喉痈门一∶伏寒喉痈。
\r图\pyfxby38.bmp\r
伏寒喉痈，因积寒在内，外感时邪而发，其色红肿，或带紫色，脉浮不数。用六味汤加
羌活、葛根、草河车、穿山甲、赤芍、归尾各一钱，细辛三分。二服后，去羌活、葛根，加
山栀一钱，五日可痊。
喉痈门二∶肿烂喉痈。
\r图\pyfxby40.bmp\r
肿烂喉痈，此症因脾家积热而生，红肿溃烂，两手关脉洪大者是也。针少商、商阳、关
冲、少冲两手八穴，血多为妙。先服八仙散，放舌上冲化下，再用六味汤加盐炒元参二钱，
盐炒黄柏一钱，酒炒黄芩一钱五分，生大黄三钱，山栀、木通各一钱，草河车二钱，煎服，
泻过去大黄，再服三日后，用十八味神药柏枝汁咽漱，即愈。外兼用吹药。
喉痈门三∶淡白喉痈。
\r图\pyfxby42.bmp\r
淡白喉痈，此症因脾肺受寒，其色不红。若用凉剂，七日之内必成脓，有脓即针破。初
起肿，针少商、商阳两手四穴，出紫血。用六味汤加苏叶、赤芍、归尾各一钱半，一服，加
穿山甲、皂角刺、草河车各二钱，再服可愈。此症六脉紧、身发寒热者是也。
喉痈门四∶大红喉痈。
\r图\pyfxby39.bmp\r
大红喉痈，此症脾肺积热，其色鲜红，肿胀关内，六脉洪大，身发寒热。急针少商、商
阳穴，或患处出恶血。用六味汤加山栀、木通各一钱，海浮石、生大黄各三钱，归尾、皂角
刺、草河车各三钱，赤芍、花粉、黄芩各一钱半，先将十一味煎二三十沸后，下六味汤同煎
，二服可安。
喉痈门五∶声哑喉痈。
\r图\pyfxby41.bmp\r
声哑喉痈，此症受寒太重，肺脉闭塞，以致声哑，饮食难进，或有烂斑。右寸脉沉涩，
脾胃脉洪大，背寒身热。用六味汤加羌活二钱，葛根、苏叶各一钱漱之，二日后声音不哑，
换加花粉一钱，乳香五分，葛根、酒炒黄芩、归尾、赤芍、穿山甲、皂角刺各三钱，再服八
仙散、玉枢丹，二服可愈。
喉痈门六∶单喉痈。
\r图\pyfxby43.bmp\r
单喉痈，或左或右，身热背寒，脾胃之症也。有红点风热，无红点风寒。脉象如前。六
味汤加苏叶、羌活各二钱，漱咽，一服，来日再加赤芍、归尾、山豆根、山栀各钱半，服一
剂可愈。
喉痈门七∶外症喉痈。
\r图\pyfxby44.bmp\r
外症喉痈，此症生于颔下天突穴之上，内外皆肿，饮食有碍，初起无痰涎，内不见形
迹，此风毒之痈也。六味汤加黄芩、皂角刺、穿山甲、归尾、赤芍、草河车各二钱，红花、
葛根各一钱，乳香五分，连三服，以消为度。已成出脓，必成漏管，用十全大补汤收功。
喉痈门八∶兜腮喉痈。
\r图\pyfxby46.bmp\r
兜腮喉痈，生于腮下，其名悬痈。因郁积寒气而发。外用灸法二壮，用六味汤加穿山甲
、归尾、皂角刺、川芎、白芷各一钱，升麻三分，红花、乳香各五分，以消为度。有脓针之
，若成漏，多用参、苓内托，或可收功，此症不可轻忽。
喉痈门九∶舌上痈。
\r图\pyfxby48.bmp\r
舌上痈，生于舌中心，如梅子大，不能言语，此症热入心包络而发。左寸脉宜洪大数，
不宜细缓。红肿可治，黑者不治。六味汤加川连一钱，连翘、草河车各五钱，生军四钱，地
丁三钱，外吹牛黄消散药，以愈为度。
喉痈门十∶舌下痈。
\r图\pyfxby45.bmp\r
舌下痈，乃脾肾积热而发，然舌下有金津、玉液二穴，通于肾经，水枯方生。此症诊其
左尺洪数者是也。六味汤加生地、草河车各二钱，葛根、花粉、丹皮各一钱，元参二钱，二
服，用十八味神药收功。吹药如前。
喉痈门十一∶上 痈。
\r图\pyfxby47.bmp\r
上 痈，高如桃核桂下，不能饮食，因肺家炙爆之毒积久而发，宜用解毒之剂，加草河
车三钱，石膏五分，地丁、生地各二钱，归尾、穿山甲、赤芍、皂角刺各钱半，丹皮、花粉
、葛根各一钱，七八服，兼玉枢丹每日五分，并用吹药，据理或迟至二三月收功亦有之。
舌门一∶木舌。
\r图\pyfxby49.bmp\r
木舌，因心、脾、肝三经积热，舌粗紫胀，不能言语。此多食炙爆所致，急砭出紫血
，搽吹药，大承气汤兼黄连解毒汤，加山栀、木通、连翘、花粉各二钱，赤芍、草河车各三
钱，二服。不应，加生军泻毒，再用六味汤漱口吐出。左右寸关脉洪大者实症可治，六脉细
者虚症难治。
舌门二∶白肿舌。
\r图\pyfxby50.bmp\r
白肿舌，因风寒积内，六脉弦紧，舌肿硬痛。六味汤加细辛三分，苏叶一钱半，白芷一
钱，当归钱半，川芎、葛根各一钱，如有白苔黑点而滑者，用淡附子、干姜各五分，煎服。
外用干姜、冰片、麝香、青皮等分为末擦患处。
舌门三∶烂边舌。
\r图\pyfxby52.bmp\r
烂边舌，因脾经湿热不清，大舌边上发疳，白点而烂。六味汤加小生地二钱，滑石三钱
，淡竹叶一钱，苡仁、猪苓各钱半，泽泻、车前、甘草梢各一钱，服二剂，外用吹药。唇牙
内肿烂，同此治法。
舌门四∶红点紫舌
\r图\pyfxby54.bmp\r
红点紫舌，因心、脾二经热极所致。满口红点紫色，作烂而痛，或身有赤斑，六味汤加
熟石膏一两，葛根钱半，川连一钱，黄芩二钱，黄柏一钱，木通、山栀各一钱，甚者加生军
三钱。如六脉不数，不可用此方，外用吹药擦患处。
舌门五∶纯紫舌。
\r图\pyfxby51.bmp\r
纯紫舌，因伤寒用葱、酒发汗，酒毒入心，以致大舌纯紫。宜用升麻、葛根各一钱，枳
子二钱，石膏二钱，川连一钱五分。如心烦加山栀、淡豆豉各一钱。恶心欲吐，恐防发斑
，另芫荽一两。又用芫荽冲烧酒榐背为要，外用吹药。
舌门六∶座舌莲花。
\r图\pyfxby53.bmp\r
座舌莲花，因脾经热毒积久而发。生于牙根内面，走窜如莲花一座，急针患处出血，搽
吹药，再针左右少商穴，用六味汤加草河车二钱，归尾、赤芍各一钱，川连、连翘各一钱，
生军三钱，山栀、木通各一钱，生地二钱，穿山甲一钱，生石膏五分，服二剂。如不退，用
十八味神药收功。
舌门七∶重舌。
\r图\pyfxby55.bmp\r
重舌，大舌之下，又生小舌，以致大舌反粗短，小舌长痛，此心、脾之毒，左寸右关两
部脉洪大者是也。久之必烂，烂则难痊，初起即针出恶血，搽吹药，服黄连解毒汤，加生军
五钱，如泻五六日即愈。玉枢丹、十八味神药亦可服。
舌门八∶莲花舌。
\r图\pyfxby56.bmp\r
莲花舌，因心、肺之火，飞腾舌底，即针刺小舌出血，吹药，用三黄石膏汤，加甘草五
分，草河车二钱，外针商阳穴，即愈。
舌门九∶焦黄舌。
\r图\pyfxby59.bmp\r
焦黄舌，因嗜酒太过，遇寒而起，大舌干黄，三黄汤加枳 子、生石膏、人中黄。身发
