噙化丸 梅核气服之神效。
胆矾 硼砂 明矾 牙皂 雄黄（各等分）
上为细末。红枣煮烂取肉为丸，如芡实大。空心噙化一丸，温黄酒一杯过口，内
服苏子降气汤。
验方 玫瑰花去净心蒂，浸火酒饮，愈陈愈妙。
噙化丸 痰结核在咽喉中不能出入。
栝蒌仁 杏仁 海石 桔梗 连翘（各一两） 朴硝（四钱）
为末。姜汁和蜜丸如樱桃大，噙服之。
小儿声哑不能言语，当急治以此方，如迟至十二三岁，知识少开则难治矣。
远志 石菖蒲 酸枣仁（炒） 小柴胡（各一钱） 萆麻子（连壳，每一岁用一粒）
上为细末。用猪肝一个，竹刀剖作数层，将药掺入肝内，纸包煨熟，量儿大小，
白滚水服。日服三五次，至七日自能言语。
小儿失音不语（经验方）。蛤蟆胆点舌尖上，立效。
风火侵肺，误服寒凉生冷，音雌者轻。
虚痨肺损音哑难治。
窦汉卿曰∶病患瘥后气短及声不出者，皆肺气不行。宜降气汤多加前胡，临服加
姜汁以佐之。（《全书》）
又曰∶病后声哑不言，此肺经受刑，百无一生。
冯鲁瞻曰∶喑谓有言而无声，故经曰不能言。不能，非绝然不说之谓。凡音出
于喉咙，发于舌本，因胎肥大，阻肾上行之经，肾脉入肺循喉咙系舌本，喉者肺之
部，肺主声音，其人切切私语，心虽有言而人不能听，故曰喑。肺肾子母之脏，故
云不必治。若大全解作不语，则为心病，以心主发声也，与子喑了不相干。若张子和
有降心火之说，马玄台有补心肾之言，如果肾之脉络绝，则其病不治，岂有产后自
复之理乎！故经云“胞之络脉绝”，此“绝”字当作“阻”字解也。
又曰∶经云“妇人重身，九月而喑”者，胞之络脉绝也，无治当十月复。谓人之受
孕，一月肝经养胎，二月胆经养胎，三月心经养胎，四月小肠经养胎，五月脾经养
胎，六月胃经养胎，七月肺经养胎，八月大肠经养胎，九月肾经养胎，十月膀胱经
养胎，先阴经而后阳经，始于木终于水，以五行之相生言也。然以理推之，十二经之
脉，昼夜流行无间，无日无时而不共养胎气也，必无分经养胎之理。今曰九月而喑，
时至九月，儿体已长，胞宫之络系于肾经者，阻绝不通，故间有之。盖肾经之脉，上
系舌本，脉道阻绝，则不能言，故十月分娩后而自能言，不必加治，治之当补心肾。
又曰∶伤寒失音之源不一。有因痰壅气闭；有因失血惊恐；有因邪热冲心，心
气耗损；有因火烁阴伤，不能宣布。然咽喉音声如故，而舌不能转运者，为舌喑。如
舌能转运言语，而咽喉音声则无者，为喉喑。舌喑多因于心肾，喉喑多因于肺胃。
丹溪云∶干咳嗽极难治。此系火郁之甚，乃痰郁火邪在肺，上以苦桔梗开之，下
用补阴降火药，不已即成痨，宜重补养。盖肺为华盖，五脏六腑火自内起，熏蒸焚灼，
水涸金伤，若至久嗽声哑，是肺管破也不治。在初起者是寒包热，辛以散之。
《衍义》云∶有妇人患热久嗽，身如炙肌瘦，将成肺痨。以枇杷叶、木通、款冬
花、紫菀、杏仁、桑皮各等分，大黄减半，如常制蜜丸樱桃大，食后夜卧含化一丸，未
终剂而愈。又有久嗽不已，饥则胸中大痛，须视上唇有白点如粞者，此虫啮其肺也。以
百部膏一味加乌梅、槟榔与服，下其虫则愈，肺虫其形如蚕，令人咳嗽声嘶也。
有嗽而声哑者，盖金实不鸣，痰火郁于中也，金破亦不鸣，肺气伤于内也，实
则清之，破则补之，皆治肺之道也。又须知少阴之络入肺中，循喉咙挟舌本，肺为
之标，本虚则标弱，故声乱咽嘶舌萎，声不能前，以救本为主。亦有喉燥失音者，古
方用猪脂二斤，熬油去渣，入白蜜一斤，再炼成膏，一匙一匙挑服润之。有大声喊叫，
喉破失音者，不可作火治，而用凉药，须大补八珍加甘桔、倍参 ，作伤损治。然
足少阴脉挟舌本，而足太阴脉络舌旁，手少阴脉系舌本，若三脉虚则痰涎乘虚闭塞
其脉道，而舌不能转运言语也。若三经血少不能营舌，亦令人喑，故久病失血后，及
