一方∶寒水石、石膏、黄柏、甘草为末,芭蕉汁调敷。
一方∶大黄、朴硝、土蜂窝为末,水调敷。
一方∶伏龙肝(一钱)、豆豉(五分)为末,麻油调敷。
一方∶赤豆为末,鸡蛋清调敷。
一方∶慎火草捣烂敷,干则易,鲜者佳。(慎火草一名挂壁青,人家多栽于房上,则隔火。)
《巢氏病源》云∶有干癣、湿癣、白癣、顽癣,诸候皆因风热,邪客于腠理,复值邪气
与血气相搏,发为此
疾,皮肉瘾疹如钱文,渐渐增长,或圆或斜,有匡廓,痒痛不一,匡内生虫,搔痒出汁,
久久延及遍身,则成顽痹,故为顽癣。
除癣汤
防风 白芷 连翘 黄连 柴胡 甘草 蝉蜕 当归 生地黄 赤芍药(各等分)
上水二钟,加葱白三寸,煎八分,食远温服,出汗。
除湿散 治一切风癣,状如顽癞。
苦参 何首乌 荆芥穗 蔓荆子 薄荷(各一两) 白芷 天麻 川芎 防风(并生用)
乌蛇(酒浸一宿,焙。各半两)
为细末,每服三钱,茶酒调下,不拘时。日进三服,五日一治,令汗出,血气宣通,
一月肤泽如故。
苦参丸 治遍身搔痒、癣疥疮疡。
苦参(四两) 玄参 黄连 大黄 独活 枳壳 防风(各二两) 黄芩 栀子 菊花(各一两)
上为末,炼蜜丸,梧桐子大。食后茶酒任下三十丸,日三服。
一扫散 治癣疥。
防风 荆芥 苦参 地骨皮 薄荷(各等分) 甘草(减半)
上为细末,炼蜜丸,梧桐子大。每服五七十丸,半饥茶清送下。或为散,蜜水调三钱,
不过三五服,净。
八宝散 治一切风癣、干癣、湿癣神效。
水银(七分) 枯矾(三分) 蝎梢(一枚) 大风子(五枚) 胡粉 雄黄 硫黄 槟榔
(各五分)
上为末,同大风子一处研如泥,再加陈猪油调。要先用羊蹄根和盐醋捶之,擦破,然后以此
药搽上,一日一次,不过三次愈。
独圣散 治一切癣疮如钱如豆者,即以此药神效。
斑蝥(二三枚,去翅足浸醋内,用针刺,于灯上烧,存性为末,醋调如妮,以手略
爪动搽上药,一时起泡出汗而愈,永不再发。)
一方∶用好锻石调碱水搽上妙,只一次而愈。
一方:将寒水石、石膏、黄柏、甘草研磨成粉末,用芭蕉汁调和后外敷。
另一方:取伏龙肝(一钱)、豆豉(五分)研磨成粉末,用麻油调和后外敷。
另一方:将慎火草捣烂后外敷,干燥则更换,新鲜的更好。(慎火草又名挂壁青,人们多将其种植在屋顶上,以起到隔火的作用。)
《巢氏病源》记载:有干癣、湿癣、白癣、顽癣,这些病症的候象皆因风热之邪,邪气客居在腠理(皮肤纹理与肌肉间隙),又恰逢邪气与血气相互搏结,从而引发此疾。皮损表现为瘾疹(皮肤上出现的红色或苍白色小疙瘩),形状如铜钱纹路,逐渐扩大,形态或圆或斜,边缘清晰,瘙痒疼痛程度不一,病灶内部似有虫生,搔抓后渗出汁液,日久蔓延至全身,则形成顽痹,因此称为顽癣。
除癣汤
药物组成:防风、白芷、连翘、黄连、柴胡、甘草、蝉蜕、当归、生地黄、赤芍药(各等分)。
煎服法:取水二钟,加入葱白三寸,煎煮至剩余八分,饭后稍远时温服,以出汗为度。
除湿散 治疗一切风癣,症状状如顽癞。
药物组成:苦参、何首乌、荆芥穗、蔓荆子、薄荷(各一两);白芷、天麻、川芎、防风(均生用);乌蛇(酒浸一夜,焙干,半两)。
用法:研为细末,每次服用三钱,用茶或酒调服,不限时间。每日进服三次,每五日治疗一次,令患者出汗,使血气宣通,一个月后皮肤光泽恢复如初。
苦参丸 治疗遍身瘙痒、癣疥疮疡。
药物组成:苦参(四两);玄参、黄连、大黄、独活、枳壳、防风(各二两);黄芩、栀子、菊花(各一两)。
用法:研为细末,炼蜜为丸,大小如梧桐子。饭后用茶或酒送服三十丸,每日三次。
一扫散 治疗癣疥。
药物组成:防风、荆芥、苦参、地骨皮、薄荷(各等分);甘草(减半量)。
用法:研为细末,炼蜜为丸,大小如梧桐子。每次服用五七十丸,在半饥状态下用浓茶送下。或者制成散剂,用蜜水调服三钱,不超过三五次即可痊愈。
八宝散 治疗一切风癣、干癣、湿癣,神效。
药物组成:水银(七分);枯矾(三分);蝎梢(一枚);大风子(五枚);胡粉、雄黄、硫黄、槟榔(各五分)。
用法:研为细末,与大风子一同研磨成泥状,再加入陈年猪油调和。使用前先用羊蹄根加盐和醋捶打患处,擦破皮肤,然后将此药涂抹其上,一日一次,不超过三次即可痊愈。
独圣散 治疗一切癣疮,形状如钱如豆者,以此药神效。
药物组成:斑蝥(二三枚,去除翅足,浸泡在醋中,用针刺,在灯上烧存性,研为细末,醋调如泥状)。
用法:用手轻轻抓动涂药部位,一时许起泡出汗而愈,永不复发。
另一方:用好锻石调碱水涂抹,效果极佳,仅一次即可痊愈。
One prescription: Grind Hanyanshi (Calcitum, 寒水石), Shigao (Gypsum Fibrosum, 石膏), Huangbai (Phellodendri Cortex, 黄柏), and Gancao (Glycyrrhizae Radix et Rhizoma, 甘草) into powder. Mix with juice of Musa basjoo (Bajiao, 芭蕉) and apply externally.