寒热，用大柴胡汤加羌活钱半。如呕吐心烦，脉象洪大，加生军四钱，佐以牛蒡、赤芍、干
葛之类，再无不应。
舌门十∶舌上珠。
\r图\pyfxby61.bmp\r
舌上珠，此心、脾积热，舌生白泡，大小不一，六脉洪大，搽吹药，用三黄汤加石膏五
钱，草河车二钱，地丁一钱，兼服玉枢丹五分。如六脉迟细者，不可用前药。
舌门十一∶舌下珠。
\r图\pyfxby57.bmp\r
舌下珠，此脾肾两虚之症，六味汤加盐炒元参、生地、盐炒知母、黄柏、木通等分，煎
服，兼搽吹药，余药照前。
舌门十二∶左雀舌。
\r图\pyfxby58.bmp\r
左雀舌，因多食煎炒炙爆之物，积毒于胃，故发于舌之旁，似生小舌，位近牙根。初起
针破出血，搽吹药，用六味汤加三黄汤、凉膈散治之。久之必烂，用龙骨生肌散收功。
舌门十三∶右雀舌。
\r图\pyfxby60.bmp\r
右雀舌，亦因积毒，治法如左雀舌，大同小异，用六味汤加犀角地黄汤治之。搽药同
前。
小舌门一∶胃火小舌。
\r图\pyfxby62.bmp\r
胃火小舌，因脾经火毒郁久而发，小舌生白点烂，胃脉浮洪。用六味汤加生石膏四两，
酒炒黄芩二钱，花粉三钱，葛根二钱，山栀一钱，二服。如不愈，用吹药，兼服柏枝汁。此
乃多食炙爆醇酒浓味，或鱼骨刺伤，非结毒可比。须诊脉浮洪者属胃火，脉沉实者属结毒。
详辨为要。
小舌门二∶胃毒小舌
\r图\pyfxby63.bmp\r
胃毒小舌，因毒结胃经，发于小舌，形如前症。胃脉沉实而洪大者是结毒，临症不可忽。
有
为
小舌门三∶积热小舌。
\r图\pyfxby66.bmp\r
积热小舌，因肝、胃二经火毒飞腾，所以小舌长硬，白衣裹满，咽物不下，右关之脉浮
大。六味汤加山栀一钱，连翘二钱，酒炒黄芩二钱，黄柏一钱半，生石膏三钱，滑石二钱，
赤芍、木通、葛根各一钱。外吹药，兼用玉枢丹二三次，无不愈。
小舌门四∶纯白小舌。
\r图\pyfxby64.bmp\r
纯白小舌，因胃经积毒，小舌忽变白色，软大而肿痛，右关之脉洪沉。先用玉枢丹，每
服七分，或十服，或五服，再用土茯苓煎汤代水。后用广疮药二十一服，银花汤下。如胃脉
不沉，反洪大，作火症看，用六味汤加生石膏三钱，酒炒黄芩、车前各二钱，山栀一钱，木
通一钱，滑石三钱，葛根三钱，天花粉一钱半，山豆根二钱，三服。此即一症两治之法，临
症细参脉理，然后用药，慎之！慎之！
小舌门五∶悬旗小舌。
\r图\pyfxby65.bmp\r
悬旗风，生小舌下垂尖头，似圆眼核大，红如樱桃，因多食浓味火酒，以致胃火郁盛而
发。六味汤加甘草五分，枳 子一钱，赤芍二钱，草河车二钱，二服可愈。如肿处出血，用
吹药，胃脉浮洪者是也。
杂症门一∶松子喉疔。
\r图\pyfxby67.bmp\r
松子喉疔，生于关内小舌左右两边，形如松子，淡红而硬，大痛难食，背寒身热，两寸
、关脉紧盛，乃风火郁积之症也。六味汤加苏叶、赤芍、羌活、连翘、穿山甲、草河车各一
钱，来日去苏叶、羌活二味，加乳香三分，玉枢丹一钱，研细冲服，二日可愈。外兼用吹药
杂症门二∶走马牙疳。
\r图\pyfxby68.bmp\r
走马牙疳，因脾经积受热毒太重而起，牙肉先肿，日久腐烂，此为急证，齿落肉黑不治
。脉浮洪者生，沉细者死，脉大而有力，尚可用重药救之，脉迟细者，药不能投，临症详脉
治之。初起未烂，即针肿处出血，搽吹药。已烂不必针，搽吹药。用川连、葛根、连翘、犀
角、生地各二钱，白藓皮、甘草、贝母、花粉各一钱半，生石膏一两，草河车一两，入大锅
煎服三四碗，连三剂。如脉数便结加生军一两或可救，迟则不治矣！
杂症门三∶喉单。
\r图\pyfxby70.bmp\r
喉单，此症因肝火郁热动风，而生关口上部，下垂、根大头小，红色大痛。先针两边患
处出血，吹药，漱六味汤一服。来日加柴胡、钩藤、赤芍、生地、丹皮、草河车各二钱，连
翘、黄芩、黄连各一钱，煎服。可愈。
杂症门四∶喉菌。
\r图\pyfxby73.bmp\r
喉菌，因胎毒所致，或因心、胃火邪，生于喉内如菌样，故名喉菌。不可用刀针，服黄
连解毒汤、玉枢丹、可使其不发热，然未见全消者。
杂症门五∶喉瘤。
\r图\pyfxby69.bmp\r
喉瘤，因郁怒伤肝，或迎风高叫，或本原不足，或诵读太急，以致气血相凝，生于关内
不时而发。治以调本养原之药，玉枢丹、地黄丸，俱可常服，难许速痊。外吹药。
杂症门六∶又喉瘤。
\r图\pyfxby71.bmp\r
又喉瘤，生于关外，亦名瘤，治法同前。因部位各别，故绘图备阅。
杂症门七∶左阴疮。
\r图\pyfxby72.bmp\r
左阴疮，生于颊车之下，内热外寒，皮色不变，身发寒热，肿大如鳗鲤瘟。六味汤加万
灵丹，同药化下。如变红色，用喉痈药治之，便结加生军三钱。玉枢丹亦可服，症属少阴心
、肾则如此，若症属少阳胆、三焦，用柴胡、牛蒡，并六味汤漱之。
杂症门八∶右阴疮。
\r图\pyfxby74.bmp\r
右阴疮，治法如左阴疮。
喉痈门一：伏寒喉痈。
伏寒喉痈，是由于体内积寒，外感时邪而引发，患处颜色红肿，或带紫色，脉象浮而不数。使用六味汤加羌活、葛根、草河车、穿山甲、赤芍、归尾各一钱，细辛三分。服用两剂后，去掉羌活、葛根，加入山栀一钱，五日可痊愈。
喉痈门二：肿烂喉痈。
肿烂喉痈，此症因脾脏积热而生，表现为红肿溃烂，两手关脉洪大。针刺少商、商阳、关冲、少冲双手共八穴，出血多为好。先服用八仙散，含在舌上冲化咽下，再用六味汤加盐炒玄参二钱，盐炒黄柏一钱，酒炒黄芩一钱五分，生大黄三钱，山栀、木通各一钱，草河车二钱，煎服，待泻下后去掉大黄，再服三日，用十八味神药柏枝汁含漱咽喉，即可痊愈。外用兼用吹药。
喉痈门三：淡白喉痈。
淡白喉痈，此症因脾肺受寒，患处颜色不红。若用凉剂，七日之内必成脓，有脓即针破。初起肿胀，针刺少商、商阳双手四穴，放出紫血。用六味汤加苏叶、赤芍、归尾各一钱半，一剂后，加穿山甲、皂角刺、草河车各二钱，再服可愈。此症表现为六脉紧、身体发冷发热。
喉痈门四：大红喉痈。
大红喉痈，此症脾肺积热，颜色鲜红，肿胀严重，关脉内盛，六脉洪大，身体发冷发热。急刺少商、商阳穴，或让患处排出恶血。用六味汤加山栀、木通各一钱，海浮石、生大黄各三钱，归尾、皂角刺、草河车各三钱，赤芍、花粉、黄芩各一钱半，先将十一味药煎煮二三十沸后，下六味汤同煎，服用两剂可安定病情。
喉痈门五：声哑喉痈。
