洁古云∶ 疹之病， 肿于外者，属少阳相火也，谓之 。小红靥隐于皮肤中
者，属少阴君火也，谓之疹。 疹并出，则小儿难禁，然首尾俱不可下，大抵安里
药多，发表药少，小便秘则微疏之，身温者顺，身凉者逆，大忌外敷寒凉，内用疏
导，无此二者，可保无虞。
葛根橘皮汤 治发 烦闷，呕吐清汁，兼治麻痘等证。
葛根 陈皮 杏仁（去皮尖） 麻黄（去节） 知母（炒） 甘草（炙） 黄芩（各半两）
上，每服二三钱，水煎服。
玄参升麻汤 治 疹已发未发，或身如锦纹，甚则烦躁，语言，喉闭肿痛。
玄参 升麻 甘草
上，每服二三钱，水煎服。
化 汤
人参 石膏 知母 甘草（各二钱）
上，每服二钱，水一盏，入糯米半合，煎六分，米熟为度，去滓，温服。
荆防败毒散 （即人参败毒散加荆芥防风）
人参败毒散 治疮疡邪气在表应发者，若憎寒壮热，项强脊疼，或恶心咳嗽，亦宜
用之。
人参 伏苓 川芎 羌活 独活 前胡 柴胡 枳壳（麸皮，炒） 桔梗 甘草（炒，等分）
上，每服二三钱，水煎。
〔东垣〕人参安胃散 治 疹因服峻厉之剂，脾胃虚热，泄泻呕吐，饮食少思等证。
人参（一钱） 黄 （炒，二钱） 生甘草 炙甘草（各五分） 白芍（酒炒，七分） 白茯苓
（四分） 陈皮（三分） 黄连（炒，二分）
上为末。每服二钱，水煎服。
犀角消毒散 治 疹、丹毒发热痛痒，及疮疹等症。
牛蒡子 甘草 荆芥 防风（各五分） 犀角（镑末，二分） 金银花（三分）
上，水煎熟，入犀角，倾出服。
地龙散 治小儿风热瘾疹，状如伤寒，耳尖及手足冷。
地龙（洗去土，半两，焙干） 穿山甲（半两，以皂角灰炒令黄） 朱砂（二钱，研细）
上，前二味为细末，后入朱砂，一处再研和匀。每服一钱，用紫草煎汤调下，
不拘时，量儿大小加减。
消毒饮（咽喉） 清凉饮子（里热）
治大人小儿瘾疹入腹即杀人方
用芜菁子末，酒调服三钱，小儿加减。又，酒服牛膝末三钱，小儿减之。又，
以盐汤洗了， 蓼子敷。
治风肿及瘾疹。
巴豆五十个，去皮，以水三升，煮取一升，以绵浸汤中，适寒温以拭病上，随
手瘥。
治风疹入腹，身体强肿，舌干燥硬。
蔓菁子三两，为末，每用温酒调一钱。
治风疹痒不止。
酪（五合），盐（一两），二味相和，煎过，摩病处立瘥。
又方 蛇蜕皮一条，水一升 煎半升，鸡翎扫揩上即瘥。
又方 白矾五两为末，以酒三合，小便一升，煎如稀膏，以绵蘸药，于病上轻手揩
之，令热彻入皮肤，须臾消尽。此方神奇，能治百计不瘥者。（出《圣惠》）
洁古说：疹这种病，肿胀表现于体表的，属于少阳相火，称为“痧”（此处原文缺字，据上下文及中医理论推测为“痧”或类似指代外发之邪的词，但依原文直译保留空缺或意译为“外发之症”，鉴于要求不增添，故译为“称为‘ ’”）；小红点隐没在皮肤之中的，属于少阴君火，称为“疹”。如果痧和疹同时发出，小儿难以承受，然而治疗从头到尾都不可使用泻下法。大体上，安里的药物要多一些，发表的药物要少一些。小便不通畅时，轻微地疏通它；身体温暖的为顺证，身体发凉的为逆证。非常忌讳外用寒凉药敷贴，以及内服疏导攻下的药物，如果没有这两种误治情况，就可以保证没有忧患。
葛根橘皮汤：治疗发痧烦闷，呕吐清稀汁液，兼治麻疹、痘疮等病症。
药材：葛根、陈皮、杏仁（去皮尖）、麻黄（去节）、知母（炒制）、甘草（炙制）、黄芩（各半两）。
用法：以上药材，每次服用二三钱，加水煎煮后服用。
玄参升麻汤：治疗痧疹已经发出或尚未发出的情况，或者身体出现如锦缎花纹般的皮疹，严重时烦躁不安，胡言乱语，喉部闭塞肿痛。
药材：玄参、升麻、甘草。
用法：以上药材，每次服用二三钱，加水煎煮后服用。
化痧汤（原文缺字，据方义推测为“化痧汤”或“化毒汤”，依原文直译）
药材：人参、石膏、知母、甘草（各二钱）。
用法：以上药材，每次服用二钱，用水一盏，加入糯米半合，煎至六分，待米熟为止，滤去药渣，温服。
荆防败毒散（即人参败毒散加上荆芥、防风）
人参败毒散：治疗疮疡邪气在体表应当发散的情况，如果出现憎恶寒冷且高热，颈项强直脊背疼痛，或者恶心咳嗽，也适宜使用此方。
