此症非尽属咽喉也，皆由阴虚火炎，肺肾两伤。或咳嗽，或吐血，或潮热、喉干舌燥，
时痛时止。治与阴虚喉痛大略相同，或以银花四君子汤合参麦散，兼顾脾胃为要。然而甚不
易也。必其人绝酒色，戒气怒，禁食新鸡、子鸭、鹅、羊、鱼、虾、煎炒浓味，姜、椒辛辣
发物，方可有效！
咽喉寒症从来稀少，百中不过偶有一二也。其症咽喉疼痛，既不红又不肿，或且微带白
色，口不渴，喜饮热汤而不能多饮，小便清而且长，腹疼腹冷，大便泄泻，手足厥冷，身重
恶寒，喉间清涎成流而出，时作干呕欲吐，舌苔润而且滑，其脉沉而微细，乃足少阴肾经中
寒症也。由其人肾中真阳本虚，寒邪乘虚直中其经，逼其微阳上浮而为咽痛，是无阳纯阴之
症，故名阴症喉痹。当知阴阳喉痹两症，病源如冰炭之珠，故用药有天壤之隔，况咽喉寒症
从来本不多有，果系前项阴寒之症，尤须审视的确，分认明白，方可用药。无论冬夏，当用
四逆汤，姜附理中等汤自愈。切忌表散清降寒下等剂。如非寒症，误用姜附则不可救矣！
咽喉声哑，须分暴久。暴病得之，皆可治之症，如喉痛起于四五日间，是暴病也，将喉
痛医治痊愈，声音自开。如咳嗽声重，吐稠痰、恶寒、发热、头痛、咽喉红肿，其声嘶哑，
此热结于肺寒束于外也。也用清凉之剂煎服，用元珠丹吹之，俟喉稍愈，再用苏叶、荆芥、
防风、枳桔二陈汤剂下散之。或因大喊大叫、声嘶微痛失音者，当用补中益气汤，皆治暴病
失音之成法。至于久病失音，虚劳症也，谓之金破不鸣，故多不可治。
这种病症并不完全属于咽喉局部的问题，都是由阴虚导致虚火上炎，肺和肾两脏受损引起的。或者出现咳嗽，或者吐血，或者潮热、喉咙干、舌头燥，疼痛时发时止。治疗原则与阴虚引起的喉痛大致相同，可以用银花四君子汤合参麦散，兼顾调理脾胃是关键。但这确实非常不容易做到。必须要求患者彻底戒除酒色，克制情绪愤怒，禁止食用新鸡、子鸭、鹅、羊肉、鱼、虾以及煎炸炒制的浓味食物，还有姜、椒等辛辣的发物，这样才能见效！
咽喉部的寒症向来稀少，一百个人中不过偶尔有一两个罢了。其症状表现为咽喉疼痛，既不红也不肿，或者略微带白色，口不渴，喜欢喝热汤但不能多喝，小便清长，腹痛腹冷，大便泄泻，手脚冰凉，身体沉重怕冷，喉咙间清稀的涎液成流流出，不时作干呕想吐，舌苔润滑，脉象沉而微细，这是足少阴肾经中的寒症。因为此人肾中真阳本已虚弱，寒邪乘虚直接侵入该经脉，逼迫微弱的阳气上浮而导致咽痛，这是无阳纯阴的病症，所以称为阴症喉痹。应当知道阴阳两种喉痹这两种病症，病源如同冰炭一样截然相反，所以用药有天壤之别，何况咽喉寒症本来就不多，如果确实是前述的阴寒之症，尤其需要仔细审视确认，分辨清楚，然后才能用药。无论冬夏，都应当使用四逆汤、姜附理中等汤剂，疾病自然会痊愈。切忌使用解表、清热、降火、寒下等方剂。如果不是寒症，误用姜、附子则无法挽救了！
咽喉声音嘶哑，必须区分是突发还是久病。突发疾病导致的，都是可治的病症，比如喉痛起于四五天内，这是暴病，将喉痛医治痊愈，声音自然恢复。如果咳嗽声重，吐出稠痰，恶寒，发热，头痛，咽喉红肿，声音嘶哑，这是热邪结聚于肺，寒邪束缚于体表所致。也使用清凉的药剂煎服，用元珠丹吹入咽喉，等到喉咙稍好，再用苏叶、荆芥、防风、枳桔二陈汤剂来疏散外邪。或者因为大喊大叫，导致声音嘶哑轻微疼痛失音的，应当使用补中益气汤，这些都是治疗突发疾病失音的常规方法。至于久病失音，属于虚劳症，被称为“金破不鸣”，所以大多不可治愈。
This condition does not solely belong to the throat; it is caused by Yin deficiency with flaming fire, damaging both the Lung and Kidney. Symptoms may include coughing, hemoptysis (coughing up blood), tidal fever, dry throat, and dry tongue, with pain that comes and goes. The treatment is roughly the same as for sore throat due to Yin deficiency; one may combine Yinhua Sijunzi Tang (Silver Flower Four Gentlemen Decoction) with Shenmai San (Ginseng and Ophiopogon Powder), with the key being to simultaneously regulate the Spleen and Stomach. However, this is extremely difficult. It is essential that the patient completely abstains from alcohol and sexual activity, restrains anger and emotional agitation, and avoids consuming new chickens, ducklings, geese, mutton, fish, shrimp, fried or roasted foods with strong flavors, as well as pungent and stimulating foods like ginger and pepper. Only then can the treatment be effective!
