苏子降气汤
半夏 陈皮 肉桂 前胡 川朴 当归 甘草 苏子 生姜 大枣
秘传奇方
墙上壁钱七个内要活 蛛四五个捻作一团再用生明矾七分倾银罐内化开将壁钱入凡内 存性研细末吹入喉
中立时就效虽将势甚危亦复回生真秘法也
二生散
白矾 雄黄 共为细末吹入喉中吐出痰水
立效神方 喉痹喉风项肿均效
僵蚕（二两） 葱（二把） 熏洗项间风热即散
又方 蜜炙附子 专治感寒咽闭不能下咽
大附子（一枚） 去皮切如钱浓浸蜜内炙黄再浸再炙愈炙愈妙切不可炙焦用一片含于口中咽津候甘味尽吐去日含三
四次喉即开矣
塞鼻方 治喉痹乳蛾咽喉肿痛汤水不入命在须臾即用此法治之可以得生
巴豆肉（二粒） 细辛（五厘） 捣和卷在纸中间成条剪断如患在左即塞右鼻如患在右即塞左鼻右左均患两鼻皆塞
咽喉立通
按喉痹雄黄化毒丹即雄黄解毒丸故附记之
程镜宇云按陈耕道方法无一不是凉散兼施盖深得夫表邪为末火炽为末之旨故立法有条不紊宜其发一百中验效如神
惟疫症之中或内有挟湿或暴寒宿痞蓄血或邪实正虚均为疫中常变之症探集前贤成法附后
疫痧传染而六气八风不传染何也缘六气八风可知可避而疫则不可知不可闻而避也盖六淫之气本自太和而为岁气司
天浸淫过度此淫字之所以名也然天地间苟无此气相推营运则生化收藏之道盈虚消长机乎息矣故岐伯谓六气八风人当知
避则是寒也人知其为冷暑也人知其为热风湿燥火知其为风湿燥火是六淫之默运可验而知矧八风之潜来莫知警避故虽
严寒酷暑之盛行疾风豪雨之骤至气似猛于时行而必无传染之患良以此能知能避故也惟疫也不可知或岁值不承或天符不
应或在泉所侮或司天独胜其至也非时其形也无定杂赋六淫之内流行八风之中冒玄府而不知感呼吸而莫觉人在气交之中蒙
被气化犹白之能采苟非坚实之质孰能涅而不淄以故彼染此传如磁引铁感其深浅发为重轻一夫抱 四方风动易曰或系之
牛又曰邑人之灾故能与时消息五类行灾虽知之而已染且避之而盛传矣可不畏哉
天有非时之气地有旱涝之偏上下相摩氤氲鼓荡以致清阳不升浊阴不降蕴结于中曰瘟障散于外者曰瘴沉埋欲降而不
降者谓之霾冒雾欲升而不得升者谓之雾是皆天地 郁之气漫无所泄感触万物役使行灾谓之天行故其役于物也如天之使
役是故谓之疫其厉于人也如雷之壮厉是故谓之厉其感也潜滋而暗长故积之也深其发也一泄而无遗故发之也暴而蒙其气
者则无论草木鸟兽百谷昆虫凡神机气立根外根中者莫不熏染及之故鸡犬每毙于灾KT 禾稼亦伤于于蟊 人染之则痧喉
互发街巷盈村其肆疟实烈于八风而传染尤严乎六气爰疫之中具有一义存焉疫痧时气吸从口鼻并入太阴气分者则烂喉并
入阳明血分者则发痧太阴者肺脏也主喉而厉气阳明者胃腑也主咽而属肌肉喉通呼吸之气行乎五脏咽为饮食之道六腑源
头故喉主天气咽主地气是以口鼻吸入咽喉传导之肺胃交承之一脏一腑同受疫邪一气一血各呈其象故烂喉者色多白病在
肺而属气发痧色多赤病在胃而属血其实同为一症一发于咽喉之地一达于肌肉之间移步以换形固形而名别耳故在肺则曰
烂喉在胃则曰发痧故名曰烂喉痧
毒邪伤形形因肿溃疫痧有之故曰疫中有毒疫者郁也即浊阴之地气郁结不散复投于人以为厉故又谓之疫也前贤吴又
可叶天士悉以瘟疫统论而吴鞠通则又统为温病名义未分而其实瘟者温也乃司天温热之气酝酿流行蕴于万物以成灾故谓
之瘟也瘟病而不肿者乃本司天酝酿之温热气疫痧而兼肿者实根浊阴郁结之地气疫毒浊瘟毒也一在气一在血也经曰喉主
天地咽主地气天地者在气则为清阳浊阴在人则为气与血也故疫症之中有烂喉发痧之别者乃分人手之清阳浊阴与夫气与
血也人身手太阴主气然其经实多气多血故烂喉之中有红烂白腐之二者乃少太阴之气与血也人身足阳明主肌肉以其经气
血俱多故发痧之中有丹痧白疹之二者实阳明之气与血也缘丹痧之中发系血为毒干血即败坏而变色于是肌肤渐肿露出痧
点外呈即是疫毒之邪游溢胃之经络传从血分达出譬犹他邪之从汗解缘他邪无毒得汗可解独疫邪有毒而毒必灾形故或痒
或痛或烂或 血分之毒尽透乃已又考麻痘二症麻发先天之阳毒痘发先天之阴毒虽发所当发然必借天行时气以引之而后
人身之毒方出天行者疫也由是以观同气相求疫能引发痘麻之毒则是疫中有毒不待明矣然则痧喉一症先天之毒虽无时行
之毒必有症固不比于痘麻亦可借痘麻以譬之而痧实发乎疫毒也又明矣
烂喉与痧乃气血同病内外异形之故而云间朱铁山独创痧本喉末之论是不知气血之形当有别耳其论谓痧邪之发必先
见咽喉肿痛是厉邪痧子为本咽喉咳嗽为末而诸医偏重于咽喉而忽于痧子舍本求末执守内经诸痛属火红肿为热之说急进
寒凉遏伏厉邪以致体弱者病势转重而医犹谓病重药轻寒凉倍进痧毒内陷喉闭疫升命归泉路要知头面肿赤乃痧毒外达之
势正当表散开达毒自不留直待肿退痧回鼻流清涕方进凉血清解靡不速效按铁山初宜表散继宜凉血之论诚可谓知所先后
矣若以发痧为本而宜散烂喉为末而宜凉则是疫有二邪一病两治缘痧邪之发气血有分形痧喉无本末治之之法皆当一本于痧
均要先解后凉抑或凉解双用断不能以痧为本而宜散以喉为末而宜凉也至内经诸痛属火红肿为热二语诸医执论痧喉何尝
不是经又曰火郁发之诸医若更执此以治疫则于痧喉一症当无剩义是内经之旨本详明而领经之趣则自晦非执之咎实执而
不化之咎若陈耕道疫痧方中所论表邪末也火炽本也二语确是深明本末之理而吾 洪丽川当谓痧喉一症名虽两殊实则一
病分呈乎内外耳玩味斯言真一语道破推而治疫得其旨矣
疫痧一症不外热毒二气互结而成熟为火之余故热胜则肿毒为秽之积故毒胜灾肤然热非清凉不解而毒非芳香不除即
以清凉解毒芳香逐秽八字为治疫要领再视其气血重轻随症通变而治疫之法要不出此八字范围至推拿针刺其法最古大旨
多为痹症而设痹者气机阻闭不得流通之谓也针之 义如以管入水闭其上则下不出旁穿一隙则水自泄故人病痹不通即刺
以经穴以通其气推拿毛窍以疏其气非谓针刺可泄毒邪也盖毒既入于经岂一针之微遂能使毒泄出故针法有补有泻若阴虚
火旺血不营经而为阻痹或寒凝经络而为痛痹针之即所以泻其气而使通又恐经气过泄故又以针补而闭之若病非痹症可毋
庸多用针刺徒伤经络是以素问谓升降出入无器不有出入闭则生机化息故针之用在乎通而非所以泄毒也痧喉症不挟风寒
外遏者只宜疏 外达忌用温燥发表盖疫为阳邪而发散大都阳药动则胃津肾液被劫消亡若无结胸内陷症者只宜甘凉泄热
忌用若寒消导往往痧势将达反为寒凉遏伏故叶天士以发散消导为疫家大戒意旨良深窃谓疫根于热虽曰口鼻吸受肺胃感
邪然以类相从君相二火亦当内应故每直布三焦逆传脆络则邪在里而不在表使以燥剂表之是重虚其表而反实其里势将逼
成内陷若从玄府染受者受者未经营卫病在表而不在里使以下剂导之则里气愈虚表邪愈实亦将引邪内陷故发散消导均有
