或问∶腮脸生毒何如？曰∶此名腮颔发。肌肉浮而不着骨者名 腮。俱属阳明风热所
致，急服活命饮加玄参、芩、连，水酒煎服，及紫金丹汗之。或问∶颧骨之下，腮颔之上，
耳前一寸三分发疽何如？曰∶此名颐发。古云，不治之证，属阳明经热毒上攻。宜活命
饮加升麻、桔梗、黄连，水酒煎服，紫金丹、夺命丹汗之。壮实者，一粒金丹下之；老弱
者，十全大补汤、黄 内托散、人参养荣汤。若治不得法，延及咽嗑，溃烂穿口不食者死。
尝见一妇人，患此证，经水适至，一医开之，呕逆不食而死，又一人患此，医用点药，溃
烂臭秽，以致虚火上升，吐血痰谵语而死。
〔薛〕 腮属足阳明胃经，或外因风热所乘，或内因积热所致。若肿痛寒热者，白芷
胃风汤。内热肿痛者，升麻黄连汤。外肿作痛，内热口干者，犀角升麻汤。内伤寒凉，不
能消溃者，补中益气汤。发热作渴，大便秘结者，加味清凉饮。表里俱解而仍肿痛者，欲
作脓也，托里散。若饮食少思，胃气虚弱也，六君子汤。肢体倦怠，阳气虚弱也，补中益
气汤。脓毒既溃，肿痛不减，热毒未解也，托裹消毒散，脓出而反痛，气血虚也，人参内
托散。发热脯热，阴血虚也，八珍汤。恶寒发热，气血俱虚也，十全大补汤。若肿 痛
连耳下者，属手足少阳经，当清肝火。若连颐及耳后者，属足少阴经虚火，当补肾水。患
此而有不治者多，泥风热执用克伐之药耳。按∶《素问》云∶肾热者，颐先赤。故颐属足
少阴肾经也，而今医师以耳后一寸三分发锐毒者，名曰发颐，则是少阳分野。薛氏亦以
为属足少阴经，当补肾水者何也？盖肾为相火之宅，宅完且固，而火得归息焉，则治肾
正所以治少阳也。此证伤寒汗出不彻者多患之。亦有杂证客热，久而不散而发于颐者，宜
以药速消散之，失治成脓，则费手矣。若又服克伐之药，而不滋补其气血，即穿口穿喉
而死。一人年逾三十，夏月热病后，患颐毒。积日不溃，气息奄奄，饮食少思，大便不禁，
诊脉如无。经曰∶脉息如无似有，细而微者，阳气衰也。齐氏曰∶饮食不入，大便滑利，肠
胃虚也，以六君子加炮姜、肉豆蔻、破故纸数剂，泄稍止，食稍进，更加黄柏、当归、肉
桂，溃而脓水清稀，前药每服加熟附一钱，数剂泄止食进，脓渐稠再以十全大补汤，加酒
炒芍药、白蔹，月余而愈。 地官陈用之，服发散之剂，寒热已退，肿痛不消，此血凝滞
而欲作脓也，用托里消毒散而脓成，又用托里散而溃。但脓清作渴，乃气血虚也，用八
珍加麦门、五味，三十余剂而愈。 上舍卢懋树患此，而尺脉数，证属肾经不足，误服
消毒之剂，致损元气而不能愈，余用补中益气、六味丸料而痊。 上舍熊栋卿颐后患之，
脓清体瘦，遗精盗汗，晡热口渴，痰气上涌，久而不愈。脉洪大按之微细，属肾气亏损所
致，遂用加减八味丸料，并十全大补汤而愈。一妇人，素内热因怒，耳下至颈肿痛，寒
热，此肝胆经火燥而血虚，用柴胡栀子散而肿痛消，用加味逍遥散而寒热退，用八珍汤
加丹皮而内热止。
连翘败毒散 治发颐初肿，服此消之。
羌活（中） 独活（中） 连翘（上） 荆芥（中） 防风（中） 柴胡（中） 升麻（下）
桔梗（中） 甘草（下） 川芎（中） 牛蒡子（新瓦上炒研碎用，中） 当归尾（酒洗，中）
红花（酒洗，下） 苏木（下） 天花粉（中）
上用水一盅，好酒一盅，同煎至一盅，去滓，徐徐温服。如未消，加穿山甲（蛤粉炒，一
钱）。 肿至面者，加香白芷（一钱），漏芦（五分），如大便燥实者，加酒浸大黄（一钱半）， 壮者倍用
之。凡内有热，或寒热交作者，倍用柴胡，加酒洗黄芩（一钱），酒炒黄连（一钱）。
加味消毒饮子 治搭腮肿。
防风 荆芥 连翘 牛蒡子 羌活 甘草（各等分）
上为粗末，水煎三两服。散毒，然后用药涂腮肿处，切不可先便用药涂，毒瓦斯入喉
中，不救。
内托消毒散 治发颐有脓，不可消者，已破未破服之。
人参（中） 黄 （上） 防风（中） 白芷（中） 川芎（中） 当归（中） 桔梗（中） 连翘（中）
升麻（中） 柴胡（中） 金银花（中） 甘草节（中）
上用水一盅，好酒一盅，同煎一盅，去滓，徐徐温服。疮破者，以玄武膏贴之。四
