痤，小疖，世谓之热疖是也。王注云∶大如酸枣，或如豆，色赤而内有脓血也。
〔海〕汗出见湿，乃生痤痱，痱为疮疖也。
劳汗当风，寒薄为 ，郁乃痤。痤色赤， 内有脓血。
旋复花丸
旋复花（三两） 防风 白芷 甘菊 南星 半夏 石膏 川芎 陈皮 白附子（各半两）
蝎梢 僵蚕（炒。各三钱）
上细末，姜糊丸桐子大。姜汤下三五十丸，食后。
疹似伤寒，暴发暴消，世讹为 子者是也。疥似疹而延岁月，或干湿痒痛不一，经所谓瘾疹
是也。癣亦延岁月，干而不湿，痒而不痛是也。
〔丹〕疹属热，与痰在肺，清肺火降痰，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。
〔《圣》〕治风疹入腹，身体强，舌干燥。用蔓青子三两为末，每服温酒下一钱匕。
运气疹者有二∶
一曰热。经云∶火郁之发，民病疡痱。又云∶岁木不及，燥乃大行，复则炎暑，流火、疮疡、
痱疹。又云∶少阴之复，民病痱疹是也。
二曰风。经云∶岁水不及，湿乃大行，复则大风暴发，肌肉疹发是也。
〔河〕防风通圣散 治风热疮疥久不愈。（方见痫门。）
〔丹〕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。
麻黄饮治上体生疮，或痒或痛，黄水浸淫，结痂堆起，延蔓于三阳之分，根窠小，带红肿，
此是湿热症。
麻黄（半两，去根留节） 防风（半两） 羌活 石膏（六钱半， ） 黄芩（四钱） 滑石（一两）
陈皮 紫萍（各七钱半） 鼠粘子（七钱半） 缩砂（二钱半） 苍耳草（三钱半） 苍术（半两）
生甘草（三钱半） 薄荷叶（一钱半） 荆芥（二钱半）
上 咀，每六钱重，水一钟半，猛火煎取六分，入好酒四五滴，去渣，热服。须得通身有汗，
其疮自安。甚者，服至百服之后，看汗出到何处，若自上而下出过脚 ，其疮自愈。
〔《局》〕消毒散（丹溪云∶消毒散气，表药也。）
防风（一两） 甘草（二两） 荆芥穗（三两） 黍粘子（四两）
上为粗末。每服三钱，水一盏，煎至七分，去渣，食后温服。
〔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。
〔丹〕何小官生疮，小便黄，用通圣散一钱半煎，下黄精丸。
杨三哥女生疮，午后发热，日间恶寒，形削食少。
白术（二钱） 连翘（一钱） 煎下黄精丸三十粒。
〔垣〕每风疮、大风病相似。好桑叶洗蒸一宿，日干，末，汤下二钱匕。（《经验方》）
〔《圣》〕治风，遍身瘾疹，疼痛成疮。用白僵蚕少许，焙黄细研为末，酒服立瘥。
〔子和〕颖皋韩吉卿，自髀至足生湿 ，大者如钱，小者如豆，痒则搔破，水到则浸淫，状类
虫行 袜。愈而复生，瘢痕成凹，十余年不瘥。戴人哂之曰∶此湿 疮也。由水湿而得，故多在足下。以舟车、
浚川大下十余行，一去如扫。
〔《山》〕瘾疹入腹，亦能杀人。用蚕砂浓煎汤，洗之。
〔《衍》〕有人病遍身风热细疹，痒痛不可任，连脑胫脐腹及近隐处皆然，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。
〔子和〕有樵夫来买苦参，欲治疥。不识药性缓急，但闻人言可治，浓煎一碗服之。须臾大
吐涎一盆，三二日疥作痂矣。
〔丹〕一上散治诸般疥疮，或痛或痒，或喜汤火烘洗者。
蛇床子（一两，略炒） 雄黄（一两，另研） 硫黄（二钱半，另研） 白矾（半两）
黄连（半两） 黑狗脊（一两） 寒水石（一两，另研） 斑蝥（十四个，去翅足） 吴茱萸（三钱）
白胶香（一两，铜铫溶过，倾干石头上放冷，研）
上为细末，香油调敷。治疥疮，先用苍耳草或羊不食草藤煎浓汤洗去疮痂，然后用前药敷，
可一次愈。
小儿面疮，通面烂无全肤，脓水流漓，百药不效者，陈年腊猪油不入盐者，敷之神效。（出小儿门。）
又诸般疥癣加减法∶肿多，加白芷开郁。痛多，加白芷、方解石。痒多，加枯矾。阴囊疮，
加茱萸，湿多，香油调。干痒出血多，加大黄、黄连，猪脂调。虫多，加芜荑、锡灰、槟榔、藜芦、
斑蝥。红色，加黄丹。青色，加青黛。疮在上，多服通圣散。在下，多以藏用丸下。脚肿出血，加
血分湿热药。
脓胞疮，治热为主。
黄芩 黄连 大黄（各三钱） 蛇床子 寒水石（二钱） 黄丹（五分） 白矾（一钱） 轻粉
白芷 无名异（各少许） 木香（少许，痛者加）
上为细末，麻油调涂。
又 疮药 脓窠，治热燥湿为主。虫疮如癣状，退热杀虫为主。干疥疮，开郁为主，加吴茱萸。
芜荑 黑狗脊（杀虫） 樟脑（一钱） 松香（头上多加之） 白矾 雄黄 硫黄 水银（杀虫）
黄连 方解石（一分） 蛇床子（定痒杀虫）
松皮灰（脓肿湿多加之）
〔罗〕 茹散治疥经年不瘥。
水银（一钱） 好茶（二钱） 茹（三钱） 轻粉（少许）
