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Jiawei Yiliang Tang (Modified Earth Vine Decoction)

[Composition] Jiawei Yiliang Tang consists of Chaenomelis Fructus (Mu Gua), Ligustici Chuanxiong Rhizoma (Chuan Xiong), Angelicae Sinensis Radix (Dang Gui), Saposhnikoviae Radix (Fang Feng), Coicis Semen (Yi Yi Ren), Atractylodis Rhizoma (Cang Zhu), Lonicerae Japonicae Flos (Jin Yin Hua), Phellodendri Cortex (Bai Xian Pi), Gleditsiae Spina (Zao Jia Zi), Syringae Ramulus et Folium (Wei Ling Xian), Akebiae Caulis (Mu Tong), Glycyrrhizae Radix et Rhizoma (Gan Cao), and Ginseng Radix et Rhizoma (Ren Shen).

[Indications] It is indicated for initial stages of Yangmei Chuang (Syphilis) presenting with pain in the sinews and bones, as well as cases persisting for months that are lingering and difficult to cure. It is also applicable for wind-toxin internal entrapment caused by the mistaken ingestion of Calomelas (Qing Fen), resulting in paralysis, bone pain, and inability to walk.

[Prescription] Ligustici Chuanxiong Rhizoma, Angelicae Sinensis Radix, Saposhnikoviae Radix, Coicis Semen, Chaenomelis Fructus, Lonicerae Japonicae Flos, Akebiae Caulis, Phellodendri Cortex, Atractylodis Rhizoma, Syringae Ramulus et Folium (each 1 qian); Glycyrrhizae Radix et Rhizoma (0.5 qian). Gleditsiae Spina (5 pods, sliced and lightly stir-fried); Smilax Glabrae Rhizoma (Xian Yi Liang / Tu Fu Ling, 2 liang). If the patient has chronic disease with Qi deficiency, add Ginseng Radix et Rhizoma.

[Administration] Add two bowls of water, decoct until reduced to 80%. Administer before or after meals depending on whether the lesion is located superiorly or inferiorly. If the lesion is below the legs and feet, add Achyranthis Bidentatae Radix (Niu Xi, 1 qian). Mild cases may resolve within one month; deep-seated cases may heal within 100 days. Avoid beef, distilled spirits, seafood, and fried foods. This sore often begins as a Chancre (Xiagan). Preemptive administration of this formula can prevent the onset of Yangmei Chuang.

Jiedu Tianjiang San (Detoxifying Heavenly Pulp Powder)

[Composition] Jiedu Tianjiang San consists of Trichosanthis Radix (Tian Hua Fen), Gleditsiae Spina (Zao Jiao Zhen), Saposhnikoviae Radix, Stephaniae Tetrandrae Rhizoma (Fang Ji), Achyranthis Bidentatae Radix (Niu Xi), Spatholobi Caulis (Feng Teng), Ligustici Chuanxiong Rhizoma, Angelicae Sinensis Radix, Forsythiae Fructus (Lian Qiao), Phellodendri Cortex, Lonicerae Japonicae Flos, Aurum Mumeorphae Exuvies (Chan Tui), and Coicis Semen.

[Indications] Treats Yangmei Chuang (Syphilis), regardless of whether it is new or old, characterized by widespread ulceration and pain in the sinews and bones.

[Prescription] Trichosanthis Radix (2 qian); Saposhnikoviae Radix, Stephaniae Tetrandrae Rhizoma, Gleditsiae Spina, Phellodendri Cortex, Forsythiae Fructus, Ligustici Chuanxiong Rhizoma, Angelicae Sinensis Radix, Spatholobi Caulis, Chaenomelis Fructus, Lonicerae Japonicae Flos, Aurum Mumeorphae Exuvies, Coicis Semen (each 1 qian); Glycyrrhizae Radix et Rhizoma (0.5 qian); Smilax Glabrae Rhizoma (Tu Fu Ling, 2 liang). Add Achyranthis Bidentatae Radix if the lesion is in the lower body.

