枯筋箭由肝失荣，筋气外发赤豆形，破突筋头如花蕊，或系或灸便成功。
【注】此证一名疣子，由肝失血养，以致筋气外发。初起如赤豆，枯则微槁，日久
破裂，钻出筋头，蓬松枯槁，如花之蕊，多生于手足胸乳之间。根蒂细小者，宜用药线
齐根系紧，七日后其患自落，以月白珍珠散掺之，其疤收敛，根大顶小者，用铜钱一文
套疣子上，以草纸穣代艾连灸三壮，其患枯落，疣形若大，用草纸蘸湿，套在疣上灸之。
\r枯筋箭图\p04-34a247.bmp\r
药线（见臀部痔疮）
月白珍珠散（见溃疡门）
疥疮干湿虫砂脓，各经蕴毒风化成，治论上下分肥瘦，清风利湿兼杀虫。
【注】此证有干、湿、虫、砂、脓之分，其形虽有五种，总由各经蕴毒，日久生火，
兼受风湿，化生斯疾，或传染而生。凡疥先从手丫生起，绕遍周身，瘙痒无度。如肺经
燥盛，则生干疥，瘙痒皮枯，而起白屑；如脾经湿盛，则生湿疥， 肿作痛，破津黄水，
甚流黑汁；如肝经风盛，则生虫疥，瘙痒彻骨，挠不知疼；如心血凝滞，则生砂疥，形
如细砂， 赤痒痛，抓之有水；如肾经湿热，则生脓窠疥，形如豆粒，便利作痒，脓清淡
白；或脾经湿盛，亦生脓窠疥，但顶含稠脓，痒疼相兼为异。疥虽有余之证，而体虚之人
亦生，以便秘为实，便利为虚。亦有虚而便燥者，如风秘则便燥，血分枯燥则便涩。又
在疮形色重色淡，及脉息之有力、无力辨之。初起有余之人，俱宜防风通圣散服之，虚者
服荆防败毒散透发之。及情势已定，则无论
虚实，干疥服消风散，湿疥服苍术膏，虫疥服芦荟丸，砂疥服犀角饮子，脓窠疥服秦艽
丸，经久不愈血燥者，服当归饮子。外治∶干疥者，擦绣球丸；湿者，擦臭灵丹，润燥
杀虫俱效。疥生上体多者，偏风热盛；下体多者偏风湿盛。肥人多风湿，瘦人多血热，
详辨治之。
\r疥疮图\p04-34a248.bmp\r
苍术膏
南苍术（切片，入砂锅内水煮减半，取汁再加水煮如前，以术无味为度，并汁一处，
用小砂锅再煎，如干一寸加汁一寸，煎成膏，加蜂蜜四两和匀，十斤）
每服二羹匙，空心，白滚水调服。
【方歌】苍术膏医湿疥疮，切片入锅煮取汤，熬膏加蜜空心服，湿除热散胜群方。
犀角饮子
犀角（镑） 赤芍 甘菊花 元参 木通 赤小豆（炒） 石菖蒲（各一钱五分） 甘草
（生，一钱）
生姜三片，水二盅，煎八分服。
【方歌】犀角饮子砂疥生，痒疼色赤出心经，芍菊元参通赤豆，菖蒲姜草水煎成。
秦艽丸
秦艽 苦参 大黄（酒蒸） 黄 （各二两） 防风 漏芦 黄连（各一两五钱） 乌蛇肉（酒
浸，焙干，五钱）
共为细末，炼蜜为丸，如梧桐子大。每服三十丸，食后温酒送下。
【方歌】秦艽丸服脓疥愈，清热痒除疮自去，苦参大黄风漏芦，乌蛇黄连 蜜聚。
当归饮子
当归 生地 白芍（酒炒） 川芎 何首乌 荆芥 防风 白蒺藜（各一钱） 黄 甘草
（生，各五分）
水二盅，煎八分，食远服。
【方歌】当归饮子脓疥久，痒添血燥不能除，四物黄 何首草，荆防蒺入风自疏。
绣球丸
川椒 轻粉 樟脑 雄黄 枯白矾 水银（各二钱） 大风子肉（另研，一百枚）
共研细末，同大风子肉再碾匀，加 油一两，化开和药，搅匀作丸，以二掌合搓，
如圆眼大。先以鼻闻，次擦患处。
【方歌】绣球丸用椒轻粉，樟脑雄黄矾水银，大风子研 油兑，干疥搓擦效如神。
