小儿咽喉肿痛，无非胸中郁积热毒及风痰壅滞，而发于咽喉。古法轻则用甘桔汤。即桔梗、甘草二味。重则
化毒汤主之（如桔梗、薄荷、荆芥穗、炙甘草、芒硝、山豆根、牙硝、硼
砂、朱砂、雄黄），水煎服。仍以此药研末吹喉中。
〔真按〕咽为胃管，主纳水谷而居后。喉为肺管，主司呼吸而居前。无论风痰热毒，症之或轻或重，窃谓
古法服药吹药，均宜古而不宜今，但用薄荷尖、浙贝母、连翘壳、淡竹叶、生甘草，水煎服。外用霜白梅，烧存
性，硼砂、顶上梅花冰片，吹之，较为平稳。
再儿在三岁以内，不便吹药，单用燕子泥研过筛，要极细，以冷开水调敷喉外肿处。即外面不肿，亦照喉内
肿痛之处，于喉外遍敷之，可以化毒清热。且牙关紧闭者，敷之即开，可以进药。如无燕子泥，改用烧纸数张，
以烧酒浸湿贴喉外，随干随换，此以热导热之意也，幸勿轻视。
小儿锁喉风，但用鲜芙蓉叶捣烂，作二小饼，一贴囟门，一贴肚脐即愈。
小儿单双喉蛾，生于咽喉关上者轻，生于关下者重。此症喉闭片时，即不可救。急看小儿两手虎口，如有水
泡，即用银针挑穿，喉蛾即破，忌见灯火。一面用老蒜捣融，如蚕豆大，敷经渠穴（穴在大指下手腕处寸脉后），
即烂，男左女右。右用蚬壳盖上扎住，用别物盖亦可，片时起一水泡，再用银针挑破，将水揩净，以去毒瓦斯，立
刻安痊。若再服善后养正汤剂，更可永杜后患。
小儿咽喉声哑，但用川贝、款冬花，各研细末，和胡桃肉（去皮研细）、白蜜，四味和匀，饭上蒸熟作丸。
每次含化一丸，数次即愈。
小儿喉外生痈，初起发于颈项结喉之上，名结喉痈。发于结喉两旁，名夹结疮。重则堵塞咽喉，汤水不下。
若穿烂见喉，则难治矣，须乘其初发时，内服连翘、淡竹叶、金银花、浙贝母、
生甘草、生白萝卜、生青果，煎汤饮之。外以坎宫锭，磨猪胆汁涂之，可消。
小儿诸骨哽喉，吐不出，吞不下，骨之小者，但用金凤花根捣碎，以米醋浓煎，用有嘴瓶盛之，令儿口衔瓶
嘴，仰面吸药，吞之，其骨即下，惟切记吞药勿使 牙为要。又骨之大者，但取谷树叶捣烂取汁服，其骨自软而出。
小儿咽喉肿痛，无非是胸中郁积热毒及风痰壅滞，而发作于咽喉部位。古法治疗轻症用甘桔汤。即由桔梗、甘草两味药组成。重症则用化毒汤主治（方如桔梗、薄荷、荆芥穗、炙甘草、芒硝、山豆根、牙硝、硼砂、朱砂、雄黄），用水煎服。同时将此药研成粉末吹入喉中。
〔真按〕咽部是胃的通道，主要功能是容纳水谷且位于后方。喉部是肺的通道，主要功能是主管呼吸且位于前方。无论病因是风痰还是热毒，症状或轻或重，我认为古法中的服药和吹药方法，都宜采用古法而不宜用今法，仅使用薄荷尖、浙贝母、连翘壳、淡竹叶、生甘草，用水煎服。外用霜白梅，烧至存性，配合硼砂、顶上梅花冰片，吹入喉中，较为平稳安全。
另外，三岁以内的幼儿，不便使用吹药，单用燕子泥研磨过筛，要极细，用冷开水调匀敷在喉外肿胀处。即使外面不肿，也要按照喉内肿痛的位置，在喉外全面敷上，可以化解毒气、清除热邪。而且对于牙关紧闭的患儿，敷药后牙关即可张开，从而能够进药。如果没有燕子泥，改用烧纸数张，用烧酒浸湿贴在喉外，干了就随时更换，这是以热引热的意思，千万不要轻视。
小儿锁喉风，只需用鲜芙蓉叶捣烂，做成两个小饼，一个贴在囟门，一个贴肚脐即可痊愈。
小儿单侧或双侧喉蛾（扁桃体肿大），生于咽喉关上者较轻，生于关下者较重。此症若出现喉闭片刻，便无法救治。急忙查看小儿两手虎口，如果有水泡，立即用银针挑破，喉蛾即破溃，忌讳见到灯火。一面用老蒜捣烂，取蚕豆大小的一块，敷在经渠穴（穴位在大拇指下方手腕处寸脉之后），皮肤即会溃烂，男左女右。右侧用蚬壳盖上扎紧，用其他物品覆盖也可以，片刻后起一个水泡，再用银针挑破，将水擦干净，以去除毒气，立刻就能痊愈。如果再服用善后养正汤剂，更可以永远杜绝后患。
小儿咽喉声音嘶哑，只需用川贝、款冬花，各研成细末，与胡桃肉（去皮研细）、白蜜，四味混合均匀，放在饭上蒸熟做成丸剂。每次含化一丸，数次后即可痊愈。
小儿喉外生痈，初起发于颈项结喉之上，名叫结喉痈。发于结喉两旁，名叫夹结疮。病情重的则堵塞咽喉，汤水无法下咽。如果穿烂露出喉部，则难以治疗，必须趁其初发时，内服连翘、淡竹叶、金银花、浙贝母、生甘草、生白萝卜、生青果，煎汤饮用。外用坎宫锭，磨猪胆汁涂抹，可以消除。
