西洋参 生石膏 海浮石 牡蛎（生用） 阿胶（或用燕窝） 白芍 生地黄 败龟板
珍珠母 麦冬（去心） 犀角
上药十一味。以旋复花荆竹茹先煎代水。服时冲入荆竹沥鲜莱菔汁。如痰涎壅盛。
药不得下。加入白苏子另煎冲入。待药得下。即宜撤去。甚则微滴生姜汁数点为
引。小儿数龄以内。用药虽当酌量。然亦不可过轻。轻则不得沉降之性。转足以助痰矣。
白喉病或经误治。始终在手太阴者。治以上法。其或累及他经。当细审病证。循经用
药。不可遽辞坏病。模糊施治。误人性命。
白喉为肺金燥火本病。肺为华盖。为百脉之宗。肺气病最易传染各经脉。而白喉亦
然。若始终在手太阴本病。治以上法。其有累及他经。当细别源流。循经用药。兹
将十二经传变病候。用药关键。略表途迳于下。假如三经本症未罢。热邪陷入厥
阴。四肢掣动或痉厥者。急宜通络息风。于三经本方加羚羊角牛黄鲜地龙丝瓜络忍
冬藤。其陷入足少阴。但欲寐。腰疼身热数饮者。宜于滋阴中寓泄少阴邪火。于手
太阴本方加黄柏元参 豆皮龟板。或合大补阴丸。泻南补北法。其陷入足阳明胃
腑。便秘腹疼拒按者。此系实火内结。宜本方合宣白承气。或竟用吴氏增液承气
法。其陷入足阳明胃经。大渴大汗者。本方倍石膏西洋参加知母粳米。如人参白虎
法。其陷入足太阴脾经。头重颊痛。颜青欲呕。热争。不可用俯仰。腹满泄。宜本
方加石斛生草扁豆子石莲肉。或初起过服硝黄。大便溏泄不止。脾气受伤下陷者。
宜先服健脾药。如四君子汤加查肉炒扁豆内金之类。甚则甘附片亦可暂用。泄止再
治本病。其风火炽盛。肝脾相贼。肾水不摄者。须前方重加生牡蛎。如吴氏一甲煎
法。不可见泄即指为脾寒。漫用温涩也。此皆白喉救误之法。不过略示途迳。其细
密处仍宜临时变化。斟酌妥善。庶无负司命之责。
西洋参、生石膏、海浮石、牡蛎（生用）、阿胶（也可用燕窝代替）、白芍、生地黄、败龟板、珍珠母、麦冬（去心）、犀角。
以上十一味药，先用旋复花和荆竹茹煎煮，取其药汁代水煎药。服药时，冲入荆竹沥和新鲜莱菔汁。如果痰涎壅盛，导致药物无法咽下，则加入白苏子单独煎煮后冲入药中。待药物能够顺利服下后，应立即撤去白苏子。病情严重者，可滴入数滴生姜汁作为引经药。对于几岁以内的幼儿，用药剂量虽应酌情减少，但也不宜过轻，因为药力过轻则无法发挥沉降的药性，反而可能助长痰湿。
白喉病如果经过误治，病邪始终停留在手太阴肺经的，采用上述方法治疗。如果病邪累及其他经络，应当仔细审察病证，按照经络辨证用药，不可轻易推脱说是坏病（因误治导致的复杂难治之症），而模糊施治，这样会误人性命。
白喉是肺金燥火的本病。肺为华盖，是百脉的宗主。肺气生病最容易传染到其他经脉，白喉也是如此。如果病邪始终在手太阴本经，就用上述方法治疗。如果有累及其他经络的情况，应当仔细辨别源流，按照经络用药。现将十二经传变的病候及用药关键，大致列出路径如下：假如三经的本症尚未消除，热邪陷入厥阴经，出现四肢抽搐或痉厥的，急需通络息风，在三经本方中加入羚羊角、牛黄、鲜地龙、丝瓜络、忍冬藤。如果热邪陷入足少阴肾经，表现为只想睡觉、腰痛、身体发热、频繁饮水的，应当在滋阴之中寓含清泄少阴邪火之意，在手太阴本方中加入黄柏、元参、豆皮、龟板，或者合用大补阴丸，采用“泻南补北”法。如果热邪陷入足阳明胃腑，表现为便秘、腹痛且拒按的，这是实火内结，宜在本方合用宣白承气汤，或者直接用吴氏增液承气法。如果热邪陷入足阳明胃经，表现为大渴、大汗的，本方加倍使用石膏、西洋参，加入知母、粳米，如同人参白虎汤之法。如果热邪陷入足太阴脾经，表现为头重、脸颊痛、面色发青、想呕吐、寒热交争、不能俯仰、腹部胀满、腹泻的，宜在本方中加入石斛、生甘草、扁豆子、石莲肉。或者是初起时过服硝黄类药物，导致大便溏泄不止，脾气受伤下陷的，宜先服用健脾药，如四君子汤加山楂肉、炒扁豆、鸡内金之类。病情严重者，也可暂时使用附片。待泄止后再治疗白喉本病。如果是风火炽盛，肝木克制脾土，肾水不能摄纳的情况，须在前方中重加生牡蛎，参考吴氏一甲煎法。不可一见腹泻就指认为是脾寒，随意使用温涩药物。这些都是白喉救误的方法，只是大致示出路径，细微之处仍应根据当时情况灵活变化，斟酌妥善，这样才能不辜负医者救死扶伤的责任。
American ginseng (Radix Panacis Quinquefolii), raw gypsum fibrosum (Gypsum Fibrosum), pumice (Lapis Pumex), oyster shell (Concha Ostreae, used raw), donkey-hide gelatin (Colla Corii Asini) (or swallow's nest may be used as substitute), white peony root (Radix Paeoniae Alba), raw rehmannia root (Radix Rehmanniae Preparata), old tortoise plastron (Plastrum Testudinis), pearl mother-of-pearl (Margaritifera Concha), ophiopogon tuber (Tuber Ophiopogonis, heart removed), rhinoceros horn (Cornu Rhinocerotis).