声哑喉痈，此症受寒太重，肺脉闭塞，导致声音嘶哑，饮食难进，或有烂斑。右寸脉沉涩，脾胃脉洪大，背部寒冷身体发热。用六味汤加羌活二钱，葛根、苏叶各一钱含漱，两日后声音不再嘶哑，换加花粉一钱，乳香五分，葛根、酒炒黄芩、归尾、赤芍、穿山甲、皂角刺各三钱，再服八仙散、玉枢丹，服用两剂可痊愈。
喉痈门六：单喉痈。
单喉痈，或左或右，身体发热背部寒冷，属于脾胃之症。有红点为风热，无红点为风寒。脉象如前所述。用六味汤加苏叶、羌活各二钱，含漱吞咽，一剂后，次日再加赤芍、归尾、山豆根、山栀各一钱半，服用一剂可痊愈。
喉痈门七：外症喉痈。
外症喉痈，此症生于颔下天突穴之上，内外皆肿，饮食受阻，初起无痰涎，内部不见形迹，这是风毒之痈。用六味汤加黄芩、皂角刺、穿山甲、归尾、赤芍、草河车各二钱，红花、葛根各一钱，乳香五分，连服三剂，以消散为度。已成脓出，必成漏管，用十全大补汤收功。
喉痈门八：兜腮喉痈。
兜腮喉痈，生于腮下，其名为悬痈。因郁积寒气而发。外用灸法二壮，用六味汤加穿山甲、归尾、皂角刺、川芎、白芷各一钱，升麻三分，红花、乳香各五分，以消散为度。有脓则针之，若成漏，多用参、苓内托，或可收功，此症不可轻视。
喉痈门九：舌上痈。
舌上痈，生于舌中心，如梅子大小，不能言语，此症热入心包络而发。左寸脉宜洪大数，不宜细缓。红肿可治，黑色者不治。用六味汤加川连一钱，连翘、草河车各五钱，生军四钱，地丁三钱，外用吹牛黄消散药，以痊愈为度。
喉痈门十：舌下痈。
舌下痈，乃脾肾积热而发，然舌下有金津、玉液二穴，通于肾经，水枯方生。此症诊其左尺脉洪数者是也。用六味汤加生地、草河车各二钱，葛根、花粉、丹皮各一钱，玄参二钱，服用两剂，用十八味神药收功。吹药如前。
喉痈门十一：上痈。
上痈，高如桃核桂下，不能饮食，因肺家炙爆之毒积久而发，宜用解毒之剂，加草河车三钱，石膏五分，地丁、生地各二钱，归尾、穿山甲、赤芍、皂角刺各一钱半，丹皮、花粉、葛根各一钱，服用七八剂，兼服玉枢丹每日五分，并用吹药，据理或迟至二三月收功亦有之。
舌门一：木舌。
木舌，因心、脾、肝三经积热，舌体粗紫肿胀，不能言语。此多食炙爆所致，急砭出紫血，搽吹药，大承气汤兼黄连解毒汤，加山栀、木通、连翘、花粉各二钱，赤芍、草河车各三钱，服用两剂。无效，加生军泻毒，再用六味汤漱口吐出。左右寸关脉洪大者为实症可治，六脉细者为虚症难治。
舌门二：白肿舌。
白肿舌，因风寒积内，六脉弦紧，舌肿硬痛。用六味汤加细辛三分，苏叶一钱半，白芷一钱，当归一钱半，川芎、葛根各一钱，如有白苔黑点而滑者，用淡附子、干姜各五分，煎服。外用干姜、冰片、麝香、青皮等分为末擦患处。
舌门三：烂边舌。
烂边舌，因脾经湿热不清，大舌边上发疳，白点而烂。用六味汤加小生地二钱，滑石三钱，淡竹叶一钱，苡仁、猪苓各一钱半，泽泻、车前、甘草梢各一钱，服用两剂，外用吹药。唇牙内肿烂，同此治法。
舌门四：红点紫舌。
红点紫舌，因心、脾二经热极所致。满口红点紫色，作烂而痛，或身有赤斑，用六味汤加熟石膏一两，葛根一钱半，川连一钱，黄芩二钱，黄柏一钱，木通、山栀各一钱，甚者加生军三钱。如六脉不数，不可用此方，外用吹药擦患处。
舌门五：纯紫舌。
纯紫舌，因伤寒用葱、酒发汗，酒毒入心，以致大舌纯紫。宜用升麻、葛根各一钱，枳子二钱，石膏二钱，川连一钱五分。如心烦加山栀、淡豆豉各一钱。恶心欲吐，恐防发斑，另用芫荽一两。又用芫荽冲烧酒擦背为要，外用吹药。
舌门六：座舌莲花。
座舌莲花，因脾经热毒积久而发。生于牙根内面，走窜如莲花一座，急针患处出血，搽吹药，再针左右少商穴，用六味汤加草河车二钱，归尾、赤芍各一钱，川连、连翘各一钱，生军三钱，山栀、木通各一钱，生地二钱，穿山甲一钱，生石膏五分，服用两剂。如不退，用十八味神药收功。
舌门七：重舌。
重舌，大舌之下，又生小舌，以致大舌反粗短，小舌长痛，此心、脾之毒，左寸右关两部脉洪大者是也。久之必烂，烂则难痊，初起即针出恶血，搽吹药，服黄连解毒汤，加生军五钱，如泻五六日即愈。玉枢丹、十八味神药亦可服。
舌门八：莲花舌。
莲花舌，因心、肺之火，飞腾舌底，即针刺小舌出血，吹药，用三黄石膏汤，加甘草五分，草河车二钱，外针商阳穴，即愈。
舌门九：焦黄舌。
焦黄舌，因嗜酒太过，遇寒而起，大舌干黄，三黄汤加枳子、生石膏、人中黄。身体发冷发热，用大柴胡汤加羌活一钱半。如呕吐心烦，脉象洪大，加生军四钱，佐以牛蒡、赤芍、干葛之类，再无不应。
舌门十：舌上珠。
舌上珠，此心、脾积热，舌生白泡，大小不一，六脉洪大，搽吹药，用三黄汤加石膏五钱，草河车二钱，地丁一钱，兼服玉枢丹五分。如六脉迟细者，不可用前药。
舌门十一：舌下珠。
舌下珠，此脾肾两虚之症，用六味汤加盐炒玄参、生地、盐炒知母、黄柏、木通等分，煎服，兼搽吹药，余药照前。
舌门十二：左雀舌。
左雀舌，因多食煎炒炙爆之物，积毒于胃，故发于舌之旁，似生小舌，位近牙根。初起针破出血，搽吹药，用六味汤加三黄汤、凉膈散治之。久之必烂，用龙骨生肌散收功。
舌门十三：右雀舌。
右雀舌，亦因积毒，治法如左雀舌，大同小异，用六味汤加犀角地黄汤治之。搽药同前。
小舌门一：胃火小舌。
胃火小舌，因脾经火毒郁久而发，小舌生白点烂，胃脉浮洪。用六味汤加生石膏四两，酒炒黄芩二钱，花粉三钱，葛根二钱，山栀一钱，服用两剂。如不愈，用吹药，兼服柏枝汁。此乃多食炙爆醇酒浓味，或鱼骨刺伤，非结毒可比。须诊脉浮洪者属胃火，脉沉实者属结毒。详辨为要。
小舌门二：胃毒小舌。
胃毒小舌，因毒结胃经，发于小舌，形如前症。胃脉沉实而洪大者是结毒，临症不可忽。
小舌门三：积热小舌。
积热小舌，因肝、胃二经火毒飞腾，所以小舌长硬，白衣裹满，咽物不下，右关之脉浮大。用六味汤加山栀一钱，连翘二钱，酒炒黄芩二钱，黄柏一钱半，生石膏三钱，滑石二钱，赤芍、木通、葛根各一钱。外吹药，兼用玉枢丹二三次，无不愈。
小舌门四：纯白小舌。
纯白小舌，因胃经积毒，小舌忽变白色，软大而肿痛，右关之脉洪沉。先用玉枢丹，每服七分，或十服，或五服，再用土茯苓煎汤代水。后用广疮药二十一服，银花汤下。如胃脉不沉，反洪大，作火症看，用六味汤加生石膏三钱，酒炒黄芩、车前各二钱，山栀一钱，木通一钱，滑石三钱，葛根三钱，天花粉一钱半，山豆根二钱，服用三剂。此即一症两治之法，临症细参脉理，然后用药，慎之！慎之！
小舌门五：悬旗小舌。
悬旗风，生小舌下垂尖头，似圆眼核大，红如樱桃，因多食浓味火酒，以致胃火郁盛而发。用六味汤加甘草五分，枳子一钱，赤芍二钱，草河车二钱，服用两剂可愈。如肿处出血，用吹药，胃脉浮洪者是也。
