喉证初起，一寒战而生者，发后身凉，口不碎，又无重舌，或二便俱利，不要认作热
证，皆由阳虚寒冷而发也。其痰不可提尽，此痰即身内之精神所化，与牙关紧乳蛾HT 舌之
痰，毒种一气。必流尽毒而愈者不同，若一流尽，则精神竭而必死。先以药吹之，或以
水漱之法，使一通便服药，初剂发散和解，二剂即用温补滋养，设三四日后，再发寒战，或
心痛、胁痛、骨痛、等证，死不治。
发时牙关紧急，喉舌俱胀，口碎而臭，或有重舌，或舌上有黄屑屑者，发后，下午再
发微寒热，大小便闭结者，即作热证。用石膏败毒散主之，证亦易愈。如渐起之证，三
四日后而发寒热者，虽凶不害。惟有证未减，而牙关反不紧急，唇不肿，而如好人者，不
治。舌肿满口者，不治。色如蒲桃、茄子，如砂纸者，不治。或连重舌，发寒热，犹可治
也。
重舌，捺之色雪白，捺舌一起，即紫色，或红色，此身内气血已死，然口臭者，犹可
望生。最忌口渴气急，痰多而稠，如桃胶者，死期甚速。一颈全红肿者，亦极危也。面红
带紫，面青带白，神气少者，俱不治。不语者死。略能语者，尚有生机。面色少神气，而
好坐低处者，亦难治。喉内之喉花，为帝中，性命所关。舌下紫筋，为舌系，通于肾，白
肿不治，伤之即死，亦性命所关也。
舌痈证，舌红肿大，属心经火盛，地角亦红肿，吹药用青黄各半，吹至舌根，煎剂
多用黄连、山栀、犀角。
木舌证，生舌根下，状如白枣，有青紫筋者，不能速愈，半月方痊。如初起，不作
痛，不发寒热，渐渐肿大，起发愈迟，则愈难痊。皆因忧郁而起，内服煎药，外用青药
加黄药，初时或青黄兼用，后单用黄药者。又有一种，舌肿硬不能举动者，亦名木舌，治
法同。舌下又生舌，名曰重舌，或肿面肿腮，先在外见，但有脓处，即用利刀出血，次针
舌下两边青筋出血，宜早治，迟则烂下舌根而死矣。
舌菌证，属心经，多因气郁而生，生于舌上，如菌状，或如木耳，红紫色。
紫舌胀证，属心火，内必烦躁闷乱，单用青药吹，内服犀角地黄汤，可渐愈。
悬痈，生于上颚，紫色泡，如豆大，用银针脚挑破出血，凉药吹之。
牙槽风证，初起先齿痛不已，后牙龈内浮肿，紫黑色，或出血，久则腐烂而臭，难
速愈。
牙漏证，即前证久不愈，齿缝中出白脓，是也，极难调治。如上左边门牙落者，不治。
此证属胃火肾虚。
搜牙床，此证初起，牙床必肿痛，当用披针出其血，后用青盐擦之，若屡用披针，日
久骨自露者，难治。
牙痈证，一名牙蜞风，牙龈肿病，毒盛成疮，初起有小块，生于牙龈肉上，或上或
下，或内或外，其状高硬，若生泡，针出脓血而愈，硬浓成疹状者，施麻药京墨如法割
之，烙铁烫过，自愈。
牙咬证，生牙尽处骱中，齿不能开，热势凶，至夜尤甚，然易愈，不害命。
牙HT 证，属胃火，如豆大，或内或外，无定处。
牙宣证，乃缝中出血，上属脾，下属胃，
因阳明经实火上攻而出也，必有胃火虚动。腐烂牙龈，以致淡血常常渗漏也。
牙菌证，生牙龈，其状紫花色，高起如菌状，此乃血热而兼气滞也。
穿牙疔证，先二日牙痛，发寒热，后痛不可忍，牙龈上发一块紫色，是也。
穿牙毒，即前证，初起未破者疔，已破者毒，色红者可治，青者死。
崩砂疳口风证，自舌下牙龈上肿赤，口内作 ，如渴热，牙龈渐烂，亦能脱齿为患。
连珠疳口风证，自舌下起小泡，初起一个又一个，甚者三五七八九，连珠而生。
鱼风证，系危病，如鱼吸水，故名，死不治。
走马牙疳证，大人患者，即霉疮毒攻，小儿患者，或因胎毒，或因痘后余毒，齿龈腐
烂成疳，杀人最速。鼻梁发红点如珠者，不治。其色如干酱，一日烂一分，二日烂一寸，
故名走马，言其速也，有齿者落尽而死矣。用黄药吹，宜服芦荟消疳饮。
牙疳五不治。口臭涎秽者，不治。黑腐脱烂者，不治。牙落无血者，不治。穿腮破
唇者，不治。用药不效者，不治。
鹅口疳证，一名雪口。初生小儿，满口连舌上生白屑，如鹅口样，故名。
马牙证，初生小儿，先受胎毒热气，出胎后受风，风热相搏即生，但看牙龈上有白
色脆骨者，即是。其初发也，出胎时即打喷嚏，已冒外风，伏马牙之根矣。若延至吮乳
时，尚不知觉察，病深且危，故不急治者，即死。切勿误认作黄胆之类，出胎时即当看，日
日要挑，至三四日病即成，五六日坚硬难治矣。甚有发而再发者，大约百日外，方免此
患。
凡口疳黑腐而臭者，不治。小儿胎疳黄色如干橘瓤者，不治。
凡小儿走马牙疳，及大人骨槽风，须防落牙。至上门牙偏左一牙，是牙中之王，此
牙一落，余牙必落，最重，难治。此牙不落，
余牙尚可治。
凡治口疳，须用棉花，或丝棉，卷在箸上，轻搅患处，然后吹药。凡唇上疳难吹药
者，或蜜调，或温水润，再敷。
凡面上放光而色白者，不治。或放光而色红者，可治。屡试屡验。所谓放光者，面
上绷急而放光也。
乳蛾，生喉间，形如乳头。
凡针乳蛾，宜针头尾，不可针中间，鲜血易治，黑血难治。凡使刀针，不可伤蒂疔
及舌下根。悬痈，生上颚，如紫李，宜针破。腮痈生腮下，先用吐法，再针紫黑处，去瘀
