〔总论〕 麻疯之症大抵得之传染。或一时感天地不正之气。故深居处女亦有之。然须
验其果系此病。方用是药治之。或有风热所感。遍体如云。似是而非。若误用药则反促之而
成真矣。 其验之之法。初起之时。周身必有一二点。或如莲子。或如橄榄。或如鸡蛋大。
或在身上。或在四肢手足。或红或青。或微白。或同好肉一色。不痛不痒。麻麻木木。随月
渐次而大。又或身上皮间。常如虫蚁内走。或如蜂刺咬痛。或筋骨刺痛。或膝后肉麻。或大
小手足一指麻痹。凡麻木处以手指刺之不痛者是。以上有一者。皆谓之真麻疯矣。 人秉浓
薄气血之不同。风湿所感深浅之各易。治之亦有轻重之别。病者急欲见功。每用巴豆。牵牛。
斑蝥。等烈药以下之。或大枫子。川乌之类以发之。其次轻粉。麝。脑之药敛之。亦能取效
目前。然转眼复发。则症反更甚也。盖泻与发皆能虚其血气。故暂觉势减红退而微白耳。敛
者敛其毒瓦斯于脏腑之内。则红肿收缩。火毒久而发则愈。烈也。每医者舍此三法。无能速效。
故患此症而能治者鲜矣。 孙真人医中之仙也。恒谓生平治此病再发者。十常八九。以其不
守禁戒也。然果能自谨。渐可得效。何患病之不去。盖人患此疾。则父母妻子亲友。皆厌秽
而断绝之矣。是天地中之弃人。虽生不如死。患者于此。能绝嗜欲。持斋戒。守禁忌。而信
之于医。病岂不愈。古人此症谓之天刑。患者或出于少年不谨。或无故自生。必有定数。此
生既为弃人。则须安命以悔夙业之前非可耳。每见近世之人。患此病者。明知妻子之厌恶。
又不能舍。甚而淫欲他人。唾涕传染。种种秽恶作贱。奴婢不知此疾最能传染。如此损人。
愈应天怒。岂特医治不愈。更增罪过而已。 然非独此症。如虚损已成者。能忘形而静养。
可保永寿。如年久痼疾。无药可治者。安心悔过行善。每得仙方。非特书籍累累。目击者亦
不少矣。
〔治大麻疯〕 大黄。（煨）皂角刺。（各一两）为末。每服三钱。空心温酒下。泻恶物
如
鱼脑。未泻再服。所下之虫。如乱发状。候虫取尽。乃止此药。 老虾蟆一个。白砒二钱。
铜绿二钱。人中白二钱。研末装入蟆口内。线缝好。外以泥包裹。火 烟尽为度。取起去泥。
约
〔大麻疯眉发脱落〕 松香。（不拘多少。） 化去渣。取河水于净锅中将松香煮化。不
住手搅匀。视水色如米泔。尝味极苦者。即倾入冷水内。将松香乘热扯拔。冷定坚硬。另换
清水再煮再拔。如前法数十次。以松香松洁白。所煮之水不苦为度。再用葱汁煮一次。阴干
为极细末。每料二斤。每日将白粥量投药末和匀食。不可多嚼。日进数次。不可更吃干饭。
只以菜干。笋干。少许过口。忌一切油、盐、酱、醋、荤、腥、酒、果。如渴时只饮白滚水。
每日约服数钱。以渐而进。勿太骤。服后大便得下毒物。服尽一料自愈。或炼蜜丸亦可。好
后服补气之剂。 紫背浮萍捡净摊竹篮。水映晒燥为末。蜜丸弹子大。黑豆汤调下三钱。腹
内泻虫之后。服之大能去周身之疯。（盖浮萍大治疯瘫恶疾。服至百丸。再无不效。如类似
麻疯之症。服之即效。） 生穿山甲一只。以生漆三斤纳其腹中。及涂外面。以盐泥固济。
炭火 存性为末。每服三钱。白汤下。（盖漆大能杀虫。穿山甲直透病根。治眉发已脱之病。
大能见功。或有畏漆之人。服下虫虽治而生漆疮者。即饮铁浆水。黄栌汁。解之。）一僧大
麻疯眉发俱落。哀苦不堪。忽得仙传。教服长松。（生山谷中古松树下。其叶如松。其根似
人参。长三五寸。其味微苦。清香可爱。取根食之。即骸体腐溃者。服之半月。毛发复生神
方。）每服长松一两。入甘草少许。水煎服。无病者服之。大有补益长寿。
〔绿云散〕 治肺毒风疮状如大麻疯。好桑叶。（洗净蒸熟） 一宿日干为末。水调二
钱。
〔防风天麻丸〕 治麻风癞病。其效如神。此方应是仙传。一年中常疗数人。初服药有
呕吐者。不可疑弃。久服自愈。防风。（去芦）天麻。升麻。白附子。（炮）定风草。（即乌
头
茎）细辛。（去苗）川芎。人参。丹参。苦参。玄参。紫参。蔓荆子。威灵仙。穿山甲。（炒）
何首乌。（另捣各二两）蜈蚣。（二条）上为细末。同首乌末拌匀。再用芝麻一斤。（淘净晒
干。
炒香研细末。）入前药末二两和匀。炼蜜丸作十丸。不拘时候。日三丸。细嚼白汤下。忌房
劳。须食淡白粥四五月。
〔白花蛇膏〕 治诸疯癞。遍身生疮。白花蛇。（取肉。四两洒浸。）天麻。（七钱）荆
芥。
薄荷。（各三钱）俱为末。用好酒二斤。蜜四两。以瓷器熬成膏。每温服一酒杯。日三次。
不
拘饼食压下。于暖处得汗即效。
【总论】麻风病大多由传染引起。有时是一时之间感受了天地间不正的邪气。所以即使深居简出的处女也会得此病。但是必须验证确实属于这种病，才使用这些药物治疗。或者是因为风热所感，全身出现如云片状的皮疹，似是而非。如果误用药物，反而会促使病情发展变成真正的麻风病。 验证的方法：在发病初期，周身必然有一两处斑点，有的像莲子大小，有的像橄榄大小，有的像鸡蛋大小。这些斑点可能长在身体上，也可能长在四肢手足上；颜色或红、或青、或微白，或者与正常皮肤颜色相同；不痛不痒，感觉麻木迟钝。随着月份推移，斑点逐渐变大。又或者皮肤间常有虫蚁爬行的感觉，或者像蜂刺咬一样的疼痛，或者筋骨刺痛，或者膝盖后面的肉发麻，或者大脚趾或小脚趾麻痹。凡是麻木的地方，用手指刺它却不感到疼痛的，就是麻风病的特征。以上症状只要具备其中一项，都称为真麻风病。 人的气血禀赋有浓薄不同，感受风湿的深浅也各有差异，治疗也有轻重的区别。患者急于见效，常常使用巴豆、牵牛子、斑蝥等猛烈药物来泻下通便；或者使用大枫子、川乌之类药物来发散透疹；其次使用轻粉、麝香、冰片等药物来收敛毒气。这些方法也能在眼前取得疗效。然而转眼之间病情复发，症状反而更加严重。因为泻法和发汗法都会耗虚人体的血气，所以暂时觉得势头减退、红色消退而变为微白色。收敛法则是将毒气收敛在脏腑内部，导致红肿收缩，火毒积聚日久发作，就会变得极其猛烈。许多医生舍弃这三种方法（注：此处原文逻辑似指医生常滥用这三类猛药，或指常规疗法无效），没有能迅速见效的。所以患此病且能治愈的人很少。 孙思邈真人是医学中的仙人。他常说平生治疗此病复发的情况，十次中有八九次。