一、锁喉风。热痰生自胃膈，喉中如锁管状，双者难治。先探吐风痰，针刺出黄白
水，不治。如切牙，吹通关散。
二、缠喉风。属痰热，白为白缠，黄为黄缠，肿噤难言，腮颔亦兼肿，眼白、耳赤、
面紫肿连项下，如蛇蟠状，一二日者慢风，急者旦夕死。先刺少商探风痰，鼻有青黑，气
寒头低，痰如胶者，不治。
三、喉风。壅塞痰涎，肿痛，面黑、声雷、颈肿者，不治。
四、 肉喉风。因受污秽气及风热，喉
生赤肉，层叠渐肿，孔出臭气者，不过三日死。
五、哑瘴喉风。属风痰，牙紧吐涎，口不能言，蟾酥化水滴鼻中，即开。看喉赤肿
处，下刀吹药，面紫、舌青黑、鼻冷涕、爪甲青、目赤圆，不治。
六、弄舌喉风。不言，舌常吐出，将手弄舌是也。刺少商出血，内服疏风甘桔汤。
生甘草 桔梗 归尾 花粉 山栀 甘葛 玄参 荆芥 川芎 连翘 人参 枳壳
茯苓 陈皮 防风 黄连
七、呛食喉风。心经热毒，咽燥无痰，气喘，如心肺间刺痛者，当归连翘散加大黄利
之。如久，变飞丝劳，伤命。
当归连翘散
当归 连翘 生甘草 桔梗 生地 前胡 枳壳 黄芩 玄参 生白芍 生山栀 花粉
灯草水煎服。
八、缠舌喉风。下颏俱肿，口噤，舌卷肿大，上有青筋如蚓，生黄刺，白苔。如咬
牙，刺少商。
九、走马喉风。浓味风热，摇头、切牙、舌黑、蒂疔赤破，俱死。或左右脸紫肿，或
牙关紫肿，或舌卷，针少许，兼刺舌下三穴，舌不卷不针。
十、顶舌喉风。喉腮下肿，舌卷硬，顶上颚，迟即死。刺少商，针玉液金津。
十一、落架风。落下下颏，日久难治。服补中益气汤，灸颊车七壮。
十二、连珠喉风。舌下生珠，初见一二，少顷蔓生，三五七九，舌胀痰生，先探痰。
十三、松子喉风。色如猪肝，肿起，形如松子，满喉皆赤，气逆、关闭、不食。刺
肿处，吹药宜去痰，服药宜三黄、石膏、竹叶，加荆、防。
十四、骨槽风。耳下牙关紧痛，略有小核，寒热如疟，大人由于七情，小儿本于禀
赋。
十五、脚跟喉风。七情郁结，先从脚跟发起，至于喉间，或一年半年一发，一日行
一穴，七日行七穴，行至喉间，发泡，如鱼泡状。荆防败毒散主之。泡水腥秽者，死。
十六、悬蜞风。（一名，悬蜞虫毒。）因上焦蕴热风痰而起，上颚肿垂，形如蛙腹，或似鸡
蛋，喉闭痰满。以刀刺去紫血，内服三黄凉膈散。
十七、阴毒喉风。少阴证，脉微细沉。自汗、咽疼、下利，一名肾伤寒。切不可用寒
药，宜半夏桂枝汤、苦酒汤之类。脏寒咽痛者，用蜜附子。
十八、撮口喉风。唇收如袋，口不能饮，有痰壅塞，经年一发。马齿苋煎洗唇，玄明
醋探去痰，针少商见血，此证胃有痰火。
十九、喉痹。肿痛而黄，其血黑，形如臂，其肿若坎，面赤，目上视。先探痰，肿
不消，用刀去血。
二十、阴毒喉痹。感冬月阴湿火邪而起，喉间肿如紫李，微见黑色，恶寒、身热、
动振惕，腰疼、足冷，其血黑，肿硬喉干，不治。
二十一、酒毒喉痹。心脾之火，形如卵，鲜红光亮，壅塞喉间，寒热、头痛、项强肿。
刺血，内服粘子解毒汤加葛根。
二十二、卒然闭塞气不通而死，名曰喉闭。三棱针刺手腕中紫筋上，或少商穴出血。
二十三、风热喉痹。肿而红紫，形若拳，目上视，壮热恶寒，如音不高，宜润肺药。若
外肿，敷金箍散。
川大黄（穿心者更佳，用纸浸湿重包，炉火煨，厕中浸一宿，取出洗净晒干，研末听用，一两） 五倍
子（醋炒黑，三钱） 白芷（五钱） 露蜂房（蜜炙，三钱） 芙蓉叶（晒干，二两） 羌活（五钱）
共研细末，瓷瓶装，每用蜜水调敷肿处周遭，中留一孔出毒瓦斯。
岩按∶外证红肿亦能治。
二十四、双乳蛾。在蒂疔两旁。似乳头，吞吐不利。
二十五、单乳蛾。或左或右，手足厌冷，头目昏沉，如厥，短气欲绝，吴茱萸末，米
醋调敷涌泉穴。
二十六、气痈，喉闭。痰塞喉间，寒热，分上中下三关，在下关难治。
二十七、死乳蛾。双单紧靠蒂疔，不甚痛，饮食有碍，劳则痛，日久塞咽，渐渐气
闷，丧命。于蛾上乱划七八刀令血出，吹药，逐日如是，患平乃止，服三黄三陈，忌煎炒
鸡鱼牛羊犬肉生冷发物。
二十八、乳蛾核。两边如乳头，天阴劳力气恼，则颈外如绳扣紧，饮食不下，呼吸
不利，年深成嫩骨，用刀割去，吹药。
二十九、喉癣。满喉白色，时医每误认白喉，分烂喉风癣，弱证喉癣，二证虚实不
同。
三十、飞疡。因怒，或中秽毒，喉间忽然肿胀，立刻转大，丧命。吹药去痰，内服
粘子解毒汤加红花、丹皮，勿动刀针。
三十一、风热喉丹。鲜红，久而赤紫，吹药服药，均重去痰。可用刀刮针刺见血，去
热毒。
三十二、喉疔。与单蛾相似，蛾圆大，疔长小，红易紫难黑不治。
三十三、开花疔。形若开花，根下割去，吹药，三黄凉膈煎服，红易紫难黑不治。病
原鼻滴汗于豆腐内，食自死禽兽肉，水缸内有米粒生毛，此三因，皆致喉中生开花疔之
原。
三十四、喉痈。浓味积热，胃火上冲，生蒂疔旁，肿痛如蛾，蛾圆而小，痈塌而长，耳
根腮下俱肿痛，牙疼，去血吹药，服三黄。
三十五、双单喉瘤。是肺热，生喉旁，如圆眼，血丝相裹，不犯不痛，须日夜安息，以
药攻之，不可用刀点，麝二、连一、冰四，日频吹。
三十六、喉疖。生雄尾中，初如梅核在喉膈间，吐咽不下，至三日，渐上喉间，刀
刺后，吹冰硼，病由七情，服四七气汤。
三十七、气单。郁结，靠舌根横起红紫色筋，先用大针蘸桐油烧红，向舌横筋上针
七处，次将三小针扎品字样，每大针孔上各针二次，连大针，共四十九针。如舌根肿，要
灸外边喉下横三穴，口内出烟为止，如不出烟，七壮止，内服三黄凉膈及二陈。
\r气单针灸图\p05-c23a1.bmp\r
三十八、喉单。满喉微肿而红，针首尾出血，服三黄凉膈。
三十九、回食单。一名甸气，一名梅核气。气郁热痰而生，喉两边两硬条，色红为
甸气，小舌下如豆大，为梅核气。若疔下无核，定在前舌根下，或左右中有青筋系在颚，
或紫点如小豆，或在舌根上，青白色，如蚬肉，似桃胶，两旁红筋垂下者，皆是。久则
前心后背疼，嗳气，喉中若虫行，梗噎气阻，犯之即痛。刀去血，吹药，逐日如是，喉外
灸一穴至五穴，口中出烟为度，不出烟者。灸至九壮。
四十、气子喉。喉间如珠，赤或紫白，犯之即痛，受气必发，日久则嗌气。挑破珠，出
血，再吹药。
四十一、七星疮。是脾热，上颚属脾，生泡，似粟如珠，或黄或白，口中腥臭，手足
