钮扣风生胸颈间，风湿结聚搔痒难，延
及成片浸汁水，因地而名当癣看。
【注】此证生于颈下天突穴之间。因汗出之后，邪风袭于皮里，起如粟米，搔痒无
度，抓破津水，误用水洗，浸淫成片。轻者外敷独胜散、冰硫散，甚者宜服消风散即愈。
\r钮扣风图\p04-34a72.bmp\r
独胜散
芥菜花一味研细，醋调患上。
【方歌】独胜散治钮扣风，已破未破用俱灵，内只芥菜花一味，止痒消肿有奇功。
冰硫散
硫黄（一两） 潮脑 川椒 生白矾（各二钱）
共为细末，先用白萝卜一个，掏空将药填满，用萝卜皮盖之，纸包三四层，灰火内
煨半时许，待冷将药取出，同熟猪脂油调稠，搽患上自愈。
【方歌】冰硫散内首硫黄，潮脑椒矾用最良，萝卜掏空药填满，油调专搽钮扣疮。
消风散 治钮扣风，骚痒无度，抓破津水，亦有津血者。
荆芥 防风 当归 生地 苦参 苍术（炒） 蝉蜕 胡麻仁 牛蒡子（炒、研） 知母（生）
石膏（ ，各一钱） 甘草（生） 木通（各五分）
水二盅，煎八分，食远服。
【方歌】消风止痒散风湿，木通苍术苦参知，荆防归蒡蝉膏草，胡麻生地水煎之。
三发火毒发督经，中发属肝对心生，上发属肺天柱下，下发属肾脐后凝。
【注】上、中、下三发背，俱属督脉经，皆由火毒而成。上发背火毒伤肺，生天柱骨
下，一名脾肚发，其形横广如肚。中发背火毒伤肝，生于背心，一名对心发，其形中阔，
两头有尖如瓜。下发背火毒伤肾，生于腰中，一名对脐发，其形平漫如龟。其初起皆形如
粟米， 痛麻痒，周身拘急，寒热往来，因循数日，突然大肿，气实者多 痛，气虚者多麻痒。
初起治法，不论虚实，即宜隔蒜艾灸，灸之不应，则就患顶当肉灸之，至知痛为效，以
大化小，移深居浅。灸后用针当疮顶点破一孔，随用拔法，务使毒瓦斯内外疏通，庶不致
内攻。如有表证，发热恶寒无汗者，宜荆防败毒散汗之；如有里证，发热、恶热、大便
燥者，宜内疏黄连汤下之；表里证兼有者，宜神授卫生汤双解之，以减疮势。脓将成，必
行托里。如溃破腐肉不去，外贴巴膏以化之。其余治法，俱按痈疽肿疡、溃疡门。盖此三
证，无论老少，总以高肿红活、 痛者为顺；若漫肿塌陷、焦枯紫黑者为逆。
\r上中下发背图\p04-34a73.bmp\r
荆防败毒散（见项部脑疽门）
内疏黄连汤 神授卫生汤（俱见肿疡门）
巴膏（见溃疡门膏药类方）
钮扣风生于胸部和颈部之间，由风湿邪气结聚所致，瘙痒难忍。病情蔓延成片并渗出汁液，因其发生部位而得名，应当作为癣证来诊治。
【注】此证生于颈部下方天突穴之间的区域。因出汗之后，风邪侵袭于皮肤与肌肉之间，皮损如粟米状，瘙痒无度，抓破后流出津液，若误用水清洗，则浸淫成片。轻症者外敷独胜散、冰硫散；重症者宜内服消风散即可痊愈。
【方歌】独胜散治疗钮扣风，无论已破未破均有效，方中仅用芥菜花一味，止痒消肿有奇功。
冰硫散
硫黄（一两） 潮脑（即樟脑） 川椒 生白矾（各二钱）
共研为细末，先取一个白萝卜，掏空内部将药粉填满，用萝卜皮盖住，外包三四层纸，置于灰火中煨烤约半小时，待冷却后将药取出，同熟猪脂油调成稠状，涂抹患处即可自愈。
【方歌】冰硫散中首推硫黄，樟脑花椒白矾效用良，萝卜掏空填药粉，油调专涂钮扣疮。
消风散 治疗钮扣风，瘙痒无度，抓破后流出津液，也有流出津血的情况。
荆芥 防风 当归 生地 苦参 苍术（炒） 蝉蜕 胡麻仁 牛蒡子（炒、研） 知母（生） 石膏（各一钱） 甘草（生） 木通（各五分）
水两盅，煎至八分，饭后服用。
【方歌】消风散止痒祛风湿，木通苍术苦参知母助，荆芥防风归尾牛蒡蝉蜕石膏草，胡麻生地水煎之。
三发（上、中、下发背）之火毒发于督脉经，中发背属肝，对应心脏；上发背属肺，生于天柱骨下方；下发背属肾，生于脐后。
【注】上、中、下三处发背，均属督脉经，皆由火毒引起。上发背火毒伤肺，生于天柱骨下方，一名脾肚发，其形状横广如肚子。中发背火毒伤肝，生于背心部，一名对心发，其形状中间宽阔，两头尖如瓜。下发背火毒伤肾，生于腰部，一名对脐发，其形状平漫如龟。初起时皆如粟米状，疼痛、麻木、瘙痒，周身拘急，寒热往来，拖延数日后，突然大肿，正气实者多疼痛，正气虚者多麻木瘙痒。初起治法，不论虚实，都适宜隔蒜艾灸，灸之无效，则在患顶正肉处直接艾灸，以感到疼痛为见效标准，使大病化小，深病变浅。灸后用针在疮顶正中刺破一孔，随即使用拔法，务必使毒气内外疏通，以免内攻。如有表证，发热恶寒无汗者，宜用荆防败毒散发汗；如有里证，发热、恶热、大便干燥者，宜用内疏黄连汤泻下；表里证兼有者，宜用神授卫生汤双解，以减轻疮势。脓将成时，必须行托里法。如溃破后腐肉不去，外贴巴膏以化解之。其余治法，均按照痈疽肿疡、溃疡门的规定处理。这三证，无论老少，总以高肿红活、疼痛者为顺证；若漫肿塌陷、焦枯紫黑者为逆证。
