舌卷囊缩 油汗如珠 哑喉呛食
吐血喉癣 声如锯错 鼻 唇青
脉细身凉 角弓反张 十指无血
喉干无痰 六脉沉细 大便十日不通
天柱倒折 两目直视 壅痰气塞
喉菌不治
走马喉风 锁喉风 走马牙疳
缠喉风
（此四症皆凶险之症。若不吐、不泻、针之无血、药不能入，俱为不治，医者
慎之！）
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肺脉浮涩而短，脾脉缓而散大，命门脉缓而悠洋。
三部之脉，呼吸四至为平，反此则病。迟则寒，数则
热，细缓则虚寒，细数虚热。
（右手三部∶寸属肺与大肠、关属脾与胃、尺属命门三焦。）
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心脉悠洋缓散，肝脉沉而弦长，肾脉虚细（女尺宜大，
四至为平，反之则病。）病脉同前。
（左手三部∶寸属心与小肠，关属肝与胆，尺属肾与膀胱。）
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颊车穴∶足阳明胃经
少商穴∶手太阴肺经
商阳穴∶手阳明大肠经
中冲穴∶手厥阴心胞络
关冲穴∶手少阳三焦经
少冲穴∶手少阴心经
凡六穴应病行针。
（九方）
漱咽喉七十二症总方──六味汤（治一切咽喉不论红白，
初起之时，漱一服可愈。）
荆芥穗（三钱） 薄荷（三钱，要二刀香者妙） 炒僵蚕（二钱） 桔
梗（二钱） 生粉草（二钱） 防风（二钱）
上药俱为末，煎数滚去渣，温好，连连漱下，
不可大口一气吃完。如煎不得法，服不得法，则难见
效。须根据如此为度。倘要紧之时，煎及白滚水，泡之
亦可。（此乃总方，看症之形名，然加减他味后临症可细查。）
雄黄退肿消痰药（凡初起之症，风痰上壅者，吹之即退。）
银硝（一两二钱，水飞过用） 玄明粉（二钱） 白硼砂（二钱） 雄
黄（八钱，拣上好红明大块者。）
上俱为细末吹用。若伤者、烂斑者，恐太痛，不可轻用。
金不换吹药（治火症痘疳、牙疳、喉间溃烂者，吹之甚妙。）
人中白（五钱， 存性用） 细柏末（三钱） 青黛（六钱） 玄明粉
（三钱） 白硼砂（三钱） 西瓜硝（八钱，制法在后） 冰片（三分）
上为细末吹用。若烂斑有深潭者加龙骨、象皮、
赤石脂（各三钱），同研吹之。痘疳加川连、胡连、甘草、
人中黄、银粉雪（即瓜硝之飞出者也。）每金不换重一钱，五味
各加（五分），合搽之。喉癣、喉疳加银粉雪每钱（三分）。
烂喉八仙散（凡咽喉溃烂者服此药。）
人中白（一两， 存性用） 生大黄（一两二钱） 生石膏（五钱） 玄
参末（六钱，盐水炒） 黄芩（一两四钱，酒炒） 玄明粉（七钱） 僵蚕末
（三钱） 瓜硝（八钱） 轻粉（一钱）
共九味研末，每服二钱，放舌上，津化咽下，连
连不断，则烂斑自去矣。
散痰珠黄散（治风痰上壅之症，每服三钱。）
金星礞石（一两五钱，同硝炒） 生大黄（一两五钱，末用） 白硼
砂（一两） 玄明粉（六钱） 瓜硝（八钱） 真川郁金（六钱） 海浮石（六钱）
共研为末用。若痰多者，用五钱生大黄泡汤送下。
如不然，即六味汤药水送下亦可，淡姜汤亦妙。
通关散吹药（治咽喉急症。）
细辛末（一钱） 猪牙皂（三钱） 藜芦（二钱） 白矾末（一钱）
俱为细末，冲滚水，灌喉间。淡姜汤亦可。
十八味神药（治一切烂喉毒症。）
川黄连（一钱） 白藓皮（二钱） 黄芩（二钱，酒炒） 紫地丁（二钱）
当归（二钱） 赤芍（二钱） 河车（二钱） 山栀（一钱五分，生） 生龟板（三钱）
木通（一钱） 甘草（二钱，生） 川芎（一钱五分） 连翘（二钱） 乳香（五分）
金银花（二钱） 花粉（二钱） 皂角刺（一钱五分） 知母（二钱，盐水炒）
以上诸药滚水煎服。结毒加土茯苓（四两）、何首乌（四
两），煎汤代水服。火症烂喉加生大黄（四钱）、生石膏（四钱）
为妙。
灵保玉枢丹（治一切毒症，兼毒喉。）
山慈菇（洗去毛，净末焙，二两） 文蛤（一名五倍子，净焙二两） 麝
香（三钱） 雄黄（五钱，红明大块者） 千金子（四两净去油壳一两） 红牙
大戟（四两五钱为净末一两五钱） 草河车（二两五钱为净末二两）
以上诸品共为细末，择天德月德天医黄道吉日，
或五月五日午时亦妙，斋戒焚香洁净，用浓米饮汤调
和打成千余下为度。每服五、六分，甚者一钱，可查
《外科正宗》上乃见其神效。
结毒紫金丹（此方治杨广疮毒喉症，唇鼻破坏，并下疳等症，服
之可痊。服者必须土茯苓汤送此药下，余作茶。凡毒瓦斯随经络而结，恐喉间小
舌皆能结聚。故治咽喉者，不可不知。）
龟板（五两炙焦，浸酒浆内，再炙，反复炙之，涂酒三次，焦黄为度。
即研成细末净二两。龟自死为败，大者更妙） 石决明（九孔者佳，童便浸
一次炙净末二钱） 朱砂（大块者佳，净末二钱）
以上其研极细，烂米饭捣为丸，小绿豆大，每
服一钱。若病在上，饭前食，病在下，饭后食。若满
身筋骨痛，用酒服。腐烂者，土茯苓、何首乌同煎服。
其功胜于五宝散。
Tongue retraction and scrotal contraction, sweating like oil in pearls, aphonia with choking on food.
Hematemesis accompanied by throat lichen (a chronic ulcerative disease), voice rough like sawing wood, blackened nostrils, and cyanotic lips.
Thready pulse, cool body, opisthotonos (spastic rigidity of the back muscles causing the body to arch backward like a bow), and ten fingers lacking blood color.
