上二味，一处烧炼存性，细末，胶糊丸，如桐子大，每服二丸，用大风油一钱重，茶清食前送下，一
日进三服。忌盐酱诸般肉食，且吃白粥。（《经验秘方》）
愈风丹，治癞疾大有神效。
皂荚（一斤，不蛀者，去皮弦，锉作四指许，无灰酒浸一宿，漉山，用新汲水一碗，揉作浓汁，滤去
滓，以银石砂器，慢火熬成膏子。） 苦参（四两为细末） 土蝮蛇（一条，又名摘口倒，又名种金头，又
名地匾，南人俗呼曰饭锹头，头尾全用，阴干为细末。）
上同前药，以皂角膏子丸，如桐子，每服七、八十丸，空心，用通圣散一两煎如常法，送药，日进二服。
服三日后入浴，出大汗一遍。重者不过服三次。如病小者，用乌梢蛇或白花蛇各一条亦得。如病患脏腑软，通
圣散内去大黄、芒消。忌房室中、湿面、猪肉、一切动风之物。《本草》云∶蝮蛇肉酿酒，疗癞病。诸 、
心腹下痛、结气可服。如无此疾，切不可乱服。（《居家必要》）（据《医方类聚》引
录。）
一粒金丹。
麝香（二分五厘） 乳香 没药 当归（各七分五厘） 地龙（二分五厘） 白胶香（三两五钱） 番鳖
（五钱） 草乌（炒） 五灵芝（各二两） 京墨（二两五钱） 阿胶 紫萍（各二两五钱）
上药十二味，俱为末，用麻黄二两煎汁，煮大米饭为丸，
龙眼大，朱砂为衣，酒下。如有黑汗从脚底心出，则为验。（《医学要则》）
《千金方》治大风癞疾，毫毛脱尽，或甚至目烂鼻崩，手足拳挛，指节开裂，形容恶变。用干漆为末一
两，和活蟹二两，同捣成膏。皂角刺四两，胡麻子去壳六两，俱炒燥为末。总和匀，红曲打糊为丸，如黍
米大，每服三钱，白汤侵晨送下。（《汇言》）雄漆丸，真漆（一两）、蟹黄（五钱）拌匀晒之，渐去面上活
水净，加水飞明雄黄五钱，牙皂末五钱，不可见日，每服三分，酒下。（《医学要则》）
滋血兼拔毒诸方 凉血当归饮，治血热疠风。
当归（一钱半） 川芎 生地黄 芍药 黄芩 黄连 犀角（镑或磨水临服入） 牡丹皮 防风 荆
芥（各一钱） 甘草（七分）
水二钟，煎八分，食远服。（《统旨》）
治麻风。
四物汤加羌活、防风、陈皮、甘草。（《丹溪》）
当归饮，治血热，瘾疹痒痛，或脓水淋漓，发热等症。
当归 白芍药 川芎 生地黄 防风 白蒺藜 荆芥（各一钱五分） 黄 （炒） 甘草 何首乌（各一钱）
上水煎。（《疠疡机要》）（此方本出《济生》）
治大风癞恶疮，何首乌散方。
何首乌（一斤，入白米泔浸一七日，夏月逐日换水，用竹刀子刮令碎，
九蒸九曝。） 胡麻（四两九蒸九曝）
上件药捣，细罗为散，每服食前，用温酒调下二钱，荆芥薄荷汤、茶调下亦得。（《圣惠》）《汇言》
引陈上池经验方，于本方加蕲蛇。
治癞方。
苦胡麻（半升别捣） 天麻（二两） 乳香（三分）
上荆芥腊茶下三钱，忌盐、酒、房事、动风物一百二十日，服半月后，两腰眼灸十四壮。此丞相长安
公家方，已手医人无数。又尝与方扬州天长东氏卖，此药遂着于淮南。若头面四体风疮肿痒多汁者，只六、
七服即瘥，予亲试之。（《苏沈》）（按∶此本《圣惠》治大风疾肌肉欲坏乳香散，今去牛黄、麝香、雄黄。）
易老祛风丸，治疥癞。
黄 枳壳 防风 芍药 甘草 生地黄 熟地 地骨皮 构杞子
上九味，木臼杵为细末，炼蜜丸梧子大，空心白汤下五十丸。（《元戎》）又御方祛风丸，于本方去黄 。
黄精丸。
苍耳叶 紫背浮萍 大力子（各等分） 乌蛇肉（中半酒浸去皮骨） 黄精（倍前三味，
生捣汁，和四味研细焙干。）
上为末，神曲糊丸，如梧子大，每服五、七十丸，温酒下。一方，加炒柏、生地、甘草节。（《丹溪》）
又方，于本方去黄精，用豆淋酒炒，等分为末，每服一、二钱，豆淋酒调下。又治麻风脉大而虚者，于本方
加苦参、酒蒸柏。如无蛇，以乌鲤鱼亦可，糊丸服之。
泻毒杀虫方法 患在脏腑，当从下法。人非饮食不生，
一日不再食则饥。而风湿之邪，与夫诸虫化生，日因饮食缠
锢，何从而去，风湿不去，则蒸蒸发热，肌体紫黑。虫不去，则啮蚀肠胃，消烁精血。人身同于蠹木朽屋，其
何以堪。故必用重堕杀虫之药，令从大便而去。去后渐渐调养，使胃气充畅，精血增长，如宋之再荣，宫室重
整，斯得之矣。（《疠疡全书》）
一女子病疠风。翁诊其脉曰∶脉来急而去迟，上虚而下实，盖得之醉酒接内而风毒乘之。今虽发秃眉坠，
然鼻根幸未陷，肌肉幸未死。遂以防风通圣散而益以下药，下瘀血数升，及虫秽青黑物，并进蕲蛇、长松
汤等汤丸，复佐以雄黄、枫油作膏摩之，逾月瘥。（《沧州翁传》）
治乌癞， 皮丸方。
皮（一枚炙黄焦） 魁哈（一枚） 蚺蛇头（一枚涂酥微黄） 虻虫（三枚炒微黄） 蛴螬（三枚炒微
黄） 鲮鲤甲（三片炙黄） 葛上亭长（三枚炒微黄） 斑猫（三枚糯米拌炒令米黄） 蜈蚣（一枚半炙微
黄去足） 附子（二枚炮裂去皮脐） 蜘蛛（三枚微炙） 水蛭（三枚炒微黄）
巴豆（十五枚去皮心研纸裹压去油） 雷丸（十五枚） 水银（半两以少枣瓤研令星尽） 川大黄
