【方歌】麻风总属毒疠成，其因有三五损风，五死证见真恶候，
初病能守或可生。
【注】此证古名疠风，疠风者有毒之风也。经云：脉风成为疠
。又云：疠者有荣气热腐，其气不清。故使其鼻柱坏而
色败，皮肤疡溃，毒风客于脉而不去，名曰疠风，今人
呼为大麻风。一因风土所生，中国少有此证，惟烟瘴地
面多有之；一因传染，或遇生麻风之人，或父母、夫妻
、家人递相传染，或在外不谨，或粪坑、房屋、床铺、
衣被不洁；一因自不调摄，洗浴乘凉，希图快意，或露
卧当风，睡眠湿地，毒风袭入血脉。其因名虽有三，总
属天地疠气，感受不觉，未经发泄，积久而发。遍身麻
木，次起白屑红斑，蔓延如癜，形若蛇皮，脱落成片。
始发之时，自上而下者顺，自下而上者逆；渐来可治，
顿发难医。风毒入里，化生为虫，虫蚀五脏，则形有五
损：肺受病，先落眉毛；肝受病，面起紫疱；肾受病，
脚底先穿；脾受病，遍身如癣；心受病，先损其目，此
为险证。又有五死：证如麻木不仁者，为皮死；割切不
痛者，为肉死；溃烂无脓者，为血死；手足脱落者，为
筋死；鼻梁崩塌，眼弦断裂，唇翻声哑者，为骨死。若
五死见一，即为败恶不治之候也。此证初觉，即服万灵
丹汗之，次宜神应消风散、追风散、磨风丸，次第服之
。牙龈出血，用黄连、贯众等分煎汤漱之。外搽类聚袪
风散，兼用地骨皮、荆芥、苦参、细辛各二两，河水煎
汤，浸浴熏洗。若遇损败之证，在上部则服醉仙散，在
下部则服通天再造散；若鼻梁塌坏，用换肌散服之。患
者稍露虚象，即以补气泻荣汤服之，兼用何首乌酒饮之
。若能消心寡欲，戒口早治，或有可生；若口味不能清
淡，色欲不能断绝，即愈后仍不免再发，终于不救。
方剂：神应消风散
组成：全蝎 白芷
人参（各一两）
上为细末，每用二钱，勿食晚饭，次日空心温酒调
服，觉身微躁为效。
【方歌】神应消风散疠风，身麻白屑起斑红，蝎芷人参各一两，
空心酒服麻木平。
又方：追风散
组成：锦纹大黄（六两） 川郁金（炒，一两八钱）
皂角刺（一两五钱）
共研细末，每用五钱，加大风子油一钱五
分，朴硝一钱，五更空心温酒调服，直待辰时，又如前
调药，加熟蜜少许服之，以蜜解口。切不可卧，良久痛
泻数次不妨，以稀粥补之。如第一日服消风散，第二日
即服此药，第三日服磨风丸，周而复始，又如此服之。
瘦弱者，十日内追风散只用一服，老弱者勿服。
【方歌】追风散用川郁金，皂刺大黄研末匀，初服消风次用此，
风油消酒调服神。
又方：磨风丸
组成：豨莶草 牛蒡子（炒）
麻黄 苍耳草
细辛 川芎
当归 荆芥
蔓荆子 防风
车前子 威灵仙
天麻 何首乌
羌活 独活（各一两）
共为细末，酒打面糊为丸，如梧桐子大。每服六、
七十丸，温酒送下，日用二服。
【方歌】磨风丸莶蒡麻黄，苍细芎归荆蔓防，车威天麻何羌独，
追风服后用此方。
又方：类聚袪风散
组成：硫黄 寒水石
枯白矾 贯众（各二两）
蛇床子（一两） 朴硝（五钱）
共研细末，腊月猪脂捣烂调敷。
【方歌】类聚袪风散硫黄，寒水枯矾硝蛇床，贯众细研猪脂捣，
