某 经云∶一阴一阳结;谓之喉痹。古无喉科专门,故不分症,通称之喉痹。夫一阴者
厥阴也,一阳者少阳也。二经上循咽嗌,君相火炽,结为喉痹。良由荣阴内亏,水不涵木,木
火上炎,先患目疾,继发喉痹,同是一源之恙所谓阴虚喉为之患也。脉形弦数,舌苔边红中
黄。治拟滋阴降火。《内经》又云∶壮水之主,以制阳光法也。附方请明眼裁之。
元参 肥知母 丹皮 朱茯神 枇杷叶 射干 鲜石斛 怀牛膝 象贝 鲜竹茹
山豆根 鲜生地 石决明 金果榄
潘右(螺蛳庄) 痰凝气滞,颈项结核,久延恐成乳 ,脉弦滑数,拟逍遥合疏解法。
鳖血炒柴胡 白茯苓 制香附 忍冬藤 地栗 金当归 丹皮 子青皮 土贝 东白芍 左牡蛎 真橘
核陈海蜇 又六味丸(半斤) 消 丸(四两,二味和匀,每日清晨午后空心淡盐汤送下三钱)
吴左(八月) 痰气交阻,病成噎膈,脉右弦滑,治宜降气豁痰,即老夫自吃风哮之方加川郁金全栝蒌。
张左(十一月) 嗜饮伤胃,郁怒伤肝,木为土贼,生化之源大伤,以致胃不受纳,经云∶
食入反出者属上膈也,脉来弦细而数,病延半载,非易调治。
真川连 全栝蒌 新会皮 妙竹茹 牛啭草 淡干姜 旋复花 制半夏 青皮蔗汁
炒枳实 代赭石 八月扎 赤苓
或可加牛乳、韭汁、枇杷叶之类。
某患者:《内经》记载:“一阴与一阳之气郁结,称为喉痹。”古代没有专门的喉科,因此不区分具体症状,统称为喉痹。所谓“一阴”,指的是厥阴经;“一阳”,指的是少阳经。这两条经脉向上循行经过咽喉部位,若心火(君火)与相火炽盛,郁结于咽喉,便形成喉痹。这主要是由于营血和阴液内部亏损,肾水不能滋养肝木,导致肝木之火上炎。起初表现为眼部疾病,随后继发喉痹,这是同一根源的病症,即所谓的阴虚导致喉部患病。脉象呈现弦而数的特征,舌苔边缘红、中间黄。治疗拟定为滋阴降火之法。《内经》又说:“壮水之主,以制阳光”,即是此法。附上方剂,请高明者裁夺。
玄参 肥知母 丹皮 朱茯神 枇杷叶 射干 鲜石斛 怀牛膝 象贝 鲜竹茹
山豆根 鲜生地 石决明 金果榄
潘先生右侧(螺蛳庄):痰凝滞气机,颈项部出现结核肿块,日久恐发展成乳痨(或类似慢性消耗性颈部结核),脉象弦滑数,拟定逍遥散合疏解法治疗。
鳖血炒柴胡 白茯苓 制香附 忍冬藤 地栗 金当归 丹皮 子青皮 土贝 东白芍 左牡蛎 真橘核陈海蜇 另服六味丸(半斤) 消瘰丸(四两,两药混合均匀,每日清晨和午后空腹时,用淡盐汤送服三钱)
吴先生左侧(八月):痰气相互交阻,病情发展为噎膈(吞咽困难),脉象右侧弦滑,治疗应当降气豁痰,即用老夫自己治疗风哮的方子加入川郁金、全栝蒌。
张先生左侧(十一月):嗜酒损伤胃腑,郁怒损伤肝脏,肝木克制脾土(木为土贼),导致脾胃生化之源大受损伤,致使胃无法接受食物。《内经》说:“食入反出者属上膈也”,脉象弦细而数,病程已延续半年,不易调治。
真川连 全栝蒌 新会皮 妙竹茹 牛啭草 淡干姜 旋复花 制半夏 青皮蔗汁
炒枳实 代赭石 八月扎 赤苓
或许可以加牛乳、韭汁、枇杷叶之类的药物。
Mr. [Surname]: The *Neijing* states: "The binding of one Yin and one Yang is called throat obstruction (Hou Bi)." In ancient times, there was no specialized department for throat diseases, so specific symptoms were not distinguished, and it was generally referred to as throat obstruction (Hou Bi). By "one Yin," we refer to the Jueyin Meridian; by "one Yang," the Shaoyang Meridian. These two meridians ascend along the pharynx and larynx. When the Ministerial Fire and Sovereign Fire are blazing and bind together in the throat, throat obstruction (Hou Bi) results. This is primarily due to the internal deficiency of Ying (Nutritive) Yin and body fluids, where Kidney Water fails to nourish Liver Wood, causing Liver Fire to flare upward. Initially, eye disorders occur, followed by secondary throat obstruction (Hou Bi). This is a disease from the same source, namely, Yin deficiency leading to throat pathology. The pulse is wiry and rapid, and the tongue coating is red at the edges and yellow in the center. The treatment principle is to nourish Yin and descend Fire. As the *Neijing* also states: "Strengthen the master of Water to control the sunlight," which is this method. Attached is the formula for the discerning expert to review.
