治瘟疫毒瓦斯及臭毒痧胀腹痛等症。冰片、麝香、飞过明雄、飞过朱砂各五分，牙硝一钱
，共为细末，瓷瓶紧收勿泄气，男左女右以少许点目大 。用此入时疫病家则不沾染。此散
并治六畜瘟，亦点六畜眼大 。
此症生咽喉之两旁，状若蚕蛾，一边生者为单蛾，两边俱生者为双蛾。亦有形如枣、栗
、如乳头者，故又名乳蛾。病甚者，初起仍作寒作热，切不可投以表药，若误用表药其肿愈
甚。凡红肿无形为痹，有形是蛾。其症红肿疼痛，痰涎壅塞，饮食阻碍，无非积热所致。但
有轻重之分，重者即以老蒜敷经渠穴法最为捷效。查照卷一外治各法治之，多用元珠丹时时
吹上，再以除瘟化毒散主治。各方煎服，以红退肿消痛止为度。近时恶俗，竟多妄动刀针，
以致腐烂，久不收功，即或暂愈久久复发，为害非浅。咽喉最忌刀针，倘若误伤蒂丁（俗名
小舌），多不可救，慎之慎之为要。
孕妇喉痛用药大有不同，即平常无病服药，亦须当知忌避，而胎前产后尤有分别。如芒
硝、大黄、穿山甲、皂角刺、附、桂及雄黄解毒丸、开关散等药，皆所禁用。其清解法中，
必兼保护安胎为要。轻症、缓症，以除瘟化毒散或连翘散加减服之。重症、急症，或刺少商
穴挤去恶血，或刮后颈窝令人吮出毒血，或用老蒜和轻粉捣烂敷经渠穴。如牙关紧闭，以巴
豆油纸捻熏其口鼻，查照卷一咽喉门喉症各方外治之法，最为效验稳妥，实为救急之捷法。
如喉中痰涎壅塞，即以前方蜒蝣梅子，或制青鱼胆，或橄榄核，或香瓜蒂泡汤取吐痰涎，各
方皆可用之。不惟孕妇不忌，抑且极其效验。吐去痰涎开关后，仍以元珠丹多多吹喉中痛处
。根据法治之，自然全愈。
至于产后喉痛治法，与胎前又不相同。产后恶寒、发热、身痛、咽喉痛，因是产后百脉
空虚。气虚故恶寒，血虚故热，营卫筋骨失养故身痛，虚火上浮故咽喉痛，切不可认为表症
，误用表散发汗，以致变症百出，有不测之祸。不独表散当禁，及一切极苦极寒之剂，皆不
可犯。所谓胎前不宜热，产后不宜凉之意也。产后用药，较胎前更难，尤宜慎之，至要至要
。如喉痛轻缓，可以无须服药，即用元珠丹多多吹入喉中痛处，自然全愈。稍重者，或再以
卷一咽喉门及本卷前开简便经验各方，酌量用之，无不神效。此为喉症之轻者，诚恐产后服
药有误，致生他病，是以不如不服药之为妙也。如系咽喉急症，或痰涎壅塞，牙关紧闭，仍
以外治之法急速治之。或用生矾、鸡子清取吐痰涎等方，次用元珠丹吹药。若少壮妇女，体
气强实，或产后已有多日，未便拘于前说，亦不能不将喉症各方酌量加减服之，方能有济。
倘若兼有别项病症，尤须按症医治。如恶露不行，小腹胀痛拒按，可加益母草四五钱（要青
色嫩而有花有叶者为佳，不要老黄枯梗），或加蒲黄筛取净粉、五灵脂醋炒各二三钱。总之
，产后元气大虚，新血未生，凡有头痛发热，咳嗽，咽干，喉痛诸症，多属虚中变现之象，
切忌妄投克伐之剂，遇胎前产后用药大有分别，尤不可不慎也！
治疗瘟疫毒气以及臭毒、痧胀、腹痛等症状。使用冰片、麝香、经过飞制处理的明雄黄、经过飞制处理的朱砂各五分，牙硝一钱，共同研磨成细末，装入瓷瓶中密封保存以防漏气。男性点左眼，女性点右眼，取少许药粉点入眼中。使用此散剂进入患时疫病的家庭则不会被传染。此散剂同时也能治疗六畜瘟，也可以点入六畜的眼中。
这种病症生在咽喉的两侧，形状像蚕蛾，只在一边生长的是单蛾，两边都生长的是双蛾。也有形状像枣、栗子、像乳头一样的，所以又叫做乳蛾。病情严重的，初起时仍然会有恶寒发热的症状，千万不可使用解表药物，如果误用解表药，肿胀会更加严重。凡是红肿但没有具体形态的是痹症，有具体形态的是蛾症。其症状表现为红肿疼痛，痰涎壅塞，饮食受阻，这无非是积热所致。但其中有轻重的区别，重症者用老蒜敷贴经渠穴的方法最为快捷有效。参照卷一中的外治法进行治疗，多用元珠丹时时吹入患处，再用除瘟化毒散主治。各方剂煎服，以红色消退、肿胀消失、疼痛停止为度。近来恶劣的风俗，竟然多妄动刀针，导致腐烂，久久不能愈合，即使暂时痊愈，长久后也会复发，危害非浅。咽喉最忌讳刀针，倘若误伤蒂丁（俗称小舌），大多无法救治，务必谨慎。
