Abstract： In order to conduct a brief analysis of academic thoughts in the only existing copy of Qishi Jiachuan Waike Daluo from Qing dynasty， 38 special topics mainly concerning surgery of sore and ulcer and 37 oral Chinese medicine prescriptions in the book were sorted out and analyzed，covering the following aspects：verses，verses on pulse diagnosis， therapeutic methods and pharmacology， 16 prescriptions to treat swollen sore based on syndrome differentiation and treatment，and 21 prescriptions to treat ulcerating sore. Precisely，the concepts of verses involved yang syndrome and yin syndrome of abscess， swollen sore and ulcerating sore， five benign signs and seven malign signs. In terms of verses on pulse diagnosis，there were verses on diagnosis of twelve meridians and collaterals，and eight extra meridians，as well as four- syllable verses on pulse diagnosis. As for therapeutic methods and pharmacology，such main points as simultaneous treatment of the root and branch， external treatments of Chinese medicine， and the general explanation of nature of medicinals were included. It is thought that the academic thoughts of Qishi Jiachuan Waike Daluo can summarized as follows. Firstly，with reference to Chinese medical classics and respect for predecessors' theories about diseases，the understanding of diseases can formed， symptom differentiation carried out， and pathogenesis clarified. Secondly， in the process of a detailed observation， verses are vital. Thirdly， pushing along meridians and collaterals for diagnosis attaches great importance to pulse condition. Lastly，exquisite therapeutic manipulation is important，and the curative effect of prescriptions is equivalent to that of medicinals.