（有从咽喉患起者见咽喉）
湿胜者。宜先导湿。 表实者。宜先解表。
里实者。宜先疏里。 表里若俱实。解表攻里。
表虚者。补气。 里虚者。补血。 表里俱虚者。补气血。
一人遍身皆患。左手脉数。以荆防败毒散。（七）表症乃退。以仙方活命饮。（六一）六剂
疮渐愈。兼萆 汤。（二百四五）月余而痊。
一妇 痛发热。便秘。作渴。脉沉实。以内疏黄连汤（三）二剂。里症已退。以龙胆泻肝
汤（六七）数剂。疮毒顿退。间服萆 汤。（二百四五）月余而痊。（此凭症脉治也。）
一人下部生疳。诸药不应。延及遍身。突肿。状如翻花。筋挛骨痛。至夜尤甚。此肝肾
湿热所致。先以导水丸（二百四八）进五服。次以龙胆泻肝汤（六七）数剂。再与除湿健脾之药
。外贴神异膏吸其脓。隔蒜灸。拔其毒而愈。（此凭症也。）
若表实者。以荆防败毒散。（七）里实者。以内疏黄连汤。（三）表里俱实者。防风通圣散
（六）气虚者四君子。（六三）血虚者四物。仍加兼症之药。并愈。 若服轻粉等药。反收毒于
内。以致迭发。概服防风通圣。则气血愈虚。因而不治者多矣。
一人患之。发寒热。作渴。便秘。两手脉实。用防风通圣散（六）而退。以荆防败毒散。
（七）兼龙胆泻肝汤（六七）而痊。（此凭症也。）
一人患之肿痛。先以龙胆泻肝汤、（六七）导水丸各四剂少愈。再以小柴胡加黄柏、苍术
五十余剂而平。（此凭症也。）
一人玉茎肿溃。小便赤色。肝脉弦数。以小柴胡加木通、青皮、龙胆草四剂。又龙胆泻
肝汤（六七）数剂而痊。（此凭脉症也。）
一童玉茎患之。延及小腹数枚。作痛发热。以小柴胡汤（五）吞芦荟丸。更贴神异膏。月
余而痊。（此凭症也。）
一人愈后。腿肿一块。久而溃烂不敛。以蒜捣烂敷患处。以艾灸其上。更贴神异膏。及
服黑丸子。并托里药。两月而愈。（此凭症也。）
一妇燃轻粉药。于被中熏之。致遍身皮塌。脓水淋漓。不能起居。以滑石、黄柏为末。
绿豆粉等分补席上。令可卧。更以金银花散。月余而痊。（此凭症也。）
一人皆愈。但背肿一块甚硬。肉色不变。年余方溃出水。三载不愈。气血俱虚。饮食少
思。以六君子汤（二）加当归、藿香三十余剂。更饮萆 汤。两月余而痊。（此凭症也。）
一人患之势炽。兼脾胃气血皆虚。亦服前药而瘥。
一妇患之皆愈。惟两腿两 。各烂一块如掌。兼筋挛骨痛。三载不愈。诸药不应。日晡
。饮食少思。以萆 汤兼逍遥散。倍用白术、茯苓。数剂。热止食进。贴神异膏。更服八珍
汤（十四）加牛膝、杜仲、木瓜三十余剂而痊。（此凭症也。）
又捷法。治杨梅疮不问新旧。并效。不过旬日。每日用胆矾、白矾末。并水银各三钱五
入香油、津吐各少许。和匀。坐无风处。取药少许。涂两脚心。以两手心对两脚心擦磨良久
。再涂药少许。仍前再擦。用药尽。即卧。汗出或大便去垢。口出秽涎为验。连擦三日。煎
通圣散（六）澡洗。更服内疏黄连汤败毒散。愈后服萆 汤。有热加芩、连。气虚参、 。血
虚四物之类。
一人杨梅疮后。两腿一臂。各溃二寸许。一穴脓水淋漓。少食不睡。久而不愈。以八珍
茯神、酸枣仁服。每日以蒜捣烂涂患处。灸良久。随贴膏药。数日少可。却用豆豉灸。更服
十全大补汤（十三）而愈。（此凭症也。）
凡有肿硬。或作痛。亦用蒜灸。及敷中和膏。内服补药。并效。
（有的患者从咽喉部位开始发病，可见咽喉症状）
湿邪偏盛的患者，应当先采用利湿的方法治疗。
表证实证的患者，应当先采用解表的方法治疗。
里证实证的患者，应当先采用疏通里的方法治疗。
如果表证和里证都是实证，则需同时解表和攻下里实。
表证虚证的患者，应当补气。
里证虚证的患者，应当补血。
表证和里证都虚的患者，应当补益气血。
有一位患者全身都患病，左手脉象数疾，使用荆防败毒散（方剂七），表证于是消退。随后使用仙方活命饮（方剂六一）服用六剂，疮疡逐渐痊愈，兼服萆薢汤（方剂二百四五），月余后康复。
