正红旗满洲人。年三十许。患喉蛾肿痛未破。三日汤水不能下咽。脉洪大而数。先刺两曲池少商穴出血。喉间即
觉宽松。吹以开关散。稀涎散。吐出胶痰碗许。食能下咽矣。方用皂角、牛蒡、僵蚕、贝母、白芷、薄荷、甘草、桔梗、
马勃、元参、青黛、山栀、条芩。投七而瘳。
毕佐廷甲申。冬患伤风。误服辛热表药。遂病咳嗽。缠绵不愈。至次年二三月。燥咳无痰。音哑色夭。喉中渐烂。
色白不肿。至夏六月。不起床矣。方延余诊。历阅前方。寒热温燥杂投。脉象弦细而数。身发潮热。面色时赤时白。余
曰。病本可治。但误于药太甚耳。此症初起。本属伤风小恙、误服麻、桂、干姜。大辛大热之品。风火益炽。肺金受燥。
至春令发升之际。少阳之木火上升。是以津枯音哑。而更助之以燥药。则火土躁烈。夏令火旺而金益受制。治当金水两
滋。以助肺之化原。但须久服缓效。欲求速愈。则余谢不敏矣。方用二冬、石斛、桑叶、贝母、蜜炙紫菀、蜜炙款冬花、
生地、龟板、青蒿、鳖甲、阿胶、山栀、丹皮、五味子、蒺藜等出入为方。服三十余剂。方能起床。饮食渐进。声音渐
出。继以十味地黄汤加减。又二十余剂而烂孔渐平。后以人参养荣汤加阿胶、牡蛎、石斛、百合等。前后服百剂而始痊。
正红旗满洲人，三十岁左右。患有喉蛾（扁桃体红肿疼痛），肿痛未溃破。三天内汤水无法下咽。脉象洪大而数。先针刺双侧曲池穴和少商穴放血，喉间立即感觉宽松。吹入开关散、稀涎散后，吐出约一碗胶状痰液，食物能够下咽了。处方使用皂角、牛蒡子、僵蚕、贝母、白芷、薄荷、甘草、桔梗、马勃、玄参、青黛、山栀、黄芩。服用七剂后痊愈。
毕佐廷在甲申年冬天患伤风（感冒）。误服辛热解表药，于是引发咳嗽，缠绵不愈。到了次年二三月，出现燥咳无痰，声音嘶哑，面色枯槁，喉咙逐渐腐烂，颜色发白但不肿胀。到了夏季六月，已不能起床。此时请我诊治。查阅之前的方剂，寒热温燥药物混杂投用，脉象弦细而数，身体定时发热，面色时而发红时而发白。我说：此病本可治愈，但用药错误太严重了。此症初起，本属轻微的风邪感冒，误服麻黄、桂枝、干姜等大辛大热的药物，导致风火更加炽盛，肺金受燥邪侵袭。到了春季阳气升发之际，少阳相火上升，因此津液枯竭导致声音嘶哑，再加上使用燥药助势，则火土燥烈。夏季火旺而金更受制。治疗应当滋补肾阴与肺阴（金水两滋），以助肺的化源。但必须久服才能见效，若想求速愈，则我无能为力了。处方使用天冬、麦冬、石斛、桑叶、贝母、蜜炙紫菀、蜜炙款冬花、生地、龟板、青蒿、鳖甲、阿胶、山栀、丹皮、五味子、蒺藜等加减为方。服用三十多剂后，方能起床，饮食逐渐增加，声音逐渐恢复。随后以十味地黄汤加减，又服用二十多剂，喉中烂孔逐渐平复。后来用人参养荣汤加阿胶、牡蛎、石斛、百合等，前后共服用一百剂才痊愈。
A Manchu of the Plain Red Banner, approximately thirty years old, suffered from throat swallows (tonsillar swelling and pain) with swelling and pain not yet ulcerated. For three days, he could not swallow even soup or water. The pulse was surging and rapid. Initially, bleeding was induced by needling the bilateral Quchi (LI11) and Shaoshang (LU11) acupoints, after which the throat immediately felt relaxed. Guanxi San (Opening the Lock Powder) and Xixian San (Thin Saliva Powder) were insufflated into the throat, resulting in the expectoration of about one bowl of viscous phlegm, allowing food to be swallowed. A prescription comprising Gaojiao (Gleditsiae Fructus Spina), Niubangzi (Arctii Fructus), Jiangcan (Bombyx Batryticatus), Beimu (Fritillariae Bulbus), Baizhi (Angelicae Dahuricae Radix), Bohe (Menthae Haplocalycis Herba), Gancao (Glycyrrhizae Radix et Rhizoma), Jiegeng (Platycodonis Radix), Mabo (Stemonae Radix), Yuanshen (Scrophulariae Radix), Qingdai (Indigo Naturalis), Shanzhi (Gardeniae Fructus), and Tiaohuang (Scutellariae Radix) was administered. After seven doses, the patient recovered.