Scrophulariae Radix (Xuanshen), Anemarrhenae Rhizoma with Fatsia (Fei Zhimu), Paeoniae Rubra Radix (Danpi), Poria Cocos with Cinnabar Barbs (Zhufushen), Loquat Leaf (Pipaye), Belamcandae Rhizoma (Shegan), Dendrobii Caulis Fresh (Xian Shihu), Achyranthis Bidentatae Radix Huai (Huainiuxi), Fritillariae Thunbergii Bulbus (Xiangbei), Bamboo Sap Fresh (Xian Zhuju), Sophorae Tonkinensis Radix (Shandougen), Rehmanniae Radix Fresh (Xian Shengdi), Halitum (Shijueming), Eriobotryae Folium / Akebiae Caulis? (Jinguolan - *Note: Jinguolan usually refers to Akebiae Caulis or related herb, here kept as name*)
Mr. Pan, Right Side (Luosizhuang): Phlegm congeals and Qi stagnates, resulting in tubercles in the neck and nape. If prolonged, it may develop into breast tuberculosis (Ru Lao). The pulse is wiry, slippery, and rapid. The proposed treatment is Xiaoyao San combined with methods to disperse and resolve.
Bile-treated Chaihu, White Poria (Baifuling), Processed Cyperi Rhizoma (Zhi Xiangfu), Honeysuckle Stem (Rendongteng), Dioscorea Hypoglauca Tuber (Dili), Angelica Sinensis (Jindanggui), Paeoniae Rubra Radix (Danpi), Green Tangerine Peel (Ziqingpi), Fritillariae Thunbergii Bulbus Earth (Tubei), White Peony Root Dong (Dongbaishao), Left-side Oyster Shell (Zuomuli), Real Citrus Aurantium Seed (Zhen Juhe), Aged Jellyfish (Chen Haijie). Additionally, Liuwei Wan (half jin) and Xiaoluo Wan (four liang, mixed evenly, taken three qian each morning and afternoon on an empty stomach with light salt water).
Mr. Wu, Left Side (August): Phlegm and Qi obstruct each other, the condition has developed into yige (dysphagia/obstruction). The right pulse is wiry and slippery. Treatment should focus on descending Qi and resolving phlegm. Use my own formula for wind asthma, adding Curcumae Radix (Chuan Yujin) and Trichosanthis Fructus Whole (Quan Gualou).
Mr. Zhang, Left Side (November): Excessive drinking injures the Stomach, depression and anger injure the Liver. Wood acts as the thief of Earth, severely damaging the source of transformation and production, resulting in the Stomach's inability to receive food. The *Neijing* states: "Food entering and then vomiting out belongs to upper jiao obstruction." The pulse is wiry, fine, and rapid. The disease has persisted for half a year and is not easy to treat.
Coptidis Rhizoma (Zhen Chuanlian), Trichosanthis Fructus Whole (Quan Gualou), Citretum Reticulatum Pericarpium (Xinhui Pi), Bamboo Sap (Miao Zhuru), Desmodii Stemoniferi Rhizoma (Niuzhuancao), Dried Ginger (Dan Jiangjiang), Inulae Flos (Xuanfuhua), Processed Pinellia Rhizoma (Zhi Banxia), Green Tangerine Peel with Sugarcane Juice (Qingpi Zhezhir), Fried Immature Bitter Orange (Chao Zhishi), Magnetitum (Daizheshi), Arctostaphylis Fructus (Yuezha), Red Poria (Chiling).
Possibly add milk, leek juice, loquat leaf, etc.