疖之薄皮剥起，痈疽之疮口紧细，瘰
火针破核之后，皆可用追蚀破脓之药。痈疽开后，疮口再闭，宜用药 以通之，或用纸、
或用发、或用干稻草叶，皆可涂捻 ，涂以蟾酥， 砂、白丁香、巴豆、寒食面之类，或
用五灰膏，随轻重涂 用之。疮疽腐败，可用手法去之，或用金宝膏去之，或用雄黄、轻
粉敷之，多待数日，亦自脱落。疽破后，有蠹肉努出者，远志末酒调涂之，则渐渐消去。
如不消，用五灰膏涂之则消。痈疽久流脓水，不腐不败，气血不能滋养疮口，滞毒日渐内
侵，好肉而为蠹肉，脓水过处，渐成膜管，如鹅毛管而软，其疮口如鱼嘴样，日久不能愈，
筋烂骨坏，用金宝膏，或涂或 ，或封之，一日三四次用之。不耐痛者，一日二次用之，其
蠹肉、膜管消尽，以滋润膏药贴之。薛新甫云∶疮疡之症，脓成者，当辨其生熟浅深，肉
死者，当验其腐溃连脱。丹溪先生云∶痈疽因积毒在脏腑，当先助胃壮气为主，使根本
坚固，而行经活血佐之，令其内消。余常治脉症虚弱者，用托里之药，则气血壮而肉不
死，脉症实热者，用清热之剂，则毒瓦斯退而肉自生。凡疮聚于筋骨之间，肌肉之内，皆
因血气虚弱，用十全大补汤，壮其脾胃，则未成自散，已成自溃，又何死肉之有？若不
大痛，或木痛，或不赤，或内脓不溃，或外肉不腐，乃气血虚弱，宜用桑枝灸炙十全大
补，加姜桂，壮其阳气，则四畔即消，疮头即腐，其毒自解，又何假于针割。若脾胃虚
弱，饮食少思，用六君倍加白术，壮其荣气，则肌肉受毒者自活，已死者自溃，已溃者自
敛。若初起或因克伐，或犯房事，以致色黯而不痛者，乃阳气脱陷，变为阴症，急用参
附汤温补回阳，亦有可生。吴痒，史邦直之内，仲夏患背疽，死肉不溃，发热痛甚，作
呕少食，口干饮汤，脉洪大按之如无，此内真寒而外假热，当舍时从症，先用六君加炮
姜、肉桂，四剂饮食顿进，诸症顿退。又用十全大补，仍加姜桂之类，五十余剂而死肉
溃，又五十余剂而新肉生。斯人气血充盛，而疮易起易敛，使医者逆知，预为托里，必无
此患。
六合回生丹 （又名，六合夺命散。） 治发背、痈疽溃烂者，有回生之妙。
铅粉（一两） 轻粉 银朱 雄黄 乳香（ 上炙焦） 没药（亦炙，各二分半，共一两一钱二分半）
上六味，各择真正好者，研为极细末，收贮。凡治其病，先煎好浓茶，将疮洗净，软
帛拭干后，剖开猪腰子一枚，用药一分，掺于猪腰子上，却敷患处，待猪腰子上发热如
蒸，良久，取去。自此拔毒瓦斯，减痛苦，定疮口，出脓秽，不可手挤。第二日根据前法仍
敷之，第三日亦敷之，疮势恶甚，可敷七八九次，疮小只敷一次可愈。猪腰子不发热，勿
治。又治对口疮同前。
沁阳，焦阁老先生，曾施此方，用药一分，敷一次则止。茶仙，施此方，加药至参
五分，敷数次，见效尤速，功多在拔其毒耳。疮口大者，恐一个猪腰子敷之不足，可加半
个。剖腰子法，不可剖脱，做两断，须要相连如一，大约量疮口大小，掺药则可，用
猪腰子为佳。其腰子有毒，宜深埋之。
若 疮日久不愈，用黄蜡少加好黄丹，化摊纸上，量疮大小，裁其蜡纸炙热，掺药一
二分，粘在蜡纸上面贴疮，绵帛缚住，任疮出尽恶水即愈。若患下疳，用猪腰子切作宽
片，掺药缚裹疳上，或以尖刀穿开猪腰子，纳药于内，笼套其疳亦良，羊、鱼、鹅、鸡、犬，
鸭，及发毒菜物，俱忌之。
骊龙散 治发背、痈疽，破与不破二者之间，功能捷奏。
珍珠（五分） 牛粪（十二月生用。余月烧存性） 铁锈（各重一两）
上研细末。以猪脑髓和好醋，调敷疮口，三五次愈，初起者自消。凡发毒品味，忌食
之。
麦饭石膏 在脓溃后，围疮口。
麦饭石（不拘多少，炭火 至红，以好米醋淬之，如此 粹十数次，研为末，重罗去粗者，取
细末
入乳钵，数人更递研，五七日，如面极细，为妙） 白蔹（研为细末） 鹿角（不用自脱者，须用
带脑顶骨全者，却是生取之角，截作二三寸长，炭火烧令烟尽，研罗为末，再入乳钵，更归研，令极细）
上用麦饭石细末（二两） ，白蔹（末二两） ，鹿角灰（四两） 最要研得极细，方有效，
粗则反致甚痛，细则大能止痛、收口、排脓。（精粗之异如此。） 和合，量药未多寡，用经年好米醋，
入银石器内，熬令鱼眼沸，却旋旋入药末，用竹篾子不住手搅，熬一二时久，令稀稠得所，
提出以瓷器盛之，候冷以纸盖覆，勿令着尘。用时先以猪蹄汤，洗去脓血，以故帛挹干，鹅
翎蘸膏，涂敷四围，凡有赤处；尽涂之，但留中心，一口如钱大。未溃能令内消，已溃
则排脓如湍水，逐日疮口收敛，疮久肌肉腐烂，筋骨出露，用旧布片涂药贴疮，但内膜
不穿，亦能取安。洗疮勿可手触嫩肉，亦不可口气吹着。合药亦忌腋气之人，及月经有
孕妇人见之。仍可熬好米醋一大碗，收瓷器内，候逐日用药于疮上，久则药干，以鹅翎
点醋拂拭药上，勿令绷也。初则一日一洗一换药，十日后两日一换。
古方云∶麦饭石颜色黄白，类麦饭，曾作磨者尤佳。
按∶麦饭石不可作磨，状如麦饭团，生粒点。如无此石，常以旧面家磨近齿处石，代
之，取其有麦性故也。或溪中寻白石，如豆，如米大者，即是也。其石大小不等，或如拳，
如鹅卵，略如握聚一团麦饭。
解毒百用膏
猪牙皂角（煨） 南星（各一两） 大米（一合，炒黑） 臭小粉（干者四两，炒焦，去火毒）
上为末，和匀，蜜水调围。治 扑，酒醋调围。
刘氏贴发背痈疽，脓尽四面皮粘，恐有脓毒攻起，宜用逼毒散。
