青药 消痰、清热、解毒、却风，而药性和缓，不若黄药之消肿毒，开喉闭，出痰
涎，最为神爽，乃第一紧要药也。但喉症初起，黄药不可多用，以其直透入内，且善走
散，初起骤多，恐证轻不胜，与病反不相入耳。凡制青药，大约春夏宜薄荷多，制矾少，
故配成青色。秋冬宜制矾多，薄荷少，故略带白色。如欲喉证出痰，不妨加皂角末少许。
惟遇喉痈及单乳蛾轻证，可单用取效。若他证，必兼用黄药，乃能神应。然青黄兼用，须
知先后多少，最为要诀。
青药方 治一切喉舌蛾痈等证。
每制矾三分，先配百草霜五厘，研细，入灯草灰五厘，再研，配成瓦灰色，后加粉草
末二分，薄荷二分，再研细，入冰片五厘。此药须用时配合，多日则无效，阴雨止可用一
日。如吹喉证，欲其出痰，加僵蚕、皂角末，各三四厘。然青药惟遇单乳蛾喉痈等轻证，可
单用。若他证，必兼用黄药。
制矾法 生明矾研极细末，入倾银罐内，先放大半罐，且止，将罐入炉火内，用桴炭
火熔，以铜箸搅无矾块为度，乃将枪硝研细末，投入矾内约十分之五，次将白硼砂研，
投入矾内，亦十分之五，少顷，再投矾末，逐渐投下。候矾尽化，照前投硝、硼少许，如
此逐层渐渐投尽，直待矾凉，启罐口如馒头样，方架起炭火，烧至矾枯，用新瓦一片盖
罐上一点盅，取起，将牛黄少许，研末，用水五六匙调和，匀洒矾上，将罐仍入火内烘
干，取起，连罐覆净地上，先用纸衬地，方合罐，罐上覆以碗，过七日夜取起，收贮听
用。须轻松无竖纹者佳， 时火候，宜初起缓，亦不可太缓，恐矾僵，则不熔化矣。化
后用文武火，如矾未化尽即下硝、硼，必不能熔，而坚实有竖纹矣。其罐择未倾银者用，
必先放火上烘热，亦不可放炭火上，使温气入罐。
取百草霜法 须取其近锅底者。若锅底心及锅口者，俱不用。先轻轻刮去上面一层，
轻取中一层用之，着底者亦不用。
黄药方 善能消肿出痰，治一切口舌等证。
制枪硝一钱八分，生蒲黄研极细末四分，制僵蚕末一分，制皂角末一分五厘，将前药
研匀，如淡鹅黄色为度，再加冰片一分，再研匀，冰片一味，须细净研入。如遇牙咬、HT
舌、穿牙疔等毒证，专用此药治之。如咽喉等证，兼用青药，看病之轻重，为药之多寡，
重者加入牛黄，喉证及缠喉风，加僵蚕、皂角二末，余证只用硝、黄二味可也。
制硝法 枪硝用长白如牙而浓者，如硝一斤，用水八碗，入锅内煎至六碗，取起，入
尖底敞口砂盆，将竹片三枝做品字，放盆内，过一宿，则硝自凝，即于底提起竹枝，则硝
自起矣。须十二月合，可以久用。过十二月，则味淡而性平。又方，用温汤蘸过，以绵纸
挹干，仍用纸包，放灶上洞内五六日，收去湿气，俟白如霜，方可用。倘急用，不及制
炒亦可。
制僵蚕法 僵蚕，细直腹小为雄，粗弯腹大为雌。宜用雄者，须将牙刷刷去灰砂，置
瓦上，慢火炙至酱色为度，又要折断中无相连为佳。
制皂角法 取坚小不蛀者为佳。瓦上炙至色光明而脆为度，去两头，为末，听用。
制百药煎法 五倍子一斤，研末，细儿茶一两，酵头四两，先用水二碗，煎茶，取
浓汁半碗，拌匀五倍子末，及发酵，置盆内，盖口，外用粗糠上下四围盖紧，至六七日发
起，则如面矣。收起做成饼，晒干为末。（此方
失去下一半制法，不全。）
制青梅法 用大青梅一斤打碎，入明矾末半斤拌匀，置阳城罐内，火 ，至矾枯为
度，取起，置地上出火气，听用。
开牙关法 如喉证牙关紧闭而不开者，先用银针刺两手大指少商穴，（大指里侧，离指甲韭
菜叶许，掏之酸痛者，即是穴，属肺经。）出血，再用乌梅擦牙上下，然后用僵蚕、皂角末吹鼻内，打
喷嚏，即开口矣。此不传之秘法也。随即吹黄药三次，以青药善其后。
蒲黄当用生 研细。罗筛筛过，取极细黄末听用，若粗而褐色者，不堪用。
喉证煎药主方
大力子（君，炒研，一钱） 连翘（君，七分） 桔梗（一钱） 生甘草（三分） 银花（七分） 元
参（八分） 黑山栀（七分） 黄芩（七分） 花粉（八分） 前胡（一钱） 薄荷（八分）
水煎服，如发寒热，加荆、防。头痛加煨石膏。胸闷加炒枳壳。如郁热而发，加赤
芍、川贝母。口渴加知母、麦冬。
舌证煎药主方
川黄连（君，八分） 黑山栀（一钱） 犀角（七分） 生地（八分） 丹皮（八分） 赤芍（八分）
麦冬（八分） 生甘草（三分） 灯草心（二十根）
煎服，如兼唇口，加 石膏八分，以泻脾火，以环唇属脾也。惟舌属心，故专主泻
心火。如有郁热兼有痰，加川贝母七分，不拘咽喉牙舌证。凡大便不通者，加炒枳壳、玄
明粉各八分。
牙证煎药主方
黑山栀（君。一钱） 玄参（君，一钱） 丹皮 生地 黄柏 知母 酒白芍 地骨皮 车前子
（各七分）
热甚加 石膏八分，炒黑升麻七分。风加荆芥穗八分。虚加熟地一钱，枸杞子七分。
如余毒，加连翘八分，黄连七分。若穿牙疔毒，则用消肿解毒之剂，如紫花地丁、甘菊
花之类。总之，齿乃肾之标，骨之余。足阳明胃经之脉，贯络于齿上龈。手阳明大肠经
之脉，贯络于齿下龈。其在外感者，属二经之风热，与二经之受风寒停留而化热者，居
多。其在内伤者，属肾热，亦有肾虚。
三十六证咽喉解毒汤
玄参 木通 淡竹叶 生地 生山栀（等分） 灯草心（二十根）
水煎，将好时，加入生大黄四钱，朴硝二钱，水泡去渣，滚二三沸，温服。或将朴
硝冲服，更妙。盖咽喉是毒证，此解毒法也。如挟风痰热毒攻心，言语狂妄，加三黄，并
研朱砂、珍珠末服。
凉药方 专治喉癣喉菌等证。
薄荷（一钱，研） 制硝（八分） 制矾（八分） 百草霜（一分） 灯草灰（一分）
川贝母（一分，研） 生甘草（一分，研） 冰片（三厘）
