（附狐惑）
【脉】 匿虫蚀阴肛，脉虚小者生，急紧者死。
【因证】 湿热之生，脏腑虚则侵蚀。腹内热，肠胃虚，虫行求食。上唇有疮曰
惑，虫食其脏；下有疮曰狐，虫蚀其肛。亦有口疮，非狐惑也。
【治】 《集效方》 木香 鹤虱（炒） 槟榔 诃子（煨） 芜荑（炒） 炮附 干
姜（各七钱） 大黄（一两五钱）
乌梅或加连、柏。上蜜丸。陈皮汤、醋汤任下。
化虫丸 治虫即化水。
硫黄（一两） 木香（五钱） 密陀僧（三钱） 炮附（一个）
上先附末，醋一升，熬膏，入药和丸，绿豆大。荆芥、茶清下二十丸。
秘方 治吐虫。
黑锡（炒成灰）
槟榔末，茶饮下。
又方 川椒，酒糊丸，治虫。
又方 炒鸡子、白蜡尘，治寸白虫，酒糊丸妙。
泻心汤，治惑；苦参汤洗之，治狐。
【因】 热内结。虽有蛾闭、木舌、缠喉、走马之名，火则一也。论咽与喉，会
厌与舌，同
在一门，而用各异，喉以候气，故通于天；咽以纳食，故通于地；会厌管乎其上，以司开阖
。掩其咽，其食下；不掩之，其喉错；必舌抵上 ，则会厌能闭其咽矣。四者相交为用，缺
一则饮食废而死矣。及其为病，皆火也。夫手少阴君火心主之脉，手少阳相火三焦之脉，二
火皆主脉并络于喉，气热则内结，结甚则肿胀，肿胀甚则痹甚，痹甚则不通而死矣。
至如嗌干痛、咽颔肿、舌本强，皆君火之为也。唯喉痹急速，相火之为也。
【证】 咽，咽物之处。咽肿则不能咽，或呕吐咯伤，或多饮啖，痰热皆至，咽
系干枯也。
喉，声音出入之处。脏热则肿，其发暴肿闭塞。或心虚寒，有悬痈生在上 ，俗名鹅也
。咳而声嘶喉破，俗名声散也。
【治法】 微以咸软之，甚以辛散之，痰结以苦吐之，否则砭出血。人火以凉治
之，龙火以火逐之，凉剂以热服之是也。宜刺少商出血。
秘方 朴硝 牙硝（各研） 青鱼胆 上以胆放二硝上，干方研为末，竹管吹入喉
中，痰出即愈。
五匙散 治风热喉痹，及缠喉风。
朴硝（一两五钱） 硼砂（五钱） 脑子（三钱） 僵蚕
以竹管吹末入喉中。
神效散 治热肿语声不出。
荆芥穗 蓖麻（生，去皮另研，各一两）
蜜丸，皂角子大，嚼含化。
雄黄解毒丸 治缠喉风及喉痹，倒仆失音，牙关紧急，不省人事。
雄黄（一钱，飞） 郁金（一钱） 巴豆（去皮、油，十四个）
醋糊丸，绿豆大。热茶清下一丸，吐则止。
蜜附子 治腑寒咽门闭，不能咽。大附去皮脐，切大片，蜜涂炙黄，含咽津。
又方 龙胆、矾，包乌梅肉内，以绵裹含。
龙火拔毒散 治缠喉急证。先以针出血为上策，缓以丹敷。
阳起石（ ） 伏龙肝（各三钱）
新水埽之。
又方 白瑞香花根，研水灌之。
秘方 治痰。其证皆因痰也。以鹅毛刷桐油探吐之。皂荚灰亦可吐。僵蚕研姜服
亦可。生艾汁亦可。
（附：狐惑病）
【脉象】 寄生虫侵蚀阴部或肛门，脉象虚小者预后良好，脉象急紧者预后不良。
【病因与证候】 湿热产生，脏腑虚弱则被侵蚀。腹内发热，肠胃虚弱，虫体蠕动寻找食物。上唇生疮称为“惑”，是虫蚀内脏；下阴生疮称为“狐”，是虫蚀肛门。也有口疮，但不是狐惑病。
【治疗】 《集效方》：木香、鹤虱（炒）、槟榔、诃子（煨）、芜荑（炒）、炮附子、干姜（各七钱），大黄（一两五钱）。乌梅，或加黄连、黄柏。以上药物制成蜜丸。用陈皮汤或醋汤送服均可。
