（附骨哽）
〔总论〕 单乳蛾者。谓肿于咽之一边。双乳蛾者。谓肿于咽之两旁也。其形圆突如珠。
乃痈疖之类。结于喉间。宜刺之出毒。或出血而愈。 缠喉风即满片红肿。多不成脓。亦不
出血。但使火降。其肿自消。 锁喉风者。以咽喉肿痛。饮食难入。或痰气壅塞不通者。须
吐出痰涎。 喉癣症。凡阴虚劳损之人。多有此病。其状满喉生疮。红痛。久不能愈。乃水
亏火上炎也。
〔通治风热上壅咽喉肿痛〕 甘草。（一钱）桔梗。（二钱）荆芥穗。（一钱半）以三味
为主
方。加防风。连翘。牛蒡子。薄荷。丹皮。（各一钱）小生地。（二三钱）灯心廿根水煎服。
（初
起
〔一切肿痛喉闭吹药〕 薄荷。（一两另研为极细末。）硼砂。（二钱五分）僵蚕。（直者
五分。瓦上炙焦研。）儿茶。（一钱）牙硝。（七钱五分）雄黄。（二钱）冰片。（三分）俱研
细和
匀。贮瓷罐内勿泄气。用芦管挑末少许。吹入患处。或以茶匙挑入舌上。噙一会咽下。日八
九次即愈。 或用山豆根口中噙汁。下咽即效。
〔喉闭〕 饮食不通。危急欲绝者。紫金锭。（即太乙丹须真药料者佳）薄荷汤磨服五
分。
缓缓灌下。喉间即通。重者两服。屡验神效。 巴豆取油。涂竹纸上合满。作纸燃点灯。旋
吹灭之。令患者张口。以纸燃烟熏刺喉间。吐出紫血即通。 凡肿痛喉闭。初起用络石一
味。水煎服下即效。 或用牙皂荚。（去皮筋）白矾。黄连。（各等分）新瓦上焙干为极细末。
（出火毒。）芦管吹入少许即愈。 凡喉闭至急。仓卒无药。急将病患两臂。以手勒数十次。
取扎发绳扎大拇指如放痧法。以针刺指背离指甲一分许。紫血滴下即解。（乳蛾同治。）
〔喉闭连牙关不开〕 巴豆七粒纸裹 油。将油纸作条烧烟。熏入鼻内。牙关即开。再
用箸点雄黄胆矾末入喉间。吐出涎痰立愈。 白矾〔三钱〕慢火熬化。入去壳巴豆研烂者两
粒。候干。去巴豆取矾研细末。用少许吹入喉中。吐出顽痰立愈。 真陈胆星一粒许。含口
内即通。一切喉闭。无论轻重。紫金锭为最效。宜多吃悉尼汁和泉水一半和匀饮。或绿豆煎
数十沸。（以豆未开花即取起。用豆皮上绿性凉解。）入蜜少许。频吃甚佳。如无此二味。以
萝卜汁和泉水。入玄明粉少许。搅匀。徐徐饮之。既可消痰。又能清火。皆妙法也。咽喉十
八症。皆属火热内结而成。俱宜凉药治之。惟隔阳咽闭。（火虚于下。格阳于上。寒热相搏
而成喉痹。其脉细数而微。声似不能振者。方是此症。）大附子一个。（去皮脐。切作大片。
用蜜涂炙令黄。待冷含口中。津咽甘味。淡即易之。脉症不对勿用。）
〔单蛾双蛾〕 鸡蛋清半钟。入明矾末三钱。调匀。仰卧以茶匙锹入口。着喉即解。 兰
根捣汁滴入即效。 冬月取青鱼胆入研细胆矾二钱。（阴干研末。贮瓷瓶中。）如遇此症。吹
少许入喉。吐痰立愈。 至重危急者。用壁上 蛛窠七片。（内取活蛛二个。团作一处。）以
白矾一块。（七分）化开。以 窠惹矾 存性。出火毒。加灯草灰。（取灰。用竹筒内烧草闷
灰。）和匀。吹少许入喉中。即破。 人指甲。（一二个。）瓦上炙黄色。研细末。吹入喉中
立效。 双蛾至急者。用麻雀粪二十一粒。砂糖和作三丸。每用一丸。绵裹吞咽立愈。甚者
不过二丸。有奇效。 一时无药或有药不能进者。用干猪尿脬一个。水润套指上蘸生桐油少
许。入喉搅吐。得吐即解。或用温汤半碗。加入桐油三四匙和匀。用硬鹅翎蘸油探入喉中。
连探四五次。其痰吐出。再探再吐。须以人苏醒声高为度。再服清咽利膈之剂。 凡急症通
后。略进薄粥半碗。压下邪热。不致再发。忌食热物硬物。
〔帝锤垂下〕（即喉间小舌垂下）以食盐。（雪水淋炒枯出火毒。）频点患处即消。或加
枯
矾少许。 如状悬痈肿痛用射干。炙甘草。（各五钱）川升麻。大黄。木鳖仁。（各二钱五分）
杏仁。（去皮尖炒微黄五钱）俱为末。蜜丸小弹子大。常含一丸津化。
〔喉癣〕 冰片。西黄。（各一分）胆矾。（三分）大硼砂。（八分）山豆根。（二钱）雄
黄。
儿茶。（各八分）陈白梅。（去核三个） 共研末。次将白梅捣烂。入药和匀，丸如芡实大。
临
卧含口内。过夜即消。再用兰花根捣汁。时时漱之。 头胎黄牛粪。以新瓦洗净盖粪周遭。
用文武火 。烟尽存性。研末。将芦管徐徐吸入自愈。 多年芥菜卤埋地中者。每服数匙。
并时时漱口。（嘉兴城中大家藏此者多。）
〔梅核气〕 喉仲介介如梗。吐之不出。咽之不下者。用栝蒌仁。青黛。杏仁。海蛤粉。
