薛立斋治一男子，面赤作渴，面常患小疮作痒。服祛风药，遍身发赤 。服白花蛇酒，更发赤晕。
遍行砭刺，又服消风散，发热口渴，饮水不止。谓肝经血虚而风热也，用栀子清肝散及地黄丸料煎服，
热渴渐止，疮渐结靥。用八珍汤、地黄丸，疮靥渐脱，又复月余，疮渐愈。
一男子面生粉刺，或生小 ，服消风散，疮益甚。服遇仙丹，加遍身赤痒。仍服前药，发热 肿。
又服旬余，溃而出水，形体骨立。先用四君子、当归、桔梗，四剂饮食稍进。又用八珍汤，数剂而痊。
一男子嗜膏粱炙爆、醇酒辛辣之物，遍身生 ，甚痒。服消风散之类，更起赤晕。又砭出血，
其痒益甚。敷败毒之剂，遂各成疮，脓水津淫，眉毛渐脱，赤痒益甚。此脾经积热伤血所致，先用犀
角地黄汤加黄连治之。脓水渐止，乃以八珍汤加山栀、丹皮，眉毛渐生。因饮食失宜，胸腹作胀，饮
食少思，或大便下血，用五味异功散加升麻，饮食渐进，又用补中益气汤而血止。仍用异功散加当归、
丹皮而痊。
一女子性急多怒，月经先期，患 ，色赤作痒，搔破脓水不止。服祛风药，其疮益甚。服花蛇
酒，四肢螈 ，眉毛脱落。先用柴胡清肝散加钩藤，数剂，又用加味逍遥散加钩藤，诸症渐愈。又用
易老祛风丸而安。
一女子年十四，腕软处生物如黄豆大，半在肉中，红紫色，痛甚，诸药不效。一方士以水银四两，
白纸一
张，揉熟，蘸水银擦之，三日自落而愈。（李楼怪症）
朱丹溪治朱院君，三十余，久患瘾疹，身痹而紫色，与防风通圣散加牛蒡，为极细末，每一钱，
水盏半，入姜汁，令辣，煎食热饮之。
汪石山治一人，年逾六十，形瘦苍紫，夜常身痒，搔之热蒸，皮肉磊如豆粒，痒止热散，肉磊亦
消。医用乌药顺气、升麻和气等，不效。诊之，脉皆细濡近驶，曰∶此血虚血热也。而为顺气和血，
所谓诛罚无辜，治非所宜。遂以生地、元参、白蒺藜、归、芎、 、芍、黄芩、甘草、陈皮煎服，月
余而愈。
一老人患疹，色微赤，作痒，发热，以人参败毒散，二剂少愈。以补中益气汤加黄芩、山栀而愈。
一妇人遍身瘙痒，秋冬则剧，脉浮数，此风邪客于皮肤而然也，名曰血风。饮以消风散，及搽蛇
床子散少可。更以四物汤加荆、防，数剂而愈。一妇患此，夏月尤甚，脉洪大，以何首乌散；一妇患
赤斑瘙痒，搔破成疮，出水久而不愈，内服当归饮，外搽蛇床子散。并愈。又一妇患此，诸药不应，
以四生散，数服而愈。大抵妇人体虚，风邪客于皮肤，则成白疹。寒湿客于肌肉，郁热而为赤疹。色
虽有异，治法颇同。凡人汗出，不可露卧及浴。经云∶汗出见湿，乃生痤痱。雷公云∶遍身风疹，酒
调生侧柏。用之屡验。
薛立斋治疗一名男子，面部发红且感到口渴，脸上经常长小疮并伴有瘙痒。服用祛风药物后，全身发出红斑。又服用白花蛇酒，导致赤色晕圈更加严重。
经过全身砭刺放血，又服用消风散，出现发热、口渴，喝水不止的症状。薛立斋认为这是肝经血虚兼有风热所致，于是使用栀子清肝散以及地黄丸的药料煎服，发热和口渴逐渐停止，疮疡开始结痂。随后使用八珍汤和地黄丸，疮痂逐渐脱落，又过了一个多月，疮疡逐渐痊愈。
另一名男子面部生粉刺，有时长出小疮，服用消风散后，疮疡更加严重。服用遇仙丹后，全身出现赤色瘙痒。继续服用之前的药物，出现发热肿胀。
又服药十余天，疮疡溃破流水，身体消瘦得只剩骨架。先用四君子汤、当归、桔梗，服用四剂后饮食稍有好转。接着使用八珍汤，数剂后痊愈。
第三名男子嗜好油腻、烧烤、烈酒及辛辣食物，全身生出疮疡，非常瘙痒。服用消风散之类的药物，反而引起赤色晕圈。又进行砭刺放血，其瘙痒更加剧烈。敷用败毒类药物，遂各自形成疮疡，脓水淋漓，眉毛逐渐脱落，赤色瘙痒更加严重。这是脾经积热损伤血液所致，先用犀角地黄汤加黄连治疗。脓水逐渐停止，然后用八珍汤加山栀、丹皮，眉毛逐渐生长。因饮食不当，胸腹胀满，食欲减退，有时大便下血，使用五味异功散加升麻，饮食逐渐恢复，又用补中益气汤使出血停止。最后仍用异功散加当归、丹皮而痊愈。
第四名女子性格急躁易怒，月经提前，患疮疡，颜色红且瘙痒，抓破后脓水不止。服用祛风药，疮疡更加严重。服用花蛇酒，四肢抽搐，眉毛脱落。先用柴胡清肝散加钩藤，服用数剂，又用加味逍遥散加钩藤，各种症状逐渐好转。再用易老祛风丸而安定。
第五名女子十四岁，手腕柔软处长出如黄豆大小的肿块，一半在肉中，呈红紫色，疼痛剧烈，各种药物无效。一位方士用四两水银，一张白纸，揉熟后，蘸取水银擦拭患处，三天后自行脱落而痊愈。（出自《李楼怪症》）
朱丹溪治疗朱院君，三十多岁，长期患有瘾疹（荨麻疹），身体麻木且肤色紫暗，给予防风通圣散加牛蒡子，研成极细末，每次一钱，用水一盏半，加入姜汁使其辛辣，煎煮后趁热饮用。
汪石山治疗一人，年龄超过六十岁，形体消瘦，肤色苍紫，夜间经常全身瘙痒，搔抓时感觉热气蒸腾，皮肤肌肉隆起如豆粒，瘙痒停止后热气消散，隆起的肉块也随之消退。医生使用乌药顺气散、升麻和气散等，没有效果。诊脉发现脉象皆细濡且接近快速，汪石山说：这是血虚血热所致。之前使用顺气和血的药物，属于诛罚无辜，治疗方法不适宜。于是用生地、元参、白蒺藜、当归、川芎、茯苓、芍药、黄芩、甘草、陈皮煎服，一个月后痊愈。
