人有头面身体先见红斑，后渐渐皮破流水成疮，以致须眉尽落，遍身腐烂，臭秽不堪，
人以为大麻风也，谁知是火毒结成之病乎。大麻风之病，南粤甚多，以其地长蛇虫，热毒之
气裹住于皮肤之间，湿蒸之气又藏遏于肌骨之内，故内外交迫，蕴结不能遽宣，反致由斑而
破，由破而腐也。此系最恶之病，不特南粤多生此病也。盖毒瓦斯何地蔑有，湿热乃天地所成，
正不可分南北也。治法必以解毒为先。然而近
人元气虚者甚众，徒泻其毒，未必不先损其正，惟是补正又恐引邪入内，要当于补中散邪
为妙。方用散疠汤∶
苍术（三钱） 熟地（一两） 玄参（一两） 苍耳子（三钱） 车前子（二钱） 金
银花（二两） 薏仁（五钱）水煎服。连服十剂可半愈也。再服十剂，必全愈。
此方补肾健脾，又有散风、去湿、化毒之品，则攻补兼施，正旺而邪退也。倘纯用寒凉，
或全用风药，鲜有奏功者矣。
此症用黄金汤亦效。
大黄（五钱） 金银花（半斤）水煎汁三碗，分作三次服，一日服完，必然大泻恶粪，后
单用金银花三两，连服十日全愈。
人有生大麻风者，不必尽在两粤之中，往往居于两粤之外而亦生者，人以火毒之入
身也，谁知感酒湿之毒而成之者乎。夫酒气熏蒸，最能害人，或卧于酒槽之上，或坐于酒缸
之边，皆能成病，大约多得之行房之后。盖行房泄精，则毛窍尽开，酒气易中，其病与大麻
风无异。但两粤之病，必相传染于家人、父子之间，独感酒毒而成者，止在本人，而他人
无恙也。治法虽泻火毒，仍须兼化酒毒为妙。方用解疠
神丹∶
茯苓（三钱） 白术（五钱） 薏仁（五钱） 黄连（一钱） 玄参（一两） 金银花（
三两） 柞木枝（三钱）水煎服。连用十剂，未烂者可愈；已烂者，再服二十剂可愈也。
此方健脾去湿，化毒解酒，正气无伤，邪气易退，倘认疠风纯是火毒，单用祛毒、泻火
之味，置酒湿于不问，非善治之法也。然酒湿之毒，何以别之？闻酒香而生憎，饮美酝而
添疼，此乃感酒毒而成者也。倘若闻酒香而流涎，饮美酝而作痒者，非感酒毒，乃感火毒也。
此疠成于酒毒，亦可用黄金汤加柞木枝五钱，照前服之，得泻而愈。
There are cases where red spots first appear on the head, face, and body, followed by gradual skin breakdown, weeping fluid, and formation of sores, leading to the complete loss of eyebrows and beard, with the entire body rotting and emitting an unbearable foul odor. People assume this is Leprosy (Lefe, 癞风), but who would know that it is a disease caused by the condensation of Fire-Toxin (Huodu, 火毒)? Leprosy is very common in the Lingnan region because snakes and insects are prevalent there year-round; Heat-Toxin (Redu, 热毒) Qi wraps around between the skin, while Damp-Steaming (Shizheng, 湿蒸) Qi is concealed and suppressed within the muscles and bones. Thus, internal and external forces press upon each other, causing stagnation and accumulation that cannot be rapidly dispersed, resulting in progression from spots to ulceration, and from ulceration to putrefaction. This is a most severe disease, not only occurring frequently in Lingnan. Indeed, toxic gases exist everywhere, and Damp-Heat (Shire, 湿热) is formed by Heaven and Earth, so it truly cannot be divided by North or South. The treatment method must prioritize detoxification. However, many people nowadays have deficient Yuan-Qi (Yuanqi, 元气). Merely purging the toxin may not fail to damage the Zheng-Qi (Zhengqi, 正气) first. Conversely, tonifying Zheng-Qi might fearfully draw the pathogen inward. Therefore, it is exquisite to scatter the pathogen while tonifying. Use Sanli Tang (Scatter Leprosy Decoction): Cangzhu (Atractylodis Rhizoma, 苍术) 3 qian, Shudi (Rehmanniae Radix Praeparata, 熟地黄) 1 liang, Xuanshen (Scrophulariae Radix, 玄参) 1 liang, Can'erzi (Xanthii Fructus, 苍耳子) 3 qian, Cheqianzi (Plantaginis Semen, 车前子) 2 qian, Jinyinhua (Lonicerae Japonicae Flos, 金银花) 2 liang, Yiren (Coicis Semen, 薏苡仁) 5 qian. Decoct in water and take orally. Taking ten doses continuously can result in half recovery. Taking another ten doses will surely lead to full recovery.
