（附论）
夫时气热毒在脏。阴阳隔绝。邪热客于少阴之络。毒瓦斯上熏。攻于咽喉。故令肿痛或生
疮也。
方
射干散（出圣惠方）治时气热毒上攻。咽喉疼痛。
射干 川升麻 麦门冬（去心） 甘草（炙微赤锉） 犀角屑（各二分） 马蔺根（半
两） 上
为散。每服三钱。以水一中盏。煎至六分。去滓。不计时候。温服。
前胡散（出圣惠方）治时气热毒上攻。咽喉不利。
前胡（去芦头一两） 川升麻（一两） 犀角屑（五钱） 赤芍药（五钱） 甘草（炙
微赤锉五
钱） 天门冬（去心五钱） 桔梗（去芦头五钱） 络石（五钱） 射干（五钱） 枳壳（麸
炒微黄去
瓤五钱） 赤茯苓（三分） 杏仁（汤浸去皮尖双仁麸炒微黄三分） 上为散。每服五钱。
以水
一大盏。煎至五分。去滓。不计时候。温服。
治时气毒瓦斯攻心。咽喉疼痛。烦闷。
半夏（汤洗七遍去滑） 桂心 射干 甘草（炙微赤锉） 麦门冬（去心） 黄柏（各
等分）
上为散。每服五钱。以水一中盏。入竹叶二七片。煎至五分。去滓。不计时候。温服。
升麻散（出圣惠方）治时气热毒攻心。咽喉肿塞不通。
川升麻（一两） 木通（一两） 射干（一两） 赤芍药（一两） 羚羊角屑（一两） 马
蔺根
（一两） 甘草（炙微赤锉一两） 杏仁（汤浸去皮尖双仁麸炒微黄一两） 上为散。每服
五钱。
以水一大盏。煎至五分。去滓。不计时候。温服。
玄参散（出圣惠方）治时气热毒上攻。咽喉噎塞肿痛。
玄参 射干 川升麻 百合 前胡（去芦头） 白蒺藜（炒微赤锉） 犀角屑 枳壳（麸
炒
微黄） 杏仁（汤浸去皮尖双仁麸炒微黄） 甘草（炙微赤锉） 桔梗（去芦头） 木通（锉）
麦
门冬（去心各三分） 上为散。每服五钱。以水一大盏。煎至五分。去滓。不计时候。温服。
治时气热毒上攻。咽喉噎塞不能下食。（出圣惠方）
射干（一两） 川升麻（一两） 人参（去芦头一两） 陈橘皮（汤浸去白瓤焙一两） 半
夏
（汤浸七次去滑一两） 甘草（炙微赤锉一两） 上为末。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。
太阴玄精丸（出圣惠方）治时气热毒攻咽喉。
太阴玄精（五钱细研） 川升麻（五钱） 玄参（半两） 射干（半两） 寒水石（半
两细研）
甘草（炙微赤锉半两） 马牙硝（一两细研） 上为末。都研令匀。炼蜜和丸如小弹子大。
常含
一丸咽津。
治时气毒瓦斯攻咽喉闭塞不通。名乌扇汤。（出圣惠方）
生乌扇（半斤切） 猪脂（半斤） 上相和。煎五七沸。绞去滓。候冷。常服如枣大。
含咽
之。
治时气热毒攻咽喉肿痛（出圣惠方）
以商陆根切。捣令烂。炒热。以手帕裹熨咽喉肿处。冷即复换。
黄连马通汤 治天行时毒病。或下不止。咽喉痛。病源。阴阳隔绝。邪客于足少
阴之络。毒瓦斯上熏。攻于咽喉疼痛生疮。
小豆（一升） 黄连（去毛一两） 吴茱萸（一两） 马通汁（三升） 上以马通汁。
令煮取一
升。尽服。不瘥复作。有效。忌猪肉、冷水。
青木香汤 治春夏忽咽喉痛而唾。兼下痢。
青木香（二两） 白头翁（二两） 黄连（去毛一两） 上切。以水五升。煮取一升半。
分温
三服。小儿若病此服一合。忌猪肉、冷水。
时毒药（出御药丸方）治时疾生热胳 在咽喉间。增寒壮热。头痛。面目赤
肿
。其状若疟。最相传染。无可救者。并宜服之。
大黄（生用） 寒水石（生用） 当归（各等分） 上为细末。每服二三钱至五钱。无
根水调
下。食后服。临时觑虚实加减服之。
石膏蜜煎 治天行热病。口苦。下气除热。喉中鸣。
石膏（半斤） 蜜（一升） 上以水三升。煮石膏取二升。及纳蜜复煎取一升。去滓。
含如
枣核许。
通气散 治时气头面赤肿。或咽喉闭塞不通。用之取嚏喷七八遍。泄出其毒则瘥
。若看病患。用此药必不传染。
玄胡（一两半） 藜芦（五钱） 踯躅花（二钱五分） 猪牙皂荚（一两） 川芎（一
两） 上为
细末。用纸捻子蘸一米许。 于鼻中。取嚏为效。
(Attached Discussion)
The so-called "Shi Qi Re Du" (Seasonal Epidemic Heat Toxin) refers to pathogenic heat accumulating in the Zang-Fu organs. This condition leads to a separation of Yin and Yang energies, with pathogenic heat lodging in the collaterals of the Shaoyin Kidney Meridian (Foot-Shaoyin). The toxic vapors ascend and attack the throat, causing swelling, pain, or the formation of ulcers.
