（附论）
夫热病咽喉肿痛者。是脾肺热积不散。致使然也。何者。胃为水谷之海。通于咽门。肺
主于气。居于膈上。其气贯于喉咙。邪热伏留于脾肺。故令咽喉肿痛也。
方
射干散（出圣惠方）治热病。胸中妨闷。咽喉肿痛。噎塞不通。宜服。
射干 川升麻 络石叶 前胡（去芦头） 百合 枳壳（麸炒微黄去瓤） 黄药子（各
一两）
杏仁（汤浸去皮尖双仁麸炒微黄） 甘草（炙微赤锉） 上为粗散。每服五钱。水一大盏。
入生
姜半分。煎至五分。去滓。不计时候。温服。
川升麻散（出圣惠方）治热病。咽喉肿塞。连舌根疼痛。及干呕头疼。不下
食
。宜服。
川升麻 白药子 前胡（去芦头） 石膏（各一两） 羚羊角屑 甘草（炙微赤锉各半
两）
川朴硝（二两） 玄参 麦门冬（一两半去心焙） 上为粗散。每服五钱。水一大盏。入竹
茹一
分。煎至五分。去滓。不计时候。温服。
马蔺根散（出圣惠方）治热病。咽喉闭塞。连舌肿疼。宜服。
马蔺根 川升麻 玄参（各一两） 川大黄（锉生用） 射干（各三分） 犀角屑 木
通（锉）
棘针 甘草（炙微赤锉各半两） 上为散。每服五钱。以水一大盏。煎至五分。去滓。不计
时
候。温服之。
露蜂房散（出圣惠方）治热病。咽喉中热毒。闭塞肿痛。宜服。
露蜂房（炙） 甘草（炙微赤锉） 射干 川升麻 川朴硝 玄参（各半两） 上为粗
散。每
服三钱。以水一中盏。煎至五分。去滓。不计时候。温服。
铅霜散（出圣惠方）治热病。咽喉肿痛不利。宜服。
铅霜（研） 硼砂（研） 马牙硝（各一分） 川升麻 黄药子 地龙（微炒） 寒水
石（研）
蛇蜕皮（烧为灰） 太阴玄精石（研） 甘草（炙微赤锉） 牛黄（半分研） 上为细散。
入研了药
令匀。每服水一大盏。不计时候。以新汲水调下一钱。
含化犀角丸（出圣惠方）治热病。心脾虚热。肺气暴壅。喉中肿痛。口舌干
燥
。咽津有妨。不下饮食。宜服。
犀角屑 黄药子 子芩 郁金 川大黄（锉碎微炒） 玄参 川升麻 甘草（炙微赤锉
各
半两） 射干 络石叶（各三分） 马牙硝（各一两） 上为末。入马牙硝。研令匀。炼蜜
和捣
三二百杵。丸如梧桐子大。每服不计时候。当含一丸咽津。
含化射干丸（出圣惠方）治热病。脾肺壅热。咽喉肿塞。连舌根痛。宜服。
射干 川升麻（各一两） 硼砂（研） 甘草（炙微赤锉） 杏仁（汤浸去皮尖双仁麸
炒微黄
细研各半两） 豉心（二合微炒） 上为末。入研了药令匀。炼蜜和捣三二百杵。丸如弹子
大。
每服含一丸。咽津。
地黄煎（出圣惠方）治热病。热毒攻咽喉肿痛。舌根生疮。宜服。
生地黄汁（半分） 牛蒡根汁 蜜（三合） 黄丹（一两） 铅霜（一分研） 杏仁（二
两汤浸
去皮尖双仁细研入） 太阴玄精石（半两研） 上药合和令匀。入银器内重汤煮。用槐枝子
搅
不得住。看色紫。即倾入瓷盒中盛。每服不计时候。取如小弹子大。含咽津。
治热病。毒瓦斯攻咽喉肿痛。宜服。（出圣惠方）
太阴玄精石（一两） 马蔺子（半两为末） 硼砂（一分） 上都研令细。每服不计时
候。以
蜜水调下一钱。
又方（出圣惠方）
黄药子 地龙（炙各一两） 马牙硝（半两） 上为细末。每服不计时候。以蜜水调下
一钱。
木通汤 治热病。喉中闭塞疼痛。
木通（锉） 羚羊角（镑） 芍药 络石（各一两） 升麻（二两） 射干（一两） 杏
仁（汤浸
去皮尖双仁半两） 上为粗散。每服三钱。水一盏。入竹叶七片。煎至六分。去滓。食后温
服。日三。
（附论）
凡是热病导致咽喉肿痛的情况，是由于脾肺积热不散造成的。为什么呢？胃是受纳水谷的器官，与咽门相通；肺主管气机，位于膈肌之上，其气脉贯通喉咙。邪热潜伏留滞于脾肺二脏，所以会导致咽喉肿痛。
方剂
射干散（出自《圣惠方》），治疗热病引起的胸中烦闷不适、咽喉肿痛、噎塞不通等症状，适宜服用。
药材：射干、川升麻、络石叶、前胡（去除芦头）、百合、枳壳（麸炒至微黄并去除瓤）、黄药子（各一两）。
杏仁（用汤浸泡后去皮尖及双仁，麸炒至微黄）、甘草（炙烤至微红并切碎）。
