之，甫吞半HT ，呕出紫血数块，胸膈顿宽，即饮米饮，渐进稀粥，守之数日，不药而愈。可谓奇症，书之以俟教。
薛立斋治一妇人，产后喉痛，服清热等剂益甚，此膀胱经血虚也。盖膀胱之脉，上行至喉而还。用八珍汤
加丹皮、柴胡、酒炒黑黄柏，二剂而愈。
孙真人曰∶咽中帖帖，如有炙肉，吐之不出，吞之不下，噙生姜片五十日愈。以意逆之，当是寒伤经络，
气血不和，浮于咽中。妇人血分受寒，多积冷气，故有此症。予用破棺丹噙化频咽之，曾治数人多效。盖喉者，
候也，喉出天气。咽者，咽也，咽出地气。故喉为呼吸之咽，乃谷食之路。其或忧思内结，风冷外侵，痰气隔
塞，逆于喉咙，妨碍饮食，久而成翻胃噎膈症者有之矣。（《叶杏林女科》。）
楼全善曰∶洪武戊辰春，乡村病喉痹者甚众，盖前年终之气二火之邪也。予累用甘桔汤加黄连、半夏、僵
蚕、牛蒡等剂发之。挟虚者加参、 、归、芍辈。水浆不入者，先用解毒雄黄丸，醋磨化灌之，喉痰出，更用
姜汁灌之。却用上项药，无不神效。若用胆矾等酸寒点过者，皆不治，盖邪郁不出故也。
陈自明治一男子，喉痹水浆难下，又一男子缠喉风，痰涎涌盛，与神仙追毒一粒并痊。（方见虫门。）
薛立斋治一男子，咽痛而脉数，以荆防败毒散加芩、连，二剂少愈。乃去芩、连，二剂而愈。
一男子咽喉肿闭，牙关紧急，针不能入，先刺少商二穴，出黑血，口即开。更针患处，饮清咽利膈散，一
剂而愈。大抵吐痰针刺，皆有发散之意，故效。此症不用针刺，多致不救。
一妇人咽喉肿痛，大小便秘，以防风通圣散，一剂诸症悉退。又荆防败毒，服三剂而安。此症轻则荆防败
毒吹喉散，重则密钥匙及刺患处出血最效，否则不救。针少商二穴亦可，不若刺患处之神速耳。
一男子咽喉肿痛，脉数而实，以凉膈散一剂而痛止。以荆防败毒散加牛蒡子，二剂而肿退。以荆防败毒散，
又以甘、桔、荆、防、元参、牛蒡四剂而平。
一男子咽喉肿闭，痰涎涌甚，以胆矾吹咽中，吐痰碗许。更以清咽利膈饮，四剂而安。
一男子咽喉肿痛，药不能下，针患处，出紫血少愈。以破棺丹噙之，更以清咽清毒散服之而愈。
一男子咽喉干燥而痛，以四物汤加知、柏、元参，四剂少愈。更以人参固本丸，一剂不再服。
一男子咽痛，午后益甚，脉数无力，以四物加知、柏、荆、防，四剂而愈。仍以前药去荆、防，加元参、
甘、桔，数剂全安。
一弱人咽痛，服凉药或遇劳愈甚。此中气虚热，以补中益气汤加芩、连，四剂而愈。乃去芩、连，又数剂
不再发。常治午后痛，去芩、连，加知母、黄柏、元参亦效。
一男子乳蛾肿痛，脉浮数，尚未成脓，针去恶血，饮荆防败毒散，二剂而消。
一男子乳蛾肿痛，饮食不入，疮色白，其脓已成，针之脓出而安。
一男子嗌痈肿痛，脉浮数，更沉实，饮防风通圣散一剂，泻一次，势顿退。又荆防败毒散，二剂而消。
一男子咽喉肿痛，欲针之以泄其毒。畏针止服药，然药既熟，已不能下矣。始急针患处，出毒血，更以清
咽消毒药而愈。
一患者其气已绝，心头尚温，急针患处，出黑血即苏。如鲍符卿、乔侍卫，素有此症，每患皆以出血即愈。
大抵皆因火为患，其害甚速，须分缓急及脓成否。若肿闭及壅塞者，死在反掌之间，宜用密钥匙吹患处，吐出
痰涎，气得通即苏。若吐后仍闭，乃是恶血或脓毒为患，须即针患，否则不救。前人云∶治喉闭之火，与救火
同，不容少待。又云∶走马看喉闭，信夫！治喉之方固多，惟用针有回生之功。
一男子咽喉作痛，痰涎上壅，欲治以荆防败毒加连翘、山栀、元参、牛蒡。彼自服甘寒降火之药，反加发
热，咽愈肿痛。急刺少商二穴，仍以前药加麻黄汗之，诸症并退。惟咽间一紫处仍痛，此欲作脓，以前药去麻
黄，一剂脓溃而愈。凡喉痛之疾，治之早或势轻者，宜用荆防败毒散以散之。迟或势重者，须刺少商穴。瘀血
已结，必刺患处，亦有刺少商者。咽虽利而未全消者，必成脓也，然去即安。若有大便秘结，虽轻针刺去血，
必当以防风通圣散攻之。甘寒之剂非虚不宜用。
一 妇咽间如一核所鲠，咽吐不出，倦怠发热，先以四七汤治之而咽利，更以逍遥散。又一妇所患同前，
兼胸膈不利，肚腹膨胀，饮食少思，睡卧不安，用分心气饮并愈。
秋官叶素阴虚，因怒忽喉肿寒热，头痛项强，目直，小便自出，此皆肝火之症。肝主筋膜，火主肿胀，火
