论曰,咽喉生疮,或白或赤,痰唾稠浊,喉中腥臭疼痛,此盖上焦有热,脾肺不和,热
抟其经,熏发咽喉故也。
治咽喉疼痛生疮。黄 汤方
黄 (炙锉) 甘草(炙) 麦门冬(去心焙) 山栀子仁(各半两) 黄芩(去黑心)
人参
赤茯苓(去黑皮) 槟榔(煨锉) 贝母(去心麸炒) 紫菀(去苗各一分)
上十味,粗捣筛,每服二钱匕,水一盏,煎至六分,去滓温服食后,日三。
治喉中疮,并口疮。龙胆煎方
龙胆 黄连(去须) 黄柏(去皮蜜炙) 升麻(去土) 苦竹叶(切) 槐白皮 大
青(各一
两) 白蜜(半合) 酥(半合)
上九味,细锉七味如麻豆,以水三升半,煮取七合,绞去滓,纳蜜及酥,再煎五六沸,
每服一匙头,含化咽津,日可五六服,瘥。
治喉中生疮,咽嗌痛,咽物有妨。桃红散方
金箔(十片) 银箔(十片) 丹砂(研) 马牙硝(研) 甘草(炙捣末各一两) 铅
白霜(研
少许) 凝水石(四两) 太阴玄精石(二两二味推碎入一合于内 令通赤取出黄土内埋一
宿)
上八味,同研令细,每服一字,甘草水调下,如要丸,以稀糯米粥和为丸,如豌豆大,
含化咽津。
治咽喉中生疮,唾血不下食。地黄汤方
生地黄(细切二两半) 竹茹 玄参 鸡苏苗(各一两) 赤茯苓(去黑皮) 升麻 麦
门冬
(去心焙各一两半)
上七味,除地黄外,粗捣筛,入地黄拌匀,每服三钱匕,水一盏,煎至五分,去滓温服
,食后临卧,如不能多服,细细含咽。
治咽喉生疮,嗽唾如鲠,语声不出。半夏汤方
半夏(汤浸去滑七遍二两) 射干 干姜(炮) 紫菀(去苗土) 桂(去粗皮) 当
归(切焙)
陈橘皮(汤浸去白焙) 独活(去芦头各一两)
上十一味,粗捣筛,每服五钱匕,水一盏半,煎至一盏,去滓温服,初病一二日可发汗
,病久者,可加大黄一两半,初秋夏月豪雨冷,及天行暴热,喜怒伏于内,宜加生姜二两,
干姜茱萸枳实各一两,修制如前法。
治喉中有疮咳嗽。白药丸方
白药子 黄药子 玄参 射干 甘草炙 桔梗(炒各半两)
上六味,捣罗为末,炼蜜为丸,如弹子大,绵裹含化咽津。
治咽中生疮,语声不出,苦酒汤方
半夏(五枚汤洗七度去滑切焙) 鸡子(一枚敲破泻去黄)
上二味,以苦酒并半夏,纳于鸡子壳中,于火上煎三五沸,候温去半夏,就壳分为二服
饮之,瘥。
治咽喉及舌生疮烂。杏仁丸方
杏仁(汤浸去皮尖炒半两研) 黄连(去须为末) 甘草(炙为末各一分)
上三味,捣研和匀,绵裹如枣大,含之瘥。
又方
白矾(熬令汁尽二两) 黄连(去须一分)
上二味,捣罗为末,每服一钱匕,绵裹含化咽津,瘥。
治风热毒瓦斯上攻,咽喉舌颊,肿痛生疮噎闷,化涎解躁,牛黄金露丸方
牛黄(研) 龙脑(研各一钱) 人参(末二两) 甘草(生为末半两) 丹砂(研水
飞一两)
甜硝(研半两)
上六味,同研细,以软糯米饭和丸,如鸡头实大,每服一丸,含化咽津。
治脾胃热毒上攻心肺,喉咽有疮,并缠喉风,救命散方
大黄(锉炒) 黄连(去须) 白僵蚕(直者炒) 甘草(生各半两) 腻粉(三钱匕)
五倍子
(一分)
上六味,捣研为细散,每服一字,大人以竹筒子吸之,小儿以竹筒子吹之,如余毒攻心
肺,咽有疮,用孩儿奶汁,调药一字,以鸡翎探之,呕者生,不呕者死。
治喉咽生疮,连舌颊痛,不可忍者。蔷薇根饮方
蔷薇根皮(一两) 升麻(三分) 生干地黄 黄柏(各半两) 铅白霜(研一钱)
上五味,捣罗四味为末,入铅霜研匀,每服二钱匕,水一盏,入蜜半匙,煎至七分,稍
通口,热漱咽嗌,冷即吐之,及时用药末掺疮上。
治咽喉生疮。升麻汤方
升麻(锉) 甘草(炙) 石膏(研) 牡丹皮(各一两)
上四味粗捣筛,每服三钱匕,以水一盏,煎至六分,去滓细细服。
治喉中生疮,久患积劳,不下食,日渐羸瘦。黄连汤方
黄连(去须半分) 豉(半合) 薤白(切四茎) 猪胆(半个)