化虫丸：治疗寄生虫，使其化为水液排出。硫黄（一两）、木香（五钱）、密陀僧（三钱）、炮附子（一个）。先将附子研末，用一升醋熬成膏，加入其他药物和匀制成丸药，大小如绿豆。用荆芥汤或茶清送服二十丸。
秘方：治疗吐虫。黑锡（炒成灰）。槟榔末，用茶水送服。
又一方：川椒，用酒糊制成丸药，治疗寄生虫。
又一方：炒鸡蛋、白蜡屑，治疗寸白虫（绦虫），用酒糊制丸效果妙。
泻心汤，治疗“惑”；苦参汤清洗，治疗“狐”。
【病因】 热邪内结。虽然有蛾闭（扁桃体肿大闭塞）、木舌（舌头僵硬肿胀）、缠喉风、走马牙疳等名称，但本质都是火邪。论述咽与喉、会厌与舌，虽然同属一门，但功能各异：喉用于呼吸气息，故通于天；咽用于吞咽食物，故通于地；会厌位于上方，主管开合。掩住咽部，食物下行；不掩住，则气息进入喉部交错；必须舌尖抵住上颚，会厌才能关闭咽部。这四者交互作用，缺其一则饮食废绝而死。当其发病，皆因火邪所致。手少阴君火心主之脉，手少阳相火三焦之脉，这两条火经都主脉并络于喉，气热则内结，结甚则肿胀，肿胀甚则痹阻严重，痹阻严重则不通而死。至于咽喉干燥疼痛、咽颌肿胀、舌根强硬，都是君火所致。唯有喉痹发病急速，是相火所致。
【证候】 咽，是吞咽食物的地方。咽肿则不能吞咽，或因呕吐咯血损伤，或多饮多食，痰热均至，导致咽系干枯。
喉，是声音出入的地方。脏热则肿胀，发作时突然肿胀闭塞。或因心虚寒，有悬痈生在上方，俗名鹅口疮。咳嗽而声音嘶哑喉破，俗名声散。
【治法】 轻微者用咸味药软坚散结，严重者用辛味药发散，痰结者用苦味药催吐，否则用砭石刺出血。人火（实火）用凉药治疗，龙火（虚火/引火归元）用火法驱逐，即凉剂热服的方法。适宜针刺少商穴出血。
秘方：朴硝、牙硝（分别研磨），青鱼胆。将胆汁滴在两种硝上，待干后研磨为末，用竹管吹入喉中，痰出即愈。
五匙散：治疗风热喉痹，及缠喉风。朴硝（一两五钱）、硼砂（五钱）、脑子（冰片，三钱）、僵蚕。用竹管将药末吹入喉中。
神效散：治疗热肿导致失音。荆芥穗、蓖麻（生，去皮另研，各一两）。制成蜜丸，大小如皂角子，嚼含化服。
雄黄解毒丸：治疗缠喉风及喉痹，昏倒失音，牙关紧急，不省人事。雄黄（一钱，水飞）、郁金（一钱）、巴豆（去皮、去油，十四个）。用醋糊制成丸药，大小如绿豆。用热茶清送服一丸，吐出来就停止服药。
蜜附子：治疗腑寒导致的咽门闭塞，不能吞咽。大附子去皮脐，切成大片，涂蜂蜜炙烤至黄，含在口中咽津液。
又一方：龙胆、明矾，包裹在乌梅肉内，用棉裹含。
龙火拔毒散：治疗缠喉急症。先用针放血为上策，缓则敷丹。阳起石（无剂量记载）、伏龙肝（各三钱）。用新汲水冲洗。
又一方：白瑞香花根，研磨成水灌入。
秘方：治疗痰。其证候皆因痰引起。用鹅毛蘸桐油探喉催吐。皂荚灰也可催吐。僵蚕研粉加姜汁服用也可。生艾汁也可。
(Attached: Hu Huo Disease)
[Pulse] When parasites erode the genitals or anus, a deficient and small pulse indicates survival, while a rapid and tight pulse indicates death.
