【方歌】酒齇鼻生准及边，胃火薰肺外受寒，血凝初红久紫黑，
宣郁活瘀缓缓痊。
【注】此证生于鼻准头，及鼻两边。由胃火薰肺，更因风寒外
束，血瘀凝结。故先红后紫，久变为黑，最为缠绵。治
宜宣肺中郁气，化滞血，如麻黄宣肺酒、凉血四物汤俱
可选用，使荣卫流通，以滋新血。再以颠倒散，敷于患
处。若日久不愈，以栀子仁丸服之，缓缓取愈。
方剂：麻黄宣肺酒
组成：麻黄 麻黄根（各二两）
头生酒五壶，将药入酒内，重汤煮三炷香，露一宿
，早晚各饮三五杯，至三五日出脓成疮；十余日则脓尽
，脓尽则红色退，先黄后白而愈。
【方歌】麻黄宣肺酒齇鼻，血热上注外寒瘀，麻黄并根入酒泡，
重汤煮饮效不虚。
又方：凉血四物汤
组成：当归 生地
川芎 赤芍
黄芩（酒炒） 赤茯苓
陈皮 红花（酒洗）
甘草（生，一钱）
水二钟，姜三片，煎八分，加酒一杯，调五灵脂末
二钱，热服。气弱者，加酒炒黄耆二钱立效。
【方歌】凉血四物齇鼻红，散瘀化滞又调荣，芩苓四物陈红草，
姜煎加酒入五灵。
又方：栀子仁丸
组成：栀子仁研末，黄蜡溶化和丸，如弹子大。每服一丸，茶
清嚼下，忌辛辣之物。
【方歌】栀子仁丸齇鼻赤，紫黑缠绵皆可施，栀子为末黄蜡化，
丸如弹子茶清食。
又方：颠倒散（见肺风粉刺）
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[Formula Song] Jiu Zao Bi (Rosacea-like rhinophyma) arises on the nasal tip and alae; its pathogenesis involves Stomach Fire steaming the Lungs combined with external Cold constraint. Initially, blood stasis manifests as redness; over time, it turns purple-black. Treatment should focus on dispersing Qi stagnation and activating blood to resolve stasis, leading to gradual recovery.
[Annotation] This condition occurs on the nasal tip and both sides of the nose. It is caused by Stomach Fire steaming the Lungs, exacerbated by external Cold binding the exterior, resulting in blood stasis and coagulation. Thus, it presents initially as red, then purple, and eventually black if prolonged, making it particularly persistent and difficult to cure. The treatment should aim to diffuse Lung Qi stagnation and transform stagnant blood. Formulas such as Mahuang Xuanfei Jiu (Ephedra Decoction for Diffusing Lung Qi) and Liangxue Siwu Tang (Cooling Blood Four Substances Decoction) may be selected to promote the circulation of Ying (Nutritive) and Wei (Defensive) Qi, thereby nourishing new blood. Additionally, Diandao San (Inverted Powder) should be applied topically to the affected area. If the condition persists for a long time without healing, Zhizi Ren Wan (Gardenia Seed Pill) can be taken orally for gradual improvement.
Formula: Mahuang Xuanfei Jiu (Ephedra Decoction for Diffusing Lung Qi)
Composition: Ephedrae Herba (Mahuang, 麻黄) and Radix Ephedrae (Mahuanggen, 麻黄根), two liang each.
Five hu of first-press wine are used. The herbs are placed in the wine and boiled in a double boiler for the duration of three incense sticks, then left exposed overnight. Take three to five cups morning and evening. By the third to fifth day, pus will form and sores will appear; after more than ten days, the pus will drain completely. Once the pus is exhausted, the redness subsides, turning yellow first and then white, leading to recovery.
[Formula Song] Mahuang Xuanfei Jiu treats Jiu Zao Bi, where Heat in Blood ascends and is compounded by external Cold and stasis. Soaking Mahuang and its root in wine and boiling it in a double boiler yields reliable efficacy.
Another Formula: Liangxue Siwu Tang (Cooling Blood Four Substances Decoction)
Composition: Angelicae Sinensis Radix (Danggui, 当归), Rehmanniae Radix Preparata (Shengdi, 生地), Chuanxiong Rhizoma (Chuanxiong, 川芎), Paeoniae Radix Rubra (Chishao, 赤芍), Scutellariae Radix (Huangqin, 黄芩) stir-fried with wine, Poria (Chifuling, 赤茯苓), Citri Reticulatae Pericarpium (Chenpi, 陈皮), Carthami Flos (Honghua, 红花) washed with wine, Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) raw, one qian.
Add two zhong of water and three slices of Zingiberis Rhizoma Freshum (Jiang, 姜). Decoct until eight parts remain. Add one cup of wine and two qian of Trogopterori Faex (Wulingzhi, 五灵脂) powder. Take hot. For those with Qi deficiency, add two qian of Astragali Radix (Huangqi, 黄芪) stir-fried with wine for immediate effect.
[Formula Song] Liangxue Siwu Tang treats the redness of Jiu Zao Bi, dispersing stasis, resolving stagnation, and regulating Ying Qi. It contains Huangqin, Fuling, Siwu Tang (Danggui, Chuanxiong, Shengdi, Chishao), Chenpi, Honghua, Gancao, decocted with Jiang, added with wine and Wulingzhi.
Another Formula: Zhizi Ren Wan (Gardenia Seed Pill)
Composition: Gardeniae Semen (Zhizi Ren, 栀子仁) ground into powder, mixed with melted Carnauba Wax (Huangla, 黄蜡) to form pills the size of a bullet. Take one pill per dose, chewed down with clear tea water. Avoid spicy foods.
[Formula Song] Zhizi Ren Wan treats the redness of Jiu Zao Bi and is applicable to persistent purple-black cases. Gardenia seeds are powdered and mixed with melted wax, formed into bullet-sized pills, and taken after meals with clear tea.
Another Formula: Diandao San (Inverted Powder) (See section on Fei Feng Fen Ci / Acne Vulgaris of the Face)
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