李时珍曰∶今医家有搜风解毒汤，治杨梅疮，不犯轻粉，病深者月余，浅者半月即愈。服轻粉药，
筋骨挛痛瘫痪，不能动履者，服之亦效。其方用土茯苓一两，薏仁、金银花、防风、木瓜、木通、白
藓皮各五分，皂荚子四分。气虚加人参七分，血虚加当归七分。水二大碗，煎饮，一日三服。忌饮茶
及牛、羊、鸡、鹅、鱼肉，烧酒，发面，房劳。盖秘方也。（《本草纲目》。雄按∶史 臣方，当归
五钱；净银花、防风、荆芥、何首乌，勿犯铁器，木棒打碎，各三钱；肥皂子九个打碎；土茯苓瓷锋
刮去皮，木棒打碎，四两；猪胰一具。河水六碗，瓦器煎浓，每早、中、晚空心温服一碗，恪守禁忌。
虽年久毒重者，二十剂即收功，且无后患。此方平淡而有神效也。）
县中陈某家有使女，生广疮，求治于方上道人。其方只用干荷叶一味，煎浓汤当茶，日逐饮之，
尽量而止，不过六七日即愈。亲试甚验。又一当县甲首者生广疮，传方上道人方，用麦冬、母子草根
捣汁，和好酒同服即愈。其草取竹中无露水者为上。（李翊《戒庵漫笔》）
冯楚瞻治张姓人，曾患梅疮，清凉解毒而愈。未几，忽头颅、面颊、牙床、鼻柱、疼痛不堪，饮
食难进。谓余毒为害，复用清凉解毒，渐致饮食俱废，坐卧不宁，精神疲困，六脉微弱。冯曰∶果属
阳毒，脉宜洪大，此为寒凉久服，致阴阳失职耳。即恶疮初发，亦由精血元阳亏损，斯阴寒凝冱之气
得以乘之。乃与大剂熟地、麦冬、白术、牛膝、五味、附子，兼八味丸，并服半月而愈。（雄按∶如
果凉药过投，阴寒凝冱为病，而六脉微弱，则当温煦以培阳气，何必再用大剂熟地，以滋窒腻哉？）
孙文垣治吴东星，疟止腰疼，白浊咳嗽，肌肉大消，百治不应，痛剧欲死。脉之，左弦细，右滑
大，俱六
至，口渴眼赤，知其昔患梅疮，余毒尚伏经络，因疟后气血不足，旧毒感动，故痛而暴也。以当归、
白芍、甘草、牛膝、钩藤、薏仁、木通、白藓皮，用土茯苓四两，煎汤煎药，服下痛止，嗽、脉缓其
半。数帖大效，精神渐复。冬至日乘酒纵欲，次日腰如束缚，足面疼，左眼赤，小水短，足底有火，
从两胯冲上，痛不可言，再以归、芍、钩藤、甘草、牛膝、薏仁、石斛、红花、生地、黄柏，调理三
日，症略减。适大雪寒甚，有女医因其大便燥结，一日夜进玄明粉一两五钱，大便且不行，而腰痛愈
猛，两足挛缩，气息奄奄，面青惨，六脉俱伏，痛使然也。知服玄明粉所致，曰∶症虽热，但病在经
络筋骨间，徒泻肠胃无益也。足挛腰痛也者，由天气寒极，经络凝涩，法当温散寒邪之标，使痛定，
然后治本。乃用桂心、杜仲、炙草、苍术、破故纸、五加皮，二剂痛定，四肢柔和，饮食始进。嘱曰∶
病在经络，俟春和始可除之，勿亟也。不信，更服滋阴降火之剂，两月无功。再求治，乃以煨肾散进，
大泻五六度，（仍是泻其肠胃矣。）四肢皆冷，咸以为泻之非也。曰∶病从此减矣，夫何忧？再进理
脾药数帖，神气遂转，腰胯柔和，渐能步履。乃以威灵仙末二钱，入猪腰内煨食之，又泻一二度。审
其梅毒湿热已清，改用薏仁、当归、生熟地、白芍、牛膝、黄柏、丹参、龟板，调理全安。（雄按∶
煨肾用甘遂或用牵牛，皆通行经络，不比玄明粉之直走阳明也。继煨以灵仙，用意尤妙。）
俞东扶曰∶此条病情反复，孙公能随其病机曲折以赴之。就所录者，已有七次，治法惟始终汇载，
方知其中间有效有不效，乃可垂为模范。苟逸其半，而存其半，则不知来路之渊源，未明结局之成败，
何以评 其是非乎？因不禁慨然于《临证指南》。
朱怀竹壮年客外不谨，患杨梅疮。恐人知之，欲归，乃求速愈，用药熏洗，不瘳。又用药末点之，
日服煎药三帖，治两月，毒且入内，下则肛脱，疮满如蕈，上则肺壅喘甚，胸胀不能仰卧，内热恶寒，
谵语，阴囊疙瘩肿痛，两足疮延肿大。脉之，俱洪大而数，曰∶病重甚，壮年犹可治。第胸中有瘀血
毒物，俟出后，乃可与药，否则反用致疑。另延医，果大发喘嗽，吐紫黑血块如脓者碗许，腥秽不可
近。此熏药迫毒入肺，瘀壅肺窍，喘嗽，必俟吐尽，从而消之，斯易为力也。乃用丹皮、桑白皮、白
藓皮、木通、前胡、枳壳、桔梗、甘草、薏
仁、杏仁、葶苈，服后大便急重，二十余次，所下黑紫脓血甚多，喘咳稍定，红痰稍淡。二三剂，能
卧。改用白芍、当归、白藓皮、贝母、黄连、银花、皂角、薏仁、麦冬、木通，二帖，足疮肿渐消，
阴囊出脓血二碗，两尺已不洪大。前方加丹参，又二帖，囊结疤，三日后落下，浓可半寸，洞见两丸，
系一光薄白胞。用红粉霜加生肌药敷之，日三次，脓水干。再以人参、归、芍、白芷、甘草、白藓皮、
皂角、薏仁、首乌，调理一月悉愈。令日用土茯苓、猪肉各半斤，同煎烂，入酱盐如常食之，汤当茶
饮，遂瘳。次年生女。
谭公亮患结毒，医用五宝丹，饵之三年不效。仲淳云∶五宝丹非完方也，无红铅灵药不能奏功。
时无红铅，姑以松脂、铅粉、麻油调敷，应手而减。公亮先用乔伯 所赠乳香膏，止痛生肌甚捷。及
用此二味，功效弥良，乃知方药中，不在珍贵之剂也。（《广笔记》）
陆养愚治朱少川，因感冒，寒热咳嗽，筋骨疼痛。服发散之药，寒热已除，而疼痛咳嗽不止。或
以羌活治痛，前、杏治嗽，不效。又以其渔色，必阴虚，投六味月余，反口渴异常，身热，疼痛益甚。
脉之，沉细弦数而有力，因问其曾患梅疮否？答曰∶已过矣。曰∶此症正其遗毒也。疼痛者，毒在经
络骨髓也；咳嗽口渴者，毒火上炎也。用养血解毒之剂，倍土茯苓，数剂而减，十剂全愈。
薛立斋治一男子，遍身皆患梅疮，左手脉浮而数。以荆防败毒散治之，表症乃退。以仙方活命饮，
