有单有双，有连珠，多因酒色过度，郁结而生。初起，一日疼，二日红肿，三日有形。
如有细白星者，若发寒热，即飞蛾之凶症也。四日凶势定，治之，四五日可愈。其症生于喉旁，
左属心，右属肺。又云∶在右者为喉，肺病，因气而得。在左者为咽，胃病，因食热毒而生
。一边者单，二边者双，二星上下相连，状如缠袋，又如蚕茧子样者，为连珠，单者轻双者
重，连珠者更重，发寒热者凶。若伤寒后，患蛾及闭者，不治。又有急者，旦发暮死。又有
慢蛾风，四五日可治。又血蛾，用银针挑破血泡，即愈。【谔按∶甲寅秋，张兰章夫人，痰
凝气滞，木郁不达，近感风邪，包裹里热，蕴而不化，咽喉偏右白腐头痛，咳而无痰，单乳
蛾之凶症也。脉细弦，苔白，用宣肺疏气化痰清热法，炒荆芥、桑叶、杭菊、杏仁、连翘、
象贝母、广郁金、制香附、黑山栀、朱赤苓、生决明、蛤壳、白蒺藜、薄荷叶、玉桔梗为方
，外吹，用师授中白散、柳华散，合冰梅丹，一剂霍然，（中白散诸方，另载于增录一束内
因忧郁过思，血热气滞而生，妇人多患之，状如浮萍，略高而浓，紫色，生于喉咙两旁
，难求速愈，轻则半月，重则月余。治者要得法，患者须守戒，忌口戒欲，并一切毒物。【谔按
∶此症如四七、乌沉、二陈、半、贝、旋复花汤，及逍遥丸之类，均可选用。】
有单侧发病的，也有双侧发病的，还有连珠状的，多因饮酒和房事过度，导致气机郁结而产生。初起时，第一天疼痛，第二天红肿，第三天出现有形之症。
如果伴有细小白点，若同时发作寒热症状，即为飞蛾病（乳蛾）中的凶险证候。第四天凶势确定，若能及时治疗，四五日可痊愈。此症生于喉旁，左侧属心，右侧属肺。又有一种说法：在右侧的为喉，属肺病，因气机失调而得；在左侧的为咽，属胃病，因饮食积热毒而生。一边发病的为单侧，两边发病的为双侧，两个白点上下相连，形状像缠着的袋子，又像蚕茧样的，称为连珠状。单侧病情轻，双侧病情重，连珠状更重，若伴有寒热症状则预后凶险。若在伤寒之后，患乳蛾及喉闭者，难以治愈。又有急症，早晨发作晚上死亡。又有慢性的乳蛾风，四五日尚可治疗。又有血蛾，用银针挑破血泡，即可痊愈。【作者按语：甲寅年秋天，张兰章夫人，痰凝气滞，肝木郁结不得疏泄，近感风邪，包裹里热，蕴结而不化解，咽喉偏右处白腐、头痛，咳嗽无痰，属于单侧乳蛾的凶险证候。脉象细弦，舌苔白，采用宣肺疏气化痰清热的方法，方用炒荆芥、桑叶、杭菊、杏仁、连翘、象贝母、广郁金、制香附、黑山栀、朱赤苓、生决明、蛤壳、白蒺藜、薄荷叶、玉桔梗为方，外用吹药，使用师授的中白散、柳华散，合冰梅丹，一剂后霍然痊愈。（中白散诸方，另载于增录一束内）。
因忧郁过思，导致血热气滞而产生，妇女多患此症，形状如浮萍，略微隆起且脓稠，呈紫色，生于喉咙两旁，难以快速治愈，轻则半月，重则月余。治疗者要得法，患者须遵守禁忌，忌口并戒除欲望，以及接触一切毒物。【作者按语：此症如四七汤、乌沉汤、二陈汤、半夏、贝母、旋复花汤，以及逍遥丸之类，均可选用。】
There are unilateral cases, bilateral cases, and those with a "pearl chain" appearance. These are mostly caused by excessive indulgence in alcohol and sexual activity, leading to qi stagnation. In the initial stage, pain occurs on the first day, redness and swelling on the second day, and visible lesions on the third day.
