生石膏 黄柏 麦冬（去心用） 生栀子 生地 紫花地丁 连翘甲 木通 杏仁（去皮尖杵） 润元参 桑叶
上药十一味。水五杯。煎取三杯。分二次温服。日再剂或三。若燥甚阴涸。急宜保
液。加西洋参犀角。倍冬地元参。火势剧喉肿且紫者。急加凉血解火毒之药。如紫
草丹皮金汁。痰涎壅盛者。加牛黄。或间用青黄散。
生地 连翘甲 牛蒡子（生用杵） 麦冬（去心用） 淡竹叶 木通 贝母 生栀仁
紫花地丁 金银花 灯心草
上药十味。水五杯。煎取三杯。沥去渣。分二次温服。日再剂。
白喉病以上三经悉见者。随证轻重。参用三经药治之。若火毒盛极。喉间紫胀。甚则
项背俱肿。危在顷刻者。急宜于红肿处用刀针刺破。出恶血以杀其势。或用吹喉法。
三经指太阴少阳少阴而言也。标本发病。各有轻重。随证治之。法无不愈。然有三
经并病。太阴少阳少阴之候俱见者。亦各视其势之轻重。按法施治。若少阳标证独
甚。即重用少阳之药。少阴标证独甚。即重用少阴之药。参观前后。心法自明。若
火势太盛。有非药石所及者。急用刀针。夫白喉本忌刀针。前人往往垂诚。今言可
刺。盖亦有至理在焉。若不红不肿不痛。咽干无痰。全系太阴燥火者。肺阴必已
受伤。其间全赖一点阴血。为自保之地。今又刺破。不败何待。若挟少阳少阴标症
实火太盛。郁于喉间而成红紫。甚则肿及项背。其来势之急。顷刻毙命。岂可不急
刺出恶血以泄其气。然亦指异常重症而论。不得已而用之。非常法也。至于发白处
仍不可犯。医者慎之。曩尝闻耐修氏言其戚汪姓之女及婢。相继患此。鉴于甲医之
失。不敢服药。令老妪挖去白 。出涎血斗许而愈。一月后汪自继病。亦用其法而
病不减。自言几不解其何理。遂委之于体质之强弱。命数之否泰。此语窃尝疑之。
后闻医友薛云如曾言其妻于丙申秋患此。用刀针刺破红肿处寻愈。及本年林友之女
亦病此。喉间红肿非常。肩背胸项等处俱红肿。鼻中出血。余言此症必须用刀针。
仅服药无效。其家守邑医之言。不敢破。后至数日。吐恶血数碗而毙。始恍然于汪
姓女婢之症及薛友之妻。均系少阳少阴之标病。风火之势急。故得破而愈。汪君专
系太阴燥火本病。破之非徒无益。必又速祸。此中源流甚微。安可不悉心考究。穷
极其只细。徒以命数杳缈之谈以卸责。恐未尽格物穷理之功矣。
生石膏、黄柏、麦冬（去除心部使用）、生栀子、生地、紫花地丁、连翘甲、木通、杏仁（去除皮和尖端后捣碎）、润元参、桑叶。
以上十一味药。用水五杯，煎煮取汁三杯。分两次温服。每天服用两剂或三剂。如果燥热严重导致阴液枯竭，急需保津液，加入西洋参、犀角，加倍使用麦冬、地黄、元参。如果火势猛烈，咽喉肿胀且呈紫色，急需加入凉血解毒的药物，如紫草、丹皮、金汁。如果痰涎壅盛，加入牛黄。或者间歇性使用青黄散。
生地、连翘甲、牛蒡子（生用并捣碎）、麦冬（去除心部使用）、淡竹叶、木通、贝母、生栀仁、紫花地丁、金银花、灯心草。
以上十味药。用水五杯，煎煮取汁三杯，滤去药渣。分两次温服。每天服用两剂。
白喉病如果在上述三条经络（太阴、少阳、少阴）的症状都出现时，根据证候的轻重，参考这三条经络的药物进行治疗。如果火毒极盛，咽喉间紫胀，甚至项背部都肿胀，危险就在顷刻之间，急需在红肿处用刀针刺破，放出恶血以遏制病势。或者使用吹喉法。
所谓“三经”是指太阴、少阳、少阴而言。标本发病，各有轻重，根据证候治疗，没有不痊愈的。但是有三条经络并病的情况，即太阴、少阳、少阴的症状都出现时，也各自视其病势的轻重，按照法则施治。如果少阳的标证特别严重，就重用少阳经络的药物；少阴的标证特别严重，就重用少阴经络的药物。参照前后的论述，其中的心法自然明了。如果火势过于旺盛，有不是药物所能达到的地步，急需用刀针。白喉本来忌讳刀针，前人往往郑重告诫，现在说可以刺，大概也有至理存在。如果不红不肿不痛，咽干无痰，完全是太阴燥火的情况，肺阴必定已经受伤，其间全赖一点阴血作为自保之地。现在又刺破，不败亡还等待什么？