旺则血涸，筋挛则紧急，颈项如拔。阴挺痿痹，则小便自遗。遂刺患处出毒血，用四物、柴胡、山栀、元参、
甘草而苏。再用六味丸料，以生肝血，滋肾水，诸症悉愈。
太守叶咽喉肿痛，痰涎不利，手足发热，喜冷冻饮料食，用清咽利膈汤，二剂不应。刺少商穴，喉少宽，痰从
鼻出如胶，患处出紫血稍宽，五七日咳出秽脓而愈。
义士顾克明，咽喉作痛，至夜发热，此肝肾阴虚之热。用四物加酒炒黑黄柏、知母、麦冬、五味，治之而
愈。后因劳，咽喉肿闭，刺患处出血，用桔梗汤吐痰而消。至仲夏，干咳声嘶，作渴发热，日晡作热，用滋肾
丸、加减八味丸，间服三月余，喜其年富谨疾得愈。
通府李朝用咽喉肿，口舌生疮，此上焦风热。先用荆防败毒散二剂，喉痛渐愈。又以元参升麻汤，口舌遂愈。
地官黄北盘，喉痛作闷饮冷，大便不通，此上下表里实热。用防风通圣散，治之顿愈。
地官胡诚甫，咽喉作痛，此肾经膀胱虚热。四物加知、柏、元参，四剂少愈。更以人参固本丸，一剂不复发。
职方卢抑斋咽喉肿痛，两目 ，小便赤色，此膀胱湿热。用四苓散加知、柏、黄连、茵陈、防己，治之
顿愈，又用六味地黄丸而痊。
儒者王文远咽喉肿痛，口舌生疮，劳则愈盛，此脾肺气虚，膀胱有热。以补中益气加元参、酒炒知柏稍愈。
乃去知、柏，加山药、山萸乃痊。
一儒者脚发热则咽喉作痛，内热口干，痰涎上涌，此肾经亏损，火不归经。用补中益气加麦冬、五味，及
加减八味丸而全愈。
一老人咽喉痛，小便数而赤，日晡尤甚，此膀胱阴虚。当滋化源，以补中益气加酒炒黑知、柏，四剂咽痛
稍可。乃去知、柏，加山萸、山药、麦冬、五味顿愈。
一男子素善饮，咽喉作痛，内热作渴，小便不利，饮食如常，此膀胱积热。用四苓散加茵陈、大黄，四剂
诸症渐退，又用清心莲子饮而安。
一星士劳而入房，喉痛渐闭，痰涎上涌，四肢乍热，此阴虚阳气飞扬。用补中益气加附子，煎灌而愈。
宪副姜时川，癸卯冬就诊，右寸浮数有力，口中有疮。曰∶此火传于肺也，当薄滋味，慎起居。甲辰秋复
就诊，尺脉数而无力。曰∶此肺金不能生肾水，宜静养以滋化源。彼云∶今耳内及喉间不时燥痛，肢体不时发
热，若无根之火，殒无疑矣。谓刘古峡云∶立斋谓我之病可疑。至乙巳孟春，古峡谓薛曰∶姜公之病，已如尊
料。遂同往视，喉果肿溃，脉愈洪大。或用泻火之药，反速其殁。
云间吴上舍，年逾五十，咽喉肿痛。或针出血，神思虽清，尺脉洪数而无伦次，按之微细如无。曰∶有形
而痛，阳之类也。当峻补其阴，今反伤阴血，必死。已而果殁。盖此症乃肾气亏损，无根之火为上患，惟加减
八味丸料煎服，使火归源，庶几可救。
马元仪治任采之，咽痛三年不愈。诊其脉，虚中兼涩，此因劳郁伤中气。偏虚者，火偏盛也。火性上炎，
必伤及肺。肺既不受脾中生生之气，反为壮火所熏灼，其津液亏损，不能下灌灵根可知。则下焦阴火，不能蛰
藏，并可知矣。壮火虚火，两合为虐，故延久不愈。治法当先解郁热于上，次纳浮火于下，病虽久，可愈矣。
用紫菀、干葛、杏仁、苏子、前胡、桔梗、甘草，两剂而脉已透。再用人参、石斛、炙草、半夏曲、橘红、黄
连、肉桂等，四剂而咽痛顿除。再以人参七味丸，治之全愈。
沈氏妇体丰而多劳郁，时觉喉痒，如虫行皮中，经五六载不愈，两脉浮虚而沉涩，此阳明气血不荣，火动
生风之候也。阳明之脉，起于鼻交 中，下循鼻外，挟口环唇，循颊车上耳前。其支者，从大迎前下人迎，
循喉咙入缺盆。今者血虚风炽，是诸脉不为血养，而为风所淫矣。风胜则干，风行则动。然治法不当治风，而当
治血，盖血足而风自息也。用生地黄、制首乌、天冬为君，以滋阳明之血；秦艽、白蒺藜、甘菊为臣，以清
阳明之风；佐以卢根汁、蔗浆甘寒气味，以滋燥养阴，调理二月而愈。
周子固治赵鹤皇妻，病咽干，水浆不能下，众医尽愕。周叩以平生所最嗜独 ，即命烹饪进之。授以七
箸，入口无所苦，已而食进，病如失。（《丸灵山房集》。）
李袭兴称武德中出镇潞州，许人甄权以新撰《明堂》示予，时有刺史成君绰，忽腮颔肿大如升，喉中闭塞，
水粒不下，三日矣。予屈权救之，针其右手次指之端，如食顷，气息即通，明日饮啖如故。（《千金翼》。
按∶《铜人》云∶少商穴在手大指端内侧，去爪甲角如韭叶。今成君绰腮颔肿大如升，甄权针之立愈，病状少异，
功效实同。李云刺指端，《铜人》云大指端，未知孰是。果针少商，当在大指端也。姑两存之，以俟识者。《资生经》。）
