(附论)
夫妇人体虚受风。邪气客于皮肤。复逢风寒相折。则起风瘙瘾疹。若赤疹者。由凉湿折
于肌
相搏
洪。
问
凡治妇人时发遍身瘙痒。或赤肿瘾疹。五心烦热。血风攻疰。与人参荆芥散、消风散、
四物
虚老
却服
方
蒴 膏 治妇人风瘙。身痒生瘾疹。久不瘥。
蒴 根(二两) 白蒺藜 独活 生附子(去皮脐) 防风 犀角屑 漏芦 香白芷 苦
参川
两) 上细
黄赤。膏
成
蒺藜散 治妇人风瘙。皮肤中如虫行。及生瘾疹。搔之作疮。面肿心烦。
白蒺藜(微炒去刺) 羚羊角屑(各三分) 黄芩 细辛 人参(去芦头) 苦参 蛇
床子
秦艽
壳(麸炒
微黄
去滓。
不
莽草散 治妇人风瘙瘾疹。遍身瘙痒。状若虫行。或发或歇。
莽草(一两) 麻黄(去根节) 沙参(去芦头) 白蒺藜(微炒去刺) 天门冬(去
心各三分)
独
为散
。每服三钱。水一中盏。煎至六分。去滓。温服不计时候。
乌蛇丸 治妇人风瘙。发则至头面皮肤生瘾疹。搔之成疮。
乌蛇肉(酒拌炒黄) 白蒺藜(微炒去刺) 苦参(锉各一两半) 沙参(去芦头) 秦
艽(去
芦头)
(一两
汤下。
莽草膏 治妇人风瘙。遍身生瘾疹痒。搔之随手肿起。
莽草(二分) 苦参(二两) 当归 芎 大戟 细辛 芫花 川椒 附子 踯躅花 景
天
瓷
合中
淋蘸方 治妇人风瘙瘾疹。身痒不止。
马兰 蒴 根 茺蔚子 白矾 羊桃根 白蒺藜 茵芋 凌霄花(各二两) 蓖麻叶(一
两)
又方
蛇床子(半斤) 景天(半斤) 蒺藜子(半斤) 上用水一斗。煮取五升。去滓。绵
渍拭之。
日
又方
凌霄花(三两) 蒴 根(半斤锉) 上用水七升。煮取三升。滤去滓。入白矾末二两
搅匀。以
又方
用景天捣绞取汁涂之。
又方
用醋浆水磨白矾涂之。
治瘾疹。
用白蜜不以多少。好酒调下。已试有效。
治皮肤有风热遍身生瘾疹。
牛蒡子(水煮一两净晒干炒令香) 浮萍(蒸过焙干等分) 上为细末。每服二钱。薄
荷汤
调下
治妇人风毒瘙痒瘾疹。
用苍耳子花叶皆可为末。豆淋酒下二钱即愈。一方治风气入于皮肤瘙痒。用蜂房炙过。
及蝉
苍耳子丸 治妇人风瘙。皮肤生瘾疹。痒痛或有细疮。
苍耳子(三两) 苦参(二两) 白蒺藜〔二(三)两微炒去刺〕 蝉蜕(一两微炒) 上
为末。炼
治风瘙瘾疹。
用胡燕窠内土为末。水和敷之。
(附论)
妇女因体质虚弱感受风邪。邪气停留在皮肤之间,又恰逢风寒相互交争,就会引发风瘙瘾疹。如果是赤色疹子,是由于凉湿之气与肌表相搏结所致。
问:凡是治疗妇女时常发作的全身瘙痒,或者出现赤肿瘾疹、五心烦热、血风攻注等症状,可给人参荆芥散、消风散、四物汤等方剂。对于体虚年老者,却服用……(原文此处有缺漏或语意中断)。
蒴藋膏:治疗妇女风瘙,身体瘙痒并生出瘾疹,久治不愈。
药材:蒴藋根(二两)、白蒺藜、独活、生附子(去皮脐)、防风、犀角屑、漏芦、香白芷、苦参、川芎(各二两)。将上述药材细细切碎,熬制成膏。若药色呈黄赤色,膏即成。
蒺藜散:治疗妇女风瘙,皮肤中有如虫爬行的感觉,以及生出瘾疹,搔抓后形成疮疡,面部肿胀,心中烦闷。
药材:白蒺藜(微炒去刺)、羚羊角屑(各三分)、黄芩、细辛、人参(去芦头)、苦参、蛇床子、秦艽、枳壳(麸炒至微黄,去瓤)。将上述药材捣筛为散。每次服用三钱,用水一中盏,煎煮至六分,滤去药渣,温服,不限时候。
莽草散:治疗妇女风瘙瘾疹,全身瘙痒,状如虫行,有时发作有时停止。
药材:莽草(一两)、麻黄(去根节)、沙参(去芦头)、白蒺藜(微炒去刺)、天门冬(去心,各三分)。将上述药材捣筛为散。每次服用三钱,用水一中盏,煎煮至六分,滤去药渣,温服,不限时候。
乌蛇丸:治疗妇女风瘙,发作时头面皮肤生出瘾疹,搔抓后形成疮疡。