先将硝、矾、百草霜研匀后，入灯草灰，再研，入薄荷、贝母、甘草末，再研末，后
加入冰片研细，用上白蜜调如青灰色，时时噙咽，若重证多用黄药凉药吹。
疳药方
人中白（四钱） 生蒲黄（三钱，研） 灯草灰（一钱） 硼砂（三钱，临用拌入） 生甘草（二
钱） 青梅制矾（五钱，初用多加，后用渐减） 薄荷（五钱） 黄柏（五钱）
此方失去上一半，制法不全。
芦荟消疳饮 凡走马牙疳，其患多在痧痘后余毒未清，又兼杂证热甚而成者。
如牙龈作烂，且臭且黑且腐，甚者牙龈脱落，龈窠亦朽，不数日间，即穿腮破唇，为
不治矣。宜用此汤，外用人中白或冰硼散二药搽之，取去黑肉，内见红肉血流为吉。如
取时顽肉不脱，腐肉渐开， 肿外发，臭味不止，更兼身热不退，俱不治。凡小儿走马
牙疳，身热气粗，牙龈腐臭，以及穿腮破唇者，并须服之。
芦荟 银柴胡 黄连 大力子 玄参 桔梗 山栀 石膏 薄荷（各五分） 羚羊角（三分）
淡竹叶（三分）
人中白散
人中白（二两） 儿茶（一两） 黄柏 薄荷
青黛（各六分） 冰片
共研细末，先用温水漱口后吹药，每日六七次，涎从外流者吉，涎收入里者毒，甚
凶。
制百药煎法 与前法互异，今并存之。
川五倍半斤打碎，煎数滚，入陈松萝茶四两，加大力子不拘分两，同煎，去渣再煎，
用粉儿茶二两，百草霜二两，研末收。
治一切牙口疳
人中白（ ，六钱） 青黛（二钱） 冬桑叶（二钱） 浆梅条皮（三钱，带浆，隔锅烧成炭） 灯
草灰（三钱） 冰片（一钱）
以上共研末吹之。
铁鞋散 治走马牙疳。黑枣一枚，去核，入雄黄末填满，用盐搓麻线扎，外用湿纸包
煨存性，研末搽之。
玄明醋 治喉中痰涎壅塞。玄明粉，好淡米醋和，灌搅吐痰。
乌龙散 治缠喉风。牙皂七条，水一杯，煎三分，入人乳三滴，冷服，非吐即泻，虚
喉忌。
神品散 喉风喉蛾兼治。
牙皂 白矾 黄连（等分）
皂、连入矾内，同炙干，研末吹上，有痰任流。
【背景信息】
书名：包氏喉证家宝 作者：包三述 朝代：清 章节：附方 类别：综合
青药具有消除痰浊、清除热邪、解除毒邪、驱散风邪的功效，且药性温和缓和。它不像黄药那样能迅速消除肿胀毒气、开通咽喉闭塞、排出痰涎，效果最为神速灵敏，但青药是第一重要的药物。然而，在喉症初起阶段，黄药不可多用，因为黄药药力直透体内，且善于走散，如果初起时用量过大，恐怕病情轻微而不胜药力，导致药性与病证不相契合。凡是制作青药，大致春夏季节宜多用薄荷，少用制过的明矾，所以配成青色；秋冬季节宜多用制过的明矾，少用薄荷，所以略带白色。如果想要喉症患者吐出痰液，不妨加入少许皂角末。只有遇到喉痈及单侧乳蛾（扁桃体炎）的轻证，可以单独使用青药取得疗效。如果是其他证候，必须兼用黄药，才能产生神奇的效果。然而，青药和黄药兼用时，必须知道使用的先后顺序和剂量多少，这是最关键的诀窍。
青药方 治疗一切喉部、舌部、乳蛾、喉痈等证候。
每用制过的明矾三分，先配制百草霜五厘，研磨细，加入灯草灰五厘，再研磨，配成瓦灰色，然后加入粉甘草末二分、薄荷二分，再研磨细，最后加入冰片五厘。此药必须用时现配，放置多日则无效，阴雨天气最多可用一日。如果是吹喉证，想要其吐出痰液，可加僵蚕、皂角末，各三四厘。然而青药只有遇到单侧乳蛾、喉痈等轻证，才可以单独使用。若是其他证候，必须兼用黄药。
制矾法 将生明矾研磨成极细末，放入倾银罐内，先装入大半罐，暂且停止，将罐放入炉火内，用桴炭火熔化，以铜筷子搅拌直到没有矾块为止，然后将枪硝（精制硝酸钾）研磨成细末，投入矾内约占五分之一的量，接着将白硼砂研磨，投入矾内，也占五分之一的量，过一会儿，再投入剩余的矾末，逐渐投下。等到矾完全融化，照前法投入少许硝、硼，如此逐层渐渐投尽，一直等到矾冷却，打开罐口像馒头形状一样，才架起炭火，烧到矾干枯，用新瓦一片盖住罐口一点盅（注：此处疑为“封”或特定动作，依文意理解为覆盖密封），取起，将少许牛黄研磨成末，用水五六匙调和，均匀洒在矾上，将罐仍放入火内烘干，取起，连同罐子倒扣在洁净的地面上，先用纸衬地，再合上罐子，罐上再覆盖一个碗，经过七日夜后取起，收贮备用。须要质地轻松无竖纹者佳。注意火候，开始时要缓，也不可太缓，恐怕矾变僵硬，就不能熔化了。化开后用文武火交替，如果矾未化尽就下硝、硼，一定不能熔化，而且会变得坚实有竖纹。所用的罐子选择未倾倒过银的，必须先放在火上烘热，也不可直接放炭火上，以免温气进入罐内。
取百草霜法 必须选取靠近锅底的部分。若锅底中心及锅口的部分，都不用。先轻轻刮去上面一层，轻取中间一层使用，贴着底层的也不用。
黄药方 善于消除肿胀、排出痰液，治疗一切口腔、舌部等证候。
制枪硝一钱八分，生蒲黄研磨成极细末四分，制僵蚕末一分，制皂角末一分五厘，将上述药物研磨均匀，以呈淡鹅黄色为度，再加冰片一分，再研磨均匀。冰片一味，必须细细洁净地研磨入药。如果遇到牙咬、重舌、穿牙疔等毒证，专门用此药治疗。如果是咽喉等证，兼用青药，根据病情的轻重决定药物的多少，重症者加入牛黄，喉证及缠喉风，加僵蚕、皂角二味末，其余证候只用硝、黄两味即可。
制硝法 选用长白如牙齿状且浓实的枪硝，如硝一斤，用水八碗，放入锅内煎至六碗，取起，放入尖底敞口的砂盆中，将三枝竹片做成“品”字形，放在盆内，过一夜，硝自然凝固，就在底部提起竹枝，硝自然就浮起了。须在十二月制作，可以久用。过了十二月，味道就淡而性质平和。又一种方法，用温水蘸湿，用绵纸吸干，仍用纸包裹，放在灶洞内五六日，收去湿气，等到白如霜，方可使用。如果急用，来不及制炒也可以。
