夫喉症者,人之一身总关之际也,内通五脏六腑,外传五音五色,乃气息出入之门,声
音传
送之所,饮食往来必经之路,此乃真真总关之际也。谚云∶一指痛,满身疾,何况乎咽喉。
盖喉症所发原由,多因人之本性发来,或好食煎炒,或恣味辛酸,或淫欲无节,或喜怒不常
,或劳神过度,或耽于色,或过饮酒,好勇斗狠,皆能致疾。既未能谨节于平日,又不能急
治于患后,日积月累,其病根蒂深固,则牢不可拔矣。若夫好食酸,则伤肝。好食辣,则伤
肺。好食甜,则伤脾。好食苦,则伤心。好食咸,则伤肾。好食冷,则内热。好食热,则内
寒。此因饮食伤脏,而发喉症者也。夫喉症发于内,左属肝,右属肺,舌属心,唇属脾,齿
属肾。如肝病则声悲,肺病则声速,心病则声雄,脾病则声缓,肾病则声沉,此属于脏大肠
病也。盖大肠病则声长,小肠病则声短,胃病则声连,胆病则声清,膀胱病则声微,三焦无
病,乃寄之名,此属于腑。五脏六腑发于喉,皆由内而发外者也。然发形于外者,有虚有实
之分,有紧有缓之说,有阴有阳之症。有红有肿之形,有有痰者,有无痰者,有热者,有寒
者,有红黄青白黑点者,有气急咳嗽者。有声哑音嘶者。有痰响如雷者。有气响似锯者,有
牙关紧急者,有气出不收者,有鼻内出血不止者,有耳内出脓血者,有口舌生疮者,有斑似
胎癣而 若虾皮者,有一二或数根肉笋长短生来而针刺不忍痛者,有满喉并无红黄白青黑点
,而痛不能进膳食者,舌有硬亦有软者,有内红肿而外不红肿者,有外肿而内不肿者,有口
唇粗浓而齿脚肉包牙齿者,有舌下生舌而正舌卷入内向者,有鼻生 肉而喉内上面生肉核者
,有满口形似熟瘦猪肉而干焦者,有喉痛而鼻出红黄血水者,有舌硬如石三两载而失舌者,
有面暗神惨欲言而不能言者,有舌下发子弟疮而升提毒于喉中生白膜者,有发痰火积久烧咽
喉,而镜上生红丝线并无白膜者,有左右扯开而失 中子者,有口眼 斜怒目直视者,有舌
出齿外而不能收入者,有舌藏内关而不能伸出外节者,有右传左者,其病重,有左传右者,
其病轻。有牙床发痛而久出脓血者。有齿角生疮而至内穿者,有 中子长大而满口鲜红色者
,有开口臭而呼吸气臭者。有内外结核出脓血而不腥臭者,有朝发夕愈而腹肚作痛者,有舌
粗硬寸余满口不能通活者,有大便闭结,而小便涩数者,有遍身软痛,手不能提,足不能步
者,有久患瘰 积热而伏于咽喉者,有内伤吐血阴火伏于喉中作痛者,有风热骤伤而忽然食
恶物以发者,有妇女经水不调下闭忽送上升而致喉内作痛者,有犯梦遗日久,水衰火动而致
口内作痛者。有双松 、单松 、双燕子、单燕子、双鹅喉、单鹅喉、双缠、单缠、悬蜞、
合架、圹(音HT ) 、瘰 、乘枕、乘疖、斗底、HT 、联珠、破头、掩头、大头、穿额、鱼
鳞、玉笋、莲花、梅花、黑疔、抢食、木舌、重舌、 舌、回舌、舌痈、驴嘴、鱼口、喉痈
、喉疔、喉箭、喉痹、剪喉、牙痈、牙疔、牙疳、肥猪、鹅口、胎毒、锁子等症。此上症虽
多端,治法惟可升提驱风,发散解毒清凉,切不可攻下通利,及补托热燥收敛之药。经云∶
毒在咽喉犹有救,毒归脏腑病难全。诸症皆从脏腑发,医从脏腑治其源。内外经络能兼治,
不是仙来也是仙。
咽喉病症,是人体全身的关键枢纽。它内部连通五脏六腑,外部反映五音五色,是气息进出的门户,声音传导的场所,也是饮食往来的必经之路,这确实是真正的关键枢纽所在。俗话说:“一指疼痛,满身疾病”,何况是咽喉呢?