（半两锉碎微炒） 朱砂（半两细研） 桂心（半两） 射罔（半两） 黄连（半两去须） 石膏（一两
细研水飞过） 川芒消（一两） 龙骨（半两） 川椒（半两去目及闭口者微炒出汗） 甘遂（一分与胡麻同
炒胡麻熟为度） 白矾灰（一分） 滑石（一分）
上件药捣罗为末，入研了药令匀，炼蜜和丸，如小豆大，每服以温水下一丸，空心临卧各一服。未觉，每
服加一丸。如小便茎中痛，即有虫下，皆已死也。细观形状，痛多即减至一丸，痛少即却加至二丸，以瘥
为度。（《圣惠》）又治白癞鲮鲤甲丸，于本方去 皮、蚺蛇头、葛上亭长、朱砂、甘遂，加蝮蛇、硝石。
《圣济》治白癞，蛇头丸，于本方去蚺蛇头，加蝮蛇头、硝石。（按，此方繁重不易用，姑录以
存其理已。）
换骨丹，治大麻风。
九肋鳖甲（去裙） 海蜈蚣（细锉各半两）
上以盐泥固济，候干，火 存二分性，为末。巴豆半两，去皮膜，顺手研。青州枣七个，去核。入巴
豆膏在枣中，火烧令焦，存巴豆五分性。将枣、巴豆烂研如泥，入前二味末同研匀，以醋煮糊为丸，如绿豆
大，每服七丸，虚者四、五丸，用温齑汁下。候利恶物如脓血、烂鱼肠，即住。即此
三、两服未利，更加一、二丸。（《三因》）
治大风癞病，千金散方。
皂荚刺（烧灰） 大黄（九蒸九曝干）
上二味各为散，每用大黄末一钱匕，以水七分煎令沸，调皂荚刺灰二钱匕，食后临卧服，日三。鼻坏
指落者亦治。
（《圣济》）
通天再造散，治大风恶疾。
郁金（半两生） 大黄（一两炮） 白牵牛（六钱，半生半炒） 皂角刺（一两炮经年黑大者）
上为末，每服五钱，日未出，以无灰酒下，尽量为度，晚利黑头小虫。病稍轻者，止利如鱼肠臭秽物，
忌毒半月，但食稠粥软饭，渐生眉毛，皮肤如常。甚者，不过三、两次，须将理，不可妄有劳动，及终身
不得食牛马骡驴等肉，犯者死不救。（《三因》）直候无虫，则绝根矣，后用通圣散调
理。可用三棱针刺委中出血。大忌房事，犯者必不救。（《丹溪》）
治大风神效，追命散。
川大黄（实者） 皂角刺（各半斤） 川郁金（五两）
上三味为细末，每服三大钱，用真大枫油入无灰酒温，
调药末临睡时服。脏腑转时，只就地上取下虫。如疾多年，其虫色黑；日近者，其虫色赤。隔三、两日再服，
直候无虫，方是病瘥，即止其药，只服平常风药及诸补药，此药大有奇效。六十日内，用清斋，戒房色，歇却一
切俗念，亦不可嗔怒。（《本事续》）《济急仙方》加朴消。
皂棘汤，治大风。
皂荚刺（烧半生半灰二钱） 北大黄（一钱） 轻粉（半钱）
上末，酒调，空心服，取下恶物。服药数日，齿出毒血甚臭。（《直指》）（按∶以上四方大同而小异，
今并载之，以备择用。）
秘传神效散，专治远年久日大风疮癞，鼻梁陷塌，眉毛脱落，遍身麻痒，三服见功。
大黄（锦文者） 槟榔 白牵牛（各五分） 粉草（三分） 粉霜（□分） 轻粉（三分用）
上为细末和匀，用生姜四两取汁，白沙蜜一两，调药待晚卧服之。至三更后，遍身四肢如针刺，头目
昏疼，牙缝俱痛，乃是药寻病之功也。或小便下如豆水，或大便下有青红黄白，此是病根也。一月可服三次，
其病即渐全可，毛发渐生，肌肉如旧。牙缝去血，再服之。（《万应方》）《外科正宗》必胜散，于本方去粉
草、轻粉（服法亦同）。齿缝有血，宜漱后药。贯众、黄连各三钱，水二钟，煎一半，入冰
片少许，每日陆续漱之，其血自止。
过药方。
大黄 薄荷 栀子 连翘 芒硝 甘草 菊花 黄芩（各一钱）
水二钟，煎至一钟，空心服之，连煎三次服。（《万应方》）（按∶此系凉膈散加菊花。）
追风散，泻恶血。
用大黄二两，蝉壳一两八钱，中用小者妙，白花蛇、皂角刺二两，共为末，每服五、六钱，入大风子不油
一钱，朴硝少许，用老酒一碗调化送下，不可热服。夜粥不可食，待戌时，放前药一碗在桌上盆内，以糖煎或
蜜煎少许放在盘中，不得令患者先见药。服药毕，用水漱口，以蜜过口。切不可睡去，令人伴坐。良久肚腹大
疼，最妙泻四、五次，用薄粥补之。（《识病捷法》）
初服发汗清散之剂，服后以煎汤洗浴，汗透为度。中服探吐清利胃腑痰液之剂（用防风、淡豆豉、陈皮、
牛蒡子、桔梗、皂角刺），吐后用稀烂陈米粥早暮调之（节录）。末用下剂，荡涤大肠蕴积之毒。
金银花（三钱） 当归尾（二钱） 枳实 桃仁（各一钱五分） 槟榔 红花（各一钱） 木通 甘草（各五分）
水煎十分，乘热泡酒浸大黄末五钱，以利为度。不畅，
以陈皮汤催之。不止，以陈皮饮补之。（《疡医大全》引《活人录》）
治大风恶疾，腹内生虫，皮肤疮肿，手足欲堕，黑虎丹方。（《圣惠》）（按∶此于《骨蒸》黑虎丹去
芦荟、狗粪、蛤蚧、乌驴蹄、乳香、猪胆，加杏仁、桃仁、人中白者。今不具录，宜参。）
外治诸方（解敷贴药毒方附） 治风身体如虫行方。
盐一斗，水一石，煎减半，澄清，温洗浴三、四遍，并疗一切风。（《千金》）
八叶汤，淋渫大风疮。
桑叶 荷叶 地黄叶 皂角叶 叶 苍耳叶 菖蒲叶 何首乌叶
上等分晒干，烧存性为末，如洗面药，用洗身体手面。（《三因》）