血。喉痈，命门合相火也，如灌脓，即以银针挑破之。牙痈肿痛，亦灌脓也，宜挑之。
喉瘤，生于喉旁，形如圆眼，血丝相裹，不可用刀针，极熟者，以笔针刺之（岩按∶用笔针
法见《喉科枕秘》）。
喉八证辨。手少阴少阳二脉，并系喉，气热则内结肿胀，痹而不通则死。其不通之证
有八∶曰双乳蛾；曰单乳蛾；曰双闭喉；曰单闭喉；曰子舌胀；曰木舌胀；曰缠喉风；曰
走马喉闭。热气上行，故传于喉之两旁，向外作肿，以其形似，是谓乳蛾。一为单，二
为双。较乳蛾差小者，名闭喉。热结舌下，复生一小舌，名子舌胀。热结于舌中，而舌为
之肿，名木舌胀。木者，木强而不仁之谓。热结于喉，肿绕于外，且麻且痒，且肿且大者，
名缠喉风。暴发暴死者，名走马喉闭。此八者，皆属诸火，微者咸以软之，甚者下以散
之。至于走马喉闭，生死在于反掌，急砭刺出血，病亦可愈。
咽喉属于肺，有虚火实火之分，紧喉慢喉之证。虚火者，思虑过多，中气不足，碍
若虾皮，刺如茅草，喘急多痰，不可误投凉剂；实火者，纵饮恣意，积热所致，甚者风
痰上壅，咽门闭塞，滴水不久，声音不出，此为紧急喉风。用药不及，惟针刺喉间，发泄
毒血，次则拔发咬指，吐痰嗅鼻，乃效。若夫痈、痹、蛾者，皆标病，虽重无妨。凡喉
闭不刺血，喉风不倒痰，喉痈不放脓，喉痹乳蛾不针烙，皆非法也。其有痰火劳嗽，咳
伤咽喉者，坎水已竭，离火为殃，虽存济世之心，莫补回天之力，红羊大劫，满目疮痍，
吾子孙有挟吾术以济世者，务必确守吾言。
喉证初起时，若因一阵寒战而发作，随后身体变凉，口腔没有溃烂，也没有重舌（舌下复生一小舌），或者大小便通畅，不要将其误认为热证，这都是由阳气虚弱、感受寒冷所致。此时体内的痰液不可强行清除干净，因为这痰是由体内精气神所化生的，与牙关紧闭、乳蛾（扁桃体肿大）、舌部疾病中的痰不同，那些是毒邪积聚所致。必须将毒邪排尽才能痊愈；如果强行将这种精气之痰排尽，则精神耗尽，必然死亡。治疗上先用药物吹喉，或以水漱口的方法，使大便通畅后再服药。第一剂药用于发散和解，第二剂药即改用温补滋养之法。如果在三四日后再次出现寒战，或伴有心痛、胁痛、骨痛等症状，属于死证，无法救治。
发病时牙关紧急，喉咙和舌头都肿胀，口腔溃烂且口臭，或有重舌，或舌面上有黄色碎屑，发病后下午再次出现轻微寒热，大小便闭塞不通的，就作为热证处理。使用石膏败毒散主治，此证也容易治愈。如果是逐渐发展的病症，三四日后才出现寒热的，虽然凶险但不会致死。唯有症状没有减轻，但牙关反而不紧急，嘴唇不肿，看起来像正常人一样的，无法救治。舌头肿胀充满口腔的，无法救治。舌色像葡萄、茄子，或像砂纸一样粗糙的，无法救治。如果伴有重舌，并出现寒热症状，还可以治疗。
重舌，按压时颜色雪白，松开手后立刻变成紫色或红色，这说明体内气血已经坏死，但如果患者口臭，还有希望生存。最忌讳的是口渴气急，痰多且粘稠，像桃胶一样，这种情况下死亡很快。颈部全部红肿的，也极其危险。面色红中带紫，或青中带白，神情衰弱的，都无法救治。不能说话的会死亡。稍微能说话的，还有生机。面色缺乏神采，喜欢坐在低处的，也难以治疗。咽喉内部的“喉花”，关系到帝中（指咽喉要害部位），关乎性命。舌下的紫筋，称为舌系，与肾脏相通，如果舌系发白肿胀无法救治，损伤它立即死亡，这也关乎性命。
舌痈证，舌头红肿增大，属于心经火盛，地角（下颌角）也红肿，用药吹喉时青色和黄色药粉各半，吹至舌根，煎剂多用黄连、山栀、犀角。
木舌证，生于舌根下方，形状像白枣，如果有青紫色的筋脉，不能快速痊愈，需半个月才能康复。如果初起时不痛，不发寒热，渐渐肿大，发作越迟，越难痊愈。这都是由忧郁引起，内服煎药，外用青药加黄药，初时可能青黄兼用，后来单用黄药。还有一种情况，舌头肿胀僵硬不能动，也叫木舌，治疗方法相同。舌下又生出一个小舌，名叫重舌，或者腮帮子肿胀，先从外部显现，只要有脓的地方，就用利刀放血，然后针刺舌下两边的青筋放血，宜早治疗，迟了就会舌根腐烂而死。
舌菌证，属于心经，多因气郁而生，长在舌上，像菌类，或像木耳，呈红紫色。
紫舌胀证，属于心火，内部必然烦躁闷乱，单用青药吹喉，内服犀角地黄汤，可以逐渐痊愈。
悬痈，生于上颚，呈紫色水泡，如豆子大小，用银针脚挑破出血，用凉药吹之。
牙槽风证，初起先是不停地牙痛，后来牙龈内浮肿，呈紫黑色，或出血，久了则腐烂发臭，难以快速痊愈。
牙漏证，就是前一种病久治不愈，齿缝中流出白色脓液，极难调理治疗。如果是左上边的门牙脱落，无法救治。此证属于胃火肾虚。
搜牙床，此病初起，牙床必定肿痛，应当用披针放出血液，后用青盐擦拭，如果屡次使用披针，日久骨头自然露出，难以治疗。
牙痈证，一名牙蜞风，牙龈肿痛，毒盛成疮，初起有小块，生于牙龈肉上，或上或下，或内或外，形状高硬，如果起泡，针刺出脓血即可痊愈；如果硬脓形成疹状，施以麻药和京墨，依法割除，用烙铁烫过，自愈。
