疣属肝胆少阳经风热血燥，或怒动肝火，或肝客淫气所致。盖肝热水涸，肾气不荣，故
精亡而筋挛也。宜以地黄丸滋肾水，以生肝血为善。若用蛛丝缠、螳螂蚀、 艾灸，必多致误。
大抵此症，与血燥结核相同，故外用腐蚀等法，内服燥血消毒，则精血愈虚，肝筋受伤，疮
口翻突开张，卒成败症。
治验
府庠朱宏仁，年二十，右手背近中指患五疣，中一大者如黄豆，余皆如聚黍，拔之如丝
，长三四寸许。此血燥筋缩，用清肝益荣汤，五十余剂而愈。
府庠沈妪文，幼啮指甲，及长不能自禁。余曰∶此肝火血燥也。又颈侧常生小疣子，屡
散屡发。又臂生一块，如绿豆大，若触碎，如断束缕，扯之则长，缩之则缩，后两鬓发白点，求
治。余曰∶子素肝病，此病亦属肝胆经也。夫爪为筋
之余，胆行人生之侧，正与啮爪生KT 等
生肝胆，则诸病自愈矣。乃与六味地黄丸，服之二年，白点自退，
一男子脸患疣，初如赤椹，杂用敷贴之药，翻张如菌。又用腐蚀， 大如瘤。此足三阴
经虚证悉具，治以补脾肺生肝肾等剂而寻愈。
一男子小腹中一块，不时攻痛，或用行气化痰等药，不应。尤以为血鳖，服行气逐血之
剂，后手背结一KT 子，渐长寸许，形如鳖状，肢节间如豆大者甚多。彼泥鳖生子发于外，亦用行
血，虚症悉至，左尺洪数，关洪数弦。余以为肾水不能生肝木，以致肝火血燥而筋挛。用
六味地黄丸，生肾水，滋肝血，三月余，诸症悉愈。
一男子因劳役过度，面色青黑，发热咳嗽，面生疣子，腹内一块，攻上攻下作痛，小便
秘涩，服消克之药愈甚。察其脉左右关俱弦洪，元气弱甚，此肝脾受病而筋挛也。投以加味逍遥
散合地黄丸料，元气遂复。若误以为血鳖之类消之，必致不起。
一男子素膏粱醇酒，先便血便结，惊悸少寐，后肛门周生小颗如疣子，如鼠乳大小不一
。
数，按之而弱。余以为足三阴经血虚火炽，法当滋化源。彼不信，别服四物、黄柏、知母之类
，诸症蜂起，此胃气复伤，各经俱病也。可先用补中益气汤三十余剂，诸症渐愈；乃朝用前
汤，夕用八珍汤，又各五十余剂，诸症寻愈；于是夕改用六味丸加五味子，又半载，诸症悉
一妇人左手背并次指，患五六枚如熟椹，内热晡热，月经素不按期。余曰∶此因肝脾血
虚而
胁项及胸乳间皆患疣，经行无期。余用加味逍遥散，少加炒黑黄连数剂渐愈，乃去黄连，更
佐以归脾汤，各患渐愈，又百余剂，经行如期，再用地黄丸，三料而痊。
一妇人小腹内一块，或时上攻，或时下坠，寒热胸痞，小便淋漓。或用行气化痰等剂，
前症愈甚，月经两月余而一行。或以为内有肉鳖啖饮其血而经不行，服驱逐之剂，下血甚多。两
手背结一疣，如大豆许，两月渐长寸许。又两月余，又患数枚，疑以鳖子行于外，仍行驱逐
，两耳下各患肿，又疑为疮毒。余曰∶此属肝火血燥也。用加味逍遥散、加味归脾二药兼服
，佐以六味丸，三月余而愈。
一妇人患之，用蛛丝缠、芫花线、螳螂啖毒药蚀、着艾灸、大溃肿痛，发热出血。余曰
∶此阴血虚也。不信，仍服降火之药而殁。
疣属于肝胆少阳经的风热血燥，或因发怒触动肝火，或因肝受淫邪之气所致。大概是因为肝热导致肾水枯竭，肾气不能滋养，所以出现精亏和筋脉拘挛的症状。适宜用六味地黄丸滋补肾水，以生化肝血为最佳治疗方法。如果使用蛛丝缠绕、螳螂腐蚀或艾灸等方法，必定会导致误治。
大体上这种病症，与血燥引起的结核相似，因此如果外用腐蚀类药物，内服燥血消毒的药物，会使精血更加虚弱，损伤肝筋，导致疮口翻突张开，最终必然演变为败症（难治之症）。
治疗案例：
府庠生员朱宏仁，二十岁，右手背靠近中指处长了五个疣，其中较大的一个像黄豆大小，其余的像聚集的黍米，拔除时像抽丝一样，长达三四寸左右。这是血燥筋缩的表现，使用清肝益荣汤，服用五十多剂后痊愈。
府庠生员沈妪文，小时候咬指甲，长大后无法自我控制。我说：这是肝火血燥的表现。他又常在颈侧长出小疣子，屡次消散又屡次复发。手臂上还长了一块，像绿豆大小，如果触碰破碎，像断开的丝缕，拉扯则伸长，放松则缩短，后来两鬓出现白发点，前来求治。我说：你素来有肝病，这些病也属于肝胆经。爪甲是筋的余气，胆经行走在人体侧面，正与咬指甲、生疣等情况相应。只要调理好肝胆，各种疾病自然痊愈。于是给予六味地黄丸，服用两年，白发点自然消退。
一男子脸上患疣，起初像红色的桑葚，杂用敷贴药物后，疮口翻张如菌状。又用腐蚀法治疗，变得像瘤一样大。此患者足三阴经虚证全部具备，治疗采用补脾肺、生肝肾等方剂，不久便痊愈。
