论治奇症四十七
天师曰∶奇治者，不以常法治之也。如人生怪病于腹中。或生异症于身上，或生奇形于口上是
也。奇病岂是常药可治，余当以奇药治之，倘人腹中忽有应声虫，此将何法以治之乎？用杀虫药治之，不
应；用祛痰药治之，不应；用寒药凉之，又不应；用热药消之，又不应，然则终何以治之哉。古人有
将本草读之，而虫不应声者，用之即愈，此奇治之一法也。余别有一神奇法治之，省阅本草之劳神。用
生甘草一味，加入白矾，各等分，不须二钱，饮下即愈。盖应声出，非虫也，乃脏中毒瓦斯有祟以凭之也。
用甘草以消毒，用白矾以消痰，况二物一仁一勇，余又以智用之，智、仁；勇三者俱全，祟不觉低首而却
走矣。
张公曰∶妙绝矣，不可思议。
天师曰∶倘人身上忽生人面疮者，有口鼻双眼之全，与之肉且能食，岂非怪病乎，而治之法奈何？世
人有以贝母末敷之，而人面疮愁眉而愈。人以为此冤家债主也，而余以为不然，盖亦有祟凭焉。我有一方
奇甚，效更捷于贝母。方用雷丸三钱，一味研为细末，加入轻粉一钱，白茯苓末一钱，调匀敷上即消。（〔
批〕轻雷丸。）盖雷丸此药，最能去毒而逐邪，加入轻粉，深入骨髓，邪将何隐。用茯苓不过去其水湿
之气耳。此中奇妙，最难言传，余不过道其理之奥妙，而不能言其治之神奇也。
倘人口中忽生疮于舌上，吐出在外寸余，上结成黄靥，难以食物。人以为病在心也，心热故生
此疮。此亦近理之谈，而不知非也。亦有祟以凭之也。方用冰片一分，入在蚌口内，立化为水，乃以鹅翎
敷扫其上，立刻收入其舌，便可饮食矣。蚌乃至阴之物，以至阴攻至阴之邪，则邪自退走。况又加以
冰片之辛温，逐邪不遗余力，自然手到功成也。
倘鼻中生红线一条，长尺许，少动之则痛欲死，人以为饮酒之病也，而余以为不然。亦祟也。方
用硼砂一分，冰片一分，研为末，以人乳调之，轻轻点在红线中间。（〔批〕冰砂丹。）忽然觉有人如将
病患打一拳一般，顷刻即消。奇绝之方也。盖硼砂亦是杀祟之物也。
耳中闻蚂蚁战斗之声者，此则非祟，乃肾水耗尽，又加怒气伤肝所致。方用白芍三两，柴胡三
钱，栀子三钱，熟地三两，山茱萸三两，麦冬一两，白芥子三钱，水煎服。（〔批〕止喧丹。）方中纯是补
肾平肝之圣药。饮之数日，其战斗之声渐远，服一月即愈。此乃奇病，而以伯道之方治之也。
耳中作痒，以木刺之，尚不足以安其痒，必以铁刀刺其底，铮铮有声，始觉快然，否则痒极欲死。
此肾肝之火结成铁底于耳中，非汤药可救。余立一方，用龙骨一钱，皂角刺一条，烧灰存性，冰片三分，
雄鼠胆一枚。先将前药为末，后以鼠胆水调匀，而后以人乳再调如浓糊一般。（〔批〕收痒丹。）将此药
尽抹入耳孔内，必然痒不可当，必须人执其两手，痒定而自愈矣。愈后，服六味丸三十斤可也。如人无
故见鬼如三头六臂者，或如金甲神，或如断手无头死鬼，或黑或白，或青或红之状，皆奇病也。然此皆心
虚而祟凭之。方用白术三两，苍术三两，附子一钱，半夏一两，
天南星三钱、大戟一两，山茨菇一两。各为细末，加入麝香一钱，为末，做成饼子，如玉枢丹一
样。（〔批〕石室秘丹。）此方更妙于紫金锭。凡遇前病，用一饼，姜汤化开饮之，必吐顽痰碗许而
愈。
更有山魈木客，狐狸虫蛇作祟凭身者。方用生桐油搽其下体不便处，最妙。然余更有奇法，以本人裤
子包头，则妖自大笑而去，永不再犯。盖妖原欲盗人之精气也，然最喜清洁，见人污物包头，则其人之
不洁可知，故弃之而去，亦因其好洁而乱之也。不成器之物，而睡梦中来压人者，亦以此法治之。
如人背脊裂开一缝，出虱千余，此乃肾中有风，得阳气吹之，不觉破裂而虱现。方用熟地三两，山茱
萸三两，杜仲一两，白术五钱，防己一钱， 签草三钱。（〔批〕活水止虱丹。）二剂，裂缝生虱尽死。
张公曰∶方皆妙绝奇绝。脊缝生虱，方用蓖麻三粒，研成如膏，用红枣三枚，捣成为丸，如弹子
大。火烧之熏衣上，则虱死而缝合。亦绝奇方也，真不可思议矣。蓖麻子能杀虱而去风，虱去风出则缝自合
矣。
天师曰∶如人粪从小便出，小便从大便出者，此夏天暑热之症。人以五苓散治之亦妙，而予更有
奇方。止用车前子三两，煎汤三碗，一气服完即愈。
人有腹中生蛇者，乃毒瓦斯化成也，或感山岚水溢之气，或感四时不正之气，或感尸气、病气而
成也。方用雄黄一两，白芷五钱，生甘草二两，各为细末，端午日修合为丸，粽子米和而丸之，如大桐
子大。饭前食之，食后必作痛，用力忍
之，切不可饮水，一饮水不则效矣。切记。
张公曰∶生蛇腹中，以身上辨之，身必干涸如柴，似有鳞甲者，蛇毒也，最易辨。吾尚有一方，治之
最验。白芷一味为丸。每日米饮汤送下五钱，即全愈。
天师曰。生鳖者，乃饮食饥饱之时，过于多食，不能一时消化，乃生鳖甲之虫，似鳖而非鳖也。亦以
前方，再用马尿一碗，加人尿半合，童便尤妙，饮之立消。雄黄乃杀蛇之药，白芷乃烂蛇之品，甘草乃去
毒之剂，而马尿化鳖之圣药也，故用之随手而效耳。此则奇病而用奇药也。
人有生鸟鹊于头上臂上，外有皮一层包之，或如瘤状，或不如瘤，而皮肤高起一块者，内作鸟鹊
之声，逢天明则啼，逢阴雨则叫，逢饥寒则痛疼，百药不效。必须用刀割破其皮，则鸟鹊难以藏形，乃破
孔而出，宛似鸟鹊，但无羽毛耳。鸟鹊出孔之后，以前生肌散敷之，外加神膏，三日后依然生合。乃人不
敬神道而戏弄之耳。此病予见之数次矣。扁鹊之治，华佗之医，皆我教之也。
如人遍身生疙疽，或内如核块，或外似蘑菇，香蕈，木耳之状者，乃湿热而生也，数年之后，必然破
孔出血而死。当先用外药洗之，后用汤药消之则愈。外浴洗方，苍耳子草一斤，荆芥三两，苦参三两，白
