一名广疮，因其毒出岭南；一名时疮，以时气乖变，邪气凑袭之故；一名翻花疮，因其
缠绵
夹湿而生白泡。有形如赤豆，嵌于肉内，坚硬如铁，名杨梅痘。有形如风豆作痒，名杨梅疹
。有先起红晕后发斑点，名杨梅斑。有色红作痒，其圈大小不一，二、三相套，名杨梅圈。
名形虽异，要不出气化、精化二因。气化传染者轻，精化欲染者重。气化者，或遇生此疮之
人，鼻闻其臭，或误食其物，或登圊受其不洁之气，脾肺受毒，故先从上部见之。皮肤作痒
，筋骨或疼或不疼，疮形小而且干，此不过在皮毛肌肉之间，每日用换肌消毒散去木瓜加荆
芥、防风、蝉衣汗之，或更以龙胆泻肝汤接服，清去湿热，自当痊愈。精化者，由交媾不洁
，精泄时毒从精道乘虚直透命门以灌冲脉，所以内入骨髓，外达皮毛，凡冲脉所到之处，无
所不有。多有先患下疳，次便毒，渐至筋骨疼痛，下部生疮，或小水涩淋，其疮形大而坚硬
，为害最恶。治之以化毒为贵，熏为忌，熏罨瘥者复发难治。医方有升药为丸，雄黄为衣，
包裹吞服，数日即好。或燃药条一根，口含冷水诸法，皆收毒入内，掩饰瞒人，害人性命，
羞畏人知者多受其害。复发则烂毒、瞎眼。初起宜用三黄丸，每日五鼓取四钱热陈酒送服，
醉盖取汗，或兼以龙胆泻肝汤，每日早晚轮服，外用忍冬藤煎汤日洗、血余散日敷，渐渐取
效。其有疮生头面或遍身不便处，欲其速愈，但用金霜散敷之，则二、三日可以脱落，亦神妙
者也。然此惟治标之法耳，还须服药消其内毒，稍有遗毒未消，难逃后患。如换肌消毒散、槐
花蕊方皆消余毒妙药。
一、有杨梅癣，用水浮萍煎汁浸洗，间日一次，数次即愈。
换肌消毒散
木瓜（不犯铁器） 甘草（各八分） 土茯苓（一两） 忍冬花（三钱） 当归 白藓皮（各二
钱） 薏苡仁（四钱） 皂针（二钱） 木通（一钱五分） 白芷（一钱五分）
上水煎服，毒甚者加土茯苓至四、五两。
血余散
人指甲（炙研不拘多少） 真血余灰（各等分）
上二味共研，每两加麝香一钱再研和，密贮瓷罐内，临用白蜜调敷。
附方 愈后退斑饼
用黑母牛粪捻作小饼，炭火煨半熟，乘热贴患处，一时取去斑痕自退转白。
龙胆泻肝汤（通用九。）
槐花蕊（通用四十二。）
三黄丸（通用四十九。）
金霜散（通用七十一。）
附方
一、方用大虾蟆一个，肚上剖开，将雄黄一两填入用黄泥包好，放炭火内锻炼以泥红为
度，
散一、二剂，则终身不发矣。
一、患杨梅疮，服轻粉一时收敛，以图目前遮饰。岂知毒藏于内，必致外溃，未几而毒
发于
救。急治亦须用大剂药，些小之剂无效，方用护鼻散。
护鼻散
元参（三两） 麦冬（二两） 生草（一两） 生丹砂（末三钱） 桔梗（五钱） 花粉（三钱）
银花（三两）
水煎调丹砂末，一剂鼻知香臭，连服四剂，鼻上黑色散去，可免鼻梁烂落矣。更用全鼻
散。
全鼻散
元参（一两） 生甘草（三钱） 银花（一两） 当归（一两） 麦冬（五钱） 人参（三钱）
水煎调入丹砂末（一钱），服十剂而一身之毒尽出，方保无虞。前方勇猛所以救其急，后
方平
乃水银之母，子见母相逢不相离，丹砂出而轻粉亦出。倘鼻柱已倾，肉腐不堪，将前护鼻散
救之，虽鼻不重长，而性命可援，不致于死也。
一、杨梅疮黄浓泛滥，腐臭不堪，世人皆以为毒盛，多用败毒之药。孰知曰败毒而毒愈
盛、疮愈
乎，方用二生汤。
二生汤
生黄 （一两） 土茯苓（二两） 甘草（三钱，生）
水煎服，连服四剂，疮色红活；再服四剂，疮尽干燥；又服四剂痊愈。此方如毒重疼
痛非常，则加当归一两、银花二两、倍土茯苓；便结燥者加紫草三钱。
一种称为广疮，因为其毒气发源于岭南地区；另一种称为时疮，是由于时令气候异常变化，邪气侵袭所致；还有一种称为翻花疮，因其病情缠绵且夹杂湿气而生出白泡。有的形态像赤豆，嵌入肉内，坚硬如铁，称为杨梅痘。有的形态像风豆并伴有瘙痒，称为杨梅疹。有的先出现红晕随后发出斑点，称为杨梅斑。有的颜色发红且瘙痒，圆圈大小不一，呈二、三层套叠状，称为杨梅圈。虽然名称和形态各异，但根本原因不出“气化”与“精化”两类。“气化”传染者病情较轻，“精化”通过性行为染病者病情较重。所谓“气化”，是指接触患有此疮的人，闻到其臭味，或误食其污染物，或在厕所受到不洁之气的影响，导致脾肺受毒，因此症状首先出现在身体上部。表现为皮肤瘙痒，筋骨有时疼痛有时不痛，疮形小而干燥，这仅仅是在皮毛肌肉之间。每日可用换肌消毒散，加入荆芥、防风、蝉蜕以发汗解表，或者配合服用龙胆泻肝汤，以清除湿热，自然能够痊愈。所谓“精化”，是因为性交不洁，在精气泄出时，毒邪顺着精道乘虚直透命门并灌注于冲脉，因此毒邪内入骨髓，外达皮毛，凡冲脉所到达的地方，无处不到。患者大多先患下疳，接着患横痃（便毒），逐渐发展到筋骨疼痛，下部生疮，或小便涩滞淋沥，疮形大而坚硬，危害最为严重。治疗应以化解毒邪为贵，忌用熏蒸法，因为熏蒸后即使疮愈也容易复发且难以治疗。医方中有将升药制成丸剂，以雄黄为衣，包裹吞服，数日即可好转的方法。或者有燃烧药条一根，口含冷水等方法，这些都是将毒邪收敛入内，掩饰病情欺骗他人，害人性命，因羞耻而害怕被人知道的患者多受其害。若复发则会导致烂毒、瞎眼。初起时宜用三黄丸，每天五更天取四钱，用热陈酒送服，醉酒后盖被取汗，或者兼服龙胆泻肝汤，早晚轮流服用，外用忍冬藤煎汤每日清洗，血余散每日敷贴，渐渐见效。对于生在头面或遍身不便之处，希望快速痊愈的，只需用金霜散敷之，则二、三天可以脱落，也非常神妙。然而这只是治标的方法，还必须服药消除内部毒邪，稍有遗毒未消，难免日后患难。如换肌消毒散、槐花蕊方都是消除余毒的妙药。