一男子小腹中有一块肿块，不时攻痛，使用行气化痰等药无效。他自认为是血鳖，服用行气逐血的药剂，后来手背结了一个疣子，逐渐长到一寸左右，形状像鳖，肢体关节间有很多像豆子大小的结节。他固执地认为鳖子生于外部，也使用行血方法，导致虚证全部显现，左尺脉洪数，关脉洪数而弦。我认为这是肾水不能生肝木，导致肝火血燥而筋脉拘挛。使用六味地黄丸，滋补肾水生肝血，三个月多后，所有症状全部痊愈。
一男子因过度劳累，面色青黑，发热咳嗽，面部生疣，腹内有肿块，上下攻痛，小便秘涩，服用消克药物后病情加重。诊察其脉象左右关部均弦洪，元气非常虚弱，这是肝脾受病导致筋脉拘挛。投予加味逍遥散合地黄丸料，元气随即恢复。如果误以为是血鳖之类而用消法，必定导致死亡。
一男子素来饮食膏粱醇酒，先出现便血、大便干结，惊悸失眠，后来肛门周围生出小颗粒如疣子，大小不一如鼠乳。脉象数而按之无力。我认为这是足三阴经血虚火旺，治法应当滋生化之源。他不相信，另外服用四物汤、黄柏、知母等药物，各种症状蜂拥而起，这是胃气再次受伤，各经都患病了。可以先用补中益气汤三十多剂，各种症状逐渐好转；然后早晨服用前一方，晚上服用八珍汤，又各五十多剂，各种症状很快痊愈；于是晚上改用六味丸加五味子，又半年，所有症状全部痊愈。
一妇人左手背及次指，患五六枚如熟桑葚大小的疣，伴有内热、傍晚发热，月经素来不按期。我说：这是因为肝脾血虚导致胁部、颈部及胸乳间皆患疣，经期无规律。我使用加味逍遥散，少量加入炒黑的黄连，几剂后逐渐好转，然后去掉黄连，更佐以归脾汤，各个患处逐渐好转，又一百多剂，月经如期而至，再用地黄丸，三料后痊愈。
一妇人小腹内有一块肿块，有时向上攻冲，有时向下坠胀，伴有寒热、胸脘痞闷，小便淋漓不尽。使用行气化痰等剂，前症反而加重，月经两个多月才来一次。有人认为是内有肉鳖吸食血液导致经血不行，服用驱逐药剂，导致下血很多。两手背结成一个疣，像大豆大小，两个月逐渐长到一寸左右。又两个月多，又患数个，怀疑是鳖子行于外部，仍然使用驱逐法，两耳下各患肿胀，又怀疑是疮毒。我说：这属于肝火血燥。使用加味逍遥散、加味归脾汤两种药物兼服，佐以六味地黄丸，三个多月后痊愈。
一妇人患此病，使用蛛丝缠绕、芫花线、螳螂啖毒药腐蚀、艾灸等方法，导致大溃肿痛，发热出血。我说：这是阴血虚损。她不相信，仍然服用降火药物而死。
Warts are attributed to wind-heat and blood dryness in the Liver, Gallbladder, and Shaoyang meridians, or caused by anger stirring up Liver fire, or by the Liver being invaded by excessive pathogenic factors. Generally, Liver heat dries up Kidney water, and Kidney Qi fails to nourish, resulting in essence depletion and tendon spasms. It is advisable to use Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) to nourish Kidney water and generate Liver blood. If methods such as wrapping with spider silk, erosion with mantis, or moxibustion are used, errors are highly likely.
Generally, this condition is similar to tubercles caused by blood dryness. Therefore, if corrosive agents are applied externally and blood-drying detoxifying herbs are taken internally, essence and blood will become increasingly deficient, Liver tendons will be damaged, and the wound edges will evert and open, inevitably leading to a fatal outcome.
Treatment Cases:
