《圣济总录》治漆疮诸方∶
生柳叶三斤，冬用皮，煎汤适寒温洗之。
芒硝五两，汤化，浸洗之。
猪膏一味熬，去滓，停冷，涂贴之。
生螃蟹一味，取黄涂敷，日三五次。
荷叶燥者一斤，煮水洗之，以贯众末掺之，干则油和涂。
鸡子黄涂疮上，干则易之，不过三次。
黄栌木，煎汤频洗之。
一方，谷精草煎汤洗，甚速效。
又方 用白矾煎汤，浸洗。
又方 用杉本煎汤，洗之效。
又方 用莽草叶，煎汤洗。
又方 用无名异末，水调敷。
又方 用羊乳敷之愈；亦治蜘蛛疮，饮之尤妙。
治漆疮、冻疮、犬咬疮，并用秫米嚼烂，涂敷。
治漆疮久不瘥，用漆草捣烂敷患处，立效。
疮疡发痉，因气血亏损，外邪所搏，或内虚郁火所致。其形牙关紧急，四肢劲强，或
腰背反张，肢体抽搐，其有汗而不恶寒者，曰柔痉。风能散气，故有汗也。其无汗而恶寒
者，曰刚痉。寒能涩血，故无汗也。皆由亡血过多，筋无所养，故伤寒汗下过多，与溃
疡、产后多患之，乃败症也。若大补气血，多有复生者，若作风治，速其危矣。 秋官张
同野，旧有流注，因暴寒睡炕，口目抽搐，手足战掉，予以为气血虚热而然。用参、 ，归、
术、川芎、山栀、柴胡、半夏、天麻、炙甘草，治之愈。 吴瞻之给事，坠马伤首，出
血过多，发热烦躁，肉 筋惕，或作破伤风，欲发汗驱风。予曰∶此亡血火动也，无风可
驱，无汗可发。当峻补其血，用圣愈汤二剂，顿愈。又用健脾胃，养气血而全愈。 一儒
者，背疮将愈，发热烦躁，自用降火之剂，项强口噤，自汗恶寒，此汗多内亡津血，筋无
所荣也。用补气血之剂，及地黄丸而愈。 一男子，素勤苦，早行遍身发疙瘩，口噤目
直，脉弦紧，此劳伤气血，内热外邪所搏也。用补中益气加山栀、羌活、川芎而瘥。半载
后遍身作痒，搔破成疮，发热作渴，脉洪大而虚，复以前汤加芍药、麦门、熟地、天麻
而愈。 一儒者，善怒患瘰 ，复因大怒跳跃，忽仆地，两臂抽搐，唇口 斜，左目紧
小，此肝火血虚，内热生风。用八珍散加牡丹皮、钓藤、山栀而愈。次年春前，病复作，
兼小便自遗，左关脉弦洪而数，予谓肝火血燥。用六味丸加钓藤、五味、麦门、芎、归
治之渐愈；又用补中益气加山栀、钓藤、牡丹皮而安。 一 妇，因怒仆地，疮口出血，
语言謇涩，口眼 斜，四肢拘急，汗出遗尿，或用驱风之剂，六脉洪大，肝脉尤甚，此肝
火炽盛也，用加味遥散加钓藤，及六味丸寻愈。 一妇人患内痔，因劳出血甚多，不时
发痉，饮食少思，形体倦怠，其面色白。予谓此气伤而不能统血也。用补中益气汤，反
寒热出血，此阳气虚寒也，仍以前汤加炮姜四剂，寒热渐止，饮食渐进，又四剂而血顿
止。后因劳役或怒气即便血，或发痉，投以补中益气汤加钓藤而愈。 一妇人素性急，患
遍身瘙痒，或项间结核，常服搜风顺气之剂，后大怒吐血，唇口牵紧，小便频数，或时自
遗，此怒动肝火而妄行。用小柴胡汤加山栀、牡丹皮而愈。 一 妇因劳兼怒，四肢挛屈，
头痛自汗，小便短少，畏见风寒，脉浮弦缓，此气血虚而风寒湿热相搏也，先用东垣清燥
汤渐愈；再用加味遥散，及八珍汤加牡丹皮而痊。 一妇人素有肝火，两拗间或肿痛，或
寒热，忽然昏愦，螈 抽搐，善伸数欠，四肢筋挛，痰涎上升，此肺金燥甚而血液衰少
也。用清燥丸，六味丸兼服，寻愈。 一妇人，因大劳患 疮，发疙瘩搔碎成疮，日晡
热甚，或口噤发搐，或头目眩晕，此肝脾气血虚而内热。以八珍散加柴胡、山栀治之，诸
症少愈。复因怒前症复作，经行不止，此肝脾血热，用加味逍遥散渐愈。又用八珍散加
柴胡、山栀而痊。 一妇人发疙瘩，日晡热甚，月经先期，或头目昏眩，或寒热发热，或
四肢抽搐，此肝经风热血燥，用加味逍遥散治之寻愈。后因怒前证复作，口噤遗尿。此
肝火血燥也。用加味小柴胡汤治之渐愈。又夜间发热谵语，此血分有热也。用小柴胡汤
加生地而愈，更用加味逍遥散调理而安。一妇人患茧唇，月经先期，予以为肝火血热。
不信，乃泛用降火之剂，反致月经过期。复因劳怒，口噤呻吟，肢体不随，六脉洪大，面
目赤色，用八珍加五味、山栀、丹皮、麦门数剂渐愈，兼用逍遥散、六味丸料，各三十
余剂全愈。 一妇经行遇怒，其经即止，甚则口噤筋挛，鼻衄头痛，痰涌抽搦，瞳子上
视，此肝火炽甚，以小柴胡加熟地黄、山栀子、钓藤钩而愈。 一妇素阴虚，患遍身搔
痒，误服祛风之药，口噤抽搐，肝脉洪数，予曰∶肝血为阴为水，肝气为阳为火，此乃肝
经血虚火盛耳。宜助阴血，抑肝火，遂用四物、麦门、五味、柴胡、山栀、生草，热搐
顿止；又以八珍加黄 、麦门、五味、钓藤、炙草调理而愈。 一妇人久患流注，脾胃虚
弱，忽痰壅气喘，头摇目札，手扬足掷，难以候脉，视其面黄中见青，此肝木秉脾土也。
用六君加柴胡、升麻治之而苏，更以补中益气加半夏、茯苓而安。
Various prescriptions from *Shengji Zonglu* for treating lacquer dermatitis:
Use three jin of fresh willow leaves; in winter, use the bark instead. Decoct in water to make a decoction, adjust to a suitable temperature, and wash the affected area.
Use five liang of Mangxiao (Mirabilite), dissolve it in water, soak and wash the affected area.
Boil Zhigao (Pork Fat) alone, filter out the dregs, let it cool, and apply it topically.
Take one fresh crab, extract the roe, and apply it as a poultice to the affected area, three to five times daily.
