〔《竹》〕咽喉乳蛾方。
雄黄 郁金(各五钱) 白矾(生用,二钱半) 胆矾(五分)
上为细末,以竹管吹入喉中,立能言语。
粉香散 吹乳蛾即开。
白矾(三钱) 巴豆(三粒,去皮油) 轻粉 麝香(各少许)
上于铁器上飞白矾沸,入巴豆在矾上枯去,不用巴豆,为细末。三味和合吹喉中。
〔孙〕治悬痈垂长,咽中妨闷。白矾一两烧灰,盐花一两,二味细研,以箸头点药在上。
〔《竹》〕罗青散治单双乳蛾。
蒲黄(五钱) 罗青 盆硝(研。各三钱) 甘草(二钱)
上为细末,每服一钱,冷蜜水调,细细咽之,吞不下,鸡翎蘸药喉内扫之,立效。
〔《本》〕玄参散治悬痈,痛不下食。
玄参(一两) 升麻 射干 大黄(各半两) 甘草
上为细末,用水煎至七分放温,时时含咽良验。
〔无〕干姜散治悬痈,热卒暴肿大。
干姜 半夏(汤洗去滑,等分)
上为细末,以少许着舌上咽津。
〔世〕乳蛾。用杜牛膝根红者研调,男用女乳汁,女用男乳汁,纳鼻吸之。
〔丹〕治喉中卒生肉。绵裹箸头蘸盐揩,一日六七次易之。(孙真人方。)
〔仲〕妇人咽中如有炙脔,半夏浓朴汤主之。
半夏(一升) 浓朴(三两) 茯苓 生姜(各四两) 苏叶(二两)
上五味,以水七升,煮取四升,分温四服,日三夜一。
〔丹〕痰结核在咽,此湿痰,必用痰药中咸能软坚之味。
栝蒌实 青黛 杏仁 海蛤粉 桔梗 连翘 风化硝
上为末,姜蜜丸,噙化。
《内经》灸刺咽嗌介介如梗状,有二∶
其一,取阳陵泉。经云∶胆病者,善太息,口苦呕宿汁,嗌仲介介然数唾,取阳陵泉是也。
其二,取大陵。经云∶心咳之状,喉如 然,如梗状,取心之俞是也。
【《竹》】治疗咽喉乳蛾的方剂。
雄黄、郁金(各五钱),白矾(生用,二钱半),胆矾(五分)。
以上药物研成细末,用竹管吹入喉中,立刻就能说话。
粉香散。吹入治疗乳蛾,即刻见效。
白矾(三钱),巴豆(三粒,去皮去油),轻粉,麝香(各少许)。
以上药物在铁器上飞炼白矾至沸腾,将巴豆放在矾上枯干去除,不用巴豆,将剩余药物研成细末。三味药混合后吹入喉中。
【孙】治疗悬痈垂长,咽中妨闷。白矾一两烧成灰,盐花一两,两味药细细研磨,用筷子头蘸药点在患处。
【《竹》】罗青散治疗单侧或双侧乳蛾。
蒲黄(五钱),罗青,盆硝(研碎。各三钱),甘草(二钱)。
以上药物研成细末,每次服用一钱,用冷蜜水调服,细细咽下,如果吞不下去,用鸡毛蘸药在喉内扫拭,立刻见效。
【《本》】玄参散治疗悬痈,疼痛无法进食。
玄参(一两),升麻,射干,大黄(各半两),甘草。
以上药物研成细末,用水煎煮至七分,放温后,时时含漱咽下,疗效良好。
【无】干姜散治疗悬痈,热毒突然暴发性肿大。
干姜,半夏(汤洗去滑腻,等分)。
以上药物研成细末,取少许放在舌上,吞咽津液。
【世】乳蛾。用杜牛膝红色的根茎研碎调和,男性用女性乳汁,女性用男性乳汁,滴入鼻腔吸入。
【丹】治疗喉中突然长出肉赘。用棉包裹筷子头蘸盐擦拭,一天六到七次更换。(孙真人方。)
【仲】妇人咽中如有炙脔(感觉喉咙里有烤肉块异物感),用半夏厚朴汤主治。
半夏(一升),厚朴(三两),茯苓,生姜(各四两),苏叶(二两)。
以上五味药,用水七升,煮取四升,分四次温服,白天三次,夜间一次。
【丹】痰结核在咽喉,这是湿痰,必须在化痰药中加入咸能软坚的药物。
栝蒌实,青黛,杏仁,海蛤粉,桔梗,连翘,风化硝。
以上药物研成末,用姜蜜做成丸药,含化。
《内经》记载灸刺治疗咽喉介介如梗状(咽喉不适如有物梗阻),有两种情况:
其一,取阳陵泉穴。经文说:胆病患者,喜欢叹气,口苦呕吐宿汁,咽喉介介然数唾,取阳陵泉穴就是这种情况。
其二,取大陵穴。经文说:心咳的症状,喉咙像有东西堵塞一样,如梗状,取心的俞穴就是这种情况。
[From *Zhu*] Prescription for treating throat and tonsillar abscess (Ru E).
