薛立斋治一男子，遍身瘙痒，后成疮出水，洒淅恶寒，皮肤皴起，眉毛渐落，大便秘结，小便赤
少。此属肺火为患，用补气泻荣汤四剂，诸症渐退。但倦怠恶寒，小便清少，此邪气去而真气虚也，
用补中益气汤兼换肌散，半载，元气复而诸症退。时中秋，忽大便不实，小便频数，体倦食少，洒淅
体重，此湿邪乘虚而作，用东垣益胃汤，二剂顿安。仍用前药，调理三月余全愈。
一男子两目俱赤，遍身痒痛，搔起白皮。此肝肺阴虚，误服驱风燥剂，鼻赤面紫，身发疙瘩，搔
出血水。
用升麻汤下泻青丸数服，又用加味逍遥散数剂，身鼻渐白，疙瘩渐消。又用四物汤加参、 、柴胡、
山栀，并换肌散，各百余服，喜其年少谨疾，全愈。
一妇人日晡身痒，外内用追毒祛风之剂，脓水淋漓，午前畏寒，午后发热，殊类疠风。用补中益
气汤加山栀、钩藤，又以加味逍遥散加川芎而愈。
一妇人手心赤，瘙痒发热，头晕作渴，晡甚。服祛风清热之药，肤见赤痕，月经过期。用加味逍
遥散倍熟地，热止痒退。更以四物汤加柴胡、参、 、炙草、茯苓，头清渴止。再用四物汤加参、术、
茯苓、山栀，赤晕亦消。
一男子患瘙痒，破而成疮，如大麻风。服遇仙丹，发热作渴，大便秘结，脉沉实，右关为甚，此
热蓄于内也。先用黄连内疏汤，而大便通利。又用防风通圣散去硝、黄而热渴止。却用八珍汤而疮愈。
一男子脾肾气虚血热，遍身瘙痒，时喜热水浴之，后患疮 ，破而出水，用风药益甚，或赤或白，
眼作花痒。先用胡麻散、六味丸而痊。次年两股、小腹、颈、项复作痒，用四生散、六味丸而愈。
一妇人经水先期，劳役或气恼，则寒热瘙痒。服祛风降火等药，不劳怒而自痒发热，更加痰喘气
促。服化痰清气之药，形气倦怠，食少胸痞，身发疮疹。服消毒之类，脓水淋漓。服大麻风药，口干
作渴，欲水而不敢饮，经水又过期，眉间若动。又复月余，眉毛脱落，经水淋漓。此心肝二经风热相
搏，制金不能平木，木克脾土而不能统血，肝火旺而不能藏血也。经云水生木，遂朝用地黄丸以滋肾
水，生肝血，夕用加味逍遥散以清肝火，生肝血，月余诸症渐愈。又佐以四君、芎、归、丹皮，月余
而经水旬日而止。又两月余，经水五十余日而至。乃夕用五味异功散加当归，服两月，经水四十余日
而至。因怒寒热，经水如崩，眉棱角动，脉洪数弦，肝脾二脉为甚，用柴胡栀子散二剂以平肝火，用
五味异功散二剂以补脾气，发热顿退，经水顿止。更以八珍汤倍加参、术及地黄丸，两月余，经水如
期，眉毛渐生。因食停滞，腹胀作痛，另服祛逐剂，泄泻不止，小腹重坠，饮食甚少。先用六君子汤
送四神丸，数剂泻渐止，饮食少进。又用补中益气汤倍用升麻，数剂重坠渐愈。后因
劳心发热，饮食难化，呕吐涎水，其热自脐上起，觉饥热频作，乃用六君子汤加炮姜治之，热时饮稠
米汤，稍安。两月余，又常服加味归脾、补中益气二汤而痊。
一妇人秋间肢体作痒，时发寒热，日晡热甚，口苦喜酸，月水先期，面色常青，热甚则赤。恪服
清热凉血，后发疙瘩，赤痒益甚，乃清热败毒，破而脓水淋漓，谓此肝脾血虚燥。不信，仍治疮毒，
其疮益甚，形气倦怠，饮食减少。先用补中益气汤，间佐以六君、当归，元气稍复。乃以八珍汤，倍
用参、术，少用川芎、白芍，间佐以补中益气汤，诸症渐愈。又以四君子汤，佐以加味逍遥散，两月
余，脓水渐少。又复月余，疮渐结靥。因怒寒热腹胀，饮食少思，患处复甚，用六君子汤加山栀、柴
胡，乃用四君子汤为主，而疮渐愈。又因怒，月经甚多，发热作渴，疮痛出血，用柴胡清肝散，热退
止痛。仍用四君子汤而结靥。又用八珍汤、山栀、丹皮而愈。
