论曰咽喉闭塞不通者，脾肺壅滞，风毒蕴积，内搏经络，上攻咽喉也，足太阴之脉上膈
侠咽，而喉则肺气之所通，故脾肺壅热，则咽喉闭塞，凡伤寒后余毒未尽，上攻咽喉，故亦
令闭塞不通也。
治伤寒后咽喉闭塞疼痛，六七日，其人大下后，脉沉迟，手足厥逆，下部脉不至，咽喉
痛，不利唾脓血，泄利不止。当归汤方
当归（切炒） 升麻 知母 葳蕤 黄芩（去黑心） 麦门冬（去心焙各半两） 桂（去
粗皮） 芍药 干姜（炮） 石膏 白茯苓（去黑皮） 甘草（炙锉） 白术（各一两） 麻
黄（去根节一两）
上一十四味，粗捣筛，每服三钱匕，水一盏，煎至六分去滓，食后温服日三。
治热病喉中闭塞疼痛。木通汤方
木通（锉） 羚羊角（镑） 芍药 络石（各一两） 升麻（二两） 射干（一两半） 杏
仁（浸去皮尖双仁半两）
上七味，粗捣筛，每服三钱匕，水一盏，入竹叶七片，煎至六分去滓，食后温服日三。
治伤寒后咽喉疮痛口疮，烦躁头痛，毒瓦斯上攻。黄芩汤方
黄芩（去黑心） 大青 山栀子仁 甘草（炙锉各半两） 升麻 麦门冬（去心焙三分）
上六味，粗捣筛，每服三钱匕，水一盏，入竹叶七片，煎至六分去滓，食后温服。日三
五服。
治伤寒后咽喉疼痛，闭塞不通，毒瓦斯上攻。升麻汤方
升麻 木通（锉各一两） 射干 羚羊角（镑） 芍药（各半两） 芦根（一握）
上六味，粗捣筛，每服三钱匕，水一盏，煎至六分，去滓温服日三。
治伤寒后舌根肿塞，喉痹，此为脾虚心热，先针舌下两边出血。次服地黄汤方
生地黄（二两切） 甘草（炙锉） 大黄（各半两） 升麻（三分） 车前子（一两）
上五味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓下朴硝末一钱匕，搅匀食后
温服日三。
治伤寒后咽喉疼痛。葛根汤方
葛根（锉） 青竹茹（各一两） 仓粳米（一合）
上三味。粗捣筛。每服三钱匕。水一盏。入生姜一枣大拍碎。煎至六分去滓。食后温服
日三。
治伤寒后喉内生疮，及喉肿塞，毒热上冲，升麻丸方
升麻 苦药子 铅丹（炒） 大黄（生用各半两）
上四味，捣罗为末，炼蜜和丸，如弹子大，每服一丸，绵裹咽津化尽，再服之。
治伤寒时行咽喉闭塞，及贼风毒瓦斯上攻。丹参煎方
丹参（二两） 蒴 根（锉） 羊踯躅（炒） 甘菊花 莽草（各半两） 秦艽（去苗
土一两半） 牛膝（去苗酒浸） 羌活（去芦头） 乌头盐炒（去皮脐） 蜀椒（去目并合
口炒出汗） 连翘 白术（各一两）
上一十二味， 咀，如麻豆大，以苦酒半升，拌匀渍半日，先取油二斤炼香熟，旋旋下
药煎，候白术赤色，即下炼了猪脂一斤，更煎药赤黑色，绵滤过，瓷合盛，每服取如半枣大，
含化稍咽之。热毒攻服齿痛，绵裹嚼之咽汁。
治伤寒后咽喉不能咽食，口中生疮，积热上攻，涎出不止。地黄煎方
生地黄汁（二合） 铅丹（炒一两） 猪牙皂荚（一挺去皮酥炙为末） 白蜜（二两）
上四味，和匀，以瓶子盛，密封头，饭上蒸一时久，去滓收之，每取一匙头，含化咽津。
治伤寒后咽喉痛，舌强，余热上攻。贴喉膏方
蜜（半斤） 甘草（锉二两） 猪脂（四两）
上三味，先以猪脂与蜜炼消后，入甘草，煎候甘草赤黑色，以绵滤过，瓷合收盛，每取
如半枣大，含化咽津。
治伤寒热病后，咽喉疼痛，闭塞不通，毒热上攻，射干煎方
射干（半斤为末） 猪脂（一斤）
上二味，先煎猪脂沸，次下射干，候射干黑色，以绵滤过，瓷合盛，绵裹如弹子大，含
化咽津。
治伤寒热病后，咽喉疼痛，闭塞不通，毒瓦斯上冲方。
茹上取少许如爪甲尖，内口中，微嚼咽汁。
治伤寒热病后，咽喉肿痛，闭塞不通，毒瓦斯上冲方。
商陆根切
上炒令热，以布裹熨肿上，冷复易之。
治伤寒热病后，咽喉痛闭塞不通，毒瓦斯上冲方。
黄明胶
上取手掌大一片，以水煮软，贴颈外瘥。
治伤寒热病后，咽喉疼痛，闭塞不通，毒瓦斯上冲方。
白矾如杏仁大
上以绵裹含之，细细咽汁，以通气度。
【论述】咽喉闭塞不通，是由于脾肺之气壅滞，风毒蕴结积聚，内侵经络，上攻咽喉所致。足太阴脾经上行穿过膈肌，夹行于咽喉两侧；而喉部则是肺气通行的通道。因此，当脾肺壅热时，就会导致咽喉闭塞。凡是伤寒病后余毒未尽，上攻咽喉，也会导致咽喉闭塞不通。
治疗伤寒后出现的咽喉闭塞疼痛，病程六七日，患者经过剧烈泻下治疗后，出现脉象沉迟，手足冰冷厥逆，下部（尺）脉搏摸不到，咽喉疼痛，吞咽不利且唾液中带脓血，腹泻不止的症状。使用当归汤方：
