血栓性静脉炎，诸书多认为感染湿毒，气血瘀滞，脉络失和昕致，故急性期多以清热利湿解毒，佐以化痰通络，然验之临床，下肢者多效，其他部位者则效果甚微。反复验证，多因脏腑、经络不分耳。曾治患者王××，男，63岁。2个月前，突然低热，右胸胁部疼痛，按之有一条索状物，长10厘米左右。急请某院外科治之。诊为血栓性静脉炎。先后用抗生素治疗40多天，中药清热解毒、利湿通络等十几剂无明显效果。审其脉证，除以上症状外，神色尚佳，舌苔黄腻，脉弦滑。综合脉证，知其治则尚称合拍，但经络脏腑未合拍耳。因拟疏肝化痰，宽胸解毒。处方：柴胡15克，半夏15克，瓜蒌40克，苏木6克，赤芍15克，黄芩10克，青皮10克，橘叶10克，夏枯草30克。服药2剂，未见进退，并出现夜间牙痛。综合其证，因思夜间牙痛，乃阴虚火旺。拟上方加元参30克，药进6剂，其痛大减，再加当归之人血活血，继服12剂愈。
乳痈
曾治患者张××，女，22岁。猝然乳房肿痛。医诊为乳腺炎。急以抗生素、中药清热解毒之剂治之，并嘱其用热水袋敷之。治疗两天，非但不效，反见肿痛加剧，寒热，恶心，体温39℃。邀余治之。审其患侧乳房红肿灼热有烙手之感，急嘱其改热敷为冷敷，以冷水毛巾频频敷之，稍热即易冷毛巾，2小时内，前后改换毛巾达40次左右，疼痛、肿胀、寒热均大减，体温38．2℃，嘱其继服上药而愈。
患者耿××，女，成。左侧乳房肿痛，寒战高热十几天。医以抗生素、中药清热解毒辈，银花、连翘、蒲公英、草河年、夏枯草、黄芩、黄连等大剂不效。审之，体温39．8℃，乳房红肿疼痛，按之有波动感，脉弦滑数。综合脉证，云：肝气郁结，痰热不化，经络阻塞，营气壅滞，热腐为痈耳。治宜解毒消痈，化痰散结，理气活血。处方：柴胡21克，青皮15克，赤芍15克，橘叶15克，瓜蒌60克，桔梗30克，枳壳15克，蒲公英30克，银花15克。1剂，疼痛、发热均大减；2剂后，发热消失，肿痛大减；继服10剂而愈。一实习学生云：清热解毒乃消痈之正法，何故不效?答云：郁结之气不解耳。郁不解，邪毒壅滞更甚，仅予解毒，其毒难解耳。
鹅掌风
鹅掌风系一种皮科常见病，因其为皮肤病，故多主张以外用之药除之，甚至有的认为不需内治。例如《中医外科学》说：“本病不需内治。”提倡用疯油膏、红油、烟熏法，但有的患者虽频用外洗、涂擦等剂，终不见效，试于临床，内服之药常常霍然治愈。例如：患者李××，男，30岁。三年来两手掌干裂脱皮，近一年来更加严重，曾用中、西药外用久治不效。审视之，两手掌心、指缝中有米粒大之小水泡甚多，水泡破后即脱皮，此起彼伏，奇痒难忍，不脱皮处皮肤增厚，有裂隙，舌苔薄白，质嫩红，脉沉细。综合脉证，诊为血中燥热，外受风邪。为拟养血润燥，疏风散寒。祛风地黄丸加减：生地12克，熟地12克，白蒺藜9克，川牛膝9克，菟丝子9克，知母6克，黄柏6克，枸杞子6克，独活3克。1剂痒减，10剂愈。
脚湿气
脚湿气，又名臭田螺，诸书多云足阳明胃经湿火攻注而成，而用清热利湿，杀虫止痒之法治之。然亦有久用其法而无效者。例如：患者刘××，女，50岁。足心、足跟外侧、趾趾之间皮肤增厚发痒两年多，今年入夏以来逐渐加重。某院诊为脚癣。先用西药外涂无效，继用中药外洗、外搽而湿烂加重。审其足掌部全部湿烂，足背红肿，极臭，足心热痛，不能走路，舌淡苔白，脉沉细尺弱。先予三妙汤加减、萆薢渗湿汤加减7天，肿痛、湿烂更甚。因思病虽湿热者多，然本病久用渗湿清热无效，而久用渗湿清热阳气被伐，再予攻伐则正气不支而湿邪更甚。又思本病始发于涌泉穴，涌泉者肾经之穴也，且脉见沉细尺弱，肾气不足之象，应急予补肾命之正气而除湿。予十味地黄汤加减：生地24克，山药12克，五味子9克，茯苓9克，泽泻9克，丹皮9克，附子9克，肉桂9克，元参15克，麦冬15克，车前子12克(布包)，怀牛膝10克。结果1剂诸证减，8剂而愈。
血风疮
陈实功说：“血风疮，乃风热、湿热、血热三者交感而生，发则瘙痒无度，破流脂水，日渐沿开。”然而风热、湿热、血热之比例多少辨之甚难，余以天人相应之理辨之，常可区别其多少。例如：赵××，女，38岁。5年来手掌不断的脱皮，瘙痒，不能洗衣服。近两个月来突然全身瘙痒，昼轻夜重，抓破后流脂水和血水，某院诊为手癣、脂溢性皮炎。先用西药治疗不效，后又予祛湿散风清热之药仍不效。审视其证，全身并发丘疹，到处是抓痕，尤以腋缘、乳房皱襞、脐周、肩胛间区、肘窝、肛门周围为明显，昼轻夜重，不能睡眠，手掌脱皮，间有小水泡，大、小鱼际处多处裂口，裂口处有血液流出，舌苔薄白，脉弦细。综合脉证，诊为血燥生风。拟养血润燥，活血砝风地黄饮子加减：当归12克，生地15克，元参30克，熟地10克，丹皮10克，生何首乌15克，白蒺藜10克，僵蚕10克，红花10克，甘草6克，独活6克，枸杞子10克，知母10克。服药6剂，其证大减，夜间稍能入睡1～2小时，但手掌脱皮不减，继服12剂诸证消失而愈。刘××，女，50岁。发肤干燥，睡前脱衣时身痒十几年，近十几天来瘙痒突然加重，头面、四肢、肩胛、腰，以及眼睑、颈项、会阴等处均奇痒难忍。某院诊为皮炎。予局部止痒剂、镇静剂、钙剂等数日不效。改请中医治疗，云：风湿热毒，予祛风除湿，清热解毒之剂6剂，其痒更甚。审视其证，全身到处是抓痕，并有血痂，烦躁不安，脉弦细。因思其病甚于夜间，夜间属阴，血燥生风者甚于夜间也。因拟地黄饮子：生地25克，熟地9克，生何首乌10克，当归10克，红花10克，元参30克，白蒺藜10克，僵蚕10克，甘草6克。药进1剂，其痒即减，2剂痒减八九，再进5剂而愈。《内经》曰：“自古通天者，生之本。”辨证不明，求于天人相应学说，实有巨大价值。
白癜风
白癜风多因风邪搏于皮肤，久而不去，血气失和所致。陈实功说：“紫白癜风，乃一体二种。紫因血滞，白因气滞，总由热体风湿所侵，凝滞毛孔，气血不行所致。”余宗其理，试治于白癜风者，甚有效验。例如：范××，女，19岁。一年多来，四肢，躯干40多处皮肤变白，小者如黄豆，大者如手掌，中西药治疗8个多月无效。舌苔白滑，脉浮。予宣肺解表，除湿清热，佐以补肾，麻黄连轺赤小豆汤加减：麻黄9克，连翘、何首乌、黑芝麻、桑白皮各15克，赤小豆30克，白蒺藜12克，生姜3片，大枣5枚。12剂后皮色有的变深，汗毛根部有的变为正常皮色，又连续服药21剂，皮色转为正常而愈。
