虚热喉初起，其势不急，微微缓缓，咽津觉得干燥，吞气些碍，无鹅无肿，满喉或红或
紫，此乃命门相火上冲为害，症属肾水枯竭，命门相火煎急肾阴，不能降之。故虚火冲喉，
微碍痛，不恶寒，独怕热。不宜吊药，恐损津液，无益反损。只宜含生津润肺丸，缓咽下，并
服滋阴降火汤数剂为善，不宜针吊吹药。
滋阴降火汤
生地（二钱） 元参（二钱） 天冬（二钱） 白芍（一钱） 麦冬（二钱） 盐柏（一钱） 桔梗
（一钱） 枯芩（一钱） 栀子（七分） 甘草（三分） 知母（一钱） 山豆根（五分） 丹皮（一钱）
泽泻（一钱） 薄荷（五分，自汗不用）
水二碗，煎八分，空心服。（炳章按∶肾虚阴火上炎之症，宜导热归下，如景岳玉女煎加
元参等最好。方内桔梗升提，载药上行，为最忌。）
生津润肺丸
硼砂（三钱，生 各半） 寒水石（二钱） 山豆根（二钱） 五味子（一钱） 甘草（二钱） 枯芩
（二钱） 乌梅（一钱） 薄荷（三钱）
上冰片二分，共研细末，蜜为丸，如龙眼大，含化，咽下，生津降火。
百会穴一针。前顶穴一针，亦用三针。后顶穴一针，亦用三针。颊车穴一针，亦用三针。
左右俱针亦可。风池穴一针，男左女右。少商穴一针。合谷穴一针，列缺穴一针。曲池穴
一针。俱男左女右。
\r中指定同身寸用为上肢之尺度图\p05-c24a1.bmp\r
光按∶百会居头之正中。前顶在百会前一寸五分。后顶在百会后一寸五分。颊车在耳
之下。风池在发际之陷凹中，即颈后二大筋下部之外端。少商在拇指内侧爪甲根。合谷在
食指与拇指基底部中间之陷凹处，孕妇禁忌。曲池在肘外辅骨之陷中，屈肘向胸，则适当其
横纹端。列缺在手之内面，离腕之横纹一寸半。
凡临诸症，先从少商、合谷、列缺、曲池，以男左女右，各根据针法刺之。若病重者，先从
前顶、百会、后顶、风池、颊车诸穴针之，开通周身经络，使风热结邪得以消散，而血气流
行。佐以奇药内治，自易收效。若针路无血，则风热壅盛，受邪深重，多致不救。
凡下针，用左手大指甲重切所针之穴，令
气血开。教病者心专于内，不可外驰，然后下针，使针不伤荣卫。
凡用针，至穴孔，中病之处急出针。即以左手大指急按所针穴孔，勿令出血，是谓补
法。若起针时，缓缓拔出，不用手按其针孔，令其出血，是谓泻法。大抵实症可泻，虚症宜补，
或先泻后补，随症用之。
喉风用针灸法，虽能断根，永不再发。然亦有不戒煎炒热毒之物，以致一二年后复发
一次，不可不知。故针后宜戒口，以免后患。未用针时，喉内先将散风药末吹之，然后用针。
针后必将药末封针口处。如吹药后，针之不退，再用吊药吹之。
散风药方 吹喉并封针口用。
全蝎（六分，用水洗净，去头足，童便制，秤足） 草乌（一钱，去芦制） 薄荷（一钱五分）
三味为末。另用乳钵细擂极细末和入千金皮硝散（一钱），加入冰片（一分），麝香（五厘）。
吊药方
鹅腿草（即剪刀铰根） 山大黄（即水推沙根） 野南星（即石蒜头）
三味共磨水，吞下即吐。膈中之痰，吐中有发散之义。发散则出汗，故风从汗出。
光按∶鹅腿草之名，本草未载。疑即鹅抱，待考。近年《卫生公报》发明天名精一物，以治
喉痹肿痛，确有吐痰之妙。前贤李时珍，亦称其功效。山大黄，本草名酸模，味酸寒，杀虫治
疥。野南星，即石蒜，味辛温，本草称其取吐，取汗颇良。
【附：虚热喉辨证方】
虚热型喉病初起时，病情发展并不急骤，而是缓慢渐进。患者吞咽唾液时感觉干燥，吞咽空气时有轻微阻碍感。咽喉部没有鹅口疮样的白斑，也没有明显的肿胀，但整个咽喉可能呈现红色或紫色。这是由于命门相火（肾中寄寓的阳气，病理状态下化为虚火）上冲为害所致，病症属于肾水枯竭，命门相火煎熬肾阴，导致肾阴无法下降制约。因此，虚火上冲咽喉，引起轻微的疼痛和阻碍感，但不怕冷，只怕热。此时不宜使用吊药（一种通过刺激咽喉引发呕吐以祛痰的治疗药物），因为恐损伤津液，不仅无益反而有害。只宜含服生津润肺丸，缓缓咽下，并服用滋阴降火汤数剂为宜，严禁使用针刺、吊药或吹药（将药粉吹入咽喉的治疗方法）。
滋阴降火汤
生地黄（二钱） 玄参（二钱） 天冬（二钱） 白芍（一钱） 麦冬（二钱） 盐黄柏（一钱） 桔梗（一钱） 枯黄芩（一钱） 栀子（七分） 甘草（三分） 知母（一钱） 山豆根（五分） 牡丹皮（一钱） 泽泻（一钱） 薄荷（五分，若有自汗症状则不用）
加水两碗，煎至八分满，空腹服用。（炳章按语：肾虚阴火上炎的病症，适宜采用导热归下的方法，如张景岳的玉女煎加玄参等效果最好。本方中的桔梗具有升提作用，载药上行，对此症最为忌讳。）
生津润肺丸
硼砂（三钱，生用与煅用各半） 寒水石（二钱） 山豆根（二钱） 五味子（一钱） 甘草（二钱） 枯黄芩（二钱） 乌梅（一钱） 薄荷（三钱）
以上药材加入冰片二分，共同研磨成细末，用蜂蜜制成丸子，大小如龙眼核，含化后咽下，以生津降火。
【附：针灸须知】
百会穴针刺一针。前顶穴针刺一针，也可用三针。后顶穴针刺一针，也可用三针。颊车穴针刺一针，也可用三针。左右两侧均可针刺。风池穴针刺一针，男性取左侧，女性取右侧。少商穴针刺一针。合谷穴针刺一针，列缺穴针刺一针。曲池穴针刺一针。均遵循男左女右的原则。
[图片：中指定同身寸用于上肢尺度的示意图]
光按语：百会穴位于头部正中。前顶穴在百会穴前方一寸五分处。后顶穴在百会穴后方一寸五分处。颊车穴在耳垂下方。风池穴在发际线的凹陷中，即颈后两条大筋下部的外侧端。少商穴在拇指内侧指甲根部。合谷穴在手背食指与拇指基底部中间的凹陷处，孕妇禁忌针刺。曲池穴在肘部外侧辅骨旁的凹陷中，屈肘向胸时，正好对应横纹的末端。列缺穴在手内侧，距离腕横纹一寸半处。
