夫伤寒后 疮者。因腹中有热。其人食少。胃中空虚。三虫须食。或食五脏。或食下部。
隐僻有疮。故名 疮。其候齿无色。舌上尽白。四肢沉重。惚惚喜眠。甚则唇里有疮。其疮
在上唇里。如米粟。心内懊 痛者。此虫食五脏之证也。若下唇里有疮。其人喜眠者。此虫
食下部之证。若肛烂见五脏者死。又云。夫慝病。与百合狐惑湿气鬼气皆相类。宜精察节气。
其
方
桃仁散 治伤寒 虫蚀下部。躁闷痒痛不已。
桃仁（汤浸去皮尖双仁麸炒微黄） 槐子（微炒） 熟艾（微炒各二两） 黄连（一两
去须微
炒） 上为散。每服三钱。水一中盏。煎至五分。去滓。食前温服。
雄黄散 治伤寒 下部生疮。蚀肛门疼痛。
雄黄（一两细研 圣济方作一分醋煮研） 青葙子（一两半） 黄连（一两半去须） 苦
参
（一两半锉） 桃仁（三分汤浸去皮尖双仁麸炒微黄） 上为细散。每服二钱。粥饮调下。
食前。
又将散子绵裹如杏仁大。纳于下部中。良。圣济方。再同研匀。每服一钱匕。若 在下部。
以绵
麝香散 治伤寒 心中懊 。下部有疮疼痛。
麝香（一分研细） 雄黄（一分细研） 朱砂（一分细研） 羚羊角屑（一分） 青葙
子（二分）
黄连（一分去须） 贝齿（一分） 川升麻（一分） 桃仁（一分汤浸去皮尖双仁麸炒微黄）
上为
细散。每服二钱。煎大麦饮调下。食前。
青葙散（出圣惠方）治伤寒初有 。下部生疮疼痛。
青葙子（一两） 芦（二两） 野狼牙（一两） 陈橘皮（一两汤浸去白瓤焙） 扁竹
（一两）
上为细散。每服粥饮调下。食前。
阿胶散（出圣惠方）治伤寒下唇内生疮。虫蚀下部疼痛。或时泄痢。
阿胶（二分捣碎炒令黄燥） 黄柏（半两微炒炙锉） 当归（半两锉微炒） 槟榔（半
两） 木
香（半两） 龙骨（半两） 槐子（一两微炒） 上为细散。每服二钱。煎黄 汤调下。食
前。
楝根皮丸（出圣惠方）治伤寒 蚀下部。腹中 痛。
东引苦根楝白皮（一两锉） 野狼牙（一两） 白矾灰（一分） 猪胆（三枚取汁用酒三
合相和
重汤煮如膏） 上为细末。用猪胆膏和丸。如梧桐子大。每服二十丸。以桃枝汤下。食前。
藜芦丸（出圣惠方）治伤寒下部生 疮。时久不瘥。
藜芦（半两去芦头） 桂心（一两） 巴豆（一分去皮心研纸裹压去油） 附子（一两
炮去皮
脐） 上为末。入巴豆研令匀。炼蜜和丸如梧桐子大。每服一丸。粥饮送下。食前。
槐子仁丸（出圣惠方）治伤寒下部 疮。痛痒不止。
槐子仁（一两微炒） 苦参（一两锉） 熊胆（半两） 木香（一两） 干漆（三分捣
碎炒令烟
出） 槟榔（一两） 桃仁（二两汤浸去皮尖双仁麸炒微黄） 上为末。炼蜜和丸如梧桐子
大。
每服二十丸。荆芥汤下。食前。
治伤寒 病唾血。上唇内有疮如粟。心中痛闷。此虫在上蚀其五脏。若下唇内生
疮。其人喜
上以鸡子一枚。小头敲破。出白。和熟漆半合。搅和令匀。空腹吞之。食顷。或半日。
或下虫。或吐虫尽。则热除病愈。若不治。即杀人。
又方（出圣惠方）
用猪胆二枚取汁。以醋一中盏。入胆汁相和。煎三五沸。放温。空腹服之一合。虫则自
死。圣济方。用胆一具。
治伤寒下部生 疮方（出圣惠方）
地龙（一两去土微炒） 野狼牙（二两） 上细锉。和匀。每服二字。水一大盏。煎至五
分。
去滓。食前温服。
又方
上以蛇莓草。捣绞取汁。每于食前温服一小盏。
又方（出圣惠方）
上以乌梅肉二两。炒令燥。为细末。炼蜜和丸如梧桐子大。每服十丸。以石榴根皮汤下。
食
又方（出圣惠方）
上以梓树皮三两。细锉。水三大盏。煎至一盏半。去滓。空心。分温三服。
治伤寒下部 疮。虫蚀肛烂方。（出圣惠方）
熟艾（弹子大） 雄黄末（半钱） 上相和作炷烧。用竹筒引烟熏下部中。
桃仁汤（出永类钤方）治伤寒后 疮。
黄连犀角汤（出活人书方）治伤寒及诸病后。疮出下部。
黄连（去须微炒半两） 乌梅（七枚去核焙） 犀角（镑一两无升麻代） 木香（四钱）
上粗
捣筛。每服五钱。水一盏半。煎至一盏。去滓。食前温服。
羚羊角散 治伤寒后心中烦躁。唇口生疮。虫食下部。
羚羊角（镑三分） 龙胆（半两） 黄 （锉三分） 升麻（半两） 玄参 柴胡（去
苗各三分）
上捣罗为散。每服二钱。煎槐子汤调下。空心食前。日三服。
麝香散 治伤寒后 疮。
麝香（研） 雄黄（醋煮研） 丹砂（研各一分） 羚羊角（镑） 犀角（镑） 黄连
（去须微炒）
青葙子 升麻 贝齿（ 研各半两） 桃仁（汤浸去皮尖双仁炒研三分） 上捣研为散。再
同研
匀。每服二钱。以食后煎麦仁粥饮调服。又以绵裹半枣大。纳下部中。良久去之。
苦参汤 治伤寒后 疮。
苦参（一两） 槐白皮（锉二两） 熊胆（半两研） 上除熊胆外。粗捣筛。每服五钱。
水一
盏半。煎至八分。去滓。入熊胆末半钱。搅匀。空心温服。下部有疮者。更灌下部。
桃皮汤 治伤寒后 虫食下部。
桃皮（锉） 槐子 榧实（各一两） 石榴根（锉半两） 上粗捣筛。每服五钱。水一
