麻风古称疠风。疠者，荣气热，脏气不清，故使鼻柱坏而色败，肌肤疡腐，风寒客络脉而
不去，名曰疠风。方书俱以风药混治，又无先后之分，并有蕲蛇、虎骨、山甲走窜，蜈蚣温而
有毒，服之未有不 发者。予阅历多多，是症风湿、湿毒、毒疠诸种，有肌表经络之殊。肺司
皮毛，胃主肌肉，肺虚则腠理不密，胃气薄则肌肉疏豁，易于触受，或暴露阴湿晦雾，或坐
卧湿地，气血滞而不行。初起一点麻木，不知痛痒，毛窍闭塞，汗孔不透，渐次延及遍身，斑
如云片，微微扛起，或白或红。然在上者多风，风为阳邪，阳从上受，白而红者风兼热也。在
下多湿，湿为阴邪，从下袭红而扛者，湿兼热也。毒疠则由口鼻吸入，阳明独受其邪，血壅
热蒸，初起身面疙瘩成块，扛起日久，脚指常起 ，鼻柱坏，节脱气移，肌肤疡腐。始时均宜
汗解，开通腠理，用万灵丹汗之。风胜者消风散、蒺藜丸，湿胜者苦参丸、渗湿汤。毒甚者双
解散、通圣散、羚羊角散、解毒汤俱可选用。以上皆发于肌表。肺胃受病居多，若在经络则四
肢指节作麻，拘掣肉削，日久足破掌穿，上部面颊麻木，口 ，目泪眼翻，皆风湿入于经络
之见证。初起亦宜汗解，次以蒺藜丸、苦参丸、消风散、利湿汤、通经汤选用，忌辛辣炙 酒
醋等物，避风雨，戒房帏。十中犹可保全六七，病者勿以初起而忽诸。
万灵丹 治痈疽诸发等疮，初起憎寒壮热，浑身拘急疼痛，并治疠风，麻木不仁。
茅术（二两） 何首乌（二两） 羌活（二两） 荆芥（二两） 明雄黄（六钱） 甘草（一两）
川石斛（一两） 川乌（二两，姜汁炒去皮尖） 全蝎（炙，一两） 防风（一两） 细辛（一两）
全当归（一两） 朱砂（六钱） 麻黄（一两） 明天麻（一两）
上药细末，炼蜜为丸，朱砂为衣，每服一钱。用葱头两枚，豆豉三钱，煎汤下，服后进以
稀粥，助令汗出。避风寒，忌生冷，戒房事，孕妇忌之。此方屡试屡验，故有万灵之名。
防风通圣散 此足太阳阳明药也。外为六淫所伤，气血怫郁，表里丹斑，瘾疹疠风，肿
块红热服之。
防风（二两） 荆芥（二两） 连翘（二两） 麻黄（二两） 薄荷（二两） 川芎（二两） 归须
（二两） 赤芍（二两） 白术（二两） 山栀（二两） 大黄（二两） 芒硝（二两） 黄芩（四两）
石膏（四两） 桔梗（四两） 滑石（八两）
上药为末，蜜水泛丸，服三钱，开水下。
双解散 治阳明吸受毒疠，观面四肢肿起块，唇翻目红，多泪，用此发表攻里，大便实者宜之。
大黄（三钱） 金银花（三钱） 元参（二钱） 防风（一钱） 荆芥（一钱） 甘草（一钱） 连翘
（二钱） 熟石膏（四钱） 花粉（二钱） 甘菊花（三钱） 黄芩（钱半） 赤芍（钱半） 淡竹叶（三十片）
上药水煎服。
羚羊角散 治肺胃吸受毒疠，斑红作肿，目赤泪多，四肢筋脉作痛，体虚者宜之。
羚羊片（钱半） 元参（二钱） 知母（钱半） 川黄柏（一钱） 连翘（钱半） 马齿苋（三钱）
赤芍（一钱） 甘草（五分） 杭菊（钱半） 蝉衣（八分） 白蒺藜（三钱） 荆芥（一钱） 浮萍（三钱）
上药水煎服。
育阴化疠汤 治阴虚湿热，毒疠蒸于阳明，斑红肿，脉虚数，不胜攻表者。
南沙参（三钱） 当归（钱半） 甘草（五分） 大胡麻（三钱） 赤芍（一钱） 甘菊（钱半） 白
蒺藜（三钱） 米仁（四钱） 荆芥（一钱） 浮萍（钱半） 川石斛（三钱） 马齿苋（三钱）
上药水煎服。
苦参丸 治麻风发于腿足，云斑麻木，或红或白。
苦参（二钱） 川牛膝（四两） 苍术（四两） 荆芥（六两） 当归（四两） 甘草（二两） 浮萍
（四两） 草 枫子肉（二两）
炒黑浆丸。
渗湿汤 治麻风下部发斑，或踝跗肿胀，
指掌起泡，漏蹄等症。
苍术（钱半） 当归（二钱） 川牛膝（钱半） 苡仁（四钱） 萆 （二钱） 甘草（八分）
黄柏（钱半） 泽泻（钱半） 五加皮（钱半） 苦参（钱半） 大胡麻（三钱）
利湿通经汤 治四肢麻木，指节拘掣。
威灵仙（一钱） 桑枝（三钱） 当归（二钱） 秦艽（五钱） 蚕沙（三钱） 草（钱半）
甘草节（八分） 苦参（一钱） 苍术（一钱） 苡仁（三钱） 大胡麻（一钱） 五加皮（钱半） 川牛膝
（钱半） 川续断（钱半）
养血祛风汤 治麻风块斑退，汗孔未透，服之和荣顺气，以达肌表。
川芎（八分） 乌药（八分） 秦艽（钱半） 甘草（八分） 大胡麻（三钱） 当归（二钱） 丹参
（钱半） 云苓（二钱） 川断（钱半） 萆 草（钱半） 苍耳子（钱半） 白蒺藜（三钱） 白术（一钱）
桑枝（三钱）
解毒汤 治麻风面肿，腥而出水，掌穿臭秽，足腐肿胀者。
黄柏（一钱） 丹参（二钱） 云茯苓（二钱） 川萆 （二钱） 川牛膝（钱半） 泽泻（钱半）
花粉（二钱） 赤芍（钱半） 小生地 粉甘草（一钱） 大木通（一钱） 马齿苋（三钱） 桑枝（四钱）
消风散 治 风身面白斑，麻木，汗孔不开，起于面者，乃肺经受毒。
荆芥（一钱） 当归（五钱） 防风（一钱） 苦参（一钱） 白芷（八分） 川芎（五分） 甘菊
（钱半） 蒺藜（三钱） 浮萍（一钱） 大胡麻（三钱） 蔓荆子（五钱）
蒺藜丸 治 风身面白斑，或微红扛起，肺胃受毒。
白蒺藜（一两） 苡米（四两） 防风（四两） 干浮萍（四两） 苍术（四两） 川牛膝（四两）
黄芩（四两） 大胡麻（一两） 荆芥（四两） 当归（四两） 苦参（一两） 赤芍（四两） 甘菊（四两）
枫子肉（二两，炒黑）
上药研末，水泛为丸，每服三钱，毛尖茶送下。