臭灵丹
硫黄末 油核桃 生猪脂油（各一两） 水银（一钱）
捣膏，用擦患外。
【方歌】臭灵丹擦脓湿疥，硫黄末共油核桃，生猪脂油各一两，水银一钱同捣膏。
防风通圣散（见头部秃疮）
荆防败毒散（见项部脑疽）
消风散（见项部钮扣风）
芦荟丸（见牙齿部牙衄）
枯筋箭是由于肝血亏虚，不能濡养筋脉，导致筋气外发，形态像赤豆；若破溃突出如花朵的花蕊，采用结扎或艾灸的方法即可治愈。
【注】此病又名“疣子”，是因为肝失血养，致使筋气外发。初起时像赤豆，干枯后略微萎缩，日久破裂，钻出筋头，蓬松干枯，像花蕊一样，多生长在手足、胸部和乳房之间。根蒂细小的，宜用药线齐根系紧，七日后患处自然脱落，撒上月白珍珠散，疤痕即可收敛；根部大顶部小的，用一枚铜钱套在疣子上，用草纸芯代替艾绒连续灸三壮，患处便会干枯脱落；疣体较大的，用草纸蘸湿，套在疣上施灸。
疥疮分为干疥、湿疥、虫疥、砂疥、脓窠疥五种，分别由不同经络蕴积毒邪，受风湿之邪化火而成。治疗需根据发病部位上下及患者体型肥瘦进行区分，治法以清风、利湿兼杀虫为主。
【注】此病有干、湿、虫、砂、脓之分，虽然形态有五种，但总归是各经蕴积毒邪，日久生火，兼受风湿，从而化生此疾，也可能通过传染产生。凡疥疮先从手指缝间开始，蔓延遍全身，瘙痒无度。如果肺经燥盛，则生干疥，皮肤干枯瘙痒，起白屑；如果脾经湿盛，则生湿疥，肿胀疼痛，破溃流出黄水，严重时流出黑汁；如果肝经风盛，则生虫疥，瘙痒深入骨髓，抓挠不知疼痛；如果心血凝滞，则生砂疥，形状像细砂，红痒疼痛，抓破有水；如果肾经湿热，则生脓窠疥，形状像豆粒，大小便通畅时瘙痒，脓液清淡色白；如果是脾经湿盛，也会生脓窠疥，但脓液稠厚，痒疼并见，这是其不同之处。疥疮虽然是实证有余之证，但身体虚弱的人也会得，通常便秘为实证，大便通畅为虚证。也有因虚而大便干燥的，如风秘导致大便干燥，血分枯燥导致大便涩滞。此外，还需通过疮形色泽深浅以及脉搏有力无力来辨别。初起属于实证有余的人，都宜服用防风通圣散；虚证者服用荆防败毒散透发邪气。待病情稳定后，无论虚实，干疥服用消风散，湿疥服用苍术膏，虫疥服用芦荟丸，砂疥服用犀角饮子，脓窠疥服用秦艽丸；经久不愈且血燥者，服用当归饮子。外治法：干疥者，擦绣球丸；湿疥者，擦臭灵丹，润燥杀虫均有效。疥疮生于上半身多的，偏于风热盛；生于下半身多的，偏于风湿盛。肥胖人多风湿，消瘦人多血热，需详细辨别治疗。
**Kujin Jian (Withered Tendon Arrow)**
Kujin Jian arises from Liver blood deficiency failing to nourish the sinews, causing Sinew Qi to manifest externally in a shape resembling a red bean. If it ruptures and protrudes like the stamen of a flower, tying it off or applying moxibustion will achieve a cure.