六剂渐愈。兼饮萆 汤，月余而愈。
一童子外肾患此症，延及小腹数枚，作痛发热，以小柴胡汤吞芦荟丸，更贴神异膏，月余而安。
一儒者患前症，先外肾作痒出水，后阴囊、股内、小腹、胁臂发小瘰，或干或脓窠。误服祛风等
药，肢体倦怠，恶寒发热，饮食渐减，大便不实，脉见浮弦，两尺浮数，此肾水虚热，肝木乘脾土也。
用六味地黄丸、补中益气汤为主，佐以换肌消毒散而愈。
一人患此症，服攻毒等药，患处凸而色赤作痛，肢体倦怠，恶寒发热，脉浮而虚，此元气复伤而
邪气实也。用补中益气汤二剂而愈。
进士刘华甫，患此症数月，用轻粉、朱砂等药，头、面、背、臀各结一块二寸许，溃而形气消弱，
寒热口干，舌燥唇裂，小便淋沥，痰涎上涌，饮食少思，此脾胃伤，诸脏弱而虚火动也。先用六君子
汤二十余剂，又用补中益气汤加山药、山萸、麦冬、五味，服之，胃气复而诸症愈。惟小便未清，痰
涎未止，用加减八味丸而痊。
一男子患杨梅疮后，两腿一臂各溃二寸许一穴，脓水淋漓，少食不睡，久而不愈。以八珍汤加枣
仁、茯神服之，每日以蒜捣涂患处，灸良久，遂贴膏药，数日稍可。却用豆豉饼灸之，更服十全大补
汤而愈。
一妇人患此症，皆愈。惟两腿两 各烂一块如掌，兼筋挛骨痛，三年不愈，诸药无效，日晡热甚，
饮食少思。以萆 汤兼逍遥散，倍用茯苓、白术，数剂热止食进。贴神异膏，更服八珍汤加牛膝、杜
仲、木瓜，三十余剂而愈。
薛立斋治一妇人患此症，燃轻粉药于被中熏之，致遍身皮塌，脓水淋漓，不能起居。以滑石、黄
柏、绿豆粉末等药，铺席上，令可卧，更服神功托里散，月余痊。
青浦四十二堡一大家，聚外家，生杨梅疮，遍身溃烂。临终，弃之于野。一乞丐收养之，数日不死，
女忽思食肉。适有数盗在盂婆墩祭赛，丐者乞肉，即与一肩，怀归食妇。食未尽者，悬之树枝，为蜈
蚣所食，毒侵肉中。妇食之，疮为毒发，旬日全愈，其色更丽于前。丐欲送归，妇不许，曰∶我当终
身从君矣。遂为伉俪，生一子。丐者日操舟，乞食龙潭。其妇言笑不苟，亦云贤矣。（《云间杂志》）
立斋治一男子，咽间先患及于身。服轻粉之剂，稍愈。已而复发，仍服之，亦稍愈。后大发，上
溃蚀与鼻相通，臂腿数枚，其状如桃，大溃，年余不敛，神思倦怠，饮食少思，虚症悉具，投以萆
汤为主，以健脾胃之剂兼服之，月余而安。
一妇人患此症，脸鼻俱蚀，筋骨作痛，脚面与跟各肿一块，三月而溃，脓水淋漓，半载不敛，治
以前药亦愈。
一男子阴茎患此症，肿痛。先以导水丸、龙胆泻肝汤各四服，少愈。再以小柴胡汤加黄柏、知母、
苍术，五十余剂而平。
一男子患此症，阴茎肿溃，小便赤涩，肝脉弦数。以小柴胡汤加木通、青皮、龙胆草，四帖，又
服龙胆泻肝汤，数帖而全愈。
一妇人患此症， 肿便秘作渴，脉沉实。以内疏黄连汤二剂，里症已退。以龙胆泻肝汤数剂，顿
退。间服萆 汤，月余而愈。
一男子患此症，发寒热，便秘作渴，两手脉实。以防风通圣散治之而退。以荆防败毒散兼龙胆泻
肝汤愈。
一男子患此症，愈后腿肿一块，久而溃烂不敛。以蒜捣烂敷患处，用艾隔蒜灸之。更贴神异膏，
及服黑丸子并托里药，两月而愈。
一男子患此症，皆愈。但背肿一块甚硬，肉色不变，年余方溃，出水，三载不愈，气血俱虚，饮
食少思。以六君子汤加当归、藿香，三十余剂少愈。更饮萆 汤，两月余而愈。
一男子患此症，势炽，兼脾胃气血皆虚。亦服前药而痊，后不复发。
马铭鞠治李行甫患霉疮。（俗名广疮。）误用水银、番硗等药搓五心，三日间，舌烂、齿脱、喉
溃，秽气满室，吐出腐肉如猪肝色，汤水不入，腹胀，二便不通，医皆谢去。独用治喉药吹喉，痰壅
愈甚，痛难忍，几死。马按其腹不痛，虽胀满未坚，犹未及心，知水银毒入腹未深，法宜以铅收之。
急用黑铅斤余，分作百余块，加大剂甘桔汤料，银花、甘草各用四五两，水二三十碗，锅内浓煎。先
取三四碗入汤注中，徐灌之，任其自流。超时，舌渐转动，口亦漱净，即令恣饮数盏，另取渣再煎，
连前浓汁，频濯手足。次日二便去黑水无算，始安。方用吹口药及败毒托里药，数剂而愈。后贾仆有
颜孝者，亦患霉疮，误用水银熏，其症如一，行甫即以前法治之，次日立起。（《广笔记》）
《广笔记》治霉疮方∶猪胰脂二两，金银花二钱，皂角刺一钱，芭蕉根一两，雪里红五钱，五加
皮二钱，土茯苓白色者二两，皂荚子七粒，打碎，独核肥皂仁七粒，切片，白僵蚕炙七分，木瓜一钱，
白藓皮一钱，蝉蜕
一钱。年久力衰者，加薏苡仁五钱，甘草节二钱，绵黄 三钱，生地二钱，人参二钱；久不愈，加胡
黄连三钱，胡麻仁二钱，全蝎七枚。水三大碗，煎至一碗，不拘时，饿则服。
《广笔记》治结毒方∶独核肥皂仁七粒，雪里红（一名千年矮。）一两，皂荚子七粒，甘草节一
钱半，木瓜钱半，蝉蜕一钱，青木香一钱，土茯苓白色者二两，绵黄 盐水炒三钱，连翘一钱，白僵
蚕蜜炙炒研七分，鳖虱胡麻仁炒研三钱，白芷一钱，何首乌三钱，金银花三钱，水煎服。
又方∶极木，一名十大功劳，一名猫儿残，（即本草拘骨。）黑子者是，红子者名枢木，亦可用。
取其叶，或泡汤，或为末，不住服。此方兼治积年虚劳痰火，健脾进食。
《广笔记》云∶凡父母正患霉疮时，生儿鲜有完者。其证浑身破烂，自顶至踵，两目外几无完肤，
日夜号泣，或吐或泻，似疟似惊，变态百出。若别作治疗，十无一全。治法以牛黄为君，量加犀角、
羚羊角、朱砂、冰片，和入茯苓粉，生蜜调服，使儿日日利出恶毒。见有他证，随宜治之。母亦随宜
