（声哑 腮）
两寸脉浮洪而溢者。喉痹也。脉微而伏者死。
内经曰。一阴一阳结。谓之喉痹。一阴者。手少阴君火。心主之脉气也。一阳者。手少
阳相
火。三焦之脉气也。二脉并络于喉。气热则内结。结甚即肿胀。肿胀甚则痹。痹甚则不通而
死矣。夫推原十二经。惟足太阳则下项。其余皆凑于喉咙。然内经何独言一阴一阳结为喉痹
盖君相二火。独胜而热。中络故痛者速也。余谓一言可了者。火也。故十二经中。言嗌干
嗌痛。喉肿颔肿。舌本强。皆君火为之也。惟咽痹急速。相火所为也。夫君火者。犹人火也
相火者。犹龙火也。人火焚木其势缓。龙火焚木其势速。内经之言喉痹。则与咽舌其两间
耳。然其病同于火。故不分也。后之医者。各详其状。强立八名。曰单乳蛾。双乳蛾。子舌
胀。木舌胀。缠喉闭。走马喉闭。热气上行。故传于喉之两旁。近外作肿。以其形似。是谓
乳蛾。一则为单。二则为双。其比乳蛾差小者。名谓之喉闭。热结于舌下。复生小舌子。名
曰子舌胀。热结于舌中。舌为之肿。名曰木舌。强而不柔和也。热结于咽喉。肿绕于外。且
麻且痒。肿而大者。名曰缠喉风。喉痹暴发暴死者。名曰走马喉风。此八种之名虽详。若不归
之火。则相去远矣。其微者可以咸 之。若其大者以辛散之。今之医者。皆有其药也。如薄
荷、乌头、僵蚕、白矾、朴硝、铜绿之类。至于走马喉痹。何恃此乎。生死人反掌之间耳。
其最不误人者。无如砭针出血。血出则病已。易曰。血去惕出。良以此乎。昔余治一妇人。
木舌胀。其舌满口。诸医不愈。余以银针小而锐者。砭之五七度。肿减。三日方平计所出血
几至盈斗。余昔又治一男子。缠喉风肿。表里皆作。药不能下。余用凉药灌于鼻中。下十
余行。外用拔毒散敷之。阳起石烧淬。与伏龙肝。各等分。细末之。以新水扫百遍。三日热
始退。肿始消。又尝治一贵妇喉痹。盖龙火也。虽用凉剂。而不可使冷服。为龙火。宜用火
逐之。人火者。烹饪之火是也。乃使曝于烈日之中。登于高堂之上。令家人携火炉。坐药铫
于上。使药常极热。不至太沸。通口时时呷之。百余次。其火自然而散。此法以热行寒。不
为热而插格故也。大抵治喉痹。用针出血。最为上策。但人畏针。委曲旁求。瞬息丧命。凡
用针而有针创者。宜捣生姜块。调以熟白汤。时时呷之。则创口易合。铜人亦有灸法。然痛
微者可用。速者恐迟则杀人。故治喉痹之人。与救人同。不容少待。内经火郁发之。发谓发
汗。咽喉中岂能有汗。故出血者。乃发汗之一端也。后之君子。毋执小方。而曰吾药不动脏
腑。又妙于出血。若幸遇小疾而获效。不幸遇大病而死矣。毋遗后悔可也。
一论喉痹危急。死在须臾。牙关紧闭。病患大指外边。指甲下根。不问男左女右。用布
针针之。令血出即效。如大势危急。两手大指俱针之。其功尤效。
一论治不测急慢喉痹。肿塞不通。
开关神应散
盆硝（研细四钱） 白僵蚕（微炒去嘴八分） 青黛（八分） 蒲黄（五分） 麝香（一分） 甘
草（八分） 马勃（三分） 片脑（一分）
上各为细末。称足。同研极匀。瓷瓶收贮。如有病症。每用药一钱五分。以新汲水小半
盏。
调和。细细呷咽。如是喉痹。即破出血。便愈。如不是喉痹。自然消散。若是诸般舌胀。用
药半钱。以指蘸药擦在舌上。下咽津唾。如是小儿。一钱作为四五服。亦如前法用。并不计
时候。
勃一名马 。菌也。虚软如紫絮。弹之紫灰出。状如狗肝。生湿地园中久腐处。主恶疮
马疥。敷诸疮。以蜜拌调呷。治痹咽痛。
一咽喉肿痛痰涎壅盛。初起或壮盛人。上焦有实热者可服。
清咽抑火汤
连翘（一钱五分） 片芩（一钱） 栀子（一钱） 薄荷（七分） 防风（一钱） 桔梗（二钱）
朴硝
（一钱） 黄连（一钱） 黄柏（五分） 知母（一钱） 玄参（一钱） 牛蒡子（一钱） 大黄（一钱）
甘草（五分）
上锉一剂。水煎。频频热服。闻生过杨梅疮者。加防风、山豆根二两。
一论虚火上升。喉内生疮。喉闭热毒。最能降火滋阴。
滋阴降火汤
当归（一钱） 川芎（一钱） 白芍（一钱二分） 川黄柏（蜜水炒一钱） 生知母（一钱） 怀
熟地黄（一钱五分） 天花粉（一钱） 生甘草（一钱） 加元参二钱。白桔梗去芦三钱。
