（附∶缠喉风）
紧喉膏粱风火成，咽喉肿痛难出声，声如拽锯痰壅塞，穴刺少商吐下功。
【注】此证由膏粱浓味太过，致肺胃积热，复受邪风，风热相搏，上壅咽喉肿痛，声音
难出，汤水不下，痰涎壅塞之声，颇似拽锯。初发暴速，急刺手大指内侧少商穴，出紫黑
血，以泻其热。痰盛者，以桐油饯导吐之，吐痰后随用甘草汤漱之，以解桐油之气；内服
雄黄解毒丸吐下之。喉中吹白降雪散，俟关开之后，内宜服清咽利膈汤。按法调治，随
手应效者顺；若面青唇黑，鼻流冷涕者逆。若兼项外绕肿，即名缠喉风，其治法虽与此证
相同，然终属险恶难治。
桐油饯
温水半碗，加桐油四匙，搅匀，用硬鸡翎蘸油，探入喉内捻之，连探四五次，其痰
壅出，再探再吐，以人醒声高为度。
【方歌】桐油饯法导痰壅，一切喉风用最灵，半碗温水桐油入，鸡翎蘸探吐喉通。
雄黄解毒丸
雄黄（一两） 郁金（一钱） 巴豆（去皮、油，十四粒）
共研末，醋糊为丸，如黍粒大。每服五分，津液送下。
【方歌】雄黄解毒紧喉风，开关通闭火能平，巴豆去油郁金末，醋糊为丸黍粒形。
白降雪散
石膏（ ，一钱五分） 硼砂（一钱） 焰硝 胆矾（各五分） 元明粉（三分） 冰片（二分）
共研极细末，以笔管吹入喉内。
【方歌】白降雪散喉风证，肿痛声难风火凝， 石膏与胆矾末，焰硝硼片共元明。
清咽利膈汤
牛蒡子（炒，研） 连翘（去心） 荆芥 防风 栀子（生，研） 桔梗 元参 黄连 金银花 黄
芩薄荷 甘草（生，各一钱） 大黄 朴硝（各一钱）
水二盅，淡竹叶二钱，煎八分，食远服。
【方歌】清咽利膈喉痛消，疏风清热蒡连翘，荆防栀桔参连草，银花芩薄大黄硝。
(Attachment: Winding Throat Wind)
Tight Throat Wind (Jin Hou Feng) is caused by excessive consumption of rich, greasy foods and fire-heat pathogens. It presents with redness, swelling, and pain in the throat, hoarseness or difficulty in speaking, a rattling sound in the breath resembling the pulling of a saw due to phlegm obstruction, and requires acupuncture at Shaoshang (LU11) to induce vomiting and purgation.
[Note] This condition arises from excessive intake of heavy, rich flavors, leading to accumulated heat in the Lung and Stomach, compounded by external pathogenic wind. Wind and heat interact and obstruct upward in the throat, causing swelling, pain, difficulty in voice production, inability to swallow liquids, and a rattling sound from phlegm accumulation that resembles a sawing noise. The onset is sudden and rapid. Immediately prick the Shaoshang (LU11) acupoint located on the medial side of the thumb to release dark purple-black blood, thereby draining heat. For severe phlegm, use Toyou Qian (Camellia Oil Paste) to guide vomiting; after expectoration, rinse the mouth with Licorice Decoction to neutralize the toxicity of camellia oil. Internally administer Xionghuang Jiedu Wan (Realgar Detoxification Pill) for emesis and purgation. Blow Baixue Sang San (White Snow Powder) into the throat. After the glottis opens and obstruction clears, internally administer Qingyan Lige Tang (Throat-Clearing Diaphragm-Relieving Decoction). Treatment according to these methods yields immediate results, indicating a favorable prognosis (Shun); conversely, cyanosis of the face, blackening of the lips, and cold rhinorrhea indicate an unfavorable prognosis (Ni). If accompanied by circumferential swelling around the neck, it is named Winding Throat Wind (Chan Hou Feng). Although its treatment is similar to this condition, it remains dangerous and difficult to cure.
Toyou Qian (Camellia Oil Paste)
Take half a bowl of warm water, add four spoons of Camellia oleifera seed oil (Toyou), and mix well. Dip a stiff chicken feather into the oil, insert it into the throat to stimulate the gag reflex, repeating four to five times until obstructed phlegm is expelled. Continue probing and vomiting until the patient regains consciousness and their voice becomes loud.
[Prescription Verse] Toyou Qian method guides out phlegm obstruction, most effective for all types of Throat Wind; Add camellia oil to half a bowl of warm water, dip a chicken feather to probe and clear the throat.
Xionghuang Jiedu Wan (Realgar Detoxification Pill)
Realgar (Xionghuang, 1 liang) Curcuma aromatica Rhizome (Yujin, 1 qian) Croton tiglium Seed (Badou, peeled and de-oiled, 14 grains)
Grind together into fine powder, bind with vinegar paste into pills the size of millet seeds. Take 0.5 fen per dose, swallowed with saliva.
[Prescription Verse] Xionghuang Jiedu Wan treats Tight Throat Wind, opening blockages and calming fire; De-oil Badou and grind Yujin, form millet-sized pills with vinegar paste.
Baixue Sang San (White Snow Powder)
Gypsum Fibrosum (Shigao, calcined, 1.5 qian) Borax (Pengsha, 1 qian) Natrii Nitras (Yanxiao) Chalcanthite (Danfan, each 0.5 qian) Mirabilite (Yuanmingfen, 3 fen) Borneol (Bingpian, 2 fen)
Grind into extremely fine powder and blow into the throat using a quill tube.
[Prescription Verse] Baixue Sang San treats Throat Wind syndrome, where swelling, pain, and hoarseness are congealed by wind and fire; Mix Shigao and Danfan powders, combine Yanxiao, Pengsha, Bingpian, and Yuanmingfen.
Qingyan Lige Tang (Throat-Clearing Diaphragm-Relieving Decoction)
Arctii Fructus (Niubangzi, stir-fried and crushed) Forsythiae Fructus (Lianqiao, heart removed) Schizonepetae Herba (Jingjie) Saposhnikoviae Radix (Fangfeng) Gardeniae Fructus (Zhizi, raw and crushed) Platycodonis Radix (Jiegeng) Scrophulariae Radix (Xuanshen) Coptidis Rhizoma (Huanglian) Lonicerae Japonicae Flos (Jinyinhua) Scutellariae Radix (Huangqin) Menthae Haplocalycis Herba (Bohe) Glycyrrhizae Radix et Rhizoma (Gancao, raw, each 1 qian) Rheii Radix et Rhizoma (Dahuang) Natrii Sulfas (Puxiao, each 1 qian)
Decoct with two bowls of water and 2 qian of Equiseti Herba (Danzhuyex) until reduced to 0.8 bowl. Take long after meals.
[Prescription Verse] Qingyan Lige Tang eliminates throat pain, disperses wind and clears heat with Niubangzi and Lianqiao; Jingjie, Fangfeng, Zhizi, Jiegeng, Xuanshen, Huanglian, Gancao; Jinyinhua, Huangqin, Bohe, Dahuang, Puxiao.