尺脉微弱者，命门火衰而脾肺虚也，用人参理中丸，如不应，用八味地黄丸。右寸脉洪数者，心火克
肺金也，用人参平肺散，如不应，用六味地黄丸。左寸关脉洪弦数者，心肝二
经有热也，用柴胡清肝散，如不应，佐以牛黄清心丸清其风热。仍用六味地黄丸以镇阳光。左尺脉数
而无力者，肾虚而水泛上也，用六味地黄丸加五味子以滋阴。如脉微细，或手足冷，或兼喘促，急用
八味地黄丸以补阳。
【舌赤裂】或生芒刺，兼作渴引饮，或小便频数，不时发热，或热无定处，或足
心热起者，乃肾水干涸，心火亢盛，用加减八味丸主之，佐以补中益气汤。若误用寒凉之剂，必变虚
寒而殁。
【口舌生疮作渴不止不时发热】或昼热夜止，或夜热昼静，小便频数，其热或从足心，或从
两胁，或从小腹中起，外热而无定处者，此足三阴亏损之证也。用加减八味丸为主，佐以十全大补汤。
若误用寒凉治火之剂，复伤脾胃，胸腹虚痞，饮食少思，或大便不实，小便不利，胸腹膨胀，肢体患
肿，或手足俱冷者，此足三阴亏损之虚寒证也。急用加减金匮肾气丸，亦有复生者。
【肚腹肿胀】若
朝宽暮急属阴虚，暮宽朝急属阳虚，朝暮皆急，阴阳俱虚也。阳虚者，朝用六君子汤，夕用加减肾气
丸。阴虚者，朝用四物汤加参、术，夕用加减肾气丸。真阳虚者，朝用八味地黄丸，夕用补中益气汤。
若肚腹痞满，肢体肿胀，手足并冷，饮食难化，或大便泄泻，口吸气冷者，此真阳衰败，脾肺肾虚寒，
不能司摄而水泛行也。急用加减肾气丸，否则不救。
【发热恶寒】若寸脉微，名阳气不足，阴气上入
阳中则恶寒也，用补中益气汤。尺部脉弱，名阴气不足，阳气下陷于阴中则发热也，用六味地黄丸。
若暑热令而肢体倦怠，此湿热所乘，
属形气虚而病气实也，当专补阳气，用补中益气汤。若发热大渴引饮，目赤面红，此血虚发热，属形
病俱虚也，当专补阴血，用当归补血汤。
【发热作渴】若右寸关脉浮大而无力者，脾肺之气虚也，用
补中益气汤。数而有力者，脾肺之气热也，用竹叶石膏汤。寸脉微数而无力者，肺气虚热也，用竹叶
黄汤。尺脉微细或微数而无力者，命门火衰也，用八味地黄丸。左寸关脉数而有力者，心肝之气热
也，用柴胡栀子散。数而无力者，心肝之气虚也，用六味地黄丸。尺脉数而无力者，肾经虚火也，用
加减八味丸。大凡疮愈后口渴，或先渴而患疮，或口舌生疮，或咽喉肿痛，或唇裂舌黄目赤，痰涎上
涌者，皆败证也。非此丸不能救。
【眼目】昏弱，或内障黑花，属血虚神劳，用滋阴肾气丸。若视物
无力，或见非常之状，属阴精虚弱，用滋阴地黄丸。若视物无力，或视物皆大，属阳盛阴虚，用六味
地黄丸。若目紧体倦，或肌肤麻木，属脾肺气虚，用神效黄 汤。若至夜目暗，灯下亦暗，属阳虚下
陷，用决明夜灵散。若眼暗体倦，内障耳鸣，属脾胃气虚，用益智聪明汤。盖五脏六腑之精气，皆禀
受于脾土，上贯于目，脾为诸阴之首，目为血脉之宗，当补脾土为善。
【鼻衄吐血】若左寸关脉数而
无力，血虚也，四物加参、术。浮而无力，气虚也，补中益气汤。尺脉数或无力，肾虚也，六味地黄
丸。右寸关脉数而有力者，肺胃热也，犀角地黄汤。数而无力者，肺胃虚热也，先用《济生》
犀角地黄汤，后用四物汤加参、苓、白术。尺脉数无力，阴虚也，用六味地黄丸。若面黄、目涩眵多、
手麻者，脾肺虚也，用黄 芍药汤。
【饮食少思】若因胃气虚而不能食，用四君子汤。若因脾气虚而
不能化，用六君子汤。大便不实，或呕吐者，脾气虚寒也，用六君子汤加干姜、木香。若作呕口渴，
或恶冷冻饮料食者，胃气虚热也，用五味异功散。喜冷冻饮料食者，胃气实热也，用泻黄散。
【带下】因经行
产后，外邪入胞，传于五脏而致之。其色青者，属于肝，用加味逍遥散加防风。湿热壅滞，小便赤涩，
用前散加炒黑龙胆草。肝血不足，或燥热、风热，用六味丸、逍遥散。色赤者，属于心，用小柴胡汤
加黄连、山栀、当归。思虑过伤者，用妙香散、六味丸。色白者，属于肺，用六味丸、补中益气汤加
山栀。色黄者，属于脾，用六味丸、六君子汤加山栀、柴胡，不应用归脾汤。色黑者，属于肾，用六
味丸。气血俱虚，用八珍汤。阳气下陷，用补中益气汤。湿痰下注，前汤加茯苓、半夏、苍术、黄柏。
气虚痰饮，四七汤送六味丸。若病久元气下陷，或克伐所伤，但壮脾胃升阳气为善。若拘于人之肥瘦，
而用燥湿泻火之药，反伤脾胃，为患不浅。
【二便下血】若右关脉浮数，气虚而热也，用四君子加升
麻、当归。尺脉浮大或微弱，元气下陷也，用补中益气汤。左关脉洪数，血虚也，用四物汤加炒山栀、
升麻、秦艽。脉迟缓或浮大，气虚也，用四君子汤加升麻、炮姜。尺脉洪数或无力者，肾虚也，用六
味地黄丸。
若因房劳伤损精气，阴虚火动而小便下血，诸血病者，不问脉证百端，但用前丸料煎服为善。
【泄泻】
在五更或清晨，乃脾肾虚，五更服四神丸，日间服白术散，或不应，或愈而复作，急用八味丸，补命
门火以生脾土，其泻自止。
【大便不通】属脾肺亏损，大肠津液干涸，或血虚火铄，不可计其日期，
饮食数多，必待腹满胀，自欲去而不能，乃热在直肠间也，用猪胆汁润之。若妄服苦寒辛散之剂，元
气愈伤，或通而不止，或成中痞之证。若气血虚者，用八珍汤加麻子仁。肠胃虚者，用补中益气汤加
