夫伤寒后失音不语者。由风寒客于会厌。会厌为音声之户。邪气伤之。故卒然无音。人
肺主声而通于气。人之五脏有五音。皆禀气而通之。若邪客于肺。则气道不调。亦令人语无
音声。治法当随其轻重。以方制之。
失音者。歌曰。失音发 反张弓。狐惑唇疮哑似聋。风温血迷并舌卷。更兼中暑语难通。
言。心声也。声音道路出于咽喉。肺亦主之。若风若痰。若血若热。与夫邪热伏于心窍。或
滞于喉间。令人失音。或语不出而声謇涩也。
方
五味子汤 治伤寒后外邪客于肺。卒失音。
五味子 桂（去粗皮各一两半） 甘草（炙锉半两） 杏仁（汤浸去皮尖双仁炒一两） 上
粗
捣筛。每服五钱。水一盏半。生姜三片。煎至一盏。去滓。不计时候。温服。
杏仁煎 治伤寒后忽暴嗽失音。语不出。
杏仁（汤浸去皮尖双仁研一两） 木通（锉） 贝母（去心） 紫菀（去苗土） 五味
子百合
桑根白皮（切各一两） 生姜汁（半两） 沙糖（四两） 蜜（四两） 上除杏仁姜汁糖蜜
外。细
锉。用水五盏。煎至三盏。去滓。下杏仁膏姜汁糖蜜等相和。微火再煎如稀饧。以净器盛。
每半匙。水一盏煎开。温服。不计时候。
豆竹汤 治伤寒失音不语。
黑豆（淘洗半升） 青竹（如算子四十九茎各长四寸） 上用水五大盏。同煮。以豆熟
为度。
去滓。分温三服。
麻仁饮 治伤寒卒失音。牙关紧急。
大麻仁（半升） 羚羊角屑（二两） 上 咀。每服五钱。酒水各一盏。共煎一盏。去
滓。
温服。日再服。
羚羊角散 治伤寒失音。不知人。口眼歪。舌强。
羚羊角屑（一两） 麻黄（去根节） 石膏（各半两） 防风（去芦） 麦门冬（去心
焙） 黄芩
（去黑心皮焙） 干姜（锉） 升麻（各三分 上 咀。每服五钱。水一盏半。煎至一盏。
去滓。
食
防己汤 治伤寒后失音不能语。口噤。
防己（锉） 桂（去粗皮） 麻黄（去根） 葛根（锉各一两） 甘草（炙） 防风（去
芦） 芍药
（各半两） 上粗捣筛。每服五钱。水一盏半。生姜三片。同煎至一盏。去滓。空心温服。
日
再
升麻饮 治伤寒失音不语。神志昏冒。
升麻 防风（各一两） 桂（去粗皮三分） 木通（锉二两） 上粗捣筛。每服五钱。
水一盏
半。煎至一盏。去滓。下竹沥半合。搅令匀。空心温服。
三沥汤 治伤寒失音不语。
竹沥 梨汁 荆沥（各二合） 陈酱汁（半合） 上搅令匀。以绵滤过。分温四服。空
心日
晚各一服。
桂心汤 治伤寒邪气伤肺。失音不语。
桂心（去粗皮二两） 菖蒲（去须一两） 上粗捣筛。每服三钱。用水一盏。煎至七分。
去
滓。不计时候。温服。衣覆取汗。未退再服。
芥子酒熨方 治伤寒后肺中风冷。失音不语。
上用白芥子五合。研碎。用酒煮令半熟。带热包裹。熨项颈周遭。冷则易之。
治伤寒后。失音不语方。
上用萝卜自然汁。入少生姜汁。饮一盏。如无。以萝卜子入水研服。
三奇汤（出家藏方）治伤寒语声不出。
桔梗（一两锉蜜拌甑上蒸） 甘草（五钱半生半炒） 诃子（大者四个） 上为细末。
每十
钱。以沙糖一小块。水五盏。煎至三盏。时时细呷。一日服尽。效甚速。声未出。再服。
五拗汤（出仁存方）治感寒而语声不出。或至咽喉肿痛。
疗暴中冷。伤寒鼻塞喘嗽。喉中哑塞。失音声者。（出本草）
上取芫花根一虎口。切曝干。令病患以荐自萦。就里舂芫花根。令飞捣入其七孔中。当
眼泪出。口鼻皆罗刺毕毕耳。勿住。令芫花根尽则止。病必于此瘥。
After contracting Shanghan (Cold Damage), loss of voice and inability to speak occur because wind-cold pathogens invade the epiglottis. The epiglottis is the gateway for sound production; when damaged by pathogenic factors, sudden aphonia results. The Lung governs voice and connects with Qi. The five Zang organs correspond to five tones, all relying on the free flow of Qi to manifest. If pathogens lodge in the Lung, causing disharmony of the Qi mechanism, speech may also become voiceless. Treatment should be prescribed according to the severity of the condition.