桔梗。连翘。各等分为末。炼蜜和姜汁少许丸。如芡实大。时时含化。
〔虚火上炎伤肺咽喉生疮破烂〕 黄柏。（为末蜜丸炙数次以熟为度研细一两） 硼砂。
僵蚕。（各一钱半）牛黄。（三分）冰片。（半分）俱研细和匀。蜜调如稀糊。涂敷患处。或
丸如
芡实大。含化即效。
〔喉烂至宝丹〕 人中白。（自制者佳。取多年尿壶。或尿坛经风日晒者。击破去其浮
垢。刮下白色硬碱。在新瓦上 红。研细。再入水中。飞去浮腻。）每用五七分。白蜜和匀。
流入喉中。日二三次。重者一二钱。立效如神。并治一切大人小儿牙龈久烂不愈。 烂久饮
食不进。诸药不效者。立夏前池荡中取未变成形小虾蟆。（黑色而有尾者。）不拘多少。取起
晒干研末。吹上即效。或取小虾蟆入瓷瓶中。以碗盖之。黄蜡化开封口。埋入地中。三四月
成水。治喉以鸡翎时时润患处。奇效。并治一切痈疽肿毒。涂敷四围即消。 有因杨梅疮毒
之后。喉烂不愈。又须照毒症重服土茯苓汤方愈。
〔缠喉风声不出〕 靛花。薄荷叶。等分为末。蜜丸弹子大。每服一丸。临卧噙化。
〔暴失音〕 公猪板油一斤。（熬净去渣。）白蜜一斤。（熬净去泛。）并和。再熬少顷。
入瓷罐内。冷定成膏。不时挑服。肺润即愈。 因热而哑者。天萝水空心温服。（方见痰嗽
门。）
〔鱼骨哽〕 白饴糖切如枣栗大。吞之立下。 韭菜煮半熟。勿切断。吞下一束。即裹
而下。 在喉刺痛。用威灵仙五钱。饴糖五钱酒水各一碗。煎服软化。 鹿角屑含津咽之。
橄榄多服即化。 诸药不效者。用贯众。（不拘多少。）煎浓汁一钟。二次服以好为度。以上
之方。诸骨同治。如七日不出。烧鲤鱼鳞皮。以水服之。 已经入肚刺痛。煎茱萸汁一杯饮
之。 凡鱼骨。或误食竹木丝。即席间将鱼骨一根。或竹丝顺插入发辫中。不令人知即下。
或旁人代插。勿令患人知。颇有奇效。 又法用白面调稀糊。涂两膝盖骨。自然下。颇验。
〔竹木丝等物哽喉〕 丝绵扯长。将一头拌白糖。徐徐咽下。约下喉一二寸。待糖化尽。
渐将丝绵拖出。则所哽之物亦带出矣。 铁斧磨水灌之即下。
〔猪骨哽〕 硼砂一块入口含化自消。 贯众汁亦效。
〔诸兽骨哽〕 虎骨锉细末。水调徐徐咽之自化。
〔鸡骨哽〕 野苎根捣如泥。每用圆眼大鸡汤化下。（或捣汁服亦效。）鱼骨鱼汤化下、 贯
众汁亦效。
〔稻芒谷哽〕 多吃饴糖即下。 或用鹅吊一足。取涎咽之。
〔误吞金钱及铜钱〕 初在胸胃哽痛不下者。先以砂仁。（研碎。） 煎浓。徐徐饮下。
再以羊胫骨。（ 灰研细）每服三钱。猪油调服。服至从大便裹物而出为度。杉木炭烧红。
带
红即研细末。砂糖调服三钱。日二三次。如肠中不能转送坠痛者。多吃青菜猪油。自然送下。
至
〔小儿误吞针〕 先用虾蟆眼。（或用鸡眼。）一对。木通汤吞下。其针两头穿眼。立能
吐出。或从大便而出。奇效。如冬天急不可得。大桑树下掘深二三尺可得也。 出芽蚕豆。
半生半熟。捣烂。用韭菜汁为丸吞下。 砂糖和黄泥为丸。令小儿吞下。皆能从大便中出。
〔小儿误吞钉〕 活磁石。（一钱）朴硝。（二钱）同研细。以熬熟猪油白蜜和稀糊。一
顷
吞下。次早即从大便中出。凡铁器皆可以此法治之。
〔误吞发绕喉不出者〕 将自己乱发烧灰。白汤调下一钱。
（附骨哽）
〔总论〕 单侧乳蛾，是指咽喉一侧肿胀。双侧乳蛾，是指咽喉两侧同时肿胀。其形状圆突如珠，属于痈疖一类，结聚于喉间。应当刺破以排出毒邪，或者出血后即可痊愈。缠喉风表现为满片红肿，多不化脓，也不出血，只要使火气下降，肿胀自然消退。锁喉风，是以咽喉肿痛、饮食难以下咽，或痰气壅塞不通为主要表现，必须吐出痰涎。喉癣症，凡是阴虚劳损的人，多有此病。其症状是满喉生疮，发红疼痛，久久不能愈合，这是肾水亏虚、虚火上炎所致。
〔通治风热上壅咽喉肿痛〕 甘草（一钱），桔梗（二钱），荆芥穗（一钱半）。以这三味药为主方，加入防风、连翘、牛蒡子、薄荷、丹皮（各一钱），小生地（二三钱），灯心草二十根，水煎服。（初起阶段适用）
〔一切肿痛喉闭吹药〕 薄荷（一两，另研成极细末），硼砂（二钱五分），僵蚕（直者五分，在瓦上炙焦后研磨），儿茶（一钱），牙硝（七钱五分），雄黄（二钱），冰片（三分）。全部研细并混合均匀，贮存在瓷罐内，注意不要漏气。用芦管挑取少许药末，吹入患处。或者用茶匙挑取放入口中噙含片刻后咽下，每天八九次即可痊愈。或者用山豆根含在口中取汁液，咽下即见效。
