人有头面身体先见红斑，后渐渐皮破流水成疮，以致须眉尽落，遍身腐烂，臭秽不堪，
人以为大麻风也，谁知是火毒结成之病乎。大麻风之病，南粤甚多，以其地长蛇虫，热毒之
气裹住于皮肤之间，湿蒸之气又藏遏于肌骨之内，故内外交迫，蕴结不能遽宣，反致由斑而
破，由破而腐也。此系最恶之病，不特南粤多生此病也。盖毒瓦斯何地蔑有，湿热乃天地所成，
正不可分南北也。治法必以解毒为先。然而近
人元气虚者甚众，徒泻其毒，未必不先损其正，惟是补正又恐引邪入内，要当于补中散邪
为妙。方用散疠汤∶
苍术（三钱） 熟地（一两） 玄参（一两） 苍耳子（三钱） 车前子（二钱） 金
银花（二两） 薏仁（五钱）水煎服。连服十剂可半愈也。再服十剂，必全愈。
此方补肾健脾，又有散风、去湿、化毒之品，则攻补兼施，正旺而邪退也。倘纯用寒凉，
或全用风药，鲜有奏功者矣。
此症用黄金汤亦效。
大黄（五钱） 金银花（半斤）水煎汁三碗，分作三次服，一日服完，必然大泻恶粪，后
单用金银花三两，连服十日全愈。
人有生大麻风者，不必尽在两粤之中，往往居于两粤之外而亦生者，人以火毒之入
身也，谁知感酒湿之毒而成之者乎。夫酒气熏蒸，最能害人，或卧于酒槽之上，或坐于酒缸
之边，皆能成病，大约多得之行房之后。盖行房泄精，则毛窍尽开，酒气易中，其病与大麻
风无异。但两粤之病，必相传染于家人、父子之间，独感酒毒而成者，止在本人，而他人
无恙也。治法虽泻火毒，仍须兼化酒毒为妙。方用解疠
神丹∶
茯苓（三钱） 白术（五钱） 薏仁（五钱） 黄连（一钱） 玄参（一两） 金银花（
三两） 柞木枝（三钱）水煎服。连用十剂，未烂者可愈；已烂者，再服二十剂可愈也。
此方健脾去湿，化毒解酒，正气无伤，邪气易退，倘认疠风纯是火毒，单用祛毒、泻火
之味，置酒湿于不问，非善治之法也。然酒湿之毒，何以别之？闻酒香而生憎，饮美酝而
添疼，此乃感酒毒而成者也。倘若闻酒香而流涎，饮美酝而作痒者，非感酒毒，乃感火毒也。
此疠成于酒毒，亦可用黄金汤加柞木枝五钱，照前服之，得泻而愈。
有人头面身体先出现红斑，随后逐渐皮肤破损、流水形成疮疡，导致胡须眉毛全部脱落，全身腐烂，气味臭秽不堪。人们以为是大麻风病，哪里知道这是火毒凝结而成的疾病呢？大麻风病在岭南地区非常多见，因为那里常年有蛇虫，热毒之气包裹在皮肤之间，湿蒸之气又蕴藏遏制在肌肉骨骼之内，所以内外交迫，郁结不能迅速宣散，反而导致由红斑而破溃，由破溃而腐烂。这是最严重的疾病，不仅岭南地区多发生此病。其实毒气哪里有不存在的地方，湿热是天地自然形成的，确实不可区分南北。治疗方法必须以解毒为先。然而近代元气虚弱的人很多，如果单纯泻除其毒邪，未必不会先损伤正气，只是补益正气又恐怕引邪深入体内，应当在补益中疏散邪气为妙。方用散疠汤：苍术（三钱）、熟地黄（一两）、玄参（一两）、苍耳子（三钱）、车前子（二钱）、金银花（二两）、薏苡仁（五钱），水煎服。连续服用十剂可以痊愈一半；再服用十剂，必定完全痊愈。
这个方子补肾健脾，又有疏散风邪、去除湿气、化解毒邪的药物，则攻邪与补正兼施，正气旺盛而邪气退却。倘若纯用寒凉药物，或全用祛风药物，很少有不奏效的。
这种病症使用黄金汤也有效。大黄（五钱）、金银花（半斤），水煎取汁三碗，分作三次服用，一天服完，必定会大量排出恶臭粪便，之后单独使用金银花三两，连续服用十天即可痊愈。
人生大麻风的，不一定全都在两广地区之中，往往居住在两广之外的人也患有此病，人们认为是火毒侵入身体所致，哪里知道是感受酒湿之毒而形成的呢？酒气熏蒸，最能伤害人体，或者睡在酒糟之上，或者坐在酒缸旁边，都能致病，大约多在行房事之后感染。因为行房事泄精后，毛孔全部张开，酒气容易侵入，其病症与大麻风没有区别。但两广地区的病，必然会在家人、父子之间相互传染，唯独因感受酒毒而形成的，只限于本人，而他人安然无恙。治疗方法虽然要泻火毒，仍须兼化酒毒为妙。方用解疠神丹：茯苓（三钱）、白术（五钱）、薏苡仁（五钱）、黄连（一钱）、玄参（一两）、金银花（三两）、柞木枝（三钱），水煎服。连续使用十剂，未腐烂的可以痊愈；已经腐烂的，再服用二十剂可痊愈。
这个方子健脾去湿，化解毒邪并解除酒毒，正气不受损伤，邪气容易退却。倘若认为疠风纯粹是火毒，单用祛毒、泻火的药物，将酒湿置之不问，不是善于治疗的方法。那么，酒湿之毒如何辨别呢？闻到酒香就产生厌恶，饮用美酒疼痛加重，这是感受酒毒而形成的病症。倘若闻到酒香流口水，饮用美酒皮肤发痒的，不是感受酒毒，而是感受火毒。此疠风若成于酒毒，也可用黄金汤加柞木枝五钱，按照前面的方法服用，得到腹泻后即可痊愈。
