赤白游风属脾肺气虚，腠理不密，风热相搏；或寒闭腠理，内热拂郁；或阴虚火动，外
邪所
山栀、丹皮。风热相搏，用荆防败毒散。内热、外寒，用加味羌活散。胃气虚弱，用补中益
气汤加羌活、防风及消风散。血虚，用加味逍遥散。阴虚，逍遥散、六味丸。若肝肾虚热，
用六味丸，则火自息，风自定，痒自止。若用祛风辛热之剂，则肝血愈燥，风火愈炽，元气
愈虚。腠理不闭，风客内淫，肾气受伤，相火翕合，血随火化，反为难治矣。
治验
一男子秋间发疙瘩，此元气虚而外邪所侵也。先用九味羌活汤二剂，又用补中益气加羌
活而愈。后不慎起居，盗汗晡热，口干唾痰，体倦懒言，用补中益气汤、加减八味丸而愈。
一妇人身如丹毒，搔破脓水淋漓，热渴头晕，日晡益甚。用加味逍遥散而愈。
一妇人患赤白游风，晡热痒甚，余用清肝养血之剂。不信，乃服大麻风药，臂痛而筋挛
；又服化痰顺气之剂，四肢痿弱而殁。
一妇人患前症，数用风药，煎汤泡洗，以致腹胀而殁。
一女子赤晕如霞，作痒发热，用加味小柴胡汤加生地、连翘、丹皮而愈。
疥疮属脾经湿毒积热，或肝经血热、风热，或肾经阴虚发热。其体倦食少，为脾经湿热
，用
散。搔痒作痛，为风热，用当归饮子。便秘作痛，为热毒，用升麻和气饮。热渴便利，为脾
肺虚热，用竹叶黄 汤。内热晡热，或时寒热，属肝经血虚风热，用加味逍遥散、六味丸。
体倦少食，或盗汗少寝，为脾气郁结，用加味归脾汤、逍遥散、地黄丸。若发热盗汗，或吐
痰口干者，为肾经虚热，用六味丸料煎服。
治验
稽勋李龙冈，遍身患此，腿足为甚。日晡益 ，口干作渴，小便频赤，此肾经虚热，用
补中益气汤、六味丸而痊。
一儒者善嚏患痒，余以为内有湿热，腠理不密，外邪所搏也，与补中益气汤加白芷、川
芎治
一儒者患在臂脚，日晡或痒或胀，形体倦怠，自服败毒散，痛处发肿，小便赤涩，此肺
肾阴虚。余用补中益气加五味、麦门冬而愈。
一儒者患此，误用攻伐之剂，元气虚而不能愈。用补中益气汤加茯苓，其疮顿愈。又因
调养失宜，日晡益甚，用八珍汤，加五味、麦门，五十余剂，而愈。
一男子色黯作痒，出黑血，日晡益甚，其腿日肿夜消。余以为气血虚而有热，朝用补中
益气汤，夕用加味逍遥散而愈。
一男子时疫愈后所患，如用前药，补养而愈。有同患，用砭法出血而死。此因阴虚血热
，色黑作痒也。何乃反伤阴血哉？
一妇人久不愈，食少体倦，此肝脾亏损而虚热，先用补中益气汤，加川芎、炒山栀，元
气渐
，四物合小柴胡汤。热退，却用逍遥散，以补脾胃，生阴血。亦有寒热如疟，亦治以前药。
Chibo Youfeng (Red and White Wandering Wind) belongs to the deficiency of Spleen and Lung Qi, with loose Cou Li (skin texture and pores), leading to the struggle between Wind and Heat; or it is caused by Cold closing the Cou Li, causing internal Heat to be stifled and depressed; or it results from Yin deficiency triggering Fire movement, making one susceptible to external pathogens. If due to Wind-Heat struggling, use Jingfang Baidu San (Atractylodes and Saposhnikovia Powder to Overcome Toxins). If due to internal Heat combined with external Cold, use Jia Wei Qiang Huo San (Modified Notopterygium Decoction). If due to Stomach Qi weakness, use Buzhong Yiqi Tang (Decoction for Reinforcing the Middle and Augmenting Qi) added with Qiang Huo and Fang Feng, along with Xiaofeng San (Wind-Expelling Powder). If due to Blood deficiency, use Jia Wei Xiaoyao San (Modified Free and Easy Wanderer Powder). If due to Yin deficiency, use Xiaoyao San and Liuwei Wan (Six-Ingredient Rehmannia Pill). If it is Liver-Kidney deficient Heat, using Liuwei Wan will cause the Fire to subside naturally, the Wind to settle, and the itching to stop. If wind-expelling acrid-hot agents are used, Liver Blood will become drier, Wind-Fire will blaze more fiercely, and Yuan Qi (Original Qi) will become more deficient. If the Cou Li fails to close, Wind lodges internally and invades deeply, damaging Kidney Qi, causing Xiang Huo (Ministerial Fire) to flare up, Blood transforming with the Fire, making it difficult to treat.
