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脾实热咽喉不利 · 普济方 · 医典·华经

普济方

脾实热咽喉不利144 / 2015

普济方 · 脾实热咽喉不利 · 明

古文

（附论）
夫脾胃之气。候于唇口。通于咽喉。连于舌本。咽喉者。水谷之道路。神气之往来。若
脾气
方
射干散（出圣惠方）治脾实热。咽干头痛。心神烦渴。
射干（一两）石膏（二两）大青（二分）葳蕤（三分）赤茯苓（三分）川升
麻（三分）
黄芩
去皮尖双
仁麸
六分
枳壳散（出圣惠方）治脾实热。咽喉干。头痛心烦。四肢壅闷。
枳壳（一两麸炒微黄）石膏（二两）子芩（半两）柴胡（一两去苗）玄参（一
两炒微黄）
赤
锉）麦门
冬
温
服
犀角丸（出圣惠方）治脾脏实热。咽喉不利。口舌干燥。
犀角屑（一两）牛蒡子（半两）射干（半两）川升麻（三分）麦门冬（一两去
心焙）诃
黎勒
研）甘草
（半
下
二十
升麻散（出圣惠方）治脾实热。喉中肿痛。热塞不通。
川升麻（一两）射干（一两）羚羊角屑（半两）木通（半两锉）赤芍药（半两）
络石
（三钱）
钱）上为
散。每
柴胡散（出圣惠方）治脾实热。舌本强。咽喉不利。体重不能行步。
柴胡（一两）赤茯苓〔三（分）两〕玄参（三两）大青（一两）龙胆（三钱去
芦头）杏
仁
为散。
每服
地骨皮散（出圣惠方）治脾实热。唇肿。心烦咽喉不利。体热烦疼。
地骨皮〔三（一分）两〕麦门冬（一两去心）柴胡（一两去苗）川升麻（一两）赤
芍药
（三
为散。每
服三钱
犀角散治脾实热。舌本强。唇口肿。咽喉窄塞。心神烦热。
犀角屑（三分）独活（三分）黄芩（一两）川升麻（一两）马牙硝（一两）玄
参（一两）
射
淡竹
沥

白话

（附论）
脾胃之气，反映在唇口，通达于咽喉，连接于舌根。咽喉是水谷通行的道路，也是神气往来的通道。如果脾气……

方剂：

射干散（出自《圣惠方》），治疗脾实热证。症状包括咽干、头痛、心神烦闷口渴。
药材：射干（一两）、石膏（二两）、大青（二分）、葳蕤（三分）、赤茯苓（三分）、川升麻（三分）、黄芩（六分，需去皮尖，双仁，麸炒）。

枳壳散（出自《圣惠方》），治疗脾实热证。症状包括咽喉干燥、头痛、心烦、四肢壅滞闷胀。
药材：枳壳（一两，用麸炒至微黄）、石膏（二两）、子芩（半两）、柴胡（一两，去苗）、玄参（一两，炒至微黄）、赤茯苓（三两，锉碎）、麦门冬（一两，去心，焙干）。上药捣筛为散，每次服用三钱，温水送服。

犀角丸（出自《圣惠方》），治疗脾脏实热证。症状包括咽喉不利、口舌干燥。
药材：犀角屑（一两）、牛蒡子（半两）、射干（半两）、川升麻（三分）、麦门冬（一两，去心，焙干）、诃黎勒（半两，研细）、甘草（半两，炙）。上药捣罗为末，炼蜜和丸如梧桐子大，每次服用二十丸，食后温浆水送下。

升麻散（出自《圣惠方》），治疗脾实热证。症状包括喉中肿痛、热邪壅塞不通。
药材：川升麻（一两）、射干（一两）、羚羊角屑（半两）、木通（半两，锉碎）、赤芍药（半两）、络石（三钱）。上药捣筛为散，每次服用三钱，温水送服。

柴胡散（出自《圣惠方》），治疗脾实热证。症状包括舌根强直、咽喉不利、身体沉重不能行走。
药材：柴胡（一两）、赤茯苓（三两）、玄参（三两）、大青（一两）、龙胆（三钱，去芦头）、杏仁（半两，去皮尖双仁，麸炒）。上药捣筛为散，每次服用三钱，温水送服。

