夫疠风者。即大麻风也。又名曰癞。盖缘感受天地肃杀之气。古人谓之疠风。以其酷烈
暴悍
可畏尔。人得之。须分上下治之。看其疙瘩先见上体多者。病在上也。先见下体多者。病在
下也。人之一身总不外乎气血。血随气以为之运化。气所伤则为凝滞。气滞则血必聚矣。血
聚不行。则肉烂生虫。鼻崩眉堕。此固理之必然者。然风之入人。又有气血之分。气受之上
身
多。血受之下体多。上下俱多。气血俱病也。凡治此症。必当审其从上从下治之。然所主。
不外乎阳明一经。盖阳明主胃。无物不受。病之所感如此非医者神手。病者铁心。罕有免于
死焉。按法治之。惟宜绝浓味。断酒色。戒劳碌。若不守此。虽或少愈。必至再举。则无救
药矣。
换肌散
治大麻风。年深不愈。眉毛堕落。鼻梁坍坏。额颅肿破。此方神效。
白花蛇（三两） 乌稍蛇（三两酒浸一宿） 地龙（去土三两） 当归（酒制） 北细辛 白芷
（各
一两） 天麻 蔓荆子 威灵仙 荆芥穗 甘菊 苦参 紫参 沙参 木贼 不灰木 川芎
甘草（炙） 沙苑蒺藜 天门冬 赤芍 何首乌 石菖蒲（九节佳） 胡麻（炒） 草乌头 苍
术（米泔浸）木鳖子（去壳） 定风草（各三两）
上同为细末。每服五钱。食后酒调服。
通天再造散
治大麻风初起。
郁金（一钱五分） 大黄（一两炮） 白牵牛（六钱九分半生半炒） 皂角刺（一两黑大者去
尖）
上为末。每服五钱。日初出面东。以无灰酒调下。
祛疠神效丸
丢子肉（十五斤） 防风（二斤半去芦） 白蒺藜（二斤半） 荆芥（二斤半） 银柴胡（六两）
胡
黄连（六两） 草胡麻（二斤半） 当归（二斤半酒浸） 芜荑（二斤半） 木鳖子（十五两去壳）
薄荷（一斤）
诸品药味。切要精制为末。以酒为丸。每服五钱。日服三次。轻者五六升。重者一斗即
愈。
若脾经受病。加白术五两。肺经受病。加黄芩五两。胃经受病。加浓朴五两。肝经受病加连
翘五两。
心经受病。加山栀仁。胡黄连各八两。
肾经受病。加破故纸五两。五脏受病加苍术四两。甘草二两。六腑受病。加威灵仙四两。续
断四两。何首乌八两。春则气暖融和。加连翘一斤。夏则大旺烦躁。加胡黄连八两。薄荷八
两。秋则乍寒乍暖。多生雾露。加苍术八两。白术八两。冬则严寒水冻。加乌药一斤。面生
浮
肿。加白芷五两。续断八两。遍身浮肿。加苍术八两。脚底肿。加牛膝八两。手蜷挛。加威
灵仙八两。骨节疼痛。加虎骨一斤。凡遇是病。根据前法加减。其验如神。
消肿泻毒汤 治面肿痛。十日可泻一次。
苦参（三钱） 白蒺藜 草胡麻 连翘 大黄 芒硝（各二钱） 防风 丢子肉 羌活 独
活（各五分） 牛膝 白芷 苍术 木瓜（各一钱）
水二钟。煎八分。空心服。泻三次。以温粥补之。午后再服丸药。
搽药方 治遍身发斑。
川椒（一两五钱炒黑） 枯矾（一两五钱） 水银（三钱） 松香（一两） 蛇床子（一两五钱）
大枫子肉（一两） 苦参（一两五钱） 硫黄（一两） 防风（三钱）
上为细末。菜油调搽。
冰熊散 治脚底心烂。
辰砂（一两） 冰片（二钱） 熊胆（二钱）上为细末。鸡子白调搽。每日洗三次。搽三次
。百日全愈。
疠风，即大麻风。又名癞病。这是由于感受了天地间肃杀之气所致。古人称之为疠风，是因为其病情酷烈、暴悍，令人畏惧。人一旦染上此病，必须区分病变在上部还是下部进行治疗。观察患者身上的疙瘩（结节），如果先出现在上半身较多，说明病位在上；如果先出现在下半身较多，说明病位在下。人的身体总离不开气血，血液随着气的运行而运化。气受到损伤就会凝滞，气滞则血必然聚结。血液聚结而不流通，就会导致肌肉腐烂生虫，出现鼻子塌陷、眉毛脱落等症状。这确实是理所当然的必然结果。然而，风邪侵入人体，又有气分和血分的区别。气分受邪多在上半身，血分受邪多在下半身。上下半身都多的，则是气血两病。凡是治疗这种病症，必须审察是从上部治还是从下部治。然而治疗的主攻方向，不外乎阳明经。因为阳明经主胃，无所不纳。病邪感染如此严重，如果不是医生手法高明，病人意志坚定，很少有能免于死亡的。按照法则治疗，只应当断绝浓腻厚味的食物，戒除酒色，避免劳累忙碌。如果不遵守这些禁忌，虽然症状可能暂时减轻，但必定会复发，那时就没有救药了。
脉象浮洪的属于风热证；脉象浮滑的属于风痰证；脉象沉迟无力的，属于气血俱虚，难以治疗。
换肌散：治疗大麻风，病程长久不愈，眉毛脱落，鼻梁坍塌毁坏，额头颅骨肿胀破溃。此方神效。
白花蛇（三两） 乌梢蛇（三两，用酒浸泡一夜） 地龙（去土，三两） 当归（酒制） 北细辛 白芷（各一两） 天麻 蔓荆子 威灵仙 荆芥穗 甘菊 苦参 紫参 沙参 木贼 不灰木 川芎 甘草（炙） 沙苑蒺藜 天门冬 赤芍 何首乌 石菖蒲（九节者佳） 胡麻（炒） 草乌头 苍术（米泔水浸泡） 木鳖子（去壳） 定风草（各三两）
以上药物共同研为细末。每次服用五钱，饭后用酒调服。
通天再造散：治疗大麻风初起阶段。
郁金（一钱五分） 大黄（一两，炮制） 白牵牛（六钱九分半，生用与炒用各半） 皂角刺（一两，黑色大者，去尖）
以上药物研为细末。每次服用五钱，在日出时面向东方，用无灰酒调服。
祛疠神效丸：
大风子肉（十五斤） 防风（二斤半，去芦头） 白蒺藜（二斤半） 荆芥（二斤半） 银柴胡（六两） 胡黄连（六两） 草胡麻（二斤半） 当归（二斤半，酒浸） 芜荑（二斤半） 木鳖子（十五两，去壳） 薄荷（一斤）
各种药材，务必精制后研为细末，用酒制成丸药。每次服用五钱，每日服用三次。轻症者服用五六升，重症者服用一斗即可痊愈。