杂症门一：松子喉疔。
松子喉疔，生于关内小舌左右两边，形如松子，淡红而硬，大痛难食，背寒身热，两寸、关脉紧盛，乃风火郁积之症也。用六味汤加苏叶、赤芍、羌活、连翘、穿山甲、草河车各一钱，来日去苏叶、羌活二味，加乳香三分，玉枢丹一钱，研细冲服，二日可愈。外兼用吹药。
杂症门二：走马牙疳。
走马牙疳，因脾经积受热毒太重而起，牙肉先肿，日久腐烂，此为急证，齿落肉黑不治。脉浮洪者生，沉细者死，脉大而有力，尚可用重药救之，脉迟细者，药不能投，临症详脉治之。初起未烂，即针肿处出血，搽吹药。已烂不必针，搽吹药。用川连、葛根、连翘、犀角、生地各二钱，白藓皮、甘草、贝母、花粉各一钱半，生石膏一两，草河车一两，入大锅煎服三四碗，连三剂。如脉数便结加生军一两或可救，迟则不治矣！
杂症门三：喉单。
喉单，此症因肝火郁热动风，而生关口上部，下垂、根大头小，红色大痛。先针两边患处出血，吹药，漱六味汤一服。来日加柴胡、钩藤、赤芍、生地、丹皮、草河车各二钱，连翘、黄芩、黄连各一钱，煎服。可愈。
杂症门四：喉菌。
喉菌，因胎毒所致，或因心、胃火邪，生于喉内如菌样，故名喉菌。不可用刀针，服黄连解毒汤、玉枢丹、可使其不发热，然未见全消者。
杂症门五：喉瘤。
喉瘤，因郁怒伤肝，或迎风高叫，或本原不足，或诵读太急，以致气血相凝，生于关内不时而发。治以调本养原之药，玉枢丹、地黄丸，俱可常服，难许速痊。外吹药。
杂症门六：又喉瘤。
又喉瘤，生于关外，亦名瘤，治法同前。因部位各别，故绘图备阅。
杂症门七：左阴疮。
左阴疮，生于颊车之下，内热外寒，皮色不变，身体发冷发热，肿大如鳗鲤瘟。用六味汤加万灵丹，同药化下。如变红色，用喉痈药治之，便结加生军三钱。玉枢丹亦可服，症属少阴心、肾则如此，若症属少阳胆、三焦，用柴胡、牛蒡，并六味汤漱之。
Gate of Throat Abscess 1: Latent Cold Throat Abscess.
Latent cold throat abscess arises from accumulated cold within the body combined with an external contraction of seasonal pathogens. The affected area is red and swollen, or purplish in color, with a floating pulse that is not rapid. Use Liuwei Tang (Six-Ingredient Decoction) added with Qianghuo (Notopterygii Rhizoma et Radix), Gegen (Puerariae Lobatae Radix), Caoheche (Sargentodoxae Caulis), Chuanshanjia (Manis Squama), Chishao (Paeoniae Radix Rubra), Guiwei (Angelicae Sinensis Radix Caudex), each at 1 qian, and Xixin (Asari Radix et Rhizoma) at 3 fen. After two doses, remove Qianghuo and Gegen, add Zhizi (Gardeniae Fructus) at 1 qian; recovery can be expected in five days.
Gate of Throat Abscess 2: Swollen and Ulcerated Throat Abscess.
Swollen and ulcerated throat abscess results from accumulated heat in the Spleen, manifesting as redness, swelling, and ulceration, with surging and large pulses at both Guan positions. Prick the eight acupoints Shaoshang (LU11), Shangyang (LI1), Guanchong (TE1), and Shaochong (HT9) on both hands; profuse bleeding is desirable. First administer Baxian San (Eight-Immortal Powder), holding it on the tongue to dissolve and swallow. Then use Liuwei Tang (Six-Ingredient Decoction) added with Yan Chao Xuanshen (Salt-fried Scrophulariae Radix) at 2 qian, Yan Chao Huangbai (Salt-fried Phellodendri Cortex) at 1 qian, Jiu Chao Huangqin (Wine-fried Scutellariae Radix) at 1.5 qian, Sheng Dahuang (Raw Rheum Palmatum Radix et Rhizoma) at 3 qian, Zhizi (Gardeniae Fructus) and Mutong (Akebiae Caulis) each at 1 qian, and Caoheche (Sargentodoxae Caulis) at 2 qian. Decoct and take orally. After purgation, remove Dahuang and continue for three more days. Then rinse the throat with Baizhizhi Yanzhou (Cypress Branch Juice of Eighteen Divine Medicines). Recovery follows. External application of Chuiyao (blowing powder) is also used.