凡遇到此类病症，先从少商、合谷、列缺、曲池穴入手，根据男左女右的原则，按照针刺方法刺入。如果病情较重，先从前顶、百会、后顶、风池、颊车等穴位针刺，以疏通周身经络，使风热结邪得以消散，气血运行通畅。配合奇效内服药治疗，自然容易见效。如果针刺后不出血，说明风热壅盛，受邪深重，大多难以救治。
凡进行针刺，先用左手大拇指指甲用力切掐所针穴位，以使气血开通。教导患者精神专注体内，不可外散，然后下针，以免针伤营卫之气。
凡使用针刺，当针到达穴位且击中病灶部位时，迅速出针。随即用左手大拇指迅速按压针孔，不让出血，这称为补法。如果在起针时，缓缓拔出，不用手按压针孔，让其自然出血，这称为泻法。大体而言，实证可用泻法，虚证宜用补法，或者先泻后补，根据症状灵活运用。
喉风使用针灸法，虽然能断根，永不再发。但也有因不忌食煎炒热毒之物，导致一两年后复发一次的情况，不可不知。因此针刺后宜忌口，以免后患。未用针之前，先将散风药末吹入喉内，然后再针刺。针刺后必将药末封住针口处。如吹药后，针刺仍不退邪，再用吊药吹入。
散风药方 用于吹喉及封针口。
全蝎（六分，用水洗净，去头足，用童便炮制，称量准确） 草乌（一钱，去芦头并炮制） 薄荷（一钱五分）
以上三味研为细末。另用乳钵细细研磨极细末，混入千金皮硝散（一钱），加入冰片（一分），麝香（五厘）。
吊药方
鹅腿草（即剪刀股根） 山大黄（即水推沙根） 野南星（即石蒜头）
以上三味共同磨碎于水中，吞下后立即呕吐。膈膜中的痰液，吐出其中含有发散的意义。发散则出汗，故风邪随汗而出。
光按语：鹅腿草之名，本草典籍中未记载。怀疑即鹅抱草，待考证。近年《卫生公报》发明天名精一味药，用于治疗喉痹肿痛，确有吐痰之妙。前贤李时珍，也称颂其功效。山大黄，本草名为酸模，味酸寒，杀虫治疥。野南星，即石蒜，味辛温，本草称其催吐、发汗效果颇佳。
[Appendix: Differentiation and Prescription for Deficient Heat Throat Disorder]
In the initial stage of deficient heat throat disorder, the progression is not rapid but gradual. The patient feels dryness when swallowing saliva and slight obstruction when swallowing air. There are no white plaques resembling goose-mouth disease (鹅口疮) nor obvious swelling in the throat; however, the entire throat may appear red or purplish. This is caused by the upward rush of Mingmen Xianghuo (Ministerial Fire residing in the Gate of Life, which becomes deficient fire pathologically). The syndrome belongs to the depletion of Kidney Water, where Ministerial Fire scorches Kidney Yin, preventing it from descending to control the fire. Consequently, deficient fire rushes to the throat, causing slight pain and obstruction, without aversion to cold but with a preference for heat. At this time, diaoyao (a treatment drug inducing vomiting to expel phlegm by stimulating the throat) should not be used, as it may damage body fluids, doing more harm than good. It is advisable only to hold Shengjin Runfei Wan (Saliva-Generating and Lung-Moistening Pill) in the mouth, swallow it slowly, and take Ziyin Jianghuo Tang (Nourishing Yin and Descending Fire Decoction) for several doses. Acupuncture, diaoyao, and chuiyao (blowing medicinal powder into the throat) are strictly prohibited.
Ziyin Jianghuo Tang (Nourishing Yin and Descending Fire Decoction)
