夫疔疮之初生也，人多不觉。生于头面手足肚胁腰腿间，亦无定处，一二日必作寒热如
疟，
是疔也。此疮得患，各有所因，而其形状亦各不同。
猪疔形圆而小，疮口内有油（⊙）。羊疔形长色白（ ）。牛疔形圆而小，疮口内无油（○）
。狗
特猪、牛、狗、羊、驴、马之毒所致。宿水不洁，饮子亦生水疔。豆腐中有人汗，食之亦生
豆腐疔。又有气疔、鬼疔，形状虽不一，然其治之之法则一也。
疮色缓∶第一日疮顶 色小白，第二日色大白，第三日色微紫，第四日色真紫。疮色急
∶第五日色微青，（小紧。）第六日色深青。（大紧。）第七日色黑。其状有如鱼脐，又如灸
疮之状，乃最紧急之候也。
疮证吉∶有应。如生一疔之外，别处肉上再生一小疮，即是有应，可用针挑破，护场。
疮四
处肉上无疮，不护场，疔四围无赤肿，内疔盛，渴欲饮水，饮食不进，头眩眼花，护床不动
，卧不起也，眼白，睛痴不转，唇舌青，腹痛。甚者有内疔、五心肿、手足冷、气粗、无脉
治诸疔疮，虽有凶证迭见，六脉俱绝死者，此药悉能主之。
蟾酥（少许） 信石（少许） 蝉蜕（三个，去足翅） 蜈蚣头（一个） 斑蝥（三个，去足翅
）国丹（五钱） 风化锻石（一两，沙锅盛，瓦片盖，炭火 二时久取出）
上各制，同研为末，令极细，指爪甲刮葱白皮内涎调药。先以禾叶针针破疮口，可深半
寸。
盖疮毒喜趋心，故下针亦随毒瓦斯行也。出针后，疮口有恶血，须令出尽，别将蟾酥一粒如麦
粒大，入在疮口中，用针送令深入，却以前葱涎所调药敷疮口，莫敷在好肉上，用冷水浸湿
二三十重，贴在药上，封固疮上。如清早封固，至晚觉疮口热，即去纸，水洗去令净，用玉
红散掺疮口，疮口必有数日 作疼痛，只用玉红散掺疮，仍日用葱汤洗。然疔疮之证
虽危恶，但能用针破疮口，入蟾酥在内，以桃红散封固疮后，即可保其回生也。至如疮口
作疼痛不可忍，可不必忧，此非疔毒为害，乃是蟾酥在 作腐烂疔毒，故尔痛也。可采芙
蓉
日也。若疔疮初发之时，必发寒热身疼，此乃毒瓦斯在表，当汗而解，自沸汤主之。老人、虚
人、孕妇，不宜汗下，只用桃红散拔其毒。
疔疮在初起阶段，人们往往察觉不到。它可能生长在头部、面部、手足、腹部、胁部、腰部或腿部，位置不固定，发作一两天后必然出现像疟疾一样的寒热症状，这就是疔疮。这种疮的患病原因各不相同，其形态也各异。
猪疔形状圆而小，疮口内有油脂样物质（⊙）。羊疔形状长且颜色白（ ）。牛疔形状圆而小，疮口内没有油脂（○）。狗疔由猪、牛、狗、羊、驴、马等动物的毒素所致。饮用不洁的宿水，也会生水疔。豆腐中若混入人汗，食用后也会生豆腐疔。此外还有气疔、鬼疔，虽然形状不一，但治疗方法是一样的。
疮色缓变：第一日疮顶颜色微白，第二日颜色大白，第三日颜色微紫，第四日颜色真紫。疮色急变：第五日颜色微青（脉象小紧），第六日颜色深青（脉象大紧），第七日颜色黑。其形态如同鱼脐，又像灸疮的样子，这是最紧急的状况。
疮证吉兆：有“应”。如在生一个疔疮之外，身体其他部位肉上再生一个小疮，就是有“应”，可用针挑破，以保护周围正常组织（护场）。如果疮四周肉上没有新疮，不能形成护场，疔疮四周无红肿，内部毒盛，口渴想喝水，饮食不进，头晕眼花，卧床不动，躺下起不来，眼白浑浊，眼球呆滞不转动，嘴唇舌头发青，腹痛。严重的出现内疔、五心肿、手足冰冷、呼吸粗重、无脉搏。
治疗各种疔疮，虽然有凶险证候接连出现，六脉俱绝看似死亡的，此药都能主治。
蟾酥（少许） 信石（少许） 蝉蜕（三个，去掉足和翅膀） 蜈蚣头（一个） 斑蝥（三个，去掉足和翅膀） 国丹（五钱） 风化锻石（一两，用沙锅盛放，瓦片覆盖，炭火煅烧两个时辰后取出）
以上各药分别处理后，共同研磨成极细粉末，用指甲刮取葱白皮内的汁液来调和药物。先用禾叶针刺破疮口，深度可达半寸。
因为疮毒喜欢趋向心脏，所以下针也要随着毒气运行。出针后，如果疮口有恶血流出，必须让其排尽，另取如麦粒大小的一粒蟾酥，放入疮口中，用针将其送入深处，然后用之前用葱汁调好的药敷在疮口上，不要敷在健康皮肤上，用冷水浸湿二三十层纱布，贴在药上，密封固定疮口。如果是清晨封固，到晚上感觉疮口发热，就揭去纸张，用水洗净，用玉红散撒在疮口，疮口必然会有几天的疼痛，只需继续用玉红散撒在疮上，每天仍用葱汤清洗。然而疔疮的证候虽然危险恶劣，但只要能用针破开疮口，将蟾酥放入其中，用桃红散封固疮口后，就可以保证患者起死回生。至于疮口疼痛难忍，不必担忧，这不是疔毒为害，而是蟾酥在腐蚀疔毒，所以才会痛。可以采集芙蓉叶……（原文此处似有缺漏或语意未完，按文意理解为处理疼痛之法）。如果在疔疮刚发出时，必然出现寒热身疼，这是因为毒气在体表，应当通过发汗来解除，可用自沸汤（自行煮沸的水/汤剂，此处语境稍显模糊，通常指代某种解表法或具体方剂，依原文直译为主）主之。老人、体虚之人、孕妇，不宜使用发汗和攻下的方法，只用桃红散拔出毒气。
When a Ding sore (a type of severe, localized skin infection) first appears, people often do not notice it. It can occur on the head, face, hands, feet, abdomen, flanks, waist, or legs, with no fixed location. Within one or two days, chills and fever resembling malaria will inevitably occur; this is a Ding sore. The causes of this sore vary, and its manifestations differ accordingly.
