如久药干，加水调擦亦效。忌动风发物等件。（《外科正宗》）
神效擦药，治患人肿块麻木。生葱、生姜、生大蒜（各
一两净），石臼舂细，加烧盐少许，再捣极细，布包早晚擦患处，麻木肿块自除。（《明辨类函》）
润肌膏，治皮燥眉脱。
当归（五钱） 紫草（二钱） 麻油（四两熬至药枯去渣） 黄蜡（五钱）
收膏，浴后擦少许患处。（《疠疡全书》）
雷火神针法。
两头尖 川乌 草乌 天麻 白芷 半夏 川芎 乌药 牛膝 荆芥 苍术 防风 乳香 没药 麝香
沉香 天雄（各一两） 穿山甲 木香 安息香（各五分）
上为细末，用浓纸一张，蕲艾揉软铺纸上，将药末掺于艾上卷实，不拘十根五根入坛内，于避阴高
地上埋一百日取出听用。若遇一切风症，将此药卷一条名为火针，蘸油点燃
吹灭，乘热用纸百层，将针顶于患处熨之即消，立效如神。（《万应方》）
又雷丸方。
用两头尖、川乌、草乌各三钱，硫黄、麝香、丁香各一钱，木鳖子五个，蕲艾揉软。
上为细末，合成一处，用纸包裹炮熏。（同上）
敷砒霜，患处作痛或腐溃，用湿泥频涂换之。若毒入腹，胸膈苦楚，或作吐泻，饮冷米醋一、二杯
即止，多亦无妨，生绿豆末、芝麻油俱可。敷贴雄黄药，闷乱或吐泻，用防己煎汤解之。敷贴巴豆之药，患处
作痛，肌肉溃烂，生黄连为末，水调敷之。若毒入内，吐泻等症，更以水调服一、二钱，大小豆、菖蒲汁俱
可。敷贴藜芦毒入内，煎葱汤解之。（《疠疡机要》）
子和书云∶《内经》论癞，针二百日，眉毛再生，针同发汗也。但无药者用针，一汗可抵千针，故高供
奉尝采萍治瘫痪风出汗。（按∶此出《十形三疗》。）张主簿病癞云云（既见上）。又一人病风面黑，爬搔不
已，眉毛脱落，刺其面，大出血如墨，刺三次，血变色。每刺自额至颐，排针上下俱刺。每隔日一刺，至二十
余日方已。按∶此论《内经》用针同发汗，至于出血亦同汗也。但疠证在经在表，故宜针宜汗。有恶血留滞，故宜
出血，或于肿上，或于委中皆可也。又肠胃有秽恶虫积，故宜下。大抵皆宣泄表里血气邪热之毒也。（《微义》）
疠疡砭刺之法，子和张先生谓一汗抵千针，盖以砭血不如发汗之周遍也。然发汗即出血，出血即发汗，
二者一律。若恶血凝滞在肌表经络者，宜刺宜汗，取委中出血则效。若恶毒蕴结于脏，非荡涤其内则不能痊。
若毒在外者，非砭刺遍身患处及两臂腿腕、两手足指缝各出血，其毒必不能散。若表里俱受毒者，非外砭内
泄，其毒决不能退。若上体患
多，宜用醉仙散，取其内蓄恶血于齿缝中出，及刺手指缝并臂腕，以去肌表毒血。下体患多，宜用再造散，令
恶血成虫于谷道中，仍针足指缝并腿腕，隔一、二日更刺之，以血赤为度。（《疠疡机要》）（按∶醉仙、再
造，上下分治，此丹溪说，既见上。）
血阴而气阳，疯症气病常少，血病常多。天一之水，从丙丁 炼而出，故血色以红为正，衰则色淡，寒
则色青，热则色紫，败则色黑。黑不可治，以其全变而非复血之本来也。治疯者，当于血分竞竞三致意焉。九
州之土，江海润之；草木之生，雨露滋之；血于人身，亦犹是也。肝藏血，心统血，脾养血，周流于脏腑，灌
注于经络，筋骨表里，何莫非血之所荣，血病则周身俱病。治疯先治血，不治血则疯无从下手，此刺法之所以
不可不精也。先去其恶毒，然后服药调治保养，新血易生矣。（《疠疡全书》）
古人针砭之法，治病甚神，但针则深入，砭则重取，麻风独重于刺法。盖肌肉之表，或麻或痒或木，此恶