专搽遍体疠风疮。
又方：醉仙散
组成：牛蒡子（炒） 胡麻
枸杞子 蔓荆子（各一两）
苦参 白蒺藜
防风 花粉（五钱）
共研细末，每服一钱，加轻粉一分二厘，研匀，茶
清调服，晨、午、晚各一服。五、七日后，先于牙缝内
出臭黄涎，浑身疼闷如碎，然后利下脓血、恶物、臭气
，病根乃去矣！
【方歌】醉仙上部疠风重，牛蒡胡麻枸蔓荆，苦参蒺藜防花粉，
服加轻粉用茶清。
又方：通天再造散
组成：大黄（煨，一两） 皂角刺（一两五钱）
郁金（五钱）
白牵牛（头末，半生、半炒，六钱）
共研细末，每服二钱或三钱，早晨面东，醇酒调下
，当日利下恶物（或脓或虫）为效。
【方歌】通天再造治疠风，败证先从下部攻，郁金大黄牵牛刺，
晨服酒调面向东。
又方：换肌散
组成：乌梢蛇 白花蛇
蚯蚓（去土，各一两） 细辛
木鳖子 白芷
天麻（连茎者） 赤芍
蔓荆子 当归
威灵仙 荆芥穗
甘菊花 不灰木
紫参 苦参
沙参 何首乌
石菖蒲 木贼
天门冬（去心） 川芎
白蒺藜 甘草（炙）
胡麻仁 苍术（米泔水浸，炒）
草乌（汤泡去皮，各三钱五分）
共研细末，每服五钱，温酒调下，酒多更妙。紫参
、不灰木，虽无亦可。
【方歌】换肌散治大风疮，毒攻眉脱坏鼻梁，乌梢白花蛇蚓细，
鳖芷天麻芍蔓当，威灵荆菊不灰木，紫苦沙参何首菖，
木贼天冬芎蒺草，胡麻苍术草乌强。
又方：补气泻荣汤
组成：连翘（去心） 升麻（各六分）
桔梗（五分） 黄芩
生地（各四分） 黄连
蚯蚓（酒炒，去土） 当归
黄耆 苏木
全蝎（各三分） 人参
白豆蔻（各二分） 甘草（生，一分）
水二钟，酒一钟，煎至一钟，去渣；又用胡桐泪一
分，水蛭、虻虫各三个（炒），麝香五厘，桃仁三个研
泥，共为细末，入药汤内，煎至七分，饭后服之。
【方歌】补气泻荣疠虚宜，芩连参桔蚓归耆，苏地升蝎翘蔻草，
桐泪蛭虻麝桃泥。
又方：何首乌酒
组成：何首乌（四两） 当归身
当归尾 穿山甲（炙）
生地黄 熟地黄
虾蟆（各一两） 侧柏叶
松针 五加皮
川乌（汤泡，去皮）
草乌（汤泡，去皮，各四钱）
将药入夏布袋内，扎口；用黄酒二十斤，同药袋入
坛内封固，重汤煮三炷香，埋窨七日。开坛口取酒，时
饮之令醺醺然，作汗，避风。
【方歌】何首乌酒大风疾，归甲松针生熟地，侧蟆五加川草乌，
酒煮滋荣毒自息。
又方：万灵丹（见肿疡门）
【方歌】大麻风总归因于毒疠之气形成，其病因主要有三种：一是五脏受损的风邪，二是出现五种死证即为真正的恶候，三是若在初病阶段能坚守治疗原则或许还有生机。