一名老人患疹，颜色微红，瘙痒，发热，用人参败毒散，服用两剂后稍微好转。后用补中益气汤加黄芩、山栀而痊愈。
一名妇人全身瘙痒，秋冬季节加重，脉象浮数，这是风邪客居皮肤所致，名为血风。饮用消风散，并外搽蛇床子散，症状稍减。再用四物汤加荆芥、防风，数剂后痊愈。另一名妇人患此病，夏季尤其严重，脉象洪大，用何首乌散治疗；还有一名妇人患赤斑瘙痒，抓破成疮，出水久不愈合，内服当归饮子，外搽蛇床子散，均痊愈。又有一名妇人患此病，各种药物无效，用四生散，服用数次后痊愈。大抵妇女体质虚弱，风邪客居皮肤，则形成白疹。寒湿客居肌肉，郁而化热则形成赤疹。颜色虽有不同，治疗方法大致相同。凡是出汗，不可露天躺卧或洗澡。经文说：出汗后见湿气，就会生痤痱（痤疮和痱子）。雷公说：遍身风疹，用酒调服生侧柏。使用多次都验证有效。
Xue Lizhai treated a male patient whose face was red and who felt thirsty. He frequently developed small sores on his face accompanied by itching. After taking wind-dispelling herbs, red rashes appeared all over his body. After drinking Baihuashe Jiu (White Flower Snake Wine), the red halos became more severe.
Following full-body Bianci (scarification therapy) and taking Xiaofeng San (Wind-Dispersing Powder), he developed fever and thirst, drinking water incessantly. Xue Lizhai diagnosed this as Liver channel blood deficiency with wind-heat, and prescribed Zhizi Qinggan San (Gardenia Decoction to Clear the Liver) along with Dihuang Wan (Rehmannia Pill) decocted and taken orally. The fever and thirst gradually ceased, and the sores began to scab. Subsequently, using Bazhen Tang (Eight Treasures Decoction) and Dihuang Wan, the scabs gradually fell off. After another month or so, the sores healed gradually.
Another male patient had acne on his face and occasionally developed small sores. After taking Xiaofeng San, the sores worsened. After taking Yuxian Dan (Immortal Meeting Pill), he experienced generalized redness and itching. Continuing to take the previous medications led to fever and swelling.
After another ten-plus days of medication, the sores ulcerated and oozed fluid, leaving him emaciated with visible bones. Initially, using Sijunzi Tang (Four Gentlemen Decoction), Danggui (Angelica Sinensis), and Jiegeng (Platycodon Root), four doses resulted in slight improvement in appetite. Then, using Bazhen Tang, he recovered after several doses.