有一位妇女患处疼痛、发热、便秘、口渴，脉象沉实，使用内疏黄连汤（方剂三）服用两剂，里证已退。随后使用龙胆泻肝汤（方剂六七）服用数剂，疮毒顿时消退，间或服用萆薢汤（方剂二百四五），月余后康复。（这是根据症状和脉象进行治疗的。）
有一位患者下部生疳疮，各种药物无效，蔓延至全身，突起肿胀，形状像翻花一样，筋脉拘挛、骨骼疼痛，到了夜晚尤其严重。这是肝肾湿热所致。先用导水丸（方剂二百四八）进服五剂，再用龙胆泻肝汤（方剂六七）服用数剂，接着给予除湿健脾的药物。外用神异膏贴敷以吸出脓液，隔蒜灸法，拔除毒气而痊愈。（这是根据症状进行治疗的。）
如果是表实证，用荆防败毒散（方剂七）；里实证，用内疏黄连汤（方剂三）；表里俱实证，用防风通圣散（方剂六）；气虚者用四君子汤（方剂六三）；血虚者用四物汤。仍然加入针对兼症的药物，一并治愈。如果服用轻粉等药物，反而将毒气收敛于体内，导致病情反复，一概服用防风通圣散，则会使气血更加虚弱，因此不治而死者很多。
有一位患者患病，出现寒热往来、口渴、便秘，两手脉象实大，使用防风通圣散（方剂六）使症状消退。随后使用荆防败毒散（方剂七）兼服龙胆泻肝汤（方剂六七）而痊愈。（这是根据症状进行治疗的。）
有一位患者患病处肿痛，先用龙胆泻肝汤（方剂六七）、导水丸各四剂，症状稍减。再用小柴胡汤加黄柏、苍术五十余剂而平复。（这是根据症状进行治疗的。）
有一位患者阴茎肿胀溃烂，小便颜色赤红，肝脉弦数，用小柴胡汤加木通、青皮、龙胆草四剂。又服龙胆泻肝汤（方剂六七）数剂而痊愈。（这是根据脉象和症状进行治疗的。）
有一位儿童阴茎患病，蔓延至小腹几处，疼痛发热，用小柴胡汤（方剂五）吞服芦荟丸，再贴敷神异膏，月余后痊愈。（这是根据症状进行治疗的。）
有一位患者病愈后，腿部肿起一块，久而溃烂不愈合。将大蒜捣烂敷在患处，用艾条灸其上，再贴敷神异膏，并服用黑丸子及托里药，两个月后痊愈。（这是根据症状进行治疗的。）
有一位妇女点燃轻粉药，在被窝中熏蒸，导致全身皮肤塌陷，脓水淋漓，无法起床活动。将滑石、黄柏研为粉末，与绿豆粉按相等比例铺在席子上，让她可以躺卧。再用金银花散治疗，月余后痊愈。（这是根据症状进行治疗的。）
有一位患者全身都好了，但背部肿起一块非常硬，肤色不变，一年多才溃破出水，三年未愈，气血俱虚，饮食减少思虑，使用六君子汤（方剂二）加当归、藿香三十余剂，再饮用萆薢汤，两个多月后痊愈。（这是根据症状进行治疗的。）
有一位患者患病势态猛烈，兼有脾胃气血皆虚，也服用前面的药物而病愈。
有一位妇女患病全身都好了，只有双腿两胯部，各有一块如手掌大小溃烂，兼有筋脉拘挛、骨骼疼痛，三年未愈，各种药物无效，傍晚时分，饮食减少思虑，使用萆薢汤兼服逍遥散，加倍使用白术、茯苓，数剂后，热止食进，贴敷神异膏，再服用八珍汤（方剂十四）加牛膝、杜仲、木瓜三十余剂而痊愈。（这是根据症状进行治疗的。）
又有简便之法，治疗杨梅疮不分新旧，都有效。不过十天，每天用胆矾、白矾末，以及水银各三钱五分，入香油、唾液少许，调和均匀。坐在无风处，取少量药物，涂在两脚心，用两手心对两脚心摩擦良久，再涂少量药物，仍按前法再擦。用药尽后，即卧床，出汗或大便排出污垢，口出秽浊涎沫为见效标志。连续擦拭三天，煎煮防风通圣散洗澡，再服用内疏黄连汤、败毒散。痊愈后服用萆薢汤，有热加黄芩、黄连，气虚加人参、黄芪，血虚用四物汤之类。
有一位患者杨梅疮后，双腿一臂，各溃烂约二寸，一个穴位脓水淋漓，少食不睡，久而不愈。使用八珍汤加茯神、酸枣仁服用，每日将大蒜捣烂涂在患处，灸治良久，随即贴膏药，数日后稍好，却改用豆豉灸，再服用十全大补汤（方剂十三）而痊愈。（这是根据症状进行治疗的。）
(For those whose disease originates in the throat, symptoms in the throat may be observed.)
