论曰，咽喉肿痛，语声不出者，风邪壅热，客于脾肺之经，邪热随经，上抟于咽喉，则
血脉壅遏，故令喉间肿痛，甚则气道窒塞，语声不出也。
治咽喉肿痛，不得语，卒中风毒，入于喉间，舌强头面身体疼痛，咽喉闭塞，气欲绝者
沉香汤方
沉香（锉） 木香 射干 防风（去叉） 升麻 甘草（炙） 当归（切焙） 黄芩（去
黑心）
薰陆香 藿
香叶 鸡舌香（各一两） 独活（去芦头三两） 麻黄（去根节先煎掠去沫焙三分） 大黄
（锉生
用二两）
上十四味，粗捣筛，每服三钱匕，水一盏，煎至六分，去滓食后温服，日三。
治喉中如有物噎塞，声气不出。竹皮汤方
竹皮 甘草（炙各一两） 人参 赤茯苓（去黑皮） 麻黄（去根节先煎掠去沫焙） 桂
（去
粗皮） 五味子 木通（锉各三分）
上八味，粗捣筛，每服三钱匕，水一盏，入生姜半分拍破，煎至六分，去滓放温，不计
时候服，日三。
治咽喉中肿痒，微嗽声不出。黄 汤方
黄 （锉二两） 人参（一两） 桂（去粗皮半两） 甘草（炙一两） 赤茯苓（去黑
皮一两半）
上五味，粗捣筛，每服三钱匕，水一盏，生姜半分拍破，枣二枚擘，煎至五分，去滓，
空腹食前各一服。
治咽喉肿痛，语声不出。菖蒲丸方
菖蒲（二两） 孔公孽（细研一两） 木通（锉二两） 皂荚（一挺长一尺者去黑皮涂
酥炙令
焦黄去子）
上四味，捣研为末，炼蜜和丸，如梧桐子大，每服二十丸，至三十丸，煎鬼箭羽汤下，
不计时候。
治咽喉噎塞，咳嗽。杏仁丸方
杏仁（汤浸去皮尖双仁炒三分研） 桂（去粗皮一分）
上二味，捣研为末，炼蜜和丸，如杏仁大，每服含化一丸，细细咽津。
治喉痹肿盛，语声不出方
马蔺根（汁三合）
上一味，入白蜜一合相和，慢火煎成煎，徐徐咽之，日可五七度。
治喉痹肿盛，语声不出。桔梗汤方
桔梗（炒一两）
上一味，粗捣筛，每服三钱匕，水一盏，煎至六分，去滓温服，不计时候，日三。
治喉痹肿盛，语声不出方
生姜汁（五合） 蜜（三合）
上二味相和，慢火煎成煎，每服取半匙尖，含化服。
论述说，咽喉肿痛、声音不能发出的病症，是由于风邪与热邪壅滞，客居于脾经和肺经，邪热顺着经络上行，搏结于咽喉部位，导致血脉阻滞不通，因此引起喉间肿痛；严重时气道被堵塞，导致声音无法发出。
治疗咽喉肿痛、不能说话，突然感受风毒，侵入喉间，出现舌体僵硬、头面及身体疼痛、咽喉闭塞、气息将绝的病症，用沉香汤方：
沉香（锉碎） 木香 射干 防风（去叉） 升麻 甘草（炙） 当归（切后焙干） 黄芩（去掉黑心部分）
薰陆香 藿香叶 鸡舌香（以上各一两） 独活（去芦头，三两） 麻黄（去根节，先煎煮并撇去浮沫，焙干，三分） 大黄（锉碎，生用，二两）
以上十四味药，粗捣筛过，每次服用三钱匕，用水一盏，煎至六分，去渣滓，饭后温服，每日三次。
治疗喉中如有物噎塞感、声音气息不能发出的病症，用竹皮汤方：
竹皮 甘草（炙，各一两） 人参 赤茯苓（去掉黑皮） 麻黄（去根节，先煎煮并撇去浮沫，焙干） 桂枝（去掉粗皮） 五味子 木通（锉碎，各三分）
以上八味药，粗捣筛过，每次服用三钱匕，用水一盏，加入生姜半分拍破，煎至六分，去渣滓放温，不限时候服用，每日三次。
治疗咽喉中肿胀发痒、轻微咳嗽、声音不能发出的病症，用黄芪汤方：
黄芪（锉碎，二两） 人参（一两） 桂枝（去掉粗皮，半两） 甘草（炙，一两） 赤茯苓（去掉黑皮，一两半）
以上五味药，粗捣筛过，每次服用三钱匕，用水一盏，加入生姜半分拍破，大枣两枚掰开，煎至五分，去渣滓，空腹饭前各服一次。
治疗咽喉肿痛、声音不能发出的病症，用菖蒲丸方：
石菖蒲（二两） 孔公孽（细研，一两） 木通（锉碎，二两） 皂荚（一挺长一尺的去黑皮，涂酥炙令焦黄，去子）
以上四味药，捣碎研为末，用炼蜜调和制成丸剂，如梧桐子大小，每次服用二十丸到三十丸，用鬼箭羽汤送下，不限时候。
治疗咽喉噎塞、咳嗽的病症，用杏仁丸方：
杏仁（汤浸去皮尖双仁炒，三分，研） 桂枝（去掉粗皮，一分）
以上两味药，捣碎研为末，用炼蜜调和制成丸剂，如杏仁大小，每次含化一丸，细细吞咽津液。
治疗喉痹肿胀严重、声音不能发出的方剂：
马蔺根（取汁三合）
以上一味药，加入白蜜一合混合，用慢火煎成膏状，慢慢咽下，每天可五到七次。
治疗喉痹肿胀严重、声音不能发出的病症，用桔梗汤方：
桔梗（炒，一两）
以上一味药，粗捣筛过，每次服用三钱匕，用水一盏，煎至六分，去渣滓温服，不限时候，每日三次。
治疗喉痹肿胀严重、声音不能发出的方剂：
生姜汁（五合） 蜂蜜（三合）
以上两味药混合，用慢火煎成膏状，每次取半匙尖的量，含化服用。
