杨梅者，其疮三五成颗，红溃后状如杨梅也。病由西洋流传广东，彼遂绵延各省。有精
化气
化之不同，精化者，由交媾传染而得，先从二阴生疮，蔓延遍身，上至巅顶发际，凡有毛孔
之处，初起小肉瘤，后渐痒溃，秽水时出，至缺唇烂额，残废死亡者不可胜计。气化者，由
表面传染。如与有疮之人同衾共浴之例，其毒皆可传播。疮由上部先见，后亦延及满身。但
毒较精化者稍轻，用药分量，亦可减少。中医向来治法，每用升药，致毒上攻，流弊百出，
继以补品。毒愈内锢，攻之不可，下之不去，因而殒命者多矣。余之药力，得自麻邑程君，
专以固脾泻毒为主，服之不但无弊，而脾健神清，发味均所不禁，刻期而愈，屡试屡验，诚
妙方也。嗟嗟！每见青年有志之士，偶坠迷津，小则有妨健康，大则动关生命。得此亦苦海
之舟航云，若东西各国，有医疗警察，防患未然，病院延医，医于既发，此病所以日见减少
也。
杨梅主治方
土茯苓（二斤） 金银花（八两） 生苡仁（四两） 白藓皮（三两） 天花粉（二两） 当归尾
（二
两） 荆芥穗（五钱） 青连翘（一两） 白猪苓（二两） 建泽泻（二两） 陈槐角（四两） 车前
子（二两） 焦山栀（四钱） 牛蒡子（五钱） 生甘草（四两） 净蝉衣（三钱） 威灵仙（二钱）
宣木瓜（二两） 木防己（一两） 皂角子（十粒）
以上各味，俱倾入锅内，用柴火煮三次，每次将渣滓用布沥干，后渣滓不用，将三次所
煮之
汁，共贮锅内，再用火熬，先武后文，以冰糖收成膏，置当风处，以米筛覆之。当茶日服数
碗，下黑粪时，其毒始出，重者剂半而愈，轻者一剂可愈。其渣滓亦可煎水洗浴。惟禁面食
与茶，以解茯苓故也，并不用敷药。若天时地气人事之不同，方中亦可酌量加减，是则医者
，因时制宜，惟不可用参、茸、术、 、辛、附等药，使毒内锢，而不得出耳。近人有专用
槐花数升煎汁，服之而愈者，亦去湿热除毒戾之一法也。
杨梅疮，其疮疹三五颗聚集成簇，溃破后形似杨梅。此病由西洋传入广东，随后蔓延至各省。病情有“精化”与“气化”两种不同情况。“精化”者，通过性交传染而得病，起初在前后二阴生疮，随后蔓延全身，上至头顶发际，凡是有毛孔的地方，初起为小肉瘤，逐渐瘙痒溃烂，流出污秽液体，导致嘴唇腐烂、额头溃烂，致残致死的人数不胜数。“气化”者，通过体表接触传染。例如与患有此疮的人同床共枕或共同沐浴，其毒气皆可传播。疮疹先从上部出现，随后也延及满身。但毒性较“精化”者稍轻，用药剂量也可相应减少。中医以往的治疗方法，常使用升药（含汞制剂），导致毒气上攻，弊端百出，继而又用补品，使毒气更加内陷固结，既不能攻逐，又不能泻下，因而死亡者很多。我的方药效力，得自麻邑程君，专门以健脾固本、泻解毒邪为主，服用后不仅没有弊端，反而脾健神清，饮食口味均不受限制，按期即可痊愈，屡试屡验，确实是妙方。唉！常见青年有志之士，偶尔陷入迷途，小的损害健康，大的危及生命。得到这个方子，也是苦海中的舟船啊。至于东西各国，设有医疗警察，防患于未然，医院聘请医生，治疗已发病者，所以此病日益减少。
杨梅主治方
土茯苓（二斤） 金银花（八两） 生苡仁（四两） 白藓皮（三两） 天花粉（二两） 当归尾（二两） 荆芥穗（五钱） 青连翘（一两） 白猪苓（二两） 建泽泻（二两） 陈槐角（四两） 车前子（二两） 焦山栀（四钱） 牛蒡子（五钱） 生甘草（四两） 净蝉衣（三钱） 威灵仙（二钱） 宣木瓜（二两） 木防己（一两） 皂角子（十粒）
以上各味药材，全部倒入锅内，用柴火煮三次，每次将药渣用布沥干，之后不再使用药渣，将三次煮出的药汁合并贮存在锅内，再用火熬制，先武火后文火，加入冰糖收膏，放置在通风处，用米筛覆盖。作为茶饮，每日服用数碗，排出黑色粪便时，体内的毒邪才开始排出，重症者服半剂可愈，轻症者一剂可愈。剩下的药渣也可以煎水洗澡。唯独禁止吃面食和喝茶，这是为了发挥茯苓的功效，也不使用外敷药物。如果因天时、地气、人事的不同，方中也可以酌情加减，这是医者因地制宜的原则，只是不可用人参、鹿茸、白术、半夏、辛夷、附子等药物，以免使毒邪内陷固结而不能排出。近来有人专用槐花数升煎汁服用而痊愈的，这也是去除湿热、清除毒邪的一种方法。
Yangmei (Mapleberry) sore refers to lesions that cluster in groups of three to five, and after ulceration, resemble a mapleberry. This disease originated from the West, spreading to Guangdong province, and subsequently蔓延 (spread) to various other provinces. There are two distinct types: "Jing-hua" (Essence-transmission) and "Qi-hua" (Qi-transmission). The Jing-hua type is contracted through sexual intercourse; it initially manifests as sores on the external genitalia and anus, then spreads throughout the body, reaching up to the vertex and hairline. Wherever pores exist, small fleshy tumors appear initially, which gradually become itchy and ulcerate, discharging foul fluid. Cases leading to mutilation of the lips and forehead, disability, or death are countless. The Qi-hua type is transmitted via surface contact. For instance, sharing a bed or bathing with an infected person can transmit the toxin. Sores first appear on the upper body before extending to the entire body. However, the toxicity is slightly milder than in the Jing-hua type, and the dosage of medication can be reduced. Traditional Chinese Medicine (TCM) treatments historically often employed Sheng Yao (Calomel/Red Sublimate), causing the toxin to ascend and attack upwards, resulting in numerous adverse effects. Subsequent use of tonics further trapped the toxin internally, making it impossible to purge or drain, leading to many deaths. My prescription's efficacy was