牛膝草根洗净。捣汁。人乳少许灌服。不能服者。灌鼻内。
喉痹热毒感心脾。咽喉痛闭最难医。其形似臂肿如坎。目睛上视面如朱。治法探痰吹本秘。
粘子解毒汤为妙。不消刺血秘频吹。牛膝根汤频漱之。
\r阴毒喉痹图\p05-c16a25.bmp\r
此症冬日感阴湿火邪而起。肿如紫李。微见黑色。外症恶寒身热。振动腰疼。头痛。血红可
治。血黑不治。血微红。肿处软。有痰者可治。血黑硬。痰干者。难治。先服化毒丹。次服
苏子降气汤。吹秘。戒酒一月。
阴毒喉痹感阴湿。邪火相攻最为急。喉肿如紫李子形。外症
恶寒其血黑。红血可治黑难医。无痰不治传言的。化毒丹吞降气汤。秘药吹之神妙极。
\r酒毒喉痹图\p05-c16a26.bmp\r
此症上焦心脾二经之火。因酒伤而起。形如鸡卵。其色鲜红。其光如镜。壅塞喉中。发热恶
寒头痛项肿。治者吹本刺血。次吹秘。内服粘子解毒汤。
酒毒喉痹饮酒生。红塞喉间鸡卵形。恶热憎寒头项痛。吹本去血得回生。粘子解毒加甘葛。
不必他方把药寻。
\r喉闭图\p05-c16a27.bmp\r
此症外因感寒。内伤热物。大寒后便入热汤洗浴。将寒气入脾经。冷气阻于中脘。邪热客于
心经而生。卒然秘塞。气不宣通。死者多矣。急以三棱针刺手腕中紫筋上。或刺少商穴出血
。用雄黄解毒丸冷水磨化下。吹金锁匙。出痰。服八正顺气汤。
问你因何成喉闭。为感风邪受热气。致令寒气入脾经。邪热于心卒然闭。少商手腕刺三棱。
雄黄毒解试为最。金锁匙散入喉中。八正顺气汤能治。
\r伤寒喉闭图\p05-c16a28.bmp\r
此症因伤寒遗毒不散。八九日后。喉中肿闭。乃热毒入于心脾二经之故。急服四七汤二三剂
。吹秘。噙冰梅丸后。服蠲毒饮。
一人伤寒。舌出寸余。连日不收。用梅花冰片糁舌上即收。十者五愈。喉闭伤寒遗毒生。热
入心脾毒瓦斯侵。先吞四七汤三剂。吹秘冰梅噙更灵。蠲毒流气如方服。管教一服值千金。
\r飞疡图\p05-c16a29.bmp\r
此症受秽恶之气。后因怒生喉中。卒然肿胀。渐至杀人。吹金锁匙取痰。服粘子解毒汤。加
红花丹皮。若红肿不消。下刀去血。吹秘。恶心腹胀者难治。
飞疡因从怒火盛。或中秽毒亦能生。卒然肿胀伤人命。金锁吹之效若神。粘子解毒汤堪治。
加上红丹服更灵。
\r松子喉风图\p05-c16a30.bmp\r
此症因上焦风热而起。形如松子。色若猪肝。口喉皆赤。张口吐物则气逆。关闭不能饮食。
用金锁匙去痰。吹本秘。用小刀刺肿出血。再吹本秘合吹服三黄凉膈散。加荆芥防风。
松子喉风松子形。色似猪肝喉畔生。张口吐物则气逆。饮食汤来咽不能。金锁吹喉吐痰沫。
秘药吹喉即用针。急进三黄凉膈散。加上荆芥效若神。
\r脚跟喉风图\p05-c16a31.bmp\r
此症从脚至于喉中。或一年一次。半年一次。其病一日行一穴。七日行七穴。发至喉中。
如鱼脑水晶之状。先吹本。次吹秘。内服荆防败毒散。发后腥恶者死。
脚根喉风从足起。七情郁气致有因。一年一次或二次。喉内生如鱼脑形。本秘时时吹痛处。
荆防败毒散除根。发后痰腥臭秽死。医者潜心仔细评。
\r阴毒喉风图\p05-c16a32.bmp\r
此症受四时不正之气。及非常暴寒。而生少阴症。脉微细而沉。自汗。咽不利。一名肾伤寒
。切不可用寒凉之药。宜用半夏桂枝汤。或苦酒汤。脏寒咽闭。吞吐不利。用蜜附子。
阴毒喉风脉细沉。自汗咽疼属少阴。药忌寒凉为要切。桂甘半夏得回生。苦酒汤能医此症。
一服须知妙若神。脏寒咽闭蜜附子。奇方妙诀出三因。
\r喉疖图\p05-c16a33.bmp\r
此症生于雄尾之中。初起如梅核。在喉膈之间。乃七情所致也。用刀刺破。吹冰硼散。服雄
黄化毒丸并四七汤。即愈。
喉疖缘由七情起。吞吐不利阻喉中。刺破吹上冰硼散。雄黄化毒有奇功。再服四七汤为妙。
须教患者病无踪。
\r喉癣图\p05-c16a34.bmp\r
此症因受风热。或饮酒太过。上焦火燥而起。喉之内外皆白。吹秘。服山豆根汤。
喉癣原来受热气。上焦火气往咽攻。满喉白色须吹秘。山豆根汤最有功。
\r喉瘤图\p05-c16a35.bmp\r
此症肺经受热。多语损气。或怒高喊。或诵读太急。或多饮醇酒。多食爆炙而起。喉两旁。
或单。或双。形如圆眼。血丝相裹。犯之即痛。敛神息气。以药攻之则愈。勿用刀刺。吹麝
香散。服益气疏风汤。
喉瘤生在喉两旁形如圆眼或单双。犯之即痛喉中硬。养神晏息得安康。不可轻用刀针刺。益
气疏风是妙方。麝香散末时吹上。何必求神告上苍。
\r喉球图\p05-c16a36.bmp\r
此症因外感六气。内伤七情而起。咽喉之内生肉球。如龙眼核大。有根如线五寸余长。吐球
出。方可饮食。以手轻捻。痛彻至心。服益气疏风汤。用真麝香二钱。作二次。水和服。或
麝香散服三次。根化而愈。
喉球生如龙眼核。肉线相连妨饮食。七情六气致根由。手扯肉球心痛彻。益气疏风除病根。
麝香散服奇功绝。
\r风热喉丹图\p05-c16a37.bmp\r
此症风热。劳思太过。或对风言语。风入肺经而起。其色鲜红。久而赤紫。治者以多去痰为
要。吹秘。刺破。去血。火自泻矣。服粘子解毒汤。去热凉血。紫色转红。渐愈。风热喉丹
萦思起。邪风入肺致痰生。喉内鲜红多肿闭。探痰吹秘用刀针。粘子解毒汤宜治。凉血祛风
药用神。
\r气子图\p05-c16a38.bmp\r
此症因气郁。及时风热而起喉间。形如赤珠。或紫或白。犯之即痛。日久则嗌气。治者挑破
去血。吹秘。服清气利咽汤。如火盛咽痛。色紫。加片芩黄连。去半夏生姜。如虚火不甚红
。劳力即痛。加元参生地芎归知柏。
气子如珠因郁气。或红或紫在喉中。劳心努力皆能举。日久年深气欠通。治者用刀先刺破。
还将秘药上收功。清气利膈诚妙剂。能令病者喜相逢。
\r走马牙疳图\p05-c16a39.bmp\r
此症食炙爆醇酒肥甘。以致阳明胃经火动而生湿热。故发。牙龈作烂。顷刻腐黑沿开。其患
迅速。故名走马。甚者牙龈脱落。根柯污黑。不数日。以致穿腮破唇。沿及满口。走入喉中
。诚为不治。治者针少商穴。以定死生。先用午后年干。泡汁拭净。吹本秘。鼻烂加冰片、
麝香。时含水药拔毒。烂处用香附炒黄为末搽。并吹本秘。服三黄汤。次服粘子解毒汤。如
鼻烂。则服土茯苓末药五剂。小儿生此。服芦荟消疳饮。吹秘。或人中白散。若冰硼散亦
可。若牙尖穿出。刺唇作痛。挑破去腐吹药。凡治此。必取黑腐。见红肉血流为吉。声哑干
燥。黑腐不脱。牙落无血。穿破唇。身热不退。渐入喉中。俱为不治。
走马牙疳如马迅。肥甘炙爆起阳明。牙龈黑烂多脱落。顷刻沿开鼻秽深。午后年干频拭净。
\r牙痈图\p05-c16a40.bmp\r
此症胃火上冲。发于牙龈。生毒如豆大。或如指大。紫色肿硬。疼痛难忍。治者吹本下刀。
次吹秘。头痛恶寒。用荆防败毒散。加升麻葛根解表。后服清胃汤而愈。治者将针柄捺软处
。是头穴。可下针。去脓血。
牙痈之症起牙龈。生如豆大肿多疼。发热憎寒头脑痛。荆防升葛表神通。吹秘痈头轻刺破。
清胃汤宜在后吞。
\r牙疔图\p05-c16a41.bmp\r
此症食臭毒自死禽兽。或炙爆浓味。或恶气触于阳明胃经。而生疔牙缝中。疔根顶起牙上。
者。牙根末痛连腮 。破则流血。治者吹本。用刀去血。吹秘。如疔大。以刀针割去。吹均
。服三黄凉膈化之。以千金内托托之。时时吹秘。口含水药。按此症发热恶寒。头痛身强。
其症在表。宜用荆芥防风败毒散。口渴烦躁。其症在里。服三黄汤。凉膈加大黄。
牙疔恶秽触阳明。缝中高突若疔形。肿连腮 生寒热。破流紫血臭多疼。吹本用刀平割去。
均秘时吹效更灵，三黄凉膈多宜服。还将水药口中噙。
\r牙宣图\p05-c16a42.bmp\r
此症阳明胃经之火上攻。而宣露牙缝出血不止。上属脾。下属胃。吐痰血至升斗者难生。急
速治。迟则不救。治者水药漱净。吹秘。塞楝裘丹。服清胃散。犀角地黄汤。止血四生汤。
甘露饮。或胃中虚火动而牙龈腐烂。痰血常流不止。不可用上药。宜服芦荟饮。吹人中白散
四生汤
