\r双喉痹\p05-c14a25.bmp\r
双喉痹，生于上 ，关内两旁形如橄榄，痛而难食，胃家积
热所致，或发寒热，两关洪大者是也。即针患处或商阳穴针之亦
可，先用六味汤一服，明日再加∶黄芩（酒炒） 山栀 木通 元参（盐水
炒各钱半） 再服而退。（烂者不可针，患上吹金不换。）
\r单喉痹\p05-c14a26.bmp\r
单喉痹，或左或右。治同前。
\r淡红喉痹\p05-c14a27.bmp\r
淡红喉痹，肿如鸡子，饮食不下，身发寒热，眼
红呕吐，恐有斑毒在内，急针∶少商、少阴、商阳、
关冲（左右八穴。）或患上挑破，六味汤加∶苏叶 羌活 葛
根（各二钱） 鲜芫荽（五钱），服一帖，满身发出痧疹，呕吐即
止。或身热不退，喉外亦肿，此内火外泄也，换加∶
生大黄（三钱） 葛根 黄芩 山栀 玄参 花粉（各二钱） 生
石膏（五钱） 滑石（二钱） 木通（一钱）服二帖后去大黄、石膏再用
前药，照方四五帖乃痊。有烂斑用八仙散一服，津化咽
下，兼吃柏枝汁。此症因伤寒时邪未清之故，两关沉细，
两寸尺四脉虚数是也。
\r走马喉痹\p05-c14a28.bmp\r
此系急症。肝脾火闭不通，而为痹。或发寒热，
脉洪大者生，沉细者死。用六味汤加∶葛根（二钱） 柴
胡（一钱） 细辛（五分漱之）再加∶角刺（二钱） 归尾（二钱） 赤芍
（二钱） 河车（二钱） 生大黄（五钱），痰多加浮石（三钱） 制半夏（二
钱） 身热背寒加 羌活（一钱） 苏叶（一钱） 即针∶少商、商
阳、关冲（两手六穴），血多为妙。
双喉痹，生长在咽喉上部，关内两侧形状像橄榄，疼痛且难以进食，这是由胃中积热引起的，或者伴有发冷发热，两手关脉洪大就是这种病症。可以针刺患处或商阳穴进行治疗，先服用一剂六味汤，第二天再加：黄芩（酒炒） 山栀 木通 元参（盐水炒各钱半），再服用即可消退。（如果喉咙溃烂则不可针刺，应在患处吹入金不换药粉。）
单喉痹，发生在左侧或右侧。治疗方法与前文相同。
淡红喉痹，肿胀如鸡蛋大小，饮食难以下咽，身体发冷发热，眼睛发红并呕吐，恐怕体内有斑毒，急需针刺：少商、少阴、商阳、关冲（左右共八穴）。或者在患处挑破，用六味汤加上：苏叶 羌活 葛根（各二钱） 鲜芫荽（五钱），服用一帖后，全身发出痧疹，呕吐就会停止。如果身体发热不退，喉外也肿胀，这是内火向外发散的表现，更换方药加入：生大黄（三钱） 葛根 黄芩 山栀 玄参 花粉（各二钱） 生石膏（五钱） 滑石（二钱） 木通（一钱），服用两帖后去掉大黄、石膏，再用前面的药物，按照处方连续服用四五帖才能痊愈。如果有溃烂的斑点，服用一剂八仙散，含化后咽下，同时饮用柏枝汁。此症是因为伤寒时邪未清的缘故，两手关脉沉细，两手寸尺四部脉象虚数就是这种表现。
走马喉痹，这属于急症。肝脾之火闭塞不通，从而形成痹证。或者伴有发冷发热，脉象洪大的可生，脉象沉细的会死。使用六味汤加上：葛根（二钱） 柴胡（一钱） 细辛（五分漱口），再加：角刺（二钱） 归尾（二钱） 赤芍（二钱） 河车（二钱） 生大黄（五钱），痰多加浮石（三钱） 制半夏（二钱），身体发热背部发冷加 羌活（一钱） 苏叶（一钱）。即针刺：少商、商阳、关冲（双手共六穴），出血多为好。
Double Throat Bi (Shuang Hou Bi)
Double Throat Bi develops in the upper part of the throat, on both sides inside the Guan position, resembling an olive in shape. It causes pain and difficulty in eating. It is caused by accumulated heat in the Stomach (Wei), or accompanied by chills and fever; a surging pulse at both Guan positions indicates this condition. One may needle the affected area or Shangyang (LI1). First, administer one dose of Liuwei Decoction (Six-Ingredient Decoction). The next day, add: Huangqin (Scutellariae Radix, stir-fried with wine), Shanzhi (Gardeniae Fructus), Mutong (Akebiae Caulis), Yuan Shen (Scrophulariae Radix, stir-fried with salt water), each qianban (approx. 5g). Continue taking it to resolve the symptoms. (If ulceration is present, do not needle; instead, blow Jinebuwan powder onto the lesion.)
