【方歌】紧喉膏梁风火成,咽喉肿痛难出声,声如拽锯痰壅塞,
穴刺少商吐下功。
【注】此证由膏梁厚味太过,致肺胃积热,复受邪风,风热相
搏,上壅咽喉,溃痛声音难出,汤水不下,痰涎壅塞之
声,颇似拽锯。初发暴速,急刺手大指内侧少商穴,出
紫黑血,以泻其热。痰盛者,以桐油钱导吐之,吐痰后
随用甘草汤漱之,以解桐油之气;内服雄黄解毒丸吐下
之。喉中吹白降雪散,俟关开之后,内宜服清咽利膈汤
。按法调治,随手应效者顺;若面青唇黑,鼻流冷涕者
逆。若兼项外绕肿,即名缠喉风,其治法虽与此证相同
,然终属险恶难治。
方剂:桐油钱
方法:温水半碗,加桐油四匙,搅匀,用硬鸡翎蘸油,探入喉
内捻之,连探四、五次,其痰壅出,再探再吐,以人醒
声高为度。
【方歌】桐油钱法导痰壅,一切喉风用最灵,半碗温水桐油入,
鸡翎蘸探吐喉通。
又方:雄黄解毒丸
组成:雄黄(一两) 郁金(一钱)
巴豆(去皮,油,十四粒)
共研末,醋糊为丸,如黍粒大。每服五分,津液送
下。
【方歌】雄黄解毒紧喉风,开关通闭火能平,巴豆去油郁金末,
醋糊为丸黍粒形。
又方:白降雪散
组成:石膏(〔火段〕,一钱五分)硼砂(一钱)
焰硝 胆矾(各五分)
元明粉(三分) 冰片(二分)
共研极细末,以笔管吹入喉内。
【方歌】白降雪散喉风证,肿痛声难风火凝,〔火段〕煆石膏与
胆矾末,焰硝硼片共元明。
又方:清咽利膈汤
组成:牛蒡子(炒,研) 连翘(去心)
荆芥 防风
栀子(生,研) 桔梗
元参 黄连
金银花 黄芩
薄荷 甘草(生,各一钱)
大黄 朴硝(各一钱)
水二钟,淡竹叶二钱,煎八分,食远服。
【方歌】清咽利膈喉痛消,疏风清热蒡连翘,荆防栀桔参连草,
银花芩薄大黄硝。
【方歌】紧喉风多因过食肥甘厚味,导致风火之邪内生,表现为咽喉红肿疼痛,声音嘶哑甚至难以发声,呼吸时发出如拉锯般的痰鸣声,且痰液壅塞气道。此时针刺少商穴,具有催吐和泻下的功效。
【注】此病证是由于饮食过于肥甘厚腻,导致肺胃积热,又外感邪风,风热相互搏结,向上壅滞于咽喉,造成溃烂疼痛、声音难出、汤水难以下咽,以及痰涎壅塞发出的类似拉锯的声音。本病发病急骤,应立即针刺手大指内侧的少商穴,放出紫黑色的血液,以泻除热毒。若痰盛者,可用桐油钱法导引催吐;吐出痰涎后,随即用甘草汤漱口,以解除桐油的毒性气味;内服雄黄解毒丸,通过催吐和泻下清除体内实邪。在喉部吹入白降雪散,待喉关开通之后,内服清咽利膈汤进行调理。按照上述方法调治,若随手见效者为顺证;若出现面色青黑、嘴唇发黑、鼻流冷涕等症状,则为逆证(预后不良)。若兼有颈部外侧环绕性肿胀,则称为缠喉风,其治疗方法虽与此证相同,但终究属于险恶难治之症。
方剂:桐油钱
用法:取温水半碗,加入桐油四匙,搅拌均匀,用硬鸡毛蘸取药油,探入喉内捻动刺激,连续操作四至五次,使壅塞之痰涌出,再探再吐,直到患者苏醒、声音高亢为止。
【方歌】桐油钱法用于导除痰壅,治疗各类喉风最为灵验,半碗温水中加入桐油,用鸡毛蘸取探喉以通窍催吐。
又方:雄黄解毒丸
组成:雄黄(一两)、郁金(一钱)、巴豆(去皮去油,十四粒)
制法:共研为细末,用醋糊制成丸剂,大小如黍米。每次服用五分,用津液送服。
【方歌】雄黄解毒丸主治紧喉风,能开关通闭、平息火热,由去油巴豆与郁金末组成,醋糊为丸呈黍粒状。
又方:白降雪散
组成:石膏(煅,一钱五分)、硼砂(一钱)、焰硝、胆矾(各五分)、元明粉(三分)、冰片(二分)
制法:共研为极细粉末,用笔管将药粉吹入喉内。
【方歌】白降雪散治疗喉风证,针对肿痛声哑、风火凝结之症,由煅石膏与胆矾末,配合焰硝、硼砂、冰片及元明粉组成。
又方:清咽利膈汤
组成:牛蒡子(炒,研碎)、连翘(去心)、荆芥、防风、栀子(生,研碎)、桔梗、玄参、黄连、金银花、黄芩、薄荷、甘草(生,各一钱)、大黄、朴硝(各一钱)
用法:用水两钟,淡竹叶二钱,煎至八分,饭后远时服用。
【方歌】清咽利膈汤可消除咽喉肿痛,疏风清热主要依靠牛蒡子和连翘,辅以荆芥、防风、栀子、桔梗、玄参、黄连、甘草,以及金银花、黄芩、薄荷、大黄和朴硝。
[Formula Song] Jinhou Feng (Tight Throat Wind) is formed by wind and fire due to excessive consumption of rich foods; it presents with swelling and pain in the throat, difficulty in speaking, a rattling sound like sawing wood due to phlegm obstruction, and needling Shaoshang (LU11) acupoint to induce vomiting and purgation.
