孙真人论曰∶《素问》云，风邪客于肌中则肌虚，真气发散，又被寒搏皮肤，外发腠
理，开毫毛，淫气妄行之则为痒也。所以有风疹瘙痒，皆由于此。又有赤疹者，忽然起
如蚊虫咬，烦痒极者，重抓疹起，搔之逐手起。又有白疹者发冷；亦有赤疹，盖赤疹者
发热。 夫风瘾疹者，由邪气客于皮肤，复遇风寒相搏，则为瘾疹。若赤疹者，由冷湿
搏于肌中，风热结成赤疹也。遇热则极，若冷则瘥也。白疹者，由风气搏于肌中，风冷
结为白疹也，遇冷则极，或风中亦极，得晴明则瘥，着浓暖衣亦瘥也。其脉浮而洪，浮
则为风，洪则为气，风气相搏，则成瘾疹；致身体为痒也。 丹溪云∶疹属热与痰，在肺
清火降痰，或解散出汗，亦有可下者。 疹在表者，消毒饮子、防风通圣散。在里者，大
柴胡汤、四顺饮子。虚者补中益气汤。皆同伤寒施治也。 朱院君三十余，久患瘾疹，身
痹而紫色，可与防风通圣散加牛蒡子为极细末。每二钱，水盏半，入姜汁令辣，煎；食
前、热饮之。
或问斑疹何如？曰∶方论皆谓缘肌中有湿，若凉热之气所折，热结不散则成赤疹。若
因风邪所折，风热相搏则成白疹。赤疹得热则剧，得冷则减，盖热气郁于内，故恶热宜
冷。白疹得阴雨则甚，得晴则消，盖热气散释于外，故恶冷宜热。热搏于血分，其邪因
并发于表则赤。若风湿搏于气分，则气液不行，因邪并发于表则白。夫如是然后与治法
相应，邪热者，故恶热而喜凉。邪湿者，故恶雨而喜晴矣。方论中又有风痘 者，即
《内经》所谓汗出见湿，乃生痤痱。又曰∶劳汗当风，寒薄为郁乃痤痱，即瘾疹属也。 ，
类也，此皆谓外邪郁肌肉玄府之热者矣。然则与《内经》言少阳少阴而君相二火，
客热之胜为丹疹外发者，方论中则无有也。故人气、君相二火郁发而变者，宜乎未之及耳。
若此条是人气所变之一者也。故二火郁发出血气之表，与外邪所郁无异。更有小儿发痘
疮之外必有出疹二次，亦是君相二火发出未尽之胎毒也。
初虞世治皮肤风热，遍身生瘾疹。牛蒡子、浮萍等分，以薄荷汤调下二钱，日二服。
苦参丸（《衍义》） 有人病遍身风热细疹。痒痛不相任，连脑、胫、脐、腹及隐处皆然，
涎痰亦多，夜不得睡。
以苦参末一两，皂角二两，水一升揉滤取汁，银石器熬成膏，和苦参为丸如桐子大。
食后温水服二十丸，次日便愈。
《千金方》治法，白疹宜者矾石汁拭之。或煮蒴 和少酒以浴之良。（姚氏，以治赤疹），或
煮石南汁拭之良。或水煮鸡屎汁拭之。余一切如治丹方法。俗呼为风屎，亦名风尸。盛
者石南汤主之。
石南汤（《神巧方》亦名石南根饮子） 治风瘾疹，搔之则作疮。风尸身痒，卒风面目肿起。
石南叶（《神巧》用根） 干姜（炮） 黄芩 细辛（去苗） 人参（去芦，各一两） 桂心 麻黄（去
节） 当归 芎 （各一两半） 甘草（炙，二两） 干地黄（七钱半） 食茱萸（一两二钱半）
上为 咀。每服四大钱，水一大盏，好酒二合，同煎至八分，去渣。热服不拘时候，
衣盖令出汗。
加味羌活饮 治风寒暑湿外搏肌肤，发为瘾疹，憎寒发热，遍身瘙痒，随脏气虚实，
或赤或白，心迷闷乱，口苦咽干。
羌活 前胡（并去芦，各一两） 人参 桔梗（并去芦） 甘草（炙） 枳壳（去穣，麸炒） 川芎 天
麻茯苓（去皮，各半两） 薄荷 蝉蜕（去头，各三钱）
上为细末。每服三大钱，水一盏，生姜三片，煎至七分，去渣。温服无时。
羚羊角散 治风瘾疹，遍身痒痛，心胸满闷。
羚羊角屑 白鲜皮 白蒺藜 防风（去芦） 麻黄（去节） 甘草（炙） 羌活（去芦，各一两） 枳
壳（麸炒，去穣，半两） 人参（去芦） 杏仁（去皮尖，麸炒） 黄芩（各七钱半） 生干地黄
上为 咀，每服四钱，水一中盏，煎至五分，去渣。入酒一合，更煎一两沸温服。
桦皮散 治肺脏风毒，遍身疮疥及风瘾疹。
枳壳（去穣，用炭火烧存性） 桦皮（烧灰，各四两） 甘草（炙，半两） 荆芥穗 杏仁（各二两，麸
炒，去皮尖）
上件除杏仁用水一碗，于银器内熬去水一半已来，放令干，另研令细；次用诸药未
同研匀，于瓷合内收之。每服三钱，食后温酒调下。
犀角散 治风瘾疹，心闷。
犀角屑 川升麻 人参 玄参 沙参 防风（四味，各去芦） 白鲜皮 白蒺藜（各一两）
甘草（炙） 马牙硝（各半两，研） 牛黄（二钱半，研细）
上为细末，入牛黄末同研令匀。每服二钱，用竹叶汤调下，不拘时。
鬼箭羽散 治风瘾疹，累医不效。
鬼箭羽 白蒺藜 防风（去芦） 白蔹 甘草（炙） 白矾（枯，各一两）
上为细末。先用粟米粉五合粉身了。每服二钱，温熟水调下，不拘时。
漏芦丸 治风瘾疹。
漏芦（一两） 枳壳（麸炒，去穣） 苦参（各三两） 防风（去芦） 川大黄（ ） 乌蛇
上为细末。炼蜜和捣三二百下，丸如梧桐子大。每服三十丸，用温浆水送下，食后
服。
枫香丸 治风瘾疹，痒不可忍。
枫香 白鲜皮 白蒺藜 蛇床子 羚羊角屑（各一两） 川乌头（炮，去皮脐） 本（去芦）
仙灵脾 蔓荆子 莽草 赤箭（各半两）
上制服法，同前。
加味乌荆丸 治瘾疹上攻头面。赤肿瘙痒，抓之皮脱落作疮作痒，或痛淫液走注，有
如虫行。
川乌头（汤洗，浸三五次，去皮尖，焙干） 荆芥穗（各半两） 当归（水浸三日，洗、焙干秤一两）
薄荷（五钱）
上为细末。醋煮糊和丸如梧桐子大。每服五十丸，温酒或茶清送下。
治风瘾疹，疼痒不可忍。
赤土（不拘多少，细研。）
每服一钱，空心温酒调下。
治遍体疹风 侧子（作末） 冷酒调服。
治风瘾疹，痒不止。
枳壳（麸炒，去穣，三两） 为细末。每服三钱，水一中盏煎至七分，去滓。温服无时。一
方，水煮枳壳，为煎，涂之。
治风疹入腹，身体肿，舌强干燥。
