The treatment of painful lymph node fire can be done from the following aspects: 1. It needs to be treated with the application of antipyretic and detoxifying drugs. Since painful lymph node fire belongs to acute lymph node inflammation, treatment of acute lymph node inflammation requires symptomatic anti-inflammatory treatment, and you can choose to apply antibacterial drugs, including cephalosporins as well as ornidazole and other drugs for treatment. However, it should be noted that alcohol cannot be consumed during the application of antibiotics such as cephalosporins to avoid disulfiram-like reactions.2. Take Chinese medicines to clear heat and detoxify blood and disperse blood, including Xiaojin capsule and Xiaojin pill.3. Pay attention to a light diet, do not eat spicy and stimulating food, and eat more fresh vegetables and fruits.4. 5. If the lymph nodes have repeated episodes of painful fire, it is necessary to consider surgical removal for pathological examination to clarify.