误汗下后，心家气血衰，不能鼓舌者，并用独参汤八物加减，有痰加竹沥。
噙化丸：治疗梅核气服用此方有显著疗效。
胆矾、硼砂、明矾、牙皂、雄黄（各等份）
将上述药材研成细末。用红枣煮烂后取肉制成丸剂，大小如芡实。空腹时含服一丸，随后饮一杯温黄酒送服，内服苏子降气汤。
验方：玫瑰花去净花心和花蒂，浸泡在白酒中饮用，存放时间越久效果越好。
噙化丸：治疗咽喉中有痰核结聚，感觉异物感无法咳出也无法咽下。
栝蒌仁、杏仁、海浮石、桔梗、连翘（各一两），朴硝（四钱）
研成细末。用姜汁和蜂蜜制成丸剂，大小如樱桃，含服即可。
小儿声音嘶哑不能说话，应当立即用此方治疗，如果拖延到十二三岁，心智尚未开启则难以治愈。
远志、石菖蒲、酸枣仁（炒制）、小柴胡汤（各一钱），蓖麻子（带壳，每岁用一粒）
将上述药材研成细末。用一个猪肝，用竹刀剖开成数层，将药粉掺入肝内，用纸包裹煨熟，根据孩子的大小，用白开水送服。每天服用三到五次，七天后可自然恢复言语能力。
风火侵袭肺部，误服寒凉生冷食物，导致声音雌弱者，病情较轻。
虚劳肺损导致的音哑难以治愈。
窦汉卿说：病患病愈后气短及声音出不来的，都是肺气运行不畅所致。宜用降气汤多加前胡，临服用时加入姜汁辅助。（《全书》）
又说：病后声音嘶哑不能说话，这是肺经受刑伤，百无一生。
冯鲁瞻说：喑是指有言语能力但发不出声音，所以经典中说“不能言”。“不能”并非绝对不说话的意思。凡是声音出于喉咙，由舌根发出，因胎儿肥大，阻碍了肾经上行之路，肾脉进入肺部并环绕喉咙连接舌根，喉咙是肺的部位，肺主声音，这个人虽然私下里想说话，心里虽有言语但别人听不见，所以称为喑。肺和肾是母子之脏，所以说不必治疗。如果把大全解释为不语，那就是心病，因为心主发声，这与子喑毫无关系。如果张子和有降心火的说法，马玄台有补心肾的言论，如果肾的脉络真的断绝，那么这病就无法治疗，怎么会有产后自行恢复的道理呢！所以经典说“胞之络脉绝”，这个“绝”字应当解释为“阻”。
又说：经典说“妇人怀孕九月而喑”，是因为胞宫的络脉受阻，无需治疗，等到十月分娩后会自行恢复。谓人受孕，一月肝经养胎，二月胆经养胎，三月心经养胎，四月小肠经养胎，五月脾经养胎，六月胃经养胎，七月肺经养胎，八月大肠经养胎，九月肾经养胎，十月膀胱经养胎，先阴经后阳经，始于木终于水，从五行相生的角度来讲。然而按道理推断，十二经脉的脉气昼夜流行无间，没有一天一时不共同滋养胎气，必定没有分经养胎的道理。现在说九月而喑，时至九月，胎儿身体已长，胞宫之络系于肾经者，阻塞不通，所以间或有这种情况。大概肾经之脉，上系舌根，脉道阻塞不通，则不能说话，所以十月分娩后能自然说话，不必加治，若要治疗应当补心肾。
又说：伤寒导致失音的原因不一。有的因痰壅气闭；有的因失血惊恐；有的因邪热冲心，心气耗损；有的因火烁阴伤，不能宣发。然而咽喉音声如故，而舌头不能转动者，称为舌喑。如果舌头能转动言语，而咽喉音声却无者，称为喉喑。舌喑多因于心肾，喉喑多因于肺胃。
丹溪说：干咳极难治疗。这是由于火郁甚重，乃痰郁火邪在肺，上用苦桔梗开提，下用补阴降火药，若不愈即成痨病，宜重补养。盖肺为华盖，五脏六腑之火自内起，熏蒸焚灼，水涸金伤，若至久嗽声哑，是肺管破了也不治。在初起时是寒包热，应用辛散之法。
《衍义》说：有妇人患热久咳，身体如炙烤般发热肌肉消瘦，将要形成肺痨。用枇杷叶、木通、款冬花、紫菀、杏仁、桑皮各等分，大黄减半，按常规制成蜜丸，大小如樱桃，饭后夜卧时含化一丸，未服完一剂而痊愈。又有久咳不已，饥饿时胸中大痛，须看上唇有白点如米粒者，这是虫咬噬其肺。用百部膏一味加乌梅、槟榔与服，排出其虫则愈，肺虫其形如蚕，令人咳嗽声嘶也。
