蠲脊散 治过脊马 。
紫金皮 天灯心 酒坛根 马蹄香 马蹄金 紫背草 狗骨根 地茄根 山苏木
白马骨 铁马鞭 臭木待（根）
上生地黄酒、水各半煎服。
蠲 散 治杀着马 。
溪枫根 白田柯、赤牛膝 白马骨 拨雪根 马蹄金 金脑香 马蹄藤 马蹄香
地马梢（根） 穿山蜈蚣
上水酒各半煎服。
退创散 治马 满身创人，转动不便。
地马梢根 白马骨 铁马鞭 头形花根
鸡屎子 诈死子 马蹄金 山茄根 狗骨根 对节金惊根
上水煎，入酒和服。
钓钩藤散 治马 肿疡，病后筋脉拘急。
钓钩藤 伸筋藤 石楠藤 羊带归根 天灯心 狗骨子根 真珠帘根 草根
上水煎，入酒和服。
马鞭散 治马KT 。
石楠藤 凉藤子 晚祥西 雪里开 马蹄金 铁马鞭 鬼腰带根
上水煎，入酒和服。又用雪里开捣糟，炒缚之；又用樟树根皮、山枇杷根皮捣糟，炒
缚之。
妙草散 治病马KT 。
白根子 赤芎根皮
上捣糟，炒缚之；又用七层楼，煎酒服
之。
二妙散 治满身起堆，是马 。
马蹄香 香圆橘叶
上捣烂糟，炒缚之；又用秦椒酒煎。
或问∶广疮何如？曰∶此肝肾二经湿热。或色欲太过，肾经虚损，感邪秽之气而成。或
因下疳蓄毒，缠绵不已而作。一名翻花疮，肉反于外，状如蜡色，有如绵花，故又名绵花
疮，此则邪毒盛。细小者名广豆，或如赤根脓窠，此则邪毒浅。凡患此证，先宜食毒物
以发之，后服通圣散之类。须用土茯苓对停服。毒势既杀，八珍，十全大补汤之类以补
气血，必守禁忌，方获全愈。大忌房劳，如犯之服药不效，虑后结毒。一忌酸醋，酸敛
邪毒，后结广癣，一忌白肠，能发郁火，以致缠绵不已。一忌轻粉及冷水，致后筋骨疼
痛，结成风块，或一二年或数年方发。其状坚硬，肉色平淡，或痛或痒，多结于骨节、头
面、喉鼻之间，经络交会之处。已破则脓水淋漓，甚可畏也，轻则发广癣，亦名千层癣，
多生手心足底重叠不已。又有余毒，亦名气毒，筋骨疼痛，来去不定。亦名湿毒，筋骨
痛酸，乍作乍止，宜随其浅深治之。先服消风败毒，后服补剂。疮势盛及结毒深者，必
用熏药，后服通圣散以泄火毒，后服八珍汤、大补汤之类，弱者不宜熏，恐不能胜火气也。
〔薛〕 属元气不足，邪气所乘，亦有传染而患受，症在肝肾二经，故多在下体发起，
有先筋骨痛而后患者，有先患而后痛者。初起脉浮数，邪在脾肺经也，先用荆防败毒散
解散之。脉弦数，邪在肝胆经也，先用龙胆泻肝汤清解之。脉沉数，邪在脏腑也，先用
内疏黄连汤通导之，后用换肌消毒散为主，愈后再无筋骨疼痛之患。若疮凸赤作痛，热毒
炽盛也。疮微作痛，毒将杀也。疮色白而不结痂，阳气虚也。色赤而不结痂，阴血虚也。
搔痒，脉虚浮，气不能相荣也。搔痒脉浮数，血不能相荣也。臀背间或颈间作痒，膀胱阴
虚也。阴器间或股内痒，肝经血虚也。阴囊作痒重坠，肝经阴虚湿热也。小便频数，短
少色赤，肝经阴虚也。小便频数，色白短少，脾肺气虚也。面目搔痒或搔变赤，外邪相搏
也。眉间痒或毛落，肝胆血燥也。饮食少思，口干饮汤，胃气虚也。饮食难化，大便不实，
脾气虚也。侵晨或夜间泄泻，脾肾虚也。若治失其法，有蚀伤眼目，腐烂玉茎，拳挛肢
体者，但用九味芦荟丸以清肝火，六味丸以生肾水，蠲痹解毒饮以养血祛邪，亦有可愈
者。若误用轻粉等剂，反为难治。湿胜者，宜先导湿。表实者，宜先解表。里实者，宜先
疏里。表里若俱实，解表攻里。表虚者补气。里虚者补血。表里俱虚者补气血。 一人遍
身皆患，左手脉数，以荆防败毒散，表症乃退，以仙方活命饮六剂，疮渐愈，兼萆 汤
月余而痊。 一妇 痛发热，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，疮毒顿退，间服萆 汤，月余而痊。 一人下部生疳，诸药不应，延及
遍身突肿，状如翻花，筋挛骨痛，至夜尤甚，此肝肾二经湿热所致。先以导水丸进五服，次
以龙胆泻肝汤数剂，再与除湿健脾之药，外贴神异膏吸其脓，隔蒜灸拔其毒而愈。 若
表实者，荆防败毒散。里实者，防风通圣散。气虚者，四君子。血虚者，四物仍加兼症之
药并愈。若服轻粉等药，反收毒于内，以致迭发。概服防风通圣，则气血愈虚，因而不
治者多矣。 一人患之，发寒热，作渴便秘，两手脉实，用防风通圣散而退，以荆防败毒
