唐·王焘云∶比岁有病天行发斑疮,头面及身须臾周匝,状如火烧,疮皆带白浆水,随破随生,
不治,数日必死。治后,疮瘢黯,一岁方灭。此恶毒之气所为,以水煮升麻,绵沾洗之。若酒煮弥佳,
但躁痛不可忍也。又云∶建武中,南阳击虏,初呼为虏疮,诸医参详疗之方,取好蜜摩疮上,以蜜煎
升麻数拭之。(《外台秘要》)
缪仲淳治顾奉常女,臂患紫云风,用稀 、苍耳、雄黄末之,醇漆为丸。或疑漆有毒,竞沮之。
然竟以此药收功。(制漆,用生蟹黄搅和,可化作水入药。《广笔记》)
一妇人患斑症作痒,脉浮数,以人参败毒散二剂,少愈。更以消风散,四剂而安。又用柴胡清肝
散而愈。
一妇人患斑症痒痛,大便秘结,脉沉实,以四物汤加芩、连、大黄、槐花治之而便利。用四物二
连汤而疮愈矣。
一妇人患斑作痒,脉浮,以消风散,四剂而愈。
一妇人患斑作痒,脉浮数,以人参败毒散,二剂少愈。更以消风散,四剂而安。
一男子患斑,色赤紫 痛,发热喜冷,脉沉实,以防风通圣散,一剂顿退。又以荆防败毒散加芩、
连,四剂而愈。
举人陆世明,会试途中劳役,胸患斑, 赤作痛,头痛发热,形倦少食,大便或溏或结,小便赤
涩,此劳伤元气,而虚火内动。投补中益气汤,一剂顿退,再剂而痊,又数剂而平复。
一室女年十四,天癸未至,身发赤斑痒痛,左关脉弦数,此因肝火血热。以小柴胡汤加山栀、生
地、丹皮,治之而愈。若因怒而致者,亦宜治以前药。
一男子面起赤晕,时或发肿,臂手亦然,搔起白屑。服疠风药,内热体倦,脉大而虚,此因元气
虚而阴血复伤。用六味丸、补中益气汤而愈。
一妇人身如丹毒,搔破如疠,热渴头晕,日晡益重。此属肝经风热血燥,用加味逍遥散而愈。
一妇人身如丹毒,搔破淋漓,热渴头晕,日晡益甚,用逍遥散加炒山栀、陈皮而愈。又用八珍、
柴胡、山栀、丹皮而痊。
一妇人患前症,误服大麻风药,破而出水,烦渴头晕,诚类风症,六脉洪数,心肝脾为甚。曰∶
风自火出,此因怒动肝火,血燥而生风耳,非真风症也。与逍遥散、六味丸以清肝火,滋脾血,生肾
水而痊。
一妇人患前症,搔破久不愈,食少体倦,此肝脾亏损,阴虚发热也。先用补中益气汤加川芎、炒
栀,元气渐复。更以逍遥而疮愈。
一妇人患赤游风,晡热痒甚,用清肝养血之剂。不信,乃服大麻风药,臂痛筋挛。又服化痰顺气
之剂,四肢痿弱。又一妇患前症,数服风药,煎汤泡洗,以致腹胀并殁。
一女子月经先期,先发赤晕,微肿作痒。若遇气恼,赤痒益甚,服祛风之药,患处更肿。砭出紫
血甚多,其痒愈作。谓肝火血燥,风药复伤血而为患也。先用加味逍遥散清肝火,益肝血,赤肿少止。
用地黄丸滋肾水,生肝木,各五十余帖而痊。后因恼怒,经水不止,发热作渴,患处赤痒,先用加味
小柴胡汤二剂,诸症顿止。又用加味逍遥散而安。
唐代王焘说:近年有患天行发斑疮的病人,头面部及全身在极短时间内布满皮疹,症状如同火烧,疮疡都带有白色浆液,破溃后随即新生,若不治疗,数日内必死。治愈后,疮疤颜色暗黑,需一年才能消退。这是由恶毒之气所致,可用煮过的升麻水,用棉布蘸取清洗患处。若用酒煮效果更佳,但患者会感到躁动疼痛难以忍受。他又记载:东汉建武年间,南阳军队征讨虏寇时,起初称此病为“虏疮”,众医研究治疗方案,建议取优质蜂蜜涂抹于疮上,并用蜜煎升麻多次擦拭。(出自《外台秘要》)
缪仲淳治疗顾奉常的女儿,其手臂患有紫云风(一种皮肤红斑瘙痒症),使用稀签草、苍耳子和雄黄粉末,以醇漆调和制成丸药。有人怀疑漆有毒性,众人纷纷阻止。然而最终竟靠此药治愈。(制作漆丸的方法:用生蟹黄搅拌混合,可将其化为液体入药。出自《广笔记》)
一位妇人患斑症且瘙痒,脉象浮数,服用两剂人参败毒散后,症状稍减。随后改服消风散,四剂后病情安定。最后再用柴胡清肝散而痊愈。
一位妇人患斑症,伴有瘙痒疼痛,大便秘结,脉象沉实,用四物汤加黄芩、黄连、大黄、槐花治疗,使大便通畅。接着服用四物二连汤,疮疡得以愈合。
一位妇人患斑症且瘙痒,脉象浮数,服用两剂人参败毒散后症状稍减。随后改服消风散,四剂后病情安定。
一位男子患斑,疹色赤紫且疼痛,发热喜冷,脉象沉实,服用防风通圣散,一剂后症状迅速消退。又用荆防败毒散加黄芩、黄连,四剂后痊愈。
举人陆世明,在参加会试途中因劳累役使,胸部出现斑疹,色赤疼痛,伴有头痛发热,身体疲倦,食欲减退,大便时而溏泄时而干结,小便赤涩。此为劳损伤及元气,导致虚火内动。投予补中益气汤,一剂后症状迅速消退,两剂后康复,再服数剂后完全平复。
一位十四岁的少女,月经尚未初潮,身上发出赤色斑块,瘙痒疼痛,左关脉弦数,这是因为肝火血热所致。用小柴胡汤加山栀、生地、丹皮治疗,得以痊愈。若是因愤怒引发者,也适宜用上述药物治疗。
一位男子面部出现赤色晕圈,时而肿胀,手臂和手部也是如此,搔抓后起白屑。服用治大麻风的药物后,出现内热、身体疲倦,脉象大而虚弱,这是因为元气虚弱且阴血再次受损。使用六味丸、补中益气汤治疗而痊愈。
一位妇人身如丹毒(急性感染性皮肤病),搔破后如疠风状,发热口渴,头晕,傍晚时分症状加重。这属于肝经风热血燥,用加味逍遥散治疗而痊愈。
一位妇人身如丹毒,搔破后渗液淋漓,发热口渴,头晕,傍晚时分症状更甚,用逍遥散加炒山栀、陈皮治疗而痊愈。后又用八珍汤、柴胡、山栀、丹皮治疗而康复。
