论曰风瘙痒者。表虚卫气不足。风邪乘之。血脉留滞。中外鼓作。变而生热。热则瘙痒
。久不瘥。淫邪散溢。搔之则成疮。
治遍身发痒如虫行。 本散方
本(去苗土) 蒺藜子(炒土角) 人参 白花蛇(酒浸去皮骨炙各三分) 枳壳(去
瓤麸
上八味。捣罗为细散。每服一钱匕。食后温酒或荆芥汤调下。
治脾肺风毒攻皮肤瘙痒。或生疮癣。威灵仙散方
威灵仙(去土) 防风(去叉) 羌活(去芦头) 甘草(炙各一两) 紫参(半两) 荆
芥穗(
上六味。捣罗为细散。每服二钱匕。蜜汤调下。不拘时。
治皮肤风痒。昼夜不止。五白散方
白附子(炮) 白僵蚕(炒) 白蒺藜(炒) 白藓皮(各一两) 白花蛇(酒浸去皮
骨炙三两)
上五味。捣罗为细散。每服一钱匕。空心临卧。温酒调下。
治风客皮肤。瘙痒麻痹。天麻丸方
天麻 附子(炮裂去皮脐) 芎 乌药 白附子(生用各一两) 荆芥穗(八两) 龙
脑(别研) 麝香(别研各一钱)
上八味。除别研外。捣罗为细末。拌匀炼蜜。丸如鸡头大。每服一丸。空心临卧温酒嚼
下。
治皮肤风痒。疮癣 麻。冷痹热毒痈疖。四生丸方
草乌头(半两) 白僵蚕 苦参 黑牵牛(各一两并生用)
上四味。捣罗为细末。酒煮面糊。丸如梧桐子大。每服十五丸。温酒下日三。
治风皮肤瘙痒麻痹。枳壳散方
枳壳(去瓤麸炒二两) 苦参 蒺藜子(炒去角) 蔓荆实(各一两)
上四味。为细散。每服二钱匕。温酒调下。不拘时。
治风瘙痒搔之成疮。荆芥散方。
荆芥穗 麻黄(去根节汤煮掠去沫焙) 羌活(去芦头) 独活(去芦头各等分)
上四味。捣罗为细散。每服二钱匕。腊茶或温酒调下。食后临卧服。
治风疮痒。搔之成疮。丹麦丸方
丹参 苦参 升麻(各一两) 黄芩(去黑心) 防风(去叉各半两) 枳壳(去瓤麸
炒) 乌
上七味。捣罗为细末。炼蜜丸如梧桐子大。每服三十丸。食后温浆水下。
治肺风皮肤瘙痒。或生瘾疹疥癣。苦参丸方
苦参(一斤) 白荚(去皮并子椎碎二斤以水一斗浸揉取浓汁滤去滓熬成膏)
上二味。捣苦参为细末。白荚膏和丸。如梧桐子大。每服三十丸。荆芥薄荷酒下。
治风瘙痒。枳壳汤方
枳壳(去瓤麸炒三两)
上一味。粗捣筛。每服三钱匕。水一盏。煎至七分。去滓温服。
治肺风热。皮肤疮癣瘙痒。秦艽丸方
秦艽 乌蛇(酒浸去皮骨炙) 苦参 升麻 枳壳(去瓤麸炒) 黄芩(去黑心) 防
风(去
上九味。捣罗为细末。炼蜜和丸。如梧桐子大。每服三十丸。食后以温浆水下。
治热毒风攻。遍体瘙痒瘾疹。皮肤 痹。肢节疼痛。大肠不利。天麻散方
天麻 防风(去叉) 羌活(去芦头) 甘菊花 杏仁(去皮尖双仁炒令黄各二两) 甘
草(
上六味。捣罗为散。每服三钱匕。空心蜜酒调下。日再服。
治风热皮肤瘙痒。瘾疹生疮。如水疥。或如粟粒。天门冬丸方
天门冬(去心焙二两) 枳壳(去瓤麸炒三两) 白术(锉) 人参(各一两半) 独
活(去芦
上六味。捣罗为末。炼蜜丸如梧桐子大。每食后米饮下三十丸。日二服。
治遍身疮疥。皮破肉痛。或瘙痒脓水。八味散涂傅方
蜀椒(去目) 吴茱萸(汤洗焙干炒) 青盐(研) 石硫黄(研) 腻粉(研) 白
僵蚕(炒)
上八味。捣研为散。猪胆汁调涂之。湿则干敷。
治风瘙痒如虫行。或 痹不仁。防风汤淋洗方
防风(去叉) 益母草 苦参(各三两) 蒺藜子(炒五两) 荆芥穗 蔓荆实 枳壳
(去瓤
上七味。粗捣筛。每用三两水一斗。煎至八升。乘热淋洗患处。
治风皮肤 麻。疼痛瘙痒。莽草汤淋洗方
莽草 本(去土) 桔梗(去芦头炒) 地榆 谷精草 生干地黄 枳壳(去瓤麸炒
各一
上八味。粗捣筛。每用三两水一斗。煎至八升。乘热淋患处。
论述:风瘙痒,是由于体表虚弱、卫气不足,风邪趁机侵袭,导致血脉运行不畅、停滞。气血在体内内外鼓动,郁而化热,热盛则引起皮肤瘙痒。若久治不愈,病邪扩散溢出,搔抓后便会形成疮疡。
治疗遍身发痒,感觉如虫爬行。本散方:
本(去除苗和泥土) 蒺藜子(炒至土黄色,去刺角) 人参 白花蛇(酒浸透,去皮骨,炙干,各三分) 枳壳(去瓤,麸炒)
