本症由水枯火盛，乘天地肃杀之气所致。形虽见于皮肤，毒实积于脏腑。其候先麻木不
仁，次发红斑，再次浮肿，破烂无脓，再久之则湿热生虫，攻蛀脏腑，往往眉落目损，唇裂
声嘶，耳鸣，足底穿，指节脱落，鼻梁崩塌。治法先以。
麻黄 苏叶各半斤 防风 荆芥各四两
煎汤一桶，沐浴浸洗，换新衣。然后以∶
生漆 松香各半斤
和匀，盛瓦盆内，入大螃蟹七只（小者倍之），以盆一半埋入土内，日则晒之，用柳枝
搅扰；夜则覆之。阅二十一日而成水。再以∶
雄黄半斤 蛇蜕七条 川乌 草乌（俱以姜汁浸泡） 人参 天麻各二两
共研为末，以蟹漆汁为丸，于洗浴后服之。每服三钱，陈酒送下。再饮至醉，覆被取汗，
汗干后去衣，于隙地焚之，更换新衣。至午再服三钱，陈酒下，至醉。再用夏枯草蒸铺席下
卧之，不取汗。次日仍如前行之，并焚去旧衣，旧草，如是七日，其病尽出，如痘如疮。再
服七日，痂脱而愈。终身忌螃蟹、犬肉。
凌霄花五钱 地龙（焙） 僵蚕（炒） 全蝎（炒）各七个
为末，每服二钱，温酒下；先以药汤浴身，次乃服药，俟出臭汗为度。
风菱壳
烧灰，研细，香油调敷，极效。
本病症是由于肾水枯竭、心火亢盛，乘袭天地肃杀之气而引发的。病形虽然表现在皮肤上，但毒邪实际上积聚在脏腑之中。其症状表现先是皮肤麻木不仁，接着出现红斑，随后发生浮肿，疮面溃烂且无脓液；若病程迁延日久，则湿热滋生虫毒，侵蚀蛀空脏腑，往往导致眉毛脱落、眼睛受损、嘴唇干裂、声音嘶哑、耳鸣、足底穿孔、指节脱落、鼻梁塌陷。治疗方法首先使用：麻黄、紫苏叶各半斤，防风、荆芥各四两，煎煮成一桶药汤，用于沐浴浸洗，并更换新衣。然后使用：生漆、松香各半斤，混合均匀，放入瓦盆中，加入七只大螃蟹（小螃蟹则加倍数量），将瓦盆的一半埋入土中，白天暴晒并用柳枝搅动，晚上覆盖。经过二十一天后制成液体。再使用：雄黄半斤，蛇蜕七条，川乌、草乌（均用姜汁浸泡处理），人参、天麻各二两，共同研磨成粉末，以蟹漆汁为粘合剂制成丸药，在洗浴后服用。每次服用三钱，用陈年老酒送服。服药后再饮酒至醉，盖上被子取汗，待汗干后脱去衣物，在通风处焚烧旧衣，更换新衣。到中午再服用三钱，用陈酒送服，直至醉酒。再用夏枯草蒸热铺在席子下卧躺，不要求发汗。第二天仍按上述方法执行，并焚烧旧衣和旧草。如此持续七日，病邪尽出，表现为如痘疹或疮疡状。再连续服用七日，结痂脱落即可痊愈。终身禁忌食用螃蟹和犬肉。
另有一方：凌霄花五钱，地龙（焙干）、僵蚕（炒制）、全蝎（炒制）各七个，研磨成粉末，每次服用二钱，用温酒送服；先用药汤沐浴身体，然后再服药，直到排出臭汗为止。
This syndrome is caused by the depletion of Kidney Water and the flourishing of Heart Fire, compounded by the austere and killing Qi of Heaven and Earth. Although the physical manifestations appear on the skin, the toxicity actually accumulates within the Zang-Fu organs (internal organs). The symptoms initially present as numbness and insensitivity of the skin, followed by the eruption of red macules, then edema, with ulcerated lesions that lack pus. If the condition persists for a long time, damp-heat generates parasites that erode and bore into the Zang-Fu organs, often resulting in the loss of eyebrows, damage to the eyes, cracked lips, hoarseness, tinnitus, perforation of the soles of the feet, detachment of finger joints, and collapse of the nasal bridge. The treatment method begins with: Ephedrae Herba (Mahuang) and Perilla Fructus (Suye), each half a jin; Saposhnikoviae Radix (Fangfeng) and Schizonepetae Spica (Jingjie), each four liang. Decoct these in enough water to fill one barrel for bathing and soaking, then change into clean clothes. Subsequently, use: Raw Lac Resin (Shengqi) and Pine Rosin (Songxiang), each half a jin. Mix evenly, place in a clay pot, add seven large swimming crabs (double the quantity if small crabs are used), bury half of the pot in the soil, expose it to the sun during the day while stirring with willow branches, and cover it at night. After twenty-one days, a liquid is formed. Then, use: Realgar (Xionghuang) half a jin, Ophiorrhiza Mungo Skin (Shetui) seven strips, Aconitum carmichaelii Lateral Root (Chuannwu) and Aconitum kusnezoffii Root (Caowu) (both soaked in ginger juice), Ginseng Radix et Rhizoma (Renshen) and Gastrodia Rhizoma (Tianma), each two liang. Grind all into powder, form pills using the crab-lac resin liquid, and take after bathing. Each dose is three qian, taken with aged wine. Drink until intoxicated, cover with blankets to induce sweating, remove clothing once sweat dries, burn the old clothes in an open area, and wear new clothes. At noon, take another three qian with aged wine until intoxicated. Then, steam Old Chrysanthemum Herb (Xiakucao) and lie on a mat placed over it, without inducing sweat. Repeat this procedure the next day, burning old clothes and herbs. Continue thus for seven days, causing the pathogenic factors to exit completely, manifesting like smallpox or sores. Take the medicine for another seven days; upon scab detachment, the patient recovers. Lifelong avoidance of crab and dog meat is required.
Another prescription: Campsis grandiflora Flower (Lingxiaohua) five qian, Pheretima (Dilong) (roasted), Bombyx Batryticatus (Jiangcan) (stir-fried), and Scorpio (Quanxie) (stir-fried), seven of each. Grind into powder, take two qian per dose with warm wine; first bathe the body with medicinal decoction, then take the medicine, continuing until foul-smelling sweat is discharged.
Wind-dried Water Caltyp Shell (Fenglingqiao) burned to ash, ground fine, mixed with sesame oil, applied topically; extremely effective.
One eggplant branch (with root and leaves) decocted for fumigation and washing; shedding of the crust occurs within seven days, highly efficacious.