夫热病咽喉肿痛者。是脾肺积热不散。致使然也。何者。胃为水谷之海。通于咽门。肺
主于气。居于膈上。其气贯于喉咙。邪热伏留于脾肺。故令咽喉肿痛也。
治热病。胸中烦闷。咽喉肿痛。噎塞不通。宜服射干散方。
射干（一两） 川升麻（一两） 络石叶（一两） 前胡（一两去芦头） 百合（一两）
枳壳（
一两
麸炒微
黄）
上件药。捣粗罗为散。每服五钱。以水一大盏。入生姜半分。煎至五分。去滓。不计时
候。温服。
治热病。咽喉肿塞。连舌根疼痛。及干呕头疼。不下食。宜服川升麻散方。
川升麻（一两） 羚羊角屑（半两） 白药（一两） 玄参（三分） 麦门冬（一两半
去心焙）
前胡（一两去芦头） 石膏（一两） 甘草（半两炙微赤锉） 川朴硝（二两）
上件药。捣粗罗为散。每服五钱。以水一大盏。入竹茹一分。煎至五分。去滓。不计时
候。温服。
治热病。咽喉闭塞。连舌肿疼。宜服马兰根散方。
马兰根（一两） 川升麻（一两） 川大黄（三分生用） 射干（三分） 犀角屑（半
两） 木通
（半两锉） 玄参（一两） 棘针（半两） 甘草（半两炙微赤锉）
上件药。捣筛为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候。温服。
治热病。喉中热毒。闭塞肿痛。宜服露蜂房散方。
露蜂房（半两微炙） 甘草（半两炙微赤锉） 射干（半两） 川升麻（半两） 川朴
硝（半两）
玄参（半两）
上件药。捣粗罗为散。每服三钱。以水一中盏。煎至五分。去滓。不计时候。温服。
治热病。咽喉肿痛不利。宜服铅霜散方。
铅霜（一分研） 川升麻（半两） 黄药（半两） 硼砂（一分研） 地龙（半两微炒）
马牙硝
（一
两研） 甘
草
上件药。捣细罗为散。入研了药令匀。每服不计时候。以新汲水调下一钱。
治热病。心脾虚热。肺气暴壅。喉中肿痛。口舌干燥。咽津有妨。不下饮食。宜
服含化
犀角屑（半两） 射干（三分） 黄药（半两） 子芩（半两） 郁金（半两） 川大
黄（半两锉
碎微
草（半两炙
微赤
上件药。捣罗为末。入马牙硝。研令匀。炼蜜和捣三二百杵。丸如小弹子大。每服。不
计时候。常含一丸咽津。
治热病。脾肺壅热。咽喉肿塞。连舌根痛。宜服含化射干丸方。
射干（一两） 川升麻（一两） 硼砂（半两研） 甘草（半两炙微赤锉） 豉心（二
合微炒）
杏仁（半两汤浸去皮尖双仁麸炒微黄细研）
上件药。捣罗为末。入研了药令匀。炼蜜和捣三二百杵。丸如小弹子大。每服。含一丸
咽津。
治热病。热毒攻咽喉肿痛。连舌根生痛。宜服地黄煎方。
生地黄汁（半升） 牛蒡根汁（三合） 蜜（三合） 黄丹（一两） 杏仁（二两汤浸
去皮尖双
仁细研入） 铅霜（一分研） 太阴玄精（半两研）
上件药。合和令匀。入银器内重汤煮。用槐枝子搅。不得住。看色紫。即倾入瓷盒中盛
。每服。不计时候。取如小弹子许大。含咽津。
治热病。毒瓦斯攻咽喉肿痛。宜服此方。
太阴玄精（一两） 马兰子（半两为末） 硼砂（一分）
上件药。都研令细。每服。不计时候。以蜜水调下一钱。
又方。\x
黄药（一两） 地龙（一两微炙） 马牙硝（半两）
上件药。捣细罗为散。每服。不计时候。以蜜水调下一钱。
For heat diseases manifesting as swelling and pain in the throat, this is caused by accumulated heat in the Spleen (Pí Zàng) and Lungs (Fèi Zàng) failing to dissipate. Why is this so? The Stomach (Wèi Zàng) is the sea of water and grain, connecting to the pharynx; the Lungs govern Qi and reside above the diaphragm, with their Qi channels penetrating through the larynx. When pathogenic heat lurks and stagnates in the Spleen and Lungs, it causes swelling and pain in the throat.
