【方歌】面游风燥热湿成，面目浮肿痒虫行，肤起白屑而痒极，
破津黄水津血疼。
【注】此证生于面上，初发面目浮肿，痒若虫行，肌肤干燥，
时起白屑。次后极痒，抓破，热湿，盛者津黄水，风燥
盛者津血，痛楚难堪。由平素血燥，过食辛辣厚味，以
致阳明胃经湿热受风而成。痒甚者，宜服消风散；痛甚
者，宜服黄连消毒饮，外抹摩风膏缓缓取效。
方剂：摩风膏
组成：麻黄（五钱） 羌活（一两）
白檀香（一钱） 升麻（二钱）
白芨（一钱） 防风（二钱）
当归身（一钱）
用香油五两，将药浸五日，文火炸黄，即捞去渣，
加黄蜡五钱，溶化尽，用绢滤过，搅冷涂抹疮上。
【方歌】摩风膏抹游风证，麻黄羌活白檀升，芨防归身香油泡，
炸黄去渣加蜡凝。
又方：消风散（见项部钮扣方）
黄连消毒饮仨腮仨（见头部百会疽）
【方歌】痄腮胃热是其端，初起焮痛热复寒，高肿焮红风与热，
平肿色淡热湿原。
【注】此证一名髭发，一名含腮疮。生于两腮肌肉不着骨之处
，无论左右，总发端于阳明胃热也。初起焮痛，寒热往
来，若高肿、色红、焮热者，系胃经风热所发；若平肿
、色淡不鲜者，由胃经湿热所生。始则俱以柴胡葛根汤
表之。若口渴便秘，宜四顺清凉饮解之。表里证俱解，
肿痛仍作者，势必成脓，宜托里消毒散托之。脓熟者针
之，体虚者宜平补之。其余治法，按痈疽溃疡门。此证
初起，若过服凉药，令毒攻喉者险。
方剂：柴胡葛根汤
组成：柴胡 葛根
石膏（〔火段〕） 花粉
黄芩（各一钱） 甘草（生，五分）
牛蒡子（炒，研） 连翘（去心）
桔梗（各一钱） 升麻（三分）
水二钟，煎八分，不拘时服。
【方歌】柴胡葛根发表证，痄腮肿痛或平形，石膏花粉黄芩草，
牛蒡连翘桔梗升。
又方：四顺清凉饮
组成：防风 栀子（生研）
连翘（去心） 甘草（生）
当归 赤芍
羌活（各一钱） 大黄（二钱）
水二钟，灯心五十寸，煎八分，食远服。
【方歌】四顺清凉攻里强，口干便秘痄腮疮，防风栀子连翘草，
归芍灯心羌大黄。
又方：托里消毒散（见肿疡门）
[Verse] Mianyoufeng (Facial Wind) arises from the combination of dryness, heat, and dampness. The face and eyes swell, itching feels like insects crawling, skin presents white scales with extreme pruritus, and upon scratching, yellow exudate or blood oozes out, accompanied by pain.
[Note] This condition occurs on the face. Initially, the face and eyes swell, with an itching sensation resembling insect movement, dry skin, and frequent appearance of white scales. Subsequently, the itching becomes severe; scratching breaks the skin. If damp-heat is predominant, yellow exudate appears; if wind-dryness is predominant, blood oozes out, causing unbearable pain. This is caused by chronic blood dryness combined with excessive consumption of spicy and rich foods, leading to damp-heat in the Yangming Stomach Meridian affected by wind pathogen. For severe itching, Xiaofeng San (Wind-Dispersing Powder) is indicated; for severe pain, Huanglian Xiaodu Yin (Coptis Detoxification Decoction) is indicated. Externally, Mofeng Gao (Wind-Moving Ointment) should be applied slowly for effect.
Formula: Mofeng Gao (Wind-Moving Ointment)
Composition: Ephedrae Herba (Mahuang, 麻黄) (5 qian), Notopterygii Rhizoma et Radix (Qianghuo, 羌活) (1 liang), Santalum Album Lignum (Baitanxiang, 白檀香) (1 qian), Cimicifugae Rhizoma (Shengma, 升麻) (2 qian), Bletillae Rhizoma (Baiji, 白芨) (1 qian), Saposhnikoviae Radix (Fangfeng, 防风) (2 qian), Angelicae Sinensis Radix (Dangguishen, 当归身) (1 qian).