血凝结，真气不行，正须行刺法以浮取之，令恶血渐去，旋即完好，即不远出血，亦令通气。每隔数日余再刺
之，直至血鲜知痛乃止。其针砭灸KT 之法，不过暂用，在麻疯不常用也。惟刺为最先一着，既行刺法，兼以
敷药，则肌肉淫处自平，红处自白，麻木处自由痛痒，疙瘩处自变好肉，有得心应手之妙。凡血红者、血活者俱
不必刺，血虚者亦不宜刺。（同上）
《内经》所言针与刺本是一法，今味其字义，亦可微分。针按俞穴，刺着皮肤。针以通经络，行补泻；刺
以去恶血，去顽麻。故《灵枢》有九针图，外科有披针、喉针、三棱等针。今疯门所用之针有二∶一曰
针，治疯初起及轻症，皮肤麻木，不知痛痒，有红块浮现如云，大不逾碗，径
不逾尺。或低陷色白者，反为最重。用此针，于患处微微排刺，至出血、血归方止。归者，血凝而不流也。外
用红粉丹掺之，即能止血结痂。如此一月二次，直至知痛血鲜，不必再刺。一曰攒针，治疯症既久，遍身顽麻，
肌浓肉变。用此针，于患处重手筑之，令出恶血淋漓，拭去再刺如前法。亦，一月二次，肌肤渐平渐白，方可
勿刺。其遍身者，须审其起处、重处及八邪穴（八邪穴宜考原书）尤宜着力。又痿 挛
蜷，不在刺例。凡刺宜避筋，此为吃紧之语。肥人肉多，瘦人筋浮，不可不察。（同上）
红粉丹，诸疯刺后止血。
软石膏（ 研一两） 铅丹（水淘净炒三钱） 朱砂（水飞一钱） 轻粉（一钱五分） 冰片（一
分） 麝香一分
共研细末，瓷器收贮。（同上）
灸法 麻风恶疾，《千金》诸方药甚多，或效或不效云云。灸曲池、合谷、三里、绝骨等穴尤佳，
予与人按此等穴皆酸疼故也。（《资生》）
先桦皮散，从少至多，服五、七日，灸承浆穴七壮。灸疮愈，再灸。再愈，三灸之。后服二圣散（按∶
即《圣济》千金散）。泄热。祛血之风邪。（《活法机要》）
调摄法 大都皆须断米谷、 肴，专食胡麻、松术最善。（《外台》引《肘后》）
忌房室事、动风发气、盐醋料物等物，只得吃淡粥，过一百日（《圣济》）
负此病者，百无一生，犹且爱恋妻孥，复著名利，不仁之行，仍欲更作，死而无悔，深可悲伤。凡遇此
疾，切须断盐及一切口味，公私世务悉宜屏置。能不交俗事，绝庆吊，
幽隐林下，根据法治疗，非但愈疾，亦能因是而致神仙，所谓
因祸而得福也。（《三因》）（按∶此系《千金》节文，真
人更曰∶余以贞观年中，侍一病者入山，教服松脂，欲至百日，须眉皆生。又断盐下曰∶常进松脂。）
宜戒∶戒忧怒，避风热，省劳碌，绝色欲，除妄想，忌盐酱，守药规。（《捷法》）
食淡法∶假如每日肴馔，当用盐一钱，只用九分，过数日再减一分，逐十日减至百日，全不食盐，不
觉淡矣。经云淡之其为五行本，盐能助火。（同上）
调法之法，先戒色欲，次节饮食，衣服宜浓，居处宜暖，疾风豪雨，勿出户庭，出岚臭雾，勿侵口鼻，无
暴怒，无积忧，心中少事，饮食淡泊，如在春和景明之日，有光风霁月
之乐。自然恶血渐散，邪火渐熄，肌肉渐润，形色渐平。终身守之，不可荡越。（《疠疡全书》）
如果药物已经干结，加水调和后涂抹擦拭也有效。忌食动风及发物等食物。（《外科正宗》）
神效擦药，用于治疗患者身上的肿块和麻木感。取生葱、生姜、生大蒜（各一两，洗净），放入石臼中捣碎成细末，加入少许烧过的盐，再次捣至极细，用布包好，早晚擦拭患处，麻木和肿块自然消除。（《明辨类函》）
润肌膏，用于治疗皮肤干燥、眉毛脱落。
当归（五钱） 紫草（二钱） 麻油（四两，熬至药材枯焦后去渣） 黄蜡（五钱）