Regarding aphonia, a song states: "Aphonia presents with opisthotonos like a drawn bow; Huo huo disease (Huo huo disease) causes lip sores leading to muteness resembling deafness; Wind-warmth and blood confusion accompany tongue retraction; combined with heatstroke causing difficult speech." Speech is the expression of the Heart mind; the pathway of sound emerges from the throat, which is also governed by the Lung. Whether due to Wind, Phlegm, Blood stasis, or Heat, or evil-heat lodging in the Heart orifices, or stagnation in the throat, these cause aphonia or dysarthria with hoarse, obstructed voice.
Wuweizi Tang (Schisandra Decoction): Treats sudden aphonia after Shanghan due to external pathogens lodging in the Lung.
Ingredients: Wuweizi (Fructus Schisandrae Chinensis), Guizhi (Ramulus Cinnamomi Cassiae, bark removed, 1.5 liang each), Gancao (Radix Glycyrrhizae Uralensis, honey-fried and crushed, 0.5 liang), Xingren (Semen Pruni Armeniacae, soaked in hot water, skin and tips removed, twin kernels, stir-fried, 1 liang). Crush the above ingredients into coarse powder and sieve. Take 5 qian per dose, add 1.5 zhan of water and 3 slices of Shengjiang (Rhizoma Zingiberis Recens), decoct until 1 zhan remains. Strain and take warm at any time.
Xingren Jian (Apricot Kernel Electuary): Treats sudden aphonia following severe cough after Shanghan, with inability to speak.
Ingredients: Xingren (Semen Pruni Armeniacae, soaked, skin and tips removed, twin kernels, pounded, 1 liang), Mutong (Caulis Akebiae Trifloratae, crushed), Beimu (Bulbus Fritillariae Thunbergii, heart removed), Ziwan (Herba Asteris Tatarici, roots and soil removed), Wuweizi (Fructus Schisandrae Chinensis), Baihe (Bulbus Lilii), Sangbaipipi (Cortex Morus Radicis, sliced, 1 liang each), Shengjiangzhi (Jucius Zingiberis Recens, 0.5 liang), Shatang (Saccharum, 4 liang), Fengmi (Mel, 4 liang). Except for Xingren paste, ginger juice, sugar, and honey, finely chop the remaining herbs. Add 5 zhan of water, decoct to 3 zhan, strain. Add Xingren paste, ginger juice, sugar, and honey, mix well, and simmer over low heat until thick like thin syrup. Store in a clean vessel. Take half a spoonful, boil with 1 zhan of water, and take warm at any time.
Douzhu Tang (Black Bean and Bamboo Decoction): Treats aphonia and muteness after Shanghan.
Ingredients: Heidou (Semen Sojae Nigrum, washed, 0.5 sheng), Qingzhuzi (Caulis Bambusae in Taeniam, 49 stalks, each 4 cun long). Boil together in 5 zhan of large water until beans are cooked. Strain and divide into three warm doses.
Maren Yin (Hemp Seed Drink): Treats sudden aphonia after Shanghan with trismus.
Ingredients: Damairen (Semen Cannabis Sativae, 0.5 sheng), Lingyangjiaoxie (Cornu Saigae Tataricae, 2 liang). Chop the herbs. Take 5 qian per dose, decoct with 1 zhan of wine and 1 zhan of water until 1 zhan remains. Strain and take warm. Administer twice daily.
Lingyangjiao San (Saiga Horn Powder): Treats Shanghan-induced aphonia, unconsciousness, facial paralysis, and stiff tongue.
Ingredients: Lingyangjiaoxie (Cornu Saigae Tataricae, 1 liang), Mahuang (Herba Ephedrae, roots and nodes removed), Shigao (Gypsum Fibrosum, 0.5 liang each), Fangfeng (Radix Saposhnikoviae, rhizome removed), Maidong (Radix Ophiopogonis Japonici, heart removed, dried), Huangqin (Radix Scutellariae Baicalensis, black heart and bark removed, dried), Ganjiang (Rhizoma Zingiberis Officinalis Recens, chopped), Shengma (Rhizoma Cimicifugae Foetidae, 0.3 qian each). Chop the herbs. Take 5 qian per dose, decoct with 1.5 zhan of water until 1 zhan remains. Strain and take warm after meals.
