瘙痒或脓水浸淫者。消风除湿。
痒痛无脓者。祛风润躁。
瘙痒或疼。午后尤甚者。益阴降火。
痛。大便秘涩者。滋阴泻火。
搔起白屑。耳作蝉鸣者。祛风清热。
一妇患此作痒。脓水不止。脉浮无力。以消风散（八十）四剂少愈。再四生丸（八六）月余
而平。（此凭症脉也。）
一人痒少痛多。无脓水。以芩、连、荆、防、山、栀、薄荷、芍药、归身、治之而愈。
（此凭症也。）
一妇作痒。午后尤甚。以当归饮子数剂少愈。更以人参荆芥散数剂而安。（此凭脉症也
一人久而不愈。搔起白屑。耳作蝉声。以四生散数服痒止。更以当归饮子数剂而痊。（
一人下体居多 痛。日晡尤甚。腿腕筋紫而胀。就于紫处刺去瘀血。以四物加芩连四剂
而安。在上体若。臂腕筋紫胀。亦宜刺去其血。以前汤加柴胡黄芩即愈。（此凭症也。）
一人搔痒成疮。日晡痛甚。以四物加芩、连、荆、防数剂而止。更以四物加蒺藜、何首
乌、黄 二十剂而愈。（此凭症也。）
一人头目昏眩。皮肤瘙痒。搔破成疮。以八风散治之而愈。
一人患疮疥多在两足。午后痛甚。腿腕筋紫而胀。脉洪大。此血热也。于紫处砭去毒血
以四物加芩、连。柴胡、地骨皮而愈。（此凭脉症也。） 如手臂有疮。臂腕筋紫。亦宜砭之
。老弱人患此作痛。须补中益气汤加凉血药。
一儿周岁。先头患疮疥。渐至遍身。久而不愈。用四物汤（九）加防风、黄芩、升麻。外
搽毒药散。月余而愈。（此凭症也。）
一小儿疮毒不愈。或愈而复发。皆因母食炙爆辛辣。或有热。宜先治母热。若小儿不
能服药者。就于母药中加漏芦煎服。儿疮亦愈。
一儿头面生疮数枚作痒。疮痂累积。名曰粘疮。以枯矾、黄丹等分。麻油调搽。更服败
毒散而愈。（此凭症也。）
一人腿生湿疮。数年不愈。尺脉轻诊似大。重诊无力。此肾虚风邪袭之而然。名曰肾
。以四生散治之。彼不信。自服芩连等药。遂致气血日弱。脓水愈多。形症愈惫迨二年。复
请予治。仍用前药而愈。（此凭症脉也。）
失肢体有上下。脏腑有虚实。世人但知苦寒之药能消疮毒。不知肾脏风因肾不足所致。
以蒺藜为主。黄 为臣。白附子独活为佐使。再若服败毒等药。则愈耗元气。促之死矣。
一人 痛发热。脉浮数。以人参败毒散（六四）四剂少愈。更以当归饮子数剂而愈。（此
凭脉症也。）
一人遍身作痒。搔破成疮。出水。脉浮数。此手足阳明经风热所致。以人参败毒对四物
九）加芩连。外以松香一两。枯矾五钱。轻粉三钱为末。麻油调敷。月余而愈。（此凭症也。
一儿头面胸腹患水疮数枚。溃而成疮。此风邪乘于皮肤也。名曰瘭疮。饮荆防败毒散。
（七）更以牛粪烧存性。为末敷之而愈。（此凭症也。）
瘭疽为患最毒。形如粟许。大者如栗。患无常处。多在手指。溃而出血。用南星、半夏
、白芷末敷之。重者见骨。或狂言烦闷。
一儿鼻下生疮。不时揉擦。延及两耳诸药不效。服芦荟丸。搽松香、绿豆末而愈。
一人湿热下注。两腿生疮。以人参败毒散加苍术、黄柏、服之。外贴金黄散。（此凭症
一人 痛。寒热便秘。脉数有力。以防风通圣散二剂少愈。更荆防败毒散（七）加黄芩、
山栀。四剂而愈。（此凭症也。）
有患此但脉沉实。以前药加大黄渐愈。再服人参败毒散而平。（此凭脉也。）
一僧患疮疥自用雄黄、艾叶等药。燃于被中熏之。翌日遍身 肿。皮破水出。饮食不入
。予投以解药不应而死。
又有患此久而不愈。以船板灰存性一两。轻粉三钱为末。麻油调贴。更以知母、黄柏、
防己、龙胆、茯苓、归、弓、 、术服之而愈。
大凡下部生疮虽属湿热。未有不因脾肾虚而得之。
一人两腿生疮。每服败毒散则饮食无味。反增肿胀。此脾虚湿热下注也。以六君子加苍
术、升麻、酒炒芍药服之。以黄蜡、麻油各一两、轻粉三钱为膏贴之而愈。（此凭症也。）
两腿生疮作痛。或遍身作痛。用当归拈痛汤甚效。
一人年逾五十。两 生疮。日久不愈。饮食失节。或劳苦。或服渗利消毒之剂愈盛。脾
无力。此脾虚兼湿热也。用补中益气汤数剂少愈。更六君子加苍术、升麻、神曲治之而愈。
大凡下部生疮。 痛或发寒热。或香港脚肿痛。以人参败毒散加槟榔、紫苏、苍术、黄柏
并效。久不愈。以四物汤（九）治之。愈后以补肾丸补之。庶不再发。
疮方 乳香 没药 水银 当归（各半两） 川芎 贝母 黄丹（各二钱半） 真麻油（
五两）
又方 龙骨（生用） 血蝎 赤石脂（各一两） 头发（如指大） 黄蜡 白胶香（各一两）
不拘多少。煎发三五沸。去发入蜡白胶。再以龙骨、血蝎、石脂搅匀。安水盆中。候冷。瓷
器盛。每用捻作薄片。贴疮口。外贴竹箬。三日后番过再贴。仍服活血药。
又方 用砂糖水煎冬青叶三五沸。捞起。石压平。贴疮。日换二次。 又方头垢烧灰。
和枣肉捣膏。先以葱椒叶煎汤洗净。用轻粉糁上。却以前膏伞纸摊贴之。
又方 地骨皮（一两）甘草节（半两）入香油熬熟。去渣。入黄丹（一两半） 白蜡（半两）紧
