上水鱼生委中旁，折纹两稍疼埂昂，长若鱼形瘀热结，外施砭血敷二黄。
【注】此证生委中折纹两稍，肿如高埂，长若鱼形，色紫作痛，由血热遇外寒稽留，则
血瘀凝结而成。外用砭法，向肿埂上砭出恶血，兼用二黄散香油调敷，甚效。
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二黄散（即颠倒散。见鼻部肺风粉刺）
膝肘疮生如人面，自古传来系孽因，流气苦参敷贝母，从善改恶自察心。
【注】此证自古传来，乃奇病也。多生两膝，或生两肘，肿类人形，眉目口鼻皆具。
《本事方》云∶疮口能饮食，施治诸药，绝无所苦，惟敷贝母，其疮皱眉闭口，自此，日
用贝母末和水敷灌，数日疮消结痂而愈。又诸书皆以为素积冤谴，须自清心告解。初宜
服流气饮，日久宜用大苦参丸。今据所用之药，俱系辛热疏散之品，其证或因风、寒、湿
三气，凝合之所化，亦未必尽由冤谴所致也，根据古施治，谅可奏效。
\r人面疮图\p04-34a201.bmp\r
大苦参丸
苦参（二两） 蔓荆子 赤茯苓 山药 白芷 荆芥 防风 白附子 川芎 山栀（生）
何首乌 白蒺藜 皂角 川乌（炮） 黄 赤芍 独活 羌活（各五钱） 草乌（炮一钱五钱）
上为细末，面糊和丸，如梧桐子大。每服五七十丸，空心黄酒送下，不饮酒者，以
茶代之。
【方歌】大苦参丸人面疮，蔓苓山药芷荆防，白附芎栀何蒺皂，川草乌 芍独羌。
流气饮（方见背部痰注发）
上水鱼生于委中穴旁侧，皮肤出现两条折纹，两端疼痛且隆起如埂，形状长似鱼形，这是瘀热凝结所致，外治可用砭法放血并敷贴二黄散。
【注】此证生长在委中穴处的折纹两端，肿胀如同高起的埂状物，长度像鱼形，颜色紫暗且疼痛，这是由于血热遇到外寒滞留，导致血液瘀结凝滞而形成的。外用砭法，在肿埂处用砭石刺破放出恶血，同时配合使用二黄散，以香油调匀后敷贴，效果很好。
膝部和肘部发生的疮疡形状像人面，自古以来流传认为是由业障引起，可用流气饮内服，外用苦参和贝母敷贴，若能从善改过，自我反省内心，病情自会好转。
【注】此证自古流传，属于奇病。多发生在双膝或双肘，肿胀形状类似人形，具备眉毛、眼睛、嘴巴和鼻子等特征。《本事方》记载：疮口能够进食，施用各种药物治疗，疮口毫无痛苦，只有敷贴贝母时，疮口会皱眉闭口，从此以后，每天用贝母粉末加水调和敷灌，数日后疮疡消退结痂而痊愈。另外各书都认为这是因为平素积累冤孽所致，必须自我清心告解。初期适宜服用流气饮，日久则宜使用大苦参丸。现在根据所用的药物来看，都是辛热疏散的药物，此证或许是由风、寒、湿三气凝合所化生，也未必完全由冤孽所致，依据古法施治，想必能奏效。
大苦参丸
药材组成：苦参（二两）、蔓荆子、赤茯苓、山药、白芷、荆芥、防风、白附子、川芎、山栀（生用）、何首乌、白蒺藜、皂角、川乌（炮制）、黄芪、赤芍、独活、羌活（各五钱）、草乌（炮制，一钱五分）。
以上药物研为细末，用面糊调和制成丸药，大小如梧桐子。每次服用五七十丸，空腹时用黄酒送服，不饮酒的人，以茶代替。
【方歌】大苦参丸治疗人面疮，包含蔓荆、茯苓、山药、白芷、荆芥、防风，还有白附子、川芎、山栀、何首乌、白蒺藜、皂角，以及川乌、草乌、赤芍、独活、羌活。
Shangshuiyu (Upper Water Turtle) occurs beside the Weizhong (BL40) acupoint, with two creases showing pain and raised edges at both ends. The shape is long like a fish, caused by the accumulation of blood stasis and heat. External treatment involves bloodletting using a stone knife (Bianfa) and applying Erhuang San (Two-Yellow Powder).
