〔乌癞〕
夫癞疾皆是恶风及犯触忌害所得，初觉皮毛变黑或淫淫苦痒如虫行，或眼前见物如
垂丝，言语无定，心常惊恐。皮肉之中，或如桃李，隐疹赤黑，手足顽麻，针刺不觉痛，
脚下痛顽，不得踏地。凡食之时，开口出气，而鸣语亦如是。身体生疮痛痒，而时如虫行。
或两肘如绳缚，此名乌癞，又有黑癞，凡二癞之症，大同小异，故不别录也。
皮丸 治乌癞
皮 蚺蛇头（各烧存性） 魁蛤（各一枚） 蜈蚣（一条半） 虻虫（去头足翅） 蛴螬（焙干）
红娘子（去头足翅） 水蛭（糯米炒熟） 斑蝥（去头足翅） 蜘蛛（焙，各三个） 鲮鲤甲（三片）
龙骨（研） 川椒（炒） 川大黄 黄连 麝香（研） 桂心 水银（各半两） 石膏（细研） 川芒硝（各一两） 白矾
（枯） 滑石（研、水飞） 甘遂（与胡麻同炒，以胡麻熟为度，各二钱半） 附子（二枚，炮去皮脐） 巴
豆（去皮膜心油） 雷丸（各十五粒）
上为细末，入研令匀。炼蜜和丸如小豆大。每眼一丸，温水送下，空心、临卧各一
服，未觉每服加一丸。如小便茎中痛，即有虫下皆死也。细观形状。痛多即减一丸，痛
少则加至二丸，以瘥为度。
上方乃攻毒取虫之峻剂，非灼知脏腑有虫毒及精神可胜攻下者，不可轻服，仍参薛
氏治 风变症类症治法用之。（见杂病准绳第五。）
治乌癞，皮肤为黑生疮肿痛，杀虫雄黄药涂之。
雄黄（水飞） 金星石 银星石 紫石英 白石英 太阴玄精石 马牙硝 白矾（各一两）
上为细末，入瓷合中，用白土泥固济候干，用炭火五斤， 通赤即止。以土盖 药
合，候来日取出，于湿地上纸衬盆盖，出火毒三伏时。再研如粉，取枫树胶煮汁和调。每
日用涂之，以瘥即止。
硫黄散 治乌癞疮，久不瘥。
硫黄 雄黄 雌黄 金星石 银星石 握雪石 水浮石 寒水石 密陀僧 马牙硝 不灰木 槐白皮
蝉蜕 乱发灰 蜂窠灰 蜗牛子 牡蛎 麝香（以上各一钱） 白矾（五钱）
研细。用水银半两，以津唾杀研如泥，另入腻粉二钱半，用生清油四两调匀。每于患
处遍涂之立效。
大黑神膏 治乌癞，及诸癞遍身生疮，及多脓血。
川乌头 芎 川升麻 防己（去皮） 黄柏 黎芦 黄连 白矾（细研） 雄黄 雌黄（并
细研） 胡粉（各半两研） 巴豆 杏仁（各十四粒） 松脂 乱发（各如鸡子大）
上锉如大豆粒。用猪脂二升并药同煎，以乱发消尽为度。绵滤去渣，后入雄黄、雌黄、
胡粉、白矾搅匀，收入瓷器中。每用涂于疮上，一日至夜三次涂之。每次以热盐汤洗过，
然后更涂之。药勿令入口、眼。
治乌癞杀虫
雌黄（不拘多少）
上研如粉。用醋和鸡子黄搅匀，涂于疮上，干即再涂。
蜂房酿酒 治乌癞。
露蜂房（五两） 苦参（四斤）
上件细锉。用水三斗煮取一斗二升，去渣。浸曲四斤半，炊糯米三斗，入曲 搜拌
如常酝法。酒熟压去糟。每温一小盏，食前服之。
〔白癞〕
夫白癞病者，其语声嘶嘎，目视不明，四肢顽疼，身体大热，心中懊恼，手脚缓纵，背
膂拘急，内如针刺，或生瘾疹而起，往往正白在皮肉里，鼻有 肉，目生白球，当于瞳
子，视无所见，名白癞也。
白花蛇散 治癞病，语声嘶嘎者。
白花蛇（酒浸） 晚蚕蛾（去头足翅） 天麻 槐子 羌活 防风（各去芦） 蔓荆子 威灵仙
白鲜皮 枳壳（去穣，麸炒，各一两） 甘草（炙，半两）
为细末。每服二钱，温酒调服。不拘时，日进二服。
鲮鲤甲丸 治白癞
鲮鲤甲（三片） 蝮蛇（半条） 魁蛤（半枚） 水蛭（生用） 蜘蛛（生用） 斑蝥（去头足翅）
虻虫（去足翅，各二个） 蛴螬（生用，三个） 蜈蚣（一条） 龙骨（半两，研） 石膏（一两，细研、水飞）
白矾（枯） 滑石 川芒硝 硝石 水银（与硝石点楮汁，研令星尽） 川大黄 黄连 桂心（各半两） 附
子（炮去皮脐，二枚） 雷丸（十枚） 巴豆（十二粒，去皮，心、膜、油） 川椒（二钱半）
上为细末，炼蜜和丸如梧桐子大。每服二丸，空心、临卧温水送下，日进二服。
天麻煎 治白癞。
天麻（一斤） 天蓼水（三斤）
上件锉，如大豆粒。用水三斗，入银锅或石锅中熬至一斗二升，滤去渣，却于慢火
上熬如稀饧。每服半匙，食前、用荆芥薄荷酒调下。
又方 治白癞。
马鞭草（不以多少） 为细末。每服一钱，食前、用荆芥薄荷汤调下。
苦参酒 治周身白点如脂、如榆荚。搔之白屑落，或痒、或痛。色白渐展，世呼白
癞。
苦参（五斤） 露蜂房（五两） 皮（一具）
上锉碎。用水三斗煮取一斗，去渣。浸细曲五斤，炊黍米三斗，拌如常酝法，酒熟
压去糟。每于食前温饮一小盏。
治白癞。
斑蝥（十四枚） 大蝮蛇（一条，干者首尾全）
上件用酒七升，入瓷瓶中，用糠火煨酒及一升，滤去渣，收瓷合中。每用薄涂于白
癞上。
[Black Leprosy]
All forms of leprosy are caused by contracting evil wind and violating taboos or suffering harm. Initially, one may feel the skin and hair turning black, or experience intense itching as if insects were crawling under the skin, or see objects in front of the eyes like hanging silk threads. Speech may be erratic, and the heart often feels fearful and startled. Within the skin and flesh, there may be lumps resembling peaches or plums, hidden rashes that are red-black, and stubborn numbness in the hands and feet where needle pricks are not felt. The soles of the feet become painful and numb, making it