夫咽喉闭塞不通者。脾肺壅滞。风毒蕴积。内搏经络。上攻咽喉也。足太阳之脉。上膈
夹咽。而喉则肺气之所通。故脾肺壅热。则咽喉闭塞。凡伤寒后余毒未尽。上攻咽喉。故亦
令闭塞不通也。
方
当归汤 治伤寒后。咽喉闭塞疼痛。六七日。脉沉迟。手足厥逆。下部脉不至。咽
喉痛不利。唾脓血。泄利不止。
当归（切焙） 升麻 知母 葳蕤 黄芩（去黑心） 麦门冬（去心焙各半两） 桂（去
粗皮）
芍药 干姜（炮） 石膏 白茯苓（去黑心） 甘草 白术（各一分） 麻黄（去根节一两）
上粗
捣筛。每服三钱。水一盏。煎至六分。去滓。食后温服。日三。
黄芩汤 治伤寒后咽喉疮痛。口疮。烦躁头痛。毒瓦斯上攻。
黄芩（去黑心） 大青 山栀子仁 甘草（炙锉各半两） 升麻 麦门冬（去心焙各三
分）
上粗捣筛。每服三钱。水一盏。入竹叶七片。煎至六分。去滓。食前温服。日三五服。
升麻汤 治伤寒后咽喉疼痛。闭塞不通。毒瓦斯上攻。
升麻 木通（锉各一两） 射干 羚羊角（镑） 芍药（各半两） 芦根（一握） 上
粗捣筛。
每服三钱。水一盏。煎至六分。去滓。温服。日三。
地黄汤 治伤寒后舌根肿塞。喉痹。此为脾虚心热。先针舌下两边出血。次服此
方。
生地黄（二两切） 甘草（锉炙微黄） 大黄（各半两） 升麻（三分） 车前子（一
两） 上粗
捣筛。每服五钱。水一盏半。煎至八分。去滓。下朴硝末一钱。搅匀。食后温服。日三。
葛根汤 治伤寒后。咽喉疼痛。
葛根（锉） 青竹茹（各一两） 仓粳米（一合） 上粗捣筛。每服三钱。水一盏。入
生姜一
枣大。拍碎。煎至六分。去滓。食后温服。日三。
升麻丸 治伤寒后。喉内生疮。及喉肿塞。毒热上冲。
升麻 苦药子 铅丹（炒） 大黄（生用各半两） 上为末。炼蜜和丸如弹子大。每服
一丸。
绵裹咽津。化尽再服。
丹参煎 治伤寒时行。咽喉闭塞。及贼风毒瓦斯上攻。
丹参（二两） 蒴 根（锉） 羊踯躅（炒） 甘菊花 莽草（各半两） 秦艽（去苗
土一两半）
牛膝（去苗酒浸） 羌活（去芦头） 乌头（盐炒去皮脐） 连翘 蜀椒（去目并口炒出汗）
白术
（
煎候白术赤色。即下炼了猪脂一斤。更煎药赤黑色。停温。绵滤过。瓷合盛贮。每服取如半
枣大。含化。稍咽之。热毒单服。齿痛。绵裹嚼之。咽下。
地黄煎 治伤寒后。咽喉不能咽。及口生疮。积热上攻。涎出不止。
生地黄汁（二合） 铅丹（炒二两） 白蜜（二两） 猪牙皂荚（一梃去皮酥炙为末） 上
和
匀。以瓶子盛。密封头。饭上蒸一时久。去滓收之。每服一匙头。含化咽津。
贴喉膏 治伤寒后咽喉痛。舌强。余热上攻。
蜜（半斤） 甘草（锉二两） 猪脂（四两） 上先以猪脂与蜜炼消后。入甘草。煎候
甘草赤
黑色。以绵滤过。瓷合收盛。每取如半枣大。含化咽津。
射干煎 治伤寒热病后。咽喉疼痛。闭塞不通。毒瓦斯上攻。
射干（半斤为末） 猪脂（一斤） 上先煎猪脂沸。次下射干。候射干黑色。以绵滤过。
瓷
合盛。绵裹如弹子大。含化咽之。
治伤寒热病后。咽喉疼痛。闭塞不通。毒瓦斯上冲方。
上取 茹少许。如爪甲尖。纳口中。微嚼汁。
治伤寒热病后。咽喉肿痛。闭塞不通。毒瓦斯上冲方。
上取商陆根切。炒令熟。以布裹。熨肿上。冷复易之。
治伤寒热病后。咽喉疼痛。闭塞不通。毒瓦斯上冲方。
上取黄明胶。手掌大一片。以水煮软。贴颈外。瘥。
治伤寒热病后。咽喉疼痛。闭塞不通。毒瓦斯上冲方。
上以白矾。以绵裹含之。细细咽汁。以通为度。
治伤寒热毒攻肺。上冲咽喉。心胸壅实。隔塞不通。浑身大热。面色白。非时气
\x喘。痰坚不
麻黄（去根半两） 杏仁 紫菀 贝母（去心） 柴胡（去苗） 黄芩 桔梗 射干 大
黄
牡丹皮（去心） 麦门冬（去心） 羌活 葶苈（各一分） 半夏（二铢） 牵牛（二两） 上
除牵
牛、半夏二味。别作一处杵罗为末。所余只合作一处。杵罗为末。每服六钱。众药末四钱。
生姜五片。水两盏。煎一两沸。便泻出。用调下牵牛、半夏末二钱。作一服。食后临卧时吃。