制僵蚕法 僵蚕，细长腹部小的是雄蚕，粗弯腹部大的是雌蚕。宜用雄蚕，须用牙刷刷去灰沙，放在瓦上，慢火炙烤至酱色为度，又要折断检查中间无相连丝线为佳。
制皂角法 选取坚硬细小不蛀蚀的为佳。在瓦上炙烤至颜色光明而脆为度，去掉两头，研成末，备用。
制百药煎法 五倍子一斤，研成末，细儿茶一两，酵头四两，先用水二碗，煎煮儿茶，取浓汁半碗，拌匀五倍子末，以及发酵物，放在盆内，盖住口，外面用粗糠上下四周盖紧，到六七日发起，就像面团一样了。收起做成饼，晒干研成末。（此方失去下一半制法，不全。）
制青梅法 用大青梅一斤打碎，加入明矾末半斤拌匀，置于阳城罐内，用火加热，直到矾干枯为度，取起，放在地上去除火气，备用。
开牙关法 如果喉症导致牙关紧闭无法张开，先用银针刺两手大拇指少商穴（大拇指内侧，离指甲韭菜叶宽处，按压酸痛者即是穴位，属肺经），出血，再用乌梅擦拭牙齿上下，然后用僵蚕、皂角末吹入鼻内，引起打喷嚏，嘴巴就张开了。这是不传之秘法。随即吹黄药三次，用青药善后调理。
蒲黄应当用生的，研磨细。罗筛筛过，取极细的黄末备用，如果粗而褐色者，不堪使用。
喉证煎药主方
大力子（君药，炒研，一钱） 连翘（君药，七分） 桔梗（一钱） 生甘草（三分） 银花（七分） 元参（八分） 黑山栀（七分） 黄芩（七分） 花粉（八分） 前胡（一钱） 薄荷（八分）
水煎服，如果发寒热，加荆芥、防风。头痛加煨石膏。胸闷加炒枳壳。如果郁热发作，加赤芍、川贝母。口渴加知母、麦冬。
舌证煎药主方
川黄连（君药，八分） 黑山栀（一钱） 犀角（七分） 生地（八分） 丹皮（八分） 赤芍（八分） 麦冬（八分） 生甘草（三分） 灯草心（二十根）
煎服，如果兼有唇口病变，加煨石膏八分，以泻脾火，因为环唇部位属脾。只有舌属心，所以专门主治泻心火。如果有郁热兼有痰，加川贝母七分，不拘于咽喉牙舌任何证候。凡是大便不通者，加炒枳壳、玄明粉各八分。
牙证煎药主方
黑山栀（君药，一钱） 玄参（君药，一钱） 丹皮 生地 黄柏 知母 酒白芍 地骨皮 车前子（各七分）
热甚加煨石膏八分，炒黑升麻七分。风邪加荆芥穗八分。虚证加熟地一钱，枸杞子七分。
如果有余毒，加连翘八分，黄连七分。如果是穿牙疔毒，则用消肿解毒的药剂，如紫花地丁、甘菊花之类。总之，牙齿是肾的外标，是骨之余。足阳明胃经的脉络，贯穿联络于齿上龈。手阳明大肠经的脉络，贯穿联络于齿下龈。在外感方面，属于这两条经络的风热，以及这两条经络受风寒停留而化热的情况居多。在内伤方面，属于肾热，也有肾虚的情况。
三十六证咽喉解毒汤
玄参 木通 淡竹叶 生地 生山栀（等分） 灯草心（二十根）
水煎，快要好时，加入生大黄四钱，朴硝二钱，水泡去渣，滚两三沸，温服。或者将朴硝冲服，更好。因为咽喉是毒证，这是解毒的方法。如果挟带风痰热毒攻心，言语狂妄，加三黄（黄连、黄芩、黄柏），并研朱砂、珍珠末服用。
凉药方 专门治疗喉癣、喉菌等证候。
薄荷（一钱，研） 制硝（八分） 制矾（八分） 百草霜（一分） 灯草灰（一分）
川贝母（一分，研） 生甘草（一分，研） 冰片（三厘）
先将硝、矾、百草霜研磨均匀后，加入灯草灰，再研磨，加入薄荷、贝母、甘草末，再研磨成末，后加入冰片研细，用上白蜜调成青灰色，时时含咽。如果重症多用黄药、凉药吹入。
疳药方
人中白（四钱） 生蒲黄（三钱，研） 灯草灰（一钱） 硼砂（三钱，临用拌入） 生甘草（二钱） 青梅制矾（五钱，初用多加，后用渐减） 薄荷（五钱） 黄柏（五钱）
此方失去上一半，制法不全。
芦荟消疳饮 凡是走马牙疳，其患多在痧痘后余毒未清，又兼杂证热甚而形成的。
如果牙龈腐烂，又臭又黑又腐，严重的牙龈脱落，龈窠也朽坏，不数日间，即穿腮破唇，成为不治之症。宜用此汤，外用人中白或冰硼散二药搽之，取去黑肉，内见红肉血流为吉。如果去除时顽肉不脱，腐肉渐开，肿胀外发，臭味不止，更兼身热不退，都是不治之症。凡是小儿走马牙疳，身热气粗，牙龈腐臭，以及穿腮破唇者，都必须服用。
芦荟 银柴胡 黄连 大力子 玄参 桔梗 山栀 石膏 薄荷（各五分） 羚羊角（三分） 淡竹叶（三分）
人中白散
人中白（二两） 儿茶（一两） 黄柏 薄荷 青黛（各六分） 冰片
共研细末，先用温水漱口后吹药，每日六七次，涎从外流者为吉，涎收入里者为毒，非常凶险。
制百药煎法 与前法互异，今并存之。
川五倍半斤打碎，煎数滚，入陈松萝茶四两，加大力子不拘分两，同煎，去渣再煎，用粉儿茶二两，百草霜二两，研末收。
治一切牙口疳
人中白（ ，六钱） 青黛（二钱） 冬桑叶（二钱） 浆梅条皮（三钱，带浆，隔锅烧成炭） 灯草灰（三钱） 冰片（一钱）
以上共研末吹之。
铁鞋散 治疗走马牙疳。黑枣一枚，去核，填入雄黄末，用盐搓麻线扎紧，外用湿纸包裹煨存性，研末搽之。
玄明醋 治疗喉中痰涎壅塞。玄明粉，用好淡米醋调和，灌搅吐痰。
[Background Information]
Book: Bao's Throat Condition Family Treasure (Bao Shi Hou Zheng Jia Bao)
Author: Bao Sanshu
Dynasty: Qing
Chapter: Attached Formulas (Fu Fang)
Category: Comprehensive
