喉蛾一症，患者亦甚危险。每见发起时，咽痛流涎，内外红肿，重者喉关紧闭，呼吸难
通，
轻者亦疼痛不堪，不能饮食。救急惟用砭刺之法，即细料瓷器打碎，择有尖锋者，将筷子劈
成四破，夹磁针于中，留锋尖于外，针后夹筷子处，用青线扎紧，以防针脱。令患者张口明
亮处，再用筷子一只，伸入口内，将舌尖往下纳住，好视喉内∶红肿者，实症也；白色者，
虚症及白喉也。白色不可开针，红肿者为喉蛾，须用砭刺。然其间有紫筋者，血脉之实也，
其上不可用针。其余红肿之处，用磁针轻轻刺破皮面二三点，以见血为度，再取温水嗽口，
俟痰血吐出，再入吹喉散咽住，令勿吞下，后服祛痰化瘀之药，其愈甚速。惟药忌苦寒辛燥
之品，及寒冷生滞之食物，犯之则缠绵难愈，尤忌发味火酒之类，患者不可不注意也。若少
阴虚火上延，喉亦微痛，但不红肿，仲景有桔梗汤，临睡时服之甚验。至白喉一症，不但不
可开针，尤忌辛燥发表之药，犯之危险难治，别有《白喉忌表抉微》一书，言之甚悉。
吹 喉 散
麝香（三厘） 冰片（五厘） 硼砂（飞） 青黛 荆芥炭 熟地炭（各一钱）
共研细末，用喉枪送入喉内。如无喉枪，用小竹管吹入亦可。惟孕妇忌用。
又方
上青黛 制甘石 川贝母 直僵蚕 净乳香 净没药 飞月石（各一钱） 梅冰片（三厘）
青鱼胆（一枚阴干）
上共研细末，封固备用。
喉蛾主治方
当归尾 山豆根 白茯苓（各二钱） 粉甘草（五分） 牛蒡子 白桔梗 川贝母 陈广皮
鲜生地 生蒲黄 茜草 苏薄荷（各一钱）
化痰逐瘀汤
当归尾 浙茯苓 桃仁泥（各二钱半） 西赤芍 生枳壳 法半夏 陈广皮（各一钱）
台乌药（三钱） 白桔梗 生甘草（各钱半）
真谷酒一杯冲入引。
Throat Polypus (Hou'e), a condition, is also very dangerous for the patient. It is often observed that upon onset, there is sore throat, salivation, and redness and swelling inside and outside the throat. In severe cases, the glottis closes tightly, making breathing difficult; in mild cases, although unbearable pain prevents eating, the situation is slightly better. For emergency relief, only the method of Bian needling (Bianci, stone needle therapy) should be used. This involves breaking fine porcelain into fragments, selecting those with sharp edges, splitting a chopstick into four parts, sandwiching a magnetic needle between them, leaving the sharp tip exposed. After needling, tie the chopsticks tightly with green thread at the point where they clamp the needle to prevent it from slipping out. Ask the patient to open their mouth in a well-lit area. Use another chopstick inserted into the mouth to press the tongue tip down, allowing a clear view of the interior of the throat: Redness and swelling indicate Excess Syndrome (Shi Zheng); whiteness indicates Deficiency Syndrome (Xu Zheng) or Diphtheria (Bai Hou). Whiteness must not be treated with needles; redness and swelling indicate Throat Polypus, which requires Bian needling. However, if purple veins are present, this indicates blood stasis in the vessels, and needles must not be used on them. For other red and swollen areas, gently puncture the skin surface two or three times with a magnetic needle until bleeding occurs. Then rinse the mouth with warm water. Once phlegm and blood are expectorated, apply Chui Hou San (Blowing Throat Powder) to the throat, holding it without swallowing. Subsequently, administer herbs that resolve phlegm and transform blood stasis, leading to rapid recovery. Medications should avoid bitter-cold and acrid-drying substances, as well as cold foods that cause stagnation. Violating these precautions leads to lingering and difficult-to-cure conditions. Particularly, one must avoid stimulating foods (Fa Wei) and alcoholic beverages. Patients must pay close attention to this. If Shaoyin Deficiency Fire flares upward, causing slight throat pain without redness or swelling, Zhongjing's Jiegeng Tang (Platycodon Decoction) is effective when taken before sleep. Regarding Diphtheria (Bai Hou), not only is needling contraindicated, but acrid-warming exterior-releasing herbs are also strictly forbidden. Violating this is dangerous and difficult to treat. The book *Bai Hou Ji Biao Jue Wei* (Clarifying the Secrets of Avoiding Exterior-Release in Diphtheria) discusses this in detail.
