乌白癞由中恶风，犯解忌害亦能成，麻痒彻骨刺不痛，除风养血即收功。
【注】此二证，俱由恶风侵袭皮肤血分之间，火郁耗血，及犯触忌害而成。有乌、
白二种∶乌者初觉皮毛变黑，发若瘾疹，痒
若虫行，手足顽麻，针刺不痛，目视物若垂丝，心常惊而妄语，凡饮食言语之时，开口
出气而鸣，宜服 皮丸，外擦大黑神膏；白癞皮色渐变白斑，语声嘶嗄，目视不明，四
肢顽疼，身体大热，心常懊恼，手脚缓纵，背膂拘急，肉如针刺，鼻生息肉，瞳生白沫，
宜服白花蛇散，外擦斑蝥膏，二证俱常饮苦参酒。白癞便秘者，先宜服醉仙散，次服通
天再造散，利下恶物即效。
\r乌白癞图\p04-34a237.bmp\r
皮丸
皮（烧，存性） 蚺蛇头（烧，存性） 魁蛤（各一枚） 红娘子（去头、足、翅） 蛴螬（焙干）
虻虫（去头、足、翅） 水蛭（糯米炒熟） 蜘蛛（焙） 斑蝥（去头、足、翅，各三个） 桂心
大黄 黄连 龙骨（ 研） 麝香（研） 汞（即水银） 川椒（炒，各五钱） 芒硝 石
膏（ ，各一两） 穿山甲（炙，三片） 枯白矾 滑石（研、水飞） 甘遂（与胡麻同炒，以胡麻熟为
度，去麻用甘遂，各二钱五分） 蜈蚣（炙，一条半） 附子（泡，去皮脐，二枚） 巴豆（去皮、膜、心
、油） 雷丸（各五十粒）
上为细末，炼蜜为丸，如小豆大。每服一丸，滚白水送下，空心临卧各一服。如未
觉，每服加一丸；如茎中痛，即有虫下，细观形状皆死矣。痛多减一丸，痛少服二丸，
以瘥为度。此药乃攻毒取虫之峻剂，非灼知脏腑有虫及精神可胜攻下者，不可轻服。
【方歌】 皮肤黑成乌癞，心惊视物若垂毫，痒似虫行手足痹，红娘魁蛤汞矾螬，
螬桂硝黄虻蛭甲，黄连龙骨麝蜘膏，川椒滑附蜈巴豆，雪丸甘遂共斑蝥。
大黑神膏
头发（鸡子大一团） 川芎 黄连 黄柏 防己（去皮） 川乌 升麻 藜芦（各五钱） 巴豆
杏仁（各十四粒）
用猪脂油二斤，将药炸至头发化尽为度，捞去渣；再用雌黄、雄黄，白矾、铅粉
各五钱，松脂一块如鸡子大，同研末，入油内搅匀。先以热盐汤洗净患处，次擦药，日
三次，勿令入口。
【方歌】大黑神膏乌癞涂，发芎连柏己川乌，雌雄巴豆矾松脂，铅粉升麻杏藜芦。
白花蛇散
白花蛇（酒浸，炙） 槐子 天麻 枳壳（麸炒） 蔓荆子 防风 羌活 威灵仙 白鲜皮
晚蚕鹅（去头、足、翅，各一两） 甘草（炙，五钱）
共研细末，每服二钱，温酒调下，不拘时，时用二服。
【方歌】白花蛇散体多热，刺痛声嘶白癫 ，槐子天麻鲜积蔓，风羌威草晚蚕蛾。
斑蝥膏
斑蝥（十四枚） 大蝮蛇（头尾全者，晒干，一条）
黄酒七碗，同药入瓶内，用糠火煨酒至一碗，滤去渣收贮。每用薄薄涂于患上。
【方歌】斑蝥膏搽白癞风，蝮蛇黄酒入瓶中，糠火煨酒取涂患，以毒攻恶癞自平。
苦参酒
苦参（五斤） 露蜂房（五两） 刺 皮（酥炙一具）
共研粗末，用水三斗，煎汤至一斗，去渣，浸细曲五斤、炊黍米三斗，拌如常酝法，
酒熟，压去糟，每于食前，温饮一小盏。
【方歌】苦参酒治乌白癞，露蜂房与刺 皮，煎汤浸曲炊黍米，酿酒饮之恶疾离。
醉仙散 通天再造散（俱见大麻风）
乌白癞（一种严重的皮肤顽疾，分为乌癞和白癞两种）是由中恶风邪所致，触犯禁忌或遭受伤害也能引发此病。其症状表现为皮肤麻木瘙痒深入骨髓，针刺却不觉疼痛，只要采用祛风养血的方法即可痊愈。
【注释】这两种证候，都是由于恶风之邪侵袭皮肤与血分之间，导致火邪郁结耗伤血液，以及触犯禁忌或遭受伤害而形成的。分为乌、白两种类型：乌癞起初感觉皮毛变黑，皮疹如同瘾疹（荨麻疹），瘙痒感如同虫行，手足顽固性麻木，针刺不痛，视物模糊如见垂丝，心中常惊恐且胡言乱语，凡在饮食言语之时，张口呼气会发出鸣响，适宜服用皮丸，外用擦大黑神膏；白癞的皮色逐渐变为白斑，声音嘶哑，视力不明，四肢顽固疼痛，身体高热，心中常烦闷懊恼，手脚松弛无力，背部脊柱拘急僵硬，肌肉感觉如针刺，鼻内生息肉，瞳孔生白沫，适宜服用白花蛇散，外用擦斑蝥膏，这两种证候都应当经常饮用苦参酒。若白癞患者便秘，先适宜服用醉仙散，随后服用通天再造散，排出恶浊之物即见效。
