杨梅疮，乃天行时毒，亦有传染而患之，或禀赋所得。春受症在肝，故多起于下部，治失其宜，多致蚀伤眼目，腐
败肾茎，拳挛肢节。初起之时，上体多者，先用荆防败毒散；下体多者，先用龙胆泻肝汤。大便秘者，用大连翘饮，
后用换肌消毒散。若蚀伤眼目，兼用九味芦荟丸、六味地黄丸。肢节拳挛，兼用蠲痹解毒汤。若因脾胃亏损而不能愈者，
先用异功散，后用换肌消毒散。若用轻粉之药，多致败症也。
一小儿周岁，传染此疮，误熏银朱之药，昏愦不乳，遍身无皮，用绿豆、黄柏，遍掺席上，令儿睡卧，更用金银花、
生甘草为末，白汤调服渐愈。若疮干燥利，用当归膏。误用轻粉者，亦以前药解之。
一小儿患此，年余不愈，形体消瘦，日晡尤甚，朝用八珍汤，夕用换肌散，并太乙膏。三月余而愈。
一小儿原有肝疳，后染前症，脓水淋漓，腹胀呕吐，小腹重坠，余欲用补中益气汤，升补中气。不信，仍服消毒之
剂，更喘嗽流涎。余谓脾气虚而肺气弱也，朝用补中益气汤，夕用五味异功散，元气渐复，乃佐以换肌消毒散寻愈。
一小儿因母曾患此症，生下即有，用换肌散，母服五十余剂，子用当归膏调金黄散，随患处敷之寻愈。
一小儿十四岁患此，用熏法，肢体面目悉皆浮肿，数日间，遍身皮肤皆溃，如无皮状，脓水淋漓，先用金银花、甘
草，煎汤与之恣饮，又为末掺遍身及铺枕席，令儿卧之，半月许，皮肤稍愈，却佐以换肌散而愈。
又一小儿二岁，用熏法，吐痰喘躁，不及治而死。
换肌消毒散（一名萆 散） 治杨梅疮，不拘初患日久，并效。
土茯苓（即萆 ） 当归 白芷 甘草 皂角刺 薏苡仁 白藓皮 木瓜（不犯铁器）
上水煎食前并空心服。
又方 治大人之剂。如用前方未应，或儿长大，宜用此方。
土茯苓（五钱） 当归 白芷 皂角刺（炒） 薏苡仁（各一钱） 白藓皮 木瓜（不犯铁器） 木通 金银花（各
七分）甘草 连翘 防风（各五分） 茯苓（一钱） 黄 （炒，二钱） 芍药（炒，一钱） 川芎（八分） 生地黄
（八分）
上作二三剂，水煎出，幼者作一剂，煎分两三次服。
蠲痹解毒汤
姜黄 羌活 白藓皮 赤芍药 当归（各四分） 白术（五分） 茯苓 白芷 皂角子（炒。各三分）
上水煎服。
九味芦荟丸（方见喉痹）
当归膏（方见汤火疮）
太乙膏（方见跌扑外伤）
金黄散（方见泡疮）
Yangmei Chuang (Syphilis/Chancre), caused by Tianxing Shidu (epidemic pathogenic toxins), can also be contracted through transmission or inherited from congenital predisposition. When affected in spring, the pathology resides in the Liver, so it often originates in the lower body. If treatment is inappropriate, it may lead to damage of the eyes, corruption and atrophy of the penis, and flexion contracture of the limbs and joints. At the initial stage, if symptoms are more prevalent on the upper body, Jingfang Baidu San (Atractylodes and Saposhnikovia Decoction) should be used first; if symptoms are more prevalent on the lower body, Longdan Xiegan Tang (Gentian Liver-Draining Decoction) should be used first. For constipation, Dalianqiao Yin (Large Forsythia Drink) is used, followed by Huanji Xiaodu San (Skin-Rejuvenating and Toxin-Clearing Powder). If the eyes have been damaged, Jiwei Lushui Wan (Nine-Ingredient Aloe Pill) and Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) are used concurrently. For limb joint contractures, Juanbi Jiedu Tang (Bi-Syndrome-Dispelling and Toxin-Clearing Decoction) is used concurrently. If the condition fails to heal due to Spleen and Stomach deficiency, Yigong San (Yi-Gong Powder) is used first, followed by Huanji Xiaodu San. The use of Qinfen (Calomel) often leads to severe, deteriorating syndromes.