[Administration] Add two zhong of water, decoct until reduced to 80%. Add one cup of wine just before taking the medicine. Adjust timing based on the location of the lesion.

Shengma Jiedu Tang ( Cimicifugae Detoxification Decoction)

[Composition] Shengma Jiedu Tang consists of Cimicifugae Rhizoma (Sheng Ma), Gleditsiae Spina, and Smilax Glabrae Rhizoma, with additions such as Angelicae Dahuricae Radix (Bai Zhi), Platycodonis Radix (Jie Geng), Paeoniae Radix Alba (Bai Shao), Notopterygii Rhizoma et Radix (Qiang Huo), and Achyranthis Bidentatae Radix (Niu Xi) according to symptoms.

[Indications] Treats pain in the sinews and bones caused by Yangmei Chuang that persists for a long time without healing. It is also suitable for treating deep abscesses or nodules (Liuzhu Jiedu) from many years ago or recent onset, where skin and flesh are broken, and the throat is damaged or perforated.

[Prescription] Cimicifugae Rhizoma and fresh Gleditsiae Spina (4 qian each); high-quality Smilax Glabrae Rhizoma (1 jin). Add Angelicae Dahuricae Radix for lesions above the neck; Platycodonis Radix for internal throat damage; Paeoniae Radix Alba for chest and abdomen lesions; Notopterygii Rhizoma et Radix for shoulder and back lesions; Achyranthis Bidentatae Radix (each 1 qian) for lower body lesions.

[Administration] Use eight bowls of water, decoct until reduced to four bowls. Divide into four doses to be consumed within one day. For each dose, take it hot and mix in three tea spoons of Sesame Oil. Administer before or after meals depending on the lesion's location. Severe cases require no more than ten doses.

Guiling Tang (Restoring Spirit Decoction)

[Composition] Guiling Tang consists of Siwu Tang (Sichuan Lovage Rhizome, Dong Quai, White Peony Root, Prepared Rehmannia Root), Coicis Semen, Chaenomelis Fructus, Stephaniae Tetrandrae Rhizoma, Trichosanthis Radix, Ginseng Radix et Rhizoma, Atractylodis Macrocephalae Rhizoma, Lonicerae Japonicae Flos, Phellodendri Cortex, Glycyrrhizae Radix et Rhizoma, Angelicae Dahuricae Radix, Achyranthis Bidentatae Radix, Syringae Ramulus et Folium, and Smilax Glabrae Rhizoma.

[Indications] Treats Yangmei Chuang (Syphilis), whether new or old, specifically for patients with weak Yuan Qi (Vital Energy).

[Prescription] Ligustici Chuanxiong Rhizoma, Angelicae Sinensis Radix, Paeoniae Radix Alba, Prepared Rehmanniae Radix, Coicis Semen, Chaenomelis Fructus, Stephaniae Tetrandrae Rhizoma, Trichosanthis Radix, Lonicerae Japonicae Flos, Phellodendri Cortex, Ginseng Radix et Rhizoma, Atractylodis Macrocephalae Rhizoma (each 1 qian); Glycyrrhizae Radix et Rhizoma (0.5 qian); Syringae Ramulus et Folium (0.6 qian). Add Achyranthis Bidentatae Radix (0.5 qian) and Smilax Glabrae Rhizoma (2 liang) if the lesion is in the lower body.

[Administration] Add three zhong of water, decoct until reduced to two zhong. Take twice, adjusting timing based on lesion location. The dregs should be re-decocted until reduced to 80% and taken.

Fangfeng Bixiao San (Wind-Protecting Certain Efficacy Powder)

[Composition] Fangfeng Bixiao San consists of Saposhnikoviae Radix, Schizonepetae Spica (Jing Jie), Sophorae Flavescentis Flos (Huai Hua), Atractylodis Rhizoma, Forsythiae Fructus, Spatholobi Caulis, Phellodendri Cortex, Angelicae Dahuricae Radix, Angelicae Sinensis Radix, Gleditsiae Spina, Akebiae Caulis, Trichosanthis Radix, Chaenomelis Fructus, Lonicerae Japonicae Flos, and Artemisiae Scopariae Herba (Fan Bai Cao).

