《鬼遗》云∶阳疽起足趺及足下，二十日不穴死。十日可刺，发赤白脓血不多，其疮
上痒及赤黑者死。跗亦作趺，足面也。其处结毒肿痛，亦名足发背，属足厥阴肝、阳明
胃经之会，多因湿热乘虚而下注。宜服活命饮加木瓜、肉桂，牛膝及隔蒜灸之，继以十
全大补汤、托里温中汤。脓稠可治，脓清紫陷者死。 一人脚背患此，赤肿作痛，隔蒜
灸三十余壮痛止，以活命饮四剂而溃，更以托里消毒药而愈。 一人脚背患之，色黯而
不肿痛，烦躁大渴，尺脉大而涩，此精气已绝不治，后殁。 赵子固母刘氏，年六十，左
足面一疮，下连大指，上延外踝，以至 骨。每岁辄数发，发必兼旬累月。昏暮痒甚抓搔，
移时出血如泉流，呻吟痛楚，殆不可忍，夜分即渐已，明月复然。每一更药，则疮转大
而剧，百试不验，如是二十余年。淳熙甲辰仲冬之末，先生为太府丞，一夕母病大作，相
对悲泣无计。困极就睡，梦四神僧默出一室，傍有一长榻，子固亦坐，因而发叹。一僧问
其故，子固答之以实。僧云∶可服牛黄金虎丹。又一僧云∶朱砂亦可。既觉颇惊异，试
取药半粒强服之，良久大痛，举家相泣且悔。俄而下 物如铁石者数升，是夕疮但微痒
不痛而无血，数日成痂，自此遂愈。朱砂之说，竟不复试。先生因图僧像如所梦者而记
其事。金虎丹出《和剂局方》，本治中风痰涎壅塞，所用牛黄、龙脑、腻粉、金箔之类，皆
非老人所宜。今乃取奇效。意热积脏腑而发于皮肤，岁久根深，未易洗涤，故假凉剂以
攻之，不可以常伦。神僧之梦，盖孝感云。
牛黄金虎丹
牛黄（研，二两半） 龙脑（生研，五两） 腻粉（研，二十五两） 雄黄（研、飞，一百五十两） 白
矾（枯过，二十五两） 金箔（八十片，为衣） 天雄（炮去皮脐、研，十二两半） 天竺黄（研，二十
五两） 天南星（汤洗、焙，二十五两研末，用牛胆汁和作饼，阴干，无牛胆，用法酒蒸七昼夜，研）
为细末，炼蜜搜和，每一两半作十丸，以金箔为衣。每服一丸，新汲水化下。有孕妇，
不可服。
牛膝散 治足蜘蛛背。
鸡屎子 诈死子 两面龟 赤牛膝 紫金皮 山蜈蚣 凌霄根 脱壳藤 赤葛根
天布瓜根 背子蜈蚣
上水煎，入酒和服。
敷药方
天荞麦 鹿葱根 紫金皮 山布瓜 凌霄根 藜芦子 天南星 赤葛根 鸡屎子 苦薄荷 天布瓜
背子蜈蚣
上砍烂，入些醋暖涂敷。
又方 地灯心砍烂，缚之。
又方 金鸡舌砍烂，缚之。
又方 臭藤、天布瓜根，砍烂，酒炒敷之。
又方 紫鳖苏，檑酒服，以渣敷患处。
百草膏 治脚面恶疮，如桐油浸淫延漫，及治一切恶疮。不问干湿痛痒，日近年深，百
药不瘥者。
上用羊粪二三十粒。留瓦上，四畔炭火烧烟住火。箸钳于地上以盏覆存性，罗成白
灰研细，以纱片筛去沙土，麻油调敷。痒入轻粉；痛入麝香少许效。
《鬼遗方》记载：阳疽发于足背及足底，若二十日内未溃破则致死。十日内可针刺排脓，若流出赤白脓血不多，疮面上出现瘙痒以及颜色变为赤黑者，为死证。“跗”也写作“趺”，指足面。该部位结毒肿痛，又名足发背，属于足厥阴肝经与足阳明胃经交会之处，多因湿热之邪乘虚下注所致。适宜服用活命饮加木瓜、肉桂、牛膝，并配合隔蒜灸法治疗，随后继服十全大补汤、托里温中汤。若脓液稠厚者可治，若脓液清稀且疮色紫暗凹陷者则为死证。
有一人脚背患此病，红肿疼痛，采用隔蒜灸三十余壮后疼痛停止，服用四剂活命饮后溃破，再服用托里消毒药而痊愈。另一人脚背患病，肤色暗黑且不肿不痛，伴有烦躁和大渴，尺脉大而涩，这是精气已绝的征象，无法治愈，后来死亡。
赵子固的母亲刘氏，六十岁，左足面生一疮，向下连至大脚趾，向上延伸至外踝，直至胫骨。每年发作数次，每次发作必持续数十日乃至数月。黄昏时瘙痒剧烈，抓挠后出血如泉涌，呻吟痛苦，几乎难以忍受，半夜后症状逐渐缓解，明月升起时又复发。每服用一次药物，疮口反而扩大且病情加重，尝试百种方法均无效，如此长达二十余年。淳熙甲辰年（1184年）仲冬月末，赵子固担任太府丞，某夜母亲病情突然大作，两人相对悲泣无计可施。极度困倦入睡后，梦见四位神僧默默走出一个房间，旁边有一张长榻，赵子固也坐在上面，因而发出叹息。一位僧人询问原因，赵子固如实回答。僧人说：“可以服用牛黄金虎丹。”另一位僧人说：“朱砂也可以。”醒来后颇为惊异，试着取药半粒强服下去，过了很久剧烈疼痛，全家哭泣且后悔。不久排出如铁石般的秽物数升，当晚疮口仅微痒而不痛且不出血，数日后结成痂皮，从此痊愈。关于朱砂的说法，最终没有再尝试。赵子固因此绘制了梦中神僧的像并记录了此事。金虎丹出自《和剂局方》，原本治疗中风痰涎壅塞，所用牛黄、龙脑、腻粉、金箔等药，都不适合老年人服用。如今却取得了奇效。推测是热毒积聚在脏腑而发于皮肤，日久根深，不易清除，所以借用凉性药物来攻伐，不能按常规论治。神僧入梦，大概是孝心感应的结果。
牛黄金虎丹
牛黄（研细，二两半） 龙脑（生研，五两） 腻粉（研，二十五两） 雄黄（研、水飞，一百五十两） 白矾（枯过，二十五两） 金箔（八十片，作为包衣） 天雄（炮制去皮脐、研，十二两半） 天竺黄（研，二十五两） 天南星（汤洗、焙干，二十五两研末，用牛胆汁和成饼状，阴干；若无牛胆，用法酒蒸七昼夜，研）
制成细末，用炼蜜调和，每一两半做成十丸，以金箔为衣。每次服用一丸，新汲水化开送服。孕妇不可服用。
牛膝散 治疗足蜘蛛背。
鸡屎子 诈死子 两面龟 赤牛膝 紫金皮 山蜈蚣 凌霄根 脱壳藤 赤葛根