【注】此病在古代称为“疠风”，疠风是指由有毒之风邪引起的疾病。《内经》说：“脉中风邪便成为疠风。”又说：“疠风患者营气热盛腐败，其气不清爽。”因此导致鼻梁塌陷、面色败坏，皮肤溃疡溃烂，毒风客居在血脉中而不离去，这种病名叫疠风，现在人们称之为大麻风。其病因有三：一是由于当地风土气候所生，中原地区少见此证，只有烟瘴之地多有发生；二是由于传染，或者接触患有大麻风的人，或者父母、夫妻、家人之间互相传染，或者在外不注意卫生，或者粪坑、房屋、床铺、衣被不洁净；三是由于自身不调养，洗浴时乘凉，贪图一时痛快，或者露天睡卧当风，睡眠在潮湿地面，毒风侵入血脉。这三种原因名称虽不同，但总归属于天地间的疠气，感受后不觉察，未能及时发泄，积久后才发作。全身麻木，随后起白屑红斑，蔓延如癜，形状像蛇皮，成片脱落。刚开始发病时，从上往下发展的是顺证，从下往上发展的是逆证；逐渐发作的可治，突然发作的难医。风毒入里，化生为虫，虫蚀五脏，则形体有五种损伤：肺受病，先掉眉毛；肝受病，面部起紫疱；肾受病，脚底先穿孔；脾受病，全身像癣；心受病，先损害眼睛，这属于险证。又有五种死证：像麻木不仁的，叫皮死；切割不痛的，叫肉死；溃烂无脓的，叫血死；手足脱落的，叫筋死；鼻梁崩塌，眼睑断裂，嘴唇外翻声音嘶哑的，叫骨死。如果五种死证出现一种，就是败坏恶候，无法治愈了。此病刚感觉不适时，立即服用万灵丹使其发汗，其次适宜服用神应消风散、追风散、磨风丸，依次服用。牙龈出血，用黄连、贯众等量煎汤漱口。外用类聚袪风散涂抹，兼用地骨皮、荆芥、苦参、细辛各二两，河水煎汤，浸泡熏洗。如果遇到损败之证，在上部则服用醉仙散，在下部则服用通天再造散；如果鼻梁塌坏，用换肌散内服。患者稍露虚象，即以补气泻荣汤内服，兼用何首乌酒饮用。如果能清心寡欲，忌口并早治，或许有生机；如果口味不能清淡，色欲不能断绝，即使痊愈后仍不免复发，最终无法救治。
方剂：神应消风散
组成：全蝎、白芷、人参（各一两）
将上述药材研为细末，每次用二钱，不吃晚饭，次日空腹用温酒调服，感觉身体微微燥热即为有效。
【方歌】神应消风散治疠风，身体麻木白屑起斑红，全蝎、白芷、人参各一两，空腹酒服麻木平。
又方：追风散
组成：锦纹大黄（六两）、川郁金（炒，一两八钱）、皂角刺（一两五钱）
共研细末，每次用五钱，加大风子油一钱五分，朴硝一钱，五更时分空腹用温酒调服，一直等到辰时，又像前面那样调药，加少许熟蜂蜜服用，以蜂蜜缓解口感。切不可躺卧，过很久痛泻几次不妨碍，用稀粥补养。如果第一天服用消风散，第二天就服用此药，第三天服用磨风丸，循环往复，又如前法服用。瘦弱者，十日内追风散只用一次，年老体弱者不要服用。
【方歌】追风散用川郁金，皂刺大黄研末匀，初服消风次用此，风油消酒调服神。
又方：磨风丸
组成：豨莶草、牛蒡子（炒）、麻黄、苍耳草、细辛、川芎、当归、荆芥、蔓荆子、防风、车前子、威灵仙、天麻、何首乌、羌活、独活（各一两）
共为细末，用酒打面糊制成丸药，如梧桐子大小。每次服用六七十丸，温酒送下，每天服用两次。
【方歌】磨风丸莶蒡麻黄，苍细芎归荆蔓防，车威天麻何羌独，追风服后用此方。
又方：类聚袪风散
组成：硫黄、寒水石、枯白矾、贯众（各二两）、蛇床子（一两）、朴硝（五钱）
共研细末，腊月用猪脂捣烂调和敷贴。
【方歌】类聚袪风散硫黄，寒水枯矾硝蛇床，贯众细研猪脂捣，专搽遍体疠风疮。
又方：醉仙散
