（类症者与疠形状相似而所因不同也）
一两 如癣，搔痒久则脓水淋漓，或搔起白皮者，名肾脏风也，用四生散以祛风邪，用
六味
用羌活白芷散、加味逍遥散。气虚者，佐以补中益气汤加皂角刺、钩藤钩。血虚者，佐以八
物汤加柴胡、牡丹皮或加味逍遥散兼服。
一肢体或腿臂腕间患 ，而游走不定者，赤曰赤游风。白曰白游风，为血虚阴火内动
，外
逍遥散、六味地黄丸。
一遍身或头面起疙瘩，或如霞片，或破而脓水淋漓，或痒痛寒热，乃肝火血虚也，用加
味逍
室也，用小柴胡汤加山栀、生地黄。血虚者，四物合小柴胡汤，病退，却用逍遥散，以健脾
胃生阴血。此症多有因怒气而发者，治当审之。
一妇人肢体瘾疹疙瘩，搔破成疮，脓水淋漓，热渴眩晕，日晡益甚者，用四物汤加柴胡
、山
。若自汗盗汗，月水不调，肚腹作痛，用八珍汤、六味丸。若食少体倦，心忪盗汗，经闭寒
热，用八珍汤，佐以加味逍遥散。若病久元气怯弱，用十全大补汤，佐以归脾汤。
一女子十三四或十六七，而天癸未至，或妇人月经不调，发赤 痒痛，此属肝火血热，
用小柴胡汤加山栀、生地黄、牡丹皮、防风。
一生虫者，乃相火制金不能平木而化耳，非风邪所生也。但滋肾水生肝血，或佐以灸承
浆之类，说见本症。
一敷砒霜，患处作痛，或腐溃，用湿泥频涂换之。若毒入腹，胸膈苦楚，或作吐泻，饮
冷米醋一二杯即止，多亦无妨，生绿豆末、芝麻油俱可。
一敷贴雄黄药，闷乱或吐泻，用防己煎汤解之。
一服辛热药，而眉发脱落者，乃肝经血伤而火动，非风也，用四物汤、六味丸，以滋肝
血、生肾水。
一服川乌、草乌等药，闷乱流涎，或昏愦呕吐，或出血吐血，用大豆、远志、防风、甘
草，任用一味，煎汤解之。大凡服风药过多，皆宜用之，未应，急用甘草、生姜汁解。
一敷贴巴豆之药，患处作痛，肌肉溃烂，以生黄连为末，水调敷之。若毒入肉，吐泻等
症，更以水调服一二钱，大小豆、菖蒲汁俱可。
一敷贴藜芦，毒入内，煎葱汤解之。
一服祛风克伐之药，呕吐少食，胸膈不利，或形气倦怠等症，用六君子汤以补阳气。若
烦躁作渴，饮食不思，或晡热内热，面赤发热，用四物汤加参、术，以生阴血，余从各门治之。
(The so-called "similar syndromes" refer to diseases that present symptoms resembling leprosy but have different etiologies.)
Some conditions resemble tinea (fungal skin infection), causing itching upon scratching. If prolonged, it may weep pus and fluid, or produce white scales after scratching. This condition is named "Kidney Wind" (Shen Zang Feng). Treatment should employ Si Sheng San (Four Generations Powder) to dispel wind pathogens; if accompanied by yin deficiency with internal fire, Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill) may be used; alternatively, Qiang Huo Bai Zhi San (Notopterygium and Angelica Dahurica Powder) or Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) can be selected. For patients with Qi deficiency, Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) supplemented with Gleditsiae Spina (Zao Jiao Ci) and Uncaria Ramulus Cum Uncis (Gou Teng Gou) should be administered as an adjunct. For those with Blood deficiency, Ba Wu Tang (Eight Substance Decoction) added with Bupleuri Radix (Chai Hu) and Moutan Cortex (Mu Dan Pi), or concurrently taken with Jia Wei Xiao Yao San, is indicated.
In some cases, rashes appear on the limbs, particularly the legs, arms, and wrists, migrating不定ly in location. If red, it is called "Red Roaming Wind" (Chi You Feng); if white, "White Roaming Wind" (Bai You Feng). These arise from Blood deficiency leading to internal stirring of Yin-fire. Treatment involves Xiao Yao San (Free and Easy Wanderer Powder) and Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill).
When eruptions or nodules appear all over the body or on the head and face, resembling patches of rosy clouds, or when they rupture and weep pus and fluid, accompanied by itching, pain, aversion to cold, and fever, this indicates Liver Fire combined with Blood deficiency. Treatment uses Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder). If the syndrome involves phlegm-dampness obstructing the chest and diaphragm, Xiao Chai Hu Tang (Minor Blue Green Dragon Decoction) added with Gardeniae Fructus (Shan Zhi) and Rehmanniae Radix Praeparata (Sheng Di Huang) is used. For Blood deficiency, Si Wu Tang (Four Substance Decoction) combined with Xiao Chai Hu Tang is prescribed; once the illness recedes, Xiao Yao San is employed to strengthen the Spleen and Stomach to generate Yin and Blood. This condition often arises from anger, so treatment requires careful examination.