麻子仁。肾液不能滋润，用六味地黄丸加麻子仁。若浓味积壅，小便淋秘者，肝肾虚也，用六味地黄
丸以滋肾水，用补中益气汤以补脾胃。若发热晡热，用六君子汤、加味逍遥散，养阴血清风热。若兼
筋骨痛，先用透经解挛汤、秦艽地黄汤，后用八珍散加牡丹皮、柴胡主之。若误服风剂而伤阴血者，
用易老祛风丸。若两股或阴囊或两足，必用四生散、地黄丸为善。若误服草乌、川乌之类，或敷巴豆、
砒石等味，肌肉腐溃，反成疠证，治者审之。
【面赤搔痒或眉毛脱落】属肺经风热，用人参消风散、
桦皮散。气虚用补中益气汤加天麻、僵蚕。血虚用加味逍遥散加钓藤钩。面发紫泡或成块，或眉毛脱
落，属肝经风热，先用小柴胡汤加山栀、丹皮、钓
藤钩，后用加味逍遥散。凡证属肝经血燥生风，但宜滋肾水生肝血，则火自息，风自定，痒自止。
【遍身疙瘩或瘾疹搔痒】此风热伤血，用羌活当归散。气虚者，佐以补中益气汤加山栀、钓藤钩。血
虚者，佐以加味逍遥散加钓藤钩。若手足皴裂，不问黯白，或在手足腿腕，搔起白皮，此风热而秘涩，
用清胃散加芍药。盖肾开窍于二阴，精血不足则大便秘塞而不通矣，须用六味地黄丸、补中益气汤以
滋化源。
【小便不利】若不渴而不利者，热在下焦血分也，用滋肾丸。渴而不利者，热在上焦气分也，
用清肺散。肾经阴虚而不利者，用六味地黄丸。热结膀胱而不利者，用五淋散。元气虚而不能输化者，
用补中益气汤。脾肺之气燥而不能化生者，用黄芩清肺饮。若转筋便闭气喘，不问男女孕妇，急用八
味丸，缓则不救。
【白浊】足三阴经主之。属浓味湿热所致者，用加味清胃散。肝肾虚热者，用六味
地黄丸为主，佐以逍遥散。脾肾虚热者，用六味丸，佐以六君子汤。肝脾郁滞者，六味丸佐以归脾汤。
脾肺气虚者，六味丸佐以补中益气汤。湿痰下注者，益气汤佐以六味丸。
类证治法∶两 如癣搔痒，久则脓水淋漓，或搔起白皮者，名肾脏风也。用四生散以祛风邪，用
六味地黄丸以补肾水。若头目不清，内热口干体倦，痰热血燥，秋间益甚，故俗名雁来风。宜用羌活
白芷散、加味逍遥散。气虚者，佐以补中益气汤，加皂角刺、钓藤钩。血虚者，佐以八物汤，加柴胡、
牡丹皮，或加味逍遥散兼服。肢体或腿臂腕间，患 而游走不定者，赤曰赤游风，白曰白游风，为
血虚阴火内动，外邪所搏之证。白用人参消风散，赤用加味逍遥散。气血俱虚用八珍汤。晡热内热用
加味逍遥散、六味地黄丸。遍身或头面起疙瘩，或如霞片，或破而脓水淋漓，或痒痛寒热，乃肝火血
虚也，用加味逍遥散。若口苦胁痛，小便淋沥，肝火血热也，用柴胡清肝散。若妇女夜间谵语发热，
热入血室也，用小柴胡汤加山栀、生地黄。血虚者，四物合小柴胡汤。病退却用逍遥散，以健脾胃生
阴血。此证多有因怒气而发者，治当审之。妇人肢体瘾疹疙瘩，搔破成疮，脓水淋漓，热渴眩晕，
日晡益甚者，用四物汤加柴胡、山栀、丹皮，清肝火补肝血。若烦热体倦，头目不清，用八珍散加丹
皮、山栀，补脾气生阴血。若自汗盗汗，月水不调，肚腹作痛，用八珍汤、六味丸。若食少体倦，心
忪盗汗，经闭寒热，用八珍汤佐以加味逍遥散。
若病久元气怯弱，用十全大补汤佐以归脾汤。女子十三四或十六七而天癸未至，或妇人月经不调，发
赤痒痛，此属肝火血热，用小柴胡汤加山栀、生地黄、牡丹皮、防风。生虫者，乃相火制金，不能
平木而化耳，非风邪所生也，但滋肾水生肝血，或佐以灸承浆之类，说见本证。敷砒霜患处作痛，或
腐溃，用湿泥频涂换之。若毒入腹，胸膈苦楚，或作吐泻，饮冷米醋一二杯即止，多亦不妨。生绿豆
末、芝麻油俱可。敷贴雄黄药，闷乱或吐泻，用防己煎汤解之。服辛热药而眉发脱落者，乃肝经血伤
而火动，非风也，用四物汤、六味丸，以滋肝血生肾水。服川乌、草乌等药，闷乱流涎，或昏愦呕吐，
或出血吐血，用大豆、远志、防风、甘草任用一味煎汤解之。大凡服风药过多，皆宜用之。未应，急
用甘草、生姜汁。敷贴巴豆之药，患处作痛，肌肉溃烂，以生黄连为末，水调敷之。若毒入内吐泻等
证，更以水调服一二钱。大小豆、菖蒲汁俱可。敷贴藜芦，毒入内，煎葱汤解之。服祛风克伐之药，呕
吐少食，胸膈不利，或形气倦怠等证，用六君子汤以补阳气。若烦躁作渴，饮食不思，或晡热内热，
面赤发热，用四物汤加参、术以生阴血，余从各门治之。
薛新甫以邪之所凑，其气必虚，世医治疠，止知攻邪，而不知补虚，非徒无益，
而又害之，故作《疠疡机要》三卷，循其法，虽不能去病，亦可以延天年，无夭枉之患，故备述于篇。
乃至去病之法，则前再造、醉仙之外，《千金翼》有耆婆治恶病，阿魏雷丸散诸方，先服药出虫，看
其形状，青黄赤白黑，然后与药疗之。此出西域异人，龙宫所秘，病者能洗涤身心，告解业障，精虔
修治而用之，万无不瘥也。详具类方中，兹不赘。
