人有感冒风寒，一时咽喉肿痛，其势甚急，变成双蛾者。其症痰涎稠浊，口渴
呼饮，疼痛难当，甚则勺水不能入喉，此阳火壅阻于咽喉，视其势若重，而病实轻
也。夫阳火者，太阳之火也。太阳之火，即膀胱之火也，与肾经之火为表里，膀胱
火动，而肾经少阴之火即来相助，故直冲于咽喉之间，而肺脾胃三经之火，亦复相
随而上升，于是借三经之痰涎，尽阻塞于咽喉，结成火毒，而不可解。治法似宜连
数经治矣，然而其本，实始于太阳，泄膀胱之火，而诸经之火自安矣。但咽喉之地，
近于肺，太阳既假道于肺经，而肺经险要之地，即狭路之战场也，安有舍战场要地，
不解其围，而先捣其本国者乎。所贵有兼治之法也。方用破隘汤∶
桔梗（三钱） 甘草（二钱） 柴胡（一钱） 白芍（五钱） 玄参（三钱） 麻黄（一钱）
天花粉（三钱） 山豆根（一钱） 水煎服。一剂而咽喉宽，再剂而双蛾尽消矣。
方中散太阳之邪者居其一；散各经之邪居其五，尤加意于散肺之邪者，由近以
散远也。
此症用散蛾汤亦神效。
射干 枳壳 苏叶 当归（各一钱） 甘草（二钱） 桔梗（三钱） 天花粉（三钱） 山豆根（八分）
麻黄（五分） 水煎服。一剂即愈。
人有一时喉忽肿大而作痛，吐痰如涌，口渴求水，下喉少快，已而又热，呼水，咽喉长成双蛾，既
大且赤，其形宛如鸡冠，此喉痹之症，即俗称为缠喉风也。乃阴阳二火并炽，一乃少阳之相火，
一乃少阴之君火也。二火齐发，其势更暴。咽喉之管细小，火不得遽泄，遂遏抑于其间，初作肿
而后成蛾也。蛾有二∶一双蛾，一单蛾也。双蛾生两毒，两相壅挤，中间反留一线之隙可通，茶
水药剂尚可下咽。若单蛾则独自成形，反塞住水谷之路，往往有勺水不能咽者，药物既不可咽，又
从何路以进药食哉。法宜先用刺法，一则刺少商等穴，尚欠切近，用刀直刺其喉肿之处一
分，则喉肿必少消，可用吹药以开之。吹药方∶
胆矾（一分） 牛黄（一分） 皂角（烧灰末，一分） 麝香（三厘） 冰片（一分）为绝细末，和匀，吹
入喉中，必大吐痰而愈，然后用煎剂。方名救喉汤∶
射干（一钱） 山豆根（二钱） 玄参（一两） 麦冬（五钱） 甘草（一钱） 天花粉（三钱） 水煎服。一
剂而全愈也。
若双蛾不必用刺法，竟用此方。玄参为君，实足以泻心肾君相之火，况佐之豆
根、射干、天花粉之属，以祛邪而消痰，则火自归经，而咽喉之间，关门整肃矣。
此症用两地汤加减亦神。
熟地 生地 玄参（各一两） 肉桂（三分） 黄连 天花粉（各三钱） 水煎服。下喉即愈，
不必二剂。
人有咽喉肿痛，日轻夜重，喉间亦长成蛾，宛如阳症，但不甚痛，而咽喉之际
自觉一线干燥之至，饮水咽之少快，至水入腹，而腹又不安，吐涎如水甚多，将涎
投入清水中，实时散化为水。人以为此喉痛而生蛾也，亦用泻火之药，不特杳无一
验，且反增其重。亦有勺水不能下咽者，盖此症为阴蛾也。阴蛾则日轻而夜重，若
阳蛾则日重而夜轻矣。斯少阴肾火，下无可藏之地，直奔而上炎于咽喉也。治法宜
大补肾水，而加入补火之味，以引火归藏。方用引火汤∶
熟地（三两） 巴戟天（一两） 茯苓（五钱） 麦冬（一两） 北五味（一钱） 水煎服。一
剂而火自下归，咽喉之肿痛全消，二剂即全愈。
方用熟地为君，大补其肾水，麦冬、五味为佐，重滋其肺余，金水相资，子母
原有滂沱之乐，水旺足以制火矣。又加入巴戟之温，则水火既济，水趋下，而火已
有不得不随之势，更增之茯苓之前导，则水火同趋，而共安于肾宫，不啻有琴瑟之
和谐矣，何必用桂附大热之药以引火归源乎。夫桂附为引火归源之圣药，胡为弃而
不用，不知此等之病，因水之不足，而火乃沸腾，今补水而仍用大热之药，虽曰引
火于一时，毕竟耗水于日后，予所以不用桂附而用巴戟天，取其能引火而又能补水，
则肾中无干燥之虞，而咽喉有清肃之益，此巴戟天所以胜桂附也。
此症用收火汤亦神效。
熟地（三两） 山茱萸（一两） 茯苓（五钱） 肉桂（三钱） 水煎一碗，探冷服。一剂即消。
人有咽喉干燥，久而疼痛，人以为肺热之故，谁知是肾水之涸竭乎。夫肺金生
肾水者也，肺气清肃，自能下生肾水，惟肺气既虚，则肺中津液仅可自养，而无如
肾水大耗，日来取给，则剥肤之痛，乌能免乎。譬如父母，未有不养赡其子者，而
处困穷窘迫之时，则无米之炊，何能止索饭啼饥之哭。倘其子成立，自能顾家，为
父母者不特可以取资，而亦可免迫索之苦；乃其子又伶仃野狼狈，不善谋生，则子贫
而父母更贫，其干枯之状，有不可形容者矣，肺肾何独不然。故欲救肺之干燥，必
先救肾之枯涸也。方用子母两富汤治之。
熟地（三两） 麦冬（三两） 水煎服。一剂而燥少止，三剂而痛少止，十剂而燥与痛
尽去也。
熟地滋肾，救肺子之枯也，麦冬滋肺，救肾母之涸也。上下两治，肾水有润泽
之欢，则肺金自无焦焚之迫，犹人子无憔悴之色，则父母自有安享之愉，此肺肾之
必须兼治，而熟地、麦冬所以并用而能出奇也。
此症用金水汤亦佳。
熟地 山茱萸（各一两） 天门冬 地骨皮 丹皮（各三钱） 沙参（五钱） 水煎服。
人有生喉癣于咽门之间，以致喉咙疼痛者，其症必先作痒，面红耳热而不可忍，
