叉喉之症最为殃迟了三时命不长。病者能根据方法治。管教依旧进茶汤。
男子妇人喉内生此疾者。极为急症。先咽喉作紧。风痰上涌多有绵涎内紧外浮肿不能饮食渐至咽喉紧闭。如叉
叉住。甚则头面浮大其患最速。宜急治之。若一二日不知治者多致殒命先用冰硼散开窍。次用风路针三用摩风膏少
许和角药调噙。取喉内痰涎并用角药敷颈外浮肿处。服紫正散加开关散如病势已极。不能开关者。不治。
按此症既速凡初起当用赤麟散吹之。其效更捷。
咽喉此症不为良黄烂成疮作祸殃。根据法频施无效处。必然长梦入黄粱。
初起生咽喉间。或红黄色如粟形者日久满喉成疮。及满口生者。渐变紫黑不能吞咽。先用角药次开风路针。服
紫地散以冰硼散吹之。即效惟风热实症可治。若内伤咳嗽吐血后而发此症者。切不可用此等药致枉人命也。
枢扶氏曰。按咽疮一症虽曰真阴亏竭相火熏灼上升咽喉发为咽疮。最为虚损恶症。然其间虚实阴阳。亦当分别
治之凡属实症。由于风热者。必须发热恶寒。疮色红黄。右脉浮数有力因病患平昔过食煎炙蕴积于胸膈。今又新受
风邪。感触而发。治宜以喉科诸药投之。自然获效。若虚症。形色白而干燥不润内热口渴饮食微少疼。惟咽津液其
痛更甚。此由真阴已亏。虚损所致。然内伤有二种。一属气亏 为阳虚。一属血亏为阴虚。阳虚者。两寸浮数遇劳
益甚而行。动则气喘此脾肺气虚穷及肾水。须培补中土。庶无差误今时医不识。以清凉利痰之剂治之。遂致喉间变
生咽疮。顿成不治之症。若阴虚者。两尺洪数。重按无力现于外者。内热咳嗽吐痰衄血。或饮食日减。此肝肾阴虚
不能蓄养龙雷真火盖阴虚则火旺。火旺则水竭。水竭则肾元枯涸。肾元枯涸则相火奔腾而浮上斯喉痹咽疮。痰结烦
燥声哑之症作矣俗曰火烧灶门是也。其时若以六味补水真水不能骤生。以生脉保肺而久炎之肺又非参麦能疗。以八
味降火。而咽喉之地难受桂附之性。以滋肾丸互治水火。而水火不能既济。惟急用甘露饮治之。使水火各安其位。
得以浚其源而安其流。能导龙归海使五行自有相生之象然后再按脉察色。分别治之。或八味六味或归脾养荣诸方佐
之。自然获奏神效称为灵丹。然患者亦当早治勿待病入膏肓。虽有神丹。亦无济也。
叉喉风这一病症最为凶险，往往在短时间内危及生命。如果患者能够依据正确的方法进行治疗，就能保证恢复健康，重新进食饮水。
无论男女，咽喉内部生出此疾，属于极为急重的病证。起初咽喉感到紧缩，风痰上涌，常伴有大量黏稠涎液，内部紧绷而外部浮肿，导致无法饮食，逐渐发展到咽喉完全闭塞，感觉像被叉子卡住一样。严重时头面部浮肿变大，病情发展极其迅速，应当紧急治疗。如果一两天内不知救治，大多会导致死亡。治疗时，先用冰硼散开通窍道，再用风路针进行三次刺络，取少量摩风膏混合角药含服。清除喉内的痰涎，并用角药敷在颈部外部的浮肿处。服用紫正散加开关散。如果病势已经极度严重，无法开通关窍的，属于不治之症。
按语：此症发病迅速，凡初起时应当用赤麟散吹入患处，疗效更加快捷。
咽喉部位的这种病症如果不加以重视，黄烂成疮会酿成大祸。如果依据方法频繁施治仍无效，必然导致死亡（如同黄粱梦醒般逝去）。
此症初起生于咽喉间，有的呈现红黄色如粟米状，日久满布咽喉形成疮疡，甚至满口生疮，逐渐变为紫黑色，不能吞咽。治疗先用角药，其次用风路针刺络，服用紫地散，并以冰硼散吹入患处，即可见效。但这仅适用于风热实证。如果是因内伤咳嗽、吐血之后引发的此症，切不可使用这类药物，否则会导致人命丧亡。
枢扶氏说：按咽疮这一病症，虽然说是真阴枯竭、相火熏灼上升至咽喉而发为咽疮，属于最严重的虚损恶症。然而其中的虚实阴阳，也应当分别治疗。凡是属实证的，由于风热引起，必须伴有发热、恶寒，疮色红黄，右脉浮数有力。这是因为病患平素过食煎炸炙烤之物，蕴积于胸膈，如今又新受风邪，感触而发。治疗适宜用喉科诸药投之，自然能获效。若是虚证，形色白而干燥不润，内有热感、口渴，饮食稍少，疼痛仅在吞咽津液时更甚。这是由真阴已亏、虚损所致。然而内伤有两种情况，一是气亏属于阳虚，一是血亏属于阴虚。阳虚者，两寸脉浮数，遇劳累加重，行动则气喘，这是脾肺气虚穷及肾水，必须培补中土，才不会出差错。当今医生不识此理，用清凉利痰的药剂治疗，致使喉间变生咽疮，顿成不治之症。若是阴虚者，两尺脉洪数，重按无力，表现于外的有内热、咳嗽、吐痰、衄血，或饮食日渐减少，这是肝肾阴虚，不能蓄养龙雷真火。盖因阴虚则火旺，火旺则水竭，水竭则肾元枯涸，肾元枯涸则相火奔腾而浮上，于是喉痹、咽疮、痰结、烦躁、声哑等症状发作。俗称“火烧灶门”。此时若用六味地黄丸补水，真水不能骤生；用生脉散保肺，久炎之肺非人参麦冬所能疗；用八味丸降火，而咽喉之地难受桂附之性；用滋肾丸互治水火，而水火不能既济。只有紧急使用甘露饮治疗，使水火各安其位，得以浚其源而安其流，能导龙归海，使五行自有相生之象。然后再按脉察色，分别治疗。或用八味丸、六味丸，或用归脾汤、养荣汤等方剂佐助，自然能奏神效，称为灵丹。然而患者也应当早治，不要等到病入膏肓，即使有神丹，也无济于事。
