盖因痰热内结,虽有蛾闭、木舌、子舌、缠喉、走马八名,火则一也。
夫少阴君火,少阳相火,并络于喉,气热则结。甚则肿胀,甚则痹,痹甚不
通而死。惟喉痹急速,相火之为也。至如嗌干痛、咽颔肿、舌木强,皆君火之为也。
治法 微以咸 之,甚以辛散之,痰结则吐之,甚则砭出血之,人火以凉平
之,龙火以火逐之,凉剂热服是也,宜刺少商出血。
方 朴硝 牙硝(各另研) 青鱼胆放硝上干方研为末。以竹管吹入喉中,痰出
即愈。
秘方 桐油脚鹅翎刷取吐痰为妙。又皂角取吐。
又僵蚕同姜研服解毒。
又生艾汁亦解。
玉匙散 治风热喉痹及缠喉风。
朴硝(一两) 硼砂(五钱) 脑子(五钱) 僵蚕 以竹管吹入喉中。
神效散 治热肿,语声不出。
荆芥穗(另) 蓖麻(去皮另各一两)
上蜜丸皂子大,嚼含化。
蜜附子 治府寒咽门闭,不能咽。
大附子(生去皮脐)切片,蜜涂,炙黄,含之咽津。
雄黄解毒丸 治缠喉风及喉痹,倒仆失音,牙关紧急,不省人事。
雄黄(一钱飞) 郁金 巴豆(十四个去油)
上醋糊丸,绿豆大,热茶清下丸子九丸,取吐即止。
又方 胆矾(一钱) 以乌梅肉裹之,外以绵裹含。
龙火拔毒散 治缠喉急证,先以针出血,后以此丹,用新水扫之。
阳起石( ) 伏龙肝(等分水敷)
又白瑞香花根,研水灌之。
咽物状(咽者,咽物久也,)咽肿不能吞。干则不能咽。或因多饮咳热,或呕吐
咯伤,皆致咽系干枯之所为也。
喉病状(喉者,声音出入处也,藏热则暴肿闭塞。)
悬壅(俗云蛾也,在上 。)
咳而声嘶喉破也,俗云声散。
大抵因为痰热在体内凝结,虽然名称有蛾闭、木舌、子舌、缠喉、走马等八种,但病机都是火邪所致。
少阴君火和少阳相火,都联络于咽喉部位,气机受热就会凝结。严重时会导致肿胀,再严重会导致痹阻,痹阻严重不通畅就会死亡。只有喉痹发病急速,是相火造成的。至于如咽干痛、咽喉颌部肿胀、舌头僵硬强直,都是君火造成的。
治疗方法:轻微的用咸味药软坚散结,严重的用辛味药发散,痰结则催吐,严重则用砭石刺破出血,人火用凉性药物平抑,龙火用火法驱逐(即反佐法,凉剂热服),适宜针刺少商穴放血。
方剂:朴硝、牙硝(分别单独研磨)、青鱼胆汁滴在朴硝上,干燥后研为细末。用竹管吹入咽喉中,痰出即可痊愈。
秘方:用桐油脚蘸鹅毛刷取以催吐痰液为好。又可用皂角催吐。
又可用僵蚕同生姜研磨服用以解毒。
又可用生艾草汁也能解毒。
玉匙散:治疗风热喉痹及缠喉风。
朴硝(一两) 硼砂(五钱) 脑子(五钱) 僵蚕。用竹管吹入咽喉中。
神效散:治疗热肿,声音发不出。
荆芥穗(另备) 蓖麻(去皮,各一两)。
以上制成蜜丸,大小如皂荚子,嚼碎含化。
蜜附子:治疗府寒导致的咽门闭塞,不能吞咽。
大附子(生,去皮脐)切片,涂蜂蜜,炙烤至黄色,含在口中咽下津液。
雄黄解毒丸:治疗缠喉风及喉痹,突然昏倒失音,牙关紧急,不省人事。
雄黄(一钱,水飞) 郁金 巴豆(十四个,去油)。
以上用醋糊制成丸药,大小如绿豆,用热茶送服九丸,取吐后即止。
又一方:胆矾(一钱),用乌梅肉包裹它,外面再用棉絮包裹含在口中。
龙火拔毒散:治疗缠喉急症,先用针放血,然后用此丹,用新汲水调扫患处。
阳起石( ) 伏龙肝(等量用水敷)。
又有白瑞香花根,研磨成水灌入。
咽物状(咽,指吞咽食物,时间较长),咽部肿胀不能吞咽。干燥则不能吞咽。或因多饮咳嗽热气,或呕吐咯血损伤,都是导致咽系干枯的原因。
喉病状(喉,是声音进出的地方,藏热则突然肿胀闭塞。)
悬壅(俗称蛾,位于上方。)
咳嗽且声音嘶哑喉咙破裂,俗称声散。
Generally, due to the internal accumulation of phlegm-heat, although there are eight names such as *Ebi* (swollen tonsils blocking the throat), *Mushé* (wooden tongue), *Zishé* (sublingual swelling), *Chantou* (winding throat), and *Zouma* (running horse), the pathogenic mechanism is all fire.