上为细末，每用不拘多少，麻油调涂之。
〔世〕治疥癣。以腊月猪脂，不拘多少，同生白矾、杏仁，加轻粉，捣烂擦之。（陈无择云∶
杏仁、轻粉，最杀虫，甚妙。）
〔《本》〕治疥，不问新久方。
白芜荑（一两） 槟榔 吴茱萸（各半两） 硫黄（二钱，另研）
上为末，麻油调，抓破揩之。
〔丹〕砂疮。杀虫为主。
芜荑（二钱） 剪草（一钱） 蛇床子（三钱） 白矾（一钱，飞） 明矾（一钱） 吴茱萸（一钱）
苍术 浓朴 雄黄（各半钱） 寒水石（二钱） 黄柏（二钱） 轻粉（十 ）
〔世〕治砂疮。山蚁窠、黄荆叶、雉鸡毛等分，烧存性，为末，香油调敷。
又方 用陈年船底灰，捣细筛过，桐油调敷立效。
又方 治砂疮，用水莴苣烧灰存性，香油调敷，立愈。水多者干敷。（水莴苣如百合状，生
水边，七八月结子，又如野苏状。）
〔丹〕疥癞疮。（春天发疮疥，开郁为主，不宜抓破。）
白矾 吴茱萸（各二钱） 樟脑（五分） 轻粉（十 ） 寒水石（二钱半） 蛇床子（二钱）
黄柏 大黄（各二钱） 硫黄（一钱） 槟榔（一个）
上为末，猪脂油调搽。
治 疥湿疮，浸淫日久，痒不可忍，搔之黄水出，瘥后复发。取羊蹄根去皮，细切熟熬，
以大酢和。先洗净，敷上一时，再以冷水洗之，日一敷瘥。若为末敷，尤妙。（《千金翼》）
治疥。取羊蹄根，和猪脂涂上，或着盐少许即焦。（《外台秘要》）
治遍身风痒，生疮疥，茵陈煎汤，浓洗立安。（《千金翼》）
〔《衍》〕有人患遍身生热毒疮，痛而不痒，手足尤甚，至颈而止，粘着衣被，晓夕不得睡，
痛不可忍。有下俚教以菖蒲三斗锉，日干之，舂罗为末，布席上，使病疮人恣卧其间，仍以衣被覆
之。既不粘衣被，又复得睡，不五七日，其疮如失，应手神验。
〔丹〕浸淫疮痛不可忍者，发寒热，刺蓟末水调敷疮上，干则易之。（《简要济众》）
治疥癣满身作疮不可治者，何首乌、艾等分，以水煎令浓，于盆内洗之，甚能解痛生肌。（《博济》）
〔《外》〕元希声侍郎，治卒发疥秘验方。锻石随多少和醋，浆水调涂，随手即减。一法
用锻石炒红，出火气，香油调敷。
〔丹〕又方淋锻石汁洗之。（《孙真人》）
〔罗〕木香散治多时不敛一切恶疮，此药能生肌肉止痛。
木香 槟榔 黄连（各半两） 白芷（三钱）
以上同为细末，先洗净，每日一遍，干贴。有水出勿怪．未效又贴。
又方同上，加地骨皮为细末。先于疮口上，用温浆水洗湿，挹干后，上药治之，效不可述。
暨治下疳疮，神效。
〔丹〕诸疮癣久年者，千年韭根炒存性，末之，猪油调敷三次。（《经验》）
〔《兵部手集》〕多年恶疮不瘥，或痛痒生舋烂，研马粪并齿灰敷上，不过三两遍效。武良相
在蜀，足胫有疮，痛不可忍，得此方，便瘥。
〔丹〕 风疮久不瘥。烧菰蒋末以敷之。（按本草即野茭白。）
〔《山》〕痱子。茨菰叶阴干为末，敷之。
〔《经》〕 患秃疮。以水研山豆根，敷疮上。患麸豆等疮，以水研山豆根，服少许。
〔丹〕 连痂痒痛。捣扁竹封，痂落即瘥。（《肘后方》）洗诸疮疥，取冬瓜藤皮煎汤妙。
（日华子。）中风，犯毒雾，栎
木皮煎汤洗妙。（本草。）
运气 浸淫皆属火。经云∶岁火太过，甚则身热肤浸淫是也。
〔《玉》〕手疥∶劳宫（灸） 大陵（灸）
〔世〕疮疥顽癣∶绝骨 三里（各寸半，泻） 间使 解溪（各五分） 血 （三寸，泻）
〔《集》〕浑身生疮疥∶曲池 合谷 三里 绝骨 行间 委中
〔《甲》〕癣疥∶阳溪主之。
少阴有余，病皮痹瘾疹。（全文见诸症。）
〔仲〕浸淫疮，从口流向四肢者，可治；四肢流来入口者，不可治。
痤，即小疖子，世人称之为热疖。王冰注解说：大小像酸枣或豆子，颜色发红，内部有脓血。
《黄帝内经·素问》记载：出汗后遇到湿气，就会生痤和痱子，痱就是疮疖。
劳累出汗时受风，寒气逼迫体表，郁结在皮肤里就形成痤。痤的颜色发红，内部有脓血。
旋复花丸
处方组成：旋复花（三两）、防风、白芷、甘菊、天南星、半夏、石膏、川芎、陈皮、白附子（各半两）；蝎梢、僵蚕（炒制，各三钱）。
制法与用法：将上述药物研成细末，用姜汁糊制成梧桐子大小的丸药。饭后服用，每次三十至五十丸，用姜汤送服。
疹的症状类似伤寒，发病突然，消退也快，世人误称为“痧子”。疥的症状类似疹，但病程迁延数月甚至数年，或者干燥或湿润，瘙痒疼痛程度不一，《黄帝内经》中称之为瘾疹。癣也是病程迁延，表现为干燥而不湿润，瘙痒而不疼痛。
朱丹溪认为：疹属于热证，病机为痰热蕴肺，治疗应清肺火、降痰浊，或者通过解表发汗来疏散邪气，也有可以使用下法的情况。疹邪在表的，用消毒饮子、防风通圣散；疹邪在里的，用大柴胡汤、四顺饮子；体质虚弱的，用补中益气汤，这些治疗方法都与治疗伤寒的原则相同。
《太平圣惠方》记载：治疗风疹入腹，导致身体强直、舌面干燥。用蔓菁子三两研成粉末，每次服用一钱匕，用温酒送服。
