妇人血风疮，因肝脾二经风热郁火血燥所致。其外症身发疙瘩，或如丹毒，痒痛不常，搔破
成疮，脓水淋漓。其内症月经无定，小便不调，夜热内热，自汗盗汗，恶寒憎寒，肢体倦怠
，饮食不甘，寒热往来。若发热作痛，乃肝经风热血燥，用当归饮加柴胡、山栀。若体倦食
少，口干潮热，乃肝脾郁火伤血，用加味逍遥散。若疙瘩痛痒，寒热往来，乃肝经风热伤血
，用小柴胡加山栀、黄连。若夜间发热，作渴谵语，乃热入血室，用小柴胡加生地黄，血虚
四物合小柴胡汤。若无寐盗汗，内热晡热，乃脾经血虚，用归脾汤；兼寒热，加山栀、熟地
。若用风药，复伤阴血，反致他症。
治验
一妇人素清苦，四肢患此，误用败毒寒凉，晡热内热，自汗盗汗，月经不行，口干咽燥，此
郁结伤脾，四肢者脾主之，用归脾汤数剂，后兼逍遥散，五十余剂而愈。
一妇人性躁，寒热口苦，胁痛耳鸣，腹胀溺涩年余矣，症属肝火，用四君加柴胡、炒山栀、
炒龙胆数剂，乃与逍遥散兼服而疮愈，又与六味丸及逍遥散，七十余剂，诸症悉退。若有愈
后身起白屑，搔则肌肤如帛所隔，此气血虚不能营于腠理，用大补之剂。若有愈后发热，身
起疙瘩痒痛，搔破脓水淋漓，经候不调，此肝火血热，用四物加柴胡、山栀、白术、茯苓、
丹皮、甘草。
一妇人日晡身痒，月余口干，又月余成疮，服祛风之剂，脓水淋漓，午前畏寒，午后发热，
殊类风症。余谓此肝经郁火，外邪所搏，用补中益气加山栀、钩藤，又以逍遥散加川芎、贝母而愈。
一妇人搔痒，发热，日晡益甚，肤见赤痕，月经过期，此血虚有热，以逍遥散倍加熟地，热
止痒退，更以四物加参、 、柴胡、炙草、茯苓，调理遂愈。
一女子十二岁，善怒，遍身作痒，用柴胡、川芎、山栀、芍药以清肝火，以生地、当归、黄
芩凉肝血，以白术、茯苓、甘草健脾土而愈。半载后，遍身起赤痕，或时眩晕，此肝火炽甚
，血得热而妄行，是夜果经至。
In women, blood-wind sores are caused by wind-heat stagnating and transforming into fire in the Liver and Spleen meridians, leading to dryness of the blood. Externally, symptoms include nodules appearing on the body, resembling erysipelas in some cases, with intermittent itching and pain; scratching breaks the skin causing sores that weep pus and fluid continuously. Internally, symptoms include irregular menstruation, dysuria, night fever, internal heat sensation, spontaneous sweating during the day, and nocturnal sweating at night, aversion to cold, limb fatigue, poor appetite, and alternating chills and fever. If fever is accompanied by pain, it indicates wind-heat in the Liver meridian causing blood dryness; use Danggui Yin (Angelica Decoction) added with Chaihu (Bupleuri Radix) and Shanzhi (Gardeniae Fructus). If there is limb fatigue, reduced appetite, dry mouth, and tidal fever, it indicates Liver-Spleen stagnant fire damaging the blood; use Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder). If nodules are painful and itchy with alternating chills and fever, it indicates Liver wind-heat damaging the blood; use Xiao Chaihu Tang (Minor Bupleurum Decoction) added with Shanzhi (Gardeniae Fructus) and Huanglian (Coptidis Rhizoma). If there is night fever, thirst, and delirium, it indicates heat entering the Blood Chamber; use Xiao Chaihu Tang (Minor Bupleurum Decoction) added with Shengdihuang (Rehmanniae Radix); for blood deficiency, combine Siwu Tang (Four Substances Decoction) with Xiao Chaihu Tang (Minor Bupleurum Decoction). If there is insomnia and nocturnal sweating with internal heat and afternoon fever, it indicates Spleen blood deficiency; use Guipi Tang (Restore the Spleen Decoction); if accompanied by chills and fever, add Shanzhi (Gardeniae Fructus) and Shudihuang (Prepared Rehmanniae Radix). Using wind-dispelling drugs will further damage Yin and blood, potentially causing other complications.
