或问∶足小肚生疽，寒热烦躁何如？曰∶此名腓 发疽，属足少阴肾经，由肾水不足，
积热所致。古方云不治。宜活命饮加牛膝、木瓜、黄柏。老弱者，八珍汤加牛膝。壮实者，
一粒金丹下之。涉虚者难治，以肾气丸、十全大补汤主之。溃出血脓者生，溃出清水者
死。
《鬼遗》云∶两曲 ，膀肚下内外两踝前，有廉刃两边，为里外廉。上结痈肿，此处近
骨难瘥。宜用收毒散外贴四畔，中心即用活血肉药贴，无害。 或问∶足内外 生疮，连
年不已何如？曰∶此由湿热下注，瘀血凝滞于经络，以致肌内紫黑，痒痛不时，女人名
为裙风裤口疮，即 疮也，最难克效。盖以裙扇地，风湿盛故也，宜服独活寄生汤、防
风通圣散加牛膝、木瓜、防己，外用隔纸膏，或制女贞叶贴之。
〔薛〕 疮生于两 ，初起赤肿，久而腐溃，或浸淫搔痒，破而脓水淋漓。盖因饮
食起居，亏损肝肾，或因阴火下流，外邪相
搏而致。外 属足三阳湿热可治。内 属足三阴虚热难治，若初起恶寒壮热，肿 作痛
者属湿热，用槟苏败毒散。若漫肿作痛，或不肿不痛者属阴虚，用补阴八珍汤。若脓水
淋漓，体倦食少，内热口干者属脾虚，用补中益气加茯苓、酒炒白芍药。若午后热，或
作痛，头目不清者属阴火，前汤加酒炒黑黄柏，及六味地黄丸。若午后发热，至子时分
方止是血虚，前汤加芎、归、熟地。若郁结伤脾而甚，用归脾汤加柴胡、山栀。若怒动
肝火而甚，用补中益气汤加川芎、山栀、黄芩。内热口干，肢体倦怠，或痰涎上升，或
口舌生疮，属脾肾虚热，用六味地黄丸、补中益气汤。若患处黑黯，肢体畏寒，饮食少
思，或脾肾虚败，用八味丸。或误用攻伐，复损胃气，绝其化源，治亦难矣。 鸿胪翟少
溪，两 生疮，渐至遍身，发热吐痰，口燥咽干，盗汗心烦，溺赤足热，日晡益甚，形
体日瘦，此肾经虚火也。用六味丸，不月诸证悉退，三月元气平复。 一男子。左 肿，
肉色如故，寒热恶心，饮食少思，此脾气不足而为外邪所感也，用六君加藿香、桔梗、川
芎而寒热止，又用补中益气汤而肿痛消。陆懋诚，素因阴虚，过饮入房，发热腿痛似
疮，用发表之剂，两腿肿黯，热气如雾，欲发痉，脉皆洪数，两尺尤大。余曰∶属足三
阴虚，酒湿所乘，元气损而邪益甚耳。用十全大补加山药、山茱萸、附子，一剂脉证顿
退，却去附子，又二剂全愈。 一男子先患两 ，后及遍身，生疮似疥非疥，时或脓水
淋漓，两腿为甚，肢体倦怠，作痒烦热，年余不愈。余作肾经虚火，用加减八味丸而痊。
二妙丸 治下焦湿疮，（但是下焦有疮，皆可服。）潜行散末、苍术末各等分，炼蜜为丸，桐
子大。
〔海〕黄 丸（《局方》） 治两 脚膝生疮，服此立安。
川乌头（炮，去皮脐） 川楝子 地龙（去土，炒） 香(炒） 杜蒺藜（炒，去刺） 赤小豆 防
风（去芦） 黄 （锉，各一两） 乌药
上为细末。酒煮面糊为丸，如桐子大。每服十五丸，温酒下，盐汤亦得，妇人醋汤下，
并空心服。
治 疮极妙 地骨皮一斤，黄柏皮二两，锉为粗末。用香油一斤半煎，滤过，药油六
七两，入净松香二十两，黄丹二两，同煎，候黄丹微黑色，却入轻粉七角，光粉二角，煎
法皆如煎膏法，用长条纸拖过，挂干用。若疮紫黑，先用三棱针去恶血，以冷水洗净，随
疮大小，剪膏药掩上，用绢帛扎紧。俟一周时，再换膏药，换时须用冷水洗疮，不过数
换，不问新久即愈。须忌日气、火气、阳气。倘换膏药再看，如有黑肿未尽，可再出血，以
紫黑血尽为度。
治 疮，用糯米泔漱口过洗疮，拭干，却以地骨皮为细末；蜜调，敷疮上，又以油纸
缚之。
〔丹〕 治 疮
白胶香 黄柏 软石膏（另研，各一两） 青黛 龙骨（各半两）
上为细末。以香油调敷患处。
又方 用羯羊屎（二分），石膏（一分），赤石脂半分，为细末。香油和之，旧黑油伞纸作
隔膏，缚之除根。
〔罗〕翠玉膏 治 疮。
沥青（一两） 黄蜡 铜绿（各二钱） 没药 乳香（各一钱）
上件，先将铜绿为细末，入香油调匀，又将黄蜡、沥青，火上溶开，次下油铜绿，火
上搅匀，将没药等二味，旋旋入搅匀，用河水一碗，将药倾在内，用手扯拔匀，油纸裹，
看疮大小，分大小块，口嚼捻成饼子，贴于疮上，纸封三日，易之。
〔丹〕 疮，用砂糖水煮冬青叶，三五沸涝起，石压干。将叶贴在疮口上，一日换
二遍。脚痛成疮，水蓼煎汤，洗疮候干自安。
〔山〕 疮，用韭汁洗净拭干，锉虎骨敷上。
乳香散（郭氏） 治诸疳浸蚀，日久不愈，下注 疮，内外踝生疮，顽疮等证。
枯矾 白胶香 赤石脂（各半两） 黄丹 乳香 没药（各三钱） 轻粉（二钱）
