论曰风瘙瘾疹。其状有二。皆缘肌中有热。若凉湿之气折之。热结不散。则成白胗。若
因风邪所折。风热相搏。则成赤胗。赤胗得热则剧。得冷则灭。盖热气郁结于内故恶热宜冷。
白胗得阴雨则甚。得晴暄则消。盖热气散释于外。故恶冷宜热。冷热之证虽异。其为瘾疹则
一。盖身体风瘙而痒。瘙之隐隐而起是也。
治风瘙瘾疹。搔之随手起。痒痛烦闷。麻黄汤方
麻黄（去根节三两） 防风（去叉二两） 芎 乌喙（炮裂去皮脐） 独活（去芦头）
芍药 当归（切焙） 蒺藜子（炒） 甘草（炙） 人参（各一两）
上一十味。锉如麻豆。每服五钱匕。水一盏半。入生姜三片。煎至八分。去滓温服。日
再。
治风瘙瘾疹。皮肤痒痛。心神烦闷。防风汤方
防风（去叉） 黄 （锉） 犀角（镑） 升麻 漏芦（去芦头） 秦艽（去土各一两
半） 乌
上九味。粗捣筛。每服五钱匕。水一盏半。煎至一盏。去滓温服。日再。
治风瘙瘾疹。兼皮肤痛痒。苦参丸方
苦参（三两） 防风（去叉） 枳壳（麸炒去瓤） 乌蛇（酒浸去皮骨炙各二两） 漏
芦（去芦头一两半） 大黄（锉炒二两半）
上六味。捣罗为末。炼蜜和丸。如梧桐子大。每服二十丸。食后温浆水下日再。
治风瘙瘾疹。遍身肿起。或赤或白。痒痛虽任。乌蛇丸方
乌蛇（酒浸去皮骨炙焦） 干蝎（炒去土） 白附子（炮） 天麻 防风（去叉） 麻
黄（去根节先煎掠去沫焙各二两） 五灵脂（炒） 白茯苓（去黑皮） 人参 槟榔（生
用各一两） 肉豆蔻（去皮五枚） 牛黄（别研一分） 白僵蚕（炒） 阿胶（炙燥） 天
南星（炮） 桂（去粗皮各一两半
上一十六味。将一十五味。捣罗为末。入牛黄研匀。炼蜜和丸。如赤小豆大。每服十五
丸。食前温酒下。临卧再服。
治风瘙瘾疹。搔之愈甚。秦艽丸方
秦艽（去苗土） 防己 松脂（炼成者各一两半） 枳壳（去瓤麸炒） 蒺藜子（炒去
角各二
各一两）
上一十二味。捣罗为末。炼蜜和丸。如梧桐子大。每用二十丸。温酒下。渐加至三十丸
。早晚食前各一服。
治风瘙瘾疹。头面肿痒。枳实丸方
枳实（去瓤麸炒一两半） 天门冬（去心焙） 独活（去芦头） 蒺藜子（炒） 人参 防
风（
两）
上一十味。捣罗为末。炼蜜和丸。如梧桐子大。每服十五丸。粟米饮或温酒下。日再不
拘时。
治风瘙皮肤瘾疹疼痛。雷丸散方
雷丸 人参 苦参 牛膝（酒浸切焙） 白附子（炮） 防风（去叉） 白花蛇（酒浸
去皮骨
上九味。捣罗为散。每服二钱匕。食前温酒调下。
治风瘙瘾疹。手足麻木。蔓荆实散方
蔓荆实 何首乌（各二两） 羌活（去芦头） 威灵仙（去土） 荆芥穗 防风（去叉
各一两）
上七味。捣罗为散。每服二钱匕。温酒调下。日三不拘时。
治风瘙瘾疹。紫威散方
紫威（去心瓦上焙一两凌霄花是也） 附子（炮裂去皮脐半两）
上二味。捣罗为散。每服一钱匕。蜜酒调下。日二。
治风瘙瘾疹。皮肤肿痒。茵陈蒿散方
茵陈蒿（一两） 荷叶（半两）
上二味。捣罗为散。每服一钱匕。冷蜜水调下。食后服。
治风遍身瘾疹。搔痒麻木。醉仙散方
胡麻 恶实（炒） 枸杞子 蔓荆实（四味同炒烟出） 蒺藜子（炒） 苦参 栝蒌根 防
风（去叉各半两）
上八味。捣罗为细散。入轻粉一分和匀。每服一钱匕。食前茶清调下。日二夜一。
治风瘙皮肤瘾疹痒痛。或有细疮。蒺藜子散方
蒺藜子（炒去角二两） 枳壳（去瓤麸炒） 荆芥穗 羌活（去芦头） 防风（去叉各
一两）
上六味。捣罗为散。每服一钱匕。温酒或腊茶调下。不拘时。
治风瘾疹。经旬不解。石南酒方
石南叶（去粗茎生用三两）
上一味。捣罗为末。每服半钱。至一钱匕。用酒三合。煎一沸。空心温服。
治风瘙瘾疹。三十年不瘥。松叶酒方
松叶（一斤）
上一味。细切。以酒一斗。煮取三升。日夜服尽。处温室中。衣复出汗即瘥。
治风瘾疹搔痒不止。白蜜酒方
白蜜（一合） 酒（二合）
上二味。相和煎暖。食前服。
治风瘙痒瘾疹。时时发动。麻黄汤方
麻黄（去根节煎掠去沫焙） 桂（去粗皮） 黄连（去须） 当归（切焙） 羌活（去
芦头） 白
裂去皮脐各一两半） 桑根白皮 石膏（各二两） 红蓝花（炒半两）
上一十五味。锉如麻豆。每服三钱匕。水一盏。入生姜三片。煎至七分。去滓温服。
治风疹发歇不瘥。或赤或白。瘙痒至甚。蒺藜子汤方
蒺藜子（炒去角二两） 仙灵脾 防风（去叉） 芎 萆 白石脂 枳壳（去瓤
麸炒各
芦头） 天雄（
上一十六味。锉如麻豆大。每服五钱匕。水一盏半。入生姜二片。乌梅肉半枣大。同煎
至八分。去滓温服。
治皮肤中如虫行。口噤语涩。腰脊强直。手足拘挛。及身体瘾疹。抓之作疮。石南汤方
石南 干姜（炮） 黄芩（去黑心） 细辛（去苗土） 人参（各一两） 桂（去粗皮）
麻黄（去根节） 当归（切焙） 芎 食茱萸（各一两半） 生干地黄（三两焙） 甘草
（炙锉二两）
上一十二味。粗捣筛。每服五钱匕。水一盏。酒一盏。同煎至一盏去滓。空心热服日二
治风瘙瘾疹。心中烦闷。天雄丸方
天雄（炮裂去皮脐一两） 防风（去叉一两半） 牛膝（酒浸切焙） 桂（去粗皮） 干
姜（炮）
上九味。捣罗为末。炼蜜和丸。如梧桐子大。每服二十丸。空腹米饮下日二。
治风热。头面身体。瘙痒瘾疹。枳实丸方
