腮属足阳明胃经，或外因风热所乘，或内因积热所致。若肿痛寒热者，白芷胃风汤。
内热肿痛者，升麻黄连汤。外肿作痛，内热口干者，犀角升麻汤。内伤寒凉，不能消溃者，补中
益气汤。发热作渴，大便秘结者，加味清凉饮。表里俱解而仍肿痛者，欲作脓也，托里散。
若饮食少思，胃气虚弱也，六君子汤。肢体倦怠，阳气虚弱也，补中益气汤。脓毒既溃，肿
痛不减，热毒未解也，托里消毒散。脓出而反痛，气血虚也，人参内托散。发热晡热，阴血
虚也，八珍汤。恶寒发热，气血俱虚也，十全大补汤。若肿 痛连耳下者，属手足少阳经，
当清肝火。若连颐及耳后者，属足少阴经虚火，当补肾水。患此而有不治者，多泥风热，执
用克伐之药耳。
治验
地官陈用之，服发散之剂，寒热已退，肿痛不消。此血凝滞而欲作脓也，用托里消毒散
而脓
上舍卢懋树，两尺脉数，症属肾经不足，误服消毒之剂，致损元气而不能愈，余用补中
益气、六味丸料，服之而痊。
上舍熊栋卿，颐后患之。脓清体瘦，遗精盗汗，晡热口渴，痰气上涌，久而不愈。脉洪
大，按之微细，属肾经亏损所致。遂用加减八味丸料并十全大补汤而愈。
一妇人素内热，因怒，耳下至颈，肿痛寒热。此肝胆经火燥而血虚，用柴胡栀子散，而
肿痛消；用加味逍遥散而寒热退；用八珍汤加丹皮而内热止。
腮部病症归属于足阳明胃经，其病因或是外感风热邪气侵袭，或是体内积热所致。如果出现肿胀、疼痛并伴有恶寒发热的症状，使用白芷胃风汤治疗。
若因内热导致肿胀疼痛，使用升麻黄连汤。若外部肿胀作痛，内部有热且口干，使用犀角升麻汤。若因内伤寒凉之气，导致脓毒无法消散溃破，使用补中益气汤。若出现发热、口渴、大便秘结的症状，使用加味清凉饮。若表里证候均已解除，但肿痛依然存在，说明即将化脓，使用托里散。
如果饮食减少、食欲不振，这是胃气虚弱的表现，使用六君子汤。若肢体倦怠乏力，这是阳气虚弱的表现，使用补中益气汤。若脓毒已经溃破，但肿痛不减，说明热毒尚未清除，使用托里消毒散。若脓液排出后反而疼痛加剧，这是气血虚弱的表现，使用人参内托散。若出现午后发热（晡热），这是阴血虚弱的表现，使用八珍汤。若出现恶寒发热，这是气血俱虚的表现，使用十全大补汤。
如果肿痛牵连到耳下部位，属于手足少阳经病变，应当清泻肝火。如果肿痛牵连到面颊下部及耳后部位，属于足少阴经虚火上炎，应当滋补肾水。患此病而难以治愈的，大多是因为拘泥于风热之说，固执地使用攻伐克制的药物所致。
治验案例：
地官陈用之，服用发散类药物后，寒热症状已退，但肿痛未消。这是血行凝滞且将要化脓的表现，使用托里消毒散治疗。
上舍卢懋树，两尺脉象数急，病症属于肾经不足，误服了消毒类药物，导致元气受损而不能痊愈，我使用补中益气汤和六味地黄丸药料，服用后痊愈。
上舍熊栋卿，在颐后部位患病。脓液清稀，身体消瘦，遗精盗汗，午后发热口渴，痰气上涌，久治不愈。脉象洪大，但重按微细，属于肾经亏损所致。于是使用加减八味丸药料配合十全大补汤治疗而痊愈。
一位妇人平素体内有热，因愤怒导致耳下至颈部，出现肿胀、疼痛、恶寒发热。这是肝胆经火燥且血虚的表现，使用柴胡栀子散，肿痛消除；使用加味逍遥散，寒热退去；使用八珍汤加入丹皮，内热停止。
The cheek swelling (Parotitis) belongs to the Foot-Yangming Stomach Meridian. Its etiology may be either external invasion by Wind-Heat pathogenic factors or internal accumulation of Heat. If accompanied by swelling, pain, aversion to cold, and fever, Baizhi Weifeng Tang (Angelica Dahurica and Stomach-Wind Decoction) is indicated.
