咽喉门一∶帘珠喉。
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帘珠喉，满喉如白细网状，两边微肿，根有白点带红色，小舌红肿，咽水大痛。此症因
郁积热毒而发。其脉两寸浮洪，两尺亦数大而洪。此上盛下虚之症也，宜清火。用六味汤加
盐炒黄柏二钱，酒炒黄芩二钱，盐炒知母二钱，熟石膏五钱，山豆根二钱，盐炒元参二钱，
山栀一钱，木通一钱，生地二钱，服一剂，来日再加连翘三钱，紫花地丁三钱，熟地二钱，
丹皮二钱，草河车二钱，川连一钱，金汁一杯或煎柏枝汁一杯冲服乃妙。外吹药，六七日可
愈。
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呛食哑喉，此症因伏邪在肺，声哑呛食，六脉迟细，甚属阴症。余曾治一人，年二十，
患此三年，饮食少进，病在将危。余诊视再三，病虽久，脉尚有力根，或可治。用六味汤加
麻黄二钱，桂枝一钱，苏叶三钱，木通一钱，细辛二钱，白芷一钱，诃子二钱，皂核三钱，
姜炒半夏二钱，连服五六日，病虽退而声哑未除，换加桔梗一两，诃子七钱，甘草七钱，薄
荷一钱（以上俱童便炒），麻黄一钱，煎数沸，含嗽徐徐咽下，服十剂乃愈。后用补药健脾。
咽喉门三∶内外肿喉。
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内外肿喉，此症生于喉关之下，阴阳相结，内外皆肿，或有烂斑火郁之症。用六味汤加
炒黄芩三钱，熟军五钱，海浮石二钱，外吹药，来日换加丹皮一钱半，生地二钱，酒炒黄芩
二钱，生石膏三钱，炒山栀一钱，木通一钱，即针少商、商阳两手四穴，如背寒加羌活，胃
泛加葛根、柏枝汁，亦可漱之。
咽喉门四∶风热喉。
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风热喉，此症感风热而起，满喉发细红点，根带淡白，舌下两边三四块，六脉洪紧，用
六味汤加盐炒元参二钱，酒炒黄芩三钱，山栀一钱，花粉一钱，一服可愈。外用吹药，兼服
八仙散。
咽喉门五∶紫色虚喉。
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紫色虚喉，喉间紫红，久之变烂如生漆色。因初起便服寒凉之药故也。此症肺胃伏寒，
平而不肿，饮食难进，吐出乃腐肉者，宜急治之。如误认为火热之症，反以三黄、犀角、羚
羊角等药，则吃成死症矣！余见此等紫色之症，不论名色，喉间绝无影形，满喉皆紫，脉缓
身凉者，用六味汤加细辛五分，葛根一钱，苏叶一钱，白芷、川芎、麻黄各一钱，服后紫变
为红，换加盐炒元参二钱，酒炒黄芩二钱，花粉二钱，即愈。
咽喉门六∶喉癣
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喉癣，此症因肾虚火旺，发癣于喉，不肿而微红，上有斑点，青白不一如芥子大，或针
孔绿豆大，每点生芒刺，入水大痛，喉间声哑，咳嗽无痰，六脉细数者，用知柏地黄汤兼四
物汤，加麦冬、炒元参、盐炒女贞子、枸杞、人参、洋参（二参或煎药不用，入丸药亦可）、
首乌、阿胶各二钱，十服后，用桂附八味丸加女贞、枸杞、二参（俱盐炒），淡盐汤下，每
服
之
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咽喉门七∶喉疳。
喉疳，此症肾虚火旺，沸腾上部而发喉间，上 有青白红点，平坦无刺，故名喉疳。声
不哑、不咳嗽，两尺脉虚者是也。先用六味汤，去荆、防、蚕三味，加
盐炒元参一钱，酒炒黄芩二钱，丹皮二钱，生地二钱，盐炒山栀一钱，盐炒水拌再炒女贞子
一钱半，盐炒知母一钱半，男加龟板五钱，女加鳖甲五钱，服五剂或十剂。如不愈，再加附
、桂各三分，另煎入药，冷服，愈后合桂附八味丸加元参、知母、女贞、枸杞（各药俱盐水
炒），服一料可愈。外用吹药。
咽喉门八∶飞扬喉。
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飞扬喉，此症风热上壅，上 红肿，气不能通，咽物不下，从小舌中飞扬满口，此系凶
恶之症。急什患处出血泄气、吹药，内服六味汤加连翘、葛根、黄柏、山栀、木通各一钱，
生石膏四钱，一、二服可愈。
咽喉门九∶虚哑喉。
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虚哑喉，喉间不肿，两边关内少有红点，声哑不明，牙关不开，此症乃内外风火，因喜
食酸涩之物，肺气不清故也。用六味汤加细辛三钱，苏叶二钱，服一剂声音不哑，换加生地
、丹皮各二钱，盐水炒山栀、木通、花粉各一钱，二服愈矣。
咽喉门十∶声哑喉。
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声哑喉，此症寒伏肺腑，不肿不红，又无烂点，惟觉干痛，难于饮食。用六味汤加苏叶
、麻黄各二钱，细辛五分，二服后，麻黄、苏叶各减半，再二日换加花粉、黄芩、羌活、姜
炒半夏各一钱，皂核二十粒，诃子二钱，桔梗五钱，甘草五钱（上三味皆拌童便炒），四五
服
咽喉门十一∶烂沙喉。
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烂沙喉，此症发于伤寒之后，表邪未尽，故喉关内肿烂，右关脉急，肺捭之症可知。用
六味汤加酒炒黄芩一钱，花粉一钱，盐炒元参二钱，葛根一钱，生石膏二钱半，淡竹叶二钱
，草河车二钱，连服四剂。如烂斑不退，加生大黄三钱，津化八仙散、玉枢丹，每服五分。
三服可收功。
乳蛾门一∶双乳蛾。
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双乳蛾，此症感胃、肺二经而发，生于关口上部两边如樱桃大，肺胃之症也。身发寒热
，六脉弦数，先针少商、商阳两手四穴，或挑破患处出血亦妙。先用六味汤加陈皮、海浮石
、苏叶、羌活各一钱半，两服可愈，如肿不退，六脉有力，加大黄三钱。
乳蛾门二∶单乳蛾。
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单乳蛾，此症生于双蛾地部之旁，或左或右，六脉浮数，因伤寒后邪未散尽，身热恶心
，恐见痧疹。用六味汤加葛根二钱，苏叶一钱，羌活二钱，鲜芫荽五钱（无鲜者用子三钱），
一服退半，来日再加黄芩酒炒二钱，花粉二钱，山栀、赤芍、木通各一钱，即愈。
乳蛾门三∶烂乳蛾。
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烂乳蛾，此症因肺、胃郁热，红肿烂斑，大痛难食，六脉弦紧，宜急针少商、商阳两手
四穴，用六味汤加葛根二钱，苏叶、盐炒元参各一钱，炒黄芩二钱，冲柏枝汁一杯，漱喉间
徐徐咽下，再用八仙散一服，津化下，来日去苏、葛二味，加山栀、木通、生地、丹皮、浮
