（附狐惑）
【脉】 匿虫蚀阴肛，脉虚小者生，急紧者死。
【因证】 湿热之生，脏腑虚则侵蚀。腹内热，肠胃虚，虫行求食。上唇有疮曰
惑，虫食其脏；下有疮曰狐，虫蚀其肛。亦有口疮，非狐惑也。
【治】 《集效方》 木香 鹤虱（炒） 槟榔 诃子（煨） 芜荑（炒） 炮附 干
姜（各七钱） 大黄（一两五钱）
乌梅或加连、柏。上蜜丸。陈皮汤、醋汤任下。
化虫丸 治虫即化水。
硫黄（一两） 木香（五钱） 密陀僧（三钱） 炮附（一个）
上先附末，醋一升，熬膏，入药和丸，绿豆大。荆芥、茶清下二十丸。
秘方 治吐虫。
黑锡（炒成灰）
槟榔末，茶饮下。
又方 川椒，酒糊丸，治虫。
又方 炒鸡子、白蜡尘，治寸白虫，酒糊丸妙。
泻心汤，治惑；苦参汤洗之，治狐。
【因】 热内结。虽有蛾闭、木舌、缠喉、走马之名，火则一也。论咽与喉，会
厌与舌，同
在一门，而用各异，喉以候气，故通于天；咽以纳食，故通于地；会厌管乎其上，以司开阖
。掩其咽，其食下；不掩之，其喉错；必舌抵上 ，则会厌能闭其咽矣。四者相交为用，缺
一则饮食废而死矣。及其为病，皆火也。夫手少阴君火心主之脉，手少阳相火三焦之脉，二
火皆主脉并络于喉，气热则内结，结甚则肿胀，肿胀甚则痹甚，痹甚则不通而死矣。
至如嗌干痛、咽颔肿、舌本强，皆君火之为也。唯喉痹急速，相火之为也。
【证】 咽，咽物之处。咽肿则不能咽，或呕吐咯伤，或多饮啖，痰热皆至，咽
系干枯也。
喉，声音出入之处。脏热则肿，其发暴肿闭塞。或心虚寒，有悬痈生在上 ，俗名鹅也
。咳而声嘶喉破，俗名声散也。
【治法】 微以咸软之，甚以辛散之，痰结以苦吐之，否则砭出血。人火以凉治
之，龙火以火逐之，凉剂以热服之是也。宜刺少商出血。
秘方 朴硝 牙硝（各研） 青鱼胆 上以胆放二硝上，干方研为末，竹管吹入喉
中，痰出即愈。
五匙散 治风热喉痹，及缠喉风。
朴硝（一两五钱） 硼砂（五钱） 脑子（三钱） 僵蚕
以竹管吹末入喉中。
神效散 治热肿语声不出。
荆芥穗 蓖麻（生，去皮另研，各一两）
蜜丸，皂角子大，嚼含化。
雄黄解毒丸 治缠喉风及喉痹，倒仆失音，牙关紧急，不省人事。
雄黄（一钱，飞） 郁金（一钱） 巴豆（去皮、油，十四个）
醋糊丸，绿豆大。热茶清下一丸，吐则止。
蜜附子 治腑寒咽门闭，不能咽。大附去皮脐，切大片，蜜涂炙黄，含咽津。
又方 龙胆、矾，包乌梅肉内，以绵裹含。
龙火拔毒散 治缠喉急证。先以针出血为上策，缓以丹敷。
阳起石（ ） 伏龙肝（各三钱）
新水埽之。
又方 白瑞香花根，研水灌之。
秘方 治痰。其证皆因痰也。以鹅毛刷桐油探吐之。皂荚灰亦可吐。僵蚕研姜服
亦可。生艾汁亦可。
(Attached: Hu Huo Disease)
[Pulse] When parasites erode the genitals or anus, a deficient and small pulse indicates survival, while a rapid and tight pulse indicates death.
[Etiology and Symptoms] Damp-heat is generated; when the Zang-Fu organs are deficient, erosion occurs. Heat accumulates in the abdomen, and the intestines and stomach are weak, causing worms to move seeking food. Sores on the upper lip are called "Huo" (Confusion), indicating worms eroding the internal organs; sores on the lower yin/anus are called "Hu" (Fox), indicating worms eroding the anus. There may also be mouth sores, but this is not Hu Huo disease.
[Treatment] *Ji Xiao Fang* (Collection of Effective Prescriptions): Muxiang (Aucklandiae Radix), Heshi (Nartheci Fructus, stir-fried), Binglang (Arecae Semen), Hezi (Chebulae Fructus, baked), Wuyi (Pyrethri Flos), Pao Fuzi (Prepared Aconiti Lateralis Radix), Ganjiang (Zingiberis Rhizoma) (each 7 qian), Dahuang (Rhei Radix et Rhizoma) (1 liang 5 qian). Wu Mei (Mume Fructus), or add Huanglian (Coptidis Rhizoma) and Huangbai (Phellodendri Cortex). Make into honey pills. Take with Chenpi Tang (Tangerine Peel Decoction) or Cu Tang (Vinegar Decoction) as desired.
*Hua Chong Wan* (Worm-Dissolving Pill): Treats parasites, causing them to dissolve into water. Liuhuang (Sulfur) (1 liang), Muxiang (Aucklandiae Radix) (5 qian), Mituoseng (Lithargyrum) (3 qian), Pao Fuzi (Prepared Aconiti Lateralis Radix) (1 piece). First, powder the Fuzi, boil with 1 sheng of vinegar until it becomes a paste, mix with other medicines, and make pills the size of mung beans. Take 20 pills with Jingjie Tang (Schizonepetae Herba Decoction) or Cha Qing (Tea Infusion).
