油风毛发干焦脱,皮红光亮痒难堪,毛孔风袭致伤血,养真海艾砭血痊。
\r油风图\p04-34a37.bmp\r
【注】此证毛发干焦,成片脱落,皮红光亮,痒如虫行,俗名鬼剃头。由毛孔开张,邪
风乘虚袭入,以致风盛燥血,不能荣养毛发。宜服神应养真丹,以治其本;外以海艾汤洗
之,以治其标。若耽延年久,宜针砭其光亮之处,出紫血,毛发庶可复生。
神应养真丹
羌活 木瓜 天麻 白芍 当归 菟丝子 熟地(酒蒸,捣膏) 川芎
等分为末,入地黄膏,加蜜丸桐子大。每服百丸,温煮酒或盐汤任下。
【方歌】神应养真治油风,养血消风发复生,羌归木瓜天麻芍,菟丝熟地与川芎。
海艾汤
海艾 本 菊花 蔓荆子 防风 薄荷 荆穗 藿香 甘松(各二钱)
水五六碗,同药煎数滚,连汤共入厂口钵内。先将热气熏面,候汤少温,用布蘸洗,
日洗二三次,洗后避风,忌鱼腥、发物。
【方歌】海艾汤治油风痒,先熏后洗善消风,菊 蔓荆风薄穗,藿香海艾与甘松。
白屑风生头与面,燥痒日久白屑见,肌热风侵成燥化,换肌润肌医此患。
\r白屑风图\p04-34a38.bmp\r
【注】此证初生发内,延及面目,耳项燥痒,日久飞起白屑,脱去又生。由肌热当风,
风邪侵入毛孔,郁久燥血肌肤失养,化成燥证也。宜多服祛风换肌丸。若肌肤燥裂者,用
润肌膏擦之甚效。
祛风换肌丸
大胡麻 苍术(炒) 牛膝(酒洗) 石菖蒲 苦参 何首乌(生) 花粉 威灵仙(各二两) 当
归身 川芎 甘草(生,各一两)
上为细末,陈煮酒跌丸绿豆大。每服二钱,白滚水送下,忌鱼腥、发物、火酒。
【方歌】换肌丸治白屑风,燥痒日增若虫行,风燥血分失润养,叠起白屑落复生。归
芎胡麻苍术膝,菖蒲花粉草威灵,苦参何首乌为末,煮酒跌丸绿豆形。
润肌膏
香油(四两) 奶酥油(二两) 当归(五钱) 紫草(一钱)
将当归、紫草入二油内,浸二日,文火炸焦去渣;加黄蜡五钱溶化尽,用布滤倾碗
内,不时用柳枝搅冷成膏。每用少许,日擦二次。
【方歌】润肌膏擦白屑风,肌肤燥痒用更
灵,酥香二油归紫草,炸焦加蜡滤搅凝。
Youfeng (Alopecia Areata) is characterized by dry, brittle hair that falls out in patches, with red, shiny scalp skin and unbearable itching. This condition results from wind pathogen invading the hair follicles, damaging the nutritive blood; it can be cured by administering Shenyang Yangzhen Dan (Miraculous Efficacy Nourishing True Pill), washing externally with Hai Ai Tang (Sea Wormwood Decoction), and performing bian stone bloodletting therapy.
[Note] In this syndrome, hair becomes dry and brittle, falling out in patches; the scalp is red and shiny, with itching sensations resembling insects crawling, commonly known as "ghost shaving." It occurs when pores open, allowing evil wind to invade due to deficiency, leading to excessive wind and dry blood that fails to nourish the hair. It is appropriate to administer Shenyang Yangzhen Dan to treat the root cause; externally wash with Hai Ai Tang to treat the branch symptoms. If the disease persists for a long time, it is advisable to perform needle-bian therapy on the shiny areas to release dark purple blood, after which hair may potentially regrow.
Shenyang Yangzhen Dan (Miraculous Efficacy Nourishing True Pill)
Qianghuo (Notopterygii Rhizoma et Radix), Mugua (Chaenomelis Fructus), Tianma (Gastrodiae Rhizoma), Baishao (Paeoniae Radix Alba), Danggui (Angelicae Sinensis Radix), Tusizi (Cuscutae Semen), Shudihuang (Rehmanniae Radix Praeparata - steamed with wine and mashed into paste), Chuanxiong (Ligustici Chuanxiong Rhizoma).