蔓菁子（三两，为细末）
每服二钱，温酒调下。
又方
白蜜（一合） 酒（二合） 二味调和，空心温服。
又方
白僵蚕（不拘多少，焙令黄色）
上为细末。用酒调服之。立瘥。
乌蛇膏 治风瘾疹，结肿攻冲，遍身发热痒痛，及治筋脉挛急。
乌蛇 当归（去芦） 木鳖子（去壳） 枳壳（去穣） 大黄（各一两） 天麻 附子 乌喙 天南
星桂心 细辛（去苗） 吴茱萸 羌活（去芦） 苍术（去粗皮） 防风 牛膝 川椒 白芷 白僵蚕 干蝎
（各半两）
上件药并生用锉碎。以头醋半升，拌浸一宿。用腊月炼成猪脂二斤于当中，入药以
慢火煎，看白芷变黄紫色下火，滤去渣令净，入于瓷合内盛之，用摩涂于所患处立效。
蒴 膏 治风瘙瘾疹，皮肤中苦痒，搔之血出。
蒴 根 蔷薇根（各二两） 白蒺藜 附子 独活（去芦） 白芷 防风（去芦） 苦参（去芦）
川升麻 漏芦 汉防己 川椒 木香 蛇衔草 茺蔚子 枳壳（一方作枳实） 莽草 犀角屑（各一两）
上件并生用细锉。以头醋浸一宿，明旦用铜石银锅中盛，慢火上。以腊月炼成猪脂二斤半，与药同煎，
令白芷赤色膏成，滤去渣，盛瓷合中。每取涂摩患处，累用即瘥。一方，无蔷薇根。
莽草膏 治身体赤瘾疹而痒，搔之随手肿起。
莽草（七钱半） 当归 芎 大戟 细辛 芍药 芫花 川椒 踯躅花 附子 蒴 根（各一两） 苦参
（二两） 猪膏（成炼者，三斤）
上件细锉。用酒浸一宿，猪膏煎之，候附子色黄膏成，去渣。以敷病上，日三用之。
青羊脂膏 治风热赤疹，搔之逐手作疮。
青羊脂（四两） 甘草 芍药（各三两） 白芷 白芨 黄芩 防风（去芦） 黄 升麻 寒
水石（各一两） 石膏 竹叶（切，各一升）
上为 咀，先用水八升煮石膏、竹叶取四升，去渣，浸诸药。猪脂二斤合煎，膏成。
敷病处效。
蒴 煎 治赤、白风瘾疹。
蒴 根 白蒺藜 兔藿 细辛 虎杖（各三两） 辛夷 白矾 盐（各二两）
上锉并生用拌匀。每药五两，水一斗煮取二升，去渣，再煎至半升。用绵蘸药涂患
处，频涂之即效。
治风肿及瘾疹。
白矾 锻石（各一两）
上件为末。用生姜自然汁调和如稀糊。薄涂患处，日用一上效。
治风瘾疹，宜用枫香汤洗之
枫香（半斤） 芎 川大黄 黄芩 当归 川升麻 甘草 射干（各二两） 苦参（三两）
蛇床子（一两）
上件药并生用 咀。每用五两，水一斗煮取五升，去渣。看冷热洗病上，日三五度。
治风身体生瘾疹，宜用蒴 根汤洗之。
蒴 根 蒺藜苗 当归（各五两） 蛇床子 细辛（各二两）
上件细锉。用水一斗五升煮取一斗，去渣。看冷热洗患处，日用三五度，药水冷，再
温用之。
地骨皮汤 治风瘾疹。
地骨皮（半斤） 当归（四两） 盐（二两） 白矾末（一两）
上件细锉。每用药五两，水九升，煎取二升，去渣再煎至一升，收瓷器中。用绵蘸
拭患处，五七度瘥。
治风瘾疹，淋洗神效。
蒴 白蒺藜 白矾（细研。后入） 茵芋 马蔺子 茺蔚子 细辛 扁竹（各二两）
上锉。用醋浆水一斗煮取五升，去渣。入白矾洗之。
治风瘾疹，百治不瘥神效。
白矾（五两）
上为末。用酒三合，小便一升，煎如稀膏。以绵蘸药于上，轻手揩之令热彻入皮肤，
其风疹须臾消散。一方，只用白矾末，酒浸。帛蘸染患处。
治十种瘾疹。
上用锻石不拘多少。研极细，和醋浆水涂疹上，随手即减。 《千金方》用锻石淋
取汁，洗之良。
又方 蒴 煮汤，和少酒涂之，无不瘥。亦可作汤浴。
治瘾疹痒 茺蔚子茎，作汤浴之良。
治风疹痒不止。
芸苔菜三握捣取汁，于疹上熟揩，时时取少药，揩令热彻，又续煎椒汤洗之。
又方
蛇蜕皮一条。水一升煎取半升。鸡翎蘸热药汤，涂上即瘥。
单方 治面目身体生斑，或痒或瘭子肿起，不即治，甚杀人。
上用羚羊角烧为灰，研令极细。以鸡子清和涂之，极神验。无鸡子，水和涂亦妙。
瘾疹入腹，亦能杀人。用蚕砂，煎浓汤洗之。
〔风瘙瘾疹成疮〕
夫风邪客热在于皮肤，遇风寒所伤则起瘾疹。热多则色赤，风多则色白，甚者痒痛，
搔之则成疮也。
卷柏散 治风皮肤瘾疹，及风热生毒疮。
卷柏 枳壳（麸炒，去穣） 羌活（去芦） 麻黄（去节） 五加皮（各一两） 赤箭 天竺黄 本
（去芦） 防风（去芦） 芎 黄 桑耳 犀角屑（各半两） 乌蛇（二两，酒浸）
上为细末。每服二钱，食前薄荷汤调下。忌热面、鸡、猪、鱼、蒜等物。
丹参散 治风瘙，皮肤赤，瘾疹瘙痒，随搔生疮。
丹参 人参 苦参（并去芦） 雷丸 牛膝（去芦） 白附子（炮） 白花蛇（酒浸，二两）
上为细末。每服二钱，食前煎甘草酒，放温调下。
升麻膏 治诸热风毒瓦斯，攻冲皮肤，搔生瘾疹，赤起生疮，兼有黄水结为脓 痛。
川升麻 白蔹 漏芦 枳壳 连翘 蓝叶 黄芩 栀子仁 蒴 根 玄参（去芦） 大
黄蛇衔草 川芒硝 犀角屑（各一两）
上件细锉。用竹沥三升拌匀，经一宿，用成炼猪脂二斤同煎，候白蔹色焦黄，绞去渣，
令凝用。摩涂患处，日六次瘥。
治风瘙瘾疹，遍身皆痒，搔之成疮。
茵陈（生用） 苦参（各五两）
上件细锉。用水一斗煮取二升，温热得所。蘸绵拭之，日五七度瘥。
又方
蚕砂（一升）
上用水二斗煮取一斗二升，去渣。温热得所，洗之，宜避风处。
