【方歌】喉癣咽干生苔癣，初痒时增燥裂疼，过饮药酒五辛火，
霉烂延开蚁蛀形。
【注】此证一名天白蚁。咽嗌干燥，初觉时痒，次生苔癣，色
暗木红，燥裂疼痛，时吐臭涎，妨碍饮食。由过食炙搏
药酒、五辛等物，以致热积于胃，胃火熏肺而成斯疾。
宜服广笔鼠粘汤，未溃吹矾精散，已溃吹清凉散。患者
清心寡欲，戒厚味发物，或者十全一、二，若失治，兼
调理不谨，致生霉烂，延漫开大，叠起腐衣，旁生小孔
，若蚁蛀蚀之状，多致不救。
方剂：广笔鼠粘汤
组成：生地黄 浙贝母（去心，研，各三钱）
元参 甘草（生，各二钱五分）
鼠粘子（酒炒，研） 花粉
射干 连翘（去心，各二钱）
白僵蚕（烧，研，一钱）
苦竹叶二十片，水二钟，煎八分，饥时服。
【方歌】广笔鼠粘喉癣干，初痒生苔裂痛添，生地元参花粉贝，
连翘射草白僵蚕。
又方：清溪秘传矾精散
组成：白矾（不拘多少研末，用方砖一块，以火烧红，酒水于
砖上，将矾末布于砖上，以磁盘覆盖，四面灰拥
一日夜，矾飞盘上扫下用）
白霜梅（去核，二个） 真明雄黄
穿山甲（炙，各一钱）
共研细末，以细笔管吹入喉内。
【方歌】矾精散用火烧砖，水湿布矾上复盘，扫霜再兑雄梅甲，
研末吹喉癣自痊。
又方：清凉散
组成：硼砂（三钱） 人中白（〔火段〕，二钱）
黄连末（一钱） 南薄荷（六分）
冰片（五分） 青黛（四分）
共研极细末，吹入喉癣腐处。
【方歌】清凉散吹天白蚁，胃火薰金成此疾，薄黛冰硼中白连，
腐裂疼痛皆可去。
[Formula Song] The symptoms of throat lichen (Hou Xuan) include dryness of the pharynx and the growth of moss-like lesions. Initially, there is itching, followed by dry cracking and pain. Excessive consumption of medicinal wine and pungent/spicy foods (Wu Xin) leads to ulceration that spreads, resembling the shape of ant-burrowed wood.
[Commentary] This condition is also known as "Heavenly White Ants" (Tian Bai Yi). The patient experiences dryness of the pharynx and esophagus; initially, there is a sensation of itching, followed by the emergence of moss-like lesions with a dark, woody-red color, accompanied by dry cracking and pain. There is frequent expectoration of foul-smelling saliva, which hinders eating and drinking. This disease arises from overconsumption of roasted foods, medicinal wines, and five pungent spices, causing heat accumulation in the Stomach. Stomach fire then steams and affects the Lung, resulting in this ailment. It is appropriate to administer Guangbi Shunian Decoction. For lesions not yet ulcerated, apply Fanjing San (Alum Essence Powder) via insufflation; for ulcerated lesions, apply Qingliang San (Cooling Powder) via insufflation. Patients should cultivate a calm mind and reduce desires, and abstain from rich flavors and triggering foods. Perhaps one or two out of ten cases may be cured. If treatment is neglected, combined with improper care, the lesion may become moldy, spread and enlarge, form layers of necrotic tissue, and develop small holes on the sides, resembling ant-burrowed wood. Such cases are mostly incurable.
Formula: Guangbi Shunian Decoction (Guangbi Shunian Tang)
Ingredients:
- Sheng Di Huang (Rehmanniae Radix Preparata)
- Zhe Bei Mu (Fritillariae Thunbergii Bulbus), heart removed, ground (3 qian each)
- Yuan Shen (Scrophulariae Radix)
- Gan Cao (Glycyrrhizae Radix et Rhizoma), raw (2.5 qian each)
- Shu Nian Zi (Bursae Fructus), stir-fried with wine, ground
- Hua Fen (Polygonati Odorati Rhizoma)
- She Gan (Belamcandae Rhizoma)
- Lian Qiao (Forsythiae Fructus), heart removed (2 qian each)
- Bai Jiang Can (Bombyx Batryticatus), roasted, ground (1 qian)
Decoct 20 leaves of Ku Zhu Ye (Bambusa Textilis Culmis) in 2 zhong of water until reduced to 8 fen. Take when hungry.
[Formula Song] Guangbi Shunian Decoction treats dry throat lichen, where initial itching, moss growth, cracking, and pain increase. It contains Sheng Di, Yuan Shen, Hua Fen, Bei Mu, along with Lian Qiao, She Gan, Gan Cao, and Bai Jiang Can.
Another Formula: Qingxi Secret Alum Essence Powder (Qingxi Mituan Fanjing San)
Ingredients:
- Bai Fan (Alumen), amount unspecified, ground into powder. Take one square brick, heat it red-hot in fire, sprinkle wine and water on the brick, spread the alum powder on the brick, cover with a porcelain plate, surround with ash, and leave for one day and night. Scrape off the sublimated alum from the plate for use.
- Bai Shuang Mei (Prunus mume fruit preserved with frost), pitted (2 pieces)
- Zhen Ming Xiong Huang (Real Orpiment)
- Chuan Shan Jia (Manis Squama), roasted (1 qian each)
Grind all ingredients into a fine powder. Insufflate into the pharynx using a fine tube.
[Formula Song] For Fanjing San, burn a brick, wet it, spread alum powder, cover with a plate, scrape the sublimated product, mix with Shuang Mei, Xiong Huang, and Chuan Shan Jia, grind into powder, and insufflate into the throat to cure lichen spontaneously.
Another Formula: Cooling Powder (Qingliang San)
Ingredients:
- Peng Sha (Borax) (3 qian)
- Ren Zhong Bai (Natrii Uras), calcined (2 qian)
- Huang Lian Mo (Coptidis Rhizoma powder) (1 qian)
- Nan Bo He (Menthae Haplocalycis Herba) (6 fen)
- Bing Pian (Borneolum Syntheticum) (5 fen)
- Qing Dai (Indici Folium) (4 fen)
Grind all ingredients into an extremely fine powder. Insufflate onto the ulcerated areas of the throat lichen.
[Formula Song] Qingliang San insufflated for Heavenly White Ants (throat lichen); this disease is caused by Stomach fire steaming the Metal (Lung). It contains Bo He, Qing Dai, Bing Pian, Peng Sha, Ren Zhong Bai, and Huang Lian, which can remove ulceration, cracking, and pain.