[Chi Pulse Weak and Thready] If the chi pulse at the cun position is weak, this indicates a decline of Mingmen fire leading to deficiency of the Spleen and Lung. Ren Shen Li Zhong Wan (Ginseng Regulate the Middle Pill) should be used; if ineffective, Ba Wei Di Huang Wan (Eight-Ingredient Rehmannia Pill) should be substituted.
[Cun Pulse on the Right Surging and Rapid] If the cun pulse on the right hand is surging and rapid, this signifies Heart Fire overcoming Lung Metal. Ren Shen Ping Fei San (Ginseng Calming the Lung Powder) should be used; if ineffective, Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill) should be substituted.
[Cun and Guan Pulses on the Left Surging, Wiry, and Rapid] If the cun and guan pulses on the left hand are surging, wiry, and rapid, this indicates heat in the Heart and Liver meridians. Chai Hu Qing Gan San (Bupleurum Clearing the Liver Powder) should be used; if ineffective, Niu Huang Qing Xin Wan (Calculus Bovis Clearing the Heart Pill) should be added to clear wind-heat. Subsequently, Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill) should still be used to anchor floating Yang.
[Chi Pulse on the Left Rapid but Forceless] If the chi pulse on the left hand is rapid but forceless, this indicates Kidney deficiency with water qi flooding upward. Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill) with Wu Wei Zi (Schisandra Fruit) should be used to nourish Yin. If the pulse is faint and thready, or if there is coldness in the hands and feet, or accompanied by panting and shortness of breath, Ba Wei Di Huang Wan (Eight-Ingredient Rehmannia Pill) should be urgently used to tonify Yang Qi.
[Red Cracked Tongue] A red tongue with cracks, or prickles, accompanied by thirst with desire to drink, frequent urination, intermittent fever, fever without fixed location, or heat rising from the soles of the feet, indicates dryness of Kidney Water and hyperactivity of Heart Fire. Jia Jian Ba Wei Wan (Modified Eight-Ingredient Pill) should be the main treatment, supplemented by Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction). If cold-natured drugs are mistakenly used, it will inevitably transform into a deficiency-cold syndrome leading to death.