Dry throat without phlegm, deep and thready pulses in all six positions, constipation for ten days.
Collapse of the Tianzhu bone (inability to support the head due to neck weakness), fixed gaze, and phlegm obstructing the airway.
Throat fungus (fungus-like growths in the throat) is incurable.
Zouma Houfeng (acute onset throat wind disorder), Suohou Feng (throat swelling and blockage throat wind disorder), Zouma Yagan (acute onset gum rot disorder), Chanhou Feng (swelling and winding throat wind disorder).
(These four syndromes are all perilous conditions. If there is no vomiting, no diarrhea, no bleeding upon acupuncture, and inability to ingest medicine, they are all considered incurable. Physicians must exercise extreme caution!)
Right hand pulse: Lung pulse is floating, choppy, and short; Spleen pulse is moderate, scattered, and large; Mingmen pulse is moderate and leisurely.
For the three positions (Cun, Guan, Chi) of the pulse, four beats per respiration cycle indicate a normal, healthy pulse. Deviation from this indicates disease. A slow pulse indicates cold; a rapid pulse indicates heat; a thready and moderate pulse indicates deficiency-cold; a thready and rapid pulse indicates deficiency-heat.
(Right hand three positions: Cun corresponds to the Lung and Large Intestine; Guan corresponds to the Spleen and Stomach; Chi corresponds to Mingmen and Sanjiao.)
Left hand pulse: Heart pulse is leisurely, moderate, and scattered; Liver pulse is deep, wiry, and long; Kidney pulse is deficient and thready. (In women, the Chi pulse should be larger. Four beats per respiration cycle indicate a normal, healthy pulse; deviation indicates disease.) The judgment criteria for pathological pulses are the same as above.
(Left hand three positions: Cun corresponds to the Heart and Small Intestine; Guan corresponds to the Liver and Gallbladder; Chi corresponds to the Kidney and Bladder.)
Acupoint Diagram:
Jiache (ST6): Foot-Yangming Stomach Meridian
Shaoshang (LU11): Hand-Taiyin Lung Meridian
Shangyang (LI1): Hand-Yangming Large Intestine Meridian
Zhongchong (PC9): Hand-Jueyin Pericardium Meridian
Guanchong (TE1): Hand-Shaoyang Sanjiao Meridian
Shaochong (HT9): Hand-Shaoyin Heart Meridian
The above six acupoints should be needled according to the disease.
(Formula No. 9)
General Formula for Treating Seventy-Two Throat Syndromes — Liuwei Tang (Six-Ingredient Decoction) (Treats all throat disorders, whether red or white; one dose at the initial stage can cure it.)
