疥证有五，干、湿、沙、虫、脓也，皆由气虚血热，荣卫不清之故，每先从手丫生起，延
绕周身，搔痒无度。如∶燥盛则生干疥，搔之皮枯而起白屑；湿盛则生湿疥，暴肿作痛，破津
黄水
，形如痘烂，顶含脓水，或稠或清，痛痒相兼；若蕴毒风湿化生则生虫疥，搔痒彻骨，挠不
知痛。夫疥虽似有余之证，而恒患于不足之人，故治不可专攻其有余，尤当先顾其不足。壮
盛
当归饮子主之；湿疥、脓疥以黄 饮子主之，俱洗以参椒汤、搽以绣球丸。其湿烂痛甚者，
搽以二黄丹皆获效。至于日久生虫，皆因湿热所化，清其湿热则虫不驱自灭，内服苦参丸，
外敷金银散自愈。即绣球丸搽亦效。
一、有经久不痊，体虚极而疮之甚者，内服神仙枣，外敷二黄丹可愈。
一、小儿疥疮，用 本煎汤洗浴，并浣衣，最妙。
一、疮愈后及年年发者，用独圣丸常服调理，最妙。
当归饮子
当归（三钱） 生地黄（四、五钱） 白蒺藜（去刺） 荆芥 赤芍 连翘（去心） 金银花
僵蚕（各二钱，生研）
上加竹叶五片水煎，食远服。干疥加丹皮二钱，沙疥加枯芩一钱五分。
黄 饮子
生黄 （四钱） 荆芥穗 云苓 归身（各二钱） 忍冬（三钱） 防风 白芷（香者） 连翘
（各一钱，去心） 甘草（八分）
上加大枣十枚，水煎温服。湿疥加制乳香一钱五分，脓窠疥加木通一钱五分。
神仙枣
归身（一两） 金银花（一两） 甘草（三钱） 白僵蚕 白芷 黄 （各五钱） 红枣（二斤）
上水六碗，共煎三碗，渣如前再煎，共汤六碗，去渣以汤、枣匀四、五日食，食完痊愈
。
独圣丸
荆芥（连穗）
上一味为末，用地黄自然汁熬膏为丸，桐子大。每服三钱，茶酒任下。服此须忌鱼蟹。
绣球丸
川椒红 轻粉 樟脑 雄黄 枯白矾 水银（各二钱） 大风子肉（一百粒另研）
上共研细末，同大风子肉再研匀，加地沥青一两五钱和药搅匀，作丸如圆眼大。先以鼻闻
，次搽患处。
参椒汤
苦参（一两） 花椒（三钱）
上用米泔水煎，候温洗之。洗后避风，拭干搽药。
二黄丹（孙真人方。）
黄柏（五钱） 轻粉（一钱）
上共研末，鸡子黄，熬油调搽。凡疥疮脓窠痛甚者，宜此搽之，止痛立愈。
荆防败毒散（通用四。）
金银散（通用七十。）
苦参丸（见前痘毒。）
疥疮证候分为五种：干疥、湿疥、沙疥、虫疥和脓疥，这些都是由于气虚血热、营卫之气不清所致。通常先从手指缝间开始发生，蔓延至全身，瘙痒难忍。例如：燥邪盛则生干疥，搔抓后皮肤干枯并起白屑；湿邪盛则生湿疥，突然肿胀疼痛，破溃后流出黄水，形态像痘疹溃烂，顶部含有脓水，或稠或稀，痛痒并存；若蕴毒与风湿化生则生虫疥，瘙痒深入骨髓，抓挠时不知疼痛。虽然疥疮看似是实证（有余之证），但常发生于体质虚弱之人，因此治疗不可单纯攻伐其实邪，尤其应当先顾护其正气不足。对于体质壮实者，以当归饮子为主方；湿疥、脓疥以黄芪饮子为主方，均用参椒汤清洗患处，并外搽绣球丸。其中湿烂且疼痛严重者，外搽二黄丹皆可获得疗效。至于日久生虫，都是因湿热所化生，清除其湿热则虫子不驱自灭，内服苦参丸，外敷金银散即可自愈。即使用绣球丸外搽也有效。
其一，有经久不愈，身体极度虚弱而疮疡严重的，内服神仙枣，外敷二黄丹可以痊愈。
其一，小儿疥疮，用荆芥煎汤洗浴，并用此汤浣洗衣物，最为巧妙。
当归饮子
当归（三钱） 生地黄（四、五钱） 白蒺藜（去刺） 荆芥 赤芍 连翘（去心） 金银花 僵蚕（各二钱，生研）
上加竹叶五片，水煎，饭后服用。干疥加丹皮二钱，沙疥加枯芩一钱五分。
黄芪饮子
生黄芪（四钱） 荆芥穗 云苓 归身（各二钱） 忍冬（三钱） 防风 白芷（香者） 连翘（各一钱，去心） 甘草（八分）
上加大枣十枚，水煎温服。湿疥加制乳香一钱五分，脓窠疥加木通一钱五分。
神仙枣
归身（一两） 金银花（一两） 甘草（三钱） 白僵蚕 白芷 黄芪（各五钱） 红枣（二斤）
上用水六碗，共煎至三碗，药渣如前法再煎，共得药汤六碗，去渣后将药汤与红枣均匀分四、五日食用，吃完即痊愈。
独圣丸
荆芥（连穗）
上一味研为细末，用地黄自然汁熬膏制成丸剂，大小如梧桐子。每服三钱，茶或酒送下均可。服用此药须忌食鱼蟹。
绣球丸
川椒红 轻粉 樟脑 雄黄 枯白矾 水银（各二钱） 大风子肉（一百粒另研）
上共同研成细末，同大风子肉再研匀，加地沥青一两五钱调和药物搅匀，做成龙眼大小的丸剂。先用鼻闻嗅，次搽患处。
参椒汤
苦参（一两） 花椒（三钱）
上用米泔水煎煮，候温洗之。洗后避风，拭干后搽药。
二黄丹（孙真人方。）
黄柏（五钱） 轻粉（一钱）
上共同研末，用鸡蛋黄熬油调匀外搽。凡疥疮脓窠疼痛严重者，宜用此药外搽，止痛立愈。