一位妇人患前述病症,误服大麻风药物,导致皮肤破溃流水,烦躁口渴,头晕,确实类似风症,六脉洪数,心、肝、脾三脏受影响严重。认为:风自火出,这是由于愤怒触动肝火,血燥而生风罢了,并非真正的风症。给予逍遥散、六味丸以清肝火、滋脾血、生肾水,从而痊愈。
一位妇人患前述病症,搔破后久不愈合,食少体倦,这是肝脾亏损,阴虚发热所致。先用补中益气汤加川芎、炒山栀,使元气逐渐恢复。再用逍遥散使疮疡愈合。
一位妇人患赤游风(游走性红斑),傍晚发热且瘙痒剧烈,使用清肝养血的药剂。患者不信,反而服用大麻风药物,导致手臂疼痛、筋脉拘挛。又服用化痰顺气的药剂,导致四肢痿弱无力。还有一位妇人患前述病症,多次服用风药,并煎汤泡洗,导致腹胀并最终死亡。
一位女子月经先期而至,先发赤色晕圈,微肿且瘙痒。若遇气恼,赤痒更加严重,服用祛风药物后,患处更加肿胀。砭刺放出大量紫血,瘙痒反而加剧。诊断为肝火血燥,祛风药进一步伤血所致。先用加味逍遥散清肝火、益肝血,赤肿稍止。用地黄丸滋肾水、生肝木,各服五十余帖而痊愈。后因恼怒,经血不止,发热口渴,患处赤痒,先用加味小柴胡汤两剂,诸症顿止。又用加味逍遥散而安定。
Wang Tao of the Tang Dynasty stated: In recent years, there have been patients suffering from "Tianxing Faban Chuang" (Heavenly Epidemic Erythema and Pustules), where rashes cover the head, face, and entire body within a very short time. The condition resembles a fire burn, with pustules containing white serous fluid; they rupture and regenerate continuously. Without treatment, death occurs within a few days. After recovery, the scars remain dark and take a year to fade. This is caused by malignant toxic qi. It can be treated by washing the affected area with water boiled with Shengma (Cimicifugae Rhizoma) using cotton cloth. Boiling it in wine yields better results, but the patient may experience unbearable restlessness and pain. He also recorded: During the Jianwu era of the Eastern Han Dynasty, when the Nanyang army campaigned against the Lu tribes, this disease was initially called "Lu Chuang" (Barbarian Sore). Physicians deliberated on treatments and recommended applying high-quality honey to the sores and wiping them multiple times with honey-decocted Shengma. (From *Waitai Miyao*)
Miao Zhongchun treated the daughter of Gu Fengchang, who suffered from "Ziyun Feng" (Purple Cloud Wind, a type of erythematous pruritic skin condition) on her arm. He used powder from Xixiancao (Siegesbeckiae Herba), Can'erzi (Xanthii Fructus), and Xionghuang (Realgar), mixed with pure lacquer to form pills. Some suspected the toxicity of lacquer and strongly opposed it. Nevertheless, the cure was ultimately achieved with this medicine. (To prepare the lacquer pill, raw crab yellow is stirred into the lacquer, liquefying it for medicinal use. From *Guang Biji*)