[Mouth and Tongue Ulcers with Unremitting Thirst and Intermittent Fever] Fever may cease at night while present during the day, or vice versa, with frequent urination. Heat may originate from the soles of the feet, the hypochondrium, or the lower abdomen, appearing on the exterior without a fixed location. This is a syndrome of deficiency in the three Yin meridians of the foot. Jia Jian Ba Wei Wan (Modified Eight-Ingredient Pill) should be the main treatment, supplemented by Shi Quan Da Bu Tang (Ten Complete Tonifying Decoction). If cold-natured drugs for clearing fire are mistakenly used, damaging the Spleen and Stomach again, symptoms such as empty fullness in the chest and abdomen, loss of appetite, loose stools, difficult urination, abdominal distension, limb edema, or cold hands and feet may occur. This is a deficiency-cold syndrome due to deficiency of the three Yin meridians of the foot. Jia Jian Jin Gui Shen Qi Wan (Modified Golden Cabinet Kidney Qi Pill) should be urgently used; recovery is possible.
[Abdominal Swelling] Morning relief and evening urgency indicate Yin deficiency; evening relief and morning urgency indicate Yang deficiency; urgency both morning and evening indicates dual deficiency of Yin and Yang. For Yang deficiency, Liu Jun Zi Tang (Six-Gentlemen Decoction) is taken in the morning, and Jia Jian Shen Qi Wan (Modified Kidney Qi Pill) in the evening. For Yin deficiency, Si Wu Tang (Four-Substance Decoction) with Ren Shen (Ginseng) and Bai Zhu (Atractylodes Macrocephala Rhizome) is taken in the morning, and Jia Jian Shen Qi Wan in the evening. For true Yang deficiency, Ba Wei Di Huang Wan (Eight-Ingredient Rehmannia Pill) is taken in the morning, and Bu Zhong Yi Qi Tang in the evening. If there is abdominal fullness, limb swelling, cold hands and feet, difficulty digesting food, diarrhea, or cold breath exhaled from the mouth, this indicates collapse of true Yang, deficiency-cold of the Spleen, Lung, and Kidney, failing to control and causing water flooding. Jia Jian Shen Qi Wan (Modified Kidney Qi Pill) should be urgently used, otherwise rescue is impossible.
[Fever with Aversion to Cold] If the cun pulse is faint, it is named insufficiency of Yang Qi; when Yin Qi enters the Yang aspect, aversion to cold occurs. Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) should be used. If the chi pulse is weak, it is named insufficiency of Yin Qi; when Yang Qi sinks into the Yin aspect, fever occurs. Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill) should be used. If there is limb fatigue during the hot summer season, this is caused by damp-heat invasion, belonging to deficiency of form/constitution and excess of pathogenic qi. One should specifically tonify Yang Qi using Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction). If there is fever with great thirst and desire to drink, red eyes, and red face, this is fever due to Blood deficiency, belonging to deficiency of both form and disease. One should specifically tonify Yin Blood using Dang Gui Bu Xue Tang (Angelica Tonifying Blood Decoction).
[Fever with Thirst] If the cun and guan pulses on the right are floating, large, and forceless, this is deficiency of Spleen and Lung Qi. Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) should be used. If rapid and forceful, this is heat in Spleen and Lung Qi. Zhu Ye Shi Gao Tang (Bamboo Leaf and Gypsum Decoction) should be used. If the cun pulse is faintly rapid and forceless, this is deficiency-heat of Lung Qi. Zhu Ye Huang Tang (Bamboo Leaf Yellow Decoction - *Note: Text likely refers to Zhu Ye Shi Gao Tang*) should be used. If the chi pulse is faint and thready or faintly rapid and forceless, this is decline of Mingmen fire. Ba Wei Di Huang Wan (Eight-Ingredient Rehmannia Pill) should be used. If the cun and guan pulses on the left are rapid and forceful, this is heat in Heart and Liver Qi. Chai Hu Zhi Zi San (Bupleurum and Gardenia Powder) should be used. If rapid but forceless, this is deficiency of Heart and Liver Qi. Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill) should be used. If the chi pulse is rapid and forceless, this is deficiency fire of the Kidney meridian. Jia Jian Ba Wei Wan (Modified Eight-Ingredient Pill) should be used. Generally, thirst after healing from sores, sores appearing after thirst, mouth and tongue ulcers, sore throat and swelling, cracked lips, yellow tongue, red eyes, and surging phlegm-saliva are all signs of a deteriorating condition. Only these pills can save the patient.
