[总诀]最重咽喉出纳关，那禁邪气壅其间。清心开肺还平胃，惟望医师妙转旋。
咽喉红肿，其色多带痰粘者，风火之壅塞也。宜加味甘桔汤。
山豆根（一钱） 连翘（一钱） 炒栀（一钱） 甘草（一钱） 杏仁（三钱） 荆芥（一钱） 薄荷（五
分） 桔便（二钱） 枳壳（八分） 花粉（二钱） 枯芩（二钱） 贝母（三钱） 旋复（二钱） 射干（二钱）
歌曰∶咽喉红肿豆翘栀，甘杏荆荷枳桔宜。
花粉枯芩清火用，射旋贝母涤痰施。
（伯未按∶蜀刻本无花粉、旋复。）
（又按∶若大便燥结者，当用凉膈散三钱入煎。）
咽喉白烂，其声嘶小不出者，火热乘肺金也。宜滋肺百合汤。
百合（一钱） 知母（一钱） 天冬（二钱） 麦冬（三钱） 花粉（二钱） 杏仁（三钱） 银花（一
钱） 生地（三钱） 紫菀（一钱） 甘草（一钱） 桑叶（一钱） 五倍子（一钱）
歌曰∶咽喉白烂总宜滋，杏草银桑合倍医。
知母二冬和紫菀，地黄花粉咽徐徐。
（伯未按∶须防白喉，切勿大意。）
咽中疼痛，生黄起泡起点者，湿热之结气也。宜清散薄荷汤。
薄荷（五分） 荆芥（一钱） 柴胡（一钱） 知母（三钱） 黄芩（三钱） 槟榔（一钱） 草果（一
钱） 羌活（五分） 枳壳（一钱） 连翘（一钱） 射干（二钱） 杏仁（三钱） 僵蚕（三钱） 蝉蜕（五个）
歌曰∶咽疼起泡薄柴荆，羌枳翘干芩母清。
草果槟榔除湿积，僵蚕蝉杏热俱平。
咽中生蛾，壅塞关隘不通者，心经火上逆也。宜加减导赤散。
生地（三钱） 知母（二钱） 枳壳（一钱） 甘草（一钱） 薄荷（七分） 羌活（七分） 木通（一
钱） 竹叶（三钱） 灵仙（一钱） 皂刺（三钱） 黄连（三钱） 酒军（一钱） 山甲（炒，二片） 牛
蒡子（三钱）
歌曰∶灵仙皂刺破喉蛾，山甲知连及薄荷。
牛蒡军甘羌地枳，木通竹叶与调和。
（伯未按∶乳蛾症于结喉两旁，按之有核，可购贴喉异功散，置太乙膏上，贴之半日，即起泡，用针刺破
，易红膏药贴之。）
凡红喉证，无论痈蛾肿起者，总属血分热也。宜 点胆矾丸。
胆矾（三分） 熊胆（一钱） 皂刺（一钱） 硼砂（一钱） 火硝（一钱） 麝香（一分） 蜣螂（二
枚） 大黄（五分） 郁金（一钱） 牛黄（一分）
为末，蜜丸，点 喉间，有痰则吐去。
歌曰∶胆矾熊胆点红喉，皂刺蜣螂一例收。
硼麝二黄硝合研，郁金加入症全瘳。
（伯未按∶可另购玄参三钱泡，代茶饮。）
凡白喉证，无论癣烂疳蚀者，总属气分热也。宜吹 珠黄散。
珍珠（一钱） 牛黄（三分） 麝香（一分） 明雄（一钱） 硼砂（一钱） 甘草（一钱）
歌曰∶雄麝珠黄点白喉，硼砂甘草一分求。
须知白烂关虚热，不与红喉一例投。
[General Principle] The throat is the critical gateway for respiration and ingestion, demanding utmost attention; how can one tolerate pathogenic factors obstructing this area? Treatment requires clearing Heart fire, opening Lung Qi, and harmonizing Stomach Qi, relying entirely on the physician's skillful and flexible manipulation.
When the throat is red and swollen, often accompanied by sticky phlegm, it indicates obstruction by Wind-Fire pathogenic factors. Jia Wei Gan Jie Tang (Additive Licorice and Platycodon Decoction) is indicated.
