喉症生于方寸间,死生呼吸最危巅,其症杂繁难
枚举,总归热火相连煎,一阴一阳为喉痹,火为痰本寒相连。更须详辨分虚实,二火相搏过食愆,热毒积
久发喉痹,胸膈不利脉洪弦。口渴喉闭风痰壅,治法将痰去为先,后用清凉消热毒,斯无偏胜症斯痊。虚火
缘皆酒色过,火痰上壅口如烟,二脉如常作细弱,治宜降火滋阴先。忌用寒凉徒取效,中寒后起症难痊,
上喘下泄胸高肿,指甲青黑死何言。凡治症者先发汗,针砭出血非万全。
喉症属痰属风火,乳蛾等症总因之,去风消痰解热毒,更开郁结愈堪期。若然初发寒战起,发后身凉即便安,口无
重舌唇不裂,切勿误将热药施。盖缘阴气虚寒发,其身津液化痰兮,慎勿将痰多去尽,恐竭精神必致危。先以吹药通喉
胀,散风和解莫煎迟,次服温补滋阴剂,虚寒治法只如斯。三日后再发寒战,心寒胁痛命如丝,发时口碎闭失紧,重舌
便难热症知,治用石膏败毒散,症虽险凶易痊除。惟有牙关不紧闭,严如无急反稀奇,舌肿胡桃如茄子,服如却热总非
宜,以箸按舌见白色,起箸见紫死无疑,喘咳痰稠颈俱赤,口臭色黑命难全,口舌腐烂如无血,更有无痰总莫宜。
喉症三日未成脓,内药消散易收功,五日之后形症定,口疳之药可吹咙,再加龙骨珍珠末,自然全愈得轻松。伤寒
之后喉生痹,及患连珠蛾者凶,喉症便闭有实火,解实降火将便通。大凡初起大便闭,生军芒硝有奇功,倘若延之八九
日,大便虽闭胃虚空,如用硝黄宜斟酌,或用蜜导妙无穷。喉碎先吹生肌散,后吹金玉二丹从,初起碧多金丹少,次第
加减莫朦胧,势凶但用金丹药,追出顽疾法最良。红肿连胸肺痈症,百草霜加蜜化熔,喉中无形仅红肿,加入元丹余药
同。妇人经闭生喉症,药服通经法可宗,面起浮肿脉沉细,无阳之症死期逢。口碎肿烂棉蘸水,拭之不痛命当终。舌胀
满口难吹药,僵蚕牙皂吹鼻中。牙关自开痰涎出,甘草汤润舌色红。口疳药内加冰片,频吹可免殒其穷,症凶玉丹初起
用,冰多草少记于胸。
咽喉病症发生在口底方寸之间,生死往往在呼吸之间,最为危急。其症状繁杂难以一一列举,总归都与火热邪气相连煎熬有关。一阴一阳失调导致喉痹,火是痰的根本,寒邪与之相连。更须详细辨别虚实之分,二火相搏且因饮食过错所致,热毒积聚日久引发喉痹,胸膈部感觉不畅,脉象洪大或弦紧。口渴、喉闭、风痰壅盛者,治疗应先将痰去除为先,随后用清凉药物消除热毒,这样就不会出现偏胜之症,疾病得以痊愈。虚火多因酒色过度引起,火痰上壅致使口腔如烟雾缭绕,若两手脉象如常但表现为细弱,治疗宜先降火滋阴。切忌使用寒凉药物徒求一时之效,否则会导致中焦受寒,后续病症难以治愈。若出现上喘下泄、胸部高肿、指甲青黑,则属死证,无可言说。凡治疗此类病症,应先发汗,针刺放血并非万全之策。
咽喉病症属于痰、风、火所致,乳蛾等病症总由此引起,去风、消痰、解热毒,并开通郁结,方可期待痊愈。如果初起时有寒战,发汗后身体凉爽便立即安宁,口中无重舌、嘴唇不裂,切勿误用热药。这是因为阴气虚寒所致,体内津液化为痰涎,谨慎不要将痰过多清除殆尽,恐怕耗竭精神必致危险。先用吹药疏通喉部胀满,疏散风邪和解表里,不要延迟煎药,随后服用温补滋阴的药剂,虚寒的治疗方法大致如此。三天后再发寒战,伴有心寒胁痛,生命垂危如丝线般微弱,发作时口腔溃烂紧闭失神,重舌难出,可知为热症,治疗使用石膏败毒散,病症虽然险恶凶险,但也容易痊愈。只有牙关不紧闭,病情看似严重实则不急反而稀奇,舌头肿胀像胡桃或茄子,服用清热药物总是不适宜,用筷子按压舌头见白色,抬起筷子见紫色,死亡无疑,气喘咳嗽、痰液粘稠、颈部全部发红,口臭面色黑,命难保全,口舌腐烂如无血色,更有无痰的情况,总归都不适宜治疗。
咽喉病症三天未成脓,内服药物消散容易收功,五日之后形态症状确定,可将治口疳的药物吹入喉咙,再加龙骨珍珠末,自然完全痊愈感到轻松。伤寒之后咽喉生痹,以及患连珠蛾者凶险,咽喉病症伴随便秘有实火,需解除实火并将大便通利。大凡初起大便闭塞,生大黄、芒硝有奇效,倘若拖延至八九日,大便虽闭但胃气已虚空,如果使用硝黄宜斟酌考虑,或者用蜜导法妙处无穷。喉部溃烂先吹生肌散,后吹金玉二丹,初起碧玄金丹用量多,玉真金丹用量少,次第加减不要模糊,病势凶险但只用金丹药,追出顽疾方法最好。红肿连及胸部疑似肺痈症,百草霜加蜂蜜熔化,喉中无形仅红肿,加入元丹及其他药物同用。妇人经闭引发咽喉病症,服药通经的方法可遵循,面部浮肿脉象沉细,无阳之症死期将至。口腔溃烂肿胀,用棉花蘸水擦拭,拭之不痛则命当终结。舌头肿胀充满口腔难以吹药,可用僵蚕、牙皂吹入鼻中。牙关自开痰涎流出,甘草汤润舌色红。口疳药内加冰片,频繁吹入可避免死亡绝境,症情凶险玉真金丹初起时使用,冰片多草乌少记在心中。
Throat diseases occur in the square-inch area of the mouth floor, where life and death hang by a breath, making them extremely critical. The symptoms are complex and difficult to list exhaustively, but they generally relate to the scorching connection with fire-heat pathogens. An imbalance of Yin and Yang leads to Hou Bi (Sore Throat/Obstruction), where Fire is the root of Phlegm, connected with Cold. One must carefully distinguish between deficiency and excess; the interaction of two Fires combined with dietary errors causes Heat-Toxin to accumulate over time, triggering Hou Bi, accompanied by chest and diaphragm discomfort and a洪 (Surging) or 弦 (Wiry) pulse. For cases involving thirst, throat closure, and wind-phlegm obstruction, treatment should first remove phlegm, followed by cooling agents to eliminate heat-toxins, ensuring no pathogenic dominance remains and the disease resolves. Deficient Fire often stems from excessive alcohol and sexual activity, causing fire-phlegm to obstruct upward, making the mouth feel smoky. If pulses are normal yet appear fine and weak, treatment should prioritize descending fire and nourishing Yin. Avoid using cold-cooling medicines merely for temporary effect, as this may cause middle-jiao cold, making subsequent symptoms hard to cure. Symptoms such as upper panting, lower diarrhea, high chest swelling, and cyanotic black nails indicate a fatal condition. Generally, treatment should begin with inducing sweating; acupuncture bleeding is not a comprehensive solution.
