虚热喉初起，其势不急，微微缓缓，咽津觉得干燥，吞气些碍，无鹅无肿，满喉或红或
紫，此乃命门相火上冲为害，症属肾水枯竭，命门相火煎急肾阴，不能降之。故虚火冲喉，
微碍痛，不恶寒，独怕热。不宜吊药，恐损津液，无益反损。只宜含生津润肺丸，缓咽下，并
服滋阴降火汤数剂为善，不宜针吊吹药。
滋阴降火汤
生地（二钱） 元参（二钱） 天冬（二钱） 白芍（一钱） 麦冬（二钱） 盐柏（一钱） 桔梗
（一钱） 枯芩（一钱） 栀子（七分） 甘草（三分） 知母（一钱） 山豆根（五分） 丹皮（一钱）
泽泻（一钱） 薄荷（五分，自汗不用）
水二碗，煎八分，空心服。（炳章按∶肾虚阴火上炎之症，宜导热归下，如景岳玉女煎加
元参等最好。方内桔梗升提，载药上行，为最忌。）
生津润肺丸
硼砂（三钱，生 各半） 寒水石（二钱） 山豆根（二钱） 五味子（一钱） 甘草（二钱） 枯芩
（二钱） 乌梅（一钱） 薄荷（三钱）
上冰片二分，共研细末，蜜为丸，如龙眼大，含化，咽下，生津降火。
百会穴一针。前顶穴一针，亦用三针。后顶穴一针，亦用三针。颊车穴一针，亦用三针。
左右俱针亦可。风池穴一针，男左女右。少商穴一针。合谷穴一针，列缺穴一针。曲池穴
一针。俱男左女右。
\r中指定同身寸用为上肢之尺度图\p05-c24a1.bmp\r
光按∶百会居头之正中。前顶在百会前一寸五分。后顶在百会后一寸五分。颊车在耳
之下。风池在发际之陷凹中，即颈后二大筋下部之外端。少商在拇指内侧爪甲根。合谷在
食指与拇指基底部中间之陷凹处，孕妇禁忌。曲池在肘外辅骨之陷中，屈肘向胸，则适当其
横纹端。列缺在手之内面，离腕之横纹一寸半。
凡临诸症，先从少商、合谷、列缺、曲池，以男左女右，各根据针法刺之。若病重者，先从
前顶、百会、后顶、风池、颊车诸穴针之，开通周身经络，使风热结邪得以消散，而血气流
行。佐以奇药内治，自易收效。若针路无血，则风热壅盛，受邪深重，多致不救。
凡下针，用左手大指甲重切所针之穴，令
气血开。教病者心专于内，不可外驰，然后下针，使针不伤荣卫。
凡用针，至穴孔，中病之处急出针。即以左手大指急按所针穴孔，勿令出血，是谓补
法。若起针时，缓缓拔出，不用手按其针孔，令其出血，是谓泻法。大抵实症可泻，虚症宜补，
或先泻后补，随症用之。
喉风用针灸法，虽能断根，永不再发。然亦有不戒煎炒热毒之物，以致一二年后复发
一次，不可不知。故针后宜戒口，以免后患。未用针时，喉内先将散风药末吹之，然后用针。
针后必将药末封针口处。如吹药后，针之不退，再用吊药吹之。
散风药方 吹喉并封针口用。
全蝎（六分，用水洗净，去头足，童便制，秤足） 草乌（一钱，去芦制） 薄荷（一钱五分）
三味为末。另用乳钵细擂极细末和入千金皮硝散（一钱），加入冰片（一分），麝香（五厘）。
吊药方
鹅腿草（即剪刀铰根） 山大黄（即水推沙根） 野南星（即石蒜头）
三味共磨水，吞下即吐。膈中之痰，吐中有发散之义。发散则出汗，故风从汗出。
光按∶鹅腿草之名，本草未载。疑即鹅抱，待考。近年《卫生公报》发明天名精一物，以治
喉痹肿痛，确有吐痰之妙。前贤李时珍，亦称其功效。山大黄，本草名酸模，味酸寒，杀虫治
疥。野南星，即石蒜，味辛温，本草称其取吐，取汗颇良。
[Appendix: Differentiation and Prescription for Deficient Heat Throat Disorder]
In the initial stage of deficient heat throat disorder, the progression is not rapid but gradual. The patient feels dryness when swallowing saliva and slight obstruction when swallowing air. There are no white plaques resembling goose-mouth disease (鹅口疮) nor obvious swelling in the throat; however, the entire throat may appear red or purplish. This is caused by the upward rush of Mingmen Xianghuo (Ministerial Fire residing in the Gate of Life, which becomes deficient fire pathologically). The syndrome belongs to the depletion of Kidney Water, where Ministerial Fire scorches Kidney Yin, preventing it from descending to control the fire. Consequently, deficient fire rushes to the throat, causing slight pain and obstruction, without aversion to cold but with a preference for heat. At this time, diaoyao (a treatment drug inducing vomiting to expel phlegm by stimulating the throat) should not be used, as it may damage body fluids, doing more harm than good. It is advisable only to hold Shengjin Runfei Wan (Saliva-Generating and Lung-Moistening Pill) in the mouth, swallow it slowly, and take Ziyin Jianghuo Tang (Nourishing Yin and Descending Fire Decoction) for several doses. Acupuncture, diaoyao, and chuiyao (blowing medicinal powder into the throat) are strictly prohibited.
