《病源论》云∶面 者,谓面上有风热气生 ,或如米大,亦如谷大,白色者是也。
又云∶《养生方》云,醉不可露卧,令人面发疮 。(和名尔支养。)
《养生要集》云∶酒醉热未解,勿以冷水洗面,发疮轻者 。
《如意方》治 术∶
荠 (二分) 桂肉(一分)
下筛,以酢浆服方寸匕,日三,晚即服栀子散相参也。
栀子散方∶
栀子仁(一斤)
捣下筛,先食,以酢浆服方寸匕,日三。先服荠 桂散,次后服栀子散,即以同日服之。
《录验方》治男女 面生疮黄连粉方∶
黄连(二两) 牡蛎(二两)
凡二物,下筛,有脓汁以散粉之。
《葛氏方》治年少气盛面生 疮方∶
鹰矢白(二分) 胡粉(一分) 蜜和涂上,日二。
又方∶以三岁苦酒,渍鸡子三宿,当软破,取以涂。良。
《极要方》面 癣肿方∶
白附子(二两) 青木香(二两) 麝香(二两) 拔 (二两)
并为散,以水和,涂面,日三。
《短剧方》治面 方∶
土瓜,冶,以水银、胡粉、青羊脂分等,和敷面上,日二。有效。
又方∶胡粉二分,水银四分,以猪膏和研,敷面,天晓以布拭去,勿洗水。
《千金方》治面 甚者方∶
冬葵子 柏子仁 茯苓 瓜子
凡四味,分等服方寸匕,日三。(今按∶《极要方》云∶二十日面目光泽, 气尽去。)
《刘涓子方》治 方∶
鸬 屎一升,下筛,以腊月猪膏和,敷之。(《千金方》同之。)
《新录方》治面 方∶
捣杏仁为泥,和浆若酪,涂之。
又方∶取兔系上秋露洗之,最佳。
又方∶大麻子研,和猪脂,涂。
又方∶鹿脂涂拭面上,自瘥。
《诸病源候论》说:面䵟(面部黑斑或疮疡),是指脸上因风热之气侵袭而生出的斑点,有的像米粒大小,有的像谷粒大小,颜色发白。
又说:《养生方》提到,醉酒之后不可露天躺卧,这会导致面部生疮。(“䵟”的日本读音为“尔支养”。)
《养生要集》说:酒醉后热气未消时,不要用冷水洗脸,否则会引发轻度的疮疡。
《如意方》治疗面䵟的方法:
荠苨(二分) 桂肉(一分)
将上述药物研磨过筛,用醋浆送服一方寸匕的药量,每日三次,晚上则服用栀子散交替使用。
栀子散方:
栀子仁(一斤)
捣碎并研磨过筛,饭前服用,用醋浆送服一方寸匕的药量,每日三次。先服用荠苨桂散,随后服用栀子散,可以在同一天内服用。
《录验方》治疗男女面部生疮的黄连粉方:
黄连(二两) 牡蛎(二两)
将这两味药研磨过筛,如果有脓液流出,就用药粉撒敷患处。
《葛氏方》治疗年轻人气血旺盛导致面部生疮的方子:
鹰矢白(二分) 胡粉(一分)
用蜂蜜调和后涂抹在患处,每日两次。
另一个方子:用陈年醋浸泡鸡蛋三个夜晚,待蛋壳变软后敲破,取内容物涂抹。效果良好。
《极要方》治疗面部䵟癣肿胀的方子:
白附子(二两) 青木香(二两) 麝香(二两) 拔毒草(二两)
将所有药物研成粉末,用水调和后涂抹于面部,每日三次。
《短剧方》治疗面部䵟的方子:
土瓜,研磨后,与水银、胡粉、青羊脂按等比例混合,敷于面部,每日两次。有效。
另一个方子:胡粉二分,水银四分,用猪油调和研磨,敷于面部,天亮时用布擦去,不要用水清洗。
《千金方》治疗面部䵟严重的方子:
冬葵子 柏子仁 茯苓 瓜子
以上四味药,按等比例服用,每次一方寸匕,每日三次。(现代考证:《极要方》记载:二十天后面色光泽,䵟气尽除。)
《刘涓子方》治疗䵟的方子:
鸬鹚屎一升,研磨过筛,用腊月里的猪油调和,敷于患处。(《千金方》与此相同。)
《新录方》治疗面部䵟的方子:
将杏仁捣烂成泥,与米浆或酪乳混合,涂抹患处。
另一个方子:收集秋季兔子栖息处的露水来清洗面部,效果最佳。
The *Zhu Bing Yuan Hou Lun* (Treatise on the Pathogenesis and Manifestations of All Diseases) states: "Mian mei" (facial pigmentation or sores) refers to spots arising on the face due to wind-heat qi, which may be as large as a rice grain or a millet grain, and are white in color.
