【方歌】面游风燥热湿成，面目浮肿痒虫行，肤起白屑而痒极，
破津黄水津血疼。
【注】此证生于面上，初发面目浮肿，痒若虫行，肌肤干燥，
时起白屑。次后极痒，抓破，热湿，盛者津黄水，风燥
盛者津血，痛楚难堪。由平素血燥，过食辛辣厚味，以
致阳明胃经湿热受风而成。痒甚者，宜服消风散；痛甚
者，宜服黄连消毒饮，外抹摩风膏缓缓取效。
方剂：摩风膏
组成：麻黄（五钱） 羌活（一两）
白檀香（一钱） 升麻（二钱）
白芨（一钱） 防风（二钱）
当归身（一钱）
用香油五两，将药浸五日，文火炸黄，即捞去渣，
加黄蜡五钱，溶化尽，用绢滤过，搅冷涂抹疮上。
【方歌】摩风膏抹游风证，麻黄羌活白檀升，芨防归身香油泡，
炸黄去渣加蜡凝。
又方：消风散（见项部钮扣方）
黄连消毒饮仨腮仨（见头部百会疽）
【方歌】痄腮胃热是其端，初起焮痛热复寒，高肿焮红风与热，
平肿色淡热湿原。
【注】此证一名髭发，一名含腮疮。生于两腮肌肉不着骨之处
，无论左右，总发端于阳明胃热也。初起焮痛，寒热往
来，若高肿、色红、焮热者，系胃经风热所发；若平肿
、色淡不鲜者，由胃经湿热所生。始则俱以柴胡葛根汤
表之。若口渴便秘，宜四顺清凉饮解之。表里证俱解，
肿痛仍作者，势必成脓，宜托里消毒散托之。脓熟者针
之，体虚者宜平补之。其余治法，按痈疽溃疡门。此证
初起，若过服凉药，令毒攻喉者险。
方剂：柴胡葛根汤
组成：柴胡 葛根
石膏（〔火段〕） 花粉
黄芩（各一钱） 甘草（生，五分）
牛蒡子（炒，研） 连翘（去心）
桔梗（各一钱） 升麻（三分）
水二钟，煎八分，不拘时服。
【方歌】柴胡葛根发表证，痄腮肿痛或平形，石膏花粉黄芩草，
牛蒡连翘桔梗升。
又方：四顺清凉饮
组成：防风 栀子（生研）
连翘（去心） 甘草（生）
当归 赤芍
羌活（各一钱） 大黄（二钱）
水二钟，灯心五十寸，煎八分，食远服。
【方歌】四顺清凉攻里强，口干便秘痄腮疮，防风栀子连翘草，
归芍灯心羌大黄。
又方：托里消毒散（见肿疡门）
【方歌】面游风由燥热与湿邪共同形成，面部和眼部浮肿，瘙痒感如同虫在爬行，皮肤出现白色皮屑且极度瘙痒，抓破后流出黄色浆液或血液，伴有疼痛。
【注】此病证发生于面部，初起时面部和眼部浮肿，瘙痒感如同虫行，肌肤干燥，时常出现白色皮屑。随后瘙痒剧烈，抓破皮肤，若湿热盛者则渗出黄色浆液，若风燥盛者则渗出血液，疼痛难以忍受。这是由于平时血虚生燥，加之过食辛辣及肥甘厚味，导致阳明胃经湿热受风邪侵袭而发病。瘙痒严重者，适宜服用消风散；疼痛严重者，适宜服用黄连消毒饮，外用摩风膏涂抹以缓缓取效。
方剂：摩风膏
组成：麻黄（五钱） 羌活（一两）
白檀香（一钱） 升麻（二钱）
白芨（一钱） 防风（二钱）
当归身（一钱）
用香油五两，将药物浸泡五日，用文火炸至黄色，随即捞出药渣，加入黄蜡五钱，使其完全溶化，用绢布过滤，冷却后涂抹于疮口上。
【方歌】摩风膏涂抹治疗面游风证，包含麻黄、羌活、白檀香、升麻，以及白芨、防风、当归身用香油浸泡，炸黄去渣后加蜡凝固。
又一方：消风散（见项部钮扣方章节）
黄连消毒饮治疗痄腮（见头部百会疽章节）
【方歌】痄腮的病因根源在于胃热，初起时红肿疼痛，伴有发热后又发冷，若肿胀高起、色红、灼热，是由风热引起；若肿胀平坦、颜色淡，则是由湿热引起。
【注】此病证又名髭发，又名含腮疮。生于两颊肌肉不附着骨骼之处，无论左侧还是右侧，其发病根源总归于阳明胃热。初起时红肿疼痛，寒热往来，如果肿胀高起、色红、灼热，属于胃经风热所发；如果肿胀平坦、颜色淡而不鲜艳，属于胃经湿热所生。初期均宜用柴胡葛根汤解表。若出现口渴、便秘，宜用四顺清凉饮清里解之。表证和里证均解除后，肿痛仍未消退的，势必化脓，宜用托里消毒散托毒排脓。脓液成熟者进行针刺引流，体质虚弱者宜用平补法调理。其余治法参照痈疽溃疡门。此病证初起时，若过量服用凉性药物，导致毒邪攻喉者，病情危险。
方剂：柴胡葛根汤
组成：柴胡 葛根
石膏（煅） 花粉
黄芩（各一钱） 甘草（生，五分）
牛蒡子（炒，研碎） 连翘（去心）
桔梗（各一钱） 升麻（三分）
用水二钟，煎至八分，不拘时间服用。
【方歌】柴胡葛根汤用于发表证，治疗痄腮肿痛或形态平坦，包含石膏、花粉、黄芩、甘草，以及牛蒡子、连翘、桔梗、升麻。
又一方：四顺清凉饮
组成：防风 栀子（生研）
连翘（去心） 甘草（生）
当归 赤芍
