破头黄真人者，不知何许人，所传《喉科秘诀》一书世鲜能知，而宫、姜、周三先生者，亦不可
得而闻焉。余家四世业医，先代有游惠阳者，有游闽峤者，足迹所及，交游颇广，留传医籍，大都
先贤遗着。兹所检得抄本一帙，亦属罕见之作。晚近喉科之书，如郑梅涧先生《重楼玉钥》，张善
吾先生《白喉捷要良方》，杨龙九先生《囊秘喉书》，吴氏之《咽喉二十四症歌诀》，张氏之《咽喉七
十二症图说》，曹炳章先生之《喉痧证治要略》，张若霞先生之《通俗咽喉科学》，于喉科症治，类
多阐发，然得真人之孤本而读之，则撷精摘粹，别具深心，要语不烦，切于实用，洵为初学之入
门，而喉科所资，为能考者也。是乌可任其湮没而不彰欤？爰亟校录一册，邮寄医社裘公吉生，
俾刊传于世，公之天下，并此数言，聊志颠末云尔。
时中华民国十有一年八月十八日大埔何光约明谨书于南洋槟榔屿大山脚杏和堂医寓
喉科大要，须辨内外二因及明五行生克。如外感六淫之邪，痰火上壅而为病。内伤饮食
煎炒，热伤肺胃及房劳伤肾，郁怒伤肝。其中五脏生克，如金克木，则宣其肺，当补其肝，木
得和而病即安。木克土，则宣其肺，当补其脾，土得安而病自愈。土克水，则宣其脾，当补其
肾，水得润而病自已。水克火，当滋其肾，而养其心，火得暖而病自痊。火克金，当泻其心，而
补其肺，金得润而病自除。故病有浅深实虚，必究其因而治之。爰定神、圣、功、巧四字，随
证化裁可也。
破头黄真人，不知是哪里人，他所传授的《喉科秘诀》一书，世间很少人能知晓。而宫、姜、周三先生（指相关医家）的事迹，也不可得知了。我家四代行医，先辈中有人游历惠州，有人游历福建，足迹所到之处，结交的朋友很广，留传下来的医学典籍，大多是先贤遗留的著作。此次我检得抄本一部，也属于罕见的作品。近代喉科书籍，如郑梅涧先生的《重楼玉钥》，张善吾先生的《白喉捷要良方》，杨龙九先生的《囊秘喉书》，吴氏的《咽喉二十四症歌诀》，张氏的《咽喉七十二症图说》，曹炳章先生的《喉痧证治要略》，张若霞先生的《通俗咽喉科学》，在喉科病症治疗方面，大多有所阐发。然而得到真人这本孤本并阅读它，则是撷取精华，别有深意，语言简练不繁琐，切合实用，确实是初学者的入门指南，也是喉科医生所依赖的、可供考证的资料。这怎么可以任其埋没而不彰显呢？于是急忙校订抄录成册，邮寄给医社裘吉生先生，以便刊印流传于世，公之于天下，并写下这几句话，姑且记录事情的始末罢了。
中华民国十一年八月十八日，大埔何光约明谨书于南洋槟城大山脚杏和堂医寓
喉科的大要，必须辨别内因和外因，以及明白五行相生相克的规律。比如外感六淫（风、寒、暑、湿、燥、火六种外感病邪）之邪气，痰火向上壅塞而导致疾病。内伤饮食煎炸炒制之物，热邪损伤肺胃，以及房事劳损损伤肾，忧郁愤怒损伤肝。其中五脏之间的生克关系，如金克木，则宣通肺气，应当补益肝木，肝木调和而疾病即安。木克土，则宣通肺气，应当补益脾土，脾土安宁而疾病自愈。（注：原文此处逻辑似有笔误或特定语境，通常木克土应疏肝健脾，但依原文直译）土克水，则宣通脾气，应当补益肾水，肾水滋润而疾病自止。水克火，应当滋补肾水，而养护心火，心火温暖而疾病自然痊愈。火克金，应当清泻心火，而补益肺金，肺金滋润而疾病自然消除。所以疾病有浅深、实虚之分，一定要探究病因然后进行治疗。于是定下神、圣、功、巧四个字，随证候变化裁量运用即可。
The True Person with the Broken-Headed Yellow (Potou Huang Zhenren), whose origin is unknown, transmitted the book *Houke Mijue* (Secrets of Throat Surgery), which is rarely known in the world. The deeds of Mr. Gong, Mr. Jiang, and Mr. Zhou are also unattainable to hear about. My family has practiced medicine for four generations; ancestors traveled to Huizhou and Fujian, their footsteps reaching far, with extensive social connections. The medical texts left behind are mostly works of former sages. The manuscript copy I have examined here is also a rare work. Recent books on throat surgery, such as Mr. Zheng Meijian's *Chonglou Yuyao* (Jade Key of the Double Tower), Mr. Zhang Shanwu's *Baihou Jieyao Liangfang* (Excellent Prescriptions for White Diphtheria), Mr. Yang Longjiu's *Nangshi Houshu* (Secret Book of the Throat Bag), Wu's *Yanhuan Ershisi Zheng Gejue* (Song Rhymes of Twenty-Four Throat Syndromes), Zhang's *Yanhuan Qishier Zheng Tushuo* (Illustrated Explanation of Seventy-Two Throat Syndromes), Mr. Cao Bingzhang's *Housha Zhengzhi Yaolüe* (Essentials of Diagnosis and Treatment of Throat Plague), and