小儿各种骨头卡住喉咙，吐不出来，吞不下去，骨头较小的，只需用金凤花根捣碎，用米醋浓煎，用有嘴的瓶子盛装，让小儿口衔瓶嘴，仰面吸入药液并吞下，骨头就会落下，切记吞药时不要让牙齿咬到是关键。又如果是较大的骨头，只取谷树叶捣烂取汁服用，骨头自然会变软排出。
Throat swelling and pain in children are invariably caused by the accumulation of heat-toxin and wind-phlegm stagnation in the chest, manifesting in the throat. Ancient methods prescribe Ganjie Tang (Licorice and Platycodon Decoction) for mild cases, consisting of only two herbs: Jiegeng (Platycodon Root) and Gancao (Licorice Root). For severe cases, Huadu Tang (Detoxification Decoction) is used as the main treatment (formula includes Jiegeng, Bohe/Mint, Jingjiesui/Schizonepeta Spike, Zhi Gancao/Honey-fried Licorice, Mangxia/Glauber Salt, Shandougen/Toona Sinensis Root Bark, Yaxiao/Niter, Pengsha/Borax, Zhusha/Cinnabar, Xionghuang/Realgar), decocted in water and taken orally. The medicine is also ground into powder and insufflated into the throat.
[Author's Note] The pharynx is the conduit of the Stomach, responsible for receiving food and fluids, located posteriorly. The larynx is the conduit of the Lung, responsible for respiration, located anteriorly. Regardless of whether the etiology is wind-phlegm or heat-toxin, and regardless of symptom severity, I believe that ancient methods of oral medication and insufflation should be preferred over modern ones. One should use only Bohejian (Mint tip), Zhebeimu (Fritillaria Thunbergii Bulb), Lianqiaoke (Forsythia Fruit shell), Danzhuyexie (Lophatherum Herb), and Sheng Gancao (Raw Licorice Root), decocted in water. Externally, use Shuang Baimei (White Plum preserved with frost), calcined to retain its character, combined with Pengsha (Borax) and Meihua Bingpian (Camphor from plum blossom source), insufflated into the throat, which is relatively stable and safe.