黄药子 白药子（各一两） 赤小豆（二两） 雄黄（一两）
上为末，水调敷。
青散子 治发背、痈疽、脓尽生肉平满，宜用此紧疮口、生肌。
槿花叶（盛时收，阴干，取四两，为末） 青赤 小豆 白芨（各二两）
上为末。临时用槿花末三钱匕，白芨、小豆末各一钱匕，相和，新汲水调摊纸上。贴
四畔，中心疮口不用贴。
雄黄解毒散 治一切痈肿溃烂毒势盛者，先用此药二三次，以后用猪蹄汤。
雄黄（一两） 白矾（四两） 寒水石（ ，一两）
用滚水二三碗，乘热入前药一两，洗患处。以太乙膏或神异膏贴之。
猪蹄汤 治一切痈疽肿毒，消毒瓦斯，去恶肉，凡疮有口，便须用此汤洗。
香白芷（不见火） 黄芩（去心） 赤芍药 露蜂房（取有蜂儿者） 当归（去芦） 羌活 生甘草
（各等分）
上为粗末。看疽大小用药，如疽大加料用。先将 猪前蹄，两双一斤，只用白水三
升煮软，将汁分作二次，澄去面上油花，尽下面滓肉。每次用药一两，投于汁中，再用
文武火煎十数沸，去滓。以故帛蘸药汤，温温徐薄揩疮上，死肉恶血随洗而下。净洗讫，
以帛挹干，仍避风，忌人口气吹之。有狐臭人，并月经见行妇人，猫犬，并不许入病入
房。洗疮切勿以手触着。洗疽之方所传甚多，唯此方极效，其用露蜂房有理，盖以毒驱毒
也。
集香散 洗痈疽溃烂。
白芷 藿香 茅香 香附子 防风（各三钱） 木香 甘草（各一钱）
作一剂。用水三碗，煎数沸，去渣。淋洗患处。
〔薛〕 按∶此方乃馨香之剂也。经云，血气闻香则行，得臭则逆，即此意也。若疮
毒将尽，宜用之。若毒未尽，或有瘀肉，宜先用雄黄解毒散解之，后宜用此方。须用膏
药护贴，使风邪弗入，肌肉易生。大凡一有疮口，即用膏药贴之，至收口为度，最忌生
肌之剂。
熏洗方 凡诸发及痈疽、瘰 、 疮、汤烫、火烧等疾；或有别作一种，秽臭气息不
堪闻者，最是恶证；或已破未破，或小或大，皆当作急治之。可用忍冬藤一握，擂细，用
无灰酒滤汁服之，以滓敷疮四围。用云母膏别研，亦可剪开大口，以护其疮之上，俟其
疮出脓，便以 猪蹄汤等十分净洗、久洗为妙，至一二时辰不妨。次用后药熏之。
好降真香末 枫香末
上二味于铫中搅熔，丸如弹子大。却取香炉一枚，根据炉口造纸烟筒一个，如烧龙涎
香样，慢火 之，紧以烟筒口熏疮上，不拘丸数，稍倦暂止。然后更熏未出脓者即出；已
出脓者即干，直候生肌合口。然后止向后有赤肿去处，又再熏，大概欲屏去秽气也。
疖肿表面薄皮剥起，痈疽疮口紧细，瘰疬等病症，在火针破核之后，都可以使用具有追蚀、排脓作用的药物。痈疽溃破后，若疮口再次闭合，宜用药以疏通之，或者用纸、头发、干稻草叶等材料，将其捻成条状，涂上蟾酥、砂、白丁香、巴豆、寒食面等药物，或者使用五灰膏，根据病情轻重涂抹使用。疮疽腐败坏死，可用手法去除，或者用金宝膏去除，或者用雄黄、轻粉外敷，多等待数日，也会自然脱落。疽症破溃后，若有腐肉突出，用远志末调酒涂抹，则渐渐消退。如果不消退，用五灰膏涂抹即可消除。痈疽久流脓水，不腐不败，是因为气血不能滋养疮口，滞毒日渐内侵，好肉变为腐肉，脓水流经之处，渐渐形成膜管，像鹅毛管一样柔软，其疮口像鱼嘴样，日久不能愈合，导致筋烂骨坏，用金宝膏，或涂或塞，或封贴，一日三四次使用。不耐痛者，一日二次使用，待腐肉、膜管消尽后，用滋润膏药贴敷。薛新甫说：疮疡之症，脓已成者，应当辨别其生熟浅深；肉死者，应当验证其腐溃连脱情况。丹溪先生说：痈疽因积毒在脏腑，应当先以助胃壮气为主，使根本坚固，而行经活血作为辅助，令其内部消散。我常治疗脉症虚弱者，用托里之药，则气血壮而肉不死；脉症实热者，用清热之剂，则毒瓦斯退而肉自生。凡疮聚于筋骨之间、肌肉之内，皆因血气虚弱，用十全大补汤，壮其脾胃，则未成者自散，已成者自溃，又何来死肉？若不甚痛，或麻木不痛，或不红，或内脓不溃，或外肉不腐，乃是气血虚弱，宜用桑枝灸炙十全大补汤，加姜桂，壮其阳气，则四周即消，疮头即腐，其毒自解，又何需借助针割。若脾胃虚弱，饮食少思，用六君汤倍加白术，壮其荣气，则肌肉受毒者自活，已死者自溃，已溃者自敛。若初起或因攻伐太过，或犯房事，以致色黯而不痛者，乃是阳气脱陷，变为阴症，急用参附汤温补回阳，亦有可生之机。吴痒，是史邦直的内人，仲夏患背疽，死肉不溃，发热痛甚，作呕少食，口干饮汤，脉洪大按之如无，此乃内真寒而外假热，当舍时从症，先用六君子汤加炮姜、肉桂，四剂后饮食顿进，诸症顿退。又用十全大补汤，仍加姜桂之类，五十余剂而死肉溃，又五十余剂而新肉生。此人气血充盛，而疮易起易敛，假如医者能逆知病情，预先为托里之法，必无此患。
六合回生丹（又名六合夺命散），治发背、痈疽溃烂者，有回生之妙。
铅粉（一两） 轻粉 银朱 雄黄 乳香（上炙焦） 没药（亦炙，各二分半，共一两一钱二分半）
以上六味，各选真正好者，研为极细末，收贮。凡治其病，先煎好浓茶，将疮洗净，软帛拭干后，剖开猪腰子一枚，用药一分，掺于猪腰子上，却敷患处，待猪腰子上发热如蒸，良久，取去。自此拔毒瓦斯，减痛苦，定疮口，出脓秽，不可手挤。第二日根据前法仍敷之，第三日亦敷之，疮势恶甚，可敷七八九次，疮小只敷一次可愈。猪腰子不发热，勿治。又治对口疮同前。