其后则咽唾之时，时觉干燥，必再加咽唾而后快，久则成形而作痛，变为杨梅之红
瘰，或痛或痒而为癣矣。夫癣必有虫，咽喉之地，岂容生虫，世人往往得此病，恬
不为意到不能治，而追悔于失治也，不其晚乎。此病因肾水之耗，以致肾火之冲，
而肺金又燥，清肃之令不行，水火无既济之欢，金水有相形之势，两相战斗于关隘
之间，致成此症。治法仍须补肾中之水，而益其肺气，以大滋其化源，兼用杀虫之
味，以治其癣，庶几正固而邪散，而虫亦可以尽扫也。方用化癣神丹∶
玄参（一两） 麦冬（一两） 五味子（一钱） 白薇（一钱） 鼠粘子（一钱） 百部（三钱）
甘草（一钱） 紫菀（二钱） 白芥子（二钱） 水煎服。二剂而疼痛少痊，又服四剂，而癣中之虫尽
死矣。
即不可仍用此方，另用润喉汤∶
熟地（一两） 山茱萸（四钱） 麦冬（一两） 生地（三钱） 桑白皮（三钱） 甘草（一钱） 贝母（一钱）
薏仁（五钱） 水煎服。连服十剂，而痒与痛俱除矣。方中再加肉桂一钱，饥服冷服，实为善
后之策，又万举而万全也。
盖从前多用微寒之药，恐致脾胃受伤，加入肉桂以补火，则水得火而无冰冻之
忧，土得火而有生发之乐，下焦热而上焦自寒也。
此症先可用白薇汤十剂，后可用溉喉汤三十剂，亦能奏功。
白薇汤∶
白薇（二钱） 麦冬（三钱） 款冬花 桔梗（各三分） 百部（二分） 贝母（五分） 生地（三钱）
甘草（三分） 水煎汤，漱口服。日服一剂，服十剂虫死
溉喉汤∶
熟地（二两） 麦冬（一两） 甘草（一钱） 白薇（五分） 水煎服。服一月全愈。
人有生长膏粱，素耽饮酒，劳心过度，致咽喉臭痛，人以为肺气之伤，谁知是
心火太盛，移热于肺乎。夫饮酒伤胃，胃气熏蒸，宜乎肺气之热矣，然而胃火熏肺，
而胃土实生肺也。故饮酒尚不伤肺，惟劳心过度，则火起于心，而肺乃受刑矣。况
胃火助之，则火性炎上，而咽喉乃成燔烧之路，自然唾涕稠粘，口舌干燥，气腥而
臭，而痛症乃成矣。盖心主五臭，入肺而腥臭，又何疑乎。方用解腥丹∶
甘草（二钱） 桔梗（二钱） 麦冬（五钱） 桑白皮（三钱） 枯芩（一钱） 天门冬（三钱）
生地（三钱） 贝母（五分） 丹皮（三钱） 水煎服。连服二剂而痛止，再服四剂而臭除。
此方治肺而兼治心，治心而兼治胃者也。因膏粱之人，其心肺之气血原虚，不
滋益二经之气血，而但泻其火，则胃中之气血必伤，反增其火热之焰矣。今补肺以
凉肺，补心以凉心，补胃以清胃，而火自退舍，不止咽喉之痛，而痛自定也。
此症用息炎汤亦可。
黄连 甘草 黄芩（各一钱） 麦冬（五钱） 天冬 生地 玄参（各三钱） 紫菀
天花粉 石膏（各二钱） 竹叶（三十片） 陈皮（三
分） 水煎服。四剂愈。
人有咽喉肿痛，食不得下，身发寒热，头疼且重，大便不通，人以为热也，谁
知是感寒而成者乎。然而人不敢信为寒也，论理用逍遥散，散其寒邪，而咽喉之痛
即解。虽然人不敢信为寒，以用祛寒之药，独不可外治以辨其寒乎。法用∶
木通（一两） 葱（十条） 煎汤浴于火室中。
如是热病，身必有汗，而咽喉之痛不减也。倘是感寒，虽汤火大热，淋洗甚久，
断然无汗，乃进逍遥散，必然得汗，而咽喉之痛立除。此法辨寒热最确，不特拘之
以治感寒之喉痛也。
此症用紫白饮亦妙。
紫苏 茯苓（各三钱） 半夏（一钱） 陈皮（五分） 甘草（一钱） 白术（二钱） 水煎服。一剂即愈。
有人因感受风寒，导致咽喉突然肿痛，病情发展迅速，演变成双蛾（扁桃体红肿如蚕蛾）。症状表现为痰涎黏稠浑浊，口渴想喝水，疼痛难以忍受，严重时连一勺水都无法咽下。这是因为阳火壅塞在咽喉，虽然看起来病势很重，但实际上病情较轻。所谓阳火，就是太阳经的火。太阳经的火，即膀胱经的火，它与肾经的火互为表里。当膀胱火动时，肾经少阴之火便会来相助，因此直冲咽喉之间；同时肺、脾、胃三经的火也随之上升，借助这三经的痰涎，全部阻塞在咽喉，结成火毒，难以化解。治疗方法似乎应该同时治疗这几条经络，然而其根本原因其实始于太阳经，只要泄去膀胱的火，其他各经的火自然就会平息。但是，咽喉部位靠近肺，太阳经既然借道于肺经，那么肺经所在的险要之地，就成了狭路相逢的战场。哪有舍弃战场要地，不解围困，而先去攻打敌人本国（肾脏）的道理呢？所以可贵的是采用兼顾治疗的方法。方用破隘汤：桔梗（三钱）、甘草（二钱）、柴胡（一钱）、白芍（五钱）、玄参（三钱）、麻黄（一钱）、天花粉（三钱）、山豆根（一钱），水煎服。服用一剂后咽喉感到宽松，再服用一剂后双蛾完全消退。方中疏散太阳经邪气的药物占一部分；疏散各经邪气的药物占大部分，尤其注重疏散肺经的邪气，这是由近及远地散邪。
此症使用散蛾汤也有神效。
射干、枳壳、苏叶、当归（各一钱）、甘草（二钱）、桔梗（三钱）、天花粉（三钱）、山豆根（八分）、麻黄（五分），水煎服。服用一剂即可痊愈。