石、花粉各二钱，脉大有力加生大黄三钱，脉虚用八仙散同柏枝汁照前吃法，三四日可愈。
如声哑背寒，六味汤加葛根三钱，苏叶一钱，细辛三分治之。
乳蛾门四∶风寒蛾。
风寒蛾，此症因风寒而起，肿大如李，头不能下视，气塞不通，寸关之脉浮紧，肺胃之
症也。即针少商、商阳、少冲两手六穴，用六味汤加苏叶三钱，羌活一钱，一服可愈。若早
用凉药，则不能退矣。
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乳蛾门五∶白色乳蛾。
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白色乳蛾，肿塞满口，身发寒热，六脉浮弦，因肺受风寒之症也。六味汤加苏叶二钱，
细辛三分，羌活二钱，一服可愈。
乳蛾门六∶石蛾。
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石蛾，此症因胎生本原不足所致，生于乳蛾地位，少进半寸。初生不可用凉药，不可动
针刀。此乃肚火老痰结成恶血，凡遇辛苦即发，用六味汤加生地二钱，贝母、牛蒡、麦冬、
木通各一钱，服四五剂。如不退去，六味用生地钱半，丹皮一钱，象贝母二钱，甘草、牛蒡
、麦冬各一钱，桔梗八分，木通六分，薄荷二钱，灯心二分服，以愈为度。外吹退肿药。
乳蛾门七∶伏寒喉蛾。
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伏寒喉蛾，凡伏寒之症，其色紫，治法同紫色喉痈门。如孕妇喉痈，虑服药有碍，将药
煎浓漱喉吐去，亦可愈。
喉痹门一∶烂喉痹。
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烂喉痹，此症因肝胃热毒，外感时邪而发。形如花瓣，烂肿白斑、痛叫不食，目睛上泛
、六脉洪大。速针少商、商阳、关冲、少冲两手入穴，有血生，无血死。用六味汤加生大黄
一钱，盐炒黄芩二钱（加酒少许），元参二钱，盐炒生地二钱，丹皮二钱，海浮石二钱，山
栀
枝汁制）二钱，四服可愈。并服八仙散，津化下。此症若脉细身凉，不治。
喉痹门二∶白色喉痹。
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白色喉痹，此症因肺、胃受寒，脉迟身热，用六味汤加细辛三分，羌活二钱，苏叶、陈
皮各一钱，二服可愈。若变红色干痛，去前四味，换加山栀、木通、酒炒黄芩、生地、黄柏
各一钱，痰多加海浮石、半夏、花粉各一钱。
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喉痹门三∶寒伏喉痹。
寒伏喉痹，此症肺经脉缓，寒重色紫，亦不大肿。若误服凉剂，久之必烂。凡遇紫色者
，不可作火治。用六味汤加细辛五分，麻黄、桂枝、苏叶、栝蒌、诃子、牛蒡各一钱。甚者
，吐出紫血块，治法亦同。未烂者，加苏叶二钱，细辛五分，柴胡、海浮石各一钱，肿与不
肿同治。
喉痹门四∶双喉痹。
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双喉痹，生于上 关内两边，形如榄核，痛而难食，胃经积热所致。或发寒热，两关脉
洪大者是也。速针患处，或少商穴亦可，先用六味汤一服，来日再加黄芩、山栀、木通、炒
元参各钱半，一服可退。烂者不可针，但于患处用吹药。
喉痹门五∶单喉痹。
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单喉痹，或左或右，治法同双喉痹。
喉痹门六∶淡红喉痹。
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淡红喉痹，肿如鸡子，饮食不下，身发寒热，眼红呕吐，恐有斑毒在内。急针少商、商
阳、关冲、少冲左右八穴，或患处挑破。用六味汤加苏叶、羌活、葛根各二钱，鲜芜荽五钱
，服一剂，满身发出痧疹，呕吐即止。或身热不退，喉外亦肿，此内火外泄也，用六味汤换
加生大黄三钱，葛根、黄芩、山栀、元参、花粉各二钱，生石膏五钱，滑石二钱，二服后，
去大黄、石膏，再服四五剂可愈，有烂斑，用八仙散一服，津化下，兼服柏枝汁。此症因伤
寒时邪未消之故，两关脉沉细，两寸尺四脉且虚数者是也。
喉痹门七∶走马喉痹。
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走马喉痹，内外俱肿，此系急症，肝脾火闭不通而为痹。或发寒热。脉洪大者生，沉细
者死。用六味汤加葛根二钱，柴胡一钱，细辛五分漱之，再加角刺二钱，归尾二钱，赤芍二
钱，草河车二钱，生军五钱。痰多加浮海石三钱，制半夏二钱。身热背寒加羌活一钱，苏叶
一钱，急刺少商、商阳及关冲两手六穴血多为妙。
喉风门一∶内肿锁喉风。
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内肿锁喉风，此症由肺、胃两经，阴阳相结，内塞不通，外无形迹，喉内多痰喘。治法
兼见下缠喉风门灌吐法，再用六味汤加麻黄二钱，生军五钱，细辛一钱，苏叶二钱，桂枝一
钱，羌活二钱，煎数沸服。或泻或吐为妙。如不吐泻，针少商、商阳、关冲、曲池、合谷左
右十穴，有血生，无血死；左右关、寸脉弦紧洪大者生，沉迟者死。吹吊痰药。曲池穴在肘
曲横纹头，臂之外侧，合谷穴在虎口背，大指、食指合界之端。
喉风门二∶缠喉内。
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缠喉风，因肺感时邪，风痰上壅，阴阳闭结，内外不通，如蛇缠紧，关下壅塞，甚者角
弓反张，牙关紧闭，先用开关药吹鼻擦牙，以吐为度。再速针颊车左右二穴，艾灸数壮。或
用鸡蛋清冲白矾灌之。以上诸法如不吐，再针少商、商阳、关冲、少冲、少阴五穴，有血为
度，无血不治。用六味汤加生军一两，麻黄、羌活、苏叶、诃子各二钱，煎灌，或泻或吐皆
妙。如不吐，即针之。针而无血，六脉沉细者不治。吹用胆矾去痰药。
喉风门三∶匝舌喉风。
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匝舌喉风，此症生于喉之上下两边，迫于小舌，有泡，或红或紧，外脸皆肿，喉内不肿
舌卷粗大，此恶症也。痊者甚少。用六味汤加用黄连一钱，黄芩二钱，生军四钱，连翘二
冲玉枢丹一钱，急进三四服，或有可生。如牙关黑肿，齿落头摇，不治，此症乃肺肝积
致也。
喉风门四∶虚烂喉风。
虚烂喉风，此症困本原不足，虚火上炎，生于喉之关内上下，红色白斑，痛烂不肿，六
脉细数者是也。初起用六味汤加盐炒元参二钱，酒炒黄芩二钱，炒山栀、花粉各一钱，生地
三钱，丹皮二钱。二服后，去六味汤，加盐炒知母、黄柏各一钱，服五剂；如两关脉大作结
毒治，用药照下胃热毒门，外用吹药，并服八仙散。
