（此症与梅疮无甚差别。）
丹溪治一邻人，年三十余，性狡而躁，素患下疳疮，或作或止。夏初，患白痢，膈上微闷。医与
理中汤四帖，昏闷若死，片时而苏。脉之，两手皆涩，重取略弦似数，曰∶此下疳疮之深重者。与当
归龙荟丸去麝，四帖而利减。与小柴胡去半夏，加黄连、白芍、川芎、生姜，煎服五六帖而安。
薛立斋治一男子下疳，肿痛不消；一男子溃而肿痛，发热，小便秘涩，日晡或热；一小儿肿痛，
诸药不应。俱以小柴胡汤吞龙荟丸，数服而愈。
一小儿十五岁，患前症，杂用消毒之药，虚冷悉具，三年余矣。询之，乃禀受所致。用萆 汤月
余，诸症渐愈。又用补阴八珍汤、补中益气汤而瘥。
一男子阳事肿痛，小便如淋，自汗甚苦，或尿血少许，尺脉洪数，按之则涩。先用清心莲子饮加
牛膝、山栀、黄柏、知母、柴胡，数剂，更以滋肾丸一剂而痊。《玉机微义》曰∶如自汗，小便自少。
若再利之，则荣卫
枯竭，无以制火，而烦热愈甚。当俟热退汗止，小便自行也。兼此症，乃阳明经病，大忌利小便。
张景岳治一少年，因偶触秽毒，遽患下疳。始溃龟茎，敷治不效，旋从马口延入尿管，以渐而深，
真直至肛门，逐节肿痛，形如鱼骨。每过夜则脓结马口，胀不得出，润而通之，则先脓后尿，敷洗皆
不能及。张尝遇一山叟，传得槐花蕊方，因以治之，不十日茎根渐愈。半月后，自内达外，退至马口
而痊。后现些微广疮，复与五加皮饮，十余剂而愈。向传方者曰∶此方善治淫疮，热毒从小便泄去，
且服此者，可免终身疮毒后患。然犹有解毒奇验，则在发疮之时，但见通身忽有云片红斑，数日而没
者，即皆疮毒应发之处。疮毒已解，疮形犹见，是其验也。张初未之信，及此人应发疮之时，固不多，
而通身红斑果见，凡两日而消。（方在新因阵四十。）
立斋治州守姜节甫，患下疳，脓水淋漓，作渴吐痰，午前恶寒，午后发热。曰∶午前恶寒，属阳
气虚弱；午后发热，属阴血不足。不信，反服二陈、知、柏之类，饮食益少，大便不实。又日晡热渴，
小腹重坠，患处 肿，服四物、知、柏之类，饮食不思，此脾气虚而下陷。先用补中益气汤，调养脾
胃，以升阳气，诸症渐愈。又用六味丸滋补肾水，以生肝血而痊。
一男子患下疳，肿硬 痛，寒热。先以人参败毒散，二剂而止。更以小柴胡汤加黄连、青皮，治
之而愈。
一男子患下疳，溃而肿痛，小便赤涩。以加减龙胆泻肝汤加青皮、黄连，二剂少愈。又以小柴胡
汤加知、柏、当归、茯苓，数剂而愈。
一男子因劳，茎窍作痒，时出白物，发热口干。以清心莲子饮，治之而安。
一男子患下疳，溃而肿痛，发热，日晡尤甚。以小柴胡汤加黄连、知母、当归而愈。
一男子患下疳已愈，惟茎中一块不散。以小柴胡汤加青皮、荆、防服之，更以荆、防、牛膝、首
乌、滑石、甘草各五钱，煎汤熏洗，各数剂而消。
一男子茎中作痛，或筋急缩，或作痒，白物如精，随溺而下，此筋疝也。并用龙胆泻肝汤治之皆
愈。张子和曰∶遗溺闭癃，阴痿脬痹，精滑白淫，皆男子之疝也，不可妄归之肾冷。若血涸不月，月
罢腰膝上热，足 嗌干，癃闭，小腹有块，或定或移，前阴突出，后阴痔核，皆女子之疝也。但女子
不谓之疝，而谓之瘕。
一男子下部生疳，诸药不应。延及遍身突肿，状似翻花，筋牵骨痛，至夜尤甚，此肝肾二经湿热
所致。先以导水丸五服，次以龙胆泻肝汤数剂，再与除湿健脾之药，外贴神异膏，吸其脓血，蒜灸拔
其毒而愈。若表实者，以荆防败毒散。里实者，以内疏黄连汤。表里俱实者，防风通圣散。表里俱虚
者，八珍汤。气虚者，四君子汤。血虚者，四物汤。俱加兼症之药治之，并愈。（疡科大法，略具于
此。）若服轻粉等药，反收毒于内，以致迭发。概服防风通圣散，气血愈虚，因而不治者多矣。
