凡经云喉痹者，谓喉中呼吸不通，言语不出，而天气闭塞也。云咽痛云嗌痛者，谓咽喉不能
纳唾与食，而地气闭塞也。云喉痹咽嗌痛者，谓咽喉俱病，天地之气并闭塞也。盖病喉痹者，必
兼咽嗌痛，病咽嗌痛者，不能兼喉痹也。今以喉咽俱病诸方，并入喉痹门中。
喉痹恶寒，及寸脉小弱于关尺者，皆为表证。宜甘桔汤、半夏桂枝甘草汤，详寒热发散之。
若水浆不得入口者，用解毒雄黄丸四五粒，以极酸醋磨化灌入口内，吐出浓痰，却服之。间以生姜自
然汁一蚬壳噙下之，神效。
按喉痹恶寒者，皆是寒折热，寒闭于外，热郁于内，姜汁散其外寒，则内热得伸而愈矣。切忌
胆矾酸寒等剂点喉，反使其阳郁结不伸；又忌硝黄等寒剂下之，反使其阳下陷入里，则祸不旋踵矣。
韩和云∶寸脉弱小于关者，宜消阴助阳。垣云∶两寸脉不足，乃阳气不足，故用表药提其气，升
以助阳也，或三部俱小弱，亦可用其法也。
喉痹，乡村病皆相似者，属天行运气之邪，治必先表散之，亦大忌酸药点之，寒药下之。郁其邪于
内，不
得出也，其病有二。
其一属火。经云∶少阳所至为喉痹。又云∶少阳司天之政，三之气，炎暑至，民病喉痹。治宜
仲景桔梗汤，或面赤斑者，属阳毒，宜阳毒诸方汗之。
其二属湿。经云∶太阴之胜，火气内郁喉痹。又云∶太阴在泉，湿淫所胜，病嗌肿喉痹。
治宜活人半夏桂枝甘草汤，或面青黑者，属阴毒，宜阴毒诸方汗之。
〔仲〕桔梗汤 治伤寒客热咽痛。（方见伤寒咽痛。海藏治咽痛甘桔汤加鼠粘子、竹茹妙。）
〔无〕荆芥汤治咽喉肿痛，语声不出，咽之痛甚。
荆芥（半两） 桔梗（二两） 甘草（一两）
上锉散，每服四钱，水一盏，姜三片，煎六分，去渣温服。
〔《活》〕半夏桂枝甘草汤 治暴寒中人咽痛。（方见伤寒咽痛。）
〔无〕治卒喉痹不得语。小续命汤加杏仁七个煎，甚妙。（续命汤方见中风门。）
〔和〕五香散治喉咽肿痛，毒瓦斯结塞不通。
木香 沉香 鸡舌香 薰陆香（各一两） 麝香（另研，三钱）
上为末，入麝香研匀，每二钱，水一盏，煎服不拘时。
〔《本》〕治中风急喉痹欲死者。白僵蚕捣筛为末，生姜自然汁调下，喉立愈。（丹溪云∶
僵蚕属火而有土与木，老得金气而僵，治喉痹者，取其火中清化之气，以从治相火，散浊逆结
滞之疾。）
〔陈〕附子去皮，炮令坼，以蜜涂上炙之，令蜜入内，含之勿咽其汁，主喉痹。
〔和〕如圣胜金锭治咽喉急闭，腮颔肿痛。并单蛾，结喉，重舌，木舌。
硫黄（细研，一两半） 川芎（一两） 腊茶 薄荷（去根梗。各半两） 贯众（二两） 硝石（研，四两）
荆芥（二两）
上为末，生葱汁搜和为锭，每服先用新汲水灌漱，次嚼生薄荷五七叶，却用药一锭，同嚼
极烂，井水咽下。
甚者连进三服，并以一锭安患处，其病随药便消。
〔罗〕征南帅不邻吉歹，病咽痛下利。（方见表热里寒门。）
洪武戊辰春，乡村病喉痹者甚众，盖前年终之气，及当年初之气，二火之邪也。予累用甘桔汤，
加黄连、半夏、僵蚕、鼠粘子根等剂发之。挟虚者，加参、 、归辈。水浆不入者，先用解毒雄
黄丸，醋磨化之灌喉，痰出，更用生姜汁灌之，却用上项药无不神验。若用胆矾等酸寒点过者，皆不
治，盖邪郁不出故也。
〔罗〕解毒雄黄丸治缠喉风，及急喉闭，卒然倒仆，牙关紧急。
雄黄 郁金（各一分） 巴豆（去皮油，十四个）
上为细末，醋糊为丸绿豆大。茶清下七丸，吐出顽痰，立苏。未吐再服。如至死者，心头
犹热，灌药不下，斡口开灌之下咽，无有不治。如小儿惊热，痰涎壅塞，或二丸三丸，量小大加减。
（一法用雄黄丸三粒，醋磨化灌之尤妙，其痰立出即瘥。）
〔《大》〕治缠喉风。雄黄一块，新汲水磨，急灌吐，瘥。
〔丹〕缠喉风属热痰，宜用鹅翎蘸桐油探吐之。又法，用射干逆流水吐之。
〔世〕远志去心为末，每半钱，水小半盏调服，口含竹管，吐痰涎极捷，治喉痹如神。
乌犀角膏治咽喉肿痛，及一切结喉、烂喉、遁尸、缠喉、痹喉、急喉、飞丝入喉、重舌、
木舌等证。
皂荚（两条，子捶碎，用水三升浸一时久，挪汁去渣，入瓦器内熬成膏） 好酒（一合）
焰硝 百草霜（研，一钱，同皂角膏搅匀令稠） 人参（一钱，为末） 硼砂 白霜梅（各少许。并
研入膏中）
上拌和前药，用鹅毛点少许于喉中，以出尽顽涎为度。却嚼甘草二寸，咽汁吞津。若木舌，
先以粗布蘸水，揩舌冷，次用生姜片擦之，然后用药。
〔《山》〕缠喉风。皂角揉水灌下，得吐愈。
〔《斗》〕治缠喉风喉痹，饮食不通欲死者。用反魂草根一茎，净洗，纳入喉中，取寒痰出即瘥，神验。
更以马牙硝津咽之，即绝根。反魂草，一名紫菀。
〔世〕治咽痛。用土乌药，即矮樟根，以醋两盏煎一盏，先噙后咽，吐出痰涎为愈。
〔杜〕治缠喉风，束气不通。用蛇蜕炙黄、当归等分为末，温酒调下一钱匕，得吐愈。
〔罗〕备急如圣散治时气缠喉风，渐入咽塞，水谷不下，牙关紧急，不省人事。
雄黄（细研） 藜芦（生用） 白矾（飞） 猪牙皂角（去皮，炙黄）
上等分，为细末，每用一豆大，鼻内搐之，立效。
〔世〕一字散治喉闭，气塞不通，饮食不下。
雄黄（另研，一分） 蝎梢（七枚） 白矾（生研） 藜芦（各一钱） 猪牙皂角（七锭）
上为末，每用一字，吹入鼻中，实时吐出顽涎为愈。
治喉咽痛，牙关紧急，用巴豆去壳，以纸压出巴豆油在纸上，以此纸作捻子，点火吹灭，
以烟熏入鼻中，实时口鼻涎流，牙关开矣。
喉痹不恶寒者，及寸脉大滑实于关尺者，皆属下证，宜硝石、青黛等寒药降之，或白矾等酸剂
收之也。韩祗和云∶寸脉大于关尺者，宜消阳助阴。东垣云∶两寸脉实，为阴盛阳虚，下之则愈。
故予每用此法，治急喉痹，如鼓应桴，或三部俱实，亦可用其法也。
〔无〕玉钥匙治风热喉痹，及缠喉风。
焰硝（一两半） 硼砂（半两） 脑子（一字） 白僵蚕（一分）
上为末，以竹管吹半钱入喉中，立愈。
〔世〕治喉痹咽痛，用蒲黄、甘草、青黛、芒硝，等分为末，时时咽豆许，神效。
〔《外》〕疗喉痹神验。朴硝一两，细细含咽汁，立愈。
〔无〕玉屑无忧散治缠喉风，咽喉疼痛，语声不出，咽物有碍。或风涎壅滞，口舌生疮，
大人酒 ，小儿奶癖，
或误吞骨屑，哽塞不下。
玄参 贯众 滑石 砂仁 黄连 甘草 茯苓 山豆根 荆芥（各半两） 寒水石（ ）
硼砂（各三钱）
上为末，每服一钱，先抄入口，以清水咽下。此药除三尸去八邪，辟瘟疗渴。
〔丹〕治喉痹，呼吸不通，须臾欲绝。络石草二两，水升半，煎取二盏去渣，细细呷之，立
通。（《外台秘要》本草云∶络石味苦温微寒无毒，主风热。）
治喉痹。白瑞香花根寸许，研细调灌之妙。（白瑞香药性未详。）
〔葛〕卒喉痹。取黄柏片含之。又黄柏一斤， 咀，酒一斗，煮二沸去渣，恣饮便愈。
〔世〕喉痹，水谷不下。萝卜汁咽之甚佳。（萝卜下气甚速。）
〔丹〕又方 李实根一片，噙口内佳。
治风热痰喉痹，先以千缗汤，次以四物汤加黄柏、知母，养阴则火降矣。
〔《灵苑》〕治急喉闭，逡巡不救者，蠡鱼胆，腊月收，阴干为末，每用少许点患处，药至即
瘥。病深则水调灌之。
〔丹〕用李实根研，水敷顶上一遭。
治喉痹卒不语。羊蹄独根者，勿见风日及妇人鸡犬，以三年醋研和如泥，生布拭喉令赤，敷
之。（《千金方》）
又方
焰硝 枯矾（各五分） 硼砂（一钱） 杜牛膝调敷
上降之之剂。
〔罗〕开关散治喉风气息不通。
白僵蚕（炒，一两） 枯白矾（各等分）
上为细末，每服三钱，生姜蜜水调下，细细服之。
〔《本》〕治缠喉风。用白矾末半钱，乌鸡子清一个，二味调匀，灌入喉中，立效如神。此方
活人不计数，幸毋忽。
〔《山》〕喉闭。用枯矾末吹纳喉中，急用灯盏底油脚灌下。
〔世〕治喉痹。马屁勃、白矾等分为细末，以鹅翎吹入喉中，吐痰二升愈。（马屁勃味辛平。）