制成膏剂，沐浴后在患处涂抹少量。（《疠疡全书》）
雷火神针法。
两头尖、川乌、草乌、天麻、白芷、半夏、川芎、乌药、牛膝、荆芥、苍术、防风、乳香、没药、麝香、沉香、天雄（各一两）；穿山甲、木香、安息香（各五分）。
将上述药材研成细末，用一张厚纸，铺上揉软的蕲艾绒，将药末撒在艾绒上卷紧，不拘数量（十根或五根）放入坛中，埋在避阴的高地上一百天后取出备用。如果遇到各种风症，取一条药卷称为“火针”，蘸油点燃后吹灭，趁热用纸叠百层包裹，将针顶按在患处熨烫，症状即刻消散，效果立竿见影。（《万应方》）
又有雷丸方。
用两头尖、川乌、草乌各三钱，硫黄、麝香、丁香各一钱，木鳖子五个，蕲艾揉软。
将上述药材研成细末，混合在一起，用纸包裹后进行炮制熏蒸。（同上）
若敷贴砒霜后，患处疼痛或腐烂溃破，应用湿泥土频繁涂抹并更换。如果毒气攻入腹部，胸膈部感到痛苦，或者出现呕吐腹泻，饮用冷米醋一至两杯即可停止，即使多喝也无妨，服用生绿豆粉或芝麻油也可以。若敷贴雄黄药后，出现神志昏乱或呕吐腹泻，用防己煎汤解毒。若敷贴巴豆药后，患处疼痛，肌肉溃烂，可将生黄连研末，用水调匀外敷。如果毒气入内，出现吐泻等症状，更需用水调服黄连粉一至二钱，食用大小豆或菖蒲汁也可以。若敷贴藜芦导致毒气入内，煎葱汤解毒。（《疠疡机要》）
张子和在书中说：《内经》论述癞病，针刺治疗二百天，眉毛可以再生，针刺的作用如同发汗一样。但在没有药物的情况下使用针刺，一次发汗的效果可抵得上千次针刺，所以高供奉曾采用采萍的方法治疗瘫痪风症并使其出汗。（按：此内容出自《十形三疗》。）张主簿患癞病云云（前文已见）。又有一人患风症，面色发黑，抓挠不停，眉毛脱落，针刺其面部，流出如墨般的黑血，针刺三次后，血色发生变化。每次针刺从额头到下巴，排针上下都刺。每隔一天刺一次，直到二十多天才停止。按：此论指出《内经》中用针同于发汗，至于出血也等同于发汗。但疠证病在经络和体表，所以适宜针刺和发汗。因为有恶血留滞，所以适宜放血，可以在肿胀处，也可以在委中穴进行。另外肠胃中有秽恶虫积，所以适宜通下。大抵这些方法都是宣泄表里气血邪热之毒。（《微义》）
疠疡的砭刺疗法，张子和先生认为一次发汗可抵上千次针刺，大概是因为砭刺放血不如发汗那样周遍全身。然而发汗即是出血，出血即是发汗，两者原理一致。如果恶血凝滞在肌肤表面的经络中，适宜针刺和发汗，取委中穴放血则有效。如果恶毒蕴结在脏腑内部，不荡涤内脏就不能痊愈。如果毒邪在体表，不砭刺遍身患处以及双臂双腿手腕、双手足指缝各处并放血，毒邪必然不能消散。如果表里都受毒邪侵袭，不外用砭刺、内用泄法，毒邪决不能消退。如果上部身体患病较多，适宜使用醉仙散，取其让蓄积在体内的恶血从齿缝中排出，并针刺手指缝及手臂手腕，以去除肌表的毒血。下部身体患病较多，适宜使用再造散，令恶血化成虫从肛门排出，同时针刺足趾缝及腿腕，隔一两天再刺，直到血色变红为止。（《疠疡机要》）（按：醉仙散、再造散，分治上下部，这是朱丹溪的说法，前文已见。）