有咳嗽而声音嘶哑者，盖因金实不鸣，痰火郁结于中；金破亦不鸣，肺气损伤于内。实则清之，破则补之，这都是治肺的方法。又须知少阴之络进入肺中，环绕喉咙挟持舌根，肺为之标，本虚则标弱，所以声音混乱咽喉嘶哑舌头萎软，声音不能上前，以救本为主。也有喉燥失音者，古方用猪脂二斤，熬油去渣，入白蜜一斤，再炼成膏，一勺一勺挑服以润之。有大声喊叫，喉破失音者，不可当作火证治疗，而用凉药，须大补八珍汤加甘草桔梗、倍用人参，按伤损治疗。然足少阴脉挟舌根，而足太阴脉络舌旁，手少阴脉系舌根，若三脉虚则痰涎乘虚闭塞其脉道，而舌头不能转动言语也。若三经血少不能营养舌头，也令人喑，所以久病失血后，及误用汗下法后，心家气血衰，不能鼓动舌头者，并用独参汤八物汤加减，有痰加竹沥。
Qin Hua Wan (Lozenge Pill): This prescription is highly effective for treating Mei He Qi (Plum-pit Qi, a sensation of a foreign body in the throat).
Alumen Crudum (Danfan), Borax (Pengsha), Alumen (Mingfan), Gleditsiae Sinensis Fructus Spina (Yazao), Realgar (Xionghuang) (equal parts)
Grind the above herbs into a fine powder. Use red dates boiled until soft, take the flesh, and form pills the size of Euryale Seed (Qianshi). Take one pill to be held in the mouth on an empty stomach, followed by a cup of warm yellow wine to wash it down, and internally administer Suzi Jiangqi Tang (Perilla Fruit Descending Qi Decoction).
Verified Prescription: Remove the heart and pistil of Rose Flower (Meiguihua) completely, soak in liquor and drink. The older it is stored, the better the effect.
Qin Hua Wan (Lozenge Pill): Treats Phlegm Nodules (Tan Jiehe) in the throat that cannot be expelled or swallowed.
Trichosanthis Semen (Gualouren), Armeniacae Semen Amarum (Xingren), Spongia (Haishi), Platycodonis Radix (Jiegeng), Forsythiae Fructus (Lianqiao) (each 1 liang), Mirabilite (Puxiao) (4 qian)
Grind into powder. Mix with ginger juice and honey to form pills the size of a cherry. Hold in the mouth and swallow slowly.