以上药物捣成粗散。每次服用五钱，加水一大盏，放入生姜半分，煎煮至剩余五分水量，滤去药渣。不限时间，温服。
川升麻散（出自《圣惠方》），治疗热病引起的咽喉肿胀堵塞，牵连舌根疼痛，以及干呕、头痛、无法进食等症状，适宜服用。
药材：川升麻、白药子、前胡（去除芦头）、石膏（各一两）。
羚羊角屑、甘草（炙烤至微红并切碎，各半两）。
川朴硝（二两）、玄参、麦门冬（一两半，去除心部并焙干）。
以上药物捣成粗散。每次服用五钱，加水一大盏，放入竹茹一分，煎煮至剩余五分水量，滤去药渣。不限时间，温服。
马蔺根散（出自《圣惠方》），治疗热病引起的咽喉闭塞，牵连舌头肿胀疼痛，适宜服用。
药材：马蔺根、川升麻、玄参（各一两）。
川大黄（锉碎生用）、射干（各三分）。
犀角屑、木通（锉碎）、棘针、甘草（炙烤至微红并切碎，各半两）。
以上药物捣成散剂。每次服用五钱，加水一大盏，煎煮至剩余五分水量，滤去药渣。不限时间，温服。
露蜂房散（出自《圣惠方》），治疗热病引起的咽喉中热毒壅盛，闭塞肿痛，适宜服用。
药材：露蜂房（炙烤）、甘草（炙烤至微红并切碎）、射干、川升麻、川朴硝、玄参（各半两）。
以上药物捣成粗散。每次服用三钱，加水一中盏，煎煮至剩余五分水量，滤去药渣。不限时间，温服。
铅霜散（出自《圣惠方》），治疗热病引起的咽喉肿痛不利，适宜服用。
药材：铅霜（研磨）、硼砂（研磨）、马牙硝（各一分）。
川升麻、黄药子、地龙（微炒）、寒水石（研磨）、蛇蜕皮（烧成灰）、太阴玄精石（研磨）、甘草（炙烤至微红并切碎）、牛黄（半分，研磨）。
以上药物制成细散，将研磨好的药物混合均匀。每次取水一大盏，不限时间，用新汲水调服一钱。
含化犀角丸（出自《圣惠方》），治疗热病引起的心脾虚热、肺气突然壅滞，导致喉中肿痛、口舌干燥、吞咽津液困难、无法进食等症状，适宜服用。
药材：犀角屑、黄药子、子芩、郁金、川大黄（锉碎微炒）、玄参、川升麻、甘草（炙烤至微红并切碎，各半两）。
射干、络石叶（各三分）、马牙硝（各一两）。
以上药物制成粉末，加入马牙硝，研磨均匀。用炼蜜调和并捣击三二百下，制成梧桐子大小的丸剂。每次不限时间，含服一丸，随津液咽下。
含化射干丸（出自《圣惠方》），治疗热病引起的脾肺壅热，咽喉肿塞，牵连舌根疼痛，适宜服用。
药材：射干、川升麻（各一两）。
硼砂（研磨）、甘草（炙烤至微红并切碎）、杏仁（汤浸泡去皮尖双仁，麸炒微黄，细研，各半两）、豉心（二合，微炒）。
以上药物制成粉末，将研磨好的药物混合均匀。用炼蜜调和并捣击三二百下，制成弹子大小的丸剂。每次含服一丸，随津液咽下。
地黄煎（出自《圣惠方》），治疗热病热毒攻冲咽喉导致肿痛，舌根生疮，适宜服用。
药材：生地黄汁（半分）、牛蒡根汁、蜜（三合）、黄丹（一两）、铅霜（一分，研磨）、杏仁（二两，汤浸泡去皮尖双仁，细研加入）、太阴玄精石（半两，研磨）。
以上药物混合均匀，放入银器内隔水加热煮制。用槐树枝不断搅拌，观察颜色变为紫色时，立即倒入瓷盒中盛放。每次不限时间，取如小弹子大小的量，含服随津液咽下。
治疗热病，毒瓦斯攻冲咽喉导致肿痛，适宜服用。（出自《圣惠方》）
药材：太阴玄精石（一两）、马蔺子（半两，研为末）、硼砂（一分）。
以上药物都研磨细腻。每次不限时间，用蜜水调服一钱。
又一方（出自《圣惠方》）
药材：黄药子、地龙（炙烤，各一两）、马牙硝（半两）。
以上药物制成细末。每次不限时间，用蜜水调服一钱。
木通汤 治疗热病引起的喉中闭塞疼痛。
药材：木通（锉碎）、羚羊角（镑片）、芍药、络石（各一两）、升麻（二两）、射干（一两）、杏仁（汤浸泡去皮尖双仁，半两）。
以上药物捣成粗散。每次服用三钱，加水一盏，放入竹叶七片，煎煮至剩余六分水量，滤去药渣。饭后温服，每日三次。
(Attached Discussion)
