论曰,脾肺不利,上焦有热,则津液枯燥,搏于喉咽,故令干痛,甚则生疮。
治上膈虚热咽干。龙脑鸡苏丸方
龙脑(研一分) 鸡苏 甘草(炙) 乌梅(用肉) 紫苏叶(各一两) 麦门冬(去
心焙) 白
梅(用肉) 人参(各半两) 天门冬(去心焙半分) 麝香(研) 甜硝(研各一钱)
上十一味,捣研为末,再同研匀,炼沙糖和丸,如鸡头实大,每服一丸,食后,人参汤
嚼下。
治咽干,涕唾如胶,或肾气不足,心中悒悒,目视 ,少气耳聋,消渴黄胆,一身悉
痒,骨中疼痛,小肠拘急。甘草汤方
甘草(炙半两) 磁石( 醋淬三遍二两) 玄参 防风(去叉各一两半) 五味子 牡
丹
皮桂(去粗皮各一两) 黑豆(半合) 附子(炮裂去皮脐半两)
上九味,粗捣筛,每服五钱匕,水一盏半,入生姜半分拍碎,煎至一盏,去滓食后服,
日再。
治咽干口疮牙痈,心肺热盛。射干膏方
射干 升麻 栀子仁 玄参 小豆卷(各一两半) 黄柏(去粗皮二两) 赤蜜 地黄
汁
(各三合) 大枣(去核十枚)
上九味,除蜜并地黄汁外,细锉如麻豆,以水五升,煎至一升半,去滓下蜜与地黄汁
,慢火煎成膏,细细含化咽津。
治咽干口燥,上焦虚热,咳嗽气促痰壅。贝母汤方
贝母(麸炒去心) 百合(各三分) 紫菀(去苗土) 桑根白皮(炙锉) 桔梗(锉
炒各半两
)麦门冬(去心焙三分) 大黄(炒锉一分) 甘草(炙锉一两半)
上八味,粗捣筛,每服五钱匕,水一盏半,煎至一盏,去滓分温二服,食后。
治咽喉风气干痛,不能食。干地黄丸方
生干地黄(焙一两) 人参(三分) 赤苓(去黑皮三分) 天门冬(去心焙一两)
上四味,捣罗为末,炼蜜和丸,如梧子大,每服十丸,米饮下日三。
治咽喉干痛,心腹满闷,不能饮食。浓朴汤方
浓朴(去粗皮生姜汁炙) 赤茯苓(去粗皮各一两半) 陈橘皮(汤浸去白焙) 人参
(各一
两)
上四味,粗捣筛,每服五钱匕,水一盏半,入生姜半分拍破,煎至一盏,去滓分温二服
治膈热咽干,风毒攻心,狂闷。如雪汤方
朴硝 黑豆皮(生一两) 木香(一两) 大黄(生半两)
上四味,除朴硝外,粗捣筛,每服五钱匕,水一盏半,煎至一盏,去滓下朴硝一钱,搅
令匀,不计时温服,以微利为度。
治咽喉干痛,吐咽不利。桔梗汤方
桔梗(锉炒) 甘草(生) 恶实(炒各一两)
上三味,粗捣筛,每服二钱匕,水一盏,入竹茹一弹丸大,煎至六分,去滓温服,不计
时候。
治咽喉中干,肺热咳嗽多痰。贝母丸方
贝母(去心一两半) 甘草(炙三分) 杏仁(汤浸去皮尖炒一两半)
上三味,捣罗为末,炼蜜丸如弹子大,含化咽津。
治咽喉干,肺壅咳嗽,胸中满而振寒,脉数时时涕唾脓涎。如圣汤方
桔梗(锉炒一两) 甘草(半两)
上二味,粗捣筛,每服三钱匕,水一盏,煎至五分,去滓温服日二,不拘时。
治上焦有热,津液燥少,喉咽干痛。鸡苏人参汤方
鸡苏叶 恶实(炒) 玄参 甘草(炙锉各一两) 防风(去叉) 人参 天门冬(去
心焙各
半两)
上七味,粗捣筛,每服三钱匕,水一盏,入梨二片,同煎至六分,食后去滓温呷。
治喉热干燥,津液不足。龙脑散方
龙脑(研一钱) 鸡苏(去梗焙干) 荆芥穗(一两半) 白豆蔻(去皮一分) 甘草
(炙锉一
两)
上五味捣罗为细散,每用半钱匕,温水调下,合时且各自贴之,临用旋合和,取半钱匕
服,气味尤全。
论述说,脾肺功能失调,上焦有热邪,导致津液干枯,热邪搏结于喉咽部位,因此引起咽喉干燥疼痛,严重时甚至生疮。
治疗上膈虚热引起的咽喉干燥。龙脑鸡苏丸方:
龙脑(研细,一分) 鸡苏 甘草(炙) 乌梅(取果肉) 紫苏叶(各一两) 麦门冬(去心后焙干) 白梅(取果肉) 人参(各半两) 天门冬(去心后焙干,半分) 麝香(研细) 甜硝(研细,各一钱)
以上十一味药,捣碎研成粉末,再共同研磨均匀,用炼过的沙糖调和制成丸剂,大小如鸡头实(芡实),每次服用一丸,饭后用人参汤送服并嚼下。
治疗咽喉干燥,鼻涕和唾液像胶一样粘稠,或者肾气不足,心中郁闷不乐,视物模糊,气短耳聋,消渴病,黄疸,全身瘙痒,骨中疼痛,小肠拘急痉挛。甘草汤方:
甘草(炙,半两) 磁石(醋淬三遍,二两) 玄参 防风(去叉刺,各一两半) 五味子 牡丹皮 桂(去粗皮,各一两) 黑豆(半合) 附子(炮裂去皮脐,半两)
以上九味药,粗捣筛过,每次服用五钱匕,用水一盏半,加入生姜半分拍碎,煎至一盏,滤去药渣,饭后服用,每日两次。
治疗咽喉干燥、口疮、牙痈,因心肺热盛所致。射干膏方:
射干 升麻 栀子仁 玄参 小豆卷(各一两半) 黄柏(去粗皮,二两) 赤蜜 地黄汁(各三合) 大枣(去核,十枚)
以上九味药,除蜂蜜和地黄汁外,其余药材细锉如麻豆大小,用水五升,煎至一升半,滤去药渣,加入蜂蜜和地黄汁,用慢火煎成膏状,细细含化,咽下津液。
治疗咽喉干燥口燥,上焦虚热,咳嗽气促痰多壅塞。贝母汤方:
贝母(麸炒去心) 百合(各三分) 紫菀(去苗土) 桑根白皮(炙锉) 桔梗(锉炒,各半两) 麦门冬(去心焙,三分) 大黄(炒锉,一分) 甘草(炙锉,一两半)
以上八味药,粗捣筛过,每次服用五钱匕,用水一盏半,煎至一盏,滤去药渣,分两次温服,饭后服用。
治疗咽喉风气导致的干燥疼痛,不能进食。干地黄丸方:
生干地黄(焙,一两) 人参(三分) 赤苓(去黑皮,三分) 天门冬(去心焙,一两)
以上四味药,捣碎罗筛成粉末,用炼蜜调和制成丸剂,大小如梧桐子,每次服用十丸,米饮送服,每日三次。
治疗咽喉干燥疼痛,心腹满闷,不能饮食。浓朴汤方:
浓朴(去粗皮,用生姜汁炙) 赤茯苓(去粗皮,各一两半) 陈橘皮(汤浸去白后焙干) 人参(各一两)
以上四味药,粗捣筛过,每次服用五钱匕,用水一盏半,加入生姜半分拍破,煎至一盏,滤去药渣,分两次温服。
治疗膈部热盛引起的咽喉干燥,风毒攻心,狂乱烦闷。如雪汤方:
朴硝 黑豆皮(生用,一两) 木香(一两) 大黄(生用,半两)
以上四味药,除朴硝外,其余粗捣筛过,每次服用五钱匕,用水一盏半,煎至一盏,滤去药渣,加入朴硝一钱,搅拌令其均匀,不拘时间,温服,以轻微腹泻为度。
治疗咽喉干燥疼痛,吞咽不利。桔梗汤方:
桔梗(锉炒) 甘草(生用) 恶实(炒,各一两)
以上三味药,粗捣筛过,每次服用二钱匕,用水一盏,加入竹茹一团弹丸大小,煎至六分,滤去药渣,温服,不拘时间。
治疗咽喉中干燥,肺热咳嗽多痰。贝母丸方:
贝母(去心,一两半) 甘草(炙,三分) 杏仁(汤浸去皮尖后炒,一两半)
以上三味药,捣碎罗筛成粉末,用炼蜜制成如弹子大的丸剂,含化咽津。
治疗咽喉干燥,肺气壅滞咳嗽,胸中满闷且怕冷发抖,脉数,时常流出脓性涕唾。如圣汤方:
桔梗(锉炒,一两) 甘草(半两)
以上两味药,粗捣筛过,每次服用三钱匕,用水一盏,煎至五分,滤去药渣,温服,每日两次,不拘时间。
治疗上焦有热,津液燥少,喉咽干燥疼痛。鸡苏人参汤方:
鸡苏叶 恶实(炒) 玄参 甘草(炙锉,各一两) 防风(去叉刺) 人参 天门冬(去心焙,各半两)
以上七味药,粗捣筛过,每次服用三钱匕,用水一盏,加入梨两片,同煎至六分,饭后滤去药渣,温服啜饮。
治疗喉部热盛干燥,津液不足。龙脑散方:
龙脑(研细,一钱) 鸡苏(去梗焙干) 荆芥穗(一两半) 白豆蔻(去皮,一分) 甘草(炙锉,一两)
以上五味药,捣碎罗筛成细散,每次用半钱匕,温水调服,配制时各自单独贴封保存,临用时现混合调和,取半钱匕服用,气味尤为完整。
Commentary states that when the Spleen and Lung fail to function smoothly, and there is heat in the Upper Jiao (Upper Burner), body fluids become dry and withered. Heat pathogens contend at the throat and pharynx, causing dryness and pain; in severe cases, sores may develop.
