《千金翼》治尸咽语声不出方。
干姜(十两,末之) 酒 酥(各一升)
上三味,酒二合,酥一匙,姜末一钱匕和服之。日三,食后服。亦治肺病。
《千金翼》治尸咽,咽中痒痛,吐之不出,咽之不入,如中虫毒方。
上含生姜,五十日瘥。
《千金翼》治噎方。
上酥、蜜、生姜汁合一升,微火煎二沸。每服两枣许,内酒中温服。
《千金翼》又方
上以手巾布裹舂头糠,拭齿。
《巢氏病源》小儿喉痹候∶候痹是风毒之气客于咽喉之间,与血气相搏而结肿塞。饮粥不下,乃成脓血。若
毒入心,心即烦闷懊 ,不可堪忍,如此者死。
《婴童宝鉴》小儿候痹、马痹歌∶
热毒喉中结作痈,名为喉痹食难通∶马痹颔间生肿痛,盛邪心烦命也终。
《玉诀》小儿咽肿喉闭候歌∶
咽喉肿闭肺家殃,积热于中舌有伤;风盛气攻丹肿毒,却愁生出脑疳疮。
此患,先解利宣泄脏腑,压热调气即安也。
《千金》治小儿喉痹肿方。
上用鱼胆二七枚,以和灶底土涂之,瘥止。(《圣惠》用鲩鱼胆。)
《千金》治小儿喉痹肿方。
桂心 杏仁(各半两)
上二味末之。绵裹如枣大,含咽汁。
《千金》∶凡卒喉痹不得语,服小续命汤加杏仁一两。喉咙者,脾胃之候。若脏热喉则肿塞,神气不通,乌 膏
主之方。
生乌 (十两) 升麻(三两) 羚羊角 芍药 木通(各二两) 蔷薇根(切,一升) 艾叶(六铢,生者尤佳)
生地黄(切,一五合) 猪脂(二斤)
上九味 咀,绵裹,苦酒一升,淹浸一宿,内猪脂中,微火煎,取苦酒尽,不鸣为度,去滓。薄绵裹膏似
大杏仁,内喉中,细细吞之。
《千金》治喉痹方。
上荆沥稍稍咽之。
《千金》又方
上以腊月猪毛烧末,水服之。
《千金》又方
上烧牛角末,酒服之。(崔元亮云∶凡小儿饮乳不快,觉似喉痹者,取此灰涂乳上,咽下即瘥。)
《千金》又方
上熬杏仁令黑,含或末服之。
《千金》又方
上刺手小指爪文上,出三大豆许血,逐左右刺,皆须慎酒、面毒物。(《千金翼》以绳缠手大指,刺出血一大豆以上
瘥,云小指亦佳。)
《千金》治喉痹卒不得语方。
上浓煮桂汁服一升,亦可末桂着舌下,渐咽之良。
《千金》又方
上煮大豆汁含之,无豆用豉亦佳。
《千金》又方
上以酒三合,和人乳半升,分二服。
《千金》又方
上烧炊帚作灰,三指撮,水服之。
《千金》又方
上用芥子末,水和薄之,干则易。
《千金》又方
上商陆、苦酒熬令浓,热敷之。
《千金》又方
上末桂心如枣核大,绵裹着舌下,须臾破。
《千金》治喉卒肿不下食方。
上以韭一把捣、熬,薄之,冷则易。
《千金》又方
上含上好醋。口舌有疮亦佳。
《千金翼》治喉痹咽唾不得方。
上半夏一味,细破如棋子十四枚,鸡子一枚,扣其头如粟大,出却黄白,内半夏于中,内酢令满,极微火
上煎之。取半,小冷冻饮料之即愈。
《千金翼》喉痹方。
上取附子一枚,去皮,蜜涂,火炙令干,复涂蜜炙。须臾含之,咽汁愈。
《千金翼》又方
上含蜀升麻一片立愈。
《外台》∶《千金》升麻汤 主小儿喉痹痛。若毒瓦斯盛便咽塞,并大人喉咽不利方。
生姜 升麻 射干(各二两) 橘皮(一两)
上四味切,以水六升,煎取二升,分温三服。
《外台》刘氏疗小儿喉痹热塞方。
升麻(五两,切) 马蔺(一合)
上二味,以水一升,煎取二合。入少白蜜,与儿服之甚良。
《食医心鉴》小儿喉痹肿痛方。
上以蜂房烧灰,以乳汁和一钱匕服。
《食医心鉴》又方
上烧蛇蜕皮末,以乳汁服一钱匕。
《圣惠》治小儿喉痹肿塞不通,壮热烦闷,宜服犀角散方
犀角(屑) 桔梗(去芦头) 络石叶 栀子仁 甘草(炙微赤,锉) 川升麻(各一分) 马牙硝 射干(各半
两)
上件药捣,粗罗为散。每服一钱,以水一小盏,煎至五分,去滓,不计时候。量儿大小,以意加减温服。
《圣惠》治小儿喉痹疼痛,水浆不入,马牙硝散方
马牙硝 马勃 牛黄(细研) 川大黄(锉,微炒) 甘草(炙微赤,锉。以上各一分)