[Etiology and Symptoms] Damp-heat is generated; when the Zang-Fu organs are deficient, erosion occurs. Heat accumulates in the abdomen, and the intestines and stomach are weak, causing worms to move seeking food. Sores on the upper lip are called "Huo" (Confusion), indicating worms eroding the internal organs; sores on the lower yin/anus are called "Hu" (Fox), indicating worms eroding the anus. There may also be mouth sores, but this is not Hu Huo disease.
[Treatment] *Ji Xiao Fang* (Collection of Effective Prescriptions): Muxiang (Aucklandiae Radix), Heshi (Nartheci Fructus, stir-fried), Binglang (Arecae Semen), Hezi (Chebulae Fructus, baked), Wuyi (Pyrethri Flos), Pao Fuzi (Prepared Aconiti Lateralis Radix), Ganjiang (Zingiberis Rhizoma) (each 7 qian), Dahuang (Rhei Radix et Rhizoma) (1 liang 5 qian). Wu Mei (Mume Fructus), or add Huanglian (Coptidis Rhizoma) and Huangbai (Phellodendri Cortex). Make into honey pills. Take with Chenpi Tang (Tangerine Peel Decoction) or Cu Tang (Vinegar Decoction) as desired.
*Hua Chong Wan* (Worm-Dissolving Pill): Treats parasites, causing them to dissolve into water. Liuhuang (Sulfur) (1 liang), Muxiang (Aucklandiae Radix) (5 qian), Mituoseng (Lithargyrum) (3 qian), Pao Fuzi (Prepared Aconiti Lateralis Radix) (1 piece). First, powder the Fuzi, boil with 1 sheng of vinegar until it becomes a paste, mix with other medicines, and make pills the size of mung beans. Take 20 pills with Jingjie Tang (Schizonepetae Herba Decoction) or Cha Qing (Tea Infusion).
Secret Recipe: Treats vomiting of worms. Heixi (Black Tin, stir-fried to ash). Binglang powder (Arecae Semen), taken with tea.
Another Prescription: Chuanjiao (Sichuan Pepper), made into pills with wine paste, treats worms.
Another Prescription: Stir-fried chicken eggs, white beeswax dust, treat Taenia saginata (Tapeworm); making pills with wine paste is excellent.
*Xie Xin Tang* (Drain the Heart Decoction) treats "Huo"; Kushen Tang (Sophorae Flavescentis Radix Decoction) washes treats "Hu".
[Etiology] Heat binds internally. Although there are names such as E Bi (tonsillar obstruction), Mu She (wooden tongue), Chan Hou Feng (throat-wrapping wind), and Zou Ma Ya Gai (running-horse canker), the pathology is essentially Fire. Discussing the Pharynx (Yan) and Larynx (Hou), Epiglottis (Hui Yan), and Tongue (She), although they belong to the same gate, their functions differ: The Larynx is for breathing air, thus connecting to Heaven; the Pharynx is for swallowing food, thus connecting to Earth; the Epiglottis manages the opening and closing from above. Covering the Pharynx allows food to descend; not covering it causes air to enter the Larynx; the tip of the tongue must touch the upper palate for the Epiglottis to close the Pharynx. These four interact; if one is missing, eating and drinking cease, leading to death. When disease occurs, it is all due to Fire. The meridians of Hand-Shaoyin Jueyin Heart Master and Hand-Shaoyang Sanjiao Ministerial Fire both govern the pulses and connect to the Larynx. Qi heat causes internal binding; severe binding causes swelling; severe swelling causes severe Bi-obstruction; severe Bi-obstruction leads to blockage and death. As for dry painful throat, swollen pharynx/jaw, and stiff tongue root, these are caused by Jueyin Fire. Only acute Hou Bi (Sore Throat) is caused by Ministerial Fire.