天布瓜根 背子蜈蚣
以上药材用水煎煮，加入酒混合服用。
敷药方
天荞麦 鹿葱根 紫金皮 山布瓜 凌霄根 藜芦子 天南星 赤葛根 鸡屎子 苦薄荷 天布瓜 背子蜈蚣
以上药材捣烂，加入少许醋加热后涂抹敷贴。
又一方 地灯心捣烂，包扎患处。
又一方 金鸡舌捣烂，包扎患处。
又一方 紫鳖苏，用檑酒送服，并将药渣敷于患处。
百草膏 治疗脚面恶疮，如桐油浸淫蔓延，以及治疗一切恶疮。不问干湿、痛痒，病程多年，各种药物无效的。
以上用羊粪二三十粒。放在瓦上，四周用炭火烧至烟尽火灭。用筷子夹出放在地上，用盏覆盖以保留药性，筛成白灰研细，用纱片筛去沙土，用麻油调匀后敷贴。若瘙痒加入轻粉；若疼痛加入少许麝香，效果显著。
According to the *Gui Yi Fang* (Ghost's Remnant): Yang abscesses arise on the dorsum of the foot and the sole. If they do not ulcerate within twenty days, death ensues. They can be punctured within ten days. If the discharge of red-white pus and blood is scanty, and the surface of the sore becomes itchy with a red-black color, this indicates a fatal prognosis. "Fu" (dorsum of foot) is also written as "Fu", referring to the top of the foot. This area involves the convergence of the Foot Jueyin Liver Meridian and the Foot Yangming Stomach Meridian. It is often caused by damp-heat pathogens descending due to deficiency. Treatment should involve administering Huoming Yin (Life-Saving Decoction) augmented with Chaenomelis Fructus (Guamu), Cinnamomi Cortex (Rougui), and Achyranthis Bidentatae Radix (Niuxi), combined with garlic-partitioned moxibustion. Subsequently, Shiquan Dabu Tang (Ten-Agent Great Tonifying Decoction) and Tuoli Wenzhong Tang (Supporting Interior and Warming Middle Decoction) should be given. If the pus is thick, the condition is treatable; if the pus is thin and the sore is purple and sunken, it is fatal.
One patient suffered from this on the dorsum of the foot, presenting with redness, swelling, and pain. After thirty-plus moxa cones applied via garlic partition, the pain ceased. Four doses of Huoming Yin led to ulceration, and subsequent administration of Tuoli Xiaodu drugs (Interior-Supporting and Toxin-Expelling Medicines) resulted in recovery. Another patient had a lesion on the dorsum of the foot that was dark in color without swelling or pain, accompanied by restlessness and intense thirst. The Chi pulse was large and choppy, indicating exhaustion of essence and qi, which is untreatable; the patient subsequently died.