治喉闭。一握金一握，烧灰，拌白矾末炒青色为度，用箸三四根，压下舌，看喉中端的，吹入患
处妙。此药一名八角荷，一名山荷叶，如川芎样生深山。诗云∶一叶一枝花，深山是我家，硫黄怕
我死，水银化成砂。
〔无〕神效散荆芥、蓖麻肉等分为末，蜜丸皂子大，绵裹含化，治喉痹语声不出者佳。
〔丹〕又方 猪牙皂角，和霜梅为末噙之。
〔世〕治喉痹咽肿，手足不和恶寒者，用鸭嘴胆矾末，以箸蘸药点患处，药至即瘥，神效。
上收之之剂。
〔海〕治喉痹。取蛴螬虫汁，点在喉中，下咽即开。
〔崔〕治喉痹壅塞不通。取红蓝花，捣绞取汁一小升服之，以瘥为度。如冬月无湿花，可浸干者，
浓绞取汁，如前服之极验。咽喉塞，服之皆瘥。
〔丹〕又方 用茜草一两煎服，降血中之火。
〔世〕治咽肿。杜牛膝捣自然汁，和醋服之。（本草云∶杜牛膝主血结及血块。）
〔无〕马鞭草散治患喉痹咽肿连颊，吐气数者。
马鞭草（本草云∶马鞭草味辛凉，破血主 癖血瘕，通月经。）
上捣自然汁，每服咽一合许。又一法，用马衔铁，煮汁服，亦妙。
〔丹〕治喉痹。射干切一片，含咽汁。（《外台秘要》）本草云∶射干破血消 。治疗老血在
心脾间，味辛凉微温有毒。）
〔孙〕押班都知潘元从喉闭。急召孙至，于夹袋中取药末半匕，吹入喉中，少顷潘吐出脓
血立愈。翌日，
潘诣孙谢曰∶火急之难，非明公不能救，救人之急，非药不能疗，赠金一百两，愿求方以济非常之急。
孙以其方授之，用猪牙皂角、白矾、黄连等分细锉，新瓦上焙干为末，每用半钱吹入喉中。因曰∶
神方无价，安用以利易哉。遂不受所赠。
急喉痹，其声如鼾，有如痰在喉间者，此为肺绝之候，速宜参膏救之。用姜汁、竹沥放开服，
如未得参膏，或先煎独参汤救之。服早者，十全七八，次则十全四五，迟则十不全一也。
〔《素》〕一阴一阳结，谓之喉痹。（阴阳别论）
〔海〕治喉闭逡巡不救方。
皂荚（去皮弦子，生，半两，为细末，以箸头点少许在肿痛处，更以醋糊调药末浓涂项上，
须臾便破血出，立瘥。丹溪以鸡毛蘸敷肿处尤妙。）
又 用远志去心，水调敷项上一遭。
〔丹〕治喉痹。青艾和茎叶一握，用醋同杵敷痹处，冬月用干者。（李亚方）
一法用青艾汁灌下。
〔《山》〕喉闭。用蛇床子烧烟，熏入喉中愈。
〔《本》〕喉中卒被毒瓦斯攻痛者，切商陆根炙热，隔布熨之，冷辄易，立愈。
〔丹〕有人患缠喉风，食不能下，大麦面作稀糊咽之，滑腻容易下咽，以助胃气。（《衍义》云∶
以此代粥食也。若能食者，不必用此。）
〔《山》〕挫喉气不通者，以冷水徐灌之。
《内经》刺灸喉痹法有四。今以经脉所过，咽喉取之验者，及他病相干，而致喉痹取之者，
通六经也。
其一，取手足阳明。经云∶喉痹不能言，取足阳明。能言，取手阳明。又云∶胃足阳明脉，从
大迎前下人迎，附循喉咙。所生病者颈肿喉痹，视盛虚热寒陷下取之。又云∶足阳明之别名曰丰隆，
去踝八寸，别走太阴。
其病气逆则喉痹卒喑，取之所别也。又曰∶大肠手阳明脉，所生病者喉痹，视盛虚热寒陷下取之
也。
其二∶取手少阳。经云∶三焦手少阳之脉，出缺盆，上项系耳后，是动则病嗌肿喉痹，视
盛虚热寒陷下取之。又曰∶邪客手少阳之络，令人喉痹，刺手中指次指爪甲上，去端如韭叶各一
，壮者立已，老者顷已，左取右，右取左是也。
其三，以经络所过喉咽者有二。经云∶肝足厥阴之脉，循喉咙之后，故喉之后疼者，取之累
验也。又云∶肾足少阴之脉，上贯肝鬲，循喉咙，窦汉卿所谓必准者，照海治喉中之闭塞是也。
其四，他病相干致喉痹者有一。经云∶心咳之状，喉仲介介如梗状，甚则咽肿喉痹，取心之
俞，盖大陵穴是也。
〔孙〕文潞公一日喉肿，翰林咽喉科治之，经三日愈甚，上召孙治之。孙曰∶病得相公书判
笔一管，去笔头，水 笔管点药入喉便愈。孙随手便刺，相公昏仆，不省人事，左右皆惊愕流汗。
孙乃笑曰∶非我不能救相公，须臾呕出脓血升余，旬日乃平复如故。见上，上喜曰∶孙召良医，
甚有手段。予尝治一男子喉痹，于太溪穴刺出黑血半盏而愈。由是言之，喉痹以恶血不散故也。凡
治此疾，暴者必先发散，发散不愈，次取痰，取痰不愈，次去污血也。
〔《摘》〕治喉痹∶丰隆 涌泉 关冲（甚者，以小三棱针藏笔锋中，诈言点药于喉痹上，
乃刺出紫血，顿下立愈。）
凡是医经中提到的“喉痹”，是指喉咙中呼吸不畅，无法说话，这是天气（阳气）闭塞所致。提到“咽痛”或“嗌痛”的，是指咽喉不能吞咽唾液和食物，这是地气（阴气）闭塞所致。提到“喉痹伴咽嗌痛”的，是指咽喉同时患病，天地之气都闭塞了。大概患喉痹的人，必定兼有咽嗌痛；但患咽嗌痛的人，却不能兼有喉痹。现在将治疗咽喉同时患病的各种方剂，都归入喉痹门中。
喉痹伴有恶寒，且寸脉比关、尺脉细小虚弱的，都属于表证。适宜用甘桔汤、半夏桂枝甘草汤，根据寒热的具体情况发散解表。如果连水浆都无法入口的，使用解毒雄黄丸四五粒，用极酸的醋磨化后灌入口内，吐出浓痰后，再服用其他药物。间歇性地含服生姜自然汁一蚬壳量，效果神奇。
按语：喉痹伴有恶寒的，都是寒气遏制热气，寒邪闭阻于外，热邪郁结于内。姜汁能疏散体表的寒邪，体内的热邪得以伸展而病愈。切忌使用胆矾等酸寒性质的药剂点喉，否则反而使阳气郁结无法伸展；又忌用硝石、大黄等寒凉药剂攻下，否则反而使阳气下陷进入体内，那样灾祸就会立刻降临。
韩和说：寸脉弱小于关脉的，适宜消除阴邪，助长阳气。李东垣说：两寸脉不足，是阳气不足，所以用发表药提升其气，升发以助长阳气。如果三部脉都小弱，也可以用这种方法。
喉痹，乡村流行的病症都相似的，属于时行运气之邪，治疗必须先发散表邪，也极其忌讳用酸药点喉或用寒药攻下。这样会使邪气郁结在体内，无法排出。这类病主要有两种情况。
第一种属火。医经说：少阳之气到来会导致喉痹。又说：少阳司天之时，三之气阶段，炎热暑气到来，百姓患喉痹。治疗适宜用张仲景的桔梗汤，或者面部发红有斑点的，属于阳毒，适宜用治疗阳毒的各种方剂发汗。
第二种属湿。医经说：太阴湿气胜复，火气内郁导致喉痹。又说：太阴在泉之时，湿气淫盛，导致咽喉肿痛喉痹。治疗适宜用《活人书》的半夏桂枝甘草汤，或者面部青黑的，属于阴毒，适宜用治疗阴毒的各种方剂发汗。
〔张仲景〕桔梗汤：治疗伤寒客热引起的咽痛。（方剂见伤寒咽痛条。海藏治咽痛的甘桔汤加鼠粘子、竹茹很妙。）
〔无名氏〕荆芥汤：治疗咽喉肿痛，声音不出，吞咽时疼痛剧烈。
荆芥（半两） 桔梗（二两） 甘草（一两）
以上锉成散剂，每次服用四钱，用水一盏，生姜三片，煎至六分，去渣温服。
〔《活人书》〕半夏桂枝甘草汤：治疗暴感寒邪中人引起的咽痛。（方剂见伤寒咽痛条。）
〔无名氏〕治疗突然喉痹不能说话。用小续命汤加杏仁七个煎服，非常奇妙。（续命汤方见中风门。）
〔韩和〕五香散：治疗喉咽肿痛，毒气结塞不通。
木香 沉香 鸡舌香 薰陆香（各一两） 麝香（另研，三钱）
以上为末，加入麝香研匀，每次二钱，用水一盏，不拘时候煎服。
〔《本草》〕治疗中风急喉痹快要死去的。白僵蚕捣筛为末，用生姜自然汁调服，喉咙立刻痊愈。（丹溪说：僵蚕属火而有土与木的特性，老得金气而僵硬，治疗喉痹，取其火中清化之气，以从治相火，消散浊逆结滞的疾病。）
〔陈〕附子去皮，炮裂，用蜜涂抹后炙烤，让蜜渗入内部，含在口中不要咽下汁液，主治喉痹。
〔韩和〕如圣胜金锭：治疗咽喉急闭，腮颔肿痛。以及单蛾、结喉、重舌、木舌。
硫黄（细研，一两半） 川芎（一两） 腊茶 薄荷（去根梗，各半两） 贯众（二两） 硝石（研，四两） 荆芥（二两）
以上为末，用生葱汁调和做成锭剂。每次服用前先用新汲水漱口，然后嚼生薄荷五七片，接着用药锭一同嚼烂，井水送下。