如果夹杂少阳、少阴的标症，实火太盛，郁结于咽喉间形成红紫，甚至肿胀波及项背，病势来得急，顷刻间可能毙命，怎么能不急刺放出恶血以泄气呢？然而这也是指异常重症而言，不得已而使用，不是常规方法。至于发白的地方仍然不可侵犯，医者要谨慎。过去曾听说耐修氏讲他的亲戚汪姓的女儿及婢女，相继患此病，鉴于甲医的失误，不敢服药，让老妪挖去白色的假膜，吐出几斗涎血而痊愈。一个月后汪某自己也继发病，也用这种方法但病不减，自己说不明白是什么道理，于是归结为体质的强弱和命运的顺逆。这话我私下里怀疑过。后来听医友薛云如说他妻子在丙申年秋天患此病，用刀针刺破红肿处不久痊愈。到了今年林友的女儿也患此病，咽喉间红肿非常，肩背胸项等处都红肿，鼻中出血。我说这个病症必须用刀针，仅服药无效。那家人听从当地医生的话，不敢刺破。过了几天，吐出几碗恶血而死。这才恍然大悟，汪姓女婢的病以及薛友的妻子，都是少阳、少阴的标病，风火之势急，所以刺破后痊愈。汪君专门是太阴燥火的本病，刺破不仅无益，必定加速灾祸。其中的源流非常微妙，怎么可以不悉心考究，穷尽其中细微之处，只以命运渺茫之谈来推卸责任，恐怕没有尽到格物穷理的功夫啊。
Raw Gypsum Fibrosum (Shigao), Phellodendri Cortex (Huangbai), Ophiopogonis Radix (Maidong, 麦冬) [use after removing the heart], Raw Gardeniae Fructus (Zhizi), Rehmanniae Radix (Shengdi), Violae Herba (Zihuadiding), Forsythiae Fructum cum Calyce (Lianqiao Jia), Akebiae Caulis (Mutong), Armeniacae Semen Amarum (Xingren, 杏仁) [remove skin and tips, pound], Scrophulariae Radix (Yuanyuan Shen), Mori Folium (Sangye).
The above eleven herbs. Add five cups of water. Decoct to obtain three cups. Take warm in two doses. Administer two or three times daily. If dryness is severe and Yin fluids are depleted, urgently preserve fluids by adding Panax Quinquefolii Radix (Xi Yangshen) and Rhinocerotis Cornu (Xijiao), doubling the dosage of Ophiopogonis Radix (Maidong), Rehmanniae Radix (Dìhuáng), and Scrophulariae Radix (Yuán Shēn). If fire pathogen is intense with throat swelling turning purple, urgently add blood-cooling and fire-toxin-resolving herbs such as Lithospermi Radix (Zicao), Moutan Cortex (Danpi), and Jinzhi (Gold Juice). If phlegm-saliva is abundant and obstructing, add Calculus Bovis (Niuhuang). Alternatively, use Qinghuang San intermittently.
