夫疥有五种∶干疥、湿疥、虫疥、砂疥、脓疥。如肺金燥盛,则生干疥,瘙痒皮枯,而
起白屑;脾经湿盛,则生湿疥, 肿作痛,破泄黄水,甚流黑汁;肝经风盛,则生虫疥
,瘙痒彻骨,挠不知痛;心血凝滞,则生砂疥,形如细砂, 赤痒痛,抓之有水;肾经湿盛
,则生脓窠疥,形如豆粒,便利作痒,脓清淡白,或脾经湿盛亦生之,但顶含稠脓,痒痛相
兼为异,皆有小虫,染人最易。切忌热汤浸洗,图快一时,殊不知热毒攻里,虫愈深入,虽
有良方,何能刻日奏效?患者戒之。兼忌一切发物海鲜。治法∶内服疥灵丹,或消风散;外
搽绣球丸,或一扫光俱可。
痤痱疮者,俗名坐板疮。生于两股,密如撒粟,尖如芒刺,痒痛非常,浑身毛刺,
甚者皮损粘衣。此由脾经湿热湿毒郁久而成,或有因久坐卑湿之地,或坐烈日石上,酿成湿
热,亦能致之。此处乃至阴之所,血亦罕来,药力少至,当用外治,法以苦参汤洗之,掺以
鹅黄散。
白秃疮者,俗名HT HT 疮。乃足太阳膀胱、督脉二经受湿热,生虫作痒,疮痂高
堆是也。风袭则起白屑,热甚则秃,久则伤孔而不生发。治当消风、除湿、杀虫、止痒、养
血。
肥疮生于头顶,乃脏腑不和之气上冲,血热之毒上注,小儿阴气未足,阳火有余,故最
多犯之。宜内服荆芥、防风、连翘、天花粉、贝母、元参、赤芍、生地、牛蒡子等,清热解毒
、凉血和血,俟毒瓦斯少解,方外用药以涂之,切不可骤加寒凉涂遏,以致热毒内攻不救。盖
小儿脏腑娇嫩,易入难出也。
疥疮共有五种:干疥、湿疥、虫疥、砂疥、脓疥。如果肺金燥气过盛,就会生干疥,表现为皮肤瘙痒干枯,并起白色皮屑;脾经湿气过盛,就会生湿疥,表现为肿胀疼痛,破溃后流出黄色液体,严重时甚至流出黑色汁液;肝经风邪过盛,就会生虫疥,瘙痒深入骨髓,抓挠时感觉不到疼痛;心血运行凝滞,就会生砂疥,形态像细沙一样,发红且痒痛,抓挠后有水渗出;肾经湿气过盛,就会生脓窠疥,形态像豆粒大小,大小便时感到瘙痒,脓液清稀色白;也有因脾经湿气过盛而生此病的,区别在于顶部含有浓稠的脓液,痒痛兼有是其特征的不同之处。这些疥疮都有小虫子,极易传染给人。切忌用热水浸泡清洗,为了图一时的痛快,却不知道这样会使热毒攻入体内,虫子钻得更深,即使有良方,也不能在短时间内见效?患者务必戒除。同时忌食一切发物及海鲜。治疗方法:内服疥灵丹,或消风散;外涂绣球丸,或一扫光均可。
痤痱疮,俗称坐板疮。生于大腿部位,密集如撒下的粟米,尖端如芒刺,瘙痒疼痛非常剧烈,全身毛发竖起如刺,严重的会导致皮肤破损粘连衣物。这是由于脾经湿热湿毒郁结日久而成,也有因为久坐潮湿低洼之地,或坐在烈日暴晒的石头上,酿成湿热,也能导致此病。此处属于至阴之所,血液供应很少,药力难以到达,应当采用外治法,方法是用苦参汤清洗,然后撒上鹅黄散。
白秃疮,俗称HT HT 疮(注:原文此处可能有缺字或特定称呼,依原文保留)。这是足太阳膀胱经和督脉二经受湿热侵袭,生虫作痒,疮痂高高堆起所致。风邪侵袭则起白色皮屑,热邪严重则导致脱发,时间久了会损伤毛囊孔而不再生头发。治疗应当祛风除湿、杀虫止痒、养血。
肥疮生于头顶,是由于脏腑不和之气上冲,血热之毒上注所致。小儿阴气尚未充足,阳火有余,所以最容易患此病。适宜内服荆芥、防风、连翘、天花粉、贝母、元参、赤芍、生地、牛蒡子等药物,以清热解毒、凉血和血,等到毒气稍微缓解后,再外用药物涂抹,切不可突然加上寒凉药物涂抹遏制,以致热毒内攻无法救治。这是因为小儿脏腑娇嫩,病邪易入难出啊。
There are five types of scabies: dry scabies, damp scabies, insect scabies, sand scabies, and pustular scabies. If the Lung Metal (Lung organ system) is excessively dry, dry scabies arises, characterized by itching with dry skin and white scales; if the Spleen channel has excessive dampness, damp scabies arises, characterized by swelling and pain, with yellow fluid oozing upon rupture, and in severe cases, black fluid; if the Liver channel has excessive wind, insect scabies arises, with itching penetrating to the bone such that scratching does not relieve it or cause pain; if Heart blood stagnates, sand scabies arises, appearing like fine sand, red, itchy, and painful, with water exuding when scratched; if the Kidney channel has excessive dampness, pustular scabies arises, resembling bean-sized nodules, itching during urination and defecation, with clear and white thin pus; alternatively, this may also arise from excessive dampness in the Spleen channel, distinguished by thick pus at the apex and simultaneous itching and pain. All these types contain small insects and are highly contagious. One must strictly avoid soaking and washing with hot water for temporary relief, as this causes heat-toxin to attack inward, driving the insects deeper. Even with good prescriptions, effects cannot be achieved overnight. Patients must take heed. Also avoid all "fa-wu" (trigger foods) and seafood. Treatment methods: Internally administer Jie Ling Dan (Scabies Spirit Pill) or Xiao Feng San (Wind-Expelling Powder); externally apply Xiu Qiu Wan (Embroidered Ball Pill) or Yi Sao Guang (One-Sweep Light), either is acceptable.
