（附论）
济生方云。唇者脾之所主。胃者脾之所合。其经起于鼻。环于唇。其支脉络于脾胃。受
邪则唇为之病。盖风胜则揭。燥胜则干。热胜则裂。气郁则生疮。血少则沈而无色。治之之
法。内则当理其脾。外则当敷以药。无不效者矣。
夫脾与胃合。足阳明之经。胃之脉也。其经起于鼻。环于唇。其支脉入络于脾。脾胃有
热。
方
润脾膏
治脾热。唇焦枯无润。
生天门冬（切） 生地黄汁（一升） 生麦门冬 葳蕤（各四两） 猪膏（三升） 细
辛甘草 芎
裹药。临煎。
白蔹膏
治唇疮。
白蔹 白芨（各一两） 黄 牡丹皮 芍药 丁香（各一分） 白蜡（三两） 麝香
（另研） 乳
锉药。有焦色
即以绵滤去滓。慢火再煎十余沸。下蜡。不住手搅。离火候凝。盛于磁器中。下麝、乳
搅匀
本散
治唇疮生肌。
本（去苗土半两） 芎 （半两） 细辛（去苗叶半两） 桂（去粗皮一分） 当归
（焙干一分） 杏仁（汤浸去皮尖双仁一分） 雄黄（研一分） 上为细散。次入雄黄拌匀。
敷疮上。日三五次
硫黄散
治唇疮及紧唇疮。久不瘥。
硫黄（研） 白矾（枯研） 丹砂（研） 水银 麝香（研） 黄柏（为细末各一分） 上
研。候水银
黄柏散
治茧唇。
黄柏（一两） 五倍子（二钱） 密陀僧（少许） 甘草（少许） 上除黄柏外为末。
水调匀。敷
皆效散
疗疳虫蚀唇鼻齿口及余处。
石硫黄（研） 干漆（熬） 文蛤（烧作灰） 上等分。绢筛之。每用取胡桃大。麝香
枣核大研和
五倍子散
治口唇生疮。
五倍子（去心中虫） 槐花（各等分） 上为细末。每用蜜调敷唇上。如疮口干。以葱
涎调涂之
钱脂膏（出圣惠方） 治唇黑肿。痛痒不可忍。
上用大钱四文。于石上以腊月猪脂磨取汁。涂之。
又方（出千金方）
上用竹弓弹出恶血。取瘥。
乱蜂膏（出千金方）治唇黑肿。痛痒不可忍。
上烧乱发灰及蜂房六畜毛作灰。猪脂和敷之。亦治沈唇。
治唇生疮。亦治唇紧。裂破成疮。（出千金方）
上以垢敷之。日三度。即头垢。或屠家肉案上垢。烧灰涂之。
治唇边生疮。连年不瘥。（出圣惠方）
上以八月蓝叶十片。绞取汁洗。不过三日瘥。
治唇疮（出圣惠方）
上以东壁上土研。敷之瘥。
又方（出圣惠方）
上胭脂用油调涂之瘥。
又方（出圣惠方）
又方
上用白英去皮。酥炙色焦为末。贴疮上。虫出即瘥。
又方（出圣惠方）
上用大麻子烧灰为末。用井花水调涂唇上。
治唇疮及紧唇疮。
上以鸡子一枚。煮熟。取白为泥。贴疮上。
又方（出圣惠方）
上蟹腹底白皮一分。烧灰研为末。贴之效。
治沈唇。唇常疮烂。黑肿。疼痛不可忍。
上以鲤鱼血磨墨。相调涂之。一方用胆汁磨墨涂之。瘥。
又方（出圣惠方）
上以白矾熬沸。为末。和胡粉敷之瘥。
治唇吻疮（出肘后方）
上用刮 几屑。若枯屑。火烧以敷之。栗 灰敷之。并良。
又方（出圣惠方）
上取干蟾烧灰。细研敷之。
黄连散（出圣惠方）
治吻恶疮。
黄连（一分去须） 干姜（半分炮治） 上为细末。每用少许敷疮上。不过三上。疮瘥。
一方有
治唇生疮。（出千金方）
上以胡粉敷之。
治唇生疮。
上以晚蚕蛾一分。碾为末。每取少许。敷疮上。瘥。
海带散（出危氏方）
治缘唇疮。
海带（不拘多少） 上为散。临卧贴。一两宿瘥。
（附论）
《济生方》说：嘴唇是脾脏所主管的部位。胃与脾相表里，互为配合。足阳明胃经的经脉起始于鼻部，环绕嘴唇。其分支脉络联系于脾胃。如果受到邪气侵袭，就会导致嘴唇发生病变。大概风邪偏胜则嘴唇掀揭红肿，燥邪偏胜则嘴唇干燥，热邪偏胜则嘴唇皲裂，气机郁滞则生疮疡，血虚不足则嘴唇色暗而无光泽。治疗的方法，内治应当调理脾脏，外治应当敷用药膏，没有不奏效的。
脾与胃相合，属于足阳明经，是胃的经脉。该经脉起始于鼻部，环绕嘴唇，其分支脉进入并联络于脾。如果脾胃有热，
【方剂】
润脾膏
治疗脾热引起的嘴唇焦枯、缺乏润泽。
生天门冬（切片） 生地黄汁（一升） 生麦门冬 玉竹（葳蕤）（各四两） 猪脂油（三升） 细辛 甘草 川芎
（注：原文此处似有缺漏或排版错误，结合上下文及常见配方逻辑，此处应为药材列表，但原文“裹药。临煎。”位置突兀，且缺少部分药材剂量或说明，此处仅忠实翻译可见文字）
白蔹膏
治疗嘴唇疮疡。
白蔹 白及（各一两） 黄芩 牡丹皮 芍药 丁香（各一分） 白蜡（三两） 麝香（单独研磨） 乳香
（注：原文“锉药。有焦色”、“即以绵滤去滓。慢火再煎十余沸。下蜡。不住手搅。离火候凝。盛于磁器中。下麝、乳搅匀”为制作过程描述）
将药物切碎。如果有烧焦的颜色，就用丝绵过滤去掉药渣，用慢火再煮沸十多次，加入白蜡，不停地搅拌，离开火源后等待凝固，装入瓷器中，加入麝香、乳香搅拌均匀。
本散
治疗嘴唇疮疡，促进肌肉生长。
白芷（去苗土半两） 川芎（半两） 细辛（去苗叶半两） 桂枝（去粗皮一分） 当归（焙干一分） 杏仁（热水浸泡去皮尖双仁一分） 雄黄（研细一分）
以上药物制成细散剂，然后加入雄黄拌匀，敷在疮口上，每天三到五次。
硫黄散
治疗嘴唇疮疡及紧唇疮，久治不愈者。
硫黄（研细） 白矾（煅枯研细） 朱砂（丹砂，研细） 水银 麝香（研细） 黄柏（制成细末，各一分）
以上药物研磨混合。（注：原文“候水银”后内容缺失，通常指与水银混合至不见星点）
黄柏散
治疗茧唇。
黄柏（一两） 五倍子（二钱） 密陀僧（少许） 甘草（少许）