血属阴而气属阳，疯症中气病通常较少，血病通常较多。天一之水（肾水），经过丙丁之火（心火）炼化而出，所以血色以红色为正常，衰弱则色淡，寒则色青，热则色紫，败坏则色黑。黑色不可治，因为已经完全改变而非恢复血液的本来的颜色了。治疗疯症，应当在血分上格外用心。九州的大地，靠江海滋润；草木的生长，靠雨露滋养；血液在人身中，也是如此。肝藏血，心统血，脾养血，血液周流于脏腑，灌注于经络，筋骨表里，哪里不是血液所荣养？血病则周身俱病。治疗疯症先治血，不治血则疯症无从下手，这就是针刺手法必须精妙的原因。先去除恶毒，然后服药调理保养，新血就容易生成了。（《疠疡全书》）
古人针砭的疗法，治病非常神奇，但针刺要深入，砭刺要重取，麻风病尤其重在刺法。因为肌肉表层，或麻木或瘙痒或木硬，这是恶血凝结，真气不行，正需要行刺法以浅刺（浮取）的方式，令恶血逐渐去除，随即完好，即使不远离出血，也能令气通畅。每隔数日再刺一次，直到血色鲜红且知痛才停止。其针、砭、灸的方法，不过是暂时使用，在麻风中不常用。只有刺法是第一步，既行刺法，兼以敷药，那么肌肉淫溢之处自然平复，发红之处自然变白，麻木之处自然恢复痛痒，疙瘩之处自然变成好肉，有得心应手的妙处。凡是血色红活者都不必刺，血虚者也不宜刺。（同上）
《内经》所说的针与刺本是一种方法，现在品味其字义，也可以略微区分。针是按俞穴操作，刺是作用于皮肤。针用来疏通经络，施行补泻；刺用来去除恶血，去除顽麻。所以《灵枢》有九针图，外科有披针、喉针、三棱针等。如今疯门所用的针有两种：一种叫“针”，治疗疯症初起及轻症，皮肤麻木，不知痛痒，有红斑浮现如云状，大不超过碗口，直径不超过一尺。或者低陷色白的，反而最为严重。用这种针，在患处微微排刺，直到出血、血液凝固不再流动才停止。“归”的意思是血液凝固而不流动。外用红粉丹掺敷，就能止血结痂。如此一个月两次，直到知痛且血色鲜红，不必再刺。另一种叫“攒针”，治疗疯症日久，遍身顽麻，肌肉增厚变硬。用这种针，在患处重手筑刺，令恶血淋漓流出，拭去后再刺如前法。也是一月两次，肌肤逐渐平复变白，才可以不再刺。对于遍身患病者，必须审视其起始处、严重处以及八邪穴（八邪穴宜考证原书），这些地方尤宜着力。又有痿证、挛缩、蜷曲，不在刺法的范围内。凡针刺应当避开筋脉，这是关键的话。肥人肌肉多，瘦人筋脉浮显，不可不考察清楚。（同上）
红粉丹，用于诸种疯症针刺后止血。
软石膏（研细一两） 铅丹（水淘净炒三钱） 朱砂（水飞一钱） 轻粉（一钱五分） 冰片（一分） 麝香一分
共同研成细末，用瓷器收贮。（同上）
灸法 麻风恶疾，《千金方》中的各方药很多，有的有效有的无效云云。灸曲池、合谷、三里、绝骨等穴位尤其好，我和他人按压这些穴位都感到酸疼的缘故。（《资生经》）
先服用桦皮散，从少到多，服用五到七天，灸承浆穴七壮。灸疮愈合后，再灸。再次愈合后，第三次灸。之后服用二圣散（按：即《圣济总录》中的千金散）。泄热，祛除血中的风邪。（《活法机要》）
调摄法 大多都需要断绝米谷、荤腥，专门食用胡麻、松术最好。（《外台秘要》引《肘后备急方》）
忌房事、动风发气之物、盐醋调料等食物，只能吃淡粥，过了一百日（《圣济总录》）
得了这个病的人，百无一幸免，却还眷恋妻儿，贪著名利，不仁的行为，还想再做，死也不后悔，深可悲伤。凡遇到此疾，务必断盐及一切口味，公私世俗事务都应当摒弃。能不交俗事，断绝喜庆吊唁，隐居山林之下，根据方法治疗，不仅能治愈疾病，也能因此成为神仙，所谓因祸得福也。（《三因极一病证方论》）（按：此系《千金方》节选，真人又说：我在贞观年间，侍奉一位病人进山，教他服用松脂，想要坚持一百天，须眉都能长出来。又在断盐下面说：常进松脂。）