如果脾经受病，加白术五两；肺经受病，加黄芩五两；胃经受病，加厚朴五两；肝经受病，加连翘五两；心经受病，加山栀仁、胡黄连各八两；肾经受病，加补骨脂五两；五脏受病，加苍术四两、甘草二两；六腑受病，加威灵仙四两、续断四两、何首乌八两。春季气候温暖融和，加连翘一斤；夏季火势旺盛烦躁，加胡黄连八两、薄荷八两；秋季乍寒乍暖，多生雾露，加苍术八两、白术八两；冬季严寒水冻，加乌药一斤。面部出现浮肿，加白芷五两、续断八两；全身浮肿，加苍术八两；脚底肿，加牛膝八两；手指蜷缩挛急，加威灵仙八两；骨节疼痛，加虎骨一斤。凡遇到这种病，根据上述方法加减用药，疗效神奇。
消肿泻毒汤：治疗面部肿痛。每十日可泻下一次。
苦参（三钱） 白蒺藜 草胡麻 连翘 大黄 芒硝（各二钱） 防风 大风子肉 羌活 独活（各五分） 牛膝 白芷 苍术 木瓜（各一钱）
用水二钟，煎至八分，空腹服用。泻下三次后，用温粥调养。午后再服用丸药。
搽药方：治疗遍身发斑。
川椒（一两五钱，炒黑） 枯矾（一两五钱） 水银（三钱） 松香（一两） 蛇床子（一两五钱） 大枫子肉（一两） 苦参（一两五钱） 硫黄（一两） 防风（三钱）
以上药物研为细末，用菜油调和涂抹。
冰熊散：治疗脚底心溃烂。
辰砂（一两） 冰片（二钱） 熊胆（二钱）
以上药物研为细末，用鸡蛋清调和涂抹。每日清洗三次，涂抹三次，一百天完全痊愈。
Li Feng (Leprosy), also known as Da Ma Feng (Giant Hemp Wind, referring to severe leprosy) or Lai disease, is caused by the contraction of the austere and killing qi of heaven and earth. The ancients called it Li Feng because its nature is fierce, violent, and terrifying. Once contracted, treatment must distinguish whether the pathology is located in the upper or lower body. If nodules (ge da) first appear predominantly on the upper body, the disease is in the upper part; if they first appear predominantly on the lower body, the disease is in the lower part. The human body fundamentally relies on Qi and Blood. Blood circulates with the movement of Qi. When Qi is injured, it becomes stagnant; Qi stagnation leads to Blood accumulation. Accumulated Blood that fails to circulate causes flesh to rot and worms to generate, resulting in nasal collapse and eyebrow loss. This is indeed a necessary consequence. However, when wind pathogen invades the body, there is a distinction between Qi level and Blood level. Qi-level invasion manifests mostly in the upper body, while Blood-level invasion manifests mostly in the lower body. Involvement of both upper and lower bodies indicates simultaneous Qi and Blood pathology. Treatment for this condition must assess whether to treat from above or below. However, the primary focus of treatment lies in the Yangming Meridian (Stomach and Large Intestine meridians), as Yangming governs the Stomach, which receives all substances. Given the severity of such infection, few can avoid death unless the physician possesses divine skill and the patient has iron will. Following therapeutic principles requires abstaining from rich and greasy foods, cutting off alcohol and sexual indulgence, and avoiding overwork. Failure to observe these restrictions may lead to temporary relief but inevitable recurrence, after which no medicine can save the patient.
