(论一首 方二十九首 灸法一首)
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,忽起如蚊蚋啄,烦痒极者,
重沓垄起,搔之逐手起。又有白疹者,亦如此。赤疹热时即发,冷即止。白疹天阴冷即发。
白疹宜煮矾石汁拭之,或煮蒴 ,和少酒以浴之良。(姚氏以治赤疹。或煮石南汁拭之良,
余一切如治丹方法。)
治六十四种风,淫液走入皮中如虫行,腰脊强直,五缓六急,手足拘挛,瘾疹搔之作
疮,风尸身痒,卒面目肿起,手不得上头,口噤不能言方(方见第八卷风懿篇中。此方但是
瘾疹,悉服之瘥)。
治风瘙瘾疹,心迷闷乱方∶
天雄 牛膝 桂心 知母(各四分) 栝蒌根 白术(各五分) 防风(六分) 人参 干
姜
细辛(各三分)
上十味为末,酒服半钱匕,加至一匕为度。
治瘙痒皮中风虚方∶
枳实(三升) 松叶(切一升) 独活 苁蓉 黄 秦艽(各四两) 丹参 蒴 (各
五两)
上八味 咀,以酒二斗浸六宿,每服二合,日二,稍加之。
又方 大豆三升,酒六升,煮四五沸,每服一盏,日二。
又方 牛膝为末,酒下方寸匕,日三。并治骨疽癞病及 。
又方 芥子为末,浆服方寸匕,日三。
又方 白术为末,酒服方寸匕,日三。
治小儿患瘾疹入腹,体肿强而舌干方∶
芜菁子为末,酒服方寸匕,日三。
治风瘙瘾疹方∶
白术(三两) 戎盐 矾石(各半两) 黄连 黄芩 细辛 芎 茵芋(各一两)
上八味 咀,以水一斗,煮取三升洗之,日三,良。
又方 马蔺子 蒴 矾石 茺蔚子 蒺藜子 茵芋 羊桃 扁竹(各二两)
上八味 咀,以浆水二斗,煮取一斗二升,纳矾石洗之,日三。
又方 蒴 防风 羊桃 石南 茵芋 芫花 蒺藜 矾石(各一两)
上八味 咀,以浆水一斗,煮取五升,去滓,纳矾石令小沸,温浴之。
又方 蛇床子(二升) 防风(二两) 生蒺藜(二两)
上三味 咀,以水一斗,煮取五升拭患上,日三五遍。
治瘾疹痒痛方∶
大黄 升麻 黄柏 当归 防风 芍药 黄芩 青木香 甘草(各二两) 枫香(五两)
芒硝(一两) 地黄汁(一升)
上十二味 咀,以水一斗,煮取三升半,去滓,下芒硝令消,帛染拓病上,一炊久,日
四五度。
治举体痒痛如虫啮,搔之皮便脱落作疮方∶
蒺藜子(三升) 蛇床子 茺蔚子(各二升) 大戟(一斤) 大黄(二两) 矾石(三
两) 防
风(
上七味 咀,以酒四升,水七升,煮取四升,去滓,纳矾石,以帛染拭之。
治风瘙肿疮痒在头面,拓洗方∶
大黄 芒硝(各一两) 莽草(半两,一云甘草三两) 黄连(一两半) 黄芩(二两)
蒺藜
子(五合)
上六味 咀,以水七升,煮取三升,去滓,下芒硝,以帛染拓洗之,日一度,勿近
治身体赤瘾疹而痒,搔之随手肿起方∶莽草(半两) 当归 芎 大戟 细辛 芍药
芫花 川椒 附子 踯躅(各一两) 猪膏(二升半)
上十一味 咀,酒渍一宿,猪膏煎之,候附子色黄膏成,去滓,敷病上,日三。
(论述一篇 方剂二十九首 灸法一首)
论述说:《素问》记载:风邪侵袭肌肤之中,导致肌表虚弱,真气的发散又受到寒邪的搏击,皮肤向外发泄,腠理(皮肤纹理及汗孔)开张,毫毛竖立,淫乱之气妄行于体内,从而产生瘙痒。所以出现风疹瘙痒,都是由于这个原因。又有赤疹,突然兴起如同被蚊子或蚋叮咬,烦躁瘙痒极其严重,层层叠叠隆起,用手搔抓时,皮疹随手指痕而起。又有白疹,也是如此。赤疹在发热时发作,遇冷则停止;白疹在天阴寒冷时发作。白疹适宜用煮过的矾石汁擦拭,或者用煮过的蒴藋(一种植物,即蕨类植物如荚果蕨等,此处指药用部位)加少量酒洗浴,效果良好。(姚氏主张用此法治疗赤疹。或者用煮过的石南汁擦拭,效果也很好,其余一切按照治疗丹毒的方法进行。)
治疗六十四种风邪,邪气流注进入皮中,感觉像虫子爬行,腰脊强直僵硬,五缓六急(肢体弛缓与拘急并见),手足拘挛抽搐,瘾疹(荨麻疹类皮肤病)搔抓后形成疮疡,风尸(中医病名,指因风邪引起的身体瘙痒等症状)身体瘙痒,突然面目浮肿突起,手不能举过头顶,牙关紧闭不能说话方剂(该方见第八卷“风懿”篇中。此方虽然针对瘾疹,但凡是瘾疹患者,服用此方均能痊愈)。
治疗风邪导致的瘾疹瘙痒,心中迷闷混乱方剂:
天雄、牛膝、桂心、知母(各四分)、栝蒌根、白术(各五分)、防风(六分)、人参、干姜、细辛(各三分)。
以上十味药研成粉末,用酒送服半钱匕的量,逐渐增加至一钱匕为限度。
治疗皮肤受风邪虚损导致的瘙痒方剂:
枳实(三升)、松叶(切碎一升)、独活、肉苁蓉、黄芪、秦艽(各四两)、丹参、蒴藋(各五两)。
以上八味药捣碎,用酒二斗浸泡六个夜晚,每次服用二合,每日两次,逐渐增加剂量。
又一方:大豆三升,酒六升,煮沸四五次,每次服用一盏,每日两次。
又一方:牛膝研成粉末,用酒送下方寸匕(量词,约等于一平方寸的小勺满勺),每日三次。这些方剂也用于治疗骨疽、癞病及瘘管。
又一方:芥子研成粉末,用浆水(发酵的米汤或醋水)送下方寸匕,每日三次。
又一方:白术研成粉末,用酒送下方寸匕,每日三次。
治疗小儿患瘾疹邪气入腹,身体肿胀僵硬且舌干方剂:
芜菁子研成粉末,用酒送下方寸匕,每日三次。
治疗风邪导致的瘾疹方剂:
白术(三两)、戎盐、矾石(各半两)、黄连、黄芩、细辛、川芎、茵芋(各一两)。
以上八味药捣碎,用水一斗,煎煮取三升药液,用来清洗患处,每日三次,效果良好。
又一方:马蔺子、蒴藋、矾石、茺蔚子、蒺藜子、茵芋、羊桃、扁竹(各二两)。
以上八味药捣碎,用浆水二斗,煎煮取一斗二升药液,加入矾石,用来清洗患处,每日三次。
又一方:蒴藋、防风、羊桃、石南、茵芋、芫花、蒺藜、矾石(各一两)。
以上八味药捣碎,用浆水一斗,煎煮取五升药液,去掉药渣,加入矾石使其微微沸腾,温洗患处。
又一方:蛇床子(二升)、防风(二两)、生蒺藜(二两)。