火熬黑提起。白纸摊贴。次用醋煎。冬青叶摊药贴之。
冻疮 用煎熟桐油调密陀僧末敷。
牛皮癣 用牛胆调烧酒敷之。
诸疮痛不可忍者。用苦寒药黄连、黄芩。详上下及引经药则可。 又云。诸疮以黄连、当归为君。
连翘、甘草、黄芩为佐。 在下者加黄柏。
若禀受壮盛。宜四物汤（九）加大承气下之。
若性急黑瘦血热之人疮痛。宜四物加芩连大力子甘草。
若肥胖人疮痛。乃湿热也。宜羌活、防风、荆芥、白芷、苍术、连翘。取其风能胜湿也
在上者多通圣散。在下多须用下。
敷药 脓窠治热燥湿为主。 无名异。 松皮炭亦主脓。干疥开郁为主。吴茱萸。 肿
多者加白芷开郁。 干痒出血多者。加大黄、黄连、猪脂调敷。
湿多者油调敷。 痒多加枯矾。 痛多加白芷、方解石。
定痒杀虫用蛇床。
虫疮如癣状。退热杀虫为主。用芜荑、黑狗脊、白矾、雄黄、硫黄、水银、樟脑、松香
虫多加藜芦、斑蝥。或锡灰、槟榔。 红色加黄丹。 青色加青黛。头上疮加黄连、方解石
。阴囊疮加茱萸。 脚肿出血。分湿热用药。脓 疮 治热为主。
黄连 黄芩 大黄（各
无名异（少许炒） 白芷 轻粉
沙疮 芜荑 寒水石（各二钱） 剪草 吴茱萸 黄柏 枯矾（各一钱） 苍术 浓朴 雄
（各五分） 轻粉（十贴）
上为末。油调敷。
又方 芜荑 枯矾 软石膏 大黄 樟脑 上
为末。先洗去疮痂。油调敷。
一上散
雄黄 硫黄（各三钱半） 寒水石 白胶香 黑狗脊 蛇床（各一两） 黄连 枯矾（各五
吴茱萸（三钱） 斑蝥（十四个去翅足） 上除硫黄、雄黄、寒水石。另研为粉外。余皆研极细
末次以班蝥同余药研匀。先洗疮。令汤透去痂。用腊猪油手心中擦热。鼻中嗅二三次。即擦
疮上。一上即愈。如痛甚肿满高处。加寒水石一倍。如不苦痒。只加狗脊。微痒只加蛇床。
有虫加雄黄。如喜火炙汤炮加硫黄。只嗅不已。亦可愈也。
疥疮 春天发者。开郁为主。 吴茱萸 白矾（各二钱） 樟脑（五分） 轻粉（十 ） 寒
（二钱半） 蛇床（三钱） 黄柏 大黄 硫黄（各一钱） 槟榔（一个） 为末。油调。莫抓破。
小儿头疮 川芎 片芩 酒炒白芍 陈皮（各半两） 酒归 酒白术（各半两） 天麻（酒
苍术 苍耳（各七钱半） 酒柏 酒粉草（各四钱） 防风（三钱） 为末。水荡起。煎服。日
四五次。服后睡片时。
又方 腊猪油（半生半熟）雄黄水银等分为末。洗净疮。敷上。
小儿癞头并身癞 松皮（烧灰） 白胶香 枯矾 大黄 黄柏 为末。熟油调敷。
耳后月蚀疮 黄连 枯矾 为末敷。
小儿疮 牙皂（去皮） 胡椒（些少） 枯矾 轻粉 樟脑
为末。 烛油调搽。七日如樱桃脓窠。乃去椒。
小儿秃头 通圣散酒制。取大黄另用酒炒。入研为末。再仍通用酒拌焙干。每服一钱。
。频服。用白炭烧红淬长流水令热。洗之。外用胡荽子、伏龙肝、梁上尘、黄连、白矾为末。油调敷。
又方 松树浓皮（烧炭二两） 黄丹（水飞一两） 寒水石（一两细研） 枯矾 黄连 大黄
（各半两） 白胶香（熬飞倾石上二两） 轻粉（四 或云一分）
上为末。先洗去疮痂。熬熟油调敷。
癣疮 用防风通圣散。去硝黄加浮萍、皂角刺。
又方 浮萍（一两） 苍耳 苍术（各二两） 苦参（一两半） 黄芩（半两） 香附（二钱半）
为末。酒糊丸。
敷药 先用洗药。后上敷药。 芦荟 大黄 轻粉 雄黄 蛇床 槟榔 槿树皮 上为
末。先刮癣。
用米醋调涂。 又方 芦荟（三盛） 巴豆（去壳十四粒） 白蜡 蓖麻子（去壳十四粒）
斑蝥（七个去翅足）
上用香油二两。熬巴豆、蓖麻、斑蝥三药。以黑为度。去粗入蜡。并芦荟末在内。用瓷
罐盛贮。微微刮癣令破。以油涂上。过夜略肿而愈。
洗药 紫苏 樟树 苍耳 浮萍煎汤洗。先洗后上敷药。
瘙痒伴有脓水浸渍蔓延的，采用消风除湿法。
痒而痛但无脓水的，采用祛风润燥法。
瘙痒或疼痛，午后加重的，采用益阴降火法。
疼痛且大便秘结涩滞的，采用滋阴泻火法。
搔抓后起白屑，耳朵像蝉鸣一样作响的，采用祛风清热法。
有一位妇女患此病作痒，脓水不止，脉象浮而无力，用消风散（第八十方）服用四剂后稍见好转，再用四生丸（第八十六方）服用月余而痊愈。（这是根据症状和脉象判断的。）
一个人痒少痛多，没有脓水，用黄芩、黄连、荆芥、防风、山栀、薄荷、芍药、当归身治疗而痊愈。（这是根据症状判断的。）
一位妇女作痒，午后尤其严重，用当归饮子服用数剂后稍见好转，接着用人参荆芥散服用数剂而安定。（这是根据脉象和症状判断的。）
一个人患病日久不愈，搔抓起白屑，耳朵发出蝉鸣声，用四生散服用数次后痒止，接着用当归饮子服用数剂而痊愈。
一个人的病变多见于下部，疼痛，傍晚时分尤其严重，腿腕部筋脉紫胀，就在紫处针刺放出瘀血，用四物汤加黄芩、黄连服用四剂而安定。如果病变在上部，如臂腕部筋脉紫胀，也应当针刺放出瘀血，用前方加柴胡、黄芩即痊愈。（这是根据症状判断的。）