咽喉闭塞不通，是由于脾肺之气壅滞，风毒蕴结积聚，内侵经络，上攻咽喉所致。足太阳膀胱经的经脉，上行穿过膈肌，夹行于咽喉两侧；而喉部则是肺气通行的通道。因此，当脾肺有壅热时，就会导致咽喉闭塞。凡是伤寒病后，余留的毒邪未尽，向上攻冲咽喉，所以也会导致咽喉闭塞不通。
方剂：
当归汤：治疗伤寒病后，咽喉闭塞疼痛。症见六七日，脉象沉迟，手足厥冷逆寒，下部脉搏摸不到，咽喉疼痛不利，唾吐脓血，泄泻不止。
药材：当归（切片焙干）、升麻、知母、葳蕤（玉竹）、黄芩（去除黑心部分）、麦门冬（去心焙干，各半两）、桂枝（去除粗皮）、芍药、干姜（炮制）、石膏、白茯苓（去除黑心部分）、甘草、白术（各一分）、麻黄（去除根节，一两）。
制法与用法：将上述药材捣碎并筛成粗末。每次服用三钱，加水一盏，煎煮至六分水量，滤去药渣。饭后温服，每日三次。
黄芩汤：治疗伤寒病后咽喉生疮疼痛，口舌生疮，烦躁头痛，毒气上攻。
药材：黄芩（去除黑心部分）、大青叶、山栀子仁、甘草（炙烤锉碎，各半两）、升麻、麦门冬（去心焙干，各三分）。
制法与用法：将上述药材捣碎并筛成粗末。每次服用三钱，加水一盏，放入七片竹叶，煎煮至六分水量，滤去药渣。饭前温服，每日三到五次。
升麻汤：治疗伤寒病后咽喉疼痛，闭塞不通，毒气上攻。
药材：升麻、木通（锉碎，各一两）、射干、羚羊角（镑片）、芍药（各半两）、芦根（一握）。
制法与用法：将上述药材捣碎并筛成粗末。每次服用三钱，加水一盏，煎煮至六分水量，滤去药渣，温服，每日三次。
地黄汤：治疗伤寒病后舌根肿胀堵塞，喉痹。这是由于脾虚而心热所致。先针刺舌下两侧出血，然后服用此方。
药材：生地黄（切块，二两）、甘草（锉碎炙烤至微黄）、大黄（各半两）、升麻（三分）、车前子（一两）。
制法与用法：将上述药材捣碎并筛成粗末。每次服用五钱，加水一盏半，煎煮至八分水量，滤去药渣，加入朴硝末一钱，搅拌均匀，饭后温服，每日三次。
葛根汤：治疗伤寒病后咽喉疼痛。
药材：葛根（锉碎）、青竹茹（各一两）、仓粳米（一合）。
制法与用法：将上述药材捣碎并筛成粗末。每次服用三钱，加水一盏，放入生姜一块如枣大小，拍碎，煎煮至六分水量，滤去药渣，饭后温服，每日三次。
升麻丸：治疗伤寒病后，喉内生疮，以及喉部肿胀堵塞，毒热上冲。
药材：升麻、苦药子（雷丸或类似清热药，此处依原文）、铅丹（炒制）、大黄（生用，各半两）。
制法与用法：将上述药材研为细末，用炼蜜调和制成如弹子大小的丸剂。每次服用一丸，用绵布包裹含在口中，让津液慢慢化开咽下，化尽后再服。
丹参煎：治疗伤寒时行疫病，咽喉闭塞，以及贼风毒气上攻。
药材：丹参（二两）、蒴藋根（锉碎）、羊踯躅（炒制）、甘菊花、莽草（各半两）、秦艽（去苗土，一两半）、牛膝（去苗，酒浸）、羌活（去芦头）、乌头（盐炒去皮脐）、连翘、蜀椒（去目及闭口者，炒出油汗）、白术。
制法与用法：先煎煮候白术变为赤色，即加入炼过的猪脂一斤，继续煎煮至药物呈赤黑色。停火待温，用绵布过滤，装入瓷盒中贮存。每次取如半个枣大小的量，含在口中慢慢化开咽下。若是热毒证单独服用；若是齿痛，用绵布包裹嚼碎咽下。
地黄煎：治疗伤寒病后，咽喉不能吞咽，以及口内生疮，积热上攻，涎水流出不止。
药材：生地黄汁（二合）、铅丹（炒制，二两）、白蜜（二两）、猪牙皂荚（一根，去皮，用酥油炙烤后研为细末）。
制法与用法：将上述材料混合均匀，用瓶子盛装，密封瓶口，放在饭锅上蒸一个时辰左右。滤去药渣收存。每次服用一匙头，含在口中化开咽津。
贴喉膏：治疗伤寒病后咽喉疼痛，舌体僵硬，余热上攻。
药材：蜂蜜（半斤）、甘草（锉碎，二两）、猪脂（四两）。
制法与用法：先将猪脂与蜂蜜炼制熔化，然后加入甘草，煎煮至甘草呈赤黑色。用绵布过滤，装入瓷盒中收存。每次取如半个枣大小的量，含在口中化开咽津。
射干煎：治疗伤寒热病后，咽喉疼痛，闭塞不通，毒气上攻。
药材：射干（半斤，研为细末）、猪脂（一斤）。
制法与用法：先煎煮猪脂至沸腾，其次加入射干。等候射干变黑，用绵布过滤，装入瓷盒中。每次取如弹子大小的量，用绵布包裹含在口中咽下。
