白喉险症也。灵素以来。未详着录。国朝道光间湖南陈氏雨春始着白喉咙证论。(见白喉捷
要常叙)其乡人浏阳张善吾绍修本其意作白喉捷要。大旨言足三阴受病。传之于肺。已失
白喉本来面目。而用药又不出风火喉痹之范围。与手太阴燥火了无关涉。郑氏梅涧所
着重楼玉钥。言此症或遇燥气流行而发。用药以清肺养阴为主。颇为中的。然语焉不
详。得失参半。似未能洞彻源流者。(如既言或遇燥气流行而发又言此症在少阴一经热邪伏其间盗肺
金之母气云云用药既以养阴清肺为主又言只宜紫正散夫紫正散之荆芥防风荆皮细辛与养阴清肺汤之冬
地白芍丹皮奚啻冰炭何郑氏竟相提并论也)光绪戊子京师是症大发。有耐修子者。以戚串中多遭
其厄。悉心讲求。托之神道。采二家之言。着白喉治法忌表抉微。选择颇为简要。然
此君非素业岐黄之术者。于受病之源流经络。用药之色味气性。茫无真知灼见。故语
多不根。尤不足以津逮后学。癸巳春余及二女一子于数日间次第传染。(壬辰秋冬之交天久不雨燥气
盛行冬至后大霜雪寻常湖溆冰浓寸许瓯郡地气极暖不见此气候者已六七十年至立春后雨水骤至是症辄
大发闻郡城医者多以辛温表散从事小儿遭厄者甚伙)长女以张氏法治之。几至不起。幸以大辛凉合甘
咸寒法日进三大剂获效。(张氏所列无治之症十一条已居其八)次女少子遂悉用养阴法。
次女愈而少子夭。此中疑团。几不可破。甲午秋季少女(时才周岁)患伏暑病。身热痉厥。痰
嗽而喘。投以清热化痰。通络息风剂。痉厥愈而诸症不减。至日晡时痰喘愈甚。与白
喉病将绝时形象。宛然无异。急用前方加入西洋参石膏大辛凉法与之。痰喘顿止。而
身热亦愈。始恍然于白喉病之标本传变。从前医治之或得或失。一一了如指掌。且深
悉张氏郑氏耐修氏三先生之书。虽各有心得。实未能穷极源流也。于是潜心探索。汇
集众长。证以经谊。参以阅历。迟之数年。作白喉订正论一卷。呈政于蛰庐主讲。主
讲曰。是论虽详。然头绪繁多。篇幅长冗。恐阅者未易贯彻。盍仿吴鞠通氏着温病例
为白喉条辨。庶几纲举目张。作者既易于发明。阅者复易于寻绎。余曰。善。退而作
条辨一十五条。稿既脱。因为叙其大旨。虽当仁不让。于张氏郑氏耐修氏三先生之
言。间多指摘。然非三先生开先河之功。余亦安能遽集其成也。后有作者。倘能阐发
微旨。匡兹不逮。岂特余与三先生之幸。抑天下生灵有浓望焉。
光绪二十三年岁丁酉夏月
Baihou (White Throat) is a perilous condition. Since the *Ling Shu* and *Su Wen*, there has been no detailed record of it. During the Daoguang reign of the Qing Dynasty, Chen Yuchun from Hunan began to write *Treatise on White Throat Symptoms* (see *Chang Xu* in *Jie Yao Bai Hou*). His fellow townsman Zhang Shanwu Shaoxiu from Liuyang, based on this intent, compiled *Jie Yao Bai Hou*. The main thesis argues that the disease originates from the three Yin meridians of the foot being affected and transmitting to the Lung, which has already lost the true nature of Baihou. Furthermore, the medication used does not go beyond the scope of Wind-Fire Sore Throat (Feng Huo Hou Bi), having no relation to the Dryness-Heat of the Hand-Taiyin (Lung). Zheng Meijian's *Zhong Lou Yu Qiao* states that this condition may occur due to the prevalence of Dryness Qi, and treatment should focus mainly on Clearing the Lung and Nourishing Yin, which is quite accurate. However, the discussion is not detailed enough, with pros and cons mixed, seemingly failing to thoroughly understand the source and evolution of the disease. (For instance, while stating it may be triggered by Dryness Qi, it also claims heat pathogen hides in the Shaoyin meridian, stealing the Mother Qi of Metal (Lung); while advocating Nourishing Yin and Clearing Lung, it also recommends Zizheng San. Jingjie, Fangfeng, Jingpi, and Xixin in Zizheng San are as incompatible as ice and charcoal compared to Donghua, Dihuang, Baishao, and Danpi in Yangyin Qingfei Tang. How can Zheng list them together?) In the Wuzi year of Guangxu (1888), this disease broke out widely in Beijing. A person calling himself "Naixiu Zi," whose relatives suffered greatly from this illness during visits, studied it meticulously, attributing insights to divine revelation. He adopted views from the previous two authors and wrote *Jie Biao Jue Wei Bai Hou Zhi Fa*, selecting materials concisely. However, this gentleman was not a professional practitioner of Qi-Huang medicine; he lacked true insight into the source, evolution, and meridians of the disease, as well as the color, flavor, aroma, and properties of medicinal substances. Thus, his words were often baseless and insufficient to guide future scholars. In the spring of the Guisi year (1893), I, along with my two daughters and one son, were successively infected within a