运气学说中的疹分为两种类型：
一是热疹。经文说：火气郁结而发作时，百姓容易患疡痱。又说：如果岁运木气不足，燥气就会大行其道，随后炎暑之气报复性出现，会有流火、疮疡、痱疹等病症。又说：少阴君火之气报复时，百姓易患痱疹。
二是风疹。经文说：如果岁运水气不足，湿气就会大行其道，随后大风暴发，导致肌肉间出现疹发。
李东垣的防风通圣散：治疗风热引起的疮疥，久治不愈。（该方剂详见痫病章节。）
朱丹溪医案：朱院君，三十多岁，长期患有瘾疹，身体麻木且肤色紫暗，可以给予防风通圣散加牛蒡子，研成极细粉末。每次取二钱，加水一盏半，加入姜汁使其辛辣，煎煮后在饭前热服。
麻黄饮：治疗上半身生疮，或者痒或者痛，黄水浸淫蔓延，结成痂皮堆起，蔓延在三阳经分布的区域，根部较小，带有红肿，这是湿热症。
处方组成：麻黄（半两，去根留节）、防风（半两）、羌活、石膏（六钱半，捣碎）、黄芩（四钱）、滑石（一两）、陈皮、紫萍（各七钱半）、鼠粘子（即牛蒡子，七钱半）、缩砂仁（二钱半）、苍耳草（三钱半）、苍术（半两）、生甘草（三钱半）、薄荷叶（一钱半）、荆芥（二钱半）。
制法与用法：将药物切碎，每次取六钱重，加水一钟半，用猛火煎取六分之一的药液，加入好酒四五滴，去渣，热服。必须让全身出汗，疮疡自然安宁。病情严重的，服药一百次以后，观察汗出到哪里，如果汗从上往下出过脚部，其疮自愈。
《局方》消毒散：（丹溪说：消毒散是气分药，属于表药。）
处方组成：防风（一两）、甘草（二两）、荆芥穗（三两）、黍粘子（即牛蒡子，四两）。
制法与用法：研成粗末。每次服用三钱，加水一盏，煎至七分，去渣，饭后温服。
初虞世医案：治疗皮肤风热，遍身生出瘾疹。用牛蒡子、浮萍等分，以薄荷汤调服二钱，每日两次。
朱丹溪医案：何小官生疮，小便黄，用通圣散一钱半煎汤，送服黄精丸。
杨三哥女生疮，午后发热，白天怕冷，形体消瘦，食欲减少。
处方：白术（二钱）、连翘（一钱），煎汤送服黄精丸三十粒。
张从正（号戴人，此处指代河间学派或相关论述，原文标注〔垣〕可能指李杲，但内容涉及风疮似大风病，桑叶疗法常见于民间或特定流派，此处依原文提取）：每见风疮、大风病症状相似。用好桑叶洗净蒸一夜，晒干，研成粉末，用汤水送服二钱匕。（出自《经验方》）
《太平圣惠方》：治疗风邪，遍身瘾疹，疼痛成疮。用少量白僵蚕，焙黄后细研为末，用酒送服，立刻痊愈。
张从正（子和）医案：颖皋韩吉卿，从大腿到脚生出湿疮，大的像铜钱，小的像豆子，痒了就抓破，水流出来就浸淫蔓延，形状像虫子在袜子里爬行。好了又复发，留下凹陷的瘢痕，十多年不好。戴人嘲笑他说：这是湿疮。由水湿引起，所以多在脚下。用舟车丸、浚川散猛烈攻下十余次，一去如扫，病愈。
《山居本草》：瘾疹入腹，也能杀人。用蚕砂浓煎汤，清洗患处。
《衍义》：有人患病遍身风热细疹，痒痛难忍，连头部、小腿、肚脐腹部及隐私部位都这样，涎痰也多，晚上睡不着觉。用苦参末一两，皂角二两，水一升，揉搓过滤取汁，用银石器熬成膏，混合苦参制成梧桐子大小的丸药。饭后温水送服二十丸，第二天就好了。
张从正（子和）医案：有个樵夫来买苦参，想治疗疥疮。不认识药性的缓急，只听人说能治，就浓煎一碗喝下去。一会儿大吐出一盆涎沫，两三日后疥疮结痂了。
朱丹溪：一上散治疗各种疥疮，或者痛或者痒，或者喜欢用热水烫洗的。
处方组成：蛇床子（一两，略炒）、雄黄（一两，另研）、硫黄（二钱半，另研）、白矾（半两）、黄连（半两）、黑狗脊（一两）、寒水石（一两，另研）、斑蝥（十四个，去翅足）、吴茱萸（三钱）、白胶香（一两，用铜锅熔化后倒在石头上放冷，再研碎）。
制法与用法：研成细末，用香油调和敷用。治疗疥疮，先用苍耳草或羊不食草藤煎浓汤清洗去掉疮痂，然后用前面的药敷，可以一次治愈。
小儿面疮，通面溃烂没有完好的皮肤，脓水流淌，百药无效的，用陈年腊猪油（不含盐的），敷用神效。（出自小儿门。）
另外各种疥癣的加减法：肿胀多的，加白芷开郁结。疼痛多的，加白芷、方解石。瘙痒多的，加枯矾。阴囊疮，加吴茱萸，湿气多用香油调和。干燥瘙痒出血多的，加大黄、黄连，用猪脂调和。虫多的，加芜荑、锡灰、槟榔、藜芦、斑蝥。红色的，加黄丹。青色的，加青黛。疮在上半身，多服用通圣散。在下半身，多用藏用丸攻下。脚肿出血，加治疗血分湿热的药。
脓胞疮，治疗以清热为主。
处方组成：黄芩、黄连、大黄（各三钱）、蛇床子、寒水石（二钱）、黄丹（五分）、白矾（一钱）、轻粉、白芷、无名异（各少许）、木香（少许，疼痛者加量）。
制法与用法：研成细末，用麻油调和涂抹。
另外，治疗脓窠疮的药，以清热燥湿为主。虫疮像癣状的，以退热杀虫为主。干疥疮，以开郁为主，加吴茱萸。