用药。其外用大粉草、金银花，为极细末二三升，破烂处洗净，大握敷之。半月后再易，神效。敷药，
再敷数日愈。愈后一两月，当复发。再后两三月，当再复发，发渐轻，仍如法治之，自愈。愈后，或
口角眉角，或肛门，存二三余毒，不必治矣。其浑身或癣或疮，忽聚忽散，敷之便愈。大抵年余，始
得除根。若母不禁口，或儿渐大，不能禁口，有延至二三年者，然不毙足矣。胎中之毒，彻骨入髓，
焉能旦夕除哉？
升药五灵散方，胆矾治筋而滋肝，辰砂养血而益心，雄黄长肉而补脾，明矾理脂膏而入肺，磁石
荣骨而壮肾。此方见焦氏。外加水银一两，与前五味，等分和匀，入阳城罐内，打火三炷香，取出加
入敷药中，用之效。又神效敷药方，合花白者良，阴干；象皮同黄砂炒，候软切片，再炒，候冷方研；
降香炒研；乳香、没药各去汗；血竭、儿茶，湿纸包煨；花蕊石、五倍子色带红者良，半生半 ，各
一两；白蜡八钱，珍珠五钱，冰片一钱。各研极细末，方入白蜡研匀，最后入冰片。如欲去腐，每两
加五灵散二钱；欲生肌，每两加前散三分或五分；如治痘后脓水淋漓、下疳等疮，只加一二分；治汤
Li Shizhen stated: Current physicians possess the Soufeng Jiedu Tang (Search for Wind and Detoxify Decoction) to treat Yangmei Chuang (Syphilis/Kaposi's varicelliform eruption), without using Qingfen (Calomel). For deep-seated cases, it takes about a month; for superficial cases, recovery occurs within half a month. For those suffering from tendon spasms, pain, paralysis, and inability to walk due to taking Qingfen-containing medicines, this formula is also effective. The prescription consists of Tufuling (Smilax Glabra Rhizome) 1 liang, Yiren (Coix Seed), Jinyinhua (Lonicerae Japonicae Flos), Fangfeng (Saposhnikoviae Radix), Mugua (Chaenomelis Fructus), Mutong (Akebiae Caulis), Baixianpi (Dictamni Cortex) each 5 fen, and Zaojiazi (Gleditsiae Sinensis Semen) 4 fen. If Qi deficiency exists, add Renshen (Ginseng Radix et Rhizoma) 7 fen; if Blood deficiency exists, add Danggui (Angelicae Sinensis Radix) 7 fen. Use two large bowls of water, decoct and drink, three times a day. Avoid tea, beef, mutton, chicken, goose, fish, meat, distilled liquor, fermented dough, and sexual exertion. This is considered a secret formula. (Bencao Gangmu [Compendium of Materia Medica]. Zhao Xianke’s note: Shi Chen Formula: Danggui 5 qian; pure Jinyinhua, Fangfeng, Jingjie (Schizonepetae Spica), Heshouwu (Polygoni Multiflori Radix), ensuring no contact with iron vessels, crushed with wooden pestles, each 3 qian; Zaojiazi 9 pieces crushed; Tufuling scraped with a porcelain knife to remove skin, crushed with wooden pestle, 4 liang; one pig pancreas. Use six bowls of river water, decoct in a clay vessel until concentrated, take one bowl warm on an empty stomach every morning, noon, and evening, strictly observing dietary restrictions. Even for chronic cases with heavy toxicity, twenty doses will yield results without sequelae. This formula is mild yet miraculous.)