大概咽喉病症发作的原因,大多源于人的本性习惯。比如喜欢吃煎炸炒制的食物,或者放纵食用辛辣酸味的食物,或者淫欲没有节制,或者喜怒无常,或者精神劳累过度,或者沉溺于色欲,或者饮酒过量,以及喜好勇猛斗狠,这些都能导致疾病发生。如果平时不能谨慎节制,患病后又不能及时治疗,日积月累,病根就会深固,难以拔除。
至于喜好食酸,会损伤肝脏;喜好食辣,会损伤肺脏;喜好食甜,会损伤脾脏;喜好食苦,会损伤心脏;喜好食咸,会损伤肾脏;喜好食冷,会导致内热;喜好食热,会导致内寒。这些都是因饮食损伤脏腑而引发咽喉病症的情况。
咽喉病症发于体内,左侧归属于肝,右侧归属于肺,舌头归属于心,嘴唇归属于脾,牙齿归属于肾。如肝病则声音悲凉,肺病则声音急促,心病则声音雄壮,脾病则声音迟缓,肾病则声音低沉,这是属于脏病和大肠病的表现。大肠病则声音长,小肠病则声音短,胃病则声音连贯,胆病则声音清脆,膀胱病则声音微弱,三焦没有独立病变,只是寄附其名,这是属于腑病。五脏六腑的病变发于咽喉,都是由内而外发的。
然而,表现在外部的症状,有虚证和实证的区别,有紧症和缓症的说法,有阴症和阳症的分类。有发红发肿的形状,有有痰和无痰的区别,有热症和寒症的不同,有红、黄、青、白、黑各色斑点的,有气急咳嗽的。有声音嘶哑的。有痰声如雷响的。有气响如锯木的,有牙关紧闭的,有气息呼出而不能收回的,有鼻内出血不止的,有耳内流出脓血的,有口舌生疮的,有斑点像胎癣且若虾皮状的,有一两根或数根肉笋长短不一生长出来且针刺都不忍疼痛的,有满喉并没有红黄白青黑斑点,但疼痛得不能进食的,舌头有硬也有软的,有内部红肿而外部不红肿的,有外部肿胀而内部不肿胀的,有口唇粗厚而牙龈肉包裹牙齿的,有舌下生副舌而正舌卷入向内的,有鼻内生肉而喉内上面生肉核的,有满口形状像熟瘦猪肉且干枯焦黑的,有喉痛而鼻中流出红黄血水的,有舌头硬如石头持续两三年而丧失舌功能的,有面色晦暗神情凄惨想说话却不能说话的,有舌下生子弟疮而升提毒气于喉中生白膜的,有痰火积聚日久烧灼咽喉,而镜子上生红丝线并无白膜的,有左右扯开而失去中间部分的,有口眼歪斜怒目直视的,有舌头伸出齿外而不能收回的,有舌头藏在内关而不能伸出节外的,有向右传变的,其病重,有向左传变的,其病轻。有牙床发痛而长久流出脓血的。有齿角生疮而向内穿孔的,有中间部分长大而满口鲜红色的,有张口臭而呼吸气臭的。有内外结核流出脓血而不腥臭的,有早晨发作傍晚痊愈而腹肚作痛的,有舌头粗硬寸余满口不能活动的,有大便闭结,而小便涩滞频数的,有遍身软痛,手不能提举,脚不能行走的,有久患瘰疬积热而潜伏于咽喉的,有内伤吐血阴火潜伏于喉中作痛的,有风热突然伤害而忽然吃恶物引发的,有妇女月经不调下行闭塞忽送上升而导致喉内作痛的,有犯梦遗日久,水衰火动而导致口内作痛的。有双松、单松、双燕子、单燕子、双鹅喉、单鹅喉、双缠、单缠、悬蜞、合架、圹(音HT)、瘰疬、乘枕、乘疖、斗底、HT、联珠、破头、掩头、大头、穿额、鱼鳞、玉笋、莲花、梅花、黑疔、抢食、木舌、重舌、偃舌、回舌、舌痈、驴嘴、鱼口、喉痈、喉疔、喉箭、喉痹、剪喉、牙痈、牙疔、牙疳、肥猪、鹅口、胎毒、锁子等病症。以上这些病症虽然繁多,治疗方法只可升提驱风,发散解毒清凉,切不可使用攻下通利,以及补托热燥收敛的药物。经书说:“毒在咽喉犹有救,毒归脏腑病难全。”各种病症都从脏腑发出,医生应从脏腑治其根源。内外经络能兼治,不是神仙也是神仙。
Throat diseases (Hou Zheng) are the critical nexus of the human body. Internally, they connect with the Zang-Fu organs (Viscera and Bowels); externally, they manifest in the five tones and five colors. They serve as the gate for the entry and exit of Qi (Vital Energy), the channel for voice transmission, and the necessary pathway for food and drink. This is indeed the true critical nexus. As the proverb says: "Pain in one finger causes ailments throughout the body," how much more so for the throat?
