杨梅者，其疮三五成颗，红溃后状如杨梅也。病由西洋流传广东，彼遂绵延各省。有精
化气
化之不同，精化者，由交媾传染而得，先从二阴生疮，蔓延遍身，上至巅顶发际，凡有毛孔
之处，初起小肉瘤，后渐痒溃，秽水时出，至缺唇烂额，残废死亡者不可胜计。气化者，由
表面传染。如与有疮之人同衾共浴之例，其毒皆可传播。疮由上部先见，后亦延及满身。但
毒较精化者稍轻，用药分量，亦可减少。中医向来治法，每用升药，致毒上攻，流弊百出，
继以补品。毒愈内锢，攻之不可，下之不去，因而殒命者多矣。余之药力，得自麻邑程君，
专以固脾泻毒为主，服之不但无弊，而脾健神清，发味均所不禁，刻期而愈，屡试屡验，诚
妙方也。嗟嗟！每见青年有志之士，偶坠迷津，小则有妨健康，大则动关生命。得此亦苦海
之舟航云，若东西各国，有医疗警察，防患未然，病院延医，医于既发，此病所以日见减少
也。
杨梅主治方
土茯苓（二斤） 金银花（八两） 生苡仁（四两） 白藓皮（三两） 天花粉（二两） 当归尾
（二
两） 荆芥穗（五钱） 青连翘（一两） 白猪苓（二两） 建泽泻（二两） 陈槐角（四两） 车前
子（二两） 焦山栀（四钱） 牛蒡子（五钱） 生甘草（四两） 净蝉衣（三钱） 威灵仙（二钱）
宣木瓜（二两） 木防己（一两） 皂角子（十粒）
以上各味，俱倾入锅内，用柴火煮三次，每次将渣滓用布沥干，后渣滓不用，将三次所
煮之
汁，共贮锅内，再用火熬，先武后文，以冰糖收成膏，置当风处，以米筛覆之。当茶日服数
碗，下黑粪时，其毒始出，重者剂半而愈，轻者一剂可愈。其渣滓亦可煎水洗浴。惟禁面食
与茶，以解茯苓故也，并不用敷药。若天时地气人事之不同，方中亦可酌量加减，是则医者
，因时制宜，惟不可用参、茸、术、 、辛、附等药，使毒内锢，而不得出耳。近人有专用
槐花数升煎汁，服之而愈者，亦去湿热除毒戾之一法也。
Yangmei (Mapleberry) sore refers to lesions that cluster in groups of three to five, and after ulceration, resemble a mapleberry. This disease originated from the West, spreading to Guangdong province, and subsequently蔓延 (spread) to various other provinces. There are two distinct types: "Jing-hua" (Essence-transmission) and "Qi-hua" (Qi-transmission). The Jing-hua type is contracted through sexual intercourse; it initially manifests as sores on the external genitalia and anus, then spreads throughout the body, reaching up to the vertex and hairline. Wherever pores exist, small fleshy tumors appear initially, which gradually become itchy and ulcerate, discharging foul fluid. Cases leading to mutilation of the lips and forehead, disability, or death are countless. The Qi-hua type is transmitted via surface contact. For instance, sharing a bed or bathing with an infected person can transmit the toxin. Sores first appear on the upper body before extending to the entire body. However, the toxicity is slightly milder than in the Jing-hua type, and the dosage of medication can be reduced. Traditional Chinese Medicine (TCM) treatments historically often employed Sheng Yao (Calomel/Red Sublimate), causing the toxin to ascend and attack upwards, resulting in numerous adverse effects. Subsequent use of tonics further trapped the toxin internally, making it impossible to purge or drain, leading to many deaths. My prescription's efficacy was derived from Mr. Cheng of Mayi. It focuses primarily on strengthening the Spleen and draining toxins. Taking it causes no harm; instead, it strengthens the Spleen and clarifies the Spirit (Shen), allowing for normal appetite without restriction. Recovery occurs within the expected timeframe, with consistent success in trials, making it truly a miraculous formula. Alas! I often see young, ambitious individuals who occasionally fall into this trap. Minor consequences affect health, while major ones endanger life. Obtaining this formula serves as a boat navigating the sea of suffering. In contrast, Eastern and Western countries have established medical police to prevent outbreaks beforehand and hospitals to treat patients after onset, which is why the incidence of this disease has decreased daily.
Prescription for Treating Yangmei Sore:
Tu Fuling (Smilax Glabrae Rhizoma, 2 jin), Jinyinhua (Lonicerae Japonicae Flos, 8 liang), Sheng Yiren (Coicis Semen, 4 liang), Baixianpi (Dictamni Cortex, 3 liang), Tianhuafen (Trichosanthis Radix, 2 liang), Danggui Wei (Angelicae Sinensis Radix, 2 liang), Jingjie Sui (Schizonepetae Spica, 5 qian), Qing Lianqiao (Forsythiae Fructum, 1 liang), Bai Zhuling (Polyporus, 2 liang), Jian Zexie (Alismatis Rhizoma, 2 liang), Chen Huaijiao (Sophorae Tonkinensis Fructus, 4 liang), Cheqianzi (Plantaginis Semen, 2 liang), Jiao Shanzhi (Gardeniae Fructus, 4 qian), Niubangzi (Arctii Fructus, 5 qian), Sheng Gancao (Glycyrrhizae Radix et Rhizoma, 4 liang), Jing Chanyi (Bombyx Batryticatus, 3 qian), Weilingxian (Syneilesidis Rhizoma, 2 qian), Xuan Mugua (Chaenomelis Fructum, 2 liang), Mu Fangji (Stephaniae Tetrandrae Rhizoma, 1 liang), Zaojiaozi (Gleditsiae Sinensis Semen, 10 grains).
Place all the above ingredients into a pot. Boil three times using firewood. After each boil, strain the dregs through cloth. Discard the dregs. Combine the liquid extracts from the three boils back into the pot. Continue boiling, starting with high heat (Wu Huo) and reducing to low heat (Wen Huo). Add rock sugar to form a paste (Gao). Store in a well-ventilated area, covered with a rice sieve. Drink several bowls daily as tea. When black stools are passed, the toxin begins to exit. Severe cases may recover with half a dose; mild cases may recover with one dose. The remaining dregs can also be boiled for bathing water. Strictly avoid wheat-based foods and tea, as these counteract the efficacy of Tu Fuling. Do not use external applications. If adjustments are needed due to variations in climate, geography, or individual circumstances, modify the prescription accordingly, adhering to the principle of treating according to time and place. However, do not use Ren Shen (Ginseng Radix), Lu Rong (Cervicornium), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Ban Xia (Pinelliae Rhizoma), Xin Yi (Magnoliae Flos), or Fu Zi (Aconiti Lateralis Radix Praeparata), as these may cause the toxin to become internally trapped and unable to exit. Recently, some people have recovered by decocting large amounts of Huai Hua (Sophorae Flos) and drinking the juice, which is another method to remove damp-heat and eliminate toxic pathogens.