There are cases where red spots first appear on the head, face, and body, followed by gradual skin breakdown, weeping fluid, and formation of sores, leading to the complete loss of eyebrows and beard, with the entire body rotting and emitting an unbearable foul odor. People assume this is Leprosy (Lefe, 癞风), but who would know that it is a disease caused by the condensation of Fire-Toxin (Huodu, 火毒)? Leprosy is very common in the Lingnan region because snakes and insects are prevalent there year-round; Heat-Toxin (Redu, 热毒) Qi wraps around between the skin, while Damp-Steaming (Shizheng, 湿蒸) Qi is concealed and suppressed within the muscles and bones. Thus, internal and external forces press upon each other, causing stagnation and accumulation that cannot be rapidly dispersed, resulting in progression from spots to ulceration, and from ulceration to putrefaction. This is a most severe disease, not only occurring frequently in Lingnan. Indeed, toxic gases exist everywhere, and Damp-Heat (Shire, 湿热) is formed by Heaven and Earth, so it truly cannot be divided by North or South. The treatment method must prioritize detoxification. However, many people nowadays have deficient Yuan-Qi (Yuanqi, 元气). Merely purging the toxin may not fail to damage the Zheng-Qi (Zhengqi, 正气) first. Conversely, tonifying Zheng-Qi might fearfully draw the pathogen inward. Therefore, it is exquisite to scatter the pathogen while tonifying. Use Sanli Tang (Scatter Leprosy Decoction): Cangzhu (Atractylodis Rhizoma, 苍术) 3 qian, Shudi (Rehmanniae Radix Praeparata, 熟地黄) 1 liang, Xuanshen (Scrophulariae Radix, 玄参) 1 liang, Can'erzi (Xanthii Fructus, 苍耳子) 3 qian, Cheqianzi (Plantaginis Semen, 车前子) 2 qian, Jinyinhua (Lonicerae Japonicae Flos, 金银花) 2 liang, Yiren (Coicis Semen, 薏苡仁) 5 qian. Decoct in water and take orally. Taking ten doses continuously can result in half recovery. Taking another ten doses will surely lead to full recovery.