上件药捣,细罗为散。不计时候,以新汲水调下半钱。更量儿大小以意加减。
张涣射干汤 治风热上搏于咽喉之间,血气相搏而结肿,乳食不下,名咽闭方。
射干 川升麻(各一两) 马牙硝 马勃(各半两)
上件捣,罗为细末。每服一钱,水一盏,煎至五分,去滓放温,带热服,食后。
《聚宝方》治急喉痹。
木贼(用牛粪饼子火烧,每三两茎才匀着便取出,再取烧)
上一味为末。每服一钱,冷水研,米汁清调下。小儿腊茶清调下半钱入口,肿破血出即安。三日内未得
吃粟米粥饭。
《吉氏家传》治咽喉涎壅喉闭等疾方。
郁金(大者,一个为末) 轻粉(抄一钱匕) 巴豆(七粒,四粒熟三粒生,熟者是去油,生者生用)
上和合药,先左研四十九遍,然后一向顺研令匀,次入轻粉。每用一字,管子吹入喉中。
《吉氏家传》治喉闭夺命散,与大人同治方。
朴硝 白矾 天南星(各半两)
上为末。小儿每服半钱,水一盏同煎二分;大人水一盏药三钱,煎七分,作一服。
长沙医者郑愈传治喉闭方。
上用马蔺子为末。每服半钱,麦门冬熟水调下。
《圣惠》灸法∶喉痹,灸天突一壮,在项结喉下三寸两骨间,柱如小麦大。
The *Qianjin Yi Fang* (Supplement to the Essential Prescriptions Worth a Thousand Gold) treats Shi Yan (Corpse Choking, characterized by loss of voice).
Dried Ginger (Radix Zingiberis Recens), Wine, Su (Clarified Butter/Ghee) (each one sheng).
Take the above three ingredients. Mix two ge of wine, one spoonful of ghee, and one qianbi of ginger powder, and take orally. Take three times daily after meals. This formula also treats Lung diseases.
The *Qianjin Yi Fang* treats Shi Yan with itching and pain in the throat, inability to vomit or swallow, resembling insect poison poisoning.
Chew fresh Ginger (Rhizoma Zingiberis Recens); recovery occurs within fifty days.
The *Qianjin Yi Fang* treats Ye Ge (Dysphagia/Choking).
Combine Su (Clarified Butter/Ghee), Honey (Mell), and Ginger Juice (Succus Zingiberis Recens) into one sheng. Simmer over low heat for two boils. Take an amount the size of a jujube each time, dissolved in warm wine.
Another prescription from the *Qianjin Yi Fang*:
Wrap pounded rice bran (the first washings) in a handkerchief and use it to brush the teeth.