贻误尝考诸家论说每谓初失之表误用寒凉将邪遏伏确论名言实有见地第恐拘过之辈不察表里之由不分病势轻重视寒凉为
畏途奉发散为圭臬成见实足贻害故HT 山陈耕道谓治疫之要当于一发之时见其势之顺逆宜散宜凉一决无误斯为老眼此
论诚有胆识浊折其衷故将前贤二说引而伸之以明用药之方重者勿拘成格
脏腑之质有胜有偏呼吸之司气无二息若肺气实而胃气虚者胃腑受邪宜发痧而不烂喉若肺气虚而胃气实者肺脏感疫
宜烂喉而不发痧何以发痧者每不烂喉烂喉者多兼发痧绿肺主呼吸声息饮食与胃相根据况肺脉起于中焦下络胃之上口贲门
之地肺家既见烂喉喉毒随吸入胃胃家吸受肺毒是以必兼发痧纵轻微不觉必肤养依稀此烂喉无不发痧者以此又内经曰阳
病者上行极而下是以肺病胃正上行极而下也顺也胃病不害于肺者乃疫为阳邪不应下行极而上也亦顺也故发痧每不烂喉
烂喉多兼发痧者又以此也
烂喉治肺固当然矣然宜防范及胃其故有二内经曰喉者前其形坚健咽在后其质和柔前后虽有区分然在悬雍以下会厌
之间分气食二管烂处乃是咽喉交互之所肺胃未判之区安可治肺略胃此胃之不可偏废者一也又以咽喉呼吸声息饮食与胃
根据随如影之从形更宜防范胃家此胃之不可偏废二也故曰治喉防范胃即是上二治未病
痧之顺逆大都先发胸背而后四肢者顺先自头面而后腿足者亦顺而痧之色要在红匀不在多寡如鲜红细碎着手有痕者
吉周遍均匀肌肤作痒者亦吉徐徐缓达从里透出者亦吉凡此之类虽多如云锦亦不为凶若骤如红纸者为胃热极盛包紫且黑
者热毒灼动阴血全黑者胃烂不治然黑而暗亮者必在气血充足之人亟进凉血泄热间有一二挽回惟黑而暗者必死若痧虽黑
四边隐隐带赤色者为火郁内伏大用凉血解毒尚冀转红可治若骤形灭没神色昏迷者为内陷肌肤作痒者营卫犹和肤燥无汗
者毒灼液干难于透达痧透后点上白泡累累者并非痧 豆发乃是热毒极盛犹不足以尽其毒故点上再加白泡泡大而有浆者
多凶痧后遗毒发于腮项者难治汗后痧隐者险四肢浮肿而亮者多败十日之间
喉中小粒其色多白者乃邪发于太阴气分者故俗有时喉肺白烂之名若素有伏寒或挟湿邪者烂痕亦多白色太都白为肺
金本色无系重轻若白而且腐状如粉皮者乃气分大伤为难治若白烂喉展开穿及鼻孔者俗名天白蚁难治若色现鲜红及红点
者乃疫于太阴血分吹药多涎者热虽盛而液尚未伤易治若吹药而涎不生者津液大亏难治若痧透后而烂喉尤甚者为外毒虽
松内毒尚猛属险症若喉内烂而外肿且坚者为毒结喉间无从发泄虽治若烂至喉底不见好肉者为败众多毙于五日之内
烂喉而喷嚏者肺机开泄为吉呃逆者毒火上逆为凶呛然而咳者毒火上攻射其肺系为险频声
而咳者邪袭肺经为吉烂喉而不咳嗽者为险失音者肺热叶焦气促者热盛灼金
痧症面肿目赤者以疫为阳邪而头为诸阳之会以阳重阳故头目多见赤肿而吴又可温疫论谓肿是兼有水肿而发又谓里
邪失下表里气滞而然按此二症或亦有之而疫之肿乃内经热胜则肿之肿虽无兼症亦应见肿
痧之脉宜弦数有序忌软弱无序若况而伏者为邪未达出宜进疏 数大而空虚者为正弱邪胜宜勿伤正气阳症见阴脉者
难治
面色红而亮者为火盛青而滞者为毒盛内伏 白而呆者为风伏寒邪青黯而喉不烂或不甚烂者为素伏湿邪治之之法在
寒湿附及者治KT 辛热湿热附及者治用辛凉
鼻煤者乃胃脉起于山根胃热极而根源应之故煤鼻红而扇者乃鼻为肺窍肺胃之气均为热伤正气不支而欲绝初起一团
黑色绕于鼻间者乃胃家伏毒已甚鼻衄者乃胃脉下挟鼻孔胃热涌血上行溢从鼻窍而出
舌苔灰而赋者为湿热上腾邪未化火纯白而腻者为素挟寒邪均宜疏达舌赤多刺者为邪已化火宜清化舌绛中黑者为津
液亏耗宜救液舌白中绛者为外束寒邪宜双解舌绛且缩者为热陷心营宜育阴舌苔黄浓者为热将解宜清胃热
唇绛者乃阳明之脉环于唇为胃液亏唇紫而裂者为胃液涸宜救液
谵语者为邪陷心胞不谵语而鼾睡迷闷喉有痰声者为毒雾 开清宫最防内陷
呕恶者藉泄胃热为吉欲吐不吐干恶神呆者为胃邪将犯心营
便闭者胃有燥粪为火结 腹痛者最忌为闷痧
恶寒者为外邪侵卫恶寒而后热者乃邪既入卫则随卫气以出入遂常热而不复恶寒治之之法要乘其未热之先或寒热交
作之际疏而达之拦其入营之路
有汗者心液足为吉无汗者心液亏防内陷
足无汗者乃疫为阳病阳病之情应由上行极而下邪未及于足阴故足应无汗非关汗出不遍也
便溏而色黝者以大肠为肺之表乃邪从表泄正是解机若黑亮有光粘稠如漆者乃热极旁流反为不美盖疫毒之邪内干脏
腑在正气盛旺之人则邪流肠腑从便而泄腑毒即可驱除若症虚邪实之人则邪布三焦滞留肠胃劫动阴血化腐脂膏侵无所泄
溢从地道旁流而出形似瘀血凝结而成不堪其臭有象之邪虽泄无形之毒方张莫谓蔻去城空乃是盈中溢外亟用重济清化以
净脏腑之邪未可再事狐疑误认邪从表泄是热极旁流一症生死一大关键幸勿忽诸
烂喉而口鼻者有牙疳穿腮等症其气皆发于口中非从喉内达出若无牙疳各症而臭秽之气逼人从喉间达出者为肺胃化
腐之机盖迹虽未形而机则已露烂喉之消息系乎口臭之重轻不徒喉烂之深浅若使一闻此气无论烂与不烂亟进清凉化毒治
其未病斯谓上工
口为脾之窍胃为脾之表而胃之脉起鼻上额挟口循颊故胃热极而上腾则口唇糜肿芒刺有浓色红者疫热虽盛未入阴营
色紫或黑者阴血已动乃为险然较之口鼻症属略轻若仅口糜而色紫黑者尚非绝症第口鼻尽有不口糜而口糜断无不口臭分
别之处一自口中呼出一仅唇外难闻法以上用轻宣下清胃热因势利导之上下兼赅方无遗漏
齿乃肾之余龈为胃之络胃阴灼耗则肾水之源难于既济而中之火应震为雷胃液肾津源根一派龈牙唇齿脉络贯通故胃
苏子降气汤
半夏、陈皮、肉桂、前胡、川朴（厚朴）、当归、甘草、紫苏子、生姜、大枣。
秘传奇方
选取墙上活体壁钱七个，蜘蛛四五个，将其捻成一团。再用生明矾七分，放入银罐内化开，将壁钱投入其中，存性（煅烧至保留药性）后研成细末，吹入喉中。立竿见影，即使病情危重，也能起死回生，真是秘方啊。
立效神方 治疗喉痹、喉风、项部肿胀均有效。
僵蚕（二两）、葱（二把），熏洗项间，风热即可消散。
又方：蜜炙附子，专治因感寒导致的咽闭、不能下咽。
大附子（一枚），去皮切如铜钱大小，浓浸于蜂蜜中，炙烤至黄色，再浸再炙，越炙越好，切不可烤焦。取一片含于口中，吞咽津液，待甘味尽时吐出，每日含三四次，咽喉即通。
塞鼻方 治疗喉痹、乳蛾（扁桃体炎）、咽喉肿痛、汤水不入、命在须臾者，即用此法治之，可以得生。
巴豆肉（二粒）、细辛（五厘），捣和卷在纸中间成条，剪断。若患在左侧则塞右鼻，患在右侧则塞左鼻，左右均患则两鼻皆塞。咽喉立通。
程镜宇说：按照陈耕道的方法，无一不是凉散兼施，盖深得“表邪为本，火炽为末”的宗旨，所以立法有条不紊，宜其发一百中验效如神。
只是在疫症之中，有的内有挟湿，有的暴寒宿痞蓄血，有的邪实正虚，均为疫中常变之症。搜集前贤成法附后。