上为细末。加麝些小，如疮湿干上，干则香油调敷。
轻粉散（郭氏） 治下注疳疮，蚀臭腐烂疼痛，不可忍者。
黄柏（蜜炙） 密陀僧 黄丹 高末茶 乳香（各三钱） 轻粉（一钱半） 麝香（少许）。
上为末。用葱汤洗疮，次贴此药，兼治小儿疳疮。
治 疮方
鼠粪 苦参 桃枝 杉树刺 柳枝 松枝 麸酱 鸡子壳 皂角 雀粪 芍药 木
绵子 芝麻 桑枝 蛇壳 锅底煤 杜当归须（各四钱） 松明（不拘多少）
上为细末。先将松明捶碎，和诸药于瓦铫中，掘一地坑，将药铫安坑中，四围用火
熬熔，取出再研，令匀，敷疮自然痊可。忌一切发气、热物。
隔纸膏 治内、外 疮。
当归 白芷 黄连 五倍子 雄黄 没药 血竭 海螵蛸 白芨 白蔹 黄柏 浓
朴（以上各半两） 黄丹（六钱） 乳香（研，二钱半） 轻粉（一钱）
上为细末，研匀。用清油调成膏，用油纸贴药敷疮上，绢帛缚定。有脓水解开，刮
去不洁，再贴药，如此数次即愈。须先用烧盐汤洗净，片帛拭干，待片时，水气干，然
后贴药。
治赚疮久不愈
龙骨（二钱半） 轻粉（少许） 槟榔（半两） 乳香 没药（各一钱） 干猪粪（半两，烧存性）
上为细末。先以烧盐汤洗疮，以软绢帛拭干，清油调敷；疮湿则干掺之。
治 疮下注
白石脂 龙骨（各半两） 白矾（一两，枯） 五倍子（二两，烧存性） 黄丹（三钱，飞） 雄黄
（少许）
上为细末。先将葱盐汤，洗疮见赤肉。然后将前药敷疮上，用药如法。浓者却用帛子
缚者，不要动，直候干，自脱去疮皮。
治 疮
黄丹 轻粉 白芨 樟脑 败船灰（各等分）
上研细末，以桐油调成膏，摊在油纸袋内。先煎温葱汤洗净，以帛拭干，将药置疮
上，扎住。用了一面，番转如前洗贴。一方，无轻粉，若用粪船灰亦妙。
治 疮方 詹武子年三十时，曾患此，用之屡效。
白芨 白蔹 黄柏 黄丹（另研，各等分）
上为极细末。入轻粉些少，研匀，以炼蜜和成剂，捏作饼贴疮上，深者填满，以帛
片包扎，一日一换，后来疮渐干，或有裂处，只须干掺，以瘥为度。
治血住脚
桑树菰 牛屎菰（又名锻石菰，生地上，如有石成块者碎，其中有灰起） 肥株树菰 胎发
（男用男，女用女，三个）
上将三菰焙干，各五钱；胎发烧灰存性，三钱，并为细末，研匀。湿则干掺，干则清
麻油调涂。
治 疮方
冬青叶 腊猪胆 百草霜（二味和匀）
上将冬青叶，与本人嚼烂，先以葱椒洗净疮口，以胆霜敷后，却敷嚼叶在上，三四
次即可。
奇妙栀子散 治远年日久，内外 疮。
山栀子（不拘多少，烧作灰，研为细末） 乳香（另研，各半钱） 轻粉（少许）
上研匀，以瓷器盛。每用时，先以葱白、花椒煎汤，洗净疮稍歇；再以温浆水，又洗
一次。候恶水去尽，再将白水煎百沸，候温再洗。但疮口无脓水血丝，清水各尽，又用
粉帛片拭干，然后敷药。如干者香油调敷，湿者干掺，但将疮口实满，软绢帛护之。坚硬
不作脓者，未可用。肿如软有脓者，根据前法
再洗后，敷贴之，三二次即愈。乃一药二洗之功也。
治 疮方 先以葱白、浆水熬汤，洗净疮口，拭干，徐以轻粉未，掺上疮口，却用
五灵脂、黄柏各等分，碾细末，凉水调敷疮上，纸盖定，三五次即平复。
【背景信息】
书名：证治准绳·疡医 作者：王肯堂 朝代：明 章节：腓发 / 疮 类别：医论
【原文翻译】
有人问：“小腿肚生疽，伴有寒热、烦躁，该怎么办？”回答说：“这名叫腓发疽（生于小腿肚的痈疽），归属于足少阴肾经，是由于肾水不足，积热所致。古方认为此病难治。适宜使用活命饮加牛膝、木瓜、黄柏。年老体弱者，用八珍汤加牛膝。身体壮实者，用一粒金丹攻下。涉及虚损的难以治疗，以肾气丸、十全大补汤为主治。”
《鬼遗抄》说：“两小腿肚下方内外两个踝关节前侧，有锐利边缘的两边，称为里廉和外廉。如果此处结痈肿，因为靠近骨头，很难痊愈。适宜使用收毒散外贴四周，中心部位即用活血肉药贴敷，没有害处。”
有人问：“足内外侧生疮，连年不愈，该怎么办？”回答说：“这是由于湿热下注，瘀血凝滞于经络，导致肌肉内部紫黑，不时瘙痒疼痛，女子称为裙风裤口疮，也就是腓疮，最难见效。大概是因为裙子拖地，风湿盛行的缘故。适宜服用独活寄生汤、防风通圣散加牛膝、木瓜、防己，外用隔纸膏，或者制女贞叶贴敷。”