Use one jin of dried lotus leaves, boil in water to wash the affected area, then sprinkle with powder of Guanzhong (Cyathulae Radix). If it dries, mix with oil and apply.
Apply Ji Zi Huang (Egg Yolk) to the sores; replace when dry, no more than three times.
Decoct Huanglu Mu (Dalbergia odorifera wood) in water and frequently wash the affected area.
Another prescription: Decoct Gujingcao (Gossypii Semen or similar herb depending on context, here likely referring to a specific local herb for this condition) in water to wash; the effect is very rapid.
Another prescription: Decoct Bai Fan (Alumen) in water to soak and wash.
Another prescription: Decoct Shanben (Cedri Lignum or similar) in water to wash; effective.
Another prescription: Decoct Mangcao Ye (Radix Datiscae or similar herb, literally "Mangcao leaf") in water to wash.
Another prescription: Mix Wumingyi (Haematitum) powder with water to form a paste for topical application.
Another prescription: Apply Yangru (Sheep's Milk) to cure it; it also treats spider bites, and internal administration is particularly excellent.
For treating lacquer dermatitis, frostbite, and wounds caused by dog bites, chew Shumi (Sorghum grain) until mashed and apply as a poultice.
For chronic lacquer dermatitis that does not heal, crush Qicao (Lacquer tree sap/leaves) into a paste and apply to the affected area; immediate effect is observed.
Spasms arising from sores and ulcers are caused by deficiency and loss of Qi and Blood, external pathogens combing with the interior, or internal deficiency leading to stagnant fire. The manifestations include tightness of the jaw, stiffness and rigidity of the four limbs, or opisthotonos (arching of the back), and convulsions of the body. Those who have sweating but no aversion to cold are diagnosed with Rou Jing (Flaccid Tetanus). Wind disperses Qi, hence the sweating. Those who have no sweating and have aversion to cold are diagnosed with Gang Jing (Rigid Tetanus). Cold congeals Blood, hence the absence of sweating. All these conditions result from excessive blood loss, leaving the sinews without nourishment. Therefore, they often occur in patients with Shanghan (Cold Damage) who have undergone excessive sweating or purgation, as well as in ulcer patients and postpartum women; these are critical, deteriorating conditions. If treated with strong tonification of Qi and Blood, recovery is often possible; if treated merely as wind disorders, it will hasten danger.