处方组成：芜荑、黑狗脊（杀虫）、樟脑（一钱）、松香（头上多加之）、白矾、雄黄、硫黄、水银（杀虫）、黄连、方解石（一分）、蛇床子（定痒杀虫）、松皮灰（脓肿湿多加之）。
罗谦甫：茹散治疗疥疮经年不愈。
处方组成：水银（一钱）、好茶（二钱）、茹（三钱）、轻粉（少许）。
制法与用法：研成细末，每次用量不拘多少，用麻油调和涂抹。
陈无择：治疗疥癣。用腊月猪脂，不拘多少，同生白矾、杏仁，加轻粉，捣烂擦之。（陈无择说：杏仁、轻粉，最杀虫，甚妙。）
《本草纲目》：治疗疥疮，不问新久的方子。
处方组成：白芜荑（一两）、槟榔、吴茱萸（各半两）、硫黄（二钱，另研）。
制法与用法：研成粉末，用麻油调和，抓破皮肤后揩擦。
朱丹溪：砂疮。以杀虫为主。
处方组成：芜荑（二钱）、剪草（一钱）、蛇床子（三钱）、白矾（一钱，飞制）、明矾（一钱）、吴茱萸（一钱）、苍术、浓朴、雄黄（各半钱）、寒水石（二钱）、黄柏（二钱）、轻粉（十个）。
陈无择：治疗砂疮。用山蚁窠、黄荆叶、雉鸡毛等分，烧存性，研成粉末，用香油调和敷用。
又一方：用陈年船底灰，捣细筛过，桐油调和敷用，立即见效。
又一方：治疗砂疮，用水莴苣烧灰存性，香油调和敷用，立即痊愈。水多的干敷。（水莴苣像百合状，生长在水边，七八月结子，又像野苏状。）
朱丹溪：疥癞疮。（春天发疮疥，以开郁为主，不宜抓破。）
处方组成：白矾、吴茱萸（各二钱）、樟脑（五分）、轻粉（十个）、寒水石（二钱半）、蛇床子（二钱）、黄柏、大黄（各二钱）、硫黄（一钱）、槟榔（一个）。
制法与用法：研成粉末，用猪脂油调和搽涂。
治疗湿疮，浸淫日久，痒不可忍，搔之黄水出，好后复发。取羊蹄根去皮，细切熟熬，用大醋调和。先洗净，敷上一个时辰，再用冷水洗之，每天敷一次就好。如果做成粉末敷用，尤其妙。（出自《千金翼方》）
治疗疥疮。取羊蹄根，和猪脂涂上，或者加少许盐就会焦化。（出自《外台秘要》）
治疗遍身风痒，生疮疥，茵陈煎汤，浓洗立即安适。（出自《千金翼方》）
《衍义》：有人患病遍身生热毒疮，痛而不痒，手足尤其严重，到颈部为止，粘着衣被，早晚不得睡觉，痛不可忍。有乡下人教他用菖蒲三斗切碎，晒干，舂碎罗筛为末，铺在席子上，让生病的人随意躺卧其间，仍然用衣被覆盖他。这样既不粘衣被，又能睡觉，不到五七日，他的疮像消失了一样，应手神验。
朱丹溪：浸淫疮痛不可忍者，发寒热，刺蓟末水调敷疮上，干了就换。（出自《简要济众方》）
治疗疥癣满身作疮不可治者，何首乌、艾叶等分，用水煎令浓，在盆内洗之，很能解痛生肌。（出自《博济方》）
《外科正宗》：元希声侍郎，治疗突发疥疮的秘验方。锻石随多少和醋，浆水调涂，随手即减。一种方法是用锻石炒红，去火气，香油调和敷用。
朱丹溪：又一方淋锻石汁洗之。（出自《孙真人经验方》）
罗谦甫：木香散治疗多时不收敛的一切恶疮，此药能生肌肉止痛。
处方组成：木香、槟榔、黄连（各半两）、白芷（三钱）。
制法与用法：以上同为细末，先洗净，每日一遍，干贴。有水出不要奇怪，未效又贴。
又方同上，加地骨皮为细末。先在疮口上，用温浆水洗湿，擦干后，上药治之，效不可述。以及治疗下疳疮，神效。
朱丹溪：诸疮癣久年者，千年韭根炒存性，研末，猪油调敷三次。（出自《经验方》）
《兵部手集》：多年恶疮不愈，或者痛痒生创面腐烂，研马粪并齿灰敷上，不过两三遍有效。武良相在蜀地，足胫有疮，痛不可忍，得到这个方子，便痊愈了。
朱丹溪：风疮久不愈。烧菰蒋末以敷之。（按本草即野茭白。）
《山居本草》：痱子。茨菰叶阴干为末，敷之。
《经络》：患秃疮。以水研山豆根，敷疮上。患麸豆等疮，以水研山豆根，服少许。
朱丹溪：连痂痒痛。捣扁竹封，痂落即瘥。（出自《肘后方》）洗诸疮疥，取冬瓜藤皮煎汤妙。（日华子。）中风，犯毒雾，栎木皮煎汤洗妙。（本草。）
运气学说：浸淫皆属火。经文说：岁火太过，严重时身体发热肤浸淫就是这种情况。
《玉机真脏论》：手疥：劳宫穴（灸）、大陵穴（灸）。
陈无择：疮疥顽癣：绝骨穴、三里穴（各寸半，泻法）、间使穴、解溪穴（各五分）、血海穴（三寸，泻法）。
《针灸集成》：浑身生疮疥：曲池穴、合谷穴、三里穴、绝骨穴、行间穴、委中穴。
《甲乙经》：癣疥：阳溪穴主治。
少阴有余，病皮痹瘾疹。（全文见诸症章节。）
张仲景：浸淫疮，从口流向四肢的，可治；四肢流来入口的，不可治。
Acne (small boils), also known in the world as heat boils. Wang Bing's commentary states: Size like a sour jujube or a bean, red in color with pus and blood inside.