围赤肿不退者，仍以后药涂之，兼服蜡矾丸最妙。
消毒救苦散 消肿散毒，用米醋调涂，敷四围留头，如干即又敷。
大黄（三钱） 黄芩 黄连 黄柏 芙蓉叶 大蓟根 白芨 白蔹 天南星 半夏 红花 檀花 当归尾
赤小豆 白芷（各一钱半） 朴硝 雄黄（另研末，以上各一钱）
一方 用见肿消草、生白芨、白蔹 土大黄、生大蓟根、野苎麻根，共捣成饼，入
朴硝一钱和匀，贴肿上留头勿贴，如干即换之。若更加山茨菇、金线重楼根尤妙。
百合散 治颐颏疮，一名独骨疮。
百合 黄柏（各一两） 白芨（一钱半） 蓖麻子（五十粒，研）
上为末，用朴硝水和作饼贴之，日三五次。
二金散 治大人小儿蚀透腮颊，初生如米豆，名含腮疮。
鸡内金 郁金
上等分为末。先用盐浆盥漱了，贴之。
芙蓉敷方 治腮颔肿痛，或破成疮。
芙蓉叶（不拘多少）
上捣烂敷之，以帛扎定，日一换。
神效方 治 腮，及痈疽发背，疮疖等证。
赤小豆（为细末）
以新汲水调敷疮上，及四边赤肿处，干则再敷之。
有人问：腮脸部位生毒疮怎么样？回答说：这叫做“腮颔发”。肌肉浮肿但不附着在骨头上的，称为“腮”。这些都属于阳明经风热邪气所致。应当紧急服用活命饮，加入玄参、黄芩、黄连，用水和酒煎煮后服用，并服用紫金丹使其发汗。又有人问：颧骨下方、腮颔上方、耳朵前一寸三分处发生的疽疮怎么样？回答说：这叫做“颐发”。古书说，这是不治之证，属于阳明经热毒向上攻冲。适宜服用活命饮，加入升麻、桔梗、黄连，用水和酒煎煮后服用，并服用紫金丹、夺命丹使其发汗。体质壮实的人，服一粒金丹以泻下；年老体弱的人，服用十全大补汤、黄芪内托散、人参养荣汤。如果治疗不得法，病情蔓延至咽喉，导致溃烂穿孔、无法进食的就会死亡。
我曾见过一个妇人，患此病，正值月经来潮，一位医生误用攻下之法，导致呕吐逆乱、不能进食而死亡；又有一个人患此病，医生使用点药（外敷腐蚀性药物），导致溃烂臭秽，致使虚火上升，吐血、咳痰、胡言乱语而死亡。
薛己按：腮部属于足阳明胃经。或者是外受风热邪气侵袭，或者是内有积热所致。如果表现为肿痛且伴有寒热的，用白芷胃风汤。如果内热明显且肿痛，用升麻黄连汤。如果外部肿胀疼痛，内部有热且口干，用犀角升麻汤。如果因内伤寒凉之气，导致脓毒不能消散溃破的，用补中益气汤。如果发热且口渴，大便秘结的，用加味清凉饮。如果表里症状都已解除但仍肿痛，说明即将化脓，用托里散。如果饮食减少、食欲不振，是胃气虚弱，用六君子汤。如果肢体倦怠乏力，是阳气虚弱，用补中益气汤。如果脓毒已经溃破，但肿痛不减，说明热毒未解，用托裹消毒散；如果脓液流出后反而疼痛，是气血虚弱，用人参内托散。如果午后发热，是阴血虚弱，用八珍汤。如果恶寒发热，是气血俱虚，用十全大补汤。如果肿胀疼痛牵连到耳下的，属于手足少阳经病变，应当清肝火。如果牵连到下巴及耳后的，属于足少阴经虚火，应当补肾水。患此病而治不好的很多，是因为拘泥于风热之说，固执地使用克伐攻邪的药物所致。
按：《素问》说：“肾热者，颐先赤。”所以颐部属于足少阴肾经。然而现在的医师将耳朵后一寸三分处发生的锐毒称为“发颐”，那应该是少阳经的分野。薛氏也认为属于足少阴经，应当补肾水，这是为什么呢？因为肾是相火的宅舍，宅舍完好坚固，火就能归位休息，所以治疗肾经正所以治疗少阳经。此证在伤寒发汗不彻底的病人中多见。也有杂病中的客热邪气，久不散而发于颐部的，应当用药迅速消散它，如果失治导致成脓，就难以处理了。如果再服用克伐攻邪的药物，而不滋补其气血，就会导致穿孔喉咙而死。
有一人年过三十，夏季热病之后，患颐部毒疮。多日不溃破，气息微弱，饮食减少，大便失禁，诊脉象似有若无。医经说：脉息似有若无，细而微弱的，是阳气衰败。齐氏说：饮食不入，大便滑利，是肠胃虚弱。用六君子汤加炮姜、肉豆蔻、补骨脂，服用数剂后泄泻稍止，饮食稍进，再加黄柏、当归、肉桂，溃破后脓水清稀，前方每服加熟附子一钱，数剂后泄止食进，脓液逐渐变稠，再用十全大补汤，加酒炒芍药、白蔹，月余痊愈。