Soak the herbs in 5 liang of sesame oil for five days. Fry gently over low heat until yellow, then remove the dregs. Add 5 qian of beeswax, melt completely, filter through silk cloth, cool, and apply to the sores.
[Verse] Mofeng Gao treats Mianyoufeng (Facial Wind) syndrome, containing Mahuang, Qianghuo, Baitanxiang, Shengma, Baiji, Fangfeng, and Dangguishen soaked in sesame oil, fried yellow, dregs removed, wax added to solidify.
Another Formula: Xiaofeng San (See Section on Neck Button Sores)
Huanglian Xiaodu Yin (Coptis Detoxification Decoction) for Zhasai (Mumps) (See Section on Baihui Carbuncle)
[Verse] The root cause of Zhasai (Mumps) lies in Stomach Heat. Initially, there is burning pain alternating with fever and chills. High swelling with redness and heat indicates Wind-Heat; flat swelling with pale color indicates Damp-Heat.
[Note] This condition is also known as Zifa (Beard Hair Disease) or Hansai Chuang (Cheek-Holding Sore). It occurs on the cheeks where muscles do not attach to bone, regardless of left or right side, originating from Yangming Stomach Heat. Initially, there is burning pain and alternating chills and fever. If swelling is high, red, and hot, it is caused by Wind-Heat in the Stomach Meridian; if swelling is flat and pale, it is caused by Damp-Heat in the Stomach Meridian. Initially, both types should be treated with Chaihu Gegen Tang (Bupleurum and Kudzu Decoction) to release the exterior. If thirst and constipation are present, Sixun Qingliang Yin (Six-Directional Cooling Decoction) should be used to clear the interior. After both exterior and interior syndromes are resolved, if swelling and pain persist, suppuration is inevitable; Tuoli Xiaodu San (Interior-Supporting Detoxification Powder) should be used to support the interior and expel toxins. When pus is ripe, puncture with a needle; for weak constitutions, use Pingbu (Balanced Tonification). Other treatments refer to the Ulceration Section. If cold-natured medicines are excessively taken during the initial stage, causing toxin to attack the throat, the condition becomes critical.
Formula: Chaihu Gegen Tang (Bupleurum and Kudzu Decoction)
Composition: Bupleuri Radix (Chaihu, 柴胡), Puerariae Lobatae Radix (Gegen, 葛根), Gypsum Fibrosum (Shigao, 石膏) (calcined), Trichosanthis Radix (Huafen, 花粉), Scutellariae Radix (Huangqin, 黄芩) (each 1 qian), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (raw, 5 fen), Arctii Fructus (Niubangzi, 牛蒡子) (stir-fried, crushed), Forsythiae Fructus (Lianqiao, 连翘) (heart removed), Platycodonis Radix (Jiegeng, 桔梗) (each 1 qian), Cimicifugae Rhizoma (Shengma, 升麻) (3 fen).
Add 2 zhong of water, decoct to 8 fen, take at any time.
[Verse] Chaihu Gegen Tang releases the exterior, treating Zhasai (Mumps) swelling/pain or flat shape, containing Shigao, Huafen, Huangqin, Gancao, Niubangzi, Lianqiao, Jiegeng, Shengma.
Another Formula: Sixun Qingliang Yin (Six-Directional Cooling Decoction)
Composition: Saposhnikoviae Radix (Fangfeng, 防风), Gardeniae Fructus (Zhizi, 栀子) (raw, crushed), Forsythiae Fructus (Lianqiao, 连翘) (heart removed), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (raw), Angelicae Sinensis Radix (Danggui, 当归), Paeoniae Radix Rubra (Chishao, 赤芍), Notopterygii Rhizoma et Radix (Qianghuo, 羌活) (each 1 qian), Rhei Radix et Rhizoma (Dahuang, 大黄) (2 qian).
Add 2 zhong of water and 50 cun of Juncus effusus (Xindixin, 灯心), decoct to 8 fen, take after meals.
[Verse] Sixun Qingliang Yin strongly attacks the interior, treating dry mouth, constipation, and Zhasai (Mumps) sores, containing Fangfeng, Zhizi, Lianqiao, Gancao, Danggui, Shaoyao, Xindixin, Qianghuo, Dahuang.
Another Formula: Tuoli Xiaodu San (Interior-Supporting Detoxification Powder) (See Section on Swelling and Ulceration)