病源。人皮肤虚。为风邪所折。则起瘾疹。寒多则色赤。风多则色白。甚者痒痛。搔之
成疮。(出第二卷中)
深师疗风瘾疹或发疮。甚则胸急满。短气欲吐方。
茵芋(七分泰山者炙) 芎 乌头(炮) 防风 白蔹 干姜(各三分) 桂心(二
分)
上七味捣下筛为散。服半钱匕。日再。忌猪肉生葱。
又疗瘾疹烦满及血不止方。
取新湿马矢绞取汁。服二升。微者一升立愈。若干者水湿取汁。(并出第十卷中)
延年疗风疹痒闷。搔之汁出生疮。洗汤方。
苦参(一小斤) 漏芦根(一小斤) 枳实(五小两) 蒺藜(一小斤) 楮茎叶(一
小斤嫩者)
上五味切以清浆水二升。煮取一大升。以绵沾拭痒处。日八九度讫。以粉粉拭处瘥。
又枳实丸。主风热气发。冲头面热皮肤生风疹。瘙痒盛生疮。不能多食方。
枳实(炙) 蒺藜子 苦参(各六分) 人参(四分) 独活 天门冬(去心) 菌桂
(各三分) 白术(四分)
上八味捣筛。蜜和丸如梧子。一服十丸。用薄酒下。日二。加至十五丸。忌蒜热面鲤鱼
桃李雀肉生葱。(并出第十卷中)
又升麻犀角膏。疗诸热风毒瓦斯痒。冲出皮肤。搔即瘾疹赤起。兼有黄水出。后结为脓
窠疮。悉主之方。
升麻 犀角(屑) 白蔹 漏芦 枳实(炙) 连翘 生蛇衔草 干姜 芒硝(研汤成
下各
二两) 黄芩(三两) 栀子(二十枚擘) 蒴 根(四两) 玄参(三两)
上十三味切。以竹沥二升渍一宿。以成炼猪脂五升。煎令竹沥水气尽。绞去滓。纳芒硝
搅令凝膏成。用摩患处日五六度。益佳。(文仲同)
近效疗风热结疹。搔之汁出。痒不可忍方。
麻黄根(五两) 蛇床子(四两) 蒺藜子 矾石(各二两熬) 白粉(二小升)
上五味捣筛。生绢袋盛。痒即粉之。此方甚良。
【病因】人的皮肤虚弱,被风邪侵袭,就会起瘾疹(一种伴有瘙痒的皮肤病)。寒邪偏多则皮疹颜色发红,风邪偏多则皮疹颜色发白。病情严重的会出现又痒又痛,抓挠后会形成疮疡。(出自第二卷)
深师方治疗风邪引起的瘾疹或并发疮疡,严重时出现胸部紧迫胀满、呼吸短促想呕吐的症状。
茵芋(选用泰山产的七分,经炙烤处理) 川芎 乌头(炮制) 防风 白蔹 干姜(各三分) 桂心(二分)
以上七味药捣碎过筛制成散剂。每次服用半钱匕的量,每日两次。忌食猪肉、生葱。
又一方治疗瘾疹伴烦闷及出血不止。
取新鲜湿润的马粪,绞取汁液。服用二升。症状轻微的服用一升即可立即痊愈。如果是干燥的马粪,则加水湿润后绞取汁液。(均出自第十卷)
延年方治疗风疹瘙痒胸闷,抓挠后渗出液体并生疮的外洗汤剂。
苦参(一小斤) 漏芦根(一小斤) 枳实(五小两) 蒺藜(一小斤) 楮树茎叶(一小斤,选用嫩枝)
以上五味药切碎,用清浆水二升,煮取一大升。用棉布蘸取药液擦拭患处,每天八九次。结束后用粉剂扑在患处,病即痊愈。
又一方为枳实丸,主治风热之气上冲,导致头面部发热、皮肤生风疹,瘙痒剧烈而生疮,且不能多吃的情况。
枳实(炙烤) 蒺藜子 苦参(各六分) 人参(四分) 独活 天门冬(去心) 菌桂(各三分) 白术(四分)
以上八味药捣碎过筛,用蜂蜜调和制成梧桐子大小的丸剂。每次服用十丸,用薄酒送服,每日两次。可逐渐增加至十五丸。忌食蒜、热面、鲤鱼、桃李、雀肉、生葱。(均出自第十卷)
又一方为升麻犀角膏,治疗各种风热毒气瘙痒,冲出皮肤,抓挠后瘾疹发红,兼有黄水流出,后来结成脓窠疮的情况,全部主治。
升麻 犀角(锉碎) 白蔹 漏芦 枳实(炙烤) 连翘 生蛇衔草 干姜 芒硝(研细,待煎好时加入,各二两) 黄芩(三两) 栀子(二十枚,掰开) 蕨根(四两) 玄参(三两)
以上十三味药切碎,用竹沥二升浸泡一夜,再用经过炼制的猪脂五升,煎煮至竹沥水分蒸发尽,过滤去掉药渣,加入芒硝搅拌使其凝结成膏状。涂抹于患处,每天五六次,效果更佳。(文仲记载相同)
近效方治疗风热郁结引起的疹子,抓挠后渗出液体,瘙痒难忍。
麻黄根(五两) 蛇床子(四两) 蒺藜子 矾石(各二两,熬制) 白粉(二小升)
以上五味药捣碎过筛,装入生绢袋中。感到瘙痒时就扑撒此粉。此方疗效很好。
[Pathogenesis] When a person's skin is deficient, invasion by Wind pathogenic factors causes Urticaria (a skin condition characterized by itchy wheals). If Cold predominates, the rash appears red; if Wind predominates, the rash appears white. In severe cases, itching and pain occur, and scratching leads to the formation of sores. (From Volume II)
Shen Shi Formula for treating Wind-induced Urticaria or concurrent sores, where symptoms are severe with chest tightness and fullness, shortness of breath, and a desire to vomit:
Inyu (Caulis Corylopsis, seven fen from Mount Tai, processed by roasting) Xiong (Rhizoma Chuanxiong) Wutou (Radix Aconiti Lateralis Preparata, prepared) Fangfeng (Radix Saposhnikoviae) Bailian (Radix Belamcandae) Ganjiang (Rhizoma Zingiberis Preparatum), each three fen; Guixin (Cortex Cinnamomi), two fen.