If swelling and pain are caused by internal Heat, Shengma Lianhuang Tang (Cimicifuga and Coptis Decoction) is used. If there is external swelling and pain with internal Heat and dry mouth, Xijiao Shengma Tang (Rhinoceros Horn and Cimicifuga Decoction) is prescribed. If internal injury from Cold-Cool substances prevents the resolution and suppuration of pus, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) is administered. If fever, thirst, and constipation occur, Jiawei Qingliang Yin (Modified Cooling Drink) is used. If exterior and interior conditions have both resolved but swelling and pain persist, it indicates that suppuration is imminent; Tuoli San (Support the Interior Powder) is applied.
If appetite is diminished due to weak Stomach Qi, Liujunzi Tang (Six Gentlemen Decoction) is used. If limb fatigue occurs due to weak Yang Qi, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) is prescribed. If pus has ulcerated but swelling and pain remain unrelieved, indicating unresolved Heat-Toxin, Tuoli Xiaodu San (Support the Interior and Eliminate Toxin Powder) is used. If pain increases after pus discharge, indicating deficiency of Qi and Blood, Renshen Neituo San (Ginseng Internal Support Powder) is administered. If afternoon fever (Buhu Re) occurs, indicating deficiency of Yin-Blood, Bazhen Tang (Eight Treasures Decoction) is used. If aversion to cold and fever occur simultaneously, indicating deficiency of both Qi and Blood, Shiquan Dabu Tang (Ten Great Tonifying Decoction) is prescribed.
If swelling and pain extend to below the ear, it belongs to the Hand and Foot Shaoyang Meridians, and Liver Fire should be cleared. If it extends to the lower jaw and behind the ear, it belongs to deficiency Fire of the Foot-Shaoyin Meridian, and Kidney Water should be nourished. Cases that are difficult to cure often result from rigid adherence to the concept of Wind-Heat and the indiscriminate use of attacking and reducing medications.
Clinical Case 1:
Chen Yongzhi, a local official, took dispersing agents. Although his aversion to cold and fever subsided, the swelling and pain did not resolve. This indicated blood stasis and impending suppuration. Tuoli Xiaodu San (Support the Interior and Eliminate Toxin Powder) was used, leading to suppuration.
Clinical Case 2:
Lu Maoshu, a scholar, presented with rapid pulses at both Chi positions, indicating insufficiency of the Kidney Meridian. He had mistakenly taken detoxifying agents, damaging his Yuan Qi and preventing recovery. I prescribed Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) combined with Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) ingredients, resulting in a cure.
Clinical Case 3:
Xiong Dongqing, a scholar, suffered from lesions behind the jaw. His pus was thin, he was emaciated, experienced nocturnal emission and night sweats, afternoon fever, thirst, and rising phlegm-Qi, with no improvement over time. His pulse was large and forceful on superficial palpation but faint and fine on deep pressure, indicating Kidney Meridian depletion. Jiajian Bawei Wan (Modified Eight-Ingredient Pill) ingredients combined with Shiquan Dabu Tang (Ten Great Tonifying Decoction) were used, leading to recovery.
Clinical Case 4:
A woman with a constitution prone to internal heat became angry, resulting in swelling, pain, aversion to cold, and fever from below the ear to the neck. This was diagnosed as Dryness-Fire in the Liver and Gallbladder Meridians with Blood deficiency. Chaihu Zhizi San (Bupleurum and Gardenia Powder) was used to eliminate swelling and pain; Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) was used to resolve aversion to cold and fever; and Bazhen Tang (Eight Treasures Decoction) added with Mudanpi (Tree Peony Bark) was used to stop internal heat.