肾脏风,属肾虚,风邪乘于 胫,以致皮肤如癣,或渐延上腿,久则延及遍身。外
证则搔痒成疮,脓水淋漓,眼目昏花;内证则口燥舌干,腰腿倦怠,吐痰发热,盗汗体
疲。治法用六味丸为主,佐以四生散。若脾胃虚弱者,用补中益气为主,佐以六味丸、四
生散为善。 钦天薛循斋,六十有一。两 患之,脓水淋漓,发热吐痰,四年矣。此肾
脏风证也,与六味丸、四生散而瘥。年余复作,延及遍身,日晡益甚,痰渴盗汗,唇舌
生疮,两目昏赤,皆肾经虚火,而水泛为痰,用加减八味丸而愈。三年后,小便淋漓,茎
中涩痛,此思色精不出而内败也,用前丸及补中益气汤,加麦门、五味而愈。
蒺藜丸 治男子两足瘙痒生疮,连年累月,俗为肾风疮。宜服此药。
黄 牛膝(各半两) 羌活 独活 川芎 防风 木香 白附子(各二钱半) 白蒺藜
(一两,去刺)
上为细末,炼蜜和丸,如梧子大,每服三十丸,空心盐汤送下。仍以后方药敷之。
槟榔 木香 防风 白芷(各二钱) 白芨(一钱) 龙骨(五分, 、另研) 麝香(一字,另研)
蛇蜕(一条,烧灰) 腻粉(十五筒)
上为细末,研匀。先以鳝鱼一条,捶碎,百部一两,切碎,南椒三铢,油一两,煎令
得所,去药。只以油搽疮口,却敷末药上,以油纸裹之,三日一换。每上药时,先用柳枝、
甘草煎汤,洗疮净拭干敷药。
驴蹄散 治肾脏风毒,下注生疮。
驴蹄(二十片,烧灰) 密陀僧(二钱半,研) 轻粉(一钱匕) 麝香(半钱匕)
上研细末。以帛拭去脓,用些少干掺,日三四次瘥。
Kidney wind (Shen Feng) belongs to Kidney deficiency (Xu), where Wind pathogen (Feng Xie) invades the shank, causing the skin to resemble tinea or gradually spreading up to the thigh; in prolonged cases, it spreads over the entire body. External manifestations include itching leading to sores with dripping pus and water, and blurred vision; internal manifestations include dry mouth and tongue, fatigue of the waist and legs, vomiting of phlegm accompanied by fever, night sweats, and general fatigue. The treatment method uses Liuwei Wan (Six-Ingredient Pill with Rehmannia) as the primary formula, assisted by Sisheng San (Four Fresh Powder). For those with Spleen and Stomach weakness (Pi Wei Xu Ruo), Buchong Yiqi Tang (Decoction for Replenishing the Middle and Augmenting Qi) should be used as the primary formula, assisted by Liuwei Wan and Sisheng San.
Xue Xunzhai, an official at the Directorate of Astronomy, was sixty-one years old. He suffered from this condition in both feet, with dripping pus, fever, and expectoration of phlegm for four years. This was a case of kidney wind syndrome; he was treated with Liuwei Wan and Sisheng San and recovered. More than a year later, the condition recurred and spread over the entire body, worsening in the late afternoon, accompanied by profuse phlegm, thirst, night sweats, sores on the lips and tongue, and redness and blurriness in both eyes. These were all due to deficient fire in the Kidney meridian and fluid overflowing to transform into phlegm. He was cured using Jiaban Bawei Wan (Modified Eight-Ingredient Pill). Three years later, he experienced dribbling urination and astringent pain in the urethra; this was caused by sexual desire without emission, leading to internal deterioration. He was cured using the aforementioned pill combined with Buchong Yiqi Tang, added with Maidong (Ophiopogon Root) and Wuweizi (Schisandra Fruit).
Jili Wan (Tribulus Pill): Treats men with itching and sores on both feet persisting for years, commonly known as kidney wind sores. It is suitable to take this medicine.
Huangqi (Astragali Radix), Niuxi (Achyranthis Bidentatae Radix) (each half liang), Qianghuo (Notopterygii Rhizoma et Radix), Duhuo (Angelicae Pubescentis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Fangfeng (Saposhnikoviae Radix), Muxiang (Aucklandiae Radix), Baifuzi (Typhonii Rhizoma) (each two qian ban), Bajieli (Tribuli Fructus) (one liang, remove spines).
Grind the above ingredients into fine powder, mix with refined honey to form pills the size of wutong seeds. Take thirty pills per dose, administered orally with salted water on an empty stomach. Additionally, apply the following external prescription.
Binglang (Arecae Semen), Muxiang (Aucklandiae Radix), Fangfeng (Saposhnikoviae Radix), Baizhi (Angelicae Dahuricae Radix) (each two qian), Baiji (Bletillae Rhizoma) (one qian), Longgu (Fossilia Ossis Mastodi et Humerus) (five fen, calcined and ground separately), Shexiang (Moschus) (one zi, ground separately), Shetui (Serpentis Skin) (one strip, burned to ash), Nifen (Calomelas) (fifteen tubes).
Grind the above ingredients into fine powder and mix uniformly. First, crush one eel, combine with one liang of Bubu (Stemonae Radix) chopped, three zhu of Nan Jiao (Zanthoxyli Pericarpium), and one liang of oil. Decoct until properly prepared, then filter out the dregs. Use only the oil to smear the sore, then sprinkle the powder medicine on top, and wrap with oiled paper. Change once every three days. Before applying the medicine each time, first wash the sore clean and dry it with a decoction of Liuzhi (Salix Branch) and Gancao (Glycyrrhizae Radix et Rhizoma).
Lv Ti San (Donkey Hoof Powder): Treats kidney wind toxicity descending to generate sores.
Lv Ti (Asini Corneum) (twenty slices, burned to ash), Mituosen (Lithargyrum) (two qian ban, ground), Qingfen (Calomelas) (one qian bi), Shexiang (Moschus) (half qian bi).
Grind the above ingredients into fine powder. Wipe away pus with cloth, apply a small amount of dry powder to the affected area, three to four times daily until healed.