严重的连续进服三服，并将一锭药放在患处，病随药便消解。
〔罗〕征南帅不邻吉歹，患咽痛下利。（方剂见表热里寒门。）
洪武戊辰年春天，乡村患喉痹的人很多，这是因为前一年终之气，及当年年初之气，都是二火之邪。我屡次使用甘桔汤，加黄连、半夏、僵蚕、鼠粘子根等药剂发散。夹杂虚证的，加人参、[缺字]、当归之类。水浆不入的，先用解毒雄黄丸，醋磨化灌喉，痰出后，再用生姜汁灌服，然后用上述药物，无不神效。如果用胆矾等酸寒药剂点过的，都难以治愈，因为邪气郁结无法排出的缘故。
〔罗〕解毒雄黄丸：治疗缠喉风，及急喉闭，突然倒仆，牙关紧急。
雄黄 郁金（各一分） 巴豆（去皮油，十四个）
以上为细末，醋糊做成绿豆大的丸。茶清送下七丸，吐出顽痰，立刻苏醒。未吐再服。如果是假死的，心头还热，灌药不下，撬开嘴灌下去，没有不治好的。如果是小儿惊热，痰涎壅塞，或二丸三丸，根据大小加减。
（一种方法是用雄黄丸三粒，醋磨化灌服尤其妙，痰立刻出来即痊愈。）
〔《大观本草》〕治疗缠喉风。雄黄一块，新汲水磨，急灌催吐，痊愈。
〔朱丹溪〕缠喉风属热痰，适宜用鹅翎蘸桐油探吐。又一种方法，用射干配合逆流水催吐。
〔世传〕远志去心为末，每次半钱，水小半盏调服，口含竹管，吐痰涎极快，治疗喉痹如神。
乌犀角膏：治疗咽喉肿痛，及一切结喉、烂喉、遁尸、缠喉、痹喉、急喉、飞丝入喉、重舌、木舌等证。
皂荚（两条，子捶碎，用水三升浸一时久，榨汁去渣，入瓦器内熬成膏） 好酒（一合） 焰硝 百草霜（研，一钱，同皂角膏搅匀令稠） 人参（一钱，为末） 硼砂 白霜梅（各少许。并研入膏中）
以上拌和前药，用鹅毛蘸少许点在喉中，以出尽顽涎为度。然后嚼甘草二寸，咽汁吞津。如果是木舌，先用粗布蘸水，揩舌冷，再用生姜片擦之，然后用药。
〔《山居方》〕缠喉风。皂角揉水灌下，得吐则愈。
〔《斗门方》〕治疗缠喉风喉痹，饮食不通快要死去的。用反魂草根一茎，洗净，纳入喉中，取出寒痰即痊愈，神效。再用马牙硝津液咽下，即绝根。反魂草，一名紫菀。
〔世传〕治疗咽痛。用土乌药，即矮樟根，用醋两盏煎一盏，先含后咽，吐出痰涎为愈。
〔杜〕治疗缠喉风，束气不通。用蛇蜕炙黄、当归等分为末，温酒调下一钱匕，得吐则愈。
〔罗〕备急如圣散：治疗时气缠喉风，渐入咽塞，水谷不下，牙关紧急，不省人事。
雄黄（细研） 藜芦（生用） 白矾（飞） 猪牙皂角（去皮，炙黄）
以上等分，为细末，每次用一豆大，鼻内搐之，立效。
〔世传〕一字散：治疗喉闭，气塞不通，饮食不下。
雄黄（另研，一分） 蝎梢（七枚） 白矾（生研） 藜芦（各一钱） 猪牙皂角（七锭）
以上为末，每次用一字，吹入鼻中，实时吐出顽涎为愈。
治疗喉咽痛，牙关紧急，用巴豆去壳，以纸压出巴豆油在纸上，以此纸作捻子，点火吹灭，以烟熏入鼻中，实时口鼻涎流，牙关开了。
喉痹不恶寒的，及寸脉大滑实于关尺的，都属于里实证，适宜用硝石、青黛等寒药降之，或用白矾等酸剂收敛。韩祗和说：寸脉大于关尺的，适宜消阳助阴。李东垣说：两寸脉实，为阴盛阳虚，攻下则愈。所以我每用此法，治疗急喉痹，如鼓应桴，如果三部脉都实，也可以用这种方法。
〔无名氏〕玉钥匙：治疗风热喉痹，及缠喉风。
焰硝（一两半） 硼砂（半两） 脑子（一字） 白僵蚕（一分）
以上为末，以竹管吹半钱入喉中，立愈。
〔世传〕治疗喉痹咽痛，用蒲黄、甘草、青黛、芒硝，等分为末，时时咽豆许，神效。
〔《外台秘要》〕疗喉痹神验。朴硝一两，细细含咽汁，立愈。
〔无名氏〕玉屑无忧散：治疗缠喉风，咽喉疼痛，声音不出，吞咽有碍。或风涎壅滞，口舌生疮，大人酒癖，小儿奶癖，或误吞骨屑，哽塞不下。
玄参 贯众 滑石 砂仁 黄连 甘草 茯苓 山豆根 荆芥（各半两） 寒水石（缺字） 硼砂（各三钱）
以上为末，每次一钱，先抄入口，以清水咽下。此药除三尸去八邪，辟瘟疗渴。
〔朱丹溪〕治疗喉痹，呼吸不通，片刻欲绝。络石草二两，水升半，煎取二盏去渣，细细呷之，立通。（《外台秘要》本草云：络石味苦温微寒无毒，主风热。）
治疗喉痹。白瑞香花根寸许，研细调灌之妙。（白瑞香药性未详。）
〔葛〕卒喉痹。取黄柏片含之。又黄柏一斤，切碎，酒一斗，煮二沸去渣，恣饮便愈。
〔世传〕喉痹，水谷不下。萝卜汁咽之甚佳。（萝卜下气甚速。）
〔朱丹溪〕又方 李实根一片，噙口内佳。
治疗风热痰喉痹，先以千缗汤，次以四物汤加黄柏、知母，养阴则火降矣。
〔《灵苑方》〕治疗急喉闭，不久不救的，蠡鱼胆，腊月收，阴干为末，每次用少许点患处，药到即愈。病深则水调灌之。
〔朱丹溪〕用李实根研，水敷顶上一遭。
治疗喉痹突然不能说话。羊蹄独根者，勿见风日及妇人鸡犬，以三年醋研和如泥，生布拭喉令赤，敷之。（《千金方》）
又方
焰硝 枯矾（各五分） 硼砂（一钱） 杜牛膝调敷
以上是降之的药剂。
〔罗〕开关散：治疗喉风气息不通。
白僵蚕（炒，一两） 枯白矾（各等分）
以上为细末，每次三钱，生姜蜜水调下，细细服之。
〔《本草》〕治疗缠喉风。用白矾末半钱，乌鸡子清一个，二味调匀，灌入喉中，立效如神。此方活人不计数，幸毋忽。
〔《山居方》〕喉闭。用枯矾末吹纳喉中，急用灯盏底油脚灌下。
〔世传〕治疗喉痹。马屁勃、白矾等分为细末，以鹅翎吹入喉中，吐痰二升愈。（马屁勃味辛平。）
治疗喉闭。一握金一握，烧灰，拌白矾末炒青色为度，用箸三四根，压下舌，看喉中确实部位，吹入患处妙。此药一名八角荷，一名山荷叶，如川芎样生深山。诗云：一叶一枝花，深山是我家，硫黄怕我死，水银化成砂。
〔无名氏〕神效散：荆芥、蓖麻肉等分为末，蜜丸皂子大，绵裹含化，治疗喉痹声音出不来的很好。
〔朱丹溪〕又方 猪牙皂角，和霜梅为末噙之。
〔世传〕治疗喉痹咽肿，手足不和恶寒的，用鸭嘴胆矾末，以箸蘸药点患处，药到即愈，神效。
以上是收敛的药剂。
〔王海藏〕治疗喉痹。取蛴螬虫汁，点在喉中，下咽即开。
〔崔〕治疗喉痹壅塞不通。取红蓝花，捣绞取汁一小升服之，以瘥为度。如冬月无湿花，可浸干者，浓绞取汁，如前服之极验。咽喉塞，服之皆瘥。
〔朱丹溪〕又方 用茜草一两煎服，降血中之火。
〔世传〕治疗咽肿。杜牛膝捣自然汁，和醋服之。（本草云：杜牛膝主血结及血块。）
〔无名氏〕马鞭草散：治疗患喉痹咽肿连颊，吐气数者。
马鞭草（本草云：马鞭草味辛凉，破血主癖血瘕，通月经。）
以上捣自然汁，每次咽一合许。又一法，用马衔铁，煮汁服，亦妙。
〔朱丹溪〕治疗喉痹。射干切一片，含咽汁。（《外台秘要》本草云：射干破血消癥。治疗老血在心脾间，味辛凉微温有毒。）
〔孙〕押班都知潘元从喉闭。急召孙思邈至，于夹袋中取药末半匕，吹入喉中，少顷潘元吐出脓血立愈。翌日，潘元诣孙思邈谢曰：火急之难，非明公不能救，救人之急，非药不能疗，赠金一百两，愿求方以济非常之急。孙思邈以其方授之，用猪牙皂角、白矾、黄连等分细锉，新瓦上焙干为末，每次半钱吹入喉中。因曰：神方无价，安用以利易哉。遂不受所赠。
急喉痹，其声如鼾，有如痰在喉间者，此为肺绝之候，速宜参膏救之。用姜汁、竹沥放开服，如未得参膏，或先煎独参汤救之。服早者，十全七八，次则十全四五，迟则十不全一也。
〔《素问》〕一阴一阳结，谓之喉痹。（阴阳别论）
〔王海藏〕治疗喉闭不久不救方。
皂荚（去皮弦子，生，半两，为细末，以箸头点少许在肿痛处，更以醋糊调药末浓涂项上，须臾便破血出，立瘥。丹溪以鸡毛蘸敷肿处尤妙。）
又 用远志去心，水调敷项上一遭。
〔朱丹溪〕治疗喉痹。青艾和茎叶一握，用醋同杵敷痹处，冬月用干者。（李亚方）
