Zhang Zanchen (1904-1993) was known as Jixun, and was known by his characters, and his late name was Jusuo (壶叟). He was born in Ronghu, Wujin, Jiangsu Province. He was a medical practitioner with a rich family background, and was taught by his father, Mr. Bo Xi, who laid the foundation of medicine. Fine internal, external, gynecology, pediatrics, and the five senses, especially outside, laryngeal specialties. He created "Golden Lantern Root Soup", "Nourishing Yin and Laryngeal Soup", "Qianhu Yuping Soup", and "Laryngeal Niu Huang San", "Yin Yin and Laryngeal Soup". He also used many laryngeal prescriptions such as "Laryngeal Niu Huang San" and "Silver Boron Mouthwash Liquid" for external use.
Chinese name: Zhang Zanchen
Nationality: Chinese
Birthplace: Ronghu, Wujin, Jiangsu Province
Date of birth: 1904
Date of death: 1993
Occupation: Physician
Representative works: A Brief History of Medicine in Chinese History, An Outline of Diagnostic Science in China
People Biography
Zhang Zanchen (1904~1993) was a native of Wujin, Jiangsu Province, with the name of Jixun. His ancestor, Yuming, and father, Boxi, were skilled in
surgery and laryngology. At the age of 16, she came to Shanghai with her father and enrolled in the Shanghai School of Traditional Chinese Medicine, and later transferred to the Shanghai University of Traditional Chinese Medicine, where she studied under the tutelage of Xie Liheng, Cao Yingfu, and other renowned practitioners. After graduating in 1926, he practiced Chinese medicine in Shanghai. He specialized in internal medicine, external medicine, gynecology, pediatrics, and the five senses, and was especially good at external medicine and laryngology. He taught at the Chinese Medical College and the New China Medical College, and with his classmates Yang Zhiyi and Zhu Zhensheng, he founded the magazine "Spring and Autumn in the Medical World", which was published for 11 years as the chief editor. He also founded the Shanghai National Medical Seminar and the China Medical Research Institute. Republic of 18 years in the spring, the Ministry of Health of the National Government, the Central Health Commission through the abolition of Chinese medicine case, Zhang's joint Shanghai Chinese medicine sector to rise up to fight, March 17, the National Congress of Chinese medicine in Shanghai, elected Xie Li Heng and other 5 people went to Beijing to petition, Zhang's secretary of the accompanying delegation.
Zhang's advocate the promotion of traditional Chinese medicine, draw on the long modern medicine, clinical treatment with modern medical diagnostic means, summing up the clinical experience using modern understanding and methodology, the road to better medicine. The first "sublingual meridian diagnostic method", the creation of "Golden Lantern Root Soup", "Nutritive Yin and Laryngeal Soup", "Qianhu Yuping Soup
The doctor also created "Golden Lamp Root Soup", "Nourishing Yin and Liver Soup", "Qianhu Yu Ping Soup" and external "Laryngeal Ox-Huang San", "Silver Boron Mouthwash" and other laryngeal prescriptions.
After the liberation, he served as the deputy director of Shanghai Chinese Medicine Clinic, deputy director of the Chinese Medicine Department of the Municipal Health Bureau, deputy director of the Shanghai Chinese Medicine Literature Research Center, member of the Medical Science Committee of the Ministry of Health, member of the Chinese Medicine Committee of the State Science and Technology Commission, and the director of the Ear, Nose and Throat Department of the Shanghai College of Traditional Chinese Medicine, as well as a professor. He was elected as the vice president of Shanghai Chinese Medicine Association, deputy to the 5th and 7th Shanghai People's Congress, and member of the 1st, 2nd, 4th and 6th Shanghai Chinese People's Political Consultative Conference. In his later years, he edited a huge book "Integration of Chinese Medicine and Laryngology". He has written more than 10 kinds of monographs and dozens of academic papers, such as "Brief History of Chinese Medicine through the Ages", "Outline of Chinese Diagnostics", "Selected Clinical Experiences of Zhang Zanchen", "New Mirror of Laryngeal Disease", etc. He has also written a number of academic papers, such as "Medical Words", "Nutrition" and "Clinical Summarization".