Gate of Throat Abscess 3: Pale White Throat Abscess.
Pale white throat abscess occurs due to cold invading the Spleen and Lungs, resulting in a non-red appearance. If cooling agents are used, pus will form within seven days; once pus forms, prick it open. At the onset of swelling, prick the four acupoints Shaoshang (LU11) and Shangyang (LI1) on both hands to release purple blood. Use Liuwei Tang (Six-Ingredient Decoction) added with Ziye (Perillae Folium), Chishao (Paeoniae Radix Rubra), and Guiwei (Angelicae Sinensis Radix Caudex), each at 1.5 qian. After one dose, add Chuanshanjia (Manis Squama), Zaojiaoci (Gleditsiae Sinensis Spina), and Caoheche (Sargentodoxae Caulis), each at 2 qian; further doses lead to recovery. This condition presents with tight pulses in all six positions and alternating chills and fever.
Gate of Throat Abscess 4: Bright Red Throat Abscess.
Bright red throat abscess stems from accumulated heat in the Spleen and Lungs, appearing bright red with severe swelling, internal Guan pulse fullness, surging and large pulses in all six positions, accompanied by chills and fever. Urgently prick Shaoshang (LU11) and Shangyang (LI1) acupoints, or allow the affected area to bleed foul blood. Use Liuwei Tang (Six-Ingredient Decoction) added with Zhizi (Gardeniae Fructus) and Mutong (Akebiae Caulis) each at 1 qian, Haifushi (Pumex), and Sheng Dahuang (Raw Rheum Palmatum Radix et Rhizoma) each at 3 qian, Guiwei (Angelicae Sinensis Radix Caudex), Zaojiaoci (Gleditsiae Sinensis Spina), and Caoheche (Sargentodoxae Caulis) each at 3 qian, Chishao (Paeoniae Radix Rubra), Huafen (Trichosanthis Radix), and Huangqin (Scutellariae Radix) each at 1.5 qian. Boil the first eleven ingredients for twenty to thirty boils, then add Liuwei Tang (Six-Ingredient Decoction) and decoct together. Two doses stabilize the condition.
Gate of Throat Abscess 5: Hoarse Voice Throat Abscess.
Hoarse voice throat abscess results from severe cold invasion obstructing the Lung meridians, causing hoarseness, difficulty swallowing, and possibly ulcerated spots. The Right Cun pulse is deep and choppy, while the Spleen and Stomach pulses are surging and large, with cold in the back and fever in the body. Rinse with Liuwei Tang (Six-Ingredient Decoction) added with Qianghuo (Notopterygii Rhizoma et Radix) at 2 qian, Gegen (Puerariae Lobatae Radix) and Ziye (Perillae Folium) each at 1 qian. After two days, when hoarseness subsides, substitute with Huafen (Trichosanthis Radix) at 1 qian, Ruxiang (Boswelliae Resina) at 5 fen, Gegen (Puerariae Lobatae Radix), Jiu Chao Huangqin (Wine-fried Scutellariae Radix), Guiwei (Angelicae Sinensis Radix Caudex), Chishao (Paeoniae Radix Rubra), Chuanshanjia (Manis Squama), and Zaojiaoci (Gleditsiae Sinensis Spina) each at 3 qian. Take Baxian San (Eight-Immortal Powder) and Yushu Dan (Jade Pivot Pill); two doses cure the condition.
Gate of Throat Abscess 6: Single Throat Abscess.
Single throat abscess appears on either the left or right side, with fever in the body and cold in the back, indicating a Spleen-Stomach disorder. Presence of red dots indicates wind-heat; absence indicates wind-cold. Pulse presentation is as described previously. Rinse and swallow Liuwei Tang (Six-Ingredient Decoction) added with Ziye (Perillae Folium) and Qianghuo (Notopterygii Rhizoma et Radix) each at 2 qian. On the following day, add Chishao (Paeoniae Radix Rubra), Guiwei (Angelicae Sinensis Radix Caudex), Shandougen (Sophorae Tonkinensis Radix), and Zhizi (Gardeniae Fructus) each at 1.5 qian; one dose cures the condition.
Gate of Throat Abscess 7: External Symptom Throat Abscess.
External symptom throat abscess develops above the Tiantu acupoint (CV22) under the jaw, with internal and external swelling hindering diet. Initially without phlegm or visible internal signs, this is a toxin-abscess caused by wind-toxin. Use Liuwei Tang (Six-Ingredient Decoction) added with Huangqin (Scutellariae Radix), Zaojiaoci (Gleditsiae Sinensis Spina), Chuanshanjia (Manis Squama), Guiwei (Angelicae Sinensis Radix Caudex), Chishao (Paeoniae Radix Rubra), and Caoheche (Sargentodoxae Caulis) each at 2 qian, Honghua (Carthami Flos) and Gegen (Puerariae Lobatae Radix) each at 1 qian, and Ruxiang (Boswelliae Resina) at 5 fen. Take three consecutive doses until resolution. If pus forms and fistula develops, use Shiquan Dabu Tang (Decoction for Complete Great Tonification) to conclude treatment.
Gate of Throat Abscess 8: Cheek-Hugging Throat Abscess.
Cheek-hugging throat abscess, also known as Xuan Yong (Hanging Abscess), develops below the cheek due to stagnant cold qi. Apply two moxa cones externally. Internally, use Liuwei Tang (Six-Ingredient Decoction) added with Chuanshanjia (Manis Squama), Guiwei (Angelicae Sinensis Radix Caudex), Zaojiaoci (Gleditsiae Sinensis Spina), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baizhi (Angelicae Dahuricae Radix) each at 1 qian, Shengma (Cimicifugae Rhizoma) at 3 fen, Honghua (Carthami Flos) and Ruxiang (Boswelliae Resina) each at 5 fen. Aim for resolution. Prick if pus forms; if a fistula develops, use Ginseng and Poria for internal support to achieve recovery. Do not neglect this condition.
Gate of Throat Abscess 9: Tongue Upper Abscess.
Tongue upper abscess forms in the center of the tongue, plum-sized, preventing speech, caused by heat entering the Pericardium collateral. The Left Cun pulse should be surging, large, and rapid, not fine and slow. Redness and swelling are treatable; blackness is untreatable. Use Liuwei Tang (Six-Ingredient Decoction) added with Chuanlian (Coptidis Rhizoma) at 1 qian, Lianqiao (Forsythiae Fructus) and Caoheche (Sargentodoxae Caulis) each at 5 qian, Sheng Jun (Raw Rheum Palmatum Radix et Rhizoma) at 4 qian, and Dinggancao (Genkwa Flos/Dianthus Crinitus? Note: Text says Di Ding, likely Dianthus or Gentiana, usually Dianthus here contextually or Gentiana, but standard is often Dianthus or Gentiana. Given "Di Ding", usually refers to Dianthus Crinitus or similar. Let's stick to text literal or standard equivalent. Actually Di Ding is often Dianthus. Wait, standard WHO term for Di Ding is Dianthi Herba. But sometimes Gentianae Macrophyllae Radix. I will use Dianthi Herba as per common usage for Di Ding in some contexts, or clarify. Actually, Di Ding is often Dianthus. Let's use Dianthi Herba.) at 3 qian. Externally apply Niuhuang Xiaosan Yao (Calculus Bovis Dissolving Powder); recovery is the goal.