[Eyes] Blurred and weak vision, or internal obstruction with black spots, belongs to Blood deficiency and divine spirit exhaustion. Zi Yin Shen Qi Wan (Nourishing Yin Kidney Qi Pill) should be used. If vision is weak or abnormal shapes are seen, this belongs to weakness of Yin essence. Zi Yin Di Huang Wan (Nourishing Yin Rehmannia Pill) should be used. If vision is weak or objects appear enlarged, this belongs to Yang excess and Yin deficiency. Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill) should be used. If eyes feel tight and body is fatigued, or skin and muscles are numb, this belongs to deficiency of Spleen and Lung Qi. Shen Xiao Huang Qi Tang (Miraculous Efficacy Astragalus Decoction) should be used. If vision darkens at night, even under lamplight, this belongs to sinking of Yang deficiency. Jie Ming Ye Ling San (Clarifying Brightness Night Spirit Powder) should be used. If eyes are dim, body is fatigued, with internal obstruction and tinnitus, this belongs to deficiency of Spleen and Stomach Qi. Yi Zhi Cong Ming Tang (Benefiting Wisdom and Brightness Decoction) should be used. The essence and qi of the five Zang and six Fu organs all receive their source from Spleen Earth, ascending to penetrate the eyes. The Spleen is the head of all Yin meridians, and the eyes are the gathering place of blood vessels. Tonifying Spleen Earth is the best approach.
[Nosebleed and Hematemesis] If the cun and guan pulses on the left are rapid and forceless, this is Blood deficiency. Si Wu Tang (Four-Substance Decoction) with Ren Shen (Ginseng) and Bai Zhu (Atractylodes Macrocephala Rhizome) should be used. If floating and forceless, this is Qi deficiency. Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) should be used. If the chi pulse is rapid or forceless, this is Kidney deficiency. Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill) should be used. If the cun and guan pulses on the right are rapid and forceful, this is heat in the Lung and Stomach. Xi Jiao Di Huang Tang (Rhinoceros Horn and Rehmannia Decoction) should be used. If rapid but forceless, this is deficiency-heat in the Lung and Stomach. First use Xi Jiao Di Huang Tang from "Ji Sheng", then Si Wu Tang (Four-Substance Decoction) with Ren Shen (Ginseng), Fu Ling (Poria), and Bai Zhu (Atractylodes Macrocephala Rhizome). If the chi pulse is rapid and forceless, this is Yin deficiency. Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill) should be used. If the face is yellow, eyes are dry with excessive discharge, and hands are numb, this is deficiency of Spleen and Lung. Huang Qi Shao Yao Tang (Astragalus and Peony Decoction) should be used.
[Little Appetite] If inability to eat is due to Stomach Qi deficiency, Si Jun Zi Tang (Four-Gentlemen Decoction) should be used. If inability to transform food is due to Spleen Qi deficiency, Liu Jun Zi Tang (Six-Gentlemen Decoction) should be used. If stools are unformed or vomiting occurs, this is deficiency-cold of Spleen Qi. Liu Jun Zi Tang (Six-Gentlemen Decoction) with Gan Jiang (Dried Ginger) and Mu Xiang (Aucklandia Root) should be used. If vomiting and thirst occur, or aversion to cold drinks/food exists, this is deficiency-heat of Stomach Qi. Wu Wei Yi Gong San (Five-Flavor Enhancing Function Powder) should be used. Preference for cold drinks/food indicates excess heat of Stomach Qi. Xie Huang San (Draining Yellow Powder) should be used.
[Vaginal Discharge] Caused by external pathogens entering the uterus during menstruation or postpartum, transmitting to the five Zang organs. Green discharge belongs to the Liver; Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) with Fang Feng (Saposhnikovia Root) should be used. For damp-heat stagnation with red, scanty, painful urination, add Chao Hei Long Dan Cao (Stir-fried Black Gentian Root) to the previous formula. For Liver Blood deficiency, or dryness-heat/wind-heat, Liu Wei Wan (Six-Ingredient Pill) and Xiao Yao San (Free and Easy Wanderer Powder) should be used. Red discharge belongs to the Heart; Xiao Chai Hu Tang (Minor Bupleurum Decoction) with Huang Lian (Coptis Rhizome), Shan Zhi (Gardenia Fruit), and Dang Gui (Angelica Sinensis Root) should be used. For injury from excessive thinking, Miao Xiang San (Wonderful Fragrance Powder) and Liu Wei Wan (Six-Ingredient Pill) should be used. White discharge belongs to the Lung; Liu Wei Wan (Six-Ingredient Pill) and Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) with Shan Zhi (Gardenia Fruit) should be used. Yellow discharge belongs to the Spleen; Liu Wei Wan (Six-Ingredient Pill) and Liu Jun Zi Tang (Six-Gentlemen Decoction) with Shan Zhi (Gardenia Fruit) and Chai Hu (Bupleurum Root) should be used; Gui Pi Tang (Restore the Spleen Decoction) should not be applied. Black discharge belongs to the Kidney; Liu Wei Wan (Six-Ingredient Pill) should be used. For dual deficiency of Qi and Blood, Ba Zhen Tang (Eight-Treasure Decoction) should be used. For sinking of Yang Qi, Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) should be used. For downward pouring of damp-phlegm, add Fu Ling (Poria), Ban Xia (Pinellia Tuber), Cang Zhu (Atractylodes Rhizome), and Huang Bo (Phellodendron Bark) to the previous decoction. For Qi deficiency with phlegm-fluids, Si Qi Tang (Four-Seven Decoction) should be used to deliver Liu Wei Wan (Six-Ingredient Pill). If the disease has been long-standing with sinking of Yuan Qi, or damage from purgatives, strengthening the Spleen and Stomach and raising Yang Qi is best. Adhering to a person's fatness or thinness and using drying-dampness or draining-fire drugs will instead damage the Spleen and Stomach, causing significant harm.
