乳蛾生喉间,状如乳头。一边生者,名单乳蛾,两边生者,名双乳蛾。以小刀点乳头
出
黑而少者难治。凡用刀针,血不止者,用广三七为细末,吹刀口上即止。凡使刀针,不可伤
蒂下及舌下根。切记。
舌衄出血不止,用六味汤加生地、麦冬、牛膝、玄参主之,并吹柳花散。
悬痈生于上 ,形如紫李。宜针破痈头,用甘草汤搅尽瘀血,吹服柳花散。
腮痈生腮下,绕喉壅肿。先用荠汁调玄明粉搅去其痰,再看其紫黑处,针去瘀血。其吹
服如前法。
喉疮,命门相火也。疮势灌脓,以银针挑破之,随用荆芥、甘草煎汤洗之。其吹服如前
法。
(牙痈 牙宣 牙痛)
走马牙疳,牙龈红肿,渐变紫黑臭秽,胃热也。牙痈,牙边肿痛,灌脓也。牙宣,牙根
尽肿,宣露于外也。吹以柳花散,兼服清胃散。牙痛,疗牙止痛散,兼服葛根汤。
喉瘤,生于喉旁,形如圆眼,血丝相裹。不可用刀针,宜吹麝香散,并服加味甘桔汤。
肺绝喉痹,凡喉痹日久,频服清降之药,以致痰涌声喑,或痰声如曳锯,此肺气将绝之
候也。法在难治,宜用独参汤,或兼进八味汤,或兼用十全大补汤。早服者,可救十中之一
二。
乳蛾生于咽喉之间,形状像乳头。单侧发生的,称为单乳蛾;双侧发生的,称为双乳蛾。用小刀刺破乳头状突起,若流出黑色且量少者,难以治愈。凡是使用刀针治疗,如果出血不止,可用广三七研成细末,吹敷于刀口上即可止血。凡是用刀针操作时,不可损伤喉蒂下方及舌根底部。务必牢记。
舌衄(舌部出血)出血不止,用六味汤加入生地黄、麦冬、牛膝、玄参来主治,并吹敷柳花散。
悬痈生于上颚部位,形状像紫色的李子。适宜针刺破脓头,用甘草汤搅动吸尽瘀血,然后吹服柳花散。
腮痈生于腮下,环绕喉咙壅塞肿胀。先用荠菜汁调和玄明粉搅去其痰液,再看其紫黑色的部位,针刺排出瘀血。其吹敷和服用方法如前所述。
喉疮,是由命门相火引起的。疮势化脓,用银针挑破它,随即用荆芥、甘草煎汤清洗患处。其吹敷和服用方法如前所述。
(牙痈 牙宣 牙痛)
走马牙疳,牙龈红肿,逐渐变为紫黑且有恶臭,这是胃热所致。牙痈,牙边肿痛,化脓。牙宣,牙根全部肿胀,暴露于外。吹敷柳花散,兼服清胃散。牙痛,使用疗牙止痛散,兼服葛根汤。
喉瘤,生于喉旁,形状像桂圆肉,有血丝包裹。不可用刀针切割,适宜吹敷麝香散,并服用加味甘桔汤。
茧唇,嘴唇上起泡像蚕茧,初起时即用小小的艾炷灸治,贴敷万金膏。
肺绝喉痹,凡是喉痹日久,频繁服用清热降逆的药物,导致痰涌声哑,或者痰声像拉锯一样,这是肺气将绝的征候。治疗方法属于难治范畴,适宜用独参汤,或兼进八味汤,或兼用十全大补汤。早期服用者,可挽救十分之一二。
Ruan E (Tonsillar Abscess) occurs in the throat, resembling a nipple. Those occurring on one side are called Dan Ruan E (Unilateral Tonsillar Abscess), and those on both sides are called Shuang Ruan E (Bilateral Tonsillar Abscess). Using a small knife to puncture the nipple-like protrusion: if black discharge is scanty, it is difficult to treat. Whenever using knives or needles, if bleeding does not stop, apply finely powdered Guang Sanqi (Notoginseng Radix) to the wound to stop bleeding immediately. When using knives or needles, do not damage the base of the tonsil (Di Xia) or the root of the tongue. Remember this well.
