（男妇同治）
脚发之症，属足三阴经精血亏损，或足三阳经湿热下注。若色赤肿痛而溃脓者，属湿热
下注，
渴，小便淋漓者，阴败未传恶症也，为不治。其法∶湿热下注者，先用隔蒜灸、活命饮以解
壅毒，次服益气汤、六味丸，以补精气。若色黯不痛者，着肉灸、桑枝灸，以行壅滞助阳气
，更用十全大补汤、八味丸，壮脾胃，滋化源，多有复生者。若专治其疮，复伤生气，吾未
治验
阁老靳介庵，脚趾缝作痒，出水肿 ，脚面敷止痒之药不应，服除湿之剂益甚。余以
为阴虚湿热下注，用六味地黄丸、补中益气汤而愈。
大参李北溪，左脚赤肿作痛，此足三阳经湿热下注。先用隔蒜灸、活命饮一剂，其痛顿
止，灸患处出水，赤肿顿消；次用托里消毒散四剂，灸患处，出脓而愈。
儒者杨举元患此。微肿痛微赤 ，此足三阴经阴虚湿热下注。用隔蒜灸、托里散而起发
，用十全大补汤而脓成，又与加减八味丸，百剂而敛。
一儒者患此，肿硬色白，两月余矣。此足三阴经亏损，为外寒所侵，用大防风汤，及十
全大
土虚寒，而命门火不能相生。用八味丸、益气汤，百余剂。喜其年壮得愈。
一男子脚心发热，作渴引饮。或用四物、连、柏、芩、知母之类，腹痛作呕，烦热大渴
，此
半夏，而脾胃健，乃以加减八味丸，兼服半载而愈。
一儒者脚心发热，作痒，以滚汤浸溃，溃而出水，肌体骨立，作渴吐痰，此脾肾虚而水
泛为痰也。服益气汤、六味丸，年余元气复而诸症愈。
少宗伯顾东江，面黧作渴。余曰∶此肾经亏损，当滋化源，以杜后患。彼虽然之，而终
不服。
，数日而消，疮色仍黯。时公将北行贺万寿。余诊之曰∶脾脉衰惫，阳气虚极，不宜远行。
公曰∶余得梦屡验，向梦群仙待我，此寿征也。至河间驿聚仙堂，病笃。叹曰∶立斋岂能留
我。果卒于此，亦异数也。
（男女同治）
脚发这一病症，属于足三阴经精血亏损，或者是足三阳经湿热下注。如果患处颜色红赤、肿胀疼痛并且溃破流脓的，属于湿热下注；若伴有口渴、小便淋漓不尽的症状，说明阴气败坏且未转化为恶症，这属于不治之症。其治疗方法：对于湿热下注者，先用隔蒜灸和活命饮来解除壅滞毒邪，随后服用益气汤和六味丸，以补益精气。如果患处颜色暗紫且不痛的，采用着肉灸和桑枝灸，以疏通壅滞、助长阳气，更配合使用十全大补汤和八味丸，以壮健脾胃、滋生化之源，大多能痊愈。如果只专注于治疗疮疡，反而损伤了生机，我未曾见过有效的案例。
阁老靳介庵，脚趾缝瘙痒，出现水肿，脚面敷用止痒药物无效，服用除湿药剂后症状加重。我认为这是阴虚导致湿热下注，使用六味地黄丸和补中益气汤而治愈。
大参李北溪，左脚红赤肿胀疼痛，这是足三阳经湿热下注。先用隔蒜灸和活命饮一剂，疼痛立刻停止，灸患处流出水液，红赤肿胀立刻消退；随后用托里消毒散四剂，并灸患处，排出脓液后痊愈。
儒者杨举元患此病。轻微肿痛微红，这是足三阴经阴虚湿热下注。用隔蒜灸和托里散使疮势起发，用十全大补汤使脓液形成，又给予加减八味丸，服用一百剂后疮口收敛。
一位儒者患此病，肿胀坚硬颜色发白，已两个多月了。这是足三阴经亏损，被外寒侵袭，使用大防风汤及十全大补汤。因脾土虚寒，命门之火不能相生。使用八味丸和益气汤，服用百余剂。庆幸他年纪轻壮得以痊愈。
一名男子脚心发热，口渴想喝水。有人用四物汤以及黄连、黄柏、黄芩、知母之类药物，导致腹痛呕吐，烦热大渴，这是脾胃受损。改用半夏等药，脾胃功能恢复健康，再以加减八味丸兼服半年而愈。
一位儒者脚心发热，瘙痒，用滚水泡洗导致溃烂出水，身体消瘦如骨立，口渴吐痰，这是脾肾虚衰而水湿泛滥化为痰饮。服用益气汤和六味丸，一年多后元气恢复，各种症状痊愈。
少宗伯顾东江，面色黧黑且口渴。我说：这是肾经亏损，应当滋生化源，以杜绝后患。他虽然口头答应，但最终没有服药。后来疮疡数日消散，但疮色仍然暗紫。当时公即将北上祝贺万寿节。我诊察他说：脾脉衰惫，阳气极度虚弱，不宜远行。公说：我的梦屡次应验，以前梦见群仙等待我，这是长寿的征兆。到了河间驿聚仙堂，病情危重。感叹道：立斋怎么能留住我。果然死在这里，也是奇异的定数。
(To be treated for both men and women)
The condition of "Jiao Fa" (Foot Erysipelas/Cellulitis) belongs to the deficiency of essence and blood in the three Yin meridians of the foot, or the downward pouring of damp-heat in the three Yang meridians of the foot. If the affected area is red, swollen, painful, and suppurates, it belongs to the downward pouring of damp-heat. If accompanied by thirst and dribbling urination, it indicates the failure of Yin Qi without transforming into a malignant syndrome, which is incurable. The treatment method: For those with downward pouring of damp-heat, first apply Garlic-Separated Moxibustion (Ge Suan Jiu) and Huoming Yin (Decoction for Saving Lives) to resolve the stagnation and toxicity, then administer Yiqi Tang (Qi-Nourishing Decoction) and Liuwei Wan (Six-Ingredient Pill), to tonify essence and Qi. If the affected area is dark purple and painless, apply Moxibustion Directly on Flesh (Zhuo Rou Jiu) and Mulberry Branch Moxibustion (Sang Zhi Jiu) to promote circulation of stagnation and assist Yang Qi, further using Shiquan Dabu Tang (Ten-Ingredient Great Tonifying Decoction) and Bawei Wan (Eight-Ingredient Pill) to strengthen the Spleen and Stomach and nourish the source of transformation; many recover. If one only treats the sore while neglecting the vital energy, damaging the life-generating force, I have never seen effective cases.