沁阳，焦阁老先生，曾施此方，用药一分，敷一次则止。茶仙，施此方，加药至参五分，敷数次，见效尤速，功多在拔其毒耳。疮口大者，恐一个猪腰子敷之不足，可加半个。剖腰子法，不可剖脱，做两断，须要相连如一，大约量疮口大小，掺药则可，用猪腰子为佳。其腰子有毒，宜深埋之。
若蝼蛄疮日久不愈，用黄蜡少加好黄丹，化摊纸上，量疮大小，裁其蜡纸炙热，掺药一二分，粘在蜡纸上面贴疮，绵帛缚住，任疮出尽恶水即愈。若患下疳，用猪腰子切作宽片，掺药缚裹疳上，或以尖刀穿开猪腰子，纳药于内，笼套其疳亦良，羊、鱼、鹅、鸡、犬、鸭，及发毒菜物，俱忌之。
骊龙散，治发背、痈疽，破与不破二者之间，功能捷奏。
珍珠（五分） 牛粪（十二月生用。余月烧存性） 铁锈（各重一两）
以上研细末。以猪脑髓和好醋，调敷疮口，三五次愈，初起者自消。凡发毒品味，忌食之。
麦饭石膏，在脓溃后，围疮口。
麦饭石（不拘多少，炭火烧至红，以好米醋淬之，如此淬十数次，研为末，重罗去粗者，取细末入乳钵，数人更递研，五七日，如面极细，为妙） 白蔹（研为细末） 鹿角（不用自脱者，须用带脑顶骨全者，却是生取之角，截作二三寸长，炭火烧令烟尽，研罗为末，再入乳钵，更归研，令极细）
上用麦饭石细末（二两），白蔹（末二两），鹿角灰（四两）最要研得极细，方有效，粗则反致甚痛，细则大能止痛、收口、排脓。（精粗之异如此。）和合，量药末多寡，用经年好米醋，入银石器内，熬令鱼眼沸，却旋旋入药末，用竹篾子不住手搅，熬一二时久，令稀稠得所，提出以瓷器盛之，候冷以纸盖覆，勿令着尘。用时先以猪蹄汤，洗去脓血，以故帛挹干，鹅翎蘸膏，涂敷四周围，凡有赤处；尽涂之，但留中心，一口如钱大。未溃能令内消，已溃则排脓如湍水，逐日疮口收敛，疮久肌肉腐烂，筋骨出露，用旧布片涂药贴疮，但内膜不穿，亦能取安。洗疮勿可手触嫩肉，亦不可口气吹着。合药亦忌腋气之人，及月经有孕妇人见之。仍可熬好米醋一大碗，收瓷器内，候逐日用药于疮上，久则药干，以鹅翎点醋拂拭药上，勿令绷也。初则一日一洗一换药，十日后两日一换。
古方云：麦饭石颜色黄白，类麦饭，曾作磨者尤佳。
按：麦饭石不可作磨，状如麦饭团，生粒点。如无此石，常以旧面家磨近齿处石，代之，取其有麦性故也。或溪中寻白石，如豆，如米大者，即是也。其石大小不等，或如拳，如鹅卵，略如握聚一团麦饭。
解毒百用膏
猪牙皂角（煨） 南星（各一两） 大米（一合，炒黑） 臭小粉（干者四两，炒焦，去火毒）
以上为末，和匀，蜜水调围。治跌扑，酒醋调围。
刘氏贴发背痈疽，脓尽四面皮粘，恐有脓毒攻起，宜用逼毒散。
黄药子 白药子（各一两） 赤小豆（二两） 雄黄（一两）
以上为末，水调敷。
青散子，治发背、痈疽、脓尽生肉平满，宜用此紧疮口、生肌。
槿花叶（盛时收，阴干，取四两，为末） 青赤小豆 白芨（各二两）
以上为末。临时用槿花末三钱匕，白芨、小豆末各一钱匕，相和，新汲水调摊纸上。贴四畔，中心疮口不用贴。
雄黄解毒散，治一切痈肿溃烂毒势盛者，先用此药二三次，以后用猪蹄汤。
雄黄（一两） 白矾（四两） 寒水石（煅，一两）
用滚水二三碗，乘热入前药一两，洗患处。以太乙膏或神异膏贴之。
猪蹄汤，治一切痈疽肿毒，消毒瓦斯，去恶肉，凡疮有口，便须用此汤洗。
香白芷（不见火） 黄芩（去心） 赤芍药 露蜂房（取有蜂儿者） 当归（去芦） 羌活 生甘草（各等分）
以上为粗末。看疽大小用药，如疽大加料用。先将猪前蹄，两双一斤，只用白水三升煮软，将汁分作二次，澄去面上油花，尽下面滓肉。每次用药一两，投于汁中，再用文武火煎十数沸，去滓。以故帛蘸药汤，温温徐薄揩疮上，死肉恶血随洗而下。净洗讫，以帛挹干，仍避风，忌人口气吹之。有狐臭人，并月经见行妇人，猫犬，并不许入病人房。洗疮切勿以手触着。洗疽之方所传甚多，唯此方极效，其用露蜂房有理，盖以毒驱毒也。
集香散，洗痈疽溃烂。
白芷 藿香 茅香 香附子 防风（各三钱） 木香 甘草（各一钱）
作一剂。用水三碗，煎数沸，去渣。淋洗患处。
〔薛〕按：此方乃馨香之剂也。经云，血气闻香则行，得臭则逆，即此意也。若疮毒将尽，宜用之。若毒未尽，或有瘀肉，宜先用雄黄解毒散解之，后宜用此方。须用膏药护贴，使风邪弗入，肌肉易生。大凡一有疮口，即用膏药贴之，至收口为度，最忌生肌之剂。
熏洗方，凡诸发及痈疽、瘰疬、蝼蛄疮、汤烫、火烧等疾；或有别作一种，秽臭气息不堪闻者，最是恶证；或已破未破，或小或大，皆当作急治之。可用忍冬藤一握，擂细，用无灰酒滤汁服之，以滓敷疮四围。用云母膏别研，亦可剪开大口，以护其疮之上，俟其疮出脓，便以猪蹄汤等十分净洗、久洗为妙，至一二时辰不妨。次用后药熏之。
好降真香末 枫香末
以上二味于铫中搅熔，丸如弹子大。却取香炉一枚，根据炉口造纸烟筒一个，如烧龙涎香样，慢火焙之，紧以烟筒口熏疮上，不拘丸数，稍倦暂止。然后更熏未出脓者即出；已出脓者即干，直候生肌合口。然后止向后有赤肿去处，又再熏，大概欲屏去秽气也。