羌活（各一钱） 大黄（二钱）
用水二钟，灯心草五十寸，煎至八分，饭后服用。
【方歌】四顺清凉饮攻里作用强，治疗口干便秘的痄腮疮，包含防风、栀子、连翘、甘草，以及当归、芍药、灯心草、羌活、大黄。
又一方：托里消毒散（见肿疡门章节）
[Verse] Mianyoufeng (Facial Wind) arises from the combination of dryness, heat, and dampness. The face and eyes swell, itching feels like insects crawling, skin presents white scales with extreme pruritus, and upon scratching, yellow exudate or blood oozes out, accompanied by pain.
[Note] This condition occurs on the face. Initially, the face and eyes swell, with an itching sensation resembling insect movement, dry skin, and frequent appearance of white scales. Subsequently, the itching becomes severe; scratching breaks the skin. If damp-heat is predominant, yellow exudate appears; if wind-dryness is predominant, blood oozes out, causing unbearable pain. This is caused by chronic blood dryness combined with excessive consumption of spicy and rich foods, leading to damp-heat in the Yangming Stomach Meridian affected by wind pathogen. For severe itching, Xiaofeng San (Wind-Dispersing Powder) is indicated; for severe pain, Huanglian Xiaodu Yin (Coptis Detoxification Decoction) is indicated. Externally, Mofeng Gao (Wind-Moving Ointment) should be applied slowly for effect.
Formula: Mofeng Gao (Wind-Moving Ointment)
Composition: Ephedrae Herba (Mahuang, 麻黄) (5 qian), Notopterygii Rhizoma et Radix (Qianghuo, 羌活) (1 liang), Santalum Album Lignum (Baitanxiang, 白檀香) (1 qian), Cimicifugae Rhizoma (Shengma, 升麻) (2 qian), Bletillae Rhizoma (Baiji, 白芨) (1 qian), Saposhnikoviae Radix (Fangfeng, 防风) (2 qian), Angelicae Sinensis Radix (Dangguishen, 当归身) (1 qian).
Soak the herbs in 5 liang of sesame oil for five days. Fry gently over low heat until yellow, then remove the dregs. Add 5 qian of beeswax, melt completely, filter through silk cloth, cool, and apply to the sores.