〔薛己〕腓疮生于两小腿肚，初起时红肿，久则腐烂溃破，或浸淫瘙痒，破后脓水淋漓。大概是因为饮食起居不慎，亏损肝肾，或因阴火下流，与外邪相搏而致。外侧属于足三阳经湿热，可治；内侧属于足三阴虚热，难治。如果初起恶寒高热，肿胀作痛，属于湿热，用槟苏败毒散。如果漫肿作痛，或不肿不痛，属于阴虚，用补阴八珍汤。如果脓水淋漓，身体疲倦，食欲减退，内热口干，属于脾虚，用补中益气汤加茯苓、酒炒白芍药。如果午后发热，或作痛，头目不清爽，属于阴火，前方加酒炒黑黄柏，及六味地黄丸。如果午后发热，到子时才停止，是血虚，前方加川芎、当归、熟地黄。如果郁结伤脾严重，用归脾汤加柴胡、山栀。如果怒动肝火严重，用补中益气汤加川芎、山栀、黄芩。内热口干，肢体倦怠，或痰涎上升，或口舌生疮，属于脾肾虚热，用六味地黄丸、补中益气汤。如果患处颜色黑黯，肢体畏寒，饮食少思，或脾肾虚败，用八味丸。如果误用攻伐药物，再次损伤胃气，断绝化源，治疗也就困难了。鸿胪寺官员翟少溪，两小腿肚生疮，逐渐蔓延至全身，发热吐痰，口燥咽干，盗汗心烦，小便赤红，脚心发热，傍晚加重，形体日渐消瘦，这是肾经虚火。用六味地黄丸，不到一个月各种症状全部消退，三个月元气恢复。
一男子，左小腿肚肿，肤色如常，寒热恶心，饮食少思，这是脾气不足而为外邪所感，用六君子汤加藿香、桔梗、川芎，寒热止住，又用补中益气汤，肿痛消除。陆懋诚，素来阴虚，饮酒过度且房事不节，发热腿痛似疮，用发表之剂，两腿肿黯，热气如雾，欲发痉厥，脉象皆洪数，两尺脉尤其大。我说：“属于足三阴虚，酒湿所乘，元气受损而邪气更盛。”用十全大补汤加山药、山茱萸、附子，一剂后脉证顿退，去掉附子，又服两剂全愈。
一男子先患两小腿肚生疮，后波及全身，生疮似疥非疥，有时脓水淋漓，两腿尤为严重，肢体倦怠，作痒烦热，一年多不愈。我认为是肾经虚火，用加减八味丸而痊愈。
二妙丸治疗下焦湿疮。（只要是下焦有疮，都可以服用。）潜行散末、苍术末各等分，炼蜜为丸，如梧桐子大。
〔海藏〕黄檗丸（出自《局方》）治疗两小腿肚、脚膝生疮，服用此药立即安宁。
川乌头（炮制，去皮脐）、川楝子、地龙（去土，炒）、香附（炒）、杜蒺藜（炒，去刺）、赤小豆、防风（去芦）、黄柏（锉，各一两）、乌药。
以上研为细末。酒煮面糊为丸，如梧桐子大。每次服用十五丸，温酒送下，盐汤也可以，妇人醋汤送下，并空腹服用。
治疗腓疮极妙的方法：地骨皮一斤，黄柏皮二两，锉成粗末。用香油一斤半煎，滤过，得药油六七两，加入净松香二十两，黄丹二两，同煎，等到黄丹微呈黑色，再加入轻粉七角，光粉二角，煎法都像煎膏药的方法，用长条纸拖过，挂干使用。如果疮色紫黑，先用三棱针去除恶血，用冷水洗净，根据疮的大小，剪膏药覆盖，用绢帛扎紧。等一周时间，再换膏药，换时必须用冷水洗疮，不过数次，无论新久即可痊愈。必须忌日气、火气、阳气。如果换膏药时再看，如有黑肿未尽，可以再出血，以紫黑血尽为度。
治疗腓疮，用糯米泔水漱口后清洗疮口，拭干，然后用地骨皮为细末，蜜调，敷在疮上，又以油纸缚之。
〔丹溪〕治疗腓疮：
白胶香、黄柏、软石膏（另研，各一两）、青黛、龙骨（各半两）。
以上研为细末。用香油调敷患处。
又一方：用羯羊屎（二分），石膏（一分），赤石脂半分，为细末。香油和之，旧黑油伞纸作隔膏，缚之除根。
〔罗谦甫〕翠玉膏治疗腓疮。
沥青（一两）、黄蜡、铜绿（各二钱）、没药、乳香（各一钱）。
以上先将铜绿为细末，入香油调匀，又将黄蜡、沥青，火上溶开，次下油铜绿，火上搅匀，将没药等二味，旋旋入搅匀，用河水一碗，将药倾在内，用手扯拔匀，油纸裹，看疮大小，分大小块，口嚼捻成饼子，贴于疮上，纸封三日，易之。
〔丹溪〕腓疮，用砂糖水煮冬青叶，三五沸捞出，石压干。将叶贴在疮口上，一日换二遍。脚痛成疮，水蓼煎汤，洗疮候干自安。
〔山斋〕腓疮，用韭汁洗净拭干，锉虎骨敷上。
乳香散（郭氏）治疗诸疳浸蚀，日久不愈，下注腓疮，内外踝生疮，顽疮等证。
枯矾、白胶香、赤石脂（各半两）、黄丹、乳香、没药（各三钱）、轻粉（二钱）。
以上研为细末。加麝香少许，如疮湿干上，干则香油调敷。
轻粉散（郭氏）治疗下注疳疮，蚀臭腐烂疼痛，不可忍者。
黄柏（蜜炙）、密陀僧、黄丹、高末茶、乳香（各三钱）、轻粉（一钱半）、麝香（少许）。
以上研为末。用葱汤洗疮，次贴此药，兼治小儿疳疮。
治疗腓疮方：
鼠粪、苦参、桃枝、杉树刺、柳枝、松枝、麸酱、鸡子壳、皂角、雀粪、芍药、木绵子、芝麻、桑枝、蛇壳、锅底煤、杜当归须（各四钱）、松明（不拘多少）。
以上研为细末。先将松明捶碎，和诸药于瓦铫中，掘一地坑，将药铫安坑中，四围用火熬熔，取出再研，令匀，敷疮自然痊可。忌一切发气、热物。