一法∶用桃、柳、桑、槐、楮五般枝浓煎汤，大缸浸坐没颈一日，俟汤如油，安矣。《本草》治恶疾，遍
身生疮，浓煎萍汤，浴浸半日大效，此神方也。（《丹溪纂要》）
洗浴药∶地骨皮、荆芥、苦参、细辛各二两，水煎汤，无风处熏洗，遍身出血为效。（《捷法》）
疠风，《玉机》所具治法俱有可取，但药多峻厉，针损肌肉。旧传一法，掘地作坑，柴火烧红，去火，以
水沃之。病者乘水温时，坐于其中，浸洗熏蒸，汗当大出。此可凉血解毒，内再服凉血解毒药，数数行之，病
亦可愈。又法，用锻石、蓝靛两停煮水，浸洗如前，再服锻石酒，以除内毒可也。（《医学管见》）
文仲疗白癞方。
大蝮蛇一枚干者，并头尾全，勿令欠少，以酒渍之，大者一斗，小者五升，以糠火温令酒尽，稍稍取蛇一寸
许，以腊月猪膏和敷疮上，忌小麦热面。《肘后》、《范汪》同。（《外台》）《圣惠》加斑猫（二七枚，与
糯米同炒令黄），不用猪膏。
面上如有紫 未消者，用干斑猫末，以生油调成膏，敷患上。约半日许， 胀起，以软帛子揩拭
去药，以棘针挑破近下，令水出自干，即不得剥其疮皮。斑猫不得令入口眼。若面上有小尖 子者，不用斑
猫，却以熟艾入胆矾少许，纸杵作钗股大小艾炷灸之，每个灸一炷。如手脚上下有疮未瘥，煎甘草热汤淋洗。
更以白药子三两，甘草一分，荆芥十穗，一处捣罗为末，干贴。如澡豆使之亦好。（《圣济》）
治大风疾，枫木子烧灰存性，研细罗过，与轻粉等分，同麻油调涂。如湿，干掺之。（《王氏》）
《单氏家抄》治疥癣瘙痒有虫，用大枫子去壳取肉四十枚捣膏，大黄炒、蛇床子炒、樟脑、硫黄各五钱，
共研极细末，和入大枫子膏内，水银五钱研入，以不见星点为度。如干燥，再加入猪油数钱，共研为丸。先用
热汤洗净疮，后用此药搽之。（《汇言》）（按∶倪氏亦论内服之害曰∶濒湖方治疮疥，仅外涂，能润皮肤，
杀虫止痒，不堪服食，用之外涂，其功不可没也。）
擦麻风病面生紫块疙瘩方，用穿山甲灰炒、川椒为末各二钱，生姜汁、土大黄根二汁调稠，绢包擦患上。
These two ingredients are calcined together to retain their medicinal properties, ground into a fine powder, mixed with glue paste to form pills the size of *Cocculus trilobus* seeds. Each dose consists of two pills, taken before meals with one qian (approx. 3.7g) of *Croton tiglium* oil and clear tea broth, administered three times a day. Avoid salt, soy sauce, and all kinds of meat; consume only white porridge. (*Jingyan Mifang*)
Yufeng Dan (Wind-Dispelling Pill) is highly effective in treating Leprosy (*Lai Ji*).
*Gleditsia sinensis* fruit pod (1 jin [approx. 500g], selecting uninfested pods, removing skin and fibrous strands, cutting into segments approx. 4 fingers wide, soaking overnight in unfermented wine, draining, adding one bowl of fresh well water, kneading into a thick juice, filtering out dregs, and slowly simmering in a silver or clay vessel until it becomes a paste.) *Sophora flavescens* root (4 liang [approx. 125g], ground into fine powder). *Protobothrops mucrosquamatus* (one snake, also known as Zhaikoudao, Zhongjintou, Dibian, commonly called Fanqiaotou in the south; use head and tail intact, dry in shade, and grind into fine powder).