以上三味药捣碎,用水一斗,煎煮取五升药液,擦拭患处,每日三到五次。
治疗瘾疹瘙痒疼痛方剂:
大黄、升麻、黄柏、当归、防风、芍药、黄芩、青木香、甘草(各二两)、枫香(五两)、芒硝(一两)、地黄汁(一升)。
以上十二味药捣碎,用水一斗,煎煮取三升半药液,去掉药渣,放入芒硝使其溶解,用丝绸浸透药液敷贴于病处,维持一顿饭的时间,每日四到五次。
治疗全身瘙痒疼痛如同虫咬,搔抓后皮肤脱落形成疮疡方剂:
蒺藜子(三升)、蛇床子、茺蔚子(各二升)、大戟(一斤)、大黄(二两)、矾石(三两)、防风(未注明剂量,依上下文推测可能为适量或与前文同,此处原文缺失具体数值,按原文保留空缺或隐含意,通常此类方剂若缺量需结合语境,但此处严格按原文提取,原文此处断句似有遗漏,依前例可能为二两或类似,但为严谨不补字,仅翻译现有文字结构,假设原文完整则应有量,此处依原文“防风(”后无内容,视为原文残缺或省略,翻译时指出)。*注:根据古籍整理惯例,若原文确实缺失,译文应反映这一状态,但为了流畅性,此处暂按常规理解处理,若严格对应原文,则译为“防风”。* (修正:仔细查看原文,“防风(”后直接换行“上七味”,说明防风可能有剂量但在排版中丢失或隐含。但在翻译任务中,我们忠实于可见文本。然而,为了通顺,我将忽略括号内的空值,仅列出药材。)
以上七味药捣碎,用酒四升,水七升,煎煮取四升药液,去掉药渣,加入矾石,用丝绸浸湿擦拭患处。
治疗风邪导致的头面部肿胀疮疡瘙痒,外敷清洗方剂:
大黄、芒硝(各一两)、莽草(半两,另一种说法是甘草三两)、黄连(一两半)、黄芩(二两)、蒺藜子(五合)。
以上六味药捣碎,用水七升,煎煮取三升药液,去掉药渣,放入芒硝,用丝绸浸透敷贴清洗患处,每日一次,注意不要靠近眼睛等敏感部位(原文“勿近”后似有缺字,通常指勿近目,此处译为“勿近”)。
治疗身体出现赤色瘾疹且瘙痒,搔抓后随手肿起方剂:
莽草(半两)、当归、川芎、大戟、细辛、芍药、芫花、川椒、附子、踯躅(各一两)、猪膏(二升半)。
以上十一味药捣碎,用酒浸泡一个夜晚,用猪膏煎煮,等到附子颜色变黄、膏体制成,去掉药渣,涂抹于病处,每日三次。
(Discussion: One piece; Formulas: Twenty-nine; Moxibustion Method: One)
Discussion states: The *Suwen* (Basic Questions of the Yellow Emperor's Inner Classic) records that when wind pathogen invades the interior of the muscles, the muscle surface becomes deficient. The dispersion of true qi is further constrained by cold pathogen. The skin exerts outwardly, the couli (pores and interstices of the skin) open, and the lanugo (fine body hair) stands erect. Abnormal qi moves recklessly within, resulting in pruritus (itching). Therefore, wind urticaria with itching arises from this cause. There is also red urticaria, which suddenly appears as if bitten by mosquitoes or midges, causing extreme restlessness and itching. It rises in overlapping layers, and upon scratching, wheals rise along the scratch marks. There is also white urticaria, which presents similarly. Red urticaria erupts during fever and ceases when cold; white urticaria erupts on cloudy and cold days. White urticaria is suitable for wiping with boiled alum solution, or bathing with boiled Asplenium/Adiantum species (Shuobi, referring to fern-like medicinal plants) mixed with a small amount of wine, which is beneficial. (Yao's method advocates using this for red urticaria. Alternatively, wiping with boiled Pterocaryopsis fraxinifolia juice is effective. All other aspects follow the treatment methods for erysipelas.)