Secret Recipe: Treats vomiting of worms. Heixi (Black Tin, stir-fried to ash). Binglang powder (Arecae Semen), taken with tea.
Another Prescription: Chuanjiao (Sichuan Pepper), made into pills with wine paste, treats worms.
Another Prescription: Stir-fried chicken eggs, white beeswax dust, treat Taenia saginata (Tapeworm); making pills with wine paste is excellent.
*Xie Xin Tang* (Drain the Heart Decoction) treats "Huo"; Kushen Tang (Sophorae Flavescentis Radix Decoction) washes treats "Hu".
[Etiology] Heat binds internally. Although there are names such as E Bi (tonsillar obstruction), Mu She (wooden tongue), Chan Hou Feng (throat-wrapping wind), and Zou Ma Ya Gai (running-horse canker), the pathology is essentially Fire. Discussing the Pharynx (Yan) and Larynx (Hou), Epiglottis (Hui Yan), and Tongue (She), although they belong to the same gate, their functions differ: The Larynx is for breathing air, thus connecting to Heaven; the Pharynx is for swallowing food, thus connecting to Earth; the Epiglottis manages the opening and closing from above. Covering the Pharynx allows food to descend; not covering it causes air to enter the Larynx; the tip of the tongue must touch the upper palate for the Epiglottis to close the Pharynx. These four interact; if one is missing, eating and drinking cease, leading to death. When disease occurs, it is all due to Fire. The meridians of Hand-Shaoyin Jueyin Heart Master and Hand-Shaoyang Sanjiao Ministerial Fire both govern the pulses and connect to the Larynx. Qi heat causes internal binding; severe binding causes swelling; severe swelling causes severe Bi-obstruction; severe Bi-obstruction leads to blockage and death. As for dry painful throat, swollen pharynx/jaw, and stiff tongue root, these are caused by Jueyin Fire. Only acute Hou Bi (Sore Throat) is caused by Ministerial Fire.
[Symptoms] The Pharynx (Yan) is the place where food is swallowed. If the Pharynx swells, swallowing is impossible; or it is injured by vomiting/coughing blood, or due to excessive drinking/eating, phlegm-heat arrives, causing the Pharynx system to become dry and withered.
The Larynx (Hou) is the place where sound enters and exits. Internal organ heat causes swelling, resulting in sudden swelling and blockage. Or, due to Heart deficiency-cold, a Xuan Yong (hanging abscess) grows above, commonly known as Goose Mouth Ulcer. Coughing leads to hoarseness and laryngeal rupture, commonly known as Voice Scattering.
[Treatment Methods] Mild cases use salty substances to soften hardness; severe cases use pungent substances to disperse; phlegm binding uses bitter substances to induce vomiting; otherwise, use Bian stone to bleed. Human Fire (Excess Fire) is treated with cooling methods; Dragon Fire (Deficient Fire/False Fire) is driven out by fire methods, i.e., taking cooling decoctions hot. It is suitable to prick Shaoshang (LU11) to bleed.
Secret Recipe: Pu Xiao (Mirabilite), Ya Xiao (Glauber's Salt) (each ground separately), Green Fish Gallbladder. Place the gallbladder juice on the two salts, let dry, then grind into powder, and blow into the throat with a bamboo tube. Healing occurs when phlegm is expelled.
*Wu Chi San* (Five-Spoon Powder): Treats Wind-Heat Hou Bi and Chan Hou Feng. Pu Xiao (1 liang 5 qian), Pengsha (Borax) (5 qian), Nao Zi (Camphor) (3 qian), Jiangcan (Bombyx Batryticatus). Blow the powder into the throat with a bamboo tube.
*Shen Xiao San* (Divine Effect Powder): Treats heat-swelling causing loss of voice. Jingjie Sui (Schizonepetae Spica), Bimangu (Ricini Semen, raw, skin removed and ground separately, each 1 liang). Make into honey pills the size of Gengzi (Soapberry seeds), chew and swallow.
*Xionghuang Jiedu Wan* (Realgar Detoxification Pill): Treats Chan Hou Feng and Hou Bi, fainting, loss of voice, locked jaw, and unconsciousness. Xionghuang (Realgar) (1 qian, water-flown), Yujin (Curcumae Radix) (1 qian), Badou (Crotonis Fructus, skin and oil removed, 14 seeds). Make into pills with vinegar paste, size of mung beans. Take one pill with hot tea infusion; stop when vomiting occurs.
Mi Fuzi (Honey-Gilded Aconite): Treats Fu-organ cold causing closure of the throat gate and inability to swallow. Remove skin and navel of large Fuzi, cut into large slices, coat with honey, roast until yellow, hold in mouth and swallow saliva.
Another Prescription: Longdan (Gentianae Radix), Fan (Alumen), wrap inside Wu Mei (Mume Fructus) flesh, wrap in cotton and hold in mouth.
Longhuo Baidu San (Dragon Fire Antitoxic Powder): Treats acute Chan Hou. Pricking to bleed is the best strategy; if slow, apply Dan. Yangqishi (Stilbite Group Mineral) [dose unspecified], Fulonggan (Dragon's Liver) (each 3 qian). Wash with fresh water.
Another Prescription: Ba Ruixiang flower root, grind with water and irrigate.
Secret Recipe: Treats Phlegm. Its symptoms are all caused by phlegm. Use a goose feather dipped in tung oil to probe the throat and induce vomiting. Zaogui (Gleditsiae Sinensis Spina Ash) can also induce vomiting. Jiangcan (Bombyx Batryticatus) ground with ginger juice can also work. Sheng Ai Zhi (Fresh Mugwort Juice) can also work.