[Symptoms] The Pharynx (Yan) is the place where food is swallowed. If the Pharynx swells, swallowing is impossible; or it is injured by vomiting/coughing blood, or due to excessive drinking/eating, phlegm-heat arrives, causing the Pharynx system to become dry and withered.
The Larynx (Hou) is the place where sound enters and exits. Internal organ heat causes swelling, resulting in sudden swelling and blockage. Or, due to Heart deficiency-cold, a Xuan Yong (hanging abscess) grows above, commonly known as Goose Mouth Ulcer. Coughing leads to hoarseness and laryngeal rupture, commonly known as Voice Scattering.
[Treatment Methods] Mild cases use salty substances to soften hardness; severe cases use pungent substances to disperse; phlegm binding uses bitter substances to induce vomiting; otherwise, use Bian stone to bleed. Human Fire (Excess Fire) is treated with cooling methods; Dragon Fire (Deficient Fire/False Fire) is driven out by fire methods, i.e., taking cooling decoctions hot. It is suitable to prick Shaoshang (LU11) to bleed.
Secret Recipe: Pu Xiao (Mirabilite), Ya Xiao (Glauber's Salt) (each ground separately), Green Fish Gallbladder. Place the gallbladder juice on the two salts, let dry, then grind into powder, and blow into the throat with a bamboo tube. Healing occurs when phlegm is expelled.
*Wu Chi San* (Five-Spoon Powder): Treats Wind-Heat Hou Bi and Chan Hou Feng. Pu Xiao (1 liang 5 qian), Pengsha (Borax) (5 qian), Nao Zi (Camphor) (3 qian), Jiangcan (Bombyx Batryticatus). Blow the powder into the throat with a bamboo tube.
*Shen Xiao San* (Divine Effect Powder): Treats heat-swelling causing loss of voice. Jingjie Sui (Schizonepetae Spica), Bimangu (Ricini Semen, raw, skin removed and ground separately, each 1 liang). Make into honey pills the size of Gengzi (Soapberry seeds), chew and swallow.
*Xionghuang Jiedu Wan* (Realgar Detoxification Pill): Treats Chan Hou Feng and Hou Bi, fainting, loss of voice, locked jaw, and unconsciousness. Xionghuang (Realgar) (1 qian, water-flown), Yujin (Curcumae Radix) (1 qian), Badou (Crotonis Fructus, skin and oil removed, 14 seeds). Make into pills with vinegar paste, size of mung beans. Take one pill with hot tea infusion; stop when vomiting occurs.
Mi Fuzi (Honey-Gilded Aconite): Treats Fu-organ cold causing closure of the throat gate and inability to swallow. Remove skin and navel of large Fuzi, cut into large slices, coat with honey, roast until yellow, hold in mouth and swallow saliva.
Another Prescription: Longdan (Gentianae Radix), Fan (Alumen), wrap inside Wu Mei (Mume Fructus) flesh, wrap in cotton and hold in mouth.
Longhuo Baidu San (Dragon Fire Antitoxic Powder): Treats acute Chan Hou. Pricking to bleed is the best strategy; if slow, apply Dan. Yangqishi (Stilbite Group Mineral) [dose unspecified], Fulonggan (Dragon's Liver) (each 3 qian). Wash with fresh water.
Another Prescription: Ba Ruixiang flower root, grind with water and irrigate.
Secret Recipe: Treats Phlegm. Its symptoms are all caused by phlegm. Use a goose feather dipped in tung oil to probe the throat and induce vomiting. Zaogui (Gleditsiae Sinensis Spina Ash) can also induce vomiting. Jiangcan (Bombyx Batryticatus) ground with ginger juice can also work. Sheng Ai Zhi (Fresh Mugwort Juice) can also work.