夏子益《奇疾方》云∶有人患头面生光，他人手若近之，如火炽者，此中蛊也。用蒜汁半两，和酒服之，当吐出如
蛇状，乃止。
又云∶有人患眉毛动摇，目不能交睫，唤之不应，但能饮食，此亦中蛊而心迷也。方用同上，亦当吐出蛇状而愈。
〔源按〕《梅师方》云∶凡中蛊毒，或下血如鹅肝，或吐血，或心腹切痛，如有物咬，不即治之，食人五脏即死。若
欲知是蛊，但令病患吐水，沉者是浮者非也。用败鼓皮，烧灰方寸匕，须臾自呼蛊主姓名。《搜神记》云∶外姊夫蒋士先，
得疾下血，言中蛊。其家密以 荷叶置于席下，忽大笑曰∶蛊我者，张小小也。乃收小小，小小亡走，自此解蛊毒用
荷，往往有验。予考本草 荷。即今甘露是也，又名芭蕉。
又云∶有人患面上生疮，疮上现五色者，即用盐汤浸绵榻疮上，五六度即愈。
〔源按〕经云∶其色多青则痛，多黑则痹，黄赤则热，多白则寒，五色皆见，则寒热也。此症疮见五色，乃热中有
寒也。盐能清火解毒，凡煎盐用皂角收之，所以盐味微辛，辛能散寒搜风，故愈。
丁志云∶临川有瘤生颊间，痒不可忍，每以火炙则差止，已而复然，苦甚。一医告之曰∶此真虱瘤也，当剖而出之。
取油纸围顶上，然后施砭，瘤方破，小虱涌出无数。最后一白一黑，两大虱皆如豆壳，中空空无血，与颊肉了不相干，
略无瘢痕，但瘤所障处正白耳。
张德俊云∶顷年和 ，余杭人，将赴官。因蒸降真木犀香，自开甑，面扑甑上，为热气所熏，面部浮肿，口眼皆为
之闭。更数医莫能治，最后一医云∶古无此症，请以意疗之，于是取寺僧久用炊布，烧灰成性，随敷随消，不半日而愈。
盖以炊布受汤上气多，反用以出毒，亦犹以盐水取咸味尔，医者之智亦可喜。
全浙夫人，忽一日面上生黑斑数点，数日后，满面俱黑，遍医治不效。忽过一草泽医云∶夫人中食毒，治之一月平
复。后校其方，止用生姜汁服之。问其故，云∶夫人日食斑鸠，盖此物常食半夏苗耳，是以中毒，故用生姜以解之。
罗谦甫治一妇，年几三十，忧思不已，饮食失节，脾胃有伤，面色黧黑不泽，环唇尤甚。心悬如饥状。又不欲食，
气短而促。大抵心肺在上，行荣卫而光泽于外，宜显而不藏。肝肾在下，养筋骨而强于内，当隐而不见。脾胃在中，主
传化精微，以灌四旁，冲和而不息，其气一伤，则四脏失所，忧思不已，气结而不行。饮食失节，气耗而不足。使阴气
上溢于阳中，故黑色见于面。又经云∶脾气通于口，其华在唇。今水来侮土，故黑色见于唇。此阴阳相反，病之逆也。
上古天真论云∶阳明脉衰于上，面始黑，故知阳明之气不足，非助阳明生发之剂，无以复其色。故以冲和顺气汤主之。
《内经》云∶上气不足，推而扬之。以升麻苦平，葛根甘温，自地升天，通行阳明之气为君，人之气，以天地之风名之，
气留而不行者，以辛散之，防风辛温，白芷辛甘，以散滞气为臣，苍术苦辛，蠲除阳明经之寒，白芍酸寒安太阴经之怯
弱。《十剂》云∶补可祛弱，人参、羊肉之属，人参、黄 、甘草甘温，补益正气为佐。至真大要论云∶辛甘发散为
阳，生姜辛热，大枣甘温，和荣卫，开腠理，致津液以复其阳，故以为使。每服早饭后，午饭前，取升阳之时，使人之
阳气易达故也，数服而愈。
孙招治一男子，因登厕被臭气熏触，隐忍良久，明日满面皆黑色，月余不散。相士断云∶于出月外必死。至期无羌，
孙招治以沉香各一两，锉碎安炉中，烧熏帐内，以被盖定。令病者瞑目端坐，候香尽，方可出帐，明日引鉴照之，面上
黑色渐散矣。
平江陈氏，因惊骇后常用两手指甲掐住两颊，至两颊破损，心中懊 不安，脉数而实，诸药不愈。用牛黄凉膈丸，
数服如故。
一有人患面上麻木，不知痛痒，名曰木痹（此阳明经络受寒故也）。以牛皮胶化和桂末，浓涂一二分愈。
表兄屠学山治吴江王殿爵，患面肿兼起垒块，如木偶夜叉状，一无痛痒，医治数年不效。请学视之，学曰∶面乃阳
明部分，此因湿邪入阳明络脉而生痰也。经云∶百病之始生也，必先于皮毛，邪中之则腠理开，开则入客于络脉。留而
不去，传入于经，留而不去，传入于府，廪于肠胃。又云∶邪之始入于皮也，溯然起毫毛，开腠理，其入于络也，则络