Ziyin Jianghuo Tang (Nourishing Yin and Descending Fire Decoction)
Shengdi Huang (Rehmanniae Radix Preparata, 2 qian) Xuanshen (Scrophulariae Radix, 2 qian) Tiandong (Asparagi Radix, 2 qian) Baishao (Paeoniae Radix Alba, 1 qian) Maidong (Ophiopogonis Radix, 2 qian) Yan Baihuang (Phellodendri Cortex Preparata cum Sale, 1 qian) Jiegeng (Platycodonis Radix, 1 qian) Ku Huangqin (Scutellariae Radix Ustas, 1 qian) Zhizi (Gardeniae Fructus, 7 fen) Gancao (Glycyrrhizae Radix et Rhizoma, 3 fen) Zhimu (Anemarrhenae Rhizoma, 1 qian) Shandougen (Sophorae Tonkinensis Radix et Caulis, 5 fen) Danpi (Moutan Cortex, 1 qian) Zexie (Alismatis Rhizoma, 1 qian) Bohe (Menthae Haplocalycis Herba, 5 fen; omit if spontaneous sweating occurs)
Add two bowls of water, decoct until reduced to eight-tenths, and take on an empty stomach. (Bingzhang's Note: For syndromes of Kidney deficiency with Yin fire flaming upward, it is appropriate to guide heat downward, such as using Jingyue's Yunnv Jian (Jade Woman Decoction) with added Xuanshen, which yields the best results. The Jiegeng in this formula has a lifting action that carries medicine upward, which is most contraindicated for this syndrome.)
Shengjin Runfei Wan (Saliva-Generating and Lung-Moistening Pill)
Pengsha (Borax, 3 qian, half raw and half calcined) Hanshuishi (Calcitum, 2 qian) Shandougen (Sophorae Tonkinensis Radix et Caulis, 2 qian) Wuweizi (Schisandrae Chinensis Fructus, 1 qian) Gancao (Glycyrrhizae Radix et Rhizoma, 2 qian) Ku Huangqin (Scutellariae Radix Ustas, 2 qian) Wumei (Mume Fructus, 1 qian) Bohe (Menthae Haplocalycis Herba, 3 qian)
Add Bingpian (Borneolum Syntheticum, 2 fen) to the above herbs, grind all together into a fine powder, form pills with honey, size similar to a longan seed, hold in mouth to dissolve and swallow, to generate saliva and descend fire.
[Appendix: Notes on Acupuncture and Moxibustion]
St acupuncture at Baihui (GV20): one needle. Qian Ding (GV21): one needle, or three needles. Hou Ding (GV19): one needle, or three needles. Jiache (ST6): one needle, or three needles. Needling can be performed on both left and right sides. Fengchi (GB20): one needle, left side for males, right side for females. Shaoshang (LU11): one needle. Hegu (LI4): one needle. Lieque (LU7): one needle. Quchi (LI11): one needle. All follow the principle of left for males, right for females.