郑惟康主簿，尝苦喉闭，虽水亦不能下咽，灸三里穴而愈。（《医说续编》。）
吴内翰《备急方》云∶余常苦咽喉肿痛，用白僵蚕直者，不拘多少，炒为末，以生姜自然汁，调服一钱匕，
甚效。葛彦恢提举闽中，曾患喉痹，五八主簿用此方，治之即安。一方调下二钱未通，半时许，再服立通，吐
出顽痰。别将大黄一块，慢火炮热，打扑尽灰，如一米浓切片，以两指大一片，口含汁咽之，一食顷再换一片。
或患人语不得，及自咽不下，即扶起靠斜仰坐，令人呷药在口，以笔管注入鼻中，男左女右。药讫随即扶令正
坐，须臾吐痰涎，不即扶起，恐自鼻中出也。吐了含咽大黄如前。（《百乙方》。）
治急喉闭口开不得者，有以黄蜡纸裹巴豆一个，如患人鼻孔大小，中切破，急以塞鼻，气冲入喉中自破，
已觉通利即除去。濠守王亚夫方∶巴豆去壳拍碎，以棉裹，随左右纳鼻中，即吐出恶物。后鼻中生小疮，亦无
害。（同上。）
治喉痛至危困，以手用力拔顶心发亦通。无发者，撮顶心皮。刘大夫得此方未试。忽一卒苦喉痛，不能言，
亟去其巾，乃患酒秃，即以意令人用力撮顶心皮，遂安。（《是斋方》。）
缪仲淳治缠喉风，（即喉痹也。）试通有验方∶明矾三钱，巴豆去壳七粒，溶矾入巴豆，烧至矾枯，去巴豆
研细，吹入喉中，流出热涎即开。（《广笔记》。）
马铭鞠治倪仲昭，患喉癣。邑中治喉者遍矣，渐渐腐去，饮食用粉面之烂者，必仰口而咽，每泣数行下。
马曰∶此非风火之毒也。若少年曾患霉疮乎？曰∶未也。父母曾患霉疮乎？曰∶然，愈三年而得我。乃谓此必
误服升药之故。凡患此疮者，中寒凉轻粉之毒，毒发于将瘳，升药之毒，毒发于愈后。所生子女，毒深者，且
延及于孙若甥。倘不以治结毒之法治之，必死。以甘桔汤为君，少入山豆根、龙胆草、射干，每剂用土茯苓半
斤，浓煎送下牛黄二分，半月而痊，竟不用吹药。既而云∶父母病时，果服丸药而痊，后曾口碎，非升药而何？
今医家恬然用之，不晓其中毒之深，故特明其说。（《广笔记》。）
薛立斋治杜举人，喉咽肿痛，口舌生疮，先以清咽消毒散二服，更以元参升麻汤而愈。
一男子年三十余，口舌常破，如无皮状，咽喉作痛，服清咽利膈散愈，以理中汤用之而愈。
一妇人肥甚，暑热咽喉痛肿甚，痰涎上壅，语声不出，甚危，用针刺毒血，次以金锁钥，吐去稠痰五六碗。
以清咽利膈汤，一服肿痛少。减去硝、黄，又服而安。（《外科正宗》。）
萧万舆治王氏妇，喜啖辛辣，季夏病胃，咽痛，脉洪滑微数，以甘桔汤加芩、连、栝蒌、元参，两剂即痊。
都阃连擎天之内，季秋患肺经风热，咽痛，脉浮洪有力，以金沸草汤加牛蒡，倍甘草，一剂而痊。
庠友郑能仁，孟冬患风痰上壅，咽痛，初治数剂增剧。察其六脉浮弦无力，以补中益气汤加胆星、肉桂，
两剂而愈，痰壅如失。
王氏少妇，季春患肝经郁火上升，咽痛，治不瘥。以逍遥散加牛蒡、桔梗、黄芩、香附，二剂而痊。
王洪绪治一壮年，新婚百日，妻归宁，匝月方回，值酷暑，房后多扇取凉，五鼓时喉痛气逆，寒热交作。
问之则曰∶日前喉间略有微痛，今则胀痛肿盛。视其小舌，肿如胖人母指，知为心肾虚火，并欲后经风，风火
两闭之候。若用发表，虚上加虚；若投寒凉，风火被遏。乃以前胡、苏子、连翘、元参、赤芍、浙贝、甘、桔，
煎服立愈。（同上。）
无锡村氏妇，年可三旬，五月望日下午，腹饥，正取面食举筋，忽喉痛难咽。一医以射干、赤芍、翘、芩、
Swallowing half a dose, he vomited several pieces of purple blood, and the chest and diaphragm instantly felt relaxed. He then drank rice water and gradually advanced to thin congee. Adhering to this regimen for several days, he recovered without further medication. This can be considered a rare case; it is recorded here awaiting instruction.