Leprosy was anciently known as *Li Feng* (Leprosy). *Li* refers to a condition where Ying Qi (nutritive qi circulating in the vessels) is heat-filled and the internal organs' qi is turbid, causing the nasal bridge to collapse, complexion to deteriorate, and skin and muscles to ulcerate and rot. When Wind-Cold pathogens lodge in the collateral vessels and do not disperse, it is named *Li Feng*. Medical texts generally treat it indiscriminately with wind-dispelling drugs without distinguishing sequence or priority. Some use pungent and penetrating substances like Qishe (Agkistrodon), Hugu (Tiger Bone), and Shan Jia (Pangolin Scales), while Wugong (Scolopendra) is warm and toxic; taking these invariably triggers exacerbation of the disease. Based on my extensive experience, this syndrome involves various types such as Wind-Dampness, Damp-Toxin, and Toxic Leprosy, differing in whether the pathology lies in the muscle-surface or the meridians. The Lung governs the skin and hair; the Stomach governs the muscles. If Lung Qi is deficient, the Cou Li (skin pores and interstices) are not dense; if Stomach Qi is weak, the muscles are loose and porous, making one susceptible to external pathogens. Exposure to damp, misty, and obscure environments, or sitting/lying on wet ground, causes Qi and Blood stagnation. Initially, there is localized numbness, insensitivity to pain and itch, closed hair follicles, and obstructed sweat pores. Gradually, it spreads over the body, presenting as cloud-like patches that are slightly raised, either white or red. Lesions located upperward are often associated with Wind; Wind is a Yang pathogen affecting the upper body. White patches with slight redness indicate Wind combined with Heat. Lesions lower down are often associated with Dampness; Dampness is a Yin pathogen attacking from below. Red, raised patches indicate Dampness combined with Heat. Toxic Leprosy enters through the mouth and nose, primarily affecting the Yangming channels, causing blood stasis and steaming heat. Initially, nodules form lumps on the face and body; after prolonged elevation, toes may ulcerate, the nasal bridge collapses, joints dislocate, and Qi shifts, leading to skin and muscle ulceration. In the early stage, sweating therapy is suitable to open the Cou Li, using Wan Ling Dan. For predominance of Wind, Xiao Feng San and