论曰紫癜风之状。皮肤生紫点。搔之皮起而不痒痛是也。此由风邪挟湿。客在腠理。荣
卫壅滞。不得宣流。蕴瘀皮肤。致令色紫。故名紫癜风。
治紫癜风。大效。酸石榴丸方
酸石榴(十颗去皮以瓷盆盛饭上蒸烂绞取汁) 梨(二十颗去皮核研绞取汁) 羌活(去
芦头) 人参 防风(去叉) 干薄荷叶(各一两) 茺蔚子 白附子(炮) 苦参 犀角
(镑) 乌
上一十一味。除二味汁外。捣罗为末。将汁熬成膏。和丸如梧桐子大。每服二十丸。温
酒下不拘时。
治紫癜风。白花蛇散方
白花蛇(酒浸去皮骨炙二两) 麻黄(去根节) 天麻 何首乌(去黑皮) 天南星(炮)
白
(炒) 防风(去
上一十六味。将十五味捣罗为散。入磁石研匀。每服二钱匕。食前温酒调下。
治 麻紫癜风。乌蛇散方
乌蛇(酒浸去皮骨炙) 防风(去叉) 羌活(去芦头) 人参 玄参 沙参 苦参 丹
参白附子(炮) 蒺藜子(炒去角各一两)
上一十味。捣罗为散。每服一钱匕。温酒调下。
治紫癜风。防风散方
防风(去叉) 蝎梢(炒各一两) 白花蛇头(二枚酒浸炙)
上三味。捣罗为散。每服一钱匕。温酒调下。
治紫癜风。硫黄膏方
石硫黄(不拘多少)
上一味。研末。用生姜自然汁。同煎成膏。每浴罢。以药揩之令热。
治紫癜风点点相连。五倍子膏方
五倍子(一分捣为细末) 腻粉(二钱) 砒霜(研细半钱)
上三味。同研匀细。以醋调为膏。盛以瓷合。每浴罢。匀揩患处。速着衣慎风。仍便洗
手。
治紫癜风斑点。附子硫黄散方
附子(生用去皮脐一枚) 石硫黄(别研半两)
上二味。捣研为细散。入胡粉一分。腻粉少许。同繁柳汁和匀。临卧揩三五遍。早晨温
浆洗去。不过三五夜瘥。
治紫癜风。牡蛎散方
牡蛎 胆矾(各半两)
上二味。生用为散。酽醋调摩患处。
治紫癜风并白癜风。胡桃涂方
初结青胡桃(一颗取外皮用) 石硫黄(一皂子许研如粉)
上二味。先取胡桃皮切研如膏。入硫黄末和匀涂之。
治紫癜风。灰 涂方
灰 (不拘多少烧灰用纸衬淋取汁炼令如膏约两匙许) 雄黄 丹砂 腻粉 麝香 虾
蟆灰 石硫黄 矾石(各一钱)
上八味。将七味同研如粉。与炼了灰 浓汁。搅煎如膏涂之。干即易膏。硬以醋润之。
治紫癜风。羊蹄根涂方
羊蹄根(捣绞自然汁半合) 生姜(研绞自然汁半合) 石硫黄(四钱研如粉)
上三味。将二汁与硫黄末。同研令粘。涂患处。一日不得洗。不过两上瘥。
Commentary states: The manifestation of Zidian Feng (Purpura Wind) is characterized by purple spots appearing on the skin; scratching causes the skin to rise but without itching or pain. This condition arises from Wind pathogen carrying Dampness, lodging in the Couli (interstices between skin and muscle), causing stagnation of Ying Qi (nutritive qi) and Wei Qi (defensive qi), preventing their free circulation. The accumulation and stasis in the skin result in a purple color, hence named Zidian Feng.
Treatment for Zidian Feng, the highly effective Suan Shiliu Wan (Acid Pomegranate Pill) formula:
Suan Shiliu (Acid Pomegranate, 10 fruits, peel removed, steamed until soft in a porcelain bowl, juice extracted); Li (Pear, 20 fruits, peel and core removed, ground and juice extracted); Qianghuo (Notopterygii Rhizoma et Radix, rhizome removed); Renshen (Ginseng Radix); Fangfeng (Saposhnikoviae Radix, forked branches removed); Gan Bohe Ye (Dried Menthae Haplocalycis Folium, each 1 liang); Chongweizi (Leonuri Fructus); Baifuzi (Aconiti Kusnezoffii Radix, processed); Kushen (Sophorae Flavescentis Radix); Xijiao (Rhinocerotis Cornu).
The above eleven ingredients: excluding the two juices, grind the remaining herbs into powder. Boil the juices down to a paste, mix with the powder to form pills the size of Sophora seeds. Take 20 pills per dose, washed down with warm wine, at any time.
