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卷之四·雜症

81
皮膚癢,痛癢皆屬火,火甚則痛,微則癢。觀火近灼則痛,遠烘則癢,可見。或以為風者,風即火氣,非有二也。此內風也。亦有火氣欲散,忽感外風,鬱火不得外散,進退皮膚間,擾動作癢者。仲景《傷寒論·太陽篇》有脈浮遲,面熱赤,不能得小汗,身必癢之文,可參也。若無外風,不得誤用風藥,以証既屬火,則血必虛,風藥燥血,不可用也,但宜清火養血。血行風自滅。又火與元氣不兩立,火之盛,氣之虛也。然瀉火便是補氣,不必用補中、四君並見氣等。大抵遍身癢,由肺家血虛火盛而生風,宜四物見血加二冬、桑枝、蟬蛻、殭蠶、牛蒡、刺蒺藜、威靈仙,外用蒼耳葉、地膚子、浮萍,煎水浴。

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