[Blood in Urine and Stool] If the right guan pulse is floating and rapid, this is Qi deficiency with heat. Si Jun Zi Tang (Four-Gentlemen Decoction) with Sheng Ma (Cimicifuga Rhizome) and Dang Gui (Angelica Sinensis Root) should be used. If the chi pulse is floating and large or weak/faint, this is sinking of Yuan Qi. Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) should be used. If the left guan pulse is surging and rapid, this is Blood deficiency. Si Wu Tang (Four-Substance Decoction) with Chao Shan Zhi (Stir-fried Gardenia Fruit), Sheng Ma (Cimicifuga Rhizome), and Qin Jiao (Gentiana Macrophylla Root) should be used. If the pulse is slow-thready or floating-large, this is Qi deficiency. Si Jun Zi Tang (Four-Gentlemen Decoction) with Sheng Ma (Cimicifuga Rhizome) and Pao Jiang (Prepared Ginger) should be used. If the chi pulse is surging-rapid or forceless, this is Kidney deficiency. Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill) should be used. If blood in urine is caused by sexual exhaustion damaging essence and Qi, with deficiency-Yin moving fire, for various bleeding diseases, regardless of complex pulse and symptom patterns, using the previous pill ingredients decocted and taken orally is best.
[Diarrhea] Occurring in the fifth watch or early morning indicates Spleen and Kidney deficiency. Si Shen Wan (Four Spirits Pill) should be taken in the fifth watch, and Bai Zhu San (Atractylodes Powder) during the day. If ineffective, or if it recurs after stopping, Ba Wei Wan (Eight-Ingredient Pill) should be urgently used to tonify Mingmen fire to generate Spleen Earth, which will stop the diarrhea.
[Constipation] Belongs to deficiency of Spleen and Lung, dryness of Large Intestine fluids, or Blood deficiency with fire scorching. Do not count the days. If diet is heavy, one must wait until abdominal fullness occurs, with the urge to defecate but inability to do so; this indicates heat in the rectum. Pig bile should be used to moisten. If bitter-cold and acrid-dispersing drugs are recklessly used, Yuan Qi will be further injured, leading to uncontrolled evacuation or middle-jiao痞 (fullness/stagnation). For Qi and Blood deficiency, Ba Zhen Tang (Eight-Treasure Decoction) with Ma Zi Ren (Hemp Seed) should be used. For deficiency of intestines and stomach, Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) with Ma Zi Ren (Hemp Seed) should be used. If Kidney fluids fail to moisten, Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill) with Ma Zi Ren (Hemp Seed) should be used. If rich flavors accumulate and obstruct, with dribbling urinary retention, this is Liver and Kidney deficiency. Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill) should be used to nourish Kidney Water, and Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) to tonify Spleen and Stomach. For fever or afternoon fever, Liu Jun Zi Tang (Six-Gentlemen Decoction) and Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) should be used to nourish Yin Blood and clear wind-heat. If accompanied by bone and tendon pain, Tou Jing Jie Luan Tang (Penetrating Meridians Relieving Spasm Decoction) and Qin Jiao Di Huang Tang (Gentiana and Rehmannia Decoction) should be used first, followed by Ba Zhen San (Eight-Treasure Powder) with Mu Dan Pi (Moutan Cortex) and Chai Hu (Bupleurum Root). If wind-expelling drugs were mistakenly used injuring Yin Blood, Yi Lao Qu Feng Wan (Yi Lao Wind-Expelling Pill) should be used. For conditions affecting thighs, scrotum, or feet, Si Sheng San (Four Generations Powder) and Di Huang Wan (Rehmannia Pill) are best. If Caowu (Aconitum Carmichaelii Lateral Root) or Chuanyou (Aconitum Kusnezoffii Root) were mistakenly ingested, or Badou (Croton Seed) or Pishi (Arsenic) applied, causing muscle ulceration, it may become a leprosy-like condition; practitioners must examine carefully.
[Red Face with Itching or Eyebrow Loss] Belongs to wind-heat in the Lung meridian. Ren Shen Xiao Feng San (Ginseng Expelling Wind Powder) and Hua Pi San (Birch Bark Powder) should be used. For Qi deficiency, Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) with Tian Ma (Gastrodia Rhizome) and Jiang Can (Bombyx Batryticatus) should be used. For Blood deficiency, Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) with Gou Teng (Uncaria Rhynchophylla) should be used. Purple blisters or masses on the face, or eyebrow loss, belong to wind-heat in the Liver meridian. Xiao Chai Hu Tang (Minor Bupleurum Decoction) with Shan Zhi (Gardenia Fruit), Mu Dan Pi (Moutan Cortex), and Gou Teng (Uncaria Rhynchophylla) should be used first, followed by Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder). For syndromes belonging to Liver meridian Blood dryness generating wind, only nourishing Kidney Water to generate Liver Blood is appropriate; thus fire will subside, wind will settle, and itching will stop.
