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《葛仙翁肘後備急方》Vol. 5

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Zhengyi 正一部 Vol. 5 / 8 12,890 characters

About this page. The original text of 《葛仙翁肘後備急方》 Vol. 5 (Zhengyi 正一部, 8 volumes) is shown in Classical Chinese as transmitted in the Kanripo (Kyoto University) edition. An English interpretation of the 25 passages on this page accompanies it: select a passage or press “Interpretation” to show it. All texts in English

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Source textInterpretation

葛仙翁肘後備急方卷之五陛五    治癰疽妬乳諸毒腫方第三十六 隱居效方治羊疽瘡有蟲癢  附子八分藜蘆二分末傳之蟲自然出 葛氏療奶發諸癰疽發背及乳方  比灸其上百壯 又方熬粢粉令黑鷄子白和之塗縛上以貼  癰小穿練上作小口泄毒氣燥易之神祕 又方釜底上搗以鷄子中黄和塗之加少豉  彌良 又方搗黄檗末篩鷄子白和厚塗之乾復易  差 又方燒鹿角搗末以苦酒和塗之佳 又方於石上水磨鹿角取濁汁塗癰上乾復  易隨手消 又方末半夏鷄子白和塗之水磨傅并良 又方神效水磨出小品 又方醋和茱萸若搗薑或小蒜傅之并良 一切惡毒腫  蔓菁根一大握無以龍葵根代之乳頭香  一兩光明者黃連一兩宣州者杏仁四十  九枚去尖用柳木取三四錢白色者各細  剉搗三二百杵團作餅子厚三四分可腫  處大小貼之乾復易立散别貼膏藥治瘡  處佳 葛氏療癰發數十處方  取牛矢燒搗末以鷄子白和塗之乾復易  神效 又方用鹿角桂鷄屎别搗燒合和鷄子白和  塗乾復上 又癰己有膿當使壞方  取白鷄兩翅羽肢各一枚燒服之即穿姚  同 又方吞薏苡子一枚勿多 又方以苦酒和雀矢塗癰頭上如小豆 葛氏若己結癰使聚不更長方  小豆末塗若鷄子白和尤佳即差
Interpretation

This passage primarily discusses various prescriptions for treating carbuncles (purulent skin infections), breast abscesses, and other toxic swellings. The Immortal Master Ge (Ge Hong) recorded several practical methods:

For treating sheep carbuncle sores (a type of skin ulcer) with itching caused by parasites: Grind eight parts aconite and two parts hellebore into powder for topical application, which will naturally draw out the parasites.

Methods for treating breast abscesses and back carbuncles:

  • Apply moxibustion directly to the affected area up to a hundred times
  • Stir-fry rice flour until blackened, mix with egg white for topical application, then bandage firmly. For smaller abscesses, make small openings in the cloth to drain toxic Qi (vital energy), replacing the dressing when dry
  • Crush stove-bottom soot and mix with egg yolk for application, with added fermented beans for enhanced effect
  • Sieve phellodendron bark powder and mix with egg white into a thick paste for application, replacing when dry
  • Burn deer antler into ash and mix with vinegar for highly effective topical use
  • Grind deer antler on stone with water to create a turbid juice for application, replacing when dry
  • Apply pinellia powder mixed with egg white, or use water-ground juice
  • Crush and apply evodia fruit, ginger, or wild garlic mixed with vinegar

For severe toxic swellings: Crush turnip root (or substitute with black nightshade root), frankincense, coptis, and apricot kernels to make medicinal cakes. Apply according to the swelling size, replacing when dry.

For multiple carbuncles:

  • Mix burned ox dung ash with egg white for application
  • Separately crush and burn deer antler, cinnamon bark, and chicken droppings into ash, then mix with egg white

For suppurated carbuncles:

  • Burn white chicken wing feathers for oral consumption to promote rupture
  • Swallow one coix seed
  • Apply sparrow droppings mixed with vinegar to the carbuncle apex

To prevent carbuncle expansion: Apply adzuki bean powder topically, enhanced with egg white.

These methods all emphasize the principle of continuous topical application with "replacement when dry," utilizing common medicinal herbs and food ingredients, reflecting the ancient wisdom of simple and practical emergency medical care.

又方芫花末膠汁和貼上燥復易化爲水 若潰後膿血不止急痛  取生白楸葉十重貼上布帛寬縛之 乳腫  桂心甘草各二分烏頭一分炮搗爲末和  苦酒塗紙覆之膿化爲水則神效 葛氏婦女乳癰妬腫  削柳根皮熟搗火温帛囊貯熨之冷更易  大良 又方取研米槌煑令沸絮中覆乳以熨上當  用二枚牙熨之數十回止姚云神效 乳癰方  大黄菵草伏龍肝竈下黄土也生薑各二  分先以三物搗篩又合生薑搗以醋和塗  乳痛則止極驗劉涓子不用生薑用生薑  四分分等余比見用鯽魚立驗此方小品  佳 姚氏乳癰  大黃鼠糞濕者黄連各一分二物爲末鼠  矢更搗以黍米粥清和傅乳四邊痛即止  愈無黍米用粳米并得 又方牛馬矢傳并佳此并消去 小品妬方  黃芩白歛芍藥分等末篩漿服一錢七日  五服若右乳結者將左乳汁服左乳結者  將右乳汁服散消根姚同此方必愈 姚方搗生地黄傅之熱則易小豆亦佳 又云二三百衆療不差但堅紫色者  用前柳根皮法云熬令温熨腫一宿愈 凡乳汁不得泄内結名妬乳乃急於癰 徐玉療乳中瘰癧起痛方  大黄黄連各三兩水五升煑取一升二合  分三服得下即愈 葛氏卒毒腫起急痛方  蕪菁根大者削去上皮熟搗苦酒和如泥
Interpretation

Here are several traditional Chinese medicinal prescriptions for treating breast swelling and pain, all collected by Ge Hong (the Immortal Elder Ge) as emergency treatments. These formulas primarily address mastitis (ancient term "du ru") and breast abscesses commonly occurring during lactation.

The first method involves grinding Yuanhua (Daphne genkwa) into powder and mixing it with gelatin juice to create a plaster, which should be replaced once dried. For cases already showing pus, bleeding, and severe pain, apply ten layers of fresh white catalpa leaves as a compress, then loosely bandage with cloth.

For breast distension, combine two parts each of cinnamon bark and licorice with one part processed aconite root, pulverize into powder, mix with vinegar, and apply on paper as a plaster. This formula is said to produce miraculous effects when suppuration occurs.

Another prescription requires scraping willow root bark, pounding it into paste, heating it in a cloth bag for hot compress, replacing when cooled. Alternatively, boil rice-pounding pestles in water, soak cotton wool in the decoction for hot fomentation—repeating the process dozens of times proves highly effective.

For mastitis treatment: Combine equal parts (two fen each) of rhubarb, duckweed, kitchen stove earth (fulonggan), and fresh ginger. First crush and sieve the first three ingredients, then add ginger to pound into paste, mixing with vinegar for topical application to relieve pain. Some omit ginger or substitute with crucian carp with comparable results.

The Yao family's transmitted formula: Mix one fen each of rhubarb, moist rat droppings, and coptis. Powder the first two ingredients, further crush the droppings, then blend with broomcorn millet porridge for perimammary application. If millet is unavailable, rice may substitute; even bovine or equine dung proves effective when applied.

The Xiaopin Fang records: Powder equal parts of scutellaria, ampelopsis, and peony root, taking one qian with rice water five times over seven days. For right breast lumps, drink expressed milk from the left breast; for left breast lumps, drink from the right. The Yao family confirms this formula's guaranteed efficacy.

Another Yao family method involves applying fresh rehmannia paste, replacing when warmth dissipates. Azuki beans also work. For purplish, hardened lumps, the aforementioned willow root bark method—simmered overnight for hot compress—brings overnight relief.

Ge Hong particularly warns: Retained milk failing to discharge forms "du ru," more urgent than ordinary abscesses. Xu Yu's treatment: Simmer three liang each of rhubarb and coptis in five sheng of water until reduced to one sheng two ge, divided into three doses—relief follows bowel movement.

Finally recorded is an emergency formula for sudden toxic swelling with pain: Peel large turnip roots, pound into mash, and mix with vinegar into mud for external application.

 煑三沸急攪之出傅腫帛裹上日再三易  用子亦良 又方燒牛矢末苦酒和傅上乾復易 又方水和石灰封上又苦酒磨升麻若青木  香或紫檀以磨傅上良 又方取水中萍子草熟搗以傅上 又已入腹者  麝香熏陸香青木香鷄舌香各一兩以水  四升煑取二升分爲再服 若惡核腫結不肯散者  吴茱萸小蒜分等合搗傅之丹蒜亦得 又方搗鯽魚以傳之 若風腫多癢按之隨手起或隱疹方  但令痛以手摩捋抑按日數度自消 又方以苦酒磨桂若獨活數傅之良 身體頭面忽有暴腫處如吹方  巴豆三十枚連皮碎水五升煑取三升去  滓綿沾以拭腫上趁手消勿近口 皮肉卒腫起狹長赤痛名䐔  鹿角五兩白歛一兩牡蠣四兩附子一兩  搗篩和苦酒塗帛上燥復易 小品癰結腫堅如石或如大核色不變或作  石癰不消  鹿角八兩燒作灰白歛二兩麤理黄色磨  石一斤燒令赤三物搗作末以苦酒和泥  厚塗癰上燥更塗取消止内服連翹湯下  之姚方云燒石令極赤内五升苦酒中復  燒又内苦酒中令減半止搗石和藥先用  所餘苦酒不足添上用 姚方若發腫至堅而有根者名曰石癰  當上灸百壯石子當碎出不出者可益壯  癰疽瘤石癰結筋瘰癧皆不可就針角針  角者少有不及禍者也 又癰未潰方
Interpretation

This passage describes several folk remedies and treatments for swelling, abscesses, and carbuncles:

The first method involves boiling the medicine three times, stirring vigorously before applying it to the swollen area. Wrap with cloth and change the dressing multiple times daily. Seed-based medicines can also be used.

Several alternative prescriptions are provided: apply a mixture of charred ox dung powder and vinegar, replacing when dry; or use lime mixed with water as a poultice, followed by applying a paste of shengma (Cimicifuga), qingmuxiang (Aristolochia), or sandalwood ground with vinegar; alternatively, crush duckweed for external application.

If swelling has spread to the abdomen, prepare a decoction with one liang each of musk, frankincense, qingmuxiang (Aristolochia), and cloves boiled in water to yield two sheng of medicinal liquid, to be taken in two doses.

For stubborn hard nodules, apply equal parts of evodia fruit and garlic pounded together—red garlic may also be used. Alternatively, use crushed crucian carp as a poultice.

For wind-induced swelling with itching that rises upon touch or causes rashes, simply massage and press the area multiple times daily until it subsides. Alternatively, repeatedly apply cinnamon twigs or duhuo (Angelica pubescens) ground with vinegar.

For sudden balloon-like swelling, boil thirty whole (unpeeled) croton seeds in water, then dab the affected area with cotton soaked in the decoction. This reduces swelling quickly, but avoid contact with the mouth.

Sudden red, hot, painful skin swelling called "jin" should be treated with a poultice of deer antler, bailian (Ampelopsis), oyster shell, and aconite crushed and mixed with vinegar, replacing when dry.

For rock-hard abscesses ("stone carbuncles"), apply a thick paste of charred deer antler ash, bailian (Ampelopsis), and yellow whetstone powder mixed with vinegar, while taking forsythia decoction internally. Another method involves repeatedly soaking red-hot stones in vinegar until half remains, then crushing the stones for medicinal use.

Important warning: For conditions like abscesses, tumors, stone carbuncles, or scrofula, never attempt to puncture them recklessly with needles—improper needling can easily cause danger. The passage concludes with a prescription for unruptured carbuncles.