Ji Li Wan are used; for predominance of Dampness, Ku Shen Wan and Shen Shi Tang are selected. For severe toxicity, Shuang Jie San, Tong Sheng San, Ling Yang Jiao San, and Jie Du Tang can be chosen. These formulas address manifestations on the muscle-surface. The Lung and Stomach are most commonly affected. If the pathology involves the meridians, numbness occurs in the limbs and finger joints, accompanied by spasms and muscle wasting; later, feet may ulcerate and palms perforate. Upper facial numbness, facial paralysis (mouth deviation), tearing, and ectropion are signs of Wind-Dampness invading the meridians. Early treatment also requires sweating therapy, followed by selection of Ji Li Wan, Ku Shen Wan, Xiao Feng San, Li Shi Tang, or Tong Jing Tang. Avoid spicy, roasted foods, alcohol, and vinegar; protect against wind and rain; and abstain from sexual activity. Six or seven out of ten patients can be preserved; patients must not neglect the disease due to mild initial symptoms.
Wan Ling Dan: Treats carbuncles and sores at onset with aversion to cold and high fever, generalized stiffness and pain; also treats Leprosy with numbness and loss of sensation.
Cang Zhu (Atractylodis Rhizoma) 2 liang, He Shou Wu (Polygoni Multiflori Radix) 2 liang, Qiang Huo (Notopterygii Rhizoma et Radix) 2 liang, Jing Jie (Schizonepetae Herba) 2 liang, Xiong Huang (Realgar) 6 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma) 1 liang, Chuan Shi Hu (Dendrobii Caulis) 1 liang, Chuan Wu (Aconiti Radix) 2 liang (processed with ginger juice, skin and tips removed), Quan Xie (Scorpio) 1 liang (roasted), Fang Feng (Saposhnikoviae Radix) 1 liang, Xi Xin (Asari Radix et Rhizoma) 1 liang, Dang Gui (Angelicae Sinensis Radix) 1 liang, Zhu Sha (Cinnabar) 6 qian, Ma Huang (Ephedrae Herba) 1 liang, Tian Ma (Gastrodiae Rhizoma) 1 liang.
Grind the above herbs into fine powder, mix with refined honey to make pills, coat with Cinnabar. Take 1 qian per dose. Decoct 2 scallion heads and 3 qian Dou Chi (Fermented Soybean) in water to take the pills with. Consume thin porridge afterwards to assist sweating. Avoid wind and cold, raw/cold foods, and sexual activity. Contraindicated in pregnancy. This formula has proven effective repeatedly, hence the name "Ten Thousand Efficacies."
