（ 也，俗呼颧骨）。属手足少阳三焦胆，手太阳小肠经之会，又属手少阴心经。
（《灵枢》曰∶心病者颧赤。乔岳曰∶心绝则虚阳上发，面赤如脂。○按∶如脂者，如女人以粉敷面，
以丹敷颧也。夫白者肺之候，丹者心之候，《发明》谓之火克金，是从所不胜来者，为贼邪，其病不
治。故《脉诀》云∶面赤如妆，不久居也）。又属足少阴肾经。（《灵枢》曰∶肾病者，颧与颜黑）。
颊（面旁也）。属手足少阳三焦胆，手太阳小肠，足阳明胃经之会。（《素问》曰∶少阳之脉色
荣颊前，热病也。注∶足少阳部在颊，色，赤色也；前，当根据《甲乙经》作筋。《灵枢》曰∶邪气中
于颊，则下少阳。又曰∶少阳气至则啮颊。《素问》又曰∶少阳之厥，则暴聋颊肿而热。又曰∶上部
地，两颊之动脉。注∶在鼻孔下两旁，近于巨 穴之分，动应于手足阳明脉气之所行也。巨 直两目
瞳子）。又属足厥阴肝经。（《素问》曰∶肝病气逆则颊肿）。其在小儿面部。左颊属足厥阴肝
经。（《素问》曰∶肝热病者，左颊先赤）。右颊属手太阴肺经。（《素问》曰∶肺热病者，右
颊先赤）。颊侧（蕃也）。属足少阳胆，阳明胃经之会。颐（本作臣 中也）。属足阳明胃
经。（《素问》曰∶阳明虚则寒栗鼓颔，终则口耳动作。注∶口耳动作，谓目 而鼓颔也）。又属
足少阴肾经。（《素问》曰∶肾热病者颐先赤）。侠颐属足阳明胃经。（《素问》曰∶病上冲喉
者，治其渐，渐者上侠颐也。注∶阳明之脉渐上颐而环唇，故名侠颐为渐，即大迎穴也，在曲颔下一
寸三分，骨陷中动脉）。《内经》取治面颊肿痛有三法∶其一，取手阳明。经云∶ 痛，刺足阳明曲
周动脉见血，立已。不已，按人迎于经，立已。又云∶厥胸满面肿，唇漯漯然，暴言难，甚则不能言，
取足阳明。又云∶厥头痛，面若肿起而烦心，取之
足阳明、太阴，为烦心也。又云∶ 痛，刺手阳明与 之盛脉出血是也。其二，取手太阳。经云∶手
太阳之脉，是动则颔肿不可以顾。所生病者，目黄颊痛。视盛、虚、热、寒、陷下取之也。其三，取
手足少阳。经云∶三焦手少阳之脉，所生病者，颊痛。又云∶胆足少阳之脉，所生病者，颔肿。视盛、
虚、热、寒、陷下取之也。又云∶肝气逆则头痛，耳聋，颊痛，取血者。盖取足少阳之血也。丹溪治
朱奶，两腮热肿，膈壅之病也。用干葛、桔梗一钱半，升麻一钱，苏叶一钱半，甘草炙七分，薄荷一
钱，姜一片，水煎服。东垣云∶咽痛颔肿，脉洪大面赤者，羌活胜湿汤，加黄芩、桔梗、甘草各半钱
治之。如耳鸣目黄，颊颔肿，颈、肩、 、肘、臂外后廉痛，面赤，脉洪大者，以羌活、防风、甘草、
本通其经血，加黄芩、黄连消其肿，以人参、黄 益其元气，而泻其火邪。两腮肿，以细辛、草乌
等分为末，入蚌粉，以猪脂调敷肿处。或用醋调赤小豆末，敷之亦妙。口含白梅，置腮边
良久，肿退出涎，患消矣。消时肿必先向下。 腮用柏叶、车前草、柏子仁杵碎，热敷患处。或用鸡
子清调赤小豆末。（详见疡科）。平江陈氏，因惊惧后，常用手指甲拄掐两颊，遂两颊破损，心中懊
不安，脉数而实，诸药不愈，用《活幼口议》牛黄清心凉膈丸，数服如失。《三因方》，凡伸欠颊
车蹉，但开不能合，以酒饮之，令大醉，睡中吹皂角末，搐其鼻，嚏透即自止。
（颧骨，俗称颧骨）。它是手足少阳三焦经、胆经以及手太阳小肠经的交会之处，同时也归属于手少阴心经。
《灵枢》说：患心病的人，颧骨部位发红。乔岳说：心气衰竭时，虚阳上浮，面色红得像涂了油脂一样。（按语：所谓“如脂”，就像女子用粉敷面，用胭脂涂抹颧骨一样。白色是肺的征候，红色是心的征候，《发明》认为这是火克金，是从所不胜（即克制我的一方）传来的邪气，称为贼邪，这种病难以治愈。所以《脉诀》说：“面色红得像化妆一样，不久人世。”）它也归属于足少阴肾经。《灵枢》说：患肾病的人，颧骨和颜面发黑。