怕冷，身恶寒。以布浸苦茶拭净疮上，再吹药，戒酒色。
四十二、喉球。外感六气，内伤七情，喉内生肉球，如圆眼大，根如线，五寸余长，相
连肺上，吐球出，方可饮食，手轻扯，痛彻心内。服益气疏风汤，升麻、葛根、防风、紫
苏、桔梗、前胡、白芍、白蒺藜、生地、当归、川芎、生甘草、黄芩、麦冬、连翘、青
皮，水煎服。再用麝香二钱研，分二次水调服，或服麝香散三次，根化而愈。
四十三、喉疳风热毒。满喉臭烂，老年患者，难治。
四十四、口疮。积热，满口生疮黄白。
四十五、走马牙疳。阳明湿毒，牙龈黑烂，脱落臭秽，顷刻沿开，穿腮破唇，走入
喉中者。不治。
四十六、珍珠毒。胎热，舌上如珠，先赤紫，后白黄，疼痛。挑出血，苦茶拭净吹
药，内服三黄凉膈散。
四十七、悬痈。生上颚，形如紫李，垂下抵舌，口不能言，舌不能伸，头不能低，鼻
出红涕。刺破痈头出血，盐汤漱净血，吹药，内服荆防败毒散。
四十八、悬疔。火热，蒂疔忽然紫肿下垂，或偏或下，吞吐不利。不可刀刺，宜吹
药，或用乌龙尾加盐，（炒），箸头点上，枕头仰卧一时。
四十九、痰泡。痰饮乘火，凝注舌下，结成泡肿，绵软不硬，有妨言语，作痛。刀刺，
流出黄痰共黄渣，捺净，吹冰硼散，服二陈汤加芩、连、薄。
五十、重舌。下生小舌，久则大舌卷起疼痛，饮食不下，颏下肿硬。刺金玉二穴及
小舌肿处，出血。
五十一、莲花钿舌。舌下肿，痛生五峰，三峰者轻，七峰者重。宜针两边峰上，用刀
刮破，出血吹药，中峰勿针。
五十二、木舌。硬如穿山甲，见人舌做一拳，憎寒壮热，语言蹇涩。服黄连泻心汤，
刀点出血，刺金津玉液。
五十三、螓舌。因酒毒劳心郁气，舌有四眼，眼中流血者，全证也，或二三眼，生
舌中，或生两旁，生七八眼者，难治。年老者不治。若有黑心者，大者用药烂去，小者
用刀针挑去，先用药水洗净，然后吹药，内
服三黄凉膈散，舌不柔软，疮不合口者，皆死。
五十四、脬舌。痰火犯心经，舌忽胀满，软如猪尿脬，不痛，流涎，妨言语。看舌下，
如有青疮，如蟹眼，须挑破。出痰若鸡蛋清，用温汤漱净，再吹冰、硼、玄明粉，内服二
陈。
五十五、重颚。舌上生疮如杨梅，作事心烦。服甘桔汤、黄连解毒汤，有痰结成硬
核者，吹冰硼散，内服加味二陈汤。
五十六、雀舌。心膈蕴热，生于舌畔，割去，吹生肌散，内服三黄凉膈散。
五十七、咂舌痈。牙龈尽处，两边生痈，口臭，吐涎，舌尖短大。未破者，针去血，吹
药。已成，内托。
五十八、卷舌痈。属心经风热，生舌下，或左，或右，或中，状如圆眼，或似枣核，肿
痛，害言语，舌卷紫硬。刀点去血，吹药，内服黄连泻心汤。
五十九、死舌痈。热毒，舌如白苔死色，如木舌，但木舌小硬，此肿而白，刀刮去白
皮，追风散加冰、麝、青皮、干姜末，满口擦之。肿甚，刺金玉出血，如五七日有脓，上
下针出脓，方愈。如放脓见黑血，刺治不转色者，死。
六十、血衄。舌上如针孔，流血不止，属心火。
六十一、舌上龟纹。由思虑烦甚、少睡所致。舌痛若无皮，淡白斑细点，甚者陷路
龟纹，脉虚，不渴，四物汤加知、柏、丹皮、肉桂。舌硬，柏一两，青黛三钱，桂一钱，冰
二分吹。
六十二、牙痈。脾胃火大发，于牙龈生毒，如豆大，或如指大，紫肿硬痛，头项强
痛，恶寒发热。将针柄捺患处，软者，是头，下刀出脓血，吹药。
六十三、牙疔。食毒秽物，毒犯阳明，生
牙缝中，牙龈上高肿突起，大痛连腮，破则流血，去血后，吹药，服三黄凉膈，或千金
内托。酌用。
六十四、牙宣。牙缝出血不止，上脾下胃，吐血痰至升斗者，难救。
六十五、兜腮痈。属风热温毒，生腮下两边，或一边，如口内肿，下刀去血，日久
去脓。初起时，头痛寒热，服荆防败毒散。
六十六、面腮肿黑证。面黑向下肿，两边腮肿，喉中气闭。用滚过热水一盆，洗手
足，见喉中出气，针少商穴，有血，可治，吹追风散于颊内，并牙尽处。
六十七、出汗生痈，同治。
六十八、伤寒八九日后喉中肿闭，热入心脾。
六十九、阴疮。生咽旁左右，风湿郁结而成，煎炒炙 所致。用滚过热水。不时洗
手足，内服二陈。
七十、喉肿。脾经大毒，因酒后行房，酒气不流，聚结喉根，不速治，毒闭即死。先
去痰涎吹药。
七十一、锁喉痈。心与小肠之火，发于听会之端，注于悬膺之侧，初如 ，不能饮
食，闭塞难通，红肿发热，渐次溃脓。软而胀痛者针之。初起外用蜒蚰、麝、冰杵敷，内
服当归连翘散，内闭牛黄清心丸，日久千金内托散。
七十二、蛤蟆瘟。是传染毒，两目鼻面肿乃阳明，头角两耳肿属少阳。
凡针家，须知舌下三筋，伤之出血不止。除三筋外，见有肿紫处，亦宜针出血，岂专
执金津玉液二穴哉！
按∶咽喉七十二种，有焦氏本、吴氏本、张氏本，证治各家不同，此与焦氏本，大同
小异，阅者须在异处着脉。尚有铁崖道人咽喉七十二种，口齿七十二种，容俟续梓。
一、锁喉风。热痰产生于胃膈之间，喉咙感觉像被锁住的管子一样，双侧发病的难以治疗。先用探吐法吐出风痰，针刺放出黄白色的水液，若无效则难治。如果出现咬紧牙齿的症状，吹入通关散。
二、缠喉风。属于痰热证，白色的是白缠喉风，黄色的是黄缠喉风，咽喉肿胀僵硬难以说话，腮部和下巴也同时肿胀，眼白发红、耳朵发红、面色紫肿并延伸至颈部下方，形状像蛇缠绕一样。病程一两天的为慢风，急性的早晚可能死亡。先刺少商穴以探出风痰，如果鼻孔出现青黑色，气息寒冷且头低垂，痰液像胶一样粘稠，则属不治之症。
三、喉风。痰涎壅塞，咽喉肿痛，面色发黑、声音如雷、颈部肿胀的，属不治之症。
四、肉喉风。因感受污秽之气及风热邪气，咽喉部长出赤色赘肉，层层叠叠逐渐肿胀，孔窍中散发出臭气的，不超过三天就会死亡。
五、哑瘴喉风。属于风痰证，牙关紧闭、流口水、口不能言。用蟾酥化水滴入鼻中，即可开通。观察咽喉红肿处，下刀切开并吹药，若见面色紫暗、舌青黑、鼻冷流涕、指甲发青、眼睛红且圆睁，属不治之症。
六、弄舌喉风。不说话，舌头经常伸出，用手拨弄舌头即是此证。刺少商穴出血，内服疏风甘桔汤。
组成：生甘草、桔梗、当归尾、天花粉、山栀、甘葛（葛根）、玄参、荆芥、川芎、连翘、人参、枳壳、茯苓、陈皮、防风、黄连。
七、呛食喉风。心经热毒，咽干无痰，气喘，感觉像心肺之间有刺痛感，用当归连翘散加大黄以利泄之。如果病程长久，会转变为飞丝劳，危及生命。
