治年月深久， 疮不愈者。
老松香 樟脑 谷丹（炒） 水龙骨（即旧舡锻石） 轻粉
不愈，加白芷、川芎、螵蛸。
总为细末，熔化松香，加少清油和之，以油纸随疮大小，糊袋盛药夹之。用水洗净其疮
，缚在疮口上，二日定四日一换。若单用白芷、川芎、螵蛸三味煎水洗之立效。
\r肫疽血风疮\pc-c22.bmp\r
此二证发者，一肫上生痈疽者，如近大小便处，难治也。生于实处即安。
若男子妇人，脚生血风疮，难便可也。下流上手生疮者，难治之也。
\r脚背疮\pc-c23.bmp\r
此证得于消渴病，发于足指者，名曰脱疽。其状赤黑者，死不疗；不赤黑者，可疗。如
疗不衰，急斩去之，得治。不去者，赤黑必死矣。
若初发可治，消渴服流气饮、苦参丸、解毒生肌药，可急疗之。
上专治此发，用桐油及无名异，煎至一沸，入花椒一勺，看疮大小，剪蓼叶在内同煎，
浸一七后，单以此叶贴在疮上即安。凡患手指发者，亦同前治疗。
\r肾阴发\pc-c24.bmp\r
此证肾疽者，名悬痈。阴囊上肿而痛，乃膀胱肾经，感寒温邪气，偏肾于阴之经络，至
血气
复用内消散及生肌定痛散敷之，用膏药贴，更服前秘传流气饮。下 HT 秘传一味千金散，专
治HT 立效。单用黑蜘蛛一个，过江者为妙，入在碗中，研烂旋热，南酒于碗中搅匀，通口
服之，随病左右侧卧。如不退，再加一个即效。
敷药∶先用葱白炒热，以熨三四次后敷药，用前化毒消肿药，加用大蒜、木鳖、南星、
草乌敷之。如破，用前生肌定痛药。
HT 通药∶即过三五行。
牵牛 雄黄 川楝子 大黄 草节 枳壳 贝母 天花粉（各等分）
上为细末，空心南酒调服，出脓即散。
又方用∶
细辛 黄连 穿山甲 乳香 没药 连翘 归尾 大黄 栀子 金银花 牡蛎 车前
防风 甘草 油胡桃
上为 咀，用水煎熟。加南酒，五更温服。
偏肾气即效如神。先服五苓散加茵陈、灯草、木通、白术、猪苓、泽泻、赤苓、官桂、
车前。
上为 咀，白水煎，空心温服，即根据后法灸之为妙。后用丸子药，青木香丸一帖，斑蝥
一大个，同丸子一处炒热，去了斑蝥，热南酒送下。如不退，再进一二服。
又方∶用栗子树根，南酒煎服。
下疳疮搽药∶黄连、黄柏等分，先用猪胆二个，以汁浸二药，湿则用瓦一片或砖于火上
烧红，放药在上焙干，加乳香、没药、朴硝、白矾（枯）、无名异、百药煎、血竭、苦参。
上为细末，干则以清油调搽，湿则干掺之。如肿不退，用益元散加防风、荆芥、何首乌
，煎水温洗之即。
HT 下疳肿不消用∶
防风 荆芥 草节 牛膝（等分）
上煎汤，熏洗之，即消。
又蛀疳方
密陀僧 黄连 黄柏 轻粉
上为末掺之，以盐、艾煎汤洗之。
HT 吃药，用赤葛根、生姜一块，同擂烂，旋热酒服之，汗出为度。滓用敷疮上。
偏肾气，以本人口为则，于脐上灸，偏在左灸右，在右灸左，然后服走马茴香丸、茱萸
内消丸各一帖，以生小酒加少盐空心吞下。
治疗病程漫长、经久不愈的疮疡。
老松香、樟脑、谷丹（炒制）、水龙骨（即旧船底的锻石）、轻粉。
如果病情未愈，加入白芷、川芎、海螵蛸。
将上述药物研成细末，熔化松香，加入少量清油调和，用油纸根据疮口大小糊成袋子盛装药物，夹敷在疮上。用水洗净疮口，缚在疮口上，两天定一次，四天更换一次。如果单用白芷、川芎、海螵蛸三味药煎水清洗，立刻见效。
