（乃山岚 溪郁蒸之毒。）
其症血乘上焦，令人昏迷，甚则发躁狂妄，亦有哑而不能言者，皆由败血瘀心，毒涎聚胃所
致。用柴胡二钱，黄芩钱五，半夏一钱制，人参一钱，枳壳一钱麸炒，大黄二钱，黄连六分，甘草
七分，姜三片，枣一枚，煎服效。
其症面黑目黄，舌白语涩，牙关紧闭，胸痛，缓不过二三日即死。人皆错以乌痧瘴治之，多
致误命。如遇此症，将牙关搅开，用蓝布擦去舌白，次以钱蘸盐水刮两太阳穴，（穴在眉稍眼角
之际，试有坑窠便是。）出紫点泡，针刺出血，见黄水为度，脖项两侧亦如此治。后用生大黄三钱，
硫黄一钱，共捣粗末。水二盅，煎一盅，温服立愈。
（恝平声。即用手HT 物HT 字。）
其症咽喉暴肿而痛，痰涎壅盛，水浆难入，甚则脖项亦肿，寒热交作，头面烘热，或四肢厥
逆，气息不顺。用真阿魏三分，麝香三分，巴豆一个，去油，杏仁一个，去皮、尖，红枣一枚，
去核。共捣烂，丸梧子大，银朱为衣，绵纸包一层。用时将纸撕去，按男左女右塞鼻孔，汗出即
愈。避风，忌口二三日。（所忌不言何物，止食粥饭、小菜，便无不是。）
松峰按∶此系热毒而用巴豆者，亦热因热用，以毒攻毒之意。此与前症虽俱系咽喉之病，
而症治各有不同。
（这是山间雾气与溪流湿气郁结蒸腾产生的毒气。）
这种病症表现为血液上冲至胸膈以上部位，使人昏迷，严重时出现烦躁狂乱的症状，也有的人失音不能说话，这都是因为败血瘀阻于心、毒涎积聚于胃所导致的。使用柴胡二钱，黄芩五钱，制半夏一钱，人参一钱，麸炒枳壳一钱，大黄二钱，黄连六分，甘草七分，生姜三片，大枣一枚，煎汤服用有效。
这种病症表现为面色发黑、眼睛发黄、舌苔白腻且言语涩滞、牙关紧闭、胸痛，病情发展迅速，不超过两三天就会死亡。人们常错误地将其当作乌痧瘴来治疗，往往导致误诊致死。如果遇到这种情况，先将牙关撬开，用蓝布擦去舌面上的白苔，然后用铜钱蘸取盐水刮拭两侧太阳穴，（穴位位于眉毛末端与眼角之间，刮后若出现凹陷坑洼即为正确位置），刮出紫红色斑点水泡，再用针刺破出血，直到流出黄色液体为止，脖颈两侧也采用同样的方法治疗。随后使用生大黄三钱，硫黄一钱，共同捣碎成粗末。加水两盅，煎煮至一盅，温服后立即痊愈。
（恝，读音同“家”。即用手抓取物品的意思。）
这种病症表现为咽喉突然肿胀疼痛，痰涎壅盛，连水浆都难以咽下，严重时脖颈也会肿胀，寒热交替发作，头面部烘热，或者四肢厥冷，气息不顺。使用真阿魏三分，麝香三分，巴豆一个（去除油分），杏仁一个（去皮和尖），大枣一枚（去核）。共同捣烂，制成梧桐子大小的药丸，以银朱为外衣，用绵纸包裹一层。使用时撕去纸张，按照男左女右的原则塞入鼻孔，出汗后即可痊愈。注意避风，忌口两三天。（文中未说明具体禁忌食物，只吃粥饭和小菜即可，便没有不妥之处。）
刘松峰按语：此症属于热毒，却使用巴豆这味热性药物，也是遵循“热因热用”的原则，以及以毒攻毒的意思。此症与前一种病症虽然都属于咽喉部的疾病，但症状和治疗各有不同。
(This is the toxic influence generated by the accumulation and steaming of mountain mist and stream humidity.)
The symptoms involve blood rushing to the upper jiao (upper burner, referring to the chest and head), causing coma. In severe cases, it leads to restlessness and madness; some patients lose their voice and cannot speak. All these are caused by failed blood stasis in the heart and the accumulation of toxic phlegm-saliva in the stomach. Use Chai Hu (Bupleuri Radix) 2 qian, Huang Qin (Scutellariae Radix) 5 qian, Ban Xia (Pinelliae Rhizoma Preparatum) 1 qian, Ren Shen (Ginseng Radix) 1 qian, Zhi Ke (Aurantii Fructus Preparatus with Bran) 1 qian, Da Huang (Rhei Radix et Rhizoma) 2 qian, Huang Lian (Coptidis Rhizoma) 6 fen, Gan Cao (Glycyrrhizae Radix et Rhizoma) 7 fen, Sheng Jiang (Zingiberis Rhizoma Recens) 3 slices, and Da Zao (Jujubae Fructus) 1 piece. Decoct and take orally for efficacy.
The symptoms include a dark complexion, yellow eyes, white tongue coating with slurred speech, locked jaw, and chest pain. The condition progresses rapidly, leading to death within two or three days. People often mistakenly treat this as Wu Sha Zhang (Black Miasma), which frequently results in fatal errors. If encountering this syndrome, first pry open the jaw, wipe away the white tongue coating with blue cloth, then use a copper coin dipped in salt water to scrape both Tai Yang acupoints (located at the junction of the lateral end of the eyebrow and the outer canthus; if depressions appear after scraping, the location is correct). Scrape until purple spots and blisters appear, then prick with a needle to bleed until yellow fluid is discharged. Treat both sides of the neck in the same manner. Subsequently, use Sheng Da Huang (Raw Rhei Radix et Rhizoma) 3 qian and Liu Huang (Sulfur) 1 qian, crush them together into coarse powder. Add two zhong of water, decoct to one zhong, and take warm for immediate recovery.
(Jia, pronounced like "jia". It means grasping objects with the hand.)
The symptoms include sudden swelling and pain in the throat, excessive phlegm-saliva obstruction making it difficult to swallow even water, and in severe cases, swelling of the neck. There is alternating chills and fever, heat sensation in the head and face, or cold extremities (Si Zhi Jue Ni) and irregular breathing. Use Zhen A Wei (Ferulae Resina) 3 fen, She Xiang (Moschus) 3 fen, Ba Dou (Crotonis Fructus) 1 seed (de-oiled), Xing Ren (Armeniacae Semen Amarum) 1 seed (skin and tip removed), and Da Zao (Jujubae Fructus) 1 piece (pit removed). Crush them together thoroughly, form pills the size of a wu-tong seed, coat with Yin Zhu (Cinnabar), and wrap in one layer of cotton paper. When using, tear off the paper, and insert into the nostril according to the rule: left for males, right for females. Recovery occurs upon sweating. Avoid wind and observe dietary restrictions for two to three days. (The specific forbidden foods are not stated; eating only porridge, rice, and simple side dishes is acceptable.)
Liu Songfeng's note: This case involves heat-toxin but uses Ba Dou (Crotonis Fructus), a hot-natured herb. This follows the principle of "treating heat with heat" (Re Yin Re Yong) and the concept of using toxicity to combat toxicity. Although this syndrome and the previous one both involve diseases of the throat, their symptoms and treatments differ significantly.