经云∶胆病者,善太息,口苦呕宿汁,嗌仲介介然,数唾,取阳陵泉。又云∶心咳之状,喉仲介
介如梗状,取心之俞。大陵。仲景云∶妇人咽中如有炙脔,半夏浓朴汤主之。射干散、含化龙脑丸、
木香散、络石汤、四味汤、杏仁煎丸。有人患缠喉风。食不能下,大麦面作稀糊咽之。咽喉塞,鼻中
疮出,及干呕头痛食不下,生鸡子一个,开头取白去黄,着米醋拌煨, 火顿沸起擎下,沸定,须频
三度,就热饮醋尽,不过一二次瘥。王医师法,冬月于临卧时食生莱菔三五片,无咽喉之疾。
《三因方》煮薤白令半熟,以线缚定,手执线头,少嚼薤白咽之,度薤白至哽处便牵引,哽即出
矣。秘方,用倾银炉上倒挂灰尘,砂糖和丸,咽之自下。骨梗,槿
树叶油、马屁勃、砂糖三味,熬膏为丸,噙化。 麻根杵烂,丸如弹子大,将所哽物煎汤化下。以犬
吊一足,取其涎,徐徐咽之。剪刀草,如野茨菰生于篱堑间,其根白,研之则如胶,用顺水吞下,即
吐出骨,不过两三口效。研萱草根,顺水下亦佳。朴硝研,对入鸡苏,丸如弹子大,含化,不过三四
丸。南硼砂,井花水洗涤,含化,最软骨。贯众浓煎一盏半,分三服连进,片时一咯骨自出。鱼骨哽,
以皂角少许吹入鼻中,得嚏哽出。细茶、五倍子等分为末,吹入咽喉,立愈。食橄榄即下,或用其核
为末,顺流水下。鱼骨在肚中刺痛,煎茱萸汁一盏饮之,骨软而出。鸡骨鲠,用水 草捣汁饮之,骨
自消。野 根,洗净、捣烂如泥,每用龙眼大,如被鸡骨所伤,鸡羹化下;鱼骨所伤,鱼汤化下。稻
芒糠谷哽喉,将鹅吊一足取涎,徐徐咽下即消。或取荐头草嚼亦妙。吞钉铁金银铜钱等物,但多食肥
肉,自随大便而下。吞钱及铁物在喉不得下,南烛根烧细末。汤调一钱下之。吞铁或针,用饧糖半斤,
浓煎艾汁调和服。或用磁石磨如枣核大,钻眼以线穿,令吞喉间,针自引出。磁石须阴阳家用验者。张
子和治一小儿,误吞钱在喉中不下,以净白表纸卷实如箸,以刀纵横乱割其端,作 之状,又别取
一箸缚针钩于其端,令不可脱,先下咽中轻
提轻抑探之,觉钩入于钱窍,然后以纸卷纳之咽中,与钩尖相抵,觉钩尖入纸卷之端,不碍肌肉,提
之而出。吞钱,烧炭末,白汤调服数匙,即出;或服蜜升许。或食荸荠、茨菰,其钱自化;或用艾一
把,水五升,煎至一升,顿服即下;或用百部根四两,酒一升,渍一宿,温服一升,日再。吞钗,取
薤白曝令萎黄,煮使熟,勿切,食一大枣即出。吞钱钗及 ,饴糖一斤渐渐食之。吞发绕喉不出,取
自乱发作灰,白汤调服一钱。陈无择云∶凡治哽之法,皆以类推,如颅 治鱼哽,磁石治针哽,发灰
治发哽,狸虎治骨哽,亦各从其类也。
《内经》说:胆病患者,喜欢长叹气,口苦,呕吐隔夜胆汁,咽喉部感觉梗塞不适,频频吐唾沫,治疗应取阳陵泉穴。又说:心咳的症状,喉咙感觉梗塞不适像有异物阻塞,治疗应取心经的俞穴(神门穴)和大陵穴。张仲景说:妇女咽喉中如有烤肉块梗阻感,用半夏厚朴汤主治。还有射干散、含化龙脑丸、木香散、络石汤、四味汤、杏仁煎丸等方剂。
有人患缠喉风(一种急性咽喉肿痛疾病),饮食无法下咽,可用大麦面煮成稀糊状吞咽。若咽喉堵塞,鼻孔长出疮疡,以及干呕、头痛、进食困难,取生鸡蛋一个,敲开一端取出蛋清去掉蛋黄,加入米醋搅拌后在火上加热至沸腾后立即离火,待沸腾停止后,需重复此过程三次,趁热将醋饮尽,通常一两次即可痊愈。王医师的方法:冬季临睡前吃三五片生萝卜,可预防咽喉疾病。
《三因方》记载:煮薤白至半熟,用线系住,手持线头,少量咀嚼薤白并吞咽,当感觉到薤白到达哽噎处时便牵拉线头,哽物即被带出。秘方:使用银炉上倒挂的灰尘,与砂糖混合制成丸剂,吞服后自然排出。对于鱼骨卡喉,用槿树叶油、马屁勃(地锦草)、砂糖三味药,熬制成膏状做成药丸,含化服用。麻根捣烂,做成如弹子大小的丸剂,用卡住的物体煎成的汤送服。将狗吊起一只脚,收集其唾液,慢慢吞服。剪刀草,生长在篱笆墙边,形状像野慈姑,根部白色,研磨后呈胶状,用顺水流吞服,即可吐出骨头,不过两三口就见效。研碎萱草根,用顺水送服也很好。朴硝研磨,加入鸡苏(薄荷类植物),做成如弹子大小的丸剂,含化服用,不过三四丸即可。南硼砂,用井花水洗涤后含化,最能软化骨头。贯众浓煎一盏半,分三次连续服用,片刻后咯出骨头自会脱落。对于鱼骨卡喉,取少许皂角粉吹入鼻中,引起喷嚏,哽物即出。细茶和五倍子等分为末,吹入咽喉,立即痊愈。吃橄榄即可使骨头下行,或用其核磨成粉,用顺水送服。鱼骨在腹中刺痛,煎茱萸汁一盏饮用,骨头变软后排出。鸡骨卡喉,用水草捣汁饮用,骨头自行消散。