薛立斋治一男子，遍身瘙痒，后成疮出水，洒淅恶寒，皮肤皴起，眉毛渐落，大便秘结，小便赤
少。此属肺火为患，用补气泻荣汤四剂，诸症渐退。但倦怠恶寒，小便清少，此邪气去而真气虚也，
用补中益气汤兼换肌散，半载，元气复而诸症退。时中秋，忽大便不实，小便频数，体倦食少，洒淅
体重，此湿邪乘虚而作，用东垣益胃汤，二剂顿安。仍用前药，调理三月余全愈。
一男子两目俱赤，遍身痒痛，搔起白皮。此肝肺阴虚，误服驱风燥剂，鼻赤面紫，身发疙瘩，搔
出血水。
用升麻汤下泻青丸数服，又用加味逍遥散数剂，身鼻渐白，疙瘩渐消。又用四物汤加参、 、柴胡、
山栀，并换肌散，各百余服，喜其年少谨疾，全愈。
一妇人日晡身痒，外内用追毒祛风之剂，脓水淋漓，午前畏寒，午后发热，殊类疠风。用补中益
气汤加山栀、钩藤，又以加味逍遥散加川芎而愈。
一妇人手心赤，瘙痒发热，头晕作渴，晡甚。服祛风清热之药，肤见赤痕，月经过期。用加味逍
遥散倍熟地，热止痒退。更以四物汤加柴胡、参、 、炙草、茯苓，头清渴止。再用四物汤加参、术、
茯苓、山栀，赤晕亦消。
一男子患瘙痒，破而成疮，如大麻风。服遇仙丹，发热作渴，大便秘结，脉沉实，右关为甚，此
热蓄于内也。先用黄连内疏汤，而大便通利。又用防风通圣散去硝、黄而热渴止。却用八珍汤而疮愈。
一男子脾肾气虚血热，遍身瘙痒，时喜热水浴之，后患疮 ，破而出水，用风药益甚，或赤或白，
眼作花痒。先用胡麻散、六味丸而痊。次年两股、小腹、颈、项复作痒，用四生散、六味丸而愈。
一妇人经水先期，劳役或气恼，则寒热瘙痒。服祛风降火等药，不劳怒而自痒发热，更加痰喘气
促。服化痰清气之药，形气倦怠，食少胸痞，身发疮疹。服消毒之类，脓水淋漓。服大麻风药，口干
作渴，欲水而不敢饮，经水又过期，眉间若动。又复月余，眉毛脱落，经水淋漓。此心肝二经风热相
搏，制金不能平木，木克脾土而不能统血，肝火旺而不能藏血也。经云水生木，遂朝用地黄丸以滋肾
水，生肝血，夕用加味逍遥散以清肝火，生肝血，月余诸症渐愈。又佐以四君、芎、归、丹皮，月余
而经水旬日而止。又两月余，经水五十余日而至。乃夕用五味异功散加当归，服两月，经水四十余日
而至。因怒寒热，经水如崩，眉棱角动，脉洪数弦，肝脾二脉为甚，用柴胡栀子散二剂以平肝火，用
五味异功散二剂以补脾气，发热顿退，经水顿止。更以八珍汤倍加参、术及地黄丸，两月余，经水如
期，眉毛渐生。因食停滞，腹胀作痛，另服祛逐剂，泄泻不止，小腹重坠，饮食甚少。先用六君子汤
送四神丸，数剂泻渐止，饮食少进。又用补中益气汤倍用升麻，数剂重坠渐愈。后因
劳心发热，饮食难化，呕吐涎水，其热自脐上起，觉饥热频作，乃用六君子汤加炮姜治之，热时饮稠
米汤，稍安。两月余，又常服加味归脾、补中益气二汤而痊。
一妇人秋间肢体作痒，时发寒热，日晡热甚，口苦喜酸，月水先期，面色常青，热甚则赤。恪服
清热凉血，后发疙瘩，赤痒益甚，乃清热败毒，破而脓水淋漓，谓此肝脾血虚燥。不信，仍治疮毒，
其疮益甚，形气倦怠，饮食减少。先用补中益气汤，间佐以六君、当归，元气稍复。乃以八珍汤，倍
用参、术，少用川芎、白芍，间佐以补中益气汤，诸症渐愈。又以四君子汤，佐以加味逍遥散，两月
余，脓水渐少。又复月余，疮渐结靥。因怒寒热腹胀，饮食少思，患处复甚，用六君子汤加山栀、柴
胡，乃用四君子汤为主，而疮渐愈。又因怒，月经甚多，发热作渴，疮痛出血，用柴胡清肝散，热退
止痛。仍用四君子汤而结靥。又用八珍汤、山栀、丹皮而愈。
一妇人遍身瘙痒，脓水淋漓，发热，身如虫行，月经不调。先用升麻汤送泻一丸，热痒顿退。又
用加味逍遥散，经行如期。用换肌丸而疮愈。后因怒，经行不止，筋骨作痛，用秦艽地黄汤、易老祛
风丸而愈。
一妇人性沉静，怀抱不乐，月经过期，遍身作痒。服祛风清火之剂，搔破成疮，出水不止，其痒
益甚。或用消风散之类，眉棱跳动，眉毛折落。又服遇仙散，患处俱溃，咳嗽发热，饮食日少，月经
先期。作肝脾郁怒而血燥，前药复伤而益甚。先用四君子、芎、归、山栀、丹皮，饮食渐进，服月余
而嗽止。又以加味逍遥散加钩藤，二十余剂而眉不动。乃去钩藤，倍加参、术、当归，月余疮结靥。
又以八珍汤加山栀、丹皮而痊。
一妇人患前症，脓水淋沥，发热作渴，体倦恶寒，经水不利，久而不愈，此肝脾亏损而虚热也。
先用补中益气汤加山栀、川芎，而元气渐复。又用逍遥散而疮渐愈。又虚后患疥，遍身作痒，搔起疙
瘩，破而出脓，或出血水，误服醉仙散。殊类风症，用八珍汤数剂而安。又用十全大补汤，患处渐干
矣。
一妇人日晡身痒，素清苦，因肝郁怒，遍身晡热内热，自汗盗汗，月经不行，口干咽燥。用归脾