A floating and rapid pulse indicates Wind-Heat; a floating and slippery pulse indicates Wind-Phlegm; a deep, slow, and forceless pulse indicates deficiency of both Qi and Blood, which is difficult to treat.
Huan Ji San (Skin-Rejuvenating Powder): Treats chronic Da Ma Feng that does not heal over years, characterized by eyebrow loss, nasal bridge collapse, and swelling/ulceration of the forehead and skull. This formula is miraculous.
Bai Hua She (Deinagkistrodon acutus, 3 liang); Wu Shao She (Zaocys dhumnades, 3 liang, soaked in wine overnight); Di Long (Pheretima aspergillum, earth removed, 3 liang); Dang Gui (Angelica sinensis, processed with wine); Bei Xi Xin (Asarum heterotropoides); Bai Zhi (Angelica dahurica) (each 1 liang); Tian Ma (Gastrodia elata); Man Jing Zi (Vernonia anthelmintica); Wei Ling Xian (Clematis chinensis); Jing Jie Sui (Schizonepeta tenuifolia); Gan Ju (Chrysanthemum morifolium); Ku Shen (Sophora flavescens); Zi Can (Scrophularia ningpoensis); Sha Shen (Glehnia littoralis); Mu Zei (Equisetum hiemale); Bu Hui Mu (Fibraurea recisa); Chuan Xiong (Ligusticum chuanxiong); Gan Cao (Glycyrrhiza uralensis, honey-fried); Sha Yuan Ji Li (Astragalus complanatus); Tian Men Dong (Asparagus cochinchinensis); Chi Shao (Paeonia lactiflora); He Shou Wu (Polygonum multiflorum); Shi Chang Pu (Acorus tatarinowii, nine-joint variety is best); Hu Ma (Sesamum indicum, stir-fried); Cao Wu Tou (Aconitum carmichaelii, side root); Cang Zhu (Atractylodes lancea, soaked in rice wash water); Mu Bie Zi (Momordica cochinchinensis, shell removed); Ding Feng Cao (unknown specific herb, 3 liang each).
Grind all ingredients into fine powder. Take 5 qian per dose, mixed with wine after meals.
Tong Tian Zai Zao San (Heaven-Penetrating Rebirth Powder): Treats early-stage Da Ma Feng.
Yu Jin (Curcuma aromatica, 1.5 qian); Da Huang (Rheum palmatum, 1 liang, processed); Bai Qian Niu (Ipomoea batatas seed, 6.95 qian, half raw, half stir-fried); Zao Jiao Ci (Gleditsia sinensis spine, 1 liang, large black ones, tips removed).
Grind into powder. Take 5 qian per dose at sunrise facing east, taken with non-grain wine (clear wine).
Qu Li Shen Xiao Wan (Parasite-Expelling Divine Efficacy Pill):
Da Feng Zi (Bignonia semence, 15 jin); Fang Feng (Saposhnikovia divaricata, 2.5 jin, remove radix tip); Bai Ji Li (Tribulus terrestris, 2.5 jin); Jing Jie (Schizonepeta tenuifolia, 2.5 jin); Yin Chai Hu (Stellaria dichotoma, 6 liang); Hu Huang Lian (Coptis chinensis, 6 liang); Cao Hu Ma (Sesamum indicum, 2.5 jin); Dang Gui (Angelica sinensis, 2.5 jin, wine-soaked); Wu Yi (Madhuca longifolia seed, 2.5 jin); Mu Bie Zi (Momordica cochinchinensis, 15 liang, shell removed); Bo He (Mentha haplocalyx, 1 jin).
