夫疠疮者。一名杨梅疮。因形相似。乃气受之。故坚实凸起。又名棉花疮。血受之。其
形
扁拓而溃。又名果子疮。亦类其象。而俗呼之也。北又曰天泡疮。皆一名。异而实同源。治
疗当别。自致者重。传染者轻。盖自致者。必因淫欲太妄。以致阴处起火。及纵口恣味。三
焦皆热。精竭血结。遗滞诸经而成者也。俗传以母猪犬羊肉鸡鲤毒物发出。谓毒尽。殊不
知
在火上添油矣。又有怕露出而求速效者。过服败毒散。则伤五内胃气。毒益陷伏。以药线熏
脐。致使出不能出。收不能收。廷溃不能杜绝。手足心皮枯似白鹅掌风。及后筋骨疼痛。风
块恶候。皆未获良治而然也。凡遇此患。托里解毒汤。外用千里光明汤频频洗浴。大效。
托里解毒汤
当归（一钱五分） 赤芍（一钱五分） 川芎 生地黄 连翘 黄芩 防风（各一钱） 黄连
（酒
炒二钱） 荆芥穗（七分） 苦参（酒炒） 羌活 薏苡仁（各一钱） 皂角子（十个） 防己（一钱
）木瓜（五分） 生甘草（二分） 土茯苓（一两湿者四两）
上锉。水二碗。煎至一碗。温下。渣再煎服。虚弱人。加人参一钱。自生者。加黄柏一
钱。牛膝一钱。独活一钱。宜服二十帖。每帖煎三次。一日服一帖。
千里光明汤
青木香 黄连 黄柏 黄 荆芥 防风 苦参 苍耳子 蛇床子 羌活 升麻 麻
黄甘草（各五钱） 鸡肠草（焙） 冬青叶（焙）
上作一剂。用布包。水煮。于无风处。服此煎药。即以此汤浴洗。凉了又加热。药汤煮
热者
实洗。微汗拭干。十日后不必频洗。其药渣并入。煎药渣再洗。鸡肠草一名千里光明草。又
名九里明。俗名藤枯卖。其叶梢尖而歧。开花白色。处处有之。
一治杨梅疮初起。先服防风通圣散十余剂。后服此收功。永无后患。
十全丹 云莱弟验。
雄黄 朱砂 乳香 没药 孩儿茶 当归 白芷 丁香 槐角（各一钱） 轻粉（用花椒
一钱煎水调蒸八分）
上为细末。饭为丸如绿豆大。每服三十丸。土茯苓汤下。
一治杨梅疮。先服防风通圣散。加紫草一两同煎服。后服此良。十九服验。
白藓皮（二两） 皂角子（一百二十个） 防风（二两） 细辛（一两三钱） 川乌（一两） 草
乌（二个） 罂粟壳（四两）
上锉十剂。每一剂。用土茯苓一斤。猪肉半两。同煎服。
一治杨梅疮。黄左川传。
连翘（四两） 金银花（四两） 牙皂（二两） 杏仁（二十四个） 蝉蜕（二十一个） 肥珠子
（三十一个） 冷饭团（一斤）
上俱锉。用酒拌炒。作十帖。水煎服。
一治杨梅疮毒。黄仰溪传。
金银花（一两五钱） 青藤 归尾 皂角刺 五加皮 白藓皮（各二两）
上锉。分作十二剂。每剂用土茯苓十二两。水煎服。先服通圣散。
一治杨梅疮。南塘侄验。
汉防己（七钱） 槐花（二钱） 五倍子（四钱）
上三味为末。用土茯苓半斤研烂。猪肉半斤切碎。共作一服。用酒煮熟。连渣并肉通服
一治杨梅疮良方。胡云斋传。
归尾 牛膝 黄芩 大黄（各一两三钱） 木瓜（一两） 金银花（二两二钱） 皂角刺（八
钱） 蝉蜕（五钱） 土茯苓（二钱）
上锉。分作十帖。每帖用红枣、白果、皂角子各十枚。葱白三根。水煎。临晚服。忌绿
豆。
一治天泡疮神方。用铁锈钉。酽醋磨浓。搽疮上立已。
一论凡人患杨梅、天泡、棉花等疮。致成一切难状之疾。或杨梅疮烂见骨。经年不收口
者。
或筋骨疼痛。举发无时。或遍身疙瘩不消。或手足皱破出血。或遍身起皮发靥。好一层起一
层。或赤瘫白瘫鹅掌风癣。或皮好骨烂。口臭难当。及年久 疮不愈。一切顽疮恶毒。并皆
神效。
通仙五宝汤
钟乳粉（三分） 大朱砂 琥珀 冰片 珍珠（各一分五厘）
上为细末。用白飞面炒三分。共一钱二分。分作十二帖。每一日一帖。用一分。用土茯
苓
一斤。水煎十二碗。每清晨用半碗。和服。共十二碗。一日俱要吃尽。不可别用茶汤。一日
一
服。有不尽剂而愈者。有终剂而愈者。如病重未愈。须再服一料。忌鸡鹅鱼牛羊发物及房劳
一忌杨梅风块。作肿作痛。及痈疽瘰 毒。并一切无名肿毒。
黑虎膏
草乌（四两） 南星 半夏 大黄（各二两） 五倍子（三两同绿豆五两共炒焦） 干姜（五
钱） 姜黄（一两） 黄柏（一两）
上为细末。共和匀。用葱汁米醋调成膏。贴患上。时常以葱醋润之。毋令干燥。其膏一
日又取下。加些新的。复研再贴。以消为度。
一杨梅疮愈后遗癣毒。一层一层顽皮。痒不可当。