derived from Mr. Cheng of Mayi. It focuses primarily on strengthening the Spleen and draining toxins. Taking it causes no harm; instead, it strengthens the Spleen and clarifies the Spirit (Shen), allowing for normal appetite without restriction. Recovery occurs within the expected timeframe, with consistent success in trials, making it truly a miraculous formula. Alas! I often see young, ambitious individuals who occasionally fall into this trap. Minor consequences affect health, while major ones endanger life. Obtaining this formula serves as a boat navigating the sea of suffering. In contrast, Eastern and Western countries have established medical police to prevent outbreaks beforehand and hospitals to treat patients after onset, which is why the incidence of this disease has decreased daily.
Prescription for Treating Yangmei Sore:
Tu Fuling (Smilax Glabrae Rhizoma, 2 jin), Jinyinhua (Lonicerae Japonicae Flos, 8 liang), Sheng Yiren (Coicis Semen, 4 liang), Baixianpi (Dictamni Cortex, 3 liang), Tianhuafen (Trichosanthis Radix, 2 liang), Danggui Wei (Angelicae Sinensis Radix, 2 liang), Jingjie Sui (Schizonepetae Spica, 5 qian), Qing Lianqiao (Forsythiae Fructum, 1 liang), Bai Zhuling (Polyporus, 2 liang), Jian Zexie (Alismatis Rhizoma, 2 liang), Chen Huaijiao (Sophorae Tonkinensis Fructus, 4 liang), Cheqianzi (Plantaginis Semen, 2 liang), Jiao Shanzhi (Gardeniae Fructus, 4 qian), Niubangzi (Arctii Fructus, 5 qian), Sheng Gancao (Glycyrrhizae Radix et Rhizoma, 4 liang), Jing Chanyi (Bombyx Batryticatus, 3 qian), Weilingxian (Syneilesidis Rhizoma, 2 qian), Xuan Mugua (Chaenomelis Fructum, 2 liang), Mu Fangji (Stephaniae Tetrandrae Rhizoma, 1 liang), Zaojiaozi (Gleditsiae Sinensis Semen, 10 grains).
Place all the above ingredients into a pot. Boil three times using firewood. After each boil, strain the dregs through cloth. Discard the dregs. Combine the liquid extracts from the three boils back into the pot. Continue boiling, starting with high heat (Wu Huo) and reducing to low heat (Wen Huo). Add rock sugar to form a paste (Gao). Store in a well-ventilated area, covered with a rice sieve. Drink several bowls daily as tea. When black stools are passed, the toxin begins to exit. Severe cases may recover with half a dose; mild cases may recover with one dose. The remaining dregs can also be boiled for bathing water. Strictly avoid wheat-based foods and tea, as these counteract the efficacy of Tu Fuling. Do not use external applications. If adjustments are needed due to variations in climate, geography, or individual circumstances, modify the prescription accordingly, adhering to the principle of treating according to time and place. However, do not use Ren Shen (Ginseng Radix), Lu Rong (Cervicornium), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Ban Xia (Pinelliae Rhizoma), Xin Yi (Magnoliae Flos), or Fu Zi (Aconiti Lateralis Radix Praeparata), as these may cause the toxin to become internally trapped and unable to exit. Recently, some people have recovered by decocting large amounts of Huai Hua (Sophorae Flos) and drinking the juice, which is another method to remove damp-heat and eliminate toxic pathogens.