上锉一剂。水煎。入竹沥一盏。温服。
一论喉痹肿痛。声哑不出。饮食不下。阴虚。相火上炎。咳嗽痰喘。潮热虚劳等症。内
服此药。外用神仙通隘散。吹之即愈。
滋阴清火汤
怀熟地黄（一钱） 山茱萸（酒蒸去核一钱） 白茯苓（去皮一钱） 山药（一钱） 泽泻（一
钱）
桔梗（二钱） 元参（一钱） 牡丹皮（一钱） 黄柏（用蜜水炒一钱） 天门冬（去心一钱） 麦门
冬（去心一钱） 甘草（一钱）
上锉一剂。水煎。温服。外用硼砂一味。噙化咽下。降痰消毒如神。
一论咽喉肿痛。属素虚弱者。或服凉药过多而作泻者。皆可服。
清上养中汤
小甘草 桔梗（各二钱） 元参 当归 黄芩（各一钱） 陈皮（去白） 白术（去芦） 白茯
苓（去皮） 麦门冬（去心） 连翘（各八分） 人参 防风 金银花（各八分）
上锉一剂。水煎。食远频服。有痰。加贝母。
一论咽喉肿痛。不能言语。或吐或泻。或不食。或四肢冷痹。但可进药。无不愈者。此
从治法也。
通关散
炙甘草（一钱五分） 人参 白术（去芦） 白茯苓（去皮） 桔梗（各二钱） 防风（七分）
薄荷（五分） 荆芥 干姜（炒）
或加大附子（炮各三分）
上锉。水煎。频频与服。
一论喉痹。双单乳蛾。风肿吐咽不下。死在须臾。治一应喉痹之总司也。山豆根为末。
用熊
胆和为丸。用鸡 皮阴干。研末为衣。如绿豆大。每用一丸。放舌上。徐徐咽下。即愈。
一治喉风等症。
起死回生散
蜈蚣（三钱炮存性） 胆矾（一钱） 全蝎（三钱炒存性） 蝉蜕（一钱焙存性） 僵蚕（去丝
嘴一钱炒） 穿山甲（麸炒三钱） 蟾酥（一钱） 乳香（五分） 川乌（一钱）
上为细末。每服一钱五分。或二钱。小儿每服一分或六七厘。用葱头捣烂。和药。酒送
下。出汗为度。如口不开。灌服。忌猪羊油鸡面七日。
一论单乳蛾、双乳蛾、喉风、喉痹肿痛。水浆不入。死在须臾。宾崇周 家试验。
胆矾（一钱五分） 硼砂（一钱八分） 鸡内金（制过二钱） 枯白矾（二钱） 百草霜（三钱
以众末黑为度）
上各为细末。用绢罗过。用中指盛药。按上患处。入噙。令痰多去。后用薄荷汤漱口。
如甚。
将鹅翎削尖。刺破。用药按上。或用鹅毛蘸醋带药刷上。满口刷搅。引痰出尽。即愈。一方
加熊胆五分。更效。
一论喉风肿痛几死。双桥周 家屡验。
茶子 霜梅 酽醋
上三味。研烂去渣。将药汁蘸扫咽喉。实时吐痰而愈。
一论喉痹肿痛。汤水不下。死在须臾。用此一吹即活。
牛黄（二钱） 硼砂（一钱） 雄黄（三分）
上为细末。每用一分五厘。吹入喉内。即愈。
一论喉痹肿痛。车左源传效。
郁金（一钱） 雄黄（五分） 巴豆肉（去壳四个两个生用两个用猪油包裹灯上烧热存性）
上为末。三味搅匀。每用一分二厘。入竹筒内。吹患处。小儿用六厘。
一治喉闭风闭难治者。猪牙皂角一条。用蜜调和。水煎。如急。立服。缓则露一宿。尤
妙。倘如口紧者。撬开灌之。将危者即苏。
一治喉风危急。用大黄为末。竹筒盛之。安青鱼胆七个入末。待干。研末听用。遇患喉
痹。吹入鼻中或喉中。立效。
一论时气缠喉。入喉肿塞。水谷不下。牙关紧闭。不省人事。
神应散
雄黄 枯矾 藜芦（生用） 牙皂（炙黄）
上各等分。为末。每用豆大一粒。吹鼻内。吐痰神效。
一论喉痹乳蛾。咽喉肿痛。汤水不入。死在须臾之急。巴豆去谷。捣为末。入细辛末少
许
同研匀。卷在纸内。中间剪断。如左患塞右鼻。如右患塞左鼻孔中。双肿左右相替塞之。
咽喉立开如神。
一论喉痹肿痛。水浆不入。死在须臾。（扶满刘汇昆传）先用皂角、细辛为末擦牙。次用
陈盐
松菜烧灰。霜梅肉、生艾叶擂烂。同扎于筷头上。蘸喉数次。吐痰尽。即食百沸汤。食后。
用米粥调服。
一治咽喉肿痛。
百药煎 硼砂 甘草 生白矾（各等分）
上四味。为细末。每服一钱。食后。用米汤调。细细呷下。
一论缠喉肿痛。皂角为末。用醋调涂外颈上。干则易。其乳蛾即破而愈。
一论喉风肿痛。不可忍者。霜梅五个或七个去核。白矾一两。研烂。用好醋一碗。入药
同煮
以矾化为度。待温。用筷扎绵缴齿上下至喉。先缴牙外。自外而缴至舌下。自舌下又缴至
舌上。缴至喉。其痰自然涌出。