Sun Simiao discussed: The *Suwen* (Basic Questions) states that when wind pathogen invades the interior of the muscles, the muscles become deficient, and the true qi scatters outward. If it is then combated by cold at the skin, it disperses outward to the interstices (couli), opens the hair follicles, and allows chaotic qi to move recklessly, resulting in itching. Therefore, wind urticaria with itching arises from this cause. There is also red urticaria, which suddenly appears like mosquito bites, causing extreme irritability and itching; vigorous scratching causes the rash to rise, and scratching makes it appear instantly. There is also white urticaria, which presents with chills upon onset; conversely, red urticaria presents with fever. Wind urticaria occurs when pathogenic factors reside in the skin and are subsequently combined with wind-cold, forming urticaria. Red urticaria results from cold-dampness combating within the muscles, where wind-heat combines to form red urticaria. Symptoms worsen with heat and improve with cold. White urticaria results from wind qi combating within the muscles, where wind-cold combines to form white urticaria. Symptoms worsen with cold or exposure to wind, but improve on sunny days or with warm clothing. The pulse is floating and surging; floating indicates wind, and surging indicates qi (pathogenic factor). When wind and qi combat each other, urticaria forms, causing body itching. Zhu Danxi stated: Urticaria belongs to heat and phlegm; treatment should clear fire and descend phlegm in the Lung, or release the exterior through sweating, or there may be cases suitable for purgation. For urticaria at the exterior level, use Xiaodu Yinzi (Disinfecting Decoction) or Fangfeng Tongsheng San (Saposhnikovia Decoction for Unblocking the Hinges). For urticaria at the interior level, use Da Chaihu Tang (Major Bupleurum Decoction) or Sishun Yinzi (Four-Smooth Decoction). For deficiency patterns, use Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). The treatment methods are the same as those for Shanghan (Cold Damage). Master Zhu Yuanjun, in his thirties, suffered from chronic urticaria with body numbness and a purple hue; he was treated with Fangfeng Tongsheng San added with Niubangzi (Arctii Fructus), ground into an extremely fine powder. Two qian were taken each time, decocted in one and a half cups of water with ginger juice until pungent, and taken hot before meals.
