【方歌】粟疮痒证属火生，风邪乘皮起粟形，风为火化能作痒，
通圣苦参及消风。
【注】凡诸疮作痒，皆属心火。火邪内郁，表虚之人，感受风
邪，袭入皮肤，风遇火化作痒，致起疮形如粟粒，其色
红，搔之愈痒，久而不瘥，亦能消耗血液，肤如蛇皮。
初服防风通圣散加枳壳、蝉蜕，血燥遇晚痒甚，夜不寐
者，宜服消风散，外敷二味拔毒散。若年深日久肤如蛇
皮者，宜常服皂角苦参丸，外用猪脂油二两，苦杏仁一
两捣泥，抹之自效。
方剂：皂角苦参丸
组成：苦参（一斤） 荆芥（十二两）
白芷 大风子肉
防风（各六两） 大皂角
川芎 当归
何首乌（生） 大胡麻
枸杞子 牛蒡子（炒）
威灵仙 全蝎
白附子 蒺藜（炒，去刺）
独活 川牛膝（各五两）
草乌（汤炮，去皮） 苍术（米泔水浸，炒）
连翘（去心） 天麻
蔓荆子 羌活
青风藤 甘草
杜仲（酥炙，各三两） 白花蛇（切片，酥油炙黄）
缩砂仁（炒，各二两） 人参（一两）
共研细末，醋打老米糊为丸，如梧桐子大。每服三
、四十丸，温酒食前后任下。避风忌口为要。
【方歌】皂角苦参粟疮痒，久似蛇皮肤难当，芎归何首胡麻芷，
大风枸杞草乌苍，翘蒡威灵蝎白附，蒺藜天麻独蔓羌，
白蛇风藤甘杜仲，人参牛膝缩荆防。
又方：防风通圣散（见头部秃疮）
消风散（见项部钮扣风）
二味拔毒散（见肿疡门）
【方歌】粟疮瘙痒的证候属于火邪所致，风邪侵袭皮肤导致出现如粟粒般的皮疹。风邪与火邪相合化热，从而引起瘙痒。治疗应选用防风通圣散、苦参以及消风散。
【注】凡是各种疮疡引起的瘙痒，都属于心火范畴。火邪在体内郁结，表虚之人感受风邪，风邪侵入皮肤，风遇火则化为痒感，导致皮肤出现如粟粒大小的疮形，颜色发红，搔抓后瘙痒加剧，若久治不愈，也会消耗血液，使皮肤变得像蛇皮一样粗糙。初期可服用加枳壳、蝉蜕的防风通圣散；若因血燥导致傍晚瘙痒加重、夜间失眠者，宜服用消风散，并外敷二味拔毒散。若病程长久，皮肤干燥如蛇皮者，宜常服皂角苦参丸，外用猪脂油二两、苦杏仁一两捣成泥状涂抹，自有疗效。
方剂：皂角苦参丸
组成：苦参（一斤）、荆芥（十二两）、白芷、大风子肉、防风（各六两）、大皂角、川芎、当归、何首乌（生用）、大胡麻、枸杞子、牛蒡子（炒制）、威灵仙、全蝎、白附子、蒺藜（炒制，去刺）、独活、川牛膝（各五两）、草乌（汤炮制，去皮）、苍术（米泔水浸泡，炒制）、连翘（去心）、天麻、蔓荆子、羌活、青风藤、甘草、杜仲（酥炙，各三两）、白花蛇（切片，酥油炙至黄色）、缩砂仁（炒制，各二两）、人参（一两）。
以上药材共研为细末，用醋和老米糊作为粘合剂制成丸药，大小如梧桐子。每次服用三四十丸，饭前或饭后用温酒送服均可。治疗期间需注意避风及饮食禁忌。
【方歌】皂角苦参丸治疗粟疮瘙痒，病程长久者皮肤干枯如蛇皮难以忍受。方中包含川芎、当归、何首乌、胡麻、白芷、大风子、枸杞子、草乌、苍术、连翘、牛蒡子、威灵仙、全蝎、白附子、蒺藜、天麻、独活、蔓荆子、羌活、白花蛇、青风藤、甘草、杜仲、人参、牛膝、缩砂仁、荆芥、防风。
[Prescription Verse] The syndrome of itching in millet-like sores (miliaria) belongs to fire pathogen. Wind pathogen invades the skin, causing lesions resembling millet grains. When wind transforms into fire, it causes itching. Treatment should involve Fangfeng Tongsheng San (Saposhnikovia Decoction for Unblocking the Exterior), Kushen (Sophorae Flavescentis Radix), and Xiaofeng San (Wind-Expelling Powder).
