夫足阳明为胃之经。其支脉环于唇。入络于脾。然脾胃为表里也。脾胃有风热。邪气乘
之。
治唇上生恶核肿。由脾胃风热壅滞。独活散方。
独活（三分） 川升麻（三分） 沉香（三分） 桑寄生（三分） 连翘（三分） 犀
角屑（三分）
汉
上件药。捣筛为散。每服三钱。以水一中盏。煎至六分。去滓。不计时候。温服。
治风热在脾胃。唇生肿核。结聚不散。升麻散方。
川升麻（一两） 白蔹（三分） 玄参（三分） 木通（三分锉） 羚羊角屑（三分） 漏
芦（三
分）
分锉）
枳壳（
上件药。捣筛为散。每服五钱。以水一大盏。煎至六分。去滓。不计时候。温服。
治唇生肿核。涂贴方。
松脂（半两） 川大黄（一分） 白蔹（一分） 赤小豆（一分） 胡粉（一分）
上件药。捣细罗为散。以鸡子清调。涂贴于上。
治脾胃热毒。唇上生结核肿痛。松脂膏方。
松脂（一两） 白胶香（一两） 薰陆香（一两） 蜡（一两） 当归末（一两） 甘
草末（一两）
猪
上件药。先以慢火煎脂令沸。次下松脂白胶薰陆香蜡。候销。滤去滓。入地黄汁更煎。
令
又方。
用刀锋决破核。出却恶血瘥。
夫唇口面皴者。为寒时触冒风冷。冷折腠理。伤其皮肤。故令皴劈。经络之气。诸阳之
会。
而受风邪。故得风冷而皴劈也。及冬时。以暖汤洗面。及向火外。假热气动于腠理。而触风
冷。
治脾热唇焦枯。无润泽。宜服生地黄煎方。
生地黄汁（半升） 生天门冬汁（半升） 葳蕤（二两） 细辛（一两） 甘草（一两
生锉） 芎
（
上件药。细锉。绵裹。酒浸一宿。以猪脂二斤。煎令药色焦黄。绵滤去滓。纳锅中。后
下地
治唇面皴。宜用此方。
蜡（半两） 羊脂（半两） 甲煎（一合） 紫草（半分锉） 朱砂（半两细研）
上件药。先将蜡于铜锅中。微火煎稍溶。入羊脂。煎一沸。次下甲煎紫草朱砂等。更煎
三两
治远行唇口面皴方。
上用猪脂熟煎。以合器盛。每至夜间。常涂唇及面上。或于野宿睡卧。唇面不皴。
治冬月唇干拆。血出方。
上用桃仁烂捣。以猪脂调涂于唇上效。
The Foot-Yangming Stomach Meridian is the meridian of the Stomach. Its branch circles around the lips and enters to connect with the Spleen. This is because the Stomach and Spleen are exterior-interiorly related. If Wind-Heat invades the Stomach and Spleen, pathogenic factors will take advantage of this deficiency.
To treat malignant nodules (Ehe He) swelling on the lips caused by the stagnation of Wind-Heat in the Stomach and Spleen, use Duhuo San (Dong Quill Powder).
Duhuo (Angelicae Pubescentis Radix, 3 fen), Chuan Shengma (Cimicifugae Rhizoma, 3 fen), Chenxiang (Aquilariae Lignum Resinatum, 3 fen), Sangjisheng (Taxilli Herba, 3 fen), Lianqiao (Forsythiae Fructus, 3 fen), Xijiao (Rhinocerotis Cornu, 3 fen, sliced).
Crush and sieve the above herbs into a powder. Take 3 qian per dose. Add one zhongzhan of water, decoct until reduced to six parts, remove the dregs, and take warm at any time.
To treat Wind-Heat in the Stomach and Spleen causing swollen nodules on the lips that cluster and do not dissipate, use Shengma San (Cimicifuga Powder).