治疗伤寒热病后，咽喉疼痛，闭塞不通，毒气上冲的方剂：
取少许菖蒲，如指甲尖大小，放入口中，微微咀嚼出汁液。
治疗伤寒热病后，咽喉肿痛，闭塞不通，毒气上冲的方剂：
取商陆根切片，炒熟，用布包裹，熨烫肿胀处。冷了再换新的。
治疗伤寒热病后，咽喉疼痛，闭塞不通，毒气上冲的方剂：
取黄明胶一片，如手掌大小，用水煮软，贴在颈部外部。痊愈为止。
治疗伤寒热病后，咽喉疼痛，闭塞不通，毒气上冲的方剂：
取白矾，用绵布包裹含在口中，细细咽下汁液，以通畅为度。
治疗伤寒热毒攻肺，上冲咽喉，心胸壅实，隔塞不通，浑身大热，面色苍白，非时气所致的喘促，痰坚不化的方剂：
药材：麻黄（去根，半两）、杏仁、紫菀、贝母（去心）、柴胡（去苗）、黄芩、桔梗、射干、大黄、牡丹皮（去心）、麦门冬（去心）、羌活、葶苈子（各一分）、半夏（二铢）、牵牛子（二两）。
制法与用法：除了牵牛子和半夏这两味药，另外放在一起杵碎罗筛为细末外，其余药材只合在一起杵碎罗筛为细末。每次服用六钱，其中众药末四钱，生姜五片，加水两盏，煎煮一两沸。此时会泻出药效。再用调下的牵牛子、半夏末二钱，作为一次服用量。饭后临睡前服用。
Throat obstruction and blockage are caused by the stagnation of Spleen and Lung Qi, the accumulation of wind-toxin, which invades the meridians internally and attacks the throat externally. The Foot-Taiyang Bladder meridian ascends through the diaphragm and runs alongside the pharynx; the larynx is the passage for Lung Qi to communicate. Therefore, when there is stagnant heat in the Spleen and Lungs, it leads to throat obstruction. After a Shanghan (Cold Damage) disease, if residual toxins remain unexhausted and attack the throat upwards, it also causes obstruction and blockage.
Formulas:
Danggui Tang (Angelica Decoction): Treats throat obstruction and pain after Shanghan. Symptoms include six or seven days duration, deep and slow pulse, cold extremities, absence of pulse at the lower positions, painful and difficult swallowing, spitting of pus and blood, and continuous diarrhea.
