此症初生块瘰，先发渐热，或呕吐，或黄肿，大如鸡卵，小如弹丸，或如麻豆，穿即成
疮，
脓滋腥秽，由脾受贼邪，炙爆毒味禽兽鱼鳖，久而成之。急治则可，若至六年，病成祸速，
人闻其气息即染成病，遗害甚大。
此症乃土癞之毒潜注脾脏，流于四肢，则垂重难举，手足肘膝腐烂，脓血臭秽，或指趾
毁落
，肿大如车轴，瘫痹注烂，直见筋骨，痛惫而死，或发于胸臆肋背，先肿如痞，后又穿烂，
日久叫号刺痛而死。
曰金曰面曰白，肺之癞也。
此症初发如杨梅之状，上无盖壳，内泛碎肉，出紫赤色烂花，凸起俨若杨梅，由
毒入肺经，
不久眉睫脱落，三年鼻柱崩倒，眼翻唇断，此乃天付之咎，阴空神祟之祸，定有遗毒，久治
方可挽回，天意不比他种，可以速愈。
此症乃金癞既愈，余毒难消，蠹存肺脏，致生如面细虫，举体艾白，斑驳周身，或如痹
癣，俨如泥壁风状，惟外加熏洗，则能取效。
此症乃寒暑湿热之气，邪毒酿袭，弥漫肺窍，积生恶虫，蠹啮肺管，使声破目暗，肢体
顽痹
骨骱，中如火燃，心胸燥热，手足背膂拘紧，肉如剜劈，以致身体手足瘾疹，鼻生息肉，气
塞不通，浊涕流涎，山根高肿，脑门时痛，或目生白翳无光，多为鼻痈，外不发疮，人皆不
识此癞，故治之无效。
曰水曰雨曰乌，肾之癞也。
这种病症初起时出现肿块结节，逐渐发热，伴有呕吐或面色黄肿。肿块大小不一，大的如鸡蛋，小的如弹丸，或者像麻子、豆子一样。一旦破溃就会形成疮口，流出的脓液腥臭污秽。这是由于脾脏受到贼邪侵袭，长期食用炙烤爆裂的有毒禽兽鱼肉鳖类所致。若能紧急治疗尚可治愈；若拖延至六年，病情恶化迅速，人闻到患者的气息就会被传染致病，遗害极大。
此症是土癞的毒气潜伏注入脾脏，流窜到四肢，导致肢体沉重难以抬起，手足肘膝部位腐烂，流出脓血且气味臭秽，甚至手指脚趾毁坏脱落，肿胀粗大如车轴一般，瘫痪麻痹并溃烂，直接露出筋骨，因疼痛极度疲惫而死；或者发作于胸胁肋背，先肿胀成痞块，随后破溃腐烂，日久因剧烈刺痛呼叫而亡。
此症初发时形状像杨梅，上面没有盖壳，内部翻出碎肉，呈现出紫红色的烂花状，凸起的样子俨然如同杨梅。这是由于毒气侵入肺经，不久后眉毛睫毛脱落，三年后鼻梁塌陷，眼睛外翻嘴唇断裂。这是天定的灾祸，阴空神祟带来的灾难，体内必定留有残余毒气，只有经过长期治疗才可能挽回，天意不同于其他种类的癞病，无法快速痊愈。
此症是金癞虽然表面痊愈，但残余毒气难以消除，蛀蚀存留于肺脏，导致生出像面粉中细虫一样的病变，全身皮肤呈灰白色，斑驳遍布周身，或者像痹癣，样子宛如墙壁上受风侵蚀的状态，只有通过外加熏洗的方法，才能取得疗效。
此症是由于寒暑湿热之气，邪毒酝酿侵袭，弥漫堵塞肺窍，积聚生成恶虫，蛀蚀啃咬肺管，导致声音嘶哑破败、视力昏暗，肢体顽固麻痹，关节疼痛，体内如火燃烧，心胸燥热，手足背部及脊柱拘紧僵硬，肌肉感觉如被剜割劈砍，以致身体和手足出现瘾疹，鼻内生息肉，气机阻塞不通，浊涕流涎，山根（鼻根部）高肿，脑门时常疼痛，或者眼睛生白翳失去光泽，大多并发鼻痈，外部不出现疮疡，人们都不认识这种癞病，所以治疗无效。
称为水癞、雨癞、乌癞的，属于肾脏的癞病。
This condition initially presents with lumps and nodules, gradually accompanied by fever, vomiting, or yellowish edema. The swellings vary in size: large ones like chicken eggs, small ones like pellets, or resembling hemp seeds and beans. Once they rupture, ulcers form, discharging pus that is fishy and foul-smelling. This results from the Spleen being invaded by "thief pathogens" due to long-term consumption of roasted, cracked, toxic poultry, beasts, fish, and turtles. If treated urgently, it can be cured; however, if left for six years, the disease progresses rapidly. People who smell the patient's breath may contract the illness, causing great harm.
This pathology involves the toxin of "Earth Leprosy" (Tu Lai) lurking and injecting into the Spleen, flowing into the four limbs, resulting in heaviness and difficulty in movement. The elbows, knees, hands, and feet rot, discharging foul-smelling pus and blood, with fingers and toes potentially necrotizing and falling off. Swelling becomes as thick as a cart axle. Paralysis and putrefaction occur, exposing bones and joints directly, leading to death from extreme pain and exhaustion. Alternatively, it may manifest on the chest, ribs, and back, starting as swelling resembling a mass, later rupturing and rotting, leading to death from piercing pain and wailing over time.
Those referred to as Metal Leprosy (Jin Lai), Facial Leprosy (Mian Lai), or White Leprosy (Bai Lai) belong to the Lung organ.
Initially, this condition resembles a bayberry fruit, lacking an outer shell, with inner flesh appearing fragmented, exuding purple-red rotten flowers, protruding distinctly like a bayberry. This occurs because toxins enter the Lung Meridian. Soon after, eyebrows and eyelashes fall out. After three years, the nasal bridge collapses, eyes evert, and lips sever. This is considered a heavenly punishment, a disaster caused by yin emptiness and spiritual malevolence. Residual toxins remain within; only prolonged treatment can reverse it. Heavenly will differs from other types of leprosy; it cannot heal quickly.
This condition arises when Metal Leprosy appears healed but residual toxins persist, corroding and remaining in the Lungs. This generates lesions resembling fine worms found in flour, turning the entire body pale white with mottled patches all over. It may resemble bi syndrome (painful obstruction) or tinea, looking like wind-eroded mud walls. Only external fumigation and washing can achieve efficacy.
This condition is caused by evil toxins brewing and attacking from cold, heat, dampness, and summerheat qi, filling and blocking the lung orifices. Accumulated malignant worms corrode and bite the lung tubes, causing hoarse voice, dim vision, stubborn paralysis of limbs, joint pain, internal sensation of burning fire, dryness and heat in the chest and heart, stiffness and tension in the dorsum of hands/feet and spine, muscle pain as if gouged or hacked. Consequently, urticaria appears on the body and limbs, nasal polyps grow, qi stagnation prevents free flow, turbid rhinorrhea and salivation occur, the shangen (root of the nose) swells high, the forehead hurts intermittently, or white nebulae form on the eyes causing blindness. Nasal carbuncles are common. Externally, no sores appear. People do not recognize this type of leprosy, hence treatments fail.
Those referred to as Water Leprosy (Shui Lai), Rain Leprosy (Yu Lai), or Black Leprosy (Wu Lai) belong to the Kidney organ.