散兼龙胆泻肝汤而痊。 一人患之肿痛，先以龙胆泻肝汤、导水丸各四剂少愈，再以小
柴胡加黄柏、苍术五十余剂而平。 一人玉茎肿溃，小便赤涩，肝脉弦数，以小柴胡加
木通、青皮、龙胆草四剂，又龙胆泻肝汤数剂而痊。 一童玉茎患之，延及小腹数枚，作
痛发热，以小柴胡汤吞芦荟丸，更贴神异膏，月余而痊。 一人愈后，腿肿一块，久而溃
烂不敛，以蒜捣烂敷患处，以艾灸其上，更贴神异膏及服黑丸子并托里药，两月而愈。
一妇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、黄柏为末，绿豆
粉等分铺席上，令可卧，更以金银花散，月余而痊。 一人皆愈，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，更饮萆 汤，两月余而痊。 一人患之势炽，兼脾胃气血皆虚，亦服前药而瘥。
一妇患之皆愈，惟两腿、两 各烂一块如掌，兼筋挛骨痛，三载不愈。诸药不应，且
晡热甚，饮食少思，以萆 汤兼逍遥散，倍用白术、茯苓数剂，热止食进，贴神异膏；更
服八珍汤加牛膝、杜仲、木瓜三十余剂而痊。一人杨梅疮后，两腿一臂各溃二寸许，一
穴脓水淋漓，少食不睡，久而不愈。以八珍汤加茯神、酸枣仁服，每日以蒜捣烂涂患处，
灸良久，随贴膏药数日稍可。却用豆豉灸，更服十全大补汤而愈。 凡有肿硬或作痛，亦
用蒜灸及敷中和膏，内服补药并效。 一儒者患前证，先玉茎作痒出水，后阴囊股内、小
腹、胁、臂，发小 ，或干脓窠，误服祛风等药，肢体倦怠，恶寒发热，饮食渐减，大
便不实，左尺洪数，左关弦数。右关浮缓，按之微弦。予曰∶此患属肝胆经也，左关脉弦，
左尺脉浮数者，肾水少而虚热传于肝也，右关脉浮缓，脾胃之气弱也，按之而弦者，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。 一儒者患前症，
色赤作痛，大便秘而不实，服祛风败毒等药，舌痛口干，脉浮而数，此邪气去而阴虚
所致。用六味丸料加山栀、当归四剂，脉症顿退。又用八珍汤加山栀、丹皮，疮色渐白，
后用四君加归、 而愈。 一患者，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痊。 一儒者患之，误服
祛风消毒之药，复伤元气，因劳役过度，内热口干，齿龈作痛，右关脉洪数而虚，此脾
胃受伤而火动，用清胃散之类而愈， 进士刘华甫，患之数月，用轻粉、朱砂等药，头
面、臂、臀各结一块二寸许，溃而形气消弱，寒热口干，舌燥唇裂，小便淋漓，痰涎上涌，
饮食少思，此脾胃伤，诸脏弱，而虚火动也。先用六君子二十余剂，又用补中益气加山茱
萸、山药、麦门、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。 一儒者患之，头面搔痒，或成粒、或成片、或出水，脾肺脉俱洪数，此风邪所伤。
先用荆防败毒散加萆 、钓藤钩数剂渐愈，但口干内热，用四物加山栀、钓藤、金银花、甘
草节而愈，后遍身搔痒，内热口干，佐以六味丸而痊。 一商人，每劳役饮酒后则遍身
生疮，服祛风败毒之剂，面目、胸背、臂胁结一块如桃栗，凹凸痒痛，脓水淋漓，气血
虚甚，寒热往来，作渴痰壅，此湿热壅盛，元气虚而不能愈也。外敷当归膏；内服补阴八
珍加萆 五钱，并换肌消毒散加干葛、钓藤钩各一钱，二十余剂诸症渐退，仍以前药为
主，佐以调理之剂两月余，血气复而疮愈。
萆 汤
川萆 （一名土茯苓，俗呼冷饭团）
每服二两。水三盅，煎一盅半，去渣。徐徐温服，病甚患久者，以此一味为主，而加
以兼症之剂。
换肌消毒散 治时疮，不拘初起、溃烂。
土茯苓（五钱） 当归（酒洗） 白芷 皂角刺 薏苡仁（各一钱） 白鲜皮 木瓜（不犯铁器） 木
通金银花（各七分） 炙甘草（五分）
上水煎服。
蠲痹消毒散 治时疮，肢节拘挛。
姜黄 土茯苓 独活（各五钱） 白术 当归（各一钱五分） 赤芍药（一钱） 白芷（五分）
上水煎服。
蠲毒换肌饮 治杨梅疮。
冷饭团（白色者，木槌打碎，四两） 上以长流水四大碗，入砂锅内煎至三碗，入后药∶
黄栝蒌（连仁杵烂，或细切，一个） 黄 （盐水炒，三钱） 白芍药 当归（各一钱半） 木瓜 白