生荷叶 生艾叶 生柏叶 生地（各三钱）
水煎入童便一杯。食后服。
牙宣胃火起阳明。缝中出血不留停。急用瑶池噙漱净。楝裘丹塞立通神。犀角地黄清胃散。
四生甘露选中评。胃中虚火牙龈烂。芦荟丸吞极有功。
\r重舌痈图\p05-c16a43.bmp\r
此症因心火旺动。或受郁怒酒色而生。大舌先卷。根下另生小舌。形红肉嫩。名曰重舌。治
者吹追风于大舌上。吹本于大舌下。大舌治软。
吹本于大舌两边根下。一边针去血。次针小舌。两中不可刺针。数以本与秘吹之即愈。初起
者。服三黄泻心汤。瀛洲学士汤。凉膈散。俱可择用。将成脓。只用千金内托托之。待脓一
熟挑放。搽追风。吹本秘。
重舌缘因心火生。或因郁怒火随升。舌下还生一小舌。颏肿流涎多疼痛。金津玉液频针血。
秘吹痛喊实时宁。初宜学士瀛洲服。成脓须要用千金。
\r阴疮图\p05-c16a44.bmp\r
此症受风热湿郁结。或食煎炒炙爆而成。或左或右。治者用热水多洗手足。开脾胃。外敷金
箍散。内吹秘于疮口。过一日。将药水洗净。贴八宝膏。十三四日。贴白膏后。如疮口不收
。穿破喉内。外用紫霞云熏之。俟口内烟出。服三黄汤。加回生散。再加四味末药。
翻白草 五加皮 白藓皮 黑丑（各等分）
为细末。共入回生散内煮服。又宜服学士汤。还魂饮。有脓。服内托千金散。男用女吮。女
用男吮。去脓。忌发物。
阴疮风湿两相因。致患喉旁左右生。热水不时洗手足。内服不须用二陈。吹秘敷用金箍散。
膏封疮口紫霞熏。三黄加上回生散。瀛洲四味及还魂。
\r虾蟆瘟\p05-c16a45.bmp\r
此症感四时不正之气。初似风寒。惟耳项发肿。毒入喉间肿痛。吞吐不利。沿门传染。始起
发寒热。体强头眩。脉浮紧数。为邪在表。以荆防败毒散汗之。两目鼻面肿者。乃阳明受病
。发热便闭。口干。多热少寒。脉数有力。为邪在内。用五钱大黄汤下之。头角两耳结肿。
颇痛。寒热呕吐。口舌咽干。烦躁特甚。以知母石膏汤。小柴胡汤和之。通用防风通圣散
加牛蒡子元参。解毒。通解表里。劳役凶荒。沿门传染。用普济消毒饮。藿香正气散以安之
。表里俱解。肿仍不消。宜针去恶血。热甚者金箍散敷之。后仍不消。必欲作脓。宜托里消
散。加白芷皂角刺托之。脓成胀痛针之。已溃体倦食少。补中益气汤。脓秽脾虚。食而呕吐
。香砂养胃丸。腐溃而不敛。十全大补汤。如毒中三阳。项上俱肿。光如水色。双目合缝。
唇白楮形。口角流涎。声音不出。饮食不入。喉肿闭。牙关难开。破流臭水。秽气不绝者。
不治。年荒时毒流行。忌用攻发。法当和解以养正气。
\r落架风图\p05-c16a46.bmp\r
此症上热下虚。血气俱虚。以致筋不收。或大笑之后。或呵欠久。下颏落下。牙齿不交合。
语言饮食难。一二日可治。久则难治。治者令患人平身正坐。以两手托住下颏左右。治将两
大指捺牙槽。端紧下颏。用力住肩下。捺开关穷。随用绢条兜住下颏。系于项上。虚者服
补中益气汤。或灸颊车穴七壮。
补中益气汤
黄 人参 当归 白术 甘草（各一钱）
升麻 柴胡 陈皮（一钱） 枣（二枚） 生姜（二片）
水煎。食后服。咽痛加麦冬、粘子、玄参。去生姜。
落架风因气血虚。致将筋骨不收拘。或因大笑及呵欠。牙关落下气长吁。平身正坐两手托。
大指入口捺牙槽。食中小指端下颏。望后推之病即愈。
\r面腮肿黑图\p05-c16a47.bmp\r
此症凡食热物出汗过多而生。面黑向下肿。两边腮肿。喉中气闭。治者用热水洗手足。喉内
出气。先针少商穴。如有血出。内吹秘。如不愈。合追风均末吹之。服桔梗二陈汤。或甘桔
数剂。吹追风散于颊内。并吹牙尽处。亦有风串入牙。致牙根脓出齿落。用蜜和秘敷之。
面腮肿黑湿热生。两腮肿黑又多疼。喉中气闭人妨闷。洗和手足少商针。秘均合用追风散。
桔梗汤须合二陈。
\r锁喉风图\p05-c16a48.bmp\r
牛膝草根洗净。捣汁。人乳少许灌服。不能服者。灌鼻内。
将牛膝草的根洗净，捣烂取汁，加入少量人乳灌服。如果患者无法吞咽，则将药液滴入鼻腔内。
喉痹热毒感心脾。咽喉痛闭最难医。其形似臂肿如坎。目睛上视面如朱。治法探痰吹本秘。
粘子解毒汤为妙。不消刺血秘频吹。牛膝根汤频漱之。
喉痹是由于热毒侵袭心经和脾经所致。咽喉疼痛闭塞是最难治疗的病症。其症状表现为咽喉肿胀如同手臂上的肿块，眼睛向上凝视，面色红赤。治疗方法是探吐痰涎，并频繁吹敷“本秘”药物。若效果不佳，可使用粘子解毒汤，或者进行刺血疗法并频繁吹敷药物，同时用牛膝根汤频繁漱口。
\r阴毒喉痹图\p05-c16a25.bmp\r
此症冬日感阴湿火邪而起。肿如紫李。微见黑色。外症恶寒身热。振动腰疼。头痛。血红可
治。血黑不治。血微红。肿处软。有痰者可治。血黑硬。痰干者。难治。先服化毒丹。次服
苏子降气汤。吹秘。戒酒一月。
这种病症是在冬季感受阴湿火邪而引发的。咽喉肿胀像紫色的李子，略微呈现黑色。外部症状表现为怕冷、发热、腰部震动性疼痛、头痛。如果刺出的血液呈鲜红色，可以治疗；如果血液呈黑色，则难以治疗。如果血液微红，肿胀部位柔软，且有痰液，可以治疗；如果血液黑且硬，痰液干燥，则难以治疗。治疗时先服用化毒丹，接着服用苏子降气汤，并吹敷秘制药物。期间需戒酒一个月。
阴毒喉痹感阴湿。邪火相攻最为急。喉肿如紫李子形。外症
恶寒其血黑。红血可治黑难医。无痰不治传言的。化毒丹吞降气汤。秘药吹之神妙极。
阴毒喉痹是因为感受了阴湿之气，邪火相互攻冲，病情最为紧急。咽喉肿胀形状像紫色的李子，外部症状有怕冷，如果刺出的血液发黑，红色的血可以治疗，黑色的血难治。没有痰液的说法是不准确的（注：原文“无痰不治传言的”意为关于无痰不治的说法是传闻/或指无痰者难治，结合上下文“有痰者可治...难治”，此处应理解为无痰或痰干者难治）。服用化毒丹和降气汤，吹敷秘药，效果神妙至极。
\r酒毒喉痹图\p05-c16a26.bmp\r
此症上焦心脾二经之火。因酒伤而起。形如鸡卵。其色鲜红。其光如镜。壅塞喉中。发热恶
寒头痛项肿。治者吹本刺血。次吹秘。内服粘子解毒汤。
这种病症是由于上焦心经和脾经的火气，因饮酒损伤而起。肿胀形状像鸡蛋，颜色鲜红，表面光亮如镜子，堵塞在咽喉中。症状包括发热、怕冷、头痛、颈部肿胀。治疗时先吹敷“本”药并刺血，然后吹敷“秘”药，内服粘子解毒汤。
酒毒喉痹饮酒生。红塞喉间鸡卵形。恶热憎寒头项痛。吹本去血得回生。粘子解毒加甘葛。
不必他方把药寻。
酒毒喉痹是因饮酒而生，红肿堵塞咽喉如鸡蛋形状，怕热畏寒，头痛颈痛。吹敷本药并放血可获得生机。使用粘子解毒汤加上甘草和葛根，不需要再寻找其他方剂。
\r喉闭图\p05-c16a27.bmp\r
此症外因感寒。内伤热物。大寒后便入热汤洗浴。将寒气入脾经。冷气阻于中脘。邪热客于
心经而生。卒然秘塞。气不宣通。死者多矣。急以三棱针刺手腕中紫筋上。或刺少商穴出血
。用雄黄解毒丸冷水磨化下。吹金锁匙。出痰。服八正顺气汤。
这种病症外部原因是感受寒邪，内部原因是饮食过热之物。在大寒之后立即进入热水澡中洗浴，导致寒气侵入脾经。冷气阻滞在中脘部，邪热客居在心经而产生。突然发生咽喉闭塞，气息不通畅，死亡的人很多。急救时用三棱针刺破手腕处的紫色静脉，或者刺少商穴放血。用冷水磨化雄黄解毒丸服用，吹敷金锁匙散以排出痰液，随后服用八正顺气汤。
问你因何成喉闭。为感风邪受热气。致令寒气入脾经。邪热于心卒然闭。少商手腕刺三棱。
雄黄毒解试为最。金锁匙散入喉中。八正顺气汤能治。
问你为何患上喉闭？是因为感受风邪和热气，导致寒气进入脾经，邪热在心经突然闭塞。刺破少商穴和手腕处的三棱针，雄黄解毒丸尝试使用效果最好。金锁匙散放入喉中，八正顺气汤能够治疗。
\r伤寒喉闭图\p05-c16a28.bmp\r
此症因伤寒遗毒不散。八九日后。喉中肿闭。乃热毒入于心脾二经之故。急服四七汤二三剂
。吹秘。噙冰梅丸后。服蠲毒饮。
这种病症是因为伤寒留下的毒邪未能消散，八九天后，咽喉肿胀闭塞，这是热毒进入心经和脾经的缘故。急需服用两三剂四七汤，吹敷秘药，含服冰梅丸后，再服用蠲毒饮。