The *Huangdi Neijing* records: When sweat meets dampness, acne and prickly heat arise; prickly heat refers to sores and boils.
When laboring sweat is exposed to wind, cold forces its way into the body, stagnating in the skin leads to acne. Acne is red in color with pus and blood inside.
Xuanfu Wan (Inula Pill)
Ingredients: Xuanfuhua (Inulae Flos, 3 liang), Fangfeng (Saposhnikoviae Radix), Baizhi (Angelicae Dahuricae Radix), Ganju (Chrysanthemi Flos), Nanxing (Arisaematis Rhizoma), Banxia (Pinelliae Rhizoma), Shigao (Gypsum Fibrosum), Chuanxiong (Ligustici Chuanxiong Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Baifuzi (Typhonii Rhizoma) (each 0.5 liang); Xieshao (Scorpio tail), Jiangcan (Bombyx Batryticatus) (stir-fried, each 3 qian).
Preparation and Administration: Grind the above ingredients into fine powder, form pills with ginger paste size of paulownia seeds. Take 30-50 pills after meals, washed down with ginger decoction.
Rash resembles Taiyang disease (exterior syndrome), appearing suddenly and disappearing quickly; the world mistakenly calls it "Sha zi" (sand children/prickly heat rash). Prurigo (Jie) resembles rash but lasts for months or years, varying between dry and wet, with different degrees of itching and pain; this is what the *Neijing* calls Yin Zhen (nettle rash). Tinea (Xuan) also lasts for years, characterized by dryness without moisture, itching without pain.
Zhu Danxi stated: Rash belongs to Heat, associated with Phlegm in the Lung. Treatment should clear Lung Fire and descend Phlegm, or resolve the exterior and induce sweating; there are cases where purgation is applicable. For rash at the Exterior level, use Xiaodu Yinzi (Disinfecting Decoction) or Fangfeng Tongsheng San (Wind-Protecting Universal Salvation Powder); for rash 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). These treatments follow the same principles as treating Taiyang disease.
The *Taiping Shenghui Fang* records: Treating Wind-Rash entering the abdomen, causing body stiffness and dry tongue. Use Manqingzi (Brassicae Napus Seed) 3 liang ground into powder. Take 1 qian bi per dose with warm wine.
There are two types of Rash according to the Six Qi (Yunqi) theory:
First is Heat. The classic says: When Fire is depressed and erupts, the people suffer from ulcers and prickly heat. It also says: If the yearly Wood Qi is insufficient, Dryness prevails greatly; subsequently,炎暑 (hot summer) retaliates, leading to flowing fire, sores, ulcers, and prickly heat. It also says: When Shaoyin (Ministerial Fire) retaliates, the people suffer from prickly heat.
Second is Wind. The classic says: If the yearly Water Qi is insufficient, Dampness prevails greatly; subsequently, great storms erupt, causing rashes to develop in the muscles.
Li Dongyuan's Fangfeng Tongsheng San (Wind-Protecting Universal Salvation Powder): Treats wind-heat sores and tinea that do not heal for a long time. (Formula see Epilepsy section.)
Zhu Danxi Case: Zhu Yuanjun, over thirty years old, suffered from chronic Yin Zhen (nettle rash), body numbness, and purple complexion. Prescribe Fangfeng Tongsheng San added with Niubangzi (Arctii Fructus), ground to extremely fine powder. Take 2 qian per dose, add half a cup of water and ginger juice until spicy, decoct, and drink hot before meals.
Mahuang Yin (Ephedra Drink): Treats sores on the upper body, either itching or painful, with yellow fluid oozing, forming crusts, spreading across the three Yang meridians, with small roots and red swelling. This is a Damp-Heat pattern.
Ingredients: Mahuang (Ephedrae Herba, 0.5 liang, remove roots keep nodes), Fangfeng (Saposhnikoviae Radix, 0.5 liang), Qianghuo (Notopterygii Rhizoma et Radix), Shigao (Gypsum Fibrosum, 6.5 qian, crushed), Huangqin (Scutellariae Radix, 4 qian), Huashi (Haliotidis Concha, 1 liang), Chenpi (Citri Reticulatae Pericarpium), Ziping (Urticae Herba, each 7.5 qian), Niuzi (Arctii Fructus, 7.5 qian), Suosha (Amomi Fructus Rotundus, 2.5 qian), Cang'ercao (Xanthii Herba, 3.5 qian), Cangzhu (Atractylodis Rhizoma, 0.5 liang), Sheng Gancao (Glycyrrhizae Radix et Rhizoma, 3.5 qian), Boheye (Menthae Haplocalycis Herba, 1.5 qian), Jingjie (Schizonepetae Spica, 2.5 qian).
