【方歌】哑瘴喉风肿痛咽，牙关紧急不能言，风痰涌塞咽膈上，
火盛生痰风搏源。
【注】此证颇类紧喉，由肺胃蕴热，积久生痰，外复受风邪，
与痰热相搏，涌塞咽膈之上，而成斯疾。初起咽喉肿塞
疼痛，汤水难咽，语言不出，牙关紧急，此属险候。急
用雄黄解毒丸，水化，用细竹管将药水吹入鼻孔，直达
咽喉，药入作呕，即令患者吐之，其牙关顿松，咽喉即
稍开通。先与米饮饮之，次服清咽利膈汤，兼吹冰硼散
。用药不应者险。若唇黑、鼻流冷涕者逆。
又方：雄黄解毒丸、清咽利膈汤（俱见紧喉风）
冰硼散（见口部鹅口疮）
【方歌】弄舌喉风心脾经，实火外寒凝滞成，舌出搅动因胀闷，
咽喉作痛更兼疼。
【注】此证由心、脾实火，与外寒郁遏凝滞而成，咽喉肿痛，
痰涎增塞，音哑言涩，舌出不缩，时时搅动，觉舌胀闷
，常欲以手扪之，故名弄舌。急刺少商穴，穴在两手大
指里侧，去指甲角旁韭叶宽即是，用三棱针刺之，有血
者生，无血者死。噙蟾酥丸，徐咽药汁。若痰涎上涌，
不能咽药者，急用桐油钱探吐痰涎，随服清咽利膈汤，
吹金锁匙；若喉内如松子及鱼鳞状，不堵塞者，此属虚
阳上浮，急用蜜炙附子片噙、咽其汁即效。
方剂：金锁匙
组成：冰片（二分五厘） 白僵蚕（一钱）
雄黄（二钱） 焰硝（一两五钱）
硼砂（五钱）
各研末，共和匀，以细笔管吹入喉内肿痛处。
【方歌】金锁匙吹弄舌风，心脾火郁外寒乘，消痰逐热除疼痛，
冰片僵蚕雄焰硼。
又方：蟾酥丸（见疔疮门）
桐油钱、清咽利膈汤（俱见紧喉方）
【方歌】哑瘴喉风表现为咽喉肿痛，牙关紧闭导致无法言语，风痰涌塞于咽膈之上，火热炽盛生痰并与风邪搏结为病源。
【注】此证颇似紧喉风，由肺胃蕴积热邪，日久生痰，外感风邪后，与痰热相互搏结，涌塞于咽膈之上，从而形成此疾。初起时咽喉肿胀堵塞、疼痛，汤水难以吞咽，不能说话，牙关紧闭，这属于险恶的证候。急需使用雄黄解毒丸，用水化开，用细竹管将药液吹入鼻孔，直达咽喉，药物进入后引发呕吐，随即让患者吐出，其牙关顿时松弛，咽喉即稍开通。先喂服米汤，随后服用清咽利膈汤，同时吹入冰硼散。用药无效者病情危险。若出现嘴唇发黑、鼻流冷涕者，预后不良（逆证）。
又一方：雄黄解毒丸、清咽利膈汤（均见于紧喉风章节）
冰硼散（见口部鹅口疮章节）
【方歌】弄舌喉风涉及心经和脾经，由实火与外寒凝滞而成，舌头伸出并搅动是因为胀闷，咽喉作痛且伴有疼痛。
【注】此证由心、脾二经实火，与外寒郁遏凝滞而成，表现为咽喉肿痛，痰涎增多堵塞，声音嘶哑、言语涩滞，舌头伸出不能回缩，时时搅动，感觉舌体胀闷，常想用手触摸它，因此名为弄舌。急需针刺少商穴，该穴位于两手大拇指内侧，距离指甲角旁约韭叶宽度处，用三棱针针刺，有血出者预后良好，无血出者预后凶险。含服蟾酥丸，慢慢咽下药汁。若痰涎上涌，无法吞咽药物者，急需使用桐油钱探吐以排出痰涎，随后服用清咽利膈汤，吹入金锁匙；若喉内呈现如松子或鱼鳞状改变，但未造成堵塞者，此属虚阳上浮，急需使用蜜炙附子片含服，咽下其汁液即可见效。
方剂：金锁匙
组成：冰片（二分五厘） 白僵蚕（一钱）
雄黄（二钱） 焰硝（一两五钱）
硼砂（五钱）
各研成粉末，混合均匀，用细笔管吹入喉内肿痛处。
【方歌】金锁匙吹治弄舌风，针对心脾火郁兼受外寒，能消痰、清热、除疼痛，成分包括冰片、僵蚕、雄黄、焰硝、硼砂。
又一方：蟾酥丸（见疔疮门章节）
桐油钱、清咽利膈汤（均见于紧喉风章节）
[Formula Song] Ya Zhang Hou Feng (Mute Miasma Throat Wind) presents with swelling and pain in the throat, urgency of the jaw joints preventing speech. Wind-phlegm surges and obstructs above the pharynx and diaphragm; excessive fire generates phlegm, which combats with wind as the source.
