\r血疯疮\p04-a41a191.bmp\r
陈实功曰∶血疯疮，乃风热湿热，血热交感而成也。初起瘙痒无度，破流脂水，
日渐沿开，形同针眼，外搽解毒雄黄散，如意金黄散俱可。如年久紫黑坚硬，气血不
行者，用磁锋砭去恶血，再以神灯照法熏之，以解郁毒。（《正宗》）
冯鲁瞻曰∶妇人血疯疮，因肝脾二经风热郁火血燥所致。其外证身发疙瘩，痒
痛非常，搔破成疮，脓水淋漓；内证月经无定，小便不调，夜热盗汗，恶寒憎热，倦
怠懒食。宜先用加味逍遥散，或小柴胡汤合四物汤多加胡麻子，后以归脾汤加熟地
去木香，此乃遍身所发血疯疮治法，非单指足下血疯疮也。（《锦囊》）
申斗垣曰∶血疯疮多在两小腿里外 ，
上至膝，下至踝骨，乃血分受风邪而生也。多痒，抓破出黄水成疮，况内有虫。（《启玄》）
验方
白螺壳（叮东壁土墙上者， ） 密陀僧 竹蛀虫粪（各等分）
研细。将疮用五皮汤，或甘草汤洗，干掺之。
又方 田中蚯蚓粪，瓦焙末，醋调粘贴即痒，不痛但痒，定即长肉矣。
又方 龟壳一个，烧存性，桐油调搽。
又方 密陀僧研末，多年陈竹灯挂烧沥下油，调搽。
又方
轻粉 银粉 旧皮靴底（糠煨，各等分）
共研细干掺。
又方
土黄连（一两） 花椒（七粒） 食盐（二钱） 胡椒
陈醋浸搽。
又方 茵陈不拘多少，煎浓汁洗。
又方
土茯苓（一两） 犍猪油（一块） 威灵仙 白术 红花 苍术 金银花 生地黄 白
僵蚕 荆芥 猪苓 泽泻（各一钱）
水二盅，煎一半，早晚各服半盏。
又方
白蜡（五钱） 松香（二钱） 生葱（一根） 猪油（一块） 蜜糖（半杯）
共捣烂，摊隔纸膏贴。
又方 乌药切碎，以屋上阴阳瓦焙为末，醋调以鸡翎扫上，慢慢的半日功夫，一二次即好。
又方 先看腿上疮大小，买红油纸照疮略大一分剪如式，将锅烧热，以纸铺
锅内炙热，用黄蜡在红纸上摩遍，取起冷片刻，又放锅内炙热，加轻粉末一二指甲，
扫匀粘贴，奇效。
又方
男子头垢（不拘多少） 破旧棉网巾（烧灰，一钱）
真香油煎熟调匀，入真轻粉五分，作膏贴之，七日痊愈。
又方（《济生》）
人指甲（三钱） 血余（二钱） 乳香 没药（各一钱） 轻粉 白蜡（各五钱） 冰片（五分） 水银
（二钱，同铅二钱， 死）
同桐油一盅，先将血余、指甲熬至指甲枯，血余化，取出研细。俟油滴水不散
离火，下群药，惟冰片待冷方入，摊贴。
潮脑膏（《启玄》）
黄连（一两） 白芷（五钱） 轻粉 川椒（各三钱） 潮脑（二钱）
共为细末。用熟菜子油调稠，摊在一个大碗底上倒合，将瓦高垫，用艾四两揉
作十团，烧烟熏碗底上药，如油干再添油拌再熏，必待艾尽，乘热搽在患上，外用
油纸草纸包之，次日即消，不过三宿全好。
血疯 疮 先将温茶将疮痂润透，再以热汤熏洗，使痂自落，再用染坊靛花
浮沫，鹅翎扫上，堆为度，将膏贴之；如作痒以手扑之，切勿抓破；如有溃陷之处，
用铜店极薄铜片，照疮大小剪贴，吸尽毒水，自然新生矣。
血疯疮及脚面疮，窠形如针孔，黄水淋漓，随流随化。先用豆渣敷，拔去
水，再用棉花烧灰，冷定研细，干则生桐油调搽，湿则干掺。
血疯疮并治疥疮。
烟胶（三钱） 黄丹（一钱五分）
研细。香油或地沥青调搽。
血疯疮、牛皮癣三日见效除根。
轻粉 黄蜡（各一钱）
真麻油半盅煎化调匀，用油纸摊膏粘贴，将布扎紧，不可轻动，自有功效。
血疯 疮隔纸膏 麻油半斤文武火熬，入白蜡一两，黄蜡二两又熬，离火下
飞丹二两搅匀，入乳细芦甘石、乳香、没药、血竭、儿茶各五钱，轻粉三钱，冰片一钱，作隔纸膏贴之。
血疯疮
马齿苋（焙干净末，五钱） 黄丹（飞） 黄柏 儿茶 枯矾（各三钱） 轻粉（一钱）
共为末。生桐油调，摊纸上。先用葱椒汤洗净，贴之。
血疯疮并治癣疮、虫疮、坐板疮、疥癞疮。
大枫肉 蛇床子（各五钱） 水银（二钱） 枯矾 白锡（各一钱）
为末。先将锡化开，次入水银，再入末药地沥青，共捣匀。搽疮宜干些，腊猪油亦可用。
血疯顽 。（扬州房扬文。）
芦甘石（用黄连、黄芩、黄柏各一钱煎汤，将石火 淬汤中七次，如有余汁煮干） 象牙末（微炒） 银