上四味,先以童子小便八合,煎黄连豉薤白取四合,去滓下猪胆,煎至三合,空腹顿服
,每隔日,根据法再服。
治咽喉内生疮疼痛。桔梗汤方
桔梗(锉炒) 甘草(生) 恶实(微炒各一两)
上三味,粗捣筛,每服三钱匕,水一盏,入竹叶十片,煎至六分,去滓,不计时温服。
治咽喉生疮肿痛方
砂(半钱)
上一味,以绵裹,细细咽汁,瘥。
又方
腊月猪尾(一枚)
上一味,烧灰细研为散,每服半钱匕,水调服,不计时。
治上焦有热,咽喉生疮,赤根白头,痰唾稠浊,口中腥臭,化涎生津去毒。玫瑰丸方
五倍子 红雪(研各一两) 马勃 升麻 矾蝴蝶(研) 硼砂(研各半两) 丹砂(研)
麝
香(研) 龙脑(研各一分) 甘草(生用三分)
上十味,捣研为细末,糯米饭和丸,如鸡头实大,每服一丸含化,不计时候。
治咽喉生疮,腥臭疼痛。硼砂散方
硼砂(研一分) 马牙硝(研半两) 人参(半两) 甘草(炙锉一分)
上四味,捣罗二味为细末,入研药二味和匀,每用半钱匕,不以时候,含化咽津。
Commentary states that sores in the throat, whether white or red, accompanied by thick and turbid phlegm and saliva, foul odor in the throat, and pain, are caused by heat in the Upper Jiao (Upper Burner), disharmony between the Spleen and Lung, where heat condenses in the meridians and steams/burns the throat.
Formula for Treating Throat Pain and Sores: Huang Tang (Cinnamon Twig Decoction)
Huangqi (Astragali Radix, prepared and crushed) 0.5 liang, Gancao (Licorice Root, prepared) 0.5 liang, Maimendong (Ophiopogonis Radix, heart removed and dried) 0.5 liang, Shanzhiziren (Gardeniae Semen, 0.5 liang each), Huangqin (Scutellariae Radix, black center removed), Renshen (Ginseng Radix), Chifuling (Poria with Rosea Cortex, black skin removed), Binglang (Arecae Semen, roasted and crushed), Beimu (Fritillariae Bulbus, heart removed and stir-fried with bran), Ziwan (Periplocae Radix, sprouts removed, 1 fen each).
The above ten ingredients are coarsely pounded and sifted. Each dose consists of 2 qianbi (approx. 6-9g), boiled in 1 sheng (approx. 200ml) of water until reduced to 0.6 sheng. Strain and take warm after meals, three times daily.