Prescriptions
Shegan San (From *Shenghui Fang*), treating seasonal epidemic heat toxin attacking upward, causing throat pain.
Ingredients: Belamcanda Rhizome (Shegan), Cinnamon Twig (Chuan Shengma), Ophiopogon Tuber (Maimendong, heart removed), Licorice Root (Gancao, roasted until slightly red and chopped), Rhinoceros Horn (Xijiao, shaved; each 2 fen), Iris Rootstock (Malin Gen, 0.5 liang).
Preparation and Administration: Grind the above ingredients into a powder. Take 3 qian per dose. Decoct with one zhongzhan of water until reduced to 6 fen. Strain the dregs. Take warm at any time.
Qianhu San (From *Shenghui Fang*), treating seasonal epidemic heat toxin attacking upward, causing throat obstruction or discomfort.
Ingredients: Peucedani Radix (Qianhu, radix head removed, 1 liang), Cinnamon Twig (Chuan Shengma, 1 liang), Rhinoceros Horn (Xijiao, 5 qian), Red Peony Root (Chishao Yao, 5 qian), Licorice Root (Gancao, roasted until slightly red and chopped, 5 qian), Asparagus Tuber (Tianmendong, heart removed, 5 qian), Platycodon Root (Jiegeng, radix head removed, 5 qian), Trachelospermum Vine (Luoshi, 5 qian), Belamcanda Rhizome (Shegan, 5 qian), Aurantium Fruit (Zhike, bran-fried until slightly yellow and pith removed, 5 qian), Red Poria (Chifuling, 3 fen), Apricot Seed (Xingren, soaked in water, skin and tip removed, double-kernel, bran-fried until slightly yellow, 3 fen).
Preparation and Administration: Grind the above ingredients into a powder. Take 5 qian per dose. Decoct with one dazhan of water until reduced to 5 fen. Strain the dregs. Take warm at any time.
This prescription also treats seasonal epidemic toxic vapors attacking the Heart, causing throat pain and restlessness.
Ingredients: Pinellia Tuber (Banxia, washed seven times in water to remove slipperiness), Cassia Bark (Guixin), Belamcanda Rhizome (Shegan), Licorice Root (Gancao, roasted until slightly red and chopped), Ophiopogon Tuber (Maimendong, heart removed), Phellodendron Bark (Huangbai; all equal parts).