一个人搔痒成疮，傍晚时分疼痛剧烈，用四物汤加黄芩、黄连、荆芥、防风服用数剂后痛止，接着用四物汤加蒺藜、何首乌、黄芪服用二十剂而痊愈。（这是根据症状判断的。）
一个人患疮疥多在双足，午后疼痛剧烈，腿腕部筋脉紫胀，脉象洪大，这是血热所致。在紫处用砭石刺破放出毒血，用四物汤加黄芩、黄连、柴胡、地骨皮治疗而痊愈。（这是根据脉象和症状判断的。）如果手臂有疮，臂腕部筋脉紫胀，也应当用砭石刺破。年老体弱之人患此病作痛，须用补中益气汤加凉血药。
一个周岁婴儿，先头部患疮疥，逐渐蔓延至全身，日久不愈，用四物汤（第九方）加防风、黄芩、升麻，外用毒药散搽涂，月余而痊愈。（这是根据症状判断的。）
一个小儿疮毒不愈，或者好了又复发，都是因为母亲食用了炙烤爆炒辛辣食物，或者体内有热，应当先治疗母亲的火热之邪。如果小儿不能服药，就在母亲药方中加入漏芦煎服，小儿的疮也会痊愈。
一个婴儿头面部长出数个疮疡作痒，疮痂累积，名叫粘疮，用枯矾、黄丹等分，用麻油调匀搽涂，再服用败毒散而痊愈。（这是根据症状判断的。）
一个人腿部生湿疮，数年不愈，尺脉轻取似大，重按无力，这是肾虚受风邪侵袭所致，名叫肾风。用四生散治疗，他不相信，自行服用黄芩、黄连等药，导致气血日渐虚弱，脓水更多，形体症状更加疲惫。等到两年后，再次请我治疗，仍用前药而痊愈。（这是根据脉象和症状判断的。）
失肢体有上下之分，脏腑有虚实之别。世人只知道苦寒药物能消除疮毒，不知道肾脏风是因为肾气不足所致。以蒺藜为主药，黄芪为臣药，白附子、独活为佐使药。如果再服用败毒散等药，则会进一步耗损元气，加速死亡。
一个人患处疼痛发热，脉象浮数，用人参败毒散（第六十四方）服用四剂后稍见好转，接着用当归饮子服用数剂而痊愈。（这是根据脉象和症状判断的。）
一个人遍身作痒，搔破成疮，流出水液，脉象浮数，这是手足阳明经风热所致。用人参败毒散合四物汤（第九方）加黄芩、黄连，外用松香一两、枯矾五钱、轻粉三钱研为末，用麻油调匀敷贴，月余而痊愈。（这是根据症状判断的。）
一个婴儿头面胸腹部患水疮数个，溃烂而成疮，这是风邪乘袭皮肤所致，名叫瘭疮。饮用荆防败毒散（第七方），再用牛粪烧存性研为末敷贴而痊愈。（这是根据症状判断的。）
瘭疽为害最为剧毒，形状如粟米大小，大的如栗子，发病部位无常，多在手指，溃破出血，严重的露出骨头，或者出现狂言、烦闷等症状。用南星、半夏、白芷研为末敷贴。
一个婴儿鼻下生疮，不时揉擦，蔓延至两耳，诸药无效，服用芦荟丸，搽涂松香、绿豆末而痊愈。
一个人湿热下注，双腿生疮，用人参败毒散加苍术、黄柏服用，外贴金黄散。（这是根据症状判断的。）
一个人患处疼痛，恶寒发热，大便秘结，脉象数而有力，以防风通圣散服用二剂后稍见好转，接着用荆防败毒散（第七方）加黄芩、山栀，服用四剂而痊愈。（这是根据症状判断的。）
有的患者仅脉象沉实，用前方加大黄逐渐痊愈，再服人参败毒散而平复。（这是根据脉象判断的。）
一位僧人患疮疥，自用雄黄、艾叶等药，在被中燃烧熏蒸。第二天遍身肿胀，皮破流水，饮食不进，我投以解毒药无效而死。
又有患病日久不愈的，用船板灰存性一两、轻粉三钱研为末，麻油调匀贴敷，再服用知母、黄柏、防己、龙胆、茯苓、当归、枳壳、白术而痊愈。
一个人双腿生疮，每次服用败毒散则饮食无味，反而增加肿胀，这是脾虚湿热下注所致。用六君子汤加苍术、升麻、酒炒芍药服用，用黄蜡、麻油各一两、轻粉三钱制成膏药贴敷而痊愈。（这是根据症状判断的。）
一个人年过五十，两腿生疮，日久不愈，饮食失节，或者劳累辛苦，或者服用渗利消毒的药物反而病情加重，脾气无力，这是脾虚兼湿热所致。用补中益气汤服用数剂后稍见好转，接着用六君子汤加苍术、升麻、神曲治疗而痊愈。
大凡下部生疮，疼痛或发寒热，或者香港脚肿痛，用人参败毒散加槟榔、紫苏、苍术、黄柏都有效。久不愈的，用四物汤（第九方）治疗。痊愈后用补肾丸补益，庶可不再复发。
疮方：乳香、没药、水银、当归（各半两），川芎、贝母、黄丹（各二钱半），真麻油（五两）。
又一方：龙骨（生用）、血竭、赤石脂（各一两），头发（如指大粗），黄蜡、白胶香（各一两）。不拘多少，煎头发三五沸，去发入蜡和白胶香，再以龙骨、血竭、石脂搅匀，放入水盆中，候冷。瓷器盛装，每用捻作薄片，贴疮口，外贴竹叶箬。三日后翻过来再贴，仍服活血药。
又一方：用砂糖水煎冬青叶三五沸，捞起，石压平，贴疮，日换二次。
又一方：头垢烧灰，和枣肉捣成膏。先用葱椒叶煎汤洗净，用轻粉撒在上面，却以前膏摊在伞纸上贴之。
又一方：地骨皮（一两）、甘草节（半两）入香油熬熟，去渣，入黄丹（一两半）、白蜡（半两），紧火熬黑提起，白纸摊贴。次用醋煎冬青叶摊药贴之。
