杨梅疮一证，以其肿突红烂，状如杨梅，故尔名之。其在西北人，则名为天泡疮；东南
人，又谓之广东疮。凡毒轻而小者，状类茱萸，故名茱萸疮。毒甚而大者，泛烂可畏，形如
绵花，故名绵花疮。大都此证，必由淫毒传染而生。盖此淫秽之毒，由精泄之后，气从精道
乘虚直透命门，以灌冲脉，所以外而皮毛，内而骨髓，凡冲脉所到之处，则无处不到，此其
危害最深最恶。设初起时，去毒不净，或治失其宜，而随至败烂殒命者，盖不少矣。或至二
三十年之后，犹然发为疯毒，或至烂头，或至烂鼻，或四肢幽隐之处，臭烂不可收拾，或遗
毒儿女，致患终身。其恶如此，静而思之，则有见此恶道，而不为寒心知避者，其愚亦甚矣
。故凡治之之法，最当知要，切不可不慎也。亦有不因淫毒传染，偶中湿热而患者，此不过
在皮毛肌肉之间，清去湿热，自当全愈，无足虑也。
一、今人每逢此患，或畏人知，或畏毒甚，而大用攻击峻利等药，多致邪毒未除，而元气先
败，或成劳瘵，或即殒命，或愈久愈甚，以致败坏不能收敛，皆元气先败之故也，余见之多
矣。故凡被此病者，切不可惊慌，亦不可专肆攻击，但按法渐解其毒，务使元气毫无损伤，
则正能胜邪，虽毒无害。若正不胜邪，则微毒亦能杀人。此其要也，不可不察。
一、广疮治法，凡其初起而元阳未伤，毒亦未甚，宜速用清利，使从小便利去其毒，惟换肌消
毒散为第一，其次则五加皮饮亦妙。或兼火邪者，宜秘万仙遗粮汤。或禀气多弱者，宜茯苓
膏。凡此诸药，或十日，或半月，甚者一月，无不见效。一、凡生疮毒者，宜服槐花蕊，至二三
升，则毒从小便泄去，可免终身之患，真神方也。有按在下疳疮条中。此疮初起时，多有先
下疳，次便毒，而后疮出，是为一套。若便毒势甚，肿痛热秘，而元气素强者，即宜用会脓
散，或牡蛎散，先去其毒之大势，而后用前方诸药，亦要着也。一、此疮或久而不愈，或元气素
弱者，即宜用会脓散或牡蛎散，先去其毒之大势，而后用前方诸药，亦要着也。一、此疮或久而不愈，
或元气素弱，或因克伐致虚，但见有正不胜邪之势，则当酌其轻重，或以纯补元气为主，凡脾肾阴阳
气血，皆宜随证用方，但使气血得复，则虽毒无害。最忌见不真而执两端，则终归无益，亦
是要着。
一、饮食宜否，有谓宜忌口者，有谓不宜忌口者，而任其发透，总之亦有其要。盖疮毒初染
，毒本未甚，此时，只宜清利，使毒渐消为善。若食发物，则愈发愈多，而毒愈甚矣，此则
宜忌之时也。若疮毒已久，元气已弱，脓汁既多，血气既耗，斯时也，非以药食滋补，则日
见消败，何以收效。此则不宜忌者也。宜忌不宜忌，是亦宜补不宜补之法耳。使不知辨，安能无误。
一、疮生头面，或遍身不便处，欲其速愈，但用点药，则二三日可以脱落，亦神妙者也。但
此惟治标之法耳。方在新因。（四十二）
一、疮毒久蓄，发为疯毒，亦名杨梅痈漏，或蚀筋，或腐骨，溃烂不收，最为恶候，近来治
法，惟五宝丹为最效，及徐东皋杨梅痈漏方，或秘传水银膏，宜择用之。
立斋曰∶天泡疮，属元气不足，邪气所乘，亦有传染而患。受证在肝肾二经，故多在下
体发起，有先筋骨痛而后患者，有先患而后痛者，有疮凸赤作痛，热毒炽甚也。疮微作痛，
毒将杀也。疮色白而不结痂，阳气虚也。色赤而不结痂，阴血虚也。瘙痒脉虚浮，气不相荣
也。瘙痒脉浮数，血不相荣也。臀背间或颈间作痒，膀胱阴虚也。阴器股内作痒，肝经血虚
也。阴囊作痒重坠，肝经阴虚湿热也。小便频数，短少色赤，肝经阴虚也。小便频数，短少
色白，脾肺气虚也。面目搔痒或变赤，外邪相搏也。眉间痒或毛落，肝胆血燥也。饮食少思
，口干饮汤，胃气虚也。饮食不化，大便不实，脾气虚也。清晨或夜间泄泻，脾肾虚也。
又《治法》曰∶若表实者，先用荆防败毒散，解散之。里实者，先用内疏黄连汤，通导
之。表里俱实者，防风通圣散，双解之。邪热在肝经者，龙胆泻肝汤，清解之。后用换肌消
毒散为主，愈后再无筋骨疼痛之患。气虚者，四君子汤。血虚者，四物汤。气血俱虚者，八
珍汤。俱加兼证之药治之，自无不愈。若治失其法，有蚀伤眼目，腐烂玉茎，拳挛肢体者，
但用九味芦荟丸，以清肝火，六味丸，以生肾水，蠲痹消毒散，以养血祛邪，亦有可生者。
若服轻粉等药，反收毒于内，以致迭发。或概服防风通圣散，气血愈虚，因而不治者多矣。
凡有肿硬或作痛，外用蒜灸，及敷冲和膏，内服补药，并效。
一男子，遍身皆患，脉浮而数，以荆防败毒散治之，表证乃退。以仙方活命饮，六剂疮
渐愈，兼饮萆 汤，月余而愈。
一男子，下部生疳，诸药不应，延及遍身，突肿状似番花，筋挛骨痛，至夜尤甚，此肝
肾二经湿热所致。先以导水丸五服，次以龙胆泻肝汤数剂，再与除湿健脾之药，外贴神异膏
，吸其脓隔，蒜灸拔其毒而愈。
一童子，玉茎患之，延及小腹数枚，作痛发热，以小柴胡汤吞芦荟丸，更贴神异膏，月余而安。
一儒者，患前证，先玉茎作痒出水，后阴囊股内小腹胁臂发小 ，或干或脓窠，误服
