杭州陈茂才福年，形状丰硕，气体素健，一日为其父诣市购药，忽仆于药肆门前，肆主为雇
舆送归之，医救治不效，口鼻出血，未及半日遂卒，年仅三旬。按∶沈从先（野）《暴证知要
》云∶凡遇尸丧，玩古庙，入无人所居之室，及造天地鬼神坛场，归来暴绝，面赤无语者，
名曰鬼疰，即中祟也，进药便死，宜移患人东首，使主人北面焚香礼拜之，便行火醋熏鼻
法，则可复苏，否则七窍迸血而死。闻陈生是日，曾至人家吊丧，其所患岂即此耶？业医者
遇此等症，慎勿猛浪投药。
袁随园子不语，谓《东医宝鉴》有法治狐，而不述其方。按∶是书“邪祟门”中有辟邪
丹，
苍术、当归各一两，桃奴五钱，雄黄、朱砂各三钱，牛黄、麝香各一钱为末，酒糊丸，如龙
眼大，金箔为衣，每一丸，临卧以木香汤化下，诸邪不敢近体。更以绛囊盛五七丸，悬床帐
中尤妙。随园所云，殆即此欤？（此方程杏轩《医述》采载，无牛黄，有甘草，赤茯苓改用茯
疠即大风，又作癞。《论语》∶伯牛有疾。注∶先儒以为癞也。毛西河《四书剩言》云
注，牛有恶疾，按∶古以恶疾为癞，《礼》∶妇人有恶疾，云，以其癞也。故《韩诗》解 之诗，谓蔡人之妻伤夫恶疾，
虽遇癞而不忍绝。而刘孝标作《辨命论》，遂谓歌其 ，
正指是也。又《淮南子》曰∶伯牛癞。又 草可疗癞也。见《列子注》。余按∶ 即车
前，《本草》不着其治疠功用，明·沈之问《解围元薮》一书，专治疠风，方药甚多，而用
车前者绝少。其所常用之药，乃大风子、苍耳子、蓖麻子、 草、甘参、花蛇等是也。鲍
云韶《验方新编》载治麻风白花蛇丸方云∶丹阳荆上舍得麻风疾，一僧疗之而愈，以数百金
求方不肯传，馆宾袁某窥藏纳衣领中，因醉窃录焉，用者多效。此与萧翼赚兰亭相似，皆以
酒为饵者也。方用白花蛇一条、乌梢蛇一条、（并去头尾生用）、防风、蝉蜕（草鞋打碎去泥
土）、生地、川芎、苦参、枸杞、槐花、 银花，（以上各二两），白蒺藜、全蝎（醋浸一日去
盐味）、北细辛、蔓荆子、威灵仙、何首乌、胡麻仁（炒香）、金毛狗脊、川牛膝、乌药、天
花粉、川连、黄芩、栀子、黄柏、连翘、牛蒡子，（以上各一两，炒），漏芦半斤，（去节洗
净四两），荆芥穗一两五钱。上头面者，加白芷一两；肌肤溃烂者，加大皂角一两。共研末
，米糊为丸，桐子大，每服五六十丸，茶送下，午后、临卧各一服。（一僧加风藤一两。）
越郡有患疠风者，因至外祖家食鸡而得，其外祖乃患此症者也，后其人死，所畜之鸡，
肥大异常，邻人购食之，亦患此症而死。盖鸡食疠风者之痰，能染人也。谚曰∶宁娶疯子妻，不
食疯子鸡。良有以也。
杭州的陈茂才福年，体态丰满壮实，身体素来健康。有一天，他替父亲去集市买药，忽然倒在药店门前。店主为他雇了车送他回家，医生救治无效，口鼻出血，不到半天就去世了，年仅三十岁。
按：沈从先（字野）在《暴证知要》中说：凡是遇到丧事、玩赏古庙、进入无人居住的房屋，以及建造天地鬼神坛场，回来后突然昏绝，面色发红且不能说话，名叫“鬼疰”，也就是中了邪祟。此时进药就会致死，应当将病人头朝东放置，让主人面向北焚香礼拜，然后施行火醋熏鼻的方法，就可以苏醒；否则就会七窍出血而死。听说陈生那天曾到别人家吊唁，他所患的难道就是这种病吗？从事医学的人遇到这类病症，千万不要鲁莽地投药。
袁随园在《子不语》中说，《东医宝鉴》有治疗狐仙的方法，但没有记载具体方剂。按：这本书的“邪祟门”中有辟邪丹，由苍术、当归各一两，桃奴五钱，雄黄、朱砂各三钱，牛黄、麝香各一钱研为细末，用酒糊制成丸药，大小如龙眼，外面包裹金箔作为衣层。每服一丸，临睡前用木香汤化开服用，各种邪气不敢靠近身体。再用红色丝囊盛装五到七丸，悬挂在床帐中尤其妙。随园所说的，大概就是指这个吧？（这是方程杏轩《医述》中采录的内容，没有牛黄，有甘草，赤茯苓改用茯……）
疠风即大风，又写作癞。《论语》说：伯牛有病。注解说：先儒认为那是癞病。毛西河在《四书剩言》中说：牛有恶疾。按：古代把恶疾称为癞，《礼记》说：妇人有恶疾，说是因为得了癞病。所以《韩诗外传》解释那首诗时说，蔡国人的妻子因丈夫患恶疾而悲伤，即使遇到癞病也不忍心抛弃。而刘孝标作《辨命论》，于是说歌咏它，正是指这件事。又《淮南子》说：伯牛得癞病。又说某草可以治疗癞病，见于《列子注》。我按：某草即车前草，《本草》中没有记载它治疗疠风的功用。明代沈之问的《解围元薮》一书，专门治疗疠风，方药很多，但用车前草的极少。他常用的药物，是大风子、苍耳子、蓖麻子、某草、甘参、花蛇等。鲍云韶的《验方新编》记载治疗麻风白花蛇丸方说：丹阳荆上舍得了麻风病，一位僧人治愈了他，有人以数百金求取方子不肯传授，馆客袁某窥探并藏在衣领中，趁其醉酒偷录下来，使用的人大多有效。这与萧翼骗取兰亭序相似，都是以酒为诱饵。方用白花蛇一条、乌梢蛇一条（都去掉头尾生用）、防风、蝉蜕（用草鞋打碎去除泥土）、生地、川芎、苦参、枸杞、槐花、金银花（以上各二两），白蒺藜、全蝎（醋浸一天去除盐味）、北细辛、蔓荆子、威灵仙、何首乌、胡麻仁（炒香）、金毛狗脊、川牛膝、乌药、天花粉、川连、黄芩、栀子、黄柏、连翘、牛蒡子（以上各一两，炒），漏芦半斤（去节洗净后为四两），荆芥穗一两五钱。病在上头面的，加白芷一两；肌肤溃烂的，加大皂角一两。共研为细末，米糊为丸，梧桐子大，每次服用五六十丸，茶送下，午后、临睡前各服一次。（有一位僧人加了风藤一两。）
越地有个患疠风的人，因为到外祖家吃鸡肉而染上此病，他的外祖正是患此症的人，后来那人死了，所养的鸡长得异常肥大，邻居购买食用后，也患上此症而死。大概是因为鸡吃了疠风病人的痰，能传染给人。谚语说：宁可娶疯子的妻子，不吃疯子的鸡。确实是有道理的。
