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。
升麻加黄连汤,治疗面部发热。
处方: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)。用水煎煮,温服。
冯鲁瞻说:胃中有寒则面部发冷,适宜先用附子理中汤,温补其中焦之气,然后再用升麻汤加入附子来主治。
升麻加附子汤,治疗面部发冷。
处方:升麻、葛根、白芷、黄芪、熟附子(各七分),炙甘草、人参、草豆蔻(各五分),益智仁(三分),带须葱头二茎。用水煎煮,温服。
冯鲁瞻说:面部疼痛属于火证,因为诸阳经汇聚于面部,而火属阳;心的荣华表现在面部,而心主君火。然而突然发作的疼痛多由火邪实证引起,长期的疼痛多因血虚所致。因为胃主管正前面部,且肠胃如同集市(受纳水谷),如果饮食产生的热毒积聚在体内,就会反映在外部,从而导致疼痛。更有过度劳累和饥饿时出现疼痛的情况,这是中气不足的表现。
顾世澄说:粉花疮多发生于未婚女子,这是因为火气上浮于上,导致面部生出粟粒状皮疹,有时疼痛有时瘙痒,皮疹迅速消退又迅速出现。也有妇女喜欢涂抹铅粉,由铅毒引起的。还有在房事后出汗,迎风摇扇而患病的。
妇女面部粉花疮的外治方:
铅粉(五钱),轻粉(五分),枯矾(三分)。研成均匀粉末,用菜油调成稠状,涂抹在磁碗底部。外用蕲艾一两,放在炭火上燃烧产生烟雾熏蒸碗内,直到艾草烧尽为止,然后扣在地上以去除火毒。每天早晨涂抹于面部,疮疡自然痊愈。
验方:在上大号时,用粗纸先从脸部往下擦拭,再擦拭排泄物,随手扔进净桶内,数次后即可自行消退。
又一方:干荷叶揉碎,每次使用五分,每日用滚开水冲服,长期服用后自然消退。
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.