祛风等药，肢体倦怠，恶寒发热，饮食渐减，大便不实，脉见浮弦，两尺浮数，此肾水虚热
，肝木乘脾土也。用六味地黄丸、补中益气汤为主，佐以换肌消毒散而愈。
一人患此，服攻毒等药，患处凸而色赤作痛，肢体倦怠，恶寒发热，脉浮而虚，此元气
复伤，而邪气实也，用补中益气汤，二剂而愈。
进士刘华甫，患之数月，用轻粉、朱砂等药，头面背臀各结一块，二寸许，溃而形气消
弱，寒热口干，舌燥唇裂，小便淋漓，痰涎上壅，饮食少思。此脾胃伤，诸脏弱，而虚火动
也。先用六君子二十余剂，又用补中益气汤加山药、山茱萸、麦门冬、五味服之，胃气复，
而诸证愈。惟小便未清，痰涎未止，用加减八味丸而痊。
一男子，患杨梅疮后，两腿一臂，各溃二寸许一穴，脓水淋漓，少食无睡，久而不愈，
以八珍汤加茯神、枣仁炒服，每日以蒜捣烂涂患处，灸良久，随贴膏药，数日少可。却用豆
豉饼灸之，更服十全大补汤而愈。
一妇人，患之皆愈，惟两腿两 各烂一块如掌，兼筋挛骨痛，三载不愈，诸药不应。日
晡热甚，饮食少思，以萆 汤，兼逍遥散，倍用茯苓、白术数剂，热止食进。贴神异膏，
更服八珍汤加牛膝、杜仲、木瓜，三十余剂而痊。
一妇人患此，燃轻粉药于被中熏之，致遍身皮塌，脓水淋漓，不能起居，以滑石、黄柏
、绿豆粉末等药铺席上，令可卧，更服神功托里散，月余而痊。（俱薛按）
杨梅疮这一病证，因其患处肿胀突起、红肿溃烂，形状像杨梅，所以得名。在西北地区的人，称之为天泡疮；东南地区的人，又叫做广东疮。凡是毒性较轻且病灶较小的，形状类似茱萸，所以名叫茱萸疮。毒性严重且病灶较大的，广泛溃烂令人畏惧，形状像棉花，所以名叫棉花疮。大抵这种病证，必定是由淫秽之毒传染而生的。这种淫秽的毒气，是在精气泄出之后，气从精道乘虚直透命门，进而灌注冲脉，所以向外能达皮毛，向内能入骨髓，凡冲脉所到达的地方，无处不到，这是其危害最深最恶之处。如果在初起时，去毒不净，或者治疗不当，导致败坏溃烂甚至丧命的情况，为数不少了。有的到了二三十年之后，仍然发作成疯毒，有的导致头面部溃烂，有的导致鼻部溃烂，有的在四肢隐蔽之处，臭烂不可收拾，有的将遗毒传给儿女，导致终身患病。它的恶劣如此，静下心来思考，见到这种恶疾而不感到寒心并知道躲避的人，真是愚蠢至极啊。所以凡是治疗它的方法，最重要的是抓住要领，切不可不慎。也有不是因淫毒传染，偶然中受湿热而患病的，这不过是在皮毛肌肉之间，清去湿热，自然应当痊愈，不必担忧。
一、现在的人每逢此患，有的人怕别人知道，有的人怕毒性太甚，而大量使用攻伐峻烈的药物，大多导致邪毒未除，元气先败，有的形成劳瘵（虚损性疾病），有的立即丧命，有的越治越重，以致败坏不能收敛，这都是元气先败的缘故，我见到的太多了。所以凡是染上此病的人，切不可惊慌，也不可专门肆意攻伐，只要按照法则逐渐解除其毒，务必使元气毫无损伤，那么正气就能战胜邪气，虽然有毒也无害。如果正气不能战胜邪气，那么微毒也能杀人。这是关键所在，不可不仔细考察。
一、广疮（即杨梅疮）的治疗方法，凡是初起而元阳未伤，毒也不甚的，宜迅速使用清利之法，使毒从小便排出，其中换肌消毒散是第一选择，其次五加皮饮也很妙。如果兼有火邪的，宜用秘万仙遗粮汤。如果禀赋体质多虚弱的，宜用茯苓膏。所有这些药，或十天，或半个月，严重的一个月，没有不见效的。
一、凡是生疮毒的人，宜服用槐花蕊，达到二三升的量，则毒从小便泄去，可避免终身之患，真是神方。此法记载在下疳疮条中。此疮初起时，多有先出现下疳，接着出现横痃（腹股沟淋巴结肿大），然后疮毒发出，这是一套流程。如果横痃势态严重，肿痛热秘，而元气素来强盛的，就宜用会脓散，或牡蛎散，先去其毒的大势，然后再用前面的诸药，这也是重要的一着。
一、此疮如果久而不愈，或者元气素来虚弱，或因过度攻伐导致虚损，只要见到正气不能战胜邪气的态势，就应当斟酌病情的轻重，或者以纯补元气为主，凡是脾肾阴阳气血，都应当随证选用方剂，只要使气血得以恢复，那么虽然有毒也无害。最忌讳见识不真而犹豫不决，那样最终归于无益，这也是重要的一着。
一、饮食适宜与否，有人说宜忌口，有人说不宜忌口，而任由其发透，总之也有其要领。大概疮毒初染，毒本不深，此时，只宜清利，使毒逐渐消除为好。如果吃发物，则越发越多，而毒越甚了，这时是应该忌口的时期。如果疮毒已久，元气已弱，脓汁既多，血气既耗，这个时候，不用药食滋补，则日渐消败，怎么能有疗效。这时是不宜忌口的。宜忌与不宜忌，也是宜补与不宜补的道理罢了。如果不加以辨别，怎么能不出错。
一、疮生在头面，或遍身不便之处，想要它快速痊愈，只用点药，则二三日可以脱落，也是神妙的。但这只是治标的方法。方剂见新因。（第四十二篇）
一、疮毒久蓄，发作成疯毒，也名叫杨梅痈漏，或者侵蚀筋络，或者腐蚀骨骼，溃烂不收，是最为凶险的症候，近来治疗方法，只有五宝丹最为有效，以及徐东皋的杨梅痈漏方，或者秘传水银膏，宜择用之。