颊（指面部两侧）。它是手足少阳三焦经、胆经，手太阳小肠经，足阳明胃经的交会之处。《素问》说：少阳经脉的气色反映在脸颊前部，是热病的表现。注解说：足少阳的部位在脸颊，色指赤色；前字，应当根据《甲乙经》改为“筋”。《灵枢》说：邪气侵袭颊部，则影响下部的少阳经。又说：少阳经气至则咬颊。《素问》又说：少阳经发生厥证，则突然耳聋、颊部肿胀发热。又说：上部地，指两颊的动脉。注解说：位于鼻孔下方两旁，靠近巨髎穴的区域，搏动应手，是手足阳明脉气运行的地方。巨髎穴正对两眼瞳孔。它也归属于足厥阴肝经。《素问》说：肝气上逆则颊部肿胀。
在小儿的面部诊断中，左颊归属于足厥阴肝经。《素问》说：肝热病患者，左颊先变红。右颊归属于手太阴肺经。《素问》说：肺热病患者，右颊先变红。
颊侧（即藩篱之意）。它是足少阳胆经、足阳明胃经的交会之处。颐（原写作臣G，指下巴中央）。它归属于足阳明胃经。《素问》说：阳明经虚弱则寒战鼓颔，最终导致口眼歪斜及下颌运动异常。注解说：口耳动作，是指眼睛眨动且下颌鼓动。它也归属于足少阴肾经。《素问》说：肾热病患者，颐部先变红。侠颐（指下颌角附近）归属于足阳明胃经。《素问》说：病势向上冲至喉咙的，治疗其起始阶段，起始阶段即上挟颐部的经脉。注解说：阳明经的脉气渐上至颐部并环绕嘴唇，所以称挟颐为渐，即大迎穴，位于下颌角下一寸三分，骨陷中的动脉处。
《内经》提出治疗面颊肿痛有三种方法：第一种，取用手阳明经。经文说：颊痛，刺足阳明曲周动脉见血，立即痊愈。若未愈，按压人迎穴处的经脉，立即痊愈。又说：厥气胸满满面肿，嘴唇湿润流涎，突然说话困难，严重时不能说话，取足阳明经治疗。又说：厥头痛，面部像肿胀起来且心烦，取足阳明、足太阴经治疗，以缓解心烦。又说：颊痛，刺手阳明经与颊车穴处盛满的经脉出血即可。第二种，取用手太阳经。经文说：手太阳经脉发生变动，则下颌肿胀，不能回顾。其所生的疾病，有目黄、颊痛。根据脉气的盛、虚、热、寒、陷下等情况来选取穴位。第三种，取用手足少阳经。经文说：三焦手少阳经脉，所生的疾病，有颊痛。又说：胆足少阳经脉，所生的疾病，有下颌肿胀。根据脉气的盛、虚、热、寒、陷下等情况来选取穴位。又说：肝气上逆则头痛、耳聋、颊痛，取血络放血。大概是取足少阳经的血络。
丹溪治疗朱奶妈，两腮热肿，这是膈间壅滞的病。用干葛、桔梗各一钱半，升麻一钱，苏叶一钱半，炙甘草七分，薄荷一钱，生姜一片，水煎服。东垣说：咽痛、下颌肿胀，脉象洪大、面色红的，用羌活胜湿汤，加黄芩、桔梗、甘草各半钱治疗。如果耳鸣、目黄、颊颌肿胀，颈、肩、臑、肘、臂外侧后缘疼痛，面色红，脉象洪大的，用羌活、防风、甘草、藁本疏通经络气血，加黄芩、黄连消除肿胀，用人参、黄芪补益元气，从而泻除火邪。两腮肿胀，用细辛、草乌等分为末，加入蚌粉，用猪油调匀敷在肿胀处。或者用醋调赤小豆末，敷上也很好。口含白梅，放在腮边很久，肿胀消退并吐出涎液，病患就好了。消渴时的肿胀必须先向下消散。痄腮用柏叶、车前草、柏子仁捣碎，热敷患处。或者用鸡蛋清调赤小豆末。（详见疡科）。平江陈氏，因受惊恐惧后，常用手指甲掐两颊，导致两颊破损，心中烦闷不安，脉数而实，各种药物无效，使用《活幼口议》中的牛黄清心凉膈丸，服用几剂后病愈。《三因方》记载，凡是伸欠导致颊车关节脱位，只张开不能闭合的，用酒让他喝醉，在大睡中吹皂角末入鼻，喷嚏通透后自然复位。
(The zygomatic bone, commonly known as the cheekbone). It is the intersection of the Hand-Shaoyang Sanjiao Meridian, Foot-Shaoyang Gallbladder Meridian, and Hand-Taiyang Small Intestine Meridian, and also belongs to the Hand-Shaoyin Heart Meridian.