当归连翘散组成：当归、连翘、生甘草、桔梗、生地、前胡、枳壳、黄芩、玄参、生白芍、生山栀、天花粉。灯草水煎服。
八、缠舌喉风。下巴全部肿胀，口噤不开，舌头卷曲肿大，上面有青色筋脉像蚯蚓，长出黄色的刺状物，舌苔白。如果出现咬牙症状，刺少商穴。
九、走马喉风。因过食浓味食物及风热邪气所致，摇头、咬紧牙齿、舌色黑、喉底疔疮红破，均主死证。或者左右脸颊紫肿，或者牙关紫肿，或者舌头卷曲，针刺少许，兼刺舌下三穴，如果舌头不卷曲则不针。
十、顶舌喉风。喉部及腮下肿胀，舌头卷曲僵硬，顶住上颚，迟缓治疗即死。刺少商穴，针刺玉液、金津穴。
十一、落架风。下颌下垂，日久难治。服用补中益气汤，灸颊车穴七壮。
十二、连珠喉风。舌下生出珠子状物，初见一两个，片刻后蔓延生长，变成三五七个甚至九个，舌头肿胀生痰，先探吐痰涎。
十三、松子喉风。颜色像猪肝，肿胀隆起，形状像松子，满喉皆红，气逆、闭塞、不能进食。刺肿胀处，吹药宜祛痰，服药宜用三黄、石膏、竹叶，加荆芥、防风。
十四、骨槽风。耳下牙关紧痛，略有小核，寒热往来如疟疾，成人由于七情内伤，小儿本于先天禀赋不足。
十五、脚跟喉风。七情郁结，先从脚跟发起，至于喉间，或一年半年发作一次，一日行经一个穴位，七日行经七个穴位，行至喉间时发泡，形状像鱼泡。主方用荆防败毒散。如果泡水后有腥臭味，主死。
十六、悬蜞风。（又名悬蜞虫毒。）因上焦蕴积风热痰浊而起，上颚肿胀下垂，形状像蛙腹，或似鸡蛋，喉闭痰多。用刀刺去紫血，内服三黄凉膈散。
十七、阴毒喉风。属于少阴证，脉象微细沉。自汗、咽痛、腹泻，又名肾伤寒。切不可用寒凉药物，宜用半夏桂枝汤、苦酒汤之类。脏寒咽痛者，用蜜附子。
十八、撮口喉风。嘴唇收缩如袋状，口不能饮水，有痰壅塞，每年发作一次。用马齿苋煎水洗唇，玄明粉醋调探取痰涎，针少商穴见血，此证为胃有痰火。
十九、喉痹。肿痛且色黄，其血色黑，形状像手臂，肿胀深陷如坑，面赤，目睛上视。先探吐痰涎，肿胀不消，用刀放血。
二十、阴毒喉痹。感受冬月阴湿火邪而起，喉间肿胀像紫李子，微见黑色，恶寒、身热、颤抖惊惕，腰疼、脚冷，其血色黑，喉肿硬干燥，属不治之症。
二十一、酒毒喉痹。心脾之火，形状像卵，鲜红光亮，壅塞喉间，伴有寒热、头痛、项强肿胀。刺血，内服粘子解毒汤加葛根。
二十二、突然闭塞气不通而死，名为喉闭。用三棱针刺手腕中紫色静脉，或少商穴出血。
二十三、风热喉痹。肿胀而红紫，形状像拳头，目睛上视，高热恶寒，如果声音不高，宜用润肺药。如果外部肿胀，敷金箍散。
组成：川大黄（穿心者更佳，用纸浸湿重包，炉火煨，厕中浸一夜，取出洗净晒干，研末备用，一两）、五倍子（醋炒黑，三钱）、白芷（五钱）、露蜂房（蜜炙，三钱）、芙蓉叶（晒干，二两）、羌活（五钱）。共研细末，瓷瓶装，每次用蜜水调敷肿胀处周围，中间留一孔排出毒气。
按语：外证红肿也能治疗。
二十五、单乳蛾。或左或右，手足厌冷，头目昏沉，像厥证，短气欲绝。用吴茱萸末，米醋调敷涌泉穴。
二十六、气痈，喉闭。痰塞喉间，寒热，分为上中下三关，在下关者难治。
二十七、死乳蛾。双单乳蛾紧靠喉底，疼痛不甚，饮食受阻，劳累则痛，日久堵塞咽喉，渐渐气闷，丧命。在乳蛾上乱划七八刀令出血，吹药，每日如此，患平乃止，服用三黄三陈汤，忌食煎炒鸡鱼牛羊犬肉及生冷发物。
二十八、乳蛾核。两边像乳头，天阴劳累生气恼怒，则颈外像绳子扣紧，饮食不下，呼吸不利，年深形成嫩骨，用刀割去，吹药。
二十九、喉癣。满喉白色，时医常误认为白喉，分为烂喉风癣和弱证喉癣，二证虚实不同。
三十、飞疡。因愤怒，或中秽毒，喉间忽然肿胀，立刻转大，丧命。吹药去痰，内服粘子解毒汤加红花、丹皮，勿动刀针。
三十一、风热喉丹。鲜红色，久而变赤紫色，吹药服药，均重在祛痰。可用刀刮针刺见血，去热毒。
三十二、喉疔。与单乳蛾相似，乳蛾圆大，疔长小，红易变紫，难变黑，黑则不治。
三十三、开花疔。形状像开花，根部割去，吹药，内服三黄凉膈煎剂，红易变紫，难变黑，黑则不治。病因是鼻滴汗于豆腐内，食用自死的禽兽肉，水缸内有米粒生毛，这三种原因，都导致喉中生开花疔。
三十四、喉痈。浓味积热，胃火上冲，生在喉底旁，肿痛像乳蛾，乳蛾圆而小，痈塌而长，耳根腮下俱肿痛，牙疼，去血吹药，服用三黄汤。
三十五、双单喉瘤。是肺热，生在喉旁，像龙眼，血丝包裹，不触碰不痛，须日夜安息，以药攻之，不可用刀点，麝香二分、连翘一分、冰片四分，每日频繁吹入。
三十六、喉疖。生在雄尾中，初像梅核在喉膈间，吐咽不下，至三日，渐上喉间，刀刺后，吹冰硼散，病由七情引起，服用四七气汤。
三十七、气单。郁结，靠舌根横起红紫色筋，先用大针蘸桐油烧红，向舌横筋上针七处，次将三小针扎成“品”字样，每大针孔上各针二次，连同大针，共四十九针。如果舌根肿，要灸外边喉下横三穴，口中出烟为止，如不出烟，灸七壮停止，内服三黄凉膈及二陈汤。
三十九、回食单。一名甸气，一名梅核气。气郁热痰而生，喉两边两硬条，色红为甸气，小舌下如豆大，为梅核气。如果疔下无核，定在前舌根下，或左右中有青筋系在颚，或紫点如小豆，或在舌根上，青白色，像蚬肉，似桃胶，两旁红筋垂下者，皆是。久则前心后背疼，嗳气，喉中若有虫行，梗噎气阻，犯之即痛。刀去血，吹药，每日如此，喉外灸一穴至五穴，口中出烟为度，不出烟者，灸至九壮。
四十、气子喉。喉间像珠子，赤或紫白，触碰即痛，受气必发，日久则嗌气。挑破珠子，出血，再吹药。
四十一、七星疮。是脾热，上颚属脾，生泡，像粟米像珠子，或黄或白，口中腥臭，手足怕冷，身恶寒。用布浸苦茶拭净疮上，再吹药，戒酒色。
四十二、喉球。外感六气，内伤七情，喉内生肉球，像龙眼大，根像线，五寸余长，相连肺上，吐球出，方可饮食，手轻扯，痛彻心内。服用益气疏风汤，升麻、葛根、防风、紫苏、桔梗、前胡、白芍、白蒺藜、生地、当归、川芎、生甘草、黄芩、麦冬、连翘、青皮，水煎服。再用麝香二钱研，分二次水调服，或服麝香散三次，根化而愈。
四十五、走马牙疳。阳明湿毒，牙龈黑烂，脱落臭秽，顷刻沿开，穿腮破唇，走入喉中者，不治。
四十六、珍珠毒。胎热，舌上像珠子，先赤紫，后白黄，疼痛。挑出血，苦茶拭净吹药，内服三黄凉膈散。
