【方歌】秃疮风热化生虫，骚痒难堪却不疼，白痂如钱生发内，
宜服通圣擦膏灵。
【注】此证头生白痂，小者如豆，大者如钱，俗名钱癣，又名
肥疮，多生小儿头上，骚痒难堪，却不疼痛。日久延漫
成片，发焦脱落，即成秃疮，又名癞头疮，由胃经积热
生风而成。宜用防风通圣散料，醇酒浸焙为细末，每服
一钱或二钱，量其壮弱用之。食后白滚汤调下，服至头
上多汗为验。初起肥疮，宜擦肥油膏，用久则效。已成
秃疮者，先宜艾叶、鸽粪煎汤洗净疮痂；再用猪肉汤洗
之，随擦踯躅花油，以杀虫散风，虫死则痒止，风散则
发生，血潮则肌肤润，久擦甚效。
方剂：防风通圣散
组成：防风 当归
白芍（酒炒） 芒硝
大黄 连翘
桔梗 川芎
石膏（〔火段〕） 黄芩
薄荷 麻黄
滑石 荆芥
白术（土炒） 山栀子（各二钱五分）
甘草（生，二两）
共为末。
【方歌】防风通圣治秃疮，胃经积热致风伤。连翘栀子麻黄桔，
白术归芎滑石防，黄芩甘草石膏芍，薄荷荆芥并硝黄。
共末酒拌晒干碾，白汤调服发汗良。
又方：肥油膏
组成：番木鳖（六钱） 当归
藜芦（各五钱） 黄柏
苦参 杏仁
狼毒 白附子（各三钱）
鲤鱼胆（二个）
用香油十两，将前药入油内，熬至黑黄色，去渣，
加黄蜡一两二钱溶化尽，用布滤过罐收。每用少许，用
蓝布裹于手指，蘸油擦疮。
【方歌】肥油膏能治肥疮，散风杀虫长发强，黄柏苦参白附子，
番鳖狼毒杏仁良，藜芦当归鲤鱼胆，炸焦入蜡实奇方。
又方：踯躅花油方
组成：踯躅花根四两捣烂，用菜油一碗，炸枯去渣，加黄蜡少
许，布滤候冷。青布蘸擦，日用三次，毡帽戴之，勿令
见风。
【方歌】踯躅花油疗秃疮，驱虫止痒擦之良，躅踯花根研极烂，
菜油炸枯入蜡强。
【方歌】秃疮由风热化生虫所致，瘙痒难忍但不疼痛，头皮内生出如铜钱大小的白色痂皮，适宜服用通圣散并外擦灵膏。
【注】此证候表现为头部生出白色痂皮，小的如豆粒，大的如铜钱，俗称钱癣，又名肥疮，多发生于小儿头部，瘙痒难忍，但并不疼痛。日久蔓延成片，头发焦枯脱落，即形成秃疮，又名癞头疮，由胃经积热生风而成。适宜使用防风通圣散的药料，用纯酒浸泡焙干后研为细末，每次服用一钱或二钱，根据患者体质的强弱决定用量。饭后用白开水调服，以服药后头部多出汗作为见效的标志。初起阶段的肥疮，适宜涂抹肥油膏，长期使用则疗效显著。已成秃疮者，先用艾叶、鸽粪煎汤洗净疮痂；再用猪肉汤清洗，随后擦拭踯躅花油，以达到杀虫散风的目的，虫死则瘙痒停止，风散则头发再生，血行通畅则肌肤滋润，长期擦拭效果很好。
方剂：防风通圣散
组成：防风、当归、白芍（酒炒）、芒硝、大黄、连翘、桔梗、川芎、石膏（煅）、黄芩、薄荷、麻黄、滑石、荆芥、白术（土炒）、山栀子（各二钱五分）、甘草（生用，二两）
共研为细末。
【方歌】防风通圣散治疗秃疮，因胃经积热导致风邪侵袭。方中含连翘、栀子、麻黄、桔梗，白术、当归、川芎、滑石、防风，黄芩、甘草、石膏、白芍，以及薄荷、荆芥和芒硝、大黄。
共研为末，用酒拌和后晒干碾碎，用白开水调服，发汗效果良好。
又一方：肥油膏
组成：番木鳖（六钱）、当归、藜芦（各五钱）、黄柏、苦参、杏仁、狼毒、白附子（各三钱）、鲤鱼胆（二个）
用香油十两，将上述药物放入油中，熬至黑黄色，去渣，加入黄蜡一两二钱使其完全溶化，用布过滤后装入罐中保存。每次取少许，用蓝布包裹手指，蘸取药油擦拭患处。
【方歌】肥油膏能治疗肥疮，具有散风杀虫、促进头发生长的功效，方中含黄柏、苦参、白附子，番木鳖、狼毒、杏仁效果良好，还有藜芦、当归、鲤鱼胆，炸焦后加入黄蜡，确为奇妙之方。
又一方：踯躅花油方
组成：踯躅花根四两捣烂，用菜油一碗，炸至枯焦后去渣，加入少许黄蜡，用布过滤待冷却。用青布蘸取擦拭，每日三次，戴上毡帽，避免受风。
[Prescription Verse] Tuo Chuang (Scalp Ringworm/Tinea Capitis) is caused by wind-heat transforming into parasites; it causes unbearable itching but no pain. White crusts like coins appear within the hair. It is appropriate to take Tongsheng San and apply Ling Gao externally.