Niukou Feng (Button-shaped Wind) arises between the chest and neck, caused by the accumulation of wind-dampness, resulting in unbearable itching. The condition spreads into patches and exudes fluid; it is named according to its location and should be treated as a tinea disease (fungal skin infection).
[Note] This condition occurs between the Tianchu point (CV22) below the neck. After sweating, pathogenic wind invades the space between the skin and muscle, presenting as millet-grain-sized papules with extreme itching. Scratching breaks the skin, causing serous discharge. If mistakenly washed with water, it spreads into extensive patches. For mild cases, apply Dusheng San (Supreme Victory Powder) or Bingsu San (Ice and Sulfur Powder) externally; for severe cases, administer Xiaofeng San (Wind-Expelling Powder) internally for recovery.
Dusheng San (Supreme Victory Powder)
Grind mustard flower (Sinapis alba) into fine powder, mix with vinegar, and apply to the affected area.
[Prescription Verse] Dusheng San treats Niukou Feng, effective whether broken or not; containing only mustard flower, it stops itching and reduces swelling with miraculous efficacy.
Bingsu San (Ice and Sulfur Powder)
Lithii Sulfas (Sulfur, 1 liang), Camphora (Chao Nao, 2 qian), Zanthoxyli Fructus (Chuan Jiao, 2 qian), Alumen Crudum (Sheng Bai Fan, 2 qian).
Grind all ingredients into fine powder. Take one white radish (Raphanus sativus), hollow it out, fill it with the medicine, cover with the radish peel, wrap in three to four layers of paper, and roast in ash fire for about half an hour. After cooling, remove the medicine and mix with rendered lard (Porci Adeps) to a thick consistency. Apply to the affected area for self-healing.
[Prescription Verse] In Bingsu San, Lithium Sulfate (Sulfur) is primary; Camphor, Zanthoxylum, and Alum are excellent. Fill the hollowed radish with medicine, mix with oil, and apply specifically to Niukou sores.
Xiaofeng San (Wind-Expelling Powder) Treats Niukou Feng, characterized by extreme itching, serous discharge upon scratching, and sometimes serosanguineous discharge.
