窦材治一人，病疠症，须眉尽落，面目赤肿，手足悉成疮痍。令灸肺俞、心俞二穴各十壮，服换
骨散一料，二月全愈，须眉更生。
（雄按∶窦氏治中风用换骨丹，治疠风用换骨散，此与第三条所用皆是换骨散。）
一人遍身赤肿如锥刺，窦曰∶汝病易治。命灸心俞、肺俞二穴各一百壮，服胡麻散，二服而愈。
手足微不随，复灸前穴五十壮，又服胡麻散二料全愈。（雄按∶胡麻散用黑芝麻、紫浮萍、薄荷、
牛蒡子、甘草。窦氏方此最平稳。）
一人面上黑肿，左耳下起云，紫如盘蛇，肌肉中如刀刺，手足不知痛。询其所以，因同僚邀游，
醉卧三日，觉左臂黑肿如蛇形，服风药渐减，今又发。窦曰∶非风也，乃湿气客五脏之俞穴，前服风
药，乃风胜湿，故当暂好，然毒根未去。令灸肾俞二穴各百壮，服换骨丹一料痊愈，面色光润如故。
张子和治桑惠民病面风，黑色，畏风不敢出，爬搔不已，眉毛脱落，作癞治三年。张曰∶非癞也。
乃出《素问·风论》曰∶肾风之状，多汗恶风，脊痛不能正立，其色 ，面庞浮肿。今公之病，肾风
也，宜先刺其面大
出血，其血当如墨色，三刺，血变色矣。于是下针，自额上下， 针直至头顶，皆出血，果如墨色。
遍肿处皆针之，惟不针目锐 外两旁，盖少阳经，此少血多气也。隔日又针之，血色乃紫。二日外，
又刺其血，色变赤。初针时痒，再刺则额觉痛，三刺，其痛不可任，盖邪退而然也。待二十余日，又
轻刺一遍方已。每刺必以水洗其面，十日黑色退，一月面稍赤，三月乃红白。但不服除根下热之药，
病再作。张在东方，无能治者。（雄按∶今更无能治之人矣。然不可不知有此证。）
吴恕字如心，钱塘人，博极群书，少贫，货乌蛇丸，治疯疾。时乘采风使适有患此疾者，召恕与
谈，惊服其议论，遂委托治之，疾果愈。（《杭州府志》）
秘韫治大风，用大乌蛇一条，打死盛之待烂，以水二碗，浸七日去皮骨，入糙米一升，浸一日，
晒干。用白鸡一只，饿一日，以米饲之，待毛羽脱去，杀鸡煮熟食，以酒吃尽，以热汤一盆，洗大半
日，其疯自愈。（《本草纲目》）
王海藏云∶王氏患大疯病，眉须堕落，掌内生疮，服紫菀丸半月，泻出癞虫二升，如马尾，长寸
许。紫菀丸∶吴茱萸、菖蒲、柴胡、浓朴各一两，桔梗、茯苓、皂荚、桂枝、干姜、黄连、蜀椒、巴
豆去皮膜肉油炒、人参各五钱，川乌三钱，加羌活、独活、防风各一钱，蜜丸，桐子大。每服三丸，
渐加至五丸、七丸，生姜汤送下，食后临卧服。孕妇忌服之。此方治病甚多，不能悉录。
周子固治王君海子病疠，众医莫能疗。周授已七药漱之，牙龈出秽血数升。既而形尽瘦骨立，后
第以美味补之，数月瘥。（《九灵山房集》）
薛立斋治一男子，冬间口苦耳鸣，阴囊湿痒，来春面发紫块，微肿麻木，至冬遍身色紫，不知痛
痒，至春紫处俱大，至夏渐溃，又至春，眉落指溃。此患在肝胆二经，令刺手指缝并臂腿腕出黑血，
先与再造散二服，下毒秽。更以小柴胡合四物汤加白芷、防风、天麻、角刺渐愈，又与换肌散。但遍
体微赤，此血虚有火，因家贫，未得调理。秋间发热，至春面仍发块，用前散并养血药，喜年少谨疾，
得愈。
一膏粱之人，鼻坏眉落，指脱体溃，热渴晡甚。四物汤加炒黑知、柏、五味、麦冬、白芷、天麻、
角刺，三十余剂，热渴少止。时仲夏，精神倦怠，气喘身热，小便黄涩，大便稀溏，此元气虚而时热
胜也。用补中益气汤顿安，乃与换肌散及益气汤兼服两月，更以生肌散代茶饮，疮少退。至仲秋，眩
晕少食，自汗体重，大便溏稀，此亦时湿之症，用清燥汤调理而愈。又用补中益气汤，少加酒炒黑知、
柏、角刺、天麻，两月余而痊。又因劳伤倦，聋 热渴，误服祛风药，病气益剧，身发赤疹，与益气
聪明汤，月许而愈。（大麻风症，先麻木不仁，次发红斑，久则破烂，浮肿无脓。盖皮死麻木不仁，
肉死刀割不痛，血死破烂流水，筋死指节脱落，骨死鼻梁崩塌也。又癞风症，初起水泡作痒成疮，破
流脂水，痒至彻骨，久则成片，传及遍身，好浴热汤。徐灵胎曰∶大麻风症，总属不治，迁延岁月则
有之，然患此者绝少。若稍似风症，并非真风，医者竟以治风之恶药治之，反伤败气血，变成风症。
此等最多，不可不知。又曰∶癞风之症，有似大麻风，而毒瓦斯不深，全在肌肉，故尚可治。喻嘉言曰∶
治疠风以清荣卫为主。汗宜频发，血宜频刺，皆清荣卫之捷法也。生虫由于肺热，宜兼清肺，然清肺
亦必先清荣卫。盖荣卫之气，腐而不清，传入于肺，先害其清肃之令故也。治宜生血清热为主，驱风
杀虫为辅。易老祛风丸，东坡四神丹，最为平善。可以久服取效，奉以为法焉。祛风丸∶黄 、枳壳、
防风、枸杞子、白芍、甘草、地骨皮、生地、熟地等分，蜜丸。四神丹∶羌活、元参、当归、生地等
分，或煎或丸服。）
一男子赤痛热渴，脓水淋漓，心烦掌热，目昧语涩，怔忡不宁，此心经受症也。用安神丸，兼八
珍汤，少加木通、炒黑黄连、远志，元气渐复。却行砭刺，外邪渐退。但便燥作渴，用柴胡饮并八珍
汤而愈。再用换肌散剂而瘥。
一男子肚见赤筋，面起紫泡，发热作渴，寅卯时甚，脉弦数，腿转筋，小便涩，此肝经火症。先
用柴胡饮，热退便利。却用小柴胡合四物汤加龙胆草、炒山栀，三十余剂，及八珍汤加柴胡、山栀，
调其血气，乃用换肌散，去其内毒而安。年余，因劳役饮食失宜，寒热头痛，遍身亦疹，自用醉仙散
而殁。
一男子面发紫疙瘩，脓水淋漓，睡中搐搦，遍身麻木，渐发赤块。劳则麻，怒则痒，肝脉洪大。
砭刺臂腿腕各出血，用清胃汤加大黄、角刺，四剂，煎下泻青丸，肝脉少退。以升麻汤数剂下前丸，