In cases where febrile diseases cause swelling and pain in the throat, it is due to the accumulation of heat in the Spleen and Lungs that fails to dissipate. Why is this so? The Stomach (Wei) is the sea of water and grain, connecting to the pharyngeal gate. The Lung (Fei) governs Qi and resides above the diaphragm; its Qi channels through the larynx. When pathogenic heat lingers and stagnates in the Spleen and Lungs, it causes swelling and pain in the throat.
Formulas
Shegan San (from *Shenghui Fang*), treating febrile diseases characterized by chest oppression, swelling and pain in the throat, and dysphagia with obstruction. It is suitable for consumption.
Ingredients: Belamcanda Rhizome (Shegan), Cimicifugae Rhizoma (Chuan Shengma), Trachelospermi Caulis (Luoshi Ye), Peucedani Radix (Qianhu, de-radicled), Lilii Bulbus (Baihe), Aurantii Fructus (Zhike, bran-fried until slightly yellow and pith removed), Curcumae Aromatae Rhizoma (Huangyaozi) (each 1 liang).
Prunus Armeniaca Semen (Xingren, soaked in decoction, skin and tip removed, double-kernel, bran-fried until slightly yellow), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried until slightly red and chopped).
The above ingredients are processed into a coarse powder. Each dose consists of 5 qian, boiled with 1 da zhan of water and 0.5 fen of fresh Ginger (Shengjiang) until reduced to 0.5 da zhan. Strain the dregs. Take warm at any time.
Chuan Shengma San (from *Shenghui Fang*), treating febrile diseases characterized by swelling and blockage of the throat extending to the root of the tongue, accompanied by dry retching, headache, and inability to eat. It is suitable for consumption.