Pediatric hoarseness and inability to speak should be treated urgently with this prescription. If delayed until age twelve or thirteen, when mental faculties are not yet fully developed, it will be difficult to treat.
Polygalae Radix (Yuanzhi), Acori Tatarinowii Rhizoma (Shichangpu), Ziziphi Spinosae Semen (Suanzaoren, stir-fried), Xiao Chaihu Tang (Minor Bupleurum Decoction) (each 1 qian), Ricini Semen (Bimazi, with shell, one seed per year of age)
Grind the above herbs into a fine powder. Take one pig liver, slice it into several layers with a bamboo knife, sprinkle the medicine inside the liver, wrap in paper, and bake until cooked. Administer with plain boiling water according to the child's size. Take three to five times daily; speech will naturally recover within seven days.
Pediatric aphonia (Empirical Prescription): Apply Toad Gallbladder bile (Hamadan) to the tip of the tongue for immediate effect.
Wind-fire invading the Lungs, combined with the mistaken ingestion of cold and raw foods, leading to a feminine/weak voice indicates a mild condition.
Hoarseness due to Deficiency Consumption (Xu Lao) and Lung damage is difficult to treat.
Dou Hanqing stated: After illness recovery, shortness of breath and inability to produce voice are all due to the failure of Lung Qi to circulate. It is suitable to use Jiangqi Tang (Descending Qi Decoction) with added Pedanii Radix (Qianhu), and add ginger juice before administration. (Quanshu)
He also stated: Hoarseness and inability to speak after illness indicate punishment inflicted on the Lung Meridian; there is no chance of survival.
Feng Luzhan stated: Yin (aphonia) refers to having the ability to speak but being unable to produce sound, hence the classics say "unable to speak." "Unable" does not mean absolutely not speaking. Sound originates from the throat and is emitted from the root of the tongue. Due to fetal enlargement, the ascent of the Kidney Meridian is blocked. The Kidney Meridian enters the Lung, circles the throat, and connects to the root of the tongue. The throat is the domain of the Lung, and the Lung governs sound. Although the person privately wishes to speak and has thoughts, others cannot hear them, hence it is called Yin. The Lung and Kidney are mother-son organs, thus it is said that treatment is unnecessary. If Quan Daquan interprets this as mutism, it becomes a Heart disease, as the Heart governs vocalization, which has nothing to do with infantile aphonia. If Zhang Zihe proposed descending Heart Fire, and Ma Xuantai proposed tonifying Heart and Kidney, if the Kidney meridians were truly severed, the disease would be incurable, so how could there be spontaneous recovery postpartum! Therefore, the classics state "the collaterals of the uterus are severed," where the character "severed" (Jue) should be interpreted as "blocked."
He also stated: The classics mention "women become aphonic in the ninth month of pregnancy" because the collaterals of the uterus are blocked. No treatment is needed; it resolves in the tenth month. Regarding conception: Month 1, Liver Meridian nourishes the fetus; Month 2, Gallbladder Meridian; Month 3, Heart Meridian; Month 4, Small Intestine Meridian; Month 5, Spleen Meridian; Month 6, Stomach Meridian; Month 7, Lung Meridian; Month 8, Large Intestine Meridian; Month 9, Kidney Meridian; Month 10, Bladder Meridian. Yin meridians precede Yang meridians, starting with Wood and ending with Water, following the generation cycle of Five Elements. However, logically deducing, the meridians of the Twelve Channels circulate day and night without interruption, nourishing fetal Qi at all times; there must be no theory of specific meridian nourishment for specific months. Now, regarding aphonia in the ninth month: by the ninth month, the fetus has grown large, and the collaterals of the uterus connected to the Kidney Meridian are blocked, hence it occasionally occurs. Since the Kidney Meridian connects to the root of the tongue, blockage of the pulse pathway leads to inability to speak. Thus, after delivery in the tenth month, speech recovers naturally without treatment. If treatment is required, it should tonify the Heart and Kidney.