For She Nu (Tongue Hemorrhage) with continuous bleeding, treat primarily with Liu Wei Tang (Six-Ingredient Decoction) added with Sheng Di Huang (Rehmanniae Radix), Mai Dong (Ophiopogonis Radix), Niu Xi (Achyranthis Bidentatae Radix), and Xuan Shen (Scrophulariae Radix), and simultaneously insufflate Liu Hua San (Willow Flower Powder).
Xuan Yong (Palatal Abscess) occurs in the upper palate, resembling a purple plum. It is appropriate to puncture the abscess head with a needle, use Gan Cao Tang (Licorice Decoction) to swish out all stasis blood, and then insuffilate/administer Liu Hua San.
Sai Yong (Parotid Abscess) occurs below the cheek, causing swelling and congestion around the throat. First, mix Qi Zhi (Shepherd's Purse Juice) with Xuan Ming Fen (Mirabilite) to stir away phlegm; then examine the purplish-black areas and puncture to drain stasis blood. The method of insufflation and administration is as described above.
Hou Chuang (Throat Ulcer) is caused by Ming Men Xiang Huo (Ministerial Fire from the Gate of Life). When the ulcer suppurates, puncture it with a silver needle, then wash the area with a decoction of Jing Jie (Schizonepetae Herba) and Gan Cao (Licorice Root). The method of insufflation and administration is as described above.
(Ya Yong, Ya Xuan, Ya Tong)
Zou Ma Ya Gang (Gangrenous Stomatitis) presents with redness and swelling of the gums, gradually turning purplish-black and foul-smelling, indicating Wei Re (Stomach Heat). Ya Yong (Dental Abscess) involves pain and swelling at the gum margin with suppuration. Ya Xuan (Periodontal Disease/Alveolar Pyorrhea) involves complete swelling of the gum roots, exposing them externally. Insufflate Liu Hua San and concurrently administer Qing Wei San (Clear Stomach Powder). For Ya Tong (Toothache), use Liao Ya Zhi Tong San (Pain-Relieving Powder for Teeth) and concurrently administer Ge Gen Tang (Kudzu Root Decoction).
Hou Liu (Throat Tumor) occurs beside the throat, resembling a longan fruit, wrapped in blood vessels. Do not use knives or needles; instead, insufflate She Xiang San (Musk Powder) and administer Jia Wei Gan Jie Tang (Modified Licorice and Platycodon Decoction).
Jian Chun (Callus Lip) presents with blisters on the lips resembling cocoons. At the initial stage, moxibustion with small moxa cones should be applied, followed by the application of Wan Jin Gao (Ten-Thousand-Gold Ointment).
Fei Jue Hou Bi (Lung Exhaustion with Throat Obstruction): In cases of chronic Hou Bi (Throat Obstruction), frequent use of cooling and descending medicines leads to surging phlegm, hoarseness, or rattling sounds like sawing wood. This indicates that Lung Qi is about to perish. This condition is difficult to treat. It is appropriate to use Du Shen Tang (Single Ginseng Decoction), or concurrently administer Ba Wei Tang (Eight-Ingredient Decoction), or concurrently use Shi Quan Da Bu Tang (Complete Great Tonifying Decoction). If administered early, one or two out of ten cases may be saved.
Ren Shen (Ginseng Radix et Rhizoma), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Fu Ling (Poria), Zhi Gan Cao (Prepared Licorice Root, each 1 qian), Da Zao (Jujubae Fructus, 2 pieces), Sheng Jiang (Zingiberis Rhizoma Recens, 1 slice).
Decoct in water and take orally.