（附失音 附骨鲠）
肺气通于咽。胃气通于喉。盖咽以出气。喉以纳食。乃一身之关隘也。闭塞而不通。则
道路阻绝。饮食难下。死生安危。胥此系焉。此人之至急者也。使不早治。则不救矣。而喉痛之
症惟喉风犹急。乳娥次之。若左右皆乳娥。是亦缠风也。缠风云者。喉中皆缠紧惟有一线之
通。乳娥云者。肿处如蛾。形犹有可通之路。要其致病之由。皆因平日感受风热。积之既久
。留于上焦。一时未发。乘机而动。醉后而重醉劳后而复劳。动其相火。相火一炽。而平日
所积之风热。一齐而起。痰血腾涌。如潮之至。结于咽喉。外不得吐。内不得下。为肿为痛
。苦楚呻吟。饥不能食。渴不能饮。煎剂卒难奏功。丸散安能施效。病势已逼。将立而视其
死矣。必须用刀针以决之。庶可以泄其毒。而救其热。然后治之以药。乃可愈耳。
喉痹之脉。两寸洪溢。上盛下虚。脉忌微伏。
祛火通关饮 治喉痹不通。饮食不下。
黄连 玄参 山豆根 桔梗 牛蒡子 枳实（各二钱） 大黄 玄明粉 栝蒌仁（各三钱
姜二片。水煎温服。
立消散
白硼砂 灯心灰（以灯心塞入罐内固济 之罐红为度）
风化硝 黄柏 青黛 冰片（各等分）
上为极细末。以芦管吹入喉中。
吐法
青鱼胆（一具） 胆矾（二钱） 牛黄 冰片（各五分）
以三味放入鱼胆内。线扎其口。悬于当风处。阴干为末。以鸡羽蘸药点喉中。即大吐痰
血立愈。
又方
白矾（半斤巴豆肉十五枚同炒过去巴豆）
以鹅毛蘸陈醋。 矾。姜汁。皂角末。引吐立消。
又方
土牛膝捣汁灌下吐痰即消。
熏法
巴豆末一两。摊在粗草纸上。一头巴豆。一头无巴豆。紧紧卷作一巨。长可二寸余。将
巴豆一头点火即吹灭。其无巴豆一头。令病患含口内。使人对火轻轻吹之。令烟透入喉中。立破
脓血而宽。
屡验方 治缠风并双乳蛾。
榆树上刺毛窝一个。剪病患指甲脚爪。如左边盛。剪左边手足。右边盛剪右边手足。若
双蛾。左右皆剪。用食盐少许。同入锅内 过为末。吹入患处。以手拍其后顶。如蛾在左。拍左
。在右。拍右。双蛾。两边皆拍。实时破溃。痰血立出而愈。
神仙饮 治阴经喉痹。服凉药反痛者。
黄 人参 白术 知母 附子（各一钱） 当归 柴胡 玄参（各一钱五分）
水煎温服。
针法（缠喉风水不能通死在项刺一刺即愈刺少商穴。在大指端内侧。去甲如韭叶许。白
肉宛宛中
是也。两手皆刺出血。其水米即通。盖此穴乃手太阴肺经之穴。直通咽喉。针式用三角柳叶
匾薄者）
（附：失音，附：骨鲠）
肺气通于咽部。胃气通于喉部。大概来说，咽部用于排出气息，喉部用于接纳食物。这是人体一身的关键隘口。如果闭塞不通，那么道路就会阻断，饮食难以吞咽，生死安危都系于此。这是人们最紧急的病症。如果不尽早治疗，就无法挽救了。而喉痛的症状中，只有喉风最为急重，乳蛾次之。如果左右两侧都有乳蛾，这也属于缠风。所谓缠风，是指咽喉内部全部缠绕紧缩，仅有一线相通；所谓乳蛾，是指肿胀处形状像蚕蛾，形态上尚留有可通行的道路。探究其致病的原因，都是因为平日感受风热邪气，积聚日久，停留在上焦，一时未发作，趁机而动。醉酒后再次醉酒，劳累后又继续劳累，引动相火（寄居于肝肾、具有生理功能的命门之火）。相火一旦炽盛，平日里所积存的风热邪气便一齐发作。痰浊与瘀血腾涌而上，如同潮水般到来，结聚于咽喉，外不能吐出，内不能下行，导致肿胀疼痛，痛苦呻吟，饥饿时不能进食，口渴时不能饮水。汤剂很难迅速见效，丸药散剂又怎能施展疗效？病势已经逼近，只能站着眼看其死亡。必须用刀针来决破排脓，这样才能泄出毒邪，救治热势，然后用药物治疗，才可以痊愈。
喉痹的脉象，两手寸口脉洪大溢出，呈现上盛下虚的特点。脉象忌讳微细伏匿。
祛火通关饮 治疗喉痹不通，饮食难以下咽。
黄连、玄参、山豆根、桔梗、牛蒡子、枳实（各二钱），大黄、玄明粉、栝蒌仁（各三钱），生姜两片。用水煎煮，温服。
立消散
白硼砂、灯心灰（将灯心草塞入罐内密封烧制，直到罐体变红为止）、风化硝、黄柏、青黛、冰片（各等分）。
以上药物研成极细粉末，用芦管吹入咽喉中。
吐法
青鱼胆（一个）、胆矾（二钱）、牛黄、冰片（各五分）。
将后三种药物放入鱼胆内，用线扎紧鱼胆口，悬挂在通风处，阴干后研成粉末。用鸡毛蘸取药物点涂咽喉中，立即大量吐出痰血，立刻痊愈。
又一方
白矾（半斤，与十五枚巴豆肉同炒，去掉巴豆）。
用鹅毛蘸陈醋、白矾、姜汁、皂角末，引导呕吐，立时消除。
又一方
土牛膝捣汁灌服，吐出痰液即可消除。
熏法
巴豆末一两，摊在粗草纸上。一头放巴豆，一头不放巴豆，紧紧卷成一个筒状，长约两寸多。点燃有巴豆的一端，随即吹灭。让患者将无巴豆的一端含在口中，让人对着火轻轻吹气，使烟雾透入咽喉中，立时破除脓血，感到宽松。
屡验方 治疗缠风并双乳蛾。
在榆树上刺出一个窝，剪取患者的指甲或脚趾甲。如果病变在左边，就剪取左侧手足的指甲；如果在右边，就剪取右侧手足的指甲。如果是双蛾，则左右都剪。用少许食盐，一同放入锅中炒过，研成粉末，吹入患处。用手拍打其后头部顶部。如果蛾子在左边，就拍左边；在右边，就拍右边。双蛾则两边都拍。实时破溃，痰血立即流出而痊愈。
神仙饮 治疗阴经喉痹，服用凉药反而疼痛者。
黄芪、人参、白术、知母、附子（各一钱），当归、柴胡、玄参（各一钱五分）。
用水煎煮，温服。