朱（各三钱） 黄蜡 白蜡（各五钱） 轻粉（一钱五分） 官粉（炼黄色，一两） 冰片（三分）
猪板油四两，先熬去渣，入二蜡化开离火，即下细药搅匀，用连四纸七张，层
层摊匀，将疮先用葱汤洗净贴之；三日揭去贴肉一张即好，七张重叠一齐粘贴；三日揭去，揭完痊愈。
血疯疮。（张太和）。野芹菜捣烂敷五七分浓，油纸裹紧，两次愈。
年久生疮，孔如蜂窝，及脓水疮、血疯疮。如意草捣烂敷，或阴干微炒研末，鸡蛋清调搽。
血疯疮流水作痒 煮鸡蛋黄熬油，和黄丹再加轻粉少许搽。
又方
飞丹 轻粉（各一钱） 冰片（一分）
共乳细。先用防风、荆芥、银花、甘草煎汤洗净，再搽，纸包好。
又方
枯矾 海螵蛸 黄蜡 铜绿 轻粉（各一钱）
研细。入麻油熬成膏敷。
陈实功说：血疯疮，是由风热、湿热与血热相互感应而形成的。初起时瘙痒无度，破溃后流出脂水，日渐蔓延扩大，形状如同针眼，外用涂抹解毒雄黄散或如意金黄散均可。如果病程长久，患处呈现紫黑色且坚硬，气血运行不畅的，用磁锋砭石刺破排出恶血，再用神灯照法熏烤，以解除郁积的毒邪。（出自《外科正宗》）
冯鲁瞻说：妇女的血疯疮，是由于肝脾两经的风热郁火导致血燥引起的。其外部症状是身上发出疙瘩，痒痛非常剧烈，抓破后成疮，脓水淋漓；内部症状表现为月经不规律，小便不调，夜间发热盗汗，怕冷憎热，疲倦乏力，食欲不振。适宜先用加味逍遥散，或小柴胡汤合四物汤并多加胡麻子，随后用归脾汤加熟地黄去掉木香，这是治疗遍身所发的血疯疮的方法，并非单指足下的血疯疮。（出自《外科锦囊》）
申斗垣说：血疯疮多发生在两小腿的内侧和外侧，上至膝盖，下至脚踝骨，这是血分受到风邪侵袭而生成的。大多瘙痒，抓破后流出黄水成疮，况且里面有虫。（出自《启玄秘旨》）
验方
白螺壳（叮在东面土墙上的）、密陀僧、竹蛀虫粪（各等分）。研成细粉。将疮处用五皮汤或甘草汤清洗，干燥后掺药粉。
又一方：田中的蚯蚓粪，在瓦片上焙干研末，用醋调匀粘贴，即止痒，不痛只痒，定能长出新肉。
又一方：一个龟壳，烧至存性，用桐油调匀涂抹。
又一方：密陀僧研末，用多年陈旧的竹灯挂烧出的沥油，调匀涂抹。
又一方：轻粉、银粉、旧皮靴底（用糠煨制，各等分）。共同研细，干燥后掺药。
又一方：土黄连（一两）、花椒（七粒）、食盐（二钱）、胡椒。用陈醋浸泡后涂抹。
又一方：土茯苓（一两）、犍猪油（一块）、威灵仙、白术、红花、苍术、金银花、生地黄、白僵蚕、荆芥、猪苓、泽泻（各一钱）。水两盅，煎至一半，早晚各服半盏。
又一方：白蜡（五钱）、松香（二钱）、生葱（一根）、猪油（一块）、蜜糖（半杯）。共同捣烂，摊在隔纸膏上贴敷。
又一方：乌药切碎，用屋顶的阴阳瓦焙干研末，醋调匀，用鸡毛帚扫在患处，慢慢经过半天功夫，一两次即可痊愈。
又一方：先看腿上疮的大小，买红油纸照着疮略大一分剪好，将锅烧热，把纸铺在锅内炙热，用黄蜡在红纸上摩遍，取起冷却片刻，再放回锅内炙热，加入轻粉末一二指甲量，扫匀粘贴，效果奇特。
又一方：男子头垢（不拘多少）、破旧棉网巾（烧灰，一钱）。真香油煎熟调匀，加入真轻粉五分，制成膏贴敷，七日痊愈。
又一方（出自《济生方》）：人指甲（三钱）、血余（二钱）、乳香、没药（各一钱）、轻粉、白蜡（各五钱）、冰片（五分）、水银（二钱，同铅二钱一起炼制成熟）。同桐油一盅，先将血余、指甲熬至指甲枯焦、血余化开，取出研细。等到油滴水不散时离火，放入其他药物，只有冰片待冷却后才加入，摊贴。
潮脑膏（出自《启玄秘旨》）：黄连（一两）、白芷（五钱）、轻粉、川椒（各三钱）、潮脑（二钱）。共同研为细末。用熟菜子油调稠，摊在一个大碗底上倒扣，将瓦片高高垫起，用艾四两揉成十团，燃烧烟雾熏蒸碗底的药，如果油干了再添油拌和再熏，必须等到艾燃尽，趁热搽在患处，外用油纸草纸包裹，次日即消，不过三个晚上全好。
血疯疮：先将温茶将疮痂润透，再以热汤熏洗，使痂自然脱落，再用染坊靛花的浮沫，用鹅毛帚扫上，堆到厚度，将膏贴之；如果发痒用手拍打，切勿抓破；如果有溃陷之处，用铜店极薄的铜片，照着疮的大小剪贴，吸尽毒水，自然新生。
