专治咽喉三十六症，一切鹅肿并用之。
血竭（三钱） 白矾（一两） 芒硝（一两） 乳香（五钱） 没药（五钱） 硼砂（五钱）
雄黄（三钱） 麝香（一分） 冰片（五分）
共为细末，秤过，每两加入胆矾一分，俱系生用，不须制。
歌曰∶血雄三钱麝一分，五钱乳没硼砂同，矾硝一两一分胆，片脑细末用五分。
治毒瓦斯秘结，大便不通，原名败黄散，有泄者当忌之。
白矾（五钱） 芒硝（三钱） 雄黄（三钱） 巴豆（一钱，去壳，净油）
共为细末，看病浅深，一遍或用三匙调和，温服。取其通利大便二三次，看患者虚实
用之。或炼蜜为丸，如龙眼大，调温汤下，取泄立效。
歌曰∶败黄巴豆散，油壳去一钱，雄硝三钱足，矾是半两间，炼蜜为丸用，通利病即痊。
量病轻重，用前神药末，加入胆矾五分。若出脓，加入熊胆一钱。若病患沉重，喉窍俱
塞，可入一钱；轻者可用二三分。若病患心烦颠倒，口出鬼言，可入朱砂五分，竹茹五分即安寝。
巧者，取针去血，并无乱刺，当针则针，不当针则止。遵范九思之针灸法，看病深浅如
何，随证变通为巧。若浅者、虚者，偶然针愈，不知针之毒，随或反害者有之。宜针不宜针，
可自斟酌为之。鹅疮有黄白者，头上可针破，敷神药末捕脓。血出者，不可乱刺，不用神药
末，用真喉末可也。
一病者，如喉中忽然生单鹅或双鹅，多起于睡醒觉，之或起了二三日，微碍，遇热而触
动，实时碍气难吞，牙关紧合不开，将神药末一匙挑入牙关内，左右俱用药二遍，痰即开。
一刻间，再吹神药末，含得为水。先遍咽下含。次遍为水，口吐撒，再用药三遍方可。看内病
如何。若疮形红肿，只用神药末吹之自消。如潮热憎寒不退，急用通利散三匙泻之，用连翘
消毒饮数服。不拘时候，时时服之，败其毒也。
连翘消毒饮
连翘（一钱） 升麻（五分） 防风（五分） 荆芥（四分） 僵蚕（一钱） 全蝎（四分）
牛蒡（五分） 白芷（七分） 黄柏（一钱） 黄连（一钱） 桔梗（五分） 薄荷（五分）
甘草（五分）
水二碗煎服。（炳章按∶如舌尖赤，喉间赤
或紫，午后疼痛增剧，便燥结，虽有身热，宜辛凉横开，如升、防、僵、蒡、白芷皆在禁例。）有
热加柴胡（炳按∶柴胡宜改桑叶）七分，黄芩七分。有痛不止要加 乳香（三分） 没药（三分）。小
便不通加木通七分，车前子七分。有痰盛者加半夏七分，栝蒌七分。
一病喉内生鹅，烦热憎寒，内如粟壳，黄 疮连烂口舌，即用神药末吹鹅中，此是毒风
之极。然亦无妨。只须五六日，迟退痊矣。脉浮洪者，宜用败毒散服之。若脉沉实，用败黄
通利散三匙。脉浮洪或沉有力，俱无害。
败毒散
牛蒡（七分） 荆芥（五分） 元参（一钱） 赤芍（五分） 柴胡（五分） 桔梗（一钱）
甘草（五分） 白芷（五分）（炳按∶柴胡、桔梗、白芷，辛温升提，皆宜慎用）
若毒盛加升麻（五分），葛根（五分）。有潮热者，加苦参根（五分），黄芩、黄连、防风（各五分）
。若腹胀闷乱，发热秘结，加大黄（二钱），芒硝（一钱）同煎。利三五遍，即止。余不拘服。
一病舌下另生一舌，如莲花者，名为莲花舌，又名重舌，又名木舌。舌大长硬，俱用神药
末点之。若沉重者，频频擦舌，及教病患自己咬住舌，露舌在牙外，看真，用三棱针针去四
五路血后，点神药末擦舌为妙。又有紫筋二条，针开出血，用神药末吹之。（炳章按∶此症
皆由肝肾亏，心火旺，宜服滋营养液汤剂，效更速。）又用米醋半碗，调真喉末含之，吐出再
含，以消为度。
真人吹喉散
硼砂（一钱） 寒水石（七分） 雄黄（五分） 上冰片（六厘）
共研细末，收贮听用。若喉疳臭烂，加地鸡一分，（即水缸下地蜱子，瓦上焙枯。）麝香
（五厘），牛黄（七厘）。
一病崩砂漏齿风，亦有潮热。只用神药末加蜜蒸过，调涂含咽，津满口，吐撒。用防风、
荆芥、白芷三味，煎水，洗净用药，擦牙关即活。又将舌洗去毒。此病不妨。如有牙边红
肉生出来，去硝矾二味，加入胆矾一钱，同用神效。亦用败毒散，或食，或洗，俱用无患。如
有腹满、腹紧，亦用通利散。若不敢通，只用连翘消毒饮服之。若孕妇，用神药末，勿吞，只可
口含，吐出来。入麝香，吞无忌。
一病牙关，内生有肉，遮过牙，口又难开，却用神药末挑放牙上，开其牙窍，然后用针剔
破其肉，即用神药末敷破处即愈。再看牙关内，有红筋一条，入牙关，不能开，用瓦刀割断
其根，待血出，再用神药末吹之。
一病喉风，连年起一二次不断。其根原者，用范九思之针灸法，男左女右，在大指本