一人伤寒。舌出寸余。连日不收。用梅花冰片糁舌上即收。十者五愈。喉闭伤寒遗毒生。热
入心脾毒瓦斯侵。先吞四七汤三剂。吹秘冰梅噙更灵。蠲毒流气如方服。管教一服值千金。
有一人患伤寒，舌头伸出寸余长，连续几天缩不回去。用梅花冰片粉末撒在舌上，舌头立刻收回。十个病人中有五个能治愈。喉闭是由于伤寒遗毒产生，热气进入心脾，毒气侵犯所致。先吞服三剂四七汤，吹敷秘药并含服冰梅丸效果更好。按照方剂服用蠲毒饮，保证一服药价值千金。
\r飞疡图\p05-c16a29.bmp\r
此症受秽恶之气。后因怒生喉中。卒然肿胀。渐至杀人。吹金锁匙取痰。服粘子解毒汤。加
红花丹皮。若红肿不消。下刀去血。吹秘。恶心腹胀者难治。
这种病症是受到污秽恶劣之气的影响，后来因为愤怒而在咽喉中产生。突然肿胀，逐渐导致死亡。吹敷金锁匙散以取出痰液，服用粘子解毒汤，加入红花和丹皮。如果红肿不消退，用刀切开放血，然后吹敷秘药。出现恶心、腹胀症状的难以治疗。
飞疡因从怒火盛。或中秽毒亦能生。卒然肿胀伤人命。金锁吹之效若神。粘子解毒汤堪治。
加上红丹服更灵。
飞疡是因为怒火旺盛引起的，或者是中了秽毒也能产生。突然肿胀伤害人命。吹敷金锁匙散效果神妙。粘子解毒汤可以治疗，加上红花和丹皮服用效果更好。
\r松子喉风图\p05-c16a30.bmp\r
此症因上焦风热而起。形如松子。色若猪肝。口喉皆赤。张口吐物则气逆。关闭不能饮食。
用金锁匙去痰。吹本秘。用小刀刺肿出血。再吹本秘合吹服三黄凉膈散。加荆芥防风。
这种病症是由于上焦的风热引起的。形状像松子，颜色像猪肝，口腔和咽喉都发红。张嘴吐东西时气机上逆，闭合时不能饮食。使用金锁匙散去除痰液，吹敷本药和秘药。用小刀刺破肿胀处放血，然后再吹敷本药和秘药，配合服用三黄凉膈散，加入荆芥和防风。
松子喉风松子形。色似猪肝喉畔生。张口吐物则气逆。饮食汤来咽不能。金锁吹喉吐痰沫。
秘药吹喉即用针。急进三黄凉膈散。加上荆芥效若神。
松子喉风形状像松子，颜色像猪肝生长在咽喉旁。张嘴吐物时气机上逆，饮食汤水无法咽下。金锁匙吹喉吐出痰沫，秘药吹喉后立即用针。急进三黄凉膈散，加上荆芥效果神妙。
\r脚跟喉风图\p05-c16a31.bmp\r
此症从脚至于喉中。或一年一次。半年一次。其病一日行一穴。七日行七穴。发至喉中。
如鱼脑水晶之状。先吹本。次吹秘。内服荆防败毒散。发后腥恶者死。
这种病症从脚部蔓延到咽喉中，可能一年发作一次，或半年发作一次。疾病每天移动一个穴位，七天移动七个穴位，发作时到达咽喉中。形状像鱼脑一样晶莹剔透。先吹敷本药，然后吹敷秘药，内服荆防败毒散。发作后如果气味腥臭恶秽的会死亡。
脚根喉风从足起。七情郁气致有因。一年一次或二次。喉内生如鱼脑形。本秘时时吹痛处。
荆防败毒散除根。发后痰腥臭秽死。医者潜心仔细评。
脚跟喉风从脚部发起，是由于七情郁结之气导致的。一年发作一次或两次，咽喉内部生长像鱼脑形状。本药和秘药经常吹敷在疼痛处，荆防败毒散可以除根。发作后如果痰液腥臭秽恶则会死亡，医生需潜心仔细评判。
\r阴毒喉风图\p05-c16a32.bmp\r
此症受四时不正之气。及非常暴寒。而生少阴症。脉微细而沉。自汗。咽不利。一名肾伤寒
。切不可用寒凉之药。宜用半夏桂枝汤。或苦酒汤。脏寒咽闭。吞吐不利。用蜜附子。
这种病症是受到四季不正之气以及异常的暴寒影响，从而产生少阴症。脉搏微弱、细小且深沉，自汗，咽喉不利。又名肾伤寒。千万不要使用寒凉的药物，适宜使用半夏桂枝汤，或者苦酒汤。如果是脏腑寒冷导致的咽喉闭塞，吞吐不利，使用蜜炙附子。
阴毒喉风脉细沉。自汗咽疼属少阴。药忌寒凉为要切。桂甘半夏得回生。苦酒汤能医此症。
一服须知妙若神。脏寒咽闭蜜附子。奇方妙诀出三因。
阴毒喉风脉搏细沉，自汗咽喉疼痛属于少阴证。用药忌讳寒凉是非常关键的。桂枝、甘草、半夏能让患者起死回生。苦酒汤能治疗此症，服用一剂就知道效果神妙。脏腑寒冷咽喉闭塞使用蜜附子，这些奇方妙诀出自《三因方》。
\r喉疖图\p05-c16a33.bmp\r
此症生于雄尾之中。初起如梅核。在喉膈之间。乃七情所致也。用刀刺破。吹冰硼散。服雄
黄化毒丸并四七汤。即愈。
这种病症生长在喉咙深处（雄尾指喉底），初起时像梅核一样，位于咽喉和膈膜之间，是由七情（情绪）引起的。用刀刺破，吹敷冰硼散，服用雄黄化毒丸和四七汤，即可痊愈。
喉疖缘由七情起。吞吐不利阻喉中。刺破吹上冰硼散。雄黄化毒有奇功。再服四七汤为妙。
须教患者病无踪。
喉疖的原因源于七情，吞吐不利阻塞在咽喉中。刺破后吹上冰硼散，雄黄化毒丸有奇效。再服用四七汤更为巧妙，必须让患者的病痛消失无踪。
\r喉癣图\p05-c16a34.bmp\r
此症因受风热。或饮酒太过。上焦火燥而起。喉之内外皆白。吹秘。服山豆根汤。
这种病症是因为感受风热，或者饮酒过度，导致上焦火燥而起。咽喉的内部和外部都呈现白色。吹敷秘药，服用山豆根汤。
喉癣原来受热气。上焦火气往咽攻。满喉白色须吹秘。山豆根汤最有功。
喉癣原来是受到热气影响，上焦的火气向咽喉进攻。满喉白色需要吹敷秘药，山豆根汤功效最大。
\r喉瘤图\p05-c16a35.bmp\r
此症肺经受热。多语损气。或怒高喊。或诵读太急。或多饮醇酒。多食爆炙而起。喉两旁。
或单。或双。形如圆眼。血丝相裹。犯之即痛。敛神息气。以药攻之则愈。勿用刀刺。吹麝
香散。服益气疏风汤。
这种病症是肺经受热，说话过多损伤气机，或者愤怒高声呼喊，或者诵读太急促，或者多饮烈酒，多吃油炸烧烤食物而引起。在咽喉两侧，或者单个，或者两个，形状像桂圆核，周围包裹着血丝，触碰就会疼痛。收敛心神，平息气息，用药物攻治就能痊愈。不要用刀刺破，吹敷麝香散，服用益气疏风汤。
喉瘤生在喉两旁形如圆眼或单双。犯之即痛喉中硬。养神晏息得安康。不可轻用刀针刺。益
气疏风是妙方。麝香散末时吹上。何必求神告上苍。
喉瘤生长在咽喉两侧，形状像桂圆核，单个或双个。触碰即痛，咽喉中感觉僵硬。保养精神，晚睡早起（晏息指休息）可得安康。不可轻易用刀针刺。益气疏风汤是妙方。麝香散粉末随时吹敷，何必求神祷告上天。
\r喉球图\p05-c16a36.bmp\r
此症因外感六气。内伤七情而起。咽喉之内生肉球。如龙眼核大。有根如线五寸余长。吐球
出。方可饮食。以手轻捻。痛彻至心。服益气疏风汤。用真麝香二钱。作二次。水和服。或
麝香散服三次。根化而愈。
这种病症是因为外感六淫之气，内伤七情而起。咽喉内部生长肉球，大小像龙眼核，根部像线一样有五寸多长。只有将球吐出来，才能饮食。用手轻轻揉捏，疼痛直达心脏。服用益气疏风汤。使用真麝香二钱，分两次用水送服。或者服用麝香散三次，根部化解后即可痊愈。
喉球生如龙眼核。肉线相连妨饮食。七情六气致根由。手扯肉球心痛彻。益气疏风除病根。
麝香散服奇功绝。
喉球生长像龙眼核，肉线相连妨碍饮食。七情六气是导致根源的原因。手拉扯肉球心痛彻骨。益气疏风能除去病根，麝香散服用奇功绝伦。
\r风热喉丹图\p05-c16a37.bmp\r
此症风热。劳思太过。或对风言语。风入肺经而起。其色鲜红。久而赤紫。治者以多去痰为
要。吹秘。刺破。去血。火自泻矣。服粘子解毒汤。去热凉血。紫色转红。渐愈。风热喉丹
萦思起。邪风入肺致痰生。喉内鲜红多肿闭。探痰吹秘用刀针。粘子解毒汤宜治。凉血祛风
药用神。
这种病症是风热，劳累思虑过度，或者对着风说话，风邪进入肺经而起。颜色鲜红，时间久了变成赤紫色。治疗者以多去除痰液为关键。吹敷秘药，刺破，放血，火气自然消退。服用粘子解毒汤，清热凉血，紫色转红，逐渐痊愈。风热喉丹源于思虑，邪风入肺导致痰液生成。咽喉内部鲜红大多肿胀闭塞。探痰吹秘用刀针，粘子解毒汤适宜治疗，凉血祛风的药物药效神奇。
\r气子图\p05-c16a38.bmp\r
