夫手、足六阳之脉，皆上至头，而面为诸阳之会。胃足阳明之脉，又起于鼻之
交中，故面独能耐寒也。设反恶寒及面寒者，胃寒。恶热及面热者，胃热。面寒
者，面多青白。面热者，面多赤。面黄而斑驳者，胃中虫积。面黄而已食如饥者，
胃疸。面肿者，胃风。面疮者，胃火。膏粱积热，以胃脉起于面，故面病多属胃。亦有面疮之属
脾肺风热，面尘之属肝胆燥热，面 之属风湿痰饮，又不独一阳明
胃也。宜后方选对证者，主治之。
升麻胃风汤 治胃风面肿，或麻木，牙紧目 。
升麻（二钱） 白芷 当归 葛根 苍术（各一钱） 甘草（一钱） 柴胡 本 羌活 黄
柏草豆蔻（各三分） 麻黄（不去节，五分） 蔓荆子（二分）
姜一片，枣一枚，水二盏，煎七分。食后服。
升麻顺气汤 治忧思饮食失节，面色黧黑，心悬气促。
升麻（一钱半） 干葛 防风 白芷 黄 人参（各一钱） 白芍药（六分） 甘草 苍术（各五分）
水二盏，姜一片，大枣一枚，煎七分。食远温服。
犀角升麻汤 治阳明经络受风热，口唇、颊车、发鬓肿痛，及鼻额间连头面痛。口
不可开，虽能言语，有妨饮食。亦治面热。
犀角（七钱半） 川升麻（半两） 防风 黄芩（各三钱半） 香白芷 白附子 川芎（各
二钱半） 羌活（三钱一字） 生甘草（一钱半）
上 咀，都作一服。水五盏，煎至三盏半。去滓，分作三服，一日一服讫，其
证必减。如脏腑有些溏不妨。足阳明，胃经也。经云∶肠胃为市。又云∶阳明多
血多气。胃之中，腥膻五味无所不纳，如市廛无所不有也。六经之中，血气俱多，
腐熟饮食之毒聚于胃，故此方以犀角为主，升麻佐之入胃经。余药皆涤除风热，用之有效也。
补胃汤 治胃虚胫寒，面目浮肿。亦治面寒。
柏子仁 防风 细辛 桂心 陈皮（各一钱） 川芎 吴茱萸 人参（各一钱半） 甘草（五分）
水二钟，煎七分。食远温服。
茯苓桂枝五味子甘草汤加大黄 治咳逆倚息不得卧，面热如醉，此为胃热上冲，熏其面故耳。
七白散 治面 、面垢。
白蔹 白术 白牵牛 白附子 白芷 白芍药 白僵蚕（各等分）
为末。每用五钱，煎汤洗之。
洗面药 治面生 ，或生小疮，或生 痤，粉刺，皮肤瘙痒，面垢。
皂角（三斤） 升麻（八两） 楮实子（五两） 绿豆 白芨 白芷 天花粉（各一两）
甘松 砂仁 白丁香（各五钱） 三奈（三钱）
上为末，糯米饭捣丸，如弹子大。量用洗面。
面上五色疮方
用盐汤绵浸 疮上。日五、六度。
面上豆痕或斑 靥方
用密陀僧细末，夜以人乳汁调敷。
面上粉刺方
用不语唾涂之。或捣菟丝子汁涂。或以白矾末少许，酒调涂。（不语唾恐是平旦未言语先者。）
斗门方 治黑 令面色好。
白僵蚕 黑牵牛 北细辛（各等分）
为粗末，作澡豆。又去小儿胎秽。
指爪破面方
用生姜自然汁，调轻粉。敷破处。无瘢瑕。
又方
橄榄汁敷之。无痕。
平胃散
面疮。水调平胃散涂之。
白附子散 治面上热疮似癣。或生赤黑斑点。
白附子 密陀僧 白茯苓 白芷 定粉（等分）
上为末。先用萝卜煎汤洗面净，后用羊乳调。至夜敷患处，次早洗去，效。
祛风白芷散 治面上风癣疮。
白芷（三钱） 黄连 黄柏 黄丹（各二钱） 茯苓（一钱五分） 轻粉（一钱）
上为细末，用油调搽癣疮上。或加孩儿茶二钱，麝香二分，亦可。
手、足六条阳经的经脉，都上行至头部，而面部是诸阳经汇聚之处。足阳明胃经，又起于鼻翼旁的迎香穴附近（鼻交中），所以面部唯独能够耐寒。如果反而怕冷且面部发凉，这是胃寒。如果怕热且面部发热，这是胃热。面部发凉的，面色多呈青白色。面部发热的，面色多呈红色。面色黄且斑驳不均的，是胃中有虫积。面色黄且吃完东西像没吃饱一样饥饿的，是胃疸。面部浮肿的，是胃风。面部生疮的，是胃火。由于膏粱厚味积聚化热，因为胃经起于面部，所以面部的疾病大多归属于胃。也有面部生疮属于脾肺风热，面部如蒙尘垢属于肝胆燥热，面部出现某种病变属于风湿痰饮的，又不单单只与足阳明胃经有关。应当参考后方的方剂，选择对证的进行治疗。
升麻胃风汤：治疗胃风导致的面部浮肿，或者麻木，牙关紧闭，眼睛眯合不开。
