时人忽患帝中风角药频噙自见功。若遇庸工无识辈。针刀误用命随终。
初起红肿作痛。生痰不能饮食日久渐长大出来。甚有长出寸许。拦腰烂去半截或帝中全行烂去者。虽一时难治。
仍为无害只根据法治之。亦见奇效。若初起先以角药取痰开风路针吹冰硼散。服紫地汤不可用刀。如日久帝中黑烂者。
回生丹不宜用。当以真功丹去牙硝吹之。或口疳散。圣功丹皆可互用。至于水剂。又当以紫地加减出入投治。不可
执拘呆方也。
乳鹅红肿在喉间。病者求痊亦不难。角药频施兼服剂。自然取效莫愁烦。
凡咽间红肿似疖毒两枚。而生在两边者。是为双鹅。切勿误用刀。先以摩风膏少许入角药井水调噙。又以鹅翎
挑入喉间疖毒上令病患闭目噙良久。俟满口痰来吐出。再吹赤麟散服紫地汤。自然立效。如日久疖毒未平。仍似莲
子样。须用消芦散加巴豆七个去壳熏患处。如熏破后只可用吕雪丹。
枢扶氏曰。喉间诸症惟患双单鹅甚多。症候虽轻易治。却难速于平消。迩来庸医不识。欲求速效。每妄用针刀。
反致枉人命者。亦复不少。今附参而订之。俾后世治者。庶不致有误苍生耳。盖此症由肺经积热。受风邪凝结感时
而发。致生咽喉之旁。状如蚕蛾。亦有形若枣栗者。红肿疼痛。不能吞咽。然形有双有单。双者轻。单者重。凡初
起先用三棱针刺少商少冲留三呼吸入一分。吹赤麟散。以角药调噙。仍服前药缓缓取效。凡针法以男左女右。若要
速效。以捷妙丹吹入鼻中即消。然初起神效若日久者。不外消芦散。
When people suddenly suffer from Di Zhong Feng (Emperor's Wind Stroke), frequently holding Jiao Yao (a medicinal preparation for throat diseases) in the mouth yields visible results. However, if ignorant quacks misuse needles and knives, life may be lost.
In the initial stage, there is redness, swelling, and pain, with phlegm production and difficulty eating. Over time, it gradually enlarges, sometimes growing up to one cun long, rotting halfway around the waist, or even completely rotting away the Di Zhong area. Although difficult to cure initially, it remains harmless; following the correct treatment principles can yield miraculous effects. In the early stage, use Jiao Yao to extract phlegm and open the wind pathway, perform acupuncture, and insufflate Bing Peng San (Ice and Borax Powder), while administering Zi Di Tang (Purple Ground Decoction). Do not use a knife. If the Di Zhong becomes black and rotten after a long duration, Hui Sheng Dan (Revival Pill) should not be used. Instead, apply Zhen Gong Dan (True Merit Pill) with Na Xiao (Sodium Nitrate) removed, insufflated into the throat. Kou Gan San (Mouth Ulcer Powder) and Sheng Gong Dan (Holy Merit Pill) can also be used interchangeably. For liquid preparations, modify Zi Di Tang according to the condition; do not rigidly adhere to fixed formulas.
Ru E (Milky Goose) presents as redness and swelling in the throat. Recovery is not difficult. Frequent application of Jiao Yao combined with oral medication will naturally produce results, so there is no need for worry.
When there are two red, swollen areas in the throat resembling boils on both sides, it is called Shuang E (Double Goose). Do not mistakenly use a knife. First, apply a small amount of Mo Feng Gao (Wind-Rubbing Ointment) mixed with Jiao Yao and well water, holding it in the mouth. Use a goose feather to apply it to the boil in the throat, instructing the patient to close their eyes and hold it for a long time until a full mouth of phlegm is produced and spat out. Then insufflate Chi Lin San (Red Scale Powder) and take Zi Di Tang, which will naturally bring immediate relief. If the boil persists over a long period and resembles a lotus seed, use Xiao Lu San (Reed-Dispersing Powder) added with seven shelled Ba Dou (Croton Seeds) to fumigate the affected area. After fumigation breaks the lesion, only Lv Xue Dan (Lv Snow Pill) should be used.
Shu Fu Shi stated: Among various throat disorders, Single and Double Goose are very common. Although the symptoms are mild and easy to treat, rapid resolution is difficult. Recently, ignorant physicians, seeking quick results, often recklessly use needles and knives, resulting in many unnecessary deaths. I have now reviewed and revised these methods so that future practitioners may avoid harming the people. Generally, this disease arises from accumulated heat in the Lung Meridian, combined with wind-pathogen condensation triggered by seasonal factors, causing growth beside the throat, resembling silkworm moths or dates/jujubes. It presents with redness, swelling, pain, and difficulty swallowing. The shape can be single or double; double cases are milder, while single cases are severe. In the initial stage, prick Shaoshang (LU11) and Shaochong (HT9) acupoints with a three-edged needle, retain for three breaths, insert one fen deep, insufflate Chi Lin San, hold Jiao Yao mixture in the mouth, and continue taking previous medications for gradual effect. Acupuncture rules follow "left for males, right for females." To achieve rapid results, blow Jie Miao Dan (Swift Miracle Pill) into the nose for immediate dissipation. However, for chronic cases, Xiao Lu San is the primary remedy.