痰带丝者即愈。无丝者丝断不治。
一论喉痹壅塞不通。用红蓝花捣绞。取汁一小钟服之。以瘥为度。如冬月无湿花。可浸
干者。绞取浓汁如前。服之有效。
一论咽喉肿痛。
吹喉散 周印池传。
牙硝（一两五钱） 硼砂（五钱） 雄黄（二钱） 僵蚕（一钱） 冰片（二分）
上为细末。每用少许。吹喉立效。
一治咽喉肿痛。水吞不下。用青盐、白矾、硼砂各等分。为末。吹患处。有痰吐出而愈
一治咽喉肿痛。水浆不入。死在须臾。用真蟾酥为末。用筷头点入对嘴上。实时消散。
其效速如风。
一论久嗽喉痛。
小太平丸
人参（二分） 五味子（三分） 天门冬（去心五分） 麦门冬（去心二钱） 玄参（八分） 徽
墨（三分）
上为细末。炼蜜为丸。噙化下。痰甚。加贝母。
一论劳役过伤。忽咽喉肿闭。不省人事。喘促痰涌。汗出如水。肢体痿软。脉浮大而数
此饮食劳役。无根虚火上促也。补中益气汤（方见内伤）根据本方加肉桂。顿苏。
一论咽喉肿痛。口舌生疮。劳则愈甚。此脾肺气虚。膀胱有热也。补中益气汤（方见内
伤）根据本方加元参、酒炒黄柏、知母。稍愈。去知、柏。加山药、山茱萸。
一论咽喉肿痛。服凉药过多。或过劳。痛愈甚。此中气虚热也。补中益气汤（方见内伤）
根据本方加炒芩、连。
一论积热上攻。痰涎壅塞。喉痛声哑。肿痛难禁。
上宫清化丸 内阁秘传。
黄连（去毛六钱） 桔梗（去芦六钱） 山豆根（四钱） 粉草（四钱） 薄荷叶（一钱） 白硼
砂（六分）
上为细末。炼蜜为丸。如芡实大。时常噙化。
一论喉痛有痰。声哑。
薄荷（二两） 细茶（一两） 白硼砂（七钱） 乌梅肉（二十一个） 贝母（二钱） 冰片（三
分） 孩儿茶（五钱）
上为细末。炼蜜为丸。如皂角子大。每噙化下。
一论声哑。
甘草 乌梅 桔梗 乌药
上锉。水煎。温服。
一治出声音方。
诃子（炮去核一两） 木香（一两） 甘草（五钱）
上锉。水煎。入生地黄汁一合。再煎数沸。放温。分六服。每食后。日进半料。
一论声嘶失音。
铁笛丸
当归（酒洗一两） 怀熟地黄（一两） 怀生地黄（一两） 天门冬（去心盐炒五钱） 黄柏（
蜜炒
一两） 知母（五钱） 麦门冬（去心盐炒五钱） 玄参（三钱） 白茯苓（去皮一两） 诃子（五钱
）阿胶（炒五钱） 人乳（一碗） 牛乳（一碗） 乌梅肉（十五个） 甜梨汁（一碗）
上为细末。炼蜜为丸。如黄豆大。每服八九十丸。诃子汤下。萝卜汤亦可。
一治失音。用槐花新瓦上炒熟。怀之。随处细嚼一二粒。久久自愈。
一治失音。用生白矾。炼蜜为丸服效。
一治声哑失音不出。用猪板油切烂。入蜜内重汤煮熟食之。
一论 腮肿痛。
防风 荆芥 羌活 连翘 牛蒡子 甘草（各等分）
上锉。水煎服。外用赤小豆末。醋调敷。恐毒瓦斯入喉难治。
一方。用锻石不拘多少。炒七次。地下放七次。醋调。涂肿处立愈。
一论 腮疙瘩肿痛。及吹乳。
南薄荷（三钱） 斑蝥（去翅足炒三分）
上为细末。每服一分。烧酒调下。立消。服药后。小便频数。服益元散一服。
一治卒喉中生肉。以棉裹筷头蘸盐。指肉上。日六七度易。
一人患喉闭。以防风通圣散治之。肿不能咽。此症须针之无奈牙关已闭。遂刺少商穴出
血。口即开。更以胆矾入患处。
吐痰一二碗许。仍投药乃愈。尝见患此疾者。畏针不刺。多毙。少商穴在手大指内侧。
去爪角如韭叶许。
一人喉闭。肿痛寒热。脉洪数。此少阴心火。少阳相火。二经为病。其症最恶。惟刺患
处出
血为上。因彼畏针。先以凉膈散服之。药从鼻出。急乃愿刺。则牙关已紧。不可针。遂刺少
商二穴。以手勒去黑血。口开。仍刺喉间。治以前药。及前吹喉散吹之。顿愈。又以人参败
(Sound hoarseness, Mumps)
When the Cun (Inch) pulses of both hands are floating, surging, and overflowing, it is Hou Bi (Throat Obstruction). If the pulse is faint and sunken, the prognosis is fatal.