隔纸膏治疗内、外腓疮。
当归、白芷、黄连、五倍子、雄黄、没药、血竭、海螵蛸、白芨、白蔹、黄柏、浓朴（以上各半两）、黄丹（六钱）、乳香（研，二钱半）、轻粉（一钱）。
以上研为细末，研匀。用清油调成膏，用油纸贴药敷疮上，绢帛缚定。有脓水解开，刮去不洁，再贴药，如此数次即愈。须先用烧盐汤洗净，片帛拭干，待片时，水气干，然后贴药。
治疗赚疮久不愈：
龙骨（二钱半）、轻粉（少许）、槟榔（半两）、乳香、没药（各一钱）、干猪粪（半两，烧存性）。
以上研为细末。先以烧盐汤洗疮，以软绢帛拭干，清油调敷；疮湿则干掺之。
治疗腓疮下注：
白石脂、龙骨（各半两）、白矾（一两，枯）、五倍子（二两，烧存性）、黄丹（三钱，飞）、雄黄（少许）。
以上研为细末。先将葱盐汤，洗疮见赤肉。然后将前药敷疮上，用药如法。浓者却用帛子缚者，不要动，直候干，自脱去疮皮。
治疗腓疮：
黄丹、轻粉、白芨、樟脑、败船灰（各等分）。
以上研细末，以桐油调成膏，摊在油纸袋内。先煎温葱汤洗净，以帛拭干，将药置疮上，扎住。用了一面，番转如前洗贴。一方，无轻粉，若用粪船灰亦妙。
治疗腓疮方：詹武子年三十时，曾患此，用之屡效。
白芨、白蔹、黄柏、黄丹（另研，各等分）。
以上为极细末。入轻粉些少，研匀，以炼蜜和成剂，捏作饼贴疮上，深者填满，以帛片包扎，一日一换，后来疮渐干，或有裂处，只须干掺，以瘥为度。
治疗血住脚：
桑树菰、牛屎菰（又名锻石菰，生地上，如有石成块者碎，其中有灰起）、肥株树菰、胎发（男用男，女用女，三个）。
以上将三菰焙干，各五钱；胎发烧灰存性，三钱，并为细末，研匀。湿则干掺，干则清麻油调涂。
治疗腓疮方：
冬青叶、腊猪胆、百草霜（二味和匀）。
以上将冬青叶，与本人嚼烂，先以葱椒洗净疮口，以胆霜敷后，却敷嚼叶在上，三四次即可。
奇妙栀子散治疗远年日久，内外腓疮。
山栀子（不拘多少，烧作灰，研为细末）、乳香（另研，各半钱）、轻粉（少许）。
以上研匀，以瓷器盛。每用时，先以葱白、花椒煎汤，洗净疮稍歇；再以温浆水，又洗一次。候恶水去尽，再将白水煎百沸，候温再洗。但疮口无脓水血丝，清水各尽，又用粉帛片拭干，然后敷药。如干者香油调敷，湿者干掺，但将疮口实满，软绢帛护之。坚硬不作脓者，未可用。肿如软有脓者，根据前法再洗后，敷贴之，三二次即愈。乃一药二洗之功也。
治疗腓疮方：先以葱白、浆水熬汤，洗净疮口，拭干，徐以轻粉未，掺上疮口，却用五灵脂、黄柏各等分，碾细末，凉水调敷疮上，纸盖定，三五次即平复。
[Background Information]
Book: Zhengzhi Zhunsheng · Yangyi (Standardized Diagnosis and Treatment for Surgeons)
Author: Wang Kentang
Dynasty: Ming
Chapter: Feifa Chu (Calf Ulcer)
Category: Medical Theory
[Translation]
A question was asked: "What should be done if a carbuncle (ju, 疽) arises on the calf, accompanied by chills, fever, irritability, and restlessness?" The answer was: "This is named Feifa Ju (carbuncle arising on the calf), belonging to the Foot Shaoyin Kidney Meridian. It is caused by insufficiency of Kidney Water and accumulation of heat. Ancient formulas consider this disease incurable. Huoming Yin (Life-Saving Decoction) with added Niuxi (Achyranthis Bidentatae Radix), Mugua (Chaenomelis Fructus), and Huangbai (Phellodendri Cortex) is suitable. For the elderly and