Chronic pharyngitis—due to yin deficiency and exuberant fire; treat with Zhenyin Decoction and Yinhuo Decoction.
Release Date:
2020-05-27
“Normally it’s just a dull ache—not very severe—and I don’t dare eat even the slightest spicy or ‘heat-inducing’ food.” This is due to deficiency of kidney yin. If such symptoms are treated by methods that clear heat and detoxify, the condition will only grow worse with each treatment, and it may take years before it improves. For treating this kind of chronic pharyngitis, I recommend trying Zhang Jingyue’s “Zhenyin Decoction”: Rehmannia root (prepared) 30–60 g, Achyranthes root 6 g, honey-fried licorice 3 g, Alisma 5 g, cinnamon 3 g (ground into powder and taken by冲服), and processed Aconite 6 g (decocted first for half an hour). Usually three doses are sufficient for recovery. This formula is primarily indicated for chronic pharyngitis caused by kidney yin deficiency and subsequent insufficiency of kidney yin. As the saying goes, “Shallow water cannot nourish the dragon”; when the yang qi in the kidneys has no proper foundation, it surges upward, giving rise to symptoms in the throat. Zhenyin Decoction mainly aims to replenish kidney yin, while also incorporating a small amount of yang-tonifying herbs to guide the rising fire downward, thus enabling the fire of the kidney meridian to return to its proper place. Similarly, Fu Qingzhu’s “Yinhuo Decoction” can also be used to treat such symptoms in the throat.
Your tongue photograph is very clear, revealing a reddish hue along the edges and tip of the tongue, with visible papillae, tooth marks on the borders, and a smooth, glaze-free tongue surface. Overall, this indicates excessive heart and liver fire, deficiency of spleen yang, and insufficiency of kidney yin. Based on the previous prescription, I recommend adding 30 g of Chinese yam, and 6 g each of Anemarrhena rhizome, Phellodendron bark, and lotus seed heart.
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