铁箍散（吴丹垣） 阳疮肿疡，根脚散漫。
五倍子（一两，微炒） 生大黄（四钱） 秋芙蓉叶（六钱）
醋一盅入杓内熬滚，投药末搅匀敷患上留顶，以纸盖之，干则以醋扫之。一方
照原方加寒食面五钱。
阴疽以及皮色不变，漫肿无头者不可敷。
如意金黄散（《正宗》） 痈疽发背，诸般疔肿，跌扑损伤，湿痰流注，大头时肿，
漆疮火丹，风热天泡，肌肤赤肿，干湿香港脚，妇女乳痈，小儿丹毒。凡外科一切诸
般顽恶肿毒，随手用之，无不应效，诚为疮家良便方也。
天花粉（上白，十斤） 黄柏（色深者） 大黄 姜黄 白芷（各五斤） 陈皮 天南星 苍术
紫浓朴 甘草（各二斤） 共为咀片，晒极干燥，用大驴磨连磨三次，方用密绢罗筛出，
瓷器收贮，勿令泄气。凡遇红赤肿痛发热，未成脓者，及夏月火令时，俱用茶汤同蜜
调敷。如微热微肿，及大疮已成，欲作脓者，俱用葱汁同蜜调敷。如漫肿无头，皮
色不变，湿痰流毒，附骨痈疽，鹤膝风等病，俱用葱酒调敷。如风热恶毒所生患，必
皮肤亢热，红色光亮，形状游走不定，俱用蜜水调敷。如天泡火丹、赤游丹、黄水
漆疮、恶血攻注等证，俱用大蓝根叶或水芭蕉根叶捣汁调敷，加蜜亦可。汤泼火烧，
皮肤破烂，麻油调敷。具此诸引，理取寒热温凉制之，又在临用之际，顺合天时，洞
窥病势，使引为当也。
四虎散（《正宗》）
天南星 草乌 半夏（生用） 野狼毒（等分）
上为细末，猪脑同捣，遍覆疮上，留正顶出气。凡痈疽肿硬，浓如牛领之皮，不
作脓腐者，宜用。
铁桶膏（《正宗》） 发发背将溃已溃时，根脚走散不收束者。
五倍子（微炒，一两） 明矾（四钱） 胆矾（三钱） 铜绿 白芨（各五钱） 轻粉 郁金
（各二钱） 麝香（三分）
上为极细末，用陈米醋一碗，杓内慢火熬至一小杯，候起金色黄泡为度。待温，
用上药一钱，搅入膏内，每用顿温以新笔涂膏疮根上，以绵纸盖其疮根，自生皱纹，
渐收渐小，再不开大为效。凡敷药宜极细，若粗则作痛，不可不知。
一切根脚走散，不能收束者用之，收根束毒，功效非轻。
治对口脑疽，不必洗去旧药，逐日添药，恐动疮口惹风也。
芙蓉膏 阳疮红 ，收根束毒。
芙蓉叶（秋采，六钱） 榆面（二两） 生大黄（五钱） 皮硝（一两）
研细，葱汁童便调敷留顶，初起敷之可消，不特收束根脚。
敷大毒二法 茅厕垢浓敷四围，中空出气，自消。或用赤小豆、紫苏同研，敷上立消。
敷一切大毒消肿吸毒法 川贝母研末，同白槟榔汁敷之，有病之处即起白泡，
无病之处则起红点如疮。
远志膏（程山龄）
凡一切痈疽肿毒，初起之时，随用远志肉二三两去心，清油煮，捣烂如泥敷患
处，用油纸隔布扎，越一宿其毒自消，屡试屡验，其效如神。
芙蓉菊花膏
赤小豆 芙蓉叶 香附 白芨 菊花叶（各四两）
研细。每末一两加麝香一分，米醋调涂，围住根脚，或鸡子清调亦可。
敷药方
紫花地丁（去筋揉碎，一两） 白糖（一撮） 米饭（一团） 捣烂敷四围留顶。
又方
鲜鲫鱼（一尾） 山药（一段） 明矾（一钱）
捣烂敷留头，片时发痒，痒定自消。（一方无明矾）
又方
乳香 没药 麝香（各三分） 大蚰蜒（二条）
捣敷患上留头，自消。
又方
当归 黄柏皮 羌活
研细。以生金银花汁调敷四围，空中。
又方
生大黄（一两） 白芨（三钱） 穿山甲（三钱） 麝香（一分）
醋调敷露顶，或黄蜜、葱汁敷之更妙。此药敷上，便能立时止痛。
又方（《正宗》）
车前草（连根叶） 草 五龙草 金银花（各等分）
上四味鲜草一处捣烂，加三年陈米粉，即常用糨衣小粉浆。初起仍加飞盐末二三
分，共打为稠糊，遍敷疮上，中留一顶，以
膏盖贴，避风，自然拔出脓毒。若冬月草无鲜者，预采蓄下阴干为末，用陈米醋调
敷，亦如前法并效。今恐前敷药内用五龙草，随地或有缺少，不便合用，预常熏后
顶，以膏盖周遭肿上，以如意金黄散代敷之。
又方
荞麦面 硫黄末（各二两）
研末。井花水和作饼，晒干，每用一饼，水磨敷之，痛令不痛，不痛自痛。
又方 用活泥鳅以手捉定头尾，放 赤痈疽根盘上，大则以数条围之，其鳅
即吸紧拔其毒瓦斯。
又方
木香 乳香（去油） 榆皮面（各等分）
滴醋熬稠调敷。
真君妙贴散（《正宗》） 治痈疽诸毒，及异形异类，顽硬大恶歹疮，走散不作脓
者，宜用此药，不痛者即痛，痛甚者即止。
荞麦面 白面（各五斤） 明净硫黄（十斤，研细）
共一处用清水微拌，干湿得宜，木箱内晒成面片，单纸包裹，风中阴干收用。临
时再研极细，用新汲水调敷。如皮破血流，湿烂疼痛等证，麻油调搽。天泡火丹，肺
风，酒刺，染布青汁调搽并效。
回阳玉龙膏（《正宗》） 背疽阴病，不肿高，不 痛，不发热，不作脓，及寒湿
流注，鼓风久损，冷痛痹风，诸湿香港脚，手足顽麻，筋骨疼痛，及一切皮色不变，漫
肿无头，鹤膝风，但无皮红肌热者，用之俱有功效。此方乃救阴疽之外施良法。
草乌（炒） 军姜（煨，各三两） 赤芍（炒） 天南星（煨） 白芷（各一两） 肉桂（五钱）
制毕，共为细末，热酒调敷。此药军姜、肉桂热血生血，既生既热，恐不能散
而为害。故有草乌、南星可以破恶气，祛风毒，活死肌，除骨痛，消结块，回阳气。
又有赤芍、白芷足以散滞血，住痛苦，加以酒行药性，功通气血，虽十分冷证，未
有不愈，诚为寒灰之焰，枯木之春。大抵病冷则肌肉阴烂，不知痛痒，其有痛者，又
多附骨之痛，设若不除，则寒根透髓，寻常之药，固莫能及矣。
冲和膏（《正宗》） 痈疽发背，阴阳不和，冷热不明。
紫荆皮（即红内消。炒，五两） 独活（炒，三两） 赤芍药（炒，二两） 白芷（一两） 石菖蒲
（即望见消，又名阳春雪，又名木蜡，一两五钱）
上为细末，葱汤热酒俱可调敷。药中紫荆皮乃木之精，能破气逐血消肿；独活
乃土之精，能动荡凝滞血脉，散骨中冷痛，去麻痹湿；石菖蒲乃水之精，善破坚硬，生
血止痛，去风消肿；白芷乃金之精，能去风生肌定痛；赤芍药乃火之精，能生血活
血，散瘀除痛。盖血生则肌肉不死，血动则经络流通，故肌活不致溃烂，经通不致
壅肿，此为散风行气、活血消肿、去冷软坚之良药也。其中五行相配，用者再无不
效之理，如流毒骨疽冷证，用之尤效。故云∶风消血自散，气通硬自除。
本方加乳香、没药，治流注筋不能伸。
神应丹（《说约》） 治气血不和，壅遏为疮，高肿赤痛，兼痰兼郁，兼寒兼湿，并效。
小雄鲫鱼（七尾） 鲜山药（四两） 连须大葱头（廿一个）
共捣烂，加千年陈锻石半斤，天南星、半夏、白芨、赤芍药研末各一两，和匀阴
干，再研细末，临用以蜜调敷四围，外以皮纸盖之。
敷疮头凹者。 荞麦面炒黄研细，水和敷之。
化腐紫霞膏（《正宗》） 痈疽发背，瘀肉不腐，并不作脓者，又诸恶疮，内有脓
而外肉不穿溃者。
萆麻仁（研） 轻粉（各三钱） 巴豆仁（五钱） 螺蛳肉 潮脑（各一钱） 金顶砒（ ，五分）
血竭（二钱）
共为末。瓷瓶收贮，临时用麻油调搽，
顽硬肉上至顽者，不过两次即软。