weak, Bazhen Tang (Eight-Treasure Decoction) with added Niuxi is used. For those who are robust, Yili Jindan (One-Grain Golden Pill) is used to purge. Cases involving deficiency are difficult to treat; Shensui Wan (Kidney Qi Pill) and Shiquan Dabu Tang (Ten-Increment Great Tonifying Decoction) are the main treatments. If it ulcerates and discharges blood and pus, there is hope for survival; if it ulcerates and discharges clear water, death ensues."
The *Gui Yi* (Ghost's Legacy) states: "Below the two calves, in front of the inner and outer malleoli, there are sharp edges on both sides, referred to as the inner Lian and outer Lian. If a carbuncle forms here, because it is close to the bone, it is difficult to heal. It is suitable to apply Shou Du San (Poison-Gathering Powder) externally around the periphery, and apply Huoxue Rou Yao (Blood-Invigorating Flesh-Replenishing Medicine) directly to the center; this does no harm."
A question was asked: "What should be done if ulcers arise on the medial and lateral aspects of the foot and persist for years without healing?" The answer was: "This is due to damp-heat sinking downward and blood stasis stagnating in the collaterals, leading to purple-black discoloration within the muscles, and intermittent itching and pain. In women, it is called Qunfeng Kukou Chuang (Skirt-Wind Crotch-Ulcer), which is also Fei Chuang (calf ulcer), and is the most difficult to cure effectively. This is likely because skirts drag on the ground, allowing wind-dampness to flourish. It is suitable to take Duhuo Jisheng Tang (Angelica Pubescens and Drynaria Decoction) or Fangfeng Tongsheng San (Saposhnikovia Releasing and Unblocking Powder) with added Niuxi, Mugua, and Fangji. Externally, Gezhi Gao (Paper-Interposed Plaster) or prepared Luzhen Ye (Glossy Privet Leaf) can be applied."
