加味逍遥散
遍身 如丹毒,痒痛无时搔作疮,血风风湿兼血燥,加味逍遥连地方。愈后白屑肌肤强,
血虚不润养荣汤。
【注】妇人血风 证,遍身起 ,如丹毒状,或痒或痛,搔之则成疮,由风湿血燥
所致,宜用加味逍遥散加黄连、生地。如疮结痂而愈,复起白屑,肌肤强硬者,乃血少
不润也,宜服益气养荣汤。
加味逍遥散(方见前阴痛条)
益气养荣汤(方见首卷)
桂附地黄丸
忧思郁怒肝脾损,湿热生疮长两 ,外属三阳为易治,内属三阴治每难。初起红肿败毒散,
浓水淋漓补中煎,晡热阴虚宜六味,食少畏寒桂附丸。
【注】妇人忧思郁怒,伤损肝脾,或饮食不调,损其胃气,则湿热下注;更被寒湿外
邪所客,则必两 生疮。外 足三阳经,尚属易治;若生于内 ,属足三阴经,每多难
愈。初起红肿,宜人参败毒散;溃后脓水淋漓,宜补中益气汤;若更晡热,是为阴亏,宜
兼服六味地黄丸;若食少体倦畏寒,则为真阳不足,宜服桂附地黄丸,即六味地黄丸加
肉桂、附子也。
人参败毒散 (方见产后痢条)
补中益气汤 (方见首卷血崩条)
六味地黄丸 (方见首卷)
督脉发源肾经过,三阴虚热足跟疼,六味地黄滋真水,肿溃流脓用八珍。
【注】足跟乃督脉发源之地,足少阴肾经从此所过。若三阴虚热,则足跟疼痛。宜用
大剂六味地黄丸料煎服,以峻补其五水。若痛久不愈,肿溃流脓者,宜服八珍汤,以大
补其气血。
加味逍遥散
全身皮肤出现如同丹毒般的症状,瘙痒疼痛无休止,搔抓后形成疮疡,这是血风、风湿兼有血燥所致,治疗宜用加味逍遥散并加入黄连、生地黄。疮疡愈合后若出现白色皮屑且肌肤僵硬,属于血虚不能滋润肌肤,宜服用养荣汤(即益气养荣汤)。
【注释】妇人患血风疮证,全身发作皮疹,状如丹毒,或痒或痛,搔抓后即成疮疡,此由风湿与血燥共同导致,适宜使用加味逍遥散加黄连、生地黄。如果疮疡结痂痊愈后,又生出白屑,肌肤变得强硬,这是因为血液亏少不能滋润肌肤,适宜服用益气养荣汤。
桂附地黄丸
忧思郁怒损伤肝脾,湿热内生导致疮疡生长在两足跟部,病位在足三阳经者容易治疗,病位在足三阴经者往往难治。初起红肿时宜用败毒散,脓水淋漓时宜用补中益气汤,午后发热属阴虚者宜用六味地黄丸,饮食减少且畏寒者宜用桂附地黄丸。
【注释】妇人因忧思郁怒,损伤肝脾,或因饮食不调,损伤胃气,则湿热下注;再加上寒湿外邪侵袭,必然导致两足跟生疮。生于足外侧及足背(足三阳经循行部位),尚属容易治疗;若生于足内侧(足三阴经循行部位),多难以痊愈。初起红肿,宜用人参败毒散;溃破后脓水淋漓,宜用补中益气汤;若伴有午后发热,这是阴液亏损,宜兼服六味地黄丸;若饮食减少、身体疲倦且畏寒,则是真阳不足,宜服用桂附地黄丸,即六味地黄丸加上肉桂、附子。
人参败毒散(方剂见产后痢条)
补中益气汤(方剂见首卷血崩条)
六味地黄丸(方剂见首卷)
督脉发源于肾经过足跟,三阴虚热导致足跟疼痛,六味地黄丸可滋补肾中真水,若肿溃流脓则用八珍汤。
【注释】足跟是督脉发源之地,足少阴肾经从此经过。如果三阴虚热,则足跟疼痛。宜用大剂量六味地黄丸药料煎服,以峻补其五脏之阴水。如果疼痛日久不愈,出现肿胀溃破流脓的情况,宜服用八珍汤,以大补气血。
Jiawei Xiaoyao San (Modified Free and Easy Wanderer Plus Coptis and Rehmannia Decoction)
The whole body presents with symptoms resembling erysipelas, with ceaseless itching and pain; scratching leads to the formation of sores. This is caused by blood wind, damp-heat, and concomitant blood dryness. Treatment should employ Jiawei Xiaoyao San added with Huanglian (Coptidis Rhizoma) and Shengdi Huang (Rehmanniae Radix). After healing, if white scales appear and the skin becomes stiff, it indicates blood deficiency failing to nourish and moisten; Yangying Tang (Nourishing the Nutrient Qi Decoction) should be taken.