The Pig-type Ding sore is round and small, with an oily substance inside the sore opening (⊙). The Sheep-type Ding sore is elongated and white ( ). The Cow-type Ding sore is round and small, with no oily substance inside the sore opening (○). The Dog-type Ding sore is caused by toxins from pigs, cows, dogs, sheep, donkeys, and horses. Drinking unclean stagnant water can also cause Water-type Ding sores. If human sweat contaminates tofu, eating it can lead to Tofu-type Ding sores. There are also Qi-type and Ghost-type Ding sores; although their shapes vary, the treatment principles remain the same.
Slow-changing sore color: On the first day, the top of the sore is slightly white; on the second day, it is distinctly white; on the third day, it becomes slightly purple; on the fourth day, it turns truly purple. Rapidly-changing sore color: On the fifth day, it is slightly green (pulse is small and tight); on the sixth day, it is deeply green (pulse is large and tight); on the seventh day, it turns black. Its appearance resembles a fish's navel or a moxibustion scar, representing the most critical condition.
Auspicious sore signs: Presence of "response." If, besides the primary Ding sore, a smaller sore appears on the flesh elsewhere on the body, this indicates a "response." It can be punctured with a needle to protect the surrounding healthy tissue (protective field). If there are no new sores on the flesh around the main sore, failing to form a protective field, with no redness or swelling around the Ding sore but intense internal toxicity, accompanied by thirst, inability to eat, dizziness, blurred vision, immobility in bed, inability to rise, cloudy whites of the eyes, fixed pupils, cyanotic lips and tongue, and abdominal pain. In severe cases, internal Ding sores, swelling of the five centers (palms, soles, and chest), cold extremities, coarse breathing, and absence of pulse may occur.
To treat various Ding sores, even when fatal symptoms appear successively and all six pulses are absent suggesting death, this formula can manage them.
Chan Su (Toad Venom, minor amount) Xin Shi (Arsenolite, minor amount) Chan Tui (Cicada Slough, three pieces, remove legs and wings) Wu Gong Tou (Centipede Head, one piece) Ban Mao (Mylabris Beetle, three pieces, remove legs and wings) Guo Dan (National Cinnabar, five qian) Feng Hua Duan Shi (Weathered Calcined Alumen, one liang, placed in a clay pot, covered with a tile, calcined over charcoal fire for two shichen/hours, then removed).
Process each ingredient separately, grind them together into an extremely fine powder. Use the mucus scraped from the inner layer of scallion white skin to mix the medicine. First, pierce the sore opening with a grain-of-wheat leaf needle, to a depth of half cun.
Because sore toxins tend to move toward the heart, needling should follow the movement of the toxic qi. After withdrawing the needle, if foul blood flows from the sore, ensure it is completely drained. Take a grain-of-wheat-sized pellet of Chan Su (Toad Venom), insert it into the sore opening, push it deep with a needle, and then apply the medicine mixed with scallion juice onto the sore opening. Do not apply it to healthy skin. Soak twenty to thirty layers of cloth in cold water, place them over the medication, and seal the sore tightly. If sealed in the early morning, by evening if the sore feels hot, remove the paper, wash clean with water, and sprinkle Yu Hong San (Jade Red Powder) into the sore. The sore will likely hurt for several days; continue sprinkling Yu Hong San and wash daily with scallion decoction. Although Ding sores are dangerous and malignant, as long as the sore is opened with a needle, Chan Su (Toad Venom) is inserted, and the sore is sealed with Tao Hong San (Peach Red Powder), recovery can be ensured. If the pain in the sore is unbearable, do not worry; this is not due to the Ding toxin itself, but because Chan Su (Toad Venom) is corroding the toxin, causing pain. One may collect Furong leaves... [text incomplete]. When a Ding sore first erupts, chills, fever, and body pain inevitably occur because the toxic qi is at the exterior; it should be resolved through sweating, using Zi Fei Tang (Self-Boiling Decoction) as the primary treatment. For the elderly, deficient individuals, and pregnant women, sweating and purging methods are unsuitable; only Tao Hong San (Peach Red Powder) should be used to draw out the toxin.