缪仲淳治数友下疳，用黄柏、宫粉、腻粉、杏仁、珠末、冰片敷之，无不愈者。后去腻粉、杏仁，
加黄芩，更以大小蓟、地骨皮汤，洗净敷之，效更良。（《广笔记》）
又下疳糁方，橄榄烧灰，研细末糁之。
仲淳治下疳极秘神方，用鲜小蓟、鲜地骨皮各三两，煎浓汁浸之，不三四日即愈。一切极痛者，
屡用神效。（同上。）
立斋治一老人，患下疳，小便淋漓，脉细体倦，此气虚兼湿热也。用清心莲子饮及补中益气汤，
治之而愈。又一弱人拗中作痛，小便淋沥，此因火燥，下焦无血，气不能降，而渗泄之令不行。用四
物汤加黄柏、知母、茯苓、牛膝、木通，十余帖，痛止便利。先君气短，拗中若疮，小便不通，用四
物汤加参、 ，煎吞滋肾丸而愈。盖前症以虚为本，以病为末，益其本，则末自去。设若不固元气，
专攻其病，害滋深矣。
王锦衣年逾四十，素有疳疮， 痛倦怠。用小柴胡汤加黄连、黄柏、青皮、当归而愈。
缪仲淳治下疳方∶蝉蜕七分，白僵蚕用紫苏叶包、蜜炙七个，杏仁去皮尖七粒，芭蕉根捣烂五钱，
独核肥
皂仁七粒，雪里红一把打烂，土茯苓去皮二两，白藓皮一钱，牛膝二钱，黄柏一钱，木通七分，皂荚
核七粒，薏苡仁二钱，连翘一钱，汉防己酒浸六分，甘草节一钱，石斛三钱，柴胡六分，萆 二钱，
地骨皮二钱。水煎，不拘时，饥则服。气虚脾弱者，加蜜炙黄 三钱，血虚加生地三钱。
（此病症与梅毒疮没有太大区别。）
朱丹溪治疗一位邻居，三十多岁，性格狡诈急躁，平时患有下疳疮，时发时止。夏初，患白痢疾，胸膈部微感闷胀。医生给予理中汤四帖，患者昏闷如死，片刻后苏醒。诊脉，两手脉象皆涩，重按略弦且似数，说：这是下疳疮病情深重的表现。给予当归龙荟丸去掉麝香，服用四帖后痢疾减轻。再给予小柴胡汤去掉半夏，加入黄连、白芍、川芎、生姜，煎服五六帖后痊愈。
薛立斋治疗一名男子下疳，肿痛不消；又治一名男子溃烂而肿痛，发热，小便短赤涩痛，傍晚时分或发热；还有一名小儿肿痛，各种药物无效。均用小柴胡汤送服龙荟丸，服用数次后痊愈。
另一名十五岁小儿患前症，杂用消毒药物，导致虚寒症状俱全，已三年多。询问得知，乃先天禀赋所致。使用萆薢汤月余，诸症逐渐痊愈。后又用补阴八珍汤、补中益气汤而康复。
一名男子阳具肿痛，小便如淋证般不适，自汗严重痛苦，有时尿血少许，尺脉洪数，重按则涩。先用清心莲子饮加牛膝、山栀、黄柏、知母、柴胡，数剂后，再用滋肾丸一剂而痊愈。《玉机微义》说：如有自汗，小便量少。如果再利小便，则营卫枯竭，无法制约火邪，烦热会更严重。应当等待热退汗止，小便自然通畅。兼有此症，属于阳明经病，大忌利小便。
张景岳治疗一名少年，因偶然接触秽毒，突然患下疳。起初龟头茎部溃烂，外敷治疗无效，随即从马口（尿道口）蔓延进入尿管，逐渐深入，真至肛门，逐节肿痛，形状像鱼骨。每过夜晚则脓液积聚在马口，胀满不得排出，润滑疏通后，先出脓后出尿，外敷清洗均不能到达病灶。张景岳曾遇到一位山间老翁，传授槐花蕊方，因此用它治疗，不到十天阴茎根部逐渐痊愈。半月后，由内向外消退，退至马口而痊愈。后来出现少许广疮（梅毒），又给予五加皮饮，十余剂后痊愈。向传方的老者说：此方善于治疗淫疮（性病），使热毒从小便泄去，而且服用此方的人，可免除终身疮毒的后患。然而还有解毒奇验之法，即在发疮之时，只见全身忽然出现云片状红斑，数日后消失的，都是疮毒应发之处。疮毒已解，疮形犹见，就是验证。张景岳起初不信，等到此人应发疮的时候，确实不多，但全身红斑果然出现，两天后消退。（方剂在新因阵四十。）