古人有以白蒺藜为末而愈者，有以白癜风丸而愈者，有以补骨脂酒外涂而愈者，种种不一，甚难尽述。察其临床所见，久病肾虚者，宜补肝肾；单纯风邪者，宜白蒺藜；风湿热者，宜麻黄连轺赤小豆汤，并应据其表里寒热虚实多方面佐用诸法，本例之取效亦在于此尔。
湿毒疮与湿疹
湿疹有急、慢性两种。其中急性糜烂渗出明显的，中医称为浸淫疮或黄水疮；丘疹播发于全身的称为粟疮。婴儿湿疹称为奶癣。慢性湿疹称为湿毒疮或湿气疮。治疗方法，急性者多用祛湿散风清热，如革薜渗湿汤，加味二妙散，防风通圣散，慢性者虽亦有散风除湿之论，然多正气亏损，或为脾气败伤，中焦失其升降之能，三焦失其运化湿邪之力；或风邪不去过用除湿，血燥生风，而毒邪不去。升阳益胃汤中“六君子汤助阳补脾除痰，重用黄芪补气固胃；羌活、独活、柴胡除湿升阳；泽泻、茯苓泻热降浊；加芍药和血敛阴；少佐黄连，以退阴火，”“发中有收，补中有散”。(汪昂语)故用于脾虚湿郁者恒效。血中燥热者，应于养血活血润燥，四物汤加味，不可因其润而再加燥药，以使风生。如：张××，男，50岁。头面、颈项等处反复发作性湿疹19年多，经中西医久治非但无效，反而出现胃脘疼痛，泄泻，纳呆，心烦心悸，汗多，经常感冒等。余视其头、额、颈、项等处有散在性湿疹，有的数个融合成片，外罩黄色脓痂，掀去后有少许黄水流出，痒而不痛，舌苔黄腻，脉弦稍大。予升阳益胃汤：黄芪15克，党参、口术、黄连、半夏、甘草、陈皮、茯苓、泽泻、防风、羌活、独活、柴胡、白芍各9克，生姜3片，大枣3个。连续服用26剂皮疹消失，他症亦除。耿××，女，成。10年来全身出疹，小如针尖，大如高粱，中西医皮科久治不效。视其方多为祛风除湿，询其反应，多数不但无效，反而药后痒甚，审其痒尤甚于夜间．奇痒难忍之时，非抓出血不能减其痒，脉沉而细。余云：血燥生风，宜养血活血凉血。丹参银翘饮：丹参15克，当归、川芎、生地、白芍各10克，银花12克，连翘12克，薄荷3克。4剂减，10剂愈。湿疹初起多湿，但不可尽云属湿，尤以慢性湿疹更是如此。
缠腰火丹
1976年外出学习时，突然右季肋部疼痛不止，先疑其可能系岔气所致，请针灸医师治之，不效，且更加严重，急请外科医师诊治。医云：带状疱疹。开据维生素B12注射治之，一日后仍不效，是夜疼痛难于入睡，勉强以针法治之，针刚入耳廓压痛点，即刻疼痛略缓，捻转约半分钟疼痛大减，10分钟后疼痛逐渐停止而入睡，次晨取走其针，疱疹消失而愈。
雀斑
雀斑，陈实功认为“乃肾水不能荣华于上，火滞结而为斑。”秦伯未认为“由热郁孙络，风邪外束，逐渐而成。”并分别提出“以六味地黄丸以滋化源”，“玉容丸早晚搽洗”和“外用时珍正容散。”余宗秦氏之意，以柴胡桂枝汤治肝郁脾虚，热郁孙络，荣卫失调者，恒见卓效。例如：牛××，女，23岁。颜面、颈部大量浅棕色、暗褐色斑一年多。大小不一，小者如针头，大者约1～2毫米，圆形或椭圆形。某院诊为雀斑。审其证，除雀斑外，并见胸满心烦，脘痞纳呆，胃脘疼痛，月经失调，舌苔薄白，脉弦缓。予柴胡桂枝汤加生薏米。处方：柴胡10克，党参10克，半夏10克，黄芩10克，甘草6克，大枣5个，生姜4片，桂枝10克，生薏米30克。服药12剂后，云：不但胸满心烦、胃脘疼痛好转，而且雀斑明显减少，继服12剂，雀斑消失而愈。
疣
曾治患者张××，男，8岁。全身突然出疣数百个，小者如米粒，大者如高粱，微痒。经某院皮科治疗一月未效。审其精神、食欲均正常，予柴胡桂枝汤调理之。处方：柴胡10克，半夏10克，黄芩10克，党参10克，甘草6克，大枣5个，生姜3片，桂枝10克，白芍10克，生薏米30克，4剂痊愈。
痒风
曾治患者骆××，女，10岁。1岁左右时皮肤经常瘙痒，昼轻夜剧，经常叫其父母搔抓后才能入睡。经多个医院皮科诊为皮肤瘙痒病。曾先后用西药治疗5年，中药治疗3年。无效。审其所用药物除西药外，仅只中药即达800余剂，然每次药后不是无效，就是瘙痒加重。细查其证，除皮肤有多处搔破之血印痕外，并见皮肤粗糙，少许脱屑，精神欠佳，舌苔薄白，脉沉细。细思其证，难于措手，此时恰遇学生发问，云：“为何单单夜间奇痒?为什么非要搔破皮肤才好转?”余立刻醒悟，云：“天人相应也。《素问·生气通天论》云：‘阳气者，一日而主外，平旦人气生，日中而阳气隆，日西而阳气已虚，气门乃闭。是故暮而收拒……。’《素问·金匮真言论》云：‘平旦至日中，天之阳，阳中之阳也。日中至黄昏，天之阳，阳中之阴也。合夜至鸡鸣，天之阴，阴中之阴也。鸡鸣至平旦，天之阴，阴中之阳也。故人亦应之。言人之阴阳，则外为阳，内为阴。’阴血不足，血燥生风，痒为泄风，搔抓则减。”治宜养血活血，凉血散风。丹参银翘饮加减。处方：丹参15克，银花10克，连翘10克，当归10克，白芍10克，川芎6觅，薄荷3克。服药6剂，其痒大减。该生又问：“医云：风为痒，其方仅用薄荷一味以祛风，又何如此之效?”答曰：“前用诸方之不效者即在于此耳。风病虽应用风药散风，然风药能散风，亦能伤血。本病为阴虚血燥，阴虚血燥之风，应养血润燥祛风，即所谓从血透气而解，若过用气分之风药，必使血中燥热更甚而生风，因此只可宗治风先治血，血行风自灭之意以治之。”后继服24剂而愈。
白秃疮
血栓性静脉炎，历代医书多认为此病是由感染湿毒，导致气血瘀滞，脉络失和所致。因此，在急性期多以清热利湿解毒为主，辅以化痰通络之法。然而临床验证发现，该方法对下肢患者疗效显著，而对其他部位的患者效果甚微。经过反复验证，认为主要原因在于脏腑与经络辨证不分。曾治疗一位患者王××，男性，63岁。两个月前，突然出现低热，右胸胁部疼痛，按压时可触及一条索状物，长约10厘米。急请某医院外科诊治，诊断为血栓性静脉炎。先后使用抗生素治疗40多天，并服用中药清热解毒、利湿通络等十几剂，但无明显效果。审查其脉证，除上述症状外，神色尚佳，舌苔黄腻，脉象弦滑。综合脉证分析，认为之前的治则基本合理，但在经络与脏腑的辨证上不够契合。因此拟定疏肝化痰、宽胸解毒的治疗方案。处方：柴胡15克，半夏15克，瓜蒌40克，苏木6克，赤芍15克，黄芩10克，青皮10克，橘叶10克，夏枯草30克。服药2剂后，病情未见进退，并出现夜间牙痛。综合分析证候，认为夜间牙痛乃阴虚火旺所致。在原方基础上加入元参30克，服药6剂后，疼痛大减。再加入当归以入血分活血，继续服用12剂后痊愈。
乳痈（乳腺炎）
