论曰字书以疥有介守之义,言虽微小,介然守形体而难治也,是以疥有五名,皆因风热
邪气
肉隐
若
故皆有虫,或以谓蛲虫内出,理或然也,治宜疏风涤热,当以熏浴敷涂之法,与汤液并行则
善矣。
治遍身疮疥,风毒瘙痒。苦参散方
苦参 白花蛇(酒浸去皮骨炙各一两) 黄连(去须) 当归(切焙各三分) 人参 玄
参
丹参 沙参 芍药 蒺藜子(炒去角) 防风(去叉各半两)
上一十一味为细散,每日不拘早晚,温酒调二钱匕,日二。
治遍身疥疮不瘥。快肌丸方
威灵仙(去土一两半为细末) 猪胆(三枚)
上二味,取胆汁和末,丸如梧桐子大,每服二十丸,荆芥汤下,不拘时候。
治一切风疮疥癣。皮肤瘙痒,搔成瘾疹,防风丸方
防风(去叉) 蝉壳 猪牙皂荚(酥炙去皮子各一两半) 天麻(二两)
上四味,捣为细末,用精羊肉煮熟捣烂,以酒熬为膏,丸如绿豆大,每服三十丸,荆芥
酒或茶汤下。
治风毒疥癣,加减八风散方
独活(去芦头) 防风(去叉) 黄 (锉) 甘草(炙令赤色锉各一两一分) 玄参 苦
参
芎 秦艽(去苗土各一两) 白术(炒令紫色) 松脂(各一两一分) 蛇床子(三分) 黄
连
(去须)
叶)
桂(去
根节) 杏
仁(去
地黄(焙
二两)
心一
两)
上三十五味,捣罗为散,每服二钱匕,空心用生姜蜜汤调下,晚再服,渐加至三服。
治遍身疮疥风毒,或痒或痛。苦参散方
苦参(三两) 人参 丹参 沙参 玄参(各一两) 秦艽(去苗土一两半) 白藓皮 升
麻
(各
(去黑心)
芍药(各一两一分) 当归(切焙一两半) 蒺藜子(炒杵去尖一两) 防风(去叉一两一
分) 白
花蛇(炙令黄色去皮骨二两) 黄连(去须一两半)
上一十八味,捣罗为散,每服二钱匕,用温酒一盏调下,日晚再服。
治疥疮痒痛不止。大黄丸方
大黄(锉炒二两半) 防风(去叉) 黄 (锉) 黄连(去须各一两半) 漏芦(去
芦头一两)
秦艽(去苗土) 苦参 乌蛇(酒浸炙黄去皮骨各二两)
上八味,捣罗为末,炼蜜为丸,如梧桐子大,空心温酒下二十丸,晚再服。
治诸疮。苦参丸方
苦参(四两) 玄参 栀子仁 独活(去芦头各二两) 黄连(去须一两半) 大黄(锉
碎炒
香熟) 甘菊花 防风(去叉) 枳壳(去瓤麸炒) 黄芩(去黑心各一两)
上一十味,捣罗为末,炼蜜为丸,如梧桐子大,每日空心、以温酒下二十丸,日晚再服
,以瘥为度。
治疥癣久不瘥。乌蛇散方
乌蛇(酒浸炙黄色去皮骨二两) 漏芦(去芦头一两半) 大黄(锉碎炒令香熟) 羌
活(去
芦头) 丹参 沙参 玄参 五加皮(锉) 甘草(炙赤色锉) 白僵蚕(炒) 干蝎(炒
去土各一
两)
上一十三味,捣罗为散,每服食后,薄荷汤调下二钱匕,至晚再服,以瘥为度。
治诸疥风虚恶疮。五参散方
人参 玄参 丹参 沙参 苦参(各一两) 蒺藜子(炒杵去尖) 秦艽(去苗土各半
两)
栀子
独
活(
两)
上一十七味,捣罗为散,每服三钱匕,空心熟水调下,日晚再服,以瘥为度。
治干湿疥。赤小豆散方
赤小豆(三合炒干纳醋中如此七遍) 人参 甘草(炙令赤色锉) 瞿麦穗 白蔹 当
归(
切焙) 黄芩(去黑心) 猪苓(去黑皮) 防风(去叉各半两) 黄 (锉) 薏苡仁 升
麻(各三
分)
上一十二味,捣罗为细散,每服三钱匕,空心以粥饮调下,日二夜一。
治干疥瘙痒久不瘥。黄 丸方
黄 (二两锉) 乌蛇(四两酒浸去皮骨炙令黄) 川乌头(三两炮裂去皮脐) 附子
(二两
炮裂去皮脐) 茵芋(二两) 石南(一两) 秦艽(二两去苗)
上七味,捣罗为末,炼蜜和捣三二百杵,丸如梧桐子大,每服三十丸食后,以荆芥汤下
,以瘥为度。
治遍身生疥干痒,搔之皮起。秦艽丸方
秦艽(二两去苗) 黄 (二两锉) 乌蛇(四两酒浸去皮骨炙令微黄) 漏芦(一两
半) 防
风(
黄(二
两去
上九味,捣罗为末,炼蜜和捣三二百杵,丸如梧桐子大,每服三十丸,食后温酒下,日
进二服。
治风毒疮疥一切风壅等。槟榔煎丸方
槟榔(锉) 羌活(去芦头) 独活(去芦头) 枳壳(去瓤麸炒) 白牵牛(略炒) 黑
牵牛(
略炒各半两)
上六味,同杵罗为末,用大皂荚一尺以上者一梃, 汁煎膏和丸,如梧桐子大,临卧温
酒或熟水下三十丸,量人虚实加减,久患疮疥,服之立愈。
治一切风热疥疮攻注。牵牛子丸方
牵牛子(一两一半瓦上炒一半生用) 香子(一两微炒) 陈橘皮(二两水浸于瓦上
去白
焙干)
上三味,为细末,用生姜汁煮面糊为丸,如绿豆大,每服空心临卧,用炒盐汤下十丸。
治疮疥岁久不愈。乌龙丸方
牵牛子(不拘多少瓦上铺下慢火逼不得搅待其香实时取下半生半熟放冷作细末)
上以皂荚二大梃,水一大碗,揉取汁滤过,银石器内熬成膏,入牵牛末同和丸,如梧桐
子大,食后临卧、温酒下二十丸,或觉微利,便不须服,所患疮疥立止,不过三五服。
治干湿疥满身作疮,不可疗者。何首乌洗汤方
何首乌 艾(等分细锉)
上二味相度疮多少用药,并水煎令浓,于盆内盛洗之。
治疥及风瘙苦痒。丹参洗汤方
