\r声哑喉痈\p05-c14a45.bmp\r
此症因着寒太重，肺脏闭塞，以致声哑，汤水难入，
或有烂斑。肺脉沉涩，脾胃脉洪大，背寒身热。用六味
汤加∶羌活（二钱） 葛根 苏叶（各一钱）一服漱之，二日后声
音不哑，去前三味，换加∶花粉（一钱） 乳香（五分） 葛根
黄芩（酒炒） 归尾 赤芍 山甲 角刺（各二钱） 再服八仙
散、玉枢丹，二帖全愈。
\r单喉痈\p05-c14a46.bmp\r
单喉痈，或左或右。身热背寒，脾肺之症也。有红
点者，风火；无红点者，风寒。脉象如前。六味汤加∶
苏叶 羌活（各二钱） 漱一服，明日再加∶赤芍 归尾 豆
根山栀（各钱半），服一帖即愈。
\r外症喉痈\p05-c14a47.bmp\r
此症生于含下，天突穴之上，内外皆肿，饮食有
碍，初起无痰涎，内不见形迹，此风毒喉痈也。六味
汤加∶黄 角刺山甲 归尾 赤芍 河车（各二钱） 红花 葛根（各一钱）
乳香（五分），连进三服，以消为止。如已成出脓，必成漏管。用十全大补汤收功。
\r兜腮喉痈\p05-c14a48.bmp\r
此痈生于腮下，其名悬痈，因郁积寒气而发。外用宫炙
之法二壮。用六味汤加山甲 归尾 角刺 川芎 白芷（各一钱） 升
麻（三分） 红花 乳香（各五众），以消为度。有脓
即针之，成漏者多用参、 内托，或可收功。遇症不可轻忽。
声哑喉痈
这种病症是因为感受寒邪过重，导致肺脏气机闭塞，从而引起声音嘶哑，汤水难以咽下，或者咽喉部出现腐烂斑点。脉象表现为肺脉沉涩，脾胃脉洪大，伴有背部发冷、身体发热。治疗使用六味汤加羌活（二钱）、葛根、苏叶（各一钱），煎汤漱口，服用一次后若声音不再嘶哑，则去掉前三味药，换加天花粉（一钱）、乳香（五分）、葛根、黄芩（酒炒）、当归尾、赤芍、穿山甲、皂角刺（各二钱），再服用。同时配合服用八仙散、玉枢丹，两剂后即可痊愈。
单喉痈
单侧喉痈，或发生在左侧，或发生在右侧。症状为身体发热而背部发冷，属于脾肺受病的证候。咽喉部有红点的，属风火；没有红点的，属风寒。脉象与前述相同。使用六味汤加苏叶、羌活（各二钱），煎汤漱口服用一次，第二天再加赤芍、当归尾、豆根山栀（各一钱半），服用一剂即可痊愈。
外症喉痈
这种病症生于下颌下方，天突穴之上，内外皆肿胀，饮食受到阻碍。初起时无痰涎，内部看不到明显形迹，这是风毒喉痈。使用六味汤加黄芪、皂角刺、穿山甲、当归尾、赤芍、紫河车（各二钱）、红花、葛根（各一钱）、乳香（五分），连续服用三剂，以肿块消散为度。如果已经化脓，必然形成漏管。此时用十全大补汤来收功调理。
兜腮喉痈
这种痈肿生于腮下，其名为悬痈，因郁积寒气而发作。外用宫炙法艾灸二壮。使用六味汤加穿山甲、当归尾、皂角刺、川芎、白芷（各一钱）、升麻（三分）、红花、乳香（各五钱），以肿块消散为度。如果有脓液，立即针刺排脓；形成漏管的，多用人参等药物内托，或许可以收功。遇到此类病症不可轻视忽视。
Hoarseness with Throat Carbuncle
This condition arises from severe exposure to cold, causing obstruction of the Lung organ (Lung), resulting in hoarseness, difficulty in swallowing liquids or solids, and possibly the appearance of ulcerated spots. The pulse presents as deep and choppy at the Lung position, and surging and large at the Spleen and Stomach positions, accompanied by coldness in the back and fever in the body. Treatment utilizes Liuwei Tang (Six-Ingredient Decoction) added with Qianghuo (Notopterygii Rhizoma et Radix, 2 qian), Gegen (Puerariae Lobatae Radix), and Ziyè (Perillae Folium, 1 qian each). The decoction is used for gargling; after one dose, if the voice returns to normal, remove the first three herbs and substitute with Huafen (Trichosanthis Radix, 1 qian), Ruxiang (Olibanum, 5 fen), Gegen (Puerariae Lobatae Radix), Huangqin (Scutellariae Radix, wine-fried), Guiwei (Angelicae Sinensis Radix caulis), Chishao (Paeoniae Radix Rubra), Shanjia (Manis Squama), and Jiaoci (Gleditsiae Spina, 2 qian each). Administer again. Concurrently administer Baxian San (Eight-Immortal Powder) and Yushu Dan (Jade Pivot Pill). Two doses will lead to complete recovery.
Single Throat Carbuncle