When he was a young man, he came to Shanghai from a well, and in order to learn from all, he first studied at the Shanghai School of Traditional Chinese Medicine, and then transferred to the Shanghai College of Traditional Chinese Medicine. Due to his diligence and good learning, he was y respected by the contemporary famous doctors such as Hsieh Li Heng, Cao Yingfu, and Pao Shihsheng. After his graduation, he was a master of all the disciplines, including internal and external medicine, gynecology and pediatrics, and was highly respected by his patients for his ability to treat the disease. He was also employed by the Chinese Medical College as a professor of diagnostics and herbal medicine, and edited the magazine "Spring and Autumn of the Medical Profession", and authored books such as "Outline of Chinese Diagnostics" and "Historical Sketch of Chinese Medicine through the Ages". Especially in 1929, the old national government central health conference attempted to pass the "abolition of traditional Chinese medicine case", Zhang heard the news, distressed, that is, running around shouting, and united the national Chinese medicine sector to fight, and finally won the victory, its maintenance of the cause of traditional Chinese medicine of the enthusiasm, as can be seen here. After the liberation, Zhang responded to the call of the people's government, the first to participate in the work of the national medical unit, has served as deputy director of the Shanghai Municipal Fifth Outpatient Clinic (the original Chinese medicine clinic), Shanghai Municipal Health Bureau of the Deputy Director of the Chinese Medicine Division, Shanghai Municipal Chinese Medicine Literature and Research Museum, deputy director of Shanghai and Shanghai College of Traditional Chinese Medicine, consultant of the Shuguang Hospital, etc., has written a summary of the Materia Medica, Chinese medicine and surgical diagnosis and treatment of Chinese medicine, Zhang Zanshen clinical experience, and other books and published in the relevant journals a number of books. He has also published many academic papers in relevant journals. Since 1960, Zhang witnessed the otolaryngology of Chinese medicine has not received due attention, so that there is a lack of successors, will be on the verge of loss, resolutely decided to focus on the clinical and scientific research of otolaryngology of Chinese medicine, but also served as the director of the otolaryngology teaching and research group of the Shanghai College of Traditional Chinese Medicine, hosted the national and Shanghai otolaryngology physician training courses, etc., in the cultivation of talents, academic research in all aspects of the inheritance and development of Chinese medicine otolaryngology made a certain contribution to the succession and development of Chinese medicine otolaryngology. He has made certain contributions to the inheritance and development of Chinese otolaryngology in all aspects of cultivating talents and academic research.
Academic views
Zhang was a sincere person, rigorous in his study, not only attaching importance to the theoretical understanding summarized by his predecessors based on clinical practice, but also improving and developing on the basis of his own experience in prescribing and dispensing medicines. For Chinese medicine laryngeal ancient literature, he highly respected "You's laryngeal secretary" (by You), "laryngeal palm" (by Zhang Zongliang), "laryngeal full life purple treasure set" (by Zhu Xiangyu), "Chonglouyu key" (by Zheng Meijian) and other books, that they are laryngeal more important references; for the epidemic of laryngeal aspects, he also believes that the "diphtheria full life set" (by Li Lunqing), "diphtheria treatment of the general test" (by Zhang Mengxun) ), "laryngeal white rot essentials" (by Xu Zoting), etc. is the treatment of diphtheria of the good book; "epidemic cholera grass" (by Chen Kengdao), "epidemic laryngeal shallow" (by Xia Chunnong), "laryngeal cholera" (by Cao Xinyi), etc. is the treatment of laryngeal cholera disease has a certain value of the reference book. At the same time emphasize for Chinese medicine laryngology should be good to be inherited, Zhang's is not limited by the former doctrine, but also according to the clinical treatment effect, put forward their own academic insights, not only in the development of Chinese medicine laryngology played a role, but also for the later scholars also has a considerable role in enlightenment.
