（附∶人面疮、翻花疮）
经曰∶诸痛痒疮疡，皆属心火；诸湿肿满，皆属脾土。心主血，脾主肉。血热肉湿，湿热相
搏，溃散肌肤，浸淫不休，不可定名，故曰恶疮。然亦有辩焉。如气血郁于皮肤腠理，可以表而
散者，如疥、
癣、疡、疹之类是也。汗之，疮即已。若气血郁于肌肉之分，外连皮肤，作寒发热而生脓；或七
情所招，或膏粱所致，皆宜内托，不宜发汗，汗之则发 证。故疮成于皮肤之间，则因其轻而扬
之，故汗之，用杀虫润燥药敷之。若疮成于肌肉之内，当因其重而减之，泻经络之热，清凉气血
，外以化脓生肌膏 之。疮在头巅，则升而取之，用酒制寒凉药，更以风药升而上之，外以杀虫
解热药敷之。明此三者，其于治疡，思过半矣。
主方 连翘 当归 栝蒌根 生地 荆芥 黄芩 赤芍 麦冬 牛蒡子 瞿麦 木通 栀
子防风 川芎 甘草（各等分）为粗末，每四钱，水煎服。
敷方 （一切恶疮） 白矾（一钱） 乳香（七分） 轻粉（三分） 没药（三分） 上
研匀敷。
洗方 （一切恶疮） 贯众 川芎 茵陈 地骨皮 荆芥 独活 防风 蓄 当归 甘草
上水煎洗。
地丁散 （恶疮肿痛）
地丁 当归 大黄 赤芍 金银花 甘草（减半）上用水煎服。
（附注：人面疮、翻花疮）
《内经》说：各种疼痛、瘙痒、疮疡，都归属于心火；各种湿邪引起的肿胀和腹满，都归属于脾土。心主司血液，脾主司肌肉。血热与肉湿相互搏结，导致肌肤溃烂散开，浸淫不止，无法确定具体名称，所以称为恶疮。然而其中也有需要辨别的不同情况。比如气血郁滞于皮肤腠理之间，可以通过发汗的方法从体表疏散的，如疥疮、癣疾、疡疹之类的病证就是如此。通过发汗治疗，疮疡即可痊愈。如果气血郁滞于肌肉的分层之间，外部连接皮肤，表现为怕冷发热并生成脓液；或者由七情内伤引起，或由饮食肥甘厚味所致，都应当使用内托法治疗，不宜使用发汗法，如果误用发汗法，就会导致变证。因此，疮疡形成在皮肤之间的，应当因其病势轻浅而采用升扬发散的方法，所以用发汗法，并用杀虫润燥的药物外敷。如果疮疡形成在肌肉内部，应当因其病势深重而采用削减清泻的方法，泻除经络中的热邪，清凉气血，外部使用化脓生肌膏涂抹。疮疡长在头顶部位的，应当采用升提的方法取效，使用酒制的寒凉药物，再配合风药升提上行，外部使用杀虫解热的药物外敷。明白了这三种治疗方法，对于治疗疮疡，就已经掌握了一半以上的要领了。
主方：连翘、当归、栝蒌根、生地、荆芥、黄芩、赤芍、麦冬、牛蒡子、瞿麦、木通、栀子、防风、川芎、甘草（各等分），研为粗末，每次取四钱，加水煎服。
敷方（适用于一切恶疮）：白矾（一钱）、乳香（七分）、轻粉（三分）、没药（三分），以上药物研匀后外敷。
(Note: Human-faced ulcer, everted-flower ulcer)
The *Classic of Internal Medicine* states: All pain, itching, and sores/ulcers belong to Heart Fire; all swelling and fullness caused by dampness belong to Spleen Earth. The Heart governs Blood, and the Spleen governs Flesh. When Heat in the Blood and Dampness in the Flesh interact, they cause the skin and muscles to ulcerate and disperse, oozing incessantly without a fixed name, thus termed "Erythema Ulcer" (Evil Ulcer). However, differentiation is necessary. For instance, if Qi and Blood are stagnant in the skin and interstices (the spaces between skin and muscle), it can be dispersed through the exterior via sweating, such as in cases of Scabies, Tinea, Sores, and Rash. Sweating will cure the ulcer. If, however, Qi and Blood are stagnant within the layers of the flesh, extending externally to connect with the skin, presenting with aversion to cold, fever, and pus formation; or if caused by emotional disturbances or rich/greasy diet, internal support (Nei Tuo) should be used rather than sweating. Sweating would lead to complications. Therefore, for ulcers formed between the skin, one should treat them according to their lightness by dispersing them upward; hence, sweating is indicated, accompanied by topical application of insecticidal and moisturizing herbs. For ulcers formed deep within the muscle, one should treat them according to their heaviness by reducing them; clearing heat from the meridians, cooling the Qi and Blood, and applying topical poultices that promote pus discharge and tissue regeneration externally. For ulcers located on the vertex of the head, one should lift and extract them using ascending methods; employing wine-processed cooling herbs, combined with wind-dispelling herbs to ascend upwards, and applying topical insecticidal and heat-clearing herbs externally. Understanding these three principles covers more than half of the knowledge required for treating sores and ulcers.
Main Formula: Forsythia Fruit (Lianqiao), Angelica Sinensis Root (Danggui), Trichosanthes Root (Gualou Gen), Rehmannia Root (Shengdi), Schizonepeta Spike (Jingjie), Scutellaria Root (Huangqin), Red Peony Root (Chishao), Ophiopogon Tuber (Maidong), Arctium Seed (Niubangzi), Dianthus Herb (Qumai), Akebia Stem (Mutong), Gardenia Fruit (Zhizi), Saposhnikovia Root (Fangfeng), Ligusticum Rhizome (Chuanxiong), Licorice Root (Gancao) (all in equal parts). Grind into coarse powder. Take 4 qian per dose, decoct in water, and take orally.
Topical Application Formula (For all evil ulcers): Alum (Bai Fan, 1 qian), Frankincense (Ruxiang, 7 fen), Calomel (Qingfen, 3 fen), Myrrh (Moyao, 3 fen). Grind uniformly and apply topically.
Washing Formula (For all evil ulcers): Cyathula Root (Guanzhong), Ligusticum Rhizome (Chuanxiong), Yinchen Artemisia, Phellodendron Bark (Digupi), Schizonepeta Spike (Jingjie), Angelica Pubescens Root (Duhuo), Saposhnikovia Root (Fangfeng), Knotgrass Herb (Xumicao), Angelica Sinensis Root (Danggui), Licorice Root (Gancao). Decoct in water and wash the affected area.
Dideng Powder (For evil ulcers with swelling and pain):
Prunella Vulgaris Herb (Diding), Angelica Sinensis Root (Danggui), Rhubarb Root (Dahuang), Red Peony Root (Chishao), Lonicera Flower (Jinyinhua), Licorice Root (Gancao) (dose halved). Decoct in water and take orally.