洁古云∶ 疹之病, 肿于外者,属少阳相火也,谓之 。小红靥隐于皮肤中
者,属少阴君火也,谓之疹。 疹并出,则小儿难禁,然首尾俱不可下,大抵安里
药多,发表药少,小便秘则微疏之,身温者顺,身凉者逆,大忌外敷寒凉,内用疏
导,无此二者,可保无虞。
葛根橘皮汤 治发 烦闷,呕吐清汁,兼治麻痘等证。
葛根 陈皮 杏仁(去皮尖) 麻黄(去节) 知母(炒) 甘草(炙) 黄芩(各半两)
上,每服二三钱,水煎服。
玄参升麻汤 治 疹已发未发,或身如锦纹,甚则烦躁,语言,喉闭肿痛。
玄参 升麻 甘草
上,每服二三钱,水煎服。
化 汤
人参 石膏 知母 甘草(各二钱)
上,每服二钱,水一盏,入糯米半合,煎六分,米熟为度,去滓,温服。
荆防败毒散 (即人参败毒散加荆芥防风)
人参败毒散 治疮疡邪气在表应发者,若憎寒壮热,项强脊疼,或恶心咳嗽,亦宜
用之。
人参 伏苓 川芎 羌活 独活 前胡 柴胡 枳壳(麸皮,炒) 桔梗 甘草(炒,等分)
上,每服二三钱,水煎。
〔东垣〕人参安胃散 治 疹因服峻厉之剂,脾胃虚热,泄泻呕吐,饮食少思等证。
人参(一钱) 黄 (炒,二钱) 生甘草 炙甘草(各五分) 白芍(酒炒,七分) 白茯苓
(四分) 陈皮(三分) 黄连(炒,二分)
上为末。每服二钱,水煎服。
犀角消毒散 治 疹、丹毒发热痛痒,及疮疹等症。
牛蒡子 甘草 荆芥 防风(各五分) 犀角(镑末,二分) 金银花(三分)
上,水煎熟,入犀角,倾出服。
地龙散 治小儿风热瘾疹,状如伤寒,耳尖及手足冷。
地龙(洗去土,半两,焙干) 穿山甲(半两,以皂角灰炒令黄) 朱砂(二钱,研细)
上,前二味为细末,后入朱砂,一处再研和匀。每服一钱,用紫草煎汤调下,
不拘时,量儿大小加减。
消毒饮(咽喉) 清凉饮子(里热)
治大人小儿瘾疹入腹即杀人方
用芜菁子末,酒调服三钱,小儿加减。又,酒服牛膝末三钱,小儿减之。又,
以盐汤洗了, 蓼子敷。
治风肿及瘾疹。
巴豆五十个,去皮,以水三升,煮取一升,以绵浸汤中,适寒温以拭病上,随
手瘥。
治风疹入腹,身体强肿,舌干燥硬。
蔓菁子三两,为末,每用温酒调一钱。
治风疹痒不止。
酪(五合),盐(一两),二味相和,煎过,摩病处立瘥。
又方 蛇蜕皮一条,水一升 煎半升,鸡翎扫揩上即瘥。
又方 白矾五两为末,以酒三合,小便一升,煎如稀膏,以绵蘸药,于病上轻手揩
之,令热彻入皮肤,须臾消尽。此方神奇,能治百计不瘥者。(出《圣惠》)
Jieguo stated: Regarding the disease of zhen (rash), if swelling manifests externally, it belongs to Shaoyang Xianghuo (Ministerial Fire of Shaoyang) and is called [missing character]. If small red macules are hidden within the skin, it belongs to Shaoyin Junhuo (Imperial Fire of Shaoyin) and is called zhen (rash). If both sha and zhen erupt simultaneously, the child may find it difficult to endure. However, purgative methods should not be used at either the beginning or the end of the illness. Generally, more medications for stabilizing the interior should be used, while fewer medications for releasing the exterior should be employed. If urination is obstructed, mild diuresis should be applied. A warm body indicates a favorable prognosis (shun), while a cold body indicates an unfavorable prognosis (ni). It is strictly forbidden to apply external cooling compresses or internally use draining and guiding agents. Without these two errors, safety can be ensured.
Gegen Jupi Tang (Kudzu Root and Tangerine Peel Decoction): Treats restlessness and vomiting of clear fluid during the eruption of sha; also treats conditions such as measles and smallpox.
Ingredients: Gegen (Puerariae Radix), Chenpi (Citri Reticulatae Pericarpium), Xingren (Armeniacae Semen Amarum, peeled and tip removed), Mahuang (Ephedrae Herba, nodes removed), Zhimu (Anemarrhenae Rhizoma, stir-fried), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), Huangqin (Scutellariae Radix) (each 0.5 liang).
Usage: For each dose of 2-3 qian, decoct in water and take orally.
Xuanshen Shengma Tang (Scrophularia and Cimicifugae Decoction): Treats zhen that has erupted or not yet erupted; or skin resembling brocade patterns; when severe, irritability, delirious speech, throat obstruction, and swelling/pain occur.
Ingredients: Xuanshen (Scrophulariae Radix), Shengma (Cimicifugae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma).
Usage: For each dose of 2-3 qian, decoct in water and take orally.