一、有杨梅癣，用水浮萍煎汁浸泡清洗，隔日一次，数次即可痊愈。
换肌消毒散
木瓜（不接触铁器） 甘草（各八分） 土茯苓（一两） 忍冬花（三钱） 当归 白鲜皮（各二钱） 薏苡仁（四钱） 皂角刺（二钱） 木通（一钱五分） 白芷（一钱五分）
以上药材用水煎服，毒邪严重者加土茯苓至四、五两。
血余散
人指甲（炙烤后研碎，用量不限） 真血余灰（各等分）
以上两味药共同研细，每两药粉中加入麝香一钱再研匀，密封贮存在瓷罐内，临用时用白蜜调匀敷贴。
附方 愈后退斑饼
用黑母牛粪捻成小饼，在炭火上煨至半熟，趁热贴于患处，一时辰后取下，斑痕自然消退转白。
龙胆泻肝汤（通用九。）
槐花蕊（通用四十二。）
三黄丸（通用四十九。）
金霜散（通用七十一。）
附方
一、方用大虾蟆一个，从肚上剖开，将雄黄一两填入其中，用黄泥包好，放在炭火内锻炼，直到泥变红为止，散服一、二剂，则终身不再发作。
一、患杨梅疮，服用轻粉一时收敛，旨在图谋眼前的掩饰。岂知毒邪藏于体内，必然导致外部溃烂，不久毒邪就会爆发于鼻部。急治也必须用大剂量药物，小剂量无效，方用护鼻散。
护鼻散
玄参（三两） 麦冬（二两） 生甘草（一两） 生丹砂（末三钱） 桔梗（五钱） 花粉（三钱） 银花（三两）
水煎后调入丹砂末，一剂后鼻子能知香臭，连服四剂，鼻上的黑色散去，可避免鼻梁腐烂脱落。再用全鼻散。
全鼻散
玄参（一两） 生甘草（三钱） 银花（一两） 当归（一两） 麦冬（五钱） 人参（三钱）
水煎后调入丹砂末（一钱），服十剂则全身之毒尽出，方可保证无虞。前方药力勇猛所以用于急救，后方药性平和。丹砂是水银之母，子见母相逢不相离，丹砂排出后轻粉也会随之排出。倘若鼻梁已经塌陷，肉质腐烂不堪，用前面的护鼻散救治，虽然鼻子不能重新生长，但性命可以挽救，不至于死亡。
一、杨梅疮脓液泛滥，腐臭不堪，世人都认为是毒盛，多用败毒的药物。殊不知所谓的“败毒”反而使毒更盛、疮更严重，方用二生汤。
二生汤
生黄芪（一两） 土茯苓（二两） 甘草（三钱，生用）
水煎服，连服四剂，疮色变红活；再服四剂，疮面完全干燥；又服四剂痊愈。此方如果毒重疼痛非常剧烈，则加当归一两、银花二两、加倍土茯苓；大便干结燥者加紫草三钱。
One type is called Guang Chuang (Broad Sore), because its toxin originates from the Lingnan region; another is called Shi Chuang (Seasonal Sore), due to abnormal changes in seasonal climate and invasion by pathogenic factors; yet another is called Fan Hua Chuang (Reversed Flower Sore), because it persists chronically and generates white blisters accompanied by dampness. Some present as red beans embedded in the flesh, hard as iron, named Yang Mei Dou (Bayberry Pox). Some resemble wind beans with itching, named Yang Mei Zhen (Bayberry Rash). Some first show a red halo followed by spots, named Yang Mei Ban (Bayberry Spots). Some are red and itchy, with circles of varying sizes overlapping in two or three layers, named Yang Mei Quan (Bayberry Rings). Although names and forms differ, they fundamentally stem from two causes: "Qi transformation" (transmission via environmental/airborne factors) and "Jing transformation" (transmission via sexual contact). Transmission via Qi transformation is mild; infection via Jing transformation is severe. "Qi transformation" occurs when one contacts a patient, inhales their odor, ingests contaminated items, or is exposed to unclean air in latrines, causing the spleen and lungs to absorb toxins, thus symptoms appear first on the upper body. Manifestations include skin itching, occasional bone and joint pain, small and dry