凡治喉症,于风、痈、痹、蛾等实症,宜先出其痰;于虚者虽应出痰,不可一时吊尽其痰。吹药宜用
金、碧二丹,轻重配合适宜。煎药看症轻重,以主方加减用之。如寒症,宜去凉药;虚症,宜用滋阴,临
症时必须细心酌夺,不可草率。
主方(喉两旁属肺,颈项属肝,引经之药酌用)
真川连 黑山栀 连翘 淡芩 海浮石 牛蒡子 薄荷 前胡
凡治喉癣呛食音哑,宜独用碧金丹,以膏子药不时含咽,再服煎剂。大约滋阴降火,补气健脾为法。其主药然不可
常服。凡治牙症、喉风、牙痈、菌毒、上 痈等症,用八味口疳丹吹之。若治牙宣,宜珍珠散。
喉关起刺 多因虚劳,虚火上炎,营阴虚亏将竭。喉间红点,密如蚊虫足迹者,难治。
哑瘴风 此因感触时邪,牙关不利开合,风痰上壅,不能言语。若急欲开关,必须探吐风痰,俟痰涎
将行吐尽。然后吹药,再服煎剂,可保无虞。如面色与舌皆现青紫,而唇见黑,爪甲带青,鼻中流涕者,不治。
乳蛾 多因酒色郁结而生。初起一日病,二日红肿,三日有形,四日势定,其症生于关口两旁,小舌
左右,轻者五六日可愈。如有寒热交作者,其症重险,然生此又有分别。
单蛾 因伤寒之后,发散未尽,身热恶心,恐见痧症。
双蛾 因感时邪而发,如樱桃大,发寒热,六脉弦数,肺胃之症也。
凡看喉症,如遇深夜之际,须要细心审症,再三照看详明,方可用药,不得粗心忽略,误人自误。如
病患以舌叠起,见症不明,必用搦舌压之,斯可见喉中症象。若见症能明,吹药煎药,分两须要照方配
合,不得任意加减。而病家亦不得因药味重而生疑,以致自误。戒之,慎之。
凡是治疗喉部疾病,对于风邪、痈肿、痹阻、乳蛾等实证,应当先排出痰液;对于虚证患者,虽然也应该排痰,但不可一次性将痰液完全吊出。吹药宜选用金精丹和碧霞丹,根据病情轻重配合使用。煎剂药物需视症状轻重,在主方基础上加减使用。如为寒证,应去除寒凉药物;如为虚证,宜用滋阴之法,临症时必须细心斟酌,不可草率行事。
主方(咽喉两侧属肺经,颈项属肝经,引经药酌情选用):
真川黄连、黑山栀子、连翘、淡黄芩、海浮石、牛蒡子、薄荷、前胡。
凡是治疗喉癣引起的呛食、声音嘶哑,宜单独使用碧金丹,以膏状药物不时含咽,再服用煎剂。大致原则是滋阴降火,补气健脾。其主药不宜常服。凡是治疗牙症、喉风、牙痈、菌毒、上腭痈等症状,用八味口疳丹吹患处。若治疗牙宣(牙龈萎缩出血),宜用珍珠散。
喉关起刺:多因虚劳导致虚火上炎,营阴和阴虚亏耗将竭。喉间出现红点,密集如蚊虫足迹者,难以治愈。
哑瘴风:此病因感受时行邪气,导致牙关开合不利,风痰上壅,不能言语。若想急于开通牙关,必须探吐风痰,待痰涎即将吐尽时,然后吹药,再服用煎剂,可保无虞。若面色与舌质皆现青紫,嘴唇发黑,爪甲带青色,鼻中流涕者,属不治之症。
乳蛾:多因酒色过度导致郁结而生。初起第一天发病,第二天红肿,第三天形成有形肿块,第四天病情稳定,症状生于关口两旁及小舌左右,轻者五六日可愈。如有寒热交作症状的,病情重险,然而发生此症又有区别。
双蛾:因感受时邪而发,大小如樱桃,伴有寒热,六脉弦数,属于肺胃之症。
凡是观察喉部疾病,如遇深夜之际,须要细心审察病情,再三查看详明,方可用药,不得粗心忽略,以免误人亦自误。如果病患舌头卷叠起来,导致症状不明显,必须用手指捏住舌头压下,这样才能看清喉中的病症。若能明确看到症状,吹药和煎药的剂量必须按照处方配合,不得任意加减。而病人家属也不得因药味厚重而产生怀疑,以致自我耽误。切记,谨慎。
In the treatment of throat diseases, for excess syndromes such as wind pathogen, carbuncle, obstruction, and tonsillar swelling (Ru E), phlegm should be expelled first. For deficiency syndromes, although phlegm expulsion is indicated, it must not be done hastily to exhaust all phlegm at once. Powders for insufflation should utilize Jin Dan (Golden Pill) and Bi Dan (Green Pill), combined appropriately according to the severity of the condition. Decoctions should be modified from the principal formula based on the severity of symptoms. In cases of cold syndromes, cooling herbs should be removed; in deficiency syndromes, yin-nourishing methods should be employed. Clinical judgment must be meticulous and careful, never hasty.