牙咬证，生在牙齿尽头关节处，牙齿不能张开，热势凶猛，到了夜晚尤其严重，但容易痊愈，不危及生命。
牙疳证（原文作HT，推测为疳），属于胃火，如豆大，位置不定，或内或外。
牙宣证，乃齿缝中出血，上属脾，下属胃，因阳明经实火上攻而出，必有胃火虚动。导致牙龈腐烂，以致淡血常常渗漏。
牙菌证，生在牙龈，形状紫花色，高起如菌状，这是血热兼气滞所致。
穿牙疔证，先牙痛两日，发寒热，后来疼痛难忍，牙龈上发一块紫色，即是此证。
穿牙毒，即前一种病，初起未破的叫疔，已破的叫毒，色红者可治，色青者死。
崩砂疳口风证，从舌下牙龈上肿赤，口内感觉不适，如渴热，牙龈渐烂，也能导致牙齿脱落为患。
连珠疳口风证，从舌下起小泡，初起一个接一个，严重的有五六个七八九个，像连珠一样生长。
鱼风证，属于危重病，像鱼吸水一样，故名，死证，无法救治。
走马牙疳证，大人患病，即霉疮毒攻入，小儿患病，或因胎毒，或因痘后余毒，齿龈腐烂成疳，杀人最快。鼻梁发红点如珠的，无法救治。其色像干酱，一天烂一分，两天烂一寸，故名走马，形容其速度快，有牙齿的人会落尽而死。用黄药吹喉，宜服用芦荟消疳饮。
牙疳五不治：口臭涎秽的，不治。黑腐脱烂的，不治。牙落无血的，不治。穿腮破唇的，不治。用药无效的，不治。
鹅口疳证，一名雪口。初生婴儿，满口连同舌上生白屑，像鹅口样子，故名。
马牙证，初生婴儿，先受胎毒热气，出胎后受风，风热相搏即生，只要看牙龈上有白色脆骨的，即是。其初发时，出胎时就打喷嚏，已冒外风，潜伏着马牙的病根。如果拖延到吮乳时，还不知道觉察，病深且危，所以不紧急治疗的，就会死亡。切勿误认作黄疸之类，出胎时就应当查看，每天要挑治，到三四天病即成形，五六天坚硬难治。甚至有发了又发的，大约百日外，才免除这个祸患。
凡是口疳黑腐而臭的，不治。小儿胎疳黄色像干橘瓤的，不治。
凡是小儿走马牙疳，及大人骨槽风，须防掉牙。上门牙偏左的一牙，是牙中之王，这颗牙一掉，其余牙齿必掉，最重，难治。这颗牙不掉，其余牙齿尚可治疗。
凡是治疗口疳，须用棉花，或丝棉，卷在筷子上，轻轻搅动患处，然后吹药。凡是嘴唇上的疳难吹药的，或用蜜调匀，或用温水润湿，再敷上。
凡是脸上放光而色白的，不治。或放光而色红的，可治。屡试屡验。所谓放光，是指面部绷急而有光泽。
乳蛾，生在喉间，形状像乳头。
凡是针刺乳蛾，宜针头尾，不可针中间，鲜血易治，黑血难治。凡是用刀针，不可伤蒂疔及舌下根。悬痈，生在上颚，像紫李子，宜针破。腮痈生在腮下，先用吐法，再针紫黑处，去瘀血。喉痈，命门合相火也，如灌脓，即以银针挑破之。牙痈肿痛，也是灌脓，宜挑破。
喉瘤，生在喉旁，形状像圆眼（龙眼），血丝包裹，不可用刀针，极熟的，用笔针刺之（按：用笔针法见《喉科枕秘》）。
喉八证辨。手少阴、少阳二脉，都联系喉咙，气热则内部结聚肿胀，痹阻不通则死。其不通的证候有八种：曰双乳蛾；曰单乳蛾；曰双闭喉；曰单闭喉；曰子舌胀；曰木舌胀；曰缠喉风；曰走马喉闭。热气上行，所以传于喉咙两旁，向外肿胀，因其形状相似，称为乳蛾。一个是单侧，两个是双侧。比乳蛾稍小的，叫闭喉。热结在舌下，又生一个小舌，叫子舌胀。热结在舌中，舌头为之肿胀，叫木舌胀。木，指木强而不灵敏的意思。热结在喉，肿胀环绕外部，且麻且痒，且肿且大的，叫缠喉风。暴发暴死的，叫走马喉闭。这八种，都属于诸火，轻微的用咸味药软化它，严重的用泻下药消散它。至于走马喉闭，生死在于反掌之间，急用砭石刺出血，病也可愈。
咽喉属于肺，有虚火实火之分，紧喉慢喉之证。虚火者，思虑过多，中气不足，感觉碍若虾皮，刺如茅草，喘急多痰，不可误投凉剂；实火者，纵饮恣意，积热所致，严重的风痰上壅，咽门闭塞，滴水不进，声音不出，此为紧急喉风。用药来不及，只有针刺喉间，发泄毒血，其次是拔发咬指，吐痰嗅鼻，才有效。至于痈、痹、蛾者，都是标病，虽然重也无妨。凡是喉闭不刺血，喉风不倒痰，喉痈不放脓，喉痹乳蛾不针烙，都不是合法的治疗。如果有痰火劳嗽，咳伤咽喉者，坎水（肾阴）已竭，离火（心阳）为殃，虽然有济世之心，没有回天之力，面临大劫，满目疮痍，我的子孙中有凭借我的医术济世的，务必严格遵守我的话。
At the initial stage of throat disorders, if the onset is accompanied by a chill, followed by a cooling of the body, no oral ulceration, no double tongue (a small extra tongue growing beneath the main tongue), or unobstructed urination and defecation, do not mistake it for a heat syndrome. These are all