Library

Chuanhuai Ju (Penetrating Ankle Abscess) is caused by damp-heat from the Three Yin Meridians of the Foot (Liver, Spleen, Kidney) flowing downward and stagnating in the body. Initially, there is swelling and pain at the medial malleolus, with pain penetrating to the bone base, making movement difficult; severely, it spreads to the lateral malleolus causing total ankle swelling. Cases with a head are Yang syndromes, easy to ulcerate; those without a head are Yin syndromes, difficult to suppurate. Both types initially present with alternating chills and fever, suitable for treating with Jingfang Baidu San (Astragalus and Saposhnikovia Decoction) added with Achyranthes Root (Niuxi) to disperse pathogens. If pus forms after a long time causing distending pain, it should be punctured with a needle. For rotting wounds that fail to heal with large holes, Yuhong Gao (Jade Red Ointment) is used to nourish tissue; for patients with weak physical constitutions, tonification methods are applied. If this condition is not treated early, neglect can lead to disability.

Jingfang Baidu San (See "Shidu Men" chapter)
Yuhong Gao (See "Zhongyang Men" chapter)

Dama Feng (Leprosy/Mal de Choeur) is a special disease in heaven and earth. Etiologies vary: some individuals with weak constitutions are suddenly invaded by extreme sun exposure, dew, fog, wind, or rain, feeling no immediate discomfort, failing to vent the pathogen, leading to stagnation in skin and muscles, which eventually manifests as disease. Others suffer invasion by wind pathogens after sexual intercourse due to weakness, or sleep exposed to wind outdoors, or on damp ground; or bathe and cool off seeking temporary pleasure... All these modes of pathogen acquisition can cause the disease. Symptoms begin with numbness and insensitivity, followed by red spots; over time, the skin breaks down, swells without pus. It is said: "Skin death" presents as numbness; "Flesh death" as insensitivity to knife cuts; "Blood death" as broken skin oozing fluid; "Tendon death" as finger joint detachment; "Bone death" as collapse of the nasal bridge. These five conditions are all incurable. Furthermore: Heart involvement first damages the eyes; Liver involvement causes purple blisters on the face; Spleen involvement causes body-wide lesions resembling tinea; Lung involvement causes eyebrow loss first; Kidney involvement causes perforation of the soles first. These are called the Five Failures. Generally, this is caused by Wind-Dampness attacking each other, Qi and Blood stagnation, disharmony between exterior and interior, obstruction of Zang-Fu organs, and transformation by Yang Fire, which constitutes the root of the disease. In the initial stage of numbness where flesh is not yet dead, Wanling Dan (Ten Thousand Spirit Pill) bath and sweat induction are suitable to dissipate stagnant wind; subsequently, Shenying Yangzhen Dan (Divine Response Nourishing True Pill) added with equal parts of Agkistrodon (Baihua She) should be taken long-term for self-healing. For chronic cases with broken skin and dead flesh, Biseng San (Invincible Powder) is used first to unblock Zang-Fu; then Wanling Dan is taken, one pill dissolved in wine daily to unblock blood vessels. After one month, switch to Kushen Wan (Sophora Pill). Mild cases improve in half a year, severe cases in one year. Alternatively, medicated wine can be taken concurrently. Abstinence from sexual activity, rich flavors, and wind-aggravating foods ensures lifelong remission.

Wanling Dan (See "Yongju Zhongyang Men" chapter)
Indicated for initial Dama Feng with numbness, or long-standing cases with skin rupture, clenched hands and feet, limb inconvenience, but without finger detachment or sole perforation.

Biseng San (Invincible Powder)
Biseng San uses Rhubarb (Dahuang), White Morning Glory Seed (Bai Qian Niu), and Areca Nut (Bing Lang) ground into powder.
Taken with Ginger Juice and Rock Sugar, it ensures gradual patient recovery.
Indicated for Dama Feng with blood heat and constipation, unblocking Zang-Fu organs.
Composition: Rhubarb, Areca Nut, White Morning Glory Seed (each 1 qian), Mercury Subchloride (Fenshuang, 1.5 qian).
Grind each into fine powder. Young and strong persons take five doses; middle-aged and weak persons take seven doses. Use four liang of fresh ginger juice, three qian of brown sugar, add one large cup of water, mix well. Take warm on an empty stomach before sleep; by the third watch (midnight), the whole body feels numb like needle pricks, head, eyes, and teeth hurt. This indicates the medicine has reached the disease site. Large and small bowel movements will expel green, white, black, yellow stools, or red worms, which are the disease roots. Three doses within a month lead to gradual cure, eyebrows and hair regrow, skin returns to normal. If gums bleed, use the following mouthwash.

