夫面上生疮者。由内热外虚。为风湿所乘则生疮也。所以然者。肺主气。荣于皮毛。脾
主肌
令
升麻加黄连汤治面热。升麻加附子汤治面寒。有何根据。答曰。出自仲景。云岐子注伤
寒论
身热
表
而浮而长。从本脉沉而实。阳明为病。主身热蒸而不恶寒。身热为标病。阳明本实者。胃中
燥
禁下。发之变黄证。太阳主表。营卫是也。营卫之下。肌肉属阳明。二阳并病。葛根汤主之
。卫者桂枝。营者麻黄。营卫之中。麻桂各半汤主之。营卫之下。肌肉之分者。葛根汤主之
。又名解肌汤。故阳明者。肌肉之本也。非专于发汗止汗之治。桂枝麻黄两方。互并为一方
。加葛根者。便作葛根汤。故营卫肌肉之次也。桂枝、芍药、生姜、甘草、大枣、止汗。有
麻黄、桂枝、甘草、生姜、发汗。葛根味薄。独加一味者非发汗止汗。从葛根以解肌。故名
葛根汤。钱仲阳制升麻汤。方治伤寒温疫。风热壮热。头痛。肢体痛。疮疹已发未发。用葛
根为君。升麻为佐。甘草、芍药、安其中气。朱奉议作活人书。将升麻汤列作阳明经解药。
予诊杨氏妇。阳明经标本俱实。先攻其里。后泻经络中风热。故用升麻加黄连。以寒治热
也
乃
面热。杨郎中之内。五十一岁。身体肥盛。己酉春。患头目昏闷。面赤热。多服上清药
不效
则
故
次
方
升麻加黄连汤
升麻 葛根（各一钱） 甘草（五分） 白芷（七分） 川芎（三分） 黄连（四分） 白
芍药
（五分）
豆大。用新
水半盏。
至一盏。
面寒。真定维摩院尼长老。六十一岁。身体瘦弱。己酉十月间。病头面不耐寒。气弱不
敢当
脉
荣
升麻加附子汤
升麻 葛根 白芷 黄 黑附子 甘草 人参 益智仁 草豆蔻 上等分锉如麻子
大。作
防风散 洗疗一切风毒。头面生疮。
防风 荆芥穗 吴白芷 白茯苓 蔓荆子 威灵仙 何首乌 川芎（各三两） 苦参 白
牵牛
二
次用
治面疮方（出危氏方）
用贝母为末。小苇筒灌其口数。成痂而愈。
硫黄膏 治面部生疮。或鼻脸赤、风赤。百药不效者。惟此药可治。妙不可言。每
临卧时。
刺粉刺。一夕
生硫黄 白芷 栝蒌根 腻粉 全蝎 芫菁 蝉蜕 上为末。麻黄腊。约度如合面油多
少。
松脂膏 治面上风疮。黄水流出。或痒或痛。
松脂 石盐 杏仁（各一两） 蜜（三合） 蜡（一两） 薰陆香（二两） 蓖麻子仁
（一两）
上先
日两
治髭疮方。
用耳中垢塞。敷之立愈。
又方
用白僵蚕直者一枚。以葱白擂汁。同僵蚕细研。涂之疮上即愈。
治面上疮癣方。
白芨 白蔹 白芷 白茅香 零陵香（各等分） 上为末。赤豆末拌。共捣常用。其疮
癣
上自
治面恶疮。及甜疮流出黄水。沾肉为疮方。
胡粉 黄连 粳米 赤小豆 水银 上捣罗为末。入胡粉、水银。研令匀。以清油旋调。
日
治面上生风疮方。
硫黄 蜗牛壳 胡粉 腻粉（各一两） 麝香（半两） 上都细研令匀。面脂调涂之。
治面上风毒恶疮方。
胡粉 松脂 水银（各二两） 上先以松脂合猪脂。煎令消。纳水银、胡粉、搅令匀。
候
冷涂
治面上赤疮散浸。或如痱子。或如风渣。满面赤疼方。
黄连 黄芩 黄柏（各一两） 腻粉（一分） 上捣罗为末。入腻粉。同研令匀。用油
蜡面
脂调
治面上风毒方。
玉屑 密陀僧 珊瑚（各二两） 白附子（三两） 上四味末之。以酥和。夜敷面上。
旦洗
之。亦灭瘢痕。
白莲散 治去黑子诸般瘤瘢。
花碱 桑柴灰 风化锻石（各二钱） 糯米（三钱） 上件。用瓷石罐内。瓦盖口。用
黄泥
裹定
清肺散 治肺经客热。鼻面风疮。
蔓荆子 桑白皮（各一两） 甘草（半两） 荆芥穗（一两半） 上为细末。食腊茶调
下一大
钱。日再。亦治面渣鼻至奇。
治面上风毒恶疮方。
硫黄（半两） 杏仁 胡粉（各一分） 上都烂研令匀。以腊月猪脂调匀。日三二服涂
之。
柏连散 治面有热毒恶疮。
胡粉 黄柏 黄连（各等分） 上为末。取敷上瘥止。若疮干。以面脂调涂之。日三。
一
方猪脂亦可调涂。
治头面生疮。燥痒黄水出方。
密陀僧 硫黄（各二钱） 上为末。酥油调敷。
苦参丸 治肺毒邪热。头面生疮。生疥癣。
用苦参为细末。粟米饭和丸。如梧桐子。每服五十丸。米汤下。
治面上肺风疮方。
何首乌 防风 薄荷 乌蛇（各二钱半） 苦参 荆芥穗 川芎 香附子（各半钱） 上
为
细末。每服三钱。食后茶酒送下。后用洗疮法。
易容膏 治面上疮及点。
麻油（半斤） 乳香 松节 松脂 黄蜡 白芨 川升麻（各一两） 白蔹（半两） 上
捣升
麻、白蔹。细罗为末。先以油煎松节并白芨。令黄赤色。滤去滓后。入松脂、黄蜡。又煎令
消。即入乳香、升麻、等末。熬成膏。倾于瓷器内收。凡面上 风刺诸般恶疮。敷之极妙。
治面上肺风疮方。
用无灰酒。于沙碗钵内。浓磨鹿角尖敷之。兼服和剂局方治肾脏风黄 丸即愈。
治面上疮及 。易容方。
用乌蛇二两。烧灰为末。以腊月猪脂调敷之。
治面上五色疮方。
用盐汤绵浸拓疮上。日五六度易瘥。
治面上疮。黄水出。并眼疮方。
以一百五日收取桃叶。不拘多少。细末之。食后以水半盏调服方寸匕。日二。甚良。
治疗痱瘤子用之。仍得光润皮肤。
以土瓜根捣筛。浆水和匀。入夜浆水洗面。敷药。旦复洗之。百日光华射人。夫妻不相
识。
疗疮方 去面上风刺疮。
黄连 糯米 赤小豆 吴茱萸 上捣黄连等下筛。先于掌中研水银使极细。和药使相入。
以
治面上疮。
用 子底黑煤。于小油中以匙打成膏子。摊在纸上。疮上贴之。
柳絮散 治面露疮。作 窠如香瓣。
柳絮（捣末） 腻粉 上等分研匀。灯盏中油调涂之。
Facial carbuncles arise from internal heat combined with external deficiency, allowing wind-dampness to invade and generate sores. This is because the Lung governs Qi and manifests in the skin and hair; the Spleen governs the muscles.