曾治疗患者张××，女性，22岁。突然乳房肿痛。医生诊断为乳腺炎。紧急使用抗生素及中药清热解毒之剂治疗，并嘱咐用热水袋热敷。治疗两天后，不仅无效，反而肿痛加剧，出现寒热往来、恶心，体温升至39℃。邀请余诊治。审查患侧乳房红肿灼热，有烫手之感，急忙嘱咐将热敷改为冷敷，用冷水毛巾频繁敷贴，稍热即更换冷毛巾，2小时内前后更换毛巾达40次左右，疼痛、肿胀、寒热均大幅减轻，体温降至38.2℃，嘱咐继续服用之前的药物而痊愈。
患者耿××，女性，成年。左侧乳房肿痛，伴有寒战高热十几天。医生使用抗生素及中药清热解毒类药物，如银花、连翘、蒲公英、草河车、夏枯草、黄芩、黄连等大剂量使用，但无效。审查其体温39.8℃，乳房红肿疼痛，按压有波动感，脉象弦滑数。综合脉证分析，认为是肝气郁结，痰热不化，经络阻塞，营气壅滞，热盛腐肉成痈所致。治疗宜解毒消痈，化痰散结，理气活血。处方：柴胡21克，青皮15克，赤芍15克，橘叶15克，瓜蒌60克，桔梗30克，枳壳15克，蒲公英30克，银花15克。服1剂后，疼痛、发热均大幅减轻；服2剂后，发热消失，肿痛大减；继服10剂而痊愈。一位实习学生问：清热解毒乃是消痈的正法，为何此处无效？答曰：因为郁结之气未解。郁结不解，邪毒壅滞更甚，仅予解毒，毒邪难以解除。
鹅掌风（手部湿疹/手癣）
鹅掌风是一种皮肤科常见病，因其为皮肤病，故多主张以外用药去除，甚至有人认为不需内治。例如《中医外科学》说：“本病不需内治。”提倡使用疯油膏、红油、烟熏法。但有的患者虽频繁使用外洗、涂擦等药剂，终不见效。临床试治表明，内服药物常常能霍然治愈。例如：患者李××，男性，30岁。三年来两手掌干裂脱皮，近一年来更加严重，曾用中西药外用久治不效。审视其症，两手掌心、指缝中有米粒大小的小水泡甚多，水泡破后即脱皮，此起彼伏，奇痒难忍，未脱皮处皮肤增厚，有裂隙，舌苔薄白，舌质嫩红，脉沉细。综合脉证，诊断为血中燥热，外受风邪。拟养血润燥，疏风散寒。祛风地黄丸加减：生地12克，熟地12克，白蒺藜9克，川牛膝9克，菟丝子9克，知母6克，黄柏6克，枸杞子6克，独活3克。服1剂后瘙痒减轻，服10剂后痊愈。
脚湿气（足癣）
脚湿气，又名臭田螺，诸书多云由足阳明胃经湿火攻注而成，采用清热利湿、杀虫止痒之法治疗。然而也有久用此法而无效者。例如：患者刘××，女性，50岁。足心、足跟外侧、趾趾之间皮肤增厚发痒两年多，今年入夏以来逐渐加重。某医院诊断为脚癣。先用西药外涂无效，继用中药外洗、外搽而湿烂加重。审查其足掌部全部湿烂，足背红肿，极臭，足心热痛，不能走路，舌淡苔白，脉沉细尺弱。先予三妙汤加减、萆薢渗湿汤加减7天，肿痛、湿烂更甚。因思此病虽多为湿热，但本病久用渗湿清热无效，且久用渗湿清热会损伤阳气，再予攻伐则正气不支而湿邪更甚。又思此病始发于涌泉穴，涌泉穴属肾经，且脉见沉细尺弱，乃肾气不足之象，应急予补肾命门之正气以除湿。予十味地黄汤加减：生地24克，山药12克，五味子9克，茯苓9克，泽泻9克，丹皮9克，附子9克，肉桂9克，元参15克，麦冬15克，车前子12克（布包），怀牛膝10克。结果服1剂后诸证减轻，服8剂而痊愈。
血风疮
陈实功说：“血风疮，乃风热、湿热、血热三者交感而生，发作时瘙痒无度，破溃流脂水，日渐蔓延。”然而风热、湿热、血热的比例多少辨别很难，我依据天人相应的道理进行辨别，常可区别其多少。例如：赵××，女性，38岁。5年来手掌不断脱皮、瘙痒，不能洗衣服。近两个月来突然全身瘙痒，昼轻夜重，抓破后流脂水和血水，某医院诊断为手癣、脂溢性皮炎。先用西药治疗无效，后又予祛湿散风清热之药仍无效。审视其证，全身并发丘疹，到处是抓痕，尤以腋缘、乳房皱襞、脐周、肩胛间区、肘窝、肛门周围为明显，昼轻夜重，不能睡眠，手掌脱皮，间有小水泡，大、小鱼际处多处裂口，裂口处有血液流出，舌苔薄白，脉弦细。综合脉证，诊断为血燥生风。拟养血润燥，活血祛风。地黄饮子加减：当归12克，生地15克，元参30克，熟地10克，丹皮10克，生何首乌15克，白蒺藜10克，僵蚕10克，红花10克，甘草6克，独活6克，枸杞子10克，知母10克。服药6剂，其证大减，夜间稍能入睡1～2小时，但手掌脱皮不减，继服12剂诸证消失而痊愈。刘××，女性，50岁。发肤干燥，睡前脱衣时身痒十几年，近十几天来瘙痒突然加重，头面、四肢、肩胛、腰，以及眼睑、颈项、会阴等处均奇痒难忍。某医院诊断为皮炎。予局部止痒剂、镇静剂、钙剂等数日无效。改请中医治疗，医生认为是风湿热毒，予祛风除湿、清热解毒之剂6剂，其痒更甚。审视其证，全身到处是抓痕，并有血痂，烦躁不安，脉弦细。因思其病甚于夜间，夜间属阴，血燥生风者甚于夜间也。因此拟用地黄饮子：生地25克，熟地9克，生何首乌10克，当归10克，红花10克，元参30克，白蒺藜10克，僵蚕10克，甘草6克。药进1剂，其痒即减，2剂痒减八九，再进5剂而痊愈。《内经》说：“自古通天者，生之本。”辨证不明时，求助于天人相应学说，实有巨大价值。
白癜风
白癜风多因风邪搏于皮肤，久而不去，导致血气失和所致。陈实功说：“紫白癜风，乃一体二种。紫因血滞，白因气滞，总由热体风湿所侵，凝滞毛孔，气血不行所致。”我遵循其理论，试治白癜风患者，甚有效验。例如：范××，女性，19岁。一年多来，四肢、躯干40多处皮肤变白，小者如黄豆，大者如手掌，中西药治疗8个多月无效。舌苔白滑，脉浮。予宣肺解表，除湿清热，佐以补肾。麻黄连轺赤小豆汤加减：麻黄9克，连翘、何首乌、黑芝麻、桑白皮各15克，赤小豆30克，白蒺藜12克，生姜3片，大枣5枚。12剂后皮色有的变深，汗毛根部有的变为正常皮色，又连续服药21剂，皮色转为正常而痊愈。
古人有用白蒺藜研末而愈者，有用白癜风丸而愈者，有用补骨脂酒外涂而愈者，种种不一，甚难尽述。观察其临床所见，久病肾虚者，宜补肝肾；单纯风邪者，宜白蒺藜；风湿热者，宜麻黄连轺赤小豆汤，并应据其表里寒热虚实多方面佐用诸法，本例之取效亦在于此尔。
湿毒疮与湿疹