Qing Yao (Green Medicine) has the effects of eliminating phlegm, clearing heat, resolving toxicity, and dispelling wind. Its medicinal nature is mild and gentle. It does not act as swiftly as Huang Yao (Yellow Medicine) in reducing swelling and toxic qi, opening throat obstruction, and expelling phlegm and saliva, which are considered most miraculous and agile. However, Qing Yao is the primary and most essential medicine. Nevertheless, in the initial stage of throat conditions, Huang Yao should not be used in large quantities because its potency penetrates directly into the interior and is good at dispersing. If used excessively at the onset, it may overwhelm a mild condition, causing the medicine to mismatch with the disease pattern. Generally, when preparing Qing Yao, spring and summer seasons favor more Bohe (Menthae Haplocalycis Herba) and less Zhi Fan (Alumen Preparatum), resulting in a green color; autumn and winter seasons favor more Zhi Fan and less Bohe, resulting in a slightly white color. If one wishes to induce expectoration in throat conditions, adding a small amount of Zaojiao Mo (Gleditsiae Sinensis Fructus Powder) is permissible. Only in cases of Hou Yong (Throat Abscess) and Dan Ru E (Unilateral Tonsillitis) of mild severity can Qing Yao be used alone for efficacy. For other conditions, it must be combined with Huang Yao to achieve miraculous results. However, when using Qing and Huang medicines together, knowing the sequence and dosage is the most crucial principle.
Qing Yao Formula treats all throat, tongue, tonsillar, and throat abscess conditions.
Use 3 fen of Zhi Fan (Prepared Alum). First, prepare 5 li of Baicaoshuang (Soot from Cooking Pots), grind finely, add 5 li of Dengcaohui (Ash of Juncus Effusus), and grind again until it forms a tile-gray color. Then add 2 fen of Fengcao Mo (Powdered Glycyrrhizae Radix et Rhizoma) and 2 fen of Bohe (Menthae Haplocalycis Herba), grind finely, and finally add 5 li of Bingpian (Borneolum Syntheticum). This medicine must be prepared fresh for use; if kept for many days, it becomes ineffective. In rainy weather, it can be used for only one day. For blowing powder into the throat to induce expectoration, add Jiangcan (Bombyx Batryticatus) and Zaojiao Mo (Gleditsiae Sinensis Fructus Powder), each 3-4 li. However, Qing Yao is suitable for use alone only in mild cases of unilateral tonsillitis or throat abscess. For other conditions, it must be combined with Huang Yao.