丹参 苦参 蛇床子(半两)
上三味锉,以水一斗,煎取六升,滤去滓,温洗疮上,用故帛拭过,以药涂摩,日三五
度,即瘥。
治诸疥疮。神捷散方
吴茱萸(一两) 赤小豆(四十九粒) 白蒺藜(一两) 白芜荑仁(半两) 轻粉(五
钱匕)
石硫黄(少许研)
上六味,捣研为散、令匀,每用生油调药半钱匕,于手心内摩热后,遍揩周身有疥处便
睡,睡觉其疥自愈。
治诸疥。砒黄熏方
砒黄(研) 雄黄(研) 石硫黄(研各半两) 熟艾(五两)
上四味,同研和令匀,将药铺在纸上令匀,紧卷如饼 样,用面糊粘却,切为四段,患
人早
盖上
治诸疥。乌头散方
乌头 吴茱萸 石硫黄 莨菪子(各一两)
上四味,捣罗为散,用生油调如糊,涂患处,日三五度即瘥。
治恶疥疮。鸡子涂方
鸡子(七枚煮熟取黄铛中熬成膏) 腻粉 乱发灰 白矾灰(各一分) 石硫黄(半两
研)
上五味,除鸡子外,研为末,入鸡子膏,和研令匀,涂敷患处,日三五度即瘥。
治疮疥。藜芦膏方
藜芦(去芦头一两半) 石硫黄(研) 猪牙皂荚 乳香(各半两研) 附子(一分) 杏
仁(
去皮研半两) 腻粉(一分) 巴豆(去壳研半分) 猪胆(二枚) 酥(二两) 白矾灰
(研一分)
猪
上一十二味,捣研九味为末,先熬脂酥胆汁令沸,即下诸药末,搅令匀,以瓷合盛,每
日涂摩三五度。
治诸疥。硫黄涂敷方
石硫黄(一钱研) 蜀椒(去目及合口者) 吴茱萸 黄柏(各一两)
上四味,捣研为散,用生油调如糊,涂敷疥上,日二三。
治干疥久不瘥,皮肤瘙痒。方
水银(一分并胡粉点少水研令星尽) 胡粉(一两) 蛇床子(半两捣为末) 黄连(三
分去
须捣为末)
上四味,细研令匀,以生麻油和如稀膏,每用药时,先以盐浆水洗,后以药涂之,干即
更换,不过三五度瘥。
治皮肤风热生疥干痒,宜涂。皂荚膏方
猪牙皂荚 腻粉 硫黄(细研) 臭黄(细研) 白矾灰 黄蜡 巴豆(去皮) 乌头
(生用)
吴茱萸(以上各一分)
上九味,捣罗为末,再研令匀,先入麻油三二合,以慢火销蜡尽,搅和令匀,日二涂之
又方
白矾(一两烧灰) 硫黄(一两细研) 黄连(一两半去须末) 雌黄(一两细研) 蛇
床子(
三分末)
上五味,细研令匀,炼猪脂油和如饧,每用先以盐浆水,洗令净,拭干涂之。
治疥疮生干痂,痒不止。方
皂荚(一两) 臭黄(一两)
上二味,捣罗为细末,以醋二升,熬成膏涂之,日二三易。
又方
猪脂(一斤) 巴豆(半两去皮研烂) 蜡(半两) 疏黄(一分末)
上四味,先煎猪脂令沸,入巴豆煎,候变色,次下蜡令熔,又下硫黄末,搅令匀,盛于
瓷合内,日三五度涂之。
又方
硫黄(一两) 硝石(半两)
上二味,细研如粉,以生麻油调涂之。
治一切疥风痒 疮等。乌蛇散方
乌蛇(酒涂炙去皮骨二两) 羌活(去芦头) 白藓皮 苦参 枳实(去瓤麸炙) 蒺
藜子
(炒
僵蚕
(炒)
上一十八味,捣罗为细散,每服五钱匕,空心酒调下。
治一切癣疥癞疮。祛风丸方
槐牙(焙干) 皂荚牙(焙干各一斤) 苦参(三两) 防风(去叉) 羌活(去芦头
各一两三
分) 乌蛇(一条酒炙去皮骨) 使君子(一两半)
上七味,捣罗为末,炼蜜和丸,梧桐子大,每服三十丸,空心酒下,夜蜜汤下。
治脾肺风毒攻冲生疥癣方
升麻 桃白皮 苦参(各半两)
上三味,细锉,用水二斗,煎取一斗,去滓候温洗之。
治癣疥方
白矾灰 石硫黄
上二味,等分,捣为末,和生油调涂之。
治一切恶疥疮方
黄柏(末) 锻石(研)
上二味,等分,研令极细,以生麻油和如薄面糊,净洗疮,涂四五遍瘥。
治疮疥甚者。乌豆煎方
乌头(一两每枚四破之) 大豆(一两半)
上二味,同入沙瓶,煮极烂,每服乌头一片,豆少许,空腹酒下。
Commentary states: The character dictionary interprets "scabies" (Jie, 疥) as having the meaning of "guarding firmly" (Jie Shou, 介守), implying that although the condition is minor, it adheres stubbornly to the body and is difficult to cure. Therefore, scabies has five names, all caused by wind-heat pathogenic factors invading and hiding within the muscle tissue, thus often involving parasites. Some believe these are pinworms emerging from within; this reasoning may be plausible. Treatment should focus on dispersing wind and purging heat. It is appropriate to employ fumigation, bathing, external application, and smearing methods, which yield better results when combined with internal decoction therapy.
