夫喉咽之症。用药须知缓急。行针贵识头尾。如牙关紧急。通关散可施。风毒痰壅。追风散
当用。三黄凉膈。有消痰降火之效。二陈荆芥。有豁痰驱风之功。溃烂必须内托。收成全赖
生肌。麻药用于未针之前。秘药用于既针之后。箍药敷之红肿散。水药服后郁痰行。洗药去
旧生新。熏药伐邪存正。吹药施于痛时。刀针用于肿处。双单蛾生于咽门。而圆小无脓。吹
本行针。有脓挑破自愈。可服凉膈等汤。喉疔花疔。形似靴疔而差长。上麻药而钩住刀割。
用铁烙而吹秘止痛。内托自消。红色可治。黑色难疗。痈之双单。耳下腮边或肿。治同乳蛾
溃服内托。雀舌左右形小而尖。喉中舌底有痰。治类喉疔。只服三黄。钿舌莲花。靠舌
起中。不可用针。缠舌喉风。口噤舌卷肿大。三黄凉膈不可缓。缓则难痊。蛾之双单并死活
日久胀大。作痛无时。用刀细割一层。搽烂药于其中。切勿吞下。须吐出。吹秘一月。方
见其功。用烙烙之。三黄可服。至若走马牙疳。喉疳口疳结毒。牙龈紫肿。臭秽不堪。必吹
本秘。生肌在用。午后年干漱口。脸肿头摇。咽干音哑。身热唇穿。落牙无血。俱为不治。
服土茯苓末。自有奇能。喉单似蛾尖而小。宛若牛乳之状。气单似梅核而小。用其四十九针
。回食单。即甸气。生蒂疔两旁。红起当中名梅核。吐不出而吞不入。梅核用针。甸气用三黄
八。兼用二陈四七成功。重舌舌上生。可刺金津玉液。蒂疔肿后号悬疔。吹秘勿针。药服三
黄与犀地。死舌名木舌。坚硬不能舒。咂舌痈。生喉中。能令舌短难语。有痰先用追风。痈
头必须剔破。初服三黄。久宜内托。白红紫色犹堪治。黑色肿时魂魄离。兜腮痈。生腮下
。外敷金箍散。内服十八方。脓从口出易治。脓从腮出难痊。脓生火针刺。肉烂秘生肌。螓
。黑宜挑去。更服三黄凉膈。间用秘本吹之。收功仍用生肌。飞疡立时而起。喉痹顷刻而治
。此必先探吐。本吹刀刺何伤。锁喉风。牙关紧急。手足登开。先刺四穴。以辨生死。次浴
手足。以开脾胃。或刀或针。血去肿消为上策。缠喉风。眼白面紫。项肿不言。势如角弓反
张。命在须臾而难保。探痰刺血病根除。喉球相牵似绵。可服益气疏风。再用麝香调服。兼
吹本秘追风。骨槽风如口噤者。治之先吐风痰。垂下五分灸七壮。清阳散火疗之愈。舌下痰
痈刺青筋。胶涎随出如蛋清。加味二陈汤。清热如圣散。用之皆灵。喉中有 肉。壅塞相重
叠。枸橘汤、雄黄末。饮搽最妙。出汗生痈。肿黑生痈。左右阴疮。三般无异。金箍散。十八方。
敷之服之相当。气痈喉痹。酒毒喉痹。二者同涂。金锁匙。三黄散。吹饮即愈。大抵吹药本下
过。刀针秘复吹。余肿不消用均末。刀口难完上生肌。喉中气味人中白。追取风痰金锁匙。
水药时含口。冰梅频咽津。抑火三黄凉膈散。消肿须知十八味。内托千金散。化痰二陈汤。
虚火血亏从四物。阳虚气弱四君当。恶寒须解表。便秘必疏通。此是喉科真要诀。学人必得
尽心功。
In diseases of the throat and pharynx, one must know when to use slow or rapid treatments. In acupuncture, it is crucial to recognize the onset and progression of the disease. If there is trismus (lockjaw), Tongguan San can be applied. For wind-toxin and phlegm obstruction, Zhui Feng San should be used. San Huang Liang Ge San has the effect of resolving phlegm and descending fire. Er Chen Tang with Jing Jie has the function of clearing phlegm and expelling wind. Ulceration requires internal support (Nei Tuo), while recovery relies on flesh-regenerating agents. Anesthetics are used before needling, and astringent secret medicines are used after needling. Bandaging agents reduce redness and swelling; water decoctions promote the movement of stagnant phlegm. Washing agents remove old tissue and generate new ones; fumigation eliminates pathogens and preserves healthy Qi. Blowing agents are applied during pain, and knives/needles are used on swollen areas. Bilateral or unilateral tonsillitis (Ru E) arises at the entrance of the pharynx; if round and small without pus, apply the proprietary blowing agent and needle. If pus is present, puncture it for self-healing, and administer Liang Ge Tang. Throat carbuncle (Hou Ding) and flower carbuncle resemble boot-shaped carbuncles but are slightly longer. Apply anesthetic, hook the lesion, cut with a knife, cauterize with an iron brand, and blow in secret analgesic powder. Internal support leads to spontaneous resolution; red lesions are treatable, while black ones are difficult to cure. For bilateral or unilateral abscesses, swelling may occur below the ears and on the cheeks, treated similarly to tonsillitis; after ulceration, take internal support formulas. Que She (Sparrow Tongue) abscesses are small and pointed on both sides, with phlegm under the tongue in the throat; treatment is similar to throat carbuncle, using only San Huang San. Dian She and Lian Hua swellings arise from the root of the tongue and cannot be needled. Chan She Hou Feng involves lockjaw, curled tongue, and swelling; San Huang Liang Ge San must not be delayed, or recovery will be difficult. For bilateral or unilateral tonsillitis, regardless of vitality, if enlarged over time and painful at any moment, carefully cut away layers with a knife, apply corrosive medicine inside, ensure it is spat out and not swallowed, blow in secret medicine for a month to see results. Cauterization can be used, and San Huang San may be taken. Regarding Zou Ma Ya Gan (Gangrenous Gingivitis), Hou Gan (Throat Gangrene), Kou Gan (Oral Gangrene), and Jie Du (Condyloma/Lues), with purple-swollen gums and unbearable foul odor, the proprietary blowing agent must be used, along with flesh-regenerating medicine. Rinse mouth with aged water in the