治胃中客热,口气作臭,齿龈痛肿。
人参(一钱) 赤茯苓 麦门冬 天门冬 生地 熟地 白茅根(去皮,各二两) 水煎服。
治心脾有热,重舌木舌。
当归尾(三钱) 连翘(三钱) 川白芷(二钱) 大黄(一钱) 甘草(一钱) 水煎服。
治舌肿。用黄柏以竹沥浸一宿,点舌上。
一方
治舌退场门数寸,以冰片为末,敷愈。
治内蕴邪热,咽膈不利,重舌木舌,一切热毒等症。
鼠粘子(四钱,微炒) 荆芥 甘草 黄芩(各一钱) 防风 犀角(各五分) 水煎服。
治口舌生疮。
玄参 麦冬 天冬(各等分) 为末,蜜丸,绵裹,噙化咽津。
咽喉者,一身之总要,水谷之道路也。若胸膈之间,蕴积热毒,致生风痰,壅滞不
散,发为咽喉之疾,或内生疮,状如肉腐,窒塞不通,吐咽不下。如单肉娥、双肉娥,
及腮肿胀,甚者内外皆肿,上攻头面,治宜先吐风痰,以遁咽膈,然后解热毒,清肺
胃,迟则不救。其单双肉娥,可针即针,有不可针者,亦用吹点劫药,吐去风痰,以图
捷效,次服煎剂,盖急症难于久待也。 腮肿胀者,重则瓷锋刺去恶血,轻则或涂或
点,次投汤剂,散风清热解毒消痰自愈也。
喉痹者,即缠喉风类也。其候面赤气粗,咽喉肿闭,乃蓄热生风,积聚毒痰而
作。甚者,内壅肉瘤一块,气闭不通。若至鼻面青黑,寒噎头低,痰胶声锯者不治。更
有脏寒,亦能令人咽闭,而吞吐不利者,盖诸症下寒过极,则上热反盛,不独此也。其
候与前论娥症相近,而治法不能无异,大抵无形肿闭者,为痹,有形肿痛者,即是娥
耳。先吐风痰者,急则治其标也。后解热毒者,缓则治其本也。至于上热下寒者,用热
药食前冷服之,不可误服凉药也。
治疗胃中有外来邪热,导致口气臭秽,牙龈肿痛。
人参(一钱) 赤茯苓 麦门冬 天门冬 生地 熟地 白茅根(去皮,各二两),用水煎煮后服用。
治疗心脾有热,导致重舌(舌下肿胀如再长一舌)、木舌(舌体僵硬转动不灵)。
当归尾(三钱) 连翘(三钱) 川白芷(二钱) 大黄(一钱) 甘草(一钱),用水煎煮后服用。
治疗舌头肿胀。用黄柏以竹沥浸泡一夜,点涂于舌上。
另一方法:
治疗舌头肿大伸出出口外数寸,将冰片研成粉末,敷贴患处即可痊愈。
治疗体内蕴积邪热,咽喉膈部不利,出现重舌、木舌及一切热毒等症状。
鼠粘子(即牛蒡子,四钱,微炒) 荆芥 甘草 黄芩(各一钱) 防风 犀角(各五分),用水煎煮后服用。
治疗口舌生疮。
玄参 麦冬 天冬(各等分),研成细末,用蜂蜜制成丸药,用棉布包裹,含在口中化咽津液。
咽喉是人体全身的要冲,也是饮食水谷的通道。如果胸膈之间蕴积热毒,导致产生风痰,壅滞不散,引发咽喉疾病,或者内部生出疮疡,形状像腐烂的肉,堵塞不通,呕吐和吞咽都无法进行。如果是单侧肉蛾、双侧肉蛾(悬雍垂及周围组织红肿如蚕蛾),以及腮部肿胀,严重的内外都肿,向上攻犯头面,治疗应当先用催吐法吐出风痰,以疏通咽喉膈部,然后再解除热毒,清泻肺胃,如果拖延时间则无法救治。对于单侧或双侧肉蛾,可以针刺的就立即针刺;有不适合针刺的,也使用吹粉或点药的劫病药物,吐出风痰,以求迅速见效,随后再服用汤剂,因为急症难以长久等待。腮部肿胀的,严重的用瓷锋刺破放出恶血,轻的则涂抹或点药,随后投用汤剂,疏散风邪、清热解毒、消除痰浊,自然痊愈。
喉痹,就是缠喉风这一类病症。其症状表现为面色红赤、气息粗重,咽喉肿胀闭塞,这是由于蓄积的热气生风,积聚毒痰所致。严重的,内部壅塞形成一块肉瘤,气机闭塞不通。如果出现鼻部和面部青黑,寒战噎阻、低头不起,痰液胶结、声音如拉锯的情况,属于不治之症。更有因脏腑虚寒,也能导致人咽喉闭塞,吞吐不利的,这是因为下部寒气过极,导致上部热气反而亢盛,不仅仅只有这种情况。其症状表现与前文论述的肉蛾症相近,但治疗方法不能没有差异,大体上无形肿胀闭塞的,称为痹;有形肿痛突出的,就是肉蛾罢了。先吐出风痰,是急则治其标的方法;后解除热毒,是缓则治其本的方法。至于上热下寒的情况,使用热药在饭前冷服,不可误服凉药。
To treat guest-heat in the Stomach, causing foul breath and painful swelling of the gums.