薛立斋说：天泡疮，属于元气不足，邪气乘虚而入，也有传染而患的。受证在肝肾二经，所以多在下体发起，有先筋骨痛而后患疮的，有先患疮而后痛的，有疮凸赤作痛，是热毒炽盛的表现。疮微作痛，是毒将消退的表现。疮色白而不结痂，是阳气虚的表现。色赤而不结痂，是阴血虚的表现。瘙痒脉虚浮，是气不相荣养的表现。瘙痒脉浮数，是血不相荣养的表现。臀背间或颈间作痒，是膀胱阴虚的表现。阴器股内作痒，是肝经血虚的表现。阴囊作痒重坠，是肝经阴虚湿热表现。小便频数，短少色赤，是肝经阴虚的表现。小便频数，短少色白，是脾肺气虚的表现。面目搔痒或变赤，是外邪相搏的表现。眉间痒或毛落，是肝胆血燥的表现。饮食少思，口干饮汤，是胃气虚的表现。饮食不化，大便不实，是脾气虚的表现。清晨或夜间泄泻，是脾肾虚的表现。
又《治法》说：如果表实者，先用荆防败毒散，解散表邪。里实者，先用内疏黄连汤，通导里实。表里俱实者，防风通圣散，双解表里。邪热在肝经者，龙胆泻肝汤，清解肝热。后用换肌消毒散为主，痊愈后再无筋骨疼痛之患。气虚者，四君子汤。血虚者，四物汤。气血俱虚者，八珍汤。都加上兼证的药治疗，自无不愈。如果治疗失当，有蚀伤眼目，腐烂玉茎（阴茎），肢体拳挛的，只用九味芦荟丸，以清肝火，六味地黄丸，以生肾水，蠲痹消毒散，以养血祛邪，也有可救活的。如果服轻粉等药，反而收毒于内，以致反复发作。或者一概服用防风通圣散，气血愈虚，因而无法救治的很多。
凡是肿硬或作痛的，外用蒜灸，及敷冲和膏，内服补药，都有效。
一男子，遍身皆患，脉浮而数，用荆防败毒散治疗，表证乃退。用仙方活命饮，六剂后疮渐愈，兼饮萆薢汤，月余而愈。
一男子，下部生疳，诸药不应，延及遍身，突肿状似番花，筋挛骨痛，至夜尤甚，这是肝肾二经湿热所致。先用导水丸五服，次以龙胆泻肝汤数剂，再与除湿健脾之药，外贴神异膏，吸其脓隔，蒜灸拔其毒而愈。
一童子，玉茎患之，延及小腹数枚，作痛发热，用小柴胡汤吞芦荟丸，更贴神异膏，月余而安。
一儒者，患前证，先玉茎作痒出水，后阴囊股内小腹胁臂发小疮，或干或脓窠，误服祛风等药，肢体倦怠，恶寒发热，饮食渐减，大便不实，脉见浮弦，两尺浮数，这是肾水虚热，肝木乘脾土的表现。用六味地黄丸、补中益气汤为主，佐以换肌消毒散而愈。
一人患此，服攻毒等药，患处凸而色赤作痛，肢体倦怠，恶寒发热，脉浮而虚，这是元气复伤，而邪气实也，用补中益气汤，二剂而愈。
进士刘华甫，患之数月，用轻粉、朱砂等药，头面背臀各结一块，二寸许，溃而形气衰弱，寒热口干，舌燥唇裂，小便淋漓，痰涎上壅，饮食少思。这是脾胃伤，诸脏弱，而虚火动也。先用六君子汤二十余剂，又用补中益气汤加山药、山茱萸、麦门冬、五味子服之，胃气复，而诸证愈。惟小便未清，痰涎未止，用加减八味丸而痊。
一男子，患杨梅疮后，两腿一臂，各溃二寸许一穴，脓水淋漓，少食无睡，久而不愈，以八珍汤加茯神、枣仁炒服，每日以蒜捣烂涂患处，灸良久，随贴膏药，数日稍可。却用豆豉饼灸之，更服十全大补汤而愈。
一妇人，患之皆愈，惟两腿两膝各烂一块如掌，兼筋挛骨痛，三载不愈，诸药不应。日晡热甚，饮食少思，以萆薢汤，兼逍遥散，倍用茯苓、白术数剂，热止食进。贴神异膏，更服八珍汤加牛膝、杜仲、木瓜，三十余剂而痊。
一妇人患此，燃轻粉药于被中熏之，致遍身皮塌，脓水淋漓，不能起居，以滑石、黄柏、绿豆粉末等药铺席上，令可卧，更服神功托里散，月余而痊。（以上均为薛己按语）
Yangmei Chuang (Mulberry Sores) is a condition named for its swollen, protruding, red, and ulcerated lesions that resemble mulberries. In the northwest, it is called Tianpao Chuang (Heaven Blister Sore); in the southeast, it is known as Guangdong Chuang (Guangdong Sore). When the toxin is mild and the lesions are small, resembling cornels (Zhu Yu), it is named Zhuyu Chuang (Cornel Sore). When the toxin is severe and the lesions are large, with widespread, terrifying ulcers resembling cotton, it is named Mianhua Chuang (Cotton Sore). Generally, this