Formulas · Text · Donguibogam 東醫寶鑑

Voice

Seongeum

한글 성음 · Pinyin Sheng Yin

The heart its master, the lung its gate, the kidney its root — the anatomy of speech, what a physician hears in a voice, and the two kinds of muteness

聲音

A short chapter with an unusually exact anatomy. The voice has three organs behind it: the heart masters it, the lung is its gate, the kidney its root — so a voice lost suddenly is treated at the lung and one lost slowly at the kidney. The Lingshu then names the parts that make speech and gives each a job: the epiglottis is the door of the voice, the lips its leaves, the tongue its trigger, the uvula its gate-pin, and the hyoid the bone the spirit qi works the tongue with — and a small thin epiglottis opens and shuts easily while a large thick one stammers. The second section is diagnosis by ear, from the Nanjing's five notes to the Immun's five phases of sound, and Dongwon's observation that a voice from a damp body sounds as if spoken from inside a jar. Then the two kinds of muteness that the whole chapter turns on: tongue muteness, where the tongue will not move but the voice is unchanged, and throat muteness, where the voice is hoarse but the tongue works — the first a stroke, the second consumption. The formulas divide the same way, and three medicinals run through nearly all of them: chebula to hold the voice, platycodon to open it, licorice to ease it.

3.1 The Voice Issues from the Kidney 聲音出於腎

3.1.1

Source원문

心爲聲音之主, 肺爲聲音之門, 腎爲聲音之根. 風寒暑濕, 氣血痰熱, 邪氣有干於心肺者, 病在上脘, 隨證解之, 邪氣散則天籟鳴矣. 若夫腎虛爲病, 不能納諸氣以歸元, 故氣逆而上, 咳嗽痰壅, 或喘或脹, 胸腹百骸俱爲之牽引. 其嗽愈重, 其氣愈乏, 其聲愈乾矣. 《直指》

Translation영역

The heart is the master of the voice, the lung its gate, the kidney its root. Where wind, cold, summerheat or damp, or qi, blood, phlegm or heat, have offended against the heart and lung, the disease is in the upper cavity; resolve it according to the pattern, and when the evil qi disperses the heaven-pipes sound again. But where the kidney's vacuity is the disease, it cannot draw the various qi in and return them to the origin, and so the qi counterflows upward: there is cough with phlegm congestion, panting or distension, and chest, abdomen and the hundred bones are all pulled by it. The more the cough worsens, the more the qi fails, and the drier the voice becomes.

Clinical note임상 주석

Three organs and a rule for dividing the chapter: an acute voice is the lung's and a chronic one the kidney's. 天籟, the pipes of heaven, is the Zhuangzi's phrase for the wind in the hollows, borrowed for a throat that has come open again.

Jikji 直指

3.1.2

Source원문

一小兒吐瀉, 錢氏與瓜蔞湯方見小兒得愈. 其兒又不大小便, 他醫以藥利之, 變身冷不飮食. 錢氏用益黃散ㆍ使君子丸, 果身溫而能飮食. 其兒又不語, 錢氏曰, 此因凉藥利小便, 致脾腎俱虛. 今脾已實, 腎尙虛, 用六味地黃元方見虛勞, 一月而愈. 《錢乙》

Translation영역

A child had vomiting and diarrhoea, and Qian Yi gave Trichosanthes Decoction formula in the Children chapter and it was healed. Then the child passed neither stool nor urine; another physician used medicine to free them, and the child turned cold-bodied and would not eat or drink. Qian Yi used Boost the Yellow Powder and Quisqualis Pill, and sure enough the body warmed and the child could eat and drink. Then the child would not speak, and Qian Yi said: this comes of cooling medicines used to free the urine, so that spleen and kidney are both made vacuous. Now the spleen is already replete and the kidney still vacuous — he used Six Flavours Rehmannia Pill formula in the Vacuity Taxation chapter, and in a month it was healed.

Clinical note임상 주석

Qian Yi's case, in three moves, and the last is the chapter's argument in practice: a child who has stopped speaking after over-purging is treated at the kidney, because 3.1.1 puts the root of the voice there. The warning about cooling medicines in children is the Children chapter's whole quarrel with the physicians of his day.

