疳疮统名有三原，欲火未遂溲淋难，房术涂药 痒紫，光亮赤肿梅毒愆。
【注】此证统名疳疮，又名妒精疮。生于前阴。经云∶前阴者宗筋之所，主督经脉络，
循阴器合篡间。又云∶肾开窍于二阴。是疮生于此，属肝、督、肾三经也。其名异而形
殊，生于马口之下者，名下疳；生茎之上者，名蛀疳；茎上生疮，外皮肿胀包裹者，名袖
口疳；疳久而遍溃者，名蜡烛疳；痛引睾丸，阴囊肿坠者，名鸡 疳；痛而多痒，溃而不深，
形如剥皮烂杏者，名瘙疳；生马口旁，有孔如棕眼，眼内作痒，捻之有微脓出者，名旋
根疳；生杨梅时，或误用熏、搽等药以致腐烂如臼者，名杨梅疳；又有生杨梅时，服轻
粉、水银打成劫药，以致便尿，尿管内刺痛者，名杨梅内疳。诸疳原由有三∶一由男子
欲念萌动，淫火猖狂，未经发泄，以致败精浊血，留滞中途结而为肿；初起必先淋漓溲
尿涩痛，次流黄浊败精，阳物渐损，甚则肿痛腐烂，治当疏利肝肾邪火，以八正散、清
肝导滞汤主之。一由房术热药，涂抹玉茎，洗擦阴器，侥幸不衰，久顿不泄，以致火郁结
肿，初起阳物痒痛坚硬，渐生疙瘩，色紫腐烂，血水淋漓，不时兴举，治当泄火解毒，以
黄连解毒汤、芦荟丸主之。一由娼家妇人阴器，瘀精浊气未净，辄与交媾，以致淫精传
染梅毒，初起皮肿红亮，甚如水晶，破流腥水，麻痒时发，肿痛日增，治当解毒，以龙
胆泻肝汤主之，次服二子消毒散，外通用大豆甘草汤洗之；红肿热痛，以鲤鱼胆汁敷之；
损破腐烂，以凤衣散、旱螺散、珍珠散、银粉散、回春脱疳散，因证敷之。惟杨梅疳与
杨梅内疳二证，多服五宝散甚效。
八正散
蓄 生军（各一钱） 滑石（二钱） 瞿麦 甘草（生） 车前子 栀子 木通（各一钱）
水二盅，煎八分，食前服。
【方歌】八正散清积火盛，小水作淋结肿疼， 蓄军滑瞿麦草，车前栀子木通灵。
清肝导滞汤
蓄（四钱） 滑石（二钱） 甘草（生，一钱） 大黄（便秘者用，二钱） 瞿麦（三钱）
水二盅，灯心五十寸，煎八分，空心服。
【方歌】清肝导滞清肝热，玉茎肿疼小水涩， 蓄滑石草大黄，灯心瞿麦服通彻。
二子消毒散
土茯苓（八两） 猪脂（切碎，二两） 杏仁（炒，去皮、尖） 僵蚕（炒） 蝉蜕（各七个
）牛膝 荆芥 防风（各一钱） 皂角子（七个） 金银花（三钱） 肥皂子（七个）
猪牙皂角（一条）
水八碗，煎三碗，作三次服；如结毒服三七日自愈。
袖口疳，加黄柏一钱，肥皂子倍之。杨梅疳，加薏苡仁、皂刺各一钱，侧柏叶、绿
豆、糯米各三钱。杨梅内疳，加海金砂、五加皮、白丑各一钱五分。
【方歌】二子消毒梅毒疳，土苓猪脂杏僵蚕，蝉膝荆防皂角子，银花肥皂猪牙煎。
大豆甘草汤
黑豆（一合） 甘草（生，一两） 赤皮葱（三茎） 槐条（六十寸）
水煎浓，澄汤候温，日洗二次。
【方歌】大豆甘草汤神方，诸般疳证洗之良，止痒消疼能解毒，赤葱槐条共熬汤。