处方：升麻（二钱）、白芷、当归、葛根、苍术（各一钱）、甘草（一钱）、柴胡、藁本、羌活、黄柏、草豆蔻（各三分）、麻黄（不去节，五分）、蔓荆子（二分）。
煎服法：生姜一片，大枣一枚，水两盏，煎至七分。饭后服用。
升麻顺气汤：治疗因忧思和饮食失节导致的，面色黧黑，心中空虚感，气息急促。
处方：升麻（一钱半）、干葛、防风、白芷、黄芪、人参（各一钱）、白芍药（六分）、甘草、苍术（各五分）。
煎服法：水两盏，生姜一片，大枣一枚，煎至七分。饭后再温服。
犀角升麻汤：治疗阳明经络受风热侵袭，口唇、颊车、发鬓肿痛，以及鼻额间连及头面的疼痛。嘴巴张不开，虽然能说话，但影响饮食。也治疗面部发热。
处方：犀角（七钱半）、川升麻（半两）、防风、黄芩（各三钱半）、香白芷、白附子、川芎（各二钱半）、羌活（三钱一分五厘）、生甘草（一钱半）。
煎服法：将药材捣碎成粗末，全部作为一服药。用水五盏，煎至三盏半。去渣，分作三次服用。一天服完一次，症状必然减轻。如果脏腑有些许溏泄也不妨碍。足阳明经是胃经。医经说：肠胃如同集市。又说：阳明经多血多气。胃之中，腥膻五味无所不纳，就像集市里无所不有一样。在六经之中，血气俱多，腐熟饮食产生的毒素聚集在胃，所以此方以犀角为主药，升麻为佐药入胃经。其余药物都是涤除风热的，使用有效。
补胃汤：治疗胃虚导致的胫骨寒冷，面目浮肿。也治疗面部发凉。
处方：柏子仁、防风、细辛、桂心、陈皮（各一钱）、川芎、吴茱萸、人参（各一钱半）、甘草（五分）。
煎服法：水两钟，煎至七分。饭后再温服。
茯苓桂枝五味子甘草汤加大黄：治疗咳嗽气逆，倚靠呼吸不能平卧，面部发热像喝醉了一样，这是因为胃热上冲，熏蒸面部所致。
七白散：治疗面部色斑、面部污垢。
处方：白蔹、白术、白牵牛、白附子、白芷、白芍药、白僵蚕（各等分）。
用法：研为细末。每次用五钱，煎汤清洗面部。
洗面药：治疗面部生斑，或生小疮，或生痤疮粉刺，皮肤瘙痒，面部污垢。
处方：皂角（三斤）、升麻（八两）、楮实子（五两）、绿豆、白芨、白芷、天花粉（各一两）、甘松、砂仁、白丁香（各五钱）、三奈（三钱）。
用法：以上药材研为细末，用糯米饭捣丸，如弹子大小。根据用量用来洗面。
面上五色疮方：
用盐汤浸湿绵纸敷在疮上。每天五到六次。
面上粉刺方：
用不说话时的唾液涂抹。或者捣菟丝子汁涂抹。或者用少许白矾末，酒调匀涂抹。（不说话时的唾液恐怕是指清晨未说话之前的唾液。）
斗门方：治疗黑斑使面色变好。
处方：白僵蚕、黑牵牛、北细辛（各等分）。
用法：研为粗末，制成澡豆。又能去除小儿胎毒秽气。
指爪破面方：
用生姜自然汁，调匀轻粉。敷在破损处。不留疤痕瑕疵。
又方：
用橄榄汁敷贴。无痕迹。
白附子散：治疗面部热疮似癣。或生赤黑斑点。
处方：白附子、密陀僧、白茯苓、白芷、定粉（等分）。
用法：以上研为细末。先用萝卜煎汤洗净面部，后用羊乳调匀。夜间敷在患处，次日早晨洗去，有效。
祛风白芷散：治疗面部风癣疮。
处方：白芷（三钱）、黄连、黄柏、黄丹（各二钱）、茯苓（一钱五分）、轻粉（一钱）。
用法：以上研为细末，用油调匀搽在癣疮上。也可以加孩儿茶二钱，麝香二分，同样可以。
The meridians of the six yang channels of the hand and foot all ascend to the head, and the face is the gathering point of all yang meridians. The Foot-Yangming Stomach Meridian originates near the side of the nose (at Yingxiang), so the face alone can endure cold. If one feels aversion to cold and the face feels cold, it indicates Stomach Cold. If one feels aversion to heat and the face feels hot, it