颧疡颧疽渐榴形，风热积热小肠经，疡起 红浮肿痛，疽紫漫硬木麻疼。
\r颧疡 颧疽图\p04-34a42.bmp\r
【注】此二证发于颧骨尖处，属小肠经，不论左右，初小渐大如榴。发阳分者，由风
热而生，初起 红，浮肿，疼痛，七日即溃，名为颧疡，毒轻根浅易愈；发阴分者，由积
热而生，色紫，漫肿，坚硬，麻木，疼痛，三七方溃，名为颧疽，毒甚根深难愈。疡证
初宜仙方活命饮，疽证初宜内疏黄连汤或麦灵丹。其余内外治法，俱按痈疽肿疡溃疡门。
仙方活命饮 内疏黄连汤 麦灵丹（俱见肿疡门）
颧疔初起粟米形，证由阳明火毒生，坚硬顶凹根深固，寒热交作麻痒疼。
\r颧疔图\p04-34a43.bmp\r
【注】此证生在颧骨之间，属阳明胃经，
不论左右，初如粟米黄色小 ，次如赤豆，
顶凹坚硬，按似疔头，麻痒疼痛。多因过食炙爆、药酒，以致胃经积火成毒而生。初宜
蟾酥丸，或麦灵丹汗之，次服黄连消毒饮清之。外治法同疔门，凡疔皆属迅速之证，初
觉即当急治，迟则毒火攻心，令人昏愦谵语，恶证悉添，多致不救。
蟾酥丸（见疔疮门）
麦灵丹（见肿疡门）
黄连消毒饮（见头部百会疽）
\r面发毒图\p04-34a44.bmp\r
面发毒在颊车生，初少渐多赤豆形，肿硬 疼津黄水，证属风热客阳明。
【注】此证生面上颊车骨间。初生一个，渐发数枚，形如赤豆，色红 痛，坚硬似疔，
时津黄水。由风热客于阳明，上攻而成。初宜服荆防败毒散汗之。若胃火盛，则唇焦口
渴，便燥者即服凉膈散下之，外以清凉消毒散敷之即愈。
凉膈散
黄芩 薄荷 栀子（生研） 连翘（去心） 石
膏（生） 甘草（生） 芒硝 大黄（各等分）
水二盅，苦竹叶二十片，煎八分；加蜂蜜三匙和服。
【方歌】凉膈散医肺胃热，口渴唇焦便燥结，芩薄栀翘石膏草，芒硝大黄苦竹叶。
清凉消毒散
白芨 乳香 雄黄 天花粉 麝香 乌药 山慈菇 黄柏
各等分，共研细末，鸡子清和蜜水调敷。
【方歌】清凉消毒去风热，及乳雄黄花粉麝，乌药慈菇黄柏研，鸡清蜜调毒即灭。
荆防败毒散（见项部脑疽）
颧疡与颧疽逐渐形成如石榴般的形状，病机为风热或积热蕴结于小肠经。颧疡初起时红肿、浮肿且疼痛；颧疽则表现为颜色紫暗、漫肿、坚硬、麻木并伴有疼痛。
【注】这两种病症均发生在颧骨尖端部位，归属于小肠经，无论左侧还是右侧，初期较小，随后逐渐增大如同石榴。发于阳分的，由风热引起，初起时红肿、浮肿、疼痛，七天即可溃破，称为颧疡，毒邪较轻、病位较浅，容易治愈；发于阴分的，由积热引起，颜色紫暗、漫肿、坚硬、麻木、疼痛，二十一天（三七日）后才溃破，称为颧疽，毒邪深重、病根深固，难以治愈。对于疡证初期，适宜使用仙方活命饮；对于疽证初期，适宜使用内疏黄连汤或麦灵丹。其余内外治疗方法，均参照痈疽肿疡和溃疡章节执行。
仙方活命饮 内疏黄连汤 麦灵丹（均见肿疡门）
颧疔初起时呈粟米状，病证由阳明胃经的火毒产生，患处坚硬、顶部凹陷、根基牢固，伴有寒热交替发作、麻木、瘙痒和疼痛。
【注】此症生于颧骨之间，归属于阳明胃经，无论左侧还是右侧，初起时如黄色粟米般的小点，随后变为赤豆大小，顶部凹陷且坚硬，按压似疔头，伴有麻木、瘙痒和疼痛。多因过食油炸烧烤食物及药酒，导致胃经积火成毒而生。初期适宜服用蟾酥丸，或用麦灵丹发汗治疗，随后服用黄连消毒饮清热。外治法同疔疮门，凡是疔疮都属于进展迅速的病症，初觉不适即当紧急治疗，若延误则毒火攻心，令人神志昏乱、胡言乱语，各种恶证全部出现，大多导致无法救治。
蟾酥丸（见疔疮门）
麦灵丹（见肿疡门）
黄连消毒饮（见头部百会疽）
面发毒生于颊车穴处，初起较少，渐多呈赤豆状，肿胀坚硬、疼痛、渗出津液和黄水，病证属于风热客居于阳明经。
【注】此症生在面部的颊车骨之间。初生一个，逐渐发展为数枚，形状如赤豆，色红、疼痛、坚硬似疔，时常渗出黄水。由风热客居于阳明经，上攻而成。初期适宜服用荆防败毒散发汗治疗。若胃火旺盛，出现嘴唇焦枯、口渴、大便干燥者，立即服用凉膈散泻下治疗，外用清凉消毒散敷贴即可痊愈。
凉膈散
黄芩 薄荷 栀子（生研） 连翘（去心） 石膏（生） 甘草（生） 芒硝 大黄（各等分）
用水两盅，苦竹叶二十片，煎至八分；加入蜂蜜三匙调和服用。
【方歌】凉膈散医肺胃热，口渴唇焦便燥结，芩薄栀翘石膏草，芒硝大黄苦竹叶。
清凉消毒散
白芨 乳香 雄黄 天花粉 麝香 乌药 山慈菇 黄柏
各等分，共研细末，用鸡蛋清和蜜水调匀敷贴。
【方歌】清凉消毒去风热，及乳雄黄花粉麝，乌药慈菇黄柏研，鸡清蜜调毒即灭。
荆防败毒散（见项部脑疽）