[Indications] Treats Yangmei Chuang where damp-heat is excessive, sores are elevated and dense, and the patient's constitution is originally robust.

[Prescription] Saposhnikoviae Radix, Stephaniae Tetrandrae Rhizoma, Schizonepetae Spica, Phellodendri Cortex, Forsythiae Fructus, Sophorae Flavescentis Flos, Atractylodis Rhizoma, Gleditsiae Spina, Spatholobi Caulis, Akebiae Caulis, Angelicae Dahuricae Radix, Trichosanthis Radix, Chaenomelis Fructus, Lonicerae Japonicae Flos, Artemisiae Scopariae Herba (each 1 qian); Glycyrrhizae Radix et Rhizoma (0.5 qian); Smilax Glabrae Rhizoma (4 liang). Add Rheum Palmatum Radix et Rhizoma (3 qian) at the initial stage.

[Administration] Add three bowls of water, decoct until reduced to two bowls. Take twice. Re-decoct the dregs until reduced to one bowl. After taking the medicine, drink a large cup of wine and then rest quietly for about an hour for better effect.

Jinchan Tuo Jia Jiu (Golden Toad Shedding Armor Wine)

[Indications] Effective for Yangmei Chuang (Syphilis) regardless of duration or severity. Particularly excellent for Yangmei Jiedu (syphilitic gummas) and bone/joint pain unresponsive to other medicines.

[Preparation and Administration] Use five jin of good wine. Soak one large toad (Bufo bufo gargarizans) in the wine and seal the bottle mouth. Boil until fragrant (duration equivalent to burning two incense sticks), then remove the toad. On the next day, consume the wine according to the patient's tolerance, aiming for intoxication. In winter and summer, cover warmly to induce sweating for efficacy. On the second day, consume only half of the remaining amount. When the wine is finished, the sore heals. After seven days of consumption, avoid wind exposure strictly. Observe dietary restrictions and abstain from sexual intercourse. The root cause will be eliminated in 100 days.

Cuiyun San (Emerald Cloud Powder)

[Composition] Cuiyun San consists of Viridimuriae (Tong Lv), Chalcanthite (Dan Fan), Calomelas (Qing Fen), and Gypsum Fibrosum (Shi Gao).

[Indications] Used when Yangmei Chuang has been treated with internal medicine, the base of the sore is not red, and the sore condition has receded.

[Prescription] Viridimuriae and Chalcanthite (5 qian each); Calomelas and Gypsum Fibrosum (1 liang each).

[Administration] Grind into an extremely fine powder and store in a porcelain jar. For wet sores, sprinkle dry powder directly. For dry sores, mix with male pig bile to apply. Apply three times over three days; the sore will naturally dry and heal.

Additional: Point Medicine Formula

[Composition] Consists of Almond (Xing Ren), Realgar (Xiong Huang), and Calomelas (Qing Fen).

[Administration] Almonds (49 grains, peeled and de-husked), Realgar (1 qian), Calomelas (2 qian). First, crush the almonds finely, add the fine powders of Realgar and Calomelas, and grind evenly. Mix with pig bile and apply to the sore. It is claimed to bring peace/stability within three days.

Ehuang San (Goose Yellow Powder)

[Composition] Ehuang San consists of pure Calomelas, Gypsum Fibrosum, and Phellodendri Cortex.

[Indications] Suitable for Yangmei Chuang that has ulcerated into patches, with abundant purulent discharge and severe pain.

[Prescription] Gypsum Fibrosum, Calomelas, Phellodendri Cortex (stir-fried).

[Administration] Grind all ingredients equally into an extremely fine powder. Sprinkle dry onto the rotten/ulcerated area to form scabs. If it ulcerates again, sprinkle again. Healing occurs once toxins are exhausted. This is an effective medicine for detoxification, pain relief, and drying wounds.