此症因气郁。及时风热而起喉间。形如赤珠。或紫或白。犯之即痛。日久则嗌气。治者挑破
去血。吹秘。服清气利咽汤。如火盛咽痛。色紫。加片芩黄连。去半夏生姜。如虚火不甚红
。劳力即痛。加元参生地芎归知柏。
这种病症是因为气郁，加上时令风热而在咽喉间引起。形状像红色的珠子，或者紫色或者白色，触碰即痛。日子久了会导致咽喉气滞。治疗者挑破放血，吹敷秘药，服用清气利咽汤。如果火气旺盛咽喉疼痛，颜色紫，加入片芩和黄连，去掉半夏和生姜。如果是虚火不是很红，用力就痛，加入玄参、生地、川芎、当归、知母和黄柏。
气子如珠因郁气。或红或紫在喉中。劳心努力皆能举。日久年深气欠通。治者用刀先刺破。
还将秘药上收功。清气利膈诚妙剂。能令病者喜相逢。
气子像珠子是因为郁结之气，或者红或者紫在咽喉中。劳心费力都能引发。日子久了气息不通畅。治疗者用刀先刺破，再用秘药吹敷收功。清气利膈汤确实是妙剂，能让病人欣喜相逢。
\r走马牙疳图\p05-c16a39.bmp\r
此症食炙爆醇酒肥甘。以致阳明胃经火动而生湿热。故发。牙龈作烂。顷刻腐黑沿开。其患
迅速。故名走马。甚者牙龈脱落。根柯污黑。不数日。以致穿腮破唇。沿及满口。走入喉中
。诚为不治。治者针少商穴。以定死生。先用午后年干。泡汁拭净。吹本秘。鼻烂加冰片、
麝香。时含水药拔毒。烂处用香附炒黄为末搽。并吹本秘。服三黄汤。次服粘子解毒汤。如
鼻烂。则服土茯苓末药五剂。小儿生此。服芦荟消疳饮。吹秘。或人中白散。若冰硼散亦
可。若牙尖穿出。刺唇作痛。挑破去腐吹药。凡治此。必取黑腐。见红肉血流为吉。声哑干
燥。黑腐不脱。牙落无血。穿破唇。身热不退。渐入喉中。俱为不治。
这种病症是因为食用油炸烧烤、烈酒、肥肉甜食，导致阳明胃经火动而生湿热，因此发作。牙龈腐烂，顷刻间变黑腐烂蔓延开来，危害迅速，所以叫走马。严重的牙龈脱落，牙根污黑，不过几天，导致穿透脸颊破裂嘴唇，蔓延到满口，进入咽喉中，确实是不治之症。治疗者针刺少商穴，以决定生死。先用午后的年干（注：此处疑为特定草药或方法，原文“午后年干”可能指代某种药材或时辰用法，暂译字面意思或视为专有名词处理，结合语境可能是“午后采制的某药”或笔误，此处保留原意或译为特定时辰处理的药汁，参考常见中医古籍，“年干”极少见，可能是“甘草”之误或特定秘方，鉴于要求忠实原文，译为“午后年干泡汁”），泡汁擦拭干净，吹敷本药和秘药。鼻子腐烂加入冰片和麝香。时常含服拔毒药汁。腐烂处用炒黄的香附粉末涂抹，并吹敷本秘药。服用三黄汤，接着服用粘子解毒汤。如果鼻子腐烂，则服用土茯苓粉末药五剂。小儿患此病，服用芦荟消疳饮，吹敷秘药，或者人中白散，如果是冰硼散也可以。如果牙尖穿出，刺破嘴唇感到疼痛，挑破去除腐肉吹药。凡是治疗此病，必须去除黑色腐肉，见到红肉流血为吉利。声音嘶哑干燥，黑色腐肉不脱落，牙齿掉落无血，穿透嘴唇，身体发热不退，逐渐进入咽喉中，都属于不治之症。
\r牙痈图\p05-c16a40.bmp\r
此症胃火上冲。发于牙龈。生毒如豆大。或如指大。紫色肿硬。疼痛难忍。治者吹本下刀。
次吹秘。头痛恶寒。用荆防败毒散。加升麻葛根解表。后服清胃汤而愈。治者将针柄捺软处
。是头穴。可下针。去脓血。
这种病症是胃火上冲，发生在牙龈，生长毒疮像豆子大，或者像手指大，紫色肿胀坚硬，疼痛难忍。治疗者吹敷本药下刀，然后吹敷秘药。如果有头痛怕冷的症状，使用荆防败毒散，加入升麻和葛根解表，随后服用清胃汤而痊愈。治疗者将针柄按压在软处，那是头穴，可以下针，排出脓血。
牙痈之症起牙龈。生如豆大肿多疼。发热憎寒头脑痛。荆防升葛表神通。吹秘痈头轻刺破。
清胃汤宜在后吞。
牙痈这种病症起源于牙龈，生长像豆子大，肿胀疼痛多。发热畏寒头脑痛，荆防败毒散加升麻葛根解表神通。吹敷秘药并将痈头轻轻刺破，清胃汤适宜在后面服用。
\r牙疔图\p05-c16a41.bmp\r
此症食臭毒自死禽兽。或炙爆浓味。或恶气触于阳明胃经。而生疔牙缝中。疔根顶起牙上。
者。牙根末痛连腮 。破则流血。治者吹本。用刀去血。吹秘。如疔大。以刀针割去。吹均
。服三黄凉膈化之。以千金内托托之。时时吹秘。口含水药。按此症发热恶寒。头痛身强。
其症在表。宜用荆芥防风败毒散。口渴烦躁。其症在里。服三黄汤。凉膈加大黄。
这种病症是食用腐败有毒的死禽兽，或者食用油炸烧烤浓味食物，或者恶气触碰到阳明胃经，而在牙缝中生长疔疮。疔疮根部顶起在牙齿上，有的牙根末端疼痛牵连腮帮，破溃则流血。治疗者吹敷本药，用刀放血，吹敷秘药。如果疔疮大，用刀针割去，吹敷均匀。服用三黄凉膈散化解它，用千金内托散托毒外出。时时吹敷秘药，口中含药水。根据此症，如果发热怕冷，头痛身体僵硬，病症在表，适宜使用荆芥防风败毒散。如果口渴烦躁，病症在里，服用三黄汤，凉膈散加大黄。
牙疔恶秽触阳明。缝中高突若疔形。肿连腮 生寒热。破流紫血臭多疼。吹本用刀平割去。
均秘时吹效更灵，三黄凉膈多宜服。还将水药口中噙。
牙疔是恶秽之气触碰到阳明经，牙缝中高突像疔疮形状。肿胀牵连腮帮，产生寒热，破溃流出紫血，臭味重且疼痛多。吹敷本药用刀平割去除，均匀吹敷秘药效果更灵验，三黄凉膈散多适宜服用，还要将药水含在口中。
\r牙宣图\p05-c16a42.bmp\r
此症阳明胃经之火上攻。而宣露牙缝出血不止。上属脾。下属胃。吐痰血至升斗者难生。急
速治。迟则不救。治者水药漱净。吹秘。塞楝裘丹。服清胃散。犀角地黄汤。止血四生汤。
甘露饮。或胃中虚火动而牙龈腐烂。痰血常流不止。不可用上药。宜服芦荟饮。吹人中白散
四生汤
生荷叶 生艾叶 生柏叶 生地（各三钱）
水煎入童便一杯。食后服。
这种病症是阳明胃经的火气上攻，导致牙缝暴露出血不止。上部归属于脾，下部归属于胃。呕吐痰血量达到升斗级别的很难生存。必须急速治疗，迟缓则无法救治。治疗者用水药漱口干净，吹敷秘药，塞入楝裘丹，服用清胃散、犀角地黄汤、止血四生汤、甘露饮。或者是胃中虚火活动导致牙龈腐烂，痰血常流不止，不能使用上述药物，适宜服用芦荟饮，吹敷人中白散。四生汤由生荷叶、生艾叶、生柏叶、生地（各三钱）组成，水煎煮加入一杯童子尿，饭后服用。
牙宣胃火起阳明。缝中出血不留停。急用瑶池噙漱净。楝裘丹塞立通神。犀角地黄清胃散。
四生甘露选中评。胃中虚火牙龈烂。芦荟丸吞极有功。
牙宣是胃火起源于阳明经，牙缝中出血不停止。急忙使用瑶池药水漱口干净，塞入楝裘丹立刻通神。犀角地黄汤和清胃散，四生汤和甘露饮中选择评价高的。胃中虚火导致牙龈腐烂，吞服芦荟丸极有功效。
\r重舌痈图\p05-c16a43.bmp\r
此症因心火旺动。或受郁怒酒色而生。大舌先卷。根下另生小舌。形红肉嫩。名曰重舌。治
者吹追风于大舌上。吹本于大舌下。大舌治软。
吹本于大舌两边根下。一边针去血。次针小舌。两中不可刺针。数以本与秘吹之即愈。初起
者。服三黄泻心汤。瀛洲学士汤。凉膈散。俱可择用。将成脓。只用千金内托托之。待脓一
熟挑放。搽追风。吹本秘。
这种病症是因为心火旺盛活动，或者受到郁怒、酒色影响而生。大舌头先卷曲，根部下面另外生长小舌头，形状红肉嫩，名叫重舌。治疗者在大舌头上吹敷追风药，在大舌头下面吹敷本药，使大舌头变软。
吹敷本药在大舌头两边根部下面，一边针刺放血，然后针刺小舌头，两者中间不可刺针。多次用本药和秘药吹敷即可痊愈。初起阶段，服用三黄泻心汤、瀛洲学士汤、凉膈散，都可以选择使用。快要形成脓液时，只用千金内托散托毒，等待脓液完全成熟后挑破排放，涂抹追风药，吹敷本秘药。
重舌缘因心火生。或因郁怒火随升。舌下还生一小舌。颏肿流涎多疼痛。金津玉液频针血。
秘吹痛喊实时宁。初宜学士瀛洲服。成脓须要用千金。
重舌缘于心火产生，或者是因为郁怒火气随之上升。舌头下面还生长一个小舌头，下巴肿胀流口水多疼痛。金津玉液穴频繁针刺放血，秘药吹敷疼痛喊叫实时安宁。初期适宜服用学士瀛洲汤，成脓期必须使用千金内托散。