The origins of throat diseases often stem from one's inherent habits or lifestyle. These include a preference for fried and roasted foods, indulgence in pungent and sour flavors, lack of restraint in sexual desires, emotional instability (excessive anger or joy), overwork of the mind, addiction to lust, excessive alcohol consumption, and a combative, aggressive nature. All these factors can lead to disease. If one fails to maintain moderation in daily life and does not seek prompt treatment after onset, the root of the disease becomes deeply entrenched over time, making it difficult to eradicate.
Regarding dietary impacts: excessive sourness damages the Liver; excessive pungency damages the Lungs; excessive sweetness damages the Spleen; excessive bitterness damages the Heart; excessive saltiness damages the Kidneys; excessive cold intake leads to internal heat; excessive hot intake leads to internal cold. These are cases where dietary injuries to the Zang-Fu organs trigger throat diseases.
When throat diseases originate internally, the left side corresponds to the Liver, the right side to the Lungs, the tongue to the Heart, the lips to the Spleen, and the teeth to the Kidneys. Liver pathology manifests as a mournful voice; Lung pathology as a rapid voice; Heart pathology as a robust voice; Spleen pathology as a slow voice; Kidney pathology as a deep voice. This pertains to Zang organ and Large Intestine diseases. Large Intestine disease presents with a long voice; Small Intestine disease with a short voice; Stomach disease with a connected/continuous voice; Gallbladder disease with a clear voice; Bladder disease with a faint voice. The San Jiao (Triple Burner) has no independent pathology but shares its name; this pertains to Fu organ diseases. Pathologies of the Zang-Fu organs manifesting in the throat all arise from the interior and project outward.
However, external manifestations are categorized by deficiency and excess, tension and relaxation, Yin and Yang. Signs include redness and swelling, presence or absence of phlegm, heat or cold patterns, and spots of red, yellow, green, white, or black. Symptoms may include urgent breathing and coughing, hoarseness, rattling phlegm resembling thunder, air sounds like sawing wood, lockjaw (trismus), inability to retain exhaled air, persistent epistaxis (nosebleed), otorrhea (pus/blood from ears), mouth and tongue ulcers, lesions resembling tinea versicolor or shrimp skin, fleshy growths (meat bamboo shoots) of varying lengths that are extremely painful to touch, severe pain preventing swallowing despite lack of visible discoloration, hard or soft tongues, internal redness/swelling without external signs, or vice versa, thickened lips with gums enveloping teeth, accessory tongues growing under the main tongue which curls inward, nasal polyps or sub-pharyngeal nodules, mouths resembling dried lean pork, throat pain with bloody serous discharge from the nose, stone-hard tongue persisting for years leading to loss of function, dull complexion with despairing expression unable to speak, pediatric sores under the tongue raising toxic qi to form white membranes in the throat, chronic phlegm-fire burning the throat with red threads on mirrors but no white membrane, lateral tearing with loss of the central structure, facial paralysis with deviated mouth and eyes staring straight out, tongue protruding beyond teeth unable to retract, tongue trapped internally unable to extend, rightward transmission indicating severe disease, leftward transmission indicating mild disease, gum pain with prolonged purulent discharge, ulcers at the tooth angles penetrating inward, enlargement of the central structure with bright red oral cavity, halitosis from open mouth and breath, non-foul smelling pus from internal/external tubercles, morning onset with evening resolution accompanied by abdominal pain, coarse hard tongue extending an inch filling the mouth causing immobility, constipation with scanty frequent urination, generalized soft pain with inability to lift hands or walk, latent heat from chronic scrofula in the throat, internal injury hematemesis with yin fire causing throat pain, sudden wind-heat injury triggered by consuming foul substances, menstrual irregularities with downward blockage reversing upward causing throat pain, chronic nocturnal emissions leading to water deficiency and fire agitation causing oral pain.
Specific named conditions include: Double Song, Single Song, Double Swallow, Single Swallow, Double Goose Throat, Single Goose Throat, Double Entanglement, Single Entanglement, Xuanqi, Hejia, Kuang, Luoli, Chengzhen, Chengji, Doudi, HT, Lianzhu, Potou, Yantou, Datou, Chuan'e, Yulin, Yusun, Lianhua, Meihua, Heiding, Qiangshi, Mutong, Chongshe, Yan She, Huishet, She Yong, Lvzui, Yukou, Hou Yong, Hou Ding, Hou Jian, Hou Bi, Jianhou, Ya Yong, Ya Ding, Ya Gan, Feizhu, Ekou, Taidu, Suozi, etc. Although these symptoms are numerous, the treatment method should only involve lifting and dispelling wind, dispersing and detoxifying with cooling agents. One must strictly avoid purgatives, draining agents, tonics that generate heat/dryness, and astringents. The Classics state: "If toxin is in the throat, there is still hope; if toxin returns to the Zang-Fu, recovery is unlikely." All diseases originate from the Zang-Fu; physicians should treat their source through the Zang-Fu. Treating both internal and external meridians simultaneously makes one akin to an immortal.