\r锁喉风图\p05-c16a1.bmp\r
按此症因风热蕴积。或酒色劳力。生于喉中。如锁喉样。有单有双。双者治必先探风痰。或
两边俱无形迹。只是白色。疼痛难以饮食。名曰锁喉风。口噤先用通关散。吹鼻内开口。次
针少商穴。喉内用六针。吹风取痰后。吹秘。宜速治。若痰涎壅塞。手足反张。热水洗温。
重者服三黄汤。或用甘桔。加荆防银花即愈。
锁喉口噤通关散。追风散后用刀针。少商针罢针六穴。脓血去后吹秘神。更服三黄加甘桔。
荆防银花入更灵。
\r白缠喉风\p05-c16a2.bmp\r
此症因积热久。或煎炒伤胃。冒风劳力受气而起。其症眼白耳赤。面肿腮紫向下。患此者。
死于旦夕。延一二日。慢风也。先针少商。用追风散取痰。次吹本于肿处。下刀针。去脓血
。吹秘数次。服三黄汤。多加荆芥防风银花。如背朝天。面朝地。手足登开。口乱言。角弓
反张。口难开者。
先吹通关散。如鼻中使嚏则口开。如不嚏是风火太甚。再吹一二次。等半晌自嚏。口开。剪
刀撬。以圈侧入捺舌。吹追风散取痰。吹本于患处。下刀针。又吹秘。服三黄汤。吹秘加生
缠喉风肿噤难言。左右腮边肿赤兼。手足登开面朝地。吁嗟立刻丧黄泉。先探风痰针四穴。
旋吹本药刺喉间。秘吹用服三黄散。有脓内托即安痊。
\r黄缠喉风\p05-c16a3.bmp\r
此症受病治法同前。在蒂疔后有脓。用钩刀钩破脓出。吹秘。服三黄汤二剂。次吹本秘均。
加冰麝。破烂吹生肌。如脓不出。服千金内托。多加银花。如蒂疔人身之主。刀针烙铁。切
不可犯。如疔肿。只可以吹药。服三黄凉膈。或蒂丁紫肿。用甘桔俱妙。
\r兜腮痈图\p05-c16a4.bmp\r
此症寒湿风毒。而生腮下两边或一边者。如口内肿吹秘。用刀去血。日久去脓。初起头疼发
热恶寒。服荆芥防风败毒散。后服学士汤。日久不得消。千金内托。外敷金箍散。或以火针
去脓。膏贴自愈。
兜腮风毒因风热。左右腮边多肿结。口内肿甚宜针血。初起头疼发寒热。荆防败毒何须说。
瀛洲学士及千金。敷用金箍奇妙诀。
\r缠舌喉风\p05-c16a5.bmp\r
此症受风热湿毒。或因风劳酒色而起。下颏俱肿。口噤舌卷肿大。上有筋如蚯蚓之状。生黄
刺白胎。如切牙不开。宜针少商。出血可治。然血白黄水不治。治者先探风痰。次刮舌胎。
吹本。刀刺青筋出血。宜针玉液金津。出血漱净。吹秘。服三黄汤凉膈散。一二日可治。日
久有脓。服千金内托散。如木舌短大者。吹追风散。(头摇勿治块黑难治此症死者多先针四
缠舌喉风颏肿生。先刮舌胎刺青筋。旋探风痰吹本秘。再针玉液与金津。口噤舌
黄黑。宜刺少商出血轻。三黄凉膈初宜进。脓成内托用千金。
\r走马喉风\p05-c16a6.bmp\r
此症食热物。或酒或风而生。先针四穴定死生。吹追风散取痰。又吹本秘于喉内。并齿烂处
。舌卷擦追风散。或吹本于舌上。针舌下三穴。不卷不针。二陈三黄凉膈。多加荆防。若头
摇牙切牙落头肿疔破者。诸不治。语言清楚。年轻体壮。犹可施治。用白午后。年干。炒灰
为末。吹上止痛。再以午后取汁。同年干追风。合漱。服三黄。加荆防。头剂可用。后剂不
可用。记之。
走马喉风生舌下。迅如走马入喉中。先针四穴还吹秘。噙取午后及追风。清心
舌下针三穴。有痰吐去气宣通。二陈凉膈犹宜用。头摇疔黑总成空。
\r双乳蛾\p05-c16a7.bmp\r
此症外受风热。内由气
元明粉醋取痰。吹本。刀刺出血。吹秘与本。服三黄凉膈散。有脓去之。服千金内托散。吹
