哑瘴喉风。其症牙关不开口不能言也。治同紧喉。再用甘草汤漱。以解桐油之气。
弄舌喉风。亦哑不能言。但舌出。常以手拿是也。急刺少商穴。噙蟾酥丸。导桐油饯。吹金锁匙。服金蟾酥
毒丸。喉内如松子鱼鳞者。用大附子片。噙之咽之。喉内生疮如黄豆者。用乌药醋磨。 之漱之。
喉疖初生如梅核。吐之不出。咽之不下。久之渐上喉节之间。宜 金锁匙。服金蝉解毒丸。及四七汤。
喉瘤形如元眼。血丝相裹。由肺经受热所致。禁用针刀。宜益气疏风汤。吹黄连冰麝散。
锁喉毒生于听会之端。注于悬膺之侧。形如瘰 。妨碍饮食。由心经热积所致。宜清心牛黄丸。
婴儿感冒。风热攻逼咽喉。及痘疮蕴热上攻。咽喉肿痛。痰气不顺。咳嗽失音者。用
人参（五钱） 桔梗（蜜炙一两） 甘草（半生半熟三钱）
水煎服。
清咽解毒汤 治婴儿出痘咽喉痛者。首尾可服。
山豆根 麦冬（各一钱） 牛蒡子 玄参 桔梗（各七分） 防风（五分） 甘草
水煎服。
不分部位为随处可生也。以其不按穴次故另分之。
夫痈肿生于背外者。看俞穴。而内痈生于腹内者。则看募穴矣。宜各随募穴以分其经。如其穴隐隐痛
而不已。视其肉微起者痈也。肉不起者疽也。而本经之脉必满而实。
但疑似之间。以点阴胶法试之。（阴胶即久用甑中气垢也）用少许于口中。即知脏腑所起。直达至住处。
知痛足可医也。
雷公云。知疮所在。口点阴胶。或以生豆浆饮之。不嫌生气者。痈也。或将患人两手扶起过头。忽然胁下
吊痛过心者。痈也。再吐痰于水中。沉者是脓。痈也。
脉数身无热。内有痈也。浮紧在表。沉实在里。不浮不沉。知为在经。紧则主痛。脉紧而数。其脓未成。紧去
而数。其脓已成。又滑数实促者下之。芤迟虚弱者补之。长而缓者易治。为胃气盛也。短散结代。补而不
应者不治。
初起者。外兼灸法尤良。用独蒜切片三钱。浓安穴上灸之。三壮一易。以灸至不痛为率。其毒自消。若内
毒已溃者。及肝胆部位者。生于脐者。惟宜服药攻之。禁用针灸。
总治法 穴在心膈之分者。属上焦气分。宜神效栝蒌散之类。穴在腹肋之分者。属中下二焦气血之
分。宜薏苡仁汤之类。肚中肿起只一点。痛而不移者。肚痈也。会脓散。腹痛如锥手不可近。六脉洪数
者。阳 毒也。加味贵金汤。内痈已久。败脓腥秽。脐腹冷痛者。怀忠丹。心胸有孔。久不愈者漏也。补漏
丹。
哑瘴喉风。其症牙关不开口不能言也。治同紧喉。再用甘草汤漱。以解桐油之气。
哑瘴喉风（一种导致失音和咽喉肿痛的急症），其症状是牙关紧闭、张口困难且无法说话。治疗方法与紧喉风相同。再用甘草汤漱口，以解除桐油的气味。
弄舌喉风。亦哑不能言。但舌出。常以手拿是也。急刺少商穴。噙蟾酥丸。导桐油饯。吹金锁匙。服金蟾酥毒丸。喉内如松子鱼鳞者。用大附子片。噙之咽之。喉内生疮如黄豆者。用乌药醋磨。 之漱之。
弄舌喉风（表现为舌头伸出并常被手拨弄的喉风），同样失音不能说话，但特点是舌头伸出，患者常用手去拨弄它。紧急针刺少商穴。含服蟾酥丸。引导吐出桐油残渣。吹入金锁匙散。服用金蟾酥毒丸。如果喉内黏膜像松子或鱼鳞一样粗糙，用大片附子含在口中慢慢咽下津液。如果喉内生疮像黄豆大小，用乌药磨醋后用来漱口。
喉疖初生如梅核。吐之不出。咽之不下。久之渐上喉节之间。宜 金锁匙。服金蝉解毒丸。及四七汤。
喉疖（咽喉部的疔疮）初起时像梅核一样。想吐吐不出来，想咽咽不下去。时间久了逐渐向上发展到喉结部位。适宜吹入金锁匙散。服用金蝉解毒丸以及四七汤。
喉瘤形如元眼。血丝相裹。由肺经受热所致。禁用针刀。宜益气疏风汤。吹黄连冰麝散。
喉瘤（咽喉部的肿瘤样病变）形状像桂圆核，表面包裹着血丝。这是由于肺经受热所致。禁止使用针刀切割。适宜服用益气疏风汤。吹入黄连冰麝散。
锁喉毒生于听会之端。注于悬膺之侧。形如瘰 。妨碍饮食。由心经热积所致。宜清心牛黄丸。
锁喉毒（颈部严重的痈肿）生于听会穴附近。蔓延至悬膺穴侧面。形状像瘰疬（淋巴结结核）。妨碍饮食。这是由心经热邪积聚所致。适宜服用清心牛黄丸。
婴儿感冒。风热攻逼咽喉。及痘疮蕴热上攻。咽喉肿痛。痰气不顺。咳嗽失音者。用
人参（五钱） 桔梗（蜜炙一两） 甘草（半生半熟三钱）
水煎服。
清咽解毒汤 治婴儿出痘咽喉痛者。首尾可服。
山豆根 麦冬（各一钱） 牛蒡子 玄参 桔梗（各七分） 防风（五分） 甘草