This formula tonifies the Kidney and strengthens the Spleen, containing substances that disperse Wind, remove Dampness, and transform toxins. Thus, attacking and tonifying are combined; when Zheng-Qi is robust, the Xie-Qi (Pathogenic Qi, 邪气) retreats. If purely using cold-cooling herbs, or entirely using wind-dispersing herbs, few achieve success.
Using Huangjin Tang (Golden Decoction) for this syndrome is also effective. Dahuang (Rhei Radix et Rhizoma, 大黄) 5 qian, Jinyinhua (Lonicerae Japonicae Flos, 金银花) 0.5 jin. Decoct in water to obtain three bowls of juice, divide into three doses, and finish within one day. There will inevitably be a massive evacuation of foul feces. Afterwards, use only Jinyinhua (Lonicerae Japonicae Flos, 金银花) 3 liang, taken continuously for ten days for full recovery.
People contracting Leprosy (Lefe, 癞风) do not necessarily live only within Liangyue (Liangguang, 两粤); often those living outside Liangyue also contract it. People attribute this to the entry of Fire-Toxin (Huodu, 火毒), but who knows it is formed by contracting Wine-Damp-Toxin (Jiu Shi Zhi Du, 酒湿之毒)? The steaming aroma of wine is most harmful to humans. Lying on wine lees or sitting beside wine vats can all cause illness, mostly contracted after sexual intercourse. Since sexual intercourse causes ejaculation and opens all hair follicles (Maoqiao, 毛窍), wine Qi easily invades. The symptoms are no different from Leprosy. However, the disease in Liangyue is contagious among family members and between fathers and sons. In contrast, that caused solely by contracting Wine-Toxin affects only the individual, while others remain unharmed. Although the treatment method involves purging Fire-Toxin (Huodu, 火毒), it is best to simultaneously transform Wine-Toxin (Jiu Du, 酒毒). Use Jielishen Dan (Divine Pill for Resolving Leprosy): Fuling (Poria, 茯苓) 3 qian, Baizhu (Atractylodis Macrocephalae Rhizoma, 白术) 5 qian, Yiren (Coicis Semen, 薏苡仁) 5 qian, Huanglian (Coptidis Rhizoma, 黄连) 1 qian, Xuanshen (Scrophulariae Radix, 玄参) 1 liang, Jinyinhua (Lonicerae Japonicae Flos, 金银花) 3 liang, Zuomuzhi (Quercus variabilis Branch, 柞木枝) 3 qian. Decoct in water and take orally. Using ten doses continuously can cure those not yet ulcerated; for those already ulcerated, taking another twenty doses leads to recovery.
This formula strengthens the Spleen and removes Dampness, transforms toxins, and resolves wine toxicity without injuring Zheng-Qi (Zhengqi, 正气), allowing Xie-Qi (Pathogenic Qi, 邪气) to retreat easily. If one assumes Leprosy is purely Fire-Toxin (Huodu, 火毒) and uses only detoxifying and fire-purging herbs, ignoring wine-dampness, it is not a skillful treatment method. So, how to distinguish Wine-Damp-Toxin? Disgust arises upon smelling wine, and pain increases when drinking fine wine; this indicates contraction of Wine-Toxin (Jiu Du, 酒毒). Conversely, if saliva flows upon smelling wine, or itching occurs when drinking fine wine, it is not Wine-Toxin (Jiu Du, 酒毒) but Fire-Toxin (Huodu, 火毒). If this Leprosy is formed from Wine-Toxin (Jiu Du, 酒毒), Huangjin Tang (Golden Decoction) can also be used with the addition of 5 qian of Zuomuzhi (Quercus variabilis Branch, 柞木枝), administered as before. Recovery is achieved through evacuation.