升麻加黄连汤 治面热。
升麻 葛根（各一钱） 白芷（七分） 炙甘草 白芍 生犀角 川芎 荆芥穗 薄荷（各五
分） 黄连（酒炒四分） 水煎温服。
冯鲁瞻曰∶胃中有寒则面寒，宜先以附子理中汤，温其中气，次以升麻汤加附子主之。
升麻加附子汤 治面寒。
升麻 葛根 白芷 黄 熟附子（各
七分） 炙甘草 人参 草豆蔻（各五分） 益智仁（三分） 连须葱头二茎，水煎温服。
冯鲁瞻曰∶面痛为火，盖诸阳之汇，皆在于面，而火，阳也；心之华在面，而心，
君火也。然暴痛多由火实，久痛多因血虚，盖胃主正面，而以肠胃为市，因饮食之热
毒聚于中，则发于外，故为痛。更有过劳与饥则痛者，此中气不足也。
澄曰∶粉花疮多生于室女，火浮于上，面生粟累，或痛或痒，旋灭旋起。亦有妇
女好搽铅粉，铅毒所致。兼有欲后汗出，迎风挥扇而生。
妇女面上粉花疮
铅粉（五钱） 轻粉（五分） 枯矾（三分）
研匀，菜油调稠涂磁碗底内，外用蕲艾一两，放炭火上烧烟熏碗内，待艾尽为
度，覆地上出火毒。逐早搽面上，疮自愈。
验方 上净桶出恭时，用粗纸先从脸往下一揩，再揩恭，随手掷净桶内，数次自消。
又方 干荷叶揉碎，每用五分，每日冲滚汤服之，久服之自消。
Shengma Jia Huanglian Tang (Cinnamon Twig and Coptis Decoction) treats facial heat.
Ingredients: Shengma (Rhizoma Cimicifugae), Gegen (Puerariae Lobatae Radix) (each 1 qian), Baizhi (Angelicae Dahuricae Radix) (0.7 qian), Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma), Baishao (Paeoniae Radix Alba), Sheng Xijiao (Unicornis Cornu), Chuanxiong (Ligustici Chuanxiong Rhizoma), Jingjie Sui (Schizonepetae Spica), Bohe (Menthae Haplocalycis Herba) (each 0.5 qian), Huanglian (Coptidis Rhizoma, stir-fried with wine) (0.4 qian). Decoct in water and take warm.
Feng Luzhan stated: If there is cold in the Stomach, the face will feel cold; it is appropriate to first use Fuzi Lizhong Tang (Aconite and Poria Decoction) to warm the Middle Qi, followed by Shengma Tang (Cinnamon Twig Decoction) with added Fuzi (Aconiti Lateralis Radix Praeparata) as the main treatment.
Shengma Jia Fuzi Tang (Cinnamon Twig and Aconite Decoction) treats facial coldness.
Ingredients: Shengma (Rhizoma Cimicifugae), Gegen (Puerariae Lobatae Radix), Baizhi (Angelicae Dahuricae Radix), Huangqi (Astragali Membranacei Radix), Shu Fuzi (Prepared Aconiti Lateralis Radix) (each 0.7 qian), Zhi Gancao (Prepared Glycyrrhizae Radix et Rhizoma), Renshen (Ginseng Radix), Caodoukou (Amomi Fructus Rotundus), Yizhiren (Alpiniae Oxyphyllae Semen) (each 0.5 qian), Yizhiren (Alpiniae Oxyphyllae Semen) (0.3 qian), Lianxu Congtou (Scallion Stem with Roots) (two stalks). Decoct in water and take warm.
Feng Luzhan stated: Facial pain is due to Fire, as all Yang meridians converge on the face, and Fire is Yang; the flourishing of the Heart manifests on the face, and the Heart governs Ministerial Fire. However, sudden pain is mostly caused by excess Fire, while chronic pain is often due to Blood deficiency. The Stomach governs the front of the face, and the intestines and stomach are like a marketplace; if heat toxins from diet accumulate internally, they manifest externally, causing pain. Furthermore, pain occurring after overexertion or hunger indicates insufficiency of Middle Qi.
Gu Shicheng stated: Fenhuachuang (Powder Flower Sores) mostly occur in unmarried women, where Fire floats upward, causing millet-grain-like eruptions on the face, which may be painful or itchy, appearing and disappearing rapidly. It can also be caused by women who prefer to apply lead powder, resulting from lead toxicity. Additionally, it can arise from sweating after sexual intercourse and exposure to wind while fanning oneself.
External Treatment for Women's Facial Fenhuachuang:
Qianfen (Lead Carbonate) (5 qian), Qingfen (Calomel) (0.5 qian), Kufan (Alumen Exsiccatum). Grind into a uniform powder, mix with vegetable oil to a thick consistency, and apply to the bottom of a porcelain bowl. Use one liang of Qiai (Artemisia argyi) placed on charcoal fire to generate smoke and fumigate the inside of the bowl until the mugwort is completely burned out. Then cover the bowl on the ground to eliminate fire toxicity. Apply to the face every morning; the sores will heal naturally.
Verified Formula: When defecating in a clean bucket, use coarse paper to wipe downwards from the face first, then wipe the excrement, and immediately throw the paper into the bucket. After several times, it will subside spontaneously.
Another Formula: Crumble dried lotus leaves, use 0.5 qian each time, brew in boiling water daily, and drink. Long-term consumption will cause it to subside spontaneously.