The manifestations of scabies are categorized into five types: dry scabies, damp scabies, sandy scabies, worm scabies, and pustular scabies. These conditions all arise from deficiency of Qi (vital energy) and heat in the Blood (blood), resulting in turbid Ying (nutritive) and Wei (defensive) energies. They typically begin in the web spaces between fingers and spread throughout the body, causing extreme itching. For instance: when Dryness is predominant, dry scabies occurs; scratching leads to dry skin and white scales. When Dampness is predominant, damp scabies occurs; it presents with sudden swelling and pain, breaks open to exude yellow fluid, resembling ulcerated acne, with pus-filled tops, varying in viscosity, accompanied by both pain and itching. If toxic accumulation transforms with Wind-Dampness, worm scabies arises; the itching penetrates to the bone, and scratching yields no sensation of pain. Although scabies appears as an Excess syndrome (repletion pattern), it frequently afflicts individuals with Deficiency patterns. Therefore, treatment should not focus solely on attacking the excess pathogen but must prioritize supporting the underlying deficiency. For robust constitutions, Danggui Yinzi (Angelica Decoction) is the primary formula; for damp and pustular scabies, Huangqi Yinzi (Astragalus Decoction) is used, both washed with Shenjiao Tang (Ginseng and Pepper Soup) and applied externally with Xiuqiu Wan (Embroidered Ball Pill). In cases of severe wet ulcers and pain, Erhuang Dan (Two-Yellow Powder) applied externally proves effective. Regarding worms generated over a long duration, these are transformed from Damp-Heat; clearing the Damp-Heat causes the worms to perish without direct expulsion. Internally take Kushen Wan (Sophora Pill), and externally apply Jinyin San (Honeysuckle Powder) for self-healing. Application of Xiuqiu Wan is also effective.
First, for chronic cases that fail to heal, characterized by extreme physical weakness and severe sores, internally taking Shenshen Zao (Divine Date) and externally applying Erhuang Dan can lead to recovery.
Second, for pediatric scabies, bathing with decoction of Jingjie (Schizonepeta) and using this water to wash clothes is most excellent.
Third, for recurrent scabies after healing or annual recurrences, regularly taking Dusheng Wan (Unique Holy Pill) for regulation is most excellent.