诸疮痛不可忍者，用苦寒药黄连、黄芩，详辨上下及引经药则可。又说，诸疮以黄连、当归为君药，连翘、甘草、黄芩为佐药。在下部的加黄柏。
若性情急躁、黑瘦、血热之人疮痛，宜四物汤加黄芩、黄连、大力子、甘草。
若肥胖之人疮痛，乃是湿热所致，宜羌活、防风、荆芥、白芷、苍术、连翘，取其风能胜湿的道理。在上部的多用防风通圣散，在下部的多须用攻下法。
敷药：脓窠治热燥湿为主，无名异，松皮炭亦主治脓。干疥开郁为主，吴茱萸。肿多者加白芷开郁。干痒出血多者，加大黄、黄连、猪脂调敷。湿多者油调敷。痒多加枯矾。痛多加白芷、方解石。定痒杀虫用蛇床子。
虫疮如癣状，退热杀虫为主，用芜荑、黑狗脊、白矾、雄黄、硫黄、水银、樟脑、松香。虫多加藜芦、斑蝥。或锡灰、槟榔。红色加黄丹。青色加青黛。头上疮加黄连、方解石。阴囊疮加茱萸。脚肿出血，分湿热用药。脓疮治热为主。黄连、黄芩、大黄（各...），无名异（少许炒）、白芷、轻粉。
沙疮：芜荑、寒水石（各二钱），剪草、吴茱萸、黄柏、枯矾（各一钱），苍术、浓朴、雄黄（各五分），轻粉（十贴）。上为末，油调敷。
又一方：芜荑、枯矾、软石膏、大黄、樟脑。上为末，先洗去疮痂，油调敷。
一上散：雄黄、硫黄（各三钱半），寒水石、白胶香、黑狗脊、蛇床（各一两），黄连、枯矾（各五...），吴茱萸（三钱），斑蝥（十四个去翅足）。上除硫黄、雄黄、寒水石另研为粉外，余皆研极细末，次以斑蝥同余药研匀。先洗疮，令汤透去痂，用腊猪油在手心中擦热，鼻中嗅二三次，即擦疮上。一上即愈。如痛甚肿满高处，加寒水石一倍。如不苦痒，只加狗脊。微痒只加蛇床。有虫加雄黄。如喜火炙汤炮加硫黄。只嗅不已，亦可愈也。
疥疮：春天发者，开郁为主。吴茱萸、白矾（各二钱），樟脑（五分），轻粉（十...），寒水石（二钱半），蛇床（三钱），黄柏、大黄、硫黄（各一钱），槟榔（一个）。为末，油调。莫抓破。
小儿头疮：川芎、片芩、酒炒白芍、陈皮（各半两），酒归、酒白术（各半两），天麻（酒...），苍术、苍耳（各七钱半），酒柏、酒粉草（各四钱），防风（三钱）。为末，水荡起，煎服，日...四五次。服后睡片时。
又一方：腊猪油（半生半熟）、雄黄、水银等分为末。洗净疮，敷上。
小儿癞头并身癞：松皮（烧灰）、白胶香、枯矾、大黄、黄柏。为末，熟油调敷。
小儿疮：牙皂（去皮）、胡椒（些少）、枯矾、轻粉、樟脑。为末，烛油调搽。七日如樱桃脓窠，乃去椒。
小儿秃头：通圣散酒制，取大黄另用酒炒，入研为末，再仍通用酒拌焙干。每服一钱，频服。用白炭烧红淬长流水令热，洗之。外用胡荽子、伏龙肝、梁上尘、黄连、白矾为末，油调敷。
又一方：松树浓皮（烧炭二两），黄丹（水飞一两），寒水石（一两细研），枯矾、黄连、大黄（各半两），白胶香（熬飞倾石上二两），轻粉（四...或云一分）。上为末，先洗去疮痂，熬熟油调敷。
又一方：浮萍（一两），苍耳、苍术（各二两），苦参（一两半），黄芩（半两），香附（二钱半）。为末，酒糊丸。
敷药：先用洗药，后上敷药。芦荟、大黄、轻粉、雄黄、蛇床、槟榔、槿树皮。上为末，先刮癣。用米醋调涂。
又方：芦荟（三盛），巴豆（去壳十四粒），白蜡、蓖麻子（去壳十四粒），斑蝥（七个去翅足）。上用香油二两，熬巴豆、蓖麻、斑蝥三药，以黑为度，去粗入蜡，并芦荟末在内，用瓷罐盛贮。微微刮癣令破，以油涂上，过夜略肿而愈。
For itching accompanied by pus and exudate spreading, employ the method of eliminating wind and dampness.
For itching and pain without pus, employ the method of dispelling wind and moistening dryness.
For itching or pain that worsens in the afternoon, employ the method of nourishing yin and descending fire.
For pain with constipation and difficult defecation, employ the method of nourishing yin and purging fire.
For scratching leading to white scales and tinnitus sounding like cicadas, employ the method of dispelling wind and clearing heat.
