犀角郁金散（窦汉卿） 治面发毒。
犀角 郁金 珍珠 西牛黄 粉甘草 乳香 真粉 辰砂
上为细末，炼蜜为丸噙化。
《心法》曰∶颧痈，初小渐大如榴者，发阳分，由风热而生。初起 红、浮肿、疼
痛，七日即溃，为毒轻、根浅，易愈。颧疽者，发阴分，由积热而生，色紫漫肿，坚
硬、麻木、疼痛，三七方溃，为毒重、根深，难愈。俱发于颧骨尖处，不论左右，皆属小肠经。
澄曰∶治法悉同痈疽，但不可妄用追蚀之药。盖颧部骨多肉少，防其穿溃过深，
致令颧骨倒陷之患，不可不慎。
王肯堂曰∶颧骨肉疽，颧骨内卒然而痛，经宿而痛甚，寒热大作，属上焦与阳
明经郁火所致。汗之可消，药宜水酒同煎。（《准绳》）
\r颧骨肉疽\p04-a41a64.bmp\r
《灵枢经》曰∶心病者颧赤，肾病者颧与颜黑。然则当察其色赤者，宜以黄连安
神丸降心火，补心丸养心血；黑者，宜以地黄丸滋肾水，未可专委之阳明郁火也。
王肯堂曰∶两腮及鼻下 肿生疮，恶血淋漓，此名疔疽，属足阳明胃经。三日
口噤如痉，角弓反张，按之如疔钉着，骨痛不可忍者是也。治之稍缓，则毒攻心，呕
吐不食，昏迷躁乱，谵语者死。（《准绳》）
\r疔疽\p04-a41a65.bmp\r
澄曰∶疔疽者，乃醇酒炙 ，膏粱浓味，或误食自死牛马、宿茶陈菜，食中汗
毒而成。不可妄用刀针，当照疔疮门方法治之。故毋庸另立主方。
犀角郁金散（窦汉卿）：治疗面部发毒。
犀角、郁金、珍珠、西牛黄、粉甘草、乳香、真粉、辰砂。
以上药材研成细末，用炼蜜制成丸药，含服化咽。
《医宗心法》说：颧部痈肿，初起时较小，逐渐增大像石榴一样，这是发于阳分，由风热邪气引起。初起时红肿、浮肿、疼痛，七天就会溃破，说明毒邪轻、病位浅，容易治愈。颧部疽证，是发于阴分，由积热内生所致，颜色紫暗，漫肿坚硬、麻木且疼痛，经过二十一天左右才溃破，说明毒邪重、病根深，难以治愈。这两种病都发生在颧骨尖端处，不论左侧还是右侧，都属于小肠经。
顾世澄说：治疗方法与一般的痈疽相同，但不可随意使用具有腐蚀作用的药物。因为颧部骨骼多而肌肉少，要防止其穿溃过深，导致颧骨塌陷的祸患，不可不谨慎。
王肯堂说：颧骨肉疽，颧骨内部突然疼痛，过夜后疼痛加剧，寒热症状剧烈发作，这属于上焦和阳明经郁火所致。通过发汗可以消除，用药宜用水和酒共同煎煮。（《医学准绳六要》）
[图片：颧骨肉疽]
《灵枢经》说：心病的人颧部发红，肾病的人颧部和面色发黑。既然如此，应当观察颜色发红的，适宜用黄连安神丸降低心火，用补心丸滋养心血；颜色发黑的，适宜用地黄丸滋补肾水，不能专门归咎于阳明经的郁火。
王肯堂说：两腮及鼻子下方肿胀生疮，恶血淋漓，这种病名叫疔疽，属于足阳明胃经。三天后出现口噤如痉挛状，身体角弓反张，按压时感觉像有疔钉扎入，骨头疼痛无法忍受。如果治疗稍微迟缓，则毒邪攻心，出现呕吐、不能进食、昏迷躁乱、胡言乱语等症状，最终死亡。（《医学准绳六要》）
[图片：疔疽]
顾世澄说：疔疽这种病，是由于饮用纯烈酒、食用烤炙食物、肥甘厚味，或者误食自死的牛马肉、隔夜的茶和陈旧的蔬菜，摄入食物中的“汗毒”而形成的。不可随意使用刀针切割，应当参照疔疮门的方法进行治疗。因此不需要另外设立主方。
Xijiao Yujin San (Caulis Acori Tatarinowii and Rhizoma Curcumae Powder) by Dou Hanqing: Treats facial toxic sores.