Single Throat Bi (Dan Hou Bi)
Single Throat Bi occurs on either the left or right side. The treatment is the same as described above.
Pale Red Throat Bi (Dan Hong Hou Bi)
Pale Red Throat Bi presents with swelling the size of a chicken egg, inability to swallow food or drink, chills and fever, red eyes, and vomiting. There is fear of internal Ban Du (maculopapular toxin/rash poison). Urgently needle: Shaoshang (LU11), Shaoyin (KI10 or HT7 depending on context, here likely referring to specific throat points or Kidney meridian points), Shangyang (LI1), Guanchong (SJ1) (eight acupoints in total, left and right). Alternatively, puncture the affected area. Use Liuwei Decoction added with: Suye (Perillae Folium), Qianghuo (Notopterygii Rhizoma et Radix), Gegen (Puerariae Lobatae Radix), each 2 qian (approx. 6g); Xian Yuanxi (Coriandri Fructus, fresh), 5 qian (approx. 15g). After one dose, if macules and papules appear all over the body, vomiting will cease. If fever persists and swelling extends outside the throat, this indicates internal fire venting outward. Change the prescription to add: Sheng Dahuang (Rhei Radix et Rhizoma, raw), 3 qian (approx. 9g); Gegen, Huangqin, Shanzhi, Xuanshen (Scrophulariae Radix), Huafen (Trichosanthis Radix), each 2 qian (approx. 6g); Sheng Shigao (Gypsum Fibrosum, raw), 5 qian (approx. 15g); Huashi (Talcum), 2 qian (approx. 6g); Mutong, 1 qian (approx. 3g). After two doses, remove Dahuang and Shigao, then continue with the remaining herbs. Follow the prescription for four to five doses to recover. If there are ulcerated spots, take one dose of Baxian San (Eight-Immortal Powder), dissolve it in saliva and swallow, while also drinking juice from Cypress branches. This condition arises because pathogenic factors from Cold Damage (Shanghan) and seasonal evils have not been cleared. A sunken and fine pulse at both Guan positions, and a deficient and rapid pulse at the Cun and Chi positions on both hands, indicate this pattern.
Zouma Throat Bi (Zouma Hou Bi)
This is an acute condition. It is caused by the closure and blockage of Fire in the Liver and Spleen, resulting in Bi syndrome. If accompanied by chills and fever, a surging pulse indicates survival, while a sunken and fine pulse indicates death. Use Liuwei Decoction added with: Gegen (2 qian / approx. 6g), Chaihu (Bupleuri Radix, 1 qian / approx. 3g), Xixin (Asari Radix et Rhizoma, 5 fen / approx. 1.5g, used for rinsing). Further add: Jiaoci (Acanthopanacis Cortex, 2 qian / approx. 6g), Guiwei (Angelicae Sinensis Radix, tail portion, 2 qian / approx. 6g), Chishao (Paeoniae Rubra Radix, 2 qian / approx. 6g), Heche (Placenta Hominis, 2 qian / approx. 6g), Sheng Dahuang (5 qian / approx. 15g). If there is excessive phlegm, add Fushi (Lapilli, 3 qian / approx. 9g) and Zhi Banxia (Pinelliae Rhizoma, processed, 2 qian / approx. 6g). If there is body heat with coldness in the back, add Qianghuo (1 qian / approx. 3g) and Suye (1 qian / approx. 3g). Needle: Shaoshang, Shangyang, Guanchung (six acupoints on both hands). Profuse bleeding is considered auspicious/effective.