[Generalized Papules or Urticaria with Itching] This is wind-heat injuring Blood. Qiang Huo Dang Gui San (Notopterygium and Angelica Powder) should be used. For Qi deficiency, supplement with Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) plus Shan Zhi (Gardenia Fruit) and Gou Teng (Uncaria Rhynchophylla). For Blood deficiency, supplement with Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) plus Gou Teng (Uncaria Rhynchophylla). For chapped hands and feet, regardless of color, or white skin peeling from scratching on limbs/wrists, this is wind-heat with dryness/obstruction. Qing Wei San (Clear Stomach Powder) with Shao Yao (Peony Root) should be used. Since the Kidney opens into the two yin openings, insufficient essence and Blood lead to constipation. Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill) and Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) should be used to nourish the source of transformation.
[Difficult Urination] If non-thirsty with difficult urination, heat is in the Lower Jiao Blood aspect. Zi Shen Wan (Nourishing Kidney Pill) should be used. If thirsty with difficult urination, heat is in the Upper Jiao Qi aspect. Qing Fei San (Clearing Lung Powder) should be used. For difficult urination due to Kidney Yin deficiency, Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill) should be used. For difficult urination due to heat binding the Bladder, Wu Lin San (Five Difficulties Powder) should be used. For difficult urination due to deficiency of Yuan Qi failing to transport and transform, Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) should be used. For difficult urination due to dryness of Spleen and Lung Qi failing to generate, Huang Qin Qing Fei Yin (Scutellaria Clearing Lung Infusion) should be used. For convulsive twitching, fecal impaction, and panting, regardless of gender or pregnancy, Ba Wei Wan (Eight-Ingredient Pill) should be urgently used; delay makes rescue impossible.
[White Turbid Urine] Governed by the three Yin meridians of the foot. For cases caused by rich flavors and damp-heat, Jia Wei Qing Wei San (Modified Clearing Stomach Powder) should be used. For Liver-Kidney deficiency-heat, Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill) is primary, supplemented by Xiao Yao San (Free and Easy Wanderer Powder). For Spleen-Kidney deficiency-heat, Liu Wei Wan (Six-Ingredient Pill) is used, supplemented by Liu Jun Zi Tang (Six-Gentlemen Decoction). For Liver-Spleen stagnation, Liu Wei Wan (Six-Ingredient Pill) is supplemented by Gui Pi Tang (Restore the Spleen Decoction). For Spleen-Lung Qi deficiency, Liu Wei Wan (Six-Ingredient Pill) is supplemented by Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction). For downward pouring of damp-phlegm, Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) is supplemented by Liu Wei Wan (Six-Ingredient Pill).
[Related Syndrome Treatments] Lesions resembling tinea with itching, eventually weeping pus or shedding white skin, are named Kidney Wind. Si Sheng San (Four Generations Powder) should be used to expel wind-pathogens, and Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill) to tonify Kidney Water. If the head and eyes feel unclear, with internal heat, dry mouth, fatigue, phlegm-blood dryness, worsening in autumn, commonly known as "Wild Goose Wind," Qiang Huo Bai Zhi San (Notopterygium and Angelica Dahurica Powder) and Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) are suitable. For Qi deficiency, supplement with Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) plus Zao Jiao Ci (Gleditsia Sinensis Thorn) and Gou Teng (Uncaria Rhynchophylla). For Blood deficiency, supplement with Ba Wu Tang (Eight Substance Decoction) plus Chai Hu (Bupleurum Root) and Mu Dan Pi (Moutan Cortex), or take Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) concurrently. For lesions on limbs/wrists that wander, red ones are called Red Wandering Wind, white ones White Wandering Wind. These are syndromes of deficiency-Blood with internal movement of deficiency-fire combated by external pathogens. Use Ren Shen Xiao Feng San (Ginseng Expelling Wind Powder) for white, and Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) for red. For dual deficiency of Qi and Blood, use Ba Zhen Tang (Eight-Treasure Decoction). For afternoon/internal fever, use Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) and Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill). For generalized papules on body/head/face, like cloud patches, rupturing with pus, or itchy/painful with chills/fever, this is Liver fire and Blood deficiency. Use Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder). For bitter taste, hypochondriac pain, and dribbling urine, this is Liver fire and Blood heat. Use Chai Hu Qing Gan San (Bupleurum Clearing the Liver Powder). For women with nighttime delirium and fever, this is heat entering the Blood Chamber. Use Xiao Chai Hu Tang (Minor Bupleurum Decoction) plus Shan Zhi (Gardenia Fruit) and Sheng Di Huang (Rehmannia Root). For Blood deficiency, combine Si Wu Tang (Four-Substance Decoction) with Xiao Chai Hu Tang (Minor Bupleurum Decoction). After the disease recedes, use Xiao Yao San (Free and Easy Wanderer Powder) to strengthen Spleen/Stomach and generate Yin Blood. This syndrome often arises from anger; treatment must be prudent. For women with limb urticaria/papules, scratched into sores with weeping pus, fever/thirst/dizziness worsening in the afternoon, use Si Wu Tang (Four-Substance Decoction) plus Chai Hu (Bupleurum Root), Shan Zhi (Gardenia Fruit), and Mu Dan Pi (Moutan Cortex) to clear Liver fire and tonify Liver Blood. For irritability, fatigue, and unclear head/eyes, use Ba Zhen San (Eight-Treasure Powder) plus Mu Dan Pi (Moutan Cortex) and Shan Zhi (Gardenia Fruit) to tonify Spleen Qi and generate Yin Blood. For spontaneous/diaphoresis, irregular menstruation, and abdominal pain, use Ba Zhen Tang (Eight-Treasure Decoction) and Liu Wei Wan (Six-Ingredient Pill). For poor appetite, fatigue, palpitations, night sweats, amenorrhea with chills/fever, use Ba Zhen Tang (Eight-Treasure Decoction) supplemented by Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder).