药材:乌蛇肉(酒拌炒黄)、白蒺藜(微炒去刺)、苦参(锉碎,各一两半)、沙参(去芦头)、秦艽(去芦头)、附子(炮裂,去皮脐,一两)。将上述药材研末,炼蜜为丸,如梧桐子大。每次服用二十丸,用温酒送下。
莽草膏:治疗妇女风瘙,全身生出瘾疹且瘙痒,搔抓后随即肿起。
药材:莽草(二分)、苦参(二两)、当归、川芎、大戟、细辛、芫花、川椒、附子、踯躅花、景天。将上述药材放入瓷合中,用油浸泡,慢火熬制,滤去药渣,加入黄蜡熔化,制成膏。
淋蘸方:治疗妇女风瘙瘾疹,身体瘙痒不止。
药材:马兰、蒴藋根、茺蔚子、白矾、羊桃根、白蒺藜、茵芋、凌霄花(各二两)、蓖麻叶(一两)。将上述药材用水一斗,煮取五升,滤去药渣,用绵布浸渍药液擦拭患处。
又一方:
药材:蛇床子(半斤)、景天(半斤)、蒺藜子(半斤)。以上药材用水一斗,煮取五升,滤去药渣,用绵布浸渍擦拭。
又一方:
药材:凌霄花(三两)、蒴藋根(半斤,锉碎)。以上药材用水七升,煮取三升,滤去药渣,加入白矾末二两,搅匀,以棉签蘸取涂抹。
又一方:
用景天捣烂绞取汁液涂抹患处。
又一方:
用醋浆水磨白矾涂抹患处。
治疗皮肤有风热,全身生出瘾疹:
药材:牛蒡子(水煮一两,洗净晒干,炒令香)、浮萍(蒸过焙干,等分)。将上述药材研为细末。每次服用二钱,用薄荷汤调下。
治疗妇人风毒瘙痒瘾疹:
用苍耳子的花和叶皆可研为末,用豆淋酒送服二钱即可痊愈。另一方法治疗风气入于皮肤引起的瘙痒,用蜂房炙过后,及蝉蜕……(原文此处语意未尽)。
苍耳子丸:治疗妇女风瘙,皮肤生出瘾疹,痒痛或有细疮。
药材:苍耳子(三两)、苦参(二两)、白蒺藜(二至三两,微炒去刺)、蝉蜕(一两,微炒)。将上述药材研为末,炼蜜为丸,如梧桐子大。每次服用二十丸,温水送下。
(Attached Discussion)
Women, due to a deficiency in constitution, are susceptible to Wind pathogen. The pathogenic Qi lodges in the skin and subcutaneous tissue. When confronted by Cold and Wind interacting with each other, Feng Sao Yin Zhen (Wind-induced urticaria/pruritus) arises. If the rash is red, it is caused by the interaction of Cool-Dampness with the muscle layer.
Q: Generally, for treating women who suffer from recurrent generalized pruritus, or presenting with red and swollen Yin Zhen (urticaria), five-center heat (heat sensation in palms, soles, and chest), and Blood-Wind attacking and settling, one may administer Ren Shen Jing Cai San (Ginseng and Schizonepeta Powder), Xiao Feng San (Eliminate Wind Powder), or Si Wu Tang (Four Substances Decoction). For those who are deficient and elderly, however, taking... [text incomplete].
