儿在母腹血热蒸,生后不免遇凉风,遍体发出如粟米,此名瘙疹何须评。
注∶瘙疹者,儿在胎中受母血热之气所蒸已久,及生后外遇凉风,以致遍身红点,如粟
米之状。盈月内见者名为烂衣疮,百日内见者又名百日疮,未出痘疮之先见者即名瘙疹,调摄谨慎不治自愈。
痘后出疹盖痘传,余毒未尽夹食寒,遍身作痒如云片,加味消毒服即安。
注∶盖痘疹者,谓痘方愈而疹随发也。因痘后余毒未尽,更兼恣意饮食,外感风寒,以
致遍身出疹,色赤作痒,始如粟米,渐成云片。宜加味消毒饮疏风清热,疹即愈矣。
加味消毒饮
荆芥穗 防风 牛蒡子(炒) 升麻 生甘草 赤芍药 南山楂 连翘(去心)
引用生姜水煎服。
方歌∶盖痘疹因风热成,加味消毒饮最灵,荆防牛蒡升麻草,赤芍山楂连翘从。
心火灼肺风湿毒,隐隐疹点发皮肤,疏风散湿羌活散,继用消毒热尽除。
注∶瘾疹者乃心火灼于肺金,又兼外受风湿而成也。发必多痒,色则红赤,隐隐于皮肤
之中,故名曰瘾疹。先用加减羌活散疏风散湿,继以加味消毒饮清热解毒,表里清而疹愈矣。
加味羌活散
羌活 前胡 薄荷叶 防风 川芎 枳壳(麸炒) 桔梗 蝉蜕 连翘(去心) 生甘草 赤苓
引用生姜水煎服。
方歌∶瘾疹羌活散相当,羌活前胡薄荷防,川芎枳桔净蝉蜕,连翘甘草赤苓姜。
加味消毒饮(见前)
右编曰崇正。
When the infant is in the mother's womb, the blood is steamed by heat pathogens. After birth, it is inevitably exposed to cool winds, causing millet-grain-sized spots to appear all over the body. This is called Saozhen (itching rash), and there is no need for excessive discussion.
Note: Saozhen refers to the condition where the fetus has been long steamed by the maternal blood-heat qi during gestation. Upon birth, external exposure to cool winds causes red spots all over the body, resembling millet grains. Those appearing within one month are called Lanyi Chuang (rotten garment sore); those appearing within one hundred days are called Baitian Chuang (hundred-day sore); those appearing before the eruption of smallpox are named Saozhen. With careful nursing, they heal spontaneously without treatment.
The rash appearing after smallpox is covered due to the transmission of smallpox toxins. The residual toxins are not yet exhausted, complicated by dietary accumulation and cold pathogens. The whole body itches like cloud patches. Taking Jiawei Xiaodu Yin (Modified Detoxification Decoction) brings immediate relief.
Note: "Gaizhen" (rash covering smallpox) means that while the smallpox is just healing, the rash erupts simultaneously. Because the residual toxins from smallpox are not fully cleared, combined with indulgent diet and external contraction of wind-cold, rashes erupt all over the body. They are red in color and itchy, starting as millet grains and gradually forming cloud-like patches. It is appropriate to use Jiawei Xiaodu Yin to dispel wind and clear heat, and the rash will heal.
Jiawei Xiaodu Yin (Modified Detoxification Decoction)
Schizonepetae Spica (Jingjie Sui), Saposhnikoviae Radix (Fangfeng), Arctii Fructus (Niubangzi, stir-fried), Cimicifugae Rhizoma (Shengma), Glycyrrhizae Radix et Rhizoma Raw (Sheng Gancao), Paeoniae Radix Rubra (Chishaoyao), Crataegi Fructus (Nanshan Zha), Forsythiae Fructum (Lianqiao, heart removed).
Decoct with ginger water as a guide.
Prescription Verse: Gaizhen arises from wind-heat, Jiawei Xiaodu Ling is most effective; Jingjie, Fangfeng, Niubang, Shengma, and Gancao, Chishaoyao, Shan Zha, and Lianqiao follow suit.
Heart fire scorches Lung metal, compounded by wind-dampness toxicity. Faintly visible rash points erupt on the skin. Use Qianghuo San to dispel wind and scatter dampness, followed by Xiaodu Yin to completely eliminate remaining heat.
Note: Yinzhen (urticaria/hidden rash) is caused by heart fire scorching lung metal, combined with external contraction of wind-dampness. It must be accompanied by severe itching and red color, hidden faintly within the skin, hence named Yinzhen. First, use Jiajian Qianghuo San to dispel wind and scatter dampness; subsequently, use Jiawei Xiaodu Yin to clear heat and detoxify. When both exterior and interior are cleared, the rash heals.
Jiawei Qianghuo San (Modified Qianghuo Powder)
Notopterygii Rhizoma et Radix (Qianghuo), Peucedani Radix (Qianhu), Menthae Haplocalycis Folium (Bohe Ye), Saposhnikoviae Radix (Fangfeng), Ligustici Chuanxiong Rhizoma (Chuanxiong), Aurantii Fructus Immaturus (Zhiqiao, bran-fried), Platycodonis Radix (Jiegeng), Bombyx Batryticatus (Chantui), Forsythiae Fructum (Lianqiao, heart removed), Glycyrrhizae Radix et Rhizoma Raw (Sheng Gancao), Poria (Chiling).
Decoct with ginger water as a guide.
Prescription Verse: Yinzhen Qianghuo San is suitable; Qianghuo, Qianhu, Bohe, and Fangfeng; Chuanxiong, Zhiji, Jie, and clean Chantui; Lianqiao, Gancao, Chiling, and ginger.
Jiawei Xiaodu Yin (see above).
The right compilation is titled Chongzheng.