有人风邪在于头,有偏虚处,则发秃落,肌肉枯死。或如钱大,或如指大,发不生,亦
不痒,故谓之鬼舐头。
蛇身者,谓人皮肤上如蛇皮而有鳞甲,世谓之蛇身也。此由血气痞涩,不通润于皮肤故
面 者,谓面上有风热气生 ,头如米大,亦如谷大,白色者是。
《养生方》云∶醉不可露卧,令人面发疮 。
又云∶饮酒热未解,以冷水洗面,令人面发疮,轻者 。
人面皮上,或有如乌麻,或如雀卵上之色是也。此由风邪客于皮肤,痰饮渍于腑脏,故
生 。
《养生方》云∶饱食而坐,不行步,有所作务,不但无益,乃使人得积聚不消之病,及
手足痹,面目梨 。
此由饮酒,热势冲面,而遇风冷之气相搏所生,故令鼻面生 ,赤 币币然也。
嗣面者,云面皮上有滓如米粒者也。此由肤腠受于风邪,搏于津液,津液之气,因虚作
之也。亦言因敷胡粉而皮肤虚者,粉气入腠理化生之也。
凡人肝气通于目。言肝气有热,热冲于目,故令赤痛。
胎赤者,是人初生,洗目不净,令秽汁浸渍于 ,使睑赤烂,至大不瘥,故云胎赤。
目者,肝之窍,风热在内乘肝,其气外冲于目,故见风泪出,目睑 赤。
此由冒触风日,风热之气伤于目,而 睑皆赤烂,见风弥甚,世亦云风眼。
风热伤于目 ,则 赤烂。其风热不去,故 常赤烂,积年不瘥。
有的人风邪侵袭头部,在偏虚的部位,就会发生脱发,肌肉干枯坏死。有的脱发区域像铜钱大小,有的像手指大小,头发不再生长,也不觉得痒,所以称之为“鬼舐头”。
所谓“蛇身”,是指人的皮肤上像蛇皮一样有鳞甲,世人称之为“蛇身”。这是由于血气阻滞涩滞,不能滋润皮肤所致。
所谓“面皰”(此处原文似有缺字或异体,根据上下文及《诸病源候论》常见版本,多指面部疮疡或粉刺类病变,结合后文“醉不可露卧...令人面发疮”,此处应指面部生疮/粉刺),是指面上有风热之气生成的疮疹,头部像米粒大,也像谷粒大,颜色是白色的。《养生方》说:醉酒之后不可以露天睡觉,这会使人脸部生出疮疡。又说:饮酒后热气未消,用冷水洗脸,会使人脸部生出疮疡,轻者表现为面皰。
人的面部皮肤上,有的像黑芝麻,有的像麻雀卵上的斑点色泽。这是由于风邪客居在皮肤,痰饮浸渍于脏腑,所以产生这些斑点。《养生方》说:吃饱饭后坐着不动,不散步,还要从事劳作,不仅没有益处,反而使人患上积聚不消的病,以及手足麻木、面目呈现梨状斑痕(面皯)。
这是由饮酒导致热气冲撞面部,又遇到风寒之气相互搏结所产生,所以令鼻部和面部生出疮疡,红赤光亮。
所谓“嗣面”(疑为“黧黑”或类似色素沉着之误,或指面部污垢/斑点,原文作“嗣面”,云面皮上有滓如米粒者也,可能指面部细小颗粒或暗沉),是说面部皮肤上有渣滓样的东西像米粒。这是由于肤腠受到风邪,与津液搏结,津液之气,因为虚弱而生成它。也有说法认为是因为涂抹胡粉(古代化妆品)而皮肤虚弱,粉气进入腠理化生出来的。
凡人的肝气通达于眼睛。如果说肝气有热,热气冲撞于眼睛,所以导致眼睛红痛。
所谓“胎赤”,是人刚出生时,清洗眼睛不干净,使污秽汁液浸渍眼睑,导致眼睑红烂,直到长大也不能痊愈,所以称为“胎赤”。
眼睛是肝的窍穴,风热在内侵犯肝脏,其气向外冲撞于眼睛,所以见到风就流泪,眼睑红赤。
这是由于冒犯风日,风热之气伤害了眼睛,眼睑都红烂,见到风更加严重,世人也称为“风眼”。
风热伤害了眼睛内部,则眼睑红烂。如果风热不去除,所以眼睑经常红烂,多年不能痊愈。
Some individuals have wind-pathogens residing in the head. In areas of deficiency, hair loss occurs, and the muscle tissue becomes withered and necrotic. The bald patches may be as large as a coin or as large as a finger; hair does not regrow, nor is there itching. Hence, it is called "Ghost-Licked Head" (Guishi Tou).
The condition known as "Snake Body" (Sheshen) refers to skin on the body resembling snake scales with armor-like texture, which is commonly referred to as "Snake Body" in society. This arises from the stagnation and涩ness (sluggishness) of blood and qi, preventing proper nourishment and moisture to the skin.
The term "Mian Bao" (Facial Pustules/Acne) refers to sores generated by wind-heat on the face. They are as large as rice grains or millet grains, and are white in color. The *Yangsheng Fang* (Prescriptions for Nourishing Life) states: One should not sleep outdoors while intoxicated, as this causes sores to erupt on the face. It also states: Washing one's face with cold water while the heat from alcohol has not yet dissipated will cause sores to appear on the face; mild cases manifest as Mian Bao.
On the skin of the face, there may appear spots resembling black sesame seeds or the speckled color of a sparrow's egg. This is caused by wind-pathogens lodging in the skin and phlegm-fluids infiltrating the zang-fu organs, thereby generating these discolorations. The *Yangsheng Fang* states: Sitting immediately after a full meal without walking, yet still engaging in labor, brings no benefit but instead leads to diseases of accumulation that do not dissipate, as well as numbness in the hands and feet and a pear-shaped mottling of the face and eyes (Mian Gao).
This condition arises from drinking alcohol, where the heat rises to the face, clashing with cold-wind air. Consequently, sores emerge on the nose and face, appearing red and shiny.
The term "Si Mian" (likely referring to facial darkening or granular deposits) describes dross-like particles on the facial skin resembling rice grains. This results from wind-pathogens affecting the skin pores (couli), binding with body fluids. The qi of these fluids, due to deficiency, generates these deposits. Another view suggests that applying Hu Fen (lead carbonate-based cosmetic powder) weakens the skin, allowing the powder's qi to enter the couli and transform into these formations.
Generally, the Liver Qi connects to the eyes. If Liver Qi harbors heat, this heat rushes upward to the eyes, causing redness and pain.
"Tai Chi" (Neonatal Red Eyes) refers to the condition where an infant's eyes were not cleaned thoroughly at birth. Impure fluids infiltrated the eyelids, causing them to become red and ulcerated. If this persists into adulthood without healing, it is termed "Tai Chi."
The eyes are the orifices of the Liver. When wind-heat invades the Liver internally, its qi rushes outward to the eyes. This results in tearing upon exposure to wind and redness of the eyelids.
This condition is caused by exposure to wind and sunlight, where wind-heat damages the eyes, leading to redness and ulceration of the eyelids. Symptoms worsen upon exposure to wind. In common parlance, this is also called "Wind Eye" (Feng Yan).
When wind-heat damages the interior of the eyes, the eyelids become red and ulcerated. If the wind-heat pathogen is not expelled, the eyelids remain chronically red and ulcerated, failing to heal over many years.