组成：牛蒡子（炒）、胡麻、枸杞子、蔓荆子（各一两）、苦参、白蒺藜、防风、花粉（五钱）
共研细末，每次服用一钱，加轻粉一分二厘，研匀，茶清调服，早晨、中午、晚上各服一次。五到七日后，先在牙缝内排出臭黄涎，浑身疼痛闷胀如碎，然后利下脓血、恶物、臭气，病根才去除！
【方歌】醉仙上部疠风重，牛蒡胡麻枸蔓荆，苦参蒺藜防花粉，服加轻粉用茶清。
又方：通天再造散
组成：大黄（煨，一两）、皂角刺（一两五钱）、郁金（五钱）、白牵牛（头末，半生、半炒，六钱）
共研细末，每次服用二钱或三钱，早晨面向东方，醇酒调下，当天利下恶物（或脓或虫）即为有效。
【方歌】通天再造治疠风，败证先从下部攻，郁金大黄牵牛刺，晨服酒调面向东。
又方：换肌散
组成：乌梢蛇、白花蛇、蚯蚓（去土，各一两）、细辛、木鳖子、白芷、天麻（连茎者）、赤芍、蔓荆子、当归、威灵仙、荆芥穗、甘菊花、不灰木、紫参、苦参、沙参、何首乌、石菖蒲、木贼、天门冬（去心）、川芎、白蒺藜、甘草（炙）、胡麻仁、苍术（米泔水浸，炒）、草乌（汤泡去皮，各三钱五分）
共研细末，每次服用五钱，温酒调下，酒多更好。紫参、不灰木，即使没有也可以。
【方歌】换肌散治大风疮，毒攻眉脱坏鼻梁，乌梢白花蛇蚓细，鳖芷天麻芍蔓当，威灵荆菊不灰木，紫苦沙参何首菖，木贼天冬芎蒺草，胡麻苍术草乌强。
又方：补气泻荣汤
组成：连翘（去心）、升麻（各六分）、桔梗（五分）、黄芩、生地（各四分）、黄连、蚯蚓（酒炒，去土）、当归、黄耆、苏木、全蝎（各三分）、人参、白豆蔻（各二分）、甘草（生，一分）
水二钟，酒一钟，煎至一钟，去渣；又用胡桐泪一分，水蛭、虻虫各三个（炒），麝香五厘，桃仁三个研泥，共为细末，加入药汤内，煎至七分，饭后服用。
【方歌】补气泻荣疠虚宜，芩连参桔蚓归耆，苏地升蝎翘蔻草，桐泪蛭虻麝桃泥。
又方：何首乌酒
组成：何首乌（四两）、当归身、当归尾、穿山甲（炙）、生地黄、熟地黄、虾蟆（各一两）、侧柏叶、松针、五加皮、川乌（汤泡，去皮）、草乌（汤泡，去皮，各四钱）
将药物装入夏布袋内，扎口；用黄酒二十斤，连同药袋放入坛内封固，隔水煮沸三炷香的时间，埋藏窖藏七日。开坛口取酒，时常饮用至微醺状态，出汗，避风。
[Verse] Leprosy (Mafen) generally results from the formation of toxic pestilential qi. Its etiology involves three aspects: damage to the five zang organs by wind, the appearance of five death signs indicating a true malignant prognosis, and the possibility of survival if treatment is adhered to strictly in the early stage.