 菵草末和鷄子白塗紙令厚貼上燥復易  得痛自差 癰腫振焮不可棖方  大黃搗篩以苦酒和貼腫上燥易不過三  即差減不復作膿自消除甚神驗也 癰腫未成膿  取牛耳垢封之即愈 若惡肉不盡者食肉藥食去以膏塗之則愈 食肉方  取白炭灰荻灰等分煎令如膏此不宜預  作十日則歇并可與去黑子此大毒若用  效驗本方用法 凡癰腫用  栝蔞根赤小豆皆當内苦酒中五宿出熬  之畢搗爲散以苦酒和塗紙上貼腫驗 隱居效方消癰腫  白歛二分藜蘆一分爲末酒和如泥貼上 日三大良 疽瘡骨出  黃連牡蠣各二分爲末先鹽酒洗後傳 葛氏忽得熛疽著手足肩累累如米豆刮汁  出急療之  熬蕪菁熟搗裹以展轉其上日夜勿止 若發疽於十指端及色赤黑甚難療宜按大 方非單方所及 若骨疽積年一捏一汁出不差  熬末膠飴勃瘡上乃破生鯉魚以搨之如  炊頃刮視有小蟲出更洗傅藥蟲盡則便  止差 姚方云熛疽者肉中忽生一黤子如豆粟劇 者如梅李大或赤或黑或白或青其黶有核 核有深根應心小久四面悉腫疱黯黕紫黑 色能爛壞筋骨毒入臟腑煞人南方人名爲 搨著毒  著厚肉處皆割之亦燒鐵令赤烙赤三上  令焦如炭亦灸黯炮上百壯爲佳早春酸
Interpretation

This scripture primarily records several traditional methods for treating abscesses, boils, and toxic sores—all practical and easily accessible remedies.

For painful abscesses and swelling, mix the powder of wangcao (a medicinal herb) with egg white and apply it to thick paper, then affix it to the affected area. Replace it when dry to relieve pain and reduce swelling. If the abscess is hot and painful, blend rhubarb powder (dahuang) with vinegar and apply it as a poultice. Changing the dressing no more than three times should yield results and prevent pus formation.

For abscesses that have not yet suppurated, a simple method involves applying the earwax of an ox to the affected area for healing. If the sore contains decaying flesh, first use a corrosive agent to remove the necrotic tissue before applying ointment.

The corrosive agent (known as the "flesh-eating formula") is prepared by mixing equal parts of white charcoal ash and reed ash, then boiling them into a paste. This paste cannot be prepared in advance—it loses efficacy after ten days—but it can also be used to remove moles. Caution is advised, as this formula is highly toxic.

Another proven remedy for abscesses involves soaking gualou root and red adzuki beans in vinegar for five days, then drying and stir-frying them before grinding them into powder. Mix the powder with vinegar, spread it on paper, and apply it to the affected area. Another method combines two parts bailian (ampelopsis root) powder with one part lilu (false hellebore) powder, blending it with wine into a paste for external application. Changing the dressing three times daily yields excellent results.

For deep-seated ulcers (guju), grind equal parts of coptis (huanglian) and oyster shell (muli) into powder. First, clean the wound with saltwater and wine before applying the powder. If dark purple-black ulcers appear on the fingertips, they are difficult to treat and require comprehensive therapy.

For chronic bone ulcers with persistent pus discharge, boil maltose into a sticky paste and apply it to the sore, then cover it with a slice of raw carp. After about the time it takes to cook a meal, scrape the wound to reveal small worms crawling out. Repeat the cleaning and medication until no worms remain for recovery.

The text specifically warns of a malignant sore called biaoju, which suddenly appears as black dots the size of beans (or as large as plums in severe cases) deep within the muscles. These sores vary in color, penetrate deeply, and can damage the heart if untreated, eventually rotting to the bone and allowing toxins to invade the organs, proving fatal. In the south, it is called tazhuodu ("striking poison"). Treatment involves cutting open the thickest part of the flesh and cauterizing it three times with a red-hot iron, or directly applying moxibustion (jiu) in a hundred zhuang (units of moxa cones). It tends to flare up in spring, requiring special caution.

 摹葉薄其四面防其長也飲葵根汁犀角  汁升麻汁折其熱内外療依丹毒法也 劉涓子療癰疽發壞出膿血生肉黄耆膏  黄耆芍藥大黄當歸芎藭獨活白芷薤白  各一兩生地黃三兩九物切猪膏二升半  煎三上三下膏成絞去滓傅充瘡中摩左  右日三 又丹癰疽始發浸淫進長并少小丹搨方  升麻黄連大黄芎藭各二兩黄芩芒消各  三兩當歸甘草炙羚羊角各一兩九物㕮  咀水一斗三升煑取五升去滓還内鐺中  芒消上杖攪令成膏適冷熱貼帛搨腫上  數度便隨手消散王練甘林所秘方愼不  可近隂 又熛瘡浸淫多汁日就浸大胡粉散  胡粉熬甘草炙䕡茹黄連各二分四物搗  散篩以粉瘡日三極驗 諸疽瘡膏方  蠟亂髮礬石松脂各一兩猪膏四兩五物  先下髮髮消下礬石礬石消下松脂松脂  消下蠟蠟消下猪膏塗瘡上 赤龍皮湯洗諸敗爛瘡方  槲樹皮切三升以水一斗煑取五升春夏  冷用秋冬温用洗乳瘡及諸敗瘡洗了則  傅膏 發背上初欲𤻞便服此大黄湯  大黄甘草炙黄芩各二兩升麻二兩栀子  一百枚五物以水九升煑取三升半服得  快下數行便止不下則更服 療發背及婦人發乳及腸癰木占斯散  木占斯厚朴炙甘草炙細辛栝樓防風乾  薑人參桔梗敗醬各一兩十物搗爲散酒
Interpretation

The text records several ancient prescriptions for treating abscesses and toxic swellings, all prepared with common medicinal herbs:

For heat-toxin induced swellings: One may drink mallow root juice, rhinoceros horn juice, or cimicifuga juice to clear heat. For combined internal and external treatment, reference should be made to the methods for treating erysipelas.

Liu Juanzi's Astragalus Flesh-Generating Ointment recipe: Take one liang each of astragalus root, peony root, rhubarb, Chinese angelica, Sichuan lovage root, pubescent angelica root, dahurian angelica root, and long-stamen onion bulb, plus three liang of fresh rehmannia root—nine ingredients total. Chop finely, add two and a half sheng of lard, decoct three times repeatedly, strain the dregs, and apply to wounds three times daily.

Initial application formula for children's erysipelas: Two liang each of cimicifuga, coptis root, rhubarb, and Sichuan lovage root; three liang each of scutellaria root and mirabilitum; one liang each of Chinese angelica, honey-fried licorice, and antelope horn. Decoct the nine ingredients in one dou three sheng of water until reduced to five sheng. Remove dregs, add mirabilitum and stir into paste. Apply with cloth according to temperature—swelling will subside quickly. This secret formula from Wang Lian and Gan Lin must not be applied to genital areas.

Hu Powder Scatter for exudative sores: Two fen each of fried hu powder, honey-fried licorice, luru herb, and coptis root. Pound the four ingredients into powder, sift, and sprinkle on sores three times daily for excellent results.

General ulcer ointment method: Take one liang each of wax, disheveled hair, alum, and pine resin, plus four liang of lard. First melt the hair, then add alum, followed by pine resin, finally adding wax and lard. Mix thoroughly and apply to sores.

Red Dragon Skin Decoction for cleaning ulcerated sores: Chop three sheng of oak bark, decoct in one dou of water until reduced to five sheng. Use cooled in spring/summer, warmed in autumn/winter. Effective for breast abscesses and other ulcerations—apply ointment after washing.

Rhubarb Decoction for initial back carbuncles: Two liang each of rhubarb, honey-fried licorice, and scutellaria root; two liang of cimicifuga; one hundred gardenia fruits. Decoct the five ingredients in nine sheng of water until reduced to three and a half sheng. Discontinue after several bowel movements—continue dosage if bowels remain inactive.

Muzhansi Powder for back carbuncles, breast abscesses and intestinal abscesses: One liang each of muzhansi, honey-fried magnolia bark, honey-fried licorice, asarum herb, trichosanthes root, saposhnikovia root, dried ginger, ginseng, platycodon root, and patrinia herb. Pound the ten ingredients into powder and take with wine.

(Note: The "liang" and "sheng" measurements mentioned are ancient units differing from modern standards. Herbs like luru and muzhansi refer to specific ancient medicinal substances. Caution should be exercised regarding herbal compatibility—professional medical guidance is recommended for reference.)

 服方寸七晝七夜四以多爲善病在上常  吐在下膿血此謂腸癰之屬其癰腫即不  痛長服療諸疽痔若瘡己潰便早愈發背  無有不療不覺腫去時長服去敗醬多療  婦人發乳諸産癥瘕益良并劉涓子方 劉涓子療癰消膿木占斯散方  木占斯桂心人參細辛敗醬乾薑厚朴炙  甘草炙防風桔梗各一兩十物爲散服方  寸七入咽覺流入瘡中若癰疽灸不發壞  者可服之瘡末壞去敗醬此藥或時有癰  令成水者 癰腫瘰癧核不消白蘞薄方  白薟黄連大黄黄苓菵草赤石脂吴茱萸  芍藥各四分八物搗篩以鷄子白和如泥  塗故帛上薄之開小口乾即易之差 發背欲死者  取冬瓜截去頭合瘡上瓜當爛截去更合  之瓜未盡瘡己歛小矣即用膏養之 又方伏龍肝末之以酒調厚傅其瘡口乾即  易不日平復 又方取梧桐子葉鏊上糐成灰絹羅蜜調傅  之乾即易之 癰腫雜效方療熱腫  以家芥子并柏葉搗傅之無不愈大驗得  山芥更妙又搗小芥子末醋和作餅子貼  腫及瘰癧數看消即止恐損肉此療馬附  骨良 又方燒人糞作灰頭醋和如泥塗腫處乾數  易大驗 又方取黄色雄黄雌黄色石燒熱令赤以大  醋沃之更燒醋沃其石即軟如泥刮取塗  腫若乾醋和此大祕要耳 灸腫令消法
Interpretation

This passage primarily discusses various medicinal formulas and methods for treating external ailments like abscesses, ulcers, and sores in ancient times.

Regarding internal medications: It mentions taking approximately 1 gram ("fangcun qi") of powdered medicine, administered day and night with greater quantities being preferable. For intestinal abscesses and similar conditions, the medicine would induce vomiting if the disease was in the upper body or expel pus and blood if in the lower body. Prolonged use could treat various carbuncles and hemorrhoids, promote healing of ulcerated sores, and was particularly effective for back carbuncles. The text specifically highlights Liu Juanzi's formula—a powdered blend of ten ingredients including wood zhanthus (木占斯), cinnamon bark (桂心), and ginseng (人参)—which could direct medicinal effects precisely to affected areas.

External applications include multiple methods:

1. White Clematis Paste: Crushed mixture of eight ingredients including white clematis root (白蔹) and coptis root (黄连), blended with egg white into a mud-like consistency, applied on cloth and replaced when dry.

2. For severe back carbuncles: The top of a winter melon is cut off and placed over the sore; when the melon rots, it's replaced with fresh pieces until the wound contracts.

3. Powdered "Dragon's Furnace Earth" (伏龙肝, kiln hearth soil) mixed with wine for application.

4. Phoenix tree leaves (梧桐叶) burned to ash and blended with honey.

5. Mustard seeds (芥子) mashed with cypress leaves—particularly effective for heat-induced swelling, with mountain mustard being superior. Finely ground mustard seed mixed with vinegar could also be applied, though care was needed to avoid damaging healthy flesh.

6. Human feces burned to ash and blended with vinegar for swollen areas.

7. Orpiment (雄黄) and realgar (雌黄) minerals heated red-hot then quenched in vinegar to create a soft, mud-like poultice.

The text concludes with moxibustion techniques for reducing swelling. Most formulas emphasize replacing applications immediately after drying, with repeated use yielding better results.