诸症少愈。却用《宝鉴》换骨散斤许，又用小柴胡合四物汤加苍术、天麻、角刺，百余剂，及六味地
黄丸，半载而愈。后因劳，
遍身麻痒，脉微而迟。此气血俱虚，不能荣于腠理。用十全大补汤加五味、麦冬，调理年余而安。
一男子面赤发紫泡，下体痒痛，午后发热，大便燥黑，此火盛而血虚也。用再造散及四物汤加防
己、胆草，及刺腿趾缝出毒血而便利。仍以前药加白术、白芷、茯苓、羌独活而便黄。仍以四物去胆
草、防己，少用独活，加元参、萆 ，五十余剂而疮退。却用补中益气汤加天麻、麦冬，而气血渐充。
时仲秋霖雨，遍身酸痛，用清燥汤而安。随用换肌散、胡麻散、八珍汤，兼服而愈。
一上舍面发肿，肌如癣，后变疙瘩，色紫，搔之出水，此脾肺之症也。先用清胃汤，以清胃热而
解表毒；又用四物汤加山栀、黄芩、柴胡、角刺、甘草节，以痒阴血，祛风热；又砭臂腿腕手足指缝
并患处以出毒血，疏通隧道。乃与八珍汤加白芷、角刺、五加皮、全蝎，及二圣散，兼服月余，以养
阴血，治疮毒；又与补气泻荣汤，少愈，再与换肌散而全愈。后因劳倦，遂发赤晕，日晡尤甚，以四
物汤加丹皮、柴胡、山栀，并用补中益气汤年余，虽劳而不发。
一男子遍身如癣，搔痒成疮，色紫麻木，掐之则痛，小便数而少，此脾胃受症，邪多在表。用清
胃散，更砭刺患处，并臂腿腕出黑血，神思渐爽。但恶寒体倦口干，此邪气去而真气虚也。以大剂参、
、芎、归、蒺藜、桔梗，数剂元气顿复。却用八珍汤加黄 、白芷、蒺藜、天麻、软柴胡，及二圣
散治之，其疮渐愈。后用换肌散、八珍汤等药，调理半载而痊。后症仍发，误用克伐攻毒，患两感伤
寒而死。
一男子遍身疙瘩，搔则痒，掐则痛，便闭作渴，此邪在内也。治以再造散，二服，微下三次。用
桃仁承气汤加当归，四剂，及砭出黑血，渐加痛痒。但形体倦怠，用培养之剂，复其元气。又用二圣
散，其疮顿愈。更用大补，年余而康。后患痰涎壅盛，舌强语塞，用二陈汤、苍术、知、柏、泽泻，
数剂而愈。再用补中益气汤，调理而安。
一男子素清苦，眉尽落，病在肝胆二经也。乃刺臂腿腕及患处出黑血，空心服八珍汤，加五味、
胡麻、首乌、威灵，食后服换肌散。喜其无兼变之症，又能笃守禁忌，不半年而愈。
一儒者脚心或痒痛，或麻痒肿胀。二年后，身体作痒，渐变疙瘩，发热耳鸣，日晡益甚，此属肾
虚也。乃砭刺臂腿腕，及手足指缝，去其瘀血。用六味地黄丸料加五味、柴胡，五十余剂以补肾，又
用换肌散、祛风丸各斤许以治疮，渐愈。得滋补守禁而痊。
一上舍遍身患之，形病俱虚。谓须调补元气完复，方治其疮。不信，恪服蛇酒以攻内毒，更敷砒
霜等药以蚀外毒，顿加呕吐清水，体痛如锥。或以为毒瓦斯外发，不知脾主肌肉，此因毒药伤脾而然也。
反服祛毒之剂，吐泻不止而殁。
一男子患疠风，用药汤熏洗，汗出不止，喘嗽不食，腹鸣足冷，肢体抽搐。谓此因热伤元气，腠
理不密，汗出亡阳耳。是日果卒。
窦材治疗一名患者，患有疠风病，胡须眉毛全部脱落，面部和眼睛红肿，手足全部变成疮疡。让他灸肺俞、心俞两个穴位各十壮，服用换骨散一料，两个月后完全痊愈，胡须眉毛重新生长。
（徐大椿按：窦氏治疗中风使用换骨丹，治疗疠风使用换骨散，这与第三条所用皆是换骨散。）
另一人全身赤肿如锥刺般疼痛，窦材说：你的病容易治。命令灸心俞、肺俞两个穴位各一百壮，服用胡麻散，服两次后痊愈。手足轻微活动不灵活，再次灸前穴五十壮，又服用胡麻散两料完全痊愈。（徐大椿按：胡麻散由黑芝麻、紫浮萍、薄荷、牛蒡子、甘草组成。窦氏的这个方子最为平稳。）
另一人脸部黑肿，左耳下起云状肿块，紫色如盘蛇，肌肉中如刀刺般疼痛，手足不知痛痒。询问病因，是因为同僚邀请游玩，醉卧三天，醒来发现左臂黑肿如蛇形，服用祛风药后逐渐减轻，如今又发作。窦材说：这不是风邪，乃是湿气客居于五脏的背俞穴，之前服用的祛风药，是以风胜湿，所以暂时好转，但毒根未除。命令灸肾俞两个穴位各一百壮，服用换骨丹一料痊愈，面色光润如初。
张子和治疗桑惠民的面风病，面色发黑，怕风不敢出门，抓挠不停，眉毛脱落，被当作癞风治疗三年。张子和说：这不是癞风。而是出自《素问·风论》所说：肾风的症状，多汗恶风，脊痛不能直立，其色黑，面庞浮肿。现在您的病，是肾风，应该先针刺面部放出大量血液，血色应当像墨一样，刺三次，血色就会改变。于是下针，从额头上下，直刺至头顶，都放出血液，果然如墨色。遍身肿胀处都针刺，唯独不针目锐眦外两旁，因为那是少阳经，此经少血多气。隔日又针刺，血色变为紫色。两天后，又刺出血，血色变红。初针时痒，再刺则额头觉痛，三刺，其痛不可忍受，这是因为邪气退去所致。等待二十多天后，又轻刺一遍才停止。每次针刺必用水清洗面部，十日黑色消退，一月后面稍红，三月后才红润白皙。只是不服用除根清热的药物，病会再发。张子和在东方，没有人能治好这个病。（徐大椿按：如今更没有能治的人了。然而不能不知道有这个病症。）
吴恕字如心，钱塘人，博览群书，年少时贫穷，贩卖乌蛇丸，治疗疯疾。当时采采风使恰好有患此病的人，召见吴恕与他交谈，惊服他的议论，于是委托他治疗，疾病果然痊愈。（《杭州府志》）
秘韫治疗大风病，用大乌蛇一条，打死放置等待腐烂，用二碗水，浸泡七天去皮骨，加入糙米一升，浸泡一天，晒干。用白鸡一只，饿一天，用米喂养它，等到羽毛脱去，杀鸡煮熟吃，用酒送服吃完，用一盆热汤，洗大半日，其疯疾自愈。（《本草纲目》）