Fang Feng Tong Sheng San: A formula for the Foot-Taiyang and Foot-Yangming channels. It treats exterior injuries by the Six Excesses (Wind, Cold, Summerheat, Dampness, Dryness, Fire), Qi and Blood stagnation, interior-exterior heat manifesting as erysipelas, urticaria, leprosy, and red-hot swellings.
Fang Feng (Saposhnikoviae Radix) 2 liang, Jing Jie (Schizonepetae Herba) 2 liang, Lian Qiao (Forsythiae Fructus) 2 liang, Ma Huang (Ephedrae Herba) 2 liang, Bo He (Menthae Haplocalycis Herba) 2 liang, Chuan Xiong (Ligustici Chuanxiong Rhizoma) 2 liang, Gui Xu (Angelicae Sinensis Radix tip) 2 liang, Chi Shao (Paeoniae Radix Rubra) 2 liang, Bai Zhu (Atractylodis Macrocephalae Rhizoma) 2 liang, Shan Zhi (Gardeniae Fructus) 2 liang, Da Huang (Rhei Radix et Rhizoma) 2 liang, Mang Xiao (Natrii Sulfas) 2 liang, Huang Qin (Scutellariae Radix) 4 liang, Shi Gao (Gypsum Fibrosum) 4 liang, Jie Geng (Platycodonis Radix) 4 liang, Hua Shi (Talcum) 8 liang.
Grind into powder, make pills with honey-water. Take 3 qian, washed down with boiled water.
Shuang Jie San: Treats Yangming channel infection by toxic leprosy pathogens, characterized by swollen lumps on face and limbs, everted lips, red eyes, and excessive tearing. This formula releases the exterior and purges the interior; suitable for patients with solid stools.
Da Huang (Rhei Radix et Rhizoma) 3 qian, Jin Yin Hua (Lonicerae Japonicae Flos) 3 qian, Yuan Shen (Scrophulariae Radix) 2 qian, Fang Feng (Saposhnikoviae Radix) 1 qian, Jing Jie (Schizonepetae Herba) 1 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma) 1 qian, Lian Qiao (Forsythiae Fructus) 2 qian, Shu Shi Gao (Prepared Gypsum Fibrosum) 4 qian, Hua Fen (Trichosanthis Radix) 2 qian, Gan Ju Hua (Chrysanthemi Flos) 3 qian, Huang Qin (Scutellariae Radix) 1.5 qian, Chi Shao (Paeoniae Radix Rubra) 1.5 qian, Dan Zhu Ye (Lophatheri Herba) 30 leaves.
Decoct in water and take.
Ling Yang Jiao San: Treats Lung and Stomach infection by toxic leprosy pathogens, characterized by red swollen patches, red painful eyes with excessive tearing, and pain in limb sinews and vessels. Suitable for those with deficiency constitution.
Ling Yang Pian (Capricornu Saigae Tataricae) 1.5 qian, Yuan Shen (Scrophulariae Radix) 2 qian, Zhi Mu (Anemarrhenae Rhizoma) 1.5 qian, Chuan Huang Bo (Phellodendri Chinensis Cortex) 1 qian, Lian Qiao (Forsythiae Fructus) 1.5 qian, Ma Chi Xian (Portulacae Herba) 3 qian, Chi Shao (Paeoniae Radix Rubra) 1 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma) 0.5 qian, Hang Ju (Chrysanthemi Indici Flos) 1.5 qian, Chan Yi (Bombyx Batryticatus) 0.8 fen, Bai Ji Li (Tribuli Fructus) 3 qian, Jing Jie (Schizonepetae Herba) 1 qian, Fu Ping (Ulmaceae floating species) 3 qian.
Decoct in water and take.