 取獨顆蒜橫截厚一分安腫頭上炷如梧  桐子大灸蒜上百壯不覺消數數灸唯多  爲善勿令大熱但覺痛即擎起蒜蒜燋更  换用新者不用灸損皮肉如有體乾不須  灸余嘗小腹下患大腫灸即差每用之則  可大效也 又方生參頭上核又磁石末和醋傅  之 又方甘草塗此蕉子不中食 又方鷄腸草傅 又方白薟末傅并良 又熱腫癤  烿膠數塗一日十數度即差療小兒癤子  尤良每用神效 一切毒腫疼痛不可忍者  搜麵團腫頭如錢大滿中安椒以麵餅子  蓋頭上灸令徹痛即立止 又方搗萆麻人傅之立差 手脚心風毒腫  生椒末鹽末等分以醋和傳立差 癰疽生臭惡肉者  以白䕡茹散傅之看肉盡便停但傅諸膏  藥若不生肉傳黄耆散䕡茹黄耆止一切  惡肉仍不盡者可以七頭赤皮䕡茹爲散  用半錢七和白䕡茹散三錢七以傅之此  姚方差 惡脉病身中忽有赤絡脉起如蚓狀  此由春冬惡風入絡脉之中其血瘀所作  冝服之五香連翹鑱去血傅丹參膏積日  乃差余度山嶺即患常服五香湯傅小豆  得消以下并姚方 惡核病者肉中忽有核如梅李小者如豆粒 皮中慘痛左右走身中壯熱𤻎惡寒是也此 病卒然如起有毒入腹殺人南方多有此患  宜服五香連翹湯以小豆傅之立消若餘  核亦得傅丹參膏
Interpretation

This passage describes several external treatment methods in traditional Chinese medicine for addressing toxic swellings, abscesses, and carbuncles, primarily using garlic moxibustion and topical herbal applications:

The most effective treatment for toxic swellings is the single-clove garlic moxibustion method: Take an entire single-clove garlic bulb and slice it horizontally into pieces about one fen thick (approx. 3mm). Place these slices on the swollen, painful area. Use moxa cones the size of phoenix tree seeds to perform moxibustion on the garlic slices—up to one hundred zhuang (Note: one zhuang refers to one complete burning of a moxa cone). If the swelling persists, repeat the process multiple times—the more applications, the better. Be careful not to let the temperature get too high; if pain is felt, lift the garlic slice. Replace the slice if it chars to avoid burning the skin. Note that this method shouldn't be used on those with constitutional weakness. The author mentions having personally used this method effectively for lower abdominal swelling and pain.

Other topical formulas include:

1. Applying a mixture of raw ginseng crown tissue and magnetite powder blended with vinegar

2. Applying licorice juice (note: this particular preparation is not edible)

3. Applying chickweed (Stellaria media) topically

4. White clematis (Ampelopsis japonica) powder also proves effective

For treating inflammatory boils:

Apply melted glue frequently—ten or more times daily—especially effective for children's boils.

For severe toxic swellings with intense pain:

Knead dough into coin-sized discs, place over the swelling with Sichuan pepper (Zanthoxylum) in the center, cover with another dough disc, and apply moxibustion—pain relief is immediate. Alternatively, crushed castor beans (Ricinus communis) applied topically also work quickly.

For wind-toxin swelling on palms and soles:

Apply equal parts raw Sichuan pepper powder and salt mixed with vinegar for immediate relief.

For malignant flesh in abscesses and carbuncles:

First apply White Clematis and Ruta powder until necrotic tissue sloughs off completely, then apply flesh-regenerating plaster. If new tissue growth stalls, switch to Astragalus powder. For remaining malignant flesh, enhance efficacy by combining seven-headed red-skinned Ruta with White Clematis.

For malignant vessel disease (subcutaneous red vascular patterns):

Caused by pathogenic wind entering the collaterals during spring/winter leading to blood stasis—treat internally with Five-Aromatic Forsythia Decoction and externally with Salvia paste.

For malignant core disease (sudden subcutaneous hard nodules):

Common in southern regions, these plum/bean-sized mobile nodules cause shifting pain with fever and chills. Sudden onset may be fatal—immediately administer Five-Aromatic Forsythia Decoction internally with adzuki bean powder externally. Residual nodules can be treated with Salvia paste.

(Note: The "Yao Formulas" mentioned refer to proven treatments by renowned physician Yao Sengyuan.)

惡肉病者身中忽有肉如赤小豆粒突出便 長如牛馬乳亦如鷄冠狀亦宜服漏蘆湯外 可以燒鐵烙之日三恪令稍燋  以升麻膏傅之 氣痛之病身中忽有一處如打撲之狀不可 堪耐而左右走身中發作有時痛靜時便覺 其處冷如霜雪所加  此皆由冬温至春暴寒傷之宜先服五香  連翹數劑又以白酒煑揚柳皮暖熨之有  赤點點處宜鑱去血也 五香連翹湯療惡肉惡脉惡核瘰癧風結腫  氣痛  木香沉香鷄舌香各二兩麝香半兩薰陸  一兩夜干紫葛升麻獨活寄生甘草炙連  翹各二兩大黃三兩淡竹瀝三升十三物  以水九升煑減半内竹瀝取三升分三服  大良 漏蘆湯療癰疽丹𤺋毒腫惡肉  漏蘆白蘞黄芩白薇枳實炙升麻甘草炙  芍藥麻黃去節各二兩大黄三兩十物以  水一斗煑取三升若無藥用大黄下之佳  其丹毒須針鑱去血 丹參膏療惡肉惡核瘰癧風結諸脉腫  丹參蒴藋各二兩秦膠獨活烏頭白及牛  膝菊花防風各一兩菵草葉躑躅花蜀椒  各半兩十二物切以苦酒二升漬之一宿  猪膏四斤俱煎之令酒竭勿過燋去滓以  塗諸疾上日五度塗故布上貼之此膏亦  可服得大行即須少少服小品同 升麻膏療丹毒腫熱瘡  升麻白蘞漏蘆芒消各二兩黄芩枳實連  翹蛇銜各三兩栀子二十枚蒴藋根四兩
Interpretation

This section describes several methods for treating skin abscesses and toxic swellings. The first is malignant flesh disease, characterized by sudden eruptions of bean-sized flesh nodules that gradually grow into shapes resembling cow's milk or cockscombs. The treatment involves internally taking Loulu Decoction (made by boiling ten herbs including Radix Rhapontici and Ampelopsis japonica) while externally cauterizing the affected area with a red-hot iron three times daily until slightly charred, followed by applying Shengma Ointment.

The second condition is qi-pain disease, where sudden, excruciating pain resembling a beating appears in one area of the body, shifting locations with periodic attacks. Between episodes, the affected area feels cold as if covered by frost. This results from winter warmth followed by sudden spring cold pathogens. Treatment begins with Wuxiang Lianqiao Decoction (containing thirteen herbs including costus root and eaglewood), followed by hot compresses using willow bark boiled in white wine. If red spots appear on the skin, they should be pricked for bloodletting.

Wuxiang Lianqiao Decoction also treats malignant vessels (abnormal blood vessels), hard nodules, scrofula (lymph node tuberculosis), and wind-qi induced swellings. The formula includes: 2 liang each of costus root, eaglewood, and clove flower buds; half liang of musk; 1 liang of frankincense; 2 liang each of belamcanda, Japanese snake gourd root, cimicifuga, angelica root, parasitic loranthus, roasted licorice, and forsythia; 3 liang of rhubarb; and 3 sheng of fresh bamboo juice, boiled in water and taken in three doses.

Loulu Decoction primarily treats carbuncles, erysipelas (skin infections), toxic swellings, and malignant flesh. The ten-ingredient formula includes Radix Rhapontici and Ampelopsis japonica. If unavailable, rhubarb alone proves effective. Erysipelas treatment requires pricking the affected area for bloodletting.

Danshen Ointment addresses malignant flesh, hard nodules, scrofula, and wind-qi induced swellings. Twelve herbs including salvia and elderberry are soaked overnight in bitter wine, then boiled with lard until the wine evaporates. After straining, apply to affected areas five times daily. This formula can also be taken internally in small doses, though it causes significant diarrhea.

Shengma Ointment specifically treats erysipelas, heat-induced sores, and swellings, made from ten ingredients including cimicifuga and Ampelopsis japonica. These external ointments should be spread on old cloth before application.

 十物切舂令細納器中以水三升漬半日  以猪脂五升煎令水竭去滓傅之日五度  若急合即水煎極驗方 葛氏療卒毒腫起急痛  柳白皮酒煑令熱熨上痛止 附方 勝金方治發腦發背及癰疽熱癤惡瘡等  臘月兔頭細剉入瓶内宻封惟久愈佳塗  帛上厚封之熱痛傳之如冰頻换差 千金方治發背癰腫已潰未潰方  香豉三升少與水和熟搗成泥可腫處作  餅子厚三分己上有孔勿覆孔上布豉餅  以艾烈其上灸之使温温而熱勿令破肉  如熱痛即急易之患當減快得分穩一日  二度灸之如先有瘡孔中汁出即差 外臺秘要療惡寒嗇嗇似欲發背或已生瘡  腫癮𤺋起方  消石三兩以暖水一升和令消待冷取故  青布揲三重可似赤處方圓濕布搨之熱  即换頻易立差 集驗方治發背  以蝸牛一百個活者以一升淨瓶入蝸牛  用新汲水一盞浸瓶中封系自晩至明取  出蝸牛放之其水如涎將眞蛤粉不以多  少旋調傅以鷄翎掃之瘡上日可十餘度  其熱痛止瘡便愈 崔元亮海上方治發背秘法李北海云此方  神授極竒秘  以甘草三大兩生搗别篩末大麥麵九兩  於大盤中相和攪令匀取上等好酥少許  别捻入藥令匀百沸水搜如餅子劑方圓  大於瘡一分熱傅腫上以油片及故紙隔
Interpretation

Here are several emergency remedies for sudden toxic sores and swellings:

The first method: Finely chop and grind ten medicinal herbs, soak them in three sheng of water for half a day, then simmer with five sheng of lard until the water evaporates. Strain to obtain the medicinal ointment for external application, applied five times daily. In urgent cases, a decoction can be made directly by boiling in water, which proves highly effective.

Another remedy: Boil white willow bark in wine and apply it warm to the affected area to relieve pain.

The Shengjin Fang records a treatment for head/back carbuncles and malignant sores: During the twelfth lunar month, chop rabbit heads and seal them in jars—the longer stored, the better. Apply thickly on cloth when needed, replacing when heat or pain is felt until a cooling sensation occurs.

The Qianjin Fang describes moxibustion for back abscesses: Mix three sheng of fermented black beans (chi) with water into paste, form into half-cun thick cakes with a central hole, place over swelling, and apply moxa wool for sustained warmth without burning. Perform twice daily—pus discharge indicates efficacy.

The Waitai Biyao treats early-stage back sores: Dissolve three liang of saltpeter in warm water. After cooling, soak three layers of old indigo cloth in the solution and apply to redness, replacing when warmth is felt.

The Jiyan Fang uses snails for back sores: Soak one hundred live snails overnight in clean water. Mix the resulting mucus with clam-shell powder and apply with a chicken feather ten times daily to relieve pain and heal sores.

Cui Yuanliang's Haishang Fang secret recipe: Blend three liang of raw licorice powder with nine liang of barley flour, knead with butter into dough, form cakes slightly larger than the sore, and apply hot with oiled paper as insulation. Li Beihai praised this formula's miraculous effects.