Method for Preparing Alum (Zhi Fan Fa): Grind raw Mingfan (Alumen) into an extremely fine powder. Place it in a silver-lined pot, filling it halfway. Insert the pot into a furnace fueled by charcoal sticks. Melt using fire, stirring with copper chopsticks until no alum lumps remain. Then, add Gunxiao (Refined Potassium Nitrate) ground into fine powder, accounting for about one-fifth of the volume, followed by Baipengsha (White Borax) ground into powder, also one-fifth. Shortly after, gradually add the remaining alum powder. Wait until the alum is completely melted, then add a little more Gunxiao and Pengsha layer by layer until exhausted. Wait for the alum to cool; the surface will rise like a steamed bun. Remove from the furnace, cover the pot mouth with a new tile, and seal it. Take out a small amount of Niuhuang (Calculus Bovis), grind into powder, mix with 5-6 spoons of water, and sprinkle evenly over the alum. Return the pot to the fire to dry. Remove the pot and invert it on a clean surface lined with paper. Cover the inverted pot with a bowl. Leave for seven days and nights before retrieving and storing. The best quality is light and free of vertical cracks. Pay attention to the fire control: start slowly, but not too slowly, lest the alum hardens and fails to melt. After melting, use alternating strong and weak fire. If Gunxiao and Pengsha are added before the alum is fully melted, it will not fuse properly and will become solid with vertical cracks. Select a pot that has never held molten silver. Heat the pot on fire first, but do not place it directly on charcoal fire to avoid warm air entering the pot.
Method for Obtaining Baicaoshuang (Soot): Select soot near the bottom of the pot. Do not use soot from the center of the pot bottom or the rim. Gently scrape off the top layer, take the middle layer lightly for use, and do not use the layer touching the bottom.
Huang Yao Formula effectively reduces swelling and expels phlegm, treating all oral and tongue conditions.
