难经云。人面独能耐寒者。何也。盖人头者。诸阳之会也。诸阴脉皆至颈项中而还。独
诸阳
脉皆上至头。而足阳明胃之经。起鼻交 中。入齿中。侠口环唇。倚颊车。上耳前过客主人
穴。其或胃中风热。或风热乘之。令人面肿。或面鼻色紫。风刺瘾疹。或面热面寒。随其经
症而治之。
一论面寒者。阳明经虚寒也。
升麻附子汤
升麻 葛根 白芷 黄 （各七分） 大附子（炮七分） 人参 草豆蔻（各五分） 益智仁
（三分） 炙甘草（五分）
上锉一剂。连根葱白二根。水煎服。
一论面热者。阳明经风热也。
升麻黄连汤
升麻 葛根（各一钱五分） 白芍（七分） 川芎（四分） 薄荷 荆芥（各三分） 苍术（八
分半） 黄连（酒洗五分） 酒芩（六分） 犀角（四分半） 白芷（二分） 甘草（五分）
上锉。水煎。食后服。
一论面上疮者。上焦火也。
清上防风汤
防风（一钱） 荆芥（五分） 连翘（八分） 山栀（五分） 黄连（五分） 黄芩（酒炒七分）
薄荷（五分） 川芎（七分） 白芷（八分） 桔梗（八分） 枳壳（五分） 甘草（三分）
上锉一剂。水煎。入竹沥同服。
一论面唇紫黑。乃阳明经不足也。
升麻白芷汤
升麻 防风 白芷（各一钱） 芍药 苍术（各三分） 黄 人参（各五分） 葛根（一钱
半） 甘草（四分）
上锉一剂。姜、枣煎服。宜早后午前服。取天气上升于中。使阳达于面也。
一论面上粉刺者。肺火也。
清肺饮
连翘 川芎 白芷 黄连 黄芩 荆芥 桑皮 苦参 山栀 贝母 甘草
上锉。水煎。临卧服。
一点痣方。
以巴豆七个。锻石等分为末。以咸水搜在盏内。藏糯米于巴豆锻石内。候米烂。将痣用
针拨动。以米膏点之绝。三日不洗。自然脱落。
一起字出青方。
矿锻石 紫蓼灰（各一钱） 苦参（五钱） 碱（一钱） 加百草灰、辣蓼灰各一钱。
上为末。水调写字上。有泥起。拂去再上。
一出刺青方。
马肉不拘多少。尽令苍蝇饱食作坏生蛆出。晒干为末。以针挑动青处。掺药。其青自出
一抓破面皮。用生姜自然汁。调轻粉擦患处。便无痕迹。
一洗面方。
每早以漱口水吐在手掌中洗面。久久自润。粉刺自消。
一治赤红烂脸。水银、地沥青蜡各一钱。共捣涂之。
一治面上 鼻酒刺方。
雄黄（一钱） 硫黄（五分） 铅粉（一钱）
上共为末。乳汁调涂。晚上敷。次日温水洗之。如此三次去矣。
《难经》说：“唯独人脸能够耐受寒冷，这是为什么呢？”这是因为人的头部是诸阳经汇聚的地方。所有的阴经脉都只到达颈项部就返回了，只有诸阳经脉都上行至头部。其中足阳明胃经，起始于鼻翼旁，交汇于鼻根处，进入上齿中，夹持口唇周围，沿着颊车穴，上行至耳前，经过客主人穴。如果胃经受风热邪气侵袭，或者风热乘虚而入，就会导致面部肿胀；或者面色和鼻部呈现紫色，出现风刺、瘾疹（皮肤瘙痒起疙瘩）；或者面部感觉发热或发冷，应当根据其所涉及的经络症状进行治疗。
第一种情况论述面部发冷，这是由于阳明经虚寒所致。
方剂：升麻附子汤
药材及用量：升麻、葛根、白芷、黄芪（各七分）、大附子（炮制后七分）、人参、草豆蔻（各五分）、益智仁（三分）、炙甘草（五分）。
用法：将上述药材切碎为一剂药量，加入带根的葱白两根，用水煎煮后服用。
第二种情况论述面部发热，这是由于阳明经风热所致。
方剂：升麻黄连汤
药材及用量：升麻、葛根（各一钱五分）、白芍（七分）、川芎（四分）、薄荷、荆芥（各三分）、苍术（八分半）、黄连（酒洗五分）、黄芩（酒炒六分）、犀角（四分半）、白芷（二分）、甘草（五分）。
用法：将上述药材切碎，用水煎煮，饭后服用。
第三种情况论述面部生疮，这是由于上焦火盛所致。
方剂：清上防风汤
药材及用量：防风（一钱）、荆芥（五分）、连翘（八分）、山栀（五分）、黄连（五分）、黄芩（酒炒七分）、薄荷（五分）、川芎（七分）、白芷（八分）、桔梗（八分）、枳壳（五分）、甘草（三分）。
用法：将上述药材切碎为一剂药量，用水煎煮，服药时加入竹沥一同服用。
第四种情况论述面唇紫黑，这是由于阳明经气血不足所致。
方剂：升麻白芷汤
药材及用量：升麻、防风、白芷（各一钱）、芍药、苍术（各三分）、黄芪、人参（各五分）、葛根（一钱半）、甘草（四分）。
用法：将上述药材切碎为一剂药量，加生姜、大枣煎煮服用。适宜在早饭后至午饭前服用，以顺应天气阳气上升于中的规律，使阳气通达于面部。
第五种情况论述面部粉刺，这是由于肺火所致。
方剂：清肺饮
药材：连翘、川芎、白芷、黄连、黄芩、荆芥、桑白皮、苦参、山栀、贝母、甘草。
用法：将上述药材切碎，用水煎煮，临睡前服用。
点痣方：
取巴豆七个，与锻石等份研为细末。用咸水调和粉末置于盏内，将糯米包裹在巴豆和锻石的粉末中。等待米粒腐烂后，用针轻轻拨动痣部，用烂米膏点涂患处，即可消除。三天内不要洗脸，痣自然会脱落。
一起字出青方（去除青色字迹或色素沉着）：
取矿锻石、紫蓼灰（各一钱）、苦参（五钱）、碱（一钱），再加百草灰、辣蓼灰各一钱。
用法：将上述药材研为细末，用水调匀涂抹在青色部位。若有泥状物隆起，拂去后再涂抹。
一出刺青方（去除纹身）：
取马肉不拘多少，让苍蝇饱食直至马肉腐败生蛆。取出蛆虫晒干研为细末。用针挑破青色纹身处，掺入药粉，青色自会消退。
抓破面皮修复法：
若抓破面皮，可用生姜自然汁，调和轻粉擦拭患处，便不会留下痕迹。
洗面方：
每天早晨用漱口水吐在手掌中用来洗脸，久而久之皮肤自然滋润，粉刺也会自行消除。
治面上鼻部酒刺（酒渣鼻）方：
雄黄（一钱）、硫黄（五分）、铅粉（一钱）。
用法：将上述药材共研为细末，用乳汁调匀涂抹。晚上敷药，次日清晨用温水洗净。如此反复三次即可痊愈。