芷风藤 白鲜皮 贝母 天花粉 穿山甲 皂角刺 甘草节（各一钱） 汉防己（七分） 鳖
虱胡麻（炒、研，二钱） 金银花（三钱） 猪胰子（切碎，一两）
上再煎至一大碗，通口顿服。胃弱者，分为二服，日三服。
又方
木瓜 牛膝（去芦） 生地黄 当归 金银花 贝母（以上各二钱） 粉草节 五加皮 天
花粉 地骨皮（以上各一钱半） 鳖虱胡麻仁（二钱半，炒香 研） 白芷 大风藤（各一钱） 薏苡仁（三钱，炒）
柴胡（五钱） 独核肥皂子（去硬壳，七个） 皂角子（七个，炒、打碎） 冷饭团（四两，白色者，
可用木槌打碎） 猪胰子（二两，切、碎） 白鲜皮（一钱二分）
河水三大碗，入砂锅内煎至一大碗。空心、上下午饥时，各一服。忌食茶、醋、牛
肉、河 、猪肝、肠。
洗汤方
五倍子（四两） 皮硝（一两） 地骨皮（三两，打碎） 甘草（一两五钱，作片） 艾叶（二两） 葱
（十枝）
入麻布囊中。煎极浓汤一锅，勿侵生水。先以一分滚汤乘热熏洗，旋添热汤，浴至汗
出为度。浴时先服前煎药一服。
点药方
真轻粉（五分） 杏仁（七粒，去皮） 冰片（三厘）
三味同捣极烂，洗净点上。
杨梅疮丸药方
白花蛇（四寸，酥炙） 露蜂房（一杖， ） 全蝎（四枚，酒浸、蜜炙，去足螫） 蜈蚣（二条， ）
龟板（一两，酥炙） 雄黄 飞丹（各一钱） 槐花米 雨前细茶（各五钱） 孩儿茶 辰砂（各五分，
为衣） 麝香（三分，同砂为衣）
上用黄米饭为丸。日进二三服，好酒送下，七日后疮即光矣。当加桦皮灰。
发霉疮毒方 用雄羊肉一斤，水八碗煮熟，入后药∶
川芎 大黄 蝉蜕 麻黄 威灵仙（各一两，此味虚人不可多用） 共五味，入羊肉内煎至
一大碗，空心服。其羊肉任意食之，盖被取汗，天明洗浴。只用一帖立效。
围药方
丁香 檀香 沉香 乳香（各五钱） 赤石脂（三两） 麝香（一钱） 桑霜（二两）
碱水调围。
广疮膏 亦治结毒。
黄连 黄蜡（各三钱） 木鳖子（去壳） 蕲艾（各二钱） 韶粉 白蜡（各一钱五分） 雄黄（一
钱） 炉甘石（五钱） 龙骨（五分） 冰片（一分）
香油煎膏。原方有樟脑三钱，恐作痛，故去之。
熏法 治杨梅疮毒，流注四肢，或遍身结成大疮，久不能愈者，用此法熏之极妙，能
收轻粉毒。
好艾叶（一斤，挪熟） 雄黄（一两） 黄丹（一两） 松香（四两） 苍术（半斤，米泔制过）
上四味为末。入艾拌匀，用黄纸做成药筒，五寸长。以火烧着一头，将烟熏疮口，待
筒烧过一半去筒，用水银膏贴之。次日又洗又熏之，半月有效，如重二十日有效。
洗药方
石菖蒲 荆芥 防风 羌活 独活 金银藤 地骨皮 何首乌 甘草
上日日煎汤洗之。
水银膏 亦治 疮。
无名异 水银 银朱 黄丹 百草霜（各等分）
上研极细和匀，用桐油调成膏，油纸摊作隔纸膏贴之。其油纸先用黄连、黄柏煎汤
刷数遍，然后（摊贴）。
又捷法 治杨梅疮，不问新旧并效，不过旬日。用胆矾、白矾末并水银各三钱半，入
香油、津唾各少许和匀。坐无风处，取药少许，涂两脚心，以两手心对脚心，擦磨良久。
再涂药少许，仍前再擦，用药尽即卧，汗出或大便去垢，口出秽涎为验。连擦三日，煎
通圣散澡洗；更服内疏黄连汤或败毒散。愈
后服萆 汤，有热加芩、连，气虚参、 ，血虚四物之类。
Juanji San: Treats "Guoji" (a toxic sore on the spine) in horses.
Ingredients: Zijinpi, Tiandengxin, Jiutan Gen, Matixiang, Matijin, Zibeicao, Gougugen, Diqiegen, Shansumu, Baimagu, Tiemabian, Choumudai (root).
Usage: Decoct the above ingredients with half ground wine and half water, then take orally.
Juansan: Treats "Shazhe" (a severe toxic sore) in horses.