condition arises from transmission of venereal toxins. This foul toxin, after ejaculation, penetrates directly through the essence pathway into Mingmen (Gate of Life) due to deficiency, then floods Chong Mai (Penetrating Vessel). Thus, externally it reaches the skin and hair, and internally it enters the bone marrow; wherever Chong Mai travels, the toxin reaches, making its harm profound and dire. If the toxin is not thoroughly eliminated at the onset, or if treatment is inappropriate, leading to decay, ulceration, and death, such cases are numerous. Some may develop Feng Du (Mad Toxin) decades later, causing ulceration of the head or nose, or foul decay in hidden areas of the limbs, or transmit residual toxins to offspring, causing lifelong illness. Its malignancy is such that anyone who sees this evil path without feeling horror and knowing to avoid it is extremely foolish. Therefore, the key to treatment lies in grasping the essentials; one must be extremely cautious. However, some contract it not from venereal transmission but by accidentally contracting damp-heat; these cases remain merely between the skin and muscles, and clearing the damp-heat leads to full recovery, requiring no concern.
1. Nowadays, when people suffer from this, fearing exposure or the severity of the toxin, they often use harsh attacking and purgative medicines excessively. This frequently results in the pathogenic toxin remaining while the Yuan Qi (Primary Qi) collapses first, leading to Lao Zhai (Consumption Disease), immediate death, or worsening over time until decay prevents healing. All these are due to the prior collapse of Yuan Qi, which I have seen often. Thus, those afflicted should not panic nor rely solely on aggressive attacks. Instead, follow the method to gradually resolve the toxin, ensuring Yuan Qi remains undamaged. Then Zheng Qi (Upright Qi) can overcome Xie Qi (Pathogenic Qi), rendering the toxin harmless. If Zheng Qi cannot overcome Xie Qi, even slight toxins can be fatal. This is the crux, which must be carefully examined.
