大意
疠风乃天地间杀物之风。燥金之气也。客于人身。故疮而不脓。燥而不湿。荣卫之行涩。令人麻木不仁。毛
脱眉落。最为酷烈。常见患此者。忽略懈怠。不知绝味断欲。终成无救。深为惜哉。（汇补）
内因
疠风古称曰癞。多由血热得寒所致。或夏月劳甚。入水澡浴。或冬月醉后踢冰。湿热郁于内而不散。风邪
客于外而不行。内外怫热。（丹溪）久之则血浊气乱。淫气与卫气相干。不得施化。气不得施。血为之聚。血聚
则肌肉败烂。（指掌）经所谓热胜血肉腐是也。（丹溪）亦有疮痈后。不守禁忌使然者。亦有饮酒浓味。热极生
风者。是虚为本。而热为标也。（三锡）
外候
湿热甚则生风。风胜则生虫。如腐草为萤之义。（三锡）内既有虫。外必有应。忽然皮毛脱落。肌肉浮紫。食肝
则眉落。食脾则鼻崩。食肺则声哑。食心则足穿。食肾则耳鸣。或耳弦生疮。或遍身针刺。状如虫行。肌肉疙
瘩。溃烂生疮。皆其外现者也。（汇补）气受之。则在上。血受之。则在下。气血俱受。则上下俱有。（丹溪）
治归阳明
此症皆归重于手足阳明二经者。以阳明为气血俱多之乡。胃与大肠主之。肺脾二经之府也。脾主肌肉。
肺主皮毛。腑病及脏。而皮毛肌肉应之。况肠胃为市。无物不包。无物不受。故热毒于中而形于外也。治者。
必先取阳明而及于太阴。乃本而标之之义。（丹溪）
治法
治法。必先杀其虫。泻其火。然后生血凉血。祛风导滞。降阳升阴。皆为治法之急务也。（丹溪）
疠风选方
附姑苏黄氏滇南传归大风神方 是方外父端木黄公。万里寻亲时。土司高松筠念其徒步间关。特出异方赠之。
转授之余。余亦何敢私秘。刊之以公天下云耳。
风病主方
苦参（酒洗） 草胡麻（淘净捣末） 白蒺藜（去刺各六两） 防风 荆芥穗 真甘菊（各三两）
为末。米糊丸如桐子大。每服三钱。空心。药酒下。如在头面。加后药。
僵蚕（三两） 蝉蜕（酒洗） 本（酒洗各一两） 川芎 薄荷 牛蒡（各二两）
如在手部。加 羌活（酒洗） 风藤（酒洗各二两） 升麻（五钱） 如在足部。加 牛膝（酒洗） 薏仁（各二
两） 木瓜 防己 石斛（各一两） 如在遍身。加 白藓皮 海桐皮（各一两） 五加皮（三两） 山慈菇（二两） 秦
艽（一两） 如见口眼歪斜。加 密蒙花 青葙子 决明子（各一两五钱） 竹节白附子（姜汁炒七钱） 如 肿血热
者。加 黄芩（二两） 黄连（酒浸一两） 黄柏（一两） 玄参 连翘（各二两） 山栀（一两） 犀角（镑） 羚
羊角（镑各一两） 丹皮（二两） 如顽痹冷麻。加 大附子 川乌 草乌 两头尖（各一两俱姜汁面煨） 石菖蒲（一
两） 桂枝（五钱） 如肥人有湿痰者。加 苍术（炒） 白术（炒） 半夏（各二两） 天麻（酒煨三两） 草
（九蒸九晒四两） 萆 （一两） 如血虚者及女人。加 当归（酒洗） 生地（各四两） 白芍（酒炒） 川芎（各
二两）
如病深重壮实者。用四桂散。半月一服。服二三次即止。
大黄（一两半） 白牵牛（头末） 槟榔 皂角刺（净末各一两）
上为末。每服三钱。糖酒送下。小儿每岁一分。下二三次。用米汤补之。
风病省麻换肌收功丸方
当归（酒洗） 枸杞（各四两） 草胡麻 甘菊 苦参 白蒺藜（炒） 白藓皮（各三两） 五加皮 何首乌（人
乳蒸） 明天麻（酒煨） 乌梢蛇（净肉） 白花蛇（净肉各二两）
嫩桑枝捣汁煎膏为丸。如梧子大。每服三钱。空心。药酒下。
药酒仙方
白藓皮 地骨皮 乌梢蛇 白花蛇 白蒺藜（炒去刺各五钱） 草胡麻（打碎一两）
何首乌 荆芥穗 甘菊（各四钱） 风藤（三钱） 皂角刺（二钱）
无灰酒一埕。入药在内。封固。隔水煮熟。窨七日。开饮。
风病临浴服丸药 七日一服。
苍耳苗（洗晒） 紫背萍（净晒） 乌梢蛇（净肉）
等分为末。用新鲜皂角刺煎膏为丸。如梧子大。每服七八十丸。药酒送下。
风病浴汤方 七日一浴。
桑枝 槐枝 桃枝 苍耳苗 鲜地骨皮 野蔷薇根 紫背萍
七味不拘多少。煎汤浸浴竟日。择明亮无风处浴。
风病擦药秘方 治风症肿热。或如云头。或如癣。或成块。或斑疹不穿烂者。
真 油（二两煎滚黑色去楂） 大枫子（净肉一两捣） 桃仁（五钱去皮） 杏仁（五钱去皮尖） 水银（一钱五
分研三味内） 以上四味。候油冷未冻。调和 轻粉（一钱半） 樟脑（一钱） 牛黄（一分） 冰片（一分） 麝香
（半分）
以上五味研细。候油冻。捣和合好。埋土中一日夜。去火气。用指蘸擦患处。一日擦二次。十日见效。
风病遍身穿烂敷药方
油（六两煎法如前） 芝麻（三合炒焦研） 大枫子（肉六两研） 桃仁（一两去皮） 水银（三钱研） 杏仁
（一两去皮尖）
以上五味。候油未冻。调和 乳香 没药（各一钱箬上炙） 樟脑面（二钱） 牛黄（三分）
冰片（二分） 麝香（一分） 以上七味研细。候油冻捣和。埋土中如前用。
【附鹅掌风方】
先以麻油四两煎微滚。入黄蜡再煎。以无黄沫为度。取起。入轻粉一钱五分。黄丹、朱砂各一钱。敷手心
患处。以火熏之。即愈。
又方 先以桐油涂在手上。将鸽粪熏之。以一炷香时。如此三日。立效。
[General Idea]
Lifeng (Leprosy/Malignant Wind) is a type of wind qi in heaven and earth that can kill all things, belonging to the Dry Metal qi. When it invades the human body, it causes sores that do not suppurate properly, appearing dry rather than moist. The circulation of Ying and Wei (Nutritive and Defensive Qi) becomes stagnant, leading to numbness and insensitivity. Hair falls out, eyebrows are lost, and this disease is extremely severe. Patients often neglect it due to laxity, failing to realize they must abstain from rich flavors and regulate desires, ultimately resulting in untreatable conditions. This is deeply regrettable. (From *Zhengzhi Huibu*)