In cases where dampness is predominant, it is appropriate to first promote the draining of dampness.
In cases of excess syndrome at the exterior, it is appropriate to first release the exterior.
In cases of excess syndrome at the interior, it is appropriate to first unblock the interior.
If both the exterior and interior are in an excess state, release the exterior and purge the interior simultaneously.
In cases of deficiency syndrome at the exterior, tonify Qi.
In cases of deficiency syndrome at the interior, nourish Blood.
In cases where both the exterior and interior are deficient, tonify Qi and nourish Blood.
A patient suffered from lesions all over the body, with a rapid pulse (Shu) on the left hand. Jingfang Baidu San (Jingfang Decoction for Overcoming Toxins) was administered, after which the exterior symptoms subsided. Xianfang Huoming Yin (Immortal Elixir Decoction for Activating Life) was then given for six doses, leading to gradual healing of the sores. Bixie Tang (Dioscorea Hypoglauca Decoction) was taken concurrently, resulting in full recovery after more than a month.
A female patient presented with pain, fever, constipation, and thirst, with a deep and solid pulse (Chen Shi). Neishu Huanglian Tang (Internal Purging Coptis Decoction) was administered for two doses, resolving the interior symptoms. Longdan Xiegan Tang (Gentian Decoction to Drain the Liver) was then given for several doses, causing the toxin of the sores to recede abruptly. Bixie Tang was taken intermittently, leading to full recovery after more than a month. (This treatment was based on symptoms and pulse diagnosis.)
A male patient developed chancre in the lower part, which did not respond to various medications and spread to the entire body. The area became swollen and protruding, resembling turned-over flowers, accompanied by tendon spasms and bone pain, which were worse at night. This was caused by damp-heat in the Liver and Kidney. Daoshui Wan (Water-Guiding Pill) was administered for five doses, followed by Longdan Xiegan Tang for several doses, and then herbs to drain dampness and strengthen the Spleen. Shenyi Gao (Divine Heterogeneity Plaster) was applied externally to draw out pus, and garlic-separated moxibustion was used to extract the toxin, resulting in cure. (This treatment was based on symptoms.)
For exterior excess syndromes, use Jingfang Baidu San; for interior excess syndromes, use Neishu Huanglian Tang; for simultaneous exterior and interior excess syndromes, use Fangfeng Tongsheng San (Windproof Unobstructed Powder); for Qi deficiency, use Sijunzi Tang (Four Gentlemen Decoction); for Blood deficiency, use Siwu Tang (Four Substance Decoction). Herbs targeting accompanying symptoms should still be added, leading to complete cure. However, if calomel (Qingfen) or similar drugs are ingested, the toxin may be retracted inward, causing recurrent outbreaks. If Fangfeng Tongsheng San is indiscriminately used, it further depletes Qi and Blood, leading to many untreatable deaths.
A patient presented with alternating chills and fever, thirst, and constipation, with solid pulses in both hands. Fangfeng Tongsheng San was used to resolve the symptoms, followed by Jingfang Baidu San combined with Longdan Xiegan Tang, resulting in recovery. (This treatment was based on symptoms.)
A patient presented with swelling and pain at the lesion site. Longdan Xiegan Tang and Daoshui Wan were each administered for four doses, yielding slight improvement. Xiaochaihu Tang (Minor Bupleurum Decoction) plus Huangbai (Phellodendron Bark) and Cangzhu (Atractylodes Rhizome) was given for more than fifty doses, leading to remission. (This treatment was based on symptoms.)