宜戒：戒忧怒，避风热，省劳碌，绝色欲，除妄想，忌盐酱，守药规。（《捷法》）
食淡法：假如每日菜肴，当用盐一钱，只用九分，过数日再减一分，每十日减至百日，完全不吃盐，就不会觉得淡了。经云淡为五行之本，盐能助火。（同上）
调护之法，先戒色欲，其次节制饮食，衣服宜厚，居处宜暖，疾风豪雨，不要出门，岚气臭雾，不要吸入口鼻，不要暴怒，不要积忧，心中少事，饮食淡泊，如同春和景明之日，有光风霁月之乐。自然恶血逐渐消散，邪火逐渐熄灭，肌肉逐渐润泽，形色逐渐平复。终身遵守，不可放纵逾越。（《疠疡全书》）
If the medication has dried out, mixing it with water and applying it by rubbing is also effective. Avoid foods that stir up wind and trigger diseases (Fadewu, 发物). (*Waike Zhengzong*, Standardized Surgery)
Shenxiao Ca Yao (Miraculous Rubbing Medicine), used to treat lumps and numbness in patients. Take raw scallions, raw ginger, and raw garlic (one tael each, cleaned), pound them finely in a stone mortar, add a little burnt salt, and pound again until extremely fine. Wrap in cloth and rub on the affected area morning and evening; the numbness and lumps will naturally disappear. (*Mingbian Leihan*, Ming Dynasty Compendium of Categories)
Runji Gao (Moisturizing Skin Ointment), used to treat dry skin and eyebrow loss.
Danggui (Angelicae Sinensis Radix, five qian), Zicao (Arnebiae Radix seu Lithospermi Radix, two qian), Mahuang You (Sesame Oil, four liang, boiled until herbs are charred, then strained), Huangla (Beeswax, five qian).
Prepare as an ointment; apply a small amount to the affected area after bathing. (*Liuyang Quanshu*, Complete Book of Leprosy)
Leihuo Shenzhen Fa (Thunder-Fire Divine Needle Method).