A female patient presented with urticarial wheals and nodules on her limbs, which became ulcers upon scratching, weeping pus and fluid. She suffered from heat, thirst, dizziness, and worsening symptoms in the late afternoon. Treatment utilized Si Wu Tang (Four Substance Decoction) added with Bupleuri Radix (Chai Hu) and Gardeniae Fructus (Shan Zhi). If spontaneous sweating, night sweats, irregular menstruation, and abdominal pain occurred, Ba Zhen Tang (Eight Treasures Decoction) and Liu Wei Wan (Six-Ingredient Pill) were used. If there was poor appetite, fatigue, palpitations, night sweats, amenorrhea, and alternating chills and fever, Ba Zhen Tang (Eight Treasures Decoction) with Jia Wei Xiao Yao San (Modified Free and Easy Wanderer Powder) as an adjunct was indicated. In cases of long-standing disease with weak Yuan Qi (Primary Qi), Shi Quan Da Bu Tang (Ten Great Tonics Decoction) with Gui Pi Tang (Restore the Spleen Decoction) as an adjunct was prescribed.
A girl aged thirteen to fourteen or sixteen to seventeen, whose Tian Gui (Menstrual Essence/Menses) had not yet arrived, or a woman with irregular menstruation presenting with red, itchy, and painful skin lesions, belongs to the category of Liver Fire and Blood Heat. Treatment employs Xiao Chai Hu Tang (Minor Blue Green Dragon Decoction) added with Gardeniae Fructus (Shan Zhi), Rehmanniae Radix Praeparata (Sheng Di Huang), Moutan Cortex (Mu Dan Pi), and Saposhnikoviae Radix (Fang Feng).
The presence of parasites in such lesions is due to Ministerial Fire (Xiang Huo) restraining Lung Metal, failing to control Liver Wood, resulting in transformation into worms; it is not generated by Wind pathogens. The treatment focuses on nourishing Kidney Water to generate Liver Blood, or adjunctively using moxibustion at Chengjiang (CV 24), as detailed in the relevant section.
If arsenic trioxide (Pi Shuang) is applied topically and causes pain or ulceration at the site, wet mud should be frequently applied and changed. If the toxin enters the abdomen, causing distress in the chest and epigastrium, or vomiting and diarrhea, drinking one or two cups of cold rice vinegar will stop the symptoms; excessive intake is also harmless. Consuming raw mung bean powder or sesame oil is also effective.
If application of Realgar (Xiong Huang) causes mental confusion, vomiting, or diarrhea, Stephaniae Tetrandrae Radix (Fang Ji) decocted in water serves as an antidote.
If ingestion of acrid-hot herbs leads to loss of eyebrows and hair, this indicates injury to Liver Blood with stirring of deficient fire, rather than Wind pathogen. Treatment uses Si Wu Tang (Four Substance Decoction) and Liu Wei Wan (Six-Ingredient Pill) to nourish Liver Blood and generate Kidney Water.
If ingestion of Aconiti Lateralis Radix Preparata (Chuan Wu) or Aconiti Kusnezoffii Radix (Cao Wu) causes mental confusion, salivation, coma, vomiting, bleeding, or hematemesis, any single herb among Glycine Max Seed (Da Dou), Polygalae Radix (Yuan Zhi), Saposhnikoviae Radix (Fang Feng), or Glycyrrhizae Radix et Rhizoma (Gan Cao) decocted in water can serve as an antidote. Generally, for excessive use of Wind-dispelling herbs, this method is appropriate. If ineffective, urgently administer Gan Cao (Licorice Root) and fresh ginger juice to detoxify.
If application of Crotonis Fructus (Ba Dou) causes pain and muscle ulceration at the site, Raw Coptidis Rhizoma (Huang Lian) ground into powder and mixed with water for topical application is used. If the toxin penetrates the flesh causing vomiting and diarrhea, the same preparation taken orally (one or two qian) is effective. Adzuki beans, mung beans, and Acori Tatarinowii Rhizoma juice are also suitable.
If Veratri Nigrum Rhizoma (Li Lu) is applied and the toxin enters internally, Scallion Juice decocted in water serves as an antidote.
If wind-dispelling and draining herbs cause vomiting, reduced food intake, chest and diaphragm discomfort, or general fatigue and weakness, Liu Jun Zi Tang (Six Gentlemen Decoction) is used to tonify Yang Qi. If irritability, thirst, anorexia, afternoon fever, internal heat, flushed face, and fever occur, Si Wu Tang (Four Substance Decoction) added with Ginseng Radix (Ren Shen) and Atractylodis Macrocephalae Rhizoma (Bai Zhu) is used to generate Yin and Blood. Other cases should be treated according to their respective categories.