For treating widespread skin sores and scabies accompanied by itching due to wind-toxin: Kushen San (Bitterroot Powder).
Ingredients: Sophorae Radix (Kushen, 苦参); Dendrobii Caulis (Baohuashe, 白花蛇 - processed with wine, skin and bones removed, roasted, 1 liang each); Coptidis Rhizoma (Huanglian, 黄连 - remove stamens); Angelicae Sinensis Radix (Danggui, 当归 - sliced and dried, 3 qian each); Ginseng Radix (Renshen, 人参); Scrophulariae Radix (Xuanshen, 玄参); Salviae Miltiorrhizae Radix (Danshen, 丹参); Glehniae Radix (Shashen, 沙参); Paeoniae Radix (Shaoyao, 芍药); Tribuli Fructus (Jilizi, 蒺藜子 - stir-fried, spines removed); Saposhnikoviae Radix (Fangfeng, 防风 - forked parts removed, 0.5 liang each).
Procedure: Grind the above eleven ingredients into a fine powder. Take 2 qianbi (a small measure) mixed with warm wine, twice daily, at any time.
For treating persistent widespread scabies: Kuaiji Wan (Muscle-Rapid Pill).
Ingredients: Clematidis Radix et Rhizoma (Weilingxian, 威灵仙 - cleaned of soil, 1.5 liang, ground to fine powder); Porcine Bile (Zhudan, 猪胆 - three pieces).
Procedure: Mix the bile with the powder, roll into pills the size of lucerne seeds. Take 20 pills per dose, washed down with Schizonepeta Decoction, at any time.
For treating all wind-sores, scabies, and tinea, characterized by skin itching and wheals upon scratching: Fangfeng Wan (Saposhnikovia Pill).
Ingredients: Saposhnikoviae Radix (Fangfeng, 防风 - forked parts removed); Cryptotympanae Pergamen (Chanke, 蝉壳); Gleditsiae Sinensis Fructus (Zhuyazaojia, 猪牙皂荚 - roasted with lard, skin and seeds removed, 1.5 liang each); Gastrodiae Rhizoma (Tianma, 天麻 - 2 liang).
Procedure: Grind into fine powder. Cook lean mutton until soft, mash it, and boil with wine to form a paste. Roll into pills the size of mung beans. Take 30 pills per dose, washed down with Schizonepeta Wine or tea water.