Formula for Treating Throat Sores and Mouth Ulcers: Longdan Jian (Gentiana Decoction)
Longdan (Gentianae Radix), Huanglian (Coptidis Rhizoma,须 removed), Huangbai (Phellodendri Cortex, bark removed and honey-fried), Shengma (Cimicifugae Rhizoma, soil removed), Kuzhuye (Bitter Bamboo Leaf, cut), Huaibai (Morus Alba Bark), Daqing (Isatidis Folium, 1 liang each), Baimi (White Honey, 0.5 he), Su (Butyrum, 0.5 he).
The above nine ingredients: Seven are finely chopped like hemp seeds. Boil in 3.5 sheng of water to obtain 0.7 sheng. Strain, add honey and butter, and boil again for 5-6 boils. Take one spoonful at a time, holding in the mouth to dissolve and swallow saliva. Can be taken 5-6 times daily until cured.
Formula for Treating Throat Sores, Throat Pain, and Difficulty Swallowing: Taohong San (Peach Red Powder)
Jinbo (Gold Foil, 10 pieces), Yinbo (Silver Foil, 10 pieces), Dansha (Cinnabar, ground), Mayaxiao (Sodium Nitrate, ground), Gancao (Licorice Root, prepared and powdered, 1 liang each), Qianbaishuang (Basic Lead Carbonate, ground, a little), Ningshuishi (Halloysitum Rubrum, 4 liang), Taiyin Xuanjingshi (Calcitum, 2 liang. These two should be crushed, placed in a container, heated until red-hot, then buried in yellow earth overnight).
The above eight ingredients are ground together into fine powder. Each dose is 1 zi (approx. 1-2g), mixed with Licorice water and taken orally. If pills are desired, mix with thin rice porridge to form pills the size of pea seeds, hold in mouth to dissolve and swallow saliva.
Formula for Treating Throat Sores, Hemoptysis, and Inability to Eat: Dihuang Tang (Rehmannia Decoction)
Shengdihuang (Rehmanniae Radix, finely cut, 2.5 liang), Zhuru (Bambusae Caulis in Taeniam, 1 liang each), Xuanshen (Scrophulariae Radix), Jisumiao (Elsholtziae Herba, 1 liang each), Chifuling (Poria with Rosea Cortex, black skin removed), Shengma (Cimicifugae Rhizoma), Maimendong (Ophiopogonis Radix, heart removed and dried, 1.5 liang each).
The above seven ingredients: Except for Shengdihuang, the others are coarsely pounded and sifted, then mixed with Shengdihuang. Each dose is 3 qianbi, boiled in 1 sheng of water until reduced to 0.5 sheng. Strain and take warm after meals and before bed. If unable to take large doses, hold in mouth and swallow slowly.
Formula for Treating Throat Sores, Cough with Sensation of Obstruction, and Aphonia: Banxia Tang (Pinellia Decoction)
Banxia (Pinelliae Rhizoma, soaked in water and washed seven times to remove slipperiness, 2 liang), Yexia (Belamcandae Rhizoma), Jiangjiang (Zingiberis Rhizoma干燥, processed), Ziwan (Periplocae Radix, sprouts and soil removed), Gui (Cinnamomi Ramulus, rough bark removed), Danggui (Angelicae Sinensis Radix, sliced and dried), Chenjuapi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, and dried), Duhuo (Angelicae Pubescentis Radix, root head removed, 1 liang each).
The above eleven ingredients are coarsely pounded and sifted. Each dose is 5 qianbi, boiled in 1.5 sheng of water until reduced to 1 sheng. Strain and take warm. For early stages (1-2 days), induce sweating. For chronic cases, add Dahuang (Rhei Radix et Rhizoma, 1.5 liang). In early autumn/summer during heavy rain/cold, or due to epidemic heat and internal stagnation of anger/joy, add Shengjiang (Zingiberis Rhizoma Recens, 2 liang), Jiangjiang (Zingiberis Rhizoma干燥, 1 liang), Zhuyu (Evodiae Fructus, 1 liang), Zhishi (Aurantii Fructus Immaturus, 1 liang). Preparation methods as above.