牛油 地沥青 香油 黄蜡（各一两熔化待温入后三味） 银朱（一钱五分） 宫粉（一钱）
麝香（五分）
上为末。入内和匀。先将火烤癣令痒。抓破擦上药。再烤再擦如神。
一治杨梅疮。不论远近。先服防风通圣散。十数剂后。服此丸收功。神效。
轻粉 孩儿茶 糯米饭 芝麻（各一钱）
上共捣为丸。作一百个。每早。茶下十丸。忌荤盐。
一治杨梅疮。
雄黄（二钱） 真轻粉（一钱） 杏仁（去皮尖三十个）
上研为细末。入杏仁。再研如泥。用雄猪胆汁调搽疮。要先洗净。拭干搽药。二三日效
疠疮，又名杨梅疮。因为形状相似，所以气分受邪时，疮疡坚实凸起；血分受邪时，疮疡扁平拓开且溃烂。又因其形似果子，俗称为果子疮。北方又称其为天泡疮。这些名称虽然不同，但实则同源，治疗时需加以区分。由自身因素导致的病情较重，由传染引起的病情较轻。
所谓自致者，必定是因为淫欲过度，导致阴部起火，加上饮食放纵、口味恣意，致使三焦皆热，精液枯竭、血液凝滞，瘀滞于各条经络而形成的。世俗传言是由食用母猪、狗肉、羊肉、鸡肉、鲤鱼等毒物引发，认为毒素排尽即可痊愈，殊不知这无异于火上浇油。
又有因害怕疮疡外露而追求速效的人，过量服用败毒散，从而损伤五脏及胃气，导致毒邪更加深陷潜伏；或者用药线熏脐，致使疮毒既不能发出，也不能收敛，长期溃烂无法杜绝。进而出现手足心皮肤干枯，状如白鹅掌风（一种手部皮肤病），后期伴有筋骨疼痛、风疹块等恶劣症状，这都是因为没有得到良好治疗所致。
凡是遇到此病，内服托里解毒汤，外用千里光明汤频繁洗浴，效果显著。
托里解毒汤：当归（一钱五分）、赤芍（一钱五分）、川芎、生地黄、连翘、黄芩、防风（各一钱）、黄连（酒炒二钱）、荆芥穗（七分）、苦参（酒炒）、羌活、薏苡仁（各一钱）、皂角子（十个）、防己（一钱）、木瓜（五分）、生甘草（二分）、土茯苓（一两，湿重者用四两）。
以上药材切碎，加水两碗，煎至一碗，温服。药渣再次煎煮服用。身体虚弱者，加人参一钱；自致者，加黄柏一钱、牛膝一钱、独活一钱。宜服用二十帖，每帖煎煮三次，每日一帖。
千里光明汤：青木香、黄连、黄柏、黄芩、荆芥、防风、苦参、苍耳子、蛇床子、羌活、升麻、麻黄、甘草（各五钱）、鸡肠草（焙干）、冬青叶（焙干）。
以上作一剂，用布包裹，水煮。在无风处，先服用此煎药，随即用此汤洗浴。凉了再加热，药汤煮热后清洗患处，微汗后擦干。十日后不必频繁洗浴。药渣合并入内，煎药渣再次清洗。鸡肠草又名千里光明草，又名九里明，俗名藤枯卖，其叶梢尖且分叉，开白花，到处都有。
一方治疗杨梅疮初起，先服用防风通圣散十余剂，后服用此方收功，永无后患。此方为云莱弟验证有效。
十全丹：雄黄、朱砂、乳香、没药、孩儿茶、当归、白芷、丁香、槐角（各一钱）、轻粉（用花椒一钱煎水调蒸八分）。
以上研为细末，用饭做成如绿豆大小的丸药。每次服用三十丸，用土茯苓汤送下。
一方治疗杨梅疮，先服用防风通圣散，加紫草一两同煎服用，后服用此方良效。十九服可见验。
白藓皮（二两）、皂角子（一百二十个）、防风（二两）、细辛（一两三钱）、川乌（一两）、草乌（二个）、罂粟壳（四两）。
以上切碎成十剂。每一剂，用土茯苓一斤、猪肉半两，同煎服用。
连翘（四两）、金银花（四两）、牙皂（二两）、杏仁（二十四个）、蝉蜕（二十一个）、肥珠子（三十一个）、冷饭团（一斤）。
以上均切碎，用酒拌炒，制成十帖，水煎服用。
金银花（一两五钱）、青藤、归尾、皂角刺、五加皮、白藓皮（各二两）。
以上切碎，分为十二剂。每剂用土茯苓十二两，水煎服用。先服用通圣散。
以上三味研为末，用土茯苓半斤研烂，猪肉半斤切碎，共作一服。用酒煮熟，连同药渣和肉一起服用。
归尾、牛膝、黄芩、大黄（各一两三钱）、木瓜（一两）、金银花（二两二钱）、皂角刺（八钱）、蝉蜕（五钱）、土茯苓（二钱）。
以上切碎，分为十帖。每帖用红枣、白果、皂角子各十枚，葱白三根，水煎。傍晚服用。忌食绿豆。
一方治疗天泡疮神方，用铁锈钉在浓醋中磨出浓汁，涂抹疮上，立即痊愈。
一方论述凡人患有杨梅、天泡、棉花等疮，导致形成一切难以治愈的疾病。例如杨梅疮腐烂见骨，经年不愈合；或筋骨疼痛，随时发作；或遍身疙瘩不消；或手足皱破出血；或遍身起皮发靥，好一层起一层；或赤瘫、白瘫、鹅掌风、癣；或皮好骨烂，口臭难当；以及年久疮不愈，一切顽疮恶毒，此方均有神效。