王海藏说：王氏患大麻风病，眉毛胡须脱落，手掌内生疮，服用紫菀丸半个月，泻出癞虫二升，如马尾，长一寸左右。紫菀丸：吴茱萸、石菖蒲、柴胡、厚朴各一两，桔梗、茯苓、皂荚、桂枝、干姜、黄连、蜀椒、巴豆（去皮膜肉油炒）、人参各五钱，川乌三钱，加羌活、独活、防风各一钱，蜜丸，梧桐子大。每服三丸，逐渐加至五丸、七丸，生姜汤送下，食后临睡前服用。孕妇忌服此方。此方治病很多，不能全部记录。
周子固治疗王君海的儿子患疠风，众医不能治疗。周子固给他七种药漱口，牙龈流出污血数升。之后身体极度消瘦骨立，后来只用美味食物补养，几个月后痊愈。（《九灵山房集》）
薛立斋治疗一名男子，冬天口苦耳鸣，阴囊湿痒，来年春天面部发紫块，微肿麻木，到冬天遍身色紫，不知痛痒，到春天紫处都变大，到夏天逐渐溃烂，又到春天，眉毛脱落手指溃烂。此病在肝胆二经，让他刺手指缝以及手臂腿部手腕放出黑血，先用再造散两服，排出毒秽。再用小柴胡汤合四物汤加白芷、防风、天麻、角刺逐渐痊愈，又给予换肌散。只是遍体微红，这是血虚有火，因家贫，未能调理。秋天发热，到春天面部仍发块，用前散并养血药，庆幸年少谨守禁忌，得以痊愈。
一名饮食肥甘厚味之人，鼻子坏死眉毛脱落，手指脱落身体溃烂，热渴傍晚加重。四物汤加炒黑知母、黄柏、五味子、麦冬、白芷、天麻、角刺，三十多剂，热渴稍微停止。正值仲夏，精神倦怠，气喘身热，小便黄涩，大便稀溏，这是元气虚而时令热邪胜也。用补中益气汤顿然安定，乃给予换肌散及益气汤兼服两个月，再以生肌散代茶饮，疮疡稍退。到仲秋，眩晕少食，自汗体重，大便溏稀，这也是时令湿邪之症，用清燥汤调理而愈。又用补中益气汤，少加酒炒黑知母、黄柏、角刺、天麻，两个多月而痊愈。又因劳倦损伤，耳聋热渴，误服祛风药，病气更加剧烈，身体发赤疹，给予益气聪明汤，一个月左右而愈。（大麻风症，先麻木不仁，次发红斑，久则破烂，浮肿无脓。盖皮死麻木不仁，肉死刀割不痛，血死破烂流水，筋死指节脱落，骨死鼻梁崩塌也。又癞风症，初起水泡作痒成疮，破流脂水，痒至彻骨，久则成片，传及遍身，好浴热汤。徐灵胎曰：大麻风症，总属不治，迁延岁月则有之，然患此者绝少。若稍似风症，并非真风，医者竟以治风之恶药治之，反伤败气血，变成风症。此等最多，不可不知。又曰：癞风之症，有似大麻风，而毒瓦斯不深，全在肌肉，故尚可治。喻嘉言曰：治疠风以清荣卫为主。汗宜频发，血宜频刺，皆清荣卫之捷法也。生虫由于肺热，宜兼清肺，然清肺亦必先清荣卫。盖荣卫之气，腐而不清，传入于肺，先害其清肃之令故也。治宜生血清热为主，驱风杀虫为辅。易老祛风丸，东坡四神丹，最为平善。可以久服取效，奉以为法焉。祛风丸：黄芪、枳壳、防风、枸杞子、白芍、甘草、地骨皮、生地、熟地等分，蜜丸。四神丹：羌活、玄参、当归、生地等分，或煎或丸服。）
一名男子赤痛热渴，脓水淋漓，心烦掌热，目昧语涩，怔忡不宁，这是心经受症。用安神丸，兼八珍汤，少加木通、炒黑黄连、远志，元气渐复。却行砭刺，外邪渐退。但便燥作渴，用柴胡饮并八珍汤而愈。再用换肌散剂而瘥。
一名男子肚见赤筋，面起紫泡，发热作渴，寅卯时甚，脉弦数，腿转筋，小便涩，这是肝经火症。先用柴胡饮，热退便利。却用小柴胡合四物汤加龙胆草、炒山栀，三十余剂，及八珍汤加柴胡、山栀，调其血气，乃用换肌散，去其内毒而安。年余，因劳役饮食失宜，寒热头痛，遍身亦疹，自用醉仙散而殁。
一名男子面发紫疙瘩，脓水淋漓，睡中搐搦，遍身麻木，渐发赤块。劳则麻，怒则痒，肝脉洪大。砭刺臂腿腕各出血，用清胃汤加大黄、角刺，四剂，煎下泻青丸，肝脉少退。以升麻汤数剂下前丸，诸症少愈。却用《宝鉴》换骨散斤许，又用小柴胡合四物汤加苍术、天麻、角刺，百余剂，及六味地黄丸，半载而愈。后因劳，遍身麻痒，脉微而迟。此气血俱虚，不能荣于腠理。用十全大补汤加五味、麦冬，调理年余而安。
一名男子面赤发紫泡，下体痒痛，午后发热，大便燥黑，这是火盛而血虚也。用再造散及四物汤加防己、胆草，及刺腿趾缝出毒血而便利。仍以前药加白术、白芷、茯苓、羌独活而便黄。仍以四物去胆草、防己，少用独活，加元参、萆薢，五十余剂而疮退。却用补中益气汤加天麻、麦冬，而气血渐充。时仲秋霖雨，遍身酸痛，用清燥汤而安。随用换肌散、胡麻散、八珍汤，兼服而愈。
一名上舍面发肿，肌如癣，后变疙瘩，色紫，搔之出水，这是脾肺之症也。先用清胃汤，以清胃热而解表毒；又用四物汤加山栀、黄芩、柴胡、角刺、甘草节，以养阴血，祛风热；又砭臂腿腕手足指缝并患处以出毒血，疏通隧道。乃与八珍汤加白芷、角刺、五加皮、全蝎，及二圣散，兼服月余，以养阴血，治疮毒；又与补气泻荣汤，少愈，再与换肌散而全愈。后因劳倦，遂发赤晕，日晡尤甚，以四物汤加丹皮、柴胡、山栀，并用补中益气汤年余，虽劳而不发。
一名男子遍身如癣，搔痒成疮，色紫麻木，掐之则痛，小便数而少，这是脾胃受症，邪多在表。用清胃散，更砭刺患处，并臂腿腕出黑血，神思渐爽。但恶寒体倦口干，这是邪气去而真气虚也。以大剂参、芪、芎、归、蒺藜、桔梗，数剂元气顿复。却用八珍汤加黄芪、白芷、蒺藜、天麻、软柴胡，及二圣散治之，其疮渐愈。后用换肌散、八珍汤等药，调理半载而痊。后症仍发，误用克伐攻毒，患两感伤寒而死。
一名男子遍身疙瘩，搔则痒，掐则痛，便闭作渴，这是邪在内也。治以再造散，二服，微下三次。用桃仁承气汤加当归，四剂，及砭出黑血，渐加痛痒。但形体倦怠，用培养之剂，复其元气。又用二圣散，其疮顿愈。更用大补，年余而康。后患痰涎壅盛，舌强语塞，用二陈汤、苍术、知母、黄柏、泽泻，数剂而愈。再用补中益气汤，调理而安。