Principal Formula (The sides of the throat belong to the Lung meridian, the neck belongs to the Liver meridian; select guiding herbs accordingly):
Zhen Chuan Lian (True Rhizoma Coptidis), Hei Shan Zhi (Black Fructus Gardeniae), Lian Qiao (Forsythia Fruit), Dan Qin (Light Scutellaria Root), Hai Fu Shi (Pumice), Niu Bang Zi (Arctii Fructus), Bo He (Menthae Haplocalycis Herba), Qian Hu (Peucedani Radix).
For treating Hou Xuan (throat ulceration) causing choking during eating and hoarseness, use Bi Jin Dan (Green Golden Pill) exclusively. Apply the paste medication intermittently by holding it in the mouth and swallowing, followed by decoction. The general principle is to nourish yin and descend fire, tonify qi and strengthen the spleen. The principal herbs should not be taken continuously. For treating dental disorders, Hou Feng (throat wind), Ya Yong (dental abscess), Jun Du (bacterial toxin), and Shang Yong (upper palate abscess), use Ba Wei Kou Gan Dan (Eight-Ingredient Mouth Ulcer Powder) for insufflation. For Ya Xuan (gum recession/bleeding), use Zhen Zhu San (Pearl Powder).
Hou Guan Qi Ci (Throat gate prickling): Often caused by chronic exhaustion leading to deficient fire flaming upward, with Ying Yin (nutritive yin) and Zong Yin (general yin) depleted and nearing exhaustion. Red spots in the throat, dense like mosquito bites, are difficult to treat.
Ya Zhang Feng (Mute Miasma Wind): Caused by contracting seasonal pathogens, resulting in stiffness of the jaw preventing opening and closing, with wind-phlegm obstructing upwards, rendering speech impossible. To urgently open the jaw, one must induce vomiting to expel wind-phlegm. Wait until the phlegm-saliva is nearly exhausted, then apply insufflation powder and administer decoction, ensuring safety. If the complexion and tongue appear cyanotic-purple, lips are black, fingernails are blue-green, and nasal discharge occurs, it is incurable.
Ru E (Tonsillar Swelling): Often arises from stagnation due to excessive alcohol and sexual indulgence. On the first day of onset, there is disease manifestation; on the second day, redness and swelling; on the third day, visible formation; on the fourth day, the condition stabilizes. Symptoms occur on both sides of the throat gate and around the uvula. Mild cases resolve in five to six days. If accompanied by alternating chills and fever, the condition is severe and dangerous, though distinctions exist in presentation.
Dan E (Unilateral Tonsillar Swelling): Occurs after Tai Yang Cold Damage (Shang Han), where dispersing measures were incomplete, leading to body heat, nausea, and suspicion of Sha illness (sand disease/toxic heat rash).
Shuang E (Bilateral Tonsillar Swelling): Triggered by seasonal pathogens, appearing cherry-sized, accompanied by chills and fever, with wiry and rapid pulses in all six positions. This is a syndrome of the Lung and Stomach.
When examining throat diseases, especially late at night, one must carefully scrutinize the condition, inspecting repeatedly and clearly before prescribing medication. Carelessness must be avoided to prevent harming patients and oneself. If the patient's tongue is curled up, obscuring the view, it must be depressed manually to reveal the throat pathology. Once the condition is clearly identified, the dosages for insufflation powders and decoctions must strictly follow the prescription without arbitrary modifications. Patients' families must not doubt the prescription due to strong-tasting herbs, which could lead to self-harm through non-compliance. Remember this, be cautious.