Jeon Eul (錢乙)

3.1.3

Source원문

腎虛聲不出, 宜服人參平補湯. 大病後失音, 宜服腎氣丸方見虛勞.

Translation영역

Where the kidney is vacuous and the voice does not come out, Ginseng Level Supplementation Decoction should be taken. For loss of voice after a great illness, Kidney Qi Pill formula in the Vacuity Taxation chapter should be taken.

Donguibogam · Seongeum

3.2 Distinguishing Patterns by Listening to the Voice 聽聲音辨病證

3.2.1

Source원문

內經曰, 視喘息, 聽音聲, 而知所苦. 又曰, 中盛藏滿, 氣勝傷恐者, 聲如從室中言, 是中氣之濕也.

Translation영역

The Neijing says: watch the breathing and listen to the voice, and one knows what ails. It also says: where the centre is exuberant and the viscera full, and the qi prevails with damage from fear, the voice is as though spoken from inside a room — this is damp in the centre qi.

Naegyeong 內經

3.2.2

Source원문

靈樞曰, 病人語聲寂寂然善驚呼者, 骨節間病. 語聲喃喃然不徹者, 心膈間病. 語聲啾啾然細而長者, 頭中病.

Translation영역

The Lingshu says: where a patient's voice is faint and still and he is given to starting and crying out, the disease is between the bones and joints. Where the voice mutters and does not carry, the disease is between heart and diaphragm. Where the voice is thin and drawn out like a small chirping, the disease is in the head.

Clinical note임상 주석

Three voices and three locations, and the third is the best of them: a thin drawn-out voice for a disease in the head, which is what a person with a headache sounds like when they are trying not to jar it.

Yeongchu 靈樞

3.2.3

Source원문

又曰, 聞而知之謂之聖.

Translation영역

It also says: to know by hearing is called sagely.

Nangyeong 難經

3.2.4

Source원문

難經曰, 聞而知之者, 聞其五音以別其病也. 假如肝病則聲悲, 肺病則聲促, 心病則聲雄, 脾病則聲慢, 腎病則聲沈, 大腸病則聲長, 小腸病則聲短, 胃病則聲速, 膽病則聲淸, 膀胱病則聲微. 《回春》

Translation영역

The Nanjing says: to know by hearing is to hear the five notes and so tell the disease apart. For instance, in liver disease the voice is grieving; in lung disease, hurried; in heart disease, booming; in spleen disease, slow; in kidney disease, sunken; in large intestine disease, long; in small intestine disease, short; in stomach disease, quick; in gallbladder disease, clear; in bladder disease, faint.

Clinical note임상 주석

Ten organs with a quality of voice each — the Nanjing's 聞而知之 worked out to the bowels as well as the viscera. 肝病則聲悲, the liver's voice grieving, sits oddly against the Liver chapter's 2.4, where the liver's sound was shouting.

Hoechun 回春

3.2.5

Source원문

內經曰, 聲合五音.

Translation영역

The Neijing says: the voice matches the five notes.

Naegyeong 內經

3.2.6

Source원문

入門曰, 金聲響, 土聲濁, 木聲長, 水聲淸, 火聲燥.

Translation영역

The Immun says: metal's sound rings, earth's is muddy, wood's is long, water's is clear, fire's is dry.

Immun 入門

3.2.7

Source원문

土音如居深瓮中言. 又曰, 濕勝則音聲如從瓮中出, 濕若中水也. 《東垣》

Translation영역

The earth sound is as though one spoke from inside a deep jar. It is also said: where damp prevails, the voice is as though it came out of a jar — the damp being like water in the centre.

Clinical note임상 주석

如從瓮中出 — as if from inside a jar. The muffled, resonant voice of a blocked nose and congested sinuses, and Dongwon reads it as damp because damp is what dulls a sound. It is the chapter's most usable piece of listening.

Dongwon 東垣

3.3 Sudden Loss of Voice 卒然無音

3.3.1

Source원문

黃帝問曰, 人之卒然憂恚而無音者, 何道之塞, 何氣出行, 使音不彰. 願聞其方.

Translation영역

The Yellow Emperor asked: when a person is suddenly grieved or angered and has no voice, what road is blocked, what qi has gone out, so that the voice does not sound? I should like to hear the method of it.