The *Nei Jing* (Inner Canon) states: "When one Yin and one Yang knot, it is called Hou Bi." The term "one Yin" refers to the Hand Shaoyin Jun Huo (Ministerial Fire), which is the pulse qi of the Pericardium. The term "one Yang" refers to the Hand Shaoyang Xiang Huo (Ministerial Fire), which is the pulse qi of the San Jiao (Triple Burner). These two meridians both connect to the throat. If Qi becomes hot, it knots internally; severe knotting leads to swelling; severe swelling leads to obstruction; severe obstruction leads to death. Investigating the twelve meridians, only the Foot Taiyang Bladder Meridian descends to the nape, while the others converge at the throat. Why does the *Nei Jing* specifically state that the knotting of one Yin and one Yang causes Hou Bi? This is because Jun Huo and Xiang Huo prevail exclusively with heat, attacking the collaterals, so pain arises rapidly. I believe this can be summarized in one word: Fire. Therefore, among the twelve meridians, symptoms such as dry throat, sore throat, swollen throat, swollen jaw, and stiff tongue base are all caused by Jun Huo. Only the rapid onset of throat obstruction is caused by Xiang Huo. Jun Huo is like human fire; Xiang Huo is like dragon fire. Human fire burning wood has a slow momentum; dragon fire burning wood has a rapid momentum. The Hou Bi mentioned in the *Nei Jing* lies between the pharynx and the tongue. Since the pathology is the same regarding fire, no distinction is made. Later physicians detailed various conditions and arbitrarily established eight names: Dan Ru E (Unilateral Tonsillitis), Shuang Ru E (Bilateral Tonsillitis), Zi She Zhang (Sublingual Swelling), Mu She Zhang (Wooden Tongue), Chan Hou Bi (Entangling Throat Obstruction), and Zou Ma Hou Bi (Racing Horse Throat Obstruction). Rising heat transmits to both sides of the throat, causing external swelling. Due to its shape resembling a swallow's breast, it is called Ru E. One side is Dan (Single); both sides are Shuang (Double). Those slightly smaller than Ru E are called Hou Bi. Heat knotting under the tongue generates a small secondary tongue, called Zi She Zhang. Heat knotting in the middle of the tongue causes it to swell, called Mu She Zhang, which is stiff and not flexible. Heat knotting in the throat causes swelling around the exterior, accompanied by numbness and itching; if the swelling is large, it is called Chan Hou Feng (Entangling Throat Wind). Sudden onset and death in Hou Bi is called Zou Ma Hou Feng (Racing Horse Throat Wind). Although these eight names are detailed, if they are not attributed to Fire, they deviate significantly from the root cause. Mild cases can be treated with salty substances to soften hardness; severe cases require acrid substances to disperse. Current physicians possess herbs such as Bo He (Menthae Haplocalycis Herba), Wu Tou (Aconiti Radix), Jiang Can (Bombyx Batryticatus), Bai Fan (Alumen), Pu Xiao (Natrii Sulfas), and Tong Lv (Chalcanthum). However, for Zou Ma Hou Bi, reliance on these is insufficient. Life and death hang in the balance. The method least likely to cause error is Bian Zhen (Bloodletting with a stone needle or three-edged needle). When blood flows, the disease resolves. The *I Ching* (Book of Changes) says, "When blood leaves, fear departs," which likely refers to this principle. Once, I treated a woman with Mu She Zhang whose tongue filled her mouth. Other physicians failed. I used a small, sharp silver needle to puncture the area five to seven times. The swelling subsided and resolved completely in three days. The blood loss amounted to nearly a dou (a unit of volume). Previously, I treated a man with Chan Hou Feng swelling, where both interior and exterior were affected, and medicine could not be swallowed. I administered cold medicine via nasal instillation, resulting in more than ten bowel movements, and applied Ba Du San (Detoxication Powder) externally. Yang Qi Shi (Stibnite) was calcined and quenched, mixed with an equal amount of Fu Long Gan (Dragon's House Earth), ground into fine powder, and stirred one hundred times with fresh water. After three days, the heat receded and swelling subsided. I also treated a noblewoman with Hou Bi, which was Dragon Fire. Although cold formulas were used, they must not be taken cold. Dragon Fire should be driven out by fire. Human fire refers to cooking fire. I had her stand in the scorching sun and ascend to a high hall. Family members carried a brazier, placing the medicine pot on top to keep the decoction extremely hot but not boiling. She sipped it continuously through the mouth over one hundred times. The fire dispersed naturally. This method uses heat to move cold, avoiding rejection by heat. Generally, using needles to bleed is the best strategy for treating Hou Bi. However, people fear needles and seek alternative methods, leading to sudden death. For any needle wound, crushed ginger block mixed with boiled water should be sipped frequently to promote healing. The *Tong Ren* (Bronze Man) texts also describe moxibustion, but it is suitable only for mild pain; for rapid-onset cases, delay may be fatal. Treating Hou Bi is akin to saving lives; there is no room for hesitation. The *Nei Jing* states, "For constrained fire, release it." "Release" refers to sweating. How can there be sweat in the throat? Thus, bleeding is a form of releasing sweat. Future scholars should not cling to minor prescriptions claiming they do not affect the viscera and excel at bleeding. If fortunate to encounter minor illnesses and achieve success, but unfortunate to encounter major illnesses and die, do not leave regrets.
Discussion on critical Hou Bi, where death occurs in an instant, with locked jaws. On the outer side of the patient's thumb, at the root under the nail, regardless of gender (left for males, right for females), use a cloth-wrapped needle to prick until blood flows for immediate effect. In critical cases, prick both thumbs for greater efficacy.
Discussion on treating unpredictable acute and chronic Hou Bi with swelling and obstruction.
Kai Guan Shen Ying San (Opening the Gate Divine Response Powder)
Pan Xiao (Refined Natrii Sulfas, four qian, finely ground)
Bai Jiang Can (Silkworm, eight fen, lightly stir-fried, whiskers removed)
Qing Dai (Indigo Naturalis, eight fen)
Pu Huang (Typhae Pollen, five fen)
She Xiang (Musk, one fen)
Gan Cao (Licorice Root, eight fen)
Ma Bo (Lycoperdon, three fen)
Pian Nao (Borneol, one fen)
Grind each herb into fine powder, weigh accurately, mix thoroughly, and store in a porcelain bottle. For symptoms, take 1.5 qian of the powder, mix with half a small cup of fresh well water, and sip slowly. If it is Hou Bi, it will break and bleed, then heal. If not Hou Bi, it will dissipate naturally. For various tongue swellings, use 0.5 qian, dip finger in powder, rub on tongue, and swallow saliva. For children, divide 1 qian into four or five doses, following the same method, without regard to timing.