Herbs: Danggui Radix Angelicae Sinensis (sliced and baked), Shengma Rhizoma Cimicifugae, Zhihu Herba Anemarrhenae, Weirui Rhizoma Polygonati Odorati, Huangqin Cortex Scutellariae (black heart removed), Maimendong Radix Ophiopogonis (heart removed and baked, each half liang), Guizhi Ramulus Cinnamomi (rough bark removed), Shaoyao Radix Paeoniae Alba, Ganjiang Rhizoma Zingiberis (processed), Shigypsum Fibrosum, Baifuling Poria (black heart removed), Gancao Radix Glycyrrhizae Preparata, Baizhu Rhizoma Atractylodis Macrocephalae (each one fen), Mahuang Herba Ephedrae (roots and joints removed, one liang).
Preparation and Administration: Coarsely crush and sieve the herbs. Take three qian per dose, add one zhan of water, boil down to six parts, remove dregs, and take warm after meals, three times daily.
Huangqin Tang (Scutellaria Decoction): Treats sores and pain in the throat, mouth ulcers, irritability, headache, and upward attack of toxic qi after Shanghan.
Herbs: Huangqin Cortex Scutellariae (black heart removed), Daqing Folium Isatidis, Shanzhizi Semen Gardeniae, Gancao Radix Glycyrrhizae Preparata (roasted and crushed, each half liang), Shengma Rhizoma Cimicifugae, Maimendong Radix Ophiopogonis (heart removed and baked, each three fen).
Preparation and Administration: Coarsely crush and sieve the herbs. Take three qian per dose, add one zhan of water and seven leaves of Zhuye Folium Bambusae, boil down to six parts, remove dregs, and take warm before meals, three to five times daily.
Shengma Tang (Cimicifuga Decoction): Treats throat pain, obstruction, and upward attack of toxic qi after Shanghan.
Herbs: Shengma Rhizoma Cimicifugae, Mutong Caulis Akebiae (crushed, each one liang), Sheye Rhizoma Belamcandae, Lingyangjiao Cornu Saigae Tataricae (shaved), Shaoyao Radix Paeoniae Alba (each half liang), Lugeng Rhizoma Phragmitis (one handful).