Xue Lizhai treated a woman who suffered from throat pain after childbirth. After taking heat-clearing agents, her condition worsened. This was due to blood deficiency in the Bladder meridian. The Bladder meridian ascends to the throat and then returns. He prescribed Bazhen Tang (Eight Treasure Decoction) with added Mudanpi (Moutan Cortex), Chaihu (Bupleuri Radix), and Huangbai (Phellodendri Cortex) stir-fried with wine until blackened. She recovered after two doses.
Sun Simiao said: "A sensation of tightness in the throat, as if there were roasted meat stuck there, unable to be spat out or swallowed down, can be cured by holding slices of fresh ginger in the mouth for fifty days." Interpreting this, it should be cold injuring the meridians, causing disharmony of Qi and Blood, which floats to the throat. Women often accumulate cold qi in the blood aspect due to cold invasion, hence this symptom. I used Po Guan Dan (Resurrection Pill) held in the mouth and frequently swallowed. I treated several people with good results. Generally, 'Hou' (throat) implies 'checking'; the throat expels Heaven Qi. 'Yan' (pharynx) implies 'swallowing'; the pharynx expels Earth Qi. Thus, the throat is the passage for respiratory air, while the pharynx is the path for food. If internal knotting of worry and thought, external invasion of wind-cold, and obstruction by phlegm-Qi cause rebellion in the throat, hindering eating and drinking, it may eventually lead to Fan Wei (regurgitation) and Ye Ge (dysphagia) syndromes. (From *Ye Xinglin's Gynecology*.)
Lou Quanshan said: "In the spring of Wuchen year of Hongwu era, many villagers suffered from Hou Bi (sore throat). This was due to the residual pathogenic factors of the previous year's end, specifically the Fire pathogens. I repeatedly used Gan Jie Tang (Licorice and Platycodon Decoction) added with Huanglian (Coptidis Rhizoma), Banxia (Pinelliae Rhizoma), Jiangcan (Bombyx Batryticatus), and Niubangzi (Arctii Fructus) to disperse the pathogen. For those with deficiency, I added Renshen (Ginseng Radix), [missing character], Danggui (Angelicae Sinensis Radix), and Shaoyao (Paeoniae Radix). For those unable to take fluids, I first used Jiedu Xionghuang Wan (Detoxifying Realgar Pill), ground with vinegar and administered. Once the phlegm was expelled, I administered ginger juice. Subsequently using the aforementioned herbs yielded miraculous effects. If treated with sour-cold agents like Danfan (Alumen), they are incurable because the pathogen remains trapped and cannot exit."
Chen Ziming treated a man with Hou Bi (sore throat) making it difficult to swallow fluids, and another man with Chan Hou Feng (entangling throat wind) with excessive phlegm-saliva overflow. Both were given one pill of Shen Xian Zhui Du (Divine Pursuit of Poison Pill) and recovered. (Formula see Insect Section.)
Xue Lizhai treated a man with throat pain and rapid pulse. He prescribed Jing Fang Bai Du San (Schizonepeta and Saposhnikovia Powder to Resolve the Ten Perversities) added with Huangqin (Scutellariae Radix) and Lian (Gardeniae Fructus). After two doses, there was slight improvement. He then removed Huangqin and Lian, and after two more doses, he recovered.
A man suffered from swollen and closed throat with locked jaw, preventing needle insertion. First, Shao Shang (LU11) acupoints on both sides were needled, releasing dark blood, and his mouth opened immediately. Then, the affected area was needled, and he took Qing Yan Li Ge San (Clear Throat and Purge Diaphragm Powder). He recovered after one dose. Generally, expectoration and acupuncture both have dispersing effects, hence their efficacy. Without acupuncture, such cases often prove fatal.
A woman suffered from swollen and painful throat with constipation of both large and small bowels. She took Fang Feng Tong Sheng San (Saposhnikovia and Polygala Powder to Unblock the Intestines), and all symptoms subsided after one dose. She then took Jing Fang Bai Du San for three doses and stabilized. For mild cases, Jing Fang Bai Du Chui Hou San (Powder for Blowing into Throat) is effective; for severe cases, Mi Yao Shi (Secret Key Stone) applied locally and bleeding from the affected site are most effective; otherwise, rescue is unlikely. Needling Shao Shang (LU11) is also an option, but less rapid than bleeding the affected site.
A man suffered from swollen and painful throat with a rapid and excess pulse. His pain ceased after one dose of Liang Ge San (Cool the Diaphragm Powder). His swelling subsided after two doses of Jing Fang Bai Du San added with Niubangzi (Arctii Fructus). He was then treated with Jing Fang Bai Du San, followed by Gancao (Licorice Root), Jiegeng (Platycodon Root), Jingjie (Schizonepeta Spike), Fangfeng (Saposhnikovia Root), and Xuanshen (Scrophulariae Radix) for four doses, leading to recovery.
