三黄丸(见发热。)
龙麝聚圣丹(《宝鉴》,下同) 治心脾客热,毒瓦斯攻冲,咽喉赤肿疼痛,或成喉痹,或结
硬不消,愈而复发,经久不瘥。或舌本肿胀,满口生疮,饮食难咽,并宜服之。
南硼砂(研) 川芎(各一两) 生地黄 犀角屑 羚羊角屑 琥珀(研) 玄参 桔梗 升麻
铅白霜(研) 连翘(各五钱) 赤茯苓 马牙硝 脑子(研) 人参 麝香(各三钱) 朱砂(飞) 牛
黄(研。各二钱)
上为细末,炼蜜为丸,每两作十丸,用金箔五十片为衣。每服一丸,薄荷汤或新汲
水化下,或细嚼,或噙化津液咽下皆可,食后临卧服。
祛毒牛黄丸 治大人小儿咽喉肿痛,舌本强硬,满口生疮,涎潮喘急,饮食难进,胸膈不利。
牛黄(研,三钱半) 人参 琥珀(研) 犀角(取细末) 桔梗 生地黄(沉水者佳) 硼砂(各半两)
雄黄(一两,飞) 玄参 升麻(各三钱) 蛤粉(水飞,四两) 寒水石( ,二两) 朱砂(飞研,七钱) 铅白
霜脑子(各一钱)
上为细末,炼蜜丸,如小弹子大,金箔为衣,瓷器内收。每服一丸,浓煎薄荷汤化
下,或新汲水化服亦得,食后,日进二三服,噙化亦得。
咽喉备急丹
青黛 芒硝 白僵蚕(各一两) 甘草(四两)
上为细末,用腊月内牛胆有黄者,盛药其中,荫四十九日,多时为妙。
增损如圣汤(《宝鉴》) 治风热攻冲会厌,语声不出,咽喉妨闷肿痛。
桔梗(二两) 炙甘草(一两半) 枳壳(汤浸,去瓤,二钱半) 防风(半两)
上为细末,每服三钱,水一大盏,煎至七分,去渣,入酥如枣许,搅匀,食后温服。
利膈汤(《本事》) 治虚烦上壅,脾肺有热,咽喉生疮。
鸡苏叶 荆芥 防风 桔梗 人参 牛蒡子(隔纸炒) 甘草(各一两)
上为细末,每服一钱,沸汤点服。如咽痛口疮甚者,加僵蚕一两。
桔梗汤(东垣) 治咽肿,微觉痛,声破,季冬合之。
麻黄(存节,五分) 桔梗(一钱) 黄芩(三钱) 甘草(一钱) 白僵蚕(三钱) 马屁勃(一两) 桂枝(少
许) 当归身(三分)
水二盏,煎去渣,稍热服,食后,徐徐呷之。
金沸草散 辰砂化痰丸(俱见咳嗽。)
发声散(《宝鉴》) 治咽痛不妨咽物,咽物则微痛,不宜用寒凉药过泄之,此妨闷明热也。
栝蒌(一个) 白僵蚕(半两,炒) 桔梗(新白者,七钱半,炒) 甘草(二钱,炒)
上为末,每用少许,干掺咽喉中。若大肿痛,左右有红,或只一壁红紫长大,而水
米不下,用此药一钱,朴硝一钱匕,和匀,干掺喉中,咽津。如喉中生赤肿,或有小白头
疮,用此药一钱匕,白矾半钱,细研如粉,和匀,干掺之。
碧云散
白矾(明净,一钱) 巴豆(一粒,去壳)
上以白矾为末,瓦上熔成,入巴豆在矾内,候矾干为度,细研,分作四服,每一字
以竹管吹入咽中,涎出为效。又方,用青矾。
鸡苏丸(见吐血。) 辰砂五苓散(见消瘅。)
龙麝聚圣丹(出自《宝鉴》,以下同):治疗心脾部位的外来热邪,毒气攻冲,导致咽喉红肿疼痛,或者形成喉痹,或者结成硬块不消散,痊愈后复发,经久不愈。或者舌根肿胀,满口生疮,饮食难以吞咽,都适宜服用此药。
