【方歌】翻花疮因溃后生，头大蒂小努菌形，虽无痛痒触流血，
血燥肝虚怒气成。
【注】此证因生疮溃后，努肉自疮口突出，其状如菌，头大蒂
小，愈努愈翻，虽不大痛、大痒，误有触损，流血不住
，久则亏虚。总由肝虚、怒气血燥而成。宜服逍遥散，
外用乌梅〔火段〕灰、轻粉各等分，研末撒之；或马齿
苋〔火段〕灰，猪脂调敷俱效。
方剂：逍遥散（见背部上搭手）
【方歌】血风疮证生遍身，粟形搔痒脂水淫，肝肺脾经风湿热，
久郁燥痒抓血津。
【注】此证由肝、脾二经湿热，外受风邪，袭于皮肤，郁于肺
经，致遍身生疮。形如粟米，搔痒无度，抓破时，津脂
水浸淫成片，令人烦躁、口渴、搔痒，日轻夜甚。宜服
消风散，外敷雄黄解毒散。若日久风邪郁在肌肤，则耗
血生火，搔痒倍增，夜不得寐，挠破津血，心烦，大便
燥秘，咽干不渴，此属火燥血短。宜服地黄饮，外擦黄
连膏、润肌膏，合而用之悉效。兼忌椒、酒、鸡、鹅、
动风等物。
方剂：雄黄解毒散
组成：雄黄 寒水石（〔火段〕，各一两）
白矾（生，四两）
共研细末，滚水调敷。
【方歌】雄黄解毒寒水石，白矾四两共研之，血风疮生粟米痒，
滚水调敷渗毒湿。
又方：地黄饮
组成：生地 熟地
何首乌（生，各三钱） 当归（二钱）
丹皮 黑参
白蒺藜（炒，去刺） 僵蚕（炒，各一钱五分）
红花 甘草（生，各五分）
水煎，早、晚服。
【方歌】地黄饮治血风疮，痒盛不眠血燥伤，首乌丹皮生熟地，
黑参归蒺草红僵。
又方：消风散（见项部钮扣风）
黄连膏（见鼻部鼻疮）
润肌膏（见头部白屑风）
【方歌】翻花疮是由于疮疡溃烂后产生的，疮头大、蒂小，形状像突出的菌类，虽然不痛也不痒，但触碰后会出血，这是由于血燥和肝虚以及怒气郁结所致。
【注】这种病症是因为生疮溃烂后，赘肉从疮口突出，形状像菌类，头大蒂小，越突出越翻卷，虽然不是很痛、很痒，但如果误触损伤，血流不止，时间久了会导致身体亏虚。总归是由肝虚、怒气导致气血燥结而成。适宜服用逍遥散，外用将乌梅烧成灰、轻粉各等分，研成细末撒在患处；或者将马齿苋烧成灰，用猪脂调和敷贴也有效。
方剂：逍遥散（见背部上搭手章节）
【方歌】血风疮的症状遍布全身，形态像粟米，瘙痒剧烈且有脂水渗出，病机涉及肝、肺、脾三经的风湿热邪，日久郁结导致燥痒，抓破后流出血津。
【注】此证由肝、脾两经的湿热，外受风邪侵袭皮肤，郁滞于肺经，导致遍身生疮。形态如粟米，瘙痒无度，抓破时，津液和脂水浸淫成片，令人烦躁、口渴、瘙痒，白天较轻夜间加重。适宜服用消风散，外敷雄黄解毒散。如果日久风邪郁滞在肌肤，则会耗伤血液产生内火，瘙痒倍增，夜晚无法入睡，挠破后流出津血，心烦，大便干燥秘结，咽干但不渴，这属于火燥血短（阴血不足）。适宜服用地黄饮，外擦黄连膏、润肌膏，配合使用都有效。同时忌食花椒、酒、鸡、鹅及动风的食物。
方剂：雄黄解毒散
组成：雄黄 寒水石（烧红后冷却，各一两）
白矾（生用，四两）
共研成细末，用滚开水调匀敷贴。
【方歌】雄黄解毒散含寒水石，白矾四两共同研磨，治疗血风疮如粟米般瘙痒，用滚开水调敷以渗泄毒湿。
又一方：地黄饮
组成：生地 熟地
何首乌（生用，各三钱） 当归（二钱）
丹皮 黑参
白蒺藜（炒制，去刺） 僵蚕（炒制，各一钱五分）
红花 甘草（生用，各五分）
用水煎煮，早晚服用。
【方歌】地黄饮治疗血风疮，针对瘙痒严重失眠且血燥受损的情况，包含首乌、丹皮、生地、熟地，以及黑参、当归、蒺藜、甘草、红花、僵蚕。
又一方：消风散（见项部钮扣风章节）
黄连膏（见鼻部鼻疮章节）
润肌膏（见头部白屑风章节）
[Formula Song] Fan Hua Chuang (Flower-like Ulcer) arises after the ulceration of sores; it has a large head and small stalk, resembling a protruding mushroom. Although painless and non-itchy, it bleeds upon touch. It is caused by blood dryness, liver deficiency, and anger-induced stagnation.
