唇口属脾舌属心，口舌疮糜蕴热深，口淡脾和臭胃热，五味内溢五热淫。木舌重舌
舌肿大，唇肿唇疮紧茧唇，暴发赤痛多实热，淡白时痛每虚因。
【注】口舌生疮糜烂，名曰口糜，乃心、脾二经蕴热深也。平人口淡，故曰脾和。口
出气臭，则为胃热。不因食五味而口内溢酸味者，乃肝热淫脾也。苦味者，心热淫脾也。
甘味者，本经热自淫也。辛味者，肺热淫脾也。咸味者，肾热淫脾也。木舌，谓舌肿硬
不痛也。重舌，谓舌下肿似舌也。舌肿，谓舌肿大也。唇肿，谓唇肿痛浓也。唇疮，谓
唇肿溃裂成疮也，紧茧唇，谓唇紧小燥裂也。以上之证，皆属心、脾、胃经蕴热，若暴发
赤肿痛甚，多为实热，宜以凉膈散，栀子金花汤，急下其热，可即愈也。若日久色淡疮
白，时痛不痛，每属虚热，宜清心莲子饮、知柏四物汤，补中兼清可也。或服凉药久不愈
者，以七味地黄汤冷服，引火归原，不效甚者，加附子可立愈也。
胸膈风热咽喉痛，邪盛单双乳蛾生，热极肿闭名喉痹，语言难出息不通，痰盛涎绕
喉间响，内外肿闭缠喉风，喉痹缠喉皆危证，溃后无脓肿闭凶。
【注】胸膈上有风热，则咽喉肿痛，风热之邪若盛，则生单双乳蛾，在会厌两傍高肿
似乳蛾，故名也。热极则肿闭，汤水不下，言语难出，呼吸不通，名曰喉痹，若热极更兼
痰盛，则痰涎绕于喉间，声响咽喉，内外肿
闭，汤水不下，名曰缠喉风，皆危病也。或服药、或吹药、或针刺，溃破出脓血则愈。若
溃后不出脓血，仍然肿闭，汤水不下则死矣。
如意胜金锭 雄黄解毒丸
咽痛消毒凉膈散，单双乳蛾刺血痊，喉痹缠喉胜金锭，急攻痰热解毒丸，昏噤牙关
汤不下，多鼻吹灌度喉关，吐下之后随证治，溃烂珍珠散上安。
【注】咽喉初起肿痛，宜用消毒凉膈散，即防风、荆芥、牛蒡子、栀子、连翘、薄荷、
黄芩、甘草、大黄、芒硝也。单双乳蛾，则刺少商出血，在左刺左，在右刺右，在左右
刺左右也。喉痹、缠喉初起，病势未甚，或状如伤寒，宜服如意胜金锭，即硫黄、川芎、
腊茶、火硝、薄荷、生川乌、生地黄各等分为末，葱自然汁合为锭，重一钱，薄荷汤磨
化服，甚者连进三次。若痰涎壅盛，喉间内外肿闭，汤水难下，病势危急，宜用雄黄解
毒丸，即雄黄水飞，郁金细末，各二钱半，巴豆仁肥白者十四粒，微去油，以成散为度，合
均，醋糊为丸，如绿豆，茶清下七丸，便利吐痰则愈。若昏冒牙关噤急，汤不能下，将
药用醋化开十丸，按中风门之法， 入鼻内，吐下则愈，其后随证调治可也。若虽愈咽喉
溃烂，以珍珠散上之即好。
吹喉七宝散
咽喉诸证七宝散，消皂蝎雄硼二矾，细研如尘取一字，吹中患处效如神。
【注】咽喉诸证，谓咽喉肿痛，单双乳蛾，喉痹，缠喉也。七宝散，即火硝、牙皂、全
蝎、雄黄、硼砂、白矾、胆矾也。
唇和口归属于脾，舌归属于心。口舌生疮、糜烂是由于热邪蕴结深重所致。口中无味是脾气调和的表现，口气臭秽则是胃热的征象。五味之气内溢，是由五脏之热淫盛所致。
木舌表现为舌头肿大僵硬；重舌表现为舌下肿胀，形状似舌；舌肿即舌头整体肿大；唇肿指嘴唇红肿疼痛并伴有脓液；唇疮指嘴唇肿胀溃烂形成疮疡；紧茧唇指嘴唇紧缩、细小、干燥且裂开。这些症状多由暴发性的赤痛引起，属于实热证；若颜色淡白、时痛时不痛，则多属虚证。
【注】口舌生疮糜烂，称为“口糜”，这是心和脾两经蕴藏深热的结果。普通人口中味道平和，所以说是“脾和”。如果口中呼出气有臭味，就是胃热。不是因为食用五味食物而口中溢出酸味，这是肝热侵犯脾脏；溢出苦味，是心热侵犯脾脏；溢出甘味，是本经（脾）的热邪自行侵犯；溢出辛味，是肺热侵犯脾脏；溢出咸味，是肾热侵犯脾脏。所谓“木舌”，是指舌头肿大僵硬但不疼痛。所谓“重舌”，是指舌下肿胀，形状像另一个舌头。所谓“舌肿”，是指舌头体积增大。所谓“唇肿”，是指嘴唇红肿疼痛且有脓。所谓“唇疮”，是指嘴唇肿胀溃烂成疮。所谓“紧茧唇”，是指嘴唇紧缩变小、干燥开裂。以上这些证候，都属于心、脾、胃三经蕴藏热邪。如果是突然发作，红肿疼痛剧烈，多为实热证，适宜使用凉膈散、栀子金花汤，急下以清除热邪，即可痊愈。如果病程日久，颜色淡白，疮面发白，时痛或不痛，多属于虚热证，适宜使用清心莲子饮、知柏四物汤，在补益的同时兼以清热。或者服用凉药后久治不愈者，可用七味地黄汤冷服，以引火归原；如果效果不佳甚至加重，可加入附子，往往能立即痊愈。