The above eleven medicinal materials are first decocted with inula flower (Flos Inulae) and bamboo shavings of young bamboo (Caulis Bambusae in Taenia) to prepare the water for decoction. When administering the medicine, jingzhu li (Bamboo Sap from Young Bamboo) and fresh radish juice (Succus Raphani Sativi) should be mixed in. If phlegm and saliva are excessive, preventing the medicine from being swallowed, perilla seed (Fructus Perillae) should be separately decocted and added to the mixture. Once the medicine can be taken down smoothly, the perilla seed should be removed immediately. In severe cases, a few drops of ginger juice (Succus Zingiberis Recens) can be added as a guiding agent. For children under several years of age, although the dosage should be adjusted appropriately, it must not be too light; otherwise, the sedimentative nature of the medicine will be ineffective, potentially exacerbating phlegm accumulation.
If laryngeal diphtheria (Baihou) has been mistreated and the pathogen remains confined to the Hand-Taiyin Lung Meridian, the above method should be employed. If the pathogen has affected other meridians, the syndrome must be carefully examined, and medication should be administered according to meridian differentiation. One must not casually dismiss it as a "ruined disease" (complex condition resulting from misdiagnosis or mistreatment) and treat vaguely, as this could prove fatal.
Laryngeal diphtheria is fundamentally a disease of dryness-fire affecting the Metal element of the Lungs. The Lung is the "Canopy" (Huagai) and the master of all vessels. Diseases of Lung Qi easily spread to other meridians, and so does laryngeal diphtheria. If the pathogen remains confined to the Hand-Taiyin primary channel, the aforementioned treatment applies. If it affects other meridians, one must carefully distinguish the origin and progression, prescribing medication according to the specific meridian. Below is a brief outline of the transmission patterns across the Twelve Meridians and the key principles for medication:
Suppose the primary symptoms of the initial three stages have not resolved, and heat pathogens sink into the Jueyin Liver/Gallbladder channels, causing limb twitching or spasmodic convulsions. Urgent collateral-unblocking and wind-extinguishing measures are required. Add antelope horn (Cornu Saigae Tataricae), realgar-calculus bovis (Calculus Bovis), fresh earthworm (Pheretima), loofah network (Retinervus Luffae Fructus), and honeysuckle vine (Caulis Lonicerae Japonicae) to the primary formula.
If the heat sinks into the Foot-Shaoyin Kidney channel, manifesting as lethargy ("only wanting to sleep"), lower back pain, fever, and frequent thirst, yin-nourishing methods should incorporate clearing Shaoyin pathogenic fire. Add phellodendron bark (Cortex Phellodendri), scrophularia root (Radix Scrophulariae), cornus fruit (Fructus Corni), and tortoise plastron (Plastrum Testudinis) to the Hand-Taiyin primary formula, or combine with Da Bu Yin Wan (Great Tonify Yin Pill), employing the "Drain South and Supplement North" method.
If the heat sinks into the Foot-Yangming Stomach fu-organ, presenting with constipation, abdominal pain, and tenderness upon pressure, this indicates internal binding of excess fire. Combine the primary formula with Xuan Bai Cheng Qi Tang (Disperse White and Descend Qi Decoction), or directly apply Wu Shi Zeng Ye Cheng Qi Fa (Wu’s Method of Increasing Fluids and Descending Qi).
If the heat sinks into the Foot-Yangming Stomach channel, presenting with extreme thirst and profuse sweating, double the dosage of gypsum fibrosum (Gypsum Fibrosum) and American ginseng (Radix Panacis Quinquefolii) in the primary formula, adding anemarrhena rhizome (Rhizoma Anemarrhenae) and rice grain (Oryza Sativa), analogous to Ren Shen Bai Hu Tang (Ginseng White Tiger Decoction).
If the heat sinks into the Foot-Taiyin Spleen channel, presenting with heavy head, cheek pain, bluish complexion, nausea, alternating chills and fever, inability to bend or stretch, abdominal fullness, and diarrhea, add dendrobium stem (Caulis Dendrobii), raw licorice root (Radix Glycyrrhizae uralensis), coix seed (Semen Coicis), and lotus seed flesh (Endocarpus Nelumbinis). Alternatively, if early-stage overuse of mirabilite (Natrii Sulfas) and rhubarb (Radix et Rhizoma Rhei) caused persistent loose stools due to injured and sinking Spleen Qi, first administer spleen-fortifying medicines, such as Si Jun Zi Tang (Four Gentlemen Decoction) added with hawthorn fruit (Fructus Crataegi), stir-fried coix seed (Semen Coicis), and chicken gizzard lining (Endothelium Keratinaceum Gigeriae Galli). In severe cases, prepared aconite (Radix Aconiti Lateralis Preparata) may be temporarily used. After diarrhea ceases, resume treating the primary disease.
In cases of flourishing wind-fire, where Liver Wood overacts on Spleen Earth, and Kidney Water fails to secure, significantly increase raw oyster shell (Concha Ostreae) in the previous formula, referencing Wu Shi Yi Jia Jian (Wu’s Single Shell Decoction). Do not mistake diarrhea for Spleen cold and indiscriminately use warming and astringent agents. These are all methods for rescuing errors in treating laryngeal diphtheria, merely indicating general pathways. Fine details must still be flexibly adapted to the clinical situation to ensure appropriate treatment, thereby fulfilling the physician's responsibility to save lives.