The *Ling Shu* states: "Patients with heart disease have redness on the zygomatic bones." Qiao Yue stated: "When heart Qi fails, deficient Yang floats upward, causing the face to appear red like grease." (Commentary: "Like grease" refers to a woman applying powder to her face and rouge to her cheekbones. White is the sign of the Lung, and red is the sign of the Heart. The *Fa Ming* considers this Fire overcoming Metal, which comes from the element that overcomes me, termed a "robber pathogen" (Ze Xie); such diseases are difficult to cure. Thus, the *Mai Jue* says: "A face red as if made up indicates life will not last long.") It also belongs to the Foot-Shaoyin Kidney Meridian. The *Ling Shu* states: "Patients with kidney disease have blackness on the cheekbones and forehead."
Cheek (referring to the sides of the face). It is the intersection of the Hand-Shaoyang Sanjiao Meridian, Foot-Shaoyang Gallbladder Meridian, Hand-Taiyang Small Intestine Meridian, and Foot-Yangming Stomach Meridian. The *Su Wen* states: "When the color of the Shaoyang meridian appears on the front of the cheek, it indicates heat disease." The commentary notes: The area of the Foot-Shaoyang is the cheek; 'color' refers to redness; 'front' should be corrected to 'sinew' according to the *Jia Yi Jing*. The *Ling Shu* states: "When pathogenic factors strike the cheek, they affect the lower Shaoyang." It further states: "When Shaoyang Qi arrives, one bites the cheek." The *Su Wen* also states: "In Shaoyang Jue syndrome, there is sudden deafness, swelling, and heat in the cheeks." It further states: "Upper Earth refers to the arteries of both cheeks." The commentary notes: Located on both sides below the nostrils, near the region of the Juliao (ST3) acupoint, where pulsation corresponds to the flow of Qi in the Hand and Foot Yangming meridians. Juliao (ST3) is directly opposite the pupils of the eyes. It also belongs to the Foot-Jueyin Liver Meridian. The *Su Wen* states: "When Liver Qi rebels upward, the cheeks swell."
In pediatric facial diagnosis, the left cheek belongs to the Foot-Jueyin Liver Meridian. The *Su Wen* states: "In patients with liver heat disease, the left cheek turns red first." The right cheek belongs to the Hand-Taiyin Lung Meridian. The *Su Wen* states: "In patients with lung heat disease, the right cheek turns red first."
Cheek side (meaning barrier/fence). It is the intersection of the Foot-Shaoyang Gallbladder Meridian and Foot-Yangming Stomach Meridian. Chin/Yi (originally written as Chen G, referring to the center of the chin). It belongs to the Foot-Yangming Stomach Meridian. The *Su Wen* states: "When Yangming is deficient, there is chills and trembling of the jaw, eventually leading to mouth and eye deviation and jaw movement abnormalities." The commentary notes: "Mouth and ear movements" refer to blinking of the eyes and trembling of the jaw. It also belongs to the Foot-Shaoyin Kidney Meridian. The *Su Wen* states: "In patients with kidney heat disease, the chin turns red first." Xia Yi (referring to the area near the angle of the mandible) belongs to the Foot-Yangming Stomach Meridian. The *Su Wen* states: "For conditions where pathology rushes upward to the throat, treat the initial stage; the initial stage is the meridian that runs along the chin." The commentary notes: The Yangming meridian's Qi gradually ascends to the chin and circles the lips, hence the term 'Xia Yi' as 'Jian', which is the Daying (ST5) acupoint, located 1.3 cun below the mandibular angle, in the bony depression at the arterial pulse.
