上 痈若葡萄形，少阴三焦积热成，舌
难伸缩鼻红涕，口难开合寒热增。
【注】此证又名悬痈，生于口中上 ，由心、肾经与三焦经积热而成。形若紫葡萄，舌
难伸缩，口难开合，鼻中时出红涕，令人寒热大作，宜黄连消毒饮加桔梗、元参服之，兼
吹冰硼散。或日久肿硬下垂，不溃者，以烧盐散日点三五次，兼服射干丸。过时失治，饮
食不入，烦躁神昏者逆。
烧盐散
食盐（火烧） 枯白矾（各等分）
二味研细，以箸头蘸点患上。
【方歌】烧盐散治上 痈，悬似葡萄色紫形，枯矾烧盐等分末，箸头蘸点消热壅。
射干丸
射干 川升麻 杏仁（去皮、尖，麸炒） 甘草（炙，各五钱） 木鳖子 川大黄（炒，各二钱）
上研细末，炼蜜和丸，如小弹子大。每用一丸，口中含化徐咽。
【方歌】射干丸疗悬痈患，热聚成形口开难，大黄升草木鳖杏，蜜丸弹状口中含。
黄连消毒饮（见头部百会疽）
冰硼散（见口部鹅口疮）
锁喉毒生因积热，外感风寒耳前结，外似瘰 渐攻喉，心与小肠听会穴。
【注】此证由心与小肠积热，外感风寒，凝结而成。初生于耳前听会穴，形如瘰 ，渐
攻咽喉，肿塞疼痛，妨碍饮食。证须速治，宜服牛黄清心丸开关解热，兼服清咽利膈汤，吹
冰硼散。投方应效，方能成功。
牛黄清心丸
九转胆星（一两） 雄黄 黄连末（各二钱） 茯神 元参 天竺黄 五倍子（末） 荆芥 防风
桔梗 犀角末 当归（各一钱） 冰片 麝香 珍珠（豆腐煮，各五分） 京牛黄 轻粉（各三分）
各研极细，共和一处，再研匀，甘草熬膏和丸，如龙眼大，朱砂为衣，日中晒干，收
入瓷瓶内，将瓶口堵严，勿令出气。临服时一丸，薄荷汤磨服。
【方歌】牛黄清心锁喉毒，茯轻冰麝参雄竺，珍倍荆防桔胆星，犀角归连热退速。
清咽利膈汤（见紧喉风）
冰硼散（见口部鹅口疮）
上痈（发生于颈前喉结部位的痈肿）若呈葡萄状，是由少阴经与三焦经积热所致，表现为舌头难以伸缩、鼻孔流出红色鼻涕、嘴巴难以开合且寒热症状加重。
【注】此证又名悬痈，生于口腔上部，由心经、肾经与三焦经积热而成。形状像紫葡萄，舌头难以伸缩，嘴巴难以开合，鼻中时常流出红色鼻涕，使人寒热大作，适宜服用黄连消毒饮加桔梗、玄参，并配合吹敷冰硼散。如果日久后肿胀坚硬下垂且不溃破，可用烧盐散每日点涂三至五次，并兼服射干丸。若过时失治，导致饮食无法进入，出现烦躁神志昏迷者，为逆证（预后不良）。
烧盐散
食盐（火烧处理）、枯白矾（各等分）
将两味药研成细末，用筷子头蘸取点涂患处。
【方歌】烧盐散治疗上痈，悬痈形状似葡萄且色紫，枯矾与烧盐等分为末，用筷子头蘸取点涂以消除热壅。
射干丸
射干、川升麻、杏仁（去皮、尖，麸炒）、甘草（炙，各五钱）、木鳖子、川大黄（炒，各二钱）
以上药材研成细末，用炼蜜调和制成丸剂，大小如小弹子。每次使用一丸，含于口中慢慢化开咽下。
【方歌】射干丸治疗悬痈患，热邪聚集成形导致口难开，大黄、升麻、木鳖子、杏仁，制成蜜丸如弹子状含于口中。
黄连消毒饮（参见头部百会疽章节）
冰硼散（参见口部鹅口疮章节）
锁喉毒产生因积热，外感风寒导致耳前结块，外表类似瘰疬逐渐攻向咽喉，病位涉及心经与小肠经的听会穴。
【注】此证由心与小肠积热，外感风寒，凝结而成。初起生于耳前听会穴，形状像瘰疬，逐渐攻向咽喉，导致肿胀堵塞疼痛，妨碍饮食。病症必须迅速治疗，适宜服用牛黄清心丸开关通窍解热，并兼服清咽利膈汤，吹敷冰硼散。投药后应见效，方能成功。
牛黄清心丸
九转胆星（一两）、雄黄、黄连末（各二钱）、茯神、玄参、天竺黄、五倍子（末）、荆芥、防风、桔梗、犀角末、当归（各一钱）、冰片、麝香、珍珠（豆腐煮，各五分）、京牛黄、轻粉（各三分）
各药研成极细粉末，混合一处再研匀，用甘草熬制的膏液和丸，大小如龙眼核，外用朱砂为衣，中午晒干，收入瓷瓶内，将瓶口堵严，勿使漏气。临服时取一丸，用薄荷汤磨化服用。
【方歌】牛黄清心丸治疗锁喉毒，茯神、轻粉、冰片、麝香、玄参、雄黄、天竺黄，珍珠、五倍子、荆芥、防风、桔梗、胆星，犀角、当归、黄连可使热退速愈。
Shang Yong (Carbuncle on the Upper Neck) presenting as a grape-like shape is caused by accumulated heat in the Shaoyin and Sanjiao meridians. Symptoms include difficulty in tongue extension and retraction, red nasal discharge, inability to open and close the mouth, and worsening of chills and fever.
