妇人血风疮，因肝脾二经风热郁火血燥所致。其外症身发疙瘩，或如丹毒，痒痛不常，搔破
成疮，脓水淋漓。其内症月经无定，小便不调，夜热内热，自汗盗汗，恶寒憎寒，肢体倦怠
，饮食不甘，寒热往来。若发热作痛，乃肝经风热血燥，用当归饮加柴胡、山栀。若体倦食
少，口干潮热，乃肝脾郁火伤血，用加味逍遥散。若疙瘩痛痒，寒热往来，乃肝经风热伤血
，用小柴胡加山栀、黄连。若夜间发热，作渴谵语，乃热入血室，用小柴胡加生地黄，血虚
四物合小柴胡汤。若无寐盗汗，内热晡热，乃脾经血虚，用归脾汤；兼寒热，加山栀、熟地
。若用风药，复伤阴血，反致他症。
治验
一妇人素清苦，四肢患此，误用败毒寒凉，晡热内热，自汗盗汗，月经不行，口干咽燥，此
郁结伤脾，四肢者脾主之，用归脾汤数剂，后兼逍遥散，五十余剂而愈。
一妇人性躁，寒热口苦，胁痛耳鸣，腹胀溺涩年余矣，症属肝火，用四君加柴胡、炒山栀、
炒龙胆数剂，乃与逍遥散兼服而疮愈，又与六味丸及逍遥散，七十余剂，诸症悉退。若有愈
后身起白屑，搔则肌肤如帛所隔，此气血虚不能营于腠理，用大补之剂。若有愈后发热，身
起疙瘩痒痛，搔破脓水淋漓，经候不调，此肝火血热，用四物加柴胡、山栀、白术、茯苓、
丹皮、甘草。
一妇人日晡身痒，月余口干，又月余成疮，服祛风之剂，脓水淋漓，午前畏寒，午后发热，
殊类风症。余谓此肝经郁火，外邪所搏，用补中益气加山栀、钩藤，又以逍遥散加川芎、贝母而愈。
一妇人搔痒，发热，日晡益甚，肤见赤痕，月经过期，此血虚有热，以逍遥散倍加熟地，热
止痒退，更以四物加参、 、柴胡、炙草、茯苓，调理遂愈。
一女子十二岁，善怒，遍身作痒，用柴胡、川芎、山栀、芍药以清肝火，以生地、当归、黄
芩凉肝血，以白术、茯苓、甘草健脾土而愈。半载后，遍身起赤痕，或时眩晕，此肝火炽甚
，血得热而妄行，是夜果经至。
妇人血风疮，是由于肝、脾两经的风热郁结化火，导致血液干燥所引起。其外在症状表现为身体出现疙瘩，有的像丹毒一样，瘙痒和疼痛不固定，抓破后形成疮疡，脓水淋漓不断。其内在症状表现为月经周期不定，小便排泄不畅，夜间发热及体内自觉发热，白天自汗、夜间盗汗，怕冷且厌恶寒冷，肢体疲倦乏力，饮食无味，寒热交替发作。如果发热并伴有疼痛，这是肝经风热导致血液干燥，应使用当归饮子加柴胡、山栀。如果身体疲倦、食欲减少，口干且有潮热，这是肝脾郁火损伤了血液，应使用加味逍遥散。如果疙瘩疼痛瘙痒，伴有寒热往来，这是肝经风热损伤了血液，应使用小柴胡汤加山栀、黄连。如果夜间发热，口渴并说胡话，这是热邪进入血室，应使用小柴胡汤加生地黄；若是血虚，可将四物汤与小柴胡汤合用。如果没有睡眠且盗汗，体内发热及傍晚发热，这是脾经血虚，应使用归脾汤；若兼有寒热症状，加山栀、熟地黄。如果使用祛风药物，反而会进一步损伤阴血，导致其他病症。
治疗案例：
一位妇人平时生活清苦，四肢患有此病，误用了败毒的寒凉药物，导致傍晚发热、体内发热、自汗盗汗、月经停止、口干咽燥，这是郁结损伤了脾气（四肢由脾所主），使用了数剂归脾汤，后来兼服逍遥散，共五十多剂后痊愈。
一位妇人性情急躁，有寒热、口苦、胁痛、耳鸣、腹胀、小便涩痛等症状长达一年多，病症属于肝火，先使用四君子汤加柴胡、炒山栀、炒龙胆草数剂，然后与逍遥散兼服使疮疡痊愈，接着服用六味丸及逍遥散，七十多剂后所有症状全部消退。如果有痊愈后身上起白屑，搔抓时感觉肌肤像隔着丝绸一样，这是气血虚弱不能滋养腠理，应使用大补的药物。如果有痊愈后再次发热，身上起疙瘩瘙痒疼痛，抓破后脓水淋漓，月经不调，这是肝火血热，应使用四物汤加柴胡、山栀、白术、茯苓、丹皮、甘草。
一位妇人每天傍晚身体瘙痒，持续一个多月后口干，又过一个月形成疮疡，服用祛风药剂后脓水淋漓，午前畏寒，午后发热，很像风症。我认为这是肝经郁火，被外邪搏结所致，使用补中益气汤加山栀、钩藤，又以逍遥散加川芎、贝母而痊愈。
一位妇人搔痒、发热，傍晚加重，皮肤出现红色痕迹，月经过期不来，这是血虚有热，用逍遥散加倍加入熟地黄，热止痒退，再用四物汤加人参、[缺字]、柴胡、炙甘草、茯苓调理后痊愈。
一位十二岁的女子，容易发怒，全身瘙痒，用柴胡、川芎、山栀、芍药来清肝火，用地黄、当归、黄芩来凉肝血，用白术、茯苓、甘草来健脾土而痊愈。半年后，全身起红色痕迹，有时眩晕，这是肝火极盛，血液受热而妄行，当天晚上果然月经来潮。
In women, blood-wind sores are caused by wind-heat stagnating and transforming into fire in the Liver and Spleen meridians, leading to dryness of the blood. Externally, symptoms include nodules appearing on the body, resembling erysipelas in some cases, with intermittent itching and pain; scratching breaks the skin causing sores that weep pus and fluid continuously. Internally, symptoms include irregular menstruation, dysuria, night fever, internal heat sensation, spontaneous sweating during the day, and nocturnal sweating at night, aversion to cold, limb fatigue, poor appetite, and alternating chills and fever. If fever is accompanied by pain, it indicates wind-heat in the Liver meridian causing blood dryness; use Danggui Yin (Angelica Decoction) added with Chaihu (Bupleuri Radix) and Shanzhi (Gardeniae Fructus). If there is limb fatigue, reduced appetite, dry mouth, and tidal fever, it indicates Liver-Spleen stagnant fire damaging the blood; use Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder). If nodules are painful and itchy with alternating chills and fever, it indicates Liver wind-heat damaging the blood; use Xiao Chaihu Tang (Minor Bupleurum Decoction) added with Shanzhi (Gardeniae Fructus) and Huanglian (Coptidis Rhizoma). If there is night fever, thirst, and delirium, it indicates heat entering the Blood Chamber; use Xiao Chaihu Tang (Minor Bupleurum Decoction) added with Shengdihuang (Rehmanniae Radix); for blood deficiency, combine Siwu Tang (Four Substances Decoction) with Xiao Chaihu Tang (Minor Bupleurum Decoction). If there is insomnia and nocturnal sweating with internal heat and afternoon fever, it indicates Spleen blood deficiency; use Guipi Tang (Restore the Spleen Decoction); if accompanied by chills and fever, add Shanzhi (Gardeniae Fructus) and Shudihuang (Prepared Rehmanniae Radix). Using wind-dispelling drugs will further damage Yin and blood, potentially causing other complications.
Case Record 1:
