【方歌】上〔月咢〕痈若葡萄形，少阴三焦积热成，舌难伸缩鼻
红涕，口难开合寒热增。
【注】此证又名悬痈，生于口中上〔月咢〕，由心、肾经与三
焦经积热而成。形若紫葡萄，舌难伸缩，口难开合，鼻
中时出红涕，令人寒热大作，宜黄连消毒饮加桔梗、元
参服之，兼吹冰硼散。或日久肿硬下垂不溃者，以烧盐
散日点三、五次，兼服射干丸。过时失治，饮食不入，
烦躁神昏者逆。
方剂：烧盐散
组成：食盐（火烧） 枯白矾（各等分）
二味研细，以箸头蘸点患上。
【方歌】烧盐散治上〔月咢〕痈，悬似葡萄色紫形，枯矾烧盐等
分末，箸头蘸点消热壅。
又方：射干丸
组成：射干 川升麻
杏仁（去皮、尖，麸炒） 甘草（炙，各五分）
木鳖子 川大黄（炒，各二钱）
上研细末，炼蜜和丸，如小弹子大。每用一丸，口
中含化徐咽。
【方歌】射干丸疗悬痈患，热聚成形口开难，大黄升草木鳖杏，
蜜丸弹状口中含。
又方：黄连消毒饮（见头部百会疽）
冰硼散（见口部鹅口疮）
【方歌】锁喉毒生因积热，外感风寒耳前结，外似瘰历渐攻喉，
心与小肠听会穴。
【注】此证由心与小肠积热，外感风寒，凝结而成。初生于耳
前听会穴，形如瘰历，渐攻咽喉，肿塞疼痛，妨碍饮食
。证须速治，宜服牛黄清心丸开关解热，兼服清咽利膈
汤，吹冰硼散。投方应效，方能成功。
方剂：牛黄清心丸
组成：九转胆星（一两） 雄黄
黄连末（各二钱） 茯神
元参 天竺黄
五倍子（末） 荆芥
防风 桔梗
犀角末 当归（各一钱）
冰片 麝香
珍珠（豆腐煮，各五分） 京牛黄
轻粉（各三分）
各研极细末，共和一处，再研匀，甘草熬膏和丸，
如龙眼大，朱砂为衣，日中晒干，收入磁瓶内，将瓶口
堵严，勿令出气。临时服一丸，薄荷汤磨服。
【方歌】牛黄清心锁喉毒，茯轻冰麝参雄竺，珍倍荆防桔胆星，
犀角归连热退速。
又方：清咽利膈汤（见紧喉风）
冰硼散（见口部鹅口疮）
[Formula Song] The Shang'e Carbuncle (carbuncle on the hard palate) resembles a grape, formed by accumulated heat in the Shaoyin and Sanjiao meridians. The tongue is difficult to extend or retract, red nasal discharge occurs, mouth opening and closing are impaired, and chills and fever increase.
[Note] This condition is also known as Xuan Yong (hanging carbuncle), occurring on the upper palate in the mouth. It is caused by accumulated heat in the Heart, Kidney, and Sanjiao meridians. Its shape resembles a purple grape; the tongue is difficult to move, the mouth cannot open or close easily, red nasal discharge frequently appears, and severe chills and fever ensue. It is appropriate to administer Huanglian Xiaodu Yin (Coptis Decoction for Detoxification) with Jiegeng (Platycodon Root) and Yuanshen (Scrophularia Root), and simultaneously apply Bingpeng San (Borneol and Borax Powder). If the swelling becomes hard and hangs down without ulcerating after a long time, use Shaoyan San (Burnt Salt Powder) applied three to five times daily, along with Shegan Wan (Belamcanda Pill). If treatment is delayed, leading to inability to eat, restlessness, and confusion, it is considered a adverse prognosis (Ni syndrome).
Formula: Shaoyan San (Burnt Salt Powder)
Composition: Yan Shi (Halitum, burnt) and Ku Bai Fan (Alumen Exsiccatum) in equal parts.
Grind the two ingredients into fine powder. Dip the tip of a chopstick into the powder and apply it to the affected area.
