生石膏 木通 贝母（去心杵） 桑叶（生用） 连翘 牛蒡子（生用杵） 板蓝根 银花 蝉蜕（去足翅） 麦
冬（去心） 生地 鼠尾青芩
上药十二味。清水煎。二服。日再剂。或三。太阴本病盛。少阳标症轻者。去黄芩
牛蒡子。加西洋参。倍石膏地冬。标症独盛者。以黄芩易龙胆草。痰涎壅盛者。仍
用牛蒡子。或冲入鲜莱菔汁牛黄。减冬地加杏仁旋复蒌皮。
飞青黛 西牛黄 老式大坭冰（少许新式者切不可用） 西瓜霜 西月石 濂珠
上药研极细。用竹管吹入。若咽燥者用上白蜜调敷。或鲜嫩侧柏叶捣汁调亦可。燥
甚者不得用吹喉法。
生地 贝母 麦冬（去心用） 鼠尾青芩 连翘甲 木通 银花 蝉蜕（去翅足）
牛蒡子（生用杵）
上药九味。水五杯煎取三杯。分二次温服。日再剂。
白喉病症如前。初起心烦。舌根微硬尖绛者。此太阴燥火。挟有少阴君火也。朱白双
清散主之。轻者张氏神功辟邪散去葛根僵蚕黄芩马勃蝉蜕青果。加紫地丁竹叶生栀仁
灯心草。
此太阴燥火挟少阴君火为病也。心肺同居上焦。去喉咙最近。肺金不肃。燥气不
行。首先犯心。心为火脏。切近肺位。君火一沸。肺先受之。故寻常温热。最易传
变。况当燥火互相冲激耶。心烦者内热自盛也。少阴之脉循喉咙络舌本。燥火炽而
心营灼。故舌根微硬。甚则尖绛。朱白双清散重泻少阴独胜之热。与上条少阳标病
对峙。盖此二证。实白喉中最多之候。亟宜留意。上条以少阳立论。故黄芩龙胆。
治法不忌苦泄。此条参重少阴。故黄柏木通。专藉苦降。连翘栀子。清包络之内
蕴。桑叶杏仁。宣肺金之结热。元参泻心火以清营。地丁解蕴酿之热毒。二味尤为
少阴清热凉血之要药。唯处处不没燥火本病。故二方皆以石膏为君。而不出冬地。
若轻者火势既微。即润燥清热。已中窍要。无事重用苦寒以助燥。即神功辟邪散加
减用之。
生石膏、木通、贝母（去除心部并捣碎）、桑叶（生用）、连翘、牛蒡子（生用并捣碎）、板蓝根、金银花、蝉蜕（去除足和翅膀）、麦冬（去除心部）、生地、鼠尾青芩。
以上十二味药，用清水煎煮。服用两剂，每日两次或三次。如果是太阴本病严重而少阳标症轻微的情况，去掉黄芩和牛蒡子，加入西洋参，加倍使用石膏和麦冬。如果是标症特别严重的情况，用黄芩替换龙胆草。如果痰涎壅盛，仍然使用牛蒡子，或者冲入新鲜莱菔汁和牛黄，减少麦冬和生地，加入杏仁、旋覆花和瓜蒌皮。
飞青黛、西牛黄、老式大冰片（少许，新式的绝对不可用）、西瓜霜、西月石、珍珠。
以上药物研磨成极细粉末，用竹管吹入咽喉。如果咽喉干燥，用上等白蜜调和后敷贴。或者用鲜嫩侧柏叶捣汁调和也可以。如果燥热非常严重的，不得使用吹喉法。
生地、贝母、麦冬（去除心部使用）、鼠尾青芩、连翘甲、木通、金银花、蝉蜕（去除翅膀和脚）、牛蒡子（生用并捣碎）。
以上九味药，用水五杯煎取三杯，分两次温服，每日两次。
白喉病症如前所述。初起时心烦，舌根微硬、舌尖红绛的，这是太阴燥火夹杂少阴君火所致。以朱白双清散为主治方。轻症者可用张氏神功辟邪散去掉葛根、僵蚕、黄芩、马勃、蝉蜕、青果，加入紫地丁、竹叶、生栀子仁、灯心草。
这是太阴燥火夹杂少阴君火导致的疾病。心和肺同居上焦，距离喉咙最近。肺金之气不肃降，燥气不能正常运行，首先侵犯心脏。心为火脏，位置紧邻肺部，君火一旦沸腾，肺最先受到波及。所以寻常的温热病最容易传变，何况是当燥火互相冲击激荡的时候。心烦是因为内热自盛。少阴经脉循行经过喉咙并联络舌根，燥火热炽盛导致心营被灼烧，所以舌根微硬，严重时舌尖红绛。朱白双清散重在泻除少阴独胜之热，与上一条所述的少阳标病相对峙。可以说这两种证候实际上是白喉中最常见的情况，亟需留意。上一条从少阳立论，所以使用黄芩、龙胆，治法不忌讳苦寒泄下；这一条侧重少阴，所以使用黄柏、木通，专门借助苦降之法。连翘、栀子清除心包络内的蕴积之热；桑叶、杏仁宣发肺金的结聚之热；元参泻心火以清营血；地丁解除蕴酿的热毒。这两味药尤为少阴清热凉血的重要药物。只是处处不脱离燥火这一本病，所以这两个方子都以石膏为君药，而不单独使用麦冬和生地。如果轻症火势已经微弱，那么润燥清热就已经抓住了关键，不需要重用苦寒药物来助长燥气，即使用神功辟邪散加减即可。