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喉风门五∶白色喉风。
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咽喉门一：帘珠喉。
帘珠喉，满喉如白细网状，两边微肿，根有白点带红色，小舌红肿，咽水大痛。此症因郁积热毒而发。其脉两寸浮洪，两尺亦数大而洪。此上盛下虚之症也，宜清火。用六味汤加盐炒黄柏二钱，酒炒黄芩二钱，盐炒知母二钱，熟石膏五钱，山豆根二钱，盐炒元参二钱，山栀一钱，木通一钱，生地二钱，服一剂，来日再加连翘三钱，紫花地丁三钱，熟地二钱，丹皮二钱，草河车二钱，川连一钱，金汁一杯或煎柏枝汁一杯冲服乃妙。外吹药，六七日可愈。
呛食哑喉，此症因伏邪在肺，声哑呛食，六脉迟细，甚属阴症。余曾治一人，年二十，患此三年，饮食少进，病在将危。余诊视再三，病虽久，脉尚有力根，或可治。用六味汤加麻黄二钱，桂枝一钱，苏叶三钱，木通一钱，细辛二钱，白芷一钱，诃子二钱，皂核三钱，姜炒半夏二钱，连服五六日，病虽退而声哑未除，换加桔梗一两，诃子七钱，甘草七钱，薄荷一钱（以上俱童便炒），麻黄一钱，煎数沸，含嗽徐徐咽下，服十剂乃愈。后用补药健脾。
咽喉门三：内外肿喉。
内外肿喉，此症生于喉关之下，阴阳相结，内外皆肿，或有烂斑火郁之症。用六味汤加炒黄芩三钱，熟军五钱，海浮石二钱，外吹药，来日换加丹皮一钱半，生地二钱，酒炒黄芩二钱，生石膏三钱，炒山栀一钱，木通一钱，即针少商、商阳两手四穴，如背寒加羌活，胃泛加葛根、柏枝汁，亦可漱之。
咽喉门四：风热喉。
风热喉，此症感风热而起，满喉发细红点，根带淡白，舌下两边三四块，六脉洪紧，用六味汤加盐炒元参二钱，酒炒黄芩三钱，山栀一钱，花粉一钱，一服可愈。外用吹药，兼服八仙散。
咽喉门五：紫色虚喉。
紫色虚喉，喉间紫红，久之变烂如生漆色。因初起便服寒凉之药故也。此症肺胃伏寒，平而不肿，饮食难进，吐出乃腐肉者，宜急治之。如误认为火热之症，反以三黄、犀角、羚羊角等药，则吃成死症矣！余见此等紫色之症，不论名色，喉间绝无影形，满喉皆紫，脉缓身凉者，用六味汤加细辛五分，葛根一钱，苏叶一钱，白芷、川芎、麻黄各一钱，服后紫变为红，换加盐炒元参二钱，酒炒黄芩二钱，花粉二钱，即愈。
咽喉门六：喉癣
喉癣，此症因肾虚火旺，发癣于喉，不肿而微红，上有斑点，青白不一如芥子大，或针孔绿豆大，每点生芒刺，入水大痛，喉间声哑，咳嗽无痰，六脉细数者，用知柏地黄汤兼四物汤，加麦冬、炒元参、盐炒女贞子、枸杞、人参、洋参（二参或煎药不用，入丸药亦可）、首乌、阿胶各二钱，十服后，用桂附八味丸加女贞、枸杞、二参（俱盐炒），淡盐汤下，每服之
咽喉门七：喉疳。
喉疳，此症肾虚火旺，沸腾上部而发喉间，上有青白红点，平坦无刺，故名喉疳。声不哑、不咳嗽，两尺脉虚者是也。先用六味汤，去荆、防、蚕三味，加盐炒元参一钱，酒炒黄芩二钱，丹皮二钱，生地二钱，盐炒山栀一钱，盐炒水拌再炒女贞子一钱半，盐炒知母一钱半，男加龟板五钱，女加鳖甲五钱，服五剂或十剂。如不愈，再加附、桂各三分，另煎入药，冷服，愈后合桂附八味丸加元参、知母、女贞、枸杞（各药俱盐水炒），服一料可愈。外用吹药。
咽喉门八：飞扬喉。
飞扬喉，此症风热上壅，上红肿，气不能通，咽物不下，从小舌中飞扬满口，此系凶恶之症。急什患处出血泄气、吹药，内服六味汤加连翘、葛根、黄柏、山栀、木通各一钱，生石膏四钱，一、二服可愈。
咽喉门九：虚哑喉。
虚哑喉，喉间不肿，两边关内少有红点，声哑不明，牙关不开，此症乃内外风火，因喜食酸涩之物，肺气不清故也。用六味汤加细辛三钱，苏叶二钱，服一剂声音不哑，换加生地、丹皮各二钱，盐水炒山栀、木通、花粉各一钱，二服愈矣。
咽喉门十：声哑喉。
声哑喉，此症寒伏肺腑，不肿不红，又无烂点，惟觉干痛，难于饮食。用六味汤加苏叶、麻黄各二钱，细辛五分，二服后，麻黄、苏叶各减半，再二日换加花粉、黄芩、羌活、姜炒半夏各一钱，皂核二十粒，诃子二钱，桔梗五钱，甘草五钱（上三味皆拌童便炒），四五服
咽喉门十一：烂沙喉。
烂沙喉，此症发于伤寒之后，表邪未尽，故喉关内肿烂，右关脉急，肺捭之症可知。用六味汤加酒炒黄芩一钱，花粉一钱，盐炒元参二钱，葛根一钱，生石膏二钱半，淡竹叶二钱，草河车二钱，连服四剂。如烂斑不退，加生大黄三钱，津化八仙散、玉枢丹，每服五分。三服可收功。
乳蛾门一：双乳蛾。
双乳蛾，此症感胃、肺二经而发，生于关口上部两边如樱桃大，肺胃之症也。身发寒热，六脉弦数，先针少商、商阳两手四穴，或挑破患处出血亦妙。先用六味汤加陈皮、海浮石、苏叶、羌活各一钱半，两服可愈，如肿不退，六脉有力，加大黄三钱。
乳蛾门二：单乳蛾。
单乳蛾，此症生于双蛾地部之旁，或左或右，六脉浮数，因伤寒后邪未散尽，身热恶心，恐见痧疹。用六味汤加葛根二钱，苏叶一钱，羌活二钱，鲜芫荽五钱（无鲜者用子三钱），一服退半，来日再加黄芩酒炒二钱，花粉二钱，山栀、赤芍、木通各一钱，即愈。
乳蛾门三：烂乳蛾。
烂乳蛾，此症因肺、胃郁热，红肿烂斑，大痛难食，六脉弦紧，宜急针少商、商阳两手四穴，用六味汤加葛根二钱，苏叶、盐炒元参各一钱，炒黄芩二钱，冲柏枝汁一杯，漱喉间徐徐咽下，再用八仙散一服，津化下，来日去苏、葛二味，加山栀、木通、生地、丹皮、浮石、花粉各二钱，脉大有力加生大黄三钱，脉虚用八仙散同柏枝汁照前吃法，三四日可愈。如声哑背寒，六味汤加葛根三钱，苏叶一钱，细辛三分治之。
乳蛾门四：风寒蛾。
风寒蛾，此症因风寒而起，肿大如李，头不能下视，气塞不通，寸关之脉浮紧，肺胃之症也。即针少商、商阳、少冲两手六穴，用六味汤加苏叶三钱，羌活一钱，一服可愈。若早用凉药，则不能退矣。
乳蛾门五：白色乳蛾。
白色乳蛾，肿塞满口，身发寒热，六脉浮弦，因肺受风寒之症也。六味汤加苏叶二钱，细辛三分，羌活二钱，一服可愈。
乳蛾门六：石蛾。
石蛾，此症因胎生本原不足所致，生于乳蛾地位，少进半寸。初生不可用凉药，不可动针刀。此乃肚火老痰结成恶血，凡遇辛苦即发，用六味汤加生地二钱，贝母、牛蒡、麦冬、木通各一钱，服四五剂。如不退去，六味用生地钱半，丹皮一钱，象贝母二钱，甘草、牛蒡、麦冬各一钱，桔梗八分，木通六分，薄荷二钱，灯心二分服，以愈为度。外吹退肿药。
乳蛾门七：伏寒喉蛾。
伏寒喉蛾，凡伏寒之症，其色紫，治法同紫色喉痈门。如孕妇喉痈，虑服药有碍，将药煎浓漱喉吐去，亦可愈。
喉痹门一：烂喉痹。
烂喉痹，此症因肝胃热毒，外感时邪而发。形如花瓣，烂肿白斑、痛叫不食，目睛上泛、六脉洪大。速针少商、商阳、关冲、少冲两手入穴，有血生，无血死。用六味汤加生大黄一钱，盐炒黄芩二钱（加酒少许），元参二钱，盐炒生地二钱，丹皮二钱，海浮石二钱，山栀（枝汁制）二钱，四服可愈。并服八仙散，津化下。此症若脉细身凉，不治。
喉痹门二：白色喉痹。