地官陈用之，服用发散药剂，寒热已退，但肿痛不消，这是血凝滞而欲化脓，用托里消毒散使脓成，又用托里散使其溃破。但脓液清稀且口渴，是气血虚弱，用八珍汤加麦门冬、五味子，三十余剂痊愈。
上舍卢懋树患此病，尺脉数，证属肾经不足，误服消毒药剂，导致损伤元气而不能痊愈，我用补中益气汤、六味丸料治愈。
上舍熊栋卿患于颐后，脓液清稀，身体消瘦，遗精盗汗，傍晚发热口渴，痰气上涌，久而不愈。脉象洪大但重按微细，属肾气亏损所致，遂用加减八味丸料，并配合十全大补汤而愈。
有一妇人，素体内热，因愤怒导致耳下至颈部肿痛，寒热往来，这是肝胆经火燥兼血虚，用柴胡栀子散使肿痛消除，用加味逍遥散使寒热退去，用八珍汤加牡丹皮使内热停止。
连翘败毒散：治疗发颐初起肿胀，服用此方可消散。
药材：羌活、独活、连翘、荆芥、防风、柴胡、升麻、桔梗、甘草、川芎、牛蒡子（新瓦上炒研碎用）、当归尾（酒洗）、红花（酒洗）、苏木、天花粉。
用法：以上用水一盅，好酒一盅，同煎至一盅，去渣，徐徐温服。如果未消散，加穿山甲（蛤粉炒，一钱）。肿胀波及面部的，加香白芷（一钱），漏芦（五分）；如果大便燥实，加酒浸大黄（一钱半），体质壮实者加倍使用。凡体内有热，或寒热交作的，加倍使用柴胡，加酒洗黄芩（一钱），酒炒黄连（一钱）。
加味消毒饮子：治疗搭腮肿。
药材：防风、荆芥、连翘、牛蒡子、羌活、甘草（各等分）。
用法：以上为粗末，水煎三两服。先散毒，然后用药涂腮肿处，切不可先用外用药涂抹，否则毒瓦斯入喉中，不可救药。
内托消毒散：治疗发颐已有脓液，无法消散者，无论已破未破均可服用。
药材：人参、黄芪、防风、白芷、川芎、当归、桔梗、连翘、升麻、柴胡、金银花、甘草节。
用法：以上用水一盅，好酒一盅，同煎一盅，去渣，徐徐温服。疮口已破的，用玄武膏贴敷。四周红肿不退的，仍用后方药涂抹，同时服用蜡矾丸最好。
消毒救苦散：消肿散毒，用米醋调匀涂抹，敷于四周，留出头部（疮口），干了再敷。
药材：大黄、黄芩、黄连、黄柏、芙蓉叶、大蓟根、白芨、白蔹、天南星、半夏、红花、檀花、当归尾、赤小豆、白芷（各一钱半），朴硝、雄黄（另研末，以上各一钱）。
另一方：用见肿消草、生白芨、白蔹、土大黄、生大蓟根、野苎麻根，共捣成饼，入朴硝一钱和匀，贴于肿处，留出头部勿贴，干了即换。如果再加山茨菇、金线重楼根更好。
百合散：治疗颐颏疮，一名独骨疮。
药材：百合、黄柏（各一两），白芨（一钱半），蓖麻子（五十粒，研）。
用法：以上为末，用朴硝和水做成饼贴敷，每日三至五次。
二金散：治疗大人小儿蚀透腮颊，初生如米豆大小，名含腮疮。
药材：鸡内金、郁金。
用法：上等分为末。先用盐浆漱口清洁后，贴敷患处。
芙蓉敷方：治疗腮颔肿痛，或破溃成疮。
药材：芙蓉叶（不拘多少）。
用法：以上捣烂敷之，用布帛扎定，每日一换。
神效方：治疗腮部疾病，及痈疽发背、疮疖等证。
药材：赤小豆（为细末）。
用法：以新汲水调敷疮上，及四边赤肿处，干了则再敷之。
A question was asked: "What is the condition of toxic sores arising on the cheeks and face?" The answer was: "This is named 'Facial-Jaw Carbuncle' (Saihan Fa). When the flesh swells but does not adhere to the bone, it is called 'Cheek Swelling' (Sai). Both belong to wind-heat affecting the Yangming channel. One should urgently administer Huoming Yin (Life-Saving Decoction) with added Xuan Shen (Scrophulariae Radix), Huang Qin (Scutellariae Radix), and Lian (Coptidis Rhizoma), decocted in water and wine, and take Zijin Dan (Purple Gold Pill) to induce sweating." Another question was asked: "What about a carbuncle occurring one cun and three fen anterior to the ear, below the zygomatic bone and above the jaw?" The answer was: "This is named 'Chin Carbuncle' (Yi Fa). Ancient texts state this is an untreatable condition, caused by heat-toxin attacking upward from the Yangming channel. It is suitable to administer Huoming Yin (Life-Saving Decoction) with added Sheng Ma (Cimicifugae Rhizoma), Jie Geng (Platycodonis Radix), and Huang Lian (Coptidis Rhizoma), decocted in water and wine, and take Zijin Dan (Purple Gold Pill) or Duoming Dan (Life-Seizing Pill) to induce sweating. For those with strong constitutions, Yili Jin Dan (One-Pill Golden Pill) should be used to purge; for the elderly and weak, Shiquan Dabu Tang (Decoction for Complete Great Tonification), Huang Qi Neituo San (Astragalus Internal-Supporting Powder), and Renshen Yangrong Tang (Ginseng Nourishing-Nourishment Decoction) are indicated. If treated improperly, the condition may spread to the throat, leading to ulceration, perforation, inability to eat, and death.
I once observed a woman suffering from this condition who happened to have her menses. A physician mistakenly used purgatives, leading to vomiting, inability to eat, and death. Another patient suffered from this condition; the physician applied cauterizing topicals, causing foul-smelling ulceration, which led to rising deficiency-fire, hemoptysis, expectoration, delirium, and death.
