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(Zhu Danxi)

Treats Chanhou Jibi (Acute Strangulating Throat Bi). The pharynx is located posteriorly and governs food intake; the larynx is located anteriorly and governs respiration. Among the twelve meridians, only the Foot-Taiyang Bladder Meridian governs the exterior and descends through the nape, while the remaining meridians all curve inward to pass through the throat; thus, pathology in any of these meridians can affect this area, collectively governed by Ministerial Fire and Sovereign Fire. The larynx governs Heavenly Qi and belongs to Lung Metal; its pathological change manifests as Dryness, leading to astringency and obstruction. The pharynx governs Earthly Qi and belongs to Spleen Earth; its pathological change manifests as Dampness, leading to swelling and distension. These conditions arise from Fire pathogen stagnation in the Upper Jiao, causing Phlegm-fluids, Qi, and Blood to knot and accumulate in the throat. Swelling extends externally, accompanied by numbness and itching.

Realgar (1 liang), Curcuma Aromatica Rhizome (1 qian), Croton Seed (14 grains, peeled and oil removed). Form pills using vinegar paste. Administer 5 fen per dose, swallowed with saliva. (Alternatively, dip a paper wick in Croton Seed oil, ignite it, blow out the flame, and insert the smoking wick into the throat to expel purple blood and foul phlegm, providing immediate relief; this employs Heat to attack Heat, where the flow of Heat resolves the condition.)

This formula acts on the Hand-Shaoyin and Foot-Shaoyin, and Hand-Yangming and Foot-Yangming meridians. Wu Hegao stated: Chanhou Jibi, if treated slowly, leads to death. Realgar can break up stagnant Qi, Curcuma Aromatica Rhizome can dissipate evil Blood, and Croton Seed can purge thick phlegm. Zhu Danxi generally did not use harsh agents in his lifetime; this was likely used out of necessity. (Applicable to single tonsillitis, double tonsillitis, wooden tongue, sublingual vein distension, strangulating throat, etc., associated with bleeding.)

(Jin Gui Yao Lue)

Treats Fei Yong (Lung Abscess) presenting with coughing and rebellious Qi, frequent expectoration of turbid matter, and orthopnea (ability to sit but not lie down). The Lung is the canopy of the five Zang organs, located in the chest, governing Qi, and reflecting on the skin and hair. Labor and injury damage Qi and Blood, leaving the Couli (pores) deficient, allowing Wind pathogen to invade. Internally affecting the Lung, symptoms include sweating, aversion to wind, cough, shortness of breath, nasal congestion, neck stiffness, and chest/diaphragmatic fullness. If prolonged and unhealed, it becomes Fei Wei (Lung Flaccidity); if Wind damages the skin/hair and Heat damages the vessels, Wind-Heat combats each other, causing Qi and Blood to stagnate and accumulate in the Lung, forming Fei Yong. Frequent expectoration of frothy sputum without pus indicates Fei Wei; dry mouth, panting and fullness, dry throat with thirst, slight edema of the four limbs, coughing up pus and blood, and dull pain in the chest indicate Fei Yong.

Gleditsia Sinensis Fruit (skin and strings scraped off, fried in butter). Grind into powder, form pills with honey. Take three pills mixed with jujube paste in decoction.

This formula acts on the Hand-Taiyin Lung Meridian. Yu Jiayan stated: When toxic Heat-Fire knots in the Lung, and neither releasing the exterior nor purging the interior, nor warming nor clearing, yields any effect, and the condition is hard and impervious to attack, administering this pill may achieve the result of penetrating all hardness and thoroughly cleansing. Do not despise it due to its humble nature or low cost.

Qian Jin Fang uses Guizhi Tang removing Shaoyao and adding Gleditsia Sinensis Fruit, named Guizhi Qu Shaoyao Jia Zaojiao Tang: treats Fei Wei with expectoration of foam. This formula added with equal parts of Concha Tridacnidae (Clam Powder), ground into powder, named Zao Ge Wan; treats women whose breasts are invaded by Wind pathogen, resulting in Ru Yong (Breast Abscess). Take 2 qian per dose, washed down with wine. (This drug can induce sweating and disperse...)