僵蚕（二） 苦参（三） 研细末吹入三四次即肿消痛止
回生救苦上清丹 治咽喉十八种急症
僵蚕（一钱） 硝尖 硝尖 硼砂（各五分） 明矾 枯凡（各一分） 冰片（一分） 海HT 蛸（三分） 共
研极细末每用少许吹上吐去痰涎即愈
赤麟丹 治喉痹喉风喉蛾喉痈七十二症如神
明矾（二两） 好血竭（二钱） 巴豆仁（二十一粒） 硼砂（二钱） 冰片（一钱） 用倾元宝罐一个入明矾血
竭于罐内放巴豆仁于凡内炭火上 令烟尽冷定加硼砂冰片研细末收贮每用少许吹之
咽喉危症
野荞麦（春间初发红嘴形类海棠六七月间可长四五尺其叶茎颇似海棠节有红节叶大如掌） 每采鲜叶捣汁入醋一匙
以棉
或鸡羽蘸扫涎出即活
单双蛾皆标病也其患生于咽旁或单或双其咽门虽肿半塞半开其病虽凶而喉道又宽又肿虽重无妨宜金锁匙吐出痰涎
推荡积热经曰宜针烙
单双肉蛾可针即针有不可针者亦用吹药劫药吐去风痰以图捷效次服煎剂盖急症难于久待也
肿于咽喉两旁为双蛾易治肿于一边为单蛾难治如有恶寒表症用荆防败毒散散之不恶寒而无表症者惟有辛凉清利外
用鸡毛蘸米醋探喉中去尽痰涎复以鸡羽探吐之令着实咯破蛾中紫血即溃或用紫金锭磨下即安慎勿轻用刀针古方有巴豆油
染纸作捻子点火吹灭以烟熏鼻流涎牙关自开再用此搐患处即愈
有重轻者或日重夜轻治之尤易用山豆根桔梗各三钱甘草半夏各一钱治之一剂立愈症认得真对症用药则验
单蛾者其形图小如筋头生于咽喉关上或左或右双蛾则两边俱生也若生于关下为难治
左咽主吞咽右喉主出声咽门分两路其受病不同
双蛾风此症有两枚在喉间两边如豆大急将黄 汁蜜少许加元明粉漱出风痰吹冰片散
乳蛾有单双有连珍多因酒色郁结而发单轻双重初起一日痛二日红肿三日有形如细白星发寒热者凶四日势定治之四
五日可愈其症生于喉旁一边生者单蛾左右生者双蛾二白星上下相连如缠袋者连珠也
双单蛾汤水不下看头顶发内细有窠桃破出血即刻开关煎土牛膝根汁时时咽之吹金锁匙散冰硼散
治乳蛾先用碧丹五金丹一吹次用金丹二碧丹三仝吹出痰兼用煎剂左加犀角黄连右加赤芍药柴胡连珠兼用之大便闭
加元明粉大黄及吹药并用
乳蛾由肺经积热受风凝结而成生咽喉两旁状如蚕蛾有单有双双者轻单者重生于关前形多易见吹药易到手法易施故
易治生于关后难见形色吹药不到手法难施故难咽喉左畔虚阳上攻其肿微红名单乳蛾若肺气不舒外症手足厥冷痰涎自出
头重目昏急用 菜醋汁加元明粉灌之旋出痰涎吹药如厥重不省人事气欲绝者急以吴茱萸研烂醋调涂足心右畔虚阳上攻
其色微黄其症亦手足厥冷其形若蚕 故谓之乳蛾
阴虚双蛾之症用附子一钱盐水炒成片用一片含在口中立时有路可以用汤药矣后以八味地黄丸一两白汤送下立时而
愈
双蛾阴症最难治而最易治也不知其窍则最难知其法则最易予常为人治此症用附子一枚盐水煮取一片含口中而火势
立止然后以六味地黄丸大剂饮之不再发神方也附子或用蜜浸炙将一片含口中亦效一盐味一甜味皆可
有病双蛾者人以为热也喉门肿痛痰如锯泄不绝茶水一滴不能下咽岂非热症然而痛虽甚至早少轻喉虽肿舌必不燥痰
虽多必不黄而成块此乃假热之症也若以寒凉之药急救之下喉非不暂快少倾而热转甚人以为凉药之少也再加寒凉之品服
之更甚急须刺其少商穴出血少许喉门必有一线之路开矣急以附子一钱熟地一两山茱萸四钱茯苓五钱麦冬牛膝五味各三
钱煎服下喉一声响亮其火势热症立时消散盖少阴之火直如奔马凡人肾火大耗者元阳不能下藏盖无水以养火而火必上越
也日日冲上而咽喉口小不能任其出入乃结成肿痛状似双蛾实非双蛾也方中妙在附子辛热之药引龙雷之火下藏于窟宅夫
龙雷之火乃相火也喜水而不喜火故药中熟地萸肉之类纯是补阴之味使火有所归而不再沸此因其逆势而引导之也按喜水
而不喜火喜水者喜其真阴之水也而非寒凉之水不喜火者不喜邪热之火也而非辛热之火
凡人有咽喉忽作肿痛生双蛾者饮食不能下五日不食即死矣但此症实火易治而虚火难治实火世人已有妙方芩连之类
治之立消惟虚火乃肾火不藏于命门浮游于咽喉之间其症亦如实火惟夜重于日清晨反觉少轻若实火清晨反重夜间反轻实火
口燥舌干而开裂虚火口不甚渴舌滑而不裂也以此断之决不差错此种虚痛若亦以治实火之法治之是人已下井而又益之石也
故不特不可用寒凉并不可用发散盖虚火必须补也然徒补肾水虽
水能制火可以少差而火势太盛未易制伏又宜于水中补火则引火归原而火势顿除有消亡于倾刻矣方用引火汤主之一剂而
痰声静痛顿除肿亦尽消二剂全愈盖熟地萸肉五味之类纯是补肾水圣药茯苓山药又益精而利水助肉桂之下行元参以消在
上之浮火白芥子以消壅塞之痰上焦既宽而下焦又得肉桂之热则龙雷之火有不归根于命门者乎一剂便生真有鬼神莫测之
机又胜于八味地黄汤也倘喉肿闭塞勺水不能下咽虽有此神方将安施乎更有妙法用附子一个破故纸五钱各研末调如糊作
膏布摊如膏药贴足心中央烘之一时辰喉即宽而开一线路可以服药又不可不知此妙法也