Liangtoujian (Glehniae Radix or similar root, one tael), Chuanwu (Aconiti Radix Preparata, one tael), Caowu (Aconiti Kusnezoffii Radix, one tael), Tianma (Gastrodiae Rhizoma, one tael), Baizhi (Angelicae Dahuricae Radix, one tael), Banxia (Pinelliae Rhizoma, one tael), Chuanxiong (Ligustici Chuanxiong Rhizoma, one tael), Wuyao (Linderae Radix, one tael), Niuxi (Achyranthis Bidentatae Radix, one tael), Jingjie (Schizonepetae Herba, one tael), Cangzhu (Atractylodis Rhizoma, one tael), Fangfeng (Saposhnikoviae Radix, one tael), Ruxiang (Olibanum, one tael), Moyao (Myrrha, one tael), Shexiang (Moschus, one tael), Chenxiang (Aquilariae Lignum Resinatum, one tael), Tianxiong (Aconiti Radix, one tael); Chuanshanjia (Manis Squama, five fen), Muxiang (Aucklandiae Radix, five fen), Anshixiang (Benzoinum, five fen).
Grind all ingredients into a fine powder. Place a sheet of thick paper, spread softened Qiai (Qimin Mugwort Herb) on it, sprinkle the powder onto the mugwort, and roll tightly. Store any number (five or ten) in a jar, buried in a high, shaded place for one hundred days before use. When encountering various wind syndromes, take one such roll, called "Fire Needle," dip it in oil, ignite it, and blow it out. While hot, wrap the tip in a hundred layers of paper and press it against the affected area to moxa-iron it; symptoms will dissipate immediately with miraculous effect. (*Wanying Fang*, Universal Formulas)
Another formula: Leiwan Fang (Leiwan Formula).
Use Liangtoujian, Chuanwu, and Caowu (three qian each), Sulfur, Shexiang, and Dingxiang (Caryophylli Flos, one qian each), Mubiezi (Strychni Semen, five seeds), and softened Qiai.
Grind into a fine powder, mix together, wrap in paper, and process by roasting/smoking. (Ibid.)
If arsenic trioxide (Pishuang, 砒霜) application causes pain or ulceration at the site, frequently apply and replace wet mud. If the toxin enters the abdomen causing chest discomfort, vomiting, or diarrhea, drinking one or two cups of cold rice vinegar will stop it; even more is harmless. Raw mung bean powder or sesame oil are also acceptable. If realgar application causes confusion, vomiting, or diarrhea, decoct Fangji (Stephaniae Tetrandrae Radix) in water to antidote it. If croton seed application causes pain and muscle ulceration, grind fresh Huanglian (Coptidis Rhizoma) into powder, mix with water, and apply externally. If toxins enter internally causing vomiting and diarrhea, take one or two qian of the water-mixed Huanglian powder orally; soybeans or Changpu (Acori Tatarinowii Rhizoma) juice are also suitable. If Veratrum nigrum causes internal toxicity, decoct scallion soup to antidote it. (*Liuyang Jiyao*, Key Principles of Leprosy)
Zihehe stated in his writings: The *Neijing* discusses leprosy, stating that needle treatment over two hundred days can regenerate eyebrows; needle therapy acts similarly to inducing sweating. However, when no medicine is available, using needles, one instance of sweating is equivalent to a thousand needle treatments. Thus, Gongongfeng once treated paralysis-wind syndrome using Cai Ping’s method to induce sweating. (Note: This comes from *Shixing Sanliao*, Ten Forms and Three Therapies.) Magistrate Zhang suffered from leprosy... (seen above). Another person suffered from wind syndrome with blackened face, incessant scratching, and lost eyebrows. Needling the face caused dark, ink-like blood to flow profusely; after three needlings, the blood color changed. Each session involved needling from forehead to chin, arranging needles vertically and horizontally. Needled every other day until stopping after twenty-plus days. Note: This discussion posits that *Neijing* needle therapy is akin to sweating, and bleeding is also akin to sweating. Since leprosy affects meridians and the exterior, needle therapy and sweating are appropriate. Because evil blood stagnates, bleeding is indicated, either at swelling sites or at Weizhong (BL-40). Additionally, since the intestines and stomach contain filth and parasites, purgation is indicated. Generally, these methods vent and drain pathogenic heat and toxins from the interior and exterior blood and qi. (*Weiyi*, Subtle Meanings)
