〔丹〕癣疮。用防风通圣散去硝黄,加浮萍、皂角刺。
又方 治癣用。
浮萍(一两) 苍耳 苍术(二两) 苦参(一两半) 黄芩(半两) 香附(二两半)
上为末,酒调服,或酒糊丸。
〔罗〕苦参丸治肺毒邪热生疮、生癣疥,并宜服之。
以苦参一味,为细末,粟米饮丸,如桐子大。每服五十丸,空心温水饮汤送下。
〔《本》〕乌头丸 治风癣妙。(方见紫白癜风。)
〔罗〕何首乌散治脾肺风毒攻肿,遍身癣变成瘾疹,搔之成疮,或肩背拘急,肌肉顽痹,手
足皴裂,风气上攻,头面生疮,及治紫癜、白癜、顽麻等风。
荆芥穗 蔓荆子 威灵仙 何首乌 甘草(炙) 防风 蚵 草
上件各等分,捣罗为末。每服一钱,食后温酒调下。沸汤亦得。
〔丹〕癣在颈项间,后延上至耳成湿癣,他治不应。以芦荟一两研、甘草末半两和匀。先用温
浆水洗癣,拭上敷之,神妙。(刘禹锡方。)
癣疮方槿树皮不犯铜铁每二两,又芦荟三钱,白芨三钱,细研为末。
刮癣出血,用好醋调敷,虽痛却一敷可愈。
一方用∶
芦荟 大黄 轻粉 雄黄 蛇床子 槿树皮 槟榔
上先刮破癣,用醋调药末涂之。
〔世〕顽癣。用槿树皮加巴豆、斑蝥为细末,又加生砒少许,水调敷。
〔世〕治牛皮癣。用清香油一两,入全蝎七枚,巴豆二十枚,斑蝥十枚同熬,候色焦者先去之,
去了,入黄蜡一钱,候溶收起。朝擦暮愈,不损皮肉。
又方
绿篱根(不拘多少) 花椒(一两) 信(些少) 防风(半两) 江子(十五粒) 白芨(半两)
百部(半两) 白蔹(半两)
上各为末,和绿篱根捣热成团,将药于癣上擦之,候痛过洗浴。
又方 一味绿篱根去粗皮,取细皮贴肉者捣烂,用醋调涂癣上,立愈。
〔丹〕干癣积年生痂,搔之黄水出,每逢阴雨即痒。用野狼毒末涂之。(《圣惠方》)《外台》用斑
蝥半两,炒为末,蜜调敷上。
〔《本》〕治癣。用藜芦细捣为末,生油和敷之。
〔丹〕治癣疥久不瘥。羊蹄根捣绞取汁,用腻粉少许,调如膏,涂敷患处,三五遍即瘥。如干
即用猪脂调和敷之。(《简要济众》)
〔罗〕柏脂膏治干癣。
地沥青(一斤) 黄蜡(半斤) 杏仁(四十五粒,锉碎) 朴硝(一抄)
上件相和于铁器内,用老生姜、葱白三根,一顺搅五七次,煎沸滤过成膏,于疮上搽之。
〔《图》〕取楮皮枝中白汁,涂癣甚妙。
〔《圣》〕治癣湿痒。用楮叶半斤细切,捣敷癣上。
〔《经》〕治五种疮癣。以韭根炒存性,旋捣末,以猪脂调敷之,三五度瘥。
又方 患癣疮。捣山豆根末,腊月猪脂调涂之。
〔罗〕祛湿散治多年湿癣,大有神效。
蚕砂(四两) 薄荷(半两)
上为细末,每用不拘多少,干掺于疮上,或用生油调搽。
〔子和〕一女子年十五,两股间湿癣长三四寸,下至膝,发痒时爬搔,汤火俱不解。痒定黄赤
水流,又痛不可忍。灸 熏渫,硫黄、 茹、白僵蚕、羊蹄根之药,皆不效。其父母求疗于戴人。
戴人曰∶能从予言则瘥。父母诺之。以 针磨尖快,当其痒时,于癣上各刺百余针,其血出尽,
煎盐汤洗之。如此四次,大病方除。此方不尽以告后人,恐为癣药所误,湿淫于血,不可不砭者
矣。
【朱丹溪】治疗癣疮。使用防风通圣散去掉芒硝和大黄,加入浮萍、皂角刺。
另一个方子 用于治疗癣。
浮萍(一两) 苍耳草 苍术(二两) 苦参(一两半) 黄芩(半两) 香附子(二两半)
以上药物研为细末,用酒调服,或者用酒糊制成丸剂。
【罗天益】苦参丸治疗肺经毒邪热盛引起的疮疡、癣疥,都适宜服用。
只用苦参一味药,研成细末,用粟米汤送服制成的丸药,大小如梧桐子。每次服用五十丸,空腹时用温水送下。
【《本草》】乌头丸 治疗风癣效果奇妙。(方剂见紫白癜风条下。)
【罗天益】何首乌散治疗脾肺风毒攻注导致的肿胀,全身癣变成瘾疹(荨麻疹),搔抓后形成疮疡,或者肩背部拘急不舒,肌肉顽固麻木,手脚皮肤皲裂,风气上攻头部面部生疮,以及治疗紫癜、白癜风、顽麻等风症。
荆芥穗 蔓荆子 威灵仙 何首乌 甘草(炙) 防风 蚵(此处疑为衍文或特定药材简称,依原文保留) 草(此处疑为衍文或特定药材简称,依原文保留)