Mouthwash Formula
The Mouthwash Formula contains Cyperus (Guanzhong) and Coptis (Huanglian).
Boil in water, add a little Borneol (Bingpian). Stop bleeding and alleviate distress.
Composition: Cyperus, Coptis (each 3 qian), two zhong of water, decoct to half volume, add a little Borneol. Rinse mouth continuously daily; bleeding stops naturally. Avoid wind-aggravating and greasy foods.

Kushen Wan (Sophora Pill)
Kushen Wan contains many ingredients, too numerous to list fully.
For new or old Dama Feng with various severe symptoms, long-term use brings peace.
Indicated for Dama Feng regardless of duration, with ulcers and rotting, suitable for all ages.
Composition: Sophora Root (Kushen, 1 jin), Jatropha Seed (Dafengzi, 6 liang), Schizonepeta (Jingjie, 16 liang), Saposhnikovia (Fangfeng), Angelica Dahurica (Baizhi, each 6 liang), Scorpion (Quanxie), Polygonum Multiflorum (Heshouwu), Aconitum Kusnezoffii (Baifuzi), Goji Berry (Gouqizi), Clematis (Weilingxian), Chinese Angelica (Danggui), Sesame (Dahuma), Ligusticum (Chuanxiong), Tribulus (Jili), Soap Pod (Da Zaojiao), Achyranthes Bidentata (Chuanniuxi), Arisaema (Niubangzi), Angelica Pubescens (Duhuo, each 5 liang), Vitex (Manjingzi), Uncaria (Fengteng), Notopterygium (Qianghuo), Forsythia (Lianqiao), Atractylodes (Cangzhu), Gastrodia (Tianma), Eucommia (Duzhong), Aconitum (Caowu, processed peeled), Licorice (Gancao, each 3 liang), Ginseng (Renshen, 1 liang), Amomum (Sharen, 2 liang), Agkistrodon (Baihua She, 2 liang, sliced and roasted).
Grind all into fine powder, make pills using vinegar and old rice paste, size of paulownia seeds. Take 30-40 pills with warm wine before or after meals. Avoid wind and dietary restrictions are advisable.

Leprosy Medicated Wine Formula
Leprosy Wine includes Achyranthes, Atractylodes, Saposhnikovia, Angelica, Sophora, Goji, Ginger, Gentian, Tiger Bone, Pine Joint, Notopterygium, Dioscorea Hypoglauca, Turtle Shell, Imperata, etc.
Composition: Saposhnikovia, Angelica, Tiger Bone, Gentian Macrophylla (Qinjiao), Notopterygium, Sophora, Achyranthes, Bombyx Batryticatus (Jiangcan), Pine Joint, Turtle Shell, Atractylodes, Goji, Imperata Cylindrica (Baimaogen, each 2 liang), Ricinus Communis (Bimazi, 1 liang).
Soak herbs in 25 jin of good Xue Wine in a bag, seal jar, boil with two incense sticks until fragrant, remove sticks, soak in water for one fushi (approx. 2 hours), then drink several cups for effect.

Xiong Liu San (Realgar and Sulfur Powder)
Xiong Liu San contains Phoenix Skin (Chicken Shell), Pangolin Scales, and Talcum.
Mixed with Peach Kernel and Pig Gallbladder bile, suitable for rubbing on fallen eyebrows.
Indicated for Dama Feng with itching and loss of eyebrows, beard, and hair.
Composition: Realgar (Xionghuang), Sulfur (Liuhuang), Phoenix Skin (burnt to preserve nature, each 5 qian), Pangolin Scales (fried yellow, 10 slices), Talcum (1 liang).
Grind into fine powder, mix with 1 liang of oil walnut meat pounded into paste and one male pig gallbladder bile. Wrap in green gauze and rub on affected areas. Apply three times daily; hair gradually regrows.

Another formula for purple lumps on the face in Leprosy: Charred Pangolin Scale ash and Sichuan Pepper powder (each 2 qian), mixed with Ginger Juice and Rhubarb Vine (Tudahuang) root juice to a thick consistency. Rub on affected area with silk cloth. If dry, add water and rub again. Avoid wind-aggravating and stimulating foods.