impossible to walk on them. When eating, opening the mouth releases air, and speaking produces similar sounds. Sores appear on the body with alternating pain and itching, sometimes feeling like insects crawling. The elbows may feel stiff as if bound by ropes. This is called Black Leprosy (Wu Lai). There is also a condition called Dark Leprosy (Hei Lai); since the symptoms of these two conditions are largely identical with minor differences, they are not recorded separately.
Pi Wan (Skin Pill) for Treating Black Leprosy
She Tu (Ophichan's Snake Slough), Ran She Tou (Python Head) [each calcined to retain properties], Kui Ge (Tridacna Gigas Shell) [one each], Wu Gong (Scolopendra Subspinipes) [one and a half], Meng Chong (Tabanus Orientalis) [remove head, legs, wings], Qi Cao (Phasioli Larva) [baked dry], Hong Niang Zi (Mylabris Phalerata) [remove head, legs, wings], Shui Zhi (Hirudo nipponica) [stir-fried with glutinous rice until cooked], Ban Mao (Mylabris Cichorii) [remove head, legs, wings], Zhi Zhu (Araneus Diadematus) [baked, three each], Ling Li Jia (Manis Pentadactyla Scale) [three pieces], Long Gu (Fossil Bone) [pulverized], Chuan Jiao (Zanthoxylum Bungeanum) [stir-fried], Chuan Da Huang (Rheum Palmatum) [unspecified amount], Huang Lian (Coptis Chinensis) [unspecified amount], She Xiang (Moschus) [pulverized], Gui Xin (Cinnamomum Cassia Bark Heartwood) [half tael each], Shui Yin (Mercurius) [half tael each], Shi Gao (Gypsum Fibrosum) [finely pulverized], Chuan Mang Xiao (Natrii Sulfas) [one tael each], Bai Fan (Alumen) [calcined], Hua Shi (Talcum) [pulverized, washed with water], Gan Sui (Kansui Root) [stir-fried with Sesame Indicum Seed until the seed is cooked, two and a half qian each], Fu Zi (Aconitum Carmichaelii Lateral Root) [two pieces, processed, peel and umbilicus removed], Ba Dou (Croton Tiglium Seed) [peel, membrane, center oil removed], Lei Wan (Polyporus Umbellatus) [fifteen grains each].
Grind all ingredients into a fine powder and mix thoroughly. Blend with refined honey to form pills the size of small beans. Take one pill per dose, swallowed with warm water, once on an empty stomach and once before bed. If no effect is observed, increase the dose by one pill per administration. If pain occurs in the urethra during urination, it indicates that parasites are being expelled and have died. Observe the shape of the expelled matter carefully. If pain is severe, reduce the dose by one pill; if pain is mild, increase to two pills. Continue until recovery.