A woman suffered from this condition with itching and incessant pus discharge; her pulse was floating and powerless. She was treated with Xiaofeng San (Eliminating Wind Powder) [Formula 80] for four doses, showing slight improvement, and then cured after taking more than a month of Sisheng Wan (Four Life Pill) [Formula 86]. (This diagnosis relied on symptoms and pulse.)
A man experienced less itching but more pain, with no pus discharge. He was cured using Huangqin (Scutellariae Radix), Lianlian (Coptidis Rhizoma), Jingjie (Schizonepetae Herba), Fangfeng (Saposhnikoviae Radix), Shanzhi (Gardeniae Fructus), Bohe (Menthae Haplocalycis Herba), Shaoyao (Paeoniae Radix Alba), and Guishen (Angelicae Sinensis Radix). (This diagnosis relied on symptoms.)
A woman suffered from itching that was particularly severe in the afternoon. She showed slight improvement after several doses of Danggui Yinzi (Angelica Decoction), and was stabilized after several doses of Renshen Jingjie San (Ginseng and Schizonepeta Powder). (This diagnosis relied on pulse and symptoms.)
A man suffered from chronic non-healing lesions, scratching up white scales, and tinnitus. His itching stopped after several doses of Sisheng San (Four Life Powder), and he recovered after several doses of Danggui Yinzi (Angelica Decoction).
Lesions in one man were mostly located on the lower body, causing pain that was most severe at dusk. The tendons around his ankles were purple and swollen. Pricking the purple areas to release blood stasis, followed by Siwu Tang (Four Substances Decoction) added with Huangqin (Scutellariae Radix) and Huanglian (Coptidis Rhizoma) for four doses, brought relief. If lesions were on the upper body, such as purple and swollen tendons around the wrists, pricking to release blood was also indicated. Healing occurred with the previous formula added with Chaihu (Bupleuri Radix) and Huangqin (Scutellariae Radix). (This diagnosis relied on symptoms.)
One man developed sores from scratching, with severe pain at dusk. Pain ceased after several doses of Siwu Tang (Four Substances Decoction) added with Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Jingjie (Schizonepetae Herba), and Fangfeng (Saposhnikoviae Radix). He recovered after twenty doses of Siwu Tang (Four Substances Decoction) added with Jili (Tribuli Fructus), Heshouwu (Polygoni Multiflori Radix), and Huangqi (Astragali Radix). (This diagnosis relied on symptoms.)
One man suffered from dizziness and blurred vision, skin itching, and sores caused by scratching. He was cured using Bafeng San (Eight Winds Powder).
One man had sores and scabies mostly on both feet, with severe pain in the afternoon and purple, swollen ankle tendons. His pulse was large and forceful, indicating blood heat. Toxic blood was released by scarification at the purple sites. He recovered using Siwu Tang (Four Substances Decoction) added with Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Chaihu (Bupleuri Radix), and Digupi (Lycii Cortex). (This diagnosis relied on pulse and symptoms.) For arm sores with purple wrist tendons, scarification is also appropriate. For elderly or weak individuals suffering from painful conditions, Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) added with blood-cooling herbs should be used.
A one-year-old infant first developed sores and scabies on the head, which gradually spread over the whole body and failed to heal for a long time. He was treated with Siwu Tang (Four Substances Decoction) [Formula 9] added with Fangfeng (Saposhnikoviae Radix), Huangqin (Scutellariae Radix), and Shengma (Cimicifugae Rhizoma), externally applied with Du Yao San (Poisonous Herb Powder). He recovered after more than a month. (This diagnosis relied on symptoms.)
A child’s sore toxins did not heal or recurred after healing. This was due to the mother consuming roasted, fried, spicy foods or having internal heat. The mother’s heat should be treated first. If the child cannot take medicine, Loulu (Euphorbiae Humifusae Herba) can be added to the mother’s prescription for decoction, and the child’s sores will also heal.
An infant had several itchy sores on the head and face with accumulated crusts, named Nian Chuang (Sticky Sores). Equal parts of Kufan (Alumen) and Huandan (Minium) were mixed with sesame oil for external application. He recovered after taking Baidu San (Defeat Toxin Powder). (This diagnosis relied on symptoms.)
A man had wet sores on his legs that did not heal for years. His Chi pulse seemed large when lightly palpated but powerless when heavily pressed. This was kidney deficiency attacked by wind pathogens, named Shen Feng (Kidney Wind). He was treated with Sisheng San (Four Life Powder). Disbelieving this, he self-medicated with Huangqin (Scutellariae Radix) and Huanglian (Coptidis Rhizoma), causing daily weakening of qi and blood, increased pus, and worsening physical exhaustion. Two years later, upon re-consultation, the previous medication cured him. (This diagnosis relied on pulse and symptoms.)
The limbs have upper and lower distinctions, and the zang-fu organs have deficiency and excess patterns. People generally know that bitter-cold medicines can eliminate sore toxins, but do not understand that Kidney Wind is caused by kidney insufficiency. Using Jili (Tribuli Fructus) as the chief herb, Huangqi (Astragali Radix) as the minister herb, and Baifuzi (Aconiti Kusnezoffii Radix) and Duhuo (Angelicae Pubescentis Radix) as assistant and guide herbs is appropriate. Taking Baidu San (Defeat Toxin Powder) etc. would further deplete original qi and hasten death.
One man had painful, feverish lesions with a floating and rapid pulse. He showed slight improvement after four doses of Renshen Baidu San (Ginseng Defeat Toxin Powder) [Formula 64] and recovered after several doses of Danggui Yinzi (Angelica Decoction). (This diagnosis relied on pulse and symptoms.)
One man had whole-body itching, scratching into sores with fluid discharge, and a floating, rapid pulse. This was caused by wind-heat in the Hand and Foot Yangming meridians. He was treated with Renshen Baidu San (Ginseng Defeat Toxin Powder) combined with Siwu Tang (Four Substances Decoction) [Formula 9] added with Huangqin (Scutellariae Radix) and Huanglian (Coptidis Rhizoma). Externally, Songxiang (Rosin), Kufan (Alumen), and Qingfen (Calomel) were powdered and mixed with sesame oil for application. He recovered after more than a month. (This diagnosis relied on symptoms.)
