虬村黄泰兄尊堂年五旬余，舌底右边肿起如条，长寸许，色黄微痛，不便，饮食结喉。右旁亦肿，如痰核，
软中觉硬。初来延医，左关微弦，投以黑逍遥散，吹以青雪丹，外敷白芥子、香附、贝母等末，继进以六味加归
芍已痊其七八。因懒服药，迨及半月，兼气恼，而肿较甚，舌底肿处亦大，倍艰于食，即根据前法，毫不效验，乃
更他医。用海藻、夏枯草、香附、川郁金、白芍、当归、牡蛎等味数剂，亦不见应，复来求治，而外肿更大，如
覆杯硬，且拒按，舌肿稍拱起，因专用六味熟地加至六钱，嘱服十剂，竟至七剂，内外全消而愈。前于方中加归
芍。即不效，六味之妙用，其义深矣。
又
上市程治堂封翁，素喜烟与烧酒同吃，岁己未年，届七旬，舌底两旁忽肿，初并不觉妨硬，渐医渐肿硬，渐
妨言语饮食，而诸医犹皆执定心经蕴热，由于火酒与烟，有用导赤泻心者，有用黄连清心者，有用复脉饮加犀角
者，有用生熟地、麦冬、玄参、连翘心、莲子心、灯心者，亦有用紫雪点者，延治一年，未见稍效，乃遇善于用
刀者，硬将两边肿处切破，血流盈地，延半月竟殁。
咽喉 任脉至咽喉。督脉入喉。冲脉任脉会于咽喉。足阳明循喉咙。手太阳循咽。足少阳循喉咙。足厥阴循
喉咙之后，上入颃颡。手少阴支者上挟咽。足少阳之别上挟咽。足阳明上循咽。足太阴合于阳明，上行结于咽。
手少阴之正上走喉咙。手厥阴出循喉咙。手太阳循喉咙。足阳明挟咽之动脉。上焦并咽以上。
嗌 足太阴脉络嗌。
会厌 厌小而薄则发气疾其开阖利，厌
大而浓则开阖难其气出迟。足之少阴络于横骨。终于会厌。
虬村的黄泰兄的母亲年过五十，舌底右侧肿起如条状，长约一寸，颜色发黄且微痛，吞咽不便，饮食卡在喉部。右侧旁边也肿胀，像痰核一样，摸起来软中觉硬。起初请医生诊治，左关脉微弦，投以黑逍遥散，外用青雪丹吹喉，外敷白芥子、香附、贝母等药末，随后服用六味地黄丸加当归、芍药，病情好了七八成。因懒得服药，过了半个月，加上生气恼怒，肿胀反而更严重，舌底肿处变大，进食更加困难，于是按照前法治疗，却毫无效果，便更换其他医生。使用海藻、夏枯草、香附、川郁金、白芍、当归、牡蛎等药物数剂，也不见成效，再次来求治，此时外部肿胀更大，像倒扣的杯子一样坚硬，且拒绝按压，舌肿稍拱起，因此专门使用六味地黄丸，将熟地黄用量加重至六钱，嘱咐服用十剂，结果服到第七剂时，内外肿胀全部消退而痊愈。之前方中加入归、芍无效，可见六味地黄丸的妙用，其道理深远啊。
又
上市程治堂老先生，素来喜欢抽烟与烧酒同饮，在己未年，已届七十岁，舌底两旁突然肿胀，起初并不觉得妨碍，逐渐医治后肿胀变硬，逐渐妨碍言语和饮食，但众医仍坚持认为是心经蕴热，由于火酒与烟引起，有用导赤散泻心的，有用黄连清心的，有用复脉饮加犀角的，有用生熟地、麦冬、玄参、连翘心、莲子心、灯心草的，也有用紫雪点涂的，治疗一年，未见丝毫效果，于是遇到善于用刀的人，强行将两边肿处切开，血流满地，过了半个月竟然死亡。
咽喉：任脉到达咽喉。督脉进入喉部。冲脉与任脉会合于咽喉。足阳明胃经循行喉咙。手太阳小肠经循行咽部。足少阳胆经循行喉咙。足厥阴肝经循行喉咙之后，向上进入颃颡（鼻咽部）。手少阴心经的支脉向上挟持咽部。足少阳胆经的别络向上挟持咽部。足阳明胃经上行循行咽部。足太阴脾经与阳明经相合，上行结聚于咽。手少阴心经的正脉向上走行至喉咙。手厥阴心包经出而循行喉咙。手太阳小肠经循行喉咙。足阳明胃经挟持咽部的动脉。上焦并咽以上。
会厌：会厌小而薄则发声快，开阖通畅；会厌大而厚则开阖困难，气息排出迟缓。足少阴肾经络于横骨，终于会厌。
The mother of Brother Huang Tai from Qiucun, over fifty years old, had a swelling on the right side under the tongue resembling a strip, about one cun in length, yellowish in color with slight pain, difficulty in swallowing, and food stuck in the throat. The area beside it was also swollen, like a phlegm nodule, feeling soft yet hard upon palpation. Initially, a physician was consulted; the pulse at the left Guan position was slightly wiry. Black Xiaoyao San (Black Free and Easy Wanderer Powder) was administered internally, Qingxue Dan (Green Snow Powder) was blown into the throat, and externally, powders of Baijiezi (White Mustard Seed), Xiangfu (Cyperus Rhizome), and Beimu (Fritillaria Bulb) were applied. Subsequently, Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) supplemented with Danggui (Angelica Sinensis) and Shaoyao (Peony Root) was given, resulting in 70-80% recovery. Due to reluctance to take medicine, after half a month, combined with anger and frustration, the swelling worsened significantly, the swelling under the tongue enlarged, and eating became twice as difficult. The previous method was repeated but yielded no effect, so another physician was sought. Herbs such as Haizao (Sargassum), Xiakucao (Prunella Vulgaris), Xiangfu, Chuan Yujin (Curcuma Aromatica Rhizome), Baishao (White Peony Root), Danggui, and Muli (Oyster Shell) were prescribed for several doses, but without success. Upon returning for treatment, the external swelling was even larger, hard like an inverted cup, and tender to touch, with the tongue swelling slightly protruding. Therefore, Liuwei Dihuang Wan was used exclusively, with Shudihuang (Prepared Rehmannia Root) increased to six qian. Ten doses were prescribed, but after seven doses, both internal and external swellings completely disappeared, leading to recovery. The addition of Danggui and Shaoyao in the previous formula was ineffective, demonstrating the profound efficacy of Liuwei Dihuang Wan.