凤衣散
凤凰衣（鸡抱卵壳，一钱） 轻粉（四分） 冰片（二分） 黄丹（一钱）
共研细末，鸭蛋清调敷，或干撒亦可。
【方歌】凤衣散能敷溃疳，轻粉冰片共黄丹，化腐生肌兼止痒，鸭蛋清调痛即安。
旱螺散
白田螺壳（ ，三钱） 轻粉（一钱） 冰片 麝香（各三分）
共研细末，香油调敷。
【方歌】旱螺散用易生肌，溃疳痒痛俱可医， 螺壳与轻冰麝，香油调敷去腐宜。
珍珠散
珍珠 黄连（末） 黄柏（末） 定粉 轻粉 象牙（末） 五倍子（炒） 儿茶 没药 乳香（各等分）
共研极细末，先以米泔水洗患处，再撒此药甚效。
【方歌】珍珠散治下疳疮，清热作瘀脱腐强，连柏儿茶轻定粉，五倍象牙没乳香。
银粉散
上好锡六钱火化开，入朱砂末二钱，搅炒砂枯，去砂留锡；再化开，投水银一两和
匀，倾出听用。定粉一两研极细，铺绵纸上，卷成一条，一头点火，煨至纸尽为度；吹去
纸灰，用粉同前锡汞，再加轻粉一两，共合一处，研成极细末。先以甘草汤淋洗患处，拭
干随撒。此药能生肌、止痛、收敛，甚效。
【方歌】银粉散医疳腐蚀，茎损梅毒烂皆施，锡炒朱砂水银入，定轻二粉对研之。
回春脱疳散
黑铅五钱火化开，投水银二钱五分，研不见星为度；再加寒水石三钱五分，轻粉二
钱五分，硼砂一钱，共研细末。先以葱、艾、花椒煎汤洗患处，再撒此药。
【方歌】回春散先化黑铅，次下水银要细研，寒水硼砂轻粉入，下疳蚀烂撒之痊。
五宝散
石钟乳（如乳头下垂，敲破易碎似蜻蜒翅者方真，四钱） 朱砂（一钱） 珍珠（豆腐内
煮半炷香时取出，二钱） 冰片（一钱） 琥珀（二钱）
各研极细，和一处再研数百转，瓷罐密收；用药二钱，加飞罗面八钱，再研和匀。每
用土茯苓一斤，水八碗，煎至五碗，滤去渣，作五次，每次加五宝散一分和匀。量病上下
服，日用十次；如鼻子腐烂，每日土茯苓内加辛夷三钱煎服，引药上行。忌食海腥、牛、
羊、鹅肉、火酒、煎炒，房事等件。
【方歌】五宝散朱钟乳珍，冰珀飞罗面细匀，杨梅疳疮结毒证，土苓汤调服最神。
黄连解毒汤（见耳部黑疔）
芦荟丸（见齿部牙衄）
龙胆泻肝汤（见腰部缠腰火丹）
The general name for Gan Chuang (Chancre) encompasses three primary causes: unfulfilled sexual desire leading to difficult and dribbling urination; the application of aphrodisiac drugs causing itching, purplish discoloration, and bright red swelling due to Syphilis.