有人喉咙突然肿大并疼痛，吐痰如涌出般多，口渴求水，喝下去稍微舒服一点，但随即又发热，呼喊着要水，咽喉长成双蛾，既大又红，形状宛如鸡冠。这是喉痹的症状，也就是俗称的缠喉风。这是阴阳二火一起炽盛，一是少阳的相火，二是少阴的君火。两火齐发，气势更加猛烈。咽喉管道细小，火不能立刻宣泄，于是遏制在其中，起初肿胀而后形成蛾状。蛾有两种：一种是双蛾，一种是单蛾。双蛾产生两个毒肿，两者相互拥挤，中间反而留有一线缝隙可以通气，茶水药剂还可以咽下。如果是单蛾，则独自成形，反而堵塞了水谷的道路，往往有一勺水都咽不下去的情况，药物既不能咽下，又从什么途径给药进食呢？治疗方法适宜先用刺法，一方面针刺少商等穴位，还嫌不够贴近，用刀直接刺入咽喉肿胀处一分深，那么咽喉肿胀必定会稍减，可以用吹药来开通。吹药方：胆矾（一分）、牛黄（一分）、皂角（烧成灰末，一分）、麝香（三厘）、冰片（一分），研成极细粉末，混合均匀，吹入喉中，必定会大量吐出痰液而痊愈，然后再服用煎剂。方名救喉汤：射干（一钱）、山豆根（二钱）、玄参（一两）、麦冬（五钱）、甘草（一钱）、天花粉（三钱），水煎服。服用一剂即可完全痊愈。
如果是双蛾，不必使用刺法，直接用这个方子。玄参作为君药，足以泻除心肾的君火和相火，何况辅以豆根、射干、天花粉等药物，以祛除邪气并消除痰浊，那么火自然回归本经，咽喉之间的门户也就整肃安宁了。
此症使用两地汤加减也有神奇效果。
熟地黄、生地黄、玄参（各一两）、肉桂（三分）、黄连、天花粉（各三钱），水煎服。喝下去即愈，不需要服用第二剂。
有人咽喉肿痛，白天轻晚上重，喉间也长成蛾，看似阳证，但疼痛不剧烈，只是自觉咽喉间干燥至极，喝水咽下后稍微舒服一点，但水入腹后腹部又不安，吐出的涎水非常多，将涎水投入清水中，立即散开化为水。人们以为这是喉痛生蛾，也使用泻火的药物，不仅毫无验效，而且反而加重病情。也有的一勺水都咽不下去的，这其实是阴蛾。阴蛾则是白天轻晚上重，如果是阳蛾则是白天重晚上轻。这是因为少阴肾火，下面没有地方藏身，直奔而上炎于咽喉。治疗方法宜大补肾水，并加入补火的药物，以引火归元。方用引火汤：熟地黄（三两）、巴戟天（一两）、茯苓（五钱）、麦冬（一两）、北五味子（一钱），水煎服。服用一剂后火自然下行归元，咽喉肿痛全消，服用两剂即完全痊愈。
方中以熟地黄为君药，大补肾水；麦冬、五味子为佐药，重在滋润肺金，金水相生，母子之间原本就有充沛的快乐，水旺足以制约火。又加入巴戟天的温性，则水火既济，水趋向下方，而火已有不得不随之而下的趋势，再加上茯苓的前导作用，则水火一同趋向下行，共同安守于肾宫，就像琴瑟和谐一样，何必使用桂枝、附子等大热药物来引火归源呢？桂枝、附子是引火归源的圣药，为何弃之不用？不知道这类疾病，是因为水不足而导致火沸腾，现在补水却仍用大热药物，虽然能暂时引火，毕竟日后会耗伤肾水。我之所以不用桂枝、附子而用巴戟天，是取其既能引火又能补水，这样肾中就没有干燥的忧虑，而咽喉得到清肃的好处，这就是巴戟天胜过桂枝、附子的原因。
此症使用收火汤也有神效。
熟地黄（三两）、山茱萸（一两）、茯苓（五钱）、肉桂（三钱），水煎一碗，放冷后探服。服用一剂即消退。
有人咽喉干燥，久而久之疼痛，人们以为是肺热的缘故，谁知道是肾水枯竭呢？肺金生肾水，肺气清肃，自然能下生肾水，只有当肺气虚弱时，肺中的津液仅够自养，无奈肾水大量消耗，每天来索取，这种剥肤之痛，怎么能避免呢？譬如父母，没有不赡养子女的，但在处境困穷窘迫之时，无米之炊，怎能止住孩子索要饭食啼哭的声音？如果孩子自立成家，自然能顾家，父母不仅可以从中获取资助，也可以免除被逼迫索取的痛苦；如果这孩子又孤苦伶仃，不善谋生，那么孩子贫穷而父母更贫穷，那种干枯的状态，有不可形容的了。肺肾何尝不是如此？所以想要拯救肺的干燥，必须先拯救肾的枯涸。方用子母两富汤治疗。
熟地黄（三两）、麦冬（三两），水煎服。服用一剂后燥感稍减，三剂后疼痛稍减，十剂后燥与痛全部去除。
熟地黄滋补肾水，拯救肺（子）的枯涸；麦冬滋润肺金，拯救肾（母）的枯竭。上下同治，肾水有润泽的喜悦，则肺金自然没有焦焚的紧迫，就像子女没有憔悴的神色，则父母自然有安享愉快的乐趣，这就是肺肾必须兼治，而熟地黄、麦冬并用能出奇效的原因。
此症使用金水汤也很好。
熟地黄、山茱萸（各一两）、天门冬、地骨皮、丹皮（各三钱）、沙参（五钱），水煎服。
有人在咽门之间生长喉癣，导致喉咙疼痛，症状必然是先作痒，面红耳热难以忍受，之后吞咽唾液时，时常觉得干燥，必须再加吞咽唾液后才痛快，久了则成形而疼痛，变为杨梅样的红色瘰疬，或痛或痒成为癣。癣必然有虫，咽喉之地，怎么容得下生虫？世人往往得了这个病，安然不在意直到无法治疗，才追悔于误治，不是太晚了吗？此病因肾水耗损，导致肾火冲逆，而肺金又燥，清肃的功能不行，水火没有既济的快乐，金水有相克的形式，两者在关隘之间战斗，导致形成此症。治疗方法仍需补肾中之水，并益其肺气，以大滋化源，兼用杀虫的药物，以治疗其癣，差不多正气稳固而邪气消散，虫也可以尽扫。方用化癣神丹：玄参（一两）、麦冬（一两）、五味子（一钱）、白薇（一钱）、鼠粘子（一钱）、百部（三钱）、甘草（一钱）、紫菀（二钱）、白芥子（二钱），水煎服。服用两剂后疼痛稍愈，再服用四剂，癣中的虫全部死亡。