Bo (also known as Ma Bo), a fungus. It is soft like purple cotton; when bounced, purple-gray dust emerges. It resembles a dog's liver and grows in damp, decaying garden areas. It treats malignant sores and horse mange. Apply to sores, mix with honey, and sip to treat throat obstruction and pain.
Discussion on sore and swollen throat with abundant phlegm-saliva. Suitable for initial stages or robust individuals with excess heat in the Upper Jiao.
Qing Yan Yi Huo Tang (Clear Throat Suppress Fire Decoction)
Lian Qiao (Forsythia Fruit, 1.5 qian)
Pian Qin (Scutellaria Root, 1 qian)
Zhi Zi (Gardenia Fruit, 1 qian)
Bo He (Mint, 7 fen)
Fang Feng (Saposhnikovia Root, 1 qian)
Jie Geng (Platycodon Root, 2 qian)
Pu Xiao (Natrii Sulfas, 1 qian)
Huang Lian (Coptis Rhizome, 1 qian)
Huang Bai (Phellodendron Bark, 5 fen)
Zhi Mu (Anemarrhena Rhizome, 1 qian)
Xuan Shen (Scrophularia Root, 1 qian)
Niu Bang Zi (Arctii Fructus, 1 qian)
Da Huang (Rhubarb Root, 1 qian)
Gan Cao (Licorice Root, 5 fen)
Decoct one dose in water. Take frequently while hot. For those who have smelled Meiyang Chuang (Syphilis-related sores), add Fang Feng and Shan Dou Gen (Sophorae Tonkinensis Radix) in equal amounts of two liang.
Discussion on rising deficiency fire, ulcers inside the throat, and heat toxicity in throat closure. This formula best reduces fire and nourishes yin.
Zi Yin Jiang Huo Tang (Nourish Yin Reduce Fire Decoction)
Dang Gui (Angelica Sinensis, 1 qian)
Chuan Xiong (Ligusticum Chuanxiong, 1 qian)
Bai Shao (White Peony Root, 1.2 qian)
Chuan Huang Bai (Phellodendron Bark, 1 qian, stir-fried with honey water)
Sheng Zhi Mu (Anemarrhena Rhizome, 1 qian)
Huai Shu Di Huang (Rehmannia Glutinosa Prepared Root, 1.5 qian)
Tian Hua Fen (Trichosanthes Root, 1 qian)
Sheng Gan Cao (Licorice Root, 1 qian)
Add Yuan Shen (Scrophularia Root) 2 qian, Bai Jie Geng (Platycodon Root, de-wooled) 3 qian.
Decoct one dose in water. Add Zhu Li (Bamboo Sap) one zhan. Take warm.
Discussion on Hou Bi with swelling, pain, hoarseness, inability to eat or drink. Deficiency of Yin, rising Ministerial Fire, cough with phlegm-wheezing, tidal fever, consumptive disease, etc. Internal administration of this medicine, combined with external application of Shen Xian Tong Ai San (Divine Master Unblocking Powder) blown into the throat, results in immediate cure.
Zi Yin Qing Huo Tang (Nourish Yin Clear Fire Decoction)
Huai Shu Di Huang (Prepared Rehmannia Root, 1 qian)
Shan Zhu Yu (Cornus Fruit, wine-steamed, pitted, 1 qian)
Bai Fu Ling (Poria, peeled, 1 qian)
Shan Yao (Dioscorea Rhizome, 1 qian)
Ze Xie (Alisma Rhizome, 1 qian)
Jie Geng (Platycodon Root, 2 qian)
Yuan Shen (Scrophularia Root, 1 qian)
Mu Dan Pi (Moutan Cortex, 1 qian)
Huang Bai (Phellodendron Bark, 1 qian, stir-fried with honey water)
Tian Men Dong (Asparagus Tuber, de-core, 1 qian)
Mai Men Dong (Ophiopogon Tuber, de-core, 1 qian)
Gan Cao (Licorice Root, 1 qian)
Decoct one dose in water. Take warm. Externally, use Peng Sha (Borax) alone, hold in mouth and swallow to reduce phlegm and detoxify miraculously.
Discussion on sore and swollen throat in constitutionally weak individuals, or those who developed diarrhea from excessive cold medicine. All can take this.
Qing Shang Yang Zhong Tang (Clear Upper Nourish Middle Decoction)
Xiao Gan Cao (Small Licorice Root) 2 qian
Jie Geng (Platycodon Root) 2 qian
Yuan Shen (Scrophularia Root) 1 qian
Dang Gui (Angelica Sinensis) 1 qian
Huang Qin (Scutellaria Root) 1 qian
Chen Pi (Citrus Peel, white part removed)
Bai Zhu (Atractylodes Rhizome, de-wool)
Bai Fu Ling (Poria, peeled)
Mai Men Dong (Ophiopogon Tuber, de-core)
Lian Qiao (Forsythia Fruit) 8 fen
Ren Shen (Ginseng Root) 8 fen
Fang Feng (Saposhnikovia Root) 8 fen
Jin Yin Hua (Lonicera Flower) 8 fen
Decoct one dose in water. Take frequently after meals. Add Bei Mu (Fritillaria Bulb) if there is phlegm.