It is discussed that when the throat is swollen and painful, and voice cannot be produced, it is due to wind pathogen and heat pathogen stagnating and lodging in the meridians of the Spleen and Lung. The evil heat follows the meridians upward and congregates in the throat, causing blood vessels to be obstructed and blocked, thus leading to swelling and pain in the throat; in severe cases, the airway becomes blocked, resulting in loss of voice.
For treating throat swelling and pain, inability to speak, sudden onset of wind-toxin invading the throat, accompanied by a stiff tongue, pain in the head, face, and body, throat obstruction, and impending suffocation, use the Chenxiang Tang (Agarwood Decoction):
Chenxiang (Agarwood) [Aquilariae Lignum Resinatum] (crushed), Muxiang (Vladimiria Root) [Aucklandiae Radix], Shegan (Belamcanda Rhizome) [Belamcandae Rhizoma], Fangfeng (Saposhnikovia Root) [Saposhnikoviae Radix] (bristles removed), Shengma (Cimicifuga Rhizome) [Cimicifugae Rhizoma], Gancao (Licorice Root) [Glycyrrhizae Radix et Rhizoma] (roasted), Danggui (Angelica Sinensis Root) [Angelicae Sinensis Radix] (sliced and dried), Huangqin (Scutellaria Root) [Scutellariae Radix] (black heart removed).
Xunluxiang (Frankincense) [Boswelliae Resina], Huoxiangye (Patchouli Leaf) [Pogostemonis Folium], Jitixiang (Cloves) [Caryophylli Flos] (each 1 liang), Duhuo (Angelica Pubescens Root) [Angelicae Pubescentis Radix] (rhizome removed, 3 liang), Mahuang (Ephedra Stem) [Ephedrae Herba] (roots and joints removed, decocted first with foam skimmed off, then dried, 3 fen), Dahuang (Rhubarb Root) [Rhei Radix et Rhizoma] (crushed, used raw, 2 liang).
The above fourteen ingredients are coarsely crushed and sifted. Each dose consists of 3 qianbi, decocted in one zhan of water until reduced to six-tenths. Strain and take warm after meals, three times daily.