Yeongchu 靈樞

3.3.2

Source원문

少師答曰, 咽喉者, 水穀之道也. 喉嚨者, 氣之所以上下者也. 會厭者, 聲音之戶也. 口脣者, 聲音之扇也. 舌者, 聲音之機也. 懸雍垂者, 聲音之關也. 頏顙者, 分氣之所泄也. 橫骨者, 神氣所使, 主發舌者也. 故人之鼻洞涕出不收者, 頏顙不開, 分氣失也. 是故厭小而薄, 則發氣疾, 其開闔利, 其出氣易. 其厭大而厚, 則開闔難, 其氣出遲, 故重言也. 人卒然無音者, 寒氣客于厭, 則厭不能發, 發不能下至, 其開闔不致, 故無音. 《靈樞》

Translation영역

Shaoshi answered: the gullet is the road of water and grain. The windpipe is what the qi goes up and down by. The epiglottis is the door of the voice. The mouth and lips are the leaves of the door. The tongue is the trigger of the voice. The uvula is the gate-pin of the voice. The nasopharynx is where the divided qi is discharged. The hyoid is what the spirit qi works with, and governs the moving of the tongue. So where a person's nose runs and the mucus cannot be held back, the nasopharynx is not open and the divided qi is lost. Therefore where the epiglottis is small and thin the qi is issued quickly, its opening and shutting is easy, and the breath comes out readily; where the epiglottis is large and thick the opening and shutting is difficult and the breath comes out slowly, and so there is stammering. When a person suddenly has no voice, cold qi has lodged in the epiglottis, so that the epiglottis cannot issue, and issuing cannot come down; its opening and shutting does not meet, and so there is no voice.

Clinical note임상 주석

The Lingshu's 憂恚無言 chapter, and the anatomy of speech is nearly right: epiglottis, lips, tongue, uvula, nasopharynx and hyoid, each with a function, and the hyoid correctly given as what the tongue is worked from. 重言, doubled speech, is stammering, and the Lingshu puts it down to a thick epiglottis.

Yeongchu 靈樞

3.3.3

Source원문

醉臥當風, 使人失音. 《得效》

Translation영역

Lying drunk in a draught makes a person lose the voice.

Deukhyo 得效

3.3.4

Source원문

卒失音, 宜荊蘇湯ㆍ人參荊芥散ㆍ射干湯.

Translation영역

For sudden loss of voice, Schizonepeta and Perilla Decoction, Ginseng and Schizonepeta Powder and Belamcanda Decoction are appropriate.

Donguibogam · Seongeum

3.3.5

Source원문

人患卒瘂, 取杏仁七錢半熬, 桂心末二錢半, 和搗如泥, 取李核大, 綿裹含嚥汁, 日五夜三. 《本草》

Translation영역

For a person suffering sudden muteness: take apricot kernels 7 don 5 pun, parched, and powdered cinnamon heartwood 2 don 5 pun, pound them together to a paste, take a piece the size of a plum stone, wrap it in silk floss, hold it in the mouth and swallow the juice — five times by day and three by night.

Boncho 本草

3.3.6

Source원문

又方, 苦竹葉濃煎服. 又橘皮濃煎頻服. 《本草》

Translation영역

Another formula: bitter bamboo leaf decocted thick and taken. Also tangerine peel decocted thick and taken often.

Boncho 本草

3.3.7

Source원문

風冷卒失音, 紫蘇葉ㆍ荊芥穗各一兩, 搗取汁, 入酒相和, 溫服半盞. 《丹心》

Translation영역

For sudden loss of voice from wind cold: perilla leaf and schizonepeta spike 1 nyang each, pounded and the juice taken, mixed with wine, and half a jan taken warm.

Dansim 丹心

3.4 Voice Lost Through Other Diseases 因雜病失音

3.4.1

Source원문

中風人飮食坐臥如常, 但失音不語, 俗呼爲瘂風. 小續命湯方見風門去附子, 加石菖蒲一錢. 或訶子淸音湯亦可方見下. 《醫鑑》

Translation영역

A wind-stroke patient who eats, sits and lies as usual but has lost the voice and cannot speak is commonly said to have mute wind. Minor Prolong Life Decoction formula in the Wind chapter with the aconite removed and 1 don of acorus added; or Chebula Clear the Voice Decoction will also do the formula appears below.