Discussion on sore and swollen throat, inability to speak, vomiting or diarrhea, anorexia, or cold paralysis of limbs. As long as medicine can be taken, cure is certain. This is the "following treatment" method.
Tong Guan San (Unlocking the Gate Powder)
Zhi Gan Cao (Honey-fried Licorice Root) 1.5 qian
Ren Shen (Ginseng Root) 2 qian
Bai Zhu (Atractylodes Rhizome, de-wool) 2 qian
Bai Fu Ling (Poria, peeled) 2 qian
Jie Geng (Platycodon Root) 2 qian
Fang Feng (Saposhnikovia Root) 7 fen
Bo He (Mint) 5 fen
Jing Jie (Schizonepeta Spike)
Gan Jiang (Dried Ginger, stir-fried)
Optionally add Da Fu Zi (Prepared Aconite Child Root) 3 fen.
Decoct in water. Take frequently.
Discussion on Hou Bi, unilateral/bilateral tonsillitis, wind-swelling preventing swallowing, death imminent. This is the general prescription for all Hou Bi. Shan Dou Gen (Sophorae Tonkinensis Radix) powder mixed with Xiong Dan (Bear Bile) into pills, coated with dried chicken skin powder, size of mung beans. Place one pill on the tongue and swallow slowly for cure.
Treatment for Hou Feng (Throat Wind) and similar conditions.
Qi Si Hui Sheng San (Revive the Dead Restore Life Powder)
Wu Gong (Centipede, 3 qian, processed to retain nature)
Dan Fan (Chalcanthum, 1 qian)
Quan Xie (Scorpion, 3 qian, stir-fried to retain nature)
Chan Tui (Cicada Slough, 1 qian, baked to retain nature)
Jiang Can (Silkworm, 1 qian, stir-fried, silk/whiskers removed)
Chuan Shan Jia (Pangolin Scales, 3 qian, bran-fried)
Chan Su (Toad Venom, 1 qian)
Ru Xiang (Frankincense, 5 fen)
Chuan Wu (Aconitum Carmichaelii Root, 1 qian)
Grind into fine powder. Take 1.5–2 qian per dose. Children take 1 fen or 6–7 li. Mix with mashed green onion head, administer with wine. Stop when sweating occurs. If mouth is closed, force-feed. Avoid pork, mutton oil, chicken, and wheat noodles for seven days.
Discussion on unilateral/bilateral tonsillitis, throat wind, Hou Bi swelling/pain, inability to swallow fluids, death imminent. Tested by Bin Chongzhou's family.
Dan Fan (Chalcanthum) 1.5 qian
Peng Sha (Borax) 1.8 qian
Ji Nei Jin (Chicken Gizzard Membrane, processed) 2 qian
Ku Bai Fan (Calcined Alum) 2 qian
Bai Cao Shuang (Soot from Chimney) 3 qian (until other powders turn black)
Grind each into fine powder, sieve through silk. Use middle finger to apply medicine to the affected area, hold in mouth to induce phlegm discharge. Rinse with Bo He (Mint) tea afterwards. If severe, sharpen a goose feather quill, pierce the swelling, apply medicine, or dip goose feather in vinegar with medicine to brush the mouth, drawing out all phlegm for cure. Adding Xiong Dan (Bear Bile) 5 fen enhances efficacy.
Discussion on severe throat wind swelling nearing death. Tested repeatedly by Shuangqiao Zhou's family.
Cha Zi (Tea Seeds)
Shuang Mei (Preserved Plum)
Yan Cu (Strong Vinegar)
Grind the three ingredients, remove dregs. Dip medicine juice to sweep the throat. Phlegm expectorated immediately, leading to cure.
Discussion on Hou Bi swelling/pain, inability to swallow soup/water, death imminent. Blow this powder for immediate revival.
Niu Huang (Calculus Bovis) 2 qian
Peng Sha (Borax) 1 qian
Xiong Huang (Realgar) 3 fen
Grind into fine powder. Use 1.5 li per dose, blow into throat for cure.
Discussion on Hou Bi swelling/pain. Effective transmission from Che Zuoyuan.
Yu Jin (Curcuma Radix) 1 qian
Xiong Huang (Realgar) 5 fen
Ba Dou Rou (Croton Seed Kernel) 4 kernels (2 raw, 2 wrapped in pig lard, heated over lamp to retain nature)
Grind into powder, mix evenly. Use 1.2 li per dose, put in bamboo tube, blow onto affected area. Children use 6 li.
Treatment for difficult cases of throat closure and wind closure. One strip of Zhu Ya Zao Jiao (Gleditsia Sinensis Fruit), mix with honey, decoct in water. Take immediately if urgent; if not urgent, expose overnight for better effect. If mouth is tightly closed, pry open and administer. Critical patients will revive.
Treatment for critical throat wind. Grind Da Huang (Rhubarb Root) into powder, place in bamboo tube. Insert seven Qing Yu Dan (Green Fish Gallbladders) into the powder. Dry, grind into powder for use. Upon Hou Bi attack, blow into nose or throat for immediate effect.
Discussion on epidemic Qi entangling throat, internal swelling/blockage, inability to eat/drink, locked jaw, unconsciousness.
Shen Ying San (Divine Response Powder)
Xiong Huang (Realgar)
Ku Fan (Calcined Alum)
Li Lu (Veratrum Root, raw)
Ya Zao (Gleditsia Sinensis Fruit, honey-fried yellow)
Equal parts, grind into powder. Use one bean-sized grain, blow into nose. Miraculous effect in expelling phlegm.
