油风则毛发成片脱落。皮肤光亮。痒如虫行者是也。由风热乘虚攻注。血不能荣养所致。宜神应养真
丹服之。以培其本。海艾汤洗之。以治其标。
神应养真丹 治风寒暑湿袭于三阳部位。以致血脉不能荣运。肌肤虚痒。眉发脱落。皮肤光亮。(见股部)
海艾汤
海艾 菊花 薄荷 防风 本 藿香 荆芥穗 甘松 蔓荆子(各五钱)
用水五碗。煎入盆内。先熏后洗。
白屑风生发内及面目耳项。初起微痒。久生白屑。叠叠飞起。脱之又生。由肌热当风。风热之所化也。宜
祛风换肌丸。
祛风换肌丸 治白屑风紫白癜风。顽风顽癣。湿热疮疥。一切痒疮。日久不绝。愈而又发者。
威灵仙 石菖蒲 大胡麻 何首乌 天花粉 苦参 苍术 牛膝(等分) 当归 川芎 甘草(减半)
上为末。用新安酒跌丸绿豆大。每服二钱。白滚汤送下。忌发物火酒。
玉肌散 洗白屑风。及风湿雀斑酒刺。
绿豆(半升) 滑石 白芷 白附子(各二钱)
上为末。每用三匙。洗面时用之。
润肌膏 治白屑风油风。及秃疮白斑作痒。
麻油(四两) 当归(五钱) 紫草(一钱)
浸三日。文火 枯。去渣。入黄蜡五钱。溶化。倾碗内。搽患处。
秃疮生白痂成个而不相连。若 疮则生黄痂成片有脓为异耳。夫头为诸阳之首。而疮亦属火。乃二
阳相灼所致。其治法必当解陈 之积热。导心经之烦躁。故宜以防风通圣散俱用酒浸过。焙为末。每
日三服。量见大小。食后白滚水调服。服至头上有汗出为验。外兼以杀虫散风等药搽之。若虫死则痒
止。风散则发生。血潮则斑润。随用生姜蘸润肌膏擦之。则发生矣。忌动风发物。
麦饯散 治秃疮。白痂垒叠。痒若虫行者。先用艾叶鸽粪煎汤。洗净疮痂。次用肥猪肉汤洗之。良久其
虫自出。随用踯躅花油调麦饯散搽之。 帽戴之。随后作痛发肿。忍之。三日后其痂渐落。其发自生
矣。戒诸发物。
踯躅花油方 取根四两捣烂。用菜油一碗 枯。去渣。入黄蜡少许。冷调前药。或用青布蘸此蜡油。
每日上三五次。三日可愈。
麦饯方 用小麦一升。炒枯黄色。乘热入钵内。和硫黄四两。白砒一两。为细末。搅匀。待冷取起。加烟
胶半斤。川椒三两。生枯矾各二两。共研细末。用时以葱汤洗净。用麻油调搽。油纸盖扎。三日一换。三
次即愈。又治小儿痘风疮。甚效。
华盖散 用糯米煮烂饭。捣如膏。随将秃疮剃净。将米膏浓罨之。其虫尽入米膏中。俟膏自脱。发自生
矣。一用白菀豆为末。水调糊头上一指浓。布裹之。带束之。俟豆蒸发则觉痛矣。去药。亦效。
鼠蒜膏 治白秃。及诸疮疥癣起白痂者。
鼠粪为末。杵大蒜和成膏。涂之。
油风表现为毛发成片脱落,皮肤光亮,伴有如虫爬行的瘙痒感。这是由于风热之邪乘虚侵袭,导致血液无法濡养肌肤所致。治疗宜内服神应养真丹以培补根本,外用海艾汤清洗以治其标。
神应养真丹:主治风寒暑湿侵袭三阳部位,致使血脉不能荣运,出现肌肤虚痒、眉发脱落、皮肤光亮等症状。(详见股部章节)
海艾汤
药材:海艾、菊花、薄荷、防风、本(指藁本或川芎等,此处依原文保留“本”)、藿香、荆芥穗、甘松、蔓荆子(各五钱)。
用法:用水五碗煎煮后倒入盆中,先熏蒸患处,待水温适宜后再清洗。
白屑风生于头发内部及面目、耳后、颈部。初起时轻微瘙痒,日久生出白色皮屑,层层飞起,脱落后又再生。这是由于肌肤受热当风,由风热所化生所致。治疗宜服用祛风换肌丸。
祛风换肌丸:主治白屑风、紫白癜风、顽风、顽癣、湿热疮疥以及一切久治不愈、愈后又发的瘙痒性疮疡。
药材:威灵仙、石菖蒲、大胡麻、何首乌、天花粉、苦参、苍术、牛膝(等分);当归、川芎、甘草(用量减半)。
用法:将上述药材研为细末,用新安酒调和制成绿豆大小的丸剂。每次服用二钱,用温开水送服。忌食发物及烈性酒。
玉肌散:用于清洗白屑风,以及风湿引起的雀斑和酒刺。
药材:绿豆(半升)、滑石、白芷、白附子(各二钱)。
用法:将药材研为细末,每次取三匙,在洗面时使用。
润肌膏:主治白屑风、油风,以及秃疮白斑引起的瘙痒。
药材:麻油(四两)、当归(五钱)、紫草(一钱)。
用法:将药材浸泡三日,用小火煎熬至枯焦,去渣后加入黄蜡五钱,溶化后倒入碗中。涂抹于患处。
秃疮的特征是生成白色痂皮,呈颗粒状且互不相连;若为疳疮则生成黄色痂皮,成片且有脓液,以此作为区别。头部为诸阳经汇聚之首,而疮疡亦属火邪,这是二阳相灼所致。治疗方法必须解除陈积之热,疏导心经的烦躁。因此宜使用防风通圣散,所有药材均用酒浸泡过,焙干后研为细末。每日服用三次,根据患者年龄大小调整剂量,饭后用温开水调服。服药以头上出汗为见效标志。外治兼用杀虫散风等药物涂抹。若虫死则瘙痒停止,风散则毛发再生,血行通畅则斑痕润泽。随后可用生姜蘸取润肌膏擦拭患处,则毛发可生。忌食动风发物。
麦饯散:主治秃疮,白痂层层堆积,瘙痒如虫爬行。先用艾叶和鸽粪煎汤,洗净疮痂;次用肥猪肉汤清洗。良久之后,虫子会自动爬出。随即用踯躅花油调和麦饯散涂抹,并戴上帽子。随后会出现疼痛肿胀,需忍耐。三日后痂皮逐渐脱落,新发自然生长。戒除所有发物。
踯躅花油方:取踯躅花根四两捣烂,用菜油一碗煎熬至枯焦,去渣后加入少许黄蜡,冷却后调和前药。或用青布蘸此蜡油,每日涂抹三至五次,三日可愈。