Ingredients: Xifenggen, Bai Tianke, Chi Niuxi, Baimagu, Boxuegen, Matijin, Jinnaoxiang, Matiteng, Matixiang, Dimashao (root), Chuanshanwugong.
Usage: Decoct the above ingredients with half water and half wine, then take orally.
Tuichuang San: Treats horses with sores all over the body, causing difficulty in movement.
Ingredients: Dimashao root, Baimagu, Tiemabian, Touxinghua root, Jishizi, Zhasisi, Matijin, Shanqiegen, Gougugen, Dujiejingjing root.
Usage: Decoct the above ingredients with water, mix with wine, and take orally.
Diaogouteng San: Treats horse abscesses and muscle/tendon spasms after illness.
Ingredients: Diaogouteng, Shenjinteng, Shinanteng, Yangdaigui gen, Tiandengxin, Gouzigen, Zhenzhulian root, Caogen.
Usage: Decoct the above ingredients with water, mix with wine, and take orally.
Mabian San: Treats horse ding sores (carbuncles).
Ingredients: Shinanteng, Liangtengzi, Wanxiangxi, Xuelifkai, Matijin, Tiemabian, Guiyaodai root.
Usage: Decoct the above ingredients with water, mix with wine, and take orally. Additionally, mash Xuelifkai into a paste, heat it, and apply as a compress; alternatively, mash Cinnamomi Cortex (Zhangshu Genpi) and Eriobotryae Folium (Shanpisha Genpi) roots into a paste, heat it, and apply as a compress.
Miaocao San: Treats horse ding sores.
Ingredients: Baigenzi, Chixiong Genpi.
Usage: Mash the above ingredients into a paste, heat it, and apply as a compress; additionally, decoct Qicenglou in wine and take orally.
Ermiiao San: Treats horses with lumps all over the body, indicating horse ding disease.
Ingredients: Matixiang, Xiangyuan Juye.
Usage: Mash the above ingredients into a paste, heat it, and apply as a compress; additionally, decoct Qinjiao in wine and take orally.
Q: What is Guangchuang (Syphilis)?