疫痧传染而六气八风不传染，为什么呢？因为六气八风可知可避，而疫则不可知不可闻而避也。盖六淫之气本自太和而为岁气司天，浸淫过度，此“淫”字之所以名也。然天地间苟无此气相推营运，则生化收藏之道盈虚消长机乎息矣。故岐伯谓六气八风人当知避，则是寒也人知其为冷，暑也人知其为热，风湿燥火知其为风湿燥火，是六淫之默运可验而知。矧八风之潜来莫知警避，故虽严寒酷暑之盛行，疾风豪雨之骤至，气似猛于时行而必无传染之患，良以此能知能避故也。惟疫也不可知，或岁值不承，或天符不应，或在泉所侮，或司天独胜，其至也无时，其形也无定，杂赋六淫之内流行，八风之中冒玄府而不知感，呼吸而莫觉。人在气交之中，蒙被气化，犹白之能采，苟非坚实之质，孰能涅而不淄？以故彼染此传，如磁引铁，感其深浅发为重轻。一夫抱病，四方风动。易曰：“或系之牛”，又曰：“邑人之灾”。故能与时消息，五类行灾，虽知之而已染，且避之而盛传矣，可不畏哉！
天有非时之气，地有旱涝之偏，上下相摩，氤氲鼓荡，以致清阳不升，浊阴不降，蕴结于中曰瘟，障散于外者曰瘴，沉埋欲降而不降者谓之霾，冒雾欲升而不得升者谓之雾。是皆天地郁之气，漫无所泄，感触万物，役使行灾，谓之天行。故其役于物也，如天之使役，是故谓之疫；其厉于人也，如雷之壮厉，是故谓之厉。其感也潜滋而暗长，故积之也深；其发也一泄而无遗，故发之也暴。而蒙其气者，则无论草木鸟兽、百谷昆虫，凡神机气立、根外根中者，莫不熏染及之。故鸡犬每毙于灾疠，禾稼亦伤于蟊贼。人染之则痧喉互发，街巷盈村。其肆疟实烈于八风，而传染尤严乎六气。爰疫之中具有一义存焉。疫痧时气，吸从口鼻并入太阴气分者则烂喉；并入阳明血分者则发痧。太阴者肺脏也，主喉而厉气；阳明者胃腑也，主咽而属肌肉。喉通呼吸之气，行乎五脏；咽为饮食之道，六腑源头。故喉主天气，咽主地气。是以口鼻吸入，咽喉传导之肺胃交承之一脏一腑，同受疫邪，一气一血各呈其象。故烂喉者色多白，病在肺而属气；发痧色多赤，病在胃而属血。其实同为一症，一发于咽喉之地，一达于肌肉之间，移步以换形，固形而名别耳。故在肺则曰烂喉，在胃则曰发痧，故名曰烂喉痧。
毒邪伤形，形因肿溃，疫痧有之，故曰疫中有毒。疫者，郁也，即浊阴之地气郁结不散，复投于人以为厉，故又谓之疫也。前贤吴又可、叶天士悉以瘟疫统论，而吴鞠通则又统为温病，名义未分而其实。瘟者，温也，乃司天温热之气酝酿流行，蕴于万物以成灾，故谓之瘟也。瘟病而不肿者，乃本司天酝酿之温热气；疫痧而兼肿者，实根浊阴郁结之地气疫毒浊瘟毒也。一在气，一在血也。经曰：喉主天地，咽主地气。天地者在气则为清阳浊阴，在人则为气与血也。故疫症之中有烂喉发痧之别者，乃分人手之清阳浊阴与夫气与血也。人身手太阴主气，然其经实多气多血，故烂喉之中有红烂白腐之二者，乃少太阴之气与血也。人身足阳明主肌肉，以其经气血俱多，故发痧之中有丹痧白疹之二者，实阳明之气与血也。缘丹痧之中发系血，为毒干血，即败坏而变色，于是肌肤渐肿，露出痧点，外呈即是疫毒之邪游溢胃之经络，传从血分达出。譬犹他邪之从汗解，缘他邪无毒，得汗可解，独疫邪有毒，而毒必灾形，故或痒或痛或烂或衄，血分之毒尽透乃已。又考麻痘二症，麻发先天之阳毒，痘发先天之阴毒，虽发所当发，然必借天行时气以引之而后人身之毒方出。天行者，疫也。由是以观，同气相求，疫能引发痘麻之毒，则是疫中有毒不待明矣。然则痧喉一症，先天之毒虽无，时行之毒必有症，固不比于痘麻，亦可借痘麻以譬之，而痧实发乎疫毒也又明矣。
烂喉与痧乃气血同病、内外异形之故，而云间朱铁山独创“痧本喉末”之论，是不知气血之形当有别耳。其论谓痧邪之发，必先见咽喉肿痛，是厉邪痧子为本，咽喉咳嗽为末。而诸医偏重于咽喉而忽于痧子，舍本求末，执守《内经》“诸痛属火，红肿为热”之说，急进寒凉遏伏厉邪，以致体弱者病势转重，而医犹谓病重药轻，寒凉倍进，痧毒内陷，喉闭疫升，命归泉路。要知头面肿赤，乃痧毒外达之势，正当表散开达，毒自不留。直待肿退痧回，鼻流清涕，方进凉血清解，靡不速效。按铁山初宜表散，继宜凉血之论，诚可谓知所先后矣。若以发痧为本而宜散，烂喉为末而宜凉，则是疫有二邪，一病两治。缘痧邪之发，气血有分，形痧喉无本末，治之之法皆当一本于痧，均要先解后凉，抑或凉解双用，断不能以痧为本而宜散，以喉为末而宜凉也。至《内经》“诸痛属火，红肿为热”二语，诸医执论，痧喉何尝不是经？又曰“火郁发之”，诸医若更执此以治疫，则于痧喉一症当无剩义。是《内经》之旨本详明，而领经之趣则自晦，非执之咎，实执而不化之咎。若陈耕道疫痧方中所论“表邪末也，火炽本也”二语，确是深明本末之理。而吾友洪丽川当谓“痧喉一症，名虽两殊，实则一病分呈乎内外耳”。玩味斯言，真一语道破，推而治疫得其旨矣。
疫痧一症，不外热毒二气互结而成，熟为火之余，故热胜则肿；毒为秽之积，故毒胜灾肤。然热非清凉不解，而毒非芳香不除。即以“清凉解毒，芳香逐秽”八字为治疫要领，再视其气血重轻，随症通变，而治疫之法要不出此八字范围。至推拿针刺，其法最古，大旨多为痹症而设。痹者，气机阻闭不得流通之谓也。针之义，如以管入水，闭其上则下不出，旁穿一隙则水自泄。故人病痹不通，即刺以经穴以通其气，推拿毛窍以疏其气，非谓针刺可泄毒邪也。盖毒既入于经，岂一针之微遂能使毒泄出？故针法有补有泻。若阴虚火旺，血不营经而为阻痹，或寒凝经络而为痛痹，针之即所以泻其气而使通，又恐经气过泄，故又以针补而闭之。若病非痹症，可毋庸多用针刺，徒伤经络。是以《素问》谓“升降出入，无器不有”，出入闭则生机化息，故针之用在乎通，而非所以泄毒也。痧喉症不挟风寒外遏者，只宜疏达外达，忌用温燥发表。盖疫为阳邪，而发散大都阳药，动则胃津肾液被劫消亡。若无结胸内陷症者，只宜甘凉泄热，忌用苦寒消导，往往痧势将达，反为寒凉遏伏。故叶天士以发散消导为疫家大戒，意旨良深。窃谓疫根于热，虽曰口鼻吸受，肺胃感邪，然以类相从，君相二火亦当内应，故每直布三焦，逆传脆络，则邪在里而不在表。使以燥剂表之，是重虚其表而反实其里，势将逼成内陷。若从玄府染受者，受者未经营卫，病在表而不在里，使以下剂导之，则里气愈虚，表邪愈实，亦将引邪内陷。故发散消导均有贻误。尝考诸家论说，每谓初失之表，误用寒凉，将邪遏伏，确论名言，实有见地。第恐拘泥之辈，不察表里之由，不分病势轻重，视寒凉为畏途，奉发散为圭臬，成见实足贻害。故某山陈耕道谓治疫之要，当于一发之时，见其势之顺逆，宜散宜凉，一决无误，斯为老眼。此论诚有胆识，折衷其衷，故将前贤二说引而伸之，以明用药之方，重者勿拘成格。
