是为女子感染男子余毒而生者,或疮已告痊,因偶食牛肉,或当风洗浴,或房室过劳,
遂致肤上毒结不散,因而生癣。其候或血干而起白屑者有之,或肉碎而流红水以致淋漓臭秽
者有之。内服用∶
天花粉 威灵仙 胡麻 槐角 甘草各二钱 生地黄 麦冬 天冬各三钱 当归 黄
各五钱 柴胡 乳香末各一钱 荆芥一钱五分 白藓皮一钱
上以水煎服,约须十剂,外用∶
黄柏 雄黄各二钱 孩儿茶三钱 没药 轻粉 粉霜 枯矾各一钱 丹砂五分 龙脑三
分蜗牛十个
共为末,猪胆调搽,日数次,三日渐愈。
黄 一两 土茯苓二两 白芍 茯苓各五钱 人参 甘草各三钱 当归 白矾各二钱
水煎服四剂,重者十剂。外用∶
粉霜 轻粉 龙脑 黄柏(炒) 胡粉各二钱 百花霜 黄丹(水飞) 生甘草各三钱 蚯
蚓粪(火焙干)一两
各研细末,点搽自愈。
秽疮有阴阳性之分,凡色红作痛而高突者,是为阳性。治宜补气之药,佐以化毒之味。
方用∶
人参 白术各五钱 甘草 茯苓各三钱 半夏一钱 陈皮五分 土茯苓 金银花各一两
上以水煎服,十余剂瘥止,外用搽药详下。
本症之候与前症相反,即色虽红而低陷,且患部不痛不痒。治宜补血之药,而辅以消毒
之品。方用∶
熟地 当归各五钱 川芎 茯苓 甘草 天花粉各二钱 白芍一钱 金银花 土茯苓各
一两
水煎服二十剂。外用∶
丹砂 粉霜 轻粉 甘草各一钱 雄黄二钱 孩儿茶三钱 露蜂房(烧灰)五分 龙脑
三分
各为细末和匀,猪胆调搽自愈。前症亦可用此药搽之。
This condition arises in women who have been infected with residual pathogenic toxins from men. Although the sores may appear healed, they can recur due to accidental consumption of beef, bathing while exposed to wind, or excessive sexual activity. These factors cause the toxins on the skin to coagulate and fail to dissipate, leading to the development of tinea (skin fungal infection). The manifestations vary: some present with white scales due to dry blood; others exhibit weeping red fluid from ulcerated flesh, resulting in continuous discharge and foul odor.
Internal Prescription:
Trichosanthis Radix (Tianhuafen), Saposhnikoviae Radix (Weilingxian), Sesamum Fructus (Huma), Sophorae Fructus (Huaijiao), and Glycyrrhizae Radix et Rhizoma (Gancao) each 2 qian; Rehmanniae Radix Recens (Shengdihuang), Ophiopogonis Radix (Maidong), and Asparagi Radix (Tiandong) each 3 qian; Angelicae Sinensis Radix (Danggui) and Astragali Radix (Huangqi) each 5 qian; Bupleuri Radix (Chaihu) and Resina Frankincense (Ruxiang) powder each 1 qian; Schizonepetae Spica (Jingjie) 1.5 qian; Dictamni Cortex (Baixianpi) 1 qian.
Decoct these ingredients in water and take orally. Approximately ten doses are required.
External Prescription:
Phellodendri Cortex (Huangbai) and Realgar (Xionghuang) each 2 qian; Camelliae Semen (Haiercha) 3 qian; Myrrha (Moyao), Calomelas (Qingfen), Cerussa (Fenshuang), and Alumen Exsiccatum (Kufan) each 1 qian; Cinnabar (Dansha) 0.5 qian; Borax (Longnao) 0.3 qian; Ten snails.
Grind all into fine powder, mix with pig bile, and apply to the affected area several times a day. Improvement should be seen within three days.
Alternative Internal Prescription:
Astragali Radix (Huangqi) 1 liang; Smilacis Glabrae Rhizoma (Tufuling) 2 liang; Paeoniae Radix Alba (Baishao) and Poria (Fuling) each 5 qian; Ginseng Radix et Rhizoma (Renshen) and Glycyrrhizae Radix et Rhizoma (Gancao) each 3 qian; Angelicae Sinensis Radix (Danggui) and Alum (Baifan) each 2 qian.
Decoct in water and take orally for four doses; ten doses for severe cases.
Alternative External Prescription:
Cerussa (Fenshuang), Calomelas (Qingfen), Borax (Longnao), Phellodendri Cortex (Huangbai, stir-fried), and Lead Carbonate (Hufen) each 2 qian; Baihua Shuang, Lithargyrum (Huandan, processed by water levigation), and Raw Glycyrrhizae Radix et Rhizoma (Sheng Gancao) each 3 qian; Lumbricus (Qiuyin Fen, dried by roasting) 1 liang.
Grind each into fine powder separately and apply to the lesion; it will heal spontaneously.
Venereal sores are classified into yin and yang types. Those that are red, painful, and raised are considered yang type. Treatment should focus on qi-tonifying herbs, assisted by detoxifying agents.
Prescription:
Ginseng Radix et Rhizoma (Renshen) and Atractylodis Macrocephalae Rhizoma (Baizhu) each 5 qian; Glycyrrhizae Radix et Rhizoma (Gancao) and Poria (Fuling) each 3 qian; Pinelliae Tuber (Banxia) 1 qian; Citri Reticulatae Pericarpium (Chenpi) 0.5 qian; Smilacis Glabrae Rhizoma (Tufuling) and Lonicerae Japonicae Flos (Jinyinhua) each 1 liang.
Decoct in water and take orally for more than ten doses until cured. See below for external application details.
This syndrome presents oppositely to the previous one: although the color is red, the lesions are depressed, and there is no pain or itching. Treatment should focus on blood-nourishing herbs, assisted by disinfecting agents.
Prescription:
Prepared Rehmanniae Radix (Shudi) and Angelicae Sinensis Radix (Danggui) each 5 qian; Ligustici Chuanxiong Rhizoma (Chuanxiong), Poria (Fuling), Glycyrrhizae Radix et Rhizoma (Gancao), and Trichosanthis Radix (Tianhuafen) each 2 qian; Paeoniae Radix Alba (Baishao) 1 qian; Lonicerae Japonicae Flos (Jinyinhua) and Smilacis Glabrae Rhizoma (Tufuling) each 1 liang.
Decoct in water and take orally for twenty doses.
External Prescription:
Cinnabar (Dansha), Cerussa (Fenshuang), Calomelas (Qingfen), and Glycyrrhizae Radix et Rhizoma (Gancao) each 1 qian; Realgar (Xionghuang) 2 qian; Camelliae Semen (Haiercha) 3 qian; Vespa Nidus (Lufengfang, burnt to ash) 0.5 qian; Borax (Longnao) 0.3 qian.
Grind into fine powder, mix evenly, and apply with pig bile; it will heal spontaneously. This external preparation can also be used for the previous syndrome.