[Annotation] This condition presents with white crusts growing on the head, small ones like bean grains and large ones like coins. Colloquially known as Qian Xuan (Coin Ringworm), also named Fei Chuang (Greasy Scab), it mostly occurs on the heads of children. It causes unbearable itching but no pain. Over time, it spreads to form patches, causing hair to become brittle and fall out, resulting in Tuo Chuang (Bald Scalp), also known as Lai Tou Chuang (Leprous Head Scab). It is caused by accumulated heat in the Stomach Meridian generating wind. It is appropriate to use the ingredients of Fangfeng Tongsheng San, soak them in pure wine, bake until dry, and grind into a fine powder. Take one qian or two qians per dose, adjusted according to the patient's constitution. Mix with plain boiled water and take after meals. The sign of efficacy is excessive sweating on the head after taking the medicine. For early-stage Fei Chuang, it is appropriate to apply Fei You Gao; long-term use yields significant effects. For established Tuo Chuang, first wash the crusts clean with a decoction of Ai Ye (Artemisia argyi Leaf) and Ge Fen (Dove Droppings); then wash with pork broth, followed by applying Zhi Zhu Hua You (Rhododendron Flower Oil) to kill parasites and disperse wind. When parasites die, itching stops; when wind disperses, hair regenerates; when blood circulation flows, skin becomes moist. Long-term application is very effective.
Formula: Fangfeng Tongsheng San (Saposhnikovia Universal Relief Powder)
Ingredients: Fangfeng (Saposhnikoviae Radix), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba, stir-fried with wine), Mangxiao (Natrii Sulfas), Dahuang (Rhei Radix et Rhizoma), Lianqiao (Forsythiae Fructus), Jiegeng (Platycodonis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shigao (Gypsum Fibrosum, calcined), Huangqin (Scutellariae Radix), Bohe (Menthae Haplocalycis Herba), Mahuang (Ephedrae Herba), Huashi (Talcum), Jingjie (Schizonepetae Spica), Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried with soil), Shanzhizi (Gardeniae Fructus, each 2.5 qian), Gancao (Glycyrrhizae Radix et Rhizoma, raw, 2 liang).
Grind all into a fine powder.
[Prescription Verse] Fangfeng Tongsheng San treats Tuo Chuang, caused by wind injury due to accumulated heat in the Stomach Meridian. Contains Lianqiao, Zhizi, Mahuang, Jiegeng, Baizhu, Danggui, Chuanxiong, Huashi, Fangfeng, Huangqin, Gancao, Shigao, Baishao, Bohe, Jingjie, Mangxiao, and Dahuang.
Grind into powder, mix with wine, sun-dry, and crush. Take mixed with plain boiled water for effective diaphoresis.
Another Formula: Fei You Gao (Greasy Ointment)
Ingredients: Fan Mu Die (Strychni Semen, 6 qian), Danggui (Angelicae Sinensis Radix), Lilü (Veratri Nigrum Rhizoma, each 5 qian), Huangbai (Phellodendri Cortex), Kushen (Sophorae Flavescentis Radix), Xingren (Armeniacae Semen Amarum), Langdu (Stemonae Radix), Baifuzi (Typhonii Rhizoma, each 3 qian), Liyu Dan (Cyprini Carassii Vesica Uritiva, 2 pieces).
Use 10 liang of Sesame Oil. Place the aforementioned herbs in the oil and boil until black-yellow. Remove dregs, add 1.2 liang of Beeswax until fully melted, filter through cloth, and store in jars. Apply a small amount by wrapping blue cloth around the finger, dipping in the oil, and rubbing the lesion.
[Prescription Verse] Fei You Gao can treat Fei Chuang, dispersing wind, killing parasites, and strengthening hair growth. Contains Huangbai, Kushen, Baifuzi; Fan Mie, Langdu, and Xingren are excellent; along with Lilü, Danggui, and Liyu Dan. Fried until charred with added wax, it is truly a miraculous formula.
Another Formula: Zhi Zhu Hua You (Rhododendron Flower Oil)
Ingredients: Zhi Zhu Hua Gen (Rhododendri Mollis Radix, 4 liang), crushed. Use one bowl of Rapeseed Oil, fry until withered, remove dregs, add a little Beeswax, filter through cloth, and let cool. Dip green cloth in the oil to rub, three times daily. Wear a felt hat to avoid exposure to wind.
[Prescription Verse] Zhi Zhu Hua Oil treats Tuo Chuang; rubbing it effectively expels parasites and relieves itching. Grind Zhi Zhu Hua Gen extremely finely, fry in Rapeseed Oil until withered, and add wax for stronger potency.