喉内热结,喉外肿绕,且痒且麻者是。治详煎剂门。
马曰∶凡属喉风,有痰者稍轻,无痰者重,不可不知。如有道路无人店之处,药未备在
者,遇有喉症,取针刺其两指少商穴,无药亦愈。
倘喉内之痰,塞满口舌,舌有痰护,此痰不出牙齿,作响如鼾。惟喉痹误服凉药有此症
也
。如再迟治,痰塞鼻内,气无出入即死。急取鹅毛蘸桐油卷痰,痰出,亦以桂姜汤愈之。
病者二三日前,觉气急短促,手足厥冷,忽痰壅气闭,命悬顷刻者是。急服苏子、前胡
等药
。如于道路无人店之处,药未备者,遇有喉闭,急取一针,针其两指少商穴,无药亦愈。
马曰∶喉闭乃咽喉闭塞,水浆不入,或有痰,或无痰。有痰须桐油探吐,以白金丸三五
钱,泡汤含之,内吹秘药。无痰者,亦以白金丸含之,吹秘药。
凡患牙疳,牙根红肿,及口喉之症。以紫毫喉枪点之,以珍珠散吹之。
马曰∶珍珠散吹牙疳,甚妙。
\r走马牙疳图\p04-a33a2.bmp\r
少商穴,大指内侧之端,去爪甲角如韭叶许,左右同。
此患最易延肿穿腮,不堪危险。急以赤霜散吹之,效速如神。久烂之孔,生肌亦速。或
用马蹄散,吹患处立愈。
马曰∶赤霜散,妥善可治。
Heat pathogen knots within the throat, swelling surrounds externally on the throat, accompanied by itching and numbness; this is *Chanhou Feng* (Throat-Entangling Wind). Treatment details are in the Decoction Section.
Ma Yuanyi stated: Regarding all cases of Throat Wind (*Houfeng*), those with phlegm are slightly milder, while those without phlegm are severe; this must be known. If one is in a desolate area with no shops or people, and medicines are not prepared, upon encountering a throat disorder, one may prick the Shaoshang acupoint (LU11) at both index fingers; even without medicine, recovery will occur.
If phlegm from inside the throat fills the mouth and tongue, covering the tongue, and teeth grinding produces sounds like snoring, this occurs when *Houbi* (Throat Bi/Sore Throat) is mistakenly treated with cold-natured medicines. If treatment is further delayed, phlegm blocks the nostrils, preventing breath from entering or exiting, leading to death. Urgently take goose down dipped in tung oil to roll out the phlegm; once the phlegm is expelled, it can also be cured with Guijiang Tang (Cinnamon and Ginger Decoction).
Two or three days before onset, the patient feels shortness of breath and rapid breathing, with cold extremities, suddenly experiencing phlegm obstruction and qi closure, with life hanging in the balance for an instant; this is *Houbi* (Throat Closure). Urgently administer herbs such as Su Zi (Perilla Seed) and Qian Hu (Peucedani Radix). If in a desolate area with no shops or people, and medicines are not prepared, upon encountering throat closure, urgently take a needle and prick the Shaoshang acupoint (LU11) at both index fingers; even without medicine, recovery will occur.
Ma Yuanyi stated: *Houbi* refers to the blockage of the throat and pharynx, where water and food cannot enter, with or without phlegm. If there is phlegm, one must induce vomiting using tung oil, then hold Sanjin Wan (Three Gold Pill) 3–5 qian in decoction in the mouth, and apply internal blowing of secret medicine. If there is no phlegm, also hold Sanjin Wan in the mouth and apply secret medicine via blowing.
For any case suffering from *Yagan* (Gum Erosion), with redness and swelling of the gum roots, and disorders of the mouth and throat: apply with a purple-hair throat gun, then blow Zhenzhu San (Pearl Powder) onto the affected area.
Ma Yuanyi stated: Blowing Zhenzhu San to treat *Yagan* is extremely effective.
[Image: Zouma Yagan Tu]
Shaoshang acupoint (LU11): Located at the medial end of the thumb, approximately the width of a leek leaf from the corner of the nail, same on both sides.
This condition easily spreads, causing swelling that penetrates the cheek, which is unbearable and dangerous. Urgently blow Chishuang San (Red Frost Powder) onto the affected area; efficacy is swift as if divine. For long-standing ulcerated holes, flesh regeneration is also rapid. Alternatively, use Matui San (Hoof Powder); blowing it onto the affected area leads to immediate recovery.
Ma Yuanyi stated: Chishuang San is safe and effective for treatment.
This syndrome often results from *Gucaofeng* (Bone Trench Wind). Penetrating bone and piercing the cheek is also dangerous. Use Nanxing San (Arisaema Powder) to dust the affected area; recovery occurs in a few days.