Throat diseases belong to Phlegm, Wind, and Fire, giving rise to conditions like Ru E (Tonsillar Hypertrophy). Removing Wind, resolving Phlegm, clearing Heat-Toxins, and opening stagnation can lead to recovery. If chills occur at onset, relief follows when the body cools after sweating, provided there is no double tongue or cracked lips; do not mistakenly apply hot medicines. This arises from deficient Yin and Cold, where body fluids transform into phlegm; be cautious not to drain all phlegm, lest spirit be exhausted leading to danger. First, use insufflation medicine to relieve throat distension, disperse Wind and harmonize without delaying decoction, then administer warming tonics and Yin-nourishing agents; this is the method for deficient-cold. If chills recur after three days, accompanied by heart cold, hypochondriac pain, and a fragile life thread, with oral sores and tight closure indicating double tongue, it is known as a heat syndrome; treat with Shigao Baidu San (Gypsum Toxin-Resolving Powder). Although dangerous, it is easily cured. Only if the jaw is not tightly closed, appearing severe but actually not urgent, is it rare. Tongue swelling like a walnut or eggplant makes heat-clearing medicines unsuitable; pressing the tongue reveals white, lifting reveals purple, indicating certain death. Panting, coughing, thick phlegm, red neck, bad breath, black complexion, and bloodless oral ulcers with no phlegm are all unsuitable for treatment.
If throat disease does not suppurate within three days, internal medication to dissipate it is effective. After five days, when signs stabilize, mouth-caner medicines can be insufflated into the throat, adding Longgu (Fossilized Bones) and Zhenzhu (Pearl) powder for complete recovery. Sore throat following Shanghan (Cold Damage) or Lianzhu E (String-of-Pearls Tonsillitis) is ominous. Constipation with excess fire requires resolving excess and descending fire to unblock bowels. Initially, constipation responds well to Shengjun (Raw Rhubarb) and Mangxiao (Mirabilite). If delayed to eight or nine days, though constipated, the stomach Qi is empty; use Xiaoshi (Mirabilite) and Huanglian (Coptis) cautiously, or employ honey suppositories. For oral ulcers, first insufflate Shengji San (Flesh-Regenerating Powder), then Jin Yu Er Dan (Golden Jade Two Cinnabars). Initially, more Bixuan Jindan and less Yuzhen Jindan; adjust gradually. For severe cases, only Jindan is used to expel stubborn disease effectively. Redness and swelling extending to the chest suggest Fei Yong (Lung Abscess); add Baicaoshuang (Soot from Hundred Herbs) melted with honey. For formless throat redness/swelling, add Yuandan and other herbs. For women with amenorrhea causing throat disease, follow methods to regulate menstruation. Facial edema with deep-fine pulses indicates Yang-deficiency, signaling impending death. Oral sores swollen and rotting, painless upon wiping with wet cotton, indicate terminal illness. If the tongue swells filling the mouth, preventing insufflation, insufflate Jiangcan (Bombyx Batryticatus) and Yazao (Gleditsia Sinensis) into the nose. If the jaw opens spontaneously with salivation, moisten the red tongue with Gancao Tang (Licorice Decoction). Add Bingpian (Borneol) to mouth-caner medicine and insufflate frequently to avoid death. For severe early-stage cases, use Yudan; remember: more Bingpian, less Caowu (Aconitum Carleilii).