The *Nei Jing* proposes three methods for treating facial and cheek swelling and pain:
First, select the Hand-Yangming Large Intestine Meridian. The classic states: "For cheek pain, puncture the curved Zhou artery of the Foot-Yangming until blood appears, and it will heal immediately. If not healed, press the Renying (ST9) point on the meridian, and it will heal immediately." It further states: "For Jue syndrome with chest fullness and whole-face swelling, moist lips dribbling saliva, sudden difficulty speaking, or severe inability to speak, treat using the Foot-Yangming meridian." It further states: "For Jue headache, where the face looks swollen and there is vexation, treat the Foot-Yangming and Foot-Taiyin meridians to relieve vexation." It further states: "For cheek pain, puncture the Hand-Yangming meridian and the full vessels at the Jiache (ST6) acupoint to release blood."
Second, select the Hand-Taiyang Small Intestine Meridian. The classic states: "When the Hand-Taiyang meridian is disturbed, there is swelling of the jaw making it impossible to look back. Diseases generated by this meridian include yellow eyes and cheek pain. Select points based on excess, deficiency, heat, cold, or sinking."
Third, select the Hand and Foot Shaoyang meridians. The classic states: "Diseases generated by the Sanjiao Hand-Shaoyang meridian include cheek pain." It further states: "Diseases generated by the Gallbladder Foot-Shaoyang meridian include jaw swelling. Select points based on excess, deficiency, heat, cold, or sinking." It further states: "When Liver Qi rebels upward, there is headache, deafness, and cheek pain; take blood [from the collateral vessels]. This generally refers to taking blood from the Foot-Shaoyang collaterals."
Danxi treated Nurse Zhu, who had hot swelling in both cheeks, caused by stagnation in the diaphragm. He used Ge Gen (Puerariae Lobatae Radix), Jie Geng (Platycodonis Radix) each 1.5 qian, Sheng Ma (Cimicifugae Rhizoma) 1 qian, Su Ye (Perillae Folium) 1.5 qian, Zhi Gan Cao (Prepared Licorice Root) 0.7 qian, Bo He (Menthae Haplocalycis Herba) 1 qian, and one slice of Sheng Jiang (Zingiberis Recens Rhizoma), decocted in water and taken orally.
Dongyuan stated: For sore throat and jaw swelling with a surging pulse and red face, use Qiang Huo Sheng Shi Tang (Notopterygii Rhizoma et Radix Decoction to Overcome Dampness), adding Huang Qin (Scutellariae Radix), Jie Geng (Platycodonis Radix), and Gan Cao (Glycyrrhizae Radix et Rhizoma) each 0.5 qian.
If there is tinnitus, yellow eyes, cheek and jaw swelling, pain along the outer posterior aspect of the neck, shoulder, nu (upper arm), elbow, and arm, red face, and surging pulse, use Qiang Huo (Notopterygii Rhizoma et Radix), Fang Feng (Saposhnikoviae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), and Gao Ben (Ligustici Rhizoma et Radix) to unblock meridian blood, add Huang Qin (Scutellariae Radix) and Huang Lian (Coptidis Rhizoma) to reduce swelling, and add Ren Shen (Ginseng Radix) and Huang Qi (Astragali Radix) to tonify Yuan Qi and drain fire pathogenic factors.
For swelling of both cheeks, mix Xi Xin (Asari Radix et Rhizoma) and Cao Wu (Aconiti Radix Preparata) in equal parts into powder, add Bang Fen (Concha Margaritifera Interior), and apply mixed with pig fat to the swollen area. Alternatively, mixing Chi Xiao Dou (Vigna umbellata Seed) powder with vinegar for application is also excellent. Holding a white plum in the mouth near the cheek for a long time causes swelling to recede and salivation to increase, resolving the condition. When reducing swelling, it must first move downward. For mumps (Zhui Sai), use Bai Ye (Cupressi Cacumen), Che Qian Cao (Plantaginis Herba), and Bai Zi Ren (Biota Semen) crushed and applied hot to the affected area. Alternatively, mix Chi Xiao Dou (Vigna umbellata Seed) powder with egg white (Ji Zi Qing). (See detailed discussion in Surgery Department).
Mr. Chen from Pingjiang, after experiencing fright and fear, frequently scratched his cheeks with fingernails, causing damage to the skin. He felt internal restlessness and irritability, with a rapid and excess pulse. Various medicines failed. Using Niu Huang Qing Xin Liang Ge Wan (Calculus Bovis Clear Heart and Cool Diaphragm Pill) from *Huo You Kou Yi*, he recovered after several doses.
The *San Yin Fang* records: For any case of jaw dislocation due to yawning, where the mouth opens but cannot close, give wine to induce deep intoxication. While sleeping, blow Sao Jiao Mo (Gleditsiae Sinensis Fructus Powder) into the nose. Once sneezing occurs thoroughly, the joint will spontaneously reduce.