枳实（去瓤麸炒一两半） 天门冬（去心焙） 独活（去芦头） 黄连（去须） 防风
（去叉）
上九味捣罗为末。炼蜜和丸。如梧桐子大。每服二十丸。空腹米饮下。日二。
治风瘾疹久不瘥。每发或先心腹痛。痰哕麻痹。筋脉不仁。小朱散方
成块赤土（有砂石者不可用） 当归（切焙）
上二味。等分。捣罗为散。冷酒调下二钱匕。兼用涂药方。
慎火草（大叶者亦名景天花） 生姜（和皮不洗等分研） 盐（量少许）
上三味。涂摩痒处。如遍身瘾疹。涂发甚处自消。
治风瘾疹。蒴 汤淋洗方
蒴 （一两切）
上一味。以水三碗。煎五七沸。冷暖得所。洗患处。
治风瘙瘾疹。皮肤苦痒。搔之血出。蒴 膏方
蒴 根（切） 蒺藜子（白者） 茺蔚草（切各一升） 附子（去皮脐） 独活（去苗）
犀角（
三两） 木香（二
椒（去目并合口者一两）
上一十八味。并生用。粗捣筛。以头醋浸令 。一宿。先用铜石或银器。于炭火上。
煎猪膏五斤。去滓膜。入药煎令小沸。约自辰至申。待白芷色黄。膏成停温去滓。内不津器
中。取摩病处。
治风瘾疹色赤。蛇衔草敷之
蛇衔草（不拘多少）
上一味。取新者。烂捣敷之。
治风瘾疹。芒硝汤洗方
芒硝（研）
上一味。以热汤和。拭病上。
治风瘾疹。痒痛难任。芎 粉摩方
芎 白芷 麻黄根（各二两） 藿香（一两） 米粉（二升）
上五味。捣罗为粉。摩病上。
治风赤白瘾疹。积年不愈。每发遍身肿。久恐入腹伤人。矾石涂方
矾石（生捣末三两） 清酒（三升）
上二味。先煮酒令沸。次入矾石末。同煮如稀糊涂之。
治风赤胗。景天涂方
景天（生用一斤慎火草是也）
上一味。捣研。绞取汁涂胗上。热炙手熨之瘥。
治风白胗。枳实熨方
枳实（生用八两）
上一味。捣碎。以醋浸令 炒热。用熟帛包裹。熨胗上。冷即易。分作两包子。更相
炒熨尤佳。
治丹毒瘾疹。升麻膏方
升麻 白薇 漏芦（去芦头） 连翘 芒硝 黄芩（去黑心） 蛇衔 枳壳（去瓤麸炒
各
上一十味。细锉。以水三升。猪脂三升煎。候水涸去滓干瓷器中盛。遇有疾涂之。
治身体赤瘾疹起。搔之成疮。莽草膏方
莽草（半两） 当归（锉炒） 芎 踯躅花 大戟 细辛（去苗叶） 赤芍药 芫花 附
子
上一十一味。以猪脂煎。候附子色黄。膏成涂之。
治瘾疹马蔺浴汤方
马蔺花 蒴 茺蔚子 矾石（烧令汁枯） 蒺藜子（炒去角） 茵芋 羊桃根 蓄
（各
上八味。细锉。以浆水二斗。煎至一斗。去滓淋洗。
治瘾疹诸疗未瘥。白术浴汤方
白术（三两） 戎盐 矾石（椎碎各半两） 黄连（去须） 黄芩（去黑心） 细辛（去
苗叶）
上八味。细锉。以水二斗。煮取一斗。去滓淋洗。
治风胗鬼箭汤方
鬼箭 白蔹 白术 矾石（熬令汁枯） 甘草（锉炙各一两） 防风（去叉二两）
上六味。粗捣筛。每服五钱匕。水一盏半。粟米粉二钱匕。同煎至七分。去滓食后温服
。兼用粉身。
治风瘙瘾疹。乌头粉方
乌头（炮裂去皮脐） 桔梗（炒） 细辛（去苗叶） 白术（各一两） 铅丹（研一两
半）
上五味。捣研极细和匀。时用少许。粉身体瘙痒处。
Discussion: Wind-induced pruritic urticaria (Feng Sao Yin Zhen). Its clinical manifestations present in two forms. Both arise from heat pathogenic factors accumulating within the muscle layer. If this heat is constrained by cold-dampness, and the heat becomes knotted and fails to dissipate, white wheals (Bai Zhen) form. If the condition is caused by wind-pathogen invasion, where wind and heat contend with each other, red wheals (Chi Zhen) form. Red wheals worsen upon exposure to heat and subside upon exposure to cold. This is because the heat qi is郁结 (stagnant/knotted) internally, thus it dislikes heat and favors cold treatment. White wheals aggravate during cloudy or rainy weather and dissipate during sunny or warm weather. This is because the heat qi scatters to the exterior, thus it dislikes cold and favors heat treatment. Although the presentations of cold and heat syndromes differ, they both belong to the category of urticaria. The term "wind-induced pruritus" refers to the body experiencing itching, where scratching causes subtle elevations to appear.
