半夏（一钱五分） 天麻 茯苓 橘红（各一钱） 白术（三钱） 甘草（五分
生姜一片，大枣二枚，水煎服。
六君子汤 六味汤 八味汤（俱见类中。
十全大补汤（见虚证。
经云∶肾者，作强之官，技巧出焉。心者，君主之官，神明出焉。肾主智，肾虚则智不
足，故喜忘其前言。又心藏神，神明不充，则遇事遗忘也。健忘之症，大概由于心肾不交，
法当补之，归脾汤、十补丸主之。亦有痰因火动，痰客心胞者，此乃神志昏愦，与健忘症稍
不相同，法当清心开窍，二陈汤加竹沥、姜汁，并朱砂安神丸主之。
归脾汤 十补丸（见虚劳。
二陈汤（见中风。
朱砂安神丸（见惊悸。）
嘈杂者，躁扰不宁之貌，得食暂已，少顷复嘈。其中有挟痰与火者，则口燥、唇焦，脉
滑数也，二陈汤加山栀、黄连之类。有脾虚挟痰者，则气促食少，脉小弱也，五味异功散主
之。嘈杂之症，治失其宜，变为噎塞者众矣，可不慎乎？更有元气大虚，心中扰乱不安者，
名曰虚烦，此与嘈杂不同，当按其虚而重补之。夫病有兼症，各有情形，善治者宜斟酌焉
五味异功散 （见类中。
咽能咽物，通乎地气，喉能纳气，通乎天气。气之呼吸，食之升降，而人命之存亡系焉
咽喉之病，挟热者十之六、七，挟寒者十之二、三，而风寒包火者，则十中之八、九。古
人开手一方，只用甘草、桔梗，《三因方》加以荆芥，其他蒡子、薄荷、贝母、川连之类，
皆出后人续补。可见咽喉之病，不便轻用凉药，而专主开发升散者，所谓结者开之，火郁发
之是已。及其火势极盛，则清剂方施，结热下焦，而攻法始用，非得已也。方书杂称咽喉为
三十二症，命名各殊，治法亦异，眩人心目，兹予细加订正，不遗不赘，并选古今治法，而
择其平善至效者，详列于下。诚以咽喉关要之地，命如悬缕，学人宜致思焉。
半夏（一钱五分） 天麻 茯苓 橘红（各一钱） 白术（三钱） 甘草（五分）
生姜一片，大枣二枚，水煎服。
六君子汤、六味汤、八味汤（均见于类中篇）。
十全大补汤（见于虚证篇）。
《内经》说：肾是作强之官，技巧由此产生。心是君主之官，神明由此产生。肾主智慧，肾虚则智慧不足，所以喜欢忘记以前说过的话。又因为心藏神，神明不充盈，就会遇到事情就遗忘。健忘这种病症，大概是由于心肾不交，治法应当补益，用归脾汤、十补丸为主治方。也有因痰随火动，痰邪客居在心包络的，这是神志昏乱，与健忘症稍有不同，治法应当清心开窍，用二陈汤加竹沥、姜汁，以及朱砂安神丸为主治方。
归脾汤、十补丸（见于虚劳篇）。
二陈汤（见于中风篇）。
朱砂安神丸（见于惊悸篇）。
嘈杂，是指心中躁扰不安的样子，进食后暂时缓解，过一会儿又感到嘈杂。其中夹杂痰和火的，会有口燥、唇焦，脉象滑数等症状，用二陈汤加山栀、黄连之类治疗。有脾虚夹杂痰的，会有气短、食少，脉象小弱等症状，用五味异功散主治。嘈杂这种病症，如果治疗不当，转变为噎塞症的很多了，能不谨慎吗？更有元气大虚，心中扰乱不安的，名叫虚烦，这与嘈杂不同，应当根据虚证而着重补益。疾病有兼夹症状，各有具体情况，善于治疗的人应该斟酌处理。
五味异功散（见于类中篇）。
咽能吞咽食物，通应地气；喉能纳受气息，通应天气。气的呼吸，食物的升降，人的生死存亡都系于此。咽喉的疾病，夹杂热证的占十分之六七，夹杂寒证的占十分之二三，而风寒包裹内火的，则占十分之八九。古人起初开出的方子，只用甘草、桔梗，《三因方》加以荆芥，其他如牛蒡子、薄荷、贝母、川连之类，都是后人补充添加的。可见咽喉的疾病，不便轻易使用凉药，而专门主张开发升散的，这就是所谓的“结者开之，火郁发之”。等到火势极盛时，才施用清热剂，结热在下焦时，才使用攻下法，这也是不得已而为之。医书中杂乱地称咽喉病为三十二种症状，命名各不相同，治法也各异，令人眼花缭乱，现在我仔细加以订正，不遗漏也不赘述，并选取古今治法，选择那些平和善效的，详细列在下面。确实因为咽喉是关要之地，性命如同悬在细线上一样危险，学习中医的人应该深入思考。
Banxia (1.5 qian) Tianma (Gastrodiae Rhizoma) Fuling (Poria) Juhong (Citri Reticulatae Pericarpium Rubrum) (each 1 qian) Baizhu (Atractylodis Macrocephalae Rhizoma) (3 qian) Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 qian).
