（论一首 方十首）
论曰∶恶疾大风有多种不同，初得虽遍体无异，而眉发已落。有遍体已坏，而眉须俨然
。有诸处不异好人，而四肢腹背有顽处，重者手足十指已有堕落。有患大寒而重衣不暖，有
寻常患热，不能暂凉。有身体枯槁者，有津汁常不止者，有身体干痒彻骨，搔之白皮如麸，
手下作疮者。（《外台》作卒不作疮。）有疮痍荼毒重叠而生，昼夜苦痛不已者，有直置顽钝
不知痛痒者。其色亦有多种，有青、黄、赤、白、黑、光明、枯暗。此候虽种种状貌不同，
而难疗易疗，皆在前人不由医者，何则？此病一着，无问贤愚，皆难与语，何则？口顺心违，
不受医教，直希望药力，不能求已，故难疗易疗，属在前人，不关医药。予尝手疗六百余人，
瘥者十分有一，莫不一一亲自抚养，所以深细谙委之。姑与其语，觉难与语不受入，即不须
与疗，终有触损，病既不瘥，乃劳而无功也。又神仙传，有数十人皆因恶疾而致仙道何者？
皆由割弃尘累，怀颖阳之风，所以非止瘥病，乃因祸而取福。故余所睹病者，其中颇有士大
夫，乃至有异种名人，及遇斯患，皆爱恋妻孥，系着心髓不能割舍，直望药力，未肯近求诸
身，若能绝其嗜欲，断其所好，非但愈疾，因兹亦可自致神仙。余尝问诸病患，皆云自作不
仁之行，久久并为极猥之业，于中仍欲更作云。为虽有悔言而无悔心，但能自新，受师教命，
食进药饵，何有不除。余以贞观年中，将一病士入山，教服松脂，服至百日，须眉皆生。由
此观之，唯须求之于己，不可一仰医药者也。然有人数年患身体顽痹，羞见妻子，不告之令
知，其后病成，状貌分明，乃云犯药卒患，此皆自误，然斯疾虽大，疗之于微，亦可即瘥。
此疾一得，远者不过十年皆死，近者五六岁而亡。然病者自谓百年不死，深可悲悼。一遇斯
疾，即须断盐，常进松脂，一切公私物务释然皆弃，犹如脱屐。凡百口味，皆须断除，渐渐
断谷，不交俗事，绝乎庆吊，幽隐岩谷，周年乃瘥。瘥后终身慎房事，犯之还发。兹疾有吉
凶二义，得之修善即吉，若还同俗类，必是凶矣。今略述其由致，以示后之学人，可览而思
焉。
豆治恶疾方∶
用细粒乌豆，择取摩之皮不落者，取三月四月天雄乌头苗及根，净去土勿洗，捣绞取汁
，渍豆一宿，漉去，曝干，如此七番。始堪服，初服三枚，渐加至六七枚，日一服。禁房室、
猪
（论述一首 方剂十首）
论述说：恶疾大风（麻风病）有多种不同的表现，刚患病时虽然全身外观没有明显异常，但眉毛和头发已经脱落。有的全身皮肤肌肉已经溃坏，但眉毛和胡须依然完好。有的身体各处看起来与常人无异，但四肢、腹部和背部有麻木不仁的斑块，病情严重的，手脚十个手指已经脱落。有的患者感到极度寒冷，即使穿很多衣服也不觉得暖和；有的患者经常感到发热，无法暂时凉快下来。有的身体干枯消瘦，有的津液汗汁常常不止地流出，有的身体干燥瘙痒深入骨髓，抓挠后白色皮屑如麸皮般落下，手下随即生出疮疡。（《外台秘要》中作“突然不生疮”）。有的疮疡毒害重叠生长，日夜痛苦不停，有的直接表现为肢体顽钝，不知痛痒。其面色也有多种，有青色、黄色、红色、白色、黑色、光亮、枯暗。这种病症虽然种种状貌不同，但难治还是易治，全在于患者本人是否听从医者，为什么呢？此病一旦染上，无论贤能还是愚笨，都难以沟通，为什么呢？因为患者口头上顺从，内心却违背，不接受医者的教导，只是一味指望药力，不能反求诸己（自我修养），所以难治易治，取决于患者本人，与医药无关。我曾经亲手治疗六百多人，痊愈的只有十分之一，没有一个不是亲自悉心照料，所以我对此病深知其详。如果与其交谈，觉得难以沟通且不接受建议，就不必再为他治疗，最终只会造成损伤，病既不好，也是劳而无功。又据《神仙传》记载，有几十人都因患恶疾而成就仙道，为什么呢？都是因为他们割舍了尘世的牵累，怀有颖阳（许由洗耳处，代指高洁隐逸）的风骨，所以不仅治愈了疾病，更是因祸得福。因此我所见到的患者中，颇有士大夫，乃至有名望的人，遇到这种病患，都爱恋妻儿，心系心髓不能割舍，只是一味指望药力，不肯近身反省自身，如果能断绝嗜欲，断除所好，不仅疾病能愈，借此也可以自己达到成仙的境界。我曾询问各位病患，他们都说是自己做了不仁的行为，久而久之成了极卑贱的行业，其中还想再做。虽然有悔过的言语但没有悔过的心，只要能自我更新，接受老师的教诲，进食药物，哪有不好的道理。我在贞观年间，带一名病士入山，教他服用松脂，服到一百天，胡须眉毛都长出来了。由此看来，只要向自身求索，不可完全依赖医药。然而有人数年患身体顽痹，羞于见妻子儿女，不告诉他们实情，后来病成，状貌分明，却说因服药突然患病，这都是自误，但这种病虽然严重，如果在微细阶段治疗，也可以立即痊愈。这种病一旦染上，远的不过十年都会死，近的五年六年就死亡。然而患者自以为能活百年不死，实在可悲可叹。一遇到这种病，就必须断盐，常进松脂，一切公私事务释然全部抛弃，就像脱掉鞋子一样轻松。各种口味饮食，都必须断除，渐渐断食五谷，不与俗事交往，断绝喜庆吊唁，隐居幽深岩谷，一年才能痊愈。痊愈后终身谨慎房事，犯了还会复发。这种病有吉凶两种含义，得了病后修身行善就是吉，如果还像普通人一样放纵，必然是凶了。现在简略叙述其致病原因，以显示给后来的学习之人，可以阅览并思考。
豆治恶疾方：
用细粒黑大豆，挑选那些搓摩后皮不掉的，取三月四月天雄乌头（一种附子类药材）的苗及根，干净去掉泥土不要洗，捣碎绞取汁液，浸泡豆子一夜，滤去渣滓，晒干，如此重复七次。才开始可以服用，初服三枚，逐渐增加到六七枚，每天服用一次。禁止房事、猪肉……
(One Treatise, Ten Formulas)
Treatise says: Malady of Great Wind (Leprosy/Hansen's disease) presents in various different manifestations. In the early stage, although the whole body appears normal, the eyebrows and hair have already fallen out. Some patients have severely damaged skin and flesh all over the body, yet their eyebrows and beard remain intact. Some appear identical to healthy people everywhere, but have insensate patches on the limbs, abdomen, and back; in severe cases, the ten fingers of the hands and feet have already fallen off. Some patients feel extreme cold and do not feel warm even when wearing heavy clothes; others frequently feel heat and cannot find temporary relief. Some bodies are withered and emaciated, some have constant unceasing discharge of fluids or sweat, some experience dryness and itching penetrating to the bone, where scratching causes white scales like bran to fall off, followed immediately by ulceration under the hand. (The *Waitai Miyao* reads "suddenly no ulceration forms"). Some have toxic ulcers overlapping and growing, suffering ceaseless pain day and night; others present directly with insensate limbs, devoid of sensation or itch. The complexion also varies, including blue, yellow, red, white, black, lustrous, and dull. Although these symptoms manifest differently, whether the disease is difficult or easy to treat depends entirely on the patient's compliance with the physician. Why? Once contracted, regardless of wisdom or folly, communication is difficult because the patient verbally agrees but internally disobeys, refusing