I. Emphasize the whole, focusing on the lung and stomach.
Thinks that although the throat disease is localized and is part of the whole person, therefore, once the throat disease, will inevitably affect the whole body, in the treatment must be based on the specific disease, taking into account the overall changes, and take the appropriate treatment; if only see the performance of the local symptoms, and do not take care of the whole body changes, it is very difficult to achieve the desired effect in the treatment. However, Zhang also believes that: since pharyngeal diseases occur locally, no matter what the cause, what kind of disease, in the diagnosis and examination of the disease can not be ignored when the local lesions. The treatment of localized diseases should focus on the lung and stomach meridians. Because "the throat is the main weather, the pharynx is the main gas", respectively, for the main road of breathing, diet of the pass, so with the lungs, the stomach two meridians have a relatively close relationship. For this reason, all throat diseases belonging to the heat and toxicity for the patient, it is to clear and diarrhea lung and stomach heat and toxicity for the method, the creation of the "Golden Lantern and Mountain Root Soup" (hanging Golden Lantern 4.5 ~ 9g, Yam bean root 4.5 ~ 9g, white Platycodon grandiflorus 3 ~ 4.5g, Burdock 4.5 ~ 9g, Sagittarium 3 ~ 4.5g, raw Glycyrrhiza glabra 1.5 ~ 3g) as the main formula: all belonging to the yin deficiency and hyperpyrexia, it is to nourish the lung and stomach. In case of yin deficiency and hyperthermia, the method is to nourish the yin of the lung and stomach, creating "Nourishing Yin and Lifting the Throat Soup" (10-20g each of Northern and Southern Radix Salviae Miltiorrhizae, 10g each of Lilium officinale, 9g each of Radix Paeoniae Alba, 9g each of Rhizoma Cymbopogon flexuosus, 5g each of Radix et Rhizoma Sagittata, 4.5g each of Rhizoma Cymbopogon flexuosus, 2.5g each of Rhizoma Glycyrrhizae radix). The clinical application of the above two formulas has repeatedly built great achievements, fully confirming the correctness of Zhang's theory.
Though Zhang's treatment focuses on the lung and stomach, but also attaches great importance to the principle of Chinese medicine, "identify the cause of the disease and examine the cause of the treatment", for example, for some pharyngolaryngeal disorders belonging to the "liver fire depression and containment", it is applied to the method of clearing the liver fire and belonging to the "heart fire", it is applied to the "heart fire". For example, for some throat disorders belonging to "liver fire stagnation", the method of clearing and draining liver fire will be applied, and for those belonging to "heart fire inflammation", the medicine of clearing and lowering heart fire will be administered. In the past, there were thirty-six symptoms and seventy-two syndromes of the pharynx. Zhang believed that "the symptoms of the throat, although the evidence is complicated, always attributed to the fire". So the main basis for such an assertion is that the evidence of the pharynx is mostly colored red. Because of the throat color red and have deep, shallow difference, so the fire should also have virtual, real points. Zhang's view: "the throat is red, swollen and painful, mostly hot and toxic congestion; its color is dark red, pain and not dramatic, mostly yin deficiency and fire." In the red color of the throat, Zhang's red dots, called "small scrofula"; the appearance of filamentous red veins crossed, called the "Ge Kiln". He also believed that "Ge Kiln lines" thick and bright red, for the virtual fire and real fire; lines fine and dark red color, belonging to the virtual fire. "Small scrofula" born in front of the pharynx and the bottom wall, there are nodules and color red high protruding for the fire; fine and red color, for the false fire inflammation; if the shape of the large, oblique view of the crystal bubble-like and transparent, most of the moisture for the hostage disease. In the throat color red, heat and toxicity blazing, sore throat, often with phlegm and saliva congestion, phlegm heat symptoms, the treatment is usually to clear heat and phlegm for the method, and Zhang's that more than one system of heat blazing fire inflammation, knotted in the large intestine due to the treatment of the time must be seized, the use of attack on the internal organs of the method. Because if you can pass the stool in time, often can get on the disease under the take, lead to heat down and the effect of the kettle; otherwise, should be through and hesitation, and the evil fire shall not be excreted, throat redness and swelling of the situation is difficult to eliminate. As for the specific use of through the lower method, Zhang's and each due to the different diseases and take different measures, about, there are the following four: (1) through the lower excretion of heat method, mainly used for fever blazing and bowel dryness of the disease; (2) through the lower phlegm method, mainly used for the lungs and stomach fire, phlegm and heat congestion and dryness of the bowel; (3) through the lower level of the liver method, mainly used for the liver fire stagnation, bowel loss of the disease of declared; (4) nourishing yin and through the lower method, mainly used for yin deficiency, fire, and the redness and swelling of the throat is difficult to eliminate. (4) Nourishing yin to pass downward method, mainly used for the symptoms of yin deficiency and fire, sore throat and intestinal dryness. As can be seen from the above, Zhang's use of through the lower method are directly or indirectly with the diarrhea of fire and heat have a certain connection. In particular, Zhang's in the use of flexible grasp, usually up to change, so it can be handy, effective as the beam.