This formula tonifies the Kidney and strengthens the Spleen, containing substances that disperse Wind, remove Dampness, and transform toxins. Thus, attacking and tonifying are combined; when Zheng-Qi is robust, the Xie-Qi (Pathogenic Qi, 邪气) retreats. If purely using cold-cooling herbs, or entirely using wind-dispersing herbs, few achieve success.
Using Huangjin Tang (Golden Decoction) for this syndrome is also effective. Dahuang (Rhei Radix et Rhizoma, 大黄) 5 qian, Jinyinhua (Lonicerae Japonicae Flos, 金银花) 0.5 jin. Decoct in water to obtain three bowls of juice, divide into three doses, and finish within one day. There will inevitably be a massive evacuation of foul feces. Afterwards, use only Jinyinhua (Lonicerae Japonicae Flos, 金银花) 3 liang, taken continuously for ten days for full recovery.
People contracting Leprosy (Lefe, 癞风) do not necessarily live only within Liangyue (Liangguang, 两粤); often those living outside Liangyue also contract it. People attribute this to the entry of Fire-Toxin (Huodu, 火毒), but who knows it is formed by contracting Wine-Damp-Toxin (Jiu Shi Zhi Du, 酒湿之毒)? The steaming aroma of wine is most harmful to humans. Lying on wine lees or sitting beside wine vats can all cause illness, mostly contracted after sexual intercourse. Since sexual intercourse causes ejaculation and opens all hair follicles (Maoqiao, 毛窍), wine Qi easily invades. The symptoms are no different from Leprosy. However, the disease in Liangyue is contagious among family members and between fathers and sons. In contrast, that caused solely by contracting Wine-Toxin affects only the individual, while others remain unharmed. Although the treatment method involves purging Fire-Toxin (Huodu, 火毒), it is best to simultaneously transform Wine-Toxin (Jiu Du, 酒毒). Use Jielishen Dan (Divine Pill for Resolving Leprosy): Fuling (Poria, 茯苓) 3 qian, Baizhu (Atractylodis Macrocephalae Rhizoma, 白术) 5 qian, Yiren (Coicis Semen, 薏苡仁) 5 qian, Huanglian (Coptidis Rhizoma, 黄连) 1 qian, Xuanshen (Scrophulariae Radix, 玄参) 1 liang, Jinyinhua (Lonicerae Japonicae Flos, 金银花) 3 liang, Zuomuzhi (Quercus variabilis Branch, 柞木枝) 3 qian. Decoct in water and take orally. Using ten doses continuously can cure those not yet ulcerated; for those already ulcerated, taking another twenty doses leads to recovery.
This formula strengthens the Spleen and removes Dampness, transforms toxins, and resolves wine toxicity without injuring Zheng-Qi (Zhengqi, 正气), allowing Xie-Qi (Pathogenic Qi, 邪气) to retreat easily. If one assumes Leprosy is purely Fire-Toxin (Huodu, 火毒) and uses only detoxifying and fire-purging herbs, ignoring wine-dampness, it is not a skillful treatment method. So, how to distinguish Wine-Damp-Toxin? Disgust arises upon smelling wine, and pain increases when drinking fine wine; this indicates contraction of Wine-Toxin (Jiu Du, 酒毒). Conversely, if saliva flows upon smelling wine, or itching occurs when drinking fine wine, it is not Wine-Toxin (Jiu Du, 酒毒) but Fire-Toxin (Huodu, 火毒). If this Leprosy is formed from Wine-Toxin (Jiu Du, 酒毒), Huangjin Tang (Golden Decoction) can also be used with the addition of 5 qian of Zuomuzhi (Quercus variabilis Branch, 柞木枝), administered as before. Recovery is achieved through evacuation.