南硼砂(研磨) 川芎(各一两) 生地黄 犀角屑 羚羊角屑 琥珀(研磨) 玄参 桔梗 升麻 铅白霜(研磨) 连翘(各五钱) 赤茯苓 马牙硝 脑子(即冰片,研磨) 人参 麝香(各三钱) 朱砂(水飞法处理) 牛黄(研磨,各二钱)
将上述药物研成细末,用炼蜜制成丸剂,每两药粉做成十丸,用五十片金箔作为包衣。每次服用一丸,用薄荷汤或新汲取的冷水化开服用,或者细细咀嚼,或者含在口中让津液慢慢咽下都可以,饭后临睡前服用。
祛毒牛黄丸:治疗大人和小孩咽喉肿痛,舌根僵硬强硬,满口生疮,涎水涌潮气喘急促,饮食难进,胸膈部不适。
牛黄(研磨,三钱半) 人参 琥珀(研磨) 犀角(取细末) 桔梗 生地黄(以沉入水中的为佳) 硼砂(各半两) 雄黄(一两,水飞法处理) 玄参 升麻(各三钱) 蛤粉(水飞法处理,四两) 寒水石(煅烧,二两) 朱砂(水飞并研磨,七钱) 铅白霜 脑子(即冰片,各一钱)
将上述药物研成细末,用炼蜜制成丸剂,大小如小弹子,用金箔包衣,存放在瓷器内。每次服用一丸,用浓煎的薄荷汤化开服用,或者用新汲取的冷水化开服用也可以,饭后服用,每天进二三服,含化服用也可以。
咽喉备急丹
青黛 芒硝 白僵蚕(各一两) 甘草(四两)
将上述药物研成细末,用腊月里牛胆中有胆汁的部分,盛装药物在其中,阴干四十九天,时间越长越好。
增损如圣汤(出自《宝鉴》):治疗风热攻冲会厌,导致声音发不出,咽喉堵塞闷痛。
桔梗(二两) 炙甘草(一两半) 枳壳(用汤浸泡,去掉瓤,二钱半) 防风(半两)
将上述药物研成细末,每次服用三钱,用水一大盏,煎至七分水量,去渣,加入如枣核大小的酥油,搅拌均匀,饭后温服。
利膈汤(出自《本事方》):治疗虚烦上壅,脾肺有热,咽喉生疮。
鸡苏叶 荆芥 防风 桔梗 人参 牛蒡子(隔纸炒) 甘草(各一两)
将上述药物研成细末,每次服用一钱,用沸水冲泡服用。如果咽痛口疮严重的,加僵蚕一两。
桔梗汤(李东垣方):治疗咽肿,微微感觉疼痛,声音嘶哑破裂,季冬时节合用此方。
麻黄(保留节,五分) 桔梗(一钱) 黄芩(三钱) 甘草(一钱) 白僵蚕(三钱) 马屁勃(一两) 桂枝(少许) 当归身(三分)
用水二盏,煎煮去渣,稍热时服用,饭后,慢慢地呷服。
发声散(出自《宝鉴》):治疗咽痛但不妨碍吞咽食物,吞咽时则微痛,不宜使用寒凉药过度泻下,这是妨害闷塞且明热的表现。
栝蒌(一个) 白僵蚕(半两,炒) 桔梗(选用新白的,七钱半,炒) 甘草(二钱,炒)
将上述药物研成粉末,每次取少量,干撒在咽喉中。如果肿痛严重,左右发红,或者只有一侧红紫肿大,导致水米难下,用此药一钱,朴硝一钱匕,混合均匀,干撒在喉中,咽下津液。如果喉中生赤肿,或者有小白头疮,用此药一钱匕,白矾半钱,细研如粉,混合均匀,干撒之。
碧云散
白矾(明净,一钱) 巴豆(一粒,去壳)
将白矾研成末,在瓦上熔化,放入巴豆在矾液中,等到矾干为止,细研,分作四次服用,每一字用量,用竹管吹入咽中,流出涎液为见效。另一方法,使用青矾。
Sanhuang Wan (See Fever section).
