医，道之小焉者也。于小道中，而以喉科着，抑又小矣。然玉霜一点，红粉半廛，遽
尔既危于
俄顷，起沉 于斯须。人巧极天工，错即未窥全豹，而小中见大，施济之功在焉。予添列黉
宫，未暇问岐黄术，而习见夫庸医之误人也。贪夫之徇利也，早无以为饔，夕无以为飧者之
鸣号焉，而莫如引手救也。慨然念士生当世，不获身名民社，以宏辅相，或得一术以济人于
危急，何莫非立达之初心？奈役役半生，愿莫之遂。今年秋，假馆东山之麓，陈生在丰，以
五十金得是编于梁溪尤氏，予叨一日长，得晏然有之，此固生之雅意，抑亦予之急想，世手
而鬼神通之者欤，而予于此，窃自念也。传曰∶正其谊，不谋其利，明其道，不计其功，圣
贤其事，日月为昭，人能本此意以行之，内省可无渐矣。人有裨益，道虽小也，利实溥焉！
此世上龌龊小夫，HT 为利事耳，道于何有哉？爰述数语以自警，且使后之子孙，勿视为寻常
方药，而传之非人。抑知此为明道之书，而勿开利窦也。
乾隆岁次辛丑中秋后余假馆于蠡河之南惠氏深想数年借得私时秘录
乾隆乙卯年浙慈冯岩峰授传手录
咽喉，为人身呼吸饮食门户，方寸之地，受病危险，其症甚繁，大约其要总归于火。盖
少阴
、少阳，君相二火，其脉并络于咽喉，故往往为火症之所结聚。君火势缓，则结而为疼，为
肿，相火势速，则肿甚不仁而为痹，痹甚不通，则痰塞以死。经云∶一阴一阳，结为喉痹。
火者痰之本，痰者火之标。火有虚实，实火应过食煎炒炙 ，蕴结积毒，其症烦渴，二便秘
塞，风痰上壅，将发喉痹，症先胸隔不利，脉弦而数。治宜先去风痰，后解热毒。虚火，
或应饮酒太过，或应忿怒，或应色欲，火炎上攻，咽喉干燥，必二便如常，少阴心脉微。治
宜补虚降火。凡用药，不宜纯用寒凉，取效目前，上热未除，中寒复起，毒瓦斯乘虚入腹，胸
前高肿，上喘下泄，手足指甲青黑，七日以后，全不进食，口如鱼口者死。且治喉症，最
忌发汗，误人不浅。或针砭出血，已具汗意，但凡寒伤于肾，及帝中肿者，切不宜针。至如
内伤虚损，咽喉失音，无法可治矣。（帝中即喉咙花。）喉症初起，一日寒战即生者，发后身
凉，口不碎，又无重舌，或二便俱利，不可认作热症，皆因阴气虚寒而发，其痰不可吊尽，
盖此痰即身中津液所化，与热症乳鹅 舌之痰，以流尽而愈者不同。若亦流尽，则精神竭而
必毙。先以药吹，或用水涣之法，使喉一通，即便服药。初剂发散和解，第二剂即施温补资
养之药，设三四日后，再发寒战，或心痛，骨痛，胁疼等症，皆属难治。发时牙关紧闭，舌
喉俱肿，口碎而臭，或有重舌，及舌上有黄屑，发屑者，发后下午再发寒热，二便秘塞者，
即作热症，用石膏败毒散主之。然易愈之症，如渐起之症，三四日后，而发寒热者，虽凶，
亦不为害。惟有症未减，而牙关反不紧闭，唇口不肿，而纹如好人者，不治。舌肿口满者不
治。色如胡桃、茄子、砂纸者不冶。或连重舌发寒热，犹可治也。舌以箸按之，其色雪白，
起箸即红紫色。此身内之血已死，然口臭者犹可或生，尤忌口渴气急痰多而稠，如桃胶者，
死其至矣。一颈俱红肿者，亦极危也。面红带紫，面青带白，神气少者俱不治。不语者死。
略能语者，尚有可生之机。面色少神，喜坐低处者，亦极难治。夫帝中性命所关，舌下紫肿
为舌系，下通于肾，白肿不治，伤者必死。
凡看喉症，必先看当心之中，有红色者不治。如紫黑者尤危，俱不可下药，记之慎之。
凡喉看法，必先刺所发一边手之少商穴，如血流不出者，必死在顷刻。即好处一边流出
血紫黑色者，亦死之症。业是者，贵辨之审也。
医学，是“道”中较为细微的部分。而在这些细微的技艺中，又以喉科更为微小。然而，咽喉不过是方寸之地，却能在顷刻间使生命陷入极度危险，也能在须臾之间挽救垂危的生命。人的巧思与天工相合，虽然未能窥见全貌，但于细微处可见宏大，其施恩济世的功效便在于此。我进入官学读书时，无暇钻研岐黄医术，但常见庸医误人、贪利之徒逐利的现象。那些早晚无食可吃、痛苦呻吟的人，没有人伸手救援。我不禁感慨，士人生于当世，若不能身居高位辅佐国家治理百姓，那么若能掌握一门技艺以救助危急中的人，这难道不是立志显达、兼济天下的初心吗？无奈半生忙碌，愿望未能实现。今年秋天，我在东山脚下借馆教书，陈生在丰地，用五十金从梁溪尤氏那里得到了这本书，我因年长几岁而得以安然拥有它，这固然是陈生的雅意，也是我急切的心愿，这难道是世间高手与鬼神相通的结果吗？对此，我私下里自我反省。古书说：“端正自己的义理，不谋求私利；彰明其中的道理，不计较功效。”这是圣贤的行为准则，如日月般昭著。人们若能本着这个心意去践行，内心反省便可没有遗憾了。对人有益处的事，道理虽然微小，利益却非常广博！但这世上那些龌龊的小人，只为了利益做事，哪里还有什么道义呢？于是写下这几句话来警示自己，也让后代的子孙不要把它当作普通的方药，而传给不合适的人。更要明白这是阐明大道的书籍，不要开启牟利的门户。
