论曰∶喉咙者气之所上下也。会厌者音声之门户。其气宣通。则声音无所阻碍。若风邪
搏于会厌。则气道不宣。故令人失音。入脏则不能言语矣。
治中风失音不语。羌活汤方
羌活（去芦头二两半） 甘草（炙） 人参（各半两） 附子（炮裂去皮脐一枚） 荆
沥竹沥
上七味。将前四味锉如麻豆。每服五钱匕。以水一盏。入三件汁沥半盏。共煎至一盏。
去滓温服。日三夜一。
治中风失音不语。地黄汤方
生地黄汁 淡竹沥（各半盏） 独活（去芦头一两） 附子（炮裂去皮脐半两）
上四味。将二味锉如麻豆。每服三钱匕。以水一盏。入竹沥地黄汁少许。同煎一盏。去
滓温服。空心日午夜卧各一。
治中风失音不语。姜附汤方
干姜（炮） 附子（炮裂去皮脐） 甘草（炙） 桂（去粗皮） 当归（酒浸切焙） 白
术细辛（去苗叶） 杏仁（去皮尖双仁炒研各一两） 麦门冬（去心焙二两）
上九味。锉如麻豆。每服三钱匕。水一盏。煎至七分。去滓温服。
治中风失音。手足不遂。羚羊角汤方
羚羊角（镑） 芎 细辛（去苗叶） 木香 防风（去叉） 麻黄（去节） 独活（去
芦头） 羌活（去芦头） 当归（酒浸切焙） 附子（炮裂去皮脐） 桂（去粗皮） 天麻
（各一两）
上一十二味。锉如麻豆。每服三钱匕。水一盏。煎至七分。去滓温服不拘时。
治中风失音不语。羌活汤方
羌活（去芦头二两半） 人参（二两） 附子（炮裂去皮脐一枚） 甘草（炙二两） 桂
（去粗
上七味。锉如麻豆。每服五钱匕。水一盏。入荆沥竹沥地黄汁共半盏。同煎至一盏。去
滓温服。空心日午夜卧各一。
治中风失音不语。羌活汤加防风方
羌活（去芦头二两） 甘草（炙） 人参（各一两半） 防风（去叉二两） 附子（炮
裂去皮脐
上八味。将前五味。锉如麻豆。每服五钱匕。水一盏。入地黄汁并沥汁各半盏。同煎一
盏。去滓温服。空心日午夜卧各一。
治中风失音不语。昏沉不识人。竹沥汤方
竹沥 荆沥 梨汁（各二合） 陈酱汁（半合）
上四味。相合。微煎一两沸。再滤一遍令温。细细灌入口中。口噤斡开口灌之。
治中风失音不语。半身不遂。柏子仁散方
柏子仁（生研细二两） 桂（去粗皮为末一两）
上二味。共和匀。别用大豆一升。鸡粪白三合。同炒令黄。投酒三升。乘热滤去滓。每
用酒一盏。温调药二钱匕。空心日午夜卧服。
治中风失音不语。紫桂汤方
桂（二两去粗皮）
上一味。粗捣筛。每服三钱匕。水一盏。煎取七分。去滓空心日午夜卧服。次日如不退
。连进三服。衣被复取汗为效。
治中风失音不语。竹豆汤方
新青竹（碎如算子四十九茎） 乌豆（二升）
上二味。以水八升相和煮令豆烂。去滓再煎取一升。每服二合灌之。或口噤不开者。即
斡口灌之。
治中风失音不语。紫桂散方
桂（五寸去粗皮为细末） 乱发灰（比桂末一半）
上二味同研匀。分四服。日夜各二服。每服内舌下。良久以温水冲下。
治中风失音不语。大豆煎方
大豆（紧小者二升洗净） 生姜（汁一合）
上二味。先用水五升煮豆。至二升。绞去豆。入姜汁。慢火煎如稀膏。空心食后夜卧时
。各用一匙。细细含咽。甚者用竹沥二合调服。
治中风失音不语。柏子仁酒方
柏子仁（生研二两） 鸡粪白（炒二两） 桂（去粗皮二两） 生姜（不去皮切一两）
上四味。粗捣筛。共炒令焦色。乘热投酒六升。候冷滤去滓。每服一七分盏。空心日午
夜卧服。
治中风失音。立效菖蒲饮方
菖蒲（石上者一分） 桂（去粗皮一两）
上二味。粗捣筛。每服二钱匕。水一盏。前至七分。去滓温服。不计时服。
治卒中风不语。失声及声噎不出。白矾丸方
白矾（生研） 陈橘皮（去白炒） 桂（去粗皮各一两）
上三味为细末。枣肉和丸。如弹子大。每服一丸。含化咽津。不计时候。
Commentary states: The throat is the passage through which Qi ascends and descends. The epiglottis serves as the gate for voice production. When Qi flows freely, sound encounters no obstruction. If wind-pathogen invades and knots at the epiglottis, the airway fails to ventilate, thereby causing aphonia (loss of voice). If the pathogen enters the Zang organs, speech becomes impossible.