few days. (In the transition between autumn and winter of the Renshen year, it had not rained for a long time, and Dryness Qi prevailed. After the Winter Solstice, heavy frost and snow occurred, with ice layers on ordinary lakes and streams reaching an inch thick. Oujun (Wenzhou) has very warm local climate conditions, and such weather had not been seen for 60-70 years. After the Start of Spring, sudden rains caused the disease to erupt wildly. It was heard that many doctors in the prefecture treated it with Acrid-Warm exterior-releasing methods, resulting in many pediatric casualties.) My eldest daughter was treated using Zhang's method, nearly dying. Fortunately, by administering large doses of Da Xin Liang combined with Gan Xian Han methods three times daily, she recovered. (Eight of the eleven untreatable symptoms listed by Zhang were present in her case.) My second daughter and youngest son were treated entirely with Nourishing Yin methods. The second daughter recovered, but the youngest son died. The doubts involved were almost insurmountable. In the autumn of the Jiawu year (1894), my youngest daughter (then only one year old) suffered from Fu Shu (Hidden Summerheat) disease, presenting with fever, spasms, convulsions, phlegm-cough, and wheezing. She was given formulas to Clear Heat, Resolve Phlegm, Unblock Collaterals, and Extinguish Wind. Although the spasms and convulsions ceased, other symptoms persisted. By late afternoon, the phlegm and wheezing worsened significantly, resembling the terminal stage of Baihou perfectly. Urgently, I added Xiyangshen (American Ginseng) and Shigao (Gypsum) to the previous formula, applying the Da Xin Liang method. The phlegm and wheezing stopped immediately, and the fever subsided. Only then did I suddenly realize the root and branch transmission changes of Baihou, understanding clearly why previous treatments had varying degrees of success or failure. I deeply realized that although the works of Mr. Zhang, Mr. Zheng, and Mr. Naixiu each had their merits, none had exhausted the source and evolution of the disease. Therefore, I devoted myself to exploration, synthesizing strengths, verifying with classic theories, and referencing clinical experience. After several years, I composed *Baihou Dingzheng Lun* (Corrected Treatise on Baihou), one volume, and submitted it to Principal Zhelu for correction. The Principal said: "Although this treatise is detailed, it has too many threads and is lengthy, making it difficult for readers to grasp fully. Why not imitate Wu Jutong's style in writing *Wenbing Anli* (Cases of Warm Diseases) to create *Baihou Tiaobian*? This way, principles will be clear and details organized, making it easier for the author to expound and for readers to follow." I agreed. Subsequently, I drafted fifteen articles (*Tiaobian*). Upon completion, I wrote this preface to outline the main ideas. While I dare not yield my responsibility and have pointed out flaws in the works of Mr. Zhang, Mr. Zheng, and Mr. Naixiu, without their pioneering efforts, how could I have achieved this synthesis? May future authors elucidate its subtle meanings and correct my deficiencies. This would be not only a blessing for me and the three gentlemen but also a hope for all living beings under heaven.
Summer of the Dingyou Year, 23rd Year of Guangxu