A third male patient had a preference for rich foods, roasted items, strong wine, and spicy substances. He developed generalized sores that were intensely itchy. Taking Xiaofeng San-like formulas caused red halos to appear. Following scarification bleeding, the itching intensified. Applying detoxifying agents resulted in individual sores weeping pus and serum, with eyebrows gradually falling out and redness/itching worsening. This was attributed to accumulated heat in the Spleen channel damaging the blood. Initially, Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction) added with Huanglian (Coptis Rhizome) was used. As the weeping stopped, Bazhen Tang added with Shanzhi (Gardenia Fruit) and Danpi (Moutan Cortex) was administered, leading to eyebrow regrowth. Due to improper diet causing chest and abdominal distension, poor appetite, and occasional hematochezia, Wuyi Yigong San (Five Agents Extraordinary Efficacy Powder) added with Shengma (Cimicifuga Rhizome) was used to restore appetite, followed by Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) to stop the bleeding. Finally, Yigong San added with Danggui and Danpi was used to achieve recovery.
A fourth female patient had an irritable temperament and frequent anger, with early menstruation. She suffered from sores that were red and itchy; scratching them caused continuous oozing of pus. Taking wind-dispelling herbs worsened the sores. Drinking Huashe Jiu (Flower Snake Wine) led to convulsions in the four limbs and loss of eyebrows. Initially, Chaihu Qinggan San (Bupleurum Decoction to Clear the Liver) added with Gouteng (Uncaria Ramulus) was given for several doses. Then, Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) added with Gouteng was used, leading to gradual improvement of various symptoms. Finally, Yilao Qufeng Wan (Yilao Wind-Dispersing Pill) brought stability.
A fifth female patient, aged fourteen, had a bean-sized mass at her soft wrist area, half embedded in the flesh, appearing reddish-purple and extremely painful. Various medicines were ineffective. A practitioner used four taels of mercury and one sheet of white paper, kneaded until soft, dipped in mercury, and rubbed the lesion. It fell off naturally after three days, resulting in a cure (from *Li Lou Guaizheng*).
Zhu Danxi treated Lady Zhu, in her thirties, who had long suffered from Yin Zhen (urticaria/hives). Her body felt numb and her complexion was purplish. He prescribed Fangfeng Tongsheng San (Saposhnikovia Universal Rescue Powder) added with Niubangzi (Arctii Fructus), ground into an extremely fine powder. One qian per dose was decocted in one and a half cups of water with ginger juice (made pungent) and drunk hot.
Wang Shishan treated a man over sixty years old, who was thin with a sallow-purple complexion. He often experienced generalized itching at night; scratching produced a sensation of steaming heat, and the skin and muscles raised like bean grains. When the itching stopped, the heat dissipated, and the raised lumps subsided. Physicians had used Wuyao Shunqi San (Aucklandia Smooth Qi Powder) and Shengma Heshi San (Cimicifuga Harmonizing Qi Powder) without effect. Upon diagnosis, the pulse was found to be fine, soggy, and slightly rapid. Wang stated: "This is blood deficiency with blood heat." The previous use of qi-smoothing and blood-harmonizing agents was unjust punishment and inappropriate treatment. He then prescribed Shengdi (Rehmanniae Radix), Yuanshen (Scrophulariae Radix), Baijili (Tribuli Fructus), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Fuling (Poria), Shaoyao (Paeoniae Radix), Huangqin (Scutellariae Radix), Gancao (Glycyrrhizae Radix), and Chenpi (Citri Reticulatae Pericarpium) decocted and taken orally. Recovery occurred after one month.
An elderly patient suffered from rash, which was slightly red, itchy, and accompanied by fever. Ren Shen Baidu San (Ginseng Rescue the Collapsed Powder) was used; slight improvement occurred after two doses. Full recovery was achieved with Buzhong Yiqi Tang added with Huangqin and Shanzhi.
A female patient experienced generalized itching, worse in autumn and winter. Her pulse was floating and rapid. This was diagnosed as wind pathogen lodging in the skin, named Xue Feng (Blood Wind). She drank Xiaofeng San and applied Shechuangzi San (Cnidium Seed Powder) externally, resulting in slight relief. Subsequently, Siwu Tang (Four Substance Decoction) added with Jingjie (Schizonepetae Spica) and Fangfeng (Saposhnikoviae Radix) cured her after several doses. Another female patient suffered similarly, worse in summer, with a surging-large pulse, treated with Heshouwu San (Polygoni Multiflori Powder). Another female patient had red macules with itching; scratching caused ulceration and chronic weeping. Internal administration of Danggui Yin (Angelica Drink) and external application of Shechuangzi San both led to recovery. Yet another female patient did not respond to various medicines but recovered after several doses of Sisheng San (Four Freshness Powder). Generally, women have deficient constitutions; when wind pathogen lodges in the skin, white rashes form. When cold-dampness lodges in the muscles and stagnates to generate heat, red rashes form. Although the colors differ, the treatment methods are similar. Whenever sweating occurs, one should not lie exposed outdoors or bathe. The classic states: "Exposure to dampness after sweating generates acnes and prickly heat." Leigong said: "For generalized wind rashes, mix raw Cebaiye (Platycladi Cacumen) with wine." This has been verified repeatedly.