血疯疮及脚面疮，窠形如针孔，黄水淋漓，随流随化。先用豆渣敷，拔去水分，再用棉花烧灰，冷却后研细，干则用生桐油调涂，湿则干掺药粉。
轻粉、黄蜡（各一钱）。真麻油半盅煎化调匀，用油纸摊膏粘贴，将布扎紧，不可轻动，自有功效。
血疯疮隔纸膏：麻油半斤用文武火熬，入白蜡一两，黄蜡二两又熬，离火下飞丹二两搅匀，入炉甘石、乳香、没药、血竭、儿茶各五钱，轻粉三钱，冰片一钱，制成隔纸膏贴之。
血疯疮：马齿苋（焙干净研末，五钱）、黄丹（飞制）、黄柏、儿茶、枯矾（各三钱）、轻粉（一钱）。共同研为末。生桐油调，摊在纸上。先用葱椒汤洗净，贴之。
大枫肉、蛇床子（各五钱）、水银（二钱）、枯矾、白锡（各一钱）。研为末。先将锡化开，次入水银，再入末药地沥青，共同捣匀。搽疮宜干些，腊猪油也可用。
血疯顽疾。（扬州房扬文提供。）
炉甘石（用黄连、黄芩、黄柏各一钱煎汤，将石火淬汤中七次，如有余汁煮干）、象牙末（微炒）、银朱（各三钱）、黄蜡、白蜡（各五钱）、轻粉（一钱五分）、官粉（炼黄色，一两）、冰片（三分）。猪板油四两，先熬去渣，入二蜡化开离火，即下细药搅匀，用连四纸七张，层层摊匀，将疮先用葱汤洗净贴之；三日揭去贴肉一张即好，七张重叠一齐粘贴；三日揭去，揭完痊愈。
血疯疮。（张太和提供）。野芹菜捣烂敷五七分浓，油纸裹紧，两次愈。
年久生疮，孔如蜂窝，及脓水疮、血疯疮。如意草捣烂敷，或阴干微炒研末，鸡蛋清调涂。
Blood Feng Chuang (Blood Wind Sore)
Chen Shigong stated: Blood Feng Chuang is formed by the interaction of wind-heat, damp-heat, and blood heat. Initially, it presents with intense itching; upon breaking, it exudes fatty fluid. It gradually spreads outward, resembling a needle eye. Externally applying Jiedu Xionghuang San (Detoxifying Realgar Powder) or Ruyi Jinhuang San (Ruyi Golden Yellow Powder) is effective. If the condition persists for years, becoming purple-black and hard with stagnant qi and blood, use a magnetic lancet to pierce and drain the evil blood, followed by fumigation using the Shen Deng Zhao Fa (Divine Lamp Illumination Method) to resolve the郁毒 (stagnant toxin). (From *Waike Zhengzong*)
Feng Luzhan stated: Women's Blood Feng Chuang is caused by wind-heat and郁火 (stagnant fire) in the Liver and Spleen meridians leading to blood dryness. External symptoms include the eruption of nodules on the body, extreme itching and pain, which become sores when scratched, oozing pus and water. Internal symptoms include irregular menstruation, urinary dysfunction, night sweats