芷三两，水一大锅，煎汤倾在浴盆内，外用席围而遮之，热则熏，温则洗，洗至水冷而止。（〔批〕消湿
汤。）三日后，乃用煎方。白术五钱，薏仁一两，芡实五钱，人参一两，茵陈三钱，白芥子三钱，半夏三
钱，泽泻三钱，附子一钱，黄芩三钱，水煎服。（〔批〕红黄霹雳散。）一连十剂，自然全消无踪矣，
外边亦无不消也。
如人有腹中高硕，宛似坐胎者，形容憔悻，面目瘦黑，骨干毛枯，此乃鬼胎也。方用红花半斤，
大黄五钱，雷丸三钱，水煎服。倾盆泻出血块如鸡肝者数百片而愈，后乃用六君子汤调治之，自然复
元。此等之病，乃妇人淫心忽起，有物以凭之，才生此症。无论室女出嫁之人，生此病者，邪之所凑，
其气必虚，况又起淫心，有不邪以亲邪者乎。方中妙在用红花为君，又用至半斤，则血行难止，有跃跃自
动之貌。又加以大黄走而不守之味，则雷丸荡邪之物，自然功成之速也。
如人有头角生疮，当日即头重如山，第二日即变青紫，第三日青至身上即死。此乃毒瓦斯攻心而死
也。此病多得之好吃春药。盖春药之类、不过一丸，食之即强阳善战，非用大热之药，何能致此。世间大热
之药，无过附子与阳起石之类是也。二味俱有大毒，且阳起石必须火 而后入药，是燥干之极，自然克我
津液。况穷工极巧于妇女博欢，则筋骸气血俱动，久战之后，必大泄尽情，水去而火益炽矣。久之贪欢，
必然结成大毒，火气炎上，所以多发在头角太阳之部位也。初起之时，若头重如山，便是此恶症。急不
待时，速以金银花一斤煎汤，饮之数十碗，可少解其毒，可保性命之不亡，而终不能免其疮口之溃烂也。
再用金银花三两，当归二两。生甘草一两，元参三两、煎汤。日用一剂，七日仍服。疮口始能收敛而愈。
此种病世间最多，而人最不肯忌服春药也，痛哉。脚大指生疽，亦多不救，亦可以此法治之。
张公曰∶有人脚板下忽生二指，痛不可忍者，乃湿热之气结成，触犯神 之故。方用硼砂一分，瓦
葱一两，冰片三分，人参一钱，为末。（〔批〕消指散。）以刀轻刺出血，刺在生出指上，实时出水，敷
星星在血流之处，随出随糁，以血尽为
度。流三日不流水矣，而痛亦少止。再用人参三钱。白术五钱，生甘草三钱，牛膝二钱，萆 三钱、薏
仁一两，半夏一钱，白芥子三钱，水煎服。（〔批〕化水汤）。四剂可全愈，而指尽化为水矣。外用一
天师膏药，加生肌散敷之即愈矣。
如人有背上忽然疼痛，裂开一缝，窜出蛇一条，长二尺者，颇善跳跃。予亲手治之而验。其症必先
背脊疼甚，而又无肿块，久则肿矣，长有一尺许一条，直似立在脊上。予乃用刀轻轻破其皮而蛇忽跳出，
其人惊绝。予乃用人参一两，半夏三钱，南星三钱，附子一钱，治之忽苏。生肌散敷其患处而愈。予问其何
故而背忽痛耶。彼人云∶我至一庙，见塑一女娘，甚觉美丽非常，偶兴云雨之思，顿起脊背之痛，今三月
以来，痛不可忍。若有蛇钻毒刺光景。余心疑似生怪物见其人又健壮，故用刀刺开皮肉，不意蛇出，而人
竟死也。予随甩三生饮救之而愈。可立医案，以见病之奇而神道之不可玩也。
又有七孔流血者，亦肾虚热也。用六味地黄汤加麦冬三钱，五味子一钱，骨碎补一钱治之。
天师曰∶如人有足上忽毛孔标血如一线者，流而不止即死。急以米醋三升，煮滚热，以两足浸之，即
止血。（〔批〕杜隙汤。）后用人参一两，当归三两，穿山甲一片，火炒为末，煎参归汤，以穿山甲末调之
而饮，即不再发。此症乃酒色不禁，恣意纵欲所致，世上人多有之。方书不载，今因陈子之问，而立一
奇方也。凡有皮毛中出血者，俱以此方救之，无不神效。脐中出血，亦是奇症，然法不同，用六味汤加骨
碎补─钱。饮之即愈。如齿上出血，亦以此方投治。盖脐、齿亦俱
是肾经之位、而出血皆是肾火之外越也。六味汤滋其水，则火自息焰矣。骨碎补专能止窍补骨中之漏者
也，故加入相宜耳。
如人有觉肠胃中痒而无处扒搔者，只觉置身无地。此乃火郁结而不散之故，法当用表散之药。方
用柴胡三钱，白芍一两，甘草二钱、炒栀子三钱。天花粉三钱，水煎服即愈。（〔批〕化痒汤。）
如有人先遍身发痒，以锥刺之少已。再痒，以刀割之快甚。少顷又痒甚，以刀割之觉疼，必流血不
已，以锻石上之，则血止而痒作。又以刀割之，又流血，又以锻石止之，止之又痒。势必割至体无完肤而
后止。此乃冤鬼索命之报也，无法可救。我悯世人不知作恶误犯者亦有之，余今酌定一方救之。方用人
参一两，当归三两、荆芥三钱，水煎服。（〔批〕救割全生汤。）贫者无力买参，则用黄 二两代之。服此
药三剂必救。而痒止痛亦平。但须对天盟誓，万勿作犯法之事，有冤雠者，为之忏经礼佛，庶几不再发。
否则，发不能再救。
如人有皮肤手足之间如蚯蚓唱歌者，此乃水湿生虫也。方用蚯蚓粪，敷于患处即止鸣，以水调涂之，
浓一寸可也。鸣止，再用煎汤。方用白术五钱，薏仁一两，芡实一两，生甘草三钱，黄芩二钱。附子三
分，防风五分，水煎服即愈。此治湿则虫无以养，况又有生甘草以解毒化虫，防风去风而逐瘀，附子斩关
而捣邪，所以奏功如神也。
如有人臂上忽生头一个，眼耳口鼻俱全，且能呼人姓名，此乃债主索负之鬼结成此奇病也。方用人
参半斤，贝母三两，白芥子三两，茯苓三两，白术五两，生甘草三两，白矾二两，半夏二两，青盐三两，各
为末，米饭为丸。每日早晚白滚水送下各五钱，自然渐渐缩小而愈，病奇而方神也。此症初起
之时，必然臂痛发痒，以手搔之，渐渐长大，久则渐渐露形，大如茶钟，但无头发须眉而已。如用刀割
之，立刻死亡不救。服吾药后，亦以忏经念佛为妙。
如人舌吐出不肯收进，乃阳火盛强之故。以冰片少许，点之即收。（〔批〕收舌散。）后用黄连三
钱，人参三钱。菖蒲一钱，柴胡一钱，白芍三钱，水煎服，二剂可也。