[Note] This condition was formerly known as "Li Feng" (Leprosy/Pestilential Wind), which refers to wind pathogenic factors possessing toxicity. The Classics state: "Wind entering the vessels becomes Li." It also states: "In Li, Ying Qi (Nutritive Qi) is hot and corrupt, and its qi is not clear." Consequently, this leads to the collapse of the nasal bridge, deterioration of complexion, and ulceration of the skin. When toxic wind lodges in the vessels and does not depart, it is named Li Feng, now commonly called Leprosy (Da Ma Feng). There are three causes: first, it arises from local climatic and geographical conditions; it is rare in Central China but common in miasma-prone areas; second, it is contagious, occurring through contact with individuals suffering from leprosy, or transmission among parents, spouses, or family members, or due to lack of hygiene outdoors, or uncleanliness in latrines, houses, beds, bedding, or clothing; third, it results from improper self-care, such as bathing while exposed to cool air for temporary comfort, sleeping exposed to wind, or lying on damp ground, allowing toxic wind to invade the blood vessels. Although these causes have different names, they all belong to the pestilential qi of heaven and earth. After infection, one may not notice it immediately; if not vented promptly, it accumulates over time before manifesting. Symptoms include numbness all over the body, followed by the appearance of white scales and red macules, spreading like petechiae, resembling snake skin, and shedding in patches. At onset, progression from top to bottom is considered favorable (Shun), while from bottom to top is unfavorable (Ni); gradual onset is treatable, whereas sudden onset is difficult to cure. When wind-toxin enters the interior and transforms into worms, these worms erode the five zang organs, leading to five types of physical damage: Lung involvement causes eyebrow loss first; Liver involvement causes purple blisters on the face; Kidney involvement causes perforation in the soles of the feet first; Spleen involvement causes the whole body to resemble tinea; Heart involvement damages the eyes first. These are critical conditions. There are also five types of death signs: numbness and insensibility indicate "Skin Death"; inability to feel pain upon cutting indicates "Flesh Death"; ulceration without pus indicates "Blood Death"; detachment of hands and feet indicates "Sinew Death"; collapse of the nasal bridge, rupture of eyelids, eversion of lips, and hoarseness indicate "Bone Death". If any one of the five death signs appears, it signifies a deteriorating, incurable prognosis. Upon initial sensation of the disease, administer Wan Ling Dan (Ten Thousand Spirit Pill) to induce sweating. Subsequently, administer Shen Ying Xiao Feng San (Divine Response Wind-Expelling Powder), Zhui Feng San (Wind-Chasing Powder), and Mo Feng Wan (Wind-Grinding Pills) in sequence. For bleeding gums, rinse with a decoction of equal parts Huang Lian (Coptidis Rhizoma) and Guan Zhong (Cyatheae Spicosa). Externally apply Lei Ju Qu Feng San (Gathered Wind-Expelling Powder), combined with a bath/fumigation using Di Gu Pi (Lycii Cortex), Jing Jie (Schizonepetae Herba), Ku Shen (Sophorae Flavescentis Radix), and Xi Xin (Asari Radix), each two liang, decocted in river water. For cases involving tissue destruction, if located in the upper body, use Zui Xian San (Intoxicating Immortal Powder); if in the lower body, use Tong Tian Zai Zao San (Heaven-Penetrating Rebirth Powder). If the nasal bridge has collapsed, use Huan Ji San (Muscle-Replacing Powder) internally. If the patient shows slight deficiency signs, administer Bu Qi Xie Rong Tang (Tonify Qi and Drain Ying Decoction) and drink He Shou Wu Jiu (Polygoni Multiflori Wine). If one can cultivate mental clarity and reduce desires, observe dietary restrictions, and seek early treatment, there may be hope for recovery. However, if one cannot maintain a bland diet or abstain from sexual activity, recurrence is inevitable even after apparent recovery, ultimately leading to death.
Formula: Shen Ying Xiao Feng San (Divine Response Wind-Expelling Powder)
Composition: Quan Xie (Scorpio), Bai Zhi (Angelicae Dahuricae Radix), Ren Shen (Ginseng Radix et Rhizoma) (each 1 liang).