\r阴疮图\p05-c16a44.bmp\r
此症受风热湿郁结。或食煎炒炙爆而成。或左或右。治者用热水多洗手足。开脾胃。外敷金
箍散。内吹秘于疮口。过一日。将药水洗净。贴八宝膏。十三四日。贴白膏后。如疮口不收
。穿破喉内。外用紫霞云熏之。俟口内烟出。服三黄汤。加回生散。再加四味末药。
翻白草 五加皮 白藓皮 黑丑（各等分）
为细末。共入回生散内煮服。又宜服学士汤。还魂饮。有脓。服内托千金散。男用女吮。女
用男吮。去脓。忌发物。
这种病症是受到风热湿郁结，或者食用煎炒油炸食物而成。或者在左边或者在右边。治疗者用热水多洗手足，开通脾胃，外敷金箍散，向内吹敷秘药于疮口。过一天，将药水洗净，贴上八宝膏。十三四天，贴上白膏后，如果疮口不愈合，穿破到喉内，外用紫霞云熏蒸。等到口内冒出烟，服用三黄汤，加入回生散，再加入四味粉末药物。翻白草、五加皮、白藓皮、黑丑（各等分），研为细末，共同放入回生散内煮服。又适宜服用学士汤、还魂饮。如果有脓，服用内托千金散，男性用女性吸吮，女性用男性吸吮，去除脓液，忌食发物。
阴疮风湿两相因。致患喉旁左右生。热水不时洗手足。内服不须用二陈。吹秘敷用金箍散。
膏封疮口紫霞熏。三黄加上回生散。瀛洲四味及还魂。
阴疮是风湿两种因素相互导致，致使患病在咽喉旁边左右生长。热水不时洗手足，内服不需要使用二陈汤。吹敷秘药敷用金箍散，膏药封闭疮口紫霞熏蒸。三黄汤加上回生散，瀛洲学士汤四味药及还魂饮。
\r虾蟆瘟\p05-c16a45.bmp\r
此症感四时不正之气。初似风寒。惟耳项发肿。毒入喉间肿痛。吞吐不利。沿门传染。始起
发寒热。体强头眩。脉浮紧数。为邪在表。以荆防败毒散汗之。两目鼻面肿者。乃阳明受病
。发热便闭。口干。多热少寒。脉数有力。为邪在内。用五钱大黄汤下之。头角两耳结肿。
颇痛。寒热呕吐。口舌咽干。烦躁特甚。以知母石膏汤。小柴胡汤和之。通用防风通圣散
加牛蒡子元参。解毒。通解表里。劳役凶荒。沿门传染。用普济消毒饮。藿香正气散以安之
。表里俱解。肿仍不消。宜针去恶血。热甚者金箍散敷之。后仍不消。必欲作脓。宜托里消
散。加白芷皂角刺托之。脓成胀痛针之。已溃体倦食少。补中益气汤。脓秽脾虚。食而呕吐
。香砂养胃丸。腐溃而不敛。十全大补汤。如毒中三阳。项上俱肿。光如水色。双目合缝。
唇白楮形。口角流涎。声音不出。饮食不入。喉肿闭。牙关难开。破流臭水。秽气不绝者。
不治。年荒时毒流行。忌用攻发。法当和解以养正气。
这种病症是感受四季不正之气，起初类似风寒，只有耳朵和颈部肿胀，毒邪进入咽喉间肿痛，吞吐不利，沿门传染。开始发作时发寒热，身体僵硬头晕，脉搏浮紧数，这是邪气在表，用荆防败毒散发汗。两眼、鼻子、面部肿胀的，是阳明经受病，发热便秘，口干，热多寒少，脉搏数有力，这是邪气在内，用五钱大黄汤攻下。头角和两耳结肿，很痛，寒热呕吐，口舌咽喉干燥，烦躁特别严重，用知母石膏汤、小柴胡汤调和。通用防风通圣散加牛蒡子和玄参，解毒，通解表里。劳役饥荒，沿门传染，用普济消毒饮、藿香正气散来安抚。表里都解除了，肿胀仍然不消退，适宜针刺去除恶血，热势严重的用金箍散敷贴。之后仍然不消退，必定想要化脓，适宜用托里消毒散，加入白芷和皂角刺托毒。脓液形成胀痛时针刺排脓。已经溃破身体疲倦食量减少，服用补中益气汤。脓液秽浊脾虚，进食呕吐，服用香砂养胃丸。腐烂溃破而不愈合，服用十全大补汤。如果毒邪侵犯三阳经，颈部全部肿胀，光泽如水色，双眼紧闭，嘴唇苍白像楮树皮，口角流涎，声音不出，饮食不入，咽喉肿胀闭塞，牙关难开，破溃流出臭水，秽气不绝的，是不治之症。年荒时毒流行，忌讳使用攻发之法，应当和解以养护正气。
\r落架风图\p05-c16a46.bmp\r
此症上热下虚。血气俱虚。以致筋不收。或大笑之后。或呵欠久。下颏落下。牙齿不交合。
语言饮食难。一二日可治。久则难治。治者令患人平身正坐。以两手托住下颏左右。治将两
大指捺牙槽。端紧下颏。用力住肩下。捺开关穷。随用绢条兜住下颏。系于项上。虚者服
补中益气汤。或灸颊车穴七壮。
补中益气汤
黄 人参 当归 白术 甘草（各一钱）
升麻 柴胡 陈皮（一钱） 枣（二枚） 生姜（二片）
水煎。食后服。咽痛加麦冬、粘子、玄参。去生姜。
这种病症是上热下虚，血气都虚弱，导致筋脉不收摄。或者在大笑之后，或者打哈欠很久，下巴落下，牙齿不能咬合，语言和饮食困难。一两天可以治疗，久了则难治。治疗者让患者平身正坐，用双手托住下巴左右，治疗者将两大指按压牙槽，端正夹紧下巴，用力按住肩膀下，按压直到关节复位。随即用绢条兜住下巴，系在脖子上。虚弱的患者服用补中益气汤，或者灸颊车穴七壮。
补中益气汤由黄芪、人参、当归、白术、甘草（各一钱），升麻、柴胡、陈皮（一钱），大枣（二枚），生姜（二片）组成，水煎，饭后服用。咽痛加麦冬、粘子、玄参，去掉生姜。
落架风因气血虚。致将筋骨不收拘。或因大笑及呵欠。牙关落下气长吁。平身正坐两手托。
大指入口捺牙槽。食中小指端下颏。望后推之病即愈。
落架风是因为气血虚弱，导致筋骨不收摄拘挛。或者是因为大笑和打哈欠，牙关落下气喘吁吁。平身正坐用双手托住，大拇指入口按压牙槽，食指中指端正下巴，向后推之病即愈。
\r面腮肿黑图\p05-c16a47.bmp\r
此症凡食热物出汗过多而生。面黑向下肿。两边腮肿。喉中气闭。治者用热水洗手足。喉内
出气。先针少商穴。如有血出。内吹秘。如不愈。合追风均末吹之。服桔梗二陈汤。或甘桔
数剂。吹追风散于颊内。并吹牙尽处。亦有风串入牙。致牙根脓出齿落。用蜜和秘敷之。
这种病症凡是食用热物出汗过多而生。面色黑向下肿，两边腮帮肿胀，咽喉中气闭。治疗者用热水洗手足，让喉内出气，先针刺少商穴，如果有血流出，向内吹敷秘药。如果不愈，混合追风散粉末吹敷。服用桔梗二陈汤，或者甘桔汤数剂，吹敷追风散于脸颊内，并吹敷牙齿尽头处。也有风邪串入牙齿，导致牙根脓出牙齿脱落，用蜂蜜调和秘药敷贴。
面腮肿黑湿热生。两腮肿黑又多疼。喉中气闭人妨闷。洗和手足少商针。秘均合用追风散。
桔梗汤须合二陈。
面腮肿黑是湿热产生，两腮肿胀发黑又多疼痛，咽喉中气闭让人妨碍闷热。清洗手脚针刺少商穴，秘药均匀合用追风散，桔梗汤必须合用二陈汤。
\r锁喉风图\p05-c16a48.bmp\r
Achyranthes root is washed clean, crushed to extract juice, mixed with a small amount of human milk, and administered orally. If the patient cannot swallow, the liquid is instilled into the nasal cavity.
Throat Bi (Sore Throat) caused by Heat-Toxin affecting the Heart and Spleen channels is difficult to treat. The throat becomes painful and obstructed; swelling resembles an arm lesion, eyes roll upward, and the face appears crimson. Treatment involves inducing expectoration of phlegm and frequent application of "Ben Mi" (Secret Powder). Zizyphus Detoxifying Decoction (Ziziju Jiedu Tang) is effective. If ineffective, bloodletting and frequent powder application are used, along with frequent rinsing with Achyranthes root decoction.
