赤白游风,属风热血热,盖血得热而游走耳。白属气分,赤属血分。或因腠理不密,风热相搏,怫郁而成,或因乳
母食膏粱浓味所致。若风热者,用小柴胡汤加防风、连翘。血热者,用四物汤加柴胡、山栀、牡丹皮。风热相搏者,用
人参败毒散。内热外寒者,用加味羌活散。胃气虚弱者,用补中益气汤加羌活、防风,或消风散。血虚者,用加味逍遥
散,如未应,用逍遥散、六味丸。若婴儿患此,当审其受症之因,而调治其母。
一小儿患此,其色或赤或白,或痛或痒,询之因母食膏粱浓味所致,余用东垣清胃散治其母,牛黄丸治其儿而愈。
一小儿患此,因母郁怒所致,母用加味小柴胡汤及加味逍遥散,儿热止,又以加味归脾汤而愈。
一小儿患此,嗜膏粱甜味,齿龈浮肿,渐至蚀烂,先用清胃散,后以四味肥儿丸,间服而愈。
一小儿患此,色赤作痒,脉浮数,此脾胃二经风热也,用人参消风散而愈。又因停食复发,色赤作痛,先用保和丸,
后用异功散而消。
一小儿患此作痒,搔破脓水淋漓,寒热往来,此肝经血燥而生风,先用加味逍遥散,肝症顿退,倦怠少食,用异功
散、三黄散而愈。
一女子十五岁患此,色赤作痒,寒热胁痛,面青或赤,此肝火动而血热也,先用加味逍遥散加胆草四剂,诸症顿
退。但体倦少食,恶寒欲呕,此脾为肝木所侮,而肺气虚也,用五味异功散,及加味逍遥散而愈。
一女子患此,寒热作呕,先用加味小柴胡汤,二剂而安;再用人参消风散而愈。后因怒发热,经行如崩,遍身色赤,
四肢抽搐,难以诊脉,视其面色如赭,此肝心二经,木火相搏,而血妄行耳,先用柴胡栀子散,再加味逍遥散,诸症顿
退,又用八珍汤而痊。
一小儿因母感寒腹痛,饮烧酒,儿遍身皆赤,游走不定,昏愦发热,令乳母时饮冷米醋一二杯,亦以二三滴涂儿
口内,周月而愈。
归脾汤 治小儿因乳母忧思伤脾,血虚发热,患前症,久不愈,食少体倦,或便血下血,怔忡不宁,惊悸少寐,
或心脾作痛,自汗盗汗等症。(方见游风)
人参消风散 治赤白游风,或风热隐疹瘙痒,或寒热作痛。
人参(三钱) 荆芥穗 甘草(炙) 陈皮(各五钱) 白僵蚕 茯苓 防风 芎 藿香 蝉蜕(各三钱)
浓朴(三钱,姜制) 羌活(三钱)
上每服一二钱,水煎。
加味逍遥散(方见发热不止)
二黄散(方见黄水疮)
柴胡栀子散(方见胁痈)
小柴胡汤(方见胁痈)
加味小柴胡汤(方见热毒瘰 )
牛黄解毒散(方见头面疮)
Chi Bai You Feng (Red and White Wandering Wind), belongs to the patterns of Wind-Heat and Blood-Heat, because blood tends to circulate erratically when heated. The white color indicates a disorder in the Qi level, while the red color indicates a disorder in the Blood level. This condition may arise because the Cou Li (pores and interstices) are not dense, allowing Wind and Heat to struggle with each other and become stagnant; or it may be caused by the wet nurse consuming rich and greasy foods. If it is a Wind-Heat pattern, use Xiao Chai Hu Tang (Minor Bupleurum Decoction) added with Fang Feng (Saposhnikovia Root) and Lian Qiao (Forsythia Fruit). If it is a Blood-Heat pattern, use Si Wu Tang (Four Substances Decoction) added with Chai Hu (Bupleurum Root), Shan Zhi (Gardenia Fruit), and Mu Dan Pi (Moutan Cortex). If it is a pattern of Wind-Heat struggling together, use Ren Shen Bai Du San (Ginseng Powder to Overcome Toxins). If it is an internal Heat with external Cold pattern, use Jia Wei Qiang Huo San (Modified Notopterygium Powder). If it is a Stomach Qi deficiency pattern, use Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) added with Qiang Huo (Notopterygium Rhizome) and Fang Feng, or Xiao Feng San (Eliminate Wind Powder). If it is a Blood deficiency pattern, use Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder); if there is no response, use Xiao Yao San (Free and Easy Wanderer Powder) and Liu Wei Wan (Six-Ingredient Pill). If an infant suffers from this disease, one must examine the cause of the symptoms and treat the mother accordingly.
One child suffered from this disease, with lesions appearing either red or white, causing pain or itching. Upon inquiry, it was found that the cause was the mother's consumption of rich and greasy foods. I treated the mother with Dong Yuan Qing Wei San (Dongyuan's Stomach-Clearing Powder) and the child with Niu Huang Wan (Calculus Bovis Pill), resulting in a cure.