[Note] This condition is also known as Xuan Yong (Hanging Carbuncle), occurring in the upper part of the oral cavity, resulting from accumulated heat in the Heart, Kidney, and Sanjiao meridians. It resembles a purple grape; the tongue is difficult to extend or retract, the mouth is difficult to open or close, red nasal discharge occurs frequently, and severe chills and fever arise. It is suitable to take Huanglian Xiaodu Yin (Coptis Decoction for Detoxification) with Jiegeng (Platycodon Root) and Yuanshen (Scrophularia Root), combined with blowing Bingpeng San (Borneol and Borax Powder) into the lesion. If the swelling becomes hard and hangs down after a long time without ulceration, use Shaoyan San (Burnt Salt Powder) applied three to five times daily, combined with taking Shegan Wan (Belamcanda Pill). If treatment is delayed, leading to inability to ingest food, restlessness, and coma, it is considered a adverse prognosis (Ni Zheng).
Shaoyan San (Burnt Salt Powder)
Yan Shi (Halitum, fire-treated) and Ku Baifan (Alumen Exsiccatum) in equal parts.
Grind the two ingredients into fine powder. Dip the tip of a chopstick into the powder and apply it to the affected area.
[Prescription Song] Shaoyan San treats Shang Yong, where Xuan Yong resembles a purple grape; Alumen exsiccatum and burnt salt are ground equally into powder, applied with a chopstick tip to dissipate heat obstruction.
Shegan Wan (Belamcanda Pill)
Shegan (Belamcandae Rhizoma), Chuan Shengma ( Cimicifugae Rhizoma), Xingren (Armeniacae Semen, skin and tip removed, stir-fried with bran), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried), each 5 qian; Muguzi (Mume Fructus), Chuan Dahuang (Rhei Radix et Rhizoma, stir-fried), each 2 qian.
Grind all ingredients into fine powder. Mix with refined honey to form pills the size of small marbles. Take one pill per dose, hold in the mouth until dissolved, and swallow slowly.
[Prescription Song] Shegan Wan treats Xuan Yong, where heat accumulation forms a mass making mouth opening difficult; Dahuang, Shengma, Muguzi, and Xingren are used, formed into honey pills the size of marbles to be held in the mouth.
Huanglian Xiaodu Yin (See "Baihui Ju" under Head Section)
Bingpeng San (See "E Kou Chuang" under Mouth Section)
Suo Hou Du (Lock-Throat Toxin) arises from accumulated heat, complicated by external contraction of wind-cold, forming a nodule in front of the ear. The exterior resembles Luo Li (scrofula) gradually attacking the throat. It involves the Tinghui acupoint of the Heart and Small Intestine meridians.
[Note] This condition results from accumulated heat in the Heart and Small Intestine, combined with external contraction of wind-cold, leading to condensation. It initially appears at the Tinghui acupoint in front of the ear, resembling Luo Li, and gradually attacks the throat, causing swelling, blockage, pain, and difficulty in eating. The condition requires rapid treatment. It is suitable to take Niuhuang Qingxin Wan (Calculus Bovis Clearing Heart Pill) to open orifices and clear heat, combined with taking Qingyan Lige Tang (Throat-Clearing and Diaphragm-Relieving Decoction) and blowing Bingpeng San into the lesion. If the prescription takes effect, success can be achieved.
Niuhuang Qingxin Wan (Calculus Bovis Clearing Heart Pill)
Jiu Zhuan Danxing (Arisaematis Cum Bile Rhizoma, nine-times processed), 1 liang; Xionghuang (Realgar), Huanglian Mo (Coptidis Rhizoma powder), each 2 qian; Fushen (Poria with Hostwood), Yuanshen (Scrophulariae Radix), Tianzhu Huang (Calamus Tuber), Wubeizi (Galae Chinensis), Jingjie (Schizonepetae Spica), Fangfeng (Saposhnikoviae Radix), Jiegeng (Platycodonis Radix), Xijiao Mo (Rhino Ceruos Cornu powder), Danggui (Angelicae Sinensis Radix), each 1 qian; Bingpian (Borneolum Syntheticum), Shexiang (Moschus), Zhenzhu (Pearl, boiled in tofu), each 5 fen; Jing Niuhuang (Calculus Bovis), Qingfen (Calomelas), each 3 fen.
Grind each ingredient to an extremely fine powder, mix thoroughly, and combine again. Use Gancao paste (prepared from Glycyrrhizae Radix et Rhizoma decoction) to bind into pills the size of longan seeds. Coat with Cinnabar (Zhusha). Dry in the sun at noon. Store in a porcelain bottle, sealing the mouth tightly to prevent air leakage. Before administration, take one pill, grind it with Mint Decoction (Bohe Tang), and drink.
[Prescription Song] Niuhuang Qingxin Wan treats Suo Hou Du; Fushen, Qingfen, Bingpian, Shexiang, Yuanshen, Xionghuang, Tianzhu Huang, Zhenzhu, Wubeizi, Jingjie, Fangfeng, Jiegeng, Danxing; Xijiao, Danggui, Huanglian quickly reduce heat.
Qingyan Lige Tang (See "Jin Hou Feng" under Throat Section)
Bingpeng San (See "E Kou Chuang" under Mouth Section)