颊疡胃经积热生，初如红粟渐榴形，脓出肿消易敛愈，脓稀难敛漏因成。
\r颊疡图\p04-34a47.bmp\r
【注】此证生于耳下颊车骨间，由阳明胃经积热而生。始发如粟，色红渐大如榴，
初起宜犀角升麻汤清解之。若失治，或过敷寒药，以致肌冷凝结，坚硬难消难溃者，宜
升阳散火汤宣发之。将溃，宜托里消毒散。脓熟针之，脓出肿退，疮口易敛者则愈。或
牙关紧急不开，或旁肿不消，脓水清稀，因而成漏，复被寒侵疮孔，致生多骨，经年缠
绵难愈者，服桂附地黄丸，外用豆豉饼垫灸艾壮，初用九壮，以知热痒为止，每日灸之
以朽骨脱出，脓渐少而肌渐平为度。兼用红升丹，捻入疮口内，万应膏盖贴，每日一易。
患者当慎起居，戒腥发等物，渐渐收功。
犀角升麻汤
犀角（二钱五分） 升麻（一钱七分） 黄芩（八分）
白附子（面裹煨熟，八分） 生甘草（五分） 白芷（八分） 川芎（八分） 羌活（一钱二分）
防风（八分）
水三盅，煎一盅，食远热服。
【方歌】犀角升麻医颊疡，色红初起服之良，黄芩白附生甘草，白芷川芎羌活防。
升阳散火汤
抚芎（六分） 蔓荆子 白芍（酒炒） 防风 羌活 独活 甘草（半生，半炙） 人参（各一钱）
柴胡 香附（各一钱五分） 葛根（一钱） 升麻（一钱） 僵蚕（炒，一钱五分）
生姜一片，红枣肉一枚，水三盅，煎一盅，食远温服。
【方歌】升阳散火过敷寒，牙叉拘急木痛坚，抚蔓芍防羌独草，参柴香附葛升蚕。
托里消毒散（见肿疡门）
豆豉饼（见灸法内）
红升丹 万应膏（俱见溃疡门）
颊疡（面颊部的痈疡）是由胃经积热所生，初期症状如同红色的粟米，随后逐渐肿大形似石榴。若脓液排出、肿胀消退，则容易愈合；若脓液清稀、难以收敛，则会形成瘘管。
【注】此证发生于耳下颊车骨之间，由阳明胃经的积热引起。发病初期如粟米粒大小，颜色发红并逐渐增大如石榴状。初起时适宜使用犀角升麻汤进行清热解表治疗。如果延误治疗，或过度敷用寒凉药物，导致肌肉寒冷凝结，变得坚硬难以消散和溃破，适宜使用升阳散火汤来宣发郁火。在即将溃破时，适宜使用托里消毒散。脓液成熟后用针穿刺排脓，脓出后肿胀消退，疮口容易愈合的即可痊愈。如果出现牙关紧闭无法张开，或旁边肿胀不消，脓水清稀，因而形成瘘管，再加上寒邪侵袭疮孔，导致生出多块死骨，病程长年缠绵难愈的，应服用桂附地黄丸，外用豆豉饼垫着施以艾炷灸，初次使用九壮，以患者感到温热瘙痒为度，每日施灸，直到朽骨脱出，脓液逐渐减少而肌肉逐渐平整为止。同时配合使用红升丹，捻成条状纳入疮口内，外用万应膏覆盖贴敷，每天更换一次。患者应当谨慎起居生活，忌食腥膻及发物，慢慢收功治愈。
犀角升麻汤
犀角（二钱五分） 升麻（一钱七分） 黄芩（八分）
白附子（面粉包裹煨熟，八分） 生甘草（五分） 白芷（八分） 川芎（八分） 羌活（一钱二分）
防风（八分）
用水三盅，煎至一盅，饭后稍远时间热服。
【方歌】犀角升麻医颊疡，色红初起服之良，黄芩白附生甘草，白芷川芎羌活防。
升阳散火汤
抚芎（六分） 蔓荆子 白芍（酒炒） 防风 羌活 独活 甘草（一半生用，一半炙用） 人参（各一钱）
柴胡 香附（各一钱五分） 葛根（一钱） 升麻（一钱） 僵蚕（炒，一钱五分）
生姜一片，红枣肉一枚，用水三盅，煎至一盅，饭后稍远时间温服。
【方歌】升阳散火过敷寒，牙叉拘急木痛坚，抚蔓芍防羌独草，参柴香附葛升蚕。
Jia Yang (abscess of the cheek) arises from accumulated heat in the Stomach Meridian. Initially, it resembles a red millet grain, gradually enlarging to resemble a pomegranate. If pus is discharged and swelling subsides, healing occurs easily; if the pus is thin and difficult to consolidate, a fistula may form.
