一、凡风热肿痛,此必 腮、时毒、痈疡之证,论治俱详外科,当察治之,或其甚者,
防风通圣散主之。
一、面目虚浮,有因色欲过度,阴虚气越而致者,宜六味地黄汤,或八味地黄汤,或加
减八味丸。若因劳倦伤脾,气虚不敛而面目虚浮者,宜参苓白术散、归脾汤,或十全大补汤
。若因饮酒过度,湿热上聚而面目浮肿者,宜葛花解酲汤,或七味白术散。若因泻痢不止,
脾肾气虚而面目浮肿者,宜胃关煎,或温胃饮。若因食饮不节,阳明壅实,二便秘结而头面
满胀者,宜廓清饮。惟小儿多有此证,甚者宜木香槟榔丸下之。若阳明实热,胃火上浮,或
烦热干渴而头面浮肿者,宜抽薪饮,或白虎汤,或大厘清饮利之。
一、水肿而浮,或眼下有如卧蚕者,此水气之为病也,论治详肿胀门。
一、面鼻粉刺、雀斑诸方,俱列因阵八七之后。
六味汤(补百二十) 八味汤(补一二一) 加减八味丸(补一二二) 归脾汤(补三二) 温
胃饮(新热五) 葛花解酲汤(和一二四) 胃关煎(新热九) 白虎汤(寒二) 七味白术散(小
七) 廓清饮(新和十三) 大厘清饮(新寒五) 参苓白术散(补五四) 抽薪饮(新寒三) 十
全大补汤(补二十) 防风通圣散(攻十六) 木香槟榔丸(攻五十)
I. Whenever there is swelling, redness, and pain caused by wind-heat, this must be a condition of mumps (swelling of the parotid glands), epidemic toxic heat (warm-toxic pathogens with contagious nature), or carbuncles and sores. The discussion on diagnosis and treatment is detailed in the Surgery section; one should refer to it for management. If the condition is severe, Fangfeng Tongsheng San (Saposhnikovia and Gardenia Powder) should be used as the primary formula.
II. Flaccid edema of the face and eyes may result from excessive sexual activity, leading to Yin deficiency and floating of Qi. In such cases, Liuwei Dihuang Tang (Six-Ingredient Rehmannia Decoction) or Bawei Dihuang Tang (Eight-Ingredient Rehmannia Decoction) or Jiawei Bawei Wan (Modified Eight-Ingredient Rehmannia Pill) are appropriate. If the flaccid edema is caused by fatigue and overwork damaging the Spleen, resulting in Qi deficiency failing to contain fluids, Shenling Baizhu San (Ginseng, Poria, and Atractylodes Macrocephala Powder) or Guipi Tang (Restore the Spleen Decoction) or Shiquan Dabu Tang (Ten Complete Tonifying Decoction) are suitable. If the edema is due to excessive alcohol consumption causing damp-heat to accumulate upward, Gegua Jiecheng Tang (Pueraria Flower Decoction to Relieve Intoxication) or Qiwei Baizhu San (Seven-Ingredient Atractylodes Macrocephala Powder) are indicated. If persistent diarrhea or dysentery leads to Spleen and Kidney Qi deficiency causing facial edema, Weiguan Jian (Stomach Gate Decoction) or Wenwei Yin (Warming Stomach Infusion) should be used. If improper diet causes Yangming channel stagnation and excess, with constipation of both stool and urine leading to fullness and distension of the head and face, Kuqing Yin (Clearing Purge Infusion) is appropriate. This condition is common in children; if severe, Muxiang Binglang Wan (Aucklandia and Areca Nut Pill) should be used to purge. If Yangming excess heat and Stomach fire float upward, accompanied by irritability, fever, dry mouth, and thirst, along with facial edema, Chouxin Yin (Drawing Out the Firewood Infusion), Baihu Tang (White Tiger Decoction), or Dali Qingyin (Great Clearing Purification Infusion) should be used to clear heat and promote urination.
III. Edema that is visibly swollen, or where the area under the eyes resembles a silkworm lying down, is caused by water qi pathology. The discussion and treatment are detailed in the "Swelling" chapter.
IV. Various formulas for acne and freckles on the face and nose are listed after Volume 8, Chapter 7.
Liuwei Tang (Tonifying Category 120) Bawei Tang (Tonifying Category 121) Jiawei Bawei Wan (Tonifying Category 122) Guipi Tang (Tonifying Category 32) Wenwei Yin (New Heat Section 5) Gegua Jiecheng Tang (Harmonizing Section 124) Weiguan Jian (New Heat Section 9) Baihu Tang (Cold Section 2) Qiwei Baizhu San (Small Seven Section) Kuqing Yin (New Harmonizing Section 13) Dali Qingyin (New Cold Section 5) Shenling Baizhu San (Tonifying Category 54) Chouxin Yin (New Cold Section 3) Shiquan Dabu Tang (Tonifying Category 20) Fangfeng Tongsheng San (Attacking Section 16) Muxiang Binglang Wan (Attacking Section 50)