目中 肉心火成，实火大 色深红，小 红丝淡虚火， 肉时觉或胀疼。
【注】此证生于目两 ，瘀肉努出，时觉疼痛，总属心火所成。然火有虚实，如大
红肉色深红者，心经实火也，宜黑参汤服之；小 红丝色淡红者，心经虚火也，宜决明散
主之。外俱用清凉丸泡洗，久久自愈。
\r目中 肉图\p04-34a98.bmp\r
黑参汤
黑参 苦参 栀子（研） 菊花 黄连 枳壳（麸炒） 草决明 车前子 防风 大黄（炒）
升麻（各二钱）
水煎，食后服。
【方歌】黑参汤治大 疼，内生 肉实火成，苦参栀菊黄连壳，草决车防大黄升。
决明散
玉竹 黄连 枳壳（麸炒） 川芎 甘草（生） 羚羊角（镑，各一两） 车前子 青葙子 草决
明（各五钱）
共研细末，每服三钱。食后服，卧时再用一服。
【方歌】决明 肉虚火攻，玉竹黄连枳壳芎，车前青葙羚羊草，研末水调最有功。
清凉丸（见菌毒）
鼻疽生于鼻柱间，肺经郁火发督原，坚硬色紫常木痛，《千金》仙方托里痊。
【注】此证生于鼻柱，属督脉经。鼻为肺窍，故又属肺，由肺经郁火凝结而成。坚硬
色紫，时觉木痛。初宜服《千金》漏芦汤，宣解郁毒；次用仙方活命饮加栀子、木通、薄
荷、桔梗消之。若肿痛不减，势欲作脓，则宜托里透脓汤主之。外治法按痈疽溃疡门。
\r鼻疽图\p04-34a99.bmp\r
《千金》漏芦汤
漏芦（一两） 枳壳（麸炒，一两） 朴硝（一两） 大黄（一两五钱） 甘草（生，一两） 麻黄
（一两） 黄芩（一两） 白蔹（一两） 连翘（去心，一两） 升麻（一两）
共研末，每用二钱，水一盅，姜三片，薄
荷叶一钱，煎五分温服，以取便利为度。
【方歌】《千金》漏芦鼻疽发，色紫坚疼效更嘉，漏芦枳壳硝黄草，麻芩白蔹翘升麻。
仙方活命饮（见肿疡门）
托里透脓汤（见头部侵脑疽）
**Pterygium (Nourou)**
Pterygium arises from Heart Fire. Pterygium caused by Excess Fire presents with a deep red color, whereas that caused by Deficient Fire appears as pale red filaments. Patients often experience distending pain or pain in the eyes.
[Note] This condition occurs at the inner canthi of both eyes, where stagnant tissue protrudes and causes intermittent pain. It is fundamentally caused by Heart Fire. However, Fire can be either Excess or Deficient. If the pterygium is deep red, it indicates Excess Fire in the Heart Meridian, and Heishen Tang (Black Ginseng Decoction) is indicated. If the pterygium appears as pale red filaments, it indicates Deficient Fire in the Heart Meridian, and Jueming San (Cassia Seed Powder) is the primary treatment. Externally, Qingliang Wan (Cooling Pill) may be used for soaking and washing; with prolonged use, it will heal spontaneously.
**Heishen Tang (Black Ginseng Decoction)**
* *Shenqu* (Radix Adenophorae seu Codonopsis, Black Ginseng), *Kushen* (Cortex Sophorae Flavescentis), *Zhizi* (Fructus Gardeniae, crushed), *Juhua* (Flos Chrysanthemi), *Huanglian* (Rhizoma Coptidis), *Zhiqiao* (Fructus Aurantii, stir-fried with bran), *Caojue ming* (Semen Cassiae), *Cheqianzi* (Semen Plantaginis), *Fangfeng* (Radix Saposhnikoviae), *Dahuang* (Radix et Rhizoma Rhei, stir-fried), *Shengma* (Rhizoma Cimicifugae) (each 2 qian).
Boil in water and take after meals.