生肌散。服桔梗汤更稳。
【锁喉风图】
按照此症,是由于风热蕴结积聚所致。或因饮酒、房劳、体力劳动过度,导致病邪生于喉中,症状如同被锁住喉咙一般。有单侧发病和双侧发病两种情况。双侧发病者,治疗时必须先探取风痰。如果两边都没有明显的形迹,只是呈现白色,疼痛剧烈难以进食,这种病症称为“锁喉风”。若出现牙关紧闭(口噤),应先用通关散吹入鼻腔以开通气道,使口张开;随后针刺少商穴;在喉内部使用六针疗法。在吹风取出痰涎后,吹敷秘制药物。治疗宜迅速。若痰涎壅塞严重,导致手足反张(角弓反张),可用热水清洗并温敷患处。重症者服用三黄汤,或者使用甘桔汤加入荆芥、防风、金银花即可痊愈。
锁喉口噤用通关散,追风散之后用刀针。少商穴针毕再针六穴,脓血去除后吹敷秘神药。再服三黄汤加甘桔汤,加入荆芥、防风、金银花疗效更灵验。
【白缠喉风】
此症因积热日久,或因食用煎炒食物损伤胃气,又冒受风邪、劳累用力导致气机逆乱而引发。症状表现为眼白充血、耳朵发红,面部肿胀、腮部发紫向下蔓延。患此病者,可能在旦夕之间死亡;若拖延一二日,则转为慢风证。治疗时先针刺少商穴,用追风散取痰,接着将药物吹敷于肿胀部位,下刀针刺破排脓血,多次吹敷秘制药物,最后服用三黄汤,多加荆芥、防风、金银花。如果出现背部朝天、面朝地、手足伸展、胡言乱语、角弓反张、口难开的症状:
先吹通关散,如果鼻中打喷嚏则口可张开;如果不打喷嚏,说明风火太盛,再吹一两次,等待片刻自然会打喷嚏,口即张开。用剪刀撬开,将圈状物侧面插入按压舌头,吹敷追风散以取痰,吹敷本药于患处,下刀针刺破,再吹敷秘制药物,服用三黄汤。
吹敷秘药治疗生缠喉风,肿痛且言语困难,左右腮边红肿兼见。手足伸展面朝地,叹息立刻丧命黄泉。先探取风痰针刺四穴,随即吹敷本药刺入喉间。秘药吹敷并用,服用三黄散,若有脓液内托即可痊愈。
【黄缠喉风】
此症的致病原因和治疗方法与前述相同。在蒂疔(咽喉部的疔疮)后有脓液,用钩刀钩破脓液排出,吹敷秘制药物,服用两剂三黄汤。接着吹敷本秘药均等剂量,加入冰片、麝香。若患处破烂,吹敷生肌散。如果脓液不出,服用千金内托散,多加金银花。因为蒂疔关乎人身要害,刀针烙铁切不可随意触碰。如果是普通的疔肿,只可以用吹药,服用三黄凉膈散。如果是蒂丁紫肿,使用甘桔汤也非常妙效。
【兜腮痈图】
此症由寒湿风毒引起,生于腮下两侧或一侧。如果口内肿胀,吹敷秘药,用刀放血,日久排脓。初起时头痛、发热、恶寒,服用荆芥防风败毒散,后来服用学士汤。若日久不能消散,服用千金内托散,外敷金箍散,或者用火针排脓,贴膏药自愈。
兜腮风毒因风热所致,左右腮边多肿胀结块。口内肿胀甚重宜针刺放血。初起头痛发冷发热,荆防败毒散何须多说。瀛洲学士汤及千金内托散,外敷金箍散是奇妙诀窍。
【缠舌喉风】
此症受风热湿毒侵袭,或因风劳、酒色过度而起。下巴俱肿,牙关紧闭,舌头卷曲肿大,舌上有筋脉如蚯蚓状,生出黄色刺状物和白色胎膜。如果牙齿切咬不开,宜针刺少商穴,出血则可治愈。然而如果流出的是白黄水则不可治。治疗者先探取风痰,其次刮除舌苔,吹敷本药,用刀刺破青筋出血,宜针刺玉液、金津二穴,出血后漱口洗净,吹敷秘药,服用三黄汤和凉膈散,一二日可治愈。若日久成脓,服用千金内托散。如果是木舌短大者,吹敷追风散。(头摇者勿治,肿块发黑者难治,此症死者较多,先针四穴...)