脏腑之质有胜有偏，呼吸之司气无二息。若肺气实而胃气虚者，胃腑受邪，宜发痧而不烂喉；若肺气虚而胃气实者，肺脏感疫，宜烂喉而不发痧。何以发痧者每不烂喉，烂喉者多兼发痧？绿肺主呼吸，声息饮食与胃相根据。况肺脉起于中焦，下络胃之上口贲门之地，肺家既见烂喉，喉毒随吸入胃，胃家吸受肺毒，是以必兼发痧，纵轻微不觉，必肤养依稀。此烂喉无不发痧者，以此又《内经》曰“阳病者上行极而下”，是以肺病胃正上行极而下也，顺也。胃病不害于肺者，乃疫为阳邪，不应下行极而上也，亦顺也。故发痧每不烂喉，烂喉多兼发痧者，又以此也。
烂喉治肺固当然矣，然宜防范及胃，其故有二。《内经》曰：“喉者前，其形坚健；咽在后，其质和柔。”前后虽有区分，然在悬雍以下、会厌之间，分气食二管，烂处乃是咽喉交互之所，肺胃未判之区，安可治肺略胃？此胃之不可偏废者一也。又以咽喉呼吸声息饮食与胃根据随，如影之从形，更宜防范胃家，此胃之不可偏废二也。故曰：治喉防范胃，即是上工治未病。
痧之顺逆，大都先发胸背而后四肢者顺，先自头面而后腿足者亦顺。而痧之色要在红匀，不在多寡。如鲜红细碎，着手有痕者吉；周遍均匀，肌肤作痒者亦吉；徐徐缓达，从里透出者亦吉。凡此之类，虽多如云锦，亦不为凶。若骤如红纸者为胃热极盛，包紫且黑者热毒灼动阴血，全黑者胃烂不治。然黑而暗亮者，必在气血充足之人，亟进凉血泄热，间有一二挽回；惟黑而暗者必死。若痧虽黑，四边隐隐带赤色者，为火郁内伏，大用凉血解毒，尚冀转红可治。若骤形灭没，神色昏迷者，为内陷；肌肤作痒者，营卫犹和；肤燥无汗者，毒灼液干，难于透达。痧透后点上白泡累累者，并非痧豆发，乃是热毒极盛，犹不足以尽其毒，故点上再加白泡，泡大而有浆者多凶。痧后遗毒发于腮项者难治，汗后痧隐者险，四肢浮肿而亮者多败，十日之间……
喉中小粒，其色多白者，乃邪发于太阴气分者，故俗有时喉肺白烂之名。若素有伏寒或挟湿邪者，烂痕亦多白色。太都白为肺金本色，无系重轻。若白而且腐，状如粉皮者，乃气分大伤，为难治。若白烂喉展开，穿及鼻孔者，俗名天白蚁，难治。若色现鲜红及红点者，乃疫于太阴血分，吹药多涎者，热虽盛而液尚未伤，易治；若吹药而涎不生者，津液大亏，难治。若痧透后而烂喉尤甚者，为外毒虽松，内毒尚猛，属险症。若喉内烂而外肿且坚者，为毒结喉间，无从发泄，虽治若烂至喉底不见好肉者，为败，众多毙于五日之内。烂喉而喷嚏者，肺机开泄为吉；呃逆者，毒火上逆为凶；呛然而咳者，毒火上攻射其肺系为险；频声而咳者，邪袭肺经为吉；烂喉而不咳嗽者为险；失音者，肺热叶焦；气促者，热盛灼金。
痧症面肿目赤者，以疫为阳邪，而头为诸阳之会，以阳重阳，故头目多见赤肿。而吴又可《温疫论》谓肿是兼有水肿而发，又谓里邪失下表里气滞而然。按此二症或亦有之，而疫之肿乃《内经》“热胜则肿”之肿，虽无兼症亦应见肿。
痧之脉宜弦数有序，忌软弱无序。若况而伏者，为邪未达出，宜进疏达；数大而空虚者，为正弱邪胜，宜勿伤正气；阳症见阴脉者难治。
面色红而亮者为火盛，青而滞者为毒盛内伏，白而呆者为风伏寒邪，青黯而喉不烂或不甚烂者为素伏湿邪。治之之法，在寒湿附及者治以辛热，湿热附及者治用辛凉。
鼻煤者，乃胃脉起于山根，胃热极而根源应之，故煤鼻红而扇者，乃鼻为肺窍，肺胃之气均为热伤，正气不支而欲绝。初起一团黑色绕于鼻间者，乃胃家伏毒已甚。鼻衄者，乃胃脉下挟鼻孔，胃热涌血上行，溢从鼻窍而出。
舌苔灰而腻者为湿热上腾，邪未化火；纯白而腻者为素挟寒邪，均宜疏达。舌赤多刺者为邪已化火，宜清化；舌绛中黑者为津液亏耗，宜救液；舌白中绛者为外束寒邪，宜双解；舌绛且缩者为热陷心营，宜育阴；舌苔黄浓者为热将解，宜清胃热。
唇绛者，乃阳明之脉环于唇，为胃液亏；唇紫而裂者为胃液涸，宜救液。
谵语者为邪陷心胞；不谵语而鼾睡迷闷，喉有痰声者，为毒雾闭塞清宫，最防内陷。
呕恶者，藉泄胃热为吉；欲吐不吐，干恶神呆者，为胃邪将犯心营。
恶寒者为外邪侵卫；恶寒而后热者，乃邪既入卫，则随卫气以出入，遂常热而不复恶寒。治之之法，要乘其未热之先，或寒热交作之际，疏而达之，拦其入营之路。
足无汗者，乃疫为阳病，阳病之情应由上行极而下，邪未及于足阴，故足应无汗，非关汗出不遍也。
便溏而色黝者，以大肠为肺之表，乃邪从表泄，正是解机。若黑亮有光，粘稠如漆者，乃热极旁流，反为不美。盖疫毒之邪内干脏腑，在正气盛旺之人，则邪流肠腑，从便而泄，腑毒即可驱除；若症虚邪实之人，则邪布三焦，滞留肠胃，劫动阴血，化腐脂膏，侵无所泄，溢从地道旁流而出，形似瘀血凝结而成，不堪其臭。有象之邪虽泄，无形之毒方张，莫谓寇去城空，乃是盈中溢外，亟用重济清化以净脏腑之邪，未可再事狐疑，误认邪从表泄。是热极旁流一症，生死一大关键，幸勿忽诸。
烂喉而口鼻者，有牙疳穿腮等症，其气皆发于口中，非从喉内达出。若无牙疳各症而臭秽之气逼人，从喉间达出者，为肺胃化腐之机。盖迹虽未形而机则已露，烂喉之消息系乎口臭之重轻，不徒喉烂之深浅。若使一闻此气，无论烂与不烂，亟进清凉化毒，治其未病，斯谓上工。
口为脾之窍，胃为脾之表，而胃之脉起鼻上额，挟口循颊，故胃热极而上腾，则口唇糜肿芒刺。有脓色红者，疫热虽盛未入阴营；色紫或黑者，阴血已动，乃为险，然较之口鼻症属略轻。若仅口糜而色紫黑者，尚非绝症。第口鼻尽有不口糜而口糜断无不口臭，分别之处。一自口中呼出，一仅唇外难闻。法以上用轻宣，下清胃热，因势利导之，上下兼赅，方无遗漏。
Su Zi Jiang Qi Tang (Perilla Fruit Descending Qi Decoction)
Banxia (Pinelliae Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Rougui (Cinnamomi Cortex), Qianhu (Peucedani Radix), Chuanpu (Magnoliae Officinalis Cortex), Danggui (Angelicae Sinensis Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Su Zi (Perillae Fructus), Shengjiang (Zingiberis Rhizoma Recens), Dazao (Jujubae Fructus).
Secret Legendary Formula