For treating empty-heat in the upper diaphragm causing dry throat: Longnao Jisu Wan (Borneol and Perilla Pill) Formula
Borneolum Syntheticum (ground, 1 fen) Houttuyniae Herba Glycyrrhizae Radix et Rhizoma (roasted) Mume Fructus (flesh only) Perillae Folium (each 1 liang) Ophiopogonis Tuber (core removed, roasted) Prunus mume (flesh only) Ginseng Radix (each 0.5 liang) Asparagi Tuber (core removed, roasted, 0.5 fen) Moschus (ground) Natrii Sulfas (ground, each 1 qian)
The above eleven ingredients are pounded and ground into powder, then mixed uniformly. They are combined with refined rock sugar to form pills the size of Euryale Seed (Qianshi). Take one pill per dose after meals, chewing it down with Ginseng Decoction.
For treating dry throat with viscous nasal discharge and saliva, or insufficient Kidney Qi, mental depression, blurred vision, shortness of breath, deafness, Xiao Ke (Wasting-Thirst), Jaundice, generalized pruritus, bone pain, and spasmodic tension in the Small Intestine: Gancao Tang (Licorice Decoction)
Glycyrrhizae Radix et Rhizoma (roasted, 0.5 liang) Magnetitum (quenching in vinegar three times, 2 liang) Scrophulariae Radix Saposhnikoviae Radix (thorns removed, each 1.5 liang) Schisandrae Fructus Moutan Cortex Cinnamomi Ramulus (bark removed, each 1 liang) Sojae Semen Nigrum (0.5 he) Aconiti Lateralis Radix Praeparata (cracked, skin and navel removed, 0.5 liang)
The above nine ingredients are coarsely crushed and sieved. Take five qianbi per dose with 1.5 sheng of water, adding half a fen of smashed fresh ginger. Decoct until 1 sheng remains, strain, and take after meals, twice daily.
For treating dry throat, mouth ulcers, and dental abscesses due to excessive heat in the Heart and Lung: Shegan Gao (Belamcanda Paste) Formula
Belamcandae Rhizoma Cimicifugae Rhizoma Gardeniae Fructus Scrophulariae Radix Phaseoli Radiati Caulis (each 1.5 liang) Phellodendri Cortex (bark removed, 2 liang) Mel Rubrum Rehmanniae Radix Praeparata Juice (each 3 he) Zizyphi Fructus (pits removed, 10 pieces)
The above nine ingredients, excluding honey and Rehmannia juice, are finely chopped like hemp seeds. Decoct in 5 sheng of water until 1.5 sheng remains. Strain, add honey and Rehmannia juice, and simmer over low heat to form a paste. Hold in the mouth slowly to dissolve and swallow the saliva.
For treating dry throat and mouth, empty-heat in the Upper Jiao, cough with rapid breathing and phlegm obstruction: Beimu Tang (Fritillaria Decoction) Formula
Fritillariae Bulbus (bran-roasted, core removed) Lilii Bulbus (each 3 fen) Asteris Radix et Rhizoma (roots and soil removed) Morus Albae Cortex (roasted and cut) Platycodonis Radix (cut and roasted, each 0.5 liang) Ophiopogonis Tuber (core removed, roasted, 3 fen) Rhei Radix et Rhizoma (roasted and cut, 1 fen) Glycyrrhizae Radix et Rhizoma (roasted and cut, 1.5 liang)
The above eight ingredients are coarsely crushed and sieved. Take five qianbi per dose with 1.5 sheng of water. Decoct until 1 sheng remains, strain, and divide into two warm doses after meals.