* *Shandougen* (1 qian) [Sophorae Tonkinensis Radix et Rhizoma]
* *Lianqiao* (1 qian) [Forsythiae Fructum]
* *Chao Zhi* (1 qian) [Stir-fried Gardeniae Fructum]
* *Gancao* (1 qian) [Glycyrrhizae Radix et Rhizoma]
* *Xingren* (3 qian) [Armeniacae Semen Amarum]
* *Jingjie* (1 qian) [Schizonepetae Herba]
* *Bohe* (5 fen) [Menthae Haplocalycis Herba]
* *Jiegeng* (2 qian) [Platycodonis Radix]
* *Zhiqiao* (8 fen) [Aurantii Fructus Immaturus]
* *Huafen* (2 qian) [Trichosanthis Radix]
* *Ku Qin* (2 qian) [Scutellariae Radix (dried)]
* *Beimu* (3 qian) [Fritillariae Bulbus]
* *Xuanfu* (2 qian) [Inulae Flower]
* *Shegan* (2 qian) [Belamcandae Rhizoma]
Verse: For red and swollen throat, use Shandougen, Lianqiao, and Zhizi; Gancao, Xingren, Jingjie, Bohe, Zhiqiao, and Jiegeng are suitable. Huafen and Ku Qin clear Fire, while Xuanfu and Beimu eliminate Phlegm.
*(Note by Bo: The Shu edition lacks Huafen and Xuanfu.)*
*(Further Note: If there is dry stool constipation, Liang Ge San (Cool the Diaphragm Powder), 3 qian, should be added to the decoction.)*
When the throat presents with white ulceration/rotting, hoarseness, or aphonia, it indicates Heat-Fire invading Metal (Lung). Zi Fei Baihe Tang (Nourish Lung Lily Decoction) is indicated.
* *Baihe* (1 qian) [Lilii Bulbus]
* *Zhimu* (1 qian) [Anemarrhenae Rhizoma]
* *Tiandong* (2 qian) [Asparagi Radix]
* *Maidong* (3 qian) [Ophiopogonis Radix]
* *Huafen* (2 qian) [Trichosanthis Radix]
* *Xingren* (3 qian) [Armeniacae Semen Amarum]
* *Yinhua* (1 qian) [Lonicerae Japonicae Flos]
* *Shengdi* (3 qian) [Rehmanniae Radix]
* *Ziwan* (1 qian) [Asternis Radix]
* *Gancao* (1 qian) [Glycyrrhizae Radix et Rhizoma]
* *Sangye* (1 qian) [Mori Folium]
* *Wubeizi* (1 qian) [Gallae Chinensis]
Verse: White rot in the throat generally requires nourishment; Xingren, Gancao, Yinhua, Sangye, and Wubeizi are medicinal allies. Zhimu, Tiandong, Maidong, combined with Ziwan, along with Shengdi and Huafen, soothe the throat gradually.
*(Note by Bo: Beware of Diphtheria; do not be careless.)*
Pain in the throat with the formation of yellow blisters or protrusions indicates condensation of Damp-Heat. Qing San Bohe Tang (Clear and Disperse Mint Decoction) is indicated.
* *Bohe* (5 fen) [Menthae Haplocalycis Herba]
* *Jingjie* (1 qian) [Schizonepetae Herba]
* *Chaihu* (1 qian) [Bupleuri Radix]
* *Zhimu* (3 qian) [Anemarrhenae Rhizoma]
* *Huangqin* (3 qian) [Scutellariae Radix]
* *Binglang* (1 qian) [Arecae Semen]
* *Caoguo* (1 qian) [Tsaoko Fructus]
* *Qianghuo* (5 fen) [Notopterygii Rhizoma et Radix]
* *Zhiqiao* (1 qian) [Aurantii Fructus Immaturus]
* *Lianqiao* (1 qian) [Forsythiae Fructum]
* *Shegan* (2 qian) [Belamcandae Rhizoma]
* *Xingren* (3 qian) [Armeniacae Semen Amarum]
* *Jiangcan* (3 qian) [Bombyx Batryticatus]
* *Chantui* (5 pieces) [Cicadae Periostracum]
Verse: Throat pain with blisters uses Bohe, Chaihu, and Jingjie; Qianghuo, Zhiqiao, Lianqiao, Shegan, Huangqin, and Zhimu clear heat. Caoguo and Binglang remove Dampness and accumulation; Jiangcan, Chantui, and Xingren calm all heat.