白色喉痹，此症因肺、胃受寒，脉迟身热，用六味汤加细辛三分，羌活二钱，苏叶、陈皮各一钱，二服可愈。若变红色干痛，去前四味，换加山栀、木通、酒炒黄芩、生地、黄柏各一钱，痰多加海浮石、半夏、花粉各一钱。
喉痹门三：寒伏喉痹。
寒伏喉痹，此症肺经脉缓，寒重色紫，亦不大肿。若误服凉剂，久之必烂。凡遇紫色者，不可作火治。用六味汤加细辛五分，麻黄、桂枝、苏叶、栝蒌、诃子、牛蒡各一钱。甚者，吐出紫血块，治法亦同。未烂者，加苏叶二钱，细辛五分，柴胡、海浮石各一钱，肿与不肿同治。
喉痹门四：双喉痹。
双喉痹，生于上关内两边，形如榄核，痛而难食，胃经积热所致。或发寒热，两关脉洪大者是也。速针患处，或少商穴亦可，先用六味汤一服，来日再加黄芩、山栀、木通、炒元参各钱半，一服可退。烂者不可针，但于患处用吹药。
喉痹门五：单喉痹。
喉痹门六：淡红喉痹。
淡红喉痹，肿如鸡子，饮食不下，身发寒热，眼红呕吐，恐有斑毒在内。急针少商、商阳、关冲、少冲左右八穴，或患处挑破。用六味汤加苏叶、羌活、葛根各二钱，鲜芜荽五钱，服一剂，满身发出痧疹，呕吐即止。或身热不退，喉外亦肿，此内火外泄也，用六味汤换加生大黄三钱，葛根、黄芩、山栀、元参、花粉各二钱，生石膏五钱，滑石二钱，二服后，去大黄、石膏，再服四五剂可愈，有烂斑，用八仙散一服，津化下，兼服柏枝汁。此症因伤寒时邪未消之故，两关脉沉细，两寸尺四脉且虚数者是也。
喉痹门七：走马喉痹。
走马喉痹，内外俱肿，此系急症，肝脾火闭不通而为痹。或发寒热。脉洪大者生，沉细者死。用六味汤加葛根二钱，柴胡一钱，细辛五分漱之，再加角刺二钱，归尾二钱，赤芍二钱，草河车二钱，生军五钱。痰多加浮海石三钱，制半夏二钱。身热背寒加羌活一钱，苏叶一钱，急刺少商、商阳及关冲两手六穴血多为妙。
喉风门一：内肿锁喉风。
内肿锁喉风，此症由肺、胃两经，阴阳相结，内塞不通，外无形迹，喉内多痰喘。治法兼见下缠喉风门灌吐法，再用六味汤加麻黄二钱，生军五钱，细辛一钱，苏叶二钱，桂枝一钱，羌活二钱，煎数沸服。或泻或吐为妙。如不吐泻，针少商、商阳、关冲、曲池、合谷左右十穴，有血生，无血死；左右关、寸脉弦紧洪大者生，沉迟者死。吹吊痰药。曲池穴在肘曲横纹头，臂之外侧，合谷穴在虎口背，大指、食指合界之端。
喉风门二：缠喉内。
缠喉风，因肺感时邪，风痰上壅，阴阳闭结，内外不通，如蛇缠紧，关下壅塞，甚者角弓反张，牙关紧闭，先用开关药吹鼻擦牙，以吐为度。再速针颊车左右二穴，艾灸数壮。或用鸡蛋清冲白矾灌之。以上诸法如不吐，再针少商、商阳、关冲、少冲、少阴五穴，有血为度，无血不治。用六味汤加生军一两，麻黄、羌活、苏叶、诃子各二钱，煎灌，或泻或吐皆妙。如不吐，即针之。针而无血，六脉沉细者不治。吹用胆矾去痰药。
喉风门三：匝舌喉风。
匝舌喉风，此症生于喉之上下两边，迫于小舌，有泡，或红或紧，外脸皆肿，喉内不肿舌卷粗大，此恶症也。痊者甚少。用六味汤加用黄连一钱，黄芩二钱，生军四钱，连翘二冲玉枢丹一钱，急进三四服，或有可生。如牙关黑肿，齿落头摇，不治，此症乃肺肝积致也。
喉风门四：虚烂喉风。
虚烂喉风，此症困本原不足，虚火上炎，生于喉之关内上下，红色白斑，痛烂不肿，六脉细数者是也。初起用六味汤加盐炒元参二钱，酒炒黄芩二钱，炒山栀、花粉各一钱，生地三钱，丹皮二钱。二服后，去六味汤，加盐炒知母、黄柏各一钱，服五剂；如两关脉大作结毒治，用药照下胃热毒门，外用吹药，并服八仙散。
咽喉门五：白色喉风。
Throat Section 1: Curtain Pearl Throat (Lianzhu Hou).
Curtain Pearl Throat presents with the entire throat covered in a white, fine net-like pattern, slight swelling on both sides, white spots at the root tinged with red, redness and swelling of the uvula, and severe pain when swallowing water. This condition arises from accumulated heat-toxin. The pulse is floating and surging at both Cun positions, and rapid, large, and surging at both Chi positions. This is a syndrome of excess above and deficiency below; clearing fire is indicated. Use Liuwei Tang (Six-Ingredient Decoction) added with Salt-fried Huangbai (Phellodendri Cortex), 2 qian; Wine-fried Huangqin (Scutellariae Radix), 2 qian; Salt-fried Zhimu (Anemarrhenae Rhizoma), 2 qian; Shu Shigao (Prepared Gypsum Fibrosum), 5 qian; Shandougen (Sophorae Tonkinensis Radix), 2 qian; Salt-fried Yuanshen (Scrophulariae Radix), 2 qian; Shanzhi (Gardeniae Fructus), 1 qian; Mutong (Akebiae Caulis), 1 qian; Shengdi (Rehmanniae Radix), 2 qian. Take one dose. The next day, add Lianqiao (Forsythiae Fructus), 3 qian; Zihuadiding (Viola Herba cum Radice), 3 qian; Shudi (Prepared Rehmanniae Radix), 2 qian; Danpi (Moutan Cortex), 2 qian; Caoheche (Chloranthi Spicati Herba), 2 qian; Chuanlian (Coptidis Rhizoma), 1 qian. Mix with one cup of Jinzhi (Gold Juice) or decocted Baizhi juice (Cupressi Ramulus et Folium Juice) and take orally for best results. External powder insufflation can cure it within six to seven days.