秘传敷毒法 独核肥皂去核一个，萆麻仁二十九粒，捣烂敷，留顶透气，已
成自溃，初起自消。
铁箍散 敷诸般肿毒。
草乌 知母 天花粉 半夏 天南星 五倍子（炒） 芙蓉叶（各等分）
上为末。蜜醋顿热，调敷四围，中留一孔透气。
乌龙膏 敷一切肿毒。入小粉浆，炒黑研细，用滴醋调敷，或加生大黄、天南星更炒。
倍子散 敷一切肿毒，并乳痈初起。五倍子不拘多少，打碎炒黑为末，醋调敷，
或井水调敷亦可。
立消散
雄黄（二钱二分） 穿山甲（三钱） 生大黄（锦纹者良） 芙蓉叶 倍子（炒，各五钱）
共研极细末。滴醋调敷，中留一孔透气。如干，又搽，不过十次自消。
清凉膏（山东东昌府聊城县南普陀寺僧神授方）
敷痈疽发背肿毒。先用白面调成，围圈患外。葱根捣泥，平铺疮上，用猪胆汁一枚，
黄蜜二两，倾瓷器内和匀，茶匙挑胆汁于内，一时即消。
敷毒 大五倍子蜜炙九次，研末，醋调敷。
敷毒 老桑虫屎研末，醋调敷留顶，三四次即消。
毒疮未出脓，敷此即有头。
牙皂 京墨（ 过） 干姜（各等分）
研末。醋调敷。
敷药神功散
川乌（炮） 黄柏（炙、各等分）
研细，滴醋调。无头漫敷，有头敷四围留顶。
周氏曰∶用唾津调成膏敷。如干用米泔水润湿，听其流脓，不可手挤。
敷发背 松香半斤，将水煮一炷香，
葱五十根，连根须研如泥，量疮大小，红绢摊贴。
敷毒并敷痘毒 紫花地丁草捣敷神效。
回生丹 敷痈疽发背诸毒，一切恶疮等证，敷之消散，起死回生神方。五倍
子整个大者，去一角，入上好银朱不拘多少，再用银箔糊住角口，放铜勺内，微火
慢慢焙之，烟绝为度。研细末，放地下出火气，用雄鸡蛋（尖头者是）取蛋清调末，务要
多搂匀浓，其药稍干，即以鸡翎或硬笔蘸药敷疮，自肿处由外往里周遭敷之，留疮
口，一连三四次，住痛消肿如神，破后敷之亦效。
敷发背如神 熟铁锈刮为细末，鸡蛋清调浓，用新笔圈红晕肿处，自外向内
渐渐圈尽，一日三次，其疮自然收小。
代针散 凡恶疮肿毒，日久不出头，用此即穿。
木鳖子 川乌
水磨以鹅翎扫刷疮上，留豆大一处出脓，如药水干，再刷上，不过一时即穿。
敷一切肿毒疔疮。
猪牙皂（火煨再炒） 羌活 大黄 防风 白芷 天南星 白芨 白蔹 连翘（各一
钱） 乳香（去油五分） 没药（去油五分） 贝母（三分）
上研细，用蛋清同蜜调敷患处，未成形者即消，已成出头者，其效亦速。
敷一切大毒疔疮。
五倍子（微火焙） 白芷（各四两） 陈小粉（十年者佳，慢火炒黑黄色，一斤） 川乌 黄柏 草
乌野狼毒 天南星 半夏 粉甘草（各一两）
研细。未破者，用滴醋调敷四围；已溃者，用蜜调敷，俱放滚水内顿，匀敷。
奇验金箍散（《锦囊》）
五倍子 白芨 白蔹（各四钱） 生大黄（六钱） 芙蓉叶（白花者良，阴干不经霜者佳。二两）
研细。用蛋清些少，同醋调敷，如干以葱头酒润之，已有头者，露出头敷四围。
消毒围药 白糯米炒焦色，研细末，
醋调敷患处，无脓即消，有脓即溃。
敷痈疽发背奇方（镇江招隐寺浣尘和尚）先用陈金墨磨浓，涂四围红晕处，再以猪
胆汁、生姜自然汁各等分，不得多寡和匀，有顶露顶，无顶一概用鸡翎扫上。干则又
扫，未成即消，已成即溃，百发百中。
麦饭石膏（一名鹿角膏。《医灯续焰》）
白麦饭石（此石颜色黄白，类麦饭团，生粒点，若无此石，当以旧磨面磨子近齿处石代用，取其有麦性
故也，屡试得效，此石医家有时无处买，今欲用之，但于溪中寻有白石粒如豆、如米大者，即是也。但其石大小
不同，或如拳，如鹅卵，如碗大，略如握聚一团麦饭焉。用炭火 红，以好米醋淬之，如此 炼十次，研令极细，
二两，研得不极细，涂之极痛，若细而嫩，大能止痛，排脓收口） 白蔹（研细，二两） 鹿角（不用自脱者，
必取生带脑骨者，去脑骨烧灰，截二三寸长，炭火 令烟尽，研细，四两）
凡用时量药末多寡，用经年好米醋入银石器内，煎令鱼眼沸，却旋旋入前三味
药末内，用竹篦子不住手搅熬一二时久，令稀稠合宜，取出瓷盆内候冷，以纸盖固，勿
令着尘灰。每用时，先以猪蹄汤洗去痈疽脓血至净，以旧绵挹干，用鹅翎扫敷四围，
凡有赤处尽涂之。但留中心一口如钱大，以出脓血，使热毒之气随出。如疮未溃，能
令内消；如已溃则排脓如淌水，则逐日见疮收敛；如患疮久，肌肉腐烂，筋骨出露，
用旧布片涂药以贴疮上；如内膜才穿，亦能取安。洗疮勿以手触动嫩肉，仍不可以
口气吹着疮，更忌有腋气之人，及行经妇女，或有孕人，见合药亦宜禁忌。外取好
米醋一大碗，收瓷器，候逐日用药于疮上，久则其药干，常用鹅翎蘸醋扫上，可令其
药常润也。初用一日一洗一换药，十日后两日一换药。
水澄膏（《集验》） 敷热毒肿痛，红赤神效，皮肤白色者勿用。
大黄 黄柏 郁金 白芨 朴硝 天南星 黄蜀葵花（各一两）
研细末。每用新汲水一盏半，称药末二钱搅，调匀候澄底者，去浮水，敷于肿
处，贴之如干燥，唾津润之。
乌龙膏（《集验》） 敷肿毒痈疽，收赤晕。
木鳖子（去壳） 半夏（各二两） 小粉浆（四两） 草乌（五钱）
铁箍散（吴丹垣）：适用于阳证疮疡，肿势扩散、根基松散的情况。
药材：五倍子（一两，微炒），生大黄（四钱），秋芙蓉叶（六钱）。
制法与用法：取醋一盅放入勺中熬至沸腾，投入药末搅拌均匀，敷于患处，顶部留出透气孔，用纸覆盖。若变干，则用醋涂抹湿润。另一版本在原方基础上加寒食面五钱。
禁忌：阴疽以及皮肤颜色不变、漫肿无头者不可使用此药外敷。
如意金黄散（出自《外科正宗》）：适用于痈疽发背，各种疔疮肿毒，跌打损伤，湿痰流注，大头瘟时毒肿胀，漆疮火丹，风热天泡疮，肌肤红赤肿胀，干湿脚气，妇女乳痈，小儿丹毒。凡是外科一切顽固恶性的肿毒，随手施用，无不奏效，确实是治疗疮疡的良方便方。
药材：天花粉（选上等白色，十斤），黄柏（颜色深者），大黄，姜黄，白芷（各五斤），陈皮，天南星，苍术，紫浓朴，甘草（各二斤）。
制法：共研为粗片，晒至极干燥，用大驴磨连续研磨三次，然后用密绢筛出细粉，装入瓷器中密封保存，勿使漏气。
用法：凡遇红肿热痛发热、脓未形成者，以及夏季火令之时，均用茶汤加蜂蜜调匀外敷。如微热微肿，及大疮已成、欲化脓者，均用葱汁加蜂蜜调匀外敷。如漫肿无头，皮色不变，湿痰流毒，附骨痈疽，鹤膝风等疾病，均用葱酒调匀外敷。如由风热恶毒引起的患部，必见皮肤亢热，红色光亮，形状游走不定，均用蜜水调匀外敷。如天泡火丹、赤游丹、黄水疮、漆疮、恶血攻注等证候，均用大蓝根叶或水芭蕉根叶捣汁调匀外敷，加蜂蜜亦可。汤泼火烧致皮肤破烂者，用麻油调匀外敷。以上各种引经报使之药，其理在于根据寒热温凉来制约病邪，关键在于临用时顺应天时，洞察病势，使引经之药得当。
四虎散（出自《外科正宗》）
药材：天南星，草乌，半夏（生用），野狼毒（等分）。
制法与用法：上药研为细末，与猪脑同捣烂，均匀覆盖在疮面上，正中间留出透气孔。凡痈疽肿硬，脓液如牛颈之皮般厚韧，不化脓溃腐者，适宜使用此药。