Danggui Yinzi (Angelica Decoction)
Danggui (Radix Angelicae Sinensis, 3 qian) Sheng Dihuang (Radix Rehmanniae Preparata, 4-5 qian) Baijili (Fructus Tribuli, thorns removed) Jingjie (Herba Schizonepetae) Chishao (Radix Paeoniae Rubra) Lianqiao (Fructus Forsythiae, heart removed) Jinyinhua (Flos Lonicerae) Jiangcan (Bombyx Batryticatus, each 2 qian, raw and ground)
Add five leaves of Zhuye (Bamboo Leaf), decoct in water, and take after meals. For dry scabies, add Danpi (Cortex Moutan, 2 qian); for sandy scabies, add Kuqing (Radix Scutellariae, 1.5 qian).
Huangqi Yinzi (Astragalus Decoction)
Sheng Huangqi (Radix Astragali, 4 qian) Jingjisui (Spica Schizonepetae) Yunling (Poria, 2 qian each) Guishen (Radix Angelicae Sinensis, root part) Rendong (Caulis Lonicerae, 3 qian) Fangfeng (Radix Saposhnikoviae) Baizhi (Radix Angelicae Dahuricae, fragrant variety) Lianqiao (Fructus Forsythiae, each 1 qian, heart removed) Gancao (Radix Glycyrrhizae, 0.8 fen)
Add ten dates (Jujubae Fructus), decoct in water, and take warm. For damp scabies, add processed Ruxiang (Resina Draconis, 1.5 qian); for pustular scabies, add Mutong (Caulis Akebiae, 1.5 qian).
Shenshen Zao (Divine Date)
Guishen (Radix Angelicae Sinensis, root part, 1 liang) Jinyinhua (Flos Lonicerae, 1 liang) Gancao (Radix Glycyrrhizae, 3 qian) Baijiangcan (Bombyx Batryticatus) Baizhi (Radix Angelicae Dahuricae) Huangqi (Radix Astragali, each 5 qian) Hongzao (Fructus Jujubae, 2 jin)
Add six bowls of water, decoct until three bowls remain. Boil the dregs again in the same manner to obtain a total of six bowls of decoction. Strain and mix the decoction with the dates, consuming evenly over four to five days. Completion of the course results in cure.
Dusheng Wan (Unique Holy Pill)
Jingjie (Herba Schizonepetae, with spikes)
Grind the single ingredient into powder. Use natural juice of Dihuang (Radix Rehmanniae) to make a paste and form pills the size of Torreya seeds. Take 3 qian per dose, with tea or wine as desired. Fish and crab must be avoided during consumption.
Xiuqiu Wan (Embroidered Ball Pill)
Chuanjiaohong (Pericarpium Zanthoxyli, red part) Qingfen (Calomelas) Zhangnao (Camphora) Xionghuang (Realgar) Kubaijian (Alumen Exsiccatum) Shuiyin (Hydrargyrum, each 2 qian) Dafengzirou (Semen Crotonis Tiglii, 100 grains, separately ground)
Grind all ingredients together into fine powder, then mix thoroughly with the separately ground Semen Crotonis Tiglii. Add 1.5 liang of Asphaltum (Liqing) to blend uniformly. Form pills the size of longan seeds. First inhale the scent, then apply to the affected area.
Shenjiao Tang (Ginseng and Pepper Soup)
Kushen (Radix Sophorae Flavescentis, 1 liang) Huajiao (Pericarpium Zanthoxyli, 3 qian)
Decoct in rice washing water (Migan Shui). Wash with warm solution. Avoid wind after washing, dry thoroughly, and apply medication.
Erhuang Dan (Two-Yellow Powder) [Formula by Sun Simiao]
Huangbai (Cortex Phellodendri, 5 qian) Qingfen (Calomelas, 1 qian)
Grind together into powder. Fry egg yolk (Jizi Huang) to extract oil, mix with powder, and apply externally. This is suitable for severe pain in pustular scabies lesions; it stops pain and promotes immediate healing.
Jingfang Baidu San (Schizonepeta and Saposhnikovia Decoction to Overcome Toxicity) [General Formula No. 4]
Jinyin San (Honeysuckle Powder) [General Formula No. 70]
Kushen Wan (Sophora Pill) [See previous section on Pox Toxin]