麦饯方:用小麦一升,炒至枯黄色。趁热放入钵内,加入硫黄四两、白砒一两,研为细末,搅匀。待冷却后取出,加入烟胶半斤、川椒三两、生枯矾各二两,共研细末。用时用葱汤洗净患处,用麻油调匀涂抹,用油纸覆盖包扎,三日更换一次,三次即可痊愈。此方也治疗小儿痘风疮,效果显著。
华盖散:用糯米煮烂成饭,捣如膏状。将秃疮部位剃净,将米膏厚敷其上。虫子会全部进入米膏中,待膏体自然脱落后,新发即生。另法:用白菀豆研为细末,用水调成糊状,厚涂于一指厚度于头部,用布包裹并用带子束紧。待豆子蒸发发热时会感到疼痛,此时去掉药物,亦有效果。
Youfeng (Oil Wind) manifests as patchy hair loss, with shiny skin and itching sensation resembling insect crawling. This is caused by wind-heat pathogens attacking the body when deficiency exists, resulting in blood's failure to nourish and moisten the tissues. Treatment should involve internal administration of Shenyang Zhen Dan (Divine Response Nourishing True Pill) to cultivate the root, and external washing with Hai Ai Tang (Sea Mugwort Decoction) to treat the branch symptoms.
Shenyang Zhen Dan: Treats conditions where wind-cold, summerheat, and dampness invade the three Yang meridians, causing blood vessels to fail in nourishing and circulating, leading to empty itching of the skin, loss of eyebrows and hair, and shiny skin. (See section on Thigh)
Hai Ai Tang
Ingredients: Hai Ai (Sea Mugwort), Juhua (Chrysanthemum Flower), Bohe (Mint), Fangfeng (Saposhnikovia Root), Ben (Ligusticum or Chuanxiong, kept as original term), Huoxiang (Patchouli), Jingjie Sui (Schizonepeta Spike), Gansong (Nardostachys Rhizome), Manjingzi (Vernonia Seed) (each 5 qian).
Usage: Decoct with five bowls of water and pour into a basin. First fumigate the affected area, then wash after the temperature is suitable.
Baixiefeng (White Dandruff Wind) arises within the hair, face, eyes, ears, and neck. Initially presenting with slight itching, it eventually produces white scales that layer up and fly off, regenerating after removal. This is transformed from wind-heat due to skin heat exposed to wind. Treatment should involve oral administration of Qufeng Huanji Wan (Wind-Dispersing Muscle-Replacing Pill).
Qufeng Huanji Wan: Treats Baixiefeng, Zi Bai Feng (Purple and White Wind), Wanfeng (Stubborn Wind), Wan Xuan (Stubborn Tinea), damp-heat sores and scabies, and all itching sores that persist for a long time, heal, and recur.
