Bone Abscess.
Ingredients: Lou Lu (Rhapontici Radix), Sheng Ma (Bupleuri Radix), Lian Qiao (Forsythiae Fructus), Ma Huang (Ephedrae Herba, 1 liang), Da Huang (Rhei Radix et Rhizoma, 1.5 liang), Fang Ji (Stephaniae Tetrandrae Radix), Mu Xiang (Aucklandiae Radix), Bai Lian (Ampelopsis Radix), Chen Xiang (Aquilariae Lignum Resinatum, 2 fen).
Usage: Coarsely grind. Take 5 qian, add 1.5 sheng water and 7-8 bamboo leaves, decoct to 0.8 sheng. Add Mang Xiao (Natrii Sulfas, 1 qian), mix, strain, and take warm on an empty stomach. Aim for 2-3 bowel movements; repeat if necessary.
Chizhu San (Atractylodis Macrocephalae Powder) [from *Wei Shi Fang*]: Treats draining pus from Bone Abscess that persists. Applicable whether ulcerated or not.
Ingredients: Chi Zhu (Atractylodis Macrocephalae Rhizoma, processed extensively), Po Gu Zhi (Psoraleae Fructus), Chuan Lian Zi (Toosendan Fructus), Fu Ling (Poria), Bo Shang Hui Xiang (Foeniculi Fructus), Du Hui Xiang (Anethi Fructus), Bai Zhi (Angelicae Dahuricae Radix), Tao Ren (Persicae Semen, half jin each).
Usage: Grind into powder, make pills with honey the size of wisteria seeds. Take 50 pills with warm salted wine. An alternative adds Hei Fu Zi (Aconiti Lateralis Radix Preparata) for the elderly.
Tianlinggai San (Human Skull Caput Powder) [from *Shenghui Fang*]: Treats swollen, painful, suppurating Bone Abscess persisting for a long time.
Ingredients: Tian Ling Gai (Cranii Humanis Calvaria, 1 liang, burned to ash), Gou Gu Tou (Canis Os, 0.5 liang, burned to ash), She Xiang (Moschus, 1 qian, ground), Huang Lian (Coptidis Rhizoma, 1 fen), Huang Bo (Phellodendri Cortex, 1 fen), Bai Fan (Alumen, 0.5 liang, burned).
Usage: Grind into fine powder, mix with musk. Wash with Licorice decoction, dry, and apply mixed with raw sesame oil.
Tiannanxing San (Arisaematis Rhizoma Powder) [from *Shengji Zonglu*]: Treats Bone Abscess.
Ingredients: Tian Nan Xing (Arisaematis Rhizoma, processed), Fu Zi (Aconiti Lateralis Radix Preparata, processed), Huang Bo (Phellodendri Cortex, 0.5 liang each), Qian Dan (Minii Oxidum Rubrum, 1 fen), She Xiang (Moschus, 0.5 fen).
Usage: Grind Aconite, Muskmelon, and Minium into powder separately. Mix with Arisaema and Phellodendrum powders. Apply dry to the wound three times daily.
Qilinjie San (Dragon's Blood Powder) [from *Shengji Zonglu*]: Treats Bone Abscess; for external application.
Ingredients: Qi Lin Jie (Santalum Rubrum), Bing Lang (Arecae Semen), Huang Lian (Coptidis Rhizoma), Ma Chang Gen (unknown root, 1 liang each).
Usage: Grind into powder. Stir-fry Scallion and Fermented Soybean in oil, add Calomel (0.5 liang), knead into two cakes. Wash wound with salt water, place cake on wound, bind with cloth. After three days, wash with salt water and apply powder three times daily.
Yingtong Wan (Pain-Relieving Pill) [from *Waike Jingyao*]: Treats migrating pain, suspected Bone Abscess.
Ingredients: Cang Zhu (Atractylodis Rhizoma), Dang Gui (Angelicae Sinensis Radix), Cao Wu Tou (Aconiti Radix Preparata), Hei Qian Niu (Semen Phaseoli Volubilis, 1 liang each).
Usage: Grind into powder, make pills with vinegar paste the size of mung beans. Take 30 pills with vinegar water on an empty stomach.
Luanfa Tang (Hair Decoction) [from *Shengji Zonglu*]: Washing formula for Bone Abscess.
Ingredients: Luan Fa Hui (Burned Hair Ash, 0.5 liang), Xing Ren (Armeniacae Semen, 21 crushed), Gan Cao (Glycyrrhizae Radix et Rhizoma, 5 cun cut), Yan Hua (Halitum, 0.5 liang).