For treating wind-toxin scabies and tinea, Jiajian Bafeng San (Modified Eight-Wind Powder):
Ingredients: Angelicae Pubescentis Radix (Duohuo, 独活 - rhizome removed); Saposhnikoviae Radix (Fangfeng, 防风 - forked parts removed); Scutellariae Radix (Huangqin, 黄芩 - sliced); Glycyrrhizae Radix et Rhizoma (Gancao, 甘草 - roasted until red, sliced, 1.1 liang each); Scrophulariae Radix (Xuanshen, 玄参); Sophorae Radix (Kushen, 苦参); Ligustici Chuanxiong Rhizoma (Xiong, 川芎); Gentianae Macrophyllae Radix (Qinjiao, 秦艽 - seedlings and soil removed, 1 liang each); Atractylodis Macrocephalae Rhizoma (Baizhu, 白术 - stir-fried until purple); Pinus Resin (Songzhi, 松脂 - 1.1 liang each); Cnidii Fructus (Shechuangzi, 蛇床子 - 3 qian); Coptidis Rhizoma (Huanglian, 黄连 - remove stamens); Cinnamomi Ramulus (Guizhi, 桂枝 - roots and joints removed); Armeniacae Semen Amarum (Xingren, 杏仁 - skin and tips removed); Rehmanniae Radix Preparata (Dihuang, 地黄 - baked, 2 liang); Polygalae Radix (Yuanzhi - heart part, 1 liang).
Procedure: Grind the above thirty-five ingredients into a powder. Take 2 qianbi per dose, mixed with ginger-honey water on an empty stomach, and again in the evening. Gradually increase to three doses.
For treating widespread skin sores and scabies with wind-toxin, manifesting as itching or pain: Kushen San (Bitterroot Powder):
Ingredients: Sophorae Radix (Kushen, 苦参 - 3 liang); Ginseng Radix (Renshen, 人参); Salviae Miltiorrhizae Radix (Danshen, 丹参); Glehniae Radix (Shashen, 沙参); Scrophulariae Radix (Xuanshen, 玄参 - 1 liang each); Gentianae Macrophyllae Radix (Qinjiao, 秦艽 - seedlings and soil removed, 1.5 liang); Dictamni Cortex (Baixianpi, 白鲜皮); Cimicifugae Rhizoma (Shengma, 升麻 - black hearts removed); Paeoniae Radix (Shaoyao, 芍药 - 1.1 liang each); Angelicae Sinensis Radix (Danggui, 当归 - sliced and dried, 1.5 liang); Tribuli Fructus (Jilizi, 蒺藜子 - stir-fried, pounded, spines removed, 1 liang); Saposhnikoviae Radix (Fangfeng, 防风 - forked parts removed, 1.1 liang); Dendrobii Caulis (Baohuashe, 白花蛇 - roasted yellow, skin and bones removed, 2 liang); Coptidis Rhizoma (Huanglian, 黄连 - remove stamens, 1.5 liang).
Procedure: Grind the above eighteen ingredients into a powder. Take 2 qianbi per dose, mixed with one cup of warm wine, taken morning and evening.
For treating persistent itching and pain from scabies: Dahuang Wan (Rhubarb Pill):
Ingredients: Rhei Radix et Rhizoma (Dahuang, 大黄 - sliced and stir-fried, 2.5 liang); Saposhnikoviae Radix (Fangfeng, 防风 - forked parts removed); Scutellariae Radix (Huangqin, 黄芩 - sliced); Coptidis Rhizoma (Huanglian, 黄连 - remove stamens, 1.5 liang each); Euphorbiae Humifusae Radix (Loulu, 漏芦 - rhizome removed, 1 liang); Gentianae Macrophyllae Radix (Qinjiao, 秦艽 - seedlings and soil removed); Sophorae Radix (Kushen, 苦参); Natrix Humpbacked (Wushe, 乌蛇 - soaked in wine, roasted yellow, skin and bones removed, 2 liang each).
Procedure: Grind into powder, mix with refined honey to make pills the size of lucerne seeds. Take 20 pills with warm wine on an empty stomach, and again in the evening.
For treating various sores: Kushen Wan (Bitterroot Pill):
Ingredients: Sophorae Radix (Kushen, 苦参 - 4 liang); Scrophulariae Radix (Xuanshen, 玄参); Gardeniae Fructus (Zhizi Ren, 栀子仁); Angelicae Pubescentis Radix (Duohuo, 独活 - rhizome removed, 2 liang each); Coptidis Rhizoma (Huanglian, 黄连 - remove stamens, 1.5 liang); Rhei Radix et Rhizoma (Dahuang, 大黄 - sliced, stir-fried until fragrant); Chrysanthemi Flos (Ganjuhua, 甘菊花); Saposhnikoviae Radix (Fangfeng, 防风 - forked parts removed); Aurantii Fructus (Zhiqiao, 枳壳 - pulp removed, bran-roasted); Scutellariae Radix (Huangqin, 黄芩 - black hearts removed, 1 liang each).
Procedure: Grind the above ten ingredients into powder, mix with refined honey to make pills the size of lucerne seeds. Take 20 pills with warm wine on an empty stomach, morning and evening, until cured.
