三十六种风症不过痛、痒、麻、烂、肿、惫之类，一百八道方药皆排毒、杀虫、补血、
壮元、理气之剂。诸
贤秘论，各擅门墙，自古圣贤遇病立方议论参详各据一理，疠风多种所由不一。且如
北人刚勇而地高燥，南人风气柔弱而地卑湿，闽广多有岚瘴虫毒之气，江淮常受海水寒冰之
伤，海岛风涛，山溪妖魅贻害无穷。丹溪专攻外感，理气清阳，利于南方；东垣端理内
伤，导痰去湿，利于北方；孙真人、王好古、许旌阳、抱朴子等，或以杀虫排毒，或专补血
壮元，或惟调气清神，各有大意，而制方无不验然。诸家各有秘旨，后人若能辨症用之，自
有效验，须博览各家之术，约而选之，定合符节。如得一方便夸能治，必无皆验之理。且
如五龙丸有斩关夺帅之功，千年药有起死回生之妙，瘫烂败绝者非东华玉髓不能复其原，
斑烂舛错者舍冯夷琼浆乌能扫其迹。若合其宜如弩发机，若违妄用如水浇石。
黄龙丸，即水煮黄香丸，能治三十六种大风危症。乌龙丸治风症内热痰火上攻，并周
身乖
癞燥痒作痛。白龙丸，又名捕龙丸，治上半身痛风极凶者。花龙丸又名浑元丹，治腰半以
下腿膝大痛者。赤龙丸即一粒金丹，治痛风遍身抽掣日夜叫号者。千年药乃祖师邋遢张
真人遗下平分家产方，又曰灵宝千年大药，治三十六种大风，十四般大疠，无所不效。东华
玉髓乃大风子油膏，治烂风疮秽者。冯夷琼浆，又名推云酒，治五色疙瘩云颜麻木者，若
对症用之无不奏效，若乱投妄用则不见功。
必须脉药相配，诊视相参，对症施治，随手获功，执方胶固，弥紊何灵?
凡有一般症候，自有一般脉色。辨诊不同，古有形诊、声诊、色诊、脉诊之条。欲观其
形而诊验吉
凶，如头为清明之府，若倾视则神将夺矣；背为胸臆之府，若胸曲肩垂则气将坏矣；腰为
肾之府，若转摇不能则神将竭矣；骨为髓之府，若不能久立、行动振掉则骨将败矣；筋络为
血之帅，若挛曲不舒则血将枯矣。此为望形之诊也。欲听其音声而诊验吉凶，如语先轻
后重、高厉有力则外感有余也；若语先重后轻沉困无力，内伤不足也。此为闻声之诊也。
欲观其色而诊吉凶，如青者欲如苍璧、不欲如蓝，如翠羽者生，如草滋者死；黄、者欲如罗
裹雄黄不欲如黄土，如蟹腹者生，如枳实者死；赤者欲如绵裹朱砂、不欲如赭，如鸡冠者
生，如衄血者死；白者欲如鹅羽、不欲如盐，如豕膏者生，如枯骨者死；黑者欲如重漆、不
欲如地苍如鸟羽者生，如煤炱者死。此为颧色之诊也。《脉经》云∶疠脉阳浮弦(关上也)，
阴
实大(关下也)，两寸浮而紧或浮而洪，浮缓者易治，洪大而数或沉实者难治。脉若沉者
病反在上，浮者病反在下，皆不治。此为切脉至而诊吉凶也。故曰阴阳配偶，方脉参详，此
理通彻则药对症，何忧治而不愈哉?若执一死方以治诸症，非惟无益，反害于人。
然导痰去湿，如苍术、白术、南星、半夏、贝母、皂荚、茯苓、阿胶、浓朴、元明粉、
栝蒌仁、胡黄连、青礞石、银柴胡之类。
湿而膨胀痰结者非浓朴不消，元明粉止可为丸服，不宜入汤液。湿痰成块者阿胶专
主为末服之，若水煎服则臭而无功。皂荚打痰从大孔出甚速，银柴胡治肺热之神药，疠
风
声浊痰臭者必用之，止入丸散，不入汤液。若骨蒸寒热者，一见胡黄连即愈，亦不入煎剂，
煎则无功矣。
利气清阳，如沉檀、麝脑、乳没、木香、缩砂、豆蔻、益智、远志、升麻、犀角、珍珠
、丹砂、牛
黄、柴胡之类。
气闭则阳微，气结则血匿，诸香皆能开导幽微隐僻之郁。通达关窍气滞，非
提不起，必须升麻、柴胡之属。牛黄珠粉等件香剂能消气聚之块，止宜丸散不入汤液
者，以火炒水煎则味愈苦，令人呕吐哕 ，况有诸香不宜见火之说。
祛风散邪，如羌活、麻黄、荆芥、紫萍、苦参、风藤之类。
病以风名，皆由风湿寒暑之感，若不发散邪气，何能消溶?羌活之，类皆不可缺，苦参
最杀风疠之虫、疮癣皮肉之虫立死，服之五脏蛲虫立去，必用药也。补血生津液，如当归
、元参、红花、茜草根、紫草、血竭、鹿茸、夏枯、草桑、螵蛸、原蚕
蛾、生地黄之类。
元参去五脏之游火、摄血归元，红花去死血，生新血为治风必用。戴元礼云∶夏枯草
为血虚
所宜，桑螵蛸之补阳填精比于人参，有霄壤之功。晚蚕蛾有再生精髓之捷，血竭乃去积瘀
血作痛之卒徒，故多用之。
荡涤积滞，如代赭、皂荚、雷丸、蜂蜜、人牙、千金子、人中黄之类。
油腻脂胶之积淤肠胃，非皂荚不去。代赭石名血师，专排血积淤凝，善活血不使挛曲
。雷丸
去积杀虫，止可用于男子，妇人服之必胀闷腹痛、发昏，甚则颠呆，痰涎涌塞。
故男子用雷丸，妇人用皂荚。
劫杀蛲虫，如锡灰、黄芽、雄黄、鹤虱、 实、鹅翎灰之类。
黄芽粪中蛆也，于四月内未食茄子之前收者方好，以浓茶卤养淘炙香，方无油泛，专