Second, diarrhea and prevention of harm, and to protect the positive energy
Positive energy for the fundamental. Zhang paid great attention to it, in the process of treatment, especially emphasize the need to focus on the maintenance of positive qi. He was hot and poisonous, sore throat symptoms, of course, must be used to clear heat and detoxification, diarrhea and pharyngeal agents, but at the same time pointed out that the spleen and stomach should be taken into account. Even if the ordinary spleen and stomach function normally, Zhang's also think that the use of bitter and cold drain heat products, must be in the disease, should not be overdone; if the spleen and stomach weakness, do not purely bitter and cold, for fear that the evil heat has not yet been eradicated, and the central jiao has been damaged first, the stomach qi a defeat, the latter day disorders, which impede the recovery. For the use of through the method, Zhang's that although it can be cleansed of evil heat, grams played a quick effect, but if the application of improper, such as medicine is not the right evidence, light medicine, etc., each can damage the positive gas, consumption of Yin; its Yin deficiency throat paralysis, in particular, we should pay attention to, that is, the solid heat junction in the yangmings, easy to turn the dryness injury to the yin, should not be ignored. Cover the survival of the yin fluid, for the return of the disease, vital, the so-called "stay a minute fluid, there will be a minute of life", although the maxim for the treatment of warm and hot diseases, in the treatment of throat diseases, should also be considered as an important principle. In addition, for yin deficiency throat paralysis with spleen and stomach weakness, Zhang's both avoid the use of pungent, dry and injurious to the product, but also must "benefit from the gas can not raise the sun, spleen can not be warm and dry", the choice of drugs for the sweet and cold and clear and moist, sour and sweet convergence of Yin, stomach and Jin, and so on, in order to slow down the figure of the cure effect, the intention is to protect the right also.
Treatment experience
Treatment of noma
Mr. Zanchen believed that the cause of noma was mainly dampness and heat, as the spleen was not healthy and phlegm-dampness blocked the throat, which became hot and depleted the fluid; the liver lost its drainage and the meridians were blocked, the wood was depressed and violated the earth, and the fire, both virtual and real, fumigated the throat to the point that the mucous membrane was rotten and ulcerated, and the decayed flesh was dislodged and folded up as if it were a shrimp skin. Mr. Zanchen advocated resolving dampness and clearing heat, benefiting yin and facilitating pharynx in the diagnosis and treatment. The formula is based on red peony, white peony, scutellaria baicalensis, zedoaria, xuan shen, radix et rhizoma, platycodonopsis, and mudanpi. Among them, red peony and mudanpi are used to cool the Blood and disperse blood stasis, which can not only clear the actual heat in the Blood division, but also treat the fever of yin deficiency; ze diarrhea, together with scutellaria baicalensis, can clear and drain heat, which is aimed at the main contradiction of dampness-heat; white peony can not only pacify the liver and astringe the yin, but also has the effect of easing the urgency and relieving the pain, which is used with red peony, and one disperses one and one collects the other, which is complementary to one another; xuan shen is used for diarrhea and detoxification of the pharynx and benefits pharyngeal drainage, which nourishes yin and produces fluids and eliminates the false fire of the upper floater; jianganshen is used to remove the phlegm; Platycodon grandiflorum dispels phlegm and pus, promotes lung and throat, and induces menstruation. If you see the spleen and stomach dampness heavy to XuanShen, discretionary barley, Chinese yam, fried atractylodes macrocephala, sizzling astragalus; stomach fire blazing discretionary gardenia, ZhiMu, hanging gold lamp, burdock.
Yin deficiency laryngeal paralysis treatment
Throat paralysis has long been documented in the "Nei Jing": "a yin and a yang junction, known as laryngeal paralysis." Clinical symptoms are mainly red throat pain, paralysis, swallowing, etc., generally acute and chronic. Acute cases are mostly wind-heat paralysis of the throat, phlegm fire paralysis of the throat, etc.; chronic cases are mostly caused by yin deficiency and fire paralysis of the throat. In the treatment, the former to evacuate the wind-heat, phlegm and fire-based, easy to cure, while the latter to nourish the yin and pharyngeal-based, lingering symptoms, especially common in the clinic. Most of the yin deficiency paralysis of the throat has a long time to get sick, the symptoms are light and heavy, so it is necessary to treat according to the specific symptoms. Now on the causes of this disease and identification and treatment of prescription drugs are described as follows:
Causes
The cause of this disease is mainly two: one is by the acute laryngeal evidence of untreated, delayed for a long time and become; the second is due to other parts of the body lesions, resulting in yin internal deficit caused by. Day long untreated lead to yin deficiency, yin deficiency is fire, the formation of paralysis of the throat, and each other for each other as a cause. In terms of triggers, often due to more speech (or singing), inhalation of dust, high heat work, long-term insomnia, spicy food, etc., and to more speech induced by the most, so this disease is often related to the occupation, the nature of the work, habits and so on.
