（疠与癞通）
论
《内经》曰∶风之伤人也，或为寒热，或为热中，或为寒中，或为癞风。又曰∶癞者，因营卫热腐，其气不清，故
使其鼻柱坏而色败，皮肤疡溃，风寒客于脉而不去，名曰疠风。丹溪曰∶是受天地间杀物之风故也。然近见病此者，原
其所由，都是热血得寒所致。或夏月劳甚而入寒泉澡浴，或冬月酒后而乃踢冰履霜及入水取鱼，由是湿热郁于内而不散，
风寒客于外而不行，内外怫郁既久，而渐成肌肉之败腐矣，经所谓热胜则肉腐是也。大抵此症属肺，归重于手足阳明之
经。盖手足阳明者，胃与大肠主之，脾肺二经之腑也。脾主肌肉而肺主皮毛，乃腑及于脏病也。经又曰∶肠胃为市，无
物不受，无物不包，故其热毒积于中而形于外耳。故治法必先取阳明而后及于太阴，亦本而标之之义也。又湿热甚必生
风，风甚则生虫，如腐草为萤之类。又治法必先杀其虫，泻其火，然后生血凉血，祛风导滞，降汤升阴，皆为治之急务
也。治虽多门，大略不越乎此也，学人详之。
脉法
脉两寸浮而紧，或浮而洪，阳脉浮弦，阴脉实大。脉浮缓者易治，洪大而数者难愈，沉实者难愈。脉溢者病在上，
脉浮者病在下，皆为不治之证也。
方法
丹溪曰∶大风病是受天地间杀物之风，古人谓之疠风者，以其酷烈暴悍可畏耳。人得之分在上在下，气受之则在上，
血受之则在下，气血俱受则在上复在下。然皆不外乎阳明一经，阳明者胃与大肠也，无物不受。治之者，须致意看其疙
瘩与疮，上体先见者，多者，在上也；下体先见者，多者，在下也。在上者，以醉仙散取涎血于齿缝中出；在下者，以
通天再造散取恶物虫积于壳道中出。后用防风通圣散调之，更用三棱针于委中出血。夫上下同得者甚重，自非医者神手，
病者铁心，罕能免此。夫从上或从下以渐而来者，皆是可治之证，人见其病势之缓多忽之，以法治之，虽已全愈，若不
绝味断欲，皆不免再发而终于不救也。予治五人矣，其不死者唯一妇人，因贫甚无物可食耳，余皆三四年后再发。孙真
人云∶尝治四五百人，终无一人免于死。非真人不能治，盖无一人能守禁忌耳。其妇人于本病外，又服百余帖加减四物
汤，半年之上月经行，十分安愈。
醉仙散，须量人大小虚实与之。证候重而急者，须先以再造散下之，候补养得完，复与此药，须断盐酱醋、诸鱼椒
果、煎炒烧炙等物，止可淡粥及淡煮熟时菜，虽茄亦不可食，惟乌梢蛇、菜花蛇淡酒蒸熟食之，可以助药力也。
《外科精要》为诸疮立法而不及疠风，盖风为百病之长，以其残害肤体，去死不远，一有染此，鲜能免者，比之疮
疡治法为难，乃不言及。夫八方之风起因于八方，应其时则物生，违其时则杀物。人之禀受有杀气者，则感而受之，如
待虚受物，后又因起居饮食男女，渐成郁气，二气积于厥躬，脾先受之，乃为湿病，温积之久，火气出焉，火气滋蔓，
气浊血污（一云血热凝结，其气不清），化生诸虫，以次传历脏腑。必死之病，而有可生之理，其始病者，胃气微伤，脾
主肌肉，流行甚缓，传变以渐，或可借医药之功而免。谓之必死，非惟医不知药，悉是不能禁欲，可哀也夫！
近见粗工用药，佐以大枫子油，殊不知此药性热，有燥痰之功而伤血，至有病将愈而先失明者。
宋洞虚云∶大风有五，黑色不治，余皆可治。虫食肝，眉落；食肺，鼻崩；食脾，声哑；食心，足底穿，膝虚肿；
食肾，耳鸣啾啾，耳弦生疮，或痹或痛，如针刺状；食身，则皮痒如虫行。自头面来为顺风，自足起者为逆风，多因感
寒热与瘀浊杂气而成。治法，先以雷公散（即再造散）下之，以稀粥养，半月勿妄动作劳，后以醉仙散，中间
或吐或利，不必怕怯，但腮喉头面肿，吞不得下，渐出恶水，或齿缝中出臭水血丝，或言不得，或闷而死，难以饮食，
只以稀粥用管灌入，或一旬或半月一月，面渐白而安。重者，又与换肌散。
换肌散 治大风年深不愈者，以致眉毛脱落，鼻梁崩塌，服此药不逾月，取效如神。
黑花蛇 白花蛇（皆蕲黄来者。并用酒浸一宿） 地龙（去土，各三两）
当归 细辛 白芷 天麻 蔓荆子 葳灵仙 荆芥穗 甘菊花
苦参 紫参 沙参 木贼 不灰木 炙甘草 白蒺黎 天门冬
赤芍药 定风草（按本草即天麻也，今皆用野天麻，即益母草，未知可否，再宜审
之） 何首乌 石菖蒲 胡麻子 草乌头（去皮脐） 苍术（米泔浸去皮） 川芎 木鳖子（各二两）
上为细末，每服五钱，温酒调下，酒多为妙。
醉仙散
胡麻子 牛蒡子 蔓荆子 枸杞子（四味俱炒紫色） 白蒺藜 苦参 栝蒌根 防风（各五钱《宝鉴》前四味各一
两）
上为细末，每一两五钱，入轻粉一钱拌匀，每服一钱，茶清调下，晨、午、夕各一服，后五七日，先于牙缝内出臭
涎，浑身疼痛，昏闷如醉，后利下脓血恶臭屎为效。
通天再造散
郁金（五钱） 皂角刺（独生黑大者，去尖） 大黄（泡各一两） 白丑（头末，六钱，半生半炒）
上为末，每服五钱，日未出时，以无灰酒调，面东服之，当日必利下恶物或臭脓或虫。如虫口黑色，乃是多年；赤
色，乃是近者。数日后又进一服，无虫积乃止。
愈风丹 治疠疾，手足麻木，毛落眉脱，遍身疮疹，皮肤瘙痒。爬之成疮，及一切疥癣风疾皆效。
苦参（一斤，研取头末，四两） 土桃蛇（一条，酒浸二、三日去骨取肉，日干） 乌梢蛇 白花蛇（各一条，并
同上制）
上为细末，以皂角一斤，锉长寸许段，无灰酒浸一宿，去酒，以新水一碗操取浓汁，去渣，银石器内熬膏，和前末
丸如梧桐子大，每服六、七十丸，煎防风通圣散送下，粥饭压之，日三服。三日浴，以大汗出为应，再三日又浴，取大
汗，三浴乃安。（浴法见后条）
一法 用桃、柳、桑、槐、楮五般枝，浓煎汤，大缸浸坐没颈一日，俟汤如油，安矣 本草治恶疾遍身生疮，
浓煎萍汤，浴浸半日大效，此神方也。又以荆芥穗、大黄、栀子、蔚金、地黄。杜仲、防风、羌活、独活。白蒺藜等分
为细末，以大枫子油入熟蜜，丸如梧桐子大，每服茶清送下四五十丸，一日三服。……。
一法 以苦参五斤，好酒三斗渍一月，每服一合，日三服，常与不绝，觉脾既安，细末服之亦良，尤治瘾疹。
方
出图经，陶隐居以酒渍饮治恶疮，久服轻身。《日华子》以为杀虫。本草除伏热，养肝胆气。予尝以苍耳叶为君，以此物
为佐，更以酒煮乌蠡鱼，代补蛇之或缺，研细糊丸，如梧桐子大，每服五、六十丸，加至七、八十丸，热茶清送下，日
三服，一、二月而安。若入紫萍尤捷，紫萍多水蛭，须寒月于山沼取之，净洗去泥，略蒸透干用。
一法 治手指挛曲，节间痛甚，渐至斩落。用萆麻子去壳、黄连锉如豌豆大，各一两，水一升，小瓶浸，春夏
三
日，秋冬五日，取萆麻HT 破，平旦时面东，以浸药水服一粒，渐加至四、五粒，微利不妨，忌猪肉鱼腥，宜茹淡，累
护神效。
一法 先服加减通圣散，大泻恶毒秽积，又用三棱针，看肉黑处及委中紫脉刺出死血，不可令出太过，恐损真
气，
后服神仙紫花丸。
（以上丹溪方法凡十三条）
加减通圣散
防风（五钱，去芦） 连翘（三钱，去蒂） 川芎（五钱） 白芍药（二钱） 当归（三
钱，酒浸洗） 薄荷（二钱） 荆芥穗（五钱） 麻黄（三钱，去根节，汤泡） 栀子（三钱，
去壳） 桔梗（五钱） 枳壳（去穣面炒） 石膏（各五钱） 甘草（三钱） 滑石（三钱）
黄芩（三钱，去朽） 柴胡（五钱） 黄连（五钱） 黄柏（三钱） 生地黄（三钱五分，酒
制） 羌活（五钱） 熟地黄（三钱五分，酒制） 锦纹大黄（六两） 芒硝（一两） 皂角刺（一两，独生者，去尖）
上细切，分八服，每服用水一碗半，煎至一碗，空心服，日进二服，五六日后又进二服，待补养完，又行二次，然
后服后丸药。
神仙紫花丸（外录试验方） 治疠风及诸般恶疮、风疮，其效如神，但要药真，无有不效者，轻者一料可愈，
重者二三料除根。
