病源喉咙者。气之所以上下也。会厌者声之户。舌者声之机。唇者声之扇也。风寒客于
会厌之间。故卒然无音。皆由风邪所伤。故谓风失音不语。养生方云∶醉卧当风使人发喑。
（出
广济疗风失音不得语方。
羌活（十分） 甘草（炙） 人参（二分） 荆沥 竹沥 生地黄（汁各二升） 大附
子（一枚
炮八分）
上七味切。诸药纳三汁中。煎取一升六合。去滓。分温二服。未瘥。四五日更进一剂。
取微利。忌热面海藻菘菜猪肉冷水芜荑鱼蒜粘食。（出第一卷中）
深师防风阳。疗中风两目不开。不能言。短气欲死方。
防风 甘草（炙） 黄芩 茯苓 当归（各一两） 杏仁（五十枚去两仁尖皮） 秦艽
（半两） 生姜（五两） 干枣（三十枚擘） 麻黄（二两去节）
上十味 咀。以清酒水共四升。煮取三升。分三服。发汗。忌海藻菘菜大酢。
又四逆汤。疗卒中风不能言。厥逆无脉手足拘急者方。
山茱萸 细辛 干姜（炙各一两） 甘草（三两炙） 麦门冬（一升去心）
上五味切。以水七升。煮取二升。分为四服。忌海藻菘菜生葱菜。（出第九卷中）
肘后疗卒不得语方。
以苦酒煮芥子。敷颈一周。以衣包之。一日一夕乃解。即瘥。（范汪千金同）
又方
煮大豆煎其汁。令如粘含之。亦但浓煮饮之。（并出第一卷中范汪同）
千金厥失音论曰∶风寒之气客于中。滞不能发。故喑不言。及喉疼失声。皆风邪所为也
。入脏皆能杀人。凡尸蹶如死。脉动如故。阳脉下坠。阴脉上争。气闭故也。疗之方。
取灶突墨弹丸大。浆和饮之。
又方
浓煮桂汁服之一升。覆取汗。亦可末佳着舌下。渐咽汁。忌生葱。（范汪同）
又方
浓煮豉汁含之亦佳。（并出第八卷中）
Regarding the etiology, the throat is the pathway through which Qi ascends and descends. The epiglottis is the gate of voice production. The tongue is the mechanism of sound generation. The lips are the fan for sound dissemination. When wind-cold pathogenic factors invade and lodge between the epiglottis, sudden loss of voice occurs. This is all due to injury by wind pathogens, hence it is termed "wind-induced aphonia" (Feng Shi Yin Bu Yu). The Yangsheng Fang states: Sleeping in the wind while drunk can cause aphonia. (From Guangji)
Formula for treating wind-induced aphonia and inability to speak:
Qianghuo (Notopterygii Rhizoma et Radix, 10 fen), Gancao (Licorice Root, processed with honey), Renshen (Ginseng Radix, 2 fen), Jingli (Amaranthus Juice), Zhuli (Bamboo Sap), Shengdihuang (Rehmanniae Radix Fresh, juice, 2 sheng each), Dafuzi (Aconiti Lateralis Radix Preparata, one piece, processed, 8 fen).
The above seven herbs are chopped. All herbs are placed into the three juices. Decoct to obtain 1 sheng 6 he of liquid. Remove the dregs. Divide into two warm doses. If not cured, administer another dose after four or five days. Aim for a mild purgation. Avoid hot noodles, Sargassum (Haizao), Brassica chinensis (Songcai), pork, cold water, Myristica (Wuyi), fish, garlic, and sticky foods. (From Volume I)
Shen Shi Fang's Fangfeng Yang formula treats stroke causing inability to open both eyes, inability to speak, shortness of breath, and a sensation of impending death:
Fangfeng (Saposhnikoviae Radix), Gancao (processed), Huangqin (Scutellariae Radix), Fuling (Poria), Danggui (Angelicae Sinensis Radix, 1 liang each), Xingren (Prunus Armeniacae Semen, 50 pieces, remove tips and skin), Qinjiao (Gentianae Macrophyllae Radix, 0.5 liang), Shengjiang (Zingiberis Rhizoma Recens, 5 liang), Ganzao (Jujubae Fructus, 30 pieces, split), Mahuang (Ephedrae Herba, 2 liang, remove joints).
The above ten herbs are crushed. Use clear wine and water totaling 4 sheng. Boil to obtain 3 sheng. Divide into three doses. Induce sweating. Avoid Sargassum, Brassica chinensis, and strong vinegar.
Additionally, Sini Tang (Four Reversal Decoction) treats sudden stroke with inability to speak, cold extremities without pulse, and spasm of hands and feet:
Shanzhuyu (Corni Fructus), Xixin (Asari Radix et Rhizoma), Ganjiang (Zingiberis Rhizoma, processed, 1 liang each), Gancao (processed, 3 liang), Maimendong (Ophiopogonis Radix, 1 sheng, remove heart).
The above five herbs are chopped. Use 7 sheng of water. Decoct to obtain 2 sheng. Divide into four doses. Avoid Sargassum, Brassica chinensis, raw green onions, and vegetables. (From Volume IX)
Zhou Hou Beiji Fang treats sudden aphonia:
Boil Mustard Seed (Jiezi) with Kujiu (bitter wine). Apply around the neck. Wrap with clothing. Remove after one day and one night. The disease will be cured. (Fan Wang and Qianjin Fang agree).
Another formula:
Boil Soybean (Dadou) and decoct its juice until thick. Hold in the mouth. Alternatively, boil strongly and drink. (Both from Volume I, consistent with Fan Wang).
Qianjin Fang discusses aphonia in Jue syndrome: Wind-cold qi lodges in the middle, stagnates, and cannot emit sound, resulting in aphonia and muteness. Throat pain and loss of voice are also caused by wind pathogens. Invasion of the Zang organs can be fatal. In cases of corpse-like Jue (Shijue), resembling death, the pulse beats normally; Yang pulses sink downward, and Yin pulses contend upward. This is due to Qi blockage. Treatment formula:
Take soot from the kitchen chimney (Zaotu Mo), size of a bean pill, mix with Jiangshui (fermented grain juice), and drink.
Another formula:
Decoct Cinnamon Twig (Guizhi) juice strongly and take 1 sheng. Cover to induce sweating. Alternatively, powder the herb, place under the tongue, and gradually swallow the juice. Avoid raw green onions. (Consistent with Fan Wang).
Another formula:
Decoct Fermented Soybean (Chiji) juice strongly and hold in the mouth; this is also good. (All from Volume VIII).