Shengma Jia Huanglian Tang (Coptis Decoction with Cimicifuga) treats facial heat. Shengma Jia Fuzi Tang (Aconite Decoction with Cimicifuga) treats facial cold. What is the basis for this? The answer is: it originates from Zhang Zhongjing. Yunqizi's commentary on *Shanghan Lun* (Treatise on Cold Damage) states: regarding body heat, if the pulse is floating and long, it indicates the root pulse is deep and excess. Yangming channel disease primarily presents as steaming body heat without aversion to cold. Body heat is a branch symptom; when Yangming root is excess, stomach dryness occurs, prohibiting purgation. Misusing sweating methods may transform into jaundice. Taiyang channel governs the exterior, where Ying and Wei (Nutritive and Defensive Qi) reside. Below Ying and Wei, muscles belong to Yangming. In cases of simultaneous disease of two Yang channels, Gegen Tang (Kudzu Decoction) is indicated. Wei aspect corresponds to Guizhi Tang (Cinnamon Twig Decoction), Ying aspect corresponds to Mahuang Tang (Ephedra Decoction); within Ying and Wei, Guizhi Mahuang Gemi Tang (Half-and-Half Decoction of Cinnamon Twig and Ephedra) is used. Below Ying and Wei, in the muscle layer, Gegen Tang is used, also known as Jiemo Tang (Muscle-Relieving Decoction). Thus, Yangming is the root of muscles, not solely for inducing or stopping sweating. Combining Guizhi Tang and Mahuang Tang, adding Gegen creates Gegen Tang, illustrating the sequence of Ying, Wei, and muscles. Guizhi, Shaoyao, Shengjiang, Gancao, Dazao stop sweating; adding Mahuang, Guizhi, Gancao, Shengjiang induces sweating. Gegen has a thin flavor; adding it alone is not for sweating or stopping sweating, but to relieve the muscle layer via Gegen, hence the name Gegen Tang. Qian Boyuan (Qian Zhongyang) formulated Shengma Tang to treat Shanghan warm epidemic, severe wind-heat fever, headache, limb pain, and eruptive diseases before or after eruption, using Gegen as the sovereign herb, Shengma as the assistant, and Gancao, Shaoyao to harmonize the middle Qi. Zhu Gongyi compiled *Luren Shu* (Book of Living People), listing Shengma Tang as a resolving medicine for the Yangming channel. I once treated Lady Yang, whose Yangming channel exhibited both root and branch excess. First, the interior was attacked, then wind-heat in the channels was drained, thus using Shengma Jia Huanglian Tang to treat heat with cold herbs.