indicates Stomach Heat. When the face is cold, the complexion tends to be bluish-white. When the face is hot, the complexion tends to be red. A yellow and mottled complexion indicates accumulation of intestinal parasites in the Stomach. A yellow complexion with a sensation of hunger even after eating indicates Stomach Jaundice. Facial edema indicates Wind affecting the Stomach. Facial sores indicate Stomach Fire. Due to the accumulation of heat from rich and greasy foods, and because the Stomach Meridian originates on the face, facial diseases mostly belong to the Stomach. However, there are also cases where facial sores belong to Wind-Heat of the Spleen and Lung, facial dustiness belongs to Dryness-Heat of the Liver and Gallbladder, and certain facial lesions belong to Wind-Dampness and Phlegm-Fluids; these do not solely relate to the Foot-Yangming Stomach Meridian. One should select appropriate formulas from the following prescriptions to treat according to the syndrome.
Shengma Weifeng Tang (Cimicifuga Decoction for Stomach Wind): Treats facial edema caused by Wind affecting the Stomach, or numbness, trismus (lockjaw), and eyes that cannot open fully.
Ingredients: Shengma (Cimicifugae Rhizoma, 2 qian), Baizhi (Angelicae Dahuricae Radix), Danggui (Angelicae Sinensis Radix), Gegen (Puerariae Lobatae Radix), Cangzhu (Atractylodis Rhizoma, each 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian), Chaihu (Bupleuri Radix), Bencao (Ligustici Rhizoma et Radix), Qianghuo (Notopterygii Rhizoma et Radix), Huangbai (Phellodendri Cortex), Caodoukou (Amomi Fructus Rotundus, each 3 fen), Mahuang (Ephedrae Herba, unrooted, 5 fen), Manjingzi (Vittagiae Fructus, 2 fen).