Renshen (Ginseng Radix et Rhizoma) (3 g), Chifuling (Poria with Hostwood), Maimendong (Ophiopogonis Radix), Tianmendong (Asparagi Radix), Shengdi (Rehmanniae Radix), Shudi (Rehmanniae Radix Preparata), Baimaogen (Imperatae Rhizoma) (peeled, each 60 g). Decoct in water and take orally.
To treat heat in the Heart and Spleen, causing Chongshe (Double Tongue) and Mushe (Wooden Tongue).
Dangguiwei (Angelicae Sinensis Radix Caulis), Lianqiao (Forsythiae Fructus) (each 9 g), Chuanbaizhi (Angelicae Dahuricae Radix) (6 g), Dahuang (Rhei Radix et Rhizoma) (3 g), Gancao (Glycyrrhizae Radix et Rhizoma) (3 g). Decoct in water and take orally.
To treat tongue swelling: Soak Huangbai (Phellodendri Cortex) in Zhuli (Bamboo Sap) overnight, and apply to the tongue.
Another prescription:
To treat a swollen tongue protruding several inches from the mouth: Grind Bingpian (Borneolum Syntheticum) into powder and apply topically until healed.
To treat internal accumulation of pathogenic heat, obstruction in the throat and diaphragm, Chongshe (Double Tongue), Mushe (Wooden Tongue), and all conditions involving heat-toxin.
Niuzi (Arctii Fructus) (12 g, lightly stir-fried), Jingjie (Schizonepetae Herba), Gancao (Glycyrrhizae Radix et Rhizoma), Huangqin (Scutellariae Radix) (each 3 g), Fangfeng (Saposhnikoviae Radix), Xijiao (Rhinocerotis Cornu) (each 1.5 g). Decoct in water and take orally.
To treat sores on the mouth and tongue.
Xuanshen (Scrophulariae Radix), Maidong (Ophiopogonis Radix), Tiandong (Asparagi Radix) (equal parts). Grind into powder, form pills with honey, wrap in cotton, hold in the mouth to dissolve and swallow the saliva.
The throat is the vital passage of the whole body and the pathway for food and drink. If heat-toxin accumulates between the chest and diaphragm, generating wind-phlegm that obstructs and fails to disperse, it manifests as diseases of the throat, or internally generates sores resembling rotting flesh, causing blockage where neither vomiting nor swallowing is possible. In cases of Dan Rou'e (Single Tonsillar Hypertrophy) or Shuang Rou'e (Double Tonsillar Hypertrophy), and swelling of the cheeks, severe cases involve swelling both inside and out, attacking upwards to the head and face. Treatment should first induce vomiting to expel wind-phlegm, thereby unblocking the throat and diaphragm, followed by resolving heat-toxin and clearing the Lung and Stomach. Delay will render treatment ineffective. For Dan Rou'e or Shuang Rou'e, acupuncture should be used if applicable; if not suitable, use blowing or dropping agents (Jie Yao) to expel wind-phlegm for rapid effect, followed by decoctions, as acute conditions cannot wait. For cheek swelling, severe cases require pricking with porcelain edges to release bad blood; mild cases may be treated with topical applications or drops, followed by decoctions to disperse wind, clear heat, resolve toxicity, and eliminate phlegm, leading to spontaneous recovery.
Houbi (Throat Bi) is similar to Chanhou Feng (Coiling Throat Wind). Its manifestations include red face and coarse breathing, with swollen and closed throat, caused by accumulated heat generating wind and accumulating toxic phlegm. Severe cases involve an internal fleshy tumor blocking the airway completely. If the nose and face turn blue-black, accompanied by chills, dysphagia, drooping head, and rattling phlegm sounds like sawing, the condition is incurable. Furthermore, Zang Cold (Visceral Cold) can also cause throat closure and difficulty in swallowing or speaking, due to extreme cold below causing excessive heat above, not limited to this condition alone. Its symptoms are similar to the previously discussed Rou'e conditions, but the treatment methods differ. Generally, invisible swelling and closure are termed Bi, while visible swelling and pain are termed Rou'e. Expelling wind-phlegm first addresses the branch in acute situations; resolving heat-toxin later addresses the root in chronic situations. For conditions with upper heat and lower cold, hot medicines should be taken cold before meals; cool medicines must not be mistakenly administered.