[Xue Ji] Fei Chuang (calf ulcer) arises on the two calves. Initially, there is redness and swelling; over time, it rots and ulcerates, or oozes and itches, discharging dripping pus after rupture. This is generally due to improper diet and lifestyle damaging the Liver and Kidneys, or Yin Fire flowing downward and combing with external pathogens. The lateral aspect belongs to damp-heat of the Three Yang meridians of the foot and is treatable; the medial aspect belongs to yin-deficiency heat of the Three Yin meridians of the foot and is difficult to treat. If initially there are chills and high fever with swollen, painful areas, it belongs to damp-heat; use Bingsu Baidu San (Areca Seed and Perilla Detoxifying Powder). If there is diffuse swelling with pain, or no swelling and no pain, it belongs to yin-deficiency; use Buyin Bazhen Tang (Yin-Nourishing Eight-Treasure Decoction). If there is dripping pus, fatigue, poor appetite, internal heat, and dry mouth, it belongs to Spleen deficiency; use Buzhong Yiqi Tang (Middle-Boosting Qi-Enriching Decoction) with added Fuling (Poria) and Jiuchao Baishaoyao (Wine-fried White Peony Root). If there is afternoon fever, or pain, and unclear head/eyes, it belongs to Yin Fire; add Jiuchao Hei Huangbai (Wine-fried Black Phellodendron Bark) to the previous formula, along with Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill). If there is afternoon fever that stops only at Zi hour (11 PM - 1 AM), it is Blood deficiency; add Xiong (Ligustici Chuanxiong Rhizoma), Gui (Angelicae Sinensis Radix), and Shudi (Prepared Rehmannia Root) to the previous formula. If depression injures the Spleen severely, use Guipi Tang (Spleen-Restoring Decoction) with added Chaihu (Bupleuri Radix) and Shanzhi (Gardeniae Fructus). If anger moves Liver Fire severely, use Buzhong Yiqi Tang with added Chuanxiong, Shanzhi, and Huangqin (Scutellariae Radix). Internal heat, dry mouth, limb fatigue, rising phlegm-saliva, or sores in the mouth and tongue belong to Spleen-Kidney deficiency heat; use Liuwei Dihuang Wan and Buzhong Yiqi Tang. If the affected area is dark black, limbs fear cold, and there is little desire for food, or Spleen-Kidney deficiency and collapse, use Bawei Wan (Eight-Ingredient Pill). If attacking/purging medicines are mistakenly used, further damaging Stomach Qi and cutting off the source of transformation, treatment becomes difficult. Zhai Shaoxi, an official of the Honglu Temple, had ulcers on both calves that gradually spread over the whole body, with fever, expectoration, dry mouth and throat, night sweats, irritability, red urine, hot feet, worsening in the late afternoon, and emaciation. This was Deficient Fire of the Kidney Meridian. Using Liuwei Wan (Six-Ingredient Pill), all symptoms receded within a month, and Yuanqi (Primal Qi) recovered in three months.
A man had swelling in his left calf, with normal skin color, chills, fever, nausea, and poor appetite. This was insufficient Spleen Qi affected by external pathogens. Using Liujun Zi Tang (Six-Gentlemen Decoction) with added Huoxiang (Pogostemonis Herba), Jiegeng (Platycodonis Radix), and Chuanxiong, the chills and fever stopped. Then using Buzhong Yiqi Tang, the swelling and pain subsided. Lu Maocheng, constitutionally deficient in Yin, drank excessively and engaged in sexual activity, resulting in fever and leg pain resembling an ulcer. Using exterior-releasing agents, both legs became swollen and dark, with heat like fog, impending spasms, and pulse that was surging and rapid, especially at the Chi positions. I said: "This belongs to deficiency of the Three Yin meridians of the foot, exacerbated by alcohol-dampness, where Yuanqi is damaged and pathogens become more severe." Using Shiquan Dabu Tang with added Shanyao (Dioscoreae Rhizoma), Shanzhuyu (Corni Fructus), and Fuzi (Aconiti Lateralis Radix Praeparata), the pulse and symptoms retreated after one dose. Fuzi was removed, and after two more doses, full recovery occurred.
A man first suffered from ulcers on both calves, which later spread to the whole body. The sores resembled scabies but were not scabies, sometimes discharging dripping pus, especially in the legs. There was limb fatigue, itching, irritability, and heat, lasting over a year without healing. I considered it Deficient Fire of the Kidney Meridian and used Jiajian Bawei Wan (Modified Eight-Ingredient Pill) for recovery.
Ermiao Wan (Two-Exquisite Pill) treats lower-jiao damp ulcers. (Any ulcer in the lower jiao may take this.) Qianxing San powder and Cangzhu powder (Atractylodis Rhizoma) in equal parts, formed into pills with refined honey, size of Sophora seeds.
[Hai Zang] Huangbo Wan (Huangbo Pill, from *Ju Fang*) treats ulcers on both calves, knees, and feet. Taking this brings immediate relief.
Chuan Wutou (Prepared Aconitum Carmichaelii Lateralis Radix, peeled and de-seeded), Chuanlianzi (Meliae Toosendan Fructus), Dilong (Pheretima, earthworm, cleaned and stir-fried), Xiangfu (Cyperi Rhizoma, stir-fried), Du Jili (Tribuli Fructus, stir-fried and thorns removed), Chixiaodou (Vigna umbellata Seed), Fangfeng (Saposhnikoviae Radix, de-rhizome), Huangbo (Phellodendri Cortex, sliced, each 1 liang), Wuyao (Linderae Radix).
All ground into fine powder. Made into pills with wine-boiled wheat paste, size of Sophora seeds. Take 15 pills each time, washed down with warm wine; salt water is also acceptable. Women should wash down with vinegar water. Take on an empty stomach.
An excellent method for treating calf ulcers: Digupi (Lycii Cortex), 1 jin; Huangbo (Phellodendri Cortex), 2 liang. Coarsely chopped. Fry in 1.5 jin of sesame oil, filter, obtaining 6-7 liang of medicinal oil. Add 20 liang of pure pine resin and 2 liang of Huangdan (Lead Tetroxide). Simmer together until Huangdan turns slightly black. Then add 7 jiao of Qingfen (Calomel) and 2 jiao of Guangfen (White Lead). The simmering method is the same as making plasters. Drag through long strips of paper and hang to dry. If the ulcer is purple-black, first use a three-edged needle to remove bad blood, wash clean with cold water, cut plaster to fit the ulcer size, cover it, and tie tightly with silk gauze. After one week, change the plaster. When changing, must wash the ulcer with cold water. After a few changes, whether new or old, it will heal. Must avoid sun air, fire air, and yang air. If upon changing the plaster, black swelling remains, bleed again until purple-black blood is exhausted.
