On the first day of work after the Spring Festival, the first four numbers were all facial dermatitis. These were all patients brought in by Sister Zhang, a real warm-hearted person. Sister Zhang is a long-time patient of mine who came to see me last year with facial dermatitis, which has been cured and has not reoccurred. Sister Zhang, 50 years old, has a fat body type, firm muscles, perennial constipation, and a quick temper, a windy person. She was first diagnosed in the middle of October last year, when her facial skin was red, hot, itchy, dry and peeling, and she wore a mask out all year round. She has been suffering from recurrent attacks for more than ten years, and her symptoms have worsened in the past two years in time for menopause. I see that her facial lesions are mainly distributed in the area of Yangming Stomach meridian on both sides of the nose. Although the skin is red, swollen and itchy, the tongue is light and fat, with thin white greasy tongue coating, and the pulse is smooth and strong on the left side and sunken and tight on the right side. This indicates that although the patient has a hot constitution, there are cold drinks blocking the diaphragm and the Yang Qi is depressed and turns into heat, which rushes up to the head and face and develops into dermatitis. The diagnosis is that Taiyin cold drinks are blocking, Yang Ming depressed heat is rushing up to the head and face, and there is also heart and liver blood heat. The knot of the disease is at the intersection of the hand Taiyin lung meridian and the foot Taiyin spleen meridian in the diaphragm, so we should give Cool Diaphragm San combined with Ling Gan Wu Jiang Xin Xia Almond Da Huang Tang, prescription: Scutellaria Baicalin 15 g, Gardenia jasminoides 15 g, Forsythia forsythia 15 g, Bamboo leaf 10 g, Peppermint 5 g, Sheng Da Huang 10 g, Chonglou 10 g, Dried ginger 15 g, Hosanna 3 g, Wu Wei Zi 10 g, Poria 30 g, Jiang Han Xia 15 g, Almond 30 g, Licorice 30 g, 6 decoctions, stop using any other drugs. Stop using any other drugs. One week later, the redness and itching was significantly reduced, and the stool was unshaped several times a day. The previous prescription was removed from rhubarb and added 30 grams of Atractylodes macrocephala, 6 doses. One week later, the dermatitis further improved, the peeling skin increased, the stool is more dilute than before, watery stool several times a day. This is the sign of cold drinks of ice volcanoes externalization, told the patient not to worry about diarrhea, the front to remove the cold diaphragm, plus the diarrhea Huang San, prescription: raw gypsum 30 grams gardenia 15 grams patchouli 15 grams wind 15 grams dry ginger 15 grams hosanna 3 grams Wu Wei Zi 10 grams poria 30 grams almond 30 grams ginger half Xia 15 grams atractylodes 30 grams licorice 10 grams ginger 10 grams jujube 6, 6 payments. After the medicine, the stool is still watery several times a day, but the facial dermatitis has further improved, the redness and swelling has disappeared, there is basically no itching, there is peeling skin, leaving pigmentation. On the basis of this, additional treatment for more than 2 months, the facial rash completely faded, the skin also became whiter than before, the stool became once a day, slightly unshaped. In this case, Ling Gan Wu Jiang Xin Xia Xing Xing Da Huang Tang is from “The Essentials of the Golden Horoscope”, and the article says: “If the face is hot like drunkenness, this is a case of stomach heat rushing up and fumigating the face, add Da Huang to benefit it.” Cool Diaphragm San and Diarrhea Huang San are similar in intent to Da Huang, but have different levels of attribution. Heavy use of almonds lies in the swelling, the article said: “water to vomit stop, their human form swollen, plus almond main.” In the past, a patient with facial dermatitis often powdered almonds, cool water and put on the face, can eliminate the facial skin redness and swelling, it is said that the effect is excellent.