Use 1 qian 8 fen of Zhi Gunxiao (Prepared Potassium Nitrate), 4 fen of Sheng Puhuang (Raw Polygoni Cernui Pollen) ground finely, 1 fen of Zhi Jiangcan (Prepared Bombyx Batryticatus) powder, and 1 qian 5 li of Zhi Zaojiao (Prepared Gleditsiae Sinensis Fructus) powder. Grind these ingredients uniformly until they form a pale goose-yellow color. Add 1 fen of Bingpian (Borneolum Syntheticum) and grind uniformly again. Bingpian must be ground finely and cleanly. This formula is specifically used for toxic conditions such as tooth biting, heavy tongue, and chuan ya ding (tooth-piercing carbuncle). For throat conditions, combine with Qing Yao. Adjust the dosage based on severity: add Niuhuang (Calculus Bovis) for severe cases; for throat conditions and Chan Hou Feng (Wind Entangling the Throat), add Jiangcan and Zaojiao powders; for other conditions, only Gunxiao and Huang Yao (likely referring to the base components or specific yellow herbs) are needed.
Method for Preparing Gunxiao (Potassium Nitrate): Select long, white, tooth-like, dense Gunxiao. For 1 jin of nitrate, use 8 bowls of water. Boil in a pot until reduced to 6 bowls. Remove and place in a wide-mouthed, pointed-bottom clay basin. Place three bamboo strips in a "pin" character shape inside the basin. Leave overnight; the nitrate will naturally crystallize. Lift the bamboo strips from the bottom, and the nitrate will rise. Prepare this in the twelfth lunar month for long-term storage. After the twelfth month, the taste becomes bland and nature neutral. Alternative method: Dip in warm water, blot dry with cotton paper, wrap in paper, and place in a stove hole for 5-6 days to remove moisture. When white as frost, it is ready. If urgent, unprocessed nitrate can be used.
Method for Preparing Jiangcan (Bombyx Batryticatus): Fine, straight bodies with small abdomens are male; coarse, curved bodies with large abdomens are female. Use males. Brush off dust and sand with a toothbrush. Roast slowly on a tile until sauce-colored. Break in half; the interior should have no connecting silk threads.
Method for Preparing Zaojiao (Gleditsiae Sinensis Fructus): Select hard, small, non-borer-infested pods. Roast on a tile until bright and crisp. Remove both ends and grind into powder.
Method for Preparing Baiyaojian (Ten Thousand Medication Decoction): Use 1 jin of Wubeizi (Galla Chinensis) ground into powder, 1 liang of Xi Ercha (Fine Child's Tea/Catechu), and 4 liang of Jiaotou (Ferment Starter). Boil 2 bowls of water with the tea, extract half a bowl of concentrated juice. Mix with Wubeizi powder and ferment starter. Place in a basin, cover the mouth, and insulate tightly with coarse rice husks on all sides. After 6-7 days, it rises like dough. Shape into cakes, sun-dry, and grind into powder. (The second half of this preparation method is lost and incomplete.)
Method for Preparing Qingmei (Green Plum): Crush 1 jin of large green plums. Mix with 0.5 jin of Mingfan (Alumen) powder. Place in a Yangcheng pot. Heat until the alum dries up. Remove and place on the ground to dissipate heat.
Method for Opening Jaw Lock (Kai Yaguan Fa): If throat conditions cause jaw lock, first prick the Shaoshang (LU11) acupoint on both thumbs with a silver needle (located on the radial side of the thumb, about the width of a leek leaf from the nail corner; tenderness indicates the point, belonging to the Lung Meridian). Allow bleeding. Then rub teeth upper and lower with Wu Mei (Mume Fructus). Blow Jiangcan and Zaojiao powder into the nose to induce sneezing, which opens the mouth. This is a secret method. Immediately blow Huang Yao powder three times, followed by Qing Yao for aftercare.
Puhuang (Polygoni Cernui Pollen) should be used raw and ground finely. Sieve through a mesh to obtain very fine yellow powder. Coarse, brownish powder is unsuitable.
Main Decoction for Throat Conditions:
Dali Zi (Armeniacae Semen Amarum, Sovereign, stir-fried and ground, 1 qian)
Lianqiao (Forsythiae Fructus, Sovereign, 7 fen)
Jiegeng (Platycodonis Radix, 1 qian)
Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma, 3 fen)
Yinhua (Lonicerae Japonicae Flos, 7 fen)
Yuanshen (Scrophulariae Radix, 8 fen)
Hei Shanzhi (Gardeniae Fructus charred, 7 fen)
Huangqin (Scutellariae Radix, 7 fen)
Huafen (Trichosanthis Radix, 8 fen)
Qianhu (Peucedani Radix, 1 qian)
Bohe (Menthae Haplocalycis Herba, 8 fen)
Decoct in water and drink. If chills and fever occur, add Jingjie (Schizonepetae Herba) and Fangfeng (Saposhnikoviae Radix). For headache, add Wei Shigao (Calcitum Prepared). For chest tightness, add Chao Zhike (Aurantii Fructus stir-fried). If depression-heat erupts, add Chishao (Paeoniae Radix Rubra) and Chuan Beimu (Fritillariae Cirrhosae Bulbus). For thirst, add Zhimu (Anemarrhenae Rhizoma) and Maidong (Ophiopogonis Radix).