肫疽、血风疮
这两种病症发作时，一种是在阴茎上生痈疽，如果靠近大小便处，难以治疗；生长在坚实部位则安稳易治。
如果是男子或女子，脚上生血风疮，容易治愈。但如果疮毒下流并上行至手部生疮，则难以治疗。
脚背疮
此证源于消渴病，发生在足趾的，名为脱疽。其症状表现为赤黑色的，死亡且无法治疗；不呈赤黑色的，可以治疗。如果治疗无效，必须紧急截除患肢，才能得救。如果不截除，变为赤黑色必然死亡。
如果在初发阶段可治，消渴病患者服用流气饮、苦参丸、解毒生肌药，可以紧急治疗。
专门治疗此类发作的药物，使用桐油和无名异，煎煮至沸腾，加入一勺花椒，根据疮口大小，剪取蓼叶放入其中同煎，浸泡七个昼夜后，单独用此叶贴在疮上即可痊愈。凡是指头发生疔疮的，也按照前面的方法治疗。
肾阴发
此证中的肾疽，名为悬痈。阴囊肿胀疼痛，这是膀胱和肾经感受寒温邪气，导致偏侧肾脏及阴经络脉的气血运行受阻。
再次使用内消散及生肌定痛散外敷，用膏药贴敷，同时服用前文提到的秘传流气饮。下方秘传一味千金散，专门治疗，立刻见效。单用一个黑蜘蛛，以过江者（指产于长江流域的）为妙，放入碗中，研烂后稍加热，在南酒中搅匀，通体服下，并根据病变部位的左右侧卧。如果症状不退，再加一个蜘蛛即见效。
外敷药：先用葱白炒热，熨烫三四次后再敷药，使用前文的化毒消肿药，加入大蒜、木鳖子、天南星、草乌进行外敷。如果疮已破溃，使用前文的生肌定痛药。
下方通药：即经过五行推算后的方剂。
牵牛子、雄黄、川楝子、大黄、草节、枳壳、贝母、天花粉（各等分）。
研成细末，空腹时用南酒调服，排出脓液后病症消散。
又一方：
细辛、黄连、穿山甲、乳香、没药、连翘、当归尾、大黄、栀子、金银花、牡蛎、车前子、防风、甘草、油胡桃。
切碎，用水煎熟。加入南酒，五更时分温服。
针对偏肾之气，效果如神。先服用五苓散，加入茵陈、灯心草、木通、白术、猪苓、泽泻、赤茯苓、官桂、车前子。
切碎，用白水煎煮，空腹温服，随后根据后法进行艾灸为妙。之后服用丸药，青木香丸一帖，斑蝥一个大个，与丸药一起炒热，去掉斑蝥，用热南酒送服。如果症状不退，再进服一二帖。
又一方：使用栗子树根，用南酒煎服。
下疳疮搽药：黄连、黄柏等分，先用两个猪胆，用胆汁浸透两种药物，若变湿则用瓦片或砖块在火上烧红，将药放在上面焙干，加入乳香、没药、朴硝、白矾（枯矾）、无名异、百药煎、血竭、苦参。
研成细末，干燥时用清油调和涂抹，潮湿时直接干掺。如果肿胀不退，使用益元散加入防风、荆芥、何首乌，煎水温洗即可。
下方用于下疳肿不消：
防风、荆芥、草节、牛膝（等分）。
煎汤，熏洗患处，肿胀即消。
又蛀疳方：
密陀僧、黄连、黄柏、轻粉。
研成粉末掺撒患处，用盐、艾叶煎汤清洗。
下方吃药：使用赤葛根、生姜一块，一同捣烂，趁热用酒服下，以出汗为度。药渣敷在疮上。
针对偏肾之气，以患者本人的脐部为基准，在脐上施灸，偏左灸右，偏右灸左，然后服用走马茴香丸、茱萸内消丸各一帖，用生小酒加少许盐空腹吞服。
Treats sores that have persisted for years and refuse to heal.