A: This condition arises from damp-heat in the Liver and Kidney meridians. It may result from excessive sexual activity damaging the Kidney meridian, leading to susceptibility to turbid pathogens. Alternatively, it may stem from accumulated toxins from chancre (Xiagan) that persist and flare up. Also known as Fanhuachuang (Flower-turning Sore), where flesh protrudes outward, resembling wax or cotton, hence also called Mianhuachuang (Cotton Sore); this indicates intense pathogenic toxin. Smaller lesions are called Guangdou, or resemble red-rooted pustules, indicating shallower toxin. For this condition, one should first consume toxic substances to vent the toxin, then administer Tongsheng San. Tufuling (Smilax Glabra Rhizome) must be taken concurrently. Once the toxin subsides, use Bazhen Tang or Shiquan Dabu Tang to tonify Qi and Blood. Strict adherence to dietary and lifestyle taboos is required for full recovery. Sexual abstinence is strictly prohibited; violation renders medication ineffective and risks chronic toxicity. Avoid vinegar, as its astringent nature traps toxins, leading to Guangxuan (Syphilitic Tinea). Avoid pork intestines, which can stir latent fire, prolonging the illness. Avoid Calomel (Qingfen) and cold water, which cause subsequent bone/joint pain and wind-type nodules, potentially appearing years later. Symptoms include hard, pale flesh, itching or pain, often at joints, head/face, throat/nose, or meridian intersections. Ulcerated lesions weep pus profusely, which is alarming. Mild cases manifest as Guangxuan (Thousand-layer Tinea), often on palms and soles. Residual toxin, also called Qi Du or Shi Du, causes wandering bone/joint pain or intermittent soreness; treatment depends on depth. Initially use Xiaofeng Baidu San, followed by tonics. For severe sores or deep nodules, fumigation is essential, followed by Tongsheng San to clear fire-toxin, then Bazhen Tang or Dabu Tang. Weak patients should avoid fumigation to prevent overwhelming heat.
Xue Ji states: This disease stems from deficient Yuan Qi allowing pathogenic invasion, or transmission. Located in Liver/Kidney meridians, it often appears on the lower body. Some experience joint pain before sores; others vice versa. Initial floating-rapid pulse indicates pathogen in Spleen/Lung meridians; treat initially with Jingfang Baidu San. Wiry-rapid pulse indicates Liver/Gallbladder involvement; treat initially with Longdan Xiegan Tang. Deep-rapid pulse indicates internal organ involvement; treat initially with Neishu Huanglian Tang, then HuANJI Xiaodu San as main formula. If sores are protruding, red, and painful, heat-toxin is intense. Mild pain indicates toxin subsiding. White sores without scabs indicate Yang deficiency. Red sores without scabs indicate Yin/Blood deficiency. Itching with floating-deficient pulse indicates Qi failure to nourish; itching with floating-rapid pulse indicates Blood failure to nourish. Itching between buttocks/back or neck indicates Bladder Yin deficiency. Itching in genitals or inner thighs indicates Liver Blood deficiency. Itchy, heavy scrotum indicates Liver Yin deficiency with damp-heat. Frequent, scanty, red urine indicates Liver Yin deficiency. Frequent, scanty, white urine indicates Spleen/Lung Qi deficiency. Facial itching or redness after scratching indicates external pathogen conflict. Eyebrow itching or hair loss indicates Liver/Gallbladder blood dryness. Poor appetite, dry mouth craving hot drinks indicates Stomach Qi deficiency. Indigestion, loose stools indicate Spleen Qi deficiency. Morning or night diarrhea indicates Spleen/Kidney deficiency. Improper treatment may cause eye damage, glans ulceration, or limb contracture. Use Jiwei Luhui Wan to clear Liver fire, Liuwei Dihuang Wan to nourish Kidney water, Juanbi Jiedu Yin to nourish Blood and dispel pathogens. Misuse of Calomel makes treatment difficult. For excess dampness, drain dampness first. For exterior excess, release exterior first. For interior excess, purge interior first. For both excess, release exterior and purge interior. For exterior deficiency, tonify Qi. For interior deficiency, tonify Blood. For both deficiencies, tonify Qi and Blood.
Case 1: Patient with whole-body sores, rapid left wrist pulse. Used Jingfang Baidu San to resolve exterior symptoms, then Xianfang Huoming Yin for six doses to improve sores, combined with Bixie Tang for over a month until cure.
Case 2: Woman with pain, fever, constipation, thirst, deep-solid pulse. Used Neishu Huanglian Tang for two doses to resolve interior symptoms, then Longdan Xiegan Tang for several doses to reduce toxin, intermittently taking Bixie Tang for over a month until cure.
Case 3: Patient with genital chancre unresponsive to other drugs, spreading to whole body with swelling resembling flower-turning, tendon spasm, bone pain worse at night, caused by Liver/Kidney damp-heat. First administered Daoshui Wan five doses, then Longdan Xiegan Tang for several doses, followed by damp-draining and Spleen-strengthening herbs. Applied Shenyi Gao externally to draw pus, used Garlic-moxibustion to extract toxin, resulting in cure.
