牛蒡甘桔汤 颐毒表邪已尽，耳项结肿，微热不红，疼痛者。
黄连 赤芍药 桔梗 广陈皮 苏木 牛蒡子 川芎 天花粉 甘草 水煎服。
汗颐 腮
平头红豆（即平常红豆，每升用生姜四两，取自然汁拌晒，研为细末）
用鸡蛋清调敷，中留一孔透气，干以葱汁润之，一日立消，又且定痛。
陈实功曰∶ 腮乃风热湿痰所主，或冬温后，天时不正，感发傅梁，两腮肿痛。
初发寒热，以柴胡葛根汤散之，外敷如意金黄散；如在里，内热口干，二便不利者，
四顺清凉饮利之，表里俱解；如肿仍不消必欲作脓者，托里为主。脓熟者针之。（《正宗》）
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冯鲁瞻曰∶胸膈蕴积热毒，致生风痰，上攻头面，壅滞不散，发为 腮，重则磁
锋刺去恶血，轻则或涂或点，次投汤剂，散风清热，解毒消痰，自愈也。（《锦囊》）
王肯堂曰∶所患在肌肉、浮而不着骨者，名曰 腮。属足阳明经风热所致。
《心法》曰∶ 腮一名髭发，一名含腮疮，生于两腮肌肉不着骨之处，总发端于
阳明胃热也。初起高肿色红 热者，系阳
明风热；若平肿色淡不鲜者，由胃经湿热。
敷 腮 染坊靛花频敷自消。
又方 肥皂同砂糖捣敷，纸盖留顶出气。
又方 黄柏、铅粉各等分，研匀凉水调敷。
又方
猪胆汁（三个） 生姜汁 米醋（各半酒杯）
和匀磨京墨，一敷即消。
腮肿
土茯苓（二斤） 天花粉 苦参（各二两）
咀片分七剂，每剂加皂角子七粒水煎，露一宿，食后温服，并治瘰 。
时行风热腮肿 赤小豆捣细，鸡子清或米醋调敷，立消。
又方 霜后丝瓜 存性，猪胆汁调
敷，即消。
又方 扁柏叶捣汁，调蚯蚓泥搽上，立消。
宋仁宗患 腮，道士赞宁用赤小豆七粒为末敷之，立愈。（《朱氏集验方》）
腮毒 大黄末、姜汁调敷，中留一孔透气，自消。
两腮红肿
百合（一两） 贝母 山芝麻根（去皮） 元明粉（各一钱） 银朱（七分） 白面（少许） 同捣敷。
牛蒡甘桔汤：适用于颐部毒邪的表邪已尽，耳项部位出现结块肿胀，伴有轻微发热但不红肿，且有疼痛感的症状。
处方组成：黄连、赤芍药、桔梗、广陈皮、苏木、牛蒡子、川芎、天花粉、甘草。用水煎煮后服用。
汗颐腮（一种腮部病症）：
平头红豆（即普通的红豆，每升用生姜四两，榨取自然汁液拌和晒干，研磨成细末）。
用法：用鸡蛋清调匀后外敷，中间留一个孔以便透气，干燥时用葱汁润湿，一天即可消退，并且能止痛。
陈实功说：腮部肿痛主要由风热湿痰引起，或者在冬季温病之后，因天时不正之气侵袭诱发，导致两腮肿胀疼痛。
初发时若有寒热症状，用柴胡葛根汤发散解表，外部敷如意金黄散；如果病邪在里，表现为内热口干，大小便不利，用四顺清凉饮通利二便，使表里之邪同时解除；如果肿胀仍不消退，且必然化脓，则以托毒排脓为主。脓液成熟后用针穿刺排脓。（出自《外科正宗》）
冯鲁瞻说：胸膈间蕴积热毒，导致产生风痰，向上攻冲头面，壅滞不散，发为腮部肿痛。重症用磁锋刺破排出恶血，轻症则或涂抹或点涂药物，随后投服汤剂，疏散风邪、清热、解毒、消痰，疾病自然痊愈。（出自《外科锦囊》）
王肯堂说：病变位于肌肉层，浮浅而不深及骨骼的，称为腮部肿痛。这属于足阳明经风热所致。
《医宗心法》说：腮部肿痛又名髭发、含腮疮，生于两腮肌肉不着骨之处，总起因于阳明胃热。初起时高肿色红且发热的，属于阳明风热；若平坦肿胀、颜色淡而不鲜亮的，是由胃经湿热引起。
敷治腮部肿痛的方法：
染坊用的靛花频繁外敷，可自行消退。
又一方：肥皂同砂糖捣烂外敷，用纸覆盖并留出顶部出气。
又一方：黄柏、铅粉各等分，研匀后用凉水调敷。
又一方：猪胆汁（三个）、生姜汁、米醋（各半酒杯），混合均匀后磨京墨，一敷即消。
腮部肿胀：
土茯苓（二斤）、天花粉、苦参（各二两），切片分为七剂，每剂加皂角子七粒水煎，露置一夜，饭后温服，也可治疗瘰疬。
时行风热引起的腮肿：赤小豆捣细，用鸡子清或米醋调敷，立即消退。
又一方：霜后的丝瓜（存性，即保留其性质/烧存性），用猪胆汁调敷，立即消退。
又一方：扁柏叶捣汁，调和蚯蚓泥搽上，立即消退。
宋仁宗患腮部肿痛，道士赞宁用赤小豆七粒研末外敷，立即痊愈。（出自《朱氏集验方》）
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.