或问∶颧骨内卒然而痛，经宿而痛甚，寒热大作何如？曰∶此颧骨肉疽也。属上焦与
阳明经郁火所致，宜活命饮加升麻、桔梗、干葛，水酒煎服，仍与乌金散、夺命丹汗之可
消。 或问∶一人年五十，忽颧骨上初觉如松子，渐大如胡桃，不甚肿，微赤微痒，或
云痰核，或云结毒，或作瘤治何如？曰∶皆非也，是名颧疽。属阳明经积热所致，用紫
金丹、乌金散、活命饮，加制过南星，服之而消。 按∶《灵枢》曰∶心病者，颧赤。又
曰∶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。
或问∶颊腮生疮何如？曰∶此名金腮疮。初如米粒，渐大如豆，久而不治，溃蚀透颊，
属阳明经。初宜服胜金丹、活命饮加升麻、桔梗、黄连消毒散选用。壮实者，一粒金丹下
之。治不得法，溃烂不敛，口吐臭痰，喘急神昏者死。
犀角升麻汤 治阳明经络受风热，口唇、颊车、发鬓肿痛及鼻额间连头痛，不可开口，
虽言语、饮食亦相妨。
犀角（七钱半） 川升麻（半两） 防风 黄芩（各三钱半） 香白芷 白附子 川芎（各二钱半）
羌活（三钱，一字） 生甘草（一钱半）
上 咀。都作一服，水五盏，煎至三盏半，去滓，分作三服。一日服讫，其证必减。
如脏腑有些溏不妨，足阳明胃经也，经云∶肠胃为市。又云∶阳明多血多气。胃之中，腥
膻、五味无所不纳，如市廛无所不有也。六经之中血气俱多，腐熟饮食之毒聚于胃，故
此方以犀角为主饮食之毒。阳明经络环唇挟口，起于鼻交 中，循颊车，上耳前，过客
主人，循发际至额颅。昔王公患此一经，亦以升麻佐之，余药皆涤除风热，升麻、黄芩，
专入胃经，故用有效。
有人问：颧骨内部突然疼痛，过了一夜后疼痛加剧，并伴有严重的寒热症状，这是什么情况？回答说：这是颧骨肉疽（发生于颧部骨骼肌肉间的化脓性疾患）。这是由于上焦与阳明经郁结之火所致，适宜使用活命饮（仙方活命饮）加入升麻、桔梗、干葛，用水和酒煎服，同时配合服用乌金散、夺命丹以发汗，可以使病灶消散。
又有人问：有一人五十岁，忽然觉得颧骨上起初像松子大小，逐渐增大如胡桃，肿胀不明显，微微发红且微痒，有人说这是痰核（皮下结节），有人说这是结毒（梅毒等慢性感染形成的硬结），或者按瘤治疗，怎么样？回答说：这些说法都不对，这名叫颧疽。这是由于阳明经积热所致，使用紫金丹、乌金散、活命饮，加入经过炮制的南星，服用后可以消散。
按语：《灵枢》说：心脏有病的人，颧部发红。又说：肾脏有病的人，颧部和颜面发黑。既然如此，就应当观察其颜色，发红的，适宜用黄连安神丸清降心火，补心丸滋养心血；发黑的，适宜用地黄丸滋补肾水，不能专门归结为阳明经的郁火。
有人问：脸颊腮部生疮怎么样？回答说：这名叫金腮疮。起初像米粒大小，逐渐增大如豆，时间久了不治疗，会溃烂侵蚀穿透脸颊，病属阳明经。初期适宜服用胜金丹、活命饮加升麻、桔梗，或选用黄连消毒散。身体壮实的人，可以用一粒金丹攻下通便。如果治疗不得法，导致溃烂不愈合，口吐臭痰，气喘急促、神志昏迷的就会死亡。
犀角升麻汤：治疗阳明经络受风热侵袭，导致口唇、颊车穴周围、鬓角肿痛，以及鼻额间连带头痛，无法张口，甚至说话、饮食都受到妨碍。
处方组成：犀角（七钱半）、川升麻（半两）、防风、黄芩（各三钱半）、香白芷、白附子、川芎（各二钱半）、羌活（三钱，一字重）、生甘草（一钱半）。
制法用法：将药材切碎。全部作为一剂，用水五盏，煎煮至三盏半，滤去药渣，分三次服用。一天服完，病症必定减轻。如果脏腑有些许溏泄（大便稀薄）不要紧，因为这是足阳明胃经的病证，医经说：肠胃如同市场（容纳万物）。又说：阳明经多血多气。胃之中，腥膻、各种味道无所不纳，就像集市一样无所不有。在六经之中，气血都很多，腐熟饮食产生的毒素积聚在胃，所以此方以犀角为主药来清除饮食之毒。阳明经络环绕嘴唇夹持口部，起于鼻翼旁交于人中穴，沿颊车穴上行至耳前，过客主人穴，沿发际到达额颅。过去王公患这一经的病，也用升麻作为辅助药物，其余药物都是涤除风热的，升麻、黄芩专门入胃经，所以使用有效。
A question was asked: "What if there is sudden pain inside the zygomatic bone, which becomes severe after a night, accompanied by intense chills and fever?" The answer was: "This is Zygomatic Bone Flesh Abscess (a suppurative disease occurring in the bones and muscles of the zygoma). It is caused by stagnant fire in the Upper Jiao and the Yangming Meridian. It is appropriate to use Huoming Yin (Immortal Life Decoction) with added Shengma (Rhizoma Cimicifugae), Jiegeng (Radix Platycodonis), and Gange (Radix Puerariae), decocted with water and wine. Simultaneously, administering Wujin San (Black Gold Powder) and Duoming Dan (Life-Stealing Pill) to induce sweating can resolve the lesion."