For exterior excess, use Jingfang Baidu San. For interior excess, use Fangfeng Tongsheng San. For Qi deficiency, use Sijunzi Tang. For Blood deficiency, use Siwu Tang plus symptom-specific herbs. Misuse of Calomel traps toxin internally, causing recurrence. Overuse of Fangfeng Tongsheng San depletes Qi/Blood, often leading to untreatable conditions.
Case 4: Patient with chills, fever, thirst, constipation, solid pulses on both hands. Used Fangfeng Tongsheng San to resolve symptoms, then Jingfang Baidu San combined with Longdan Xiegan Tang for cure.
Case 5: Patient with swelling and pain. First used Longdan Xiegan Tang and Daoshui Wan (four doses each) for slight improvement, then Xiao Chaihu Tang plus Huangbai and Cangzhu for over fifty doses to stabilize.
Case 6: Patient with swollen/ulcerated glans, red/scanty urination, wiry-rapid Liver pulse. Used Xiao Chaihu Tang plus Mutong, Qingpi, Longdancao for four doses, then Longdan Xiegan Tang for several doses for cure.
Case 7: Child with glans infection spreading to lower abdomen, pain, fever. Used Xiao Chaihu Tang with Luhui Wan, applied Shenyi Gao, cured in over a month.
Case 8: Patient with leg lump post-cure, ulcerating slowly. Applied mashed garlic, moxa, Shenyi Gao, Heiwanzi, and interior-supporting herbs, cured in two months.
Case 9: Woman fumigated with Calomel under blankets, causing skin collapse and pus discharge. Used powder of Shihuang, Huangbai, and Lvdou Fen spread on bed, took Jinyinhua San, cured in over a month.
Case 10: Patient cured except for hard back lump, ulcerating after a year, weeping for three years, with Qi/Blood deficiency and poor appetite. Used Liujunzi Tang plus Danggui and Huoxiang for thirty doses, plus Bixie Tang, cured in over two months.
Case 11: Patient with intense disease and Spleen/Stomach Qi/Blood deficiency, cured with previous formulas.
Case 12: Woman cured except for palm-sized ulcers on legs/armpits, tendon spasm, bone pain for three years. Unresponsive to drugs, evening fever, poor appetite. Used Bixie Tang combined with Xiaoyao San, doubled Baizhu and Fuling for several doses to stop fever and improve appetite, applied Shenyi Gao, then Bazhen Tang plus Niu Xi, Duzhong, Mugua for thirty doses for cure.
Case 13: Post-syphilis patient with ulcers on legs/arm, weeping pus, poor intake/sleep. Used Bazhen Tang plus Fushen and Suanzaoren, daily garlic application and moxa, followed by plasters for slight relief. Then Douchi moxa and Shiquan Dabu Tang for cure.
For swelling/hardness/pain, garlic moxa and Zhonghe Gao with internal tonics are effective.
Case 14: Scholar with prior symptoms: glans itching/discharge, then small sores/dry pustules on scrotum/thighs/abdomen/flanks/arms. Mistakenly used wind-dispelling drugs, causing fatigue, chills/fever, reduced appetite, loose stools. Left Chi pulse surging-rapid, Left Guan wiry-rapid. Right Guan floating-slow, slightly wiry on pressure. Diagnosis: Liver/Gallbladder channel issue. Left Guan wiry, Left Chi floating-rapid indicates Kidney Water deficiency transmitting empty heat to Liver. Right Guan floating-slow indicates weak Spleen/Stomach Qi. Pressure wiriness indicates Liver Wood overacting on Spleen Earth. Used Liuwei Dihuang Wan and Buzhong Yiqi Tang as main, assisted by Huanji Xiaodu San for cure.
Case 15: Scholar with red/painful sores, constipation. Took wind-dispelling/blood-cooling drugs, causing tongue pain, dry mouth, floating-rapid pulse. Indicates pathogen gone but Yin deficiency. Used Liuwei Wan formula plus Zhizi and Danggui for four doses, pulse/symptoms receded. Then Bazhen Tang plus Zhizi and Danpi, sores turned white, finally Sijunzi Tang plus Danggui for cure.
Case 16: Patient taking toxin-purging drugs developed protruding/red/painful sores, fatigue, chills/fever, floating-deficient pulse. Indicates recurrent Qi injury with excess pathogen. Used Buzhong Yiqi Tang for two doses for cure.