Treatment for wind-induced pruritic urticaria, characterized by immediate elevation upon scratching, accompanied by itching, pain, vexation, and闷 (distress), use Ma Huang Tang Formula:
Ephedrae Herba (Mahuang, 麻黄) [devoid of roots and joints, 3 liang]
Saposhnikoviae Radix (Fangfeng, 防风) [devoid of forked branches, 2 liang]
Ligusticum Chuanxiong Rhizoma (Chuanxiong, 川芎)
Aconitum Carmichaelii Lateralis Radix Preparata (Wuhui, 乌喙) [prepared until cracked, devoid of skin and umbilicus]
Angelica Pubescens Root (Duhuo, 独活) [devoid of rhizome head]
Paeonia lactiflora Root (Shaoyao, 芍药)
Angelica Sinensis Radix (Danggui, 当归) [sliced and baked]
Tribulus Terrestris Fruit (Jili Zi, 蒺藜子) [stir-fried]
Glycyrrhiza uralensis Root (Gancao, 甘草) [prepared with honey]
Panax ginseng Root (Renshen, 人参) [each 1 liang]
The above ten medicinal materials are coarsely chopped like hemp seeds. Each dose consists of 5 qian bi (approx. 5-7 grams), decocted with 1.5 sheng (approx. 300ml) of water, adding 3 slices of Zingiberis Rhizoma Recens (Shengjiang, 生姜). Decoct until reduced to 0.8 sheng. Strain and take warm. Twice daily.
Treatment for wind-induced pruritic urticaria, characterized by skin itching and pain, mental vexation and distress, use Fang Feng Tang Formula:
Saposhnikoviae Radix (Fangfeng, 防风) [devoid of forked branches]
Astragali Membranaceus Radix (Huangqi, 黄芪) [coarsely chopped]
Rhinocerotis Cornu (Xijiao, 犀角) [shaved into thin slices]
Cimicifugae Rhizoma (Shengma, 升麻)
Euphorbiae Humifusae Herba (Loulu, 漏芦) [devoid of rhizome head]
Gentiana macrophylla Root (Qinjiao, 秦艽) [devoid of soil, each 1.5 liang]
Aconitum carmichaelii lateral root (Wutou, 乌头) [dosage implied as per standard preparation]
The above nine medicinal materials are coarsely crushed and sieved. Each dose consists of 5 qian bi, decocted with 1.5 sheng of water until reduced to 1 sheng. Strain and take warm. Twice daily.