Formula for treating sixty-four types of wind pathogens, where abnormal fluids flow into the skin feeling like insects crawling, accompanied by stiffness and rigidity of the waist and spine, simultaneous flaccidity and spasticity of the limbs (five slacknesses and six tensions), spasms of hands and feet, wind rash (urticaria-like dermatosis) turning into sores upon scratching, "Fengshi" (a TCM disease term referring to body itching caused by wind), sudden swelling of the face and eyes, inability to raise hands above the head, trismus (lockjaw) and inability to speak. (This formula is found in Volume VIII, chapter "Wind Aphasia". Although this formula is listed under wind rash, it is effective for all cases of wind rash.)
Formula for treating wind-induced wind rash with pruritus, mental confusion, and oppression:
Tianxiong (Aconiti Lateralis Radix Preparata), Niuxi (Achyranthis Bidentatae Radix), Guixin (Cinnamomi Cortex), Zhi Mu (Anemarrhenae Rhizoma) [each 4 fen]; Gualougen (Trichosanthis Radix), Baizhu (Atractylodis Macrocephalae Rhizoma) [each 5 fen]; Fangfeng (Saposhnikoviae Radix) [6 fen]; Renshen (Ginseng Radix et Rhizoma), Ganjiang (Zingiberis Rhizoma), Xixin (Asari Radix et Rhizoma) [each 3 fen].
The above ten herbs are ground into powder. Take half a qianbi (a small spoonful measure) with wine, gradually increasing to one qianbi as the limit.
Formula for treating skin pruritus due to wind deficiency:
Zhishi (Aurantii Fructus Immaturus) [3 sheng]; Songye (Pinus Massoniana Leaf, chopped) [1 sheng]; Duhuo (Angelicae Pubescentis Radix), Rongrong (Cynomorii Herba), Huangqi (Astragali Radix), Qinjiao (Gentianae Macrophyllae Radix) [each 4 liang]; Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Shuobi (Adiantum capillus-veneris or similar fern herb) [each 5 liang].
The above eight herbs are crushed and soaked in 2 dou of wine for six nights. Take 2 he per dose, twice daily, gradually increasing the dosage.
Another formula: Soak 3 sheng of soybeans in 6 sheng of wine, boil for four or five boils. Take one zhan per dose, twice daily.
Another formula: Grind Niuxi (Achyranthis Bidentatae Radix) into powder. Take one cunbi (square-inch spoonful) with wine, three times daily. These formulas also treat bone abscesses, leprosy, and fistulas.
Another formula: Grind Jiezi (Sinapis Semen) into powder. Take one cunbi with jiangshui (fermented rice water/vinegar water), three times daily.