For treating persistent scabies and tinea: Wushe San (Black Snake Powder):
Ingredients: Natrix Humpbacked (Wushe, 乌蛇 - soaked in wine, roasted yellow, skin and bones removed, 2 liang); Euphorbiae Humifusae Radix (Loulu, 漏芦 - rhizome removed, 1.5 liang); Rhei Radix et Rhizoma (Dahuang, 大黄 - sliced, stir-fried until fragrant); Notopterygii Rhizoma et Radix (Qianghuo, 羌活 - rhizome removed); Salviae Miltiorrhizae Radix (Danshen, 丹参); Glehniae Radix (Shashen, 沙参); Scrophulariae Radix (Xuanshen, 玄参); Acanthopanacis Cortex (Wujiaopi, 五加皮 - sliced); Glycyrrhizae Radix et Rhizoma (Gancao, 甘草 - roasted red, sliced); Bombyx Batryticatus (Baijiangcan, 白僵蚕 - stir-fried); Scorpio (Ganye, 干蝎 - stir-fried, cleaned of soil, 1 liang each).
Procedure: Grind the above thirteen ingredients into powder. Take 2 qianbi mixed with peppermint water after meals, and again in the evening, until cured.
For treating various scabies, wind-deficiency, and malignant sores: Wushen San (Five-Root Powder):
Ingredients: Ginseng Radix (Renshen, 人参); Scrophulariae Radix (Xuanshen, 玄参); Salviae Miltiorrhizae Radix (Danshen, 丹参); Glehniae Radix (Shashen, 沙参); Sophorae Radix (Kushen, 苦参 - 1 liang each); Tribuli Fructus (Jilizi, 蒺藜子 - stir-fried, pounded, spines removed); Gentianae Macrophyllae Radix (Qinjiao, 秦艽 - seedlings and soil removed, 0.5 liang each); Gardeniae Fructus (Zhizi, 栀子); Angelicae Pubescentis Radix (Duohuo, 独活 - 2 liang each).
Procedure: Grind the above seventeen ingredients into powder. Take 3 qianbi mixed with boiled water on an empty stomach, morning and evening, until cured.
For treating dry and wet scabies: Chixiaodou San (Red Bean Powder):
Ingredients: Phaseoli Semen Rubrum (Chixiaodou, 赤小豆 - 3 he, stir-fried dry, soaked in vinegar seven times); Ginseng Radix (Renshen, 人参); Glycyrrhizae Radix et Rhizoma (Gancao, 甘草 - roasted red, sliced); Diantherae Herba (Qumai Sui, 瞿麦穗); Ampelopsis Radix (Bailian, 白蔹); Angelicae Sinensis Radix (Danggui, 当归 - sliced and dried); Scutellariae Radix (Huangqin, 黄芩 - black hearts removed); Polyporus (Zuling, 猪苓 - black skin removed); Saposhnikoviae Radix (Fangfeng, 防风 - forked parts removed, 0.5 liang each); Scutellariae Radix (Huangqin, 黄芩 - sliced); Coicis Semen (Yiyiren, 薏苡仁); Cimicifugae Rhizoma (Shengma, 升麻 - 3 qian each).
Procedure: Grind the above twelve ingredients into fine powder. Take 3 qianbi mixed with gruel drink on an empty stomach, twice daily and once at night.
For treating dry scabies with persistent itching: Huangqi Wan (Astragalus Pill):
Ingredients: Astragali Membranacei Radix (Huangqi, 黄芪 - 2 liang sliced); Natrix Humpbacked (Wushe, 乌蛇 - 4 liang, soaked in wine, skin and bones removed, roasted yellow); Aconiti Lateralis Radix Preparata (Chuanwutou, 川乌头 - 3 liang, processed, cracked, skin and navel removed); Aconiti Radix Preparata (Fuzi, 附子 - 2 liang, processed, cracked, skin and navel removed); Ilicis Cornuti Folium (Yinyu, 茵芋 - 2 liang); Pyri Radiatae Caulis (Shinan, 石南 - 1 liang); Gentianae Macrophyllae Radix (Qinjiao, 秦艽 - 2 liang, seedlings removed).
Procedure: Grind into powder, mix with refined honey and pound 300-200 times. Make pills the size of lucerne seeds. Take 30 pills after meals, washed down with Schizonepeta Decoction, until cured.
For treating widespread dry scabies itching, where scratching raises the skin: Qinjiao Wan (Gentian Pill):
Ingredients: Gentianae Macrophyllae Radix (Qinjiao, 秦艽 - 2 liang, seedlings removed); Astragali Membranacei Radix (Huangqi, 黄芪 - 2 liang sliced); Natrix Humpbacked (Wushe, 乌蛇 - 4 liang, soaked in wine, skin and bones removed, roasted slightly yellow); Euphorbiae Humifusae Radix (Loulu, 漏芦 - 1.5 liang); Saposhnikoviae Radix (Fangfeng, 防风 - forked parts removed); Scutellariae Radix (Huangqin, 黄芩 - 2 liang sliced); Coptidis Rhizoma (Huanglian, 黄连 - remove stamens, 1.5 liang); Rhei Radix et Rhizoma (Dahuang, 大黄 - sliced, stir-fried, 2 liang); Glycyrrhizae Radix et Rhizoma (Gancao, 甘草 - roasted, 1 liang).