祛虫积。鹅翎灰最杀风疮中蚀虫，若皮内疮疥虫，非此不除。麻瘠瘫痪、如菖蒲、天
麻、萆 、防己、秦艽、 、胡麻、香蛇、漏芦、石斛、苍
耳草、白蒺藜之类。
血枯必痛，血凝必麻，须用补血逐血之剂，故萆 之补阳，菖蒲之升阳 草乃风病
元气亏乏之圣药，非止瘫痪者用之。
筋挛肢软，如苡仁、牛膝、杜仲、续断、狗脊、萎蕤、白生蛇、仙灵脾之类。
风注四肢，非萎蕤不能上下左右搜逐又能消烁诸般毒物。阳痿筋挛，非仙灵脾不能兴
起，乃大补元阳之药，实救本之妙药也。
爱食瓜果者须倍麝香，耽嗜面檗者必求枳 ，曾服汞粉，定用铅磁。若进毒药，急
行和解，参 之性不及升柴，此特大略，博而约之。
治风之法，先散寒邪，次攻虫毒，次调元气，次养阴血，待风散虫死，血足气清之候，
再拔
疮秽，舒其筋而伸其挛，滋生毛发则病愈不发，补益之药终身服之不可止，乃不刊之秘
论也。若欲速不分次序，则随得随失，变驳反掌，非惟无益，必反害之。如升麻能使
浊气从右而上散，柴胡能合清气从左而上达，参 惟能助气而反附阳邪以损阴血，风癞以
养血清阳为要，故参 不及升柴之提散调达，开导肌表也，麝香能消诸瓜果之毒发渴
者，乃瓜果之积用之即消。枳 即金钩树子，能祛酒毒，好酒之人宜服之。黑铅磁石
花椒专收轻粉水银之毒，恐庸医暗投，故宜服之以免发毒。此用药之大略也。
近世专用大风子为良方，不知此药性猛大热，有燥痰劫血之迅力，制炼不精则病未愈
而先失明矣。
大风子即海松子，又名丢子，因其专能治风而名也，生于东海日出燥炎之地，故性大
热，
能直入肌骨杀虫祛湿，夷人称为丢子，当果食之以治百病，盖海岛之俗食生物者腹多
蛲虫之毒，服此以荡涤之，如闽广人食槟榔以御风瘴也，其肉上白膜最能损目，其油最能
败血，如生食之伤人脏腑，其性怕酱，见酱物即消之无用，故服此者必忌酱。若得麻腐
与之同服则功愈胜，须专门用之，制度有法则功胜于诸药，若无传授而道听妄用，非
惟无功反生他害。丹溪云∶大风子有燥热之毒，能败血动痰，损人之目，信不诬矣。且据
富翁陈善长患风年久，求予先君治之先君思善长耽于酒色，日不间断必难治，固辞不药
。善长密贿予家老奴，盗传制大风子之法，善长根据法制度三年，共食大风子肉七十余斤，其
病
脱去，绝无他患。一日持礼币至予家，谓先君曰，昔年求治力辞何也?先君甚赧颜，浓谢
老奴而去，始知盗方之弊，想风病损目难归咎于大风子，盖世之不食大风子而瞽者甚多，后
人不可泥于纸上之语。
始以汤药宣畅，次以膏酒灌融，丸散调护，王道之常。
风癞之药，煎剂奇方最能速效，逐散风邪，通畅脉络，无留毒之患。第恐荡败脾胃，
故不
宜久服。一见病势稍缓即进丸散以浓脾胃，其 、苦参、苍耳、八宝、归术、丁公藤等膏
捷于却
病补养，但恐传授无修炼之法，其药酒虽人喜服切不可施于初病之时，且风疾初起，病尚
点滴块瘰，未曾散漫若即用药酒追排气血，领毒遍透脉络，则遍身皆病难治矣。须待病
愈之后，防其再发，宜药酒使药力钻透肢体，把截毫窍，基固神坚，邪毒不能再犯也
其脑麝、牛黄、金石、香料不入汤液，又忌见火，惟和丸散，服之功力合宜而顺。故治风
者先须汤液，次用丸膏，愈后方进药酒，为治法之序。
世有妄徒盗习火劫蒸烧之术，愚人争赴残害，深可痛也。夫风病根于脏腑，既发于外
，其势已减，何又煨逼使毒瓦斯复入，假火为祸暂虽少爽，祸不旋踵。
风癞之病秽积毒先伤脏腑，延注筋骨，譬如寇入驱出，即祸减，追上为上何故
又加
蒸熨劫之，复令毒瓦斯回伏肤腠、潜入肌脉，假火郁之势，流蠹既开之孔窍，仍伤脏腑耶?且
人
身毫发孔窍，一见火气，百孔皆开，何气不入，旧邪未息，新邪又入，初则毒瓦斯御，火暂离
肌表必然皮毛颜色顿改，骨节酸折，疑是愈而爽快，愚人喜以为美，非吉兆也，乃新旧
邪毒入钻之，故为加病之渐耳。夫病患血气已弱，再犯火毒，则气愈败、血更衰、津枯骨燥
，若至二七日外火熨，湿热之气在内寻注经络，充蠹脏腑，必使皮肉坚硬而酸痛，瘦弱无
力，精乏目暗，肢软足蹩步涩，再不避风寒、戒酒色，必至腐烂失明矣。宜速解救，以免大
害
。且风虫因内热而生，复得火湿，愈加滋蔓，仍伤髓液，至一百二十日后，其火郁湿热之气
流遍周身，病势反凶于旧，急宜用解药扫拔祸根，多有气血衰弱者随蒸而毙，人犹不畏何哉
?若未曾服药，便用蒸熨，则驱毒瓦斯深入骨髓，淆荡血液，若已服药既攻毒瓦斯欲散，
乌再复邀郁聚?初治行之使毒瓦斯胜于正气祸又旋踵，后治行之使毒瓦斯入于新元，祸仍
僭乱，急则急危，缓则缓害，戒之!戒之!故丹溪云∶必先杀其虫，泻其火，然后生。盖凉血
祛风、通滞、降阳升阴，虽治法颇多，大都不外乎此。夫丹溪云尚如此，后人何可用蒸烧之
劫而害理殃人乎?