A woman suffered from erythema with itching. Her pulse was floating and rapid. She took two doses of Renshen Baidu San (Ginseng Detoxification Powder), which slightly alleviated her symptoms. Subsequently, she took Xiaofeng San (Wind-Dispersing Powder) for four doses, stabilizing her condition. Finally, she recovered after taking Chaihu Qinggan San (Bupleurum Liver-Clearing Powder).
Another woman suffered from erythema with itching and pain, accompanied by constipation and a deep, solid pulse. She was treated with Siwu Tang (Four Substances Decoction) added with Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma), Dahuang (Rhei Radix et Rhizoma), and Huaihua (Sophorae Flos), which relieved her constipation. She then took Siwu Erlian Tang (Four Substances with Two Coptis Decoction), leading to the healing of the sores.
A woman suffered from erythema with itching and a floating pulse. She recovered after taking Xiaofeng San (Wind-Dispersing Powder) for four doses.
A woman suffered from erythema with itching and a floating, rapid pulse. She took two doses of Renshen Baidu San (Ginseng Detoxification Powder), which slightly alleviated her symptoms. Subsequently, she took Xiaofeng San (Wind-Dispersing Powder) for four doses, stabilizing her condition.
A man suffered from erythema with red-purple lesions and pain, fever preferring cold, and a deep, solid pulse. His symptoms receded dramatically after one dose of Fangfeng Tongsheng San (Saposhnikovia Universal Salvation Powder). He then recovered after taking Jingfang Baidu San (Schizonepeta and Saposhnikovia Detoxification Powder) added with Huangqin (Scutellariae Radix) and Huanglian (Coptidis Rhizoma) for four doses.
Lu Shiming, a Juren degree holder, developed chest erythema due to overexertion during his journey to the metropolitan examination. His lesions were red and painful, accompanied by headache, fever, fatigue, poor appetite, alternating loose stools and constipation, and dark, difficult urination. This indicated damage to Yuanqi (Primary Qi) from labor, causing deficient fire to move internally. He was administered Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction). His symptoms receded dramatically after one dose, he recovered after two doses, and fully stabilized after several more doses.