针法（缠喉风水气不通，会导致死亡。在颈部刺一针，即愈。刺少商穴。位于大拇指内侧端，距离指甲如韭菜叶宽度处，白肉凹陷的地方即是。双手皆刺出血，水米即可通过。因为这个穴位是手太阴肺经的穴位，直通咽喉。针刺方式是用三角柳叶形的扁薄针具）
(Attached: Aphonia, Attached: Fishbone Impaction)
The Lung Qi connects with the pharynx. The Stomach Qi connects with the larynx. Generally speaking, the pharynx is used for expelling air, and the larynx is used for receiving food. This is a critical passageway of the entire body. If it becomes blocked and unpatent, then the pathways are obstructed, making it difficult to swallow food and drink. Life and death, safety and danger, all depend on this. This is the most urgent condition for humans. If not treated early, it cannot be saved. Among symptoms of throat pain, only Hou Feng (Wind Throat) is still more acute, followed by Ru E (Tonsillar Hypertrophy). If both left and right sides have Ru E, this is also Chan Feng (Entangling Wind). What is called Chan Feng refers to the throat being tightly entangled and constricted, with only a thread-like passage remaining. What is called Ru E refers to the swollen area resembling a silkworm moth, with a shape that still leaves some room for passage. Investigating the cause of disease, all result from contracting Wind-Heat pathogens in daily life, accumulating over time, lodging in the Upper Jiao (Upper Burner), not manifesting immediately, but acting when opportunities arise. After drunkenness followed by heavy drinking, or after fatigue followed by continued labor, the Ministerial Fire (Xiang Huo, the functional fire residing in the Liver and Kidneys) is stirred. Once the Ministerial Fire blazes, the Wind-Heat accumulated daily rises all at once. Phlegm and blood surge upward like a tide, knotting at the throat, unable to be vomited out externally, nor able to descend internally, causing swelling and pain, bitter groaning, inability to eat when hungry, inability to drink when thirsty. Decoctions struggle to achieve results quickly, how can pills and powders exert efficacy? The disease momentum has already pressed close; one can only stand and watch them die. One must use knives and needles to pierce and drain, so as to vent the toxin and save from heat. Only then can treatment with medicine lead to recovery.