湿疹有急、慢性两种。其中急性糜烂渗出明显的，中医称为浸淫疮或黄水疮；丘疹播发于全身的称为粟疮。婴儿湿疹称为奶癣。慢性湿疹称为湿毒疮或湿气疮。治疗方法，急性者多用祛湿散风清热，如革薢渗湿汤，加味二妙散，防风通圣散；慢性者虽亦有散风除湿之论，然多正气亏损，或为脾气败伤，中焦失其升降之能，三焦失其运化湿邪之力；或风邪不去过用除湿，血燥生风，而毒邪不去。升阳益胃汤中“六君子汤助阳补脾除痰，重用黄芪补气固胃；羌活、独活、柴胡除湿升阳；泽泻、茯苓泻热降浊；加芍药和血敛阴；少佐黄连，以退阴火，”“发中有收，补中有散”。（汪昂语）故用于脾虚湿郁者恒效。血中燥热者，应于养血活血润燥，四物汤加味，不可因其润而再加燥药，以使风生。如：张××，男性，50岁。头面、颈项等处反复发作性湿疹19年多，经中西医久治非但无效，反而出现胃脘疼痛，泄泻，纳呆，心烦心悸，汗多，经常感冒等。余视其头、额、颈、项等处有散在性湿疹，有的数个融合成片，外罩黄色脓痂，掀去后有少许黄水流出，痒而不痛，舌苔黄腻，脉弦稍大。予升阳益胃汤：黄芪15克，党参、白术、黄连、半夏、甘草、陈皮、茯苓、泽泻、防风、羌活、独活、柴胡、白芍各9克，生姜3片，大枣3个。连续服用26剂皮疹消失，他症亦除。耿××，女性，成年。10年来全身出疹，小如针尖，大如高粱，中西医皮科久治不效。视其方多为祛风除湿，询其反应，多数不但无效，反而药后痒甚，审其痒尤甚于夜间，奇痒难忍之时，非抓出血不能减其痒，脉沉而细。余云：血燥生风，宜养血活血凉血。丹参银翘饮：丹参15克，当归、川芎、生地、白芍各10克，银花12克，连翘12克，薄荷3克。4剂减，10剂愈。湿疹初起多湿，但不可尽云属湿，尤以慢性湿疹更是如此。
缠腰火丹（带状疱疹）
1976年外出学习时，突然右季肋部疼痛不止，先疑其可能系岔气所致，请针灸医师治之，不效，且更加严重，急请外科医师诊治。医生云：带状疱疹。开据维生素B12注射治之，一日后仍不效，是夜疼痛难于入睡，勉强以针法治之，针刚入耳廓压痛点，即刻疼痛略缓，捻转约半分钟疼痛大减，10分钟后疼痛逐渐停止而入睡，次晨取走其针，疱疹消失而痊愈。
雀斑
雀斑，陈实功认为“乃肾水不能荣华于上，火滞结而为斑。”秦伯未认为“由热郁孙络，风邪外束，逐渐而成。”并分别提出“以六味地黄丸以滋化源”，“玉容丸早晚搽洗”和“外用时珍正容散。”我遵循秦氏之意，以柴胡桂枝汤治肝郁脾虚，热郁孙络，荣卫失调者，恒见卓效。例如：牛××，女性，23岁。颜面、颈部大量浅棕色、暗褐色斑一年多。大小不一，小者如针头，大者约1～2毫米，圆形或椭圆形。某医院诊断为雀斑。审查其证，除雀斑外，并见胸满心烦，脘痞纳呆，胃脘疼痛，月经失调，舌苔薄白，脉弦缓。予柴胡桂枝汤加生薏米。处方：柴胡10克，党参10克，半夏10克，黄芩10克，甘草6克，大枣5个，生姜4片，桂枝10克，生薏米30克。服药12剂后，云：不但胸满心烦、胃脘疼痛好转，而且雀斑明显减少，继服12剂，雀斑消失而痊愈。
疣
曾治疗患者张××，男性，8岁。全身突然出疣数百个，小者如米粒，大者如高粱，微痒。经某医院皮科治疗一月未效。审查其精神、食欲均正常，予柴胡桂枝汤调理之。处方：柴胡10克，半夏10克，黄芩10克，党参10克，甘草6克，大枣5个，生姜3片，桂枝10克，白芍10克，生薏米30克，4剂痊愈。
痒风（皮肤瘙痒症）
曾治疗患者骆××，女性，10岁。1岁左右时皮肤经常瘙痒，昼轻夜剧，经常叫其父母搔抓后才能入睡。经多个医院皮科诊断为皮肤瘙痒病。曾先后用西药治疗5年，中药治疗3年。无效。审查其所用药物除西药外，仅只中药即达800余剂，然每次药后不是无效，就是瘙痒加重。细查其证，除皮肤有多处搔破之血印痕外，并见皮肤粗糙，少许脱屑，精神欠佳，舌苔薄白，脉沉细。细思其证，难于措手，此时恰遇学生发问，云：“为何单单夜间奇痒？为什么非要搔破皮肤才好转？”余立刻醒悟，云：“天人相应也。《素问·生气通天论》云：‘阳气者，一日而主外，平旦人气生，日中而阳气隆，日西而阳气已虚，气门乃闭。是故暮而收拒……。’《素问·金匮真言论》云：‘平旦至日中，天之阳，阳中之阳也。日中至黄昏，天之阳，阳中之阴也。合夜至鸡鸣，天之阴，阴中之阴也。鸡鸣至平旦，天之阴，阴中之阳也。故人亦应之。言人之阴阳，则外为阳，内为阴。’阴血不足，血燥生风，痒为泄风，搔抓则减。”治宜养血活血，凉血散风。丹参银翘饮加减。处方：丹参15克，银花10克，连翘10克，当归10克，白芍10克，川芎6克，薄荷3克。服药6剂，其痒大减。该生又问：“医生云：风为痒，其方仅用薄荷一味以祛风，又何如此之效？”答曰：“前用诸方之不效者即在于此耳。风病虽应用风药散风，然风药能散风，亦能伤血。本病为阴虚血燥，阴虚血燥之风，应养血润燥祛风，即所谓从血透气而解，若过用气分之风药，必使血中燥热更甚而生风，因此只可宗治风先治血，血行风自灭之意以治之。”后继服24剂而痊愈。
白秃疮（头癣）
Thrombophlebitis, various ancient texts generally attribute this condition to the infection of damp-toxin (Shi Du), leading to Qi and Blood stasis and disharmony of the collaterals. Therefore, in the acute phase, treatment often focuses on clearing heat, draining dampness, and detoxifying, assisted by resolving phlegm and unblocking collaterals. However, clinical verification reveals that while this method is effective for patients with lower limb involvement, its efficacy is minimal for other body parts. After repeated verification, it is believed that the main reason lies in the failure to distinguish between Zang-Fu organs and meridians. A patient, Wang XX, male, 63 years old, was treated. Two months prior, he suddenly developed low-grade fever and pain in the right hypochondrium, where a cord-like mass approximately 10 cm long could be palpated. He urgently sought surgical