Grand Secretary Jin Jian'an had itching between his toes with edema. Applying anti-itch medicine on the dorsum of the foot was ineffective, and taking damp-draining agents worsened the symptoms. I considered this to be downward pouring of damp-heat due to Yin deficiency, and cured him with Liuhuang Dihuang Wan (Rehmannia Six Pill) and Buzhong Yiqi Tang (Middle-Boosting Qi-Nourishing Decoction).
Censor-in-Chief Li Beixi had redness, swelling, and pain in the left foot, indicating downward pouring of damp-heat in the three Yang meridians of the foot. First, he received Garlic-Separated Moxibustion and one dose of Huoming Yin (Decoction for Saving Lives); the pain ceased immediately, and fluid exuded from the moxibusted area, causing the redness and swelling to vanish instantly. Subsequently, four doses of Tuoli Xiaodu San (Interior-Supporting Detoxifying Powder) were administered along with local moxibustion, leading to suppuration and recovery.
Confucian scholar Yang Juyuan suffered from this. With slight swelling, pain, and faint redness, it indicated downward pouring of damp-heat due to Yin deficiency in the three Yin meridians of the foot. He used Garlic-Separated Moxibustion and Tuoli San (Interior-Supporting Powder) to raise the lesion, Shiquan Dabu Tang (Ten-Ingredient Great Tonifying Decoction) to form pus, and Jiabian Bawei Wan (Modified Eight-Ingredient Pill), taking 100 doses until the wound healed.
A Confucian scholar suffered from this, with hard swelling and white coloration for over two months. This was due to deficiency of the three Yin meridians of the foot invaded by external cold. He used Dafangfeng Tang (Great Wind-Expelling Decoction) and Shiquan Dabu Tang (Ten-Ingredient Great Tonifying Decoction). Due to deficiency-cold of the Spleen Earth, the Fire of the Gate of Vitality could not generate support. He used Bawei Wan (Eight-Ingredient Pill) and Yiqi Tang (Qi-Nourishing Decoction), taking over 100 doses. Fortunately, being young and strong, he recovered.
A man had heat in the soles of his feet and thirst with desire to drink. Others used Siwu Tang (Four-Substance Decoction) along with Huanglian (Coptis Rhizome), Huangbai (Phellodendron Bark), Huangqin (Scutellaria Root), and Zhimu (Anemarrhenae Rhizoma), resulting in abdominal pain, vomiting, irritability, severe heat, and extreme thirst. This damaged the Spleen and Stomach. [The text implies switching to] Banxia (Pinelliae Rhizoma), after which the Spleen and Stomach functioned healthily. Then, Jiabian Bawei Wan (Modified Eight-Ingredient Pill) was taken concurrently for half a year, leading to recovery.
A Confucian scholar had heat in the soles of his feet and itching. Soaking them in boiling water caused ulceration and weeping, leading to emaciation where muscles wasted away leaving bones visible, accompanied by thirst and expectoration of phlegm. This indicated deficiency of the Spleen and Kidney with water flooding and transforming into phlegm. He took Yiqi Tang (Qi-Nourishing Decoction) and Liuwei Wan (Six-Ingredient Pill); after more than a year, his Yuan Qi (Original Qi) recovered and all symptoms subsided.
Vice Minister Gu Dongjiang had a sallow complexion and thirst. I said: This is deficiency of the Kidney Meridian; one should nourish the source of transformation to prevent future complications. Although he agreed verbally, he ultimately did not take the medicine. [Later], the sore dissipated after several days, but the color remained dark. At that time, the Duke was about to travel north to celebrate the Emperor's birthday. I diagnosed him and said: The Spleen pulse is weak and exhausted, and Yang Qi is extremely deficient; long-distance travel is inadvisable. The Duke said: My dreams have often come true; previously I dreamed of immortals waiting for me, which is a sign of longevity. Arriving at the Juxiantang Inn in Hejian Post Station, his illness became critical. He sighed: Could Lizhai really keep me alive? He indeed passed away there, which was also an unusual destiny.