\rYin-Du Throat Bi Diagram\p05-c16a25.bmp\r
This condition arises in winter from Yin-dampness and Fire-Evil. Swelling resembles a purple plum with slight black discoloration. External symptoms include aversion to cold, fever, lumbar pain, and headache. Bloodletting yielding red blood indicates a treatable case; black blood indicates untreatability. Soft swelling with phlegm is treatable; hard swelling with dry phlegm is difficult to treat. Initial treatment involves Huadu Dan (Detoxification Pill), followed by Su Zi Jiang Qi Tang (Perilla Seed Descending Qi Decoction) and powder application. Alcohol must be abstained from for one month.
Yin-Du Throat Bi stems from Yin-dampness and attacking Fire-Evil, presenting urgently with purple-plum-like swelling and aversion to cold. Red blood is treatable, black blood is not. The rumor that "no phlegm means untreatable" is debatable; however, dry phlegm is difficult. Huadu Dan and Jiangqi Tang are taken, and secret powder is applied with miraculous effect.
\rJiu-Du Throat Bi Diagram\p05-c16a26.bmp\r
This condition results from Fire in the Upper Jiao (Heart and Spleen channels) due to alcohol injury. Swelling resembles a chicken egg, bright red, shiny like a mirror, obstructing the throat. Symptoms include fever, aversion to cold, headache, and neck swelling. Treatment involves applying "Ben" medicine, bloodletting, then applying "Mi" medicine, and internally taking Zizyphus Detoxifying Decoction.
Jiu-Du Throat Bi arises from drinking; red swelling in the throat resembles a chicken egg, with aversion to heat and cold, and head/neck pain. Applying Ben medicine and bloodletting restores life. Zizyphus Detoxifying Decoction with Licorice and Kudzu Root is sufficient; no other formulas are needed.
\rHou Bi (Throat Closure) Diagram\p05-c16a27.bmp\r
This condition is caused externally by Cold invasion and internally by excessive heat from diet. Taking hot baths after severe cold allows Cold to enter the Spleen channel, blocking the Zhongwan point, while Pathogenic Heat resides in the Heart channel, causing sudden closure and Qi obstruction, often fatal. Emergency treatment involves pricking the purple vein on the wrist or Shaoshang (LU 11) acupoint with a three-edged needle to bleed. Administer Xionghuang Jiedu Wan (Realgar Detoxification Pill) dissolved in cold water, apply Jin Suo Chi (Golden Key) powder to expel phlegm, and take Bazheng Shunqi Tang (Eight-Righteous Qi-Smooth Decoction).
Why does Throat Closure occur? Due to Wind-Cold and Heat, Cold enters the Spleen, Heat enters the Heart, causing sudden closure. Prick Shaoshang and wrist veins with a three-edged needle. Realgar detoxifies best. Jin Suo Chi powder enters the throat, and Bazheng Shunqi Tang treats it.
\rShanghan Hou Bi Diagram\p05-c16a28.bmp\r
This condition occurs when residual toxins from Cold Damage (Shanghan) fail to dissipate. After eight to nine days, throat swelling and closure result from Heat-Toxin entering the Heart and Spleen channels. Immediately administer Siqi Tang (Four-Seven Decoction) for two to three doses, apply secret powder, hold Bingmei Wan (Ice Plum Pill) in the mouth, then take Juandu Yin (Toxin-Removing Drink).
