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It is discussed that when the throat is swollen and painful, and voice cannot be produced, it is due to wind pathogen and heat pathogen stagnating and lodging in the meridians of the Spleen and Lung. The evil heat follows the meridians upward and congregates in the throat, causing blood vessels to be obstructed and blocked, thus leading to swelling and pain in the throat; in severe cases, the airway becomes blocked, resulting in loss of voice.

For treating throat swelling and pain, inability to speak, sudden onset of wind-toxin invading the throat, accompanied by a stiff tongue, pain in the head, face, and body, throat obstruction, and impending suffocation, use the Chenxiang Tang (Agarwood Decoction):
Chenxiang (Agarwood) [Aquilariae Lignum Resinatum] (crushed), Muxiang (Vladimiria Root) [Aucklandiae Radix], Shegan (Belamcanda Rhizome) [Belamcandae Rhizoma], Fangfeng (Saposhnikovia Root) [Saposhnikoviae Radix] (bristles removed), Shengma (Cimicifuga Rhizome) [Cimicifugae Rhizoma], Gancao (Licorice Root) [Glycyrrhizae Radix et Rhizoma] (roasted), Danggui (Angelica Sinensis Root) [Angelicae Sinensis Radix] (sliced and dried), Huangqin (Scutellaria Root) [Scutellariae Radix] (black heart removed).
Xunluxiang (Frankincense) [Boswelliae Resina], Huoxiangye (Patchouli Leaf) [Pogostemonis Folium], Jitixiang (Cloves) [Caryophylli Flos] (each 1 liang), Duhuo (Angelica Pubescens Root) [Angelicae Pubescentis Radix] (rhizome removed, 3 liang), Mahuang (Ephedra Stem) [Ephedrae Herba] (roots and joints removed, decocted first with foam skimmed off, then dried, 3 fen), Dahuang (Rhubarb Root) [Rhei Radix et Rhizoma] (crushed, used raw, 2 liang).
The above fourteen ingredients are coarsely crushed and sifted. Each dose consists of 3 qianbi, decocted in one zhan of water until reduced to six-tenths. Strain and take warm after meals, three times daily.

For treating the sensation of obstruction in the throat as if by a foreign body, and inability to produce voice or breath, use the Zhupi Tang (Bamboo Bark Decoction):
Zhupi (Bamboo Bark) [Phyllostachys Nigrae Culmis], Gancao (Licorice Root) [Glycyrrhizae Radix et Rhizoma] (roasted, each 1 liang), Renshen (Ginseng Root) [Panacis Ginseng Radix], Chifuling (Red Poria) [Poria cum Ligno Rubrum], Mahuang (Ephedra Stem) [Ephedrae Herba] (roots and joints removed, decocted first with foam skimmed off, then dried), Guizhi (Cinnamon Twig) [Cinnamomi Ramulus] (bark removed), Wuweizi (Schisandra Fruit) [Schisandrae Chinensis Fructus], Mutong (Akebia Stem) [Akebiae Caulis] (crushed, each 3 fen).
The above eight ingredients are coarsely crushed and sifted. Each dose consists of 3 qianbi, decocted in one zhan of water with half a fen of sliced fresh ginger added. Reduce to six-tenths, strain, let cool to warm, take at any time, three times daily.

For treating swelling and itching in the throat, slight cough, and inability to produce voice, use the Huangqi Tang (Astragalus Decoction):
Huangqi (Astragalus Root) [Astragali Radix] (crushed, 2 liang), Renshen (Ginseng Root) [Panacis Ginseng Radix] (1 liang), Guizhi (Cinnamon Twig) [Cinnamomi Ramulus] (bark removed, 0.5 liang), Gancao (Licorice Root) [Glycyrrhizae Radix et Rhizoma] (roasted, 1 liang), Chifuling (Red Poria) [Poria cum Ligno Rubrum] (bark removed, 1.5 liang).
The above five ingredients are coarsely crushed and sifted. Each dose consists of 3 qianbi, decocted in one zhan of water with half a fen of sliced fresh ginger and two cracked jujubes added. Reduce to five-tenths, strain, take once before empty stomach and before meals.

For treating throat swelling and pain, and inability to produce voice, use the Changpu Wan (Acorus Pill):
Changpu (Acorus Rhizome) [Acori Tatarinowii Rhizoma] (2 liang), Konggongnie (unknown herb, likely related to Acorus or similar aromatic root) [Konggongnie] (finely ground, 1 liang), Mutong (Akebia Stem) [Akebiae Caulis] (crushed, 2 liang), Zaojiao (Tamarind Seed Pod) [Gleditsiae Sinensis Fructus] (one pod, one chi long, black skin removed, coated with butter, roasted until yellow-brown, seeds removed).
The above four ingredients are crushed and ground into powder, mixed with refined honey to form pills the size of paulownia seeds. Take 20 to 30 pills per dose, washed down with Guijianyu (Arrow Wood) [Sambuci Ramulus] decoction, at any time.

For treating throat obstruction and cough, use the Xingren Wan (Apricot Kernel Pill):
Xingren (Apricot Kernel) [Armeniacae Semen Amarum] (soaked in water, skin and tips removed, double-kernel kernels stir-fried, 3 fen, ground), Guizhi (Cinnamon Twig) [Cinnamomi Ramulus] (bark removed, 1 fen).
The above two ingredients are crushed and ground into powder, mixed with refined honey to form pills the size of apricot kernels. Contain one pill per dose and slowly swallow saliva.

Formula for treating severe throat bi syndrome with swelling and inability to produce voice:
Maligen (Iris Root Juice) [Iridis Tectorii Radix] (juice 3 he).
Take this single ingredient, mix with one he of white honey, slowly cook into a paste, and swallow slowly. Can be taken five to seven times daily.

For treating severe throat bi syndrome with swelling and inability to produce voice, use the Jiegeng Tang (Platycodon Decoction):
Jiegeng (Platycodon Root) [Platycodi Radix] (stir-fried, 1 liang).
The above single ingredient is coarsely crushed and sifted. Each dose consists of 3 qianbi, decocted in one zhan of water until reduced to six-tenths. Strain and take warm, at any time, three times daily.

Formula for treating severe throat bi syndrome with swelling and inability to produce voice:
Shengjiangzhi (Fresh Ginger Juice) [Zingiberis Recens Succus] (5 he), Fengmi (Honey) [Mel] (3 he).
Mix the above two ingredients, slowly cook into a paste. Take half a spoonful tip per dose, and dissolve in mouth.