Treatment for Leprosy (Lai Ji).
Take ten bundles of white mugwort (Artemisia argyi), sized like a Sheng (unit of volume), boil to extract the juice. Use yeast and glutinous rice, following the method of brewing wine. Wait until it is fermented and mature, then drink it slowly. For any suffering from malignant diseases with sores all over the body and face, this may be taken.

Treatment for Feng Disease (Da Feng / Leprosy).
Realgar (Xionghuang), Cinnabar (Zhusha), Talcum (Huashi), Asafetida (Awei), Orpiment (Cihuang), Polyporus Umbellatus (Leiyuan) (stir-fried), Veratrum (Lilu) (stir-fried), Raw Rhinoceros Horn (Sheng Xijiao) sliced, Sulfur (Liuhuang) (each 1 Qian half); Mylabris (Banmao), Meloe (Yuanqing) (each remove wings and feet, stir-fry with glutinous rice, use 24 each); Black Gleditsia Sinensis Spine (Hei Zaojiaoci) (roasted, 7 Qian half).
Grind the above into an extremely fine powder. Take 1 Qian per dose, mixed with warm wine at dawn. Take again the next day.

Treatment for Feng Disease (Da Feng / Leprosy).
For each White-banded Krait (Baihuashe), use one Dou (unit of volume) of steamed rice. Place yeast at the bottom of the jar first. Then place the snake in a silk bag, set it on the yeast. Mix the rice with the yeast evenly, cover it on top of the snake. Seal the jar mouth with paper. Wait for twenty-one days (3x7 days), then open the jar to take the wine. Remove skin and bones from the snake, grind into powder. Take one cup of wine, warm and consume a small amount of the snake powder. Make cakes from the remaining wine lees and dregs; eating them is especially beneficial.

Wash the affected area with decoction of Xanthium Strumarium Leaf (Cangerzi Ye).

The physician's use of medicine is like a general's use of troops. The proverb says: "An army of thousands is easy to find, but one good general is hard to seek." The one who decides victory is the good general. The one who decides efficacy is the good physician. Knowing how an army wins lies in the strategy of a good general; knowing human disease lies in the diagnosis of a good physician. With an army but no general, the army cannot win by itself; with a prescription but no physician, the medicine cannot take effect by itself. Generally, physicians are those who manage human life, and pulse diagnosis is the major key of medicine. If a physician does not understand pulse diagnosis, it is like groping for a path in the dark, leading inevitably to failure. Among humans, although diseases vary infinitely, investigating their causes, they are all due to the influence of Yunqi (Five Movements and Six Qi). Therefore, the study of Yunqi by physicians is like the discussion of principles by Confucians, the compass and square by craftsmen, the brightness of a mirror, and the weight of a balance. What else can be used without them? Its principles are broad, its purport profound, its methods precise, and its mechanisms subtle. Knowing the essentials, one word suffices; not knowing the essentials, one wanders endlessly. Furthermore, among the thirteen departments of medicine, such as Internal Medicine (Da Fang Mai), Gynecology (Fu Ren Ke), Pediatrics (Xiao Er Ke), and Wind Diseases (Feng Ke), one must first diagnose the pulse, then prescribe medication according to the syndrome. Only in the department of Sores and Ulcers (Chuang Ke), many do not diagnose the pulse, focusing solely on external treatment. When syndromes are difficult, they summon internal medicine physicians for consultation. Those in the Chuang Ke willingly accept the reputation of being shallow and negligent. Alas, how limited this view is! The occurrence of all swellings and sores is due to disharmony of Yin and Yang, and stagnation of Blood and Qi. Without diagnosis, how can one know the strength or weakness of Yin and Yang, and the gathering or dispersal of Blood and Qi? From this perspective, the principle of diagnosing pulses when treating swellings and sores cannot be omitted. Thus, in *Su Wen*, *Nan Jing*, *Ling Shu*, *Jia Yi*, as well as in the works of Bian Que, Zhang Zhongjing, Hua Tuo, Wang Shuhe, *Qian Jin Fang*, *Wai Tai Mi Yao*, *Tai Ping Sheng Hui Fang*, *Sheng Ji Zong Lu*, and other ancient and modern famous physicians' prescriptions and theories, the details of diagnosing Chuang Ke are exhaustively described. Now, following the books of predecessors, we briefly list the pulses of Chuang Ke below.

