秃疮风热化生虫，骚痒难堪却不疼，白痂如钱生发内，宜服通圣擦膏灵。
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【注】此证头生白痂，小者如豆，大者如钱，俗名钱癣，又名肥疮，多生小儿头上，骚
痒难堪，却不疼痛。日久延漫成片，发焦脱落，即成秃疮，又名癞头疮，由胃经积热生
风而成。宜用防风通圣散料，醇酒浸焙为细末，每服一钱或二钱，量其壮弱用之。食后
白滚汤调下，服至头上多汗为验。初起肥疮，宜擦肥油膏，用久则效。已成秃疮者，先宜
艾叶、鸽粪煎汤洗净疮痂；再用猪肉汤洗之，随擦踯躅花油，以杀虫散风，虫死则痒止，风
散则发生，血潮则肌肤润，久擦甚效。
防风通圣散
防风 当归 白芍（酒炒） 芒硝 大黄 连翘 桔梗 川芎 石膏（ ） 黄芩 薄荷
麻黄 滑石（各一两） 荆芥 白术（土炒） 山栀子（各二钱五分） 甘草（生二两）
共为末。
【方歌】防风通圣治秃疮，胃经积热致风伤。连翘栀子麻黄桔，白术归芎滑石防，黄
芩甘草石膏芍，薄荷荆芥并硝黄。共末酒拌晒干碾，白汤调服发汗良。
肥油膏
番木鳖（六钱） 当归 黎芦（各五钱） 黄柏
苦参 杏仁 野狼毒 白附子（各三钱） 鲤鱼胆（二个）
用香油十两，将前药入油内，熬至黑黄色，去渣，加黄蜡一两二钱溶化尽，用布滤
过罐收。每用少许，用蓝布裹于手指，蘸油擦疮。
【方歌】肥油膏能治肥疮，散风杀虫长发强，黄柏苦参白附子，番鳖野狼毒杏仁良，藜
芦当归鲤鱼胆，炸焦入蜡实奇方。
踯躅花油方
踯躅花根四两捣烂，用菜油一碗，炸枯去渣，加黄蜡少许，布滤候冷。青布蘸擦，日
用三次。毡帽戴之，勿令见风。
【方歌】踯躅花油疗秃疮，驱虫止痒擦之良，踯躅花根研极烂，菜油炸枯入蜡强。
秃疮是由风热之邪化生虫毒所致，表现为瘙痒难忍但并无疼痛感。患处头皮内生出如铜钱大小的白色痂皮。治疗宜内服防风通圣散，并外用擦膏以获灵效。
【注释】此病症表现为头部生出白色痂皮，小的如豆粒，大的如铜钱，俗称“钱癣”，又名“肥疮”。多见于小儿头部，瘙痒剧烈却不觉疼痛。若日久蔓延成片，头发焦枯脱落，即形成秃疮，又称“癞头疮”。此病由胃经积热生风所致。适宜使用防风通圣散的药料，用纯酒浸泡后焙干研为细末，每次服用一钱或二钱，根据患者体质强弱调整用量。饭后用白开水调服，以服药后头部多出汗为见效标志。初起阶段的肥疮，适宜涂抹肥油膏，长期使用效果显著。若已成秃疮者，先用艾叶、鸽粪煎汤洗净疮痂；再用猪肉汤清洗，随后涂抹踯躅花油，以达到杀虫散风的目的。虫死则痒止，风散则发生，血行通畅则肌肤滋润，长期涂抹效果极佳。
防风通圣散
组成：防风、当归、白芍（酒炒）、芒硝、大黄、连翘、桔梗、川芎、石膏、黄芩、薄荷、麻黄、滑石（以上各一两）；荆芥、白术（土炒）、山栀子（以上各二钱五分）；甘草（生用二两）。
制法：共研为细末。
【方歌】防风通圣治秃疮，胃经积热致风伤。连翘栀子麻黄桔，白术归芎滑石防，黄芩甘草石膏芍，薄荷荆芥并硝黄。共末酒拌晒干碾，白汤调服发汗良。
肥油膏
组成：番木鳖（六钱）、当归、黎芦（以上各五钱）、黄柏、苦参、杏仁、野狼毒、白附子（以上各三钱）、鲤鱼胆（二个）。
制法：用香油十两，将上述药物放入油中，熬至黑黄色，去渣，加入黄蜡一两二钱使其完全溶化，用布过滤后装入罐中保存。每用少许，用蓝布包裹手指，蘸取药油擦拭患处。
【方歌】肥油膏能治肥疮，散风杀虫长发强，黄柏苦参白附子，番鳖野狼毒杏仁良，藜芦当归鲤鱼胆，炸焦入蜡实奇方。
踯躅花油方
组成：踯躅花根四两。
制法：将踯躅花根捣烂，用菜油一碗，炸至枯焦后去渣，加入少许黄蜡，用布过滤待冷却。用青布蘸取药油擦拭，每日三次。治疗后需戴毡帽，避免见风。
Tuo Chuang (Scalp Ringworm) is caused by wind-heat transforming into insect-toxins, characterized by unbearable itching without pain. White crusts the size of a coin appear within the hair on the scalp. Treatment should involve internal administration of Fangfeng Tongsheng San (Saposhnikovia Universal Relief Powder) and external application of an ointment for effective results.