Xionghuang (Realgar), Yujin (Curcuma Longa Rhizome) (each 5 qian); Baifan (Alum, raw use, 2.5 qian); Danfan (Chalcanthite, 5 fen).
Grind the above into a fine powder, blow into the throat with a bamboo tube; speech ability is restored immediately.
Fenxiang San (Powdered Fragrance Powder). Blowing into the throat cures tonsillar abscess instantly.
Baifan (Alum, 3 qian); Badou (Croton Seed, 3 grains, peeled and oil removed); Qingfen (Calomel); Shexiang (Musk) (each a small amount).
Calcine the Alum over an iron vessel until boiling, place the Croton Seed on top of the Alum to dry and remove it (do not use the seed). Grind the remaining substances into a fine powder. Mix the three ingredients and blow into the throat.
[Sun] For treating Xuan Yong (suspended abscess/pilar cyst) with elongation, causing obstruction and stuffiness in the throat. Calcine 1 liang of Alum to ash, mix with 1 liang of Salt Flower. Grind finely, and apply to the affected area using the tip of a chopstick.
[From *Zhu*] Luoqing San (Luoqing Powder) for treating unilateral or bilateral tonsillar abscess.
Puhuang (Lygodii Spora, 5 qian); Luoqing (Indigo Naturalis); Penxiao (Saltpeter, ground) (each 3 qian); Gancao (Licorice Root, 2 qian).
Grind into a fine powder. Take 1 qian per dose, mix with cold honey water, and swallow slowly. If unable to swallow, dip a chicken feather in the medicine and sweep the inside of the throat; efficacy is immediate.
[From *Bencao*] Xuanshen San (Scrophularia Powder) for treating Xuan Yong, with pain preventing eating.
Xuanshen (Scrophulariae Radix, 1 liang); Shengma (Cimicifugae Rhizoma); Shegan (Belamcandae Rhizoma); Dahuang (Rhei Radix et Rhizoma) (each half liang); Gancao (Licorice Root).
Grind into a fine powder. Decoct in water until reduced to 70%, let cool to warm temperature, and gargle/swallow occasionally; this yields good results.
[Wu] Ganjiang San (Dried Ginger Powder) for treating Xuan Yong with sudden, violent swelling due to heat.
Ganjiang (Dried Ginger); Banxia (Pinelliae Tuber, washed in hot water to remove slipperiness) (equal parts).
Grind into a fine powder. Place a small amount on the tongue and swallow saliva.
[Shi] For tonsillar abscess. Grind the red roots of Du Niuxi (Achyranthes Bidentata Root), mix with milk: use female milk for men, male milk for women. Instill into the nose and inhale.
[Dan] For sudden growth of flesh in the throat. Wrap cotton around the tip of a chopstick, dip in salt, and wipe; change six to seven times a day. (Prescription from Sun Simiao.)
[Zhong] For women feeling as if there were a piece of roasted meat stuck in the throat, Banxia Houpo Tang (Pinellia and Magnolia Bark Decoction) is indicated.
Banxia (Pinelliae Tuber, 1 sheng); Houpo (Magnoliae Officinalis Cortex, 3 liang); Fuling (Poria); Shengjiang (Fresh Ginger) (each 4 liang); Ziye (Perilla Leaf, 2 liang).
Take the above five herbs, add 7 sheng of water, boil to obtain 4 sheng. Divide into four warm doses: take three times during the day and once at night.
[Dan] Phlegm nodules in the throat are caused by damp-phlegm; one must use salty substances that can soften hardness within phlegm-resolving formulas.
Gualua Shi (Trichosanthis Fructus), Qingdai (Indigo Naturalis), Xingren (Prunus Armeniaca Seed), Hai Ge Fen (Concha Meretricis Pulvis), Jiegeng (Platycodonis Radix), Lianqiao (Forsythiae Fructus), Fenghua Xiao (Efflorescent Niter).
Grind into powder, make pills with ginger and honey, and dissolve in the mouth.
The *Neijing* states that moxibustion and acupuncture for "Jiejie ru geng zhuang" (throat discomfort resembling a lump/blockage) involve two methods:
First, select Yanglingquan (GB34). The classic says: Patients with Gallbladder disease often sigh, have bitter taste, vomit old fluid, and experience throat discomfort with frequent spitting; selecting Yanglingquan addresses this.
Second, select Daling (PC7). The classic says: Symptoms of Heart cough include a throat sensation like blockage or a lump; selecting the Back-Shu point of the Heart addresses this.