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Niu Bang Gan Jie Tang (Burdock and Licorice & Platycodon Decoction): Indicated for cases where the exterior pathogenic factors of the toxin in the cheek/jaw area have been exhausted, presenting with nodular swelling at the ear and neck, slight fever without redness, and pain.
Ingredients: Huang Lian (Coptidis Rhizoma), Chi Shao Yao (Paeoniae Radix Rubra), Jie Geng (Platycodonis Radix), Guang Chen Pi (Citri Reticulatae Pericarpium Viride), Su Mu (Sappan Lignum), Niu Bang Zi (Arctii Fructus), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Tian Hua Fen (Trichosanthis Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma). Decoct in water and take orally.

Han Yi Sai (Sweating Cheek Swelling):
Ping Tou Hong Dou (Flat-headed Red Bean, i.e., common red beans; use four taels of fresh ginger juice per sheng of beans, mix and sun-dry, then grind into fine powder).
Usage: Mix with egg white for topical application, leaving a central hole for ventilation. Moisten with green onion juice when dry. It will subside within one day and also alleviate pain.

Chen Shigong stated: Cheek swelling is primarily caused by wind-heat, dampness, and phlegm. It may occur after winter-warmth diseases due to abnormal climatic influences invading the cheeks, causing swelling and pain.
In the initial stage with chills and fever, use Chai Hu Ge Gen Tang (Bupleurum and Pueraria Decoction) to disperse the exterior, and apply Ru Yi Jin Huang San (Perfect Golden Powder) externally. If the pathogen is interior, manifesting as internal heat, dry mouth, and difficulty in urination and defecation, use Si Shun Qing Liang Yin (Four-Obedience Clearing and Cooling Drink) to promote urination and defecation, resolving both exterior and interior conditions. If swelling persists and suppuration is inevitable, prioritize Tuoli (supporting the interior to expel toxins). Once pus is mature, puncture it with a needle. (From *Waike Zhengzong* / *Orthodox Manual of External Medicine*)

Feng Luzhan stated: Accumulated heat-toxin in the chest and diaphragm generates wind-phlegm, which attacks upward to the head and face, causing stagnation and leading to cheek swelling. In severe cases, pierce with a magnetic edge to evacuate bad blood; in mild cases, apply or dab medication, followed by decoctions to dispel wind, clear heat, detoxify, and resolve phlegm, leading to spontaneous recovery. (From *Waike Jinnang* / *External Medicine Brocade Bag*)

Wang Kentang stated: Lesions located in the muscle layer, superficial and not deep-seated in bone, are named cheek swelling. This is caused by wind-heat in the Foot-Yangming Meridian.
*Xinfa* states: Cheek swelling is also known as Zifa or Hansai Chuang, occurring in the fleshy parts of the cheeks away from the bone. The root cause is always Yangming Stomach heat. Initial high swelling with redness and heat indicates Yangming wind-heat; if flat-swollen with pale, dull color, it is due to Stomach meridian damp-heat.

Topical treatments for cheek swelling:
Frequently apply indigo flowers from dye houses; they will subside spontaneously.
Another prescription: Mash soap pods with sugar for application, cover with paper leaving the top open for air.
Another prescription: Equal parts Huang Bo (Phellodendri Cortex) and Qian Fen (Lead White), grind uniformly, mix with cold water for application.
Another prescription: Zhu Dan Zhi (Porcine Bile, three units), Sheng Jiang Zhi (Fresh Ginger Juice), Mi Cu (Rice Vinegar, half wine cup each). Mix evenly, grind Jing Mo (Beijing Ink Stick), apply once for immediate subsidence.

Cheek Swelling:
Tu Fu Ling (Smilax Glabra Rhizome, two jin), Tian Hua Fen (Trichosanthis Radix), Ku Shen (Sophorae Flavescentis Radix, two liang each). Slice and divide into seven doses. Add seven Sao Jiao Zi (Gleditsiae Sinensis Spina) seeds per dose, decoct in water, leave exposed overnight, and take warm after meals. Also treats Luoli (Scrofula).
Epidemic wind-heat causing cheek swelling: Grind Chi Xiao Dou (Vigna umbellata seeds) finely, mix with Ji Zi Qing (Egg White) or rice vinegar for application; subsides immediately.
Another prescription: Si Gua (Luffa Fruit) after frost (processed to retain nature), mixed with Zhu Dan Zhi (Porcine Bile) for application; subsides immediately.
Another prescription: Bai Bo Ye (Biota Leaf) juice mixed with Lei Chun Ni (Earthworm Mucus/Mud) applied topically; subsides immediately.
Emperor Renzong of Song suffered from cheek swelling; Daoist Zan Ning used seven Chi Xiao Dou (Vigna umbellata seeds) ground into powder for application, resulting in immediate cure. (From *Zhu Shi Ji Yan Fang* / *Dr. Zhu's Verified Prescriptions*)

Cheek Toxin: Da Huang (Rhei Radix et Rhizoma) powder mixed with Jiang Zhi (Ginger Juice) for application, leaving a central hole for ventilation; subsides spontaneously.

Redness and Swelling of Both Cheeks:
Bai He (Lilii Bulbus, one qian), Bei Mu (Fritillariae Cirrhosae Bulbus), Shan Zha Ma Gen (Rubia Cordifolia Root, peeled), Yuan Ming Fen (Mirabilite, one qian each), Yin Zhu (Cinnabar, seven fen), Bai Mian (Wheat Flour, a little). Mash together for topical application.