The thin skin of a furuncle (boil) peels off, and the wound opening of a carbuncle or deep abscess is tight and narrow. After using fire needles to break the nodules in conditions such as scrofula (tuberculous lymphadenitis), medications with chasing and corrosive properties to expel pus can be applied. If the wound opening of a carbuncle or deep abscess closes again after opening, it should be treated with medication to unblock it, or materials such as paper, hair, or dry rice straw leaves can be twisted into strips, coated with toad venom (Chan Su), sand, white duxiang, bitter bean (Ba Dou), and cold food flour, or Wuhui Gao (Five Ashes Ointment) can be applied according to the severity. For necrotic tissue of sores and abscesses, it can be removed manually, or by applying Jinbao Gao (Golden Treasure Ointment), or by dusting with realgar (Xiong Huang) and calomel (Qing Fen); after waiting several days, it will naturally fall off. If fleshy protrusions appear after an abscess ruptures, coating them with powdered Polygala root (Yuan Zhi) mixed with wine will gradually cause them to subside. If they do not subside, applying Wuhui Gao will resolve them. When a carbuncle or deep abscess discharges pus for a long time without rotting or breaking down, it is because Qi and Blood fail to nourish the wound, allowing stagnant toxins to invade inward day by day, turning healthy flesh into necrotic flesh. Where pus flows, membranous tubes gradually form, soft like goose feather quills, and the wound opening resembles a fish mouth. If this persists for a long time without healing, tendons rot and bones decay. Apply Jinbao Gao, either by smearing, packing, or sealing, three to four times a day. For those intolerant to pain, apply twice a day. Once the necrotic flesh and membranous tubes are completely eliminated, apply moisturizing plasters. Xue Xinpu stated: In cases of sores and ulcers, when pus has formed, one must distinguish whether it is ripe or unripe, shallow or deep; regarding dead flesh, one must verify its state of putrefaction and detachment. Mr. Danxi stated: Carbuncles and deep abscesses arise from accumulated toxins in the Zang-Fu organs. Treatment should primarily focus on strengthening the Stomach and boosting Qi to solidify the root, assisted by herbs that