Case Records:
A man developed nodules in autumn; this was due to deficient Yuan Qi invaded by external pathogens. Initially, he took Jiwei Qianghuo Tang (Nine-Ingredient Notopterygium Decoction) for two doses, then recovered after taking Buzhong Yiqi Tang added with Qiang Huo. Later, due to improper daily routine, he experienced night sweats, afternoon fever, dry mouth, expectoration of phlegm, body fatigue, and reluctance to speak. He recovered using Buzhong Yiqi Tang and Jiaban Bawei Wan (Modified Eight-Ingredient Pill).
A woman had a body resembling Dansu (Erysipelas), with oozing pus when scratched, accompanied by heat, thirst, dizziness, and worsening symptoms in the afternoon. She recovered using Jia Wei Xiaoyao San.
A woman suffered from Chibo Youfeng, with severe evening fever and intense itching. I prescribed herbs to clear the Liver and nourish Blood. Disbelieving my diagnosis, she took medicines for Leprosy (Dama Feng Yao), resulting in arm pain and tendon contraction. Subsequently, she took phlegm-resolving and Qi-regulating agents, leading to flaccidity of the four limbs and death.
Another woman with the same condition repeatedly used wind-expelling herbs for decoction baths, resulting in abdominal distension and death.
A young woman presented with red flushes like rosy clouds, itching, and fever. She recovered using Jia Wei Xiao Chaihu Tang (Modified Minor Bupleurum Decoction) added with Sheng Di, Lian Qiao, and Dan Pi.
Jiechuang (Scabies) belongs to Damp-Toxin accumulation and Heat in the Spleen Meridian, or Blood-Heat and Wind-Heat in the Liver Meridian, or Yin-deficiency Fever in the Kidney Meridian. If accompanied by body fatigue and poor appetite, it is Damp-Heat in the Spleen Meridian; use Chushi Weiling San (Dampness-Draining Stomach-Lingzhi Powder). If scratching causes pain, it is Wind-Heat; use Danggui Yinzi (Angelica Decoction). If constipation causes pain, it is Heat-Toxin; use Shengma Heqi Yin (Cimicifuga Harmonizing Qi Drink). If there is heat, thirst, and normal bowel movements, it is deficient Heat in the Spleen and Lung; use Zhuye Shigao Tang (Bamboo Leaf and Gypsum Decoction). If there is internal heat, evening fever, or alternating chills and fever, it is Liver Meridian Blood deficiency with Wind-Heat; use Jia Wei Xiaoyao San and Liuwei Wan. If there is body fatigue, reduced food intake, night sweats, or insomnia, it is Spleen Qi stagnation; use Jia Wei Guipi Tang (Modified Heart-Spleen Replenishing Decoction), Xiaoyao San, and Dihuang Wan (Rehmannia Pill). If there is fever, night sweats, expectoration, or dry mouth, it is Kidney Meridian deficient Heat; use the ingredients of Liuwei Wan as a decoction.
Case Records:
Li Longgang, an official of the Jixun office, suffered from this all over his body, especially on the legs and feet. Symptoms worsened in the afternoon, with dry mouth, thirst, frequent dark urine. This was Kidney Meridian deficient Heat; he recovered using Buzhong Yiqi Tang and Liuwei Wan.
A scholar suffered from sneezing and itching. I considered this due to internal Damp-Heat, loose Cou Li, and external pathogen aggression. I treated him with Buzhong Yiqi Tang added with Baizhi and Chuanxiong.
Another scholar had lesions on his arms and legs, experiencing itching or distension in the afternoon, with physical fatigue. After self-medicating with Baidu San, the painful areas swelled, and urination became red and difficult. This indicated Lung and Kidney Yin deficiency. I treated him with Buzhong Yiqi Tang added with Wuweizi and Maidong, resulting in recovery.
A scholar suffering from this condition mistakenly used purgative agents, causing Yuan Qi deficiency and failure to recover. Using Buzhong Yiqi Tang added with Fuling, his sores healed suddenly. However, due to improper convalescence, symptoms worsened in the afternoon. He was treated with Bazhen Tang (Eight-Treasure Decoction) added with Wuweizi and Maidong for over fifty doses, leading to recovery.
A man presented with dark complexion, itching, and discharge of black blood, with symptoms worsening in the afternoon. His legs swelled during the day and subsided at night. I diagnosed this as Qi and Blood deficiency with Heat. He took Buzhong Yiqi Tang in the morning and Jia Wei Xiaoyao San in the evening, resulting in recovery.
A man contracted this after recovering from an epidemic. Using the aforementioned drugs for nourishment led to recovery. Another patient with the same condition died after undergoing Bianfa (bloodletting with stone needles). This was due to Yin deficiency and Blood-Heat causing dark color and itching. Why did they harm Yin and Blood?
A woman suffered from this for a long time without cure, with poor appetite and body fatigue. This was Liver and Spleen deficiency causing deficient Heat. Initially, I used Buzhong Yiqi Tang added with Chuanxiong and Chao Shanzhi to gradually restore Yuan Qi, followed by Siwu Tang combined with Xiao Chaihu Tang. After the heat subsided, I switched to Xiaoyao San to tonify the Spleen and Stomach and generate Yin Blood. Some patients presenting with chills and fever resembling malaria were also treated with these formulas.