乾隆辛丑年中秋之后，我借馆居住在蠡河以南，惠氏深想数年，借得私人秘录。
乾隆乙卯年，浙江慈溪冯岩峰传授并手录。
咽喉，是人体呼吸和饮食的门户，方寸之地，受病则危险，症状繁多，大致要点总归于“火”。因为少阴经（心、肾）和少阳经（胆、三焦），君火（心火）和相火（命门之火/胆火），它们的脉气都联络于咽喉，所以往往成为火邪结聚之处。君火势缓，则结聚为疼痛、肿胀；相火势速，则肿胀严重导致麻木不仁而成痹证，痹证严重导致不通，则痰液堵塞而死亡。经文说：“一阴一阳，结为喉痹。”火是痰的根本，痰是火的表象。火有虚实之分。实火，多因过食煎炒炙烤之物，蕴结积毒，症状表现为烦躁口渴，大小便闭塞，风痰上壅，即将发作喉痹，先出现胸膈不利，脉象弦而数。治疗宜先去风痰，后解热毒。虚火，或因饮酒过多，或因愤怒，或因色欲过度，火炎上攻，咽喉干燥，必然大小便正常，少阴心脉微弱。治疗宜补虚降火。凡用药，不宜纯用寒凉药物，虽取效于眼前，但上热未除，中寒又起，毒瓦斯乘虚入腹，胸前高肿，上喘下泄，手足指甲青黑，七日以后完全不能进食，口张如鱼口者死。而且治疗喉症，最忌发汗，误人不浅。或者针砭出血，已有发汗之意，但凡寒邪伤肾，以及喉咙肿胀者，切不宜针刺。至于内伤虚损导致的咽喉失音，无法治疗了。（帝中即喉咙花。）喉症初起，一天内出现寒战随即发生的，发过后身体凉爽，口腔不溃烂，又没有重舌，或大小便通畅，不可认作热症，这都是因阴气虚寒而发，其痰不可吊尽，因为这痰就是身体津液所化，与热症乳蛾、舌疮的痰，流尽而愈的情况不同。如果也流尽，则精神枯竭而必死。先用药物吹喉，或用水涣之法，使咽喉通畅，即便服药。初剂发散和解，第二剂即施用温补滋养的药物。假如三四日后，再发寒战，或心痛、骨痛、胁疼等症状，都属于难治。发作时牙关紧闭，舌喉俱肿，口腔溃烂且臭，或有重舌，及舌上有黄屑，发屑者，发过后下午再发寒热，大小便闭塞者，即作为热症，用石膏败毒散主治。然而容易痊愈的症状，如逐渐起病的症状，三四日后，才发寒热的，虽然凶险，也不致危害生命。只有症状未减轻，而牙关反而不紧闭，唇口不肿，而纹路像正常人一样，不治。舌肿口满者不治。颜色如胡桃、茄子、砂纸者不治。或连重舌发寒热，还可治疗。舌头用筷子按压，颜色雪白，抬起筷子即呈红紫色。这是体内血液已死，但如果口臭者尚可求生，尤其忌讳口渴、气急、痰多而稠，如桃胶者，死期至矣。整个颈部红肿者，也极危险。面色红带紫，面青带白，神气少者都不治。不语者死。略能说话者，尚有生机。面色少神，喜欢坐低处者，也极难治。帝中关系性命，舌下紫肿为舌系，下通于肾，白肿不治，伤者必死。
凡是看喉症，必先查看当心之中，有红色者不治。如紫黑色者尤其危险，都不可下药，记住并谨慎对待。
凡是看喉症的方法，必须先刺发病一侧手上的少商穴，如果血流不出，必死在顷刻。即使好的一侧流出紫黑色血，也是死症。从事这个行业的人，贵在辨别审慎。
Medicine is a minor aspect of the "Dao" (Way). Among these minor arts, laryngology (throat disease) is even more specialized. However, within the square-inch area of the throat, life can become critically endangered in an instant, yet also be rescued from severe peril in a moment. Human ingenuity harmonizes with heavenly craftsmanship; although one may not perceive the whole picture, seeing the great within the small reveals its merit in benefiting and saving people. When I entered the official school, I had no time to study Qihuang medicine (traditional Chinese medicine), but I frequently witnessed quacks