For treating aphonia and mutism due to Wind-Stroke, Qianghuo Decoction:
Notopterygii Rhizoma et Radix (Qianghuo) [two taels half, remove rhizome head], Glycyrrhizae Radix et Rhizoma (Gancao) [roasted], Ginseng Radix (Renshen) [half tael each], Aconiti Lateralis Radix Praeparata (Fuzi) [one piece, processed until cracked, remove skin and umbilicus], Jingli (Jing herb juice), Zhuli (Bamboo sap).
The above seven ingredients. Chop the first four ingredients into sizes resembling hemp seeds. Take five qianbi per dose. Add one zhan of water and half a zhan of the three juices (Jingli, Zhuli, etc.). Decoct together until one zhan remains. Strain and take warm. Three times daily, once at night.
For treating aphonia and mutism due to Wind-Stroke, Dihuang Decoction:
Shengdihuangzhi (Fresh Rehmanniae Radix Juice), Danzhuli (Light Bamboo Sap) [half zhan each], Hedepai (Atractylodis Chinensis Rhizoma? Note: Text says Duhuo - Angelicae Pubescentis Radix) [remove rhizome head, one tael], Fuzi [processed until cracked, remove skin and umbilicus, half tael].
The above four ingredients. Chop the two solid ingredients (Duhuo, Fuzi) into sizes resembling hemp seeds. Take three qianbi per dose. Add one zhan of water and a small amount of Zhuli and Shengdihuangzhi. Decoct together until one zhan remains. Strain and take warm. On an empty stomach, at midday, at midnight, and before lying down.
For treating aphonia and mutism due to Wind-Stroke, Jiangfu Decoction:
Ganjiang (Dried Ginger) [processed], Fuzi [processed until cracked, remove skin and umbilicus], Gancao [roasted], Gui (Cinnamon Twig) [remove coarse bark], Danggui (Angelicae Sinensis Radix) [soaked in wine, cut, dried], Baizhu (Atractylodis Macrocephalae Rhizoma), Xixin (Asari Radix et Rhizoma) [remove seedlings and leaves], Xingren (Prunus Armeniacae Semen) [remove skin and pointed end, double-kernel ones stir-fried and ground, one tael each], Maimendong (Ophiopogonis Radix) [remove heart, dried, two taels].
The above nine ingredients. Chop into sizes resembling hemp seeds. Take three qianbi per dose. Add one zhan of water. Decoct until 70% remains. Strain and take warm.
For treating aphonia due to Wind-Stroke with paralysis of hands and feet, Lingyangjiao Decoction:
Lingyangjiao (Saiga Tatarica Cornu) [sliced], Xiongqiong (Ligustici Chuanxiong Rhizoma), Xixin [remove seedlings and leaves], Muxiang (Aucklandiae Radix), Fangfeng (Saposhnikoviae Radix) [remove forked parts], Mahuang (Ephedrae Herba) [remove joints], Duhuo [remove rhizome head], Qianghuo [remove rhizome head], Danggui [soaked in wine, cut, dried], Fuzi [processed until cracked, remove skin and umbilicus], Gui [remove coarse bark], Tianma (Gastrodiae Rhizoma) [one tael each].
The above twelve ingredients. Chop into sizes resembling hemp seeds. Take three qianbi per dose. Add one zhan of water. Decoct until 70% remains. Strain and take warm, without restriction on time.
For treating aphonia and mutism due to Wind-Stroke, Qianghuo Decoction:
Qianghuo [remove rhizome head, two taels half], Renshen [two taels], Fuzi [processed until cracked, remove skin and umbilicus, one piece], Gancao [roasted, two taels], Gui [remove coarse skin... [text incomplete here]].
The above seven ingredients. Chop into sizes resembling hemp seeds. Take five qianbi per dose. Add one zhan of water and half a zhan of Jingli, Zhuli, and Dihuangzhi combined. Decoct together until one zhan remains. Strain and take warm. On an empty stomach, at midday, at midnight, and before lying down.
For treating aphonia and mutism due to Wind-Stroke, Qianghuo Decoction with Added Fangfeng:
Qianghuo [remove rhizome head, two taels], Gancao [roasted], Renshen [one tael half each], Fangfeng [remove forked parts, two taels], Fuzi [processed until cracked, remove skin and umbilicus... [text incomplete here]].