Shuo Di Gao (Dioscorea Hypoglauca Ointment): Treats Feng Sao in women, characterized by body pruritus and the emergence of Yin Zhen (urticaria), which persists despite prolonged treatment.
Ingredients: Shuo Di Gen (Radix Dioscoreae Hypoglaucae, 2 liang), Bai Ji Li (Fructus Tribuli), Du Huo (Radix Angelicae Pubescentis), Sheng Fu Zi (Radix Aconiti Lateralis Preparata, peeled and navel removed), Fang Feng (Radix Saposhnikoviae), Xi Jiao Xie (Hornis Rhinocerotis Cortex), Lou Lu (Radix Euphorbiae Humifusae), Xiang Bai Zhi (Radix Angelicae Dahuricae), Ku Shen (Radix Sophorae Flavescentis), Chuan Xiong (Rhizoma Chuanxiong) (each 2 liang). Finely chop the above herbs and decoct into an ointment. When the color turns yellow-red, the ointment is ready.
Ji Li San (Tribulus Powder): Treats Feng Sao in women, where the skin feels as if insects are crawling, accompanied by Yin Zhen (urticaria). Scratching leads to sores. Symptoms include facial swelling and mental restlessness.
Ingredients: Bai Ji Li (Fructus Tribuli, lightly stir-fried and thorns removed), Ling Yang Jiao Xie (Cornu Saigae Tataricae, each 3 qian), Huang Qin (Radix Scutellariae), Xi Xin (Herba Asari), Ren Shen (Radix Ginseng, radix removed), Ku Shen (Radix Sophorae Flavescentis), She Chuang Zi (Fructus Cnidii), Qin Jiao (Radix Gentianae Macrophyllae), Zhi Ke (Fructus Aurantii, bran-fried until slightly yellow, pith removed). Sift the above herbs into a powder. Take 3 qian per dose, decoct with 1 zhong zhan (approx. 200ml) of water until reduced to 6 fen (approx. 120ml), strain, and take warm at any time.
Mang Cao San (Metasperma Powder): Treats Feng Sao Yin Zhen in women, with generalized pruritus feeling like insects crawling. Episodes may occur intermittently.
Ingredients: Mang Cao (Herba Daphnes), Ma Huang (Herba Ephedrae, roots and joints removed), Sha Shen (Radix Glehniae), Bai Ji Li (Fructus Tribuli, lightly stir-fried and thorns removed), Tian Men Dong (Radix Asparagi, hearts removed, each 3 qian). Sift the above herbs into a powder. Take 3 qian per dose, decoct with 1 zhong zhan of water until reduced to 6 fen, strain, and take warm at any time.
Wu She Wan (Black Snake Pill): Treats Feng Sao in women. Upon onset, Yin Zhen (urticaria) appears on the head and face skin; scratching causes sores.
Ingredients: Wu She Rou (Sarcosoma Elap Carinatae, stir-fried with wine until yellow), Bai Ji Li (Fructus Tribuli, lightly stir-fried and thorns removed), Ku Shen (Radix Sophorae Flavescentis, crushed, each 1.5 liang), Sha Shen (Radix Glehniae), Qin Jiao (Radix Gentianae Macrophyllae, radix removed), Fu Zi (Radix Aconiti Lateralis Preparata, cracked, peeled and navel removed, 1 liang). Grind the above herbs into powder, mix with refined honey to form pills the size of tung tree seeds. Take 20 pills per dose, wash down with warm wine.
Mang Cao Gao (Metasperma Ointment): Treats Feng Sao in women, with Yin Zhen (urticaria) appearing all over the body and itching; swelling occurs immediately upon scratching.