with fever, aversion to cold and hatred of heat, fatigue, and poor appetite. It is advisable to first use Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder), or a combination of Xiao Chai Hu Tang (Minor Bupleurum Decoction) and Siwu Tang (Four Substances Decoction) with added Sesamum indicum seeds, followed by Guipi Tang (Restore the Spleen Decoction) with Shudi (Prepared Rehmannia Root) replacing Muxiang (Aucklandia Root). This is the treatment method for Blood Feng Chuang occurring all over the body, not specifically referring to that on the feet. (From *Waike Jinang*)
Shen Douyuan stated: Blood Feng Chuang mostly occurs on the medial and lateral aspects of both lower legs, extending from the knees to the ankles. It arises from wind pathogens affecting the blood level. It is characterized by severe itching; scratching breaks the skin, releasing yellow fluid and forming sores, often accompanied by the presence of parasites. (From *Qixuan Mizhi*)
Verified Prescriptions
White Snail Shell (those adhering to east-facing earthen walls), Miduoeng (Litharge), Bamboo Worm Feces (equal parts). Grind into fine powder. Wash the sore with Wupi Tang (Five Peel Decoction) or Gancao Tang (Licorice Decoction), then apply the dry powder.
Another Prescription: Earthworm feces from fields, baked on tiles and ground into powder, mixed with vinegar for application. It stops itching without pain, promoting flesh regeneration.
Another Prescription: One turtle shell, burned until carbonized (Cunxing), mixed with Tung Oil for topical application.
Another Prescription: Miduoeng powder, mixed with oil distilled from old bamboo lamp wicks for topical application.
