脾主肌肉。肺主皮毛。胃与大肠二经。为脾肺之腑。内受湿热。气浊血虚。外感酷烈暴
气。初起白屑云头。紫黑疙瘩。麻木不仁。久至四肢拳挛。肌肉腐败。热毒盛。故面上起油
光风热生虫。传历脏腑。虫食肝眉落。食脾鼻崩。食肺声哑。食心足底穿。(一云脚底先痛
或穿者毒在肾)食肾耳鸣啾啾。或耳弦生疮。或遍身如针刺。皮痒如虫行。又看其疙瘩与疮
。上体先见或多者。气受病。下体先见或多者。血受病。上下皆然气血两病。古人谓大风疾
。三因五死。三因者一曰风毒二曰湿毒。三曰传染。五死者。一曰皮死麻木不仁。二曰脉死
血溃成脓三曰肉死。割切不痛。四曰筋死。手足纵缓。五曰骨死。鼻梁崩坏。与夫眉落眼昏
唇翻声哑。甚可畏也。所以然者由邪正交攻。气血沸腾。而湿痰死血充满于经络之中。故生
虫生疮。痛痒麻木也。宜清湿热。祛风邪。以苦参汤地黄酒并主之。
苦参汤
苦参(一钱半) 生地(二钱) 黄柏(五分) 当归秦艽赤芍丹参牛蒡子白蒺藜丹皮银花川
贝母(各一钱)甘菊花(三钱)水煎服。
地黄酒
生地(二两)黄柏苦参丹参萆 菊花金银花丹皮赤芍当归杞子蔓荆子赤茯苓(各一两)秦艽
独活灵仙(各五钱)桑枝(一两五钱)乌梢蛇(去头尾一条)上煮好酒退火七日用。
凡治厉风之法以清荣卫为主其汗宜频发血宜频刺皆清营卫之捷法也其乌梢蛇能搜骨随之
毒不可早食早食则引毒入髓反致不救。
仙传治疠风丹
胡麻仁 牛蒡子 蔓荆子 枸杞子 苦参(各五钱) 栝蒌根 白蒺黎 皂角刺(各三钱)
以上皆炒研为末每药末一两五钱拌轻粉(二钱)黄精末(一两)每日午时及临卧时各服一钱用防风(
五钱)前汤下至五六日后牙缝出臭涎身疼如醉候出臭粪为度不可过剂。
紫白癜风 由血虚不能充润经络毒邪 伤气分也 桑枝(十斤)茺蔚草穗(三斤)煎膏温酒服。
外用雄黄硫黄黄丹南星枯矾密陀僧等分研末姜醮擦之擦后渐黑再擦则愈或用白茄子切破一头醮之擦之。
解邪狗毒方
邪狗之形。尾反垂。舌伸色黑。若其触人。即不咬破亦有毒矣。急用斑猫(七个去头。
翅足。酒洗。以糯米一撮水淘趁潮。同斑猫于铜杓内炒。以米黄为度去米研碎酒下) (又方)辰
各研细末加原麝香(一分酒调下)一煎滑石(三钱)并甘草木通灯心汤送下。老少虚弱者。
分作
腥油腻。及鸡鸭蛋。百日内要忌房事。如不忌。男女俱伤。自后小红赤豆。茄子狗肉。终身
脾主司肌肉。肺主司皮毛。胃经与大肠经,是脾脏和肺脏的腑。体内受湿热之邪侵袭,导致气机浑浊、血液亏虚;体外感受酷烈暴戾之气。疾病初起时,皮肤出现如云头状的白色鳞屑,以及紫黑色的疙瘩,患处麻木不知痛痒。病程迁延日久,导致四肢蜷曲挛缩,肌肉腐败坏死。由于热毒炽盛,面部泛起油光,风热滋生虫邪。病邪传遍脏腑:虫蚀肝脏则眉毛脱落;侵蚀脾脏则鼻梁塌陷;侵蚀肺脏则声音嘶哑;侵蚀心脏则足底穿孔。(另一种说法认为脚底先痛或穿孔者,毒邪在肾脏);侵蚀肾脏则耳鸣嗡嗡作响,或耳廓生疮,或全身如针刺般疼痛,皮肤瘙痒如同虫行。再观察其疙瘩与疮疡,若上半身先出现或较多者,为气分受病;下半身先出现或较多者,为血分受病;上下皆然者,为气血两分同病。古人称之为大风疾(麻风病),有“三因五死”之说。“三因”指:一曰风毒,二曰湿毒,三曰传染。“五死”指:一曰皮死,表现为麻木不知痛痒;二曰脉死,血脉溃烂成脓;三曰肉死,切割肌肉不觉疼痛;四曰筋死,手足松弛无力;五曰骨死,鼻梁崩坏,以及眉毛脱落、眼睛昏花、嘴唇外翻、声音嘶哑等,情况非常可怕。之所以如此,是因为邪正交争,气血沸腾,而湿痰和败血充满于经络之中,故而生虫生疮,产生痛、痒、麻木等症状。治疗宜清利湿热,祛除风邪,苦参汤和地黄酒均可主治。
苦参汤
苦参(一钱半)、生地(二钱)、黄柏(五分)、当归、秦艽、赤芍、丹参、牛蒡子、白蒺藜、丹皮、银花、川贝母(各一钱)、甘菊花(三钱)。水煎服。
地黄酒
生地(二两)、黄柏、苦参、丹参、萆薢、菊花、金银花、丹皮、赤芍、当归、枸杞子、蔓荆子、赤茯苓(各一两)、秦艽、独活、威灵仙(各五钱)、桑枝(一两五钱)、乌梢蛇(去头尾一条)。以上药材煮好酒,退去火气后使用七日。
凡是治疗厉风(麻风病)的方法,以清养营卫为主。发汗宜频繁进行,刺血宜频繁操作,这都是清除营卫邪气的快捷方法。乌梢蛇能搜剔骨随中的毒邪,不可过早服用,过早服用则会引毒入髓,反而导致无法救治。
仙传治疠风丹
胡麻仁、牛蒡子、蔓荆子、枸杞子、苦参(各五钱)、栝蒌根、白蒺藜、皂角刺(各三钱)。以上药材均炒熟研为细末。每药末一两五钱,拌入轻粉(二钱)、黄精末(一两)。每日午时及临睡前各服一钱,用防风(五钱)煎汤送下。服药五六日后,牙缝流出臭涎,身体疼痛如醉酒状,直到排出臭粪为止,不可过量服用。
紫白癜风
由血虚不能充润经络,毒邪损伤气分所致。桑枝(十斤)、茺蔚草穗(三斤),煎膏,温酒服用。
外用雄黄、硫黄、黄丹、南星、枯矾、密陀僧等分研末,用姜汁蘸取擦拭,擦后逐渐变黑,再擦则痊愈。或用白茄子切破一头蘸取擦拭。
解邪狗毒方
疯狗的形态特征是尾巴反向下垂,舌头伸出且颜色发黑。如果被它触碰人体,即使没有咬破皮肤也有毒性。急用斑蝥(七个,去头、翅、足,用酒清洗,取糯米一撮用水淘洗趁湿润时,与斑蝥一同在铜勺内炒至米呈黄色,去掉米,研碎,酒送下)。(又一方)辰砂各研细末,加入原麝香(一分),酒调下。或煎滑石(三钱),并配合甘草、木通、灯心草汤送下。老少体弱者,分次服用。忌食腥腻油腻食物,以及鸡鸭蛋。百日内要禁止房事,如果不禁忌,男女都会受伤。此后终身忌食小红豆、茄子、狗肉。
