疮痒或脓水浸淫者，消风除湿。痒痛无脓者，祛风润燥。 痛或发寒热者，表散之。瘙
痒或
热。
一妇人患此作痒，脓水不止，脉浮无力，以消风散，四剂稍愈；更以四生丸，月余而平
一男子痒少痛多无脓水，以芩、连、荆、防、山栀、薄荷、芍药、归稍，治之而愈。
一男子 痛发热，脉浮数，以人参败毒散，四剂稍愈；更以当归饮子，数剂而愈。
一男子 痛，寒热便秘，脉数有力，以防风通圣散，一剂稍愈；更以荆防败毒散，加黄
芩、山栀，四剂而愈。
一妇人作痒，午后尤甚，以当归饮子，数剂少愈；更以人参荆芥散，数剂而安。
一男子久不愈，搔起白屑，耳作蝉声，以四生散，数服痒止，更以当归饮子，数剂而瘥。
一男子下体居多 痛，日晡尤甚，腿腕筋紫而胀，就于紫处刺去瘀血；以四物汤加芩、
连，四剂而安。患在上体，若臂腕筋紫胀，亦宜刺去其血，以前汤加柴胡、黄芩，即愈。
一男子搔痒成疮，日晡痛甚，以四物加芩、连、荆、防，数剂而止，更以四物加蒺藜、
何首乌、黄 ，二十剂而愈。
附方
消风散 治风热瘾疹瘙痒，及妇人血风瘙痒，或头皮肿痒，或诸风上攻，头目昏
眩，项背拘急，鼻出清水，嚏喷声重，耳作蝉鸣。
荆芥穗 甘草（炒，各一两） 陈皮（焙，五钱） 人参 白僵蚕（炒） 茯苓 防风 芎
香蝉蜕（各二两） 浓朴（姜制，五钱） 羌活（一两） 各另为末，每服三钱，清茶调下。疮
癣温酒下。
人参败毒散（方见溃疡发热门）
防风通圣散（方见天泡疮门）
当归饮子 治血燥作痒，及风热疮疥瘙痒或作痛。
当归（酒拌） 川芎 白芍药 生地黄（酒拌） 防风 白蒺藜 荆芥（各一钱五分） 何首
乌黄 甘草（各五分） 作一剂，水二钟，煎八分，食远服。
四生散 治 腿生疮，浸淫不愈，类风癣，名肾脏风。疮如上攻，则目昏花，视
物不明，并一切风癣疥癞。
白附子（生用） 黄 独活 蒺藜 各另研为末，等分和匀，每服二钱，用猪腰子一个
，批开入药，湿纸包裹煨热，空心连腰子细嚼，盐汤下，风癣酒下。
四生丸 治血风骨节疼痛，不能举动，或行步不前，或浑身瘙痒，或麻痹。
地龙（去土） 僵蚕（炒，去丝） 白附子（生用） 五灵脂 草乌（去皮尖，各等分） 上为
末，米糊丸，梧子大，每服二三十丸，茶酒任下；或作末酒调服亦可。
荆防败毒散（方见溃疡发热门）
人参荆芥散 治妇人血风发热，或疮毒瘙痒，或肢体疼痛，头目昏涩，烦渴盗汗
，或月水不调，脐腹 痛， 癖积块。
荆芥穗 人参 桂心 酸枣仁（炒） 柴胡 鳖甲（醋炙） 枳壳（麸炒） 生地黄（酒拌）
羚羊
二钟，姜三片，煎八分，入羚角末，食远服。
四物汤（方见瘰 门）
If sores and itching occur, or if pus and water spread extensively, treat with the method of eliminating wind and removing dampness. If there is itching and pain without pus, treat with the method of dispelling wind and moistening dryness. If there is pain accompanied by aversion to cold and fever, treat with the method of releasing the exterior and dispersing pathogens.