铁桶膏（出自《外科正宗》）：适用于发背疮将溃或未溃时，根基走散、不能收束的情况。
药材：五倍子（微炒，一两），明矾（四钱），胆矾（三钱），铜绿，白芨（各五钱），轻粉，郁金（各二钱），麝香（三分）。
制法与用法：上药研为极细末。用陈米醋一碗，在勺中慢火熬至一小杯，待出现金色黄泡时为度。待温度适宜后，取上药一钱，搅入膏内。每次使用时稍加热，用新毛笔将膏涂于疮根周围，用绵纸覆盖疮根，使其产生皱纹，逐渐收敛变小，不再扩大即为有效。凡敷药宜极细，若颗粒粗则会疼痛，不可不知。
功效：凡一切根基走散、不能收束者均可使用，能收束根部、束缚毒邪，功效显著。
注意：治疗对口脑疽时，不必洗去旧药，每日添加新药，以免触动疮口引发风邪。
芙蓉膏：适用于阳证疮疡红赤肿胀，能收束根部、束缚毒邪。
药材：芙蓉叶（秋季采集，六钱），榆面（二两），生大黄（五钱），皮硝（一两）。
制法与用法：研细，用葱汁和童便调匀外敷，顶部留出透气孔。初起时敷用可消散，不仅能收束根部。
敷大毒二法：
1. 用茅厕垢浓汁敷于四周，中间空出以透气，可自行消散。
2. 或用赤小豆、紫苏同研，敷于患处立即消散。
敷一切大毒消肿吸毒法：川贝母研末，同白槟榔汁调敷患处，有病之处即起白泡，无病之处则起红点如疮状。
远志膏（程山龄）：
凡一切痈疽肿毒，初起之时，随即取远志肉二三两，去心，用清油煮，捣烂如泥敷于患处，用油纸隔布包扎，过一夜其毒自消，屡试屡验，其效如神。
芙蓉菊花膏
药材：赤小豆，芙蓉叶，香附，白芨，菊花叶（各四两）。
制法与用法：研细。每取药末一两加麝香一分，用米醋调涂，围住根部；或用鸡蛋清调涂亦可。
敷药方
药材：紫花地丁（去筋揉碎，一两），白糖（一撮），米饭（一团）。
制法与用法：捣烂敷于四周，顶部留出透气孔。
又方
药材：鲜鲫鱼（一条），山药（一段），明矾（一钱）。
制法与用法：捣烂敷于患处，留出头，片刻后发痒，痒定后自行消散。（另一版本无明矾）
又方
药材：乳香，没药，麝香（各三分），大蚰蜒（两条）。
制法与用法：捣烂敷于患处，留出头，可自行消散。
又方
药材：当归，黄柏皮，羌活。
制法与用法：研细。以生金银花汁调匀，敷于四周，中间留空。
又方
药材：生大黄（一两），白芨（三钱），穿山甲（三钱），麝香（一分）。
制法与用法：醋调敷，露出顶部；或用黄蜜、葱汁敷之更佳。此药敷上后，能立时止痛。
又方（出自《外科正宗》）
药材：车前草（连根叶），草（原文缺字，疑为某草），五龙草，金银花（各等分）。
制法与用法：上四味鲜草一处捣烂，加三年陈米粉（即常用浆衣的小粉浆）。初起仍加飞盐末二三分，共打为稠糊，遍敷疮上，中间留一顶，用膏盖贴，避风，自然拔出脓毒。若冬月无鲜草，预先采集阴干为末，用陈米醋调敷，亦与前法同样有效。如今担心前敷药内用五龙草，随地或有缺少，不便合用，故常熏后顶，用膏盖周遭肿上，以如意金黄散代替敷之。
又方
药材：荞麦面，硫黄末（各二两）。
制法与用法：研末。井花水和作饼，晒干，每用一饼，用水磨开外敷，能使痛者不痛，不痛者自痛。
又方：用活泥鳅，用手捉定头尾，放于赤痈疽根盘上，大的可用数条围之，泥鳅即吸紧拔其毒瓦斯。
又方
药材：木香，乳香（去油），榆皮面（各等分）。
制法与用法：滴醋熬稠调敷。
真君妙贴散（出自《外科正宗》）：治痈疽诸毒，及异形异类、顽硬大恶歹疮，走散不作脓者，宜用此药，不痛者即痛，痛甚者即止。
药材：荞麦面，白面（各五斤），明净硫黄（十斤，研细）。
制法与用法：共一处用清水微拌，干湿得宜，在木箱内晒成面片，单纸包裹，风中阴干收用。临时再研极细，用新汲水调敷。如皮破血流，湿烂疼痛等证，用麻油调搽。天泡火丹，肺风，酒刺，用染布青汁调搽并有效。
回阳玉龙膏（出自《外科正宗》）：治背疽阴病，不肿高，不痛，不发热，不作脓，及寒湿流注，鼓风久损，冷痛痹风，诸湿脚气，手足顽麻，筋骨疼痛，及一切皮色不变、漫肿无头、鹤膝风，但无皮红肌热者，用之俱有功效。此方乃救阴疽之外施良法。
药材：草乌（炒），军姜（煨，各三两），赤芍（炒），天南星（煨），白芷（各一两），肉桂（五钱）。
制法与用法：制毕，共为细末，热酒调敷。此药中军姜、肉桂性热血生血，既生既热，恐不能散而为害。故有草乌、南星可以破恶气，祛风毒，活死肌，除骨痛，消结块，回阳气。又有赤芍、白芷足以散滞血，止痛苦，加以酒行药性，功通气血，虽十分冷证，未有不能治愈的，诚为寒灰之焰，枯木之春。大抵病冷则肌肉阴烂，不知痛痒，其有痛者，又多附骨之痛，设若不除，则寒根透髓，寻常之药，固莫能及矣。
冲和膏（出自《外科正宗》）：治痈疽发背，阴阳不和，冷热不明。
药材：紫荆皮（即红内消。炒，五两），独活（炒，三两），赤芍药（炒，二两），白芷（一两），石菖蒲（即望见消，又名阳春雪，又名木蜡，一两五钱）。
制法与用法：上为细末，葱汤热酒俱可调敷。药中紫荆皮乃木之精，能破气逐血消肿；独活乃土之精，能动荡凝滞血脉，散骨中冷痛，去麻痹湿；石菖蒲乃水之精，善破坚硬，生血止痛，去风消肿；白芷乃金之精，能去风生肌定痛；赤芍药乃火之精，能生血活血，散瘀除痛。盖血生则肌肉不死，血动则经络流通，故肌活不致溃烂，经通不致壅肿，此为散风行气、活血消肿、去冷软坚之良药也。其中五行相配，用者再无无效之理，如流毒骨疽冷证，用之尤效。故云：风消血自散，气通硬自除。
本方加乳香、没药，治流注筋不能伸。
神应丹（出自《医宗说约》）：治气血不和，壅遏为疮，高肿赤痛，兼痰兼郁，兼寒兼湿，并效。
药材：小雄鲫鱼（七尾），鲜山药（四两），连须大葱头（二十一个）。
制法与用法：共捣烂，加千年陈锻石半斤，天南星、半夏、白芨、赤芍药研末各一两，和匀阴干，再研细末，临用以蜜调敷四周，外以皮纸盖之。
化腐紫霞膏（出自《外科正宗》）：治痈疽发背，瘀肉不腐，并不作脓者，又诸恶疮，内有脓而外肉不穿溃者。
药材：蓖麻仁（研），轻粉（各三钱），巴豆仁（五钱），螺蛳肉，潮脑（各一钱），金顶砒（煅，五分），血竭（二钱）。
制法与用法：共为末。瓷瓶收贮，临时用麻油调搽，顽硬肉上至顽者，不过两次即软。
秘传敷毒法：独核肥皂去核一个，蓖麻仁二十九粒，捣烂敷，留顶透气，已成自溃，初起自消。
铁箍散：敷诸般肿毒。
药材：草乌，知母，天花粉，半夏，天南星，五倍子（炒），芙蓉叶（各等分）。
制法与用法：上为末。蜜醋顿热，调敷四周，中留一孔透气。
乌龙膏：敷一切肿毒。入小粉浆，炒黑研细，用滴醋调敷，或加生大黄、天南星更炒。
倍子散：敷一切肿毒，并乳痈初起。五倍子不拘多少，打碎炒黑为末，醋调敷，或井水调敷亦可。
立消散
药材：雄黄（二钱二分），穿山甲（三钱），生大黄（锦纹者良），芙蓉叶，倍子（炒，各五钱）。
