Library

Jiedu (late-stage complication of yameichuang/syphilitic chancre) arises from the condensation of yamei (syphilis) pathogenic factors, caused by the mistaken ingestion of potent "jie" (expelling) medicines containing mercury. After a long period, when the body's righteous qi becomes deficient, the pathogenic factors re-emerge and attack the brain, nasal cavity, throat, and eyes.

[Note] This condition occurs when, during the peak of yamei chancre, one mistakenly ingests potent, dry, and hot "jie" medicines refined with mercury, hoping for rapid results. The scabs fall off completely, and one is temporarily cured by luck, unaware that this causes long-term harm, allowing the toxin to hide within the bone marrow and orifices. Accumulated over time, due to the deficiency of meridians, the toxin attacks outwardly; hence it is named "Jiedu Daofa" (reversal eruption of Jiedu). Initially, it presents as pain in the tendons and bones, with nodular swellings appearing anywhere, while the skin color remains normal. When about to ulcerate, the color turns purple-red, becoming foul-smelling and putrid, leading to collapse of the cranial vertex, damage to the cheeks, lips, and nasal bridge, perforation of the throat, erosion of the eyes, and contracture of the hands and feet, ultimately becoming an intractable disease. At the initial stage of nodular swelling and tendon/bone pain, Soufeng Jiedu Tang should be taken. If the entire body is ulcerated and foul-smelling, accompanied by tendon/bone pain, and the constitution is robust with excessive toxin, Huadu San should be taken. For those with weak constitutions, Zhuyanzi Tang is the primary treatment. If the Jiedu nodules persist for years without healing despite various methods, Xisheng Fujian Wan should be taken. If the toxin attacks the mouth and nose, Wubao San should be taken. For long-standing cases with foul rotting and damaged nasal cavities, Jiedu Zijin Dan should be taken. If the toxin attacks the crown of the head causing severe headache as if breaking, Tianma Bingzi should be taken internally, and Biyun San blown into the nose externally. If nasal congestion persists, Tongbi San should be blown into the nose, which is highly effective. If the toxin attacks the throat causing rotting and foul erosion, Liuhuang Bu'er San should be taken, combined with blowing Jiedu Lingyao mixed with Renzhongbai. If Jiedu causes tendon/bone pain that is lighter in the morning and heavier at night, preferring warm hand massage, it is due to exposure to cold and chill; Qianhui San should be taken. For Jiedu ulcers that do not heal, Jiedu Zijin Gao should be applied topically, along with sprinkling Jiedu Lingyao. For robust individuals, detoxification is the main method; for weak individuals, tonification combined with detoxification is the method. All the above conditions should be treated according to their sequence and proper methods. Severe cases take one year, mild cases half a year, to recover naturally without aftereffects. Do not recklessly seek quick fixes to avoid self-harm.

Soufeng Jiedu Tang
Tufuling (Rhizoma Smilacis Glabrae, 1 liang), Baixianpi (Cortex Dictamni), Jinyinhua (Flos Lonicerae Japonicae), Yiyiren (Semen Coicis), Fangfeng (Radix Saposhnikoviae), Mutong (Caulis Akebiae), Mugua (Fructus Chaenomelis) (each 5 fen), Zaojiaozizi (Semen Gleditsiae Sinensis) (4 fen).
Decoct with 2 zhong of water until 1 zhong remains, take orally, three times a day.
For Qi deficiency, add Renshen (Radix Ginseng) 7 fen. For Blood deficiency, add Danggui (Radix Angelicae Sinensis) 7 fen. Avoid clear tea, beef, mutton, chicken, goose, fish, meat, liquor, and sexual intercourse.

[Fangge/Song] Soufeng Jiedu Tang treats reversal eruption, add for initial swelling, stiffness, and bone pain: Tufuling, Baixianpi, Jinyinhua, Yiyiren, Zaojiaozizi, Fangfeng, Mutong, Mugua.