Choking and Hoarse Throat (Qiangshi Yahou). This condition is caused by latent pathogens in the Lung, resulting in hoarseness and choking while eating. The six pulses are slow and fine, indicating a Yin syndrome. I once treated a twenty-year-old who suffered from this for three years, with reduced food intake and the illness approaching a critical state. After repeated examinations, although the disease was chronic, the pulse still had a strong root, suggesting it might be treatable. Use Liuwei Tang (Six-Ingredient Decoction) added with Mahuang (Ephedrae Herba), 2 qian; Guizhi (Cinnamomi Ramulus), 1 qian; Ziye (Perillae Folium), 3 qian; Mutong (Akebiae Caulis), 1 qian; Xixin (Asari Radix et Rhizoma), 2 qian; Baizhi (Angelicae Dahuricae Radix), 1 qian; Hezi (Terminalia Chebulae Fructus), 2 qian; Zaohe (Gleditsiae Sinensis Spina), 3 qian; Jiangchao Banxia (Pinelliae Rhizoma Praeparatum cum Zingibere et Alumine), 2 qian. Take continuously for five to six days. Although the illness receded, the hoarseness remained. Switch to adding Jiegeng (Platycodonis Radix), 1 liang; Hezi (Terminalia Chebulae Fructus), 7 qian; Gancao (Glycyrrhizae Radix et Rhizoma), 7 qian; Bohe (Menthae Haplocalycis Herba), 1 qian (all above stir-fried with urine of a young boy). Add Mahuang (Ephedrae Herba), 1 qian. Boil briefly, gargle slowly, and swallow gradually. Ten doses will cure it. Afterwards, use tonifying herbs to strengthen the Spleen.
Throat Section 3: Internal and External Swollen Throat (Neiwai Zhonghou).
Internal and External Swollen Throat occurs below the throat gate, where Yin and Yang bind, causing swelling internally and externally, possibly accompanied by ulcerated spots due to fire stagnation. Use Liuwei Tang (Six-Ingredient Decoction) added with Chao Huangqin (Scutellariae Radix), 3 qian; Shu Jun (Prepared Rhei Radix et Rhizoma), 5 qian; Haifushi (Pumex), 2 qian. For external powder insufflation, the next day switch to adding Danpi (Moutan Cortex), 1.5 qian; Shengdi (Rehmanniae Radix), 2 qian; Jiuchao Huangqin (Wine-fried Scutellariae Radix), 2 qian; Sheng Shigao (Raw Gypsum Fibrosum), 3 qian; Chao Shanzhi (Stir-fried Gardeniae Fructus), 1 qian; Mutong (Akebiae Caulis), 1 qian. Immediately needle the Shaoshang (LU 11) and Shangyang (LI 1) acupoints on both hands (four points total). If there is back cold, add Qianghuo (Notopterygii Rhizoma et Radix); if there is stomach reflux, add Gegen (Puerariae Lobatae Radix) and Baizhi juice, which can also be used for gargling.
Throat Section 4: Wind-Heat Throat (Fengre Hou).
Wind-Heat Throat arises from contracting wind-heat, presenting with fine red spots covering the throat, roots tinged pale white, three or four patches under both sides of the tongue, and surging and tight six pulses. Use Liuwei Tang (Six-Ingredient Decoction) added with Salt-fried Yuanshen (Scrophulariae Radix), 2 qian; Wine-fried Huangqin (Scutellariae Radix), 3 qian; Shanzhi (Gardeniae Fructus), 1 qian; Huafen (Trichosanthis Radix), 1 qian. One dose can cure it. Use external powder insufflation and concurrently take Baxian San (Eight-Immortal Powder).
Throat Section 5: Purple Deficient Throat (Zise Xu Hou).
Purple Deficient Throat presents with purple-red color in the throat, which over time becomes ulcerated like raw lacquer. This is because cold-cooling medicines were taken at the onset. This condition involves latent cold in the Lung and Stomach; it is flat without swelling, making eating difficult, and vomiting may produce rotting flesh. It requires urgent treatment. If mistakenly diagnosed as a heat-fire syndrome and treated with Sanhuang (Three-Yellow Decoction), Xijiao (Rhinocerotis Cornu), Lingyangjiao (Saigae Tataricae Cornu), etc., it will become fatal. When I see such purple conditions, regardless of name or color, if the throat shows no distinct shape but is entirely purple, with a slow pulse and cool body, use Liuwei Tang (Six-Ingredient Decoction) added with Xixin (Asari Radix et Rhizoma), 5 fen; Gegen (Puerariae Lobatae Radix), 1 qian; Ziye (Perillae Folium), 1 qian; Baizhi (Angelicae Dahuricae Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), and Mahuang (Ephedrae Herba), 1 qian each. After taking, the purple turns red. Switch to adding Salt-fried Yuanshen (Scrophulariae Radix), 2 qian; Wine-fried Huangqin (Scutellariae Radix), 2 qian; Huafen (Trichosanthis Radix), 2 qian. It will then heal.
Throat Section 6: Throat Tinea (Houxuan).
Throat Tinea is caused by Kidney deficiency with hyperactive fire, manifesting as tinea in the throat. It is not swollen but slightly red, with spots on top varying in blue-white color, sized like mustard seeds or pinholes/mung beans. Each spot has prickles, causing severe pain when water touches it. There is hoarseness in the throat, coughing without phlegm, and fine, rapid six pulses. Use Zhibai Dihuang Tang (Anemarrhena, Phellodendron, and Rehmannia Pill Decoction) combined with Siwu Tang (Four-Substance Decoction), added with Maidong (Ophiopogonis Radix), Chao Yuanshen (Stir-fried Scrophulariae Radix), Yan Chao Nvzhenzi (Salt-fried Ligustrum Lucidi Fructus), Gouqi (Lycii Fructus), Renshen (Ginseng Radix et Rhizoma), Yangshen (American Ginseng Radix) (either decocted separately or made into pills), Shouwu (Polygoni Multiflori Radix), and Ejiao (Colla Corii Asini), 2 qian each. After ten doses, use Gui Fu Bawei Wan (Cinnamon and Aconite Eight-Ingredient Pill) added with Nvzhenzi (Ligustrum Lucidi Fructus), Gouqi (Lycii Fructus), and Er Shen (Two Ginsengs) (all salt-fried), taken with light salt soup.
Throat Section 7: Throat Chancre (Hougan).
Throat Chancre is caused by Kidney deficiency with hyperactive fire boiling upwards to affect the throat. There are blue-white-red spots on top, flat without prickles, hence named Throat Chancre. The voice is not hoarse, there is no cough, and the two Chi pulses are deficient. First, use Liuwei Tang (Six-Ingredient Decoction), removing Jingjie (Schizonepetae Spica), Fangfeng (Saposhnikoviae Radix), and Can (Bombyx Batryticatus). Add Salt-fried Yuanshen (Scrophulariae Radix), 1 qian; Wine-fried Huangqin (Scutellariae Radix), 2 qian; Danpi (Moutan Cortex), 2 qian; Shengdi (Rehmanniae Radix), 2 qian; Salt-fried Shanzhi (Gardeniae Fructus), 1 qian; Salt-fried Nvzhenzi (Ligustrum Lucidi Fructus) mixed with water and stir-fried, 1.5 qian; Salt-fried Zhimu (Anemarrhenae Rhizoma), 1.5 qian. Males add Guiban (Testudinis Carapax et Plastrum), 5 qian; females add Biejia (Trionycis Carapax), 5 qian. Take five or ten doses. If not cured, add Fuzi (Aconiti Lateralis Radix Praeparata) and Guizhi (Cinnamomi Ramulus), 3 fen each, decocted separately and added to the medicine, taken cold. After healing, combine with Gui Fu Bawei Wan (Cinnamon and Aconite Eight-Ingredient Pill) added with Yuanshen (Scrophulariae Radix), Zhimu (Anemarrhenae Rhizoma), Nvzhenzi (Ligustrum Lucidi Fructus), and Gouqi (Lycii Fructus) (all herbs salt-fried). One course can cure it. Use external powder insufflation.
Throat Section 8: Flying Throat (Feiyang Hou).
