《针经》云∶寒气客于会厌，卒然如哑，此寒气与痰涎凝结咽喉之间，宜以甘辛温药治
之。切忌寒凉，邪郁不解，则疾成矣。
《千金》母姜酒
母姜汁（一升） 酥 牛骨髓（各一升） 桂心 秦椒（各一两） 防风（一两半） 芎 独
活（各一两六铢）
上为末，内姜汁中，煎取相淹濡，下酥髓等合调，微火三上三下煎，平旦温清酒一升下
膏二合，即细细吞之，日三夜一。
半夏桂甘汤 治冷症无阳，咽痛喉闭。
辣桂 甘草（炙） 半夏（制）
上件等分锉，每服三钱，水一大盏，煎半盏，细细呷之。（《活人》）
伏气之病，谓非时暴寒中人，伏于少阴之经，始先不觉，旬日乃发，先发咽痛，次必下
利，古方谓之肾伤寒，宜用半夏桂甘汤。
咽痛失音者，风热痰涎壅闭咽门也。亦有阴虚肺损者，盖肺象金而出声音，金破则不鸣
，金实亦不鸣，辨之之法，实者壅遏不出，虚者声嘶破也。
《宣明》诃子汤
诃子（四个，半生半熟） 桔梗（一两，半炙半生） 甘草（二寸，半炙半生）
上为细末，每服二钱，用童子小便一盏，水一盏，煎五六沸，温服，甚者不过三服即愈
。
海藏发声散 治咽喉痛，语声不出。
栝蒌（一个） 白僵蚕（去头，炒，半两） 甘草（炙，二钱）
上为细末，每服三钱，温酒或生姜自然汁调下，用五分，绵裹噙化，咽津亦得，日两三
服。《宝鉴》有桔梗七钱半，炒为末，每一钱，入朴硝一钱匕，和匀口含咽津。
The *Zhen Jing* (Needle Classic) states: When cold pathogen lodges in the epiglottis, sudden aphonia occurs. This is due to cold pathogen and phlegm-fluids condensing between the throat and larynx; it is appropriate to treat with sweet, acrid, and warm herbs. Cold-natured drugs must be strictly avoided; otherwise, the pathogen will remain stagnant and unresolved, leading to chronic disease.
*Mother Ginger Wine* from *Qian Jin Fang*:
Fresh ginger juice (1 sheng), butter, ox marrow (each 1 sheng), Cinnamomi Cortex (Guixin), Zanthoxyli Pericarpium (Qinjiao) (each 1 liang), Saposhnikoviae Radix (Fangfeng) (1.5 liang), Ligustici Chuanxiong Rhizoma (Xiongnu), Notopterygii Rhizoma et Radix (Duhuo) (each 1 liang 6 zhu).
Grind the above into powder, mix with ginger juice, and decoct until the ingredients are thoroughly moistened. Add butter and marrow, mix well, and simmer gently over low heat using the "three up, three down" method. In the morning, take 2 he of the paste with 1 sheng of warm clear wine, swallowing slowly. Take three times daily and once at night.
*Banxia Guigan Tang* (Pinellia, Cinnamon, and Licorice Decoction): Treats cold syndromes with absence of Yang, sore throat, and throat closure.
Cinnamomi Ramulus (Lagui), Glycyrrhizae Radix et Rhizoma (Gancao) (roasted), Pinelliae Tuber (Banxia) (processed).
Take equal parts of the above, cut into pieces. For each dose, use 3 qian, add 1 da zhen of water, decoct to half a zhen, and sip slowly. (From *Huo Ren Shu*)
The "latent qi disease" refers to an abrupt cold pathogen striking the body out of season, lying dormant in the Shaoyin meridian. Initially unnoticed, it manifests after ten days, starting with sore throat followed inevitably by diarrhea. Ancient formulas call this "Kidney Cold Damage," and *Banxia Guigan Tang* is indicated.
Sore throat accompanied by loss of voice is caused by wind-heat and phlegm-fluids obstructing the throat gate. It may also result from Yin deficiency and lung damage. Since the Lung corresponds to Metal and governs voice, if Metal is broken, it does not sound; if Metal is full/excess, it also does not sound. To differentiate: excess patterns present with obstruction preventing sound emission, while deficiency patterns present with hoarse, broken voice.
*Hezi Tang* (Chebula Decoction) from *Xuan Ming Lun Fang*:
Terminalia Chebula Retz. Fructus (Hezi) (4 fruits, half raw, half roasted), Platycodonis Radix (Jiegeng) (1 liang, half roasted, half raw), Glycyrrhizae Radix et Rhizoma (Gancao) (2 cun, half roasted, half raw).
Grind into fine powder. For each dose, take 2 qian, decoct with one zhen of urine from a healthy boy and one zhen of water for five or six boils. Take warm. Severe cases resolve within three doses.
*Haizang Fasheng San* (Haizang Voice-Generating Powder): Treats sore throat and inability to speak.
Trichosanthis Fructus (Gualou), Bombyx Batryticatus (Bai Jiangcan) (head removed, stir-fried, 0.5 liang), Glycyrrhizae Radix et Rhizoma (Gancao) (roasted, 2 qian).
Grind into fine powder. For each dose, take 3 qian, mix with warm wine or fresh ginger juice. Take 0.5 qian, wrap in cotton, hold in mouth to dissolve slowly, swallowing saliva is acceptable. Take two to three times daily. *Bao Jian* adds Platycodonis Radix (7.5 qian, stir-fried and powdered), mixed with 1 qian-bi of Natrii Sulfas (Puxiao), held in the mouth to swallow saliva.