四十七、悬痈。生上颚，形状像紫李子，垂下抵舌，口不能言，舌不能伸，头不能低，鼻出红涕。刺破痈头出血，盐汤漱净血，吹药，内服荆防败毒散。
四十八、悬疔。火热，喉底忽然紫肿下垂，或偏或下，吞吐不利。不可刀刺，宜吹药，或用乌龙尾加盐（炒），箸头点上，枕头仰卧一时。
四十九、痰泡。痰饮乘火，凝注舌下，结成泡肿，绵软不硬，妨碍言语，作痛。刀刺，流出黄痰共黄渣，捺净，吹冰硼散，服二陈汤加黄芩、黄连、薄荷。
五十、重舌。下生小舌，久则大舌卷起疼痛，饮食不下，颏下肿硬。刺金玉二穴及小舌肿处，出血。
五十一、莲花钿舌。舌下肿，痛生五峰，三峰者轻，七峰者重。宜针两边峰上，用刀刮破，出血吹药，中峰勿针。
五十二、木舌。硬如穿山甲，见人舌做一拳，憎寒壮热，语言蹇涩。服黄连泻心汤，刀点出血，刺金津玉液。
五十三、螓舌。因酒毒劳心郁气，舌有四眼，眼中流血者，全证也，或二三眼，生舌中，或生两旁，生七八眼者，难治。年老者不治。若有黑心者，大者用药烂去，小者用刀针挑去，先用药水洗净，然后吹药，内服三黄凉膈散，舌不柔软，疮不合口者，皆死。
五十四、脬舌。痰火犯心经，舌忽胀满，软如猪尿脬，不痛，流涎，妨言语。看舌下，如有青疮，如蟹眼，须挑破。出痰若鸡蛋清，用温汤漱净，再吹冰、硼、玄明粉，内服二陈汤。
五十五、重颚。舌上生疮像杨梅，做事心烦。服甘桔汤、黄连解毒汤，有痰结成硬核者，吹冰硼散，内服加味二陈汤。
五十六、雀舌。心膈蕴热，生于舌畔，割去，吹生肌散，内服三黄凉膈散。
五十七、咂舌痈。牙龈尽处，两边生痈，口臭，吐涎，舌尖短大。未破者，针去血，吹药。已成，内托。
五十八、卷舌痈。属心经风热，生舌下，或左，或右，或中，状像龙眼，或似枣核，肿痛，害言语，舌卷紫硬。刀点去血，吹药，内服黄连泻心汤。
五十九、死舌痈。热毒，舌像白苔死色，像木舌，但木舌小硬，此肿而白，刀刮去白皮，追风散加冰、麝、青皮、干姜末，满口擦之。肿甚，刺金玉出血，如五七日有脓，上下针出脓，方愈。如放脓见黑血，刺治不转色者，死。
六十一、舌上龟纹。由思虑烦甚、少睡所致。舌痛若无皮，淡白斑细点，甚者陷路龟纹，脉虚，不渴，四物汤加知母、黄柏、丹皮、肉桂。舌硬，柏一两，青黛三钱，桂一钱，冰二分吹。
六十二、牙痈。脾胃火大发，于牙龈生毒，像豆大，或像指大，紫肿硬痛，头项强痛，恶寒发热。将针柄捺患处，软者，是头，下刀出脓血，吹药。
六十三、牙疔。食毒秽物，毒犯阳明，生牙缝中，牙龈上高肿突起，大痛连腮，破则流血，去血后，吹药，服三黄凉膈，或千金内托。酌用。
六十四、牙宣。牙缝出血不止，上脾下胃，吐血痰至升斗者，难救。
六十五、兜腮痈。属风热温毒，生腮下两边，或一边，像口内肿，下刀去血，日久去脓。初起时，头痛寒热，服荆防败毒散。
六十六、面腮肿黑证。面黑向下肿，两边腮肿，喉中气闭。用滚过热水一盆，洗手足，见喉中出气，针少商穴，有血，可治，吹追风散于颊内，并牙尽处。
六十七、出汗生痈，同治。
六十九、阴疮。生咽旁左右，风湿郁结而成，煎炒炙所致。用滚过热水。不时洗手足，内服二陈汤。
七十、喉肿。脾经大毒，因酒后行房，酒气不流，聚结喉根，不速治，毒闭即死。先去痰涎吹药。
七十一、锁喉痈。心与小肠之火，发于听会之端，注于悬膺之侧，初像……，不能饮食，闭塞难通，红肿发热，渐次溃脓。软而胀痛者针之。初起外用蜒蚰、麝、冰杵敷，内服当归连翘散，内闭牛黄清心丸，日久千金内托散。
七十二、蛤蟆瘟。是传染毒，两目鼻面肿乃阳明，头角两耳肿属少阳。
凡针灸医生，须知舌下三筋，伤之出血不止。除三筋外，见有肿紫处，亦宜针出血，岂专执金津玉液二穴哉！
按语：咽喉七十二种，有焦氏本、吴氏本、张氏本，证治各家不同，此与焦氏本，大同小异，阅者须在异处着脉。尚有铁崖道人咽喉七十二种，口齿七十二种，容俟续梓。
1. Lock-Throat Wind (Suo Hou Feng). Hot phlegm arises from the stomach and diaphragm; the throat feels like a locked pipe. Bilateral cases are difficult to treat. First, induce vomiting to expel wind-phlegm; needle to release yellowish-white fluid. If ineffective, it is incurable. If teeth are clenched, blow Tongguan San (Pass-the-Pass Powder) into the nose.
2. Coiling-Throat Wind (Chan Hou Feng). Belongs to phlegm-heat. White indicates White Coiling Throat Wind, yellow indicates Yellow Coiling Throat Wind. Swelling and stiffness make speech difficult; cheeks and chin also swell. The whites of the eyes turn red, ears become red, and the face becomes purple and swollen, extending down the neck, resembling a snake coiling. Cases lasting one or two days are slow wind; acute cases may result in death within a day or night. First, needle Shaoshang (LU 11) to probe for wind-phlegm. If the nostrils show bluish-black color, breath is cold, head hangs low, and phlegm is sticky like glue, it is incurable.