caused by Yang deficiency and cold invasion. The phlegm in this condition should not be completely expectorated, as this phlegm is transformed from the body's essence and spirit, differing from the phlegm associated with lockjaw, tonsillar hypertrophy (swollen tonsils), or tongue diseases, which are due to toxin accumulation. Recovery requires the expulsion of toxins; if this essence-transformed phlegm is forcibly cleared, the spirit will be exhausted, leading to death. Treatment should first involve insufflating medicine into the throat or using a water-rinsing method to facilitate bowel movement before administering herbal decoctions. The first dose should focus on dispersing and harmonizing, while the second dose should switch to warming, tonifying, and nourishing. If after three or four days chills recur, or symptoms such as heart pain, hypochondriac pain, or bone pain appear, it is a fatal condition that cannot be treated.
When the disease manifests with lockjaw, swelling of the throat and tongue, oral ulceration with foul breath, double tongue, or yellow flakes on the tongue, followed by mild chills and fever in the afternoon, and constipation of urine and stool, it should be diagnosed as a heat syndrome. Treat primarily with Shigao Baidu San (Gypsum Toxin-Resolving Powder); this condition is also relatively easy to cure. For gradually developing conditions where chills and fever appear after three or four days, although severe, they are not necessarily fatal. However, if symptoms persist without improvement, yet the jaw is not locked, lips are not swollen, and the patient appears normal, it is incurable. Tongue swelling filling the mouth is incurable. A tongue color resembling grapes or eggplant, or rough like sandpaper, is incurable. If accompanied by double tongue and chills/fever, it may still be treatable.