1. Treatment methods for Guang Chuang (Broad Sore/Yangmei Chuang): For early stages where Yuan Yang is unharmed and the toxin is not severe, rapid use of clearing and draining methods to expel toxins via urine is indicated. Huanji Xiaodu San (Skin-Rejuvenating and Toxin-Resolving Powder) is the primary choice, followed by Wujia Pi Yin (Acanthopanax Bark Decoction). If accompanied by Fire Evil, Mi Wanxian Yiliang Tang (Secret Ten-Thousand Immortals' Ration Decoction) is suitable. For those with weak constitutions, Fuling Gao (Poria Paste) is appropriate. These medicines, taken for ten days, half a month, or even a month in severe cases, invariably show efficacy.
1. Those suffering from sores and toxins should consume Huai Hua Rui (Sophora Flower Buds), up to two or three sheng, to expel toxins via urine, preventing lifelong affliction; this is truly a miraculous prescription. Refer to the section on Xiagan Chuang (Chancre). At the onset, this sore often begins with Xiagan (Chancre), followed by Biandu (Bubo/Groin Swelling), and then the general sores appear—a sequence. If Biandu is severe, with swelling, pain, heat, and constipation, in patients with strong Yuan Qi, Huinong San (Suppurating Powder) or Muli San (Oyster Shell Powder) should be used first to reduce the major force of the toxin, before applying the aforementioned formulas. This is also a crucial step.
1. If the sore persists for a long time, or if Yuan Qi is inherently weak, or weakened by excessive purging, and signs indicate Zheng Qi failing to overcome Xie Qi, one must assess the severity. One may focus purely on tonifying Yuan Qi. Formulas for Spleen and Kidney, Yin and Yang, Qi and Blood should be selected according to the syndrome. As long as Qi and Blood are restored, the toxin becomes harmless. The greatest taboo is indecision due to poor judgment, which yields no benefit; this is another crucial point.