一名男子素清苦，眉尽落，病在肝胆二经也。乃刺臂腿腕及患处出黑血，空心服八珍汤，加五味、胡麻、首乌、威灵仙，食后服换肌散。喜其无兼变之症，又能笃守禁忌，不半年而愈。
一名儒者脚心或痒痛，或麻痒肿胀。二年后，身体作痒，渐变疙瘩，发热耳鸣，日晡益甚，这属于肾虚也。乃砭刺臂腿腕，及手足指缝，去其瘀血。用六味地黄丸料加五味、柴胡，五十余剂以补肾，又用换肌散、祛风丸各斤许以治疮，渐愈。得滋补守禁而痊。
一名上舍遍身患之，形病俱虚。谓须调补元气完复，方治其疮。不信，恪服蛇酒以攻内毒，更敷砒霜等药以蚀外毒，顿加呕吐清水，体痛如锥。或以为毒瓦斯外发，不知脾主肌肉，这是因毒药伤脾而然也。反服祛毒之剂，吐泻不止而殁。
一名男子患疠风，用药汤熏洗，汗出不止，喘嗽不食，腹鸣足冷，肢体抽搐。认为这是因热伤元气，腠理不密，汗出亡阳耳。是日果卒。
Dou Cai treated a patient suffering from Leprosy (Lifeng, 疠风), whose beard and eyebrows had completely fallen out, with redness and swelling of the face and eyes, and ulcers covering the hands and feet. He prescribed moxibustion on Feishu (BL13) and Xinshu (BL15) acupoints, ten moxa cones each, along with one dose of Huangu San (Bone-Substituting Powder). The patient recovered completely in two months, with beard and hair regrowing.
(Mao Dazun notes: Dou Shi used Huangu Dan for stroke and Huangu San for Leprosy; this case also utilizes Huangu San.)
Another patient presented with generalized erythema and swelling accompanied by pain like needle pricks. Dou Cai stated, "Your illness is easy to treat." He ordered moxibustion on Xinshu (BL15) and Feishu (BL13) acupoints, one hundred cones each, followed by the administration of Huma San (Sesame Powder). The patient recovered after two doses. For slight motor impairment in the limbs, he repeated moxibustion on the previous acupoints for fifty cones and administered another two doses of Huma San, resulting in full recovery. (Mao Dazun notes: Huma San consists of Sesamum indicum seed [Semen Sesami Nigrum], Viola yedoensis [Zi Fuping], Mentha haplocalyx [Bohe], Arctium lappa seed [Niubangzi], and Glycyrrhiza uralensis [Gancao]. This formula by Dou Shi is particularly mild and safe.)
A third patient exhibited black swelling on the face, with a cloud-like mass arising below the left ear, purple and resembling a coiled snake. Pain within the muscles felt like knife stabs, while sensation in the hands and feet was lost. Upon inquiry, it was revealed that after drinking heavily and sleeping for three days during a social gathering, the patient woke to find his left arm swollen and blackened like a snake. Previous treatment with