以上八味药,捣碎过筛成细粉。每次服用一钱匕,饭后用温酒或荆芥汤调服。
治疗脾肺风毒攻注皮肤引起的瘙痒,或生疮癣。威灵仙散方:
威灵仙(去泥土) 防风(去叉枝) 羌活(去芦头) 甘草(炙干,各一两) 紫参(半两) 荆芥穗(适量)
以上六味药,捣碎过筛成细粉。每次服用二钱匕,用蜜水调服,不限时间。
治疗皮肤风痒,昼夜不停。五白散方:
白附子(炮制) 白僵蚕(炒) 白蒺藜(炒) 白鲜皮(各一两) 白花蛇(酒浸透,去皮骨,炙干,三两)
以上五味药,捣碎过筛成细粉。每次服用一钱匕,空腹及睡前用温酒调服。
治疗风邪客于皮肤,引起瘙痒、麻木。天麻丸方:
天麻 附子(炮裂,去皮脐) 川芎 乌药 白附子(生用,各一两) 荆芥穗(八两) 龙脑(单独研磨) 麝香(单独研磨,各一钱)
以上八味药,除龙脑和麝香单独研磨外,其余捣碎过筛成细末,拌匀后用炼蜜制成鸡头大小的丸药。每次服用一丸,空腹及睡前嚼服,温酒送下。
治疗皮肤风痒、疮癣麻木,冷痹,热毒痈疖。四生丸方:
草乌头(半两) 白僵蚕 苦参 黑牵牛(各一两,均生用)
以上四味药,捣碎过筛成细末,用酒煮面糊为丸,如梧桐子大。每次服用十五丸,温酒送下,每日三次。
治疗风邪致皮肤瘙痒、麻木。枳壳散方:
枳壳(去瓤,麸炒,二两) 苦参 蒺藜子(炒,去刺角) 蔓荆实(各一两)
以上四味药,制成细粉。每次服用二钱匕,温酒调服,不限时间。
治疗风瘙痒,搔抓后成疮。荆芥散方:
荆芥穗 麻黄(去根节,沸水煮掠去沫,焙干) 羌活(去芦头) 独活(去芦头,各等分)
以上四味药,捣碎过筛成细粉。每次服用二钱匕,用腊茶或温酒调服,饭后及睡前服用。
治疗风疮痒,搔抓后成疮。丹麦丸方:
丹参 苦参 升麻(各一两) 黄芩(去黑心) 防风(去叉枝,各半两) 枳壳(去瓤,麸炒) 乌梢蛇(适量)
以上七味药,捣碎过筛成细末,炼蜜为丸,如梧桐子大。每次服用三十丸,饭后用酸浆水送下。
治疗肺风引起的皮肤瘙痒,或生瘾疹、疥癣。苦参丸方:
苦参(一斤) 白蔹(去皮并子,捣碎,用水一斗浸泡揉搓取浓汁,滤去渣滓,熬成膏)
以上两味药,将苦参捣成细末,用白蔹膏调和制成丸药,如梧桐子大。每次服用三十丸,用荆芥薄荷酒送下。
治疗风瘙痒。枳壳汤方:
枳壳(去瓤,麸炒,三两)
以上一味药,粗捣筛过。每次服用三钱匕,加水一盏,煎至七分,去渣温服。
治疗肺风热,皮肤疮癣瘙痒。秦艽丸方:
秦艽 乌蛇(酒浸透,去皮骨,炙干) 苦参 升麻 枳壳(去瓤,麸炒) 黄芩(去黑心) 防风(去叉枝)
以上九味药,捣碎过筛成细末,炼蜜和丸,如梧桐子大。每次服用三十丸,饭后用温浆水送下。
治疗热毒风攻注,遍体瘙痒、瘾疹,皮肤麻木疼痛,肢节疼痛,大肠传导不利。天麻散方:
天麻 防风(去叉枝) 羌活(去芦头) 甘菊花 杏仁(去皮尖,双仁者炒至微黄,各二两) 甘草(适量)
以上六味药,捣碎过筛成散剂。每次服用三钱匕,空腹时用蜜酒调服,每日两次。
治疗风热致皮肤瘙痒,生瘾疹、疮疡,如水疱状,或如粟粒状。天门冬丸方:
天门冬(去心,焙干,二两) 枳壳(去瓤,麸炒,三两) 白术(锉碎) 人参(各一两半) 独活(去芦头,适量)
以上六味药,捣碎过筛成细末,炼蜜为丸,如梧桐子大。每次饭后用米饮送下三十丸,每日两次。
治疗遍身疮疥,皮破肉痛,或瘙痒流脓水。八味散涂敷方:
蜀椒(去目) 吴茱萸(汤洗,焙干,炒) 青盐(研细) 石硫黄(研细) 轻粉(研细) 白僵蚕(炒)
以上八味药,捣碎研磨成散剂,用猪胆汁调匀涂抹患处。干燥时直接干敷。
治疗风瘙痒如虫行,或肢体麻木不仁。防风汤淋洗方:
防风(去叉枝) 益母草 苦参(各三两) 蒺藜子(炒,五两) 荆芥穗 蔓荆实 枳壳(去瓤,适量)
以上七味药,粗捣筛过。每次取三两,加水一斗,煎至八升,趁热淋洗患处。
治疗风邪致皮肤麻木,疼痛瘙痒。莽草汤淋洗方:
