粟疮痒证属火生，风邪乘皮起粟形，风为火化能作痒，通圣苦参及消风。
【注】凡诸疮作痒，皆属心火。火邪内郁，表虚之人，感受风邪，袭入皮肤，风遇
火化作痒，致起疮疡形如粟粒，其色红，搔之愈痒，久而不瘥，亦能消耗血液，肤如蛇
皮。初服防风通圣散加枳壳、蝉蜕，血燥遇晚痒甚，夜不寐者，宜服消风散，外敷二味
拔毒散。若年深日久，肤如蛇皮者，宜常服皂角苦参丸，外用猪脂油二两、苦杏仁一两
捣泥，抹之自效。
\r粟疮图\p04-34a246.bmp\r
皂角苦参丸
苦参（一斤） 荆芥（十二两） 白芷 大风子肉 防风（各六两） 大皂角 川芎 当归 何
首乌（生） 大胡麻 枸杞子 牛蒡子（炒） 威灵仙 全蝎 白附子 蒺藜（炒，去刺） 独活
川牛膝（各五两） 草乌（汤泡，去皮） 苍术（米泔水浸，炒） 连翘（去心） 天麻 蔓荆
子羌活 青风藤 甘草 杜仲（酥炙，各三两） 白花蛇（切片，酥油炙黄） 缩砂仁（炒，
各二两） 人参（一两）
共研细末，醋打老米糊为丸，如梧桐子大。每服三四十丸，温酒食前后任下。避风
忌口为要。
【方歌】皂角苦参粟疮痒，久似蛇皮肤难当，芎归何首胡麻芷，大风枸杞草乌苍，
翘蒡威灵蝎白附，蒺藜天麻独蔓羌，白蛇风藤甘杜仲，人参牛膝缩荆防。
防风通灵散（见头部秃疮）
消风散（见项部钮扣风）
二味拔毒散（见肿疡门）
粟疮瘙痒的证候属于火邪所致，风邪侵袭皮肤导致出现如粟粒般的形态。风邪与火邪相合化热从而引起瘙痒，治疗宜选用防风通圣散、苦参或消风散。
【注释】凡是各种疮疡发生瘙痒，都属于心火。火邪在体内郁结，表虚之人感受风邪，风邪侵入皮肤，风遇到火邪化为热而引发瘙痒，导致疮疡形状像粟粒一样，颜色发红，搔抓后瘙痒加剧，日久不愈，也会消耗血液，使皮肤变得像蛇皮一样粗糙。初期服用加枳壳、蝉蜕的防风通圣散；若因血燥导致傍晚瘙痒加重、夜间失眠者，适宜服用消风散，外用二味拔毒散涂抹。如果病程长久，皮肤像蛇皮一样粗糙者，适宜常服皂角苦参丸，外用猪脂油二两、苦杏仁一两捣成泥状涂抹，自有疗效。
皂角苦参丸
药材及剂量：苦参（一斤）、荆芥（十二两）、白芷、大风子肉、防风（各六两）、大皂角、川芎、当归、何首乌（生用）、大胡麻、枸杞子、牛蒡子（炒制）、威灵仙、全蝎、白附子、蒺藜（炒制，去刺）、独活、川牛膝（各五两）、草乌（汤泡，去皮）、苍术（米泔水浸泡，炒制）、连翘（去心）、天麻、蔓荆子、羌活、青风藤、甘草、杜仲（酥炙，各三两）、白花蛇（切片，酥油炙至黄色）、缩砂仁（炒制，各二两）、人参（一两）。
制法与用法：共同研磨成细末，用醋调和老米糊作为丸剂，大小如梧桐子。每次服用三四十丸，饭前或饭后用温酒送服均可。注意避风和忌口是关键。
【方歌】皂角苦参治粟疮痒，久病皮肤似蛇皮难当。川芎当归何首乌胡麻白芷，大风子枸杞草乌苍术。连翘牛蒡子威灵仙全蝎白附子，蒺藜天麻独活蔓荆子羌活。白花蛇青风藤甘草杜仲，人参牛膝缩砂仁荆芥防风。
The syndrome of itching in millet sores (Millet Sores) belongs to Fire pathogenic factors. Wind pathogenic factors invade the skin, causing lesions resembling millet grains. When Wind transforms into Fire, it causes itching. Treatment should utilize Fangfeng Tongsheng San (Wind-Protecting Universal Rescue Powder), Kushen (Sophorae Flavescentis Radix), or Xiaofeng San (Eliminate-Wind Powder).
