【歌】癞疾原来即疠风,遍身疙瘩痒生虫。须臾鼻塌眉毛堕,暴酷应知恶气钟。
【论】夫疠风者,大风也,古名曰癞。受得天地杀物之风,暴悍酷烈可畏。然血随气化,气既不施,血为
之聚,血聚则肉烂生虫,须臾鼻崩眉堕,不外乎阳明一经,盖阳明无物不受故也。风之入人也,气受之则上身
多;血受之则下体多;气血俱受,上下俱多。甚重,自非医者神手,病者铁心,罕有免于死者。按法治之,尤
当绝浓味,忌酒色,不致再发,再发则无救矣。知命者可以守此戒乎?
在上多
在上多者,醉仙散,取臭涎恶血于齿缝出。
醉仙散
治大风之神药。
胡麻仁(半两) 牛蒡子(半两) 蔓荆子(半两) 防风(半两,去芦) 枸杞子(半两,以上五味同
炒黑色) 栝蒌根(半两) 苦参(半两) 白蒺藜(半两,炒)
末之,每一两加轻粉一钱拌匀,大人用一钱,空心,日午、临卧各一服,茶汤调下,五、七日效,量大小
虚实,加减与之。
在下多
在下多,通天再造散,取陈虫恶物谷道中出。
通天再造散
锦纹大黄(一两) 角刺(一两半,独生黑大者) 郁金(半两) 白牵牛(取头末六两,半生半熟)
末之,每服二钱,临卧冷酒调,日未出时面东服,以净桶伺候,泄出虫,如黑色,年久根深,赤色日近者,
二、四日又进一服,直候无虫,则绝根矣。
通治
疠风通用升麻散。取汗,浮萍散。
白芷(二钱) 当归(二钱) 熟半夏(二钱) 白茯苓(二钱) 苍术(一两) 干葛(一两) 升麻(一
两) 桔梗(一两) 枳壳(五钱) 干姜(五钱) 大黄(五钱,蒸) 白芍药(七钱) 陈皮(两半) 甘草(两
半)
每服四钱,生姜、灯草煎服。
浮萍散
治癞风
浮萍(一两) 荆芥(半两) 麻黄(去根、节,半两) 川芎(半两) 甘草(半两)
末之,每一两,水二钟,入葱白、豆豉煎服,汗出则愈。
【歌诀】
癞疾原本就是疠风,全身布满疙瘩,瘙痒如生虫。
一会儿鼻子塌陷、眉毛脱落,这种暴烈酷毒之症,应当知道是恶气聚集所致。
【论述】
所谓疠风,就是大风病,古代称为癞。这是受了天地间能杀伤万物的风气,其性质暴悍酷烈,令人畏惧。然而血随气运行,气如果不通畅,血就会凝聚;血凝聚则肌肉腐烂并生出虫子,一会儿鼻子崩塌、眉毛脱落,这都不外乎阳明经(足阳明胃经和手阳明大肠经)的问题,因为阳明经无所不受的缘故。风邪侵入人体,如果气先受邪,则上半身症状多;如果血先受邪,则下半身症状多;如果气血都受邪,则上下半身症状都多。病情严重的,如果不是医生有神奇的手术,病人有坚定的意志,很少有能免于死亡的。按照法则治疗,尤其应当断绝浓腻厚味的食物,忌酒色,这样才不会再次发作,一旦再次发作就无法救治了。懂得命运的人可以遵守这些戒律吗?
对于症状主要在上半身的:
症状主要在上半身者,使用醉仙散,目的是从齿缝中排出臭秽的涎液和恶血。
醉仙散
治疗大风病的特效药。
胡麻仁(半两) 牛蒡子(半两) 蔓荆子(半两) 防风(半两,去芦头) 枸杞子(半两,以上五味药材一同炒至黑色) 栝蒌根(半两) 苦参(半两) 白蒺藜(半两,炒制)
将上述药材研成粉末,每一两药粉中加入轻粉一钱拌匀。成人每次服用一钱,空腹时,中午和临睡前各服一次,用茶汤调服。五到七天见效,根据患者体型大小和虚实情况,增减剂量给予服用。
对于症状主要在下半身的:
症状主要在下半身者,使用通天再造散,目的是从肛门中排出陈旧的虫子和恶物。
通天再造散
锦纹大黄(一两) 角刺(一两半,独生且黑大者) 郁金(半两) 白牵牛(取头末六两,一半生用,一半炒熟)
将上述药材研成粉末,每次服用二钱,临睡前用冷酒调服。在日出之前面向东方服用,旁边准备好干净的桶以便排泄。排出的虫子如果是黑色的,说明病根深久;如果是赤色的,说明病程较近。两到四日后再进服一次,直到没有虫子排出,才能断绝病根。
白芷(二钱) 当归(二钱) 熟半夏(二钱) 白茯苓(二钱) 苍术(一两) 干葛(一两) 升麻(一两) 桔梗(一两) 枳壳(五钱) 干姜(五钱) 大黄(五钱,蒸制) 白芍药(七钱) 陈皮(一两半) 甘草(一两半)
每次服用四钱,用生姜、灯心草煎汤送服。
浮萍散
治疗癞风
浮萍(一两) 荆芥(半两) 麻黄(去根、节,半两) 川芎(半两) 甘草(半两)
将上述药材研成粉末,每一两药粉,加水两钟,加入葱白、豆豉煎服,出汗后痊愈。
[Verse]
The disease of leprosy (Laiji) is originally Leprosy (Lifeng), with nodules all over the body and itching as if insects are present.
