龙潜于海。雷藏泽中。则天以清。地以宁耳。及其发也。阴霾四际。光焰烛天。天气闭塞。
地气冒明。所谓龙雷之火。迅不及掩。其势疾暴可畏。一至风恬雨霁。则无所施其威矣。人之喉
主天气。咽主地气。为身中之橐 。水谷之道路。使无风火相扇。则金空而鸣。谷虚而纳。何窒
塞之与有。惟火发于内。风郁于外。水波汹涌。而聚为痰。在外则喉风。缠络胸膈。在内则喉痹。
壅结两傍。疼痛而食不得入。声不得出。旦夕之际。危亡可待。斯时也而以阴寒药投之。则其势
愈甚而火弥炽。痰弥盛矣。急须驱风豁痰。开通郁结。纠缠顿释。闭塞立开也。故喉风。僵蚕、
半夏为君。佐以疏理。喉痹。射干、甘、桔为主。佐以辛凉。撤其风而火自息。祛其痰而风自宁。
纵有龙雷之相火。安足患乎。此治之之要。首则探吐。次则解散。甚而从治。严用和蜜饯附子片。
令吮其汁。因火不归元。而足冷脉微。已成危险之候。有不得已而用者。
一喉痹。俗名乳蛾。生于两傍。红紫如钱。中黄如豆。或左或右曰单。左右俱有曰双。嗌以
上者可见。嗌以下者不可见。水谷难下。急须点破咯吐之。或以鹅翎蘸灯油脚搅吐之。
一喉痹。属外感者。发散药入射干。属七情所伤者。归脾、逍遥去 、术。加射干、桔梗、
薄荷开之。阴虚火动者。
六味汤入薄荷。
一喉痛久不愈。甚至溃烂。素曾患时疮者。用萆 散。
一喉风痰涎壅盛。联布心胸。肿大红赤。喘息难舒。用巴豆油染纸作捻子。点火吹灭。取烟透
鼻内。实时口角流涎。并触患处。急服僵蚕散。
射干汤 治喉痹。
射干（一钱） 防风 荆芥 桔梗 薄荷（各一钱） 大力子（钱半焙研） 广皮（八分） 甘草（三分）
加灯芯一握。生姜一片。水煎。火甚。加玄参、天花粉。肺虚。加川贝母、茯苓。
僵蚕散 治喉风。
僵蚕（二钱汤净） 半夏 防风 前胡 荆芥 桔梗 葛根 枳壳 玄参 薄荷（各一钱） 大力子（一钱半焙） 甘
草（三分）
生姜一片水煎。
萆 散 治杨梅喉癣。
土茯苓（别名萆 五钱） 当归 金银花 皂角刺 米仁（各二钱） 白鲜皮 白芷 木瓜 木通（各七分） 甘
草（五分）
水煎。
龙潜伏于大海，雷隐藏于沼泽之中，此时天空清澈，大地安宁。等到它们发作时，阴霾笼罩四周，光芒火焰照亮天空，天气闭塞，地气遮蔽光明。这就是所谓的“龙雷之火”，迅猛得来不及遮掩，其势头疾速暴烈，令人畏惧。一旦风停雨霁，它就无法施展威力了。人的喉部主管天气（呼吸之气），咽部主管地气（饮食之水），是身体中的囊橐（如风箱般的通道），也是水谷通行的道路。如果没有风火相互煽动，那么金空则鸣响，谷虚则容纳，哪里会有堵塞的情况呢？只有当火发于体内，风郁结于体外，水波汹涌而聚集成痰，在外则形成喉风，缠绕络脉至胸膈；在内则形成喉痹，壅结于两侧，导致疼痛且食物无法进入，声音无法发出，早晚之间就有危亡的可能。在这个时候如果投用阴寒性质的药物，那么火势会更加旺盛，痰浊也会更加盛多。必须紧急驱散风邪、豁除痰浊，开通郁结，纠缠之势顿时解除，闭塞立刻打开。所以治疗喉风，以僵蚕、半夏为君药，辅以疏理气机；治疗喉痹，以射干、甘草、桔梗为主药，辅以辛凉之品。撤去风邪则火自然平息，祛除痰浊则风自然宁静。即使有龙雷相火的扰动，又有什么可担忧的呢？这是治疗的关键。首先采用探吐法，其次采用解散法，严重时采用从治法（反治法）。严用和的蜜饯附子片，令患者吮吸其汁液，是因为火不归元，导致足冷脉微，已成危险征候，有不得已的情况下才使用。
有一种喉痹，俗名叫乳蛾，生长在咽喉两侧，红紫色像铜钱大小，中间黄色像豆子大小。只在左侧或右侧生长的叫单乳蛾，左右都有的叫双乳蛾。在咽门以上可以看见，咽门以下看不见。导致水谷难以下咽，急需点破患处让患者咯吐出来。或者用鹅毛翎蘸取灯油脚搅动喉咙催吐。
有一种喉痹，属于外感引起的，发散药中加入射干；属于七情内伤引起的，使用归脾汤或逍遥散去掉白术，加入射干、桔梗、薄荷来开泄。阴虚火旺动的，使用六味地黄丸加入薄荷。
有一种喉痛长久不愈，甚至溃烂，素来曾患梅毒（时疮）的患者，使用萆薢分清饮。
有一种喉风，痰涎壅盛，连布心胸，红肿大红赤色，喘息难以舒展。用巴豆油浸染纸张做成捻子，点燃后吹灭，取其烟雾透入鼻内，实时口角流涎，并触碰患处，急服僵蚕散。
射干汤：治疗喉痹。
射干（一钱）、防风、荆芥、桔梗、薄荷（各一钱）、牛蒡子（钱半焙研）、广陈皮（八分）、甘草（三分）。
加灯芯一握，生姜一片，水煎。火气甚重者，加玄参、天花粉；肺虚者，加川贝母、茯苓。
僵蚕散：治疗喉风。
僵蚕（二钱，汤洗净）、半夏、防风、前胡、荆芥、桔梗、葛根、枳壳、玄参、薄荷（各一钱）、牛蒡子（一钱半，焙）、甘草（三分）。
生姜一片，水煎。
萆薢散：治疗杨梅喉癣（梅毒引起的咽喉病变）。
土茯苓（别名萆薢，五钱）、当归、金银花、皂角刺、薏苡仁（各二钱）、白鲜皮、白芷、木瓜、木通（各七分）、甘草（五分）。
水煎。