薛立斋治疗州守姜节甫，患下疳，脓水淋漓，口渴吐痰，午前恶寒，午后发热。说：午前恶寒，属于阳气虚弱；午后发热，属于阴血不足。患者不信，反而服用二陈汤、知母、黄柏之类，饮食越来越少，大便不成形。又出现傍晚热渴，小腹重坠，患处肿胀，服用四物汤、知母、黄柏之类，不思饮食，这是脾气虚弱而下陷。先用补中益气汤，调养脾胃，以升举阳气，诸症逐渐痊愈。又用六味丸滋补肾水，以生肝血而痊愈。
一名男子患下疳，肿硬疼痛，寒热往来。先用败毒散，两剂后停止。再用小柴胡汤加黄连、青皮，治疗而痊愈。
一名男子患下疳，溃烂而肿痛，小便赤涩。用加减龙胆泻肝汤加青皮、黄连，两剂后稍好。再用小柴胡汤加知母、黄柏、当归、茯苓，数剂后痊愈。
一名男子因劳累，尿道口作痒，时常流出白色分泌物，发热口干。用清心莲子饮，治疗而安。
一名男子患下疳，溃烂而肿痛，发热，傍晚时分尤其严重。用小柴胡汤加黄连、知母、当归而痊愈。
一名男子患下疳已愈，惟独阴茎中有一块不散。用小柴胡汤加青皮、荆芥、防风服用，再用荆芥、防风、牛膝、首乌、滑石、甘草各五钱，煎汤熏洗，各数剂后消散。
一名男子阴茎中作痛，有时筋急收缩，有时作痒，白色分泌物如精液，随尿液而下，这是筋疝。并用龙胆泻肝汤治疗都痊愈。张子和说：遗尿闭癃，阳痿胞痹，精滑白淫，都是男子的疝病，不可妄归咎于肾冷。如果血枯不来月经，月经停后腰膝上部发热，足胫咽喉干燥，闭癃，小腹有肿块，或固定或移动，前阴突出，后阴痔核，都是女子的疝病。只是女子不叫疝，而叫瘕。
一名男子下部生疳，各种药物无效。蔓延至全身突发肿胀，状似翻花，筋牵骨痛，夜间尤其严重，这是肝肾二经湿热所致。先用导水丸五服，再用龙胆泻肝汤数剂，再给予除湿健脾的药物，外贴神异膏，吸其脓血，蒜灸拔其毒而痊愈。若表实者，用荆防败毒散。里实者，用内疏黄连汤。表里俱实者，用防风通圣散。表里俱虚者，用八珍汤。气虚者，用四君子汤。血虚者，用四物汤。均加兼症之药治疗，都痊愈了。（疡科大法，大致具备于此。）如果服用轻粉等药物，反而将毒收引于内，导致反复发作。一概服用防风通圣散，气血更虚，因而无法治愈者很多。
缪仲淳治疗几位朋友的疳疮，用黄柏、宫粉、腻粉、杏仁、珍珠末、冰片外敷，无不痊愈。后来去掉腻粉、杏仁，加入黄芩，再用大小蓟、地骨皮汤洗净后敷之，效果更佳。（《广笔记》）
仲淳治疗下疳极秘神方，用鲜小蓟、鲜地骨皮各三两，煎浓汁浸泡，不三四日即痊愈。一切极痛的，屡用神效。（同上。）
薛立斋治疗一名老人，患下疳，小便淋漓，脉细体倦，这是气虚兼湿热。用清心莲子饮及补中益气汤，治疗而痊愈。又一虚弱之人，尿道中作痛，小便淋沥，这是因为火燥，下焦无血，气不能降，而渗泄的功能不行。用四物汤加黄柏、知母、茯苓、牛膝、木通，十余帖，痛止便利。先父气短，尿道中如疮，小便不通，用四物汤加人参、黄芪，煎煮吞服滋肾丸而痊愈。大概前症以虚为本，以病为末，补益其本，则末自去。如果不固护元气，专攻其病，危害更深。
王锦衣年过四十，素有疳疮，疼痛倦怠。用小柴胡汤加黄连、黄柏、青皮、当归而痊愈。
缪仲淳治疗下疳方：蝉蜕七分，白僵蚕用紫苏叶包裹、蜜炙七个，杏仁去皮尖七粒，芭蕉根捣烂五钱，独核肥皂仁七粒，雪里红一把打烂，土茯苓去皮二两，白藓皮一钱，牛膝二钱，黄柏一钱，木通七分，皂荚核七粒，薏苡仁二钱，连翘一钱，汉防己酒浸六分，甘草节一钱，石斛三钱，柴胡六分，萆薢二钱，地骨皮二钱。水煎，不拘时间，饥时服用。气虚脾弱者，加蜜炙黄芪三钱，血虚加生地三钱。
(This condition is not significantly different from syphilitic sores.)