野葛根,洗净捣烂如泥,每次取龙眼大小,如果被鸡骨所伤,用鸡汤送服;被鱼骨所伤,用鱼汤送服。稻芒、糠谷卡喉,将鹅吊起一只脚取涎,慢慢吞下即可消除。或者取荐头草咀嚼也妙。吞下钉子、铁器、金银铜钱等物,只要多吃肥肉,自然会随大便排出。吞下钱币及铁物卡在喉咙无法下咽,用南烛根烧成细末,用汤调服一钱。吞下铁或针,用饴糖半斤,用艾叶浓煎的汁液调和服用。或者用磁石磨成枣核大小,钻眼穿上线,让患者吞入喉间,针会被自动引出。磁石必须经过阴阳家验证过的才有效。张子和治疗一名小儿,误吞钱币卡在喉咙不下,用干净的白纸卷实如筷子粗细,用刀在端头纵横乱割,做成钩状,另取一根筷子绑上针钩在端头,使其不脱落,先伸入咽喉中轻轻提抑探查,感觉钩子进入钱币孔窍,然后将纸卷纳入咽喉中,与钩尖相对抵,感觉钩尖进入纸卷端头,不损伤肌肉,提起即可取出。吞下钱币,烧炭末,用白开水调服数匙,即可排出;或者服用蜂蜜约一升。或者吃荸荠、慈姑,钱币自会化解;或者用艾一把,水五升,煎至一升,顿服即下;或者用百部根四两,酒一升,浸泡一夜,温服一升,每日两次。吞下发簪,取薤白晒至萎黄,煮至熟透,不要切碎,吃一大枣即可带出。吞下钱币、发簪及异物,渐渐食用饴糖一斤。头发缠绕喉咙不出,取人自身脱落的头发烧成的灰,用白开水调服一钱。陈无择说:凡是治疗哽噎的方法,都可以类推,如用颅囟法治疗鱼哽,磁石治疗针哽,发灰治疗发哽,狸虎(指动物内脏或特定疗法)治疗骨哽,也是各从其类(同类相治)的道理。
Huang San (Yellow Powder), Taohong San (Peach Kernel and Safflower Powder), Hupo Xijiao Gao (Amber and Rhinoceros Horn Ointment), Jiuming San (Life-Saving Powder), Niubangzi Wan (Arctostaphylos Seed Pill), Pengsha San (Borax Powder).
The *Neijing* (Classic of Internal Medicine) states: Patients with Gallbladder disease (Dan Bing) often sigh deeply, have a bitter taste in the mouth, vomit old bile, experience a sensation of obstruction or discomfort in the throat (Yi Zhong), and spit frequently. Treatment should involve needling Yanglingquan (GB34). It also states: The symptoms of Heart Cough (Xin Ke) include a sensation of obstruction in the throat as if something is stuck. Treatment should involve the Shu-stream point of the Heart meridian (Shenmen, HT7) and Daling (PC7). Zhang Zhongjing stated: When women feel as if there is a roasted piece of meat stuck in their throat, Banxia Houpo Tang (Pinellia and Magnolia Bark Decoction) is the primary formula. Other formulas include Shegan San (Belamcanda Powder), Hanhua Longnao Wan (Borneol Lozenge Pill), Muxiang San (Costus Powder), Luoshi Tang (Trachelospermum Decoction), Siwei Tang (Four-Ingredient Decoction), and Xingren Jian Wan (Apricot Seed Decoction Pill).