汤数剂，诸症稍退。后兼加味逍遥，五十余剂而痊。
一妇人瘙痒发热，日晡益甚，皮肤赤晕，月经过期，此血虚而有热也。以逍遥散，倍加熟地，热
止痒退。
更以四物加柴胡、参、 、炙草、茯苓，调理而愈。
一妇人怀抱久郁，患前症，脓水淋漓。服连翘消毒散，食少胸痞。服清气化痰丸，作呕吐痰。服
清热化痰丸，烦热畏寒，四肢 热，面目赤色，脉大而无力。此脾胃亏损，而虚寒隔阳气于外。遂用
六君子汤加炮姜治之，诸症少愈，饮食顿进。又佐以四物汤，诸症渐愈。又以四君子，每味各一钱，
四物汤每味各五分，诸症全愈。
一妇人每秋间，两手心作痒，搔起白屑。因劳役恼怒，则发寒热，遍身作痒，起疙瘩。或以为风
症，内服花蛇等药，外敷硫黄之类，又服遇仙丹，诸热渴益甚，月水不通。谓脾肝二经血燥生风，先
用加味逍遥散，热渴渐减。又用八珍、柴胡、山栀，患处少可。后因怒气，发热胁痛，患处 肿，用
加味逍遥散，四剂而安。又用四君、芎、归、山栀、丹皮，至半载而痊。
一男子遍身瘙痒，诸药不效，脉浮，按之而涩。以生血药为主，间以益气，百帖而愈。
宋生遍身作痒，搔破成疮出水，脉浮数，此手足阳明经风热所致。以人参败毒散对四物汤加芩、
连服之，外以松香一两，枯矾五钱，轻粉三钱，为末，麻油调敷，月余而愈。又一人患此，但脉沉，
以前药加大黄，治之渐愈。再服人参败毒散而平。
黄锦芳治一僧，身痒异常，服驱风败毒药不愈。诊其脉，左手俱平静，惟脾脉涌突异常。询得饮
食无味，饱胀时嗳。此内气不清，而浊邪外溢于经络也。用茯苓三钱，半夏二钱，木香八分，广皮五
分，川浓朴一钱，日服二剂，遂愈。
Xue Lizhai treated a male patient with generalized pruritus, which later developed into sores oozing fluid. He presented with chills and aversion to cold, rough and wrinkled skin, gradual loss of eyebrows, constipation, and scanty dark urine. This was attributed to Lung Fire (Lung Heat). After four doses of Buxie Xier Tang (Tonify Qi and Drain Ying Decoction), his symptoms gradually subsided. However, he remained fatigued with aversion to cold and scanty clear urine, indicating that the pathogenic factor had departed but the healthy Qi was deficient. He was treated with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) combined with Huanji San (Skin-Transforming Powder). Over half a year, his Yuan Qi (Original Qi) recovered, and all symptoms resolved. In mid-autumn, he suddenly experienced loose stools and frequent urination, accompanied by fatigue, poor appetite, chills, and heavy body sensation. This was due to Dampness (Damp Evil) taking advantage of the deficiency. Dongyuan Yiwei Tang (Strengthen the Stomach Decoction) was prescribed for two doses, resulting in immediate relief. He continued with the previous medications and was fully recovered after more than three months of regulation.