Usage: Decoct in grain water (5 sheng) to 2 sheng. Strain. Wash wound with warm solution. Bind with silk. Wash 2-3 times daily.
Tianlinggai San (Human Skull Caput Powder) [from *Shengji Zonglu*]: For Bone Abscess ulcers and yin ulcers persisting long term.
Ingredients: Tian Ling Gai (Cranii Humanis Calvaria,酥-roasted, 1 liang), Gou Gu (Canis Os, burned to ash, 1.5 liang), Bai Fan (Alumen, burned to ash, 1.5 liang), She Xiang (Moschus, 1 qian).
Usage: Grind into powder. Apply dry to the wound three times daily.
Zaojia Gao (Gleditsiae Sinensis Paste) [from *Shenghui Fang*]: Treats Bone Abscess swelling.
Ingredients: Zao Jia (Gleditsiae Fructus, 10 thick pods), Wu Zhu Yu (Evodiae Fructus, 2 liang powder), Xing Ren (Armeniacae Semen, 2 liang, peeled), Shui Yin (Hydrargyrum, 1 liang, ground with jujube pulp until stars disappear).
Usage: Decoct Zao Jia in 3 sheng of aged vinegar to 1.5 sheng. Strain. Add Wu Zhu Yu and Xing Ren. Simmer to paste consistency. Mix in Hydrargyrum. Store in non-leaking vessel. Apply to cloth and patch affected area.
Duonian You Jiao (Old Greasy Foot?, 1 liang), She Xiang (Moschus, 1 qian), Zhu Gu Sui (Porci Medulla, 1 liang). Grind into paste and apply to wound.
Longgu Fen Gao (Dragon Bone Powder Paste, aka Chan Chu Gao, from *Qianjin Fang*): Treats chronic ulcers/carbuncles degenerating into bone abscess, or bone protruding from wounds. Apply Dragon Bone powder around the wound (thickness 2 fen), apply paste inside. Change twice daily. Worms like hair will emerge; cure follows.
Formula: Da Xia Ma (Bufo Toad, self-deceased, 1 piece), Luan Fa (Tangled Hair, egg-sized), Zhu Zhi (Porcine Fat, 1 jin).
Usage: Simmer hair and toad in fat until melted. Cool slightly, add Salt (1 he), mix. Apply. Alternative: Wash with Mulberry Bark and Aconite decoction first, dry, then apply.
Baijiang Tang (Patrinia Decoction) [from *Shengji Zonglu*]: Treats Bone Abscess.
Ingredients: Bai Jiang Cao (Patriniae Herba, 2 liang), Da Huang (Rhei Radix et Rhizoma, 2 liang), Tao Ren (Persicae Semen, 2 liang).
Usage: Coarsely grind. Take 5 qian. Pre-decoct Zao Jia Ci (Gleditsiae Spina, 1 liang) in 2 sheng water to 1.5 sheng. Strain, add main herbs and Po Xiao (Mirabilitum, 1 qian). Decoct to 0.8 sheng. Strain and take warm on empty stomach.
She Xiang San (Moschus Powder) [from *Shengji Zonglu*]: Treats persistent Bone Abscess.
Ingredients: She Xiang (Moschus, 1 fen), Qi Lin Jie (Santalum Rubrum), Mi Tuo Seng (Lithargyrum, 1 liang each).
Usage: Grind into powder. Wash wound with salt water, dry. Crush live Eel (1 piece), apply to wound overnight. Remove in morning, discard worms if present, dry, and apply powder three times daily.
Wuji San (Black Chicken Powder) [from *Shenghui Fang*]: Treats persistent Bone Abscess with bone protrusion.
Ingredients: Wu Ci Ji Gu (Os Gallinae Nigrae, burned to ash), Niu Xi (Achyranthis Bidentatae Radix, scraped and burned from three families), Chui Dan (Cooking Mat?, burned from three families, 1 liang each).
Usage: Mix and grind finely. Apply to wound 3-5 times daily. Bone fragments should expel.
Another Formula [from *Shengji Zonglu*]: Treats chronic suppurating Bone Abscess with bone protrusion.
Ingredients: Huang Dan (Minii Oxidum Rubrum, fine powder), Ni Fen (Calomel, 3 qian each), Ji Zi (Galli Ovum, 3 cooked yolks).
Usage: Fry egg yolks slowly until black/oily. Mix with Minium and Calomel. Wash wound with rice water, dry, and apply.
Treating Bone Abscess and Fish Eye Ulcer [from *Shenghui Fang*]:
Ingredients: Luan Fa Hui (Burned Hair Ash, 1 liang), Ni Fen (Calomel, 2 qian), Xing Ren (Armeniacae Semen, 50 burned to ash).