Xue Ji noted: The cheek area belongs to the Foot-Yangming Stomach Channel. It may be caused by external invasion of wind-heat or internal accumulation of heat. If there is swelling, pain, and alternating chills and fever, use Baizhi Weifeng Tang (Angelica Dahurica Wind-Guarding Decoction). If there is internal heat with swelling and pain, use Shengma Lianhuang Tang (Cimicifuga and Coptis Decoction). If there is external swelling and pain with internal heat and dry mouth, use Xijiao Shengma Tang (Rhinoceros Horn and Cimicifuga Decoction). If caused by internal cold injuring yang, preventing resolution and suppuration, use Buzhong Yiqi Tang (Decoction to Supplement the Middle and Augment the Qi). If there is fever with thirst and constipation, use Jiawei Qingliang Yin (Modified Cooling Beverage). If exterior and interior symptoms are resolved but swelling and pain persist, indicating impending suppuration, use Tuoli San (Internal-Supporting Powder). If appetite is poor due to weak stomach qi, use Liujunzi Tang (Six Gentlemen Decoction). If limbs are fatigued due to weak yang qi, use Buzhong Yiqi Tang (Decoction to Supplement the Middle and Augment the Qi). If pus has erupted but swelling and pain persist, indicating unresolved heat-toxin, use Tuoguo Xiaodu San (Supporting-Expelling Toxin Powder); if pain persists after pus discharge, indicating qi and blood deficiency, use Renshen Neituo San (Ginseng Internal-Supporting Powder). If there is afternoon fever, indicating yin-blood deficiency, use Bazhen Tang (Eight Treasures Decoction). If there are aversion to cold and fever, indicating combined qi and blood deficiency, use Shiquan Dabu Tang (Decoction for Complete Great Tonification). If swelling and pain extend to below the ear, it belongs to the Hand and Foot Shaoyang channels, requiring clearing of liver fire. If it extends to the chin and behind the ear, it belongs to deficiency-fire of the Foot-Shaoyin Kidney channel, requiring tonification of kidney water. Many cases go untreated because physicians stick to the theory of wind-heat and stubbornly use draining and attacking medicines.
Note: The *Suwen* states: 'In kidney heat, the chin first becomes red.' Thus, the chin belongs to the Foot-Shaoyin Kidney channel. However, current physicians name the sharp toxin occurring one cun and three fen behind the ear as 'Facial-Jaw Carbuncle,' which corresponds to the Shaoyang territory. Why did Xue also consider it belonging to the Foot-Shaoyin Kidney channel and recommend tonifying kidney water? Because the kidney is the residence of ministerial fire; when the residence is intact and secure, the fire returns to rest. Therefore, treating the kidney is precisely how one treats the Shaoyang. This condition often occurs in patients with incomplete sweating during Shanghan (Cold Damage). It can also arise from lingering pathogenic heat in miscellaneous diseases affecting the chin. Medication should be used promptly to dissipate it; if neglected until suppuration occurs, treatment becomes difficult. If draining medicines are taken without nourishing qi and blood, perforation of the throat and death will result.
A man over thirty years old, after a summer febrile disease, developed a chin toxin. After many days without suppuration, his breath was faint, appetite decreased, and he had fecal incontinence. His pulse was imperceptible. The classics state: 'When the pulse seems present yet absent, fine and minute, it indicates decline of yang qi.' Qi stated: 'Inability to eat and loose stools indicate deficiency of the intestines and stomach.' I prescribed Liujunzi Tang (Six Gentlemen Decoction) with Pao Jiang (Prepared Ginger), Rou Dou Kou (Myristica Seed), and Po Gu Zhi (Psoralea Fruit). After several doses, diarrhea stopped slightly, and food intake improved. I then added Huang Bo (Phellodendri Cortex), Dang Gui (Angelica Sinensis), and Rou Gui (Cinnamon Bark). Upon suppuration, the pus was clear and thin. I added Shu Fu Zi (Prepared Aconite Root, 1 qian) to each dose. After several doses, diarrhea ceased, food intake increased, and pus thickened. Finally, I used Shiquan Dabu Tang (Decoction for Complete Great Tonification) with Jiu Chao Shao Yao (Wine-Fried Peony Root) and Bai Lian (Marsdeniae Rhizoma), resulting in recovery after more than a month.