莽草 本(去泥土) 桔梗(去芦头,炒) 地榆 谷精草 生干地黄 枳壳(去瓤,麸炒,各适量)
以上八味药,粗捣筛过。每次取三两,加水一斗,煎至八升,趁热淋洗患处。
Discussion: Wind-induced pruritus arises from exterior deficiency and insufficiency of Wei Qi (Defensive Qi), allowing Wind pathogen to invade. This leads to stagnation in the blood vessels, with internal and external qi stirring and generating heat. Heat causes itching. If not cured for a long time, the pathogenic factor spreads, and scratching results in sores.
Treatment for generalized itching, feeling as if insects are crawling. Ben San Powder:
Ben (Ligusticum sinense Rhizome) (remove seedlings and soil) Tribulus terrestris Fructus (Tribulus Fructus) (stir-fry until earthy yellow, remove spines) Ginseng Radix et Rhizoma (Ginseng Root) Daboia swinhonis (White Flower Snake) (soak in wine, remove skin and bones, roast, each 3 fen) Aurantii Fructus (Zhi Ke) (remove pith, stir-fry with bran).
The above eight herbs are crushed, sifted into fine powder. Take one qian bi per dose, mixed with warm wine or Jingjie Decoction after meals.
Treatment for itching caused by Spleen and Lung Wind-Toxin attacking the skin, or formation of sores and tinea. Weilingxian San Powder:
Clematis Radix et Rhizoma (Weilingxian) (remove soil) Saposhnikoviae Radix (Fangfeng) (remove forked branches) Notopterygii Rhizoma et Radix (Qianghuo) (remove rhizome head) Glycyrrhizae Radix et Rhizoma (Gancao) (roasted, each 1 liang) Scutellariae Barbatae Radix (Zishen) (0.5 liang) Schizonepetae Spica (Jingjiesui) (appropriate amount).
The above six herbs are crushed, sifted into fine powder. Take two qian bi per dose, mixed with honey water, at any time.