harming patients and greedy individuals pursuing profit. For those who cried out due to having no food for breakfast or dinner, no one extended a helping hand. I sighed, thinking that a scholar born in this world, if unable to hold high office to assist in governing the people, might still achieve their original aspiration of establishing themselves and helping others by mastering a skill to rescue people in emergencies. Alas, half a life of toil, yet my wishes remain unfulfilled. This autumn, while teaching at a borrowed residence at the foot of Dongshan, Mr. Chen Sheng in Feng obtained this manuscript from the You family of Liangxi for fifty taels of silver. As the elder by a day, I came to possess it peacefully. This was undoubtedly Mr. Chen's elegant intent, but also my urgent desire. Is this the result of a worldly expert communicating with spirits? Regarding this, I privately reflect. The classics say: "Rectify your righteousness, do not seek profit; clarify your Dao, do not calculate merit." This is the conduct of sages, shining as bright as the sun and moon. If people act based on this intention, self-reflection will leave no room for regret. Matters that benefit people, though the Dao may seem small, actually bring vast benefits! But those petty, dirty men in the world only act for profit, where is the Dao there? Therefore, I write these few words to warn myself, and to ensure that future generations do not treat this as ordinary prescriptions nor pass it to unworthy persons. Furthermore, understand that this is a book clarifying the Dao, and do not open the door to profit-seeking.
After the Mid-Autumn Festival of the Xin-Chou year of Qianlong, I borrowed a residence south of the Li River. Huishi deeply pondered for several years and borrowed this private secret record.
In the Yi-Mao year of Qianlong, Feng Yanfeng of Cixi, Zhejiang, transmitted and hand-copied it.