sores, confined to the skin and muscles. Daily treatment involves HuANJI XiaoDu San (Skin-Replacing Toxin-Expelling Powder) with added Jing Jie (Schizonepeta Herb), Fang Feng (Saposhnikovia Root), and Chan Yi (Cicada Slough) to induce sweating, or alternatively, take LongDan XieGan Tang (Gentian Liver-Draining Decoction) to clear damp-heat, leading to recovery. "Jing transformation" results from impure sexual intercourse; during ejaculation, toxins penetrate the MingMen (Gate of Life) through the essence channel and flood the ChongMai (Penetrating Vessel). Thus, toxins enter the bone marrow internally and reach the skin externally, affecting all areas supplied by the ChongMai. Patients often first develop Xia Gang (Chancre), then Bian Du (Bubo), gradually progressing to bone/joint pain, lower body sores, or dysuria. Sores are large and hard, posing the greatest danger. Treatment should prioritize resolving toxins; fumigation is contraindicated as it may cause recurrence that is difficult to treat. Some medical prescriptions use Sheng Yao (Calomel Pill) wrapped in Xiong Huang (Realgar) and swallowed, claiming cure in days. Others burn medicinal sticks or hold cold water in the mouth, methods that trap toxins internally to mask symptoms, deceiving others and harming lives. Patients hiding their shame suffer greatly. Recurrence leads to rotting toxins and blindness. Early stage treatment uses San Huang Wan (Three-Yellow Pill), taken at dawn with four qian of hot aged wine, covered to sweat, or alternated with LongDan XieGan Tang morning and evening. Externally, wash daily with JinDeng Teng (Honeysuckle Stem) decoction and apply XueYu San (Hair Ash Powder). Gradual improvement follows. For sores on the head, face, or inconvenient body parts desiring rapid healing, apply JinShuang San (Golden Frost Powder); lesions fall off in two to three days, which is miraculous. However, this is only symptomatic treatment; internal detoxification is essential. Any residual toxin may cause future complications. HuANJI XiaoDu San and Huai Hua Rui Fang (Sophora Flower Bud Formula) are excellent for clearing residual toxins.
1. Yang Mei Xuan (Bayberry Tinea): Wash with decoction of Shui Fu Ping (Water Fern), once every other day, curing after several applications.