Mix the above herbs with the previous medicines, using the *Gleditsia* paste as a binder to form pills the size of *Cocculus trilobus* seeds. Take 70–80 pills per dose on an empty stomach, delivered with a decoction of one liang of Tongsheng San prepared according to standard method, twice daily. After three days of medication, take a bath to induce profuse sweating. For severe cases, no more than three doses are needed. For milder cases, one *Zaocys dhumnades* or one *Bungarus multicinctus* may be used instead. If the patient's internal organs are weak, remove *Rheum palmatum* rhizome and *Natrii Sulfas* from Tongsheng San. Contraindications include sexual intercourse, wet noodles, pork, and all wind-aggravating foods. *Bencao* states: Wine infused with *Protobothrops mucrosquamatus* meat treats leprosy. It can be taken for various sores, abdominal pain, and qi stagnation. Do not take indiscriminately if these conditions are absent. (*Jujia Biyao*, cited in *Yifang Leiju*)
Yili Jindan (One-Pill Golden Elixir).
*Moschus* (2.5 fen), *Frankincense* (Ru Xiang), *Myrrh* (Moyao), *Angelica sinensis* root (Danggui) (each 7.5 fen), *Pheretima* (Di Long) (2.5 fen), *Liquidambar* resin (Baijiaoxiang) (3.5 qian), *Trionyx sinensis* shell (Fanbie) (5 qian), *Aconitum carmichaelii* lateral root (Caowu) (stir-fried), *Ganoderma* (Wulingzhi) (each 2 liang), *Beijing Ink* (Jingmo) (2.5 liang), *Colla Corii Asini* (Ejiao), *Azolla imbricata* (Ziping) (each 2.5 liang).
Grind all twelve ingredients into fine powder. Decoct 2 liang of *Ephedrae Herba* (Mahuang) in water, use the decoction to cook rice, and mix with the powder to form pills the size of longan seeds. Coat with *Cinnabar* (Zhusha) and take with wine. The appearance of black sweat from the center of the soles indicates efficacy. (*Yixue Yaoze*)
*Qianjin Fang* treats severe leprosy where hair falls out completely, eyes ulcerate, nose collapses, hands and feet curl, finger joints crack, and facial features deform. Mix 1 liang of dried *Xanthium sibiricum* resin (Ganqi) powder with 2 liang of live crab, pound into a paste. Mix 4 liang of *Gleditsia sinensis* thorn and 6 liang of hulled *Sesamum indicum* seed (Huma), stir-fry until dry, and grind into powder. Combine thoroughly, bind with red yeast rice paste, and form pills the size of millet seeds. Take 3 qian per dose, delivered with warm water in the morning. (*Huiyan*)
Xiongqi Wan (Real Lacquer Pill): Mix 1 liang of real lacquer with 5 qian of crab roe, sun-dry, and gradually remove surface moisture. Add 5 qian of washed *Realgar* (Xionghuang) and 5 qian of powdered *Gleditsia sinensis* fruit pod (Ya-zao). Keep away from sunlight. Take 3 fen per dose with wine. (*Yixue Yaoze*)
Various Formulas for Nourishing Blood and Extracting Toxins
Liangxue Danggui Yin (Blood-Cooling Angelica Decoction) treats leprosy caused by blood heat.
*Angelica sinensis* root (Danggui) (1.5 qian), *Ligusticum chuanxiong* rhizome (Chuanxiong), *Rehmanniae Radix* (Shengdihuang), *Paeonia lactiflora* root (Shaoyao), *Scutellaria baicalensis* root (Huangqin), *Coptis chinensis* rhizome (Huanglian), *Rhinocerotis Cornu* (Xijiao - shaved or ground into water and added just before taking), *Moutan Cortex* (Mudanpi), *Saposhnikoviae Radix* (Fangfeng), *Schizonepetae Herba* (Jingjie) (each 1 qian), *Glycyrrhiza uralensis* root (Gancao) (7 fen).
Decoct in 2 zhong of water until 0.8 zhong remains. Take well after meals. (*Tongzhi*)
Treating Leprosy.
Siwu Tang (Four Substances Decoction) plus *Notopterygii Rhizoma et Radix* (Qianghuo), *Saposhnikoviae Radix* (Fangfeng), *Citrus reticulata* peel (Chenpi), *Glycyrrhiza uralensis* root (Gancao). (*Danxi*)
Danggui Yin (Angelica Decoction) treats symptoms such as wind wheals, itching, pain, oozing pus, and fever caused by blood heat.
*Angelica sinensis* root (Danggui), *Paeonia lactiflora* root (Baishaoyao), *Ligusticum chuanxiong* rhizome (Chuanxiong), *Rehmanniae Radix* (Shengdihuang), *Saposhnikoviae Radix* (Fangfeng), *Tribulus terrestris* fruit (Bajili), *Schizonepetae Herba* (Jingjie) (each 1.5 qian), *Astragali Radix* (Huangqi) (stir-fried), *Glycyrrhiza uralensis* root (Gancao), *Polygoni multiflori Radix* (Heshouwu) (each 1 qian).
Decoct in water. (*Liyou Jiyao*, originally from *Jisheng*)
Formula for Polygonum Multiflorum Powder to Treat Severe Leprosy Sores.
