因心中燥结而发，先二日，必胸膈气紧，呼吸气促，忽然咽喉肿痛，手足厥逆，颈纹如
缚，热结于内，肿绕于外，且麻且痒，喉中红丝缠紧，指甲或白或青，手心壮热，喉肿而大，痰
声如锯。其症最急，初起即治，可救。若过一日夜后，目直视而睛定，声如雷鸣者，不治
。探以灯火近患人口边，即吹灭者，不治。若见喘急，额汗，危在旦夕矣。肾经有热致令心火
盛也。（原注∶吹丹内必加牛黄为妙。）【谔按∶缠喉风较塞喉风，势猛而险，一则开关化痰
而愈。一则必须顾及少阴，而初起总以开痰为要。】
多因劳病未愈，虚火上炎，营血已竭，其症上颚有红点，密密如蚊啮痕。此是危笃将殂
，慎勿视之，以取谤怨也。
外见赤肿，内形如鸡子，其色鲜红，光亮如镜，发热恶寒，目睛上视。此心脾积热，形
象虽凶，速治可愈。【谔按∶河间论治喉痹，犹之救火，即《内经》火郁发之之意，发为发汗，
然咽喉中不能发汗，故出血者，乃发汗之一端。】
生于喉间两旁，有单有双，形有圆眼大许，血丝相里似瘤者，故名之。此因肺经受热，
多语损气，或怒中高喊，或诵读太急，或多饮烧酒，倘吃炙爆硬物，犯之即痛，不犯不痛。须敛
神晏息，以清降之药治之，便愈。【谔按∶此与梅核气症相似，因于七情郁结，痰凝气滞而
成。不可妄用刀针，宜吹余冰梅丹，合白金散，内服如四七、越鞠、旋复、葱绛之属，可冀
向愈。】
因心中燥热结聚而发病，发病前两日，必然感到胸膈部气机紧束，呼吸急促，忽然出现咽喉肿痛，手足逆冷，颈部纹路如同被绳索捆绑，体内热邪结聚，外部肿胀环绕，且伴有麻木和瘙痒感，喉中红色血丝缠绕紧缩，指甲颜色或白或青，手心高热，喉部肿胀严重，痰鸣声如拉锯。此症最为急重，若在初起时即进行治疗，可以挽救。若超过一日一夜后，出现双眼直视、眼球固定不动，声音如雷鸣般者，属于不治之症。用灯火靠近患者口边，若灯火立即熄灭者，亦属不治。若见到气喘急促、额头出汗，则危险就在旦夕之间。这是由于肾经有热导致心火亢盛所致。（原注：治疗时必须加入牛黄为妙。）【谔按：缠喉风比塞喉风病情更猛烈凶险，前者只需开通关窍、化解痰涎即可痊愈；后者必须顾及少阴经，但初起阶段总以开通痰浊为关键要点。】
多因劳损性疾病未愈，虚火上炎，营血已经枯竭，症状表现为上颚出现红点，密密麻麻如同蚊子叮咬的痕迹。这是病情危重即将死亡的表现，切勿将其视为普通病症，以免招致非议怨恨。
外部可见赤色肿胀，内部形状像鸡蛋，颜色鲜红，光亮如镜，伴有发热恶寒，眼球向上凝视。这是心脾积热所致，虽然形象凶险，但迅速治疗可以痊愈。【谔按：河间论述治疗喉痹，犹如救火，即《内经》中“火郁发之”的意思，“发”指发汗，然而咽喉部位不能通过发汗来解表，因此出血疗法，是发汗的一种手段。】
生长在喉间两侧，有单侧也有双侧，形状有的像圆眼那样大，血丝纠缠类似肿瘤，因此得名。这是因为肺经受热，多说话损伤元气，或在愤怒中高声喊叫，或诵读过于急促，或多饮烧酒，如果食用烤爆坚硬食物，触犯它就会疼痛，不触犯就不痛。必须收敛心神、安静休息，使用清降性质的药物治疗，便可痊愈。【谔按：此症与梅核气症状相似，由七情郁结，痰凝气滞而成。不可妄用刀针切割，宜吹敷余冰梅丹，配合白金散，内服如四七汤、越鞠丸、旋复花汤、葱绛汤之类的方剂，可期望逐渐痊愈。】
Arising from dryness and accumulation in the Heart, two days prior to onset, there is necessarily tightness of Qi in the chest and diaphragm, with rapid breathing. Suddenly, the throat becomes swollen and painful, the extremities become cold (Jue Ni), neck veins appear constricted as if bound by ropes, heat accumulates internally while swelling surrounds externally, accompanied by numbness and itching. Red filaments in the throat tighten and entangle, fingernails turn either white or cyan, the palms are intensely hot, the throat swelling is severe, and the sound of phlegm resembles sawing. This condition is extremely acute; if treated at the initial stage, it can be saved. However, if more than one day and night pass, and the patient presents with fixed staring eyes and a voice like thunder, it is incurable. If a lamp brought near the patient's mouth is immediately extinguished, it is also incurable. The appearance of panting and sweating on the forehead indicates imminent danger. This is caused by Heat in the Kidney Meridian leading to hyperactivity of Heart Fire. (Original note: It is advisable to add Realgar and Bezoar [Niuhuang] in treatment.) [Commentary by E: Chan Hou Feng (Entangling Wind Throat) is more fierce and dangerous than Sai Hou Feng (Blocked Wind Throat). The former is cured by opening the orifice and resolving phlegm; the latter must consider the Shaoyin channel, but initially, the priority is always to open and resolve phlegm.]
It is often due to unresolved chronic fatigue illness, with deficient Fire flaming upward and Ying Blood (Nutritive Blood) already exhausted. The symptoms include red spots on the hard palate, dense and resembling mosquito bites. This indicates a critical condition nearing death; do not treat it lightly to avoid blame and resentment.
Externally, there is redness and swelling; internally, the shape resembles an egg, with a bright red color and a mirror-like luster. There is fever and aversion to cold, with the eyeballs rolling upward. This is caused by accumulated Heat in the Heart and Spleen. Although the presentation appears ominous, prompt treatment leads to recovery. [Commentary by E: Hejian’s discussion on treating Hou Bi (Sore Throat) is akin to fighting a fire, reflecting the principle of "dispersing stagnant Fire" from the *Nei Jing*. "Dispersing" refers to inducing sweating; however, since the throat cannot induce sweating through perspiration, bleeding therapy serves as one method of dispersal.]
Located on both sides of the throat, occurring singly or bilaterally, varying in size from that of a round eye, with blood vessels entangled resembling tumors, hence the name. This results from Heat affecting the Lung Meridian, damage to Qi from excessive talking, shouting in anger, reading too hastily, or consuming excessive distilled spirits. Ingestion of roasted, fried, or hard foods causes pain upon contact, while avoidance prevents pain. One must calm the spirit, rest quietly, and treat with herbs that clear and descend, leading to recovery. [Commentary by E: This condition resembles Mei He Qi (Plum-pit Qi), caused by emotional stagnation leading to Phlegm condensation and Qi obstruction. Do not recklessly use knives or needles. It is suitable to apply Yu Bing Mei Dan powder, combined with Bai Jin San, and internally administer formulas such as Si Qi Tang, Yue Ju Wan, Xuan Fu Hua Decoction, or Cong Jiang Tang, hoping for gradual improvement.]