白驳风生面颈间,风邪相搏白点 ,甚延遍身无痛痒,治宜消风涂脂痊。
【注】此证自面及颈项,肉色忽然变白,状类 点,并不痒痛,由风邪相搏于皮肤,
致令气血失和。施治宜早,若因循日久,甚者延及遍身。初服浮萍丸,次服苍耳膏;外
以穿山甲片先刮患处,至燥痛,取鳗鲡鱼脂,日三涂之。一方取树孔中水温洗之,洗后捣
桂心、牡蛎等分为末,面油调涂,日三夜一俱效。
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浮萍丸
紫背浮萍(取大者洗净,晒干)
研细末,炼蜜为丸,如弹子大。每服一丸,豆淋酒送下。
豆淋酒法
黑豆半升,炒烟起,冲入醇酒三斤,浸一日夜,去豆,用酒送药。
【方歌】浮萍丸治白驳应,晒干紫背大浮萍,蜜丸弹状豆酒服,专能发表散邪风。
苍耳膏
苍耳(鲜者,连根带叶取五七十斤,洗净)
切碎,入大锅内煮烂,取汁,绢滤过,再熬成膏,瓷罐盛之。用时以桑木匙挑一匙,
噙口内,用黄酒送下。服后有风处,必出小疮如豆粒大,此风毒出也,刺破出汁尽即愈。
忌猪肉。
【方歌】苍耳风邪侵皮肤,气血失和白驳生,连根带叶鲜苍耳,洗净熬膏酒服灵。
疡风从皮肤生,颈项胸腋无痒疼,紫白点点不开大,皮肤风邪热结成。
【注】此证发于皮肤,多生颈项胸腋,其色紫白,点点相连亦无痒疼,较白驳形圆,
不延蔓开大。由风邪郁热皮肤,居久不散而成斯疾。宜服乌蛇散,外用羊蹄草根,共硫
黄蘸醋于锈铁片上研浓汁,日涂二三次效。
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乌蛇散
乌蛇(酒浸三两) 羌活 防风 黄芩 苦参(各二两) 人参 沙参 丹参 元参 栀子
仁(生) 桂心 秦艽 木通 犀角屑 白蒺藜 升麻 枳壳(麸炒) 白鲜皮 川芎(各一两)
共研细末,每二钱,食远温酒调服。忌鸡、猪、鱼、蒜、面食、热物之类。
【方歌】乌蛇 疡风热淫,羌活防风芎五参,栀桂秦艽通犀角,蒺藜升枳白鲜芩。
Bai Bo Feng (Vitiligo) arises between the face and neck, caused by the interplay of Wind pathogen forming white spots. In severe cases, it spreads over the whole body without pain or itching; treatment should focus on dispelling Wind and applying ointments for recovery.
[Note] This condition starts from the face to the neck, where skin color suddenly turns white, resembling spots, with no itching or pain. It results from Wind pathogen interacting within the skin, leading to disharmony of Qi and Blood. Treatment should be initiated early; if neglected for a long time, it may spread to the entire body in severe cases. Initially, take Fuping Wan (Duckweed Pill), followed by Cang'er Gao (Xanthium Ointment). Externally, scrape the affected area first with pieces of Pangolin Scales (Chuan Shan Jia) until dryness and pain are felt, then apply Eel Fat (Man Li Yu Zhi) three times daily. Another method involves washing the area with warm water from tree holes; after washing, crush Cinnamon Heart (Gui Xin) and Oyster Shell (Mu Li) in equal parts, grind into powder, mix with flour oil for application, three times daily and once at night, both methods are effective.
Fuping Wan (Duckweed Pill)
Zi Bei Fu Ping (Purple-backed Duckweed - Select large ones, wash clean, sun-dry)
Grind into fine powder, form pills with refined honey, size like a marble. Take one pill per dose, delivered with Dou Lin Jiu (Black Bean Dripping Wine).
Dou Lin Jiu Preparation Method
Half sheng of Black Beans (Hei Dou), stir-fried until smoke rises, pour in three jin of pure wine, soak for one day and night, remove beans, use the wine to deliver the medicine.
[Prescription Song] Fuping Wan is suitable for treating Bai Bo Feng, using sun-dried large purple-backed duckweed, formed into honey pills the size of marbles, taken with bean wine, specifically capable of releasing the exterior and dispersing Wind pathogens.
Cang'er Gao (Xanthium Ointment)
Cang Er (Xanthium - Fresh material, including roots and leaves, take 50-70 jin, wash clean)
Cut into pieces, boil in a large pot until soft, extract juice, filter through silk cloth, further simmer into an ointment, store in porcelain jars. When used, scoop one spoonful with a mulberry wood spoon, hold in mouth, and swallow with yellow wine. After taking the medicine, small sores the size of bean grains will inevitably appear at sites of Wind pathogen accumulation; this indicates the expulsion of Wind toxin. Puncture them to drain all fluid, and it will heal. Avoid pork.
[Prescription Song] Xanthium treats Wind pathogen invading the skin, where Qi and Blood disharmony generates Bai Bo Feng; fresh Xanthium with roots and leaves, washed clean and simmered into ointment, taken with wine, proves effective.
Yang Feng (Ulcerative Wind) arises from the skin, with no itching or pain in the neck, chest, and axillae; presenting as connected purple and white spots that do not enlarge, caused by the condensation of Wind pathogen and Heat in the skin.
[Note] This condition manifests on the skin, mostly occurring in the neck, chest, and axillae. The color is purple and white, with connected spots, also without itching or pain. Compared to Bai Bo Feng, the lesions are rounder and do not spread or enlarge. It is formed by Wind pathogen stagnating and transforming into Heat within the skin, lingering for a long time without dissipating. One should take Wu She San (Black Snake Powder). Externally, use Root of Greater Hawkweed (Yang Ti Cao Gen) mixed with Sulfur (Liu Huang), grinding them into a thick juice with vinegar on a rusty iron sheet, applying two to three times daily is effective.
Wu She San (Black Snake Powder)
Wu She (Black Snake - Soaked in wine, 3 liang) Qiang Huo (Notopterygii Rhizoma) Fang Feng (Saposhnikoviae Radix) Huang Qin (Scutellariae Radix) Ku Shen (Sophorae Flavescentis Radix) (each 2 liang) Ren Shen (Ginseng Radix) Sha Shen (Glehniae Radix) Dan Shen (Salviae Miltiorrhizae Radix) Yuan Shen (Scrophulariae Radix) Zhi Zi Ren (Gardeniae Semen - Raw) Gui Xin (Cinnamon Heart) Qin Jiao (Gentianae Macrophyllae Radix) Mu Tong (Akebiae Caulis) Xi Jiao Xie (Rhinocerotis Cornu - Shavings) Bai Ji Li (Tribuli Fructus) Sheng Ma (Cimicifugae Rhizoma) Zhi Ke (Aurantii Fructus - Bran-fried) Bai Xian Pi (Dictamni Cortex) Chuan Xiong (Ligustici Chuanxiong Rhizoma) (each 1 liang)
Grind all together into fine powder. Take 2 qian per dose, mix with warm wine after meals. Avoid chicken, pork, fish, garlic, wheat products, and hot-natured foods.
[Prescription Song] Wu She San treats Yang Feng with Heat invasion, containing Qiang Huo, Fang Feng, Chuan Xiong, and five types of Shen (Ren, Sha, Dan, Yuan, etc.), Zhi Zi, Gui Xin, Qin Jiao, Mu Tong, Xi Jiao, Ji Li, Sheng Ma, Zhi Ke, Bai Xian Pi, and Huang Qin.