夫唇口面皴者。为寒时触冒风冷。冷折腠理。伤其皮肤。故令皴襞。经络之气。诸阳之
会。皆在于面。其脉有环唇夹于口者。若血气实者。虽劲风严寒。不能伤之。虚则腠理开而
受风邪。故得风冷而皴襞也。又冬时以暖汤洗面及向火。外假热气冲于腠理。而触风冷。亦
令病皴也。
方
生地黄煎(出圣惠方一名润脾膏)治脾热。唇焦枯无润泽。
生地黄汁 生天门冬汁(各半升) 葳蕤 生麦门冬(各二两去心) 细辛 甘草(生
锉)
芎
煎令
药色
含咽
治唇面皴。(出圣惠方)
蜡 羊脂 朱砂(各半两研细) 甲煎(一合) 紫草(半分锉) 上先将蜡。于铜锅
中微火
煎稍
凝。
治远行唇口面皴。(出十便良方一名猪脂膏)
用猪脂熟煎。以合器盛。每至夜间。常涂唇及面上。或于野宿睡卧。唇面不皴。
治冬月唇干折出血方。(出海上方一名桃仁膏)
用桃仁烂捣。以猪脂调涂于唇上。效。
治紧唇面 。(出圣惠方)
以马齿苋。水煮洗之。
治唇紧方。
取鳖甲及头。烧灰作末以敷之。
夫凡舌者主心。小肠之候也。舌重十两。长七寸。广二寸半。善用机衡。能调五味也。
凡
而
肝欲酸。脾欲甘。肾欲咸。此五味内合五脏之气也。若脏热。则舌生疮。引唇揭赤。若腑寒
。则舌本缩。口噤唇青。寒宜补之。热宜泻之。不寒不热。根据脏腑调之。舌缩口噤唇青。升
麻煎主之。
舌者心之官。主尝五味。以荣养于身。资于脾。以分布津液于五脏。故心之本脉
系于舌根
缩而不能
闭则白胎如
而荣于身
舌木舌舌
但舌疮
已。局
唇口面部皮肤皲裂,是因为在寒冷时节触犯风冷之气。寒气使腠理(皮肤纹理及汗孔)收缩,损伤了皮肤,从而导致皮肤出现皱纹和裂口。经络之气汇聚于面部,因为面部是诸阳经交会之处。其中有经脉环绕嘴唇并夹持口腔。如果人体血气充实,即使是强劲的寒风严寒也不能伤害它;如果血气虚弱,则腠理开泄而受风邪侵袭,所以遇到风冷就会导致皮肤皲裂。另外,冬天用热水洗脸或靠近火源取暖,外来的热气冲击腠理,此时若再触碰到风冷,也会导致发生皲裂病症。
方剂:
生地黄煎(出自《圣惠方》,又名润脾膏),治疗脾热导致的嘴唇焦枯、没有润泽。
药材:生地黄汁、生天门冬汁(各半升)、葳蕤、生麦门冬(各二两,去心)、细辛、甘草(生锉碎)。
用法:煎煮至药色变化,含在口中慢慢咽下。
治唇面皲裂方(出自《圣惠方》)。
药材:蜡、羊脂、朱砂(各半两,研细)、甲煎(一合)、紫草(半分,锉碎)。
用法:先将蜡放入铜锅中,用微火煎至稍微凝固。
治长途旅行后唇口面部皲裂方(出自《十便良方》,又名猪脂膏)。
用法:将猪脂煮熟煎炼,用容器盛装。每晚常涂抹于嘴唇和面部。如果在野外露宿睡觉,唇面也不会皲裂。
治冬季嘴唇干燥开裂出血方(出自《海上方》,又名桃仁膏)。
用法:将桃仁捣烂,用猪脂调和涂抹于嘴唇上,有效。
治嘴唇紧绷方(出自《圣惠方》)。
用法:用马齿苋水煮后清洗患处。
治嘴唇紧绷方。
用法:取鳖甲及其头部,烧成灰制成粉末敷贴患处。
大凡舌头是心的外候,也是小肠的征象。舌头重十两,长七寸,宽二寸半,善于运用权衡机制,能够辨别五味。
肝喜欢酸味,脾喜欢甘味,肾喜欢咸味,这是五味内在对应五脏之气的表现。如果脏腑有热,则舌头上生疮,牵引嘴唇揭起发红;如果腑脏有寒,则舌根收缩,口噤(牙关紧闭)嘴唇发青。寒证适宜补益,热证适宜泻除,不寒不热的情况,根据脏腑情况进行调理。对于舌缩、口噤、嘴唇发青的症状,用升麻煎主治。
舌头是心的官窍,主管品尝五味,以滋养身体,依赖脾来分布津液到五脏。所以心的本脉系于舌根……(原文此处残缺不全,无法完整翻译后续内容)
Cracking of the lips, mouth, and face occurs when one is exposed to wind-cold during cold weather. The cold causes the Couli (pores and skin texture) to contract and damages the skin, resulting in wrinkles and fissures. The Qi of the meridians converges on the face, as it is the meeting point of all Yang meridians. There are meridians that circle the lips and flank the mouth. If Blood and Qi are substantial, even strong winds and severe cold cannot harm the body; if they are deficient, the Couli open, allowing Wind pathogen to invade, thus leading to cracking upon exposure to wind-cold. Furthermore, washing the face with warm water or warming oneself by a fire in winter causes external heat to rush into the Couli; if this is followed by exposure to wind-cold, it also leads to cracking.