Select seven living wall spiders (Bi Qian, *Theridion* species) from the wall, and four or five live spiders. Twist them into a ball. Then take 7 fen of raw Mingfan (Alumen), dissolve it in a silver pot, put the wall spiders into it, calcine to preserve the medicinal property (Cun Xing), grind into fine powder, and insufflate into the throat. It takes effect immediately; even if the condition is critical, it can revive the patient. Truly a secret method.
Er Sheng San (Two Generations Powder)
Bai Fan (Alumen), Xionghuang (Realgar). Grind together into fine powder, insufflate into the throat to induce vomiting of phlegm and water.
Li Xiao Shen Fang (Immediate Effect Divine Formula) Effective for Hou Bi (Sore Throat), Hou Feng (Wind-Throat), and neck swelling.
Jiang Can (Bombyx Batryticatus) (2 liang), Cong (Allii Fistulosi Bulbus) (2 bunches). Fumigate and wash the neck area; wind-heat will dissipate.
Another Prescription: Mi Zhi Fu Zi (Honey-fried Aconiti Lateralis Radix Praeparata). Specifically treats throat closure due to cold invasion, unable to swallow.
One large Fu Zi (Aconiti Lateralis Radix Praeparata), peel off the skin, slice like a coin, soak thickly in honey, roast until yellow, then soak and roast again. The more roasted, the better. Do not burn it. Take one piece, hold in the mouth, swallow saliva, spit out when the sweet taste is gone. Hold in the mouth three to four times a day, the throat will open.
Nasal Obstruction Formula Treats Hou Bi (Sore Throat), Ru E (Mammillary Swelling/Tonsillitis), throat and tonsil swelling, inability to drink soup or water, life hanging by a thread. Use this formula immediately to survive.
Badou Rou (Crotonis Fructus Flesh) (2 grains), Xixin (Asari Radix et Rhizoma) (5 li). Mash and mix, roll in paper into a strip, cut into pieces. If the disease is on the left, stuff the right nostril; if on the right, stuff the left nostril; if on both sides, stuff both nostrils. The throat opens immediately.
Note: Hou Bi Xionghuang Huadu Dan (Realgar Antidote Pill) is the same as Xionghuang Jiedu Wan (Realgar Detoxification Pill), so it is recorded here.
Cheng Jingyu said: According to Chen Gengdao's methods, none are not combining cooling and dispersing. This deeply grasps the principle that "exterior pathogenic factor is the root, fire blazing is the branch." Therefore, the formulation is orderly and logical, making its efficacy miraculous.
However, in epidemic diseases, some have dampness internalized, some have sudden cold with old stagnation and blood stasis, some have excess pathogen and deficient healthy qi. These are common variations in epidemics. I have collected the established methods of former sages and attached them below.