An infant had several water blisters on the head, face, chest, and abdomen that ulcerated into sores. This was wind pathogen invading the skin, named Biao Chuang (Blistering Sores). He recovered after drinking Jingfang Baidu San (Schizonepeta and Saposhnikovia Defeat Toxin Powder) [Formula 7] and applying powder made from burnt cow dung. (This diagnosis relied on symptoms.)
Biao Ju (Blistering Carbuncle) is extremely toxic. It resembles millet grains, or larger ones like chestnuts, appearing unpredictably, mostly on fingers. It ulcerates and bleeds. In severe cases, bones are exposed, or there is delirious speech and restlessness. Powdered Nanxing (Arisaematis Rhizoma), Banxia (Pinelliae Rhizoma), and Baizhi (Angelicae Dahuricae Radix) are applied.
An infant had sores under the nose, frequently rubbed, spreading to both ears, unresponsive to various medicines. He recovered after taking Lushui Wan (Aloe Pill) and applying Songxiang (Rosin) and Lvdou (Vigna mungo) powder.
One man had damp-heat pouring downward, causing sores on both legs. He took Renshen Baidu San (Ginseng Defeat Toxin Powder) added with Cangzhu (Atractylodis Rhizoma) and Huangbai (Phellodendri Cortex), and externally applied Jinhuang San (Golden Yellow Powder). (This diagnosis relied on symptoms.)
One man had painful lesions, chills, fever, constipation, and a rapid, forceful pulse. He showed slight improvement after two doses of Fangfeng Tongsheng San (Saposhnikovia Unimpeded Success Powder) and recovered after four doses of Jingfang Baidu San (Schizonepeta and Saposhnikovia Defeat Toxin Powder) [Formula 7] added with Huangqin (Scutellariae Radix) and Shanzhi (Gardeniae Fructus). (This diagnosis relied on symptoms.)
Some patients presented only with a deep and solid pulse. They gradually improved with the previous formula added with Dahuang (Rhei Radix et Rhizoma) and recovered after taking Renshen Baidu San (Ginseng Defeat Toxin Powder). (This diagnosis relied on pulse.)
A monk suffering from sores and scabies burned Xionghuang (Realgar) and Aiyè (Artemisiae Argyi Folium) in his bedding for fumigation. The next day, his whole body swelled, skin broke with fluid discharge, and he could not eat. I administered detoxifying medicine, but it was ineffective, and he died.
Another case of chronic non-healing sores was cured by applying powder made from Cuanban Hui (Ship Board Ash) preserved by burning (1 liang) and Qingfen (Calomel) (3 qian) mixed with sesame oil, along with oral administration of Zimu (Anemarrhenae Rhizoma), Huangbai (Phellodendri Cortex), Fangji (Stephaniae Tetrandrae Radix), Longdan (Gentianae Radix), Fuling (Poria), Danggui (Angelicae Sinensis Radix), Zhike (Aurantii Fructus), and Baizhu (Atractylodis Macrocephalae Rhizoma).
Generally, sores in the lower body belong to damp-heat but invariably arise from spleen and kidney deficiency.
One man had sores on both legs; every time he took Baidu San (Defeat Toxin Powder), his food lost flavor, and swelling increased. This was spleen deficiency with damp-heat pouring downward. He recovered after taking Liujunzi Tang (Six Gentlemen Decoction) added with Cangzhu (Atractylodis Rhizoma), Shengma (Cimicifugae Rhizoma), and Jiuchao Shaoyao (Wine-fried Paeoniae Radix Alba), and externally applying a plaster made of Huangla (Yellow Beeswax), Mazhongyou (Sesame Oil), and Qingfen (Calomel). (This diagnosis relied on symptoms.)
Sores on both legs causing pain, or whole-body pain, respond well to Danggui Niangong Tang (Angelica Relieving Pain Decoction).
A man over fifty had sores on both legs that did not heal for a long time. Due to irregular diet, labor, or taking diuretic and detoxifying agents, the condition worsened due to spleen qi weakness. This was spleen deficiency complicated with damp-heat. He showed slight improvement after several doses of Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) and recovered after treatment with Liujunzi Tang (Six Gentlemen Decoction) added with Cangzhu (Atractylodis Rhizoma), Shengma (Cimicifugae Rhizoma), and Shenqu (Medicated Leaven).
Generally, for sores in the lower body with pain, chills/fever, or swollen/painful Hong Kong foot (podagra), Renshen Baidu San (Ginseng Defeat Toxin Powder) added with Binglang (Arecae Semen), Zisu (Perillae Folium), Cangzhu (Atractylodis Rhizoma), and Huangbai (Phellodendri Cortex) is effective. For chronic cases, Siwu Tang (Four Substances Decoction) [Formula 9] is used. After recovery, Bushen Wan (Kidney Tonifying Pill) is taken to prevent recurrence.
Sore Formula: Xiangru (Frankincense), Moyao (Myrrh), Shuiyin (Mercury), Danggui (Angelicae Sinensis Radix) (each 0.5 liang); Chuanxiong (Ligustici Chuanxiong Rhizoma), Beimu (Fritillariae Cirrhosae Bulbus), Huangdan (Minium) (each 2.5 qian); Zhen Mazhongyou (Pure Sesame Oil) (5 liang).
Another Formula: Longgu (Fossilized Bones, raw), Xuexie (Dragon's Blood), Chishizhi (Red Halloysite) (each 1 liang); Hair (finger-thick), Huangla (Yellow Beeswax), Baijiaoxiang (White Copal Resin) (each 1 liang). Boil hair for three to five boils, remove hair, add wax and resin. Stir in Longgu, Xuexie, and Chishizhi evenly. Place in a basin of water to cool. Store in porcelain. Mold into thin slices for application on sores, covered with bamboo leaves. Replace after three days. Continue taking blood-invigorating medicine.
Another Formula: Decoct Dongqingye (Aquifolii Folium) in sugar water for three to five boils. Remove, press flat with stone, and apply to sores. Change twice daily.
