夫治疠之方与风少异,丸散点擦各有秘传,切忌熏镰轻粉。
凡患风癞,决非一种,或二三种者有之,甚至有四五种者,先伤一脏,则注各经。故年
久者
面色变驳,病势愈甚。且如风病先染冷麻而变紫云黑色者有之,先染痛风而成半肢软
瘫者有之,先染火癞肿大穿烂、手足废弛、筋骨痛痿者有之。故治难以一定方药,不能骤
攻,愈一症而他症变驳,反见其势凶也。又有风癞同患一人者,若先染风病后患癞症,曰
风癞;先患癞症致成风病者,曰癞风,等最多,风则先治其癞,癞愈方治其风,风癞
则用治风之药,后加治癞之剂,此是大意。治至半愈,即服解毒大补气血元阳之剂。勇进三
年方可。
经云∶逐五脏之邪,鬼门开方死;泻膀胱之浊秽,净腑始洁。倒阳绝欲,勉强矫揉。内
养静修,仙机妙运。
魂魄尸神之窍曰鬼门。扫荡脏腑之秽恶,则清气得以升降,运育自然,形容润泽。若秽
浊之滓
沉滞下元,则九窍不清,十四经晦塞。祛涤其秽,则源清流还,阳气舒畅,而精神爽悦,
上
下清明矣。故制乌龙丸之剂,一进以靖内污之浊。风癞之人五火俱盛,阳事易举,若不爱命
而近女色,则服药无功效。欲其不举,不得已以药倒之,病虽可愈,又恐断人生育之根。阴
阳相关,
若已有子者,则全现下之命,绝其丧命之端,未为不可;若未有子嗣,则宗祀为大,切不
可行之。然倒阳之秘,有用药者,有用功
者,妙在心传,此理非庸人可知。若病患聪达,授以元门内事静修导引之功,使内固丹基
,外安神役,再进药力并攻,则其寿无疆。此方得英敏之士方可行之,若愚妄利徒,非惟不
能尽术,反使冒渎圣贤。再针灸之法前后无忌,热药止可用于愈后除根,点刺之端始终
不可用,若锋镰一有不当则刀口引风入内,令人残痿枯败,戒之!戒之!
吁!医司民命,药有良毒,不读方书,懵然无据,生死关系,阴阳非轻。患风癞者,当
保惜
天赋,毋从爱憎毁誉之口,自宜拣择医之良拙。治风癞者,当敬畏天谴,毋贪诈欺苟且之财
,害人之命。
人患风癞,命悬旦夕,求医调治,死生攸关,务得高明仁浓之人,方可倚托。往往见人
不择
医工之精粗,但见其自称矜今夸,不读方书,盗袭死方,欺罔狂 ,惟贪轻任,或倩人妆
拔荐点巧誉之言,即从而治之,岂不杀人乎?且风癞之科,一症有一方,其人止学得一
二方,
岂能悉治诸症?如紫云之药不能治烂风,痛风之药不能治痒麻,漏蹄之方若治瘫挛
则反为害。庸俗何知之?病者既欲延生而求医,若不拣选实轻命也。痛哉!惜哉!夫癞风乃
十三科之首,此论亦十三科中妙诀,反复精研,不为不备,后之,君子得之则了然无所窒
碍
矣。
夫城池受困于寇,即如人身受蠹于风癞,形质一也。以兵攻贼,如以药攻病,筹猷一也
。寇不退则城池崩陷,风不消则元命伤残,患害一也。欲救城池必运神机,欲救人命
必行妙术,妙用一也。所论风癞之理皆明,是书所治风癞皆备,此外更无遗隙。然用
药如用兵,保黎如救命,疗人之病以复元命,能解城之围以活苍生、轻重之殊,实元元之妙
法,深渊之大泽也。故曰《解围元薮》云。
The prescriptions for treating Leprosy (Lai, leprosy) differ slightly from those for general Wind diseases. Pills, powders, and topical applications each have secret transmissions. One must strictly avoid fumigation and Calomel (Qingfen, mercurous chloride).
Those suffering from Feng Lai (Wind-Leprosy, a form of leprosy with wind-pathogen characteristics) certainly do not present as only one type; some manifest as two or three types, and even four or five types exist. If one Zang organ is initially injured, the pathogenic factors will then transmit to the various meridians. Therefore, in long-standing cases, the complexion becomes mottled, and the disease condition worsens. Furthermore, some Wind diseases first present with coldness and numbness, transforming into purple cloud-like patches or black coloration; some first present as Wind-Pain (Tongfeng, gouty pain), resulting in hemiplegia or soft paralysis of half the body; some first present as Fire-Leprosy (Huo Lai), characterized by swelling, ulceration, flaccidity of hands and feet, and painful atrophy of sinews and bones. Thus, treatment cannot rely on a fixed prescription, nor should it attack aggressively too quickly. If one symptom is cured while others become complex and varied, the prognosis may appear ominous. Additionally, there are cases where Wind disease and Leprosy coexist in one person. If Wind disease is contracted first, followed by Leprosy, it is called "Feng Lai"; if Leprosy is contracted first, leading to Wind disease, it is called "Lai Feng." These two patterns are the most common. In treatment, for Feng Lai, one should first treat the Leprosy; once the Leprosy is resolved, then treat the Wind disease. For Lai Feng, one should use Wind-dispelling medicines first, followed by adding Leprosy-treating agents. This is the general principle. When the treatment reaches half-cure, one should administer decoctions that detoxify and greatly tonify Qi, Blood, and Yuan Yang (Primordial Yang). Vigorous administration over three years is required.