Main Decoction for Tongue Conditions:
Chuan Huanglian (Coptidis Rhizoma, Sovereign, 8 fen)
Hei Shanzhi (Gardeniae Fructus charred, 1 qian)
Xijiao (Rhinocerotis Cornu - *Note: Substitute with Buffalo Horn/Niujiaojiao in modern practice*) (7 fen)
Sheng Didi (Rehmanniae Radix, 8 fen)
Danpi (Moutan Cortex, 8 fen)
Chishao (Paeoniae Radix Rubra, 8 fen)
Maidong (Ophiopogonis Radix, 8 fen)
Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma, 3 fen)
Dengcaoxin (Heart of Juncus Effusus, 20 roots)
Decoct and drink. If lip and mouth conditions coexist, add Wei Shigao (Calcitum Prepared) 8 fen to drain Spleen fire, as the area around the lips belongs to the Spleen. The tongue belongs to the Heart, so the focus is on draining Heart fire. If depression-heat with phlegm exists, add Chuan Beimu (Fritillariae Cirrhosae Bulbus) 7 fen, applicable to any throat, tooth, or tongue condition. For constipation, add Chao Zhike (Aurantii Fructus stir-fried) and Xuanmingfen (Mirabilite Prepared) 8 fen each.
Main Decoction for Tooth Conditions:
Hei Shanzhi (Gardeniae Fructus charred, Sovereign, 1 qian)
Xuanshen (Scrophulariae Radix, Sovereign, 1 qian)
Danpi (Moutan Cortex)
Sheng Didi (Rehmanniae Radix)
Huangbai (Phellodendri Cortex)
Zhimu (Anemarrhenae Rhizoma)
Jiu Baishao (Paeoniae Radix Alba processed with wine)
Digupi (Lycii Cortex)
Cheqianzi (Plantaginis Semen) (Each 7 fen)
For severe heat, add Wei Shigao (Calcitum Prepared) 8 fen and Chao Hei Shengma ( Cimicifugae Rhizoma stir-fried and charred) 7 fen. For wind, add Jingjie Sui (Schizonepetae Spica) 8 fen. For deficiency, add Shudi (Rehmanniae Radix Preparata) 1 qian and Gouqizi (Lycii Fructus) 7 fen.
For residual toxins, add Lianqiao (Forsythiae Fructus) 8 fen and Huanglian (Coptidis Rhizoma) 7 fen. For chuan ya ding (tooth-piercing carbuncle), use formulas for reducing swelling and resolving toxicity, such as Zihua Diding (Violaris Herba) and Ganjuhua (Chrysanthemi Flos). In summary, teeth are the exterior indicator of the Kidney and the remainder of bone. The Foot-Yangming Stomach Meridian passes through the upper gums. The Hand-Yangming Large Intestine Meridian passes through the lower gums. External infections usually involve wind-heat of these two meridians or cold-wind transforming into heat. Internal injuries involve Kidney heat or Kidney deficiency.
Thirty-Six Syndromes Throat Detoxifying Decoction:
Xuanshen (Scrophulariae Radix)
Mutong (Akebiae Caulis)
Danzhuye (Lophatheri Herba)
Sheng Didi (Rehmanniae Radix)
Sheng Shanzhi (Gardeniae Fructus) (Equal parts)
Dengcaoxin (Heart of Juncus Effusus) (20 roots)
Decoct in water. Near completion, add Sheng Dahuang (Rhei Radix et Rhizoma) 4 qian and Pu Xiao (Natrii Sulfas) 2 qian. Soak, strain, boil briefly, and drink warm. Alternatively, dissolve Pu Xiao and take orally, which is better. Since throat conditions are toxic, this is a detoxification method. If wind-phlegm-heat-toxin attacks the heart causing delirious speech, add San Huang (Three Yellows: Huanglian, Huangqin, Huangbo) and take with Zhu Sha (Cinnabaris) and Zhenzhu (Pearl) powders.
Cooling Medicine Formula: Specifically treats Hou Xuan (Throat Lichen) and Hou Jun (Throat Polyp/Mushroom).
Bohe (Menthae Haplocalycis Herba, 1 qian, ground)
Zhi Xiao (Prepared Potassium Nitrate, 8 fen)
Zhi Fan (Prepared Alum, 8 fen)
Baicaoshuang (Soot from Cooking Pots, 1 fen)
Dengcaohui (Ash of Juncus Effusus, 1 fen)
Chuan Beimu (Fritillariae Cirrhosae Bulbus, 1 fen, ground)
Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma, 1 fen, ground)
Bingpian (Borneolum Syntheticum, 3 li)
Grind Xiao, Fan, and Baicaoshuang uniformly. Add Dengcaohui and grind again. Add Bohe, Beimu, and Gancao powders and grind. Finally, add Bingpian and grind finely. Mix with high-quality white honey to form a blue-gray paste. Hold in mouth and swallow frequently. For severe cases, use more Huang Yao and Cooling Medicine blown into the throat.