〔喉闭〕 饮食完全不通，危急欲绝的情况，使用紫金锭（即太乙丹，须是真材实料者为佳），用薄荷汤磨开服用五分，缓缓灌下，喉间即刻通畅。重症者服用两次，屡试屡验，神效。取巴豆油，涂在竹纸上使其饱和，做成纸卷点燃作为灯，随即吹灭，让患者张口，用纸燃产生的烟熏刺喉间，吐出紫血后即刻通畅。凡肿痛喉闭，初起时单用络石一味药，水煎服下即见效。或者用牙皂荚（去皮筋）、白矾、黄连（各等分），在新瓦上焙干研成极细末（去除火毒），用芦管吹入少许即可痊愈。凡喉闭至为紧急，仓促间无药可用，急忙将患者的两臂用手勒压数十次，取扎头发的绳子像放痧法那样扎住大拇指，用针刺指背离指甲约一分处，滴出紫血即可缓解。（乳蛾同治。）
〔喉闭连牙关不开〕 巴豆七粒，用纸包裹取油。将涂油的纸做成条状燃烧冒烟，熏入鼻内，牙关即刻张开。再用筷子蘸取雄黄、胆矾粉末送入喉间，吐出涎痰立即痊愈。白矾（三钱），慢火熬化，加入去壳的巴豆两粒研烂，候干，去掉巴豆，将白矾研成细末，用少许吹入喉中，吐出顽痰立即痊愈。真陈胆星一粒左右，含在口内即刻通畅。一切喉闭，无论轻重，紫金锭最为有效。宜多吃雪梨汁与泉水各一半混合饮用，或者绿豆煎煮数十沸（以豆子未开花即捞起，利用豆皮的绿色性质来清凉解毒），加入少许蜂蜜，频繁食用甚佳。如果没有这两味药，用萝卜汁和泉水，加入少许玄明粉，搅匀，慢慢饮用，既可消痰，又能清火，都是妙法。咽喉十八症，都属于火热内结而成，都适宜用凉药治疗。只有隔阳咽闭（火虚于下，格阳于上，寒热相搏而成喉痹，脉象细数而微，声音似乎不能振动，这才是此症），用大附子一个（去皮脐，切作大片，用蜜涂抹炙烤至黄色，待冷含在口中，津液吞咽甘味，淡了就更换，脉症不对勿用）。
〔单蛾双蛾〕 鸡蛋清半钟，加入明矾末三钱，调匀。仰卧，用茶匙舀入口中，接触喉咙即刻缓解。兰根捣汁滴入即见效。冬天取青鱼胆，加入研细的胆矾二钱（阴干研末，贮存在瓷瓶中）。如遇此症，吹少许入喉，吐痰立即痊愈。至重危急者，用墙上的蜘蛛网七片（从中取出活蜘蛛两只，团在一起）。用一块白矾（七分）化开，用蜘蛛网沾矾煅烧存性，去除火毒，加入灯草灰（取灰，用竹筒内烧草闷出的灰），混合均匀，吹少许入喉中，即刻破裂。人指甲（一二个），在瓦上炙烤至黄色，研成细末，吹入喉中立即见效。双蛾至急者，用麻雀粪二十一粒，砂糖和作三丸，每次用一丸，绵裹吞咽立即痊愈，严重者不过两丸，有奇效。一时无药或有药不能进者，用干猪尿脬一个，水润套在手指上蘸少许生桐油，伸入喉中搅动催吐，得吐即解。或者用温汤半碗，加入桐油三四匙和匀，用硬鹅毛蘸油探入喉中，连续探四五次，其痰吐出，再探再吐，必须以病人苏醒、声音洪亮为标准，再服用清咽利膈的药剂。凡急症通畅后，略进薄粥半碗，压下邪热，不致复发。忌食热物硬物。
〔帝锤垂下〕（即喉间小舌垂下）用食盐（雪水淋炒枯以出火毒），频繁点涂患处即刻消退。或者加少许枯矾。如状悬痈肿痛，用射干、炙甘草（各五钱），川升麻、大黄、木鳖仁（各二钱五分），杏仁（去皮尖炒微黄五钱），全部研成末，蜜丸如小弹子大，常含一丸津液化开。
〔喉癣〕 冰片、西黄（各一分），胆矾（三分），大硼砂（八分），山豆根（二钱），雄黄、儿茶（各八分），陈白梅（去核三个）。共同研成末，再将白梅捣烂，加入药物混合均匀，丸如芡实大。临睡前含在口内，过夜即消。再用兰花根捣汁，时时漱口。头胎黄牛粪，用新瓦洗净覆盖在粪便周围，用文武火煅烧至烟尽存性，研成末，用芦管徐徐吸入自愈。多年芥菜卤埋在地中的，每服数匙，并时时漱口。（嘉兴城中大户人家藏此者多。）
〔梅核气〕 喉中感觉介介如有异物梗阻，吐之不出，咽之不下，用栝蒌仁、青黛、杏仁、海蛤粉、桔梗、连翘，各等分为末，炼蜜和少许姜汁丸，如芡实大，时时含化。
〔虚火上炎伤肺咽喉生疮破烂〕 黄柏（研成末，蜜丸炙数次至熟透，研细一两），硼砂、僵蚕（各一钱半），牛黄（三分），冰片（半分），全部研细混合均匀，蜜调如稀糊，涂敷患处。或者丸如芡实大，含化即见效。