Another Formula: Burn scalp scabs to ash, mix with jujube flesh to make a paste. Wash with decoction of Congjieye (Scallion and Pepper leaves), sprinkle Qingfen (Calomel), then apply the paste spread on paper.
Another Formula: Digupi (Lycii Cortex) (1 liang), Gancao Jie (Licorice Joint) (0.5 liang). Boil in sesame oil until cooked, strain. Add Huangdan (Minium) (1.5 liang) and Baila (Beeswax) (0.5 liang). Boil vigorously until black, lift out, and spread on white paper for application. Next, boil Dongqingye (Aquifolii Folium) in vinegar and spread medicine for application.
Chilblains: Apply Mituoseng (Litharge) powder mixed with boiled tung oil.
Psoriasis: Apply liquor mixed with ox gall.
For unbearable pain in all sores, use bitter-cold herbs Huanglian (Coptidis Rhizoma) and Huangqin (Scutellariae Radix), selecting guiding herbs according to the location. Furthermore, for all sores, Huanglian (Coptidis Rhizoma) and Danggui (Angelicae Sinensis Radix) are chief herbs; Lianqiao (Forsythiae Fructus), Gancao (Licorice Root), and Huangqin (Scutellariae Radix) are assistant herbs. Add Huangbai (Phellodendri Cortex) for lower body lesions.
For those with robust constitution, Siwu Tang (Four Substances Decoction) [Formula 9] added with Dachengqi Tang (Major Order the Qi Decoction) should be used to purge.
For irritable, dark-skinned, thin individuals with blood-heat and sore pain, use Siwu Tang (Four Substances Decoction) added with Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Dalizi (Arctii Fructus), and Gancao (Licorice Root).
For obese individuals with sore pain, it is damp-heat. Use Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), Jingjie (Schizonepetae Herba), Baizhi (Angelicae Dahuricae Radix), Cangzhu (Atractylodis Rhizoma), and Lianqiao (Forsythiae Fructus), utilizing the principle that wind overcomes dampness. For upper body lesions, Fangfeng Tongsheng San (Saposhnikovia Unimpeded Success Powder) is often used; for lower body, purgatives are often necessary.
External Application Medicines: For pustules, treating heat, drying dampness, and resolving stagnation is primary. Wumingyi (Ilmenite), Songpitan (Pine Bark Charcoal) also treat pus. For dry scabies, resolving stagnation is primary, using Wuzhuyu (Evodiae Fructus). For excessive swelling, add Baizhi (Angelicae Dahuricae Radix) to resolve stagnation. For dry itching with bleeding, add Dahuang (Rhei Radix et Rhizoma), Huanglian (Coptidis Rhizoma), and Zhuzhi (Pork Fat) mixed for application. For excessive dampness, mix with oil. For severe itching, add Kufan (Alumen). For severe pain, add Baizhi (Angelicae Dahuricae Radix) and Fangjieshi (Calcitum). To stop itching and kill parasites, use Shechuangzi (Cnidii Fructus).
Parasitic sores resembling tinea: Primary treatment is clearing heat and killing parasites. Use Wuyi (Quisqualis Fructus), Heigouji (Acanthopanacis Senticosi Caulis), Baifan (Alumen), Xionghuang (Realgar), Liuhuang (Sulfur), Shuiyin (Mercury), Zhangnao (Camphora), and Songxiang (Rosin). For heavy parasite load, add Lulü (Veratri Radix) and Banmao (Mylabris). Or use Xihui (Tin Ash) and Binglang (Arecae Semen). For red color, add Huandan (Minium). For blue/green color, add Qingdai (Indigo Naturalis). For head sores, add Huanglian (Coptidis Rhizoma) and Fangjieshi (Calcitum). For scrotal sores, add Wuzhuyu (Evodiae Fructus). For swollen legs with bleeding, differentiate damp-heat for medication. For purulent sores, treating heat is primary. Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Dahuang (Rhei Radix et Rhizoma) (each...), Wumingyi (Ilmenite, stir-fried slightly), Baizhi (Angelicae Dahuricae Radix), Qingfen (Calomel).
Sha Chuang (Sand Sores): Wuyi (Quisqualis Fructus), Hanshuishi (Aqua Calcitum) (each 2 qian); Jiancao (Paederiae Scandentis Caulis), Wuzhuyu (Evodiae Fructus), Huangbai (Phellodendri Cortex), Kufan (Alumen) (each 1 qian); Cangzhu (Atractylodis Rhizoma), Houpo (Magnoliae Officinalis Cortex), Xionghuang (Realgar) (each 5 fen); Qingfen (Calomel) (10 patches). Powder them, mix with oil, and apply.
Another Formula: Wuyi (Quisqualis Fructus), Kufan (Alumen), Ruangao Shi (Soft Gypsum), Dahuang (Rhei Radix et Rhizoma), Zhangnao (Camphora). Powder them. First wash off crusts, mix with oil, and apply.
Yi Shang San (One Up Powder): Xionghuang (Realgar), Liuhuang (Sulfur) (each 3.5 qian); Hanshuishi (Aqua Calcitum), Baijiaoxiang (White Copal Resin), Heigouji (Acanthopanacis Senticosi Caulis), Shechuangzi (Cnidii Fructus) (each 1 liang); Huanglian (Coptidis Rhizoma), Kufan (Alumen) (each 5...); Wuzhuyu (Evodiae Fructus) (3 qian); Banmao (Mylabris, 14 pieces, wings and feet removed). Except for Liuhuang (Sulfur), Xionghuang (Realgar), and Hanshuishi (Aqua Calcitum) which are ground separately into fine powder, grind all others into extremely fine powder. Then grind Banmao (Mylabris) uniformly with the other medicines. First wash the sore, ensuring hot water penetrates to remove crusts. Heat腊猪油 (Cured Pork Fat) in hands, smell it twice or three times, then rub onto the sore. One application cures it. If pain and swelling are severe and high, double the amount of Hanshuishi (Aqua Calcitum). If not very itchy, add only Gouji (Acanthopanacis Senticosi Caulis). If mildly itchy, add only Shechuangzi (Cnidii Fructus). If parasites are present, add Xionghuang (Realgar). If preferring heat/fire therapy, add Liuhuang (Sulfur). Merely smelling it continuously can also cure it.