点刺锋镰惨楚，何益针灸、熏洗、缓泄还宜。
凡风疠所起之处每难全愈，欲其全愈必追毒并归于此，然后以药点之使烂而可迹
熄根
灭也。若病未愈不可周身涂点，其点药之性热过于火毒过于亢，若点遍身则热毒围
攻，焉能当之?又每有妄徒以针刺破皮肉，用醋墨涂之使烂，妄言拦阻病势，不知病根铸
于肠胃，年深发见于肌表，先从髓液透出，岂可于皮外刺烂而能阻之乎?空受痛苦而结痂
痕疙瘩使形丑貌陋，其病反加，未见毫厘效验。其或湿痒酸麻、肿块皮肉胀大、血死渍实
者，可以锋镰败泄。如紫云、白癜、血癣等症，可以小艾炷团围灸之，使艾火引毒渐泄，虽
疼痛一时亦能提散毒瓦斯。若干风痹燥之症，气血尚且不足，乌可又行锋刺，愈加耗竭。肌
肤之间全凭血液转使，筋枯力乏，手足不能运用，其皮肤麻痹者，乃血液亏损之故。内频
服药，外频熏洗，内外应施，引其经络之间新血充足气脉，渐渐荣活而愈矣。切不可骤用
点刺、锋镰，炎威惨酷，剥害肤体。况风癞非一时可愈者，总不如令其服药，缓缓奏功为上
。且风癞之人气血必衰，治风癞之药无非克伐，迅剂治之将半即宜用补剂扶其根本，
不
可伐尽气血，致津液干枯，形神憔悴而损遐龄，用药尚然，岂可妄下针镰霸道之毒手以速
其死乎?
风症共有三十六种，不过表现为疼痛、瘙痒、麻木、溃烂、肿胀、疲乏等类别；治疗的一百零八道方药，都是排毒、杀虫、补血、壮元（补益元气）、理气的药剂。各位医家的秘传论述，各自擅长不同的流派，自古以来的圣贤遇到病症制定方剂并进行议论分析，都是依据各自的理论。麻风病种类繁多，其成因各不相同。
况且北方人性格刚勇，地势高燥；南方人气质柔弱，地势卑湿。福建、广东多有山岚瘴气和虫毒之气；江淮地区常受海水寒冰的伤害；海岛有风涛之患，山溪中有妖魅作祟，贻害无穷。朱丹溪专门攻治外感病，主张理气清阳，适合南方气候；李东垣专门调理内伤病，主张导痰去湿，适合北方气候；孙思邈、王好古、许旌阳、葛洪（抱朴子）等人，有的以杀虫排毒为主，有的专于补血壮元，有的只注重调气清神，各有主要侧重，但所制方剂无不灵验。各家各有秘旨，后人若能辨证使用，自然有效验，必须博览各家的医术，概括选择，定能符合病情。如果得到一方就夸耀自己能治病，那一定没有全都灵验的道理。
就像五龙丸有斩关夺帅的奇功，千年药有起死回生的妙用，瘫烂败绝的患者非东华玉髓不能恢复原状，斑烂错杂的患者舍冯夷琼浆怎能扫除痕迹？如果用药适宜，就像弩机发射一样精准；如果违背规律妄加使用，就像用水浇石头一样无效。
黄龙丸，即水煮黄香丸，能治疗三十六种大风危重症。乌龙丸治疗风症引起的内热、痰火上攻，以及周身怪癞、干燥瘙痒作痛。白龙丸，又名捕龙丸，治疗上半身痛风极凶险者。花龙丸，又名浑元丹，治疗腰部以下腿膝剧烈疼痛者。赤龙丸，即一粒金丹，治疗痛风遍身抽掣、日夜呼叫者。千年药是祖师邋遢张真人留下的平分家产的方子，又叫灵宝千年大药，治疗三十六种大风、十四般大疠，无所不效。东华玉髓是大风子油膏，治疗烂风疮秽浊者。冯夷琼浆，又名推云酒，治疗五色疙瘩、云颜麻木者，如果对症使用无不奏效，如果乱投妄用则不见功效。
必须脉象与药物相配合，诊视相互参照，对症施治，才能随手获功。拘泥固执于成方，哪里还有灵验呢？
凡是有一种症候，自有一种脉色。辨证诊断不同，古代有形诊、声诊、色诊、脉诊的条目。想要观察形体来诊断吉凶，如头为清明之府，如果头倾视斜则神气将被剥夺；背为胸臆之府，如果胸曲肩垂则气将败坏；腰为肾之府，如果转摇不能则神气将竭尽；骨为髓之府，如果不能久立、行动震颤则骨将败坏；筋络为血之帅，如果挛曲不舒则血将枯竭。这是望形之诊。想要听声音来诊断吉凶，如说话先轻后重、高厉有力则是外感有余；如果说话先重后轻、沉困无力则是内伤不足。这是闻声之诊。想要观察面色来诊断吉凶，青色想要像苍璧那样润泽，不像蓝草那样枯暗，像翠羽那样鲜活者生，像草滋那样枯槁者死；黄色想要像罗裹雄黄那样明润，不像黄土那样晦暗，像蟹腹那样白里透黄者生，像枳实那样青黄晦暗者死；赤色想要像绵裹朱砂那样红润，不像赭石那样暗红，像鸡冠那样鲜红者生，像衄血那样紫暗者死；白色想要像鹅羽那样洁白，不像盐那样惨白，像豕膏那样润泽者生，像枯骨那样干枯者死；黑色想要像重漆那样黑亮，不像地苍那样灰暗，像鸟羽那样光泽者生，像煤炱那样漆黑无光者死。这是望色之诊。《脉经》说：疠风的脉象，阳脉浮弦（在关部以上），阴脉实大（在关部以下），两寸脉浮而紧或浮而洪，浮缓者易治，洪大而数或沉实者难治。脉若沉者，病反在上，浮者，病反在下，都不易治。这是切脉来诊断吉凶。所以说阴阳配偶，方脉参详，此理通彻则药对症，何必担忧治不好呢？如果执着于一个死方来治疗各种病症，不仅无益，反而害人。