Zhang Tongye, an official of the Ministry of Justice, previously suffered from Liuzhu (flowing abscesses). After suddenly catching cold while sleeping on a heated kang, he developed facial twitching and deviation, and trembling of the hands and feet. I considered this due to Qi and Blood deficiency with internal heat. I prescribed Renshen (Ginseng), [missing character, likely Huangqi], Danggui (Angelica Sinensis), Baizhu (Atractylodes Macrocephala), Chuanxiong (Ligusticum Wallichii), Shanzhi (Gardeniae Fructus), Chaihu (Bupleuri Radix), Banxia (Pinelliae Rhizoma), Tianma (Gastrodiae Rhizoma), and Zhigancao (Prepared Licorice Root). He recovered.
Wu Zhanzhi, a Censor, fell from a horse and injured his head, suffering excessive bleeding. He presented with fever, irritability, muscle twitching, and sinew tremors. Some suspected Poshangfeng (Traumatic Tetanus) and wished to induce sweating to expel wind. I said: This is fire agitation due to blood loss; there is no wind to expel and no sweat to induce. One must strongly tonify the blood. I prescribed Shengyu Tang (Saintly Life Decoction) for two doses, resulting in immediate recovery. Subsequently, I used formulas to strengthen the Spleen and Stomach and nourish Qi and Blood, leading to complete recovery.
A scholar, whose back sore was nearly healed, developed fever and irritability. Having self-administered cooling/fire-draining medicines, he developed neck stiffness, trismus, spontaneous sweating, and aversion to cold. This was due to excessive sweating causing loss of fluids and blood internally, leaving the sinews without nourishment. I treated him with Qi and Blood tonifying formulas and Dihuang Wan (Rehmannia Pill), and he recovered.
A man, accustomed to hard labor, developed widespread papules after walking early in the morning, accompanied by trismus, staring eyes, and a wiry-tight pulse. This was due to labor injuring Qi and Blood, with internal heat combing with external pathogens. I prescribed Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) plus Shanzhi, Qianghuo (Notopterygii Rhizoma et Radix), and Chuanxiong. He recovered. Half a year later, he experienced generalized itching, which scratched open into sores, accompanied by fever and thirst, and a surging yet empty pulse. I repeated the previous formula adding Shaoyao (Peony Root), Maimendong (Ophiopogonis Radix), Shudi (Prepared Rehmannia Root), and Tianma. He recovered.
A scholar prone to anger suffered from Luoli (scrofula). Due to extreme anger and jumping, he suddenly collapsed, experiencing arm convulsions, deviation of the lips and mouth, and tightening of the left eye. This was Liver Fire with Blood deficiency, generating internal wind. I prescribed Bazhen San (Eight Treasures Powder) plus Mudanpi (Moutan Cortex), Gouteng (Uncariae Ramulus cum Uncis), and Shanzhi. He recovered. Early the following spring, the disease recurred with urinary incontinence, and the left Guan pulse was wiry, surging, and rapid. I diagnosed Liver Fire and Blood dryness. I prescribed Liuwei Wan (Six-Ingredient Pill with Rehmannia) plus Gouteng, Wuweizi (Schisandrae Fructus), Maimendong, Chuanxiong, and Danggui. He gradually improved; subsequently, Buzhong Yiqi Tang plus Shanzhi, Gouteng, and Mudanpi stabilized his condition.
A woman, due to anger, fell to the ground, causing bleeding from a sore. She had slurred speech, facial deviation, limb spasms, sweating, and urinary incontinence. Others used wind-expelling formulas. Her six pulses were surging, especially the Liver pulse. This indicated blazing Liver Fire. I prescribed Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) plus Gouteng, along with Liuwei Wan. She recovered soon.
A woman with internal hemorrhoids suffered heavy bleeding due to labor, leading to frequent spasms, poor appetite, fatigue, and pale complexion. I diagnosed Qi injury failing to control Blood. I prescribed Buzhong Yiqi Tang. However, she developed alternating chills and fever with bleeding, indicating Yang Qi deficiency and cold. I continued with the previous formula plus Paojiang (Prepared Ginger) for four doses. The chills and fever subsided, appetite improved, and after another four doses, bleeding stopped completely. Later, due to labor or anger, she had bloody stools or spasms. Treatment with Buzhong Yiqi Tang plus Gouteng cured her.