Ingredients: Weilingxian (Clematis Root), Shichangpu (Acorus Rhizome), Da Humma (Large Sesame Seed), Heshouwu (Polygonum Multiflorum Root), Tianhuafen (Trichosanthes Root), Kushen (Sophora Root), Cangzhu (Atractylodes Rhizome), Niuxi (Achyranthes Root) (equal parts); Danggui (Angelica Sinensis Root), Chuanxiong (Ligusticum Chuanxiong Rhizome), Gancao (Licorice Root) (half dosage).
Usage: Grind the above herbs into powder. Use Xin'an wine to mix and form pills the size of mung beans. Take 2 qian per dose, washed down with warm boiled water. Avoid triggering foods and strong liquor.
Yujisan (Jade Skin Powder): Used for washing Baixiefeng, as well as freckles and acne caused by wind-dampness.
Ingredients: Lv Dou (Mung Bean) (0.5 sheng), Huashi (Talcum), Baizhi (Angelica Dahurica Root), Baifuzi (Typhonii Rhizoma) (each 2 qian).
Usage: Grind into powder. Use three spoons each time when washing the face.
Runji Gao (Moisturizing Muscle Ointment): Treats Baixiefeng, Youfeng, and itching caused by alopecia areata and white patches.
Ingredients: Mayou (Sesame Oil) (4 liang), Danggui (5 qian), Zicao (Arnebiae Radix seu Lithospermi) (1 qian).
Usage: Soak for three days. Simmer over low heat until withered. Remove dregs. Add 5 qian of Huangla (Yellow Beeswax), melt, and pour into a bowl. Apply to the affected area.
Tuochuang (Baldness Sores) present with white crusts forming individual grains that do not connect. In contrast, Gan Chuang (Gan Sores) present with yellow crusts forming patches with pus, which serves as the distinction. The head is the summit of all Yang meridians, and sores belong to Fire; this condition results from the burning interaction of two Yangs. The treatment method must resolve accumulated heat and guide away irritability of the Heart Meridian. Therefore, it is appropriate to use Fangtong Sheng San (Wind-Barrier Universal Powder). All ingredients should be soaked in wine, baked dry, and ground into powder. Take three doses daily, adjusting the amount according to age. Mix with warm boiled water and take after meals. Efficacy is indicated by sweating on the head. Externally, apply medicines for killing insects and dispersing wind. If insects die, itching stops; if wind disperses, hair grows; if blood flows, spots become moist. Subsequently, rub the affected area with Runji Gao dipped in fresh ginger slices, and hair will grow. Avoid wind-aggravating triggering foods.
Maijian San (Wheat Paste Powder): Treats Tuochuang with layered white crusts and itching like insect crawling. First, decoct Ai Ye (Mugwort Leaf) and Ge Fen (Pigeon Droppings) in water, and wash clean the crusts. Next, wash with fat pork soup. After a while, the insects will emerge naturally. Then, mix Maijian San with Zhizhu Hua You (Rhododendron Flower Oil) and apply. Wear a hat. Pain and swelling will follow; endure them. After three days, the crusts will gradually fall off, and new hair will grow. Abstain from all triggering foods.
Zhizhu Hua You Formula (Rhododendron Flower Oil Recipe): Take 4 liang of Zhizhu Hua roots, crush them. Simmer in one bowl of vegetable oil until withered. Remove dregs. Add a small amount of Huangla (Beeswax). Cool and mix with the previous medicine. Or, dip green cloth in this wax oil and apply three to five times daily. It can heal in three days.
Maijian Formula (Wheat Paste Recipe): Use one sheng of wheat, stir-fry until withered and yellow. While hot, place in a mortar. Mix with 4 liang of Liuhuang (Sulfur) and 1 liang of Bai Pi (White Arsenic). Grind into fine powder and mix evenly. Wait until cool, then remove. Add 0.5 jin of Yan Jiao (Smoke Glue), 3 liang of Chuanjiao (Sichuan Pepper), and 2 liang each of Sheng Kubai (Raw Alum). Grind into fine powder. When using, wash the area with Scallion Soup. Mix with Sesame Oil for application. Cover with oil paper and tie tightly. Change once every three days. Three applications result in cure. This formula is also very effective for treating pediatric pox-related sores.
Huagai San (Imperial Canopy Powder): Cook glutinous rice until soft, mash into paste. Shave the bald area clean. Apply the rice paste thickly. The insects will all enter the rice paste. Wait for the paste to detach naturally, and new hair will grow. Alternative method: Grind Bai Yuan Dou (White Vicia Bean) into powder. Mix with water to form a paste. Apply thickly (one finger thickness) to the head. Wrap with cloth and tie tightly. When the bean evaporates and heats up, pain will be felt. Remove the medicine. This is also effective.
Shusuan Gao (Mouse Garlic Ointment): Treats Bai Tu (White Baldness) and various sores, scabies, and tinea with white crusts.
Usage: Grind mouse droppings into powder. Pound garlic and mix into an ointment. Apply to the affected area.