*Polygoni multiflori Radix* (Heshouwu) (1 jin, soak in rice washing water for seven days; change water daily in summer; scrape finely with a bamboo knife; steam nine times and sun-dry nine times). *Sesamum indicum* seed (Huma) (4 liang, steam nine times and sun-dry nine times).
Pound the above herbs, sift finely to make a powder. Take 2 qian before meals with warm wine, or with a decoction of *Schizonepetae Herba* and *Mentha haplocalyx* herb (Bohecha). (*Shenghui*) *Huiyan* cites Chen Shangchi's experienced formula, adding *Deinagkistrodon acutus* (Qishe) to this formula.
Formula for Treating Leprosy.
*Bitter Sesame* (Kuhuma) (0.5 sheng, pounded separately), *Gastrodia elata* rhizome (Tianma) (2 liang), *Boswellia carterii* gum (Ruxiang) (3 fen).
Take 3 qian with *Schizonepetae Herba* and aged tea. Avoid salt, alcohol, sexual intercourse, and wind-aggravating foods for 120 days. After half a month of medication, moxa-burn fourteen moxa cones at both kidney areas. This was a family prescription of Chancellor Chang'an Gong, who cured countless patients. It was later sold to Dong Shi in Tianchang, Yangzhou, becoming famous in Huainan. For swelling, itching, and exudative sores on the head, face, and limbs, six or seven doses are sufficient for cure; I have tested it personally. (*Suschen*, note: This is originally the Ruxiang San from *Shenghui* for treating muscle decay in severe leprosy, now without *Bovis Calculus*, *Moschus*, and *Realgar*.)
Yilao Qufeng Wan (Easy-Lao Wind-Dispelling Pill) treats scabies and leprosy.
*Astragali Radix* (Huangqi), *Aurantii Fructus Immaturus* (Zhiqiao), *Saposhnikoviae Radix* (Fangfeng), *Paeonia lactiflora* root (Shaoyao), *Glycyrrhiza uralensis* root (Gancao), *Rehmanniae Radix* (Shengdi), *Rehmanniae Radix Praeparata* (Shudi), *Lycii Cortex* (Digupi), *Lycium barbarum* fruit (Gouqizi).
Pound the nine ingredients into fine powder in a wooden mortar. Bind with refined honey to form pills the size of *Cocculus trilobus* seeds. Take 50 pills on an empty stomach with warm water. (*Yuanrong*) Another Imperial Formula Qufeng Wan removes *Astragali Radix* (Huangqi) from this formula.
Huangjing Wan (Polygonatum Pill).
*Celosia argentea* leaf (Can'er ye), *Azolla imbricata* (Zibei Fuping), *Arctii Fructus* (Nailizi) (equal parts). *Zaocys dhumnades* meat (Zhou She Rou) (half soaked in wine, skin and bones removed). *Polygonatum sibiricum* rhizome (Huangjing) (double the amount of the first three ingredients; crush raw to extract juice, mix with the four ingredients, grind finely, and bake dry).
Grind into powder, bind with *Qu* paste to form pills the size of *Cocculus trilobus* seeds. Take 50–70 pills with warm wine. Another variation adds stir-fried *Platycladi Semen* (Baiye), *Rehmanniae Radix* (Shengdi), and *Glycyrrhiza uralensis* root tips (Ganjie). (*Danxi*) Another variation removes *Polygonatum sibiricum* rhizome (Huangjing), stir-fries with Doulin Jiu (bean-leavened wine), grinds into powder, takes 1–2 qian with Doulin Jiu. Also treats leprosy with large and deficient pulse; add *Sophora flavescens* root (Kushen) and wine-steamed *Platycladi Semen* (Baiye). If snakes are unavailable, black carp may be used, bound with paste and taken as pills.
Methods for Purging Toxins and Killing Parasites
If the disease is in the zang-fu organs, purgative methods should be used. Humans cannot survive without food; going a day without eating causes hunger. However, wind-damp pathogens and generated parasites are entangled by daily diet, making them difficult to expel. If wind-damp is not expelled, steaming fever occurs, and muscles turn purple-black. If parasites are not expelled, they gnaw the intestines and stomach, consuming essence and blood. The human body becomes like rotten wood or a dilapidated house, which cannot withstand such damage. Therefore, heavy, sinking, and parasiticidal drugs must be used to expel toxins via the bowels. After expulsion, gradual nourishment restores stomach qi and increases essence and blood, similar to the restoration of prosperity in the Song Dynasty. (*Liyou Quanshu*)
A woman suffered from leprosy. Physician Weng diagnosed her pulse as rapid upon arrival but slow upon departure, with deficiency in the upper jiao and excess in the lower jiao, attributing it to wind-toxin invading after drunken sexual intercourse. Although her hair had fallen out and eyebrows dropped, her nasal root remained intact and muscles were not necrotic. He prescribed Fangfeng Tongsheng San combined with purgatives, expelling several sheng of blood stasis and black-green parasitic waste. He administered Qishe and Changsong Tang decoctions and pills, supplemented with external massage using Xionghuang and Fengyou ointment. She recovered after one month. (*Cangzhou Weng Zhuan*)
Pi Wan Formula for Treating Black Leprosy.