[Note] This condition is quite similar to Jin Hou (Tight Throat). It arises from heat accumulating in the Lung and Stomach, generating phlegm over time. Subsequently, external wind pathogen invades and combats with the phlegm-heat, surging and obstructing above the pharynx and diaphragm, resulting in this disease. In the initial stage, there is swelling and obstruction of the throat with pain, difficulty swallowing soup or water, inability to speak, and urgency of the jaw joints. This belongs to a dangerous syndrome. Urgently use Xionghuang Jiedu Wan (Realgar Detoxifying Pill), dissolve it in water, and blow the medicinal liquid into the nostrils using a fine bamboo tube, reaching directly to the throat. Once the medicine enters and induces vomiting, instruct the patient to vomit. The jaw joints will instantly relax, and the throat will slightly open. First, give rice drink to sip, then administer Qingyan Lige Tang (Throat-Clearing and Diaphragm-Relieving Decoction), while simultaneously blowing Bingpeng San (Ice and Borax Powder). If medication fails, the condition is critical. If lips turn black and cold runny nose flows, it is an adverse prognosis.
Another prescription: Xionghuang Jiedu Wan, Qingyan Lige Tang (both see Jin Hou Feng section); Bingpeng San (see Mouth Section - Oral Candidiasis).
[Formula Song] Nong She Hou Feng (Playing Tongue Throat Wind) involves the Heart and Spleen meridians, formed by stagnation of excess fire and external cold. The tongue protrudes and moves due to distension and stuffiness; the throat hurts and suffers more pain.
[Note] This condition results from excess fire in the Heart and Spleen combined with external cold causing depression and stagnation. Symptoms include swelling and pain in the throat, increased phlegm and saliva causing obstruction, hoarseness and slurred speech, the tongue protruding without retracting, constantly moving, feeling distended and stuffy, often desiring to touch it with hand, hence named "Playing Tongue." Urgently prick Shaoshang (LU11) acupoint, located on the medial side of both thumbs, about the width of a leek leaf away from the corner of the nail. Use a three-edged needle to prick it; if blood appears, survival is likely; if no blood, death ensues. Hold Chan Su Wan (Toad Venom Pill) in the mouth and slowly swallow the medicinal juice. If phlegm and saliva surge upward making swallowing impossible, urgently use Tong You Qian (Camellia Oil Coin) to induce vomiting to expel phlegm and saliva, then take Qingyan Lige Tang, and blow Jin Suo Chi (Golden Key) powder. If the inside of the throat shows changes resembling pine nuts or fish scales without blockage, this belongs to floating deficient Yang. Urgently hold Mi Zhi Fu Zi Pian (Honey-fried Aconite Slice) in the mouth and swallow its juice for immediate effect.
Formula: Jin Suo Chi
Composition: Bingpian (Borneol, 2.5 fen), Bai Jiangcan (Bombyx Batryticatus, 1 qian), Xionghuang (Realgar, 2 qian), Yan Xiao (Saltpeter/Niter, 1.5 liang), Pengsha (Borax, 5 qian).
Grind each into powder, mix uniformly, and blow into the swollen and painful areas inside the throat using a fine brush tube.
[Formula Song] Jin Suo Chi blown treats Playing Tongue Wind, addressing Heart-Spleen fire depression and external cold invasion, eliminating phlegm, purging heat, and removing pain. Ingredients: Borneol, Bombyx Batryticatus, Realgar, Saltpeter, Borax.
Another prescription: Chan Su Wan (see Ding Chuang Men section); Tong You Qian, Qingyan Lige Tang (both see Jin Hou Fang section).