A man suffered from swollen and closed throat with excessive phlegm-saliva. Bofan (Alumen) was blown into the throat, expelling about a bowl of phlegm. He then took Qing Yan Li Ge Yin (Clear Throat and Purge Diaphragm Decoction) for four doses and stabilized.
A man suffered from swollen and painful throat, unable to swallow medicine. The affected area was needled, releasing a little purple blood, bringing slight relief. He held Po Guan Dan (Resurrection Pill) in his mouth and took Qing Yan Qing Du San (Clear Throat and Clear Toxin Powder), recovering thereafter.
A man suffered from dry and painful throat. He took Si Wu Tang (Four Substance Decoction) added with Zhimu (Anemarrhenae Rhizoma), Huangbai (Phellodendri Cortex), and Xuanshen (Scrophulariae Radix). After four doses, there was slight improvement. He then took Gu Ben Wan (Root-Securing Pill) for one dose, and it did not recur.
A man suffered from throat pain worsening in the afternoon with a rapid but forceless pulse. He took Si Wu Tang added with Zhimu, Huangbai, Jingjie, and Fangfeng. After four doses, he recovered. The formula was then modified by removing Jingjie and Fangfeng, adding Xuanshen, Gancao, and Jiegeng. After several doses, he fully recovered.
A frail person suffered from throat pain worsening with cool medicines or exertion. This was deficient-heat in the Middle Jiao. He took Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) added with Huangqin and Huanglian. After four doses, he recovered. The herbs were then removed, and after several more doses, it did not recur. For afternoon pain, removing Huangqin and Huanglian and adding Zhimu, Huangbai, and Xuanshen is also effective.
A man suffered from swollen and painful Ru E (goiter/tonsillar abscess) with a floating and rapid pulse, before suppuration. Malicious blood was removed by needling, and he took Jing Fang Bai Du San. It resolved after two doses.
Another man suffered from swollen and painful Ru E, unable to eat. The lesion was white, indicating suppuration had formed. Needling released pus, and he stabilized.
A man suffered from Ai Yong (abscess of the pharynx) with swelling and pain. The pulse was floating and rapid, becoming deep and solid. He took Fang Feng Tong Sheng San once, resulting in one bowel movement, and the condition retreated significantly. He then took Jing Fang Bai Du San, resolving after two doses.
A man suffered from swollen and painful throat and wished to be needled to drain toxicity. Fearing needles, he only wanted medicine, but by the time it was cooked, he could no longer swallow. Urgently, the affected area was needled to release toxic blood, and he took Qing Yan Xiao Du Yao (Clear Throat and Eliminate Toxin Medicine), recovering thereafter.
A patient whose Qi had ceased but heart remained warm was urgently needled at the affected site. Releasing dark blood revived him. Individuals like Bao Fuqing and Qiao Weiwei, who had this condition historically, always recovered upon bleeding. Generally, these are caused by Fire pathogens acting rapidly. One must distinguish urgency and whether suppuration has formed. In cases of swelling, closure, and obstruction, death can occur instantly. Mi Yao Shi should be blown into the affected site to expel phlegm; once Qi flows, the patient revives. If closure persists after expectoration, it is due to malicious blood or pus-toxin, requiring immediate needling; otherwise, rescue is impossible. Ancients said: Treating Fire in Hou Bi is like fighting a fire; delay is not an option. Also: "View Hou Bi as quickly as a running horse," truly so! Although there are many formulas for throat diseases, only acupuncture has the power to revive the dead.
A man suffered from throat pain with phlegm-saliva obstructing upwards. The intention was to treat with Jing Fang Bai Du San added with Lianqiao (Forsythiae Fructus), Shanzhi (Gardeniae Fructus), Xuanshen, and Niubangzi. However, he self-medicated with sweet-cold Fire-reducing agents, which aggravated fever and made the throat more swollen and painful. Urgently, Shao Shang (LU11) points were needled. The original formula was resumed with Mahuang (Ephedrae Herba) to induce sweating. All symptoms receded. Only a purple spot in the throat remained painful, indicating impending suppuration. Mahuang was removed from the formula. After one dose, suppuration broke, and he recovered. For early or mild throat pain, Jing Fang Bai Du San is suitable for dispersion. For late or severe cases, Shao Shang (LU11) must be needled. If blood stasis is formed, the affected site must be pricked; sometimes Shao Shang is used. If the throat is clear but not fully resolved, suppuration will likely form, but removal brings peace. If constipation exists, even with light bleeding, Fang Feng Tong Sheng San should be used to purge. Sweet-cold agents are contraindicated unless there is deficiency.
A woman felt a lump in the throat that could not be swallowed or spat out, accompanied by fatigue and fever. Si Qi Tang (Four Substances Decoction) was used first to clear the throat, followed by Xiao Yao San (Free and Easy Wanderer Powder). Another woman had similar symptoms plus chest/diaphragm discomfort, abdominal distension, poor appetite, and restless sleep. Fen Xin Qi Yin (Decoction to Separate Heart Qi) cured her.