〔喉烂至宝丹〕 人中白（自制者佳，取多年的尿壶或尿坛经风日晒者，击破去除浮垢，刮下白色硬碱，在新瓦上煅红，研细，再放入水中，飞去浮腻）。每用五七分，白蜜和匀，流入喉中，每天二三次，重症者一二钱，立效如神。并治一切大人小儿牙龈久烂不愈。烂久饮食不进，诸药不效者，立夏前从池塘中取未变成形的小虾蟆（黑色而有尾者），不拘多少，取起晒干研末，吹上即见效。或者取小虾蟆放入瓷瓶中，以碗盖之，黄蜡熔化封口，埋入地中，三四月化成水，治喉以鸡翎时时润湿患处，奇效。并治一切痈疽肿毒，涂敷四周即刻消退。有因杨梅疮毒之后，喉烂不愈，又须照毒症重服土茯苓汤方可痊愈。
〔缠喉风声不出〕 靛花、薄荷叶，等分为末，蜜丸如弹子大，每服一丸，临卧噙化。
〔暴失音〕 公猪板油一斤（熬净去渣），白蜜一斤（熬净去泛沫），并和，再熬少许时间，入瓷罐内，冷定成膏，不时挑服，肺润即愈。因热而哑者，天萝水空心温服。（方见痰嗽门。）
〔鱼骨哽〕 白饴糖切如枣栗大，吞之下立效。韭菜煮半熟，勿切断，吞下一束，即裹而下。在喉刺痛，用威灵仙五钱，饴糖五钱，酒水各一碗，煎服软化。鹿角屑含津咽之。橄榄多服即化。诸药不效者，用贯众（不拘多少），煎浓汁一钟，二次服以好为度。以上之方，诸骨同治。如七日不出，烧鲤鱼鳞皮，以水服之。已经入肚刺痛，煎茱萸汁一杯饮之。凡鱼骨，或误食竹木丝，即席间将鱼骨一根，或竹丝顺插入发辫中，不令人知即下。或旁人代插，勿令患人知，颇有奇效。又法用白面调稀糊，涂两膝盖骨，自然下，颇验。
〔竹木丝等物哽喉〕 丝绵扯长，将一头拌白糖，徐徐咽下，约下喉一二寸，待糖化尽，渐将丝绵拖出，则所哽之物亦带出矣。铁斧磨水灌之即下。
〔鸡骨哽〕 野苎根捣如泥，每用圆眼大鸡汤化下。（或捣汁服亦效。）鱼骨鱼汤化下、贯众汁亦效。
〔稻芒谷哽〕 多吃饴糖即下。或者用鹅吊一足，取涎咽之。
〔误吞金钱及铜钱〕 初在胸胃哽痛不下者，先以砂仁（研碎），煎浓，徐徐饮下。再以羊胫骨（灰研细），每服三钱，猪油调服，服至从大便裹物而出为度。杉木炭烧红，带红即研细末，砂糖调服三钱，日二三次。如肠中不能转送坠痛者，多吃青菜猪油，自然送下。
〔小儿误吞针〕 先用虾蟆眼（或用鸡眼），一对，木通汤吞下，其针两头穿眼，立能吐出。或从大便而出，奇效。如冬天急不可得，大桑树下掘深二三尺可得也。出芽蚕豆，半生半熟，捣烂，用韭菜汁为丸吞下。砂糖和黄泥为丸，令小儿吞下，皆能从大便中出。
〔小儿误吞钉〕 活磁石（一钱），朴硝（二钱），同研细，以熬熟猪油白蜜和稀糊，一顷吞下，次早即从大便中出。凡铁器皆可以此法治之。
〔误吞发绕喉不出者〕 将自己乱发烧灰，白汤调下一钱。
(Attachment of Bone to the Throat)
[General Discussion] Unilateral tonsillar hypertrophy (Dan Ru E) refers to swelling on one side of the pharynx. Bilateral tonsillar hypertrophy (Shuang Ru E) refers to swelling on both sides of the pharynx. The shape is round and protruding like a pearl. It belongs to the category of carbuncles and furuncles, forming in the laryngopharynx. It should be pricked to drain the pathogenic toxins, or it will heal after bleeding. "Channing Hou Feng" (Wrapping Throat Wind) presents as diffuse redness and swelling over a large area, rarely suppurating or bleeding; if the fire pathogen is cleared, the swelling subsides spontaneously. "Suohou Feng" (Locking Throat Wind) is characterized by sore throat and swelling, difficulty swallowing food, or