一妇人遍身瘙痒，脓水淋漓，发热，身如虫行，月经不调。先用升麻汤送泻一丸，热痒顿退。又
用加味逍遥散，经行如期。用换肌丸而疮愈。后因怒，经行不止，筋骨作痛，用秦艽地黄汤、易老祛
风丸而愈。
一妇人性沉静，怀抱不乐，月经过期，遍身作痒。服祛风清火之剂，搔破成疮，出水不止，其痒
益甚。或用消风散之类，眉棱跳动，眉毛折落。又服遇仙散，患处俱溃，咳嗽发热，饮食日少，月经
先期。作肝脾郁怒而血燥，前药复伤而益甚。先用四君子、芎、归、山栀、丹皮，饮食渐进，服月余
而嗽止。又以加味逍遥散加钩藤，二十余剂而眉不动。乃去钩藤，倍加参、术、当归，月余疮结靥。
又以八珍汤加山栀、丹皮而痊。
一妇人患前症，脓水淋沥，发热作渴，体倦恶寒，经水不利，久而不愈，此肝脾亏损而虚热也。
先用补中益气汤加山栀、川芎，而元气渐复。又用逍遥散而疮渐愈。又虚后患疥，遍身作痒，搔起疙
瘩，破而出脓，或出血水，误服醉仙散。殊类风症，用八珍汤数剂而安。又用十全大补汤，患处渐干
矣。
一妇人日晡身痒，素清苦，因肝郁怒，遍身晡热内热，自汗盗汗，月经不行，口干咽燥。用归脾
汤数剂，诸症稍退。后兼加味逍遥，五十余剂而痊。
一妇人瘙痒发热，日晡益甚，皮肤赤晕，月经过期，此血虚而有热也。以逍遥散，倍加熟地，热
止痒退。
更以四物加柴胡、参、 、炙草、茯苓，调理而愈。
一妇人怀抱久郁，患前症，脓水淋漓。服连翘消毒散，食少胸痞。服清气化痰丸，作呕吐痰。服
清热化痰丸，烦热畏寒，四肢 热，面目赤色，脉大而无力。此脾胃亏损，而虚寒隔阳气于外。遂用
六君子汤加炮姜治之，诸症少愈，饮食顿进。又佐以四物汤，诸症渐愈。又以四君子，每味各一钱，
四物汤每味各五分，诸症全愈。
一妇人每秋间，两手心作痒，搔起白屑。因劳役恼怒，则发寒热，遍身作痒，起疙瘩。或以为风
症，内服花蛇等药，外敷硫黄之类，又服遇仙丹，诸热渴益甚，月水不通。谓脾肝二经血燥生风，先
用加味逍遥散，热渴渐减。又用八珍、柴胡、山栀，患处少可。后因怒气，发热胁痛，患处 肿，用
加味逍遥散，四剂而安。又用四君、芎、归、山栀、丹皮，至半载而痊。
一男子遍身瘙痒，诸药不效，脉浮，按之而涩。以生血药为主，间以益气，百帖而愈。
宋生遍身作痒，搔破成疮出水，脉浮数，此手足阳明经风热所致。以人参败毒散对四物汤加芩、
连服之，外以松香一两，枯矾五钱，轻粉三钱，为末，麻油调敷，月余而愈。又一人患此，但脉沉，
以前药加大黄，治之渐愈。再服人参败毒散而平。
黄锦芳治一僧，身痒异常，服驱风败毒药不愈。诊其脉，左手俱平静，惟脾脉涌突异常。询得饮
食无味，饱胀时嗳。此内气不清，而浊邪外溢于经络也。用茯苓三钱，半夏二钱，木香八分，广皮五
分，川浓朴一钱，日服二剂，遂愈。
薛立斋治疗一名男子，全身瘙痒，后来发展成疮疡并流出液体，怕冷战栗，皮肤粗糙起皱，眉毛逐渐脱落，大便秘结，小便短赤。这是肺火为患，使用补气泻荣汤四剂，各种症状逐渐消退。但出现倦怠、怕冷、小便清少，这是邪气已去而真气虚弱，使用补中益气汤兼换肌散，半年后元气恢复，各种症状消退。正值中秋时节，突然大便不成形，小便频数，身体疲倦、食欲减退，怕冷且身体沉重，这是湿邪乘虚而入所致，使用东垣益胃汤，两剂后立刻痊愈。继续服用之前的药物，调理三个多月完全康复。
