先外祖尹慎徽先生博学诗词书画。各臻其妙。尤精岐黄术。纪方负笈从学。而于内外科。喉科。肿证。刻志
研求。二十年来。险逆诸证。一一经历。博访旁咨。悉心讨论。窃谓深有所得。第白喉一证。世无专书。而时医之
业喉科者。于内经缺焉不讲。故偶遇危殆。茫然莫解。即有一二高明。亦多狃于习见。有偏于寒者。有偏于热者。
偏寒偏热。不独不为济世资。且适贻为杀人刃。余心焉悯之。诵读余暇。辙与表兄赵仲标以外祖所传治白喉证方之
屡试经验者。纂辑白喉全生集。是书以寒热二字为纲领。而寒热中又分轻重虚实。其辨证辨脉。缕晰条分。而用药用
方。通权达变。
简而精。约而备。使人得是书以释疑难。非敢云良方济世。亦足以立起沉 焉。
光绪八年壬午冬月衡山李纪方伦青氏叙于龙门山房
一白喉病热证本多。寒证较少。而寒热所郁。无不有毒。此时医所以专指为疫。而用药多偏于凉也。不
知白喉少寒证。非无寒证。白喉之热证有毒。寒证亦非无毒。时医一偏之见。杀人无算。论中设为问
答。分条详辨。熟玩之自悟其谬。
一凡病必有寒热二种。非白喉独异也。是书以寒热二字为纲领。而其中又分出轻重虚实。毫无一偏之弊。
其方又无不从亲验而来。故言之最质最切。
一寒热之分。必先证书。证既认清。复参之以脉。自无遁情矣。盖言脉尚可含糊。而言证无可迁就也。古人
以切居望闻问之后。自有深义。故是书辨证最详。辨脉从略。
一是书以寒证热证寒热错杂证。分三大纲。病情万变。总不出此三者也。而三证之方。即附于后。以便寻览。
一各方皆借古人成方而加减之。无一师心者。按证寻方。皆药到病愈。切勿增
损。如有兼证。则不妨变通。至寒热错杂证。尤不易治。故方论独详。
一治白喉之法。服药宜慎。吹药尤宜精。若乡村僻壤。一时水药不能骤得。全赖吹药以救其急。时医有通行吹
药。遇轻证尚可。重证无不贻误者。是书吹药。亦以寒证、热证、寒热错杂分三大纲。按证用药。无不立验。
切不可一味增减。
一白喉险证坏证。牙关紧闭。痰涎上涌。有不能服药。亦无可吹药者。法宜先开关以扫其痰涎。甚则针刺
各穴以出恶血。通经活络。便立时清醒。再行吹药服药即愈矣。是书开关敷贴针刺方法。备极精详。但当根据法行之。
一是书虽专为白喉立法。然一切喉风、单双乳蛾、重舌等证。总不外表、里、寒、热、虚、实六字。医者临证
果能通权达变。彼此类推。无不可治之喉疾矣。
一是书和盘托出。不隐秘一方。不杜撰一法。医者得之。可以立开其沉痼。病
者玩之。亦不终误于庸医。救人之功。余不敢分。害人之罪。余当独认。
My maternal grandfather, Mr. Yin Shenwei, was erudite and skilled in poetry, calligraphy, and painting, each reaching its perfection. He was particularly proficient in Traditional Chinese Medicine (TCM). I studied under him, bearing my books on a shoulder pole, and devoted myself to the intensive study of Internal Medicine (Neike), External Medicine (Waike), Throat Diseases (Houke), and swelling conditions (Zhongzheng). Over twenty years, I experienced one by one all kinds of dangerous and adverse syndromes. Through extensive inquiry and consultation, and careful discussion, I privately felt that I had gained profound insights. However, for the disease of Diphtheria (Baihou), there were no specialized books in the world. Physicians specializing in throat diseases at that time neglected the theories in the *Huangdi Neijing* (Yellow Emperor's Inner Canon). Consequently, when encountering critical situations, they were often bewildered and unable to understand. Even a few eminent physicians were mostly constrained by conventional views; some leaned towards Cold patterns, others towards Heat patterns. Bias towards either Cold or Heat not only failed to serve as a resource for saving lives but became a weapon for killing. I pitied this deeply. In my spare time from reading, together with my cousin Zhao Zhongbiao, I compiled the *Baihou Quansheng Ji* (Complete Life Collection for Diphtheria) using the empirically effective prescriptions for treating Diphtheria passed down by my grandfather. This book takes "Cold" and "Heat" as its guidelines, further dividing them into mild, severe, deficiency, and excess within these categories. Its syndrome differentiation and pulse diagnosis are clearly categorized and meticulously analyzed, while the use of herbs and formulas allows for flexibility and adaptation. It is concise yet precise, simple yet comprehensive, enabling anyone who obtains this book to resolve doubts and difficulties. I dare not claim it as a miraculous prescription to save the world, but it is sufficient to revive critically ill patients.
