庚午余自秋闱归，则亡妹已病，盖自七月乳肿痛不散，八月火针取脓，医以十全大补汤
与之，
外敷铁箍散不效。反加喘闷，九月产一女，溃势益大，两乳房烂尽，延及胸腋，脓水稠粘，
出脓几六七升，略无敛势，十一月始归就医，医改用解毒和中平剂，外掺生肌散、龙骨、寒
水石
等剂，脓出不止，流溅所及，即肿泡溃脓，两旁紫黑，疮口十数，胸前腋下，皆肿溃不可动
侧
，其势可畏。余谓产后毒瓦斯乘虚而炽，宜多服黄 解毒补血，益气生肌，而医鉴前弊不敢用
。
十二月中旬后益甚，疮口二十余，诸药尽试不效。始改用余药，时脓秽粘滞，煎楮叶猪蹄汤
沃
之顿爽，乃制一方，名黄 托里汤，黄 甘温，以排脓益气生肌为君。甘草补胃气解毒，当
归身
和血生血为臣，升麻、葛根、漏芦、为足阳明本经药，及连翘、防风，皆散结疏经，栝蒌仁
、黍粘子，解毒去
肿。皂角刺引至溃处，白芷入阳明，败脓生肌，又用川芎三分，及肉桂炒柏为引用。每剂入
酒一
盏，煎送白玉霜丸，疏脓解毒，时脓水稠粘，方盛未已，不可遽用龙骨等药，理宜追之，乃
制青霞
散外掺。明日脓水顿稀，痛定秽解，始有向安之势。至辛未新正，患处皆生新肉，有紫肿处
俱用葱熨法，随手消散。但近腋足少阳分尚未敛，乃加柴胡一钱，青皮三分，及倍用川芎，
脓
水已尽
者，即用戴糁散掺之。至元霄后遂全安。凡治痈疽，须审经络部分，今所患正在足阳明之分
，少
侵足少阳经分，俗医不更审别，一概用药，药无向导，终归罔功。甚可叹也。近有患之剧甚
如亡
妹所苦者，一痒友就余求方。余以冗未及应，诸疡医卒拱手以待毙。余甚伤之，议布其方
，不忍自秘也。隆庆辛未九月九日记。
古名医见病知源，况必先审经络部分，然后制方，用之咸宜。惟世风不古，庸工借以需
索，而
病家亦甘受其诈欺，若稍剧之患，每束手无策。金坛心存济世疾苦，特将秘方刊布，以广流
传也。
青霞散 治痈疽溃烂，脓多不敛，先用楮叶猪蹄汤洗过，以此敷之。
飞青黛二钱，乳香一钱五分，没药一钱五分，韶粉一钱，海螵蛸一钱，枯
矾一钱，白蔹一钱，寒水石一钱，冰片三分，红粉霜另研极细和匀，后再研入一
钱，杏仁去皮尖二十四个，有死肉加白丁香五分，大痈疽烂甚腐多，加铜绿一钱五分
此方专
治溃疡。因血热肉腐化而为脓，故用青黛凉血解毒而使肉无腐为君。乳香、没药活血止痛而
消
肿为臣。寒水石之寒，佐青黛以凉血肉使不腐。枯矾之收涩排肿而追毒，韶粉、海螵蛸之收
湿
止脓汁之多而不燥，霜粉之拔毒，白蔹之敛创
，冰片之透肌以为佐使。诸药多燥，又假杏仁之油以润之，此制方之旨也。
庚午年，我从秋闱（秋季乡试）归来，发现亡妹已经患病。她自七月起乳房肿痛不散，八月时医生用火针排脓，并给她服用十全大补汤，外敷铁箍散，但均未见效。病情反而加重，出现喘闷症状。九月她生下一个女儿后，溃烂之势更加严重，两个乳房全部腐烂，蔓延至胸部和腋下，脓水稠厚粘腻，排出的脓液多达六七升，完全没有收敛的迹象。直到十一月才回家就医，医生改用解毒和中类的平和药方，外掺生肌散、龙骨、寒水石等药物，但脓液仍不止，流溅到的地方随即肿起泡来并溃烂出脓，两侧皮肤呈紫黑色，疮口有十多个，胸前和腋下都肿胀溃烂，无法翻身侧卧，形势令人畏惧。
我认为这是产后毒邪乘虚炽盛，应当多服用黄芪以解毒补血、益气生肌，但医生鉴于之前的失误而不敢使用。十二月中旬后病情更加严重，疮口增至二十多个，各种药物都尝试过却无效。这才开始改用我的药方。当时脓液秽浊粘滞，我用煎煮的楮叶猪蹄汤冲洗患处，患者顿时感到清爽舒适。于是我配制了一个方子，名为黄芪托里汤。方中黄芪味甘性温，作为君药，主要作用是排脓、益气、生肌；甘草补胃气并解毒，当归身调和血液并生血，作为臣药；升麻、葛根、漏芦是足阳明胃经的本经药物，加上连翘、防风，都能散结疏通经络；栝蒌仁、黍粘子（牛蒡子），能解毒消肿；皂角刺引导药力到达溃烂处，白芷入阳明经，能败脓生肌；又用川芎三分，以及肉桂炒黄柏作为引经药。每剂药加入酒一盏，煎好后送服白玉霜丸，以疏泄脓毒、清热解毒。当时脓水稠粘，病势正盛，不可急于使用龙骨等收敛药物，按理应当追托毒邪外出，于是我又配制了青霞散外敷。第二天脓水顿时变稀，疼痛停止，秽浊解除，开始出现好转的迹象。到了辛未年正月初一，患处都长出了新肉，有紫色肿胀的地方都用葱熨法治疗，随手消散。只是靠近腋下的足少阳胆经部位尚未收敛，于是加柴胡一钱、青皮三分，并加倍使用川芎。脓水已排尽的地方，就用戴糁散外敷。到了元宵节后便完全康复。