Formula for Treating Throat Sores with Cough: Baiyao Wan (White Medicine Pill)
Baiyaozi (Dioscoreae Hypoglaucae Tuber), Huangyaozi (Dioscoreae bulbiferae Tuber), Xuanshen (Scrophulariae Radix), Yexia (Belamcandae Rhizoma), Gancao (Licorice Root, prepared), Jiegeng (Platycodonis Radix, stir-fried, 0.5 liang each).
The above six ingredients are pounded and sifted into powder. Mix with refined honey to form pills the size of a bullet. Wrap in silk, hold in mouth to dissolve and swallow saliva.
Formula for Treating Throat Sores and Aphonia: Kujiu Tang (Vinegar Decoction)
Banxia (Pinelliae Rhizoma, five pieces, washed seven times in water to remove slipperiness, sliced and dried), Ji (Chicken Egg, one piece, cracked and yolk removed).
The above two ingredients: Place Kujiu (Vinegar) and Banxia into the eggshell. Boil over fire for 3-5 boils. When warm, remove Banxia. Divide into two doses from the shell and drink. Cured.
Formula for Treating Sores and Ulcers on Throat and Tongue: Xingren Wan (Almond Pill)
Xingren (Pruni Semen, soaked in water, skin and tip removed, stir-fried, 0.5 liang, ground), Huanglian (Coptidis Rhizoma,须 removed, powdered), Gancao (Licorice Root, prepared, powdered, 1 fen each).
The above three ingredients are pounded, ground, and mixed evenly. Wrap in silk like a date pit, hold in mouth until cured.
Another Formula:
Baifan (Alumen, boiled until juice is gone, 2 liang), Huanglian (Coptidis Rhizoma,须 removed, 1 fen).
The above two ingredients are pounded and sifted into powder. Each dose is 1 qianbi, wrapped in silk, held in mouth to dissolve and swallow saliva. Cured.
Formula for Treating Wind-Heat Toxic Qi Attacking Upward, Causing Throat/Tongue/Cheek Swelling, Pain, Sores, Dysphagia, Salivation, and Restlessness: Niuhuang Jinlu Wan (Calculus Bovis Golden Dew Pill)
Niuhuang (Calculus Bovis, ground), Longnao (Borneolum Syntheticum, ground, 1 qian each), Renshen (Ginseng Radix, powdered, 2 liang), Gancao (Licorice Root, raw, powdered, 0.5 liang), Dansha (Cinnabar, water-flotation method, ground, 1 liang), Tianxiao (Sal Nitri, ground, 0.5 liang).
The above six ingredients are ground together finely. Mix with soft glutinous rice flour to form pills the size of Euryale Seed. Take one pill at a time, hold in mouth to dissolve and swallow saliva.
Formula for Treating Spleen/Stomach Heat-Toxic Qi Attacking Heart/Lung, Throat Sores, and Entangling Throat Wind: Jiuming San (Life-Saving Powder)
Dahuang (Rhei Radix et Rhizoma, crushed and stir-fried), Huanglian (Coptidis Rhizoma,须 removed), Baijiangcan (Bombyx Batryticatus, straight ones stir-fried), Gancao (Licorice Root, raw, 0.5 liang each), Nifen (Calomelas, 3 qianbi), Wubeizi (Galla Chinensis, 1 fen).
The above six ingredients are pounded and ground into fine powder. Each dose is 1 zi. Adults use a bamboo tube to inhale/suck; children use a bamboo tube to blow. If residual toxicity attacks Heart/Lung with throat sores, mix 1 zi of medicine with infant milk, use chicken feather to probe throat to induce vomiting. Vomiting indicates life; no vomiting indicates death.
Formula for Treating Throat Sores Radiating to Tongue/Cheek with Unbearable Pain: Qiangweigen Yin (Rose Root Drink)
Qiangweigenpi (Rosae Rugosae Radix Cortex, 1 liang), Shengma (Cimicifugae Rhizoma, 3 fen), Shenggan Dihuang (Rehmanniae Radix Preparata), Huangbai (Phellodendri Cortex, 0.5 liang each), Qianbaishuang (Basic Lead Carbonate, ground, 1 qian).