制法与用法：共研极细末。滴醋调敷，中留一孔透气。如干，又搽，不过十次自消。
清凉膏（山东东昌府聊城县南普陀寺僧神授方）
敷痈疽发背肿毒。先用白面调成，围圈患外。葱根捣泥，平铺疮上，用猪胆汁一枚，黄蜜二两，倾瓷器内和匀，茶匙挑胆汁于内，一时即消。
毒疮未出脓，敷此即有头。
药材：牙皂，京墨（烧过），干姜（各等分）。
制法与用法：研末。醋调敷。
敷药神功散
药材：川乌（炮），黄柏（炙，各等分）。
制法与用法：研细，滴醋调。无头漫敷，有头敷四周留顶。
周氏曰：用唾津调成膏敷。如干用米泔水润湿，听其流脓，不可手挤。
敷发背：松香半斤，将水煮一炷香，葱五十根，连根须研如泥，量疮大小，红绢摊贴。
回生丹：敷痈疽发背诸毒，一切恶疮等证，敷之消散，起死回生神方。五倍子整个大者，去一角，入上好银朱不拘多少，再用银箔糊住角口，放铜勺内，微火慢慢焙之，烟绝为度。研细末，放地下出火气，用雄鸡蛋（尖头者是）取蛋清调末，务要多搂匀浓，其药稍干，即以鸡翎或硬笔蘸药敷疮，自肿处由外往里周遭敷之，留疮口，一连三四次，住痛消肿如神，破后敷之亦效。
敷发背如神：熟铁锈刮为细末，鸡蛋清调浓，用新笔圈红晕肿处，自外向内渐渐圈尽，一日三次，其疮自然收小。
代针散：凡恶疮肿毒，日久不出头，用此即穿。
药材：木鳖子，川乌。
制法与用法：水磨以鹅翎扫刷疮上，留豆大一处出脓，如药水干，再刷上，不过一时即穿。
敷一切肿毒疔疮。
药材：猪牙皂（火煨再炒），羌活，大黄，防风，白芷，天南星，白芨，白蔹，连翘（各一钱），乳香（去油五分），没药（去油五分），贝母（三分）。
制法与用法：上研细，用蛋清同蜜调敷患处，未成形者即消，已成出头者，其效亦速。
敷一切大毒疔疮。
药材：五倍子（微火焙），白芷（各四两），陈小粉（十年者佳，慢火炒黑黄色，一斤），川乌，黄柏，草乌，野狼毒，天南星，半夏，粉甘草（各一两）。
制法与用法：研细。未破者，用滴醋调敷四周；已溃者，用蜜调敷，俱放滚水内顿，匀敷。
奇验金箍散（出自《外科锦囊》）
药材：五倍子，白芨，白蔹（各四钱），生大黄（六钱），芙蓉叶（白花者良，阴干不经霜者佳。二两）。
制法与用法：研细。用蛋清些少，同醋调敷，如干以葱头酒润之，已有头者，露出头敷四周。
消毒围药：白糯米炒焦色，研细末，醋调敷患处，无脓即消，有脓即溃。
敷痈疽发背奇方（镇江招隐寺浣尘和尚）：先用陈金墨磨浓，涂四周红晕处，再以猪胆汁、生姜自然汁各等分，不得多寡和匀，有顶露顶，无顶一概用鸡翎扫上。干则又扫，未成即消，已成即溃，百发百中。
麦饭石膏（一名鹿角膏。出自《医灯续焰》）
药材：白麦饭石（此石颜色黄白，类麦饭团，生粒点，若无此石，当以旧磨面磨子近齿处石代用，取其有麦性故也，屡试得效，此石医家有时无处买，今欲用之，但于溪中寻有白石粒如豆、如米大者，即是也。但其石大小不同，或如拳，如鹅卵，如碗大，略如握聚一团麦饭焉。用炭火煅红，以好米醋淬之，如此煅炼十次，研令极细，二两，研得不极细，涂之极痛，若细而嫩，大能止痛，排脓收口），白蔹（研细，二两），鹿角（不用自脱者，必取生带脑骨者，去脑骨烧灰，截二三寸长，炭火煅令烟尽，研细，四两）。
制法与用法：凡用时量药末多寡，用经年好米醋入银石器内，煎令鱼眼沸，却旋旋入前三味药末内，用竹篦子不住手搅熬一二时久，令稀稠合宜，取出瓷盆内候冷，以纸盖固，勿令着尘灰。每用时，先以猪蹄汤洗去痈疽脓血至净，以旧绵挹干，用鹅翎扫敷四周，凡有赤处尽涂之。但留中心一口如钱大，以出脓血，使热毒之气随出。如疮未溃，能令内消；如已溃则排脓如淌水，则逐日见疮收敛；如患疮久，肌肉腐烂，筋骨出露，用旧布片涂药以贴疮上；如内膜才穿，亦能取安。洗疮勿以手触动嫩肉，仍不可以口气吹着疮，更忌有腋气之人，及行经妇女，或有孕人，见合药亦宜禁忌。外取好米醋一大碗，收瓷器，候逐日用药于疮上，久则其药干，常用鹅翎蘸醋扫上，可令其药常润也。初用一日一洗一换药，十日后两日一换药。
水澄膏（出自《集验方》）：敷热毒肿痛，红赤神效，皮肤白色者勿用。
药材：大黄，黄柏，郁金，白芨，朴硝，天南星，黄蜀葵花（各一两）。
制法与用法：研细末。每用新汲水一盏半，称药末二钱搅，调匀候澄底者，去浮水，敷于肿处，贴之如干燥，唾津润之。
Tie Gu San (Iron Hoop Powder) (Wu Danyuan): Applicable to yang-type sores and ulcers where the swelling is diffuse and the base is loose.
Ingredients: Fermented Bean Curd Shell (Wubeizi, 50g, lightly stir-fried), Raw Rhubarb (Sheng Dahuang, 12g), Autumn Hibiscus Leaf (Qiu Furong Ye, 18g).
Preparation and Usage: Take one cup of vinegar, boil in a ladle until boiling, add the powdered herbs, stir well, and apply to the affected area, leaving the apex open for ventilation. Cover with paper. If it dries, moisten with vinegar. Another version adds Cold Food Noodles (Hanshi Mian, 15g) to the original formula.
Contraindications: Do not use for yin-type abscesses or cases where the skin color remains unchanged, with diffuse swelling and no head.