盏半。
枣三枚。擘破。同煎至八分。去滓。食前温服。
犀角汤 治伤寒后唇口生疮。心中懊 。虫食下部。时或下痢。
犀角（镑） 龙骨（各一两） 木香（三分） 阿胶（炙令燥一两） 升麻（半两） 桃
仁（汤浸
去皮尖双仁一两） 上粗捣筛。每服三钱。水一盏。煎至六分。去滓。温服。晚再服。
治伤寒天行。下部 疮。
乌梅（去核捣烂半两） 独头蒜（一头捣烂） 屋尘（三合） 一一处。入苦酒一升。
和匀。
于铜器中煎。候可丸。丸如枣核大。纳下部中。
若病患齿龈无色。舌上白者。或喜眠。愦愦不知痛痒处。或下痢。宜急疗下部。不晓此
者。但攻其上。不以为意。下部生疮。 蚀其肛门。烂见五脏死也。疗之方。（出肘后方） 上
用
桃仁苦酒汤（出肘后方）治证同前。
桃仁（五十枚去皮尖及双仁） 苦酒（二升） 盐（一合） 上煮取六合。去滓。尽服
之。
龙骨汤（出肘后方）治伤寒已七八日。至十余日。烦渴热盛。而三焦有疮
者。多下痢。或张口吐舌呵吁。目烂。口鼻生疮。吟语不识人。宜服此汤。除热毒。止
痢。神方。
上以龙骨半斤。碎。以水一斗。煮取四升。沉之井底令冷。服五合。余渐渐进之。恣意
取饮。尤宜老少。无味。殆如饮水未断。
懊 散（出圣惠方）治伤寒心中懊 。下痢。谷道中烂伤。当服懊 散。以
药纳谷道中
芦（十分圣济方用二） 干漆（二分圣济方捣碎炒令烟出半两） 蓄（二分圣济方
干者
用半两） 上各异捣筛。粉粥饮服一钱。先食。日再服。圣济方。治伤寒心中闷。下痢。下
部生 疮烂伤。每服二钱。粥饮调下。食前服。
疗伤寒兼 疮。其候口唇皆生疮。唾血。唇内有疮如粟者。则心中懊 痛。如此。
则此虫在上。乃蚀五脏。若下唇内生疮。其人喜眠者。此虫在下。蚀下部方。（出肘
后
方）
上取鸡子一枚。扣头出白。与漆一合。热和令调。如漆还纳谷中。仰吞之。食顷。或半
日。或下虫。或吐虫。剧者再服。乃尽热除病愈。凡得热病。腹内热食少。三虫行作求食。
蚀人五脏及下部。人不能知。可服此药。不尔 虫杀人。
有病 下不止者（出肘后方）
乌头（二两） 女姜 云实（各一两） 桂（二分） 上蜜丸如梧桐子大。水服五丸。
一日三
服。
一方（出肘后方）治下部卒痛如鸟啄。
赤小豆 大豆（各一升） 上合捣。两囊贮。蒸之令熟。更互坐。即愈。
疗 虫蚀下部方
上以泥作罂。以竹筒如指。所横穿罂肚。筒一头纳下孔中。纳如鸡子艾。烧之。就罂口
吹之。常令艾烧。强人可益艾。甚良。
一方 治病患齿无色。舌上白。或喜睡。不知痛痒处。或下利者。急治下部。不晓
此者。但攻其上。不以为意。下部生虫蚀其肛烂。见五脏便死。
用艾叶。于管中熏下部。令烟入。更入少雄黄。良。
伤寒之后出现阴部疮疡，是因为腹中有热。患者饮食减少，导致胃中空虚。体内的“三虫”（泛指肠道寄生虫）需要食物，便会啃食五脏或下部阴窍。在隐蔽部位形成疮疡，因此称为“蝕疮”。其症状表现为牙齿颜色暗淡无光，舌面布满白苔，四肢沉重，精神恍惚嗜睡。严重时嘴唇内部生疮。若疮在上唇内侧，如米粒状，伴有心烦懊恼疼痛，这是虫蚀五脏的证候。若在下唇内侧生疮，且患者喜睡，这是虫蚀下部的证候。如果肛门腐烂至露出内脏则预后不良，多致死亡。又说，“蝕病”与百合病、狐惑病、湿气病及鬼气病等症状相似，应当仔细辨别节气气候的影响。
桃仁散：治疗伤寒后虫蚀下部，烦躁闷乱、瘙痒疼痛不止。
药材：桃仁（用汤浸泡去皮尖及双仁，麸炒至微黄）、槐子（微炒）、熟艾（微炒，各二两）、黄连（一两，去须，微炒）。
制法用法：将上述药物研为散剂。每次服用三钱，加水一中盏，煎至五分，去渣滓。饭前温服。
雄黄散：治疗伤寒后下部生疮，腐蚀肛门引起疼痛。
药材：雄黄（一两，细研；《圣济总录》作一分，醋煮后研）、青葙子（一两半）、黄连（一两半，去须）、苦参（一两半，锉碎）、桃仁（三分，汤浸去皮尖及双仁，麸炒微黄）。
制法用法：研为细散。每次服用二钱，用粥饮调服。饭前服用。
外用：另取散剂包裹于绵中，大小如杏仁，纳入下部阴窍中，效果良好。（此法出自《圣济总录》，需重新研磨均匀，每次一钱匕。）
麝香散：治疗伤寒后心中烦闷懊恼，下部有疮疼痛。
药材：麝香（一分，研细）、雄黄（一分，细研）、朱砂（一分，细研）、羚羊角屑（一分）、青葙子（二分）、黄连（一分，去须）、贝齿（一分）、川升麻（一分）、桃仁（一分，汤浸去皮尖及双仁，麸炒微黄）。
制法用法：研为细散。每次服用二钱，用煎大麦饮调服。饭前服用。
青葙散（出自《太平圣惠方》）：治疗伤寒初起有蝕疮，下部生疮疼痛。
药材：青葙子（一两）、芦根（二两）、野狼牙草（一两）、陈橘皮（一两，汤浸去白瓤焙干）、扁竹根（一两）。
制法用法：研为细散。每次用粥饮调服二钱。饭前服用。
阿胶散（出自《太平圣惠方》）：治疗伤寒下唇内生疮，虫蚀下部疼痛，有时伴有泄痢。
