典藏书目

The general name for Gan Chuang (Chancre) encompasses three primary causes: unfulfilled sexual desire leading to difficult and dribbling urination; the application of aphrodisiac drugs causing itching, purplish discoloration, and bright red swelling due to Syphilis.

[Note] This condition is generally called Gan Chuang (Chancre), also known as Du Jing Chuang (Jealousy Sperm Chancre). It occurs on the external genitalia. The Classics state: "The external genitalia are the gathering place of the Zong Jin (Tendons), governed by the Du Mai (Governing Vessel) meridian network, circulating through the Yin Qi (genitals) and converging at the Cuan Jian (perineum)." It is also stated: "The Kidney opens into the two Yin orifices (anterior and posterior)." Therefore, sores arising here belong to the Liver, Du Mai, and Kidney meridians. Although named differently, their forms vary: those occurring below the Ma Kou (urethral meatus) are named Xia Gan (Lower Chancre); those above the penis are named Zhu Gan (Moth-eaten Chancre); sores on the penis with swollen skin wrapping around are named Xiu Kou Gan (Cuff Chancre); chancre that has ulcerated extensively over time is named La Zhu Gan (Candlestick Chancre); pain radiating to the testicles with a swollen and hanging scrotum is named Ji Yan Gan (Chicken Eye Chancre); painful and itchy, superficially ulcerated resembling peeled rotten apricots is named Sao Gan (Itching Chancre); occurring beside the urethral meatus, with holes like palm eyes, itchy inside, yielding slight pus upon pressure, is named Xuan Gen Gan (Rotating Root Chancre); when Chancre Mei Yang (Syphilitic Chancre) occurs, or due to mistaken use of fumigation and topical applications causing rot resembling a mortar, it is named Mei Yang Gan (Syphilitic Chancre); furthermore, when Chancre Mei Yang occurs, and one ingests Jie Yao (drastic medicines made from Calomel/Mercurous Chloride and Mercury), causing stinging pain in the urethra during urination, it is named Mei Yang Nei Gan (Internal Syphilitic Chancre). The origins of these various chancres are threefold: First, due to aroused sexual desire and rampant lust not being discharged, leading to stagnation of spoiled essence and turbid blood forming swellings; initially presenting with dribbling and painful urination, followed by discharge of yellow turbid spoiled semen, gradual damage to the penis, and eventually swelling, pain, and rotting; treatment should focus on draining damp-heat from the Liver and Kidney, primarily using Ba Zheng San (Eight Righteousness Decoction) and Qing Gan Dao Zhi Tang (Clear Liver and Guide Stagnation Decoction). Second, due to the application of hot aphrodisiac drugs to the penis and washing the genitals, seeking prolonged potency without ejaculation, leading to fire stagnation and swelling; initially presenting with itchy, painful, and hard penis, gradually developing nodules that are purple, rotting, with dripping blood and fluid, and frequent erections; treatment should focus on draining fire and resolving toxicity, primarily using Huang Lian Jie Du Tang (Coptis Decoction for Resolving Toxicity) and Lu Hui Wan (Aloe Pill). Third, due to intercourse with prostitutes whose vaginal secretions contain stagnant essence and turbid qi, transmitting Syphilis; initially presenting with red, shiny, swollen skin, transparent like crystal, breaking to flow foul-smelling fluid, intermittent numbness and itching, and increasing daily swelling and pain; treatment should focus on resolving toxicity, primarily using Long Dan Xie Gan Tang (Gentian Decoction to Drain the Liver), followed by Er Zi Xiao Du San (Two Seeds Detoxification Powder), and externally washing with Da Dou Gan Cao Tang (Soybean and Licorice Decoction); for redness, swelling, heat, and pain, apply Carp Bile; for broken and rotting lesions, apply Feng Yi San (Phoenix Skin Powder), Han Luo San (Land Snail Powder), Zhen Zhu San (Pearl Powder), Yin Fen San (Silver Powder), and Hui Chun Tuo Gan San (Revitalize and Remove Chancre Powder) according to the syndrome. For Mei Yang Gan and Mei Yang Nei Gan specifically, taking Wu Bao San (Five Treasures Powder) multiple times is highly effective.