To treat calf ulcers, rinse the ulcer with rice-washing water (after rinsing mouth with it), wipe dry, then apply Digupi powder mixed with honey to the ulcer, and bind with oiled paper.
[Danxi] Treating calf ulcers:
Baijiaoxiang (Elemi Resin), Huangbo (Phellodendri Cortex), Ruangao (Soft Gypsum, separately ground, each 1 liang), Qingdai (Indigo Naturalis), Longgu (Fossilized Bones, each 0.5 liang).
All ground into fine powder. Mix with sesame oil and apply to the affected area.
Another prescription: Use male sheep dung (2 fen), Gypsum (1 fen), Chishizhi (Halloysit Rubrum, 0.5 fen). Grind into fine powder. Mix with sesame oil. Use old black oil umbrella paper as a barrier plaster and bind to eradicate the root.
[Luo Qianfu] Cuiyu Gao (Jade Green Plaster) treats calf ulcers.
Qingli (Bitumen), 1 liang; Huangla (Yellow Beeswax), Tonglv (Malachite, each 2 qian); Moyao (Myrrha), Ruxiang (Olibanum, each 1 qian).
First grind Tonglv into fine powder and mix with sesame oil. Melt Huangla and Qingli over fire. Add the oil-Tonglv mixture and stir well over fire. Gradually add Moyao and Ruxiang and stir evenly. Pour into a bowl of river water, pull and mix by hand until uniform. Wrap in oiled paper. Depending on ulcer size, divide into pieces, chew into cakes, and apply to the ulcer. Seal with paper for three days, then change.
[Danxi] For calf ulcers, boil Ligustrum lucidum leaves (Dongqing Ye) in sugar water for 3-5 boils, remove, press dry with stone. Apply leaves to the ulcer opening, changing twice a day. For foot pain forming ulcers, decoct Polygonum hydropiper (Shuiliao) in water, wash the ulcer, and let dry for natural comfort.
[Shanzhai] For calf ulcers, wash with leek juice, wipe dry, and apply finely chopped tiger bone.
Ruxiang San (Guoshi's Incense Powder) treats various gan erosions that do not heal for a long time, sinking-down gan ulcers, ulcers on inner and outer malleoli, stubborn ulcers, etc.
Kufan (Alum), Baijiaoxiang (Elemi Resin), Chishizhi (Halloysit Rubrum, each 0.5 liang); Huangdan (Lead Tetroxide), Ruxiang (Olibanum), Moyao (Myrrha, each 3 qian); Qingfen (Calomel, 2 qian).
All ground into fine powder. Add a small amount of Shexiang (Musk). If the ulcer is wet, sprinkle dry powder; if dry, mix with sesame oil and apply.
Qingfen San (Guoshi's Calomel Powder) treats sinking-down gan ulcers with foul erosion, rotting, pain unbearable.
Huangbai (Phellodendri Cortex, honey-fried), Miduoseng (Litharge), Huangdan (Lead Tetroxide), Gaomo Cha (Fine Tea Leaves), Ruxiang (Olibanum, each 3 qian); Qingfen (Calomel, 1.5 qian); Shexiang (Musk, a little).
All ground into powder. Wash ulcer with scallion soup, then apply this medicine. Also treats pediatric gan ulcers.
Prescription for treating calf ulcers:
Shufen (Mouse feces), Kushen (Sophorae Flavescentis Radix), Tao Zhi (Peach Twig), Shanshu Ci (Chinese Fir Thorn), Liuzhi (Willow Twig), Songzhi (Pine Twig), Fujiang (Wheat Bran Paste), Jizi Qiao (Chicken Eggshell), Zaojiao (Gleditsiae Fructus), Quefen (Sparrow feces), Shaoyao (Peony Root), Mianzi (Cottonseed), Zhima (Sesame), Sangzhi (Mulberry Twig), Sheke (Snake Shell), Didimei (Pot Bottom Coal), Du Danggui Xu (Wild Angelica Tail, each 4 qian); Songming (Pine Knot, any amount).
All ground into fine powder. First crush Songming, mix with other medicines in a clay pot. Dig a pit, place the pot in the pit, surround with fire to melt. Remove, grind again to make uniform, and apply to ulcer for natural recovery. Avoid all stimulating and hot foods.
Gezhi Gao (Paper-Interposed Plaster) treats internal and external calf ulcers.
Danggui (Angelicae Sinensis Radix), Baizhi (Angelicae Dahuricae Radix), Huanglian (Coptidis Rhizoma), Wubeizi (Chinese Gall), Xionghuang (Realgar), Moyao (Myrrha), Xuexie (Dragon's Blood), Haipiaoxiao (Sepiae Endoconcha), Baiji (Bletillae Rhizoma), Bailian (Smilacis Glabrae Rhizoma), Huangbai (Phellodendri Cortex), Houpo (Magnoliae Officinalis Cortex, each 0.5 liang); Huangdan (Lead Tetroxide, 6 qian); Ruxiang (Olibanum, ground, 2.5 qian); Qingfen (Calomel, 1 qian).