Pulverize into fine powder. Take 2 qian per dose. Avoid dinner. The next morning, take on an empty stomach mixed with warm wine. Mild bodily restlessness indicates efficacy.
[Verse] Shen Ying Xiao Feng San treats Leprosy, with body numbness, white scales, and red macules appearing. Quan Xie, Bai Zhi, and Ren Shen are each one liang; taken with wine on an empty stomach, numbness subsides.
Another Formula: Zhui Feng San (Wind-Chasing Powder)
Composition: Jin Wen Da Huang (Rhei Radix et Rhizoma, six liang), Chuan Yu Jin (Curcumae Longae Radix, stir-fried, 1.8 liang), Zao Jiao Ci (Gleditsiae Sinensis Spina) (1.5 liang).
Grind into fine powder. Take 5 qian per dose, add 1.5 qian of Feng Zi You (Aleuritidis Fructus Oil), and 1 qian of Po Xiao (Natrii Sulfas). Mix with warm wine and take at dawn (Wu Geng) on an empty stomach. Wait until Chen hour (7-9 AM), then take another dose as before, adding a little cooked honey to relieve the taste. Do not lie down. Several episodes of painful diarrhea are acceptable; replenish with thin congee. If Shen Ying Xiao Feng San is taken on the first day, take this formula on the second day, and Mo Feng Wan on the third day, repeating the cycle. For emaciated patients, take Zhui Feng San only once within ten days; do not administer to elderly or weak patients.
[Verse] Zhui Feng San uses Chuan Yu Jin, Zao Ci and Da Huang ground evenly. First take Xiao Feng San, then this one; mixed with wind oil and wine, it works miraculously.
Another Formula: Mo Feng Wan (Wind-Grinding Pills)
Composition: Xi Xian Cao (Siegesbeckiae Herba), Niu Bang Zi (Arctii Fructus, stir-fried), Ma Huang (Ephedrae Herba), Cang Er Cao (Xanthii Herba), Xi Xin (Asari Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), Jing Jie (Schizonepetae Herba), Man Jing Zi (Viticis Semen), Fang Feng (Saposhnikoviae Radix), Che Qian Zi (Plantaginis Semen), Wei Ling Xian (Clematidis Radix et Rhizoma), Tian Ma (Gastrodiae Rhizoma), He Shou Wu (Polygoni Multiflori Radix), Qiang Huo (Notopterygii Rhizoma et Radix), Du Huo (Angelicae Pubescentis Radix) (each 1 liang).
Grind into powder, make pills with wine and wheat paste, size of Sophora seeds. Take 60-70 pills per dose, washed down with warm wine, twice daily.
[Verse] Mo Feng Wan contains Xi Xian, Niu Bang, Ma Huang, Cang Er, Xi Xin, Chuan Xiong, Dang Gui, Jing Jie, Man Jing, Fang Feng, Che Qian, Wei Ling, Tian Ma, He Shou Wu, Qiang Huo, and Du Huo. Use this formula after taking Zhui Feng San.
Another Formula: Lei Ju Qu Feng San (Gathered Wind-Expelling Powder)
Composition: Liu Huang (Sulfur), Han Shui Shi (Halloysitum Rubrum), Ku Bai Fan (Alumen Exsiccatum), Guan Zhong (Cyatheae Spicosa) (each 2 liang), She Chuang Zi (Cnidii Fructus) (1 liang), Po Xiao (Natrii Sulfas) (5 qian).
Grind into fine powder. In the twelfth lunar month, mix with lard until smooth and apply externally.
[Verse] Lei Ju Qu Feng San contains Liu Huang, Han Shui Shi, Ku Bai Fan, Po Xiao, and She Chuang Zi. Guan Zhong is finely ground and mixed with lard; specifically applied to leprous sores all over the body.