白花蛇（一具，出蕲黄州，黑质白纹，龙头虎口，背上二十四个方胜花，尾尖有一佛指甲，新鲜者佳，蛀腐者不
堪用，去头尾各四五寸，并一两为率，连皮骨用，一两五钱） 何首乌 荆芥穗 葳灵仙（各四钱） 麻黄（连根节，
二钱） 胡麻子（一钱） 蛇床子（二钱）
上六味细切，同蛇用无灰酒一大碗浸一宿，去蛇皮骨，通晒干，仍还原酒内再浸，再晒，酒尽为度，待晒极干，共
为细末另包。
木香 沉香（各二钱五分） 人参（一两） 当归（七钱五分） 明天麻 猪
牙皂角（各五钱） 麝香（一钱五分，鼻塞声重者倍之） 乳香 没药（各一钱） 明
雄黄 辰砂（各五分，大块者佳） 肉豆蔻（一枚，煨） 定风草（二钱半，即天麻） 还瞳子（即草决明，一两）
上麝至辰砂五味各另研极细，不见火，其余草木味亦另研，细罗过，连前五味和匀另包。
防风（去芦） 羌活 甘草 细辛 川芎 独活 苍术（米泔浸一宿） 枇杷叶（去毛筋，焙干） 白芍药 白蒺
藜金银花 五加皮 香白芷 苦参（各五钱） 胡麻子 白附子（米泔浸炒） 麻黄 川牛膝 草乌头（米泔浸炮） 川
乌（米泔浸炮） 石菖蒲（各二钱五分）
上为细末另包。
总合法治用大枫子三斤（新鲜者佳，去油黄色者不堪用，去壳），以瓷罐一个盛之，少入无灰酒，以皮纸、竹箬重重
包口，勿令泄气，顿滚汤中，勿令没罐口，外以物盖锅口密封固，文武火蒸，候黑烂为度，杵无渣滓成油，分作三分，
每一分入第二号药八钱重，第一号药六钱重，第三号药一两五钱重，和匀，加糯米饭捣极胶粘，丸如梧桐子大，晒干勿
见火，每服二十丸，渐加至五六十丸，鸡鸣时、午时、临卧时各一服，茶清送下，忌房劳、咸酸酒醋糟淹、猪羊鸡马驴
肉、鱼腥煎 、水果、五辛姜椒大料、辛辣热物、荞麦绿豆之类。若不忌口断欲，则药无功，虽愈再发。其余肉味，病
愈后一年可食。但猪羊鸡肉，终身用忌。此法乃治癞之神方也，不可轻忽。
跌伤方法∶治跌扑损伤，用苏木以活血，黄连以降火，白术以和中，童便煎为妙。在下者可下瘀血，但先须补托。
在上者宜饮韭汁，或和粥吃。切不可饮冷水，盖血得寒则凝，但一丝血入心即死。（丹溪）
骨损者，用古文钱五分醋淬，乳香、没药各一钱，酒研服，或用接骨散。（丹溪）
接骨丹（元戎）
没药 乳香 当归 川椒 自然铜（火 ，醋淬） 赤芍药 骨碎补（酒炙） 败龟板（酥炙） 虎胫骨（酥炙） 白
芷千金藤（即郁李仁，以上各等分）
上为细末，化蜡五钱，丸如弹子大，每服一丸，好酒半升化开煎，用向东南柳枝搅散热服。一方加龙骨、川芎。
凡治损伤，妙在补气血，俗工不知，惟在速效，多用自然铜以接骨，然此药必 炼方可服，新出火者，其火毒与金
毒相扇，挟香热药毒，虽有接骨之功。其燥散之祸，甚于刀剑，戒之戒之！（丹溪）
治金疮，急以锻石浓敷裹之。如疮深不宜速合者，加滑石末敷之。
又方 老杉木皮为末敷之。
凡跌扑损伤腹痛者，知有瘀血，用桃仁承气汤加苏木、红花下之。
当归导滞汤（东垣） 治跌扑损伤，瘀滞不行等证。
大黄 当归（在上用头，在中用身，在下用尾，通身痛者全用，酒浸洗焙干）
上细切等分，每服一两重，酒煎服。
鸡鸣散（大成方） 治从高坠下，及木石所压，一切损伤，瘀血凝积，痛不可忍，并以此药推陈致新。
大黄（一两） 杏仁（二十一粒，去皮尖，另研）
上研为末，酒大碗，煎七分，滤去渣，鸡鸣时服，至晓必取下瘀血即愈。（愚接∶此方用杏仁而不用桃仁者，盖跌乃
血入气分，故用杏仁，以行气中之血矣。）
没药乳香散（河间） 治跌扑损伤，痛不可忍。
白术（炒，五两） 当归（焙） 甘草（炙） 白芷 没药（另研，各一两五钱） 肉桂（去粗皮） 乳香（另研，
各一两）
上为末和匀，再研极细，每服二钱，温酒调下。
杖丹膏药方（外录验方） 治受杖责后，如死血壅肿，宜先刺出恶血，然后以此膏贴之，三、四日平复。或早
失调理成痈者，贴之即散。及治诸般痈疽疮疖毒，已溃未渍，贴之无不神效。
甘草 肉桂 蛇蜕 蝉蜕 露蜂房 连翘 白芷 白芨 白蔹 白术 苍术 人参 玄参 苦参 芍药 南星 升
麻浓朴 栀子 百合 金银花 天花粉 川归 川芎 穿山甲（煨胖，另末） 羌活 独活 黄连 黄芩 黄柏 大
黄生地黄 红花 苏木 柴胡 鳖甲（酥炙，为末） 青木香 何首乌 防风 荆芥穗 藿香 云母石 花蕊石（各
（“疠”与“癞”通用）
论
《黄帝内经》说：风邪伤人，有的导致寒热往来，有的导致热中病，有的导致寒中病，有的导致癞风。又说：癞风，是因为营卫之气受热腐败，体内气机不清，从而导致鼻梁塌陷、面色败坏，皮肤发生溃疡溃烂。风寒之邪客居在经脉中而不散去，这种病名叫疠风。朱丹溪说：这是受了天地间具有杀伤力的风邪所致。然而近来见到患此病的人，推究其起因，都是热血遇到寒邪所致。有的是在夏天劳累过度后进入寒泉洗澡，有的是在冬天酒后踢冰踏霜以及下水捕鱼，因此湿热郁结在体内而不能消散，风寒客居在体表而不能运行，内外郁结时间久了，逐渐形成肌肉的败坏腐烂，这就是《内经》所说的“热盛则肉腐”。大抵这种病症归属于肺，重点在于手足阳明经。因为手足阳明经由胃和大肠主管，是脾和肺两经对应的腑。脾主肌肉而肺主皮毛，这是腑病波及到脏的病机。《内经》又说：肠胃如同集市，没有东西不接受，没有东西不包容，所以热毒积聚在体内而表现在外部。因此治疗方法必须先取法于阳明经，然后才涉及太阴经，这也是治本兼治标的意义。另外，湿热严重必然生风，风邪严重则生虫，就像腐草化为萤火虫一样。又治疗方法必须先杀灭其中的虫，泻除火邪，然后才能养血凉血，祛风导滞，降汤升阴，这些都是治疗的急务。虽然治疗的方法很多，但大致不离乎此，学习的人要详细研究。
脉法
两手寸口脉象浮而紧，或浮而洪大，阳脉浮弦，阴脉实大。脉象浮缓的容易治疗，脉象洪大而数的难以痊愈，脉象沉实的也难以痊愈。脉象溢出的病位在上，脉象浮起的病位在下，都属于难治的证候。
方法
朱丹溪说：大风病是受了天地间具有杀伤力的风邪，古人称之为疠风，是因为它酷烈暴悍令人畏惧。人感染此邪，有的部位在上，有的部位在下，气受邪则病在上，血受邪则病在下，气血都受邪则上下都有病。然而都不外乎阳明一经，阳明经指胃和大肠，无物不受。治疗时，必须仔细察看患者的疙瘩与疮疡，上体先出现的，多的，病位在上；下体先出现的，多的，病位在下。病在上者，用醉仙散促使痰涎和瘀血从齿缝中排出；病在下者，用通天再造散促使恶物、虫积从肠道排出。之后再用防风通圣散调理，更用三棱针在委中穴刺出血。如果上下同病且病情严重，如果不是医生手法高明，患者意志坚定，很少能避免死亡。如果是从上或从下逐渐发作的，都是可治的证候，人们见其病势缓慢往往忽视它，按法治疗，虽然完全痊愈，如果不戒绝滋味饮食和性欲，都难免再次发作而最终无法救治。我治疗过五人，其中不死的一只有一位妇人，因为她极度贫穷没有什么食物可吃（从而间接起到了忌口的作用），其余都在三四年后复发。孙思邈说：曾经治疗四五百人，最终没有一人免于死亡。不是孙真人不能治，而是没有人能遵守禁忌罢了。那位妇人在治疗本病之外，又服用了百余帖加减四物汤，半年以上月经来潮，十分安愈。
醉仙散，必须根据病人身体大小虚实给予剂量。证候重而急的，必须先以再造散攻下，等补养完备后，再给此药。必须断绝盐、酱、醋、各种鱼类、花椒坚果、煎炒烧炙等食物，只能吃淡粥及清淡煮熟的蔬菜，即使是茄子也不可以吃，只有乌梢蛇、菜花蛇用淡酒蒸熟食用，可以辅助药力。
