初起白见于关内或关外。色必明润而平。满喉淡红。微肿略痛。头痛恶寒发热。饮食如常。舌苔白。二
便和。即其候也。此寒邪尚在表。治宜柴胡饮。参艾饮。荆防败毒散加减主之。
柴胡饮
柴胡（二钱，去芦） 羌活（二钱） 法夏（二钱，姜汁炒抖） 僵虫（二钱，姜汁炒）
桔梗（一钱五分） 银花（一钱五分） 蝉蜕（七只，去头、翅、足）
浓朴（五分，姜汁炒） 陈皮（一钱） 粉草（一钱） 生姜（三片） 水煎服。
参艾饮
条参（四钱） 前胡（二钱） 法夏（二钱，姜汁炒抖） 僵虫（二钱，姜汁炒）
桔梗（三钱） 银花（三钱） 陈皮（一钱） 枳壳（一钱） 粉草（一钱） 艾叶（三皮） 水煎服。
荆防败毒散
防风（三钱，去芦） 柴胡（二钱，去芦） 僵虫（二钱，姜汁炒） 法夏（二钱，姜汁炒抖）
桔梗（二钱） 前胡（二钱） 独活（二钱） 荆芥（一钱五分） 羌活（一钱五分） 银花（一钱
五分） 枳壳（一钱） 粉草（一钱） 生姜（三片） 水煎服。
白见于关内。成点成块。或满喉俱白。色如凝膏。喉内淡红微肿。时痛时止。头项强痛。身重。恶寒发热。咳嗽结
胸。声低痰壅。舌苔必白而浓。不思饮食。目眩。倦卧。或手足冷。逆欲吐。腹痛。即其候也。此寒邪已入里。治宜五
积散。参桂饮。温胃汤。加减主之。
五积散
苍术（二钱） 白芷（二钱） 法夏（二钱，姜汁炒抖） 桔梗（二钱）
川芎（二钱） 银花（一钱五分） 僵虫（一钱五分，姜汁炒）
浓朴（一钱，姜汁炒） 枳壳（一钱） 粉草（一钱） 煨姜（三片） 水煎服。
参桂饮
条参（五钱） 银花（二钱） 法夏（二钱，姜汁炒抖） 僵虫（二钱，姜汁炒）
肉桂（五分，去皮） 陈皮（一钱） 砂仁（一钱，姜汁炒） 粉草（一钱） 生姜（三片） 水煎服。
温胃汤
条参（五钱） 银花（三钱） 法夏（三钱，姜汁炒抖） 僵虫（三钱，姜汁炒）
炮姜（一钱五分，炒） 白芍（一钱五分） 本制附片（三钱） 陈皮（一钱） 粉草（一钱） 水煎服。
At the initial stage, the white membrane appears inside or outside the glottis (throat gate). Its color must be bright, moist, and flat. The entire throat is pale red, slightly swollen with mild pain. Symptoms include headache, aversion to cold, and fever. Diet remains normal. The tongue coating is white. Bowel movements and urination are harmonious. This constitutes its clinical presentation. Since the pathogenic cold evil remains in the exterior, treatment should employ Chaihu Yin (Bupleurum Decoction), Shen Ai Yin (Ginseng and Mugwort Decoction), or Jingfang Baidu San (Scutellaria and Saposhnikovia Powder to Overcome Toxicity) with modifications.
Chaihu Yin (Bupleurum Decoction)
Chai Hu (Radix Bupleuri, 2 qian, remove rhizome) Qiang Huo (Rhizoma et Radix Notopterygii, 2 qian) Fa Ban Xia (Rhizoma Pinelliae Preparatum, 2 qian, stir-fried with ginger juice) Jiang Can (Bombyx Batryticatus, 2 qian, stir-fried with ginger juice)
Jie Geng (Radix Platycodi, 1.5 qian) Yin Hua (Flos Lonicerae Japonicae, 1.5 qian) Chan Tui (Periostracum Cicadae, 7 pieces, remove head, wings, and legs)
Hou Po (Cortex Magnoliae Officinalis, 0.5 qian, stir-fried with ginger juice) Chen Pi (Pericarpium Citri Reticulatae, 1 qian) Fen Cao (Radix Glycyrrhizae Preparatum, 1 qian) Sheng Jiang (Rhizoma Zingiberis Recens, 3 slices) Decoct in water and take orally.
Shen Ai Yin (Ginseng and Mugwort Decoction)
Tiao Shen (Radix Codonopsis Pilosae, 4 qian) Qian Hu (Radix Peucedani, 2 qian) Fa Ban Xia (Rhizoma Pinelliae Preparatum, 2 qian, stir-fried with ginger juice) Jiang Can (Bombyx Batryticatus, 2 qian, stir-fried with ginger juice)
Jie Geng (Radix Platycodi, 3 qian) Yin Hua (Flos Lonicerae Japonicae, 3 qian) Chen Pi (Pericarpium Citri Reticulatae, 1 qian) Zhi Ke (Fructus Aurantii, 1 qian) Fen Cao (Radix Glycyrrhizae Preparatum, 1 qian) Ai Ye (Folium Artemisiae Argyi, 3 skins) Decoct in water and take orally.