For double tongue, pressing reveals a snow-white color, which immediately turns purple or red upon release, indicating that the internal Qi and Blood have died. However, if there is foul breath, survival is still possible. The most ominous signs are thirst, rapid breathing, excessive thick phlegm resembling peach gum, indicating imminent death. Generalized neck redness and swelling are also extremely critical. A face red with purple tints, greenish-white, or lacking spiritual vitality is incurable. Inability to speak indicates death; slight ability to speak suggests a chance of survival. A dull complexion with a preference for sitting low is difficult to treat. The "throat flower" within the throat relates to the vital center and concerns life itself. The purple vein under the tongue, known as the lingual frenulum, connects to the Kidney; white swelling here is incurable, and injury leads to immediate death, also concerning life.
Lingual carbuncle (She Yong) presents with red, swollen, enlarged tongue, belonging to excess Fire in the Heart Meridian, often with swelling at the mandibular angle. Insufflate equal parts of blue and yellow powders to the tongue root; decoctions should heavily use Coptis Rhizome (Huanglian), Gardenia Fruit (Shanzhi), and Rhinoceros Horn (Xijiao).
Wooden tongue (Mu She) arises below the tongue root, resembling a white date. If accompanied by cyanotic veins, recovery takes half a month. If initial onset involves no pain or chills/fever but gradual swelling, delayed onset implies greater difficulty in recovery. This is caused by depression. Internal decoctions combined with external application of blue powder plus yellow powder are used; initially mixed, later yellow powder alone. Another variant involves a stiff, immobile swollen tongue, also called wooden tongue, treated similarly. An additional tongue growing under the tongue is named double tongue. Swelling of cheeks may appear externally first; any pus must be lanced with a sharp knife to drain blood, followed by pricking the cyanotic veins on both sides under the tongue. Early treatment is crucial; delay leads to rotting of the tongue root and death.