缠舌喉风下巴肿胀生,先刮舌苔刺破青筋。随即探取风痰吹敷秘药,再针刺玉液与金津穴。口噤舌黄黑,宜刺少商出血则轻。三黄凉膈散初起适宜进服,脓成后用千金内托散。
【走马喉风】
此症因食用热物,或饮酒,或受风邪而生。先针刺四穴以定死生,吹敷追风散取痰,又吹敷秘药于喉内及牙齿腐烂处。舌头卷曲擦敷追风散,或者吹敷本药于舌上,针刺舌下三穴,若不卷曲则不针。服用二陈汤、三黄汤、凉膈散,多加荆芥、防风。如果出现头摇、牙齿脱落、头部肿胀疔疮破溃者,诸般不治。若语言清楚,年轻体壮,还可以施治。用白午后(注:此处原文可能有误,通常指特定药材或时间,结合下文推测为某种草药或特定时辰采集之物,暂按字面翻译或保留专有名词含义,但根据上下文“炒灰为末”,可能指某种植物根茎或特定物品,此处依原文直译)研炒成灰为末,吹敷上以止痛。再用白午后取汁,与同年干(注:疑为笔误或特定术语,暂保留)追风散合用漱口,服用三黄汤加荆芥防风。第一剂可以使用,后剂不可使用,请牢记。
走马喉风生于舌下,迅疾如走马进入喉中。先针刺四穴再吹敷秘药,含漱取白午后汁及追风散。清心舌下针三穴,有痰吐出则气机宣通。二陈汤、凉膈散犹宜使用,头摇疔黑终成空亡。
【双乳蛾】
此症外受风热,内由气...(原文此处中断,接下一句)元明粉醋取痰,吹敷本药,刀刺出血,吹敷秘药与本药,服用三黄凉膈散。若有脓液则去除,服用千金内托散,吹敷生肌散,服用桔梗汤更稳妥。
[Diagram of Lock-Throat Wind]
According to this syndrome, it is caused by the accumulation and stagnation of wind-heat. It may also arise from excessive alcohol consumption, sexual indulgence, or physical labor, leading to pathogenic factors generating in the throat, resembling a lock around the throat. There are unilateral and bilateral presentations. For bilateral cases, treatment must first involve probing for and removing wind-phlegm. If there are no obvious visible traces on both sides, but only whiteness, with severe pain making eating difficult, this condition is named "Lock-Throat Wind" (Suo Hou Feng). If trismus (lockjaw) occurs, first use Tong Guan San (Passing Through Powder) insufflated into the nasal cavity to open the mouth. Subsequently, needle the Shaoshang (LU11) acupoint. Use six needles within the throat. After blowing air to extract phlegm, insufflate the secret formula. Treatment should be prompt. If phlegm-drool is obstructive, causing opisthotonos (backward arching of the body), wash the affected area with warm water and apply warmth. For severe cases, administer San Huang Tang (Three Yellows Decoction), or use Gan Jie Tang (Licorice and Platycodon Decoction) added with Jing Jie (Schizonepeta), Fang Feng (Saposhnikovia), and Yin Hua (Honeysuckle), which will lead to recovery.