Shigao (Gypsum Fibrosum), Mutong (Akebiae Caulis), Beimu (Fritillariae Bulbus, removed heart and pounded), Sangye (Mori Folium, raw use), Lianqiao (Forsythiae Fructus), Niubangzi (Arctii Fructus, raw use and pounded), Banlangen (Isatidis Radix), Yinhua (Lonicerae Japonicae Flos), Chantui (Cicadae Periostracum, removed feet and wings), Maidong (Ophiopogonis Radix, removed heart), Shengdi (Rehmanniae Radix), Shuwei Qingqin (Scutellariae Radix from mouse-tail variety).
The above twelve herbs are decocted in clear water. Take two doses, administered twice or three times a day. If the Taiyin root disease is severe while the Shaoyang marked symptoms are mild, remove Huangqin (Scutellariae Radix) and Niubangzi (Arctii Fructus), add Xiyangshen (Panax Ginseng C.A.Mey. var. major), and double the dosage of Shigao (Gypsum Fibrosum) and Maidong (Ophiopogonis Radix). If the marked symptoms are particularly severe, replace Huangqin (Scutellariae Radix) with Longdancao (Gentianae Radix). If phlegm and saliva are abundant and obstructing, continue to use Niubangzi (Arctii Fructus), or mix in fresh Laifu Zhi (Raphani Fructus Juice) and Niuhuang (Calculus Bovis), reduce Maidong (Ophiopogonis Radix) and Shengdi (Rehmanniae Radix), and add Xingren (Prunus Armeniaca Seed), Xuanfu (Inulae Flos), and Gualou Pi (Benincasae Exocarpium).
Fei Qingdai (Indigo Naturalis), Xi Niu Huang (Calculus Bovis), Lao Shi Da Bingpian (Borneolum Syntheticum, old type only, a small amount; new type must absolutely not be used), Xiguashuang (Prunus Armeniaca Kernel Frost), Xi Yuushi (Talcum), Lianzhu (Pearl).
The above drugs are ground into an extremely fine powder and blown into the throat using a bamboo tube. If the throat is dry, apply with high-quality white honey mixed as a paste. Alternatively, fresh Cebaiye (Platycladi Cacumen) can be crushed for juice and used for mixing. If dryness is severe, the throat-blowing method must not be used.