Chen Yongzhi, a government official, took diaphoretic agents. Although chills and fever subsided, swelling and pain persisted, indicating blood stasis impending suppuration. I used Tuoli Xiaodu San (Internal-Supporting Toxin-Expelling Powder) to form pus, and Tuoli San (Internal-Supporting Powder) to promote rupture. However, clear pus and thirst indicated qi and blood deficiency. I used Bazhen Tang (Eight Treasures Decoction) with Mai Men Dong (Ophiopogonis Tuber) and Wu Wei Zi (Schisandra Berry), resulting in recovery after more than thirty doses.
Lu Maoshu, a scholar-official, suffered from this condition with a rapid chi pulse, indicating insufficiency of the Kidney channel. He mistakenly took detoxifying agents, damaging yuan qi and failing to recover. I cured him using Buzhong Yiqi Tang (Decoction to Supplement the Middle and Augment the Qi) and Liuwei Wan material (Six-Ingredient Pill with Rehmannia).
Xiong Dongqing, a scholar-official, suffered from this behind the chin. With clear pus, emaciation, seminal emission, night sweats, afternoon fever, thirst, and surging phlegm-qi, he failed to recover for a long time. His pulse was large and forceful but fine and minute upon deep pressure, indicating kidney qi depletion. I used Jiawei Bawei Wan material (Modified Eight-Ingredient Pill) and Shiquan Dabu Tang (Decoction for Complete Great Tonification), resulting in recovery.
A woman, constitutionally prone to internal heat, experienced anger-induced swelling and pain from below the ear to the neck, with chills and fever. This was liver-gallbladder fire-dryness with blood deficiency. I used Chaihu Zhizi San (Bupleurum and Gardenia Powder) to resolve swelling and pain, Jiawei Xiaoyao San (Modified Free Wanderer Powder) to resolve chills and fever, and Bazhen Tang (Eight Treasures Decoction) with Mu Dan Pi (Moutan Cortex) to stop internal heat.
Liaoqiao Baidu San (Forsythia and Toxin-Expelling Decoction): Treats initial swelling of Facial-Jaw Carbuncle; takes this to dissipate it.
Ingredients: Qiang Huo (Notopterygii Rhizoma et Radix), Du Huo (Angelicae Pubescentis Radix), Liao Qiao (Forsythiae Fructus), Jing Jie (Schizonepetae Spica), Fang Feng (Saposhnikoviae Radix), Chai Hu (Bupleuri Radix), Sheng Ma (Cimicifugae Rhizoma), Jie Geng (Platycodonis Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Niu Bang Zi (Arctii Fructus), Dang Gui Wei (Angelicae Sinensis Radix Caulis), Hong Hua (Carthami Flos), Su Mu (Sappan Lignum), Tian Hua Fen (Trichosanthis Radix).
Usage: Decoct one cup of water and one cup of good wine together until one cup remains. Strain and drink warm slowly. If not dissipated, add Chuan Shan Jia (Manis Squama, fried with clam powder, 1 qian). If swelling spreads to the face, add Xiang Bai Zhi (Angelica Dahurica, 1 qian) and Lou Lu (Euphorbiae Humifusae Radix, 0.5 qian). If stool is dry and solid, add Jiu Jin Da Huang (Rhei Radix et Rhizoma soaked in wine, 1.5 qian), doubling the dose for strong constitutions. For internal heat or alternating chills and fever, double Chai Hu (Bupleuri Radix), add Jiu Xi Huang Qin (Scutellariae Radix washed in wine, 1 qian), and Jiu Chao Huang Lian (Coptidis Rhizoma stir-fried with wine, 1 qian).
Jiawei Xiaodu Yinzi (Modified Toxin-Expelling Beverage): Treats cheek swelling.
Ingredients: Fang Feng (Saposhnikoviae Radix), Jing Jie (Schizonepetae Spica), Liao Qiao (Forsythiae Fructus), Niu Bang Zi (Arctii Fructus), Qiang Huo (Notopterygii Rhizoma et Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma) in equal parts.
Usage: Coarsely powder these ingredients. Decoct in water and take three liang. First dissipate the toxin, then apply medicine to the swollen cheek. Do not apply topical medicine first, or the toxin vapor may enter the throat, leading to untreatable conditions.
Neituo Xiaodu San (Internal-Supporting Toxin-Expelling Powder): Treats Facial-Jaw Carbuncle with pus that cannot be dissipated; take whether ruptured or not.