The mother of Zhao Zigu, Ms. Liu, aged sixty, had a sore on the dorsum of her left foot extending down to the big toe and up to the lateral malleolus, reaching the tibia. It recurred several times a year, each episode lasting dozens of days or even months. Severe itching occurred at dusk, leading to bleeding like a spring upon scratching, with unbearable groaning and pain. Symptoms gradually subsided after midnight but returned when the moon rose. Each medication taken exacerbated the sore, enlarging it and intensifying the condition; hundreds of attempts failed over more than twenty years. In late winter of the Jiachen year of Chunxi (1184), while Zhao Zigu served as Vice Minister of the Imperial Household, his mother's illness suddenly worsened one night. They wept together, having no solution. Exhausted, he fell asleep and dreamed of four divine monks silently exiting a room. Beside them was a long couch where Zhao Zigu sat, sighing. One monk asked the reason, and Zhao answered truthfully. The monk said, "You may take Niuhuang Jinhu Dan (Ox Gallstone and Golden Tiger Pill)." Another monk added, "Cinnabar will also work." Upon waking, he was startled and amazed. He tried taking nearly half a pill forcibly. After a long time, severe pain ensued, causing the whole family to weep and regret. Soon, several sheng of iron-stone-like fecal matter were discharged. That night, the sore only itched slightly without pain or bleeding. Within a few days, a scab formed, and he was cured thereafter. The suggestion regarding Cinnabar was never tested again. Zhao Zigu then drew portraits of the dream monks and recorded the event. Jinhu Dan originates from the *Heji Jufang* (Bureau of Prescriptions for Relief of the World), originally treating stroke with phlegm-fluid obstruction. Ingredients such as Calculus Bovis (Niuhuang), Borax (Longnao), Calomelas (Nifen), and Gold Leaf (Jinbo) are generally unsuitable for the elderly. Yet here it achieved miraculous results. It is hypothesized that heat-toxins accumulated in the zang-fu organs and manifested on the skin; deep-rooted over years, difficult to cleanse, cold-natured medicines were borrowed to attack the pathogen, deviating from standard protocols. The dream of divine monks was likely a result of filial piety moving heaven.