For treating dry and painful throat caused by wind-pathogen, unable to eat: Gan Dihuang Wan (Dried Rehmannia Pill) Formula
Rehmanniae Radix (dried and roasted, 1 liang) Ginseng Radix (3 fen) Poria Cocos (black skin removed, 3 fen) Asparagi Tuber (core removed, roasted, 1 liang)
The above four ingredients are pounded, sifted into powder, and combined with refined honey to form pills the size of Sophora Seeds. Take ten pills per dose with rice drink, three times daily.
For treating dry and painful throat, fullness and oppression in the heart and abdomen, inability to eat: Houpo Tang (Magnolia Bark Decoction) Formula
Magnoliae Officinalis Cortex (bark removed, roasted with fresh ginger juice) Poria Cocos (black skin removed, each 1.5 liang) Citri Reticulatae Pericarpium (soaked in hot water, white pith removed, dried) Ginseng Radix (each 1 liang)
The above four ingredients are coarsely crushed and sieved. Take five qianbi per dose with 1.5 sheng of water, adding half a fen of smashed fresh ginger. Decoct until 1 sheng remains, strain, and divide into two warm doses.
For treating dry throat due to heat in the diaphragm, wind-toxin attacking the Heart, madness, and restlessness: Ruxue Tang (Like Snow Decoction) Formula
Natrii Sulfas Crystallisatus Sojae Semen Nigrum Pericarpium (raw, 1 liang) Aquilariae Lignum Resinatum (1 liang) Rhei Radix et Rhizoma (raw, 0.5 liang)
The above four ingredients, excluding Natrii Sulfas Crystallisatus, are coarsely crushed and sieved. Take five qianbi per dose with 1.5 sheng of water. Decoct until 1 sheng remains, strain, add 1 qian of Natrii Sulfas Crystallisatus, stir well, and take warm at any time. The effect is considered sufficient if mild diarrhea occurs.
For treating dry and painful throat with difficulty swallowing: Jiegeng Tang (Platycodon Decoction) Formula
Platycodonis Radix (cut and roasted) Glycyrrhizae Radix et Rhizoma (raw) Arctii Fructus (roasted, each 1 liang)
The above three ingredients are coarsely crushed and sieved. Take two qianbi per dose with 1 sheng of water, adding a ball-sized amount of Bambusa Textilis Calembatura (Zhuru). Decoct until 0.6 sheng remains, strain, and take warm at any time.
For treating dryness in the throat, lung-heat cough with profuse phlegm: Beimu Wan (Fritillaria Pill) Formula
Fritillariae Bulbus (core removed, 1.5 liang) Glycyrrhizae Radix et Rhizoma (roasted, 3 fen) Armeniacae Semen Amarum (soaked in water, skin and tips removed, roasted, 1.5 liang)
The above three ingredients are pounded, sifted into powder, and combined with refined honey to form pills the size of marbles. Hold in the mouth to dissolve and swallow the saliva.
For treating dry throat, lung congestion with cough, chest fullness with chills, rapid pulse, and frequent purulent nasal discharge and saliva: Rusheng Tang (Like Sage Decoction) Formula
Platycodonis Radix (cut and roasted, 1 liang) Glycyrrhizae Radix et Rhizoma (0.5 liang)
The above two ingredients are coarsely crushed and sieved. Take three qianbi per dose with 1 sheng of water. Decoct until 0.5 sheng remains, strain, and take warm, twice daily, at any time.
For treating dry and painful throat due to heat in the Upper Jiao and scanty body fluids: Jisu Renshen Tang (Perilla and Ginseng Decoction) Formula
Houttuyniae Folium Arctii Fructus Scrophulariae Radix Glycyrrhizae Radix et Rhizoma (roasted and cut, each 1 liang) Saposhnikoviae Radix (thorns removed) Ginseng Radix Asparagi Tuber (core removed, roasted, each 0.5 liang)
The above seven ingredients are coarsely crushed and sieved. Take three qianbi per dose with 1 sheng of water, adding two slices of Pyrus fruit. Decoct together until 0.6 sheng remains. After meals, strain and take warm by sipping.
For treating dry throat due to heat and insufficient body fluids: Longnao San (Borneol Powder) Formula
Borneolum Syntheticum (ground, 1 qian) Houttuyniae Herba (stems removed, dried) Schizonepetae Spica (1.5 liang) Amomi Fructus Rotundus (skin removed, 1 fen) Glycyrrhizae Radix et Rhizoma (roasted and cut, 1 liang)
The above five ingredients are pounded and sifted into fine powder. Use half a qianbi per dose, mixed with warm water. Store components separately before mixing; mix immediately before use. Take half a qianbi. This method preserves the aroma and efficacy best.