Huadu San
Sheng Dahuang (Radix et Rhizoma Rhei, 1 liang), Zhi Chanshanjia (Scuta Manis Preparata, 5 qian), Dangguiwei (Cauda Radix Angelicae Sinensis, 5 qian), Chao Baijiangcan (Bombyx Batryticatus Prepared, 3 qian), Zhi Huangwugong (Centipeda Preparata, 1 piece).
Grind into powder, take 2 qian each time, mixed with warm wine, twice a day.

[Fangge/Song] Huadu San treats excessive Jiedu, breaks turbidity, alleviates tendon/bone pain: Sheng Dahuang, Chanshanjia, Baijiangcan, Dangguiwei, Wugong ground into powder and mixed with wine.

Zhuyanzi Tang
Zhuyanzi (Pancreas Porci, chopped, 1 liang), Yan Shui Chao Huangqi (Radix Astragali Preparata with Salt Water, 3 qian), Jinyinhua (Flos Lonicerae Japonicae, 3 qian), Danggui (Radix Angelicae Sinensis), Jiu Chao Baishao (Radix Paeoniae Alba Preparated with Wine, 1.5 qian), Tianhuafen (Radix Trichosanthis, heart removed and ground), Beimu (Bulbus Fritillariae Cirrhosae), Zhi Chanshanjia (Scuta Manis Preparata, ground), Baixianpi (Cortex Dictamni), Qingfengteng (Caulis Sinomenii), Baizhi (Radix Angelicae Dahuricae), Mugua (Fructus Chaenomelis), Zaoci (Spina Gleditsiae Sinensis), Gancao Jie (Ramulus Glycyrrhizae Uralensis, each 1 qian), Huanggualu (Fructus Trichosanthis with seed, mashed, 1 piece), Fangji (Radix Stephaniae Tetrandrae, 7 fen), Bieshi (Insectus Mantidis), Chao Yan Ma (Semen Sesami Nigrum Preparated, ground, 2 qian).
Take 4 liang of white Tufuling and 4 bowls of river water, decoct to 3 bowls, strain. Add the above herbs to the decoction, decoct to 1 bowl, take on an empty stomach. For weak stomachs, divide into two doses. Three times a day.

[Fangge/Song] Zhuyanzi Tang treats deficient Jiedu, Danggui, Baishao, Tianhuafen, Gualu, Beimu, Yanma, Jinyinhua, Chanshanjia, Baixianpi, Qingfengteng, Baizhi, Mugua, Fangji, Zaoci, Gancao, Tufuling are suitable.

Xisheng Fujian Wan
Ruxiang (Resina Olibani), Moyao (Resina Myrrha), Haiercha (Lapis Collyri), Dingxiang (Flos Caryophylli) (each 1 liang), Xuexie (Sanguis Draxonis), Awai (Resina Asafetidae), Baihuashe (Bungarus multicinctus) (each 4 qian), Feiluo Mian (Triticeae Semen Preparated, fried until yellow-brown, 1 jin).
Grind finely, mix with 6 liang of refined honey, 4 liang of boiling sesame oil, and 20 red date meats mashed into paste. Form pills the size of a marble. Take one pill each time. Separately, decoct 2 liang of Tufuling in 2 zhong of water until 1 zhong remains. Put the pill into the decoction, decoct until half a zhong remains, clarify, remove dregs, and take warm.

[Fangge/Song] Xisheng Fujian Wan treats Jiedu, nodules lasting years disappear after taking: Ruxiang, Moyao, Haiercha, Dingxiang, Xuexie, Awai, Baihuashe, fried flour.

Jiedu Zijin Dan
Guiban (Testudinis Carapax et Plastrum, roasted on charcoal until burnt, coated with white wine slurry and roasted again until yellow-brown, ground, 2 liang), Zhusha (Cinnabaris, 6 qian), Shijueming (Concha Haliotidis, select large nine-hole ones, calcined red, quenched in children's urine once, 6 qian).
Grind all into extremely fine powder, mix evenly, form pills with mushy rice, size of hemp seeds. Take 1 qian each time, before or after meals depending on the location of the disease. Take with wine for tendon/bone pain; take with Tufuling decoction for ulceration.

[Fangge/Song] Jiedu Zijin Dan uses Guiban, Shijueming, Zhusha, rice pills. For long-standing toxin attacking nose causing damage, take with Tufuling decoction to cure foul rot.