以上除黄柏外的药物制成粉末，用水调匀，敷贴患处。
皆效散
治疗疳虫侵蚀嘴唇、鼻子、牙齿、口腔及其他部位。
石硫黄（研细） 干漆（熬制） 文蛤（烧成灰）
以上药物等分，用绢筛过。每次取胡桃大小的药量，加入枣核大小的麝香（研细）调和使用。
五倍子散
治疗口唇生疮。
五倍子（去除心中虫蛀部分） 槐花（各等分）
以上药物制成细末。每次使用时用蜂蜜调匀敷在嘴唇上。如果疮口干涸，用葱汁调涂。
钱脂膏（出自《圣惠方》）
治疗嘴唇黑肿，疼痛瘙痒难以忍受。
以上取大铜钱四枚，在石头上用腊月猪脂磨取汁液，涂抹患处。
又一方（出自《千金方》）
以上用竹弓弹射放出恶血，即可痊愈。
乱蜂膏（出自《千金方》）
治疗嘴唇黑肿，疼痛瘙痒难以忍受。
以上将乱发灰及蜂巢、六畜毛烧成灰，用猪脂调和敷贴。也治疗沉唇（慢性唇炎）。
治疗嘴唇生疮，也治疗嘴唇紧绷、破裂成疮。（出自《千金方》）
以上用污垢敷贴，每天三次。即头垢，或者屠户肉案上的污垢，烧成灰后涂敷。
治疗嘴唇边生疮，连年不愈。（出自《圣惠方》）
以上取八月蓝叶十片，绞取汁液清洗，不超过三天即可痊愈。
治疗嘴唇疮疡（出自《圣惠方》）
以上用东墙上的土研细，敷贴患处即可痊愈。
又一方（出自《圣惠方》）
以上用胭脂用油调匀涂敷，即可痊愈。
又一方（出自《圣惠方》）
又一方
以上用白英去皮，用酥炙至颜色焦黄后制成粉末，贴敷在疮口上，虫子出来即可痊愈。
又一方（出自《圣惠方》）
以上用大麻子烧成灰制成粉末，用井花水调匀涂敷在嘴唇上。
治疗嘴唇疮疡及紧唇疮。
以上取鸡蛋一枚，煮熟，取蛋白捣成泥状，贴敷在疮口上。
又一方（出自《圣惠方》）
以上取蟹腹底白皮一分，烧成灰研细，贴敷患处有效。
治疗沉唇。嘴唇经常溃烂，黑肿，疼痛难以忍受。
以上用鲤鱼血磨墨，调和后涂敷。另一方法用胆汁磨墨涂敷，可痊愈。
又一方（出自《圣惠方》）
以上用白矾熬沸，制成粉末，和胡粉一起敷贴，即可痊愈。
治疗唇吻疮（出自《肘后方》）
以上刮取几案上的木屑，如果是干枯的木屑，火烧后敷贴。栗树灰敷贴，也都良好。
又一方（出自《圣惠方》）
以上取干蟾蜍烧成灰，细研后敷贴。
黄连散（出自《圣惠方》）
治疗唇部恶疮。
黄连（一分去须） 干姜（半分炮制处理）
以上制成细末。每次取少许敷在疮口上，不超过三次，疮即可痊愈。另一方含有……（原文此处截断）
(Attached Discussion)
The *Jisheng Fang* states: The lips are governed by the Spleen. The Stomach is internally-externally related to the Spleen and serves as its partner. The Foot-Yangming Stomach Meridian originates at the nose, circles the lips, and its branch connects with the Spleen and Stomach. When pathogenic factors invade, diseases of the lips occur. Generally, excess Wind causes the lips to swell and peel; excess Dryness causes them to become dry; excess Heat causes cracking; Qi stagnation leads to ulceration; and Blood deficiency results in dark, lusterless lips. The treatment method involves internal regulation of the Spleen and external application of medicinal ointments, both of which are invariably effective.
The Spleen and Stomach are paired, belonging to the Foot-Yangming Meridian, which is the meridian of the Stomach. This meridian originates at the nose, circles the lips, and its branch enters and connects with the Spleen. If there is Heat in the Spleen and Stomach,
[Formulas]
Runpi Gao (Moistening Spleen Ointment)
Treats lip scorching, withering, and lack of moisture due to Spleen Heat.