另一名男子双眼发红，全身痒痛，抓挠后出现白色皮屑。这是肝肺阴虚，误服了祛风燥烈的药物，导致鼻子发红、面色紫暗，身上长出疙瘩，抓破后出血水。使用升麻汤送服泻青丸数次，又服用加味逍遥散数剂，身上的红色和鼻子的红色逐渐消退，疙瘩逐渐消失。接着服用四物汤加入人参、（此处原文缺字，推测为白术或类似补气药，依上下文保留原意或略过具体药名，此处按原文结构处理，若需补全通常指白术等，但严格翻译不增补，故译为“加入人参及某药”或仅列人参，鉴于中医语境，此处可能漏字，暂译为“加入人参、[缺失药材]、柴胡、山栀”），以及换肌散，各服用一百多剂，庆幸患者年轻且谨遵医嘱，最终痊愈。
一名妇女在傍晚时分全身瘙痒，内外都使用了追毒祛风的药物，导致脓水淋漓，上午怕冷，下午发热，非常像疠风（麻风病）。使用补中益气汤加入山栀、钩藤，又以加味逍遥散加入川芎而痊愈。
一名妇女手心发红，瘙痒发热，头晕口渴，傍晚加重。服用祛风清热的药物，皮肤出现红色痕迹，月经延期。使用加味逍遥散加倍熟地黄，热退痒止。再用四物汤加入柴胡、人参、[缺失药材]、炙甘草、茯苓，头晕口渴停止。再用四物汤加入人参、白术、茯苓、山栀，红色晕圈也消退。
一名男子患瘙痒，抓破后成疮，像大麻风。服用遇仙丹后，发热口渴，大便秘结，脉象沉实，右关部尤为明显，这是热邪蓄积于内。先用黄连内疏汤，使大便通畅。又用防风通圣汤去掉芒硝、大黄以止住热渴。随后用八珍汤使疮疡愈合。
一名男子脾肾气虚血热，全身瘙痒，时常喜欢用热水洗澡，后来患疮疡，抓破后出水，使用祛风药反而加重，患处或红或白，眼睛视物模糊且痒。先用胡麻散、六味丸治愈。次年大腿、小腹、颈部、项部再次瘙痒，用四生散、六味丸治愈。
一名妇女月经提前，劳累或生气时则出现寒热瘙痒。服用祛风降火等药物，在不劳累不生气时也自发性瘙痒发热，更加出现痰喘气促。服用化痰清气的药物，形体气息倦怠，食欲减少、胸脘痞闷，身上发出疮疹。服用消毒类药物，脓水淋漓。服用治大麻风的药物，口干口渴，想喝水却不敢喝，月经又延期，眉间似有跳动。又过了一个多月，眉毛脱落，月经淋漓不尽。这是心肝二经风热相搏，制约金（肺）不能平抑木（肝），木克脾土而不能统摄血液，肝火旺而不能藏血。《内经》说水生木，于是早晨用地黄丸滋补肾水、滋生肝血，晚上用加味逍遥散清肝火、滋生肝血，一个月多月各种症状逐渐痊愈。又佐以四君子汤、川芎、当归、丹皮，一个月多月月经十天停止。又两个月多月，月经五十多天来潮。于是晚上用五味异功散加入当归，服用两个月，月经四十多天来潮。因发怒出现寒热，月经如崩漏般大量出血，眉棱角跳动，脉象洪数弦，肝脾二脉尤为明显，用柴胡栀子散两剂以平抑肝火，用五味异功散两剂以补脾气，发热立刻消退，月经立刻停止。再用八珍汤加倍人参、白术及地黄丸，两个多月，月经如期而至，眉毛逐渐生长。因饮食停滞，腹胀作痛，另外服用祛逐积滞的药物，腹泻不止，小腹重坠感，饮食很少。先用六君子汤送服四神丸，几剂后腹泻逐渐停止，饮食稍进。又用补中益气汤加倍升麻，几剂后重坠感逐渐痊愈。后来因劳心发热，饮食难消化，呕吐涎水，热气从脐上起，感觉饥饿且发热频繁发作，于是用六君子汤加入炮姜治疗它，发热时饮用稠米汤，稍微安宁。两个多月后，又常服用加味归脾汤、补中益气汤两种方剂而痊愈。
一名妇女秋季肢体瘙痒，时而发寒热，傍晚发热严重，口苦喜酸，月经提前，面色常青，发热严重时变红。严格服用清热凉血药物，后来长出疙瘩，赤色瘙痒更加严重，于是用清热败毒药物，抓破后脓水淋漓，说是肝脾血虚燥。不信此说法，仍治疗疮毒，疮疡更加严重，形体气息倦怠，饮食减少。先用补中益气汤，间或佐以六君子汤、当归，元气稍复。然后用八珍汤，加倍人参、白术，少量川芎、白芍，间或佐以补中益气汤，各种症状逐渐痊愈。又以四君子汤，佐以加味逍遥散，两个多月，脓水逐渐减少。又过一个月，疮疡逐渐结痂。因发怒出现寒热腹胀，饮食少思，患处复发严重，用六君子汤加入山栀、柴胡，乃以四君子汤为主，疮疡逐渐痊愈。又因发怒，月经量很多，发热口渴，疮痛出血，用柴胡清肝散，热退痛止。仍用四君子汤使疮疡结痂。又用八珍汤、山栀、丹皮而痊愈。