A woman suffered from this condition with itching and continuous discharge of pus and fluid; her pulse was floating and deficient. She was treated with Xiaofeng San (Eliminate Wind Powder) for four doses, showing slight improvement; subsequently, using Sisheng Wan (Four Generations Pill), she recovered after more than a month.
A man experienced less itching but more pain, with no pus or fluid; he was treated with Huangqin (Scutellariae Radix), Lianzi (Coptidis Rhizoma), Jingjie (Schizonepetae Herba), Fangfeng (Saposhnikoviae Radix), Shanzhi (Gardeniae Fructus), Bohe (Menthae Haplocalycis Herba), Shaoyao (Paeoniae Radix Alba), and Guisui (Radix Angelicae Sinensis caulis), and was cured.
A man suffered from painful lesions with fever; his pulse was floating and rapid. He was treated with Renshen Baidu San (Ginseng Detoxifying Powder) for four doses, showing slight improvement; subsequently, using Danggui Yinzi (Angelica Decoction), he recovered after several doses.
A man suffered from painful lesions with aversion to cold, fever, and constipation; his pulse was rapid and forceful. He was treated with Fangfeng Tongsheng San (Saposhnikovia Universal Extremity Rescuing Powder) for one dose, showing slight improvement; subsequently, using Jingfang Baidu San (Schizonepeta and Saposhnikovia Detoxifying Powder) added with Huangqin (Scutellariae Radix) and Shanzhi (Gardeniae Fructus), he recovered after four doses.
A woman suffered from itching that was particularly severe in the afternoon; she was treated with Danggui Yinzi (Angelica Decoction) for several doses, showing slight improvement; subsequently, using Renshen Jingjie San (Ginseng and Schizonepeta Powder), she stabilized after several doses.
A man had a chronic condition that did not heal; scratching produced white scales, and he heard cicada-like sounds in his ears. He was treated with Sisheng San (Four Generations Powder); after several doses, the itching stopped. Subsequently, using Danggui Yinzi (Angelica Decoction), he recovered after several doses.
A man had lesions predominantly on the lower body, experiencing pain that was particularly severe during the Dingwu period (3-5 PM). The tendons at his ankle were purple and swollen. Pricking was performed at the purple areas to release blood stasis. He was treated with Siwu Tang (Four Substances Decoction) added with Huangqin (Scutellariae Radix) and Lianzi (Coptidis Rhizoma), stabilizing after four doses. If the lesion were on the upper body, such as purple and swollen tendons at the wrist, pricking to release blood would also be appropriate, followed by treatment with the aforementioned decoction added with Chaihu (Bupleuri Radix) and Huangqin (Scutellariae Radix), leading to recovery.
A man developed sores from scratching; pain was severe during the Dingwu period. He was treated with Siwu Tang (Four Substances Decoction) added with Huangqin (Scutellariae Radix), Lianzi (Coptidis Rhizoma), Jingjie (Schizonepetae Herba), and Fangfeng (Saposhnikoviae Radix); after several doses, the pain ceased. Subsequently, using Siwu Tang (Four Substances Decoction) added with Jili (Tribuli Fructus), Heshouwu (Polygoni Multiflori Radix), and Huangqi (Astragali Radix), he recovered after twenty doses.
Attached Formulas:
Xiaofeng San (Eliminate Wind Powder): Treats wind-heat urticaria and itching, as well as women's blood-wind itching, scalp swelling and itching, or various wind pathogens attacking upward causing dizziness and vertigo, stiffness and tension in the neck and back, clear nasal discharge, heavy sneezing, and tinnitus like cicadas.