[Etiology]
Lifeng was anciently called "Lei" (Leper). It is mostly caused by blood heat combined with cold exposure. For instance, bathing in water after strenuous labor in summer, or treading on ice while drunk in winter. This leads to damp-heat stagnating internally without dispersing, and wind pathogens lodging externally without moving. Internal and external heat become constrained. (Zhu Danxi's view) Over time, blood becomes turbid and qi becomes chaotic. Pathogenic qi interferes with Wei Qi, preventing normal transformation. Since qi cannot move freely, blood aggregates. Blood aggregation leads to tissue decay and rotting. (From *Yizong Jinjian*) This corresponds to the *Neijing* statement: "When heat prevails, flesh and blood rot." (Zhu Danxi's view) It may also result from violating taboos after suffering from carbuncles and sores, or from excessive alcohol consumption and rich foods causing extreme heat to generate wind. Here, deficiency is the root, and heat is the branch. (Sanxi's view)
[External Manifestations]
Severe damp-heat generates wind; excessive wind generates parasites, similar to the principle that decaying grass transforms into fireflies. (Sanxi's view) If there are parasites internally, there must be corresponding manifestations externally. Suddenly, skin and hair fall off, muscles swell and turn purplish. If the Liver is affected, eyebrows fall; if the Spleen is affected, the nose collapses; if the Lungs are affected, the voice becomes hoarse; if the Heart is affected, the feet ulcerate; if the Kidneys are affected, tinnitus occurs. There may be sores on the ears, or a sensation like needle pricks all over the body, feeling as if insects are crawling, with nodules in the muscles, ulceration, and sore formation. These are all external signs. (From *Zhengzhi Huibu*) If Qi is affected, symptoms appear in the upper body; if Blood is affected, symptoms appear in the lower body; if both Qi and Blood are affected, symptoms appear in both upper and lower parts. (Zhu Danxi's view)
[Treatment Focus on Yangming Meridian]
This disease primarily involves the Hand and Foot Yangming meridians because Yangming is where Qi and Blood are abundant, governed by the Stomach and Large Intestine, which are the Fu organs of the Lung and Spleen meridians. The Spleen governs muscles, and the Lungs govern skin and hair. Disease in the Fu organs affects the Zang organs, manifesting in the skin and muscles. Moreover, the intestines and stomach are like a market, containing and accepting everything, so heat toxins accumulate internally and manifest externally. Treatment must first target the Yangming meridians and then extend to the Taiyin meridians, representing the principle of treating the root while addressing the branch. (Zhu Danxi's view)