Fangji Tang (Stephania Decoction): Treats aphonia and muteness after Shanghan with locked jaw.
Ingredients: Fangji (Radix Stephaniae Tetrandrae, chopped), Guizhi (Ramulus Cinnamomi Cassiae, bark removed), Mahuang (Herba Ephedrae, roots removed), Gegen (Radix Puerariae Lobatae, chopped, 1 liang each), Gancao (Radix Glycyrrhizae Uralensis, honey-fried), Fangfeng (Radix Saposhnikoviae, rhizome removed), Shaoyao (Radix Paeoniae Alba, 0.5 liang each). Crush into coarse powder and sieve. Take 5 qian per dose, decoct with 1.5 zhan of water and 3 slices of Shengjiang until 1 zhan remains. Strain and take warm on an empty stomach. Administer twice daily.
Shengma Yin (Cimicifuga Drink): Treats Shanghan-induced aphonia and muteness with mental cloudiness.
Ingredients: Shengma (Rhizoma Cimicifugae Foetidae), Fangfeng (Radix Saposhnikoviae, 1 liang each), Guizhi (Ramulus Cinnamomi Cassiae, bark removed, 0.3 qian), Mutong (Caulis Akebiae Trifloratae, crushed, 2 liang). Crush into coarse powder and sieve. Take 5 qian per dose, decoct with 1.5 zhan of water until 1 zhan remains. Strain, add Ban Zhuli (Succus Bambusae, 0.5 he), mix well, and take warm on an empty stomach.
Sanli Tang (Three Liquefaction Decoction): Treats Shanghan-induced aphonia and muteness.
Ingredients: Zhuli (Succus Bambusae, 2 he each), Lizhi (Succus Pyri Chinenis), Jingli (Succus Viticis Negundo), Chen Jiangzhi (Fermented Soybean Sauce Juice, 0.5 he). Mix well, filter through cotton cloth, and divide into four warm doses. Take one dose on an empty stomach in the morning and evening.
Guixin Tang (Cinnamon Heart Decoction): Treats Shanghan where pathogens damage the Lung, causing aphonia and muteness.
Ingredients: Guixin (Cortex Cinnamomi Cassiae, bark removed, 2 liang), Changpu (Rhizoma Acori Tatarinowii, whiskers removed, 1 liang). Crush into coarse powder and sieve. Take 3 qian per dose, decoct with 1 zhan of water until 0.7 zhan remains. Strain and take warm at any time. Cover with clothing to induce sweating. If symptoms persist, administer again.
Jiezi Jiu Yun Fang (White Mustard Seed Wine Compress Formula): Treats wind-cold invading the Lung after Shanghan, causing aphonia and muteness.
Take 5 he of Baiejiezi (Semen Sinapis Albæ), grind into powder. Boil with wine until semi-cooked. Wrap while hot and apply as a compress around the neck. Replace when cool.
Formula for treating aphonia and muteness after Shanghan.
Use natural juice of Luobo (Radish), add a small amount of Shengjiang juice, and drink 1 zhan. If unavailable, use Luobozhong (Semen Sinapis Albæ) ground in water and taken orally.
Sanqi Tang (Three Wonders Decoction, from *Chujia Zang Fang*): Treats aphonia after Shanghan.
Ingredients: Jiegeng (Radix Platycodonis Grandiflori, 1 liang, chopped and mixed with honey, steamed), Gancao (Radix Glycyrrhizae Uralensis, 0.5 qian, half raw, half fried), Hezi (Fructus Chebulae, 4 large fruits). Grind into fine powder. Take 10 qian per dose with a small piece of Shatang and 5 zhan of water, decoct to 3 zhan. Sip slowly frequently, finish within one day. Effect is rapid. If voice does not return, administer again.
Wu'ao Tang (Five Obstruction Decoction, from *Ren Cun Fang*): Treats aphonia due to cold invasion, or sore throat and swelling.
Treats sudden cold strike, Shanghan with nasal congestion, wheezing, cough, throat obstruction, and aphonia. (From *Ben Cao*)
Take a tiger-mouth width of Yuanhua Gen (Radix Genkwa), chop and dry. Have the patient sit on a mat inside a container, pound the Yuanhua root until it flies into the seven orifices. When tears flow and the mouth/nose feel prickling, do not stop until the root is exhausted. The illness will surely heal here.