Mr. Zhang Ruoxia's *Tongsu Yanhou Kexue* (Popular Science of Throat Diseases), mostly elaborate on the diagnosis and treatment of throat syndromes. However, reading this solitary copy of the True Person's work involves selecting the essence and extracting the finest parts, possessing profound intent, using concise language without verbosity, being practical and useful, truly serving as an introduction for beginners and a reference for throat specialists. How can we allow it to remain obscure and unmanifested? Therefore, I hurriedly collated and recorded it into one volume, mailed it to Mr. Qiu Jisheng of the Medical Society, so that it could be printed and circulated in the world, made public to all under heaven, and wrote these few words merely to record the beginning and end of the matter.
Written respectfully by He Guangyue Ming from Dapu on August 18th of the 11th Year of the Republic of China at Xinghetang Medical Residence, Air Itam, Penang, Southeast Asia.
The essentials of throat surgery require distinguishing between internal and external causes and understanding the generation and restriction cycles of the Five Elements (Wu Xing). For example, external contraction of the Six Evils (Wind, Cold, Summerheat, Dampness, Dryness, Fire) leads to disease due to phlegm-fire obstructing upwards. Internal injury from fried and roasted foods damages the Lung and Stomach with heat; sexual exhaustion damages the Kidney; depression and anger damage the Liver. Regarding the generative and restrictive cycles among the five Zang organs: if Metal restricts Wood, one should diffuse the Lung Qi and tonify the Liver Wood; when Liver Wood is harmonized, the disease is pacified. If Wood restricts Earth, one should diffuse the Lung Qi and tonify the Spleen Earth; when Spleen Earth is tranquil, the disease heals itself. If Earth restricts Water, one should diffuse the Spleen Qi and tonify the Kidney Water; when Kidney Water is moistened, the disease stops. If Water restricts Fire, one should nourish the Kidney Water and nurture the Heart Fire; when Heart Fire is warm, the disease recovers. If Fire restricts Metal, one should purge the Heart Fire and tonify the Lung Metal; when Lung Metal is moistened, the disease is eliminated. Thus, diseases vary in depth and deficiency/excess; one must investigate the cause and treat accordingly. Hence, the characters Shen (Divine), Sheng (Sage), Gong (Skillful), and Qiao (Clever) are established, to be adapted according to the syndrome.