[Therapeutic Methods]
The treatment method must first eliminate the parasites and purge the fire, then nourish and cool the blood, dispel wind, guide out stagnation, descend Yang, and ascend Yin. These are urgent priorities in treatment. (Zhu Danxi's view)
[Selected Formulas for Lifeng]
Attached: Gusu Huang Family's Dian Nan Miracle Formula for Great Wind Disease. This formula was given to my father-in-law, Mr. Duanmu Huang, by local chieftain Gao Songyun during his arduous journey to find relatives. After receiving it, how could I keep it secret? I publish it for the benefit of the world.
Main Formula for Wind Disease:
Sophorae Flavescentis Radix (Kushen, 苦参) (Washed with wine), Sesame Seed (Caohuma, 草胡麻) (Washed clean and pounded to powder), Tribuli Fructus (Bajili, 白蒺藜) (Spines removed, 6 liang each), Saposhnikoviae Radix (Fangfeng, 防风), Schizonepetae Spica (Jingjiesui, 荆芥穗), Chrysanthemi Flos (Zhen Ganju, 真甘菊) (3 liang each).
Pound into fine powder, make pills with rice paste the size of paulownia seeds. Take 3 qian per dose, on an empty stomach, with medicinal wine.
If the disease is on the head and face, add:
Bombyx Batryticatus (Jiangcan, 僵蚕) (3 liang), Bombyx Batryticatus (Chantui, 蝉蜕) (Washed with wine), Ligustici Rhizoma et Radix (Ben, 本) (Washed with wine, 1 liang each), Ligusticum Chuanxiong Rhizoma (Chuanxiong, 川芎), Menthae Haplocalycis Herba (Bohe, 薄荷), Arctii Fructus (Niubangzi, 牛蒡) (2 liang each).
If the disease is on the hands, add:
Notopterygii Rhizoma et Radix (Qianghuo, 羌活) (Washed with wine), Saussureae Ramulus (Fengteng, 风藤) (Washed with wine, 2 liang each), Cimicifugae Rhizoma (Shengma, 升麻) (5 qian).
If the disease is on the feet, add:
Achyranthis Bidentatae Radix (Niuxi, 牛膝) (Washed with wine), Coicis Semen (Yiren, 薏仁) (2 liang each), Chaenomelis Fructus (Mugua, 木瓜), Stephaniae Tetrandrae Radix (Fangji, 防己), Dendrobii Caulis (Shihu, 石斛) (1 liang each).
If the disease is all over the body, add:
Phellodendri Cortex (Baixianpi, 白藓皮), Paoniae Moutan Cortex (Haitongpi, 海桐皮) (1 liang each), Acanthopanacis Cortex (Wujiaopi, 五加皮) (3 liang), Smilacis Glabrae Rhizoma (Shancigu, 山慈菇) (2 liang), Gentianae Macrophyllae Radix (Qinjiao, 秦艽) (1 liang).
If facial paralysis (mouth and eye deviation) occurs, add:
Gentianae Macrophyllae Flos (Mimenghua, 密蒙花), Veroniceae Fructus (Qingxiangzi, 青葙子), Cassiae Semen (Juemingzi, 决明子) (1.5 liang each), Typhonii Rhizoma (Baizhuzi, 白附子) (Stir-fried with ginger juice, 7 qian).