The Classics state: "Expel the evil from the Five Zang organs; open the Ghost Gates (Guimen, sweat pores); death ensues." "Drain the turbid filth from the Bladder; cleanse the Fu organs to achieve purity." Forcibly suppressing Yang and abstaining from sexual desire constitutes forced artificiality. Internal cultivation through quiet meditation utilizes the wondrous mechanisms of immortality.
The apertures through which Hun (Ethereal Soul), Po (Corporeal Soul), and Corporeal Spirit enter and exit are called Ghost Gates. Sweeping away the filth and evil within the Zang and Fu organs allows Clear Qi to ascend and descend naturally, fostering natural nurturing, resulting in a lustrous appearance. If turbid dregs stagnate in the Lower Yuan (Lower Primordial Source), the Nine Orifices will not be clear, and the Fourteen Meridians will become obscure and blocked. Removing and cleansing this filth clears the source and restores the flow, allowing Yang Qi to circulate freely, making the spirit refreshed and joyful, and ensuring clarity above and below. Therefore, the formula Wulong Wan (Black Dragon Pill) is prepared; its initial administration pacifies the internal turbid filth. Patients with Feng Lai have excessive Fire in all Five Viscera, and their sexual function is easily aroused. If they do not cherish their lives and engage in sexual activity, medication will be ineffective. To prevent erection, one might reluctantly use medicine to suppress it. Although the disease may heal, this risks severing the root of human reproduction. Yin and Yang are interrelated. For those who already have children, preserving current life and cutting off the cause of death is acceptable. However, for those without heirs, ancestral sacrifices are paramount, and this method must absolutely not be practiced. The secret of suppressing Yang involves either medicinal methods or Qigong practices, with subtleties passed down through heart-to-heart transmission; this principle is not known to mediocre people. If the patient is intelligent and perceptive, teaching them the quiet cultivation and Daoyin (guiding and pulling) techniques of the Xuanmen (Mysterious Gate/internal alchemy) can solidify the internal Dantian foundation externally calm the spiritual functions. Combined with medicinal force, this can extend life indefinitely. This approach can only be implemented with brilliant and agile individuals; foolish and greedy practitioners cannot fully master the technique and may instead profane the sages. Regarding acupuncture and moxibustion, there are no taboos before or after. Heat-inducing drugs are only applicable for eliminating the root after recovery. Point-pricking methods should never be used throughout. If blades or lancets are used improperly, wind pathogens will enter through the wound, causing disability, withering, and decay. Beware! Beware!
Alas! Physicians hold the lives of the people in their hands; medicines have both beneficial and toxic properties. Without studying medical texts, one acts blindly without basis. Life and death are at stake; Yin and Yang transformations are serious matters. Patients with Feng Lai should preserve their endowment and not follow words of love/hate or praise/blame; they should wisely select competent physicians. Physicians treating Feng Lai should revere heavenly condemnation and not greedily seek deceitful or opportunistic wealth at the cost of human life.
When a person suffers from Feng Lai, life hangs in the balance. Seeking medical treatment determines survival or death. One must obtain a highly skilled and benevolent physician to entrust their health. Often, people fail to distinguish between skilled and unskilled doctors. They accept anyone who boasts of contemporary fame, does not study medical texts, steals obsolete prescriptions, deceives with arrogance, claims ease of treatment, or relies on false recommendations and flattering praise from intermediaries, and then submits to treatment. Is this not murder? In the specialty of Feng Lai, each symptom has its specific prescription. If a practitioner learns only one or two prescriptions, how can they treat all symptoms? For instance, medicine for Purple Cloud Wind cannot treat Rotting Wind; medicine for Wind-Pain cannot treat Itching/Numbness; the prescription for Leaky Hoof would cause harm if used for Paralysis/Spasm. How can vulgar people understand this? Since the patient seeks life by consulting a doctor, failing to select carefully is essentially neglecting one's own life. Painful! Regrettable! Leprosy is the head of the Thirteen Departments of Medicine. This discussion is also a subtle key within these departments. Careful and repeated study makes it comprehensive. Future scholars who obtain this will understand it clearly without obstruction.
Just as a city is besieged by bandits, so is the human body infested by Wind-Leprosy; the physical nature is the same. Using troops to attack thieves is like using medicine to attack disease; the strategy is the same. If bandits do not retreat, the city falls; if Wind does not dissipate, the vital life is damaged; the disaster is the same. To save a city, one must employ divine mechanisms; to save human life, one must practice wondrous arts; the application of wonder is the same. The principles of Wind-Leprosy discussed here are clear, and the treatments in this book are complete, leaving no gaps. However, using medicine is like using soldiers; protecting the populace is like saving lives. Treating illness to restore primordial life, and relieving a siege to save the common people—though the gravity differs—is truly a miraculous method for saving the masses, a great abyss-like reservoir. Hence, it is said that *Jie Wei Yuan Sou* (Reservoir of the Primary Solution to the Siege) derives its name from this.