药材：阿胶（二分，捣碎炒至黄燥）、黄柏（半两，微炒炙后锉碎）、当归（半两，锉碎微炒）、槟榔（半两）、木香（半两）、龙骨（半两）、槐子（一两，微炒）。
制法用法：研为细散。每次服用二钱，用煎黄耆汤调服。饭前服用。
楝根皮丸（出自《太平圣惠方》）：治疗伤寒虫蚀下部，腹中疼痛。
药材：向东生长的苦楝树白皮（一两，锉碎）、野狼牙草（一两）、白矾灰（一分）、猪胆（三个，取汁，用酒三合混合，隔水重煮成膏状）。
制法用法：将前几味药研为细末，用猪胆膏和丸，如梧桐子大。每次服用二十丸，用桃枝汤送服。饭前服用。
藜芦丸（出自《太平圣惠方》）：治疗伤寒下部生蝕疮，日久不愈。
药材：藜芦（半两，去芦头）、桂心（一两）、巴豆（一分，去皮心，用纸包裹压去油）、附子（一两，炮制去皮脐）。
制法用法：研为末，加入巴豆研匀，炼蜜和丸如梧桐子大。每次服用一丸，用粥饮送服。饭前服用。
槐子仁丸（出自《太平圣惠方》）：治疗伤寒下部蝕疮，痛痒不止。
药材：槐子仁（一两，微炒）、苦参（一两，锉碎）、熊胆（半两）、木香（一两）、干漆（三分，捣碎炒至烟出）、槟榔（一两）、桃仁（二两，汤浸去皮尖及双仁，麸炒微黄）。
制法用法：研为末，炼蜜和丸如梧桐子大。每次服用二十丸，用荆芥汤送服。饭前服用。
治疗伤寒蝕病唾血，上唇内有如粟米大小的疮，心中痛闷。这是虫在上部侵蚀五脏。若下唇内生疮，患者喜睡……
方法：取鸡蛋一枚，在小头敲破，取出蛋清，与半合熟漆混合搅匀。空腹吞服。过一会儿，或半天时间，或排出虫体，或吐出虫体，则热除病愈。若不治疗，会致死。
又一方（出自《太平圣惠方》）：
取猪胆汁二枚，加醋一中盏，混合胆汁，煎煮三五沸，放温。空腹服用一合。虫自死。（《圣济总录》用胆一个。）
治疗伤寒下部生蝕疮方（出自《太平圣惠方》）：
地龙（一两，去土微炒）、野狼牙草（二两）。
制法用法：细锉拌匀。每次服用二字（约二钱），加水一大盏，煎至五分，去渣。饭前温服。
又方：
取蛇莓草，捣绞取汁。每次饭前温服一小盏。
又方（出自《太平圣惠方》）：
取乌梅肉二两，炒至干燥，研为细末，炼蜜和丸如梧桐子大。每次服用十丸，用石榴根皮汤送服。
又方（出自《太平圣惠方》）：
取梓树皮三两，细锉，加水三大盏，煎至一盏半，去渣。空腹分三次温服。
治疗伤寒下部蝕疮，虫蚀肛门腐烂方（出自《太平圣惠方》）：
熟艾（弹子大小）、雄黄末（半钱）。
制法用法：混合做成艾炷燃烧，用竹筒引导烟雾熏蒸下部阴窍。
黄连犀角汤（出自《活人书》）：治疗伤寒及诸病后，蝕疮出于下部。
药材：黄连（去须微炒半两）、乌梅（七枚，去核焙干）、犀角（镑片一两，若无升麻可代）、木香（四钱）。
制法用法：粗捣筛。每次服用五钱，加水一盏半，煎至一盏，去渣。饭前温服。
羚羊角散：治疗伤寒后心中烦躁，唇口生疮，虫食下部。
药材：羚羊角（镑片三分）、龙胆（半两）、黄芩（锉碎三分）、升麻（半两）、玄参、柴胡（去苗，各三分）。
制法用法：捣罗为散。每次服用二钱，用煎槐子汤调服。空心及饭前服用，每日三次。
麝香散：治疗伤寒后蝕疮。
药材：麝香（研）、雄黄（醋煮研）、丹砂（研，各一分）、羚羊角（镑）、犀角（镑）、黄连（去须微炒）、青葙子、升麻、贝齿（研，各半两）、桃仁（汤浸去皮尖及双仁炒研三分）。
制法用法：捣研为散，再同研均匀。每次服用二钱，饭后用麦仁粥饮调服。另取绵包裹半枣大药团，纳入下部阴窍中，良久后取出。
苦参汤：治疗伤寒后蝕疮。
药材：苦参（一两）、槐白皮（锉碎二两）、熊胆（半两，研）。
制法用法：除熊胆外，粗捣筛。每次服用五钱，加水一盏半，煎至八分，去渣，加入熊胆末半钱，搅匀。空腹温服。下部有疮者，更可用药液灌洗下部。
桃皮汤：治疗伤寒后虫食下部。
药材：桃皮（锉碎）、槐子、榧实（各一两）、石榴根（锉碎半两）。
制法用法：粗捣筛。每次服用五钱，加水一盏半，枣三枚，擘破，同煎至八分，去渣。饭前温服。
犀角汤：治疗伤寒后唇口生疮，心中懊恼，虫食下部，时而下痢。
药材：犀角（镑片）、龙骨（各一两）、木香（三分）、阿胶（炙令干燥一两）、升麻（半两）、桃仁（汤浸去皮尖及双仁一两）。
制法用法：粗捣筛。每次服用三钱，加水一盏，煎至六分，去渣，温服。晚上再服一次。
治疗伤寒天行疫病，下部蝕疮。
药材：乌梅（去核捣烂半两）、独头蒜（一头捣烂）、屋尘（三合）。
制法用法：一同放入，加入苦酒（醋）一升，和匀，在铜器中煎煮，候可制成丸药，丸如枣核大，纳入下部阴窍中。
若病患牙龈无色，舌面白，或喜睡，昏愦不知痛痒处，或下痢，宜急疗下部。不懂此理者，只攻上部，不在意下部，导致下部生疮，虫蚀肛门，腐烂见五脏而死。治疗方（出自《肘后备急方》）：
桃仁苦酒汤（出自《肘后备急方》）：主治证候同上。
药材：桃仁（五十枚，去皮尖及双仁）、苦酒（二升）、盐（一合）。
制法用法：煮取六合，去渣，尽服之。