All ground into fine powder and mixed evenly. Make into a plaster with clear oil. Apply medicated oiled paper to the ulcer and bind with silk gauze. If there is pus, untie, scrape away impurities, and reapply. Repeat several times until healed. Must first wash with boiled salt water, wipe dry with cloth, wait until moisture evaporates, then apply medicine.
Treating chronic non-healing ulcers:
Longgu (Fossilized Bones, 2.5 qian), Qingfen (Calomel, a little), Binglang (Arecae Semen, 0.5 liang), Ruxiang (Olibanum), Moyao (Myrrha, each 1 qian); Gan Zhufen (Dry Pig Feces, 0.5 liang, burned to retain nature).
All ground into fine powder. First wash ulcer with boiled salt water, wipe dry with soft silk gauze, mix with clear oil and apply; if wet, sprinkle dry powder.
Treating sinking-down calf ulcers:
Baishizhi (Halloysit Albus), Longgu (Fossilized Bones, each 0.5 liang); Baifan (Alum, 1 liang, calcined); Wubeizi (Chinese Gall, 2 liang, burned to retain nature); Huangdan (Lead Tetroxide, 3 qian, purified); Xionghuang (Realgar, a little).
All ground into fine powder. First wash ulcer with scallion-salt water until red flesh appears. Then apply the above medicine. For thick applications, bind with cloth and do not move until dry, then the crust falls off naturally.
Treating calf ulcers:
Huangdan (Lead Tetroxide), Qingfen (Calomel), Baiji (Bletillae Rhizoma), Zhangnao (Camphora), Baichuanhui (Old Boat Ash, equal parts).
All ground into fine powder, made into a plaster with tung oil, spread on oiled paper bags. First wash with warm scallion soup, wipe dry with cloth, place medicine on ulcer, and tie. Use one side, then flip and wash/apply as before. Another formula: without Qingfen, using ash from dung-carrying boats is also excellent.
Prescription for calf ulcers: Zhan Wuzi suffered from this at age thirty and found it frequently effective.
Baiji (Bletillae Rhizoma), Bailian (Smilacis Glabrae Rhizoma), Huangbai (Phellodendri Cortex), Huangdan (Lead Tetroxide, separately ground, equal parts).
All ground into extremely fine powder. Add a little Qingfen, mix evenly, form into cakes with refined honey, apply to ulcer. Fill deep ones completely, wrap with cloth strips, change once a day. Later, as the ulcer dries or cracks, just sprinkle dry powder until healed.
Treating 'Xiezhu Jiao' (Blood-Stagnant Leg):
Sangshu Gu (Mulberry Tree Puff), Niushi Gu (Cow Dung Puff, also known as Duanshi Gu, grows on ground, breaks if stone-like, contains ash), Feizhu Shu Gu (Fat Tree Puff), Taifa (Embryonic Hair: male hair for males, female hair for females, three strands).
First bake the three puffs until dry, 5 qian each; burn embryonic hair to ash retaining nature, 3 qian. All ground into fine powder and mixed evenly. If wet, sprinkle dry powder; if dry, mix with pure hemp seed oil and apply.
Prescription for calf ulcers:
Dongqing Ye (Ligustrum Lucidum Leaf), Lazhu Dan (Winter Pig Gallbladder), Baicaoshuang (Soot, mix these two evenly).
Chew Dongqing Ye thoroughly with the patient. First wash ulcer with scallion and pepper. Apply gallbladder frost, then apply the chewed leaf on top. 3-4 times is sufficient.
Wonderful Gardenia Powder treats long-standing internal and external calf ulcers.
Shanzhizi (Gardeniae Fructus, any amount, burned to ash and ground fine); Ruxiang (Olibanum, separately ground, each 0.5 qian); Qingfen (Calomel, a little).
Mix evenly, store in porcelain. Each time use, first decoct scallion white and Sichuan peppercorn, wash ulcer and let rest; then wash again with warm sour rice water. Wait until foul fluid is gone, then boil plain water vigorously, cool to warmth, and wash again. Only when no pus or blood streaks remain, and clear water is gone, wipe dry with powder cloth, then apply medicine. If dry, mix with sesame oil; if wet, sprinkle dry powder. Fill the ulcer opening completely, protect with soft silk gauze. Do not use if hard and not suppurating. If swollen and soft indicating pus, follow the previous method: wash again, then apply. 2-3 times leads to healing. This is the effect of one medicine and two washes.
Prescription for calf ulcers: First decoct scallion white and sour rice water, wash ulcer, wipe dry. Slowly sprinkle Qingfen powder onto the ulcer opening. Then use Wulingzhi (Trogopteri Dung) and Huangbai (Phellodendri Cortex) in equal parts, grind fine, mix with cold water, apply to ulcer, cover with paper. 3-5 times leads to recovery.