Shengdi Huang (Rehmanniae Radix Preparata, 2 qian) Xuanshen (Scrophulariae Radix, 2 qian) Tiandong (Asparagi Radix, 2 qian) Baishao (Paeoniae Radix Alba, 1 qian) Maidong (Ophiopogonis Radix, 2 qian) Yan Baihuang (Phellodendri Cortex Preparata cum Sale, 1 qian) Jiegeng (Platycodonis Radix, 1 qian) Ku Huangqin (Scutellariae Radix Ustas, 1 qian) Zhizi (Gardeniae Fructus, 7 fen) Gancao (Glycyrrhizae Radix et Rhizoma, 3 fen) Zhimu (Anemarrhenae Rhizoma, 1 qian) Shandougen (Sophorae Tonkinensis Radix et Caulis, 5 fen) Danpi (Moutan Cortex, 1 qian) Zexie (Alismatis Rhizoma, 1 qian) Bohe (Menthae Haplocalycis Herba, 5 fen; omit if spontaneous sweating occurs)
Add two bowls of water, decoct until reduced to eight-tenths, and take on an empty stomach. (Bingzhang's Note: For syndromes of Kidney deficiency with Yin fire flaming upward, it is appropriate to guide heat downward, such as using Jingyue's Yunnv Jian (Jade Woman Decoction) with added Xuanshen, which yields the best results. The Jiegeng in this formula has a lifting action that carries medicine upward, which is most contraindicated for this syndrome.)
Shengjin Runfei Wan (Saliva-Generating and Lung-Moistening Pill)
Pengsha (Borax, 3 qian, half raw and half calcined) Hanshuishi (Calcitum, 2 qian) Shandougen (Sophorae Tonkinensis Radix et Caulis, 2 qian) Wuweizi (Schisandrae Chinensis Fructus, 1 qian) Gancao (Glycyrrhizae Radix et Rhizoma, 2 qian) Ku Huangqin (Scutellariae Radix Ustas, 2 qian) Wumei (Mume Fructus, 1 qian) Bohe (Menthae Haplocalycis Herba, 3 qian)
Add Bingpian (Borneolum Syntheticum, 2 fen) to the above herbs, grind all together into a fine powder, form pills with honey, size similar to a longan seed, hold in mouth to dissolve and swallow, to generate saliva and descend fire.
[Appendix: Notes on Acupuncture and Moxibustion]
St acupuncture at Baihui (GV20): one needle. Qian Ding (GV21): one needle, or three needles. Hou Ding (GV19): one needle, or three needles. Jiache (ST6): one needle, or three needles. Needling can be performed on both left and right sides. Fengchi (GB20): one needle, left side for males, right side for females. Shaoshang (LU11): one needle. Hegu (LI4): one needle. Lieque (LU7): one needle. Quchi (LI11): one needle. All follow the principle of left for males, right for females.