One child suffered from this disease due to the mother's emotional depression and anger. The mother took Jia Wei Xiao Chai Hu Tang (Modified Minor Bupleurum Decoction) and Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder). After the child's heat symptoms subsided, he was cured by taking Jia Wei Gui Pi Tang (Modified Spleen-Tonifying Decoction).
One child suffered from this disease, having a craving for rich and sweet foods, leading to swollen gums that gradually progressed to erosion and ulceration. He was first treated with Qing Wei San (Stomach-Clearing Powder), followed by Si Wei Fei Er Wan (Four-Ingredient Child-Nourishing Pill), taken alternately, resulting in a cure.
One child suffered from this disease with red, itchy lesions and a floating, rapid pulse. This was a Wind-Heat pattern of the Spleen and Stomach meridians, cured by using Ren Shen Xiao Feng San (Ginseng Wind-Eliminating Powder). Later, due to food stagnation, the disease recurred with red, painful lesions. It was first treated with Bao He Wan (Preserve Harmony Pill), then eliminated by Yi Gong San (Yigong Powder).
One child suffered from this disease with severe itching, scratching until pus flowed, accompanied by alternating chills and fever. This was a pattern of Liver Blood dryness generating Wind. He was first treated with Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder), which quickly alleviated the Liver symptoms. However, fatigue and poor appetite remained, so Yi Gong San (Yigong Powder) and San Huang San (Three Yellows Powder) were used to achieve a cure.
A fifteen-year-old girl suffered from this disease with red, itchy lesions, alternating chills and fever, hypochondriac pain, and a face that appeared either blue or red. This was a pattern of Liver Fire stirring and Blood-Heat. She was first treated with Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) added with Dan Cao (Gentiana Root) for four doses, which quickly alleviated all symptoms. However, she still experienced body fatigue, poor appetite, aversion to cold, and nausea. This indicated that the Spleen was being oppressed by Liver Wood and Lung Qi was deficient. She was cured using Wu Wei Yi Gong San (Five-Ingredient Yigong Powder) and Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder).
A woman suffered from this disease with alternating chills, fever, and vomiting. She was first treated with Jia Wei Xiao Chai Hu Tang (Modified Minor Bupleurum Decoction), which brought relief after two doses; she was then cured by Ren Shen Xiao Feng San (Ginseng Wind-Eliminating Powder). Later, due to anger-induced heat, her menstruation became profuse like a gush, her whole body turned red, and her limbs convulsed. Her pulse was difficult to palpate, and her complexion resembled jasper. This indicated that Wood and Fire in the Liver and Heart meridians were struggling, causing reckless bleeding. She was first treated with Chai Hu Zhi Zi San (Bupleurum and Gardenia Powder), followed by Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder), which quickly alleviated all symptoms. Finally, she recovered after taking Ba Zhen Tang (Eight Treasures Decoction).
One child had a red, wandering rash, confusion, and fever because his mother had contracted cold, suffered abdominal pain, and drank distilled liquor. The wet nurse was instructed to drink one or two cups of cold rice vinegar occasionally, and two or three drops were also applied inside the child's mouth. The child recovered after one month.
Gui Pi Tang (Spleen-Tonifying Decoction) treats children who suffer from the aforementioned symptoms due to their wet nurse's worry and overthinking injuring the Spleen, leading to Blood deficiency and fever. Symptoms include prolonged illness, poor appetite, body fatigue, hematochezia or hematuria, palpitations and restlessness, fright palpitations and insomnia, heart and Spleen pain, spontaneous sweating, and night sweats. (Formula see "You Feng" entry)
Ren Shen Xiao Feng San (Ginseng Wind-Eliminating Powder) treats Chi Bai You Feng (Red and White Wandering Wind), or wind-heat induced urticaria with itching, or alternating chills and fever with pain.
Ren Shen (Panax Ginseng Radix et Rhizoma, 3 qian), Jing Jie Sui (Schizonepeta Spike, 5 qian), Gan Cao (Licorice Root, roasted, 5 qian), Chen Pi (Citrus Reticulata Pericarpium, 5 qian), Bai Jiang Can (Bombyx Batryticatus, 3 qian), Fu Ling (Poria, 3 qian), Fang Feng (Saposhnikovia Root, 3 qian), Xiong (Ligusticum Chuanxiong Rhizome, 3 qian), Huo Xiang (Pogostemon Cablin, 3 qian), Chan Tui (Cicada Slough, 3 qian), Hou Po (Magnolia Bark, ginger-processed, 3 qian), Qiang Huo (Notopterygium Rhizome, 3 qian).
Take 1-2 qian per dose, decoct in water.
Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) (Formula see "Unremitting Fever" entry)
Er Huang San (Two Yellows Powder) (Formula see "Yellow Water Blister" entry)
Chai Hu Zhi Zi San (Bupleurum and Gardenia Powder) (Formula see "Hypochondriac Carbuncle" entry)
Xiao Chai Hu Tang (Minor Bupleurum Decoction) (Formula see "Hypochondriac Carbuncle" entry)
Jia Wei Xiao Chai Hu Tang (Modified Minor Bupleurum Decoction) (Formula see "Heat-Toxic Scrofula" entry)
Niu Huang Jie Du San (Calculus Bovis Detoxifying Powder) (Formula see "Head and Face Sores" entry)