 令通風冷則换之已成膿水自出未成腫  便内消當患腫著藥時常須吃黄耆粥甚  妙 又一法甘草一大兩微炙搗碎水一大升浸  之器上橫一小刀子置露中經宿平眀以  物攪令沫出吹沫服之但是瘡腫發背皆  可服甚效 梅師方治諸癰疽發背或發乳房初起微赤  不急治之即死速 消方  搗苧根傳之數易 聖惠方治附骨疽及魚眼瘡  用狗頭骨燒烟薰之 張文仲方治石癰堅如石不作膿者  生章陸根搗擦之燥即易取軟爲度 子母秘録治癰疽痔瘻瘡及小兒丹  水煑棘根汁洗之 又方末蠐螬傳之 小品方治疽初作  以赤小豆末醋和傅之亦消 博濟方治一切癰腫未破疼痛令内消  以生地黄杵如泥隨腫大小攤於布上糝  木香末於中又再攤地黄一重貼於腫上  不過三五度 日華子云消腫毒  水調决明子末塗 食療治癰腫  栝樓根苦酒中熬燥搗篩之苦酒和塗紙  上攤貼服金石人冝用 楊文蔚方治癰未潰  栝樓根赤小豆等分爲末醋調塗 千金方治諸惡腫失治有膿  燒棘針作灰水服之經宿頭出 又方治癰瘡中冷瘡口不合  用鼠皮一枚燒爲灰細研封瘡口上 孫眞人云主癰發數處  取牛糞燒作灰以鷄子白和傅之乾即易 孫眞人食忌主一切熱毒腫  章陸根和鹽少許傅之日再易
Interpretation

The text records several ancient medical formulas for treating abscesses, ulcers, and swellings. For suppurated sores, maintaining ventilation and coolness is essential; for non-suppurated swellings, astragalus root (a Qi-tonifying herb) decoction porridge can be used as adjunct therapy.

Another method involves taking one large liang of roasted licorice root, crushing it, and steeping it in one large sheng of water. Place a small knife horizontally over the container and leave it uncovered overnight. The next morning, stir to produce foam, then drink the foamy water—effective for various sores, abscesses, and back carbuncles.

Other recorded formulas include:

  • Meishi Fang notes: For newly formed red abscesses or breast lumps, immediate treatment is crucial to prevent fatal outcomes. Apply pounded ramie root topically and replace frequently.
  • Shenghui Fang records: For bone-attaching abscesses and fish-eye sores, fumigate the affected area with smoke from burned dog skull.
  • Zhang Wenzhong Fang states: For stone abscesses (hard as rock without suppuration), apply crushed pokeweed root (Phytolacca) topically, replacing when dry until softened.
  • Zimu Lu describes: For hemorrhoidal fistulas and infantile erysipelas, wash with water boiled from jujube tree roots or apply powdered larvae of the golden tortoise beetle (grub).
  • Xiaopin Fang advises: At the onset of abscesses, apply adzuki bean powder mixed with vinegar.
  • Boji Fang suggests: For painful, unruptured abscesses, spread crushed fresh rehmannia on cloth, sprinkle with costus root powder, layer more rehmannia, and apply to the swelling for 3–5 days.
  • Rihuazi recommends: For toxic swellings, apply cassia seed powder mixed with water.
  • Shiliao Fang notes: For abscesses, boil trichosanthes root (snakegourd root) with vinegar until dry, crush, and apply with vinegar—especially suitable for those taking alchemical elixirs.
  • Yang Wenwei Fang prescribes: For unruptured abscesses, mix equal parts trichosanthes root and adzuki bean powder with vinegar for topical use.
  • Qianjin Fang states: For malignant sores that suppurate due to neglect, ingest ash from burned thorn branches with water for overnight relief; for unhealing sores, apply finely powdered burned mouse skin ash.
  • Sun Simiao (the Celestial Master Sun) records: For multiple abscesses, apply cow dung ash mixed with egg white; for heat-toxin swellings, apply pokeweed root with a pinch of salt, replacing twice daily.

These ancient formulas predominantly use common herbs, animal products, and natural materials for topical application, fumigation, or washing. Caution is advised: some ingredients like pokeweed root are mildly toxic, and modern application requires careful consideration of symptoms.

集驗方治腫  柳枝如脚指大長三尺二十枚水煑令極  熱以故布裹腫處取湯熱洗之即差 又方治癰一切腫未成膿拔毒  牡蠣白者爲細末水調塗乾更塗 又方治毒熱足腫疼欲脫  酒煑苦參以漬之 外臺秘要治癰腫  伏龍肝以蒜和作泥塗用布上貼之如乾  則再易 又方凡腫已潰未潰者  以白膠一片水漬令軟納納然腫之大小  貼當頭上開孔若己潰還合者膿當被膠  急撮之膿皆出盡未有膿者腫當自消矣 又方燒鯉魚作灰酢和塗之一切腫上以差  爲度 又療熱毒病攻手足腫疼痛欲脫方  取蒼耳汁以漬之 又方水煑馬糞汁以漬之 肘後方治毒攻手足腫疼痛欲斷  猪蹄一具合葱煑去滓内少許鹽以漬之 經驗後方治一切癰腫無頭  以葵菜子一粒新汲水吞下須臾即破如  要兩處破服兩粒要破處逐粒加之驗 又方治諸癰不消己成膿懼針不得破令速  决  取白鷄翅下第一毛兩邊各一莖燒灰研  水調服之 又梅師方取雀屎塗頭上即易破雄雀屎佳  堅者爲雄 謹按雄黄治瘡瘍尚矣  周禮瘍醫凡療瘍以五毒攻之鄭康成注  云今醫方有五毒之藥作之合黄堥置石  膽丹砂雄黃礜石磁石其中燒之三日三  夜其烟上著以鷄羽掃取之以注創惡肉  破骨則盡出故翰林學士楊億嘗筆記直
Interpretation

Here are several ancient remedies for treating swellings, abscesses, and carbuncles:

For swelling and pain: Boil twenty willow branches (each three chi long) in water until extremely hot. Wrap the affected area with old cloth, then rinse it repeatedly with the hot medicinal decoction until healed.

Another remedy for abscesses: Grind white oyster shells into fine powder, mix with water to form a paste, and apply to the affected area. Reapply when dry. This formula works for various swellings before pus formation.

For heat-toxin swelling in feet: Simmer Sophora flavescens (苦参) in wine and soak the affected area in the liquid.

A Wai Tai Mi Yao (外台秘要) recorded remedy: Pound stove earth (伏龙肝) with garlic into a paste, spread on cloth, and apply to the swelling. Replace when dry.

For both unruptured and ruptured swellings: Soften a piece of white gelatin (possibly animal glue) in water and apply according to the swelling size. For ruptured abscesses, create openings for pus drainage; unruptured swellings will dissipate naturally.

Another swelling-reducing method: Burn carp into ashes, mix with vinegar, and apply until healed.

For heat-toxin swelling in hands/feet: Soak in Xanthium sibiricum (苍耳) juice or horse dung decoction.

For severe pain and swelling in extremities: Boil pig trotters with scallions, strain, add minimal salt, and soak the affected area.

For unidentified swellings: Swallow one mallow seed with freshly drawn well water per needed rupture point—the swelling will soon break.

To promote abscess rupture: Burn and powder the first feather under a white chicken's wings (one from each side), mix with water for oral intake. Alternatively, apply male sparrow droppings (the hardened ones) to hasten rupture.

Lastly, realgar's (雄黄) use against sores dates back to antiquity. The Rites of Zhou mentions ulcer doctors using the "Five Toxins"—a preparation of chalcanthite, cinnabar, realgar, arsenopyrite, and magnetite fired in a yellow clay crucible for three days and nights. The resulting ash treated ulcers by removing decay and regenerating flesh, as noted by Zheng Xuan. Song scholar Yang Yi's writings also document this practice.

 史館楊嵎年少時有瘍生於頰連齒輔車  外腫若覆甌内潰出膿血不輟吐之痛楚  難忍療之百方彌年不差人語之依鄭法  合燒藥成注之創中少頃朽骨連兩牙潰  出遂愈後更安寧信古方攻病之速也黄  堥若今巿中所貨有蓋瓦合也近世合丹  藥猶用黃瓦䰛亦名黄堥事出於古也堥  音武 梅師方治産後不自乳見畜積乳汁結作癰  取蒲公草搗傅腫上日三四度易之俗呼  爲蒲公英語訛爲僕公罌是也水煑汁服  亦得 又方治妬乳乳癰  取丁香搗末水調方寸匕服 又方治乳頭裂破  搗丁香末傅之 千金方治妬乳  梁上塵醋和塗之亦治隂腫 靈苑方治乳痛癰初發腫痛結硬欲破膿令  一服差  以北來眞樺皮無灰酒服方寸七就之師  及覺已差 聖惠方主婦人乳癰不消  右用白麵半斤炒令黄色用醋煑爲糊塗  於乳上即消 産寳治乳及癰腫  鷄屎末服方寸七須臾三服愈梅師方亦  治乳頭破裂方同 簡要濟衆治婦人乳癰汁不出内結成膿腫  名妬乳方  露蜂房燒灰研每服二錢水一中盞煎至  六分去滓温服 又方治吹妳獨勝散  白丁香半兩搗羅爲散每服一錢七温酒  調下無時服 子母秘録療吹奶惡寒壯熱  猪肪脂以冷水浸搨之熱即易立效 楊炎南行方治吹奶疼痛不可忍
Interpretation

When Yang Yu, a historian in the imperial archives, was young, he developed an abscess near his jawbone that swelled outward like an inverted earthenware basin, with constant internal suppuration and bloody discharge. The excruciating pain made even spitting unbearable. After trying various treatments for a year without success, someone recommended an ancient remedy passed down by Master Zheng: the medicine was burned into liquid form and dripped into the abscess. Shortly thereafter, the necrotic bone along with two teeth ulcerated and fell out, leading to rapid recovery. This demonstrates the remarkable efficacy of classical prescriptions. The "huang mou" mentioned here refers to the lidded earthen jars still sold today—these yellow ceramic vessels, also called huang wa ying, have been used since ancient times for alchemical preparations (Waidan). The character "堥" is pronounced like "武" (wǔ).

For treating postpartum milk stasis forming abscesses: Pound dandelion (Pu Gong Ying) into paste and apply to the affected area, changing the dressing three to four times daily. The name "Pu Gong Ying" is a dialectal variation of the vernacular term "仆公罌." It can also be taken as a decoction.

For mastitis (du ru): Grind cloves (Ding Xiang) into powder; take one square-inch spoonful (approx. 1g) mixed with water per dose.

For cracked nipples: Apply clove powder topically.

The Qianjin Fang prescribes roof beam dust mixed with vinegar for mastitis—this formula also treats genital swelling.

The Lingyuan Fang's remedy for early-stage mastitis with hardening and impending suppuration: Use genuine birch bark from northern regions taken with ash-free wine (pure liquor) in square-inch spoonful doses. Recovery occurs after one medicated sleep.

The Shenghui Fang's solution for persistent mastitis: Stir-fry half a jin of white flour until golden, then cook with vinegar into a paste for topical application to dissolve swelling.

The Chanbao Fang for mastitis and abscesses: Take powdered chicken droppings, one square-inch spoonful per dose; three consecutive doses bring swift relief. The Meishi Fang's cracked nipple treatment follows the same method.

The Jianyao Jizhong's approach to mastitis with milk obstruction and internal suppuration (termed "du ru"): Burn wasp nests into ash, grind finely, then decoct two qian in one medium cup of water until reduced to six parts. Strain and drink warm.

Another potent remedy for acute mastitis, the "Dusheng San": Crush half a liang of white sparrow droppings (Bai Ding Xiang), sieve, and take one qian seven fen with warm wine at any time.

The Zimu Lu's treatment for acute mastitis with chills and high fever: Apply lard soaked in cold water topically, replacing when warm—immediate effect.

The Yang Yan Nanxing Fang's solution for unbearable mastitis pain: (Original text missing; likely an internal or external remedy).