Jingfang Baidu San (Scutellaria and Saposhnikovia Powder to Overcome Toxicity)
Fang Feng (Radix Saposhnikoviae, 3 qian, remove rhizome) Chai Hu (Radix Bupleuri, 2 qian, remove rhizome) Jiang Can (Bombyx Batryticatus, 2 qian, stir-fried with ginger juice) Fa Ban Xia (Rhizoma Pinelliae Preparatum, 2 qian, stir-fried with ginger juice)
Jie Geng (Radix Platycodi, 2 qian) Qian Hu (Radix Peucedani, 2 qian) Du Huo (Radix Angelicae Pubescentis, 2 qian) Jing Jie (Herba Schizonepetae, 1.5 qian) Qiang Huo (Rhizoma et Radix Notopterygii, 1.5 qian) Yin Hua (Flos Lonicerae Japonicae, 1.5 qian) Zhi Ke (Fructus Aurantii, 1 qian) Fen Cao (Radix Glycyrrhizae Preparatum, 1 qian) Sheng Jiang (Rhizoma Zingiberis Recens, 3 slices) Decoct in water and take orally.
When the white membrane appears inside the glottis, it forms spots or patches. Or the entire throat is covered in white, resembling coagulated paste. The interior of the throat is pale red and slightly swollen. Pain comes and goes. Stiffness and pain occur in the head and neck. The body feels heavy. Aversion to cold and fever are present. Cough is accompanied by Jie Xiong (chest binding syndrome, characterized by hardness and pain in the chest and hypochondrium). The voice is low, and phlegm is obstructive. The tongue coating is invariably white and thick/greasy. There is a lack of appetite. Dizziness occurs. Fatigue leads to a desire to lie down. Alternatively, hands and feet may be cold, there may be rebellious qi causing nausea, and abdominal pain. This constitutes its clinical presentation. Since the pathogenic cold evil has entered the interior, treatment should employ Wu Ji San (Five Accumulations Powder), Shen Gui Yin (Ginseng and Cinnamon Decoction), or Wen Wei Tang (Stomach-Warming Decoction) with modifications.
Wu Ji San (Five Accumulations Powder)
Cang Zhu (Rhizoma Atractylodis Macrocephalae, 2 qian) Bai Zhi (Radix Angelicae Dahuricae, 2 qian) Fa Ban Xia (Rhizoma Pinelliae Preparatum, 2 qian, stir-fried with ginger juice) Jie Geng (Radix Platycodi, 2 qian)
Chuan Xiong (Rhizoma Chuanxiong, 2 qian) Yin Hua (Flos Lonicerae Japonicae, 1.5 qian) Jiang Can (Bombyx Batryticatus, 1.5 qian, stir-fried with ginger juice)
Hou Po (Cortex Magnoliae Officinalis, 1 qian, stir-fried with ginger juice) Zhi Ke (Fructus Aurantii, 1 qian) Fen Cao (Radix Glycyrrhizae Preparatum, 1 qian) Wei Jiang (Rhizoma Zingiberis Preparatum, 3 slices) Decoct in water and take orally.
Shen Gui Yin (Ginseng and Cinnamon Decoction)
Tiao Shen (Radix Codonopsis Pilosae, 5 qian) Yin Hua (Flos Lonicerae Japonicae, 2 qian) Fa Ban Xia (Rhizoma Pinelliae Preparatum, 2 qian, stir-fried with ginger juice) Jiang Can (Bombyx Batryticatus, 2 qian, stir-fried with ginger juice)
Rou Gui (Cortex Cinnamomi, 0.5 qian, remove bark surface) Chen Pi (Pericarpium Citri Reticulatae, 1 qian) Sha Ren (Fructus Amomi Rotundus, 1 qian, stir-fried with ginger juice) Fen Cao (Radix Glycyrrhizae Preparatum, 1 qian) Sheng Jiang (Rhizoma Zingiberis Recens, 3 slices) Decoct in water and take orally.
Wen Wei Tang (Stomach-Warming Decoction)
Tiao Shen (Radix Codonopsis Pilosae, 5 qian) Yin Hua (Flos Lonicerae Japonicae, 3 qian) Fa Ban Xia (Rhizoma Pinelliae Preparatum, 3 qian, stir-fried with ginger juice) Jiang Can (Bombyx Batryticatus, 3 qian, stir-fried with ginger juice)
Pao Jiang (Rhizoma Zingiberis Preparatum, 1.5 qian, stir-fried) Bai Shao (Radix Paeoniae Alba, 1.5 qian) Ben Zhi Fu Pian (Radix Aconiti Lateralis Preparata, processed slice, 3 qian) Chen Pi (Pericarpium Citri Reticulatae, 1 qian) Fen Cao (Radix Glycyrrhizae Preparatum, 1 qian) Decoct in water and take orally.