阴蛾之症乃肾水亏乏火不能藏于下乃飞越于上而喉中关狭火不得直泄乃结成蛾似蛾而非蛾也早晨痛轻下午痛重至黄
昏而痛更甚得热则快得凉则加其症之重者滴水不能下喉若作外感阳症治误用山豆根芩连栀子之类则痛益益甚而关不开
有不尽命而死者也惟单补阴虚用引火归原之而痛顿失也治以化蛾汤主之此方大补肾之水不治蛾之痛壮水则火息引火则
痛消可收全功诚奇绝之法也
咽喉肿痛日轻夜重长成喉蛾宛如阳症但不甚痛喉咽自觉有一钱之干燥至饮水咽入稍快至水入腹而又不安吐痰如水
甚多将涎投入水中即化为水人以为喉痛生蛾投泻火之方不特不验反增其重亦有勺水不能入者何也盖属阴蛾也阴蛾则日
轻夜重阳蛾则日重夜轻此乃肾少阴肾水下无可藏之地直上炎于喉也治法宜大补肾水加入补火之味引火归原下热则上自
寒引火汤主之熟地三两巴戟天麦冬各一两茯苓五钱五味二钱水煎服一剂火下喉肿全消二剂全愈按此方以熟地为君大补
肾水麦冬五味重滋肺金金水相资子母有旁沱之沛水旺足以制火加入巴戟天之温又是补水之药则水火既济水趋下而火不
得不随之又加茯苓前导则水火同趋共安肾宫如琴瑟之和矣何必用桂附大热引火归原乎然桂附为引火归原之圣药胡弃不
用不知此症因水之不足而火沸腾今用大热虽引火于一时必耗水于日后所以只用巴戟天引火而又补水则肾无干燥之HT 喉
有清肃之益也
人有感冒风寒咽喉肿痛其势甚急变成双蛾者其症痰涎稠浊不时口渴索饮疼痛水不能入喉此阳火壅阻咽喉势若重而
病实轻也夫阳火太阳之火也膀胱之火也膀胱之火与肾火为表里膀胱火动肾火即来相助故直冲咽喉而脾肺胃之火亦复相
从上升于是借三经之痰涎尽阻塞于咽喉结成火毒而不可解治法似宜统治数经矣然其本实始于太阳泄膀胱之火则诸经之
火自安但咽喉地近于肺太阳既假道于肺肺经险要之地即狭路之战场也安有舍战场要地不解其围而先 其本国乎贵有兼
治之法也清燥汤桔梗元参花粉各三钱甘草二钱白芍五钱山豆根柴胡麻黄各一钱水煎服一剂喉宽二剂蛾尽消矣按此方散
太阳之邪者居四散各经之邪者居六尤加意于散肺邪者由近以及远也
人一时咽喉肿大作痛吐痰如涌口渴求水下喉少快已而又热索水喉成双蛾既大且赤其形宛如鸡冠此喉痹症即俗称缠喉
风也乃阴阳二火兼炽也一为少阳相火一为少阴君火今二火齐发其势更暴喉管细小火难遽泄遂遏抑其间初化肿而后成蛾也
蛾有二名双蛾单蛾也双蛾生二枚两相壅挤中间反留一线之隙可通茶水药食尚可下咽若单蛾则独形反塞住水谷之路往往有
勺水不能入者药物既不可咽又从何路以进药哉先用刺法一则刺少商等穴尚非快捷方式惟用刀直刺喉肿之处一分则喉肿必少消
可用吹药开之
吹药方 牙皂（烧灰） 胆凡 牛黄 冰片（各一分） 射香（三厘） 共为细末吹喉中必大吐痰而愈后用煎
剂名救喉汤
元参（一两） 麦冬（五钱） 花粉（三钱） 山豆根 甘草 射干（各一钱） 水煎服立效
若双蛾但刺少商穴不用刺喉法用此二方自效按元参为君是泻心肾君相之火佐以豆根射干花粉祛邪消痰则火
自归经咽喉之关隘整肃矣
双单蛾吹药方 火硝（一钱五分） 硼砂（五分） 雄黄（一分） 冰片（三厘） 共研细末吹入喉中吐出痰
涎或从鼻孔吹入亦可
吹喉方 人指甲（不拘多少） 明矾（三钱） 大蜘蛛（一个） 同入银罐内 研末加冰片一分吹之
塞鼻方 巴豆肉 细辛（等分） 研末用棉包好左蛾塞右边鼻孔右蛾塞左边鼻孔
喉蛾喉痹喉风并治发背疔疮 乌龙爪（即白花菜晒干） 研细末一钱加冰片三五厘研匀吹之如发背疔疮取叶捣
烂敷上即消
喉蛾兼治口疳 杉木皮（ 存性） 人中白 儿茶（各三钱） 珍珠 琥珀 甘石 青黛（各一钱） 冰片（六
分） 研细末吹喉疳喉蛾牙疳先用黄连甘草薄荷松萝茶各一钱煎水漱净再吹再看耳后左右如有红筋以针刺出血立愈
双单喉蛾喉癣喉痈肿痛吐咽不下命在须臾
凤凰衣 橄榄核（ 存性） 儿茶（各等分） 研细末吹喉疳喉蛾牙疳等症每一钱加冰片五厘吹之即效无比
乳蛾急症也此方甚效有力者宜预制以救人此方不费多钱慎毋轻视腊八日雄猪胆一个装入白矾末阴干之后研末再入
腊八日猪胆内如此三四次如遇患者用一二分吹之神效
奇方 青鱼胆（一个） 纳糯米（七粒） 悬避阴处四十九日收下单蛾用一粒双用二粒放舌下含之咽津
土牛膝捣取汁不时咽下煎取汁代茶最妙
僵蚕（二钱） 苦参（三钱） 研成细末，吹入咽喉三四次，即可消肿止痛。
回生救苦上清丹：治疗咽喉十八种急症。
配方：僵蚕（一钱）、硝尖、硼砂（各五分）、明矾、枯矾（各一分）、冰片（一分）、海螵蛸（三分）。共研成极细末，每次取少许吹入患处，吐出痰涎即可痊愈。
赤麟丹：治疗喉痹、喉风、喉蛾、喉痈等七十二种病症，效果如神。
配方：明矾（二两）、好血竭（二钱）、巴豆仁（二十一粒）、硼砂（二钱）、冰片（一钱）。准备一个元宝罐，将明矾和血放入罐内，把巴豆仁放在凡土炭火上烧，直到烟尽，冷却后加入硼砂和冰片，研成细末收存。每次取少许吹入患处。
咽喉危重症：