3. Throat Wind (Hou Feng). Phlegm and saliva obstruct, causing swelling and pain. If the face is black, voice sounds like thunder, and the neck is swollen, it is incurable.
4. Flesh-Throat Wind (Rou Hou Feng). Caused by inhaling foul air and wind-heat pathogenic factors. Red flesh grows in the throat, layering and gradually swelling, with foul odor emanating from the apertures. Death occurs within three days.
5. Mute Miasma Throat Wind (Ya Zhang Hou Feng). Belongs to wind-phlegm. Teeth are clenched, saliva flows, and speech is impossible. Dissolve Chan Su (Toad Venom) in water and drip into the nose to open the airway. Observe the red and swollen areas in the throat; incise and apply powder. If the face is purple, tongue is blue-black, nose is cold with runny nose, fingernails are cyanotic, and eyes are red and bulging, it is incurable.
6. Tongue-Playing Throat Wind (Nong She Hou Feng). The patient does not speak but frequently protrudes the tongue, playing with it using their hand. Bleed Shaoshang (LU 11); internally administer Shufeng Ganjie Tang (Wind-Dispersing Licorice and Platycodon Decoction).
Ingredients: Raw Glycyrrhizae Radix et Rhizoma (Sheng Gancao), Platycodonis Radix (Jiegeng), Angelicae Sinensis Radix Tail (Guiwei), Trichosanthis Radix (Huafen), Gardeniae Fructus (Shanzhi), Puerariae Radix (Gange), Scrophulariae Radix (Xuanshen), Schizonepetae Herba (Jingjie), Chuanxiong Rhizome (Chuanxiong), Forsythiae Fructum (Lianqiao), Ginseng Radix et Rhizoma (Renshen), Aurantii Fructus Immaturus (Zhike), Poria (Fuling), Citri Reticulatae Pericarpium (Chenpi), Saposhnikoviae Radix (Fangfeng), Coptidis Rhizoma (Huanglian).
7. Choking-Food Throat Wind (Qiang Shi Hou Feng). Heart meridian heat-toxin causes dry throat without phlegm, panting, and stabbing pain between the heart and lungs. Use Danggui Lianqiao San (Angelica and Forsythia Powder) plus Dahuang (Rhubarb) to promote purgation. If prolonged, it transforms into Feisi Lao (Flying Silk Consumption), endangering life.
Danggui Lianqiao San Ingredients: Angelicae Sinensis Radix (Danggui), Forsythiae Fructum (Lianqiao), Raw Glycyrrhizae Radix et Rhizoma (Sheng Gancao), Platycodonis Radix (Jiegeng), Rehmanniae Radix Preparata (Shengdi), Peucedani Radix (Qianhu), Aurantii Fructus Immaturus (Zhike), Scutellariae Radix (Huangqin), Scrophulariae Radix (Xuanshen), Raw Paeoniae Radix Alba (Baishao), Raw Gardeniae Fructus (Shanzhi), Trichosanthis Radix (Huafen). Decoct with Juncus effusus (Dengcao) water.