胸膈部位感受风热会导致咽喉疼痛。如果邪气强盛，会生成单侧或双侧的乳蛾。热邪极盛导致肿胀闭塞，称为喉痹，此时语言困难，气息不通。如果痰涎旺盛，缠绕喉间发出声响，内外肿胀闭塞，称为缠喉风。喉痹和缠喉风都是危重证候，如果溃破后没有脓肿且依然闭塞，则预后凶险。
【注】胸膈之上若有风热，就会导致咽喉肿痛。如果风热邪气强盛，就会生成单侧或双侧乳蛾，位于会厌两侧，高肿形状像乳头，因此得名。热邪极盛则导致肿胀闭塞，汤水无法咽下，言语困难，呼吸不通畅，称为喉痹。如果热邪极盛又兼有痰涎旺盛，痰涎就会缠绕在喉间，使咽喉发出声响，内外肿胀闭塞，汤水无法咽下，称为缠喉风，这些都是危重病证。可以通过服药、吹药或针刺治疗，一旦溃破排出脓血即可痊愈。如果溃破后不出脓血，仍然肿胀闭塞，汤水无法咽下，则会导致死亡。
如意胜金锭、雄黄解毒丸：
咽喉疼痛用消毒凉膈散治疗，单侧或双侧乳蛾通过刺血疗法痊愈，喉痹和缠喉风初期使用如意胜金锭，急需攻逐痰热时使用雄黄解毒丸。如果出现昏厥、牙关紧闭、汤药难以下咽的情况，多采用鼻腔吹入或灌入的方法通过喉关。吐法或泻法之后，根据证候进行调理。如果咽喉溃烂，撒上珍珠散即可安定愈合。
【注】咽喉初起出现肿痛，适宜使用消毒凉膈散，该方由防风、荆芥、牛蒡子、栀子、连翘、薄荷、黄芩、甘草、大黄、芒硝组成。对于单侧或双侧乳蛾，应针刺少商穴出血，左侧病变刺左侧，右侧病变刺右侧，左右两侧病变均刺。喉痹和缠喉风初起，病势尚不严重，或症状类似伤寒，适宜服用如意胜金锭，该方由硫黄、川芎、腊茶、火硝、薄荷、生川乌、生地黄各等分研为细末，用葱的自然汁调和制成锭剂，每锭重一钱，用薄荷汤磨化后服用，病情严重者连续服用三次。如果痰涎壅盛，喉间内外肿胀闭塞，汤水难以咽下，病势危急，适宜使用雄黄解毒丸，该方由水飞雄黄、郁金细末各二钱半，以及十四粒肥大白色的巴豆仁（微去油，直至成为散状程度）混合均匀，用醋糊制成如绿豆大小的丸剂，用茶清送服七丸，大便通畅、吐出痰涎后即可痊愈。如果出现昏蒙、牙关紧急紧闭、汤药不能下咽的情况，将药物用醋化开十丸，按照中风门的方法，纳入鼻中，引起呕吐或腹泻后即可痊愈，此后根据证候进行调理即可。如果虽然痊愈但咽喉仍有溃烂，撒上珍珠散即可好转。
吹喉七宝散：
治疗咽喉各种证候使用七宝散，包含皂角、全蝎、雄黄、硼砂、白矾、胆矾。将其细细研磨如灰尘般细微，取一字量，吹入患处，疗效神奇。
The lips and mouth belong to the Spleen, and the tongue belongs to the Heart. Ulcers and erosion of the mouth and tongue are caused by deep accumulation of Heat. A bland taste in the mouth indicates harmonious Spleen Qi, while foul breath is a sign of Stomach Heat. The overflow of the five flavors internally results from the excessive influence of Heat from the Five Zang organs.