Ingredients: Mang Cao (Herba Daphnes, 2 fen), Ku Shen (Radix Sophorae Flavescentis, 2 liang), Dang Gui (Radix Angelicae Sinensis), Xiong Dui (likely referring to Chuan Xiong, Rhizoma Chuanxiong), Da Ji (Radix Euphorbiae Humifusae), Xi Xin (Herba Asari), Yuan Hua (Flos Genkwa), Chuan Jiao (Pericarpium Zanthoxyli), Fu Zi (Radix Aconiti Lateralis Preparata), Zhi Zhu Hua (Flos Rhododendri Mollis), Jing Tian (Herba Sedis Acre). Place the above herbs in a porcelain vessel, soak in oil, and simmer slowly. Strain the dregs, add beeswax until melted, and form an ointment.
Lin Zhan Fang (Pouring and Dipping Prescription): Treats Feng Sao Yin Zhen in women, with incessant body pruritus.
Ingredients: Ma Lan (Herba Kalanchoe Pinnata), Shuo Di Gen (Radix Dioscoreae Hypoglauciae), Chong Wei Zi (Fructus Leonuri), Bai Fan (Alumen), Yang Tao Gen (Radix Rubi Chingii), Bai Ji Li (Fructus Tribuli), Yin Yu (Herba Typhonii), Ling Xiao Hua (Flos Campsis), each 2 liang; Bi Ma Ye (Folium Ricini), 1 liang. Decoct the above herbs in 1 dou (approx. 10L) of water until 5 sheng (approx. 5L) remain. Strain the dregs. Soak cotton cloth in the liquid and wipe the affected area.
Another Prescription:
Ingredients: She Chuang Zi (Fructus Cnidii, 0.5 jin), Jing Tian (Herba Sedis Acre, 0.5 jin), Ji Li Zi (Fructus Tribuli, 0.5 jin). Decoct the above herbs in 1 dou of water until 5 sheng remain. Strain the dregs. Soak cotton cloth in the liquid and wipe.
Another Prescription:
Ingredients: Ling Xiao Hua (Flos Campsis, 3 liang), Shuo Di Gen (Radix Dioscoreae Hypoglauciae, 0.5 jin, crushed). Decoct the above herbs in 7 sheng of water until 3 sheng remain. Filter out the dregs. Add 2 liang of powdered Bai Fan (Alumen), mix well, and apply with a cotton swab.
Another Prescription:
Crush Jing Tian (Herba Sedis Acre), squeeze out the juice, and apply to the affected area.
Another Prescription:
Grind Bai Fan (Alumen) using vinegar and fermented grain water, and apply to the affected area.
Treating Yin Zhen (Urticaria):
Use Bai Mi (Mel, white honey) in any amount, mixed with good wine and taken orally. This has been tested and proven effective.
Treating Skin Wind-Heat causing generalized Yin Zhen (Urticaria):
Ingredients: Niu Bang Zi (Fructus Arctii, boiled for 1 liang, cleaned, sun-dried, and stir-fried until fragrant), Fu Ping (Herba Lemnae, steamed, dried, equal parts). Grind the above herbs into a fine powder. Take 2 qian per dose, mixed with Bo He Tang (Mentha Decoction).
Treating Women's Wind-Toxic Pruritus and Yin Zhen (Urticaria):
Powder the flowers and leaves of Cang Er Zi (Fructus Xanthii) and take 2 qian with Dou Lin Jiu (Bean-leavened Wine) for cure. Another method for treating pruritus caused by Wind-Qi entering the skin uses roasted Feng Fang (Nidus Vespae) and Chan Tui (Exuviation Cicadae)... [text incomplete].
Cang Er Zi Wan (Xanthium Pill): Treats Feng Sao in women, with Yin Zhen (urticaria) appearing on the skin, accompanied by itching, pain, or small sores.
Ingredients: Cang Er Zi (Fructus Xanthii, 3 liang), Ku Shen (Radix Sophorae Flavescentis, 2 liang), Bai Ji Li (Fructus Tribuli, 2-3 liang, lightly stir-fried and thorns removed), Chan Tui (Exuviation Cicadae, 1 liang, lightly stir-fried). Grind the above herbs into powder, mix with refined honey to form pills the size of tung tree seeds. Take 20 pills per dose, wash down with warm water.
Treating Feng Sao Yin Zhen (Wind-induced Urticaria):
Use Tu from Hu Yan Ke (Swallow's Nest) as powder, mix with water, and apply as a poultice.