服叔 传染毒疠，由足趾麻木，渐至肌肉不仁，身发红晕。常服京口专门治风丸散，大率泻毒品味，
如苦参丸、必胜散等类。初服大便日三四行，红晕虽退而精神日削，缠绵数载，眉脱眼斜。予谓驱毒宜兼补元，
否则正气陷下，邪毒留滞，非治法矣。用八珍丸料加制首乌、生杜仲、炙黄 、蒸牛膝、玉竹、天麻、独活、
秦艽、威灵仙、乳香、没药、蜜丸。兼服药酒，用白花蛇、穿山甲、松节、金毛狗脊、威灵仙、桑寄生、苦参、
丹参、当归、玉竹、木瓜、桂枝，浸煮，温服一料，精神稍复，痹痛亦定。后仍服京口丸散，便泻食减，
筋挛肉腐，卒成不效。
某 疠风初起，左足跟出水，左手麻痹不随，脉虚濡按之不起，此阴血虚而受风湿疠毒也。用熟地、
当归、川芎、杞子、首
乌、白术、黄 、牛膝、生杜仲、五加皮、独活、桂枝、钩藤、姜黄，熬膏冲酒服，手足运掉得舒。然此症乃
疠毒邪，乘虚袭入经络，经谓邪之所凑，其气必虚。若不远帷 ，慎调摄，久之筋骨刺痛，眉落眼斜，鼻塌
肉腐，十不一生矣。
周 壮岁感前症，初由臂 肿硬，手腕痹痛，延至遍体上下，骨节挛痛，面发红斑，湿毒淋漓，多在支节，
诊之脉沉数。此疠毒从经络窜入骨髓，须用针砭去恶血以泄毒，非药力所及，辞不治。
一位叔父感染传染性的毒疠之邪，起初表现为足趾麻木，逐渐发展到肌肉失去知觉，身上出现红色晕斑。他长期服用京口当地专门治疗风病的丸药和散剂，大多属于泻下解毒性质的药物，如苦参丸、必胜散之类。刚开始服用时，每天大便排泄三四次，虽然红晕消退了，但精神日渐衰弱，病情缠绵数年，导致眉毛脱落、眼睛歪斜。我指出驱除毒邪应当兼顾补益元气，否则正气下陷，邪毒滞留体内，这就不是正确的治法了。于是使用八珍丸的方料，加入制何首乌、生杜仲、炙黄芪、蒸牛膝、玉竹、天麻、独活、秦艽、威灵仙、乳香、没药，制成蜜丸。同时配合服用药酒，配方包括白花蛇、穿山甲、松节、金毛狗脊、威灵仙、桑寄生、苦参、丹参、当归、玉竹、木瓜、桂枝，浸泡后煎煮，温服一剂，精神稍见恢复，痹痛也得以安定。后来他又继续服用京口的丸散，导致腹泻、食欲减退，筋脉拘挛、肌肉腐烂，最终治疗效果不佳。
另一位患者，疠风病初起，左脚跟渗出液体，左手麻痹不能随意活动，脉象虚软濡弱，重按无力，这是阴血亏虚而感受风湿疠毒所致。使用熟地黄、当归、川芎、枸杞子、何首乌、白术、黄芪、牛膝、生杜仲、五加皮、独活、桂枝、钩藤、姜黄，熬制成膏状，冲入药酒中服用，手足的活动功能得到舒缓。然而此症乃是疠毒邪气，乘人体虚弱之际侵袭经络，医经说“邪气聚集的地方，正气必然虚弱”。如果不远离帷帐（指隔离病人或避免接触秽浊之气），谨慎调养摄生，久而久之会导致筋骨刺痛、眉毛脱落、眼睛歪斜、鼻子塌陷、肌肉腐烂，十个人中难救活一个。
周姓患者，壮年时感染前述病症，起初由手臂肿胀坚硬，手腕痹痛，蔓延至全身上下，骨节拘挛疼痛，面部出现红斑，湿毒淋漓，多集中在四肢关节处，诊察其脉象沉而数。这是疠毒从经络窜入骨髓，必须用针砭疗法去除恶血以泄出毒邪，非药物力量所能达到，因此推辞不予治疗。
An uncle contracted the infectious toxic leprosy (Lifeng, 疠风), initially presenting with numbness in the toes, which gradually progressed to insensitivity of the muscles and red rashes on the body. He had been frequently taking specialized wind-disease pills and powders from Jingkou, which were largely purgative and detoxifying preparations, such as Kushen Wan (Bitter Sophora Pill) and Bisheng San (Victory Powder). Initially, he had three to four bowel movements daily; although the red rashes subsided, his spirit declined day by day. After lingering for several years, he suffered from loss of eyebrows and deviation of the eyes. I stated that expelling toxins should be combined with tonifying the primordial qi (Yuan Qi); otherwise, if healthy qi sinks and pathogenic toxins stagnate, it is not a proper treatment method. Therefore, I used the ingredients of Bazhen Wan (Eight Treasures Pill) plus processed Polygonum multiflorum (Zhi Shouwu), raw Eucommia bark (Sheng Duzhong), honey-fried Astragalus root (Zhi Huangqi), steamed Achyranthes root (Zheng Niuxi), Polygonatum odoratum (Yuzhu), Gastrodia elata (Tianma), Angelica pubescens (Duhuo), Gentian macrophylla (Qinjiao), Spikenard (Weilingxian), Frankincense (Ruxiang), and Myrrh (Moyao), made into honeyed pills. Concurrently, he took medicinal wine prepared with Bungarus multicinctus (Baihuashe), Pangolin scales (Chuanshanjia), Pine nodes (Songjie), Cibotium barometz (Jinmao Gouji), Spikenard (Weilingxian), Taxillus chinensis (Sangjisheng), Sophora flavescens (Kushen), Salvia miltiorrhiza (Danshen), Angelica sinensis (Danggui), Polygonatum odoratum (Yuzhu), Quisqualis indica (Mugua), and Cinnamon twig (Guizhi), soaked and decocted, taken warm. One dose resulted in slight recovery of spirit and stabilization of bi-syndrome pain. Later, he resumed taking the Jingkou pills and powders, leading to diarrhea, reduced appetite, tendon spasms, and muscle decay, ultimately resulting in ineffective treatment.
Another patient presented with early-stage leprosy, characterized by fluid exudation from the left heel and paralysis/inability to move the left hand. The pulse was deficient, soft, and weak, failing to rise upon heavy pressure, indicating deficiency of yin blood compounded by wind-damp-leprosy toxin invasion. Treatment consisted of Rehmannia glutinosa (Shudi), Angelica sinensis (Danggui), Ligusticum chuanxiong (Chuanxiong), Lycium barbarum (Gouqi), Polygonum multiflorum (Shouwu), Atractylodes macrocephala (Baizhu), Astragalus membranaceus (Huangqi), Achyranthes bidentata (Niuxi), raw Eucommia bark (Sheng Duzhong), Acanthopanax senticosus (Wujiaopi), Angelica pubescens (Duhuo), Cinnamon twig (Guizhi), Uncaria rhynchophylla (Gouteng), and Turmeric rhizome (Jianghuang), decocted into an extract and mixed with wine. This alleviated the tremors and stiffness of the hands and feet. However, this condition involves leprosy toxin invading the meridians due to deficiency, as the classic text states: "Where pathogenic factors gather, qi must be deficient." If one does not isolate oneself (avoiding contact with contaminated environments/patients) and carefully regulate lifestyle, prolonged suffering will lead to stabbing pain in bones and tendons, loss of eyebrows, eye deviation, nasal collapse, and muscle decay, with less than one in ten surviving.
Mr. Zhou, in his prime, contracted the aforementioned disease. It began with swelling and induration of the arm and bi-pain in the wrist, spreading throughout the body, causing joint spasms and pain, facial erythematous patches, and profuse damp-toxin discharge, mostly concentrated in the extremities. His pulse was deep and rapid. This indicated that the leprosy toxin had penetrated from the meridians into the bone marrow. It required phlebotomy with stone needles (Bian) to remove bad blood and vent the toxin, a task beyond the reach of herbal medicine alone; therefore, I declined to treat him.