Someone asked about macules and papules. The answer was: Formulary theories state that moisture in the muscles, if constrained by cool or hot qi, leads to heat accumulation without dispersion, forming red urticaria. If constrained by wind pathogen, wind-heat combats to form white urticaria. Red urticaria aggravates with heat and alleviates with cold because heat is stagnant internally, thus disliking heat and favoring cold. White urticaria worsens on rainy days and resolves on sunny days because heat dissipates externally, thus disliking cold and favoring heat. Heat combing the Blood level causes pathogens to manifest at the exterior as red. Wind-damp combing the Qi level impedes Qi and fluid movement, causing pathogens to manifest at the exterior as white. Thus, treatments correspond accordingly: for pathogenic heat, one dislikes heat and prefers cool; for pathogenic dampness, one dislikes rain and prefers sun. Formularies also mention "wind acne," which refers to what the *Neijing* calls "acne and prickly heat arising from sweat exposed to dampness." It also says "sweat from labor exposed to wind, compressed by cold leading to stagnation, causes acne and prickly heat," which belongs to the category of urticaria. These all refer to heat stagnating in the muscle pores due to external pathogens. However, this differs from the *Neijing*'s discussion on Shaoyang and Shaoyin, and the Ministerial Fire and Sovereign Fire, where excessive guest heat causes Danzhen (red rash) to erupt externally, which is not mentioned in formularies. Therefore, changes caused by human Qi and the stagnation/emission of Ministerial and Sovereign Fires were likely omitted. This condition is one such variation. Thus, the emission of the two fires affecting the Qi and Blood at the exterior is no different from external pathogen stagnation. Furthermore, children developing chickenpox often have a secondary eruption of rashes, which is also due to fetal toxins not fully expelled by the Ministerial and Sovereign Fires.
Chu Yushi treated skin wind-heat with generalized urticaria using equal parts of Niubangzi (Arctii Fructus) and Fuping (Marsilea Ventralis), administered as two qian mixed with Bohe Tang (Mint Decoction), twice daily. Kushen Wan (Bitter Coptis Pill, from *Yanyi*) was used for someone suffering from generalized fine wind-heat rashes. The itching and pain were unbearable, affecting the head, shins, umbilicus, abdomen, and private areas, accompanied by excessive saliva and phlegm, and insomnia at night. One liang of Kushen (Sophorae Radix) powder and two liang of Zaojiao (Gleditsiae Fructus) were rubbed in one sheng of water, filtered, and boiled in silver/copper vessels to form a paste, mixed with Kushen to make pills the size of paulownia seeds. Twenty pills were taken with warm water after meals, curing the patient the next day.
The *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) treatment principles suggest wiping white urticaria with Fanshi Zhi (Alumen Juice). Alternatively, bathing with Suoluo (Akebiae Caulis) and a little wine is beneficial. (Yao Shi used this for red urticaria). Wiping with Shinan Zhi (Rhododendri Daurici Juice) or boiling chicken manure juice for wiping is also effective. Other methods follow those for treating Danshen (erysipelas). Commonly called Fengshi or Fengshi. Severe cases are treated with Shinan Tang.
Shinan Tang (*Shenqiao Fang*, also known as Shinan Gen Yinzi) treats wind urticaria where scratching causes sores, wind-shi body itching, and sudden wind-induced facial swelling. Ingredients include Shinanye (Rhododendri Daurici Leaf) [or root per *Shenqiao*], Ganjiang (Zingiberis Rhizoma Preparata), Huangqin (Scutellariae Radix), Xixin (Asari Radix et Rhizoma, de-veined), Renshen (Ginseng Radix, de-tipped), Guixin (Cinnamomi Cortex), Mahuang (Ephedrae Herba, de-jointed), Danggui (Angelicae Sinensis Radix), and Xiong (Ligustici Chuanxiong Rhizoma), each one liang; Gancao (Licorice Root, honey-fried), two liang; Ganyedi (Rehmanniae Radix), seven qian half; and Shizuyu (Cornus Officinalis Fruit), one liang two qian half. Crushed herbs are decocted with four da qian per dose, one large cup of water, and two he of good wine, reduced to eight fen, strained, and taken hot at any time, covered to induce sweating.
