一、统治
宝鉴换肌散 海藏愈风汤 当归饮 胡麻散 白花蛇丸 行药方 乳香丸 防风天麻丸 大
麻仁酒 紫茄子根散 人参消风散(以上古方)
八号丸 通圣散 三黄解毒汤 宽胸行气散 蒺藜苦参丸 除根蒺藜丸(即小神丸) 大神丸 凉血
八宝汤 行药方 巴豆散 曾氏水药方 丸药方(以上今方)
二、分治 病究其源。药疏其流。曰分治。
分五脏经络酌用引药 泻青 泻白 泻黄 逍遥散
三、缓治 本气不足。或由药坏。若求速效。则病愈深。缓以治之。
何首乌散 独活寄生汤
四、峻治 受病既久。投缓剂则药不灵。峻以治之。
蒺藜散 雷丸散
五、补治 或本气不足。或因药坏汗下所至。治之宜补。此条多采薛氏。
气虚 血虚 血气虚 阳虚 阴虚 阴阳虚
六、泻治 气血凝滞。湿热相搏则虫生。湿热郁久则痹甚。治之宜泻。
行药方 追命散 通天再造散 三黄败毒散
七、兼治 先患疠而兼他证。或因病而成疠。病杂药杂。故曰兼治。
如眼目之类 分六经伤寒 妇人调经
八、类治 似疠非疠。非疠实疠。其病不同。其理则一。治以类合。故曰类治。
痘麻后余毒 赤白癜 乌白癞 瘾疹
九、余治 为山九仞。功亏一篑。非计之得也。治虽曰余。到头一着。幸毋忽视。
除其根 善其后 补其血气 壮其筋骨
一、统治(全面统摄治疗)
宝鉴换肌散、海藏愈风汤、当归饮、胡麻散、白花蛇丸、行药方、乳香丸、防风天麻丸、大麻仁酒、紫茄子根散、人参消风散(以上为古代方剂)
八号丸、通圣散、三黄解毒汤、宽胸行气散、蒺藜苦参丸、除根蒺藜丸(即小神丸)、大神丸、凉血八宝汤、行药方、巴豆散、曾氏水药方、丸药方(以上为当代方剂)
二、分治(辨证分经治疗)
探究疾病的根源,疏通药物的流向,称为分治。
根据五脏经络的情况酌情使用引经药:泻青丸、泻白散、泻黄散、逍遥散。
三、缓治(温和缓慢治疗)
人体本元之气不足,或者因为误用药物导致损伤。如果追求快速见效,病情反而会加深,因此采用缓和的方法来治疗。
何首乌散、独活寄生汤。
四、峻治(猛烈迅速治疗)
患病时间已久,投用缓和的药剂则药效不灵,因此采用猛烈的方法来治疗。
蒺藜散、雷丸散。
五、补治(滋补扶正治疗)
或者是本元之气不足,或者是因误用发汗、攻下等法导致损伤,治疗应当以补益为主。这一部分多采纳薛己(薛氏)的观点。
气虚、血虚、气血两虚、阳虚、阴虚、阴阳两虚。
六、泻治(攻邪泄浊治疗)
气血凝滞,湿热相互搏结则生虫;湿热郁积日久则痹症加重,治疗应当以攻泻为主。
行药方、追命散、通天再造散、三黄败毒散。
七、兼治(兼顾他证治疗)
先患有疠风(麻风病),又兼有其他证候;或者因为其他疾病而演变成疠风。病症复杂,用药也杂乱,所以称为兼治。
例如眼部症状的处理、按六经辨证治疗伤寒、妇女调经等。
八、类治(类比同治治疗)
看似疠风而非疠风,非疠风实则类似疠风。虽然病症不同,但病理机理一致,采用类比的方法合治,所以称为类治。
痘疹后余毒未尽、白癜风、乌白癞(一种皮肤顽疾)、瘾疹(荨麻疹)。
九、余治(善后巩固治疗)
堆砌九仞高的山,只差一筐土而未能完成,这不是好的计策。治疗虽然说是收尾阶段,但这最后一步至关重要,希望不要忽视。
去除病根、做好善后工作、补益气血、强壮筋骨。
I. Comprehensive Treatment (General Regulation)
Baojian Huanji San, Haizang Yufeng Tang, Danggui Yin, Huma San, Baihuashe Wan, Xingyao Fang, Ruxiang Wan, Fangfeng Tianma Wan, Dama Ren Jiu, Zi Qiezi Gen San, Renshen Xiaofeng San (Above are ancient formulas)
Hao Wan, Tongsheng San, Sanhuang Jiedu Tang, Kuanxiong Xingqi San, Jili Kushen Wan, Chugen Jili Wan (i.e., Xiaoshen Wan), Dashen Wan, Liangxue Babao Tang, Xingyao Fang, Badou San, Zengshi Shuiyao Fang, Wanyao Fang (Above are contemporary formulas)
II. Differentiated Treatment (Segmented Management)
Investigate the source of the disease and guide the flow of medicinal properties; this is called differentiated treatment.
Select guiding herbs according to the patterns of the Five Zang organs and meridians: Xieqing Wan, Xiebai San, Xiehuang San, Xiaoyao San.
III. Gentle Treatment (Slow and Mild Therapy)
When the original Qi is deficient, or damage has been caused by improper medication, seeking rapid results will deepen the illness. Therefore, treat with a gentle approach.
Heshouwu San, Duhuo Jisheng Tang.
IV. Vigorous Treatment (Intense and Rapid Therapy)
When the disease has persisted for a long time, mild agents are ineffective. Therefore, treat with a vigorous approach.
Jili San, Leiwan San.
V. Tonifying Treatment (Supplemental Support)
Whether due to deficiency of original Qi or damage caused by improper sweating or purging methods, treatment should focus on tonification. This section largely adopts the views of Xue Ji (Xue Shi).
Qi deficiency, Blood deficiency, Qi and Blood deficiency, Yang deficiency, Yin deficiency, Yin and Yang deficiency.
VI. Purging Treatment (Draining and Eliminating Pathogens)
Stagnation of Qi and Blood, combined with damp-heat, generates parasites; prolonged stagnation of damp-heat exacerbates bi-syndrome (obstruction syndrome). Therefore, treatment should focus on purging.
Xingyao Fang, Zhiming San, Tongtian Zaizao San, Sanhuang Baidu San.
VII. Concurrent Treatment (Managing Complications)
When Leprosy (Lifeng/Ma Feng) is present alongside other syndromes, or when other diseases evolve into Leprosy. The symptoms are complex, and the medications are varied; thus, it is called concurrent treatment.
For example, management of eye conditions, treating Shaoyang/Taiyang etc. (Six Channels) Cold Damage, and regulating menstruation in women.
VIII. Analogous Treatment (Similar Pattern Management)
Conditions that resemble Leprosy but are not, or are not Leprosy but share similar characteristics. Although the diseases differ, their underlying principles are the same; they are treated using analogous methods, hence termed analogous treatment.
Residual toxins after smallpox/measles, Vitiligo (Chidianbai), Ubailei (a type of stubborn skin disorder), Urticaria (Yinzhen).
IX. Residual/Consolidation Treatment (Aftercare and Consolidation)
Building a mountain nine ren high only to fail for lack of one basket of earth is not a sound strategy. Although termed "residual" treatment, this final step is critical and must not be neglected.
Eliminate the root cause, ensure proper aftercare, tonify Qi and Blood, strengthen sinews and bones.