Clinical note임상 주석

瘂風, mute wind — a stroke that has taken only the speech, with everything else intact. The Wind chapter treats it; the acorus is added here because acorus is what the tradition used to open the heart's orifice, and 3.1.1 made the heart the voice's master.

Uigam 醫鑑

3.4.2

Source원문

因咳嗽失音, 人參淸肺散ㆍ杏仁煎ㆍ蛤蚧丸.

Translation영역

For voice lost through cough: Ginseng Clear the Lung Powder, Apricot Kernel Decocted Paste and Gecko Pill.

Donguibogam · Seongeum

3.4.3

Source원문

痰塞失音, 宜玉粉丸ㆍ芎辛散.

Translation영역

For voice lost through phlegm blocking, Jade Powder Pill and Chuanxiong and Asarum Powder are appropriate.

Donguibogam · Seongeum

3.4.4

Source원문

虛損憔悴, 氣血不足, 失聲音久瘖, 宜天眞元方見內傷, 服過半月, 言語自然有聲. 《得效》

Translation영역

For vacuity detriment and haggardness, with qi and blood insufficient and the voice lost and long mute, Heavenly Truth Pill formula in the Internal Damage chapter is appropriate; taken for more than half a month, speech naturally has a voice again.

Deukhyo 得效

3.4.5

Source원문

因謳歌失音, 宜響聲破笛丸. 《回春》

Translation영역

For voice lost through singing, Sound the Voice and Break the Flute Pill is appropriate.

Hoechun 回春

3.4.6

Source원문

因喉痛生瘡聲瘂, 宜通隘散方見咽喉.

Translation영역

For a hoarse voice from throat pain with sores, Free the Narrows Powder formula in the Throat chapter is appropriate.

Donguibogam · Seongeum

3.4.7

Source원문

痘瘡後失音, 宜馮氏天花散方見小兒.

Translation영역

For voice lost after smallpox, Master Feng's Trichosanthes Powder formula in the Children chapter is appropriate.

Donguibogam · Seongeum

3.4.8

Source원문

産後失聲言不出, 宜茯苓補心湯方見血門.

Translation영역

For loss of voice after childbirth with speech not coming out, Poria Supplement the Heart Decoction formula in the Blood chapter is appropriate.

Clinical note임상 주석

Seven causes with a formula each — stroke, cough, phlegm, depletion, singing, throat sores, smallpox and childbirth. The section is an index, and it is the chapter's most practical page: find the cause and the formula is named.

Donguibogam · Seongeum

3.5 Reversal Qi Makes Muteness 厥氣爲瘖

3.5.1

Source원문

厥氣走喉而不能言, 手足淸, 大便不利, 取足少陰. 又曰, 人卒然無音, 刺之奈何. 岐伯曰, 足之少陰, 上繫於舌, 絡於橫骨, 終於會厭. 兩瀉其血脈, 濁氣乃辟. 會厭之脈, 上絡任脈, 取之天突穴名, 其厭乃發. 《靈樞》

Translation영역

Where the reversal qi runs to the throat and one cannot speak, with the hands and feet cold and the stool not free, take the foot lesser yin. It is also asked: when a person suddenly has no voice, how is it needled? Qi Bo said: the foot lesser yin ties above to the tongue, networks to the hyoid and ends at the epiglottis. Drain its blood vessels on both sides and the turbid qi is driven off. The epiglottis's vessel networks above to the controlling vessel; take it at Cheondol a point name, and the epiglottis then issues.

Clinical note임상 주석

The kidney channel traced to the tongue, hyoid and epiglottis — the anatomical basis for 3.1's claim that the kidney is the voice's root — and Cheondol (天突, CV22), in the suprasternal notch, is where the needle goes.

Yeongchu 靈樞

3.5.2

Source원문

一男子久病痰嗽, 忽感風寒, 食酒肉, 遂厥氣走喉, 病暴瘖. 灸豐隆二穴各三壯, 照海二穴各一壯, 其聲立出. 仍用黃芩降火爲君, 杏仁ㆍ陳皮ㆍ桔梗瀉厥氣爲臣, 訶子泄逆氣, 甘草和元氣爲佐, 服之良愈. 《綱目》

Translation영역

A man long ill with phlegmy cough suddenly contracted wind cold, ate wine and meat, and thereupon the reversal qi ran to the throat and he fell suddenly mute. Three cones of moxa were burnt at each of the two Pungnyung points and one at each of the two Johae points, and his voice came out at once. Then scutellaria was used to downbear the fire as sovereign, apricot kernel, tangerine peel and platycodon to drain the reversal qi as minister, chebula to discharge the counterflowing qi and licorice to harmonize the origin qi as assistants — and taking it he was well healed.