A person suffering from Chanhou Feng (Coiling Throat Wind, an acute condition of severe throat swelling and pain) who cannot swallow food may swallow a thin paste made from barley flour. If there is throat blockage, sores in the nose, dry heaving, headache, and inability to eat, take one raw egg, crack one end, remove the white while discarding the yolk, mix with rice vinegar, heat over fire until boiling, then immediately remove from heat. Let it settle, then repeat this boiling process three times. Drink the vinegar while hot. Recovery usually occurs within one or two doses. Physician Wang's method: In winter, eating three to five slices of raw radish before bed can prevent throat diseases.
The *Sanyin Fang* records: Boil Allii Macrostemonis Bulbus (Xiebai) until half-cooked, tie it with a thread, hold the thread, chew a small amount of Xiebai and swallow. When the Xiebai reaches the point of obstruction, pull the thread, and the obstruction will be expelled. A secret recipe uses dust hanging from a silver furnace, mixed with sugar into pills, which are swallowed to naturally expel the object. For fish bone impaction, use Hibiscus tiliaceus leaf oil, Euphorbia humifusa (Mapibo), and sugar, boiled into a paste for pills to be held in the mouth and dissolved. Crush Cannabis sativa root, form into pills the size of a marble, and swallow using decoction made from the impacted object. Hang a dog by one leg, collect its saliva, and swallow slowly. Jiansancao (Polygonum aviculare), growing like wild Cyrtomium between fences, has white roots that become gelatinous when ground; swallow with flowing water to expel the bone, effective within two or three doses. Grind Hemerocallis citrina root and swallow with flowing water, which is also good. Grind Natrii Sulfas (Piaoxiao), mix with Mentha haplocalyx (Jisu), form into marble-sized pills, and dissolve in the mouth; three or four pills suffice. Nanborsha (South Borax), washed with well water, dissolved in the mouth, is most effective at softening bones. Contraindicated for internal use without caution. Decoct Cyathula officinalis (Guanzhong) strongly to make one and a half cups, divide into three doses taken consecutively; after a short time, coughing will expel the bone. For fish bone impaction, blow a small amount of Gleditsia sinensis powder (Zaojiao) into the nose to induce sneezing, expelling the bone. Equal parts of Camellia sinensis (Xicha) and Galbulichondrus (Wubeizi) ground into powder, blown into the throat, cures immediately. Eating olives helps the bone pass; alternatively, grind the pit into powder and swallow with flowing water. For sharp pain in the abdomen caused by fish bones, drink one cup of Zanthoxylum bungeanum juice (Zhuyu); the bone softens and passes. For chicken bone impaction, crush Hydrilla verticillata (Shuicao) and drink the juice; the bone dissolves. Wash and crush Pueraria lobata root (Yegen) into a paste; take a size of a longan fruit. If injured by a chicken bone, swallow with chicken soup; if by a fish bone, swallow with fish soup. For rice awns, chaff, or grain stuck in the throat, hang a goose by one leg to collect saliva and swallow slowly to eliminate the obstruction. Chewing Jiantoucao is also excellent. For swallowing nails, iron, gold, silver, or copper coins, eating plenty of fatty meat will cause them to pass naturally with feces. For coins or iron objects stuck in the throat unable to descend, burn Nanzhugen (Castopsidis Radix) to fine powder, mix with water, and take one qian. For swallowing iron or needles, use half a jin of Yitang (Maltose), mixed with strong mugwort decoction. Alternatively, grind Magnetitum (Cishi) to the size of a jujube pit, drill a hole, thread it, and let the patient swallow it into the throat to draw out the needle. The Magnetitum must be verified by Yin-Yang practitioners. Zhang Zihe treated a child who accidentally swallowed a coin stuck in the throat. He rolled clean white paper tightly like a chopstick, cut the end crosswise to create a hook shape, attached another chopstick with a needle hook to the end to prevent detachment, gently probed the throat, felt the hook enter the coin's hole, inserted the paper roll into the throat against the hook tip, ensuring it did not damage muscle tissue, and lifted it out. To expel swallowed coins, burn charcoal to powder, mix with warm water, and take several spoonfuls; or take about one sheng of honey. Or eat water chestnuts or cyrtomium, and the coin will dissolve. Or boil one bunch of Artemisia argyi in five sheng of water until reduced to one sheng, take in one dose. Or soak four liang of Stemona root in one sheng of wine overnight, take one sheng warm, twice daily. For swallowed hairpins, sun-dry Allii Macrostemonis Bulbus until yellow, boil until cooked without chopping, and swallow with one large jujube to expel it. For swallowing coins, hairpins, and other objects, gradually consume one jin of maltose. For hair wrapped around the throat unable to come out, take ash from shed human hair, mix with warm water, and take one qian. Chen Wuyue said: All methods for treating impaction can be inferred by analogy; for example, using skull-related methods for fish impaction, Magnetitum for needle impaction, hair ash for hair impaction, and animal-based remedies for bone impaction, each following the principle of similarity.