至于导痰去湿的药物，如苍术、白术、南星、半夏、贝母、皂荚、茯苓、阿胶、浓朴、元明粉、栝蒌仁、胡黄连、青礞石、银柴胡之类。
湿邪导致膨胀痰结的，非浓朴不能消除；元明粉只能制成丸药服用，不宜入汤液。湿痰结成块的，阿胶专门主之为末服用，如果水煎服则臭而无功。皂荚打散痰液从大便排出很快，银柴胡是治疗肺热的神药，疠风声浊痰臭者必用，只入丸散，不入汤液。如果有骨蒸寒热症状，一见胡黄连即愈，也不入煎剂，煎则无功了。
利气清阳的药物，如沉香、檀香、麝脑、乳香没药、木香、缩砂、豆蔻、益智、远志、升麻、犀角、珍珠、丹砂、牛黄、柴胡之类。
气闭则阳气微弱，气结则血液隐匿，诸香皆能开导幽微隐僻之郁结。通达关窍气滞，不提引则起不来，必须用升麻、柴胡这类药。牛黄珠粉等香剂能消散气聚之块，只宜丸散，不入汤液，因为火炒水煎则味道更苦，令人呕吐哕逆，况且诸香不宜见火的说法是有道理的。
病以风命名，皆由风湿寒暑之感引起，如果不发散邪气，怎么能消溶？羌活之类皆不可缺，苦参最杀风疠之虫、疮癣皮肉之虫，服之五脏蛲虫立去，是必用的药。
补血生津液的药物，如当归、元参、红花、茜草根、紫草、血竭、鹿茸、夏枯草、桑螵蛸、原蚕蛾、生地黄之类。
元参去除五脏之游火、摄血归元，红花去除死血，生新血，为治风必用。戴元礼说：夏枯草为血虚所宜，桑螵蛸的补阳填精比于人参，有天壤之别。晚蚕蛾有再生精髓的快捷作用，血竭乃去除积瘀血作痛的卒徒，故多用之。
荡涤积滞的药物，如代赭石、皂荚、雷丸、蜂蜜、人牙、千金子、人中黄之类。
油腻脂胶之积淤肠胃，非皂荚不去。代赭石名血师，专排血积淤凝，善活血不使挛曲。雷丸去积杀虫，只可用于男子，妇人服之必胀闷腹痛、发昏，甚则颠呆，痰涎涌塞。所以男子用雷丸，妇人用皂荚。
劫杀蛲虫的药物，如锡灰、黄芽、雄黄、鹤虱、榧实、鹅翎灰之类。
黄芽是粪中蛆，在四月内未食茄子之前收的才好，用浓茶卤养淘炙香，才无油泛，专祛虫积。鹅翎灰最杀风疮中蚀虫，如果皮内疮疥虫，非此不除。
麻瘠瘫痪，如菖蒲、天麻、萆薢、防己、秦艽、蛇蜕、胡麻、香蛇、漏芦、石斛、苍耳草、白蒺藜之类。
血枯必痛，血凝必麻，须用补血逐血之剂，所以萆薢的补阳，菖蒲的升阳，草（此处疑指某种草药，原文可能有误或特指）乃风病元气亏乏之圣药，不止瘫痪者用之。
筋挛肢软，如苡仁、牛膝、杜仲、续断、狗脊、萎蕤、白生蛇、仙灵脾之类。
风注四肢，非萎蕤不能上下左右搜逐又能消烁诸般毒物。阳痿筋挛，非仙灵脾不能兴起，乃大补元阳之药，实救本之妙药也。
爱吃瓜果的人须倍加麝香，嗜好吃面食的人必求枳实，曾服汞粉，定用铅磁。如果进毒药，急行和解，人参、黄芪之性不及升麻、柴胡，这只是大概情况，博而约之。
治风的方法，先散寒邪，次攻虫毒，次调元气，次养阴血，待风散虫死，血足气清的时候，再拔疮秽，舒其筋而伸其挛，滋生毛发则病愈不发，补益之药终身服之不可止，是不刊之秘论。如果想要速效不分次序，则随得随失，变驳反掌，不仅无益，必反害之。如升麻能使浊气从右而上散，柴胡能合清气从左而上达，人参、黄芪惟能助气而反附阳邪以损阴血，风癞以养血清阳为要，所以人参、黄芪不及升麻、柴胡的提散调达，开导肌表。麝香能消诸瓜果之毒发渴者，乃瓜果之积，用之即消。枳实即金钩树子，能祛酒毒，好酒之人宜服之。黑铅、磁石、花椒专收轻粉、水银之毒，恐庸医暗投，故宜服之以免发毒。这是用药的大略。
近世专用大风子为良方，不知此药性猛大热，有燥痰劫血之迅力，制炼不精则病未愈而先失明矣。
大风子即海松子，又名丢子，因其专能治风而名也，生于东海日出燥炎之地，故性大热，能直入肌骨杀虫祛湿，夷人称为丢子，当果食之以治百病，盖海岛之俗食生物者腹多蛲虫之毒，服此以荡涤之，如闽广人食槟榔以御风瘴也，其肉上白膜最能损目，其油最能败血，如生食之伤人脏腑，其性怕酱，见酱物即消之无用，故服此者必忌酱。若得麻腐与之同服则功愈胜，须专门用之，制度有法则功胜于诸药，若无传授而道听妄用，不仅无功反生他害。朱丹溪说：大风子有燥热之毒，能败血动痰，损人之目，信不诬矣。且据富翁陈善长患风年久，求予先君治之，先君思善长耽于酒色，日不间断必难治，固辞不药。善长密贿予家老奴，盗传制大风子之法，善长根据法制度三年，共食大风子肉七十余斤，其病脱去，绝无他患。一日持礼币至予家，谓先君曰，昔年求治力辞何也？先君甚赧颜，浓谢老奴而去，始知盗方之弊，想风病损目难归咎于大风子，盖世之不食大风子而瞽者甚多，后人不可泥于纸上之语。