Case 17: Scholar mistakenly used wind-dispelling/toxin-clearing drugs, injuring Yuan Qi. Due to overwork, experienced internal heat, dry mouth, gum pain, surging-rapid-deficient Right Guan pulse. Indicates Spleen/Stomach injury with stirring fire. Used Qingwei San for cure.
Official Liu Huafu suffered for months, used Calomel/Cinnabar, developed inch-sized nodules on face/arms/buttocks, ulcerated with weakened form/Qi, chills/fever, dry mouth/tongue/lips, dribbling urine, phlegm rising, poor appetite. Indicates Spleen/Stomach injury, weak organs, stirring empty fire. Used Liujunzi Tang for twenty doses, then Buzhong Yiqi Tang plus Shanzhuyu, Shanyao, Maidong, Wuweizi to restore Stomach Qi and resolve symptoms. Only unclear urine/phlegm remained, cured with Jiawei Bawei Wan.
Case 18: Scholar with facial itching, granular/plaque-like sores/discharge, surging-rapid Spleen/Lung pulses. Indicates Wind pathogen injury. Used Jingfang Baidu San plus Bixie and Gouteng for several doses for gradual improvement. Dry mouth/internal heat treated with Siwu Tang plus Zhizi, Gouteng, Jinyinhua, Gancaojie for cure. Subsequent whole-body itching/internal heat/dry mouth resolved with assistance of Liuwei Wan.
Case 19: Merchant developing sores after labor/alcohol, took wind-dispelling/blood-cooling agents. Developed peach-nut sized nodules on face/chest/back/arms/flanks, uneven, itchy/painful, weeping pus, severe Qi/Blood deficiency, alternating chills/fever, thirst, phlegm obstruction. Indicates damp-heat congestion with deficient Yuan Qi unable to recover. Applied Danggui Gao externally; internally used Buyin Bazhen plus Bixie (5 qian), Huanji Xiaodu San plus Gegen and Gouteng (1 qian each) for over twenty doses to gradually retreat symptoms. Continued main formula with regulating agents for over two months, restoring Qi/Blood and curing sores.
Bixie Tang
Chuan Bixie (also known as Tufuling, colloquially Lengfantuan)
Dosage: 2 liang per dose. Decoct in 3 bowls of water to 1.5 bowls, strain. Take warm slowly. For severe/prolonged cases, use this single herb as main, adding symptom-specific formulas.
Huanji Xiaodu San: Treats epidemic sores, whether initial or ulcerated.
Ingredients: Tufuling (5 qian), Danggui (wine-washed), Baizhi, Zaogelaci, Yiyiren (1 qian each), Baixianpi, Mugua (avoid iron), Mutong, Jinyinhua (7 fen each), Zhi Gancao (5 fen).
Usage: Decoct in water and take orally.
Juanbi Xiaodu San: Treats epidemic sores with joint stiffness.
Ingredients: Jianghuang, Tufuling, Duhuo (5 qian each), Baizhu, Danggui (1.5 qian each), Chishao Yao (1 qian), Baizhi (5 fen).
Usage: Decoct in water and take orally.
Juandu Huanji Yin: Treats Syphilis.
Ingredients: Lengfantuan (white ones, crushed with wooden mallet, 4 liang). Decoct in 4 large bowls of long-flowing water in a clay pot until 3 bowls remain. Add: Huanggualou (crushed with kernels or finely cut, 1), Huangqi (salt-water fried, 3 qian), Baishao Yao, Danggui (1.5 qian each), Mugua, Baizhi, Fengteng, Baixianpi, Beimu, Tianhuafen, Chuanshanjia, Zaogelaci, Gancaojie (1 qian each), Hanfangji (7 fen), Bieshi Humaren (fried, ground, 2 qian), Jinyinhua (3 qian), Zhu Yizi (chopped, 1 liang).
Usage: Decoct again to 1 large bowl, take all at once. For weak stomachs, divide into two doses, three times daily.
Another Formula
Ingredients: Mugua, Niu Xi (remove radicles), Sheng Dihuang, Danggui, Jinyinhua, Beimu (2 qian each), Fencaojie, Wujia Pi, Tianhuafen, Digupi (1.5 qian each), Bieshi Humaren (2.5 qian, fried fragrant, ground), Baizhi, Dafengteng (1 qian each), Yiyiren (3 qian, fried), Chaihu (5 qian), Duhexi Zaobizi (hard shell removed, 7), Zaogaozi (7, fried, crushed), Lengfantuan (4 liang, white, crushed), Zhu Yizi (2 liang, chopped), Baixianpi (1.2 qian).