Ruyi Jinhuang San (Ruyi Golden Yellow Powder) (from *Waike Zhengzong*): Applicable to carbuncles on the back, various types of carbuncles and swellings, traumatic injuries, phlegm-dampness flowing accumulation, epidemic swelling of the head, lacquer dermatitis, fire blisters, wind-heat blistering disease, red and swollen skin, damp and dry tinea pedis, breast abscess in women, and erysipelas in children. It is effective for all kinds of stubborn and malignant external sores upon immediate application, truly an excellent and convenient prescription for treating sores.
Ingredients: Trichosanthes Root (Tianhuafen, premium white variety, 5kg), Phellodendron Bark (Huangbai, dark colored), Rhubarb (Dahuang), Turmeric (Jianghuang), Angelica Dahurica (Baizhi, each 2.5kg), Tangerine Peel (Chenpi), Pinellia Tuber (Tiannanxing), Atractylodes Rhizome (Cangzhu), Purple Magnolia Bark (Zi Nongpu), Licorice Root (Gancao, each 1kg).
Preparation: Grind into coarse slices, sun-dry until extremely dry, grind three times using a large donkey mill, sieve through fine silk gauze, store in porcelain containers, and seal tightly to prevent loss of volatile components.
Usage: For cases with redness, swelling, heat, pain, and fever before suppuration, as well as during the summer fire season, mix with tea soup and honey for topical application. For mild heat and swelling, or large sores that have formed and are about to suppurate, mix with scallion juice and honey. For diffuse swelling without a head, unchanged skin color, phlegm-dampness toxic flow, deep-seated bone abscesses, and knee deformity resembling a crane's leg, mix with scallion wine. For conditions caused by wind-heat evil toxins, characterized by intense skin heat, bright red luster, and migratory shape, mix with honey water. For blistering diseases like fire blisters, wandering erysipelas, yellow fluid sores, lacquer dermatitis, and blood toxicity attacks, crush Isatis Root Leaves (Da Lan Gen Ye) or Water Banana Root Leaves (Shui Bajiao Gen Ye) to extract juice for mixing; honey may be added. For burns and scalds causing broken skin, mix with sesame oil. The rationale behind these different vehicles is to regulate cold and heat, warmth and coolness according to the pathogen. The key lies in adapting to the seasons, understanding the disease progression, and ensuring the correct guiding agents are used.
Si Hu San (Four Tigers Powder) (from *Waike Zhengzong*)
Ingredients: Pinellia Tuber (Tiannanxing), Aconite Root (Caowu), Pinellia Tuber (Banxia, raw), Wild Swallowwort Root (Yelangdu, equal parts).
Preparation and Usage: Grind into fine powder, mash together with pig brain, and cover evenly over the sore, leaving the center open for ventilation. Suitable for carbuncles and sores that are hard and swollen, with thick pus-like consistency resembling ox neck skin, failing to suppurate and rot.
Tie Tong Gao (Iron Bucket Ointment) (from *Waike Zhengzong*): Applicable when a back carbuncle is about to rupture or has ruptured, and the base is spreading and cannot be contained.
