Jowl effusion

A sore of the lower cheek arising in cold damage or warm disease when residual toxin congests locally before the cessation of sweating or before full eruption of papules. It begins with generalized heat and aversion to cold and a nodelike swelling on one cheek that is slightly warm and painful. The swelling grows and spreads to the ear and the pain increases. Finally, the swelling ruptures and discharges foul-smelling pus. In severe cases, there is swollen pharynx and congesting phlegm that makes swallowing difficult.

Biomedical correspondence: osteomyletis of the mandible, alveolar abscess.

Medicinal therapy: In the initial stage, treat by clearing heat and resolving toxin assisted by dispersing the exterior, using formulas such as Universal Aid Toxin-Dispersing Beverage (普济消毒饮 pǔ jì xiāo dú yǐn) as oral medication and applying Golden Yellow Paste (金黄膏 jīn huáng gāo) topically. In the suppurative stage, treat by internal expression to outthrust the toxin using Pus-Outthrusting Powder (透脓散 tòu nóng sǎn).