即使不再使用此方，另用润喉汤：
熟地黄（一两）、山茱萸（四钱）、麦冬（一两）、生地黄（三钱）、桑白皮（三钱）、甘草（一钱）、贝母（一钱）、薏苡仁（五钱），水煎服。连续服用十剂，痒与痛都消除了。方中再加肉桂一钱，空腹冷服，实在是善后的策略，万无一失。
因为之前多用微寒的药物，恐怕损伤脾胃，加入肉桂以补火，则水得火而没有冰冻的忧虑，土得火而有生发的快乐，下焦热而上焦自然寒凉。
此症先可用白薇汤十剂，后可用溉喉汤三十剂，也能奏效。
白薇汤：
白薇（二钱）、麦冬（三钱）、款冬花、桔梗（各三分）、百部（二分）、贝母（五分）、生地黄（三钱）、甘草（三分），水煎汤，漱口含服。每日服用一剂，服用十剂虫死。
溉喉汤：
熟地黄（二两）、麦冬（一两）、甘草（一钱）、白薇（五分），水煎服。服用一个月完全痊愈。
有人长期食用肥甘厚味，素来沉迷饮酒，劳心过度，导致咽喉臭痛，人们以为是肺气受伤，谁知道是心火太盛，移热于肺呢？饮酒伤胃，胃气熏蒸，按理说会导致肺气热，然而胃火熏肺，胃土实则生肺金。所以饮酒尚且不伤肺，只有劳心过度，火起于心，肺才受刑。况且有胃火助势，火性炎上，咽喉便成了焚烧之路，自然唾涕黏稠，口舌干燥，气息腥臭，疼痛症状就形成了。心主五臭，入肺则为腥臭，有什么可疑的呢？方用解腥丹：甘草（二钱）、桔梗（二钱）、麦冬（五钱）、桑白皮（三钱）、枯芩（一钱）、天门冬（三钱）、生地黄（三钱）、贝母（五分）、丹皮（三钱），水煎服。连续服用两剂疼痛停止，再服用四剂臭味去除。
此方治肺而兼治心，治心而兼治胃。因为膏粱之人，其心肺的气血原本虚弱，如果不滋补这两条经络的气血，只泻其火，那么胃中的气血必受损伤，反而增加火热之焰。现在补肺以凉肺，补心以凉心，补胃以清胃，火自然退避，不止咽喉的痛，痛自然安定。
此症使用息炎汤也可以。
黄连、甘草、黄芩（各一钱）、麦冬（五钱）、天冬、生地黄、玄参（各三钱）、紫菀、天花粉、石膏（各二钱）、竹叶（三十片）、陈皮（三分），水煎服。四剂痊愈。
有人咽喉肿痛，食物无法咽下，身体发寒热，头疼且沉重，大便不通，人们以为是热证，谁知道是感受寒邪而成的呢？然而人们不敢相信是寒证，从理论上讲应用逍遥散，疏散其寒邪，咽喉的疼痛即可解除。虽然人们不敢相信是寒证，不使用祛寒的药物，难道不可以用外治法来辨别寒热吗？方法用：
木通（一两）、葱（十条），煎汤在火室中洗浴。
如果是热病，身体必定有汗，而咽喉的疼痛不会减轻。如果是感寒，虽然汤水大火很热，淋洗很久，绝对不会有汗，此时进服逍遥散，必然会出汗，而咽喉的疼痛立即消除。此法辨别寒热最准确，不仅局限于治疗感寒的喉痛。
A person contracts wind-cold, resulting in sudden swelling and pain of the throat. The condition develops rapidly, evolving into *Shuang E* (Double Swallowtail, referring to swollen tonsils resembling silkworm moths). Symptoms include thick and turbid phlegm and saliva, thirst with a desire to drink, and unbearable pain; in severe cases, even one spoonful of water cannot be swallowed. This is caused by Yang Fire obstructing the throat. Although the presentation appears severe, the actual pathology is relatively mild. "Yang Fire" refers to the fire of the Taiyang (Greater Yang) channel. The fire of the Taiyang channel is the fire of the Bladder channel, which stands in an exterior-interior relationship with the Kidney channel. When Bladder fire agitates, the Shaoyin (Lesser Yin) fire of the Kidney channel assists it, rushing directly to the throat. Simultaneously, the fire of the Lung, Spleen, and Stomach