Ye Su, a government official with Yin deficiency, suddenly developed throat swelling, chills, fever, headache, stiff neck, staring eyes, and involuntary urination due to anger. These are Liver Fire symptoms. The Liver governs sinews; Fire causes swelling. Excessive Fire dries Blood, causing sinew spasms and neck stiffness. Yin collapse and flaccidity lead to urinary incontinence. The affected site was needled to release toxic blood. Si Wu Tang, Chaihu, Shanzhi, Xuanshen, and Gancao were used to revive him. Liu Wei Wan (Six Ingredient Pill with Rehmannia) material was then used to nourish Liver Blood and Kidney Water, curing all symptoms.
The Prefect Ye suffered from swollen and painful throat, difficult phlegm, hot hands and feet, and craving for cold drinks. Qing Yan Li Ge Tang (Clear Throat and Purge Diaphragm Decoction) failed after two doses. Needling Shao Shang (LU11) provided slight relief. Phlegm exited the nose like glue, and purple blood from the affected site brought slight relief. After five to seven days, foul pus was coughed up, and he recovered.
Gu Keming, a righteous gentleman, suffered from throat pain worsening at night, indicating Liver-Kidney Yin deficiency heat. Si Wu Tang added with wine-blackened Huangbai, Zhimu, Maidong (Ophiopogonis Radix), and Wuweizi (Schisandrae Fructus) cured him. Later, due to overwork, his throat became swollen and closed. Bleeding the affected site and taking Jiegeng Tang (Platycodon Decoction) to expel phlegm resolved it. In mid-summer, he had dry cough, hoarseness, thirst, fever, and afternoon fever. Zishen Wan (Nourish Kidney Pill) and Ji Jian Ba Wei Wan (Modified Eight Ingredient Pill) were taken intermittently for over three months. Fortunately, being young and careful, he recovered.
Li Chaoyong, a Tongbu Official, suffered from swollen throat and mouth/tongue ulcers, indicating Upper Jiao Wind-Heat. Jing Fang Bai Du San for two doses relieved throat pain. Xuanshen Shengma Tang (Scrophularia and Cimicifuga Decoction) cured the mouth ulcers.
Huang Beipan, a local official, suffered from stuffy throat pain, craving cold drinks, and constipation, indicating excess Heat in Upper/Lower and Exterior/Interior. Fang Feng Tong Sheng San cured him instantly.
Hu Chengfu, a local official, suffered from throat pain, indicating deficient Heat in Kidney and Bladder meridians. Si Wu Tang added with Zhimu, Huangbai, and Xuanshen showed slight improvement after four doses. Gu Ben Wan prevented recurrence after one dose.
Lu Yizhai, a Bureau Director, suffered from swollen/painful throat, [missing character] eyes, and red urine, indicating Damp-Heat in the Bladder. Si Ling San (Four Poria Powder) added with Zhimu, Huangbai, Huanglian, Yinchen (Artemisiae Scopariae Herba), and Fangji (Stephaniae Tetrandrae Radix) cured him instantly. Liu Wei Di Huang Wan (Six Ingredient Pill with Rehmannia) completed the cure.
Wang Wenyuan, a scholar, suffered from swollen/painful throat and mouth ulcers worsening with labor, indicating Spleen-Lung Qi deficiency with Bladder Heat. Bu Zhong Yi Qi Tang added with Xuanshen and wine-cooked Zhimu/Huangbai improved him slightly. Removing Zhimu/Huangbai and adding Shanyao (Dioscoreae Rhizoma) and Shanzhuyu (Corni Fructus) cured him.
A scholar suffered from throat pain when feet were hot, internal heat, dry mouth, and overflowing phlegm, indicating Kidney deficiency with Fire failing to return to its source. Bu Zhong Yi Qi Tang added with Maidong and Wuweizi, along with Ji Jian Ba Wei Wan, cured him completely.
An elderly man suffered from throat pain, frequent red urination, worse in the afternoon, indicating Bladder Yin deficiency. The source of transformation should be nourished. Bu Zhong Yi Qi Tang added with wine-blackened Zhimu and Huangbai improved throat pain after four doses. Removing Zhimu/Huangbai and adding Shanzhuyu, Shanyao, Maidong, and Wuweizi cured him instantly.
A man fond of alcohol suffered from throat pain, internal heat/thirst, and difficult urination with normal diet, indicating accumulated Heat in the Bladder. Si Ling San added with Yinchen and Dahuang (Rhei Radix et Rhizoma) reduced symptoms after four doses. Qing Xin Lian Zi Yin (Clear Heart Lotus Seed Decoction) stabilized him.
An astrologer suffered from throat pain closing up, overflowing phlegm, and intermittent limb heat after labor and sexual activity, indicating Yin deficiency with Yang Qi flying upward. Bu Zhong Yi Qi Tang added with Fuzi (Aconiti Lateralis Radix Praeparata) cured him when decocted and administered.
Jiang Shichuan, Vice Commissioner, consulted in winter of Gui Mao year. Right Cun pulse was floating, rapid, and forceful; he had oral ulcers. I said: Fire transmitted to Lung. Eat bland food, rest carefully. In autumn of Jia Chen year, Chi pulse was rapid and forceless. I said: Lung Metal fails to generate Kidney Water. Rest to nourish the source. He said: Now my ears and throat itch painfully, limbs feel hot. Rootless Fire will surely kill me. He told Liu Guxia: Xue Lizhai doubts my illness. In early spring of Yi Si year, Guxia told Xue: Mr. Jiang's illness matches your prediction. We examined him together; throat was swollen and ulcerated, pulse more flooding. Using Fire-purging drugs accelerated his death.