Preface written in the winter month of Renwu year, 8th year of Guangxu reign, by Li Jifang, courtesy name Lunqing, from Hengshan, at Longmen Study.
Item 1: The Heat patterns of Diphtheria are originally more common, while Cold patterns are fewer. However, whether caused by Cold or Heat stagnation, toxicity is invariably present. This is why contemporary physicians specifically identify it as an Epidemic Toxin (Yi Du) and tend to prescribe cooling medications. They fail to realize that although Cold patterns of Diphtheria are rare, they do exist; just as Heat patterns have toxicity, Cold patterns are also not devoid of it. This one-sided view of contemporary physicians has killed countless people. The text sets up Q&A sections to distinguish points in detail; careful study will naturally reveal their errors.
Item 2: All diseases must involve either Cold or Heat natures; Diphtheria is no exception. This book uses "Cold" and "Heat" as the guideline, further distinguishing between mild, severe, deficiency, and excess, without any bias. The prescriptions are all derived from personal clinical experience, so the explanations are most pragmatic and pertinent.
Item 3: To distinguish between Cold and Heat, one must first confirm the symptoms. Once the symptoms are clearly identified, referring to the pulse reveals the true nature of the disease without concealment. Discussing the pulse can sometimes be vague, but discussing symptoms cannot be compromised. The ancients placed palpation (Qie) after observation (Wang), auscultation/olfaction (Wen), and inquiry (Wen), which holds deep meaning. Therefore, this book details syndrome differentiation extensively but simplifies pulse differentiation.
Item 4: This book divides diseases into three main categories: Cold Syndrome, Heat Syndrome, and Mixed Cold-Heat Syndrome. Regardless of how complex the condition changes, it always falls within these three categories. The formulas for these three syndromes are attached afterwards for easy reference.
Item 5: All formulas are modified from ancient established prescriptions; none are based on subjective speculation. By matching the formula to the syndrome, the medicine cures the disease effectively. Do not arbitrarily add or subtract ingredients. If there are concurrent syndromes, flexibility is allowed. The Mixed Cold-Heat Syndrome is particularly difficult to treat, hence the detailed discussion of its formulas.
Item 6: The method for treating Diphtheria requires caution in oral medication and precision in throat insufflation (Chuiyao). In remote rural areas where liquid medicine cannot be obtained immediately, throat insufflation relies entirely on emergency rescue. Contemporary physicians' common insufflation powders may suffice for mild cases but delay treatment in severe cases. The insufflation powders in this book are also divided into three main categories based on Cold, Heat, and Mixed Cold-Heat Syndromes. Medication according to the syndrome yields immediate results. One must not arbitrarily modify them.
Item 7: For critical and deteriorating cases of Diphtheria, characterized by trismus (lockjaw) and surging phlegm-saliva, where oral medication and insufflation are impossible, the method should first open the orifices to clear phlegm-saliva. In severe cases, acupuncture at various acupoints should be used to release evil blood, unblocking meridians and activating collaterals, leading to immediate consciousness. Then, insufflation and oral medication can cure the disease. The methods for opening orifices, applying plasters, and acupuncture in this book are extremely detailed; simply follow the prescribed methods.
Item 8: Although this book is specifically legislated for Diphtheria, all throat conditions such as Wind-Throat (Houfeng), single tonsillitis (Dan Shuang Rumei), double tonsillitis (Shuang Rumei), and double tongue (Chongshe) ultimately revolve around the six characters: Exterior, Interior, Cold, Heat, Deficiency, and Excess. If physicians can adapt flexibly during clinical practice and apply mutual analogy, there are no throat diseases that cannot be treated.
Item 9: This book discloses everything openly, hiding no single prescription nor fabricating any method. Physicians who obtain it can immediately cure chronic stubborn diseases; patients who read it will not ultimately be misled by incompetent doctors. I dare not take credit for the merit of saving lives, but I alone accept the blame for any harm caused.