Ingredients: Ren Shen (Ginseng Radix et Rhizoma), Huang Qi (Astragali Radix), Fang Feng (Saposhnikoviae Radix), Bai Zhi (Angelicae Dahuricae Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), Jie Geng (Platycodonis Radix), Liao Qiao (Forsythiae Fructus), Sheng Ma (Cimicifugae Rhizoma), Chai Hu (Bupleuri Radix), Jin Yin Hua (Lonicerae Japonicae Flos), Gan Cao Jie (Glycyrrhizae Radix et Rhizoma with nodes).
Usage: Decoct one cup of water and one cup of good wine together until one cup remains. Strain and drink warm slowly. For ruptured sores, apply Xuanwu Gao (Black Tortoise Ointment). For persistent redness and swelling around the wound, apply the following topical medicine and simultaneously take La Fan Wan (Beeswax and Realgar Pill), which is best.
Xiaodu Jiuku San (Toxin-Expelling and Suffering-Saving Powder): Reduces swelling and expels toxins. Mix with rice vinegar and apply. Cover the surrounding area but leave the head (center) exposed. Reapply if dry.
Ingredients: Da Huang (Rhei Radix et Rhizoma), Huang Qin (Scutellariae Radix), Huang Lian (Coptidis Rhizoma), Huang Bo (Phellodendri Cortex), Fu Rong Ye (Hibisci Mutabilis Folium), Da Ji Gen (Cirsii Japonici Radix), Bai Ji (Bletillae Rhizoma), Bai Lian (Marsdeniae Rhizoma), Tian Nan Xing (Arisaematis Rhizoma), Ban Xia (Pinelliae Rhizoma), Hong Hua (Carthami Flos), Tan Hua (Styracis Resina), Dang Gui Wei (Angelicae Sinensis Radix Caulis), Chi Xiao Dou (Adzuki Bean), Bai Zhi (Angelicae Dahuricae Radix) at 1.5 qian each; Pu Xiao (Natrii Sulfas), Xiong Huang (Realgar) separately ground into powder, at 1 qian each.
Another prescription: Use Jian Xiao Xiao Cao (Euphorbia humifusa), Sheng Bai Ji (Fresh Bletillae Rhizoma), Bai Lian (Marsdeniae Rhizoma), Tu Da Huang (Polygoni Cuspidati Radix), Sheng Da Ji Gen (Fresh Cirsii Japonici Radix), Ye Zhu Ma Gen (Boehmeriae Niveae Radix). Pound together into a cake, mix with 1 qian of Pu Xiao (Natrii Sulfas), apply to the swelling leaving the center exposed. Replace if dry. Adding Shan Ci Gu (Iphigeniae Bulbus) and Jin Xian Chong Lou Gen (Paris Polyphyllae Rhizoma) is even better.
Baihe San (Lily Powder): Treats chin ulcers, also known as 'Single-Bone Ulcer'.
Ingredients: Bai He (Lilii Bulbus), Huang Bo (Phellodendri Cortex) at 1 liang each; Bai Ji (Bletillae Rhizoma) at 1.5 qian; Bi Ma Zi (Ricini Semen) 50 grains, pounded.
Usage: Grind into powder. Make a cake with Pu Xiao (Natrii Sulfas) and water, and apply. Apply three to five times daily.
Erjin San (Two Glands Powder): Treats adults and children with ulcers penetrating the cheeks, initially appearing like millet or beans, named 'Han Sai Chuang' (Holding-Cheek Ulcer).
Ingredients: Ji Nei Jin (Galli Gigerii Endothelium Corneum), Yu Jin (Curcumae Radix).
Usage: Grind into fine powder. Rinse mouth with salt water first, then apply.
Furong Fu Fang (Hibiscus Poultice Formula): Treats cheek-jaw swelling and pain, or ruptured ulcers.
Ingredients: Fu Rong Ye (Hibisci Mutabilis Folium) as needed.
Usage: Pound until soft and apply. Secure with cloth, changing once daily.
Shenxiao Fang (Divine Efficacy Prescription): Treats cheek conditions, as well as carbuncles, back infections, boils, etc.
Ingredients: Chi Xiao Dou (Adzuki Bean) ground into fine powder.
Usage: Mix with fresh well-water and apply to the sore and surrounding red/swollen areas. Reapply if dry.