Ingredients: Fermented Bean Curd Shell (Wubeizi, lightly stir-fried, 50g), Alum (Mingfan, 12g), Blue Vitriol (Danfan, 9g), Verdigris (Tonglv), Bletilla Rhizome (Baiji, each 25g), Calomel (Qingfen), Turmeric Tuber (Yujin, each 6g), Musk (Shexiang, 1g).
Preparation and Usage: Grind into extremely fine powder. Boil one bowl of aged rice vinegar slowly in a ladle until reduced to one small cup, stopping when golden-yellow bubbles appear. When warm, mix in one qian (3g) of the powder into the paste. Warm slightly before use, apply with a new brush around the base of the sore, cover with cotton paper. The goal is to induce wrinkling, gradual contraction, and reduction in size without expansion. Herbs must be ground very finely; coarse particles cause pain.
Efficacy: Effective for any spreading base that cannot be contained, helping to gather the root and confine the toxin.
Note: For treating nuchal carbuncles, do not wash off old medicine and add new daily, as this may disturb the wound and invite wind pathogens.
Furong Gao (Hibiscus Ointment): Applicable to red and swollen yang sores, capable of gathering the root and confining the toxin.
Ingredients: Hibiscus Leaf (Furong Ye, harvested in autumn, 18g), Elm Flour (Yumian, 60g), Raw Rhubarb (Sheng Dahuang, 15g), Mirabilite (Pinxiao, 30g).
Preparation and Usage: Grind fine, mix with scallion juice and child's urine for topical application, leaving the apex open. Applied at the onset, it can resolve the condition, not just containing the base.
Two Methods for Applying Medication to Major Toxins:
1. Apply thick sludge from a latrine around the periphery, leaving the center hollow for ventilation; it will dissipate spontaneously.
2. Or grind Adzuki Beans (Chixiaodou) and Perilla (Zisu) together and apply; it dissipates immediately.
Method for Reducing Swelling and Detoxifying All Major Toxins: Grind Fritillaria Bulb (Chuan Beimu) into powder, mix with White Betel Nut Juice (Bai Binglang Zhi) and apply. Blisters will form on diseased areas, while red spots like sores will appear on healthy areas.
Yuanzhi Gao (Polygala Ointment) (Cheng Shanling):
For all initial carbuncles, sores, and swellings, take 60-90g of Polygala Meat (Yuanzhi Rou), remove the heart, boil in clear oil, mash into a paste, and apply to the affected area. Cover with oiled paper and cloth bandage. After one night, the toxin dissipates spontaneously. This method is frequently tested and proven effective.
Furong Juhua Gao (Hibiscus and Chrysanthemum Ointment)
Ingredients: Adzuki Beans (Chixiaodou), Hibiscus Leaf (Furong Ye), Cyperus Rhizome (Xiangfu), Bletilla Rhizome (Baiji), Chrysanthemum Leaf (Juhua Ye, each 120g).
Preparation and Usage: Grind fine. Add 0.3g of Musk (Shexiang) per 30g of powder. Mix with rice vinegar for application around the base; egg white can also be used.
Application Formula
Ingredients: Violet Speedwell Herb (Zihua Diding, veins removed and crushed, 30g), White Sugar (Baitang, a pinch), Rice (Mifan, one ball).
Preparation and Usage: Mash and apply around the periphery, leaving the apex open.
Another Formula
Ingredients: Fresh Crucian Carp (Xian Jiyu, one tail), Yam (Shanyao, one segment), Alum (Mingfan, 3g).
Preparation and Usage: Mash and apply, leaving the head exposed. Itching occurs briefly, then subsides spontaneously. (Another version omits Alum).
Another Formula
Ingredients: Frankincense (Ruxiang), Myrrh (Moyao), Musk (Shexiang, each 0.9g), Large House Centipede (Dayouyan, two pieces).
Preparation and Usage: Mash and apply, leaving the head exposed; it dissipates spontaneously.
Another Formula
Ingredients: Angelica Sinensis (Danggui), Phellodendron Bark (Huangbo Pi), Notopterygium Rhizome (Qianghuo).
Preparation and Usage: Grind fine. Mix with fresh Honeysuckle Juice (Sheng Jinyinhua Zhi) and apply around the periphery, leaving the center empty.
Another Formula
Ingredients: Raw Rhubarb (Sheng Dahuang, 30g), Bletilla Rhizome (Baiji, 9g), Pangolin Scales (Chuanshanjia, 9g), Musk (Shexiang, 0.3g).
Preparation and Usage: Mix with vinegar and apply, leaving the apex exposed; or apply with yellow honey or scallion juice for better effect. This formula provides immediate pain relief upon application.
Another Formula (from *Waike Zhengzong*)
Ingredients: Plantain Herb (Cheqian Cao, with roots and leaves), [Missing Character], Five Dragon Grass (Wulongcao), Honeysuckle Flower (Jinyinhua, equal parts).
Preparation and Usage: Mash four fresh herbs together, add three-year-old rice flour (commonly used for sizing). For early stages, add 0.6-0.9g of sublimed salt powder. Form a thick paste, apply evenly over the sore, leaving one apex open, cover with plaster, avoid wind, and pus/toxin will naturally drain. In winter, if fresh herbs are unavailable, collect and air-dry beforehand, grind to powder, and mix with aged rice vinegar; equally effective. Since Five Dragon Grass may be scarce, one may fumigate the apex, cover the surrounding swelling with plaster, and substitute with Ruyi Jinhuang San.
Another Formula
Ingredients: Buckwheat Flour (Qiaomai Mian), Sulfur Powder (Liu Huang Mo, each 60g).
Preparation and Usage: Grind into powder. Mix with well water to form cakes, sun-dry. Use one cake per application, grind with water, and apply. It stops pain in painful areas and prevents pain in non-painful areas.
Another Formula: Hold a live loach firmly by head and tail, place it on the base of a red carbuncle/abscess. For larger sores, surround with several loaches; they will suck and draw out the toxic qi.
Another Formula
Ingredients: Costus Root (Muxiang), Frankincense (Ruxiang, de-oiled), Elm Bark Flour (Yupi Mian, equal parts).
Preparation and Usage: Simmer with vinegar until thick, then apply.
Zhenjun Miaotie San (True Lord's Wonderful Paste) (from *Waike Zhengzong*): Treats carbuncles, sores, and malignant ulcers of abnormal shapes that are stubborn, hard, and fail to suppurate. Use this medication; it induces pain in painless areas and stops severe pain.
Ingredients: Buckwheat Flour (Qiaomai Mian), Wheat Flour (Baimian, each 2.5kg), Pure Sulfur (Mingjing Liu Huang, 5kg, finely ground).
Preparation and Usage: Mix lightly with clear water to achieve appropriate moisture, dry into sheets in a wooden box, wrap in single paper, and air-dry in the wind. Before use, grind extremely fine and mix with fresh drawn water for application. For broken skin with bleeding, wet rot, and pain, mix with sesame oil. For blistering diseases, lung wind, acne, and dye stains, mix with indigo dye liquid; all are effective.