Longshe Jusheng Dan (Dragon Musk Gathering Sage Pill) [from *Baojian*, same below]: Treats exogenous heat in the Heart and Spleen, with toxic qi attacking and rushing, causing redness, swelling, and pain in the throat, or forming Hou Bi (throat obstruction), or forming hard lumps that do not dissipate. It may recur after healing and persist without recovery for a long time. Or it causes swelling of the tongue root, sores all over the mouth, and difficulty swallowing food and drink; this formula is suitable for all such cases.
Nan Peng Sha (South Borax, ground) Chuan Xiong (Szechwan Lovage Root, each 1 liang) Sheng Di Huang (Rehmannia Root, fresh) Xi Jiao Jie (Rhinoceros Horn shavings) Ling Yang Jiao Jie (Antelope Horn shavings) Hu Po (Amber, ground) Xuan Shen (Scrophularia Root) Jie Geng (Platycodon Root) Sheng Ma (Cimicifuga Rhizome) Qian Bai Shuang (Lead White Frost, ground) Lian Qiao (Forsythia Fruit, each 5 qian) Chi Fu Ling (Red Poria, with red skin) Ma Ya Xiao (Saltpeter) Nao Zi (Camphor, ground) Ren Shen (Ginseng Root) She Xiang (Musk, each 3 qian) Zhu Sha (Cinnabar, water-floating processed) Niu Huang (Calculus Bovis, ground, each 2 qian)
Grind the above ingredients into fine powder. Use refined honey to make pills. Each liang of powder makes ten pills. Coat with fifty pieces of gold foil. Take one pill per dose. Dissolve in Bohe Tang (Mint Decoction) or newly drawn cold water. Alternatively, chew thoroughly or hold in the mouth to dissolve slowly and swallow with saliva. All methods are acceptable. Take after meals and before bedtime.
Qudu Niuhuang Wan (Toxin-Expelling Calculus Bovis Pill): Treats adults and children with sore throat and swelling, stiffness of the tongue root, sores in the mouth, excessive salivation with wheezing and urgency, difficulty eating, and discomfort in the chest and diaphragm.
Niu Huang (Calculus Bovis, ground, 3.5 qian) Ren Shen (Ginseng Root) Hu Po (Amber, ground) Xi Jiao (Rhinoceros Horn, taken as fine powder) Jie Geng (Platycodon Root) Sheng Di Huang (Rehmannia Root, preferably those that sink in water) Peng Sha (Borax, each 0.5 liang) Xiong Huang (Realgar, 1 liang, water-floating processed) Xuan Shen (Scrophularia Root) Sheng Ma (Cimicifuga Rhizome, each 3 qian) Ha Fen (Clam Shell Powder, water-floating processed, 4 liang) Han Shui Shi (Halloysitum Rubrum, calcined, 2 liang) Zhu Sha (Cinnabar, water-floating and ground, 7 qian) Qian Bai Shuang (Lead White Frost) Nao Zi (Camphor, each 1 qian)
Grind the above ingredients into fine powder. Use refined honey to make pills, sized like small pellets. Coat with gold foil. Store in porcelain containers. Take one pill per dose. Dissolve in strong Mint Decoction or newly drawn cold water. Take after meals, two to three doses daily. Holding in the mouth to dissolve is also acceptable.
Yanhou Beijidan (Throat Emergency Calming Pill)
Qing Dai (Indigo Naturalis) Mang Xiao (Mirabilite) Bai Jiang Can (White Silkworm, each 1 liang) Gan Cao (Licorice Root, 4 liang)
Grind the above ingredients into fine powder. Place them inside the gallbladder of an ox from the twelfth lunar month (which contains bile). Shade-dry for forty-nine days; longer is better.