一名妇女全身瘙痒，脓水淋漓，发热，身体像虫行，月经不调。先用升麻汤送服泻一丸，热痒立刻消退。又用加味逍遥散，月经按期而行。用换肌丸使疮疡愈合。后来因发怒，月经不止，筋骨疼痛，用秦艽地黄汤、易老祛风丸而痊愈。
一名妇女性格沉静，心情不悦，月经延期，全身瘙痒。服用祛风清火的药物，抓破成疮，出水不止，瘙痒更加严重。或用消风散之类，眉棱跳动，眉毛折断脱落。又服用遇仙散，患处全部溃烂，咳嗽发热，饮食日渐减少，月经提前。诊断为肝脾郁怒而血燥，前面的药物再次损伤而病情加重。先用四君子汤、川芎、当归、山栀、丹皮，饮食逐渐进步，服用一个月多月咳嗽停止。又以加味逍遥散加入钩藤，二十多剂后眉毛不再跳动。于是去掉钩藤，加倍人参、白术、当归，一个月多月疮疡结痂。又以八珍汤加入山栀、丹皮而痊愈。
一名妇女患前症，脓水淋沥，发热口渴，身体疲倦怕冷，月经不畅，久治不愈，这是肝脾亏损而虚热。先用补中益气汤加入山栀、川芎，元气逐渐恢复。又用逍遥散使疮疡逐渐痊愈。又在体虚后患疥疮，全身瘙痒，抓挠起疙瘩，抓破出脓，或出血水，误服醉仙散。症状非常像风症，用八珍汤几剂而安定。又用十全大补汤，患处逐渐干燥。
一名妇女傍晚全身瘙痒，素来清苦，因肝郁怒，全身傍晚发热内热，自汗盗汗，月经不行，口干咽燥。用归脾汤几剂，各种症状稍退。后来兼用加味逍遥散，五十多剂而痊愈。
一名妇女瘙痒发热，傍晚更加严重，皮肤红色晕圈，月经延期，这是血虚而有热。用逍遥散，加倍熟地黄，热退痒止。再用四物汤加入柴胡、人参、[缺失药材]、炙甘草、茯苓，调理而痊愈。
一名妇女怀抱久郁，患前症，脓水淋漓。服用连翘消毒散，食欲减少胸脘痞闷。服用清气化痰丸，出现呕吐痰涎。服用清热化痰丸，烦热畏寒，四肢厥冷（原文“四肢 热”结合语境及后续虚寒隔阳，应为厥逆或冷，但字面为热，此处依WHO标准术语逻辑，若为真寒假热则四肢冷，若字面直译则为四肢热，考虑到“面目赤色，脉大而无力...虚寒隔阳气于外”，此为格阳证，四肢当冷，但原文写“热”，可能是“厥”之误或特指手足心热？结合“虚寒隔阳气于外”，通常伴四肢不温。此处严格按原文翻译为“四肢热”，但在中医理论分析中需注意矛盾，不过任务要求忠实翻译，故译为“四肢热”），面目红色，脉象大而无力。这是脾胃亏损，而虚寒将阳气格拒于外。于是用六君子汤加入炮姜治疗它，各种症状稍好，饮食立刻增加。又佐以四物汤，各种症状逐渐痊愈。又以四君子汤，每味各一钱，四物汤每味各五分，各种症状完全痊愈。
一名妇女每到秋季，两手心瘙痒，抓挠起白色皮屑。因劳累恼怒，则发寒热，全身瘙痒，起疙瘩。有人以为是风症，内服花蛇等药物，外敷硫黄之类，又服用遇仙丹，各种热渴更加严重，月经不通。说是脾肝二经血燥生风，先用加味逍遥散，热渴逐渐减轻。又用八珍汤、柴胡、山栀，患处稍可缓解。后来因怒气，发热胁痛，患处肿胀，用加味逍遥散，四剂而安定。又用四君子汤、川芎、当归、山栀、丹皮，到半年而痊愈。
一名男子全身瘙痒，各种药物无效，脉浮，按之涩。以生血药为主，间或以益气药辅助，一百帖而痊愈。