channels rises along with it, utilizing the phlegm and saliva of these three channels to block the throat completely, forming toxic heat that is difficult to resolve. The treatment method seems to require addressing multiple channels simultaneously. However, the root cause lies in the Taiyang channel; if the Bladder fire is drained, the fire in all other channels will naturally settle. Nevertheless, the throat is close to the Lung. Since the Taiyang channel passes through the Lung channel, the Lung's territory becomes a critical battlefield. How can one abandon this strategic battlefield without relieving the siege, only to attack the enemy's homeland (the Kidneys) first? Therefore, the value lies in a comprehensive treatment approach. Use Po Ai Tang (Break the Pass Decoction): Jiegeng (Platycodonis Radix, 3 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 2 qian), Chaihu (Bupleuri Radix, 1 qian), Baishao (Paeoniae Radix Alba, 5 qian), Xuanshen (Scrophulariae Radix, 3 qian), Mahuang (Ephedrae Herba, 1 qian), Tianhuafen (Trichosanthis Radix, 3 qian), Shandougen (Sophorae Tonkinensis Radix, 1 qian). Decoct in water and take orally. After one dose, the throat feels relaxed; after two doses, the *Shuang E* completely disappears. In this formula, herbs dispersing Taiyang pathogenic factors account for one part; those dispersing pathogenic factors from various channels account for five parts. Special attention is paid to dispersing Lung pathogenic factors, dispersing distant pathogens from nearby sources.
This condition also responds miraculously to San E Tang (Disperse Moth Decoction).
Yegan (Belamcandae Rhizoma, 1 qian each), Zhike (Aurantii Fructus Immaturus, 1 qian each), Zuye (Perillae Folium, 1 qian each), Danggui (Angelicae Sinensis Radix, 1 qian each), Gancao (Glycyrrhizae Radix et Rhizoma, 2 qian), Jiegeng (Platycodonis Radix, 3 qian), Tianhuafen (Trichosanthis Radix, 3 qian), Shandougen (Sophorae Tonkinensis Radix, 8 fen), Mahuang (Ephedrae Herba, 5 fen). Decoct in water and take orally. One dose leads to recovery.