《外科精要》为各种疮疡立法却没有提及疠风，大概因为风是百病之长，因为它残害肌肤肢体，离死不远，一旦染上此病，很少能幸免，比之疮疡的治疗方法更难，所以没有提及。八方之风起源于八方，顺应时令则万物生长，违背时令则杀伤万物。人的禀赋中有杀气者，就会感应并受到侵害，就像等待空虚之物被填充一样，后来又因为起居饮食男女之事，逐渐形成郁结之气，二气积聚在自身，脾先受邪，于是成为湿病，温邪积聚久了，火气产生，火气蔓延，气浊血污（另一种说法是血热凝结，气机不清），化生出各种虫子，依次传遍脏腑。这是必死的病，但有可生的道理，初起病时，胃气轻微受损，脾主肌肉，流行非常缓慢，传变也是渐进的，或许可以借助医药的功效而免除死亡。称为必死，不仅仅是因为医生不懂药，更是因为患者都不能禁欲，真是可悲啊！
近来见到粗疏的医生用药，辅加大枫子油，却不知道此药性热，有燥痰的功效却损伤血液，甚至有病将要痊愈时先失明的情况。
宋洞虚说：大风病有五类，黑色者不治，其余都可以治疗。虫食肝脏，眉毛脱落；虫食肺脏，鼻梁崩塌；虫食脾脏，声音嘶哑；虫食心脏，脚底穿孔，膝盖虚空肿胀；虫食肾脏，耳鸣嗡嗡作响，耳廓生疮，或者麻木或者疼痛，像针刺一样；虫食身体，则皮肤瘙痒如虫行。从头面开始发病的叫顺风，从足部开始发病的叫逆风，多因感受寒热与瘀浊杂气而成。治疗方法，先用雷公散（即再造散）攻下，用稀粥调养，半个月不要随意动作劳累，后用醉仙散，中间或者呕吐或者腹泻，不必害怕怯懦，只要腮帮喉头面部肿胀，吞不下东西，逐渐流出恶水，或者从齿缝中流出臭水血丝，或者说不出话，或者闷死，难以进食，只用稀粥通过管子灌入，或者十天或者半月一个月，面部逐渐变白而安宁。重症者，再用换肌散。
换肌散 治疗大风多年不愈，导致眉毛脱落，鼻梁崩塌，服用此药不超过一个月，取得神效。
黑花蛇 白花蛇（都是从蕲州黄州来的。都用酒浸泡一夜） 地龙（去土，各三两）
当归 细辛 白芷 天麻 蔓荆子 威灵仙 荆芥穗 甘菊花
苦参 紫参 沙参 木贼 不灰木 炙甘草 白蒺藜 天门冬
赤芍药 定风草（按本草记载就是天麻，现在都用野天麻，即益母草，不知是否可行，再宜审察） 何首乌 石菖蒲 胡麻子 草乌头（去皮脐） 苍术（米泔水浸泡去皮） 川芎 木鳖子（各二两）
以上研为细末，每次服用五钱，温酒调服，酒多些为好。
醉仙散
胡麻子 牛蒡子 蔓荆子 枸杞子（这四味都炒至紫色） 白蒺藜 苦参 栝楼根 防风（各五钱，《宝鉴》前四味各一两）
以上研为细末，每一两五钱，加入轻粉一钱拌匀，每次服用一钱，茶清调服，早晨、中午、晚上各服一次，之后五到七天，先在牙缝内流出臭涎，浑身疼痛，昏闷如醉酒状，随后拉出脓血恶臭的大便为见效。
通天再造散
郁金（五钱） 皂角刺（独生黑大的，去尖） 大黄（泡制，各一两） 白丑（头末，六钱，半生半炒）
以上研为末，每次服用五钱，日出之前，用无灰酒调服，面向东方服药，当天必定拉出恶物或者臭脓或者虫子。如果虫子口是黑色的，是多年的病；红色的，是近期的病。数日后又进服一剂，没有虫积就停止。
愈风丹 治疗疠疾，手足麻木，毛发脱落眉毛消失，遍身疮疹，皮肤瘙痒。抓挠后成疮，以及一切疥癣风疾都有效。
苦参（一斤，研取头末，四两） 土桃蛇（一条，酒浸二、三天去骨取肉，晒干） 乌梢蛇 白花蛇（各一条，同上炮制）
以上研为细末，用皂角一斤，锉成约一寸长的段，无灰酒浸泡一夜，去掉酒，用新水一碗搓取浓汁，去渣，在银石器内熬膏，和前面的药末制成梧桐子大小的丸药，每次服用六、七十丸，煎防风通圣散送下，用粥饭压住药力，每天三次。第三天洗澡，以大汗出为应验，再过三天又洗，取大汗，洗三次才安稳。（浴法见后面条目）
一种方法 用桃、柳、桑、槐、楮五种树枝，浓煎汤，在大缸中浸泡坐浴，没过颈部一天，等到汤液如油状，就好了。本草记载治疗恶疾遍身生疮，浓煎浮萍汤，浸泡半天大有功效，这是神方。又以荆芥穗、大黄、栀子、蔚金、地黄、杜仲、防风、羌活、独活、白蒺藜等分为细末，以大枫子油入熟蜜，制成梧桐子大小的丸药，每次用茶清送下四五十丸，一天三次。……。
一种方法 用苦参五斤，好酒三斗浸泡一个月，每次服用一合，一天三次，经常不断服用，觉得脾胃已安，研成细末服用也很好，尤其治疗瘾疹。
方
出自《图经》，陶隐居用酒浸泡饮用治疗恶疮，久服轻身。《日华子》认为能杀虫。本草记载能除伏热，养肝胆气。我曾经以苍耳叶为主药，以此物为佐药，再加上酒煮乌蠡鱼，代替补蛇之缺，研细糊丸，梧桐子大小，每次服用五、六十丸，加至七、八十丸，热茶清送下，一天三次，一两个月而安宁。如果加入紫萍尤其快捷，紫萍多生水蛭，须在寒冷月份在山沼中采集，洗净去泥，略蒸透晒干使用。
一种方法 治疗手指挛曲，关节间疼痛剧烈，逐渐至截肢。用蓖麻子去壳、黄连锉如豌豆大，各一两，水一升，小瓶浸泡，春夏三日，秋冬五日，取出蓖麻子破开，清晨面向东，用浸泡药水服一粒，逐渐加至四、五粒，轻微腹泻不妨碍，忌猪肉鱼腥，宜吃清淡，屡次保护神效。
一种方法 先服加减通圣散，大泻恶毒秽积，又用三棱针，看肉黑处及委中紫脉刺出死血，不可令出太多，恐怕损伤真气，后服神仙紫花丸。
（以上丹溪方法共十三条）
加减通圣散
防风（五钱，去芦） 连翘（三钱，去蒂） 川芎（五钱） 白芍药（二钱） 当归（三钱，酒浸洗） 薄荷（二钱） 荆芥穗（五钱） 麻黄（三钱，去根节，汤泡） 栀子（三钱，去壳） 桔梗（五钱） 枳壳（去瓤面炒） 石膏（各五钱） 甘草（三钱） 滑石（三钱）
黄芩（三钱，去朽） 柴胡（五钱） 黄连（五钱） 黄柏（三钱） 生地黄（三钱五分，酒制） 羌活（五钱） 熟地黄（三钱五分，酒制） 锦纹大黄（六两） 芒硝（一两） 皂角刺（一两，独生的，去尖）
以上细切，分八服，每服用一碗半水，煎至一碗，空腹服，每天进两次，五六日后又进两次，等补养完备，再进行两次，然后服用后面的丸药。
神仙紫花丸（外录试验方） 治疗疠风及各种恶疮、风疮，其效如神，只要药真，没有无效的，轻者一料可愈，重者二三料除根。
白花蛇（一具，出自蕲黄州，黑质白纹，龙头虎口，背上二十四个方胜花，尾尖有一佛指甲，新鲜的佳，蛀腐的不堪用，去头尾各四五寸，并以一两为标准，连皮骨用，一两五钱） 何首乌 荆芥穗 威灵仙（各四钱） 麻黄（连根节，二钱） 胡麻子（一钱） 蛇床子（二钱）
以上六味细切，同蛇用无灰酒一大碗浸泡一夜，去掉蛇皮骨，通体晒干，仍还原酒内再浸，再晒，酒尽为止，待晒极干，共为细末另包。
木香 沉香（各二钱五分） 人参（一两） 当归（七钱五分） 明天麻 猪牙皂角（各五钱） 麝香（一钱五分，鼻塞声重者加倍） 乳香 没药（各一钱） 明雄黄 辰砂（各五分，大块者佳） 肉豆蔻（一枚，煨） 定风草（二钱半，即天麻） 还瞳子（即草决明，一两）
以上麝香至辰砂五味各另研极细，不见火，其余草木味也另研，细罗过，连前五味和匀另包。
防风（去芦） 羌活 甘草 细辛 川芎 独活 苍术（米泔水浸泡一夜） 枇杷叶（去毛筋，焙干） 白芍药 白蒺藜金银花 五加皮 香白芷 苦参（各五钱） 胡麻子 白附子（米泔水浸炒） 麻黄 川牛膝 草乌头（米泔水浸炮） 川乌（米泔水浸炮） 石菖蒲（各二钱五分）
以上为细末另包。
总合法治用大枫子三斤（新鲜的佳，去油黄色者不堪用，去壳），用一个瓷罐盛放，少入无灰酒，用皮纸、竹箬重重包裹口，勿令泄气，顿放在滚汤中，勿令没罐口，外面用物盖锅口密封固，文武火蒸，候黑烂为止，杵无渣滓成油，分作三分，每一分入第二号药八钱重，第一号药六钱重，第三号药一两五钱重，和匀，加糯米饭捣极胶粘，丸如梧桐子大，晒干勿见火，每次服用二十丸，渐加至五六十丸，鸡鸣时、午时、临卧时各一服，茶清送下，忌房劳、咸酸酒醋糟淹、猪羊鸡马驴肉、鱼腥煎炸水果、五辛姜椒大料、辛辣热物、荞麦绿豆之类。若不忌口断欲，则药无功，虽愈再发。其余肉味，病愈后一年可食。但猪羊鸡肉，终身用忌。此法是治癞的神方，不可轻忽。