如人舌缩入喉咙，不能语言者，乃寒气结于胸腹之故。急用附子一钱，人参三钱，白术五钱，肉桂一
钱，干姜一钱治之，则舌自舒矣。
如人舌出血如泉者，乃心火旺极，血不藏经也。当用六味地黄汤加槐花三钱，饮之立愈。
有人唇上生疮，久则疮口出齿牙于唇上者，乃七情忧郁，火动生齿，奇症也。方用柴胡三钱，白芍
三钱，黄连一钱，当归三钱，川芎一钱，生地三钱，黄芩一钱，天花粉二钱，白果十个，水煎服。外用冰
片一分，僵蚕末一钱，黄柏炒为末三钱，糁之自消齿矣。
人掌中忽高起一寸，不痛不痒，此乃阳明经之火不散而郁于手也。论理该痛痒，而今不痛痒，不特火
郁于腠理，而且水壅于皮毛也，法当用外药消之。盖阳明之火盛，必然作渴，引饮不休。今又不渴，是胃
Discussion on the Treatment of Forty-Seven Strange Diseases
The Heavenly Master said: "Strange treatment" refers to treating with methods other than the ordinary ones. For instance, when a person develops strange diseases in the abdomen, or unusual symptoms on the body, or peculiar formations in the mouth, this is what is meant. Can strange diseases be treated with ordinary medicines? I should treat them with strange medicines. Suppose a "sound-responding worm" suddenly appears in a person's abdomen; what method would be used to treat it? Using insecticides yields no response; using phlegm-resolving drugs yields no response; cooling with cold-natured drugs yields no response; dissipating with heat-natured drugs also yields no response. Then how exactly should it be treated? The ancients had a method where reading from the Materia Medica caused the worm to stop responding, and using this method led to recovery. This is one method of strange treatment. I have another magical treatment method that saves the mental effort of reviewing the Materia Medica. Use only raw Licorice Root (Gancao, 甘草) combined with Alum (Bai Fan, 白矾), in equal parts, totaling no more than two qian. Drink it down, and it will heal immediately. The reason is that the sound-responding entity is not a worm, but rather toxic vapors within the zang-fu organs acting as a nuisance. Licorice Root eliminates toxins, while Alum resolves phlegm. Moreover, these two substances possess benevolence and courage respectively, and I employ wisdom in their use. With wisdom, benevolence, and courage all present, the nuisance naturally bows its head and retreats.
Lord Zhang said: "Wonderful! It is inconceivable."