A person experiences sudden swelling and pain of the throat, with profuse expectoration of phlegm, thirst seeking water, slight relief upon swallowing, followed quickly by fever and renewed craving for water. The throat grows into *Shuang E*, large and red, resembling a rooster's comb. This is *Hou Bi* (Throat Obstruction), commonly known as *Chan Feng* (Coiling Throat Wind). It is caused by the simultaneous blazing of Yin and Yang fires: one is the Ministerial Fire of Shaoyang (Lesser Yang), and the other is the Sovereign Fire of Shaoyin (Lesser Yin). With both fires erupting together, the momentum is even more violent. The throat tube is narrow, preventing the fire from venting immediately, so it gets suppressed within, causing initial swelling that later forms moth-like structures. There are two types of moths: *Shuang E* (Double) and *Dan E* (Single). *Shuang E* produces two toxic swellings that press against each other, leaving a narrow gap in the middle through which tea, water, or medicine can still pass. If it is *Dan E* (Single), it forms independently, blocking the passage for food and fluids entirely; often, not even a spoonful of water can be swallowed. Since neither medicine nor food can be ingested, how can treatment be administered? The method should initially use acupuncture/bleeding therapy. Pricking points like Shaoshang is somewhat distant; instead, use a knife to prick directly into the swollen area of the throat to a depth of one *fen*. The swelling will then subside slightly, allowing the application of blowing powder. Blowing Powder Formula: Danfan (Chalcanthite, 1 fen), Niuhuang (Calculus Bovis, 1 fen), Saojiao (Gleditsiae Sinensis Spina, burnt to ash, 1 fen), Shexiang (Moschus, 3 li), Bingpian (Borneolum Syntheticum, 1 fen). Grind into an extremely fine powder, mix evenly, and blow into the throat. This will induce massive vomiting of phlegm, leading to recovery. Subsequently, administer a decoction named Jiu Hou Tang (Save the Throat Decoction): Yegan (Belamcandae Rhizoma, 1 qian), Shandougen (Sophorae Tonkinensis Radix, 2 qian), Xuanshen (Scrophulariae Radix, 1 liang), Maidong (Ophiopogonis Radix, 5 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian), Tianhuafen (Trichosanthis Radix, 3 qian). Decoct in water and take orally. One dose results in complete recovery.
If it is *Shuang E*, bleeding therapy is unnecessary; use this formula directly. Xuanshen serves as the sovereign herb, sufficiently draining the Sovereign and Ministerial fires of the Heart and Kidney. Assisted by Shandougen, Yegan, and Tianhuafen to dispel pathogens and eliminate phlegm, the fire returns to its proper channel, and the gates of the throat become orderly and calm.
This condition also responds miraculously to Liang Di Tang (Two Earths Decoction) with modifications.
Shudi (Prepared Rehmanniae Radix, 1 liang each), Shengdi (Rehmanniae Radix, 1 liang each), Xuanshen (Scrophulariae Radix, 1 liang each), Rougui (Cinnamomi Cortex, 3 fen), Huanglian (Coptidis Rhizoma, 3 qian each), Tianhuafen (Trichosanthis Radix, 3 qian each). Decoct in water and take orally. Recovery occurs upon ingestion; a second dose is unnecessary.
A person suffers from throat swelling and pain, lighter during the day and heavier at night. The throat also develops moth-like structures, resembling a Yang syndrome, but the pain is not severe. Instead, there is extreme dryness in the throat. Drinking water provides slight relief, but once the water enters the abdomen, abdominal discomfort arises. Profuse watery saliva is expectorated; when thrown into clear water, it instantly disperses. People assume this is throat pain with moth formation and use fire-draining drugs, but they yield no effect and worsen the condition. Some cannot swallow even a spoonful of water. This is actually *Yin E* (Yin Moth). *Yin E* presents with daytime lightness and nighttime heaviness, whereas *Yang E* presents with daytime heaviness and nighttime lightness. This occurs because the Shaoyin Kidney fire has nowhere to hide below, so it rushes upward and flares in the throat. The treatment method should greatly tonify Kidney Water and add herbs that tonify Fire to guide the fire back to its source. Use Yin Huo Tang (Guide Fire Decoction): Shudi (Prepared Rehmanniae Radix, 3 liang), Bajitian (Morindae Officinalis Radix, 1 liang), Fuling (Poria, 5 qian), Maidong (Ophiopogonis Radix, 1 liang), Bei Wuwei (Schisandrae Chinensis Fructus, 1 qian). Decoct in water and take orally. After one dose, the fire descends and returns to its source, and throat swelling and pain disappear completely; after two doses, full recovery is achieved.
In this formula, Shudi is the sovereign herb, greatly tonifying Kidney Water. Maidong and Wuweizi are minister herbs, heavily nourishing Lung Metal. Metal and Water support each other, creating abundant joy between mother and child; sufficient Water controls Fire. Adding the warmth of Bajitian achieves mutual interaction between Water and Fire. Water tends downward, and Fire inevitably follows. With Fuling guiding them, Water and Fire move together and rest peacefully in the Kidney palace, harmonious as lute and zither. Why use hot herbs like Guizhi (Cinnamon Twig) and Fuzi (Aconiti Lateralis Radix Praeparata) to guide fire back to the source? Guizhi and Fuzi are sage medicines for guiding fire back to the source; why discard them? These diseases arise because insufficient Water causes Fire to boil. Now, while tonifying Water, using strongly heating drugs may guide Fire temporarily but depletes Water subsequently. I do not use Guizhi and Fuzi but choose Bajitian because it guides Fire while tonifying Water, avoiding dryness in the Kidneys and benefiting the throat with clarity and purity. This is why Bajitian surpasses Guizhi and Fuzi.