Another Formula: Zui Xian San (Intoxicating Immortal Powder)
Composition: Niu Bang Zi (Arctii Fructus, stir-fried), Hu Ma (Sesami Fructus), Gou Qi Zi (Lycii Fructus), Man Jing Zi (Viticis Semen) (each 1 liang), Ku Shen (Sophorae Flavescentis Radix), Bai Ji Li (Tribuli Fructus), Fang Feng (Saposhnikoviae Radix), Hua Fen (Trichosanthis Radix) (5 qian).
Grind into fine powder. Take 1 qian per dose, add 1.2 li of Qing Fen (Calomel), mix well, and take with tea infusion. Take once in the morning, noon, and evening. After 5-7 days, foul yellow saliva will emerge from the teeth gaps, accompanied by whole-body pain and oppression as if crushed. Then, pus, blood, foul matter, and odor will be discharged via defecation, eliminating the root of the disease.
[Verse] Zui Xian San is heavy for upper-body Leprosy. It contains Niu Bang, Hu Ma, Gou Qi, Man Jing Zi, Ku Shen, Bai Ji Li, Fang Feng, and Hua Fen. Add Qing Fen when taking, mixed with tea infusion.
Another Formula: Tong Tian Zai Zao San (Heaven-Penetrating Rebirth Powder)
Composition: Da Huang (Rhei Radix et Rhizoma, roasted, 1 liang), Zao Jiao Ci (Gleditsiae Sinensis Spina) (1.5 liang), Yu Jin (Curcumae Longae Radix) (5 qian), Bai Qian Niu (Pharbitidis Semen, head powder, half raw, half stir-fried, 6 qian).
Grind into fine powder. Take 2-3 qian per dose. In the morning, face east, and take with strong wine. Efficacy is indicated by the discharge of foul matter (pus or worms) on the same day.
[Verse] Tong Tian Zai Zao San treats Leprosy, attacking destructive lesions starting from the lower body. Yu Jin, Da Huang, Qian Niu, and Zao Ci are taken in the morning with wine, facing east.
Another Formula: Huan Ji San (Muscle-Replacing Powder)
Composition: Wu Shao She (Zaocys), Bai Hua She (Bungarus multicinctus), Qiu Yin (Earthworm, cleaned, each 1 liang), Xi Xin (Asari Radix), Mu Bie Zi (Momordicae Semen), Bai Zhi (Angelicae Dahuricae Radix), Tian Ma (Gastrodiae Rhizoma, with stem), Chi Shao (Paeoniae Radix Rubra), Man Jing Zi (Viticis Semen), Dang Gui (Angelicae Sinensis Radix), Wei Ling Xian (Clematidis Radix et Rhizoma), Jing Jie Sui (Schizonepetae Spica), Gan Ju Hua (Chrysanthemi Flos), Bu Hui Mu (Asbestus), Zi Shen (Bistortae Rhizoma), Ku Shen (Sophorae Flavescentis Radix), Sha Shen (Glehniae Radix seu Adenophorae Radix), He Shou Wu (Polygoni Multiflori Radix), Shi Chang Pu (Acori Tatarinowii Rhizoma), Mu Zei (Equiseti Herba), Tian Dong (Asparagi Radix, heart removed), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Bai Ji Li (Tribuli Fructus), Gan Cao (Glycyrrhizae Radix et Rhizoma, roasted), Hu Ma Ren (Sesami Semen), Cang Zhu (Atractylodis Rhizoma, soaked in rice wash water, stir-fried), Cao Wu (Aconiti Radix Preparata, boiled and peeled, each 3.5 qian).
Grind into fine powder. Take 5 qian per dose, mixed with warm wine; more wine is better. Zi Shen and Bu Hui Mu are optional.