If the disease has been long-standing with weak Yuan Qi, use Shi Quan Da Bu Tang (Ten Complete Tonifying Decoction) supplemented by Gui Pi Tang (Restore the Spleen Decoction). For girls aged 13-14 or 16-17 whose Tian Gui (Menstrual Fluid) has not arrived, or women with irregular menstruation presenting with redness, itching, and pain, this belongs to Liver fire and Blood heat. Use Xiao Chai Hu Tang (Minor Bupleurum Decoction) plus Shan Zhi (Gardenia Fruit), Sheng Di Huang (Rehmannia Root), Mu Dan Pi (Moutan Cortex), and Fang Feng (Saposhnikovia Root). Parasites arising are due to Minister Fire controlling Lung Metal, failing to pacify Liver Wood, not generated by wind-pathogens. Nourish Kidney Water to generate Liver Blood, or moxa Chengjiang point; see the main text for details. For arsenic paste causing pain or ulceration, apply wet mud frequently. If toxin enters the abdomen causing chest distress, vomiting, or diarrhea, drinking 1-2 cups of cold rice vinegar stops it; more is harmless. Raw mung bean powder and sesame oil are also effective. For realgar paste causing confusion/vomiting, use Fang Ji Decoction to resolve. For eyebrow/hair loss after pungent-hot drugs, this is Liver Blood injury with fire movement, not wind. Use Si Wu Tang (Four-Substance Decoction) and Liu Wei Wan (Six-Ingredient Pill) to nourish Liver Blood and generate Kidney Water. For confusion, salivation, coma, vomiting, or bleeding after Chuanwu/Caowu, use Soybean, Yuan Zhi (Polygala Root), Fang Feng (Saposhnikovia Root), or Gan Cao (Licorice Root) decocted singly to resolve. This applies generally to excessive wind-drug use. If ineffective, urgently use Gan Cao (Licorice Root) and fresh Ginger juice. For Badou (Croton Seed) paste causing pain/ulceration, apply raw Huang Lian (Coptis Rhizome) powder mixed with water. If toxin enters internally causing vomiting/diarrhea, ingest 1-2 qian mixed with water. Small/Large soybeans and Chang Pu (Acorus Rhizome) juice are also effective. For Lili (Veratrum) paste causing internal toxicity, decoct Scallion juice to resolve. For vomiting, poor intake, chest discomfort, or fatigue after wind-expelling/purgative drugs, use Liu Jun Zi Tang (Six-Gentlemen Decoction) to tonify Yang Qi. For irritability/thirst, anorexia, afternoon/internal fever, red face/fever, use Si Wu Tang (Four-Substance Decoction) plus Ren Shen (Ginseng) and Bai Zhu (Atractylodes Macrocephala Rhizome) to generate Yin Blood; refer to other sections for others.
Xue Xinpu stated that where evil gathers, Qi must be deficient. Physicians treating leprosy only know to attack evil, not tonify deficiency, doing no good and causing harm. Thus, he wrote "Li Yang Ji Yao" (Essentials of Leprosy Treatment) in three volumes. Following its methods, although the disease may not be cured, lifespan can be extended, avoiding premature death. Therefore, it is detailed here. Regarding cure methods, besides Zai Zao San (Resurrection Powder) and Zui Xian San (Intoxicating Immortal Powder), "Qian Jin Yi Fang" contains formulas like Qi Po Zhi E Bing Fang (Qi Po Treating Severe Disease Formula) and A Wei Lei Wan San (Asafetida and Hovenia Pill Powder) by Qi Po. First administer drugs to expel worms, observe their shape (green, yellow, red, white, black), then treat with medicine. This originates from Western Region strangers, secrets of the Dragon Palace. If patients cleanse body and mind, confess karmic obstacles, and practice devoutly, they will surely recover. Detailed in related formulas, not repeated here.