Preparation and Administration: Cut the herbs. Take 6 qian weight per dose, add 1.5 zhong of water, boil vigorously to reduce to 0.6 portion. Add 4-5 drops of good wine, strain, and take hot. Sweating throughout the body is required for the sores to settle. In severe cases, after taking about 100 doses, observe where the sweat comes out; if it flows from top to bottom past the feet, the sores will heal spontaneously.
Ju Fang Xiaodu San (Disinfecting Powder from the Imperial Formulary): (Danxi said: Xiaodu San regulates Qi, it is an exterior-resolving medicine.)
Ingredients: Fangfeng (Saposhnikoviae Radix, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 2 liang), Jingjiesui (Schizonepetae Spica, 3 liang), Shuniuzi (Arctii Fructus, 4 liang).
Preparation and Administration: Grind into coarse powder. Take 3 qian per dose, add 1 cup of water, decoct to 0.7 portion, strain, and take warm after meals.
Chu Yushi Case: Treating skin wind-heat, nettle rash all over the body. Use Niubangzi (Arctii Fructus) and Fuping (Urticae Herba) in equal parts, mix with Bohe Tang (Mint Decoction) to take 2 qian, twice daily.
Zhu Danxi Case: He Xiaoguan had sores, yellow urine. Use Tongsheng San 1.5 qian decocted, taken with Huangjing Wan (Polygonati Rhizoma Pill).
Yang Sangeguniang had sores, fever in the afternoon, aversion to cold during the day, emaciation, and poor appetite.
Prescription: Baizhu (Atractylodis Macrocephalae Rhizoma, 2 qian), Lianqiao (Forsythiae Fructus, 1 qian), decocted to take 30 Huangjing Wan (Polygonati Rhizoma Pills).
Zhang Congzheng (He Jian School): Wind sores often resemble Big Wind Disease (Leprosy-like conditions). Soak Mulberry leaves, steam overnight, dry in sun, grind to powder, take 2 qian bi with water decoction. (From *Experience Formula*)
*Taiping Shenghui Fang*: Treating Wind, nettle rash all over the body, painful sores. Use a small amount of Bai Jiangcan (Bombyx Batryticatus), roast until yellow, grind finely, take with wine for immediate cure.
Zhang Congzheng (Zihe) Case: Han Jiqing from Yingzhou developed wet sores from thigh to foot, large ones like coins, small ones like beans. Scratching breaks them, fluid oozes, resembling insects crawling in socks. Recurs repeatedly, leaving concave scars, unhealed for over ten years. Zihe laughed and said: This is Wet Sore. Caused by water-dampness, hence mostly on the feet. Used Zhouche Wan (Boat Vehicle Pill) and Junchuan San (River-Dredging Powder) to purge violently more than ten times, curing it instantly.
*Shan Ju Ben Cao*: Nettle rash entering the abdomen can be fatal. Use Can Sha (Bombyx Batryticatus residue) decocted strongly, wash the affected area.
*Yan Yi*: Someone suffered from fine wind-heat rashes all over the body, unbearable itching and pain, extending to head, calves, navel, abdomen, and private parts. Excessive saliva and phlegm, insomnia. Use Kushen (Sophorae Flavescentis Radix) powder 1 liang, Zaojiao (Gleditsiae Sinensis Fructus) 2 liang, water 1 sheng, rub and filter to get juice, boil in silver/copper vessel to make paste, mix with Kushen to make paulownia seed-sized pills. Take 20 pills with warm water after meals, cured next day.
Zhang Congzheng (Zihe) Case: A woodcutter bought Kushen (Sophorae Flavescentis Radix) to treat scabies. Unaware of drug potency, just heard it works, boiled a bowl strong and drank it. Vomited a basin of saliva/phlegm shortly after. Scabies crusted over in 2-3 days.
Zhu Danxi: Yishang San (One-Up Powder) treats various scabies, painful or itchy, or those preferring hot water washing.
Ingredients: Shechuangzi (Cnidii Fructus, 1 liang, slightly stir-fried), Xionghuang (Realgar, 1 liang, separately ground), Liuhuang (Sulfur, 2.5 qian, separately ground), Bai Fan (Alumen, 0.5 liang), Huanglian (Coptidis Rhizoma, 0.5 liang), Hei Gouji (Black Dog Spine/Root? Likely a specific herb or folk term, kept as is), Hanshuishi (Calcitum, 1 liang, separately ground), Banmao (Mylabris, 14, remove wings and feet), Wuzhuyu (Evodiae Fructus, 3 qian), Bai Jiaoxiang (Elemi Resin, 1 liang, melt in copper pot, pour on stone to cool, grind).
Preparation and Administration: Grind to fine powder, mix with sesame oil for topical application. To treat scabies, first wash off crusts with strong decoction of Cang'ercao (Xanthii Herba) or Yang Bushicao (Herba which sheep refuse to eat), then apply the above medicine. Can cure in one application.
Pediatric Facial Eczema: Face completely ulcerated, no intact skin, pus flowing profusely, unresponsive to many medicines. Use aged wax pig lard (unsalted), apply externally for miraculous effect. (From Pediatric Section.)