Discussion on Hou Bi and tonsillitis, severe throat swelling/pain, inability to swallow, death imminent. Remove seeds from Ba Dou (Croton Seed), grind to powder, mix with small amount of Xi Xin (Asarum Root) powder. Roll in paper, cut in middle. If left side blocked, stuff right nostril; if right side blocked, stuff left nostril. For bilateral swelling, alternate stuffing nostrils. Throat opens immediately like magic.
Discussion on Hou Bi swelling/pain, inability to swallow, death imminent. (Transmission from Liu Huikun of Fuman). First, rub teeth with powder of Zao Jiao (Gleditsia Fruit) and Xi Xin (Asarum Root). Second, burn Chen Yan (Aged Salt) and Song Cai (Pine Needles) to ash. Mash Shuang Mei (Preserved Plum) meat and Sheng Ai Ye (Fresh Mugwort Leaf). Tie mixture to chopstick tip, dip in throat several times to expel phlegm. Then drink boiling water. After eating, take with rice gruel.
Treatment for sore and swollen throat.
Bai Yao Jian (Fermented Tea Pill)
Peng Sha (Borax)
Gan Cao (Licorice Root)
Sheng Bai Fan (Raw Alum)
Equal parts. Grind into fine powder. Take 1 qian after meals, mix with rice water, sip slowly.
Discussion on entangling throat swelling. Zao Jiao (Gleditsia Fruit) powder mixed with vinegar, applied to outer neck. Change when dry. Tonsillitis breaks and heals.
Discussion on unbearable throat wind swelling/pain. Five or seven Shuang Mei (Preserved Plums), pitted. One liang Bai Fan (Alum). Grind together. Add one bowl of good vinegar, boil until alum dissolves. Cool. Wrap cotton around chopstick, wipe upper and lower teeth down to throat. Wipe outside teeth first, then to sublingual area, then to tongue surface, then to throat. Phlegm naturally gushes out. Cure if phlegm has threads; if threads break, untreatable.
Discussion on Hou Bi blockage. Crush Hong Lan Hua (Safflower), squeeze juice, take one small cup. Continue until cured. In winter without fresh flowers, soak dried ones, squeeze thick juice, take for effectiveness.
Discussion on sore and swollen throat.
Chui Hou San (Blow Throat Powder). Transmission from Zhou Yunchi.
Ya Xiao (Saltpeter) 1.5 liang
Peng Sha (Borax) 5 qian
Xiong Huang (Realgar) 2 qian
Jiang Can (Silkworm) 1 qian
Bing Pian (Borneol) 2 fen
Grind into fine powder. Use small amount, blow into throat for immediate effect.
Treatment for sore and swollen throat, inability to swallow water. Equal parts Qing Yan (Blue Salt), Bai Fan (Alum), Peng Sha (Borax). Grind to powder, blow onto affected area. Cure upon phlegm expulsion.
Treatment for sore and swollen throat, inability to swallow, death imminent. Use real Chan Su (Toad Venom) powder. Dab on opposite corner of mouth with chopstick tip. Dissipates instantly. Effect as fast as wind.
Discussion on chronic cough and throat pain.
Xiao Tai Ping Wan (Minor Great Peace Pill)
Ren Shen (Ginseng Root) 2 fen
Wu Wei Zi (Schisandra Berry) 3 fen
Tian Men Dong (Asparagus Tuber, de-core) 5 fen
Mai Men Dong (Ophiopogon Tuber, de-core) 2 qian
Xuan Shen (Scrophularia Root) 8 fen
Hui Mo (Huizhou Ink) 3 fen
Grind into powder, make pills with refined honey. Hold in mouth to dissolve. Add Bei Mu (Fritillaria Bulb) if heavy phlegm.
Discussion on injury from overwork, sudden throat swelling/closure, unconsciousness, panting with phlegm surge, profuse sweating, limb flaccidity, floating-large-rapid pulse. This is rootless deficiency fire urged by diet and labor. Bu Zhong Yi Qi Tang (Tonify the Middle Augment the Qi Decoction - see Internal Injury chapter), add Rou Gui (Cinnamon Bark) to this formula. Immediate recovery.
Discussion on sore/swollen throat, mouth/tongue ulcers, worsening with exertion. Spleen/Lung Qi deficiency with Bladder heat. Bu Zhong Yi Qi Tang (Tonify the Middle Augment the Qi Decoction - see Internal Injury chapter), add Yuan Shen (Scrophularia Root), Jiu Chao Huang Bai (Phellodendron Bark, wine-fried), Zhi Mu (Anemarrhena Rhizome). Slight improvement. Remove Zhi Mu/Bai, add Shan Yao (Dioscorea Rhizome), Shan Zhu Yu (Cornus Fruit).
Discussion on sore/swollen throat, worsening after excessive cold medicine or overwork. Middle Qi deficiency with heat. Bu Zhong Yi Qi Tang (Tonify the Middle Augment the Qi Decoction - see Internal Injury chapter), add Chao Huang Qin (Scutellaria Root, stir-fried), Chao Huang Lian (Coptis Rhizome, stir-fried).
Discussion on accumulated heat attacking upward, phlegm-saliva blockage, throat pain, hoarseness, unbearable swelling/pain.
Shang Gong Qing Hua Wan (Upper Palace Clear Transform Pill). Secret transmission from Cabinet.