Clinical note임상 주석

Moxa first and the formula after, and the formula is written out by rank — sovereign, minister, assistants — which is the chapter's one worked example of how a prescription is built. Pungnyung (豐隆, ST40) for phlegm and Johae (照海, KI6) for the throat are still the standard pair.

Gangmok 綱目

3.6 There Are Two Kinds of Muteness 瘖瘂有二

3.6.1

Source원문

瘖者, 邪入陰分也. 內經曰, 邪搏陰則爲瘖. 又曰, 邪入於陰搏則爲瘖. 然有二證. 一曰舌瘖, 乃中風舌不轉運之類是也.

Translation영역

Muteness is evil entering the yin division. The Neijing says: where evil strikes against the yin there is muteness. It also says: where evil enters the yin and strikes, there is muteness. But there are two patterns. The first is tongue muteness — the sort where in wind-stroke the tongue will not turn and move.

Gangmok 綱目

3.6.2

Source원문

二曰喉瘖, 乃勞嗽失音之類是也. 盖舌瘖但舌本不能轉運言語, 而喉咽音聲則如故也. 喉瘖但喉中聲嘶, 而舌本則能轉運言語也. 《綱目》

Translation영역

The second is throat muteness — the sort where taxation cough has taken the voice. In tongue muteness the root of the tongue cannot turn and move for speech, but the voice in throat and gullet is as before; in throat muteness there is only hoarseness in the throat, while the root of the tongue can still turn and move for speech.

Clinical note임상 주석

The chapter's central distinction, and it is a clean one: dysarthria against dysphonia. Tongue muteness is a stroke and is treated at the Wind chapter; throat muteness is laryngeal and is what the rest of this chapter treats. A physician who could tell them apart by asking the patient to speak had most of what mattered.

Gangmok 綱目

3.7 Hoarseness 聲嘶

3.7.1

Source원문

五藏久咳則聲嘶. 聲嘶者, 喉破也, 非咽門病也. 《得效》

Translation영역

Where the five viscera cough long there is hoarseness. Hoarseness is the throat broken; it is not a disease of the gullet's gate.

Clinical note임상 주석

喉破也, 非咽門病也 — the throat broken, not the gullet diseased. The Deukhyo separating the larynx from the pharynx, and it is the same distinction 3.6 drew: what hurts to swallow and what has taken the voice are different places.

Deukhyo 得效

3.7.2

Source원문

用力顫掉聲嘶, 乃氣虛衛冷甚也. 《入門》

Translation영역

Where on exertion there is trembling and hoarseness, the qi is vacuous and the defence severely cold.

Immun 入門

3.7.3

Source원문

咳嗽聲嘶者, 血虛受熱也. 用靑黛ㆍ蛤粉, 蜜調作丸含化. 《丹心》

Translation영역

Hoarseness with cough is blood vacuity taking in heat. Use indigo and clam shell powder, mixed with honey into pills and melted in the mouth.

Clinical note임상 주석

Indigo and clam powder — Danxi's pair, and the formula the Cough chapter knows as Daehapsan. Made into a lozenge here rather than a draught, because the hoarseness is treated where it is.

Dansim 丹心

3.7.4

Source원문

聲嘶, 宜柴胡升麻湯ㆍ潤肺丸ㆍ蜜脂煎.

Translation영역

For hoarseness, Bupleurum and Cimicifuga Decoction, Moisten the Lung Pill and Honey and Lard Decocted Paste are appropriate.