这是因为患者不遵守禁忌戒律。然而如果能自我谨慎，逐渐是可以取得疗效的。为什么患病不能去除呢？大概人患了这种病，父母、妻子、亲友都厌恶其秽恶而与他断绝关系。这是天地间的弃人，虽然活着不如死去。患者在此情况下，如果能断绝嗜欲，持斋守戒，遵守禁忌，并且信任医生，病难道不会痊愈吗？古人称此病为“天刑”。患者或许是因为少年时不谨慎，或者无故自招，必定有定数。此生既然成为被遗弃的人，那就只能安于命运以忏悔往昔的罪过罢了。我常见近代的人，患此病的人，明明知道妻子厌恶自己，却又不能割舍，甚至淫欲他人，通过唾液和鼻涕传播传染，种种秽恶行为自我贱视。奴婢不知道此病最能传染，这样损害他人，更应招致天怒。岂止是医治不好，更是增加罪过而已。 然而不仅此病，如果是虚损已成者，能忘形静养，可以保全长寿。如果是年久的痼疾，无药可治者，安心悔过行善，往往能得到仙方。不仅是书籍中记载累累，亲眼目睹的例子也不少。
【治疗大麻风】大黄（煨制）、皂角刺（各一两）。研为细末。每次服用三钱，空腹时用温酒送服。排出恶物如同鱼脑状，未排尽则再次服用。所排出的虫体，形状像乱发一样。等到虫子排尽，就停止服用此药。
【大麻风眉发脱落】松香（不拘多少）。熔化去掉渣滓。取干净的河水在锅中将松香煮化，不停地搅拌均匀，看到水色像米泔水一样，尝起来味道极苦的，就倒入冷水中。将松香趁热拉扯拔伸，冷却定型后变坚硬。另外换清水再煮再拔，像前法重复数十次，直到松香变得松软洁白，所煮的水不再苦涩为止。再用葱汁煮一次，阴干后研成极细末。每料二斤，每天将白粥适量加入药末混合均匀食用，不可多嚼。每天进服数次，不能再吃干饭，只用菜干、笋干少许过口。忌食一切油、盐、酱、醋、荤腥、酒类、水果。如果口渴只喝白开水。每天大约服用几钱，逐渐增加，不要太急。服药后大便排出毒物，服完一料即可自愈。也可以炼蜜制成丸剂。病好后服用补气药剂。
紫背浮萍捡净摊开在竹篮里，用水映照晒干后研为细末，蜂蜜制成弹子大小的丸剂。用黑豆汤调服三钱。腹内排出虫体之后，服用此药能大大去除周身的风毒。（大概浮萍大治疯瘫恶疾，服用至一百丸，再没有无效的。如果是类似麻风的病症，服用即见效。）
生穿山甲一只，用生漆三斤纳入其腹中，并涂在外面，用盐泥密封固定。炭火煅烧存性后研为细末。每次服用三钱，白开水送服。（大概漆大能杀虫，穿山甲直透病根，治疗眉发已脱落的病症，大能见效。如果有畏惧漆的人，服用后虽然虫治好了但生了漆疮，就饮用铁浆水、黄栌汁来解毒。）一位僧人大麻风眉发全部脱落，哀苦不堪。忽然得到仙传秘方，教他服用长松。（生长在山谷中古松树下，叶子像松树，根像人参，长三五寸，味道微苦，清香可爱。取根食用，即使是骸体腐溃者，服用半个月，毛发就能再生，这是神方。）每次服用长松一两，加入少许甘草，水煎服。无病的人服用，大有补益长寿的功效。
【绿云散】治疗肺毒风疮，症状状如大麻风。好桑叶（洗净蒸熟）。放置一夜后晒干研为细末，水调服二钱。
【防风天麻丸】治疗麻风癞病，效果如神。此方应是仙传。一年中常治疗数人。初服药时有呕吐现象的，不要怀疑放弃。久服自然痊愈。防风（去芦头）、天麻、升麻、白附子（炮制）、定风草（即乌头茎）、细辛（去苗）、川芎、人参、丹参、苦参、玄参、紫参、蔓荆子、威灵仙、穿山甲（炒制）、何首乌（另捣碎，各二两）、蜈蚣（两条）。以上药材研为细末，同首乌末拌匀。再用芝麻一斤（淘净晒干，炒香研细末），加入前面的药末二两混合均匀。炼蜜制成十丸。不拘时候，每天服用三丸，细嚼后用白开水送服。忌房事劳累。必须吃清淡白粥四到五个月。
【白花蛇膏】治疗各种疯癞，遍身生疮。白花蛇（取肉，四两洒浸）、天麻（七钱）、荆芥、薄荷（各三钱）。都研为细末。用好酒二斤，蜂蜜四两，用瓷器熬成膏状。每次温服一酒杯，每天三次。不拘饼食压下。在暖和处出汗即见效。
[General Discussion] Leprosy (Mafen) is mostly caused by contagion. Sometimes it results from temporarily contracting the abnormal qi of heaven and earth. Therefore, even virgins who live in seclusion can contract this disease. However, one must verify that it is indeed this disease before using these medicines for treatment. Or it may be caused by wind-heat, presenting with cloud-like rashes all over the body, which are similar but not identical. If treated with incorrect medication, it may instead accelerate the progression into true leprosy. The method of verification: At the onset, there will inevitably be one or two spots on the whole body, some the size of a lotus seed, some like an olive, some like an egg. These spots may appear on the trunk or on the limbs and hands/feet; their color may be red, cyanotic, slightly white, or the same as healthy skin; they are painless and itchless, feeling