Another prescription: Grind Dahuang (Rhei Radix et Rhizoma, 大黄), Puxiao (Natrii Sulfas, 朴硝), and Tu Fengwo (Hymenopteri Nidus, 土蜂窝) into powder. Mix with water and apply externally.
Another prescription: Take Fulonggan (Caulis Longii Praeparatus, 伏龙肝) (1 qian) and Douchi (Sojae Semen Praeparatum, 豆豉) (5 fen). Grind into powder, mix with Sesame Oil (MAYOU, 麻油), and apply externally.
Another prescription: Grind Chidou (Vigna angularis, 赤豆) into powder. Mix with albumen ovi (Jidanqing, 鸡蛋清) and apply externally.
Another prescription: Mash Shenhuocao (Herba Siegesbeckiae, 慎火草) and apply. Replace when dry; fresh material is preferred. (Shenhuocao is also known as Guabi Qing; people often plant it on roofs to provide fire insulation.)
The *Chaoshi Bingyuan* (Source Book of Diseases and Syndromes by Chao Yuanfang) states: There are Dry Tinea (Gan Xuan), Damp Tinea (Shi Xuan), White Tinea (Bai Xuan), and Stubborn Tinea (Wan Xuan). The manifestations of these conditions arise from Wind-Heat pathogenic factors lodging in the Couli (interstices of skin and muscle). When pathogenic factors contend with Qi and Blood, this disease develops. Skin eruptions appear like coin patterns, gradually expanding, either round or oblique, with distinct borders. Itching and pain vary. Parasites seem to breed within the borders. Scratching exudes fluid. Over time, it spreads over the whole body, forming stubborn Bi obstruction, hence named Wan Xuan.
Chu Xuan Tang (Tinea-Removing Decoction)
Ingredients: Fangfeng (Saposhnikoviae Radix, 防风), Baizhi (Angelicae Dahuricae Radix, 白芷), Lianqiao (Forsythiae Fructus, 连翘), Huanglian (Coptidis Rhizoma, 黄连), Chaihu (Bupleuri Radix, 柴胡), Gancao (Glycyrrhizae Radix et Rhizoma, 甘草), Chantui (Cicadae Periostracum, 蝉蜕), Danggui (Angelicae Sinensis Radix, 当归), Shengdihuang (Rehmanniae Radix, 生地黄), Chi Shaoyao (Paeoniae Radix Rubra, 赤芍药) (equal parts).
Preparation and Administration: Add three cun of Congbai (Allii Fistulosi Bulbus, 葱白) to two zhong of water. Decoct until eight fen remains. Take warm after meals, aiming for sweating.
