凡中风多有痒甚不收者，故编此附之于后，与前中风方相兼用之可也。
〔丹〕经曰∶诸痒为虚。血不荣肌腠，所以痒也。当以滋补药以养阴血，血和肌润，痒自
不作矣。治身上虚痒，四物加黄芩煎汤，调浮萍末服之。治诸痒如虫行，此虚也，先与大料
四物汤服之。盐一斗，水一石，煎减半，温浴三次，能治一切风痒（《秘要》）。诸痒，凌霄
花末，酒下一二钱。此花补阴血甚速。（《本草》云∶凌霄治热风、身痒、游风、风疹、瘀
血，苍耳叶同用也）
陶安人，身体肥壮，久患瘙痒，自投风药，渐成虚症，身上麻木无力，口苦干，小便数。
白术（二钱） 陈皮 芍药 黄芩（一两） 茯苓（七钱） 归身 黄 人参 川芎 青皮 苍术
木通（五钱） 黄柏（酒炒） 五味子 甘草（炙，二钱）
每服下黄精丸三十丸。
〔《灵》〕虚邪搏于皮肤之间，其气外发，腠理开，毫毛摇，气往来行，则为痒。（刺
节真邪篇）
〔丹〕何首乌散 治浑身风寒湿痒。
何首乌（盐炒） 天麻 枸杞 生地 熟地（各一两） 防风 川芎 薄荷 诃子 甘草（各半两）
上为末。每服二三钱，温酒空心服，温茶亦得。
〔《集》〕治风气客皮肤，瘙痒不已。蝉蜕、薄荷末等分为末，酒调一钱匕，日三服。
又方 治风气客于皮肤，瘙痒不已，蜂房炙过、蝉蜕等分为末，酒调一钱匕，日二三服。
〔《局》〕消风散 治皮肤顽麻癃疹瘙痒。
茯苓 川芎 羌活 人参 荆芥穗 防风 藿香 蝉蜕 白僵蚕（炒，去丝） 甘草（炒，
各二两） 浓朴 陈皮（各半两）
上为末。每服二钱，茶酒调下。
〔《经》〕治风疹痒不止。
枳壳三两， 炒微黄，去穣
为末。每服二钱，非时，水一盏，煎至六分，去渣服。
〔《圣》〕治妇人瘙疹，身痒不止，用苍耳花叶子等分，捣罗为末。头淋酒调服一钱匕。
〔丹〕治一切痒，食羊蹄根，不宜多。
〔河〕痒，得爬而解者，爬为火化，微则亦能痒，甚则痒去者，谓令皮肤辛辣而属金化，
辛能散火，故金化见，则火化解矣。
〔《圣》〕治风瘙瘾疹，遍身痒成疮者，用蚕砂一升，水一斗，煮取一斗二升，去渣热洗
。宜避风。
〔罗〕澡洗药 治一切诸风，及遍身瘙痒，光泽皮肤。
干荷叶（三十三两） 威灵仙（十五两） 本（一斤） 零陵香（一斤） 茅香（一两） 甘松 白芷（各半斤）
上为粗末。每用二两，生绢袋盛，水二桶，约四斗，煎五沸，放热于无风处，淋澡洗之
，避风少时。如水少时，便添热汤，斟酌得所，勿添冷水，不添药末。浴痒无如盐，浓煎汤最妙。
〔仲〕寸口脉迟而缓，迟则为寒，缓则为虚，荣缓则为亡血，卫缓则为中风，邪气中经，
则身痒而瘾疹。心气不足，邪气入中，则胸满而短气。脉缓而大，浮为风虚，大为气强，风
气相搏，大成瘾疹，身为痒。痒者名泄风，久久为痂癞。
凡是中风口眼歪斜的患者，往往伴有剧烈的瘙痒且难以收敛，因此编写此篇附于后文，可与前文治疗中风的方剂配合使用。
〔朱丹溪〕在《脉因证治》中说：各种瘙痒多由虚证引起。血液不能濡养肌肉和皮肤腠理，所以产生瘙痒。应当用滋补的药物来滋养阴血，血液调和、肌肤滋润，瘙痒自然就会停止。治疗身体上的虚性瘙痒，可用四物汤加黄芩煎汤，调服浮萍末。治疗各种像虫子爬行的瘙痒，这是虚证，先服用大剂量的四物汤。用盐一斗，水一石，煎煮至减半，温热洗浴三次，能治疗一切风邪引起的瘙痒（出自《秘要》）。对于各种瘙痒，可用凌霄花末，用酒送服一二钱。这种花补益阴血非常迅速。（《本草纲目》记载：凌霄花治疗热风、身痒、游风、风疹、瘀血，可与苍耳叶同用）