风癞之药，煎剂奇方最能速效，逐散风邪，通畅脉络，无留毒之患。只怕荡败脾胃，故不宜久服。一见病势稍缓即进丸散以厚脾胃，其萆薢、苦参、苍耳、八宝、归术、丁公藤等膏捷于却病补养，但恐传授无修炼之法，其药酒虽人喜服切不可施于初病之时，且风疾初起，病尚点滴块瘰，未曾散漫若即用药酒追排气血，领毒遍透脉络，则遍身皆病难治矣。须待病愈之后，防其再发，宜药酒使药力钻透肢体，把截毫窍，基固神坚，邪毒不能再犯也。其脑麝、牛黄、金石、香料不入汤液，又忌见火，惟和丸散，服之功力合宜而顺。故治风者先须汤液，次用丸膏，愈后方进药酒，为治法之序。
世间有狂妄之徒盗习火劫蒸烧之术，愚人争赴残害，深可痛也。夫风病根于脏腑，既发于外，其势已减，何又煨逼使毒瓦斯复入，假火为祸暂虽少爽，祸不旋踵。
风癞之病秽积毒先伤脏腑，延注筋骨，譬如寇入驱出，即祸减，追上为上何故又加蒸熨劫之，复令毒瓦斯回伏肤腠、潜入肌脉，假火郁之势，流蠹既开之孔窍，仍伤脏腑耶？且人身毫发孔窍，一见火气，百孔皆开，何气不入，旧邪未息，新邪又入，初则毒瓦斯御，火暂离肌表必然皮毛颜色顿改，骨节酸折，疑是愈而爽快，愚人喜以为美，非吉兆也，乃新旧邪毒入钻之，故为加病之渐耳。夫病患血气已弱，再犯火毒，则气愈败、血更衰、津枯骨燥，若至二七日外火熨，湿热之气在内寻注经络，充蠹脏腑，必使皮肉坚硬而酸痛，瘦弱无力，精乏目暗，肢软足蹩步涩，再不避风寒、戒酒色，必至腐烂失明矣。宜速解救，以免大害。且风虫因内热而生，复得火湿，愈加滋蔓，仍伤髓液，至一百二十日后，其火郁湿热之气流遍周身，病势反凶于旧，急宜用解药扫拔祸根，多有气血衰弱者随蒸而毙，人犹不畏何哉？若未曾服药，便用蒸熨，则驱毒瓦斯深入骨髓，淆荡血液，若已服药既攻毒瓦斯欲散，乌再复邀郁聚？初治行之使毒瓦斯胜于正气祸又旋踵，后治行之使毒瓦斯入于新元，祸仍僭乱，急则急危，缓则缓害，戒之！戒之！所以朱丹溪说：必先杀其虫，泻其火，然后生。盖凉血祛风、通滞、降阳升阴，虽治法颇多，大都不外乎此。夫朱丹溪说尚如此，后人何可用蒸烧之劫而害理殃人乎？
凡风疠所起之处每难全愈，欲其全愈必追毒并归于此，然后以药点之使烂而可迹熄根灭也。若病未愈不可周身涂点，其点药之性热过于火毒过于亢，若点遍身则热毒围攻，焉能当之？又每有妄徒以针刺破皮肉，用醋墨涂之使烂，妄言拦阻病势，不知病根铸于肠胃，年深发见于肌表，先从髓液透出，岂可于皮外刺烂而能阻之乎？空受痛苦而结痂痕疙瘩使形丑貌陋，其病反加，未见毫厘效验。其或湿痒酸麻、肿块皮肉胀大、血死渍实者，可以锋镰败泄。如紫云、白癜、血癣等症，可以小艾炷团围灸之，使艾火引毒渐泄，虽疼痛一时亦能提散毒瓦斯。若干风痹燥之症，气血尚且不足，乌可又行锋刺，愈加耗竭。肌肤之间全凭血液转使，筋枯力乏，手足不能运用，其皮肤麻痹者，乃血液亏损之故。内频服药，外频熏洗，内外应施，引其经络之间新血充足气脉，渐渐荣活而愈矣。切不可骤用点刺、锋镰，炎威惨酷，剥害肤体。况风癞非一时可愈者，总不如令其服药，缓缓奏功为上。且风癞之人气血必衰，治风癞之药无非克伐，迅剂治之将半即宜用补剂扶其根本，不可伐尽气血，致津液干枯，形神憔悴而损遐龄，用药尚然，岂可妄下针镰霸道之毒手以速其死乎？
The thirty-six types of wind syndromes manifest merely as pain, itching, numbness, ulceration, swelling, and exhaustion. The one hundred and eight prescriptions are all agents for detoxification, insecticidal action, blood nourishment, Yuan Qi (primordial Qi) strengthening, and Qi regulation. Various experts' secret theories each excel in their own schools. Since ancient times, sages have formulated prescriptions and discussed pathologies based on specific principles. Leprosy (Lifeng) has various origins.
