Library

[Prescription Verse] Fa Yi (Parotitis) presents with swelling and pain in the parotid region, with lumps resembling tubercles. The disease belongs to the Yangming channel, accompanied by fever and aversion to cold. If caused by Shanghan (Cold Damage) or rash toxins where sweating fails to release the exterior, leading to swelling extending to the throat, treatment becomes difficult.

[Annotation] This condition is also known as "Han Du" (Sweat Poison). It occurs between the jaw and cheek, belonging to the Foot-Yangming Stomach Channel. Initially, it presents with aversion to cold and fever, with swelling resembling a tubercle, slight heat, and mild pain. Gradually, it swells like a peach or plum, with significantly increased pain. It arises from incomplete sweating during Shanghan or failure of the rash to fully erupt, causing stagnation and accumulation. In the early stage, Jingfang Baidu San (Aucklandia and Saposhnikovia Decoction for Overcoming Toxicity) should be taken to induce sweating, and Erwei Baidu San (Two-Ingredient Decoction for Extracting Toxicity) applied externally, which will resolve the swelling. If the swelling does not subside and pain increases daily, suppuration is inevitable; Tuoli Tou Nong Tang (Decoction for Supporting the Interior and Expelling Pus) should be administered. After ulceration, treat according to the methods in the Chapter on Ulcerative Sores. If this condition is neglected or mistreated with cold and purgative drugs, the toxin will sink inward. Swelling extending to the throat, accompanied by surging phlegm, airway obstruction, and difficulty swallowing liquids, indicates a adverse prognosis (Ni syndrome).

Formulas: Jingfang Baidu San (See Chapter on Brain Carbuncle of the Neck); Erwei Baidu San (See Chapter on Early-stage Ulcers); Tuoli Tou Nong Tang (See Chapter on Invading Brain Carbuncle of the Head).

[Prescription Verse] Shi Du (Seasonal Toxins) initially resembles Shanghan, with diffuse swelling lacking a head, occurring in the neck region. It is caused by contracting the abnormal Qi of the four seasons. Treatment involves dispersing and resolving based on the strength or weakness of the patient's constitution to achieve recovery.

[Annotation] At onset, this condition resembles Shanghan, with aversion to cold and fever, causing mental restlessness and limb soreness, sometimes accompanied by sore throat. Within one or two days, swelling appears on the sides of the neck, cheeks, and jaw. The swelling is diffuse without a head, gradually becoming red, hot, and painful, or resembling a rooted tubercle with diffuse redness. This results from contracting abnormal pathogens of the four seasons, which lodge in the meridians and accumulate. It is distinct from post-illness parotitis. The physician must carefully observe the color of the lesion to distinguish deficiency from excess. The treatment method requires dispersing and resolving; sudden use of cold-natured drugs must be avoided, lest the toxin fail to exit outward and attack the throat internally, which would be dangerous. Initially, take Jingfang Baidu San to induce sweating. If swelling persists, Lianqiao Xiaodu Yin (Forsythia Decoction for Eliminating Toxicity) is appropriate. If swelling remains and suppuration is imminent, strong patients should take Tou Nong San (Pus-Expelling Powder), while weak patients should take Tuoli Tou Nong Tang. Apply Erwei Baidu San externally. Once pus matures, puncture with a needle. After ulceration, treat according to the methods in the Chapter on Ulcerative Sores.

Formulas: Jingfang Baidu San (See Chapter on Brain Carbuncle of the Neck); Lianqiao Xiaodu Yin (See Chapter on Wine-Toxin Eruption of the Back); Tou Nong San (See Chapter on Early-stage Ulcers); Tuoli Tou Nong Tang (See Chapter on Invading Brain Carbuncle of the Head); Erwei Baidu San (See Chapter on Early-stage Ulcers).