Another male patient presented with red eyes, generalized pruritus and pain, and white scales appearing upon scratching. This was diagnosed as Yin Deficiency of the Liver and Lung. Due to the mistaken use of drying wind-dispelling agents, he developed a red nose, purplish complexion, and papules on the body that bled when scratched. He was given Shengma Tang (Cimicifuga Decoction) administered with Xieqing Wan (Drain the Green Pill) several times, followed by Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) for several doses. His facial and nasal redness gradually faded, and the papules diminished. Subsequently, Siwu Tang (Four Substances Decoction) was used with added Ginseng Radix [Note: Original text missing character, likely Baizhu or similar], Chaihu (Bupleuri Radix), and Zhizi (Gardeniae Fructus), along with Huanji San. Each prescription was taken over a hundred times. Fortunately, being young and compliant with medical advice, he made a full recovery.
A female patient experienced generalized pruritus in the late afternoon. Both internal and external treatments using toxic-clearing and wind-dispelling agents resulted in profuse oozing of pus and fluid. She suffered from morning chills and afternoon fever, resembling Leprosy (Li Feng). She was treated with Buzhong Yiqi Tang added with Zhizi (Gardeniae Fructus) and Gouteng (Uncariae Ramulus cum Uncis) and subsequently with Jiawei Xiaoyao San added with Chuanxiong Rhizome, leading to her cure.
Another female patient presented with red palms, pruritus, fever, dizziness, and thirst, worsening in the late afternoon. After taking wind-dispelling and heat-clearing drugs, red marks appeared on her skin, and her menstruation was delayed. Jiawei Xiaoyao San with doubled Shudi (Prepared Rehmanniae Radix) stopped the fever and relieved the itching. Then, Siwu Tang was used with added Chaihu, Renshen (Ginseng Radix), [missing herb], Zhi Gancao (Honey-fried Licorice Root), and Fuling (Poria), which resolved the dizziness and thirst. A further course of Siwu Tang added with Renshen, Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling, and Zhizi eliminated the red halos.
A male patient suffered from pruritus that broke into sores resembling Leprosy. After taking Yuxian Dan (Yuxian Pill), he developed fever, thirst, and constipation. His pulse was deep and solid, especially at the right Guan position, indicating Heat accumulation internally. Huanglian Neishu Tang (Coptis Internal Purging Decoction) was first used to promote bowel movement. Then, Fangfeng Tongsheng San (Saposhnikovia Unblocking the Intestines Powder) without Mangxiao (Natrii Sulfas) and Dahuang (Rhei Radix et Rhizoma) was used to stop the fever and thirst. Finally, Bazhen Tang (Eight Treasures Decoction) healed the sores.
A male patient with Spleen and Kidney Qi Deficiency and Blood Heat experienced generalized pruritus, often preferring hot baths. Later, he developed sores oozing fluid; wind-dispelling medicines aggravated the condition, causing redness or whiteness in lesions and visual disturbances with itching. Huma San (Sesame Seed Powder) and Liuwei Wan (Six-Ingredient Pill with Rehmannia) were used first for recovery. The following year, pruritus recurred on both thighs, lower abdomen, neck, and nape. Six Sheng San (Four Generations Powder) and Liuwei Wan cured him again.