A fourteen-year-old maiden, whose Tianmi (Menstruation) had not yet begun, developed red patches on her body with itching and pain. Her left Guan pulse was wiry and rapid, indicating Liver Fire and Blood Heat. She was treated with Xiao Chaihu Tang (Minor Bupleurum Decoction) added with Shanzhi (Gardeniae Fructus), Shengdi (Rehmanniae Radix), and Danpi (Moutan Cortex), resulting in a cure. If caused by anger, the same prescription is appropriate.
A man presented with red halos on his face that occasionally swelled, similarly affecting his arms and hands. Scratching produced white scales. After taking medicines for Leprosy (Dafengbing), he experienced internal heat and fatigue, with a large and deficient pulse. This indicated deficiency of Yuanqi (Primary Qi) and further injury to Yin Blood. He recovered using Liuwei Wan (Six-Ingredient Pill with Rehmannia) and Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction).
A woman’s body resembled Dansu (Erysipelas). Scratching broke the skin like in Leprosy, accompanied by fever, thirst, dizziness, and worsening symptoms in the late afternoon. This belonged to Wind-Fire and Blood Dryness in the Liver Meridian. She recovered using Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder).
Another woman’s body resembled Dansu (Erysipelas). Scratching caused oozing, accompanied by fever, thirst, dizziness, and worsening symptoms in the late afternoon. She recovered using Xiaoyao San (Free and Easy Wanderer Powder) added with fried Shanzhi (Gardeniae Fructus) and Chenpi (Citri Reticulatae Pericarpium). She later recovered using Bazhen Tang (Eight-Treasure Decoction), Chaihu (Bupleuri Radix), Shanzhi (Gardeniae Fructus), and Danpi (Moutan Cortex).
A woman suffered from the aforementioned condition and mistakenly took medicines for Leprosy (Dafengbing). Her skin broke and wept fluid, causing irritability, thirst, and dizziness. Although resembling Wind Syndrome, her six pulses were surging and rapid, heavily affecting the Heart, Liver, and Spleen. It was determined that "Wind arises from Fire"; this was caused by anger stirring Liver Fire, leading to Blood Dryness generating Wind, rather than true Wind Syndrome. She was given Xiaoyao San (Free and Easy Wanderer Powder) and Liuwei Wan (Six-Ingredient Pill with Rehmannia) to clear Liver Fire, nourish Spleen Blood, and generate Kidney Water, resulting in a cure.
A woman suffered from the aforementioned condition, with non-healing broken sores from scratching, poor appetite, and fatigue. This indicated Liver and Spleen deficiency with Yin Deficiency generating Empty Heat. She first took Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Chuanxiong (Ligustici Chuanxiong Rhizoma) and fried Shanzhi (Gardeniae Fructus), gradually restoring her Yuanqi (Primary Qi). She then took Xiaoyao San (Free and Easy Wanderer Powder), curing the sores.
A woman suffered from Chiyou Feng (Red Wandering Wind, a migratory erythema). She had evening fever and severe itching. She used herbs to clear Liver Fire and nourish Blood. Disbelieving this, she took medicines for Leprosy (Dafengbing), resulting in arm pain and tendon contraction. She then took phlegm-resolving and Qi-regulating herbs, leading to flaccidity and weakness in all four limbs. Another woman with the same condition took wind-dispersing herbs multiple times and washed with decoctions, resulting in abdominal distension and death.
A young woman had early menstruation, preceded by red halos, slight swelling, and itching. Anger exacerbated the redness and itching. Taking wind-dispersing herbs caused further swelling at the site. Phlebotomy released much purple blood, yet the itching intensified. The diagnosis was Liver Fire and Blood Dryness, worsened by wind herbs injuring the Blood. She first took Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) to clear Liver Fire and benefit Liver Blood, reducing redness and swelling. She then took Dihuang Wan (Rehmannia Pill) to nourish Kidney Water and generate Liver Wood, taking over fifty doses of each to recover. Later, due to anger, her menstruation did not stop, accompanied by fever, thirst, and red itching at the lesion site. She first took Jiawei Xiao Chaihu Tang (Modified Minor Bupleurum Decoction) for two doses, stopping all symptoms. She then took Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) to stabilize.