夫脾肺之气。通于咽喉。三阴三阳。筋夹于口颊。若脾肺二脏。积蓄风热。则经络不利。
气
治咽喉闭塞。疼痛口噤。宜服升麻散方。
川升麻（一两） 防风（半两去芦头） 黄 （半两锉） 甘草（半两炙微赤锉） 细
辛（一分）
活（半两）
上件药。捣粗罗为散。每服三钱。以水一中盏。煎至六分。去滓。不计时候。
之。
治心脾风热。咽喉闭塞口噤。宜服半夏散方。
半夏（一两汤洗七遍去滑） 玄参（一两） 川升麻（一两半） 犀角屑（一两） 黑
豆皮（一
两）
去瓤）
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时
候。
治热毒伏在心脾。攻于咽喉。心胸胀满。口噤胀。宜服玄参散方。
玄参（一两） 牛蒡子（一两微炒） 川升麻（一两） 木香（半两） 犀角屑（一两）
甘草
（一两
上件药。捣粗罗为散。每服四钱。以水一中盏。煎至六分。去滓。不计时候。温温灌之。
治咽喉闭塞口噤方。
皂荚针（一两锉） 楸白皮（半两锉） 芎 （三分） 羌活（二分） 桂心（三分）
上件药。捣粗罗为散。每服三钱。以水一中盏。煎至六分。去滓。拗口温温灌之。
又方。
羌活（三两细锉） 牛蒡子（一两杵罗为末）
上件药。先以水三大盏。煎羌活。取一大盏半。去滓。入白矾灰一分。搅令匀。每取一
小盏
又方。
桂心（一两） 羌活（一两） 石膏（二两） 甘草（半两生锉） 川升麻（半两） 羚
羊角屑
（半两）
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时
候。
又方。
右以雄雀粪细研。每服。以温水调灌半钱。
The Qi of the Spleen and Lung connects with the throat. The sinews of the Three Yin and Three Yang meridians flank the cheeks and mouth. If Wind-Heat accumulates in the Spleen and Lung, the meridians and collaterals will become obstructed.
For symptoms of throat obstruction, pain, and trismus (lockjaw), Shengma San (Cimicifugae Rhizoma Powder) is indicated.
Chuan Shengma (Cimicifugae Rhizoma, 1 liang), Fangfeng (Saposhnikoviae Radix, 0.5 liang, radix tip removed), Huang Qin (Scutellariae Radix, 0.5 liang, sliced), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, honey-fried until slightly red and sliced), Xixin (Asari Radix et Rhizoma, 1 fen), Huoqiang (Notopterygii Rhizoma et Radix, 0.5 liang).
Crush the above ingredients into a coarse powder. Take 3 qian per dose. Decoct with one zhongzhan (approx. 200ml) of water until reduced to six parts. Strain the dregs. Administer at any time without restriction.
For throat obstruction and trismus caused by Wind-Heat in the Heart and Spleen, Banxia San (Pinellia Powder) is indicated.
Banxia (Pinelliae Rhizoma, 1 liang, washed seven times with hot water to remove slipperiness), Xuanshen (Scrophulariae Radix, 1 liang), Chuan Shengma (Cimicifugae Rhizoma, 1.5 liang), Xijiao Xie (Rhinocerotis Cornu, 1 liang), Heidoupi (Phaseoli Vulgaris Pericarpium, 1 liang), Zhishi (Aurantii Fructus Immaturus, 0.5 liang, pith removed).
Crush the above ingredients into a coarse powder. Take 3 qian per dose. Decoct with one zhongzhan of water, adding 0.5 banfen of Shengjiang (Zingiberis Rhizoma Recens). Reduce to six parts. Strain the dregs. Administer at any time without restriction.
For Heat-Toxin lurking in the Heart and Spleen, attacking the throat, resulting in chest and epigastric fullness and swelling of the mouth leading to trismus, Xuanshen San (Scrophulariae Radix Powder) is indicated.
Xuanshen (Scrophulariae Radix, 1 liang), Niubangzi (Arctii Fructus, 1 liang, lightly stir-fried), Chuan Shengma (Cimicifugae Rhizoma, 1 liang), Muxiang (Aucklandiae Radix, 0.5 liang), Xijiao Xie (Rhinocerotis Cornu, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 1 liang).
Crush the above ingredients into a coarse powder. Take 4 qian per dose. Decoct with one zhongzhan of water until reduced to six parts. Strain the dregs. Administer slowly at any time without restriction.
Formula for throat obstruction and trismus.
Zaojia Zhen (Gleditsiae Sinensis Spina, 1 liang, sliced), Qiu Baidi (Broussonetiae Alba Cortex, 0.5 liang, sliced), Chuanxiong (Ligustici Chuanxiong Rhizoma, 3 fen), Qianghuo (Notopterygii Rhizoma et Radix, 2 fen), Guixin (Cinnamomi Ramulus, 3 fen).
Crush the above ingredients into a coarse powder. Take 3 qian per dose. Decoct with one zhongzhan of water until reduced to six parts. Strain the dregs. Pry open the mouth and administer slowly.
Another formula.
Qianghuo (Notopterygii Rhizoma et Radix, 3 liang, finely sliced), Niubangzi (Arctii Fructus, 1 liang, crushed and sifted into powder).
Take the above ingredients. First, decoct Qianghuo in three large zhongzhan of water until reduced to one and a half zhongzhan. Strain the dregs. Add 1 fen of Baijian Hui (Calx Vitrioli Ash). Stir well. Take one small zhongzhan per dose.
Another formula.
Guixin (Cinnamomi Ramulus, 1 liang), Qianghuo (Notopterygii Rhizoma et Radix, 1 liang), Shigao (Gypsum Fibrosum, 2 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 0.5 liang, raw and sliced), Chuan Shengma (Cimicifugae Rhizoma, 0.5 liang), Lingyangjiao Xie (Saigae Tataricae Cornu, 0.5 liang).
Crush the above ingredients into a coarse powder. Take 3 qian per dose. Decoct with one zhongzhan of water, adding 0.5 banfen of Shengjiang (Zingiberis Rhizoma Recens). Reduce to six parts. Strain the dregs. Administer at any time without restriction.
Another formula.
Finely grind Xiongquefen (Excrement of Male Sparrow). For each dose, mix with warm water and administer 0.5 qian.