Jingjie Sui (Schizonepeta Spike, 3 qian) Bohe (Mentha Haplocalyx, 3 qian, preferably cut twice and aromatic) Chao Jiangcan (Bombyx Batryticatus, fried, 2 qian) Jiegeng (Platycodon Root, 2 qian) Sheng Fangcao (Glycyrrhizae Radix et Rhizoma, raw, 2 qian) Fangfeng (Saposhnikoviae Radix, 2 qian)
Grind all the above herbs into powder, decoct several times, remove the dregs, keep warm, and gargle continuously, swallowing slowly. Do not drink it all in one large gulp. If the decoction method or administration method is incorrect, efficacy will be difficult to achieve. One must strictly follow this procedure. In emergencies, steeping in boiling water is also acceptable. (This is a general formula; other herbs should be added or subtracted based on specific symptom names for detailed clinical application.)
Xionghuang Tuizhong Xiaotan Yao (Realgar Swelling-Reducing and Phlegm-Resolving Powder) (For initial stages where wind-phlegm rises and obstructs, insufflation leads to immediate reduction.)
Yinxiao (Natrii Sulfas, 1 liang 2 qian, processed by water flotation) Xuanmingfen (Mirabilitum, 2 qian) Bai Pengsha (Borax, 2 qian) Xionghuang (Realgar, 8 qian, select high-quality, bright red, large chunks)
Grind all the above into fine powder for insufflation. If there are wounds or ulcerated patches, it may cause excessive pain, so use with caution.
Jinbuhuan Chuanyao (Jinbuhuan Insufflation Powder) (Excellent for treating fire-toxic syndromes, acne-related gangrene, dental gangrene, and throat ulcers.)
Renzhongbai (Calcinis Dentium Humanum, 5 qian, preserved nature) Xi Baimo (Cupressi Cacumen powder, 3 qian) Qingdai (Indigo Naturalis, 6 qian) Xuanmingfen (Mirabilitum, 3 qian) Bai Pengsha (Borax, 3 qian) Xiguaxiao (Watermelon Saltpeter, 8 qian, preparation method follows later) Bingpian (Borneolum Syntheticum, 3 fen)
Grind all the above into fine powder for insufflation. If ulcerated patches have deep pits, add Longgu (Fossilia Ossis Mastodi et Scapulae), Xiangpi (Corii Cervi Colla), and Chishizhi (Halloysitum Rubrum) (each 3 qian), grind together, and insufflate. For acne gangrene, add Chuanlian (Coptidis Rhizoma), Hulu Lian (Hydrastis Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Renzhonghuang (Calcinis Excrementum Humanum), and Yinfenxue (Silver Salt Snow). For every 1 qian of Jinbuhuan, add 5 fen of each of the five herbs, mix, and apply. For throat lichen and throat gangrene, add Yinfenxue, 3 fen per qian.
Lanhou Baxian San (Eight Immortals Powder for Rotten Throat) (Take this medicine for throat ulcers.)
Renzhongbai (Calcinis Dentium Humanum, 1 liang, preserved nature) Sheng Dahuang (Rhei Radix et Rhizoma, raw, 1 liang 2 qian) Sheng Shigao (Gypsum Fibrosum, 5 qian) Xuanshen Mo (Scrophulariae Radix powder, salt-fried, 6 qian) Huangqin (Scutellariae Radix, wine-fried, 1 liang 4 qian) Xuanmingfen (Mirabilitum, 7 qian) Jiangcan Mo (Bombyx Batryticatus powder, 3 qian) Guxiao (Melon Saltpeter, 8 qian) Qingfen (Calomelas, 1 qian)
Grind the nine ingredients into powder. Take 2 qian per dose, place on the tongue, allow saliva to dissolve it, and swallow continuously until the ulcers disappear.
Santan Zhuhuang San (Phlegm-Dispersing Pearl-Yellow Powder) (Treats syndromes of rising wind-phlegm. Take 3 qian per dose.)
Jinxing Mengshi (Pyritum, stir-fried with Natrii Sulfas, 1 liang 5 qian) Sheng Dahuang (Rhei Radix et Rhizoma, raw, ground, 1 liang 5 qian) Bai Pengsha (Borax, 1 liang) Xuanmingfen (Mirabilitum, 6 qian) Guxiao (Melon Saltpeter, 8 qian) Zhen Chuan Yujin (Curcumae Radix, authentic Sichuan origin, 6 qian) Haifushi (Pumex, 6 qian)
Grind all together into powder. If phlegm is abundant, take 5 qian of raw Dahuang soaked in water to send down the medicine. Alternatively, sending it down with Liuwei Tang liquid is also effective; Danjiang Tang (Light Ginger Decoction) is also excellent.
Tongguan San Chuanyao (Pass-the-Gate Insufflation Powder) (Treats acute throat disorders.)