[Note] In women suffering from Blood Wind Sores, rashes erupt all over the body, resembling erysipelas, accompanied by itching or pain. Scratching results in sores. This condition arises from damp-heat and blood dryness. It is appropriate to use Jiawei Xiaoyao San supplemented with Huanglian (Coptidis Rhizoma) and Shengdi Huang (Rehmanniae Radix). If the sores scab over and heal, but subsequently produce white scales and stiff skin, this signifies that insufficient blood fails to moisten the tissues. Yi Qi Yang Rong Tang (Qi-Nourishing and Blood-Supplementing Decoction) should be administered.
Jiawei Xiaoyao San (Formula see section on Vulvar Pain)
Yi Qi Yang Rong Tang (Formula see Volume 1)
Guifu Dihuang Wan (Cinnamon Twig and Aconite Pill for Replenishing Kidney Essence)
Worry, thought, depression, and anger damage the Liver and Spleen. Damp-heat generates internally, causing sores to develop on both heels. Lesions located on the Foot Three Yang meridians are relatively easy to treat, whereas those on the Foot Three Yin meridians are often difficult to cure. At the initial stage of redness and swelling, Baidu San (Poison-Resolving Powder) is indicated. If there is profuse discharge of pus and fluid, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) is indicated. If there is afternoon fever due to Yin deficiency, Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) is indicated. If there is poor appetite and aversion to cold, Guifu Dihuang Wan is indicated.
[Note] Due to worry, excessive thinking, depression, and anger, a woman’s Liver and Spleen may be damaged. Alternatively, improper diet may injure Stomach Qi, leading to downward pouring of damp-heat. When combined with external invasion of cold-damp pathogenic factors, sores will inevitably arise on both heels. Sores occurring on the lateral aspect and dorsum of the foot (the pathway of the Foot Three Yang meridians) are still relatively easy to treat. However, sores arising on the medial aspect of the foot (the pathway of the Foot Three Yin meridians) are frequently difficult to heal. At the onset, characterized by redness and swelling, Renshen Baidu San (Ginseng Poison-Resolving Powder) is suitable. After ulceration with profuse purulent discharge, Buzhong Yiqi Tang is suitable. If accompanied by afternoon tidal fever, indicating Yin depletion, Liuwei Dihuang Wan should be taken concurrently. If accompanied by poor appetite, fatigue, and aversion to cold, it indicates deficiency of True Yang; Guifu Dihuang Wan should be taken, which is Liuwei Dihuang Wan plus Rougui (Cinnamomi Cortex) and Fuzi (Aconiti Lateralis Radix Praeparata).
Renshen Baidu San (Formula see section on Postpartum Dysentery)
Buzhong Yiqi Tang (Formula see section on Uterine Bleeding in Volume 1)
Liuwei Dihuang Wan (Formula see Volume 1)
The Du Mai (Governor Vessel) originates from the Kidney and passes through the heel. Deficient heat in the Three Yin causes heel pain. Liuwei Dihuang Wan nourishes the True Water of the Kidney. If swelling and ulceration with pus occur, Bazhen Tang (Eight-Treasure Decoction) is used.
[Note] The heel is the origin point of the Du Mai (Governor Vessel), and the Foot-Shaoyin Kidney Meridian passes through this area. If there is deficient heat in the Three Yin meridians, heel pain occurs. It is appropriate to decoct and take a large dose of Liuwei Dihuang Wan ingredients to vigorously tonify the Yin fluids of the Five Zang organs. If the pain persists for a long time without healing, accompanied by swelling, ulceration, and purulent discharge, Bazhen Tang should be taken to vigorously tonify Qi and Blood.