节后一寸，用艾灸三壮，即断其根。此穴不可轻用，慎之慎之。
光按∶神药末，即神字号玉华散。真喉末，即真人吹喉散。
周诗先生曰∶夫咽喉者，乃五气呼吸之门户，五味输纳之道路也。盖咽者，咽也，咽纳水
也。喉者，候也，候气之出入也。有风、积、痰、虚四字所伤，病由此生，而轻重可较焉。夫气
之出入，有顺有逆，外有六淫时气之邪，内有七情饮食之伤，其中又有虚实。故内因七情过
度，则主不能安而神劳，神劳则相火动，火动痰生则气郁。而火变痰于咽嗌，单鹅、双鹅、梅
核诸症蜂起，乘外感之邪热触动而作矣。学人可认证候，方法施治，以期得效。三十六种，名
虽不同，四字之说，甚为盒饭。若不识其症，妄施药饵，轻变为重，实难救疗。且咽喉系危急
之症，不可轻忽，可用心救人，阴 非轻。当取则取，不当取者，可以行阴 ，天必佑之。
专治咽喉三十六种病症，以及一切鹅口疮肿胀均适用。
血竭（三钱） 白矾（一两） 芒硝（一两） 乳香（五钱） 没药（五钱） 硼砂（五钱）
雄黄（三钱） 麝香（一分） 冰片（五分）
共同研磨成细末，称量好后，每两药粉中加入胆矾一分，全部为生用，不需要炮制。
歌诀说：血竭、雄黄各三钱，麝香一分，乳香、没药、硼砂各五钱，白矾、芒硝各一两一分，胆矾一分，冰片五分，共同研为细末使用。
治疗毒气秘结，大便不通，原名败黄散，有腹泻症状的患者应当禁忌。
白矾（五钱） 芒硝（三钱） 雄黄（三钱） 巴豆（一钱，去壳，榨净油）
共同研磨成细末，根据病情深浅，一次用三匙调和，温水送服。取其通利大便二三次，根据患者的虚实情况使用。或者炼蜜制成丸药，如龙眼大小，温汤送下，取泻下立竿见影之效。
歌诀说：败黄巴豆散，去壳巴豆油净一钱，雄黄、芒硝各三钱足够，白矾半两，炼蜜为丸服用，通利后病即痊愈。
根据病情轻重，使用前文的神药末，加入胆矾五分。如果出脓，加入熊胆一钱。如果病患病情沉重，喉窍完全堵塞，可放入一钱；轻者可用二三分。如果病患心烦意乱，胡言乱语，可加入朱砂五分，竹茹五分，即可安睡。
巧字号定风针，讲究取针放血，绝不乱刺，该针刺的才针刺，不该针刺的就停止。遵循范九思的针灸法，根据病情深浅，随证变通即为“巧”。如果是浅表症、虚症，偶然针刺治愈了，不知道针刺的毒性，反而可能造成伤害的情况也是有的。宜针不宜针，可自行斟酌决定。鹅口疮如果有黄白色的，头上可以针刺破，敷上神药末排脓。出血的，不可乱刺，不用神药末，用真喉末即可。
一种病症，如喉咙中忽然生出单鹅或双鹅，多起于睡醒时，或者过了二三天，轻微阻碍，遇到热而触动，实时阻碍气息难以下咽，牙关紧闭不开，将神药末一匙挑入牙关内，左右都用药两次，痰涎即开。一刻钟后，再吹神药末，含化为水。先遍咽下含化之水。第二次化为水后，吐出唾沫，再用药物三次方可。看内部病情如何。如果疮形红肿，只用神药末吹之自消。如果如潮热恶寒不退，急用通利散三匙泻下，服用连翘消毒饮数次。不拘时候，时时服用，以败其毒。
连翘消毒饮
连翘（一钱） 升麻（五分） 防风（五分） 荆芥（四分） 僵蚕（一钱） 全蝎（四分）
牛蒡子（五分） 白芷（七分） 黄柏（一钱） 黄连（一钱） 桔梗（五分） 薄荷（五分）
甘草（五分）
水两碗煎服。（炳章按：如果舌尖红赤，喉间红或紫，午后疼痛加剧，大便燥结，虽然有身热，宜用辛凉横开之法，如升麻、防风、僵蚕、牛蒡子、白芷都在禁忌之列。）有热加柴胡（炳按：柴胡宜改为桑叶）七分，黄芩七分。有痛不止要加乳香（三分）、没药（三分）。小便不通加木通七分，车前子七分。有痰盛者加半夏七分，瓜蒌七分。
另一种病喉内生鹅，烦热恶寒，口中如粟壳状，黄疮连烂口舌，即用神药末吹入鹅口中，这是毒风之极。然而也无妨。只需五六日，稍迟也会痊愈。脉象浮洪者，宜用败毒散服用。如果脉象沉实，用败黄通利散三匙。脉象浮洪或沉而有力，都无危害。
败毒散
牛蒡子（七分） 荆芥（五分） 玄参（一钱） 赤芍（五分） 柴胡（五分） 桔梗（一钱）
甘草（五分） 白芷（五分）（炳按：柴胡、桔梗、白芷，辛温升提，皆宜慎用）
如果毒盛加升麻（五分），葛根（五分）。有潮热者，加苦参根（五分），黄芩、黄连、防风（各五分）。如果腹胀闷乱，发热便秘，加大黄（二钱），芒硝（一钱）同煎。利下三五次，就停止。其余不拘泥服用。