脉盛，色变。其入客于经也，则感虚，乃陷下。此症因经未虚，其湿邪正留络脉，而未陷下也。故但患面部耳。然非药
所能治，当用砭刺。即用小刀刺破唇内齿上断缝处，名断交穴，痰即流外，所出稠痰数碗。即面目如故，继服补脾调养
之剂而安。
牛黄凉膈丸
牙硝 石膏 甘草（各五分） 胆星（二钱五分） 牛黄 紫石英（各一钱） 麝香 冰片（各五分） 寒水石
（，五钱）
上为末，甘草膏丸，绿豆大，每一丸，陈皮汤下。
夏子益在《奇疾方》中记载：有人患头面部发出光芒，他人手若靠近，感觉如火焰炽热，这是中了蛊毒。用蒜汁半两，调和酒服用，应当吐出像蛇一样的东西，病才停止。
又记载：有人患眉毛动摇，眼睛不能闭合（无法交睫），呼唤他不答应，但能正常饮食，这也是中了蛊毒导致心神迷乱。方剂同上，也应当吐出蛇状物而痊愈。
〔沈源按〕《梅师方》记载：凡是中蛊毒，或者大便下血像鹅肝一样，或者吐血，或者心腹剧烈疼痛，好像有东西在咬，如果不立即治疗，蛊毒会吃人五脏而死。如果想确认是否中蛊，只让病人吐水，沉下去的是真蛊，浮起来的不算。用烧焦的旧鼓皮，研成粉末，每次取一方寸匕的量，一会儿病人就会自己喊出施蛊者的姓名。《搜神记》记载：外甥夫蒋士先，得病便血，说是中了蛊。他的家人秘密地把荷叶放在席子下面，他突然大笑说：“害我中蛊的是张小小。”于是抓捕张小小，张小小逃跑，从此解除蛊毒常用荷叶，往往有效。我考证本草，荷就是现在的甘露草，又名芭蕉。
又记载：有人患脸上生疮，疮上呈现五色，就用盐汤浸湿棉布敷在疮上，五六次就痊愈了。
〔沈源按〕《内经》说：颜色多青则痛，多黑则痹，黄赤则热，多白则寒，五色都出现，则是寒热错杂。这个病症疮见五色，是热中有寒。盐能清火解毒，大凡煎制盐要用皂角来收敛，所以盐味微辛，辛能散寒搜风，所以痊愈。
丁志记载：临川有个人脸颊间长了瘤，痒得难以忍受，每次用火烤就能暂时缓解，不久又发作，非常痛苦。一个医生告诉他说：“这是真正的虱瘤，应当剖开取出。”用油纸围在头顶，然后施行砭石刺破，瘤才破裂，涌出无数小虱子。最后出来一白一黑两只大虱子，都像豆壳大小，中间空空没有血，与脸颊肉完全不相干，完全没有留下瘢痕，只是长瘤的地方皮肤正白而已。
张德俊记载：近年有个姓和的人，余杭人，将要赴任做官。因为蒸降真木犀香，自己打开蒸笼，脸扑在蒸笼盖上，被热气熏蒸，面部浮肿，口眼都被熏闭。换了好几个医生都不能治，最后一个医生说：“古代没有这种病，请凭我的意思来治疗。”于是取寺庙僧人长久用来做饭的布，烧成灰，随敷随消，不到半天就好了。大概是因为炊布受蒸汽影响多，反过来用它来引出毒素，也就像用盐水提取咸味一样，医生的智慧也可喜。
全浙夫人，忽然一天脸上生出几点黑斑，几天后，满脸都变黑，遍访医生无效。忽然经过一个民间医生，说：“夫人中了食物毒，治疗一个月可康复。”后来核对他的药方，只用生姜汁服用。问其原因，说：“夫人每天吃斑鸠，因为这种鸟常吃半夏苗，所以中毒，因此用生姜来解它。”
罗谦甫治疗一个妇人，年纪近三十，忧思不断，饮食不节制，脾胃受伤，面色黧黑无光泽，嘴唇周围尤其严重。心里悬空像饥饿的感觉。又不想吃东西，气短而急促。大体上心肺在上，运行营卫之气并使面色光泽于外，应该显露而不隐藏。肝肾在下，滋养筋骨并强健于内，应当隐伏而不见。脾胃在中，主管传输化生精微物质，以灌溉四周，冲和而不停息，它的元气一旦受伤，则四脏失去依托，忧思不断，气机郁结而不运行。饮食不节制，气耗损而不足。使得阴气上溢于阳分之中，所以黑色出现在面部。又《内经》说：脾气通于口，其荣华表现在唇。现在水来侮土（肾水反克脾土），所以黑色出现在唇。这是阴阳相反，属于病逆证。《上古天真论》说：阳明脉衰于上，面始发黑，所以知道阳明之气不足，不是帮助阳明生发的药剂，无法恢复其色泽。所以用冲和顺气汤为主方。《内经》说：上气不足，推扬之。用升麻苦平，葛根甘温，自地升天，通行阳明之气作为君药；人的气，以天地之风来命名，气停留不运行的，用辛味发散它，防风辛温，白芷辛甘，以疏散滞气作为臣药；苍术苦辛，祛除阳明经的寒邪，白芍酸寒，安定太阴经的怯弱。《十剂》说：补可祛弱，人参、羊肉之类，人参、黄芪、甘草甘温，补益正气作为佐药。《至真要大论》说：辛甘发散为阳，生姜辛热，大枣甘温，调和营卫，开泄腠理，输送津液以恢复阳气，所以作为使药。每服在早饭后、午饭前服用，选取阳气升发之时，使人的阳气容易到达，所以数服而愈。
