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作为主治方剂。然而，病情有虚火与实火的区别，以及紧喉风与慢喉风的不同，不可不仔细审察。
属于虚火的情况，表现为咽喉颜色淡红、轻微肿胀，小便清长通畅，脉象虚细，食欲减退。这是由于思虑过度，导致脾气虚弱不能在中焦起到护卫作用，虚火容易上炎所致，属于内伤之火，称为慢喉风，是虚证。如果早晨疼痛加剧，属于阳虚，可用四君子汤加入桔梗、麦冬、五味子、当归治疗。如果下午疼痛加剧，属于阴虚，可用四物汤加入桔梗、玄参治疗。如果服用后无效，必须加入肉桂、附子作为引导药使用，或者用加减八味汤加入牛膝主治。如果脉象数且伴有发热，用六味汤主治。此外还有因中寒导致的咽痛，治疗应使用半夏桂甘汤，不可误投寒凉药物。
属于实火的情况，多因过量饮用烈酒、食用肥甘厚味，加上风火积热，火热扰动生痰，导致肿痛突然暴发。严重时风痰壅塞气道，导致汤水无法下咽，声音无法发出，这是外感之火，称为紧喉风，是实证。适宜用灯窝油（一种植物油）和浆水灌服，以导除痰涎。或者用土牛膝捣烂后混合醋灌服。或者针刺红肿部位，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，然后停止操作。适宜使用加味甘桔汤。如果热势严重，兼用三黄解毒汤。谚语说“走马看喉痹”指的就是这种病情的急迫性。凡是喉肿不刺血，喉风不吐痰，喉痈不放脓，乳蛾不针破，这些都是不符合法度的做法。又有长期劳嗽导致咽喉损伤、声音受损的，则无药可治。
缠喉风症状，表现为咽喉肿痛、胀满堵塞，咽喉部有红丝缠绕，因此称为缠喉风。严重时肿胀蔓延至体外，颈部像被蛇缠绕一样。催吐的方法与前述方法相同。
Swelling and pain in the throat are termed Hou Bi (Pharyngitis). Ancient practitioners generally used Gan Jie Tang (Licorice and Platycodon Decoction) as the primary formula. However, there is a distinction between deficiency fire and excess fire, as well as between Jin Hou Feng (Tight Throat Wind) and Man Hou Feng (Slow Throat Wind), which must be carefully examined.
In cases of deficiency fire, the throat appears pale with slight swelling, urination is clear and free, the pulse is deficient and fine, and appetite is reduced. This is caused by excessive mental exertion, leading to Spleen Qi deficiency failing to protect the middle jiao, allowing deficiency fire to easily flare upwards. This is internal injury fire, termed Man Hou Feng (Slow Throat Wind), representing a deficiency syndrome. If pain worsens in the morning, it belongs to Yang deficiency; 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) should be used. If pain worsens in the afternoon, it belongs to Yin deficiency; Si Wu Tang (Four Substance Decoction) added with Jie Geng (Platycodon Root) and Xuan Shen (Scrophularia Root) should be used. If ineffective, Gui (Cinnamon Twig) and Fu Zi (Aconite Lateral Root) must be added as guiding agents, or Jia Jian Ba Wei Tang (Modified Eight-Ingredient Pill) added with Niu Xi (Achyranthes Root) should be used. If the pulse is rapid with heat, Liu Wei Tang (Six-Ingredient Decoction) should be used. Furthermore, sore throat due to cold in the middle jiao should be treated with Ban Xia Gui Gan Tang (Pinellia, Cinnamon, and Licorice Decoction); cold-natured medicines must not be mistakenly administered.
In cases of excess fire, caused by excessive consumption of strong wine and rich foods, combined with wind-fire accumulated heat, fire agitation generates phlegm, leading to sudden onset of swelling and pain. In severe cases, wind-phlegm obstructs the airway, preventing the intake of liquids and loss of voice. This is external fire, termed Jin Hou Feng (Tight Throat Wind), representing an excess syndrome. It is appropriate to administer Deng Wo You (a type of plant oil) and Jiang Shui (fermented rice water) via gavage to guide out phlegm and saliva. Alternatively, Tu Niu Xi (Cyathula Root) can be mashed and mixed with vinegar for gavage. Or, puncture the swollen and red areas to release toxic blood. Or, blow Jin Suo Chi Powder (Golden Lock Key Powder) into the throat until the throat gradually loosens, allowing food intake and voice production, then stop. Jia Wei Gan Jie Tang (Modified Licorice and Platycodon Decoction) is suitable. If heat is severe, San Huang Jie Du Tang (Three Yellows Detoxification Decoction) should be used concurrently. The proverb "watching Hou Bi like a running horse" refers to this urgency. Any case where throat swelling is not pricked for blood, throat wind does not induce expectoration, throat abscess is not drained, and ru e (tonsillar hypertrophy) is not needled open, are all improper methods. Additionally, chronic coughing from labor damage causing throat injury and voice loss has no curative treatment.
Chan Hou Feng (Entangling Throat Wind) presents with throat swelling and pain, distension and blockage, with red filaments winding around, hence the name Chan Hou Feng. In severe cases, swelling extends externally, making the neck resemble a snake entanglement. Induced vomiting should follow the methods described above.
Chan She Hou Feng (Entangling Tongue Throat Wind) presents with a stiff tongue root and ulceration on both sides. Wash the area with a wool pen dipped in Licorice Water, and blow Liu Hua San (Willow Flower Powder) into the lesion.