Wu Shangshe from Yunjian, over fifty, suffered from swollen/painful throat. Bleeding was performed. Spirit was clear, but Chi pulse was flooding, rapid, and irregular, feeling minute and almost absent upon pressure. I said: Pain with form belongs to Yang. Severe tonification of Yin is needed. You injured Yin Blood instead; you will die. He indeed died. This case was Kidney Qi deficiency with rootless Fire attacking upwards. Only Ji Jian Ba Wei Wan could save him by returning Fire to its source.
Ma Yuanyi treated Ren Caizhi with chronic throat pain for three years. Pulse was deficient with choppy quality, indicating Middle Qi injury from labor and stagnation. Deficiency leads to excess Fire. Fire rises, injuring Lung. Lung loses Spleen's generating Qi and is scorched by vigorous Fire, depleting fluids unable to nourish the root. Lower Jiao Yin Fire cannot hibernate. Vigorous and deficient Fire combine to cause prolonged illness. Treatment: First resolve upper stagnation-heat, then guide floating Fire downward. Though chronic, it can be cured. Ziwan (Asternatis Radix), Gegen (Puerariae Radix), Xingren (Armeniacae Semen), Suzi (Perillae Fructus), Qianhu (Peucedani Radix), Jiegeng, and Gancao for two doses made the pulse permeable. Then Renshen, Shihu (Dendrobii Caulis), Zhi Gancao, Banxia Qu (Pinellia Fermented), Juhong (Citri Reticulatae Pericarpium Rubrum), Huanglian, and Rougui (Cinnamomi Ramulus) for four doses eliminated throat pain. Renshen Qi Wei Wan completed the cure.
Shi's wife, obese and prone to labor/stagnation, felt throat itching like insects crawling for five-six years. Pulses were floating-deficient and deep-choppy, indicating Yangming Qi-Blood malnourishment with Fire stirring Wind. Yangming meridian starts at nose, crosses [missing character], descends outside nose, circles lips, follows cheekbone to ear. Branch goes from Daying to Renying, follows throat to Quepen. Now Blood deficiency and Wind blazing mean meridians are not nourished by Blood but invaded by Wind. Wind dominance causes dryness; Wind movement causes motion. Treatment should focus on Blood, not Wind. When Blood is sufficient, Wind extinguishes itself. Sheng Dihuang (Rehmanniae Radix), Zhi Shouwu (Polygoni Multiflori Caulis Praeparatus), and Tiandong (Asparagi Radix) as Sovereign herbs nourish Yangming Blood; Qinjiao (Magnoliae Officinalis Cortex? No, Gentianae Macrophyllae Radix), Baijili (Tribuli Fructus), and Gaju (Chrysanthemi Flos) as Ministers clear Yangming Wind; Lu Gen (Phragmitis Rhizoma) juice and Sugarcane syrup as Assistants moisten dryness and nourish Yin. Two months of regulation cured her.
Zhou Zigu treated Zhao Hehuang's wife with dry throat unable to swallow fluids. Doctors were bewildered. Zhou asked her favorite food, ordered it cooked, and fed her. Seven chopsticks were used; she felt no pain, ate more, and the illness vanished. (From *Wanling Shanfang Collection*.)
Li Xixing recalled the Wude era when he garrisoned Luzhou. Xu Ren showed me Zhen Quan's newly compiled *Ming Tang*. At that time, Prefect Cheng Junchuo suddenly had cheeks/jaw swollen as large as a measuring cup, throat blocked, unable to take water/grains for three days. I requested Zhen Quan to save him. Needling the tip of the right hand's second finger, within the time of a meal, breath returned. Next day, eating/drinking was normal. (From *Qianjin Yi*). Note: *Tong Ren* says Shao Shang is on the medial side of the thumb nail corner. Cheng Junchuo's symptoms differed slightly, but efficacy was identical. Li Yun says prick finger tip; *Tong Ren* says thumb tip. Uncertain which is correct. If Shao Shang was pricked, it should be the thumb. I leave both records for experts. (From *Zisheng Jing*.)
Zheng Weikang, Magistrate, suffered from throat closure, unable to swallow water. Moxibustion on Zusanli (ST36) cured him. (From *Yi Shuo Xu Bian*.)
Wu Neihan's *Bei Ji Fang* says: I often suffered from swollen/painful throat. Using straight Bai Jiangcan (Silkworm), fried to powder, mixed with fresh Ginger Juice, taken as 1 qian bi, was very effective. Ge Yanhui, Supervisor in Minzhong, suffered from Hou Bi. Wuba Magistrate used this formula, bringing instant relief. Another method: Take 2 qian dissolved, if not cleared, wait half an hour, take again, clearing stubborn phlegm. Take a piece of Dahuang, slow-fire roasted until ash-like, sliced thickly. Hold a piece size of two fingers in mouth, swallowing juice, replacing every meal-time. If patient cannot speak/swallow, prop them up leaning back/sitting. Administer medicine via pen-tube into nostril (Male Left, Female Right). After medicine, sit upright. Phlegm will be expelled shortly. If not propped up, fear expulsion through nose. After vomiting, hold remaining Dahuang as before. (From *Bai Bai Fang*.)