A female patient with early menstruation experienced chills, fever, and pruritus triggered by labor or anger. Wind-dispelling and fire-draining medicines caused spontaneous pruritus and fever even without stress, accompanied by phlegm-wheezing and shortness of breath. Phlegm-resolving and Qi-clearing medicines led to fatigue, poor appetite, chest stuffiness, and skin eruptions. Detoxifying medicines caused profuse oozing. Leprosy medicines caused dry mouth and thirst, fear of drinking water, delayed menstruation, and twitching between the eyebrows. After another month, eyebrows fell out, and menstruation became continuous. This was diagnosed as Wind-Heat clashing in the Heart and Liver meridians, where Metal (Lung) could not control Wood (Liver), Wood overacted on Earth (Spleen) failing to control blood, and Liver Fire was hyperactive failing to store blood. Following the classic principle "Water generates Wood," she took Dihuang Wan (Rehmannia Pill) in the morning to nourish Kidney Water and generate Liver Blood, and Jiawei Xiaoyao San in the evening to clear Liver Fire and generate Liver Blood. After more than a month, symptoms improved. Si Jun Zi Tang (Four Gentlemen Decoction) with Chuanxiong, Danggui (Angelicae Sinensis Radix), and Mudanpi (Moutan Cortex) were added. After another month, menstruation lasted ten days. Two months later, it occurred every fifty days. Then, Wuwei Yigong San (Five-Ingredient Extra-Efficacy Powder) with Danggui was taken in the evening for two months, resulting in cycles of forty days. Anger-induced chills/fever and menorrhagia with eyebrow twitching and a surging, rapid, wiry pulse (prominent in Liver/Spleen positions) were treated with Chaihu Zhizi San (Bupleurum and Gardenia Powder) for two doses to calm Liver Fire, and Wuwei Yigong San for two doses to tonify Spleen Qi. Fever ceased immediately, and bleeding stopped. Bazhen Tang with increased Renshen, Baizhu, and Dihuang Wan were used for two months, restoring regular cycles and eyebrow growth. Food stagnation causing abdominal distension/pain was treated with separate purgatives, leading to intractable diarrhea, heavy lower abdomen, and poor intake. Liujunzi Tang (Six Gentlemen Decoction) delivering Sishen Wan (Four Spirits Pill) stopped diarrhea after several doses. Buzhong Yiqi Tang with increased Shengma (Cimicifugae Rhizoma) resolved the heaviness. Later, mental exertion caused fever, indigestion, vomiting of saliva, and rising heat from the umbilicus with hunger-fevers. Liujunzi Tang with Paojiang (Roasted Ginger) was used; thick rice soup provided relief during febrile episodes. After two months, daily use of Jiawei Guipi Tang (Modified Restore the Spleen Decoction) and Buzhong Yiqi Tang led to recovery.
In autumn, a female patient had limb pruritus, intermittent chills/fever, severe afternoon fever, bitter taste, craving sour foods, early menstruation, greenish complexion turning red with fever. Strict use of heat-clearing and blood-cooling medicines caused papules and worsened red pruritus. Heat-clearing and detoxifying medicines led to oozing sores. It was diagnosed as Liver-Spleen Blood Deficiency with Dryness. Disbelieving this, she continued treating sores, worsening her condition with fatigue and anorexia. Buzhong Yiqi Tang, occasionally supplemented with Liujunzi Tang and Danggui, slightly restored Yuan Qi. Then, Bazhen Tang with increased Renshen, Baizhu, and reduced Chuanxiong, Shaoyao (Paeoniae Radix Alba), occasionally supplemented with Buzhong Yiqi Tang, gradually improved symptoms. Four Gentlemen Decoction supplemented with Jiawei Xiaoyao San reduced oozing over two months. Sores crusted over after another month. Anger-induced chills/fever, abdominal distension, and poor appetite with severe local lesions were treated with Liujunzi Tang added with Zhizi and Chaihu, primarily using Four Gentlemen Decoction, healing the sores. Anger-induced menorrhagia, fever, thirst, and painful bleeding sores were treated with Chaihu Qinggan San (Bupleurum Liver-Clearing Powder), stopping fever and pain. Four Gentlemen Decothesis promoted crusting. Bazhen Tang with Zhizi and Mudanpi completed the cure.
A female patient with generalized pruritus, oozing sores, fever, crawling sensations, and irregular menstruation was first treated with Shengma Tang delivering Xiayi Wan (Drain One Pill), instantly relieving fever and itching. Jiawei Xiaoyao San regulated menstruation. Huanji Wan healed the sores. Anger-induced continuous menstruation and bone/joint pain were cured by Qinjiao Dihuang Tang (Gentian and Rehmannia Decoction) and Yilao Qufeng Wan (Master Yi’s Wind-Dispelling Pill).