Hua [missing character] Tang:
Ingredients: Renshen (Ginseng Radix et Rhizoma), Shigao (Gypsum Fibrosum), Zhimu (Anemarrhenae Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma) (each 2 qian).
Usage: For each dose of 2 qian, add 1 cup of water and half he of glutinous rice. Decoct until reduced to 6/10 volume, until the rice is cooked. Strain and take warm.
Jingfang Baidu San (Jingjie and Fangfeng Detoxification Powder): This is Renshen Baidu San added with Jingjie (Schizonepetae Herba) and Fangfeng (Saposhnikoviae Radix).
Renshen Baidu San (Ginseng Detoxification Powder): Treats sores and ulcers where pathogenic factors are in the exterior and should be released. It is suitable for cases involving aversion to cold with high fever, stiffness of the neck and back pain, nausea, or cough.
Ingredients: Renshen (Ginseng Radix et Rhizoma), Fuling (Poria), Chuanxiong (Ligustici Chuanxiong Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Qianhu (Peucedani Radix), Chaihu (Bupleuri Radix), Zhiqiao (Aurantii Fructus, bran-fried), Jiegeng (Platycodonis Radix), Gancao (Glycyrrhizae Radix et Rhizoma, stir-fried) (equal parts).
Usage: For each dose of 2-3 qian, decoct in water.
[Dongyuan] Renshen Anwei San (Ginseng Stomach-Anchoring Powder): Treats conditions caused by taking harsh medicines leading to rash eruptions, characterized by deficiency-heat in the Spleen and Stomach, diarrhea, vomiting, and poor appetite.
Ingredients: Renshen (Ginseng Radix et Rhizoma, 1 qian), Huangqi (Astragali Radix, stir-fried, 2 qian), Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma), Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma) (each 0.5 fen), Baishao (Paeoniae Radix Alba, wine-fried, 0.7 qian), Baifuling (White Poria, 0.4 qian), Chenpi (Citri Reticulatae Pericarpium, 0.3 qian), Huanglian (Coptidis Rhizoma, stir-fried, 0.2 fen).
Usage: Grind into powder. For each dose of 2 qian, decoct in water and take orally.
Xijiao Xiaodu San (Rhino Horn Detoxification Powder): Treats rash, erysipelas with fever, pain, and itching, as well as pustular rashes.
Ingredients: Niubangzi (Arctii Fructus), Gancao (Glycyrrhizae Radix et Rhizoma), Jingjie (Schizonepetae Herba), Fangfeng (Saposhnikoviae Radix) (each 0.5 fen), Xijiao (Rhinocerotis Cornu, shaved into powder, 0.2 fen), Jinyinhua (Lonicerae Japonicae Flos, 0.3 fen).
Usage: Decoct in water until cooked, add Xijiao powder, pour out and take.
Dilong San (Earthworm Powder): Treats children's wind-heat yinzhen (urticaria/rash) presenting like Taiyang disease, with cold ear tips and cold hands and feet.
Ingredients: Dilong (Pheretima, washed to remove soil, 0.5 liang, baked dry), Chuanshanjia (Manis Squama, 0.5 liang, stir-fried with soap ash until yellow), Zhusha (Cinnabar, 2 qian, finely ground).
Usage: Grind the first two ingredients into fine powder, then add Zhusha and grind together to mix evenly. For each dose of 1 qian, mix with decoction of Zicao (Arnebiae Radix et Rhizoma) and take orally. Time is unrestricted; dosage adjusted according to the child's age and size.
Xiaodu Yin (Detoxifying Drink - for throat symptoms), Qingliang Yinzi (Cooling Decoction - for interior heat):
Formula for fatal yinzhen entering the abdomen in adults and children:
Use Wujingzi (Brassicae Semis Albarubri) powder, mixed with wine, taken 3 qian. Dosage for children adjusted accordingly. Alternatively, take Niuxi (Achyranthis Bidentatae Radix) powder mixed with wine, 3 qian, adjusted for children. Another method: Wash the affected area with salt water, then apply Liaozhongzi (Polygoni Orientalis Fructus).
Treatment for wind swelling and yinzhen:
Badou (Crotonis Fructus) 50 pieces, peeled. Boil in 3 sheng of water until reduced to 1 sheng. Soak cotton cloth in the liquid, adjust to appropriate temperature, and wipe the affected area. Healing occurs immediately upon application.
Treatment for wind rash entering the abdomen, causing body stiffness/swelling, and dry/hard tongue:
Wanjingsanzi (Brassicae Semis Albarubri) 3 liang, ground into powder. Take 1 qian mixed with warm wine each time.
Treatment for persistent itching from wind rash:
Lao (Fermented Milk/Dairy Product) 5 he, Yan (Salt) 1 liang. Mix these two, boil slightly, and massage onto the affected area for immediate relief.
Another formula: She tuipi (Ophiopogonis Mucosa/Snake Skin) one strip, boiled in 1 sheng of water until reduced to 0.5 sheng. Use chicken feather to sweep/apply on the affected area for healing.
Another formula: Bai fan (Alumen) 5 liang ground into powder. Mix with 3 he of wine and 1 sheng of urine. Boil into a thin paste. Dip cotton in the medicine and gently rub the affected area, allowing heat to penetrate the skin completely. The rash will dissipate in moments. This formula is miraculous and can treat cases unresponsive to hundreds of other treatments. (From *Shenghui Fang*)