A Shanghan patient had a tongue protruding over an inch, unable to retract for days. Sprinkling Plum Blossom Borneol on the tongue retracted it immediately; five out of ten cases healed. Throat Closure from Shanghan residual toxin involves Heat entering Heart/Spleen. Take three doses of Siqi Tang first, apply secret powder and hold Ice Plum for better efficacy. Follow Juandu Liqi formula as prescribed; one dose is worth a thousand gold.
\rFeiyang (Flying Ulcer) Diagram\p05-c16a29.bmp\r
This condition is caused by foul air and subsequent anger, leading to sudden throat swelling that can be fatal. Apply Jin Suo Chi powder to remove phlegm, take Zizyphus Detoxifying Decoction with Safflower (Honghua) and Moutan Bark (Danpi). If redness/swelling persists, incise to drain blood, then apply secret powder. Cases with nausea and abdominal distension are difficult to treat.
Feiyang stems from intense anger or foul toxin poisoning, causing sudden fatal swelling. Jin Suo Chi application is miraculous. Zizyphus Detoxifying Decoction with Honghua and Danpi is effective.
\rSongzi (Pine Nut) Houfeng Diagram\p05-c16a30.bmp\r
This condition arises from Wind-Heat in the Upper Jiao. It resembles a pine nut, color like pig liver, with red mouth and throat. Opening the mouth causes Qi rebellion; closing it prevents eating/drinking. Use Jin Suo Chi to remove phlegm, apply Ben/Mi powders, prick swelling with a small knife to bleed, then reapply powders and take Sanhuang Liangge San (Three-Yellows Cooling Diaphragm Powder) with Schizonepeta (Jingjie) and Saposhnikovia (Fangfeng).
Songzi Houfeng resembles a pine nut, pig-liver colored near the throat. Mouth opening causes Qi rebellion; swallowing is impossible. Jin Suo Chi blows out phlegm; secret powder with needle pricks. Rapidly administer Sanhuang Liangge San with Jingjie for miraculous effect.
\rJiaogen (Heel) Houfeng Diagram\p05-c16a31.bmp\r
This condition spreads from the foot to the throat, occurring once a year or every six months. The pathogen moves one acupoint per day, seven points in seven days, reaching the throat. It appears crystal-clear like fish brain. Apply Ben powder first, then Mi powder, and internally take Jingfang Baidu San (Schizonepeta and Saposhnikovia Toxin-Resolving Powder). Death ensues if the discharge is foul-smelling after onset.
Jiaogen Houfeng starts from the foot, caused by emotional stagnation. Occurs annually or semi-annually, forming fish-brain-like growths in the throat. Apply Ben/Mi powders to painful areas frequently. Jingfang Baidu San eradicates the root. Foul-smelling phlegm post-onset indicates death; physicians must evaluate carefully.
\rYin-Du Houfeng Diagram\p05-c16a32.bmp\r
This condition results from improper seasonal Qi and extreme cold, generating Shaoyin Syndrome: faint, fine, deep pulse, spontaneous sweating, and throat difficulty. Also known as Kidney Cold Damage. Avoid cold-natured herbs. Use Banxia Guizhi Tang (Pinellia and Cinnamon Twig Decoction) or Kujiu Tang (Bitter Wine Decoction). For organ cold causing throat closure, use Honey-fried Aconite (Mifu Zi).
Yin-Du Houfeng presents with fine/deep pulse, sweating, and sore throat (Shaoyin). Cold herbs are contraindicated. Guizhi, Gancao, and Banxia restore life. Kujiu Tang cures this; one dose is miraculous. Organ cold/throat closure uses Mifu Zi; these unique prescriptions come from *San Yin Fang*.
\rHoujie (Throat Boil) Diagram\p05-c16a33.bmp\r
This condition arises in the deep throat (Xiongwei), initially like a plum pit between the throat and diaphragm, caused by emotional factors. Incise with a knife, apply Bingpeng San (Borneol and Borax Powder), and take Xionghuang Huadu Wan (Realgar Detoxification Pill) and Siqi Tang. Cure follows.
Houjie originates from emotions, obstructing swallowing. Incise and apply Bingpeng San. Xionghuang Huadu Wan has miraculous effects. Follow with Siqi Tang for complete cure.
\rHouxuan (Throat Lichen) Diagram\p05-c16a34.bmp\r
This condition is caused by Wind-Heat or excessive drinking, leading to Upper Jiao Fire-Dryness. The interior and exterior of the throat appear white. Apply secret powder and take Shandougen Tang (Tephrosia Root Decoction).
Houxuan stems from Heat/Qi, with Upper Jiao Fire attacking the throat. White throat requires secret powder. Shandougen Tang is most effective.
\rHouliu (Throat Tumor) Diagram\p05-c16a35.bmp\r
This condition results from Lung Channel Heat, excessive talking damaging Qi, angry shouting, rapid reading, excessive strong wine, or fried/roasted foods. Growths appear on either side of the throat, single or double, resembling longan seeds, wrapped in blood vessels, painful upon touch. Calm the spirit, rest, and treat with herbs. Do not use knives. Apply Shexiang San (Musk Powder) and take Yiqi Shufeng Tang (Qi-Nourishing Wind-Dispersing Decoction).
Houliu grows on throat sides like longan seeds, single or double. Painful and hard. Rest and calm spirit. Do not prick with knives. Yiqi Shufeng Tang is excellent. Blow Shexiang San powder; no need to pray to heaven.
\rHouqiu (Throat Ball) Diagram\p05-c16a36.bmp\r
This condition arises from external Six Qi and internal Seven Emotions. A fleshy ball grows inside the throat, size of a longan seed, with a root like a thread over five inches long. Food intake is only possible after expelling the ball. Gentle manipulation causes heart-piercing pain. Take Yiqi Shufeng Tang. Use genuine Musk (2 qian), divided into two doses with water, or take Shexiang San three times until the root dissolves and cure is achieved.
Houqiu resembles a longan seed, connected by flesh/thread, hindering eating. Caused by emotions/Qi. Pulling the ball causes heart pain. Yiqi Shufeng Tang removes the root. Shexiang San administration is miraculous.
\rFengre Houdan (Wind-Heat Throat Erythema) Diagram\p05-c16a37.bmp\r
This condition is caused by Wind-Heat, excessive mental labor, or speaking into the wind, entering the Lung channel. Color is bright red, turning crimson-purple over time. Treatment prioritizes phlegm removal. Apply secret powder, prick to bleed, allowing Fire to drain. Take Zizyphus Detoxifying Decoction to clear heat and cool blood; purple turns red, and gradual healing occurs. Fengre Houdan stems from worry/Wind entering Lung producing phlegm. Bright red swelling/closure requires probing phlegm, blowing powder, and needle pricks. Zizyphus Detoxifying Decoction cools blood and disperses wind effectively.
\rQizi (Qi Nodule) Diagram\p05-c16a38.bmp\r
This condition arises from Qi Stagnation and seasonal Wind-Heat in the throat. Resembles a red bead, varying purple or white, painful on touch. Long-term leads to throat Qi obstruction. Prick to bleed, apply secret powder, and take Qingqi Liyan Tang (Clear Qi Benefit Throat Decoction). If Fire is strong with purple color, add Huangqin and Huanglian, remove Banxia and Shengjiang. If deficiency-Fire is mild but painful on exertion, add Xuanshen, Dihuang, Chuanxiong, Danggui, Zhimu, and Huangbai.
Qizi resembles a bead due to Qi stagnation, red/purple in throat. Mental effort triggers it. Long-term Qi obstruction requires initial pricking and secret powder. Qingqi Li Ge is a wonderful agent bringing joy.
\rZouma Yagan (Running-Horse Gum Rot) Diagram\p05-c16a39.bmp\r
This condition results from fried/roasted foods, alcohol, and rich sweets, stirring Yangming Stomach Fire and producing Damp-Heat. Gums rot rapidly, turning black and spreading quickly ("Running Horse"). Severe cases involve gum detachment, black roots, cheek/lip perforation, mouth involvement, and throat entry (untreatable). Treat by pricking Shaoshang acupoint to determine prognosis. Wipe with "Wuhou Niangan" decoction, apply Ben/Mi powders. For nasal rot, add Borneol and Musk. Rinse with detoxifying water. Apply fried Cyperus powder to ulcers and blow Ben/Mi powders. Take Sanhuang Tang, then Zizyphus Detoxifying Decoction. For nasal rot, take Tufuling powder for five doses. Children take Lushui Xiaoguan Yin, blow secret powder, or Renzhongbai San/Bingpeng San. If tooth tips pierce lips painfully, incise, remove necrosis, and apply powder. Success requires removing black necrosis and seeing red bleeding. Hoarseness, dryness, non-detaching necrosis, bloodless tooth loss, lip perforation, persistent fever, and throat entry are all untreatable.