Another Prescription: Qingfen (Calomel), Yinfen (Lead Oxide), Old Leather Boot Soles (baked in chaff, equal parts). Grind finely and apply as a dry powder.
Another Prescription: Tuhuanglian (Coptis chinensis var. chinensis or similar local substitute, 1 liang), Sichuan Pepper (7 grains), Table Salt (2 qian), Black Pepper. Soak in aged vinegar and apply.
Another Prescription: Yinchen (Artemisia capillaris), amount unspecified, decocted into a concentrated juice for washing.
Another Prescription: Tufuling (Smilax glabra, 1 liang), Jian Zhu You (Fat from castrated male pig, one piece), Weilingxian (Clematis root), Baizhu (Atractylodes macrocephala), Honghua (Safflower), Cangzhu (Atractylodes lancea), Jinyinhua (Honeysuckle), Sheng Dihuang (Fresh Rehmannia Root), Bai Jiangcan (Bombyx batryticatus), Jingjie (Schizonepeta), Zhuling (Polyporus), Zexie (Alisma). All herbs except the pig fat are 1 qian each. Decoct in two bowls of water until half remains. Take half a bowl morning and evening.
Another Prescription: Baila (Beeswax, 5 qian), Songxiang (Pine Rosin, 2 qian), Sheng Cong (Raw Green Onion, one stalk), Pig Fat (one piece), Honey (half cup). Pound together until paste-like, spread on paper-interleaved plaster, and apply.
Another Prescription: Wu Yao (Lindera aggregata), chopped, baked on roof tiles until dry, ground into powder, mixed with vinegar. Apply with a chicken feather brush. Slowly, over half a day, one or two applications will cure it.
Another Prescription: Measure the size of the leg sore, cut red oil paper slightly larger than the sore. Heat a pot, place the paper inside to heat, rub Huangla (Yellow Beeswax) over the red paper, let cool briefly, reheat in the pot, add a small amount of Qingfen, spread evenly, and apply. Highly effective.
Another Prescription: Male Head Grit (amount unspecified), Burnt Ash of Old Cotton Net Cap (1 qian). Fry in pure Sesame Oil until cooked and mixed, add 5 fen of pure Qingfen, make into a plaster, and apply. Cured in seven days.
Another Prescription (from *Jisheng Fang*): Human Nails (3 qian), Xuyu (Congealed Blood, 2 qian), Ruxiang (Frankincense), Moyao (Myrrh) (1 qian each), Qingfen (5 qian), Baila (5 qian), Bingpian (Borneol, 5 fen), Mercury (2 qian, processed with 2 qian Lead). Simmer with one bowl of Tung Oil. First boil Xuyu and Nails until nails are brittle and blood congealment dissolves, remove and grind fine. When the oil no longer disperses water droplets, remove from fire, add remaining drugs. Add Borneol only after cooling. Spread and apply.
Chaonao Gao (Tiger Balm Ointment - from *Qixuan Mizhi*): Huanglian (Coptis chinensis, 1 liang), Baizhi (Angelica dahurica, 5 qian), Qingfen (3 qian), Chuanjiao (Sichuan Pepper, 3 qian), Chaonao (Camphor, 2 qian). Grind into fine powder. Mix with cooked Rapeseed Oil to a thick consistency. Spread on the bottom of a large bowl, invert the bowl, elevate it with bricks. Burn four liang of Mugwort, rolled into ten balls, to smoke-fumigate the medicine under the bowl. If the oil dries, add more oil and continue fumigation until the Mugwort is exhausted. Apply warm to the lesion, cover with oil paper and straw paper. Disappears next day, fully cured within three nights.
Blood Feng Chuang: Moisten the crusts with warm tea, then fumigate and wash with hot water to allow crusts to fall off naturally. Apply indigo foam from dye works using a goose feather brush, building up thickness, then apply plaster. If it itches, pat with hand; do not scratch. For ulcerated areas, cut thin copper sheets to fit the sore, apply to absorb toxic fluid, allowing new tissue to grow naturally.