numb and dull. As months pass, the spots gradually enlarge. Alternatively, there may be a sensation of insects or ants crawling under the skin, or pain like bee stings, or stabbing pain in the sinews and bones, or numbness behind the knees, or paralysis of a single toe on the great or little foot. Wherever there is numbness, if pricking it with a finger does not cause pain, it is a sign of leprosy. If any of the above symptoms are present, it is called true leprosy. Individuals differ in the density and thinness of their qi and blood, and the depth of wind-damp contraction varies, so treatments also vary in intensity. Patients eager for quick results often use harsh purgatives such as Crotonis Semen (Badou), Pharbitidis Semen (Qianniu), and Mylabris (Bmao) to induce diarrhea, or use drugs like Semendendrobii Macrophylli (Dafengzi) and Aconiti Lateralis Radix Praeparata (Chuanwu) to induce sweating/rash eruption. Secondly, they use drugs like Calomelas (Qingfen), Moschus (She), and Borneolum Syntheticum (Nao) to astringe toxins. These methods may yield immediate effects. However, relapses occur quickly, and symptoms become more severe. This is because purging and diaphoresis both deplete qi and blood, so initially the condition seems reduced and redness fades to slight whiteness. Astringents trap toxic gases within the zang-fu organs, causing swelling and redness to recede, but accumulated fire-toxin erupts later with greater ferocity. Many physicians abandon these three methods [Note: Context implies physicians rely on these aggressive methods or lack better ones], unable to achieve rapid effects. Thus, few patients with this disease can be cured. Sun Simiao was an immortal in medicine. He often said that in his life, eight or nine out of ten cases of this disease relapsed because patients did not observe dietary and behavioral restrictions. However, if one is truly cautious, gradual improvement is possible. Why does the disease persist? Generally, when a person contracts this illness, parents, wife, children, and friends despise its filth and cut off relations. Such a person is abandoned by heaven and earth; living is worse than dying. In this situation, if the patient can sever desires, observe fasting and precepts, keep taboos, and trust the physician, how could the disease not heal? Ancients called this disease "Heaven's Punishment." Patients may have contracted it due to impropriety in youth or without obvious cause, implying