Chushi San (Dampness-Removing Powder)
Indication: Treats all types of Wind Tinea, resembling stubborn leprosy.
Ingredients: Kushen (Sophorae Flavescentis Radix, 苦参), Heshouwu (Polygoni Multiflori Radix, 何首乌), Jingjie Sui (Schizonepetae Spica, 荆芥穗), Manjingzi (Vittariae Semen, 蔓荆子), Bohe (Menthae Haplocalycis Herba, 薄荷) (each 1 liang); Baizhi (Angelicae Dahuricae Radix, 白芷), Tianma (Gastrodiae Rhizoma, 天麻), Chuanxiong (Ligustici Chuanxiong Rhizoma, 川芎), Fangfeng (Saposhnikoviae Radix, 防风) (all used raw); Wushe (Agkistrodon, 乌蛇) (soaked in wine overnight, dried, 0.5 liang).
Preparation and Administration: Grind into fine powder. Take 3 qian each time, mixed with tea or wine, at any time. Take three times daily. Treat once every five days, inducing sweating to promote the circulation of Qi and Blood. Within one month, skin luster will return to normal.
Kushen Wan (Sophora Pill)
Indication: Treats generalized itching, tinea, scabies, and sores.
Ingredients: Kushen (Sophorae Flavescentis Radix, 苦参) (4 liang); Xuanshen (Scrophulariae Radix, 玄参), Huanglian (Coptidis Rhizoma, 黄连), Dahuang (Rhei Radix et Rhizoma, 大黄), Duohuo (Angelicae Pubescentis Radix, 独活), Zhiqiao (Aurantii Fructus, 枳壳), Fangfeng (Saposhnikoviae Radix, 防风) (each 2 liang); Huangqin (Scutellariae Radix, 黄芩), Zhizi (Gardeniae Fructus, 栀子), Juhua (Chrysanthemi Flos, 菊花) (each 1 liang).
Preparation and Administration: Grind into powder. Form pills with refined honey, size of Sophora seeds. Take 30 pills after meals with tea or wine, three times daily.
Yi Sao San (One-Sweep Powder)
Indication: Treats tinea and scabies.
Ingredients: Fangfeng (Saposhnikoviae Radix, 防风), Jingjie (Schizonepetae Herba, 荆芥), Kushen (Sophorae Flavescentis Radix, 苦参), Digupi (Lycii Cortex, 地骨皮), Bohe (Menthae Haplocalycis Herba, 薄荷) (equal parts); Gancao (Glycyrrhizae Radix et Rhizoma, 甘草) (half dose).
Preparation and Administration: Grind into fine powder. Form pills with refined honey, size of Sophora seeds. Take 50-70 pills with strong tea when slightly hungry. Alternatively, use as a powder: take 3 qian mixed with honey water. Cure within 3-5 doses.
Ba Bao San (Eight-Treasure Powder)
Indication: Highly effective for all Wind Tinea, Dry Tinea, and Damp Tinea.
Ingredients: Shuiyin (Hydrargyrum, 水银) (7 fen); Kufan (Alumen Exsiccatum, 枯矾); Xieshao (Scorpio, 蝎梢) (1 piece); Dafengzi (Crotonis Fructus, 大风子) (5 pieces); Hufen (Plumbum Subacetate, 胡粉); Xionghuang (Realgar, 雄黄); Liuhuang (Sulfur, 硫黄); Binglang (Arecae Semen, 槟榔) (each 5 fen).
Preparation and Administration: Grind into powder. Grind together with Dafengzi until paste-like. Mix with aged pork fat. Before application, pound Yangti Gen (Radix Aconiti Kusnezoffii? Note: Text says Yangti, usually Rumex crispus root in external contexts) with salt and vinegar on the lesion until broken. Apply this medicine once daily. Cure within no more than three applications.
Du Sheng San (Unique Holy Powder)
Indication: Highly effective for all tinea sores shaped like coins or beans.
Ingredients: Banmao (Mylabris, 斑蝥) (2-3 pieces, remove wings and feet, soak in vinegar, prick with needle, burn over lamp to retain efficacy, grind into powder, mix with vinegar to form paste).
Usage: Gently scratch the applied area with fingers. Blisters will form, sweat will be released, and cure will occur without recurrence.
Another prescription: Use high-quality Duanshi (Calculated Lime, 锻石) mixed with alkaline water for application. Excellent effect; cure in one application.