Zhu Danxi treated a neighbor, over thirty years old, with a cunning and irritable temperament, who suffered from chronic chancres (genital ulcers) that came and went. In early summer, he developed white dysentery and slight chest oppression. The physician administered Lizhong Tang (Regulate the Middle Decoction) for four doses, after which the patient became comatose as if dead, reviving only after a short while. Pulse diagnosis revealed both wrists were choppy (Se); upon heavy pressure, they felt slightly wiry and rapid. Zhu said: "This indicates severe and deep-seated chancres." He prescribed Danggui Longhui Wan (Angelica Sinensis and Gardenia Pill) without musk, taken for four doses, which reduced the dysentery. Subsequently, he prescribed Xiaochaihu Tang (Minor Bupleurum Decoction) without Banxia, adding Huanglian, Baishao, Chuanxiong, and Shengjiang, decocted and taken for five to six doses, resulting in recovery.
Xue Lizhai treated a male patient with chancres characterized by swelling and pain that did not subside; another male patient with ulcerated, swollen, and painful lesions, fever, and scanty, difficult urination, with afternoon fevers; and a child with swelling and pain unresponsive to various medications. All three were cured after taking several doses of Xiaochaihu Tang (Minor Bupleurum Decoction) swallowed with Longhui Wan (Gardenia Pill).
Another fifteen-year-old boy suffered from the aforementioned condition. Due to the indiscriminate use of detoxifying herbs, he developed symptoms of deficiency and cold over more than three years. Upon inquiry, it was determined to be due to congenital constitution. After one month of treatment with Bixie Tang (Dioscorea Hypoglauca Decoction), his symptoms gradually improved. He was then cured using Buyin Bazhen Tang (Nourish Yin Eight Treasure Decoction) and Buzhong Yiqi Tang (Tonify the Middle and Augment Qi Decoction).
A male patient presented with swelling and pain of the penis, urinary symptoms resembling strangury, severe spontaneous sweating, and occasional slight hematuria. His Chi pulse was surging and rapid but choppy upon heavy pressure. Initially, Qingxin Lianzi Yin (Heart-Clearing Lotus Seed Decoction) was used with Niuxi, Zhizi, Huangbai, Zhimu, and Chaihu for several doses. He was then cured with one dose of Zishen Wan (Kidney-Nourishing Pill). *Yuji Wei Yi* states: "In cases of spontaneous sweating and scanty urine, further promoting diuresis will deplete Ying and Wei (Nutritive and Defensive Qi), failing to control Fire, thereby worsening irritability and heat. One must wait for the heat to recede and sweating to stop, at which point urination will normalize naturally." This condition involves the Yangming channel and strictly contraindicates diuretics.
Zhang Jingyue treated a young man who suddenly developed chancres after accidental exposure to toxic filth. Initially, the glans and shaft ulcerated, and topical treatments failed. The lesion subsequently spread from the Meikou (urethral meatus) into the urethra, progressing deeply toward the anus, causing segmental swelling and pain resembling fish bones. Every night, pus accumulated at the meatus, causing distension and inability to expel it. Lubrication allowed the discharge of pus followed by urine, but topical washes could not reach the site. Zhang had previously met an old mountain dweller who transmitted the Huaihua Rui Formula (Sophora Flower Bud Formula). Using this, the root of the penis healed within ten days. Within half a month, the healing progressed from inside out, retreating to the meatus until full recovery. Later, mild syphilitic sores appeared, which were cured with Wujia Pi Yin (Acanthopanax Bark Decoction) over ten doses. The informant stated: "This formula effectively treats venereal sores by draining heat toxins via urine, preventing lifelong sequelae." He also mentioned a diagnostic sign: during the outbreak, sudden cloud-like red patches appearing on the body and disappearing within days indicate where sores will emerge. Once the toxin is resolved, the scar forms remain, confirming the diagnosis. Zhang initially doubted this, but when the patient later exhibited these signs, the red patches appeared and vanished in two days. (Formula found in *Xinyin Zhen*, Volume 40.)