A patient presented with swelling and ulceration of the penis, red urine, and a wiry and rapid pulse (Xian Shu) in the Liver position. Xiaochaihu Tang plus Mutong (Akebia Stem), Qingpi (Tangerine Peel), and Longdancao (Gentian Root) was administered for four doses. Longdan Xiegan Tang was then given for several doses, resulting in recovery. (This treatment was based on pulse and symptoms.)
A child presented with lesions on the penis spreading to several spots on the lower abdomen, accompanied by pain and fever. Xiaochaihu Tang was taken with Lubin Wan (Aloe Pill), and Shenyi Gao was applied, resulting in recovery after more than a month. (This treatment was based on symptoms.)
After recovering from the disease, a patient had a swollen lump on the leg that ulcerated and failed to heal for a long time. Crushed garlic was applied to the affected area, moxibustion was performed above it, Shenyi Gao was applied, and Heiwanzi (Black Pills) along with interior-supporting medicines were ingested, resulting in recovery after two months. (This treatment was based on symptoms.)
A female patient ignited calomel medicine and fumigated herself under blankets, causing her skin to collapse all over her body with profuse discharge of pus and fluid, making movement impossible. Powders of Huashi (Talcum) and Huangbai were mixed equally with Luzhifen (Mung Bean Starch) and spread on the mat to allow her to lie down. Jinyinhua San (Honeysuckle Powder) was then administered, resulting in recovery after more than a month. (This treatment was based on symptoms.)
A patient recovered completely except for a very hard swelling on the back, with unchanged skin color, which only ulcerated and discharged fluid after more than a year, remaining untreated for three years. Both Qi and Blood were deficient, with reduced appetite and mental fatigue. Liujunzi Tang (Six Gentlemen Decoction) plus Danggui (Angelica Sinensis) and Huoxiang (Pogostemon) was administered for more than thirty doses, followed by Bixie Tang, resulting in recovery after more than two months. (This treatment was based on symptoms.)
Another patient presented with severe disease progression and concurrent deficiency of Spleen and Stomach Qi and Blood. They also recovered after taking the aforementioned medicines.
A female patient recovered completely except for palm-sized ulcers on both thighs and groins, accompanied by tendon spasms and bone pain, remaining untreated for three years despite various medications. In the late afternoon, she had reduced appetite and mental fatigue. Bixie Tang combined with Xiaoyao San (Free and Easy Wanderer Powder) with increased amounts of Baizhu (Atractylodes Macrocephala Rhizome) and Fuling (Poria) was administered for several doses, stopping heat and improving appetite. Shenyi Gao was applied, followed by Bazhen Tang (Eight Treasures Decoction) plus Niuxi (Achyranthes Root), Duzhong (Eucommia Bark), and Mugua (Chaenomeles Fruit) for more than thirty doses, resulting in recovery. (This treatment was based on symptoms.)
There is also a convenient method for treating Yangmeichuang (Syphilis/Kaposi's Sarcoma-like sores), effective regardless of whether the condition is new or old, within ten days. Daily, use 3 qian 5 fen of Danfan (Alum) and Baifan (White Alum) powders, along with Mercury, mixed with a small amount of Sesame Oil and Saliva. Sit in a draft-free place, take a small amount of the mixture, and apply it to both soles of the feet. Rub vigorously with the palms against the soles for a long time. Apply a little more medicine and rub again as before. After using up the medicine, lie down. Sweating, passage of foul stool, or discharge of foul saliva indicates efficacy. Continue rubbing for three consecutive days. Then bathe with decocted Fangfeng Tongsheng San, and ingest Neishu Huanglian Tang and Baidu San. After recovery, take Bixie Tang; add Huangqin (Scutellaria Root) and Lianhua (Lotus Plumule) if there is heat; add Renshen (Ginseng) and Huangqi (Astragalus Root) for Qi deficiency; use Siwu Tang for Blood deficiency.
After recovering from Yangmeichuang, a patient had ulcers approximately two cun in size on both legs and one arm, with one lesion discharging profuse pus, accompanied by poor appetite and insomnia, failing to heal for a long time. Bazhen Tang plus Fushen (Poria with Hostwood) and Suanzaoren (Ziziphus Seed) was administered. Crushed garlic was applied to the affected area daily, followed by prolonged moxibustion, and subsequently plaster application. After slight improvement in a few days, Douchi Moxibustion (Fermented Soybean Moxibustion) was used, followed by Shiquan Dabu Tang (Ten Great Tonifying Decoction), resulting in recovery. (This treatment was based on symptoms.)
For any swelling and hardness, or pain, garlic moxibustion and Zhonghe Gao (Neutralizing Plaster) application, along with internal tonic medicines, are also effective.