王肯堂曰∶面游风毒，此积热在内，或多食辛辣浓味，或服金石刚剂太过，以致
热壅上焦，气血沸腾而作，属足阳明胃经。初觉微痒如虫蚁行，搔损则成疮，痛楚难经。（《准绳》）
《心法》曰∶此症生于面上，初发面目
浮肿，痒若虫行，肌肤干燥，时起白屑，细如鱼鳞，次后极痒；抓破湿热盛者津黄水，
风燥盛者津血，痛楚难堪。皆由平素血燥，过食辛辣浓味，以致阳明胃经湿热受风而
成。痒甚者、宜消风散痛，甚者宜服黄连消毒饮，外搽摩风膏。
\r面游风毒\p04-a41a61.bmp\r
摩风膏
麻黄（五钱） 白檀香 白芨 当归身（各一钱） 升麻 防风（各二钱） 羌活（一两）
香油五两浸五日，文火熬黄去渣，加黄蜡五钱，熔化绢滤冷涂。
书曰∶面上热毒恶疮，乃醇酒炙 ，饮食热毒，聚于胃腑，故发于外，宜柏连散主之。
申斗垣曰∶肺气不清，受风而生，或冷水洗面，热血凝结而成。（《启玄》）
粉刺即粉疵。乃肺热而风吹之，多成此疵，虽无关人累，然书生娇女，各多此
病，亦欠丰致。治以灭瘢丹为之添容。（《秘录》）
冯鲁瞻曰∶肺风，是鼻生紫赤刺、瘾疹。（《锦囊》）
陈实功曰∶肺风属肺热，粉刺、酒 鼻、酒刺，属脾经，此四名同类，皆由血
热郁滞不散。又有好饮者，胃中糟粕之味，熏蒸肺脏而成。经所谓有诸内形诸外，当
分受于何经以治之。（《正宗》）
又曰∶酒刺俗名谷嘴疮。
又曰∶面上酒刺并酒 ，切忌手搔手挤，只用无灰好盐炒过，如痒，即将炒盐
擦之；如出血出水，即将盐按在伤处立止。久即除根。
王肯堂说：面游风毒，这是由于体内积热，或者过多食用辛辣浓味的食物，或者服用金石类刚猛药物过量，导致热气壅塞在上焦，气血沸腾而发病，属于足阳明胃经的病症。刚开始感觉微微发痒，像有虫蚁在皮肤下爬行，抓挠破损后就会形成疮疡，疼痛痛苦难以忍受。（出自《医学准绳六要》）
《医宗心法》说：这种症状生在面部，初起时面目浮肿，瘙痒如同虫行，肌肤干燥，时常出现白色皮屑，细密得像鱼鳞一样，随后极度瘙痒；抓破后，湿热盛的人流出黄色津液（黄水），风燥盛的人流出血液，疼痛痛苦难以忍受。这都是因为平时血燥，又过食辛辣浓味，导致阳明胃经受湿热并受风邪侵袭而成。瘙痒严重的，宜用消风散止痛；疼痛严重的，宜服用黄连消毒饮，外用摩风膏涂抹。
[图片：面游风毒]
摩风膏
配方：麻黄（五钱）、白檀香、白芨、当归身（各一钱）、升麻、防风（各二钱）、羌活（一两）。
制法：用香油五两浸泡五日，用文火熬至药材变黄，去渣，加入黄蜡五钱，熔化后用绢布过滤，冷却后涂抹。
书中说：面上的热毒恶疮，是由于饮用醇酒、吃烤炙食物，饮食中的热毒积聚在胃腑，所以发作于体表，适宜用柏连散主治。
柏连散
配方：胡粉、黄柏（炙）、黄连（各等分）。
制法：研成粉末，用猪脂调和后敷贴。
申斗垣说：肺气不清爽，受风邪而生，或者是用冷水洗脸，导致热血凝结而成。（出自《外科启玄》）
粉刺即粉疵。这是肺热被风吹袭所致，多形成这种瑕疵，虽然不影响他人，但书生和娇贵的女子中，患此病的人很多，也显得不够美观雅致。治疗可用灭瘢丹来增添容貌光彩。（出自《外科秘录》）
冯鲁瞻说：肺风，是指鼻部生出紫红色的刺状物、瘾疹。（出自《外科锦囊》）
陈实功说：肺风属于肺热，粉刺、酒齄鼻、酒刺，属于脾经，这四个名称同类，都是由血热郁滞不散引起的。又有喜好饮酒的人，胃中糟粕的气味熏蒸肺脏而形成。正如经典所说“有诸内必形诸外”，应当区分受邪的经络来进行治疗。（出自《外科正宗》）
又说：面上的酒刺并酒齄鼻，切忌用手抓挠或挤压，只用无灰的好盐炒过后，如果痒，就用炒过的盐擦拭；如果出血或出水，立即将盐按在患处即可立刻止血。久而久之即可除根。
Weng Kentang stated: Mian You Feng Du (Facial Wandering Wind Toxin) arises from accumulated heat within the body, often caused by excessive consumption of pungent and rich flavors, or overuse of metallic and mineral-based rigid medicines. This leads to heat stagnation in the Upper Jiao (Upper Burner), causing Qi and Blood to boil and manifest as disease, belonging to the Foot Yangming Stomach Meridian. Initially, there is a slight itching sensation, like insects crawling on the skin; scratching causes damage leading to sores, with pain that is difficult to endure. (From *Zhunsheng*)
*Xinfa* states: This condition appears on the face. In the early stage, the face and eyes swell, itching feels like insects crawling, the skin is dry, and white scales appear frequently, fine as fish scales, followed by extreme itching. Upon scratching, those with abundant Damp-Heat exude yellow fluid (Huang Shui), while those with abundant Wind-Dryness bleed, suffering unbearable pain. All are due to chronic Blood Dryness and excessive intake of pungent and rich foods, resulting in Damp-Heat in the Yangming Stomach Meridian complicated by Wind invasion. For severe itching, use Xiao Feng San (Eliminate Wind Powder) to relieve pain; for severe pain, take Huang Lian Xiao Du Yin (Coptis Decoction for Detoxification) externally apply Mo Feng Gao (Wind-Moving Ointment).