[Note] This condition is also known as "Youzi" (Warts). It is caused by Liver blood deficiency failing to nourish the body, resulting in Sinew Qi manifesting externally. Initially, it resembles a red bean; as it withers, it becomes slightly shriveled. After a long time, it ruptures, and tendon-like heads emerge, appearing fluffy and dry, similar to flower stamens. It mostly occurs between the hands, feet, chest, and breasts. For those with thin roots, medicinal threads should be tied tightly at the base; after seven days, the lesion will naturally fall off. Apply Yuebai Zhenzhu San (Moon-white Pearl Powder) to promote scar contraction. For those with large roots and small tops, place a copper coin over the wart, use paper straw cores instead of mugwort, and apply three moxa cones until the lesion withers and falls off. For larger warts, wet paper strips can be placed over the wart for moxibustion.
**Jie Chuang (Scabies)**
Jie Chuang presents in five types: Dry Scabies, Wet Scabies, Insect Scabies, Sand Scabies, and Pustular Scabies. These are caused by toxin accumulation in various meridians, transforming into fire due to wind-dampness. Treatment involves distinguishing based on upper/lower body involvement and fat/thin body constitutions, employing methods to clear wind, drain dampness, and kill parasites.
[Note] This condition is categorized into Dry, Wet, Insect, Sand, and Pustular types. Although there are five morphological variations, they all stem from toxin accumulation in the meridians, generating heat over time, combined with wind-dampness invasion. It may also be contagious. Scabies typically begins in the finger webs and spreads throughout the body, causing intense itching.
If Lung Meridian dryness is excessive, Dry Scabies occurs, characterized by dry, itchy skin with white scales.
If Spleen Meridian dampness is excessive, Wet Scabies occurs, presenting with swelling, pain, yellow discharge upon rupture, and potentially black fluid in severe cases.
If Liver Meridian wind is excessive, Insect Scabies occurs, with itching penetrating to the bone, where scratching does not relieve pain.
If Heart Blood stagnates, Sand Scabies occurs, resembling fine sand, with redness, itching, pain, and fluid upon scratching.
If Kidney Meridian damp-heat is present, Pustular Scabies occurs, resembling bean grains, with itching when bowel movements are smooth, and pale, thin pus.
If Spleen Meridian dampness is excessive, Pustular Scabies may also occur, but with thick pus and simultaneous itching and pain, which distinguishes it.
Although Scabies is generally an excess syndrome, deficient individuals may also contract it. Constipation indicates excess, while normal bowel movements indicate deficiency. However, deficiency can also lead to dry stools; for instance, Wind Constipation causes dry stools, and dryness in the Blood aspect causes difficult,涩 (astringent/difficult) defecation. Differentiation is further made by observing the depth of color in the lesions and the strength or weakness of the pulse.
For initial cases of excess constitution, Fangfeng Tongsheng San (Saposhnikovia Decoction for Unimpeded Flow) is indicated. For deficient cases, Jingfang Baidu San (Aucklandia and Saposhnikovia Decoction for Resolving Toxin) is used to vent the pathogen.
Once the condition stabilizes, regardless of excess or deficiency:
Dry Scabies is treated with Xiaofeng San (Wind-Expelling Powder);
Wet Scabies with Cangzhu Gao (Atractylodes Ointment);
Insect Scabies with Lushui Wan (Aloe Pill);
Sand Scabies with Xijiao Yinzi (Rhinoceros Horn Drink);
Pustular Scabies with Qinjiao Wan (Gentian Pill);
For chronic cases involving blood dryness, Danggui Yinzi (Angelica Drink) is administered.
External treatments: Dry Scabies is rubbed with Xiuyuan Wan (Embroidered Ball Pill); Wet Scabies with Chouling Dan (Stinky Spirit Elixir), both effective for moisturizing, drying, and killing parasites.
Scabies predominantly on the upper body suggests excessive Wind-Heat; predominantly on the lower body suggests excessive Damp-Wind. Obese individuals tend toward Damp-Wind, while thin individuals tend toward Blood-Heat. Detailed differentiation and treatment are required.