野荞麦（春季初开红花，形状类似海棠，六七月间可长四五尺高，其叶茎颇似海棠，节部有红色，叶片大如手掌）。每次采摘新鲜叶片捣汁，加入一匙醋，用棉花或鸡毛蘸取擦拭，引出涎液，患者即可存活。
单侧和双侧喉蛾都属于标病。病灶生于咽旁，或单侧或双侧。虽然咽门肿胀，但半塞半开；病情虽凶险，但喉道尚宽且肿，即使严重也无妨。宜用金锁匙散吐出痰涎，推荡积热。《内经》说：“适宜针刺烙法。”
对于单侧和双侧肉蛾，能针刺的就针刺；不能针刺的，也用吹药、劫药吐出风痰，以图快速见效，随后服用煎剂。因为急症难以久待。
肿胀在咽喉两旁为双蛾，容易治疗；肿胀在一边为单蛾，难治。如果有恶寒等表证，用荆防败毒散发散；如果不恶寒且无表证，只有用辛凉清利的方法。外用鸡毛蘸米醋探喉，去除尽痰涎，再用鸡毛探吐，令其用力咯破蛾中紫血，使其溃破。或者用紫金锭磨水服下，即可安宁。千万不要轻易用刀针。古方有用巴豆油染纸做成捻子，点火吹灭，用烟熏鼻，使涎液流出，牙关自开，再用此药搐入患处，即可痊愈。
病情有轻重之分，有的白天重晚上轻，治疗尤其容易。用山豆根、桔梗各三钱，甘草、半夏各一钱，治疗一剂即可立愈。病症辨认得准确，对症用药则有效。
单侧蛾，其形状细小如筋头，生于咽喉关上，或左或右；双侧蛾则是两边都生。如果生于关下，则难治。
左侧咽主吞咽，右侧喉主发声。咽门分两路，受病不同。
双蛾风：此症喉间两边各有两枚如豆大的肿块，急忙将黄芩汁加少许蜜，加元明粉漱口，吐出风痰，吹冰片散。
乳蛾有单双之分，有连珠状者。多因酒色郁结而发。单侧轻，双侧重。初起一日疼痛，二日红肿，三日有形如细白星，发寒热者凶险；四日势定，治疗之，四五日可愈。其症生于喉旁，一边生者为单蛾，左右生者为双蛾。两个白星上下相连如缠袋者，称为连珠。
双单蛾导致汤水不下，看头顶发内有细窠，桃破出血，即刻开关。煎土牛膝根汁，时时咽下，吹金锁匙散、冰硼散。
治疗乳蛾，先用碧丹、五金丹吹一次，次用金丹、碧丹按二比三比例同吹，吐出痰涎，兼用煎剂。左侧加犀角、黄连，右侧加赤芍药、柴胡。连珠型兼用之，大便闭结加元明粉、大黄及吹药并用。
乳蛾由肺经积热，受风凝结而成，生于咽喉两旁，状如蚕蛾，有单有双。双者轻，单者重。生于关前，形多易见，吹药易到，手法易施，故易治；生于关后，难见形色，吹药不到，手法难施，故难治。咽喉左畔虚阳上攻，其肿微红，名为单乳蛾。若肺气不舒，外症手足厥冷，痰涎自出，头重目昏，急忙用油菜醋汁加元明粉灌之，随即吐出痰涎，吹药。如果厥逆严重，不省人事，气欲绝者，急忙以吴茱萸研烂，醋调涂足心。右畔虚阳上攻，其色微黄，其症亦手足厥冷，其形若蚕，故谓之乳蛾。
阴虚双蛾之症，用附子一钱，盐水炒成片，用一片含在口中，立时有路可以用汤药矣。后用八味地黄丸一两，白开水送下，立时痊愈。
双蛾阴症最难治而最易治。不知道其窍则最难，知道其法则最易。我常为人治此症，用附子一枚，盐水煮，取一片含口中，火势立即停止，然后以六味地黄丸大剂饮之，不再复发，这是神方。附子或用蜜浸炙，将一片含口中也有效。一盐味一甜味皆可。
有病双蛾者，人以为热症。喉门肿痛，痰如锯泄不绝，茶水一滴不能下咽，岂非热症？然而痛虽甚，早少轻；喉虽肿，舌必不燥；痰虽多，必不黄而成块。此乃假热之症也。若以寒凉之药急救之下，喉非不暂快，少顷而热转甚。人以为凉药之少也，再加寒凉之品服之，更甚。急须刺其少商穴出血少许，喉门必有一线之路开矣。急以附子一钱、熟地一两、山茱萸四钱、茯苓五钱、麦冬、牛膝、五味子各三钱，煎服。下喉一声响亮，其火势热症立时消散。盖少阴之火直如奔马，凡人肾火大耗者，元阳不能下藏，盖无水以养火而火必上越也。日日冲上而咽喉口小，不能任其出入，乃结成肿痛，状似双蛾，实非双蛾也。方中妙在附子辛热之药，引龙雷之火下藏于窟宅。夫龙雷之火乃相火也，喜水而不喜火，故药中熟地、萸肉之类纯是补阴之味，使火有所归而不再沸。此因其逆势而引导之也。按喜水而不喜火，喜水者，喜其真阴之水也，而非寒凉之水；不喜火者，不喜邪热之火也，而非辛热之火。
凡人有咽喉忽作肿痛生双蛾者，饮食不能下，五日不食即死矣。但此症实火易治而虚火难治。实火世人已有妙方，芩连之类治之立消。惟虚火乃肾火不藏于命门，浮游于咽喉之间，其症亦如实火，惟夜重于日，清晨反觉少轻。若实火，清晨反重，夜间反轻。实火口燥舌干而开裂，虚火口不甚渴，舌滑而不裂也。以此断之，决不差错。此种虚痛若亦以治实火之法治之，是人已下井而又益之石也。故不特不可用寒凉，并不可用发散。盖虚火必须补也。然徒补肾水，虽水能制火可以少差，而火势太盛未易制伏。又宜于水中补火，则引火归原，而火势顿除，有消亡于倾刻矣。方用引火汤主之，一剂而痰声静，痛顿除，肿亦尽消，二剂全愈。盖熟地、萸肉、五味之类纯是补肾水圣药，茯苓、山药又益精而利水，助肉桂之下行，元参以消在上之浮火，白芥子以消壅塞之痰。上焦既宽，而下焦又得肉桂之热，则龙雷之火有不归根于命门者乎？一剂便生，真有鬼神莫测之机，又胜于八味地黄汤也。倘喉肿闭塞，勺水不能下咽，虽有此神方，将安施乎？更有妙法：用附子一个、破故纸五钱，各研末调如糊作膏，布摊如膏药，贴足心中央，烘之一时辰，喉即宽而开一线路，可以服药，又不可不知此妙法也。