[Note] This condition occurs between the bone below the ear at the Jiache point, caused by accumulated heat in the Yangming Stomach Meridian. It begins like a millet grain, red in color, gradually enlarging to the size of a pomegranate. At the initial stage, Xijiao Shengma Tang (Rhino Horn and Cimicifuga Decoction) should be used to clear heat and resolve the exterior. If treatment is delayed, or if cold medicines are over-applied, causing muscle coldness and coagulation, resulting in hardness that is difficult to dissipate or suppurate, Shengyang Sanhuo Tang (Raising Yang and Dispersing Fire Decoction) should be used to vent the stagnant fire. When about to suppurate, Tuoli Xiaodu San (Supporting the Interior and Detoxifying Powder) is appropriate. Once the pus is ripe, it should be punctured with a needle. If the swelling recedes after pus discharge and the wound closes easily, the patient will recover. If there is trismus (lockjaw) preventing mouth opening, or persistent swelling on the side, with thin purulent discharge leading to fistula formation, compounded by cold pathogen invading the wound hole causing exostosis (multiple dead bones), resulting in a chronic, lingering condition difficult to heal for years, Guifu Dihuang Wan (Cinnamon Twig and Aconite Rehmannia Pill) should be taken. Externally, apply moxibustion using a Fermented Soybean Cake (Douchi Bing) as a cushion. Start with nine moxa cones, stopping when warmth and itching are felt. Perform moxibustion daily until the necrotic bone falls out, pus decreases gradually, and tissue levels out. Concurrently, use Hongsheng Dan (Red Ascending Cinnabar) rolled into strips and inserted into the wound, covered with Wanying Gao (All-Effect Ointment), changing once daily. The patient should maintain careful daily routines and avoid pungent, fishy, and "fa" (stimulating/allergic-triggering) foods to gradually achieve recovery.
Xijiao Shengma Tang (Rhino Horn and Cimicifuga Decoction)
Xi Jiao (Horn of Rhinoceros, 2.5 qian) Sheng Ma (Cimicifugae Rhizoma, 1.7 qian) Huang Qin (Scutellariae Radix, 0.8 qian)
Bai Fu Zi (Aconiti Kusnezoffii Radix Praeparata, wrapped in flour and roasted, 0.8 qian) Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma, 0.5 qian) Bai Zhi (Angelicae Dahuricae Radix, 0.8 qian) Chuan Xiong (Chuanxiong Rhizoma, 0.8 qian) Qiang Huo (Notopterygii Rhizoma et Radix, 1.2 qian)
Fang Feng (Saposhnikoviae Radix, 0.8 qian)
Add three cups of water, decoct to one cup, and take hot shortly after meals.
[Prescription Verse] Xijiao Shengma treats Jia Yang, effective when red and just begun; Huang Qin, Bai Fu Zi, and raw Gan Cao, combined with Bai Zhi, Chuan Xiong, Qiang Huo, and Fang Feng.
Shengyang Sanhuo Tang (Raising Yang and Dispersing Fire Decoction)
Fu Xiong (Chuanxiong Rhizoma, 0.6 qian) Man Jing Zi (Vitalis Fructus) Bai Shao (Paeoniae Radix Alba, wine-fried) Fang Feng (Saposhnikoviae Radix) Qiang Huo (Notopterygii Rhizoma et Radix) Du Huo (Angelicae Pubescentis Radix) Gan Cao (Glycyrrhizae Radix et Rhizoma, half raw, half honey-fried) Ren Shen (Ginseng Radix) (each 1 qian)
Chai Hu (Bupleuri Radix) Xiang Fu (Cyperi Rhizoma) (each 1.5 qian) Ge Gen (Puerariae Lobatae Radix, 1 qian) Sheng Ma (Cimicifugae Rhizoma, 1 qian) Jiang Can (Bombyx Batryticatus, fried, 1.5 qian)
One slice of fresh ginger, one piece of jujube flesh, add three cups of water, decoct to one cup, and take warm shortly after meals.
[Prescription Verse] Shengyang Sanhuo counters excessive cold application, for jaw stiffness, numbness, pain, and hardness; Fu, Man, Bai Shao, Fang, Qiang, Du, and Gan Cao; plus Ren Shen, Chai Hu, Xiang Fu, Ge Gen, Sheng Ma, and Jiang Can.
Tuoli Xiaodu San (Supporting the Interior and Detoxifying Powder) (See section on Swelling Ulcers)
Douchi Bing (Fermented Soybean Cake) (See section on Moxibustion Methods)
Hongsheng Dan (Red Ascending Cinnabar) Wanying Gao (All-Effect Ointment) (Both see section on Ulcerated Ulcers)