龙骨汤（出自《肘后备急方》）：治疗伤寒已七八日，至十余日，烦渴热盛，而三焦有蝕疮者。症见多下痢，或张口吐舌呵欠，目烂，口鼻生疮，谵语不识人。宜服此汤，除热毒，止痢，神方。
药材：龙骨半斤，碎。
制法用法：加水一斗，煮取四升，沉入井底令其冷却。服用五合，其余逐渐进服，随意饮用。尤其适宜老少，无味，几乎像喝水一样不间断。
懊憹散（出自《太平圣惠方》）：治疗伤寒心中懊憹，下痢，谷道（肛门）中烂伤。当服懊憹散，将药纳入谷道中。
药材：芦根（十分，《圣济总录》用二两）、干漆（二分，《圣济总录》捣碎炒令烟出半两）、萹蓄（二分，《圣济总录》干者用半两）。
制法用法：各自捣筛。用粉粥饮送服一钱。先服药后进食，每日两次。（《圣济总录》治伤寒心中闷，下痢，下部生蝕疮烂伤，每服二钱，粥饮调下，饭前服。）
治疗伤寒兼蝕疮。其症状口唇皆生疮，唾血，唇内有如粟米疮，则心中懊憹痛。如此，则是虫在上，乃蚀五脏。若下唇内生疮，其人喜睡者，此虫在下。蚀下部方（出自《肘后备急方》）：
取鸡蛋一枚，敲开头部取出蛋清，与漆一合，加热调和。若漆凝固则纳入谷中，仰头吞服。过一会儿，或半天，或下虫，或吐虫，剧烈者再服，直至热除病愈。凡得热病，腹内热食少，三虫行动求食，蚀人五脏及下部，人不能知，可服此药，不然虫杀人。
有病蝕下不止者（出自《肘后备急方》）：
药材：乌头（二两）、女姜、云实（各一两）、桂（二分）。
制法用法：蜜丸如梧桐子大。水服五丸，一日三服。
一方（出自《肘后备急方》）：治疗下部卒然疼痛如鸟啄。
药材：赤小豆、大豆（各一升）。
制法用法：合捣，装入两个囊中，蒸熟，交替坐于其上，即愈。
疗蝕虫蚀下部方：
以泥作成罂（小坛），用竹筒如手指粗细，横向穿过罂肚，筒一头纳于下部孔中，放入如鸡蛋大小的艾绒，燃烧它，就在罂口吹气。常令艾燃烧，强壮者可增加艾量，甚良。
一方：治病患齿无色，舌上白，或喜睡，不知痛痒处，或下利者，急治下部。不懂此理者，但攻其上，不以为意，下部生虫蚀其肛烂，见五脏便死。
方法：用艾叶，于管中熏下部，令烟入，更入少许雄黄，良。
After contracting Shanghan (Cold Damage), the appearance of ulcers in the genital/anal region is caused by heat in the abdomen. The patient has poor appetite, leading to an empty and deficient stomach. The "three worms" (parasites) seek food, consuming the Zang organs or the lower body. Ulcers form in hidden areas, hence the name "Shi Chuang" (Eroding Ulcer). Symptoms include teeth lacking luster, a white coating covering the entire tongue, heavy limbs, mental confusion with a tendency to sleep, and in severe cases, ulcers inside the lips. If ulcers appear on the inner upper lip like millet grains, accompanied by internal restlessness and pain, this indicates parasites eroding the Zang organs. If ulcers appear on the inner lower lip and the patient prefers sleeping, this indicates parasites eroding the lower body. If the anus rots exposing the viscera, it is fatal. It is also stated that "Shi Bing" (Eroding Disease) resembles Baihe Bing (Lily Disease), Huhuo Bing (Fox Confusion Disease), Shiqi Bing (Dampness Disease), and Guiqi Bing (Ghost Qi Disease); one must carefully distinguish them based on solar terms and climate.
