火伤，每两加丝绵灰二钱，剔牙松皮 存性五六钱，铅粉 黄五六钱，或干糁，或香油调。一切外症
俱效。
（附紫癜风）
薛立斋治一男子，常咳嗽，腿患白癜风，皮肤搔起白屑，服消风散一类，痒益甚，起赤晕。各砭
出血，赤晕开消，而痒愈甚。服遇仙丹之类，成疮出水，殊类大麻风，咳嗽吐痰，面色皎白，时或萎
黄，此脾肺二经虚热之症。先用五味异功散治之，虚热稍退。又用地黄清肺饮，肺气渐清。又用八珍
汤、六味丸而寻愈。后又咳嗽痰喘，患处作痒，用参苏饮二剂，散其风邪。又用五味异功散加桔梗，
补其肺气而痊。二年后，咳嗽作渴饮水，脉洪大，左尺为甚，用加减八味丸补肾水而痊。
一男子素不慎房劳，常患足三阴亏损。治愈后，两腿腕患紫癜风，延于两腿作痒。各砭出血，痒
处日甚。服消风等药，患处微肿，延及上体，两眼昏涩，谓肾脏风。先用四生散，四服后，用易老祛
风丸月余，再用地黄丸，两月余而痊。后饮食起居失宜，肢体色赤，服二丸随愈。
一男子患白癜风，过饮或劳役，患处色赤作痒。服消风散之类，顿起赤晕，遍身皆痒。砭出血，
服祛风药，患处出血。恪服遇仙丹，患处愈 ，元气日虚。先用九味芦荟丸、九味羌活汤，诸症顿愈。
用加味逍遥散、加味四物汤乃痊。
一妇人患白癜风，误以为大麻风，服蛇酒等药，患处 肿，经水两三月一行。曰∶此肝血伤而内
风也。误服风药，必筋脉拘急。不信，仍作风治。果身起白屑，四肢拳挛，始信。先用八珍汤四剂，
又用四君子汤二剂。月余，乃用四君子汤，又用八珍汤二剂。又月余，诸症渐退，元气渐复，又以四
君子汤为主，以逍遥散为佐。
将两月，疮靥脱落，又月余而愈。
火伤（烧伤），每两药中加入丝绵灰二钱，剔牙松皮（存性）五六钱，铅粉黄五六钱。可干撒患处，或用香油调和涂抹。对一切外部疮疡症状均有效。
（附：紫癜风）
薛立斋治疗一名男子，经常咳嗽，腿部患有白癜风，皮肤瘙痒并出现白色皮屑。服用消风散等药物后，瘙痒更加严重，并出现红色晕圈。对各处进行砭刺放血，红色晕圈消退，但瘙痒愈发剧烈。服用遇仙丹等药物后，形成疮疡并流出液体，症状非常类似大麻风病。患者咳嗽吐痰，面色洁白，有时萎黄，这是脾经和肺经虚热的病症。先用五味异功散治疗，虚热稍退。又用地黄清肺饮，肺气逐渐清肃。接着用八珍汤、六味丸，不久痊愈。后来再次出现咳嗽、痰喘，患处瘙痒，用参苏饮两剂，疏散风邪。又用五味异功散加桔梗，补益肺气而痊愈。两年后，咳嗽且口渴想喝水，脉象洪大，左尺脉尤为明显，用加减八味丸补肾水而痊愈。
另一名男子平素不谨慎房事，经常患足三阴经亏损之症。治愈后，两脚踝部患紫癜风，蔓延至双腿并瘙痒。各处砭刺放血，瘙痒处日益加重。服用消风散等药物，患处轻微肿胀，蔓延至上半身，双眼昏涩，诊断为肾脏风。先用四生散，服用四剂后，再用易老祛风丸一个月左右，随后用地黄丸，两个多月后痊愈。后来因饮食起居不当，肢体发红，服用二丸随即痊愈。
另一名男子患白癜风，因过量饮酒或劳累，患处色红瘙痒。服用消风散等药物，顿时出现红色晕圈，全身皆痒。砭刺放血，服用祛风药，患处出血。严格服用遇仙丹，患处虽愈，但元气日渐虚弱。先用九味芦荟丸、九味羌活汤，各种症状顿时痊愈。后用加味逍遥散、加味四物汤才彻底康复。
一名妇人患白癜风，误认为是大麻风，服用蛇酒等药物，患处肿胀，月经两三个月来一次。薛立斋说：这是肝血受损导致内风。误服风药，必然导致筋脉拘急。患者不信，仍按风病治疗。果然身上出现白屑，四肢蜷缩挛急，这才相信。先用八珍汤四剂，又用四君子汤两剂。一个多月后，再用四君子汤，又用八珍汤两剂。又过一个月，各种症状逐渐消退，元气逐渐恢复，又以四君子汤为主，以逍遥散为辅。
经过两个月，疮痂脱落，又过一个月才痊愈。
For burns (thermal injury), add two qian of silk ash per liang of the base preparation, along with five to six qian of *Pterocarpus santalinus* bark (preserved charred) and five to six qian of lead powder yellow. It can be applied dry as a dusting powder or mixed with sesame oil for topical application. It is effective for all types of external sores.