一种病舌下另生一舌，如莲花状，名为莲花舌，又名重舌，又名木舌。舌头大长硬，都用神药末点之。如果病情沉重，频频擦拭舌头，并教病患自己咬住舌头，露出舌头在牙齿外面，看清楚，用三棱针刺去四五路血后，点神药末擦舌为妙。又有两条紫筋，针刺开出血，用神药末吹之。（炳章按：此症皆由肝肾亏虚，心火旺，宜服用滋营养液汤剂，效果更快。）又用米醋半碗，调真喉末含之，吐出来再含，以消除为度。
真人吹喉散
硼砂（一钱） 寒水石（七分） 雄黄（五分） 上等冰片（六厘）
共同研为细末，收贮听用。如果喉疳臭烂，加地鸡一分，（即水缸下地蜱子，瓦上焙枯。）麝香（五厘），牛黄（七厘）。
一种病崩砂漏齿风，也有潮热。只用神药末加蜜蒸过，调涂含咽，津液满口，吐出唾沫。用防风、荆芥、白芷三味，煎水，洗净用药，擦牙关即活。又将舌头洗去毒。此病不妨。如有牙边红肉生出来，去掉硝、矾二味，加入胆矾一钱，同用神效。也用败毒散，或者食，或者洗，都没有害处。如果有腹满、腹紧，也用通利散。如果不敢通下，只用连翘消毒饮服用。如果是孕妇，用神药末，不要吞，只可口含，吐出来。加入麝香，吞服无忌。
一种病牙关，内生有肉，遮盖过牙齿，口又难开，却用神药末挑放牙上，打开其牙窍，然后用针剔破其肉，即用神药末敷破处即愈。再看牙关内，有红筋一条，进入牙关，不能开，用瓦刀割断其根，待血出，再用神药末吹之。
一种病喉风，连年起一二次不断。其根源，用范九思的针灸法，男左女右，在大指本节后一寸，用艾灸三壮，即断其根。此穴不可轻用，慎之又慎。
光按：神药末，即神字号玉华散。真喉末，即真人吹喉散。
周诗先生说：咽喉，是五气呼吸的门户，五味输纳的道路。所谓咽，就是吞咽，吞咽水也。喉，就是候察，候察气的出入。有风、积、痰、虚四个字所伤，病由此产生，轻重可以比较。气的出入，有顺有逆，外有六淫时气之邪，内有七情饮食之伤，其中又有虚实。所以内因七情过度，则君主不能安宁而神劳，神劳则相火动，火动痰生则气郁。而火变痰于咽喉，单鹅、双鹅、梅核气等症蜂拥而起，乘外感之邪热触动而发作。学者可认证候，方法施治，以期得效。三十六种，名虽不同，四字之说，甚为合适。如果不识其症，妄施药饵，轻变为重，实在难以救疗。且咽喉系危急之症，不可轻忽，可用心救人，阴德非轻。当取则取，不当取者，可以行阴德，天必佑之。
Specializes in treating thirty-six types of throat disorders, and is applicable to all cases of鹅口疮 (thrush) and swelling.
*Hematoxylon campechianum* (Xuejie, 3 qian), *Alumen* (Baifan, 1 liang), *Mirabilite* (Mangxiao, 1 liang), *Boswellia carterii* gum resin (Ruxiang, 5 qian), *Myrrha* (Moyao, 5 qian), *Borax* (Pengsha, 5 qian), *Realgar* (Xionghuang, 3 qian), *Moschus* (Shexiang, 1 fen), *Borneolum Syntheticum* (Bingpian, 5 fen).
Grind all into a fine powder, weigh accurately, and add 1 fen of *Chalcanthite* (Danfan) per liang of powder. All ingredients are used raw and do not require processing.
The rhyme states: Xuejie and Xionghuang each 3 qian, Shexiang 1 fen; Ruxiang, Moyao, and Pengsha each 5 qian; Baifan and Mangxiao each 1 liang 1 fen, Danfan 1 fen; Bingpian 5 fen, ground into fine powder for use.
Treats toxic qi accumulation and constipation. Originally named Baihuang San, it is contraindicated for patients with diarrhea.
