申斗垣曰∶大人小儿，颐颏生疮，津淫不止，名曰独骨疮。宜百合散治之。（《启玄》）
百合散（《启玄》）
百合 黄柏（各一两） 白芨（三分） 轻粉（五分） 萆麻仁（五十粒）
共为细末搽之。如干用朴硝水和作饼，贴之。
王肯堂曰∶颏痈又名承浆痈，生地角下，属足阳明胃经积热所致。（《准绳》）
窦汉卿曰∶颏上痈，不为风。颏下痈，要成漏，不可轻视。（《全书》）
\r颏痈\p04-a41a84.bmp\r
申斗垣曰∶颊车穴，在耳下三分，下
颏轴动之处便是。其生痈也，乃怒伤于心，停滞于肝，风热壅盛。聚于颊车而生。久
多成漏。（《启玄》）
又曰∶颏毒痈生于颊之下，乃心肾经络，怒气伤于心，流滞血分，风热壅盛结
聚而成。颏上属风热，颏下防成漏疮，不可轻忽。
窦汉卿曰∶颊疽皆出于附骨，亦名附骨疽。若不速治，渐锉其骨，久则成漏。难
愈。（《全书》）
凡一切唇口、上 、风疽疮毒，皆汇于此部中，以便检阅参治。
唇口焦红者，吉。
唇红者，主烦躁渴饮也。
唇燥裂者，是脾热。
唇口俱肿赤者，是热极。
唇口俱青黑者，是寒极。
唇白者，主吐涎呕逆，诸失血证也。
唇黄者，主脾受积热也。
唇青者，主血虚脾寒也。
唇红紫者，主虫啮积痛也。
唇口舌胎有断纹者，难治。
唇口焦黑者，凶。
唇青舌卷者，死。
唇吻色青者，死。
环口黧黑者，死。
口张气直出者，死。
黑色自人中入口者，死。
人中平满者为唇反，唇反者肉先死。
上唇生疮，虫食其脏；下唇生疮，虫食其肛。（此伤寒狐惑证）
申斗垣说：大人和小孩，在面颊下部及下巴处生疮，津液渗出不止，这种病名叫独骨疮。适宜用百合散来治疗。（出自《启玄》）
百合散（出自《启玄》）
药材组成：百合、黄柏（各一两）、白芨（三分）、轻粉（五分）、蓖麻仁（五十粒）。
制法与用法：将上述药物共同研磨成细末，外搽患处。如果患处干燥，可用朴硝加水调和做成饼状，贴敷于患处。
王肯堂说：颏痈又名为承浆痈，位于下颌角下方，是由足阳明胃经积热所致。（出自《准绳》）
窦汉卿说：长在颏骨上方的痈，多不为风邪所伤；但长在颏骨下方的痈，容易形成漏管（瘘管），不可轻视。（出自《全书》）
[图片：颏痈]
申斗垣说：颊车穴，位于耳下三分处，下颌关节活动之处即是该穴所在。此处发生痈肿，是因为愤怒损伤心脏，气机停滞于肝脏，导致风热壅盛，聚集于颊车穴而生。病程长久多会形成漏管。（出自《启玄》）
申斗垣又说：颏毒痈生于脸颊之下，涉及心肾经络，因怒气伤心，导致气血流滞于血分，风热壅盛凝结而成。颏上部属风热证，颏下部要防止形成漏疮，不可轻忽。
窦汉卿说：颊疽都源于附骨而生，也叫做附骨疽。如果不迅速治疗，会逐渐侵蚀骨骼，时间久了就会形成漏管，难以痊愈。（出自《全书》）
凡是所有唇口、上颚、风疽、疮毒等病症，都汇总在此部分中，以便于查阅参考和治疗。
嘴唇口焦红者，为吉兆。
嘴唇红者，主症为烦躁、口渴想喝水。
嘴唇干燥开裂者，是脾热。
嘴唇和口周都红肿者，是热邪极盛。
嘴唇和口周都呈青黑色者，是寒邪极盛。
嘴唇白色者，主症为吐涎沫、呕吐逆气，以及各种失血证候。
嘴唇黄色者，主症为脾脏受到积热。
嘴唇青色者，主症为血虚、脾寒。
嘴唇红紫色者，主症为虫蚀引起的积聚疼痛。
嘴唇、口部及舌苔出现断纹者，难治。
嘴唇口部焦黑者，为凶兆。
嘴唇青紫、舌头卷缩者，死证。
嘴唇四周颜色发青者，死证。
口周肤色黧黑者，死证。
嘴巴张开、气息直出无法收敛者，死证。
黑色从人中穴进入口中者，死证。
人中穴部位平满者为“唇反”征象，出现唇反征象说明肌肉先坏死了。
上唇生疮，表示虫蚀内脏；下唇生疮，表示虫蚀肛门。（这是伤寒狐惑病的证候）
Shen Douyuan stated: When adults or children develop sores on the cheeks and chin, with continuous exudation of fluids, it is named "Dugu Chuang" (Solitary Bone Sore). It should be treated with "Baihe San" (Lily Bulb Powder) (from *Qixuan*).