Yu Yin Hua Li Tang: Treats Yin deficiency with Damp-Heat, where toxic leprosy steams in the Yangming channel, presenting with red swollen patches, deficient and rapid pulse, and intolerance to exterior-releasing therapies.
Nan Sha Shen (Adenophorae Radix) 3 qian, Dang Gui (Angelicae Sinensis Radix) 1.5 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma) 0.5 qian, Da Hu Ma (Sesami Fructus Niger) 3 qian, Chi Shao (Paeoniae Radix Rubra) 1 qian, Gan Ju (Chrysanthemi Flos) 1.5 qian, Bai Ji Li (Tribuli Fructus) 3 qian, Mi Yi Ren (Coicis Semen) 4 qian, Jing Jie (Schizonepetae Herba) 1 qian, Fu Ping (Ulmaceae floating species) 1.5 qian, Chuan Shi Hu (Dendrobii Caulis) 3 qian, Ma Chi Xian (Portulacae Herba) 3 qian.
Decoct in water and take.
Ku Shen Wan: Treats Leprosy manifesting on legs and feet, with cloud-like numb patches, red or white.
Ku Shen (Sophorae Flavescentis Radix) 2 qian, Chuan Niu Xi (Cyathulae Radix) 4 liang, Cang Zhu (Atractylodis Rhizoma) 4 liang, Jing Jie (Schizonepetae Herba) 6 liang, Dang Gui (Angelicae Sinensis Radix) 4 liang, Gan Cao (Glycyrrhizae Radix et Rhizoma) 2 liang, Fu Ping (Ulmaceae floating species) 4 liang, Cao Feng Zi Rou (Toosendan Fructus flesh) 2 liang.
Stir-fry until black and make pills with paste.
Shen Shi Tang: Treats Leprosy with lower-body patch eruption, ankle and dorsum pedis swelling, blisters on fingers and palms, and "leaky hoof" (foot ulceration).
Cang Zhu (Atractylodis Rhizoma) 1.5 qian, Dang Gui (Angelicae Sinensis Radix) 2 qian, Chuan Niu Xi (Cyathulae Radix) 1.5 qian, Yi Ren (Coicis Semen) 4 qian, Bi Xie (Dioscoreae Hypoglaucae Rhizoma) 2 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma) 0.8 fen, Huang Bo (Phellodendri Chinensis Cortex) 1.5 qian, Ze Xie (Alismatis Rhizoma) 1.5 qian, Wu Jia Pi (Acanthopanacis Cortex) 1.5 qian, Ku Shen (Sophorae Flavescentis Radix) 1.5 qian, Da Hu Ma (Sesami Fructus Niger) 3 qian.
Li Shi Tong Jing Tang: Treats limb numbness and finger joint spasms.
Wei Ling Xian (Clematidis Radix et Rhizoma) 1 qian, Sang Zhi (Mori Ramulus) 3 qian, Dang Gui (Angelicae Sinensis Radix) 2 qian, Qin Jiao (Gentianosae Macrophyllae Radix) 5 qian, Can Sha (Bombyx Cacatrix) 3 qian, Cao Bi (Dioscoreae Hypoglaucae Rhizoma) 1.5 qian, Gan Cao Jie (Glycyrrhizae Radix et Rhizoma node) 0.8 fen, Ku Shen (Sophorae Flavescentis Radix) 1 qian, Cang Zhu (Atractylodis Rhizoma) 1 qian, Yi Ren (Coicis Semen) 3 qian, Da Hu Ma (Sesami Fructus Niger) 1 qian, Wu Jia Pi (Acanthopanacis Cortex) 1.5 qian, Chuan Niu Xi (Cyathulae Radix) 1.5 qian, Chuan Xu Duan (Dipsaci Radix) 1.5 qian.
Yang Xue Qu Feng Tang: Treats Leprosy after plaque resolution but with unopened sweat pores. Harmonizes Ying and Wei, regulates Qi, and reaches the muscle-surface.