The bian-stoning and needling methods for leprosy ulcers: Mr. Zhang Zihe claimed one sweat equals a thousand needles, implying that bleeding via bian-stoning is less comprehensive than sweating. However, sweating is bleeding, and bleeding is sweating; they are essentially the same. If evil blood stagnates in the superficial meridians of the skin, needling and sweating are indicated; bleeding from Weizhong (BL-40) is effective. If toxic pathogens accumulate in the zang organs, internal cleansing is required for recovery. If toxins are external, bian-stoning across all affected areas, wrists, ankles, and finger/toe webs to bleed is necessary to disperse the toxin. If both interior and exterior are infected, external bian-stoning and internal purging are required to eliminate the toxin. For upper body predominance, Zuixian San (Immortal Drunk Powder) is indicated to expel accumulated evil blood through the gums, combined with needling finger webs and arm wrists to remove superficial toxic blood. For lower body predominance, Zaizao San (Recreation Powder) is indicated to transform evil blood into worms expelled via the anus, combined with needling toe webs and leg ankles, repeated every one or two days until the blood turns red. (*Liuyang Jiyao*, Key Principles of Leprosy) (Note: Zuixian and Zaizao formulas treat upper and lower bodies respectively, according to Zhu Danxi, seen above.)
Blood is yin, Qi is yang. In wind-disease (Fengzheng, 疯症), Qi disorders are often fewer, while Blood disorders are frequent. Tianyi Water (Kidney Water) is refined by Bingding Fire (Heart Fire), so the correct blood color is red. With deficiency, the color is pale; with cold, it is cyan; with heat, it is purple; with corruption, it is black. Black is untreatable because it signifies total transformation away from the original nature of blood. Treating wind-disease requires utmost attention to the Blood aspect. Just as the earth relies on rivers and seas for moisture, and plants rely on rain and dew, blood nourishes the human body. The Liver stores blood, the Heart commands blood, and the Spleen nurtures blood; it circulates through zang-fu organs and irrigates meridians. Bones, sinews, interior, and exterior are all nourished by blood. Blood disease affects the whole body. To treat wind-disease, one must first treat the blood; without treating blood, there is no entry point for treatment. This explains why needling techniques must be precise. First, remove evil toxins, then administer medicines for regulation and maintenance, allowing new blood to generate easily. (*Liuyang Quanshu*, Complete Book of Leprosy)
Ancient needle and bian therapies were miraculous, but needles penetrate deeply and bian stones extract heavily. Leprosy specifically emphasizes needling. Surface muscle sensations of numbness, itching, or hardness indicate congealed evil blood and blocked true qi. One must use needling (superficial extraction) to gradually remove evil blood, restoring health. Even if not aiming for heavy bleeding, it promotes qi circulation. Repeat needling every few days until the blood is bright red and sensation returns. Needle, bian, and moxibustion methods are only temporary measures and not routinely used in leprosy. Needling is the primary step. Combined with topical applications, inflamed muscles flatten, redness fades, numbness returns to sensitivity, and nodules become healthy tissue, achieving masterful results. Red, active blood does not require needling; deficient blood should not be needled. (Ibid.)
The *Neijing* treats "needle" and "stab" as one method, but semantically they differ slightly. "Needle" targets acupoints; "Stab" targets the skin. Needles unblock meridians and apply tonification/sedation; stabs remove evil blood and stubborn numbness. Thus, *Lingshu* features nine needles diagrams, and surgery utilizes scalpel needles, throat needles, and three-edged needles. Current wind-disease practice uses two types:
1. "Needle": For early or mild cases with skin numbness, lack of pain/itch sensation, and cloud-like erythema (not exceeding bowl size or foot diameter). Depressed, white lesions are most severe. Use this needle for light, arranged stabs at the site until bleeding occurs and blood coagulates ("Gui", returning/stopping). Apply Hongfendan externally to stop bleeding and form scabs. Twice monthly until pain returns and blood is bright red.