*Alumen* (Baifan, 5 qian), *Mirabilite* (Mangxiao, 3 qian), *Realgar* (Xionghuang, 3 qian), *Crotonis Fructus* (Badou, 1 qian, shelled and oil removed).
Grind into a fine powder. Based on the depth of the disease, mix 3 spoons with warm water and take orally. The goal is to promote bowel movements two or three times, adjusting usage according to the patient's deficiency or excess. Alternatively, refine honey to make pills the size of longan seeds, taken with warm water for immediate laxative effect.
The rhyme states: Baihuang Badou San, Badou oil removed 1 qian, Xionghuang and Mangxiao 3 qian each, Baifan half a liang; made into pills with refined honey, promoting unblocking leads to recovery.
Adjust dosage based on severity using the aforementioned Shenyao Mo (Divine Medicine Powder), adding 5 fen of Danfan. If pus is present, add 1 qian of *Ursi Fel* (Xiongdan). If the patient is critically ill with blocked throat orifices, use 1 qian; for mild cases, use 2-3 fen. If the patient is restless and delirious, add 5 fen of *Cinnabar* (Zhusha) and 5 fen of *Bambusae Caulis in Taeniam* (Zhuru) to ensure sleep.
Qiao Zi Dingfeng Zhen (Skillful Number Wind-Stabilizing Needles) focuses on bloodletting via needling, avoiding random insertion. Needle only when indicated, stop otherwise. Follow Fan Jiusi’s acupuncture methods, adapting to the depth of the disease for skillful treatment. For superficial or deficient conditions, accidental cure may occur, but unawareness of needle toxicity might cause harm. Decide whether to needle based on judgment. For thrush with yellow/white patches, puncture the head and apply Shenyao Mo to drain pus. If bleeding occurs, avoid random needling; use Zhenhou Mo (True Throat Powder) instead.