孙招治疗一个男子，因为上厕所被臭气熏触，强忍了很久，第二天满脸都变黑，一个多月不散。相士断言：“过了下个月必定死。”到了期限却没有死，孙招用沉香各一两，锉碎放入炉中，燃烧熏帐内，用被子盖严。让病人闭目端坐，等香燃尽，才可以出帐，第二天拿镜子照他，面上的黑色渐渐消散了。
平江陈氏，因为惊吓后常用两手指甲掐住两颊，直到两颊破损，心中懊恼不安，脉象数而实，各种药都不见效。用牛黄凉膈丸，服了几次依然如故。
另有一人患脸上麻木，不知痛痒，名叫木痹（这是因为阳明经络受寒所致）。用牛皮胶融化后加入桂末，浓涂一二分厚即愈。
表兄屠学山治疗吴江王殿爵，患面部肿胀兼起肿块，像木偶夜叉的样子，一点也不痛痒，医治数年无效。请屠学山诊治，屠学山说：“面部是阳明经所主的部分，这是因为湿邪进入阳明络脉而生痰。《内经》说：百病开始产生时，一定先从皮毛开始，邪气中伤它则腠理开，开了则邪气侵入客居于络脉。停留不去，传入于经，停留不去，传入于腑，廪积于肠胃。又说：邪气刚开始进入皮部时，毫毛竖起，腠理开泄，它进入络脉时，则络脉盛，颜色改变。它客居于经时，则感受虚邪，乃陷下。这个病症因为经脉未虚，湿邪正留在络脉，而未陷下，所以只患面部。然而这不是药物所能治疗的，应当用砭石刺法。即用小刀刺破唇内牙齿上方的断缝处，名叫断交穴，痰即流出体外，流出的稠痰有几碗。于是面目恢复正常，接着服用补脾调养的药剂而安宁。
牛黄凉膈丸
牙硝 石膏 甘草（各五分） 胆星（二钱五分） 牛黄 紫石英（各一钱） 麝香 冰片（各五分） 寒水石（五钱）
以上研为细末，用甘草膏制成丸药，如绿豆大，每一丸，用陈皮汤送下。
Xia Ziyi recorded in *Qiji Fang* (Prescriptions for Strange Diseases): A person suffered from a phenomenon where light emitted from the head and face; when others' hands approached, it felt as hot as blazing fire. This is caused by Gu poison (Gu poisoning). Take half tael of garlic juice, mix with wine, and ingest. The patient should expectorate something resembling a snake, at which point the illness ceases.
It is also recorded: A person suffered from trembling eyebrows, inability to close the eyes (inability to cross eyelids), unresponsiveness to calls, yet able to eat and drink normally. This is also Gu poisoning causing heart-mind confusion. Use the same prescription as above; the patient should also expectorate snake-like matter to recover.