水煎服。
婴儿感冒，风热邪气侵袭咽喉；或者痘疮（天花等出疹性疾病）蕴藏的热毒向上攻冲，导致咽喉肿痛、痰气不畅、咳嗽失音的，用人参（五钱）、桔梗（蜜炙一两）、甘草（一半生用一半炒熟三钱），加水煎煮服用。
清咽解毒汤：治疗婴儿出痘期间咽喉疼痛的，发病初期到后期均可服用。
方药组成：山豆根、麦冬（各一钱）、牛蒡子、玄参、桔梗（各七分）、防风（五分）、甘草，加水煎煮服用。
不分部位为随处可生也。以其不按穴次故另分之。
（这里指某些病症）不区分具体部位，是因为它们可以在任何地方生长。因为它们不按照特定的穴位次序分布，所以单独分类讨论。
夫痈肿生于背外者。看俞穴。而内痈生于腹内者。则看募穴矣。宜各随募穴以分其经。如其穴隐隐痛
而不已。视其肉微起者痈也。肉不起者疽也。而本经之脉必满而实。
但疑似之间。以点阴胶法试之。（阴胶即久用甑中气垢也）用少许于口中。即知脏腑所起。直达至住处。
知痛足可医也。
雷公云。知疮所在。口点阴胶。或以生豆浆饮之。不嫌生气者。痈也。或将患人两手扶起过头。忽然胁下
吊痛过心者。痈也。再吐痰于水中。沉者是脓。痈也。
脉数身无热。内有痈也。浮紧在表。沉实在里。不浮不沉。知为在经。紧则主痛。脉紧而数。其脓未成。紧去
而数。其脓已成。又滑数实促者下之。芤迟虚弱者补之。长而缓者易治。为胃气盛也。短散结代。补而不
应者不治。
初起者。外兼灸法尤良。用独蒜切片三钱。浓安穴上灸之。三壮一易。以灸至不痛为率。其毒自消。若内
毒已溃者。及肝胆部位者。生于脐者。惟宜服药攻之。禁用针灸。
总治法 穴在心膈之分者。属上焦气分。宜神效栝蒌散之类。穴在腹肋之分者。属中下二焦气血之
分。宜薏苡仁汤之类。肚中肿起只一点。痛而不移者。肚痈也。会脓散。腹痛如锥手不可近。六脉洪数
者。阳 毒也。加味贵金汤。内痈已久。败脓腥秽。脐腹冷痛者。怀忠丹。心胸有孔。久不愈者漏也。补漏
丹。
对于痈肿生在背部体表的，要看背部的俞穴；而内痈生在腹腔内部的，就要看腹部的募穴了。应当各自根据募穴来辨别所属的经脉。如果该穴位隐隐作痛且不止，观察皮肤微微隆起的，是痈；皮肤不隆起的，是疽。此时本经的脉象必然充满而坚实。
但在难以确定的情况下，可以用“点阴胶法”来测试。（阴胶就是长期蒸笼中积累的气垢）取少量放在口中，就能知道病源来自哪个脏腑，并能直达病灶所在。只要知道疼痛的具体位置，就足以进行治疗。
雷公说：知道疮疡的位置，用口点涂阴胶，或者喝生豆浆，如果不排斥这种“生气”（指具有活性的物质），则是痈。或者让患者双手举过头顶，突然胁下牵引疼痛穿过心脏部位的，是痈。再吐痰在水中，下沉的是脓，属于痈。
脉象数而身体没有发热的，说明体内有痈。脉浮紧表示病在体表，脉沉实表示病在体内，不浮不沉表示病在经脉。脉紧主要主痛证。脉紧而数，说明脓尚未形成；紧象消失而脉仍数，说明脓已经形成。如果脉象滑数实促，应用泻下法；如果脉象芤迟虚弱，应用补益法。脉象长而缓的容易治疗，因为胃气旺盛。脉象短散、结代，经过补益治疗后没有反应的，属于难治或不治之症。
疾病初起时，配合外用灸法效果特别好。用独头蒜切成三钱厚的片，厚敷在穴位上施灸。每灸三壮更换一次蒜片，以灸到患处不觉疼痛为标准，体内的毒邪自然消除。如果内部毒邪已经溃破，或者病变位于肝胆部位、生长在肚脐处的，只适宜服药攻逐，禁止使用针灸。
总体治疗方法：穴位在心胸膈膜区域的，属于上焦气分，适宜用神效栝蒌散之类的方剂。穴位在腹部肋部的，属于中下二焦气血分的病变，适宜用薏苡仁汤之类的方剂。肚子中间肿胀突起仅有一点，疼痛固定不移的，是肚痈，用会脓散。腹痛如针刺般剧烈、手不能触碰，六脉洪数的，是阳毒，用加味贵金汤。内痈日久，排出腐败脓液且气味腥臭，脐腹冷痛的，用怀忠丹。心胸部位有穿孔，长期不愈合的，是漏症，用补漏丹。
Ya Zhang Hou Feng (Mute Miasma Throat Wind). Its symptoms include lockjaw, inability to open the mouth, and aphonia. The treatment is the same as for Jin Hou Feng (Tight Throat Wind). Rinse with Gan Cao Tang (Licorice Decoction) to resolve the odor of Tong You (Camellia oil).