The *Nan Jing* (Classic of Difficult Issues) states: "Why is it that only the human face can endure cold?" This is because the head is the convergence point of all Yang meridians. All Yin meridians reach only to the neck and nape before returning, whereas all Yang meridians ascend to the head. Specifically, the Foot-Yangming Stomach Meridian originates beside the nose, intersects at the root of the nose, enters the upper teeth, surrounds the lips, runs along the Jiache acupoint, ascends anterior to the ear, and passes through the Zhusanren acupoint. If the stomach meridian is invaded by wind-heat pathogenic factors, or if wind-heat takes advantage of deficiency, it may cause facial swelling; or the complexion of the face and nose may turn purple, accompanied by wind-stinging or urticaria (skin itching with wheals); or the face may feel hot or cold. Treatment should be based on the symptoms corresponding to the affected meridian.
First, regarding facial coldness: this is due to deficiency-cold of the Yangming meridian.
Formula: Shengma Fuzi Tang (Cinnamon Twig and Aconite Decoction)
Ingredients: Rhizoma Cimicifugae (Shengma), Radix Puerariae (Gegen), Rhizoma Angelicae Dahuricae (Baizhi), Radix Astragali (Huangqi) (each 0.7 fen), Radix Aconiti Lateralis Preparata (Da Fuzi, processed) (0.7 fen), Radix Ginseng (Renshen), Fructus Cardamomi Rotundus (Caodoukou) (each 0.5 fen), Fructus Alpiniae Oxyphyllae (Yizhiren) (0.3 fen), Radix Glycyrrhizae Preparata (Zhi Gancao) (0.5 fen).
Usage: Decoct one dose of the chopped herbs with two stalks of green onion (including roots) in water.
Second, regarding facial heat: this is due to wind-heat of the Yangming meridian.
Formula: Shengma Huanglian Tang (Cinnamon Twig and Coptis Decoction)
Ingredients: Rhizoma Cimicifugae (Shengma), Radix Puerariae (Gegen) (each 1.5 qian), Radix Paeoniae Alba (Baishao) (0.7 fen), Radix Chuanxiong (Chuanxiong), Herba Menthae (Bohe), Herba Schizonepetae (Jingjie) (each 0.3 fen), Rhizoma Atractylodis Macrocephalae (Cangzhu) (0.85 fen), Rhizoma Coptidis (Huanglian, washed with wine) (0.5 fen), Radix Scutellariae (Huangqin, fried with wine) (0.6 fen), Cornu Rhinocerotis (Xijiao) (0.45 fen), Rhizoma Angelicae Dahuricae (Baizhi) (0.2 fen), Radix Glycyrrhizae (Gancao) (0.5 fen).