The pulse of Hou Bi (Sore Throat): Both Cun positions (wrist pulse positions corresponding to the upper body) are surging and overflowing, presenting as Excess above and Deficiency below. The pulse should avoid being fine and hidden (Wei Fu).
Qu Huo Tong Guan Yin (Fire-Expelling Pass-Opening Decoction) treats Hou Bi obstruction where food and drink cannot pass down.
Coptidis Rhizoma (Huanglian), Scrophulariae Radix (Xuanshen), Sophorae Tonkinensis Radix (Shandougen), Platycodonis Radix (Jiegeng), Arytenoid Seed (Niubangzi), Aurantii Fructus Immaturus (Zhishi) (each 2 qian), Rheum Palmatum Radix et Rhizoma (Dahuang), Natrii Sulfas Crystallisatus (Xuanmingfen), Trichosanthis Semen (Gualouren) (each 3 qian), Zingiberis Rhizoma Recens (Ginger, 2 slices). Decoct in water and take warm.
Li Xiao San (Immediate Dissipation Powder)
Borax (Baipengsha), Ash of Junci Medulla (Dengxin Hui - made by packing Junci Medulla into a jar, sealing it, heating until red), Natrii Sulfas Efflorescens (Fenghua Xiao), Phellodendri Cortex (Huangbai), Indigo Naturalis (Qingdai), Borneolum Syntheticum (Bingpian) (equal parts).
Grind the above into an extremely fine powder. Use a reed tube to blow the powder into the throat.
Emetic Method
Channa Argus Gall (Qingyu Dan, one piece), Chalcanthite (Danfan, 2 qian), Bovis Calculus (Niuhuang), Borneolum Syntheticum (Bingpian) (each 5 fen).
Place the latter three substances into the fish gallbladder, tie the mouth with thread, hang in a ventilated place, dry in shade, and grind into powder. Dip a chicken feather in the medicine and touch the throat; immediately large amounts of phlegm and blood will be vomited up, leading to immediate recovery.
Another Prescription
Alumen (Baifan, half jin), stir-fried together with fifteen seeds of Croton Tiglium (Badou Rou), then remove the Badou.
Use a goose feather dipped in aged vinegar, Baifan, Ginger Juice, and Gleditsiae Sinensis Spina (Zaojiao Mo) to induce vomiting, leading to immediate resolution.
Another Prescription
Achyranthes Bidentatae Radix (Tuniuxi) crushed to extract juice and administered orally; vomiting phlegm leads to resolution.
Moxibustion/Fumigation Method
Crotonis Fructus Pulvis (Badou Mo, 1 liang), spread on coarse grass paper. Place Badou at one end, no Badou at the other end. Roll tightly into a cylinder, about two cun long. Ignite the end with Badou, then immediately blow it out. Have the patient hold the end without Badou in their mouth. Someone else gently blows towards the fire end, allowing smoke to penetrate into the throat. Immediately breaks pus and blood, providing relief.
Repeatedly Effective Prescription for Chan Feng and Bilateral Ru E.
Make a hole in an Elm tree. Cut the fingernails or toenails of the patient. If the lesion is on the left, cut nails from the left hand and foot; if on the right, cut nails from the right hand and foot. For bilateral Ru E, cut from both sides. Use a small amount of Sodium Chloride (Yan Shi), put it in a pot, stir-fry until processed, grind into powder, and blow into the affected area. Pat the back of the head/top of the head with your hand. If the Ru E is on the left, pat the left side; if on the right, pat the right side. For bilateral Ru E, pat both sides. It will rupture immediately, phlegm and blood will flow out, and recovery will occur.
Shen Xian Yin (Immortal Drink) treats Yin Meridian Hou Bi, where taking cooling medicines causes increased pain.
Astragali Membranacei Radix (Huangqi), Ginseng Radix (Renshen), Atractylodis Macrocephalae Rhizoma (Baizhu), Anemarrhenae Rhizoma (Zhimu), Aconiti Lateralis Radix Praeparata (Fuzi) (each 1 qian), Angelicae Sinensis Radix (Danggui), Bupleuri Radix (Chaihu), Scrophulariae Radix (Xuanshen) (each 1.5 qian).
Decoct in water and take warm.
Acupuncture Method (Chan Hou Feng Shui [Water-Throat Wind] where water and qi cannot pass leads to death. Pierce one needle at the neck, and it heals immediately. Pierce Shaoshang (LU11) acupoint. Located at the medial end of the thumb, approximately the width of a leek leaf from the nail, in the depression of the white flesh. Pierce both hands until blood flows; water and rice can then pass. This acupoint belongs to the Hand-Taiyin Lung Meridian and directly connects to the throat. The acupuncture method uses a triangular willow-leaf shaped thin needle.)