Diagnosis of Floating Pulse (Fu Mai): It floats under the fingers, insufficient upon heavy pressure, abundant upon light lifting. Searching gently, it feels excessive, appearing fleetingly between the skin. It indicates Exterior Syndrome, either Wind or Deficiency. A floating and large-scattered pulse corresponds to the Heart; a floating and short-choppy pulse corresponds to the Lung; a floating and rapid pulse indicates Heat. A floating-rapid pulse should present with fever; if there is no fever but instead aversion to cold, it is called Chuang Ju (Carbuncle and Ulcer).

Diagnosis of Surging Pulse (Hong Mai): It seems floating and large. Upon pressing and lifting, it fills the three positions (Cun, Guan, Chi) abundantly. Its shape is like a flood of water, waves surging up. It indicates Excess of Blood and accumulated Heat. *Chuang Zhong Lun* states: "A surging-large pulse indicates the progression of Chuang Ju." If pus has formed but not yet erupted, purgation is suitable. After pus erupts, if the pulse is surging-large, it is difficult to treat. If spontaneous diarrhea occurs, it is incurable.

Diagnosis of Slippery Pulse (Hua Mai): It combines fullness and largeness, flowing smoothly like rolling pearls. Upon pressing, it feels slippery. It indicates Heat or Deficiency; this is a Yang pulse. For Chuang Ju, if pus has not erupted, internal resolution is suitable; after eruption, supporting the interior is suitable.

Diagnosis of Rapid Pulse (Shu Mai): Upon pressing, it reaches six beats per respiration cycle. Its shape is similar to Slippery but Rapid. If floating and rapid, it is Exterior Heat; if deep and rapid, it is Interior Heat. It is said: All rapid pulses indicate Heat. Zhang Zhongjing said: "If a rapid pulse appears intermittently, malignant sores will arise." He also said: "If both lung pulses are rapid, sores will arise." Diagnosing various sores with surging-rapid pulses indicates that pus is forming internally.

Diagnosis of Scattered Pulse (San Mai): It seems floating and scattered. Upon pressing, it scatters and moves away; upon lifting, it is large but forceless. It indicates Excess of Qi and Deficiency of Blood, having an exterior but no interior. After pus erupts from swelling and pain remains unresolved, if the pulse is surging, slippery, coarse, and weak, it is difficult to treat because Zheng Qi (Upright Qi) is deficient and Xie Qi (Pathogenic Qi) is excess. It is also said: Heavy limbs and a large Lung pulse indicate death; this is the Scattered pulse.

Diagnosis of Knotted/Empty Pulse (Kou Mai): It seems floating and soft. Upon pressing, the center is empty while the sides are solid. It indicates Blood Deficiency or blood loss. In cases of swelling and sores, if a Kou pulse is diagnosed, treatment after pus eruption is easy because the pulse corresponds to the disease.

Diagnosis of Long Pulse (Chang Mai): Upon pressing, it is surging, large, and long, extending beyond its normal position. It indicates Excess of Yang Qi. In Cold Damage, obtaining this pulse suggests sweating will occur naturally for resolution. A long and slow pulse is the Stomach pulse; all diseases heal, called "Long means Qi is regulated."

Diagnosis of Firm Pulse (Lao Mai): Upon pressing, it is solid and wiry, both deep and superficial, with a firm and hard quality. In cases of scrofula and nodular swellings, if a Firm pulse is obtained, internal resolution is not suitable.

Diagnosis of Excessive Pulse (Shi Mai): Upon pressing and lifting, it is forceful and resembles a knotted pulse, called Excessive. The classics state: "Excess of pathogenic qi leads to Excess; prolonged illness leads to Deficiency." Obtaining this pulse is most taboo. For patients with Chuang Ju, urgent purgation is suitable because both pathogenic qi and the Zang-Fu organs are Excess.