For Lock-Throat with Trismus, use Tong Guan San; after Zhui Feng San (Wind-Chasing Powder), use knife-needles. After needling Shaoshang, needle six additional points. After pus and blood are removed, insufflate the Secret Divine Medicine. Take San Huang Tang plus Gan Jie Tang; adding Jing Jie, Fang Feng, and Yin Hua makes it more effective.
[White Coiling Throat Wind]
This syndrome arises from long-standing accumulated heat, damage to the stomach from fried and roasted foods, or exposure to wind and qi disturbance due to labor. Symptoms include redness in the whites of the eyes and ears, facial swelling, and purple discoloration spreading downward from the cheeks. Patients may die within hours; if delayed for one or two days, it becomes a slow wind syndrome. First, needle Shaoshang (LU11), use Zhui Feng San to extract phlegm, then insufflate the primary medicine onto the swollen area. Perform knife-needle therapy to drain pus and blood. Insufflate the secret formula multiple times, then take San Huang Tang (Three Yellows Decoction) with increased amounts of Jing Jie (Schizonepeta), Fang Feng (Saposhnikovia), and Yin Hua (Honeysuckle). If symptoms include lying supine with back arched, face down, limbs extended, delirious speech, opisthotonos, and inability to open the mouth:
First insufflate Tong Guan San. If sneezing occurs from the nose, the mouth opens. If not, wind-fire is excessive; insufflate one or two more times, wait a while until natural sneezing occurs, then the mouth opens. Use scissors to pry open, insert a ring-shaped object laterally to press the tongue, insufflate Zhui Feng San to extract phlegm, insufflate the primary medicine at the lesion, perform knife-needle therapy, then insufflate the secret formula, and take San Huang Tang.
Insufflate secret medicine for White Coiling Throat Wind with swelling, trismus, and difficulty speaking; redness and swelling on both cheeks. Limbs extended, face down, sighing leads to immediate death. First probe wind-phlegm and needle four points, then insufflate primary medicine and pierce the throat. Use secret insufflation and take San Huang San (Three Yellows Powder); internal support for pus ensures recovery.
[Yellow Coiling Throat Wind]
The etiology and treatment methods are the same as previously described. When pus forms behind the di ding (tonsillar pillar/uvula area), use a hook knife to puncture and drain the pus, then insufflate the secret formula. Take two doses of San Huang Tang (Three Yellows Decoction). Next, insufflate the primary secret formula equally, adding Bing Pian (Borneol) and She Xiang (Musk). If the tissue is ulcerated, insufflate Sheng Ji San (Flesh-Generating Powder). If pus does not drain, take Qian Jin Nei Tuo San (Thousand Gold Internal Support Powder) with added Yin Hua (Honeysuckle). Since the di ding is vital to the body, knife-needles and cautery must never be used recklessly. For ordinary carbuncles, only insufflation medicines should be used, taking San Huang Liang Ge San (Three Yellows Clearing Diaphragm Powder). If the di ding is purple and swollen, Gan Jie Tang (Licorice and Platycodon Decoction) is excellent.
[Swelling Cheek Carbuncle Diagram]
This syndrome is caused by cold-dampness and wind-toxicity, generating swelling below the cheeks, either on one or both sides. If the inside of the mouth is swollen, insufflate the secret formula, use a knife to release blood, and drain pus over time. In the early stage, with headache, fever, and aversion to cold, take Jing Jie Fang Feng Bai Du San (Schizonepeta and Saposhnikovia Detoxifying Powder), followed by Xue Shi Tang (Scholar's Decoction). If it persists without resolving, take Qian Jin Nei Tuo San (Thousand Gold Internal Support Powder), externally apply Jin Gu San (Golden Hoop Powder), or use fire-needles to drain pus; applying ointment leads to self-healing.