Chen Maocai Funian of Hangzhou was robust and healthy in constitution. One day, while purchasing medicine for his father at the market, he suddenly collapsed in front of the pharmacy. The shop owner hired a cart to send him home. Despite medical treatment, it was ineffective; he suffered bleeding from the mouth and nose and died within half a day, at the age of thirty.
According to Shen Congxian (courtesy name Ye) in *Bao Zheng Zhi Yao* (Essentials of Sudden Syndromes): Whenever one encounters funerals, visits ancient temples, enters uninhabited rooms, or constructs altars for heaven, earth, ghosts, and gods, and subsequently returns with sudden collapse, red face, and inability to speak, this is named "Gui Zhu" (Ghost Taint), which means being bewitched by evil spirits. Administering medicine at this stage will cause death. It is advisable to place the patient with their head facing east, have the host burn incense and bow towards the north, and then apply the method of fumigating the nose with fire and vinegar, which can restore consciousness; otherwise, the patient will die from bleeding from the seven orifices. I heard that Mr. Chen had visited someone’s house to mourn on that day. Could his illness be exactly this? Practitioners encountering such syndromes must not rashly administer medication.
Yuan Suiyuan, in *Zi Bu Yu*, stated that *Dongui Bogam* (The Mirror of Eastern Medicine) contains methods for treating fox spirits but does not describe the specific formula. According to my research: In the "Evil Spirits Section" of this book, there is a formula called "Pixie Dan" (Spirit-Expelling Pill). It consists of *Cangzhu* (Atractylodis Rhizoma) and *Danggui* (Angelicae Sinensis Radix), each 1 liang; *Taonu* (Peach Twig) 5 qian; *Xionghuang* (Realgar) and *Zhusha* (Cinnabar), each 3 qian; *Niuhuang* (Calculus Bovis) and *Shexiang* (Moschus), each 1 qian. These are ground into powder, mixed with wine paste to form pills the size of longan fruits, coated with gold foil. Take one pill before sleep, dissolved in *Muxiang Tang* (Costus Decoction); various evils will dare not approach the body. Furthermore, storing five to seven pills in a crimson silk pouch and hanging them in the bed curtain is especially effective. What Suiyuan mentioned likely refers to this. (This formula was recorded in Fang Jingxuan's *Yi Shu*, without *Niuhuang*, but with *Gancao* (Glycyrrhizae Radix et Rhizoma), and replacing *Chifufuling* (Polyporus cum Poria Rubra) with...)