Preparation and Administration: Add one slice of Shengjiang (Zingiberis Rhizoma Recens) and one Jujube (Zizyphi Fructus), decoct with two cups of water until reduced to seven-tenths. Take after meals.
Shengma Shunqi Tang (Cimicifuga Decoction for Regulating Qi): Treats darkened complexion due to excessive worry, thinking, and irregular diet, accompanied by a sensation of emptiness in the heart and shortness of breath.
Ingredients: Shengma (Cimicifugae Rhizoma, 1.5 qian), Gange (Puerariae Lobatae Radix), Fangfeng (Saposhnikoviae Radix), Baizhi (Angelicae Dahuricae Radix), Huangqi (Astragali Radix), Renshen (Ginseng Radix et Rhizoma, each 1 qian), Baishaoyao (Paeoniae Radix Alba, 6 fen), Gancao (Glycyrrhizae Radix et Rhizoma), Cangzhu (Atractylodis Rhizoma, each 5 fen).
Preparation and Administration: Decoct with two cups of water, one slice of Shengjiang (Zingiberis Rhizoma Recens), and one large Jujube (Zizyphi Fructus Major) until reduced to seven-tenths. Take warm long after meals.
Xijiao Shengma Tang (Rhinoceros Horn and Cimicifuga Decoction): Treats Wind-Heat invading the Yangming meridians, causing swelling and pain of the lips, Jiache region (angle of jaw), and temples, as well as pain connecting the nose, forehead, head, and face. Inability to open the mouth, though speech is possible, interferes with eating. Also treats facial heat.
Ingredients: Xijiao (Rhinocerotis Cornu), Chuan Shengma (Cimicifugae Rhizoma, half liang), Fangfeng (Saposhnikoviae Radix), Huangqin (Scutellariae Radix, each 3.5 qian), Xiang Baizhi (Angelicae Dahuricae Radix), Baifuzi (Aconiti Kusnezoffii Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma, each 2.5 qian), Qianghuo (Notopterygii Rhizoma et Radix, 3 qian 1.5 fen), Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma, 1.5 qian).
Preparation and Administration: Crush the herbs into coarse pieces. Combine as one dose. Decoct with five cups of water until reduced to three and a half cups. Strain and divide into three doses. Finish one day's treatment at once; symptoms will surely subside. Mild loose stools from the viscera are not a contraindication. The Foot-Yangming is the Stomach Meridian. The classics state: "The intestines and stomach are like a market." And again: "Yangming has abundant blood and qi." The Stomach accepts all flavors—pungent, sweet, sour, bitter, salty—just as a market contains everything. Among the Six Channels, Yangming has abundant blood and qi. Toxins generated from rotting and ripening food accumulate in the Stomach. Therefore, this formula uses Xijiao (Rhinocerotis Cornu) as the chief herb and Shengma (Cimicifugae Rhizoma) as an assistant to enter the Stomach Meridian. The remaining herbs clear Wind-Heat and are effective when used.
Bugwei Tang (Stomach-Nourishing Decoction): Treats cold shanks due to Stomach Deficiency, facial and ocular edema. Also treats facial coldness.
Ingredients: Baiziren (Biota Semen), Fangfeng (Saposhnikoviae Radix), Xixin (Asari Radix et Rhizoma), Guixin (Cinnamomi Cortex), Chenpi (Citri Reticulatae Pericarpium, each 1 qian), Chuanxiong (Ligustici Chuanxiong Rhizoma), Wuzhuyu (Evodiae Fructus), Renshen (Ginseng Radix et Rhizoma, each 1.5 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 5 fen).
Preparation and Administration: Decoct with two bells of water until reduced to seven-tenths. Take warm long after meals.
Fuling Guizhi Wuweizi Gancao Tang plus Dahuang (Poria, Cinnamon Twig, Schisandra, Licorice Decoction plus Rheum): Treats cough with inverted qi, inability to lie flat, and facial heat resembling drunkenness. This is due to Stomach Heat rushing upward and steaming the face.