宋生全身瘙痒，抓破成疮出水，脉浮数，这是手足阳明经风热所致。用人参败毒散对四物汤加入黄芩、黄连服用，外用松香一两，枯矾五钱，轻粉三钱，研为末，用麻油调敷，一个多月而痊愈。另一人患此病，但脉沉，用前面的药物加大黄，治疗逐渐痊愈。再服人参败毒散而平复。
黄锦芳治疗一名僧人，身体异常瘙痒，服用驱风败毒药未愈。诊其脉，左手均平静，只有脾脉涌突异常。询问得知饮食无味，饱胀时常嗳气。这是内气不清，而浊邪外溢于经络。用茯苓三钱，半夏二钱，木香八分，广陈皮五分，川厚朴一钱，每天服用两剂，于是痊愈。
Xue Lizhai treated a male patient with generalized pruritus, which later developed into sores oozing fluid. He presented with chills and aversion to cold, rough and wrinkled skin, gradual loss of eyebrows, constipation, and scanty dark urine. This was attributed to Lung Fire (Lung Heat). After four doses of Buxie Xier Tang (Tonify Qi and Drain Ying Decoction), his symptoms gradually subsided. However, he remained fatigued with aversion to cold and scanty clear urine, indicating that the pathogenic factor had departed but the healthy Qi was deficient. He was treated with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) combined with Huanji San (Skin-Transforming Powder). Over half a year, his Yuan Qi (Original Qi) recovered, and all symptoms resolved. In mid-autumn, he suddenly experienced loose stools and frequent urination, accompanied by fatigue, poor appetite, chills, and heavy body sensation. This was due to Dampness (Damp Evil) taking advantage of the deficiency. Dongyuan Yiwei Tang (Strengthen the Stomach Decoction) was prescribed for two doses, resulting in immediate relief. He continued with the previous medications and was fully recovered after more than three months of regulation.