This condition also responds miraculously to Shou Huo Tang (Collect Fire Decoction).
Shudi (Prepared Rehmanniae Radix, 3 liang), Shanzhuyu (Corni Fructus, 1 liang), Fuling (Poria, 5 qian), Rougui (Cinnamomi Cortex, 3 qian). Decoct in water to obtain one bowl, cool and sip. One dose eliminates the condition.
A person experiences chronic throat dryness progressing to pain. People attribute this to Lung Heat, unaware that it is due to the depletion of Kidney Water. Lung Metal generates Kidney Water; when Lung Qi is clear and pure, it naturally generates Kidney Water downwards. Only when Lung Qi is deficient does Lung fluid suffice for self-nourishment, unable to meet the great consumption of Kidney Water, which draws from it daily. This skin-peeling pain, how can it be avoided? Consider parents who invariably support their children. In times of poverty, lacking rice, how can one stop the crying of a hungry child? If the child becomes independent and supports the family, parents gain resources and avoid the distress of being begged; if the child is destitute and incompetent, the child's poverty makes the parents poorer, leading to an indescribable state of withering. Are Lung and Kidney any different? Thus, to save the Lung from dryness, one must first save the Kidney from depletion. Treat with Zi Mu Liang Fu Tang (Mother and Child Both Rich Decoction).
Shudi (Prepared Rehmanniae Radix, 3 liang), Maidong (Ophiopogonis Radix, 3 liang). Decoct in water and take orally. After one dose, dryness subsides slightly; after three doses, pain subsides slightly; after ten doses, both dryness and pain are completely eliminated.
Shudi nourishes Kidney Water, saving the withered Lung (Child); Maidong nourishes Lung Metal, saving the depleted Kidney (Mother). Treating both upper and lower, Kidney Water enjoys moistening, so Lung Metal faces no scorching pressure. Just as a child without haggard features brings peace to parents, treating Lung and Kidney jointly allows Shudi and Maidong to work in synergy for remarkable effects.
This condition is also well-treated by Jin Shui Tang (Metal and Water Decoction).
Shudi (Prepared Rehmanniae Radix, 1 liang each), Shanzhuyu (Corni Fructus, 1 liang each), Tiandong (Asparagi Radix, 3 qian each), Digupi (Lycii Cortex, 3 qian each), Danpi (Moutan Cortex, 3 qian each), Shashen (Glehniae Radix, 5 qian). Decoct in water and take orally.
A person develops *Hou Xuan* (Throat Tinea/Lichen) between the throat gates, causing throat pain. Symptoms begin with itching, unbearable facial redness and ear heat. Later, swallowing saliva feels dry, requiring repeated swallowing for relief. Over time, it takes shape and causes pain, transforming into red nodules resembling yam berries, becoming tinea characterized by pain or itching. Tinea implies the presence of parasites; how can parasites exist in the throat? Many people suffer from this disease, ignoring it until it becomes untreatable, then regretting delayed treatment—isn't it too late? This disease results from Kidney Water depletion leading to Kidney Fire rushing up, while Lung Metal becomes dry. The clearing and descending function fails; Water and Fire lack mutual interaction, and Metal and Water exhibit conflict. They battle at the gateway, causing this condition. Treatment must still tonify Kidney Water and benefit Lung Qi to greatly nourish the source of transformation, while adding anti-parasitic herbs to treat the tinea. This ensures righteousness is solidified and pathogens disperse, sweeping away parasites. Use Hua Xuan Shen Dan (Transform Tinea Divine Pill): Xuanshen (Scrophulariae Radix, 1 liang), Maidong (Ophiopogonis Radix, 1 liang), Wuweizi (Schisandrae Chinensis Fructus, 1 qian), Baiwei (Cynanchi Atrati Radix, 1 qian), Niuzibei (Arctii Fructus, 1 qian), Baibu (Stemonae Radix, 3 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian), Ziwan (Asternis Radix, 2 qian), Baijiezi (Sinapis Semen, 2 qian). Decoct in water and take orally. After two doses, pain heals slightly; after four more doses, parasites in the tinea die completely.
Even if this formula is no longer used, switch to Run Hou Tang (Moisten Throat Decoction):
Shudi (Prepared Rehmanniae Radix, 1 liang), Shanzhuyu (Corni Fructus, 4 qian), Maidong (Ophiopogonis Radix, 1 liang), Shengdi (Rehmanniae Radix, 3 qian), Sangbaipi (Mori Cortex, 3 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian), Beimu (Fritillariae Cirrhosae Bulbus, 1 qian), Yiren (Coicis Semen, 5 qian). Decoct in water and take orally. Take continuously for ten doses, and itching and pain are removed. Add Rougui (Cinnamomi Cortex, 1 qian) to the formula; take cold on an empty stomach. This is truly an excellent post-treatment strategy, ensuring absolute safety.
Previously, many mildly cold herbs were used, fearing damage to the Spleen and Stomach. Adding Rougui to tonify Fire ensures Water does not freeze with Fire, and Earth enjoys growth with Fire. Lower Jiao heat resolves, and Upper Jiao naturally cools.