promote circulation through meridians and invigorate Blood, allowing internal resolution. I often treat patients with weak pulse and symptoms using Tonifying Interior medications, which strengthen Qi and Blood so that flesh does not die. For patients with excess-heat pulse and symptoms, I use Clearing Heat formulas, which retreat toxic vapors so that flesh regenerates spontaneously. Sores gathering between sinews and bones, within muscles, are all due to deficiency of Qi and Blood. Using Shiquan Dabu Tang (Ten Significant Decoction for Great Tonification) strengthens the Spleen and Stomach, causing unformed sores to dissipate spontaneously and formed sores to ulcerate spontaneously, leaving no room for dead flesh. If there is little pain, or numbness without pain, or lack of redness, or internal pus not draining, or external flesh not rotting, it indicates Qi and Blood deficiency. One should use Moxibustion with Mulberry Branch on Shiquan Dabu Tang, adding Ginger and Cinnamon Twig, to boost Yang Qi. Then swelling around the periphery will subside, the sore head will rot, and toxins will resolve spontaneously, making needle cutting unnecessary. If the Spleen and Stomach are weak, with poor appetite, use Liujun Zi Tang (Six Gentlemen Decoction) with doubled Atractylodes Macrocephala Rhizome (Baizhu) to strengthen Ying Qi. Then flesh infected by toxins will survive, dead flesh will ulcerate, and open wounds will heal. If at the onset, due to excessive purging or sexual misconduct, the color becomes dark and painless, it indicates collapse and sinking of Yang Qi, transforming into a Yin syndrome. Urgently use Shenfu Tang (Ginseng and Aconite Decoction) to warm, tonify, and restore Yang; survival is possible. Wu Yang, the wife of Shi Bangzhi, suffered from a back carbuncle in midsummer. Dead flesh did not ulcerate, fever and severe pain occurred, vomiting and poor appetite were present, thirst for drinking soup, and the pulse was flooding but empty upon pressure. This indicated true cold inside and false heat outside. One should disregard the season and follow the symptoms. First, use Liujun Zi Tang with roasted Ginger