Process all herbs carefully and grind into powder. Form pills using wine. Take 5 qian per dose, three times daily. Mild cases: take 5-6 sheng; severe cases: take 1 dou until cured.
If Spleen meridian is affected, add Bai Zhu (Atractylodes macrocephala) 5 liang; Lung meridian affected, add Huang Qin (Scutellaria baicalensis) 5 liang; Stomach meridian affected, add Hou Po (Magnolia officinalis) 5 liang; Liver meridian affected, add Lian Qiao (Forsythia suspensa) 5 liang; Heart meridian affected, add Shan Zhi Ren (Gardenia jasminoides seed) and Hu Huang Lian (Coptis chinensis) each 8 liang; Kidney meridian affected, add Po Gu Zhi (Psoralea corylifolia) 5 liang; Five Zang organs affected, add Cang Zhu (Atractylodes lancea) 4 liang and Gan Cao (Glycyrrhiza uralensis) 2 liang; Six Fu organs affected, add Wei Ling Xian (Clematis chinensis) 4 liang, Xu Duan (Dipsacus asper) 4 liang, and He Shou Wu (Polygonum multiflorum) 8 liang. In spring, when qi is warm and harmonious, add Lian Qiao (Forsythia suspensa) 1 jin; in summer, when fire is vigorous causing irritability, add Hu Huang Lian (Coptis chinensis) 8 liang and Bo He (Mentha haplocalyx) 8 liang; in autumn, when cold and warm alternate with frequent fog/dew, add Cang Zhu (Atractylodes lancea) 8 liang and Bai Zhu (Atractylodes macrocephala) 8 liang; in winter, when cold freezes water, add Wu Yao (Lindera aggregata) 1 jin. For facial edema, add Bai Zhi (Angelica dahurica) 5 liang and Xu Duan (Dipsacus asper) 8 liang; for generalized edema, add Cang Zhu (Atractylodes lancea) 8 liang; for foot sole swelling, add Niu Xi (Achyranthes bidentata) 8 liang; for curled/spastic hands, add Wei Ling Xian (Clematis chinensis) 8 liang; for joint pain, add Hu Gu (Panther bone) 1 jin. For this disease, modify according to the above methods; efficacy is miraculous.
Xiao Zhong Xie Du Tang (Edema-Reducing Toxin-Draining Decoction): Treats facial swelling and pain. Administer purgation once every ten days.
Ku Shen (Sophora flavescens, 3 qian); Bai Ji Li (Tribulus terrestris); Cao Hu Ma (Sesamum indicum); Lian Qiao (Forsythia suspensa); Da Huang (Rheum palmatum); Mang Xiao (Natrii Sulfas) (each 2 qian); Fang Feng (Saposhnikovia divaricata); Da Feng Zi (Bignonia semence); Qiang Huo (Notopterygium incisum); Du Huo (Angelica pubescens) (each 0.5 qian); Niu Xi (Achyranthes bidentata); Bai Zhi (Angelica dahurica); Cang Zhu (Atractylodes lancea); Mu Gua (Chaenomelis fructus) (each 1 qian).
Add two zhong of water, decoct until one-eighth remains. Take on an empty stomach. After three purgations, replenish with warm congee. Take pills again after noon.
Ca Yao Fang (External Application Formula): Treats macules appearing all over the body.
Chuan Jiao (Zanthoxylum bungeanum, 1.5 liang, stir-fried until black); Ku Fan (Alumen, 1.5 liang); Shui Yin (Hydrargyrum, 3 qian); Song Xiang (Rosin, 1 liang); She Chuang Zi (Cnidium monnieri, 1.5 liang); Da Feng Zi Rou (Bignonia semence pulp, 1 liang); Ku Shen (Sophora flavescens, 1.5 liang); Liu Huang (Sulfur, 1 liang); Fang Feng (Saposhnikovia divaricata, 3 qian).
Grind into fine powder. Mix with vegetable oil for external application.
Bing Xiong San (Ice-Bear Powder): Treats ulceration of the soles of the feet.
Chen Sha (Cinnabar, 1 liang); Bing Pian (Borneolum Syntheticum, 2 qian); Xiong Dan (Ursi Fel, 2 qian).
Grind into fine powder. Mix with egg white for external application. Wash three times daily and apply three times daily. Complete recovery within one hundred days.