8. Tongue-Coiling Throat Wind (Tanshe Hou Feng). The entire chin swells, mouth is locked, tongue curls and swells, with blue veins like earthworms on top, yellow thorn-like growths, and white coating. If teeth are clenched, needle Shaoshang (LU 11).
9. Running-Horse Throat Wind (Zouma Hou Feng). Caused by rich foods and wind-heat. Symptoms include shaking head, clenched teeth, black tongue, and ulcerated throat base (Diding). All indicate death. Alternatively, purple swelling of left/right cheeks, purple swelling of jaw joint, or curled tongue. Needle slightly, and additionally needle three points under the tongue. Do not needle if the tongue is not curled.
10. Top-Tongue Throat Wind (Dingshe Hou Feng). Swelling below the throat and cheeks, tongue curls and stiffens against the hard palate. Delay leads to death. Needle Shaoshang (LU 11), and needle Yuye (Ex-HN 15) and Jinjin (Ex-HN 14).
11. Falling-Frame Wind (Luojia Feng). Mandible drops; long-standing cases are difficult to treat. Administer Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction); moxa Jiache (ST 6) seven moxa cones.
12. Beaded-Throat Wind (Lianzhu Hou Feng). Bead-like growths appear under the tongue, starting with one or two, then multiplying to three, five, seven, or nine. Tongue swells and produces phlegm; first probe to remove phlegm.
13. Pine-Seed Throat Wind (Songzi Hou Feng). Color resembles pig liver, swelling rises, shape like a pine seed, whole throat is red. Qi rebels, closure occurs, inability to eat. Needle the swollen area; blowing powder should focus on removing phlegm. Internal medicine should use Sanhuang (Three Yellows), Shigao (Gypsum), Zhuye (Bamboo Leaf), plus Jingjie (Schizonepeta) and Fangfeng (Saposhnikovia).
14. Bone-Groove Wind (Gucao Feng). Tight pain at the jaw below the ear, slight nodules present, alternating chills and fever like malaria. In adults, caused by emotional disturbances; in children, due to congenital constitution.
15. Heel-Throat Wind (Jiaogen Hou Feng). Emotional stagnation starts from the heel, reaching the throat. Attacks once every six months or year. Moves one acupoint per day, seven acupoints in seven days. Reaching the throat, blisters form like fish bubbles. Main formula: Jingfang Baidu San (Schizonepeta and Saposhnikovia Decoction to Overcome Toxicity). If the water used has a fishy smell, death ensues.
16. Hanging-Leech Wind (Xuanqi Feng). (Also known as Hanging Leech Poison). Arises from upper jiao accumulation of wind-heat and phlegm. Hard palate swells and hangs, shaped like a frog's belly or an egg. Throat closure with full phlegm. Incise to drain purple blood; internally administer Sanhuang Liangge San (Three Yellows Cooling Diaphragm Powder).
17. Yin-Toxin Throat Wind (Yindu Hou Feng). Shaoyin syndrome, pulse is faint, fine, and deep. Spontaneous sweating, sore throat, diarrhea. Also called Kidney Cold Damage. Cold medicines must strictly be avoided. Use Banxia Guizhi Tang (Pinellia and Cinnamon Twig Decoction) or Kujiu Tang (Bitter Wine Decoction). For cold viscera and sore throat, use Honey-processed Fuzi (Aconite Root).
18. Grasping-Mouth Throat Wind (Cuokou Hou Feng). Lips contract like a bag, unable to drink, phlegm obstruction, attacks once a year. Wash lips with Portulaca oleracea (Machixian) decoction; probe phlegm with Xuanmingfen (Mirabilite) mixed with vinegar; bleed Shaoshang (LU 11). This condition involves phlegm-fire in the stomach.
19. Throat Bi (Hou Bi). Swelling and pain with yellow discharge, dark blood. Shape resembles an arm, swelling is sunken like a pit. Face is red, eyes look upward. First probe phlegm; if swelling persists, incise to drain blood.
20. Yin-Toxin Throat Bi (Yindu Hou Bi). Caused by winter damp-cold fire pathogen. Throat swells like a purple plum, slightly black. Aversion to cold, body heat, trembling and fright, lower back pain, cold feet. Blood is dark, throat swelling is hard and dry. Incurable.
21. Alcohol-Toxin Throat Bi (Jiudu Hou Bi). Heart and Spleen fire. Shape like an egg, bright red and shiny, obstructing the throat. Accompanied by chills/fever, headache, neck stiffness and swelling. Bleed; internally administer Nianzi Jiedu Tang (Plantago Seed Detoxification Decoction) plus Gegen (Pueraria).
22. Sudden closure preventing qi flow leading to death is named Hou Bi (Throat Closure). Prick the purple vein in the middle of the wrist with a three-edged needle, or bleed Shaoshang (LU 11).
23. Wind-Heat Throat Bi (Fengre Hou Bi). Swollen and red-purple, shape like a fist, eyes looking upward, high fever and aversion to cold. If voice is hoarse, use lung-moistening herbs. If external swelling exists, apply Jingu San (Golden Hoop Powder).
Ingredients: Dahuang (Rhubarb) - 1 liang (best if penetrating the heart, soaked in wet paper, roasted over stove, soaked in toilet overnight, dried, powdered); Wubeizi (Chinese Gall) fried in vinegar until black - 3 qian; Baizhi (Angelica Dahurica) - 5 qian; Lubifengfang (Honeycomb) honey-fried - 3 qian; Furongye (Hibiscus Leaf) dried - 2 liang; Qianghuo (Notopterygium Rhizome) - 5 qian. Grind to fine powder, store in porcelain bottle. Mix with honey water and apply around the swelling, leaving a central hole to vent toxins.
Note: External redness and swelling can also be treated.
24. Double Tonsil (Shuang Ru E). Located on both sides of the throat base. Resembles nipples, difficulty swallowing.
25. Single Tonsil (Dan Ru E). On either left or right side. Hands and feet feel cold, head and eyes heavy/dizzy, resembling Jue syndrome, shortness of breath nearing death. Apply Wu Zhu Yu (Evodia) powder mixed with rice vinegar to Yongquan (KI 1).
26. Qi Abscess, Throat Closure. Phlegm obstructs throat, chills and fever. Divided into upper, middle, and lower gates; lower gate cases are difficult to treat.
27. Dead Tonsil (Si Ru E). Double or single tonsils close to the throat base, not very painful, hindering diet. Pain worsens with exertion. Long-term blockage causes suffocation and death. Scratch the tonsil 7-8 times to bleed, apply powder, daily until healed. Take Sanhuang Sanchen (Three Yellows and Three Aged Substances). Avoid fried foods, chicken, fish, beef, mutton, dog meat, raw/cold, and stimulating foods.
