【方歌】乳蛾肺经风火成，双轻单重喉旁生，状若蚕蛾红肿痛，
关前易治关后凶。
【注】此证由肺经积热，受风凝结而成。生咽喉之旁，状如蚕
蛾，亦有形若枣栗者，红肿疼痛，有单有双，双者轻，
单者重。生于关前者，形色易见，吹药易到，手法易施
，故易治；生于关后者，难见形色，吹药不到，手法难
施，故难治。俱宜服清咽利膈汤，吹冰硼散。易见者脓
熟针之，难见者用鸡翎探吐脓血。若兼痰壅气急声小，
探吐不出者险。急用三棱针刺少商穴，出紫黑血，仍吹
、服前药，缓缓取效。
又方：清咽利膈汤（见紧喉风）
冰硼散（见口部鹅口疮）
【方歌】喉瘤郁热属肺经，多语损气相兼成，形如元眼红丝裹，
或单或双喉旁生。
【注】此证由肺经郁热，更锭多语损气而成。形如元眼，红丝
相裹，或单或双，生于喉旁。亦有损大蒂小者，不犯不
痛，或醇酒炙搏，或因怒气喊叫，犯之则痛。忌用针刀
，宜服益气清金汤以消瘤，碧玉散点之即效。
方剂：益气清金汤
组成：苦桔梗（三钱） 黄芩（二钱）
浙贝母（去心，研） 麦冬（去心）
牛蒡子（炒，研，各一钱五分）
人参 白茯苓
陈皮 生栀子（研）
薄荷 甘草（生，各一钱）
紫苏（五分）
竹叶三十片，水三钟，煎一钟，食远服。滓再煎服
。
【方歌】益气清金肺热攻，注喉成瘤元眼形，陈蒡芩苏苦桔贝，
麦冬栀薄草参苓。
又方：消瘤碧玉散
组成：硼砂（三钱） 冰片
胆矾（各三分）
共研细末，用时以箸头蘸药，点患处。
【方歌】消瘤碧玉点喉瘤，开结通喉热可搜，君以硼砂冰片兑，
胆矾末入患皆瘳。
【方歌】乳蛾（扁桃体炎）由肺经风火所致，双侧发病病情较轻，单侧发病病情较重，生于咽喉两侧，形状像蚕蛾，伴有红肿疼痛，生于喉关前方容易治疗，生于喉关后方则预后凶险。
【注】此病证是由于肺经积热，又受风邪侵袭而凝结形成。生长在咽喉旁边，形状像蚕蛾，也有形状像枣子或栗子的，表现为红肿疼痛，有单侧发病和双侧发病两种情况，双侧发病的病情轻，单侧发病的病情重。生长在喉关前方的，形态颜色容易看见，吹药容易到达，手法容易施展，所以容易治疗；生长在喉关后方的，难以看清形态颜色，吹药难以到达，手法难以施展，所以难治。这两种情况都适宜服用清咽利膈汤，并吹敷冰硼散。对于容易看见且脓液成熟的，用针刺破排脓；对于难以看见的，用鸡毛翎探引呕吐出脓血。如果兼有痰多壅盛、气急、声音低微，且通过探吐无法排出脓血的，情况危险。此时急需使用三棱针刺少商穴，放出紫黑色的血液，然后继续吹敷和服用前面的药物，缓缓取得疗效。
又一方：清咽利膈汤（见紧喉风章节）
冰硼散（见口部鹅口疮章节）
【方歌】喉瘤（喉部肿瘤/息肉）属于肺经郁热，因多说话损伤正气而共同形成，形状像桂圆眼，周围有红丝包裹，或单发或双发，生长在喉咙旁边。也有根部大蒂部小的，不触碰时不痛，但如果饮用纯酒、吃辛辣炙烤食物，或因愤怒喊叫刺激，触犯它就会疼痛。忌讳使用针刀切割，适宜服用益气清金汤来消除瘤体，并用碧玉散点涂患处即可见效。
方剂：益气清金汤
组成：苦桔梗（三钱） 黄芩（二钱）
浙贝母（去除心部，研磨） 麦冬（去除心部）
牛蒡子（炒制，研磨，各一钱五分）
人参 白茯苓
陈皮 生栀子（研磨）
薄荷 甘草（生用，各一钱）
紫苏（五分）
竹叶三十片，水三碗，煎至一碗，饭后服用。药渣再次煎煮服用。
【方歌】益气清金汤针对肺热攻冲，注入喉咙形成类似桂圆眼的瘤体，方中包含陈皮、牛蒡子、黄芩、紫苏、苦桔梗、贝母、麦冬、栀子、薄荷、甘草、人参、茯苓。
[Prescription Verse] Luan'e (Tonsillitis) is caused by wind and fire in the Lung Meridian; bilateral cases are mild, unilateral cases are severe, appearing on both sides of the throat. Its shape resembles a silkworm moth, accompanied by redness, swelling, and pain. Cases occurring anterior to the Fauces (Guanqian) are easy to treat, while those posterior to the Fauces (Guanhou) are ominous.