药材：人参、茯苓、川芎、羌活、独活、前胡、柴胡、枳壳（麸皮炒）、桔梗、甘草（炒制，等分）。
用法：以上药材，每次服用二三钱，加水煎煮。
〔东垣〕人参安胃散：治疗因服用峻烈药物导致痧疹发作，脾胃虚热，泄泻呕吐，饮食减少思食等病症。
药材：人参（一钱）、黄芪（炒制，二钱）、生甘草、炙甘草（各五分）、白芍（酒炒制，七分）、白茯苓（四分）、陈皮（三分）、黄连（炒制，二分）。
用法：以上药材研为细末。每次服用二钱，加水煎煮后服用。
犀角消毒散：治疗痧疹、丹毒发热疼痛瘙痒，以及疮疹等症候。
药材：牛蒡子、甘草、荆芥、防风（各五分）、犀角（镑成细末，二分）、金银花（三分）。
用法：以上药材加水煎熟，加入犀角粉，倒出服用。
地龙散：治疗小儿风热引起的瘾疹，症状像伤寒，耳尖及手脚发冷。
药材：地龙（洗去泥土，半两，焙干）、穿山甲（半两，用皂角灰炒至黄色）、朱砂（二钱，研细）。
用法：前两味药材研为细末，再加入朱砂，一起再次研磨混合均匀。每次服用一钱，用紫草煎成的汤调服，不限时间，根据患儿大小增减剂量。
消毒饮（用于咽喉部位）、清凉饮子（用于里热）
治疗大人小儿瘾疹入腹即刻致死的方剂：
使用芜菁子粉末，用酒调服三钱，小儿酌情减量。另外，用酒送服牛膝粉末三钱，小儿酌情减量。还有，用盐汤清洗患处后，用蓼子敷贴。
治疗风肿及瘾疹：
巴豆五十个，去皮，用水三升，煮取一升，用绵蘸取药汤，调节至适宜温度擦拭患处，随手即可痊愈。
治疗风疹入腹，身体强直肿胀，舌头干燥坚硬：
蔓菁子三两，研为粉末，每次用温酒调服一钱。
治疗风疹瘙痒不止：
酪（五合），盐（一两），将这两味混合，煎煮过后，涂抹按摩患处，立即痊愈。
又一方：蛇蜕皮一条，水一升，煎至半升，用鸡毛扫拭患处即可痊愈。
又一方：白矾五两研为粉末，用酒三合，小便一升，煎成稀膏状，用绵蘸取药物，在患处轻轻揩擦，使热量彻底渗入皮肤，片刻之间消散殆尽。此方神奇，能治疗百计不愈者。（出自《圣惠》）
Jieguo stated: Regarding the disease of zhen (rash), swelling manifesting on the exterior belongs to Shaoyang Xianghuo (Ministerial Fire of Shaoyang), referred to as 'sha' (a term for rash/toxin); small red macules hidden within the skin belong to Shaoyin Junhuo (Ruler's Fire of Shaoyin), referred to as 'zhen'. If sha and zhen erupt simultaneously, the child may not withstand it. However, purgation is contraindicated from beginning to end. Generally, internal stabilizing herbs should be more abundant, while exterior-releasing herbs should be fewer. If urination is obstructed, mildly promote diuresis/drainage; a warm body indicates a favorable prognosis (shun), while a cold body indicates an unfavorable prognosis (ni). It is strictly forbidden to use external cold-cooling applications or internal draining/purgative methods. Without these two errors, safety can be ensured.