一法用青艾汁灌下。
〔《山居方》〕喉闭。用蛇床子烧烟，熏入喉中愈。
〔《本草》〕喉中卒被毒瓦斯攻痛者，切商陆根炙热，隔布熨之，冷辄易，立愈。
〔朱丹溪〕有人患缠喉风，食不能下，大麦面作稀糊咽之，滑腻容易下咽，以助胃气。（《衍义》云：以此代粥食也。若能食者，不必用此。）
〔《山居方》〕挫喉气不通者，以冷水徐灌之。
《内经》刺灸喉痹法有四。现在以经脉所过，咽喉取之验者，及他病相干，而致喉痹取之者，通六经也。
其一，取手足阳明。医经说：喉痹不能言，取足阳明。能言，取手阳明。又说：胃足阳明脉，从大迎前下人迎，附循喉咙。所生病者颈肿喉痹，视盛虚热寒陷下取之。又说：足阳明之别名曰丰隆，去踝八寸，别走太阴。其病气逆则喉痹卒喑，取之所别也。又说：大肠手阳明脉，所生病者喉痹，视盛虚热寒陷下取之也。
其二，取手少阳。医经说：三焦手少阳之脉，出缺盆，上项系耳后，是动则病嗌肿喉痹，视盛虚热寒陷下取之。又说：邪客手少阳之络，令人喉痹，刺手中指次指爪甲上，去端如韭叶各一，壮者立已，老者顷已，左取右，右取左是也。
其三，以经络所过喉咽者有二。医经说：肝足厥阴之脉，循喉咙之后，故喉之后疼者，取之累验也。又说：肾足少阴之脉，上贯肝鬲，循喉咙，窦汉卿所谓必准者，照海治喉中之闭塞是也。
其四，他病相干致喉痹者有一。医经说：心咳之状，喉仲介介如梗状，甚则咽肿喉痹，取心之俞，盖大陵穴是也。
〔孙思邈〕文潞公一日喉肿，翰林咽喉科治之，经三日愈甚，上召孙思邈治之。孙思邈曰：病得相公书判笔一管，去笔头，水[缺字]笔管点药入喉便愈。孙思邈随手便刺，相公昏仆，不省人事，左右皆惊愕流汗。孙思邈乃笑曰：非我不能救相公，须臾呕出脓血升余，旬日乃平复如故。见上，上喜曰：孙召良医，甚有手段。予尝治一男子喉痹，于太溪穴刺出黑血半盏而愈。由是言之，喉痹以恶血不散故也。凡治此疾，暴者必先发散，发散不愈，次取痰，取痰不愈，次去污血也。
〔《摘玄方》〕治疗喉痹：丰隆 涌泉 关冲（甚者，以小三棱针藏笔锋中，诈言点药于喉痹上，乃刺出紫血，顿下立愈。）
Whenever the medical classics mention "Hou Bi" (Sore Throat/Throat Obstruction), it refers to a condition where breathing through the throat is obstructed, speech is impossible, and the Qi of Heaven (Yang) is blocked. When "Yan Tong" (Pharyngeal Pain) or "Ai Tong" (Oropharyngeal Pain) are mentioned, it refers to the inability to swallow saliva and food, indicating that the Qi of Earth (Yin) is blocked. When "Hou Bi accompanied by Yan Ai Tong" is mentioned, it means both the throat and pharynx are diseased, and both Heaven and Earth Qi are blocked. Generally, those suffering from Hou Bi must also have Yan Ai Tong; however, those with Yan Ai Tong cannot necessarily have Hou Bi. Currently, all prescriptions for diseases affecting both the throat and pharynx are included in the Hou Bi section.
If Hou Bi is accompanied by aversion to cold, and the Cun pulse (Inch position) is smaller and weaker than the Guan (Bar) and Chi (Cubit) positions, these are all exterior syndromes. It is appropriate to use Gan Jie Tang (Licorice and Platycodon Decoction) or Ban Xia Gui Zhi Gan Cao Tang (Pinellia, Cinnamon Twig, and Licorice Decoction), dispersing according to the specific patterns of cold and heat. If even water and fluids cannot be swallowed, use Jie Du Xiong Huang Wan (Detoxifying Realgar Pill), four or five pills, ground in extremely sour vinegar and administered into the mouth. After thick phlegm is vomited, administer other medications. Intermittently holding one shell of fresh ginger juice in the mouth yields miraculous effects.
Note: Cases of Hou Bi with aversion to cold are all due to cold restraining heat, with cold pathogen closed on the exterior and heat郁 (stagnant) within. Ginger juice disperses the exterior cold, allowing the internal heat to extend and the disease to heal. One must strictly avoid using acid-cold agents like Dan Fan (Chalcanthite) to drop into the throat, as this will cause Yang Qi to become stagnant and unable to extend; nor should one use cold purgatives like Xiao Shi (Niter) and Da Huang (Rhubarb) to purge downwards, as this will cause Yang Qi to sink into the interior, leading to immediate disaster.