跌伤方法：治疗跌扑损伤，用苏木以活血，黄连以降火，白术以和中，童便煎为妙。在下者可下瘀血，但先须补托。在上者宜饮韭汁，或和粥吃。切不可饮冷水，盖血得寒则凝，但一丝血入心即死。（丹溪）
骨损者，用古文钱五分醋淬，乳香、没药各一钱，酒研服，或用接骨散。（丹溪）
接骨丹（元戎）
没药 乳香 当归 川椒 自然铜（火煅，醋淬） 赤芍药 骨碎补（酒炙） 败龟板（酥炙） 虎胫骨（酥炙） 白芷千金藤（即郁李仁，以上各等分）
以上为细末，化蜡五钱，丸如弹子大，每次服用一丸，好酒半升化开煎，用向东南柳枝搅散热服。一方加龙骨、川芎。
凡治损伤，妙在补气血，俗工不知，惟在速效，多用自然铜以接骨，然此药必炼方可服，新出火者，其火毒与金毒相扇，挟香热药毒，虽有接骨之功。其燥散之祸，甚于刀剑，戒之戒之！（丹溪）
治疗金疮，急以锻石浓敷裹之。如疮深不宜速合者，加滑石末敷之。
当归导滞汤（东垣） 治疗跌扑损伤，瘀滞不行等证。
大黄 当归（在上用头，在中用身，在下用尾，通身痛者全用，酒浸洗焙干）
以上细切等分，每服用一两重，酒煎服。
鸡鸣散（大成方） 治疗从高坠下，及木石所压，一切损伤，瘀血凝积，痛不可忍，并以此药推陈致新。
大黄（一两） 杏仁（二十一粒，去皮尖，另研）
以上研为末，酒大碗，煎七分，滤去渣，鸡鸣时服，至晓必取下瘀血即愈。（愚接：此方用杏仁而不用桃仁者，盖跌乃血入气分，故用杏仁，以行气中之血矣。）
没药乳香散（河间） 治疗跌扑损伤，痛不可忍。
白术（炒，五两） 当归（焙） 甘草（炙） 白芷 没药（另研，各一两五钱） 肉桂（去粗皮） 乳香（另研，各一两）
以上为末和匀，再研极细，每次服用二钱，温酒调下。
杖丹膏药方（外录验方） 治疗受杖责后，如死血壅肿，宜先刺出恶血，然后以此膏贴之，三、四日平复。或早失调理成痈者，贴之即散。及治诸般痈疽疮疖毒，已溃未渍，贴之无不神效。
甘草 肉桂 蛇蜕 蝉蜕 露蜂房 连翘 白芷 白芨 白蔹 白术 苍术 人参 玄参 苦参 芍药 南星 升麻厚朴 栀子 百合 金银花 天花粉 川归 川芎 穿山甲（煨胖，另末） 羌活 独活 黄连 黄芩 黄柏 大黄生地黄 红花 苏木 柴胡 鳖甲（酥炙，为末） 青木香 何首乌 防风 荆芥穗 藿香 云母石 花蕊石（各
(“Li” and “Lai” are interchangeable)
Treatise
The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states: When wind pathogen invades the human body, it may cause alternating chills and fever, heat in the middle jiao, cold in the middle jiao, or Lai Feng (Leprosy). It further states: Lai is caused by the heat and corruption of Ying (Nutritive) and Wei (Defensive) qi, leading to turbid qi. This results in the collapse of the nasal bridge, deterioration of facial complexion, and ulceration of the skin. When Wind-Cold lodges in the meridians and does not disperse, it is named Li Feng (Leprosy). Zhu Danxi stated: This is due to receiving the killing wind from heaven and earth. However, observing recent cases, tracing their origins reveals they are all caused by hot blood encountering cold. For instance, bathing in cold springs after strenuous labor in summer, or treading on ice and frost and fishing in water after drinking alcohol in winter. Consequently, damp-heat stagnates internally without dispersing, while Wind-Cold remains external without moving. After prolonged internal and external stagnation, muscle tissue gradually undergoes decay and putrefaction, as described in the classics: "When heat prevails, flesh rots." Generally, this disease belongs to the Lung, with emphasis on the Hand and Foot Yangming meridians. The Hand and Foot Yangming meridians are governed by the Stomach and Large Intestine, which are the Fu organs corresponding to the Spleen and Lung. The Spleen governs muscles, and the Lung governs skin and hair; thus, this is a disease where Fu pathology affects Zang organs. The classics also state: The intestines and stomach are like a market, accepting and containing everything. Therefore, heat toxins accumulate internally and manifest externally. Thus, treatment must first target the Yangming meridians before addressing the Taiyin meridians, embodying the principle of treating the root while managing the branch. Furthermore, severe damp-heat inevitably generates wind; severe wind generates parasites, similar to rotting grass transforming into fireflies. Treatment methods must first eliminate parasites and purge fire, then nourish and cool the blood, dispel wind, guide out stagnation, descend turbidity, and ascend yin. These are urgent priorities in treatment. Although there are many therapeutic approaches, they generally do not exceed these principles. Students should study them carefully.