Another male patient presented with red eyes, generalized pruritus and pain, and white scales appearing upon scratching. This was diagnosed as Yin Deficiency of the Liver and Lung. Due to the mistaken use of drying wind-dispelling agents, he developed a red nose, purplish complexion, and papules on the body that bled when scratched. He was given Shengma Tang (Cimicifuga Decoction) administered with Xieqing Wan (Drain the Green Pill) several times, followed by Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) for several doses. His facial and nasal redness gradually faded, and the papules diminished. Subsequently, Siwu Tang (Four Substances Decoction) was used with added Ginseng Radix [Note: Original text missing character, likely Baizhu or similar], Chaihu (Bupleuri Radix), and Zhizi (Gardeniae Fructus), along with Huanji San. Each prescription was taken over a hundred times. Fortunately, being young and compliant with medical advice, he made a full recovery.
A female patient experienced generalized pruritus in the late afternoon. Both internal and external treatments using toxic-clearing and wind-dispelling agents resulted in profuse oozing of pus and fluid. She suffered from morning chills and afternoon fever, resembling Leprosy (Li Feng). She was treated with Buzhong Yiqi Tang added with Zhizi (Gardeniae Fructus) and Gouteng (Uncariae Ramulus cum Uncis) and subsequently with Jiawei Xiaoyao San added with Chuanxiong Rhizome, leading to her cure.
Another female patient presented with red palms, pruritus, fever, dizziness, and thirst, worsening in the late afternoon. After taking wind-dispelling and heat-clearing drugs, red marks appeared on her skin, and her menstruation was delayed. Jiawei Xiaoyao San with doubled Shudi (Prepared Rehmanniae Radix) stopped the fever and relieved the itching. Then, Siwu Tang was used with added Chaihu, Renshen (Ginseng Radix), [missing herb], Zhi Gancao (Honey-fried Licorice Root), and Fuling (Poria), which resolved the dizziness and thirst. A further course of Siwu Tang added with Renshen, Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling, and Zhizi eliminated the red halos.
A male patient suffered from pruritus that broke into sores resembling Leprosy. After taking Yuxian Dan (Yuxian Pill), he developed fever, thirst, and constipation. His pulse was deep and solid, especially at the right Guan position, indicating Heat accumulation internally. Huanglian Neishu Tang (Coptis Internal Purging Decoction) was first used to promote bowel movement. Then, Fangfeng Tongsheng San (Saposhnikovia Unblocking the Intestines Powder) without Mangxiao (Natrii Sulfas) and Dahuang (Rhei Radix et Rhizoma) was used to stop the fever and thirst. Finally, Bazhen Tang (Eight Treasures Decoction) healed the sores.
A male patient with Spleen and Kidney Qi Deficiency and Blood Heat experienced generalized pruritus, often preferring hot baths. Later, he developed sores oozing fluid; wind-dispelling medicines aggravated the condition, causing redness or whiteness in lesions and visual disturbances with itching. Huma San (Sesame Seed Powder) and Liuwei Wan (Six-Ingredient Pill with Rehmannia) were used first for recovery. The following year, pruritus recurred on both thighs, lower abdomen, neck, and nape. Six Sheng San (Four Generations Powder) and Liuwei Wan cured him again.
A female patient with early menstruation experienced chills, fever, and pruritus triggered by labor or anger. Wind-dispelling and fire-draining medicines caused spontaneous pruritus and fever even without stress, accompanied by phlegm-wheezing and shortness of breath. Phlegm-resolving and Qi-clearing medicines led to fatigue, poor appetite, chest stuffiness, and skin eruptions. Detoxifying medicines caused profuse oozing. Leprosy medicines caused dry mouth and thirst, fear of drinking water, delayed menstruation, and twitching between the eyebrows. After another month, eyebrows fell out, and menstruation became continuous. This was diagnosed as Wind-Heat clashing in the Heart and Liver meridians, where Metal (Lung) could not control Wood (Liver), Wood overacted on Earth (Spleen) failing to control blood, and Liver Fire was hyperactive failing to store blood. Following the classic principle "Water generates Wood," she took Dihuang Wan (Rehmannia Pill) in the morning to nourish Kidney Water and generate Liver Blood, and Jiawei Xiaoyao San in the evening