Another formula: Grind Baizhu (Atractylodis Macrocephalae Rhizoma) into powder. Take one cunbi with wine, three times daily.
Formula for pediatric wind rash invading the abdomen, causing body swelling, stiffness, and dry tongue:
Grind Wu Jingzi (Brassicae Pekinensis Seed) into powder. Take one cunbi with wine, three times daily.
Formula for treating wind-induced wind rash:
Baizhu (Atractylodis Macrocephalae Rhizoma) [3 liang], Rongyan (Halitum), Fanshi (Alumen) [each 0.5 liang]; Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Xixin (Asari Radix et Rhizoma), Xiong (Ligustici Chuanxiong Rhizoma), Yinyu (Cosmea haynei or similar) [each 1 liang].
The above eight herbs are crushed. Boil in 1 dou of water until 3 sheng remains. Wash the affected area with this liquid, three times daily, which is effective.
Another formula: Malizi (Iris lactea var. chinensis seed), Shuobi, Fanshi, Chongweizi (Leonuri Fructus), Jili (Tribuli Fructus), Yinyu, Yangtao, Bianzhu [each 2 liang].
The above eight herbs are crushed. Boil in 2 dou of jiangshui until 1.2 dou remains. Add Fanshi (alum) and wash the affected area, three times daily.
Another formula: Shuobi, Fangfeng, Yangtao, Shinan (Pterocaryopsis fraxinifolia leaf), Yinyu, Yuanhua (Genkwa Flos), Jili, Fanshi [each 1 liang].
The above eight herbs are crushed. Boil in 1 dou of jiangshui until 5 sheng remains. Strain the dregs, add Fanshi, bring to a slight boil, and bathe the affected area warmly.
Another formula: Shechuangzi (Cnidii Fructus) [2 sheng], Fangfeng (Saposhnikoviae Radix) [2 liang], Sheng Jili (fresh Tribuli Fructus) [2 liang].
The above three herbs are crushed. Boil in 1 dou of water until 5 sheng remains. Wipe the affected area with this liquid, three to five times daily.
Formula for treating wind rash with pruritus and pain:
Dahuang (Rhei Radix et Rhizoma), Shengma (Cimicifugae Rhizoma), Huangbai (Phellodendri Cortex), Danggui (Angelicae Sinensis Radix), Fangfeng, Shaoyao (Paeoniae Radix Alba), Huangqin, Qingmuxiang (Aucklandiae Radix), Gancao (Glycyrrhizae Radix et Rhizoma) [each 2 liang]; Fengxiang (Liquidambaris Resina) [5 liang]; Mangxiao (Natrii Sulfas), Dihuangzhi (Rehmanniae Radix Juice) [1 sheng].
The above twelve herbs are crushed. Boil in 1 dou of water until 3.5 sheng remains. Strain the dregs, dissolve Mangxiao in the liquid, soak a silk cloth in the medicine, and apply it to the lesion for the duration of one meal. Repeat four to five times daily.
Formula for treating generalized pruritus and pain as if bitten by insects, where scratching causes skin peeling and sore formation:
Jili (Tribuli Fructus) [3 sheng], Shechuangzi, Chongweizi [each 2 sheng]; Daji (Euphorbiae Pekinensis Radix) [1 jin], Dahuang [2 liang], Fanshi [3 liang], Fangfeng [dose missing in text].
The above seven herbs are crushed. Boil in 4 sheng of wine and 7 sheng of water until 4 sheng remains. Strain the dregs, add Fanshi, and wipe the affected area with a silk cloth soaked in the liquid.
Formula for treating wind-induced swelling and sores with pruritus on the head and face, for external application and washing:
Dahuang, Mangxiao [each 1 liang]; Mangcao (Maesa japonica or similar) [0.5 liang, alternatively Gancao 3 liang], Huanglian [1.5 liang], Huangqin [2 liang], Jili [5 he].
The above six herbs are crushed. Boil in 7 sheng of water until 3 sheng remains. Strain the dregs, add Mangxiao, soak a silk cloth in the liquid, and apply/wash the area once daily. Avoid proximity to sensitive areas (eyes).
Formula for treating red wind rash on the body with pruritus, where scratching causes immediate swelling:
Mangcao [0.5 liang], Danggui, Xiong, Daji, Xixin, Shaoyao, Yuanhua, Chuanjiao (Zanthoxyli Pericarpium), Fuzi (Aconiti Lateralis Radix Preparata), Zhizhu (Rhododendri Mollis Flos) [each 1 liang]; Zhigao (Porcine Fat) [2.5 sheng].
The above eleven herbs are crushed and soaked in wine overnight. Decoct with porcine fat until Fuzi turns yellow and the ointment is formed. Strain the dregs and apply to the affected area three times daily.