Pulse Diagnosis
If the pulses at both Cun positions are floating and tight, or floating and surging, with Yang pulses being floating and wiry and Yin pulses being solid and large, prognosis varies. Floating and moderate pulses indicate ease of treatment; surging, large, and rapid pulses indicate difficulty in cure; sinking and solid pulses also indicate difficulty in cure. Overflowing pulses suggest the disease is located superiorly; floating pulses suggest the disease is located inferiorly. Both are considered untreatable conditions.
Methods
Zhu Danxi stated: Da Feng (Great Wind/Leprosy) is contracted from the killing wind of heaven and earth. Ancients called it Li Feng because its cruelty and ferocity are terrifying. Humans contract this pathogen either superiorly or inferiorly. Qi contraction manifests superiorly; Blood contraction manifests inferiorly; simultaneous Qi and Blood contraction manifests in both upper and lower parts. However, it never goes beyond the Yangming meridian, which refers to the Stomach and Large Intestine, accepting everything. In treatment, one must carefully observe nodules and ulcers. If lesions appear first and predominantly on the upper body, the disease is superior; if on the lower body, it is inferior. For superior diseases, use Zuixian San (Immortal Drunk Powder) to induce expectoration of phlegm and discharge of stasis through the gum margins. For inferior diseases, use Tongtian Zaizao San (Heaven-Penetrating Rebirth Decoction) to discharge foul matter, parasites, and accumulations via the bowels. Subsequently, regulate with Fangfeng Tongsheng San (Saposhnikovia Decoction for Unobstructed Vitality), and additionally apply three-edged needle bleeding at Weizhong (BL40). Cases involving both upper and lower parts with severe symptoms rarely survive unless treated by a divine physician and endured by an iron-willed patient. Gradual onset from above or below indicates treatability. People often neglect such slow-progressing diseases. Even with correct treatment and full recovery, failure to abstain from rich flavors and sexual desire leads to recurrence and eventual death. I treated five patients; only one woman survived because her extreme poverty limited her food intake (indirectly enforcing dietary restrictions). The others relapsed after three to four years. Sun Simiao stated: Having treated hundreds, none survived. Not because Sun could not cure, but because no one could keep the taboos. That woman, besides treating the main disease, took over a hundred doses of Jiajian Siwu Tang (Modified Four Substance Decoction). After more than half a year, her menstruation resumed, and she recovered completely.