Northern people are generally courageous and live in high, dry regions; southern people are gentle and live in low, damp regions. Fujian and Guangdong often suffer from mountain miasma and insect poison. The Jianghuai region is frequently injured by sea water and cold ice. Islands face wind and waves, and mountain streams harbor malevolent spirits causing endless harm. Zhu Danxi specialized in treating external contractions, regulating Qi and clearing Yang, which suits the South. Li Dongyan focused on internal injuries, guiding phlegm and removing dampness, which suits the North. Sun Simiao, Wang Haogu, Xu Jingyang, Ge Hong (Baopuzi), etc., some focused on killing insects and detoxifying, others on nourishing blood and strengthening Yuan Qi, others solely on regulating Qi and clearing the spirit. Each had a main emphasis, yet their prescriptions were all effective. Each school has its secret tenets. If later generations can differentiate symptoms and use them appropriately, they will naturally be effective. One must extensively study various methods, summarize and select them to match the condition. If one obtains a single prescription and boasts of curing diseases, it is impossible that it would work in every case.
Just as Wulong Wan (Five Dragon Pill) has the merit of breaking through passes and capturing generals, and Qiannian Yao (Thousand-Year Medicine) has the wonder of reviving the dead, patients with paralysis, ulceration, and collapse cannot recover without Donghua Yusui (Eastern Jade Marrow). Those with mottled, disordered lesions cannot clear traces without Fengyi Qiangjiang (Fengyi Nectar). If the medication matches the condition, it is like an arrow flying from a crossbow; if used recklessly against the laws, it is like pouring water on stone—ineffective.
Huanglong Wan (Yellow Dragon Pill), also known as Shuizhu Huangxiang Wan (Water-Boiled Yellow Resin Pill), treats critical conditions of the thirty-six major winds. Wulong Wan (Black Dragon Pill) treats internal heat, phlegm-fire attacking upward due to wind syndromes, and whole-body strange leprosy, dryness, itching, and pain. Bailong Wan (White Dragon Pill), also called Bulong Wan (Dragon-Catching Pill), treats extremely fierce gout/wind-pain in the upper body. Hualong Wan (Flower Dragon Pill), also called Hunyuan Dan (Primal Origin Elixir), treats severe pain in the legs and knees below the waist. Chilong Wan (Red Dragon Pill), also known as Yili Jindan (One-Pill Golden Elixir), treats whole-body wind-pain with spasms and day-and-night crying. Qiannian Yao (Thousand-Year Medicine) is a formula left by the Patriarch Lazao Zhang Zhenren, also called Lingbao Qiannian Dayao (Spirit Treasure Thousand-Year Great Medicine), treating the thirty-six major winds and fourteen types of great leprosy with universal efficacy. Donghua Yusui (Eastern Jade Marrow) is a Bignonia seed ointment, treating foul-smelling ulcerative leprosy sores. Fengyi Qiangjiang (Fengyi Nectar), also called Tuiyun Jiu (Pushing Cloud Wine), treats five-colored nodules and cloud-like facial numbness. If used correctly, it is effective; if misused, it fails.
Pulse and medicine must correspond; diagnosis and observation must refer to each other. Treating according to symptoms brings immediate success. Clinging rigidly to formulas renders them useless.
For every set of symptoms, there is a corresponding pulse and complexion. Differentiation varies. Ancient texts include categories for Form Diagnosis, Sound Diagnosis, Color Diagnosis, and Pulse Diagnosis. To observe form for prognosis: The head is the mansion of clarity; if it tilts or vision is slanted, the Spirit is being lost. The back is the mansion of the chest; if the chest is curved and shoulders droop, Qi is failing. The waist is the mansion of the Kidneys; if rotation is impossible, the Spirit is exhausted. Bones are the mansion of Marrow; if one cannot stand long or walks trembling, bones are failing. Sinews and collaterals are the commanders of Blood; if they spasm and do not relax, Blood is drying up. This is Form Diagnosis.
To listen to sound: If speech starts light and becomes heavy, loud and forceful, it indicates excess External Contraction. If speech starts heavy and becomes light, deep and weak, it indicates deficiency Internal Injury. This is Sound Diagnosis.
To observe color: Green should resemble the luster of dark jade, not blue grass; vibrant like kingfisher feathers indicates life, dull like wet grass indicates death. Yellow should resemble silk-wrapped realgar, not yellow earth; bright like a crab's belly indicates life, dull like sophora fruit indicates death. Red should resemble cinnabar wrapped in cotton, not hematite; bright like a chicken comb indicates life, dark like epistaxis blood indicates death. White should resemble goose feathers, not salt; moist like pig fat indicates life, dry like dead bones indicates death. Black should resemble double-lacquered wood, not dirty earth; glossy like bird feathers indicates life, sooty like lampblack indicates death. This is Complexion Diagnosis.
The *Mai Jing* (Pulse Classic) states: Leprosy pulses are Floating and Wiry (above the Guan position) for Yang, and Full and Large (below the Guan position) for Yin. Both Cun positions may be Floating and Tight or Floating and Surging. Floating and Moderate pulses are easy to treat; Surging, Large, Rapid, or Deep and Full pulses are difficult. If the pulse is Deep, the disease is actually above; if Floating, the disease is actually below; both are difficult to treat. This is Pulse Diagnosis. Thus, matching Yin and Yang, correlating formulas and pulses, if this principle is thoroughly understood, the medicine matches the symptoms, and why worry about non-cure? Clinging to a single rigid formula to treat all syndromes is not only useless but harmful.