wind-dispelling herbs provided temporary relief, but the condition recurred. Dou Cai diagnosed, "This is not Wind pathogen, but Dampness lodging in the Back-Shu points of the Zang organs. The previous wind-dispelling herbs likely overcame dampness temporarily, but the root of the toxin remains." He prescribed moxibustion on Shenshu (BL23) acupoints, one hundred cones each, and one dose of Huangu Dan (Bone-Substituting Pill). The patient recovered, and his complexion returned to its former luster.
Ziheyang treated Sang Huimin for Facial Wind (Mianfeng), characterized by dark complexion, aversion to wind preventing going outdoors, incessant scratching, and loss of eyebrows, having been treated as Leprosy for three years. Ziheyang declared, "This is not Leprosy." Citing *Suwen · Feng Lun* (Plain Questions: Discussion on Wind): "The manifestations of Kidney Wind include profuse sweating, aversion to wind, back pain preventing upright standing, dark discoloration, and facial puffiness." He diagnosed the patient with Kidney Wind and advised first puncturing the face to release substantial amounts of blood, which should appear ink-black. After three punctures, the blood color would change. Needles were inserted from the forehead down and up to the vertex, releasing ink-black blood as predicted. All swollen areas were punctured, except the lateral canthus, as this region belongs to the Shaoyang channel, which is characterized by scant blood and abundant Qi. Puncturing was repeated every other day; the blood turned purple, then red after two days. Initial punctures caused itching, subsequent ones caused forehead pain, and the third caused unbearable pain due to the retreat of the pathogen. After twenty-plus days, light puncturing was performed once more to conclude the procedure. The face was washed with water after each session. The black discoloration faded in ten days, the face became slightly red in one month, and returned to a ruddy white hue in three months. However, without taking root-clearing and heat-purging herbs, the disease relapsed. In the East, no one else could cure this condition. (Mao Dazun notes: Today, even fewer can cure it. Yet, one must be aware of such syndromes.)