Tianma Bingzi
Tianma (Rhizoma Gastrodiae), Bohe (Herba Menthae Haplocalycis), Gansong (Nardostachys Radix et Rhizoma), Baifuzi (Rhizoma Typhonii, peeled), Baizhi (Radix Angelicae Dahuricae), Cangzhu (Rhizoma Atractylodis Lanceae, soaked in rice wash water and fried), Chuanxiong (Rhizoma Chuanxiong), Chuanwu (Radix Aconiti Kusnezoffii, boiled and peeled), Caowu (Radix Aconiti Coreani, boiled and peeled), Fangfeng (Radix Saposhnikoviae), Xixin (Herba Asari), Sheng Gancao (Radix Glycyrrhizae Uralensis, raw, each 1 qian), Xionghuang (Realgar), Quanxie (Scorpio, each 3 qian).
Grind into fine powder, make pills with Han Shi Mian (cold food flour) paste, size of peas, shape into cakes. Take 20-30 cakes each time, send down with Scallion White Decoction.

[Fangge/Song] Tianma Bingzi contains Bohe, Gansong, Xionghuang, Baifuzi, Baizhi, Cangzhu, Chuanxiong, Chuanwu, Caowu, Quanxie, Fangfeng, Xixin, Gancao. Treats Jiedu attacking crown, calming headache.

Tongbi San
Shaohui Huluqiao (Ash of Calabash Shell), Shizhongru (Stalactitum), Danfan (Alumen), Bingpian (Borneolum Syntheticum) (equal parts).
Grind into powder, blow into the nose. Yellow fluid will discharge. Blow 2-3 times daily; patency achieved in 2-3 days.

[Fangge/Song] Tongbi San blown for Jiedu syndrome, toxin blocking nose causing breathing difficulty: Shizhongru, Huluqiao, Danfan, Bingpian equal parts.

Liuhuang Bu'er San
Liuhuang (Sulfur, 1 qian), Dianhua (Indigo Naturalis, 1 fen).
Grind finely, mix with one cup of cool water and take orally.

[Fangge/Song] Liuhuang Bu'er San treats toxin attacking throat, rotting foul erosion, unceasing pain. Cool water mix stops pain immediately, add little Dianhua, no need to worry.

Jiedu Lingyao
Shuiyin (Hydrargyrum, 1 liang), Zhusha (Cinnabaris, 3 qian), Liuhuang (Sulfur, 3 qian), Xionghuang (Realgar, 3 qian).
Grind finely, place in Yangcheng jar, seal iron lid with mud, tighten Liangdou seal. Fire control follows the method of Hongshengdan. Next day, remove Lingyao from bottom of lid, approx 1.5-1.6 liang. For ordinary rotting lesions, mix 5 qian Lingyao with 5 qian Qingfen (Calomelas), grind finely, store in small jar sealed with gauze. Before use, clean lesion with Gancao decoction, invert jar, sieve medicine through gauze onto lesion, cover with oiled paper. For men and women with rotten throats, mix 1 qian Lingyao with 2 fen Renzhongbai (Urina Deposita), grind finely, blow into throat, three times daily.

[Fangge/Song] Jiedu Lingyao is a rot-resolving formula: Shuiyin, Zhusha, Liuhuang, Xionghuang. Grind, put in jar, seal with mud, tighten, fire for three incense sticks.

Qianhui San
Heiqian (Plumbum, melted in copper spoon, poured into water, retrieved, remelted and repoured until fully converted, water drained, lead ash placed on triple-layer paper, dried under ash to remove moisture, sun-dried lead ash, 0.5 jin), Liuhuang (Sulfur) (equal parts).
Grind finely, take 1 qian each time, mixed with warm wine. For severe cases, effective within three doses.

[Fangge/Song] Qianhui San treats tendon/bone pain, cold triggering Jiedu worsening at night. Lead turned to ash mixed with Sulfur, take 5 qian mixed with wine.

Wubao San (See Formula in Lower Genital Chancre section)
Biyun San (See Formula in Head Wind-Injured Eye section)
Jiedu Zijin Gao (See Formula in Shin Ulcer section)