夫咽喉卒肿痛者。由人脏腑充实。脾肺暴热之所致也。或有服饵丹石。毒瓦斯在脏。熏蒸
上焦。而又多食炙爆热酒。冲于脾肺。致胸膈壅滞。气道否涩。热毒之气。不得宣通。故令
咽喉
治咽喉卒肿痛。热毒在胸膈。宜服马蔺根散方。
马蔺根（二两） 川升麻（一两） 射干（一两半） 犀角屑〔二（一）两〕 玄参〔二
（一）两
半〕
上件药。捣粗罗为散。每服三钱。以水一中盏。煎至六分。去滓。不计时候。温服。
治咽喉卒肿痛。络石散方。
络石（半两） 细辛（一分） 玄参（半两） 黄药（三分） 甘草（半两生锉） 赤
芍药（半两）
川
上件药。捣粗罗为散。每服三钱。以水一中盏。入竹叶二七片。煎至六分。去滓。不计
时候
治咽喉内卒肿痛。龙脑散方。
龙脑（一分细研） 朱砂（三分细研） 犀角屑（三分） 真珠末（半两研） 白药〔二
（三）
分〕 马牙硝（一两细研） 黄 （半两锉） 甘草（半两生锉）
上件药。捣细罗为散。都研令匀。每服。不计时候。以新汲水调下二钱。
又方。
牛蒡子（半两微炒） 川升麻（半两） 甘草（一分生锉） 陈橘皮（一分汤浸去白瓤
焙） 白
药（
上件药。捣罗为末。化赤饧汁和丸。如鸡头实大。每服以绵裹一丸。含咽津。
又方。
马兜铃根（一两） 甘草（一分生锉）
上件药。捣粗罗为散。每服二钱。以水一中盏。煎至六分。去滓。不计时候。温服。
又方。
上以商陆根。烂捣微炒。帛裹熨之。冷即易之。
Sudden swelling and pain of the throat are caused by the fullness of the internal organs, resulting from sudden heat in the Spleen and Lung. In some cases, ingestion of cinnabar and stone minerals (Dan Shi) leaves toxic vapors lodged in the viscera, steaming upward to the Upper Jiao. Additionally, excessive consumption of roasted, fried foods and strong hot wine attacks the Spleen and Lung, causing stagnation in the chest and diaphragm, obstruction of the air passages, and failure of the pathogenic heat-toxin to diffuse and circulate freely. Consequently, this leads to sudden swelling and pain of the throat.
For sudden swelling and pain of the throat due to heat-toxin accumulating in the chest and diaphragm, Ma Lin Gen San (Irises Radix Powder) is indicated.
Irises Radix (Ma Lin Gen) (2 liang)
Cimicifugae Rhizoma (Chuan Sheng Ma) (1 liang)
Belamcandae Rhizoma (She Gan) (1.5 liang)
Rhinocerotis Cornu (Xi Jiao) (2 liang)
Scrophulariae Radix (Xuan Shen) (1.5 liang)
The above ingredients are coarsely pounded and sieved to make a powder. Each dose consists of 3 qian, decocted with one zhong of water until reduced to 0.6 zhong. The dregs are removed, and the liquid is taken warm at any time.
For sudden swelling and pain of the throat, Luo Shi San (Trachelospermum Radix Powder).
Trachelospermum Radix (Luo Shi) (0.5 liang)
Asari Radix et Rhizoma (Xi Xin) (1 fen)
Scrophulariae Radix (Xuan Shen) (0.5 liang)
Dioscoreae Hypoglaucae Rhizoma (Huang Yao) (3 fen)
Glycyrrhizae Radix et Rhizoma (Gan Cao) (0.5 liang, raw and sliced)
Paeoniae Radix Rubra (Chi Shao Yao) (0.5 liang)
The above ingredients are coarsely pounded and sieved to make a powder. Each dose consists of 3 qian, decocted with one zhong of water along with fourteen leaves of Bambusa Dendrocaloides (Zhu Ye) until reduced to 0.6 zhong. The dregs are removed, and the liquid is taken warm at any time.
For sudden swelling and pain inside the throat, Long Nao San (Borneolum Syntheticum Powder).
Borneolum Syntheticum (Long Nao) (1 fen, finely ground)
Cinnabaris (Zhu Sha) (3 fen, finely ground)
Rhinocerotis Cornu (Xi Jiao) (3 fen)
Margarita Pulvis (Zhen Zhu Mo) (0.5 liang, ground)
Dioscoreae Hypoglaucae Rhizoma (Bai Yao) (3 fen)
Natrii Sulfas (Ma Ya Xiao) (1 liang, finely ground)
Scutellariae Radix (Huang Qin) (0.5 liang, sliced)
Glycyrrhizae Radix et Rhizoma (Gan Cao) (0.5 liang, raw and sliced)
The above ingredients are finely pounded and sieved to make a powder, then thoroughly mixed. Each dose consists of 2 qian, taken with fresh drawn water at any time.
Another prescription.
Arisaematis Cum Bile (Niu Bang Zi) (0.5 liang, slightly stir-fried)
Cimicifugae Rhizoma (Chuan Sheng Ma) (0.5 liang)
Glycyrrhizae Radix et Rhizoma (Gan Cao) (1 fen, raw and sliced)
Citri Reticulatae Pericarpium (Chen Ju Pi) (1 fen, soaked in boiling water, white pith removed, dried)
Dioscoreae Hypoglaucae Rhizoma (Bai Yao) (3 fen)
The above ingredients are pounded and sieved into a fine powder. They are mixed with syrup from red sugar (Chi Xi) to form pills the size of Coicis Semen (Ji Tou Shi). Each dose consists of one pill wrapped in cotton, held in the mouth to be swallowed with saliva.
Another prescription.
Aristolochiae Radix (Ma Dou Ling Gen) (1 liang)
Glycyrrhizae Radix et Rhizoma (Gan Cao) (1 fen, raw and sliced)
The above ingredients are coarsely pounded and sieved to make a powder. Each dose consists of 2 qian, decocted with one zhong of water until reduced to 0.6 zhong. The dregs are removed, and the liquid is taken warm at any time.
Another prescription.
Phytolaccae Radix (Shang Lu Gen) is mashed, slightly stir-fried, wrapped in silk cloth, and applied as a hot compress to the affected area. Replace when it cools down.