[Shen Yuan's Note] *Meishi Fang* records: In cases of Gu poison, one may experience hematochezia resembling goose liver, hematemesis, or severe cutting pain in the heart and abdomen, as if being bitten. If not treated immediately, the Gu will consume the five zang organs, leading to death. To confirm Gu poisoning, have the patient vomit water; what sinks is true Gu, what floats is not. Burn old drum skin to ash, take one cun-bi (a square-inch measure) of powder, and soon the patient will spontaneously call out the name of the person who cast the Gu. *Soushen Ji* records: Jiang Shixian, my wife's cousin, suffered from hematochezia, claiming he was poisoned by Gu. His family secretly placed lotus leaves under his mat. He suddenly laughed loudly and said, "The one who poisoned me with Gu is Zhang Xiaoxiao." They arrested Zhang Xiaoxiao, who fled. Since then, using lotus leaves to resolve Gu poison has often proven effective. I have verified in materia medica that 'He' refers to what is now called Ganlu grass, also known as banana plant.
It is also recorded: A person suffered from sores on the face presenting five colors. Soak cotton in salt water and apply to the sores; after five or six applications, the condition heals.
[Shen Yuan's Note] The *Classic of Internal Medicine* states: Colors predominantly blue indicate pain; black indicates bi-syndrome (obstruction); yellow and red indicate heat; white indicates cold. If all five colors appear, it indicates mixed cold and heat. This symptom of sores showing five colors indicates heat containing cold. Salt clears fire and resolves toxicity. Generally, salt is refined using soap pod to collect it, giving salt a slightly acrid taste. Acridity disperses cold and searches for wind, hence the cure.