Chacha throat wind (Chacha Houfeng, fork-like throat obstruction) is the most perilous condition, often claiming life within three hours. If the patient can follow the correct treatment method, they will be guaranteed to recover and resume drinking and eating.
Whether male or female, the onset of this disease inside the throat is an extremely urgent condition. It begins with tightness in the throat, with wind-phlegm surging upward, often accompanied by copious sticky saliva. The interior feels tight while the exterior swells, making it difficult to eat and drink. Gradually, the throat becomes completely blocked, feeling as if choked by a fork. In severe cases, the head and face become swollen and enlarged; the pathology progresses with extreme speed and requires immediate treatment. If left untreated for one or two days, death is likely. Initially, Bingpeng San (Ice Borax Powder) should be used to open the orifices. Next, use the Fenglu needle (Wind-Path Needle) for puncture therapy three times. Take a small amount of Mofeng Gao (Wind-Rubbing Ointment) mixed with Jiaoyao (Horn Medicine) to hold in the mouth. Remove phlegm and saliva from the throat, and apply Jiaoyao to the swollen area on the outside of the neck. Administer Zizheng San (Purple Correcting Powder) combined with Kaiguan San (Gate-Opening Powder). If the pathological trend is extremely critical and the gate cannot be opened, it is incurable.
Note: Since this condition develops rapidly, Chilin San (Red Qilin Powder) should be blown into the affected area at the initial stage for more rapid efficacy.