凡是治疗痈疽，必须审察经络部位。如今我妹妹所患的病正在足阳明胃经的分野，稍微侵及足少阳胆经分野，俗医不仔细辨别，一概用药，药物没有向导指引，最终归于无效，实在令人叹息。近来有患此病极其严重、像我亡妹那样痛苦的人，一位朋友向我求方。我因事务繁忙未能及时回应，那些外科医生最终束手待毙。我对此深感悲伤，决定公布这个方子，不忍心独自保密。隆庆辛未年九月九日记。
古代名医见到病症就能知道根源，何况必定先审察经络部位，然后制定方剂，使用无不适宜。只是世风不如古时淳朴，庸医借此索取钱财，病人也甘愿受其欺诈，如果遇到稍严重的病患，往往束手无策。金坛人心存济世疾苦之心，特意将秘方刊印出版，以广泛流传。
青霞散：治疗痈疽溃烂，脓多不收敛。先用楮叶猪蹄汤清洗患处，然后以此药粉敷之。
配方：飞青黛二钱，乳香一钱五分，没药一钱五分，韶粉一钱，海螵蛸一钱，枯矾一钱，白蔹一钱，寒水石一钱，冰片三分，红粉霜另研极细混合均匀，之后再研入一钱，杏仁去皮尖二十四个。若有死肉，加白丁香五分；若大痈疽腐烂严重腐肉多，加铜绿一钱五分。
此方专治溃疡。因为血热肉腐化为脓，所以用青黛凉血解毒，使肌肉不再腐败，作为君药。乳香、没药活血止痛并消肿，作为臣药。寒水石的寒性，辅助青黛凉血保肉，使其不腐败。枯矾的收涩作用，排脓追毒；韶粉、海螵蛸收湿止脓汁过多而不燥烈；红粉霜拔毒；白蔹敛创口；冰片透达肌肤，作为佐使药。诸药大多燥烈，又借杏仁的油润之性来滋润，这就是制方的宗旨。
In the Gengwu year, upon my return from the Autumn Provincial Examination (Xiukui), I found that my deceased sister was already ill. Since July, her breasts had been swollen and painful without subsiding. In August, a physician used fire needles to drain pus and administered Shiquan Dabu Tang (Ten Complete Tonifying Decoction) along with external application of Tiegu San (Iron Hoop Powder), but these treatments were ineffective. Her condition worsened, developing wheezing and chest oppression. In September, after giving birth to a daughter, the ulceration intensified; both breasts completely rotted, spreading to the chest and axillae. The pus was thick and sticky, with nearly six or seven sheng (a traditional unit of volume) discharged, showing no signs of healing. It was not until November that she returned home for medical care. The physician switched to a mild formula for detoxification and harmonizing the middle jiao, externally applying Shengji San (Flesh-Generating Powder), Longgu (Dragon Bone), Hanshuishi (Calcitum), etc., yet the pus continued to flow profusely. Wherever it splashed, new swellings formed and ulcerated. The skin on both sides turned purple-black, with over ten open sores. The chest and axillae were swollen and ulcerated, making it impossible to turn or lie on either side; the situation was terrifying.