In the county, a maid belonging to Mr. Chen developed Guangchuang (General Syphilis) and sought treatment from Daoist Fang Shang. His prescription used only dried lotus leaves, decocted into a strong tea, consumed daily until satisfied, resulting in cure within six or seven days. Personal trial proved highly effective. Another case involved a county headman who contracted Guangchuang; he transmitted Fang Shang’s formula, which utilized Maidong (Ophiopogonis Radix) and Muzi Caogen (Mother-Root Grass) crushed into juice, mixed with good wine and taken orally, leading to cure. The grass should be sourced from bamboo, preferably without dew. (Li Yi, Jian’an Manbi [Random Notes from Jian'an])
Feng Chuzhan treated a patient surnamed Zhang who had previously suffered from Meichuang (Syphilitic Chancre) and was cured with cooling and detoxifying methods. Shortly after, he suddenly experienced unbearable pain in the skull, cheeks, gums, and nasal bridge, making eating difficult. Believing it was residual toxin causing harm, Feng again applied cooling and detoxifying methods, which gradually led to refusal of food and drink, restlessness, mental fatigue, and faint pulses in all six positions. Feng said: "If it were truly Yang toxin, the pulse would be surging and large. This situation arises from prolonged use of cold medicines, causing dysfunction of Yin and Yang. Even the initial onset of foul sores stems from depletion of essence, blood, and primordial Yang, allowing Yin-cold stagnation to invade." He prescribed a large dose of Shudi (Rehmanniae Radix Praeparata), Maidong, Baizhu (Atractylodis Macrocephalae Rhizoma), Niuxi (Achyranthis Bidentatae Radix), Wuweizi (Schisandrae Fructus), and Fuzi (Aconiti Lateralis Radix Praeparata), along with Bawei Wan (Eight-Ingredient Pill with Rehmannia), administered together for half a month, resulting in recovery. (Zhao Xianke’s note: If excessive cooling medicines caused Yin-cold stagnation and faint pulses, warming methods should be used to nourish Yang. Why use large doses of Shudi, which is cloying and obstructive?)