Regarding Phlegm-Guiding and Dampness-Removing herbs: Atractylodes Rhizome (Cangzhu), Prepared Atractylodes Rhizome (Baizhu), Pinellia Tuber (Banxia), Fritillaria Bulb (Beimu), Soap Fruit (Zaojia), Poria Sclerotium (Fuling), Donkey-hide Gelatin (Ejiao), Magnolia Bark (Houpo), Mirabilite (Yuanmingfen), Trichosanthes Seed (Gualouren), Picrorhiza Root (Huhuanglian), Lapis Glaucophanum (Qingmengshi), Bupleurum Root (Chaihu), etc.
For dampness causing distension and phlegm knots, Magnolia Bark (Houpo) is essential. Mirabilite (Yuanmingfen) should only be taken as pills, not decoctions. For damp-phlegm forming masses, Donkey-hide Gelatin (Ejiao) should be taken as powder; decocting it makes it foul and ineffective. Soap Fruit (Zaojia) expels phlegm rapidly via the bowels. Bupleurum Root (Chaihu) is a divine herb for lung heat; essential for foul-smelling leprosy phlegm, used only in pills/powders, not decoctions. For bone-steaming fever, Picrorhiza Root (Huhuanglian) works immediately but should not be decocted.
Regarding Qi-Regulating and Yang-Clearing herbs: Agarwood (Chenxiang), Sandalwood (Tanzhi), Camphor (Shenaio), Frankincense and Myrrh (Rumo), Costus Root (Muxiang), Amomum Fruit (Suosha), Cardamom (Doukou), Alpinia Oxyphylla Fruit (Yizhi), Polygala Root (Yuanzhi), Cimicifuga Rhizome (Shengma), Rhinoceros Horn (Xijiao - *Note: Use substitutes in practice*), Cinnabar (Dansha), Calculus Bovis (Niuhuang), Bupleurum Root (Chaihu), etc.
Qi blockage leads to weak Yang; Qi knotting hides Blood. All aromatic herbs can open subtle depressions. To unblock orifices and move Qi stagnation, Cimicifuga Rhizome (Shengma) and Bupleurum Root (Chaihu) are necessary. Calculus Bovis (Niuhuang) and Pearl Powder (Zhufen) dissipate Qi accumulations but are only for pills/powders; decoction makes them bitter and causes vomiting. Aromatics should avoid fire.
Wind-Dispersing and Pathogen-Expelling herbs: Notopterygium Rhizome (Qianghuo), Ephedra Stem (Mahuang), Schizonepeta Spike (Jingjie), Duckweed (Ziping), Sophora Root (Kushen), Bacopa Herb (Fengteng), etc.
Wind diseases arise from Wind-Damp-Cold-Heat sensations. Without dispersing pathogens, how can they dissolve? Notopterygium Rhizome (Qianghuo) is indispensable. Sophora Root (Kushen) kills wind-leprosy insects and skin parasites instantly; it eliminates intestinal pinworms and is essential.
Blood-Nourishing and Fluid-Generating herbs: Angelica Sinensis Root (Danggui), Scrophularia Root (Yuanshen), Safflower Flower (Honghua), Rubia Root (Qiancaogen), Arnebia Root (Zicao), Dragon's Blood (Xuèjiē), Deer Antler (Lurong), Prunella Spike (Xiakucao), Mantis Egg Case (Sangpiaoxiao), Silkworm (Yuancang'e), Rehmannia Root (Shengdihuang), etc.
Scrophularia Root (Yuanshen) clears wandering fire and guides Blood back to origin. Safflower (Honghua) removes dead blood and generates new blood, essential for wind treatment. Dai Yanli stated: Prunella Spike (Xiakucao) suits Blood deficiency. Mantis Egg Case (Sangpiaoxiao) tonifies Yang and fills Essence, comparable to Ginseng. Late silkworm moth has rapid effects on regenerating marrow essence. Dragon's Blood (Xuèjiē) removes stagnant blood causing pain.
Stagnation-Scouring herbs: Hematite (Daizhe), Soap Fruit (Zaojia), Omphalia Mushroom (Leiwu), Honey, Human Tooth (Renya), Croton Seed (Qianjinzi), Human Urine Sediment (Renzhonghuang), etc.
Greasy lipid accumulation in intestines requires Soap Fruit (Zaojia). Hematite (Daizhe), named "Blood Master," expels blood stasis and prevents spasms. Omphalia Mushroom (Leiwu) removes accumulation and kills insects; suitable only for men. Women taking it suffer bloating, abdominal pain, fainting, or dementia due to phlegm-fluid obstruction. Hence, men use Leiwu, women use Zaojia.
Insect-Killing herbs: Tin Ash (Xihui), Yellow Sprout (Huanga - maggots), Realgar (Xionghuang), Nematode Herb (Heshi), Torrey Fruit (Feishi), Goose Feather Ash (Elingshui), etc.
Huanga (maggots collected before eating eggplants in April) washed in strong tea and roasted removes insect accumulation. Goose Feather Ash kills eroding wind-sores insects.
Paralysis and Atrophy herbs: Acorus Rhizome (Changpu), Gastrodia Tuber (Tianma), Dioscorea Hypoglauca Rhizome (Bixie), Podophyllum Rhizome (Fangji), Gentian Root (Qinjiao), Snake Shedding (Shetui), Sesame Seed (Huma), Mugwort Leaf (Loulu), Dendrobium Stem (Shihu), Xanthium Fruit (Cangercao), Tribulus Fruit (Bjili), etc.
Blood deficiency causes pain; Blood coagulation causes numbness. Blood-nourishing and Blood-moving agents are needed. Dioscorea Hypoglauca Rhizome (Bixie) tonifies Yang; Acorus Rhizome (Changpu) raises Yang. These are holy medicines for Wind diseases with deficient Yuan Qi, not just for paralysis.
Sinew Spasm and Limb Weakness herbs: Coix Seed (Yiren), Achyranthes Root (Niuxi), Eucommia Bark (Duzhong), Dipsacus Root (Xuduan), Cibotium Rhizome (Gouji), Polygonatum Rhizome (Weirui), White Snake (Baishengshe), Epimedium Leaf (Xianlingpi), etc.
