〔《大》〕夫妇人体虚，为风邪气客于皮肤，复伤风寒，所以则发风瘙瘾疹。若赤疹
者，由寒湿客于肌中极热，热结则成赤疹也。得大热则发，取冷则瘥也。白疹者，由风气
客于肌中热，热与风相搏则成白疹也。得天阴雨寒则发出，风伤亦发，得晴暖则减，着
衣暖亦瘥。脉浮而洪，浮即为风，洪则为气，风气相搏，则生瘾疹，身体瘙痒。凡人汗出
不可当风露卧，及浴后出早，使人身振寒热，以生风疹也。
药隐老人云∶治妇人遍身时发瘙痒，或赤肿瘾疹，五心烦热，血风攻疰，与人参荆
芥散。（虚劳血风。）消风散、（杂病头痛。）四物汤（通治。）加荆芥或人参，当归散或逍遥散兼服导赤
丸。如不通者，食后服皂角丸。气虚老人不可久服，如服皂角丸不退者，此凝滞热甚者，
宜先服青木香丸三两服，以开气道，服蒺藜散立效。
〔薛〕前证有身发疙瘩，或如丹毒，痒痛不常，或脓水淋漓，发热烦渴，或头目昏
眩，日晡益甚，或寒热发热，月经不调，皆肝经风热血燥，用加味逍遥散（调经为主。）佐以
四君、芎、归。若忿怒身发疙瘩，痛痒寒热，乃肝火血燥，用加味小柴胡汤。（热入血室。）气
血俱虚，用八珍加柴胡、牡丹皮。若夜间发热，作渴谵语，乃热入血室，用小柴胡汤加
生地黄。血虚，四物合小柴胡，后用加味逍遥散调理。若郁结食少体倦，内热晡热，乃
脾经血燥，用加味归脾汤。寒热，加山栀、熟地黄。若游走瘙痒，乃血风走注，用何首乌
散。血虚、逍遥散。风热，消风散。若专用风药，复伤阴血，必致筋挛等证。一妇人
身发疙瘩，或如丹毒，痒痛不常，搔碎成疮，脓水淋漓，发热烦渴，头目眩晕，日晡益甚。
此血虚内热之证也，以当归饮加柴胡、山栀仁治之而愈。一妇人患前证，肢体疼痛，头
目不清，自汗盗汗，月水不调，肚腹作痛，食少倦怠，先用人参荆芥散，后用逍遥散治之
而痊。一妇人因忿怒，身发疙瘩，憎寒发热。余谓肝火，用小柴胡汤加山栀、黄连治
之而愈。后口苦胁痛，小便淋漓，复用前药全愈。一妇人患前症发热，夜间谵语，此
血分有热，以小柴胡汤加生地黄治之而安。后用四物加柴胡、山栀、丹皮而热退，又用逍
遥散全愈。一室女年十四岁，天癸未至，身发赤斑痒痛，左关脉弦数。此因肝火血热，以
小柴胡汤加山栀、生地黄、牡丹皮治之而愈。若因怒而致者，又当治以前药。
何首乌散 治妇人血风，皮肤瘙痒，心神烦闷，及血风游走不定，并宜服之。
何首乌 防风 白蒺藜 枳壳 天麻
僵蚕 胡麻 茺蔚子 蔓荆子（各等分）
上为细末，每服二钱，煎茵陈汤调下，无时。
蒺藜散 治妇人风瘙，皮肤中如虫行，及生瘾疹，搔之作疮，面肿心烦，并宜服之。
白蒺藜（炒） 莽草（炒） 羚羊角屑（各七钱半） 黄芩 人参（去芦） 苦参（去芦）
蛇床子 秦艽（去芦） 防风（去芦） 麻黄（去节） 当归（炒，去芦） 甘草（炙）
枳壳（麸炒，去幅） 细草（去苗，各半两）
上 咀，每服五钱，水一中盏半，煎至一大盏，去滓温服，不拘时，日进二服。
治妇人风痒瘾疹不瘥。
苍耳花、叶、子（各等分）
上为细末，每服二钱，豆淋酒调下，不拘时候，日进二服。
治瘾疹。
上用白蜜不以多少，好酒调下，已试有验。
治皮肤有风热，遍身生瘾疹。
牛蒡子（水煮一两净，晒干，炒令香） 浮萍（蒸过，焙干，等分）
上为细末，每服二钱，薄荷汤调下，日二服。
又治风气客于皮肤，搔之不已。
蝉蜕（洗） 大叶薄荷
上等分为细末，每服二三钱，温酒调下，无时。
又方
露蜂房（洗过，蜜炙令焦） 蛇蜕（洗，炙令焦，各等分）
上为细末，每服一二钱，温酒调下，不拘时。
治妇人风瘙瘾疹，身痒不止，宜用淋渍方。
马蔺 茺蔚子 白矾 白蒺藜 茵芋 羊桃根 凌霄花（各二两） 蒴 根 蓖麻叶（各一两）
上 咀，以水二斗，煮取一斗，去 ，于避风处洗之。
又方
凌霄花（三两） 蒴 根（半斤）
上件药以水七升，煮取三升，滤去滓，入白矾末二两，搅匀，以绵渍频拭于疹上，后
煮槐柳汤浴之。
又方 以醋浆水磨白矾涂之。
