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Tuo Chuang (Scalp Ringworm) is caused by wind-heat transforming into insect-toxins, characterized by unbearable itching without pain. White crusts the size of a coin appear within the hair on the scalp. Treatment should involve internal administration of Fangfeng Tongsheng San (Saposhnikovia Universal Relief Powder) and external application of an ointment for effective results.

[Note] This condition presents with white crusts growing on the head, small ones like bean grains and large ones like coins. It is commonly known as "Qian Xuan" (Coin Tinea), also called "Fei Chuang" (Greasy Scabies). It mostly occurs on the heads of children, causing severe itching but no pain. If left untreated for a long time, it spreads into patches, causing hair to become brittle and fall out, resulting in Tuo Chuang (Baldness), also known as "Lai Tou Chuang" (Leper Head Scabies). This disease arises from accumulated heat in the Stomach Meridian generating wind. It is suitable to use the ingredients of Fangfeng Tongsheng San (Saposhnikovia Universal Relief Powder), soaked in pure wine, baked until dry, and ground into fine powder. Take one or two qian per dose, adjusted according to the patient's strength. Mix with plain boiled water and take after meals; effectiveness is indicated by profuse sweating on the head. For initial Fei Chuang (Greasy Scabies), applying Fei You Gao (Grease Ointment) is recommended, showing good efficacy with prolonged use. For established Tuo Chuang (Baldness), first wash the crusts clean with a decoction of Ai Ye (Artemisia argyi Leaf) and Ge Fen (Dove Droppings); then wash with pork broth, followed by rubbing Zhi Zhu Hua You (Rhododendron Oil) to kill insects and disperse wind. When insects die, itching stops; when wind disperses, hair grows; when blood circulation flows, skin becomes moist. Long-term application yields excellent results.

Fangfeng Tongsheng San (Saposhnikovia Universal Relief Powder)
Ingredients: Fangfeng (Radix Saposhnikoviae), Danggui (Radix Angelicae Sinensis), Baishao (Radix Paeoniae Alba, stir-fried with wine), Mangxiao (Natrii Sulfas), Dahuang (Radix et Rhizoma Rhei), Lianqiao (Fructus Forsythiae), Jiegeng (Radix Platycodonis), Chuanxiong (Rhizoma Chuanxiong), Shigao (Gypsum Fibrosum), Huangqin (Radix Scutellariae), Bohe (Herba Menthae), Mahuang (Herba Ephedrae), Huashi (Talcum) (each 1 liang); Jingjie (Herba Schizonepetae), Baizhu (Rhizoma Atractylodis Macrocephalae, stir-fried with soil), Shanzhizi (Fructus Gardeniae, each 2.5 qian); Gancao (Radix Glycyrrhizae, raw, 2 liang).
Preparation: Grind all ingredients into a fine powder.

[Fangge - Formula Song] Fangfeng Tongsheng treats Tuo Chuang, Stomach meridian accumulated heat causes wind injury. Lianqiao, Zhizi, Mahuang, Jiegeng, Baizhu, Danggui, Chuanxiong, Huashi, Fangfeng, Huangqin, Gancao, Shigao, Baishao, Bohe, Jingjie, plus Xiaoshi and Dahuang. Grind into powder, mix with wine, sun-dry, grind again, mix with white soup, induce sweating effectively.

Fei You Gao (Grease Ointment)
Ingredients: Fanmubie (Strychnos nux-vomica Seed, 6 qian); Danggui (Radix Angelicae Sinensis), Lilu (Radix Veratri Nigril) (each 5 qian); Huangbai (Cortex Phellodendri), Kushen (Radix Sophorae Flavescentis), Xingren (Semen Armeniacae Amarum), Yelangdu (Radix Stellerae Chamaejasme), Baifuzi (Rhizoma Typhonii Flagelliforme) (each 3 qian); Liyu Dan (Cyprinus carpio Gallbladder) (2 pieces).
Preparation: Use 10 liang of Sesame Oil. Place the aforementioned herbs in the oil, boil until black-yellow, remove dregs, add 1.2 liang of Beeswax until fully melted, filter through cloth, and store in jars. Apply a small amount by wrapping blue cloth around fingers, dipping in oil, and rubbing the lesion.

[Fangge - Formula Song] Fei You Gao can treat Fei Chuang, disperses wind, kills insects, strengthens hair growth. Huangbai, Kushen, Baifuzi, Fanbie, Yelangdu, Xingren are good. Lilu, Danggui, Liyu Dan, fried until charred with wax added, truly a miraculous formula.

Zhi Zhu Hua You (Rhododendron Oil) Formula
Ingredients: Zhi Zhu Hua Gen (Rhizoma Rhododendri Mollis, 4 liang).
Preparation: Pound the Zhi Zhu Hua Gen into a paste. Use one bowl of Rapeseed Oil, fry until withered, remove dregs, add a little Beeswax, filter through cloth, and let cool. Dip green cloth in the oil and rub, three times daily. Wear a felt hat afterwards, avoiding exposure to wind.

[Fangge - Formula Song] Zhi Zhu Hua Oil treats Tuo Chuang, killing parasites and stopping itching is good when rubbed. Zhi Zhu Hua Gen ground extremely fine, fried in rapeseed oil until withered with wax added, strong effect.