当归（切片炒制）、升麻、知母、葳蕤（玉竹）、黄芩（去除黑色中心部分）、麦门冬（去心焙干，各半两）、桂枝（去除粗皮）、芍药、干姜（炮制）、石膏、白茯苓（去除黑色外皮）、甘草（炙烤并锉碎）、白术（各一两）、麻黄（去除根节，一两）。
以上十四味药，粗捣筛碎，每次服用三钱匕，加水一盏，煎煮至剩余六分药液，去渣滓，饭后温服，每日三次。
治疗热病引起的喉中闭塞疼痛。使用木通汤方：
木通（锉碎）、羚羊角（镑片）、芍药、络石藤（各一两）、升麻（二两）、射干（一两半）、杏仁（浸泡去皮尖及双仁者，半两）。
以上七味药，粗捣筛碎，每次服用三钱匕，加水一盏，加入竹叶七片，煎煮至剩余六分药液，去渣滓，饭后温服，每日三次。
治疗伤寒后咽喉生疮疼痛、口腔生疮、烦躁头痛，因毒气上攻所致。使用黄芩汤方：
黄芩（去除黑色中心部分）、大青叶、山栀子仁、甘草（炙烤锉碎，各半两）、升麻、麦门冬（去心焙干，三分）。
以上六味药，粗捣筛碎，每次服用三钱匕，加水一盏，加入竹叶七片，煎煮至剩余六分药液，去渣滓，饭后温服，每日五到三次。
治疗伤寒后咽喉疼痛、闭塞不通，因毒气上攻所致。使用升麻汤方：
升麻、木通（锉碎，各一两）、射干、羚羊角（镑片）、芍药（各半两）、芦根（一握）。
以上六味药，粗捣筛碎，每次服用三钱匕，加水一盏，煎煮至剩余六分，去渣滓温服，每日三次。
治疗伤寒后舌根肿胀堵塞、喉痹，此为脾气虚弱兼有心热所致，应先针刺舌下两侧出血，然后服用地黄汤方：
生地黄（切块，二两）、甘草（炙烤锉碎）、大黄（各半两）、升麻（三分）、车前子（一两）。
以上五味药，粗捣筛碎，每次服用五钱匕，加水一盏半，煎煮至剩余八分，去渣滓后加入朴硝末一钱匕，搅匀后饭后温服，每日三次。
治疗伤寒后咽喉疼痛。使用葛根汤方：
葛根（锉碎）、青竹茹（各一两）、仓粳米（一合）。
以上三味药，粗捣筛碎。每次服用三钱匕，加水一盏，加入生姜一块如枣大小拍碎，煎煮至剩余六分，去渣滓，饭后温服，每日三次。
治疗伤寒后喉内生疮，以及喉部肿胀堵塞，毒热上冲。使用升麻丸方：
升麻、苦药子（雷丸或类似清热药，此处依原文“苦药子”）、铅丹（炒制）、大黄（生用，各半两）。
以上四味药，捣碎过罗成细末，用炼蜜调和制成丸药，大小如弹子，每次服用一丸，用丝绵包裹含在口中，待津液化尽咽下，再服用。
治疗伤寒时行疫病导致的咽喉闭塞，以及贼风毒气上攻。使用丹参煎方：
丹参（二两）、蒴藋根（锉碎）、羊踯躅（炒制）、甘菊花、莽草（各半两）、秦艽（去苗土，一两半）、牛膝（去苗，酒浸）、羌活（去芦头）、乌头（盐炒，去皮脐）、蜀椒（去目并合口处，炒出油汗）、连翘、白术（各一两）。
以上十二味药，切碎如麻豆大小，用醋半升拌匀浸泡半天，先取香油二斤炼熟，徐徐加入药物煎煮，等到白术呈赤色时，再加入炼过的猪脂一斤，继续煎至药液呈赤黑色，用丝绵过滤，装入瓷盒中保存。每次取如半颗枣大小的量，含化后稍加吞咽。若热毒攻入导致齿痛，可用丝绵包裹嚼之咽汁。
治疗伤寒后咽喉不能吞咽食物，口中生疮，积热上攻，涎水流出不止。使用地黄煎方：
生地黄汁（二合）、铅丹（炒制，一两）、猪牙皂荚（一根，去皮后用酥油炙烤研为末）、白蜜（二两）。
以上四味药，混合均匀，用瓶子盛装，密封瓶口，在饭锅上蒸一个时辰左右，去渣滓收存。每次取一匙头，含化后咽津。
治疗伤寒后咽喉痛、舌体僵硬，余热上攻。使用贴喉膏方：
蜂蜜（半斤）、甘草（锉碎，二两）、猪脂（四两）。
以上三味药，先将猪脂与蜂蜜炼化合溶后，加入甘草，煎煮直到甘草呈赤黑色，用丝绵过滤，装入瓷盒收存。每次取如半颗枣大小的量，含化后咽津。
治疗伤寒热病后，咽喉疼痛、闭塞不通，毒热上攻。使用射干煎方：
射干（半斤，研为末）、猪脂（一斤）。
以上两味药，先煎猪脂至沸腾，其次加入射干，等到射干变黑，用丝绵过滤，装入瓷盒中。用丝绵包裹如弹子大小的药团，含化后咽津。
治疗伤寒热病后，咽喉疼痛、闭塞不通，毒气上冲的方剂。
取少许药粉如指甲尖大小，放入口中，轻微咀嚼咽汁。
治疗伤寒热病后，咽喉肿痛、闭塞不通，毒气上冲的方剂。
商陆根切片。
将其炒热，用布包裹熨烫肿胀部位，冷了再换新的。