to clear Liver Fire and generate Liver Blood. After more than a month, symptoms improved. Si Jun Zi Tang (Four Gentlemen Decoction) with Chuanxiong, Danggui (Angelicae Sinensis Radix), and Mudanpi (Moutan Cortex) were added. After another month, menstruation lasted ten days. Two months later, it occurred every fifty days. Then, Wuwei Yigong San (Five-Ingredient Extra-Efficacy Powder) with Danggui was taken in the evening for two months, resulting in cycles of forty days. Anger-induced chills/fever and menorrhagia with eyebrow twitching and a surging, rapid, wiry pulse (prominent in Liver/Spleen positions) were treated with Chaihu Zhizi San (Bupleurum and Gardenia Powder) for two doses to calm Liver Fire, and Wuwei Yigong San for two doses to tonify Spleen Qi. Fever ceased immediately, and bleeding stopped. Bazhen Tang with increased Renshen, Baizhu, and Dihuang Wan were used for two months, restoring regular cycles and eyebrow growth. Food stagnation causing abdominal distension/pain was treated with separate purgatives, leading to intractable diarrhea, heavy lower abdomen, and poor intake. Liujunzi Tang (Six Gentlemen Decoction) delivering Sishen Wan (Four Spirits Pill) stopped diarrhea after several doses. Buzhong Yiqi Tang with increased Shengma (Cimicifugae Rhizoma) resolved the heaviness. Later, mental exertion caused fever, indigestion, vomiting of saliva, and rising heat from the umbilicus with hunger-fevers. Liujunzi Tang with Paojiang (Roasted Ginger) was used; thick rice soup provided relief during febrile episodes. After two months, daily use of Jiawei Guipi Tang (Modified Restore the Spleen Decoction) and Buzhong Yiqi Tang led to recovery.
In autumn, a female patient had limb pruritus, intermittent chills/fever, severe afternoon fever, bitter taste, craving sour foods, early menstruation, greenish complexion turning red with fever. Strict use of heat-clearing and blood-cooling medicines caused papules and worsened red pruritus. Heat-clearing and detoxifying medicines led to oozing sores. It was diagnosed as Liver-Spleen Blood Deficiency with Dryness. Disbelieving this, she continued treating sores, worsening her condition with fatigue and anorexia. Buzhong Yiqi Tang, occasionally supplemented with Liujunzi Tang and Danggui, slightly restored Yuan Qi. Then, Bazhen Tang with increased Renshen, Baizhu, and reduced Chuanxiong, Shaoyao (Paeoniae Radix Alba), occasionally supplemented with Buzhong Yiqi Tang, gradually improved symptoms. Four Gentlemen Decoction supplemented with Jiawei Xiaoyao San reduced oozing over two months. Sores crusted over after another month. Anger-induced chills/fever, abdominal distension, and poor appetite with severe local lesions were treated with Liujunzi Tang added with Zhizi and Chaihu, primarily using Four Gentlemen Decoction, healing the sores. Anger-induced menorrhagia, fever, thirst, and painful bleeding sores were treated with Chaihu Qinggan San (Bupleurum Liver-Clearing Powder), stopping fever and pain. Four Gentlemen Decothesis promoted crusting. Bazhen Tang with Zhizi and Mudanpi completed the cure.
A female patient with generalized pruritus, oozing sores, fever, crawling sensations, and irregular menstruation was first treated with Shengma Tang delivering Xiayi Wan (Drain One Pill), instantly relieving fever and itching. Jiawei Xiaoyao San regulated menstruation. Huanji Wan healed the sores. Anger-induced continuous menstruation and bone/joint pain were cured by Qinjiao Dihuang Tang (Gentian and Rehmannia Decoction) and Yilao Qufeng Wan (Master Yi’s Wind-Dispelling Pill).
A quiet, depressed female patient with delayed menstruation and generalized pruritus took wind-dispelling and fire-clearing medicines, breaking skin into weeping sores with intensified itching. Xiaofeng San (Wind-Expelling Powder) type medicines caused eyebrow twitching and hair loss. Yuxian San caused ulceration of lesions, cough, fever, decreased food intake, and early menstruation. Diagnosed as Liver-Spleen Depression-Anger with Blood Dryness, exacerbated by previous drugs, she was treated with Si Jun Zi Tang, Chuanxiong, Danggui, Zhizi, and Mudanpi. Food intake improved, and cough stopped after a month. Jiawei Xiaoyao San with Gouteng for twenty-plus doses stopped eyebrow twitching. Removing Gouteng and doubling Renshen, Baizhu, and Danggui healed sores after a month. Bazhen Tang with Zhizi and Mudanpi completed the cure.