Gate of Throat Abscess 10: Tongue Lower Abscess.
Tongue lower abscess arises from accumulated heat in the Spleen and Kidneys. The Jinjin and Yuye acupoints under the tongue connect to the Kidney meridian; this condition arises when water essence is depleted. Diagnosis involves a surging and rapid Left Chi pulse. Use Liuwei Tang (Six-Ingredient Decoction) added with Shengdi (Rehmanniae Radix Preparata) and Caoheche (Sargentodoxae Caulis) each at 2 qian, Gegen (Puerariae Lobatae Radix), Huafen (Trichosanthis Radix), and Danpi (Moutan Cortex) each at 1 qian, and Xuanshen (Scrophulariae Radix) at 2 qian. Take two doses, then use Eighteen Divine Medicines to conclude treatment. Apply blowing powder as before.
Gate of Throat Abscess 11: Upper Abscess.
Upper abscess rises like a peach pit under the chin, preventing eating, caused by long-standing accumulation of toxic heat from roasting/frying in the Lungs. Use detoxifying agents added with Caoheche (Sargentodoxae Caulis) at 3 qian, Shigao (Gypsum Fibrosum) at 5 fen, Didang (Dianthi Herba) and Shengdi (Rehmanniae Radix Preparata) each at 2 qian, Guiwei (Angelicae Sinensis Radix Caudex), Chuanshanjia (Manis Squama), Chishao (Paeoniae Radix Rubra), and Zaojiaoci (Gleditsiae Sinensis Spina) each at 1.5 qian, Danpi (Moutan Cortex), Huafen (Trichosanthis Radix), and Gegen (Puerariae Lobatae Radix) each at 1 qian. Take seven to eight doses, plus Yushu Dan (Jade Pivot Pill) 5 fen daily, and apply blowing powder. Recovery may take two to three months.
Gate of Tongue 1: Wooden Tongue.
Wooden tongue results from accumulated heat in the Heart, Spleen, and Liver meridians, causing the tongue to become coarse, purple, and swollen, preventing speech. It is often caused by excessive consumption of roasted foods. Urgently pricking to release purple blood, applying blowing powder, and administering Dachengqi Tang (Major Order the Qi Decoction) combined with Huanglian Jiedu Tang (Coptis Detoxification Decoction) added with Zhizi (Gardeniae Fructus), Mutong (Akebiae Caulis), Lianqiao (Forsythiae Fructus), and Huafen (Trichosanthis Radix) each at 2 qian, Chishao (Paeoniae Radix Rubra) and Caoheche (Sargentodoxae Caulis) each at 3 qian, taken for two doses. If ineffective, add Sheng Jun (Raw Rheum Palmatum Radix et Rhizoma) to purge toxins, then rinse mouth with Liuwei Tang (Six-Ingredient Decoction) and spit out. Surging and large pulses at Left/Right Cun/Guan indicate excess syndrome, which is treatable; fine pulses in all six positions indicate deficiency syndrome, which is difficult to treat.
Gate of Tongue 2: White Swollen Tongue.
White swollen tongue results from internal accumulation of wind-cold, with string-tight pulses in all six positions, causing tongue swelling, hardness, and pain. Use Liuwei Tang (Six-Ingredient Decoction) added with Xixin (Asari Radix et Rhizoma) at 3 fen, Ziye (Perillae Folium) at 1.5 qian, Baizhi (Angelicae Dahuricae Radix) at 1 qian, Danggui (Angelicae Sinensis Radix) at 1.5 qian, Chuanxiong (Ligustici Chuanxiong Rhizoma) and Gegen (Puerariae Lobatae Radix) each at 1 qian. If white coating with black spots is slippery, use Dan Fuzi (Prepared Aconiti Lateralis Radix) and Ganjiang (Zingiberis Rhizoma) each at 5 fen, decocted and taken. Externally, apply equal parts Ganjiang (Zingiberis Rhizoma), Bingpian (Borneolum Syntheticum), Shexiang (Moschus), and Qingpi (Citri Reticulatae Pericarpium Viride) as powder to rub the affected area.
Gate of Tongue 3: Ulcerated Edge Tongue.
Ulcerated edge tongue results from unclear damp-heat in the Spleen meridian, causing aphthous ulcers with white spots on the edges of the enlarged tongue. Use Liuwei Tang (Six-Ingredient Decoction) added with Xiao Shengdi (Small Rehmanniae Radix Preparata) at 2 qian, Huashi (Talcum) at 3 qian, Dan Zhuye (Lophatheri Graminis Folium) at 1 qian, Yiren (Coicis Semen) and Zhuling (Polyporus) each at 1.5 qian, Zexie (Alismatis Rhizoma), Cheqian (Plantaginis Semen), and Gancao Shao (Glycyrrhizae Radix et Rhizoma Tip) each at 1 qian. Take two doses; apply blowing powder externally. Swelling and ulceration inside lips and teeth are treated similarly.
Gate of Tongue 4: Red-Dotted Purple Tongue.
Red-dotted purple tongue is caused by extreme heat in the Heart and Spleen meridians. The entire mouth shows red-purple dots, becoming ulcerated and painful, possibly with red macules on the body. Use Liuwei Tang (Six-Ingredient Decoction) added with Shu Shigao (Calcined Gypsum Fibrosum) at 1 liang, Gegen (Puerariae Lobatae Radix) at 1.5 qian, Chuanlian (Coptidis Rhizoma) at 1 qian, Huangqin (Scutellariae Radix) at 2 qian, Huangbai (Phellodendri Cortex) at 1 qian, Mutong (Akebiae Caulis) and Zhizi (Gardeniae Fructus) each at 1 qian. In severe cases, add Sheng Jun (Raw Rheum Palmatum Radix et Rhizoma) at 3 qian. If pulses are not rapid, do not use this formula; apply blowing powder externally instead.
Gate of Tongue 5: Pure Purple Tongue.
Pure purple tongue results from using scallion and wine to induce sweating for cold damage, allowing wine toxicity to enter the Heart, turning the tongue entirely purple. Use Shengma (Cimicifugae Rhizoma) and Gegen (Puerariae Lobatae Radix) each at 1 qian, Zhizi (Gardeniae Fructus) at 2 qian, Shigao (Gypsum Fibrosum) at 2 qian, and Chuanlian (Coptidis Rhizoma) at 1.5 qian. If irritability is present, add Zhizi (Gardeniae Fructus) and Danshi (Fermented Sojae Semen Praeparatum) each at 1 qian. For nausea and vomiting, fearing eruption of macules, separately use Yuanxu (Coriandri Fructus) at 1 liang. Also, crush Yuanxu in hot wine and rub the back, which is crucial. Apply blowing powder externally.
Gate of Tongue 6: Lotus Tongue.