The Heavenly Master said: "Suppose a 'human-faced sore' suddenly grows on a person's body, possessing complete features such as mouth, nose, and eyes, and even able to eat flesh given to it. Is this not a strange disease? How should it be treated? Some people in the world apply powder of Fritillaria Bulb (Beimu, 贝母) to it, and the human-faced sore heals with a sorrowful expression. People think this is revenge from karmic creditors, but I disagree. It is likely due to a nuisance attaching itself. I have a prescription that is even more strange and effective faster than Fritillaria. The prescription uses three qian of Polyporus Umbellatus Pill (Leiyuan, 雷丸), ground into fine powder, added with one qian of Calomelas (Qingfen, 轻粉) and one qian of Poria Cocos Powder (Fuling, 茯苓). Mix evenly and apply to the affected area for immediate disappearance. (Annotation: Qing-Lei Pill.) Polyporus Umbellatus is best at removing toxins and driving out evil qi. Adding Calomelas allows it to penetrate deep into the bone marrow, leaving nowhere for the evil qi to hide. Poria Cocos is used merely to remove dampness-water qi. The subtlety here is hard to convey in words; I can only explain the profundity of the principle, not fully describe the magic of the treatment.
If a sore suddenly grows on the tongue inside the mouth, protruding over an inch, forming a yellow crust, making eating difficult. People assume the disease is in the Heart, caused by Heart Heat. This sounds reasonable but is incorrect. It is also due to a nuisance attaching itself. The prescription uses one fen of Borneol (Bingpian, 冰片), placed inside a clam shell until it liquefies. Apply this liquid to the sore with a goose feather quill; the tongue will retract immediately, allowing eating. Clams are extreme Yin substances; using extreme Yin to attack extreme Yin evil causes the evil to retreat. Furthermore, Borneol's acrid-warm nature drives out evil without sparing effort, ensuring success upon application.
If a red line grows in the nose, about a chi long, causing excruciating pain upon slight movement. People attribute this to alcohol consumption, but I disagree. It is also a nuisance. The prescription uses one fen of Borax (Pengsha, 硼砂) and one fen of Borneol, ground into powder, mixed with human milk, and gently dotted onto the middle of the red line. (Annotation: Bing-Sha Dan.) Suddenly, it feels as if someone punched the patient, and the line disappears instantly. A truly miraculous prescription. Borax is also a substance that expels nuisances.