Huang Lian (Coptis Rhizome, de-hairs) 6 qian
Jie Geng (Platycodon Root, de-wool) 6 qian
Shan Dou Gen (Sophorae Tonkinensis Radix) 4 qian
Fen Cao (Licorice Root) 4 qian
Bo He Ye (Mint Leaf) 1 qian
Bai Peng Sha (White Borax) 6 fen
Grind into powder, make pills with refined honey, size of Chinese Quince seed. Hold in mouth frequently.
Discussion on throat pain with phlegm, hoarseness.
Bo He (Mint) 2 liang
Xi Cha (Fine Tea) 1 liang
Bai Peng Sha (White Borax) 7 qian
Wu Mei Rou (Dark Plum Meat) 21 pieces
Bei Mu (Fritillaria Bulb) 2 qian
Bing Pian (Borneol) 3 fen
Hai Er Cha (Child's Tea/Catechu) 5 qian
Grind into powder, make pills with refined honey, size of Sophora seed. Hold in mouth to dissolve per dose.
Discussion on hoarseness.
Gan Cao (Licorice Root)
Wu Mei (Dark Plum)
Jie Geng (Platycodon Root)
Wu Yao (Lindera Root)
Decoct in water, take warm.
Formula for restoring voice.
He Zi (Chebulic Myrobalan, processed, pitted) 1 liang
Mu Xiang (Costus Root) 1 liang
Gan Cao (Licorice Root) 5 qian
Decoct in water. Add Sheng Di Huang Zhi (Rehmannia Juice) one he. Boil a few more times. Cool. Divide into six doses. Take half portion after each meal daily.
Discussion on hoarseness and aphonia.
Tie Di Wan (Iron Flute Pill)
Dang Gui (Angelica Sinensis, wine-washed) 1 liang
Huai Shu Di Huang (Prepared Rehmannia Root) 1 liang
Huai Sheng Di Huang (Raw Rehmannia Root) 1 liang
Tian Men Dong (Asparagus Tuber, salt-stir-fried, de-core) 5 qian
Huang Bai (Phellodendron Bark, honey-stir-fried) 1 liang
Zhi Mu (Anemarrhena Rhizome) 5 qian
Mai Men Dong (Ophiopogon Tuber, salt-stir-fried, de-core) 5 qian
Xuan Shen (Scrophularia Root) 3 qian
Bai Fu Ling (Poria, peeled) 1 liang
He Zi (Chebulic Myrobalan) 5 qian
E Jiao (Donkey-hide Gelatin, fried) 5 qian
Ren Ru (Human Milk) 1 bowl
Niu Ru (Cow Milk) 1 bowl
Wu Mei Rou (Dark Plum Meat) 15 pieces
Tian Li Zhi (Sweet Pear Juice) 1 bowl
Grind into powder, make pills with refined honey, size of soybean. Take 80–90 pills per dose, wash down with He Zi (Chebulic Myrobalan) decoction or Radish Soup.
Treatment for aphonia. Stir-fry Huai Hua (Sophora Flower) on new tile until cooked. Hold in mouth, chew 1–2 grains slowly. Self-heals over time.
Treatment for aphonia. Use Sheng Bai Fan (Raw Alum), make pills with refined honey for effective cure.
Treatment for hoarseness/aphonia. Cut Zhu Ban You (Pork Back Fat) finely, cook in honey over double boiler, eat.
Discussion on mumps swelling/pain.
Fang Feng (Saposhnikovia Root)
Jing Jie (Schizonepeta Spike)
Qiang Huo (Notopterygium Rhizome)
Lian Qiao (Forsythia Fruit)
Niu Bang Zi (Arctii Fructus)
Gan Cao (Licorice Root)
Equal parts. Decoct in water, take orally. Externally, apply Chi Xiao Dou (Adzuki Bean) powder mixed with vinegar to swelling. Fear toxic vapors entering throat making it hard to treat.
Another formula: Use Duan Shi (Burnt Lime) arbitrary amount, fry seven times, place on ground seven times. Mix with vinegar, apply to swelling for immediate cure.
Discussion on mumps nodules swelling/pain, and Chui Ru (Breast Blowing/Abscess).
Nan Bo He (Southern Mint) 3 qian
Ban Mao (Meloides Beetle, wings/legs removed, stir-fried) 3 fen
Grind into fine powder. Take 1 fen, mix with Shao Jiu (Baijiu) for immediate resolution. Frequent urination after taking medicine; take Yi Yuan San (Benefit Origin Powder) once.
Treatment for sudden flesh growth in throat. Wrap chopstick tip with cotton, dip in salt, touch flesh. Change 6–7 times daily.
One case of throat closure treated with Fang Feng Tong Sheng San (Saposhnikovia Releasing the Exterior and Purging the Interior Decoction). Swelling prevented swallowing. Needling required, but jaw locked. Pricked Shao Shang (LU-11) point to bleed. Mouth opened. Applied Dan Fan (Chalcanthum) to lesion. Expelled 1–2 bowls of phlegm. Continued medication for cure. Observed many patients fearing needles died. Shao Shang is on the medial side of the thumb, distance from nail corner like a leek leaf width.
One case of throat closure with swelling, pain, chills, fever, surging-rapid pulse. Pathology of Shaoyin Heart Fire and Shaoyang Ministerial Fire. Most severe condition. Best to bleed the lesion. Patient feared needles. Initially gave Liang Ge San (Cool the Chest Powder). Medicine regurgitated from nose. Urged needling, but jaw locked. Pricked both Shao Shang points, squeezed out dark blood. Mouth opened. Pricked throat, treated with previous medicine and Chui Hou San (Blow Throat Powder). Immediate cure. Then used Ren Shen Bai...