Grind the above herbs into powder equally, mix with Rehmannia paste, add honey, and make pills the size of paulownia seeds. Take 100 pills per dose, washed down with warm boiled wine or salt water as preferred.
[Fang Ge / Formula Song] Shenyang Yangzhen treats Youfeng, nourishes blood and dispels wind so hair regenerates; Qianghuo, Danggui, Mugua, Tianma, Baishao, Tusizi, Shudihuang, and Chuanxiong compose the formula.
Hai Ai Tang (Sea Wormwood Decoction)
Hai Ai (Artemisiae Scopariae Herba), Ben (Ligustici Wallichii Rhizoma et Radix), Juhua (Chrysanthemi Flos), Manjingzi (Viticis Semen), Fangfeng (Saposhnikoviae Radix), Bohe (Menthae Haplocalycis Herba), Jing Sui (Schizonepetae Spica), Huoxiang (Pogostemonis Herba), Gansong (Nardostachyos Radix et Rhizoma) (each 2 qian).
Use 5-6 bowls of water, boil together with the herbs several times. Pour the liquid and herbs into a basin. First, steam the face with the hot vapor; when the decoction cools slightly, dip a cloth in it to wash. Wash two to three times daily. Avoid wind after washing; avoid fish, seafood, and triggering foods.
[Fang Ge / Formula Song] Hai Ai Tang treats Youfeng itching, fumigation followed by washing effectively dispels wind; Juhua, Manjingzi, Fangfeng, Bohe, Jing Sui, Huoxiang, Hai Ai, and Gansong are the ingredients.
Baixiefeng (Seborrheic Dermatitis) arises on the head and face; prolonged dryness and itching reveal white scales. Caused by heat in the muscles and skin invaded by wind transforming into dryness, it should be treated with Huanji Runji Wan (Skin-Replacing Moisturizing Pill) and Runji Gao (Moisturizing Ointment).
[Note] This syndrome initially appears within the hair, spreading to the face and eyes, with dryness and itching in the ears and neck. Over time, white scales peel off and regenerate. It is caused by heat in the skin exposed to wind, where wind pathogen invades the pores, stagnates for a long time, dries the blood, and causes the skin to lose nourishment, transforming into a dryness syndrome. It is appropriate to frequently take Qufeng Huanji Wan (Wind-Dispersing Skin-Replacing Pill). For dry and cracked skin, applying Runji Gao is very effective.
Qufeng Huanji Wan (Wind-Dispersing Skin-Replacing Pill)
Da Humax (Sesami Fructus), Cangzhu (Atractylodis Rhizoma - stir-fried), Niuxi (Achyranthis Bidentatae Radix - wine-washed), Shichangpu (Acori Tatarinowii Rhizoma), Kushen (Sophorae Flavescentis Radix), Heshouwu (Polygoni Multiflori Radix - raw), Huafen (Trichosanthis Radix), Weilingxian (Synephoresidis Caulis) (each 2 liang), Dangguishen (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma - raw) (each 1 liang).
Grind the above herbs into fine powder, use aged boiled wine to form pills the size of mung beans. Take 2 qian per dose, washed down with plain boiling water. Avoid fish, seafood, triggering foods, and strong alcohol.
[Fang Ge / Formula Song] Huanji Wan treats Baixiefeng, dryness and itching increase daily like insect crawling, wind-dryness in the blood level loses moistening nourishment, layers of white scales fall and regenerate. Danggui, Chuanxiong, Humax, Cangzhu, Niuxi, Shichangpu, Huafen, Gancao, Weilingxian, Kushen, and Heshouwu are ground into powder, formed into mung-bean-sized pills with boiled wine.
Runji Gao (Moisturizing Ointment)
Xiangyou (Sesame Oil, 4 liang), Na Suyou (Butter Oil, 2 liang), Danggui (Angelicae Sinensis Radix, 5 qian), Zicao (Arnebiae Radix seu Rhizoma, 1 qian).
Soak Danggui and Zicao in the two oils for two days. Fry over gentle heat until scorched, then remove the dregs. Add 5 qian of yellow beeswax and melt completely. Filter through cloth into a bowl, stirring occasionally with a willow branch while cooling to form an ointment. Apply a small amount twice daily.
[Fang Ge / Formula Song] Runji Gao applied to Baixiefeng, more effective for dry and itchy skin; composed of butter oil, sesame oil, Danggui, and Zicao, fried until scorched, wax added, filtered, stirred, and solidified.