Huiyang Yulong Gao (Restore Yang Jade Dragon Ointment) (from *Waike Zhengzong*): Treats yin-type back carbuncles that are not elevated, painless, non-febrile, and non-suppurative; cold-dampness flowing accumulation; chronic damage from wind; cold pain and bi-syndrome; damp tinea pedis; numbness in hands and feet; bone and joint pain; and all cases with unchanged skin color, diffuse swelling without a head, or crane-leg deformity, provided there is no red skin or hot muscle. It is an excellent external method for rescuing yin-abscesses.
Ingredients: Aconite Root (Caowu, stir-fried), Ginger (Junjiang, baked, each 90g), Red Peony Root (Chishao, stir-fried), Pinellia Tuber (Tiannanxing, baked), Angelica Dahurica (Baizhi, each 30g), Cinnamon Twig (Rougui, 15g).
Preparation and Usage: Process and grind into fine powder. Mix with hot wine for application. Junjiang and Rougui are hot and generate blood; however, their heat alone may not disperse pathology. Caowu and Tiannanxing break evil qi, dispel wind-toxicity, revive dead tissue, relieve bone pain, dissolve masses, and restore yang qi. Chishao and Baizhi disperse stagnant blood and relieve pain. Wine promotes circulation. Even in severe cold syndromes, it is effective, likened to flames in cold ashes or spring in dead wood. Cold diseases cause muscle decay and insensitivity; pain often indicates deep bone involvement. Without removing the cold root, ordinary medicines fail.
Chonghe Gao (Harmony Ointment) (from *Waike Zhengzong*): Treats back carbuncles due to yin-yang disharmony and unclear cold-heat patterns.
Ingredients: Bauhinia Bark (Zijing Pi, i.e., Hongneixiao, stir-fried, 150g), Angelica Pubescens Root (Duhuo, stir-fried, 90g), Red Peony Root (Chishaoyao, stir-fried, 60g), Angelica Dahurica (Baizhi, 30g), Acorus Rhizome (Shichangpu, i.e., Wangjianxiao, also known as Yangchunxue or Mulawax, 45g).
Preparation and Usage: Grind into fine powder. Mix with scallion decoction or hot wine for application. Zijing Pi is the essence of Wood, breaking qi and blood stasis to reduce swelling. Duhuo is the essence of Earth, moving stagnant blood, relieving cold bone pain, and removing dampness. Shichangpu is the essence of Water, breaking hardness, generating blood, relieving pain, and reducing wind-swelling. Baizhi is the essence of Metal, dispelling wind, generating flesh, and stopping pain. Chishaoyao is the essence of Fire, generating and activating blood, resolving stasis, and relieving pain. Blood generation prevents tissue death; blood movement ensures meridian flow, preventing ulceration and congestion. This is a fine medicine for dispersing wind, moving qi, activating blood, reducing swelling, and softening hardness. The five elements are balanced, ensuring efficacy, especially for cold syndromes like flowing bone abscesses. Thus: "Wind disperses, blood scatters; Qi flows, hardness removes." Adding Frankincense and Myrrh treats flowing accumulation with restricted tendon extension.
Shenying Dan (Divine Response Pill) (from *Yizong Shuoyue*): Treats sores caused by qi-blood disharmony and obstruction, presenting with high swelling, redness, and pain, accompanied by phlegm, stagnation, cold, and dampness.
Ingredients: Small male Crucian Carp (Xiao Xiong Jiyu, seven tails), Fresh Yam (Xian Shanyao, 120g), Scallions with roots (Lianxu Congtou, 21 heads).
Preparation and Usage: Mash together, add 250g of thousand-year-old calcined stone (Qiannian Chen Duanshi), and powders of Pinellia, Pinellia, Bletilla, and Red Peony Root (each 30g). Mix, air-dry, grind fine. Before use, mix with honey and apply around the periphery, covering with leather paper.
For Depressed Sore Heads: Fry buckwheat flour until yellow, grind fine, mix with water, and apply.
Huafu Zixia Gao (Rot-Decaying Purple Cloud Ointment) (from *Waike Zhengzong*): Treats back carbuncles with necrotic flesh that fails to decay/suppurate, and malignant sores with internal pus but intact external skin.
Ingredients: Castor Seed (Bima Ren, ground), Calomel (Qingfen, each 9g), Croton Seed (Badou Ren, 15g), Snail Meat (Luosi Rou), Camphor (Chaonao, each 3g), Realgar Arsenic (Jinding Pi, calcined, 1.5g), Dragon's Blood (Xuexie, 6g).
Preparation and Usage: Grind into powder. Store in porcelain. Mix with sesame oil for application. Stubborn hard flesh becomes soft within two applications.
Secret Method for Applying Medication to Toxins: One seedless soap pod, 29 castor seeds. Mash and apply, leaving the apex open for ventilation. Spontaneous rupture for mature sores; spontaneous resolution for early sores.
Tie Gu San (Iron Hoop Powder): Applies to various swellings and toxins.
Ingredients: Aconite Root (Caowu), Anemarrhena Rhizome (Zhimu), Trichosanthes Root (Tianhuafen), Pinellia Tuber (Banxia), Pinellia Tuber (Tiannanxing), Fermented Bean Curd Shell (Wubeizi, stir-fried), Hibiscus Leaf (Furong Ye, equal parts).
Preparation and Usage: Grind into powder. Heat honey and vinegar, mix, apply around the periphery, leaving one hole in the center for ventilation.
Wulong Gao (Black Dragon Ointment): Applies to all swellings and toxins. Mix with starch paste, stir-fry until black, grind fine, mix with vinegar. Can add Raw Rhubarb and Pinellia Tuber and stir-fry again.
Beizi San (Fermented Bean Curd Shell Powder): Applies to all swellings and toxins, and early breast abscesses. Use sufficient Wubeizi, crush, stir-fry until black, grind to powder. Mix with vinegar or well water.
Lixiao San (Immediate Dissolution Powder)
Ingredients: Realgar (Xionghuang, 7g), Pangolin Scales (Chuanshanjia, 9g), Raw Rhubarb (Sheng Dahuang, best quality), Hibiscus Leaf (Furong Ye), Fermented Bean Curd Shell (Beizi, stir-fried, each 15g).
Preparation and Usage: Grind extremely fine. Mix with vinegar, apply, leaving one hole in the center. Reapply if dry; dissolves within ten applications.
Qingliang Gao (Cooling Ointment) (Received from Monk Shen, Nanputuo Temple, Liaocheng County, Dongchang Prefecture, Shandong)
Applies to carbuncles and back sores. First, make a ring of white flour paste around the lesion. Mash scallion roots into a paste, spread flat on the sore. Mix one pig bile and 60g of yellow honey in porcelain. Add bile with a tea spoon; resolves quickly.
Applying Medication for Toxins: Honey-roast large Wubeizi nine times, grind to powder, mix with vinegar.
Applying Medication for Toxins: Grind old silkworm feces to powder, mix with vinegar, apply leaving the apex open; resolves in three to four applications.
For Toxic Sores Not Yet Suppurating: Application causes head formation.
Ingredients: Tooth Soap Pod (Ya Zao), Beijing Inkstone Ink (Jingmo, burnt), Dried Ginger (Ganjiang, equal parts).
Preparation and Usage: Grind to powder. Mix with vinegar.
Shengong San (Divine Merit Powder) for Application
Ingredients: Aconite Root (Chuanwu, processed), Phellodendron Bark (Huangbai, roasted, equal parts).