Hearing the sound of ants fighting in the ears is not due to a nuisance, but rather the exhaustion of Kidney Water compounded by Liver injury from anger. The prescription uses three liang of White Peony Root (Baishao, 白芍), three qian of Bupleurum Root (Chaihu, 柴胡), three qian of Gardenia Fruit (Zhizi, 栀子), three liang of Prepared Rehmannia Root (Shudi, 熟地), three liang of Cornus Officinalis Fruit (Shanzhuyu, 山茱萸), one liang of Ophiopogon Tuber (Maidong, 麦冬), and three qian of White Mustard Seed (Baijiezi, 白芥子). Decoct in water and take orally. (Annotation: Zhi-Xuan Dan.) The formula consists entirely of sage medicines for tonifying the Kidney and soothing the Liver. After taking it for several days, the fighting sound gradually fades, and full recovery occurs after one month. This is a strange disease treated with a balanced formula.
Itching in the ears, where scratching with wood is insufficient, requiring stabbing with an iron knife to the bottom producing a ringing sound for relief, otherwise unbearable itching. This is Fire from the Kidney and Liver condensing into a hard base in the ear, unrescuable by decoctions. I prescribe: one qian of Dragon Bone (Longgu, 龙骨), one stick of Gleditsia Sinensis Thorn (Zaojiaoci, 皂角刺), burnt to ash retaining properties, three fen of Borneol, and one male rat gallbladder. First, grind the former ingredients into powder. Then mix with rat gallbladder juice, and further blend with human milk to form a thick paste. (Annotation: Shou-Yang Dan.) Smear this entire mixture into the ear canal. It will inevitably cause intense itching; someone must hold the patient's hands until the itching subsides and healing occurs. Post-recovery, take thirty jin of Liuwei Wan (Six-Ingredient Pill with Rehmannia). If a person suddenly sees ghosts without cause—such as three-headed six-armed figures, golden-armored deities, decapitated dead ghosts, or varying colors like black, white, green, or red—these are all strange diseases. However, these are all due to Heart Deficiency allowing nuisances to attach. The prescription uses three liang of Atractylodes Macrocephala Rhizome (Baizhu, 白术), three liang of Atractylodes Lancea Rhizome (Cangzhu, 苍术), one qian of Aconite Lateralis Radix Preparata (Fuzi, 附子), one liang of Pinellia Tuber (Banxia, 半夏), three qian of Arisaema Cum Bile (Tiannanxing, 天南星), one liang of Euphorbia Lathyris Root (Daji, 大戟), and one liang of Fritillaria Cirrhosa Bulb (Shancigu, 山茨菇). Grind each into fine powder, add one qian of Musk (Shexiang, 麝香), grind again, and form into cakes similar to Yushu Dan. (Annotation: Shishi Mi Dan.) This formula is superior to Zijin Ding. For the aforementioned conditions, dissolve one cake in ginger soup and drink; it will induce vomiting of approximately one bowl of stubborn phlegm, leading to cure.
Furthermore, if spirits like Shanxiao, Muke, foxes, insects, or snakes possess the body. The prescription uses raw Tung Oil (Tengtongyou, 桐油) applied to the lower body's private areas, which is excellent. However, I have an even stranger method: wrap the patient's own underwear around the head, and the demon will laugh loudly and leave, never to return. Demons seek to steal human essence but love cleanliness; seeing dirty cloth wrapped on the head indicates uncleanness, so they abandon the person. This exploits their preference for cleanliness to disrupt them. Objects lacking spirit that press down on people during sleep are also treated this way.
If a crack opens on the back spine, releasing over a thousand lice, this is Wind in the Kidney blown by Yang Qi, causing rupture and lice emergence. The prescription uses three liang of Prepared Rehmannia Root (Shudi, 熟地), three liang of Cornus Officinalis Fruit (Shanzhuyu, 山茱萸), one liang of Eucommia Bark (Duzhong, 杜仲), five qian of Atractylodes Macrocephala Rhizome (Baizhu, 白术), one qian of Stephania Tetrandra Root (Fangji, 防己), and three qian of Qiancao (Qiancao, 签草). (Annotation: Huo-Shui Zhi-Shi Dan.) Two doses will kill all lice and close the crack.
Lord Zhang said: "These formulas are wonderfully strange. For lice emerging from spinal cracks, my formula uses three castor beans (Bimazi, 蓖麻), ground into paste, mixed with three red dates pounded into pills the size of marbles. Burn them to smoke the clothes; lice die and the crack heals. Also a very strange formula. Castor seeds kill lice and dispel wind; once lice are gone and wind exits, the crack closes naturally."
The Heavenly Master said: "If feces exit via urine and urine via feces, this is a summer heat syndrome. Wuling San (Five-Ingredient Powder with Poria) is effective, but I have a stranger formula. Use only three liang of Plantago Seed (Cheqianzi, 车前子), decoct in three bowls of water, and drink in one go for immediate cure.
