经云∶足阳明之脉，络面下于鼻。凡面上浮肿而痛者，风也。书云∶面肿为风，足肿为
水，宜用升麻葛根汤，加白芷主之。若兼挟水湿，加入五皮饮，为至妙也。然又有黄胖面肿
者，湿热也；有痿黄虚浮者，脾虚也。湿热，和中丸主之。脾虚，六君子汤主之。若面上生
疮，如水痘，蔓延不止者，黄柏散敷之，即愈。
升麻葛根汤（见伤寒阳明经证。
五皮饮（见水肿。
和中丸（见鼓胀。
六君子汤（见类中。
瘰 者，肝病也。肝主筋，肝经血燥有火，则筋急而生瘰，瘰多生于耳前后者，肝之部
位也。其初起即宜消瘰丸消散之。不可用刀针，及敷溃烂之药。若病久已经溃烂者，外贴普
救万全膏，内服消瘰丸，并逍遥散，自无不愈。更宜戒恼怒，断煎炒，及发气、闭气诸物，
免致脓水淋漓，渐成虚损。患此者可毋戒欤！
此方奇效，治愈者不可胜计。予亦刻方普送矣。
元参（蒸） 牡蛎（ 醋研） 贝母（去心蒸，各四两
共为末，炼蜜为丸。每服三钱，开水下，日二服。
普救万全膏（见痹门。
逍遥散（见类中。
《素问》曰∶西方白色，入通于肺，开窍于鼻。鼻塞者，肺寒也；鼻流清涕者，肺风也
香苏散散之。若鼻中常出浊涕，源源不断者，名曰鼻渊，此脑中受寒，久而不散，以致浊
涕常流，如泉水之涓涓耳。然鼻渊初起，多由于寒，日久则寒化为热矣。治宜通窍清热，川
芎茶调散主之。更有鼻生 肉，名曰鼻痔，臭不可近，痛不可摇，宜用白矾散少许，点之，
顷刻化水而消。又鼻中流血不止，名曰鼻衄，四生丸，生地六味汤主之。如不止，加犀角。
香苏散（见太阳经证。
《黄帝内经》记载：足阳明胃经的经脉，联络面部并向下进入鼻部。凡是面部浮肿且疼痛的，属于风邪致病。医书说：面部肿胀是风邪所致，足部肿胀是水湿所致，适宜使用升麻葛根汤，加入白芷来主治。如果兼夹水湿之邪，加入五皮饮，这是极为精妙的治法。然而又有面色黄胖、面部浮肿的，属于湿热证；有面色萎黄、虚浮无力的，属于脾虚证。湿热证，用和中丸主治。脾虚证，用六君子汤主治。如果面上生疮，像水痘一样，蔓延不止的，用黄柏散外敷，即可痊愈。
瘰疬（颈部淋巴结结核），是肝病。肝主筋，肝经血燥且有火邪，则筋脉拘急而生瘰疬，瘰疬多生于耳前后部位，这是肝经所主的区域。病初起时即宜用消瘰丸消散它。不可用刀针切割，也不可用敷贴溃烂的药物。如果病程日久已经溃烂的，外用普救万全膏贴敷，内服消瘰丸，并配合逍遥散，自然没有不愈的。更应当戒除恼怒，断绝煎炸炒制食物，以及那些容易引发气机逆乱或导致气滞的食物，以免脓水淋漓不尽，逐渐演变成虚损劳伤。患此病的人能不引以为戒吗！
这个方子疗效奇特，治愈者不计其数。我也曾刻印此方广泛赠送。
玄参（蒸制） 牡蛎（醋研细） 贝母（去心蒸制，各四两）
共同研为细末，用炼蜜制成丸药。每次服用三钱，开水送下，每日两次。
《素问》说：西方对应白色，内通于肺，鼻为肺之窍。鼻塞不通的，是肺寒；鼻流清涕的，是肺受风邪，用香苏散疏散它。如果鼻中经常流出浊涕，源源不断，名叫鼻渊，这是由于脑部受寒，日久不散，导致浊涕常流，像泉水涓涓流淌一样。然而鼻渊初起，多由于寒邪，日久则寒邪转化为热邪。治疗宜通窍清热，用川芎茶调散主治。更有鼻中生赘生物，名叫鼻痔，气味臭秽不可靠近，疼痛剧烈不可触碰，适宜用白矾散少许，点涂患处，顷刻间化为水而消退。还有鼻中流血不止，名叫鼻衄，用四生丸、生地六味汤主治。如果出血不止，加用水牛角。
The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states: The Foot-Yangming Stomach Meridian connects with the face and descends into the nose. Whenever there is facial edema accompanied by pain, it is due to Wind pathogen. Medical texts state: Facial swelling indicates Wind, while foot swelling indicates Water-Dampness. It is appropriate to use Shengma Gegen Tang (Ephedra and Pueraria Decoction) added with Baizhi (Angelicae Dahuricae Radix) as the primary treatment. If complicated by Damp-Fluid retention, Wupi Yin (Five-Bark Decoction) should be added, which is an excellent method. However, there are cases of yellowish puffy facial edema, which belong to Damp-Heat; and cases of sallow, flaccid, and puffy complexion, which belong to Spleen Deficiency. For Damp-Heat, Hezhong Wan (Harmonize the Middle Pill) is indicated. For Spleen Deficiency, Liu Junzi Tang (Six-Gentlemen Decoction) is indicated. If sores appear on the face, resembling chickenpox and spreading incessantly, apply Huangbai San (Phellodendron Powder) externally, and they will heal immediately.