[Image: Diagram of proportional measurement for upper limbs]
Guang's Note: Baihui (GV20) is located at the center of the head. Qian Ding (GV21) is 1.5 cun anterior to Baihui. Hou Ding (GV19) is 1.5 cun posterior to Baihui. Jiache (ST6) is below the earlobe. Fengchi (GB20) is in the depression at the hairline, specifically at the lateral end of the lower part of the two large tendons at the back of the neck. Shaoshang (LU11) is at the radial corner of the nail base of the thumb. Hegu (LI4) is in the depression between the bases of the first and second metacarpal bones on the dorsum of the hand; contraindicated in pregnancy. Quchi (LI11) is in the depression lateral to the olecranon process of the humerus; when flexing the elbow towards the chest, it corresponds to the end of the transverse crease. Lieque (LU7) is on the medial aspect of the forearm, 1.5 cun proximal to the wrist crease.
When encountering such disorders, start with Shaoshang (LU11), Hegu (LI4), Lieque (LU7), and Quchi (LI11), needling according to the male-left/female-right principle and standard techniques. If the condition is severe, begin needling Qian Ding (GV21), Baihui (GV20), Hou Ding (GV19), Fengchi (GB20), and Jiache (ST6) to unblock the meridians throughout the body, allowing wind-heat pathogenic factors to dissipate and blood and qi to flow smoothly. Combined with internal administration of special medicines, recovery will naturally be achieved. If no blood appears after needling, it indicates severe congestion of wind-heat and deep pathogen invasion, often leading to untreatable conditions.
Before needling, use the thumbnail of the left hand to press firmly on the acupoint to open the flow of qi and blood. Instruct the patient to focus their mind inward and avoid distraction before inserting the needle, so as not to injure Ying (Nutritive) and Wei (Defensive) qi.
When needling, upon reaching the acupoint and hitting the pathological site, withdraw the needle quickly. Immediately press the needle hole with the thumb of the left hand to prevent bleeding; this is called the tonification method. When withdrawing the needle, pull it out slowly without pressing the needle hole, allowing bleeding; this is called the sedation method. Generally, excess syndromes are treated with sedation, deficiency syndromes with tonification, or a combination of sedation followed by tonification, depending on the symptoms.
Although acupuncture and moxibustion for Houfeng (Throat Wind) can cure the root cause and prevent recurrence, patients who do not abstain from fried, spicy, and heat-toxic foods may experience recurrence after one or two years. This must be known. Therefore, dietary restrictions are necessary after needling to avoid future complications. Before needling, blow Sanfeng medicinal powder into the throat first, then proceed with needling. After needling, seal the needle sites with medicinal powder. If needling does not resolve the condition after blowing medicine, use diaoyao (vomiting-inducing medicine) blown into the throat.
Sanfeng Powder Formula (For blowing into throat and sealing needle sites)
Quanxie (Scorpio, 6 fen, washed clean, remove head and feet, processed with child's urine, weighed accurately) Caowu (Aconiti Kusnezoffii Radix Preparata, 1 qian, remove rhizome and process) Bohe (Menthae Haplocalycis Herba, 1.5 qian)
Grind these three ingredients into powder. Separately, grind extremely finely in a mortar, mix with Qianjin Pi Xiao San (Qianjin Pi Xiao San, 1 qian), add Bingpian (Borneolum Syntheticum, 1 fen) and Shexiang (Moschus, 5 li).
Diaoyao Formula
Eluecao (Radix Iridis Tectoriae, also known as Jiandaohao Gen) Shandahuang (Radix Rumis, also known as Shuituisha Gen) Yenanxing (Rhizoma Lycoris Radiatae, also known as Shisuan Tou)
Grind these three ingredients in water, swallow, and induce immediate vomiting. The expulsion of phlegm from the diaphragm contains the meaning of dispersing. Dispersal leads to sweating, thus wind exits with sweat.
Guang's Note: Eluecao is not recorded in Materia Medica. It is suspected to be Ebao (Iris tectorii), pending verification. Recently, "Health Gazette" introduced Tianmingjing (Flos Vernoniae Cinereae) for treating Houbi (Throat Bi) with swelling and pain, showing excellent efficacy in inducing vomiting of phlegm. Li Shizhen, a former expert, also praised its effects. Shandahuang is named Suanmo (Rumex acetosella) in Materia Medica, sour and cold in nature, kills parasites and treats scabies. Yenanxing is Shisuan (Lycoris radiata), pungent and warm; Materia Medica states it effectively induces vomiting and sweating.