Zengsun Rusheng Tang (Modified Like-Sage Decoction) [from *Baojian*]: Treats Wind-Heat attacking the epiglottis, resulting in loss of voice, throat obstruction, stuffiness, swelling, and pain.
Jie Geng (Platycodon Root, 2 liang) Zhi Gan Cao (Honey-fried Licorice Root, 1.5 liang) Zhi Ke (Aurantium Fruit, soaked in decoction, pith removed, 2.5 qian) Fang Feng (Saposhnikovia Root, 0.5 liang)
Grind the above ingredients into fine powder. Take 3 qian per dose. Add one large cup of water. Boil until reduced to 70%. Strain. Add butter the size of a jujube pit. Stir well. Take warm after meals.
Lige Tang (Diaphragm-Opening Decoction) [from *Benshi Fang*]: Treats deficiency-fire harassing upwards, Heat in the Spleen and Lung, and sores in the throat.
Ji Su Ye (Elsholtzia Leaf) Jing Jie (Schizonepeta Spike) Fang Feng (Saposhnikovia Root) Jie Geng (Platycodon Root) Ren Shen (Ginseng Root) Niu Bang Zi (Arctium Seed, stir-fried between papers) Gan Cao (Licorice Root, each 1 liang)
Grind the above ingredients into fine powder. Take 1 qian per dose. Steep in boiling water. If throat pain and mouth sores are severe, add 1 liang of Jiang Can (Silkworm).
Jie Geng Tang (Platycodon Decoction) [by Li Dongyuan]: Treats swollen throat, slight pain, hoarse voice. Combined in late winter.
Ma Huang (Ephedra Stem, retaining nodes, 5 fen) Jie Geng (Platycodon Root, 1 qian) Huang Qin (Scutellaria Root, 3 qian) Gan Cao (Licorice Root, 1 qian) Bai Jiang Can (White Silkworm, 3 qian) Ma Pi Bo (Pilea Peperomioides, 1 liang) Gui Zhi (Cinnamon Twig, a small amount) Dang Gui Shen (Angelica Sinensis Root Body, 3 fen)
Add two cups of water. Boil and strain. Take slightly warm after meals. Sip slowly.
Jinfei Cao San (Golden Fern Herb Powder) and Chen Sha Huatan Wan (Cinnabar Phlegm-Resolving Pill) (See Cough section).
Fasheng San (Voice-Illuminating Powder) [from *Baojian*]: Treats throat pain that does not hinder swallowing, but causes slight pain when swallowing. Do not use cold-natured herbs to excessively purge, as this indicates obstruction with clear Heat.
Gua Lou (Trichosanthes Fruit, one piece) Bai Jiang Can (White Silkworm, 0.5 liang, stir-fried) Jie Geng (Platycodon Root, select fresh white ones, 7.5 qian, stir-fried) Gan Cao (Licorice Root, 2 qian, stir-fried)
Grind into powder. Take a small amount each time. Dry-dust into the throat. If swelling and pain are severe, with redness on both sides, or only one side red-purple and enlarged, preventing intake of water and rice: mix 1 qian of this powder with 1 qian-bi of Pu Xiao (Mirabilite). Mix evenly. Dry-dust into the throat. Swallow saliva. If there are red swellings or small white-headed sores in the throat: mix 1 qian-bi of this powder with 0.5 qian of Bai Fan (Alum). Grind finely into powder. Mix evenly. Dry-dust into the throat.
Bi Yun San (Green Cloud Powder)
Bai Fan (Alum, pure and clear, 1 qian) Ba Dou (Croton Seed, one seed, shell removed)
Grind Bai Fan into powder. Melt on a tile. Insert Ba Dou into the molten alum. Wait until the alum dries. Grind finely. Divide into four doses. Blow one "zi" (a very small measure) into the throat using a bamboo tube. Effect is achieved when saliva flows out. Another method uses Qing Fan (Green Alum).
Ji Su Wan (Elsholtia Pill) (See Hematemesis section). Chen Sha Wuling San (Cinnabar Five-Ling Powder) (See Xiao Dao section).