[Annotation] All itching caused by various sores is attributed to Heart Fire. When fire pathogen is internally constrained, individuals with deficient exterior are susceptible to wind pathogen invasion. Upon entering the skin, wind combines with fire to generate itching, resulting in sores resembling millet grains. These lesions are red; scratching exacerbates the itching. If left untreated for a long time, blood consumption occurs, leading to skin resembling snake skin. Initially, Fangfeng Tongsheng San (Saposhnikovia Decoction for Unblocking the Exterior) supplemented with Zhike (Aurantii Fructus) and Chantui (Cicadae Periostracum) may be taken. For cases where blood dryness causes intensified itching at dusk and insomnia at night, Xiaofeng San (Wind-Expelling Powder) is appropriate, applied externally with Erwei Baidu San (Two-Ingredient Antitoxic Powder). For chronic cases where the skin resembles snake skin, Zaogao Kushen Wan (Gleditsiae Sinensis and Sophora Pill) should be taken regularly. Externally, apply a mixture of pig lard (2 liang) and crushed bitter almonds (1 liang) for effective results.
Prescription: Zaogao Kushen Wan (Gleditsiae Sinensis and Sophora Pill)
Ingredients: Kushen (Sophorae Flavescentis Radix, 1 jin), Jingjie (Schizonepetae Herba, 12 liang), Baizhi (Angelicae Dahuricae Radix), Dafengzi Rou (Crotonis Semen Caruncula), Fangfeng (Saposhnikoviae Radix, 6 liang each), Da Zaogao (Gleditsiae Sinensis Fructus), Chuanxiong (Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Heshouwu Sheng (Polygoni Multiflori Radix, raw), Dahu Ma (Sesami Fructus), Gouqizi (Lycii Fructus), Niubangzi (Arctii Fructus, stir-fried), Weilingxian (Sinomenii Caulis), Quanxie (Scorpio), Baifuzi (Typhonii Rhizoma), Jili (Tribuli Fructus, stir-fried, thorns removed), Duohuo (Angelicae Pubescentis Radix), Chuan Niuxi (Achyranthis Bidentatae Radix, 5 liang each), Caowu (Aconiti Radix Praeparata, boiled and peeled), Cangzhu (Atractylodis Rhizoma, soaked in rice wash water and stir-fried), Lianqiao Forsythiae Fructus (heart removed), Tianma (Gastrodiae Rhizoma), Manjingzi (Vitalbae Fructus), Qianghuo (Notopterygii Rhizoma et Radix), Qingfengteng (Sinomenii Caulis), Gancao (Glycyrrhizae Radix et Rhizoma), Duzhong (Eucommiae Cortex, processed with su, 3 liang each), Baihua She (Bungarus multicinctus, sliced and fried with su oil until yellow), Suasharen (Amomi Fructus Rotundus, stir-fried, 2 liang each), Renshen (Ginseng Radix, 1 liang).
Grind all ingredients into fine powder. Use vinegar and old rice paste as binders to form pills the size of paulownia seeds. Take 30–40 pills per dose, administered before or after meals with warm wine. Avoid wind and adhere to dietary restrictions.
[Prescription Verse] Zaogao Kushen Wan treats millet sore itching; chronic cases present with difficult-to-bear snake-skin-like dryness. The formula contains Chuanxiong, Danggui, Heshouwu, Huma, Baizhi, Dafengzi, Gouqi, Caowu, Cangzhu, Lianqiao, Niubang, Weilingxian, Quanxie, Baifuzi, Jili, Tianma, Duohuo, Manjing, Qianghuo, Baihua She, Qingfengteng, Gancao, Duzhong, Renshen, Niuxi, Suasharen, Jingjie, and Fangfeng.
Other Prescriptions:
Fangfeng Tongsheng San (Saposhnikovia Decoction for Unblocking the Exterior) (See Section on Scalp Alopecia Areata)
Xiaofeng San (Wind-Expelling Powder) (See Section on Neck Button-like Wind)
Erwei Baidu San (Two-Ingredient Antitoxic Powder) (See Section on Ulcerative Diseases)