喉痹属痰,属风,属热,皆应郁火而兼热毒,肿甚不仁,乃咽喉之重症。喉痹者,总名
也。
要去风痰,解毒,开郁闷,其症自愈。乳鹅有单,有双,有连珠,多应酒色,郁结而生。初
起一日痛,二日红肿,三日有形,细白星,(无细星即喉痈。)发寒热者凶,四日势定,治之
四五日可愈。其症生于喉旁,一边生者为单鹅,左右生者为双鹅。单轻双重,连珠尤重,左
右为(心肝)二白星下下相连,状如缠袋者,为连珠鹅。
病属忧郁,血热气滞,妇人多患之。形如浮萍,略高而浓,紫色,生于喉旁。轻则半月
二十日,重则径月月余,要在治之得法,及患者守欲忌口。
虚火上炎,肺金火旺,致攻喉间。生如丝,如景窑纹样,又如秋海棠叶背后红丝一般。
饮食阻碍咽痛,虽不伤命,久则喉哑失音,而不能救矣。
此因过食辛辣、炙 、浓味、醇酒。感热而生,属肺病,喉间无形状,但红肿而痛,重
者亦发寒热头痛,四五日可愈。
( 舌病也,音杀)
肥人感热性躁者,多患此症。凡舌下生如小舌样者,为 舌。如连喉肿痛者,即为喉痈
,不痛者,非是。大抵 舌兼喉痈者,势凶。
因心中躁急而发,先二日必胸膈气紧,出气短促,然咽喉肿痛,手足厥冷,颈如绞转,
热结
于内,肿绕于外,且麻且痒,喉内红丝缠绕,手指甲白色,手心壮热,喉肿而大,风痰壅盛
,如曳锯声,是其候也,最为忌症。初起一日,即治可治。若过一日夜,目直视,喉间如雷
声
赤色寒热,又口开而不阖者,是其候。必待过一周时无恙,方可用药,宜极早回头。
喉痹属于痰、风、热邪所致,均伴有郁火并兼有热毒,肿胀严重且感觉迟钝,这是咽喉部的重症。喉痹是这类疾病的总称。
去除风痰,解毒,疏通郁闷,症状自然痊愈。乳蛾(扁桃体肿大)有单侧、双侧和连珠状之分,多因饮酒色欲过度、情志郁结而生。初起第一天疼痛,第二天红肿,第三天出现形态,可见细小白点(若无细白点即为喉痈),若伴有发冷发热则预后凶险,第四天病情稳定,治疗四五天可痊愈。其症状生于喉旁,一边生出的为单侧乳蛾,左右两边都生的为双侧乳蛾。单侧轻,双侧重,连珠状更重,左右两侧(对应心肝二经)下方白点相连,形状像缠绕的袋子,称为连珠蛾。
此病属于忧郁导致,血热气滞,妇女多患此病。形状像浮萍,略微隆起且浓浊,呈紫色,生于喉旁。轻症半个月到二十天,重症一个月多月,关键在于治疗方法得当,以及患者遵守禁忌、忌口。
虚火上炎,肺金火旺,导致攻冲喉间。生长物如丝线,像景德镇瓷器的纹路,又像秋海棠叶背面的红丝一般。饮食受阻,吞咽疼痛,虽然不致命,但久了会导致喉咙哑失音,无法救治。
这是因为过食辛辣、烧烤、浓厚滋味、烈酒,感受热邪而生,属于肺病,喉间没有明显形态,只是红肿疼痛,重的也发冷发热头痛,四五天可愈。
(舌下系带处病变,音杀)
肥胖之人感受热邪性情急躁者,多患此症。凡舌下生出像小舌头一样的,称为舌系带囊肿(舌)。如果连接喉咙肿痛,就是喉痈,不痛的就不是。大抵舌系带囊肿兼喉痈的,病情凶险。
因为心中躁急而发作,前两日必定胸膈气紧,出气短促,然而咽喉肿痛,手足冰冷,脖子像被绞转一样,热结于内,肿绕于外,又麻又痒,喉内红丝缠绕,手指甲白色,手心壮热,喉肿很大,风痰壅盛,声音像拉锯声,这是其征候,是最为忌讳的症状。初起第一天,立即治疗可以治愈。如果过了一昼夜,眼睛直视,喉间像雷声,赤色寒热,又口开合不拢的,是其征候。必须等到过了一周无异常,方可用药,宜极早回头。
Throat obstruction (Hou Bi) is attributed to phlegm, wind, and heat, all of which should involve stagnant fire combined with heat toxicity. Severe swelling with insensibility constitutes a severe condition of the throat. "Throat obstruction" is the general term for this category.
Removing wind-phlegm, resolving toxicity, and opening up stagnation will allow the symptoms to heal spontaneously. Mutton-beard tonsillitis (Ru E) can be unilateral, bilateral, or pearl-string type, mostly arising from excessive alcohol consumption and sexual indulgence, as well as emotional depression. On the first day of onset, there is pain; on the second day, redness and swelling; on the third day, distinct forms appear with fine white spots (if no fine spots are present, it is a throat abscess). If accompanied by chills and fever, the prognosis is ominous. By the fourth day, the condition stabilizes, and treatment over four to five days leads to recovery. The lesions occur beside the throat: those appearing on one side are unilateral mutton-beard tonsillitis, while those on both sides are bilateral. Unilateral cases are mild, bilateral are heavier, and pearl-string is even more severe. When the white spots below (corresponding to the Heart and Liver meridians) connect on both sides, resembling a wrapped bag, it is called pearl-string tonsillitis.
This disease belongs to melancholy-induced blood heat and qi stagnation, commonly affecting women. The shape resembles duckweed, slightly elevated and purulent, purple in color, occurring beside the throat. Mild cases last half a month to twenty days; severe cases may last a month or more. The key lies in appropriate treatment and the patient's adherence to dietary restrictions.
Deficient fire flaring upward, with excessive Fire of Metal (Lung), attacks the throat. The growths resemble silk threads, patterns like Jingdezhen porcelain glaze, or the red veins on the back of begonia leaves. Food intake is obstructed, causing swallowing pain. Although not immediately fatal, prolonged duration leads to hoarseness and loss of voice, which becomes incurable.
This results from excessive consumption of spicy, roasted, rich flavors, and strong wine, contracting heat pathogens. It is a Lung disease. There is no specific morphology in the throat, only redness, swelling, and pain. Severe cases also present with chills, fever, and headache, resolving in four to five days.
(Lingual frenulum pathology, pronounced 'Sha')
Obese individuals who contract heat and have an irritable temperament often suffer from this. Any growth under the tongue resembling a small tongue is termed lingual cyst (She). If connected to the throat with swelling and pain, it is a throat abscess; if painless, it is not. Generally, when lingual cysts co-occur with throat abscesses, the condition is perilous.
Onset after typhoid fever is difficult to treat due to qi closure and blockage, presenting without form or sound.
It arises from mental restlessness. Two days prior, there must be tightness in the chest and diaphragm, shortness of breath, yet accompanied by sore throat and swelling, cold hands and feet, neck sensation as if twisted, internal heat accumulation, external swelling surrounding it, numbness and itching, red filaments winding inside the throat, white fingernails, intense heat in the palms, large throat swelling, abundant wind-phlegm, and a sound like sawing wood. These are its signs, representing a highly contraindicated syndrome. If treated on the first day of onset, it is curable. If more than a day and night pass, and the patient exhibits staring eyes, thunder-like sounds in the throat, alternating redness and cold/heat, and an open mouth that cannot close, these are the signs. One must wait until a week has passed without incident before administering medication; early intervention is crucial.