For treating heat diseases presenting with chest oppression and irritability, swelling and pain in the throat, and dysphagia or obstruction, the Shegan San Decoction is indicated.
Ingredients: Belamcanda Rhizome (Shegan, 1 liang), Cimicifuga Rhizome (Chuan Shengma, 1 liang), Trachelospermum Leaf (Luoshi Ye, 1 liang), Peucedanum Root (Qianhu, 1 liang, remove rhizome), Lilium Bulb (Baihe, 1 liang), Aurantium Fruit (Zhike, 1 liang, stir-bran-fried until slightly yellow).
Preparation and Administration: Coarsely grind the above ingredients into a powder. Take 5 qian per dose, decoct with one large cup of water and half a fen of fresh ginger until reduced to five parts. Strain and take warm at any time.
For treating heat diseases presenting with swollen and obstructed throat, pain extending to the root of the tongue, dry retching, headache, and inability to eat, the Chuan Shengma San Decoction is indicated.
Ingredients: Cimicifuga Rhizome (Chuan Shengma, 1 liang), Antelope Horn Slice (Lingyang Jiao Xie, 0.5 liang), Baiyao (1 liang), Scrophularia Root (Xuanshen, 3 fen), Ophiopogon Tuber (Mendong, 1.5 liang, remove heart and roast), Peucedanum Root (Qianhu, 1 liang, remove rhizome), Gypsum Fibrosum (Shigao, 1 liang), Licorice Root (Gancao, 0.5 liang, honey-fried until slightly red and crushed), Mirabilite (Chuan Puxiao, 2 liang).
Preparation and Administration: Coarsely grind the above ingredients into a powder. Take 5 qian per dose, decoct with one large cup of water and one fen of bamboo shavings (Zhuru) until reduced to five parts. Strain and take warm at any time.
For treating heat diseases presenting with blocked throat and swollen, painful tongue, the Malangen San Decoction is indicated.
Ingredients: Kalanchoe Root (Malangen, 1 liang), Cimicifuga Rhizome (Chuan Shengma, 1 liang), Rheum Palmatum Root (Chuan Dahuang, 3 fen, raw use), Belamcanda Rhizome (Shegan, 3 fen), Rhinoceros Horn Slice (Xijiao Xie, 0.5 liang), Akebia Stem (Mutong, 0.5 liang, crushed), Scrophularia Root (Xuanshen, 1 liang), Spina Gleditsiae (Jizhen, 0.5 liang), Licorice Root (Gancao, 0.5 liang, honey-fried until slightly red and crushed).
Preparation and Administration: Grind the above ingredients finely into a powder. Take 5 qian per dose, decoct with one large cup of water until reduced to five parts. Strain and take warm at any time.
For treating heat diseases presenting with toxic heat in the larynx causing blockage, swelling, and pain, the Lubifang San Decoction is indicated.
Ingredients: Honeycomb (Lubifang, 0.5 liang, lightly roasted), Licorice Root (Gancao, 0.5 liang, honey-fried until slightly red and crushed), Belamcanda Rhizome (Shegan, 0.5 liang), Cimicifuga Rhizome (Chuan Shengma, 0.5 liang), Mirabilite (Chuan Puxiao, 0.5 liang), Scrophularia Root (Xuanshen, 0.5 liang).
Preparation and Administration: Coarsely grind the above ingredients into a powder. Take 3 qian per dose, decoct with one medium cup of water until reduced to five parts. Strain and take warm at any time.
For treating heat diseases presenting with difficult, swollen, and painful throat, the Qianshuang San Decoction is indicated.