Taoren San (Peach Kernel Powder): Treats erosive ulcers in the lower body after Shanghan, characterized by incessant irritability, stifling sensation, itching, and pain.
Ingredients: Taoren (Peach Kernel, *Prunus persica* seed) (soaked in decoction, skin and tip removed, double-kernel removed, stir-fried with bran until slightly yellow), Huaizi (Sophora Fruit, *Styphnolobium japonicum* fruit) (slightly stir-fried), Shuai Ai (Matured Mugwort Leaf, *Artemisia argyi* leaf) (slightly stir-fried, each 2 liang), Huanglian (Coptis Rhizome, *Coptis chinensis* rhizome) (1 liang,须 removed, slightly stir-fried).
Preparation and Administration: Grind into powder. Take 3 qian per dose. Add 1 zhong of water, boil down to 0.5 zhong, remove dregs. Take warm before meals.
Xionghuang San (Realgar Powder): Treats erosive ulcers in the lower body after Shanghan, causing anal erosion and pain.
Ingredients: Xionghuang (Realgar, *Realgar*) (1 liang, finely ground; *Shengji Fang* uses 1 fen, boiled in vinegar then ground), Qingxiangzi (Celosia Seed, *Celosia argentea* seed) (1.5 liang), Huanglian (Coptis Rhizome, *Coptis chinensis* rhizome) (1.5 liang, 须 removed), Kushen (Sophora Root, *Sophora flavescens* root) (1.5 liang, sliced), Taoren (Peach Kernel, *Prunus persica* seed) (3 fen, soaked in decoction, skin and tip removed, double-kernel removed, stir-fried with bran until slightly yellow).
Preparation and Administration: Grind into fine powder. Take 2 qian per dose, mixed with congee drink. Take before meals.
External Use: Wrap powder in silk, size of an almond, insert into the lower orifice. Effective. (*Shengji Fang*: Re-grind uniformly, take 1 qian bi.)
Shexiang San (Musk Powder): Treats post-Shanghan internal restlessness and lower body ulcer pain.
Ingredients: Shexiang (Musk, *Moschus* musk gland) (1 fen, finely ground), Xionghuang (Realgar, *Realgar*) (1 fen, finely ground), Zhusha (Cinnabar, *Cinnabaris*) (1 fen, finely ground), Lingyangjiao (Antelope Horn, *Saiga tatarica* horn) (1 fen), Qingxiangzi (Celosia Seed, *Celosia argentea* seed) (2 fen), Huanglian (Coptis Rhizome, *Coptis chinensis* rhizome) (1 fen, 须 removed), Beichi (Concha Arcae) (1 fen), Chuan Shengma (Bupleurum Root, *Bupleurum chinense* root) (1 fen), Taoren (Peach Kernel, *Prunus persica* seed) (1 fen, soaked in decoction, skin and tip removed, double-kernel removed, stir-fried with bran until slightly yellow).
Preparation and Administration: Grind into fine powder. Take 2 qian per dose, mixed with boiled barley drink. Take before meals.
Qingxiang San (Celosia Seed Powder) (from *Shenghui Fang*): Treats initial erosive ulcers after Shanghan, with lower body ulcer pain.
Ingredients: Qingxiangzi (Celosia Seed, *Celosia argentea* seed) (1 liang), Lugen (Reed Rhizome, *Phragmites communis* rhizome) (2 liang), Yelangya (Wild Wolf's Tooth Herb, *Aconitum coreanum* root? Note: Often refers to *Acanthopanax* or similar, here likely *Aconitum* or specific local herb, kept as Yelangya), Chen Jupi (Aged Tangerine Peel, *Citrus reticulata* peel) (1 liang, soaked in decoction, white pith removed, baked), Bianzhu (Polygonatum Rhizome, *Polygonatum sibiricum* rhizome) (1 liang).
Preparation and Administration: Grind into fine powder. Take 2 qian per dose, mixed with congee drink. Take before meals.
Ejiao San (Donkey-Hide Gelatin Powder) (from *Shenghui Fang*): Treats lower lip ulcers after Shanghan, lower body erosive pain, occasional dysentery.
Ingredients: Ejiao (Donkey-Hide Gelatin, *Colla corii asini*) (2 fen, crushed, stir-fried until yellow and dry), Huangbai (Phellodendron Bark, *Phellodendron amurense* bark) (0.5 liang, slightly stir-fried, roasted, sliced), Danggui (Angelica Sinensis Root, *Angelica sinensis* root) (0.5 liang, sliced, slightly stir-fried), Binglang (Areca Seed, *Areca catechu* seed) (0.5 liang), Muxiang (Aucklandia Root, *Aucklandia lappa* root) (0.5 liang), Longgu (Fossilized Bone, *Os fossile*) (0.5 liang), Huaizi (Sophora Fruit, *Styphnolobium japonicum* fruit) (1 liang, slightly stir-fried).