Usage: Grind fine, add 2 he oil and 0.5 liang wax, melt and mix. Store in porcelain. Clean wound and apply.
Xiaodou San (Vigna Radiata Powder) [from *Shengji Zonglu*]: Treats internal resolution of Bone Abscess.
Ingredients: Chi Xiao Dou (Vigna Angularis, 1 he), Nuomi (Glutinous Rice, roasted black, 2 he).
Usage: Grind into powder, mix with water to paste. Spread on old cloth and apply. Change when dry.
Treating chronic suppurating Bone Abscess with bone protrusion [from *Shenghui Fang*]:
Ingredients: Bai Fan (Alumen, calcined), Xin Gou Qi Zi (Lycii Fructus, fresh juice).
Usage: Simmer Goji juice to paste. Mix with calcined Alum, form pills, dry. Wash wound with Licorice water, dry, spit on wound, then apply powder around it.
Treating Bone Abscess and Cold Leakage, all malignant ulcers [aka Qiang Lang Wan, from *Shenghui Fang*]:
Ingredients: Qiang Lang (Scarabaeus, 1 liang, burned), Ba Dou (Crotonis Fructus, 0.5 liang, peeled, pressed to remove oil).
Usage: Grind fine, apply to wound, change in morning. Effective within 3 applications. Alternatively, mix with saliva and insert into hole.
Treating chronic non-healing ulcers recurring with bone protrusion, named Bone Abscess [from *Qianjin Fang*]:
Usage: Lithargyrum powder mixed with Porcine Spinal Marrow applied to wound. Also treats fistula.
Qinjiao San (Gentianae Macrophyllae Radix Powder) [from *Shengji Zonglu*]: Treats persistent or recurring Bone Abscess.
Usage: Remove roots/dirt from Gentian, grind to powder. Apply to wound, bind with cloth, 2-3 times daily.
Niu Jiao San (Ox Horn Glue Powder) [from *Shengji Zonglu*]: Treats chronic suppurating Bone Abscess with bone protrusion.
Usage: Roast Ox Horn Glue until charred, grind to powder. Apply to wound. Apply raw crucian carp split open externally. Check for worms, wash with salt water, reapply medicine and fish. Repeat until worms cease.
Heiji Gao (Black Crucian Carp Paste) [from *Qianjin Fang*]: Treats unruptured Bone Abscess, incomplete suppuration, or chronic abscess.
Usage: Black crucian carp (1), gutted, stuffed with salt, bound. Boil in 2 sheng water in copper/ceramic pot until dry and charred. Grind, mix with Pig Oil. Apply wet. For ruptured, apply dry powder. Mild pain is normal.
Formula for progressing Marrow Abscess with lethargy:
Usage: Oyster Shell (Mu Li) and Alisma (Ze Xie).
Treating Bone Abscess and Fish Eye Ulcer [from *Shenghui Fang*]:
Usage: Scarab beetles (7) mashed with barley flour, applied as poultice.
Another Formula [from *Shenghui Fang*]:
Usage: Dried scarab beetle powder mixed with Black Chicken Fat, applied to wound.
Another Formula [from *Shenghui Fang*]:
Usage: Smoke from burned pig bones fumigate the wound.
Treating chronic non-healing ulcers recurring with bone protrusion, named Bone Abscess:
Usage: Dig a pit (small mouth, wide bottom, 2 chi deep). Put 2 sheng dry chicken manure, mugwort, and thistle leaves. Ignite to produce smoke. Place wound in pit, cover with clothes to trap smoke. Worms should emerge in half a day.
Treating Bone Abscess [from *Qianjin Fang*]:
Usage: Drink Oak Bark (Hu Pi) powder (1 cun bi). Leaves also work.
Another Formula [from *Qianjin Fang*]:
Usage: Apply freshly skinned rat skin (coin-sized) to swelling to induce pus. For open wounds, apply Porcine Back Fat.
Disengaging Holy Powder (Di Sheng San) [from *Wangshi Boji Fang*]: Treats bone abscess ulcers and chronic cold leakage.
Ingredients: Di Ru Xiang (Frankincense), Ni Fen (Calomel), Bai Fan (Alumen, equal parts, calcined).
Usage: Grind fine. Wash with salt water before use. Apply with saliva.
Treating Bone Abscess Erosion Ulcers [from *Bencao*]:
Usage: Mantis Egg Case (Tanglangke) burned to powder, mixed with December Pig Fat, applied.
Treating Bone Leprosy and \x [from *Bencao*]:
Usage: Achyranthes Root (Niu Xi) powder, taken with wine (1 cun bi), three times daily.