[From "Da"] Women have a deficient constitution, allowing wind-pathogenic qi to invade the skin. If additionally injured by wind-cold, wind-sao urticaria (itching hives) will erupt. If red rashes appear, it is because cold-dampness lodges in the muscles causing extreme heat; when heat becomes knotted, red rashes form. They flare up in great heat and improve upon exposure to cold. White rashes occur when wind qi lodges in the heat within the muscles; the heat and wind struggle against each other to form white rashes. They emerge on cloudy, rainy, or cold days, and also upon wind injury; they subside on sunny, warm days and heal with warm clothing. The pulse is floating and surging; floating indicates wind, while surging indicates qi. When wind and qi struggle, urticaria arises, causing body itching. Whenever one sweats, one must not sleep outdoors exposed to wind or dew, nor go out early after bathing, as this causes chills and fever, leading to the generation of wind-rash.
The Hermit Sage states: To treat women with generalized intermittent itching, or red, swollen urticaria, five-palm center heat, and blood-wind attacking and settling, use Renshen Jingjie San (Ginseng and Schizonepeta Decoction). [Indicated for deficiency-consumption blood-wind.] Xiaofeng San (Wind-Dispersing Powder), [Indicated for miscellaneous disease headache], Siwu Tang (Four Substances Decoction) added with Jingjie (Schizonepeta) or Renshen (Ginseng), Danggui San (Angelica Decoction) or Xiaoyao San (Free and Easy Wanderer Powder) taken concurrently with Daochi Wan (Guide Out Red Pill). If there is no improvement, take Raojiao Wan (Soap Pod Pill) after meals. Elderly people with qi deficiency should not take it for long. If Raojiao Wan fails to resolve symptoms, this indicates severe stagnation and heat; one should first take Qingmuxiang Wan (Aucklandia Pill) for three doses to open the qi pathway, then take Jili San (Tribulus Powder) for immediate effect.