Jie Chuang (Scabies): Those developing in spring primarily require resolving stagnation. Wuzhuyu (Evodiae Fructus), Baifan (Alumen) (each 2 qian); Zhangnao (Camphora) (5 fen); Qingfen (Calomel)...; Hanshuishi (Aqua Calcitum) (2.5 qian); Shechuangzi (Cnidii Fructus) (3 qian); Huangbai (Phellodendri Cortex), Dahuang (Rhei Radix et Rhizoma), Liuhuang (Sulfur) (each 1 qian); Binglang (Arecae Semen) (1 piece). Powder them, mix with oil. Do not scratch open.
Xiao'er Tou Chuang (Infant Head Sores): Chuanxiong (Ligustici Chuanxiong Rhizoma), Pianqin (Scutellariae Radix), Jiuchao Shaoyao (Wine-fried Paeoniae Radix Alba), Chenpi (Citri Reticulatae Pericarpium) (each 0.5 liang); Jiugui (Wine-processed Angelicae Sinensis Radix), Jiubaizhu (Wine-processed Atractylodis Macrocephalae Rhizoma) (each 0.5 liang); Tianma (Gastrodiae Rhizoma, wine-processed)...; Cangzhu (Atractylodis Rhizoma), Cang'er (Xanthii Fructus) (each 7.5 qian); Jiubai (Wine-processed Phellodendri Cortex), Jiufencao (Wine-processed Licorice Root) (each 4 qian); Fangfeng (Saposhnikoviae Radix) (3 qian). Powder them, suspend in water, decoct, and drink. Take 4-5 times daily. Sleep for a while after ingestion.
Another Formula: La Zhu You (Cured Pig Oil, half raw half cooked), Xionghuang (Realgar), Shuiyin (Mercury) in equal parts. Powder them. Wash the sore clean and apply.
Xiao'er Lai Tou Bing Shen Lai (Infant Ringworm and Body Tinea): Songpi (Pine Bark, burnt to ash), Baijiaoxiang (White Copal Resin), Kufan (Alumen), Dahuang (Rhei Radix et Rhizoma), Huangbai (Phellodendri Cortex). Powder them, mix with cooked oil, and apply.
Erhou Yu Shi Chuang (Ear Crescent Sores): Huanglian (Coptidis Rhizoma), Kufan (Alumen). Powder and apply.
Xiao'er Chuang (Infant Sores): Yazao (Gleditsiae Sinensis Spina, peeled), Hujiao (Piperis Longi Fructus, small amount), Kufan (Alumen), Qingfen (Calomel), Zhangnao (Camphora). Powder them, mix with candle oil, and apply. After seven days, if resembling cherry pus spots, remove pepper.
Xiao'er Tu Tou (Infant Baldness): Tongsheng San (Unimpeded Success Powder) processed with wine. Take Dahuang (Rhei Radix et Rhizoma) separately, stir-fry with wine, grind into powder. Mix again with wine, bake dry. Take 1 qian per dose, frequently. Wash with hot water quenched from red-hot white charcoal. Externally, apply powder of Huxizi (Coriandri Fructus), Fulonggan (Dragon's Liver Dust), Liangshangchen (Dust from Ridge Beam), Huanglian (Coptidis Rhizoma), Baifan (Alumen) mixed with oil.
Another Formula: Songshu Nongpi (Thick Pine Bark, burnt to charcoal 2 liang), Huangdan (Minium, water-ground 1 liang), Hanshuishi (Aqua Calcitum, finely ground 1 liang), Kufan (Alumen), Huanglian (Coptidis Rhizoma), Dahuang (Rhei Radix et Rhizoma) (each 0.5 liang), Baijiaoxiang (White Copal Resin, refined and poured on stone 2 liang), Qingfen (Calomel)... Powder them. First wash off crusts, mix with boiled oil, and apply.
Xuan Chuang (Tinea): Use Fangfeng Tongsheng San (Saposhnikovia Unimpeded Success Powder), remove Xiaokui Zi (Apoplanis Semen) and Dahuang (Rhei Radix et Rhizoma), add Fuping (Urticae Herba) and Zaojiaoci (Gleditsiae Spina).
Another Formula: Fuping (Urticae Herba) (1 liang), Cang'er (Xanthii Fructus), Cangzhu (Atractylodis Rhizoma) (each 2 liang), Kushen (Sophorae Flavescentis Radix) (1.5 liang), Huangqin (Scutellariae Radix) (0.5 liang), Xiangfu (Cyperi Rhizoma) (2.5 qian). Powder them, make pills with wine paste.
External Application: First use washing medicine, then apply external medicine. Lushui (Aloe), Dahuang (Rhei Radix et Rhizoma), Qingfen (Calomel), Xionghuang (Realgar), Shechuangzi (Cnidii Fructus), Binglang (Arecae Semen), Jinshupi (Hibiscus Tiliaceus Bark). Powder them. First scrape the tinea. Apply mixed with rice vinegar.
Another Formula: Lushui (Aloe) (three portions), Badou (Crotonis Semens, shelled 14 seeds), Baila (Beeswax), Bamazi (Ricini Semen, shelled 14 seeds), Banmao (Mylabris, 7 pieces, wings and feet removed). Boil Badou (Crotonis Semens), Bamazi (Ricini Semen), and Banmao (Mylabris) in 2 liang of sesame oil until black. Remove coarse residue, add wax and Lushui (Aloe) powder. Store in porcelain jar. Gently scrape tinea to break skin, apply oil. Slight swelling overnight, then healed.
Washing Medicine: Zisu (Perillae Folium), Zhangshu (Cinnamomum Camphora Tree), Cang'er (Xanthii Fructus), Fuping (Urticae Herba). Decoct in water for washing. Wash first, then apply external medicine.