*Skin* (Pi) (one piece, roasted until yellow and charred), Kuiha (one piece), *Python molurus* head (Ranshe Tou) (one piece, coated with butter, slightly yellow), *Tabanus* fly (Mengchong) (three pieces, slightly yellow when stir-fried), *Meloe* larva (Qicao) (three pieces, slightly yellow when stir-fried), *Manis pentadactyla* scale (Lingli Jia) (three slices, roasted yellow), *Ge Shang Ting Chang* (three pieces, slightly yellow when stir-fried), *Mylabris* (Banmao) (three pieces, stir-fried with glutinous rice until rice turns yellow), *Centipede* (Wugong) (one and a half pieces, roasted slightly yellow, legs removed), *Aconitum carmichaelii* lateral root (Fuzi) (two pieces, processed until cracked, skin and umbilicus removed), Spider (three pieces, slightly roasted), *Hirudo* (Shuizhi) (three pieces, slightly yellow when stir-fried).
*Seminar Crotonis Tiglii* (Badou) (15 pieces, skin and heart removed, pressed on paper to remove oil), *Holostylum armandii* (Leiwán) (15 pieces), Mercury (Shuiyin) (0.5 liang, ground with a small amount of date pulp until no stars remain), *Rhei Radix et Rhizoma* (Dahuang) (0.5 liang, cut into pieces and slightly stir-fried), *Cinnabar* (Zhusha) (0.5 liang, finely ground), *Cinnamomum cassia* bark (Guixin) (0.5 liang), *Aconiti Radix Preparata* (She Wang) (0.5 liang), *Coptis chinensis* rhizome (Huanglian) (0.5 liang, whiskers removed), *Gypsum Fibrosum* (Shigao) (1 liang, finely ground and water-washed), *Natrii Sulfas* (Mangxiao) (1 liang), *Os Draconis* (Longgu) (0.5 liang), *Zanthoxyllum bungeanum* fruit (Chuanjiao) (0.5 liang, eyes and closed-mouth ones removed, slightly stir-fried to release moisture), *Kansui Radix* (Gansui) (1 fen, stir-fried with sesame until sesame is cooked), Alum Ash (Baifan Hui) (1 fen), *Talcum* (Huashi) (1 fen).
Pound and sieve all ingredients into fine powder, mix with previously ground ingredients until uniform. Bind with refined honey to form pills the size of adzuki beans. Take one pill with warm water on an empty stomach and before bed. If no effect is felt, increase by one pill per dose. Pain in the urethra indicates dead parasites are being expelled. Observe the shape; if pain is severe, reduce to one pill; if mild, increase to two pills. Continue until cured. (*Shenghui*) Another formula Lingli Jia Wan for White Leprosy removes Pi, Ranshe Tou, Ge Shang Ting Chang, Zhusha, and Gansui, adding *Protobothrops mucrosquamatus* and *Niter* (Xiaoshi). *Shengji Zonglu* Snake Head Wan for White Leprosy removes Ranshe Tou, adding *Protobothrops mucrosquamatus* and *Niter*. (Note: This formula is complex and difficult to use; recorded here only for theoretical reference.)
Huangu Dan (Bone-Replacing Pill) treats severe leprosy.
Nine-rib *Trionyx sinensis* shell (Ququ), Sea Centipede (Haiwugong) (finely cut, each 0.5 liang).
Seal with salt mud, dry, and calcine to retain two parts of medicinal property. Grind into powder. *Seminar Crotonis Tiglii* (Badou) 0.5 liang, skin and membrane removed, ground smoothly. Seven Qingzhou dates, pitted. Place Badou paste inside the dates, roast until charred, retaining five parts of Badou's property. Pound dates and Badou into a paste, mix with the two powders, bind with vinegar-boiled paste to form pills the size of mung beans. Take seven pills (four or five for the weak) with warm vinegar juice. Stop when pus-like, bloody, or rotting fish-intestine matter is discharged. If no discharge after three or two doses, add one or two more pills. (*San Yin Fang*)
Qianjin San Formula for Treating Severe Leprosy.
*Gleditsia sinensis* thorn (burnt to ash), *Rhei Radix et Rhizoma* (Dahuang) (steamed nine times and sun-dried nine times).
Grind each into powder separately. Take one qian-bi of Dahuang powder, boil in 0.7 zhong of water until boiling, mix with 2 qian-bi of Gleditsia thorn ash. Take after meals and before bed, three times daily. Effective even if the nose is destroyed or fingers have fallen off. (*Shengji Zonglu*)
Tongtian Zaizao San (Heaven-Penetrating Rebirth Powder) treats severe leprosy.
*Curcumae Radix* (Yujin) (0.5 liang, raw), *Rhei Radix et Rhizoma* (Dahuang) (1 liang, processed), *Pharbitidis Semen* (Bai Qianniu) (6 qian, half raw, half stir-fried), *Gleditsia sinensis* thorn (1 liang, processed, aged black and large).
Grind into powder. Take 5 qian before sunrise with unfermented wine, to the maximum tolerance. Black-headed small worms will be discharged in the evening. For milder cases, only foul, fish-intestine-like matter is discharged. Avoid toxic substances for half a month; eat only thick porridge and soft rice. Eyebrows will gradually grow, and skin will normalize. Severe cases require no more than three or two treatments. Rest is essential; avoid overexertion. Lifelong avoidance of beef, horse, mule, and donkey meat is required; violators will die incurably. (*San Yin Fang*) Once no worms are found, the root is eradicated. Follow up with Tongsheng San for regulation. Pricking Weizhong (BL40) with a three-edged needle to bleed is applicable. Strictly avoid sexual intercourse; violators will die incurably. (*Danxi*)
Zhuiming San (Life-Chasing Powder) for miraculous effect in treating severe leprosy.
*Rhei Radix et Rhizoma* (Dahuang) (solid ones), *Gleditsia sinensis* thorn (each 0.5 jin), *Curcumae Radix* (Yujin) (5 liang).