For this condition, Baiwei Tang (Cynanchum Decoction) can be used for ten doses first, followed by Gai Hou Tang (Irrigate Throat Decoction) for thirty doses, which also yields results.
Baiwei Tang:
Baiwei (Cynanchi Atrati Radix, 2 qian), Maidong (Ophiopogonis Radix, 3 qian), Kudonghua (Dendranthemi Flos, 3 fen each), Jiegeng (Platycodonis Radix, 3 fen each), Baibu (Stemonae Radix, 2 fen), Beimu (Fritillariae Cirrhosae Bulbus, 5 fen), Shengdi (Rehmanniae Radix, 3 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 3 fen). Decoct in water to make soup, gargle and swallow. Take one dose daily; after ten doses, parasites die.
Gai Hou Tang:
Shudi (Prepared Rehmanniae Radix, 2 liang), Maidong (Ophiopogonis Radix, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian), Baiwei (Cynanchi Atrati Radix, 5 fen). Decoct in water and take orally. Full recovery after one month.
A person consumes rich foods and drinks excessively, overworks the mind, leading to foul-smelling and painful throat. People attribute this to Lung Qi injury, unaware that it is excessive Heart Fire transferring heat to the Lung. Alcohol damages the Stomach; Stomach Qi steams upward, theoretically causing Lung Heat. However, Stomach Fire steaming the Lung means Stomach Earth is substantial, generating Lung Metal. Thus, alcohol does not harm the Lung; only excessive mental labor causes Fire to rise from the Heart, punishing the Lung. Compounded by Stomach Fire assisting, Fire nature flares upward, making the throat a path of burning. Naturally, saliva and mucus become thick and sticky, mouth and tongue dry, breath foul and smelly, and pain symptoms form. The Heart governs the five odors; entering the Lung, it becomes fishy and foul—what doubt remains? Use Jie Xing Dan (Resolve Fishy Odor Pill): Gancao (Glycyrrhizae Radix et Rhizoma, 2 qian), Jiegeng (Platycodonis Radix, 2 qian), Maidong (Ophiopogonis Radix, 5 qian), Sangbaipi (Mori Cortex, 3 qian), Kuqin (Scutellariae Radix, dried, 1 qian), Tiandong (Asparagi Radix, 3 qian), Shengdi (Rehmanniae Radix, 3 qian), Beimu (Fritillariae Cirrhosae Bulbus, 5 fen), Danpi (Moutan Cortex, 3 qian). Decoct in water and take orally. Take continuously for two doses, pain stops; take four more doses, odor removes.
This formula treats the Lung while simultaneously treating the Heart, and treats the Heart while simultaneously treating the Stomach. For those consuming rich foods, Heart and Lung Qi and Blood are originally deficient. Without nourishing Qi and Blood in these two channels, merely draining Fire will damage Stomach Qi and Blood, increasing the flame of heat. Now, tonifying Lung to cool Lung, tonifying Heart to cool Heart, tonifying Stomach to clear Stomach, Fire naturally retreats. Not only does throat pain cease, but pain stabilizes itself.
This condition can also be treated with Xi Yan Tang (Extinguish Inflammation Decoction).
Huanglian (Coptidis Rhizoma, 1 qian each), Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian each), Huangqin (Scutellariae Radix, 1 qian each), Maidong (Ophiopogonis Radix, 5 qian), Tiandong (Asparagi Radix, 3 qian each), Shengdi (Rehmanniae Radix, 3 qian each), Xuanshen (Scrophulariae Radix, 3 qian each), Ziwan (Asternis Radix, 2 qian each), Tianhuafen (Trichosanthis Radix, 2 qian each), Shigao (Gypsum Fibrosum, 2 qian each), Zhuye (Bambusae Folium, 30 leaves), Chenpi (Citri Reticulatae Pericarpium, 3 fen). Decoct in water and take orally. Recover in four doses.
A person suffers from throat swelling and pain, inability to eat, body chills and fever, headache and heaviness, and constipation. People assume it is Heat, unaware that it is caused by contracting Cold. People dare not believe it is Cold. Theoretically, apply Xiao Yao San (Free and Easy Wanderer Powder) to disperse Cold pathogens, resolving throat pain. Although people doubt it is Cold and refuse cold-dispelling herbs, can external therapy not distinguish Cold from Heat? Method: Mutong (Akebiae Caulis, 1 liang), Congbai (Allii Fistulosi Bulbus, 10 stalks). Decoct in water and bathe in a heated room.
If it is a Heat disease, the body will surely sweat, and throat pain will not decrease. If it is contracted Cold, despite hot water and intense heat, prolonged washing will absolutely not produce sweat. At this point, administering Xiao Yao San will definitely induce sweating, and throat pain will immediately vanish. This method most accurately distinguishes Cold from Heat, applicable not only to cold-contracted throat pain.
This condition is also excellently treated by Zi Bai Yin (Purple and White Drink).
Zisu (Perillae Folium, 3 qian each), Fuling (Poria, 3 qian each), Banxia (Pinelliae Rhizoma, 1 qian), Chenpi (Citri Reticulatae Pericarpium, 5 fen), Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian), Baizhu (Atractylodis Macrocephalae Rhizoma, 2 qian). Decoct in water and take orally. Recover in one dose.