1.唇口属脾舌属心, 口舌疮糜蕴热深, 口淡脾和臭胃热, 五味内溢
五热淫. 木舌重舌舌肿大, 唇肿唇疮紧茧唇, 暴发赤痛多实热, 淡白
时痛每虚因.
【注】口舌生疮糜烂, 名曰口糜, 乃心, 脾二经蕴热深也. 平人口淡
,故曰脾和. 口出气臭, 则为胃热. 不因食五味而口内溢酸味者, 乃
肝热淫脾也. 苦味者, 心热淫脾也. 甘味者, 本经热自淫也. 辛味者
,肺热淫脾也. 咸味者, 肾热淫脾也. 木舌, 谓舌肿硬不痛也. 重舌
,谓舌下肿似舌也舌肿, 谓舌肿大也. 唇肿, 谓唇肿痛厚也. 唇疮,
谓唇肿溃裂成疮也. 紧茧唇, 谓唇紧小燥裂也. 以上之证, 皆属心,
脾,胃经蕴热. 若暴发赤肿痛甚, 多为实热, 宜以凉膈散, 栀子金花
汤,急下甚热, 可即愈也. 若日久色淡疮白, 时痛不痛, 每属虚热,
宜清心莲子饮, 知柏四物汤, 补中兼清可也. 或服凉药久不愈者, 以
七味地黄汤冷服, 引火归原. 不效甚者, 加附子可立愈也.
1.胸膈风热咽喉痛, 邪盛单双乳蛾生, 热极肿闭名喉痹, 语言难出
息不通, 痰盛涎绕喉间响, 内外肿闭缠喉风, 喉痹缠喉皆危证, 溃后
无脓肿闭凶.
【注】胸膈上有风热, 则咽喉肿痛, 风热之邪若盛, 则生单双乳蛾,
在会厌两傍高肿似乳蛾, 故名也. 热极则肿闭, 汤水不下, 言语难出
,呼吸不通, 名曰喉痹. 若热极更兼痰盛, 则痰涎绕于喉间, 声响咽
喉,内外肿闭, 汤水不下, 名曰缠喉风, 皆危病也. 或服药, 或吹药
,或针刺, 溃破出脓血则愈. 若溃后不出脓血, 仍然肿闭, 汤水不下
则死矣.
如意胜金锭 雄黄解毒丸
2.咽痛消毒凉膈散, 单双乳蛾刺血痊, 喉痹缠喉胜金锭, 急攻痰热
解毒丸, 昏噤牙关汤不下, 从鼻吹灌度喉关, 吐下之后随证治, 溃烂
珍珠散上安.
【注】咽喉初起肿痛, 宜用消毒凉膈散, 即防风, 荆芥, 牛蒡子, 栀
子,连翘, 薄荷, 黄芩, 甘草, 大黄, 芒硝也. 单双乳蛾, 则刺少商
出血, 在左刺左, 在右刺右, 在左右刺左右也. 喉痹, 缠起, 病势未
甚,或状如伤寒, 宜服如意胜金锭, 即硫黄, 川芎, 腊茶, 火硝, 薄
荷,生川乌, 生地黄各等分为末, 葱自然汁合为锭, 重一钱, 薄荷汤
磨化服, 甚者连进三次. 若痰涎壅盛, 喉间内外肿闭, 汤水难下, 病
势危急, 宜用雄黄解毒丸, 即雄黄水飞, 郁金细末, 各二钱半, 巴豆
仁肥白者十四粒, 微去油, 以成散为度, 合均, 醋糊为丸, 如绿豆 ,
茶清下七丸, 便利吐痰则愈. 若昏冒牙关噤急, 汤不能下, 将药用醋
化开十丸, 按中风门之法, 入鼻内, 吐下则愈, 其后随证调治可也
.若虽愈咽喉溃烂, 以珍珠散上之即好.
吹喉七宝散
3.咽喉诸证七宝散, 消皂蝎雄硼二矾, 细研如尘取一字, 吹中患处
效如神.
【注】咽喉诸证, 谓咽喉肿痛, 单双乳蛾, 喉痹, 缠喉也. 七宝散,
即火硝, 牙皂, 金蝎, 雄黄, 硼砂, 白矾, 胆矾也.
