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Apply Liansha San (Cinnamon Sand Powder) compounded with prepared Croton seed (Zhi Ban Dou, 制巴豆) by insufflation into the affected area. If yellowish and ripe pus has formed, apply Daizhen San (Needle Replacement Powder) by insufflation; once pus and blood are discharged, recovery will ensue. In severe cases, add Coptis Rhizome (Huanglian, 黄连) and Rhinoceros Horn (Xijiao, 犀角) to the decoction, and add Red Peony Root (Chishao, 赤芍) and Bupleurum Root (Chaihu, 柴胡) to the upper formulation; for bilateral tonsillar swelling (Shuang E, 双蛾), use both simultaneously. If bowel movement is obstructed, add Aurantium Fructus (Zhike, 枳壳) and Natrii Sulfas (Yuanmingfen, 元明粉); shortly after administration, once bowel movement becomes unobstructed, symptoms will resolve spontaneously. By the third or fourth day, observe the interior of the throat: if there is only redness and swelling without white star-like spots, it is a throat abscess (Hou Yong, 喉痈).

Bawei Bohe San (Eight-Ingredient Mint Powder) is Liansha San compounded with prepared Croton seed (Zhi Ban Dou, 制巴豆) for insufflation. It treats severe throat swelling with intense pain. For such cases, apply Qiwei Jiangcan San (Seven-Ingredient Silkworm Powder) and Gansui San (Kansui Powder), compounded with prepared Croton seed (Zhi Ban Dou, 制巴豆), frequently by insufflation. In severe cases, administer decoctions modified from Paeonia Decoction with Rhinoceros Horn (Xijiao Dihuang Tang, 犀角地黄汤), along with pastes and pills. If constipation occurs, add Rhubarb Radix et Rhizoma (Dahuang, 大黄) and Natrii Sulfas (Yuanmingfen, 元明粉); if urination is difficult, add Liuyi San (Six-to-One Powder). [Editor's Note: When I treat throat disorders, I crush whole Trichosanthes Fruit (Quan Gualou, 全栝蒌) with Natrii Sulfas (Yuanmingfen, 元明粉), and crush raw Aurantium Fructus (Sheng Zhike, 生枳壳) with Fungusified Saltpeter (Fenghua Xiao, 风化硝), which often proves effective. Later, a certain gentleman from a pharmacy told me: "Fungusified Saltpeter and Natrii Sulfas are the same substance; why does the Materia Medica classify them as two different types? Their therapeutic indications also differ. I record this here to consult learned scholars of the world: are they identical or distinct?" ]

Apply Hou Xuan Fang (Throat Lichen Formula) frequently by insufflation, swallow Baicao Gao (Hundred Herbs Paste) frequently at intervals, and take a decoction supplemented with Fritillaria Thunbergii Bulb (Tubeimu, 土贝母). Regulate Qi downward; avoid worry, thought, anger, alcohol, sexual indulgence, as well as chicken, shrimp, crab, mutton, goose, pig head, liver, intestines, all toxic substances, fried and roasted foods, and items that stir up Qi and ignite fire. Observe these restrictions for one month, and recovery can be achieved. [Editor's Note: Tubeimu...]

Increase the dosage of Liansha San, or apply Gansui San (Kansui Powder) by insufflation; frequent swallowing of Baicao Gao (Hundred Herbs Paste) is also required, combined with decoctions, without interruption. Additionally, using Qinhua Wan (Holding and Melting Pill) for oral dissolution is also excellent, or apply Qiwei Jiangcan San (Seven-Ingredient Silkworm Powder) and Bawei Bohe San (Eight-Ingredient Mint Powder) by insufflation. First, apply Swallowwort Vine Stem Juice (Shancigu Zhi, 山慈菇汁) to the area, then apply the powder by insufflation, resulting in rapid efficacy. [Editor's Note: Swallowwort Vine Stem (Shancigu, 山慈菇) can be ground into powder and mixed into the insufflation powder; this method is simple and yields similar efficacy, but the dosage should be light.]