Yisha (Epidemic Miasma and Sand) is contagious, but Liu Qi (Six Qi) and Ba Feng (Eight Winds) are not. Why? Because Liu Qi and Ba Feng can be known and avoided, whereas Yi (Epidemic Miasma) cannot be known or avoided by smell. The Six Excesses (Liu Yin) originally come from Taihe (Great Harmony) as the annual climate ruling heaven. When they permeate excessively, this is why it is called "excess" (Yin). However, if there were no such qi pushing and operating in the world, the way of generation, transformation, storage, and collection would cease. Thus, Qibo said that people should know to avoid Liu Qi and Ba Feng. Cold is known as cold, heat as heat, wind-dampness-dryness-fire as wind-dampness-dryness-fire. Thus, the silent operation of Liu Yin can be verified and known. Moreover, the stealthy arrival of Ba Feng is unknown and unguarded against. Therefore, although severe cold and heat prevail, violent winds and heavy rains occur suddenly, the qi seems fiercer than seasonal pathogens, yet there is no risk of contagion. This is precisely because they can be known and avoided. Only Yi (Epidemic Miasma) is unknowable. Sometimes the year does not match, or the heavenly sign does not correspond, or it is humiliated by what is below, or dominates alone what rules above. Its arrival is untimely, its form is indefinite. It mixes within the Six Excesses, flows among the Eight Winds, invades the Xuancuo (pores) without being felt, and breathes without awareness. Humans exist in the intersection of qi, covered by the transformation of qi, just as white silk can be dyed. Unless one has a solid constitution, who can remain unstained? Thus, infection spreads from person to person, like magnet attracting iron. Depending on the depth of infection, severity varies. One person catches it, and the wind moves in all directions. The I Ching says: "It ties an ox," and also: "The disaster of the townsmen." Therefore, one must adapt with the times. Although the five categories cause disasters, even if known, once infected, avoidance fails as it spreads vigorously. Is this not to be feared!
Heaven has untimely qi, earth has drought and flood biases. Upper and lower rub against each other, swirling and stirring, causing clear yang to fail to ascend and turbid yin to fail to descend. Accumulating internally is called Wen (Plague); scattering externally is called Zhang (Miasma). Sinking and wanting to descend but failing is called Mai (Haze); covering fog wanting to ascend but failing is called Wu (Fog). These are all stagnant qi of heaven and earth, overflowing without release, touching all things, driving disasters, called Tian Xing (Heavenly Movement). Thus, its driving of things is like heaven's command, hence called Yi (Epidemic); its harshness on humans is like thunder's fury, hence called Li (Pestilence). Its infection grows secretly and darkly, so its accumulation is deep; its outbreak releases everything without remainder, so its onset is violent. Those covered by its qi, whether plants, birds, beasts, grains, or insects, whatever has spiritual mechanism or qi establishment, external or internal roots, are all affected. Thus, chickens and dogs often die from pestilence, crops are damaged by pests. Humans infected suffer alternating sand and throat diseases, filling streets and villages. Its肆虐 (ferocity) is fiercer than Eight Winds, and its contagion is stricter than Six Qi. Within Yi, there is a meaning. Yisha seasonal qi, inhaled through nose and mouth, enters Taiyin Qi level, causing Lanhou (Rotting Throat); entering Yangming Blood level causes Fa Sha (Erupting Sand). Taiyin is the Lung organ, governing the throat and miasma qi; Yangming is the Stomach organ, governing the pharynx and belonging to muscles. The throat connects to breathing qi, circulating through the five zang organs; the pharynx is the pathway for food and drink, the source of the six fu organs. Thus, the throat governs heavenly qi, the pharynx governs earthly qi. Therefore, inhaled through nose and mouth, transmitted through throat and pharynx, the Lung and Stomach intersect. One zang and one fu simultaneously receive epidemic evil, one qi and one blood present their images respectively. Thus, Lanhou (Rotting Throat) is mostly white, disease in Lung, belonging to Qi; Fa Sha (Erupting Sand) is mostly red, disease in Stomach, belonging to Blood. In reality, it is the same disease, one erupting in the throat region, one reaching the muscle layer. Changing steps changes form, keeping form changes name. Thus, in Lung it is called Lanhou, in Stomach it is called Fa Sha, hence named Lanhou Sha (Rotting Throat and Sand).
Toxic evil damages form, form swells and ulcerates, Yisha has this, hence it is said there is poison in Yi. Yi means stagnation, i.e., turbid yin earth qi stagnating and not dispersing, returning to humans as pestilence, hence called Yi. Former sages Wu Youke and Ye Tianshi all discussed plague under one term, while Wu Juzhong unified it as Warm Disease. The names were undivided but the reality differed. Wen (Plague) is Wen (Warmth), which is the warm qi ruling heaven fermenting and flowing, accumulating in all things to cause disaster, hence called Wen. Wen disease without swelling is due to the warm qi fermenting from ruling heaven; Yisha with swelling is rooted in turbid yin stagnating earth qi epidemic poison turbid wen poison. One is in Qi, one is in Blood. The Classic says: Throat governs heaven and earth, pharynx governs earth. Heaven and earth in Qi are clear yang and turbid yin; in humans, they are Qi and Blood. Thus, the difference between Lanhou and Fa Sha in epidemic diseases divides human hand clear yang/turbid yin and Qi/Blood. The human body's Hand Taiyin governs Qi, but its meridian actually has much Qi and Blood, so Lanhou has two types: red rot and white decay, which are the Qi and Blood of Hand Taiyin. Foot Yangming governs muscles, because its meridian has abundant Qi and Blood, so Fa Sha has two types: Dan Sha (Red Sand) and Bai Zhen (White Rash), which are the Qi and Blood of Foot Yangming. Among Dan Sha, eruption relates to Blood; poison affects Blood, causing deterioration and color change, thus skin gradually swells, revealing sand points, externally presenting as epidemic toxic evil wandering in Stomach meridians, transmitting from Blood level to emerge. Like other pathogens resolving through sweat, because other pathogens have no poison, sweat resolves them. Only epidemic evil has poison, and poison must damage form, so it may cause itching, pain, rotting, or bleeding, until blood-level poison fully penetrates. Also examining Measles and Smallpox: Measles erupt innate Yang poison; Smallpox erupts innate Yin poison. Although they erupt what should erupt, they must borrow Tian Xing seasonal qi to guide them before human body poison can exit. Tian Xing is Yi (Epidemic). From this perspective, similar qi attracts; Yi can trigger Smallpox and Measles poison, proving Yi contains poison without need for clarification. Then, for Sha and Hou disease, although innate poison may be absent, seasonal poison symptoms must exist, certainly not comparable to Smallpox and Measles. One can also use Smallpox and Measles as analogies, making it clear that Sha actually erupts from epidemic poison.