Schizonepetae Herba (Jingjie), Saposhnikoviae Radix (Fangfeng), Angelicae Sinensis Radix (Danggui), Rehmanniae Radix (Shengdi), Sophorae Flavescentis Radix (Kushen), Atractylodis Rhizoma (Cangzhu, stir-fried), Cicadae Periostracum (Chantui), Sesami Semen (Huma Ren), Arctii Fructus (Niubangzi, stir-fried and ground), Anemarrhenae Rhizoma (Zhimu, raw), Gypsum Fibrosum (Shigao, each 1 qian), Glycyrrhizae Radix et Rhizoma (Gancao, raw), Akebiae Caulis (Mutong, each 5 fen).
Decoct two cups of water until reduced to eight-tenths. Take after meals.
[Prescription Verse] Xiaofeng San stops itching and dispels wind-dampness; Mutong, Cangzhu, Kushen, and Zhimu assist. Jingjie, Fangfeng, Danggui, Niubang, Chantian, Shigao, and Gancao are decocted with Huma and Shengdi in water.
San Fa (Three Types of Back Carbuncles: Upper, Middle, Lower) involve Fire-Toxin affecting the Du Meridian (Governor Vessel). The Middle Fa belongs to the Liver and corresponds to the Heart; the Upper Fa belongs to the Lung and arises below the Tianzhu bone (GB10); the Lower Fa belongs to the Kidney and arises behind the umbilicus.
[Note] The Upper, Middle, and Lower Back Carbuncles all belong to the Du Meridian and are caused by Fire-Toxin. Upper Back Carbuncle: Fire-Toxin injures the Lung, arising below the Tianzhu bone. Also known as Pidufa (Spleel-Belly Carbuncle), it is wide and flat like a belly. Middle Back Carbuncle: Fire-Toxin injures the Liver, arising at the center of the back. Also known as Duixinfa (Opposite-Heart Carbuncle), it is wide in the middle and pointed at both ends, like a melon. Lower Back Carbuncle: Fire-Toxin injures the Kidney, arising in the waist. Also known as Duiqifa (Opposite-Umbilicus Carbuncle), it is flat and spreading like a turtle. Initially, they appear like millet grains, accompanied by pain, numbness, itching, general stiffness, and alternating chills and fever. After several days, sudden massive swelling occurs. Those with excess Qi experience more pain; those with deficient Qi experience more numbness and itching. Initial treatment, regardless of deficiency or excess, should involve moxibustion with garlic slices. If ineffective, direct moxibustion on the peak of the lesion should be performed until pain is felt, indicating efficacy. This shrinks large lesions and moves deep pathology to the surface. After moxibustion, puncture the center of the carbuncle with a needle, then apply suction methods to ensure thorough drainage of toxins, preventing internal invasion. If exterior symptoms exist (fever, aversion to cold, absence of sweat), administer Jingfang Baidu San (Schizonepeta and Saposhnikovia Decoction to Overcome Toxicity) to induce sweating. If interior symptoms exist (fever, aversion to heat, dry stool), administer Neishu Huanglian Tang (Internal Draining Coptis Decoction) to purge. If both exterior and interior symptoms coexist, administer Shenshou Weisheng Tang (Divine Grant Health-Preserving Decoction) to resolve both, thereby reducing the severity of the sore. As pus forms, employ Tonifying Interior methods. If the ulcer opens but necrotic tissue remains, apply Bagao (Ba Plaster) externally to dissolve it. Other treatments follow the protocols for Yang Sores (Yong Ju) in the Swelling/Ulceration sections. These three conditions, regardless of age, are considered favorable (Shun) if high, swollen, red, vibrant, and painful; they are unfavorable (Ni) if flat, sunken, scorched, dry, purple, or black.
Jingfang Baidu San (See Neck Brain Abscess Section)
Neishu Huanglian Tang (Internal Draining Coptis Decoction)
Shenshou Weisheng Tang (Divine Grant Health-Preserving Decoction) (Both see Swelling/Ulceration Section)
Bagao (Ba Plaster) (See Ulceration Section, Ointment Formulas)