Preparation and Administration: Grind the above ingredients into a powder. Take 5 qian per dose. Decoct with one zhongzhan of water, adding fourteen leaves of Bamboo Leaf (Zhuye), until reduced to 5 fen. Strain the dregs. Take warm at any time.
Shengma San (From *Shenghui Fang*), treating seasonal epidemic heat toxin attacking the Heart, causing throat swelling and obstruction.
Ingredients: Cinnamon Twig (Chuan Shengma, 1 liang), Akebia Stem (Mutong, 1 liang), Belamcanda Rhizome (Shegan, 1 liang), Red Peony Root (Chishao Yao, 1 liang), Antelope Horn (Lingyangjiao, shaved, 1 liang), Iris Rootstock (Malin Gen, 1 liang), Licorice Root (Gancao, roasted until slightly red and chopped, 1 liang), Apricot Seed (Xingren, soaked in water, skin and tip removed, double-kernel, bran-fried until slightly yellow, 1 liang).
Preparation and Administration: Grind the above ingredients into a powder. Take 5 qian per dose. Decoct with one dazhan of water until reduced to 5 fen. Strain the dregs. Take warm at any time.
Xuanshen San (From *Shenghui Fang*), treating seasonal epidemic heat toxin attacking upward, causing throat choking, swelling, and pain.
Ingredients: Scrophularia Root (Xuanshen), Belamcanda Rhizome (Shegan), Cinnamon Twig (Chuan Shengma), Lily Bulb (Baihe), Peucedani Radix (Qianhu, radix head removed), Tribulus Fruit (Bajili, fried until slightly red and chopped), Rhinoceros Horn (Xijiao), Aurantium Fruit (Zhike, bran-fried until slightly yellow), Apricot Seed (Xingren, soaked in water, skin and tip removed, double-kernel, bran-fried until slightly yellow), Licorice Root (Gancao, roasted until slightly red and chopped), Platycodon Root (Jiegeng, radix head removed), Akebia Stem (Mutong, chopped), Ophiopogon Tuber (Maimendong, heart removed; all equal parts, 3 fen).
Preparation and Administration: Grind the above ingredients into a powder. Take 5 qian per dose. Decoct with one dazhan of water until reduced to 5 fen. Strain the dregs. Take warm at any time.
This prescription also treats seasonal epidemic heat toxin attacking upward, causing throat choking and inability to swallow food. (From *Shenghui Fang*)
Ingredients: Belamcanda Rhizome (Shegan, 1 liang), Cinnamon Twig (Chuan Shengma, 1 liang), Ginseng Root (Renshen, radix head removed, 1 liang), Dried Tangerine Peel (Chen Jupi, soaked in water, white pith removed and dried, 1 liang), Pinellia Tuber (Banxia, soaked in water seven times to remove slipperiness, 1 liang), Licorice Root (Gancao, roasted until slightly red and chopped, 1 liang).
Preparation and Administration: Grind the above ingredients into a fine powder. Take 5 qian per dose. Decoct with one dazhan of water, adding half a fen of Fresh Ginger (Shengjiang), until reduced to 5 fen. Strain the dregs. Take warm at any time.
Taiyin Xuanjing Wan (From *Shenghui Fang*), treating seasonal epidemic heat toxin attacking the throat.
Ingredients: Taiyin Xuanning (Taiyin Xuanning, 5 qian, finely ground), Cinnamon Twig (Chuan Shengma, 5 qian), Scrophularia Root (Xuanshen, 0.5 liang), Belamcanda Rhizome (Shegan, 0.5 liang), Metastone (Hanshuishi, 0.5 liang, finely ground), Licorice Root (Gancao, roasted until slightly red and chopped, 0.5 liang), Horse Tooth Nitre (Mayaxiao, 1 liang, finely ground).
Preparation and Administration: Grind the above ingredients into a fine powder and mix thoroughly. Bind with refined honey to form pills the size of small marbles. Usually hold one pill in the mouth and swallow with saliva.