Jiawei Qianghuo Yin (Modified Notopterygium Decoction) treats wind-cold-summerheat-dampness combing the skin, causing urticaria, aversion to cold with fever, generalized itching, varying colors (red or white) based on organ Qi deficiency/excess, mental confusion, bitter taste, and dry throat. Ingredients include Qianghuo (Notopterygii Rhizoma et Radix), Qianhu (Peucedani Radix), both de-tipped, one liang each; Renshen (Ginseng Radix), Jiegeng (Platycodonis Radix), both de-tipped; Gancao (Licorice Root, honey-fried); Zhike (Aurantii Fructus, de-albedo, wheat-bran fried); Chuanxiong (Ligustici Chuanxiong Rhizoma); Tianma (Gastrodiae Rhizoma); Fuling (Poria), peeled, half liang each; Bohe (Menthae Haplocalycis Herba); Chanui (Cicadae Periostracum, de-head), three qian each. Ground into fine powder. Three da qian per dose, decocted with one cup of water and three slices of Shengjiang (Zingiberis Rhizoma Recens) to seven fen, strained, and taken warm at any time.
Lingyangjiao San (Antelope Horn Powder) treats wind urticaria with generalized itching/pain and chest/heart oppression. Ingredients include Lingyangjiao xie (Saigae Tataricae Cornu), Baixianpi (Dictamni Cortex), Baijili (Tribuli Fructus), Fangfeng (Saposhnikoviae Radix, de-tipped), Mahuang (Ephedrae Herba, de-jointed), Gancao (Licorice Root, honey-fried), Qianghuo (Notopterygii Rhizoma et Radix, de-tipped), each one liang; Zhike (Aurantii Fructus, wheat-bran fried, de-albedo), half liang; Renshen (Ginseng Radix, de-tipped); Xingren (Pruni Armeniaci Semen Amarum, de-skin/hilum, wheat-bran fried); Huangqin (Scutellariae Radix), each seven qian half; Shengdihuang (Rehmanniae Radix). Crushed. Four qian per dose, decocted with one medium cup of water to five fen, strained, add one he of wine, boil briefly, and take warm.
Huapi San (Birch Bark Powder) treats lung wind-toxin, generalized sores/scabies, and wind urticaria. Zhike (Aurantii Fructus, de-albedo, charcoal-burnt to retain nature), Huapi (Betulae Cortex, burnt to ash), each four liang; Gancao (Licorice Root, honey-fried), half liang; Jingjisui (Schizonepetae Spica); Xingren (Pruni Armeniaci Semen Amarum), each two liang (wheat-bran fried, de-skin/hilum). Soak Xingren in one bowl of water, boil in silver vessel until water reduces by half, dry, and grind separately. Mix other herbs finely, store in porcelain. Three qian per dose, taken after meals with warm wine.
Xijiao San (Rhinoceros Horn Powder - note: modern substitutes used) treats wind urticaria with heart oppression. Ingredients include Xijiao xie (Rhinoceris Cornu), Chuan Shengma ( Cimicifugae Rhizoma), Renshen (Ginseng Radix), Xuanshen (Scrophulariae Radix), Shashen (Glehniae Radix), Fangfeng (Saposhnikoviae Radix, de-tipped), these four de-tipped; Baixianpi (Dictamni Cortex), Baijili (Tribuli Fructus), each one liang; Gancao (Licorice Root, honey-fried); Mayaxiao (Natrii Sulfas), half liang (ground); Niuhuang (Bovis Calculus), two qian half (finely ground). Finely ground, mix with Niuhuang. Two qian per dose, taken with Zhuye Tang (Bamboo Leaf Decoction) at any time.
Guijianyu San (Iteae Ramulus Powder) treats wind urticaria unresponsive to previous treatments. Ingredients include Guijianyu (Iteae Ramulus), Baijili (Tribuli Fructus), Fangfeng (Saposhnikoviae Radix, de-tipped), Bailian (Paeoniae Rubra Radix), Gancao (Licorice Root, honey-fried), Baifan (Alumen, calcined), each one liang. Finely ground. Dust body with five he of millet flour first. Two qian per dose, taken with warm cooked water at any time.
Loulu Wan (Euphorbiae Humifusae Radix Pill) treats wind urticaria. Ingredients include Loulu (Euphorbiae Humifusae Radix), one liang; Zhike (Aurantii Fructus, wheat-bran fried, de-albedo), Kushen (Sophorae Radix), each three liang; Fangfeng (Saposhnikoviae Radix, de-tipped); Chuan Dahuang (Rhei Radix et Rhizoma); Wushe (Agkistrodon). Finely ground. Mix with refined honey, pound 300-400 times, make pills paulownia seed-sized. Thirty pills per dose, taken with warm sour rice water after meals.