Wu Xu, courtesy name Ruxin, from Qiantang, was well-read but poor in his youth, selling Wushe Wan (Black Snake Pills) to treat madness. When the Imperial Envoy for Gathering Folklore encountered a sufferer, he summoned Wu Xu for consultation, was amazed by his insights, and entrusted him with the treatment, which resulted in a cure. (*Hangzhou Prefecture Gazetteer*)
Mi Yun treated severe Leprosy using one large Black Snake (Dahuashe), killed and stored until decayed. It was soaked in two bowls of water for seven days, then skinned and deboned. One sheng of rough rice was added and soaked for one day, then dried. A white hen was starved for one day, fed the rice until feathers fell off, then slaughtered, cooked, and eaten with wine. Following this, the patient bathed in a basin of hot water for half a day, leading to spontaneous recovery. (*Compendium of Materia Medica*)
Wang Haizang reported: Mr. Wang suffered from severe Leprosy, with loss of eyebrows and beard and palm ulcers. After taking Ziwan Wan (Aster Pill) for half a month, he expelled two sheng of leprosy worms resembling horse tails, about one cun long. Ziwan Wan composition: Evodia rutaecarpa (Wuzhuyu), Acorus tatarinowii (Changpu), Bupleurum chinense (Chaihu), and Magnolia officinalis (Houpo) each 1 liang; Platycodon grandiflorus (Jiegeng), Poria cocos (Fuling), Gleditsia sinensis (Zaojia), Cinnamomum cassia (Guizhi), Zingiber officinale (Ganjiang), Coptis chinensis (Huanglian), Zanthoxylum bungeanum (Shujiao), Croton tiglium (Badou, peeled, membrane removed, flesh oil stir-fried), and Panax ginseng (Renshen) each 5 qian; Aconitum carmichaelii (Chuanwu) 3 qian; plus Notopterygium incisum (Qianghuo), Angelica pubescens (Duhuo), and Saposhnikovia divaricata (Fangfeng) each 1 qian. Processed into honey pills the size of paulownia seeds. Dosage: 3 pills initially, gradually increasing to 5 or 7 pills, taken with ginger decoction after meals and before bed. Contraindicated in pregnancy. This formula treats many diseases and cannot be fully recorded here.
Zhou Zigong treated Wang Junhai's son for Leprosy, whom other physicians could not cure. Zhou prescribed seven medicated mouthwashes, causing the gums to bleed several sheng of foul blood. The patient subsequently became emaciated and skeletal. He was then nourished with delicious foods and recovered in several months. (*Collected Works of Jiuling Shanfang*)
Xue Lizhai treated a man who, in winter, experienced bitter taste in the mouth, tinnitus, and damp-itching of the scrotum. In spring, purple patches appeared on the face, slightly swollen and numb. By winter, the whole body turned purple, insensitive to pain or itch. In the following spring, the purple areas enlarged; by summer, they ulcerated. In the next spring, eyebrows fell out and fingers ulcerated. Xue diagnosed involvement of the Liver and Gallbladder channels. He prescribed bloodletting at the finger webs and wrists/ankles to release black blood, followed by two doses of Zaizao San (Reconstruction Powder) to purge toxic filth. Then, Xiao Chaihu Tang (Minor Bupleurum Decoction) combined with Siwu Tang (Four Substances Decoction) plus Angelica dahurica (Baizhi), Saposhnikovia divaricata (Fangfeng), Gastrodia elata (Tianma), and Tribulus terrestris (Jiaoci) was used to gradually improve the condition, followed by Huanji San (Skin-Replacing Powder). The body remained slightly red, indicating Blood deficiency with Empty Heat. Due to poverty, proper convalescence was impossible. Fever occurred in autumn; facial patches recurred in spring. Using the previous powder with Blood-nourishing herbs, and relying on the patient's youth and compliance, he recovered.