For acute Hou Bi with mouth unable to open: Wrap one Badou (Crotonis Fructus) in yellow wax paper, size of nostril, cut middle, insert into nostril urgently. Air rushes into throat, breaking the blockage. Remove when relief is felt. Hao Governor Wang Yafu's Formula: Shell Badou, crush, wrap in cotton, insert into left/right nostril. Expels evil matter. Small sore may appear later, harmless. (Same source.)
For critical throat pain: Pulling hair from vertex forcefully opens passage. If no hair, pinch vertex skin. Dr. Liu obtained this formula but hadn't tested it. Suddenly a soldier suffered throat pain, unable to speak. Removed headgear; he had bald patch from alcoholism. Pinching vertex skin forcefully relieved him. (From *Shi Zhai Fang*.)
Miu Zhongchun treated Chan Hou Feng (Hou Bi) with a verified opening formula: Mingfan (Alumen) 3 qian, Badou (shelled) 7 grains. Melt Alumen into Badou, burn until Alumen is dry, remove Badou, grind fine, blow into throat. Hot saliva flows out, opening ensues. (From *Guang Biji*.)
Ma Mingju treated Ni Zhongzhao with Hou Xuan (Throat Lichen). Local doctors tried everything, gradually corroding tissue. Food had to be soft/flour-based, swallowed with head tilted back, weeping constantly. Ma said: This is not Wind-Fire toxin. Did you have Meichuang (Syphilis) in youth? No. Parents? Yes, cured three years before I got it. Ma said: Must be accidental ingestion of Sheng Yao (Calomel/Sublimated Mercury). Those with this sore absorb cold/clear Lightfen (Calomel) toxin; toxin erupts near healing. Sheng Yao toxin erupts after healing. Children inherit deep toxin, extending to grandchildren/nephews. If not treated as结了毒 (Condensed Toxin), death is certain. Gan Jie Tang as Sovereign, add Shandougen (Millettiae Speciosi Caulis), Longdancao (Gentianae Radix), Shayang (Belamcandae Rhizoma). Each dose use Tubalingfu (Smilacis Glabrae Rhizoma) 0.5 jin, decoct strongly, send down with 2 fen Niuhuang (Bovis Calculus). Cured in half month without blowing medicine. Later admitted parents took pills to cure, then had mouth ulcers—indeed Calomel. Modern doctors use it casually, unaware of deep toxicity. Hence this clarification. (From *Guang Biji*.)
Xue Lizhai treated Du Juren with swollen/painful throat and mouth ulcers. Qing Yan Xiao Du San for two doses, then Xuanshen Shengma Tang cured him.
A man in his thirties had constant mouth/tongue ulcers (skinless appearance) and throat pain. Qing Yan Li Ge San cured him; Li Zhong Tang maintained health.
A very obese woman suffered from summer-heat throat swelling/pain, overflowing phlegm, loss of voice, critically ill. Toxic blood was needled. Jin Suo Yao (Golden Lock Key) expelled 5-6 bowls of thick phlegm. Qing Yan Li Ge Tang reduced swelling/pain after one dose. Reducing Xiaoshi (Mirabilite) and Dahuang, continued treatment, and she stabilized. (From *Waike Zhengzong*.)
Xiao Wanyu treated Mrs. Wang, who loved spicy food. In late summer, stomach disease caused throat pain. Pulse was flooding, slippery, slightly rapid. Gan Jie Tang added with Huangqin, Huanglian, Gualou (Trichosanthis Fructus), and Xuanshen cured her in two doses.
Lian Qingtian's wife, in late autumn, suffered Lung Meridian Wind-Heat throat pain. Pulse floating, flooding, forceful. Jin Fei Cao Tang (Boehmeriae Decoction) added with Niubangzi, doubled Gancao, cured in one dose.
Zheng Nengren, classmate, in early winter suffered Wind-Phlegm obstruction throat pain. Initial treatments worsened it. Six pulses floating, string-taut, forceless. Bu Zhong Yi Qi Tang added with Dansheng (Arisaematis Cum Bile) and Rougui, cured in two doses, phlegm obstruction vanished.
Young Mrs. Wang, in late spring, suffered Liver Meridian Stagnant Fire rising throat pain. Treatment failed. Xiao Yao San added with Niubangzi, Jiegeng, Huangqin, and Xiangfu (Cyperi Rhizoma) cured in two doses.
Wang Hongxu treated a strong man, married 100 days, wife away for a month, returned during extreme heat. Used fans after intercourse for cooling. At dawn, throat pain, rebellious Qi, alternating chills/fever. Previously slight throat pain, now swollen/painful. Swollen uvula like fat man's thumb. Diagnosed Heart/Kidney deficient Fire combined with post-menstrual Wind, Wind-Fire dual closure. Dispersing exterior would increase deficiency; Cold/Cool herbs would trap Wind-Fire. Qianhu, Suzi, Lianqiao, Xuanshen, Chishao (Paeoniae Radix Rubra), Zhebei (Fritillariae Thunbergii Bulbus), Gancao, Jiegeng decocted and taken, cured instantly. (Same source.)
Mrs. Cun from Wuxi, around thirty, on full moon of May, hungry, lifting noodles, suddenly had painful throat unable to swallow. A doctor used Shegan (Belamcandae Rhizoma), Chishao, Lianqiao, Huangqin...