阴蛾之症，乃肾水亏乏，火不能藏于下，乃飞越于上，而喉中关狭，火不得直泄，乃结成蛾，似蛾而非蛾也。早晨痛轻，下午痛重，至黄昏而痛更甚，得热则快，得凉则加。其症之重者，滴水不能下喉。若作外感阳症治，误用山豆根、芩连、栀子之类，则痛益甚而关不开，有不尽命而死者也。惟单补阴虚，用引火归原之法，而痛顿失也。治以化蛾汤主之。此方大补肾之水，不治蛾之痛，壮水则火息，引火则痛消，可收全功，诚奇绝之法也。
咽喉肿痛，日轻夜重，长成喉蛾，宛如阳症，但不甚痛。喉咽自觉有一钱之干燥，至饮水咽入稍快，至水入腹而又不安，吐痰如水，甚多，将涎投入水中即化为水。人以为喉痛生蛾，投泻火之方，不特不验，反增其重，亦有勺水不能入者。何也？盖属阴蛾也。阴蛾则日轻夜重，阳蛾则日重夜轻。此乃肾少阴肾水下无可藏之地，直上炎于喉也。治法宜大补肾水，加入补火之味，引火归原，下热则上自寒。引火汤主之：熟地三两，巴戟天、麦冬各一两，茯苓五钱，五味二钱，水煎服。一剂火下，喉肿全消，二剂全愈。按此方以熟地为君，大补肾水，麦冬、五味重滋肺金，金水相资，子母有旁沱之沛，水旺足以制火。加入巴戟天之温，又是补水之药，则水火既济，水趋下而火不得不随之。又加茯苓前导，则水火同趋共安肾宫，如琴瑟之和矣。何必用桂附大热引火归原乎？然桂附为引火归原之圣药，胡弃不用？不知此症因水之不足而火沸腾，今用大热，虽引火于一时，必耗水于日后。所以只用巴戟天引火而又补水，则肾无干燥之患，喉有清肃之益也。
人有感冒风寒，咽喉肿痛，其势甚急，变成双蛾者。其症痰涎稠浊，不时口渴索饮，疼痛水不能入喉。此阳火壅阻咽喉，势若重而病实轻也。夫阳火，太阳之火也，膀胱之火也。膀胱之火与肾火为表里，膀胱火动，肾火即来相助，故直冲咽喉，而脾肺胃之火亦复相从上升，于是借三经之痰涎，尽阻塞于咽喉，结成火毒而不可解。治法似宜统治数经矣。然其本实始于太阳，泄膀胱之火，则诸经之火自安。但咽喉地近于肺，太阳既假道于肺，肺经险要之地，即狭路之战场也。安有舍战场要地不解其围，先固其本国乎？贵有兼治之法也。清燥汤：桔梗、元参、花粉各三钱，甘草二钱，白芍五钱，山豆根、柴胡、麻黄各一钱，水煎服。一剂喉宽，二剂蛾尽消矣。按此方散太阳之邪者居四，散各经之邪者居六，尤加意于散肺邪者，由近以及远也。
人一时咽喉肿大作痛，吐痰如涌，口渴求水，下喉少快，已而又热索水，喉成双蛾，既大且赤，其形宛如鸡冠。此喉痹症，即俗称缠喉风也。乃阴阳二火兼炽也。一为少阳相火，一为少阴君火。今二火齐发，其势更暴，喉管细小，火难遽泄，遂遏抑其间，初化肿而后成蛾也。蛾有二名：双蛾、单蛾也。双蛾生二枚，两相壅挤，中间反留一线之隙，可通茶水药食，尚可下咽。若单蛾则独形，反塞住水谷之路，往往有勺水不能入者。药物既不可咽，又从何路以进药哉？先用刺法，一则刺少商等穴，尚非快捷方式。惟用刀直刺喉肿之处一分，则喉肿必少消，可用吹药开之。
吹药方：牙皂（烧灰）、胆矾、牛黄、冰片（各一分）、麝香（三厘），共为细末，吹喉中，必大吐痰而愈。后用煎剂，名救喉汤：元参（一两）、麦冬（五钱）、花粉（三钱）、山豆根、甘草、射干（各一钱），水煎服，立效。
若双蛾，但刺少商穴，不用刺喉法，用此二方自效。按元参为君，是泻心肾君相之火，佐以豆根、射干、花粉祛邪消痰，则火自归经，咽喉之关隘整肃矣。
双单蛾吹药方：火硝（一钱五分）、硼砂（五分）、雄黄（一分）、冰片（三厘），共研细末，吹入喉中，吐出痰涎，或从鼻孔吹入亦可。
吹喉方：人指甲（不拘多少）、明矾（三钱）、大蜘蛛（一个），同入银罐内，研末，加冰片一分，吹之。
塞鼻方：巴豆肉、细辛（等分），研末，用棉包好，左蛾塞右边鼻孔，右蛾塞左边鼻孔。
喉蛾、喉痹、喉风并治发背疔疮：乌龙爪（即白花菜晒干），研细末一钱，加冰片三五厘，研匀吹之。如发背疔疮，取叶捣烂敷上，即消。
喉蛾兼治口疳：杉木皮（煅存性）、人中白、儿茶（各三钱）、珍珠、琥珀、甘石、青黛（各一钱）、冰片（六分），研细末，吹喉疳、喉蛾、牙疳。先用黄连、甘草、薄荷、松萝茶各一钱，煎水漱净，再吹。再看耳后左右如有红筋，以针刺出血，立愈。
双单喉蛾、喉癣、喉痈肿痛，吐咽不下，命在须臾：凤凰衣、橄榄核（煅存性）、儿茶（各等分），研细末，吹喉疳、喉蛾、牙疳等症。每一钱加冰片五厘，吹之，即效无比。