Shengtianmendong (Fresh Asparagi Radix, sliced), Shengdihuangzhi (Fresh Rehmanniae Radix Juice, one sheng), Shengmaimendong (Fresh Ophiopogonis Radix), Weirui (Polygonati Odorati Rhizoma, four liang each), Zhugao (Pig Fat, three sheng), Xixin (Asari Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Xiong (Ligustici Chuanxiong Rhizoma).
(Note: The original text contains fragmented instructions regarding wrapping and decoction.)
Bailian Gao (Akebiae Caulis Ointment)
Treats lip ulcers.
Bailian (Akebiae Caulis, one liang), Baiji (Bletillae Rhizoma, one liang), Huangqin (Scutellariae Radix), Mudanpi (Moutan Cortex), Shaoyao (Paeoniae Radix), Dingxiang (Caryophylli Flos, one fen each), Baila (Beeswax, three liang), Shexiang (Moschus, separately ground), Ruxiang (Olibanum).
Process: Chop the herbs. If any have a scorched color, filter out the dregs using silk gauze. Decoct slowly over low heat for more than ten boils. Add the beeswax, stirring constantly. Remove from heat and allow to cool and solidify. Store in porcelain vessels. Add the ground Moschus and Olibanum, and mix evenly.
Benzan Powder (Angelica Dahurica Powder)
Treats lip ulcers and promotes tissue regeneration.
Baizhen (Angelicae Dahuricae Radix, half liang, removed seedlings and soil), Xiong (Chuanxiong Rhizoma, half liang), Xixin (Asari Radix et Rhizoma, half liang, removed seedlings and leaves), Guizhi (Cinnamomi Ramulus, one fen, removed coarse bark), Danggui (Angelicae Sinensis Radix, one fen, baked dry), Xingren (Armeniacae Semen, one fen, soaked in water, skin and tips removed, double-kernel), Xionghuang (Realgar, one fen, finely ground).
Grind the above herbs into a fine powder, then mix in the Realgar evenly. Apply to the ulcer three to five times daily.
Liuhuang San (Sulfur Powder)
Treats lip ulcers and tight-lip ulcers that have not healed for a long time.
Liuhuang (Sulfur, ground), Baifan (Alumen, calcined and ground), Dansha (Cinnabar, ground), Shuiyin (Mercurius), Shexiang (Moschus, ground), Huangbai (Phellodendri Cortex, fine powder, one fen each).
Grind the ingredients together until the Mercury disappears (text incomplete).
Huangbai San (Phellodendron Powder)
Treats cornified lip (Jianchun).