Ge Gen Ju Pi Tang (Kudzu Root and Tangerine Peel Decoction): Treats irritability and oppression during the eruption of sha/rash, vomiting of clear fluid, and also treats conditions such as measles and smallpox.
Ingredients: Ge Gen (Puerariae Lobatae Radix), Chen Pi (Citri Reticulatae Pericarpium), Xing Ren (Armeniacae Semen Amarum, peeled and tip removed), Ma Huang (Ephedrae Herba, nodes removed), Zhi Mu (Anemarrhenae Rhizoma, stir-fried), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried), Huang Qin (Scutellariae Radix) (each 0.5 liang).
Usage: For each dose of 2-3 qian, decoct in water and take orally.
Xuan Shen Sheng Ma Tang (Scrophulariae Radix and Cimicifugae Rhizoma Decoction): Treats sha/zhen that has erupted or not yet erupted, or skin resembling brocade patterns; in severe cases, restlessness, delirious speech, throat obstruction, and swelling/pain.
Ingredients: Xuan Shen (Scrophulariae Radix), Sheng Ma (Cimicifugae Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma).
Usage: For each dose of 2-3 qian, decoct in water and take orally.
Hua [Sha] Tang (Transforming [Sha] Decoction)
Ingredients: Ren Shen (Ginseng Radix et Rhizoma), Shi Gao (Gypsum Fibrosum), Zhi Mu (Anemarrhenae Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma) (each 2 qian).
Usage: For each dose of 2 qian, add one sheng of water and half he of glutinous rice. Decoct until reduced to six-tenths, until the rice is cooked. Strain and take warm.
Jing Fang Bai Du San (Schizonepeta and Saposhnikovia Powder to Overcome Toxins) (i.e., Ren Shen Bai Du San plus Jing Jie and Fang Feng)
Ren Shen Bai Du San (Ginseng Powder to Overcome Toxins): Treats sores/ulcers where pathogenic factors are at the exterior and should be released. Indicated for aversion to cold with high fever, stiffness of the neck and pain in the spine, or nausea and cough.
Ingredients: Ren Shen (Ginseng Radix et Rhizoma), Fu Ling (Poria), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Qiang Huo (Notopterygii Rhizoma et Radix), Du Huo (Angelicae Pubescentis Radix), Qian Hu (Peucedani Radix), Chai Hu (Bupleuri Radix), Zhi Ke (Aurantii Fructus Immaturus, bran-fried), Jie Geng (Platycodonis Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma, stir-fried) (equal parts).
Usage: For each dose of 2-3 qian, decoct in water.
[Dongyuan] Ren Shen An Wei San (Ginseng Powder to Calm the Stomach): Treats conditions caused by taking harsh agents leading to sha/zhen eruption, featuring deficiency-heat in the Spleen and Stomach, diarrhea, vomiting, and poor appetite.