Lanhou and Sha are diseases of both Qi and Blood, with different internal and external forms. Zhu Tieshan from Yunjian independently proposed the theory that "Sha is root, Hou is branch." This shows ignorance that Qi and Blood forms should differ. His argument states that when Sha evil erupts, throat swelling and pain appear first. This is malignant evil; Sha子是 root, throat cough is branch. Physicians focused on throat, ignoring Sha points, abandoning root for branch, adhering to *Neijing* saying "all pain belongs to Fire, redness and swelling belong to Heat," urgently advancing cold-cooling to suppress malignant evil, causing weak patients' conditions to worsen. Physicians still claimed disease was heavy, medicine light, doubling cold-cooling. Sha poison sinks internally, throat closes, epidemic rises, life ends. Know that head and face swelling and redness are signs of Sha poison reaching externally. Justly disperse and open up, poison naturally remains. Only wait for swelling to recede, sand to return, clear鼻涕 to flow from nose, then advance cooling-blood clearing-resolving, all achieve rapid effect. According to Tieshan, initially suitable for dispersion, subsequently suitable for cooling-blood, truly knowing sequence. If taking Fa Sha as root suitable for dispersion, Lanhou as branch suitable for cooling, then Yi has two evils, one disease two treatments. Since Sha evil eruption, Qi and Blood are divided, Sha and Hou have no root/branch. Treatment methods should all base on Sha, always resolve first then cool, or cool and resolve simultaneously. Cannot take Sha as root for dispersion and Hou as branch for cooling. As for *Neijing* "all pain belongs to Fire, redness and swelling belong to Heat," physicians adhere to theory, is Sha/Hou not classic? Also says "Fire stagnation emits." If physicians further adhere to this to treat Yi, then for Sha/Hou disease, nothing remains. The intent of *Neijing* is originally detailed, but leading the interest of classics becomes obscure. Not the fault of adherence, but fault of rigid adherence. If Chen Gengdao's Yisha prescription discusses "Exterior evil is branch, Fire blazing is root," these two phrases indeed deeply understand root and branch principles. My friend Hong Lichuan should say "Sha and Hou disease, names differ, but essentially one disease presenting internally and externally." Pondering these words, truly one phrase breaks through, extending to treat Yi grasps the essence.
Yisha disease essentially involves mutual knotting of Heat and Toxic Evil forming, ripening into surplus of Fire, so Heat winning causes swelling; Toxic Evil is accumulation of filth, so Toxic Evil winning damages skin. However, Heat is not resolved without cooling, and Toxic Evil is not removed without aromaticity. Taking "Cooling Clearing, Detoxifying Resolving, Aromatic Dispelling Filth" as eight characters for treating Yi essentials, then viewing Qi and Blood heaviness, adapting with symptoms, treating Yi methods do not exceed this eight-character scope. Regarding Tuina and Acupuncture, methods are most ancient, main purport mostly set for Bi Syndrome (Obstruction). Bi means Qi mechanism blocked, unable to circulate. The meaning of needle is like inserting a tube into water, closing top makes bottom not exit, piercing side gap makes water self-exit. So when human suffers Bi obstruction, puncture acupoints to open Qi, massage hair follicles to vent Qi, not implying acupuncture can drain toxic evil. Once poison enters meridians, how can a tiny needle make poison drain? Thus acupuncture methods have tonification and sedation. If Yin deficiency Fire hyperactivity, Blood not nourishing meridians causing obstruction, or Cold congealing meridians causing Painful Bi, needling is to sedate Qi and make it pass, yet fearing meridian Qi over-draining, thus using needle tonification to close it. If disease is not Bi syndrome, no need to use acupuncture much, merely damaging meridians. Thus *Suwen* says "Ascending, descending, exiting, entering, no vessel lacks them." Exiting and entering closed means vital transformation ceases. Thus needle use lies in opening, not draining poison. Sha/Hou disease not complicated by Wind-Cold exterior constraint, only suitable for venting outward, forbid using warm-dry releasing-surface. Because Yi is Yang evil, and releasing mostly Yang medicines, moving consumes Stomach Jin and Kidney fluids. Without chest-knotting internal-sinking symptoms, only suitable for sweet-cool clearing-heat, forbid using bitter-cold digestion-promoting. Often Sha momentum is about to reach, reversedly suppressed by cold-cooling. Thus Ye Tianshi regarded releasing and digestion-promoting as major taboos for Yi families, intent profound. I believe Yi roots in Heat, although inhaled through nose/mouth, Lung/Stomach feel evil, but like attracts like, Ministerial and Sovereign Fires should internally respond, thus often directly spreading Sanjiao, reverse transmitting to delicate collaterals, so evil is interior not exterior. Using dry agents to release surface is heavily emptying exterior and falsely solidifying interior, forcing internal sinking. If infected from Xuancuo, infection did not manage Yingwei, disease is exterior not interior, using downward agents to guide makes interior Qi weaker, exterior evil stronger, also drawing evil inward. Thus releasing and digestion-promoting both cause delay. Examining various discussions, often saying initial loss of surface, mistakenly using cold-cooling, suppressing evil, true words, real insight. But fear rigid people, not observing exterior-interior reasons, not distinguishing disease severity, regarding cold-cooling as fearful path, worshipping releasing as standard, preconceptions truly harm. Thus certain Mountain Chen Gengdao said essential of treating Yi, at first eruption, see trend smooth or adverse, suitable to disperse or cool, decide without error, this is old eye. This argument truly has courage and discernment, balancing center, thus citing former sages' two theories extending them, clarifying medication direction, heavy cases do not stick to fixed patterns.
Organ qualities have superiority and bias, respiration governance Qi has no second breath. If Lung Qi solid and Stomach Qi deficient, Stomach fu receives evil, suitable to erupt Sha not rotting Throat; if Lung Qi deficient and Stomach Qi solid, Lung organ feels epidemic, suitable to rot Throat not erupt Sha. Why erupt Sha often does not rot Throat, rotting Throat mostly accompanies erupting Sha? Green Lung governs respiration, voice/breath/diet relies on Stomach. Besides Lung meridian starts from Middle Jiao, descends connecting Stomach upper opening贲门 area, Lung home seeing rotting Throat, Throat poison follows inhalation into Stomach, Stomach home absorbing Lung poison, thus must accompany erupting Sha, even slightly imperceptible, must have vague skin nourishment. This rotting Throat all erupt Sha, thereby also *Neijing* says "Yang disease ascends to extreme then descends," thus Lung disease Stomach just ascends to extreme then descends, smooth. Stomach disease not harming Lung, because Yi is Yang evil, should not descend to extreme then ascend, also smooth. Thus erupt Sha often not rotting Throat, rotting Throat mostly accompanying erupting Sha, thereby again.
Treating Throat for Lung is certainly correct, but should prevent involving Stomach, reasons are two. *Neijing* says: "Throat is front, shape firm; Pharynx is back, quality soft." Front and back have distinction, but between Xuan Yong and Hui Yan, dividing Qi and Food tubes, rotting place is Throat-Pharynx interaction zone, Lung-Stomach undifferentiated area, how can treat Lung ignore Stomach? This Stomach cannot be neglected reason one. Again Throat-Pharynx respiration/voice/diet relies on Stomach following like shadow from form, more should prevent Stomach home, this Stomach cannot be neglected reason two. Thus said: Treating Throat preventing Stomach is Superior Physician treating pre-disease.
Sha smooth/adverse mostly first erupting chest/back then limbs is smooth, first from head/face then legs/feet is also smooth. And Sha color focuses on red uniformity, not quantity. Like fresh red fine fragmented, touching leaves mark is auspicious; surrounding uniform, skin itching is also auspicious; slowly reaching, emerging from inside is also auspicious. All these, though many like cloud brocade, not ominous. If suddenly like red paper is Stomach Heat extreme, wrapping purple and black is Heat-Toxic scorching Yin Blood, all black is Stomach rotting incurable. But black and dark bright must be in Qi-Blood sufficient person, urgently advance cooling-blood clearing-heat, occasionally one or two recover; only black and dark must die. If Sha although black, four sides faintly carrying red color is Fire Stagnation internal埋伏, largely use cooling-blood detoxifying, still hope turning red treatable. If suddenly shape extinguishes, spirit confused is internal sinking; skin itching, Yingwei still harmonious; skin dry no sweat, Toxin scorching fluid dry, difficult to penetrate. After Sha penetrates, placing white blisters repeatedly is not Sha bean erupting, but Heat-Toxic extreme, insufficient to exhaust poison, thus placing adds white blisters, blisters large with pus mostly ominous. After Sha residual toxin erupts on cheeks/neck difficult to treat, after sweat Sha hides dangerous, four limbs edema bright mostly defeat, within ten days...