皮丸
配方：地骨皮（烧至存性）、蚺蛇头（烧至存性）、魁蛤（以上各一枚）、红娘子（去头、足、翅）、蛴螬（焙干）、虻虫（去头、足、翅）、水蛭（用糯米炒熟）、蜘蛛（焙干）、斑蝥（去头、足、翅，各三个）、桂心、大黄、黄连、龙骨（研细）、麝香（研细）、汞（即水银）、川椒（炒，以上各五钱）、芒硝、石膏（煅，以上各一两）、穿山甲（炙，三片）、枯白矾、滑石（研细、水飞）、甘遂（与胡麻同炒，以胡麻炒熟为度，去掉胡麻只用甘遂，各二钱五分）、蜈蚣（炙，一条半）、附子（炮制，去皮脐，二枚）、巴豆（去皮、膜、心、油）、雷丸（以上各五十粒）。
制作与用法：将上述药物研成细末，用炼蜜制成小豆大小的丸剂。每次服用一丸，用滚开的白水送服，空腹时和睡前各服一次。如果未见效果，每次增加一丸；如果尿道疼痛，说明有虫体排出，仔细观察形状均已死亡。如果疼痛多，减少一丸；如果疼痛少，服用两丸，以病愈为限度。此药是攻毒杀虫的峻猛药剂，除非确切知道脏腑内有虫且精神体力能够承受攻下治疗的人，否则不可轻易服用。
【方歌】皮肤变黑形成乌癞，心惊视物如见毫毛，瘙痒似虫行手足麻痹，红娘子、魁蛤、汞、白矾、蛴螬，蛴螬、桂枝、芒硝、大黄、虻虫、水蛭、穿山甲，黄连、龙骨、麝香、蜘蛛、石膏，川椒、滑石、附子、蜈蚣、巴豆，雪里花、甘遂共配斑蝥。
大黑神膏
配方：头发（鸡蛋大一团）、川芎、黄连、黄柏、防己（去皮）、川乌、升麻、藜芦（以上各五钱）、巴豆、杏仁（以上各十四粒）。
制作与用法：用猪脂油二斤，将药物炸至头发完全化尽为止，捞出药渣；再用雌黄、雄黄、白矾、铅粉各五钱，松脂一块如鸡蛋大小，一同研成细末，加入油内搅拌均匀。先用热盐水洗净患处，然后涂抹药膏，每日三次，切勿让药入口。
【方歌】大黑神膏用于涂抹乌癞，成分包括发、川芎、黄连、黄柏、防己、川乌，雌黄、雄黄、巴豆、白矾、松脂，铅粉、升麻、杏仁、藜芦。
白花蛇散
配方：白花蛇（酒浸，炙）、槐子、天麻、枳壳（麸炒）、蔓荆子、防风、羌活、威灵仙、白鲜皮、晚蚕蛾（去头、足、翅，各一两）、甘草（炙，五钱）。
制作与用法：共同研成细末，每次服用二钱，用温酒调服，不限时间，有时可服两次。
【方歌】白花蛇散适用于身体多热、刺痛声嘶的白癫风，成分包括槐子、天麻、白鲜皮、枳壳、蔓荆子、防风、羌活、威灵仙、甘草、晚蚕蛾。
斑蝥膏
配方：斑蝥（十四枚）、大蝮蛇（头尾齐全的，晒干，一条）。
制作与用法：用黄酒七碗，连同药物放入瓶内，用糠火煨酒至剩一碗，滤去药渣收藏。每次使用时薄薄涂于患处。
【方歌】斑蝥膏搽治白癞风，将蝮蛇和黄酒放入瓶中，用糠火煨酒取汁涂抹患处，以毒攻毒使恶癞自然平复。
苦参酒
配方：苦参（五斤）、露蜂房（五两）、刺蓟皮（酥炙一具）。
制作与用法：共同研成粗末，用水三斗，煎汤至一斗，滤去药渣，浸泡细曲五斤、蒸熟的黍米三斗，按照通常酿酒方法拌和，酒酿成熟后，压榨去糟，每次在饭前，温热饮一小盏。
Wu-Bai Lai (a severe stubborn skin disease, divided into Wu-Lai and Bai-Lai) is caused by the invasion of malignant wind pathogens; touching taboos or suffering injuries can also induce this condition. Its symptoms include numbness and itching penetrating to the bone, yet painless upon needle pricking. Recovery can be achieved by employing methods to dispel wind and nourish blood.