乳蛾急症也，此方甚效，有力者宜预制以救人。此方不费多钱，慎毋轻视。腊八日雄猪胆一个，装入白矾末，阴干之后，研末，再入腊八日猪胆内，如此三四次。如遇患者，用一二分吹之，神效。
奇方：青鱼胆（一个），纳糯米（七粒），悬避阴处四十九日收之。单蛾用一粒，双用二粒，放舌下含之，咽津。
土牛膝捣取汁，不时咽下，煎取汁代茶，最妙。
Bombyx Batryticatus (Erjiang) and Sophora Flavescens Root (Sushen, 苦参) are ground into fine powder and insufflated into the throat three or four times to reduce swelling and stop pain.
Huisheng Jiuku Shangqing Dan: Treats eighteen types of acute throat emergencies.
Formula: Bombyx Batryticatus (Yijian, 僵蚕), Natrii Sulfas Crystallisatum (Xiaojing, 硝尖), Borax (Pingsha, 硼砂) (each five fen), Alum (Mingfan, 明矾), Calcined Alum (Kufan, 枯矾) (each one fen), Borneolum Syntheticum (Bingpian, 冰片) (one fen), Sepiae Endoconcha (Haipiao Xiao, 海螵蛸) (three fen). Grind all into an extremely fine powder. Use a small amount to insufflate into the affected area; expel phlegm and saliva for recovery.
Chilin Dan: Effectively treats seventy-two conditions including Pharyngitis (Houbi, 喉痹), Throat Wind (Houfeng, 喉风), Throat Moth (Hou'e, 喉蛾), and Throat Abscess (Houyong, 喉痈).
Formula: Alum (Mingfan, 明矾) (two liang), Sanguis Draconis (Xuejie, 血竭) (two qian), Semen Crotonis Tiglii (Badou Ren, 巴豆仁) (twenty-one grains), Borax (Pingsha, 硼砂) (two qian), Borneolum Syntheticum (Bingpian, 冰片) (one qian). Prepare a gold ingot-shaped jar. Place Alum and Sanguis Draconis in the jar. Place Semen Crotonis Tiglii on charcoal fire until smoke ceases. After cooling, add Borax and Borneolum Syntheticum, grind into fine powder, and store. Insufflate a small amount into the affected area as needed.
Critical Throat Conditions:
Fagopyrum Dibotrys Herb (Ye Qiaomai, 野荞麦): In early spring, it bears red flowers resembling Crabapple; by June-July, it grows four to five chi tall. Leaves and stems resemble Crabapple, with red nodes and palm-sized leaves. Fresh leaves are collected, crushed for juice, mixed with one spoonful of vinegar, and applied with cotton or chicken feathers to wipe out phlegm and saliva, saving the patient.