"Lifeng" (Leprosy/Mal de Albers) is also known as "Da Feng" (Great Wind) or "Lei". *Analects* states: Bo Niu had an illness. The commentary notes: Ancient scholars believed this was leprosy. Mao Xihe in *Sishu Shengyan* said: Cattle have malignant diseases. According to my analysis: In ancient times, malignant diseases were referred to as leprosy. *Book of Rites* states: Women with malignant diseases... referring to leprosy. Thus, *Han Shi Waizhuan* explains that the wife of a man from Cai grieved over her husband's malignant disease; even if he contracted leprosy, she did not bear to abandon him. Liu Xiaobiao, in *Bian Ming Lun*, claimed that singing about it indeed refers to this matter. Also, *Huainanzi* states: Bo Niu had leprosy. It is also mentioned that certain herbs can treat leprosy, as seen in the commentary on *Liezi*. I note: This herb is *Cheqiancao* (Plantaginis Herba). *Bencao* does not record its efficacy in treating lifeng. Shen Zhiwen’s *Jiewei Yuansou* in the Ming Dynasty specialized in treating lifeng, containing many formulas, yet rarely used *Cheqiancao*. His commonly used herbs included *Dafengzi* (Chaulmoograe Semen), *Cangerzi* (Xanthii Fructus), *Bimazi* (Ricini Semen), certain herbs, *Ganshen* (Codonopsis Radix), and flower snakes. Bao Yunshao’s *Yanfang Xinbian* records a formula for Leprosy White Flower Snake Pills: A person named Jing Shangshe from Danyang suffered from leprosy and was cured by a monk. Someone offered hundreds of taels of silver for the formula, but the monk refused. A guest named Yuan secretly stole the formula while the monk was drunk. Users found it effective. This resembles how Xiao Yi obtained *Lantingji Xu*, both using wine as bait. The formula uses one white flower snake and one black-spotted snake (heads and tails removed, used raw), *Fangfeng* (Saposhnikoviae Radix), *Chantui* (Cicadae Periostracum - crushed with straw shoes to remove dirt), *Shengdi* (Rehmanniae Radix), *Chuanxiong* (Ligustici Chuanxiong Rhizoma), *Kushen* (Sophorae Flavescentis Radix), *Gouqi* (Lycii Fructus), *Huaihua* (Sophorae Flos), *Jinyinhua* (Lonicerae Japonicae Flos) (each 2 liang above); *Bajili* (Tribuli Fructus), *Quanxie* (Scorpio - soaked in vinegar for one day to remove saltiness), *Beixixin* (Asari Radix et Rhizoma), *Manjingzi* (Viticis Semen), *Weilingxian* (Synephores Rhizoma), *Heshouwu* (Polygoni Multiflori Radix), *Huma Ren* (Sesami Semen - stir-fried until fragrant), *Jinmao Gouji* (Dryopteris Crassirhizomatis Rhizoma), *Chuanniuxi* (Cyathulae Radix), *Wuyao* (Linderae Radix), *Tianhuafen* (Trichosanthis Radix), *Chuanlian* (Coptidis Rhizoma), *Huangqin* (Scutellariae Radix), *Zhizi* (Gardeniae Fructus), *Huangbai* (Phellodendri Cortex), *Lianqiao* (Forsythiae Fructus), *Niubangzi* (Arctii Fructus) (each 1 liang above, stir-fried); *Loulu* (Euphorbiae Humifusae Radix) 0.5 jin (cleaned, removing nodes, resulting in 4 liang); *Jingjiesui* (Schizonepetae Spica) 1.5 qian. For lesions on the head and face, add *Baizhi* (Angelicae Dahuricae Radix) 1 liang; for ulcerated skin, add *Da Zaojiao* (Gleditsiae Sinensis Fructus) 1 liang. Grind into powder, make pills with rice paste, size of wu-tong seeds. Take 50-60 pills per dose, washed down with tea, once in the afternoon and once before sleep. (One monk added 1 liang of *Fengteng* (Uncariae Ramulus cum Uncis)).
In Yue region, a person contracted lifeng after eating chicken at his maternal grandfather’s house. His maternal grandfather had suffered from this syndrome. After that person died, the chickens raised there grew unusually fat. Neighbors bought and ate them, and subsequently contracted the syndrome and died. This is because the chickens consumed the phlegm of the lifeng patient, which is infectious to humans. The proverb says: Better to marry the wife of a madman than to eat the chicken of a lifeng patient. This is indeed well-founded.