 用穿山甲炙黄木通各一兩自然銅半兩  生用三味搗羅爲散每服二錢温酒調下  不計時候 食醫心鏡云治吹奶不癢不痛腫硬如石  以青橘皮一兩湯浸去穰焙爲末非時温  酒下二錢七    治腸癰肺癰方第三十七 葛氏大人小兒卒得惡瘡不可名識者  燒竹葉和鷄子中黄塗差 又方取蛇床子合黄連二兩末粉瘡上用者  猪脂和塗差 又方燒蛇皮末以猪膏和塗之 又方煑柳葉若皮洗之亦可内少鹽此又療  面上瘡 又方臘月猪膏一升亂髮如鷄子大生鯽魚  一頭令煎令消盡又内雄黄苦參末二兩  大附子一枚末絞令凝以傅諸瘡無不差  胡洽療瘑疽疥大效 瘡中突出惡肉者  末鳥梅屑傳之又末硫黄傳上燥著唾和  塗之 惡瘡連痂癢痛  搗扁豆封痂落即差近方 小品療瘑癬疥惡瘡方  水銀礬石蛇床子黄連各二兩四物搗篩  以臘月猪膏七合并下水銀攪萬度不見  水銀膏成傳瘡并小兒頭瘡良龔慶宣加  䕡茹一兩療諸瘡神驗無比 姚療瘑疥 目雄黄一兩黄連二兩松脂二兩髮灰如彈  丸四物熔猪膏與松脂合熱搗以薄瘡上  則大良 又療惡瘡粉方  水銀黄連胡粉熬令黄各二兩下篩粉瘡  瘡無汁者唾和之 小兒身中惡瘡  取笋汁自澡洗以笋殻作散傅之效 人體生惡瘡似火自爛
Interpretation

This records practical medicinal formulas from Ge Hong's (the Immortal Lord Ge) Emergency Formulas to Keep Up One's Sleeve, focusing on treating various abscesses and sores including mastitis, intestinal/lung abscesses, and malignant ulcers, using readily available herbs in simple preparations.

For mastitis with stone-hard swelling: Take one liang each of pangolin scales (roasted until yellow) and akebia stem, with half liang of native copper, used raw. Grind these three ingredients into powder and sift. Take two qian doses with warm wine, without fixed timing. Another formula uses one liang of green tangerine peel, soaked in hot water to remove pulp, then dried and powdered—take two qian seven fen doses with warm wine intermittently.

Multiple methods for malignant ulcers: For sudden eruptions of unidentified malignant sores, burn bamboo leaves and mix with egg yolk for application. Alternatively, grind two liang each of cnidium seeds and coptis root into powder, blending with lard for topical use. Snake skin may also be burned, powdered, and mixed with lard. Boiling willow leaves or bark into wash water (enhanced with salt) works effectively, even for facial sores.

Specialized sore ointment: In the twelfth lunar month, simmer one sheng of lard with a fist-sized clump of disheveled hair and one live crucian carp until fully melted. Add two liang each of realgar and sophora root powder, plus one powdered aconite tuber. Stir until congealed for topical application—effective against all ulcer types. Physician Hu Qian verified particular efficacy against carbuncles and scabies.

Modified formulas for specific symptoms: For protruding necrotic flesh, apply ebony plum powder or sulfur powder. For itchy, painful scabs, crush hyacinth beans for application until scabs detach. Children's scalp sores: blend two liang each of mercury, alum, cnidium, and coptis powder with twelfth-month lard, stirring until mercury particles disappear to make a salve. Physician Gong Qingxuan enhanced this formula by adding one liang of rubia root for better efficacy.

Other verified formulas: For scabies, melt one liang each of realgar, coptis, and pine resin with a pellet-sized ash of burned hair in lard-pine resin blend for hot application. Dry sores: apply powder of two liang each mercury, coptis, and lead carbonate, or mix with saliva. Children's malignant sores: wash with bamboo shoot juice before applying shoot-shell powder. These formulas address self-ulcerating sores resembling burns with targeted therapies.

 胡粉熬黑黄檗黄連分等下篩粉之也 卒得惡瘡  蒼耳桃皮作屑内瘡中佳 頭中惡瘡  胡粉水銀白松脂各二兩臘月猪膏四兩  合松脂煎以水銀胡粉合研以塗上日再  胡洽云療小兒頭面瘡又一方加黄連二  兩亦療得秃瘡 惡瘡雄黄膏方  雄黄雌黃并末水銀各一兩松脂二兩猪  脂半斤亂髮如鷄子大以上合煎去滓内  水銀傅瘡日再 效方惡瘡食肉雄黃散  雄黄六分䕡茹礬石各二分末瘡中日二 療瘡方最去面上粉㓨方  黃連八分糯米赤小豆各五分吴茱萸一  分胡粉水銀各六分搗黃連等下篩先於  掌中研水銀使極細和藥使相入以生麻  油緫稀稠得所洗瘡拭乾傳之但是瘡即  療神驗不傳 甘家松脂膏療熱瘡尤嗍膿不痂無瘢方  松脂白膠香薰陸香各一兩當歸蠟各一  兩半甘草一兩并切猪脂羊腎脂各半合  許生地黄汁亦半合以松脂等末内脂膏  地黃汁中微火煎令黄下臘絞去滓塗布  貼瘡極有驗甘家秘不能傳此是半劑 地黃膏療一切瘡已潰者及炙貼之無痂生 肉去膿神祕方  地黄汁一升松脂二兩薰陸香一兩羊腎  脂及牛酥各如鷄子大先於地黄汁煎松  脂及香令消即内羊脂酥并更用蠟半鷄  子大一時相和緩火煎水盡膏成去滓塗  帛貼瘡日一二易加故緋一片亂髮一鷄
Interpretation

This passage primarily records several traditional Chinese medicinal formulas and preparation methods for treating malignant sores (severe skin ulcers or infections). Here are the specific details:

A powder made from finely ground and sifted lead carbonate (hufen), amur cork tree bark (huangbo), and coptis root (huanglian) can treat sudden malignant sores. Applying a poultice of cocklebur seeds and peach tree bark shavings to the sore proves highly effective.

For head sores: Take two liang each of lead carbonate (hufen), mercury (shuiyin), and white pine resin (baisongzhi), combined with four liang of winter-hog lard. First decoct the pine resin, then mix and grind it with mercury and lead carbonate. Apply twice daily. Physician Hu Qia noted this formula also treats childhood facial sores, and adding two liang of coptis root (huanglian) makes it effective against tinea capitis.

The Realgar Ointment for malignant sores: One liang each of powdered realgar (xionghuang) and orpiment (cihuang), one liang mercury, two liang pine resin, half a jin of hog lard, and a ball of tangled hair (egg-sized). Decoct together, strain, then add mercury. Apply twice daily.

Another rapid-acting formula called "Flesh-Eating Realgar Powder": Six fen realgar, two fen each of ledebouriella root (luru) and alum stone (fanshi). Grind into powder for twice-daily application. Particularly effective for removing facial scar tissue.

A verified sore treatment formula: Eight fen coptis root, five fen each glutinous rice and red beans, one fen evodia fruit (wuzhuyu), six fen each lead carbonate and mercury. First crush and sift the herbal ingredients, then grind the mercury to extreme fineness in the palm. Mix with raw sesame oil to proper consistency. After cleaning and drying the sore, apply—exceptionally effective for various ulcerations.

The Gan Family Pine Resin Ointment specifically treats suppurating hot sores that won't scab without scarring: One liang each pine resin, white benzoin (bai jiaoxiang), and frankincense (xunluxiang), one and a half liang each angelica root (danggui) and wax, one liang sliced licorice root, half a ge each hog fat and sheep kidney fat, half a ge fresh rehmannia juice. Simmer the powdered resins in fats and rehmannia juice over low heat until yellowish, add wax, strain, and spread on cloth for application. This half-dose formula is a Gan family secret.

Rehmannia Ointment suits all ulcerated sores, promoting tissue regeneration and pus removal: One sheng rehmannia juice, two liang pine resin, one liang frankincense, sheep kidney fat and cow butter (each egg-sized). First decoct the resin and frankincense in rehmannia juice until dissolved. Add sheep fat, cow butter, and wax (half egg volume), simmer slowly until water evaporates into ointment. Strain and apply on silk gauze, changing once or twice daily. Adding a piece of old red silk and tangled hair enhances efficacy.

 子許大療年深者十餘日即差生肉祕法 婦人頰上瘡差後每年又發甘家祕方塗之  永差  黄礬石二兩燒令汁盡胡粉一兩水銀一  兩半搗篩礬石胡粉更篩先以片許猪脂  於瓷器内熟研水銀令消盡更加猪脂并  礬石胡粉和使粘稠洗面瘡以塗上又别  熬胡粉令黄塗膏訖則薄此粉數日即差  甘家用大驗 療瘑瘡但是腰脚己下名爲瘑此皆有蟲食 之蟲死即差此方立驗  醋泔澱一椀大麻子一盞白沙鹽末各一  抄和掩以傅瘡乾更傅先温泔淨洗拭乾  傳一二度即差孔如針穴皆蟲食大驗 效方惡瘡三十年不愈者  大黄黄苓黄連各一兩爲散洗瘡淨以粉  之日三無不差又黄檗分等亦佳 葛氏療白秃方  殺猪即取肚破去屎及熱以反搨頭上須  臾蟲出著肚若不盡更作取令無蟲即休 又方末藜蘆以臘月猪膏和塗之五月漏蘆  草燒作灰膏和使塗之皆先用鹽湯洗乃  傅 又方羊蹄草根獨根者勿見風日及婦女鷄  大以三年醋研和如泥生布拭瘡令去以  傅之 姚方以羊肉如作脯法炙令香及熱以榻上  不過三四日差 又方先以皂莢湯熱洗拭乾以少油麻塗再  三即差 附方 千金方治遍身風癢生瘡疥  以蒺藜子苗煑湯洗之立差千金冀方同 又方茵陳蒿不計多少煑濃汁洗之立差
Interpretation

This passage records several folk remedies for treating skin ulcers and lesions collected by Ge Hong (the Immortal Lord Ge), explained in modern terms as follows:

For stubborn chronic ulcers that persist for years, there is a secret formula: Take two liang of yellow alum stone roasted until its juices are exhausted, one liang of ceruse (Hu fen), and one and a half liang of mercury. First pound and sift the alum and ceruse, then grind the mercury with a small amount of heated lard in a porcelain vessel until completely dissolved. Add the remaining lard and medicinal powder to form a thick paste. Before application, clean the affected area thoroughly, apply the ointment, then lightly dust with roasted yellow ceruse powder. Results should appear within days. The Gan family reported exceptional efficacy with this formula.

For "guo sores" (parasitic skin ulcers) below the waist, use a mixture of one bowl of rice-washing water soaked in vinegar, one cup of hemp seeds, and a pinch each of white salt powder. First cleanse the area with warm rice-washing water, then apply the mixture. One or two applications will heal even worm-bored holes.

For malignant ulcers unhealed for thirty years, grind equal parts (one liang each) of rhubarb (Da huang), skullcap (Huang qin), and coptis (Huang lian) into powder. After cleaning the wound, apply the powder three times daily. Phellodendron bark (Huang bai) can substitute with equal effectiveness.

Several treatments exist for baldness and white tinea: 1) Place a freshly slaughtered pig's stomach (still hot) over the head—the heat draws out parasites; 2) Mix veratrum powder (Li lu) with lard rendered in the twelfth lunar month; 3) Apply ashes of leaky gourd herb (Lou lu) gathered in May mixed into ointment. All require prior cleansing with saltwater. Another method uses single-rooted dock herb (Yang ti cao) roots (harvested avoiding sunlight and women) pounded with three-year aged vinegar into a poultice. The Yao family's method involves applying fragrant roasted mutton while hot—recovery occurs within three to four days. Alternatively, wash first with hot soapberry (Zao jiao) decoction before applying sesame oil.

Supplementary Qianjin Fang prescriptions note: For whole-body wind itch and scabies, washing with tribulus (Ji li) seedling decoction brings immediate relief, as does concentrated wormwood (Yin chen hao) decoction.

These formulas emphasize specific processing techniques (like roasting until juices are exhausted or fragrance develops through roasting) and special collection timings (such as twelfth-month lard or May-harvested leaky gourd herb), reflecting ancient physicians' attention to harvesting seasons and preparation methods.