以上各药等分,捣碎过筛为细末。每次服用一钱,饭后用温酒调服。沸水冲服也可以。
【朱丹溪】癣长在颈项之间,向后蔓延至耳朵成为湿癣,其他治疗方法无效。用芦荟一两研粉、甘草末半两混合均匀。先用温浆水清洗癣处,擦干后敷药,非常神妙。(刘禹锡方。)
癣疮方:槿树皮不接触铜铁器,每取二两,又加芦荟三钱,白及三钱,细细研为末。
刮破癣使其出血,用好醋调匀外敷,虽然疼痛但敷一次即可痊愈。
另一个方子用:
芦荟 大黄 轻粉 雄黄 蛇床子 槿树皮 槟榔
以上先刮破癣,用醋调药末涂抹。
【世传方】顽癣。用槿树皮加巴豆、斑蝥研为细末,再加少许生砒霜,用水调匀外敷。
【世传方】治疗牛皮癣。用清香油一两,放入全蝎七枚,巴豆二十枚,斑蝥十枚一同熬制,等到颜色焦黑时先去除这些药材,去完后,加入黄蜡一钱,等到熔化后收起。早晨擦晚上就好,不损伤皮肉。
另一个方子
绿篱根(不限多少) 花椒(一两) 信石(少许) 防风(半两) 江子(十五粒) 白及(半两)
百部(半两) 白蔹(半两)
以上各药分别研为末,与绿篱根一起捣热成团,将药在癣上擦拭,等到疼痛过后洗浴。
另一个方子 单味绿篱根去掉粗皮,取贴近肉质的细皮捣烂,用醋调涂于癣上,立即痊愈。
【朱丹溪】干癣多年积累结痂,搔抓后有黄水流出,每逢阴雨天就瘙痒。用野狼毒末涂抹。(《太平圣惠方》)《外台秘要》用斑蝥半两,炒研为末,蜂蜜调匀外敷。
【《本草》】治疗癣。用藜芦细细捣为末,用生油调和外敷。
【朱丹溪】治疗癣疥日久不愈。羊蹄根捣碎绞取汁液,用少许腻粉(水银制剂),调成膏状,涂敷患处,三五次即可痊愈。如果干燥就用猪脂调和外敷。(《简要济众方》)
【罗天益】柏脂膏治疗干癣。
地沥青(一斤) 黄蜡(半斤) 杏仁(四十五粒,锉碎) 朴硝(一抄)
以上药物一起在铁器内混合,用老生姜、葱白三根,顺着一个方向搅拌五七次,煎沸后过滤成膏,涂擦在疮上。
【《图经》】取楮树枝中的白色汁液,涂于癣处非常奇妙。
【《圣惠方》】治疗癣湿瘙痒。用楮叶半斤细细切碎,捣烂敷于癣上。
【《经》】治疗五种疮癣。将韭根炒至存性,随即捣成末,用猪脂调匀外敷,三五次即可痊愈。
另一个方子 患癣疮。捣山豆根末,腊月猪脂调涂。
【罗天益】祛湿散治疗多年的湿癣,大有神效。
蚕砂(四两) 薄荷(半两)
以上研为细末,每次取不拘多少的量,直接干撒在疮上,或者用生油调搽。
【张子和】有一个十五岁的女子,大腿间湿癣长三四寸,向下延伸至膝盖,发作时瘙痒难忍,爬搔不止,热水烫洗和火烤都无法缓解。痒止后流出黄赤色液体,疼痛难以忍受。艾灸、熏蒸、洗涤,使用硫黄、茹草、白僵蚕、羊蹄根等药物,都没有效果。她的父母向戴人(张子和号)求医。
戴人说:“能听从我的话就能痊愈。”父母答应了。他用针磨得尖快,当患者感到瘙痒时,在癣上各刺一百多针,让血流出尽,然后用煎过的盐汤清洗。如此进行四次,大病才消除。这个方子没有全部告诉后人,担心被癣药所误,认为湿气淫溢于血中,不可不用砭石放血疗法了。
[Zhu Danxi] For treating tinea (fungal skin infection), use Fangfeng Tongsheng San (Wind-Protecting Universal Relief Decoction) removing Mangxiao (Mirabilite) and Dahuang (Rhubarb), adding Fuping (Marrubium/Houttuynia? Note: Usually refers to Lemna minor or similar floating plants, here kept as Fuping) and Zaojiaoci (Gleditsiae Spina).