Treatment for wind-induced pruritic urticaria, accompanied by skin pain and itching, use Kushen Wan Formula:
Sophorae Flavescentis Radix (Kushen, 苦参) [3 liang]
Saposhnikoviae Radix (Fangfeng, 防风) [devoid of forked branches]
Aurantii Fructus Immaturus (Zhike, 枳壳) [stir-baked with bran, pulp removed]
Naja atra or Elaphe carinata (Wushe, 乌蛇) [soaked in wine, skin and bones removed, prepared, each 2 liang]
Euphorbiae Humifusae Herba (Loulu, 漏芦) [devoid of rhizome head, 1.5 liang]
Rhei Radix et Rhizoma (Dahuang, 大黄) [chopped and stir-fried, 2.5 liang]
The above six medicinal materials are pounded into fine powder, mixed with refined honey to form pills the size of Sophora japonica seeds (Wutongzi). Each dose is 20 pills, taken after meals with warm water. Twice daily.
Treatment for wind-induced pruritic urticaria, characterized by generalized swelling, color either red or white, unbearable itching and pain, use Wushe Wan Formula:
Naja atra or Elaphe carinata (Wushe, 乌蛇) [soaked in wine, skin and bones removed, baked until charred]
Scorpio (Quanxie, 干蝎) [stir-fried, soil removed]
Typhonii Rhizoma (Baifuzi, 白附子) [prepared]
Gastrodiae Rhizoma (Tianma, 天麻)
Saposhnikoviae Radix (Fangfeng, 防风) [devoid of forked branches]
Ephedrae Herba (Mahuang, 麻黄) [devoid of roots and joints, pre-decocted to remove foam, baked, each 2 liang]
Trogopterori Faeces (Wulingzhi, 五灵脂) [stir-fried]
Poria (Baifuling, 白茯苓) [black skin removed]
Panax ginseng Root (Renshen, 人参)
Arecae Semen (Binglang, 槟榔) [raw, each 1 liang]
Myristica Fragrans Seed (Roudoukou, 肉豆蔻) [skin removed, 5 seeds]
Bovis Calculus (Niuhuang, 牛黄) [individually ground, 1 fen]
Bombyx Batryticatus (Baijiangcan, 白僵蚕) [stir-fried]
Colla Corii Asini (Ejiao, 阿胶) [prepared until dry]
Arisaema Cum Bile (Tiannanxing, 天南星) [prepared]
Cinnamomi Cortex (Guizhi, 桂) [bark removed, each 1.5 liang]
Of the above sixteen medicinal materials, fifteen are pounded into fine powder. Add Bovis Calculus and grind uniformly. Mix with refined honey to form pills the size of Adzuki beans. Each dose is 15 pills, taken before meals with warm wine, and again before sleep.
Treatment for wind-induced pruritic urticaria, symptoms worsening upon scratching, use Qin Jiao Wan Formula:
Gentiana macrophylla Root (Qinjiao, 秦艽) [devoid of seedlings and soil]
Stephaniae Tetrandrae Rhizoma (Fangji, 防己)
Pinus Resin (Songzhi, 松脂) [refined, each 1.5 liang]
Aurantii Fructus Immaturus (Zhike, 枳壳) [pulp removed, stir-baked with bran]
Tribulus Terrestris Fruit (Jili Zi, 蒺藜子) [stir-fried, spines removed, each 2 liang]
Notopterygii Rhizoma et Radix (Qianghuo, 羌活) [devoid of rhizome head, each 1 liang]
The above twelve medicinal materials are pounded into fine powder, mixed with refined honey to form pills the size of Sophora japonica seeds. Each dose is 20 pills, taken with warm wine. Gradually increase to 30 pills. Take once before morning meal and once before evening meal.
Treatment for wind-induced pruritic urticaria, characterized by swelling and itching of the head and face, use Zhishi Wan Formula:
Aurantii Fructus Immaturus (Zhishi, 枳实) [pulp removed, stir-baked with bran, 1.5 liang]
Asparagi Radix (Tianmendong, 天门冬) [heart removed, baked]
Angelica Pubescens Root (Duhuo, 独活) [devoid of rhizome head]
Tribulus Terrestris Fruit (Jili Zi, 蒺藜子) [stir-fried]
Panax ginseng Root (Renshen, 人参)
Saposhnikoviae Radix (Fangfeng, 防风) [dosage omitted in text, implied standard]
The above ten medicinal materials are pounded into fine powder, mixed with refined honey to form pills the size of Sophora japonica seeds. Each dose is 15 pills, taken with millet drink or warm wine. Twice daily, time not restricted.
Treatment for wind-induced skin urticaria pain, use Leiwan San Formula:
Polyporus Umbellatus (Leiwan, 雷丸)
Panax ginseng Root (Renshen, 人参)
Sophorae Flavescentis Radix (Kushen, 苦参)
Achyranthis Bidentatae Radix (Niuxi, 牛膝) [soaked in wine, sliced and baked]
Typhonii Rhizoma (Baifuzi, 白附子) [prepared]
Saposhnikoviae Radix (Fangfeng, 防风) [devoid of forked branches]
Bungarus multicinctus (Baihuashe, 白花蛇) [soaked in wine, skin and bones removed]
The above nine medicinal materials are pounded into powder. Each dose is 2 qian bi, taken before meals with warm wine.