In the *Zhu Bing Yuan Hou Lun* (Source Book of Diseases and Syndromes), the syndrome of Xiao Er Hou Bi (Pediatric Throat Bi): "Bi" refers to Wind-Toxic Qi lodging between the throat and pharynx, clashing with Blood and Qi to form swelling and obstruction. Even porridge cannot be swallowed, leading to pus and blood formation. If the toxin enters the Heart, the patient experiences severe restlessness and anguish, which is unbearable; such cases are fatal.
From the *Ying Tong Bao Jian*, songs regarding Pediatric Hou Bi and Ma Bi:
Heat-Toxin knots in the throat forming carbuncles, named Hou Bi, making food intake difficult; Ma Bi causes swelling and pain in the jaw area, with excessive pathogenic factors causing heart vexation, leading to death.
From the *Yu Jue*, song regarding Pediatric Pharyngeal Swelling and Throat Closure:
Swelling and closure of the throat and pharynx bring disaster to the Lung system; accumulated heat in the middle damages the tongue; excessive Wind and Qi attack causing Dan-Toxic swelling, worrying about the emergence of Brain Gan sores.
For this condition, first resolve and vent the Zang-Fu organs, suppress heat and regulate Qi to achieve peace.
The *Qian Jin Fang* (Prescriptions Worth a Thousand Gold) treats Pediatric Hou Bi with swelling.
Use fourteen fish gallbladders (Dan Yu), mixed with hearth ash (Zao Di Tu) for external application. Stop when healed. (*Tai Ping Sheng Hui Fang* uses Wuhua fish gallbladder).
Another prescription from the *Qian Jin Fang* for Pediatric Hou Bi swelling:
Guixin (Cortex Cinnamomi Cassiae), Xingren (Semen Armeniacae Amarum) (each half liang).
Grind the above two ingredients into powder. Wrap in cotton cloth to the size of a jujube, hold in the mouth, and swallow the juice slowly.
The *Qian Jin Fang* states: For sudden Hou Bi with inability to speak, administer Xiao Xu Ming Tang (Minor Continuation of Life Decoction) plus one liang of Xingren (Semen Armeniacae Amarum). The throat is the external indicator of the Spleen and Stomach. If internal heat causes throat swelling and obstruction, blocking Shen-Qi, Wu Gao (Black Ointment) is indicated.
Sheng Wu Tou (Radix Aconiti Lateralis Preparata - Raw), Shengma (Rhizoma Cimicifugae), Lingyangjiao (Cornu Saigae Tataricae), Shaoyao (Radix Paeoniae Alba), Mutong (Caulis Akebiae), Qiangweigen (Radix Rosae Rugosae) (sliced, one sheng), Aiye (Folium Artemisiae Argyi) (six zhu, fresh is better), Sheng Dihuang (Radix Rehmanniae Preparata - Raw) (sliced, 1.5 sheng), Zhuzhi (Suet Porci).
Chop the above nine ingredients, wrap in cotton cloth, soak in one sheng of Kujiu (Vinegar) overnight. Add to Zhuzhi and simmer over low heat until the vinegar is completely evaporated and no longer sizzling. Strain. Form into ointments wrapped in thin cotton, the size of large apricot kernels, insert into the throat, and swallow slowly.
Another prescription from the *Qian Jin Fang* for Hou Bi:
Slowly swallow Jingli (Succus Bupleuri et Scutellariae).
Another prescription from the *Qian Jin Fang*:
Burn pig hair collected in the twelfth lunar month to ash, take with water.
Another prescription from the *Qian Jin Fang*:
Burn cow horn to ash, take with wine. (Cui Yuanliang says: Whenever a child feeds poorly and seems to have Hou Bi, apply this ash to the nipple; swallowing it cures the condition.)
Another prescription from the *Qian Jin Fang*:
Roast Xingren (Semen Armeniacae Amarum) until black. Hold in mouth or take as powder.
Another prescription from the *Qian Jin Fang*:
Prick the nail bed of the little finger to release blood equivalent to three large soybeans. Prick on both sides. Must avoid alcohol, wheat products, and other triggering foods. (*Qianjin Yi Fang* suggests tying a string around the thumb, pricking to release more than one soybean of blood for cure, noting the little finger is also good.)