a fixed destiny. Since one is considered abandoned in this life, one should accept fate and repent for past sins. I often see people in recent times who, knowing their wives despise them, cannot let go, and even engage in lust with others, spreading contagion through saliva and snot, committing various filthy and self-degrading acts. Servants do not know that this disease is highly contagious; harming others in this way invites heavenly wrath. It is not only that medical treatment fails, but sins increase. However, this applies not only to this disease. For those with established deficiency consumptive diseases, forgetting the physical form and resting quietly can ensure longevity. For chronic stubborn diseases incurable by medicine, calming the mind, repenting, and doing good deeds often leads to receiving immortal prescriptions. Not only are there numerous books recording this, but witnessed cases are also plentiful.
[Treatment of Major Leprosy] Rhubarbi Radix et Rhizoma (Dahuang) (roasted), Gleditsiae Sinensis Spina (Zaoyaoci) (each 1 liang). Grind into powder. Take 3 qian each time, with warm wine on an empty stomach. Expel foul matter resembling fish brain. If not fully expelled, take again. The expelled worms resemble tangled hair. Stop the medicine once the worms are cleared.
[Leprosy with Loss of Eyebrows and Hair] Pine Resin (Songxiang) (amount unspecified). Melt and remove dregs. Use clean river water in a pot to boil the resin, stirring constantly until the water looks like rice washings and tastes extremely bitter. Pour into cold water. Pull and stretch the resin while hot. Once cooled and hardened, change to fresh water and repeat boiling and pulling dozens of times until the resin becomes loose, white, and pure, and the boiled water no longer tastes bitter. Boil once more with green onion juice, dry in shade, and grind into an ultra-fine powder. Each dose is 2 jin. Mix an appropriate amount of white porridge with the powder daily and eat. Do not chew excessively. Take several times a day. Do not eat dry rice; only consume small amounts of dried vegetables or bamboo shoots. Avoid all oil, salt, soy sauce, vinegar, meat, fish, alcohol, and fruits. If thirsty, drink only plain boiled water. Take a few qian daily, increasing gradually, not too rapidly. After taking, toxic matter will be excreted in stool. Completing one course cures the disease naturally. Can also be made into honey pills. After recovery, take qi-tonifying agents.