Treatment for wind-induced pruritic urticaria, characterized by numbness of hands and feet, use Manjingzi San Formula:
Vitex Trifolia Fruit (Manjingzi, 蔓荆实)
Polygoni Multiflori Radix (Heshouwu, 何首乌) [each 2 liang]
Notopterygii Rhizoma et Radix (Qianghuo, 羌活) [devoid of rhizome head]
Salviae Miltiorrhizae Radix? No, Salviae Chinensis Radix? Text says Weilingxian (Clematidis Radix et Rhizoma, 威灵仙) [devoid of soil]
Schizonepetae Spica (Jingjisui, 荆芥穗)
Saposhnikoviae Radix (Fangfeng, 防风) [devoid of forked branches, each 1 liang]
The above seven medicinal materials are pounded into powder. Each dose is 2 qian bi, taken with warm wine. Three times daily, time not restricted.
Treatment for wind-induced pruritic urticaria, use Ziwei San Formula:
Campsis grandiflora Stem (Ziwei, 紫威) [core removed, baked on tile, 1 liang; also known as Lingxiaohua]
Aconiti Lateralis Radix Preparata (Fuzi, 附子) [prepared until cracked, devoid of skin and umbilicus, 0.5 liang]
The above two medicinal materials are pounded into powder. Each dose is 1 qian bi, taken with honey-wine mixture. Twice daily.
Treatment for wind-induced pruritic urticaria, characterized by skin swelling and itching, use Yinchenhao San Formula:
Artemisiae Scopariae Herba (Yinchenhao, 茵陈蒿) [1 liang]
Nelumbinis Folium (Heye, 荷叶) [0.5 liang]
The above two medicinal materials are pounded into powder. Each dose is 1 qian bi, taken with cold honey-water. Take after meals.
Treatment for generalized wind urticaria, characterized by itching and numbness, use Zuixian San Formula:
Sesami Fructus (Huma, 胡麻)
Arctii Fructus (Eshi, 恶实) [stir-fried]
Lycii Fructus (Gouqizi, 枸杞子)
Vitex Trifolia Fruit (Manjingzi, 蔓荆实) [These four ingredients are stir-fried together until smoke appears]
Tribulus Terrestris Fruit (Jili Zi, 蒺藜子) [stir-fried]
Sophorae Flavescentis Radix (Kushen, 苦参)
Trichosanthis Radix (Gualougen, 栝蒌根)
Saposhnikoviae Radix (Fangfeng, 防风) [devoid of forked branches, each 0.5 liang]
The above eight medicinal materials are pounded into fine powder. Add Mercurii Oxydum Rubrum (Qingfen, 轻粉) 1 fen and mix uniformly. Each dose is 1 qian bi, taken before meals with clear tea. Twice daily, once at night.
Treatment for wind-induced skin urticaria itching and pain, or with small sores, use Jili Zi San Formula:
Tribulus Terrestris Fruit (Jili Zi, 蒺藜子) [stir-fried, spines removed, 2 liang]
Aurantii Fructus Immaturus (Zhike, 枳壳) [pulp removed, stir-baked with bran]
Schizonepetae Spica (Jingjisui, 荆芥穗)
Notopterygii Rhizoma et Radix (Qianghuo, 羌活) [devoid of rhizome head]
Saposhnikoviae Radix (Fangfeng, 防风) [devoid of forked branches, each 1 liang]
The above six medicinal materials are pounded into powder. Each dose is 1 qian bi, taken with warm wine or aged tea. Time not restricted.
Treatment for wind urticaria persisting for more than ten days, use Shinan Jiu Formula:
Euonymi Folium (Shinantianye, 石南叶) [coarse stems removed, raw, 3 liang]
The above one medicinal material is pounded into fine powder. Each dose is 0.5 to 1 qian bi. Use 3 he of wine, boil once. Take warm on an empty stomach.
Treatment for wind-induced pruritic urticaria persisting for thirty years, use Songye Jiu Formula:
Pinus Needle (Songye, 松叶) [1 jin]
The above one medicinal material is finely cut. Boil in 1 dou of wine until reduced to 3 sheng. Consume throughout day and night. Stay in a warm room, cover with clothes to induce sweating, then the condition will resolve.
Treatment for wind urticaria with incessant itching, use Baimi Jiu Formula:
Apis Mellifera Cera Alba (Baimi, 白蜜) [1 he]
Vinum (Jiu, 酒) [2 he]
The above two ingredients are mixed and warmed. Take before meals.