Han He stated: When the Cun pulse is weaker and smaller than the Guan pulse, it is appropriate to eliminate Yin pathogens and assist Yang Qi. Yuan (Li Dongyuan) stated: Insufficiency in both Cun pulses indicates insufficiency of Yang Qi; therefore, exterior-releasing medicines are used to lift the Qi and ascend to assist Yang. This method can also be used if all three pulses are small and weak.
When Hou Bi occurs in villages and the symptoms are similar among patients, it belongs to the pathogenic factors of seasonal epidemics and climate cycles. Treatment must first focus on dispersing the exterior. It is also strictly forbidden to use acid drops or cold purgatives, as this will trap the pathogen inside, preventing its expulsion. There are two types of such diseases.
The first type belongs to Fire. The classics state: "The arrival of Shaoyang leads to Hou Bi." It also states: "When Shaoyang governs the year, during the third Qi period, when hot summer heat arrives, people suffer from Hou Bi." Treatment should use Zhang Zhongjing's Jie Geng Tang (Platycodon Decoction). If the face is red with spots, it belongs to Yang Du (Yang Toxin), and sweating methods from various Yang Du prescriptions should be used.
The second type belongs to Dampness. The classics state: "Excess of Taiyin causes internal stagnation of fire leading to Hou Bi." It also states: "When Taiyin governs below, excessive dampness causes swelling of the throat and Hou Bi." Treatment should use Ban Xia Gui Zhi Gan Cao Tang from *Huo Ren Shu* (The Book That Revives People). If the face is blue-black, it belongs to Yin Du (Yin Toxin), and sweating methods from various Yin Du prescriptions should be used.
[Zhang Zhongjing] Jie Geng Tang: Treats sore throat caused by exogenous heat in Shang Han (Cold Damage). (Prescription see Shang Han Sore Throat. Hai Zang's Gan Jie Tang for sore throat added with Niu Bang Zi [Arctium Fruit] and Zhu Ru [Bamboo Shavings] is excellent.)
[Anonymous] Jing Jie Tang: Treats swelling and pain of the throat and pharynx, loss of voice, and severe pain upon swallowing.
Jing Jie (Schizonepetae Herba, half tael) Jie Geng (Platycodonis Radix, two taels) Gan Cao (Glycyrrhizae Radix et Rhizoma, one tael)
Crush into powder. Take four qian per dose, with one cup of water and three slices of ginger. Decoct until six fen remains, strain, and take warm.
[Huo Ren Shu] Ban Xia Gui Zhi Gan Cao Tang: Treats sudden invasion of cold causing sore throat. (Prescription see Shang Han Sore Throat.)
[Anonymous] For sudden Hou Bi with inability to speak. Use Xiao Xu Ming Tang (Minor Continuation of Life Decoction) with seven Xing Ren (Prunus Armeniaca Seed) decocted. Very effective. (Xu Ming Tang prescription see Wind Stroke Section.)
[Han He] Wu Xiang San (Five Fragrances Powder): Treats swelling and pain of throat/pharynx, blockage by toxic qi.
Mu Xiang (Aucklandiae Radix) Chen Xiang (Aquilariae Lignum Resinatum) Ji She Xiang (Litseae Fructus) Xun Lu Xiang (Boswelliae Resina) (each one tael) She Xiang (Moschus, separately ground, three qian)
Grind into powder, mix evenly with She Xiang. Take two qian per dose, with one cup of water, at any time.