Grind into fine powder. Take three major qian per dose. Mix with real *Croton tiglium* oil and warm unfermented wine. Take before sleep. When the internal organs shift, parasites will fall onto the ground. If the disease is chronic, worms are black; if recent, they are red. Repeat every three or two days until no worms are found, indicating cure. Then stop this medicine and take regular wind-dispelling and tonifying herbs. This medicine has miraculous effects. For sixty days, maintain a vegetarian diet, abstain from sex, eliminate worldly desires, and avoid anger. (*Benshi Xu Bian*) *Jiji Xianfang* adds *Natrii Sulfas* (Puxiao).
Saoji Tang (Soap Thorn Decoction) treats severe leprosy.
*Gleditsia sinensis* thorn (half raw, half burnt to ash, 2 qian), North *Rhei Radix et Rhizoma* (Dahuang) (1 qian), Calomel (Qingfen) (0.5 qian).
Grind into powder, mix with wine, take on an empty stomach to expel foul matter. After several days of medication, teeth will bleed foul-smelling toxic blood. (*Zhizhi Fang*, note: The above four formulas are largely similar with minor differences; recorded together for selection.)
Secretly Transmitted Shenxiao San specializes in treating chronic severe leprosy sores, collapsed nasal bridge, lost eyebrows, and whole-body numbness/itching. Effect seen in three doses.
*Rhei Radix et Rhizoma* (Dahuang, Jinwen variety), Areca Seed (Binglang), *Pharbitidis Semen* (Bai Qianniu) (each 5 fen), Licorice Root (Fengcao) (3 fen), Calomel (Fenshuang) (? fen), Calomel (Qingfen) (3 fen).
Grind into fine powder and mix evenly. Take 4 liang of ginger juice and 1 liang of white sand honey to mix the medicine. Take before bed. After midnight, prickling sensations in the limbs, headache, dizziness, and toothache indicate the medicine is attacking the disease. Urine may look like bean water; stool may contain green, red, yellow, or white matter, indicating the disease root. Take three times a month; the disease will gradually heal, hair will grow, and muscles will recover. If bleeding occurs from gums, take again. (*Wanying Fang*) *Waike Zhengzong* Bisheng San removes Fengcao and Qingfen from this formula (administration same). For bleeding gums, rinse with the following: *Cyathula officinalis* root (Guanzhong) and *Coptis chinensis* rhizome (Huanglian) (each 3 qian), decoct in 2 zhong of water until half remains, add a little *Borneolum Syntheticum* (Bingpian). Rinse continuously daily; bleeding will stop.
Guo Yao Fang.
*Rhei Radix et Rhizoma* (Dahuang), *Mentha haplocalyx* herb (Bohe), *Gardeniae Fructus* (Zhizi), *Forsythiae Fructus* (Lianqiao), *Natrii Sulfas* (Mangxiao), *Glycyrrhiza uralensis* root (Gancao), *Chrysanthemi Flos* (Juhua), *Scutellaria baicalensis* root (Huangqin) (each 1 qian).
Decoct in 2 zhong of water until 1 zhong remains. Take on an empty stomach; decoct and take three times consecutively. (*Wanying Fang*, note: This is Liangge San plus Chrysanthemi Flos.)
Zhuifeng San (Wind-Chasing Powder) for purging evil blood.
Use 2 liang of *Rhei Radix et Rhizoma* (Dahuang), 1.8 liang of Cicada Slough (Chanke, smaller ones are better), 2 liang of *Bungarus multicinctus* (Baihua She) and *Gleditsia sinensis* thorn (Zaojiao Ci). Grind into powder. Take 5–6 qian per dose, add 1 qian of non-oily *Croton tiglium* seed (Dafengzi) and a little *Natrii Sulfas* (Puxiao). Dissolve in one bowl of old wine and take. Do not take hot. Do not eat night porridge. At Xu hour (7-9 PM), place the medicine in a basin on the table, with a small plate of sugar or honey syrup nearby. Do not let the patient see the medicine beforehand. After taking, rinse mouth with water and pass honey through the mouth. Do not sleep; keep someone awake to accompany. After a while, severe abdominal pain will occur; ideal outcome is 4–5 bowel movements. Supplement with thin porridge. (* Shibing Jiefang*)
Initially administer diaphoretic and clearing agents; bathe in the decoction until sweat penetrates. Mid-treatment: induce vomiting to clear phlegm-fluid from the stomach (using *Saposhnikoviae Radix* (Fangfeng), *Sojae Seminis Preparatum* (Danshidou), *Citrus reticulata* peel (Chenpi), *Arctii Fructus* (Niubangzi), *Platycodon grandiflorus* root (Jiegeng), *Gleditsia sinensis* thorn (Zaojiao Ci)). After vomiting, regulate with thin old rice porridge morning and night (excerpted). Finally, use purgatives to cleanse accumulated toxins in the large intestine.
*Chloranthi Spicati* root (Jinyinhua) (3 qian), *Angelica sinensis* root tip (Danggui Wei) (2 qian), *Immature Citrus Fruit* (Zhishi), *Prunus persica* seed (Taoren) (each 1.5 qian), Areca Seed (Binglang), *Carthamus tinctorius* flower (Honghua) (each 1 qian), *Akebiae Caulis* (Mutong), *Glycyrrhiza uralensis* root (Gancao) (each 5 fen).