Another prescription for treating tinea.
Fuping (1 liang), Can'er (Xanthium fruit), Cangzhu (Atractylodis Rhizoma, 2 liang), Kushen (Sophorae Flavescentis Radix, 1.5 liang), Huangqin (Scutellariae Radix, 0.5 liang), Xiangfu (Cyperi Rhizoma, 2.5 liang).
Grind the above into fine powder, take with wine, or make pills using wine paste.
[Luo Tianyi] Kushen Wan (Sophora Pill) is suitable for sores and tinea caused by lung toxicity and pathogenic heat.
Take only Kushen (Sophorae Flavescentis Radix), grind into fine powder, form pills with millet drink, size of wu-tou seeds (Cocculus orbiculatus seeds). Take 50 pills per dose, on an empty stomach with warm water.
[Bencao] Wutou Wan (Aconite Pill) is excellent for wind-tinea. (Prescription see under Zi Bai Dian Feng / Purple and White Vitiligo section.)
[Luo Tianyi] Heshouwu San (Polygoni Multiflori Powder) treats swelling caused by spleen and lung wind-toxicity, where whole-body tinea turns into urticaria (wind-weals), scratching leads to sores, shoulder and back stiffness, muscle numbness and hardness, cracking of hands and feet, wind attacking head and face causing sores, and also treats purpura, vitiligo, and stubborn numbness due to wind.
Jingjie Sui (Schizonepeta Spike), Manjingzi (Vitalba Seed), Weilingxian (Clematis Root), Heshouwu (Polygoni Multiflori Radix), Gancao (Licorice Root, roasted), Fangfeng (Saposhnikoviae Radix), E (likely a typo or specific local herb, retained as E), Cao (Herb, generic term, retained as Cao).
Equal parts of the above, crush and sieve into powder. Take 1 qian per dose, after meals with warm wine. Boiled water is also acceptable.
[Zhu Danxi] Tinea located between the neck and shoulders, spreading backwards to the ears becoming wet-tinea, unresponsive to other treatments. Use 1 liang of Lushen (Aloe) ground, mixed evenly with 0.5 liang of Gancao (Licorice) powder. First wash the tinea with warm sour rice water, wipe dry, then apply the medicine; it is miraculous. (Liu Yuxi's formula.)
Tinea sore formula: Jinpi Shu (Hibiscus bark), avoiding copper and iron. Take 2 liang, add 3 qian of Lushen (Aloe), 3 qian of Baiji (Bletillae Rhizoma), grind finely.
Scrape the tinea until bleeding occurs, mix with good vinegar and apply. Although painful, one application can cure it.
Another formula uses:
Lushen (Aloe), Dahuang (Rhubarb), Qingfen (Calomel), Xionghuang (Realgar), Chuangzi (Cnidii Fructus), Jinpi Shu (Hibiscus bark), Binglang (Areca Seed).
First scrape the tinea open, mix powder with vinegar and apply.
[Worldly/Popular Formula] Stubborn tinea. Use Jinpi Shu (Hibiscus bark) added with Badou (Croton Seed) and Banmao (Mylabris), grind into fine powder, add a little Sheng Pi (Arsenic), mix with water and apply.
