其形圆如箸头，生于咽喉关上者轻，生于关下者重。若左有右无曰单，或左右皆有曰双
。双者轻，单者重。以土牛膝绞汁，含口慢咽。如无鲜者，用天名精丸化服亦可。
马曰∶土牛膝汁含咽，乃是吐法。
体虚多郁者患之，喉中不闭不肿，气出如常，微微疼痒，饮食不遂者是。此系虚火，淹
缠难愈。忌刺畏补。当用雪梅丸噙含，每日一丸，十日可愈。
马曰∶书云实火可泻，虚火可补。畏补之说，显悖经旨，忌刺之言，的确不磨。又曰∶
此症乃水亏虚火伤肺。胆矾、雄黄不可用。
系脑门生一红线如发，悬一黑泡，大如樱珠，挂至咽门，如用刀点即死。取土牛膝活根
捣汁，以好醋二三滴和匀，滴入鼻中三四次，丝断珠破，吐出瘀血立愈。
喉内无蛾形，痰声不响，而喉欲闭者是。治详煎剂门。
陶曰∶叶天士谓锁喉风乃杜撰之名。此病有闭有脱，闭者气道闭塞，关窍不通而死；脱
者大汗、大吐、大泻，虚脱而死。闭证当以开通关窍为急，脱证以补虚收敛为要。
又曰∶叶云凡遇咽喉闭证，不能开口，难以进药，以及手足冰冷，面色青白，并无痰声
，脉
伏倒地。先用紫金丹，以淡姜汤磨灌。后用二陈加菖蒲、郁金、枳壳、香附等类，治之可愈
。
又曰∶脱证宜用大剂参、附，佐以龙骨、牡蛎、五味、黄 之类。
这种病状形状像筷子头一样圆，长在咽喉上部（关上）的病情较轻，长在咽喉下部（关下）的病情较重。如果只有左边有而右边没有叫“单”，如果左右两边都有叫“双”。双侧发病的病情较轻，单侧发病的病情较重。可以用土牛膝绞取汁液，含在口中慢慢咽下。如果没有新鲜的土牛膝，用天名精丸化开服用也可以。
马曰：土牛膝汁含咽，实际上是催吐的方法。
身体虚弱且多气郁的人患此病，喉咙不闭塞也不肿胀，呼吸气息如常，只是微微感到疼痛和瘙痒，饮食吞咽不便的就是这种病。这属于虚火，缠绵难愈。忌讳针刺，畏惧补法。应当使用雪梅丸噙含（含于口中慢慢融化），每日一丸，十天可以痊愈。
马曰：书上说实火可以泻，虚火可以补。“畏惧补法”的说法，明显违背了经典旨意；“忌讳针刺”的话，确实是不刊之论（不可更改的正确言论）。又说：此症乃是肾水亏损导致虚火伤肺。胆矾、雄黄不可使用。
这是脑门生出一条红线像头发丝一样，悬挂着一个黑泡，大小像樱桃珠，垂挂到咽门，如果用刀点破就会死亡。取土牛膝活根捣成汁液，用好醋二三滴混合均匀，滴入鼻中三四次，红线断开黑泡破裂，吐出瘀血后立即痊愈。
喉咙内没有蛾形（扁桃体肿大），痰声不响亮，但感觉喉咙要闭塞的就是这种病。治疗方法详见煎剂门。
陶曰：叶天士认为“锁喉风”是杜撰的名字。此病有闭证和脱证两种情况，闭证是气道闭塞，关窍不通而死；脱证是大汗、大吐、大泻导致的虚脱而死。闭证应当以开通关窍为紧急，脱证应当以补虚收敛为关键。
又说：叶天士说凡是遇到咽喉闭证，不能开口，难以进药，以及手足冰冷，面色青白，并没有痰声，脉象伏匿倒地。先用紫金丹，用淡姜汤磨碎灌服。后用二陈汤加石菖蒲、郁金、枳壳、香附等类药物治疗，可以痊愈。
又说：脱证适宜使用大剂量人参、附子，佐以龙骨、牡蛎、五味子、黄芪之类。
Its shape is round like the head of a chopstick. Those occurring in the upper part of the throat (Guan Shang) are mild, while those occurring in the lower part (Guan Xia) are severe. If present on the left but not the right, it is called "Single"; if present on both sides, it is called "Double". Double-sided cases are mild, while single-sided cases are severe. Use juice extracted from fresh *Achyranthes bidentata* (Tu Niuxi), hold it in the mouth and swallow slowly. If fresh material is unavailable, dissolving and taking *Tianmingjing Wan* is also acceptable.
Ma said: Holding and swallowing *Achyranthes bidentata* juice acts as an emetic method.
Patients with weak constitutions and much Qi stagnation suffer from this. The throat is neither obstructed nor swollen, breathing is normal, there is slight pain and itching, and difficulty in eating and drinking characterizes this condition. This is caused by Deficient Fire, which is lingering and difficult to cure. Acupuncture is contraindicated, and tonification is feared. One should use *Xuemei Wan* held in the mouth (Chin Han), one pill daily, curable within ten days.
Ma said: Books state that Excess Fire can be purged, and Deficient Fire can be tonified. The statement "fearing tonification" clearly contradicts the principles of the classics; however, the statement "contraindicating acupuncture" is indeed irrefutable. He further stated: This syndrome is due to Kidney Water deficiency causing Deficient Fire to injure the Lung. *Borax* (Danfan) and *Realgar* (Xionghuang) must not be used.
This presents as a red thread like a hair growing from the forehead, suspending a black blister the size of a cherry pit, hanging down to the pharyngeal gate. If punctured with a knife, death ensues. Take the living root of *Achyranthes bidentata*, crush it to extract juice, mix with two or three drops of good vinegar, and drip into the nostrils three or four times. When the red thread breaks and the blister bursts, expelling the stasis blood leads to immediate recovery.
There is no moth-like swelling in the throat, the phlegm sound is not loud, but the sensation of throat closure exists. Treatment details are found in the Decoction Section.
Tao said: Ye Tianshi claimed that "Suo Hou Feng" (Locking Throat Wind) is a fabricated name. This disease has Obstruction Syndrome (Bi Zheng) and Collapse Syndrome (Tuo Zheng). In Obstruction Syndrome, the airway is blocked and orifices are closed, leading to death; in Collapse Syndrome, massive sweating, vomiting, and diarrhea lead to collapse and death. For Obstruction Syndrome, opening the orifices is urgent; for Collapse Syndrome, tonifying deficiency and consolidating is key.
He further stated: Ye said that whenever encountering throat obstruction where the patient cannot open their mouth, cannot take medicine, has cold hands and feet, a cyan-white complexion, no phlegm sound, and a hidden pulse with the body collapsed on the ground, first use *Zijin Dan*, ground in light ginger decoction and administered orally. Subsequently, treat with *Erchen Tang* added with *Shichangpu* (Rhizoma Acori Tatarinowii), *Yujin* (Radix Curcumae Longae), *Zhike* (Fructus Aurantii), *Xiangfu* (Rhizoma Cyperi), etc., which can lead to recovery.
He further stated: Collapse Syndrome is suitable for large doses of *Ren Shen* (Ginseng Radix) and *Fu Zi* (Radix Aconiti Lateralis Preparata), assisted by *Long Gu* (Os Draconis), *Mu Li* (Concha Ostreae), *Wuweizi* (Fructus Schisandrae Chinensis), and *Huang Qi* (Radix Astragali Membranacei).