A single throat carbuncle occurs either on the left or right side. Symptoms include fever in the body and coldness in the back, indicating pathology involving the Spleen and Lung organs. The presence of red spots indicates Wind-Fire; absence of red spots indicates Wind-Cold. The pulse presentation is as described previously. Treatment uses Liuwei Tang (Six-Ingredient Decoction) added with Ziyè (Perillae Folium) and Qianghuo (Notopterygii Rhizoma et Radix, 2 qian each), used as a gargle for one dose. On the following day, add Chishao (Paeoniae Radix Rubra), Guiwei (Angelicae Sinensis Radix caulis), and Dogen Shanzhi (Gardeniae Fructus with root bark, 1.5 qian each). One dose results in cure.
External Symptom Throat Carbuncle
This condition manifests below the mandible and above the Tiantu acupoint (CV22), with swelling both internally and externally, hindering diet. Initially, there is no phlegm-saliva, and no visible signs internally; this is classified as Wind-Toxin Throat Carbuncle. Treatment utilizes Liuwei Tang (Six-Ingredient Decoction) added with Huangqi (Astragali Radix), Jiaoci (Gleditsiae Spina), Shanjia (Manis Squama), Guiwei (Angelicae Sinensis Radix caulis), Chishao (Paeoniae Radix Rubra), Heche (Placenta Hominis), Honghua (Carthami Flos), Gegen (Puerariae Lobatae Radix, 2 qian each for the first five, 1 qian for the latter two), and Ruxiang (Olibanum, 5 fen). Administer continuously for three doses until the swelling subsides. If suppuration has occurred, a fistula will inevitably form. Use Shiquan Dabu Tang (Decoction for Ten-fold Tonification) to conclude treatment.
Cheek-Hugging Throat Carbuncle
This carbuncle forms below the cheek, named Xuan Yong (Hanging Carbuncle), caused by the accumulation of cold qi. Externally, apply Gongzhi moxibustion (Palace Moxibustion method) for two moxa cones. Internally, use Liuwei Tang (Six-Ingredient Decoction) added with Shanjia (Manis Squama), Guiwei (Angelicae Sinensis Radix caulis), Jiaoci (Gleditsiae Spina), Chuanxiong (Ligustici Chuanxiong Rhizoma), Baizhi (Angelicae Dahuricae Radix, 1 qian each), Shengma (Cimicifugae Rhizoma, 3 fen), Honghua (Carthami Flos), and Ruxiang (Olibanum, 5 qian each). Treat until the swelling resolves. If pus forms, puncture immediately. If a fistula develops, frequently use Renshen (Ginseng Radix et Rhizoma) for internal support; recovery may be achieved. Do not neglect such conditions.