consultation at a certain hospital and was diagnosed with thrombophlebitis. He underwent antibiotic treatment for over 40 days and took more than ten doses of Chinese herbal medicine aimed at clearing heat, detoxifying, draining dampness, and unblocking collaterals, but with no significant effect. Upon reviewing his pulse and symptoms, aside from the aforementioned signs, his spirit and complexion were still good, the tongue coating was yellow and greasy, and the pulse was wiry and slippery. Synthesizing the pulse and symptoms, it was determined that the previous therapeutic principles were basically correct, but the differentiation of meridians and Zang-Fu organs was not sufficiently aligned. Thus, the strategy of soothing the Liver, resolving phlegm, broadening the chest, and detoxifying was adopted. The prescription consisted of: Chai Hu (Bupleuri Radix) 15g, Ban Xia (Pinelliae Rhizoma) 15g, Gua Lou (Trichosanthis Fructus) 40g, Su Mu (Sappan Lignum) 6g, Chi Shao (Paeoniae Radix Rubra) 15g, Huang Qin (Scutellariae Radix) 10g, Qing Pi (Citri Reticulatae Pericarpium Viride) 10g, Ju Ye (Citri Reticulatae Folium) 10g, Xia Ku Cao (Prunellae Spica) 30g. After two doses, there was no improvement or worsening, but night toothache appeared. Analyzing the syndrome, the night toothache was attributed to Yin deficiency with hyperactive fire. Yuan Shen (Scrophulariae Radix) 30g was added to the original formula. After six doses, the pain decreased significantly. Dang Gui (Angelicae Sinensis Radix) was then added to invigorate blood within the blood level, and after continuing for 12 doses, the patient recovered.
Mastitis (Ru Yong)
A patient, Zhang XX, female, 22 years old, was treated. She suddenly developed swelling and pain in the breast. The physician diagnosed mastitis. Emergency treatment included antibiotics and Chinese herbal medicine for clearing heat and detoxifying, along with instructions to apply hot compresses. After two days of treatment, not only was there no effect, but the swelling and pain worsened, accompanied by alternating chills and fever, nausea, and a body temperature of 39°C. I was invited to treat her. Examination revealed redness, swelling, and burning heat in the affected breast, feeling hot to the touch. I urgently advised changing from hot to cold compresses, frequently applying towels soaked in cold water, replacing them with cold ones as soon as they warmed up. Within two hours, the towels were changed about 40 times. The pain, swelling, and chills/fever decreased significantly, and the body temperature dropped to 38.2°C. She was instructed to continue taking the previous medication and recovered.
