虎髭毒在颏下生，胃肾积热入任经，痈 肿痛速溃易，疽坚硬痛麻痒疔。
【注】此毒一名颏痈，肿痛 赤，速溃易治；一名承浆疽，坚硬痛肿，迟溃难治。
若根深，形小似豆，麻痒痛甚，恶寒发热，心烦作呕者疔也，当从疔治。皆由过食炙爆，
以致胃肾二经积热上攻任脉而成。痈疽二证初起，宜服仙方活命饮，加升麻、桔梗消之。
若便秘、唇焦、大渴者，宜内疏黄连汤清之。其余内外治法，俱按痈疽、肿疡溃疡门。初
起麻痒如疔，治法按疔门。
\r虎髭毒图\p04-34a54.bmp\r
仙方活命饮 内疏黄连汤（俱见肿疡门）
燕窝疮在下颏生，如攒粟豆痒热疼，形类黄水疮破烂，此证原来湿热成。
【注】此证生于下颏，俗名羊胡子疮。初生小者如粟，大者如豆，色红热痒微痛，破
津黄水，形类黄水疮，浸淫成片，但疙瘩如攒，由脾胃湿热而成。宜服芩连平胃汤，外
搽碧玉散即效。
\r燕窝疮图\p04-34a55.bmp\r
芩连平胃汤
黄芩（一钱五分） 黄连（一钱） 浓朴（姜炒，一钱）
苍术（炒，二钱） 甘草（生，五分） 陈皮（一钱）
水二盅，姜一片，煎八分，食后服。
【方歌】芩连平胃燕窝疮，除湿清热服更良，姜炒浓朴苍术草，陈皮同煎引生姜。
碧玉散
黄柏末 红枣肉（烧炭存性，各五钱）
共研极细末，香油调搽患处。
【方歌】碧玉散搽燕窝疮，色红疙瘩津水黄，枣炭柏末香油拌，消疼止痒渗湿方。
虎髭毒生于颏下部位，是由于胃、肾两经积热侵入任脉所致。痈表现为肿痛且迅速溃破、容易治愈；疽则表现为坚硬、疼痛伴麻木瘙痒，属于疔疮范畴。
【注】此毒又名颏痈，特点是肿痛发红，迅速溃破且易于治疗；又名承浆疽，特点是坚硬、肿痛，溃破缓慢且难以治疗。
如果病灶根深，形状小如豆粒，伴有明显的麻木、瘙痒和剧烈疼痛，并出现恶寒发热、心烦作呕等症状，则属于疔疮，应当按照疔疮的方法进行治疗。这些病症皆因过食煎炸烧烤食物，导致胃、肾二经积热上攻任脉而形成。对于痈和疽两种证候的初期，适宜服用仙方活命饮，加入升麻、桔梗以消散病灶。若出现便秘、嘴唇焦干、极度口渴的症状，适宜服用内疏黄连汤以清热泻火。其余内外治疗方法，均参照痈疽、肿疡、溃疡章节执行。初期若出现类似疔疮的麻木瘙痒症状，治疗方法参照疔疮章节执行。
燕窝疮生于下颏部位，形态像聚集在一起的粟米或豆粒，伴有瘙痒、灼热和疼痛，外形类似黄水疮（一种渗出性皮肤病），此证原本是由湿热邪气引起的。
【注】此证生于下颏，俗称羊胡子疮。初起时小的如粟米，大的如豆粒，颜色红、有热感、瘙痒且微痛，破溃后流出黄色液体，外形类似黄水疮，浸淫成片，但疙瘩聚集在一起，由脾胃湿热引起。适宜服用芩连平胃汤，外用碧玉散涂抹即可见效。
芩连平胃汤
黄芩（一钱五分） 黄连（一钱） 浓朴（姜炒，一钱）
苍术（炒，二钱） 甘草（生用，五分） 陈皮（一钱）
用水二盅，生姜一片，煎至八分，饭后服用。
【方歌】芩连平胃治燕窝疮，除湿清热服用更佳，姜炒浓朴配苍术草，陈皮同煎引生姜。
碧玉散
黄柏末 红枣肉（烧成炭保留药性，各五钱）
共同研磨成极细粉末，用香油调和后涂抹患处。
【方歌】碧玉散涂抹燕窝疮，色红疙瘩渗黄水，枣炭与柏末拌香油，是消痛止痒祛湿的良方。
Huzi Du (Tiger Whisker Carbuncle) arises below the chin, caused by accumulated heat in the Stomach and Kidney meridians invading the Ren Mai (Conception Vessel). The Yang Abscess (Yong) presents with swelling and pain, rapidly suppurates, and is easy to treat; the Yin Abscess (Ju) presents with hardness, pain accompanied by numbness and itching, belonging to the category of Ding Sores (Ding).