Flying Throat is caused by wind-heat obstructing upwards, with upper redness and swelling, inability to pass air, and difficulty swallowing. It flies from the uvula filling the mouth. This is a malignant condition. Urgently bleed the affected area to release qi and apply powder. Internally, take Liuwei Tang (Six-Ingredient Decoction) added with Lianqiao (Forsythiae Fructus), Gegen (Puerariae Lobatae Radix), Huangbai (Phellodendri Cortex), Shanzhi (Gardeniae Fructus), and Mutong (Akebiae Caulis), 1 qian each; Sheng Shigao (Raw Gypsum Fibrosum), 4 qian. One or two doses can cure it.
Throat Section 9: Deficient Hoarse Throat (Xu Yahou).
Deficient Hoarse Throat presents without swelling in the throat, few red spots inside the sides/gates, unclear hoarse voice, and locked jaw. This condition is due to internal and external wind-fire, caused by a preference for sour and astringent foods leading to unclear Lung qi. Use Liuwei Tang (Six-Ingredient Decoction) added with Xixin (Asari Radix et Rhizoma), 3 qian; Ziye (Perillae Folium), 2 qian. After one dose, the voice clears. Switch to adding Shengdi (Rehmanniae Radix) and Danpi (Moutan Cortex), 2 qian each; Salt-water fried Shanzhi (Gardeniae Fructus), Mutong (Akebiae Caulis), and Huafen (Trichosanthis Radix), 1 qian each. Two doses will cure it.
Throat Section 10: Hoarse Throat (Shengyahou).
Hoarse Throat is caused by cold latent in the Lung and Stomach. It is not swollen or red, nor are there ulcerated spots, only dryness and pain, making eating difficult. Use Liuwei Tang (Six-Ingredient Decoction) added with Ziye (Perillae Folium) and Mahuang (Ephedrae Herba), 2 qian each; Xixin (Asari Radix et Rhizoma), 5 fen. After two doses, halve the Mahuang and Ziye. Two days later, switch to adding Huafen (Trichosanthis Radix), Huangqin (Scutellariae Radix), Qianghuo (Notopterygii Rhizoma et Radix), and Jiangchao Banxia (Pinelliae Rhizoma Praeparatum cum Zingibere et Alumine), 1 qian each; Zaohe (Gleditsiae Sinensis Spina), 20 grains; Hezi (Terminalia Chebulae Fructus), 2 qian; Jiegeng (Platycodonis Radix) and Gancao (Glycyrrhizae Radix et Rhizoma), 5 qian each (the last three stir-fried with urine of a young boy). Four or five doses...
Throat Section 11: Ulcerated Sand Throat (Lansha Hou).
Ulcerated Sand Throat develops after Taiyang disease (Cold Damage), where exterior pathogens remain unresolved, causing swelling and ulceration inside the throat gate. The Right Guan pulse is urgent, indicating a Lung pathology. Use Liuwei Tang (Six-Ingredient Decoction) added with Jiuchao Huangqin (Wine-fried Scutellariae Radix), 1 qian; Huafen (Trichosanthis Radix), 1 qian; Salt-fried Yuanshen (Scrophulariae Radix), 2 qian; Gegen (Puerariae Lobatae Radix), 1 qian; Sheng Shigao (Raw Gypsum Fibrosum), 2.5 qian; Danzhuye (Lophatheri Herba), 2 qian; Caoheche (Chloranthi Spicati Herba), 2 qian. Take continuously for four doses. If ulcerated spots do not recede, add Sheng Dahuang (Raw Rhei Radix et Rhizoma), 3 qian. Take Jin Hua Baxian San (Jinhua Baxian San) and Yushu Dan (Jade Pivot Pill), 5 fen per dose. Three doses will achieve success.
Tonsil Section 1: Bilateral Tonsillar Hypertrophy (Shuang Ru'e).
Bilateral Tonsillar Hypertrophy affects the Stomach and Lung meridians, appearing on both sides above the gate, cherry-sized, indicating a Lung-Stomach condition. The body has chills and fever, and the six pulses are wiry and rapid. First needle Shaoshang (LU 11) and Shangyang (LI 1) on both hands (four points), or pricking the affected area to bleed is also effective. First, use Liuwei Tang (Six-Ingredient Decoction) added with Chenpi (Citri Reticulatae Pericarpium), Haifushi (Pumex), Ziye (Perillae Folium), and Qianghuo (Notopterygii Rhizoma et Radix), 1.5 qian each. Two doses can cure it. If swelling persists and the six pulses are forceful, add Dahuang (Rhei Radix et Rhizoma), 3 qian.
Tonsil Section 2: Unilateral Tonsillar Hypertrophy (Dan Ru'e).
Unilateral Tonsillar Hypertrophy appears beside the bilateral tonsils, either left or right. The six pulses are floating and rapid. It is caused by unresolved pathogens after Cold Damage, with body heat, nausea, and fear of seeing sand-rash. Use Liuwei Tang (Six-Ingredient Decoction) added with Gegen (Puerariae Lobatae Radix), 2 qian; Ziye (Perillae Folium), 1 qian; Qianghuo (Notopterygii Rhizoma et Radix), 2 qian; Xian Yuanxu (Fresh Coriandri Fructus), 5 qian (use seeds, 3 qian, if fresh is unavailable). One dose reduces symptoms by half. The next day, add Jiuchao Huangqin (Wine-fried Scutellariae Radix), 2 qian; Huafen (Trichosanthis Radix), 2 qian; Shanzhi (Gardeniae Fructus), Chishao (Paeoniae Radix Rubra), and Mutong (Akebiae Caulis), 1 qian each. It will then heal.
Tonsil Section 3: Ulcerated Tonsillar Hypertrophy (Lan Ru'e).
Ulcerated Tonsillar Hypertrophy is caused by stagnant heat in the Lung and Stomach, presenting with red swelling, ulcerated spots, severe pain, and difficulty eating. The six pulses are wiry and tight. Urgently needle Shaoshang (LU 11) and Shangyang (LI 1) on both hands (four points). Use Liuwei Tang (Six-Ingredient Decoction) added with Gegen (Puerariae Lobatae Radix), 2 qian; Ziye (Perillae Folium) and Salt-fried Yuanshen (Scrophulariae Radix), 1 qian each; Chao Huangqin (Stir-fried Scutellariae Radix), 2 qian. Mix with one cup of Baizhi juice (Cupressi Ramulus et Folium Juice), gargle the throat, and swallow slowly. Then take one dose of Baxian San (Eight-Immortal Powder), taken with Jinhua (dissolved in water). The next day, remove Ziye and Gegen, add Shanzhi (Gardeniae Fructus), Mutong (Akebiae Caulis), Shengdi (Rehmanniae Radix), Danpi (Moutan Cortex), Haifushi (Pumex), and Huafen (Trichosanthis Radix), 2 qian each. If the pulse is large and forceful, add Sheng Dahuang (Raw Rhei Radix et Rhizoma), 3 qian. If the pulse is deficient, use Baxian San (Eight-Immortal Powder) with Baizhi juice (Cupressi Ramulus et Folium Juice) as before. It will heal in three to four days. If there is hoarseness and back cold, treat with Liuwei Tang (Six-Ingredient Decoction) added with Gegen (Puerariae Lobatae Radix), 3 qian; Ziye (Perillae Folium), 1 qian; Xixin (Asari Radix et Rhizoma), 3 fen.
Tonsil Section 4: Wind-Cold Tonsil (Fenghan E).
Wind-Cold Tonsil arises from wind-cold, swelling like a plum. The head cannot look down, qi is blocked, and the Cun and Guan pulses are floating and tight, indicating a Lung-Stomach condition. Immediately needle Shaoshang (LU 11), Shangyang (LI 1), and Shaochong (HT 9) on both hands (six points). Use Liuwei Tang (Six-Ingredient Decoction) added with Ziye (Perillae Folium), 3 qian; Qianghuo (Notopterygii Rhizoma et Radix), 1 qian. One dose can cure it. If cooling medicines are used early, it will not recede.
