一、病例:患者张秋兰女30岁2011年5月20号初诊病人自述曾于2011年1月因甲状腺瘤在吉水县医院手术做甲状腺瘤切除术,术后开始至初诊时约5个月发声费力,声音嘶哑,尤如耳语。无发热恶寒、睡眠欠佳、饮食及大小便正常,舌质暗红,边有瘀斑,苔薄黄,脉弦细。专科检查:咽部黏膜及会厌舌面无充血,左侧声带固定于旁中位,不能内收与外展。治以益气活血,逐瘀通经,利咽开音。处方:黄芪40 g First, the case: the patient Zhang Qiulan female 30 years old May 20, 2011 newly diagnosed patients Readme In January 2011 due to thyroid tumors in Jishui County Hospital for thyroidectomy surgery, about 5 months after the start of the first consultation sound costs , Hoarse voice, especially whisper. No fever, aversion to cold, poor sleep, normal diet and urine, dark red tongue, ecchymosis, thin yellow coating, fine pulse string. Specialist examination: pharyngeal mucosa and epiglottis tongue surface without congestion, the left vocal cord fixed to the next to the median, not adduction and abduction. Governance to Qi and blood circulation, by stasis, the throat open voice. Prescription: Astragalus 40 g