如意金黄散宜于阳热而不利于阴寒。凡病在筋骨，先酸痛而后坚硬漫肿者，金黄散必不
可用。黄墙朱氏数世研究，深知其弊。业师阆仙先生因订此方，以治附骨、环跳等证初起
隐隐痛楚，渐至成块木肿者，其效最捷。并治跌仆损伤，筋骨掣痛，皆效。
炒香附（四两） 西羌活 川独活 上安桂（去枯皮） 生南星 北细辛（各三两） 粉甘草
（四两） 川乌 草乌 高良姜（各二两） 公丁香（一两） 急性子（五两）
各取极细净末和匀，临用时以无灰酒加连根葱三五茎煎沸调药，热敷患处，绢包裹，一
日再易。寒甚者，合四温丹等分用。
此则如意金黄散之变法。金黄散性偏寒凉，惟赤肿大热者为宜。若初起肌肉肿痛，犹未
发赤，虽曰亦是阳证，但气滞血凝，药宜疏通，乃可消散。遽以大凉之药遏郁之，则气血坚
凝，反不可散，是逼其团结，蕴酿成脓，适以助之成溃，伊芳谁之咎。治此者纵不可用温药助
虐，亦必以通络泄散为唯一秘诀。阆仙朱先生手订是方，清凉而不偏于阴寒，散肿软坚，疏
泄郁热，以治阳发红肿 热，或尚未高肿色赤，乳痈疔毒，漫肿坚硬者，无不应手捷效
。其功实在金黄散之上。
羌活 当归 甘草（各三两） 陈皮 黄柏 大黄 急性子（各二两） 南星 白芷 赤
芍（各一两五钱） 马牙硝 银朱（各一两） 绿豆粉（四两）
以上取细末和匀密收。红肿 热者，以忍冬藤杵自然汁调敷。大青叶、芙蓉叶、马
头、马齿苋等自然汁皆可用。时毒、发颐用防风三钱，薄荷叶二钱煎汤调敷，或加薄荷油十
许
甘草煎汤乘热调敷。
如意金黄散适用于阳热性质的病症，但不利于阴寒性质的病症。凡是病位在筋骨，先出现酸痛随后变得坚硬且弥漫性肿胀的情况，金黄散一定不能使用。黄墙朱氏家族几代人深入研究，深知其弊端。我的老师阆仙先生因此制定了这个方子，用来治疗附骨疽、环跳疽等证候初起时隐隐作痛，逐渐形成块状木硬肿胀的情况，疗效最为迅速。同时也用于治疗跌打损伤引起的筋骨牵拉疼痛，都有疗效。
炒香附（四两） 西羌活 川独活 上安桂（去除枯皮） 生南星 北细辛（各三两） 粉甘草（四两） 川乌 草乌 高良姜（各二两） 公丁香（一两） 急性子（五两）
将上述药材分别研磨成极细的纯净粉末并混合均匀，使用时用无灰酒加入带根的葱三五根煎沸后调和药物，热敷患处，用绢布包裹，每天更换两次。如果寒邪特别重，可与四温丹按相等比例配合使用。
这是如意金黄散的变通用法。金黄散药性偏于寒凉，只适合红肿大热的情况。如果初起时肌肉肿痛，还没有发红，虽然说是阳证，但属于气滞血凝，药物应当以疏通为主，才能消散。如果突然使用大寒凉的药物遏制郁结，会导致气血更加坚凝，反而无法消散，这实际上是逼迫毒邪团结，酝酿化脓，恰好帮助了它溃烂，这又是谁的过错呢？治疗这种情况的人，即使不能用温药助长邪气，也必须以通络泄散作为唯一的秘诀。阆仙朱先生亲手制定的这个方子，清凉而不偏于阴寒，能散肿软坚，疏泄郁热，用于治疗阳发红肿热，或者尚未高肿色赤的乳痈疔毒、漫肿坚硬者，没有不立即见效的。它的功效实际上在金黄散之上。
羌活 当归 甘草（各三两） 陈皮 黄柏 大黄 急性子（各二两） 南星 白芷 赤芍（各一两五钱） 马牙硝 银朱（各一两） 绿豆粉（四两）
以上药材取细末混合均匀，密封保存。对于红肿热的情况，用忍冬藤捣碎取自然汁调敷。大青叶、芙蓉叶、马齿苋等的自然汁都可以使用。治疗时毒、发颐时用防风三钱，薄荷叶二钱煎汤调敷，或者加薄荷油十余滴，用甘草煎汤趁热调敷。
Ruyi Jinhuang San (如意金黄散, Ruyi Golden Yellow Powder) is suitable for Yang-heat conditions but detrimental to Yin-cold conditions. Whenever the pathology resides in the sinews and bones, presenting first with soreness and pain followed by hardness and diffuse swelling, Jinhuang San must not be used. The Zhu family of Huangqiang has studied this over several generations and deeply understands its drawbacks. My teacher, Mr. Langxian, therefore formulated this prescription to treat early-stage symptoms of Gujue (附骨疽, Bone Abscess) and Huantiao Ju (环跳疽, Abscess at the Huantiao Acupoint), characterized initially by vague pain that gradually progresses to a lump-like wooden swelling; its efficacy is most rapid. It is also effective for treating pulling pain in the sinews and bones caused by falls and injuries.