[Note] This condition occurs when granulation tissue protrudes from the ulcerated sore after the initial wound breaks down, taking on a mushroom-like shape with a large head and narrow base. The more it protrudes, the more it everts. Although not severely painful or itchy, accidental contact causes persistent bleeding, leading to deficiency over time. The root cause lies in liver deficiency and qi-blood dryness induced by anger. It is advisable to take Xiaoyao San (Free and Easy Wanderer Powder). Externally, apply equal parts of charcoal made from smoked sour plums (Wumei) and calomel (Qingfen), ground into powder and sprinkled on the lesion; alternatively, applying charcoal made from purslane (Maxianxian) mixed with lard is also effective.
Formula: Xiaoyao San (See "Upper Hand-on Back" section for the back).
[Formula Song] Xue Feng Chuang (Blood Wind Eczema) manifests all over the body; lesions resemble millet grains, accompanied by intense itching and oozing of serous fluid. It involves wind-damp-heat affecting the Liver, Lung, and Spleen meridians. Prolonged stagnation leads to dryness and itching, resulting in bloody exudate upon scratching.
[Note] This syndrome results from damp-heat in the Liver and Spleen meridians, compounded by external wind pathogens invading the skin and stagnating in the Lung meridian, causing widespread sores. The lesions resemble millet grains, with unbearable itching. Upon scratching, serous fluids and lipids ooze out, forming patches that cause irritability, thirst, and intensified itching, which is milder during the day and worse at night. It is advisable to take Xiaofeng San (Wind-Expelling Powder) and externally apply Xionghuang Jiedu San (Realgar Antidote Powder). If wind pathogens remain stagnant in the skin for a long time, they consume blood and generate fire, doubling the itching, causing insomnia, and leading to bloody exudate upon scratching. Symptoms include mental restlessness, dry constipation, dry throat without thirst, indicating fire-dryness and blood insufficiency. It is advisable to take Dihuang Yin (Rehmannia Decoction) and externally apply Huanglian Gao (Coptis Ointment) and Runji Gao (Moisturizing Muscle Ointment); combined use is effective. Avoid consuming chili peppers, alcohol, chicken, goose, and other foods that stir up wind.
Formula: Xionghuang Jiedu San
Composition: Realgar (Xionghuang), Calcined Aragonite (Hanshuishi - calcined until red-hot and cooled, one liang each); Alum (Baifan - raw, four liang).
Grind into fine powder, mix with boiling water, and apply externally.
[Formula Song] Xionghuang Jiedu San contains calcined aragonite and four liang of alum ground together; for Xue Feng Chuang with millet-grain-like itching, apply with boiling water to drain toxins and dampness.
Another Formula: Dihuang Yin
Composition: Raw Rehmania Root (Shengdihuang), Prepared Rehmania Root (Shoudihuang); Raw Polygonum Multiflorum (Sheng Heshouwu, three qian each), Angelica Sinensis (Danggui, two qian); Moutan Bark (Danpi), Black Ginseng (Heishen); Stir-fried Tribulus Terrestris (Chao Baijili, de-spined), Stir-fried Bombyx Batryticatus (Chao Jiangcan, one qian five fen each); Safflower (Honghua), Raw Licorice Root (Sheng Gancao, five fen each).
Decoct in water and take morning and evening.
[Formula Song] Dihuang Yin treats Xue Feng Chuang, addressing severe itching, insomnia, and blood dryness injury; it includes Heshouwu, Danpi, Shengdihuang, Shoudihuang, Heishen, Danggui, Baijili, Gancao, Honghua, and Jiangcan.
Another Formula: Xiaofeng San (See "Button Wind on Neck" section for the neck).
Huanglian Gao (See "Nasal Sores" section for the nose).
Runji Gao (See "White Dandruff Wind on Head" section for the head).