Treatment for wind-induced itching and urticaria, occurring intermittently, use Ma Huang Tang Formula:
Ephedrae Herba (Mahuang, 麻黄) [devoid of roots and joints, pre-decocted to remove foam, baked]
Cinnamomi Cortex (Guizhi, 桂) [bark removed]
Coptidis Rhizoma (Huanglian, 黄连) [stamens removed]
Angelica Sinensis Radix (Danggui, 当归) [sliced and baked]
Notopterygii Rhizoma et Radix (Qianghuo, 羌活) [devoid of rhizome head]
Typhonii Rhizoma (Baifuzi, 白附子) [prepared until cracked, devoid of skin and umbilicus, each 1.5 liang]
Morus Alba Root Bark (Sangbaipipi, 桑根白皮)
Gypsum Fibrosum (Shigao, 石膏) [each 2 liang]
Carthami Flos (Honglanhua, 红蓝花) [stir-fried, 0.5 liang]
The above fifteen medicinal materials are coarsely chopped like hemp seeds. Each dose is 3 qian bi, decocted with 1 sheng of water, adding 3 slices of Zingiberis Rhizoma Recens (Shengjiang, 生姜). Decoct until reduced to 0.7 sheng. Strain and take warm.
Treatment for wind urticaria that comes and goes without resolution, color red or white, severe itching, use Jili Zi Tang Formula:
Tribulus Terrestris Fruit (Jili Zi, 蒺藜子) [stir-fried, spines removed, 2 liang]
Epimedii Folium (Xianlingpi, 仙灵脾)
Saposhnikoviae Radix (Fangfeng, 防风) [devoid of forked branches]
Ligusticum Chuanxiong Rhizoma (Chuanxiong, 川芎)
Dioscoreae Hypoglaucae Rhizoma (Bixie, 萆薢)
Kaolinite (Baishizhi, 白石脂)
Aurantii Fructus Immaturus (Zhike, 枳壳) [pulp removed, stir-baked with bran, each 1.5 liang]
Notopterygii Rhizoma et Radix (Qianghuo, 羌活) [devoid of rhizome head]
Aconiti Kusnezoffii Radix (Tianxiong, 天雄) [prepared, devoid of skin and umbilicus, 1 liang]
The above sixteen medicinal materials are coarsely chopped like hemp seeds. Each dose is 5 qian bi, decocted with 1.5 sheng of water, adding 2 slices of Zingiberis Rhizoma Recens (Shengjiang, 生姜) and half a date-sized piece of Prunus mume Flesh (Wumei Rou, 乌梅肉). Decoct until reduced to 0.8 sheng. Strain and take warm.
Treatment for sensation of insects crawling in the skin, lockjaw, slurred speech, stiffness of waist and spine, spasms of hands and feet, as well as body urticaria, sores formed by scratching, use Shinan Tang Formula:
Euonymi Folium (Shinan, 石南)
Zingiberis Rhizoma (Ganjiang, 干姜) [prepared]
Scutellariae Radix (Huangqin, 黄芩) [black heart removed]
Asari Radix et Rhizoma (Xixin, 细辛) [seedlings and soil removed]
Panax ginseng Root (Renshen, 人参) [each 1 liang]
Cinnamomi Cortex (Guizhi, 桂) [bark removed]
Ephedrae Herba (Mahuang, 麻黄) [devoid of roots and joints]
Angelica Sinensis Radix (Danggui, 当归) [sliced and baked]
Ligusticum Chuanxiong Rhizoma (Chuanxiong, 川芎)
Zanthoxyli Fructus (Shizhuyu, 食茱萸) [each 1.5 liang]
Rehmanniae Radix Preparata (Shengshengdi, 生干地黄) [3 liang, baked]
Glycyrrhiza uralensis Root (Gancao, 甘草) [prepared, chopped, 2 liang]
The above twelve medicinal materials are coarsely crushed and sieved. Each dose is 5 qian bi, decocted with 1 sheng of water and 1 sheng of wine until reduced to 1 sheng. Strain and take hot on an empty stomach. Twice daily.
Treatment for wind-induced pruritic urticaria, mental vexation, use Tianxiong Wan Formula:
Aconiti Kusnezoffii Radix (Tianxiong, 天雄) [prepared until cracked, devoid of skin and umbilicus, 1 liang]
Saposhnikoviae Radix (Fangfeng, 防风) [devoid of forked branches, 1.5 liang]
Achyranthis Bidentatae Radix (Niuxi, 牛膝) [soaked in wine, sliced and baked]
Cinnamomi Cortex (Guizhi, 桂) [bark removed]
Zingiberis Rhizoma (Ganjiang, 干姜) [prepared]
The above nine medicinal materials are pounded into fine powder, mixed with refined honey to form pills the size of Sophora japonica seeds. Each dose is 20 pills, taken on an empty stomach with rice drink. Twice daily.
Treatment for wind-heat, affecting head, face, and body, causing itching and urticaria, use Zhishi Wan Formula:
Aurantii Fructus Immaturus (Zhishi, 枳实) [pulp removed, stir-baked with bran, 1.5 liang]
Asparagi Radix (Tianmendong, 天门冬) [heart removed, baked]
Angelica Pubescens Root (Duhuo, 独活) [devoid of rhizome head]
Coptidis Rhizoma (Huanglian, 黄连) [stamens removed]
Saposhnikoviae Radix (Fangfeng, 防风) [devoid of forked branches]
The above nine medicinal materials are pounded into fine powder, mixed with refined honey to form pills the size of Sophora japonica seeds. Each dose is 20 pills, taken on an empty stomach with rice drink. Twice daily.