Chao Xiangfu (Stir-baked Cyperi Rhizoma), Xi Qianghuo (Western Notopterygii Rhizoma et Radix), Chuan Duhuo (Sichuan Angelicae Pubescentis Radix), Shang Angui (Upper Grade Cinnamomi Cortex, removing dead bark), Sheng Nanxing (Raw Arisaematis Rhizoma), Bei Xixin (Northern Asari Radix et Folium) (each 4 liang); Fen Gancao (Powdered Glycyrrhizae Radix et Rhizoma) (4 liang); Chuan Wutou (Sichuan Aconiti Radix), Cao Wutou (Processed Aconiti Radix), Gaoliangjiang (Galangal Rhizome) (each 2 liang); Gong Dingxiang (Caryophylli Flos) (1 liang); Jixingzi (Prunus armeniaca seed) (5 liang).
Grind each into an extremely fine, pure powder and mix evenly. When using, boil Wu Hui Jiu (grain wine without ash impurities) with 3-5 stalks of green onion including roots, then use this liquid to mix the medicine. Apply as a hot compress to the affected area, wrap with silk gauze, and change twice daily. If the cold pathogen is severe, combine with Siwen Dan (Four Warm Pellets) in equal proportions.
This is a modified application of Ruyi Jinhuang San. Jinhuang San has a cold-cooling nature and is only suitable for cases with significant redness, swelling, and heat. If there is muscle swelling and pain at the onset without redness, although it is considered a Yang syndrome, it involves Qi stagnation and Blood coagulation; the medication should focus on unblocking and dispersing to achieve resolution. Suddenly using strongly cold medicines to suppress the stagnation will cause Qi and Blood to become hard and congealed, making them impossible to disperse; this effectively forces the pathogens to consolidate, nurtures pus formation, and inadvertently aids ulceration. Whose fault is this? In treating such cases, even if warm medicines cannot be used to exacerbate the condition, the sole secret must be to unblock collaterals and drain/disperse. Mr. Langxian Zhu personally compiled this formula, which is cooling but not biased towards Yin-cold; it disperses swelling, softens hardness, and drains stagnant heat. It is effective for Yang-Fa (阳发, Yang-type swellings) with redness, swelling, and heat, or for Ru Yong (乳痈, Breast Carbuncle) and Ding Du (疔毒, Carbuncle toxins) that have not yet become highly swollen or red, as well as for diffuse, hard swelling; it yields immediate results in all these cases. Its merit actually surpasses that of Jinhuang San.
Qianghuo (Notopterygii Rhizoma et Radix), Danggui (Angelicae Sinensis Radix), Gancao (Glycyrrhizae Radix et Rhizoma) (each 3 liang); Chenpi (Citri Reticulatae Pericarpium), Huangbai (Phellodendri Cortex), Dahuang (Rhei Radix et Rhizoma), Jixingzi (Prunus armeniaca seed) (each 2 liang); Nanxing (Arisaematis Rhizoma), Baizhi (Angelicae Dahuricae Radix), Chishao (Paeoniae Radix Rubra) (each 1.5 liang); Mayaxiao (Salpetre), Yinzhu (Cinnabaris) (each 1 liang); Lvdou Fen (Vigna mungo powder) (4 liang).
Grind the above into fine powder, mix evenly, and store tightly sealed. For redness, swelling, and heat, mix with natural juice extracted from pounded Hedysengi Caulis (Lonicerae Japonicae Caulis). Natural juices from Dayeqingye (Isatidis Folium), Furongye (Hibisci Sabdariffae Folium), Machi (Portulacae Herba), etc., can also be used. For Shi Du (时毒, Seasonal Toxins) and Fa Yi (发颐, Parotitis), decoct Fangfeng (Saposhnikoviae Radix) 3 qian and Bohe Ye (Menthae Haplocalycis Folium) 2 qian in water to mix the powder, or add about ten drops of Bohe You (Menthae Haplocalycis Oil), mixing with hot decoction of Gancao.