**Niuhuang Jinhu Dan (Ox Gallstone and Golden Tiger Pill)**
Calculus Bovis (Niuhuang) (ground, 2.5 liang)
Borneolum Syntheticum (Longnao) (raw ground, 5 liang)
Calomelas (Nifen) (ground, 25 liang)
Realgar (Xionghuang) (ground and water-decanted, 150 liang)
Alumen (Baifan) (calcined, 25 liang)
Folium Auricum (Jinbo) (80 leaves, used as coating)
Aconitum Lateralare Preparatum (Tianxiong) (processed, skin and navel removed, ground, 12.5 liang)
Calculus Tigrinus (Tianzhu Huang) (ground, 25 liang)
Rhizoma Pinelliae (Tian Nan Xing) (washed in decoction, dried, 25 liang ground to powder; mixed with bile of ox to form cakes, dried in shade; if ox bile unavailable, steamed in medicinal wine for seven days and nights, then ground)
Grind into fine powder, knead with refined honey. Make ten pills per 1.5 liang of powder, coated with gold leaf. Take one pill per dose, dissolved in fresh well-water. Contraindicated in pregnancy.
**Niuxi San (Achyranthes Powder)**
Indicae Feces (Jishizi)
Pseudemys Concinnae Carapax et Plastrum (Zhasizi - Note: Context implies a specific herb name, possibly typo for another plant, literal translation kept)
Testudo Chinensis (Liangmianguie - Note: Likely a local herb name, literal translation kept)
Achyranthis Bidentatae Radix (Chiniuxi)
Polygoni Multiflori Caulis (Zijinpi - Note: Often refers to Polygonum multiflorum stem, but context suggests bark/root)
Scolopendra (Shanwugong)
Campsis Radicans Root (Lingxiaogen)
Vitis Flexuosa Ramulus (Tuoke Teng)
Puerariae Lobatae Radix (Chige Gen)
Trichosanthes Kirilowii Root (Tianbugua Gen)
Scolopendra (Beizi Wugong)
Decoct in water, mix with wine, and take orally.
**External Application Formula**
Fagopyri Dibotryis Rhizoma (Tianqiaomai)
Allii Macrostemonis Bulbus (Luchonggen)
Polygoni Multiflori Caulis (Zijinpi)
Trichosanthes Kirilowii Root (Shanbugua)
Campsis Radicans Root (Lingxiaogen)
Veratrum Nigrum Seed (Liluzi)
Rhizoma Pinelliae (Tian Nan Xing)
Puerariae Lobatae Radix (Chige Gen)
Indicae Feces (Jishizi)
Mentha Haplocalycis Herba (Kubohe)
Trichosanthes Kirilowii Root (Tianbugua)
Scolopendra (Beizi Wugong)
Mash thoroughly, add vinegar, warm, and apply externally.
**Another Formula**
Juncus Effusus (Didingxin) mashed and bound to the affected area.
**Another Formula**
Elettaria Cardamomum Seed (Jinjingshe) mashed and bound to the affected area.
**Another Formula**
Uncaria rhynchophylla (Chouteng) and Trichosanthes Kirilowii Root (Tianbugua Gen), mashed, stir-fried with wine, and applied.
**Another Formula**
Perilla Frutescens (Zibiesu), taken with Lei Wine (Lei Jiu), and the dregs applied to the affected area.
**Baicao Gao (Hundred Herbs Ointment)**
For malignant sores on the dorsum of the foot spreading like sesame oil, and for all malignant sores, regardless of dryness/wetness, pain/itching, chronic duration, or failure of other treatments.
Take 20-30 grains of sheep dung. Place on a tile, burn around with charcoal until smoke stops and fire extinguishes. Remove with chopsticks, place on ground, cover with a bowl to preserve properties. Sieve into white ash, grind finely, sieve through gauze to remove sand/dirt. Mix with Sesame Oil (Mayou) for application. For itching, add Calomelas (Qingfen); for pain, add a small amount of Moschus (Shexiang). Effective.