The Spleen governs the muscles. The Lung governs the skin and hair. The Stomach Meridian and Large Intestine Meridian are the Fu organs of the Spleen and Lung. Internally, they are affected by Damp-Heat (Dampness and Heat pathogenic factors), leading to turbid Qi (vital energy) and deficient Blood. Externally, they are attacked by fierce and violent atmospheric pathogens. In the initial stage, white scales appear like cloud patterns on the skin, along with purple-black nodules; the area is numb and insensible. If prolonged, it leads to curling and contracture of the four limbs, and corruption and necrosis of the muscles. Due to excessive Heat-Toxin, an oily sheen appears on the face, and wind-heat generates "worms" (parasitic/pathogenic entities). The disease spreads through the Zang-Fu organs: if the worms erode the Liver, eyebrows fall out; if they erode the Spleen, the nose collapses; if they erode the Lung, hoarseness occurs; if they erode the Heart, perforation of the soles of the feet occurs. (Another theory states that if pain or perforation starts in the soles, the toxin is in the Kidney); if they erode the Kidney, there is buzzing tinnitus, or sores grow on the ears, or the whole body feels like being pricked by needles, and the skin itches as if insects are crawling. Observe the nodules and sores: if they first appear or are more numerous on the upper body, the Qi is diseased; if they first appear or are more numerous on the lower body, the Blood is diseased; if both upper and lower bodies are affected, both Qi and Blood are diseased. Ancient texts refer to this as Da Feng Ji (Leprosy/Malignant Wind Disease), noting "Three Causes and Five Deaths." The "Three Causes" are: 1. Wind-Toxin, 2. Damp-Toxin, 3. Contagion. The "Five Deaths" are: 1. Skin Death, characterized by numbness and insensibility; 2. Vessel Death, where blood vessels ulcerate and form pus; 3. Flesh Death, where cutting the flesh causes no pain; 4. Tendon Death, where hands and feet become flaccid and weak; 5. Bone Death, where the nasal bridge collapses, accompanied by loss of eyebrows, dim vision, everted lips, and hoarseness, which is extremely frightening. This happens because Evil and Righteous Qi contend, causing Qi and Blood to boil, while Damp-Phlegm and dead Blood fill the meridians, thus generating worms and sores, resulting in pain, itching, and numbness. Treatment should focus on clearing Damp-Heat and dispelling Wind-Evil. Kushen Tang (Sophora Root Decoction) and Dihuang Jiu (Rehmannia Wine) are both indicated.