Tonsil Section 5: White Tonsillar Hypertrophy (Baise Ru'e).
White Tonsillar Hypertrophy blocks the mouth with swelling, accompanied by chills and fever, and floating-wiry six pulses. It is caused by the Lung contracting wind-cold. Use Liuwei Tang (Six-Ingredient Decoction) added with Ziye (Perillae Folium), 2 qian; Xixin (Asari Radix et Rhizoma), 3 fen; Qianghuo (Notopterygii Rhizoma et Radix), 2 qian. One dose can cure it.
Tonsil Section 6: Stone Tonsil (Shi E).
Stone Tonsil is caused by congenital insufficiency of the original essence, appearing in the tonsil position, extending half an inch inward. At onset, cooling medicines must not be used, nor needles or knives. This is old phlegm formed from abdominal fire into evil blood, flaring up upon exertion. Use Liuwei Tang (Six-Ingredient Decoction) added with Shengdi (Rehmanniae Radix), 2 qian; Beimu (Fritillariae Cirrhosae Bulbus), Niubang (Arctii Fructus), Maidong (Ophiopogonis Radix), and Mutong (Akebiae Caulis), 1 qian each. Take four or five doses. If it does not recede, use Liuwei Tang (Six-Ingredient Decoction) with Shengdi (Rehmanniae Radix), 1.5 qian; Danpi (Moutan Cortex), 1 qian; Xiang Beimu (Fritillariae Thunbergii Bulbus), 2 qian; Gancao (Glycyrrhizae Radix et Rhizoma), Niubang (Arctii Fructus), Maidong (Ophiopogonis Radix), 1 qian each; Jiegeng (Platycodonis Radix), 8 fen; Mutong (Akebiae Caulis), 6 fen; Bohe (Menthae Haplocalycis Herba), 2 qian; Dengxin (Junci Medulla), 2 fen. Take until healed. Use external powder to reduce swelling.
Tonsil Section 7: Latent Cold Throat Tonsil (Fuhan Hou'e).
Latent Cold Throat Tonsil: All latent cold conditions have a purple color; the treatment is the same as in the Purple Throat Carbuncle section. For pregnant women with throat carbuncles, concerned about medication affecting the fetus, decoct the medicine thickly, gargle, and spit out; this can also cure it.
Bi Syndrome Section 1: Ulcerated Bi Syndrome (Lan Hou Bi).
Ulcerated Bi Syndrome is caused by Liver-Stomach heat-toxin and external contraction of seasonal pathogens. It resembles flower petals, with ulcerated swelling, white spots, painful screaming, refusal to eat, upward rolling of eyes, and surging-large six pulses. Quickly needle Shaoshang (LU 11), Shangyang (LI 1), Guanchong (SJ 1), and Shaochong (HT 9) on both hands. Bleeding indicates life; no bleeding indicates death. Use Liuwei Tang (Six-Ingredient Decoction) added with Sheng Dahuang (Raw Rhei Radix et Rhizoma), 1 qian; Yan Chao Huangqin (Salt-fried Scutellariae Radix, add a little wine), 2 qian; Yuanshen (Scrophulariae Radix), 2 qian; Yan Chao Shengdi (Salt-fried Raw Rehmanniae Radix), 2 qian; Danpi (Moutan Cortex), 2 qian; Haifushi (Pumex), 2 qian; Shanzhi (Gardeniae Fructus, processed with branch juice), 2 qian. Four doses can cure it. Also take Baxian San (Eight-Immortal Powder), dissolved in water. If the pulse is fine and the body is cool, this condition is untreatable.
Bi Syndrome Section 2: White Bi Syndrome (Baise Hou Bi).
White Bi Syndrome is caused by the Lung and Stomach contracting cold, with a slow pulse and body heat. Use Liuwei Tang (Six-Ingredient Decoction) added with Xixin (Asari Radix et Rhizoma), 3 fen; Qianghuo (Notopterygii Rhizoma et Radix), 2 qian; Ziye (Perillae Folium) and Chenpi (Citri Reticulatae Pericarpium), 1 qian each. Two doses can cure it. If it turns red with dry pain, remove the previous four herbs and switch to adding Shanzhi (Gardeniae Fructus), Mutong (Akebiae Caulis), Jiuchao Huangqin (Wine-fried Scutellariae Radix), Shengdi (Rehmanniae Radix), and Huangbai (Phellodendri Cortex), 1 qian each. If there is much phlegm, add Haifushi (Pumex), Banxia (Pinelliae Rhizoma), and Huafen (Trichosanthis Radix), 1 qian each.
Bi Syndrome Section 3: Cold-Latent Bi Syndrome (Hanfu Hou Bi).
Cold-Latent Bi Syndrome presents with a slow Lung meridian pulse, severe cold, purple color, and little swelling. If cooling agents are mistakenly taken, it will eventually ulcerate. For all purple cases, do not treat as fire. Use Liuwei Tang (Six-Ingredient Decoction) added with Xixin (Asari Radix et Rhizoma), 5 fen; Mahuang (Ephedrae Herba), Guizhi (Cinnamomi Ramulus), Ziye (Perillae Folium), Gualou (Trichosanthis Fructus), Hezi (Terminalia Chebulae Fructus), and Niubang (Arctii Fructus), 1 qian each. In severe cases, vomiting purple blood clots occurs; the treatment is the same. For non-ulcerated cases, add Ziye (Perillae Folium), 2 qian; Xixin (Asari Radix et Rhizoma), 5 fen; Chaihu (Bupleuri Radix) and Haifushi (Pumex), 1 qian each. Treat swelling and non-swelling similarly.
Bi Syndrome Section 4: Bilateral Bi Syndrome (Shuang Hou Bi).
Bilateral Bi Syndrome appears on both sides inside the upper gate, shaped like olive pits, painful and difficult to eat, caused by accumulated heat in the Stomach meridian. It may present with chills and fever, and surging-large pulses at both Guan positions. Quickly needle the affected area, or Shaoshang (LU 11) is also acceptable. First, take one dose of Liuwei Tang (Six-Ingredient Decoction). The next day, add Huangqin (Scutellariae Radix), Shanzhi (Gardeniae Fructus), Mutong (Akebiae Caulis), and Chao Yuanshen (Stir-fried Scrophulariae Radix), 1.5 qian each. One dose can reduce it. Do not needle ulcerated cases; only use powder insufflation on the affected area.
Bi Syndrome Section 5: Unilateral Bi Syndrome (Dan Hou Bi).
Unilateral Bi Syndrome, either left or right, is treated the same as Bilateral Bi Syndrome.
Bi Syndrome Section 6: Pale Red Bi Syndrome (Danhong Hou Bi).