Snakes growing in the abdomen result from toxic vapors transforming, or contracting mountain mist/water overflow qi, four-season abnormal qi, corpse qi, or disease qi. The prescription uses one liang of Realgar (Xionghuang, 雄黄), five qian of Angelica Dahurica Root (Baizhi, 白芷), and two liang of Raw Licorice Root (Gancao, 甘草). Grind into powder, prepare pills on the Dragon Boat Festival (Duanwu), bind with sticky rice from zongzi, size of large tung nuts. Take before meals; pain will follow, endure it forcefully, do NOT drink water, or efficacy is lost. Remember this well.
Lord Zhang said: "Abdominal snakes can be identified by the body becoming dry as firewood, appearing scaly. This is snake poison, easy to identify. I have another highly effective formula: Pills made solely of Angelica Dahurica Root (Baizhi, 白芷). Take five qian daily with rice water for full recovery.
The Heavenly Master said: "Turtles growing in the abdomen occur from overeating during hunger/fullness cycles, unable to digest instantly, generating turtle-shell-like worms resembling turtles but not true turtles. Use the previous formula plus one bowl of horse urine and half he of human urine (child's urine is best); drink to dissolve instantly. Realgar kills snakes, Angelica Dahurica Root rots snakes, Licorice Root removes toxins, and horse urine dissolves turtles. Hence, immediate effect. This is strange disease treated with strange medicine.
Birds or sparrows growing on the head or arms, covered by skin, sometimes tumor-like, emitting bird sounds, crying at dawn, calling in rain/cold/hunger, unresponsive to hundred medicines. Must cut open the skin to reveal the bird-like form (without feathers) exiting the hole. Apply Shengji San (Generate Flesh Powder) post-extraction, cover with Sheng Gao (Divine Ointment); heals in three days. This results from disrespecting spiritual ways. I have seen this multiple times. Bian Que’s treatments and Hua Tuo’s medical skills were taught by me.
Generalized nodules or tumors resembling mushrooms, agarics, or wood ear fungus throughout the body, caused by Damp-Heat, eventually bursting and bleeding to death. First wash externally, then resolve internally. External wash: one jin of Xanthium Strumarium Herb (Cang'ercao, 苍耳子草), three liang of Schizonepeta Spike (Jingjie, 荆芥), three liang of Sophora Root (Kushen, 苦参), three liang of Angelica Dahurica Root (Baizhi, 白芷). Decoct in a large pot, pour into bath tub, surround with mats. Steam when hot, wash when warm, stop when cool. (Annotation: Xiao-Shi Tang.) After three days, use internal decoction: five qian of Atractylodes Macrocephala Rhizome (Baizhu, 白术), one liang of Coix Seed (Yiren, 薏仁), five qian of Euryale Seed (Qianshi, 芡实), one liang of Ginseng Root (Renshen, 人参), three qian of Yinchen Artemisiae Herba (Yinchen, 茵陈), three qian of White Mustard Seed (Baijiezi, 白芥子), three qian of Pinellia Tuber (Banxia, 半夏), three qian of Alisma Rhizome (Zexie, 泽泻), one qian of Aconite Lateralis Radix Preparata (Fuzi, 附子), three qian of Scutellaria Root (Huangqin, 黄芩). Decoct and take. (Annotation: Hong-Huang Pi-Li San.) Ten consecutive doses ensure complete resolution internally and externally.
Abdominal distension resembling pregnancy, emaciation, dark face, withered bones/hair, indicates Ghost Fetus. Prescription: half jin of Safflower Flower (Honghua, 红花), five qian of Rhubarb Root (Dahuang, 大黄), three qian of Polyporus Umbellatus Pill (Leiyuan, 雷丸). Decoct and take. Expelling hundreds of chicken-liver-sized blood clots cures it. Afterwards, regulate with Liujunzi Tang (Six-Gentlemen Decoction) for natural restoration. Such diseases arise from sudden lustful thoughts attracting entities. Whether virgin or married, when evil gathers, Qi is deficient; coupled with lust, evil naturally attaches. The formula’s brilliance lies in using Safflower Flower as Sovereign herb in large quantity (half jin) to promote blood flow vigorously, aided by Rhubarb’s moving nature and Polyporus Umbellatus’ evil-dispersing property, ensuring rapid success.