[Note] This condition presents with white crusts growing on the head, small ones like bean grains and large ones like coins. It is commonly known as "Qian Xuan" (Coin Tinea), also called "Fei Chuang" (Greasy Scabies). It mostly occurs on the heads of children, causing severe itching but no pain. If left untreated for a long time, it spreads into patches, causing hair to become brittle and fall out, resulting in Tuo Chuang (Baldness), also known as "Lai Tou Chuang" (Leper Head Scabies). This disease arises from accumulated heat in the Stomach Meridian generating wind. It is suitable to use the ingredients of Fangfeng Tongsheng San (Saposhnikovia Universal Relief Powder), soaked in pure wine, baked until dry, and ground into fine powder. Take one or two qian per dose, adjusted according to the patient's strength. Mix with plain boiled water and take after meals; effectiveness is indicated by profuse sweating on the head. For initial Fei Chuang (Greasy Scabies), applying Fei You Gao (Grease Ointment) is recommended, showing good efficacy with prolonged use. For established Tuo Chuang (Baldness), first wash the crusts clean with a decoction of Ai Ye (Artemisia argyi Leaf) and Ge Fen (Dove Droppings); then wash with pork broth, followed by rubbing Zhi Zhu Hua You (Rhododendron Oil) to kill insects and disperse wind. When insects die, itching stops; when wind disperses, hair grows; when blood circulation flows, skin becomes moist. Long-term application yields excellent results.
Fangfeng Tongsheng San (Saposhnikovia Universal Relief Powder)
Ingredients: Fangfeng (Radix Saposhnikoviae), Danggui (Radix Angelicae Sinensis), Baishao (Radix Paeoniae Alba, stir-fried with wine), Mangxiao (Natrii Sulfas), Dahuang (Radix et Rhizoma Rhei), Lianqiao (Fructus Forsythiae), Jiegeng (Radix Platycodonis), Chuanxiong (Rhizoma Chuanxiong), Shigao (Gypsum Fibrosum), Huangqin (Radix Scutellariae), Bohe (Herba Menthae), Mahuang (Herba Ephedrae), Huashi (Talcum) (each 1 liang); Jingjie (Herba Schizonepetae), Baizhu (Rhizoma Atractylodis Macrocephalae, stir-fried with soil), Shanzhizi (Fructus Gardeniae, each 2.5 qian); Gancao (Radix Glycyrrhizae, raw, 2 liang).
Preparation: Grind all ingredients into a fine powder.
[Fangge - Formula Song] Fangfeng Tongsheng treats Tuo Chuang, Stomach meridian accumulated heat causes wind injury. Lianqiao, Zhizi, Mahuang, Jiegeng, Baizhu, Danggui, Chuanxiong, Huashi, Fangfeng, Huangqin, Gancao, Shigao, Baishao, Bohe, Jingjie, plus Xiaoshi and Dahuang. Grind into powder, mix with wine, sun-dry, grind again, mix with white soup, induce sweating effectively.
Fei You Gao (Grease Ointment)
Ingredients: Fanmubie (Strychnos nux-vomica Seed, 6 qian); Danggui (Radix Angelicae Sinensis), Lilu (Radix Veratri Nigril) (each 5 qian); Huangbai (Cortex Phellodendri), Kushen (Radix Sophorae Flavescentis), Xingren (Semen Armeniacae Amarum), Yelangdu (Radix Stellerae Chamaejasme), Baifuzi (Rhizoma Typhonii Flagelliforme) (each 3 qian); Liyu Dan (Cyprinus carpio Gallbladder) (2 pieces).
Preparation: Use 10 liang of Sesame Oil. Place the aforementioned herbs in the oil, boil until black-yellow, remove dregs, add 1.2 liang of Beeswax until fully melted, filter through cloth, and store in jars. Apply a small amount by wrapping blue cloth around fingers, dipping in oil, and rubbing the lesion.
[Fangge - Formula Song] Fei You Gao can treat Fei Chuang, disperses wind, kills insects, strengthens hair growth. Huangbai, Kushen, Baifuzi, Fanbie, Yelangdu, Xingren are good. Lilu, Danggui, Liyu Dan, fried until charred with wax added, truly a miraculous formula.
Zhi Zhu Hua You (Rhododendron Oil) Formula
Ingredients: Zhi Zhu Hua Gen (Rhizoma Rhododendri Mollis, 4 liang).
Preparation: Pound the Zhi Zhu Hua Gen into a paste. Use one bowl of Rapeseed Oil, fry until withered, remove dregs, add a little Beeswax, filter through cloth, and let cool. Dip green cloth in the oil and rub, three times daily. Wear a felt hat afterwards, avoiding exposure to wind.
[Fangge - Formula Song] Zhi Zhu Hua Oil treats Tuo Chuang, killing parasites and stopping itching is good when rubbed. Zhi Zhu Hua Gen ground extremely fine, fried in rapeseed oil until withered with wax added, strong effect.