Ding Zhi recorded: In Linchuan, a person had a tumor on the cheek, intolerably itchy. Burning it provided temporary relief, but it recurred, causing great suffering. A physician told him, "This is truly a louse-tumor; it must be incised and removed." Cover the top of the head with oiled paper, then use bian-shi (stone needle) therapy. The tumor ruptured, and countless small lice gushed out. Finally, two large lice emerged, one white and one black, each the size of a bean shell, hollow inside with no blood, completely unrelated to the cheek flesh, leaving no scar, only the area where the tumor was appeared pale white.
Zhang Dejun recorded: Recently, a man named He from Yuhang, preparing to take up an official post, steamed Jiangzhen wood and musk rose fragrance. Opening the steamer himself, he leaned his face onto the lid and was steamed by the hot vapor. His face swelled, and his mouth and eyes were closed by the heat. Several physicians failed to treat him. The last physician said, "There is no such disease in ancient texts; let me treat it according to my judgment." He took cloth used by temple monks for cooking over a long period, burned it to ash, applied it, and it dissolved upon application. Within half a day, the patient recovered. Presumably, because the cooking cloth absorbed much steam vapor, it was used inversely to draw out toxicity, similar to extracting salinity from saltwater. The wisdom of physicians is commendable.
Madam Quan Zhe suddenly developed several black spots on her face one day. After a few days, her entire face turned black. Physicians everywhere failed to produce results. A folk doctor passed by and said, "Madam has ingested food toxin. Treat it for one month, and she will recover." Later, checking his prescription, it contained only ginger juice. When asked why, he replied, "Madam eats turtle doves daily. This bird often eats Pinellia seedlings, thus causing poisoning. Therefore, ginger is used to resolve it."
Luo Qianfu treated a woman, nearly thirty years old, who suffered from endless worry and thought, irregular diet, and damaged spleen-stomach. Her complexion was dark and lusterless, especially around the lips. She felt her heart hanging as if hungry. She had no appetite, shortness of breath, and rapid respiration. Generally, Heart and Lung are superior, circulating Ying and Wei qi and manifesting luster externally; they should be revealed, not hidden. Liver and Kidney are inferior, nourishing sinews and bones internally; they should be concealed, not visible. Spleen and Stomach are central, governing transmission and transformation of essence and qi to irrigate the four directions, harmonious and ceaseless. Once their qi is injured, the four zang organs lose their support. Endless worry causes qi stagnation and failure to move. Irregular diet causes qi consumption and insufficiency. This allows Yin qi to overflow into Yang, hence black color appears on the face. Also, the *Classic* states: Spleen qi connects to the mouth, its brilliance manifests on the lips. Now Water insults Earth (Kidney water counter-acting Spleen earth), hence black color appears on the lips. This is Yin-Yang reversal, a contrary disease state. *Shanggu Tianzhen Lun* states: Yangming channel declines superiorly, causing the face to turn black. Thus, we know Yangming qi is insufficient. Without agents aiding Yangming's generation and ascent, color cannot be restored. Therefore, Chonghe Shunqi Tang (Harmonizing and Qi-Smooth Decoction) is used as the main formula. *Neijing* states: When superior qi is insufficient, push and elevate it. Shengma (Cimicifugae Rhizoma), bitter and neutral, and Gegen (Puerariae Lobatae Radix), sweet and warm, ascend from earth to heaven, unblocking Yangming qi as Sovereign herbs. Human qi is named after heaven-earth wind; qi that stays and does not move is dispersed by acrid substances. Fangfeng (Saposhnikoviae Radix), acrid and warm, and Baizhi (Angelicae Dahuricae Radix), acrid and sweet, disperse stagnant qi as Minister herbs. Cangzhu (Atractylodis Rhizoma), bitter and acrid, eliminates cold in the Yangming channel; Shaoyao (Paeoniae Radix Alba), sour and cold, calms the weakness of the Taiyin channel. *Shi Ji* states: Tonification dispels weakness; Ren Shen (Ginseng Radix) and mutton belong here. Ren Shen, Huang Qi (Astragali Radix), and Gan Cao (Glycyrrhizae Radix), sweet and warm, tonify righteous qi as Assistant herbs. *Zhizhen Dayao Lun* states: Acrid and sweet disperse and generate Yang. Shengjiang (Zingiberis Rhizoma Recens), acrid and hot, and Dazao (Jujubae Fructus), sweet and warm, harmonize Ying and Wei, open cou-li (pores), deliver fluids to restore Yang, thus serving as Envoy herbs. Take orally after breakfast and before lunch, selecting the time when Yang qi ascends, making human Yang qi easier to reach. After several doses, the patient recovered.