[Xue Ji] The aforementioned syndromes involve eruptions of nodules on the body, resembling erysipelas, with variable itching and pain, or weeping pus, fever, restlessness, and thirst, dizziness and vertigo of the head and eyes that worsen in the late afternoon, alternating chills and fever, and irregular menstruation. All are due to wind-heat and blood dryness in the Liver channel. Use Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) [primarily for regulating menstruation] assisted by Sijunzi Tang (Four Gentlemen Decoction), Xiong (Ligusticum), and Gui (Angelica). If nodules erupt following anger, accompanied by pain, itching, chills, and fever, this is Liver fire and blood dryness; use Jiawei Xiao Chaihu Tang (Modified Minor Bupleurum Decoction). [Indicated for heat entering the blood chamber]. For simultaneous deficiency of qi and blood, use Bazhen Tang (Eight Treasures Decoction) added with Chaihu (Bupleurum) and Mudanpi (Moutan Bark). For night fevers, thirst, and delirium, this is heat entering the blood chamber; use Xiao Chaihu Tang (Minor Bupleurum Decoction) added with Shengdihuang (Rehmannia Root). For blood deficiency, combine Siwu Tang (Four Substances Decoction) with Xiao Chaihu Tang, followed by Jiawei Xiaoyao San for regulation. For depression, poor appetite, fatigue, internal heat, and afternoon fever, this is blood dryness in the Spleen channel; use Jiawei Guipi Tang (Modified Restore the Spleen Decoction). Add Zhizi (Gardenia Fruit) and Shudihuang (Prepared Rehmannia Root) for chills and fever. For migratory itching, this is blood-wind wandering; use Heshouwu San (Polygonum Multiflorum Powder). For blood deficiency, use Xiaoyao San. For wind-heat, use Xiaofeng San. If wind-dispersing herbs are used exclusively, yin-blood will be further damaged, inevitably leading to tendon spasms and other syndromes. One woman had eruptions of nodules, resembling erysipelas, with variable itching and pain, scratching until sores formed with weeping pus, fever, restlessness, thirst, dizziness, and worsening in the late afternoon. This was a syndrome of blood deficiency with internal heat, treated with Danggui Yin (Angelica Drink) added with Chaihu and Zhiren (Gardenia Seed) until cured. Another woman suffered from the aforementioned syndrome, with limb pain, unclear head and eyes, spontaneous and night sweating, irregular menstruation, abdominal pain, poor appetite, and fatigue. She was first treated with Renshen Jingjie San, then with Xiaoyao San until recovered. A third woman, due to anger, developed nodules, aversion to cold, and fever. I diagnosed Liver fire and treated her with Xiao Chaihu Tang added with Zhizi and Huanglian (Coptis Rhizome) until cured. Later, she experienced bitter taste and hypochondriac pain, and dribbling urination; repeating the previous prescription led to full recovery. Another woman suffered from fever and nighttime delirium due to the aforementioned syndrome; this indicated heat in the blood aspect, treated with Xiao Chaihu Tang added with Shengdihuang until stabilized. Afterwards, heat subsided with Siwu Tang added with Chaihu, Zhizi, and Danpi (Moutan Bark), and full recovery was achieved with Xiaoyao San. A fourteen-year-old maiden, whose Tian Gui (menstrual fluid) had not yet arrived, developed red spots with itching and pain, and a wiry, rapid pulse at the left Guan position. This was due to Liver fire and blood heat, treated with Xiao Chaihu Tang added with Zhizi, Shengdihuang, and Mudanpi until cured. If caused by anger, the aforementioned prescriptions should be used.
Heshouwu San (Polygonum Multiflorum Powder) treats blood-wind in women, causing skin itching, mental restlessness, and migratory blood-wind; it is suitable for all such cases.
He Shou Wu (Polygoni Multiflori Radix), Fang Feng (Saposhnikoviae Radix), Bai Jili (Tribuli Fructus), Zhi Qiao (Aurantii Fructus Immaturus), Tian Ma (Gastrodiae Rhizoma), Jiang Can (Bombyx Batryticatus), Hu Ma (Sesami Semen), Chong Wei Zi (Leonuri Fructus), Man Jing Zi (Vittariae Spica) [equal parts].
Grind into fine powder. Take two qian per dose, mixed with Yinchen Tang (Artemisia Decoction), at any time.