陶安人，身体肥胖壮实，长期患有瘙痒症，自行服用祛风药物，逐渐导致虚证，身上麻木无力，口苦干燥，小便频数。
处方：白术（二钱）、陈皮、芍药、黄芩（一两）、茯苓（七钱）、当归身、黄芪、人参、川芎、青皮、苍术、木通（五钱）、黄柏（酒炒）、五味子、甘草（炙，二钱）。
每次服用黄精丸三十丸。
〔《黄帝内经·灵枢》〕虚邪侵袭皮肤之间，其气向外发散，腠理开张，毫毛动摇，气机往来运行，就会产生瘙痒。（出自《刺节真邪篇》）
〔朱丹溪〕何首乌散：治疗浑身因风寒湿邪引起的瘙痒。
处方：何首乌（盐炒）、天麻、枸杞、生地黄、熟地黄（各一两）、防风、川芎、薄荷、诃子、甘草（各半两）。
以上药物研为细末。每次服用二三钱，空腹时用温酒送服，温茶送服也可以。
〔《太平惠民和剂局方》〕治疗风气客居皮肤，瘙痒不止。蝉蜕、薄荷末等分为末，用酒调服一钱匕，每日三次。
又一方：治疗风气客居皮肤，瘙痒不止，蜂房经炙烤后、蝉蜕等分为末，用酒调服一钱匕，每日二三次。
〔《太平惠民和剂局方》〕消风散：治疗皮肤顽麻、瘾疹瘙痒。
处方：茯苓、川芎、羌活、人参、荆芥穗、防风、藿香、蝉蜕、白僵蚕（炒，去丝）、甘草（炒，各二两）、厚朴、陈皮（各半两）。
以上药物研为细末。每次服用二钱，用茶或酒调下。
〔《圣济总录》〕治疗风疹瘙痒不止。
枳壳三两，炒至微黄，去掉瓤，研为细末。每次服用二钱，不拘时候，用水一盏，煎至六分，去渣服用。
〔《圣济总录》〕治疗妇人瘙疹，身体瘙痒不止，用苍耳花叶子等分，捣碎过筛为末。首次淋洗时，用酒调服一钱匕。
〔李东垣〕关于瘙痒，抓挠后可以缓解的，是因为抓挠属于火化（摩擦生热），轻微时也能致痒，严重时抓挠后瘙痒消失，是因为使皮肤产生辛辣感而属于金化，辛味能疏散火邪，所以金化显现，火邪得以化解。
〔《圣济总录》〕治疗风瘙瘾疹，遍身瘙痒形成疮疡者，用蚕砂一升，水一斗，煮取一斗二升，去渣后趁热清洗。宜避风。
〔罗谦甫〕澡洗药：治疗一切诸风，及遍身瘙痒，润泽皮肤。
处方：干荷叶（三十三两）、威灵仙（十五两）、藁本（一斤）、零陵香（一斤）、茅香（一两）、甘松、白芷（各半斤）。
以上药物研为粗末。每次取二两，用生绢袋盛装，放入两桶水（约四十斗），煎煮五次沸腾，放置于无风处保持热度，淋洗沐浴，浴后避风少时。如果水少了，就添加热水，酌情适量，不要添加冷水，也不要添加药末。治疗瘙痒没有比盐更好的了，浓煎盐水汤最妙。
〔张仲景〕寸口脉迟而缓，迟则代表寒，缓则代表虚，营气缓弱则亡血，卫气缓弱则中风，邪气侵入经脉，则身体瘙痒并出现瘾疹。心气不足，邪气入中，则胸满而短气。脉缓而大，浮表示风虚，大表示气强，风气相搏，大成瘾疹，身体瘙痒。瘙痒称为泄风，日久会变成痂癞。
In cases of wind-stroke (stroke), severe itching that is difficult to control often occurs; therefore, this section is appended hereafter and can be used in conjunction with the formulas for wind-stroke mentioned previously.
