凡缠喉风，及一切喉症，去痰太多，则内必虚。如阴症伤寒一般，必用人参，少加肉桂
，导火归元，方可医治。唇白者，不治。头面项肿者，无妨。如红肿至胸前，难治，因毒瓦斯攻心
也。（原注∶红肿至胸前，余父曾治谢姓客，前剂中用护心散而愈。若不用此，毒归于心，
笑不休而死。）无痰者不治。痰去太多，则精神已竭，病虽似好，饮食如常，不知者，以为
全愈，殊不知少顷即发，脉细即死。如未谵语，急用人参可救。气急，不治。病久寒战骨痛
，不治。寒战一日外，即死。唇如胡桃肉色，不治。酱色，亦不治。使病患与好人同坐，衣
冠若无病者，【谔按∶衣冠二字，不妥，宜易气色二字。】见其唇上，有如桃胶粘痰，不出
一语者，即刻死矣。唇如朱红漆色，不语者，医至，终日，即能语。【谔按∶此与转筋同意
。】先寒热而后发症者，极重。如寒热同喉症齐发者，亦重，然不致死，此骤发而言也。【
谔按∶凡喉症之属于阴虚者，皆由相火不潜，而真阴漓散也。治宜用导龙归海法，据其窟宅
而招之，非寻常感受风热之喉症可比。】
又喉症有渐发骤发二端，渐发者多活，骤发者多死。渐发者轻，骤发者重。然骤发即治
，亦不致死。渐发失治，亦多致死。此是喉症总纲吃紧之论。
凡是缠喉风，以及一切咽喉病症，如果祛除痰液过多，体内必然虚弱。这就像阴症伤寒一样，必须使用人参，并少量加入肉桂，以引导浮火回归本源（导火归元），才可以进行治疗。嘴唇发白的，无法治愈。头面部和颈部肿胀的，尚无大碍。如果红肿蔓延至胸前，则难以治疗，因为毒气已经攻心。（原注：红肿蔓延至胸前，我的父亲曾治疗过一位谢姓客人，在前一剂药中使用了护心散而痊愈。如果不使用此方，毒气归于心脏，患者会因狂笑不止而死。）没有痰液的，无法治愈。痰液去除过多，精神已经耗尽，病情虽然看似好转，饮食如常，不知情的人以为完全康复，却不知道不久后病情就会发作，脉象细弱即预示死亡。如果出现谵语（神志不清、胡言乱语）之前，急需用人参抢救。呼吸急促的，无法治愈。病程长久出现寒战骨痛的，无法治愈。寒战持续一天以上，即刻死亡。嘴唇颜色像胡桃肉色的，无法治愈。呈酱色的，也无法治愈。让病患与健康人同坐，衣冠看起来若无病者，【谔按：这里“衣冠”二字不妥，应改为“气色”二字。】看到其唇上有像桃胶一样粘稠的痰液，说不出话的，即刻死亡。嘴唇像朱红漆色的，不说话，医生到达后，整天就能说话。【谔按：这与转筋（肌肉痉挛）的道理相同。】先出现寒热症状而后发作咽喉病的，病情极重。如果寒热与咽喉病同时发作的，也属重症，然而不会致死，这是指突然发作而言。【谔按：凡是属于阴虚的咽喉病症，都是由相火不潜藏，导致真阴耗散所致。治疗应当采用导龙归海法，针对其根源进行招摄，不同于寻常感受风热的咽喉病症。】
另外，咽喉病症有逐渐发作和突然发作两种情况，逐渐发作的多能存活，突然发作的多死亡。逐渐发作的病情轻，突然发作的病情重。但是突然发作及时治疗，也不会致死。逐渐发作失治，也多会导致死亡。这是关于咽喉病症总纲的关键论述。
In cases of Chanhou Feng (Choked Throat Wind) and all other throat disorders, excessive removal of phlegm will inevitably lead to internal deficiency. This is similar to Yin-pattern Cold Damage (Yin Zheng Shanghan), requiring the use of Ginseng Radix et Rhizoma (Renshen) with a small amount of Cinnamon Twig (Rougui) to guide fire back to its source (Dao Huo Gui Yuan), before treatment can proceed. White lips indicate an untreatable condition. Swelling of the head, face, and neck is not dangerous. However, if redness and swelling extend to the chest, it is difficult to treat because the toxic qi has attacked the Heart. (Original note: When redness and swelling extended to the chest, my father treated a guest surnamed Xie, who recovered after using Huxin San (Protect the Heart Powder) in the initial prescription. Without this, the toxin would return to the Heart, causing death from incessant laughter.) Absence of phlegm indicates an untreatable condition. Excessive removal of phlegm exhausts the spirit; although the illness may appear improved and diet normal, those unaware may think the patient has fully recovered, not realizing that relapse will occur shortly. A fine pulse signifies death. If delirium (Zanyu) has not yet occurred, urgent administration of Ginseng Radix et Rhizoma (Renshen) can save the patient. Rapid breathing indicates an untreatable condition. Prolonged illness with chills and bone pain is untreatable. Chills lasting more than one day result in immediate death. Lips resembling the color of walnut meat are untreatable. Sauce-colored lips are also untreatable. If a patient sits with healthy individuals, appearing well-dressed as if disease-free, [E's commentary: The term "clothing" here is inappropriate; it should be changed to "complexion".] and one sees sticky phlegm like peach gum on the lips, accompanied by silence, death is imminent. Lips colored like vermilion lacquer, where the patient is mute, may recover speech within a day upon the physician's arrival. [E's commentary: This shares the same principle as Jinjing (Tendon Contraction).] Cases where chills and fever precede the onset of throat symptoms are extremely severe. Cases where chills and fever erupt simultaneously with throat symptoms are also severe, though they do not necessarily lead to death, referring specifically to sudden onset. [E's commentary: All throat disorders belonging to Yin Deficiency stem from the failure of Ministerial Fire (Xiang Huo) to remain submerged, leading to the dispersion of True Yin. Treatment should employ the Dao Long Gui Hai (Guide Dragon Return to Sea) method to attract the pathogen to its origin, which differs from ordinary throat disorders caused by wind-heat.]
Furthermore, throat disorders have two modes of onset: gradual and sudden. Gradual onset often leads to survival, while sudden onset often leads to death. Gradual onset is mild; sudden onset is severe. However, even sudden onset need not be fatal if treated promptly. Conversely, neglecting gradual onset often leads to death. This is a crucial general principle regarding throat disorders.