and Cinnamon Twig. After four doses, appetite returned abruptly, and all symptoms receded. Then, use Shiquan Dabu Tang, still adding Ginger and Cinnamon. After more than fifty doses, dead flesh ulcerated; after another fifty doses, new flesh grew. This person had abundant Qi and Blood, so the sore rose and healed easily. Had the physician anticipated this and preemptively used Tonifying Interior methods, this complication would surely have been avoided.
Liuhe Huisheng Dan (also known as Lihe Duoming San) treats back carbuncles and ulcerating carbuncles/abscesses, possessing miraculous life-restoring effects.
Lead Carbonate (Qianfen, 1 liang), Calomel (Qingfen), Vermilion (Yinzhu), Realgar (Xionghuang), Frankincense (Ruxiang, roasted until charred), Myrrh (Moyao, also roasted, each 2.5 fen, total 1 liang 1 qian 2.5 fen).
Select six genuine high-quality ingredients, grind into extremely fine powder, and store. To treat the disease, first brew strong tea, wash the sore clean, and dry with soft cloth. Cut open one pig kidney, sprinkle 1 fen of medicine onto the kidney, then apply to the affected area. Wait until the kidney feels hot like steaming, then remove. Thereafter, extract toxic vapors, reduce pain, stabilize the wound opening, and discharge pus and filth. Do not squeeze with hands. On the second day, repeat the previous method. On the third day, apply again. If the condition is severe, apply seven to nine times; if small, once may suffice. If the kidney does not feel hot, do not treat. Also treats "opposite mouth" sores similarly.
Old Gentleman Jiao Ge of Qinyang once used this formula, applying 1 fen once and stopping. Cha Xian used this formula, increasing the dose to 0.5 qian, applied several times, showing faster results; the merit lies mainly in extracting toxins. For large wound openings, fearing one pig kidney is insufficient, add half a kidney. The method of cutting the kidney: do not cut it completely into two separate pieces; they must remain connected as one. Roughly measure the size of the wound opening, sprinkle medicine, and using pig kidney is best. The kidney is toxic and should be buried deeply.
