论曰，肺气上通于喉咙，胃经外连于咽嗌，其气和平，则呼吸咽纳，无所妨碍，若脾肺
壅热，熏发上焦，攻于咽喉，结聚肿痛，不得消散，热气炽盛，致结成痈，妨害吐纳，古方
论一寸为疖，二寸至五寸为痈，其候使人寒战咳唾稠浊，善用针者，辨其可刺，宜速破之，
仍施以点饵之剂。
治喉痈，咽嗌不利。天门冬煎方
生天门冬（汁二升） 人参（一两） 生麦门冬（汁一升） 生姜（汁一升） 生地黄
（汁一升）
桂（去粗皮一两） 赤苓（去黑皮三两） 甘草（炙三分） 牛黄（研半两） 半夏（汤
洗七遍曝
干一两）
上十味，除四味汁外，余六味为末，先以天门冬麦门冬汁煎减半，次入生姜汁，又煎减
半，次又入地黄汁，并余六味末，同煎汁欲尽，即入白蜜一斤，酥四两，同煎成煎，以瓷合
盛，不拘时，以温水调下一匙，以瘥为度。
治喉痈，咽嗌肿塞，及心肿热极，吐纳不利，射干汤方
射干（半两） 升麻 大黄（锉生用） 恶实（生用各一两） 马蔺子（炒半两） 木
通（锉三
分）
上六味，粗捣筛，每服三钱匕，水一盏，竹叶七片，煎至七分，去滓下马牙硝半钱匕，
搅令匀，不拘时，细细温服。
治喉痈，及咽喉垂倒等。防风散方
防风（去叉一两） 白附子（三分） 地骨皮（半两） 真麝香（研三分） 丹砂（研）
腻粉（
研） 白术 马牙硝（研） 桂（去粗皮各一分） 赤茯苓（去黑皮一两）
上十味，捣研为散，每服半钱匕，温酒调下。
治喉痈，及悬痈等。盐花散方
盐花 白矾（烧令汁尽各一两）
上二味，同研细，以箸头点在痈上。
治喉痈，及伤寒热病后，咽痛闭塞不通，毒瓦斯上冲。马牙硝散方
马牙硝（半两）
上一味，细研为散，每服一钱匕，绵裹含咽津，以通为度。
Commentary states that the Lung Qi connects upward to the throat, and the Stomach Meridian connects externally to the pharynx. When Qi is harmonious, respiration and swallowing proceed without obstruction. However, if Spleen and Lung accumulate heat, it steams and affects the Upper Jiao (upper burner), attacking the throat and causing swelling, pain, and induration that fails to dissipate. If the pathogenic heat becomes excessive, an abscess forms, hindering exhalation and inhalation. Ancient texts state that a lesion one cun in size is called a furuncle (small boil), while those two to five cun in size are called carbuncles (large abscesses). The symptoms include chills, coughing, and expectoration of thick turbid sputum. A skilled practitioner using acupuncture should assess whether puncture is indicated and promptly lance the abscess, simultaneously administering topical or internal medicaments.
Treatment for throat carbuncle with dysphagia. Tianmendong Decoction (Asparagus Root Decoction)
Fresh Asparagi Radix (Tianmendong, 天门冬) - juice 2 sheng
Ginseng Radix et Rhizoma (Renshen, 人参) - 1 liang
Fresh Ophiopogonis Radix (Maidong, 麦门冬) - juice 1 sheng
Fresh Zingiberis Rhizoma Recens (Shengjiang, 生姜) - juice 1 sheng
Fresh Rehmanniae Radix (Shengdihuang, 生地黄) - juice 1 sheng
Cinnamomi Ramulus (Guizhi, 桂) - remove bark, 1 liang
Poria Cocos cum Ligno Rubra (Chiling, 赤苓) - remove black skin, 3 liang
Glycyrrhizae Radix et Rhizoma Praeparata (Zhigancao, 甘草) - honey-fried, 3 qian
Bovis Calculus (Niuhuang, 牛黄) - powdered, 0.5 liang
Pinelliae Rhizoma Preparatum (Banxia, 半夏) - washed seven times with hot water, dried, 1 liang
The above ten ingredients: excluding the four yielding juices, the remaining six are ground into powder. First, decoct the Tianmendong and Maidong juices until reduced by half. Then add the Shengjiang juice and decoct until reduced by half again. Next, add the Shengdihuang juice along with the powders of the other six ingredients. Continue decocting until the liquid is nearly exhausted. Add 1 jin of white honey and 4 liang of butter (su), and simmer into a thick syrup. Store in a porcelain container. Take one spoonful mixed with warm water at any time, until recovery.
Treatment for throat carbuncle, pharyngeal swelling and blockage, extreme heat in the Heart region, and difficulty in breathing. Shegan Decoction (Belamcanda Decoction)
Belamcandae Rhizoma (Shegan, 射干) - 0.5 liang
Cimicifugae Rhizoma (Shengma, 升麻)
Rhei Radix et Rhizoma (Dahuang, 大黄) - crushed, raw use
Arctii Fructus (E'ershu, 恶实) - raw use, each 1 liang
Iris Tectorii Semen (Malinzi, 马蔺子) - stir-fried, 0.5 liang
Akebiae Caulis (Mutong, 木通) - crushed, 3 qian
The above six ingredients are coarsely pounded and sifted. For each dose, take three qianbi (approx. 3-5 grams), one sheng of water, and seven leaves of Bambusa Leaves (Zhuyeqing, 竹叶). Decoct until reduced to 70%. Strain the dregs, add Halitum (Mayaxiao, 马牙硝) 0.5 qianbi, stir well, and take slowly while warm at any time.
Treatment for throat carbuncle and prolapse of the uvula/pharynx. Fangfeng Powder (Saposhnikovia Powder)
Saposhnikoviae Radix (Fangfeng, 防风) - remove branched tips, 1 liang
Aconiti Kusnezoffii Radix (Baifuzi, 白附子) - 3 qian
Lycii Cortex (Digupi, 地骨皮) - 0.5 liang
Moschus (Zhenmoxiang, 真麝香) - powdered, 3 qian
Cinnabar (Dansha, 丹砂) - powdered
Calamina (Nifen, 腻粉) - powdered
Atractylodis Macrocephalae Rhizoma (Baizhu, 白术)
Halitum (Mayaxiao, 马牙硝) - powdered
Cinnamomi Ramulus (Guizhi, 桂) - remove bark, each 1 fen
Poria Cocos cum Ligno Rubra (Chifuling, 赤茯苓) - remove black skin, 1 liang
The above ten ingredients are pounded and finely ground into a powder. Take half a qianbi per dose, administered with warm wine.
Treatment for throat carbuncle and sublingual abscess (Xuan Yong). Yanhua Powder (Salt Flower Powder)
Halitum (Yanhua, 盐花)
Alumen (Baifan, 白矾) - calcined until juices run out, each 1 liang
The above two ingredients are finely ground together. Apply to the abscess using the tip of a chopstick.
Treatment for throat carbuncle, and post-febrile disease from Cold Damage where throat pain and blockage prevent passage, with toxic qi rushing upward. Mayaxiao Powder (Halitum Powder)
Halitum (Mayaxiao, 马牙硝) - 0.5 liang
The above single ingredient is finely ground into a powder. Take one qianbi per dose, wrapped in cotton, held in the mouth to dissolve and swallow saliva gradually, until patency is restored.