Ba Zheng San (Eight Righteousness Decoction):
Che Qian Cao (Plantago Seed), Sheng Da Huang (Raw Rhizoma Rhei - each 1 qian), Hua Shi (Talcum - 2 qian), Qu Mai (Dianthus), Sheng Gan Cao (Raw Radix Glycyrrhizae - each 1 qian), Che Qian Zi (Plantaginis Semen), Zhi Zi (Gardeniae Fructus), Mu Tong (Akebiae Caulis - each 1 qian).
Decoct 2 cups of water to 0.8 cup, take before meals.
[Formula Song]: Ba Zheng San clears accumulated excessive fire, treating dribbling urine and painful swelling; Plantago seed, Rhei, Talcum, Dianthus, Licorice, Plantago seed, Gardenia, and Akebia are spiritual.

Qing Gan Dao Zhi Tang (Clear Liver and Guide Stagnation Decoction):
Che Qian Cao (4 qian), Hua Shi (2 qian), Sheng Gan Cao (Raw, 1 qian), Da Huang (for constipation, 2 qian), Qu Mai (3 qian).
Decoct 2 cups of water with 50 cun of Deng Xin Cao (Junci Medullia) to 0.8 cup, take on an empty stomach.
[Formula Song]: Clear Liver and Guide Stagnation clears Liver heat, treating penile swelling/pain and difficult urination; Plantago seed, Talcum, Licorice, Rhei, Junci, and Dianthus ensure thorough circulation.

Er Zi Xiao Du San (Two Seeds Detoxification Powder):
Tu Fu Ling (Smilax Glabra Rhizome - 8 liang), Zhu Zhi (Pork Fat, chopped - 2 liang), Xing Ren (Apricot Seed, fried, peeled, core removed), Jiang Can (Bombyx Batryticatus), Chan Tui (Cicada Slough - each 7 pieces), Niu Xi (Achyranthis Bidentatae Radix), Jing Jie (Schizonepetae Herba), Fang Feng (Saposhnikoviae Radix - each 1 qian), Zao Jiao Zi (Gleditsiae Sinensis Spina), Jin Yin Hua (Lonicerae Japonicae Flos - 3 qian), Fei Zao Zi (Soapberry Seed), Zhu Ya Zao Jiao (Gleditsia Sinensis Fruit - 1 strip).
Decoct 8 bowls of water to 3 bowls, divide into three doses; if condyloma acuminatum/toxic nodes exist, take for 3-7 days for self-healing.
For Xiu Kou Gan, add Huang Bai (Phellodendri Cortex) 1 qian, double the Fei Zao Zi. For Mei Yang Gan, add Yi Yi Ren (Coicis Semen) and Zao Ci (Gleditsiae Spina) 1 qian each, Ce Bai Ye (Biota Tops), Lu Dou (Vigna Angularis), and Nuomi (Oryza Sativa Glutinosa) 3 qian each. For Mei Yang Nei Gan, add Hai Jin Sha (Lygodii Spora), Wu Jia Pi (Acanthopanacis Cortex), and Bai Chou (Brayera Semen) 1.5 qian each.
[Formula Song]: Two Seeds detoxify Syphilitic Chancre; Smilax, Pork Fat, Apricot, Silkworm, Cicada, Achyranthes, Schizonepeta, Saposhnikovia, Gleditsia seed, Lonicera, Soapberry, and Gleditsia fruit decocted together.

Da Dou Gan Cao Tang (Soybean and Licorice Decoction):
Hei Dou (Black Soybean - 1 he), Sheng Gan Cao (Raw Radix Glycyrrhizae - 1 liang), Chi Pi Cong (Red-skinned Scallion - 3 stalks), Huai Tiao (Sophora Branch - 60 cun).
Decoct strongly in water, clarify the liquid, let cool to warm, wash twice daily.
[Formula Song]: Da Dou Gan Cao Tang is a divine formula, excellent for washing various Chancre syndromes, stopping itch and pain while resolving toxicity; Red Scallion and Sophora branch decocted together.

Feng Yi San (Phoenix Skin Powder):
Feng Yi (Hen Eggshell Membrane - 1 qian), Qing Fen (Calomel - 4 fen), Bing Pian (Borneolum Syntheticum - 2 fen), Huang Dan (Lithargyrum - 1 qian).
Grind into fine powder, mix with Duck Egg White for topical application, or sprinkle dry.
[Formula Song]: Feng Yi San can be applied to ulcerated Chancre; Calomel, Borneol, and Lithargyrum together; resolve putrefaction, generate flesh, and stop itch; mixed with Duck Egg White, pain is immediately relieved.