Lotus tongue results from long-standing heat-toxin in the Spleen meridian. It grows inside the gum line, spreading like a lotus flower. Urgently prick the affected area to bleed, apply blowing powder, then prick the bilateral Shaoshang (LU11) acupoints. Use Liuwei Tang (Six-Ingredient Decoction) added with Caoheche (Sargentodoxae Caulis) at 2 qian, Guiwei (Angelicae Sinensis Radix Caudex) and Chishao (Paeoniae Radix Rubra) each at 1 qian, Chuanlian (Coptidis Rhizoma) and Lianqiao (Forsythiae Fructus) each at 1 qian, Sheng Jun (Raw Rheum Palmatum Radix et Rhizoma) at 3 qian, Zhizi (Gardeniae Fructus) and Mutong (Akebiae Caulis) each at 1 qian, Shengdi (Rehmanniae Radix Preparata) at 2 qian, Chuanshanjia (Manis Squama) at 1 qian, and Sheng Shigao (Raw Gypsum Fibrosum) at 5 fen. Take two doses. If unresolved, use Eighteen Divine Medicines to conclude treatment.
Gate of Tongue 7: Double Tongue.
Double tongue features a small tongue growing beneath the large tongue, making the large tongue appear thick and short, while the small tongue causes prolonged pain. This is toxicity of the Heart and Spleen, indicated by surging and large pulses at the Left Cun and Right Guan positions. It will eventually ulcerate, making recovery difficult. Prick initially to release foul blood, apply blowing powder, and take Huanglian Jiedu Tang (Coptis Detoxification Decoction) added with Sheng Jun (Raw Rheum Palmatum Radix et Rhizoma) at 5 qian. If diarrhea persists for five to six days, recovery occurs. Yushu Dan (Jade Pivot Pill) and Eighteen Divine Medicines are also acceptable.
Gate of Tongue 8: Lotus Tongue (Variant).
Lotus tongue (variant) results from flaming fire of the Heart and Lungs rising to the tongue base. Prick the small tongue to bleed, apply blowing powder, use Sanhuang Shigao Tang (Three-Yellow Gypsum Decoction) added with Gancao (Glycyrrhizae Radix et Rhizoma) at 5 fen and Caoheche (Sargentodoxae Caulis) at 2 qian. Externally prick Shangyang (LI1) acupoint; recovery follows.
Gate of Tongue 9: Scorched Yellow Tongue.
Scorched yellow tongue results from excessive alcohol consumption triggered by cold, causing the large tongue to become dry and yellow. Use Sanhuang Tang (Three-Yellow Decoction) added with Zhizi (Gardeniae Fructus), Sheng Shigao (Raw Gypsum Fibrosum), and Renzhonghuang (Human Faeces Extract). For chills and fever, use Da Chaihu Tang (Major Bupleurum Decoction) added with Qianghuo (Notopterygii Rhizoma et Radix) at 1.5 qian. For vomiting, irritability, and surging pulses, add Sheng Jun (Raw Rheum Palmatum Radix et Rhizoma) at 4 qian, assisted by Niubang (Arctii Fructus), Chishao (Paeoniae Radix Rubra), and Gange (Raw Puerariae Lobatae Radix). Response is invariably good.
Gate of Tongue 10: Pearl on Tongue.
Pearl on tongue results from accumulated heat in the Heart and Spleen, forming white blisters of varying sizes on the tongue, with surging and large pulses in all six positions. Apply blowing powder, use Sanhuang Tang (Three-Yellow Decoction) added with Shigao (Gypsum Fibrosum) at 5 qian, Caoheche (Sargentodoxae Caulis) at 2 qian, and Didang (Dianthi Herba) at 1 qian. Also take Yushu Dan (Jade Pivot Pill) 5 fen. If pulses are slow and fine, do not use the previous medicines.
Gate of Tongue 11: Pearl Under Tongue.
Pearl under tongue results from dual deficiency of the Spleen and Kidneys. Use Liuwei Tang (Six-Ingredient Decoction) added with Yan Chao Xuanshen (Salt-fried Scrophulariae Radix), Shengdi (Rehmanniae Radix Preparata), Yan Chao Zhimu (Salt-fried Anemarrhenae Rhizoma), Huangbai (Phellodendri Cortex), and Mutong (Akebiae Caulis) in equal parts. Decoct and take orally; apply blowing powder. Other medications follow previous instructions.
Gate of Tongue 12: Left Sparrow Tongue.
Left sparrow tongue results from accumulating toxicity in the Stomach due to excessive fried and roasted foods, appearing on the side of the tongue near the gums like a small tongue. Initially prick to bleed, apply blowing powder, and treat with Liuwei Tang (Six-Ingredient Decoction) combined with Sanhuang Tang (Three-Yellow Decoction) and Liangge San (Cooling the Chest Powder). It will eventually ulcerate; use Longgu Shengji San (Dragon Bone Flesh-Regenerating Powder) to conclude treatment.
Gate of Tongue 13: Right Sparrow Tongue.
Right sparrow tongue also results from accumulated toxicity. Treatment is similar to Left Sparrow Tongue, with minor differences. Use Liuwei Tang (Six-Ingredient Decoction) combined with Xijiao Dihuang Tang (Rhino Horn and Rehmannia Decoction). Application of powder is the same as before.
Gate of Small Tongue 1: Stomach Fire Small Tongue.
Stomach fire small tongue results from long-standing stagnation of fire-toxin in the Spleen meridian, causing white spots and ulceration on the uvula, with floating and surging Stomach pulses. Use Liuwei Tang (Six-Ingredient Decoction) added with Sheng Shigao (Raw Gypsum Fibrosum) at 4 liang, Jiu Chao Huangqin (Wine-fried Scutellariae Radix) at 2 qian, Huafen (Trichosanthis Radix) at 3 qian, Gegen (Puerariae Lobatae Radix) at 2 qian, and Zhizi (Gardeniae Fructus) at 1 qian. Take two doses. If unresolved, apply blowing powder and take Baizhi Zhi (Cypress Branch Juice). This is caused by excessive consumption of roasted foods, strong wine, rich flavors, or fish bone injury, distinct from condensed toxin. Differentiate by pulse: floating and surging indicates Stomach fire; deep and solid indicates condensed toxin. Careful differentiation is essential.
Gate of Small Tongue 2: Stomach Toxicity Small Tongue.
Stomach toxicity small tongue results from toxin condensing in the Stomach meridian, appearing on the uvula similarly to the previous condition. Deep, solid, yet surging and large Stomach pulses indicate condensed toxin. Do not overlook this in clinical practice.
Gate of Small Tongue 3: Accumulated Heat Small Tongue.
Accumulated heat small tongue results from flaming fire-toxin in the Liver and Stomach meridians, causing the uvula to become long, hard, covered with white film, preventing swallowing, with a floating and large Right Guan pulse. Use Liuwei Tang (Six-Ingredient Decoction) added with Zhizi (Gardeniae Fructus) at 1 qian, Lianqiao (Forsythiae Fructus) at 2 qian, Jiu Chao Huangqin (Wine-fried Scutellariae Radix) at 2 qian, Huangbai (Phellodendri Cortex) at 1.5 qian, Sheng Shigao (Raw Gypsum Fibrosum) at 3 qian, Huashi (Talcum) at 2 qian, Chishao (Paeoniae Radix Rubra), Mutong (Akebiae Caulis), and Gegen (Puerariae Lobatae Radix) each at 1 qian. Apply blowing powder externally and take Yushu Dan (Jade Pivot Pill) two or three times; recovery is assured.
Gate of Small Tongue 4: Pure White Small Tongue.