Rehmanniae Radix (Shengdi), Forsythiae Fructum cum Calyce (Lianqiao Jia), Arctii Fructus (Niubangzi, 牛蒡子) [use raw and pound], Ophiopogonis Radix (Maidong, 麦冬) [use after removing the heart], Lophatheri Herba (Danzhuye), Akebiae Caulis (Mutong), Fritillariae Bulbus (Beimu), Raw Gardeniae Fructus (Sheng Zhiren), Violae Herba (Zihuadiding), Lonicerae Japonicae Flos (Jinyinhua), Junci Medulla (Dengxincao).
The above ten herbs. Add five cups of water. Decoct to obtain three cups. Filter out dregs. Take warm in two doses. Administer twice daily.
When Diphtheria (Baihou) presents symptoms involving all three meridians (Taiyin, Shaoyang, Shaoyin), treat according to the severity of the syndrome, referencing medications for these three meridians. If fire-toxin is extremely abundant, causing purple swelling in the throat, even extending to the neck and back, with danger imminent, urgently puncture the red and swollen areas with a knife and needle to release evil blood and curb the momentum. Or use the method of blowing powder into the throat.
"Three meridians" refers to Taiyin, Shaoyang, and Shaoyin. Manifestations of root and branch have varying degrees of severity; treating according to the syndrome ensures recovery. However, there are cases of concurrent disease of the three meridians, where signs of Taiyin, Shaoyang, and Shaoyin appear together. Treat each according to the severity of its condition. If Shaoyang branch symptoms are predominant, heavily utilize Shaoyang medications; if Shaoyin branch symptoms are predominant, heavily utilize Shaoyin medications. By observing previous and subsequent discussions, the essential principles become clear. If fire pathogen is excessively strong, beyond the reach of herbal medicine, urgently use knife and needle. Diphtheria (Baihou) is generally contraindicated for knife and needle therapy, and predecessors often emphasized this warning. The current assertion that it can be punctured likely has profound rationale. If there is no redness, swelling, or pain, only dry throat without phlegm, indicating purely Taiyin dry-fire, Lung Yin must already be injured. At this point, relying on a trace of Yin blood for self-preservation is crucial. Puncturing now would inevitably lead to collapse. However, if accompanied by Shaoyang and Shaoyin branch symptoms with excessive solid fire stagnating in the throat causing red-purple discoloration, even swelling to the neck and back, with rapid onset potentially fatal within moments, one cannot fail to urgently puncture to release evil blood and vent Qi. This applies only to abnormal severe cases, used as a last resort, not as standard practice. Areas with white pseudomembranes must still not be violated; physicians must exercise caution. I once heard Mr. Naixiu recount how his relative's daughter and maid suffered from this disease sequentially. Learning from Dr. Jia's error, they refused medication and had an old woman scrape off the white membranes, expelling several dou of saliva and blood, resulting in recovery. One month later, Mr. Wang himself contracted the disease and used the same method, but the illness did not subside. He claimed he could not understand why, attributing it to differences in constitution strength and fate. I privately doubted this statement. Later, my medical friend Xue Yunru told me his wife contracted this disease in autumn of the Bing-Shen year and recovered shortly after the red and swollen areas were punctured with a knife and needle. This year, Friend Lin's daughter also contracted this disease with extreme throat redness and swelling, extending to shoulders, back, chest, and neck, accompanied by epistaxis. I stated this condition requires knife and needle therapy, as medication alone was ineffective. The family followed the local doctor's advice and dared not puncture. Days later, she vomited several bowls of evil blood and died. Only then did I realize that the cases of Wang's daughter/maid and Friend Xue's wife were both Shaoyang-Shaoyin branch diseases with urgent wind-fire patterns, hence recovery after puncture. Mr. Wang's case was purely Taiyin dry-fire root disease; puncturing was not only useless but accelerated disaster. The nuances here are subtle. How can one fail to investigate carefully and exhaustively, instead using vague notions of fate to shirk responsibility? This fails to achieve the full potential of investigating things to acquire knowledge.