千金翼方瘡癬初生或始痛癢  以薑黄傅之妙 又方嚼鹽塗之妙 又方漏瘤瘡濕癬癢浸淫日瘙癢不可忍搔  之黄水出差後復發  取羊蹄根去土細切搗以大醋和淨洗傅  上一時間以冷水洗之日一傅差若爲末  傅之妙 外臺祕要治癬瘡方  取蟾蜍燒灰末以猪脂和傅之 又方治乾癬積年生痂搔之黄水出每逢隂  雨即癢  用斑猫半兩微炒爲末蜜調傅之 又治疥方  搗羊蹄根和猪脂塗上或著鹽少許佳 斗門方治疥癬  用藜蘆細搗爲末以生油調傅之 王氏博濟治疥癬滿身作瘡不可治者  何首烏艾等分以水煎令濃於盆内洗之  甚能解痛生肌肉 簡要濟衆治癬瘡久不差  羊蹄根搗絞取汁用調膩粉少許如膏塗  傅癬上二五遍即差如乾即猪脂調和傅  之 鬼遺方治疥癬  松膠香研細約酌入少輕粉衮令匀凡疥  癬上先用油塗了擦末一日便乾頑者三  兩度 聖惠方治癬濕癢  用楮葉半斤細切搗爛傅癬上 楊氏産乳療瘡疥  燒竹葉爲末以鷄子白和之塗上不過三  四次立差 十全方治疥瘡  巴豆十粒火炮過黄色去皮膜右順手研  如麵入酥少許膩粉少許同研匀爪破以  竹篦子點藥不得落眼裏及外腎上如熏  炙著外腎以黄丹塗甚妙 經驗方治五般瘡癬
Interpretation

This passage documents practical formulas from ancient medical texts such as Ge Hong's Emergency Formulas to Keep Up One's Sleeve for treating various skin conditions. Here are therapeutic approaches for common dermatological issues:

For newly emerged sores or itchy rashes in their initial stages, apply powdered turmeric externally. An alternative method involves chewing table salt and applying the paste to affected areas.

For oozing, damp rashes resembling modern eczema (known as "wet lichen" in Chinese medicine), crush sheep's hoof root (a medicinal herb) and mix with vinegar. After cleansing the affected area, apply the poultice. Rinse with cold water during treatment and change the dressing daily for efficacy. Alternatively, apply powdered sheep's hoof root directly.

For stubborn lichen sores: Mix toad ashes with lard for topical application. For chronic, scaly lichen, stir-fry half an ounce of blister beetles (cantharides), grind into powder, and blend with honey before application.

Scabies treatments include: 1) Crushed sheep's hoof root blended with lard (enhanced with salt), or 2) Veratrum powder mixed with unprocessed vegetable oil.

For full-body rashes resistant to treatment: Boil equal parts fleeceflower root and mugwort into concentrated decoction for medicated baths to relieve pain and regenerate tissue. For persistent lichen sores, combine sheep's hoof root juice with minimal lead carbonate powder into an ointment—use lard as emulsifier when dry.

Other verified formulas include:

  • Rosin blended with calomel powder for topical application
  • Mulberry paper tree leaves crushed into poultice
  • Bamboo leaf ashes mixed with egg white
  • Processed croton seed powder combined with ghee and lead carbonate (avoiding eye and genital areas)

These time-tested prescriptions offer targeted external therapies for diverse dermatological conditions, primarily employing common herbal ingredients through compresses, ointments, or medicated baths.

 以韭根炒存性旋搗末以猪脂油調傅之  三度差 千金方療漆瘡  用湯潰芒硝令濃塗之乾即易之 譚氏治漆瘡  漢椒湯洗之即愈 千金翼治漆瘡  羊乳傅之 集驗方治漆瘡  取蓮葉乾者一斤水一斗煑取五升洗瘡  上日再差 斗門方治漆咬  用韭葉研傅之食醫心鏡同 千金方主大人小兒風瘙癮𤺋心迷悶方  巴豆二兩槌破以水七升煑取三升以帛  染拭之 外臺秘要塗風𤺋  取枳實以醋漬令濕火炙令熱適寒温用  熨上即消 斗門方治癮𤺋  楝皮濃煎浴之 梅師方治一切𤺋  以水煑枳殻爲煎塗之乾即又塗之 又方以水煑芒硝塗之 又治風癮𤺋方  以水煑蜂房取二升入芒硝傅上日五度  即差 聖惠方治風瘙癮𤺋遍身癢成瘡  用蠶沙一升水二斗煑取一斗二升去滓  温熱得所以洗之宜避風 千金冀療丹癮𤺋方  酪和鹽熱煑以摩之手下消 又主大人小兒風𤺋  茱萸一升酒五升煑取一升帛染拭之 初虞世治皮膚風熱遍身生癮𤺋  牛蒡子浮萍等分以薄荷湯調下二錢日  二服 經驗後方治肺毒瘡如大風疾緑雲散  以桑葉好者淨洗過熟蒸一宿後日乾爲  末水調二錢七服 肘後方治卒得浸淫瘡轉有汁多起心早治  之續身周匝則殺人  以鷄冠血傅之差
Interpretation

This text records several ancient prescriptions for treating skin diseases, primarily addressing lacquer dermatitis (allergic reactions caused by contact with lacquer trees) and wind-induced urticaria (itchy skin conditions resembling hives).

For treating lacquer dermatitis, the methods include: drying and frying chive roots, then crushing and mixing them with lard for external application; applying concentrated mirabilite (mangxiao) solution, replacing it once dry; washing the affected area with water boiled with Sichuan pepper (hanjiao); applying goat’s milk topically; or washing with five liters of water boiled with one jin (approximately 500 grams) of dried lotus leaves.

There are even more varied approaches for wind-induced urticaria: soaking cloth in water boiled with croton seeds (badou) and wiping the skin; soaking bitter orange (zhishi) in vinegar, heating it, and applying it as a warm compress; taking a medicinal bath with a concentrated decoction of chinaberry tree bark (kulianpi); repeatedly applying a decoction of bitter orange peel (zhiqiao); applying mirabilite solution externally; soaking wasp nests (fengfang) in water with added mirabilite and applying it five times daily; bathing in water boiled with silkworm excrement (cansha) (while avoiding wind); applying warm cheese mixed with salt; or rubbing the skin with wine-soaked evodia fruit (wuzhuyu).

For systemic wind-heat rashes, an internal remedy involves equal parts burdock seeds (niubangzi) and duckweed (fuping), taken with peppermint tea. For severe skin sores resembling leprosy (dafeng chuang), mulberry leaves are steamed, sun-dried, ground into powder, and taken with water. Sudden-onset erosive sores (characterized by ulceration and oozing) can be treated with rooster comb blood—failure to address such sores promptly may lead to life-threatening systemic spread.

These prescriptions reflect the ancient principle of "treating form with form" (yixing zhi xing). For example, plant-based remedies counteract plant toxins in lacquer dermatitis, while animal-derived ingredients (such as silkworm excrement or wasp nests) are often used for stubborn skin conditions. External treatments—such as topical applications, medicinal baths, and warm compresses—dominate, while internal remedies are relatively fewer.

又方療大人小兒卒得月蝕方  於月望夕取兔屎及内蝦蟆腹中合燒爲  灰末以傅瘡上差 集驗方療月蝕瘡  虎頭骨二兩搗碎同猪脂一升熬成膏黄  取塗瘡上 聖惠方治反花瘡  用馬齒莧一斤燒作灰細研猪脂調傅之 又方治諸瘡胬肉如螘出數寸  用硫黃一兩細研胬肉上薄塗之即便縮 鬼遺方治一切瘡肉出  以烏梅燒爲灰研末傅上惡肉立盡極妙 簡要濟衆方傅瘡藥  黃藥子四兩爲末以冷水調傅瘡上乾即  旋傅之 兵部手集治服丹石人有熱瘡疼不可忍方  用紙環圍腫處中心塡硝石令滿匙抄水  淋之覺其不熱疼即止 治頭瘡及諸熱瘡  先用醋少許和水淨洗去痂再用温水洗  裛乾百草霜細硏入膩粉少許生油調塗  立愈 治惡瘡  唐人記其事云江左嘗有商人左膊上有  瘡如人面亦無它苦商人戲滴酒口中其  面亦赤色以物食之亦能食食多則寬膊  内肉脹起或不食之則一臂痹有善醫者  教其歷試諸藥金石草木之類悉試之無  苦至貝母其瘡乃聚眉閉口商人喜曰此  藥可治也因以小葦筒毁其口灌之數日  成痂遂愈然不知何疾也謹按本經主金  瘡此豈金瘡之類歟    治卒得癩皮毛變黑方第四十 癩病方  初覺皮膚不仁或淫淫苦癢如蟲行或眼
Interpretation

This records several ancient medicinal formulas for treating skin ulcers and sores. The first method for treating "moon-bite sores" (a type of auricular ulcer): On the night of a full moon, mix rabbit droppings with substances from a toad's abdomen, burn them to ashes, grind into powder, and apply to the affected area for efficacy.

Another proven recipe involves crushing two liang of tiger skull bone and simmering it with one sheng of lard into an ointment for topical application. The Sheng Hui Fang documents a treatment for "flowering sores" (ulcers with everted edges resembling petals): burn one jin of purslane to ashes, grind finely, and mix with lard for application.

For ulcerations producing ant-like granulation tissue: take one liang of sulfur, grind finely, and apply a thin layer to make the granulations contract. The Gui Yi Fang mentions treating ulcerative polyps: burn black plum to ashes, grind into powder, and apply to quickly eliminate necrotic tissue.

The Jian Yao Ji Zhong Fang records this ulcer treatment: grind four liang of yellow yam rhizome into powder, mix with cold water for application, reapplying when dry. For painful heat sores caused by alchemical elixir consumption: encircle the swelling with paper, fill the center with saltpeter, then pour water over it until the heat and pain subside.

For head sores and various heat sores: first wash the scabs with vinegar water, rinse with warm water and dry, then mix finely ground plant ash with a small amount of cosmetic powder, blending with raw oil for immediate application.

A peculiar Tang Dynasty case describes a merchant whose left arm developed a face-like sore that neither hurt nor itched. When playfully pouring wine into its "mouth," the sore would redden; feeding it would make it "eat" - overeating caused arm swelling, while starvation led to numbness. After testing various medicines unsuccessfully, when using fritillary bulb, the sore frowned and closed its mouth. The merchant administered the medicine through reed tubes for several days until scabbing healed, though the condition remained unidentified, possibly a type of metal-wound sore.

Finally, a treatment for early-stage leprosy (resembling modern Hansen's disease): initial symptoms include skin numbness, itching like insect crawling, or eye.... These formulas reflect distinctive features of ancient Chinese external therapies, typically combining animal, mineral, and botanical ingredients.

 前見物如垂絲或癮𤺋赤黑此即急療蠻  夷酒佳善 療白癩  苦參五斤酒三斗漬飲勿絶并取皮根末  服效驗 又方艾千莖濃煑以汁漬麯作酒常飲使醺  醺姚同 姚方大蝮蛇一枚切勿令傷以酒漬之大者  一斗小者五升以糠火温令下尋取蛇一  寸許以臘月猪膏和傳瘡差 亦療鼠瘻諸惡瘡  苦參二斤露蜂房二兩麯二斤水三斗漬  藥二宿去滓黍米二升釀熟稍飲日三一  方加猬皮更佳 附方 聖惠方治大風癩疾骨肉疽敗百節疼酸眉 鬢墮落身體習習癢痛  以馬先蒿細剉炒爲未每空心及晩食前  温酒調下二錢匕 又方治大風疾令眉鬢再生  用側柏葉九蒸九曝搗羅爲末煉蜜和丸  如梧桐子大日三服夜一服熟水下五丸  十丸百日即生 又方治大風頭面髭髮脫落  以桑柴灰熱湯淋取汁洗面以大豆水研  取漿解澤灰味彌佳次用熟水入菉豆  去皮取淨不過十度良二日一沐頭一日  一洗面 又方治白癩  用馬鞭草不限多少爲末每服食前用荆  芥薄荷湯調下一錢匕 食療治癩  可取白蜜一斤生薑二斤搗取汁先稱同  鐺令知斤兩即下蜜於鐺中消之又秤五  斤兩下薑汁於蜜中微火煎令薑汁盡秤  蜜斤兩在即休藥已成矣患三十年癩者  平旦服棗許大一丸一日三服酒飲任下
Interpretation

This passage primarily documents ancient medicinal formulas and treatments for skin diseases (such as lai disease, white lai, etc.).