obstruction due to phlegm-qi stagnation; phlegm-saliva must be expectorated. "Houxuan" (Throat Herpes/Lichen) often occurs in individuals with yin deficiency and consumptive diseases. Its manifestation is sores covering the entire throat, with redness and pain, persisting for a long time without healing; this is caused by kidney water deficiency and flaming up of deficient fire.
[General Treatment for Wind-Heat Obstructing the Throat Causing Soreness and Swelling] Gancao (Licorice Root, 1 qian), Jiegeng (Platycodon Root, 2 qian), Jingjie Sui (Schizonepeta Spike, 1.5 qian). These three herbs form the main prescription. Add Fangfeng (Saposhnikovia Root), Lianqiao (Forsythia Fruit), Niubangzi (Arctium Seed), Bohe (Mint Leaf), Danpi (Moutan Cortex), each 1 qian; Xiaoshengdi (Rehmannia Root, 2-3 qian); Dengxincao (Juncus Effusus, 20 stems). Decoct in water and take orally. (Applicable at the initial stage.)
[Blowing Powder for All Types of Swelling, Pain, and Throat Closure] Bohe (Mint Leaf, 1 liang, separately ground into an extremely fine powder), Pengsha (Borax, 2.5 qian), Jiangcan (Bombyx Batryticatus, 5 fen of straight specimens, roasted on a tile until scorched then ground), Ercha (Kathir, 1 qian), Yaxiao (Niter, 7.5 qian), Xionghuang (Realgar, 2 qian), Bingpian (Borneolum Syntheticum, 3 fen). All are ground finely and mixed uniformly. Store in a porcelain jar to prevent leakage of air. Use a reed tube to pick up a small amount of powder and blow it into the affected area. Alternatively, use a tea spoon to place it on the tongue, hold it for a while, and then swallow. Apply 8-9 times daily until healed. Alternatively, hold Shandougeng (Diphylleia Sinensis Root) in the mouth to extract juice and swallow it; this is effective immediately.