[Formula Song] Shaoyan San treats Shang'e Carbuncle, hanging like a purple grape. Equal parts of Alumen and burnt salt ground to powder, applied with a chopstick tip to dissipate heat obstruction.
Another Formula: Shegan Wan (Belamcanda Pill)
Composition: Shegan (Belamcandae Rhizoma), Chuan Shengma ( Cimicifugae Rhizoma), Xingren (Prunus Armeniaca Seed, peeled and core removed, stir-fried with bran), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, each 5 fen), Mubiezi (Strychni Semen), Chuan Dahuang (Rhei Radix et Rhizoma, stir-fried, each 2 qian).
Grind all ingredients into fine powder. Mix with refined honey to form pills the size of small marbles. Take one pill at a time, hold in the mouth to dissolve slowly, and swallow.
[Formula Song] Shegan Wan treats Xuan Yong, where heat accumulation makes mouth opening difficult. Rheum, Cimicifuga, Strychnos, and Apricot seed, honey-pilled like marbles held in the mouth.
Another Formula: Huanglian Xiaodu Yin (Coptis Decoction for Detoxification) (See "Huiju Ju" under Head section)
Bingpeng San (Borneol and Borax Powder) (See "Ekou Chuang" under Mouth section)
[Formula Song] Suohou Du (Throat-locking Toxin) arises from accumulated heat and external contraction of Wind-Cold, forming a nodule in front of the ear. Externally resembling Luoli (scrofula), it gradually attacks the throat. The pathology involves the Heart and Small Intestine, specifically the Tinghui acupoint.
[Note] This condition is caused by accumulated heat in the Heart and Small Intestine combined with external contraction of Wind-Cold, leading to coagulation. It initially appears at the Tinghui acupoint in front of the ear, resembling scrofula, and gradually advances to the throat, causing swelling, blockage, pain, and difficulty in eating. This condition requires rapid treatment. It is appropriate to administer Niuhuang Qingxin Wan (Calculus Bovis Clear Heart Pill) to open the orifices and clear heat, along with Qingyan Lige Tang (Throat-Clearing and Diaphragm-Relieving Decoction), and apply Bingpeng San. If the prescription takes effect, success can be achieved.
Formula: Niuhuang Qingxin Wan (Calculus Bovis Clear Heart Pill)
Composition: Jiuzhuan Dansheng (Calculus Bovitis Preparatus, 1 liang), Xionghuang (Realgar), Huanglian Mo (Coptidis Rhizoma powder, each 2 qian), Fushen (Poria with Hostwood), Yuanshen (Scrophulariae Radix), Tianzhuhuang (Calamus Tuber), Wubeizi (Galla Chinensis, powdered), Jingjie (Schizonepetae Spica), Fangfeng (Saposhnikoviae Radix), Jiegeng (Platycodonis Radix), Xijiao Mo (Rhino Horn powder), Danggui (Angelicae Sinensis Radix, each 1 qian), Bingpian (Borneolum Syntheticum), Shexiang (Moschus), Zhenzhu (Margarita, boiled in tofu, each 5 fen), Jing Niuhuang (Calculus Bovis), Qingfen (Calomelas, each 3 fen).
Grind each ingredient into extremely fine powder. Mix thoroughly and grind again until uniform. Use Glycyrrhizae decoction paste to bind into pills the size of longan fruits. Coat with Cinnabar, dry in the sun, store in porcelain bottles, seal tightly to prevent air leakage. When needed, take one pill, grind with Mint Decoction, and administer.
[Formula Song] Niuhuang Qingxin treats Throat-locking Toxin. Poria, Calomelas, Borneol, Musk, Scrophularia, Realgar, Calamus, Pearl, Galla, Schizonepeta, Saposhnikovia, Platycodon, Calculus Bovis. Rhinoceros horn, Angelica, Coptis quickly reduce heat.
Another Formula: Qingyan Lige Tang (Throat-Clearing and Diaphragm-Relieving Decoction) (See "Jin Hou Feng" under Tight Throat Wind section)
Bingpeng San (Borneol and Borax Powder) (See "Ekou Chuang" under Mouth section)