通仙五宝汤：钟乳粉（三分）、大朱砂、琥珀、冰片、珍珠（各一分五厘）。
以上研为细末，用白飞面炒三分，共一钱二分。分为十二帖，每日服用一帖，每次用一分。用土茯苓一斤，水煎十二碗。每清晨用半碗，调和服用。共十二碗，一日必须吃完，不可另喝茶汤。每日一服。有的未服完即愈，有的服完即愈。如果病重未愈，须再服一料。忌食鸡、鹅、鱼、牛、羊等发物及房事。
一方治疗杨梅风块，红肿疼痛，以及痈疽瘰疬毒，并一切无名肿毒。
黑虎膏：草乌（四两）、南星、半夏、大黄（各二两）、五倍子（三两，与绿豆五两共炒焦）、干姜（五钱）、姜黄（一两）、黄柏（一两）。
以上研为细末，混合均匀，用葱汁和米醋调成膏。贴于患处，时常以葱醋润湿，勿令干燥。此膏一日取下一次，添加少许新药，重新研磨再贴，以消散为度。
牛油、地沥青、香油、黄蜡（各一两，熔化待温后加入后三味）、银朱（一钱五分）、宫粉（一钱）、麝香（五分）。
以上研为末，混合均匀。先将火烤癣处使其发痒，抓破后擦上药，再烤再擦，如神效。
一方治疗杨梅疮，不论病程远近，先服用防风通圣散，十数剂后，服用此丸收功，神效。
以上共同捣碎为丸，做一百个。每天早晨，茶送服十丸。忌荤腥盐。
一方治疗杨梅疮。
Li Chuang, also known as Yangmei Chuang (Syphilis/Chancre), is named so due to its resemblance to a bayberry. When the Qi (vital energy) is affected, the lesions are firm and protruding; when the Blood is affected, the lesions are flat, spread out, and ulcerated. Due to their resemblance to fruits, they are colloquially called Guozi Chuang (Fruit Chancre). In the North, it is also called Tianpao Chuang (Heaven Blister Chancre). Although the names differ, the origin is the same, but treatments must be distinguished. Cases arising from internal causes are severe, while those transmitted are mild.
Internal cases arise necessarily from excessive sexual desire, causing fire in the yin region, combined with indulgent eating and drinking, leading to heat in the Sanjiao (Triple Burner), exhaustion of essence, coagulation of blood, and stagnation in the meridians. Folklore claims these are caused by consuming toxic foods such as sow meat, dog meat, mutton, chicken, or carp, believing that expelling the toxin cures the disease. This is akin to adding oil to fire.