[Throat Closure] When food and drink cannot pass through, leading to critical danger, use Zijin Ding (Purple Gold Pill, i.e., Taiyi Dan, preferably authentic ingredients). Grind 5 fen with Bohe Tang (Mint Decoction) and slowly administer. The throat will open immediately. For severe cases, two doses are sufficient; this has proven highly effective repeatedly. Take Ba Dou (Croton Seed) oil, coat a piece of bamboo paper thoroughly, roll it into a strip, light it like a lamp, and extinguish it. Have the patient open their mouth and expose the throat to the smoke from the burning paper. Expectoration of purple blood will clear the obstruction. For initial throat closure with swelling and pain, decoct Luoshi (Trachelospermum Caulis) alone in water and take it; it is effective immediately. Alternatively, use Ya Zaojia (Gleditsia Sinensis Fruit, skin and tendons removed), Baifan (Alumen), Huanglian (Coptis Rhizome) in equal parts. Roast on a new tile until dry, grind into an extremely fine powder (remove fire toxicity), and blow a small amount into the throat with a reed tube; this cures it. In extreme emergencies where no medicine is available, tightly compress the patient's arms with hands dozens of times. Tie the thumb with a hair tie similar to the method for releasing sha (bloodletting). Prick the finger tip about 1 fen away from the nail bed with a needle; dripping purple blood resolves the condition. (Treat unilateral/bilateral tonsillar hypertrophy similarly.)
[Throat Closure Accompanied by Trismus] Wrap 7 Ba Dou seeds in paper to extract the oil. Roll the oiled paper into a strip, burn it to produce smoke, and inhale the smoke into the nose; the jaw will open immediately. Then, use chopsticks to apply powder of Xionghuang (Realgar) and Danfan (Chalcanthite) into the throat; expectoration of saliva and phlegm leads to immediate recovery. Baifan (Alumen, 3 qian) is melted over slow heat, mixed with 2 peeled Ba Dou seeds ground into paste, dried, and the Ba Dou removed. The alum is ground into a fine powder. Blow a small amount into the throat; expectoration of stubborn phlegm leads to immediate recovery. A piece of genuine aged Danning (Arisaema Cum Bile, approx. 1 grain) held in the mouth opens the throat immediately. For all throat closures, regardless of severity, Zijin Ding is most effective. It is advisable to consume equal parts of Xue Li Zhi (Snow Pear Juice) and spring water, or decoct Lv Dou (Mung Bean) for dozens of boils (remove before flowers bloom, utilizing the cooling nature of the bean skin). Add a little honey and consume frequently. If these are unavailable, mix Radish Juice with spring water, add a small amount of Xuán Míng Fěn (Mirabilite), stir well, and drink slowly. This resolves phlegm and clears fire; both are excellent methods. The eighteen throat syndromes are all caused by internal accumulation of fire-heat and should be treated with cooling medicines. The exception is Ge Yang Yan Bi (Isolated Yang Throat Obstruction), caused by deficiency of fire below, floating yang above, and struggle between cold and heat resulting in throat bi. The pulse is fine, rapid, and faint; the voice seems unable to resonate. Only in this case, use one Da Fuzi (Prepared Aconite Root, peeled and cut into thick slices, coated with honey, roasted until yellow, cooled, and held in the mouth to swallow saliva; replace when taste fades. Do not use if pulse and symptoms do not match).
[Unilateral and Bilateral Tonsillar Hypertrophy] Mix half a cup of Ji Dan Qing (Egg White) with 3 qian of Ming Fan (Refined Alum) powder. Stir uniformly. Lie supine, scoop into the mouth with a tea spoon, and contact the throat for immediate relief. Drop juice from Lan Gen (Orchid Root) for effectiveness. In winter, take Qing Yu Dan (Green Fish Gallbladder), mix with 2 qian of ground Danfan (Chalcanthite) (dry in shade, grind, store in porcelain). For this syndrome, blow a small amount into the throat; expectoration of phlegm leads to immediate recovery. For critical cases, take 7 pieces of spider webs from walls (containing 2 live spiders grouped together). Dissolve a piece of Baifan (Alumen, 7 fen), soak the web in the alum solution, calcine to retain properties, remove fire toxicity, and mix with Dengcao Hui (Juncus Ash). Blow a small amount into the throat to rupture the abscess. Grind 1-2 Ren Zhijia (Human Nail) until yellow on a tile, powder it, and blow into the throat for immediate effect. For critical bilateral tonsillar hypertrophy, use 21 Sparrow Droppings, mix with rock sugar to form 3 pills. Swallow one pill wrapped in cotton; it heals immediately. Severe cases may require two pills; this has miraculous effects. If no medicine is available or cannot be taken, use one dry Pig Bladder. Moisten it, fit it over a finger, dip in raw Tung Oil, insert into the throat to induce vomiting; vomiting resolves the blockage. Alternatively, mix half a bowl of warm water with 3-4 spoons of Tung Oil. Dip a hard goose feather into the oil and probe the throat. Probe 4-5 times, inducing expectoration of phlegm. Repeat until the patient regains consciousness and voice strength. Subsequently, administer Qingyan Lige Tang (Clear Throat and Benefit Diaphragm Decoction). After acute symptoms resolve, consume half a bowl of thin porridge to suppress pathogenic heat and prevent recurrence. Avoid hot and hard foods.