One condition involves sudden onset of single or double "Goose" (tonsillar enlargement) upon waking or after a few days. Mild obstruction worsens with heat, causing difficulty swallowing and locked jaw. Pick up one spoon of Shenyao Mo and place it inside the jawline, applying medication twice on both sides to resolve phlegm. After fifteen minutes, blow Shenyao Mo again, hold until dissolved in saliva. Swallow first portion, spit out second portion, repeat application three times. Assess internal condition. If sores are red and swollen, blowing Shenyao Mo alone will reduce swelling. If tidal fever and aversion to cold persist, urgently administer 3 spoons of Tongli San (Unblocking Laxative Powder) to purge, followed by several doses of Lianqiao Xiaodu Yin (Forsythia Detoxification Decoction). Take frequently regardless of time to neutralize toxins.
Lianqiao Xiaodu Yin
*Forsythiae Fructus* (Lianqiao, 1 qian), * Cimicifugae Rhizoma* (Shengma, 5 fen), *Saposhnikoviae Radix* (Fangfeng, 5 fen), *Schizonepetae Herba* (Jingjie, 4 fen), *Bombyx Batryticatus* (Jiangcan, 1 qian), *Scorpio* (Quanxie, 4 fen), *Arisaema cum Bile* (Niubangzi/Akebia? Note: Text says Niubang usually Arctii, here likely Arctii Fructus Niu Bang Zi, 5 fen), *Angelicae Dahuricae Radix* (Baizhi, 7 fen), *Phellodendri Cortex* (Huangbai, 1 qian), *Coptidis Rhizoma* (Huanglian, 1 qian), *Platycodonis Radix* (Jiegeng, 5 fen), *Menthae Haplocalycis Herba* (Bohe, 5 fen), *Glycyrrhizae Radix et Rhizoma* (Gancao, 5 fen).
Decoct in two bowls of water. (Bingzhang notes: If tongue tip is red, throat red/purple, pain worsens in afternoon, stool dry, despite fever, use acrid-cool dispersing method; Shengma, Fangfeng, Jiangcan, Niubang, Baizhi are contraindicated.) Add *Bupleuri Radix* (Chaihu, 7 fen) [Bing notes: Chaihu should be replaced with Sangye] and *Scutellariae Radix* (Huangqin, 7 fen) if there is heat. Add *Boswellia carterii* gum resin (Ruxiang, 3 fen) and *Myrrha* (Moyao, 3 fen) if pain persists. Add *Akebiae Caulis* (Mutong, 7 fen) and *Plantaginis Semen* (Cheqianzi, 7 fen) for urinary retention. Add *Pinelliae Tuber* (Banxia, 7 fen) and *Trichosanthis Fructus* (Gualou, 7 fen) for excessive phlegm.
Another condition involves internal throat "Goose" with irritability, fever, and aversion to cold, mouth feeling like millet husks, yellow sores eroding lips and tongue. Apply Shenyao Mo directly to the affected area; this indicates extreme toxic wind. It will resolve in 5-6 days. If pulse is floating and surging, use Baidu San (Toxin-Resolving Powder). If pulse is deep and solid, use Baihuang Tongli San (3 spoons). Floating/surging or deep/forceful pulses indicate no danger.
Baidu San
*Arisaema cum Bile* (Niubangzi, 7 fen), *Schizonepetae Herba* (Jingjie, 5 fen), *Scrophulariae Radix* (Yuanshen/Xuanshen, 1 qian), *Paeoniae Rubra* (Chishao, 5 fen), *Bupleuri Radix* (Chaihu, 5 fen), *Platycodonis Radix* (Jiegeng, 1 qian), *Glycyrrhizae Radix et Rhizoma* (Gancao, 5 fen), *Angelicae Dahuricae Radix* (Baizhi, 5 fen). [Bing notes: Chaihu, Jiegeng, Baizhi are acrid-warm and ascending, use with caution.]
If toxin is severe, add *Cimicifugae Rhizoma* (Shengma, 5 fen) and *Puerariae Lobatae Radix* (Gegen, 5 fen). If tidal fever, add *Sophorae Flavescentis Radix* (Kushen, 5 fen), *Scutellariae Radix* (Huangqin), *Coptidis Rhizoma* (Huanglian), *Saposhnikoviae Radix* (Fangfeng) (each 5 fen). If abdominal distension and restlessness with fever/constipation, add *Rhei Radix et Rhizoma* (Dahuang, 2 qian) and *Mirabilite* (Mangxiao, 1 qian), decoct together. Stop after 3-5 bowel movements. Do not restrict further intake unnecessarily.