Sun Wenyuan treated Wu Dongxing, who suffered from lower back pain after malaria subsided, accompanied by white turbidity in urine, cough, significant muscle wasting, and resistance to various treatments. The pain was severe, nearly fatal. Pulse diagnosis revealed left string-taut and fine, right slippery and large, both rapid (six beats per breath), with thirst and red eyes. Sun deduced that past Meichuang toxins remained latent in the collaterals, triggered by Qi and Blood deficiency post-malaria, causing sudden severe pain. He prescribed Danggui, Baishao (Paeoniae Radix Alba), Gancao (Glycyrrhizae Radix et Rhizoma), Niuxi, Gouteng (Uncariae Ramulus cum Uncis), Yiren, Mutong, and Baixianpi, decocted using 4 liang of Tufuling as the water base. After ingestion, pain ceased, cough reduced by half, and pulse slowed. Several doses yielded great effect, and spirit gradually recovered. On the Winter Solstice, after drinking alcohol and engaging in sexual activity, the next day he experienced waist binding sensation, dorsal foot pain, left eye redness, scanty urination, heat sensation in soles, and rising heat from hips causing unbearable pain. Sun repeated the previous formula adding Shihu (Dendrobii Caulis), Honghua (Carthami Flos), and Shengdi (Rehmanniae Radix), Huangbo (Phellodendri Cortex), regulating for three days with slight improvement. Coinciding with heavy snow and extreme cold, a female physician, mistaking constipation for heat, administered 1.5 qian of Xuanmingfen (Mirabilite) overnight. Bowels remained blocked, waist pain intensified, legs contracted, breathing became weak, face turned blue-grey, and all pulses vanished due to pain. Sun recognized this was caused by Xuanmingfen, stating: "Although symptoms appear hot, the disease lies in collaterals, sinews, bones, and marrow. Purging the intestines and stomach is useless. Leg contraction and waist pain result from extreme cold freezing the collaterals. Treatment should first warm and disperse cold pathogens to relieve pain, then address the root cause." He prescribed Guixin (Cinnamomi Cortex), Duzhong (Eucommiae Cortex), Zhigancao (Prepared Licorice), Cangzhu (Atractylodis Rhizoma), PoguZhi (Psoraleae Fructus), and Wujia Pi (Acanthopanacis Cortex). Two doses stabilized pain, limbs softened, and appetite returned. He advised: "The disease is in the collaterals; wait for spring warmth to eradicate it completely, do not rush." Ignoring this, the patient took Yin-nourishing and fire-clearing herbs for two months with no success. Seeking further treatment, Sun administered Wei Shen San (Baked Kidney Powder), causing five or six loose stools (still purging the intestines). Limbs became cold, and others criticized the purging method. Sun said: "The condition has improved; why worry?" Subsequent Spleen-regulating herbs restored vitality, waist and hips softened, and walking resumed. Finally, 2 qian of Weilingxian (Clematidis Radix et Rhizoma) powder baked inside a pig kidney was eaten, causing one or two more bowel movements. Once damp-heat from syphilis cleared, Sun switched to Yiren, Danggui, Sheng/Shudi, Baishao, Niuxi, Huangbo, Danshen (Salviae Miltiorrhizae Radix), and Guiban (Testudinis Carapax et Plastrum) for final regulation and complete recovery. (Zhao Xianke’s note: Wei Shen San uses Kansui or Qian Niu Zi to unblock collaterals, unlike Xuanmingfen which directly attacks Yangming. Subsequently baking Weilingxian shows exquisite intent.)
Yu Dongfu commented: "This case demonstrates recurring conditions where Master Sun adapted to complex pathogenesis. The record contains seven distinct interventions. Only by documenting the entire course can we discern what worked and what didn't, establishing a model for future practice. Omitting half the history obscures origins and outcomes, making evaluation impossible. This prompts reflection on Linzheng Zhinan [Guide to Clinical Practice].”
Zhu Huaizhu, imprudent in his youth while traveling, contracted Yangmei Chuang. Fearful of discovery, he sought rapid cure via fumigation and washing, which failed. He then applied herbal powders topically and took three doses of decoction daily for two months, but the toxin invaded internally. Lower body manifested anal prolapse and mushroom-like ulcers; upper body showed lung congestion, severe asthma, chest distension preventing supine position, internal heat with aversion to cold, delirium, scrotal nodules with swelling and pain, and spreading ulcers on feet. Pulses were surging, large, and rapid. Zhu diagnosed: "Severe disease, but curable in a young adult. However, there is stagnant blood and toxic matter in the chest. It must be expelled before administering medicine, otherwise confusion may arise." Another doctor was consulted, resulting in severe asthma and coughing up bowl-fulls of purple-black bloody pus, foul-smelling. This was caused by fumigation forcing toxin into lungs, blocking orifices. Asthma and cough required expectoration before clearing. Zhu prescribed Mudanpi (Moutan Cortex), Sangbaipi (Mori Cortex), Baixianpi, Mutong, Qianhu (Peucedani Radix), Zhike (Aurantii Fructus), Jiegeng (Platycodonis Radix), Gancao, Yiren, Xingren (Armeniacae Semen Amarum), and Tinglizi (Lepidii Fructus). Post-ingestion, urgent frequent bowel movements occurred (>20 times), expelling much black-purple purulent blood. Asthma and cough eased, red phlegm lightened. Within 2-3 doses, lying down became possible. Formula changed to Baishao, Danggui, Baixianpi, Beimu (Fritillariae Bulbus), Huanglian (Coptidis Rhizoma), Yinhua, Zaojiao (Gleditsiae Fructus), Yiren, Maidong, Mutong. Two doses reduced foot ulcer swelling; scrotum discharged two bowls of pus/blood; radial pulses normalized. Adding Danshen for two more doses formed scabs, falling off after three days, revealing testicles covered by thin white membrane. Hongfen Shuang (Red Mercury Compound) with flesh-generating herbs applied three times daily dried discharge. Final regulation used Renshen, Danggui, Baishao, Baizhi (Angelicae Dahuricae Radix), Gancao, Baixianpi, Zaojiao, Yiren, Heshouwu for one month until cured. Daily diet included Tufuling and pork simmered together, seasoned normally, soup drunk as tea, ensuring full recovery. A daughter was born the following year.