Ingredients: Cimicifugae Rhizoma (Chuan Shengma), Polygoni Multiflori Caulis (Baiyaozi), Peucedani Radix (Qianhu, de-radicled), Gypsum Fibrosum (Shigao) (each 1 liang).
Saiga Tatarica Cornu (Lingyangjiao Xie), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried until slightly red and chopped) (each 0.5 liang).
Mirabilite (Chuan Puxiao, 2 liang), Scrophulariae Radix (Xuanshen), Ophiopogonis Radix (Mendong, 1.5 liang, heart removed and baked).
The above ingredients are processed into a coarse powder. Each dose consists of 5 qian, boiled with 1 da zhan of water and 1 fen of Bamboo Shavings (Zhuru) until reduced to 0.5 da zhan. Strain the dregs. Take warm at any time.
Malin Gen San (from *Shenghui Fang*), treating febrile diseases characterized by blockage of the throat and swelling/pain of the tongue extending to the root. It is suitable for consumption.
Ingredients: Rhizoma Irisensatae (Malin Gen), Cimicifugae Rhizoma (Chuan Shengma), Scrophulariae Radix (Xuanshen) (each 1 liang).
Rhei Radix et Rhizoma (Chuan Dahuang, chopped and raw), Belamcanda Rhizome (Shegan) (each 3 fen).
Rhinoceros Horn (Xijiao Xie), Akebiae Caulis (Mutong, chopped), Spina Gleditsiae (Jizhen), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried until slightly red and chopped) (each 0.5 liang).
The above ingredients are processed into a powder. Each dose consists of 5 qian, boiled with 1 da zhan of water until reduced to 0.5 da zhan. Strain the dregs. Take warm at any time.
Lufengfang San (from *Shenghui Fang*), treating febrile diseases characterized by toxic heat in the throat causing blockage, swelling, and pain. It is suitable for consumption.
Ingredients: Vespa Nidus (Lufengfang, fried), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried until slightly red and chopped), Belamcanda Rhizome (Shegan), Cimicifugae Rhizoma (Chuan Shengma), Mirabilite (Chuan Puxiao), Scrophulariae Radix (Xuanshen) (each 0.5 liang).
The above ingredients are processed into a coarse powder. Each dose consists of 3 qian, boiled with 1 zhong zhan of water until reduced to 0.5 da zhan. Strain the dregs. Take warm at any time.
Qianshuang San (from *Shenghui Fang*), treating febrile diseases characterized by swelling, pain, and discomfort in the throat. It is suitable for consumption.
Ingredients: Plumbum Nitratum (Qianshuang, ground), Borax (Pengsha, ground), Sodium Nitrate (Mayaxiao) (each 1 fen).
Cimicifugae Rhizoma (Chuan Shengma), Curcumae Aromatae Rhizoma (Huangyaozi), Earthworm (Dilong, slightly fried), Arsenicum Rubeum (Hanshuishi, ground), Serpentina Skin (Shetuipi, burned to ash), Taiyin Xuanshi (Taiyin Xuanshishi, ground), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried until slightly red and chopped), Calculus Bovis (Niuhuang, 0.5 fen, ground).
The above ingredients are processed into a fine powder and mixed thoroughly. For each dose, take 1 qian mixed with fresh drawn water (Xinji Shui) and taken at any time.
Han Hua Xijiao Wan (from *Shenghui Fang*), treating febrile diseases characterized by deficiency-heat in the Heart and Spleen, sudden congestion of Lung Qi, resulting in throat swelling and pain, dry mouth and tongue, difficulty swallowing saliva, and inability to eat. It is suitable for consumption.
Ingredients: Rhinoceros Horn (Xijiao Xie), Curcumae Aromatae Rhizoma (Huangyaozi), Scutellariae Radix (Ziqin), Curcumae Longae Rhizoma (Yujin), Rhei Radix et Rhizoma (Chuan Dahuang, chopped and slightly fried), Scrophulariae Radix (Xuanshen), Cimicifugae Rhizoma (Chuan Shengma), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried until slightly red and chopped) (each 0.5 liang).