Sore on forehead/temples causing heavy head day one, turning blue-purple day two, spreading to body causing death day three. This is toxic vapors attacking the Heart, often from excessive aphrodisiac use. Aphrodisiacs contain extreme heat (Aconite, Yangqishi/Calcitum) to induce strong yang. These are highly toxic and drying, consuming fluids. Excessive sexual activity moves Qi/blood, leading to massive depletion, increasing Fire. Long-term indulgence creates great toxicity; Fire flares upward to Taiyang regions. Initial symptom: heavy head. Urgently decoct one jin of Honeysuckle Flower (Jinyinhua, 金银花), drink dozens of bowls to mitigate toxin and save life, though ulceration may persist. Follow with: three liang Honeysuckle Flower, two liang Angelica Root (Danggui, 当归), one liang Raw Licorice Root (Gancao, 甘草), three liang Scrophularia Root (Yuanshen, 元参). Decoct, one dose daily for seven days. Ulcers will contract and heal. Common disease; tragic that people refuse to avoid aphrodisiacs. Big toe carbuncles are also untreatable but respond to this method.
Lord Zhang said: "Two fingers suddenly growing on the sole, painful, due to Damp-Heat condensation offending spirits. Prescription: one fen Borax (Pengsha, 硼砂), one liang Wacong (Wacong, 瓦葱 - wild onion/garlic variant), three fen Borneol (Bingpian, 冰片), one qian Ginseng Root (Renshen, 人参). Grind to powder. (Annotation: Xiao-Zhi San.) Lightly prick to bleed on the new finger, apply powder to flowing blood until blood stops. Flow lasts three days, pain subsides. Then take: three qian Ginseng Root (Renshen, 人参), five qian Atractylodes Macrocephala Rhizome (Baizhu, 白术), three qian Raw Licorice Root (Gancao, 甘草), two qian Achyranthes Root (Niuxi, 牛膝), three qian Dioscorea Hypoglauca Rhizome (Bixie, 萆薢), one liang Coix Seed (Yiren, 薏仁), one qian Pinellia Tuber (Banxia, 半夏), three qian White Mustard Seed (Baijiezi, 白芥子). Decoct and take. (Annotation: Hua-Shui Tang.) Four doses cure, fingers dissolve to water. Apply external Tianshi Gaoyao (Heavenly Master Plaster) with Shengji San for healing.
Sudden back pain opening a crack releasing a two-chi jumping snake. I treated this successfully. Symptoms: severe back pain without mass initially, later swelling into a one-chi vertical lump. Cut skin gently, snake jumps out, patient faints. Treat with: one liang Ginseng Root (Renshen, 人参), three qian Pinellia Tuber (Banxia, 半夏), three qian Arisaema Cum Bile (Nanxing, 南星), one qian Aconite Lateralis Radix Preparata (Fuzi, 附子). Patient revives. Apply Shengji San to heal. Inquiry revealed patient saw beautiful female statue in temple, aroused lust, causing back pain for three months feeling like snake venom injection. Suspected monster, cut skin, snake emerged, patient died. Saved with Sansheng Yin. Record this case to show disease strangeness and that spirits are not to be trifled with.
Bleeding from seven orifices indicates Kidney Deficiency Heat. Treat with Liuwei Dihuang Tang (Six-Ingredient Pill with Rehmannia) plus three qian Ophiopogon Tuber (Maidong, 麦冬), one qian Schisandra Berry (Wuweizi, 五味子), one qense Drynaria Rhizome (Gusuibu, 骨碎补).
The Heavenly Master said: "Blood streaming like a thread from foot pores, fatal if unchecked. Urgently boil three sheng of Rice Vinegar (Micu, 米醋), soak feet to stop bleeding. (Annotation: Du-Xi Tang.) Afterwards, take: one liang Ginseng Root (Renshen, 人参), three liang Angelica Root (Danggui, 当归), one piece Pangolin Scale (Chuanshanjia, 穿山甲), stir-fried to powder. Decoct Ginseng and Angelica, mix with Pangolin Scale powder to drink. Prevents recurrence. Caused by unrestrained wine/lust. Rarely recorded; created here due to Chen Zi’s inquiry. Effective for any dermal bleeding. Umbilical bleeding is also strange but treated differently: Liuwei Tang plus one qian Drynaria Rhizome (Gusuibu, 骨碎补) cures it. Tooth bleeding treated similarly. Umbilicus and teeth belong to Kidney Meridian; bleeding is Kidney Fire escaping. Liuwei Tang nourishes Water to quell Fire. Drynaria Rhizome specifically stops orifice leakage and tonifies bone, hence appropriate addition.
Itchiness in intestines/stomach with nowhere to scratch, feeling homeless. Due to constrained Fire not dispersing. Treat with exterior-releasing herbs. Prescription: three qian Bupleurum Root (Chaihu, 柴胡), one liang White Peony Root (Baishao, 白芍), two qian Licorice Root (Gancao, 甘草), three qian Stir-fried Gardenia Fruit (Zhizi, 栀子), three qian Trichosanthes Root (Tianhuafen, 天花粉). Decoct and take for cure. (Annotation: Hua-Yang Tang.)
