一凡虚阳上攻者。四肢厥冷上下不升降水火不既济。腰冷不知痛痒。口中痰多唇黑者不治。
一凡手足冷者声音不响喉中肿烂干痛无痰涎者。不治。
一凡妇人产前。咽喉肿痛。及心头疼而脉浮者。不治。
一面赤而目睛上视者不治。
一面色青白。眼目无神。咽痛音哑。唇白鼻扇者。不治。
一面黑头自汗而鼻塞者。不治。
一心胸紧满吐痰不出者。勿治。
一气喘促。四肢厥冷。勿治。
一心中忙忡。胸前红甚。舌卷。面赤浮肿。目斜视者。不治。
一朝热往来时节谵语。不治。
一胸满胀急。不治。
以上皆属咽喉中险症。凡患喉风。遇有现此等症者。宜详察早回。以免后咎。医者慎诸。
欲识人间斗底风。十分红肿在心胸。更加痰壅咽喉内。针药无功命必终。
此症初起吞咽不下但胸前红肿渐至结喉。一时难安。初起能咽水者。可治。先用角药加摩风膏少许。冷井水调
噙。取痰次开风路针。（所谓开风路针者盖喉风都是风邪按穴针刺开其风壅之路使之外出也）三吹冰硼散。四用紫
地汤如病势紧急汤水不能下。遍身作痛。气喘眠卧不得。循屋下行。胸前赤肿。凡吐痰涎后仍不退者。百无一治。
每初起胸前便现青筋须用破皮针。（即铍针也）针青筋边。立效。
枢扶氏曰。是症宜用雄黄解毒丸。服之。吹赤麟散。
In cases where deficient Yang attacks upward, manifesting as cold extremities, failure of the ascending and descending mechanisms, lack of interaction between Water and Fire, coldness in the lower back with loss of sensation to pain and itch, excessive phlegm in the mouth, and black lips, it is incurable.
In cases where the hands and feet are cold, the voice is hoarse, the throat is swollen and ulcerated, dry and painful without saliva or phlegm, it is incurable.
In pregnant women, if there is swelling and pain in the throat, along with heart pain and a floating pulse, it is incurable.
If the face is red and the eyes stare upward, it is incurable.
If the complexion is cyanotic and pale, the eyes lack spirit, there is sore throat with hoarseness, white lips, and flaring nostrils, it is incurable.
If the face is dark, there is spontaneous sweating on the head, and nasal congestion, it is incurable.
If there is tightness and fullness in the chest and epigastrium with an inability to expectorate phlegm, do not treat.
If there is rapid and labored breathing with cold extremities, do not treat.
If there is palpitations and anxiety, marked redness on the anterior chest, curled tongue, red and edematous face, and oblique gaze, it is incurable.
If delirium occurs during episodes of alternating chills and fever, it is incurable.
If there is chest fullness and urgency, it is incurable.
All the above belong to critical conditions of the throat. For patients suffering from Houfeng (Acute Throat Inflammation), if any of these symptoms appear, one should examine carefully and inform early of the poor prognosis to avoid future liability. Physicians must be cautious.
To recognize "Dou Di Feng" (Dou Bottom Wind) in the world: severe redness and swelling in the chest and heart region. If accompanied by phlegm obstruction in the throat, acupuncture and herbs will fail, and life will end.
This condition initially presents with dysphagia, but redness and swelling in the chest gradually extend to the Jiehou (Laryngeal prominence). It causes acute discomfort. If swallowing water is still possible at the onset, it is treatable. First, apply Jiaoyao (Corner Medicine) mixed with a small amount of Mofeng Gao (Wind-Moving Ointment), blended with cold well water, and hold in the mouth to extract phlegm. Second, perform Kaifenglu Zhen (Opening the Wind Path Acupuncture). "Kaifenglu Zhen" refers to needling specific acupoints to open the pathway for wind pathogenic factors obstructed in the throat, allowing them to exit. Third, blow Bingpeng San (Ice and Borax Powder) into the throat. Fourth, use Zidi Tang (Purple Earth Decoction). If the disease progresses urgently, making decoctions impossible to swallow, with generalized body pain, panting, inability to sleep, pain radiating downward along the chest wall like walking under a roof, and persistent redness and swelling in the chest, even after expectorating phlegm, it is virtually untreatable. If bluish veins appear on the chest at the very beginning, use Popen Zhen (Skin-Breaking Needle, i.e., Pi Zhen / Lancet) to prick around the edges of the bluish veins; immediate effect is expected.
Shu Fu Shi stated: This condition should be treated with Xionghuang Jiedu Wan (Realgar Detoxification Pill) taken orally, and Chilin San (Red Unicorn Powder) blown into the throat.