Tan Gongliang suffered from Jiedu (Syphilitic Gumma). Doctors used Wubao Dan (Five-Treasure Pill) for three years without effect. Zhongchun stated: "Wubao Dan is incomplete; without Hongqian (Menstrual Blood) spiritual medicine, it cannot succeed." Lacking Hongqian, Songzhi (Rosin), Qianfen (Lead Carbonate), and Mazhi (Sesame Oil) were mixed externally, yielding immediate relief. Gongliang initially used Ruxiang Gao (Frankincense Paste) gifted by Qiao Bo, which quickly stopped pain and generated flesh. Using the latter two ingredients proved even more effective, demonstrating that efficacy does not depend on precious materials. (Guang Biji [Broad Records])
Lu Yangyu treated Zhu Shaochuan, who presented with chills, fever, cough, and bone/joint pain due to wind-cold invasion. Dispersing herbs resolved chills/fever but pain and cough persisted. Qianghuo (Notopterygii Radix et Rhizoma) for pain, Qianhu/Xingren for cough failed. Assuming Yin deficiency due to sexual excess, Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) was given for a month, worsening thirst, fever, and pain. Pulse was deep, fine, string-taut, rapid, and forceful. Lu asked about past Meichuang. Patient admitted prior infection. Lu diagnosed: "This is residual toxin. Pain indicates toxin in collaterals/marrow; cough/thirst indicates toxic fire flaming upward." He prescribed Blood-nourishing and detoxifying herbs, doubling Tufuling. Reduction seen in few doses, complete cure in ten.
Xue Lizhai treated a man with widespread Meichuang, left hand pulse floating and rapid. Jingfang Baidu San (Jingjie and Fangfeng Decoction to Overcome Pathogenic Factors) resolved exterior symptoms. Xianfang Huoming Yin (Immortal Recipe for Resolving Life-Threatening Sores) for six doses showed gradual improvement. Combined with Bixie Tang (Smilacis Glabrae Decoction), cured in a month.
A boy suffered external genital lesions extending to the lower abdomen, painful and febrile. Xiaochaihu Tang (Minor Bupleurum Decoction) with Lubin Wan (Aloe Pill) and Shenyi Gao (Miraculous Ointment) patch cured in a month.
A scholar presented with itching and oozing on genitals, followed by small scrofula-like nodules on scrotum, inner thighs, abdomen, ribs, arms, some dry, some purulent. Mistakenly treated with wind-dispelling herbs, leading to limb fatigue, chills/fever, reduced appetite, loose stools, floating-stringy pulse, floating-rapid尺 (Kidney) pulses. Diagnosed as Kidney Water deficiency with Heat, Liver Wood overacting on Spleen Earth. Liuwei Dihuang Wan and Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) as main formulas, assisted by Huanji Xiaodu San (Transform Flesh and Detoxify Powder), resulted in cure.
Another patient, after taking toxic-purgative herbs, developed convex, red, painful ulcers, limb fatigue, chills/fever, floating-empty pulse. Diagnosed as Yuan Qi (Primal Qi) injury with Excess Evil. Buzhong Yiqi Tang for two doses cured him.
Jinshi Liu Huafu suffered for months, using Qingfen and Zhusha (Cinnabar). Ulcers formed on head, face, back, buttocks (~2 cun diameter), ulcerating with weakened form/Qi, chills/fever, dry mouth, dry tongue, cracked lips, dribbling urine, surping saliva/phlegm, poor appetite. Diagnosed as Spleen/Stomach damage, organ weakness, stirring Deficient Fire. Liujunzi Tang (Six-Gentlemen Decoction) for 20+ doses, then Buzhong Yiqi Tang plus Shanyao (Dioscoreae Rhizoma), Shanzhuyu (Corni Fructus), Maidong, Wuweizi restored Stomach Qi and cured symptoms. Remaining urinary issues and phlegm resolved with Jiaban Bawei Wan (Modified Eight-Ingredient Pill).
A man post-Yangmei Chuang had ulcers on legs/arm (~2 cun), dripping pus, poor intake/sleep, chronic non-healing. Bazhen Tang (Eight-Treasure Decoction) with Zaoren (Ziziphus Seed), Fushen (Poria with Hostwood) administered. Garlic paste applied topically, moxa burned for long duration, then plaster applied. Condition improved slightly. Douchi Bing Jiu (Fermented Soybean Cake Moxibustion) used, followed by Shiquan Dabu Tang (Ten-Ingredient Great Tonifying Decoction) for cure.