Chui Hou San (Blowing Throat Powder)
Moschus (She Xiang, 3 li)
Borneolum Syntheticum (Bing Pian, 5 li)
Borax (Peng Sha, refined)
Indigo Naturalis (Qing Dai)
Schizonepetae Spica Carbonisata (Jingjie Tan)
Rehmanniae Radix Preparata Carbonisata (Shu Di Tan)
(Each 1 qian)
Grind all into fine powder. Administer into the throat using a throat gun (Hou Qiang). If a throat gun is unavailable, a small bamboo tube can be used for insufflation. Contraindicated in pregnant women.
Another Prescription
Indigo Naturalis (Qing Dai)
Calamina Preparata (Zhi Gan Shi)
Fritillariae Cirrhosae Bulbus (Chuan Bei Mu)
Bombyx Batryticatus (Zhi Jiang Can)
Frankincense Purified (Jing Ru Xiang)
Myrrha Purified (Jing Mo Yao)
Alumen (Fei Yue Shi)
(Each 1 qian)
Borneolum (Mei Bing Pian, 3 li)
Gallus Cyprinus Bilis (Qing Yu Dan, one dried in shade)
Grind all above ingredients into fine powder, seal tightly, and store for future use.
Main Prescription for Throat Polypus (Hou'e)
Angelicae Sinensis Radix Caudex (Dang Gui Wei)
Sophorae Tonkinensis Radix (Shan Dou Gen)
Poria (Bai Fu Ling)
(Each 2 qian)
Glycyrrhizae Radix et Rhizoma Preparata (Fen Gan Cao, 5 fen)
Arctii Fructus (Niu Bang Zi)
Platycodonis Radix (Bai Jie Geng)
Fritillariae Cirrhosae Bulbus (Chuan Bei Mu)
Citri Reticulatae Pericarpium (Chen Guang Pi)
Rehmanniae Radix Recens (Xian Sheng Di)
Polygoni Multiflori Caulis (Sheng Pu Huang)
Rubiae Cordifoliae Radix et Rhizoma (Qian Cao)
Menthae Haplocalycis Herba (Su Bo He)
(Each 1 qian)
Tanyan Zhuyu Tang (Phlegm-Resolving and Blood-Stasis-Expelling Decoction)
Angelicae Sinensis Radix Caudex (Dang Gui Wei)
Poria (Zhe Fu Ling)
Persicae Semen (Tao Ren Ni)
(Each 2.5 qian)
Paeliae Radix Rubra (Xi Chi Shao)
Aurantii Fructus Immaturus (Sheng Zhi Ke)
Pinelliae Rhizoma Preparatum (Fa Ban Xia)
Citri Reticulatae Pericarpium (Chen Guang Pi)
(Each 1 qian)
Ligustici Chuanxiong Rhizoma? No, Linzhiyao (Tai Wu Yao, 3 qian) - Note: Tai Wu Yao usually refers to Linderae Radix (Wu Yao).
Platycodonis Radix (Bai Jie Geng)
Glycyrrhizae Radix et Rhizoma (Sheng Gan Cao)
(Each 1.5 qian)
Take 1 cup of genuine grain wine as a guiding vehicle (Yin).