Zuixian San dosage must be adjusted according to the patient's constitution (size, deficiency, or excess). For severe and acute cases, first administer Zaizao San to purge, then wait for restoration before giving this medicine. Strict avoidance of salt, soy sauce, vinegar, fish, pepper, nuts, fried, roasted, and grilled foods is required. Only plain congee and lightly boiled vegetables are allowed; even eggplant is forbidden. Only Ushao She (Zaocys) and Caohua She (Dinodon) steamed in plain wine can assist the medicinal power.
*Waike Jingyao* (Essentials of External Medicine) establishes laws for various sores but omits Leprosy. Perhaps because Wind is the chief of all diseases, causing severe damage to skin and limbs, bringing death near, making it harder to treat than ordinary sores, hence omitted. Winds from eight directions arise from eight directions; following seasons promotes growth, violating them causes destruction. Those with innate "killing" constitution are susceptible. Combined with improper lifestyle, diet, and sexual activity, stagnant qi forms. Accumulated in the body, the Spleen suffers first, leading to Dampness. Prolonged warmth generates Fire. Fire spreads, causing turbid qi and polluted blood (or blood heat coagulation with unclear qi), generating parasites that transmit sequentially through zang-fu organs. Though deemed fatal, survival is possible. Early stage involves slight Stomach qi injury. Since Spleen governs muscles, progression is slow and gradual, allowing medical intervention. Declared fatal not just due to medical ignorance, but primarily because patients cannot abstain from desires—truly pitiable!
Recent crude physicians add Dafengzi Oil (Semecarpus Anacardium Oil), unaware that its hot nature dries phlegm but damages blood, sometimes causing blindness before cure.
Song Dongxu stated: There are five types of Da Feng; black-colored ones are untreatable, others are treatable. Parasites eating Liver cause eyebrow loss; eating Lungs cause nasal collapse; eating Spleen cause hoarseness; eating Heart cause sole perforation and knee swelling; eating Kidneys cause tinnitus, ear ulcers, numbness, or stabbing pain; eating Body cause itching like insects crawling. Onset from head/face is Shun Feng (Smooth Wind); from feet is Ni Feng (Reverse Wind). Usually caused by Cold-Heat and turbid qi accumulation. Treatment: First purge with Leigong San (i.e., Zaizao San), nourish with thin congee, avoid exertion for half a month, then use Zuixian San. Vomiting or diarrhea during treatment is normal; do not fear. If face/throat swells preventing swallowing, or foul fluid/blood streaks emerge from gums, or speech is lost, or suffocation occurs, feed thin congee via tube for 10 days to a month until face whitens and calms. Severe cases require Huanji San (Skin-Replacing Powder).
Huanji San treats chronic Da Feng unresponsive to treatment, causing eyebrow loss and nasal collapse. Effective within a month.
Ingredients: Hei Hua She (Black Flower Snake) and Bai Hua She (White Flower Snake) from Qichun/Huangzhou, soaked in wine overnight; Dilong (Earthworm, de-soiled, 3 liang each); Danggui (Angelica Sinensis); Xixin (Asarum); Baizhi (Angelica Dahurica); Tianma (Gastrodia Elata); Manjingzi (Vijaya Fruit); Weilingxian (Clematis Root); Jingjie Sui (Schizonepeta Spike); Gan Juhua (Chrysanthemum); Kushen (Sophora Flavescens); Zishen (Bupleurum? Note: Context implies specific herb); Shashen (Adenophora); Muzei (Equisetum); Buhui Mu (Incombustible Wood); Zhigancao (Prepared Licorice); Bai Jili (Tribulus); Tiandongmen (Asparagus Tuber); Chishao (Red Peony Root); Dingfeng Cao (Note: Bencao says Tianma, now used Yimucao/Leonurus, verify); Heshouwu (Polygonum Multiflorum); Shichangpu (Acorus); Humazi (Sesame); Caowutou (Aconitum Carmichaelii, de-skinned/de-navelled); Cangzhu (Atractylodes, rice-water soaked/de-skinned); Chuanxiong (Ligusticum); Mubiezi (Momordica Cochinchinensis) (2 liang each).
Process: Grind to fine powder. Take 5 qian per dose, mixed with warm wine. More wine is better.
Zuixian San
Humazi (Sesame), Niubangzi (Arctium Fruit), Manjingzi (Vijaya Fruit), Gouqizi (Goji Berry) (all stir-fried until purple); Bai Jili (Tribulus); Kushen (Sophora); Gualougen (Trichosanthes Root); Fangfeng (Saposhnikovia) (5 qian each; *Baojian* lists first four as 1 liang each).
Process: Grind to fine powder. Mix 1 liang 5 qian of powder with 1 qian Qingfen (Calomel). Take 1 qian per dose, mixed with clear tea. Three times daily (morning, noon, evening). After 5-7 days, foul saliva will emerge from gums, whole-body pain, dizziness like drunkenness, followed by purging of pus-blood and foul stool indicates efficacy.
Tongtian Zaizao San
Yujin (Curcuma Longa Rhizome, 5 qian); Zaojiaoci (Gleditsia Spine, single-grown black large ones, tip removed); Dahuang (Rhubarb, soaked, 1 liang); Bai Chou (Belamcanda Seed, head powder, 6 qian, half raw half fried).
Process: Grind to powder. Take 5 qian per dose, mixed with non-intoxicating wine before sunrise, facing east. Must purge foul matter, foul pus, or worms that day. Black worm mouths indicate chronic disease; red indicates recent. Repeat dose after several days if worms remain. Stop when no worms accumulate.
Yufeng Dan (Wind-Nourishing Pill) treats Li Ji (Leprosy), numbness of hands/feet, hair/eyebrow loss, generalized eruptions, and skin itching. Effective for sores from scratching and all scabies/wind-diseases.
Kushen (Sophora, 1 jin, take first powder, 4 liang); Tu Tao She (Local Peach Snake, 1 strip, soaked in wine 2-3 days, deboned/dried); Wushao She (Zaocys); Baihua She (Elaphe) (1 strip each, processed similarly).
Process: Grind to fine powder. Take 1 jin Zaojiao (Gleditsia), cut into 1-cun pieces, soak in non-intoxicating wine overnight. Remove wine, add 1 bowl fresh water, rub to extract thick juice, strain. Boil residue in silver/copper vessel to make paste. Mix with powder, form pills like paulownia seeds. Take 60-70 pills per dose, delivered with decoction of Fangfeng Tongsheng San, pressed with congee/rice. Three times daily. Bathe on day 3 until heavy sweating occurs; bathe again on day 5 for heavy sweat; three baths ensure stability. (Bathing method see later).