Old pine resin (Larix resin), borneol, processed cinnabar (calcined), water dragon bone (i.e., old boat bottom stone), calomel.
If not healed, add Angelicae Dahuricae Radix (Baizhi), Ligusticum chuanxiong Hort. (Chuanxiong), and Sepiae Endoconcha (Piaoxiao).
Grind all into fine powder, melt the pine resin, add a little refined sesame oil to mix. Paste onto oiled paper according to the size of the sore, form a bag to hold the medicine, and apply as a compress. Cleanse the sore with water, bind it to the wound site. Fixate every two days, change once every four days. If using only Baizhi, Chuanxiong, and Piaoxiao decocted in water for washing, immediate effect is observed.
Penile Carbuncle (Zhun Ju) and Blood Wind Sores (Xue Feng Chuang)
When these two conditions manifest: one is a carbuncle on the penis; if located near the urethra or anus, it is difficult to treat; if located on solid flesh, it is stable and easier to treat.
For men or women, blood wind sores on the feet are easy to cure. However, if the infection spreads downward from the feet and upward to the hands, it is difficult to treat.
Dorsal Foot Sore
This condition originates from Xiao Ke disease (Wasting and Thirsting syndrome, often corresponding to diabetes mellitus). When it manifests on the toes, it is named Tuo Ju (Gangrene of the Toes). If the color is red-black, death ensues and it is untreatable; if not red-black, it is treatable. If treatment fails to subside the condition, urgent amputation is required to save life. If not amputated, turning red-black leads inevitably to death.
If treated at the initial stage, patients with Xiao Ke should consume Liu Qi Yin, Kushen Wan, and Jiedu Shengji Yao (Detoxifying and Flesh-Regenerating Medicine) for emergency treatment.
For this specific eruption, use Tung oil (Verniciae Folium Oil) and Hematite (Wumingyi), boil until bubbling, add one spoonful of Sichuan peppercorn (Huajiao). Cut Polygonum multiflorum leaves (Liaoye) according to the sore's size and boil together. After soaking for seven days, apply the leaf alone to the sore for relief. For finger carbuncles, the same treatment applies.
Kidney Yin Eruption (Shen Yin Fa)
This condition, specifically renal carbuncle, is named Xuan Yong. Swelling and pain occur on the scrotum, caused by the Bladder and Kidney meridians contracting cold-warm pathogens, affecting the meridians of the kidney and yin, leading to stagnation of qi and blood.
Apply Neixiaosan and Shengji Dingtong San externally, cover with plaster, and internally administer the previously mentioned Secret Formula Liu Qi Yin. The following Secret One-Inch Thousand-Gold Powder treats this specifically with immediate effect. Use one black spider (preferably from the Yangtze River region), grind it in a bowl, warm slightly, mix well with Southern rice wine, and drink thoroughly. Lie on the side opposite to the lesion. If symptoms do not recede, add another spider for efficacy.
External application: First, stir-fry white parts of green onion until hot, moxibustion-like heat compress three to four times, then apply medicine. Use the previous Huadu Xiaozhong Yao (Toxin-Resolving and Swelling-Reducing Medicine), adding Allii Macrostemonis Bulbus (Dasuan), Momordicae Cochinchinensis Semen (Mubiezi), Arisaematis Rhizoma (Nanxing), and Aconiti Lateralis Radix Preparata (Caowu) for external application. If ulcerated, use the previous Shengji Dingtong Yao.