Kushen Tang (Sophora Root Decoction)
Kushen (Radix Sophorae Flavescentis, 1.5 qian), Shengdi (Radix Rehmanniae Preparata, 2 qian), Huangbai (Cortex Phellodendri, 0.5 qian), Danggui (Radix Angelicae Sinensis), Qinjiao (Radix Gentianae Macrophyllae), Chishao (Radix Paeoniae Rubra), Danshen (Radix Salviae Miltiorrhizae), Niubangzi (Fructus Arctii), Baijili (Semen Tribuli), Danpi (Cortex Moutan), Yinhua (Flos Lonicerae), Chuanbeimu (Bulbus Fritillariae Cirrhosae) (each 1 qian), Ganjuhua (Flos Chrysanthemi Indici, 3 qian). Decoct in water and take orally.
Dihuang Jiu (Rehmannia Wine)
Shengdi (Radix Rehmanniae Preparata, 2 liang), Huangbai (Cortex Phellodendri), Kushen (Radix Sophorae Flavescentis), Danshen (Radix Salviae Miltiorrhizae), Bixie (Rhizoma Dioscoreae Hypoglaucae), Juhua (Flos Chrysanthemi Indici), Jinyinhua (Flos Lonicerae Japonicae), Danpi (Cortex Moutan), Chishao (Radix Paeoniae Rubra), Danggui (Radix Angelicae Sinensis), Gouqi (Fructus Lycii), Manjingzi (Fructus Viticis Trifoliae), Chi Fuling (Poria Cocos cum Ligno Rubro, each 1 liang), Qinjiao (Radix Gentianae Macrophyllae), Duhuo (Radix Angelicae Pubescentis), Lingxian (Herba Siegesbeckiae Orientalis) (each 5 qian), Sangzhi (Ramulus Mori, 1.5 liang), Wushaoshe (Zaocys, one piece, head and tail removed). Boil these ingredients in wine, remove the fire/heat property, and use for seven days.
In treating Leprosy, the primary method is to clear and nourish Ying (Nutritive) and Wei (Defensive) levels. Frequent sweating and frequent bloodletting are swift methods to clear Ying and Wei. Wushaoshe (Zaocys) can search out toxins from the bone marrow; it should not be taken early, as doing so may draw the toxin into the marrow, leading to untreatable conditions.
Xianzhuan Zhilifeng Dan (Immortal Transmission Pill for Treating Leprosy)
Humaoren (Semen Sesami Nigrum), Niubangzi (Fructus Arctii), Manjingzi (Fructus Viticis Trifoliae), Gouqi (Fructus Lycii), Kushen (Radix Sophorae Flavescentis) (each 5 qian), Gualougen (Radix Trichosanthis), Baijili (Semen Tribuli), Zaojiaoci (Spina Gleditsiae Sinensis) (each 3 qian). All ingredients are stir-fried and ground into powder. For every 1.5 liang of herb powder, mix with Qingfen (Calomel, 2 qian) and Huangjing Rhizoma Polygonati Odorati powder (1 liang). Take 1 qian at noon and before sleep, washed down with a decoction of Fangfeng (Radix Saposhnikoviae, 5 qian). After five to six days, foul saliva will exude from the teeth gaps, and the body will ache as if drunk, until foul feces are discharged. Do not overdose.
Zi Bai Feng Pian (Purple and White Wind Spots)
Caused by Blood deficiency failing to moisten the meridians and Toxin-Evil damaging the Qi level. Sangzhi (Ramulus Mori, 10 jin), Chongweicao Sui (Achyranthes Bidentata Inflorescence, 3 jin). Decoct into a paste, take with warm wine.
Externally, grind Xionghuang (Realgar), Liuhuang (Sulfur), Huangdan (Minium), Nanxing (Rhizoma Arisaematis), Kufan (Alumen Exsiccatum), Mituoseng (Lead Monoxide) in equal parts into powder. Dip ginger juice into the powder and rub onto the skin. After rubbing, it will gradually turn black; continue rubbing until healed. Alternatively, cut open a white eggplant and rub it on the affected area.
Jie Xiegou Du Fang (Formula to Resolve Poison from Mad Dogs)
Mad dogs have tails hanging backwards and tongues protruding with a black color. If they touch a person, even without biting and breaking the skin, there is poison. Urgently use Banmao (Mylabris, seven pieces, remove head, wings, and legs, wash with wine, take a pinch of glutinous rice, rinse with water while damp, stir-fry together with Banmao in a copper spoon until the rice turns yellow, remove rice, grind fine, take with wine). (Another formula): Chen Sha (Cinnabar) ground fine, add Yuan Shexiang (Moschus, 1 fen), take with wine. Or decoct Huashi (Talcum, 3 qian), and take with a decoction of Gancao (Radix Glycyrrhizae), Mutong (Caulis Akebiae), and Dengxincao (Medulla Junci). For the old, young, and weak, divide the dose. Avoid greasy, fatty foods, chicken, duck, and eggs. Abstain from sexual intercourse for 100 days; failure to do so will harm both men and women. Thereafter, lifelong avoidance of red beans, eggplants, and dog meat is required.