[Note] Both syndromes are formed due to the invasion of malignant wind pathogens between the skin and blood level, causing fire pathogen stagnation and consuming blood, as well as resulting from touching taboos or suffering injuries. They are divided into two types: Wu and Bai. Wu-Lai initially presents with blackening of the skin and hair, rashes resembling urticaria, itching sensation like insects crawling, persistent numbness in hands and feet, insensitivity to needle pricking, blurred vision as if seeing hanging threads, frequent palpitations and delirious speech, and a hissing sound emitted when opening the mouth during eating or speaking. It is suitable to take Pi Wan (Skin Pill), and externally apply Da Hei Shen Gao (Great Black Divine Ointment). Bai-Lai presents with skin gradually turning white, hoarseness, blurred vision, persistent pain in limbs, high fever, frequent mental restlessness and vexation, flaccidity of hands and feet, stiffness and tension of the back and spine, muscle sensation like needle pricks, nasal polyps, and white foam around the pupils. It is suitable to take Bai Hua She San (White Snake Powder), and externally apply Ban Mao Gao (Mylabris Ointment). Both syndromes should frequently drink Ku Shen Jiu (Sophora Root Wine). If Bai-Lai patients suffer from constipation, it is first suitable to take Zui Xian San (Intoxicating Immortal Powder), followed by Tong Tian Zai Zao San (Heaven-Penetrating Rebirth Powder); expelling foul matter brings immediate effect.
Pi Wan (Skin Pill)
Ingredients: Digupi (Cortex Lycii Radicis, burnt until carbonized but retaining nature), Ranshe Tou (Head of Python bivittatus, burnt until carbonized but retaining nature), Kui Ge (Shell of Mercenaria mercenaria, each one piece), Hong Niang Zi (Epicauta hirtella, remove head, legs, wings), Qicao (Larva of Phytodecta olivacea, baked dry), Meng Chong (Blue bottle fly larva, remove head, legs, wings), Shui Zhi (Leech, stir-fried with glutinous rice until cooked), Zhizhu (Spider, baked), Ban Mao (Mylabris phalerata, remove head, legs, wings, three pieces each), Guixin (Cinnamon Twig Heart), Dahuang (Rhubarb Root), Huanglian (Coptis Rhizome), Longgu (Fossilized Mammal Bones, ground), Shexiang (Moschus, ground), Gong (Mercury), Chuanjiao (Sichuan Pepper, stir-fried, five qian each for these), Mangxiao (Mirabilite), Shigao (Gypsum Fibrosum, calcined, one liang each for these), Chuanshanjia (Pangolin Scales, roasted, three slices), Ku Baifan (Alumen Exsiccatum), Huashi (Talcum, ground and washed with water), Gansui (Kansui Root, stir-fried with Sesame Indicum until sesame is cooked, discard sesame, use only Gansui, 2.5 qian each), Wugong (Centipede, roasted, one and a half pieces), Fuzi (Prepared Aconite Lateralis Radix, peeled and de-navelled, two pieces), Badou (Croton Seed, remove shell, membrane, heart, and oil), Leiwan (Omphalia Lapida, fifty grains each for these).
Preparation and Administration: Grind all ingredients into fine powder, mix with refined honey to form pills the size of small beans. Take one pill per dose, swallowed with boiling clear water, once on an empty stomach and once before sleep. If no improvement is felt, increase the dose by one pill; if pain occurs in the urethra, it indicates worms are being expelled; observe closely that they are dead. If pain is severe, reduce the dose by one pill; if pain is mild, take two pills. Continue until cured. This medicine is a potent formula for attacking toxins and eliminating parasites. It should not be taken lightly unless there is certainty of intestinal parasites and the patient's spirit and strength can withstand purgative treatment.