[Annotation] This condition arises from accumulated heat in the Lung Meridian combined with congealing wind pathogen. It grows beside the pharynx, resembling a silkworm moth, or sometimes like a jujube or chestnut, presenting with redness, swelling, and pain. It may be unilateral or bilateral; bilateral cases are mild, while unilateral cases are severe. Those located anterior to the Fauces (Guanqian) have visible morphology, allowing medicaments to reach easily and techniques to be applied readily, thus making them easy to treat. Those located posterior to the Fauces (Guanhou) have obscured morphology, preventing medicament access and difficult technique application, thus making them hard to treat. Both types should take Qingyan Lige Tang (Clearing the Throat and Benefiting the Diaphragm Decoction) and apply Bingpeng San (Ice and Borax Powder). For visible cases where pus has matured, puncture with a needle; for invisible cases, use a chicken feather to induce vomiting to expel pus and blood. If accompanied by excessive phlegm, rapid breathing, and hoarseness, and vomiting induction fails, it is a critical condition. Urgently prick the Shaoshang acupoint (LU11) with a three-edged needle to release dark purple-black blood, then continue applying and taking the aforementioned medicines for gradual recovery.
Another prescription: Qingyan Lige Tang (see Jin Hou Feng section); Bingpeng San (see Kou Bu E Kou Chuang section).
[Prescription Verse] Houliu (Pharyngeal Tumor) belongs to stagnant heat in the Lung Meridian, formed additionally by qi damage from excessive speech. Its shape resembles a longan nut wrapped in red filaments, appearing singly or doubly on either side of the throat.
[Annotation] This condition results from stagnant heat in the Lung Meridian compounded by qi deficiency due to excessive talking. Its shape resembles a longan nut, wrapped in red filaments, appearing singly or doubly beside the pharynx. Some have a large base and small stalk; they do not hurt when untouched, but if provoked by strong wine, roasted/spicy foods, or anger/shouting, they become painful. Avoid using needles or knives; instead, take Yiqi Qingjin Tang (Tonifying Qi and Clearing Metal Decoction) to resolve the tumor, and apply Biyu San (Jade Green Powder) locally for immediate effect.
Formula: Yiqi Qingjin Tang
Composition: Radix Platycodi (Sanqian, 3 qian), Radix Scutellariae (Erqian, 2 qian); Zhe Bei Mu (Heart removed, ground), Ophiopogonis Radix (Heart removed); Fructus Armeniacae Vulgaris (Stir-fried, ground, each Yi Qian Wu Fen, 1.5 qian); Ginseng Radix, Poria Cocos; Citri Reticulatae Pericarpium, Gardeniae Fructus Raw (ground); Menthae Haplocalycis Herba, Glycyrrhizae Radix et Rhizoma Raw (each Yi Qian, 1 qian); Perillae Folium (Wu Qian, 0.5 qian); Thirty leaves of Bambusae Leaves, boiled in three Zhong of water until one Zhong remains; take after meals. Boil the dregs again and take.
[Prescription Verse] Yiqi Qingjin Tang attacks Lung heat, injecting into the throat to form tumors shaped like longan nuts; it contains Chenpi, Niubangzi, Huangqin, Zisu, Jiegeng, Beimu, Maidong, Zhizi, Bohe, Gancao, Renshen, and Fuling.
Another prescription: Xiaoliu Biyu San (Tumor-Resolving Jade Green Powder)
Composition: Borax (Sanqian, 3 qian), Borneolum Syntheticum; Chalcanthite (each San Fen, 0.3 qian).
Grind together into fine powder. When used, dip the tip of a chopstick into the medicine and apply to the affected area.
[Prescription Verse] Xiaoliu Biyu Dian Houliu applies Jade Green Powder to pharyngeal tumors, opening knots, unblocking the throat, and searching out heat; the sovereign ingredients are Borax and Borneol paired, with Chalcanthite powder added to the lesion for complete cure.