1. Regarding diet: Some advocate dietary restrictions, others do not, allowing sores to erupt freely. There is a principle here. Initially, when the toxin is fresh and not severe, clearing and draining is best to gradually eliminate the toxin. Eating "Fa Wu" (Hair-Raising/Triggering Foods) causes more eruptions and worsens the toxin; thus, restriction is necessary at this stage. However, if the sore has persisted, Yuan Qi is weak, pus is abundant, and Qi and Blood are depleted, nutritional support via medicine and food is required to prevent daily deterioration and achieve healing; thus, restriction is unnecessary here. Whether to restrict or not depends on whether tonification is needed or not. Without discernment, errors are inevitable.
1. For sores on the face or inaccessible parts of the body, desiring rapid healing, topical applications can cause detachment in two to three days; this is also miraculous. However, this is only a symptomatic treatment. See Xin Yin (New Causes), Chapter 42.
1. Accumulated toxins manifesting as Feng Du (Mad Toxin), also called Yangmei Yong Lou (Mulberry Carbuncle Fistula), eroding sinews or bones, with non-healing ulcers, is a dire prognosis. Recent treatments favor Wubao Dan (Five Treasures Pill), Xu Donggao's Yangmei Yong Lou Fang, or Secret Water Mercury Ointment, chosen appropriately.
Xue Lizhai stated: Tianpao Chuang belongs to insufficiency of Yuan Qi with pathogenic invasion, and can also be contagious. The pathology involves the Liver and Kidney meridians, so it often originates in the lower body. It may present with bone/joint pain preceding sores, or sores preceding pain. Red, protruding, painful sores indicate intense Heat-Toxin. Mild pain suggests the toxin is subsiding. White sores without scabbing indicate Yang Qi deficiency. Red sores without scabbing indicate Yin-Blood deficiency. Itching with a deficient, floating pulse indicates Qi failing to nourish. Itching with a floating, rapid pulse indicates Blood failing to nourish. Itching between buttocks/back or neck indicates Bladder Yin deficiency. Itching in genitals/thighs indicates Liver Blood deficiency. Heavy, itching scrotum indicates Liver Yin deficiency with Damp-Heat. Frequent, scanty, red urine indicates Liver Yin deficiency. Frequent, scanty, white urine indicates Spleen-Lung Qi deficiency. Facial itching or reddening indicates external pathogen conflict. Eyebrow itching or hair loss indicates Liver-Gallbladder Blood dryness. Poor appetite and dry mouth craving hot drinks indicate Stomach Qi deficiency. Indigestion and loose stools indicate Spleen Qi deficiency. Morning or night diarrhea indicates Spleen-Kidney deficiency.
Furthermore, *Treatment Methods* states: For exterior excess, use Jingfang Baidu San (Schizonepeta and Saposhnikovia Decoction to Overcome Toxicity) to release the exterior. For interior excess, use Neishu Huanglian Tang (Internal Draining Coptis Decoction) to purge the interior. For both exterior and interior excess, use Fangfeng Tongsheng San (Saposhnikovia and Gardenia Detoxifying Powder) to resolve both. For Heat-Toxin in the Liver Meridian, use Longdan Xiegan Tang (Gentian Decoction to Drain the Liver). Subsequently, use Huanji Xiaodu San as the main formula; upon recovery, bone and joint pain will not recur. For Qi deficiency, use Sijunzi Tang (Four Gentlemen Decoction). For Blood deficiency, use Siwu Tang (Four Substance Decoction). For combined Qi and Blood deficiency, use Bazhen Tang (Eight Treasure Decoction). Add herbs for accompanying syndromes; cure is assured. If treatment fails, causing eye damage, penile rot, or limb contracture, use Jiawei Lushan Wan (Nine-Ingredient Aloe Pill) to clear Liver Fire, Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) to generate Kidney Water, and Juanbi Xiaodu San (Bi-Unblocking and Toxin-Resolving Powder) to nourish Blood and dispel pathogens; survival is possible. Using Qingfen (Calomel) etc., may trap toxins internally, causing recurrence. General use of Fangfeng Tongsheng San may further deplete Qi and Blood, leading to untreatable conditions. For swelling, hardness, or pain, external garlic moxibustion and Chonghe Gao (Harmony Paste) application, combined with internal tonics, are effective.
Case 1: A man suffered all over his body with a floating, rapid pulse. Treated with Jingfang Baidu San, exterior symptoms resolved. Followed by Xianfang Huoming Yin (Immortal Recipe for Saving Lives Decoction) for six doses, sores improved. Combined with Bibi Tang (Dioscorea Hypoglauca Decoction), cured in over a month.