Zhu Hongren, a student at the Prefectural Academy, aged twenty, had five warts on the back of his right hand near the middle finger. The largest one was like a soybean, while the others were clustered like millet grains. When pulled, they resembled threads, extending three to four cun in length. This indicated blood dryness and tendon contraction. He was treated with Qinggan Yirong Tang (Liver-Clearing and Nourishing Decoction), taking more than fifty doses before recovering.
Shen Yuwen, a female student at the Prefectural Academy, had bitten her nails since childhood and could not stop as she grew older. I stated: This is due to Liver fire and blood dryness. She also frequently developed small warts on the side of her neck, which would dissipate but recur repeatedly. Additionally, she had a lump on her arm, about the size of a mung bean; if crushed upon touch, it resembled broken threads, elongating when pulled and shrinking when relaxed. Later, white spots appeared in her temples, and she sought treatment. I said: You have a history of Liver disease, and these conditions also belong to the Liver and Gallbladder meridians. Nails are the surplus of tendons, and the Gallbladder meridian runs along the sides of the body, corresponding to nail-biting and wart formation. By regulating the Liver and Gallbladder, all diseases will heal naturally. Thus, Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) was prescribed, taken for two years, after which the white spots faded spontaneously.
A man suffered from warts on his face, initially resembling red mulberries. After using various topical applications, the lesions everted and mushroomed. Subsequent use of corrosive agents caused them to enlarge into tumors. This patient exhibited complete deficiency patterns of the Foot Three Yin meridians. Treatment involved formulas that tonify Spleen and Lung to generate Liver and Kidney functions, leading to recovery shortly thereafter.