The above formula is a potent preparation for attacking toxins and expelling parasites. It should not be taken lightly unless one is certain that toxic parasites reside in the zang-fu organs and that the patient’s spirit and physical strength can withstand such purgative treatment. It should still be used in conjunction with Xue’s methods for treating wind-induced symptom variations (see *Za Bing Zhun Sheng*, Vol. 5).
For treating Black Leprosy, where the skin turns black, develops sores, and becomes swollen and painful, apply an arsenic-based insect-killing ointment externally.
Xiong Huang (Realgar) [washed with water], Jin Xing Shi (Pyrite), Yin Xing Shi (Arsenolite), Zi Shi Ying (Fluorite), Bai Shi Ying (Quartz), Tai Yin Xuan Jing Shi (Magnesite), Ma Ya Xiao (Sal Nitratum), Bai Fan (Alumen) [one tael each].
Grind into a fine powder and place in a porcelain jar. Seal tightly with white clay mud. Dry, then fire with five jin of charcoal until red hot. Cover the jar with soil and leave until the next day. Remove and place on wet ground, covered with paper over a basin, to dissipate the "fire toxicity" for the duration of the Sanfu period. Grind again into a fine powder. Mix with decoction of Maple Tree Gum (Feng Shu Jiao). Apply daily to the affected area until healed.
Liu Huang San (Sulfur Powder) for Treating Chronic Black Leprosy Sores
Liu Huang (Sulfur), Xiong Huang (Realgar), Ci Huang (Orpiment), Jin Xing Shi (Pyrite), Yin Xing Shi (Arsenolite), Wo Xue Shi (Stibnite), Shui Fu Shi (Pumice), Han Shui Shi (Halloysitum), Mi Duo Seng (Litharge), Ma Ya Xiao (Sal Nitratum), Bu Hui Mu (Asbestos), Huai Bai Pi (Morus Alba Bark), Chan Tui (Cryptotympana pustulata Exuviae), Luan Fa Hui (Ash of Human Hair), Feng Ke Hui (Ash of Beehive), Wo Niu Zi (Helix Pomatia), Mu Li (Ostrea Concha), She Xiang (Moschus) [one qian each], Bai Fan (Alumen) [five qian].
Grind finely. Mix with half a tael of Mercurius, killed and ground with saliva into a paste. Add Er Fen (Calomel) two and a half qian. Blend with four liang of raw sesame oil. Apply evenly to the affected area for immediate effect.
Da Hei Shen Gao (Great Black Divine Ointment) for Treating Black Leprosy, Generalized Leprosy Sores, and Cases with Abundant Pus and Blood
Chuan Wu Tou (Aconitum Carmichaelii Lateral Root), Xiong Qiong (Ligusticum Chuanxiong Rhizome), Chuan Sheng Ma (Bupleurum Scorzoneraefolium Root), Fang Ji (Stephania Tetrandra Stem), Huang Bo (Phellodendron Amurense Bark), Li Lu (Veratrum Nigrum Rhizome), Huang Lian (Coptis Chinensis Rhizome), Bai Fan (Alumen) [finely pulverized], Xiong Huang (Realgar), Ci Huang (Orpiment) [both finely pulverized], Hu Fen (Lead Carbonate) [half a tael each, pulverized], Ba Dou (Croton Tiglium Seed), Xing Ren (Prunus Armeniaca Seed) [fourteen grains each], Song Zhi (Pinus Resin), Luan Fa (Human Hair) [size of a chicken egg each].
Cut into pieces the size of soybeans. Simmer with two sheng of Pig Fat (Zhu Zhi) until the human hair is completely dissolved. Filter through silk cloth to remove dregs. Stir in Xiong Huang, Ci Huang, Hu Fen, and Bai Fan until uniform. Store in a porcelain container. Apply to sores three times a day from morning to night. Wash the area with hot salt water before each application. Avoid contact with mouth and eyes.
Treating Black Leprosy: Insect-Killing Method
Ci Huang (Orpiment) [any amount].
Grind into powder. Mix with vinegar and egg yolk until uniform. Apply to sores; reapply when dry.
Feng Fang Niu Jiu (Honeycomb Wine) for Treating Black Leprosy
Lu Feng Fang (Vespa Orientalis Nest) [five liang], Ku Shen (Sophora Flavescens Root) [four jin].
Finely cut. Decoct in three dou of water until reduced to one and a half dou. Strain. Soak four and a half jin of Qu (fermentation starter). Cook three dou of glutinous rice. Mix with Qu and ferment as usual. Press out the lees when ready. Warm and drink one small cup before meals.
