汗出中邪风,状类豆瓣扁 形,日痒秦艽汤宜服,夜重当归饮服宁。
【注】此证俗名鬼饭疙瘩。由汗出受风。或露卧乘凉,风邪多中表虚之人,初起皮肤
作痒,次发扁疙瘩,形如豆瓣,堆累成片。日痒甚者,宜服秦艽牛蒡汤;夜痒重者,宜
当归饮子服之。外用烧酒浸百部,以蓝布蘸酒擦之,谨避风凉自效。
\r 图\p04-34a255.bmp\r
秦艽牛蒡汤
秦艽(一钱五分) 牛蒡子(炒,研) 枳壳(麸炒) 麻黄(蜜炙) 犀角(镑) 黄
芩防风 甘草(生) 黑参 升麻(各一钱)
水二盅,煎八分服。
【方歌】秦艽牛蒡风留肤, 生如麻豆形,枳壳麻黄犀角镑,黄芩风草黑参升。
当归饮子(见疥疮)
浸淫疮发火湿风,黄水浸淫似疥形,蔓
延成片痒不止,治宜清热并消风。
【注】此证初生如疥,搔痒无时,蔓延不止,抓津黄水,浸淫成片,由心火、脾湿
受风而成。经云∶岁火太过,甚则身热,肌肤浸淫。仲景云∶从口流向四肢者顺,四肢
流入口者逆。初服升麻消毒饮加苍术、川黄连。抓破津血者,宜服消风散;外搽青蛤散
即愈。若脉迟不食,黄水不止,此属脾败,不治之证也。
\r浸淫疮图\p04-34a256.bmp\r
升麻消毒饮(见黄水疮)
消风散(见项部钮扣风)
青蛤散(见鼻部鼻 疮)
汗出时感受邪风,症状类似豆瓣形状的疙瘩。白天瘙痒明显者,适宜服用秦艽汤;夜间症状加重者,适宜服用当归饮子以安宁。
【注释】此证俗称“鬼饭疙瘩”。由出汗后受风引起。或者露天睡觉乘凉,风邪容易侵袭体表虚弱的人。初起皮肤作痒,随后长出扁平的疙瘩,形状像豆瓣,堆积成片。白天瘙痒严重的,适宜服用秦艽牛蒡汤;夜间瘙痒严重的,适宜服用当归饮子。外用烧酒浸泡百部,用蓝布蘸酒擦拭患处,注意避免风吹受凉,自然见效。
秦艽牛蒡汤
秦艽(一钱五分) 牛蒡子(炒,研碎) 枳壳(麸炒) 麻黄(蜜炙) 犀角(镑片) 黄芩 防风 甘草(生用) 黑参 升麻(各一钱)
用水二盅,煎至八分服下。
【方歌】秦艽牛蒡疏散留滞于肌肤的风邪,形态如麻豆般出现,配伍枳壳、麻黄、犀角(镑片)、黄芩、防风、甘草、黑参、升麻。
当归饮子(参见疥疮章节)
浸淫疮由火、湿、风邪引发,渗出黄水蔓延,形状类似疥疮,蔓延成片且瘙痒不止,治疗宜清热并祛风。
【注释】此证初起如同疥疮,随时搔痒,蔓延不止,抓破后流出黄水,浸淫成片,由心火、脾湿兼受风邪而成。《内经》说:岁火太过,严重时身体发热,肌肤浸淫流汁。张仲景说:病变从口部流向四肢的为顺证,从四肢流入口部的为逆证。初期服用升麻消毒饮加苍术、川黄连。抓破出血者,适宜服用消风散;外搽青蛤散即可痊愈。如果脉象迟缓、不能进食、黄水不止,这属于脾脏败坏,是不治之症。
When sweating, one is exposed to pathogenic wind. The lesions resemble flat bumps like broad beans. For itching prominent during the day, Qinjiao Tang (Cocklebur and Gentian Decoction) is suitable; for symptoms worsening at night, Danggui Yinzi (Angelica Decoction) should be taken to alleviate discomfort.
[Annotation] This condition is commonly known as "ghost rice bumps." It arises from exposure to wind after sweating, or from sleeping outdoors and cooling off, where wind pathogens easily attack individuals with deficient exterior defenses. Initially, the skin itches, followed by the appearance of flat bumps resembling broad beans, accumulating in patches. For severe daytime itching, Qinjiao Niubang Tang (Cocklebur and Gentian Decoction) is indicated; for severe nighttime itching, Danggui Yinzi (Angelica Decoction) is indicated. Externally, soak Radix Stemona (Bai Bu, 百部) in distilled spirits, dip blue cloth in the liquor, and rub the affected area. Avoid wind and cold, and self-healing will occur.
Qinjiao Niubang Tang (Cocklebur and Gentian Decoction)
Radix Gentianae Macrophyllae (Qin Jiao, 1.5 qian) [Atractylodis Rhizoma Prepared with Bran] (Zhi Ke, 枳壳); Semen Arctii Laxativae (Niu Bang Zi, stir-fried and crushed); Ramulus Cinnamomi (Ma Huang, honey-processed); Cornu Rhinocerotis (Xi Jiao, sliced thinly); Radix Scutellariae (Huang Qin, 黄芩); Radix Saposhnikoviae (Fang Feng, 防风); Radix Glycyrrhizae (Gan Cao, raw); Radix Panacis Quinquefolii (Hei Shen, 黑参); Radix Cimicifugae (Sheng Ma, 升麻) (each 1 qian).
Decoct in two cups of water until reduced to eight-tenths, then take orally.
[Prescription Verse] Qin Jiao and Niu Bang disperse wind lingering in the skin; appearing like hemp seeds or beans, combined with Zhi Ke, Ma Huang, Xi Jiao, Huang Qin, Fang Feng, Gan Cao, Hei Shen, and Sheng Ma.
Danggui Yinzi (Angelica Decoction) (See section on Scabies)
Jinying Chuang (Oozing Eczema) is caused by fire, dampness, and wind pathogens. Yellow fluid oozes and spreads, resembling scabies, extending into patches with incessant itching. Treatment should focus on clearing heat and dispelling wind.
[Annotation] This condition initially resembles scabies, with constant itching that spreads uncontrollably. Scratching leads to yellow exudate, causing oozing and patch formation. It results from Heart Fire, Spleen Dampness, and Wind invasion. The *Neijing* states: "When the year's Fire is excessive, severe cases present with high fever and skin oozing." Zhang Zhongjing stated: "Progression from the mouth towards the limbs is favorable (Shun); progression from the limbs towards the mouth is unfavorable (Ni)." Initially, administer Shengma Xiaodu Yin (Primula Decoction for Detoxification) plus Rhizoma Atractylodis Macrocephalae (Cang Zhu, 苍术) and Rhizoma Coptidis (Chuan Huang Lian, 川黄连). If scratched open with blood loss, Xiao Feng San (Wind-Dispersing Powder) is indicated; externally apply Qingge San (Green Shell Powder) for cure. If the pulse is slow, appetite is lost, and yellow exudate persists, this indicates Spleen Failure, which is an untreatable condition.
Shengma Xiaodu Yin (Primula Decoction for Detoxification) (See section on Impetigo)
Xiao Feng San (Wind-Dispersing Powder) (See section on Neck Button Wind)
Qingge San (Green Shell Powder) (See section on Nasal Acne)