Treatment for wind-induced skin itching, unceasing day and night. Wu Bai San Powder:
Aconiti Kusnezoffii Radix Preparata (Baifuzi) (prepared) Bombyx Batryticatus (Baijiangcan) (stir-fried) Tribulus terrestris Fructus (Baijili) (stir-fried) Dictamni Cortex (Baixianpi) (each 1 liang) Daboia swinhonis (Baihuashe) (soak in wine, remove skin and bones, roast, 3 liang).
The above five herbs are crushed, sifted into fine powder. Take one qian bi per dose, mixed with warm wine on an empty stomach and before sleep.
Treatment for Wind pathogen lodging in the skin, causing itching and numbness. Tianma Wan Pill:
Gastrodiae Rhizoma (Tianma) Aconiti Lateralis Radix Preparata (Fuzi) (cracked by roasting, remove skin and navel) Ligustici Chuanxiong Rhizoma (Chuanxiong) Linderae Radix (Wuyao) Aconiti Kusnezoffii Radix Preparata (Baifuzi) (used raw, each 1 liang) Schizonepetae Spica (Jingjiesui) (8 liang) Borneolum Syntheticum (Longnao) (separately ground) Moschus (Shexiang) (separately ground, each 1 qian).
The above eight herbs, except Borneolum and Moschus which are separately ground, are crushed and sifted into fine powder. Mix well with refined honey and form pills the size of a chicken head. Take one pill per dose, chew and swallow with warm wine on an empty stomach and before sleep.
Treatment for skin wind itching, sore/tinea numbness, cold Bi syndrome, heat-toxin carbuncles and furuncles. Si Sheng Wan Pill:
Aconiti Radix (Caowutou) (0.5 liang) Bombyx Batryticatus (Baijiangcan) Sophorae Flavescentis Radix (Kushen) Pharbitidis Semen (Heiqianniu) (each 1 liang, all used raw).
The above four herbs are crushed and sifted into fine powder. Make pills using wine-boiled wheat paste, the size of Loropetalum chinense seeds. Take fifteen pills per dose, with warm wine, three times a day.
Treatment for wind-induced skin itching and numbness. Zhike San Powder:
Aurantii Fructus (Zhike) (remove pith, stir-fry with bran, 2 liang) Sophorae Flavescentis Radix (Kushen) Tribulus terrestris Fructus (Jili) (stir-fried, remove spines) Viticis Fructus (Manjingzi) (each 1 liang).
The above four herbs are made into fine powder. Take two qian bi per dose, mixed with warm wine, at any time.
Treatment for wind-induced pruritus that becomes sores upon scratching. Jingjie San Powder:
Schizonepetae Spica (Jingjiesui) Ephedrae Herba (Mahuang) (remove roots and nodes, boil in water, skim foam, dry) Notopterygii Rhizoma et Radix (Qianghuo) (remove rhizome head) Angelicae Pubescentis Radix (Duhuo) (remove rhizome head, equal parts).
The above four herbs are crushed, sifted into fine powder. Take two qian bi per dose, mixed with aged tea or warm wine, after meals and before sleep.
Treatment for wind sores and itching that become sores upon scratching. Danmai Wan Pill:
Salviae Miltiorrhizae Radix (Danshen) Sophorae Flavescentis Radix (Kushen) Cimicifugae Rhizoma (Shengma) (each 1 liang) Scutellariae Radix (Huangqin) (remove black heart) Saposhnikoviae Radix (Fangfeng) (remove forked branches, each 0.5 liang) Aurantii Fructus (Zhike) (remove pith, stir-fry with bran) Zaocys (Wushaoshe) (appropriate amount).
The above seven herbs are crushed and sifted into fine powder. Form pills with refined honey, the size of Loropetalum chinense seeds. Take thirty pills per dose, with sour plum water after meals.
Treatment for Lung Wind causing skin itching, or formation of urticaria, scabies, and tinea. Kushen Wan Pill:
Sophorae Flavescentis Radix (Kushen) (1 jin) Ampelopsis Radix (Bailian) (remove skin and seeds, crush, soak in 1 dou of water, rub to extract thick juice, filter dregs, boil into paste).
The above two ingredients: crush Sophorae Radix into fine powder, mix with Ampelopsis paste to form pills, the size of Loropetalum chinense seeds. Take thirty pills per dose, with Jingjie and Mentha wine.
Treatment for wind-induced pruritus. Zhike Tang Decoction:
Aurantii Fructus (Zhike) (remove pith, stir-fry with bran, 3 liang).