If swelling and blood heat are present, add:
Scutellariae Radix (Huangqin, 黄芩) (2 liang), Coptidis Rhizoma (Huanglian, 黄连) (Steeped in wine, 1 liang), Phellodendri Cortex (Huangbai, 黄柏) (1 liang), Scrophulariae Radix (Xuanshen, 玄参), Forsythiae Fructus (Lianqiao, 连翘) (2 liang each), Gardeniae Fructus (Shanzhi, 山栀) (1 liang), Rhinocerotis Cornu (Xijiao, 犀角) (Sliced), Capris Cornu (Lingyangjiao, 羚羊角) (Sliced, 1 liang each), Moutan Cortex (Danpi, 丹皮) (2 liang).
If stubborn bi-syndrome with cold and numbness occurs, add:
Aconiti Lateralis Radix Praeparata (Dafuzi, 大附子), Aconiti Radix (Chuanwu, 川乌), Aconiti Kusnezoffii Radix (Caowu, 草乌), Acronipterae Radix (Liangtoujian, 两头尖) (1 liang each, stir-fried with ginger juice and flour), Acori Tatarinowii Rhizoma (Shichangpu, 石菖蒲) (1 liang), Cinnamomi Ramulus (Guizhi, 桂枝) (5 qian).
If obese patients have damp-phlegm, add:
Atractylodis Macrocephalae Rhizoma (Cangzhu, 苍术) (Stir-fried), Atractylodis Rhizoma (Baizhu, 白术) (Stir-fried), Pinelliae Rhizoma (Banxia, 半夏) (2 liang each), Gastrodiae Rhizoma (Tianma, 天麻) (Wine-roasted, 3 liang), Dioscoreae Hypoglaucae Rhizoma (Bixie, 萆薢) (Nine-steamed and nine-dried, 4 liang), Dioscoreae Hypoglaucae Rhizoma (Bixie, 萆薢) (1 liang). *Note: Text implies Bixie*.
If there is blood deficiency or for women, add:
Angelicae Sinensis Radix (Danggui, 当归) (Washed with wine), Rehmanniae Radix Recens (Shengdi, 生地) (4 liang each), Paeoniae Radix Alba (Baishao, 白芍) (Stir-fried with wine), Ligusticum Chuanxiong Rhizoma (Chuanxiong, 川芎) (2 liang each).
For deep-seated diseases in robust individuals, use Sigui San (Four Cinnamon Powder). Take once every half month, stop after two or three doses.
Rhei Radix et Rhizoma (Dahuang, 大黄) (1.5 liang), Pharbitidis Semen (Baiqianniu, 白牵牛) (First runnings), Arecae Semen (Binglang, 槟榔), Gleditsiae Sinensis Spina (Zaoyaoci, 皂角刺) (Clean powder, 1 liang each).
Pound into fine powder. Take 3 qian per dose, with sugar wine. For children, take 1 fen per year of age. After two or three bowel movements, replenish with rice soup.
Formula for Saving Hemp, Changing Skin, and Concluding Cure for Wind Disease:
Angelicae Sinensis Radix (Danggui, 当归) (Washed with wine), Lycii Fructus (Gouqi, 枸杞) (4 liang each), Sesame Seed (Caohuma, 草胡麻), Chrysanthemi Flos (Ganju, 甘菊), Sophorae Flavescentis Radix (Kushen, 苦参), Tribuli Fructus (Bajili, 白蒺藜) (Stir-fried), Phellodendri Cortex (Baixianpi, 白藓皮) (3 liang each), Acanthopanacis Cortex (Wujiaopi, 五加皮), Polygoni Multiflori Radix (Heshouwu, 何首乌) (Steamed with human milk), Gastrodiae Rhizoma (Tianma, 天麻) (Wine-roasted), Zaocys (Wushaoshe, 乌梢蛇) (Clean meat), Deinagkistrodon Acutus (Baihuashe, 白花蛇) (Clean meat, 2 liang each).
Make paste with juice of young Mulberry Branch (Sangzhi, 桑枝) and form pills the size of paulownia seeds. Take 3 qian per dose, on an empty stomach, with medicinal wine.
Immortal Medicinal Wine Formula:
Phellodendri Cortex (Baixianpi, 白藓皮), Lycii Cortex (Digupi, 地骨皮), Zaocys (Wushaoshe, 乌梢蛇), Deinagkistrodon Acutus (Baihuashe, 白花蛇), Tribuli Fructus (Bajili, 白蒺藜) (Stir-fried, spines removed, 5 qian each), Sesame Seed (Caohuma, 草胡麻) (Crushed, 1 liang), Polygoni Multiflori Radix (Heshouwu, 何首乌), Schizonepetae Spica (Jingjiesui, 荆芥穗), Chrysanthemi Flos (Ganju, 甘菊) (4 qian each), Saussureae Ramulus (Fengteng, 风藤) (3 qian), Gleditsiae Sinensis Spina (Zaoyaoci, 皂角刺) (2 qian).