Preparation and Administration: Coarsely crush and sieve the herbs. Take three qian per dose, add one zhan of water, boil down to six parts, remove dregs, and take warm, three times daily.
Dihuang Tang (Rehmannia Decoction): Treats swelling and blockage at the root of the tongue and Hou Bi (throat obstruction) after Shanghan. This is due to Spleen deficiency and Heart heat. First, prick both sides under the tongue to bleed, then take this formula.
Herbs: Shengdihuang Radix Rehmanniae Recens (cut, two liang), Gancao Radix Glycyrrhizae Preparata (crushed and roasted until slightly yellow), Dahuang Radix et Rhizoma Rhei (each half liang), Shengma Rhizoma Cimicifugae (three fen), Cheqianzi Semen Plantaginis (one liang).
Preparation and Administration: Coarsely crush and sieve the herbs. Take five qian per dose, add one and a half zhan of water, boil down to eight parts, remove dregs, add one qian of Puxiao Natrii Sulfas, mix well, and take warm after meals, three times daily.
Gegen Tang (Pueraria Decoction): Treats throat pain after Shanghan.
Herbs: Gegen Radix Puerariae (crushed), Qingzhuru Pericarpium Bambusae Viridis (each one liang), Cangjingmi Semen Oryzae Sativae (one he).
Preparation and Administration: Coarsely crush and sieve the herbs. Take three qian per dose, add one zhan of water and a piece of Shengjiang Rhizoma Zingiberis Recens as large as a date, crushed, boil down to six parts, remove dregs, and take warm after meals, three times daily.
Shengma Wan (Cimicifuga Pill): Treats sores inside the throat, throat swelling and blockage, and upward rush of toxic heat after Shanghan.
Herbs: Shengma Rhizoma Cimicifugae, Ku Yao Zi (likely referring to specific bitter/clearing herb, kept as original term), Qiandan Minii Oxidum (roasted), Dahuang Radix et Rhizoma Rhei (raw, each half liang).
Preparation and Administration: Grind into fine powder, mix with refined honey to form pills the size of a bullet. Take one pill per dose, wrap in silk, hold in mouth to dissolve saliva and swallow. Repeat after dissolution.
Danshen Jian (Salvia Decoction/Paste): Treats Shanghan epidemic diseases, throat obstruction, and upward attack of thief-wind toxic qi.
Herbs: Danshen Radix et Rhizoma Salviae Miltiorrhizae (two liang), Shuodi Gen (crushed), Yangzhizhu Fructus Daphnes Genkwa (roasted), Ganjuhua Flos Chrysanthemi, Mangcao Herba Magnoliae Officinalis (each half liang), Qinjiao Radix Gentianae Macrophyllae (roots and soil removed, one and a half liang), Niuxi Radix Achyranthis Bidentatae (roots removed, wine-soaked), Qianghuo Rhizoma et Radix Notopterygii (rhizome removed), Wutou Radix Aconiti Lateralis Preparata (salt-roasted, skin and navel removed), Lianqiao Fructus Forsythiae, Shujiao Fructus Zanthoxyli (eyes and closed ones removed, roasted until oil sweats), Baizhu Rhizoma Atractylodis Macrocephalae.
Preparation and Administration: Boil until Baizhu turns red, then add one jin of refined Pig Fat. Continue boiling until the medicine turns dark red-black. Let cool, filter through silk, store in porcelain jars. Take a piece the size of half a date, hold in mouth to dissolve and swallow slowly. For pure heat-toxin, take alone. For toothache, wrap in silk, chew and swallow.
Dihuang Jian (Rehmannia Paste): Treats inability to swallow and mouth sores after Shanghan, upward attack of accumulated heat, and incessant salivation.
Herbs: Shengdihuang Juice Radix Rehmanniae Recens (two he), Qiandan Minii Oxidum (roasted, two liang), Baimi Mel (two liang), Zhuyazaojia Fructus Gleditsiae Sinensis (one pod, skin removed, roasted in pig fat and ground to powder).