[Zhu Danxi] states in *Mai Yin Zheng Zhi*: "All itching is due to deficiency." When blood fails to nourish the muscle and cuticle (skin pores and interstices), itching results. One should use tonifying medicines to nourish Yin-blood; when the blood harmonizes and the skin becomes moist, the itching will naturally cease. To treat deficiency-type itching on the body, decoct Siwu Tang (Four Substances Decoction) with Huangqin (Scutellariae Radix, 黄芩), and take it mixed with Fuping (Lemnae Herba, 浮萍) powder. For various types of itching resembling insects crawling, which indicates a deficiency condition, first administer a large dose of Siwu Tang (Four Substances Decoction). Use one dou of salt and one shi of water, boil until reduced by half, and bathe warmly three times; this can treat all kinds of wind-induced itching (*Mi Yao*). For various itchings, take Lingxiao Hua (Campsis grandiflora flower) powder, administered with wine, one or two qian. This flower rapidly tonifies Yin-blood. (*Bencao Gangmu* records: Lingxiao Hua treats wind-heat, body itching, wandering wind, wind-rash, and blood stasis; it can be used together with Cang'er Ye, 苍耳叶).
Tao Anren was obese and robust but suffered from chronic pruritus. Self-medicating with wind-dispelling drugs gradually led to a deficiency syndrome, characterized by numbness and weakness of the body, bitter and dry mouth, and frequent urination.
Prescription: Baizhu (Atractodis Rhizoma, 白术, 2 qian), Chenpi (Citri Reticulatae Pericarpium, 陈皮), Shaoyao (Paeoniae Radix, 芍药), Huangqin (Scutellariae Radix, 黄芩, 1 liang), Fuling (Poria, 茯苓, 7 qian), Guishen (Angelicae Sinensis Radix, 归身), Huangqi (Astragali Radix, 黄芪), Renshen (Ginseng Radix, 人参), Chuanxiong (Ligustici Chuanxiong Rhizoma, 川芎), Qingpi (Citri Reticulatae Pericarpium Viride, 青皮), Cangzhu (Atractylodis Rhizoma, 苍术), Mutong (Akebiae Caulis, 木通, 5 qian), Huangbai (Phellodendri Cortex, 黄柏, wine-fried), Wuweizi (Schisandrae Fructus, 五味子), Gancao (Licorice Root, 甘草, honey-fried, 2 qian).
Take thirty pills of Huangjing Wan (Polygonati Rhizoma Pill) with each dose.
*[Ling Shu]*: Deficient evil attacks between the skin layers; its qi emits outward, causing the couli (skin pores and interstices) to open and the fine hairs to tremble. As the qi moves back and forth, itching arises. (*Ci Jie Zhen Xie Pian*)
[Zhu Danxi]: Heshouwu San (Polygoni Multiflori Powder): Treats whole-body itching caused by wind-cold-dampness.
Prescription: Heshouwu (Polygoni Multiflori Radix, 何首乌, salt-fried), Tianma (Gastrodiae Rhizoma, 天麻), Gouqi (Lycii Fructus, 枸杞), Shengdi (Rehmanniae Radix, 生地), Shudi (Rehmanniae Radix Preparata, 熟地) (each 1 liang), Fangfeng (Saposhnikoviae Radix, 防风), Chuanxiong (Ligustici Chuanxiong Rhizoma, 川芎), Bohe (Menthae Haplocalycis Herba, 薄荷), Hezi (Terminalia Chebulae Fructus, 诃子), Gancao (Licorice Root, 甘草) (each ban liang).
Grind the above into powder. Take 2-3 qian per dose, taken on an empty stomach with warm wine; warm tea is also acceptable.
*[He Ji Ju Fang]*: Treats itching that persists due to wind qi lodging in the skin. Equal parts of Chantui (Cicadae Periostracum, 蝉蜕) and Bohe (Menthae Haplocalycis Herba, 薄荷) are ground into powder. Take 1 qian bi (a measure roughly equivalent to a spoonful) mixed with wine, three times daily.
Another formula: For persistent itching due to wind qi lodging in the skin, roasted Fengfang (Vespa Nidus, 蜂房) and Chantui (Cicadae Periostracum, 蝉蜕) in equal parts are ground into powder. Take 1 qian bi mixed with wine, two to three times daily.