[Discussion] Obstruction and blockage of the throat and pharynx are caused by stagnation in the Spleen and Lung, accumulation of wind-toxin, internal invasion of meridians and collaterals, and upward attack on the throat. The Foot-Taiyin (Spleen) meridian ascends through the diaphragm and flanks the pharynx; the larynx is the passage for Lung Qi. Therefore, when there is heat stagnation in the Spleen and Lung, obstruction of the throat occurs. After a cold damage disease, if residual toxins remain unexhausted and attack the throat upward, it also leads to obstruction and blockage.
For treating throat obstruction and pain after cold damage, occurring on the sixth or seventh day, following severe purgation, presenting with deep and slow pulse, cold limbs, absence of pulse at the lower position (Chi), throat pain, difficulty swallowing with pus and blood in saliva, and continuous diarrhea: Use Danggui Tang (Angelica Decoction).
Dang Gui (Radix Angelicae Sinensis, sliced and stir-fried), Sheng Ma (Rhizoma Cimicifugae), Zhi Mu (Rhizoma Anemarrhenae), Wei Rui (Rhizoma Polygonati Odorati), Huang Qin (Radix Scutellariae, remove black center), Mai Men Dong (Tuber Ophiopogonis, remove heart and roast, each 0.5 liang), Gui Zhi (Ramulus Cinnamomi, remove coarse bark), Bai Shao (Radix Paeoniae Alba), Gan Jiang (Rhizoma Zingiberis Preparatum), Shi Gao (Gypsum Fibrosum), Bai Fu Ling (Poria, remove black skin), Zhi Gan Cao (Radix Glycyrrhizae Preparata, roasted and crushed), Bai Zhu (Radix Atractylodis Macrocephalae, each 1 liang), Ma Huang (Herba Ephedrae, remove roots and joints, 1 liang).
The above fourteen ingredients are coarsely crushed and sieved. Take three qian bi per dose, add one zhan of water, decoct until six parts remain, remove dregs, and take warm after meals, three times daily.