28. Tonsil Kernel (Ru E He). Both sides resemble nipples. On cloudy days or after labor/anger, neck feels tight like a rope, unable to eat or breathe freely. Years later forms soft bone. Cut away with knife, apply powder.
29. Throat Lichen (Hou Xuan). Whole throat is white. Contemporary doctors often mistake it for Diphtheria. Divided into Rotting Throat Wind Lichen and Weak Syndrome Throat Lichen; these two differ in deficiency/excess.
30. Flying Ulcer (Fei Yang). Due to anger or poisoning by foul toxins, throat suddenly swells and enlarges rapidly, causing death. Blow powder to remove phlegm; internally administer Nianzi Jiedu Tang plus Honghua (Safflower) and Danpi (Moutan Bark). Do not use knife or needle.
31. Wind-Heat Throat Dan (Fengre Hou Dan). Fresh red, turning purple over time. Blowing powder and internal medicine both emphasize removing phlegm. Can scrape skin or needle to bleed to clear heat-toxin.
32. Throat Ding (Hou Ding). Similar to single tonsil. Tonsils are round and large; Ding is elongated and small. Red turns to purple easily; black is incurable.
33. Flowering Ding (Kaihua Ding). Shape like a flower. Cut the root, apply powder, internally administer Sanhuang Liangge Jian (Decoction). Red turns to purple easily; black is incurable. Etiology: nasal sweat dripping into tofu, eating dead poultry/beast meat, moldy rice grains in water jars. These three causes lead to flowering ding in the throat.
34. Throat Abscess (Hou Yong). Accumulated heat from rich foods, Stomach fire rushing up. Grows beside the throat base. Swelling/pain like tonsils, but tonsils are round/small, abscess is flat/long. Pain in ear root and cheek, toothache. Drain blood, apply powder, take Sanhuang (Three Yellows).
35. Double/Single Throat Tumor (Shuangdan Hou Liu). Lung heat growing beside the throat, like a longan fruit, wrapped in blood vessels. Painless unless touched. Requires rest and herbal attack. Do not use knife/cautery. Blow mixture of Moschus (Shexiang) 2 parts, Forsythiae (Lianqiao) 1 part, Borax (Bingpian) 4 parts frequently.
36. Throat Boil (Hou Ji). Grows in the tail region (likely referring to uvula or posterior pharynx). Initially feels like a plum pit in the throat/diaphragm, unable to swallow. By day three, moves up to throat. After needle incision, apply Bingpeng San (Ice and Borax Powder). Cause is emotional disturbance; take Siqi Qi Tang (Four Qi Qi Decoction).
37. Qi Dan (Qi Dan). Stagnation, red-purple tendons rise horizontally near the tongue root. First, use a large needle dipped in tung oil, heated red-hot, to needle the horizontal tendon seven times. Then use three small needles in a 'pin' character pattern, needling each large needle hole twice more. Total 49 needles. If tongue root is swollen, moxa three horizontal points below the external throat until smoke emerges from mouth. If no smoke, stop at seven cones. Internally administer Sanhuang Liangge and Erchen Tang.
38. Throat Dan (Hou Dan). Whole throat slightly swollen and red. Needle head and tail to bleed; take Sanhuang Liangge San.
39. Return-Food Dan (Huishi Dan). Also known as Dian Qi or Plum-Pit Qi. Generated by qi stagnation and hot phlegm. Two hard strips on both sides of throat. Red color indicates Dian Qi. Bean-sized lump under the uvula indicates Plum-Pit Qi. If no nodule under the ding, it is fixed below the anterior tongue root, or green tendons tie to the palate on left/right, or purple spots like beans, or white-green like clam meat/peach gum on tongue root, or red tendons hanging on sides. Long-term causes chest/back pain, belching, sensation of insects in throat, obstruction. Touch causes pain. Incise to bleed, apply powder, daily. Moxa 1-5 points outside throat until smoke appears; if no smoke, moxa nine cones.
40. Qi Zi Hou (Qi Zi Throat). Pearl-like growth in throat, red or purple-white, painful upon touch. Triggered by emotional stress, leads to sighing over time. Pierce pearl to bleed, then apply powder.
41. Seven-Star Sore (Qixing Chuang). Spleen heat. Upper palate belongs to Spleen. Blisters form like millet or pearls, yellow or white. Foul mouth odor, cold hands/feet, aversion to cold. Wipe sores with cloth soaked in bitter tea, then apply powder. Abstain from alcohol and sex.
42. Throat Ball (Hou Qiu). External six climatic factors, internal seven emotions. Meat ball grows in throat, size of longan, root like thread, over five cun long, connected to lungs. Must spit out ball to eat. Light pulling causes heart-piercing pain. Take Yiqi Shufeng Tang (Qi-Tonifying Wind-Dispersing Decoction): Shengma, Gegen, Fangfeng, Zisu, Jiegeng, Qianhu, Baishao, Bajieli, Shengdi, Danggui, Chuanxiong, Sheng Gancao, Huangqin, Maidong, Lianqiao, Qingpi. Decoct in water. Further, grind 2 qian of Moschus, divide into two doses, mix with water to drink; or take Muxiang San three times. Root dissolves and heals.
43. Throat Guan Wind-Heat-Toxin (Hou Gan Feng Re Du). Whole throat rotten and foul-smelling. Difficult to treat in elderly patients.
44. Mouth Ulcer (Kou Chuang). Accumulated heat. Ulcers throughout mouth, yellow and white.
45. Running-Horse Gum Disease (Zouma Ya Gan). Yangming damp-toxin. Gums turn black and rot, fall off with foul odor, spread instantly, perforate cheeks and lips, enter throat. Incurable.
46. Pearl Poison (Zhenzhu Du). Fetal heat. Pearls on tongue, initially purple-red, then white-yellow, painful. Pierce to bleed, wipe with bitter tea, apply powder. Internally administer Sanhuang Liangge San.
47. Hanging Abscess (Xuan Yong). Grows on hard palate, shape like purple plum, hangs down touching tongue. Unable to speak, extend tongue, or lower head. Red nasal discharge. Pierce abscess head to bleed, rinse blood with salt water, apply powder. Internally administer Jingfang Baidu San.
48. Hanging Ding (Xuan Ding). Fire-heat. Throat base suddenly swells purple and hangs, off-center or downward. Difficulty swallowing. Do not incise with knife; blow powder. Or use Wulongwei (Euphorbia fischeriana root) with salt (fried), apply with chopstick tip, lie supine with pillow for a while.
49. Phlegm Bubble (Tan Pao). Phlegm-fluid riding fire, condensing under tongue, forming soft bubble/swelling. Hinders speech, painful. Incise, drain yellow phlegm and dregs, press clean, apply Bingpeng San. Take Erchen Tang plus Huangqin, Huanglian, Bohe.