Furthermore
Old Gentleman Cheng Zhitang from Shangshi, who habitually smoked while drinking strong liquor, reached seventy years of age in the Jiwei year. Suddenly, both sides under the tongue swelled. Initially, there was no discomfort or hardness. Gradual medical intervention led to increasing swelling and hardness, eventually hindering speech and eating. However, various physicians persisted in diagnosing Heart Meridian heat accumulation caused by liquor and smoking. Treatments included Daochi San (Guiding Out Red Powder) to purge Heart fire, Huanglian Qingxin Yin (Coptis Clear Heart Decoction), Fumai Yin (Reviving Pulse Decoction) added with Xijiao (Rhinoceros Horn), combinations of Shengdihuang (Raw Rehmannia Root), Mudong (Ophiopogon Tuber), Xuanshen (Scrophularia Root), Lianqiaoxin (Lonicera Flower Bud Heart), Lianzixixin (Lotus Plumule Heart), and Dengxincao (Juncus Effusus Pith), as well as Zixue (Purple Snow) applied topically. After one year of treatment with no improvement, a surgeon skilled in knife work forcibly incised the swollen areas on both sides, causing blood to flow profusely. The patient died half a month later.
Throat: The Ren Mai (Conception Vessel) reaches the throat. The Du Mai (Governing Vessel) enters the larynx. The Chong Mai (Penetrating Vessel) and Ren Mai converge at the throat. The Foot-Yangming Stomach Meridian follows the throat. The Hand-Taiyang Small Intestine Meridian follows the pharynx. The Foot-Shaoyang Gallbladder Meridian follows the throat. The Foot-Jueyin Liver Meridian follows behind the throat, ascending into the nasopharynx (Hangsang). A branch of the Hand-Shaoyin Heart Meridian ascends to flank the pharynx. An collateral branch of the Foot-Shaoyang Gallbladder Meridian ascends to flank the pharynx. The Foot-Yangming Stomach Meridian ascends along the pharynx. The Foot-Taiyin Spleen Meridian joins the Yangming Meridian and ascends to knot at the pharynx. The Zheng (Regular) pathway of the Hand-Shaoyin Heart Meridian ascends to the larynx. The Hand-Jueyin Pericardium Meridian emerges and follows the throat. The Hand-Taiyang Small Intestine Meridian follows the throat. The Foot-Yangming Stomach Meridian flanks the arterial pulse at the pharynx. The Upper Jiao (Upper Burner) runs alongside the pharynx upwards.
Yi (Pharynx/Oesophagus): The Foot-Taiyin Spleen Meridian connects with the Yi.
Epiglottis: If the epiglottis is small and thin, voice emission is rapid and its opening/closing is smooth. If the epiglottis is large and thick, opening/closing is difficult and air expulsion is slow. The Foot-Shaoyin Kidney Meridian connects with Henggu (KI13) and terminates at the epiglottis.