A woman accustomed to a frugal life developed this condition on her limbs. She mistakenly used cooling and detoxifying herbs, resulting in afternoon fever, internal heat, spontaneous and nocturnal sweating, amenorrhea, dry mouth, and dry throat. This indicated stagnation injuring the Spleen (the limbs are governed by the Spleen). She was treated with several doses of Guipi Tang (Restore the Spleen Decoction), followed by concurrent administration of Xiaoyao San (Free and Easy Wanderer Powder). After more than fifty doses, she recovered.
Case Record 2:
A woman with an irritable temperament suffered from alternating chills and fever, bitter taste, hypochondriac pain, tinnitus, abdominal distension, and dysuria for over a year. The syndrome belonged to Liver fire. Initially, she received several doses of Sijunzi Tang (Four Gentlemen Decoction) added with Chaihu (Bupleuri Radix), fried Shanzhi (Gardeniae Fructus), and fried Longdancao (Gentianae Radix). Then, Xiaoyao San (Free and Easy Wanderer Powder) was administered concurrently until the sores healed. Subsequently, Liuwei Wan (Six-Ingredient Pill) and Xiaoyao San (Free and Easy Wanderer Powder) were given for over seventy doses, resolving all symptoms. If white scales appeared after recovery and scratching felt like fabric separating the skin, it indicated Qi and blood deficiency failing to nourish the Couli (interstices); large tonifying agents should be used. If fever recurred after recovery with nodules, itching, pain, weeping sores, and irregular menstruation, it indicated Liver fire and blood heat; Siwu Tang (Four Substances Decoction) was used added with Chaihu (Bupleuri Radix), Shanzhi (Gardeniae Fructus), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Danpi (Moutan Cortex), and Gancao (Glycyrrhizae Radix et Rhizoma).
Case Record 3:
A woman experienced whole-body itching every afternoon for over a month, followed by dry mouth for another month, and then sores formed. After taking wind-dispelling agents, pus flowed continuously. She had chills before noon and fever after noon, resembling wind syndromes. I diagnosed this as Liver stagnant fire combined with external pathogens. She was treated with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Shanzhi (Gardeniae Fructus) and Gouteng (Uncariae Ramulus cum Uncis). She recovered after being treated with Xiaoyao San (Free and Easy Wanderer Powder) added with Chuanxiong (Ligustici Chuanxiong Rhizoma) and Beimu (Fritillariae Thunbergii Bulbus).
Case Record 4:
A woman suffered from itching and fever, worsening in the afternoon, with red marks on the skin and delayed menstruation. This indicated blood deficiency with heat. Xiaoyao San (Free and Easy Wanderer Powder) was used with doubled Shudihuang (Prepared Rehmanniae Radix). Once the heat subsided and itching stopped, she was regulated with Siwu Tang (Four Substances Decoction) added with Renshen (Ginseng Radix), [missing character], Chaihu (Bupleuri Radix), Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma), and Fuling (Poria), leading to recovery.
Case Record 5:
A twelve-year-old girl who was prone to anger suffered from whole-body itching. Chaihu (Bupleuri Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shanzhi (Gardeniae Fructus), and Shaoyao (Paeoniae Radix) were used to clear Liver fire; Shengdihuang (Rehmanniae Radix), Danggui (Angelicae Sinensis Radix), and Huangqin (Scutellariae Radix) were used to cool Liver blood; Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), and Gancao (Glycyrrhizae Radix et Rhizoma) were used to strengthen the Spleen Earth, resulting in recovery. Half a year later, red marks appeared all over her body, accompanied by occasional dizziness. This indicated excessive Liver fire causing blood to move recklessly due to heat; indeed, menstruation arrived that night.