Chuan Xiong (Ligustici Chuanxiong Rhizoma) 0.8 fen, Wu Yao (Linderae Radix) 0.8 fen, Qin Jiao (Gentianosae Macrophyllae Radix) 1.5 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma) 0.8 fen, Da Hu Ma (Sesami Fructus Niger) 3 qian, Dang Gui (Angelicae Sinensis Radix) 2 qian, Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma) 1.5 qian, Yun Ling (Poria) 2 qian, Chuan Duan (Dipsaci Radix) 1.5 qian, Bi Xie Cao (Dioscoreae Hypoglaucae Rhizoma) 1.5 qian, Cang Er Zi (Xanthii Fructus) 1.5 qian, Bai Ji Li (Tribuli Fructus) 3 qian, Bai Zhu (Atractylodis Macrocephalae Rhizoma) 1 qian, Sang Zhi (Mori Ramulus) 3 qian.
Jie Du Tang: Treats Leprosy with facial swelling, exudation of foul fluid, foul-smelling palm perforations, and foot rot/swelling.
Huang Bo (Phellodendri Chinensis Cortex) 1 qian, Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma) 2 qian, Yun Fu Ling (Poria cum Pinella) 2 qian, Chuan Bi Xie (Dioscoreae Hypoglaucae Rhizoma) 2 qian, Chuan Niu Xi (Cyathulae Radix) 1.5 qian, Ze Xie (Alismatis Rhizoma) 1.5 qian, Hua Fen (Trichosanthis Radix) 2 qian, Chi Shao (Paeoniae Radix Rubra) 1.5 qian, Xiao Sheng Di (Rehmanniae Radix Recens) [dose unspecified], Fen Gan Cao (Glycyrrhizae Radix et Rhizoma processed with starch) 1 qian, Da Mu Tong (Akebiae Caulis) 1 qian, Ma Chi Xian (Portulacae Herba) 3 qian, Sang Zhi (Mori Ramulus) 4 qian.
Xiao Feng San: Treats Wind-induced white patches on body and face, numbness, unopened sweat pores, originating in the face, indicating toxin in the Lung channel.
Jing Jie (Schizonepetae Herba) 1 qian, Dang Gui (Angelicae Sinensis Radix) 5 qian, Fang Feng (Saposhnikoviae Radix) 1 qian, Ku Shen (Sophorae Flavescentis Radix) 1 qian, Bai Zhi (Angelicae Dahuricae Radix) 0.8 fen, Chuan Xiong (Ligustici Chuanxiong Rhizoma) 0.5 fen, Gan Ju (Chrysanthemi Flos) 1.5 qian, Ji Li (Tribuli Fructus) 3 qian, Fu Ping (Ulmaceae floating species) 1 qian, Da Hu Ma (Sesami Fructus Niger) 3 qian, Man Jing Zi (Viticis Fructus) 5 qian.
Ji Li Wan: Treats Wind-induced white patches on body and face, or slightly red raised lesions, indicating toxin in Lung and Stomach.
Bai Ji Li (Tribuli Fructus) 1 liang, Yi Mi (Coicis Semen) 4 liang, Fang Feng (Saposhnikoviae Radix) 4 liang, Gan Fu Ping (Dried Ulmaceae floating species) 4 liang, Cang Zhu (Atractylodis Rhizoma) 4 liang, Chuan Niu Xi (Cyathulae Radix) 4 liang, Huang Qin (Scutellariae Radix) 4 liang, Da Hu Ma (Sesami Fructus Niger) 1 liang, Jing Jie (Schizonepetae Herba) 4 liang, Dang Gui (Angelicae Sinensis Radix) 4 liang, Ku Shen (Sophorae Flavescentis Radix) 1 liang, Chi Shao (Paeoniae Radix Rubra) 4 liang, Gan Ju (Chrysanthemi Flos) 4 liang, Feng Zi Rou (Toosendan Fructus flesh) 2 liang (stir-fried black).
Grind into powder, make pills with water. Take 3 qian per dose, washed down with Maojian tea.