Case Record 1:
A woman accustomed to a frugal life developed this condition on her limbs. She mistakenly used cooling and detoxifying herbs, resulting in afternoon fever, internal heat, spontaneous and nocturnal sweating, amenorrhea, dry mouth, and dry throat. This indicated stagnation injuring the Spleen (the limbs are governed by the Spleen). She was treated with several doses of Guipi Tang (Restore the Spleen Decoction), followed by concurrent administration of Xiaoyao San (Free and Easy Wanderer Powder). After more than fifty doses, she recovered.
Case Record 2:
A woman with an irritable temperament suffered from alternating chills and fever, bitter taste, hypochondriac pain, tinnitus, abdominal distension, and dysuria for over a year. The syndrome belonged to Liver fire. Initially, she received several doses of Sijunzi Tang (Four Gentlemen Decoction) added with Chaihu (Bupleuri Radix), fried Shanzhi (Gardeniae Fructus), and fried Longdancao (Gentianae Radix). Then, Xiaoyao San (Free and Easy Wanderer Powder) was administered concurrently until the sores healed. Subsequently, Liuwei Wan (Six-Ingredient Pill) and Xiaoyao San (Free and Easy Wanderer Powder) were given for over seventy doses, resolving all symptoms. If white scales appeared after recovery and scratching felt like fabric separating the skin, it indicated Qi and blood deficiency failing to nourish the Couli (interstices); large tonifying agents should be used. If fever recurred after recovery with nodules, itching, pain, weeping sores, and irregular menstruation, it indicated Liver fire and blood heat; Siwu Tang (Four Substances Decoction) was used added with Chaihu (Bupleuri Radix), Shanzhi (Gardeniae Fructus), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Danpi (Moutan Cortex), and Gancao (Glycyrrhizae Radix et Rhizoma).
Case Record 3:
A woman experienced whole-body itching every afternoon for over a month, followed by dry mouth for another month, and then sores formed. After taking wind-dispelling agents, pus flowed continuously. She had chills before noon and fever after noon, resembling wind syndromes. I diagnosed this as Liver stagnant fire combined with external pathogens. She was treated with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Shanzhi (Gardeniae Fructus) and Gouteng (Uncariae Ramulus cum Uncis). She recovered after being treated with Xiaoyao San (Free and Easy Wanderer Powder) added with Chuanxiong (Ligustici Chuanxiong Rhizoma) and Beimu (Fritillariae Thunbergii Bulbus).
Case Record 4:
A woman suffered from itching and fever, worsening in the afternoon, with red marks on the skin and delayed menstruation. This indicated blood deficiency with heat. Xiaoyao San (Free and Easy Wanderer Powder) was used with doubled Shudihuang (Prepared Rehmanniae Radix). Once the heat subsided and itching stopped, she was regulated with Siwu Tang (Four Substances Decoction) added with Renshen (Ginseng Radix), [missing character], Chaihu (Bupleuri Radix), Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma), and Fuling (Poria), leading to recovery.
Case Record 5:
A twelve-year-old girl who was prone to anger suffered from whole-body itching. Chaihu (Bupleuri Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shanzhi (Gardeniae Fructus), and Shaoyao (Paeoniae Radix) were used to clear Liver fire; Shengdihuang (Rehmanniae Radix), Danggui (Angelicae Sinensis Radix), and Huangqin (Scutellariae Radix) were used to cool Liver blood; Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), and Gancao (Glycyrrhizae Radix et Rhizoma) were used to strengthen the Spleen Earth, resulting in recovery. Half a year later, red marks appeared all over her body, accompanied by occasional dizziness. This indicated excessive Liver fire causing blood to move recklessly due to heat; indeed, menstruation arrived that night.