喉间肿痛，名曰喉痹。古人通用甘桔汤主之，然有虚火、实火之分；紧喉、慢喉之别，
不可不审。虚火者，色淡，微肿，溺清，便利，脉虚细，饮食减少，此因神思过度，脾气
不能中护，虚火易至上炎，乃内伤之火，名曰慢喉风，虚证也。午前痛甚者，属阳虚，四君
子汤加桔梗、麦冬、五味、当归；午后痛甚者，属阴虚，四物汤加桔梗、元参。如不效，必
加桂、附以为引导之用，加减八味汤，加牛膝主之。若脉数有热，六味汤主之。更有中寒咽
痛，治用半夏桂甘汤，不可误投凉药。实火者，醇酒膏粱，风火积热，火动生痰，肿痛暴发
甚则风痰壅塞，汤水不入，声音不出，此外至之火，名曰紧喉风，实证也。宜用灯窝油，
和浆水灌之，导去痰涎；或用土牛膝，捣烂，和醋酸灌之；或针刺红肿之处，发泄毒血；或
用金锁匙吹之，俾喉渐松开，饮食可入，声音得出，乃止。宜用加味甘桔汤。热甚者，兼用
三黄解毒汤。谚云∶走马看喉痹是也。凡喉肿不刺血，喉风不吐痰，喉痈不放脓，乳蛾不针
破，此皆非法。又有劳嗽日久，咽伤声损者，无法可疗。
咽喉部位出现肿痛，称为喉痹。古人通常使用甘桔汤来主治，但需要辨别是虚火还是实火，以及紧喉风与慢喉风的区别，这一点不可不仔细审查。
属于虚火的情况，咽喉颜色淡红，轻微肿胀，小便清长，大便通畅，脉象虚细，饮食减少。这是由于精神思虑过度，脾气虚弱不能在中焦起到护卫作用，导致虚火容易上炎，这属于内伤引起的火邪，称为慢喉风，属于虚证。如果早晨疼痛加重，属于阳虚，用四君子汤加入桔梗、麦冬、五味子、当归；如果下午疼痛加重，属于阴虚，用四物汤加入桔梗、玄参。如果服用后没有效果，必须加入肉桂、附子作为引导药，使用加减八味汤，并加入牛膝来主治。如果脉象数且伴有发热，用六味地黄汤主治。更有因中寒导致的咽痛，治疗使用半夏桂甘汤，不可误投寒凉药物。
属于实火的情况，多因过量饮用醇酒、食用肥甘厚味，加上风火积热，火热动而生痰，导致肿痛突然暴发。严重时风痰壅塞咽喉，汤水无法进入，声音无法发出，这是外感至上的火邪，称为紧喉风，属于实证。适宜使用灯窝油（即蓖麻油），混合浆水灌服，以导去痰涎；或者使用土牛膝，捣烂后混合醋灌服；或者针刺红肿的部位，放出毒血；或者使用金锁匙散吹入咽喉，使喉咙逐渐松开，饮食可以进入，声音可以发出，达到这个程度才停止。适宜使用加味甘桔汤。热势严重的，兼用三黄解毒汤。谚语说：“走马看喉痹”，指的就是这种病情变化迅速的情况。凡是喉肿不刺血，喉风不吐痰，喉痈不放脓，乳蛾不针刺破溃，这些都是不符合法度的做法。又有因劳嗽日久，导致咽喉损伤、声音受损的，没有办法治疗。
缠喉风症，表现为咽喉肿痛，胀满堵塞，有红丝缠绕，因此称为缠喉风。严重时肿胀蔓延到体外，颈部像被蛇缠绕一样，（原文此处截断，推测为探吐等治法）。
Swelling and pain in the throat are named Hou Bi (Pharyngitis/Laryngitis). Ancient physicians generally used Gan Jie Tang (Licorice and Platycodon Decoction) as the primary treatment. However, it is essential to distinguish between deficiency fire (Xu Huo) and excess fire (Shi Huo), as well as between Jin Hou Feng (Tight Throat Wind) and Man Hou Feng (Slow Throat Wind); this distinction must not be overlooked.
In cases of deficiency fire, the throat appears pale with slight swelling, urination is clear, bowel movements are normal, the pulse is deficient and fine, and appetite is reduced. This condition arises from excessive mental exertion, where Spleen Qi fails to protect the middle jiao, allowing deficiency fire to easily ascend. This is internal injury fire, known as Man Hou Feng (Slow Throat Wind), representing a deficiency syndrome. If pain worsens before noon, it indicates Yang deficiency; treat with Si Jun Zi Tang (Four Gentlemen Decoction) added with Jie Geng (Platycodon Root), Mai Dong (Ophiopogon Tuber), Wu Wei Zi (Schisandra Fruit), and Dang Gui (Angelica Sinensis). If pain worsens after noon, it indicates Yin deficiency; treat with Si Wu Tang (Four Substances Decoction) added with Jie Geng (Platycodon Root) and Xuan Shen (Scrophularia Root). If there is no improvement, Cinnamon Twig (Gui Zhi) and Prepared Aconite Root (Fu Zi) must be added as guiding agents, treating with Jia Jian Ba Wei Tang (Modified Eight-Ingredient Pill Decoction) added with Niu Xi (Achyranthes Root). If the pulse is rapid with heat, Liu Wei Di Huang Tang (Six-Ingredient Rehmannia Decoction) should be used. Furthermore, sore throat caused by cold in the middle jiao should be treated with Ban Xia Gui Gan Tang (Pinellia, Cinnamon Twig, and Licorice Decoction); cool/cold-natured medicines must not be mistakenly administered.
In cases of excess fire, it results from excessive consumption of rich wine and fatty/sweet foods, combined with wind-fire accumulated heat. Fire stirs up phlegm, causing sudden and severe swelling and pain. In severe cases, wind-phlegm obstructs the throat, preventing the intake of fluids or speech. This is external fire, known as Jin Hou Feng (Tight Throat Wind), representing an excess syndrome. It is appropriate to use Ricinus Oil (Deng Wo You) mixed with grain water for administration to guide out phlegm and saliva; or use Achyranthes Bidentata Root (Tu Niu Xi), mashed and mixed with vinegar for administration; or prick the swollen and red areas to release toxic blood; or blow Jin Suo Chi Powder (Golden Lock Key Powder) into the throat until it gradually loosens, allowing food intake and speech, at which point treatment stops. Gan Jie Tang (Licorice and Platycodon Decoction) with additions is suitable. For severe heat, San Huang Jie Du Tang (Three Yellows Detoxification Decoction) may be used concurrently. As the proverb says: "Watch Hou Bi like a horse running," indicating the rapid progression of the disease. Any case of throat swelling without bloodletting, throat wind without expectoration, throat abscess without pus drainage, or tonsillar hypertrophy without pricking, constitutes improper practice. Additionally, chronic cough due to exhaustion leading to throat damage and voice loss has no effective treatment.
Chan Hou Feng (Entangling Throat Wind) presents with swelling and pain in the throat, distension and obstruction, and red filaments winding around, hence the name Chan Hou Feng. In severe cases, swelling extends externally, making the neck resemble a snake entanglement... [Text cuts off].
Chan She Hou Feng (Entangling Tongue-Throat Wind) presents with a stiff tongue root and ulceration on both sides. Treat by washing the area with licorice water using a wool pen, then blowing Liu Hua San (Willow Flower Powder) into the lesion.