For treating the sensation of obstruction in the throat as if by a foreign body, and inability to produce voice or breath, use the Zhupi Tang (Bamboo Bark Decoction):
Zhupi (Bamboo Bark) [Phyllostachys Nigrae Culmis], Gancao (Licorice Root) [Glycyrrhizae Radix et Rhizoma] (roasted, each 1 liang), Renshen (Ginseng Root) [Panacis Ginseng Radix], Chifuling (Red Poria) [Poria cum Ligno Rubrum], Mahuang (Ephedra Stem) [Ephedrae Herba] (roots and joints removed, decocted first with foam skimmed off, then dried), Guizhi (Cinnamon Twig) [Cinnamomi Ramulus] (bark removed), Wuweizi (Schisandra Fruit) [Schisandrae Chinensis Fructus], Mutong (Akebia Stem) [Akebiae Caulis] (crushed, each 3 fen).
The above eight ingredients are coarsely crushed and sifted. Each dose consists of 3 qianbi, decocted in one zhan of water with half a fen of sliced fresh ginger added. Reduce to six-tenths, strain, let cool to warm, take at any time, three times daily.
For treating swelling and itching in the throat, slight cough, and inability to produce voice, use the Huangqi Tang (Astragalus Decoction):
Huangqi (Astragalus Root) [Astragali Radix] (crushed, 2 liang), Renshen (Ginseng Root) [Panacis Ginseng Radix] (1 liang), Guizhi (Cinnamon Twig) [Cinnamomi Ramulus] (bark removed, 0.5 liang), Gancao (Licorice Root) [Glycyrrhizae Radix et Rhizoma] (roasted, 1 liang), Chifuling (Red Poria) [Poria cum Ligno Rubrum] (bark removed, 1.5 liang).
The above five ingredients are coarsely crushed and sifted. Each dose consists of 3 qianbi, decocted in one zhan of water with half a fen of sliced fresh ginger and two cracked jujubes added. Reduce to five-tenths, strain, take once before empty stomach and before meals.
For treating throat swelling and pain, and inability to produce voice, use the Changpu Wan (Acorus Pill):
Changpu (Acorus Rhizome) [Acori Tatarinowii Rhizoma] (2 liang), Konggongnie (unknown herb, likely related to Acorus or similar aromatic root) [Konggongnie] (finely ground, 1 liang), Mutong (Akebia Stem) [Akebiae Caulis] (crushed, 2 liang), Zaojiao (Tamarind Seed Pod) [Gleditsiae Sinensis Fructus] (one pod, one chi long, black skin removed, coated with butter, roasted until yellow-brown, seeds removed).
The above four ingredients are crushed and ground into powder, mixed with refined honey to form pills the size of paulownia seeds. Take 20 to 30 pills per dose, washed down with Guijianyu (Arrow Wood) [Sambuci Ramulus] decoction, at any time.
For treating throat obstruction and cough, use the Xingren Wan (Apricot Kernel Pill):
Xingren (Apricot Kernel) [Armeniacae Semen Amarum] (soaked in water, skin and tips removed, double-kernel kernels stir-fried, 3 fen, ground), Guizhi (Cinnamon Twig) [Cinnamomi Ramulus] (bark removed, 1 fen).
The above two ingredients are crushed and ground into powder, mixed with refined honey to form pills the size of apricot kernels. Contain one pill per dose and slowly swallow saliva.
Formula for treating severe throat bi syndrome with swelling and inability to produce voice:
Maligen (Iris Root Juice) [Iridis Tectorii Radix] (juice 3 he).
Take this single ingredient, mix with one he of white honey, slowly cook into a paste, and swallow slowly. Can be taken five to seven times daily.
For treating severe throat bi syndrome with swelling and inability to produce voice, use the Jiegeng Tang (Platycodon Decoction):
Jiegeng (Platycodon Root) [Platycodi Radix] (stir-fried, 1 liang).
The above single ingredient is coarsely crushed and sifted. Each dose consists of 3 qianbi, decocted in one zhan of water until reduced to six-tenths. Strain and take warm, at any time, three times daily.
Formula for treating severe throat bi syndrome with swelling and inability to produce voice:
Shengjiangzhi (Fresh Ginger Juice) [Zingiberis Recens Succus] (5 he), Fengmi (Honey) [Mel] (3 he).
Mix the above two ingredients, slowly cook into a paste. Take half a spoonful tip per dose, and dissolve in mouth.