悬痈者，生于上 ，形如紫李，坠下抵舌。初起寒热大作，成痈后舌不能伸缩，口不能
开合，惟欲仰面而卧，鼻中时出红涕，乃手足少阴三焦积热所致。治宜刺之，去青黄赤血，
吹以冰青散加黄连；内服黄连解毒汤，或犀角地黄汤，数日可愈。
HT 舌者，舌根下生痈，或舌下又生一小舌，谓之重舌；又有舌下生三小舌，其状如
莲花之形，又名莲花舌。盖舌为心之苗，肝脾脉皆络舌本。或由思虑太过，心火上炎所致；
或由脾经有热，阻其气血而成；或由忧思抑郁，肝邪上亢而结。初起头痛，寒热交作，用牛
蒡解肌汤发汗；若寒热不退，即用黄连解毒汤，或犀角地黄汤；有脓针之，吹以冰硼散；如
无脓，七日后可消。
又或有外感风热，颏下漫肿，而发外悬痈HT 舌者，起时头疼项强，寒热交作，有成
脓者，亦有不成脓者，以铁箍散围之。治以透表散邪，如热盛，或羚羊角、川连亦可。如过
五、六日后，皮色 红漫肿者，即成脓矣，宜刺之。此证与风热痰毒同。
咽喉为一身之总要，百节关头，呼吸出入之门户，左为咽属胃，右为喉属肺。或内因，
或外感，疡证颇多。试先即喉蛾喉痈论之。夫风温客热，首先犯肺，化火循经上逆入络，结
聚咽喉，肿如蚕蛾，故名喉蛾。（今世俗传说鸡鹅之鹅，谓不可食菜者，非也）。或生于一偏为
单蛾，或生于两偏为双蛾。初起寒热，渐渐胀大，即用疏解散邪，如牛蒡散加黄连、荆防败
毒散之类，又以冰硼散加薄荷、川连末吹之。至三、四日后，胀甚痰鸣，汤水难入，宜以刀
刺喉间肿处，用皂角烧灰、胆矾、牛黄、冰片各一分，麋香三厘，为末，吹之，必大吐痰
而松。再服清火彻热汤饮，如黄连解毒汤，或鲜地、羚羊、知母、石斛、元参、丹皮、芦根
、连翘之属；若不大便者，可服凉膈散通腑泄便。凡蛾有头如黄色样者，必以刀点之；或有
不出黄头者，即不必点；至七日后，寒热自退，肿胀自消。（大凡风火外疡，总以七日为期。）
亦有虚火上炎而发者，以其人肾水下亏，肾中元阳不藏，上越逆于喉中而结，须用引火归源
之法，若桂附八味丸是也。辨虚实之法，若实火脉数大，清晨反重，夜间反轻，口燥舌干而
开裂；虚火脉细数，日间轻而夜重，口不甚渴，舌滑而不裂也。且外感之肿胀，其势暴急；
内因之肿胀，其势缓慢。以此断之，庶无差误。
喉痈生于咽外正中，肿形园正。其感风热而发者，与喉蛾同治；若因心肝之火，上烁肺
金，热毒攻喉，而发为痈肿者，宜用龙胆汤，或黄连泻心汤之类。
悬痈，生长于上颚部位，形状像紫色的李子，下垂抵住舌头。初起时寒战和高热剧烈发作，形成痈肿后舌头不能伸缩，嘴巴不能开合，只想仰面躺着，鼻孔中时常流出带血的鼻涕，这是由手足少阴经和三焦经积热所致。治疗应当刺破排脓，排出青、黄、赤色的瘀血，吹入冰青散并加入黄连粉；内服黄连解毒汤，或者犀角地黄汤，数日即可痊愈。
重舌，是在舌根下生痈，或者在舌下又长出一个小舌头，称为重舌；又有在舌下生出三个小舌头的，形状像莲花，又名莲花舌。因为舌头是心的外候，肝脉和脾脉都联络到舌根。这可能是由于思虑过度，导致心火上炎引起；或者是脾经有热，阻碍气血运行而成；或者是因忧思抑郁，肝气邪亢向上结聚所致。初起时头痛，寒热交替发作，使用牛蒡解肌汤发汗；如果寒热不退，立即使用黄连解毒汤，或者犀角地黄汤；如果有脓液，用针刺破，吹入冰硼散；如果没有脓液，七日后可以消散。
另外，如果有外感风热，下巴下方弥漫性肿胀，并发出悬痈或重舌的，发病时头痛项强，寒热交替发作，有的化脓，有的不化脓，用铁箍散外敷围堵。治疗以透表散邪为主，如果热势旺盛，也可以使用羚羊角、黄连。如果过了五、六天后，皮肤颜色红且弥漫性肿胀，就是已经成脓了，适宜刺破排脓。这个病症与风热痰毒相似。
咽喉是一身的关键所在，是百节连接的关口，呼吸出入的门户，左边咽部属胃，右边喉部属肺。无论是内因还是外感，外科疮疡证候很多。先就喉蛾和喉痈来论述。风温客热之邪，首先侵犯肺脏，化火沿着经络上逆进入络脉，结聚在咽喉，肿胀像蚕蛾，所以名叫喉蛾。（现在世俗传说“鹅”是指不可吃蔬菜的人，这是不对的）。有的长在一侧为单蛾，有的长在两侧为双蛾。初起时寒热，逐渐胀大，立即使用疏解散邪的方法，如牛蒡散加黄连、荆防败毒散之类，又用冰硼散加入薄荷、黄连末吹入患处。到了三、四天后，肿胀严重伴有痰鸣声，汤水难以下咽，宜用刀刺破喉间肿处，用皂角烧成的灰、胆矾、牛黄、冰片各一分，麝香三厘，研成粉末，吹入患处，必定会大量吐出痰液而症状缓解。再服用清火彻热的汤剂，如黄连解毒汤，或者鲜地黄、羚羊角、知母、石斛、玄参、牡丹皮、芦根、连翘之类的药物；如果不大便，可以服用凉膈散通腑泄便。凡是蛾症有黄色脓头的，必须用刀点破；有的没有黄色脓头出的，就不必点破；到了七日后，寒热自然消退，肿胀自然消除。（大凡风火引起的体表疮疡，总以七日为一个周期。）也有虚火上炎而引发的，因为此人肾水下亏，肾中元阳不藏，向上逆行结聚于喉中，必须使用引火归源的方法，如桂附八味丸就是此类。辨别虚实的方法，如果是实火，脉象数而大，清晨反而加重，夜间反而减轻，口燥舌干并且开裂；如果是虚火，脉象细数，日间轻而夜间重，口不太渴，舌滑而不裂。而且外感引起的肿胀，病势暴急；内因引起的肿胀，病势缓慢。以此来判断，才不会有差错。