This condition in the throat, if not treated properly, leads to yellowish ulcers and disaster. If frequent application of the correct methods yields no effect, death is inevitable (like waking from a golden millet dream).
Initially, lesions appear in the throat, presenting as red or yellow spots resembling millet grains. Over time, they cover the throat forming ulcers, or even spread throughout the mouth. They gradually turn purple-black, making swallowing impossible. Treatment involves first applying Jiaoyao (Horn Medicine), followed by puncture therapy with the Fenglu needle (Wind-Path Needle). Administer Zidi San (Purple Earth Powder) and blow Bingpeng San (Ice Borax Powder) into the throat for immediate effect. This is only treatable if it is a Wind-Heat Excess pattern. If this condition arises after internal injury involving coughing or hemoptysis, these medications must absolutely not be used, as doing so may result in fatal consequences.
Shufu Shi stated: Regarding Yan Chuang (Throat Ulcer), although it is said to be caused by the exhaustion of True Yin and the scorching ascent of Minister Fire to the throat, constituting a severe deficiency syndrome, the excess and deficiency, yin and yang patterns must still be differentiated for treatment. For excess patterns caused by Wind-Heat, there must be fever and aversion to cold, with red-yellow ulcers and a floating, rapid, and forceful right pulse. This occurs because the patient has historically consumed excessive fried and roasted foods, causing accumulation in the chest and diaphragm, and is now newly affected by Wind pathogenic factors. Treatment should involve throat-specific medicines, which will naturally yield results. For deficiency patterns, the appearance is white, dry, and unmoistened, with internal heat, thirst, reduced appetite, and pain that worsens upon swallowing saliva. This is due to the depletion of True Yin and deficiency damage. Internal injury manifests in two types: Qi deficiency leading to Yang deficiency, and Blood deficiency leading to Yin deficiency. In Yang deficiency, the pulses at both Cun positions are floating and rapid, worsening with exertion, accompanied by panting upon movement. This indicates Spleen and Lung Qi deficiency extending to Kidney Water. One must tonify the Middle Jiao to avoid errors. Modern physicians fail to recognize this and treat with cooling and phlegm-resolving agents, causing throat ulcers to develop suddenly into incurable conditions. In Yin deficiency, the pulses at both Chi positions are full and rapid but weak upon heavy pressure. External manifestations include internal heat, cough, expectoration, epistaxis, or decreasing appetite. This is due to Liver and Kidney Yin deficiency failing to nourish the Dragon and Thunder True Fire. When Yin is deficient, Fire flares up; when Fire flares, Water dries up; when Water dries, Kidney Essence withers. Withered Kidney Essence causes Minister Fire to surge and float upward, resulting in symptoms such as throat bi, throat ulcers, phlegm nodules, irritability, and hoarseness. This is commonly known as "Fire Burning the Stove Door." At this time, using Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) to replenish water cannot quickly generate True Water. Using Shengmai San (Generate Pulse Powder) to protect the lungs cannot cure chronic inflammation with just Ginseng and Ophiopogon. Using Bawei Wan (Eight-Ingredient Pill) to descend fire is unsuitable for the throat region due to the harsh nature of Cinnamon and Aconite. Using Zishui Wan (Nourishing Water Pill) to harmonize Water and Fire fails because Water and Fire cannot interact. Only by urgently administering Ganlu Yin (Sweet Dew Decoction) can Water and Fire return to their proper places, dredging the source to stabilize the flow, guiding the Dragon back to the sea, and allowing the Five Elements to regenerate each other. Subsequently, based on pulse and complexion observation, differentiate and treat. Supplement with Bawei Wan (Eight-Ingredient Pill), Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill), Guipi Tang (Restore the Spleen Decoction), or Rongyang Tang (Nourish the Younger Decoction). This will naturally achieve miraculous effects, earning the name "Spiritual Elixir." However, patients must seek early treatment. Do not wait until the disease enters the marrow and muscle layers; even divine elixirs will then be of no avail.