Donguibogam · Seongeum

3.8 Kidney Timidity Resembles Loss of Voice 腎怯與失音相似

3.8.1

Source원문

病吐瀉及大病後, 雖有聲而不能言, 又能進藥, 此非失音, 乃腎怯不能上接於陽故也. 當補腎, 地黃元方見虛勞主之. 失音乃感風寒卒病耳. 《錢仲陽》

Translation영역

After illness with vomiting and diarrhoea, or after a great illness, where there is voice but the patient cannot speak, and yet can still take medicine — this is not loss of voice, but kidney timidity unable to reach up and join the yang. The kidney should be supplemented, and Rehmannia Pill formula in the Vacuity Taxation chapter governs it. Loss of voice is a sudden illness from contracting wind cold, and that is all.

Clinical note임상 주석

雖有聲而不能言 — there is voice but no speech. Qian Yi separating a third thing from both kinds of muteness: the exhausted child who can make a sound and has not the strength to form words. It is neither a stroke nor a laryngitis, and treating it as either would be wrong.

Jeon Jungyang (錢仲陽)

3.9 The Breath Has a Sound 息有音

3.9.1

Source원문

不得臥而息有音者, 是陽明之逆也. 足三陽者下行, 今逆而上行, 故息有音也. 陽明者, 胃脈也. 陽明逆, 不得從其道, 故不得臥也. 夫起居如故而息有音者, 此肺之絡脈逆也. 絡脈之病人也微, 故起居如故而息有音也. 《內經》

Translation영역

Where one cannot lie down and the breath has a sound, this is the yang brightness counterflowing. The three foot yang channels run downward; now they counterflow and run upward, and so the breath has a sound. The yang brightness is the stomach's channel; where the yang brightness counterflows it cannot follow its road, and so one cannot lie down. Where one's rising and resting are as usual and yet the breath has a sound, this is the lung's network vessels counterflowing; a disease of the network vessels affects a person slightly, and so rising and resting are as usual and yet the breath has a sound.

Clinical note임상 주석

Two noisy breaths told apart by one question: can the patient lie flat? Orthopnoea with noisy breathing is the stomach channel — the serious case — and noisy breathing in someone otherwise well is the lung's networks, which is minor. The Suwen's triage is sound.

Naegyeong 內經

3.10 Untreatable Signs 不治證

3.10.1

Source원문

內傷虛損, 咽瘡失音者, 無治法. 《入門》

Translation영역

In internal damage with vacuity detriment, where there are throat sores and the voice is lost, there is no method of treatment.

Immun 入門

3.10.2

Source원문

病人五藏已奪, 神明不守, 聲嘶者死. 《扁鵲》

Translation영역

Where a patient's five viscera have already been robbed, the spirit-brightness does not keep its place, and the voice is hoarse — death.

Pyeonjak 扁鵲

3.10.3

Source원문

病人陰陽俱絶, 失音不能言者, 三日半死. 《華佗》

Translation영역

Where a patient's yin and yang are both cut off and the voice is lost so that he cannot speak — death in three and a half days.

Clinical note임상 주석

Throat ulceration with aphonia in a wasting patient is tuberculous laryngitis, and the Worms chapter's 14.20.3 gave the same verdict: 勞瘵咽瘡失音者死. The two chapters agree, and they are describing the end of the same disease.

Hwata 華佗

3.11 Hoarseness in Cold Damage and Fox-Delusion 傷寒狐惑聲瘂

3.11.1

Source원문

見傷寒門.

Translation영역

See the Cold Damage chapter.

Donguibogam · Seongeum

3.12 Hoarseness in Children's Gan Dysentery 小兒疳痢聲瘂

3.12.1

Source원문

見小兒門.

Translation영역

See the Children chapter.

Donguibogam · Seongeum

3.13 Medicines for the Voice in General 通治聲音藥

3.13.1

Source원문

尋常聲音不淸, 宜加味固本丸ㆍ加味上淸丸ㆍ香椿芽丸ㆍ發聲散ㆍ訶子散ㆍ淸音散ㆍ訶子淸音湯ㆍ出聲音方.

Translation영역

For an ordinarily unclear voice, Supplemented Secure the Root Pill, Supplemented Upper Clearing Pill, Toon Sprout Pill, Issue the Voice Powder, Chebula Powder, Clear the Voice Powder, Chebula Clear the Voice Decoction and the formula for bringing out the voice are appropriate.