Gan Disease Medicine Formula:
Renzhongbai (Urinae Humanis Depuratum, 4 qian)
Sheng Puhuang (Raw Polygoni Cernui Pollen, 3 qian, ground)
Dengcaohui (Ash of Juncus Effusus, 1 qian)
Pengsha (Borax, 3 qian, mix in just before use)
Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma, 2 qian)
Qingmei Zhi Fan (Green Plum Prepared Alum, 5 qian, use more initially, decrease later)
Bohe (Menthae Haplocalycis Herba, 5 qian)
Huangbai (Phellodendri Cortex, 5 qian)
(The first half of this formula is lost; preparation method is incomplete.)
Lu Hui Xiao Gan Yin (Aloe Vera Decoction for Resolving Gan Disease): Used for Zou Ma Ya Gan (Running Horse Dental Gangrene), often occurring after residual toxins from smallpox/measles are unclear, compounded by severe heat from mixed conditions.
If gums rot, smell foul, turn black and necrotic, and eventually fall off with socket decay, leading to cheek perforation and lip rupture within days, it is incurable. Use this decoction externally with Renzhongbai (Urinae Humanis Depuratum) or Bingpeng San (Borneol and Borax Powder) to apply. Removing black flesh to reveal red, bleeding flesh is auspicious. If stubborn flesh does not detach, necrosis spreads, swelling erupts outward, odor persists, and fever remains, it is incurable. All pediatric cases of Zou Ma Ya Gan with fever, rough breathing, rotten gums, and cheek/lip perforation must take this.
Ingredients: Lu Hui (Aloe), Yin Chai Hu (Stellariae Radix), Huang Lian (Coptidis Rhizoma), Da Li Zi (Armeniacae Semen Amarum), Xuan Shen (Scrophulariae Radix), Jie Geng (Platycodonis Radix), Shan Zhi (Gardeniae Fructus), Shi Gao (Calcitum), Bo He (Menthae Haplocalycis Herba) (Each 5 fen), Ling Yang Jiao (Capris Cornu) (3 fen), Dan Zhu Ye (Lophatheri Herba) (3 fen).
Ren Zhong Bai San (Human Centrifuge Ash Powder):
Ren Zhong Bai (Urinae Humanis Depuratum, 2 liang)
Er Cha (Catechu, 1 liang)
Huang Bai (Phellodendri Cortex)
Bo He (Menthae Haplocalycis Herba)
Qing Dai (Indici Folium) (Each 6 fen)
Bing Pian (Borneolum Syntheticum)
Grind all into fine powder. Rinse mouth with warm water before blowing powder into the affected area 6-7 times daily. Saliva flowing out is auspicious; saliva being drawn in indicates deep toxin and is ominous.
Method for Preparing Baiyaojian (Alternative Method): Different from the previous method, preserved here for reference.
Crush 0.5 jin of Chuan Wu Bei Zi (Galla Chinensis). Boil several times. Add 4 liang of Chen Song Luo Cha (Old Song Moss Tea). Add Da Li Zi (Armeniacae Semen Amarum) without fixed dosage. Decoct together, strain, and decoct again. Add Fen Er Cha (Powdered Catechu) 2 liang and Baicaoshuang (Soot) 2 liang. Grind into powder and store.
Treats All Oral and Dental Gan Disease:
Ren Zhong Bai (Urinae Humanis Depuratum, 6 qian)
Qing Dai (Indici Folium, 2 qian)
Dong Sang Ye (Mori Folium, 2 qian)
Jiang Mei Tiao Pi (Plum Twig Bark with pulp, 3 qian, carbonized over a pot)
Deng Cao Hui (Ash of Juncus Effusus, 3 qian)
Bing Pian (Borneolum Syntheticum, 1 qian)
Grind all into powder and blow into the affected area.
Tie Xie San (Iron Shoe Powder): Treats Zou Ma Ya Gan (Running Horse Dental Gangrene).
Take one black date, remove pit, fill with Xiong Huang (Realgar) powder. Tie tightly with salt-treated hemp thread. Wrap in wet paper and roast until charred internally (preserve nature). Grind into powder and apply.
Xuan Ming Cu (Mirabilite Vinegar): Treats phlegm-saliva obstruction in the throat.
Mix Xuan Ming Fen (Mirabilite) with good light rice vinegar. Administer to induce vomiting and expulsion of phlegm.
Wu Long San (Black Dragon Powder): Treats Chan Hou Feng (Wind Entangling the Throat).
Boil 7 strips of Ya Zao (Gleditsiae Sinensis Fructus) in 1 cup of water until reduced to 1/3. Add 3 drops of human milk. Take cold. Causes vomiting or diarrhea. Contraindicated in deficiency-type throat conditions.
Shen Pin San (Divine Quality Powder): Treats Hou Feng (Throat Wind) and Hou E (Throat Tonsils).
Ya Zao (Gleditsiae Sinensis Fructus)
Bai Fan (Alumen)
Huang Lian (Coptidis Rhizoma) (Equal parts)
Roast Zao and Lian together with Fan until dry. Grind into powder and blow into the throat. Allow phlegm to flow freely.