地骨皮散（出自《圣惠方》），治疗脾实热证。症状包括嘴唇肿胀、心烦、咽喉不利、身体发热烦痛。
药材：地骨皮（一两）、麦门冬（一两，去心）、柴胡（一两，去苗）、川升麻（一两）、赤芍药（半两）。上药捣筛为散，每次服用三钱，温水送服。

犀角散，治疗脾实热证。症状包括舌根强直、唇口肿胀、咽喉狭窄堵塞、心神烦热。
药材：犀角屑（三分）、独活（三分）、黄芩（一两）、川升麻（一两）、马牙硝（一两）、玄参（一两）、射干（一两）、淡竹沥（适量，煎药时加入或兑服）。

英文

(Attached Discussion)
The Qi of the Spleen and Stomach manifests in the lips and mouth, connects to the throat, and links to the root of the tongue. The throat is the pathway for food and fluids, and the passage for Shen (Spirit) and Qi. If the Spleen Qi...

Formulas:

Shegan San (Cistanche and Belamcanda Powder) [Source: *Shenghui Fang*]: Treats Spleen Excess-Heat syndrome. Symptoms include dryness of the throat, headache, mental restlessness, and thirst.
Ingredients: Belamcanda Rhizome (*Belamcandae Rhizoma*, Shegan, 射干) (1 liang), Gypsum Fibrosum (*Gypsi Fibrosum*, Shigao, 石膏) (2 liang), Isatidis Folium (*Isatidis Folium*, Daqingye, 大青叶) (2 fen), Polygonatum Tuber (*Polygonati Tuber*, Weirui, 葳蕤/玉竹) (3 fen), Poria Cocos with Red Heart (*Poria Cocos cum Rubo*, Chifuling, 赤茯苓) (3 fen), Cimicifugae Rhizoma (*Cimicifugae Rhizoma*, Chuan Shengma, 川升麻) (3 fen), Scutellariae Radix (*Scutellariae Radix*, Huangqin, 黄芩) (6 fen, requires removal of skin and tips, use double kernels, stir-fry with bran).

Zhike San (Aurantii Fructus Powder) [Source: *Shenghui Fang*]: Treats Spleen Excess-Heat syndrome. Symptoms include dryness of the throat, headache, mental irritability, and stagnation/heaviness in the four limbs.
Ingredients: Aurantii Fructus Pericarpium (*Aurantii Fructus Pericarpium*, Zhike, 枳壳) (1 liang, stir-fried with bran until slightly yellow), Gypsum Fibrosum (*Gypsi Fibrosum*, Shigao, 石膏) (2 liang), Scutellariae Radix (*Scutellariae Radix*, Ziqin, 子芩) (0.5 liang), Bupleuri Radix (*Bupleuri Radix*, Chaihu, 柴胡) (1 liang, remove seedlings), Scrophulariae Radix (*Scrophulariae Radix*, Xuanshen, 玄参) (1 liang, stir-fried until slightly yellow), Poria Cocos with Red Heart (*Poria Cocos cum Rubo*, Chifuling, 赤茯苓) (3 liang, sliced), Ophiopogonis Tuber (*Ophiopogonis Tuber*, Maidong, 麦门冬) (1 liang, remove heart, baked). The above herbs are processed into a powder. Take 3 qian per dose, administered with warm water.

Xijiao Wan (Rhinoceros Horn Pill) [Source: *Shenghui Fang*]: Treats Spleen Organ Excess-Heat syndrome. Symptoms include obstruction/discomfort in the throat, dryness of the mouth and tongue.
Ingredients: Rhinoceros Horn (*Rhinocerotis Cornu*, Xijiao, 犀角) (1 liang), Arctii Fructus (*Arctii Fructus*, Niubangzi, 牛蒡子) (0.5 liang), Belamcanda Rhizome (*Belamcandae Rhizoma*, Shegan, 射干) (0.5 liang), Cimicifugae Rhizoma (*Cimicifugae Rhizoma*, Chuan Shengma, 川升麻) (3 fen), Ophiopogonis Tuber (*Ophiopogonis Tuber*, Maidong, 麦门冬) (1 liang, remove heart, baked), Terminalia Chebula Retz. Fruit (*Terminaliae Chebulae Fructus*, Helile, 诃黎勒) (0.5 liang, ground), Glycyrrhizae Radix et Rhizoma (*Glycyrrhizae Radix et Rhizoma*, Gancao, 甘草) (0.5 liang, honey-roasted). The above herbs are processed into fine powder, mixed with refined honey to form pills the size of wutong seeds. Take 20 pills per dose, after meals, with warm fermented grain beverage.