Cuo Fei Chuang (Acne-like miliaria), commonly known as "sitting-board sore," occurs on the thighs, dense like scattered millet grains, pointed like thorns, with extreme itching and pain, causing body hair to stand erect like bristles. In severe cases, the skin breaks and adheres to clothing. This condition results from long-term accumulation of damp-heat and damp-toxin in the Spleen channel. It can also be caused by sitting for long periods in damp, low-lying areas, or sitting on stones exposed to the scorching sun, which generates damp-heat. This area belongs to the "extreme yin" region where blood circulation is scarce, so medicinal efficacy reaches it poorly. External treatment should be used: wash with Kushen Tang (Sophora Root Decoction) and sprinkle Ehuang San (Goose Yellow Powder).
Bai Tu Chuang (White Baldness Scab), commonly referred to as [HT HT] Chuang, occurs due to damp-heat affecting the Foot-Taiyang Bladder Channel and the Du Mai (Governing Vessel), generating insects that cause itching, with high piles of crusts. Wind invasion leads to white scales; severe heat leads to baldness; prolonged duration damages the follicles, preventing hair regrowth. Treatment should focus on dispelling wind, removing dampness, killing parasites, relieving itching, and nourishing blood.
Fei Chuang (Greasy Scab) occurs on the crown of the head, caused by qi rebellion from disharmony of the zang-fu organs rushing upward, and blood-heat toxin pouring into the upper region. Children have insufficient yin energy and excess yang fire, making them most susceptible. Internal administration of Jingjie (Schizonepeta Herb), Fangfeng (Saposhnikovia Root), Lianqiao (Forsythia Fruit), Tianhuafen (Trichosanthes Root), Beimu (Fritillaria Bulb), Yuan Shen (Scrophularia Root), Chi Shao (Red Peony Root), Sheng Di Huang (Rehmannia Root), and Niu Bang Zi (Arctium Seed) is suitable to clear heat, detoxify, cool the blood, and harmonize blood. Only after the toxic factors are slightly relieved should external medications be applied. One must absolutely avoid suddenly applying cold-cold substances to suppress the condition, as this may cause heat-toxin to attack inward without hope of rescue. This is because children's zang-fu organs are delicate, allowing pathogens to enter easily but exit with difficulty.