[Annotation] This syndrome arises from excessive intake of rich and greasy foods, leading to accumulation of heat in the Lung and Stomach, compounded by external pathogenic wind. Wind-heat intertwine and obstruct upward at the throat, causing ulceration, pain, hoarseness or loss of voice, inability to swallow fluids, and a rattling sound from phlegm-saliva obstruction resembling sawing wood. The onset is sudden and rapid. Immediately needle the Shaoshang (LU11) acupoint located on the medial side of the thumb to release dark purple-black blood, thereby draining heat. If phlegm is profuse, use Tongyou Qian (Camellia Oil Probe) to induce vomiting. After expectoration, rinse the mouth with Gancao Tang (Licorice Decoction) to neutralize the toxicity of camellia oil. Internally administer Xionghuang Jiedu Wan (Realgar Detoxification Pill) to induce vomiting and purgation. Blow Baixue Sang San (White Snow Powder) into the throat. After the glottis opens, internally administer Qingyan Lige Tang (Throat-Clearing and Diaphragm-Relieving Decoction). Treatment according to these methods yields immediate results in favorable cases (Shun); conversely, cyanotic complexion, black lips, and cold rhinorrhea indicate unfavorable prognosis (Ni). If accompanied by circumferential swelling around the neck, it is named Chantou Feng (Coiling Throat Wind). Although its treatment method is similar to this syndrome, it remains dangerous and difficult to cure.
Formula: Tongyou Qian (Camellia Oil Probe)
Method: Mix four spoons of Camellia Oil (Verniciae Fructus Oil) into half a bowl of warm water. Stir evenly. Dip a stiff chicken feather into the oil and probe into the throat to twist and stimulate. Repeat four to five times until obstructed phlegm is expelled. Continue probing and vomiting until the patient regains consciousness and voice strength.
[Formula Song] Tongyou Qian method guides out phlegm obstruction, most effective for all types of Hou Feng (Throat Wind); add camellia oil to half a bowl of warm water, dip a chicken feather to probe and clear the throat.
Another Formula: Xionghuang Jiedu Wan (Realgar Detoxification Pill)
Composition: Xionghuang (Realgar, 1 liang), Yujin (Curcumae Radix, 1 qian), Badou (Crotonis Fructus, peeled and oil-extracted, 14 grains).
Preparation: Grind into fine powder, make pills with vinegar paste, size of millet seeds. Dosage: 0.5 fen per administration, taken with saliva.
[Formula Song] Xionghuang Jiedu Wan treats Jinhou Feng (Tight Throat Wind), opens orifices, relieves closure, and calms fire; composed of oil-extracted Badou and Yujin powder, made into millet-sized pills with vinegar paste.
Another Formula: Baixue Sang San (White Snow Powder)
Composition: Shigao (Gypsum Fibrosum, calcined, 1.5 qian), Pengsha (Borax, 1 qian), Yanxiao (Natrii Nitras, 0.5 qian), Danfan (Chalcanthite, 0.5 qian), Yuanmingfen (Mirabilite, 0.3 fen), Bingpian (Borneolum Syntheticum, 0.2 fen).
Preparation: Grind into extremely fine powder. Blow into the throat using a pen tube.
[Formula Song] Baixue Sang San treats Hou Feng (Throat Wind) syndromes, addressing swelling, pain, hoarseness, and wind-fire condensation; composed of calcined Shigao and Danfan powder, combined with Yanxiao, Pengsha, Bingpian, and Yuanmingfen.
Another Formula: Qingyan Lige Tang (Throat-Clearing and Diaphragm-Relieving Decoction)
Composition: Niubangzi (Arctii Fructus, stir-fried and crushed), Lianqiao (Forsythiae Fructus, heart removed), Jingjie (Schizonepetae Herba), Fangfeng (Saposhnikoviae Radix), Zhizi (Gardeniae Fructus, raw and crushed), Jiegeng (Platycodonis Radix), Xuanshen (Scrophulariae Radix), Huanglian (Coptidis Rhizoma), Jinyinhua (Lonicerae Japonicae Flos), Huangqin (Scutellariae Radix), Bohe (Menthae Haplocalycis Herba), Gancao (Glycyrrhizae Radix et Rhizoma, raw, each 1 qian), Dahuang (Rhei Radix et Rhizoma), Puxiao (Natrii Sulfas, each 1 qian).
Usage: Decoct with two zhong of water and 2 qian of Danzhuye (Lophatheri Herba) until reduced to eight fen. Take far after meals.
[Formula Song] Qingyan Lige Tang eliminates throat pain and swelling, disperses wind and clears heat using Niubangzi and Lianqiao; supplemented by Jingjie, Fangfeng, Zhizi, Jiegeng, Xuanshen, Huanglian, Gancao, Jinyinhua, Huangqin, Bohe, Dahuang, and Puxiao.