Han Luo San (Land Snail Powder):
Bai Tian Luo Ke (White Land Snail Shell, calcined - 3 qian), Qing Fen (Calomel - 1 qian), Bing Pian (Borneolum Syntheticum), She Xiang (Moschus - each 3 fen).
Grind into fine powder, mix with Sesame Oil for topical application.
[Formula Song]: Han Luo San easily generates flesh, treating ulcerated Chancre with itch and pain; Snail shell, Calomel, Borneol, and Musk mixed with Sesame Oil are suitable for removing putrefaction.

Zhen Zhu San (Pearl Powder):
Zhen Zhu (Pearl), Huang Lian (Rhizoma Coptidis, powder), Huang Bai (Phellodendri Cortex, powder), Ding Fen (Minium), Qing Fen (Calomel), Xiang Ya (Elephant Tusk, powder), Wu Bei Zi (Galla Chinensis, fried), Er Cha (Camellia Leaf Extract), Mo Yao (Myrrha), Ru Xiang (Olibanum - equal parts).
Grind into extremely fine powder. First wash the lesion with Rice Water, then sprinkle this powder; very effective.
[Formula Song]: Pearl Powder treats Lower Chancre, clearing heat, resolving stasis, and strongly removing putrefaction; Coptis, Phellodendron, Camellia, Calomel, Minium, Galla, Elephant Tusk, Myrrha, and Olibanum.

Yin Fen San (Silver Powder):
Take 6 qian of high-quality Tin, melt it, add 2 qian of Cinnabar powder, stir-fry until Cinnabar is dry, remove Cinnabar leaving Tin; melt again, add 1 liang of Mercury, mix evenly, pour out for use. Grind 1 liang of Minium into extremely fine powder, spread on cotton paper, roll into a strip, light one end, roast until paper is consumed; blow off paper ash, mix powder with the previous Tin-Mercury alloy, add 1 liang of Calomel, grind together into extremely fine powder. First wash the lesion with Licorice Decoction, wipe dry, then sprinkle. This medicine generates flesh, stops pain, and astringes; very effective.
[Formula Song]: Yin Fen San treats Chancre corrosion, applicable to penile damage and Syphilitic rot; Tin fried with Cinnabar and Mercury added, Minium and Calomel ground against each other.

Hui Chun Tuo Gan San (Revitalize and Remove Chancre Powder):
Melt 5 qian of Black Lead, add 2.5 qian of Mercury, grind until no star-like particles remain; add 3.5 qian of Han Shui Shi (Aragonite), 2.5 qian of Qing Fen (Calomel), 1 qian of Peng Sha (Borax), grind into fine powder. First wash the lesion with Scallion, Mugwort, and Sichuan Pepper decoction, then sprinkle this powder.
[Formula Song]: Revitalize Powder first melts Black Lead, then adds Mercury for fine grinding; Aragonite, Borax, and Calomel added, sprinkled on Lower Chancre erosion/rot for cure.

Wu Bao San (Five Treasures Powder):
Shi Zhong Ru (Stalactite, true ones hang like nipples, break easily like dragonfly wings - 4 qian), Zhu Sha (Cinnabar - 1 qian), Zhen Zhu (Pearl, boiled in Tofu for half an incense stick duration - 2 qian), Bing Pian (Borneolum Syntheticum - 1 qian), Hu Po (Amber - 2 qian).
Grind each into extreme fine powder, mix and grind hundreds of turns, store tightly in porcelain jar; use 2 qian of this powder, add 8 qian of refined wheat flour, grind and mix evenly. Each time use 1 jin of Tu Fu Ling, 8 bowls of water, decoct to 5 bowls, filter dregs, divide into five doses, adding 1 fen of Wu Bao San to each dose. Take according to disease location (upper/lower), ten times daily; if nose is rotting, add 3 qian of Xin Yi (Magnolia Bud) to the Tu Fu Ling decoction daily to guide medicine upward. Avoid seafood, beef, mutton, goose meat, strong alcohol, fried foods, and sexual intercourse.
[Formula Song]: Five Treasures Powder contains Cinnabar, Stalactite, Pearl, Borneol, Amber, and refined flour; for Syphilitic Chancre and toxic nodes, taken with Smilax decoction is most miraculous.

Huang Lian Jie Du Tang (See Ear Section: Black Carbuncle)
Lu Hui Wan (See Dental Section: Gum Bleeding)
Long Dan Xie Gan Tang (See Waist Section: Shingles/Fire Snake)