A woman with an irritable temperament suffered generalized pruritus and occasional cervical lymph node swelling. She frequently took herbs to search for wind and move Qi. After severe anger, she vomited blood, had tight lips and mouth, frequent urination, and occasional incontinence. This was anger stirring Liver Fire causing reckless movement. I prescribed Xiao Chaihu Tang (Minor Bupleurum Decoction) plus Shanzhi and Mudanpi. She recovered.
A woman, due to labor combined with anger, had limb flexion spasms, headache, sweating, scanty urine, and aversion to wind and cold. Her pulse was floating, wiry, and slow. This was Qi and Blood deficiency with combing of wind, cold, dampness, and heat. I first used Dongyuan Qingzao Tang (Dongyuan's Dryness-Resolving Decoction) for gradual improvement; then Jiawei Xiaoyao San and Bazhen Tang plus Mudanpi led to recovery.
A woman with existing Liver Fire sometimes had pain and swelling between the ribs, or chills and fever. Suddenly, she became confused, experienced clonic-tonic convulsions, frequent stretching and yawning, limb sinew spasms, and rising phlegm-saliva. This was extreme Lung Metal dryness with decline in Blood and Yin. I prescribed Qingzao Wan (Dryness-Resolving Pill) and Liuwei Wan taken together. She recovered soon.
A woman, due to severe labor, developed sores. Papules scratched open into sores, with severe fever at dusk, occasional trismus and convulsions, or dizziness. This was Liver and Spleen Qi and Blood deficiency with internal heat. I treated with Bazhen San plus Chaihu and Shanzhi. Symptoms slightly improved. Anger caused recurrence with continuous menstruation, indicating Liver and Spleen Blood heat. Jiawei Xiaoyao San gradually improved it. Bazhen San plus Chaihu and Shanzhi completed the cure.
A woman developed papules with severe fever at dusk, early menstruation, dizziness, chills/fever, or limb convulsions. This was Wind-Blood heat and dryness in the Liver channel. Jiawei Xiaoyao San cured her soon. Anger caused recurrence with trismus and incontinence, indicating Liver Fire and Blood dryness. Xiao Chaihu Tang plus Shengdi (Raw Rehmannia Root) gradually improved it. Nighttime fever and delirium indicated Heat in the Blood level. Xiao Chaihu Tang plus Shengdi cured it. Jiawei Xiaoyao San regulated her condition thereafter.
A woman with Jianchun (Callus-like lip lesion) had early menstruation. I diagnosed Liver Fire and Blood heat. Disbelieving this, she indiscriminately used fire-draining medicines, causing delayed menstruation. Labor and anger then caused trismus, groaning, immobility of limbs, surging six pulses, and red face. Eight Treasures Plus Five Flavors, Gardenia, Moutan, and Ophiopogon for several doses gradually improved her. Combined with Xiaoyao San and Liuwei Wan ingredients (over 30 doses each), she fully recovered.
A woman's menstruation stopped upon anger. Severe cases involved trismus, sinew spasms, epistaxis, headache, phlegm rush, convulsions, and upward gaze of pupils. This was extreme Liver Fire. Xiao Chaihu Tang plus Shudi, Shanzhi, and Gouteng Hook cured her.
A woman with inherent Yin deficiency suffered generalized pruritus. Mistakenly taking wind-dispelling drugs, she developed trismus and convulsions. Her Liver pulse was surging and rapid. I said: Liver Blood is Yin/Water; Liver Qi is Yang/Fire. This is Liver Channel Blood deficiency with Fire excess. I should assist Yin/Blood and suppress Liver Fire. Thus, Siwu Tang (Four Substance Decoction), Maimendong, Wuweizi, Chaihu, Shanzhi, and Shengcaogen (Raw Licorice Root) stopped the heat and convulsions immediately. Bazhen Tang plus Huangqi (Astragalus Root), Maimendong, Wuweizi, Gouteng, and Zhigancao regulated her to recovery.
A woman with chronic Liuzhu had weak Spleen and Stomach. Suddenly, she had phlegm obstruction, panting, head shaking, blinking, waving hands, and kicking legs, making pulse diagnosis difficult. Her face was yellow with green undertones, indicating Liver Wood overacting on Spleen Earth. Liujunzi Tang (Six Gentlemen Decoction) plus Chaihu and Shengma (Cimicifugae Rhizoma) revived her. Buzhong Yiqi Tang plus Banxia and Fuling (Poria) stabilized her.