[Image: Diagram of proportional measurement for upper limbs]
Guang's Note: Baihui (GV20) is located at the center of the head. Qian Ding (GV21) is 1.5 cun anterior to Baihui. Hou Ding (GV19) is 1.5 cun posterior to Baihui. Jiache (ST6) is below the earlobe. Fengchi (GB20) is in the depression at the hairline, specifically at the lateral end of the lower part of the two large tendons at the back of the neck. Shaoshang (LU11) is at the radial corner of the nail base of the thumb. Hegu (LI4) is in the depression between the bases of the first and second metacarpal bones on the dorsum of the hand; contraindicated in pregnancy. Quchi (LI11) is in the depression lateral to the olecranon process of the humerus; when flexing the elbow towards the chest, it corresponds to the end of the transverse crease. Lieque (LU7) is on the medial aspect of the forearm, 1.5 cun proximal to the wrist crease.
When encountering such disorders, start with Shaoshang (LU11), Hegu (LI4), Lieque (LU7), and Quchi (LI11), needling according to the male-left/female-right principle and standard techniques. If the condition is severe, begin needling Qian Ding (GV21), Baihui (GV20), Hou Ding (GV19), Fengchi (GB20), and Jiache (ST6) to unblock the meridians throughout the body, allowing wind-heat pathogenic factors to dissipate and blood and qi to flow smoothly. Combined with internal administration of special medicines, recovery will naturally be achieved. If no blood appears after needling, it indicates severe congestion of wind-heat and deep pathogen invasion, often leading to untreatable conditions.
Before needling, use the thumbnail of the left hand to press firmly on the acupoint to open the flow of qi and blood. Instruct the patient to focus their mind inward and avoid distraction before inserting the needle, so as not to injure Ying (Nutritive) and Wei (Defensive) qi.
When needling, upon reaching the acupoint and hitting the pathological site, withdraw the needle quickly. Immediately press the needle hole with the thumb of the left hand to prevent bleeding; this is called the tonification method. When withdrawing the needle, pull it out slowly without pressing the needle hole, allowing bleeding; this is called the sedation method. Generally, excess syndromes are treated with sedation, deficiency syndromes with tonification, or a combination of sedation followed by tonification, depending on the symptoms.
Although acupuncture and moxibustion for Houfeng (Throat Wind) can cure the root cause and prevent recurrence, patients who do not abstain from fried, spicy, and heat-toxic foods may experience recurrence after one or two years. This must be known. Therefore, dietary restrictions are necessary after needling to avoid future complications. Before needling, blow Sanfeng medicinal powder into the throat first, then proceed with needling. After needling, seal the needle sites with medicinal powder. If needling does not resolve the condition after blowing medicine, use diaoyao (vomiting-inducing medicine) blown into the throat.
Sanfeng Powder Formula (For blowing into throat and sealing needle sites)
Quanxie (Scorpio, 6 fen, washed clean, remove head and feet, processed with child's urine, weighed accurately) Caowu (Aconiti Kusnezoffii Radix Preparata, 1 qian, remove rhizome and process) Bohe (Menthae Haplocalycis Herba, 1.5 qian)
Grind these three ingredients into powder. Separately, grind extremely finely in a mortar, mix with Qianjin Pi Xiao San (Qianjin Pi Xiao San, 1 qian), add Bingpian (Borneolum Syntheticum, 1 fen) and Shexiang (Moschus, 5 li).
Diaoyao Formula
Eluecao (Radix Iridis Tectoriae, also known as Jiandaohao Gen) Shandahuang (Radix Rumis, also known as Shuituisha Gen) Yenanxing (Rhizoma Lycoris Radiatae, also known as Shisuan Tou)
Grind these three ingredients in water, swallow, and induce immediate vomiting. The expulsion of phlegm from the diaphragm contains the meaning of dispersing. Dispersal leads to sweating, thus wind exits with sweat.
Guang's Note: Eluecao is not recorded in Materia Medica. It is suspected to be Ebao (Iris tectorii), pending verification. Recently, "Health Gazette" introduced Tianmingjing (Flos Vernoniae Cinereae) for treating Houbi (Throat Bi) with swelling and pain, showing excellent efficacy in inducing vomiting of phlegm. Li Shizhen, a former expert, also praised its effects. Shandahuang is named Suanmo (Rumex acetosella) in Materia Medica, sour and cold in nature, kills parasites and treats scabies. Yenanxing is Shisuan (Lycoris radiata), pungent and warm; Materia Medica states it effectively induces vomiting and sweating.