Another patient, Geng XX, female, adult, presented with swelling and pain in the left breast accompanied by chills and high fever for over ten days. The physician used antibiotics and large doses of Chinese herbs for clearing heat and detoxifying, such as Yin Hua (Jasmini Flos), Lian Qiao (Forsythiae Fructus), Pu Gong Ying (Taraxaci Herba), Cao He Che (Smilacis Glabrae Rhizoma), Xia Ku Cao (Prunellae Spica), Huang Qin (Scutellariae Radix), and Huang Lian (Coptidis Rhizoma), but without effect. Examination showed a body temperature of 39.8°C, redness, swelling, and pain in the breast with fluctuation upon pressure, and a wiry, slippery, and rapid pulse. Synthesizing the pulse and symptoms, it was concluded that Liver Qi stagnation led to untransformed phlegm-heat, blocking the collaterals, causing congestion of Ying Qi, and heat rotting flesh into an abscess. The treatment should focus on detoxifying, eliminating carbuncles, resolving phlegma, dissipating nodules, regulating Qi, and invigorating blood. The prescription included: Chai Hu (Bupleuri Radix) 21g, Qing Pi (Citri Reticulatae Pericarpium Viride) 15g, Chi Shao (Paeoniae Radix Rubra) 15g, Ju Ye (Citri Reticulatae Folium) 15g, Gua Lou (Trichosanthis Fructus) 60g, Jie Geng (Platycodonis Radix) 30g, Zhi Ke (Aurantii Fructus Immaturus) 15g, Pu Gong Ying (Taraxaci Herba) 30g, Yin Hua (Jasmini Flos) 15g. After one dose, pain and fever decreased significantly; after two doses, fever disappeared and swelling/pain reduced greatly; after continuing for 10 doses, she recovered. An intern asked: "Clearing heat and detoxifying is the orthodox method for eliminating carbuncles; why did it fail here?" I replied: "Because the stagnant Qi was not resolved. If stagnation is not resolved, pathogenic toxins become even more congested; merely providing detoxification cannot resolve the toxin."
E Zhuo Feng (Hand Eczema/Tinea Manuum)
E Zhuo Feng is a common dermatological disease. Since it is a skin disease, many advocate external treatment, with some believing internal treatment is unnecessary. For example, *TCM Surgery* states: "This disease does not require internal treatment," advocating the use of Feng You Gao, Hong You, and smoke fumigation methods. However, some patients who frequently used external washes and applications saw no effect. Clinical trials show that internal medication often brings about a sudden cure. For instance, Patient Li XX, male, 30 years old, suffered from dry, cracked, and peeling skin on both palms for three years, worsening in the last year. Long-term external use of Chinese and Western medicines failed. Examination revealed numerous rice-grain-sized vesicles on the palmar surfaces and interdigital spaces, which broke and peeled off, recurring continuously with unbearable itching. The non-peeling skin was thickened with fissures. The tongue coating was thin and white, the tongue body tender and red, and the pulse deep and fine. Synthesizing the pulse and symptoms, the diagnosis was dry-heat in the blood with external wind-pathogen invasion. The strategy was to nourish blood, moisten dryness, disperse wind, and dispel cold. Modified Qu Feng Di Huang Wan: Sheng Di (Rehmanniae Radix) 12g, Shu Di (Rehmanniae Radix Praeparata) 12g, Bai Ji Li (Tribuli Fructus) 9g, Chuan Niu Xi (Cyathulae Radix) 9g, Tu Si Zi (Cuscutae Semen) 9g, Zhi Mu (Anemarrhenae Rhizoma) 6g, Huang Bo (Phellodendri Cortex) 6g, Gou Qi Zi (Lycii Fructus) 6g, Du Huo (Angelicae Pubescentis Radix) 3g. Itching decreased after one dose, and recovery occurred after 10 doses.
Jiao Shi Qi (Foot Tinea)
Jiao Shi Qi, also known as Chou Tian Luo, is traditionally attributed to damp-fire attacking from the Foot Yangming Stomach Meridian, treated with clearing heat, draining dampness, killing parasites, and stopping itching. However, some cases do not respond to this method. For example, Patient Liu XX, female, 50 years old, had thickened, itchy skin on the sole, lateral heel, and between toes for over two years, worsening since summer. Diagnosed with tinea pedis at a hospital, external Western medicine failed, and subsequent external Chinese herbal washes/applications worsened the maceration. Examination showed complete maceration of the sole, redness and swelling of the dorsum, severe odor, hot pain in the sole preventing walking, pale tongue with white coating, and deep, fine pulse weak at the chi position. Initial treatment with modified San Miao Tang and Bi Xie Shen Shi Tang for seven days worsened swelling, pain, and maceration. Reflecting on this, although damp-heat is common, prolonged use of damp-draining and heat-clearing methods fails here and damages Yang Qi. Further attack would deplete healthy Qi and exacerbate dampness. Considering the onset at Yongquan (KI 1), a point of the Kidney Meridian, and the deep, fine, weak chi pulse indicating Kidney Qi deficiency, urgent tonification of Kidney and Mingmen (Gate of Life) Qi was needed to eliminate dampness. Modified Shi Wei Di Huang Tang: Sheng Di (Rehmanniae Radix) 24g, Shan Yao (Dioscoreae Rhizoma) 12g, Wu Wei Zi (Schisandrae Fructus) 9g, Fu Ling (Poria) 9g, Ze Xie (Alismatis Rhizoma) 9g, Dan Pi (Moutan Cortex) 9g, Fu Zi (Aconiti Lateralis Radix Praeparata) 9g, Rou Gui (Cinnamomi Cortex) 9g, Yuan Shen (Scrophulariae Radix) 15g, Mai Dong (Ophiopogonis Radix) 15g, Che Qian Zi (Plantaginis Semen) 12g (wrapped), Huai Niu Xi (Achyranthis Bidentatae Radix) 10g. Symptoms improved after one dose, and recovery occurred after eight doses.