[Ben Cao] For acute wind-stroke Hou Bi nearing death. Bai Jiang Can (Bombyx Batryticatus) ground into powder, mixed with fresh ginger juice and taken. The throat heals immediately. (Dan Xi said: Jiang Can possesses Fire but has Earth and Wood qualities; aging gives it Metal Qi making it stiff. Treating Hou Bi utilizes its clearing transformation Qi within Fire to regulate Ministerial Fire and dissipate turbid, rebellious, stagnant disorders.)
[Chen] Fu Zi (Aconiti Lateralis Radix Preparata) peeled, processed until cracked, coated with honey and roasted until honey penetrates. Hold in mouth without swallowing the juice. Main treatment for Hou Bi.
[Han He] Ru Sheng Sheng Jin Ding (Like-Sage Gold Ingot): Treats acute closure of throat, swelling and pain of cheeks/jaw. Also for Dan E (Single Tonsil), Jie Hou (Goiter-like swelling), Chong She (Double Tongue), Mu She (Wooden Tongue).
Liu Huang (Sulfur, finely ground, one and a half taels) Chuan Xiong (Ligustici Chuanxiong Rhizoma, one tael) La Cha (Winter Tea) Bo He (Menthae Haplocalycis Herba, de-rooted/stalked, each half tael) Guan Zhong (Cyrtomii Rhizoma, two taels) Xiao Shi (Natrii Nitras, ground, four taels) Jing Jie (Schizonepetae Spica, two taels)
Grind into powder, knead with fresh green onion juice into ingots. Before taking, rinse mouth with fresh well water. Chew five to seven fresh Bo He leaves, then chew one ingot thoroughly with them, and swallow with well water.
For severe cases, take three doses consecutively, and place one ingot on the affected area; the disease will subside with the medicine.
[Luo] Zheng Nan Shuai Bu Lin Ji Dai suffered from sore throat and diarrhea. (Prescription see Exterior Heat Interior Cold Section.)
In the spring of Wuchen year of Hongwu era, many villagers suffered from Hou Bi. This was due to the final Qi of the previous year and the initial Qi of the current year, which were evils of Double Fire. I repeatedly used Gan Jie Tang, adding Huang Lian (Coptidis Rhizoma), Ban Xia (Pinelliae Rhizoma), Jiang Can (Bombyx Batryticatus), and Niu Bang Zi Gen [Arctium Root] to disperse. For those with deficiency, add Ren Shen (Ginseng Radix et Rhizoma), [missing character], and Dang Gui (Angelicae Sinensis Radix). If fluids cannot enter, first use Jie Du Xiong Huang Wan, ground in vinegar and poured into the throat. After phlegm exits, pour ginger juice, then use the aforementioned medicines. All yield miraculous results. If treated previously with acid-cold drops like Dan Fan, they are incurable because the pathogen is trapped inside and cannot exit.
[Luo] Jie Du Xiong Huang Wan: Treats Chan Hou Feng (Coiling Throat Wind) and acute Hou Bi, sudden collapse, and locked jaw.
Xiong Huang (Realgar) Yu Jin (Curcumae Radix) (each one fen) Ba Dou (Crotonis Fructus, peeled/oiled, fourteen seeds)
Grind into fine powder, make pills with vinegar paste the size of mung beans. Swallow seven pills with tea liquor. Vomiting out tough phlegm leads to immediate revival. If not vomited, take another dose. For those appearing dead, if the heart is still warm and pills cannot be swallowed, pry open the mouth and force down; there is no case that cannot be cured. For children with fright-heat and phlegm obstruction, adjust dosage to two or three pills based on age/size.
(Another method: Use three Xiong Huang pills, ground in vinegar and administered; very effective, phlegm exits immediately and recovery follows.)
[Da Guan Ben Cao] For Chan Hou Feng. One piece of Xiong Huang, grind with fresh well water, administer urgently to induce vomiting. Recovery follows.
[Dan Xi] Chan Hou Feng belongs to Phlegm-Heat. It is appropriate to use a goose feather dipped in Tung Oil to induce vomiting. Another method: Use Ye Gan (Belamcandae Rhizoma) with reverse-flowing water to induce vomiting.
[World Transmission] Yuan Zhi (Polygalae Radix) de-heart, ground into powder. Take half qian, mixed with half cup of water. Hold a bamboo tube in mouth. Expectorates phlegm/saliva very quickly. Treats Hou Bi miraculously.
Wu Xi Jiao Gao (Black Rhinoceros Horn Paste): Treats swelling/pain of throat/pharynx, and all conditions including Jie Hou, Lan Hou (Rotting Throat), Dun Shi (Hidden Corpse), Chan Hou, Bi Hou, Ji Hou (Acute Throat), Fei Si Ru Hou (Flying Thread in Throat), Chong She, Mu She.
Zao Jiao (Gleditsiae Sinensis Fructus) (two strips, seeds crushed, soaked in three sheng water for one hour, squeezed for juice, strained, boiled in clay vessel into paste) Hao Jiu (Good Wine, one he) Yan Xiao (Saltpeter) Bai Cao Shuang (Soot from hundred herbs, ground, one qian, mixed evenly with Zao Jiao paste to thicken) Ren Shen (Ginseng Radix et Rhizoma, one qian, powdered) Peng Sha (Borax) Bai Shuang Mei (White Frost Plum) (each a little, ground and mixed into paste)
Mix all above medicines. Dip goose feather slightly into throat. Continue until all tough phlegm is expelled. Then chew two cun of Gan Cao, swallow juice and saliva. If Mu She (Wooden Tongue), first rub tongue cold with coarse cloth dipped in water, then rub with ginger slice, then apply medicine.
[Shan Ju Fang] Chan Hou Feng. Rub Zao Jiao in water and pour down. Vomiting leads to cure.
[Dou Men Fang] For Chan Hou Feng/Hou Bi with inability to eat/drink nearing death. Use one stem of Fan Hun Cao (Antennariae Herba), wash clean, insert into throat. Extracting cold phlegm leads to cure, miraculous. Further, swallow Ma Ya Xiao (Natrii Sulfas) dissolved in saliva to eradicate the root. Fan Hun Cao is also known as Zi Wan (Adenophorae Radix).
[World Transmission] For sore throat. Use Tu Wu Yao (Arecae Semen Preparatum? Note: Text says 'Ai Zhang Gen' - Cinnamomi Ramulus?), i.e., Ai Zhang Gen, decoct two cups of vinegar to one cup. Hold in mouth then swallow. Vomiting phlegm/saliva indicates cure.
[Du] For Chan Hou Feng, constrained Qi not flowing. Use She Tui (Bovis Colla Preparata) roasted yellow and Dang Gui (Angelicae Sinensis Radix) in equal parts, ground into powder. Take one qian bi with warm wine. Vomiting leads to cure.
[Luo] Bei Ji Ru Sheng San (Emergency Like-Sage Powder): Treats epidemic Chan Hou Feng, gradually entering throat blocking, inability to eat/drink, locked jaw, unconsciousness.
Xiong Huang (Realgar, finely ground) Li Lu (Veratri Rhizoma, raw) Bai Fan (Alumen, refined) Zhu Ya Zao Jiao (Gleditsiae Sinensis Fructus, peeled, roasted yellow)
Equal parts, grind into fine powder. Use amount the size of a bean, insufflate into nose. Immediate effect.
[World Transmission] Yi Zi San (One Character Powder): Treats Hou Bi closure, Qi blockage, inability to eat/drink.