Additions/Subtractions for various scabies/tinea: If swelling predominates, add Baizhi (Angelicae Dahuricae Radix) to open depression. If pain predominates, add Baizhi (Angelicae Dahuricae Radix) and Fangjieshi (Magnesii Carbonas). If itching predominates, add Kufan (Alumen Calcined). For scrotal sores, add Wuzhuyu (Evodiae Fructus), mix with sesame oil if damp. If dry, itchy, and bleeding, add Dahuang (Rhei Radix et Rhizoma) and Huanglian (Coptidis Rhizoma), mix with pig fat. If worms/insects predominate, add Wuyi (Quisqualis Fructus), Xihui (Tin Ash), Binglang (Arecae Semen), Lilu (Veratri Rhizoma), Banmao (Mylabris). If red, add Huangdan (Minii Preparatum). If blue/green, add Qingdai (Indici Folium). Sores on upper body, take more Tongsheng San. On lower body, use Zangyong Wan (Store-Use Pill) to purge. Foot swelling with bleeding, add herbs treating Blood-level Damp-Heat.
Pustular Eczema: Treatment focuses on clearing Heat.
Ingredients: Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Dahuang (Rhei Radix et Rhizoma) (each 3 qian), Shechuangzi (Cnidii Fructus), Hanshuishi (Calcitum) (2 qian), Huangdan (Minii Preparatum) (0.5 fen), Bai Fan (Alumen) (1 qian), Qingfen (Calomelas), Baizhi (Angelicae Dahuricae Radix), Wumingyi (Haematites), Muxiang (Aucklandiae Radix) (small amount, increase if painful).
Preparation and Administration: Grind to fine powder, mix with hemp seed oil for topical application.
Additionally, for pustular crusts, treatment focuses on clearing Heat and drying Dampness. For insect-like tinea, focus on reducing Heat and killing parasites. For dry scabies, focus on opening depression, add Wuzhuyu (Evodiae Fructus).
Ingredients: Wuyi (Quisqualis Fructus), Hei Gouji (Black Dog Spine/Root - kills parasites), Zhangnao (Camphora) (1 qian), Songxiang (Pini Resina) (increase for scalp), Bai Fan (Alumen), Xionghuang (Realgar), Liuhuang (Sulfur), Shuiyin (Hydrargyrum - kills parasites), Huanglian (Coptidis Rhizoma), Fangjieshi (Magnesii Carbonas) (1 fen), Shechuangzi (Cnidii Fructus - stops itching, kills parasites), Songpihui (Ash of Pine Bark) (increase for abscess/dampness).
Luo Qianfu: Ru San (Plantain Powder) treats scabies unhealed for years.
Ingredients: Shuiyin (Hydrargyrum) (1 qian), Hao Cha (Good Tea) (2 qian), Ru (Plantago Seed? Or specific herb, likely Cheqianzi or similar contextually, text says 'Ru') (3 qian), Qingfen (Calomelas) (small amount).
Preparation and Administration: Grind to fine powder. Apply any amount mixed with sesame oil.
Chen Wuzhe: Treat scabies/tinea. Use December pig lard, any amount, with raw Bai Fan (Alumen), Xingren (Pruni Armeniaci Semen Amarum), add Qingfen (Calomelas), pound and rub. (Chen Wuzhe said: Xingren and Qingfen are best for killing parasites, very effective.)
*Ben Cao Gang Mu*: Prescription for scabies, regardless of new or old.
Ingredients: Bai Wuyi (Quisqualis Fructus) (1 liang), Binglang (Arecae Semen), Wuzhuyu (Evodiae Fructus) (each 0.5 liang), Liuhuang (Sulfur) (2 qian, separately ground).
Preparation and Administration: Grind to powder, mix with sesame oil, rub on broken skin.
Zhu Danxi: Sha Chuang (Sand Sores). Focus on killing parasites.
Ingredients: Wuyi (Quisqualis Fructus) (2 qian), Jiancao (Persicariae Herba) (1 qian), Shechuangzi (Cnidii Fructus) (3 qian), Bai Fan (Alumen) (1 qian, refined), Ming Fan (Alumen) (1 qian), Wuzhuyu (Evodiae Fructus) (1 qian), Cangzhu (Atractylodis Rhizoma), Houpo (Magnoliae Officinalis Cortex), Xionghuang (Realgar) (each 0.5 qian), Hanshuishi (Calcitum) (2 qian), Huangbai (Phellodendri Cortex) (2 qian), Qingfen (Calomelas) (10 pieces).
Chen Wuzhe: Treat sand sores. Use mountain ant nests, Huangjing Ye (Vitex Negundo Leaf), Zhi Ji Mao (Pheasant Feather) in equal parts, burn to char, grind to powder, mix with sesame oil for application.
Another formula: Use aged ship bottom ash, grind fine and sieve, mix with tung oil for application, immediate effect.
Another formula: Treat sand sores, burn Shui Woju (Water Lettuce?) to char, mix with sesame oil for application, immediate cure. If too much fluid, apply dry powder. (Shui Woju looks like Lily, grows by water, fruits in July-August, resembles wild perilla.)
Zhu Danxi: Jie Lai Chuang (Scabies/Leprous Sores). (Spring onset of scabies, focus on opening depression, avoid scratching.)
Ingredients: Bai Fan (Alumen), Wuzhuyu (Evodiae Fructus) (each 2 qian), Zhangnao (Camphora) (0.5 fen), Qingfen (Calomelas) (10 pieces), Hanshuishi (Calcitum) (2.5 qian), Shechuangzi (Cnidii Fructus) (2 qian), Huangbai (Phellodendri Cortex), Dahuang (Rhei Radix et Rhizoma) (each 2 qian), Liuhuang (Sulfur) (1 qian), Binglang (Arecae Semen) (1 piece).