Nong She Hou Feng (Playing Tongue Throat Wind). It also presents with aphonia, but the distinguishing feature is the protrusion of the tongue, often manipulated by the patient's hand. Urgently puncture Shao Shang (LU-11). Hold Chan Su Wan (Toad Venom Pill) in the mouth. Guide out residual Tong You (Camellia oil). Blow in Jin Suo Chi (Golden Key Powder). Administer Jin Chan Su Du Wan (Golden Toad Venom Detoxification Pill). If the interior of the throat resembles pine nuts or fish scales, use a large slice of Fu Zi (Aconite Root), hold it in the mouth, and swallow the saliva. If sores like soybeans form in the throat, grind Wu Yao (Lindera Root) with vinegar and rinse with it.
Hou Ji (Throat Boil). Initially resembling a plum pit, it cannot be expectorated nor swallowed. Over time, it gradually ascends to the region of the laryngeal prominence. Apply Jin Suo Chi (Golden Key Powder). Administer Jin Chan Jie Du Wan (Golden Cicada Detoxification Pill) and Si Qi Tang (Four Seven Decoction).
Hou Liu (Throat Tumor). Resembling a longan seed, wrapped with blood vessels. Caused by heat in the Lung Meridian. Needles and knives are contraindicated. Administer Yi Qi Shu Feng Tang (Benefit Qi and Disperse Wind Decoction). Blow in Huang Lian Bing She San (Coptis, Borneol, and Musk Powder).
Suo Hou Du (Lock-Throat Toxicity). Arises at the end of Ting Hui (GB-2) and spreads to the side of Xuan Ying (Ren-22). Resembles Luo Li (Scrofula). Hinders eating and drinking. Caused by heat accumulation in the Heart Meridian. Administer Qing Xin Niu Huang Wan (Clear Heart and Calculus Bovis Pill).