Xue Lizhai treated Jiang Jiefu, Prefect of Zhou, who suffered from chancres with dripping pus, thirst, expectoration, morning chills, and afternoon fever. Xue explained: "Morning chills indicate deficient Yang Qi; afternoon fever indicates deficient Yin Blood." The patient disbelieved this and took Erchen Tang (Two-Aged Decoction) along with Zhi Mu and Huang Bai, leading to decreased appetite and loose stools. Later, he developed evening fever/thirst, heavy sensation in the lower abdomen, and local swelling. Taking Siwu Tang (Four Substance Decoction) with Zhi Mu and Huang Bai resulted in loss of appetite, indicating Spleen Qi deficiency with sinking. Xue first prescribed Buzhong Yiqi Tang (Tonify the Middle and Augment Qi Decoction) to regulate the Spleen and Stomach and raise Yang Qi, resolving most symptoms. He then used Liuwei Wan (Six-Ingredient Pill) to nourish Kidney Water, generating Liver Blood, leading to recovery.
A male patient with chancres presented with hard swelling, pain, and alternating chills and fever. He was treated with Renshen Baidu San (Ginseng Detoxification Powder) for two doses to stop the symptoms, followed by Xiaochaihu Tang (Minor Bupleurum Decoction) added with Huanglian and Qingpi, resulting in cure.
Another male patient with ulcerated, swollen, and painful chancres and dark, scanty urine was treated with Jiajian Longdan Xiegan Tang (Modified Gentiana Drain Liver Decoction) added with Qingpi and Huanglian. After two doses, he improved slightly. He was then cured with Xiaochaihu Tang (Minor Bupleurum Decoction) added with Zhi Mu, Huang Bai, Danggui, and Fuling over several doses.
A male patient, exhausted by labor, experienced itching in the urethral orifice, intermittent discharge of white fluid, fever, and dry mouth. He was treated with Qingxin Lianzi Yin (Heart-Clearing Lotus Seed Decoction) and recovered.
A male patient with ulcerated, swollen, and painful chancres and fever, worse in the evening, was cured with Xiaochaihu Tang (Minor Bupleurum Decoction) added with Huanglian, Zhimu, and Danggui.
A male patient whose chancres had healed still had a persistent nodule in the penis. He was treated with Xiaochaihu Tang (Minor Bupleurum Decoction) added with Qingpi, Jingjie, and Fangfeng. Additionally, a decoction of Jingjie, Fangfeng, Niuxi, Shouwu, Huashi, and Gancao (each 5 qian) was used for fumigation and washing. Several doses eliminated the nodule.
A male patient experienced pain in the penis, sometimes with tendon spasms/contraction or itching, accompanied by white fluid discharge following urination. This is classified as Jin Han (Tendon Hernia). It was cured using Longdan Xiegan Tang (Gentiana Drain Liver Decoction). Zhang Zihe stated: "Enuresis, retention of urine, impotence, bladder paralysis, seminal emission, and leukorrhea are all types of hernia in men and should not be wrongly attributed to Kidney Cold. In women, blood depletion with amenorrhea, heat in the waist and knees after menstruation ceases, dryness of the legs and throat, urinary retention, abdominal masses (fixed or moving), protrusion of the external genitalia, and posterior anal hemorrhoids are all types of hernia in women. However, in women, this is called Jia (masses) rather than Han."