Procedure: Grind into powder, mix with refined honey and pound 300-200 times. Make pills the size of lucerne seeds. Take 30 pills after meals with warm wine, twice daily.
For treating wind-toxin sores, scabies, and all wind-obstruction syndromes: Binglang Jian Wan (Areca Nut Decoction Pill):
Ingredients: Arecae Semen (Binglang, 槟榔 - sliced); Notopterygii Rhizoma et Radix (Qianghuo, 羌活 - rhizome removed); Angelicae Pubescentis Radix (Duohuo, 独活 - rhizome removed); Aurantii Fructus (Zhiqiao, 枳壳 - pulp removed, bran-roasted); Pharbitidis Semen Album (Baiqianniu, 白牵牛 - lightly stir-fried); Pharbitidis Semen Nigrum (Heiqianniu, 黑牵牛 - lightly stir-fried, 0.5 liang each).
Procedure: Pound and sieve into powder. Use one large Gleditsia sinensis pod (over 1 chi) to extract juice, boil into a paste, and mix with the powder to make pills the size of lucerne seeds. Take 30 pills before bed with warm wine or boiled water, adjusting dosage based on deficiency or excess. For chronic scabies, immediate cure is expected.
For treating all wind-heat scabies attacks: Qianniuzi Wan (Pharbitis Seed Pill):
Ingredients: Pharbitidis Semen (Qianniuzi, 牵牛子 - 1.5 liang, half stir-fried on tile, half raw); Psoraleae Fructus (Xiangzi, 香子 - 1 liang, lightly stir-fried); Citri Reticulatae Pericarpium (Chenjuapi, 陈橘皮 - 2 liang, soaked in water, white pith removed on tile, dried).
Procedure: Grind into fine powder. Use ginger juice and wheat flour paste to make pills the size of mung beans. Take 10 pills on an empty stomach and before bed, washed down with stir-fried salt water.
For treating sores and scabies lasting years without healing: Wulong Wan (Black Dragon Pill):
Ingredients: Pharbitidis Semen (Qianniuzi, 牵牛子 - arbitrary amount, spread on tile, slow-fire dried without stirring until fragrant, take half raw half cooked, cool and grind to fine powder).
Procedure: Use two large Gleditsia pods, soak in one bowl of water, squeeze out juice, filter, and boil in a silver/ceramic vessel into a paste. Mix with Pharbitis powder to make pills the size of lucerne seeds. Take 20 pills after meals and before bed with warm wine. If mild diarrhea occurs, stop taking. Sores will cease immediately, usually cured within 3-5 doses.
For treating widespread dry and wet scabies sores that are untreatable: Heshouwu Wash Decoction:
Ingredients: Polygoni Multiflori Radix (Heshouwu, 何首乌); Artemisiae Argyi Folium (Ai, 艾) - equal parts, finely sliced.
Procedure: Adjust dosage based on the extent of sores. Boil in water until concentrated. Pour into a basin and wash the affected areas.
For treating scabies and wind-rashes with severe itching: Danshen Wash Decoction:
Ingredients: Salviae Miltiorrhizae Radix (Danshen, 丹参); Sophorae Radix (Kushen, 苦参); Cnidii Fructus (Shechuangzi, 蛇床子 - 0.5 liang).
Procedure: Slice the three ingredients. Boil in 10 dou of water until reduced to 6 sheng. Filter dregs. Wash sores with warm liquid, wipe with old cloth, then apply medicine by rubbing, 3-5 times daily, until cured.
For treating various scabies: Shenjie San (Divine Speed Powder):
Ingredients: Evodiae Fructus (Wuzhuyu, 吴茱萸 - 1 liang); Phaseoli Semen Rubrum (Chixiaodou, 赤小豆 - 49 grains); Tribuli Fructus (Baijili, 白蒺藜 - 1 liang); Alpiniae Katsumadai Semen (Baiwanyi Ren, 白芜荑仁 - 0.5 liang); Calomelas (Qingfen, 轻粉 - 5 qianbi); Sulphur (Shiuhuang, 石硫黄 - a little, ground).
Procedure: Pound and grind into a uniform powder. Take half a qianbi mixed with raw sesame oil, rub between palms until warm, then wipe over all scabies-affected areas before sleeping. Sores will heal upon waking.
For treating various scabies: Pi Huang Fumigation:
Ingredients: Realgar (Pi Huang, 砒黄 - ground); Realgar (Xionghuang, 雄黄 - ground); Sulphur (Shiuhuang, 石硫黄 - ground, 0.5 liang each); Prepared Mugwort (Shuai, 熟艾 - 5 liang).