Qibai San (Seven Whites Powder): Treats facial macules and facial dirtiness.
Ingredients: Bailian (Tinosporae Caulis), Baizhu (Atractylodis Macrocephalae Rhizoma), Bai Qianniu (Ipomoeae Semen), Baifuzi (Aconiti Kusnezoffii Radix), Baizhi (Angelicae Dahuricae Radix), Baishaoyao (Paeoniae Radix Alba), Bai Jiangcan (Bombyx Batryticatus, equal parts).
Usage: Grind into powder. Use 5 qian per time, decoct in water to wash the face.
Mianxi Yao (Face-Washing Medicine): Treats facial spots, small sores, acne/pimples, skin itching, and facial dirtiness.
Ingredients: Zaojiao (Gleditsiae Sinensis Fructus, 3 jin), Shengma (Cimicifugae Rhizoma, 8 liang), Chushizi (Celtidis Semen, 5 liang), Ludou (Vigna Angularis Semen), Baiji (Bletillae Rhizoma), Baizhi (Angelicae Dahuricae Radix), Tianhuafen (Trichosanthis Radix, each 1 liang), Gangsong (Nardostachyos Radix et Rhizoma), Sharen (Amomi Fructus), Bai Dingxiang (Veneris Ovarium, each 5 qian), Santai (Kaempferiae Galanga Rhizoma, 3 qian).
Usage: Grind all into powder. Mix with glutinous rice paste to form pills the size of a bullet. Use as needed to wash the face.
Formula for Five-Colored Sores on the Face:
Soak cotton wool in salt water and apply to the sores. Do this five or six times daily.
Formula for Acne Scars or Spots on the Face:
Use fine powder of Mituoseng (Lithargyrum), mix with human breast milk, and apply at night.
Formula for Facial Acne/Pimples:
Apply saliva obtained before speaking. Or apply juice of Tusizi (Cuscutae Semen). Or mix a small amount of Baifan (Alumen) with wine and apply. (Saliva before speaking likely refers to saliva produced in the early morning before any conversation.)
Doumen Formula: Treats black spots to improve complexion.
Ingredients: Bai Jiangcan (Bombyx Batryticatus), Hei Qianniu (Ipomoeae Semen), Bei Xixin (Asari Radix et Rhizoma, equal parts).
Usage: Grind into coarse powder to make bath beans. It also removes infantile fetal impurities.
Formula for Scratches on the Face from Fingernails:
Use fresh juice of Shengjiang (Zingiberis Rhizoma Recens), mix with Qingfen (Calomelas). Apply to the broken area. Leaves no scars or blemishes.
Another Formula:
Apply olive juice. Leaves no marks.
Pingwei San (Regulate the Stomach Powder):
For facial sores. Mix Pingwei San with water and apply topically.
Baifuzi San (Aconite Root Powder): Treats hot sores on the face resembling tinea, or red-black spots.
Ingredients: Baifuzi (Aconiti Kusnezoffii Radix), Mituoseng (Lithargyrum), Bai Fuling (Poria), Baizhi (Angelicae Dahuricae Radix), Dingfen (Lead Carbonate, equal parts).
Usage: Grind into powder. First wash the face clean with decocted radish water. Then mix with sheep milk. Apply to the affected area at night, wash off the next morning. Effective.
Qufeng Baizhi San (Wind-Expelling Angelica Powder): Treats wind-tinea sores on the face.
Ingredients: Baizhi (Angelicae Dahuricae Radix, 3 qian), Huanglian (Coptidis Rhizoma), Huangbai (Phellodendri Cortex), Huangdan (Mineral Lead Oxide, each 2 qian), Fuling (Poria, 1.5 qian), Qingfen (Calomelas, 1 qian).
Usage: Grind into fine powder. Mix with oil and apply to the tinea sores. Alternatively, add Ha'ercha (Camellia Seed Cake) 2 qian and Muxiang (Moschus) 2 fen.