Case 2: A man had chancre in the lower part, unresponsive to various medicines, spreading to the whole body with swelling resembling foreign flowers, tendon spasms, and bone pain, worse at night. Caused by Damp-Heat in Liver and Kidney meridians. First, Daoshui Wan (Water-Directing Pill) five doses; then Longdan Xiegan Tang several doses; followed by Damp-removing and Spleen-strengthening herbs. Applied Shenyi Gao (Miraculous Differentiation Paste) externally to absorb pus, and garlic moxibustion to draw out toxins. Cured.
Case 3: A boy suffered on the penis, spreading to several spots on the lower abdomen with pain and fever. Treated with Xiaochaihu Tang (Minor Bupleurum Decoction) swallowed with Lushan Wan (Aloe Pill), plus Shenyi Gao applied externally. Settled in over a month.
Case 4: A scholar suffered the above syndrome. Initially, the penis itched and discharged fluid, then small sores appeared on the scrotum, thighs, lower abdomen, ribs, and arms, either dry or pustular. Mistakenly treated with Wind-dispelling medicines, leading to limb fatigue, aversion to cold, fever, reduced appetite, loose stools, floating-wiry pulse, and floating-rapid pulses at the Chi position. Diagnosed as Kidney Water deficiency with Empty Heat, and Liver Wood overacting on Spleen Earth. Treated primarily with Liujun Diwang Wan (Six-Ingredient Rehmannia Pill) and Buzhong Yiqi Tang (Middle-Warmer Boosting Qi-Decoction), assisted by Huanji Xiaodu San. Cured.
Case 5: A person suffered this condition, took anti-toxin medicines, resulting in convex, red, painful lesions, limb fatigue, aversion to cold, fever, and a floating, deficient pulse. This indicated renewed injury to Yuan Qi with Excess Pathogens. Treated with Buzhong Yiqi Tang; cured in two doses.
Case 6: Jinshi Liu Huafu suffered for months, using Calomel and Cinnabar. Lumps formed on the head, face, back, and buttocks, about two cun each, ulcerating with decline in form and Qi, alternating chills and fever, dry mouth, dry tongue, cracked lips, dribbling urine, phlegm obstructing upwards, and poor appetite. This indicated Spleen-Stomach damage, weakness of all organs, and stirring of Deficient Fire. First, Liujunzi Tang for over twenty doses; then Buzhong Yiqi Tang added with Shan Yao (Dioscorea Rhizome), Shanzhuyu (Cornus Fruit), Maidong (Ophiopogon Tuber), and Wuweizi (Schisandra Fruit). Stomach Qi recovered, and symptoms resolved. Only unclear urine and persistent phlegm remained; treated with Jiawei Bawei Wan (Modified Eight-Ingredient Pill). Cured.
Case 7: A man, after Yangmei Chuang, developed ulcers about two cun deep on both legs and one arm, with dripping pus, poor appetite, insomnia, and chronic non-healing. Treated with Bazhen Tang added with Fushen (Poria with Hostwood) and Zaoren (Ziziphus Seed, stir-fried). Daily application of mashed garlic to the sores, prolonged moxibustion, followed by plaster application; improved in a few days. Switched to Douchi Bing Jiu (Fermented Soybean Cake Moxibustion), and took Shiquan Dabu Tang (Ten Complete Tonifying Decoction). Cured.
Case 8: A woman, mostly recovered, except for palm-sized ulcers on both legs and knees, with tendon spasms and bone pain, persisting for three years, unresponsive to medicines. Severe afternoon fever, poor appetite. Treated with Bibi Tang combined with Xiaoyao San (Free and Easy Wanderer Powder), doubling Fuling (Poria) and Baizhu (Atractylodes Macrocephala Rhizome) for several doses; fever stopped, appetite returned. Applied Shenyi Gao, then took Bazhen Tang added with Niuxi (Achyranthes Root), Duzhong (Eucommia Bark), and Mugua (Chaenomeles Fruit) for over thirty doses. Cured.
Case 9: A woman suffered this condition, fumigated herself with Calomel under blankets, causing widespread skin sloughing, dripping pus, and inability to rise. Spread powder of Huashi (Talcum), Huangbai (Phellodendron Bark), and Lüdou (Mung Bean) on the mat to lie on. Took Shengong Tuoli San (Divine Efficacy Supporting Interior Powder). Cured in over a month. (All cases annotated by Xue Ji)