A hard lump next to the chin, which appears painful when pressed, is a condition for which it is recommended that a local ultrasound examination must be performed at a hospital. If it is a local inflammatory hard node, such as folliculitis, inflammation of sebaceous cyst, which causes local inflammatory pain, in this case, you can apply anti-inflammatory ointment externally, such as clindamycin ointment, Bactroban, and then combine with Chinese ointment, such as seven flavors detoxification ointment, Pientzehuang ointment, which have good anti-inflammatory, swelling and pain relief effects. If the local lymph nodes are swollen, we must look for the cause, if it is caused by bacterial infection, you can take oral antibiotics to treat, commonly used ones are amoxicillin, clindamycin, cephalosporin antibiotics and so on. If it is caused by viral infection, you can take Chinese medicines, such as Pudilan Oral Liquid, Blue Scutellaria Oral Liquid or Niuhuang Detoxification Tablets, all of which have good effects.