[Note] This condition is generally called Gan Chuang (Chancre), also known as Du Jing Chuang (Jealousy Sperm Chancre). It occurs on the external genitalia. The Classics state: "The external genitalia are the gathering place of the Zong Jin (Tendons), governed by the Du Mai (Governing Vessel) meridian network, circulating through the Yin Qi (genitals) and converging at the Cuan Jian (perineum)." It is also stated: "The Kidney opens into the two Yin orifices (anterior and posterior)." Therefore, sores arising here belong to the Liver, Du Mai, and Kidney meridians. Although named differently, their forms vary: those occurring below the Ma Kou (urethral meatus) are named Xia Gan (Lower Chancre); those above the penis are named Zhu Gan (Moth-eaten Chancre); sores on the penis with swollen skin wrapping around are named Xiu Kou Gan (Cuff Chancre); chancre that has ulcerated extensively over time is named La Zhu Gan (Candlestick Chancre); pain radiating to the testicles with a swollen and hanging scrotum is named Ji Yan Gan (Chicken Eye Chancre); painful and itchy, superficially ulcerated resembling peeled rotten apricots is named Sao Gan (Itching Chancre); occurring beside the urethral meatus, with holes like palm eyes, itchy inside, yielding slight pus upon pressure, is named Xuan Gen Gan (Rotating Root Chancre); when Chancre Mei Yang (Syphilitic Chancre) occurs, or due to mistaken use of fumigation and topical applications causing rot resembling a mortar, it is named Mei Yang Gan (Syphilitic Chancre); furthermore, when Chancre Mei Yang occurs, and one ingests Jie Yao (drastic medicines made from Calomel/Mercurous Chloride and Mercury), causing stinging pain in the urethra during urination, it is named Mei Yang Nei Gan (Internal Syphilitic Chancre). The origins of these various chancres are threefold: First, due to aroused sexual desire and rampant lust not being discharged, leading to stagnation of spoiled essence and turbid blood forming swellings; initially presenting with dribbling and painful urination, followed by discharge of yellow turbid spoiled semen, gradual damage to the penis, and eventually swelling, pain, and rotting; treatment should focus on draining damp-heat from the Liver and Kidney, primarily using Ba Zheng San (Eight Righteousness Decoction) and Qing Gan Dao Zhi Tang (Clear Liver and Guide Stagnation Decoction). Second, due to the application of hot aphrodisiac drugs to the penis and washing the genitals, seeking prolonged potency without ejaculation, leading to fire stagnation and swelling; initially presenting with itchy, painful, and hard penis, gradually developing nodules that are purple, rotting, with dripping blood and fluid, and frequent erections; treatment should focus on draining fire and resolving toxicity, primarily using Huang Lian Jie Du Tang (Coptis Decoction for Resolving Toxicity) and Lu Hui Wan (Aloe Pill). Third, due to intercourse with prostitutes whose vaginal secretions contain stagnant essence and turbid qi, transmitting Syphilis; initially presenting with red, shiny, swollen skin, transparent like crystal, breaking to flow foul-smelling fluid, intermittent numbness and itching, and increasing daily swelling and pain; treatment should focus on resolving toxicity, primarily using Long Dan Xie Gan Tang (Gentian Decoction to Drain the Liver), followed by Er Zi Xiao Du San (Two Seeds Detoxification Powder), and externally washing with Da Dou Gan Cao Tang (Soybean and Licorice Decoction); for redness, swelling, heat, and pain, apply Carp Bile; for broken and rotting lesions, apply Feng Yi San (Phoenix Skin Powder), Han Luo San (Land Snail Powder), Zhen Zhu San (Pearl Powder), Yin Fen San (Silver Powder), and Hui Chun Tuo Gan San (Revitalize and Remove Chancre Powder) according to the syndrome. For Mei Yang Gan and Mei Yang Nei Gan specifically, taking Wu Bao San (Five Treasures Powder) multiple times is highly effective.
Ba Zheng San (Eight Righteousness Decoction):
Che Qian Cao (Plantago Seed), Sheng Da Huang (Raw Rhizoma Rhei - each 1 qian), Hua Shi (Talcum - 2 qian), Qu Mai (Dianthus), Sheng Gan Cao (Raw Radix Glycyrrhizae - each 1 qian), Che Qian Zi (Plantaginis Semen), Zhi Zi (Gardeniae Fructus), Mu Tong (Akebiae Caulis - each 1 qian).
Decoct 2 cups of water to 0.8 cup, take before meals.
[Formula Song]: Ba Zheng San clears accumulated excessive fire, treating dribbling urine and painful swelling; Plantago seed, Rhei, Talcum, Dianthus, Licorice, Plantago seed, Gardenia, and Akebia are spiritual.
Qing Gan Dao Zhi Tang (Clear Liver and Guide Stagnation Decoction):
Che Qian Cao (4 qian), Hua Shi (2 qian), Sheng Gan Cao (Raw, 1 qian), Da Huang (for constipation, 2 qian), Qu Mai (3 qian).