If fine white spots appear, and if accompanied by chills and fever, it is considered a severe (ominous) syndrome of Fei'e (Mandibular Tonsillitis). By the fourth day, the severity is established; if treated properly, recovery can occur within four to five days. The lesions arise on the sides of the throat. The left side is associated with the Heart, and the right side with the Lung. Another view states: Lesions on the right belong to the Hou (throat/larynx), indicating a Lung disease caused by qi dysfunction. Lesions on the left belong to the Yan (pharynx/esophagus inlet), indicating a Stomach disease caused by dietary heat toxicity. Unilateral involvement is termed "single," while bilateral involvement is termed "double." When two white spots connect vertically, resembling a wrapped bag or a silkworm cocoon, it is called "Lianzhu" (Pearl Chain). Single cases are mild, double cases are severe, and Lianzhu cases are even more severe. If accompanied by chills and fever, the prognosis is ominous. If occurring after a Shanghan (Cold Damage) illness, combined with Emei (Tonsillitis) and Bi (Throat Closure), it is difficult to treat. There are also acute cases where onset in the morning leads to death by evening. Chronic Emei Feng may be treatable within four to five days. For Xue'e (Blood Tonsillitis), pricking the blood blister with a silver needle leads to immediate cure. [Author's Note: In the autumn of the Jiayin year, Mrs. Zhang Lanzhang suffered from phlegm condensation and qi stagnation, with Liver Wood depression failing to disperse. She recently contracted wind pathogen, which trapped internal heat, causing it to accumulate without resolving. She presented with white putrefaction on the right side of the throat, headache, and dry cough. This was a severe case of unilateral Emei. The pulse was fine and wiry, and the tongue coating was white. The treatment method involved diffusing the Lung, soothing qi, resolving phlegm, and clearing heat. The prescription consisted of Stir-fried Jingjie (Schizonepetae Herba), Sangye (Mori Folium), Hangju (Chrysanthemi Flos), Xingren (Armeniacae Semen Amarum), Lianqiao (Forsythiae Fructus), Xiang Beimu (Fritillariae Thunbergii Bulbus), Guang Yujin (Curcumae Radix), Zhi Xiangfu (Cyperi Rhizoma Prepared), Hei Shanzhi (Gardeniae Fructus Charred), Zhu Chiling (Poria Cocos with Polyporus), Sheng Jueming (Cassiae Semen), Geke (Tridacninae Concha), Bai Jili (Tribuli Fructus), Boheye (Menthae Haplocalycis Folium), and Yu Jiegeng (Platycodonis Radix). External application used Zhongbai San (White Powder), Liuhua San (Willow Flower Powder), and Bingmei Dan (Ice Plum Pill) combined. After one dose, she recovered completely. (The formulas for Zhongbai San are recorded separately in the Supplemental Volume One).
This condition arises from excessive worry and melancholy, leading to blood heat and qi stagnation. It is commonly seen in women. The lesions resemble floating duckweed, slightly elevated and purulent, appearing purple, located on both sides of the throat. Rapid cure is difficult; mild cases take half a month, while severe cases may take over a month. Practitioners must employ proper methods, and patients must observe strict prohibitions, including dietary restrictions, abstinence from desire, and avoidance of all toxic substances. [Author's Note: For this condition, formulas such as Siqi Tang (Four Seven Decoction), Wuchen Tang (Black Sinking Decoction), Erchen Tang (Two Aged Things Decoction), Banxia (Pinelliae Rhizoma), Beimu (Fritillariae Bulbus), Xuanfuhua Tang (Inula Flower Decoction), and Xiaoyao Wan (Free and Easy Wanderer Pills) may be selected.]