[Note] All types of sores and ulcers that cause itching belong to Heart Fire. When Fire pathogens are internally constrained, individuals with deficient exterior defenses who contract Wind pathogens may have the Wind invade the skin. The Wind encounters Fire, transforming into heat which induces itching, resulting in sores resembling millet grains. These lesions are red; scratching exacerbates the itching. If left untreated for a long time, it consumes Blood, causing the skin to become rough like snake skin. In the initial stage, take Fangfeng Tongsheng San (Wind-Protecting Universal Rescue Powder) augmented with Zhike (Aurantii Fructus) and Chantui (Cicadae Periostracum). For cases where Blood dryness causes severe itching in the evening and insomnia at night, Xiaofeng San (Eliminate-Wind Powder) is appropriate, applied externally with Erwei Baidu San (Two-Ingredient Poison-Extracting Powder). For chronic cases lasting many years where the skin resembles snake skin, it is advisable to regularly take Zaojiao Kushen Wan (Gleditsiae Sinensis and Sophora Pill) and apply an external paste made from two taels of Pig Fat Oil and one tael of Ku Xingren (Prunus Armeniaca Semen) pounded into a泥 (paste).
Zaojiao Kushen Wan (Gleditsiae Sinensis and Sophora Pill)
Ingredients: Kushen (Sophorae Flavescentis Radix, 1 jin); Jingjie (Schizonepetae Herba, 12 liang); Baizhi (Angelicae Dahuricae Radix); Dafengzi Rou (Bischofiae Semen); Fangfeng (Saposhnikoviae Radix, each 6 liang); Da Zaojiao (Gleditsiae Sinensis Fructus); Chuanxiong (Ligustici Chuanxiong Rhizoma); Danggui (Angelicae Sinensis Radix); Heshouwu Sheng (Polygoni Multiflori Radix, raw); Dahuama (Sesami Fructus); Gouqizi (Lycii Fructus); Niubangzi (Arctii Fructus, stir-fried); Weilingxian (Salviae Miltiorrhizae Radix et Rhizoma / or Saposhnikoviae Radix depending on context, here likely Salviae Miltiorrhizae or similar herb commonly paired, but standard WHO term for Weilingxian is Saposhnikoviae Radix or Salviae Miltiorrhizae? Actually Weilingxian is Saposhnikoviae Radix. Wait, Fangfeng is also Saposhnikoviae. Let's stick to standard names). *Correction*: Weilingxian is Saposhnikoviae Radix. But Fangfeng is also Saposhnikoviae Radix in some texts? No, Fangfeng is Saposhnikoviae Radix. Weilingxian is Saposhnikoviae Radix. This seems redundant in the source text or refers to different parts/species. I will use standard Latin. Quedexian is often Saposhnikoviae. Let's assume standard pharmacopoeia. Weilingxian = Saposhnikoviae Radix. Full xie = Scorpio. Baifuzi = Typhonii Rhizoma. Jili = Tribuli Fructus. Duohuo = Angelicae Pubescentis Radix. Chuanniuxi = Cyathulae Radix. Caowu = Aconiti Kusnezoffii Radix. Cangzhu = Atractylodis Rhizoma. Lianqiao = Forsythiae Fructus. Tianma = Gastrodiae Rhizoma. Manjingzi = Viticis Fructus. Qianghuo = Notopterygii Rhizoma et Radix. Qingfengteng = Sinomenii Caulis. Gancao = Glycyrrhizae Radix et Rhizoma. Duzhong = Eucommiae Cortex (prepared with su). Baihuashe (prepared with su oil) = Bungarus multicinctus slices. Suasharen (Amomi Fructus Rotundus, stir-fried, each 2 liang); Renshen (Ginseng Radix et Rhizoma, 1 liang).
Preparation and Administration: Grind all ingredients into fine powder. Use vinegar and old rice paste to form pills the size of wutong seeds. Take 30-40 pills per dose, administered before or after meals with warm wine. Avoid wind and observe dietary restrictions.
[Mnemonic Verse] Zaojiao and Kushen treat millet sore itching, long-standing cases make skin like snake skin hard to bear. Chuanxiong, Danggui, Heshouwu, Huma, Baizhi, Dafengzi, Gouqi, Caowu, Cangzhu, Lianqiao, Niubang, Weilingxian, Quansxie, Baifuzi, Jili, Tianma, Duohuo, Manjingzi, Qianghuo, Baihuashe, Qingfengteng, Gancao, Duzhong, Renshen, Chuanniuxi, Suasharen, Jingjie, Fangfeng.
Fangfeng Tongsheng San (See section on Alopecia Capitis/Cephalic Baldness due to Sores)
Xiaofeng San (See section on Neck Button Wind/Neck Dermatitis)
Erwei Baidu San (See section on Ulcerative Diseases)