苍耳草梗内之虫，于立秋后五日内捉者更妙，不拘多少，捣极烂，再用土贝母研极细粉
，看虫之多少，酌量加入，再捣成丸如绿豆大，临时捏扁，放患处顶上，外用膏药盖贴，次
日疔即拔在膏上，即愈。
又方∶牛粪晒干研末，水调敷患处，其毒渐消，不走入脏腑。
又方∶陈梅干一个，荔枝一个，银朱一钱，共捣烂敷患处。
又方∶用多年粪坑内黑砖数块，带水磨细，同生甘草煎浓汁，去渣服，服后、大便解下
黑水即愈。
五疔虽属五脏，要皆纯火之症，内治之法，惟在审其轻重，汗之，泻之、清之、解之、
消之、散之而已。但服药必须从脉从证，脉浮数者散之，脉沉实者下之，表里俱实者，解表
攻里，麻木或大痛、或不痛者宜灸之，更兼攻毒，不可颠倒混施，无太过不及也。
凡疔疮初起，先宜汗之，若误用他方发汗，非徒无益，反令走黄，故必用蟾酥丸（见前
卷十一痈毒诸方）。如法取汗，汗未透者，再以葱酒催之，毒甚者，可再进一服。如取汗后
，毒势不尽，憎寒壮热仍作者，宜服五味消毒饮，用银花三钱，野菊花、蒲公英、紫花地丁
、紫背天葵子各钱半，酒、水煎服，再为取汗。如发热、口渴、便秘，脉沉实者，服黄连解
毒汤（见前卷十一备用诸方）加生大黄钱半、葱头五个清之，如症轻者，照各简便方服之取
汗
凡疔溃后，余毒未解，致五心烦热者，宜服人参清神汤清解之。
苍耳草茎秆内部的虫子，在立秋后的五天内捕捉效果更佳，数量不限，将其捣烂至极细，再取土贝母研磨成极细的粉末，根据虫子的多少酌情加入，再次捣匀制成如绿豆大小的药丸。使用时临时捏扁，放置在疔疮的顶端，外用膏药覆盖贴敷，第二天疔毒就会随膏药拔出，病即痊愈。
另一个方子：将牛粪晒干后研成粉末，用水调匀敷在患处，其毒性会逐渐消除，不会侵入脏腑。
又一个方子：取一个陈年梅干、一个荔枝、一钱银朱，共同捣烂后敷在患处。
又一个方子：取几块多年粪坑里的黑砖，带水磨成细粉，与生甘草一起煎煮成浓汁，滤去药渣后服用。服药后，如果大便排出黑水，病即痊愈。
虽然五种疔疮分别归属于五脏，但本质上都是纯火性质的病症。内治的方法，关键在于审察病情的轻重，采用发汗、泻下、清热、解毒、消散等方法即可。但是服药必须依据脉象和证候来判断：脉象浮数的，用消散法；脉象沉实的，用泻下法；表里俱实的，解表攻里并用；出现麻木或剧烈疼痛、或不疼痛的，适宜用灸法，同时配合攻毒治疗，不可颠倒错乱地施用，既不能太过也不能不及。
凡是疔疮初起，首先应当使用发汗法。如果误用其他方剂发汗，不仅无益，反而会导致“走黄”（毒邪内陷）。因此必须使用蟾酥丸（见前卷十一痈毒诸方）。按照方法取得汗出，如果汗未透达，再用葱酒来催汗，毒势严重的，可以再服用一次。如果在取汗之后，毒势仍未完全清除，仍然憎寒壮热（怕冷且高热）的，适宜服用五味消毒饮，使用金银花三钱，野菊花、蒲公英、紫花地丁、紫背天葵子各一钱半，用酒和水煎服，再次促使出汗。如果出现发热、口渴、便秘，脉象沉实的，服用黄连解毒汤（见前卷十一备用诸方），加生大黄一钱半、五个葱头以清热，如果症状较轻的，参照各个简便方剂服用以取汗。
The insects found within the stems of *Xanthium strumarium* (Cocklebur) are best caught within five days after the Start of Autumn, regardless of quantity. They should be pounded into an extremely fine paste, then mixed with an appropriate amount of *Fritillaria thunbergii* Bulb (Tuber of Thunberg's Fritillary) powder, which has been ground to a very fine consistency. The mixture is further pounded and formed into pills the size of mung beans. When applying, flatten the pill temporarily and place it on the apex of the carbuncle, covering it externally with a plaster. The next day, the toxin will be drawn out onto the plaster, and the condition will heal.
Another prescription: Dry cow dung until dry, grind it into powder, mix with water, and apply to the affected area. The toxicity will gradually dissipate and not invade the Zang-Fu organs.
Yet another prescription: Take one preserved plum, one lychee, and one qian (approx. 3.73g) of cinnabar (silver朱, red mercury sulfide). Pound them together into a paste and apply to the affected area.
Yet another prescription: Take several black bricks from a long-used latrine pit, grind them finely with water, decoct them with raw *Glycyrrhiza uralensis* Root and Rhizome (Licorice) to make a concentrated juice. Strain the dregs and drink the liquid. After ingestion, if black fluid is passed in the stool, the disease will heal.
Although the five types of ding sores correspond to the five Zang organs, they are essentially disorders characterized by pure fire. The internal treatment method lies in assessing the severity and employing sweating, purging, clearing heat, resolving toxicity, dispersing, or eliminating methods. However, medication must be guided by pulse and symptoms: for floating and rapid pulses, use dispersing methods; for deep and solid pulses, use purging methods; for excess conditions in both exterior and interior, resolve the exterior and attack the interior simultaneously; for numbness or severe pain, or lack of pain, moxibustion is suitable, combined with anti-toxin measures. Do not apply treatments indiscriminately or incorrectly, avoiding both excess and deficiency.
When ding sores first appear, sweating should be induced first. If other prescriptions are mistakenly used to induce sweating, it will not only be ineffective but may also cause "Zouhuang" (spread of toxin to the heart/mind). Therefore, Chan Su Pill (Toad Venom Pill, see Vol. 11, Formulas for Carbuncles and Toxins) must be used. Induce sweating according to the method; if sweat is not fully expressed, promote sweating further with scallion wine. For severe toxicity, administer another dose. If after inducing sweating the toxic heat persists, accompanied by aversion to cold and high fever, Wu Wei Xiao Du Yin (Five-Ingredient Decoction for Eliminating Toxins) is suitable: use San Ye Jin Yin Hua (Honeysuckle Flower) 3 qian, Ye Ju Hua (Wild Chrysanthemum Flower), Pu Gong Ying (Dandelion), Zi Hua Di Ding (Viola philippica), and Zi Bei Tian Kui Zi (Seed of Kochia Scoparia or related species) each 1.5 qian. Decoct with wine and water, and induce sweating again. If there is fever, thirst, constipation, and a deep, solid pulse, Huang Lian Jie Du Tang (Coptis Decoction for Resolving Toxins, see Vol. 11, Supplementary Formulas) should be taken, added with Sheng Da Huang (Raw Rhubarb Root) 1.5 qian and five scallion heads to clear heat. For mild cases, follow various simple prescriptions to induce sweating.
After the ding sore ulcerates, if residual toxins remain uneliminated, causing heat in the five centers (palms, soles, and chest), Ren Shen Qing Shen Tang (Ginseng Decoction for Clearing the Spirit) should be taken to clear and resolve the remaining heat.