Regarding facial heat: The wife of Physician Yang, aged fifty-one, was obese. In the spring of the Jiyou year, she suffered from dizziness and heaviness of the head and eyes, red and hot face. Taking many clearing and descending medicines was ineffective.
Therefore, the following formulas are listed:
Shengma Jia Huanglian Tang (Coptis Decoction with Cimicifuga)
Herbs: Shengma, Gegen (1 qian each), Gancao (0.5 qian), Baizhi (0.7 qian), Chuanxiong (0.3 qian), Huanglian (0.4 qian), Baishaoyao (0.5 qian).
Usage: Decoct half zhan of water to one zhan.
Regarding facial cold: An elderly nun at Weimo Monastery in Zhending, aged sixty-one, was emaciated. In October of the Jiyou year, she suffered from intolerance of cold on the head and face, weak Qi, and fear of wind. Her pulse indicated deficiency of Ying and Wei.
Shengma Jia Fuzi Tang (Aconite Decoction with Cimicifuga)
Herbs: Shengma, Gegen, Baizhi, Huangqi, Hei Fuzi, Gancao, Renshen, Yizhiren, Caodoukou. Equal parts, crushed like hemp seeds.
Usage: Make into a decoction.
Fangfeng San (Saposhnikovia Powder) Washes and treats all wind-toxin causing facial sores.
Herbs: Fangfeng, Jingjiesui, Wu Baizhi, Baifuling, Manjingzi, Weilingxian, Heshouwu, Chuanxiong (each 3 liang), Kushen, Baiqianniu (each 2 liang).
Usage: Wash twice with water decoction.
Formula for treating facial sores (from Wei Shi Fang):
Use Beimu powder,灌 (irrigate) several holes in the sore with a small reed tube; healing occurs when a scab forms.
Liuhuang Gao (Sulfur Ointment) Treats facial sores, or red nose/cheeks due to wind-red, unresponsive to other medicines. Its efficacy is miraculous. Apply before sleep.
Herbs: Raw Liuhuang, Baizhi, Gualougen, Nifen, Quanxie, Yuanjing, Chantui. Pulverize together.
Usage: Mix with appropriate amount of base (text implies wax/oil mixture) according to facial oiliness.
Songzhi Gao (Pine Resin Ointment) Treats wind-sores on the face with yellow discharge, itching or pain.
Herbs: Songzhi, Shiyan, Xingren (each 1 liang), Mi (3 he), La (1 liang), Xunluxiang (2 liang), Bamazi Ren (1 liang).
Usage: Process ingredients first, apply twice daily.
Formula for beard area sores:
Apply earwax to the affected area; immediate cure.
Another Formula:
Take one straight Baijiangcan, grind finely with Congbai juice, and apply to the sore for immediate cure.
Formula for facial tinea/crusts:
Herbs: Baiji, Bailian, Baizhi, Baimaoxiang, Linglingxiang (equal parts). Pulverize, mix with Chi Dou powder, pound together for common use. The sores heal from top to bottom.
Formula for malignant facial sores and sweet sores discharging yellow fluid adhering to flesh:
Herbs: Hufen, Huanglian, Jingsmi, Chixiaodou, Shuiyin. Pound and sieve into powder, add Hufen and Shuiyin, grind evenly. Mix with clear oil.
Usage: Apply daily.
Formula for wind-sores on the face:
Herbs: Liuhuang, Woniu Ke, Hufen, Nifen (each 1 liang), Shexiang (0.5 liang). Grind finely and evenly.
Usage: Mix with Mianzhi (facial fat/balm) and apply.
Formula for wind-toxin malignant sores on the face:
Herbs: Hufen, Songzhi, Shuiyin (each 2 liang). First melt Songzhi with Zhuzhi (pig fat), add Shuiyin and Hufen, stir until uniform.
Usage: Apply when cool.