Fengxiang Wan (Liquidambar Pill) treats wind urticaria with unbearable itching. Ingredients include Fengxiang (Liquidambaris Resina), Baixianpi (Dictamni Cortex), Baijili (Tribuli Fructus), Shechuangzi (Cnidii Fructus), Lingyangjiao xie (Saigae Tataricae Cornu), each one liang; Chuan Wutou (Aconiti Radix Preparata, peeled/de-navel), Bencao (Ligustici Wallichii Rhizoma et Radix, de-tipped), Xianlingpi (Epimedii Folium), Manjingzi (Viticis Fructus), Mangcao (Gratiatae Herba), Chijian (Acori Tatarinowii Rhizoma), each half liang. Administration same as above.
Jiawei Wu Jing Wan (Modified Aconite and Schizonepeta Pill) treats urticaria attacking the head and face. Red/swollen/itchy, scratching causes skin shedding/sores/pain/discharge, feeling like insects crawling. Ingredients include Chuan Wutou (boiled/washed/steeped 3-5 times, peeled/de-hilum/dried), Jingjisui (Schizonepetae Spica), each half liang; Danggui (Angelicae Sinensis Radix, soaked 3 days/washed/dried/weighed one liang); Bohe (Menthae Haplocalycis Herba), five qian. Finely ground. Paste made with vinegar and starch, make pills paulownia seed-sized. Fifty pills per dose, taken with warm wine or clear tea.
For wind urticaria with unbearable pain/itch: Chitu (Red Earth), amount unspecified, finely ground. One qian per dose, taken with warm wine on empty stomach.
For generalized rash-wind: Cizi (Aconiti Lateralis Radix Preparata), powdered, taken with cold wine.
For wind urticaria with incessant itching: Zhike (Aurantii Fructus, wheat-bran fried, de-albedo), three liang, ground. Three qian per dose, decocted in one medium cup of water to seven fen, strained, taken warm at any time. Another method: boil Zhike, make a decoction/jelly to apply topically.
For wind-rash entering abdomen, body swelling, stiff/dry tongue: Manjingzi (Brassicae Napus Seed), three liang, ground. Two qian per dose, taken with warm wine.
Another prescription: Baimi (Apis Mellifera Melle), one he; Jiu (Wine), two he. Mix, take warm on empty stomach.
Another prescription: Bai Jiangcan (Bombyx Batryticatus), amount unspecified, roasted yellow. Ground. Taken with wine. Immediate cure.
Wushe Gao (Snake Ointment) treats wind urticaria with nodular swelling/rushing, generalized fever/itch/pain, and tendon/muscle spasms. Ingredients include Wushe (Agkistrodon), Danggui (Angelicae Sinensis Radix, de-tipped), Mugua Zi (Momordicae Semen Exsiccatum, de-shell), Zhike (Aurantii Fructus, de-albedo), Dahuang (Rhei Radix et Rhizoma), each one liang; Tianma (Gastrodiae Rhizoma), Fuzi (Aconiti Lateralis Radix Preparata), Wuhui (Aconiti Radix), Tiannanxing (Arisaematis Rhizoma), Guixin (Cinnamomi Cortex), Xixin (Asari Radix et Rhizoma, de-veined), Wuzhuyu (Evodiae Fructus), Qianghuo (Notopterygii Rhizoma et Radix, de-tipped), Cangzhu (Atractylodis Rhizoma, de-coarse skin), Fangfeng (Saposhnikoviae Radix), Niuxi (Achyranthis Bidentatae Radix), Chuanjiao (Zanthoxyli Pericarpium), Baizhi (Angelicae Dahuricae Radix), Bai Jiangcan (Bombyx Batryticatus), Ganxie (Scorpio), each half liang. All raw, chopped. Soaked overnight in half sheng of first vinegar. Fried in two jin of rendered lard from December over slow fire until Baizhi turns yellow-purple. Strain clean, store in porcelain. Apply/massage to affected area for immediate effect.
Suoluo Gao (Akebia Ointment) treats wind-pruritus urticaria, severe skin itching causing bleeding upon scratching. Ingredients include Suoluogen (Akebiae Caulis), Qiangweigen (Rosae Rugosae Radix), each two liang; Baijili (Tribuli Fructus), Fuzi (Aconiti Lateralis Radix Preparata), Duhuo (Angelicae Pubescentis Radix, de-tipped), Baizhi (Angelicae Dahuricae Radix), Fangfeng (Saposhnikoviae Radix, de-tipped), Kushen (Sophorae Radix, de-tipped), Chuan Shengma (Cimicifugae Rhizoma), Loulu (Euphorbiae Humifusae Radix), Han Fangji (Stephaniae Tetrandrae Radix), Chuanjiao (Zanthoxyli Pericarpium), Muxiang (Aucklandiae Radix), Shexiancao (Patriniae Herba), Chongweizi (Leonuri Fructus), Zhike (Aurantii Fructus, or Zhishi per alternative), Mangcao (Gratiatae Herba), Xijiao xie (Rhinoceris Cornu), each one liang. All raw, finely chopped. Soaked overnight in first vinegar. Boiled next morning in copper/stone/silver pot over slow fire with two and a half jin of December rendered lard until Baizhi turns red and ointment forms. Strain, store in porcelain. Apply/massage to affected area repeatedly for cure. Alternative: omit Qiangweigen.