Donguibogam · Seongeum

3.13.2

Source원문

治一人患乾咳嗽聲瘂, 用白朮二錢, 人參ㆍ橘紅各一錢半, 半夏麴一錢, 白茯苓ㆍ桑白皮ㆍ天門冬各七分, 甘草ㆍ靑皮各三分, 五味子二十粒, 知母ㆍ地骨皮ㆍ瓜蔞仁ㆍ桔梗各五分, 作一貼, 入薑三片, 煎服. 夏加黃芩五分. 仍與四物湯入童便ㆍ竹瀝ㆍ薑汁, 幷炒黃栢, 二藥晝夜相間服, 兩月聲出而愈. 《丹溪》

Translation영역

Treating a man who suffered a dry cough with a hoarse voice: white atractylodes 2 don; ginseng and red tangerine peel 1 don 5 pun each; pinellia leaven 1 don; white poria, mulberry root bark and asparagus 7 pun each; licorice and green tangerine peel 3 pun each; schisandra 20 grains; anemarrhena, lycium root bark, trichosanthes seed and platycodon 5 pun each — made one packet with 3 slices of ginger and decocted. In summer add 5 pun of scutellaria. Along with it, Four Substances Decoction with child's urine, bamboo sap and ginger juice, and fried phellodendron; the two medicines taken alternately by day and night. In two months the voice came out and he was healed.

Clinical note임상 주석

Danxi's case, and the method is two formulas alternating day and night — one to supplement the qi and dry the phlegm, one to nourish the blood and cool the fire — for two months. The chapter ends its treatments on a patient who took that long.

Danggye 丹溪

3.14 Simple Medicinals 單方

3.14.1

Source원문

凡十二種.

Translation영역

Twelve kinds in all.

Clinical note임상 주석

Twelve simples for the voice — acorus, akebia fruit, tetrapanax, apricot kernel, cinnamon heartwood, bitter bamboo leaf, tangerine peel, pear, dried persimmon, sesame oil, child's urine and hen's eggs. Most are taken by holding them in the mouth and swallowing the juice, as the chapter's formulas are. The pear entry is for wind-stroke muteness: press the juice and take a hop twice a day.

Donguibogam · Seongeum

3.15 Acupuncture and Moxibustion 鍼灸法

3.15.1

Source원문

卒然無音, 取天突. 《靈樞》

Translation영역

For sudden loss of voice, take Cheondol (天突, CV22).

Yeongchu 靈樞

3.15.2

Source원문

厥氣走喉不能言, 取照海. 《靈樞》

Translation영역

Where the reversal qi runs to the throat and one cannot speak, take Johae (照海, KI6).

Yeongchu 靈樞

3.15.3

Source원문

喉痺卒瘖, 取豐隆. 《靈樞》

Translation영역

For throat impediment with sudden muteness, take Pungnyung (豐隆, ST40).

Yeongchu 靈樞

3.15.4

Source원문

暴瘖氣喘, 取扶突ㆍ廉泉. 《靈樞》

Translation영역

For sudden muteness with panting, take Budol (扶突, LI18) and Yeomcheon (廉泉, CV23).

Yeongchu 靈樞

3.15.5

Source원문

暴失音, 取神門ㆍ涌泉. 《綱目》

Translation영역

For sudden loss of voice, take Sinmun (神門, HT7) and Yongcheon (涌泉, KI1).

Clinical note임상 주석

The heart's own point and the kidney's — 3.1.1's master and root needled together, and the Heart chapter's 3.10 said Sinmun is the only point the heart channel has.

Gangmok 綱目

3.15.6

Source원문

暴瘖, 取合谷ㆍ陽交ㆍ通谷ㆍ天鼎ㆍ期門ㆍ支溝ㆍ涌泉. 《甲乙經》

Translation영역

For sudden muteness, take Hapgok (合谷, LI4), Yanggyo (陽交, GB35), Tonggok (通谷, BL66), Cheonjeong (天鼎, LI17), Gimun (期門, LR14), Jigu (支溝, TE6) and Yongcheon (涌泉, KI1).

Gabeulgyeong 甲乙經

About this translation 凡例

Base text: Donguibogam (東醫寶鑑, 1613 first edition), Inner Landscape, Volume 2, Voice chapter. The Chinese text is collated against the public-domain Wikisource transcription and a printed edition; original character forms (脉, 人參) are retained. Terminology follows Wiseman & Feng, A Practical Dictionary of Chinese Medicine. Translation and clinical notes are original to this site. — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.