Identification and treatment
The laryngeal paralysis has five basic symptoms such as pharyngeal redness (swelling), dryness and pain, phlegm, chest tightness, pharyngeal blockage (or sense of obstruction), hoarseness, and so on, and the pharynx, such as redness, dryness and pain, is the main symptom of the pharynx, such as by the obstruction of the redness and dryness. These symptoms vary in severity, so after a detailed history, it is necessary to identify from these aspects to consider the law of treatment.
1, pharyngeal red dry pain
Throat paralysis patients pharynx is often hidden red (i.e., dark red), new sense of wind-heat or gastrointestinal accumulation of heat, can also be seen in the bright red and swollen. No matter the color of the hidden red or bright red always belongs to the fire. However, hidden red is false fire, bright red is real fire, can not be equated. Where the hidden red throat belongs to the yin deficiency fire, the treatment should be beneficial to the yin clear fire method, the medicine with XuanShenGen, maitong, fine raw land, white peony, smallpox powder, dendrobium, and so on; if there is a combination of hard to use, add mulberry seeds, the production of the products of the first crow. Throat red is often just a stage in the process of throat paralysis, in line with the principle of "urgent treatment of its symptoms", can first be used to hang the gold lamp, Yam bean root, Dampi, red peony and other medicines; stormy wind-heat, discretionary addition of peppermint, Cicada, burdock; red very, with Scutellaria baicalensis, Zhimu, Huanglian, and other bitter cold and heat; constipation, plus Mangnuo, with the treatment of acute laryngitis, similar to the method! Similar to the treatment of acute laryngitis, once the bright redness subsides and the acute symptoms pass, the method of benefiting yin and clearing fire is still used for treatment. In the observation of pharyngeal red at the same time, must also pay attention to observation to distinguish the pharynx, palate, cellar lines and small scrofula of color and lustre. Generally speaking, the line thick and color bright red, often virtual fire and real fire; line thin and dark color, for the virtual fire undoubtedly. Small scrofula fine and red color, densely covered palate and throat, is a false fire inflammation; small scrofula shape, oblique view such as crystal vesicles, and phlegm-dampness mutual obstruction. In addition, after a long period of laryngeal paralysis, there are often nodules on the bottom wall of the pharynx and the meridians under the tongue are revealed. Nodules are large or small, red or light in color. Those who are red and swollen are fire, those who are pale and plump have phlegm-dampness; those who are high are real, and those who are flat are weak. The color of the meridian veins under the tongue is purple and exposed for stagnant heat.
The dryness and pain of the pharynx is slightly alleviated by drinking water in mild cases, but in severe cases, even if one drinks a lot of water, there is no improvement, and it is worse in the afternoon and at night. This is the reason for the lack of fluid, more use of products to generate fluid. This kind of medicine is certainly not less, but must be combined with the above pharyngeal bright red or hidden red situation with the use of clearing heat, fire, yin benefit products; also need to further study the cause of the reason. Cover the generation of fluid, affect the cause of fluid depletion, are related to the function of the internal organs. Fluid from the water and grains, water and grains into the stomach, into the essence of the spleen by the transmission of cloth, up in the lungs and irrigate the body; kidneys subject to the essence of the five hidden six bowels and hidden for the body's vital activities. This constantly stored, constantly feed, cycle to maintain the normal activities of the physiological functions of the internal organs. If the spleen, stomach, lungs, kidneys have disease or malfunction, that will affect the surplus and deficit of fluid. And the heart and liver fire, can also eliminate flicker fluid. Therefore, the treatment of laryngeal paralysis throat dryness and pain, in addition to using the general yin and fluid generating drugs, and should be added with the symptoms of the treatment. If you also see the diet is not warm, after eating the epigastric fullness or loose stools and other symptoms of the spleen and stomach is not healthy, that is, the reference to use the earth fried atractylodes, Chinese yam, child ginseng, Poria, Cai Yunqu, lentil clothes, lotus meat, Gorgon fruit, etc., in order to please the spleen and stomach, so that the transmission