Prescription:
Shengdi Huang Jian (Raw Rehmannia Decoction) [from *Shenghui Fang*, also known as Run Pi Gao / Spleen-Moistening Paste], treating Spleen Heat causing dry, cracked, and unmoistened lips.
Ingredients: Raw Shengdi Huang Juice (Rehmanniae Radix Fresh Juice), Raw Tian Dong Juice (Asparagi Radix Juice) (each half sheng); Ruizhu (Polygonati Rhizoma), Raw Maidong (Ophiopogonis Radix) (each two liang, heart removed); Xixin (Asari Radix et Rhizoma); Gancao (Glycyrrhizae Radix et Rhizoma) (freshly crushed).
Usage: Decoct until the color of the medicine changes, hold in the mouth, and swallow slowly.
Prescription for Cracking of Lips and Face [from *Shenghui Fang*].
Ingredients: Beeswax (La), Sheep Fat (Yang Zhi), Cinnabar (Zhusha) (each half liang, finely ground); Jia Jian (Turtle Shell Preparation); Zicao (Arnebiae Radix seu Lithospermi Radix) (half fen, crushed).
Usage: First, melt the beeswax in a copper pot over low heat until slightly solidified.
Prescription for Cracking of Lips and Face after Long Travel [from *Shibian Liangfang*, also known as Zhuzhi Gao / Pig Fat Ointment].
Usage: Cook and refine pig fat, store in a container. Apply frequently to the lips and face every night. One will not suffer from cracking even if sleeping outdoors.
Prescription for Dry, Cracked, and Bleeding Lips in Winter [from *Haishang Fang*, also known as Taoren Gao / Peach Kernel Ointment].
Usage: Pound peach kernels thoroughly, mix with pig fat, and apply to the lips. Effective.
Prescription for Tight Lips [from *Shenghui Fang*].
Usage: Wash the area with water boiled with Portulaca oleracea (Machixian).
Prescription for Tight Lips.
Usage: Take turtle shell (Biejia) and its head, burn them to ash, grind into powder, and apply topically.
Generally, the tongue is the manifestation of the Heart and the Small Intestine. The tongue weighs ten taels, is seven cun long, and two and a half cun wide. It skillfully employs balance and can distinguish the five flavors.
The Liver desires sour, the Spleen desires sweet, and the Kidney desires salty; these are the five flavors internally corresponding to the Qi of the five Zang organs. If the Zang organs have Heat, sores appear on the tongue, pulling the lips upward and reddening them. If the Fu organs have Cold, the root of the tongue contracts, causing lockjaw (Kou Jin) and cyanosis of the lips. Cold conditions should be tonified, Heat conditions should be purged, and conditions without extreme cold or heat should be regulated according to the Zang and Fu organs. For symptoms of tongue contraction, lockjaw, and cyanotic lips, Shengma Jian (Cimicifugae Decoction) is the primary treatment.
The tongue is the official organ of the Heart, responsible for tasting the five flavors, nourishing the body, and relying on the Spleen to distribute Body Fluids to the five Zang organs. Therefore, the primary meridian of the Heart connects to the root of the tongue... [The original text here is fragmented and incomplete.]