（附丁疮）
此虽皮肤小疾。不足为害。然疮有恶疮。癣有顽癣。疥痨 肤。尤为烦扰。甚至经年累
月。
不能脱洒。凡病此者。不当专用外敷药。须内宣其毒可也。升麻和气饮。消毒饮。四顺清凉
饮。犀角饮。皆可用。
有紫白癜风。酒调消风散饮讫。使去浴。即以消风散入皂角末揩洗。外以乌白膏敷之。
浴子以醋调贝母末。笔蘸刷之。频浴频用为佳。
疮名甚多。以其属外科。不能尽述。
疮如牛皮模样。痒甚不可忍者。又疼。用黄连木香黄柏皮杉木节二个。明矾少许。以上
各等分。研末用好真油调敷又效。
火带疮。绕腰生者。一味剪红萝。或花或叶。细末蜜调。敷立效。或小纸贴在上亦可。
丁疮。近年病此而死者甚多。以其毒瓦斯寇里。不可以常疮药视之。得之仓卒。立至危殆
上干即根出。
痱素问谓之痱痤。香扑粉入朴硝末。如常扑使。更入少许枯白矾末。
自汉以前。方书初无痘疥。至拓拔魏时始有之。肤病初得之。憎寒发热。身体疼痛。伤
寒无异。
或有发如疟者。但鼻冷验为痘疥。最忌以药泻之。致毒瓦斯攻里。难起靥子。陈文仲方甚详。
或痘疥出三日四日后。遍身稠密以成水泡。大便自固。别无所犯。疮忽尽陷。凹作小孔。如
章巨脚。此非病于不发。盖疮出既多。血气尚少。不足以发之。宜以药滋养其血。血气既复
疮不患不起。宜千金内补散。去防风桔梗。
(Attached: Ding Chuang / Carbuncle)
Although this is a minor skin disease that causes little harm, there are malignant sores (E Chuang), stubborn tinea (Wan Xuan), and scabies causing skin atrophy (Jie Lao Fu), which are particularly troublesome, sometimes lasting for years without relief. Those suffering from this should not rely solely on external applications; instead, internal administration to disperse the pathogenic toxin is required. Shengma Heqi Yin, Xiaodu Yin, Sishun Qingliang Yin, and Xijiao Yin can all be used.
For purple and white wind bi (Zi Bai Feng Bian), after taking Xiaofeng San mixed with wine, the patient should bathe. Then, add Sophora tonkinensis pod powder (Zao Jiao Mo) to Xiaofeng San to scrub the affected area, and apply Wubai Gao externally. For bathing, mix Fritillaria thunbergii bulb powder (Beimu Mo) with vinegar and brush it on with a pen; frequent bathing and application are best.
There are many names for sores; since they belong to surgery (Wai Ke), they cannot all be described.
Sores resembling cowhide, with unbearable itching and pain, can be treated with equal parts of Coptis chinensis rhizome (Huanglian), Aucklandia root (Muxiang), Phellodendron bark (Huangbai Pi), and two Cinnamomum camphora twig joints (Shanshu Jie), along with a small amount of alum (Mingfan). Grind into powder, mix with high-quality sesame oil or similar true oil, and apply externally for efficacy.
Huodai Chuang (Fire Belt Sore), growing around the waist, can be treated with a single herb, Jianhongluo (either flower or leaf), ground into fine powder and mixed with honey for immediate effect upon application, or applied via small paper patches.
Ding Chuang (Carbuncle/Furuncle): In recent years, many have died from this disease because its toxic qi invades the interior and should not be treated as ordinary sores. It arises suddenly and leads to critical danger. If the toxic qi rises upward, the root of the sore becomes exposed.
Fei (Heat Rash/Miliaria) is called Fei Zuo in the *Suwen*. Use Xiangpufen mixed with Mirabilite powder (Puxiao Mo) for dusting as usual, adding a small amount of calcined white alum (Kubai Fan Mo).
Before the Han Dynasty, medical texts did not record chickenpox/smallpox (Dou) or scabies (Jie); these appeared starting from the Tuoba Wei period. At the onset of skin diseases, patients experience aversion to cold, fever, and body pain, indistinguishable from Cold Damage (Shanghan).
Some cases resemble malaria. A cold nose confirms the diagnosis of Dou/Jie. It is strictly contraindicated to use purgatives, as this drives the toxic qi inward, making it difficult for the lesions to crust over and heal. Chen Wenzhong's formulas are very detailed.
If three or four days after the eruption of Dou/Jie, the body is densely covered with vesicles, the stool is naturally firm, and no other pathogens interfere, but the sores suddenly collapse and form small pits like seal impressions or large feet, this is not due to failure to erupt. Rather, the excessive eruption has depleted blood and qi, which are insufficient to support further development. It is appropriate to nourish the blood with medicine. Once blood and qi are restored, the sores will rise. Qianjin Neibu San is indicated, removing Saposhnikovia root (Fangfeng) and Platycodon root (Jiegeng).