Procedure: Grind and mix uniformly. Spread on paper, roll tightly like a cake, seal with flour paste, cut into four sections. Patient covers [affected area] in the morning [text implies fumigation or covering].
For treating various scabies: Wutou San (Aconite Powder):
Ingredients: Aconiti Radix (Wutou, 乌头); Evodiae Fructus (Wuzhuyu, 吴茱萸); Sulphur (Shiuhuang, 石硫黄); Datura Seed (Langdangzi, 莨菪子 - 1 liang each).
Procedure: Grind into powder, mix with raw sesame oil to form a paste. Apply to affected areas, 3-5 times daily, until cured.
For treating malignant scabies: Ji Zi Smear:
Ingredients: Chicken Egg (Jizi, 鸡子 - 7 eggs, boiled, yolks extracted and fried in a pan into a paste); Calomelas (Nifen, 腻粉); Ash of tangled hair (Luankuihui, 乱发灰); Alum Ash (Baijianhui, 白矾灰 - 1 fen each); Sulphur (Shiuhuang, 石硫黄 - 0.5 liang, ground).
Procedure: Grind all except egg yolk into powder, mix with egg yolk paste. Apply to affected areas, 3-5 times daily, until cured.
For treating sores and scabies: Lilu Ointment:
Ingredients: Veratris Radix (Lilu, 藜芦 - rhizome removed, 1.5 liang); Sulphur (Shiuhuang, 石硫黄 - ground); Gleditsiae Sinensis Fructus (Zhuyazaojia, 猪牙皂荚); Boswelliae Resina (Ruxiang, 乳香 - 0.5 liang each, ground); Aconiti Radix Preparata (Fuzi, 附子 - 1 fen); Armeniacae Semen Amarum (Xingren, 杏仁 - skin removed, ground, 0.5 liang); Calomelas (Nifen, 腻粉 - 1 fen); Crotonis Fructus (Badou, 巴豆 - shell removed, ground, 0.5 fen); Porcine Bile (Zhudan, 猪胆 - 2 pieces); Lard (Su, 酥 - 2 liang); Alum Ash (Baijianhui, 白矾灰 - 1 fen, ground); Pig Fat (Zhu Zhi, 猪脂 - 2 liang).
Procedure: Grind nine ingredients into powder. Boil lard and bile, add powders, mix well. Store in ceramic jar. Apply/rub 3-5 times daily.
For treating various scabies: Sulphur Application:
Ingredients: Sulphur (Shiuhuang, 石硫黄 - 1 qian, ground); Sichuan Pepper (Shujiao, 蜀椒 - remove eyes and closed ones); Evodiae Fructus (Wuzhuyu, 吴茱萸); Phellodendri Cortex (Huangbai, 黄柏 - 1 liang each).
Procedure: Grind into powder, mix with raw sesame oil to form a paste. Apply to scabies, 2-3 times daily.
For treating dry scabies not healing for long, with skin itching: Formula:
Mercury (Shuiyin, 水银 - 1 fen, mixed with Lead Carbonate/Hufen, add little water, grind until stars disappear); Lead Carbonate (Hufen, 胡粉 - 1 liang); Cnidii Fructus (Shechuangzi, 蛇床子 - 0.5 liang, ground to powder); Coptidis Rhizoma (Huanglian, 黄连 - 3 qian, remove stamens, ground to powder).
Procedure: Grind finely and mix. Blend with raw hemp seed oil into a thin paste. Before application, wash with salt brine, then apply medicine. Replace when dry. Cured in 3-5 applications.
For treating skin wind-heat causing dry scabies itching, suitable for topical application: Zaojia Ointment:
Ingredients: Gleditsiae Sinensis Fructus (Zhuyazaojia, 猪牙皂荚); Calomelas (Nifen, 腻粉); Sulphur (Liuhuang, 硫黄 - finely ground); Odorous Yellow (Chouhuang, 臭黄 - finely ground); Alum Ash (Baijianhui, 白矾灰); Beeswax (Huangla, 黄蜡); Crotonis Fructus (Badou, 巴豆 - peeled); Aconiti Radix (Wutou, 乌头 - raw use); Evodiae Fructus (Wuzhuyu, 吴茱萸) - 1 fen each.
Procedure: Grind into powder, re-grind to mix. Add 2-3 he of hemp seed oil, melt wax over low fire, mix well. Apply twice daily.
Another Formula:
Alum (Baijian, 白矾 - 1 liang, burned to ash); Sulphur (Liuhuang, 硫黄 - 1 liang, finely ground); Coptidis Rhizoma (Huanglian, 黄连 - 1.5 liang, remove stamens, ground); Orpiment (Cihuang, 雌黄 - 1 liang, finely ground); Cnidii Fructus (Shechuangzi, 蛇床子 - 3 qian, ground).
Procedure: Grind finely and mix. Blend with rendered pork fat and honey-like consistency. Wash thoroughly with salt brine first, dry, then apply.