Sun Zhao treated a man who, while using the toilet, was exposed to foul odor and endured it for a long time. The next day, his entire face turned black, remaining so for over a month. A physiognomist predicted, "You will die after next month." When the time came, he did not die. Sun Zhao treated him with Chenxiang (Aquilariae Lignum Resinatum), one tael each, crushed and placed in a furnace, burning to fumigate inside a tent, covered tightly with a quilt. The patient sat with eyes closed. Only after the incense was exhausted could he exit the tent. The next day, looking in a mirror, the blackness on his face gradually dissipated.
Chen family of Pingjiang, after being startled, frequently pinched both cheeks with fingernails until the cheeks were broken. Feeling inner restlessness and agitation, pulse was rapid and excess. Various medicines failed. Niu Huang Liang Ge Wan (Bovis Calculus Cooling Diaphragm Pill) was used, but several doses yielded no change.
Another person suffered from facial numbness, unaware of pain or itch, named Mu Bi (Wood Bi-syndrome, caused by Cold invading Yangming collaterals). Apply Niujiao (Asini Corii Colla, Donkey-hide Gelatin) melted with Gui Mo (Cinnamomi Cortex Powder) thickly, one or two fen in thickness, to heal.
My cousin Tu Xueshan treated Wang Dianjue of Wujiang, who suffered from facial swelling accompanied by lumps, resembling wooden puppets or yakshas, with no pain or itch. Treated for years without effect. Tu Xueshan examined him and said, "The face belongs to the Yangming region. This is phlegm generated by Damp-Evil entering Yangming collaterals. *Neijing* states: All diseases begin in the skin and hair. When Evil strikes, cou-li opens, allowing entry into collaterals. If it remains, it enters channels; if still retained, it enters fu-organs, accumulating in intestines and stomach. It also states: When Evil first enters skin, lanugo rises, cou-li opens. Entering collaterals, collaterals become full, color changes. Entering channels, deficiency is sensed, sinking occurs. In this case, channels are not deficient; Damp-Evil remains in collaterals without sinking, hence only the face is affected. However, this cannot be treated by medicine alone; bian-shi (stone needle) puncture is required. Use a small knife to puncture the gap above the teeth inside the lip, named Duanjiao acupoint. Phlegm flows out externally, several bowls of thick phlegm discharged. Face and eyes returned to normal. Subsequently, administer Spleen-tonifying and regulating agents to achieve stability.
Niu Huang Liang Ge Wan (Bovis Calculus Cooling Diaphragm Pill)
Yaxiao (Natrii Sulfas), Shigao (Gypsum Fibrosum), Gan Cao (Glycyrrhizae Radix) (each 5 fen); Danning (Arisaematis Cum Bile), 2 qian 5 fen; Niuhuang (Bovis Calculus), Zhi Shiyin (Psilomeli Pulvis) (each 1 qian); Shexiang (Moschus), Bingpian (Borneolum Syntheticum) (each 5 fen); Hanshuishi (Halloysit Rubrum), 5 qian.
Grind all into powder. Form pills using Gan Cao paste, size of mung beans. Administer one pill per dose with Chenpi decoction (Tangerine Peel Decoction).