Wind invading limbs requires Polygonatum Rhizome (Weirui) to search and eliminate toxins throughout the body. Impotence and sinew spasm require Epimedium Leaf (Xianlingpi) to arouse Yang; it is a great tonic for primordial Yang and a miraculous root-saving herb.
Those who love fruits need extra Camphor (Shexiang); those addicted to noodles need Immature Bitter Orange (Zhishi). Those who took mercury powder must use Lead and Magnetite (Qianshi). If toxic drugs are ingested, urgent reconciliation is needed. Ginseng and Astragalus lack the lifting power of Cimicifuga and Bupleurum. This is a general overview.
Treatment order for Wind: First disperse Cold pathogens, then attack insect poisons, then regulate Yuan Qi, then nourish Yin Blood. Only when wind is dispersed, insects dead, and Blood/Qi clear should one extract sore filth, relax sinews, and promote hair growth. Tonics should be taken lifelong. Rushing without order leads to loss and harm. Cimicifuga Rhizome (Shengma) scatters turbid Qi upward to the right; Bupleurum Root (Chaihu) guides clear Qi upward to the left. Ginseng and Astragalus assist Qi but may attach to Yang pathogens and damage Yin Blood. Wind-leprosy prioritizes nourishing Blood and clearing Yang; thus, Ginseng/Astragalus are inferior to Shengma/Chaihu for opening the exterior. Camphor (Shexiang) dissipates fruit accumulation causing thirst. Zhishi (Immature Bitter Orange) dispels alcohol toxicity. Black Lead, Magnetite, and Sichuan Pepper absorb Calomel and Mercury toxicity. This is the general principle.
Modern practitioners use Bignonia Seed (Dafengzi) blindly. It is hot and toxic, drying phlegm and劫ting Blood. Impure processing causes blindness before cure. Bignonia Seed grows in hot eastern islands. Barbarians eat it to treat diseases and purge intestinal worms. Its white membrane damages eyes; its oil destroys Blood. Raw consumption harms organs. It is neutralized by soy sauce; users must avoid soy sauce. Combined with sesame paste, efficacy increases. It requires specialized processing. Zhu Danxi warned it damages eyes and moves phlegm/Blood.
Case: Wealthy man Chen Shanchang suffered wind for years. My father refused treatment due to his excessive wine and sex habits. Chen bribed my old servant to steal the processing method. He processed it for three years, consuming over 70 jin of flesh, cured without side effects. He thanked my father, revealing the servant's theft. Eye damage from wind disease cannot be blamed solely on Bignonia Seed, as many blind people never ate it. Do not cling to written words.
Initial treatment uses Decoctions for circulation, then Pastes/Wines for integration, Pills/Powders for maintenance. This is the orthodox way.
Decoctions act fast to scatter wind and unblock collaterals but harm Spleen/Stomach if used long. Once symptoms ease, switch to Pills/Powders to strengthen Spleen/Stomach. Pastes of Bixie, Kushen, Cangercao, Babao, Danggui, Baizhu, Dingongteng are effective but require proper processing. Medicinal wines are pleasant but dangerous in early stages. Early wind presents as small nodules; using wine too early drives toxins into collaterals, making the whole body diseased. After cure, wine helps penetrate tissues to prevent recurrence. Brain aromatics, Calculus Bovis, minerals, and spices are not for decoctions (avoid fire). They suit pills/powders. Order: Decoction -> Pill/Paste -> Wine after cure.
Fanatics use fire-steam therapy, harming fools. Wind disease roots in Zang-Fu; once manifested externally, severity decreases. Why use fire to drive toxins back in? Fire temporarily relieves but causes disaster soon. Wind-leprosy toxins first injure Zang-Fu, then tendons/bones. Like driving out bandits, why add steam to push toxins back into skin/muscles? Fire opens pores, allowing new pathogens in. Skin color changes, joints ache; fools think it's healing, but it's worsening. Weak patients suffer further Qi/Blood depletion, dry marrow, hard skin, weakness, dim eyes, stiff limbs. Avoid wind/cold/alcohol/sex, or face rotting/blindness. Insects thrive in heat/dampness, damaging marrow. After 120 days, heat-damp spreads, worsening condition. Urgent detoxification is needed. Many die during steaming. Steaming without prior medicine drives toxins to marrow. Steaming after medicine traps toxins. Initial treatment failure leads to quick disaster; late treatment leads to chronic harm. Beware! Zhu Danxi said: Kill insects, drain fire, then regenerate. Cooling Blood, dispersing wind, unblocking stagnation, descending Yang, ascending Yin are key. Who would use destructive fire therapy?
Pointing and cutting are painful. Acupuncture, fumigation, washing, and slow drainage are better.
Ulcers at wind-leprosy sites rarely heal completely. To heal, draw toxins to one spot, apply caustic medicine to ulcerate and remove roots. Do not apply to whole body if uncured; heat toxicity will overwhelm. Some foolishly pierce skin with needles and vinegar-ink, claiming to stop disease. But roots are in intestines, emerging via marrow. Piercing skin is useless, causing pain, scars, ugliness, and worsened disease. For wet itching, numbness, swelling, and fixed blood stasis, cutting/draining is okay. For purple clouds, vitiligo, blood ringworm, moxa circles can guide toxins out. For dry wind-bi, Qi/Blood are insufficient; piercing depletes them further. Skin relies on Blood. Paralysis is due to Blood deficiency. Internal medicine + external fumigation washes replenish Qi/Blood gradually. Do not suddenly use cutting/pointing. Wind-leprosy takes time. Slow medication is best. Patients have weak Qi/Blood; treatments are draining. Halfway through aggressive treatment, use tonics to support roots. Do not exhaust Qi/Blood, causing emaciation and shortened life. Using harsh needle/cutting methods speeds death.