Throat small granules, color mostly white, is evil erupting Taiyin Qi level, hence folk sometimes Throat-Lung White Rot name. If having latent Cold or carrying Damp-Evil, rot traces also mostly white. Mostly white is Lung Metal original color, no relation to severity. If white and rotten, shape like rice paper, is Qi level greatly injured, difficult to treat. If white rotting Throat expands, penetrating nostrils, folk name Heavenly White Ant, difficult to treat. If color appears fresh red and red dots, is epidemic in Taiyin Blood level, insufflating medicine produces much saliva, Heat although strong but fluid not yet injured, easy to treat; if insufflating medicine no saliva produced, Fluid greatly deficient, difficult to treat. If after Sha penetrates rotting Throat especially severe, is exterior toxin loose, interior toxin fierce, belongs to dangerous symptom. If Throat inside rotten and outside swollen and hard, is Toxin knotting Throat middle, no way to excrete, although treat if rotting to Throat bottom seeing no good flesh is defeat, mostly dying within five days. Rotting Throat sneezing, Lung mechanism opening discharge is auspicious; hiccups, Toxin Fire reversing upward is ominous; choking coughing, Toxin Fire attacking shooting Lung system is dangerous; frequent sound coughing, Evil袭 Lung meridian is auspicious; rotting Throat not coughing is dangerous; losing voice, Lung Heat leaf scorched; shortness of breath, Heat strong scorching Metal.
Sha symptom face swelling eyes red, because Yi is Yang evil, and head is gathering of all Yang meridians, by Yang overcoming Yang, thus head/eyes often see red swelling. And Wu Youke *Wenyi Lun* says swelling is accompanied by edema erupting, also says interior evil lost surface, interior-exterior Qi stagnation resulting. According to these two symptoms or also have, but Yi swelling is *Neijing* "Heat winning causes swelling" swelling, although no accompanying symptoms should see swelling.
Sha pulse suitable string-numerate orderly, forbid soft-weak disorderly. If deep and hidden, is evil not reached out, should advance dispersing-reaching; numerate-large and empty, is Zheng weak evil winning, should not injure Zheng Qi; Yang symptom seeing Yin pulse difficult to treat.
Face color red and bright is Fire strong, blue and sluggish is Toxin strong internal埋伏, white and dull is Wind埋伏 Cold Evil, blue-dark and Throat not rotten or not severely rotten is latent Damp Evil. Treating method, in Cold-Damp attaching treating with pungent-hot, Damp-Heat attaching treating with pungent-cool.
Nose coal is Stomach meridian starting from Shan Gen, Stomach Heat extreme and root responding, thus coal nose red and fanning is Nose is Lung orifice, Lung-Stomach Qi both Heat injured, Zheng Qi unsupported wanting to end. Initially one cluster black surrounding nose, is Stomach home埋伏 Toxin already severe. Nosebleed is Stomach meridian below挟 nostril, Stomach Heat surging Blood upward, overflowing from nasal orifice out.
Tongue coating gray and greasy is Damp-Heat ascending, evil not transforming Fire; pure white and greasy is latent carrying Cold Evil, all suitable dispersing-reaching. Tongue red many prickles is evil transformed Fire, suitable clearing-transforming; tongue crimson middle black is Fluid deficient, suitable saving Fluid; tongue white middle crimson is exterior binding Cold Evil, suitable dual-resolving; tongue crimson and shrinking is Heat sinking Heart Camp, suitable nourishing Yin; tongue coating yellow thick is Heat about to resolve, suitable clearing Stomach Heat.
Lip crimson is Yangming meridian circling lip, is Stomach Fluid deficient; lip purple and cracked is Stomach Fluid exhausted, suitable saving Fluid.
Delirious speech is Evil sinking Heart Chamber; not delirious but snoring sleep confused, Throat has phlegm sound, is Toxin Fog blocking Clear Palace, most prevent internal sinking.
Vomiting nausea, relying on draining Stomach Heat is auspicious; wanting to vomit not vomiting, dry恶心 spirit dull, is Stomach evil about to invade Heart Camp.
Stool closed, Stomach has dry feces Fire knot; abdominal pain, most forbid闷Sha.
Chills is exterior evil invading Wei; chills then heat, is evil entered Wei, then follows Wei Qi exiting-entering, thus constant heat not repeating chills. Treating method, must seize before heat, or during alternating chills-heat, disperse and reach, block entering Ying road.
Having sweat, Heart Fluid sufficient is auspicious; no sweat, Heart Fluid deficient, prevent internal sinking.
Foot no sweat, is Yi Yang disease, Yang disease situation should ascend to extreme then descend, evil not reaching foot Yin, thus foot should no sweat, not related to sweat not everywhere.
Loose stool color dark, because Large Intestine is Lung exterior, is evil from surface releasing, exactly resolution opportunity. If black bright shiny, sticky like lacquer, is Heat extreme side-flow, reversedly not beautiful. Cover Yi Toxin evil internally interfering Zang-Fu, in Zheng Qi vigorous person, then evil flows Intestine-Fu, from stool releasing, Fu toxin can drive out; if symptom deficient evil solid person, then evil spreads Sanjiao, staying Intestine-Stomach, robbing injuring Yin Blood, rotting fat paste, invading no place to excrete, overflowing from Earth Path side-flow out, shape like blood clot formed, unbearable stench.有形 Evil although released,无形 Toxin just rising, do not say bandit gone city empty, is full middle overflowing outside, urgently use heavy rescue clearing-transforming to clean Zang-Fu evil, cannot continue hesitating, mistaking evil from surface releasing. This Heat extreme side-flow one symptom, life-death major key, fortunately do not ignore.
Rotting Throat and Mouth-Nose, have Tooth Gangrene Cheek Penetration etc. symptoms, their Qi all erupt from mouth, not from Throat inside reaching out. If no Tooth Gangrene etc. symptoms but foul Qi pressing, from Throat middle reaching out, is Lung-Stomach rotting腐 mechanism. Trace although not shaped but mechanism already exposed, Rotting Throat news depends on Stench Heavy/Light, not merely Throat rotting Deep/Shallow. If smelling this Qi, regardless of rotting or not, urgently advance cooling-clearing detoxifying, treating pre-disease, this called Superior Physician.
Mouth is Spleen orifice, Stomach is Spleen exterior, and Stomach meridian starts nose upper forehead,挟 mouth circling cheek, thus Stomach Heat extreme and ascending, then mouth-lip rot-swelling thorns. With pus color red, Yi Heat although strong not entered Yin Camp; color purple or black, Yin Blood moved, is dangerous, but compared to Mouth-Nose symptom belongs slightly lighter. If only mouth rot color purple-black, still not absolute symptom. But Mouth-Nose all have not mouth-rot but mouth-rot definitely no not-stench, distinguishing place. One from mouth exhaling, one only lip outside hard to smell. Method above use light-dispersing, below clear Stomach Heat, according to situation guiding, upper-lower combined cover, then no omission.
Teeth are Kidney remainder, Gingiva is Stomach collateral. Stomach Yin scorched consumed, then Kidney Water source difficult to balance, and middle Fire responds shaking as Thunder. Stomach Fluid Kidney Fluid source root one style, Gingiva Teeth Lips Teeth collaterals connected, thus Stomach