The above eight ingredients. Chop the first five ingredients into sizes resembling hemp seeds. Take five qianbi per dose. Add one zhan of water and half a zhan each of Dihuangzhi and Lizhi. Decoct together until one zhan remains. Strain and take warm. On an empty stomach, at midday, at midnight, and before lying down.
For treating aphonia and mutism due to Wind-Stroke with lethargy and inability to recognize people, Zhuli Decoction:
Zhuli, Jingli, Lizhi (Pear Juice) [two he each], Chenjiangzhi (Chenpi Sauce Juice) [half he].
The above four ingredients. Mix together. Boil gently for one or two boils. Filter again while warm. Administer slowly into the mouth. If the jaw is clenched, pry open the mouth to administer.
For treating aphonia and mutism due to Wind-Stroke with hemiplegia, Baiziren Powder:
Baiziren (Biota Seed) [raw, finely ground, two taels], Gui [remove coarse bark, made into powder, one tael].
The above two ingredients. Mix evenly. Separately, use one sheng of soybeans and three he of chicken excrement white (ji fen bai). Stir-fry together until yellow. Pour in three sheng of wine. While hot, filter to remove dregs. Use one zhan of wine to mix with two qianbi of medicine. Take on an empty stomach, at midday, at midnight, and before lying down.
For treating aphonia and mutism due to Wind-Stroke, Zigui Decoction:
Gui [two taels, remove coarse bark].
The above single ingredient. Coarsely crush and sieve. Take three qianbi per dose. Add one zhan of water. Decoct until 70% remains. Strain and take on an empty stomach, at midday, at midnight, and before lying down. If symptoms persist the next day, continue taking three doses. Cover with clothes and blankets to induce sweating as efficacy.
For treating aphonia and mutism due to Wind-Stroke, Zhudou Decoction:
Xinqingzhu (New Green Bamboo) [crushed like abacus beads, forty-nine stems], Wudou (Black Soybean) [two sheng].
The above two ingredients. Combine with eight sheng of water and boil until beans are soft. Remove dregs and decoct again to obtain one sheng. Administer two he per dose. If the mouth is clenched, pry it open to administer.
For treating aphonia and mutism due to Wind-Stroke, Zigui Powder:
Gui [five cun long, remove coarse bark, made into fine powder], Luangfa Hui (Ash of Human Hair) [half the amount of Gui powder].
The above two ingredients. Grind together uniformly. Divide into four doses. Take twice during the day and twice at night. Place each dose under the tongue. After a while, swallow with warm water.
For treating aphonia and mutism due to Wind-Stroke, Dadou Decoction:
Dadou (Tight, small soybeans) [two sheng, washed clean], Shengjiang (Fresh Ginger) [juice one he].
The above two ingredients. First, boil beans in five sheng of water until reduced to two sheng. Squeeze out bean residue, add ginger juice. Slowly cook over low fire until it resembles a thin paste. Take one spoonful slowly, holding in mouth and swallowing, on an empty stomach, after meals, and at bedtime. For severe cases, mix with two he of Zhuli and take.
For treating aphonia and mutism due to Wind-Stroke, Baiziren Wine:
Baiziren [raw, finely ground, two taels], Ji Fen Bai [stir-fried, two taels], Gui [remove coarse bark, two taels], Shengjiang [do not peel, cut, one tael].
The above four ingredients. Coarsely crush and sieve. Stir-fry together until scorched. While hot, pour in six sheng of wine. Wait until cool, then filter to remove dregs. Take one to seven-tenths of a zhan per dose. Take on an empty stomach, at midday, at midnight, and before lying down.
For treating aphonia due to Wind-Stroke, Life-Efficiency Changpu Drink:
Changpu (Acori Tatarinowii Rhizoma) [grown on rocks, one fen], Gui [remove coarse bark, one tael].
The above two ingredients. Coarsely crush and sieve. Take two qianbi per dose. Add one zhan of water. Decoct until 70% remains. Strain and take warm, without restriction on time.
For treating sudden Wind-Stroke mutism, loss of voice, and hoarseness preventing speech, Baifan Pill:
Baifan (Alumen) [raw, ground], Chenjupi (Citri Reticulatae Pericarpium) [remove white pith, stir-fried], Gui [remove coarse bark, one tael each].
The above three ingredients. Make into fine powder. Form pills with jujube flesh, size of a bullet. Take one pill per dose. Hold in mouth to dissolve and swallow saliva. No restriction on time.