A woman cured everywhere except palm-sized rot on legs/knees, with tendon spasm/bone pain, lasting three years, resistant to drugs, afternoon fever, poor appetite. Bixie Tang combined with Xiaoyao San (Free and Easy Wanderer Powder), doubling Fuling (Poria) and Baizhu, stopped fever and improved appetite in few doses. Shenyi Gao applied, Bazhen Tang plus Niuxi, Duzhong, Mugua for 30+ doses cured her.
Xue Lizhai treated a woman fumigated with Qingfen under blankets, causing whole-body skin sloughing, oozing pus, inability to move. Talcum, Huangbai, Mung Bean powder spread on mat for lying. Shengong Tuoli San (Divine Merit Supporting Interior Powder) taken for a month cured her.
In Qingpu, a wealthy family hosted a prostitute who developed Yangmei Chuang, ulcerating whole body. Abandoned in wilderness near death. A beggar cared for her; she survived days, suddenly craving meat. Bandits sacrificed at Yubodun; beggar begged for meat, received a shoulder, brought home to feed woman. Leftovers hung on tree, eaten by centipedes, toxin infiltrating meat. Woman ate it, triggering toxin eruption, curing ulcers in ten days, complexion brighter. Beggar offered return, she refused: "I will follow you for life." They married, had a son. Beggar rowed boat, begged in Longtan. Woman dignified and virtuous. (Yunjian Zazhi [Miscellaneous Records of Yunjian])
Lizhai treated a man with throat lesions spreading to body. Qingfen agents provided slight relief, relapsed, slight relief again. Later severe outbreak: upper erosion connected to nose, arm/leg tumors like peaches, massive ulceration, non-healing >1 year, mental fatigue, poor appetite, full deficiency signs. Bixie Tang as main formula, Spleen-Stomach strengthening herbs adjunctively, cured in a month.
A woman with facial/nasal erosion, bone/joint pain, swollen dorsum heels, ulcerating after 3 months, oozing pus, non-healing 6 months. Cured with previous methods.
A man with penile swelling/pain. Daoshui Wan (Water-Guiding Pill) and Longdan Xiegan Tang (Gentian Decoction to Drain the Liver) 4 doses each, slight improvement. Xiaochaihu Tang plus Huangbai, Zhimu (Anemarrhenae Rhizoma), Cangzhu for 50+ doses resolved.
Another man with penile swelling/ulceration, red/scanty urine, string-taut-rapid Liver pulse. Xiaochaihu Tang plus Mutong, Qingpi (Aurantii Fructus Pericarpium), Longdancao (Gentianae Radix) 4 doses, then Longdan Xiegan Tang several doses, fully cured.
A woman with scrotal swelling, constipation, thirst, deep-solid pulse. Neishu Huanglian Tang (Internal-Purging Coptis Decoction) 2 doses resolved interior syndrome. Longdan Xiegan Tang several doses rapidly reduced symptoms. Intermittent Bixie Tang cured in a month.
A man with chills/fever, constipation, thirst, solid bilateral pulses. Fangfeng Tongsheng San (Saposhnikovia Unblocking Life Powder) resolved exterior. Jingfang Baidu San combined with Longdan Xiegan Tang cured.
A man with leg swelling/ulceration post-cure, non-healing long term. Garlic paste applied, mugwort moxa隔着 garlic. Shenyi Gao applied, Hei Wanzi (Black Pills) and Tuoli (Supporting Interior) herbs, cured in two months.
A man cured except hard back swelling, unchanged color, ulcerating after >1 year, oozing, non-healing 3 years, Qi/Blood deficiency, poor appetite. Liujunzi Tang plus Danggui, Huoxiang (Pogostemonis Herba) 30+ doses slightly improved. Bixie Tang drunk for 2+ months cured.
A man with intense condition plus Spleen/Stomach Qi/Blood deficiency. Took previous meds, cured, no recurrence.