For treating throat obstruction and pain due to heat disease: Use Mutong Tang (Akebia Decoction).
Mu Tong (Caulis Akebiae, crushed), Ling Yang Jiao (Cornu Saigae Tataricae, shaved), Bai Shao (Radix Paeoniae Alba), Luo Shi Teng (Caulis Trichosanthis, each 1 liang), Sheng Ma (Rhizoma Cimicifugae, 2 liang), She Gan (Rhizoma Belamcandae, 1.5 liang), Xing Ren (Semen Armeniacae Amarum, soaked, peel and tip removed, half double-kernel seeds, 0.5 liang).
The above seven ingredients are coarsely crushed and sieved. Take three qian bi per dose, add one zhan of water and seven leaves of Zhu Ye (Bambusae Folium), decoct until six parts remain, remove dregs, and take warm after meals, three times daily.
For treating sores and pain in the throat and mouth, irritability, headache, and upward attack of toxic qi after cold damage: Use Huang Qin Tang (Scutellaria Decoction).
Huang Qin (Radix Scutellariae, remove black center), Da Qing (Folium Isatidis), Shan Zhi Zi Ren (Semen Gardeniae), Zhi Gan Cao (Radix Glycyrrhizae Preparata, roasted and crushed, each 0.5 liang), Sheng Ma (Rhizoma Cimicifugae), Mai Men Dong (Tuber Ophiopogonis, remove heart and roast, 3 fen).
The above six ingredients are coarsely crushed and sieved. Take three qian bi per dose, add one zhan of water and seven leaves of Zhu Ye (Bambusae Folium), decoct until six parts remain, remove dregs, and take warm after meals, five to three times daily.
For treating throat pain, obstruction, and upward attack of toxic qi after cold damage: Use Sheng Ma Tang (Cimicifuga Decoction).
Sheng Ma (Rhizoma Cimicifugae), Mu Tong (Caulis Akebiae, crushed, each 1 liang), She Gan (Rhizoma Belamcandae), Ling Yang Jiao (Cornu Saigae Tataricae, shaved), Bai Shao (Radix Paeoniae Alba, each 0.5 liang), Lu Gen (Rhizoma Phragmitis, one handful).
The above six ingredients are coarsely crushed and sieved. Take three qian bi per dose, add one zhan of water, decoct until six parts remain, remove dregs, take warm, three times daily.
For treating swelling and blockage at the root of the tongue and throat bi (throat obstruction) after cold damage, indicating Spleen deficiency with Heart heat: First, prick both sides under the tongue to bleed. Then, take Dihuang Tang (Rehmannia Decoction):
Sheng Di Huang (Radix Rehmanniae Preparata, sliced, 2 liang), Zhi Gan Cao (Radix Glycyrrhizae Preparata, roasted and crushed), Da Huang (Radix et Rhizoma Rhei, each 0.5 liang), Sheng Ma (Rhizoma Cimicifugae, 3 fen), Che Qian Zi (Semen Plantaginis, 1 liang).
The above five ingredients are coarsely crushed and sieved. Take five qian bi per dose, add one and a half zhan of water, decoct until eight parts remain, remove dregs, add one qian bi of Pu Xiao (Natrii Sulfas) powder, mix well, and take warm after meals, three times daily.
For treating throat pain after cold damage: Use Gegen Tang (Kudzu Decoction).
Ge Gen (Radix Puerariae, crushed), Qing Zhu Ru (Caulis Bambusae in Taeniam, each 1 liang), Cang Jing Mi (Fructus Setariae Italicae, 1 he).
The above three ingredients are coarsely crushed and sieved. Take three qian bi per dose, add one zhan of water and one piece of fresh ginger (Zingiberis Rhizoma Recens) the size of a jujube, smashed. Decoct until six parts remain, remove dregs, take warm after meals, three times daily.
For treating sores inside the throat, throat swelling and blockage, and upward rush of toxic heat after cold damage: Use Sheng Ma Wan (Cimicifuga Pill).
Sheng Ma (Rhizoma Cimicifugae), Ku Yao Zi (Semen Crotonis, or similar bitter seed), Qian Dan (Lapis Plumbi Subacetatis, fried), Da Huang (Radix et Rhizoma Rhei, raw, each 0.5 liang).
The above four ingredients are pounded into fine powder. Mix with refined honey to form pills the size of a bullet. Take one pill per dose, wrap in silk, hold in the mouth, allow to dissolve in saliva, and swallow. Repeat as needed.