Another prescription from the *Qian Jin Fang* for sudden Hou Bi with aphonia:
Boil Gui Zhi (Ramulus Cinnamomi) juice thickly and drink one sheng. Alternatively, place Gui Zhi powder under the tongue and swallow slowly; this is effective.
Another prescription from the *Qian Jin Fang*:
Boil Da Dou (Semen Sojae Preparatum) juice and gargle/swallow. If beans are unavailable, Chi Dou (Semen Sojae Preparatum) is also good.
Another prescription from the *Qian Jin Fang*:
Mix three ge of wine with half a sheng of human milk. Divide into two doses.
Another prescription from the *Qian Jin Fang*:
Burn cooking brooms to ash. Take a pinch (three fingers' width) with water.
Another prescription from the *Qian Jin Fang*:
Apply Jie Zi (Semen Sinapis) powder mixed with water to the affected area. Change when dry.
Another prescription from the *Qian Jin Fang*:
Shanglu (Radix Phytolaccae Acinosae) and Kujiu (Vinegar) boiled to a thick consistency. Apply hot compress.
Another prescription from the *Qian Jin Fang*:
Grind Guixin (Cortex Cinnamomi Cassiae) into powder, form into a pill the size of a jujube pit, wrap in cotton, and place under the tongue. It will break down shortly.
Another prescription from the *Qian Jin Fang* for sudden throat swelling preventing eating:
Crush and roast a handful of Jiu Cai (Herba Allii Tuberosi). Apply externally. Change when cool.
Another prescription from the *Qian Jin Fang*:
Hold high-quality Cu (Vinegar) in the mouth. Also good for ulcers in the mouth and tongue.
Another prescription from the *Qianjin Yi Fang* for Hou Bi with difficulty swallowing saliva:
Ban Xia (Rhizoma Pinelliae Preparata) alone, broken finely into fourteen pieces the size of chess coins. Take one egg, crack a hole the size of a millet grain at the top, remove yolk and white. Place Ban Xia inside, fill with Cu (Vinegar). Simmer over extremely low heat. Take half, cool, and give to the child to drink; they will recover.
Another prescription from the *Qianjin Yi Fang* for Hou Bi:
Take one Fuzi (Radix Aconiti Lateralis Preparata), peel off skin, coat with Honey (Mell), roast over fire until dry, re-coat with honey and roast again. Chew and hold in mouth, swallow juice; it heals.
Another prescription from the *Qianjin Yi Fang*:
Hold one piece of Shu Shengma (Rhizoma Cimicifugae) from Shu region; immediate cure.
The *Wai Tai Mi Yao* records: *Qian Jin Fang* Shengma Tang (Cimicifuga Decoction) treats Pediatric Hou Bi pain. If toxic qi is excessive causing throat blockage, or for adults with throat/pharynx discomfort.
Sheng Jiang (Rhizoma Zingiberis Recens), Shengma (Rhizoma Cimicifugae), Shegan (Rhizoma Belamcandae), Ju Pi (Pericarpium Citri Reticulatae) (each two liang).
Cut the above four ingredients. Boil in six sheng of water until two sheng remain. Divide into three warm doses.
Liu's prescription in the *Wai Tai Mi Yao* for Pediatric Hou Bi with heat obstruction:
Shengma (Rhizoma Cimicifugae) (five liang, sliced), Malin (Folium Iris Tectorii).
Boil the above two ingredients in one sheng of water until two ge remain. Add a little Bai Mi (Honey) and give to the child; very effective.
The *Shi Yi Xin Jian* treats Pediatric Hou Bi with swelling and pain:
Burn Feng Fang (Nidus Vespae) to ash. Mix with Ru Zhi (Milk) and take one qianbi.
Another prescription from the *Shi Yi Xin Jian*:
Burn She Tui Pi (Exuvius Bombycis) to ash. Take one qianbi with Milk (Ru Zhi).
The *Tai Ping Sheng Hui Fang* treats Pediatric Hou Bi with swelling, obstruction, high fever, and vexation. Xi Jiao San (Rhinoceros Horn Powder) is indicated.