Diagnosis of Wiry Pulse (Xian Mai): Upon pressing, it is tight and wiry. That which resembles tightness is called Wiry. Like pressing a string that does not move, whereas Tightness is like a rope that rotates; this distinguishes them. In Spring, a floating-wiry pulse is normal. Appearing irregularly, it indicates Fluid retention or Pain, indicating Cold or Deficiency. *Chuang Ju Lun* states: "When Wiry and Surging interact, exterior is tight and interior is hot, indicating impending Chuang Ju."

Diagnosis of Tight Pulse (Jin Mai): It resembles Wiry but is Tight. Upon pressing, it feels like cutting a rotating rope. Its main symptom is severe pain and accumulation. In swellings and sores, it indicates stagnant and sluggish Blood and Qi, and also indicates Pain.

Diagnosis of Choppy Pulse (Se Mai): Upon pressing, it scatters and returns; upon lifting, it is thin and insufficient. A Choppy pulse indicates stagnant Qi and also Blood Deficiency. Obtaining this pulse after ulceration of swellings and sores is not harmful.

Diagnosis of Short Pulse (Duan Mai): Upon pressing and lifting, it fails to reach its normal position. *Nei Jing* states: "Shortness indicates Qi pathology" because it lacks Stomach Qi. All diseases with a Short pulse are difficult to treat. A Short pulse in swellings and sores indicates deficiency of True Qi.

Diagnosis of Fine Pulse (Xi Mai): Upon pressing, it is thread-like like a spider's silk, nearly severed; upon lifting, it seems non-existent yet present. Thin and minute, it indicates collapse of Yang and decline. In swellings and sores, a pulse that comes fine and deep, occasionally straight, indicates Interior Deficiency and impending transformation of the syndrome.

Diagnosis of Minute Pulse (Wei Mai): Upon pressing, it is soft, small, and extremely minute. It indicates Deficiency. Recovery of True Qi brings life; dominance of Pathogenic Qi brings danger. In swellings and sores, if the pulse is minute and even after ulceration, natural recovery occurs.

Diagnosis of Slow Pulse (Chi Mai): Upon pressing and lifting, it arrives late, reaching three beats per respiration cycle. Its shape is similar to Moderate but slightly slower. Obtained in chronic diseases, it is favorable; in acute diseases, it indicates exhaustion of Zheng Qi. In swellings and sores, if obtained after ulceration, natural recovery occurs.

Diagnosis of Moderate Pulse (Huan Mai): Upon pressing and lifting, it resembles Slow but is slightly faster. Zhang Zhongjing said: "Yang pulse floating-large and moist, Yin pulse floating-large and choppy, equal Yin and Yang is called Moderate." A long-moderate pulse indicates healing of all diseases. For all swellings and sores after ulceration, if the pulse is choppy-slow-moderate, healing is easy because the pulse corresponds to the condition, indicating the presence of Stomach Qi. If a Kou pulse appears, bleeding occurs; if Choppy, firm, large, and Excessive, unyielding to pressure and forceful, there is an obstruction in the Middle Jiao hidden in the Stomach; slightly floating indicates unresolved accumulated heat, moving roundworms, and palpitations.

The Chi position governs the Lower Jiao, including the waist, kidneys, knees, shins, and feet. A floating Chi pulse indicates Wind-Heat and difficulty urinating. A deep Chi pulse indicates lower back pain and insufficiency of Kidney Qi. A rapid Chi pulse indicates heat and pain below the navel, red urine, and aversion to cold. A slow Chi pulse indicates Cold in the Lower Jiao and Yin Deficiency. A tight Chi pulse indicates acute pain in the abdomen below the navel. A moderate Chi pulse indicates weak legs, lower edema, and flaccid paralysis. A weak Chi pulse indicates cold below and decline of Kidney Qi. A soft Chi pulse indicates inability to lift the feet, Wind-Bi, and difficulty urinating. A hidden Chi pulse indicates abdominal pain, hernia masses, and indigestion. A fine Chi pulse indicates loose stools and cold below. A Kou Chi pulse indicates difficult urination with blood and lower deficiency. A firm and small Chi pulse indicates cold-Bi in the feet and knees, with dull pain under the feet. A fine and urgent Chi pulse indicates tendon spasms and inability to walk. An interrupted pulse arrival indicates stagnant Qi in the lower abdomen of men, and irregular menstruation in women.