病源伤寒病过经而不愈，脉反沉迟，手足厥逆者，此为下部脉不至，阴阳隔绝，邪客于
足少阴之经，毒瓦斯上熏，故喉咽不利或痛而生疮。（出第七卷中）
仲景伤寒论少阴病咽喉痛者，半夏散及汤主之方。
半夏（洗） 甘草（炙） 桂心
上三味等分，各捣筛毕，更合捣之，以白饮服方寸匕，日三服，若不能服散者，水一升
，煮七沸，纳散两匕，更煮三沸下火令小冷，少少含细咽之，半夏有毒，不当散服之。忌羊
肉
文仲疗伤寒毒攻喉咽肿痛方兼主天行。
切商陆炙令热，以布藉喉以熨，布上冷，复易之。（肘后同）
又方
真 茹爪甲大纳口中，以牙小嚼汁以渍喉，当微觉异为佳，亦主天行。（肘后同）
又附子丸方
附子（炮） 藜芦（等分）
上二味末之，蜜和丸服如梧子一枚饮下，含黄柏亦佳。忌猪肉狸肉。（并出第二卷中）
深师贴喉膏，疗伤寒舌强喉痛方。
蜜（一升） 甘草（四两） 猪膏（半斤）
上三味，微火煎甘草猪膏，令数沸，去滓，乃纳蜜，温令销相得如枣大，含化稍稍咽之
。忌海藻菘菜。（出第十四卷中）
集验疗伤寒热病，喉中痛，闭塞不通，乌扇膏方。
生乌扇（一斤切） 猪脂（一斤）
上二味合煎乌扇药成，去滓，取如半鸡子薄绵裹之，纳口中，稍稍咽之，取瘥。忌酒蒜
等物。（张文仲千金等同）
又升麻汤方
升麻（三两） 通草（四两） 射干（二两） 羚羊角（三两屑） 芍药（二两） 生
芦根（切一
升）
上六味切，以水七升，煮取二升半，去滓，分为三服，徐徐服。（千金古今录验同并出
第三卷中）
千金治伤寒热病后，口干多唾咽痛，干枣丸方。
干枣（二十枚） 乌梅（十枚）
上二味捣合，蜜和丸如杏核大，绵裹含化，咽津自愈。（出第十卷中）
The etiology is that the cold damage disease has passed through its transmission cycle but remains unhealed, the pulse is instead deep and slow, and the hands and feet are cold and inverted. This indicates that the pulse at the lower part is imperceptible, with yin and yang qi cut off from each other; pathogenic factors have invaded the Foot Shaoyin Kidney Meridian, and toxic heat fumes upward, causing throat obstruction or pain accompanied by ulceration. (From Volume VII)
In Zhang Zhongjing's *Treatise on Cold Damage*, for Shaoyin disease presenting with sore throat, Banxia San Ji Tang (Pinellia Powder and Decoction) is the primary formula.
Banxia (Washed) Gancao (Honey-fried) Guixin (Cinnamon Twig Bark)
These three ingredients are of equal proportion. Each is crushed and sifted, then mixed together and pounded again. Take one Fangcunbi (a traditional Chinese measure approx. 2.7g) with rice water, three times a day. If the powder form cannot be taken, boil one Sheng (approx. 200ml) of water until it boils seven times, add two Fangcunbi of the powder, boil for three more cycles, remove from heat, and let cool slightly. Hold in the mouth and swallow slowly. Banxia is toxic and should not be taken directly as a dry powder. Avoid mutton.
Wen Zhong’s method for treating throat and pharynx swelling and pain caused by toxic qi attacking due to cold damage, also applicable to epidemic diseases.
Slice Radix Phytolaccae (Shanglu), roast until hot, place against the throat covered with cloth for moxibustion-like warming; replace when the cloth cools. (Same as *Zhou Hou Bei Ji Fang*)
Another prescription:
Take Zhenru (Radix Cynanchi Atrati) the size of a fingernail, place in the mouth, chew gently to extract juice, and apply to the throat. Feeling a slight unusual sensation is ideal; this also treats epidemic diseases. (Same as *Zhou Hou Bei Ji Fang*)
Another Fuzi Wan (Aconite Pill) prescription:
Fuzi (Processed) Lilu (Veratrum Nigrum) (Equal parts)
Pulverize these two ingredients, mix with honey to form pills the size of a white mustard seed. Swallow one pill with water. Holding Huangbai (Phellodendri Cortex) in the mouth is also beneficial. Avoid pork and civet meat. (Both from Volume II)
Shenshi Tiehou Gao (Deep Master Throat-Pasting Ointment), for treating stiff tongue and sore throat due to cold damage.
Mi (Honey, one Sheng) Gancao (Licorice Root, four Liang) Zhugao (Lard, half Jin)
Gently heat and decoct the Licorice Root and Lard until boiling several times. Strain out the dregs, then add the Honey. Warm until melted and combined uniformly. Form into pieces the size of a jujube. Hold in the mouth to dissolve and swallow gradually. Avoid Seaweed (Haizao) and Pak Choi (Songcai). (From Volume XIV)
Jiyan Formula for treating sore throat and blockage in the throat following cold damage febrile disease, Wushan Gao (Black Flag Iris Ointment):
Raw Wushan (Iris Tectorii Rhizome, one Jin, chopped) Zhugao (Lard, one Jin)
Decoct the Iris Tectorii Rhizome with Lard. Strain the dregs. Wrap a portion the size of half an egg yolk in thin cotton, place in the mouth, and swallow gradually until cured. Avoid alcohol, garlic, etc. (Zhang Wenzhong, *Qianjin Fang* same)
Another Shengma Tang (Cimicifuga Decoction):
Shengma (Cimicifugae Rhizoma, three Liang) Tongcao (Tetrapanacis Medulla, four Liang) Shegan (Belamcandae Rhizoma, two Liang) Lingyangjiao (Saiga Tataricae Cornu, three Liang, crushed) Shaoyao (Paeoniae Radix Alba, two Liang) Sheng Lugeng (Fresh Imperatae Rhizoma, chopped, one Sheng)
Chop these six ingredients. Decoct in seven Shengs of water until reduced to two and a half Shengs. Strain. Divide into three doses and take slowly. (*Qianjin Fang*, *Gu Jin Lu Yan* same, all from Volume III)
*Qianjin Fang* for treating dry mouth, excessive saliva, and sore throat after cold damage febrile disease, Ganzao Wan (Dried Jujube Pill):
Ganzao (Dried Jujube Fruit, twenty fruits) Wumei (Mume Fructus, ten fruits)
Crush and mix these two ingredients. Mix with honey to form pills the size of apricot kernels. Wrap in cotton, hold in the mouth to dissolve, and swallow the saliva to heal naturally. (From Volume X)