Furthermore, for infants under three years old, insufflation is inconvenient. Use only Yanzi Ni (Swallow's mud), finely ground and sifted, mixed with cold boiled water, and applied to the swollen area on the exterior of the throat. Even if there is no external swelling, apply it comprehensively to the exterior of the throat corresponding to the internal painful and swollen areas to resolve toxin and clear heat. Moreover, for cases with trismus (lockjaw), application opens the jaw immediately, allowing medication intake. If Swallow's mud is unavailable, use several sheets of burnt paper, moistened with distilled spirits, applied to the exterior of the throat, replacing whenever dry. This follows the principle of using heat to guide out heat; do not underestimate this method.
For Suohou Feng (Lock-throat Wind) in children, use fresh Furongye (Hibiscus Mutabilis Leaf), pounded into a paste, formed into two small cakes, one applied to the Fontanelle (Baihui region/anterior fontanelle) and one to the Umbilicus (Shenque), which will lead to recovery.
For unilateral or bilateral Hou'e (Tonsillar hypertrophy/thorn-like growths) in children, those arising above the throat gate are mild, while those below are severe. If this condition leads to throat closure for even a moment, it is incurable. Immediately examine the Tiger's Mouth (Hegu region between thumb and index finger) of both hands; if blisters are present, puncture them immediately with a silver needle, causing the tonsillar growth to rupture. Avoid exposure to lamp light. Simultaneously, apply a piece of pounded old garlic, size of a silkworm bean, to Jingqu Acupoint (located behind the Cunkou pulse at the wrist distal to the thumb), causing local ulceration. Apply to the left side for males and the right for females. Cover the right side with a clam shell and secure it; other coverings are acceptable. After a short while, a blister forms; puncture it with a silver needle, wipe away the fluid to remove toxic vapors, and immediate recovery ensues. Subsequent administration of Shanhou Yangzheng Tangji (Post-treatment Nourishing Righteousness Decoction) can permanently prevent recurrence.
For hoarseness of voice due to throat issues in children, use Chuanbei (Fritillaria Cirrhosa Bulb) and Kuandonghua (Adenophora Flower), each ground into fine powder, mixed with Hutao Rou (Walnut Kernel, peeled and ground fine) and Baimi (White Honey). Combine the four ingredients evenly, steam over rice until cooked, and form into pills. Contain one pill in the mouth each time, dissolving slowly; recovery occurs after several doses.
When an abscess arises externally on the throat in children, initially appearing above the Adam's apple on the neck, it is named Jiehou Yong (Adam's Apple Abscess). Appearing on both sides of the Adam's apple, it is named Jiajie Chuang (Flanking Adam's Apple Sore). In severe cases, it blocks the throat, preventing ingestion of liquids. If it ruptures and exposes the throat interior, it is difficult to treat. During the initial stage, internally administer decoction of Lianqiao (Forsythia Fruit), Danzhuyexie, Jinyinhua (Honeysuckle Flower), Zhebeimu, Sheng Gancao, Sheng Bailuobo (Raw White Radish), and Sheng Qingguo (Raw Olive), drunk as tea. Externally, apply Kan Gong Ding (Kan Palace Plaster) rubbed with Pig Bile (Zhudan Huang) to reduce swelling.
For various bones stuck in the throat of children, unable to be vomited up or swallowed down, if the bone is small, use Jin Feng Hua Gen (Golden Phoenix Flower Root), crushed and decocted strongly with rice vinegar. Store in a bottle with a spout, let the child hold the spout in their mouth, inhale the medicinal liquid while looking upward, and swallow. The bone will descend. Crucially, ensure the teeth do not bite during swallowing. If the bone is large, take Gushu Ye (Mulberry Leaf), pound into a paste, extract the juice, and administer orally; the bone will naturally soften and pass.