(Attached: Purpura / Vitiligo-like conditions)
Xue Lizhai treated a male patient who suffered from chronic cough and vitiligo on his legs, characterized by itchy skin with white scales. After taking *Xiaofeng San* (Wind-Dispersing Powder) and similar formulas, the itching intensified, accompanied by red halos. Bleeding was induced via cupping/scarification at various sites; while the red halos subsided, the itching became even more severe. Subsequent administration of *Yuxian Dan* (Immortal Encounter Pill) led to ulceration and exudate, resembling leprosy. The patient presented with cough and expectoration, a bright white complexion, occasionally sallow. This was diagnosed as deficiency-heat in the Spleen and Lung meridians. Initially, *Wuwei Yigong San* (Five-Ingredient Efficacious Labor Powder) was used, slightly reducing the deficiency-heat. Then, *Dihuang Qingfei Yin* (Rehmannia Lung-Clearing Decoction) was administered, gradually clearing Lung qi. Finally, *Bazhen Tang* (Eight-Treasure Decoction) and *Liuwei Wan* (Six-Ingredient Pill with Rehmannia) were used, leading to recovery shortly thereafter. Later, the patient experienced recurrent cough, phlegm, and wheezing with itching at the affected sites. Two doses of *Shensu Yin* (Ginseng and Perilla Decoction) were given to disperse wind-pathogens. Subsequently, *Wuwei Yigong San* with added *Jiegeng* (Platycodon Root) was used to tonify Lung qi, resulting in cure. Two years later, the patient developed cough, thirst with desire to drink, and a surging pulse, particularly pronounced at the left Chi position. *Jiaban Bawei Wan* (Modified Eight-Ingredient Pill) was prescribed to nourish Kidney water, leading to recovery.
Another male patient, who had been negligent in sexual activity, frequently suffered from deficiency of the three Yin meridians of the foot. After this condition was cured, he developed purpura/vitiligo on both ankles, spreading to the legs with itching. Scarification bleeding was performed, but the itching worsened daily. Administration of *Xiaofeng* (Wind-Dispersing) medicines caused slight swelling at the lesions, which spread to the upper body, accompanied by blurry and dry eyes. This was diagnosed as Kidney Wind. Initially, *Sisheng San* (Four Fresh Ingredients Powder) was used; after four doses, *Yilao Qufeng Wan* (Master Yi’s Wind-Expelling Pill) was taken for over a month, followed by *Dihuang Wan* (Rehmannia Pill) for another two months, leading to recovery. Later, due to improper diet and lifestyle, the limbs turned red; taking two pills resulted in immediate improvement.
A third male patient suffered from vitiligo. Due to excessive drinking or physical exertion, the lesions became red and itchy. Taking *Xiaofeng San* caused an immediate appearance of red halos and generalized pruritus. Scarification bleeding was performed, and wind-dispersing medicines caused bleeding from the lesions. Strict adherence to *Yuxian Dan* healed the lesions but progressively depleted Yuan Qi (Original Qi). Initially, *Jiuwei Lushui Wan* (Nine-Ingredient Aloe Pill) and *Jiuwei Qianghuo Tang* (Nine-Ingredient Notopterygium Decoction) were administered, causing all symptoms to subside abruptly. Recovery was achieved using *Jiawei Xiaoyao San* (Modified Free and Easy Wanderer Powder) and *Jiawei Siwu Tang* (Modified Four-Substance Decoction).
A female patient suffered from vitiligo and mistakenly believed it to be leprosy, consuming snake wine and other medications, which caused swelling at the lesions and irregular menstruation (every two to three months). Xue stated: "This is internal wind caused by damage to Liver blood." He warned that misusing wind-dispersing medicines would inevitably lead to tendon and vessel spasms. The patient did not believe him and continued treatment for wind-pathogens. Consequently, white scales appeared on the body, and the limbs became curled and contracted. Only then did she accept the diagnosis. Initially, four doses of *Bazhen Tang* were given, followed by two doses of *Sijunzi Tang* (Four Gentlemen Decoction). After more than a month, *Sijunzi Tang* was used again, followed by two doses of *Bazhen Tang*. After another month, symptoms gradually receded, and Yuan Qi slowly recovered. Thereafter, *Sijunzi Tang* was used as the principal formula, assisted by *Xiaoyao San*.
After two months, the scabs fell off, and full recovery occurred after another month.