The dragon lurks in the sea, and thunder hides in the marshes; thus the heaven is clear and the earth is tranquil. When they erupt, dark clouds surround the horizon, and flames illuminate the sky. The qi of heaven becomes obstructed, and the qi of earth obscures the light. This is what is called the "Fire of Dragon and Thunder" (Longlei Zhi Huo), which is so swift that it cannot be covered, its momentum rapid, violent, and terrifying. Once the wind calms and the rain clears, it has no way to exert its power. In humans, the throat (Hou) governs the qi of heaven (respiration), and the pharynx (Yan) governs the qi of earth (nutrition). They serve as the bellows (Tuoxi) within the body and the pathway for water and grain. If there were no wind and fire fanning each other, the empty metal would resonate, and the hollow valley would receive, so how could there be obstruction? Only when fire arises internally and wind stagnates externally, with turbulent waters gathering into phlegm (Tan), does it manifest externally as Wind-Throat (Houfeng), winding through the collaterals to the chest and diaphragm; or internally as Throat Bi (Houbi), blocking and knotting on both sides, causing pain such that food cannot enter and voice cannot emerge, with danger and death awaiting at any moment. At this time, if yin-cold herbs are administered, the condition will worsen, the fire will burn more fiercely, and the phlegm will become more abundant. It is urgent to dispel wind and resolve phlegm, opening up the stagnation, so that the entanglement is instantly released and the obstruction immediately opens. Therefore, for treating Houfeng, Silkworm (Jiangcan) and Pinellia (Banxia) are used as sovereign drugs, assisted by agents that regulate qi. For treating Houbi, Belamcanda (Shegan), Licorice (Gancao), and Platycodon (Jiegeng) are the main drugs, assisted by acrid-cool agents. By removing the wind, the fire naturally subsides; by dispelling the phlegm, the wind naturally calms. Even with the disturbance of the Minister Fire of Dragon and Thunder, what harm could there be? This is the key to treatment: first employ emesis (Tantu), then dispersion (Jie San), and in severe cases, follow-treatment (Cong Zhi - contrary treatment). Yan Yonghe's Honey-Candied Aconite Slices (Mijian Fuzi Pian) are to be sucked for their juice, because when Fire fails to return to its source (Huobu Guiyuan), leading to cold feet and faint pulse, indicating a critical state, they are used only out of necessity.