Tongue fungus (She Jun) belongs to the Heart Meridian, often arising from Qi stagnation. It grows on the tongue like a mushroom or wood ear fungus, appearing reddish-purple.
Purple tongue swelling (Zi She Zhang) belongs to Heart Fire, accompanied by internal irritability and restlessness. Use blue powder insufflation alone, combined internally with Xi Jiao Di Huang Tang (Rhinoceros Horn and Rehmannia Decoction) for gradual recovery.
Suspension abscess (Xuan Yong) occurs on the hard palate, presenting as purple blisters bean-sized. Puncture with an silver needle to bleed, then apply cooling powder.
Alveolar periostitis (Yacao Feng) begins with persistent toothache, followed by gingival swelling, turning purplish-black or bleeding. Long-term results in rotting and foul odor, difficult to cure quickly.
Dental fistula (Yalou) is the chronic non-healing form of the above, with white pus exuding from gum margins. Extremely difficult to manage. If the upper left incisor falls out, it is incurable. This condition belongs to Stomach Fire and Kidney Deficiency.
Sweeping the gum bed (Sou Yachuang): Initial stage features painful, swollen gums. Prick to bleed, then rub with green salt. Repeated pricking leading to exposed bone is difficult to treat.
Dental carbuncle (Ya Yong), also known as Yaqi Feng, involves swollen, painful gums where toxicity forms sores. Small hard nodules appear on the gum tissue, anywhere up, down, inside, or outside. If blistered, puncture to drain pus and blood for cure. If hardened pus forms rash-like lesions, apply local anesthesia and Jingmo (Beijing Ink), cut according to protocol, and cauterize with a hot iron for self-healing.
Tooth-locking disorder (Ya Yao Zheng) occurs at the end of the teeth near the joint, preventing mouth opening. Severe heat, worse at night, but easily cured and non-fatal.
Dental kan (Ya HT/Zheng) belongs to Stomach Fire, bean-sized, location variable inside or outside.
Dental spouting (Ya Xuan Zheng) involves bleeding from gum margins, relating to Spleen (upper) and Stomach (lower), caused by excess Fire attacking upward from the Yangming Meridian, involving vacillating Stomach Fire. Rotting gums lead to constant leakage of pale blood.
Dental fungus (Ya Jun Zheng) grows on gums, purple-flowered, raised like a mushroom, caused by Blood Heat combined with Qi Stagnation.
Penetrating dental ding (Chuan Ya Ding Zheng): Two days of toothache and chills/fever precede unbearable pain, with a purple patch appearing on the gums.
Penetrating dental toxin (Chuan Ya Du): Same as above; unbroken initially is Ding, broken is Du. Red color is treatable; black is fatal.
Bengsha Gan Koufeng Zheng: Swelling and redness start from the lower gum under the tongue, causing discomfort and heat sensation in the mouth. Gums rot progressively, potentially causing tooth loss.
Lianzhu Gan Koufeng Zheng: Small blisters arise under the tongue, appearing sequentially. Severe cases may have five to nine blisters linked like beads.
Fish Wind (Yu Feng Zheng): A critical illness, named for its resemblance to a fish sucking water. Fatal and incurable.
Running Horse Dental Kan (Zouma Yagan Zheng): In adults, caused by Meichuang (syphilis) toxin attack; in children, due to fetal toxin or residual toxin after smallpox. Gingival rotting into kan kills rapidly. Red spots on the nose bridge like pearls indicate incurability. Color like dried sauce, rotting one fen per day and one cun per two days, hence "running horse" for speed. Teeth fall out until death. Insufflate yellow powder; administer Lushui Xiaogan Yin (Aloe Vera Toxin-Resolving Drink).
Five Incurable Conditions of Dental Kan: 1. Foul breath and turbid saliva; 2. Black rotting and shedding; 3. Tooth loss without bleeding; 4. Cheek penetration and lip rupture; 5. Ineffectiveness of medication.
Goat Mouth Kan (E Kou Gan Zheng), also known as Snow Mouth: Occurs in newborns, with white flakes covering the mouth and tongue, resembling a goat's mouth.