Others, fearing the visibility of the sores and seeking quick effects, overuse Baidu San (Detoxification Powder), damaging the Five Zang organs and Stomach Qi, causing the toxin to sink deeper. Using medicinal threads to moxa the umbilicus prevents the toxin from emerging or resolving, leading to chronic ulcers. Subsequently, the skin on the palms and soles becomes dry like Baie Zhangfeng (White Goose Palm Wind), followed by bone and joint pain, urticaria, and other malignant symptoms, all resulting from inadequate treatment.
For this condition, administer Tuoli Jiedu Tang (Support Interior and Detoxify Decoction) internally, and frequently wash externally with Qianli Guangming Tang (Thousand-Mile Brightness Decoction), which is highly effective.
Tuoli Jiedu Tang: Danggui (Radix Angelicae Sinensis) 1.5 qian, Chishao (Radix Paeoniae Rubra) 1.5 qian, Chuanxiong (Rhizoma Chuanxiong), Shengdihuang (Radix Rehmanniae Preparata), Lianqiao (Fructus Forsythiae), Huangqin (Radix Scutellariae), Fangfeng (Radix Saposhnikoviae) [each 1 qian], Huanglian (Rhizoma Coptidis, wine-fried) 2 qian, Jingjie Sui (Herba Schizonepetae) 0.7 qian, Kushen (Cortex Phellodendri, wine-fried), Qianghuo (Rhizoma Notopterygii), Yiyiren (Semen Coicis) [each 1 qian], Saojiaozizi (Fructus Gleditsiae Sinensis) 10 pieces, Fangji (Radix Stephaniae Tetrandrae) 1 qian, Mugua (Fructus Chaenomelis) 0.5 qian, Sheng Gancao (Radix Glycyrrhizae Preparata) 0.2 qian, Tufuling (Rhizoma Smilacis Glabrae) 1 liang (4 liang if dampness is heavy).
Crush the herbs, add two bowls of water, decoct to one bowl, and take warm. Re-decoct the dregs for a second dose. For weak patients, add Renshen (Radix Ginseng) 1 qian. For internal cases, add Huangbai (Cortex Phellodendri) 1 qian, Niuxi (Radix Achyranthis Bidentatae) 1 qian, and Duhuo (Radix Angelicae Pubescentis) 1 qian. Take 20 doses. Each dose should be decocted three times, taken once daily.