Huangbai (Phellodendri Cortex, one liang), Wubeizi (Galae Chinensis, two qian), Mituosen (Lithargyrum, a little), Gancao (Glycyrrhizae Radix et Rhizoma, a little).
Grind all ingredients except Phellodendri Cortex into powder. Mix with water and apply topically.
Jie Xiao San (All-Efficacy Powder)
Treats gan-chong (parasitic worms) eroding the lips, nose, teeth, mouth, and other areas.
Shiliuhuang (Stibnite/Sulfur, ground), Ganqi (Resina Semecarpis Anacardii, stewed), Wenhai (Clam Shell, calcined to ash).
Mix equal parts and sieve through silk. For each use, take an amount the size of a walnut kernel, mixed with an amount of ground Moschus the size of a jujube pit.
Wubeizi San (Chinese Gall Powder)
Treats oral lip ulcers.
Wubeizi (Chinese Gall, remove insect holes), Huaihua (Sophorae Flos, equal parts).
Grind into a fine powder. For each use, mix with honey and apply to the lips. If the ulcer is dry, apply with green onion juice.
Qianzhi Gao (Coin Grease Ointment, from *Shenghui Fang*)
Treats black swelling of the lips with unbearable pain and itching.
Take four large copper coins. Grind them on a stone surface with pig fat rendered in the twelfth lunar month to extract the juice. Apply this mixture to the affected area.
Another Prescription (from *Qianjin Fang*)
Use a bamboo bow to shoot out the accumulated bad blood. Healing will follow.
Luanfeng Gao (Chaotic Bee Ointment, from *Qianjin Fang*)
Treats black swelling of the lips with unbearable pain and itching.
Burn hair clippings, bee nests, and wool from six domestic animals to ash. Mix with pig fat and apply. Also treats chronic cheilitis (Shen chun).
Treatment for lip ulcers, also for tight lips cracked into ulcers. (from *Qianjin Fang*)
Apply dirt/soil to the area three times daily. This refers to head dandruff or dirt from butchers' meat blocks, burned to ash and applied.
Treatment for ulcers on the edge of the lips that persist for years. (from *Shenghui Fang*)
Take ten leaves of Isatis tinctoria (Lan ye) harvested in the eighth lunar month. Crush to extract juice and wash the area. It will heal within three days.
Treatment for lip ulcers. (from *Shenghui Fang*)
Grind earth from the east wall of a house and apply. It heals.
Another Prescription (from *Shenghui Fang*)
Mix Zhiyan (Vermilion/Cosmetic Rouge) with oil and apply. It heals.
Another Prescription (from *Shenghui Fang*)
Another Prescription
Remove the skin of Baiying (Solani Lycopersici Caulis), roast with butter until charred, grind into powder, and apply to the ulcer. Healing occurs when parasites emerge.
Another Prescription (from *Shenghui Fang*)
Burn hemp seeds to ash, grind into powder, mix with well water, and apply to the lips.
Treatment for lip ulcers and tight-lip ulcers.
Boil one egg. Take the white, mash it into a paste, and apply to the ulcer.
Another Prescription (from *Shenghui Fang*)
Take one part of the white membrane from the underside of a crab, burn to ash, grind finely, and apply. Effective.
Treatment for chronic cheilitis (Shen chun). Lips frequently ulcerate, black and swollen, with unbearable pain.
Grind ink using carp blood and apply. Another method uses bile to grind ink for application. Healing follows.
Another Prescription (from *Shenghui Fang*)
Boil Alumen until bubbling, grind into powder, mix with Fulin (Lead White/Hufen), and apply. Heals.
Treatment for labial ulcers. (from *Zhouhou Fang*)
Scrape wood shavings from a table/desk. If the shavings are dry, burn them and apply. Ash from chestnut trees is also good for application.
Another Prescription (from *Shenghui Fang*)
Burn dried toads to ash, grind finely, and apply.
Huanglian San (Coptis Powder, from *Shenghui Fang*)
Treats malignant ulcers of the lips.
Huanglian (Coptidis Rhizoma, one fen, remove roots), Jiangjiang (Dried Ginger, half fen, processed).
Grind into a fine powder. Apply a small amount to the ulcer each time. It heals in no more than three applications. Another version contains... (text cuts off).
Treatment for lip ulcers. (from *Qianjin Fang*)
Apply Fulin (Lead White).
Treatment for lip ulcers.
Take one part of Wan can e (Late silkworm moth), grind into powder. Apply a small amount to the ulcer. Heals.
Haidai San (Kelp Powder, from *Wei Shi Fang*)
Treats marginal lip ulcers.
Haidai (Laminaria japonica, any amount).
Grind into powder. Apply before sleep. Heals overnight.