Infants suffering from colds where wind-heat attacks the throat, or where heat from pox diseases (such as smallpox) accumulates and attacks upward, resulting in sore throat, swelling, obstructed phlegm and qi, cough, and aphonia, should be treated with: Ren Shen (Ginseng Root, 5 qian), Jie Geng (Platycodon Root, honey-fried, 1 liang), Gan Cao (Licorice Root, half raw half roasted, 3 qian). Decoct in water and administer.
Qing Yan Jie Du Tang (Clear Throat and Detoxify Decoction): Treats sore throat in infants during pox eruptions; can be used from onset to resolution.
Composition: Shan Dou Gen (Sophorae Tonkinensis Radix), Mai Dong (Ophiopogonis Tuber, each 1 qian), Niu Bang Zi (Arctii Fructus), Xuan Shen (Scrophulariae Radix), Jie Geng (Platycodon Root, each 7 fen), Fang Feng (Saposhnikoviae Radix, 5 fen), Gan Cao (Licorice Root). Decoct in water and administer.
"Indiscriminate location" means they can arise anywhere. They are classified separately because they do not follow specific acupoint sequences.
For carbuncles and swellings arising on the exterior of the back, observe the Shu (Transport) points. For internal carbuncles arising within the abdomen, observe the Mu (Alarm) points. One should differentiate the meridians according to these Mu points. If the point exhibits lingering dull pain, and the skin slightly elevates, it is a Yang abscess (Yong); if the skin does not elevate, it is a Yin ulcer (Ju). The pulse of the affected meridian will necessarily be full and excess.
In cases of doubt, test using the "Dian Yin Jiao Method" (Applying Yin Gum). (Yin Jiao refers to the carbonaceous residue accumulated inside a steamer over long periods). Place a small amount in the mouth; one can then identify the originating zang-fu organ and trace it to the lesion site. Knowing the precise location of pain is sufficient for treatment.
Lei Gong stated: To locate the sore, apply Yin Jiao orally, or drink raw soybean milk. If the patient does not reject this "vital energy," it is a Yang abscess (Yong). Alternatively, raise the patient's hands above their head; if sudden pulling pain radiates from the hypochondrium through the heart, it is a Yang abscess. Spit sputum into water; if it sinks, it contains pus, indicating a Yang abscess.
A rapid pulse without fever indicates an internal carbuncle. Floating and tight pulses indicate exterior conditions; deep and solid pulses indicate interior conditions; neither floating nor deep indicates involvement of the meridians. Tightness primarily indicates pain. A tight and rapid pulse suggests pus has not yet formed; if the tightness disappears while the pulse remains rapid, pus has formed. If the pulse is slippery, rapid, full, and hurried, apply purgation. If the pulse is hollow, slow, and weak, apply tonification. A long and moderate pulse is easy to treat, indicating robust Stomach Qi. A short, scattered, knotted, or intermittent pulse that does not respond to tonification is untreatable.
In the early stages, combining external moxibustion is highly effective. Use a three-qian thick slice of single-clove garlic placed thickly over the acupoint for moxibustion. Replace the garlic every three moxa cones. Continue until the area becomes insensitive to pain, which indicates the toxin has dissipated. If the internal toxin has already ulcerated, or if the lesion is located in the Liver/Gallbladder regions or at the umbilicus, only oral medication for attack/clearance is suitable; acupuncture and moxibustion are strictly contraindicated.
General Treatment Principles: Lesions in the chest/diaphragm region belong to the Upper Jiao Qi level; administer formulas such as Shen Gua Lou San (Divine Efficacy Trichosanthes Powder). Lesions in the abdominal/rib region belong to the Middle and Lower Jiao Qi-Blood levels; administer formulas such as Yi Yi Ren Tang (Coix Seed Decoction). A single swollen spot in the abdomen with fixed, unshifting pain is a Belly Carbuncle (Du Yong); use Hui Nong San (Meeting Pus Powder). Abdominal pain like needle insertion, intolerable to touch, with six pulses being flooding and rapid, indicates Yang Toxicity; use Jia Wei Gui Jin Tang (Modified Golden Precious Decoction). Internal carbuncles persisting for a long time with foul-smelling, putrid pus and cold pain in the umbilical/abdominal region require Huai Zhong Dan (Cherish Loyalty Pill). A perforation in the chest/heart region that fails to heal for a long time is a Fistula (Lou); use Bu Lou Dan (Tonify Fistula Pill).