Qianli Guangming Tang: Qingmuxiang (Radix Aucklandiae), Huanglian, Huangbai, Huangqin, Jingjie, Fangfeng, Kushen, Cang'erzi (Fructus Xanthii), Shechuangzi (Semen Cnidii), Qianghuo, Shengma (Rhizoma Cimicifugae), Mahuang (Herba Ephedrae), Gancao (Radix Glycyrrhizae) [each 5 qian], Jichangcao (Herba Sparganii, roasted), Dongqingye (Folium Ilicis Heterophyllae, roasted).
Prepare as one dose, wrap in cloth, and boil in water. In a windless place, drink the decoction first, then wash with the soup. Reheat the cool soup. Wash with the hot soup until a slight sweat appears, then wipe dry. After ten days, washing need not be frequent. Combine the dregs and re-decoct for washing. Jichangcao is also known as Qianli Guangming Cao, Jiuliming, or Tengkumai. Its leaves are pointed and forked, with white flowers, found everywhere.
For early-stage Yangmei Chuang, first take Fengwang Tongsheng San (Wind-Blocking Universal Victory Powder) for more than ten doses, then take this formula to conclude treatment, preventing recurrence. Verified by Yun Lai Di.
Shiquan Dan: Xionghuang (Realgar), Zhusha (Cinnabar), Ruxiang (Resina Draconis), Moyao (Resina Olibani), Haiercha (Stipula Bambusae), Danggui, Baizhi (Radix Angelicae Dahuricae), Dingxiang (Flos Caryophyllati), Huaijiao (Fructus Sophorae) [each 1 qian], Qingfen (Calomelas, steamed with Sichuan pepper decoction) 0.8 fen.
Grind into fine powder, form pills the size of mung beans with rice paste. Take 30 pills per dose, washed down with Tufuling decoction.
Another prescription for Yangmei Chuang: First take Fengwang Tongsheng San with Zijicao (Radix Arnebiae/Lithospermi) 1 liang, decocted together. Then take this formula for good effect. Effective after 19 doses.
Baixianpi (Cortex Dictamni) 2 liang, Saojiaozizi 120 pieces, Fangfeng 2 liang, Xixin (Herba Asari) 1.3 liang, Chuanwu (Radix Aconiti Preparata) 1 liang, Caowu (Radix Aconiti Kusnezoffii) 2 pieces, Yingusuqiao (Pericarpium Papaveris) 4 liang.
Cut into ten doses. For each dose, decoct with Tufuling 1 jin (500g) and pork 0.5 liang.
Another prescription for Yangmei Chuang, transmitted by Huang Zuochuan.
Lianqiao 4 liang, Jinyinhua (Flos Lonicerae Japonicae) 4 liang, Yazao (Fructus Gleditsiae Sinensis) 2 liang, Xingren (Semen Prunus Armeniacae) 24 pieces, Chantui (Periostracum Cicadae) 21 pieces, Feizhuzi (Fructus Meliae Toosendan) 31 pieces, Lengfantuan (Massa Medicata Fermentata) 1 jin.
Cut all ingredients, stir-fry with wine, make ten doses, decoct in water, and take.
Another prescription for Yangmei Chuang toxin, transmitted by Huang Yangxi.
Jinyinhua 1.5 liang, Qingteng (Caulis Sinomenii), Guiwei (Radix Angelicae Sinensis tail), Saojiaoci (Spina Gleditsiae Sinensis), Wujapi (Cortex Acanthopanacis Senticosi), Baixianpi [each 2 liang].
Cut into twelve doses. For each dose, use Tufuling 12 liang, decoct in water, and take. First take Tongsheng San.
Another prescription for Yangmei Chuang, verified by the nephew of Nantang.
Hanfangji (Radix Stephaniae Tetrandrae) 7 qian, Huaihua (Flos Sophorae) 2 qian, Wubeizi (Galla Chinensis) 4 qian.
Grind the three herbs into powder. Grind Tufuling 0.5 jin into a paste, chop pork 0.5 jin finely. Mix together as one dose. Cook thoroughly with wine, and consume both dregs and meat.
