妇人乳痈∶皂角刺（烧存性）一两，蚌粉一钱，和研。每服一钱，温酒下。（《直指方》）。
乳汁结毒，产后乳汁不泄，结毒者。皂角刺、蔓荆子各（烧存性）等分为末。每温酒服二
钱。（《袖珍方》）。
腹内生疮∶在肠脏不可药治者。取皂角刺不拘多少，好酒一碗，煎至七分，温服。其脓
血悉从小便中出，极效。不饮酒者，水煎亦可。（
疮肿无头∶皂角刺烧灰，酒服三钱。嚼葵子三、五粒。其处如针刺为效。（《儒门事亲》）。
癌瘭恶疮∶皂角刺（烧存性，研），白芨少许，为末，敷之。（《直指方》）。
大风疠疮∶《选奇方》∶用黄柏末、皂角刺灰各三钱，研匀，空心酒服。取下虫物，并不
损人。食白粥两、三日，服补气药数剂。名神效散。如四肢肿，用针刺出水再服。忌一切鱼、
肉、发风之物。取下虫大小长短其色不一，约一、二升，其病乃愈也。（《仁存方》）。
发背不溃∶皂角刺（麦麸炒黄）一两，绵黄 （焙）一两，甘草半两，为末。每服一大
钱，酒一盏，乳香一块，煎七分，去滓温服。（《普济本事方》）
木皮、根皮
【气味】辛，温，无毒。
【主治】风热痰气，杀虫（时珍）。
【附方】新二。
肺风恶疮瘙痒∶用木乳（即皂荚根皮，秋冬采如罗纹者，阴干炙黄）、白蒺藜（炒）、黄
、人参、枳壳（炒）、甘草（炙）等分为末。沸汤每服一钱。（《普济方》）。产后肠脱
用皂角树皮半斤，皂角核一合，川楝树皮半斤，石莲子（炒，去心）一合，为粗末，以水煎
汤，乘热以物围定，坐熏洗之。挹干，便吃补气丸药一服，仰睡。（《妇人良方》）
叶
【主治】入洗风疮渫用（时珍）。
【附录】鬼皂荚 藏器曰∶生江南泽畔。状如皂荚，高一、二尺。作汤浴，去风疮疥癣。
叶，去衣垢，沐发令长
妇女乳痈（乳房急性化脓性感染）：皂角刺（烧至存性，即保留药物部分炭化性质）一两，蚌粉一钱，混合研磨。每次服用一钱，用温酒送服。（出自《直指方》）。
乳汁结毒（产后乳汁淤积形成的硬结或脓肿），指产后乳汁排泄不畅，形成结毒者。皂角刺、蔓荆子各等分（烧至存性），研为细末。每次用温酒服用二钱。（出自《袖珍方》）。
腹内生疮（腹腔内部发生的疮疡）：对于在肠脏部位无法通过常规药物治疗的，取皂角刺不拘多少，用好酒一碗，煎煮至七分量，温服。其脓血全部从小便中排出，效果极佳。不饮酒的人，用水煎煮也可以。（未注明出处）。
疮肿无头（没有脓头的疮疡肿胀）：皂角刺烧成灰，用酒服用三钱。同时咀嚼葵子三到五粒。患处感觉如针刺样疼痛即为见效。（出自《儒门事亲》）。
癌瘭恶疮（恶性溃疡疮疡）：皂角刺（烧至存性，研磨），白芨少许，研为细末，外敷患处。（出自《直指方》）。
大风疠疮（麻风病引起的严重疮疡）：《选奇方》记载：用黄柏末、皂角刺灰各三钱，研磨均匀，空腹时用酒送服。可排出虫物，且不损伤人体。食用白粥两三天后，服用数剂补气药。此方名为神效散。如果四肢肿胀，先用针刺出水后再服用。忌食一切鱼、肉及发风之物。排出的虫体大小长短不一，颜色各异，总量约一、二升，病即可痊愈。（出自《仁存方》）。
发背不溃（背部痈疽久不溃破）：皂角刺（用麦麸炒至黄色）一两，绵黄芪（焙干）一两，甘草半两，研为细末。每次服用一大钱，加酒一盏、乳香一块，煎煮至七分，去渣温服。（出自《普济本事方》）。
木皮、根皮
【气味】辛，温，无毒。
【主治】风热痰气，杀虫（李时珍说）。
【附方】新增二则。
肺风恶疮瘙痒：用木乳（即皂荚根皮，秋冬采集纹理如罗纹者，阴干后炙黄）、白蒺藜（炒）、黄芩、人参、枳壳（炒）、甘草（炙）等分为细末。沸水冲服，每次一钱。（出自《普济方》）。产后子宫脱垂：用皂角树皮半斤，皂角核一合，川楝树皮半斤，石莲子（炒，去心）一合，研为粗末，用水煎汤，趁热用物体围住，坐熏并清洗患处。擦干后，立即服用一剂补气丸药，仰卧休息。（出自《妇人良方》）。
叶
【主治】用于洗涤风疮（出自李时珍说）。
【附录】鬼皂荚 陈藏器说：生长在江南水泽之畔。形状像皂荚，高一、二尺。煮汤洗澡，可去除风疮疥癣。叶子，可去除衣物污垢，洗发可使头发生长。
Women's breast carbuncle (acute suppurative infection of the breast): Zaojiao Ci (Gleditsiae Spina, burned to retain its carbonized nature) 1 liang, Bangfen (Concha Margaritiferae, pearl powder) 1 qian, mixed and ground. Take 1 qian each time, administered with warm wine. (From *Zhizhi Fang*).