I reasoned that postpartum pathogenic toxins had flared up due to deficiency. She should have taken large doses of Huangqi (Astragali Radix) to resolve toxicity, nourish blood, tonify qi, and generate flesh. However, fearing previous treatment failures, the physician dared not use it. After mid-December, the condition deteriorated further, with over twenty sores appearing. All other medicines had failed. Only then did they adopt my prescription. At that time, the pus was foul and viscous. I washed the affected area with decocted Zhiye (Broussonetia papyrifera leaves) and pig trotter soup, which provided immediate relief. I then formulated a prescription named Huangqi Tuoli Tang (Astragalus Support-the-Interior Decoction). Huangqi is sweet and warm; as the sovereign drug (Jun), it expels pus, tonifies qi, and generates flesh. Gancao (Licorice Root) tonifies stomach qi and resolves toxicity; Danggui Shen (Angelica Sinensis Root Heart) harmonizes and generates blood; these serve as minister drugs (Chen). Shengma (Cimicifugae Rhizoma), Gegen (Puerariae Radix), and Loulu (Euphorbiae Humifusae Herba) are herbs belonging to the Foot-Yangming Stomach meridian. Lianqiao (Forsythiae Fructus) and Fangfeng (Saposhnikoviae Radix) disperse nodules and unblock meridians. Gualou Ren (Trichosanthis Semen) and Shuniuzi (Arctii Fructus) resolve toxicity and reduce swelling. Zaogao Ci (Gleditsiae Spina) guides the medicine to the ulcerated site. Baizhi (Angelicae Dahuricae Radix) enters the Yangming meridian, eliminates foul pus, and promotes tissue regeneration. Additionally, Chuanxiong (Ligustici Chuanxiong Rhizoma) in small dosage, and Rougui (Cinnamomi Cortex) stir-fried with Baicao (Phellodendri Cortex), served as guiding agents. Each dose was taken with one cup of wine, followed by Baiyu Shuang Wan (White Jade Frost Pills) to vent pus, resolve toxicity, and clear heat. Since the pus was thick and the disease vigorous,收敛 (astringent) drugs like Longgu should not be used hastily. Instead, the principle of "chasing" (expelling) toxins was applied. Thus, I prepared Qingxia San (Blue Cloud Powder) for external application. The next day, the pus became thin, pain ceased, and foulness resolved, indicating a trend toward recovery. By the first month of the Xinwei year, new flesh had grown over the lesions. For areas with purple swelling, Congyun Fa (Scallion Moxibustion) was applied, resulting in rapid resolution. However, the area near the axilla involving the Foot-Shaoyang Gallbladder meridian had not yet healed. Therefore, Chaihu (Bupleuri Radix) and Qingpi (Citri Reticulatae Pericarpium Viride) were added, and Chuanxiong dosage was doubled. For areas where pus had completely drained, Daifen San (Dusting Powder) was applied. After the Lantern Festival, full recovery was achieved.
In treating carbuncles and ulcers, one must examine the specific meridian and anatomical region. My sister’s illness primarily involved the Foot-Yangming Stomach meridian, slightly encroaching on the Foot-Shaoyang Gallbladder meridian. Quack physicians failed to differentiate, using indiscriminate medications without guiding agents, leading to failure. This is truly lamentable. Recently, someone suffering severely, similar to my late sister, sought a prescription from a friend who asked me. Due to busy schedules, I could not respond immediately, and the surgeons eventually stood by helplessly while the patient died. Deeply saddened, I decided to publish this formula, unwilling to keep it secret. Recorded on the ninth day of the ninth lunar month in the Xinwei year of Longqing.
Ancient famous physicians understood the root cause upon seeing the disease. They necessarily examined the meridian regions before prescribing, ensuring efficacy. However, modern customs have declined. Unskilled practitioners exploit patients for profit, and patients willingly suffer deception. For serious conditions, they remain helpless. Xin Cun, a man from Jintan, compassionate towards suffering, specifically published this secret formula for widespread dissemination.
Qingxia San: Treats ulcerated carbuncles and sores with excessive pus that fails to heal. First wash the area with Zhiye and pig trotter soup, then apply this powder.
Ingredients: Fei Qingdai (Prepared Indigo Naturalis) 2 qian, Rushiang (Frankincense) 1.5 qian, Moyao (Myrrh) 1.5 qian, Shaofen (Kaolin) 1 qian, Haipiaoxiao (Sepiae Endoconcha) 1 qian, Kufan (Alumen Exsiccatum) 1 qian, Bailian (Ampelopsis Radix) 1 qian, Hanshuishi (Calcitum) 1 qian, Bingpian (Borneolum Syntheticum) 0.3 qian, Hongfenshuang (Red Mercury Oxide Powder) separately ground extremely fine and mixed evenly, then incorporated at 1 qian. Xingren (Prunus Armeniaca Seed), peeled and de-husked, 24 pieces. If necrotic tissue is present, add Baidingxiang (Viverrae Moschiferae Faeces) 0.5 qian. For large, severely ulcerated sores with much putrid matter, add Tonglv (Verdigris) 1.5 qian.
This formula specializes in treating ulcers. Because blood heat causes flesh to rot and transform into pus, Qingdai is used as the sovereign drug to cool blood and resolve toxicity, preventing further flesh corruption. Rushiang and Moyao invigorate blood, relieve pain, and reduce swelling as minister drugs. The cold nature of Hanshuishi assists Qingdai in cooling blood and preserving flesh. Kufan’s astringent property drains pus and pursues toxins. Shaofen and Haipiaoxiao absorb dampness, stop excessive pus discharge without causing dryness. Hongfenshuang extracts toxins. Bailian consolidates wounds. Bingpian penetrates muscles, serving as assistant and guide drugs. Since most herbs are drying, Xingren’s oily nature provides lubrication. This constitutes the rationale of the prescription.