One condition involves an extra tongue growing under the main tongue, resembling a lotus, called Lotus Tongue, Double Tongue, or Wooden Tongue. The tongue becomes large, long, and stiff. Apply Shenyao Mo. For severe cases, frequently wipe the tongue, instruct the patient to bite their tongue and expose it outside the teeth. Identify clearly, then use a Three-edged Needle to bleed from 4-5 paths, then apply Shenyao Mo to wipe the tongue. Two purple veins may appear; puncture them to bleed and blow Shenyao Mo. (Bingzhang notes: This condition stems from Liver/Kidney deficiency and Heart Fire hyperactivity; Ziyi Yingyang Tang would be faster.) Also, mix half a bowl of rice vinegar with Zhenhou Mo, hold in mouth, spit, repeat until resolved.
Zhenren Chuihou San (True Person Blowing Throat Powder)
*Borax* (Pengsha, 1 qian), *Aqua Stibitum Sulphuratam* (Han Shui Shi, 7 fen), *Realgar* (Xionghuang, 5 fen), *Borneolum Syntheticum* (Shang Bingpian, 6 li).
Grind fine, store for use. For foul-smelling throat ulcers, add 1 fen of Di Ji (ground beetle from under water vats, roasted on tiles), 5 li of *Moschus* (Shexiang), 7 li of *Bovis Calculus* (Niuhuang).
One condition is Bengsha Lou Chi Feng (Cracked Sand Leaking Tooth Wind), also with tidal fever. Use Shenyao Mo steamed with honey, apply and swallow, filling mouth with saliva, then spit. Decoct *Saposhnikoviae Radix* (Fangfeng), *Schizonepetae Herba* (Jingjie), *Angelicae Dahuricae Radix* (Baizhi) to wash the mouth and apply medication to the jawline to restore function. Wash the tongue to remove toxins. Harmless. If red flesh grows near teeth, remove Mangxiao and Baifan, add 1 qian Danfan, effective with Shenyao Mo. Use Baidu San internally or externally without harm. If abdominal fullness/tightness, use Tongli San. If purgation is contraindicated, use Lianqiao Xiaodu Yin. For pregnant women, use Shenyao Mo, do not swallow, only hold in mouth and spit. Adding Shex makes it safe to swallow.
One condition involves flesh growing inside the jaw covering teeth, preventing opening. Place Shenyao Mo on teeth to open the orifice, then puncture the flesh with a needle, apply Shenyao Mo to the wound for healing. If a red vein enters the jaw preventing opening, cut its root with a tile knife, wait for bleeding, then blow Shenyao Mo.
One condition is recurrent Houfeng (Throat Wind) occurring once or twice yearly. To eliminate the root, use Fan Jiusi’s acupuncture method: left side for men, right side for women, at 1 cun posterior to the base of the thumb. Moxibustion for 3 cones severs the root. Caution: Do not use this point lightly.
Guang notes: Shenyao Mo refers to Shen Zi Hao Yuhua San. Zhenhou Mo refers to Zhenren Chuihou San.
Mr. Zhou Shi said: The throat is the gateway for Qi respiration and the pathway for flavor transmission. Yan (swallowing) handles fluids; Hou (throat) monitors Qi entry/exit. Diseases arise from Wind, Accumulation, Phlegm, and Deficiency. Qi movement has smooth or reversed flows. External pathogens (Six Evils) and internal injuries (Seven Emotions, Diet) create excess or deficiency. Excessive emotions disturb the Mind (Shen), stirring Ministerial Fire, generating Phlegm and Qi stagnation. Fire transforms into Phlegm in the throat, causing Goose diseases, Plum Pit Qi, etc., triggered by external heat. Scholars must diagnose correctly and treat accordingly. Although names vary among thirty-six types, the four-character theory is appropriate. Misdiagnosis and reckless medication can turn mild cases severe, becoming incurable. Throat diseases are critical; do not neglect them. Save lives with care; accumulate merit. Act when appropriate, refrain when not; Heaven will bless you.