If "mole-scarf" sores (collar-button sores) do not heal for a long time, use yellow wax with a little good yellow lead oxide (Huangdan), melt and spread on paper. Measure the sore size, cut the wax paper, heat it, sprinkle 1-2 fen of medicine on top of the wax paper, stick it on the sore, bind with cotton cloth, and allow the sore to discharge all foul fluid until healed. For chancre (under-hard sore), cut pig kidney into wide slices, sprinkle medicine, and bind around the sore. Or pierce the pig kidney with a sharp knife, insert medicine inside, and cover the sore; this is also effective. Avoid mutton, fish, goose, chicken, dog, duck, and toxin-inducing vegetables.
Lilong San treats back carbuncles and abscesses, whether broken or unbroken, functioning swiftly.
Pearl (Zhenzhu, 5 fen), Cow Dung (Niufen, fresh in December; calcined to retain nature in other months), Iron Rust (Tie Xiu, each 1 liang).
Grind into fine powder. Mix with pig brain marrow and good vinegar, apply to the wound opening. Heals in three to five applications; early-stage cases resolve spontaneously. Avoid foods that induce toxins.
Maifan Shi Gao surrounds the wound opening after pus drainage.
Maifan Stone (Maifanshi, any amount, roast in charcoal fire until red, quench in good rice vinegar, repeat quenching ten-plus times, grind to powder, sieve to remove coarse particles, take fine powder. Put in mortar, multiple people take turns grinding for five to seven days until extremely fine like flour, which is ideal). White Peony Root (Bailian, ground to fine powder). Deer Antler (Lu Jiao, do not use shed ones; must use whole antlers with brain crown bone, freshly taken, cut into 2-3 cun lengths, roast in charcoal fire until smoke ceases, grind and sieve to powder, return to mortar, grind again until extremely fine).
Use Maifan Shi fine powder (2 liang), Bailian powder (2 liang), Deer Antler ash (4 liang). It is crucial to grind extremely fine to be effective; coarse powder causes severe pain, while fine powder greatly relieves pain, closes wounds, and expels pus. (This is the difference between fine and coarse.) Combine, measure the amount of powder, use aged good rice vinegar, boil in silver or earthenware vessel until bubbling like fish eyes. Gradually add powder, stir continuously with bamboo strip, boil for one to two hours until proper consistency. Remove, store in porcelain vessel, cover with paper when cool to avoid dust. Before use, wash away pus and blood with Pig Trotter Soup, dry with old cloth. Dip goose feather in ointment, smear around the perimeter, covering all red areas, but leave the center open, about the size of a coin. Unulcerated sores will resolve internally; ulcerated sores will expel pus like rushing water. Daily wound contraction occurs. For chronic sores with muscle rot and exposed bones/tendons, apply medicine-coated old cloth pieces to the sore. As long as the inner membrane is not penetrated, safety can be achieved. Do not touch tender flesh with hands when washing, nor blow with breath. Mixing medicine avoids people with axillary odor, and pregnant women during menstruation should not see it. Also boil a large bowl of good rice vinegar, store in porcelain. When using medicine on the sore daily, if the medicine dries over time, use goose feather dipped in vinegar to wipe the medicine, preventing tightening. Initially wash and change medicine once daily; after ten days, change every two days.
Ancient texts say: Maifan stone is yellow-white, resembling wheat rice; those used as millstones are especially good.
Note: Maifan stone should not be used as a millstone; it resembles lumps of wheat rice with raw grain points. If this stone is unavailable, commonly use stones near the teeth of old flour millstones as substitutes, taking advantage of their wheat-like nature. Or find white stones in streams, sized like beans or rice grains, which are suitable. Stones vary in size, some like fists, some like goose eggs, roughly resembling a handful of gathered wheat rice.
Jiedu Baiyong Gao
Roasted Chinese Date Plum Pit (Zhuya Zaojiao, roasted), Arisaema (Nanxing, each 1 liang), Rice (Dami, 1 he, stir-fried black), Stink Powder (Chouxiao Fen, dried 4 liang, stir-fried until charred to remove fire toxicity).
Grind to powder, mix evenly, adjust with honey water to form a paste for surrounding application. For trauma contusions, adjust with wine and vinegar.
Liu's Paste for Back Carbuncles/Abscesses: When pus is exhausted and skin adheres on four sides, fearing pus toxins may attack upward, use Bidu San.
Yellow Arrowroot Rhizome (Huang Yaozi), White Arrowroot Rhizome (Bai Yaozi, each 1 liang), Adzuki Bean (Chixiaodou, 2 liang), Realgar (Xionghuang, 1 liang).
Grind to powder, adjust with water for application.
Qingsan Zi treats back carbuncles/abscesses where pus is exhausted and flesh grows flat and full. Use this to tighten the wound opening and generate flesh.