For treating throat obstruction during epidemic cold damage and upward attack of thief-wind toxic qi: Use Danshen Jian (Salvia Decoction).
Dan Shen (Radix Salviae Miltiorrhizae, 2 liang), Shuo Bi Gen (Radix Datiscae Cannabinae, crushed), Yang Zhi Zhu (Flos Daphnes Indicae, fried), Gan Ju Hua (Flos Chrysanthemi, each 0.5 liang), Mang Cao (Herba Artemisiae Argyi, 0.5 liang), Qin Jiao (Radix Gentiana Macrophyllae, remove sprouts and soil, 1.5 liang), Niu Xi (Radix Achyranthis Bidentatae, remove sprouts, wine-soaked), Qiang Huo (Rhizoma et Radix Notopterygii, remove rhizome head), Wu Tou (Radix Aconiti Lateralis Preparata, salt-fried, remove skin and navel), Shu Jiao (Pericarpium Zanthoxyli, remove eyes and closed-mouth ones, stir-fry until oil sweats), Lian Qiao (Fructus Forsythiae), Bai Zhu (Radix Atractylodis Macrocephalae, each 1 liang).
The above twelve ingredients are chopped like hemp or bean seeds. Mix with half a sheng of vinegar and soak for half a day. First, refine two jin of sesame oil until fragrant and cooked. Gradually add the herbs and decoct. When Bai Zhu turns red, add one jin of refined pork lard. Continue decocting until the medicine turns dark red-black. Filter through silk, store in a porcelain jar. Take an amount the size of half a jujube per dose, hold in the mouth, dissolve slightly, and swallow. If toothache is caused by heat toxin attack, wrap in silk, chew, and swallow the juice.
For treating inability to swallow food, mouth sores, upward attack of accumulated heat, and incessant salivation after cold damage: Use Dihuang Jian (Rehmannia Decoction).
Sheng Di Huang Zhi (Jus Rehmanniae, 2 he), Qian Dan (Lapis Plumbi Subacetatis, fried, 1 liang), Zhu Ya Zao Jiao (Fructus Gleditsiae Sinensis, one pod, remove skin, roast with su [lard/oil], pound into powder), Bai Mi (Meli, 2 liang).
The above four ingredients are mixed evenly, placed in a bottle, sealed tightly, and steamed over rice for one shi (approx. 2 hours). Remove dregs and collect. Take one spoonful per dose, hold in the mouth, dissolve, and swallow saliva.
For treating throat pain, stiff tongue, and upward attack of residual heat after cold damage: Use Tie Hou Gao (Throat Paste).
Mi (Mel, 0.5 jin), Gan Cao (Radix Glycyrrhizae, crushed, 2 liang), Zhu Zhi (Succus Porci, 4 liang).
The above three ingredients: First, refine Zhu Zhi and Mi together until melted. Add Gan Cao and decoct until Gan Cao turns dark red-black. Filter through silk, store in a porcelain jar. Take an amount the size of half a jujube per dose, hold in the mouth, dissolve, and swallow saliva.
For treating throat pain, obstruction, and upward attack of toxic heat after cold damage heat disease: Use She Gan Jian (Belamcanda Decoction).
She Gan (Rhizoma Belamcandae, 0.5 jin, pounded into powder), Zhu Zhi (Succus Porci, 1 jin).
The above two ingredients: First, boil Zhu Zhi until bubbling. Then add She Gan. When She Gan turns black, filter through silk, store in a porcelain jar. Wrap an amount the size of a bullet in silk, hold in the mouth, dissolve, and swallow saliva.
For treating throat pain, obstruction, and upward rush of toxic qi after cold damage heat disease:
Take a small amount, the size of a fingernail tip, place in the mouth, chew slightly, and swallow the juice.
For treating throat swelling, pain, obstruction, and upward rush of toxic qi after cold damage heat disease:
Shang Lu Gen (Radix Phytolaccae, sliced).
Stir-fry until hot, wrap in cloth, and apply as a compress to the swollen area. Replace when cool.
For treating throat pain, obstruction, and upward rush of toxic qi after cold damage heat disease:
Huang Ming Jiao (Colla Corii Asini, prepared).
Take a piece the size of a palm, soften by boiling in water, and apply externally to the neck until healed.
For treating throat pain, obstruction, and upward rush of toxic qi after cold damage heat disease:
Bai Fan (Alumen, size of an almond).
Wrap in silk, hold in the mouth, swallow the juice slowly to promote ventilation and relieve obstruction.