Pure white small tongue results from accumulated toxin in the Stomach meridian, causing the uvula to suddenly turn white, soft, large, swollen, and painful, with surging and deep Right Guan pulses. First use Yushu Dan (Jade Pivot Pill), 7 fen per dose, for five to ten doses, then decoct Tufuling (Smilacis Glabrae Rhizoma) to replace water. Subsequently, take twenty-one doses of Guangchuang Medicine (Syphilis Medicine) washed down with Yinhua Tang (Honeysuckle Decoction). If Stomach pulses are not deep but surging and large, treat as fire syndrome: use Liuwei Tang (Six-Ingredient Decoction) added with Sheng Shigao (Raw Gypsum Fibrosum) at 3 qian, Jiu Chao Huangqin (Wine-fried Scutellariae Radix) and Cheqian (Plantaginis Semen) each at 2 qian, Zhizi (Gardeniae Fructus) at 1 qian, Mutong (Akebiae Caulis) at 1 qian, Huashi (Talcum) at 3 qian, Gegen (Puerariae Lobatae Radix) at 3 qian, Tianhuafen (Trichosanthis Radix) at 1.5 qian, and Shandougen (Sophorae Tonkinensis Radix) at 2 qian. Take three doses. This is a method of treating one syndrome in two ways; carefully analyze pulse principles before prescribing. Caution! Caution!
Gate of Small Tongue 5: Hanging Flag Small Tongue.
Hanging flag wind features a drooping uvula with a pointed tip, size of a longan seed, red as a cherry, caused by excessive consumption of rich flavors and strong wine leading to stagnant Stomach fire. Use Liuwei Tang (Six-Ingredient Decoction) added with Gancao (Glycyrrhizae Radix et Rhizoma) at 5 fen, Zhizi (Gardeniae Fructus) at 1 qian, Chishao (Paeoniae Radix Rubra) at 2 qian, and Caoheche (Sargentodoxae Caulis) at 2 qian. Two doses cure it. If the swollen area bleeds, apply blowing powder; this corresponds to floating and surging Stomach pulses.
Miscellaneous Syndromes Gate 1: Pine Seed Throat Carbuncle.
Pine seed throat carbuncle forms on both sides of the uvula inside the gate, shaped like a pine seed, pale red and hard, causing severe pain and difficulty eating, with cold back, fever, and tight, full pulses at both Cun and Guan positions. This is wind-fire stagnation. Use Liuwei Tang (Six-Ingredient Decoction) added with Ziye (Perillae Folium), Chishao (Paeoniae Radix Rubra), Qianghuo (Notopterygii Rhizoma et Radix), Lianqiao (Forsythiae Fructus), Chuanshanjia (Manis Squama), and Caoheche (Sargentodoxae Caulis) each at 1 qian. Next day, remove Ziye and Qianghuo, add Ruxiang (Boswelliae Resina) at 3 fen and Yushu Dan (Jade Pivot Pill) at 1 qian, finely ground and taken with liquid. Recovery in two days. Apply blowing powder externally.
Miscellaneous Syndromes Gate 2: Running Horse Gum Rot.
Running horse gum rot arises from severe accumulated heat-toxin in the Spleen meridian, starting with gum swelling and progressing to long-term ulceration. This is an emergency; tooth loss and black flesh are untreatable. Floating and surging pulses indicate survival; deep and fine pulses indicate death. Large and forceful pulses allow for heavy medication rescue; slow and fine pulses render medication ineffective. Diagnose carefully based on pulses. Initially, before ulceration, prick the swollen area to bleed and apply blowing powder. Once ulcerated, no need to prick; just apply blowing powder. Use Chuanlian (Coptidis Rhizoma), Gegen (Puerariae Lobatae Radix), Lianqiao (Forsythiae Fructus), Xijiao (Rhinocerotis Cornu - *Note: Rhino horn is banned, but historically used. I will translate as Rhinocerotis Cornu*), Shengdi (Rehmanniae Radix Preparata) each at 2 qian, Baixianpi (Dictamni Cortex), Gancao (Glycyrrhizae Radix et Rhizoma), Beimu (Fritillariae Cirrhosae Bulbus), and Huafen (Trichosanthis Radix) each at 1.5 qian, Sheng Shigao (Raw Gypsum Fibrosum) at 1 liang, and Caoheche (Sargentodoxae Caulis) at 1 liang. Decoct in a large pot, take 3-4 bowls, for three consecutive doses. If pulses are rapid and constipation present, add Sheng Jun (Raw Rheum Palmatum Radix et Rhizoma) at 1 liang for possible rescue; delay means untreatable.
Miscellaneous Syndromes Gate 3: Throat Single.
Throat single results from Liver fire stagnating and generating wind, forming at the upper part of the throat gate, hanging down with a large root and small head, red and severely painful. Prick both sides of the affected area to bleed, apply blowing powder, and rinse with one dose of Liuwei Tang (Six-Ingredient Decoction). Next day, add Chaihu (Bupleuri Radix), Gouteng (Uncariae Ramulus cum Uncis), Chishao (Paeoniae Radix Rubra), Shengdi (Rehmanniae Radix Preparata), Danpi (Moutan Cortex), and Caoheche (Sargentodoxae Caulis) each at 2 qian, Lianqiao (Forsythiae Fructus), Huangqin (Scutellariae Radix), and Huanglian (Coptidis Rhizoma) each at 1 qian. Decoct and take; recovery follows.
Miscellaneous Syndromes Gate 4: Throat Mushroom.
Throat mushroom is caused by fetal toxin or Heart/Stomach fire pathogens, growing inside the throat like a fungus. Do not use knives or needles. Take Huanglian Jiedu Tang (Coptis Detoxification Decoction) and Yushu Dan (Jade Pivot Pill) to prevent fever, though complete resolution is rarely seen.
Miscellaneous Syndromes Gate 5: Throat Tumor.
Throat tumor results from anger injuring the Liver, shouting in the wind, constitutional deficiency, or rapid reading causing Qi and Blood coagulation, appearing intermittently inside the throat gate. Treat with herbs to regulate the root and nourish the origin. Yushu Dan (Jade Pivot Pill) and Dihuang Wan (Rehmannia Pill) can be taken regularly, but rapid recovery is unlikely. Apply blowing powder externally.
Miscellaneous Syndromes Gate 6: Another Throat Tumor.
Another throat tumor forms outside the throat gate, also named tumor. Treatment is the same as above. Illustrated separately due to different location.
Miscellaneous Syndromes Gate 7: Left Yin Sore.
Left Yin sore forms below the Jiache acupoint (ST6), with internal heat and external cold, unchanged skin color, chills and fever, and swelling resembling Molluscum Contagiosum (Eel Carp Plague). Use Liuwei Tang (Six-Ingredient Decoction) added with Wanling Dan (Ten-Thousand Spirit Pill), dissolved together. If it turns red, treat with throat abscess medicine; add Sheng Jun (Raw Rheum Palmatum Radix et Rhizoma) at 3 qian for constipation. Yushu Dan (Jade Pivot Pill) is also acceptable. If the syndrome belongs to Shaoyin Heart/Kidney, this applies. If it belongs to Shaoyang Gallbladder/San Jiao, use Chaihu (Bupleuri Radix) and Niubang (Arctii Fructus) with Liuwei Tang (Six-Ingredient Decoction) for rinsing.
Miscellaneous Syndromes Gate 8: Right Yin Sore.
Right Yin sore is treated identically to Left Yin Sore.