Jili San (Tribulus Powder) treats wind-sao in women, sensation of insects crawling in the skin, and urticaria; scratching leads to sores, facial swelling, and mental restlessness; it is suitable for all such cases.
Bai Jili (Tribuli Fructus, stir-fried), Mang Cao (Adenophorae Radix, stir-fried), Ling Yang Jiao Xie (Saigae Tataricae Cornu, sliced) [each 7.5 qian], Huang Qin (Scutellariae Radix), Renshen (Ginseng Radix, remove radix tips), Ku Shen (Sophorae Flavescentis Radix, remove radix tips), She Chuang Zi (Cnidii Fructus), Qin Jiao (Gentianae Macrophyllae Radix, remove radix tips), Fang Feng (Saposhnikoviae Radix, remove radix tips), Ma Huang (Ephedrae Herba, remove joints), Dang Gui (Angelicae Sinensis Radix, stir-fried, remove radix tips), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried), Zhi Qiao (Aurantii Fructus Immaturus, bran-fried, remove seeds), Xi Xin (Asari Radix et Rhizoma, remove seedlings) [each half liang].
Cut into pieces. Take five qian per dose, decoct with one and a half zhans of water until one zhan remains, strain, and take warm at any time, twice daily.
For treating wind-itch and urticaria in women that do not heal.
Cang Er Hua, Ye, Zi (Xanthii Fructus, Folium, and Semen) [equal parts].
Grind into fine powder. Take two qian per dose, mixed with Dou Lin Jiu (Bean-leavened Wine), at any time, twice daily.
For treating urticaria.
Take the above ingredients, mix with an appropriate amount of Bai Mi (Honey), and take mixed with good wine. This has been tested and proven effective.
For treating wind-heat in the skin, causing generalized urticaria.
Niu Bang Zi (Arctii Fructus, boiled in water for one liang until clean, dried, stir-fried until fragrant), Fu Ping (Urticae Herba, steamed, dried) [equal parts].
Grind into fine powder. Take two qian per dose, mixed with Bohe Tang (Mint Decoction), twice daily.
Another formula for wind-qi lodging in the skin, causing incessant itching.
Chan Tui (Cicadae Periostracum, washed), Da Ye Bo He (Menthae Haplocalycis Herba).
Grind into fine powder. Take two to three qian per dose, mixed with warm wine, at any time.
Another prescription
Lu Feng Fang (Vespa Nidus, washed, honey-fried until scorched), She Tui (Bovis Colla, washed, roasted until scorched) [equal parts].
Grind into fine powder. Take one to two qian per dose, mixed with warm wine, at any time.
For treating wind-sao urticaria in women with incessant body itching, use the Lin Zi Formula.
Ma Lin (Iris Laevigatae Rhizoma), Chong Wei Zi (Leonuri Fructus), Bai Fan (Alumen), Bai Jili (Tribuli Fructus), Yin Yu (Berberidis Vulgaris Cortex), Yang Tao Gen (Actinidia Polystachiae Radix), Ling Xiao Hua (Campsis Grandiflorae Flos) [each 2 liang], Shuo Di Gen (Dioscoreae Hypoglaucae Caulis), Bi Ma Ye (Ricini Folium) [each 1 liang].
Cut into pieces. Decoct with two dou of water until one dou remains, remove dregs, and wash the affected area in a draft-free place.
Another prescription
Ling Xiao Hua (Campsis Grandiflorae Flos, 3 liang), Shuo Di Gen (Dioscoreae Hypoglaucae Caulis, 0.5 jin).
Decoct these herbs with seven sheng of water until three sheng remain, filter out dregs, add two liang of Bai Fan (Alumen) powder, stir well, soak cotton in the solution, and frequently wipe onto the rash. Afterwards, bathe in Huai Liu Tang (Locust and Willow Decoction).
Another prescription
Use Cu Jiang Shui (Vinegar Fermented Rice Water) to grind Bai Fan (Alumen) and apply topically.