[White Leprosy]
Patients with White Leprosy (Bai Lai) have hoarse voices, blurred vision, stubborn pain in the four limbs, high fever, mental restlessness and irritability, flaccidity of hands and feet, stiffness and tension in the back and spine, internal sensations like needle pricks, or raised wheals. Often, distinct white patches appear within the skin and flesh. Nasal polyps may develop, and white cataracts may form over the pupils, causing blindness. This condition is called White Leprosy.
Bai Hua She San (White Flower Snake Powder) for Treating Leprosy with Hoarse Voice
Bai Hua She (Deinagkistrodon Acutus) [soaked in wine], Wan Can E (Bombyx Batryticatus) [remove head, legs, wings], Tian Ma (Gastrodia Elata Rhizome), Huai Zi (Sophora Japonica Fruit), Qiang Huo (Notopterygium Incisum Rhizome), Fang Feng (Saposhnikovia Divaricata Root) [remove rhizomes each], Man Jing Zi (Vitalba Fructus), Wei Ling Xian (Clematis Chinensis Root), Bai Xian Pi (Dictamnus Dasycarpus Bark), Zhi Ke (Aurantii Fructus) [remove pith, stir-fried with bran, one tael each], Gan Cao (Glycyrrhiza Uralensis Root) [roasted, half a tael].
Grind into a fine powder. Take two qian per dose, mixed with warm wine. Take at any time, twice daily.
Ling Li Jia Wan (Manis Pill) for Treating White Leprosy
Ling Li Jia (Manis Pentadactyla Scale) [three pieces], Fu She (Agkistrodon Contortrix) [half a strip], Kui Ge (Tridacna Gigas Shell) [half a piece], Shui Zhi (Hirudo nipponica) [raw], Zhi Zhu (Araneus Diadematus) [raw], Ban Mao (Mylabris Cichorii) [remove head, legs, wings], Meng Chong (Tabanus Orientalis) [remove legs and wings, two each], Qi Cao (Phasioli Larva) [raw, three], Wu Gong (Scolopendra Subspinipes) [one], Long Gu (Fossil Bone) [half a tael, pulverized], Shi Gao (Gypsum Fibrosum) [one tael, finely pulverized, washed with water], Bai Fan (Alumen) [calcined], Hua Shi (Talcum), Chuan Mang Xiao (Natrii Sulfas), Xiao Shi (Natrii Nitras), Shui Yin (Mercurius) [mixed with Xiao Shi and mulberry juice, ground until stars disappear], Chuan Da Huang (Rheum Palmatum), Huang Lian (Coptis Chinensis), Gui Xin (Cinnamomum Cassia Bark Heartwood) [half a tael each], Fu Zi (Aconitum Carmichaelii Lateral Root) [processed, peel and umbilicus removed, two pieces], Lei Wan (Polyporus Umbellatus) [ten grains], Ba Dou (Croton Tiglium Seed) [twelve grains, peel, center, membrane, and oil removed], Chuan Jiao (Zanthoxylum Bungeanum) [two and a half qian].
Grind into a fine powder. Blend with refined honey to form pills the size of sophora seeds. Take two pills per dose, swallowed with warm water on an empty stomach and before bed, twice daily.
Tian Ma Jian (Gastrodia Decoction) for Treating White Leprosy
Tian Ma (Gastrodia Elata Rhizome) [one jin], Tian Liao Shui (Polygonum Hydropiper Juice) [three jin].
Cut into pieces the size of soybeans. Decoct in three dou of water in a silver or stone pot until reduced to one and a half dou. Strain. Simmer slowly until it reaches the consistency of thin syrup. Take half a spoon per dose, mixed with Schizonepeta and Mint wine before meals.
Another Prescription for Treating White Leprosy
Ma Bian Cao (Verbena Officinalis) [any amount].
Grind into a fine powder. Take one qian per dose, mixed with Schizonepeta and Mint tea before meals.
Ku Shen Jiu (Sophora Wine) for Treating Generalized White Spots Like Grease or Elm Seeds
Ku Shen (Sophora Flavescens Root) [five jin], Lu Feng Fang (Vespa Orientalis Nest) [five liang], Pi (Ophichan's Snake Slough) [one whole].
Cut into pieces. Decoct in three dou of water until reduced to one dou. Strain. Soak five jin of fine Qu. Cook three dou of broomcorn millet. Mix with Qu and ferment as usual. Press out the lees when ready. Warm and drink one small cup before meals.
Treating White Leprosy
Ban Mao (Mylabris Cichorii) [fourteen grains], Da Fu She (Agkistrodon Contortrix) [one dried snake, head and tail intact].
Place in seven sheng of wine in a porcelain bottle. Simmer over chaff fire until reduced to one sheng. Strain and store in a porcelain jar. Apply thinly to the white leprosy lesions.