Preparation and Administration: Grind into fine powder. Take 2 qian per dose, mixed with boiled Astragalus decoction. Take before meals.
Lian Genpi Wan (Melia Bark Pill) (from *Shenghui Fang*): Treats lower body erosive ulcers after Shanghan, abdominal pain.
Ingredients: Dongyin Kulian Baipi (White Bark of East-facing Melia Tree, *Melia azedarach* bark) (1 liang, sliced), Yelangya (Wild Wolf's Tooth Herb) (1 liang), Baifanhui (Alum Ash) (1 fen), Zhu Dan (Pig Gallbladder) (3 pieces, juice extracted, mixed with 3 he of wine, boiled over water until paste-like).
Preparation and Administration: Grind herbs into fine powder, mix with pig gallbladder paste to form pills the size of Sophora seeds. Take 20 pills per dose, washed down with Peach Branch Decoction. Take before meals.
Lilu Wan (Veratrum Pill) (from *Shenghui Fang*): Treats persistent erosive ulcers in the lower body after Shanghan.
Ingredients: Lilu (Veratrum Rhizome, *Veratrum nigrum* rhizome) (0.5 liang, 芦头 removed), Guixin (Cinnamon Twig Heart, *Cinnamomum cassia* twig) (1 liang), Badou (Croton Seed, *Croton tiglium* seed) (1 fen, skin and heart removed, pressed between paper to remove oil), Fuzi (Prepared Aconite Root, *Aconitum carmichaelii* root) (1 liang, processed, skin and umbilicus removed).
Preparation and Administration: Grind into powder, mix with Badou evenly, bind with refined honey into pills the size of Sophora seeds. Take 1 pill per dose, washed down with congee drink. Take before meals.
Huaizi Ren Wan (Sophora Seed Pill) (from *Shenghui Fang*): Treats lower body erosive ulcers after Shanghan with unceasing pain and itching.
Ingredients: Huaizi Ren (Sophora Seed, *Styphnolobium japonicum* seed) (1 liang, slightly stir-fried), Kushen (Sophora Root, *Sophora flavescens* root) (1 liang, sliced), Xiongdan (Bear Bile, *Ursus* bile) (0.5 liang), Muxiang (Aucklandia Root, *Aucklandia lappa* root) (1 liang), Ganqi (Dried Resin of Toxicodendron, *Toxicodendron vernicifluum* resin) (3 fen, crushed, stir-fried until smoke appears), Binglang (Areca Seed, *Areca catechu* seed) (1 liang), Taoren (Peach Kernel, *Prunus persica* seed) (2 liang, soaked in decoction, skin and tip removed, double-kernel removed, stir-fried with bran until slightly yellow).
Preparation and Administration: Grind into powder, bind with refined honey into pills the size of Sophora seeds. Take 20 pills per dose, washed down with Schizonepeta Decoction. Take before meals.
Treatment for Shanghan Shi Bing with spitting blood, ulcers like millet on the inner upper lip, and chest pain/stifling. This indicates parasites eroding the Zang organs from above. If ulcers are on the inner lower lip and the patient sleeps often, it indicates parasites eroding from below.
Method: Take one chicken egg, break the small end, extract the white. Mix with 0.5 he of cooked lacquer. Stir well. Swallow on an empty stomach. After a short while or half a day, worms may be passed or vomited out. Heat will subside and disease will cure. If untreated, it is fatal.
Another Prescription (from *Shenghui Fang*):
Extract juice from two pig gallbladders. Mix with 1 zhong of vinegar. Boil for three to five boils. Let cool. Take 1 he on an empty stomach. Worms will die. (*Shengji Fang* uses one gallbladder.)
Treatment for Lower Body Erosive Ulcers after Shanghan (from *Shenghui Fang*):
Dilong (Earthworm, *Pheretima* spp.) (1 liang, earth removed, slightly stir-fried), Yelangya (Wild Wolf's Tooth Herb) (2 liang).
Preparation and Administration: Finely slice and mix. Take 2 zi (approx. 2 qian) per dose. Add 1 zhong of water, boil down to 0.5 zhong. Remove dregs. Take warm before meals.
Another Method:
Crush She Mei Cao (Snake Berry Herb, *Duchesnea indica* herb) and squeeze out the juice. Take 1 small cup warm before meals.
Another Method (from *Shenghui Fang*):
Take 2 liang of Wumei Meat (Smoked Plum Flesh, *Prunus mume* fruit), stir-fry until dry, grind into fine powder. Bind with refined honey into pills the size of Sophora seeds. Take 10 pills per dose, washed down with Pomegranate Root Bark Decoction.
Another Method (from *Shenghui Fang*):
Take 3 liang of Zishu Pi (Paulownia Bark, *Paulownia tomentosa* bark), finely slice. Add 3 zhong of water, boil down to 1.5 zhong. Remove dregs. Divide into three warm doses, taken on an empty stomach.
Treatment for Lower Body Erosive Ulcers with Anal Erosion after Shanghan (from *Shenghui Fang*):
Shuai Ai (Matured Mugwort Leaf, *Artemisia argyi* leaf) (size of a walnut), Xionghuang Mo (Realgar Powder, *Realgar*) (0.5 qian).
Preparation and Administration: Mix and form moxa cones. Burn them, using a bamboo tube to guide the smoke into the lower orifice.