[Verse] Huan Ji San treats severe leprous sores where toxin attacks causing eyebrow loss and nasal collapse. It contains Wu Shao She, Bai Hua She, Earthworm, Xi Xin, Mu Bie Zi, Bai Zhi, Tian Ma, Chi Shao, Man Jing Zi, Dang Gui, Wei Ling Xian, Jing Jie Sui, Gan Ju Hua, Bu Hui Mu, Zi Shen, Ku Shen, Sha Shen, He Shou Wu, Shi Chang Pu, Mu Zei, Tian Dong, Chuan Xiong, Bai Ji Li, Gan Cao, Hu Ma Ren, Cang Zhu, and Cao Wu.
Another Formula: Bu Qi Xie Rong Tang (Tonify Qi and Drain Ying Decoction)
Composition: Lian Qiao (Forsythiae Fructus, heart removed), Sheng Ma (Cimicifugae Rhizoma) (each 6 fen), Jie Geng (Platycodonis Radix) (5 fen), Huang Qin (Scutellariae Radix), Sheng Di Huang (Rehmanniae Radix) (each 4 fen), Huang Lian (Coptidis Rhizoma), Qiu Yin (Earthworm, wine-fried, cleaned), Dang Gui (Angelicae Sinensis Radix), Huang Qi (Astragali Radix), Su Mu (Sappan Lignum), Quan Xie (Scorpio) (each 3 fen), Ren Shen (Ginseng Radix et Rhizoma), Bai Dou Kou (Amomi Fructus Rotundus) (each 2 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, raw, 1 fen).
Add 2 zhong of water and 1 zhong of wine. Decoct to 1 zhong, strain. Separately, grind Hu Tong Lei (Populi Tears), 3 Shui Zhi (Hirudo, stir-fried), 3 Meng Chong (Tabanidae, stir-fried), 5 li of She Xiang (Moschus), and 3 Tao Ren (Persicae Semen, pounded into paste) into powder. Add this powder to the decoction, simmer to 0.7 zhong, and take after meals.
[Verse] Bu Qi Xie Rong Tang is suitable for deficiency in Leprosy. It contains Huang Qin, Huang Lian, Ren Shen, Jie Geng, Qiu Yin, Dang Gui, Huang Qi, Su Mu, Sheng Di, Sheng Ma, Quan Xie, Lian Qiao, Bai Dou Kou, Gan Cao, Hu Tong Lei, Shui Zhi, Meng Chong, She Xiang, and Tao Ren paste.
Another Formula: He Shou Wu Jiu (Polygoni Multiflori Wine)
Composition: He Shou Wu (Polygoni Multiflori Radix) (4 liang), Dang Gui Shen (Ginseng Radix et Rhizoma part? No, Angelicae Sinensis Radix - root stock), Dang Gui Wei (Angelicae Sinensis Radix - tail), Chuan Shan Jia (Manis Squama, roasted), Sheng Di Huang (Rehmanniae Radix), Shu Di Huang (Rehmanniae Radix Preparata), Xia Ma (Bufo bufo gargarizans or similar toad, each 1 liang), Ce Bai Ye (Platycladi Cacumen), Song Zhen (Pinus needle), Wu Jia Pi (Acanthopanacis Cortex), Chuan Wu (Aconiti Radix Preparata, boiled and peeled), Cao Wu (Aconiti Radix Preparata, boiled and peeled, each 4 qian).
Place herbs in a summer cloth bag, tie tightly. Add 20 jin of yellow wine to a jar, place the herb bag inside, seal tightly. Boil in a double boiler for the time it takes three incense sticks to burn. Bury and store for seven days. Open the jar, take the wine, drink regularly until slightly intoxicated, induce sweating, and avoid wind.
[Verse] He Shou Wu Jiu treats severe Leprosy. It contains Dang Gui Shen/Wei, Chuan Shan Jia, Song Zhen, Sheng/Shu Di Huang, Ce Bai Ye, Xia Ma, Wu Jia Pi, Chuan Wu, and Cao Wu. Wine-boiled to nourish Ying and extinguish toxin.
Another Formula: Wan Ling Dan (Ten Thousand Spirit Pill) (See Swollen Ulcer Section)