Unilateral and Bilateral Throat Moths are both exterior syndromes. Lesions occur beside the pharynx, either unilateral or bilateral. Although the glottis is swollen, it remains partially open. Though the condition appears severe, the airway is relatively wide, so even significant swelling is not fatal. It is appropriate to use Jin Suo Chi (Golden Lock Key) powder to expel phlegm and clear accumulated heat. As stated in the classics: "Acupuncture and cauterization are suitable."
For Unilateral and Bilateral Fleshy Moths, acupuncture should be used if possible. If not, insufflation medicines or drastic purgatives should be used to expel wind-phlegm for rapid effect, followed by decoctions, as acute conditions cannot wait.
Swelling on both sides of the throat is Bilateral Throat Moth (Shuang'e, 双蛾), which is easy to treat. Swelling on one side is Unilateral Throat Moth (Dan'e, 单蛾), which is difficult to treat. If accompanied by aversion to cold and exterior symptoms, use Jingfang Baidu San (Atractylodes and Saposhnikovia Decoction to Overcome Toxicity) to dissipate the exterior. If there is no aversion to cold or exterior symptoms, use acrid-cool methods to clear and benefit the throat. Externally, use chicken feathers dipped in rice vinegar to probe the throat, remove all phlegm, and induce vomiting. Force the patient to cough hard to rupture the purple blood within the moth, causing it to ulcerate. Alternatively, grind Zijin Ding (Purple Gold Pill) with water and swallow; peace will ensue. Do not lightly use knives or needles. Ancient formulas suggest using paper twisted with Croton oil, lighting it, blowing it out, and smoking the nose to induce salivation and relax the jaw. Then insufflate the medicine into the lesion for cure.
Conditions vary in severity; some are worse during the day and lighter at night, making them easier to treat. Use Radix Sophorae Tonkinensis (Shandougen, 山豆根) and Platycodonis Radix (Jiegeng, 桔梗) each three qian, Licorice Root (Gancao, 甘草) and Pinelliae Rhizoma Preparatum (Banxia, 半夏) each one qian. One dose brings immediate relief. Accurate diagnosis and targeted medication ensure efficacy.
Unilateral Moth: Small shape like a tendon head, located above the isthmus of the palate, left or right. Bilateral Moth occurs on both sides. If located below the isthmus, it is difficult to treat.
The left pharynx governs swallowing; the right larynx governs voice. The glottis has two pathways, and diseases differ by location.
Bilateral Moth with Wind: Two bean-sized masses appear on both sides of the throat. Immediately use Scutellariae Radix (Huangqin, 黄芩) juice with a little honey and Natrii Sulfas (Yuanmingfen, 元明粉) to gargle, expelling wind-phlegm, then insufflate Borneolum Syntheticum Powder (Bingpian San, 冰片散).
Tonsillar Moth (Rumei, 乳蛾): Can be unilateral or bilateral, sometimes connected like beads. Often caused by stagnation from alcohol and sexual excess. Unilateral is mild; bilateral is severe. Day 1: pain; Day 2: redness and swelling; Day 3: formation of white spots like fine stars; chills and fever indicate a critical prognosis. By Day 4, the condition stabilizes; treatment leads to recovery in 4-5 days. Lesions are beside the throat. Unilateral is Dan'e; bilateral is Shuang'e. Connected white spots are called Lianzhu (Connected Beads).
When Bilateral/Unilateral Moths prevent swallowing liquids, check the scalp hair for small pits. Break them to bleed, immediately opening the passage. Decoct Polygonum aviculare root juice (Tuniuxi Gen Zhi, 土牛膝根汁) and swallow frequently. Insufflate Jin Suo Chi San (Golden Lock Key Powder) and Bingpeng San (Borneol and Borax Powder).
To treat Tonsillar Moth: First insufflate Bidan (Green Pill) and Wujin Dan (Five Metals Pill). Then insufflate Jindan (Gold Pill) and Bidan in a 2:3 ratio. Expel phlegm and use decoctions. Add Rhinoceros Horn (Xijiao, 犀角) and Coptidis Rhizoma (Huanglian, 黄连) for the left side; add Red Peony Root (Chishaoyao, 赤芍药) and Bupleuri Radix (Chaihu, 柴胡) for the right side. For Connected Beads type, combine treatments. If constipated, add Natrii Sulfas (Yuanmingfen, 元明粉) and Rheum Palmatum (Dahuang, 大黄) along with insufflation.
Tonsillar Moth results from accumulated heat in the Lung Meridian combined with wind condensation. It appears beside the throat, resembling silkworm moths. Bilateral is milder; unilateral is heavier. Those anterior to the isthmus are visible, accessible to medicine, and easy to treat. Those posterior are hidden, inaccessible, and difficult to treat.
Left-side deficiency fire attacking upward causes slight redness, named Single Tonsillar Moth. If Lung Qi is constrained, presenting with cold limbs, spontaneous phlegm, heavy head, and dizziness, urgently administer Rapeseed Vinegar Juice (Youcai Cu Zhi, 油菜醋汁) with Natrii Sulfas (Yuanmingfen, 元明粉) to induce vomiting of phlegm. If severe collapse with loss of consciousness occurs, apply Fuzi (Prepared Aconite Root, 附子) paste mixed with vinegar to the sole of the foot. Right-side deficiency fire attack presents with yellowish color and cold limbs, resembling a silkworm, hence called Tonsillar Moth.
For Yin-deficiency Bilateral Moth: Use one qian of Fuzi (Prepared Aconite Root, 附子) stir-fried in salt water. Hold one piece in the mouth to create a pathway for decoctions. Then take eight liang of Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) with plain water for immediate recovery.