Zouma Yagan is swift like a horse, arising from Yangming rich diet. Gums rot black/detach, spreading to nose. Wipe frequently with Wuhou Niangan.
\rYayong (Gum Abscess) Diagram\p05-c16a40.bmp\r
This condition is Stomach Fire rushing upward, appearing on gums as bean- or finger-sized purple, hard, painful swellings. Apply Ben medicine, incise, then apply Mi medicine. For headache/aversion to cold, use Jingfang Baidu San with Shengma and Gegen to release the exterior, followed by Qingwei Tang. Press the needle handle on soft spots to locate the head acupoint, puncture to drain pus/blood.
Yayong starts on gums, bean-sized, painful. Fever/chills/headache require Jingfang, Shengma, Gegen for exterior release. Blow Mi powder and lightly prick abscess head. Take Qingwei Tang later.
\rYading (Gum Carbuncle) Diagram\p05-c16a41.bmp\r
This condition is caused by eating rotten/toxic dead animals, rich fried foods, or foul air touching the Yangming Stomach channel, forming carbuncles in gum fissures. Roots elevate above teeth, causing root pain radiating to cheeks, bleeding upon rupture. Apply Ben medicine, incise to bleed, apply Mi powder. If large, cut with knife/needle, apply evenly. Take Sanhuang Liangge San to resolve, Qianjin Neituo San to support. Frequently blow Mi powder and hold detoxifying water. If exterior symptoms (fever/chills/headache/stiffness) exist, use Jingjie Fangfeng Baidu San. If interior symptoms (thirst/restlessness) exist, take Sanhuang Tang or Liangge San with Dahuang.
Yading toxic foul touches Yangming, bulging in fissures like carbuncles. Swelling connects to cheeks, chills/heat, purple bloody odor/pain. Cut with knife, apply Mi evenly. Sanhuang Liangge and holding water are suitable.
\rYaxuan (Gum Recession) Diagram\p05-c16a42.bmp\r
This condition is Yangming Stomach Fire attacking upward, exposing gum fissures with continuous bleeding. Upper relates to Spleen, lower to Stomach. Vomiting phlegm-blood up to a sheng/dou volume is difficult to save. Treat urgently. Rinse with water medicine, blow Mi powder, insert Lianqiu Dan, take Qingwei San, Xijiao Dihuang Tang, Sizheng Tang (Stop Bleeding Four Raw Decoction), or Ganlu Yin. If deficiency-Fire causes gum rot and continuous phlegm-blood, do not use above drugs; take Lushui Yin, blow Renzhongbai San. Sizheng Tang consists of Fresh Lotus Leaf, Fresh Mugwort Leaf, Fresh Cypress Leaf, and Rehmannia Root (each 3 qian), boiled with one cup of child urine, taken after meals.
Yaxuan Stomach Fire from Yangming, bleeding without stop. Rinse with Yaochi, insert Lianqiu Dan. Xijiao Dihuang and Qingwei San, choose between Sizheng and Ganlu. Deficiency-Fire gum rot cured by Lushui Wan.
\rChongshe Yong (Double Tongue Abscess) Diagram\p05-c16a43.bmp\r
This condition is caused by Heart Fire or emotional/alcohol excess. The large tongue rolls up, and a small tongue grows beneath it, red and tender, called Double Tongue. Apply Zhuifeng powder on the large tongue, Ben powder underneath to soften it. Apply Ben powder at the base of both sides of the large tongue, prick one side to bleed, then prick the small tongue. Do not prick the middle. Repeatedly blow Ben and Mi powders for cure. Early stage: take Sanhuang Xiexin Tang, Yingzhou Xueshi Tang, or Liangge San. When suppuration approaches, use Qianjin Neituo San. Once mature, lance, apply Zhuifeng, and blow Ben/Mi powders.
Chongshe stems from Heart Fire or emotion/anger. Small tongue grows below, chin swelling, salivation, pain. Frequent pricking of Jinjin/Yuye points bleeds. Secret powder calms pain. Early stage takes Yingzhou/Xueshi; suppuration needs Qianjin.
\rYinchuang (Yin Ulcer) Diagram\p05-c16a44.bmp\r
This condition is caused by Wind-Heat-Damp stagnation or fried/cooked foods, appearing left or right. Wash hands/feet in hot water to open Spleen/Stomach. Apply Jingu San externally, blow Mi powder into the wound. After one day, wash with water medicine, apply Babao Gao. After 13-14 days, apply Baigao. If the wound does not close and penetrates the throat, fumigate externally with Zixia Yun. When smoke exits the mouth, take Sanhuang Tang plus Huisheng San, plus four powdered herbs: Fanbaicao, Wujia Pi, Baixianpi, and Heichou (equal parts). Grind to powder, boil with Huisheng San, and take. Also take Xueshi Tang and Huanhun Yin. If pus exists, take Neituo Qianjin San; males suck females, females suck males to remove pus. Avoid stimulating foods.
Yinchuang Wind-Damp causes lesions on throat sides. Wash hands/feet, avoid Erchen Tang. Blow Mi, apply Jingu San. Seal wound with plaster, fumigate Zixia. Sanhuang plus Huisheng San, Yingzhou four herbs and Huanhun Yin.
\rHamawang (Toad Plague) Diagram\p05-c16a45.bmp\r
This condition is caused by improper seasonal Qi, initially resembling Wind-Cold with ear/neck swelling. Toxicity enters the throat causing swelling/pain, swallowing difficulty, and contagious spread. Onset features chills/fever, stiffness, dizziness, floating/tight/rapid pulse (Exterior). Release with Jingfang Baidu San. Eye/nose/face swelling indicates Yangming involvement: fever, constipation, dry mouth, more heat than cold, forceful rapid pulse (Interior). Purge with Dahuang Tang (5 qian). Head/ear swelling with severe pain, chills/vomiting, dry mouth/throat, extreme restlessness: harmonize with Zhimu Shigao Tang or Xiao Chaihu Tang. Generally use Fangfeng Tongsheng San with Niubangzi and Xuanshen to detoxify and release exterior/interior. During famine/contagion, use Puji Xiaodu Yin or Huoxiang Zhengqi San to stabilize. If exterior/interior resolved but swelling persists, prick to remove bad blood. High heat: apply Jingu San. If still unresolved and suppuration desired, use Tuoli Xiaosan with Baizhi and Zaocispina to support. Lance when pus forms. Post-ulcer fatigue/low appetite: Buyi Yiqi Tang. Pus/foulness/Spleen deficiency/vomiting: Xiangsha Yangwei Wan. Non-healing ulcer: Shiquan Dabu Tang. If Three Yang channels are affected, neck swelling, watery sheen, closed eyes, white paper-like lips, drooling, voice loss, inability to eat/drink, throat closure, locked jaw, foul flowing water, and incessant foul odor indicate untreatability. During epidemics, avoid purgatives; harmonize to nourish Righteous Qi.
\rLuojia Feng (Dropped Frame Wind) Diagram\p05-c16a46.bmp\r
This condition involves Upper Heat/Lower Deficiency and Qi/Blood deficiency, leading to flaccid tendons. After laughing or yawning extensively, the jaw drops, teeth do not meet, and speech/eating is difficult. Treatable within 1-2 days; chronic cases are difficult. Have the patient sit upright. Support the jaw with both hands. Press the mandibular notch with thumbs, secure the jaw, press down on the shoulders to reset the joint. Bind the jaw with a silk strip tied to the neck. Deficient patients take Buyi Yiqi Tang or moxa Jiache (ST 6) for seven moxibustions.
Buyi Yiqi Tang: Huangqi, Renshen, Danggui, Baizhu, Gancao (1 qian each); Shengma, Chaihu, Chenpi (1 qian); Dates (2), Ginger (2 slices). Decoct, take after meals. For sore throat, add Maidong, Ziziju, Xuanshen; remove Ginger.
Luojia Feng due to Qi/Blood deficiency, tendons lax. Laughing/yawning drops jaw, sighing. Sit upright, support jaw, press notch, push back to cure.
\rMiansai Zhonghei (Cheek Swelling Black) Diagram\p05-c16a47.bmp\r
This condition arises from eating hot foods and excessive sweating. Face darkens and swells downward, cheeks swell, throat Qi closes. Wash hands/feet in hot water, exhale from throat. Prick Shaoshang acupoint; if blood flows, blow Mi powder internally. If unresolved, mix Zhuifeng powder and blow. Take Jiegeng Erchen Tang or Ganjie Tang for several doses. Blow Zhuifeng San inside cheeks and at the gum line. Wind entering teeth may cause gum pus and tooth loss; apply honey-mixed Mi powder.
Miansai Zhonghei from Damp-Heat, swollen black cheeks, pain, throat closure. Wash hands/feet, prick Shaosheng. Mix Mi/Zhuifeng powders. Jiegeng Tang combined with Erchen.
\rSuohou Feng (Locked Throat Wind) Diagram\p05-c16a48.bmp\r