Rhinoceros Horn (Rhino Cornu), Turmeric Tuber (Curcumae Radix), Pearl (Margarita), Western Buffalo Gallstone (Bovis Calculus), Licorice Root (Glycyrrhizae Radix et Rhizoma), Frankincense (Olibanum), Real Starch (Amylum), Cinnabar (Cinnabaris).
Grind the above ingredients into a fine powder, mix with refined honey to form pills, and dissolve in the mouth for swallowing.
*Yizong Xinfa* states: An abscess on the zygomatic bone starts small and gradually enlarges like a pomegranate; this is a manifestation in the Yang aspect, caused by wind-heat. Initially, there is redness, swelling, and pain; it ulcerates within seven days, indicating mild toxicity and shallow roots, making it easy to heal. A carbuncle on the zygomatic bone manifests in the Yin aspect, caused by accumulated heat. The color is purple with diffuse swelling, hardness, numbness, and pain; it ulcerates after approximately twenty-one days, indicating severe toxicity and deep roots, making it difficult to heal. Both conditions occur at the tip of the zygomatic bone, regardless of the left or right side, and both belong to the Small Intestine Meridian.
Gu Shicheng says: The treatment methods are identical to those for general abscesses and carbuncles, but one must not recklessly use caustic drugs. Since the zygomatic region has much bone and little flesh, one must prevent deep perforation that could lead to the collapse of the zygomatic bone; caution is essential.
Wang Kentang says: Zygomatic osteo-carbuncle presents with sudden pain inside the zygomatic bone, which intensifies overnight, accompanied by severe chills and fever. This is caused by stagnant fire in the Upper Jiao and the Yangming Meridian. Sweating can resolve it; the medication should be decocted with both water and wine. (*Yixue Zhunsheng*)
[Image: Zygomatic Osteo-carbuncle]
*Ling Shu Jing* states: Patients with Heart disease have red cheeks; patients with Kidney disease have black cheeks and forehead. Therefore, when observing redness, one should use Huanglian Anshen Wan (Coptis Calm-the-Mind Pill) to descend Heart fire and Buxin Wan (Tonify-the-Heart Pill) to nourish Heart blood; when observing blackness, one should use Dihuang Wan (Rehmannia Pill) to nourish Kidney water. One cannot solely attribute these symptoms to Yangming stagnant fire.
Wang Kentang says: Swelling and sores appearing on both cheeks and below the nose, with profuse bleeding of foul blood, is named Ding Ju (Ding Carbuncle), belonging to the Foot-Yangming Stomach Meridian. After three days, the patient exhibits trismus resembling spasm, opisthotonos, and upon palpation, feels as if a ding nail is embedded, with unbearable bone pain. If treatment is delayed slightly, the toxin attacks the Heart, leading to vomiting, inability to eat, coma, restlessness, and delirium, resulting in death. (*Yixue Zhunsheng*)
[Image: Ding Carbuncle]
Gu Shicheng says: Ding Ju arises from consuming strong liquor, roasted foods, rich and greasy diets, or accidentally eating meat from dead cattle and horses, as well as old tea and stale vegetables, ingesting "sweat toxins" from food. One must not recklessly use knives or needles; instead, one should follow the treatment methods outlined in the Ding Chuang (Ding Sore) chapter. Therefore, there is no need to establish a separate main prescription.