喉痈生长在咽外正中位置，肿胀形状圆正。感受风热而发的，治疗方法与喉蛾相同；如果是由于心肝之火，向上灼伤肺金，热毒攻冲咽喉，从而发为痈肿的，适宜使用龙胆汤，或者黄连泻心汤之类。
Xuan Yong (Hanging Abscess) arises in the upper palate, resembling a purple plum, hanging down to touch the tongue. Initially, there are severe chills and high fever. After the abscess forms, the tongue cannot protrude or retract, and the mouth cannot open or close; the patient desires to lie on their back. Red nasal discharge occurs intermittently. This is caused by accumulated heat in the Shaoyin meridians of the hand and foot, as well as the Sanjiao (Triple Burner). Treatment involves lancing to drain green, yellow, and red blood, followed by insufflating Bingqing San (Ice Blue Powder) with added Huanglian (Coptis Rhizome). Internally, administer Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxicity) or Xijiao Dihuang Tang (Rhinoceros Horn and Rehmannia Decoction); recovery can be expected within a few days.
Chong She (Double Tongue) refers to an abscess arising under the root of the tongue, or a small extra tongue growing beneath the tongue, known as Chong She. Another variation involves three small tongues growing under the tongue, shaped like a lotus flower, also called Lianhua She (Lotus Tongue). The tongue is considered the sprout of the Heart, and the Liver and Spleen meridians all connect to the root of the tongue. Etiology may include excessive thinking leading to Heart Fire flaming upward; Heat in the Spleen meridian obstructing Qi and Blood circulation; or depression and worry causing Liver Pathogenic factors to surge upward and knot. Initial symptoms include headache and alternating chills and fever. Use Niubang Jiexu Tang (Burdock Decoction for Relieving Muscular Tension) to induce sweating. If chills and fever persist, immediately use Huanglian Jiedu Tang or Xijiao Dihuang Tang. If pus has formed, lance it and insufflate Bingpeng San (Ice Borax Powder). If no pus has formed, it may resolve after seven days.