Shengma San (Cimicifuga Powder) [Source: *Shenghui Fang*]: Treats Spleen Excess-Heat syndrome. Symptoms include swelling and pain in the throat, blockage due to heat pathogen.
Ingredients: Cimicifugae Rhizoma (*Cimicifugae Rhizoma*, Chuan Shengma, 川升麻) (1 liang), Belamcanda Rhizome (*Belamcandae Rhizoma*, Shegan, 射干) (1 liang), Saiga Tataricae Cornu (*Saigae Tataricae Cornu*, Lingyangjiao, 羚羊角) (0.5 liang), Akebiae Caulis (*Akebiae Caulis*, Mutong, 木通) (0.5 liang, sliced), Paeoniae Radix Rubra (*Paeoniae Radix Rubra*, Chishao, 赤芍药) (0.5 liang), Trachelospermi Caulis (*Trachelospermi Caulis*, Luoshi, 络石藤) (3 qian). The above herbs are processed into a powder. Take 3 qian per dose, administered with warm water.

Chaihu San (Bupleurum Powder) [Source: *Shenghui Fang*]: Treats Spleen Excess-Heat syndrome. Symptoms include stiffness of the tongue root, throat discomfort, heavy body, inability to walk.
Ingredients: Bupleuri Radix (*Bupleuri Radix*, Chaihu, 柴胡) (1 liang), Poria Cocos with Red Heart (*Poria Cocos cum Rubo*, Chifuling, 赤茯苓) (3 liang), Scrophulariae Radix (*Scrophulariae Radix*, Xuanshen, 玄参) (3 liang), Isatidis Folium (*Isatidis Folium*, Daqingye, 大青叶) (1 liang), Gentianae Radix (*Gentianae Radix*, Longdan, 龙胆) (3 qian, remove rhizome head), Prunus Armeniaca Seed (*Pruni Semen*, Xingren, 杏仁) (0.5 liang, remove skin and tips, double kernels, stir-fry with bran). The above herbs are processed into a powder. Take 3 qian per dose, administered with warm water.

Digupi San (Morinda Officinalis Bark Powder) [Source: *Shenghui Fang*]: Treats Spleen Excess-Heat syndrome. Symptoms include swelling of the lips, mental irritability, throat discomfort, body heat and painful restlessness.
Ingredients: Morindae Officinalis Cortex (*Morindae Officinalis Cortex*, Digupi, 地骨皮) (1 liang), Ophiopogonis Tuber (*Ophiopogonis Tuber*, Maidong, 麦门冬) (1 liang, remove heart), Bupleuri Radix (*Bupleuri Radix*, Chaihu, 柴胡) (1 liang, remove seedlings), Cimicifugae Rhizoma (*Cimicifugae Rhizoma*, Chuan Shengma, 川升麻) (1 liang), Paeoniae Radix Rubra (*Paeoniae Radix Rubra*, Chishao, 赤芍药) (0.5 liang). The above herbs are processed into a powder. Take 3 qian per dose, administered with warm water.

Xijiao San (Rhinoceros Horn Powder): Treats Spleen Excess-Heat syndrome. Symptoms include stiffness of the tongue root, swelling of lips and mouth, narrowness/blockage in the throat, mental restlessness and heat.
Ingredients: Rhinoceros Horn (*Rhinocerotis Cornu*, Xijiao, 犀角) (3 fen), Angelicae Dahuricae Radix (*Angelicae Dahuricae Radix*, Duohuo, 独活) (3 fen), Scutellariae Radix (*Scutellariae Radix*, Huangqin, 黄芩) (1 liang), Cimicifugae Rhizoma (*Cimicifugae Rhizoma*, Chuan Shengma, 川升麻) (1 liang), Natrii Sulfas (*Natrii Sulfas*, Mayaxiao, 马牙硝) (1 liang), Scrophulariae Radix (*Scrophulariae Radix*, Xuanshen, 玄参) (1 liang), Belamcanda Rhizome (*Belamcandae Rhizoma*, Shegan, 射干) (1 liang), Bambusa Textilis Calamus Sap (*Bambusa Textilis Calamus Sap*, Danzhuli, 淡竹沥).