Mangcao Gao (Gratiata Ointment) treats body red urticaria with itching, swelling upon scratching. Ingredients include Mangcao (Gratiatae Herba), seven qian half; Danggui (Angelicae Sinensis Radix), Xiong (Ligustici Chuanxiong Rhizoma), Daji (Euphorbiae Pekinensis Radix), Xixin (Asari Radix et Rhizoma), Shaoyao (Paeoniae Radix Alba), Yuanhua (Genkwa Flos), Chuanjiao (Zanthoxyli Pericarpium), Zhiyuhuaf (Daphnes Genkwa Flos), Fuzi (Aconiti Lateralis Radix Preparata), Suoluogen (Akebiae Caulis), each one liang; Kushen (Sophorae Radix), two liang; Zhigao (Rendered Lard), three jin. Finely chopped. Soaked in wine overnight, fried in lard until Fuzi turns yellow and ointment forms. Strain. Apply to lesion three times daily.
Qingyangzhi Gao (Blue Sheep Fat Ointment) treats wind-heat red urticaria, sores appearing upon scratching. Ingredients include Qingyangzhi (Fat of Blue Sheep), four liang; Gancao (Licorice Root), Shaoyao (Paeoniae Radix Alba), each three liang; Baizhi (Angelicae Dahuricae Radix), Baiji (Bletillae Rhizoma), Huangqin (Scutellariae Radix), Fangfeng (Saposhnikoviae Radix, de-tipped), Huangqi (Astragali Radix), Shengma (Cimicifugae Rhizoma), Hanshuishi (Hydrargyri Oxidum Rubrum), each one liang; Shigao (Gypsum Fibrosum), Zhuye (Bambusae Folium, cut), each one sheng. Crushed. First boil Shigao and Zhuye in eight sheng of water to four sheng, strain, soak herbs. Fry with two jin of lard until ointment forms. Apply to lesion for effect.
Suoluo Jian (Akebia Decoction) treats red/white wind urticaria. Ingredients include Suoluogen (Akebiae Caulis), Baijili (Tribuli Fructus), Tubuo (Desmodii Caudatifolii Herba), Xixin (Asari Radix et Rhizoma), Huzhang (Polygoni Cuspidati Rhizoma et Radix), each three liang; Xinyi (Magnoliae Flos), Baifan (Alumen), Yan (Sal), each two liang. Chopped raw, mixed. Five liang of herb per dou of water, boil to two sheng, strain, reduce to half sheng. Dip cotton in medicine, apply frequently to affected area for effect.
For wind-swelling and urticaria: Baifan (Alumen), Duanshi (Calamina), each one liang. Ground. Mixed with fresh ginger juice to thin paste. Thinly applied to lesion once daily for effect.
For wind urticaria, wash with Fengxiang Tang: Fengxiang (Liquidambaris Resina), half jin; Xiong (Ligustici Chuanxiong Rhizoma), Chuan Dahuang (Rhei Radix et Rhizoma), Huangqin (Scutellariae Radix), Danggui (Angelicae Sinensis Radix), Chuan Shengma (Cimicifugae Rhizoma), Gancao (Licorice Root), Shegan (Belamcandae Rhizoma), each two liang; Kushen (Sophorae Radix), three liang; Shechuangzi (Cnidii Fructus), one liang. All raw, crushed. Five liang per dou of water, boil to five sheng, strain. Wash lesion at appropriate temperature, 3-5 times daily.
For wind-body urticaria, wash with Suoluogen Tang: Suoluogen (Akebiae Caulis), Jilibimiao (Tribuli Herba), Danggui (Angelicae Sinensis Radix), each five liang; Shechuangzi (Cnidii Fructus), Xixin (Asari Radix et Rhizoma), each two liang. Finely chopped. One dan five sheng of water, boil to one dan, strain. Wash lesion at appropriate temperature, 3-5 times daily. Re-warm if cooled.
Digupi Tang (Lycii Cortex Decoction) treats wind urticaria. Digupi (Lycii Cortex), half jin; Danggui (Angelicae Sinensis Radix), four liang; Yan (Sal), two liang; Baifan mo (Alumen Powder), one liang. Finely chopped. Five liang of herb per nine sheng of water, boil to two sheng, strain, reduce to one sheng, store in porcelain. Dip cotton, wipe lesion, 5-7 times for cure.
For wind urticaria, washing is miraculous. Ingredients include Suoluo (Akebiae Caulis), Baijili (Tribuli Fructus), Baifan (Alumen, finely ground, added later), Yinyu (Coscinii Rhizoma), Malanzi (Iris lactea var. chinensis Seed), Chongweizi (Leonuri Fructus), Xixin (Asari Radix et Rhizoma), Bianzhu (Smilacis Glabrae Rhizoma), each two liang. Chopped. One dou of vinegar-rice water, boil to five sheng, strain. Add Baifan to wash.