Method 1: Use branches of Peach, Willow, Mulberry, Locust, and Paper Mulberry. Decoct strongly. Soak sitting in a large vat, neck-deep, for one day until liquid resembles oil. Cured. Materia Medica records: For severe diseases with generalized sores, strong decoction of Spirodela (Water Lentil) bath for half a day is highly effective—a divine prescription. Also, equal parts Jingjie Sui, Dahuang, Zhizi, Weijin (likely typo for something else, possibly Wujitou or similar), Dihuang, Duzhong, Fangfeng, Qianghuo, Duhuo, Bai Jili. Grind to fine powder. Mix with Dafengzi Oil and refined honey, form paulownia seed pills. Take 40-50 pills with clear tea, three times daily. ...
Method 2: Soak 5 jin Kushen in 3 dou good wine for one month. Take 1 he per dose, three times daily. Continuous use stabilizes Spleen. Fine powder administration is also good, especially for Urticaria.
Prescription
From *Tujing*, Tao Hongjing used wine-soaked drink for malignant sores; long-term use lightens the body. *Rihua Zi* claims it kills parasites. *Bencao* states it clears latent heat and nourishes Liver/Gallbladder qi. I once used Cang'er Ye (Xanthium Leaf) as sovereign, this herb as minister, plus wine-boiled Ulva (Sea Lettuce/Wuli Fish?) to substitute for Snake deficiency. Grind fine, make paste pills, paulownia seed size. Take 50-60 pills, up to 70-80, with hot clear tea, three times daily. Recover in 1-2 months. Adding Ziping (Spirodela) is faster. Ziping hosts leeches; collect in cold months from mountain ponds, wash clean, steam dry.
Method 3: For finger contracture and severe joint pain progressing to amputation. Use Bi Ma Zi (Castor Bean, shelled) and Huanglian (Coptis), cut pea-sized, 1 liang each. Soak in 1 sheng water in small bottle: 3 days spring/summer, 5 days autumn/winter. Take castor bean, break open. At dawn, face east, swallow one pill of soaking liquid. Gradually increase to 4-5 pills. Mild diarrhea is acceptable. Avoid pork/fish. Eat bland. Repeatedly effective.
Method 4: First take Jiajian Tongsheng San to purge toxic filth. Then use three-edged needle to prick blackened flesh and purple veins at Weizhong to release dead blood. Do not bleed excessively to avoid damaging True Qi. Then take Shenxian Zihua Wan.
(Zhu Danxi's Methods: 13 items total)
Jiajian Tongsheng San
Fangfeng (Saposhnikovia, 5 qian, remove radicle); Lianqiao (Forsythia, 3 qian, remove pedicel); Chuanxiong (Ligusticum, 5 qian); Baishao (White Peony, 2 qian); Danggui (Angelica, 3 qian, wine-soaked/washed); Bohe (Mint, 2 qian); Jingjie Sui (Schizonepeta, 5 qian); Mahuang (Ephedra, 3 qian, remove roots/joints, soak in water); Zhizi (Gardenia, 3 qian, remove shell); Jiegeng (Platycodon, 5 qian); Zhike (Bitter Orange, remove albedo/stir-fry); Shigao (Gypsum, 5 qian each); Gancao (Licorice, 3 qian); Huashi (Talcum, 3 qian).
Huangqin (Scutellaria, 3 qian, remove rotten parts); Chaihu (Bupleurum, 5 qian); Huanglian (Coptis, 5 qian); Huangbai (Phellodendron, 3 qian); Shengdihuang (Rehmannia Raw, 3.5 qian, wine-processed); Qianghuo (Notopterygium, 5 qian); Shudihuang (Rehmannia Cooked, 3.5 qian, wine-processed); Jinwen Dahuang (Rhubarb, 6 liang); Mangxiao (Mirabilite, 1 liang); Zaojiaoci (Gleditsia Spine, 1 liang, single-grown, tip removed).
Process: Cut finely. Divide into 8 doses. Each dose: 1.5 bowls water, decoct to 1 bowl. Take on empty stomach. Two doses daily. After 5-6 days, two more doses. Wait for constitution to recover, repeat twice more, then take subsequent pills.
Shenxian Zihua Wan (External Recorded Tested Formula) Treats Leprosy and various malignant/wind sores. Efficacy is divine if herbs are authentic. Mild cases cured in one batch; severe in 2-3 batches.
Baihua She (Elaphe, 1 specimen from Qichun/Huangzhou, black body white pattern, dragon head tiger mouth, 24 square patterns on back, Buddha nail at tail tip. Fresh is best, rotten unusable. Remove 4-5 cun head/tail. Standardize weight including skin/bone to 1.5 liang). Heshouwu (Polygonum Multiflorum); Jingjie Sui (Schizonepeta); Weilingxian (Clematis) (4 qian each); Mahuang (Ephedra with roots/joints, 2 qian); Humazi (Sesame, 1 qian); Chuanshenzi (Cnidium, 2 qian).
Process: Cut six ingredients finely. Soak together with snake in 1 large bowl non-intoxicating wine overnight. Remove snake skin/bone. Dry completely. Soak again in same wine. Dry again. Repeat until wine is exhausted and material is extremely dry. Grind to fine powder, pack separately.
Muxiang (Aucklandia); Chenxiang (Aquilaria) (2.5 qian each); Renshen (Ginseng, 1 liang); Danggui (Angelica, 7.5 qian); Ming Tianma (Gastrodia); Zhu Ya Zaojiao (Pig-tooth Gleditsia) (5 qian each); Shexiang (Musk, 1.5 qian; double if nasal congestion/heavy voice); Ruxiang (Frankincense); Moyao (Myrrh) (1 qian each); Ming Xionghuang (Realgar); Chensha (Cinnabar) (0.5 qian each, large chunks best); Roudoukou (Nutmeg, 1 piece, baked); Dingfeng Cao (Gastrodia, 2.5 qian); Huantongzi (Cassia Seed, 1 liang).
Process: Musk to Cinnabar (5 items) grind separately to ultra-fine powder, avoid fire. Other herbal materials grind separately, sieve fine. Mix with previous 5 items, pack separately.
Fangfeng (Saposhnikovia, remove radicle); Qianghuo (Notopterygium); Gancao (Licorice); Xixin (Asarum); Chuanxiong (Ligusticum); Duhuo (Angelica Pubescens); Cangzhu (Atractylodes, rice-water soaked overnight); Pipaye (Loquat Leaf, remove hairs/veins, bake dry); Baishao (White Peony); Bai Jili (Tribulus); Jinyinhua (Honeysuckle); Wujia Pi (Acanthopanax); Xiang Baizhi (Angelica Dahurica); Kushen (Sophora) (5 qian each); Humazi (Sesame); Baifuzi (Typhonium, rice-water soak/fry); Mahuang (Ephedra); Chuan Niuxi (Cyathula); Caowutou (Aconitum, rice-water soak/process); Chuanwu (Aconitum, rice-water soak/process); Shichangpu (Acorus) (2.5 qian each).
Process: Grind to fine powder, pack separately.
