疹毒热甚上攻喉，肿痛难堪实可忧，表邪元参升麻用，裹热凉膈消毒求。
[注]
疹毒热盛，上攻咽喉轻则肿痛，甚则汤水难下，最为可虑，
表邪郁遏，疹毒不能发舒于外，致咽喉作痛者，元参升麻汤主之，
里热壅盛，或疹已发于外，而咽喉作痛，以凉膈消毒饮主之
(元参升麻汤) 荆芥 防风 升麻 牛蒡子炒研 元参 生甘草 水煎服。
(方歌)
表郁疹毒喉肿痛，急服元参升麻汤，荆芥防风升麻蒡，元参甘草水煎尝。
(凉膈消毒饮) 荆芥穗 防风 连翘去心 薄荷叶 黄芩 生栀子
生甘草 牛蒡子炒研 芒硝 大黄生 引用灯心，水煎服。
(方歌)
里热喉痛昔难当，凉膈消毒饮最良，荆防翘薄芩栀草，牛蒡芒硝生大黄。
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疹毒声哑肺热壅，元参升麻大有功，已发加减凉膈散，没后儿茶音即清。
[注]
失音者，乃热毒闭壅肺窍而然也，疹初失音者，元参升麻汤主之，
疹已发而失音者，加减凉膈散主之，疹没后哑者，儿茶散主之。
(元参升麻汤) 方见喉痛
(加减凉膈散) 薄荷叶 生栀子 元参 连翘去心 生甘草 苦桔梗
麦冬去心 牛蒡研炒 黄芩 水煎服。
(方歌)
加减凉膈治失音，薄荷栀子共元参，连翘甘草苦桔梗，麦冬牛蒡与黄芩。
(儿茶散) 硼砂二钱 孩儿茶五钱 共为细末，凉水一盏，调药一匙服之。
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The heat toxicity of the rash is severe and attacks upward to the throat, causing unbearable swelling and pain, which is indeed a cause for concern. If caused by exterior pathogenic factors, Yuanshen Shengma Decoction (Scrophulariae Radix and Cimicifugae Rhizoma Decoction) should be used; if caused by internal entrapment of heat, Liangge Xiaodu Yin (Cooling the Diaphragm and Detoxifying Drink) should be sought.
[Note]
When the heat toxicity of the rash is excessive and attacks upward to the throat, it causes mild swelling and pain in the early stage, or even difficulty in swallowing soup and water in severe cases, which is most worrying. If exterior pathogens are constrained, preventing the rash toxicity from venting outward, thereby causing throat pain, Yuanshen Shengma Decoction (Scrophulariae Radix and Cimicifugae Rhizoma Decoction) is the primary formula. If interior heat is congested and abundant, or if the rash has already erupted externally but throat pain persists, Liangge Xiaodu Yin (Cooling the Diaphragm and Detoxifying Drink) is the primary formula.
(Yuanshen Shengma Decoction) Jingjie (Schizonepetae Herba), Fangfeng (Saposhnikoviae Radix), Shengma (Cimicifugae Rhizoma), Niubangzi (Arctii Fructus, stir-baked and crushed), Yuanshen (Scrophulariae Radix), Sheng Gancao (Glycyrrhizae Radix et Rhizoma). Decoct in water and take orally.
(Decoction Song)
Exterior constraint with rash toxicity causes throat swelling and pain,
Urgently take Yuanshen Shengma Decoction.
Jingjie, Fangfeng, Shengma, and Niubang,
Yuanshen and Gancao, decoct in water and taste.
(Liangge Xiaodu Yin) Jingjiesui (Schizonepetae Spica), Fangfeng (Saposhnikoviae Radix), Lianqiao (Forsythiae Fructus, heart removed), Boheye (Menthae Haplocalycis Folium), Huangqin (Scutellariae Radix), Sheng Zhizi (Gardeniae Fructus), Sheng Gancao (Glycyrrhizae Radix et Rhizoma), Niubangzi (Arctii Fructus, stir-baked and crushed), Mangxiao (Natrii Sulfas), Dahuang (Rhei Radix et Rhizoma, raw). Use Dengxincao (Junci Medulla) as a guide, decoct in water and take orally.
(Decoction Song)
Interior heat causing throat pain was once hard to bear,
Liangge Xiaodu Yin is the best remedy.
Jing, Fang, Qiao, Bo, Qin, Zhi, Cao,
Niubang, Mangxiao, and raw Dahuang.
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Rash toxicity leading to hoarseness is due to lung heat congestion; Yuanshen Shengma Decoction (Scrophulariae Radix and Cimicifugae Rhizoma Decoction) is highly effective. If the rash has already erupted, use Jiajian Liangge San (Modified Cooling the Diaphragm Powder); if the rash has subsided, use Ercha San (Child's Tea Powder), and the voice will become clear.
[Note]
Hoarseness (loss of voice) results from heat toxicity blocking and congesting the orifices of the lungs. When hoarseness occurs at the initial stage of the rash, Yuanshen Shengma Decoction (Scrophulariae Radix and Cimicifugae Rhizoma Decoction) is the primary formula. When hoarseness persists after the rash has erupted, Jiajian Liangge San (Modified Cooling the Diaphragm Powder) is the primary formula. When hoarseness occurs after the rash has subsided, Ercha San (Child's Tea Powder) is the primary formula.
(Yuanshen Shengma Decoction) See the "Throat Pain" section for the formula.
(Jiajian Liangge San) Boheye (Menthae Haplocalycis Folium), Sheng Zhizi (Gardeniae Fructus), Yuanshen (Scrophulariae Radix), Lianqiao (Forsythiae Fructus, heart removed), Sheng Gancao (Glycyrrhizae Radix et Rhizoma), Ku Jiegeng (Platycodonis Radix), Maidong (Ophiopogonis Tuber, heart removed), Niubang (Arctii Fructus, crushed and stir-baked), Huangqin (Scutellariae Radix). Decoct in water and take orally.
(Decoction Song)
Jiajian Liangge treats hoarseness,
Bohe and Zhizi together with Yuanshen.
Lianqiao, Gancao, and Ku Jiegeng,
Maodong, Niubang, and Huangqin.
(Ercha San) Pengsha (Borax) 2 qian, Haiercha (Stelechocarpus Burr) 5 qian. Grind together into a fine powder. Take one spoonful of the medicine mixed with one cup of cool water.
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