Taoren Tang (Peach Kernel Decoction) (from *Yonglei Qianfang*): Treats erosive ulcers after Shanghan.
Huanglian Xijiao Tang (Coptis and Rhinoceros Horn Decoction) (from *Huoren Shu Fang*): Treats erosive ulcers appearing in the lower body after Shanghan and other diseases.
Ingredients: Huanglian (Coptis Rhizome, *Coptis chinensis* rhizome) (0.5 liang, 须 removed, slightly stir-fried), Wumei (Smoked Plum, *Prunus mume* fruit) (7 pieces, pit removed, baked), Xijiao (Rhinoceros Horn, *Rhinoceros* horn) (1 liang, shaved; if unavailable, use Shengma as substitute), Muxiang (Aucklandia Root, *Aucklandia lappa* root) (4 qian).
Preparation and Administration: Coarsely crush and sieve. Take 5 qian per dose. Add 1.5 zhong of water, boil down to 1 zhong. Remove dregs. Take warm before meals.
Lingyangjiao San (Antelope Horn Powder): Treats post-Shanghan restlessness, lip/mouth ulcers, and lower body parasitic erosion.
Ingredients: Lingyangjiao (Antelope Horn, *Saiga tatarica* horn) (3 fen, shaved), Longdan (Gentian Root, *Gentiana scabra* root) (0.5 liang), Huangqin (Scutellaria Root, *Scutellaria baicalensis* root) (3 fen, sliced), Shengma (Bupleurum Root, *Bupleurum chinense* root) (0.5 liang), Xuanshen (Scrophularia Root, *Scrophularia ningpoensis* root), Chaihu (Bupleurum Root, *Bupleurum chinense* root) (remove roots, each 3 fen).
Preparation and Administration: Pound and sieve into powder. Take 2 qian per dose, mixed with boiled Sophora Seed Decoction. Take on an empty stomach and before meals, three times daily.
Shexiang San (Musk Powder): Treats erosive ulcers after Shanghan.
Ingredients: Shexiang (Musk, *Moschus* musk gland) (ground), Xionghuang (Realgar, *Realgar*) (boiled in vinegar, ground), Dansha (Cinnabar, *Cinnabaris*) (ground, each 1 fen), Lingyangjiao (Antelope Horn, *Saiga tatarica* horn) (shaved), Xijiao (Rhinoceros Horn, *Rhinoceros* horn) (shaved), Huanglian (Coptis Rhizome, *Coptis chinensis* rhizome) (须 removed, slightly stir-fried), Qingxiangzi (Celosia Seed, *Celosia argentea* seed), Shengma (Bupleurum Root, *Bupleurum chinense* root), Beichi (Concha Arcae) (ground, each 0.5 liang), Taoren (Peach Kernel, *Prunus persica* seed) (soaked in decoction, skin and tip removed, double-kernel removed, stir-fried, ground, 3 fen).
Preparation and Administration: Pound and grind into powder, mix uniformly. Take 2 qian per dose, mixed with wheat kernel congee drink after meals. Also, wrap half a date-sized amount in silk and insert into the lower orifice. Remove after a long time.
Kushen Tang (Sophora Root Decoction): Treats erosive ulcers after Shanghan.
Ingredients: Kushen (Sophora Root, *Sophora flavescens* root) (1 liang), Huaibaipi (Sophora Bark, *Styphnolobium japonicum* bark) (sliced, 2 liang), Xiongdan (Bear Bile, *Ursus* bile) (0.5 liang, ground).
Preparation and Administration: Except for Xiongdan, coarsely crush and sieve. Take 5 qian per dose. Add 1.5 zhong of water, boil down to 0.8 zhong. Remove dregs, add 0.5 qian of Xiongdan powder, mix well. Take warm on an empty stomach. For lower body ulcers, irrigate the area with the decoction.
Taopi Tang (Peach Bark Decoction): Treats lower body parasitic erosion after Shanghan.
Ingredients: Taopi (Peach Bark, *Prunus persica* bark) (sliced), Huaizi (Sophora Fruit, *Styphnolobium japonicum* fruit), Feishi (Chinkapin Nut, *Castanea seguinii* nut) (each 1 liang), Shiliugen (Pomegranate Root, *Punica granatum* root) (sliced, 0.5 liang).
Preparation and Administration: Coarsely crush and sieve. Take 5 qian per dose. Add 1.5 zhong of water, 3 jujubes (split), boil down to 0.8 zhong. Remove dregs. Take warm before meals.
Xijiao Tang (Rhinoceros Horn Decoction): Treats post-Shanghan lip/mouth ulcers, internal restlessness, lower body parasitic erosion, and occasional dysentery.
Ingredients: Xijiao (Rhinoceros Horn, *Rhinoceros* horn) (shaved), Longgu (Fossilized Bone, *Os fossile*) (each 1 liang), Muxiang (Aucklandia Root, *Aucklandia lappa* root) (3 fen), Ejiao (Donkey-Hide Gelatin, *Colla corii asini*) (roasted until dry, 1 liang), Shengma (Bupleurum Root, *Bupleurum chinense* root) (0.5 liang), Taoren (Peach Kernel, *Prunus persica* seed) (soaked in decoction, skin and tip removed, double-kernel removed, 1 liang).
Preparation and Administration: Coarsely crush and sieve. Take 3 qian per dose. Add 1 zhong of water, boil down to 0.6 zhong. Remove dregs. Take warm. Repeat at night.