For wind urticaria unresponsive to hundred treatments, miraculous effect: Baifan (Alumen), five liang. Ground. Boil with three he of wine and one sheng of urine to thin paste. Dip cotton, gently rub to penetrate skin heat, rash dissipates quickly. Alternative: soak Baifan powder in wine, dip cloth to dye/apply lesion.
For ten types of urticaria: Use Duanshi (Calamina), amount unspecified. Grind extremely fine, mix with vinegar-rice water, apply to rash for immediate reduction. *Qianjin Fang* uses Duanshi leachate for washing, which is good.
Another method: Boil Suoluo, mix with little wine to apply, always curative. Can also be used for bathing.
For urticaria itch: Boil Chongweizi stem for bath, beneficial.
For wind-rash incessant itch: Crush three handfuls of Yuntaicai (Rapini), extract juice, rub vigorously on rash, keep applying small amounts to generate heat, then wash with pepper decoction.
Another method: One piece of Sheduip (Ophiopogonis Japonici Rhizoma? Note: Context implies Snake Skin, likely She Tui Pi), boil one sheng water to half sheng. Dip chicken feather in hot decoction, apply for cure.
Single prescription for facial/body spots, itching or pustule swelling, untreated can be fatal: Burn Lingyangjiao (Saigae Tataricae Cornu) to ash, grind fine. Mix with egg white to apply, very effective. Without egg, water mix is also good. Urticaria entering abdomen can be fatal. Use Can Sha (Bombyx Faeces), boil strong decoction to wash.
[Wind-Pruritus Urticaria Becoming Sores]
When wind-pathogen heat resides in the skin, injury by wind-cold causes urticaria. More heat results in red color; more wind results in white color. Severe cases involve itching/pain, becoming sores upon scratching.
Juanbai San (Selaginellae Tamariscinae Herba Powder) treats wind-skin urticaria and wind-heat toxic sores. Ingredients include Juanbai (Selaginellae Tamariscinae Herba), Zhike (Aurantii Fructus, wheat-bran fried, de-albedo), Qianghuo (Notopterygii Rhizoma et Radix, de-tipped), Mahuang (Ephedrae Herba, de-jointed), Wujia Pi (Acanthopanacis Cortex), each one liang; Chijian (Acori Tatarinowii Rhizoma), Tianzhuhuang (Calami Tuber), Bencao (Ligustici Wallichii Rhizoma et Radix, de-tipped), Fangfeng (Saposhnikoviae Radix, de-tipped), Xiong (Ligustici Chuanxiong Rhizoma), Huangqi (Astragali Radix), Sang'er (Auriculariae Auricula-Judae), Xijiao xie (Rhinoceris Cornu), each half liang; Wushe (Agkistrodon), two liang (wine-soaked). Finely ground. Two qian per dose, taken before meals with Bohe Tang (Mint Decoction). Avoid hot noodles, chicken, pork, fish, garlic.
Danshen San (Salviae Miltiorrhizae Radix Powder) treats wind-pruritus, red skin, urticaria itching, sores arising from scratching. Ingredients include Danshen (Salviae Miltiorrhizae Radix), Renshen (Ginseng Radix), Kushen (Sophorae Radix), all de-tipped; Leiwan (Polyporus Umbellatus? Note: Likely Polyporus or similar parasitic fungus, context suggests antiparasitic/anti-inflammatory), Niuxi (Achyranthis Bidentatae Radix, de-tipped), Baifuzi (Gastrodiae Rhizoma? Note: Usually Fuzi derivative or specific mineral/herb, here likely Gastrodia or similar), Paofuzi (Prepared), Baihua She (Bungarus multicinctus, wine-soaked, two liang). Finely ground. Two qian per dose, taken before meals with decocted Licorice Wine, warmed.
Shengma Gao (Cimicifuga Ointment) treats various wind-heat toxic vapors attacking skin, scratching causing urticaria, red sores, yellow fluid turning to pus/pain. Ingredients include Chuan Shengma (Cimicifugae Rhizoma), Bailian (Paeoniae Rubra Radix), Loulu (Euphorbiae Humifusae Radix), Zhike (Aurantii Fructus), Lianqiao (Forsythiae Fructus), Lanye (Isatidis Folium), Huangqin (Scutellariae Radix), Zhizi Ren (Gardeniae Fructus), Suoluogen (Akebiae Caulis), Xuanshen (Scrophulariae Radix, de-tipped), Dahuang (Rhei Radix et Rhizoma), Shexiancao (Patriniae Herba), Chuan Mangxiao (Natrii Sulfas), Xijiao xie (Rhinoceris Cornu), each one liang. Finely chopped. Mixed with three sheng of Zhuli (Bamboo Sap), left overnight. Fried with two jin of refined lard until Bailian turns scorched yellow. Strain, let solidify. Massage to lesion six times daily for cure.
For wind-pruritus urticaria, generalized itching, sores from scratching: Yinchen (Artemisiae Scopariae Herba, raw), Kushen (Sophorae Radix), each five liang. Finely chopped. One dou of water, boil to two sheng, adjust to warm. Dip cotton, wipe, 5-7 times daily for cure.
Another method: Can Sha (Bombyx Faeces), one sheng. Two dan of water, boil to one dan two sheng, strain. Warm appropriately, wash, avoid wind.