A quiet, depressed female patient with delayed menstruation and generalized pruritus took wind-dispelling and fire-clearing medicines, breaking skin into weeping sores with intensified itching. Xiaofeng San (Wind-Expelling Powder) type medicines caused eyebrow twitching and hair loss. Yuxian San caused ulceration of lesions, cough, fever, decreased food intake, and early menstruation. Diagnosed as Liver-Spleen Depression-Anger with Blood Dryness, exacerbated by previous drugs, she was treated with Si Jun Zi Tang, Chuanxiong, Danggui, Zhizi, and Mudanpi. Food intake improved, and cough stopped after a month. Jiawei Xiaoyao San with Gouteng for twenty-plus doses stopped eyebrow twitching. Removing Gouteng and doubling Renshen, Baizhu, and Danggui healed sores after a month. Bazhen Tang with Zhizi and Mudanpi completed the cure.
A female patient with previous symptoms, oozing sores, fever/thirst, fatigue/chills, and difficult menstruation unhealed for a long time was diagnosed with Liver-Spleen Deficiency and Deficient Heat. Buzhong Yiqi Tang with Zhizi and Chuanxiong gradually restored Yuan Qi. Xiaoyao San healed the sores. Post-recovery Scabies caused generalized pruritus, papules, and oozing pus/blood. Mistaken use of Zuixian San mimicked Wind Syndrome. Bazhen Tang stabilized her. Shiquan Dabu Tang dried the lesions.
A female patient with late-afternoon pruritus, history of asceticism, Liver Depression-Anger, afternoon/internal fever, spontaneous/diaphoresis, amenorrhea, dry mouth/throat was treated with Guipi Tang for slight improvement. Jiawei Xiaoyao San for fifty-plus doses cured her.
A female patient with pruritus/fever worsening in late afternoon, red skin halos, and delayed menstruation was diagnosed with Blood Deficiency with Heat. Xiaoyao Tang with doubled Shudi stopped fever and itching. Siwu Tang with Chaihu, Renshen, [missing herb], Zhi Gancao, and Fuling regulated and cured her.
A female patient with long-term depression and previous symptoms (oozing sores) took Lianqiao Xiaodu San (Forsythia Detoxification Powder), causing anorexia/chest stuffiness. Qingqi Huatan Wan (Clear Qi Resolve Phlegm Pill) caused vomiting phlegm. Qingre Huatan Wan (Clear Heat Resolve Phlegm Pill) caused vexation/fever/chills, [cold/hot limbs - text says 'hot' but context implies cold/exterior constraint], red face, and large weak pulse. This was Spleen-Stomach Deficiency with Deficient Cold repelling Yang Qi outward. Liujunzi Tang with Paojiang improved symptoms and appetite. Siwu Tang aided recovery. Four Gentlemen Decoction (1 qian each) and Siwu Tang (0.5 qian each) completely cured her.
A female patient had itchy palms in autumn with white scales. Labor/anger triggered chills/fever, generalized pruritus, and papules. Treated as Wind Syndrome with Huashe (Flower Snake) internally, Sulfur externally, and Yuxian Dan internally, her heat/thirst worsened, and menstruation stopped. Diagnosed as Spleen-Liver Blood Dryness generating Wind, Jiawei Xiaoyao San reduced heat/thirst. Bazhen Tang, Chaihu, and Zhizi alleviated lesions. Anger-induced fever/costal pain and swelling were treated with Jiawei Xiaoyao San for four doses. Si Jun Zi Tang, Chuanxiong, Danggui, Zhizi, and Mudanpi cured her after six months.
A male patient with generalized pruritus unresponsive to other medicines had a floating, choppy pulse. Treatment focused on Blood-generating herbs with occasional Qi-tonifying herbs for one hundred doses, leading to recovery.
Song Sheng had generalized pruritus, broken sores oozing fluid, and a floating-rapid pulse, caused by Wind-Heat in the Hand-Foot Yangming Meridians. Ren Shen Bai Du San (Ginseng Detoxifying Decoction) combined with Siwu Tang added Huangqin (Scutellariae Radix) and Huanglian (Coptidis Rhizoma) was taken. Externally, Songxiang (Rosin), Kufan (Alum), and Qingfen (Calomel) mixed in Sesame Oil was applied for over a month, curing him. Another patient with a deep pulse was treated with the above formula plus Dahuang, improving gradually, then stabilized with Ren Shen Bai Du San.
Huang Jinfang treated a monk with abnormal body itch unresponsive to wind-dispelling/detoxifying drugs. Pulse was calm on the left, but the Spleen pulse surged abnormally. He reported tasteless diet and bloating with belching. This was unclear internal Qi with Turbid Evil overflowing into collaterals. Fuling (3 qian), Banxia (2 qian), Muxiang (0.8 fen), Guangpi (0.5 fen), and Chuan Houpo (1 qian) taken twice daily cured him.