Treatment for Shanghan Epidemic with Lower Body Erosive Ulcers:
Wumei (Smoked Plum, *Prunus mume* fruit) (pit removed, crushed, 0.5 liang), Dutou Suan (Single-Clove Garlic, *Allium sativum* bulb) (1 clove, crushed), Wuchen (House Dust) (3 he).
Preparation and Administration: Mix together. Add 1 sheng of Ku Jiu (Vinegar, *Acetum*). Mix well. Boil in a copper vessel until moldable. Form pills the size of a jujube pit. Insert into the lower orifice.
If the patient has colorless gums, a white tongue, somnolence, confusion regarding pain/itch, or dysentery, urgently treat the lower body. Those who do not understand this only attack the upper body, neglecting the lower body, leading to lower body ulcers, anal erosion, rotting exposing viscera, and death. Treatment Prescription (from *Zhouhou Fang*):
Taoren Ku Jiu Tang (Peach Kernel Vinegar Decoction) (from *Zhouhou Fang*): Indications same as above.
Ingredients: Taoren (Peach Kernel, *Prunus persica* seed) (50 pieces, skin and tip removed, double-kernel removed), Ku Jiu (Vinegar, *Acetum*) (2 sheng), Yan (Salt, *Natrii Chloridum*) (1 he).
Preparation and Administration: Boil to obtain 6 liang. Remove dregs. Drink all at once.
Longgu Tang (Dragon Bone Decoction) (from *Zhouhou Fang*): Treats Shanghan after 7-8 days up to 10+ days, with restlessness, thirst, intense heat, and erosive ulcers in the San Jiao. Symptoms include frequent dysentery, gaping mouth with tongue protrusion, yawning, rotten eyes, ulcers in mouth/nose, delirium, and inability to recognize people. Take this decoction to clear heat toxins, stop dysentery. Divine prescription.
Ingredients: Longgu (Fossilized Bone, *Os fossile*) 0.5 jin, crushed.
Preparation and Administration: Add 1 dou of water, boil to obtain 4 sheng. Submerge in a well bottom to cool. Take 0.5 sheng. Gradually consume the rest, drinking freely. Suitable for young and old alike. Tasteless, almost like drinking water continuously.
Aonao San (Restlessness Powder) (from *Shenghui Fang*): Treats post-Shanghan internal restlessness, dysentery, and anal erosion. Take Aonao San, inserting medicine into the rectum.
Ingredients: Lugen (Reed Rhizome, *Phragmites communis* rhizome) (10 parts; *Shengji Fang* uses 2 liang), Ganqi (Dried Resin of Toxicodendron, *Toxicodendron vernicifluum* resin) (2 parts; *Shengji Fang* crushes, stir-fries until smoke, 0.5 liang), Pianxu (Setaria Viridis Herb, *Setaria viridis* herb) (2 parts; *Shengji Fang* uses dried 0.5 liang).
Preparation and Administration: Pound and sieve separately. Take 1 qian mixed with rice powder and congee drink. Take medicine before eating, twice daily. (*Shengji Fang*: Treats post-Shanghan chest stuffiness, dysentery, lower body erosive ulcers. Take 2 qian, mixed with congee drink, before meals.)
Treatment for Shanghan complicated by Shi Chuang. Symptoms: ulcers on lips, spitting blood, millet-like ulcers inside lips, causing internal restlessness and pain. This indicates parasites above eroding Zang organs. If ulcers are on the inner lower lip and the patient sleeps often, it indicates parasites below eroding the lower body. Prescription (from *Zhouhou Fang*):
Take one chicken egg, crack head, extract white. Mix with 1 he of lacquer. Heat and blend. If lacquer solidifies, place in rectum, swallow while looking up. After a short while or half a day, worms may be passed or vomited. Severe cases repeat dose. Until heat subsides and disease cures. In febrile diseases, abdominal heat and poor intake cause three worms to move seeking food, eroding Zang organs and lower body. People are unaware. Take this medicine, otherwise worms kill.
For persistent lower body erosion (from *Zhouhou Fang*):
Ingredients: Wutou (Aconite Root, *Aconitum carmichaelii* root) (2 liang), Nvjiang (Female Ginger, *Zingiber officinale* var.), Yunshi (Drynaria Rhizome, *Drynaria fortunei* rhizome) (each 1 liang), Gui (Cinnamon Twig, *Cinnamomum cassia* twig) (2 fen).
Preparation and Administration: Honey pills the size of Sophora seeds. Take 5 pills with water, three times daily.
Another Prescription (from *Zhouhou Fang*): Treats sudden lower body pain like bird pecking.
Ingredients: Chixiaodou (Adzuki Bean, *Vigna angularis* seed), Dadou (Soybean, *Glycine max* seed) (each 1 sheng).
Preparation and Administration: Crush together. Store in two bags. Steam until cooked. Sit alternately on them. Cured.
Treatment for Parasitic Erosion of Lower Body:
Make a clay jar (ying). Insert a bamboo tube (finger-thick) horizontally through the belly of the jar. Insert one end of the tube into the lower orifice. Place moxa the size of a chicken egg inside. Burn it. Blow at the jar opening to maintain combustion. Keep moxa burning. Strong patients can increase moxa amount. Very effective.
Another Prescription: For patients with colorless gums, white tongue, somnolence, insensitivity to pain/itch, or diarrhea, urgently treat the lower body. Those who do not understand this only attack the upper body, neglecting the lower body, leading to lower body parasitic anal erosion, rotting exposing viscera, and death.
Method: Use Mugwort Leaves (Ai Ye, *Artemisia argyi* leaves). Smoke the lower body using a tube. Allow smoke to enter. Add a little Realgar (Xionghuang, *Realgar*). Effective.