[Drooping Epiglottis/Uvula] (Refers to drooping uvula). Use Shi Yan (Rock Salt) roasted with snow water until charred to remove fire toxicity. Frequent application to the affected area reduces swelling. Alternatively, add a small amount of Ku Fan (Calcined Alum). For Xuan Yong (Hanging Abscess) with swelling and pain, use Shegan (Belamcanda Rhizome) and Zhi Gancao (Honey-fried Licorice Root) (each 5 qian), Chuan Shengma (Cimicifuga Rhizome), Da Huang (Rhubarb Root), Mu Bei Ren (Momordica Seed), each 2.5 qian; Xing Ren (Apricot Seed, peeled, de-husked, fried until slightly yellow, 5 qian). Grind all into powder, make honey pills the size of small marbles. Hold one pill in the mouth to dissolve slowly.
[Throat Lichen/Burns] Bingpian (Borneolum Syntheticum) and Xi Huang (Musk, each 1 fen), Danfan (Chalcanthite, 3 fen), Da Pengsha (Large Borax, 8 fen), Shandougeng (Diphylleia Sinensis Root, 2 qian), Xionghuang (Realgar) and Ercha (Kathir, each 8 fen), Chen Bai Mei (Aged White Plum, pitted, 3 pieces). Grind all into powder. Mash the white plums, mix with the powder, and form pills the size of a Chinese chestnut. Hold in the mouth before sleep; it dissolves overnight. Rinse mouth frequently with juice from Lan Hua Gen (Orchid Root). Excrement from a first-born yellow cow: cover excrement with a clean new tile, roast over mild heat until smoke ceases and only carbon remains. Grind into powder. Inhale slowly through a reed tube; it heals spontaneously. Pickled mustard brine buried in the ground for many years: take several spoons per dose, and rinse mouth frequently. (Many wealthy families in Jiaxing city keep this.)
[Plum Pit Qi] Sensation of obstruction in the throat, as if something is stuck, cannot be spat out or swallowed down. Use Gua Lou Ren (Trichosanthes Seed), Qing Dai (Indigo Naturalis), Xing Ren (Apricot Seed), Hai Ge Fen (Clam Shell Powder), Jie Geng (Platycodon Root), Lian Qiao (Forsythia Fruit) in equal parts. Grind into powder, mix with refined honey and a little ginger juice to form pills the size of a Chinese chestnut. Hold in the mouth to dissolve slowly.
[Deficient Fire Flaming Up Damaging Lung, Sores and Ulcers in Throat] Huangbai (Phellodendron Bark) ground into powder, made into honey pills, roasted multiple times until cooked, then ground finely (1 liang). Pengsha (Borax) and Jiangcan (Bombyx Batryticatus) (each 1.5 qian), Niu Huang (Calculus Bovis, 3 fen), Bingpian (Borneolum Syntheticum, 0.5 fen). Grind all finely and mix. Mix with honey to a thin paste. Apply to the affected area. Or form pills the size of a Chinese chestnut and hold in the mouth to dissolve; this is effective.
[Throat Ulcer Zhibao Dan] Renzhongbai (Human Urine Sediment, homemade is best: take old urinals or jars exposed to wind and sun, break them, remove surface scum, scrape off white hard alkali, roast on a new tile until red, grind finely, wash in water to remove floating impurities). Use 5-7 fen per dose. Mix with white honey and flow into the throat. Apply 2-3 times daily. For severe cases, use 1-2 qian. Immediate miraculous effect. Also treats chronic gum ulcers in adults and children that do not heal. For chronic ulcers preventing eating and unresponsive to other medicines: before Start of Summer, collect immature frogs from ponds (black with tails). Dry and grind into powder. Apply to the ulcer for immediate effect. Alternatively, put fresh frogs in a porcelain jar, cover with a bowl, seal with melted beeswax, and bury in the ground for 3-4 months until they liquefy. Use a chicken feather to moisten the affected area frequently for treating throat issues; this is miraculous. Also treats all carbuncles, sores, and toxic swellings; apply around the perimeter to reduce swelling. If throat ulcers persist after Yangmei Chuang (Syphilis/Chancre) toxin, treat the severe toxin with Tu Fuling Tang (Smilax Glabra Decoction) to cure.