[Image: Mian You Feng Du]
Mo Feng Gao (Wind-Moving Ointment)
Ingredients: Ephedrae Herba (Mahuang, 麻黄) [5 qian], Santalum Album (Baitanxiang), Bletillae Rhizoma (Baiji), Radix Angelicae Sinensis Body (Danggui Shen) [each 1 qian], Cimicifugae Rhizoma (Shengma), Saposhnikoviae Radix (Fangfeng) [each 2 qian], Notopterygii Rhizoma et Radix (Qianghuo) [1 liang].
Preparation: Soak in 5 liang of Sesame Oil for five days. Simmer over gentle fire until yellow, remove dregs, add 5 qian of Beeswax, melt, filter through silk cloth, and cool before application.
The book states: Heat-toxin malignant sores on the face result from pure wine and roasted foods, where dietary heat-toxins accumulate in the Stomach Fu, manifesting externally. It should be treated primarily with Bai Lian San.
Bai Lian San (White Lead and Coptis Powder)
Ingredients: Cerussa (Hufen), Phellodendri Cortex (Huangbai, roasted), Coptidis Rhizoma (Huanglian) [equal parts].
Preparation: Grind into powder, mix with Pig Fat (Zhu Zhi) for topical application.
Shen Douyuan stated: Unclear Lung Qi combined with Wind invasion causes this, or it results from washing the face with cold water causing hot blood to coagulate. (From *Qixuan*)
Fen Ci (Acne/Pimple) is also known as Fen Pi. It is caused by Lung Heat exposed to Wind, forming these blemishes. Although not harmful to others, it is common among scholars and delicate women, detracting from their appearance. Treatment with Mie Ban Dan can restore facial beauty. (From *Milu*)
Feng Luzhan stated: Fei Feng (Lung Wind) refers to purple-red spines and Urticaria (Yin Zhen) appearing on the nose. (From *Jinnang*)
Chen Shigong stated: Fei Feng belongs to Lung Heat; Fen Ci (Acne), Jiu Zi Bi (Rhinophyma/Alcoholic Nose), and Jiu Ci (Alcoholic Pimples) belong to the Spleen Meridian. These four names are similar, all caused by stagnant and un-dispersed Blood Heat. Additionally, those fond of drinking have residues from the Stomach steaming the Lungs. As the classics say, "What exists internally manifests externally," one must distinguish which meridian is affected to treat it. (From *Zhengzong*)
He further stated: Jiu Ci is colloquially known as Gu Zui Chuang (Grain Mouth Sore).
He further stated: Regarding Jiu Ci and Jiu Zi Bi on the face, one must strictly avoid scratching or squeezing with hands. Instead, use good non-ash salt stir-fried. If itchy, rub with the fried salt; if bleeding or weeping occurs, press the salt onto the wound to stop it immediately. Long-term use eliminates the root cause.