Xue Feng Chuang
Chen Shigong stated: "Xue Feng Chuang arises from the interaction of wind-heat, damp-heat, and blood-heat, causing extreme itching, rupture with exudation of serum, and gradual spreading." Differentiating the proportions of these factors is difficult. I use the principle of Heaven-Man correspondence to distinguish them. For example, Patient Zhao XX, female, 38 years old, had continuous peeling and itching of palms for five years, unable to wash clothes. Suddenly, generalized itching started two months ago, worse at night, with serum and blood exuding upon scratching. Diagnosed with tinea manuum and seborrheic dermatitis. Western medicine failed, and subsequent damp-draining, wind-dispersing, heat-clearing herbs were ineffective. Examination showed generalized papules, scratch marks everywhere, especially at axillae, inframammary folds, umbilicus, interscapular region, antecubital fossa, and perianal area. Worse at night, insomnia, palm peeling, small vesicles, and fissures on thenar/hypothenar eminences bleeding. Tongue coating thin white, pulse wiry and fine. Diagnosis: Blood dryness generating wind. Strategy: Nourish blood, moisten dryness, invigorate blood, disperse wind. Modified Di Huang Yin Zi: Dang Gui (Angelicae Sinensis Radix) 12g, Sheng Di (Rehmanniae Radix) 15g, Yuan Shen (Scrophulariae Radix) 30g, Shu Di (Rehmanniae Radix Praeparata) 10g, Dan Pi (Moutan Cortex) 10g, Sheng He Shou Wu (Polygoni Multiflori Radix) 15g, Bai Ji Li (Tribuli Fructus) 10g, Jiang Can (Bombyx Batryticatus) 10g, Hong Hua (Carthami Flos) 10g, Gan Cao (Glycyrrhizae Radix et Rhizoma) 6g, Du Huo (Angelicae Pubescentis Radix) 6g, Gou Qi Zi (Lycii Fructus) 10g, Zhi Mu (Anemarrhenae Rhizoma) 10g. Symptoms decreased significantly after six doses, allowing 1-2 hours of sleep, but palm peeling persisted. After 12 more doses, all symptoms disappeared, and she recovered. Another patient, Liu XX, female, 50 years old, had dry hair/skin and body itching when undressing before bed for over ten years, worsening recently. Generalized severe itching on head, face, limbs, shoulders, waist, eyelids, neck, and perineum. Diagnosed with dermatitis. Local anti-itch agents, sedatives, calcium salts failed. TCM doctor diagnosed wind-damp-heat toxin, prescribed wind-dispersing, damp-draining, heat-clearing, detoxifying herbs for six doses, worsening itching. Examination showed widespread scratch marks and blood scabs, restlessness, wiry-fine pulse. Considering worsening at night (Yin time), it was Blood Dryness Generating Wind. Prescribed Di Huang Yin Zi: Sheng Di (Rehmanniae Radix) 25g, Shu Di (Rehmanniae Radix Praeparata) 9g, Sheng He Shou Wu (Polygoni Multiflori Radix) 10g, Dang Gui (Angelicae Sinensis Radix) 10g, Hong Hua (Carthami Flos) 10g, Yuan Shen (Scrophulariae Radix) 30g, Bai Ji Li (Tribuli Fructus) 10g, Jiang Can (Bombyx Batryticatus) 10g, Gan Cao (Glycyrrhizae Radix et Rhizoma) 6g. Itching decreased after one dose, reduced by 80-90% after two doses, and resolved after five more doses. As the *Neijing* says: "Since antiquity, those connected to Heaven are the root of life." When differentiation is unclear, seeking guidance from the Heaven-Man correspondence theory has great value.
Bai Dian Feng (Vitiligo)
Bai Dian Feng is often caused by wind-pathogen lingering on the skin, leading to disharmony of Qi and Blood over time. Chen Shigong said: "Zi Bai Dian Feng are two forms of one entity. Purple is due to Blood stasis, White is due to Qi stasis, both caused by wind-damp invading a heat-prone body, condensing in pores, blocking Qi and Blood flow." Following this theory, treating vitiligo patients has been very effective. For example, Fan XX, female, 19 years old, had over 40 white patches on limbs and trunk for over a year, ranging from soybean to palm size. Eight months of Chinese/Western medicine failed. Tongue coating white slippery, pulse floating. Strategy: Diffuse Lung, release exterior, drain dampness, clear heat, assist Kidney tonification. Modified Ma Huang Lian Qiao Chi Xiao Dou Tang: Ma Huang (Ephedrae Herba) 9g, Lian Qiao (Forsythiae Fructus), He Shou Wu (Polygoni Multiflori Radix), Hei Zhi Ma (Sesami Fructus Niger), Sang Bai Pi (Mori Cortex) each 15g, Chi Xiao Dou (Adzuki Bean) 30g, Bai Ji Li (Tribuli Fructus) 12g, Sheng Jiang (Zingiberis Rhizoma Recens) 3 slices, Da Zao (Jujubae Fructus) 5 pieces. After 12 doses, some skin darkened, some hair follicles returned to normal color. After 21 more consecutive doses, skin color normalized, and she recovered.
Ancients cured it with Bai Ji Li powder, Bai Dian Feng Wan, or Bu Gu Zhi wine externally. Observing clinical cases, chronic Kidney deficiency requires tonifying Liver/Kidney; pure wind-pathogen requires Bai Ji Li; wind-damp-heat requires Ma Huang Lian Qiao Chi Xiao Dou Tang, supplemented by methods addressing exterior/interior, cold/heat, deficiency/excess. This case's success lies in this comprehensive approach.
Shi Du Chuang and Shi Zhen (Eczema)
Eczema has acute and chronic types. Acute with obvious erosion/exudation is called Jin Yin Chuang or Huang Shui Chuang in TCM; generalized papules are Su Chuang. Infant eczema is Nai Xuan. Chronic eczema is Shi Du Chuang or Shi Qi Chuang. Treatment for acute cases often uses damp-draining, wind-dispersing, heat-clearing methods like Bi Xie Shen Shi Tang, Jia Wei Er Miao San, Fang Feng Tong Sheng San. Chronic cases may have theories of wind-dispersing/damp-draining, but often involve healthy Qi deficiency, Spleen Qi damage impairing Middle Jiao ascending/descending, or San Jiao failing to transform dampness; or excessive damp-draining causing Blood dryness generating wind, leaving pathogenic toxins unresolved. Sheng Yang Yi Wei Tang contains "Liu Jun Zi Tang assisting Yang, tonifying Spleen, resolving phlegm, heavy Huang Qi tonifying Qi and securing Stomach; Qiang Huo, Du Huo, Chai Hu draining dampness and raising Yang; Ze Xie, Fu Ling draining heat and lowering turbidity; adding Shao He harmonizing blood and astringing Yin; slight Huang Lian retreating Yin fire." "Releasing with containment, tonifying with dispersing" (Wang Ang). Thus, it is consistently effective for Spleen deficiency with damp-stagnation. For blood dry-heat, nourishing blood, invigorating blood, and moistening dryness with modified Si Wu Tang is appropriate; do not add drying herbs due to its moistening nature, lest wind arise. For example, Zhang XX, male, 50 years old, had recurrent eczema on head/neck for 19 years. Long-term treatment failed, leading to epigastric pain, diarrhea, poor appetite, irritability, palpitations, sweating, frequent colds. Examination showed scattered eczema on head/forehead/neck, some coalescing with yellow purulent crusts, slight yellow fluid upon removal, itchy but not painful, yellow greasy tongue coating, slightly large wiry pulse. Prescribed Sheng Yang Yi Wei Tang: Huang Qi (Astragali Radix) 15g, Dang Shen (Codonopsis Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Huang Lian (Coptidis Rhizoma), Ban Xia (Pinelliae Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma), Chen Pi (Citri Reticulatae Pericarpium), Fu Ling (Poria), Ze Xie (Alismatis Rhizoma), Fang Feng (Saposhnikoviae Radix), Qiang Huo (Notopterygii Rhizoma et Radix), Du Huo (Angelicae Pubescentis Radix), Chai Hu (Bupleuri Radix), Bai Shao (Paeoniae Radix Alba) each 9g, Sheng Jiang (Zingiberis Rhizoma Recens) 3 slices, Da Zao (Jujubae Fructus) 3 pieces. After 26 doses, rash disappeared, other symptoms resolved. Geng XX, female, adult, had generalized rash for 10 years, needle-point to sorghum-grain size, untreatable by dermatology. Most prescriptions were wind-dispersing/damp-draining, but responses were ineffective or worsened itching, especially at night, requiring scratching to bleed for relief. Pulse deep and fine. I stated: Blood dryness generating wind, suitable for nourishing blood, invigorating blood, cooling blood. Dan Shen Yin Qiao Yin: Dan Shen (Salviae Miltiorrhizae Radix) 15g, Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Chuanxiong Rhizoma), Sheng Di (Rehmanniae Radix), Bai Shao (Paeoniae Radix Alba) each 10g, Yin Hua (Jasmini Flos) 12g, Lian Qiao (Forsythiae Fructus) 12g, Bo He (Menthae Haplocalycis Herba) 3g. Reduced after 4 doses, cured after 10 doses. Early eczema is often damp, but not exclusively so, especially chronic eczema.
