论曰喉痹之病，喉中肿塞痹痛，水饮不下，呼吸有妨，寒热往来，得之风热客于脾肺，
熏发咽喉，小儿纯阳，尤多是疾。若不速治，毒邪入心，则烦闷懊 ，立致危殆。
治小儿喉痹，由脾肺蕴热，血气结塞。慎勿刺破，但以此方治之。木通汤方
木通（锉一两） 升麻（一分） 大黄（锉炒一分） 麻黄（去根节一分） 犀角（镑
一分） 石
膏（碎半两） 甘草（炙一分）
上七味，粗捣筛，每服二钱匕。水一盏，煎至七分，去滓下朴硝末一钱匕搅匀。再煎一
二沸，分温二服，早食后临卧各一服。五岁以上，以意加之。
治喉痹水浆不下。备急三物丸方
大黄（锉炒） 干姜（炮） 巴豆（去皮心别捣如脂）
上三味等分，先捣二味为细末，入巴豆再研，炼蜜丸如绿豆大，每服三丸，温水下，取
利为度。
治小儿喉痹，咽喉傍肿如 子。身体壮热，如不作颗结，空气急喉中噎塞，即是肺胀，
犀角汤方
犀角（镑屑一分） 射干（一两） 桔梗（炒） 络石 升麻 甘草（炙） 山栀子仁
（各一
分）
上七味，粗捣筛，每服二钱匕。以水一盏，煎至六分，去滓下朴硝末半钱匕，搅令匀，
分温三服，早晨日午临卧各一。
治小儿喉痹，咽喉傍肿如 子，身体壮热。如不作颗结，空气急，喉中噎塞，即是肺胀。
射干汤方
射干 升麻 百合 木通（锉） 桔梗（炒） 甘草（炙各一分）
上六味，粗捣筛，每用一钱匕。以水七分，煎至四分，去滓下马牙硝末半钱匕，搅匀，
食后细细温呷。
治小儿喉痹痛，咽塞不利。羚羊角汤方
羚羊角（镑屑一分） 升麻（三分） 射干 陈橘皮（汤浸去白焙各一分） 白药（半
两）
上五味，粗捣筛，每服一钱匕。以水七分，煎至四分，去滓分温二服，早晨日午夜卧各
一。五岁以上，以意加减。
治小儿喉痹，上焦积热壅毒。天竺散方
天竺黄 马牙硝 甘草（炙各半两） 蛤粉（白者二两） 丹砂（研一分）
上五味，捣研为细散，每服半钱匕。取新汲水揉薄荷相和，入龙脑少许。量儿大小，汤
化服之，食后临卧。
治小儿喉痹，咽喉傍肿，喉中噎塞。麻黄汤方
麻黄（去根节半两） 桂（去粗皮一分） 射干（一分） 杏仁（汤浸去皮尖双仁炒一
分）
上四味，粗捣筛，每服一钱匕。以水七分，煎至四分，去滓食后，分温二服。
治小儿走马喉痹。白矾散方
白矾（ 焙研一两） 硝石（研） 雄黄（研各一分） 苦参末（半两）
上四味，同研为细散，每服半钱匕。冷水调下，并三服。
治小儿喉痹，马兰汤方
马兰子（炒） 升麻（各一分）
上二味，粗捣筛，每服一钱匕。水半盏，煎至三分，去滓下白蜜少许搅匀，分温二服。
如无马兰子，即用根少许，入水捣绞取汁，细呷。
治小儿喉痹，方
葛蔓
上一味，烧为灰，水服一钱匕。
治小儿喉痹。方
棘刺
上一味烧灰，水调服半钱匕。
又方
鱼胆（二七枚）
上一味，以灶下黄土同研，涂吹喉中、立瘥。
Commentary states: The disease of Hou Bi (throat obstruction) is characterized by swelling and blockage in the throat, bi pain (obstructive pain), inability to swallow water or fluids, obstructed breathing, and alternating chills and fever. This results from wind-heat pathogens invading the Spleen and Lungs, steaming and scorching the pharynx and larynx. Children possess a "pure yang" constitution, making them particularly susceptible to this ailment. If not treated promptly, toxic pathogens may enter the Heart, causing restlessness, stifling sensation, and mental agitation, leading immediately to critical danger.
To treat pediatric Hou Bi, which arises from accumulated heat in the Spleen and Lungs causing Qi and Blood stagnation and blockage, do not puncture with needles; instead, treat with the following formula. Mutong Tang (Wood Vessel Decoction):
Mutong (Caulis Akebiae, crushed, 1 liang), Shengma (Rhizoma Cimicifugae, 1 fen), Dahuang (Radix et Rhizoma Rhei, crushed and stir-fried, 1 fen), Mahuang (Herba Ephedrae, roots and joints removed, 1 fen), Xijiao (Cornu Rhinocerotis, shaved into flakes, 1 fen), Shigao (Gypsum Fibrosum, crushed, 0.5 liang), Gancao (Radix Glycyrrhizae, honey-fried, 1 fen).
The above seven ingredients are coarsely pounded and sieved. For each dose, take 2 qianbi. Add 1 zhan of water, decoct until 0.7 zhan remains, strain the dregs, add 1 qianbi of Puxiao (Natrii Sulfas), and mix well. Boil for one or two more boils, divide into two warm doses. Take one dose after morning meal and one before bed. For children over five years old, adjust dosage according to circumstances.
Beiji Sanwu Wan (Emergency Three-Ingredient Pills) for treating Hou Bi where fluids cannot be swallowed:
Dahuang (Radix et Rhizoma Rhei, crushed and stir-fried), Ganjiang (Rhizoma Zingiberis, processed), Badou (Semen Crotonis, skin and heart removed, separately pounded into paste).