The appearance of "E" (tonsillar hypertrophy/enlargement resembling a silkworm moth) in the throat, causing obstruction and blockage, indicates counter-flow of Fire from the Heart Meridian. Jia Jian Dao Chi San (Modified Guide Out Red Powder) is indicated.
* *Shengdi* (3 qian) [Rehmanniae Radix]
* *Zhimu* (2 qian) [Anemarrhenae Rhizoma]
* *Zhiqiao* (1 qian) [Aurantii Fructus Immaturus]
* *Gancao* (1 qian) [Glycyrrhizae Radix et Rhizoma]
* *Bohe* (7 fen) [Menthae Haplocalycis Herba]
* *Qianghuo* (7 fen) [Notopterygii Rhizoma et Radix]
* *Mutong* (1 qian) [Akebiae Caulis]
* *Zhuye* (3 qian) [Bambusae Folium]
* *Lingxian* (1 qian) [Clematidis Radix et Rhizoma]
* *Zaoci* (3 qian) [Gleditsiae Spina]
* *Huanglian* (3 qian) [Coptidis Rhizoma]
* *Jiu Jun* (1 qian) [Rhei Radix et Rhizoma (wine-processed)]
* *Shanjia* (fried, 2 slices) [Manis Squama]
* *Niubangzi* (3 qian) [Arctii Fructus]
Verse: Lingxian and Zaoci break down throat E; Shanjia, Zhimu, Huanglian, and Bohe are used together. Niubangzi, Jun, Gancao, Qianghuo, Shengdi, and Zhiqiao, along with Mutong and Zhuye, harmonize.
*(Note by Bo: For tonsillitis (Ru E), where lumps are palpable on both sides of the Adam's apple, purchase Tie Hou Yi Gong San, apply it on Taiyi Gao plaster, leave for half a day until blisters form, prick them with a needle, and replace with Hong Gao plaster.)*
All cases of Red Throat syndrome, regardless of whether there are abscesses or tonsillar swelling, belong to Heat in the Blood level. Dian Danfan Wan (Point with Alum Pill) is indicated.
* *Danfan* (3 fen) [Alumen]
* *Xiongdan* (1 qian) [Ursi Fel]
* *Zaoci* (1 qian) [Gleditsiae Spina]
* *Pengsha* (1 qian) [Borax]
* *Huoxiao* (1 qian) [Natrii Nitras]
* *Shexiang* (1 fen) [Moschus]
* *Dianlang* (2 pieces) [Scarabaeus]
* *Dahuang* (5 fen) [Rhei Radix et Rhizoma]
* *Yujin* (1 qian) [Curcumae Radix]
* *Niuhuang* (1 fen) [Bovis Calculus]
Grind into powder, form pills with honey, and apply to the throat. Spit out if phlegm appears.
Verse: Danfan and Xiongdan treat Red Throat; Zaoci and Dianlang are equally effective. Pengsha, Shexiang, two Huangs (Niuhuang and Xionghuang), and Huoxiao are ground together; adding Yujin ensures complete recovery.
*(Note by Bo: Alternatively, purchase 3 qian of Xuanshen, soak in water, and drink as tea.)*
All cases of White Throat syndrome (Diphtheria), regardless of whether there are patchy ulcers or gangrenous erosion, belong to Heat in the Qi level. Chui Zhu Huang San (Blow Pearl-Yellow Powder) is indicated.
* *Zhenzhu* (1 qian) [Margarita]
* *Niuhuang* (3 fen) [Bovis Calculus]
* *Shexiang* (1 fen) [Moschus]
* *Ming Xiong* (1 qian) [Realgar]
* *Pengsha* (1 qian) [Borax]
* *Gancao* (1 qian) [Glycyrrhizae Radix et Rhizoma]
Verse: Xionghuang, Shexiang, Zhenzhu, and Niuhuang treat White Throat; Pengsha and Gancao are used in equal parts. Note that white rot stems from deficiency-heat at the gate; it must not be treated identically to Red Throat.