One type of Houbi, commonly known as Tonsillar Abscess (Rue'e), grows on both sides of the throat, appearing red-purple like a coin, with a yellow center like a bean. If present on only one side, it is called Single Tonsillar Abscess (Dan); if on both sides, Double Tonsillar Abscess (Shuang). Those above the fauces are visible, those below are not. It makes swallowing difficult, requiring immediate puncture and expectoration. Alternatively, use a goose feather dipped in lamp oil residue to stimulate vomiting.
One type of Houbi caused by external pathogens involves adding Belamcanda (Shegan) to dispersing formulas. One caused by emotional injury involves using Guipi Tang (Restore the Spleen Decoction) or Xiaoyao San (Free and Easy Wanderer Powder), removing Atractylodes (Baizhu), and adding Belamcanda (Shegan), Platycodon (Jiegeng), and Mint (Bohe) to open the orifices. For Yin deficiency with hyperactive fire, Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) is used with added Mint (Bohe).
One type of sore throat that persists for a long time, even becoming ulcerated, in patients who have previously suffered from Syphilis (Shichuang), is treated with Bixie Fenqing San (Dioscorea Hypoglauca Decoction for Separating Turbid Urine).
One type of Houfeng with excessive phlegm-saliva filling the chest and heart, presenting with severe redness and swelling, and difficulty breathing, is treated by soaking paper in Croton Oil (Badou You), making it into a roll, lighting it, blowing it out, and inhaling the smoke through the nose. Saliva will flow from the mouth corner, and touching the affected area while urgently administering Jiangcan San (Silkworm Powder) is indicated.
Shegan Tang (Belamcanda Decoction): Treats Houbi.
Belamcanda (Shegan, 1 qian), Saposhnikovia (Fangfeng), Schizonepeta (Jingjie), Platycodon (Jiegeng), Mint (Bohe) (each 1 qian), Arctium (Niu Bangzi, 1.5 qian, roasted and ground), Tangerine Peel (Guangpi, 8 fen), Licorice (Gancao, 3 fen).
Add a handful of Juncus (Dengxin), one slice of Ginger (Shengjiang), decoct in water. If fire is severe, add Scrophularia (Xuanshen) and Trichosanthes Root (Tianhuafen). If Lung is deficient, add Fritillaria (Chuanbeimu) and Poria (Fuling).
Jiangcan San (Silkworm Powder): Treats Houfeng.
Bombyx Batryticatus (Jiangcan, 2 qian, washed clean with decoction), Pinellia (Banxia), Saposhnikovia (Fangfeng), Peucedanum (Qianhu), Schizonepeta (Jingjie), Platycodon (Jiegeng), Kudzu Root (Gegen), Bitter Orange (Zhike), Scrophularia (Xuanshen), Mint (Bohe) (each 1 qian), Arctium (Niu Bangzi, 1.5 qian, roasted), Licorice (Gancao, 3 fen).
Add one slice of Ginger (Shengjiang), decoct in water.
Bixie San (Dioscorea Hypoglauca Powder): Treats Yangmei Houxuan (Syphilitic Pharyngitis/Lichen).
Smilax Glabra Rhizome (Tufuling, alias Bixie, 5 qian), Angelica Sinensis (Danggui), Lonicera (Jinyinhua), Gleditsia Spine (Zaojiaoci), Coix Seed (Yiyiren) (each 2 qian), Dictamnus Bark (Baixianpi), Angelica Dahurica (Baizhi), Quince (Mugua), Akebia Stem (Mutong) (each 7 fen), Licorice (Gancao, 5 fen).
Decoct in water.