Baihua She San (White Flower Snake Powder) for treating Zidian Feng:
Baihua She (Agkistrodon, soaked in wine, skin and bones removed, roasted, 2 liang); Mahuang (Ephedrae Herba, roots and joints removed); Tianma (Gastrodiae Rhizoma); Heshouwu (Polygoni Multiflori Radix, black skin removed); Tiannanxing (Arisaematis Rhizoma, processed); Baizhi (Angelicae Dahuricae Radix, stir-fried); Fangfeng (Saposhnikoviae Radix, forked branches removed).
The above sixteen ingredients (Note: text lists fewer than sixteen explicitly): Grind fifteen ingredients into powder. Add Cishi (Magnetitum) and grind uniformly. Take 2 qianbi per dose, mixed with warm wine before meals.
Wushe San (Black Snake Powder) for treating Yin Zhen (Urticaria) and Zidian Feng:
Wushe (Agkistrodon, soaked in wine, skin and bones removed, roasted); Fangfeng (Saposhnikoviae Radix, forked branches removed); Qianghuo (Notopterygii Rhizoma et Radix, rhizome removed); Renshen (Ginseng Radix); Xuanshen (Scrophulariae Radix); Shashen (Glehniae Radix); Kushen (Sophorae Flavescentis Radix); Danshen (Salviae Miltiorrhizae Radix); Baifuzi (Aconiti Kusnezoffii Radix, processed); Jilizi (Tribuli Fructus, stir-fried and thorns removed, each 1 liang).
The above ten ingredients: Grind into powder. Take 1 qianbi per dose, mixed with warm wine.
Fangfeng San (Saposhnikovia Powder) for treating Zidian Feng:
Fangfeng (Saposhnikoviae Radix, forked branches removed); Xeshao (Scorpio tail tip, stir-fried, each 1 liang); Baihua She Tou (Head of Agkistrodon, 2 pieces, soaked in wine, roasted).
The above three ingredients: Grind into powder. Take 1 qianbi per dose, mixed with warm wine.
Liuhuang Gao (Sulfur Ointment) for treating Zidian Feng:
Shi Liuhuang (Realgar/Sulfur, amount unspecified).
The above single ingredient: Grind into powder. Cook with fresh Ginger Juice (Shengjiang Ziran Zhi) until it forms an ointment. After bathing, apply the medicine to the affected area and rub until warm.
Wubeizi Gao (Chinese Gall Ointment) for treating connected Zidian Feng spots:
Wubeizi (Chinese Gall, 1 fen, ground into fine powder); Nifen (Calomel, 2 qian); Pishuang (Arsenic Trioxide, finely ground, half qian).
The above three ingredients: Grind together uniformly. Mix with vinegar to form an ointment. Store in a porcelain container. After bathing, apply evenly to the affected area. Dress quickly to avoid wind exposure, then wash hands.
Fuzi Liuhuang San (Aconite and Sulfur Powder) for treating Zidian Feng spots:
Fuzi (Prepared Aconite Root, raw use, peel and navel removed, 1 piece); Shi Liuhuang (Sulfur, separately ground, half liang).
The above two ingredients: Grind into fine powder. Add Hufen (Lead Carbonate/Whiting, 1 fen) and a small amount of Nifen (Calomel). Mix uniformly with Liu Zhi (Willow Branch Juice). Rub onto the affected area 3-5 times before sleep. Wash off with warm Jiangshui (fermented grain liquid) in the morning. It will heal within 3-5 nights.
Muli San (Oyster Shell Powder) for treating Zidian Feng:
Muli (Oyster Shell); Danfan (Chalcanthite, each half liang).
The above two ingredients: Use raw, grind into powder. Mix with strong vinegar and rub onto the affected area.
Hetao Tu (Walnut Application) for treating Zidian Feng and Baidianfeng (Vitiligo):
Qing Hetao (Green Walnut, 1 fruit, use the outer green skin); Shi Liuhuang (Sulfur, amount like a soap bean, ground to powder).
The above two ingredients: First, chop and grind the walnut skin into a paste. Mix with sulfur powder and apply.
Hui Zhi Tu (Ash Juice Application) for treating Zidian Feng:
Hui Zhi (Ash Juice, amount unspecified, made by burning, filtering through paper, and refining into a paste, approx. 2 spoons); Xionghuang (Realgar); Dansha (Cinnabar); Nifen (Calomel); Muxiang (Musk); Xama Hui (Toad Ash); Shi Liuhuang (Sulfur); Fanshi (Alum, each 1 qian).
The above eight ingredients: Grind seven ingredients into powder. Stir and cook with the refined thick ash juice until it becomes an ointment. Apply. Replace when dry. Moisten with vinegar if hard.
Yangti Gen Tu (Rumex Root Application) for treating Zidian Feng:
Yangti Gen (Rhei Radix et Rhizoma / Rumex root, crushed to extract half he of natural juice); Shengjiang (Fresh Ginger, crushed to extract half he of natural juice); Shi Liuhuang (Sulfur, 4 qian, ground to powder).
The above three ingredients: Mix the two juices with sulfur powder until sticky. Apply to the affected area. Do not wash for one day. It will heal within two applications.