Cold syndromes of the throat have always been rare, occurring only occasionally in one or two out of a hundred cases. The symptoms present as throat pain without redness or swelling, or perhaps slightly whitish; there is no thirst, though the patient prefers hot drinks but cannot drink much; urination is clear and copious; there is abdominal pain and coldness, diarrhea, cold limbs, heaviness of the body, aversion to cold, profuse flow of clear saliva from the throat, occasional dry heaving, a slippery and moist tongue coating, and a deep, faint, and fine pulse. This is a cold syndrome of the Foot Shaoyin Kidney Meridian. Because the person's true Yang within the Kidney is originally deficient, cold pathogenic factors invade the meridian directly through the deficiency, forcing the slight Yang to float upward, resulting in throat pain. This is a syndrome of pure Yin without Yang, hence named Yin Syndrome Throat Bi (Obstruction). One must understand that the pathological origins of Yang and Yin Throat Bi are as opposite as ice and charcoal, leading to a vast difference in medication. Moreover, since cold syndromes of the throat are inherently rare, if it is indeed the aforementioned Yin-cold syndrome, careful examination and accurate differentiation are required before administering medicine. Regardless of winter or summer, Si Ni Tang (Frigid Extremities Decoction) or Jiang Fu Li Zhong Tang (Ginger and Aconite Regulate the Middle Decoction) should be used, and the disease will heal spontaneously. One must strictly avoid formulas for releasing the exterior, clearing heat, descending, or purging with cold. If it is not a cold syndrome, the mistaken use of Ginger and Aconite will be incurable!
Hoarseness of the voice must be distinguished as either acute or chronic. Acute onset conditions are all treatable. For instance, if throat pain arises within four or five days, it is an acute condition; once the throat pain is cured, the voice will naturally recover. If accompanied by heavy coughing, expectoration of thick phlegm, aversion to cold, fever, headache, redness and swelling of the throat, and hoarseness, this indicates Heat binding in the Lung and Cold constraining the exterior. Cooling decoctions should be administered orally, and Yuanzhu Dan (Pearl Pill) should be insufflated into the throat. Once the throat improves slightly, Su Ye, Jing Jie, Fang Feng, and Zhiju Erchen Tang (Perilla Leaf, Schizonepeta, Saposhnikovia, and Bitter Orange and Two Old Decoction) should be used to disperse the pathogen. Alternatively, if hoarseness, mild pain, and loss of voice result from shouting loudly, Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) should be used. These are established methods for treating acute loss of voice. As for chronic loss of voice, it belongs to Consumption (Xu Lao) syndrome, termed "Metal Broken Does Not Ring," and is therefore mostly incurable.