The throat is the gateway for respiration and digestion in the human body. Within this square-inch area, illness brings danger, and symptoms are numerous, but generally, the key point returns to Fire (Huo). Because the Shaoyin (Heart/Kidney) and Shaoyang (Gallbladder/Triple Burner) meridians, along with Ministerial Fire (Xianghuo) and Sovereign Fire (Junhuo), have pulses connecting to the throat, they often become sites where Fire pathogens accumulate. Sovereign Fire acts slowly, accumulating into pain and swelling; Ministerial Fire acts rapidly, causing severe swelling leading to numbness and Bi syndrome (obstruction). Severe obstruction leads to phlegm blockage and death. The Classics state: "One Yin and one Yang knot together to form Hou Bi (throat obstruction)." Fire is the root of Phlegm; Phlegm is the branch of Fire. Fire has deficiency and excess types. Excess Fire results from overeating fried, roasted, or grilled foods, accumulating toxins. Symptoms include irritability, thirst, constipation of both bowels, and upward congestion of wind-phlegm, preceding Hou Bi onset with chest discomfort, and a wiry and rapid pulse. Treatment should first dispel wind-phlegm, then resolve heat-toxin. Deficiency Fire may result from excessive drinking, anger, or sexual indulgence, with fire flaming upward attacking the throat, causing dryness. Bowel movements are usually normal, and the Shaoyin Heart pulse is faint. Treatment should tonify deficiency and descend fire. Medications should not be purely cold and cooling; although effects may be seen immediately, upper heat remains while middle cold arises, allowing toxic vapors to enter the abdomen via deficiency. Symptoms include high swelling in the chest, upper wheezing and lower diarrhea, cyanosis of fingernails/toes, inability to eat after seven days, and a mouth opening like a fish's gills indicates death. Moreover, treating throat diseases strictly forbids inducing sweating, which causes significant harm. Or using acupuncture/pricking to bleed, which implies sweating; however, for cold injuring the Kidney or swelling in the Di Zhong (throat flower), acupuncture is strictly contraindicated. For internal injury and deficiency causing loss of voice in the throat, there is no cure. (Di Zhong refers to throat flower.) In early throat disease, if chills occur within one day, followed by cooling of the body, no oral ulcers, no double tongue, or free bowel/bladder movements, it should not be mistaken for Heat syndrome. These arise from Yin deficiency and cold. The phlegm here cannot be fully drained, as this phlegm is transformed from body fluids, unlike the phlegm in Heat syndrome cases like Ru E (millet ear tonsillitis) or She Chuang (tongue sores), which heal when phlegm drains completely. If drained completely here, spirit exhausts and death ensues. Initially use medicated powder insufflation or water-dilution methods to clear the throat, then administer medicine. The first dose disperses and harmonizes; the second dose applies warm tonification and nourishment. If after three to four days, chills recur, or heartache, bone pain, or flank pain occur, these are difficult to treat. During attacks, if the jaw is tightly shut, tongue and throat swollen, oral ulcers foul-smelling, or with double tongue, yellow scales on the tongue, or recurrence of chills/fever in the afternoon with constipation, treat as Heat syndrome using Shigao Baidu San (Gypsum Toxin-Resolving Powder). However, easily curable symptoms, such as gradually appearing ones, if chills/fever appear only after three to four days, though ominous, are not fatal. Only if symptoms do not subside, yet the jaw is not tightly shut, lips/mouth not swollen, and skin texture resembles a healthy person, is it incurable. Tongue swelling filling the mouth is incurable. Colors resembling walnut, eggplant, or sandpaper are incurable. If accompanied by double tongue and chills/fever, it is still treatable. Pressing the tongue with a chopstick reveals snow-white color, turning red-purple upon removal. This indicates dead blood internally. If there is bad breath, survival is possible. Especially avoid cases with thirst, shortness of breath, and profuse thick phlegm resembling peach gum, which indicates imminent death. Generalized neck redness and swelling are extremely critical. Red face with purple tinge, blue face with white tinge, or lack of spirit are all incurable. Inability to speak indicates death. Slight ability to speak suggests a chance of survival. Face lacking spirit, preferring to sit low, is also extremely difficult to treat. Di Zhong is vital to life; purple swelling under the tongue (She Xi) connects downward to the Kidney. White swelling is incurable; injury here means death.
When examining throat diseases, always first check the center of the chest/dantian area; redness there is incurable. Purple-black is especially critical; do not administer medication. Remember and be cautious.
For any throat examination method, first prick the Shaoshang acupoint on the hand of the affected side. If blood does not flow, death occurs instantly. Even if purple-black blood flows from the unaffected side, it is a sign of death. Practitioners must distinguish carefully.