2. "Zan Needle" (Cluster Needle): For chronic cases with widespread stubborn numbness and thickened skin/muscle. Use deep, forceful pounding stabs to cause profuse evil blood drainage. Wipe and repeat. Twice monthly until skin flattens and whitens.
For generalized cases, focus on onset points, severe areas, and Bayexue (Eight Holes Acupoints - verify original text). Atrophy, spasms, and curling are excluded from needling. Avoid tendons during needling. Observe that obese individuals have more muscle, while thin individuals have prominent tendons. (Ibid.)
Hongfendan (Red Powder Pill), used to stop bleeding after needling various wind-diseases.
Ruan Shigao (Gypsum Fibrosum, ground, one tael), Qiandan (Minium, washed and fried, three qian), Zhusha (Cinnabar, water-ground, one qian), Qingfen (Calomelas, one qian five fen), Bingpian (Borneolum Syntheticum, one fen), Shexiang (Moschus, one fen).
Grind into fine powder and store in porcelain. (Ibid.)
Moxibustion: For leprosy, *Qianjin* contains many formulas, some effective, some not. Moxibustion on Quchi (LI-11), Hegu (LI-4), Zusanli (ST-36), and Jiexgu (GB-39) is particularly good, as pressing these points causes soreness in me and others. (*Zisheng Jing*, Nourishing Life Classic)
First, consume Huapi San (Birch Bark Powder), increasing dosage gradually, for five to seven days. Then moxa Chengjiang (CV-24) seven moxa cones. After the moxa wound heals, moxa again. After healing again, moxa a third time. Then take Ersheng San (Two Sages Powder - note: equivalent to Qianjin San from *Shengji Zonglu*). Clears heat, removes wind-pathogens from blood. (*Huofa Jiyao*, Key Principles of Living Methods)
Regulation Method: Generally, one must abstain from grains and meat, consuming only Sesame and Atractylodes macrocephala is best. (*Waitai Miyao*, Essential Prescriptions from the Golden Cabinet, citing *Zhouhou Beiji Fang*)
Abstain from sexual intercourse, wind-aggravating foods, and salty/vinegar seasonings; eat only bland porridge for over one hundred days. (*Shengji Zonglu*, General Principles of Holy Relief)
Those burdened with this disease have almost no chance of survival, yet they cling to wives and children, pursue fame and profit, committing unrighteous acts repeatedly, dying without regret, which is deeply sorrowful. Upon contracting this illness, one must strictly abstain from salt and all flavors, and discard all public and private worldly affairs. By avoiding secular matters, cutting off social celebrations and condolences, and living secluded in forests, following the prescribed treatment, one not only cures the disease but may achieve immortality, turning disaster into blessing. (*Sanyuan Jiyi Bingzheng Fanglun*, Three Causes Formulas) (Note: Excerpt from *Qianjin*, True Person added: During Zhen Guan era, I attended a patient entering mountains, taught him to consume Pine Resin for a hundred days, resulting in regrowth of beard and eyebrows. Regarding salt abstinence: constantly consume Pine Resin.)
Precepts: Abandon worry and anger, avoid wind and heat, reduce labor, abstain from lust, eliminate delusions, avoid salt and soy sauce, adhere to medical rules. (*Jiefang*, Quick Methods)
Method of Eating Blandly: If daily meals require one qian of salt, use nine fen. Reduce by one fen every few days, continuing this reduction every ten days until one hundred days pass and salt is completely avoided; one will not perceive the blandness. Classics state blandness is the root of the Five Elements; salt assists fire. (Ibid.)
Method of Regulation: First abstain from lust, then regulate diet. Clothing should be thick, dwelling warm. Do not go out in strong winds or heavy rains; do not inhale mountain mists or foul odors. Avoid violent anger and accumulated sorrow. Keep the mind free of trivialities, eat blandly, maintaining a state like clear spring weather, enjoying gentle breezes and clear moons. Naturally, evil blood disperses, pathogenic fire extinguishes, muscles moisturize, and complexion normalizes. Observe this lifelong without deviation. (*Liuyang Quanshu*, Complete Book of Leprosy)