[Note] This condition is also known as He Yong (Chin Abscess), characterized by swelling, pain, and redness, rapidly suppurating and being easy to treat; it is also known as Chengjiang Ju (Chengjiang Yin Abscess), characterized by hardness, swelling, and pain, slowly suppurating and being difficult to treat.
If the root is deep, the shape is small like a bean, accompanied by severe numbness, itching, and pain, along with aversion to cold, fever, mental restlessness, and vomiting, it is classified as a Ding Sore (Ding), and should be treated according to the methods for Ding Sores. All these conditions result from excessive consumption of roasted and fried foods, leading to accumulated heat in the Stomach and Kidney meridians attacking upward into the Ren Mai. For the initial stage of both Yang and Yin Abscesses, it is appropriate to administer Xianfang Huoming Yin (Immortal Life Elixir Decoction) with added Shengma (Cimicifugae Rhizoma) and Jiegeng (Platycodonis Radix) to dissipate the lesion. If constipation, dry lips, and extreme thirst are present, Neishu Huanglian Tang (Internal Purging Coptis Decoction) is appropriate to clear heat. Other internal and external treatment methods follow the chapters on Yang and Yin Abscesses, Swollen Ulcers, and Ulcerated Ulcers. In the initial stage, if numbness and itching resemble Ding Sores, treatment follows the Ding Sore chapter.
Yanwo Chuang (Swallow's Nest Sore) arises below the chin, resembling clusters of millet seeds or beans, accompanied by itching, burning sensation, and pain. Its appearance resembles Huangshui Chuang (Yellow Water Sore, a vesicular dermatitis); this condition originally arises from Damp-Heat pathogenic factors.
[Note] This condition arises below the chin, commonly known as Yang Huzi Chuang (Sheep's Beard Sore). Initially, small lesions are like millet seeds, large ones like beans; they are red, hot, itchy, and slightly painful. Upon rupture, yellow fluid exudes. The appearance resembles Huangshui Chuang, spreading in patches, but the papules cluster together. It is caused by Damp-Heat in the Spleen and Stomach. It is appropriate to administer Qinlian Pingwei Tang (Scutellaria and Coptis Pingwei Decoction) internally, and apply Biyu San (Jade Green Powder) externally for effective results.
Qinlian Pingwei Tang (Scutellaria and Coptis Pingwei Decoction)
Huangqin (Scutellariae Radix, 1.5 qian) Huanglian (Coptidis Rhizoma, 1 qian) Nongpo (Magnoliae Officinalis Cortex, stir-fried with ginger, 1 qian)
Cangzhu (Atractylodis Rhizoma, stir-fried, 2 qian) Gancao (Glycyrrhizae Radix et Rhizoma, raw, 0.5 qian) Chenpi (Citri Reticulatae Pericarpium, 1 qian)
Use two zhong of water, one slice of fresh ginger, decoct until reduced to eight-tenths. Take after meals.
[Prescription Verse] Qinlian Pingwei treats Yanwo Chuang, dampness removal and heat clearing make it superior; ginger-fried Nongpo combined with Cangzhu and Gancao, Chenpi decocted together guiding with fresh ginger.
Biyu San (Jade Green Powder)
Huangbai Mo (Phellodendri Cortex Powder) Hongzaorou (Ziziphi Jujubae Fructus Pulpus, charred to retain efficacy, each 5 qian)
Grind together into an extremely fine powder, mix with sesame oil, and apply to the affected area.
[Prescription Verse] Biyu San applied to Yanwo Chuang, red papules exuding yellow fluid; jujube charcoal mixed with Phellodendri powder and sesame oil, a formula to relieve pain, stop itching, and drain dampness.