局方碧雪
凉膈散
方(并见火门 绛雪见下)
御药院麝香朱砂丸治咽喉肿闭或作疮或舌根肿痛者
马牙硝(生用七钱) 铅白霜(三钱) 硼砂(三两) 龙脑(三钱) 寒水石(烧一斤) 麝香
(二钱) 朱砂(一两半) 甘草(十两熬膏)
上研极细用膏子和丸如桐子大朱砂为衣每含化一二丸一法减铅霜麝甘草只五味名绛雪散
龙麝聚圣丹治心脾客热毒瓦斯攻冲咽喉肿赤疼痛或成喉痹或结硬不消愈而复发经久不瘥或
舌本肿胀满口生疮
川芎(一两) 生地黄 犀角屑 羚羊角屑 南琥珀 南玄参 连翘(各半两) 人参 赤
茯苓 马牙硝 脑子 麝香(各三钱) 桔梗 升麻 铅白霜(研各
半两) 朱砂 牛黄(各研二钱) 南硼砂(研一两) 金箔(五十片)
上为末炼蜜丸每两作十丸金箔为衣以薄荷汤化下或细嚼或含化之
按以上诸方有轻重之分宜随证选用
局方如圣胜金锭子治咽喉急闭腮颔肿痛并单蛾双乳峨结喉重舌木舌并皆治之
硫黄(细研) 川芎 茶 薄荷叶 川乌(炮) 硝石 生地黄(各等分)
上为末生葱汁搜和为锭每服先用新汲水灌嗽次嚼薄荷五七叶却用药一锭同嚼极烂以井花
水咽下甚者连进三服并含之即安
本事方利膈汤治脾肺有热虚烦上壅咽喉疮肿
薄荷叶 荆芥穗 防风 桔梗 人参 牛蒡子(炒) 甘草(各等分)
上 咀每半两食后水煎服
Ju Fang Bi Xue (Jufang Bixue, i.e., Li Ge San/Cool the Diaphragm Powder; see "Fire Gate" section for details; Jiang Xue/Crimson Snow is described below)
Yuyao Yuan She Xiang Zhu Sha Wan (Imperial Pharmacy Musk and Cinnabar Pill): Indicated for swelling and obstruction of the throat, or formation of sores, or swelling and pain at the root of the tongue.
Ingredients: Natrii Sulfas Crystallisatus (Mayingxiao, 马牙硝) raw, 7 qian; Plumbi Subcarbonas cum Acido Borico (Qianbaishuang, 铅白霜), 3 qian; Borax (Pengsha, 硼砂), 3 liang; Borneolum Syntheticum (Longnao, 龙脑), 3 qian; Halloysitum Rubrum (Hanshuishi, 寒水石) calcined, 1 jin; Moschus (Shexiang, 麝香), 2 qian; Cinnabaris (Zhusha, 朱砂), 1.5 liang; Glycyrrhizae Radix et Rhizoma (Gancao, 甘草) 10 liang decocted into paste.
Preparation and Administration: Grind all ingredients to an extremely fine powder. Mix with the Gancao paste to form pills the size of Torreya seeds. Coat with Zhusha. Hold one or two pills in the mouth to dissolve slowly. Alternative method: Reduce the dosage of Qianbaishuang, Shexiang, and Gancao, retaining only five ingredients; this formula is named Jiang Xue San (Crimson Snow Powder).
Long Mu Ju Sheng Dan (Dragon and Musk Gathering Holy Elixir): Indicated for pathogenic heat and toxic qi from the Heart and Spleen attacking and rushing upward, causing redness, swelling, and pain of the throat; or forming Hou Bi (sore throat/obstruction); or forming hard nodules that do not dissipate, recurring after healing, and persisting without cure; or swelling of the tongue body filling the mouth with sores.
Ingredients: Chuanxiong Rhizoma (Chuanxiong, 川芎), 1 liang; Rehmanniae Radix Preparata (Shengdihuang, 生地黄); Rhinocerotis Cornu (Xijiaoxie, 犀角屑); Antilopis Cornu (Lingyangjiaoxie, 羚羊角屑); Succam Nigrum (Nanhupo, 南琥珀); Scrophulariae Radix (Nanxuanshen, 南玄参); Forsythiae Fructus (Lianqiao, 连翘), each 0.5 liang; Ginseng Radix (Renshen, 人参); Poria (Chifuling, 赤茯苓); Natrii Sulfas Crystallisatus (Mayingxiao, 马牙硝); Borneolum Syntheticum (Naozi, 脑子); Moschus (Shexiang, 麝香), each 3 qian; Platycodonis Radix (Jiegeng, 桔梗); Cimicifugae Rhizoma (Shengma, 升麻); Plumbi Subcarbonas cum Acido Borico (Qianbaishuang, 铅白霜) ground, each 0.5 liang; Cinnabaris (Zhusha, 朱砂); Calculus Bovis (Niuhuang, 牛黄) ground, each 2 qian; Borax (Nanpengsha, 南硼砂) ground, 1 liang; Folium Aurum (Jinbo, 金箔), 50 sheets.
Preparation and Administration: Grind all ingredients into a fine powder. Use refined honey to form pills. Each liang of powder makes ten pills. Coat with Jinbo. Administer by dissolving in Bohe Tang (Peppermint Decoction), or chew finely, or hold in the mouth to dissolve.
Note: The above formulas vary in potency and severity; select appropriately according to the syndrome.
Ju Fang Ru Sheng Sheng Jin Ding Zi (Jufang Rusheng Shengjin Ingots): Indicated for acute throat obstruction, swelling and pain of the cheeks and jaw, as well as Dan E (unilateral tonsillar hypertrophy), Shuang Ru E (bilateral tonsillar hypertrophy), Jie Hou (laryngeal swelling), Chong She (double tongue), and Mu She (wooden tongue/stiff tongue). All are treatable.
Ingredients: Sulfur (finely ground); Chuanxiong Rhizoma (Chuanxiong, 川芎); Tea leaves; Menthae Haplocalycis Herba (Boheye, 薄荷叶); Aconiti Lateralis Radix Preparata (Chuanwu, 川乌) processed; Natrii Nitras (Xiaoshi, 硝石); Rehmanniae Radix Preparata (Shengdihuang, 生地黄), each in equal proportions.
Preparation and Administration: Grind all ingredients into a fine powder. Knead with juice of fresh Allium fistulosum bulbs to form ingot-shaped doses. For administration, first rinse the mouth with fresh cold water. Then chew 5-7 leaves of Bohe (Peppermint). Next, chew one ingot of the medicine together with the peppermint until thoroughly mashed. Swallow with Jinghua Shui (well water). For severe cases, administer continuously for three doses while holding the medicine in the mouth for gargling; peace will be restored.
Ben Shi Fang Li Ge Tang (Ben Shi Formula Cool the Diaphragm Decoction): Indicated for Heat in the Spleen and Lungs, causing deficiency-related irritability and upward congestion, leading to sores and swelling of the throat.
Ingredients: Menthae Haplocalycis Herba (Boheye, 薄荷叶); Schizonepetae Spica (Jingjiesui, 荆芥穗); Saposhnikoviae Radix (Fangfeng, 防风); Platycodonis Radix (Jiegeng, 桔梗); Ginseng Radix (Renshen, 人参); Arctii Fructus (Niubangzi, 牛蒡子) stir-fried; Glycyrrhizae Radix et Rhizoma (Gancao, 甘草), each in equal proportions.
Preparation and Administration: Cut the herbs into small pieces. Take half a liang per dose. Decoct in water and take after meals.