The above seven herbs are crushed, sifted into powder. Take half a qianbi (a small measuring spoon) per dose, twice daily. Avoid pork and raw green onions.
Another formula for treating Urticaria accompanied by irritability, fullness, and uncontrolled bleeding:
Take fresh, moist horse manure, wring out the juice. Administer two sheng. For mild cases, one sheng cures immediately. If the manure is dry, add water to moisten it before wringing out the juice. (Both from Volume X)
Yan Nian Formula for external wash treating Wind Urticaria with itching and chest oppression, where scratching exudes fluid and forms sores:
Kushen (Radix Sophorae Flavescentis), one xiao jin; Loulu Gen (Radix Agrimoniae), one xiao jin; Zhishi (Fructus Aurantii Immaturus), five xiao liang; Jili (Fructus Tribuli); Chu Jing Ye (Folium et Caulis Broussonetiae Papyriferae, tender parts), one xiao jin.
The above five herbs are cut and boiled in Erqing Shui (fermented rice liquid) two sheng until reduced to one sheng. Dip cotton cloth in the decoction and wipe the itchy area. Do this eight to nine times daily. Afterward, apply powder to the affected area to heal.
Another formula, Zhishi Wan (Immature Bitter Orange Pill), primarily treats Wind-Heat Qi rushing upward, causing heat in the head and face, Wind Urticaria on the skin, severe itching leading to sores, and an inability to eat much:
Zhishi (Fructus Aurantii Immaturus, roasted) Jili Zi (Semen Tribuli) Kushen (Radix Sophorae Flavescentis), each six fen; Renshen (Radix Ginseng), four fen; Duhuo (Radix Angelicae Pubescentis) Tianmendong (Rhizoma Asparagi), each three fen; Baizhu (Rhizoma Atractylodis Macrocephalae), four fen.
The above eight herbs are crushed and sifted. Mix with honey to form pills the size of wu zi (wu berry seeds). Take ten pills per dose, washed down with thin wine, twice daily. The dosage can be increased to fifteen pills. Avoid garlic, hot noodles, carp, peaches, plums, sparrow meat, and raw green onions. (Both from Volume X)
Another formula, Shengma Xijiao Gao (Cimicifuga and Rhinoceros Horn Ointment), treats various Wind-Heat toxic heat causing itching that erupts through the skin. Scratching causes red Urticaria, accompanied by yellow discharge, which later crusts over into purulent scabs. It treats all such conditions:
Shengma (Rhizoma Cimicifugae) Xijiao (Cornu Rhinocerotis, shaved) Bailian (Radix Belamcandae) Loulu (Radix Agrimoniae) Zhishi (Fructus Aurantii Immaturus, roasted) Lianqiao (Fructus Forsythiae) Sheng She Xian Cao (Herba Siegesbeckiae Orientales) Ganjiang (Rhizoma Zingiberis Preparatum) Mangxiao (Natrii Sulfas, ground and added when decoction is ready), each two liang; Huangqin (Radix Scutellariae), three liang; Zhizi (Fructus Gardeniae), twenty fruits, split; Suo Gen (Radix Pteridis Multifidae), four liang; Xuanshen (Radix Scrophulariae), three liang.
The above thirteen herbs are cut. Soak in Zhu Li (Bamboo Juice) two sheng overnight. Add Cheng Lian Zhu Zhi (refined lard) five sheng. Boil until the moisture from the bamboo juice evaporates completely. Strain to remove dregs. Add Mangxiao and stir until it solidifies into an ointment. Rub onto the affected area five to six times daily for better results. (Same as recorded in Wen Zhong)
Jin Xiao Formula for treating Wind-Heat stagnation causing rashes, where scratching exudes fluid and itching is unbearable:
Mahuang Gen (Radix Ephedrae) Shechuangzi (Fructus Cnidii) Jili Zi (Semen Tribuli) Fanshi (Alumen), each two liang, calcined; Baifen (White Powder), two xiao sheng.
The above five herbs are crushed and sifted. Place in a raw silk bag. Apply the powder whenever itching occurs. This formula is very effective.