For treating scabies with dry crusts and unceasing itching: Formula:
Gleditsiae Sinensis Fructus (Zaojia, 皂荚 - 1 liang); Odorous Yellow (Chouhuang, 臭黄 - 1 liang).
Procedure: Grind into fine powder. Boil with 2 sheng of vinegar into a paste. Apply, change 2-3 times daily.
Another Formula:
Pig Fat (Zhuzhi, 猪脂 - 1 jin); Crotonis Fructus (Badou, 巴豆 - 0.5 liang, peeled, pounded); Beeswax (La, 蜡 - 0.5 liang); Sulphur (Liuhuang, 硫黄 - 1 fen, ground).
Procedure: Boil pig fat, add Badou, cook until color changes, add wax to melt, then add sulphur powder. Mix well, store in ceramic jar. Apply 3-5 times daily.
Another Formula:
Sulphur (Liuhuang, 硫黄 - 1 liang); Niter (Xiaoshi, 硝石 - 0.5 liang).
Procedure: Grind to powder, mix with raw hemp seed oil and apply.
For treating all scabies, wind-itch, and sores: Wushe San (Black Snake Powder):
Ingredients: Natrix Humpbacked (Wushe, 乌蛇 - coated with wine, roasted, skin and bones removed, 2 liang); Notopterygii Rhizoma et Radix (Qianghuo, 羌活 - rhizome removed); Dictamni Cortex (Baixianpi, 白鲜皮); Sophorae Radix (Kushen, 苦参); Zanthoxyli Fructus (Zhishi, 枳实 - pulp removed, bran-roasted); Tribuli Fructus (Jilizi, 蒺藜子 - stir-fried); Bombyx Batryticatus (Baijiangcan, 僵蚕 - stir-fried); Saposhnikoviae Radix (Fangfeng, 防风 - forked parts removed); Scutellariae Radix (Huangqin, 黄芩 - black hearts removed); Coptidis Rhizoma (Huanglian, 黄连 - remove stamens); Angelicae Sinensis Radix (Danggui, 当归 - sliced and dried); Ginseng Radix (Renshen, 人参); Salviae Miltiorrhizae Radix (Danshen, 丹参); Glehniae Radix (Shashen, 沙参); Scrophulariae Radix (Xuanshen, 玄参); Glycyrrhizae Radix et Rhizoma (Gancao, 甘草 - roasted); Atractylodis Macrocephalae Rhizoma (Baizhu, 白术 - stir-fried); Gentianae Macrophyllae Radix (Qinjiao, 秦艽 - seedlings and soil removed).
Procedure: Grind the above eighteen ingredients into fine powder. Take 5 qianbi mixed with wine on an empty stomach.
For treating all tinea, scabies, and leprosy-like sores: Qufeng Wan (Wind-Expelling Pill):
Ingredients: Sophorae Tree Teeth (Huaiya, 槐牙 - baked dry); Gleditsiae Sinensis Fructus Teeth (Zaojia Ya, 皂荚牙 - baked dry, 1 jin each); Sophorae Radix (Kushen, 苦参 - 3 liang); Saposhnikoviae Radix (Fangfeng, 防风 - forked parts removed); Notopterygii Rhizoma et Radix (Qianghuo, 羌活 - rhizome removed, 1.3 liang each); Natrix Humpbacked (Wushe, 乌蛇 - one strip, wine-roasted, skin and bones removed); Quisqualis Fructus (Shijunzi, 使君子 - 1.5 liang).
Procedure: Grind into powder, mix with refined honey to make pills the size of lucerne seeds. Take 30 pills with wine on an empty stomach, and with honey water at night.
For treating spleen-lung wind-toxin attacking and causing scabies/tinea: Formula:
Cimicifugae Rhizoma (Shengma, 升麻); Pruni Persicae Cortex (Taobaipi, 桃白皮); Sophorae Radix (Kushen, 苦参 - 0.5 liang each).
Procedure: Finely slice. Boil in 2 dou of water until reduced to 1 dou. Filter dregs, wait until warm, and wash.
For treating tinea and scabies: Formula:
Alum Ash (Baijianhui, 白矾灰); Sulphur (Shiuhuang, 石硫黄).
Procedure: Equal parts, grind to powder, mix with raw sesame oil and apply.
For treating all malignant scabies: Formula:
Phellodendri Cortex (Huangbai, 黄柏 - powder); Calcined Lime (Duanshi, 锻石 - ground).
Procedure: Equal parts, grind extremely fine. Mix with raw hemp seed oil into a thin batter. Wash sores cleanly, apply 4-5 times until cured.
For treating severe sores and scabies: Wudou Decoction:
Aconiti Radix (Wutou, 乌头 - 1 liang, each piece split into four); Soybean (Dadou, 大豆 - 1.5 liang).
Procedure: Put together in a clay pot, boil until very soft. Take one piece of Aconite and a few soybeans with wine on an empty stomach.