Decoct for ten minutes. While hot, soak 5 qian of wine-infused *Rhei Radix et Rhizoma* (Dahuang) powder. Continue until purged. If ineffective, promote with Tangerine Peel Decothesis (Chenpi Tang). If diarrhea persists, restore with Tangerine Drink (Chenpi Yin). (*Yangyi Daquan* citing *Huo Ren Lu*)
Heihu Dan (Black Tiger Pill) for severe leprosy with intestinal parasites, skin sores/swelling, and impending loss of hands/feet. (*Shenghui*, note: This is the Heihu Dan from *Guzheng* minus *Aloe*, dog feces, *Gecko*, donkey hoof, *Frankincense*, pig bile; plus *Apricot Seed*, peach kernel, *Urina Hominis* (Renzhongbai). Not fully recorded here; consult original.)
External Treatment Formulas (Including Antidotes for Topical Medicament Poison)
Formula for Wind Causing Sensation of Insects Crawling on Body.
One dou of salt, one shi of water. Boil until reduced by half, clarify, and wash/bathe 3–4 times with warm solution. Treats all types of wind. (*Qianjin Fang*)
Baye Tang (Eight Leaves Decoction) for pouring over severe leprosy sores.
Mulberry leaf, Lotus leaf, *Rehmanniae* leaf, *Gleditsia sinensis* leaf, Leaf (?), Cocklebur leaf, Acorus leaf, *Polygoni multiflori* leaf.
Dry equal parts, calcine to retain property, grind into powder. Use like face-washing powder to wash body and hands. (*San Yin Fang*)
Another Method: Decoct branches of Peach, Willow, Mulberry, Locust, and Paper Mulberry strongly. Sit in a large vat immersed up to the neck for one day until the liquid resembles oil; then you will be safe. *Bencao* states: For severe diseases with widespread sores, strong decoction of *Azolla* bathed for half a day is highly effective; this is a divine formula. (*Danxi Zuanyao*)
Bathing Medicine: *Lycii Cortex* (Digupi), *Schizonepetae Herba* (Jingjie), *Sophora flavescens* root (Kushen), *Asari Radix et Rhizoma* (Xixin) (each 2 liang). Decoct in water, fumigate and wash in a windless place. Bleeding from the whole body indicates efficacy. (*Jiefang*)
For Leprosy, the treatment methods in *Yuji* are all valuable, but the drugs are often harsh, and acupuncture damages muscles. An old method involves digging a pit, heating firewood until red, removing fire, and splashing water. The patient sits in the pit while the water is warm, immersing, washing, and steaming until profuse sweating occurs. This cools blood and detoxifies. Internally, take blood-cooling and detoxifying medicines repeatedly; the disease can be cured. Another method: boil equal parts of Calcined Alum (Duanshi) and Indigofera tinctoria leaf (Landi) in water, immerse and wash as before, then drink Duanshi wine to remove internal toxins. (*Yixue Guanjian*)
Wenzhong's Formula for White Leprosy.
One dried *Protobothrops mucrosquamatus* (large viper), head and tail intact, do not miss any part. Soak in wine: one dou for large snakes, five sheng for small. Warm over bran fire until wine is absorbed. Take about one cun of snake meat, mix with December lard, and apply to sores. Avoid wheat and hot noodles. *Zhouhou* and *Fan Wang* agree. (*Waitai Miyao*) *Shenghui* adds *Mylabris* (Banmao) (14 pieces, stir-fried with glutinous rice until yellow), omitting lard.
If purple blisters on the face have not resolved, use dry *Mylabris* powder mixed with raw oil to form a paste, apply to the affected area. After about half a day, blisters swell. Wipe off medicine with soft cloth, puncture near the base with a thorn to drain fluid, then let dry. Do not peel the blister skin. Keep *Mylabris* away from mouth and eyes. If small pointed pustules appear on the face, do not use *Mylabris*; instead, mix prepared mugwort with a little Vitriol (Danfan), roll into moxa cones the size of hairpins, and moxa-burn each spot once. For unhealed sores on hands and feet, wash with hot licorice decoction. Further, pound 3 liang of *Stemonae Radix* (Baiziyao), 1 fen of *Glycyrrhiza uralensis* root (Gancao), and ten spikes of *Schizonepetae Herba* (Jingjie) into powder. Apply dry, or use like bath soap. (*Shengji Zonglu*)
For severe leprosy, burn *Liquidambar formosana* fruit (Fengmuzi) to ash, retain property, grind finely, mix equally with Calomel (Qingfen), and apply with sesame oil. If wet, sprinkle dry powder. (*Wangshi*)
*Dan Shi Jiaochao* treats scabies/psoriasis with itching and parasites: Remove shells from 40 *Croton tiglium* seeds (Dafengzi), pound into paste. Stir-fry *Rhei Radix et Rhizoma* (Dahuang) and *Cnidii Fructus* (Shechuangzi), Camphor (Zhangnao), and Sulfur (Liuhuang) (each 5 qian). Grind extremely fine, mix into the Dafengzi paste. Grind 5 qian of Mercury (Shuiyin) until no stars are visible. If too dry, add a few qian of lard, grind into pills. Wash sores with hot water first, then apply this medicine. (*Huiyan*, note: Ni Shi also discussed the harm of internal use: Binhu's formula for sores/scabies, applied externally only, moistens skin, kills parasites, stops itching, but is unsuitable for ingestion. Its external application merit is undeniable.)
Formula for Rubbing Purple Lumps/Bumps on Leprosy Face: Stir-fried *Manis pentadactyla* scale (Chuanshanjia) ash and Sichuan Pepper (Chuanjiao) powder (each 2 qian). Mix with Ginger Juice (Shengjiang Zhi) and *Rumex japonicus* root juice (Tudahuang Gen Zhi) to a thick consistency. Wrap in silk and rub onto affected areas.