Purple-backed Duckweed (Zibei Fuping) cleaned and spread on a bamboo basket, dried under water-reflected sunlight, then ground into powder. Form pills the size of bean seeds with honey. Take 3 qian with black soybean decoction. After expelling worms from the abdomen, taking this greatly removes wind-toxin from the whole body. (Generally, duckweed treats severe wind-paralysis and malignant diseases effectively; after taking 100 pills, no case is ineffective. For symptoms similar to leprosy, it works immediately.)
One raw Pangolin Scales (Chuanshanjia), place 3 jin of Raw Lacquer (Shengqi) inside its belly and coat the outside. Seal firmly with salt mud. Roast over charcoal fire until charred but retaining nature (cun xing), then grind into powder. Take 3 qian each time, with plain water. (Lacquer kills parasites effectively; pangolin scales penetrate directly to the root of the disease. This is highly effective for loss of eyebrows and hair. If a person fears lacquer and develops lacquer dermatitis after taking it despite curing the worms, drink iron slurry water or Rhus javanica juice to detoxify.) A monk suffered from major leprosy with total loss of eyebrows and hair, suffering bitterly. He suddenly received an immortal prescription teaching him to take Changsong. (Grows under ancient pines in valleys; leaves resemble pine needles, roots resemble ginseng, 3-5 cun long, slightly bitter taste, pleasant fragrance. Eat the roots. Even for those with rotting flesh, taking it for half a month restores hair growth. This is a divine prescription.) Take 1 liang of Changsong each time, add a little Licorice Root (Gancao), decoct in water and drink. Taking it when healthy greatly benefits longevity.
[Green Cloud Powder] Treats lung-toxic wind sores resembling major leprosy. Good Mulberry Leaves (Sangye) (washed and steamed). Dry overnight in the sun, grind into powder. Mix with water, take 2 qian.
[Fangfeng Tianma Pill] Treats wind-leprosy and leonine facies, with miraculous effect. This formula should be an immortal transmission. Often treats several people in a year. Vomiting upon initial intake is normal; do not doubt or discard. Long-term use leads to self-healing. Saposhnikoviae Radix (Fangfeng) (remove radicle), Gastrodiae Rhizoma (Tianma), Cimicifugae Rhizoma (Shengma), Bryoniae Radix Praeparata (Baifuzi - Note: Text says Baifuzi炮, usually Pinelliae/Typhonii but listed here with Shengma/Fangfeng context, likely Typhonii Rhizoma Praeparatum), Dingfeng Cao (Stem of Aconitum carmichaelii), Asari Radix (Xixin) (remove sprouts), Ligusticum Chuanxiong Rhizoma (Chuanxiong), Panax Ginseng Radix et Rhizoma (Renshen), Salviae Miltiorrhizae Radix (Danshen), Sophorae Flavescentis Radix (Kushen), Scrophulariae Radix (Xuanshen), Codonopsis Pilosula Radix (Zishen - Note: Zishen usually refers to Perilla leaf, but in formula contexts often Codonopsis or distinct herb, keeping literal), Viticis Fructus (Manjingzi), Spirit Plant Root (Weilingxian), Pangolin Scales (Chuanshanjia) (stir-fried), Polygoni Multiflori Preparata Radix (Heshouwu) (separately pounded, each 2 liang), Wugong (two pieces). Grind all into fine powder, mix evenly with Heshouwu powder. Add 1 jin of Sesame Seeds (Zhima) (washed, dried, roasted fragrant, finely ground). Mix 2 liang of the previous powder with sesame powder. Make into 10 pills with refined honey. Take anytime, 3 pills daily. Chew thoroughly and swallow with plain water. Avoid sexual exertion. Must eat bland white porridge for four to five months.
[Baihua She Gao] Treats various wind-leprosy and leonine facies, with sores all over the body. White-scaled Snake Meat (Baihuashe Rou) (4 liang, soaked in wine), Gastrodiae Rhizoma (Tianma) (7 qian), Schizonepetae Spica (Jingjie), Menthae Haplocalycis Herba (Bohe) (each 3 qian). All ground into powder. Use 2 jin of good wine and 4 liang of honey. Boil in a porcelain vessel into a paste. Take one wine cup warm each time, three times daily. Take regardless of meals. Sweating in a warm environment indicates efficacy.