In an instant, the nose collapses and eyebrows fall out; one should know that this violent and cruel condition is caused by the accumulation of evil qi (malicious energy).
[Dissertation]
As for Lifeng (Leprosy), it is also called "Da Feng" (Great Wind), and in ancient times was known as Lai (Leprosy). It results from receiving the wind of heaven and earth that kills living things, which is violent, fierce, and cruel, inspiring fear. However, blood follows the movement of qi; if qi does not circulate freely, blood stagnates. When blood stagnates, flesh rots and insects are born. In an instant, the nose collapses and eyebrows fall out. This does not go beyond the involvement of the Yangming channel (Stomach and Large Intestine meridians), because the Yangming channel receives everything. When wind pathogen enters the human body, if qi is affected first, symptoms appear mostly in the upper body; if blood is affected first, symptoms appear mostly in the lower body; if both qi and blood are affected, symptoms appear in both upper and lower bodies. In severe cases, unless the physician has miraculous skills and the patient has iron-like determination, few will escape death. According to the prescribed methods of treatment, one must especially abstain from rich and greasy foods, avoid alcohol and sexual indulgence, so as not to cause recurrence. If it recurs, there is no cure. Those who understand destiny can observe these prohibitions?
For those with symptoms predominantly in the upper body:
Use Zuixian San (Immortal Drunken Powder) to extract foul saliva and bad blood from between the teeth.
Zuixian San (Immortal Drunken Powder)
A divine medicine for treating Da Feng (Great Wind/Leprosy).
Sesamum indicum seed (Banliang) Arctii fructus (Banliang) Vitex trifolia fruit (Banliang) Saposhnikoviae radix (Banliang, remove rhizome) Lycium barbarum fruit (Banliang; the above five herbs are stir-fried together until black) Trichosanthes root (Banliang) Sophora flavescens root (Banliang) Tribulus terrestris fruit (Banliang, stir-fried)
Grind into powder. For every liang of powder, add Qinfen (Calomel) one qian and mix well. Adults take one qian per dose, on an empty stomach, once at noon and once before bed, taken with tea water. Effect is seen in five to seven days. Adjust the dosage according to the size and deficiency/excess condition of the patient.
For those with symptoms predominantly in the lower body:
Use Tongtian Zaizao San (Sky-Penetrating Re-creation Powder) to expel old worms and foul matter from the anus.
Tongtian Zaizao San (Sky-Penetrating Re-creation Powder)
Polygoni multiflori radix (Jinwen variety) (One liang) Rhamni purshianae cortex (Jiaoci) (One and a half liang, single-stemmed, large and black) Curcumae longae radix (Half liang) Pharbitidis semen (Baiqianniu) (Take the first flour six liang, half raw, half cooked)
Grind into powder. Take two qian per dose, mixed with cold wine before bed. Take facing east before sunrise. Have a clean bucket ready to receive excrement. The expelled worms, if black, indicate deep-rooted and long-standing disease; if red, indicate recent onset. Administer another dose after two or four days, until no more worms are expelled, then the root of the disease is eradicated.
General Treatment:
Commonly used formulas for Lifeng include Shengma San (Cimicifugae Decoction) to induce sweating, and Fuping San (Marsilea Quadrifolia Powder).
Shengma San (Cimicifugae Decoction)
Angelicae dahuricae radix (Two qian) Angelicae sinensis radix (Two qian) Pinelliae ternatae rhizoma preparatum (Two qian) Poria cocos (Two qian) Atractylodis macrocephalae rhizoma (One liang) Puerariae lobatae radix (One liang) Cimicifugae rhizoma (One liang) Platycodonis radix (One liang) Aurantii fructus (Wuchi) (Five qian) Zingiberis officinalis rhizoma dryum (Five qian) Rhei radix (Five qian, steamed) Paeoniae lactiflorae radix alba (Seven qian) Citri reticulatae pericarpium (One and a half liang) Glycyrrhizae radix et rhizoma (One and a half liang)
Take four qian per dose, decocted with Zingiberis rhizoma recens (Fresh Ginger) and Junci medulla (Rush pith).
Fuping San (Marsilea Quadrifolia Powder)
Treating Lai Feng (Leprosy)
Marsileae quadrifoliae herba (One liang) Schizonepetae spica (Half liang) Ephedrae herba (Remove roots and nodes, Half liang) Chuanxiong rhizoma (Half liang) Glycyrrhizae radix et rhizoma (Half liang)
Grind into powder. For every liang of powder, use two zhong of water, add Allii fistulosi bulbostipulum (White part of green onion) and Sojae semen preparatum (Fermented Soybean), decoct and take. Cure is achieved when sweat appears.