Shengdi (Rehmanniae Radix), Beimu (Fritillariae Bulbus), Maidong (Ophiopogonis Radix, removed heart and used), Shuwei Qingqin (Scutellariae Radix from mouse-tail variety), Lianqiao Jia (Forsythiae Fructus with calyx), Mutong (Akebiae Caulis), Yinhua (Lonicerae Japonicae Flos), Chantui (Cicadae Periostracum, removed wings and feet), Niubangzi (Arctii Fructus, raw use and pounded).
The above nine herbs are decocted in five cups of water until three cups remain. Divide into two doses and take warm, twice a day.
For Diphtheria (Baihou) symptoms as described previously: if at the onset there is mental restlessness (Xinfan), slight stiffness at the root of the tongue, and crimson tip, this indicates Taiyin Dryness-Fire complicated by Shaoyin Ministerial Fire. The primary formula is Zhubai Shuangqing San (Vermilion-White Double-Clearing Powder). For mild cases, Zhang's Shengong Pixie San (Divine Efficacy Evil-Expelling Powder) is used, removing Gegen (Puerariae Lobatae Radix), Jiangcan (Bombyx Batryticatus), Huangqin (Scutellariae Radix), Mabo (Belamcandae Rhizoma), Chantui (Cicadae Periostracum), and Qingguo (Canarii Fructus), and adding Zididing (Violae Herba), Zhuye (Bambusae Folium), Sheng Zhiren (Gardeniae Semen, raw), and Dengxincao (Junci Medulla).
This is a disease caused by Taiyin Dryness-Fire complicating Shaoyin Ministerial Fire. The Heart and Lung reside together in the Upper Jiao (Upper Burner) and are closest to the throat. When Lung Metal fails to descend and Dryness-Qi fails to circulate, it first invades the Heart. The Heart is a Fire organ, located close to the Lung position. Once Ministerial Fire boils, the Lung suffers first. Therefore, ordinary Warm-Thermal diseases transmit easily, especially when Dryness-Fire clashes and agitates each other. Mental restlessness indicates excessive internal heat. The Shaoyin meridian runs along the throat and connects to the root of the tongue. Intense Dryness-Fire scorches the Heart Ying (Nutrient Level), causing slight stiffness at the root of the tongue, and crimson tip in severe cases. Zhubai Shuangqing San focuses on purging the exclusive excess heat of Shaoyin, standing in contrast to the Shaoyang marked disease described in the previous section. These two conditions are actually the most common presentations in Diphtheria and require careful attention. The previous section discussed from the perspective of Shaoyang, thus using Huangqin (Scutellariae Radix) and Longdancao (Gentianae Radix), where bitter-draining methods are not contraindicated. This section emphasizes Shaoyin, thus using Huangbai (Phellodendri Cortex) and Mutong (Akebiae Caulis), relying specifically on bitter-descending methods. Lianqiao (Forsythiae Fructus) and Zhizi (Gardeniae Fructus) clear the accumulated heat within the Pericardium Luo (Collaterals); Sangye (Mori Folium) and Xingren (Prunus Armeniaca Seed) ventilate the consolidated heat of Lung Metal; Xuanshen (Scrophulariae Radix) purges Heart Fire to clear the Ying level; Zididing (Violae Herba) resolves the accumulated toxic heat. These two herbs are particularly important for clearing heat and cooling blood in Shaoyin. However, everywhere the treatment does not neglect the root disease of Dryness-Fire; therefore, both formulas use Shigao (Gypsum Fibrosum) as the Sovereign herb, without independently using Maidong (Ophiopogonis Radix) and Shengdi (Rehmanniae Radix). If the case is mild and the fire intensity has already diminished, moistening dryness and clearing heat addresses the key point, making it unnecessary to heavily use bitter-cold herbs that might aggravate dryness. In such cases, Shengong Pixie San (Divine Efficacy Evil-Expelling Powder) with modifications should be used.