A man accustomed to rich food developed nasal destruction, eyebrow loss, finger detachment, and body ulceration, with heat and thirst worsening in the late afternoon. Siwu Tang (Four Substances Decoction) plus stir-fried black Anemarrhena asphodeloides (Zhimu), Phellodendron amurense (Huangbai), Schisandra chinensis (Wuweizi), Ophiopogon japonicus (Maidong), Angelica dahurica (Baizhi), Gastrodia elata (Tianma), and Tribulus terrestris (Jiaoci) was administered for over thirty doses, alleviating heat and thirst. In midsummer, he presented with fatigue, asthma, fever, yellow/scanty urine, and loose stools, indicating Qi deficiency with seasonal Heat excess. Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) brought immediate relief. Huanji San (Skin-Replacing Powder) and Yiqi Tang (Qi-Augmenting Decoction) were taken concurrently for two months, followed by Shengji San (Flesh-Generating Powder) as tea, reducing ulcers. In mid-autumn, dizziness, anorexia, spontaneous sweating, heaviness, and loose stools indicated seasonal Dampness. Qingzao Tang (Clear Dryness Decoction) resolved this. Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with minor additions of stir-fried black Zhimu, Huangbai, Jiaoci, and Tianma cured him in two months. Later, due to overwork, he developed deafness, heat, and thirst. Mistakenly taking wind-dispelling herbs worsened the condition, causing red rashes. Yiqi Congming Tang (Augment Qi and Brighten the Orifices Decoction) cured him in a month. (Note on Leprosy: Initially numb and insensible, followed by red spots, eventually ulcerating with edema and no pus. Skin death causes numbness; muscle death causes insensitivity to cutting; blood death causes weeping ulcers; tendon death causes joint detachment; bone death causes nasal collapse. Note on Lepra: Begins with itchy blisters becoming sores, oozing serous fluid, intense itching penetrating to bone, spreading over the body, preferring hot baths. Xu Lingtai states: Leprosy is generally incurable, though it may linger for years; however, cases are rare. If symptoms merely resemble wind-disease but are not true wind, doctors mistakenly use harsh wind-treating drugs, damaging Qi and Blood and transforming the condition. Such cases are common and must be recognized. He adds: Lepra resembles Leprosy but has shallower toxicity confined to muscles, making it treatable. Yu Jiayan states: Treating Leprosy focuses on clearing Ying and Wei. Sweating should be frequent; bloodletting should be frequent; both are efficient methods to clear Ying and Wei. Worms arise from Lung Heat, requiring simultaneous Lung clearing, but Ying and Wei must be cleared first because corrupted Ying and Wei Qi entering the Lung damages its descending function. Treatment prioritizes generating Blood and clearing Heat, with dispelling Wind and killing parasites as secondary. Laoyi Qu Feng Wan (Dispel Wind Pill) and Dongpo Sishen Dan (Master Dongpo's Four Divine Pills) are safest for long-term use. Qu Feng Wan: Astragalus membranaceus (Huangqi), Aurantium fructus (Zhike), Saposhnikovia divaricata (Fangfeng), Lycium barbarum (Gouqizi), Paeonia lactiflora (Baishao), Glycyrrhiza uralensis (Gancao), Lycium bark (Digupi), Rehmannia glutinosa raw (Shengdi), and Rehmannia glutinosa prepared (Shudi) in equal parts, honey pills. Sishen Dan: Notopterygium incisum (Qianghuo), Scrophularia ningpoensis (Xuanshen), Angelica sinensis (Danggui), and Rehmannia glutinosa raw (Shengdi) in equal parts, decocted or pill form.)
A man presented with redness, pain, heat, thirst, dripping pus, vexation, hot palms, blurred vision, slurred speech, and palpitations. This was a Heart channel syndrome. Anshen Wan (Calming Spirit Pill) combined with Bazhen Tang (Eight Treasures Decoction) with minor additions of Akebia trifoliata (Mutong), stir-fried black Coptis chinensis (Huanglian), and Polygala tenuifolia (Yuanzhi) gradually restored Qi. Bian stimulation was applied to expel external pathogens. Constipation and thirst persisted, resolved by Chaihu Yin (Bupleurum Drink) and Bazhen Tang (Eight Treasures Decoction). Huanji San (Skin-Replacing Powder) completed the cure.
A man showed red veins on the abdomen, purple blisters on the face, fever, thirst worsening at Yin-Mao hours (5-9 AM), wiry-rapid pulse, leg cramps, and scanty/difficult urination. This was Liver Fire. Chaihu Yin (Bupleurum Drink) reduced fever and regulated bowels. Xiao Chaihu Tang (Minor Bupleurum Decoction) combined with Siwu Tang (Four Substances Decoction) plus Gentiana scabra (Longdancao) and stir-fried Gardenia jasminoides (Zhizi) for over thirty doses, followed by Bazhen Tang (Eight Treasures Decoction) with Chaihu and Zhizi to regulate Qi and Blood, then Huanji San (Skin-Replacing Powder) to remove internal toxins, stabilized him. Over a year later, due to labor and improper diet, he developed chills, fever, headache, and body rash. Self-medicating with Zuixian San (Intoxicating Immortal Powder) led to death.
A man had purple nodules on the face, dripping pus, nocturnal convulsions, generalized numbness, and gradually appearing red patches. Labor induced numbness; anger induced itching. Liver pulse was surging-large. Bloodletting at arms, legs, and wrists was performed. Qingwei Tang (Clear Stomach Decoction) plus Rhubarb (Dahuang) and Jiaoci was given for four doses, followed by Xiaqing Wan (Drain Green Pill) orally, slightly softening the Liver pulse. Shengma Tang (Cimicifuga Decoction) aided the pill, mildly improving symptoms. One jin of Huangu San (Bone-Substituting Powder) from *Baodian* was used, followed by Xiao Chaihu Tang (Minor Bupleurum Decoction) combined with Siwu Tang (Four Substances Decoction) plus Atractylodes lancea (Cangzhu), Gastrodia elata (Tianma), and Jiaoci for over a hundred doses, plus Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia), curing him in six months. Later, due to labor, generalized numbness/itching and faint-slow pulse indicated dual Qi and Blood deficiency failing to nourish the interstices. Shiquan Dabu Tang (Ten Complete Tonifying Decoction) with Wuweizi and Maidong restored health over a year.