afternoon. Facial swelling, head shaking, dry throat, hoarseness, body heat, lip fissures, and tooth loss without bleeding are all incurable. Taking Tu Fu Ling powder yields miraculous effects. Hou Dan resembles tonsillitis but is sharper and smaller, like cow's milk. Qi Dan resembles a plum pit but is smaller; use its forty-nine needles. Hui Shi Dan is also known as Dian Qi, arising beside Di Ding, red and raised in the center, named Mei He (Plum Pit); unable to spit out or swallow. Mei He requires needling; Dian Qi requires San Huang San, combined with Er Chen Tang and Si Qi Tang for success. Chong She (Heavy Tongue) arises on the tongue; Jin Jin and Yu Ye acupoints can be pricked. After Di Ding swells, it is called Xuan Ding; blow secret medicine without needling, take San Huang San and Xi Di Tang. Si She (Dead Tongue) is called Mu She (Wood Tongue), hard and unable to extend. Za She Yong arises in the throat, causing shortness of the tongue and difficulty speaking. With phlegm, first use Zhui Feng San; the abscess head must be scraped open. Initially take San Huang San, later use internal support. White, red, or purple colors are still treatable; black swelling indicates impending death. Dou Sai Yong arises below the cheek; externally apply Jin Gu San, internally take Shi Ba Fang. Pus discharging from the mouth is easy to treat; from the cheek is difficult. Fire needle for pus formation; secret flesh-regenerating medicine for rotting flesh. Qin Hei should be picked off, followed by San Huang Liang Ge San, intermittently blown with the proprietary base, and finally using flesh-regenerating medicine for completion. Fe Yang appears instantly; Hou Bi resolves quickly; this requires inducing vomiting first. What harm is there in blowing agents and knife/needle therapy? Suo Hou Feng presents with lockjaw and splayed limbs; first prick four acupoints to distinguish life from death, then bathe hands and feet to open the spleen and stomach. Knife or needle therapy to remove blood and reduce swelling is the best strategy. Chan Hou Feng presents with white sclera, purple face, neck swelling, and mutism, resembling opisthotonos; life hangs in the balance. Probe phlegm and prick blood to remove the root of the disease. Hou Qiu feels like connected cotton; take Qi Yi Shu Feng formula, mixed with Moschus (She Xiang) for administration, and blow Zhui Feng proprietary medicine. Gu Cao Feng with lockjaw requires expelling wind-phlegm first; moxa seven moxibustion grains five fen below; Qing Yang San Huo therapy cures it. She Xia Tan Yong requires pricking blue veins, releasing gelatinous saliva like egg white; add Er Chen Tang and Re Qing Ru Sheng San, both effective. Meat obstructing the throat with overlapping congestion: Ju Ju Tang and Xiong Huang powder, drunk and applied, are best. Sweating causes carbuncles; black swelling causes carbuncles; yin sores on left and right are identical; Jin Gu San and Shi Ba Fang, applied and taken appropriately. Qi Yong Hou Bi and Jiu Du Hou Bi are treated similarly; Jin Suo Chi and San Huang San, blown and drunk for immediate cure. Generally, blowing agents are administered downwards; after knife/needle and secret blowing, if residual swelling remains, use Jun Mo; for difficult-to-heal knife wounds, apply flesh-regenerating medicine. For bad breath in the throat, use Ren Zhong Bai; to chase wind-phlegm, use Jin Suo Chi. Water decoctions are held in the mouth; Bing Mei is frequently swallowed to generate saliva. To suppress fire, use San Huang Liang Ge San; to reduce swelling, know Shi Ba Wei. Nei Tuo Qian Jin San supports internally; Er Chen Tang resolves phlegm. For deficiency-fire and blood deficiency, follow Si Wu Tang; for yang-deficiency and qi-weakness, use Si Jun Tang. For aversion to cold, resolve the exterior; for constipation, unblock the bowels. These are the essential secrets of throat medicine; students must devote themselves fully.