medical advice, relying solely on the power of medicine without seeking self-cultivation. Thus, difficulty or ease of treatment lies with the patient, not with medicine. I have personally treated over six hundred patients, only one-tenth recovered. None were treated without my personal, meticulous care, which is why I understand this disease thoroughly. If a patient is difficult to communicate with and rejects advice, there is no need to continue treatment, as it will ultimately cause harm; the disease will not heal, resulting in futile effort. Furthermore, according to the *Biographies of Immortals*, dozens of individuals achieved immortality due to contracting this malady. Why? Because they severed worldly attachments and harbored the spirit of Yingyang (referring to Xu You, a symbol of reclusive purity). Thus, they not only cured the disease but turned misfortune into fortune. Among the patients I have observed, many were scholars and officials, even famous persons. Upon encountering this affliction, they clung to their wives and children, unable to sever emotional ties, relying solely on medicinal power and unwilling to reflect upon themselves. If they could cut off desires and abandon preferences, not only would the illness heal, but they could potentially attain immortality through this process. I once asked the patients, and they all claimed they had engaged in unrighteous acts, gradually becoming involved in base occupations, yet still wished to continue. They had words of repentance but no sincere heart. If they could renew themselves, accept the teacher's instructions, consume food and medicine, how could they fail to recover? During the Zhenguan era, I took a patient into the mountains and instructed him to take *Pini Resina* (Pine Resin). After taking it for one hundred days, his beard and eyebrows grew back. From this, we see that one must seek healing within oneself and cannot rely entirely on medicine. However, some suffer from limb numbness and paralysis for years, ashamed to show their faces to wives and children, hiding the truth. Later, when the disease manifests clearly, they claim it was caused suddenly by medication. This is self-deception. Although this disease is severe, if treated at its subtle/early stage, it can be healed immediately. Once contracted, death occurs within ten years at the earliest, or five to six years at the shortest. Yet patients believe they will live to a hundred years old, which is deeply pitiable. Upon contracting this disease, one must abstain from salt, regularly consume Pine Resin, and abandon all public and private affairs as easily as removing shoes. All dietary flavors must be eliminated, gradually leading to grain-abstinence (*Bigu*), avoiding secular matters, cutting off social celebrations and condolences, dwelling in secluded valleys, and healing after one year. After recovery, one must strictly avoid sexual activity for life; violation leads to relapse. This disease has two aspects: auspicious and inauspicious. Practicing virtue after contraction brings good fortune; behaving like ordinary indulgent people brings disaster. Now, I briefly describe the causes to instruct future learners, who may read and reflect.
Formula for Treating Malady of Great Wind with Beans:
Use fine-grained black soybeans (*Glycine max*). Select those whose skins do not rub off. Take the seedlings and roots of *Tianxiong Wutou* (Aconitum carmichaelii deoxyaconitine root tuber variety) harvested in the third and fourth lunar months. Cleanse thoroughly to remove soil but do not wash. Crush and press to extract juice. Soak the beans overnight, drain, and sun-dry. Repeat this process seven times before consumption. Initially take three beans, gradually increasing to six or seven beans, taken once daily. Abstain from sexual intercourse and pork...