夫咽喉者。为脾胃之候。气所上下。脾胃有热。则热气上冲。致咽喉肿痛。夫生肿痛者。
皆
热气上冲。咽喉亦能肿痛。若不早治。即渐至闭塞也。
治咽喉肿痛结毒。气冲其胸心。宜服桔梗散方。
桔梗（一两去芦头） 犀角屑（一两） 羚羊角屑（一两） 赤芍药（一两） 川升麻
（二两）
栀子
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候。温服。
治咽喉肿痛。热毒瓦斯在于胸心。及一切风热。宜服络石散方。
络石（一两半） 木通〔二（一）两锉〕 川升麻（一两） 射干（一两） 犀角屑（一
两） 玄参
（一
上件药。捣筛为散。每服三钱。以水一中盏。入青竹茹一分。煎至六分。去滓。不计时
候。
治咽喉肿痛。诸恶气结塞。宜服五香散方。
沉香（一两） 木香（一两） 鸡舌香（一两） 薰陆香（一两） 麝香（三分细研）
上件药。捣细罗为散。入麝香研令匀。每服二钱。以水一中盏。煎至六分。不计时候
温服。
治咽喉肿痛。风热上攻胸膈。心神烦热。宜服铅霜散方。
铅霜（一分细研） 磁药（一两细研） 马牙硝（一两细研） 龙脑（一分细研） 羚
羊角屑〔二分（
上件药。捣细罗为散。都研令匀。每服不计时候。以冷水调下一钱。
治咽喉肿痛。热毒在肺脾。上焦壅滞。心神烦闷。宜服含化升麻丸方。
川升麻（一分） 川大黄（一分锉微炒） 玄参（一分） 甘草（半两炙微赤锉） 射
干（一分）
马
上件药。捣罗为末。炼蜜蜡和丸。如杏核大。每服以绵裹一丸。含咽津。日五六服。
治咽喉肿痛。祛热毒。利胸膈。地黄煎方。
生地黄（一斤研取汁） 白蜜（五两） 马牙硝（三两细研）
上件药。先将地黄汁蜜。入于石锅内。慢火熬成膏。去却火。次下马牙硝。搅令匀。用
瓷合
治咽喉肿痛。立效龙脑丸方。
龙脑（一分） 白药（一两捣罗为末）
上件药。同研令匀。炼蜜和丸。如鸡头实大。常含一丸咽津。
治咽喉肿痛。咽物不得方。
蛇蜕皮（一条烧令烟尽） 马勃（一分）
上件药。细研为散。以绵裹一钱。含咽津。
治咽喉卒肿。不下食方。
白颈地龙（二七枚）
上烂捣涂于喉外。以帛系之。
又方。
上取牛蒡子捣碎。以绵裹二钱。热水浸过。含咽津立瘥。
又方。
上取地龙一条。着盐淹。令化为水。取蜜少许。调匀服之。
又方。
上取鲩鱼胆。滴入喉中。如喉咙痛。以胆涂喉咙外肿痛处。极妙。
又方。
上取马牙硝细研。以竹筒子。吹入喉中。立瘥。
The throat is the external manifestation of the Spleen and Stomach, serving as the pathway for the ascent and descent of Qi. If there is heat in the Spleen and Stomach, hot Qi rushes upward, causing swelling and pain in the throat. All instances of swelling and pain are caused by the upward rush of hot Qi. Swelling and pain in the throat, if not treated early, will gradually progress to obstruction.
For treating swelling and pain of the throat with accumulated toxins, accompanied by Qi rushing to the chest and heart, the Jiegeng San (Platycodon Powder) formula is suitable.
Ingredients: Jie Geng (Radix Platyconi, 1 liang, remove rhizome), Xi Jiao (Horn Rhinocerotis, 1 liang, sliced), Ling Yang Jiao (Horn Caprae Saigae, 1 liang, sliced), Chi Shao Yao (Radix Paeoniae Rubra, 1 liang), Chuan Sheng Ma (Rhizoma Cimicifugae, 2 liang), Zhi Zi (Fructus Gardeniae, 1 liang).
Preparation and Administration: Crush the above ingredients and sieve them coarsely to make a powder. Take 4 qian per dose, decoct with one zhong of water until reduced to 6 fen, filter out the dregs. Take warm at any time.
For treating swelling and pain of the throat, where toxic heat resides in the chest and heart, and all types of wind-heat conditions, the Luoshi San (Trachelospermum Powder) formula is suitable.
Ingredients: Luo Shi (Caulis Trachelospermi, 1.5 liang), Mu Tong (Caulis Akebiae, 2 liang, sliced), Chuan Sheng Ma (Rhizoma Cimicifugae, 1 liang), She Ye (Flos Belamcandae, 1 liang), Xi Jiao (Horn Rhinocerotis, 1 liang, sliced), Xuan Shen (Radix Scrophulariae, 1 liang).