Usage: Decoct in 3 large bowls of river water in a clay pot to 1 large bowl. Take one dose on an empty stomach and during hunger periods in morning/evening. Avoid tea, vinegar, beef, pufferfish, pig liver, intestines.
Washing Soup Formula
Ingredients: Wubeizi (4 liang), Pinxiao (1 liang), Digupi (3 liang, crushed), Gancao (1.5 liang, sliced), Aye (2 liang), Cong (10 stalks).
Usage: Place in hemp cloth bag. Decoct strong soup, avoid raw water. First fumigate/wash with hot portion, add hot water as needed, bathe until sweating. Take one dose of previously decocted medicine before bathing.
Pointing Medicine Formula
Ingredients: Zhen Qingfen (5 fen), Xingren (7 grains, peeled), Bingpian (3 li).
Usage: Pound together extremely fine, clean area, and apply.
Syphilis Pill Formula
Ingredients: Baihua She (4 cun,酥 roasted), Lufengfang (1 stick, roasted), Quanxie (4 pieces, wine-soaked, honey-roasted, remove feet/stingers), Wugong (2 strips, roasted), Guiban (1 liang,酥 roasted), Xionghuang, Feidan (1 qian each), Huaihuami, Yuqian Xi Cha (5 qian each), Haiercha, Chensha (5 fen each, for coating), Shexiang (3 fen, coated with cinnabar).
Usage: Make pills with yellow rice paste. Take 2-3 doses daily with good wine. Sores will clear in seven days. Add Huapi Hui (Birch bark ash).
Fungal Toxin Formula: Boil 1 jin male lamb meat in 8 bowls water. Add: Chuanxiong, Dahuang, Chantui, Mahuang, Weilingxian (1 liang each, avoid excessive Weilingxian in weak persons). Simmer five herbs in lamb meat to 1 large bowl. Take on empty stomach. Eat lamb freely, cover to sweat, bathe at dawn. One dose yields immediate effect.
Encircling Medicine Formula
Ingredients: Dingxiang, Tanxiang, Chenxiang, Ruxiang (5 qian each), Chishizhi (3 liang), Shexiang (1 qian), Sangshuang (2 liang).
Usage: Mix with alkali water for encircling application.
Guangchuang Ointment: Also treats nodules.
Ingredients: Huanglian, Huangla (3 qian each), Mubiezi (shelled), Qiai (2 qian), Shaofen, Baila (1.5 qian each), Xionghuang (1 qian), Luganshi (5 qian), Longgu (5 fen), Bingpian (1 fen).
Usage: Fry in sesame oil to make ointment. Original formula had 3 qian Zhangnao, removed due to pain risk.
Fumigation Method: Treats Syphilis toxin flowing to limbs or forming large sores all over, persistent cases. Very effective, removes Calomel toxin.
Ingredients: Hao Aiye (1 jin, kneaded soft), Xionghuang (1 liang), Huangdan (1 liang), Songxiang (4 liang), Cangzhu (0.5 jin, rice wash processed).
Usage: Powder the four ingredients. Mix with mugwort. Form into paper tubes (5 cun long). Burn one end, smoke the sore. Remove tube when half burned. Apply Shuiyin Gao. Next day, wash and fumigate again. Effective in half a month; 20 days for severe cases.
Washing Medicine Formula
Ingredients: Shichangpu, Jingjie, Fangfeng, Qianghuo, Duhuo, Jinyinteng, Digupi, Heshouwu, Gancao.
Usage: Decoct daily for washing.
Mercury Ointment: Also treats sores.
Ingredients: Wumingyi, Shuiyin, Yinzhu, Huangdan, Baicaoshuang (equal parts).
Usage: Grind extremely fine, mix evenly. Blend with tung oil to form ointment. Spread on oil paper as barrier plaster. Pre-treat oil paper by brushing with Huanglian/Huangbai decoction several times before application.
Another Quick Method: Treats Syphilis, effective for new/old cases within ten days. Use Danfan, Baifan powder, and Shuiyin (3.5 qian each). Mix with little sesame oil and saliva. Sit in windless place. Apply small amount to soles of feet. Rub soles against palms for a long time. Reapply and rub until medicine is used up. Lie down. Sweating, dirty stool, or foul salivation indicates efficacy. Rub for three consecutive days. Bathe with Tongsheng San decoction; take Neishu Huanglian Tang or Baidu San. After cure, take Bixie Tang: add Huangqin/Huanglian for heat, Renshen/Astragalus for Qi deficiency, Siwu Tang for Blood deficiency.