Regarding the treatment of white lai (a type of skin condition), several methods are recorded:

The first method involves steeping five jin of Sophora flavescens (苦参) in three dou of wine for continuous consumption, while also grinding the bark and roots of Sophora flavescens into powder for oral administration, which proves highly effective.

Another approach uses a concentrated decoction of mugwort (艾草) to ferment wine, to be consumed regularly until mildly intoxicated.

There is also a prescription from a physician surnamed Yao: Take a large pit viper (蝮蛇) (ensuring it is uninjured) and steep it in wine—one dou of wine for a large snake or five sheng for a smaller one—warming the wine over chaff fire. Then take about one cun of snake meat, mix it with lard from the twelfth lunar month, and apply it to the sores. This method can also treat scrofula (lymphatic tuberculosis) and various malignant ulcers.

Another formula: Steep two jin of Sophora flavescens, two liang of honeycomb (露蜂房), two jin of wine starter, and three dou of water for two days. After removing the dregs, add two sheng of glutinous millet to ferment into wine, consuming small amounts three times daily. Adding hedgehog skin (猬皮) enhances the effect.

Additional prescriptions include:

1. Treatment for severe lai disease (leprosy): Chop and dry-fry Pedicularis resupinata (马先蒿), grind into powder, and take two qian on an empty stomach and before dinner with warm wine.

2. Promoting regrowth of eyebrows and sideburns: Process Platycladus orientalis leaves (侧柏叶) through nine cycles of steaming and sun-drying, grind into powder, mix with honey to form pills the size of phoenix tree seeds. Take 5–10 pills three times during the day and once at night with warm water, continuing for a hundred days for visible results.

3. Treatment for facial hair loss: Use mulberry wood ash (桑柴灰) heated with water to extract juice for washing the face, then neutralize the taste with soybean water slurry for better effect. Follow by washing with peeled mung beans in hot water—wash the hair every two days and the face daily.

4. Another method for white lai: Grind Verbena officinalis (马鞭草) into powder and take one qian before meals with a decoction of Schizonepeta (荆芥) and mint (薄荷).

Dietary therapy: Combine one jin of white honey with two jin of ginger (姜) (pounded for juice). First melt the honey in a pot, then add ginger juice and simmer over low heat until the juice evaporates completely. For those suffering from lai disease for thirty years, take a pill the size of a jujube each morning, three times daily, optionally with wine.

 忌生令醋滑臭物功用甚多活人衆矣不  能一一具之 外臺祕要治惡風疾  松脂煉投冷水中二十次蜜丸服二兩飢  即服之日三鼻柱斷離者三百日差斷鹽  及房室 抱朴子云  趙瞿病癩歷年醫不差家乃賫粮弃送於  山穴中瞿自怨不幸悲嘆涕泣經月有仙  人經穴見之哀之具問其詳瞿知其異人  也叩頭自陳乞命於是仙人取囊中藥賜  之教其服百余日瘡愈顔色悅肌膚潤仙  人再過視之瞿謝活命之恩乞遺其方仙  人曰此是松脂彼中極多汝可煉服之長  服身轉輕力百倍登危涉險終日不困年  百歲齒不墮髮不白夜卧常見有光大如  鏡 感應神仙傳云崔言者職隸左親騎軍一旦 得疾雙眼昏咫尺不辨人物眉髮自落鼻梁 崩倒肌膚有瘡如癬皆謂惡疾勢不可救因 爲洋州駱谷子歸寨使遇一道流自谷中出 不言名姓授其方曰  皂角刺一二斤爲灰蒸乆曬研爲末食上  濃煎大黃湯調一錢七服一旬鬢髮再生  肌膚悅潤愈眼目倍常明得此方後却入  山不知所之 朝野僉載云  商州有人患大風家人惡之山中爲起茅  屋有烏蛇墜酒罌中病人不知飲酒漸差  罌底尚有蛇骨方知其由也用道謹按李  肇國史補云李舟之弟患風或説蛇酒治  風乃求黑蛇生置甕中醖以麴蘖數日蛇
Interpretation

The Emergency Formulas Behind the Elbow by Ge Xianweng records several remarkable prescriptions and stories for treating difficult illnesses:

First, it describes the marvelous use of pine resin (the sap secreted by pine trees): After refining the resin twenty times consecutively, one mixes it with honey to form pills. Take two liang per dose, three times daily. Consistent use for three hundred days can even heal a broken nose bridge. However, during treatment one must abstain from salt and sexual activity (fangshi).

The Baopuzi documents a true case: Zhao Qu suffered from leprosy (dafeng) for years without cure and was abandoned by his family in a mountain cave. A xian (immortal) took pity on him and gifted the pine resin prescription. After taking it for over a hundred days, Zhao not only recovered but became light-bodied and vigorous, maintaining intact teeth and hair past one hundred years of age, often seeing mirror-like radiant lights at night.

The Biographies of Spirit-Responsive Immortals recounts the story of military officer Cui Yan: After suddenly contracting a strange illness causing blindness and hair loss, he fortunately met a Daoist priest in the mountains who taught him a secret formula—burning Chinese honey locust thorns to ash, then steaming and sun-drying them before taking with rhubarb decoction. Within ten days, Cui regained both his eyesight and original complexion.

The Records from Court and Country documents two cases of snake wine curing leprosy: A Shangzhou patient accidentally recovered after drinking wine steeped with black snakes; Li Zhou's younger brother followed advice to brew wine with live black snakes for treating wind disease (fengji). These records demonstrate ancient physicians had already discovered special therapeutic effects in certain animal-derived medicines.

(Note: The terms "dafeng" (great wind) and "efengji" (malignant wind disease) refer to ancient names for leprosy; "fangshi" (chamber affairs) denotes marital sexual relations; "qunie" refers to fermentation starters for winemaking)

 聲不絶及熟香氣酷烈引滿而飲之斯須  悉化爲水唯毛髮存焉僉載之説恐不可  輕用    治卒得蟲鼠諸瘻方第四十一(後有/瘰癧) 姚云凡有腫皆有相主患者冝檢本方多發 頭兩邊累累有核 姚方鼠瘻腫核痛未成膿方  以柏葉傅著腫上熬鹽著葉上熨令熱氣  下即消 葛氏卒得鼠瘻有瘰癧未發瘡而速熱者速  療方  搗烏鷄足若車前草傅之 若己有核膿血出者  以熱牛屎塗之日三 又方取白鮮皮煑服一升當吐鼠子 又方取猫狸一物料理作羹如食法空心進  之鼠子死出又當生吞其功彌效 又方取鼠中者一枚亂髮如鷄子大以三歲  臘月猪脂煎之令鼠骨肉及髮消盡半塗  之半酒服鼠從瘡中出姚云秘不傳之法 劉涓子鼠瘻方  以龜殻甘草炙桂心雄黄乾薑狸骨炙六  物分等搗下蜜和内瘡中無不差先灸作  瘡後與藥良 又方柞木皮五升以酒一斗合煎熟出皮煎  汁令得二升服之盡有宿肉出愈 又瘻瘡坐肉膏  楝樹白皮鼠肉當歸各二兩薤白三兩生  地黃五兩臘月猪脂三升煎膏成傅之孔  上令生肉 葛氏若瘡多而孔小是蟻瘻方  燒鱣鯉甲猪膏和傅 又方燒蜘蛛二七枚傅良 又瘻方  煎桃葉枝作煎淨洗瘡了内孔中大驗方 葛氏若著口裏
Interpretation

This passage primarily documents ancient folk remedies for treating various types of fistulas (skin ulcerations with pus discharge), including scrofula (similar to tuberculous lymphadenitis) and ant-bite fistulas. Here are the specific treatments:

For scrofula (cervical tuberculous lymphadenitis): Physician Yao proposed that before suppuration occurs, one should apply cypress leaves to the affected area, cover them with heated salt for fomentation, using the warm Qi to dissipate the swelling. Ge Hong supplemented several methods: at initial onset, crush black chicken feet or plantain herb for external application; for already suppurated cases, apply warm cow dung three times daily; drinking one liter of water boiled with dictamnus root induces vomiting to expel the disease's root; eating cat meat soup (consumed on an empty stomach) or swallowing raw cat meat proves more effective. A secret formula records using one medium-sized rat, an egg-sized clump of tangled hair, and aged lard—simmer until bones and flesh dissolve, applying half externally and taking half with wine—said to expel the lesion.

Liu Juanzi's prescription involves equal parts of tortoise shell, licorice, cinnamon, realgar, dried ginger, and roasted fox bone, crushed and mixed with honey to fill the ulcer, enhanced by moxibustion. Another formula uses five liters of oak bark boiled with wine to make a concentrated decoction for internal use, capable of removing necrotic tissue.

For ant-bite fistulas with numerous small openings: apply pangolin scales burned to ash and mixed with lard externally, or burn fourteen spiders for topical application. Another proven method involves washing the sores with peach branch decoction before infusing the holes with the liquid.

Finally, it mentions oral fistulas without detailing specific treatments. The original text cautions that certain records (like claims about hair's indigestibility) may be unreliable, advising careful use. These methods predominantly employ animal-derived medicines (rats, cats, tortoise shell) and botanical ingredients (cypress leaves, plantain), combining topical applications, oral administration, and moxibustion—reflecting ancient medical principles of "treating form with form."

 東行楝根細剉水煑取清汁含之數吐勿  嚥 肉瘻方  槐白皮搗丸綿裹内下部中傅效 鼠瘻方  石南生地黄雌黄茯苓黄連各二兩爲散  傅瘡上日再 又方礬石三分燒斑猫一分炙去頭足搗下  用醋和服半七須臾瘻蟲從小便中出删  繁方 附方 肘後方治風瘻  露蜂房一枚炙令黄赤色爲末每用一錢  臘月猪脂匀調傅瘡上 千金方治鼠瘻  以鷄子一枚米下熬半日取出黃熬令黑  先拭瘡上汁令乾以藥内瘡孔中三度即  差 千金翼治蟻瘻  取鯪鯉甲二七枚末猪膏和傅之 聖惠方治螻蛄瘻  用槲葉燒灰細研以泔别浸槲葉取洗瘡  拭之内少許灰於瘡中 又方治一切瘻  煉成松脂末填瘡孔令滿日三四度用之    治卒隂腫痛頽卵方第四十二 葛氏男子隂卒腫痛方  灸足大指第二節下橫文理正中央五壯  佳姚云足大指本三壯  又方桃核中仁熬末酒服如彈丸姚云不過  三 又方竈中黃土末以鷄子黄和傅之蛇床子  末和鷄子黄傅之亦良 又方搗蕪菁根若馬鞭草傅并良姚同 又方鷄翮六枚燒井蛇床子末分等合服少  隨卵左右傅卵佳姚方無蛇床子 小兒隂疝發時腫痛  依仙翁前灸法隨左右灸差 隨痛如㓨方  但服生夜干汁取下亦可服丸藥下之云  作走馬湯亦在尸注中有
Interpretation

This passage primarily documents ancient folk remedies for treating various types of fistulas (festering skin ulcers) and genital swelling/pain. Here's a plain explanation:

For treating flesh fistulas (deep muscular ulcers): Pound white sophora bark into pills, wrap in cotton cloth, and insert into the affected area.

Two methods for treating rodent fistulas (similar to tuberculous lymph node ulcers): 1) Grind five herbs including photinia leaves and fresh rehmannia into powder for external application. 2) Mix burnt alum and blister beetle powder with vinegar for oral consumption - this expels worms from the fistula through urination.

For wind fistulas (ulcers caused by pathogenic wind): Roast honeycomb until yellow, grind into powder, and mix with lard from the twelfth lunar month for topical application.