Generalized itching relieved slightly by needle pricking, then worse, relieved by knife cutting, then bleeding uncontrollably stopped by Ferrous Sulfate (Duanshi, 锻石), itching returns. Cycle repeats until skin destroyed. This is vengeful ghost retribution, incurable. Pitying those who err unknowingly, I prescribe: one liang Ginseng Root (Renshen, 人参), three liang Angelica Root (Danggui, 当归), three qian Schizonepeta Spike (Jingjie, 荆芥). Decoct and take. (Annotation: Jiu-Ge Quan-Sheng Tang.) Poor patients substitute with two liang Astragalus Root (Huangqi, 黄芪). Three doses save, stopping itch/pain. Must swear oath against illegal acts; repent with sutras/Buddha worship to prevent recurrence. Otherwise, incurable.
Earthworm-like singing in skin/extremities indicates Damp-Water generating worms. Apply earthworm feces (Qiuyinfen, 蚯蚓粪) mixed with water, one cun thick, to stop sound. Then take decoction: five qian Atractylodes Macrocephala Rhizome (Baizhu, 白术), one liang Coix Seed (Yiren, 薏仁), one liang Euryale Seed (Qianshi, 芡实), three qian Raw Licorice Root (Gancao, 甘草), two qian Scutellaria Root (Huangqin, 黄芩), three fen Aconite Lateralis Radix Preparata (Fuzi, 附子), five fen Saposhnikovia Root (Fangfeng, 防风). Decoct and take. Curing Damp starves worms; Licorice detoxifies/dissolves worms; Fangfeng dispels Wind/removes stasis; Fuzi breaks through/drives out evil. Miraculous efficacy.
Head growing on arm with complete features, speaking names, indicates karmic creditor ghost formation. Prescription: half jin Ginseng Root (Renshen, 人参), three liang Fritillaria Bulb (Beimu, 贝母), three liang White Mustard Seed (Baijiezi, 白芥子), three liang Poria Cocos (Fuling, 茯苓), five liang Atractylodes Macrocephala Rhizome (Baizhu, 白术), three liang Raw Licorice Root (Gancao, 甘草), two liang Alum (Bai Fan, 白矾), two liang Pinellia Tuber (Banxia, 半夏), three liang Blue Salt (Qingyan, 青盐). Grind all, form pills with rice. Take five qian morning/evening with plain water. Gradually shrinks and heals. Strange disease, divine formula. Initially arm pain/itch, scratching enlarges it to teacup size (no hair/beard). Cutting causes instant death. After medication, repentance is advised.
Tongue protruding and unable to retract indicates excessive Yang Fire. Apply small amount of Borneol (Bingpian, 冰片) to retract. (Annotation: Shou-She San.) Afterwards, take: three qian Coptis Rhizome (Huanglian, 黄连), three qian Ginseng Root (Renshen, 人参), one qian Acorus Tatarinowii Rhizome (Changpu, 菖蒲), one qian Bupleurum Root (Chaihu, 柴胡), three qian White Peony Root (Baishao, 白芍). Decoct, two doses suffice.
Tongue retracted into throat, unable to speak, indicates Cold Qi condensing in chest/abdomen. Urgently treat with: one qian Aconite Lateralis Radix Preparata (Fuzi, 附子), three qian Ginseng Root (Renshen, 人参), five qian Atractylodes Macrocephala Rhizome (Baizhu, 白术), one qian Cinnamon Twig (Rougui, 肉桂), one qian Dried Ginger (Ganjiang, 干姜). Tongue will relax.
Tongue bleeding like a spring indicates extreme Heart Fire failing to store blood. Treat with Liuwei Dihuang Tang (Six-Ingredient Pill with Rehmannia) plus three qian Sophora Flower (Huaihua, 槐花). Immediate cure.
Sore on lip developing teeth over time, due to Seven Emotions depression and Fire generating teeth. Strange condition. Prescription: three qian Bupleurum Root (Chaihu, 柴胡), three qian White Peony Root (Baishao, 白芍), one qian Coptis Rhizome (Huanglian, 黄连), three qian Angelica Root (Danggui, 当归), one qian Ligusticum Chuanxiong Rhizome (Chuanxiong, 川芎), three qian Rehmannia Root (Shengdi, 生地), one qian Scutellaria Root (Huangqin, 黄芩), two qian Trichosanthes Root (Tianhuafen, 天花粉), ten White Fruits (Baiguo, 白果). Decoct. External: one fen Borneol (Bingpian, 冰片), one qian Silkworm (Jiangcan, 僵蚕) powder, three qian Stir-fried Phellodendron Bark (Huangbai, 黄柏) powder. Sprinkle to dissolve teeth.
Palms suddenly raised one cun, painless/itchless, indicates Stomach Meridian Fire constrained in hand. Should hurt/itch, but absence suggests Fire constrained in collaterals and Water obstructing skin. Treat externally. Stomach Fire usually causes thirst; absence confirms constraint.