Swelling cheek wind-toxicity arises from wind-heat; swelling and nodules on both cheeks. Severe intraoral swelling requires needle-bloodletting. Early headache and chills-fever make Jing Jie Fang Feng Bai Du San indispensable. Ying Zhou Xue Shi Tang and Qian Jin Nei Tuo, along with the wonderful secret of applying Jin Gu Powder.
[Coiling Tongue Throat Wind]
This syndrome results from wind-heat-dampness toxicity, or arises from wind-labor and excessive alcohol/sex. The chin swells, trismus occurs, the tongue curls and swells, with tendons visible like earthworms, and yellow spiky lesions with white coating appear. If teeth cannot bite open, needle Shaoshang (LU11) to bleed, which is treatable. However, if white-yellow fluid drains, it is untreatable. Treatment involves first probing for wind-phlegm, scraping the tongue coating, insufflating the primary medicine, using a knife to pierce blue veins to bleed, and needling Yu Ye (Jiacong EX-HN12) and Jin Jin (Jiacong EX-HN13) acupoints. Bleed, rinse mouth thoroughly, insufflate the secret formula, and take San Huang Tang (Three Yellows Decoction) and Liang Ge San (Clearing Diaphragm Powder); recoverable in one to two days. If pus forms after many days, take Qian Jin Nei Tuo San (Thousand Gold Internal Support Powder). For wooden tongue that is short and large, insufflate Zhui Feng San (Wind-Chasing Powder). (Head shaking indicates untreatability; black hard masses are difficult to treat; mortality is high. First needle four points...)
Coiling Tongue Throat Wind with chin swelling begins; scrape tongue coating and pierce blue veins. Probe wind-phlegm and insufflate secret medicine, then needle Yu Ye and Jin Jin. Trismus and yellow-black tongue; bleeding from Shaoshang lightens the condition. San Huang Liang Ge San is suitable initially; use Qian Jin Nei Tuo when pus forms.
[Running Horse Throat Wind]
This syndrome arises from eating hot foods, drinking alcohol, or wind exposure. First needle four points to determine life or death, insufflate Zhui Feng San (Wind-Chasing Powder) to extract phlegm, and insufflate the secret formula into the throat and rotten tooth areas. Rub Zhui Feng San on the curled tongue, or insufflate the primary medicine on the tongue. Needle three points under the tongue; do not needle if the tongue is not curled. Take Er Chen Tang (Two Aged Medicaments Decoction), San Huang Tang (Three Yellows Decoction), and Liang Ge San (Clearing Diaphragm Powder), with added Jing Jie (Schizonepeta) and Fang Feng (Saposhnikovia). If head shaking, tooth loss, head swelling, and carbuncle rupture occur, all are untreatable. If speech is clear and the patient is young and strong, treatment is possible. Use [specific substance] processed by frying to ash, insufflate to stop pain. Then take juice from [same substance], mix with Zhui Feng San for gargling, and take San Huang Tang with Jing Jie and Fang Feng. The first dose can be used; subsequent doses cannot. Remember this.
Running Horse Throat Wind generates under the tongue, swift as a running horse entering the throat. First needle four points, then insufflate secret medicine. Gargle with [substance] juice and Zhui Feng San. Needle three points under the heart-tongue; expectoration clears qi flow. Er Chen and Liang Ge San are still suitable; head shaking and black carbuncles result in emptiness/death.
[Double Tonsil Abscess]
This syndrome is externally caused by wind-heat and internally by qi... Yuan Ming Fen (Ammonium Chloride) taken with vinegar extracts phlegm. Insufflate the primary medicine, knife-bleed, insufflate the secret formula and primary medicine. Take San Huang Liang Ge San (Three Yellows Clearing Diaphragm Powder). Remove pus if present, take Qian Jin Nei Tuo San (Thousand Gold Internal Support Powder), insufflate Sheng Ji San (Flesh-Generating Powder), and take Jie Geng Tang (Platycodon Decoction) for greater stability.