Chuan Shengma (Cimicifugae Rhizoma, 1 liang), Bailian (Polygonati Multiflori Rhizoma, 3 fen), Xuanshen (Scrophulariae Radix, 3 fen), Mutong (Akebiae Caulis, 3 fen, sliced), Lingyangjiao (Saigae Tataricae Cornu, 3 fen, sliced), Loulu (Cynanchi Atrati Radix, 3 fen), Zhike (Aurantii Fructus Pericarpium, 3 fen, sliced).
Crush and sieve the above herbs into a powder. Take 5 qian per dose. Add one dazhan of water, decoct until reduced to six parts, remove the dregs, and take warm at any time.
For external application to treat nodules on the lips:
Songzhi (Pinus Resin, 0.5 liang), Chuan Dahuang (Rhei Radix et Rhizoma, 1 fen), Bailian (Polygonati Multiflori Rhizoma, 1 fen), Chixiaodou (Phaseoli Semen Rubrum, 1 fen), Hufen (Lead Carbonate, 1 fen).
Grind the above herbs finely and sieve them into a powder. Mix with egg white and apply externally to the affected area.
To treat tubercles with swelling and pain on the lips due to Heat-Toxin in the Stomach and Spleen, use Songzhi Gao (Pinus Resin Ointment).
Songzhi (Pinus Resin, 1 liang), Baijiaoxiang (Olibanum, 1 liang), Xunluxiang (Myrrha, 1 liang), La (Beeswax, 1 liang), Danggui Mo (Angelicae Sinensis Radix Powder, 1 liang), Gancao Mo (Glycyrrhizae Radix et Rhizoma Powder, 1 liang).
First, boil the resin slowly over low heat until bubbling. Then add the Pinus Resin, Olibanum, Myrrha, and Beeswax. Wait for them to melt, filter out the dregs, add Dihuang Zhi (Rehmanniae Juice) and decoct further.
Another method:
Incise the nodule with a blade to drain the foul blood; the condition will heal.
Regarding roughness and cracking of the lips, mouth, and face: This occurs when exposed to cold Wind-Cold during winter. The cold damages the Couli (pores/skin texture) and injures the skin, leading to cracking. The face is the convergence point of all Yang meridians, making it susceptible to Wind pathogens. Thus, exposure to Wind-Cold causes cracking. In winter, washing the face with warm water or warming oneself near a fire causes Qi to move within the Couli; if this coincides with exposure to Wind-Cold, cracking ensues.
To treat dry, cracked, and unmoistened lips due to Heat in the Spleen, consume Shengdihuang Jian (Raw Rehmannia Decoction).
Shengdihuang Zhi (Rehmanniae Radix Juice, 0.5 sheng), Sheng Tianmendong Zhi (Asparagi Radix Juice, 0.5 sheng), Weirui (Polygonati Odorati Rhizoma, 2 liang), Xixin (Asari Radix et Rhizoma, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang, freshly sliced), Chuanxiong (Ligusticum Chuanxiong Rhizoma).
Finely slice the herbs, wrap in silk, and soak in wine overnight. Add 2 jin of Pig Fat (Zhuzhi) and decoct until the herbal color turns scorched yellow. Filter through silk to remove dregs, place in a pot, and subsequently add [Rehmannia juice implied by context].
To treat cracking of the lips and face, use this formula:
La (Beeswax, 0.5 liang), Yangzhi (Sheep Fat, 0.5 liang), Jiajian (Turtle Shell Preparation, 1 he), Zicao (Arnebiae Radix seu Lithospermi Radix, 0.5 fen, sliced), Zhusha (Cinnabar, 0.5 liang, finely ground).
Melt the Beeswax slightly over low heat in a copper pot. Add Sheep Fat and bring to a boil once. Then add the Turtle Shell Preparation, Arnebia/Lithospermum Root, and Cinnabar. Decoct for three [boils/durations].
To treat cracking of the lips, mouth, and face after long travel:
Use the aforementioned Pig Fat (Zhuzhi) after thorough cooking. Store in a container. Apply frequently to the lips and face at night. If sleeping outdoors, this prevents cracking.
To treat dry, cracked, and bleeding lips in winter:
Thoroughly pound Tao Ren (Pruni Semen) and mix with Pig Fat (Zhuzhi) to apply to the lips. Effective.