Another excellent prescription for Yangmei Chuang, transmitted by Hu Yunzhai.
Guiwei, Niuxi, Huangqin, Dahuang (Radix et Rhizoma Rhei) [each 1.3 liang], Mugua 1 liang, Jinyinhua 2.2 liang, Saojiaoci 8 qian, Chantui 5 qian, Tufuling 2 qian.
Cut into ten doses. For each dose, use Hongzao (Fructus Jujubae), Baiguo (Semen Ginkgo), Saojiaozizi [each 10 pieces], and Congbai (Bulbus Allii Cepae) 3 stalks. Decoct in water, take in the evening. Avoid mung beans.
A divine prescription for Tianpao Chuang: Use an iron nail ground in strong vinegar to make a thick paste, apply to the sores for immediate cure.
Discussion on difficult diseases caused by Yangmei, Tianpao, Mianhua, etc., such as chancre exposing bone without healing for years, bone/joint pain, persistent nodules, bleeding fissures on hands/feet, peeling skin, erysipelas, tinea manuum, foul odor, and stubborn ulcers. This formula is effective for all such malignant toxins.
Tongxian Wubao Tang: Zhongru Fen (Concretio Silicis), Dashazha (Cinnabar), Hupo (Electrum), Bingpian (Borneolum Syntheticum), Zhenzhu (Margarita) [each 1.5 li].
Grind into fine powder. Stir-fry 3 fen of Baifeimian (Wheat Flour) and mix with 1.2 qian of powder. Divide into twelve doses. Take one dose daily. Use 1 fen of powder per day, decocted with Tufuling 1 jin in 12 bowls of water. Take half a bowl every morning, mixed with the powder. Finish all 12 bowls in one day. Do not drink tea. Take once daily. Some heal before finishing, some after finishing. If severe and unhealed, take another course. Avoid stimulating foods (chicken, goose, fish, beef, mutton) and sexual activity.
One prescription for Yangmei Wind Urticaria, swelling, pain, carbuncles, scrofula, and unknown swellings.
Heihu Gao (Black Tiger Plaster): Caowu 4 liang, Nanxing (Rhizoma Arisaematis Cum Bile), Banxia (Rhizoma Pinelliae), Dahuang [each 2 liang], Wubeizi 3 liang (stir-fried scorched with 5 liang mung beans), Ganjiang (Rhizoma Zingiberis Preparata) 5 qian, Jianghuang (Rhizoma Curcumae Longae) 1 liang, Huangbai 1 liang.
Grind into fine powder, mix evenly. Make a paste with green onion juice and rice vinegar. Apply to the affected area. Keep moist with onion/vinegar. Remove plaster once daily, add fresh material, re-grind, and reapply until resolved.
One prescription for residual tinea toxin after Yangmei Chuang heals, characterized by layers of tough skin and unbearable itching.
Niuyou (Butyrum Bovis), Diliqing (Bitumen), Xiangyou (Sesamum Oil), Huangla (Cera Flava) [each 1 liang, melt and add latter three ingredients when warm], Yinzhu (Vermilion), Gongfen (Lead Carbonate), Shexiang (Moschus) [0.5 fen].
Grind into powder, mix well. Heat the tinea area to induce itching, scratch to break skin, apply medicine, heat again, and reapply. Highly effective.
One prescription for Yangmei Chuang, regardless of duration. First take Fengwang Tongsheng San for over ten doses, then take these pills to conclude treatment. Highly effective.
Qingfen, Haiercha, Nuomifan (Glutinous Rice), Zhima (Sesamum Indicum) [each 1 qian].
Pound together into pills, make 100 pills. Take 10 pills every morning with tea. Avoid meat and salt.
One prescription for Yangmei Chuang.
Xionghuang 2 qian, Zhen Qingfen (Calomelas) 1 qian, Xingren (Semen Prunus Armeniacae, peeled and de-seeded) 30 pieces.
Grind into fine powder, add Xingren, grind into a paste. Mix with bile from a male pig. Apply to cleansed and dried sores. Effective in 2-3 days.