Preparation and Administration: Grind to powder, mix with pig lard for topical application.
Treat wet sores, oozing for a long time, unbearable itching, yellow fluid upon scratching, recurring after healing. Take Yangti Gen (Radix Aconiti Kusnezoffii? Or Radix Stemonae? Text says Yangti, likely Stemonae Radix or similar root used for sores), peel, cut finely, cook well, mix with strong vinegar. Wash clean, apply for one hour, then wash with cold water. Apply once daily until cured. If made into powder for application, even better. (*Qianjin Yi Fang*)
Treat scabies. Take Yangti Gen (Stemonae Radix?), mix with pig lard and apply, or add a little salt to cause charring. (*Waitai Miyao*)
Treat whole-body wind itching, sores/scabies, Yinchen (Artemisiae Scopariae Herba) decocted, strong wash brings immediate relief. (*Qianjin Yi Fang*)
*Yan Yi*: Someone suffered from heat-toxic sores all over the body, painful not itchy, worse on hands/feet, stopping at neck, sticking to clothes/bedding, unable to sleep day or night, unbearable pain. A villager taught him to chop 3 dou of Changpu (Acori Tatarinowii Rhizoma), dry it, pound and sieve to powder, spread on mat, let patient lie freely on it, cover with bedding. Does not stick to clothes/bedding, allows sleep. Within 5-7 days, sores disappear, miraculous efficacy.
Zhu Danxi: For unbearable pain in Oozing Eczema (Jinyin Chuang) with chills/fever, apply Cichorii Japonici Herba (Ci Ji) powder mixed with water to sores, change when dry. (*Jianyao Jizhong*)
For untreatable full-body scabies/tinea sores, use Heshouwu (Polygoni Multiflori Radix) and Ai Ye (Artemisiae Argyi Folium) in equal parts, decoct strongly in water, wash in basin. Relieves pain and generates flesh well. (*Boji Fang*)
*Waike Zhengzong*: Yuan Xisheng, Vice Minister, secret prescription for sudden scabies. Duanshi (Burnt Lime) mixed with vinegar, diluted with rice water, applied, reduces immediately. Another method: Roast Duanshi (Burnt Lime) red, remove fire heat, mix with sesame oil for application.
Zhu Danxi: Another method: Wash with Duanshi (Burnt Lime) juice. (*Sun Simiao Experience Formula*)
Luo Qianfu: Muxiang San (Aucklandia Powder) treats all bad sores not healing for a long time, generates flesh and relieves pain.
Ingredients: Muxiang (Aucklandiae Radix), Binglang (Arecae Semen), Huanglian (Coptidis Rhizoma) (each 0.5 liang), Baizhi (Angelicae Dahuricae Radix) (3 qian).
Preparation and Administration: Grind all to fine powder. Clean wound first, apply dry once daily. Do not be surprised if fluid exudes; if ineffective, continue applying.
Another formula: Same as above, add Digupi (Lycii Cortex). Grind to fine powder. First wash wound with warm rice water, dry, then apply. Effect indescribable. Also miraculous for Chancre (Xiagan Chuang).
Zhu Danxi: For chronic sores/tinea lasting years, fry Qiannian Jiugen (Millennium Leek Root) to char, grind to powder, mix with pig oil, apply three times. (*Experience Formula*)
*Bingbu Shouji*: Chronic bad sores not healing, or painful/itchy with ulceration. Pound horse manure and tooth ash, apply. Effective within 2-3 applications. Wu Liangxiang in Shu region had leg sores, unbearable pain, used this formula and healed.
Zhu Danxi: Wind sores not healing for long. Burn Gujiang (Wild Arrowhead/Jiao Bai) powder and apply. (Note: Bencao identifies this as Wild Jiao Bai.)
*Shan Ju Ben Cao*: Prickly Heat. Dry Cyamopsis Radix leaves in shade, grind to powder, apply.
*Jing Mai*: For Tonsure Ringworm (Tu Chuang). Grind Shandougen (Millettiae Specifi Radix) with water, apply to sores. For Bran/Bean sores, grind Shandougen (Millettiae Specifi Radix) with water, take small amount orally.
Zhu Danxi: Itching/pain with crusts. Pound Bianzhu (Dioscorea Hypoglauca Rhizome?) and apply as seal, heals when crust falls off. (*Zhouhou Fang*) Washing various sores/scabies, decoct Donggua Teng (Benincasae Caulis) skin, excellent. (Ri Hua Zi). Stroke, toxic fog exposure, decoct Li Mu Pi (Quercus Bark) for washing, excellent. (Bencao).
Yunqi Theory: Oozing eczema all belongs to Fire. Classic says: Yearly Fire excess, severe cases have body heat and skin oozing eczema.
*Yu Ji Zhen Zang Lun*: Hand Scabies: Laogong (PC8) (Moxibustion), Daling (PC7) (Moxibustion).
Chen Wuzhe: Stubborn Scabies/Tinea: Juegu (GB39), Zusanli (ST36) (each 0.5 cun, draining method), Jianshi (PC5), Jiexi (ST41) (each 0.5 fen), Xuehai (SP10) (3 cun, draining method).
*Zhenjiu Jicheng*: Whole body sores/scabies: Quchi (LI11), Hegu (LI4), Zusanli (ST36), Juegu (GB39), Xingjian (LR2), Weizhong (BL40).
*Jia Yi Jing*: Tinea/Scabies: Yangxi (LI5) governs.
Shaoyin excess causes Pi Bi (skin obstruction) and Yin Zhen (nettle rash). (Full text see Symptoms chapter.)
Zhang Zhongjing: Oozing Eczema (Jinyin Chuang), flowing from mouth to limbs is treatable; flowing from limbs to mouth is untreatable.