Xiong Huang (Realgar, separately ground, one fen) Xie Shao (Scorpion tail, seven pieces) Bai Fan (Alumen, raw ground) Li Lu (Veratri Rhizoma) (each one qian) Zhu Ya Zao Jiao (Gleditsiae Sinensis Fructus, seven pieces)
Grind into powder. Use amount "one character" (approx 0.5-1g), insufflate into nose. Immediately vomiting tough phlegm indicates cure.
For throat/pharynx pain with locked jaw: Remove shell from Ba Dou (Crotonis Fructus), press oil onto paper with paper. Make this paper into a wick, light it, blow out flame. Smoke into nose. Immediately saliva flows from mouth/nose, jaw opens.
If Hou Bi does not have aversion to cold, and the Cun pulse is large, slippery, and solid compared to Guan/Chi, these belong to interior excess syndromes. It is appropriate to use cold medicines like Xiao Shi (Niter) and Qing Dai (Indigo Naturalis) to descend, or acid agents like Bai Fan (Alumen) to astringe. Han Zhihe said: When Cun pulse is larger than Guan/Chi, it is appropriate to eliminate Yang and assist Yin. Dongyuan (Li Dongyuan) said: Solid pulses in both Cun indicate Yin excess and Yang deficiency; purging downwards leads to cure. Therefore, I often use this method for acute Hou Bi, effective as drum beating. If all three pulses are solid, this method can also be used.
[Anonymous] Yu Yao Chi (Jade Key): Treats Wind-Heat Hou Bi and Chan Hou Feng.
Yan Xiao (Saltpeter, one and a half taels) Peng Sha (Borax, half tael) Nao Zi (Camphora, one character) Bai Jiang Can (Bombyx Batryticatus, one fen)
Grind into powder. Insufflate half qian into throat using bamboo tube. Immediate cure.
[World Transmission] For Hou Bi/Sore Throat: Use Pu Huang (Typhae Pollen), Gan Cao (Glycyrrhizae Radix et Rhizoma), Qing Dai (Indigo Naturalis), Mang Xiao (Natrii Sulfas) in equal parts, ground into powder. Swallow bean-sized amounts frequently. Miraculous effect.
[Wai Tai Mi Yao] Miracle for Hou Bi. Piao Xiao (Mirabilitum) one tael. Hold in mouth, slowly swallow juice. Immediate cure.
[Anonymous] Yu Xie Wu You San (Jade Dust Carefree Powder): Treats Chan Hou Feng, throat pain, loss of voice, difficulty swallowing. Or wind-phlegm obstruction, sores on mouth/tongue, adult alcohol癖 (addiction/mass), infant milk癖, or accidental swallowing of bone splinters causing blockage.
Xuan Shen (Scrophulariae Radix) Guan Zhong (Cyrtomii Rhizoma) Hua Shi (Talcum) Sha Ren (Amomi Fructus Rotundus) Huang Lian (Coptidis Rhizoma) Gan Cao (Glycyrrhizae Radix et Rhizoma) Fu Ling (Poria) Shan Dou Gen (Sophorae Tonkinensis Radix) Jing Jie (Schizonepetae Spica) (each half tael) Han Shui Shi (Halloysitum Rubrum) [Missing Quantity] Peng Sha (Borax) (each three qian)
Grind into powder. Take one qian per dose. Place in mouth first, swallow with clear water. This medicine eliminates Three Corpses and Eight Evils, wards off plague and treats thirst.
[Dan Xi] For Hou Bi with respiratory obstruction nearing death in moments. Luo Shi Cao (Trachelospermi Caulis) two taels, water one and a half sheng. Decoct to two cups, strain. Sip slowly. Immediate relief. (*Wai Tai Mi Yao* Materia Medica says: Luo Shi tastes bitter, warm, slightly cold, non-toxic. Treats Wind-Heat.)
For Hou Bi: Bai Rui Xiang (Daphne Odora) flower/root about one cun, ground fine, mixed and administered. Excellent. (Properties of Bai Rui Xiang unknown.)
[Ge] Sudden Hou Bi. Take Huang Bo (Phellodendri Cortex) slices and hold in mouth. Or Huang Bo one jin, chopped, decocted in one dou of wine for two boils, strain. Drink freely. Cure follows.
[World Transmission] Hou Bi with inability to eat/drink. Radish juice swallowed is very good. (Radish descends Qi rapidly.)
[Dan Xi] Another Prescription: One slice of Li Shi Gen (Pruni Mume Radix) held in mouth is good.
For Wind-Heat Phlegm Hou Bi: First use Qian Mian Tang, then Si Wu Tang (Four Substances Decoction) added with Huang Bo (Phellodendri Cortex) and Zhi Mu (Anemarrhenae Rhizoma). Nourishing Yin will descend Fire.
[Ling Yuan Fang] For acute Hou Bi, untreated soon leads to death. Li Yu Dan (Fish Gallbladder), collected in December, dried in shade, ground into powder. Apply a little to affected area. Medicine reaches, cure follows. For deep disease, dilute with water and pour.
[Dan Xi] Grind Li Shi Gen (Pruni Mume Radix), mix with water, apply to top of head once.
For sudden Hou Bi with inability to speak: Use Yang Ti (Rumex japonicus) single root. Do not expose to wind/sun or women/chickens/dogs. Grind with three-year-old vinegar into mud. Wipe throat with raw cloth until red, then apply. (*Qian Jin Fang*)
Another Formula:
Yan Xiao (Saltpeter) Ku Fan (Alumen, calcined) (each five fen) Peng Sha (Borax, one qian) Du Niu Xi (Achyranthis Bidentatae Radix) mixed and applied.
These are descending agents.
[Luo] Kai Guan San (Open Gate Powder): Treats Wind in throat with blocked breath.
Bai Jiang Can (Bombyx Batryticatus, fried, one tael) Ku Bai Fan (Calcined Alum) (equal parts)
Grind into fine powder. Take three qian per dose, mixed with ginger-honey water, sip slowly.
[Ben Cao] For Chan Hou Feng. Use half qian of Bai Fan (Alumen) powder, mixed with one egg white from black chicken. Mix evenly, pour into throat. Immediate miraculous effect. This formula saves countless people; do not neglect it.
[Shan Ju Fang] Hou Bi Closure. Insufflate Ku Fan (Calcined Alum) powder into throat. Urgently pour lamp oil residue (bottom sediment) down.
[World Transmission] For Hou Bi. Ma Pi Bo (Polyporus Umbellatus? Note: Text implies a specific herb, likely Polyporus or similar diuretic/herb contextually, but literally 'Horse Fart Rising') and Bai Fan (Alumen) in equal parts, ground fine. Insufflate into throat with goose feather. Vomiting two sheng of phlegm leads to cure. (Ma Pi Bo tastes pungent, neutral.)
For Hou Bi Closure. Take Yi Wo Jin (Polygonum multiflorum? Note: Context suggests a specific local herb, literally 'One Handful Gold'), burn to ash, mix with Bai Fan powder, stir-fry until green. Use chopsticks to press down tongue, locate exact spot in throat, insufflate powder. Excellent. This herb is also called Ba Jiao He (Eight-Angled Lotus) or Shan He Ye (Mountain Lotus Leaf), grows in deep mountains like Chuan Xiong. Poem: One leaf one flower, deep mountain is my home. Sulfur fears my death, Mercury turns to sand.
[Anonymous] Shen Xiao San (Divine Effect Powder): Jing Jie (Schizonepetae Spica) and Bi Ma Rou (Ricini Semen) in equal parts, ground into powder. Honey-pilled size of soap seed. Wrap in silk, hold in mouth to dissolve. Good for Hou Bi with loss of voice.
[Dan Xi] Another Prescription: Zhu Ya Zao Jiao (Gleditsiae Sinensis Fructus) and Shuang Mei (Frost Plum) ground into powder, hold in mouth.
[World Transmission] For Hou Bi/Swelling with disharmony of limbs and aversion to cold: Use Ya Zui Dan Fan (Duck-Bill Chalcanthite) powder. Dip chopstick in medicine, apply to affected area. Medicine reaches, cure follows. Miraculous.