孕妇喉痛用药与常人大有不同，即使是平常无病服药，也必须知道禁忌回避，而胎前产后更有分别。如芒硝、大黄、穿山甲、皂角刺、附子、肉桂及雄黄解毒丸、开关散等药物，都是禁用的。在清解法中，必须兼顾保护安胎。轻症、缓症，用除瘟化毒散或连翘散加减服用。重症、急症，或者针刺少商穴挤出恶血，或者刮后颈窝让人吮出毒血，或者用老蒜和轻粉捣烂敷贴经渠穴。如果牙关紧闭，用巴豆油纸捻熏其口鼻，参照卷一咽喉门喉症各方外治之法，最为效验稳妥，实为救急的快捷方法。如果喉中痰涎壅塞，就用前面的方剂中的蜒蝣梅子，或者制青鱼胆，或者橄榄核，或者香瓜蒂泡汤催吐痰涎，各方都可以使用。不仅孕妇不忌，而且极其效验。吐出痰涎开通喉咙后，仍以元珠丹多多吹入喉中痛处。根据法治之，自然全愈。
至于产后喉痛的治疗方法，与胎前又不相同。产后恶寒、发热、身痛、咽喉痛，是因为产后百脉空虚。气虚故恶寒，血虚故发热，营卫筋骨失养故身痛，虚火上浮故咽喉痛，千万不可认为是表症，误用表散发汗，以致变症百出，有不测之祸。不仅表散当禁，以及一切极苦极寒的药物，都不可触犯。所谓胎前不宜热，产后不宜凉的意思。产后用药，较胎前更难，尤其应该谨慎，非常重要。如果喉痛轻缓，可以无须服药，即用元珠丹多多吹入喉中痛处，自然全愈。稍重者，或者再参考卷一咽喉门及本卷前开简便经验各方，酌情使用，无不神效。这是喉症的轻者，诚恐产后服药有误，导致生他病，所以不如不服药为妙。如果是咽喉急症，或者痰涎壅塞，牙关紧闭，仍以外治之法急速治疗。或者用生矾、鸡子清取吐痰涎等方，其次用元珠丹吹药。若是年轻妇女，体质强实，或者产后已有多日，不便拘泥于前说，也不能不将喉症各方酌情加减服用，才能有所救助。倘若兼有别项病症，尤须按症医治。如恶露不行，小腹胀痛拒按，可加益母草四五钱（要青色嫩而有花有叶者为佳，不要老黄枯梗），或者加蒲黄筛取净粉、五灵脂醋炒各二三钱。总之，产后元气大虚，新血未生，凡有头痛发热，咳嗽，咽干，喉痛诸症，多属虚中变现之象，切忌妄投克伐之剂，遇到胎前产后用药大有分别，尤其不可不慎也！
Treats symptoms such as plague toxic qi, stench toxin, sand distension, and abdominal pain. Use Borneol (Bingpian), Musk (Shexiang), refined realgar (Feiguo Mingxiong), and refined cinnabar (Feiguo Zhusha) each 0.5 fen, and Niter (Yaxiao) 1 qian. Grind them together into a fine powder, store tightly in a porcelain bottle to prevent leakage of air. For males, apply a small amount to the left eye; for females, to the right eye. Using this powder when entering households affected by seasonal epidemics prevents infection. This powder also treats livestock plague and can be applied to the eyes of livestock.