Other simple therapies:

  • Treat rodent fistulas by stuffing ulcer cavities with egg yolks cooked until blackened
  • Apply pangolin scale powder mixed with lard for ant fistulas
  • Wash ulcers with burnt oak leaf ashes for mole cricket fistulas
  • Fill ulcer holes with pine resin for various fistulas

Methods for sudden genital swelling/pain:

  • Apply moxibustion to the transverse crease of the second toe joint
  • Take peach kernel powder with wine
  • Apply furnace heart soil mixed with egg yolk externally
  • Apply mashed turnip roots or verbena herb poultice
  • Apply burnt chicken feather ashes mixed with cnidium powder
  • For children's scrotal pain, use the same moxibustion technique

For acute severe pain: Consume belamcanda juice or "galloping horse decoction" (a formula mentioned in the corpse infestation section) to relieve constipation and pain.

(Note: "Yao Yun" refers to supplementary opinions from physician Yao Sengyuan; "chai" means recovery; "pellet-sized" indicates medicine balls the size of marbles)

隂丸卒縮入腹急痛欲死名隂疝  狼毒四兩防風二兩附子三兩燒蜜丸服  三丸如桐子大日夜三度 隂莖中卒痛不可忍  雄黃礬石各二兩甘草一尺水五升煑取  二升漬姚云療大如斗者 葛氏男子隂瘡損爛  煑黄檗洗之又白蜜塗之 又方黃連黄檗分等末之煑取肥猪肉汁漬  瘡訖粉之姚方蜜煎甘草末塗之比者見  有隂頭腫項下瘡欲斷者猪肉汁漬依姚  方即神效 隂蝕欲盡者  蝦墓兔矢分等末勃瘡上 隂癢汁出  嚼生大豆黄塗之亦療尿灰瘡 姚療隂癢生瘡  嚼胡麻塗之 葛療隂囊下濕癢皮剥  烏梅十四枚錢四十文三指撮鹽苦酒一  升於銅器内緫漬九日日洗之又煑槐皮  若黃檗汁及香葉汁并良 療人隂生瘡膿出臼方  高昌白礬一小兩搗細麻人等分研煉猪  脂一合於瓷器中和攪如膏然後取槐白  皮切作湯以洗瘡上拭令乾即取膏塗上  然後以楸葉帖上不過三 又隂瘡有二種  一者作臼膿出曰隂蝕瘡二者但亦作瘡  名爲熱瘡若是熱即取黄檗一兩黄芩一  兩切作湯洗之仍取黃連黄檗作末傅之 女子隂瘡  末硫黃傅上姚同又燒杏仁搗塗之 又方末雄黄礬石各二分麝香半分搗傅姚  同 若隂中痛  礬石二分熬大黃一分甘草半分末綿裹  如棗以導之取差
Interpretation

This records medicinal formulas from Ge Hong (renowned Daoist physician, known as Immortal Elder Ge)'s Emergency Formulas to Keep Up One's Sleeve for treating acute male genital disorders. The text addresses various conditions including sudden retraction of the scrotum into the abdomen (called yin hernia), severe penile pain, genital ulceration and inflammation, as well as scrotal dampness and itching.

For sudden scrotal retraction with intense pain, prepare pills using four taels of langdu (wolfbane root), two taels of fangfeng (saposhnikovia root), and three taels of processed aconite mixed with honey. Take three pill-sized portions the size of tung seeds, three times daily. For acute penile pain, soak the affected area in a decoction made from two taels each of realgar and alum, plus one chi-length of licorice root boiled in five sheng of water until reduced to two sheng.

Multiple treatments exist for genital ulcers: wash with phellodendron bark decoction before applying white honey; or mix powdered coptis root and phellodendron bark with rendered pork fat as a poultice. For severe swelling nearing tissue necrosis, direct immersion in pork broth proves effective. Advanced ulcers may be treated with equal parts powdered toad and rabbit droppings.

Scrotal dampness and itching remedies include: applying chewed raw yellow soybeans; or external application of chewed sesame. For flaking and itchy scrotum, wash with a nine-day infusion of smoked plum, copper coins, salt and bitter wine - alternatively use sophora bark or phellodendron decoctions.

For suppurating genital sores: combine equal parts finely powdered Gaochang alum and hemp seeds with lard to make an ointment. First cleanse with sophora bark decoction, dry thoroughly, then apply ointment covered with catalpa leaves - typically effective within three applications. Genital sores divide into two types: pus-discharging "yin erosion sores" versus simple red swelling "heat sores" - the latter treated by washing with phellodendron and scutellaria decoction before applying coptis-phellodendron powder.

Female genital ulcers may use powdered sulfur applications or charred crushed apricot kernels; alternatively apply a mixture of two fen each realgar and alum with trace musk. For vaginal pain, insert cotton wrapped with processed alum, rhubarb and licorice powder.

若有息肉突出  以苦酒三升漬烏喙五枚三日以洗之日  夜三四度 若苦癢搔之痛悶  取猪肝炙熱内隂中當有蟲著肝 小兒秃方  取白頭翁根搗傅一宿或作瘡二十日愈 炙頽  但炙其上又灸莖上又灸白小腹脉上及  炙脚大指三中灸一壯又炙小指頭隨頽  左右著炙 姚氏方  楊柳枝如足大指大長三尺二十枚水煑  令極熱以故紙及氈掩腫處取熱柳枝更  取拄之如此取得差止 又卵頽  熟搗桃仁傳之亦療婦人隂腫燥即易之 小品牡丹散療頽偏大氣脹方  牡丹防風桂心豉熬鐵精分等合搗下服  方寸七小兒一刀圭二十日愈大良嬰兒  以乳汁和如大豆與之 不用藥法療頽必差方  令病人自把糯米餅子一枚并皂莢刺一  百個就百姓間坐社處先將皂莢刺分合  社人社官三老己下各付一針即出餅子  示人從頭至尾皆言從社官己下乞針捶  社人問云捶何物病人云捶人魁周匝緫  遍訖針并插盡即時餅却到家收掌於一  處餅乾頽不覺自散永差極神效 附方 千金方有人隂冷漸漸冷氣入隂囊腫滿恐  死日夜疼悶不得眠  取生椒擇之令淨以布帛裹著丸囊令厚  半寸須臾熱氣大通日再易之取消差 又外臺祕要方  煑大薊根汁服之立差 梅師方治卒外腎偏腫疼痛
Interpretation

For polyps (abnormal fleshy growths), soak five aconite roots (wutou) in three liters of vinegar for three days, then wash the affected area with this solution three to four times daily. If itching and pain occur, insert roasted pork liver into the affected area—the parasites will be drawn to the liver.

For childhood baldness: Pound the roots of Chinese anemone (baitouweng) and apply to the scalp overnight. If sores have formed, recovery will occur within twenty days.

Moxibustion for hernia (called "tui" in Chinese medicine): Apply one moxa cone (a unit of moxibustion) above the affected area, above the penis, along the lower abdominal meridians, and at the center of the big toe. Additionally, moxibustion should be applied to the corresponding side of the little toe based on the hernia's location.

Yao's method for treating swelling and pain: Take twenty willow branches, each as thick as a thumb and three feet long, boil them until very hot, cover the swollen area with old paper and felt cloth, then repeatedly apply the hot willow branches until symptoms subside.

For scrotal swelling: Pound peach kernels (taoren) and apply topically. This method also treats female genital swelling—replace the poultice when dry.

Xiaopin Mudan Powder for hernia distension: Combine equal parts of tree peony bark (mudanpi), saposhnikovia root (fangfeng), cinnamon bark (guixin), stir-fried fermented soybeans (douchi), and iron filings (tiejing). Pound into powder. Adults take one square-inch spoonful (fangcunbi), children take one knife-point dose (daogui). Recovery occurs in twenty days. For infants, mix the powder with breast milk and administer a soybean-sized portion.

Remarkable non-medicinal therapy: Have the patient hold a glutinous rice cake and one hundred皂角刺 (gleditsia thorns) while sitting at the village earth-god shrine (sheshe). First distribute the thorns to the shrine officials (sheguan) and village elders (sanlao), then present the cake while verbally requesting "needles" from them. When villagers ask "what will the needles strike?", the patient replies "strike the human chief" (referring to the hernia). After inserting all thorns into the cake, take it home and store it. When the cake dries, the hernia will vanish unnoticed—reported to be remarkably effective.

The Qianjin Fang prescription for scrotal swelling and pain: If cold qi enters the scrotum causing unbearable swelling and pain that prevents sleep day and night, select clean raw Sichuan peppercorns (huajiao), wrap them in cloth to form a half-inch-thick compress, and apply to the affected area. Warm qi will soon permeate the area. Replace twice daily until swelling subsides.

The Waitai Miyao method: Boil Japanese thistle root (daji) to make a decoction—immediate relief follows ingestion.

Meishi's method for sudden testicular pain:

 大黄末和醋塗之乾即易之 又方桂心末和水調方寸七塗之 又方治卒外腎偏疼  皂莢和皮爲末水調傅之良 初虞世方治水㿗偏大上下不定疼痛  牡蠣不限多少鹽泥固濟炭三斤煅令火  盡冷取二兩乾薑一兩炮右爲細末用冷  水調稀稠得所塗病處小便利即愈 經驗方治丈夫本藏氣傷膀胱連小腸等氣  金鈴子一百箇温湯浸過去皮巴豆二百  個槌微破麩二升同於銅鍋内炒金鈴子  赤熟爲度放冷取出去核爲末每服三錢  非時熱酒醋湯調并得其麩巴豆不用也 外臺祕要治膀胱氣急冝下氣  蕪荑搗和食鹽末二物等分以綿裹如棗  大内下部或下水惡汁并下氣佳 又治隂下濕  吴茱萸一升水三升煑三沸去滓洗癢差 又治隂頭生瘡  以蜜煎甘草塗之差 千金方治丈夫隂頭癰師所不能治  烏賊魚骨末粉傅之良 又千金翼方  鱉甲一枚燒令末以鷄子白
Interpretation

This passage documents various folk remedies for treating male reproductive system disorders, primarily sourced from ancient medical texts such as Ge Xianweng's Emergency Prescriptions (Zhouhou Beiji Fang).

For treating scrotal swelling and pain: One may apply a paste made by mixing rhubarb powder with vinegar externally, replacing it when dry; alternatively, cinnamon bark powder can be mixed with water to form a dosage about the size of a fangcunbi (approximately 1 gram) for topical application; another method involves grinding soapberry pods (with skin intact) into powder and mixing with water for external application.

A remedy for hydrocele (water swelling of the testicles): Take unlimited quantities of oyster shells, wrap them in salt-mud, then calcine with three jin of charcoal until the fire extinguishes. After cooling, take two liang of the processed material, add one liang of prepared dried ginger, grind into fine powder, mix with cold water to appropriate consistency for topical application. Urination will normalize upon recovery.

For treating bladder and small intestine pain: Take one hundred jinlingzi (toosendan fruit), soaked in warm water and peeled, two hundred lightly crushed croton seeds, and two sheng of wheat bran. Stir-fry together in a copper pot until the jinlingzi turns red and fully cooked. After cooling, remove the pits and grind into powder. Take three qian per dose with heated wine or vinegar soup (note: only the jinlingzi powder is consumed—the bran and croton seeds are discarded).

Secret Essentials from the Imperial Library (Waitai Miyao) records a method for acute bladder discomfort: Pound wuyi (Chinese sumac) and mix with equal parts salt, wrap in cotton cloth to form a jujube-sized bundle, and insert into the anus to expel foul fluids and turbid qi.

For treating genital dampness and itching: Boil one sheng of evodia fruit in three sheng of water until it boils three times, then strain the decoction to wash the affected area. For genital sores, apply a mixture of honey-boiled licorice juice.

Thousand Gold Prescriptions (Qianjin Fang) documents treatment for severe glans inflammation (modern balanitis): Cuttlefish bone powder proves highly effective for topical application. Supplement to Thousand Gold Prescriptions (Qianjin Yifang) records using one burnt turtle shell mixed with egg white for external application.

These formulas reflect ancient therapeutic approaches to male disorders, predominantly employing topical applications with common herbs and food ingredients. Notably, toxic substances like croton seeds require particular caution in usage and should not be casually attempted in modern practice.

和傅之良 葛仙翁肘後備急方卷之五

Source text: Kanripo 漢籍リポジトリ(KR5g0115); Licence: CC BY-SA 4.0 · Report an error / feedback

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