A one-year-old child contracted this disease and was mistakenly fumigated with Yinzhu (Cinnabar) medicine, resulting in coma, refusal to nurse, and total skin shedding. Mung bean powder and Phellodendri Cortex (Huangbai, 黄柏) were scattered over the mat for the child to lie upon. Additionally, Honeysuckle Flower (Jinyinhua, 金银花) and Raw Licorice Root (Sheng Gancao, 生甘草) were powdered and mixed with warm water for oral administration, leading to gradual recovery. If the sores are dry and accompanied by diarrhea, Danggui Gao (Angelica Sinensis Ointment) is applied. Cases involving mistaken use of Qinfen are also treated with the aforementioned remedies to resolve toxicity.
Another child suffered from this disease for over a year without healing, presenting with emaciation and worsening symptoms in the late afternoon. Bazhen Tang (Eight-Treasure Decoction) was administered in the morning, and Huanji San (Skin-Rejuvenating Powder) in the evening, along with external application of Taiyi Gao (Great One Plaster). Recovery occurred after three months.
A third child, who previously had Ganchi (Liver-related Parasitic Disease), contracted the aforementioned syndrome, presenting with dripping pus, abdominal distension, vomiting, and a heavy, bearing-down sensation in the lower abdomen. I proposed using Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) to raise and tonify Middle Qi. The family disagreed and continued administering detoxifying agents, which exacerbated wheezing, coughing, and salivation. I diagnosed Spleen Qi deficiency and Lung Qi weakness. Buzhong Yiqi Tang was given in the morning, and Wuwei Yigong San (Five-Ingredient Yi-Gong Powder) in the evening. As Yuanqi (Original Qi) gradually recovered, Huanji Xiaodu San was added as an adjunct, leading to eventual recovery.
A fourth child presented with the disease immediately after birth because the mother had previously suffered from it. The child was treated with Huanji San, while the mother took over fifty doses. The child’s lesions were treated with Danggui Gao mixed with Jinhuang San (Golden Yellow Powder) applied topically, resulting in quick recovery.
A fourteen-year-old child was treated with fumigation, leading to generalized edema of the limbs and face. Within days, the entire body skin ulcerated, appearing devoid of skin, with dripping pus. The child was given a decoction of Honeysuckle Flower and Licorice Root to drink freely, and the powdered herbs were scattered over the body and bedding for lying upon. After about half a month, the skin improved slightly, and subsequent treatment with Huanji San led to full recovery.
Another two-year-old child underwent fumigation treatment, developed phlegm, wheezing, and restlessness, and died before effective treatment could be administered.
Huanji Xiaodu San (also known as Bixie San), treats Yangmei Chuang regardless of whether it is recent or chronic, showing efficacy in both cases.
Tufuling (Smilax Glabra Rhizome, i.e., Bixie, 萆薢), Danggui (Angelicae Sinensis Radix), Baizhi (Angelicae Dahuricae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Zaocis Spina (Gleditsiae Sinensis Spina), Yiyiren (Coicis Semen), Baixianpi (Dictamni Cortex), Mugua (Chaenomelis Fructus - avoid iron vessels).
Decoct in water and take on an empty stomach before meals.
Another prescription for adults. If the previous formula is ineffective, or if the child has grown up, this formula is suitable.
Tufuling (5 qian), Danggui, Baizhi, Zaocis Spina (stir-fried), Yiyiren (1 qian each), Baixianpi, Mugua (avoid iron vessels), Mutong (Akebiae Caulis), Jinyinhua (7 fen each), Gancao, Lianqiao (Forsythiae Fructum), Fangfeng (Saposhnikoviae Radix) (5 fen each), Fuling (Poria) (1 qian), Huangqi (Astragali Radix, stir-fried, 2 qian), Shaoyao (Paeoniae Radix, stir-fried, 1 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma) (8 fen), Shengdihuang (Rehmanniae Radix) (8 fen).
Prepare two to three doses. Decoct in water. For young children, prepare one dose and divide into two or three servings.
Juanbi Jiedu Tang
Jianghuang (Curcumae Longae Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Baixianpi, Chi Shaoyao (Red Paeoniae Radix), Danggui (4 fen each), Baizhu (Atractodis Macrocephalae Rhizoma) (5 fen), Fuling, Baizhi, Zaocis Fructus (stir-fried, 3 fen each).
Decoct in water and take orally.
Jiwei Lushui Wan (See Hou Bi chapter for formula)
Danggui Gao (See Tang Huo Chuang chapter for formula)
Taiyi Gao (See Die Pu Wai Shang chapter for formula)
Jinhuang San (See Pao Chuang chapter for formula)