Xi Jiao (Cornu Rhinocerotis - sliced/shredded), Jie Geng (Radix Platycodonis), Luo Shi Ye (Folium Nektucandrae), Zhi Zi Ren (Semen Gardeniae), Gan Cao (Radix Glycyrrhizae Preparata - roasted slightly red, chopped), Chuan Shengma (Rhizoma Cimicifugae) (each one fen), Ma Ya Xiao (Natrii Sulfas), Shegan (Rhizoma Belamcandae) (each half liang).
Pound the above medicines, sieve coarsely to make a powder. Take one qian each time. Boil in one small cup of water until five fen remains. Strain. Take at any time. Adjust dose according to child's age and condition; take warm.
The *Tai Ping Sheng Hui Fang* treats Pediatric Hou Bi with pain, inability to take fluids. Ma Ya Xiao San (Ma Ya Xiao Powder) is indicated.
Ma Ya Xiao (Natrii Sulfas), Ma Bo (Sporidium Levisticum), Niu Huang (Calculus Bovis - finely ground), Chuan Da Huang (Radix et Rhizoma Rhei Preparata - chopped, lightly stir-fried), Gan Cao (Radix Glycyrrhizae Preparata - roasted slightly red, chopped. Each one fen).
Pound the above medicines, sieve finely to make a powder. Take at any time. Mix half a qian with fresh well-water. Adjust dosage according to child's age.
Zhang Huan's Shegan Tang (Belamcanda Decoction) treats Wind-Heat attacking the throat, where Blood and Qi clash causing swelling, inability to feed, named Yan Bi (Throat Closure).
Shegan (Rhizoma Belamcandae), Chuan Shengma (Rhizoma Cimicifugae) (each one liang), Ma Ya Xiao (Natrii Sulfas), Ma Bo (Sporidium Levisticum) (each half liang).
Pound and sieve the above into fine powder. Take one qian each time. Boil in one cup of water until five fen remains. Strain, let cool slightly, take warm after meals.
The *Ju Bao Fang* treats Ji Hou Bi (Acute Throat Bi).
Mu Zei (Herba Equiseti Hiemalis) (Burn using cow dung cakes. Roast three liang of stems evenly, then remove and burn new ones).
Grind the single ingredient into powder. Take one qian each time. Grind with cold water, mix with clear rice water to take. For children, mix half a qian with aged tea water and put in mouth; when swelling breaks and blood comes out, relief is achieved. Do not eat millet porridge or rice for three days.
The *Ji Shi Jia Chuan* treats conditions like Yan Hou Xian Yong (Pharyngeal Saliva Accumulation) and Hou Bi (Throat Closure).
Yu Jin (Radix Curcumae Longae) (one large root, powdered), Qing Fen (Calomel) (one qianbi), Ba Dou (Semen Crotonis) (seven seeds: four cooked, three raw. Cooked means oil removed; raw used as is).
Mix the medicines. First grind leftward forty-nine times, then grind uniformly in one direction. Add Qing Fen. Use a tube to blow one zi amount into the throat.
The *Ji Shi Jia Chuan* treats Hou Bi Duo Ming San (Life-Saving Powder for Throat Closure), same treatment as adults.
Pu Xiao (Natrii Sulfas), Bai Fan (Alumen), Tian Nan Xing (Rhizoma Arisaematis Cum Bile). (Each half liang).
Grind into powder. Children take half a qian, boil with one cup of water until two fen remains. Adults take three qian medicine with one cup of water, boil until seven fen remains, take as one dose.
Zheng Yu, a physician from Changsha, transmitted a prescription for Hou Bi:
Grind Ma Lin Zi (Semen Iris Tectorii) into powder. Take half a qian each time, mixed with Mai Men Dong (Radix Ophiopogonis) decoction.
The *Tai Ping Sheng Hui Fang* Moxibustion method: For Hou Bi, moxa one Zhuang at Tian Tu (CV22). Location: Three cun below the laryngeal prominence in the depression between the two collarbones. Moxa cone size like a wheat grain.