Milk stasis toxin (hard lumps or abscesses formed by milk stasis after childbirth), referring to cases where postpartum lactation is obstructed and toxins form. Zaojiao Ci (Gleditsiae Spina) and Manjingzi (Viticis Fructus, equal parts, burned to retain carbonized nature), ground into fine powder. Take 2 qian each time with warm wine. (From *Xiuzhen Fang*).
Internal abdominal sores (ulcers occurring inside the abdominal cavity): For those located in the intestines and viscera that cannot be treated by conventional medicine, take an unspecified amount of Zaojiao Ci (Gleditsiae Spina), add one bowl of good wine, decoct until reduced to 70% volume, and take warm. The pus and blood will all be discharged through urination, which is extremely effective. Those who do not drink alcohol may also use water for decoction. (Source unspecified).
Sores and swellings without heads (ulcerative swellings lacking a visible pus head): Burn Zaojiao Ci (Gleditsiae Spina) to ash, take 3 qian with wine. Simultaneously chew 3 to 5 seeds of Abutilon indicum (Kui Zi). Efficacy is indicated when the affected area feels like needle pricking. (From *Rumen Shiqin*).
Cancerous and malignant ulcers: Zaojiao Ci (Gleditsiae Spina, burned to retain carbonized nature, ground), along with a small amount of Baiji (Bletillae Rhizoma), ground into powder and applied externally. (From *Zhizhi Fang*).
Leprosy sores caused by severe wind pathogen: *Xuanqi Fang* records: Use Huangbai (Phellodendri Cortex) powder and ash of Zaojiao Ci (Gleditsiae Spina), 3 qian each, ground uniformly. Take on an empty stomach with wine. It expels parasites without damaging the human body. After eating white porridge for two to three days, administer several doses of Qi-tonifying herbs. This formula is named Shenxiao San. If limbs are swollen, prick them with needles to release fluid before taking the medicine. Avoid all fish, meat, and wind-inducing foods. The expelled parasites vary in size, length, and color, totaling approximately 1 to 2 sheng; upon their expulsion, the disease is cured. (From *Ren Cun Fang*).
Back carbuncle failing to ulcerate: Zaojiao Ci (Gleditsiae Spina, stir-fried with wheat bran until yellow) 1 liang, Mian Huangqi (Astragali Radix, baked) 1 liang, Gancao (Licorice Root) 0.5 liang, ground into powder. Take one large qian each time, add one cup of wine and a piece of Ruxiang (Olibanum), decoct until reduced to 70%, strain, and take warm. (From *Puji Ben Shi Fang*).
Wood bark and root bark
[Flavor and Nature]: Acrid, Warm, Non-toxic.
[Indications]: Wind-heat phlegm-qi, killing parasites (according to Li Shizhen).
[Attached Formulas]: Two new ones.
Wind-pathogen facial sores with itching: Use Mulau (i.e., root bark of Gleditsia sinensis, harvested in autumn and winter with patterns resembling silk gauze, dried in shade and stir-fried until yellow), Bajieli (Tribuli Fructus, stir-fried), Huangqin (Scutellariae Radix), Renshen (Ginseng Radix et Rhizoma), Zhike (Aurantii Fructus Immaturus, stir-fried), and Gancao (Licorice Root, stir-fried with honey) in equal parts, ground into powder. Take 1 qian each time with boiling water. (From *Puji Fang*). Postpartum uterine prolapse: Use half a jin of Zaojiao tree bark, one he of Zaojiao seeds, half a jin of Chuanlian tree bark, and one he of Shilianzi (Nelumbinis Semen, stir-fried, heart removed), ground into coarse powder. Decoct in water. While hot, surround the body with objects and sit to fumigate and wash the affected area. Dry it, then immediately take one dose of Qi-tonifying pills, and lie on the back to rest. (From *Furen Liangfang*).
Leaves
[Indications]: Used for washing wind-sores (according to Li Shizhen).
[Appendix]: Ghost Gleditsia Chen Cangqi stated: Grows near marshes in Jiangnan. Shape resembles Gleditsia sinensis fruit, one to two chi high. Boiling it for bathing removes wind-sores and scabies. Leaves can remove dirt from clothes and promote hair growth when used for washing hair.