"Wooden tongue" refers to an enlarged and stiff tongue; "double tongue" (Chong She) refers to swelling under the tongue resembling a second tongue; general tongue swelling refers to the enlargement of the tongue itself; lip swelling refers to redness, swelling, pain, and suppuration of the lips; lip sores refer to ulcers formed from swollen and eroded lips; tight, calloused lips refer to lips that are contracted, small, dry, and cracked. These symptoms often arise from sudden onset of redness and severe pain, indicating Excess Heat; if the color is pale and pain is intermittent or absent, it usually indicates Deficiency Heat.
[Note] Ulcers and erosion of the mouth and tongue are called Kou Mi (Mouth Erosion), resulting from deep accumulation of Heat in the Heart and Spleen meridians. A normal person has a bland taste in the mouth, hence it is said that the Spleen is harmonious. Foul breath indicates Stomach Heat. If sour taste overflows in the mouth without consumption of sour foods, it indicates Liver Heat invading the Spleen; bitter taste indicates Heart Heat invading the Spleen; sweet taste indicates Heat from the Spleen itself overflowing; pungent taste indicates Lung Heat invading the Spleen; salty taste indicates Kidney Heat invading the Spleen. "Wooden tongue" means the tongue is swollen and stiff but not painful. "Double tongue" means swelling under the tongue resembling a tongue. Tongue swelling means the tongue is enlarged. Lip swelling means the lips are red, swollen, painful, and suppurative. Lip sores mean the lips swell, ulcerate, and form sores. Tight, calloused lips mean the lips are contracted, small, dry, and cracked. All the above conditions belong to Heat accumulation in the Heart, Spleen, and Stomach meridians. If they occur suddenly with severe redness, swelling, and pain, they are mostly Excess Heat, suitable for Liang Ge San (Cool the Diaphragm Powder) or Zhizi Jinhua Tang (Gardenia and Golden Flower Decoction) to urgently purge the Heat, leading to quick recovery. If the condition persists for a long time with pale color and white sores, with intermittent pain, it mostly belongs to Deficiency Heat, suitable for Qingxin Lianzi Yin (Clear Heart Lotus Seed Drink) or Zhibai Siwu Tang (Anemarrhena, Phellodendron, and Four Substances Decoction), combining tonification with clearing heat. Alternatively, for those who do not recover after long-term use of cold medicines, Qiwu Dihuang Tang (Seven-Ingredient Rehmannia Decoction) should be taken cold to guide Fire back to its source; if ineffective or worsening, adding Fuzi (Aconite Root) can lead to immediate recovery.
Wind-Heat in the chest and diaphragm causes throat pain. If the pathogenic factor is strong, single or bilateral Ru E (Tonsillar Hypertrophy) may develop. Extreme Heat causing swelling and obstruction is called Hou Bi (Throat Obstruction), characterized by difficulty speaking and blocked respiration. If phlegm is abundant, winding around the throat with audible sounds, accompanied by internal and external swelling and obstruction, it is called Chan Hou Feng (Strangling Throat Wind). Both Hou Bi and Chan Hou Feng are critical conditions; if they ulcerate without pus discharge and remain obstructed, the prognosis is ominous.