Treatment for chronic wind urticaria not resolving, often preceded by heart/abdominal pain, phlegm, hiccups, numbness, and insensitivity of sinews and vessels, use Xiaozhu San Formula:
Red Earth Clod (Chengkuai Chitu, 成块赤土) [those containing sand/stones must not be used]
Angelica Sinensis Radix (Danggui, 当归) [sliced and baked]
The above two medicinal materials are in equal parts, pounded into powder. Take 2 qian bi with cold wine. Also use external application formula:
Sedum aizoon Herb (Shenhuaocao, 慎火草) [large-leaved variety also called Jingtianhua]
Zingiberis Rhizoma Recens (Shengjiang, 生姜) [with skin, unwashed, equal parts, ground]
Halitum (Yan, 盐) [small amount]
The above three ingredients are applied and rubbed onto the itchy area. For generalized urticaria, apply to the most severe areas, and it will subside spontaneously.
Treatment for wind urticaria, use Shuodi Decoction for washing:
Dioscorea nipponica Rhizome (Shuodi, 蒴藋) [1 liang, chopped]
The above one medicinal material is decocted with 3 bowls of water for 5-7 boils. Adjust temperature appropriately and wash the affected area.
Treatment for wind-induced pruritic urticaria, severe skin itching, bleeding upon scratching, use Shuodi Ointment Formula:
Dioscorea nipponica Root (Shuodigen, 蒴藋根) [chopped]
Tribulus Terrestris Fruit (Jili Zi, 蒺藜子) [white variety]
Leonuri Herba (Chongweicao, 茺蔚草) [chopped, each 1 sheng]
Aconiti Lateralis Radix Preparata (Fuzi, 附子) [skin and umbilicus removed]
Angelica Pubescens Root (Duhuo, 独活) [seedlings removed]
Rhinocerotis Cornu (Xijiao, 犀角) [3 liang]
Aquilariae Lignum Resinatum (Muxiang, 木香) [2 liang]
Zanthoxyli Fructus (Huajiao, 花椒) [without eyes and closed mouths, 1 liang]
The above eighteen medicinal materials are all used raw, coarsely crushed and sieved. Soak in first-grade vinegar overnight. First, melt 5 jin of Porcine Fat (Zhugao, 猪膏) in a copper, stone, or silver vessel over charcoal fire. Remove impurities and membrane. Add the medicinal materials and simmer gently from Chen hour to Shen hour. When Angelicae Dahuricae Radix (Baizhi, 白芷) turns yellow and the ointment is ready, stop heating. Cool, strain, and store in a non-porous container. Apply to the diseased area by massage.
Treatment for wind urticaria with red color, apply She Xian Cao:
Omphalodes nipponica Herb (Shexiancao, 蛇衔草) [any amount]
The above one medicinal material, take fresh ones, pound thoroughly and apply.
Treatment for wind urticaria, use Mangxiao Decoction for washing:
Natrii Sulfas (Mangxiao, 芒硝) [ground]
The above one medicinal material, mix with hot water and wipe onto the affected area.
Treatment for wind urticaria, unbearable itching and pain, use Chuanxiong Powder for rubbing:
Ligusticum Chuanxiong Rhizoma (Chuanxiong, 川芎)
Angelicae Dahuricae Radix (Baizhi, 白芷)
Ephedrae Radix et Rhizoma (Mahuanggen, 麻黄根) [each 2 liang]
Agastaches Herba (Huoxiang, 藿香) [1 liang]
Oryza Sativa Rice Flour (Mifen, 米粉) [2 sheng]
The above five medicinal materials are pounded into powder. Rub onto the affected area.
Treatment for chronic wind red-and-white urticaria not healing for years, recurring with generalized swelling, fear of entering abdomen and harming the body, use Fanshi Application Formula:
Alumen (Fanshi, 矾石) [raw, pounded to powder, 3 liang]
Clear Wine (Qingjiu, 清酒) [3 sheng]
The above two ingredients: first boil the wine, then add the Alumen powder. Cook until thick like稀糊 (thin paste) and apply.
Treatment for wind red wheals, apply Jing Tian:
Sedum aizoon Herb (Jingtian, 景天) [raw, 1 jin; also known as Shenhuaocao]
The above one medicinal material, pound and grind, squeeze out juice and apply to the wheals. Heat hands and apply warmth (ironing/moxibustion-like heat therapy) to resolve.
Treatment for wind white wheals, apply Zhishi Ironing Method:
Aurantii Fructus Immaturus (Zhishi, 枳实) [raw, 8 liang]
The above one medicinal material, crush, soak in vinegar, stir-fry until hot. Wrap in cooked cloth and iron onto the wheals. Replace when cool. Divide into two packets, alternating frying and ironing is better.