It further states: The *Yangsheng Fang* (Prescriptions for Nourishing Life) mentions that one should not sleep outdoors while intoxicated, as this causes facial sores. ("Mei" is pronounced "nirishiyō" in Japanese.)
The *Yangsheng Yaoji* (Essential Collection for Health Preservation) states: When the heat from alcohol intoxication has not yet subsided, do not wash the face with cold water, lest it induce mild sores.
The *Ruyi Fang* (Prescriptions Fulfilling Wishes) treats facial *mei* as follows:
Qini (Radix Glehniae, 2 fen) Rougui (Cortex Cinnamomi, 1 fen)
Grind the ingredients through a sieve. Take one cunbi (approx. 5 grams) with vinegar juice three times daily. In the evening, take Zhizi San alternately.
Zhizi San Formula:
Zhiziren (Semen Gardeniae, 1 jin)
Pound and sieve. Take before meals, one cunbi with vinegar juice, three times daily. First take Qini Guisan, then follow with Zhizisan; they may be taken on the same day.
The *Luyan Fang* (Verified Prescriptions) treats facial sores in men and women with Huanglian Fen (Coptis Powder):
Huanglian (Rhizoma Coptidis, 2 liang) Muli (Concha Ostreae, 2 liang)
Grind these two substances through a sieve. If pus is present, apply the powder to the affected area.
The *Ge Shi Fang* (Prescriptions by Ge Hong) treats facial sores caused by vigorous qi and blood in young people:
Yingshibai (Excrement of Hawk, 2 fen) Hufen (Basic Lead Carbonate, 1 fen)
Mix with honey and apply topically twice daily.
Another prescription: Soak three eggs in aged vinegar for three nights until soft. Break open and apply the contents. This is effective.
The *Jiyao Fang* (Essential Prescriptions) treats facial *mei*, tinea, and swelling:
Baifuzi (Radix Typhonii, 2 liang) Qingmuxiang (Radix Aucklandoniae, 2 liang) Shexiang (Moschus, 2 liang) Bacao (Herba Siegesbeckiae, 2 fen) [Note: Text says 'Ba', likely referring to a specific herb like Siegesbeckia or similar detoxifying herb]
Grind all into powder. Mix with water and apply to the face three times daily.
The *Duanju Fang* (Short Drama Prescriptions) treats facial *mei*:
Tugua (Radix Trichosanthis Kirilowii), processed. Mix equal parts with mercury, Hufen (Basic Lead Carbonate), and Qingyangzhi (Fat of Black Sheep). Apply to the face twice daily. Effective.
Another prescription: Two parts Hufen (Basic Lead Carbonate), four parts Mercury. Grind with Pig Fat (Zhigao) and apply to the face. Wipe off with cloth at dawn; do not wash with water.
The *Qianjin Fang* (Essential Prescriptions Worth a Thousand Gold) treats severe facial *mei*:
Dongkuizi (Fructus Malvae Verticillatae) Baiziren (Semen Platycladi) Fuling (Poria) Guazi (Semen Cucurbitae)
Take equal parts of these four herbs. Administer one cunbi three times daily. (Modern note: The *Jiyao Fang* states: After twenty days, the complexion becomes lustrous, and the *mei* qi is completely eliminated.)
The *Liu Juanzi Fang* (Prescriptions by Liu Juanzi) treats *mei*:
Lu'esi (Excrement of Cormorant, 1 sheng). Grind through a sieve. Mix with pig fat rendered in the twelfth lunar month and apply. (Identical to the *Qianjin Fang*.)
The *Xinlu Fang* (Newly Recorded Prescriptions) treats facial *mei*:
Pound Xingren (Semen Armeniacae Amarum) into a paste. Mix with rice slurry or yogurt/curd and apply.
Another prescription: Collect dew from where rabbits rest in autumn to wash the face. This is best.
Another prescription: Grind Damaizi (Semen Cannabis) and mix with Pig Fat (Zhizhi) for application.
Another prescription: Apply Deer Fat (Luzhi) to wipe the face; it will heal spontaneously.