[Note] Wind-Heat above the chest and diaphragm leads to sore throat and swelling. If Wind-Heat pathogens are strong, single or bilateral Ru E develops, appearing as high swelling on both sides of the epiglottis resembling teats, hence the name. Extreme Heat causes swelling and obstruction, preventing swallowing of liquids and solids, making speech difficult and breathing obstructed, known as Hou Bi. If extreme Heat is combined with abundant phlegm, phlegm and saliva wind around the throat, producing sounds, with internal and external swelling and obstruction preventing swallowing, it is called Chan Hou Feng, all of which are critical illnesses. Treatment involves medication, insufflation, or acupuncture; healing occurs upon ulceration and discharge of pus and blood. If there is no pus or blood discharge after ulceration, and swelling/obstruction persists with inability to swallow, death ensues.
Ru Yi Sheng Jin Ding (Ruyi Victory Gold锭) and Xionghuang Jiedu Wan (Realgar Detoxification Pills):
For sore throat, use Xiaodu Liangge San (Detoxify and Cool the Diaphragm Powder); for single or bilateral Ru E, puncture bleeding cures it; for initial Hou Bi and Chan Hou Feng, use Ru Yi Sheng Jin Ding; urgently attack phlegm-Heat with Xionghuang Jiedu Wan. In cases of coma, lockjaw, and inability to swallow decoctions, insufflate into the nose or灌 (irrigate) past the throat gate. After emesis or purgation, treat according to the syndrome. For ulcerated areas, apply Zhenzhu San (Pearl Powder) to stabilize healing.
[Note] For initial sore throat and swelling, Xiaodu Liangge San is suitable, composed of Fangfeng (Saposhnikovia Root), Jingjie (Schizonepeta Spike), Niubangzi (Arctium Fruit), Zhizi (Gardenia Fruit), Lianqiao (Forsythia Fruit), Bohe (Mint Leaf), Huangqin (Scutellaria Root), Gancao (Licorice Root), Dahuang (Rhubarb Root), and Mangxiao (Mirabilite). For single or bilateral Ru E, prick Shaoshang (LU 11) to bleed: left side for left lesions, right side for right lesions, both sides for bilateral lesions. For initial Hou Bi and Chan Hou Feng, where the disease is not yet severe or resembles Taiyang disease, take Ru Yi Sheng Jin Ding, composed of equal parts Liuhuang (Sulfur), Chuanxiong (Ligusticum Rhizome), La Cha (Tea Leaves), Huoxiao (Saltpeter), Bohe (Mint Leaf), Sheng Chuanwu (Raw Aconite Lateral Root), and Sheng Dihuang (Rehmannia Root), ground into powder, mixed with natural juice of Congbai (Green Onion Stem) to form ingots weighing one qian each. Grind with Bohe Tang (Mint Decoction) and take orally; for severe cases, administer three consecutive doses. If phlegm-saliva is congested, with internal and external throat swelling blocking swallowing, indicating critical danger, use Xionghuang Jiedu Wan, composed of water-washed Xionghuang (Realgar) and fine powder of Yujin (Curcuma Longa Rhizome), each 2.5 qian, plus 14 plump, white Baiduoren (Bean Kernel, specifically Semen Crotonis), slightly de-oiled until becoming a powder-like consistency. Mix evenly, bind with vinegar paste into pills the size of mung beans, take seven pills with clear tea water; recovery follows when bowels move and phlegm is vomited. In cases of dizziness, lockjaw, and inability to swallow, dissolve ten pills in vinegar, follow the method for Stroke, insert into the nose; recovery follows vomiting or purging, followed by syndrome-based regulation. If healed but throat remains ulcerated, applying Zhenzhu San brings improvement.
Chuihou Qibao San (Insufflation Seven-Treasure Powder):
Use Qibao San for various throat conditions, containing Zaocys (Sichuan Horned Frog), Quanxie (Scorpion), Xionghuang (Realgar), Pengsha (Borax), Baifan (Alum), and Danfan (Blue Vitriol). Grind finely like dust, take one zi amount, insufflate into the affected area for miraculous efficacy.
[Note] Various throat conditions refer to sore throat, single/bilateral Ru E, Hou Bi, and Chan Hou Feng. Qibao San consists of Huoxiao (Saltpeter), Ya Zao (Gleditsia Sinensis Fruit), Quanxie (Scorpion), Xionghuang (Realgar), Pengsha (Borax), Bai Fan (Alum), and Dan Fan (Blue Vitriol).