Quan Yang (Cheek Ulcer) and Quan Ju (Cheek Abscess) gradually take on a shape resembling a pomegranate. The pathogenesis involves Wind-Heat or accumulated Heat accumulating in the Small Intestine Meridian. Quan Yang initially presents with redness, swelling, edema, and pain; whereas Quan Ju manifests as purple discoloration, diffuse swelling, hardness, numbness, and pain.
[Note] These two conditions occur at the tip of the zygomatic bone, belonging to the Small Intestine Meridian, regardless of whether on the left or right side. Initially small, they gradually enlarge like a pomegranate. Those arising in the Yang aspect are caused by Wind-Heat; initially presenting with redness, swelling, edema, and pain, they suppurate within seven days. This is named Quan Yang, characterized by mild toxicity and shallow roots, making it easy to heal. Those arising in the Yin aspect are caused by accumulated Heat; presenting with purple color, diffuse swelling, hardness, numbness, and pain, they suppurate after twenty-one days (three sevens). This is named Quan Ju, characterized by severe toxicity and deep roots, making it difficult to heal. For early-stage Yang conditions, Xian Fang Huo Ming Yin (Immortal Life Elixir Powder) is suitable; for early-stage Ju conditions, Nei Shu Huang Lian Tang (Internal Draining Coptis Decoction) or Mai Ling Dan (Mai Ling Pill) are suitable. All other internal and external treatment methods should follow the sections on Gong (Carbuncle), Ju (Abscess), Zhong Yang (Swelling Ulcer), and Kui Yang (Ulcerated Wound).
Xian Fang Huo Ming Yin, Nei Shu Huang Lian Tang, Mai Ling Dan (all see Section on Zhong Yang)
Quan Ding (Cheek Ding) initially appears in the shape of millet grains. The condition arises from Fire-Toxin in the Stomach Meridian of Foot-Yangming. The lesion is hard, with a depressed apex and firm root, accompanied by alternating chills and fever, numbness, itching, and pain.