Add one slice of Shengjiang (Zingiberis Rhizoma Recens, fresh ginger) and two dates (Jujubae Fructus), decoct in water and take orally.
Liujunzi Tang (Six Gentlemen Decoction), Liuwei Tang (Six-Ingredient Decoction), Bawei Tang (Eight-Ingredient Decoction) (all see the section on Stroke-like Syndromes).
Shiquan Dabu Tang (Ten Substance Great Tonifying Decoction) (see the section on Deficiency Syndromes).
The *Neijing* states: The Kidney is the official of strength and vigor, from which skills and techniques arise. The Heart is the sovereign official, from which spirit and consciousness arise. The Kidney governs wisdom; when Kidney deficiency occurs, wisdom is insufficient, hence one tends to forget previous statements. Furthermore, the Heart stores the Shen (Spirit); when Shen is not充盈 (abundant/充盈), one forgets things upon encountering them. The syndrome of Ji Wang (forgetfulness/amnesia) generally stems from the failure of communication between the Heart and Kidney. The treatment method should be tonification, primarily using Guipi Tang (Restore the Spleen Decoction) or Shibu Wan (Ten-Tonify Pill). There are also cases where Phlegm moves due to Fire, with Phlegm lodging in the Xin Bao (Pericardium); this presents as mental confusion and differs slightly from Ji Wang. The treatment method should be clearing the Heart and opening the orifices, primarily using Erchen Tang (Two-Aged Decoction) added with Zhuli (Bambusa Textilis Sap) and Jiangzhi (Zingiberis Rhizoma Juice), along with Zhusha Anshen Wan (Cinnabar Calming Spirit Pill).
Guipi Tang (see the section on Consumption Syndrome).
Shibu Wan (see the section on Consumption Syndrome).
Erchen Tang (see the section on Stroke).
Zhusha Anshen Wan (see the section on Palpitations and Fright).
Cao Za (epigastric discomfort/burning sensation) refers to a state of inner restlessness and agitation. It temporarily subsides after eating but returns shortly thereafter. In cases complicated by Phlegm and Fire, there will be dry mouth, scorched lips, and a slippery-rapid pulse. These are treated with Erchen Tang added with Shanzhi (Gardeniae Fructus) and Huanglian (Coptidis Rhizoma), etc. In cases of Spleen deficiency complicated by Phlegm, there will be shortness of breath, poor appetite, and a small-weak pulse. These are primarily treated with Wuwei Yigong San (Five-Ingredient Extraordinary Merit Powder). If the treatment for Cao Za is inappropriate, it often transforms into Ye Sai (dysphagia/choking sensation); thus, caution is essential. Furthermore, those with severe depletion of Yuan Qi (Primal Qi) experiencing inner disturbance and unrest are named Xu Fan (Deficiency Restlessness), which differs from Cao Za. This requires heavy tonification based on the deficiency pattern. Diseases have concurrent symptoms and specific circumstances; skilled practitioners must exercise discretion.
Wuwei Yigong San (see the section on Stroke-like Syndromes).
The Yan (pharynx/swallowing passage) accepts food and connects with Earth Qi; the Hou (larynx/breathing passage) receives air and connects with Heaven Qi. Respiration of Qi and the ascending/descending of food determine life and death. Among diseases of the Yan and Hou, six or seven out of ten involve Heat, while two or three involve Cold. However, eight or nine out of ten involve Wind-Cold enveloping internal Fire. Ancient physicians initially prescribed formulas using only Gancao (Licorice Root) and Jiegeng (Platycodon Root). The *Sanyin Fang* added Jingjie (Schizonepeta Spike). Others such as Niubangzi (Arctii Fructus), Bohe (Menthae Haplocalycis Herba), Beimu (Fritillariae Bulbus), and Chuanlian (Coptidis Rhizoma) were later additions. This indicates that for throat diseases, cold-natured medicines should not be used lightly; instead, the primary approach is to open and disperse, following the principle "open what is knotted, vent what is stifled by fire." Only when the Fire pathogen reaches extreme intensity are cooling agents applied; only when heat knots in the Lower Jiao are purgative methods employed, and these are measures of last resort. Medical texts杂乱ly refer to thirty-two types of throat diseases with different names and treatments, causing confusion. I have carefully revised and corrected this, omitting nothing and adding no redundancy, selecting effective ancient and modern treatments to list below. Indeed, the throat is a critical passageway, and life hangs by a thread; students of medicine should reflect deeply on this.