The Ministerial Fire of Shaoyin and the Ministerial Fire of Shaoyang both connect with the throat; when qi becomes hot, it condenses. In severe cases, it leads to swelling; in more severe cases, it leads to obstruction (*Bi*); if obstruction becomes severe and unblocked, death ensues. Only *Houbi* (sore throat/obstruction) that occurs rapidly is caused by the Ministerial Fire. As for symptoms such as dryness and pain in the pharynx, swelling of the throat and jaw, and stiffness of the tongue, these are caused by the Sovereign Fire.
Treatment methods: For mild cases, use salty substances to soften hardness; for severe cases, use pungent substances to disperse. If phlegm is accumulated, induce vomiting; if severe, use Bian stone (stone acupuncture) to bleed. Human fire is pacified with cooling agents; Dragon fire is driven out by fire (i.e., administering cooling decoctions hot). It is advisable to puncture Shangyang (LU11) to bleed.
Formula: Xiaoshaoshi (Mirabilite) and Yaxiaoshi (Niter), each ground separately; add bile from a green carp onto the Mirabilite until dry, then grind into powder. Blow this powder into the throat with a bamboo tube; once phlegm is expelled, recovery follows.
Secret Recipe: Use the residue of tung oil dipped on a goose feather to brush and induce vomiting of phlegm. Alternatively, use Gleditsiae Sinensis Fructus (Gongjiao) to induce vomiting.
Alternatively, grind Silkworm (Jiangcan) with fresh ginger and take orally to detoxify.
Alternatively, juice of fresh Mugwort (Aiye) also detoxifies.
Yushi San (Jade Spoon Powder): Treats wind-heat *Houbi* and Chantou Feng (winding throat wind).
Xiaoshaoshi (Mirabilite) (1 liang), Borax (Pengsha) (5 qian), Borneol (Naobo) (5 qian), Silkworm (Jiangcan). Blow into the throat with a bamboo tube.
Shenxiao San (Divine Efficacy Powder): Treats heat-induced swelling and loss of voice.
Schizonepeta Spike (Jingjie Sui) (prepared separately), Castor Seed (Bimao) (peeled, 1 liang each).
Make honey pills the size of soap beans, chew and dissolve in the mouth.
Honey-fried Aconite Root (Fuzi): Treats cold in the fu organs causing closure of the pharyngeal gate and inability to swallow.
Raw large Aconite Root (Fuzi) (peeled and de-navelled), sliced, coated with honey, roasted until yellow, hold in mouth and swallow saliva.
Xionghuang Jiedu Wan (Realgar Detoxification Pill): Treats Chantou Feng and *Houbi*, sudden collapse and aphonia, lockjaw, and unconsciousness.
Realgar (Xionghuang) (1 qian, water-floating), Curcuma Zedoaria Rhizome (Yujin), Croton Seed (Badou) (14 seeds, oil removed).
Make pills with vinegar paste, size of mung beans. Administer 9 pills with warm clear tea; stop once vomiting occurs.
Another Prescription: Chalcanthite (Danfan) (1 qian), wrap in flesh of Chinese Plum (Wumei), then wrap externally in cotton and hold in mouth.
Longhuo Badu San (Dragon Fire Antitoxic Powder): Treats acute Chantou conditions. First bleed with a needle, then apply this powder swept with fresh water.
Pyroxene (Yangqishi) [dosage missing], Longtan Earth (Fulonggan) (equal parts mixed with water for application).
Also, root of Daphne odora (Bairuixiang), grind with water and instill.
Symptoms of Swallowing (Swallowing refers to swallowing food over time): Swelling of the pharynx prevents swallowing. Dryness prevents swallowing. This may result from excessive drinking leading to coughing heat, or injury from vomiting/hemoptysis, all causing dryness of the pharyngeal system.
Symptoms of Throat Disease (The throat is the passage for sound entry and exit; accumulation of heat causes sudden swelling and blockage.)
Uvula (Colloquially called 'mo', located above.)
Cough with hoarseness and throat rupture, colloquially called 'sound scattering'.