Yin-type Bilateral Moth is hardest to treat yet easiest once understood. I often treat this using one piece of Fuzi (Prepared Aconite Root, 附子) boiled in salt water, held in the mouth to stop the fire immediately, followed by large doses of Liuyun Dihuang Wan (Six-Ingredient Pill with Rehmannia) to prevent recurrence. This is a divine prescription. Honey-roasted Fuzi can also be held in the mouth. Both salty and sweet tastes are effective.
Patients with Bilateral Moth are often mistaken for having Heat Syndrome due to swelling, pain, profuse frothy sputum, and inability to swallow fluids. However, pain is lighter in the morning, tongue is not dry despite swelling, and sputum is not yellow or clotted. This is False Heat. Using cold herbs provides temporary relief but worsens heat later. Urgently prick Shaoshang (LU11, 少商) acupoint to bleed slightly to open a passage. Then decoct Fuzi (Prepared Aconite Root, 附子) one qian, Shudi (Prepared Rehmannia Root, 熟地) one liang, Cornus Officinalis Fruit (Shanzhuyu, 山茱萸) four qian, Poria (Fuling, 茯苓) five qian, Ophiopogon Tuber (Maidong, 麦冬), Achyranthes Root (Niuxi, 牛膝), and Schisandra Berry (Wuweizi, 五味) each three qian. Swallowing produces a loud sound, and the fire/heat dissipates instantly. This is because Shaoyin Fire rushes like a horse; when Kidney Fire is depleted, Yuan Yang cannot descend, leading to floating fire. The throat is too narrow to accommodate this rising fire, causing swelling resembling Bilateral Moth. The formula's brilliance lies in using acrid-hot Fuzi to guide Dragon-Lei Fire (Ministerial Fire, 相火) back to its residence. Ministerial Fire prefers Water (Yin) over Fire (Yang). Ingredients like Shudi and Shanzhuyu nourish Yin, giving the fire a home. This guides the counter-flowing fire. Note: "Prefers Water" means True Yin Water, not cold herbs; "Dislikes Fire" means Evil Heat Fire, not acrid-hot herbs.
Throat swelling with Bilateral Moth preventing eating for five days is fatal. Excess Fire is easy to treat with Huangqin (Scutellaria Root, 黄芩) and Huanglian (Coptis Rhizome, 黄连). Deficient Fire is harder; it is Kidney Fire floating between Mingmen and the throat. Symptoms mimic Excess Fire but are worse at night and lighter in the morning. Excess Fire is worse in the morning; Deficient Fire is not thirsty with a slippery, non-cracked tongue. Differentiate carefully. Treating Deficient Pain with Excess Fire methods is like adding stones to a well. Cold and dispersing herbs are contraindicated; tonification is required. Simply tonifying Kidney Water may not control strong fire. It is better to tonify Fire within Water to guide Fire back to its origin. Use Yinhuo Tang (Guide Fire Back to Source Decoction): One dose calms phlegm, stops pain, and reduces swelling; two doses cure. Shudi, Shanzhuyu, and Wuweizi tonify Kidney Water. Fuling and Shanyao benefit essence and drain dampness, assisting Rougui (Cinnamon Bark, 肉桂) to descend. Xuanshen (Scrophulariae Radix, 玄参) clears floating fire; Baijiez (White Mustard Seed, 白芥子) resolves obstructive phlegm. With the upper jiao cleared and lower jiao warmed by Rougui, Ministerial Fire returns to Mingmen. This is more effective than Liuwei Dihuang Wan. If the throat is completely blocked, this decoction cannot be swallowed. Alternative method: Grind Fuzi (Prepared Aconite Root, 附子) and Psoralea Fructus (Puguzhi, 破故纸) into paste, apply as a plaster to the center of the sole for one hour to open a passage for medication.
Yin Moth: Kidney Water deficiency allows Fire to fly upward. The throat isthmus is narrow, trapping Fire, forming a moth-like appearance. Pain is light in the morning, heavy in the afternoon/evening, relieved by heat, aggravated by cold. Severe cases cannot swallow water. Treating as Exterior Yang Syndrome with Shandougen (Sophora Root, 山豆根), Huanglian (Coptis, 黄连), or Zhizi (Gardenia Fruit, 栀子) worsens pain and obstruction, potentially causing death. Tonify Yin deficiency and guide Fire back to source using Huamei Tang (Transform Moth Decoction). This formula greatly tonifies Kidney Water. Strengthening Water extinguishes Fire; guiding Fire eliminates pain.
Throat swelling/pain lighter in day, heavier at night, resembling Yang Syndrome but less painful, with dryness and excessive watery phlegm that dissolves in water. This is Yin Moth. Yin Moth is lighter in day/heavier at night; Yang Moth is heavier in day/lighter at night. This is Shaoyin Kidney Water failing to hide, flaming upward. Treat by tonifying Kidney Water and adding Fire-tonifying herbs to guide Fire back to source. Use Yinhuo Tang (Guide Fire Back to Source Decoction): Shudi (Prepared Rehmannia Root, 熟地) three liang, Ejing Tian (Morinda Officinalis Root, 巴戟天) and Maidong (Ophiopogon Tuber, 麦冬) each one liang, Fuling (Poria, 茯苓) five qian, Wuweizi (Schisandra Berry, 五味) two qian. Decoct and drink. One dose lowers fire and reduces swelling; two doses cure. Shudi tonifies Kidney Water; Maidong and Wuweizi nourish Lung Metal. Metal and Water support each other. Ejing Tian warms and tonifies Water. Fuling guides Water downward. This harmonizes Water and Fire without needing Gui (Cinnamon Twig, 桂枝) or Fu (Aconite, 附子), which consume Water long-term. Ejing Tian guides Fire while tonifying Water, keeping the throat clear.