Additionally, if external Wind-Heat causes diffuse swelling under the chin, accompanied by Xuan Yong or Chong She, initial symptoms include headache, stiff neck, and alternating chills and fever. Some cases form pus, while others do not. Apply Tiegu San (Iron Hoop Powder) externally to confine the swelling. Treatment focuses on releasing the exterior and dispersing pathogens. If heat is intense, Lingyangjiao (Saiga Antelope Horn) or Chuanlian (Sichuan Coptis) may be used. After five or six days, if the skin becomes red and diffusely swollen, pus has formed, and lancing is appropriate. This condition is similar to Wind-Heat Phlegm-Toxin.
The throat and pharynx are vital hubs of the body, the junctions of the hundred joints, and the portals for respiration. The left side (pharynx/esophagus) belongs to the Stomach, and the right side (larynx/trachea) belongs to the Lung. Both internal and external etiologies can cause numerous surgical lesions here. Let us first discuss Hou'e (Throat Moth) and Hou Yong (Throat Abscess). Wind-Warmth and pathogenic heat first invade the Lung, transform into fire, move upward along the meridians into the collaterals, and knot in the throat. The swelling resembles a silkworm moth, hence the name Hou'e. (Note: The popular folk belief that "e" refers to someone who cannot eat vegetables is incorrect.) It may occur on one side (Dan'e/Single Moth) or both sides (Shuang'e/Double Moth). Initially presenting with chills and fever, the swelling gradually increases. Immediately use formulas to disperse pathogens and relieve exterior constraints, such as Niubang San (Burdock Powder) with added Huanglian, or Jingfang Baidu San (Aucklandia and Saposhnikovia Decoction for Overcoming Toxins). Insufflate Bingpeng San mixed with Bohe (Mint) and Chuanlian powder. By the third or fourth day, if swelling is severe with rattling phlegm and difficulty swallowing liquids, lance the swollen area in the throat. Prepare a powder from Zaojiao (Gleditsia Sinensis Fruit) ash, Danfan (Alum), Niuhuang (Calculus Bovis), Bingpian (Borneol) each at 1 fen, and Muxiang (Moschus) at 3 li. Insufflate this powder; profuse expectoration of phlegm will follow, bringing relief. Subsequently, administer decoctions to clear fire and eliminate heat, such as Huanglian Jiedu Tang, or herbs like Xian Di (Fresh Rehmannia Root), Lingyangjiao, Zhimu (Anemarrhena Rhizome), Shihu (Dendrobium Stem), Yuanshen (Scrophularia Root), Mudanpi (Moutan Cortex), Lugeng (Reed Rhizome), and Lianqiao (Forsythia Fruit). If constipation exists, Liangge San (Cooling the Chest Powder) can be used to unblock the bowels and purge stool. For moths with yellow heads, they must be pricked with a knife; if no yellow head appears, pricking is unnecessary. After seven days, chills and fever naturally subside, and swelling resolves. (Generally, for external sores caused by Wind-Fire, the seven-day period is the standard timeline.) Some cases arise from Deficient Fire flaming upward due to deficiency of Kidney Yin (Water), causing Kidney Yuan Yang (Original Fire) to fail to stay rooted and ascend reversely to knot in the throat. In such cases, the method of guiding fire back to its source is required, using Guifu Bawei Wan (Cinnamon Twig and Aconite Eight-Ingredient Pill). To distinguish between Excess and Deficiency: Excess Fire presents with rapid and large pulse, worsening in the morning and improving at night, dry mouth, dry tongue, and cracking. Deficient Fire presents with fine and rapid pulse, improving during the day and worsening at night, little thirst, smooth tongue without cracking. Furthermore, swelling from external contraction is sudden and urgent; swelling from internal causes is slow. Using these criteria ensures accurate diagnosis.
Hou Yong (Throat Abscess) arises in the center of the posterior pharyngeal wall, with round and regular swelling. If caused by Wind-Heat, treat similarly to Hou'e. If caused by Fire of the Heart and Liver scorching Lung Metal, with Heat-Toxin attacking the throat, use Longdan Tang (Gentian Decoction) or Huanglian Xiexin Tang (Coptis Decoction to Drain the Heart).