Luo Li (Scrofula), a manifestation of Liver disease. The Liver governs the sinews. When Liver meridian blood is dry and Fire is present, the sinews become tense, leading to Luo Li. Luo Li often occurs around the ears, which is the region governed by the Liver channel. At the initial stage, Xiaoluo Wan (Eliminate Scrofula Pill) should be used to dissipate it. Do not use needles or knives, nor apply medications for ulceration. If the disease has persisted for a long time and already ulcerated, apply Puji Wanquan Gao (Universal Salvation Plaster) externally, take Xiaoluo Wan internally, and combine it with Xiaoyao San (Free and Easy Wanderer Powder); recovery is assured. One must also avoid anger, refrain from fried and roasted foods, and avoid substances that cause Qi stagnation or rebellion, to prevent continuous discharge of pus and gradual progression into consumptive deficiency. Should those suffering from this condition fail to observe these precautions!
This prescription is remarkably effective, with countless cures. I have also had it printed and distributed widely.
Xuan Shen (Prepared Scrophulariae Radix), Mu Li (Ostreae Concha, processed with vinegar), Bei Mu (Fritillariae Cirrhosae Bulbus, heart removed and steamed), each 4 liang.
Grind all into powder, form pills with refined honey. Take 3 qian per dose, washed down with boiled water, twice daily.
The *Suwen* (Basic Questions) says: The West corresponds to the color white, its internal connection is with the Lung, and the nose is the opening of the Lung. Nasal congestion is due to Lung Cold; clear nasal discharge is due to Wind affecting the Lung, treatable with Xiangsu San (Aucklandia and Bupleurum Powder). If turbid nasal discharge flows continuously from the nose, it is called Bi Yuan (Nasal Sinusitis). This results from Cold invading the brain, persisting for a long time without dispersing, causing constant flow of turbid mucus like a trickling spring. Initially, Bi Yuan is often caused by Cold, but over time, Cold transforms into Heat. Treatment should focus on unblocking the orifices and clearing Heat, using Chuanxiong Chatiao San (Ligusticum and Tea Leaf Powder). Furthermore, if fleshy growths appear in the nose, called Bi Zhi (Nasal Polyps), which are foul-smelling and extremely painful to touch, apply a small amount of Bai Fan San (Alum Powder) locally; they will dissolve into water and disappear instantly. If bleeding from the nose does not stop, it is called Bi Nu (Epistaxis), treated with Sisheng Wan (Four Generations Pill) and Shengdi Liuwei Tang (Rehmannia Six-Ingredient Decoction). If bleeding persists, add Xi Jiao (Rhinocerotis Cornu, now typically replaced by Shui Niu Jiao/Bubali Cornu).