The above single herb is coarsely crushed and sieved. Take three qian bi per dose, add one zhan of water, decoct to 70%, strain, and take warm.
Treatment for Lung Wind-Heat, skin sores/tinea itching. Qinjiao Wan Pill:
Gentianae Macrophyllae Radix (Qinjiao) Zaocys (Wushe) (soak in wine, remove skin and bones, roast) Sophorae Flavescentis Radix (Kushen) Cimicifugae Rhizoma (Shengma) Aurantii Fructus (Zhike) (remove pith, stir-fry with bran) Scutellariae Radix (Huangqin) (remove black heart) Saposhnikoviae Radix (Fangfeng) (remove forked branches).
The above nine herbs are crushed, sifted into fine powder. Form pills with refined honey, the size of Loropetalum chinense seeds. Take thirty pills per dose, with warm sour plum water after meals.
Treatment for heat-toxin Wind attacking, generalized itching and urticaria, skin numbness and pain, joint pain, and intestinal dysfunction. Tianma San Powder:
Gastrodiae Rhizoma (Tianma) Saposhnikoviae Radix (Fangfeng) (remove forked branches) Notopterygii Rhizoma et Radix (Qianghuo) (remove rhizome head) Chrysanthemi Flos (Ganjuhua) Armeniacae Semen Amarum (Xingren) (remove skins and tips, double-kernel ones stir-fried until yellow, each 2 liang) Glycyrrhizae Radix et Rhizoma (Gancao) (appropriate amount).
The above six herbs are crushed and sifted into powder. Take three qian bi per dose, mixed with honey wine on an empty stomach, twice a day.
Treatment for Wind-Heat causing skin itching, urticaria, sores resembling water blisters or millet grains. Tianmendong Wan Pill:
Asparagi Radix (Tianmendong) (remove heart, dry, 2 liang) Aurantii Fructus (Zhike) (remove pith, stir-fry with bran, 3 liang) Atractylodis Macrocephalae Rhizoma (Baizhu) (cut) Ginseng Radix et Rhizoma (Renshen) (each 1.5 liang) Angelicae Pubescentis Radix (Duhuo) (remove rhizome head, appropriate amount).
The above six herbs are crushed and sifted into fine powder. Form pills with refined honey, the size of Loropetalum chinense seeds. Take thirty pills after each meal with rice drink, twice a day.
Treatment for generalized scabies, broken skin with pain, or itching with pus. Ba Wei San Topical Powder:
Sichuan Pepper Fruit (Shujiao) (remove eyes) Evodiae Fructus (Wuzhuyu) (wash in hot water, dry, stir-fry) Cyanum (Qingyan) (grind) Realgar (Shiliuhuang) (grind) Calomelas (Nifen) (grind) Bombyx Batryticatus (Baijiangcan) (stir-fried).
The above eight herbs are crushed and ground into powder. Mix with pig bile to apply to the affected area. Apply dry powder if the area is dry.
Treatment for wind-induced pruritus like insect crawling, or limb numbness and insensitivity. Fangfeng Tang Wash Decoction:
Saposhnikoviae Radix (Fangfeng) (remove forked branches) Leonuri Herba (Yimucao) Sophorae Flavescentis Radix (Kushen) (each 3 liang) Tribulus terrestris Fructus (Jili) (stir-fried, 5 liang) Schizonepetae Spica (Jingjiesui) Viticis Fructus (Manjingzi) Aurantii Fructus (Zhike) (remove pith, appropriate amount).
The above seven herbs are coarsely crushed and sieved. Use 3 liang per dose with 1 dou of water, decoct to 8 sheng. Wash the affected area while hot.
Treatment for wind-induced skin numbness, pain, and itching. Mangcao Tang Wash Decoction:
Ma Cao (Mangcao) Ligusticum sinense Rhizome (Ben) (remove soil) Platycodonis Radix (Jiegeng) (remove rhizome head, stir-fry) Sanguisorbae Radix (Diyu) Eriocauli Flos (Gujingcao) Rehmanniae Radix Recens (Shengdihuang) Aurantii Fructus (Zhike) (remove pith, stir-fry with bran, each appropriate amount).
The above eight herbs are coarsely crushed and sieved. Use 3 liang per dose with 1 dou of water, decoct to 8 sheng. Wash the affected area while hot.