[Prescription Song] Heishen Tang treats painful large pterygium, formed internally by Excess Fire; it contains Kushen, Zhizi, Juhua, Huanglian, and Zhiqiao, along with Caojueming, Cheqianzi, Fangfeng, Dahuang, and Shengma.
**Jueming San (Cassia Seed Powder)**
* *Yuzhu* (Rhizoma Polygonati Odorati), *Huanglian* (Rhizoma Coptidis), *Zhiqiao* (Fructus Aurantii, stir-fried with bran), *Chuanxiong* (Rhizoma Chuanxiong), *Gancao* (Radix Glycyrrhizae, raw), *Lingyangjiao* (Cornu Saigae Tataricae, shaved) (each 1 liang); *Cheqianzi* (Semen Plantaginis), *Qingxiangzi* (Semen Celosiae), *Caojueming* (Semen Cassiae) (each 5 qian).
Grind into fine powder. Take 3 qian per dose. Take after meals, and take another dose before sleep.
[Prescription Song] Jueming San treats pterygium attacked by Deficient Fire; it contains Yuzhu, Huanglian, Zhiqiao, and Chuanxiong, as well as Cheqianzi, Qingxiangzi, Lingyangjiao, and Gancao. Taking it as a powder mixed with water yields great efficacy.
**Qingliang Wan (Cooling Pill)** (See section on Bacterial Toxins)
**Nasal Carbuncle (Biju)**
Nasal carbuncle arises between the nasal bridge, originating from the Du Meridian and triggered by Stagnant Fire in the Lung Meridian. The lesion is hard, purple in color, and often accompanied by numbness and pain. *Qianjin* Formula's Loulu Tang and Xianfang Huoming Yin can help expel toxins and promote healing.
[Note] This condition occurs at the nasal bridge and belongs to the Du Meridian. Since the nose is the orifice of the Lung, it is also related to the Lung. It is formed by the coagulation of Stagnant Fire in the Lung Meridian. Clinical manifestations include hardness, purple discoloration, and intermittent numbness and pain. Initially, *Qianjin* Loulu Tang should be taken to disperse and resolve toxic stagnation; subsequently, Xianfang Huoming Yin (Immortal Life Elixir) added with Zhizi, Mutong, Bohe, and Jiegeng should be used to dissipate the swelling. If pain and swelling do not subside and suppuration is imminent, Tuoli Tou Nong Tang (Interior-Supporting and Pus-Expelling Decoction) is indicated. External treatments follow the protocols for Ulcerative Sores and Carbuncles.
***Qianjin* Loulu Tang (Loulu Decoction from Qianjin Fang)**
* *Loulu* (Radix Euphorbiae Humifusae) (1 liang), *Zhiqiao* (Fructus Aurantii, stir-fried with bran) (1 liang), *Puxiao* (Natrii Sulfas) (1 liang), *Dahuang* (Radix et Rhizoma Rhei) (1.5 liang), *Gancao* (Radix Glycyrrhizae, raw) (1 liang), *Mahuang* (Herba Ephedrae) (1 liang), *Huangqin* (Radix Scutellariae) (1 liang), *Bailian* (Tuber Ampelopsis Japonicae) (1 liang), *Lianqiao* (Fructus Forsythiae, heart removed) (1 liang), *Shengma* (Rhizoma Cimicifugae) (1 liang).
Grind into powder. Use 2 qian per dose with one cup of water, three slices of fresh ginger, and one qian of thin lotus leaf. Decoct until reduced to half volume. Take warm. Stop when bowel movement is unobstructed.
[Prescription Song] *Qianjin* Loulu Tang treats the onset of nasal carbuncle; its efficacy is superior for cases with purple, hard, and painful lesions. It contains Loulu, Zhiqiao, Puxiao, Dahuang, and Gancao, along with Mahuang, Huangqin, Bailian, Lianqiao, and Shengma.
**Xianfang Huoming Yin (Immortal Life Elixir)** (See section on Swollen Ulcers)
**Tuoli Tou Nong Tang (Interior-Supporting and Pus-Expelling Decoction)** (See section on Head Abscesses Invading the Brain)