Following Prescription Tong Yao: Derived through Five Elements calculation.
Pharbitidis Semen (Qianniu), Realgar (Xionghuang), Toosendan Fructus (Chuanlianzi), Rheum Palmatum L. (Dahuang), Caojie, Aurantii Fructus (Zhiqiao), Fritillariae Cirrhosae Bulbus (Beimu), and Trichosanthis Radix (Tianguafen) in equal parts.
Grind into fine powder, take with Southern rice wine on an empty stomach. Pus discharge indicates resolution.
Another formula:
Asari Radix et Rhizoma (Xixin), Coptidis Rhizoma (Huanglian), Manis Squama (Chuanshanjia), Boswelliae Resina (Ruxiang), Myrrha Resina (Moyao), Forsythiae Fructus (Lianqiao), Angelicae Sinensis Radix (Guowe), Dahuang, Gardeniae Fructus (Zhizi), Lonicerae Japonicae Flos (Jinyinhua), Ostreae Concha (Muli), Plantaginis Seed (Cheqian), Saposhnikoviae Radix (Fangfeng), Glycyrrhizae Radix et Rhizoma (Gancao), and Juglandis Semen (Youhutao).
Cut into pieces, decoct in water until cooked. Add Southern rice wine, take warm at dawn (Wugeng).
Effective like magic for Kidney Qi deviation. First, take Wuling San added with Artemisiae Scopariae Herba (Yinchen), Junci Medulla (Dengcao), Akebiae Caulis (Mutong), Atractylodis Macrocephalae Rhizoma (Baizhu), Polyporus (Zhuling), Poria (Zexie), Poria cum Rubro (Chiling), Cinnamomi Ramulus (Guangui), and Cheqian.
Cut into pieces, decoct in plain water, take warm on an empty stomach. Follow with moxibustion according to the subsequent method for best results. Afterwards, take pills: Qingmuxiang Wan one dose, mixed with one large Mylabris (Banmao), stir-fried together until hot, remove Banmao, and swallow with hot Southern rice wine. If symptoms persist, take one or two more doses.
Another formula: Decoct root of Castanea mollissima tree (Lizi shugen) in Southern rice wine and drink.
Chancre Ointment: Huanglian and Phellodendri Cortex (Huangbai) in equal parts. First, use two pig gallbladders to soak the medicines in bile. If wet, place on a red-hot tile or brick fired on fire, bake dry. Add Ruxiang, Moyuo, Natrii Sulfas (Puxiao), Alum (Baijian - calcined), Wumingyi, Fermented Medicinal Brick (Baiyaojian), Dragon's Blood (Xuexie), and Sophorae Tonkinensis Root (Kushen).
Grind into fine powder. Apply with refined oil when dry, or sprinkle directly when moist. If swelling persists, use Yiyuan San added with Fangfeng, Schizonepetae Spica (Jingjie), and Polygoni Multiflori Radix (Heshouwu), decoct for warm washing.
Following prescription for Chancre Swelling Not Subsiding:
Fangfeng, Jingjie, Caojie, Achyranthis Bidentatae Radix (Niuxi) in equal parts.
Decoct for soup, fumigate and wash, swelling subsides immediately.
Another formula for Burrowing Chancre:
Litharge (Mituo seng), Huanglian, Huangbai, Calomel.
Grind into powder and sprinkle. Wash with salt and Artemisia argyi (Aiye) decoction.
Following prescription for internal medication: Red Kudzu Root (Chige gen) and one piece of fresh ginger, pounded into paste, taken with warm wine until sweating occurs. Dregs applied to the sore.
For Kidney Qi deviation, use the patient's umbilicus as reference point for moxibustion above the navel; if deviation is left, moxa right; if right, moxa left. Then take Zouma Huixiang Wan and Zhuyu Neixiao Wan, one dose each, swallowed with raw light wine plus a little salt on an empty stomach.