患者，男，34岁。手臂内侧起皮痠三日，呈点滴状分布，发展迅速，颜色鲜红，瘙痒难忍，有鳞屑脱落，刮去鱗屑有少量出血，伴有口渴咽干，心烦易怒，小便黄赤，大便干燥，舌红，苔薄黄，脉弦滑。治疗该患者首选的方剂是

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