Total Method: Use 3 jin Dafengzi (Semecarpus Anacardium, fresh best, remove oil/yellow parts unusable, remove shell). Place in ceramic jar. Add little non-intoxicating wine. Seal tightly with paper/bamboo leaves to prevent gas escape. Steam in boiling water (jar mouth above water level). Cover pot tightly. Steam with mild/fire until black and rotten. Pound into oil-free paste/oil. Divide into three parts. Part 1: Mix with 6 qian of Formula No. 1. Part 2: Mix with 8 qian of Formula No. 2. Part 3: Mix with 1.5 liang of Formula No. 3. Blend evenly. Add glutinous rice paste, pound until sticky. Form paulownia seed pills. Dry in sun, avoid fire. Take 20 pills, gradually increase to 50-60. Doses at cockcrow, noon, and bedtime. Deliver with clear tea. Taboos: Sexual abstinence; salty/sour/alcohol/vinegar/pickles; pork/sheep/chicken/horse/donkey meat; fish/fried fruits; Five Pungents (Onion/Garlic/etc.), Ginger/Pepper/Majiao; Spicy/Hot foods; Buckwheat/Mung beans. Failure to observe taboos/abstinence renders medicine useless; recurrence inevitable. Other meats allowed one year post-cure. Pork/Sheep/Chicken strictly forbidden lifelong. This is the divine formula for Leprosy; do not neglect.
Trauma Methods: For falls/injuries, use Sumu (Sappan Wood) to invigorate blood, Huanglian (Coptis) to descend fire, Baizhu (Atractylodes) to harmonize middle. Decoct with Child's Urine (Tongbian) for best effect. Lower injuries: purge stasis, but first tonify/support. Upper injuries: drink Leek Juice or mix with congee. Never drink cold water; blood congeals with cold. Even a trace of blood entering the Heart causes death. (Danxi)
Bone Fractures: Use 5 fen ancient copper coins quenched in vinegar; Ruxiang (Frankincense) and Moyao (Myrrh) 1 qian each. Grind in wine and take. Or use Jiegu San (Bone-Knitting Powder). (Danxi)
Jiegu Dan (Bone-Knitting Pill) (Yuanjong)
Moyao (Myrrh); Ruxiang (Frankincense); Danggui (Angelica); Chuanjiao (Sichuan Pepper); Ziran Tong (Pyrite, calcined/quenched in vinegar); Chishao (Red Peony); Gusuibu (Drynaria, wine-fried); Baiguiban (Tortoise Plastron,酥-baked); Hu Jinggu (Tiger Tibia,酥-baked); Baizhi (Angelica); Qianjinteng (Prunus Armillaris/Prunus Bush Cherry Kernel - Note: Text says equals Li Ren/Durian Kernel? Likely error for Prunus seed) (Equal parts).
Process: Grind to fine powder. Melt 5 qian beeswax. Form pills like marbles. Take 1 pill per dose, dissolve in 0.5 sheng good wine, decoct. Stir with Southeast-facing Willow branch. Drink hot. Alternative adds Longgu (Dragon Bone) and Chuanxiong.
General Trauma Principle: Excellence lies in tonifying Qi and Blood. Crude practitioners ignore this, seeking quick effects, overusing Ziran Tong (Pyrite) for knitting bones. This herb must be refined before use. Newly fired pyrite has fire/gold toxicity interacting with aromatic/hot drugs. Though it knits bone, its drying/scattering disaster exceeds swords/knives. Beware! Beware! (Danxi)
Metal Wounds: Immediately apply thick layer of Duanshi (Smelted Iron Oxide/Powder) to wrap. If wound is deep and shouldn't close quickly, add Huashi (Talcum) powder.
Another Prescription: Old Fir Bark powder applied topically.
Abdominal pain after trauma indicates blood stasis. Use Taoren Chengqi Tang (Peach Kernel Decoction for Downward Directing) plus Sumu (Sappan Wood) and Honghua (Safflower) to purge.
Danggui Daozhi Tang (Angelica Guiding Stagnation Decoction) (Dongyuan) Treats trauma, stasis obstruction, etc.
Dahuang (Rhubarb); Danggui (Angelica): Head for upper body, Body for middle, Tail for lower, Whole for general pain. Wine-soak, wash, bake dry.
Process: Cut finely, equal parts. Take 1 liang per dose, decoct in wine.
Jiming San (Cockcrow Dispelling Stasis Decoction) (Dacheng Formula) Treats falls from height, crushing by wood/stone, all injuries, accumulated stasis, unbearable pain. Pushes out old to generate new.
Dahuang (Rhubarb, 1 liang); Xingren (Apricot Seed, 21 kernels, remove skin/point, grind separately).
Process: Grind to powder. Decoct in large bowl of wine to 70%. Strain. Take at cockcrow. By dawn, stasis will be purged and cured. (Comment: Uses Xingren instead of Taoren because trauma affects Qi level of Blood; Xingren moves Qi-level Blood.)
Moyao Ruxiang San (Myrrh Frankincense Powder) (Hejian) Treats trauma, unbearable pain.
Baizhu (Atractylodes, fried, 5 liang); Danggui (Angelica, baked); Gancao (Licorice, honey-fried); Baizhi (Angelica); Moyao (Myrrh, grind separately, 1.5 liang each); Rougui (Cinnamon Bark, remove cork); Ruxiang (Frankincense, grind separately, 1 liang each).
Process: Mix powders, grind ultra-fine. Take 2 qian per dose, mixed with warm wine.
Zhangdan Gaoyao Fang (Stick-Burnishing Ointment Formula) (External Recorded Verified Formula) Treats post-beating swelling from dead blood. Prick to release foul blood first, then apply ointment. Calms in 3-4 days. Abscesses from poor care dissipate upon application. Effective for all carbuncles/furuncles/toxins, opened or unopened.
Gancao (Licorice); Rougui (Cinnamon); Shetui (Snake Slough); Chantui (Cicada Slough); Lubofang (Honeycomb); Lianqiao (Forsythia); Baizhi (Angelica); Baiji (Bletilla); Bailian (Veratrum); Baizhu (Atractylodes); Cangzhu (Atractylodes); Renshen (Ginseng); Xuanshen (Scrophularia); Kushen (Sophora); Shaoyao (Peony); Nanxing (Pinellia); Shengma (Cimicifuga); Houpo (Magnolia Bark); Zhizi (Gardenia); Baihe (Lily Bulb); Jinyinhua (Honeysuckle); Tianhuafen (Trichosanthes Root); Chuan Gui (Angelica Sinensis); Chuanxiong (Ligusticum); Chanshanyjia (Pangolin Scale, baked/swollen, grind separately); Qianghuo (Notopterygium); Duhuo (Angelica Pubescens); Huanglian (Coptis); Huangqin (Scutellaria); Huangbai (Phellodendron); Dahuang (Rhubarb); Shengdihuang (Rehmannia Raw); Honghua (Safflower); Sumu (Sappan Wood); Chaihu (Bupleurum); Biejia (Turtle Carapace,酥-baked, grind); Qingmuxiang (Podocarpus); Heshouwu (Polygonum); Fangfeng (Saposhnikovia); Jingjie Sui (Schizonepeta); Huoxiang (Patchouli); Yunmu Shi (Mica); Huarui Shi (Flower Stalactite) (Each... [Text cuts off])