A female patient with previous symptoms, oozing sores, fever/thirst, fatigue/chills, and difficult menstruation unhealed for a long time was diagnosed with Liver-Spleen Deficiency and Deficient Heat. Buzhong Yiqi Tang with Zhizi and Chuanxiong gradually restored Yuan Qi. Xiaoyao San healed the sores. Post-recovery Scabies caused generalized pruritus, papules, and oozing pus/blood. Mistaken use of Zuixian San mimicked Wind Syndrome. Bazhen Tang stabilized her. Shiquan Dabu Tang dried the lesions.
A female patient with late-afternoon pruritus, history of asceticism, Liver Depression-Anger, afternoon/internal fever, spontaneous/diaphoresis, amenorrhea, dry mouth/throat was treated with Guipi Tang for slight improvement. Jiawei Xiaoyao San for fifty-plus doses cured her.
A female patient with pruritus/fever worsening in late afternoon, red skin halos, and delayed menstruation was diagnosed with Blood Deficiency with Heat. Xiaoyao Tang with doubled Shudi stopped fever and itching. Siwu Tang with Chaihu, Renshen, [missing herb], Zhi Gancao, and Fuling regulated and cured her.
A female patient with long-term depression and previous symptoms (oozing sores) took Lianqiao Xiaodu San (Forsythia Detoxification Powder), causing anorexia/chest stuffiness. Qingqi Huatan Wan (Clear Qi Resolve Phlegm Pill) caused vomiting phlegm. Qingre Huatan Wan (Clear Heat Resolve Phlegm Pill) caused vexation/fever/chills, [cold/hot limbs - text says 'hot' but context implies cold/exterior constraint], red face, and large weak pulse. This was Spleen-Stomach Deficiency with Deficient Cold repelling Yang Qi outward. Liujunzi Tang with Paojiang improved symptoms and appetite. Siwu Tang aided recovery. Four Gentlemen Decoction (1 qian each) and Siwu Tang (0.5 qian each) completely cured her.
A female patient had itchy palms in autumn with white scales. Labor/anger triggered chills/fever, generalized pruritus, and papules. Treated as Wind Syndrome with Huashe (Flower Snake) internally, Sulfur externally, and Yuxian Dan internally, her heat/thirst worsened, and menstruation stopped. Diagnosed as Spleen-Liver Blood Dryness generating Wind, Jiawei Xiaoyao San reduced heat/thirst. Bazhen Tang, Chaihu, and Zhizi alleviated lesions. Anger-induced fever/costal pain and swelling were treated with Jiawei Xiaoyao San for four doses. Si Jun Zi Tang, Chuanxiong, Danggui, Zhizi, and Mudanpi cured her after six months.
A male patient with generalized pruritus unresponsive to other medicines had a floating, choppy pulse. Treatment focused on Blood-generating herbs with occasional Qi-tonifying herbs for one hundred doses, leading to recovery.
Song Sheng had generalized pruritus, broken sores oozing fluid, and a floating-rapid pulse, caused by Wind-Heat in the Hand-Foot Yangming Meridians. Ren Shen Bai Du San (Ginseng Detoxifying Decoction) combined with Siwu Tang added Huangqin (Scutellariae Radix) and Huanglian (Coptidis Rhizoma) was taken. Externally, Songxiang (Rosin), Kufan (Alum), and Qingfen (Calomel) mixed in Sesame Oil was applied for over a month, curing him. Another patient with a deep pulse was treated with the above formula plus Dahuang, improving gradually, then stabilized with Ren Shen Bai Du San.
Huang Jinfang treated a monk with abnormal body itch unresponsive to wind-dispelling/detoxifying drugs. Pulse was calm on the left, but the Spleen pulse surged abnormally. He reported tasteless diet and bloating with belching. This was unclear internal Qi with Turbid Evil overflowing into collaterals. Fuling (3 qian), Banxia (2 qian), Muxiang (0.8 fen), Guangpi (0.5 fen), and Chuan Houpo (1 qian) taken twice daily cured him.