The above three ingredients are used in equal proportions. First, pound the first two into fine powder, add Badou and grind again. Form pills using refined honey, sized like mung beans. Take 3 pills per dose with warm water, stopping when bowel movement is achieved.
For pediatric Hou Bi with swelling beside the throat resembling rat's teat, high body fever, without nodules but with rapid breathing and choking sensation in the throat, indicating Fei Zhang (lung distension):
Xijiao Tang (Rhinoceros Horn Decoction):
Xijiao (Cornu Rhinocerotis, shaved into flakes, 1 fen), Shegan (Rhizoma Belamcandae, 1 liang), Jiegeng (Radix Platycodi, stir-fried), Luoshi (Caulis Trachelospermi), Shengma (Rhizoma Cimicifugae), Gancao (Radix Glycyrrhizae, honey-fried), Shanzhizi Ren (Semen Gardeniae, 1 fen each).
The above seven ingredients are coarsely pounded and sieved. For each dose, take 2 qianbi. Add 1 zhan of water, decoct until 0.6 zhan remains, strain the dregs, add 0.5 qianbi of Puxiao (Natrii Sulfas), mix well, and divide into three warm doses. Take one dose in the morning, at noon, and before bed.
For pediatric Hou Bi with swelling beside the throat resembling rat's teat and high body fever. If no nodules form but breathing is rapid and there is a choking sensation in the throat, this is Fei Zhang (lung distension):
Shegan Tang (Belamcanda Decoction):
Shegan (Rhizoma Belamcandae), Shengma (Rhizoma Cimicifugae), Baihe (Bulbus Lilii), Mutong (Caulis Akebiae, crushed), Jiegeng (Radix Platycodi, stir-fried), Gancao (Radix Glycyrrhizae, honey-fried, 1 fen each).
The above six ingredients are coarsely pounded and sieved. Use 1 qianbi per dose. Add 0.7 zhan of water, decoct until 0.4 zhan remains, strain the dregs, add 0.5 qianbi of Mayaxiao (Natrii Sulfas), mix well, and sip slowly while warm after meals.
For pediatric Hou Bi pain with throat blockage and difficulty:
Lingyangjiao Tang (Antelope Horn Decoction):
Lingyangjiao (Cornu Saigae Tataricae, shaved into flakes, 1 fen), Shengma (Rhizoma Cimicifugae, 3 fen), Shegan (Rhizoma Belamcandae), Chenju Pi (Pericarpium Citri Reticulatae, soaked in hot water, white pith removed, dried, 1 fen each), Baiyao (White Medicine, 0.5 liang).
The above five ingredients are coarsely pounded and sieved. Take 1 qianbi per dose. Add 0.7 zhan of water, decoct until 0.4 zhan remains, strain the dregs, and divide into two warm doses. Take one dose in the morning, at noon, and at midnight. For children over five years old, adjust dosage according to circumstances.
For pediatric Hou Bi with accumulated heat and toxic pathogens in the Upper Jiao:
Tianzhu San (Heavenly Bamboo Powder):
Tianzhuhuang (Calculus Bhumbae, 0.5 liang), Mayaxiao (Natrii Sulfas, 0.5 liang), Gancao (Radix Glycyrrhizae, honey-fried, 0.5 liang each), Hafan (Concha Arcae, white variety, 2 liang), Dansha (Cinnabar, finely ground, 1 fen).
The above five ingredients are pounded and ground into fine powder. Take 0.5 qianbi per dose. Mix with fresh well-water and mint leaves, add a small amount of Longnao (Borneolum Syntheticum). Dissolve in warm water according to the child's size and administer after meals and before bed.
For pediatric Hou Bi with swelling beside the throat and choking sensation in the throat:
Mahuang Tang (Ephedra Decoction):
Mahuang (Herba Ephedrae, roots and joints removed, 0.5 liang), Gui (Ramulus Cinnamomi, outer bark removed, 1 fen), Shegan (Rhizoma Belamcandae, 1 fen), Xingren (Semen Pruni Armeniacae, soaked in hot water, skin and pointed ends removed, double-kernel, stir-fried, 1 fen).
The above four ingredients are coarsely pounded and sieved. Take 1 qianbi per dose. Add 0.7 zhan of water, decoct until 0.4 zhan remains, strain the dregs, and divide into two warm doses after meals.
For pediatric Zouma Hou Bi (rapidly progressing throat obstruction):
Bai Fan San (Alum Powder):
Baifan (Alumen, calcined and ground, 1 liang), Xiaoshi (Natrii Nitras, ground), Xionghuang (Realgar, ground, 1 fen each), Kushen Mo (Powder of Radix Sophorae Flavescentis, 0.5 liang).
The above four ingredients are ground together into fine powder. Take 0.5 qianbi per dose, mixed with cold water. Administer three doses in total.
For pediatric Hou Bi, Malan Tang (Kalimeris Decoction):
Malanzi (Fructus Kalimeris, stir-fried), Shengma (Rhizoma Cimicifugae, 1 fen each).
The above two ingredients are coarsely pounded and sieved. Take 1 qianbi per dose. Add 0.5 zhan of water, decoct until 0.3 zhan remains, strain the dregs, add a little white honey, mix well, and divide into two warm doses. If Malanzi is unavailable, use a small amount of root, crush and squeeze juice with water, and sip slowly.
Formula for pediatric Hou Bi:
Genman (Stem of Vine):
Burn this single ingredient to ash, take 1 qianbi with water.
Formula for pediatric Hou Bi:
Jici (Thorn):
Burn this single ingredient to ash, take 0.5 qianbi mixed with water.
Another Formula:
Yudan (Fish Gallbladder, 14 pieces):
Grind this single ingredient with yellow earth from under the stove, apply and blow into the throat for immediate recovery.