[Fang Ge - Formula Song] Skin turns black forming Wu-Lai, heart startles and vision blurs like seeing hairs, itching like insects crawling causing limb numbness, Hongniangzi, Kui Ge, Mercury, Baifan, Qicao, Qicao, Guixin, Mangxiao, Dahuang, Meng Chong, Shui Zhi, Chuanshanjia, Huanglian, Longgu, Shexiang, Zhizhu, Shigao, Chuanjiao, Huashi, Fuzi, Wugong, Badou, Xueli Hua, Gansui, and Ban Mao together.
Da Hei Shen Gao (Great Black Divine Ointment)
Ingredients: Hair (a ball the size of a chicken egg), Chuanxiong (Ligusticum Chuanxiong Rhizome), Huanglian (Coptis Rhizome), Huangbai (Phellodendron Bark), Fangji (Aristolochia Root, peeled), Chuanwu (Aconitum Carmichaelii Lateralis Radix Preparata), Shengma (Cimicifuga Rhizome), Lilu (Veratrum Nigrum Rhizome, five qian each for these), Badou (Croton Seed), Xingren (Apricot Seed, fourteen grains each for these).
Preparation and Administration: Use two jin of lard, fry the herbs until the hair completely dissolves, then strain out the dregs. Mix Cu Huang (Realgar), Xiong Huang (Orpiment), Baifan (Alumen), Qianfen (Lead Carbonate) each five qian, and a piece of Songzhi (Rosin) the size of a chicken egg into fine powder. Add to the oil and stir evenly. First wash the affected area with hot salt water, then apply the ointment, three times a day. Do not allow ingestion.
[Fang Ge - Formula Song] Da Hei Shen Gao applied for Wu-Lai, contains Hair, Chuanxiong, Huanglian, Huangbai, Fangji, Chuanwu, Cu Huang, Xiong Huang, Badou, Baifan, Songzhi, Qianfen, Shengma, Xingren, Lilu.
Bai Hua She San (White Snake Powder)
Ingredients: Baihua She (Deinagkistrodon Acutus, soaked in wine, roasted), Huaizi (Styphnolobium Seed), Tianma (Gastrodia Rhizome), Zhike (Bitter Orange, stir-fried with bran), Manjingzi (Vijaya Fruit), Fangfeng (Saposhnikovia Root), Qianghuo (Notopterygium Rhizome), Weilingxian (Salvia Miltiorrhiza Root? Note: Usually Cibaomao/Siegesbeckia Herba in this context, but literal translation of name is Spirit Grass), Baixianpi (Dictamnus Root Bark), Wancang E (Silkworm Moth, remove head, legs, wings, one liang each), Gancao (Licorice Root, roasted, five qian).
Preparation and Administration: Grind together into fine powder. Take two qian per dose, mixed with warm wine, at any time, sometimes taking two doses.
[Fang Ge - Formula Song] Bai Hua She San treats body heat, stabbing pain, hoarse voice, and Bai-Dian Feng, contains Huaizi, Tianma, Baixianpi, Zhike, Manjingzi, Fangfeng, Qianghuo, Weilingxian, Gancao, Wancang E.
Ban Mao Gao (Mylabris Ointment)
Ingredients: Ban Mao (Mylabris phalerata, fourteen pieces), Dafushe (Large Viper, whole head and tail, sun-dried, one piece).
Preparation and Administration: Place seven bowls of yellow wine with the herbs in a bottle. Simmer over chaff fire until reduced to one bowl. Strain out dregs and store. Apply thinly to the affected area each time.
[Fang Ge - Formula Song] Ban Mao Gao rubbed for Bai-Lai Feng, put Vipera and yellow wine in a bottle, simmer wine with chaff to apply to lesions, using poison to attack evil leprosy will naturally subside.
Ku Shen Jiu (Sophora Root Wine)
Ingredients: Kushen (Sophora Flavescens Root, five jin), Lufengfang (Honeycomb, five liang), Ciji Pi (Bark of Aristolochia Contorta? Or similar thorny plant bark, prepared with butter/oil, one set).
Preparation and Administration: Grind into coarse powder. Use three dou of water, decoct until reduced to one dou. Strain dregs. Soak five jin of Qu (fermentation starter) and three dou of steamed millet. Mix according to normal brewing methods. When wine is ready, press out the lees. Drink a small cup warm before meals.
[Fang Ge - Formula Song] Ku Shen Jiu treats Wu-Bai Lai, contains Lufengfang and Ciji Pi, decoct soup to soak Qu and steam millet, brew wine and drink to distance evil diseases.
Zui Xian San (Intoxicating Immortal Powder) and Tong Tian Zai Zao San (Heaven-Penetrating Rebirth Powder) (Both seen in the section on Leprosy/Ma Feng)