[Wrapping Throat Wind with Hoarseness] Dianhua (Indigo Flower) and Bohe Ye (Mint Leaf) in equal parts. Grind into powder, make honey pills the size of marbles. Take one pill per dose, hold in mouth before sleep to dissolve.
[Sudden Loss of Voice] Gong Zhu Ban You (Male Pig Back Fat, 1 jin), clarified and filtered. Bai Mi (White Honey, 1 jin), clarified and skimmed. Mix both, boil briefly, pour into a porcelain jar, and cool to form a paste. Take occasionally. Moistening the lung restores voice. For hoarseness due to heat, drink Tian Luo Shui (Luffa Water) on an empty stomach with warm water. (Formula see Phlegm-Cough section.)
[Fish Bone Impaction] Cut Bai Yi Tang (White Maltose) into dates-sized pieces and swallow; it works immediately. Cook Le Cai (Chinese Chives) until half-cooked, do not cut, swallow a bundle whole; it wraps the bone and pushes it down. For sharp pain in the throat, use Weilingshen (Clematis Root) 5 qian, Yi Tang (Maltose) 5 qian, decoct in wine and water (1 bowl each) to soften the bone. Chew Lu Jiao Xie (Deer Antler Scraps) and swallow with saliva. Eat more Gan Lan (Olive) to dissolve the bone. If other medicines fail, use Guan Zhong (Cyrtomium Rhizome) (any amount), decoct strong juice (1 cup), take twice until cured. The above formulas treat all bone impactions. If not expelled in 7 days, burn Carp Scales, mix with water, and take. If the bone has entered the stomach causing sharp pain, decoct Zhu Yu Zhi (Evodia Juice) and drink one cup. For fish bones or accidental ingestion of bamboo/wood splinters: immediately take one fish bone or bamboo splinter, insert it into the hair braid smoothly, without letting others know, and swallow; it will go down. Alternatively, have someone else insert it secretly; this has remarkable effects. Another method: make a thin paste with Bai Mian (Wheat Flour), apply to both knee joints; the object will naturally pass. This is quite effective.
[Bamboo/Wood Splinter Impaction] Stretch Si Mian (Silk Floss) long. Coat one end with white sugar. Swallow slowly. When it reaches 1-2 cun down the throat and the sugar melts, gradually pull the silk floss out, bringing the impacted object with it. Grind an iron axe with water and pour it down; the object passes immediately.
[Pig Bone Impaction] Hold a piece of Pengsha (Borax) in the mouth to dissolve; it self-dissolves. Guan Zhong Zhi (Cyrtomium Juice) is also effective.
[Various Animal Bones] Cuo Xi Hu Gu (Tiger Bone finely ground), mix with water, swallow slowly to dissolve.
[Chicken Bone]捣烂 Ye Zhu Gen (Wild Boehmeria Root) into paste. Take a walnut-sized amount, dissolve in chicken soup and swallow. (Or drink the juice directly; also effective.) Dissolve in fish soup for fish bones. Guan Zhong Zhi (Cyrtomium Juice) is also effective.
[Rice Awns/Grain Impaction] Eat more Yi Tang (Maltose) to pass it. Alternatively, hang a goose upside down, collect the saliva, and swallow it.
[Accidental Ingestion of Coins] If initially stuck in chest/stomach causing pain and inability to swallow: first decoct Sha Ren (Amomum Fruit, crushed) strongly, drink slowly. Then take Yang Jing Gu Hui (Sheep Tibia Ash, finely ground), 3 qian per dose, mixed with pig fat oil. Continue until the object is expelled in stool. Red-hot Shan Mu Tan (Fir Charcoal), ground finely while still red, mixed with rock sugar, 3 qian per dose, 2-3 times daily. If intestinal movement fails causing pain, eat more green vegetables with pig fat oil to facilitate passage.
[Children Accidentally Swallowing Needles] First, use 1 pair of Hamayan (Toad Eye) or Ji Yan (Chicken Eye). Swallow with Mutong Tang (Akebia Decoction). The needle pierces the eyes, allowing it to be vomited out immediately. Or it passes through stool. Miraculous effect. If urgent in winter and unavailable, dig 2-3 chi deep under a large mulberry tree to find them. Sprouted soybeans, half raw half cooked, mashed, formed into pills with Le Cai Zhi (Chive Juice), and swallowed. Pills made of rock sugar and yellow mud, swallowed by children, all pass through stool.
[Children Accidentally Swallowing Nails] Huo Ci Shi (Native Magnetite, 1 qian) and Pu Xiao (Mirabilite, 2 qian), ground finely together. Mix with boiled pig fat and white honey into a thin paste. Swallow immediately. Expelled in stool the next morning. This method works for all iron objects.
[Hair Wrapped Around Throat Preventing Passage] Burn own loose hair to ash. Mix with plain water, take 1 qian.