喉风一证,内有郁热,而外受风寒也。此证伤寒有之,温病亦有之。如伤寒证咽喉肿痛,发热微恶寒,
或微呕者,以柴胡桂枝汤去人参主之。如伤寒少阴咽痛,以甘桔汤主之。如温证咽喉肿痛,口燥心烦,内阴亏
而火炽者,以防风汤主之。如
无外证,仅喉内生疮肿疼者,以甘草桔梗射干汤主之。如脖项或颐下红肿作痛者,
以辛乌散洗之,敷之。
柴胡桂枝汤
柴胡(三钱) 黄芩(一钱) 半夏(三钱) 甘草(二钱生)
桂枝(三钱) 芍药(三钱) 生姜(三钱) 大枣(二枚) 水煎大半杯,温服。
甘桔汤
甘草(四钱生) 桔梗(二钱) 水二杯,煎一杯,温服。
防风汤
冬桑叶(三钱) 连翘(二钱) 防风(二钱) 竹叶(一钱) 杏仁(三钱)
芍药(二钱) 丹皮(二钱) 桔梗(二钱) 甘草(二钱) 水煎大半杯,温服。
甘草、桔梗、射干汤
方见咽喉。
养阴清肺汤
生地(四钱) 麦冬(三钱) 白芍(三钱) 薄荷(二钱) 元参(三钱)
丹皮(三钱) 贝母(二钱) 甘草(二钱) 火盛者,宜用此方。
辛乌散
赤芍梢(五钱) 草乌(五钱) 桔梗(二钱半) 芥穗(三钱半) 甘草(二钱半)
柴胡(一钱半) 赤小豆(三钱) 连翘(二钱半) 细辛(二钱半) 紫荆皮(五钱) 皂角(二钱)
生地(二钱半) 上共研为细末,凡颈项及口外红肿,即以此药合水敷之。并可以此药加荆芥一两作
为汤剂,用砂锅煎水,频频洗之。或用手巾沾水烫之,洗后再敷面药。
喉风这一病证,是由于体内有郁积的热邪,同时外部受到风寒侵袭所致。这种病症在伤寒病中会出现,在温病中也会出现。如果是伤寒引起的咽喉肿痛,伴有发热和轻微怕冷,或者轻微呕吐的症状,应当使用柴胡桂枝汤(小柴胡汤与桂枝汤的合方),去掉人参来主治。如果是伤寒少阴经引起的咽痛,应当使用甘桔汤(甘草与桔梗组成的方剂)来主治。如果是温病引起的咽喉肿痛,伴有口干舌燥、心烦意乱,属于体内阴液亏损而火势炽盛的情况,应当使用防风汤来主治。如果没有外部表证,仅仅是喉咙内部生疮、肿胀疼痛,应当使用甘草桔梗射干汤来主治。如果脖颈或下巴下方出现红肿疼痛,应当用辛乌散进行清洗和外敷。
柴胡桂枝汤
柴胡(三钱) 黄芩(一钱) 半夏(三钱) 甘草(二钱,生用)
桂枝(三钱) 芍药(三钱) 生姜(三钱) 大枣(两枚) 加水煎煮至大半杯,温服。
甘桔汤
甘草(四钱,生用) 桔梗(二钱) 加水两杯,煎煮至一杯,温服。
防风汤
冬桑叶(三钱) 连翘(二钱) 防风(二钱) 竹叶(一钱) 杏仁(三钱)
芍药(二钱) 丹皮(二钱) 桔梗(二钱) 甘草(二钱) 加水煎煮至大半杯,温服。
养阴清肺汤
生地(四钱) 麦冬(三钱) 白芍(三钱) 薄荷(二钱) 元参(三钱)
丹皮(三钱) 贝母(二钱) 甘草(二钱) 若火势旺盛者,适宜使用此方。
辛乌散
赤芍梢(五钱) 草乌(五钱) 桔梗(二钱半) 芥穗(三钱半) 甘草(二钱半)
柴胡(一钱半) 赤小豆(三钱) 连翘(二钱半) 细辛(二钱半) 紫荆皮(五钱) 皂角(二钱)
生地(二钱半) 以上药物共同研磨成细末,凡是颈部及口外红肿,就用此药加水调和后敷贴患处。也可以将此药加入荆芥一两作为汤剂,用砂锅煎水,频繁地清洗患处。或者用手巾沾取热水烫洗,清洗后再敷上面部药物。
Houfeng (Throat Wind) is a syndrome characterized by internal stagnant heat combined with external invasion of wind-cold. This condition occurs in both Shanghan (Cold Damage diseases) and Wenbing (Warm Disease disorders). In cases where Shanghan presents with soreness and swelling of the throat, fever, slight aversion to cold, or mild vomiting, Chaihu Guizhi Tang (Bupleurum and Cinnamon Twig Decoction), with Ren Shen removed, should be used as the primary treatment. For pharyngeal pain caused by Shaoyin involvement in Shanghan, Ganjie Tang (Licorice and Platycodon Decoction) is indicated. In cases of Wenbing presenting with soreness and swelling of the throat, dry mouth, and irritability due to yin deficiency and blazing fire, Fangfeng Tang (Saposhnikovia Decoction) should be administered. If there are no exterior symptoms, but only sores, swelling, and pain inside the throat, Gancao Jiegeng Yeyang Tang (Licorice, Platycodon, and Belamcanda Decoction) is prescribed. For redness, swelling, and pain in the neck or under the jaw, Xingwu San (Aconite Powder) should be used for washing and topical application.
Chaihu Guizhi Tang
Chai Hu (3 qian) Huang Qin (1 qian) Ban Xia (3 qian) Gan Cao (2 qian, raw)
Gui Zhi (3 qian) Shao Yao (3 qian) Sheng Jiang (3 qian) Da Zao (2 pieces) Decoct in water until approximately half a cup remains, and take warm.
Ganjie Tang
Gan Cao (4 qian, raw) Jie Geng (2 qian) Decoct two cups of water until one cup remains, and take warm.
Fangfeng Tang
Dong Sang Ye (3 qian) Lian Qiao (2 qian) Fang Feng (2 qian) Zhu Ye (1 qian) Xing Ren (3 qian)
Shao Yao (2 qian) Dan Pi (2 qian) Jie Geng (2 qian) Gan Cao (2 qian) Decoct in water until approximately half a cup remains, and take warm.
Gancao, Jiegeng, Yeyang Tang
See the "Yanhou" (Throat and Pharynx) section for the formula composition.
Yangyin Qingfei Tang
Sheng Di (4 qian) Mai Dong (3 qian) Bai Shao (3 qian) Bo He (2 qian) Yuan Shen (3 qian)
Dan Pi (3 qian) Bei Mu (2 qian) Gan Cao (2 qian) This formula is suitable for cases with intense fire/heat.
Xingwu San
Chi Shao Shao (5 qian) Cao Wu (5 qian) Jie Geng (2.5 qian) Jie Sui (3.5 qian) Gan Cao (2.5 qian)
Chai Hu (1.5 qian) Chi Xiao Dou (3 qian) Lian Qiao (2.5 qian) Xi Xin (2.5 qian) Zi Jing Pi (5 qian) Zao Jiao (2 qian)
Sheng Di (2.5 qian) Grind all ingredients into a fine powder. For redness and swelling on the neck and outside the mouth, mix this powder with water and apply topically. Alternatively, add 1 liang of Jing Jie to this powder to prepare a decoction; boil in a clay pot and wash the affected area frequently. Or, soak a towel in hot water to steam/wash the area, followed by the application of the facial powder.