This condition arises on both sides of the throat, resembling silkworm moths. When it appears on one side only, it is called single moth (Dan'e); when on both sides, double moth (Shuang'e). It may also resemble dates, chestnuts, or nipples, hence also known as nipple moth (Rume). In severe cases, initial symptoms include aversion to cold and fever. One must absolutely avoid using exterior-releasing drugs; if mistakenly used, the swelling will worsen. Redness and swelling without distinct form constitute Bi syndrome (impediment syndrome); with distinct form, it is Moth syndrome. Symptoms include redness, swelling, pain, phlegm-saliva obstruction, and difficulty swallowing, all caused by accumulated heat. There are degrees of severity. For severe cases, applying old garlic to Jingqu (LU8) acupoint is most effective. Refer to external treatments in Volume I. Frequently blow Yuanshu Dan (Pearl Pill) onto the affected area, then treat primarily with Chuwen Huadu San (Plague-Dispelling and Toxin-Resolving Powder). Decoctions should be taken until redness subsides, swelling disappears, and pain ceases. Recently, bad customs involve reckless use of knives and needles, leading to rotting and slow healing. Even if temporarily cured, relapse occurs later, causing significant harm. The throat strictly forbids knife and needle procedures; accidental injury to the uvula (Diding, commonly called "little tongue") is often incurable. Exercise utmost caution.
Medication for sore throat during pregnancy differs greatly from others. Even for healthy individuals taking medicine, contraindications must be known, especially distinguishing between pre-partum and post-partum stages. Drugs such as Mirabilite (Mangxiao), Rhubarb (Dahuang), Pangolin Scales (Chuanshanjia), Gleditsia Sinensis Thorns (Zaojiaoci), Aconite (Fuzi), Cinnamon Twig (Guizhi), Xionghuang Jiedu Wan (Realgar-Resolving Pill), and Kaiguan San (Opening the Switch Powder) are strictly prohibited. In clearing and resolving methods, protecting the fetus is essential. For mild or chronic cases, modify and take Chuwen Huadu San or Liaoqiao San (Forsythia Powder). For severe or acute cases, prick Shaoshang (LU11) acupoint to squeeze out evil blood, scrape the posterior neck fossa and have someone suck out toxic blood, or apply a paste of old garlic and Calomel (Qingfen) to Jingqu (LU8). If the jaw is locked, fumigate the mouth and nose with paper twists soaked in Croton Seed Oil (Badou You). Refer to external treatments for throat conditions in Volume I for best results and safety; this is an expedient method for emergencies. If phlegm-saliva obstructs the throat, use the previously mentioned Swallow-Meizi (Swallow and Plum), prepared Grass Carp Gallbladder, Olive Pit, or Melon Stalk (Xianggudi) decoction to induce vomiting of phlegm-saliva. All these formulas are applicable. They are not contraindicated for pregnant women and are highly effective. After vomiting clears the airway, frequently blow Yuanshu Dan onto the painful areas of the throat. Following this method leads to natural recovery.
Treatment for post-partum sore throat differs from pre-partum. Post-partum aversion to cold, fever, body pain, and sore throat occur due to emptiness of all vessels after childbirth. Qi deficiency causes aversion to cold; blood deficiency causes fever; lack of nourishment to Ying, Wei, muscles, and bones causes body pain; floating deficient fire causes sore throat. Do not mistake this for an exterior syndrome; mistakenly using exterior-releasing diaphoretic methods leads to myriad complications and unpredictable disasters. Not only exterior-releasing methods but also all extremely bitter and cold agents are forbidden. This reflects the principle: "Pre-partum should avoid heat; post-partum should avoid cold." Medication post-partum is more difficult than pre-partum and requires extreme caution. For mild sore throat, medication may be unnecessary; simply blow Yuanshu Dan frequently onto the painful throat area for natural recovery. For slightly severe cases, refer to simple and experienced formulas from Volume I's throat section or earlier in this volume, adjusting as needed for miraculous effects. These are mild throat conditions. Fearing that medication errors post-partum cause other diseases, it is better not to medicate. For acute throat conditions, phlegm obstruction, or locked jaw, treat urgently with external methods. Use Alum (Shengfan) and Egg White to induce vomiting of phlegm, followed by blowing Yuanshu Dan. For young women with strong constitution or several days post-partum, do not rigidly adhere to previous advice; adjust throat formulas as necessary for efficacy. If accompanied by other symptoms, treat according to specific signs. If lochia stagnates with lower abdominal distension and pain resisting pressure, add Motherwort (Yimucao) 4-5 qian (preferably fresh, green, with flowers and leaves, avoiding old yellow stems), or add refined Polygonum multiflorum powder (Puhuang) and processed Cyathula Root (Wulingzhi) fried in vinegar, 2-3 qian each. In summary, post-partum primordial Qi is greatly deficient, and new blood has not yet formed. Headache, fever, cough, dry throat, and sore throat are mostly manifestations of deficiency. Avoid reckless use of draining/attacking agents. Distinguish carefully between pre-partum and post-partum medication; caution is paramount.