Place herbs in one jar of unadulterated wine, seal tightly, cook in water, and store for seven days before drinking.
Pills for Bathing in Wind Disease: Take once every seven days.
Xanthii Fructus (Can'er miao, 苍耳苗) (Washed and dried), Lemna Minor (Zibeiping, 紫背萍) (Clean and dried), Zaocys (Wushaoshe, 乌梢蛇) (Clean meat).
Equal parts, pound into powder. Make pills with fresh Gleditsiae Sinensis Spina paste, size of paulownia seeds. Take 70-80 pills per dose, with medicinal wine.
Decoction for Bathing in Wind Disease: Bathe once every seven days.
Mulberry Branch (Sangzhi, 桑枝), Locust Tree Branch (Huai zhi, 槐枝), Peach Branch (Tao zhi, 桃枝), Xanthii Fructus (Can'er miao, 苍耳苗), Fresh Lycii Cortex (Xian Digupi, 鲜地骨皮), Wild Rose Root (Ye Qiangwei gen, 野蔷薇根), Lemna Minor (Zibeiping, 紫背萍).
Seven ingredients, amount unspecified. Decoct for bathing all day. Bathe in a bright, windless place.
Secret Rubbing Medicine for Wind Disease: Treats wind syndrome with swelling and heat, cloud-head appearance, eczema-like patches, lumps, or non-ulcerated macules/papules.
True Sesame Oil (Mayou, 麻油) (2 liang, boiled until black, dregs removed), Giant Candle Nut (Dafengzi, 大枫子) (Clean meat, 1 liang, crushed), Peach Kernel (Taoren, 桃仁) (5 qian, peeled), Apricot Kernel (Xingren, 杏仁) (5 qian, peeled and core removed), Mercury (Shuiyin, 水银) (1.5 fen, ground into the above three). Mix these four when oil is cool but not solidified. Add the following five finely ground powders: Calomelas (Qingfen, 轻粉) (1.5 qian), Camphora (Zhangnao, 樟脑) (1 qian), Bovis Calculus (Niuhuang, 牛黄) (1 fen), Borax (Bingpian, 冰片) (1 fen), Moschus (Shexiang, 麝香) (0.5 fen).
Grind the five powders finely. When oil solidifies, mix well. Bury in soil for one day and night to remove fire toxicity. Apply to affected area with finger twice daily. Visible results in ten days.
Application Formula for Ulcerated Wind Disease All Over Body:
Sesame Oil (Mayou, 麻油) (6 liang, prepared as above), Sesame Seed (Zhima, 芝麻) (3 he, roasted and ground), Giant Candle Nut (Dafengzi, 大枫子) (Meat, 6 liang, ground), Peach Kernel (Taoren, 桃仁) (1 liang, peeled), Mercury (Shuiyin, 水银) (3 qian, ground), Apricot Kernel (Xingren, 杏仁) (1 liang, peeled and core removed).
Mix the above five when oil is not solidified. Add the following seven finely ground powders: Boswellia Carteri Resin (Ruxiang, 乳香), Myrrha Resin (Myrrh, Moyao, 没药) (1 qian each, roasted on bamboo leaf), Camphor Powder (Zhangnao mian, 樟脑面) (2 qian), Bovis Calculus (Niuhuang, 牛黄) (3 fen), Borax (Bingpian, 冰片) (2 fen), Moschus (Shexiang, 麝香) (1 fen).
Grind seven powders finely. Mix when oil solidifies. Bury in soil as before and apply.
[Appendix: Goose Palm Wind Formula]
First, boil 4 liang of Sesame Oil until slightly boiling. Add Beeswax (Huangla, 黄蜡) and boil again until no yellow foam appears. Remove from heat. Add Calomelas (Qingfen, 轻粉) (1.5 qian), Red Lead (Huandan, 黄丹) (1 qian), Cinnabar (Zhusha, 朱砂) (1 qian). Apply to the palm affected area and fumigate with fire. It will heal immediately.
Another Formula: First, apply Tung Oil (Tongyou, 桐油) to the hand. Fumigate with pigeon droppings for the duration of one incense stick. Repeat for three days. Immediate effect.