Decoct 2 cups of water with 50 cun of Deng Xin Cao (Junci Medullia) to 0.8 cup, take on an empty stomach.
[Formula Song]: Clear Liver and Guide Stagnation clears Liver heat, treating penile swelling/pain and difficult urination; Plantago seed, Talcum, Licorice, Rhei, Junci, and Dianthus ensure thorough circulation.
Er Zi Xiao Du San (Two Seeds Detoxification Powder):
Tu Fu Ling (Smilax Glabra Rhizome - 8 liang), Zhu Zhi (Pork Fat, chopped - 2 liang), Xing Ren (Apricot Seed, fried, peeled, core removed), Jiang Can (Bombyx Batryticatus), Chan Tui (Cicada Slough - each 7 pieces), Niu Xi (Achyranthis Bidentatae Radix), Jing Jie (Schizonepetae Herba), Fang Feng (Saposhnikoviae Radix - each 1 qian), Zao Jiao Zi (Gleditsiae Sinensis Spina), Jin Yin Hua (Lonicerae Japonicae Flos - 3 qian), Fei Zao Zi (Soapberry Seed), Zhu Ya Zao Jiao (Gleditsia Sinensis Fruit - 1 strip).
Decoct 8 bowls of water to 3 bowls, divide into three doses; if condyloma acuminatum/toxic nodes exist, take for 3-7 days for self-healing.
For Xiu Kou Gan, add Huang Bai (Phellodendri Cortex) 1 qian, double the Fei Zao Zi. For Mei Yang Gan, add Yi Yi Ren (Coicis Semen) and Zao Ci (Gleditsiae Spina) 1 qian each, Ce Bai Ye (Biota Tops), Lu Dou (Vigna Angularis), and Nuomi (Oryza Sativa Glutinosa) 3 qian each. For Mei Yang Nei Gan, add Hai Jin Sha (Lygodii Spora), Wu Jia Pi (Acanthopanacis Cortex), and Bai Chou (Brayera Semen) 1.5 qian each.
[Formula Song]: Two Seeds detoxify Syphilitic Chancre; Smilax, Pork Fat, Apricot, Silkworm, Cicada, Achyranthes, Schizonepeta, Saposhnikovia, Gleditsia seed, Lonicera, Soapberry, and Gleditsia fruit decocted together.
Da Dou Gan Cao Tang (Soybean and Licorice Decoction):
Hei Dou (Black Soybean - 1 he), Sheng Gan Cao (Raw Radix Glycyrrhizae - 1 liang), Chi Pi Cong (Red-skinned Scallion - 3 stalks), Huai Tiao (Sophora Branch - 60 cun).
Decoct strongly in water, clarify the liquid, let cool to warm, wash twice daily.
[Formula Song]: Da Dou Gan Cao Tang is a divine formula, excellent for washing various Chancre syndromes, stopping itch and pain while resolving toxicity; Red Scallion and Sophora branch decocted together.
Feng Yi San (Phoenix Skin Powder):
Feng Yi (Hen Eggshell Membrane - 1 qian), Qing Fen (Calomel - 4 fen), Bing Pian (Borneolum Syntheticum - 2 fen), Huang Dan (Lithargyrum - 1 qian).
Grind into fine powder, mix with Duck Egg White for topical application, or sprinkle dry.
[Formula Song]: Feng Yi San can be applied to ulcerated Chancre; Calomel, Borneol, and Lithargyrum together; resolve putrefaction, generate flesh, and stop itch; mixed with Duck Egg White, pain is immediately relieved.
Han Luo San (Land Snail Powder):
Bai Tian Luo Ke (White Land Snail Shell, calcined - 3 qian), Qing Fen (Calomel - 1 qian), Bing Pian (Borneolum Syntheticum), She Xiang (Moschus - each 3 fen).
Grind into fine powder, mix with Sesame Oil for topical application.
[Formula Song]: Han Luo San easily generates flesh, treating ulcerated Chancre with itch and pain; Snail shell, Calomel, Borneol, and Musk mixed with Sesame Oil are suitable for removing putrefaction.