1. 嘴唇和口腔归属于脾，舌头归属于心。口舌生疮、糜烂是由于热邪蕴结深重所致。口中味觉淡而无味说明脾气调和；口中散发臭气则说明胃中有热。不因食用五味食物而口中溢出酸味，是肝热侵犯脾脏的表现；溢出苦味，是心热侵犯脾脏的表现；溢出甜味，是本经（脾）热邪自盛的表现；溢出辛味，是肺热侵犯脾脏的表现；溢出咸味，是肾热侵犯脾脏的表现。木舌是指舌头肿大僵硬但不疼痛；重舌是指舌下肿胀形似小舌；舌肿是指舌头整体肿大。唇肿是指嘴唇肿痛且增厚；唇疮是指嘴唇肿胀溃烂形成疮疡；紧茧唇是指嘴唇紧缩变小且干燥开裂。以上这些证候，都属于心、脾、胃三经蕴藏热邪所致。如果是突然发作，红肿疼痛剧烈，多属于实热证，适宜使用凉膈散（Liangge San, Cooling the Diaphragm Powder）、栀子金花汤（Zhizi Jinhua Tang, Gardenia and Golden Flower Decoction）来急泻极热，可以立即痊愈。如果病程日久，颜色淡白，疮面发白，时痛时不痛，多属于虚热证，适宜使用清心莲子饮（Qingxin Lianzi Yin, Clear Heart Lotus Seed Drink）、知柏四物汤（Zhibai Siwu Tang, Anemarrhena, Phellodendron and Four Substances Decoction），在补益的同时兼以清热即可。或者服用凉药久治不愈者，可用七味地黄汤（Qiwei Dihuang Tang, Seven-Ingredient Rehmannia Decoction）冷服，以引火归原。如果效果不佳甚至加重，加入附子（Aconite Root）可以立即痊愈。
2. 胸膈部位的风热导致咽喉疼痛，如果邪气盛，会生成单侧或双侧的乳蛾（扁桃体炎）。热邪极盛导致肿胀闭塞称为喉痹（Hou Bi, Throat Obstruction），表现为言语困难，呼吸不通畅。痰涎旺盛，缠绕于喉间发出声响，内外肿胀闭塞称为缠喉风（Chan Hou Feng, Entangling Wind of the Throat）。喉痹和缠喉风都是危重证候，如果溃破后没有脓肿且依然闭塞，则是凶险之兆。
【注】胸膈之上如果有风热邪气，就会导致咽喉肿痛。如果风热邪气强盛，就会生成单侧或双侧乳蛾，位于会厌两侧，高肿形状像乳头般的蛾子，因此得名。热邪极盛则导致肿胀闭塞，汤水无法咽下，言语困难，呼吸不通畅，称为喉痹。如果热邪极盛又兼有痰涎旺盛，痰涎就会缠绕在喉间，使咽喉发出声响，内外肿胀闭塞，汤水无法咽下，称为缠喉风，这些都是危重病证。可以通过服药、吹药或针刺治疗，如果溃破流出脓血就会痊愈。如果溃破后不出脓血，仍然肿胀闭塞，汤水无法咽下，就会死亡。
如意胜金锭（Ruyi Shengjin Ding, Ruyi Victory Gold锭剂）、雄黄解毒丸（Xionghuang Jiedu Wan, Realgar Detoxification Pill）
2. 咽喉疼痛用消毒凉膈散（Xiaodu Liangge San, Disinfect and Cool the Diaphragm Powder），单侧或双侧乳蛾通过刺络放血治愈，喉痹和缠喉风用如意胜金锭，急攻痰热用雄黄解毒丸。如果出现昏迷、牙关紧闭、汤药无法咽下的情况，从鼻腔吹入或灌入以度过咽喉关卡。吐法或下法之后，根据证候进行调理，如果溃烂则撒上珍珠散（Zhenzhu San, Pearl Powder）即可好转。
【注】咽喉初起出现肿痛，适宜使用消毒凉膈散，即由防风（Saposhnikoviae Radix）、荆芥（Schizonepetae Herba）、牛蒡子（Arctii Fructus）、栀子（Gardeniae Fructus）、连翘（Forsythiae Fructus）、薄荷（Menthae Haplocalycis Herba）、黄芩（Scutellariae Radix）、甘草（Glycyrrhizae Radix et Rhizoma）、大黄（Rhei Radix et Rhizoma）、芒硝（Natrii Sulfas）组成。对于单侧或双侧乳蛾，则针刺少商穴（Shao Shang, LU11）出血，左侧病变刺左侧，右侧病变刺右侧，左右两侧病变都刺。喉痹、缠喉风，如果病势尚不严重，或症状类似伤寒，适宜服用如意胜金锭，即由硫黄（Sulfur）、川芎（Chuanxiong Rhizome）、腊茶（Tea Leaves）、火硝（Saltpeter）、薄荷（Menthae Haplocalycis Herba）、生川乌（Aconiti Radix）、生地黄（Rehmanniae Radix）各等分研为细末，用葱的自然汁混合制成锭剂，每锭重一钱，用薄荷汤磨化后服用，病情严重者连续服用三次。如果痰涎壅盛，喉间内外肿胀闭塞，汤水难以咽下，病势危急，适宜使用雄黄解毒丸，即用水飞法处理的雄黄（Realgar）、郁金（Curcumae Radix）细末各二钱半，巴豆仁（Crotonis Semen）十四粒肥白者，微去油至成散状的程度，混合均匀，用醋糊制成丸剂，如绿豆大小，用茶清送服七丸，大便通畅并吐出痰涎后即可痊愈。如果出现昏冒、牙关紧闭紧急、汤药不能咽下的情况，将药物用醋化开十丸，按照中风门的方法，纳入鼻内，引起呕吐或腹泻后即可痊愈，此后根据证候调理即可。如果虽然痊愈但咽喉溃烂，撒上珍珠散即可好。
吹喉七宝散（Chuihou Qibao San, Blowing into Throat Seven Treasures Powder）
3. 治疗咽喉各种证候的七宝散，包含皂角（Gleditsiae Sinensis Fructus）、全蝎（Scorpio）、雄黄（Realgar）、硼砂（Borax）、白矾（Alumen）、胆矾（Chalcanthite）。细细研磨如灰尘般，取一字量，吹入患处，疗效如神。
【注】咽喉各种证候，指的是咽喉肿痛、单双侧乳蛾、喉痹、缠喉风。七宝散，即由火硝（Saltpeter）、牙皂（Gleditsiae Sinensis Fructus）、金蝎（Scorpio）、雄黄（Realgar）、硼砂（Borax）、白矾（Alumen）、胆矾（Chalcanthite）组成。