Horse Teeth (Ma Ya Zheng): Newborns, initially affected by fetal heat/toxins, then wind exposure post-birth. Wind-heat interaction causes it. Presence of brittle white bone on gums confirms diagnosis. Sneezing at birth indicates external wind invasion, rooting the horse teeth. If unnoticed during breastfeeding, the disease deepens and becomes critical; failure to treat urgently leads to death. Do not confuse with jaundice. Check immediately after birth; daily picking is required. By day 3-4, the disease solidifies; by day 5-6, it becomes hard and difficult to treat. Recurrences may happen; risk generally subsides after 100 days.
Any oral kan with black rot and foul odor is incurable. Infant fetal kan yellow like dried orange pulp is incurable.
For infant running horse dental kan and adult alveolar osteomyelitis, watch for tooth loss. The upper left incisor is the "King of Teeth"; if it falls, others follow, making it the heaviest and hardest to treat. If it remains, other teeth may be saved.
When treating oral kan, wrap cotton or silk around a chopstick, gently stir the lesion, then insufflate medicine. For canker sores on lips difficult to insufflate, mix with honey or moisten with warm water before applying.
Facial glow with white color is incurable; facial glow with red color is treatable. This has been repeatedly verified. "Glow" refers to tight, shiny skin on the face.
Tonsillar hypertrophy (Ru E) grows in the throat, shaped like a nipple.
When needling tonsils, prick the head and tail, not the middle. Fresh blood is easier to treat; dark blood is harder. When using knives/needles, avoid injuring the pedicle and the root under the tongue. Suspension abscess on the hard palate, like a purple plum, should be punctured. Parotid abscess below the cheek: induce vomiting first, then prick purple/black areas to remove stasis. Throat abscess: related to Mingmen and Ministerial Fire; if suppurating, puncture with silver needle. Dental carbuncle swelling/pain also suppurates; puncture accordingly.
Throat tumor (Hou Liu) grows beside the throat, round like a longan, wrapped in blood vessels. Do not use knives/needles. For mature ones, prick with a brush needle (see *Houke Zhenmi* for technique).
Eight Throat Syndromes Differentiated: The Hand Shaoyin and Shaoyang meridians connect to the throat. Heat Qi causes internal knotting and swelling; obstruction leads to death. Eight types of obstruction: Double Tonsils, Single Tonsil, Double Closed Throat, Single Closed Throat, Sublingual Swelling, Wooden Tongue Swelling, Entangling Throat Wind, Running Horse Throat Closure. Rising heat transmits to both sides of the throat, causing outward swelling resembling nipples, hence "Tonsils." Single vs. Double refers to unilateral vs. bilateral. Smaller than tonsils is "Closed Throat." Heat knotting under the tongue creates a small extra tongue, "Sublingual Swelling." Heat knotting in the tongue causes swelling, "Wooden Tongue Swelling" (wood implies stiffness and insensitivity). Heat knotting in the throat causes surrounding swelling, numbness, itching, and enlargement, "Entangling Throat Wind." Sudden onset and death is "Running Horse Throat Closure." All eight belong to Fire. Mild cases soften with salty substances; severe cases dissipate with purgatives. For Running Horse Throat Closure, life hangs in the balance; urgent scarification to bleed can cure the disease.
The throat belongs to the Lung, divided into Deficient Fire and Excess Fire, manifesting as Tight Throat or Slow Throat. Deficient Fire stems from excessive thinking and Middle Qi deficiency, feeling obstructed like shrimp shells, piercing like straw, with panting and phlegm; do not mistakenly use cooling agents. Excess Fire results from indulgence and accumulated heat; severe cases involve wind-phlegm blocking the pharynx, inability to swallow water, and loss of voice, constituting Emergency Throat Wind. If medication is too slow, only needling the throat to vent toxic blood works, followed by pulling hair, biting fingers, inducing vomiting, or nasal insufflation for effect. Carbuncles, obstruction, and tonsils are branch diseases; though severe, they are manageable. Failure to bleed for throat closure, induce vomiting for throat wind, drain pus for throat abscess, or needle/cauterize for throat obstruction and tonsils is illegal practice. For phlegm-fire consumption cough damaging the throat, when Kidney Water (Yin) is exhausted and Heart Fire (Yang) wreaks havoc, even with a benevolent heart, heaven-reversing power is lacking. Facing great calamity and devastation, my descendants who use my art to save the world must strictly adhere to these words.