Formula for spreading red sores, resembling miliaria or wind-rash, with full-face redness and pain:
Herbs: Huanglian, Huangqin, Huangbai (each 1 liang), Nifen (1 fen). Pound and sieve into powder, add Nifen, grind evenly.
Usage: Mix with Youla Mianzhi (oil-wax facial balm) and apply.
Formula for wind-toxin on the face:
Herbs: Yuxie, Mituoseng, Shanhu (each 2 liang), Baifuzi (3 liang). Pulverize these four ingredients.
Usage: Mix with Su (butter/ghee), apply at night, wash off in the morning. Also removes scars.
Bailian San (White Lotus Powder) Removes black spots and various tumors/scars.
Herbs: Hua Jian, Sangcha Hui, Fenghua Duanshi (each 2 qian), Nuomi (3 qian). Seal in a porcelain jar with clay.
Usage: Calcine and use.
Qingfei San (Clear Lung Powder) Treats guest-heat in the Lung channel causing nasal-facial wind-sores.
Herbs: Manjingzi, Sangbaipi (each 1 liang), Gancao (0.5 liang), Jingjiesui (1.5 liang). Fine powder.
Usage: Take 1 qian mixed with evening tea, twice daily. Also highly effective for rhinophyma.
Formula for wind-toxin malignant sores on the face:
Herbs: Liuhuang (0.5 liang), Xingren, Hufen (each 1 fen). Grind thoroughly.
Usage: Mix with December pig fat, apply 2-3 times daily.
Bailian San (Phellodendron-Coptis Powder) Treats heat-toxin malignant sores on the face.
Herbs: Hufen, Huangbai, Huanglian (equal parts). Powder. Apply until healed. If sore is dry, mix with Mianzhi, apply three times daily. Pig fat can also be used.
Formula for head/facial sores with dryness, itching, and yellow discharge:
Herbs: Mituoseng, Liuhuang (each 2 qian). Powder.
Usage: Mix with butter/oil and apply.
Kushen Wan (Sophora Pill) Treats Lung-toxin and pathogenic heat causing facial sores and tinea.
Usage: Kushen fine powder, mixed with millet rice paste into pills the size of paulownia seeds. Take 50 pills with rice broth.
Formula for pulmonary wind-sores on the face:
Herbs: Heshouwu, Fangfeng, Bohe, Wushe (each 2.5 qian), Kushen, Jingjiesui, Chuanxiong, Xiangfuzi (each 0.5 qian). Fine powder.
Usage: Take 3 qian after meals with tea/wine. Follow with washing method.
Yirong Gao (Beauty Restoring Ointment) Treats facial sores and acne marks.
Herbs: Mayou (0.5 jin), Ruxiang, Songjie, Songzhi, Huangla, Baiji, Chuan Shengma (each 1 liang), Bailian (0.5 liang).
Usage: Pound Shengma and Bailian into fine powder. Fry Songjie and Baiji in oil until yellow-red, filter residue, add Songzhi and Huangla, melt, then add powders, boil into ointment, store in porcelain. Excellent for wind-acne and malignant sores.
Formula for pulmonary wind-sores on the face:
Grind Lujiaojian (deer horn tip) thickly in non-fermented wine in a clay bowl, apply externally. Internally take Heji Jufang Zishen Fenghuang Wan for kidney wind; cure follows.
Formula for facial sores/acne, beauty restoring:
Burn 2 liang Wushe to ash, mix with December pig fat, apply.
Formula for five-color sores on the face:
Soak cotton in salt water, compress sores, change 5-6 times daily until healed.
Formula for facial sores with yellow discharge and eye sores:
Collect peach leaves on the 105th day, pulverize. After meals, take 1 cun bi mixed with half zhan of water, twice daily. Very effective. Also treats miliaria/tumors, leaving skin smooth.
Usage: Crush Tugua Gen, mix with grain vinegar. Wash face with vinegar at night, apply medicine, wash again in morning. After 100 days, skin shines brightly, unrecognizable even to spouses.
Liao Chuang Fang (Carbuncle Treatment Formula) Removes wind-acne on the face.
Herbs: Huanglian, Nuomi, Chixiaodou, Wuzhuyu. Sieve Huanglian etc. Grind Shuiyin extremely fine in palm, mix with medicine.
Usage: Treat facial sores.
Usage: Use black coal residue, make into paste with small amount of oil, spread on paper, apply to sore.
Liuxu San (Willow Catkin Powder) Treats exposed facial sores forming nests like incense petals.
Herbs: Liuxu (pounded powder), Nifen. Equal parts, grind evenly.
Usage: Mix with oil in a lamp holder and apply.