HuANJI XiaoDu San (Skin-Replacing Toxin-Expelling Powder)
Mu Gua (Papaya Fruit, avoid iron vessels) (8 fen) Gan Cao (Licorice Root) (8 fen) Tu Fu Ling (Smilax Glabra Rhizome) (1 liang) Ren Dong Hua (Honeysuckle Flower) (3 qian) Dang Gui (Angelica Sinensis Root) Bai Xian Pi (Dictamnus Bark) (2 qian each) Yi Yi Ren (Coix Seed) (4 qian) Zao Zhen (Gleditsia Spine) (2 qian) Mu Tong (Akebia Stem) (1.5 qian) Bai Zhi (Angelica Dahurica Root) (1.5 qian)
Decoct in water. For severe toxicity, increase Tu Fu Ling to 4-5 liang.
XueYu San (Hair Ash Powder)
Ren Zhi Jia (Human Nail, roasted and powdered, amount unspecified) Zhen Xue Yu Hui (True Hair Ash) (equal parts)
Grind both together. Add 1 qian She Xiang (Musk) per liang of powder, mix well, store tightly in a porcelain jar. Apply mixed with honey before use.
Appendix Formula: Yu Hou Tui Ban Bing (Post-Recovery Spot-Removing Cake)
Form small cakes from black cow dung, bake half-cooked over charcoal, apply hot to affected area, remove after one shichen (two hours); spots fade and turn white.
LongDan XieGan Tang (Gentian Liver-Draining Decoction) (See General Formula No. 9)
Huai Hua Rui (Sophora Flower Bud) (See General Formula No. 42)
San Huang Wan (Three-Yellow Pill) (See General Formula No. 49)
JinShuang San (Golden Frost Powder) (See General Formula No. 71)
Appendix Formulas
1. Use one large toad, cut open belly, insert 1 liang Xiong Huang (Realgar), wrap in yellow clay, smelt over charcoal until clay turns red. Take 1-2 doses to prevent lifelong recurrence.
1. Patients with Yang Mei Chuang taking Qing Fen (Calomel) achieve temporary contraction to mask symptoms temporarily. Ignoring that toxins hide internally will inevitably lead to external ulceration, soon erupting in the nose. Emergency treatment requires large doses; small doses are ineffective. Use HuBi San (Nose-Protection Powder).
HuBi San (Nose-Protection Powder)
Xuan Shen (Scrophularia Root) (3 liang) Mai Dong (Ophiopogon Tuber) (2 liang) Sheng Gan Cao (Raw Licorice Root) (1 liang) Sheng Dan Sha (Cinnabar, powdered) (3 qian) Jie Geng (Platycodon Root) (5 qian) Hua Fen (Trichosanthes Root) (3 qian) Yin Hua (Honeysuckle Flower) (3 liang)
Decoct in water, mix with Cinnabar powder. One dose restores nasal smell/taste; four doses clear black discoloration, preventing nasal bridge collapse. Follow with Quan Bi San (Complete Nose Powder).
Quan Bi San (Complete Nose Powder)
Xuan Shen (Scrophularia Root) (1 liang) Sheng Gan Cao (Raw Licorice Root) (3 qian) Yin Hua (Honeysuckle Flower) (1 liang) Dang Gui (Angelica Sinensis Root) (1 liang) Mai Dong (Ophiopogon Tuber) (5 qian) Ren Shen (Ginseng Root) (3 qian)
Decoct in water, mix with 1 qian Cinnabar powder. Ten doses expel all body toxins, ensuring safety. The former formula is potent for emergency rescue; the latter is mild. Dan Sha (Cinnabar) is the mother of Shui Yin (Mercury); like child meeting mother, they do not separate. When Cinnabar exits, Calomel also exits. If the nasal bridge has collapsed and tissue is rotten, use HuBi San to save life, though the nose may not regrow, death can be avoided.
1. Yang Mei Chuang with abundant pus and foul odor is often mistaken for excessive toxin, leading to the use of toxic-clearing drugs. This "clearing" actually increases toxin severity and worsens sores. Use Er Sheng Tang (Two-Generation Decoction).
Er Sheng Tang (Two-Generation Decoction)
Sheng Huang Qi (Raw Astragalus Root) (1 liang) Tu Fu Ling (Smilax Glabra Rhizome) (2 liang) Gan Cao (Licorice Root, raw) (3 qian)
Decoct in water. Four doses make sores red and vibrant; four more doses dry them completely; four final doses ensure recovery. If pain is severe due to heavy toxin, add Dang Gui (1 liang), Yin Hua (2 liang), and double Tu Fu Ling. For constipation, add Zi Cao (Arnebia Root) (3 qian).