1. The lips and mouth belong to the Spleen channel, while the tongue belongs to the Heart channel. Sores and erosion in the mouth and tongue are caused by deep accumulation of Heat (Re). A bland taste in the mouth indicates harmonious Spleen Qi; foul breath indicates Stomach Heat. Overflowing sour taste without consuming five flavors indicates Liver Heat invading the Spleen; bitter taste indicates Heart Heat invading the Spleen; sweet taste indicates self-exuberance of Heat in the Spleen channel itself; pungent taste indicates Lung Heat invading the Spleen; salty taste indicates Kidney Heat invading the Spleen. "Wooden Tongue" refers to a swollen, stiff tongue that is not painful; "Double Tongue" refers to swelling under the tongue resembling a small tongue; "Tongue Swelling" refers to overall enlargement of the tongue. "Lip Swelling" refers to painful, thickened lips; "Lip Sores" refer to lips that are swollen, ulcerated, and form sores; "Tight Silkworm Lip" refers to lips that are tight, shrunken, dry, and cracked. All the above conditions belong to Heat accumulation in the Heart, Spleen, and Stomach channels. If onset is sudden with severe redness, swelling, and pain, it is mostly Excess Heat (Shi Re), suitable for using Liangge San (Cooling the Diaphragm Powder) or Zhizi Jinhua Tang (Gardenia and Golden Flower Decoction) to urgently purge extreme heat, which can lead to immediate recovery. If the disease has persisted for a long time with pale color and white sores, occurring intermittently with pain or no pain, it mostly belongs to Deficiency Heat (Xu Re), suitable for using Qingxin Lianzi Yin (Clear Heart Lotus Seed Drink) or Zhibai Siwu Tang (Anemarrhena, Phellodendron and Four Substances Decoction), combining tonification with clearing heat. For those who do not recover after long-term use of cooling medicines, Qiwei Dihuang Tang (Seven-Ingredient Rehmannia Decoction) should be taken cold to guide Fire back to its source. If ineffective or worsening, adding Fuzi (Prepared Aconite Root) can lead to immediate recovery.
2. Wind-Heat in the chest and diaphragm causes sore throat. If the pathogenic factor is strong, it generates unilateral or bilateral Ru E (tonsillar hypertrophy/angina). Extreme Heat causing swelling and obstruction is called Hou Bi (Throat Obstruction), characterized by difficulty speaking and breathing. Profuse phlegm and saliva swirling around the throat with sound, along with internal and external swelling and obstruction, is called Chan Hou Feng (Entangling Wind of the Throat). Both Hou Bi and Chan Hou Feng are critical conditions; if they ulcerate but remain obstructed without pus discharge, it is a ominous sign.