Bi Zouting contracted a common cold (wind-cold invasion) in the winter of the Jiashen year. Due to the mistaken administration of pungent-warm exterior-releasing medicines, cough developed and persisted without resolution. By the second and third months of the following year, dry cough with no sputum emerged, accompanied by hoarseness and a sallow complexion. The throat gradually became ulcerated, appearing white but not swollen. By the sixth month of summer, he was bedridden. At this point, I was invited to consult. Reviewing previous prescriptions, I noted a chaotic mixture of cold, heat, warm, and drying agents. The pulse was wiry, thin, and rapid; the body exhibited tidal fever; and the facial complexion alternated between red and pale. I stated: "The disease was originally treatable, but the medicinal error was severe. Initially, this was merely a minor wind-cold condition. The mistaken use of Mahuang (Ephedrae Herba), Guizhi (Cinnamomi Ramulus), and Ganjiang (Zingiberis Rhizoma)—substances that are extremely pungent and hot—intensified the wind-fire pathogen, causing dryness to injure the Lung Metal. During the spring season when yang qi rises, the Shaoyang ministerial fire ascended, leading to fluid depletion and hoarseness. The subsequent addition of drying herbs further aggravated the fire and earth, creating intense dryness. In summer, when fire is prosperous, metal is further constrained. Treatment should focus on nourishing both Lung Metal and Kidney Water to support the source of Lung transformation. However, this requires prolonged medication for gradual effect; if a quick cure is sought, I must decline." The prescription consisted of Dongguo (Asparagi Radix, specifically Tian Dong and Mai Dong), Shihu (Dendrobii Caulis), Sangye (Mori Folium), Beimu (Fritillariae Bulbus), Zimi Zhi Ziwan (Honey-fried Asteris Radix), Zimi Zhi Kuandonghua (Honey-fried Farfarae Flos), Shengdi (Rehmanniae Radix), Guiban (Testudinis Carapax et Plastrum), Qinghao (Artemisiae Annuae Herba), Biejia (Trionycis Carapax), Ejiao (Colla Corii Asini), Shanzhi (Gardeniae Fructus), Danpi (Moutan Cortex), Wuweizi (Schisandrae Fructus), and Jili (Tribuli Fructus), modified as needed. After more than thirty doses, the patient could rise from bed, appetite gradually improved, and voice returned. Subsequently, Shiwu Dihuang Tang (Ten-Ingredient Rehmannia Decoction) was modified and administered for another twenty-plus doses, during which the throat ulcers gradually flattened. Finally, Renshen Yangrong Tang (Ginseng Nourishing Qi and Blood Decoction) was modified with Ejiao (Colla Corii Asini), Muli (Ostreae Concha), Shihu (Dendrobii Caulis), and Baihe (Lilii Bulbus). After a total of one hundred doses over the course of treatment, full recovery was achieved.