Ingredients: Jingjie Sui (Schizonepetae Spica), Gancao (Licorice Root, stir-fried, each 1 liang), Chenpi (Dried Tangerine Peel, baked, 5 qian), Renshen (Ginseng Root), Baijiangcan (Bombyx Batryticatus, stir-fried), Fuling (Poria), Fangfeng (Saposhnikoviae Radix), Xiong (Ligusticum Chuanxiong Rhizome), Chan Tui (Cicada Slough, each 2 liang), Nongpo (Magnolia Bark, ginger-processed, 5 qian), Qianghuo (Notopterygii Rhizoma et Radix, 1 liang). Each herb is separately ground into powder. Take 3 qian per dose, mixed with clear tea. For sores and tinea, take with warm wine.
Renshen Baidu San (Ginseng Detoxifying Powder) (See formula in Ulcer Fever Chapter).
Fangfeng Tongsheng San (Saposhnikovia Universal Extremity Rescuing Powder) (See formula in Blister Sores Chapter).
Danggui Yinzi (Angelica Decoction): Treats itching caused by blood dryness, as well as wind-heat sores and tinea with itching or pain.
Ingredients: Danggui (Angelicae Sinensis Radix, wine-mixed), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baishaoyao (Paeoniae Radix Alba), Shengdihuang (Rehmanniae Radix Recens, wine-mixed), Fangfeng (Saposhnikoviae Radix), Baijili (Tribuli Fructus), Jingjie (Schizonepetae Herba, each 1.5 qian), Heshouwu (Polygoni Multiflori Radix), Huangqi (Astragali Radix), Gancao (Licorice Root, each 0.5 qian). Make one dose, add two zhong of water, decoct to 0.8 zhong, take far from meals.
Sisheng San (Four Generations Powder): Treats leg sores that exude fluid and do not heal, resembling wind tinea, named Kidney Wind. If the sore attacks upward, it causes blurred vision and poor eyesight, as well as all types of wind tinea, scabies, and leprosy.
Ingredients: Baifuzi (Aconiti Kusnezoffii Radix, raw), Huangqi (Astragali Radix), Duhuo (Angelicae Pubescentis Radix), Jili (Tribuli Fructus). Grind each herb separately into powder, mix equally. Take 2 qian per dose. Use one pig kidney, split open, insert the medicine, wrap in wet paper, and bake until hot. Chew thoroughly with the kidney while fasting, swallow with salt water. For wind tinea, take with wine.
Sisheng Wan (Four Generations Pill): Treats bone and joint pain due to blood wind, immobility, difficulty walking, generalized itching, or numbness.
Ingredients: Dilong (Pheretima, earth removed), Jiangcan (Bombyx Batryticatus, stir-fried, silk removed), Baifuzi (Aconiti Kusnezoffii Radix, raw), Wulingzhi (Trogopterori Faeces), Caowu (Aconiti Radix Lateralis Preparata, skin and tip removed, equal parts). Grind into powder, make pills with rice paste, size of wu zi (walnut seed). Take 20-30 pills per dose, with tea or wine as desired; or take as powder mixed with wine.
Jingfang Baidu San (Schizonepeta and Saposhnikovia Detoxifying Powder) (See formula in Ulcer Fever Chapter).
Renshen Jingjie San (Ginseng and Schizonepeta Powder): Treats women's blood-wind fever, sores and toxins with itching, limb pain, dizziness and heaviness of head and eyes, irritability, thirst, night sweats, irregular menstruation, umbilical and abdominal pain, and masses (ji pi).
Ingredients: Jingjie Sui (Schizonepetae Spica), Renshen (Ginseng Root), Guixin (Cinnamomi Cortex), Suanzaoren (Ziziphi Spinosae Semen, stir-fried), Chaihu (Bupleuri Radix), Biejia (Testudinis Carapax et Plastrum, vinegar-fried), Zhike (Aurantii Fructus, bran-fried), Shengdihuang (Rehmanniae Radix Recens, wine-mixed), Lingyangjiao (Saigae Tataricae Cornu). Add two zhong of water and three slices of ginger, decoct to 0.8 zhong, add Lingyangjiao powder, take far from meals.
Siwu Tang (Four Substances Decoction) (See formula in Scrofula Chapter).