[Note] Wind-Heat above the chest and diaphragm leads to sore throat. If Wind-Heat pathogens are strong, they generate unilateral or bilateral Ru E, which appear as high swellings on both sides of the epiglottis resembling milky moths, hence the name. Extreme Heat causes swelling and obstruction, preventing swallowing of liquids, difficulty in speech, and blocked respiration, known as Hou Bi. If extreme Heat is accompanied by profuse phlegm, phlegm and saliva swirl in the throat, causing sounds in the throat, with internal and external swelling and obstruction preventing liquid intake, known as Chan Hou Feng; these are all critical diseases. Treatment includes oral medication, insufflation, or acupuncture. Recovery occurs if pus and blood are discharged upon ulceration. If there is no pus or blood discharge after ulceration and obstruction persists with inability to swallow liquids, death ensues.
Ruyi Shengjin Ding (Ruyi Victory Gold锭剂), Xionghuang Jiedu Wan (Realgar Detoxification Pill)
2. For sore throat, use Xiaodu Liangge San (Disinfect and Cool the Diaphragm Powder); for unilateral or bilateral Ru E, cure via bloodletting at acupoints; for Hou Bi and Chan Hou Feng, use Ruyi Shengjin Ding; for urgent attack on Phlegm-Heat, use Xionghuang Jiedu Wan. In cases of coma, locked jaw, and inability to swallow medicine, insufflate or灌 (irrigate) through the nose to pass the throat gate. After inducing vomiting or purgation, treat according to symptoms. For ulcers, apply Zhenzhu San (Pearl Powder) for improvement.
[Note] For initial sore throat and swelling, Xiaodu Liangge San is suitable, composed of Fangfeng (Saposhnikoviae Radix), Jingjie (Schizonepetae Herba), Niubangzi (Arctii Fructus), Zhizi (Gardeniae Fructus), Lianqiao (Forsythiae Fructus), Bohe (Menthae Haplocalycis Herba), Huangqin (Scutellariae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Dahuang (Rhei Radix et Rhizoma), and Mangxiao (Natrii Sulfas). For unilateral or bilateral Ru E, prick Shaoshang (LU11) to bleed: left side for left lesions, right side for right lesions, both sides for bilateral lesions. For Hou Bi and Chan Hou Feng, if the condition is not severe or resembles Taiyang syndrome, take Ruyi Shengjin Ding, composed of equal parts of Liu Huang (Sulfur), Chuanxiong (Chuanxiong Rhizome), La Cha (Tea Leaves), Huo Xiao (Saltpeter), Bohe (Menthae Haplocalycis Herba), Sheng Chuan Wu (Raw Aconiti Radix), and Sheng Di Huang (Rehmanniae Radix), ground into powder, mixed with natural juice of Cong Bai (Allii Fistulosi Bulbus) to form tablets weighing one qian each. Take by grinding in Bohe Tang (Mint Decoction); severe cases may take three doses consecutively. If phlegm and saliva are congested, with internal and external throat swelling blocking liquid intake in a critical state, use Xionghuang Jiedu Wan, composed of water-purified Xionghuang (Realgar) and fine powder of Yujin (Curcumae Radix), 2.5 qian each, plus 14 plump Ba Dou Ren (Crotonis Semen) kernels, slightly de-oiled until powdery, mixed evenly, formed into pills like mung beans with vinegar paste. Take seven pills with clear tea water; recovery follows when bowels move and phlegm is vomited. In cases of coma, locked jaw, and inability to swallow, dissolve ten pills in vinegar, administer intranasally following methods for Stroke, inducing vomiting or purgation for recovery, followed by symptomatic treatment. If healed but throat ulcers persist, applying Zhenzhu San (Pearl Powder) heals them.
Chuihou Qibao San (Blowing into Throat Seven Treasures Powder)
3. Qibao San (Seven Treasures Powder) treats various throat conditions, containing Ya Zao (Gleditsiae Sinensis Fructus), Quan Xie (Scorpio), Xionghuang (Realgar), Peng Sha (Borax), Bai Fan (Alumen), and Dan Fan (Chalcanthite). Grind finely like dust, take an amount equivalent to "one zi" (approx. 0.5-1g), insufflate into the affected area for miraculous efficacy.
[Note] Various throat conditions refer to sore throat, unilateral/bilateral Ru E, Hou Bi, and Chan Hou Feng. Qibao San consists of Huo Xiao (Saltpeter), Ya Zao (Gleditsiae Sinensis Fructus), Jin Xie (Scorpio), Xionghuang (Realgar), Peng Sha (Borax), Bai Fan (Alumen), and Dan Fan (Chalcanthite).