Wind-Cold invasion causing acute throat swelling and Bilateral Moth with thick phlegm, thirst, and inability to swallow indicates Yang Fire blocking the throat. This is superficially severe but actually mild. Taiyang Fire (Bladder Fire) and Kidney Fire are exterior-interior pairs. Bladder Fire agitation aids Kidney Fire, rushing to the throat, joined by Spleen/Lung/Stomach Fire and phlegm. Although treating multiple meridians seems necessary, the root is Taiyang. Draining Bladder Fire calms other meridians. However, the throat is near the Lung, a strategic battlefield. Simultaneous treatment is best. Qingzao Tang (Clear Dryness Decoction): Jiegeng (Platycodon Root, 桔梗), Xuanshen (Scrophularia Root, 玄参), and Fengmi (Trichosanthes Root, 花粉) each three qian, Gancao (Licorice, 甘草) two qian, Baishao (White Peony Root, 白芍) five qian, Shandougen (Sophora Root, 山豆根), Chaihu (Bupleurum Root, 柴胡), and Mahuang (Ephedra Stem, 麻黄) each one qian. Decoct. One dose widens the throat; two doses eliminate moths. This formula disperses Taiyang pathogenic factors (4 parts) and other meridians (6 parts), focusing on the Lung.
Sudden throat swelling/pain, surging phlegm, thirst, and Bilateral Moth resembling a rooster comb is Hou Bi (Pharyngitis), commonly known as Chanhou Feng (Wrapping Throat Wind). It involves simultaneous blazing of Shaoyang Ministerial Fire and Shaoyin Sovereign Fire. The narrow airway traps fire, causing initial swelling then moth formation. Bilateral Moths leave a gap allowing liquid intake. Unilateral Moths block the airway completely. Acupuncture alone is slow. Directly incise the swelling slightly to allow insufflation.
Insufflation Formula: Ya Zhao (Burned Toothpod Fruit, 牙皂), Dan Fan (Calculated Alum, 胆矾), Niuhuang (Calculus Bovis, 牛黄), Bingpian (Borneol, 冰片) each one fen, Shexiang (Musk, 麝香) three li. Grind fine, insufflate to expel phlegm. Follow with Jiuhou Tang (Save Throat Decoction): Xuanshen (Scrophularia Root, 玄参) one liang, Maidong (Ophiopogon Tuber, 麦冬) five qian, Fengmi (Trichosanthes Root, 花粉) three qian, Shandougen (Sophora Root, 山豆根), Gancao (Licorice, 甘草), and Yeganye (Belamcanda Rhizome, 射干) each one qian. Decoct for immediate effect.
For Bilateral Moth, prick Shaoshang (LU11, 少商) only, then use these formulas. Xuanshen clears Heart/Kidney Fire; Shandougen, Yeganye, and Fengmi dispel pathogens and resolve phlegm.
Bilateral/Unilateral Moth Insufflation: Huoxiao (Saltpeter, 火硝) one qian five fen, Pingsha (Borax, 硼砂) five fen, Xionghuang (Realgar, 雄黄) one fen, Bingpian (Borneol, 冰片) three li. Grind fine, insufflate into throat or nostrils.
Throat Insufflation: Human Nail (any amount), Mingfan (Alum, 明矾) three qian, Large Spider (one). Grind in silver jar with Bingpian (Borneol, 冰片) one fen.
Nasal Obstruction Formula: Badou Rou (Croton Flesh, 巴豆肉) and Xixin (Asarum Root, 细辛) equal parts. Grind, wrap in cotton. Left Moth: stuff right nostril. Right Moth: stuff left nostril.
Treats Throat Moth, Pharyngitis, Throat Wind, Carbuncles, and Boils: Wulongzhao (White Flower Vegetable, 乌龙爪) dried and ground one qian with Bingpian (Borneol, 冰片) three-five li. Insufflate. For carbuncles/boils, apply crushed leaves topically.
Treats Throat Moth and Mouth Ulcers: Shanmu Pi (Fir Bark, 杉木皮) calcined, Renzhongbai (Human Bone Ash, 人中白), Ercha (Terminalia Chebula Resin, 儿茶) each three qian, Zhenzhu (Pearl, 珍珠), Hupo (Amber, 琥珀), Ganshi (Calamine, 甘石), Qingdai (Indigo Naturalis, 青黛) each one qian, Bingpian (Borneol, 冰片) six fen. Grind fine, insufflate. Rinse mouth first with Huanglian (Coptis, 黄连), Gancao (Licorice, 甘草), Bohe (Mint, 薄荷), and Songluocha (Old Man's Beard Moss, 松萝茶). Prick red veins behind ears to bleed for cure.
Critical Throat Moth, Lichen Planus, Abscess with inability to swallow: Fenghuangyi (Silkworm Cocoon Membrane, 凤凰衣), Ganlan He (Olive Pit, 橄榄核) calcined, Ercha (Terminalia Chebula Resin, 儿茶) equal parts. Grind fine. For each qian, add Bingpian (Borneol, 冰片) five li. Insufflate for immense effect.
Urgent Tonsillar Moth Formula: Pig Gallbladder from Laba Festival, filled with Baijian (Alum, 白矾) powder, dried, ground, refilled, repeated 3-4 times. Insufflate one-two fen for divine effect.
Miracle Formula: Grass Carp Gallbladder (one) with seven glutinous rice grains, hung in shade for 49 days. Unilateral: one grain under tongue. Bilateral: two grains. Swallow saliva.
Polygonum aviculare (Tuniuxi, 土牛膝) juice swallowed frequently or brewed as tea is excellent.