Preparation and Usage: Grind fine, mix with vinegar. Apply diffusely for headless sores; apply around periphery for headed sores.
Mr. Zhou says: Mix with saliva to form a paste. If dry, moisten with rice washing water. Allow pus to drain naturally; do not squeeze by hand.
Applying for Back Carbuncles: Half a jin of Rosin (Songxiang), boil in water for the time it takes to burn one incense stick. Mash 50 scallions with roots into a paste. Spread on red silk according to sore size and apply.
Applying for Toxins and Smallpox Toxins: Crushing Violet Speedwell Herb (Zihua Diding Cao) is highly effective.
Huisheng Dan (Reviving Life Pill): Applies to carbuncles, back sores, and all malignant sores. Dissipates toxins, revives life. Take large whole Wubeizi, remove one corner, insert silver cinnabar (Yinzhu) as needed, seal with silver foil, bake slowly in a copper spoon over low heat until smoke ceases. Grind fine, bury underground to remove fire qi. Mix with egg white from a rooster egg (pointed end preferred), stirring thoroughly to a thick consistency. When slightly dry, apply with chicken feather or hard brush around the swelling from outside in, leaving the sore opening. Apply 3-4 times consecutively; stops pain and reduces swelling miraculously. Also effective after rupture.
Miraculous Application for Back Carbuncles: Scrape rust from heated iron into fine powder, mix with thick egg white. Use a new brush to circle the red swollen area from outside in, completing the circle. Apply three times daily; the sore naturally shrinks.
Daizhen San (Needle Replacement Powder): For malignant sores that have persisted without coming to a head.
Ingredients: Momordica Seed (Mubiezi), Aconite Root (Chuanwu).
Preparation and Usage: Grind with water, brush onto the sore with a goose feather, leaving a bean-sized area open for pus drainage. Reapply if dry; penetrates within an hour.
Applies to all swellings and carbuncles.
Ingredients: Tooth Soap Pod (Zhuya Zao, fire-roasted then stir-fried), Notopterygium Rhizome (Qianghuo), Rhubarb (Dahuang), Saposhnikovia Root (Fangfeng), Angelica Dahurica (Baizhi), Pinellia Tuber (Tiannanxing), Bletilla Rhizome (Baiji), Bupleurum Root (Bailian), Forsythia Fruit (Lianqiao, each 3g), Frankincense (Ruxiang, de-oiled, 1.5g), Myrrh (Moyao, de-oiled, 1.5g), Fritillaria Bulb (Beimu, 0.9g).
Preparation and Usage: Grind fine, mix with egg white and honey, apply to affected area. Resolves unformed sores; acts quickly on formed ones.
Applies to all major toxic carbuncles.
Ingredients: Fermented Bean Curd Shell (Wubeizi, lightly baked), Angelica Dahurica (Baizhi, each 120g), Old Starch (Chen Xiaofen, 10 years old is best, slow-fired until black-yellow, 500g), Aconite Root (Chuanwu), Phellodendron Bark (Huangbai), Aconite Root (Caowu), Wild Swallowwort Root (Yelangdu), Pinellia Tuber (Tiannanxing), Pinellia Tuber (Banxia), Licorice Root (Fen Gancao, each 30g).
Preparation and Usage: Grind fine. For unbroken skin, mix with vinegar and apply around periphery; for broken skin, mix with honey. Both should be warmed in boiling water before even application.
Qiyuan Jinggu San (Wonderful Verification Iron Hoop Powder) (from *Waike Jinnang*)
Ingredients: Fermented Bean Curd Shell (Wubeizi), Bletilla Rhizome (Baiji), Bupleurum Root (Bailian, each 12g), Raw Rhubarb (Sheng Dahuang, 18g), Hibiscus Leaf (Furong Ye, white flower variety is good, shade-dried without frost, 60g).
Preparation and Usage: Grind fine. Mix with a little egg white and vinegar. If dry, moisten with scallion head wine. For headed sores, expose the head and apply around periphery.
Xiaodu Wei Yao (Detoxifying Encircling Medicine): Stir-fry white glutinous rice until charred, grind to powder, mix with vinegar, apply to affected area. Resolves if no pus; causes rupture if pus exists.
Miraculous Formula for Back Carbuncles (by Huan Chen Monk, Zhaoyin Temple, Zhenjiang): Grind aged gold inkstone ink thickly, apply to red surrounding area. Mix equal parts pig bile and fresh ginger juice. For headed sores, leave head exposed; for headless, sweep with chicken feather. Reapply if dry. Resolves unformed sores; causes rupture in formed ones. Highly accurate.
Maifan Shi Gao (Maifan Stone Plaster, also known as Deer Horn Plaster) (from *Yideng Xuyan*)
Ingredients: White Maifan Stone (Baifan Shi, yellow-white, resembles wheat bun, granular. If unavailable, use stone near teeth of old millstones due to wheat nature. Found in streams as bean/rice-sized white stones. Sizes vary. Calcine red-hot, quench in good rice vinegar, repeat ten times, grind extremely fine. 60g. Coarse powder causes pain; fine powder relieves pain, drains pus, closes wounds), Bupleurum Root (Bailian, ground fine, 60g), Deer Horn (Lujiao, not shed naturally, must be fresh with skull bone. Remove skull, burn to ash, cut 5-8 cm long, calcine until smoke ceases, grind fine, 120g).
Preparation and Usage: Measure powder amount. Boil aged rice vinegar in silver/ceramic vessel until fish-eye bubbles appear. Gradually add the three powders, stir constantly with bamboo spatula for 1-2 hours until proper consistency. Cool in porcelain, cover with paper to keep dust-free. Before use, wash sore with pork trotter broth to clean pus/blood, dry with old cotton. Brush around periphery with goose feather, covering all red areas. Leave central opening coin-sized for drainage. Prevents internal spread if unruptured; drains pus like water if ruptured, promoting daily contraction. For chronic sores with exposed bone/muscle decay, apply with old cloth. Effective for early membrane penetration. Do not touch tender flesh with hands, blow on sore, or allow people with body odor, menstruating women, or pregnant women to witness preparation. Keep a bowl of good rice vinegar nearby; re-moisten dried plaster with vinegar using a feather to keep moist. Wash and change dressing once daily initially, then every two days after ten days.
Shui Cheng Gao (Water-Sedimented Plaster) (from *Jiyan Fang*): Highly effective for heat-toxin swelling and redness. Do not use on pale skin.
Ingredients: Rhubarb (Dahuang), Phellodendron Bark (Huangbai), Turmeric (Yujin), Bletilla Rhizome (Baiji), Mirabilite (Puxiao), Pinellia Tuber (Tiannanxing), Yellow Hibiscus Flower (Huangshukui Hua, each 30g).
Preparation and Usage: Grind to powder. Mix 6g powder with 375ml fresh drawn water, stir, let settle. Discard floating water, apply sediment to swelling. If dry, moisten with saliva.
Wulong Gao (Black Dragon Ointment) (from *Jiyan Fang*): Applies to swellings, toxins, carbuncles; reduces red halos.
Ingredients: Momordica Seed (Mubiezi, shelled), Pinellia Tuber (Banxia, each 60g), Starch Paste (Xiaofen Jiang, 120g), Aconite Root (Caowu, 15g).