This prescription treats seasonal epidemic toxic vapors attacking the throat, causing complete obstruction. It is named Wushan Tang. (From *Shenghui Fang*)
Ingredients: Raw Belamcanda Rhizome (Sheng Wushan, 0.5 jin, chopped), Pig Lard (Zhuzhi, 0.5 jin).
Preparation and Administration: Mix together and boil for five to seven boils. Strain the dregs. Allow to cool. Take as needed, holding a date-sized amount in the mouth and swallowing slowly.
This prescription treats seasonal epidemic heat toxin attacking the throat, causing swelling and pain. (From *Shenghui Fang*)
Take Phyto-lacca Root (Shanglu Gen), chop it, pound it until soft, and stir-fry until hot. Wrap in a handkerchief and apply as a compress to the swollen area of the throat. Replace immediately when it cools.
Huanglian Matong Tang treats Tianxing Shidu Bing (Epidemic Toxic Disease). Symptoms include persistent diarrhea and throat pain. The etiology involves the separation of Yin and Yang, with pathogenic factors lodging in the collaterals of the Foot-Shaoyin Kidney Meridian. Toxic vapors ascend and attack the throat, causing pain and ulceration.
Ingredients: Adzuki Bean (Xiaodou, 1 sheng), Coptis Rhizome (Huanglian, bristles removed, 1 liang), Evodia Fruit (Wuzhuyu, 1 liang), Horse Dung Juice (Matong Zhi, 3 sheng).
Preparation and Administration: Decoct the adzuki beans and other herbs in the horse dung juice until one sheng remains. Consume entirely. If not cured, prepare another dose; it is usually effective. Avoid pork and cold water.
Qingmuxiang Tang treats sudden throat pain with expectoration during spring and summer, accompanied by dysentery.
Ingredients: Illicium Fructus (Qingmuxiang, 2 liang), Pulsatilla Root (Baitouweng, 2 liang), Coptis Rhizome (Huanglian, bristles removed, 1 liang).
Preparation and Administration: Chop the herbs. Decoct with five sheng of water until one and a half sheng remains. Divide into three warm doses. For children, administer one ge. Avoid pork and cold water.
Shidu Yao (From *Yuyao Wanfang*) treats epidemic diseases generating heat pathogens in the throat, accompanied by aversion to cold, high fever, headache, and red, swollen face and eyes. The presentation resembles malaria and is highly contagious. It should be taken even in critical cases where cure seems impossible.
Ingredients: Rhubarb (Dahuang, raw), Metastone (Hanshuishi, raw), Angelica Sinensis Root (Danggui; all equal parts).
Preparation and Administration: Grind into a fine powder. Take 2-3 qian to 5 qian per dose, mixed with unrooted water (rainwater/snowmelt). Take after meals. Adjust the dose according to the patient's deficiency or excess condition at the time of administration.
Shigao Mi Jian treats Tianxing Re Bing (Epidemic Heat Disease). Symptoms include bitter taste in the mouth, rebellious Qi, heat clearance, and throat murmurs.
Ingredients: Gypsum Fibrosum (Shigao, 0.5 jin), Honey (Mi, 1 sheng).
Preparation and Administration: Decoct the gypsum in three sheng of water until two sheng remain. Add the honey and decoct again until one sheng remains. Strain the dregs. Hold a piece the size of a date pit in the mouth.
Tongqi San treats seasonal epidemic conditions causing red and swollen face and head, or throat obstruction. Use this to induce sneezing seven or eight times; expelling the toxin will lead to recovery. When caring for patients, using this medicine prevents transmission.
Ingredients: Corydalis Rhizome (Xuanhu, 1.5 liang), Veratrum Rhizome (Lilu, 5 qian), Rhododendron Flower (Zhi Zhu Hua, 2.5 qian), Gleditsia Sinensis Fruit (Zhuya Zaojiao, 1 liang), Ligusticum Chuanxiong Rhizome (Chuanxiong, 1 liang).
Preparation and Administration: Grind into a fine powder. Dip a paper twist into about one mi of the powder and insert it into the nostril. Effectiveness is indicated by sneezing.