**Baihe San** (from *Qixuan*)
Ingredients: *Lilii Bulbus* (Baihe), *Phellodendri Cortex* (Huangbai) (each 1 liang), *Bletillae Rhizoma* (Baiji) (3 fen), *Calomel* (Qingfen) (5 fen), *Ricini Semen* (Bimaren) (50 grains).
Preparation and Administration: Grind all ingredients into a fine powder and apply externally to the affected area. If the lesion is dry, mix *Natrii Sulfas Crystallizatus* (Piaoxiao) with water to form a paste/biscuit shape and apply as a patch.
Wang Kentang stated: "Ke Yong" (Chin Abscess), also known as "Chengjiang Yong", occurs below the mandibular angle. It is caused by accumulated heat in the Foot-Yangming Stomach Meridian (from *Zhunsheng*).
Dou Hanqing stated: Abscesses above the chin are generally not caused by wind pathogens. However, abscesses below the chin tend to form fistulas (leaks) and must not be taken lightly (from *Quan Shu*).
[Image: Ke Yong]
Shen Douyuan stated: The Jiache acupoint is located 3 cun below the ear, at the site where the temporomandibular joint moves. An abscess arising here results from anger injuring the Heart, stagnation in the Liver, and excessive accumulation of Wind-Heat, which gathers at Jiache to generate the sore. Prolonged cases often develop into fistulas (from *Qixuan*).
He further stated: "Ke Du Yong" (Chin Toxic Abscess) arises below the cheek, involving the Heart and Kidney meridians. Anger injures the Heart, causing Qi and Blood to stagnate in the blood level, leading to aggregation due to excessive Wind-Heat. Sores above the chin are attributed to Wind-Heat, while those below the chin require vigilance against the formation of fistulous sores; they must not be neglected.
Dou Hanqing stated: "Jia Ju" (Cheek Gangrene) originates from deep-seated bone involvement, also named "Fugu Ju" (Attached-Bone Gangrene). If not treated promptly, it will gradually erode the bone and eventually form a fistula, making it difficult to heal (from *Quan Shu*).
All conditions involving the lips, mouth, upper palate, Feng Ju (Wind Gangrene), and sores/toxins are compiled in this section for easy reference and treatment consultation.
If the lips and mouth appear scorched and red, it is an auspicious sign.
Red lips indicate irritability and thirst with desire to drink.
Dry and cracked lips indicate Spleen Heat.
Swollen and red lips and perioral area indicate extreme Heat.
Blue-black lips and perioral area indicate extreme Cold.
White lips indicate vomiting of saliva, regurgitation, and various hemorrhagic syndromes.
Yellow lips indicate accumulated Heat in the Spleen.
Blue lips indicate Blood deficiency and Spleen Cold.
Red-purple lips indicate pain from accumulations caused by parasitic infestation.
Cracked patterns on the lips, mouth, and tongue coating indicate a difficult-to-treat condition.
Scorched-black lips and mouth indicate an ominous prognosis.
Blue lips with a curled tongue indicate death.
Blue color around the mouth corners indicates death.
Dark/black discoloration around the entire mouth indicates death.
Mouth open with straight, uncontrolled exhalation indicates death.
Black color extending from the Renzhong point into the mouth indicates death.
A flat and full Renzhong point signifies "Chuan Fan" (Reversed Lips); when Chuan Fan occurs, the flesh dies first.
Sores on the upper lip indicate parasites eating the internal organs; sores on the lower lip indicate parasites eating the anus. (This is a syndrome of "Hu Huo" in Shanghan disease).