[Note] This condition occurs between the zygomatic bones, belonging to the Stomach Meridian of Foot-Yangming, regardless of left or right. Initially appearing as a small yellow spot like a millet grain, it subsequently becomes the size of a red bean. The apex is depressed and hard, feeling like a Ding head upon pressure, with numbness, itching, and pain. It is often caused by excessive consumption of fried, roasted foods, and medicinal wine, leading to accumulated fire in the Stomach Meridian transforming into toxin. Early stage treatment is suitable with Chan Su Wan (Toad Venom Pill), or using Mai Ling Dan to induce sweating, followed by Huang Lian Xiao Du Yin (Coptis Detoxification Decoction) to clear heat. External treatments are the same as those in the Ding section. All Ding conditions are rapid-progressing diseases; immediate treatment is required upon initial sensation. Delay allows Fire-Toxin to attack the Heart, causing confusion and delirium, adding all malignant symptoms, often resulting in untreatable outcomes.
Chan Su Wan (see Ding Chuang section)
Mai Ling Dan (see Zhong Yang section)
Huang Lian Xiao Du Yin (see Bai Hui Ju of Head section)
Mian Fa Du (Facial Spreading Toxin) arises at the Jiache acupoint. Initially few in number, they gradually increase in number, taking the shape of red beans. They present with swelling, hardness, pain, oozing serum, and yellow fluid. The condition belongs to Wind-Heat lodging in the Yangming Meridian.
[Note] This condition occurs in the space of the zygomatic bone at the face's Jiache area. Initially one lesion appears, gradually developing into several, shaped like red beans, red in color, painful, hard like a Ding, and frequently oozing yellow fluid. It is caused by Wind-Heat lodging in the Yangming Meridian and attacking upward. Early stage treatment is suitable with Jing Fang Bai Du San (Schizonepeta and Saposhnikovia Decoction to Overcome Toxicity) to induce sweating. If Stomach Fire is abundant, manifesting as dry lips, thirst, and dry stool, Liang Ge San (Cooling the Diaphragm Powder) should be administered immediately to purge, and applied externally with Qing Liang Xiao Du San (Cooling and Clearing Detoxification Powder) for recovery.
Liang Ge San
Huang Qin (Scutellariae Radix), Bo He (Menthae Haplocalycis Herba), Zhi Zi (Gardeniae Fructus, raw and ground), Lian Qiao (Forsythiae Fructus, heart removed), Shi Gao (Gypsum Fibrosum, raw), Gan Cao (Glycyrrhizae Radix et Rhizoma, raw), Mang Xiao (Natrii Sulfas), Da Huang (Rhei Radix et Rhizoma) (equal parts).
Decoct two cups of water with twenty leaves of Ku Zhu Ye (Bitter Bamboo Leaf) until reduced to eight-tenths; add three spoons of Honey and mix for administration.
[Prescription Song] Liang Ge San treats Lung and Stomach Heat, Thirst, Dry Lips, and Constipation; Qin, Bo, Zhi, Qiao, Shi Gao, Gan Cao, Mang Xiao, Da Huang, Ku Zhu Ye.
Qing Liang Xiao Du San
Bai Ji (Bletillae Rhizoma), Ru Xiang (Olibanum), Xiong Huang (Realgar), Tian Hua Fen (Trichosanthis Radix), She Xiang (Moschus), Wu Yao (Linderae Radix), Shan Ci Gu (Iphigeniae Bulbus), Huang Bo (Phellodendri Cortex).
Equal parts, finely powdered together. Mix with Egg White (Ji Zi Qing) and Honey Water for topical application.
[Prescription Song] Qing Liang Xiao Du disperses Wind-Heat; Ru, Xiong, Hua Fen, She, Wu Yao, Ci Gu, Huang Bo ground; Mixed with Chicken White and Honey, the Toxin is extinguished.
Jing Fang Bai Du San (see Nao Ju of Neck section)