Ingredients: Lead Frost (Qianshuang, 1 fen, ground), Cimicifuga Rhizome (Chuan Shengma, 0.5 liang), Huangyao (0.5 liang), Borax (Pengsha, 1 fen, ground), Earthworm (Dilong, 0.5 liang, lightly stir-fried), Sodium Sulfate (Mayaxiao, 1 liang, ground), Licorice Root (Gancao).
Preparation and Administration: Finely grind the above ingredients into a powder, mix with the pre-ground ingredients evenly. Take 1 qian per dose, mixed with fresh well-water, at any time.
For treating heat diseases involving deficiency-heat in the Heart and Spleen, sudden congestion of Lung Qi, resulting in throat swelling and pain, dry mouth and tongue, difficulty swallowing saliva, and inability to eat, the Hanhua Pill is indicated.
Ingredients: Rhinoceros Horn Slice (Xijiao Xie, 0.5 liang), Belamcanda Rhizome (Shegan, 3 fen), Huangyao (0.5 liang), Scutellaria Root (Ziqin/Huangqin, 0.5 liang), Curcuma Tuber (Yujin, 0.5 liang), Rheum Palmatum Root (Chuan Dahuang, 0.5 liang, crushed and lightly fried), Licorice Root (Gancao, 0.5 liang, honey-fried until slightly red and crushed).
Preparation and Administration: Grind the above ingredients into fine powder, add Sodium Sulfate (Mayaxiao), and grind evenly. Mix with refined honey and pound 200-300 times to form pills the size of small marbles. At any time, hold one pill in the mouth and swallow with saliva.
For treating heat diseases involving congestive heat in the Spleen and Lungs, swollen and obstructed throat, and pain extending to the root of the tongue, the Hanhua Shegan Wan is indicated.
Ingredients: Belamcanda Rhizome (Shegan, 1 liang), Cimicifuga Rhizome (Chuan Shengma, 1 liang), Borax (Pengsha, 0.5 liang, ground), Licorice Root (Gancao, 0.5 liang, honey-fried until slightly red and crushed), Fermented Soybean Core (Chixin, 2 he, lightly stir-fried), Apricot Seed (Xingren, 0.5 liang, soaked in hot water, skin and tip removed, double-kernel, stir-bran-fried until slightly yellow, finely ground).
Preparation and Administration: Grind the above ingredients into fine powder, mix with the pre-ground ingredients evenly. Mix with refined honey and pound 200-300 times to form pills the size of small marbles. Hold one pill in the mouth and swallow with saliva.
For treating heat diseases where toxic heat attacks the throat causing swelling and pain, with sores on the tongue root, the Dihuang Jian is indicated.
Ingredients: Fresh Rehmannia Juice (Shengdihuang Zhi, 0.5 sheng), Arctium Root Juice (Niubanggen Zhi, 3 he), Honey (Mi, 3 he), Minium (Huangdan, 1 liang), Apricot Seed (Xingren, 2 liang, soaked in hot water, skin and tip removed, double-kernel, finely ground and added), Lead Frost (Qianshuang, 1 fen, ground), Taiyin Xuanjing (0.5 liang, ground).
Preparation and Administration: Mix all ingredients evenly. Place in a silver vessel and boil over a double boiler. Stir continuously with a twig from the Sophora tree. When the color turns purple, pour into a porcelain container. At any time, take a piece the size of a small marble, hold in the mouth, and swallow with saliva.
For treating heat diseases where toxic vapors attack the throat causing swelling and pain, this formula is indicated.
Ingredients: Taiyin Xuanjing (1 liang), Kalanchoe Seed (Malanzi, 0.5 liang, powdered), Borax (Pengsha, 1 fen).
Preparation and Administration: Grind all ingredients finely. Take 1 qian per dose, mixed with honey-water, at any time.
Another Formula:
Ingredients: Huangyao (1 liang), Earthworm (Dilong, 1 liang, lightly roasted), Sodium Sulfate (Mayaxiao, 0.5 liang).
Preparation and Administration: Finely grind the above ingredients into a powder. Take 1 qian per dose, mixed with honey-water, at any time.