The above five ingredients: Pound four into powder, mix with Qianshuang (Basic Lead Carbonate) evenly. Each dose is 2 qianbi, boiled in 1 sheng of water with half a spoon of honey until reduced to 0.7 sheng. Rinse throat when slightly warm, spit out when cold. Immediately apply powder to sores.
Formula for Treating Throat Sores: Shengma Tang (Cimicifuga Decoction)
Shengma (Cimicifugae Rhizoma, crushed), Gancao (Licorice Root, prepared), Shigao (Gypsum Fibrosum, ground), Mudanpi (Moutan Cortex, 1 liang each).
The above four ingredients are coarsely pounded and sifted. Each dose is 3 qianbi, boiled in 1 sheng of water until reduced to 0.6 sheng. Strain and take slowly.
Formula for Treating Throat Sores, Chronic Fatigue, Inability to Eat, and Emaciation: Huanglian Tang (Coptis Decoction)
Huanglian (Coptidis Rhizoma,须 removed, 0.5 fen), Chi (Fermented Soybean, 0.5 he), Xiebai (Allii Macrostemonis Bulbus, cut, four stems), Zhu Dan (Porci Bile, half).
The above four ingredients: First, boil Huanglian, Chi, and Xiebai in 0.8 sheng of urine from a young boy until reduced to 0.4 sheng. Strain, add Zhu Dan, boil until reduced to 0.3 sheng. Take on an empty stomach in one dose. Repeat every other day according to this method.
Formula for Treating Internal Throat Sores and Pain: Jiegeng Tang (Platycodon Decoction)
Jiegeng (Platycodonis Radix, crushed and stir-fried), Gancao (Licorice Root, raw), Eshi (Arctii Fructus, lightly stir-fried, 1 liang each).
The above three ingredients are coarsely pounded and sifted. Each dose is 3 qianbi, boiled in 1 sheng of water with ten bamboo leaves until reduced to 0.6 sheng. Strain and take warm at any time.
Formula for Treating Throat Sores with Swelling and Pain: Sha (Realgar)
Sha (Realgar, 0.5 qian).
Wrap the single ingredient in silk, hold in mouth to dissolve and swallow saliva slowly. Cured.
Another Formula:
Layue Zhuwei (Pig Tail from the twelfth lunar month, one piece).
Burn to ash, grind finely into powder. Each dose is 0.5 qianbi, mixed with water and taken at any time.
Formula for Treating Upper Jiao Heat, Throat Sores with Red Base and White Head, Thick Turbid Phlegm, Foul Breath, Promoting Saliva Production and Detoxification: Meigui Wan (Rose Pill)
Wubeizi (Galla Chinensis), Hongxue (Red Snow/Sal Nitri, ground, 1 liang each), Mabo (Maobo), Shengma (Cimicifugae Rhizoma), Fanhudie (Alumen Butterfly/Processed Alum, ground), Pengsha (Borax, ground, 0.5 liang each), Dansha (Cinnabar, ground), Shexiang (Moschus, ground), Longnao (Borneolum Syntheticum, ground, 1 fen each), Gancao (Licorice Root, raw, 3 fen).
The above ten ingredients are pounded and ground into fine powder. Mix with glutinous rice flour to form pills the size of Euryale Seed. Take one pill at a time to dissolve in mouth, regardless of time.
Formula for Treating Throat Sores with Foul Odor and Pain: Pengsha San (Borax Powder)
Pengsha (Borax, ground, 1 fen), Mayaxiao (Sodium Nitrate, ground, 0.5 liang), Renshen (Ginseng Radix, 0.5 liang), Gancao (Licorice Root, prepared and crushed, 1 fen).
The above four ingredients: Pound two into fine powder, mix with the other two ground ingredients evenly. Use 0.5 qianbi at a time, hold in mouth to dissolve and swallow saliva, regardless of time.