头生白屑,乃肝经风盛也。山豆根浸油涂之,或研细以乳汁调涂。
又方
白芷 零陵香(各等分)
研末,浸香油涂之,候三五日篦去。不过二三次,永不再发。
祛风换肌丸(《正宗》) 治白屑风及紫白癜疯,顽风顽癣,湿热疮疥,一切诸疮,
搔痒无度,日久不绝,愈之又发者,极宜之。
天花粉 何首乌(等分) 威灵仙 苦参 苍术 牛膝 大胡麻 生甘草 石菖蒲
川芎 当归(各减半)
上为末,新安酒叠丸绿豆大。每服二钱,白汤送下。忌牛肉、火酒、鸡、鹅、羊等发物。
《鬼遗方》云∶左额右额发赤疽,不拘大小,状如桃李,此属足阳明胃积热而成。
急宜用药贴破,见脓无害。
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王肯堂曰∶右额角一处发毒疽及恶疖,为近太阳穴。如肿满太阳,即成虚损,为
近穴而难消,不可破;如破后,外伤风水,即能害人,亦宜用药,溃脓后速敛疮口。如
经冬月,即成冷疮,缘此处近太阳穴,上至额角,都为险处,如过时溃烂,脑髓出者死。(《准绳》)
申斗垣曰∶额发在曲差穴下,(挟神庭旁一寸五分,入发际。)攒竹二穴,(一名圆柱,一名始光,
一名光明,在两眉陷中。)俱足太阳膀胱经多血少气,初发头痛憎寒,项似拔,腰如折,赤
肿宜汗之。(《启玄》)
陈实功曰∶透脑疽生在额上发际之间,多发寒热,头疼如斫,不可忍耐,先用万
灵丹发汗,解散风邪,次宜清托之。(《正宗》)
澄曰∶额疽之发,乃骨多肉少之处,溃后最忌袭风伤水,虽贴膏药,亦须遮护,庶
无破伤风湿之患。治法悉遵痈疽门治法,加引经药治之。
又曰∶凡额疽治法,悉如痈疽治法,无庸分门立方。
White scales appearing on the head are caused by excessive wind in the Liver Meridian (Liver Channel). Soak Dougen Radix (Radix Sophorae Tonkinensis) in oil and apply it to the affected area, or grind it into a fine powder and mix with milk for topical application.
Another prescription:
Angelicae Dahuricae Radix (Baizhi) and Lingering Fragrance (Linglingxiang), each in equal parts.
Grind into powder, soak in sesame oil, and apply. After three to five days, comb off the residue. Within two or three applications, it will never recur.
Qufeng Huanji Wan (Wind-Dispel Muscle-Transform Pill) [from *Zhengzong*]: Treats Bai Xie Feng (White Scale Wind), Zibai Dianfeng (Purple Vitiligo), stubborn wind rashes and tinea, damp-heat sores and scabies, and all kinds of sores; characterized by extreme itching, chronic duration without healing, and recurrence after healing. It is highly suitable for these conditions.
Trichosanthis Radix (Tianhuafen) and Polygoni Multiflori Radix (Heshouwu), in equal parts; Clematis Root (Weilingxian), Sophora Root (Kushen), Atractylodis Rhizoma (Cangzhu), Achyranthis Bidentatae Radix (Niuxi), Sesame Seed (Dahuma), Raw Licorice Root (Sheng Gancao), Acorus Tatarinowii Rhizome (Shichangpu), Ligusticum Chuanxiong Rhizome (Chuanxiong), and Angelica Sinensis Radix (Danggui), each in half the amount.
Pulverize the above ingredients. Use wine from Xin'an County to repeatedly moisten and form pills the size of mung beans. Take 2 qian per dose, washed down with warm water. Avoid beef, strong liquor, chicken, goose, mutton, and other "fa wu" (stimulating foods that may aggravate disease).
The *Gui Yi Fang* states: Red abscesses occurring on the left or right forehead, regardless of size, resembling peaches or plums, are caused by accumulated heat in the Foot-Yangming Stomach Meridian.
Medicated patches should be applied urgently to induce rupture; the appearance of pus is harmless.
[Image: Forehead Carbuncle]
Wang Kentang stated: A toxic carbuncle or malignant boil occurring at one spot on the right forehead angle is near the Taiyang Acupoint (Sun穴). If swelling fills the Taiyang region, it leads to deficiency and depletion because it is close to an acupoint and difficult to resolve; it must not be incised. If incised, external invasion of wind-water pathogens can cause harm. Medication should still be used, and after suppuration, the wound should be closed rapidly. If it persists through winter, it becomes a cold sore. Because this area is near the Taiyang Acupoint and extends up to the forehead angle, it is a dangerous zone. If it ulcerates late and brain matter protrudes, death ensues. (*Zhunsheng*)
Shen Douyuan stated: The forehead carbuncle occurs below the Qucha Acupoint (Curving Difference), which is 1.5 cun lateral to Shenting, entering the hairline. The Cuanzhu Acupoints (Gathering Bamboo), two in number (also known as Yuanzhu, Shiguang, Guangming, located in the depressions between the eyebrows), belong to the Foot-Taiyang Bladder Meridian, which has abundant blood but scarce qi. In the initial stage, symptoms include headache, aversion to cold, neck stiffness as if pulled, and lower back pain as if broken. For redness and swelling, diaphoresis (sweating method) should be employed. (*Qixuan*)
Chen Shigong stated: Tou Nao Ju (Penetrating Brain Carbuncle) arises between the hairline of the forehead. It often presents with chills and fever, and severe headache as if hacked, which is unbearable. First, use Wanling Dan to induce sweating and dissipate wind pathogens; subsequently, employ Qing Tuo (Clearing and Supporting) methods. (*Zhengzong*)
Gu Shicheng stated: The onset of forehead carbuncles occurs in areas where bone is abundant and flesh is scant. After ulceration, one must strictly avoid exposure to wind and water. Even when applying medicated plasters, protection is necessary to prevent complications from broken skin and wind-damp invasion. Treatment methods should entirely follow those for carbuncles and ulcers, adding guiding herbs (Jing Yao) to direct the action.
He also said: All treatment methods for forehead carbuncles are identical to those for general carbuncles and ulcers; there is no need to separate them into different categories or create independent prescriptions.