Blood Feng Chuang and foot sores, with pits like needle holes and oozing yellow fluid: First apply bean dregs to draw out moisture. Then burn cotton to ash, grind fine when cool. If dry, mix with raw Tung Oil; if wet, apply dry powder.
Blood Feng Chuang also treats Scabies.
Yanjiao (Smoke Resin, 3 qian), Huangdan (Red Lead, 1.5 qian). Grind fine. Mix with Sesame Oil or Asphalt for application.
Blood Feng Chuang and Psoriasis: Effective in three days, curing the root.
Qingfen, Huangla (1 qian each). Melt half a bowl of pure Hemp Oil, mix well, spread on oil paper, bind tightly with cloth. Do not move lightly; efficacy will follow.
Blood Feng Chuang Paper-Interleaved Plaster: Boil half a jin of Hemp Oil over mild fire, add 1 liang Baila and 2 liang Huangla, continue boiling. Remove from fire, add 2 liang Feidan (Red Lead), stir well. Add 5 qian each of Luguanshi (Calamine), Ruxiang, Moyao, Xuexue (Dragon's Blood), Ercha (Catechu), 3 qian Qingfen, and 1 qian Bingpian. Make into paper-interleaved plaster and apply.
Blood Feng Chuang: Ma Chi Xian (Portulaca oleracea, dried and powdered, 5 qian), Fei Huangdan (Processed Red Lead), Huangbai (Phellodendron bark), Ercha, Kufan (Burnt Alum) (3 qian each), Qingfen (1 qian). Grind into powder. Mix with raw Tung Oil, spread on paper. Cleanse with Green Onion and Pepper soup before applying.
Blood Feng Chuang also treats Tinea, Insect Sores, Sitting Board Sores, and Leprous Sores.
Da Feng Rou (Semecarpus anacardium nut), Shechuangzi (Cnidium fruit) (5 qian each), Mercury, Kufan, Bai Xi (White Tin) (1 qian each). Grind into powder. Melt tin first, add mercury, then add powdered herbs and asphalt. Pound uniformly. Apply dry; rendered pig fat may also be used.
Stubborn Blood Feng Chuang. (Provided by Fang Yangwen, Yangzhou.)
Luguanshi (Quench stone seven times in decoction of Huanglian, Huangqin, Huangbai 1 qian each; boil remaining liquid dry), Ivory Powder (lightly fried), Yin Zhu (Vermilion) (3 qian each), Huangla, Baila (5 qian each), Qingfen (1.5 qian), Guanfen (Refined White Lead, yellow refined, 1 liang), Bingpian (3 fen). Render 4 liang of Pork Back Fat, remove dregs, melt waxes, remove from fire, add fine powders, stir well. Spread layer by layer on seven sheets of Lian Si paper. Cleanse sore with Green Onion soup, apply. After three days, peel off the innermost sheet. Apply all seven sheets overlapping. Peel off after three days; cured upon removal.
Blood Feng Chuang. (Provided by Zhang Taihe). Mash wild celery, apply thickly, wrap tightly with oil paper. Cured in two applications.
Long-standing sores with honeycomb-like pores, as well as purulent sores and Blood Feng Chuang: Mash Ruyi Cao (Plantain), apply, or sun-dry, lightly fry, powder, and mix with Egg White for application.
Blood Feng Chuang with flowing fluid and itching: Fry egg yolks to extract oil, mix with Huangdan and a little Qingfen for application.
Another Prescription: Feidan, Qingfen (1 qian each), Bingpian (1 fen). Grind finely. First cleanse with decoction of Fangfeng, Jingjie, Jinyinhua, Gancao. Then apply, wrap in paper.
Another Prescription: Kufan, Haipiaoxiao (Cuttlefish Bone), Huangla, Tonglv (Verdigris), Qingfen (1 qian each). Grind fine. Boil in Hemp Oil to form a plaster for application.