[Note] This condition arises at the creases near the Weizhong (BL40) acupoint, swelling like a raised ridge, elongated in the shape of a fish, with a purple color and pain. It is formed due to blood heat encountering external cold stagnation, leading to blood stasis and coagulation. Externally, use Bianfa (stone knife therapy) to pierce the swollen ridge and release evil blood. Simultaneously apply Erhuang San (Two-Yellow Powder) mixed with sesame oil for excellent efficacy.
Knee and elbow sores resembling a human face have been passed down since ancient times, attributed to karmic retribution. Internal administration of Liuqi Yin (Flowing Qi Decoction) combined with external application of Sophora root (Kushen) and Fritillaria bulb (Beimu) can help; if one turns from evil to good and reflects on their heart, the condition will naturally improve.
[Note] This condition has been transmitted since ancient times and is considered a rare disease. It mostly occurs on both knees or both elbows, swelling into a shape resembling a human figure, complete with eyebrows, eyes, mouth, and nose. *Ben Shi Fang* states: "The sore's opening can eat; various medicinal treatments applied cause it no distress. Only when Beimu (Fritillaria bulb) is applied does the sore frown and close its mouth. Thereafter, daily application of Beimu powder mixed with water leads to resolution, scabbing, and healing within several days." Other texts attribute this to accumulated grievances requiring self-purification and confession. Initially, Liuqi Yin (Flowing Qi Decoction) is suitable; for prolonged cases, Dakushen Wan (Large Sophora Pill) should be used. Based on the ingredients used, which are all pungent, hot, and dispersing agents, this condition may arise from the condensation of Wind, Cold, and Dampness pathogens, and not necessarily solely from karmic retribution. Following ancient treatment methods is likely to be effective.
Dakushen Wan (Large Sophora Pill)
Ingredients: Kushen (Sophorae Flavescentis Radix, 2 liang), Manjingzi (Vitex Fruit), Chi Fuling (Red Poria), Shanyao (Chinese Yam), Baizhi (Angelicae Dahuricae Radix), Jingjie (Schizonepetae Herba), Fangfeng (Saposhnikoviae Radix), Baifuzi (Aconiti Kusnezoffii Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shanzhi Gardeniae Fructus (raw), Heshouwu (Polygoni Multiflori Radix), Baijili (Tribuli Fructus), Zaojiao (Gleditsiae Sinensis Fructus), Chuanwu (Aconiti Radix Praeparata), Huangqi (Astragali Radix), Chishao (Paeoniae Radix Rubra), Duhsuo (Angelicae Pubescentis Radix), Qianghuo (Notopterygii Rhizoma et Radix, each 5 qian), Caowu (Aconiti Radix Praeparata, 1 qian 5 fen).
Grind the above into a fine powder, mix with wheat paste to form pills the size of paulownia seeds. Take 50–70 pills per dose, swallowed with yellow wine on an empty stomach. Those who do not drink alcohol may substitute with tea.
[Pill Song] Dakushen Wan treats human-faced sores, containing Manjing, Fuling, Shanyao, Baizhi, Jingjie, Fangfeng, Baifu, Chuanxiong, Shanzhi, Heshouwu, Biji, Zaojiao, Chuanwu, Caowu, Chishao, Duhuo, Qianghuo.
Liuqi Yin (Flowing Qi Decoction) (See section on Phlegm-Node Eruption on the Back for formula details)