Zhen Zhu San (Pearl Powder):
Zhen Zhu (Pearl), Huang Lian (Rhizoma Coptidis, powder), Huang Bai (Phellodendri Cortex, powder), Ding Fen (Minium), Qing Fen (Calomel), Xiang Ya (Elephant Tusk, powder), Wu Bei Zi (Galla Chinensis, fried), Er Cha (Camellia Leaf Extract), Mo Yao (Myrrha), Ru Xiang (Olibanum - equal parts).
Grind into extremely fine powder. First wash the lesion with Rice Water, then sprinkle this powder; very effective.
[Formula Song]: Pearl Powder treats Lower Chancre, clearing heat, resolving stasis, and strongly removing putrefaction; Coptis, Phellodendron, Camellia, Calomel, Minium, Galla, Elephant Tusk, Myrrha, and Olibanum.
Yin Fen San (Silver Powder):
Take 6 qian of high-quality Tin, melt it, add 2 qian of Cinnabar powder, stir-fry until Cinnabar is dry, remove Cinnabar leaving Tin; melt again, add 1 liang of Mercury, mix evenly, pour out for use. Grind 1 liang of Minium into extremely fine powder, spread on cotton paper, roll into a strip, light one end, roast until paper is consumed; blow off paper ash, mix powder with the previous Tin-Mercury alloy, add 1 liang of Calomel, grind together into extremely fine powder. First wash the lesion with Licorice Decoction, wipe dry, then sprinkle. This medicine generates flesh, stops pain, and astringes; very effective.
[Formula Song]: Yin Fen San treats Chancre corrosion, applicable to penile damage and Syphilitic rot; Tin fried with Cinnabar and Mercury added, Minium and Calomel ground against each other.
Hui Chun Tuo Gan San (Revitalize and Remove Chancre Powder):
Melt 5 qian of Black Lead, add 2.5 qian of Mercury, grind until no star-like particles remain; add 3.5 qian of Han Shui Shi (Aragonite), 2.5 qian of Qing Fen (Calomel), 1 qian of Peng Sha (Borax), grind into fine powder. First wash the lesion with Scallion, Mugwort, and Sichuan Pepper decoction, then sprinkle this powder.
[Formula Song]: Revitalize Powder first melts Black Lead, then adds Mercury for fine grinding; Aragonite, Borax, and Calomel added, sprinkled on Lower Chancre erosion/rot for cure.
Wu Bao San (Five Treasures Powder):
Shi Zhong Ru (Stalactite, true ones hang like nipples, break easily like dragonfly wings - 4 qian), Zhu Sha (Cinnabar - 1 qian), Zhen Zhu (Pearl, boiled in Tofu for half an incense stick duration - 2 qian), Bing Pian (Borneolum Syntheticum - 1 qian), Hu Po (Amber - 2 qian).
Grind each into extreme fine powder, mix and grind hundreds of turns, store tightly in porcelain jar; use 2 qian of this powder, add 8 qian of refined wheat flour, grind and mix evenly. Each time use 1 jin of Tu Fu Ling, 8 bowls of water, decoct to 5 bowls, filter dregs, divide into five doses, adding 1 fen of Wu Bao San to each dose. Take according to disease location (upper/lower), ten times daily; if nose is rotting, add 3 qian of Xin Yi (Magnolia Bud) to the Tu Fu Ling decoction daily to guide medicine upward. Avoid seafood, beef, mutton, goose meat, strong alcohol, fried foods, and sexual intercourse.
[Formula Song]: Five Treasures Powder contains Cinnabar, Stalactite, Pearl, Borneol, Amber, and refined flour; for Syphilitic Chancre and toxic nodes, taken with Smilax decoction is most miraculous.
Huang Lian Jie Du Tang (See Ear Section: Black Carbuncle)
Lu Hui Wan (See Dental Section: Gum Bleeding)
Long Dan Xie Gan Tang (See Waist Section: Shingles/Fire Snake)