Chan Yao Huo Dan (Herpes Zoster)
In 1976, during study away from home, I suddenly experienced incessant right hypochondriac pain, initially suspecting muscle strain. Acupuncture failed and worsened it. Urgent surgical consultation diagnosed Herpes Zoster. Vitamin B12 injection failed. That night, pain prevented sleep. Forced acupuncture on ear tragus pressure point provided immediate slight relief; twisting for half a minute greatly reduced pain; pain stopped gradually after 10 minutes, allowing sleep. Next morning, removing the needle coincided with herpes disappearance and recovery.
Que Ban (Freckles)
Chen Shigong believed freckles result from "Kidney Water failing to nourish the upper, Fire stagnating and forming spots." Qin Bowei believed they arise from "Heat stagnating in Sun Collaterals, Wind-pathogen binding externally, developing gradually." They proposed "Liu Wei Di Huang Wan to nourish the source," "Yu Rong Wan applied morning/evening," and "Shi Zhen Zheng Rong San externally." Following Qin's intent, using Chai Hu Gui Zhi Tang for Liver stagnation/Spleen deficiency, Heat stagnating in Sun Collaterals, and disharmony of Ying/Wei has shown excellent results. For example, Niu XX, female, 23 years old, had light brown/dark brown spots on face/neck for over a year, varying from pinhead to 1-2mm, round/oval. Diagnosed as freckles. Examination revealed chest fullness, irritability, epigastric distension/poor appetite, epigastric pain, menstrual irregularities, thin white tongue coating, slow wiry pulse. Prescribed Chai Hu Gui Zhi Tang plus Sheng Yi Mi (Coicis Semen): Chai Hu (Bupleuri Radix) 10g, Dang Shen (Codonopsis Radix) 10g, Ban Xia (Pinelliae Rhizoma) 10g, Huang Qin (Scutellariae Radix) 10g, Gan Cao (Glycyrrhizae Radix et Rhizoma) 6g, Da Zao (Jujubae Fructus) 5 pieces, Sheng Jiang (Zingiberis Rhizoma Recens) 4 slices, Gui Zhi (Cinnamomi Ramulus) 10g, Sheng Yi Mi (Coicis Semen) 30g. After 12 doses, chest fullness/irritability/epigastric pain improved, freckles significantly reduced. After 12 more doses, freckles disappeared, and she recovered.
You (Warts)
Patient Zhang XX, male, 8 years old, suddenly developed hundreds of warts on the body, rice-grain to sorghum-grain size, mildly itchy. One month of dermatology treatment failed. Spirit and appetite were normal. Prescribed Chai Hu Gui Zhi Tang for regulation: Chai Hu (Bupleuri Radix) 10g, Ban Xia (Pinelliae Rhizoma) 10g, Huang Qin (Scutellariae Radix) 10g, Dang Shen (Codonopsis Radix) 10g, Gan Cao (Glycyrrhizae Radix et Rhizoma) 6g, Da Zao (Jujubae Fructus) 5 pieces, Sheng Jiang (Zingiberis Rhizoma Recens) 3 slices, Gui Zhi (Cinnamomi Ramulus) 10g, Bai Shao (Paeoniae Radix Alba) 10g, Sheng Yi Mi (Coicis Semen) 30g. Cured after 4 doses.
Yang Feng (Pruritus)
Patient Luo XX, female, 10 years old, had frequent skin itching since age 1, worse at night, requiring parental scratching to sleep. Diagnosed with pruritus by multiple hospitals. Five years of Western medicine and three years of Chinese medicine failed. Over 800 doses of Chinese herbs were used, either ineffective or worsening itching. Examination showed scratch marks, rough skin, slight scaling, poor spirit, thin white tongue coating, deep fine pulse. Struggling with the case, a student asked: "Why only night itching? Why must skin be scratched to relieve?" I realized: "Heaven-Man correspondence. *Suwen: Shengqi Tongtian Lun* states: 'Yang Qi governs the exterior daily... dawn generates Qi, noon peaks Yang, evening Yang declines, pores close. Thus evening gathers/rejects...' *Suwen: Jingui Zhenyan Lun* states: 'Dawn to noon is Heaven's Yang, Yang among Yang... Night to rooster-crow is Heaven's Yin, Yin among Yin... Humans correspond. Exterior is Yang, Interior is Yin.' Insufficient Yin-Blood leads to Blood dryness generating wind. Itching is venting wind; scratching reduces it." Treatment: Nourish blood, invigorate blood, cool blood, disperse wind. Modified Dan Shen Yin Qiao Yin: Dan Shen (Salviae Miltiorrhizae Radix) 15g, Yin Hua (Jasmini Flos) 10g, Lian Qiao (Forsythiae Fructus) 10g, Dang Gui (Angelicae Sinensis Radix) 10g, Bai Shao (Paeoniae Radix Alba) 10g, Chuan Xiong (Chuanxiong Rhizoma) 6g, Bo He (Menthae Haplocalycis Herba) 3g. Itching greatly reduced after 6 doses. Student asked: "Doctor says wind causes itching, yet only Bo He disperses wind; why such effect?" I replied: "Previous failures lay here. Wind diseases use wind-dispersing herbs, but they can also injure blood. This case is Yin deficiency/Blood dryness; wind from this should be treated by nourishing blood/moistening dryness/dispatching wind, i.e., resolving through blood to Qi. Overusing Qi-level wind herbs exacerbates Blood dry-heat generating wind. Thus, follow 'treat wind by first treating blood; when blood moves, wind extinguishes.'" Continued for 24 doses and recovered.
Bai Tou Chuang (Tinea Capitis)