50. Double Tongue (Chong She). Small tongue grows underneath; eventually large tongue curls and hurts, unable to eat, submental swelling/hardness. Needle Jin-Yu two points and swollen small tongue area to bleed.
51. Lotus Ornament Tongue (Lianhua Dian She). Swelling under tongue, pain producing five peaks. Three peaks is mild, seven peaks is severe. Needle both side peaks, scrape with knife to bleed and apply powder. Do not needle center peak.
52. Wooden Tongue (Mu She). Hard as pangolin scales. When seeing people, tongue curls into a fist. Aversion to cold, high fever, slurred speech. Take Huanglian Xiexin Tang (Coptis Decoction to Drain the Heart). Dot with knife to bleed, needle Jinjin and Yuye.
53. Qin Tongue (Qin She). Due to alcohol toxin, mental labor, qi stagnation. Four holes in tongue. Bleeding from holes indicates complete syndrome. Two or three holes in middle or sides. Seven or eight holes are difficult to treat. Elderly incurable. If black heart, dissolve large ones with medicine, pick small ones with knife/needle. Clean with medicinal water, then apply powder. Internally administer Sanhuang Liangge San. If tongue remains stiff or wound fails to close, death ensues.
54. Bladder Tongue (Pao She). Phlegm-fire invading Heart meridian. Tongue suddenly swells full, soft like pig bladder, painless, drooling, hinders speech. Check under tongue; if blue sore like crab eye, must pierce. Drains phlegm like egg white. Rinse with warm water, apply Ice, Borax, Mirabilite. Internally administer Erchen Tang.
55. Double Palate (Chong E). Sores on tongue like bayberry, causing irritability. Take Ganjie Tang, Huanglian Jiedu Tang. If phlegm forms hard kernel, apply Bingpeng San, internally administer Jiawei Erchen Tang.
56. Sparrow Tongue (Que She). Heat accumulating in Heart/Diaphragm, growing on tongue side. Cut away, apply Shengji San (Flesh-Generating Powder), internally administer Sanhuang Liangge San.
57. Sucking Tongue Abscess (Za She Yong). Abscesses at both ends of gums, bad breath, drooling, short/large tongue tip. Unbroken: needle to bleed, apply powder. Broken: internal support.
58. Curling Tongue Abscess (Juan She Yong). Heart meridian wind-heat. Grows under tongue, left/right/center. Shape like longan or date pit. Swelling/pain, hinders speech, tongue curls purple/hard. Dot with knife to bleed, apply powder. Internally administer Huanglian Xiexin Tang.
59. Dead Tongue Abscess (Si She Yong). Heat-toxin. Tongue looks like dead white coating, like wooden tongue but this is swollen and white. Scrape white skin with knife. Apply Zhuifeng San plus Ice, Moschus, Qingpi, Ganjiang powder to wipe whole mouth. If severe swelling, needle Jin-Yu to bleed. If pus forms in 5-7 days, needle above/below to drain pus for cure. If draining black blood and color doesn't change after treatment, death ensues.
60. Nosebleed/Tongue Bleeding (Xue Nu). Holes like needle pricks on tongue, continuous bleeding. Belongs to Heart fire.
61. Turtle-Crack Tongue (She Shang Guiwen). Caused by excessive worry and lack of sleep. Tongue pain without skin, pale white spots. Severe cases have depressed turtle-crack patterns. Pulse is deficient, no thirst. Take Siwu Tang plus Zhimu, Huangbai, Danpi, Rougui. If tongue is hard, apply Bai (Cypress bark) 1 liang, Qingdai (Indigo Naturalis) 3 qian, Gui (Cinnamon) 1 qian, Bing (Ice) 2 fen as powder.
62. Gum Abscess (Ya Yong). Spleen/Stomach fire erupts, poison grows on gums, bean-sized or finger-sized, purple/swollen/hard/painful. Head/neck stiffness, aversion to cold/fever. Press needle handle on lesion; if soft, it is the head. Incise to drain pus/blood, apply powder.
63. Gum Ding (Ya Ding). Poisonous/foul food toxins invade Yangming, grow in gum gaps. Gums swell high and protrude, severe pain radiating to cheek. Breaks and bleeds. After draining blood, apply powder, take Sanhuang Liangge or Qianjin Neituo. Use as appropriate.
64. Gum Recession (Ya Xuan). Continuous bleeding from gum gaps. Spleen above, Stomach below. Vomiting blood/phlegm in liters/shots is difficult to save.
65. Cheek-Hugging Abscess (Dou Sai Yong). Wind-heat warm toxin. Grows on both sides or one side below cheek. Like intraoral swelling. Incise to drain blood, later drain pus. Early stage with headache/chills/fever: take Jingfang Baidu San.
66. Face/Cheek Black Swelling Syndrome (Mian Sai Zhonghei Zheng). Face black and swelling downwards, both cheeks swollen, throat qi closed. Basin of boiling hot water to wash hands/feet. See throat exhale air, needle Shaoshang (LU 11). If blood appears, treatable. Blow Zhuifeng San inside cheek and at gum ends.
67. Sweating-induced Abscess, same treatment.
68. Cold Damage after 8-9 days, throat swelling/closure, heat enters Heart/Spleen.
69. Yin Sore (Yin Chuang). Grows left/right beside pharynx, formed by wind-damp stagnation, caused by fried/grilled foods. Wash hands/feet frequently with boiling hot water. Internally administer Erchen Tang.
70. Throat Swelling (Hou Zhong). Spleen meridian major toxin. Caused by intercourse after drinking; wine qi does not circulate, gathers at throat root. If not treated quickly, toxin closure causes death. First remove phlegm/saliva, apply powder.
71. Lock-Throat Abscess (Suo Hou Yong). Heart and Small Intestine fire. Starts at Tinghui (GB 2), notes Xuanying side. Initially [missing character], unable to eat, blocked, red/swollen/hot, gradually suppurates. Soft and distending pain: needle. Early stage external application: Lugworm, Moschus, Ice pounded and applied. Internally: Danggui Lianqiao San. Internal closure: Niuhuang Qingxin Wan (Calculus Bovis Heart-Clearing Pill). Long duration: Qianjin Neituo San.
72. Toad Plague (Hamawen). Infectious toxin. Swelling of eyes/nose/face belongs to Yangming; swelling of temples/ears belongs to Shaoyang.
All acupuncture practitioners must know the three tendons under the tongue; injuring them causes uncontrolled bleeding. Besides these three tendons, any swollen/purple area should also be needled to bleed. One cannot solely rely on Jinjin and Yuye points!
Note: There are versions by Jiao, Wu, and Zhang for the 72 Throat Syndromes, with different treatments. This text is largely similar to Jiao's version with minor differences. Readers should focus on pulse differentiation in the differing parts. There are also Tieya Daoren's 72 Throat Syndromes and 72 Oral/Dental Syndromes, to be published subsequently.