Preparation and Administration: Mix evenly, store in a bottle, seal tightly, steam over rice for one shi period. Remove dregs and collect. Take one spoonful per dose, hold in mouth to dissolve and swallow saliva.
Tiehou Gao (Throat-Pasting Ointment): Treats throat pain, stiff tongue, and upward attack of residual heat after Shanghan.
Herbs: Fengmi Mel (half jin), Gancao Radix Glycyrrhizae Preparata (crushed, two liang), Zhuzhi Pig Fat (four liang).
Preparation and Administration: First melt Zhuzhi and Fengmi together, add Gancao, boil until Gancao turns dark red-black. Filter through silk, store in porcelain jars. Take a piece the size of half a date, hold in mouth to dissolve and swallow saliva.
Sheye Jian (Belamcanda Paste): Treats throat pain, obstruction, and upward attack of toxic qi after Shanghan febrile disease.
Herbs: Sheye Rhizoma Belamcandae (half jin, ground to powder), Zhuzhi Pig Fat (one jin).
Preparation and Administration: First boil Zhuzhi until bubbling, then add Sheye. Wait until Sheye turns black, filter through silk, store in porcelain jars. Wrap a piece the size of a bullet in silk, hold in mouth to dissolve and swallow.
Formula for treating throat pain, obstruction, and upward rush of toxic qi after Shanghan febrile disease:
Take a small amount of Changpu Rhizoma Acori Tatarinowii, about the size of a fingernail tip, place in mouth, chew slightly to extract juice.
Formula for treating throat swelling, pain, obstruction, and upward rush of toxic qi after Shanghan febrile disease:
Take Shanyelu Radix et Rhizoma Phytolaccae, slice and cook thoroughly, wrap in cloth, apply as hot compress to the swollen area. Replace when cool.
Formula for treating throat pain, obstruction, and upward rush of toxic qi after Shanghan febrile disease:
Take a piece of Huangmingjiao Colla Corii Asini (approx. palm-sized), soften by boiling in water, apply externally to the neck. Until healed.
Formula for treating throat pain, obstruction, and upward rush of toxic qi after Shanghan febrile disease:
Take Baifan Alumina (take care with dosage/toxicity in modern context, historically used), wrap in silk, hold in mouth, swallow juice slowly. Stop when patent/unblocked.
Formula for treating Shanghan heat-toxin attacking the Lung, rushing up to the throat, chest and heart fullness and oppression, blockage preventing passage, whole body high fever, pale complexion, non-seasonal asthma/panting, and hard phlegm:
Herbs: Mahuang Herba Ephedrae (roots removed, half liang), Xingren Semen Armeniacae Amarum, Ziwan Herba Asteris Tatarinowii, Beimu Bulbus Fritillariae Cirrhosae (heart removed), Chaihu Radix Bupleuri, Huangqin Cortex Scutellariae, Jiegeng Radix Platycodonis, Sheye Rhizoma Belamcandae, Dahuang Radix et Rhizoma Rhei, Mudanpi Cortex Moutan (heart removed), Maimendong Radix Ophiopogonis (heart removed), Qianghuo Rhizoma et Radix Notopterygii, Tinglizi Semen Lepidii et Descurainiae (each one fen), Banxia Rhizoma Pinelliae Preparata (two zhu), Qianniu Semen Pharbitidis (two liang).
Preparation and Administration: Except for Qianniu and Banxia, which are separately pounded and sieved into powder, combine all other herbs, pound and sieve into powder. Take six qian per dose, consisting of four qian of the mixed herb powder, five slices of Shengjiang Rhizoma Zingiberis Recens, and two zhan of water. Boil vigorously for a moment. This will induce purging. Then administer two qian of the Qianniu and Banxia powder mixture as a single dose. Take after meals and before sleep.