Treatment for carbuncle-toxin urticaria, use Shengma Ointment Formula:
Cimicifugae Rhizoma (Shengma, 升麻)
Clerodendri Trichotomi Radix (Baiwei, 白薇)
Euphorbiae Humifusae Herba (Loulu, 漏芦) [devoid of rhizome head]
Forsythiae Fructus (Lianqiao, 连翘)
Natrii Sulfas (Mangxiao, 芒硝)
Scutellariae Radix (Huangqin, 黄芩) [black heart removed]
Omphalodes nipponica Herb (She Xian, 蛇衔)
Aurantii Fructus Immaturus (Zhike, 枳壳) [pulp removed, stir-baked with bran, each 1 liang]
The above ten medicinal materials are finely chopped. Decoct with 3 sheng of water and 3 sheng of porcine fat. Wait until water evaporates, strain, and store in dry porcelain. Apply when needed.
Treatment for body red urticaria arising, forming sores upon scratching, use Mangcao Ointment Formula:
Maosao Herb (Mangcao, 莽草) [0.5 liang]
Angelica Sinensis Radix (Danggui, 当归) [chopped and stir-fried]
Ligusticum Chuanxiong Rhizoma (Chuanxiong, 川芎)
Rhododendri Mollis Flos (Zhizhuhua, 踯躅花)
Euphorbiae Pekinensis Radix (Daji, 大戟)
Asari Radix et Rhizoma (Xixin, 细辛) [seedlings and leaves removed]
Paeoniae Radix Rubra (Chishaoyao, 赤芍药)
Genkwa Flos (Yuanhua, 芫花)
Aconiti Lateralis Radix Preparata (Fuzi, 附子)
The above eleven medicinal materials are decocted in porcine fat. When Aconiti Lateralis Radix Preparata turns yellow and the ointment is ready, apply.
Treatment for urticaria, Malin Bath Decoction:
Iris Laevigata Flower (Malinhua, 马蔺花)
Dioscorea nipponica Rhizome (Shuodi, 蒴藋)
Leonuri Fructus (Chongweizi, 茺蔚子)
Alumen (Fanshi, 矾石) [burned until juice dries]
Tribulus Terrestris Fruit (Jili Zi, 蒺藜子) [stir-fried, spines removed]
Skimmiae Japonicae Fructus (Yinyu, 茵芋)
Pruni Persicae Radix? No, Yangtaogen (羊桃根, likely Actinidia or similar root) [each 1 liang]
Polygoni Avicularis Herba (Lubucao, 蓄) [dosage implied]
The above eight medicinal materials are finely chopped. Decoct with 2 dou of fermented grain water (Jiangshui, 浆水) until reduced to 1 dou. Strain and wash.
Treatment for urticaria unresponsive to various therapies, use Baizhu Bath Decoction:
Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) [3 liang]
Rokko Salt (Rongyan, 戎盐)
Alumen (Fanshi, 矾石) [crushed, each 0.5 liang]
Coptidis Rhizoma (Huanglian, 黄连) [stamens removed]
Scutellariae Radix (Huangqin, 黄芩) [black heart removed]
Asari Radix et Rhizoma (Xixin, 细辛) [seedlings and leaves removed]
The above eight medicinal materials are finely chopped. Decoct with 2 dou of water until reduced to 1 dou. Strain and wash.
Treatment for wind wheals, Guijian Decoction:
Euonymi Ramus cum Quaturis (Guijianyu, 鬼箭羽)
Ampelopsis Japonica Radix (Bailian, 白蔹)
Atractylodis Macrocephalae Rhizoma (Baizhu, 白术)
Alumen (Fanshi, 矾石) [cooked until juice dries]
Glycyrrhiza uralensis Root (Gancao, 甘草) [chopped and prepared, each 1 liang]
Saposhnikoviae Radix (Fangfeng, 防风) [devoid of forked branches, 2 liang]
The above six medicinal materials are coarsely crushed and sieved. Each dose is 5 qian bi, decocted with 1.5 sheng of water and 2 qian bi of millet flour. Decoct until reduced to 0.7 sheng. Strain and take warm after meals. Also use body powder.
Treatment for wind-induced pruritic urticaria, use Wutou Powder:
Aconiti Radix Preparata (Wutou, 乌头) [prepared until cracked, devoid of skin and umbilicus]
Platycodonis Radix (Jiegeng, 桔梗) [stir-fried]
Asari Radix et Rhizoma (Xixin, 细辛) [seedlings and leaves removed]
Atractylodis Macrocephalae Rhizoma (Baizhu, 白术) [each 1 liang]
Minii Cerussa (Qiandan, 铅丹) [ground, 1.5 liang]
The above five medicinal materials are pounded and ground extremely fine and mixed uniformly. Take small amounts occasionally and dust onto itchy areas of the body.