*[He Ji Ju Fang]*: Xiaofeng San (Eliminate Wind Powder): Treats skin numbness, urticaria, and itching.
Prescription: Fuling (Poria, 茯苓), Chuanxiong (Ligustici Chuanxiong Rhizoma, 川芎), Qianghuo (Notopterygii Rhizoma et Radix, 羌活), Renshen (Ginseng Radix, 人参), Jingjie Sui (Schizonepetae Spica, 荆芥穗), Fangfeng (Saposhnikoviae Radix, 防风), Huoxiang (Agastaches Herba, 藿香), Chantui (Cicadae Periostracum, 蝉蜕), Bai Jiangcan (Bombyx Batryticatus, 白僵蚕, fried, silk removed), Gancao (Licorice Root, 甘草, fried) (each 2 liang), Houpo (Magnoliae Officinalis Cortex, 浓朴), Chenpi (Citri Reticulatae Pericarpium, 陈皮) (each ban liang).
Grind the above into powder. Take 2 qian per dose, mixed with tea or wine.
*[Sheng Ji Zong Lu]*: Treats unceasing itching from wind-rash.
Zhiqiao (Aurantii Fructus, 枳壳) 3 liang, stir-fried until slightly yellow, pith removed. Grind into powder. Take 2 qian per dose at any time, decocted in one cup of water until reduced to six-tenths, strain, and drink.
*[Sheng Ji Zong Lu]*: Treats women's pruritic rash with unceasing body itching. Use equal parts of Cang'er Hua Ye Zi (Xanthii Folium et Flos, 苍耳花叶子), crush and sieve into powder. For the first administration, mix with wine and take 1 qian bi.
[Zhu Danxi]: To treat all types of itching, eat Yangti Gen (Radix Rheae Palmatae, 羊蹄根); do not consume excessively.
[Li Dongyuan]: Regarding itching, if scratching provides relief, it is because scratching generates heat (fire transformation). Mildly, it may cause itching; severely, scratching removes the itch because it induces a pungent sensation associated with metal transformation. Pungency disperses fire; thus, when metal transformation appears, the fire transformation resolves.
*[Sheng Ji Zong Lu]*: Treats wind-pruritus and urticaria where the whole body itches and forms sores. Use one sheng of Can Sha (Bombyx Mors Littera, 蚕砂) and one dou of water. Boil until one dou two sheng remains, strain, and wash while hot. Avoid wind.
[Luo Qianfu]: Bath Wash Medicine: Treats all kinds of wind syndromes and generalized pruritus, making the skin lustrous.
Prescription: Gan He Ye (Nelumbinis Folium, 干荷叶, 33 liang), Weilingxian (Synephrosidis Radix, 威灵仙, 15 liang), Ben (Ligustici Wallichii Rhizoma, 本, 1 jin), Lingling Xiang (Lysimachiae Herba, 零陵香, 1 jin), Mao Xiang (Meliloti Herba, 茅香, 1 liang), Gansong (Nardostachyos Radix et Rhizoma, 甘松), Baizhi (Angelicae Dahuricae Radix, 白芷) (each ban jin).
Grind the above into coarse powder. Use 2 liang per bath, placed in a raw silk bag. Add two buckets of water (approx. 4 dou), boil five times until bubbling, keep warm in a windless place, and pour over the body for bathing. Avoid wind for a short time after bathing. If water decreases, add hot water; adjust as appropriate. Do not add cold water or additional herb powder. For treating itching, nothing is better than salt; a concentrated salt decoction is most excellent.
*[Zhang Zhongjing]*: The pulse at the cunkou (radial artery) is slow and slack. Slow indicates cold; slack indicates deficiency. A slack Ying (nutrient) pulse indicates loss of blood; a slack Wei (defensive) pulse indicates wind-stroke. When pathogenic qi enters the meridians, the body itches and urticaria appears. If Heart Qi is insufficient and pathogenic qi enters the interior, there is chest fullness and shortness of breath. A pulse that is slack and large, floating, indicates wind-deficiency; large indicates strong qi. When wind and qi clash, urticaria forms, and the body itches. Itching is called "Xie Feng" (Leaking Wind); if prolonged, it becomes scaly crusts and leprosy-like lesions.