A male patient with lower body chancres unresponsive to medication developed generalized edema resembling "turning flowers," with tendon pulling and bone pain, worse at night. This was caused by Damp-Heat in the Liver and Kidney channels. He was first given Daoshui Wan (Water-Guiding Pill) five times, then Longdan Xiegan Tang (Gentiana Drain Liver Decoction) for several doses, followed by Damp-draining and Spleen-strengthening herbs. Topically, Shenyi Gao (Miraculous Ointment) was applied to drain pus and blood, and garlic moxibustion was used to draw out toxins, leading to recovery. For exterior excess patterns, Jingfang Baidu San (Arisaema and Saposhnikovia Detoxification Powder) is used. For interior excess, Neishu Huanglian Tang (Interior-Draining Coptis Decoction) is used. For simultaneous exterior and interior excess, Fangfeng Tongsheng San (Saposhnikovia Unblocking Success Powder) is used. For simultaneous exterior and interior deficiency, Bazhen Tang (Eight Treasure Decoction) is used. For Qi deficiency, Sijunzi Tang (Four Gentlemen Decoction) is used. For Blood deficiency, Siwu Tang (Four Substance Decoction) is used. All are modified according to accompanying symptoms and result in cure. (The general principles of treating sores are outlined here.) If mercury compounds like Qinfen are used, toxins may be driven inward, causing recurrent outbreaks. Many patients died because they indiscriminately took Fangfeng Tongsheng San (Saposhnikovia Unblocking Success Powder), further depleting Qi and Blood.
Miao Zhongchun treated several friends with chancres using Huangbai, Gongfen, Nifen, Xingren, Zhumo, and Bingpian topically, achieving universal cures. Later, he removed Nifen and Xingren, added Huangqin, and washed the area with Da Xiaoji and Digupi Decoction before application, yielding even better results. (*Guang Biji*)
Another powder formula for chancres involves burning olives to ash, grinding them into fine powder, and applying it to the lesion.
Zhongchun’s secret divine formula for chancres uses fresh Xiaoji and fresh Digupi (3 liang each), decocted into a thick liquid for soaking. Recovery occurs in three to four days. This is highly effective for extremely painful cases. (Ibid.)
Xue Lizhai treated an elderly man with chancres, dribbling urine, thin pulse, and fatigue, diagnosed as Qi deficiency combined with Damp-Heat. He was cured with Qingxin Lianzi Yin (Heart-Clearing Lotus Seed Decoction) and Buzhong Yiqi Tang (Tonify the Middle and Augment Qi Decoction). Another frail patient suffered from pain in the urethra and dribbling urine due to Fire-Dryness, lack of Blood in the Lower Jiao, inability of Qi to descend, and failure of diffusion and excretion functions. He was cured with Siwu Tang (Four Substance Decoction) added with Huangbai, Zhimu, Fuling, Niuxi, and Mutong over ten doses, stopping pain and normalizing urination. My father suffered from shortness of breath, urethral pain resembling sores, and urinary retention. He was cured with Siwu Tang (Four Substance Decoction) added with Renshen and Huangqi, decocted and taken with Zishen Wan (Kidney-Nourishing Pill). Generally, such conditions have deficiency as the root and disease as the branch. Tonifying the root resolves the branch. Failing to consolidate Yuan Qi and focusing solely on attacking the disease causes deeper harm.
Wu Jinyi, over forty years old, suffered from chronic chancres, pain, and fatigue. He was cured with Xiaochaihu Tang (Minor Bupleurum Decoction) added with Huanglian, Huangbai, Qingpi, and Danggui.
Miao Zhongchun’s formula for chancres: Chan Tui (Cicada Slough) 7 fen, Bai Jiangcan (White Silkworm) wrapped in Zisu Ye and honey-fried, 7 pieces; Xingren (Apricot Seed) peeled and cored, 7 grains; Bajiao Gen (Musa Basjoo Root) mashed, 5 qian; Duhe Feizao Ren (Single Kernel Soap Nut) 7 grains; Xuelihong (Choy Sum) mashed, 1 handful; Tufuling (Smilax Glabra Rhizome) peeled, 2 liang; Baixianpi (Dictamnus Cortex) 1 qian; Niuxi (Achyranthes Root) 2 qian; Huangbai (Phellodendron Bark) 1 qian; Mutong (Akebia Stem) 7 fen; Zaojia He (Gleditsia Spine/Core) 7 grains; Yiyiren (Coix Seed) 2 qian; Lianqiao (Forsythia Fruit) 1 qian; Hanfangji (Stephania Tetrandra) soaked in wine, 6 fen; Gancao Jie (Licorice Joint) 1 qian; Shihu (Dendrobium Stem) 3 qian; Chaihu (Bupleurum Root) 6 fen; Bixie (Dioscorea Hypoglauca Rhizome) 2 qian; Digupi (Wolfberry Bark) 2 qian. Decoct in water, take anytime, especially when hungry. For Qi deficiency and weak Spleen, add honey-fried Huangqi (Astragalus Root) 3 qian. For Blood deficiency, add Shengdi (Rehmannia Root) 3 qian.