Ma Mingju treated Li Xingfu with Meichuang (commonly Guangchuang). Mistakenly rubbed mercury and Fanqiao (Ammonium Chloride) on palms/soles. Within 3 days: tongue rot, tooth loss, throat ulceration, foul odor, vomiting liver-colored rotten flesh, inability to swallow, abdominal distension, bowel/bladder obstruction. Doctors abandoned him. Throat medicine blown into throat worsened phlegm obstruction, unbearable pain, near death. Ma palpated abdomen: soft, not hard, not reaching heart. Concluded mercury toxin not deeply absorbed, suitable for lead absorption. Urgently used >1 jin Black Lead, divided into 100+ pieces, added large dose Ganjie Tang (Licorice and Platycodon Decoction) ingredients, Jinyinhua and Gancao 4-5 liang each, 20-30 bowls water, concentrated decoction. First 3-4 bowls mixed with soup, slowly poured in, allowed to flow naturally. After time, tongue moved, mouth rinsed clean, allowed free drinking of several cups. Dregs re-decocted, concentrated juice used to wash hands/feet frequently. Next day, black water passed via bowels/bladder endlessly, stability achieved. Mouth-blowing and detox/supporting herbs cured him. Later, servant Yan Xiao had similar mercury poisoning; Li Xingfu used same method, cured next day. (Guang Biji)
Guang Biji Meichuang Formula: Pig Pancreas Fat 2 liang, Jinyinhua 2 qian, Zaojiaoci (Gleditsiae Spine) 1 qian, Bajiaogen (Musa Basjoo Root) 1 liang, Xuelifenhong (Brassica Juncea) 5 qian, Wujia Pi 2 qian, White Tufuling 2 liang, Zaojiazi 7 grains crushed, Single-kernel Soap Nut Kernel 7 grains sliced, Baijiangcan (Bombyx Batryticatus) roasted 7 fen, Mugua 1 qian, Baixianpi 1 qian, Chantui (Cicada Slough) 1 qian. For chronic/weak cases, add Yiyiren 5 qian, Gancaojie (Licorice Joint) 2 qian, Huangqi (Astragali Radix) 3 qian, Shengdi 2 qian, Renshen 2 qian. For persistent cases, add Huhuanglian (Coptis Chinensis var.) 3 qian, Humaren (Sesamum Seed) 2 qian, Quanxie (Scorpio) 7 pieces. 3 large bowls water, decoct to 1 bowl, take anytime when hungry.
Guang Biji Jiedu Formula: Single-kernel Soap Nut Kernel 7 grains, Xuelifenhong (Millennium Low) 1 liang, Zaojiazi 7 grains, Gancaojie 1.5 qian, Mugua 1.5 qian, Chantui 1 qian, Qingmuxiang (Aquilariae Lignum) 1 qian, White Tufuling 2 liang, Salt-fried Huangqi 3 qian, Lianqiao (Forsythiae Fructus) 1 qian, Honey-roasted Baijiangcan 7 fen, Biashi (Tortoise Parasite?) Humaren roasted/pounded 3 qian, Baizhi 1 qian, Heshouwu 3 qian, Jinyinhua 3 qian. Water decoction.
Another Formula: Jimu (Mahonia Leaf), aka Shida Gong lao (Great Merit), Mao'er Can. Black seeds are correct; red seeds are Shumu, also usable. Leaves decocted or powdered, taken continuously. Treats chronic consumptive Phlegm-Fire, strengthens Spleen, promotes appetite.
Guang Biji states: Children born to parents actively suffering Meichuang are rarely intact. Symptoms: whole body rotting, skin damaged from crown to heel, eyes almost bare, crying day/night, vomiting/diarrhea, malaria/seizure-like episodes, varied manifestations. Other treatments fail 10 out of 10. Treatment: Niuhuang (Calculus Bovis) as sovereign, plus Xijiao (Rhinocerotis Cornu - substitute Buffalo Horn), Lingyangjiao (Saiga Antelope Horn), Zhusha (Cinnabar), Bingpian (Borneolum Syntheticum), mixed with Fuling powder, raw honey paste. Induces daily evacuation of evil toxins. Treat other symptoms as they arise. Mother treats accordingly. External: Dachengcao (Licorice) and Jinyinhua finely powdered (2-3 sheng). Clean wounds, apply thick layer. Change every half month, miraculous effect. Apply for several days post-healing. Relapse likely 1-2 months later, then 2-3 months later, progressively lighter. Continue treatment until self-cured. Residual toxin may remain at mouth corners, eyebrows, or anus; ignore. Whole body rashes/sores appearing/disappearing heal with application. Generally, one year needed for radical cure. If mother/child cannot maintain diet restrictions, duration extends 2-3 years, but death avoided. Fetal toxin penetrates bone/marrow; cannot be removed overnight.
Sheng Yao Wu Ling San Formula: Danfan (Chalcanthite) treats sinews/nourishes Liver; Chen Sha (Cinnabar) nourishes Blood/benefits Heart; Xionghuang (Realgar) grows flesh/nourishes Spleen; Mingfan (Alumen) regulates fat/glands enters Lung; Cishi (Magnetite) enriches bones/strengthens Kidney. Source: Jia Shi. Add 1 liang Mercury, mix equally with above five, fire in Yangcheng jar for 3 incense burns, cool, add to topical powder. Effective.
Another Divine Topical Powder: White-flowered ones preferred, shade-dried; Elephant Skin fried with yellow sand until soft, sliced, fried again, cooled, pounded; Jiangxiang (Dalbergia Odorifera) fried/pounded; Ruxiang (Frankincense), Moyao (Myrrh) de-sweated; Xuejie (Dragon's Blood), Ercha (Catechu) baked in wet paper; Huaruishi (Flower Corallinite), Wubeizi (Chinese Gall) red-toned preferred, half raw half calcined, 1 liang each; Bai La (Beeswax) 8 qian, Zhenzhu (Pearl) 5 qian, Bingpian 1 qian. Pound all to fine powder, mix with beeswax, add Borneo last. For removing necrosis, add 2 qian Wu Ling San per liang; for flesh generation, add 3-5 fen per liang; for post-smallpox oozing or Chancre, add 1-2 fen. Treats...