function to return to normal, the fluid has to be above the commitment, then dry throat since the elimination of. For cases of yin deficiency, spleen and stomach weakness, it is appropriate to use sweet and cold drugs to benefit the yin, should not use nourishing and bitter cold products, so as not to hinder the stomach. For cases of lung qi deficiency, such as weak speech and shortness of breath at every turn, add Radix Panax Ginseng, Lilium Vulgare and Rhizoma Polygonati Odorati to benefit lung qi; for cases of very deficient lumbar and back pain, spermatorrhea, dysuria, or even urination, use the system of the dog's spine, dog's foot, dogwood, yizhi ren, and seeds of the cuscuta root to benefit the kidneys and consolidate the essence; for cases of liver exuberance with dizziness in the head and eyes, and redness of the eyes, use the white peony, scullcap, tribulus terrestris, and tianmao to soften the liver and benefit the yin; and for cases with palpitations, spontaneous sweating, and nocturnal fever, use the sweet, cold, and bitter-cold medicines. In cases of heart qi deficiency such as palpitation, anxiety, spontaneous sweating and sleeplessness at night, it can be combined with schizandra, wheat, radix et rhizoma, maitake, etc. to nourish the heart qi. In short, the treatment of dry throat can not be used alone to promote the production of Yin and Jin drugs, to see the symptoms of the disease as a matter of fact, must be traced back to the source of the treatment of its own, in order to make the biochemical transport of fluids back to normal, and to improve the symptoms of dry throat at all.
2, phlegm sticky
The spleen is the source of phlegm, the lung is the storage of phlegm, so phlegm is often blamed on the spleen yang insufficiency, the spleen qi out of transportation. However, in the case of laryngeal disease, this is not the case. Throat disease see phlegm sticky, always not outside the lung heat and depression; at the same time must be combined with the observation of the pharynx color red degree to determine the severity of the heat of the depression or belong to the virtual reality. When using phlegm removing drugs, warm and dry drugs must be used with caution. If the Sichuan shellfish mother, like mother of pearl, almonds, the skull, sea clam powder, orange white Luo, Dai clams, etc. can be commonly used products; such as stormy wind-heat, pharynx red and swollen and phlegm and saliva, the use of cicadas, silkworms, burdock and so on, in order to dispel the wind and clear the heat and eliminate blood stasis; if you see the tongue coating is sticky, pharyngeal dryness is not too much, it is used in the discretion of the Er Chen Tang (but Xian Xian Xianxia dosage of no more than 6g). Of course, in cases of insufficient spleen yang, the spleen yang must also be taken into account, and cannot be generalized.
Experience in medicine
Milk moth, also known as laryngeal moth, is named because the nucleus of the throat (i.e., tonsil) is red and swollen, and is shaped like a nipple or a silkworm moth. Zhang believed that it was mainly caused by the rise of fire in the lungs and stomach, so he used "Golden Lantern and Mountain Root Soup" as the main formula, and added and subtracted the treatment to obtain excellent results. Because the case a cold fever symptoms, so diagnosed as the recurrence of wind-heat caused, and with the thorn mustard, peppermint, silver flower, forsythia in order to disperse the liver wind-heat, through the surface of the clearing heat; The case of the second dizziness, the two eyes red silk climbing clear and so on, so the diagnosis for the concurrently with the liver fire hyperactivity, and with gentian, chrysanthemum, scutellaria, gardenia genus in order to clear the liver and diaphoretic fire. Though the disease is the same, its symptom is different, so the medicine follows the symptom to turn, and all can beam should also. In addition, Zhang's also thinks that the breast moth sends in the pharyngeal pass before is easy to cure, if extends to the pharyngeal pass after is more difficult to cure. This disease must be treated early, or else it will be prolonged for a long time, not only the swelling of the nucleus of the throat can not be withdrawn, and it is easy to recur after every external infection or exertion. As for those whose milk moths have turned into pus, the diagnosis must be made carefully, and appropriate treatment measures must be taken. If not before the pus, it is appropriate to focus on clearing, and promote its subsidence; pus has been ulcerated, the discharge of pus service; pus leakage has been cleared, should once again clear heat and pharyngeal, in order to prevent future problems.