Another question was asked: "A fifty-year-old person suddenly feels a lump on the zygomatic bone, initially the size of a pine nut, gradually enlarging to the size of a walnut, with slight swelling, mild redness, and itching. Some say it is a Phlegm Nodule (subcutaneous nodule), others say it is a Knot Toxin (chronic infection hardening), or should it be treated as a Tumor? How would you advise?" The answer was: "None of these are correct; this is named Zygomatic Abscess. It is caused by accumulated heat in the Yangming Meridian. Using Zijin Dan (Purple Gold Pill), Wujin San, and Huoming Yin, with added processed Nanxing (Tuber Pinelliae Preparata), will cause it to dissipate."
Commentary: The *Lingshu* states: "When the Heart is diseased, the zygoma turns red." It also states: "When the Kidney is diseased, the zygoma and face turn black." Therefore, one must observe the color. If red, it is appropriate to use Huanglian Anshen Wan (Coptis Calming the Spirit Pill) to descend Heart Fire, and Buxin Wan (Heart-Nourishing Pill) to nourish Heart Blood. If black, it is appropriate to use Dihuang Wan (Rehmannia Pill) to nourish Kidney Water. One cannot solely attribute it to stagnant fire in the Yangming Meridian.
A question was asked: "How about sores arising in the cheek and jaw area?" The answer was: "This is named Jin Sai Chuang (Gold Cheek Sore). Initially the size of a rice grain, it gradually enlarges to the size of a bean. If left untreated for a long time, it will ulcerate and erode through the cheek. This condition belongs to the Yangming Meridian. In the early stage, it is appropriate to take Shengjin Dan (Victorious Gold Pill), Huoming Yin with added Shengma and Jiegeng, or select Huanglian Xiaodu San (Coptis Detoxifying Powder). For robust individuals, Yili Jin Dan (One-Pill Golden Pill) can be used to purge downwards. If treatment is improper, leading to non-healing ulcers, expulsion of foul sputum from the mouth, rapid breathing, and coma, death will ensue."
Xijiao Shengma Tang (Rhinoceros Horn and Cimicifuga Decoction): Treats Wind-Heat invading the Yangming Meridian collaterals, causing swelling and pain in the lips, around the Jiache acupoint, and temples, as well as headache radiating from between the nose and forehead, inability to open the mouth, and interference with speech and eating.
Prescription Composition: Xijiao (Horn Rhinocerotis, 7 qian 5 fen), Chuan Shengma (Rhizoma Cimicifugae, half liang), Fangfeng (Radix Saposhnikoviae), Huangqin (Radix Scutellariae, each 3 qian 5 fen), Xiang Baizhi (Radix Angelicae Dahuricae), Baifuzi (Rhizoma Typhonii), Chuanxiong (Rhizoma Chuanxiong, each 2 qian 5 fen), Qianghuo (Rhizoma Notopterygii, 3 qian, weight 'yi zi'), Sheng Gancao (Radix Glycyrrhizae Preparata, 1 qian 5 fen).
Preparation and Administration: Cut the herbs into small pieces. Combine all as one dose, add five bowls of water, and decoct until three and a half bowls remain. Strain the dregs and divide into three doses. Take all within one day, and the symptoms will certainly diminish. If there is slight loose stool due to the viscera, it is not a concern, as this is a disease of the Foot-Yangming Stomach Meridian. The classics state: "The intestines and stomach are like a market." It also states: "The Yangming meridian has abundant blood and qi." The stomach accepts all flavors, including fishy, fatty, and various tastes, just as a market contains everything. Among the Six Meridians, blood and qi are abundant; toxins from rotting and ripening food accumulate in the stomach. Therefore, this formula uses Xijiao as the chief ingredient to clear toxins from food. The Yangming meridian collaterals circle the lips and flank the mouth, originate beside the nose and intersect at the Renzhong point, ascend along the Jiache point, pass anterior to the ear, cross the Guanzhuren point, follow the hairline to the frontal skull. In the past, when a noble official suffered from a disease of this meridian, Shengma was used as an assistant herb. The other herbs cleanse wind-heat, while Shengma and Huangqin specifically enter the Stomach Meridian, hence their efficacy.