Xixin Mo (Asari Radix et Rhizoma powder, 1 qian) Zhuya Zao (Gleditsiae Sinensis Fructus, 3 qian) Lilu (Veratri Viridis Rhizoma, 2 qian) Baifan Mo (Alumen powder, 1 qian)
Grind all into fine powder, mix with boiling water, and irrigate the throat. Light ginger decoction is also acceptable.
Shiba Wei Shen Yao (Eighteen-Ingredient Divine Medicine) (Treats all rotten throat toxic syndromes.)
Chuan Huanglian (Coptidis Rhizoma, 1 qian) Baixianpi (Dictamni Cortex, 2 qian) Huangqin (Scutellariae Radix, wine-fried, 2 qian) Zi Dideng (Viola Herba, 2 qian) Danggui (Angelicae Sinensis Radix, 2 qian) Chishao (Paeoniae Radix Rubra, 2 qian) Heche (Placenta Humana, 2 qian) Shanzhi (Gardeniae Fructus, raw, 1 qian 5 fen) Sheng Guiban (Testudinis Carapax et Plastrum, raw, 3 qian) Mutong (Akebiae Caulis, 1 qian) Gancao (Glycyrrhizae Radix et Rhizoma, raw, 2 qian) Chuanxiong (Ligustici Chuanxiong Rhizoma, 1 qian 5 fen) Lianqiao (Forsythiae Fructus, 2 qian) Ruxiang (Olibanum, 5 fen) Jinyinhua (Lonicerae Japonicae Flos, 2 qian) Huafen (Trichosanthis Radix, 2 qian) Zaojiaoci (Gleditsiae Sinensis Spina, 1 qian 5 fen) Zhimu (Anemarrhenae Rhizoma, salt-water fried, 2 qian)
Decoct the above herbs in boiling water and take orally. For condyloma accumulation (jie du), add Tubalingfu (Smilacis Glabrae Rhizoma, 4 liang) and Heshouwu (Polygoni Multiflori Radix, 4 liang), decoct in water substitute. For fire-toxic rotten throat, adding Sheng Dahuang (4 qian) and Sheng Shigao (4 qian) is advisable.
Lingbao Yushu Dan (Lingbao Jade Pill) (Treats all toxic syndromes, including toxic throat.)
Shancigu (Fritillariae Thunbergii Bulbus, washed, cleaned, ground, baked, 2 liang) Wenhai (Mercarum Concha, also known as Wubeizi/Galla Chinensis, cleaned, baked, 2 liang) Shexiang (Moschus, 3 qian) Xionghuang (Realgar, 5 qian, bright red large chunks) Qianjinzi (Crotonis Fructus, 4 liang, cleaned, oil removed, shell removed, 1 liang) Hongya Daji (Euphorbiae Pekinensis Radix, 4 liang 5 qian, cleaned powder 1 liang 5 qian) Caoheche (Actaea Rhizoma, 2 liang 5 qian, cleaned powder 2 liang)
Grind all the above items into fine powder. Choose auspicious days such as Tiande, Yueide, Tianyi, or Huangdao days, or the noon of the fifth day of the fifth lunar month. Fast, burn incense, and maintain cleanliness. Mix with thick rice water decoction, stirring over a thousand times. Take 5-6 fen per dose, up to 1 qian for severe cases. Refer to *Waike Zhengzong* (Orthodox Manual of External Medicine) to witness its miraculous efficacy.
Jiedu Zijin Dan (Condyloma Accumulation Purple Gold Pill) (This formula treats chancre toxic throat syndrome, destruction of lips and nose, and chancre syndromes. It can be cured by taking this. Patients must take this pill with Tubalingfu decoction, and consume the rest as tea. When toxic qi accumulates along the meridians, even the uvula in the throat may form nodules. Therefore, those treating throat diseases must know this formula.)
Guiban (Testudinis Carapax et Plastrum, 5 liang, roasted until charred, soaked in wine浆, roasted again, repeated roasting, coated with wine three times, until dark yellow. Grind into fine powder, net weight 2 liang. Turtles that died naturally are considered 'defeated' turtles, larger ones are better) Shijueming (Haliotidis Concha, nine-hole variety is best, soaked in children's urine once, roasted, cleaned, powder 2 qian) Zhusha (Cinnabaris, large chunks are best, cleaned powder 2 qian)
Grind the above extremely finely, mix with mashed cooked rice to form pills, size of small mung beans. Take 1 qian per dose. If the disease is in the upper body, take before meals; if in the lower body, take after meals. If suffering from full-body muscle and bone pain, take with wine. For ulceration, decoct Tubalingfu and Heshouwu together and take.
Its efficacy surpasses that of Wubao San.