[Verse] Mofeng Gao treats Mianyoufeng (Facial Wind) syndrome, containing Mahuang, Qianghuo, Baitanxiang, Shengma, Baiji, Fangfeng, and Dangguishen soaked in sesame oil, fried yellow, dregs removed, wax added to solidify.
Another Formula: Xiaofeng San (See Section on Neck Button Sores)
Huanglian Xiaodu Yin (Coptis Detoxification Decoction) for Zhasai (Mumps) (See Section on Baihui Carbuncle)
[Verse] The root cause of Zhasai (Mumps) lies in Stomach Heat. Initially, there is burning pain alternating with fever and chills. High swelling with redness and heat indicates Wind-Heat; flat swelling with pale color indicates Damp-Heat.
[Note] This condition is also known as Zifa (Beard Hair Disease) or Hansai Chuang (Cheek-Holding Sore). It occurs on the cheeks where muscles do not attach to bone, regardless of left or right side, originating from Yangming Stomach Heat. Initially, there is burning pain and alternating chills and fever. If swelling is high, red, and hot, it is caused by Wind-Heat in the Stomach Meridian; if swelling is flat and pale, it is caused by Damp-Heat in the Stomach Meridian. Initially, both types should be treated with Chaihu Gegen Tang (Bupleurum and Kudzu Decoction) to release the exterior. If thirst and constipation are present, Sixun Qingliang Yin (Six-Directional Cooling Decoction) should be used to clear the interior. After both exterior and interior syndromes are resolved, if swelling and pain persist, suppuration is inevitable; Tuoli Xiaodu San (Interior-Supporting Detoxification Powder) should be used to support the interior and expel toxins. When pus is ripe, puncture with a needle; for weak constitutions, use Pingbu (Balanced Tonification). Other treatments refer to the Ulceration Section. If cold-natured medicines are excessively taken during the initial stage, causing toxin to attack the throat, the condition becomes critical.
Formula: Chaihu Gegen Tang (Bupleurum and Kudzu Decoction)
Composition: Bupleuri Radix (Chaihu, 柴胡), Puerariae Lobatae Radix (Gegen, 葛根), Gypsum Fibrosum (Shigao, 石膏) (calcined), Trichosanthis Radix (Huafen, 花粉), Scutellariae Radix (Huangqin, 黄芩) (each 1 qian), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (raw, 5 fen), Arctii Fructus (Niubangzi, 牛蒡子) (stir-fried, crushed), Forsythiae Fructus (Lianqiao, 连翘) (heart removed), Platycodonis Radix (Jiegeng, 桔梗) (each 1 qian), Cimicifugae Rhizoma (Shengma, 升麻) (3 fen).
Add 2 zhong of water, decoct to 8 fen, take at any time.
[Verse] Chaihu Gegen Tang releases the exterior, treating Zhasai (Mumps) swelling/pain or flat shape, containing Shigao, Huafen, Huangqin, Gancao, Niubangzi, Lianqiao, Jiegeng, Shengma.
Another Formula: Sixun Qingliang Yin (Six-Directional Cooling Decoction)
Composition: Saposhnikoviae Radix (Fangfeng, 防风), Gardeniae Fructus (Zhizi, 栀子) (raw, crushed), Forsythiae Fructus (Lianqiao, 连翘) (heart removed), Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) (raw), Angelicae Sinensis Radix (Danggui, 当归), Paeoniae Radix Rubra (Chishao, 赤芍), Notopterygii Rhizoma et Radix (Qianghuo, 羌活) (each 1 qian), Rhei Radix et Rhizoma (Dahuang, 大黄) (2 qian).
Add 2 zhong of water and 50 cun of Juncus effusus (Xindixin, 灯心), decoct to 8 fen, take after meals.
[Verse] Sixun Qingliang Yin strongly attacks the interior, treating dry mouth, constipation, and Zhasai (Mumps) sores, containing Fangfeng, Zhizi, Lianqiao, Gancao, Danggui, Shaoyao, Xindixin, Qianghuo, Dahuang.
Another Formula: Tuoli Xiaodu San (Interior-Supporting Detoxification Powder) (See Section on Swelling and Ulceration)