Hibiscus Leaf (Jinhua Ye, harvest at peak, shade-dry, take 4 liang, grind to powder). Green and Red Adzuki Beans (Qingchi Xiaodou), Bletilla Rhizome (Baiji, each 2 liang).
Grind to powder. Temporarily use 3 qian of Hibiscus powder, 1 qian each of Bletilla and Adzuki Bean powders, mix, adjust with fresh well-water, spread on paper. Apply to four sides, do not apply to the central wound opening.
Xionghuang Jiedu San treats all swellings and ulcerating sores with intense toxic potential. Use this medicine two to three times first, then use Pig Trotter Soup thereafter.
Realgar (Xionghuang, 1 liang), Alum (Baifan, 4 liang), Calcined Hydrotalcite (Han Shui Shi, calcined, 1 liang).
Use two to three bowls of boiling water, add 1 liang of the above medicine while hot, wash the affected area. Cover with Taiyi Gao or Shenyi Gao.
Zhutí Tang treats all carbuncles, abscesses, swellings, and toxins. Disinfects toxic vapors, removes foul flesh. Any sore with an opening requires washing with this soup.
Angelica Dahurica (Xiang Baizhi, avoid fire), Scutellaria Root (Huangqin, remove heart), Red Peony Root (Chishaoyao), Exposed Honeycomb (Lufengfang, take those with bee larvae), Angelica Sinensis (Danggui, remove radicle), Notopterygium Rhizome (Qianghuo), Raw Licorice Root (Sheng Gancao, equal parts).
Grind into coarse powder. Adjust dosage based on abscess size; add ingredients if large. First, take two pairs (one jin) of pig front trotters, boil in three sheng of clear water until soft. Divide the broth into two portions, clarify to remove oil from surface, discard bottom sediment and meat. Add 1 liang of medicine to the broth each time, boil vigorously for ten-plus boils, filter dregs. Dip old cloth in medicinal soup, gently wipe the sore while warm. Dead flesh and foul blood wash away. After thorough washing, dry with cloth. Avoid wind, forbid blowing with breath. People with bromhidrosis, menstruating women, cats, and dogs are not allowed in the patient's room. Do not touch the sore with hands when washing. Many formulas for washing abscesses exist, but this one is extremely effective. The use of exposed honeycomb is logical, as it uses poison to drive out poison.
Jixiang San washes ulcerating carbuncles and abscesses.
Angelica Dahurica (Baizhi), Agastache (Huoxiang), Costus Root (Maoxiang), Cyperus Rhizome (Xiangfuzi), Saposhnikovia Root (Fangfeng, each 3 qian), Aucklandia Root (Muxiang), Licorice Root (Gancao, each 1 qian).
Make one dose. Boil in three bowls of water for several boils, filter dregs. Pour over the affected area for washing.
[Xue] Note: This formula is a fragrant agent. Classics state: Qi and Blood move upon smelling fragrance and reverse upon smelling stench, which is the meaning here. If sore toxins are nearly exhausted, use it. If toxins are not fully exhausted, or if there is necrotic flesh, first use Xionghuang Jiedu San to resolve them, then use this formula. Must protect with plaster to prevent wind evil entry, facilitating muscle generation. Generally, once a wound opening exists, apply plaster until closure. Most avoid flesh-generating agents.
Fumigation and Washing Formula: For various carbuncles, abscesses, scrofula, collar-button sores, scalds, burns, etc.; or other types with unbearable foul odors, these are severe syndromes. Whether broken or unbroken, small or large, treat urgently. Take a handful of Honeysuckle Stem (Jinyinteng), pound finely, filter juice with non-ash wine for oral administration, and apply residue around the sore. Grind Yunmu Gao separately. Alternatively, cut open a large mouth, cover the sore top, wait for pus to emerge, then wash thoroughly and for a long time with Zhuti Tang etc., which is excellent, even for one to two hours is acceptable. Next, fumigate with the following medicine.
High-quality Agarwood Powder (Xiang), Benzoin Resin Powder (Fengxiang).
Melt these two ingredients in a pot, roll into pills the size of marbles. Take an incense burner, make a paper smoke tube around the burner mouth, similar to burning ambergris. Slowly roast, tightly direct smoke tube mouth to fumigate the sore. Do not limit pill count; stop briefly if tired. Then fumigate again: un-drained pus will emerge; drained pus will dry. Continue until flesh generates and wound closes. Then stop. Later, if redness and swelling recur, fumigate again. Generally, the aim is to dispel foul air.