A man had red face, purple blisters, lower body itching/pain, afternoon fever, and dry/black stools. This was Excess Fire with Blood deficiency. Zaizao San (Reconstruction Powder) and Siwu Tang (Four Substances Decoction) plus Stephania tetrandra (Fangji) and Gentiana scabra (Longdancao), along with bloodletting at toe webs to release toxic blood, regulated bowels. Adding Atractylodes macrocephala (Baizhu), Angelica dahurica (Baizhi), Poria cocos (Fuling), Notopterygium incisum (Qianghuo), and Angelica pubescens (Duhuo) turned stool yellow. Removing Longdancao and Fangji from Siwu Tang (Four Substances Decoction), using less Duhuo, adding Scrophularia ningpoensis (Xuanshen) and Dioscorea hypoglauca (Bixie) for over fifty doses reduced ulcers. Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) with Tianma and Maidong replenished Qi and Blood. In mid-autumn rain, generalized soreness was resolved by Qingzao Tang (Clear Dryness Decoction). Huanji San (Skin-Replacing Powder), Huma San (Sesame Powder), and Bazhen Tang (Eight Treasures Decoction) cured him.
An Shangshe had facial swelling, skin resembling tinea, later turning into purple nodules weeping fluid upon scratching. This was a Spleen-Lung syndrome. Qingwei Tang (Clear Stomach Decoction) cleared Stomach heat and released exterior toxins. Siwu Tang (Four Substances Decoction) plus Zhizi, Scutellaria baicalensis (Huangqin), Chaihu, Jiaoci, and Licorice segment (Gancao jie) nourished Yin Blood and dispelled Wind-Heat. Bloodletting at arms, legs, wrists, finger webs, and lesions unblocked collaterals. Bazhen Tang (Eight Treasures Decoction) plus Baizhi, Jiaoci, Acanthopanax senticosus (Wujiapi), and Scorpio (Quanxie), along with Ersheng San (Two Sage Powder), was taken for over a month to nourish Yin Blood and treat ulcer toxins. Buqi Xierong Tang (Augment Qi and Drain Ying Decoction) provided slight improvement, followed by Huanji San (Skin-Replacing Powder) for complete cure. Later, due to fatigue, red halos appeared, worse in late afternoon. Siwu Tang (Four Substances Decoction) plus Moutan cortex (Danpi), Chaihu, and Zhizi, combined with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) for over a year prevented recurrence despite labor.
A man had generalized tinea-like lesions, itchy sores, purple numbness, pain upon pinching, frequent/scanty urination. This was a Spleen-Stomach syndrome with pathogen mostly in the exterior. Qingwei San (Clear Stomach Powder) and bloodletting at lesions, arms, legs, and wrists to release black blood refreshed the mind. Aversion to cold, fatigue, and dry mouth indicated pathogen retreat and True Qi deficiency. Large doses of Ginseng, Astragalus, Ligusticum chuanxiong (Chuanxiong), Angelica sinensis (Danggui), Tribulus terrestris (Jili), and Platycodon grandiflorus (Jiegeng) rapidly restored Qi. Bazhen Tang (Eight Treasures Decoction) plus Huangqi, Baizhi, Jili, Tianma, and soft Chaihu, along with Ersheng San, healed ulcers. Huanji San (Skin-Releasing Powder) and Bazhen Tang (Eight Treasures Decoction) for six months cured him. Later, symptoms recurred. Mistakenly using attacking/toxin-expelling herbs led to death from Cold damage with concurrent Taiyang and Yangming involvement.
A man had generalized nodules, itchy when scratched, painful when pinched, constipation, and thirst. Pathogen was internal. Zaizao San (Reconstruction Powder) for two doses caused mild purging three times. Taoren Chengqi Tang (Peach Kernel and Cassia Decoction) plus Danggui for four doses, plus bloodletting to release black blood, increased pain/itch slightly. Fatigue required Qi-tonifying agents to restore original Qi. Ersheng San (Two Sage Powder) quickly healed ulcers. Major tonification cured him in a year. Later, copious phlegm, stiff tongue, and speech impediment were cured by Erchen Tang (Two Aged Decoction) plus Cangzhu, Zhimu, Huangbai, and Ze xie for several doses. Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) ensured stability.
A man of ascetic habits lost all eyebrows; pathology involved Liver and Gallbladder channels. Bloodletting at arms, legs, wrists, and lesions released black blood. Bazhen Tang (Eight Treasures Decoction) with Wuweizi, Humazi, Polygonum multiflorum (Shouwu), and Salvia miltiorrhiza (Weilingxian) was taken fasting; Huanji San (Skin-Replacing Powder) after meals. Absence of complicated symptoms and strict adherence to taboos led to recovery in under six months.
A scholar had itchy/painful or numb/swollen soles. Two years later, body itching, nodules, fever, tinnitus worsening in late afternoon indicated Kidney deficiency. Bloodletting at arms, legs, wrists, and finger webs removed stasis. Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) base with Wuweizi and Chaihu for over fifty doses tonified Kidney. Huanji San (Skin-Replacing Powder) and Qu Feng Wan (Dispel Wind Pill), one jin each, treated ulcers. Recovery came through nourishment and abstinence.
An Shangshe suffered generalized lesions with deficient form and pathology. He was told to tonify Original Qi before treating ulcers. Disbelieving, he strictly took Snake Wine to attack internal toxins and applied Realgar (Pishuang) to erode external toxins, causing sudden vomiting of clear fluid and piercing body pain. Some thought toxins were emerging externally, unaware that Spleen governs muscles; this was Spleen injury from toxic drugs. Taking detoxifying agents caused fatal vomiting and diarrhea.
A man with Leprosy underwent herbal fumigation/washing, resulting in continuous sweating, asthma/cough/anorexia, abdominal borborygmus, cold feet, and limb convulsions. This was attributed to Heat injuring Original Qi, loose interstices, and sweating leading to Yang collapse. He died that day.