Belamcanda Rhizome (Shegan), Trachelospermi Caulis (Luoshi Ye) (each 3 fen), Sodium Nitrate (Mayaxiao) (each 1 liang).
The above ingredients are processed into powder. Add Sodium Nitrate and grind evenly. Mix with refined honey and pound 300-200 times. Form pills the size of Sophora seeds (Wutong Zi). At any time, hold one pill in the mouth and swallow with saliva.
Han Hua Shegan Wan (from *Shenghui Fang*), treating febrile diseases characterized by congestion-heat in the Spleen and Lungs, swelling and blockage of the throat, and pain extending to the root of the tongue. It is suitable for consumption.
Ingredients: Belamcanda Rhizome (Shegan), Cimicifugae Rhizoma (Chuan Shengma) (each 1 liang).
Borax (Pengsha, ground), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried until slightly red and chopped), Prunus Armeniaca Semen (Xingren, soaked in decoction, skin and tip removed, double-kernel, bran-fried until slightly yellow, finely ground) (each 0.5 liang), Fermented Soybean Core (Shixin, 2 he, slightly fried).
The above ingredients are processed into powder. Mix the ground ingredients evenly. Mix with refined honey and pound 300-200 times. Form pills the size of marbles. Hold one pill in the mouth at a time and swallow with saliva.
Dihuang Jian (from *Shenghui Fang*), treating febrile diseases where toxic heat attacks the throat causing swelling and pain, and ulcers on the root of the tongue. It is suitable for consumption.
Ingredients: Juice of Rehmanniae Radix Fresh (Sheng Dihuang Zhi, 0.5 fen), Juice of Arctii Radix (Niubang Gen Zhi), Honey (Mi, 3 he), Lead Monoxide (Huandan, 1 liang), Plumbum Nitratum (Qianshuang, 1 fen, ground), Prunus Armeniaca Semen (Xingren, 2 liang, soaked in decoction, skin and tip removed, double-kernel, finely ground added), Taiyin Xuanshi (Taiyin Xuanshishi, 0.5 liang, ground).
Mix all ingredients evenly. Boil in a silver vessel over a double boiler. Stir constantly with a locust branch until the color turns purple. Pour into a porcelain container. At any time, take a piece the size of a small marble, hold in the mouth, and swallow with saliva.
Treating febrile diseases where toxic vapors attack the throat causing swelling and pain. Suitable for consumption. (From *Shenghui Fang*)
Ingredients: Taiyin Xuanshi (Taiyin Xuanshishi, 1 liang), Malin Seeds (Malinzi, 0.5 liang, ground), Borax (Pengsha, 1 fen).
Grind all ingredients finely. At any time, take 1 qian mixed with honey water.
Another Prescription (From *Shenghui Fang*)
Ingredients: Curcumae Aromatae Rhizoma (Huangyaozi), Earthworm (Dilong, fried) (each 1 liang), Sodium Nitrate (Mayaxiao, 0.5 liang).
Process into a fine powder. At any time, take 1 qian mixed with honey water.
Mutong Tang treats febrile diseases characterized by blockage and pain in the throat.
Ingredients: Akebiae Caulis (Mutong, chopped), Saiga Tatarica Cornu (Lingyangjiao, sliced), Paeoniae Radix Alba (Shaoyao), Trachelospermi (Luoshi) (each 1 liang), Cimicifugae Rhizoma (Shengma, 2 liang), Belamcanda Rhizome (Shegan, 1 liang), Prunus Armeniaca Semen (Xingren, soaked in decoction, skin and tip removed, double-kernel, 0.5 liang).
Process into a coarse powder. Each dose consists of 3 qian, boiled with 1 zhan of water and 7 leaves of Bamboo (Zhuye) until reduced to 0.6 zhan. Strain the dregs. Take warm after meals, three times daily.