痰热喉初起，不常有。痰粘，咽吐津，咽干，得茶汤润而出之。无触不患，过适口热物，
饮食过伤，火动击搏，致令不清，而成喉痛。痰涎大多，亦略憎寒壮热，生发顶双单鹅。症属
肺胃之经，每日宜用真喉末吹二三次，内服消痰降火汤数剂。大便秘结用通利散三匙温服，
然后服消痰降火汤。若热盛，用防风通圣散一剂，亦可随症用之。
消痰降火汤
花粉（二钱） 元参（三钱） 白芍（一钱） 枯芩（一钱） 桔梗（一钱） 甘草（五分） 山豆根
（五分） 半夏（五分） 白茯苓（一钱） 知母（一钱） 桑皮（一钱） 黄连（五分）
水二碗，煎七分，空心服，后用败黄通利散泻之。
防风通圣散 治一切初发喉风。先服一二剂，取通利为度。后用消风活血解毒汤。若
虚喉，不可服。宜照虚喉方治之。
桔梗（二钱） 防风（一钱） 荆芥（五分） 枯芩（一钱） 连翘（五分） 石膏（二钱） 大黄
（三钱，看人虚实加减） 朴硝（一钱） 甘草（三分） 薄荷（五分） 白芍（五分）
水煎，空心服。服后以泄为度。不泄，再服一剂，泄后再服后方。
消风活血解毒汤
鲜生地（一钱） 银花（五分） 干葛（五分） 防风（五分） 荆芥（五分） 升麻（三分） 连翘
（一钱） 枳实（八分） 归尾（五分） 赤芍（一钱） 桔梗（一钱） 山豆根（五分） 黄芩（一钱）
栀子（四分） 苦参根（五分，炳章按∶升燥切不妄用，前批忝阅。）
水二碗，煎八分，不拘服，要温服，多服无妨。
Tanre Hou (Throat Disorder due to Phlegm-Heat) is not common in its initial stage. Symptoms include sticky phlegm, difficulty swallowing saliva, dry throat, and the need for tea or water to moisten the throat to expel the phlegm. It does not occur without external triggers; however, consuming food that is too hot or improper diet can damage the body, causing internal fire to flare up and clash, leading to unclear qi mechanism in the throat and resulting in throat pain. If there is excessive phlegm and saliva, it may also present with slight aversion to cold and high fever, potentially developing into single or bilateral E Kou (Goose Mouth, a type of oral mucosal lesion). The pathology belongs to the Lung and Stomach meridians. It is recommended to use Zhen Hou Mo (True Throat Powder) blown into the throat two to three times daily, and internally administer Xiaotan Jianghuo Tang (Phlegm-Reducing and Fire-Descending Decoction) for several doses. If constipation is present, first take Tongli San (Unblocking and Purging Powder) mixed with warm water, followed by Xiaotan Jianghuo Tang. If heat is severe, one dose of Fangfeng Tongsheng San (Saposhnikovia Universal Rescue Powder) can be used, or it can be applied flexibly according to symptoms.
Xiaotan Jianghuo Tang (Phlegm-Reducing and Fire-Descending Decoction)
Tianhuafen (Trichosanthis Radix, 2 qian)
Yuanshen (Scrophulariae Radix, 3 qian)
Baishao (Paeoniae Radix Alba, 1 qian)
Kuhuangqin (Scutellariae Radix, dried, 1 qian)
Jiegeng (Platycodonis Radix, 1 qian)
Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 qian)
Shandougen (Sophorae Tonkinensis Radix et Rhizoma, 0.5 qian)
Banxia (Pinelliae Rhizoma, 0.5 qian)
Bai Fuling (Poria, 1 qian)
Zhimu (Anemarrhenae Rhizoma, 1 qian)
Sangpi (Mori Cortex, 1 qian)
Huanglian (Coptidis Rhizoma, 0.5 qian)
Add two bowls of water, decoct until seven-tenths remain, take on an empty stomach, then use Baihuang Tongli San to purge bowels.
Fangfeng Tongsheng San (Saposhnikovia Universal Rescue Powder) Treats all initial cases of Hou Feng (Acute Throat Wind). Take one to two doses initially, aiming for bowel unblocking. Afterwards, switch to Xiaofeng Huoxue Jiedu Tang. For deficiency-type throat disorders, this formula should not be used. Treat according to formulas for deficiency throat disorders.
Jiegeng (Platycodonis Radix, 2 qian)
Fangfeng (Saposhnikoviae Radix, 1 qian)
Jingjie (Schizonepetae Spica, 0.5 qian)
Kuhuangqin (Scutellariae Radix, dried, 1 qian)
Lianqiao (Forsythiae Fructus, 0.5 qian)
Shigao (Gypsum Fibrosum, 2 qian)
Dahuang (Rhei Radix et Rhizoma, 3 qian, adjust dosage based on patient's deficiency or excess)
Puxiao (Natrii Sulfas, 1 qian)
Gancao (Glycyrrhizae Radix et Rhizoma, 0.3 qian)
Bohe (Menthae Haplocalycis Herba, 0.5 qian)
Baishao (Paeoniae Radix Alba, 0.5 qian)
Decoct in water, take on an empty stomach. The goal after taking is purgation. If no purgation occurs, take another dose; after purgation, take the subsequent formula.
Xiaofeng Huoxue Jiedu Tang (Wind-Dispersing, Blood-Invigorating, and Detoxifying Decoction)
Xian Shengdi (Rehmanniae Radix Recens, 1 qian)
Yinhua (Lonicerae Japonicae Flos, 0.5 qian)
Gange (Puerariae Radix, 0.5 qian)
Fangfeng (Saposhnikoviae Radix, 0.5 qian)
Jingjie (Schizonepetae Spica, 0.5 qian)
Shengma (Cimicifugae Rhizoma, 0.3 qian)
Lianqiao (Forsythiae Fructus, 1 qian)
Zhishi (Aurantii Fructus Immaturus, 0.8 qian)
Guiwei (Angelicae Sinensis Radix tail, 0.5 qian)
Chishao (Paeoniae Radix Rubra, 1 qian)
Jiegeng (Platycodonis Radix, 1 qian)
Shandougen (Sophorae Tonkinensis Radix et Rhizoma, 0.5 qian)
Huangqin (Scutellariae Radix, 1 qian)
Zhizi (Gardeniae Fructus, 0.4 qian)
Kushen gen (Sophorae Flavescentis Radix, 0.5 qian. Note by Bingzhang: Ascending and drying herbs should never be used recklessly, as previously annotated.)
Add two bowls of water, decoct until eight-tenths remain. Take at any time, but must be taken warm. Taking more is harmless.