Pale Red Bi Syndrome swells like an egg, preventing eating, accompanied by chills and fever, red eyes, and vomiting, fearing internal macule toxin. Urgently needle Shaoshang (LU 11), Shangyang (LI 1), Guanchong (SJ 1), and Shaochong (HT 9) on both sides (eight points), or prick the affected area. Use Liuwei Tang (Six-Ingredient Decoction) added with Ziye (Perillae Folium), Qianghuo (Notopterygii Rhizoma et Radix), and Gegen (Puerariae Lobatae Radix), 2 qian each; Xian Wusu (Fresh Coriandri Herba), 5 qian. One dose causes macules/rash to erupt all over the body, and vomiting stops. If body heat persists and the outside of the throat swells, this is internal fire venting outward. Use Liuwei Tang (Six-Ingredient Decoction) switched to adding Sheng Dahuang (Raw Rhei Radix et Rhizoma), 3 qian; Gegen (Puerariae Lobatae Radix), Huangqin (Scutellariae Radix), Shanzhi (Gardeniae Fructus), Yuanshen (Scrophulariae Radix), and Huafen (Trichosanthis Radix), 2 qian each; Sheng Shigao (Raw Gypsum Fibrosum), 5 qian; Huashi (Talcum), 2 qian. After two doses, remove Dahuang (Rhei Radix et Rhizoma) and Shigao (Gypsum Fibrosum), and take four or five more doses to heal. If there are ulcerated spots, take one dose of Baxian San (Eight-Immortal Powder), dissolved in water, and concurrently drink Baizhi juice (Cupressi Ramulus et Folium Juice). This condition is due to unresolved Cold Damage seasonal pathogens, with deep-fine pulses at both Guan positions and deficient-rapid pulses at the two Cun and two Chi positions.
Bi Syndrome Section 7: Running Horse Bi Syndrome (Zouma Hou Bi).
Running Horse Bi Syndrome presents with internal and external swelling. This is an acute condition where Liver-Spleen fire closes and blocks, causing Bi syndrome. It may present with chills and fever. Surging-large pulses indicate life; deep-fine pulses indicate death. Use Liuwei Tang (Six-Ingredient Decoction) added with Gegen (Puerariae Lobatae Radix), 2 qian; Chaihu (Bupleuri Radix), 1 qian; Xixin (Asari Radix et Rhizoma), 5 fen, for gargling. Add Jiaoci (Spina Gleditsiae Sinensis? Note: likely Ciatoji/Costus Root or similar thorny herb, context suggests dispersing), 2 qian; Guiwei (Angelicae Sinensis Radix Tail), 2 qian; Chishao (Paeoniae Radix Rubra), 2 qian; Caoheche (Chloranthi Spicati Herba), 2 qian; Sheng Jun (Raw Rhei Radix et Rhizoma), 5 qian. If phlegm increases, add Fuhai Shi (Floating Pumice), 3 qian; Zhi Banxia (Prepared Pinelliae Rhizoma), 2 qian. If there is body heat and back cold, add Qianghuo (Notopterygii Rhizoma et Radix), 1 qian; Ziye (Perillae Folium), 1 qian. Urgently prick Shaoshang (LU 11), Shangyang (LI 1), and Guanchong (SJ 1) on both hands (six points) until significant bleeding occurs.
Wind Section 1: Internal Swollen Lock-Throat Wind (Neizhong Suohou Feng).
Internal Swollen Lock-Throat Wind is caused by the binding of Yin and Yang in the Lung and Stomach meridians, blocking internally without external signs, with much phlegm and wheezing in the throat. Treatment methods include the pouring and vomiting method seen in the Wrapping Throat Wind section below. Additionally, use Liuwei Tang (Six-Ingredient Decoction) added with Mahuang (Ephedrae Herba), 2 qian; Sheng Jun (Raw Rhei Radix et Rhizoma), 5 qian; Xixin (Asari Radix et Rhizoma), 1 qian; Ziye (Perillae Folium), 2 qian; Guizhi (Cinnamomi Ramulus), 1 qian; Qianghuo (Notopterygii Rhizoma et Radix), 2 qian. Boil briefly and take. Vomiting or purging is ideal. If no vomiting or purging occurs, needle Shaoshang (LU 11), Shangyang (LI 1), Guanchong (SJ 1), Quchi (LI 11), and Hegu (LI 4) on both sides (ten points). Bleeding indicates life; no bleeding indicates death. Wiry-tight-surging-large pulses at the left/right Guan and Cun positions indicate life; deep-slow pulses indicate death. Use powder to draw out phlegm. Quchi (LI 11) is at the head of the transverse crease of the elbow, on the lateral side of the arm. Hegu (LI 4) is on the dorsum of the hand, at the junction of the thumb and index finger.
Wind Section 2: Wrapping Throat Wind (Chan Hou Feng).
Wrapping Throat Wind is caused by the Lung contracting seasonal pathogens, with wind-phlegm obstructing upwards, Yin-Yang closing, and blockage internally and externally. It feels like being tightly wrapped by a snake, with obstruction below the gate. In severe cases, there is opisthotonos and locked jaw. First, use opening drugs insufflated into the nose and rubbed on the teeth until vomiting occurs. Then quickly needle Jiache (ST 6) on both sides and moxa several moxibustions. Alternatively, mix egg white with Bai Fan (Alumen) and administer. If the above methods do not cause vomiting, needle Shaoshang (LU 11), Shangyang (LI 1), Guanchong (SJ 1), Shaochong (HT 9), and Shaoyin (KI 1? Note: Text says Shaoyin, likely referring to a specific point or typo for Shaofu/Shaohai, but sticking to text "Shaoyin") five points, stopping when bleeding occurs. No bleeding means untreatable. Use Liuwei Tang (Six-Ingredient Decoction) added with Sheng Jun (Raw Rhei Radix et Rhizoma), 1 liang; Mahuang (Ephedrae Herba), Qianghuo (Notopterygii Rhizoma et Radix), Ziye (Perillae Folium), and Hezi (Terminalia Chebulae Fructus), 2 qian each. Decoct and administer, or induce vomiting/purging. If no vomiting, needle immediately. If needling yields no blood and the six pulses are deep-fine, it is untreatable. Use Danfan (Chalcanthite) powder to remove phlegm.
Wind Section 3: Tongue-Encircling Throat Wind (Zashe Hou Feng).
Tongue-Encircling Throat Wind appears on both sides above and below the throat, pressing against the uvula, with blisters that are red or tense. The face is swollen externally, but the throat interior is not swollen; the tongue curls and is coarse. This is a malignant condition with few recoveries. Use Liuwei Tang (Six-Ingredient Decoction) added with Huanglian (Coptidis Rhizoma), 1 qian; Huangqin (Scutellariae Radix), 2 qian; Sheng Jun (Raw Rhei Radix et Rhizoma), 4 qian; Lianqiao (Forsythiae Fructus), 2 qian. Rush to take three or four doses, and there may be a chance of survival. If the jaw is black and swollen, teeth fall out, and the head shakes, it is untreatable. This condition is caused by accumulation in the Lung and Liver.
Wind Section 4: Deficient Ulcerated Throat Wind (Xulan Hou Feng).
Deficient Ulcerated Throat Wind is caused by insufficiency of the original essence, with deficient fire flaming upward, appearing above and below the throat gate. It presents with red and white spots, painful ulceration without swelling, and fine-rapid six pulses. At onset, use Liuwei Tang (Six-Ingredient Decoction) added with Salt-fried Yuanshen (Scrophulariae Radix), 2 qian; Wine-fried Huangqin (Scutellariae Radix), 2 qian; Stir-fried Shanzhi (Gardeniae Fructus) and Huafen (Trichosanthis Radix), 1 qian each; Shengdi (Rehmanniae Radix), 3 qian; Danpi (Moutan Cortex), 2 qian. After two doses, stop Liuwei Tang (Six-Ingredient Decoction) and add Salt-fried Zhimu (Anemarrhenae Rhizoma) and Huangbai (Phellodendri Cortex), 1 qian each. Take five doses. If the two Guan pulses become large, treat as a knot-toxin using the medications listed in the Stomach Heat-Toxin section. Use external powder insufflation and take Baxian San (Eight-Immortal Powder).
Throat Section 5: White Throat Wind (Baise Hou Feng).