Usage: Decoct the chopped herbs in water and take after meals.
Third, regarding facial sores: this is due to fire in the Upper Jiao.
Formula: Qingshang Fangfeng Tang (Upper-Clearing Saposhnikovia Decoction)
Ingredients: Radix Saposhnikoviae (Fangfeng) (1 qian), Herba Schizonepetae (Jingjie) (0.5 fen), Fructus Forsythiae (Lianqiao) (0.8 fen), Fructus Gardeniae (Shanzhi) (0.5 fen), Rhizoma Coptidis (Huanglian) (0.5 fen), Radix Scutellariae (Huangqin, fried with wine) (0.7 fen), Herba Menthae (Bohe) (0.5 fen), Radix Chuanxiong (Chuanxiong) (0.7 fen), Rhizoma Angelicae Dahuricae (Baizhi) (0.8 fen), Radix Platycodi (Jiegeng) (0.8 fen), Pericarpium Citri Reticulatae Viride (Zhike) (0.5 fen), Radix Glycyrrhizae (Gancao) (0.3 fen).
Usage: Decoct one dose of the chopped herbs in water, and administer with juice from bamboo shoots (Zhuli).
Fourth, regarding purple-black face and lips: this is due to insufficiency of the Yangming meridian.
Formula: Shengma Baizhi Tang (Cinnamon Twig and Angelica Dahurica Decoction)
Ingredients: Rhizoma Cimicifugae (Shengma), Radix Saposhnikoviae (Fangfeng), Rhizoma Angelicae Dahuricae (Baizhi) (each 1 qian), Radix Paeoniae (Shaoyao), Rhizoma Atractylodis Macrocephalae (Cangzhu) (each 0.3 fen), Radix Astragali (Huangqi), Radix Ginseng (Renshen) (each 0.5 fen), Radix Puerariae (Gegen) (1.5 qian), Radix Glycyrrhizae (Gancao) (0.4 fen).
Usage: Decoct one dose of the chopped herbs with ginger and jujubes. It is advisable to take the medicine between breakfast and lunch to align with the ascending nature of heavenly yang qi, thereby allowing yang energy to reach the face.
Fifth, regarding facial acne (comedones): this is due to lung fire.
Formula: Qingfei Yin (Lung-Clearing Drink)
Ingredients: Fructus Forsythiae (Lianqiao), Radix Chuanxiong (Chuanxiong), Rhizoma Angelicae Dahuricae (Baizhi), Rhizoma Coptidis (Huanglian), Radix Scutellariae (Huangqin), Herba Schizonepetae (Jingjie), Cortex Mori Radicis (Sangpi), Radix Sophorae Flavescentis (Kushen), Fructus Gardeniae (Shanzhi), Bulbus Fritillariae (Beimu), Radix Glycyrrhizae (Gancao).
Usage: Decoct the chopped herbs in water and take before retiring for sleep.
Mole Removal Formula:
Take seven seeds of Crotonis Fructus (Badou) and equal parts of Calcitum (Duanshi), grind them into powder. Mix with salty water in a cup. Wrap rice grains within the mixture of Badou and Duanshi powder. Wait until the rice rots. Gently prick the mole with a needle, then apply the rotten rice paste to the mole to eliminate it completely. Do not wash the face for three days; the mole will naturally fall off.
Formula for Removing Blue Marks (from *Chuqing Fang*):
Take Calcitum (Kuangsishi), Ash of Polygonum Bistorta (Ziliaohui) (each 1 qian), Radix Sophorae Flavescentis (Kushen) (5 qian), Alkali (Jian) (1 qian). Add Ash of Hundred Herbs (Baicaohui) and Ash of Polygonum Ayacutifolium (Liaoliaohui) (each 1 qian).
Usage: Grind into powder, mix with water, and write/apply on the blue mark. If mud-like residue rises, wipe it off and reapply.
Formula for Removing Tattoo Ink:
Take horse meat in any quantity. Allow flies to feed on it until it rots and maggots emerge. Dry the maggots and grind into powder. Prick the tattooed area with a needle, sprinkle the powder, and the ink will fade.
For Scratched Face Skin:
Apply fresh ginger juice mixed with Calamina (Qingfen) to the affected area to prevent scarring.
Face Washing Formula:
Every morning, spit mouthwash into your palm and use it to wash your face. Over time, the skin will become moist, and acne will disappear spontaneously.
Treatment for Red, Erosive Face:
Mix Mercury (Shuiyin) and Asphalt Wax (Dilingqingla) (each 1 qian), pound together, and apply topically.
Treatment for Facial and Nasal Rosacea (Jiu Ci):
Realgar (Xionghuang) (1 qian), Sulfur (Liuhuang) (0.5 fen), Lead White (Qianfen) (1 qian).
Usage: Grind into powder, mix with milk, and apply. Apply at night and wash off with warm water the next day. Repeat three times for cure.