Preparation and Administration: Crush and sieve the above ingredients to make a powder. Take 3 qian per dose, decoct with one zhong of water plus 1 fen of Qing Zhu Ru (Bamboo Sap from Green Bamboo), reduce to 6 fen, filter out the dregs. Take warm at any time.
For treating swelling and pain of the throat due to blockage by various evil Qi, the Wuxiang San (Five Fragrances Powder) formula is suitable.
Ingredients: Chen Xiang (Lignum Aquilariae Resinatum, 1 liang), Mu Xiang (Radix Aucklandiae, 1 liang), Ji She Xiang (Flos Caryophylli, 1 liang), Xun Lu Xiang (Resina Olibani, 1 liang), She Xiang (Moschus, 3 fen, finely ground).
Preparation and Administration: Finely grind the above ingredients (excluding She Xiang) and sieve them to make a powder, then mix in the finely ground She Xiang evenly. Take 2 qian per dose, decoct with one zhong of water until reduced to 6 fen. Take warm at any time.
For treating swelling and pain of the throat, where wind-heat attacks the upper burner (chest and diaphragm), causing mental restlessness and heat, the Qianshuang San (Lead Frost Powder) formula is suitable.
Ingredients: Qian Shuang (Natrii Sulfas Excoctus, 1 fen, finely ground), Ci Shi (Magnetitum, 1 liang, finely ground), Ya Yan Xiao (Natrii Sulfas, 1 liang, finely ground), Long Nao (Camphora, 1 fen, finely ground), Ling Yang Jiao (Horn Caprae Saigae, 2 fen, sliced).
Preparation and Administration: Finely grind and sieve the above ingredients to make a powder, mixing them thoroughly. Take 1 qian per dose mixed with cold water, at any time.
For treating swelling and pain of the throat, where toxic heat affects the Lung and Spleen, causing stagnation in the upper burner and mental oppression, the Hanhua Shengma Wan (Shengma Pill for Lozenges) formula is suitable.
Ingredients: Chuan Sheng Ma (Rhizoma Cimicifugae, 1 fen), Chuan Da Huang (Radix et Rhizoma Rhei, 1 fen, sliced and lightly stir-fried), Xuan Shen (Radix Scrophulariae, 1 fen), Gan Cao (Radix Glycyrrhizae, 0.5 liang, honey-fried, slightly reddish, sliced), She Ye (Flos Belamcandae, 1 fen).
Preparation and Administration: Grind the above ingredients into fine powder, mix with refined honey and beeswax to form pills the size of apricot kernels. Wrap one pill in silk, hold in the mouth to dissolve and swallow saliva. Take 5-6 times daily.
For treating swelling and pain of the throat, dispelling toxic heat, and benefiting the chest and diaphragm, the Dihuang Jian (Rehmannia Decoction/Paste) formula is suitable.
Ingredients: Sheng Di Huang (Radix Rehmanniae Recens, 1 jin, juice extracted), Bai Mi (Mel, 5 liang), Ya Yan Xiao (Natrii Sulfas, 3 liang, finely ground).
Preparation and Administration: First, place the fresh Rehmannia juice and honey in a stone pot, simmer slowly over low heat until it becomes a paste. Remove from fire, then add the finely ground Natrii Sulfas, stirring until uniform. Store in a porcelain container.
For treating swelling and pain of the throat, the Longnao Wan (Camphor Pill) formula provides immediate effect.
Ingredients: Long Nao (Camphora, 1 fen), Bai Yao (White Medicine, 1 liang, ground into powder).
Preparation and Administration: Grind the ingredients together until uniform, mix with refined honey to form pills the size of a cocklebur fruit. Hold one pill in the mouth constantly, swallowing saliva.
For treating swelling and pain of the throat with difficulty in swallowing, use this formula.
Ingredients: She Tui Pi (Exuvio Boavii, 1 strip, burned until smoke ceases), Ma Bo (Spore Lycopodii, 1 fen).
Preparation and Administration: Finely grind into a powder, wrap 1 qian in silk, hold in the mouth and swallow saliva.
For treating sudden swelling of the throat preventing food intake, use this formula.
Ingredients: Bai Jing Di Long (Vermis Lumbricus, 14 pieces).
Preparation and Administration: Mash thoroughly and apply externally to the throat, securing with a cloth bandage.
Another prescription:
Take Niu Bang Zi (Fructus Arctii), crush it, wrap 2 qian in silk, soak in hot water, hold in the mouth and swallow saliva; recovery is immediate.
Another prescription:
Take one Di Long (Vermis Lumbricus), marinate with salt until it liquefies, add a small amount of honey, mix well, and take orally.
Another prescription:
Take Dan of Huan Yu (Cyprinus Carpio), drip into the throat. If the throat hurts, apply the bile to the external swollen and painful area of the throat; this is extremely effective.
Another prescription:
Finely grind Ya Yan Xiao (Natrii Sulfas), use a bamboo tube to insufflate it into the throat; recovery is immediate.