A man had a mass in his lower abdomen causing intermittent attacking pain. Treatments with qi-moving and phlegm-resolving herbs were ineffective. He believed it was a "blood leech" and took formulas to move qi and purge blood. Later, a wart formed on the back of his hand, growing to about one cun, shaped like a leech. Many bean-sized nodules appeared between his joints. Clinging to the idea that leeches manifest externally, he continued blood-moving treatments, exacerbating deficiency symptoms. His Left Chi pulse was flooding and rapid, and Guan was flooding, rapid, and wiry. I diagnosed this as Kidney water failing to nourish Liver wood, leading to Liver fire, blood dryness, and tendon spasms. Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) was used to nourish Kidney water and moisten Liver blood. After more than three months, all symptoms resolved.
A man, due to excessive physical labor, presented with a cyan-black complexion, fever, cough, facial warts, an abdominal mass causing moving pain, and constipation. Symptoms worsened after taking draining and reducing herbs. Pulse examination showed wiry and flooding pulses at both Guan positions, indicating severe Yuan Qi deficiency. This was Liver and Spleen pathology causing tendon spasms. Jiawei Xiaoyao San (Modified Free Wanderer Powder) combined with Dihuang Wan ingredients was administered, restoring Yuan Qi. Had it been mistaken for a blood leech and treated with draining methods, it would likely have been fatal.
A man, accustomed to rich foods and alcohol, first experienced hematochezia and constipation, followed by palpitations and insomnia. Later, small wart-like particles of varying sizes appeared around his anus. The pulse was rapid but weak upon pressure. I diagnosed this as Blood deficiency and blazing fire in the Foot Three Yin meridians, requiring nourishment of the source of transformation. Disbelieving this, he took Siwu Tang (Four Substance Decoction), Huangbai (Phellodendron Bark), and Zhimu (Anemarrhena Rhizome). Various symptoms erupted, indicating further damage to Stomach Qi and involvement of multiple meridians. Initially, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) was given for over thirty doses, gradually improving symptoms. Then, morning doses of the former formula and evening doses of Bazhen Tang (Eight Treasure Decoction) were taken for another fifty-plus doses each, leading to quick recovery. Finally, Liujunzi Wan (Six-Gentleman Pill) plus Wuweizi (Schisandra Fruit) was taken at night for half a year, resolving all symptoms.
A woman had five or six warts on the back of her left hand and fourth finger, resembling ripe mulberries. She suffered from internal heat, afternoon fever, and irregular menstruation. I stated: This is due to Liver and Spleen Blood deficiency causing warts in the hypochondrium, neck, chest, and breast areas, with irregular cycles. Jiawei Xiaoyao San (Modified Free Wanderer Powder) was used, with a small amount of stir-fried black Huanglian (Coptis Rhizome) added for several doses until improvement. Huanglian was then removed, and Guipi Tang (Restore the Spleen Decoction) was added. Gradual improvement occurred over 100+ doses, restoring regular menstruation. Finally, Dihuang Wan (Rehmannia Pill) was taken for three batches, leading to full recovery.
A woman had a mass in her lower abdomen, sometimes ascending or descending, accompanied by alternating chills and fever, chest stuffiness, and dribbling urination. Qi-moving and phlegm-resolving formulas worsened symptoms, resulting in menstruation occurring only once every two months. Some suspected an internal "meat leech" consuming blood, so purgative formulas were taken, causing heavy bleeding. A wart like a soybean formed on the back of each hand, growing to one cun over two months. More warts appeared later. Suspecting external leeches, she continued purging. Swelling appeared below both ears, suspected as toxic sores. I diagnosed this as Liver fire and blood dryness. Jiawei Xiaoyao San (Modified Free Wanderer Powder) and Jiawei Guipi Tang (Modified Restore the Spleen Decoction) were taken concurrently, supplemented by Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill), resolving the condition in over three months.
A woman suffering from this condition used spider silk wrapping, Yuanhua (Genkwa Flower) thread, mantis-derived toxic erosives, and moxibustion, resulting in large ulcers, swelling, pain, fever, and hemorrhage. I stated: This is Yin Blood deficiency. Disbelieving this, she continued taking fire-descending herbs and died.