He also stated: The origins of aphonia in Shanghan (Cold Damage) are diverse. Some are due to Phlegm obstruction and Qi closure; some due to blood loss and fright; some due to pathogenic heat rushing to the Heart, depleting Heart Qi; some due to fire scorching Yin, preventing dissemination. However, if throat sound remains normal but the tongue cannot move, it is called She Yin (Tongue Aphonia). If the tongue can move and articulate words but throat sound is absent, it is called Hou Yin (Throat Aphonia). She Yin is mostly due to Heart and Kidney; Hou Yin is mostly due to Lung and Stomach.
Danxi stated: Dry cough is extremely difficult to treat. This is due to severe Fire stagnation, where Phlegm and Fire pathogens reside in the Lung. Use bitter Jiegeng (Platycodonis Radix) to open upwards, and yin-tonifying and fire-descending medicines downwards. If not cured, it becomes consumption; heavy tonification and nourishment are appropriate. The Lung is the canopy; fire from the Five Zang and Six Fu organs rises internally, steaming and burning, drying up Water and injuring Metal. If chronic cough leads to hoarseness, the lung tube is ruptured, which is incurable. In the early stage, it is Cold enveloping Heat, requiring acrid dispersing methods.
Yanyi states: There was a woman suffering from prolonged heat-induced cough, body feeling like roasting, emaciated, about to develop Pulmonary Tuberculosis (Fei Lao). Using equal parts of Loquat Leaf (Pipaye), Akebia Caulis (Mutong), Farflores Flos (Kuandonghua), Asteris Radix (Ziwan), Armeniacae Semen Amarum (Xingren), and Morus Cortex (Sangpi), with half the dose of Rheum Radix et Rhizoma (Dahuang), made into honey pills the size of cherries. One pill was dissolved in the mouth after meals and before sleep. She recovered before finishing one course. Another case involved prolonged cough, severe chest pain when hungry, and white spots like rice grains on the upper lip, indicating worms biting the Lung. Administer Baibu Gao (Stemona Paste) alone with Mume Fructus (Wumei) and Arecae Semen (Binglang) to expel the worms for cure. Lung worms resemble silkworms, causing cough and hoarseness.
Those with cough and hoarseness: When Metal is solid, it does not ring; this is Phlegm-Fire stagnating in the middle. When Metal is broken, it does not ring either; this is Lung Qi damaged internally. For excess, clear it; for deficiency/breakage, tonify it; these are the ways to treat the Lung. Also, note that the collateral of Shaoyin enters the Lung, circles the throat, and clutches the root of the tongue. The Lung is the branch; if the root is deficient, the branch is weak, leading to chaotic voice, hoarse throat, flaccid tongue, and inability to project sound. Focus on rescuing the root. There are also cases of dry throat and aphonia. Ancient prescriptions used two jin of Pig Fat (Zhuzhi), rendered into oil, filtered, mixed with one jin of White Honey, refined into a paste. Take one spoonful at a time to moisten. For those who shouted loudly, rupturing the throat and losing voice, do not treat as Fire using cooling medicines. Instead, heavily tonify Bazhen Tang (Eight Treasure Decoction) with Licorice Root (Gancao) and Platycodonis Radix (Jiegeng), doubling Ginseng (Renshen), and treat as trauma. The Foot-Shaoyin Meridian clutches the root of the tongue, the Foot-Taiyin Meridian runs along the side of the tongue, and the Hand-Shaoyin Meridian ties to the root of the tongue. If these three meridians are deficient, Phlegm-Saliva takes advantage of the deficiency to block the pulse pathways, preventing the tongue from moving and articulating. If Blood is insufficient in these three meridians to nourish the tongue, it also causes aphonia. Thus, after prolonged illness with blood loss, or after mistaken sweating and purging, when Heart Qi and Blood are depleted and cannot propel the tongue, use Dushen Tang (Single Ginseng Decoction) or Bajia Tang (Eight Ingredients Decoction) with modifications. Add Bamboo Sap (Zhuli) if there is Phlegm.