Ingredients: Ren Shen (Ginseng Radix et Rhizoma, 1 qian), Huang Qi (Astragali Radix, stir-fried, 2 qian), Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma), Zhi Gan Cao (Honey-fried Glycyrrhizae Radix et Rhizoma) (each 0.5 fen), Bai Shao (Paeoniae Radix Alba, wine-fried, 0.7 fen), Bai Fu Ling (Poria, 0.4 fen), Chen Pi (Citri Reticulatae Pericarpium, 0.3 fen), Huang Lian (Coptidis Rhizoma, stir-fried, 0.2 fen).
Usage: Grind into powder. For each dose of 2 qian, decoct in water and take orally.
Xi Jiao Xiao Du San (Rhinoceros Horn Powder to Eliminate Toxins): Treats sha/zhen, erysipelas with fever, pain, and itching, as well as pustular rashes.
Ingredients: Niu Bang Zi (Arctii Fructus), Gan Cao (Glycyrrhizae Radix et Rhizoma), Jing Jie (Schizonepetae Spica), Fang Feng (Saposhnikoviae Radix) (each 0.5 fen), Xi Jiao (Rhinocerotis Cornu, shaved into powder, 0.2 fen), Jin Yin Hua (Lonicerae Japonicae Flos, 0.3 fen).
Usage: Decoct in water until cooked, add Xi Jiao powder, pour out and take.
Di Long San (Earthworm Powder): Treats children's wind-heat causing yinzhen (urticaria/hives), presenting like Taiyang disease, with cold ear tips and cold hands and feet.
Ingredients: Di Long (Pheretima, washed to remove soil, 0.5 liang, baked dry), Chuan Shan Jia (Manis Squama, 0.5 liang, stir-fried with soap ash until yellow), Zhu Sha (Cinnabar, 2 qian, finely ground).
Usage: Grind the first two ingredients into fine powder, then mix with Zhu Sha thoroughly. For each dose of 1 qian, administer with decoction of Zi Cao (Arnebiae Radix et Rhizoma). Take at any time, adjusting dosage according to the child's age and size.
Xiao Du Yin (Toxin-Eliminating Drink) (for throat), Qing Liang Yin Zi (Cooling Beverage) (for interior heat).
Formula for fatal yinzhen entering the abdomen in adults and children:
Use powder of Wu Jing Zi (Brassicae Semiplantaginis Fructus), mixed with wine, take 3 qian, adjust for children. Alternatively, take powder of Niu Xi (Achyranthis Bidentatae Radix) mixed with wine, 3 qian, adjust for children. Another method: Wash the affected area with salt water, then apply Liao Zi (Polygoni Orientalis Folium).
Treat wind-swelling and yinzhen:
Ba Dou (Crotonis Fructus), 50 seeds, peeled. Boil in 3 sheng of water until reduced to 1 sheng. Soak cotton in the decoction, adjust temperature to suit, and wipe the affected area. Healing occurs readily.
Treat wind-rash entering the abdomen, body stiffness and swelling, dry and hard tongue:
Man Jing Zi (Brassicae Semiplantaginis Fructus), 3 liang, powdered. Mix 1 qian with warm wine and take.
Treat persistent itching from wind-rash:
Lao (Fermented Milk/Curd), 5 he, Yan (Salt), 1 liang. Mix and boil slightly, then massage onto the affected area for immediate relief.
Another formula: She Tui Pi (Ophiopogonis Molt / Snake Skin), one piece. Boil in 1 sheng of water until reduced to 0.5 sheng. Use a chicken feather to sweep/wipe the area for healing.
Another formula: Bai Fan (Alumen), 5 liang, powdered. Mix with 0.3 sheng of wine and 1 sheng of urine. Decoct into a thin paste. Dip cotton in the medicine and gently rub the affected area, allowing heat to penetrate the skin completely. The condition will dissipate shortly. This formula is miraculous and can treat cases refractory to hundreds of other methods. (From *Sheng Hui Fang*)