[Worldly/Popular Formula] Treating psoriasis-like tinea. Use 1 liang of Qingxiang You (Clear Fragrance Oil), add 7 Quanxie (Scorpion), 20 Badou (Croton Seeds), 10 Banmao (Mylabris), boil together. When color becomes scorched, remove these ingredients first. Then add 1 qian of Huangla (Yellow Beeswax), wait until melted and store. Apply in the morning, cured by evening, without damaging skin or flesh.
Another formula
Lvli Gen (Green Hedge Root, amount unspecified), Huajiao (Zanthoxylum Fruit, 1 liang), Xinshi (Realgar/Arsenic mineral, small amount), Fangfeng (Saposhnikoviae Radix, 0.5 liang), Jiangzi (Croton Seed, 15 grains), Baiji (Bletillae Rhizoma, 0.5 liang), Baitu (Stemona Root, 0.5 liang), Bailian (Puerariae Lobatae Radix, 0.5 liang).
Grind each into powder, mix with Lvli Gen, pound while hot into a ball. Rub the medicine on the tinea, bathe after the pain subsides.
Another formula Single herb Lvli Gen (Green Hedge Root), remove coarse skin, take the fine inner bark close to the wood, pound into pulp, mix with vinegar and apply to tinea, immediate cure.
[Zhu Danxi] Dry tinea accumulates crusts over years, yellow fluid oozes when scratched, itching worsens during rainy weather. Use Yelangdu (Euphorbia fischeriana) powder to apply. (Taiping Shenghui Fang). Waitai Miyao uses 0.5 liang of Banmao (Mylabris), stir-fried and powdered, mixed with honey and applied.
[Bencao] Treating tinea. Crush Lilu (Veratrum nigrum) finely into powder, mix with raw oil and apply.
[Zhu Danxi] Treating chronic tinea and scabies not healing. Pound Yangti Gen (Rumex root), squeeze out juice, mix with a little Nifen (Calomel/Mercurous chloride) to form a paste, apply to affected area. Cured in 3-5 applications. If dry, mix with pig fat and apply. (Jianyao Jizhong Fang).
[Luo Tianyi] Baizhi Gao (Cnidius Ointment) treats dry tinea.
Diqingning (Bitumen/Pitch, 1 jin), Huangla (Yellow Beeswax, 0.5 jin), Xingren (Apricot Kernel, 45 grains, crushed), Puxiao (Niter/Saltpeter, one scoop).
Mix all in an iron vessel, use old ginger and 3 stalks of green onion white, stir in one direction 5-7 times, boil, filter to form ointment, apply to sores.
[Tujing] Take the white sap from branches of Chu (Paper Mulberry), apply to tinea; very effective.
[Shenghui Fang] Treating wet tinea itching. Cut 0.5 jin of Chu Ye (Paper Mulberry Leaf) finely, pound and apply to tinea.
[Jing] Treating five types of sores and tinea. Stir-fry Jiu Gen (Leek Root) until carbonized but retaining nature, grind immediately into powder, mix with pig fat and apply. Cured in 3-5 applications.
Another formula For tinea sores. Pound Shandougen (Sophorae Tonkinensis Radix) into powder, mix with pig fat from the twelfth lunar month and apply.
[Luo Tianyi] Qushi San (Dampness-Expelling Powder) treats long-standing wet tinea, highly effective.
Can Sha (Silkworm Excrement, 4 liang), Bohe (Mentha Herb, 0.5 liang).
Grind into fine powder. Use appropriate amount, sprinkle dry onto sores, or mix with raw oil and rub.
[Zhang Hezi] A fifteen-year-old girl had wet tinea between her thighs, extending three to four cun downwards to the knees. Itching was unbearable, scratching provided no relief, nor did hot water or fire. After itching subsided, yellow-red fluid flowed, and pain was intolerable. Moxibustion, fumigation, washing, and medicines like Liuhuang (Sulfur), Ru Cao (Agarwood?), Bai Jiangcan (Bombyx Batryticatus), and Yangti Gen (Rumex Root) were all ineffective. Her parents sought treatment from Dairen (Zhang Hezi's courtesy name).
Dairen said: "If you follow my words, you will be cured." The parents agreed. He sharpened needles, and when she felt itching, pricked over a hundred points on the tinea until blood drained completely, then washed with boiled salt water. Repeated four times, the major illness was eliminated. This method was not fully revealed to later generations, fearing misuse by those relying solely on topical tinea medicines. It emphasizes that dampness invading the blood cannot fail to require Bian Shi (stone needle) bloodletting therapy.