Above are astringent agents.
[Hai Zang] For Hou Bi. Take juice from Qi Lao (Silphiodaphne laricis? Larvae of beetle), drop into throat. Swallowing opens the throat.
[Cui] For Hou Bi obstruction. Take Hong Lan Hua (Carthami Flos), crush and squeeze juice, take one xiao sheng. Stop when cured. If no fresh flowers in winter, soak dried ones, squeeze thick juice, administer as before. Extremely effective. Throat blockage resolves with administration.
[Dan Xi] Another Prescription: Decoct one liang of Qian Cao (Rubiae Cordifoliae Radix) and take. Descends Fire in Blood.
[World Transmission] For throat swelling. Du Niu Xi (Achyranthis Bidentatae Radix) crushed for natural juice, mixed with vinegar and taken. (Materia Medica says: Du Niu Xi treats blood stasis and blood masses.)
[Anonymous] Ma Bian Cao San (Verbena Officinalis Powder): For Hou Bi with throat swelling extending to cheek, frequent spitting/breathing.
Ma Bian Cao (Verbena Officinalis Herba) (Materia Medica says: Pungent, cool. Breaks blood, treats mass/stasis, regulates menstruation.)
Crush for natural juice. Swallow approx one he per dose. Another method: Use Ma Xian Tie (Iron bit?), decoct juice and take. Also excellent.
[Dan Xi] For Hou Bi. Slice Ye Gan (Belamcandae Rhizoma), hold in mouth and swallow juice. (*Wai Tai Mi Yao*) Materia Medica says: Ye Gan breaks blood, eliminates masses. Treats old blood in Heart/Spleen. Pungent, cool, slightly warm, toxic.
[Sun] Pan Yuancong, Supervisor of Guards, suffered from Hou Bi Closure. Sun Simiao was summoned urgently. Taking half a spoon of powder from his pocket, he insufflated it into the throat. Soon, Pan vomited pus and blood and healed immediately. Next day, Pan thanked Sun: "In this emergency, only you could save me. Saving lives urgently requires medicine. I offer 100 taels of gold, please share the formula for emergencies." Sun gave him the formula: Zhu Ya Zao Jiao (Gleditsiae Sinensis Fructus), Bai Fan (Alumen), Huang Lian (Coptidis Rhizoma) in equal parts, finely chopped, baked on new tile until dry, ground. Take half qian, insufflate into throat. Sun said: "Divine formulas are priceless, how can they be traded for profit?" He refused the gift.
Acute Hou Bi with snoring sound, feeling like phlegm in throat, is a sign of Lung Exhaustion. Quickly rescue with Shen Gao (Ginseng Paste). Administer with Ginger Juice and Zhu Li (Bamboo Sap) to open. If Shen Gao is unavailable, first decoct Du Shen Tang (Single Ginseng Decoction) to rescue. Early administration: 70-80% cure rate. Later: 40-50%. Late: Less than 10%.
[Su Wen] "One Yin and One Yang knotting is called Hou Bi." (Yin Yang Bie Lun Chapter)
[Hai Zang] Formula for Hou Bi Closure, untreated soon leads to death.
Zao Jiao (Gleditsiae Sinensis Fructus) (de-skin/seeds, raw, half tael, ground fine). Dip chopstick tip in swollen/painful area. Mix powder with vinegar paste, thick coat on neck. Soon breaks, blood comes out, immediate cure. (Dan Xi said: Applying with goose feather to swelling is especially good.)
Also: Yuan Zhi (Polygalae Radix) de-heart, mixed with water, applied to neck once.
[Dan Xi] For Hou Bi. Qing Ai (Artemisia Argyi) stems/leaves one handful, pound with vinegar, apply to affected area. In winter use dried. (Li Ya Formula)
Another method: Pour Qing Ai juice down.
[Shan Ju Fang] Hou Bi Closure. Burn She Chuang Zi (Cnidii Fructus) smoke, insufflate into throat. Cure follows.
[Ben Cao] For sudden pain in throat attacked by toxic vapors: Cut Shang Lu (Meliosma Root? Note: Usually Lu Gen or Shang Lu, text says Shang Lu Gen), roast hot, apply over cloth to throat. Change when cold. Immediate cure.
[Dan Xi] Someone with Chan Hou Feng could not eat. Made thin paste from Da Mai Mian (Hordeum Vulgare Farina) and swallowed. Slippery, easy to swallow, assists Stomach Qi. (*Yan Yi* says: Use instead of porridge. If able to eat, no need.)
[Shan Ju Fang] For fractured throat Qi not flowing: Slowly pour cold water down.
*Nei Jing* has four acupuncture/moxibustion methods for Hou Bi. Now, selecting points along meridians passing through throat/pharynx verified for efficacy, and points for other diseases interfering causing Hou Bi, covering the Six Meridians.
First, select Hand and Foot Yangming. Classics say: "Hou Bi with inability to speak, select Foot Yangming. Able to speak, select Hand Yangming." Also: "Stomach Foot Yangming Meridian goes from Da Ying anterior to Ren Ying, attaches along throat. Diseases produced: Neck swelling, Hou Bi. Select based on excess/deficiency, heat/cold, sinking/collapsing." Also: "Foot Yangming branch is named Feng Long, eight cun from ankle, diverges to Taiyin. Disease: Qi rebellion leads to sudden Hou Bi and aphonia. Select the divergent point." Also: "Large Intestine Hand Yangming Meridian diseases include Hou Bi. Select based on excess/deficiency, heat/cold, sinking/collapsing."
Second, select Hand Shaoyang. Classics say: "San Jiao Hand Shaoyang Meridian exits Que Pen, ascends neck behind ear. Moving disease: Ai swelling, Hou Bi. Select based on excess/deficiency, heat/cold, sinking/collapsing." Also: "Pathogen enters Hand Shaoy Luo, causing Hou Bi. Prick nail bed of middle finger/ring finger, distance from corner like leek leaf. Strong people recover instantly, elderly shortly. Left treat right, right treat left."
Third, two meridians pass through throat/pharynx. Classics say: "Liver Foot Jueyin Meridian follows behind throat. Therefore, pain behind throat, select here, repeatedly verified." Also: "Kidney Foot Shaoyin Meridian passes through Liver/Diaphragm, follows throat. Dou Hanqing said: The accurate point is Zhao Hai (KI6) treating throat blockage."
Fourth, one case of other diseases interfering causing Hou Bi. Classics say: "Heart Cough symptoms: Throat feels stuck like a lump, severe cases throat swelling/Hou Bi. Select Heart Shu point, namely Da Ling (PC7)."
[Sun Simiao] Wen Lu Gong had throat swelling one day. Hanlin Throat Department treated for three days, worsening. Emperor summoned Sun Simiao. Sun said: "The illness came from a brush used by the Chancellor to write judgments. Remove brush head, dip handle in water, apply medicine into throat, will heal." Sun pricked randomly. Chancellor fainted, unconscious. Attendants shocked/sweated. Sun laughed: "Not that I cannot save him, but soon he will vomit over a sheng of pus/blood, and in ten days will recover." Meeting Emperor, Emperor pleased: "Sun calls good doctors, very skilled." I once treated a man with Hou Bi, pricked Tai Xi (KI3) extracting half cup of dark blood, cured. Thus, Hou Bi is due to evil blood not dispersing. Generally treating this disease: Acute cases must first disperse. If dispersion fails, then remove phlegm. If phlegm removal fails, then remove dirty blood.
[Zhai Xuan Fang] Treat Hou Bi: Feng Long (ST40) Yong Quan (KI1) Guan Chong (SI1) (Severe cases: Hide small three-edged needle in pen tip, pretend to drop medicine on throat, then prick out purple blood. Instantly cured.)