张子和曰∶喉痹病，大概痰火所致。急者，宜吐痰，后复下之。上下分消而愈。又甚者
，以针刺去血，然后用药吐下，此为治之上策。若人畏惧而委曲旁求，瞬息丧命。治喉痹之
火，与救火同，不容少待。《内经》曰∶火郁发之。发，散也，吐中有发散之义，出血者，
亦发散之端也。治斯疾者，毋执缓方、小方而药之，曰∶吾药乃王道，不动脏腑。若幸遇疾
之轻者而获愈，疾之重者循死矣，岂非误杀也耶。
庞氏曰∶伏气之病，古方谓之肾伤寒，谓非时有暴寒中人，毒瓦斯伏于少阴经，始初不病
，旬月乃发，脉微弱，法当以伤寒治之。非喉痹之病也。次必下痢。愚按∶此证亦所尝有，
是必以少阴、少阳之火令，太阳之寒令，太阴之湿令，而复兼风寒之邪者，皆有此证。故治
此者，不必治喉痹，但治外邪，其喉自愈。即如新方诸柴胡饮，及散阵诸方，皆可随宜酌用
。
余友王蓬雀，年出三旬，初未识面。因患喉痹十余日，延余诊视。见其头面浮大，喉颈
粗极，气急声哑，咽肿口疮，痛楚之甚，一婢倚背，坐而不卧者，累日矣。及察其脉，则细
数微弱之甚。问其言，则声微似不能振者。询其所服之药，则无非芩、连、栀、柏之属。此
盖以伤阴而起，而复为寒凉所逼，以致寒盛于下，而格阳于上。即水饮之类俱已难入，而尤
畏烦热。余曰∶危哉，再迟半日，必不救矣。遂与镇阴煎，以冷水顿冷，徐徐使咽之。用毕
一煎，过宿而头项肿痛尽消如失。余次早见之，则 然一瘦质耳，何昨日之巍然也。遂继用
五福饮之类，数剂而起。疑者，始皆骇服。自后，感余再生，遂成莫逆。
张子和说：喉痹病，大都是由痰火引起的。病情急重的，适宜用催吐法排出痰液，之后再使用泻下法。通过上下分消病邪而痊愈。更严重的，用针刺放血，然后再用药进行吐下治疗，这是上等的治疗方法。如果病人畏惧这些方法而迂回曲折地寻求其他疗法，很快就会丧命。治疗喉痹的火邪，与救火相同，不容许有丝毫延误。《内经》说：火郁结则发散之。“发”，就是散的意思，吐法中包含发散的含义，出血也是发散的一种开端。治疗这种疾病的医生，不要拘泥于缓和的方剂、小剂量的药物来治疗，说道：“我的药是王道之药，不损伤脏腑。”如果侥幸遇到轻症而治愈，重症的病人就会因此死亡，这难道不是误杀吗？
庞氏说：伏气病，古方称为肾伤寒，是指非时节的暴寒侵袭人体，毒瓦斯潜伏在少阴经，起初并不发病，经过旬月之后才发作，脉象微弱，依法应当按伤寒病治疗。这不是喉痹病。随后必然出现下痢。我认为：这个病症我也曾遇到过，这一定是因为处于少阴、少阳的火令，太阳的寒令，太阴的湿令之时，又兼夹风寒邪气，才会有这种病症。所以治疗此证，不必专门治疗喉痹，只要治疗外邪，喉部症状自然痊愈。就像新方的各种柴胡饮，以及散阵的各种方剂，都可以酌情选用。
我的朋友王蓬雀，年龄刚过三十，初次见面。他患喉痹十多天，请我诊治。见他头面部浮肿变大，喉咙颈部粗得厉害，呼吸急促声音嘶哑，咽喉肿胀口舌生疮，疼痛非常剧烈，有一个婢女靠在背上，坐着不能躺卧，已经好几天了。等到诊察他的脉象，则细数微弱到了极点。询问他的言语，则声音微弱似乎无法振作。询问他所服用的药物，无非是黄芩、黄连、栀子、黄柏这一类。这大概是因为损伤阴液而起病，又受到寒凉药物的逼迫，导致寒气盛于下部，而格拒阳气于上部。此时连水饮之类的东西都已经难以咽下，而且特别畏惧烦热。我说：“危险啊，再晚半天，一定无法救治了。”于是给予镇阴煎（Zhenyin Decoction），将药液用冷水彻底冷却，慢慢地让他吞咽下去。用完一剂药后，过夜之后头项肿痛完全消失如同没有发生过一样。我第二天早上再去见他，则只是一个瘦弱的人罢了，为什么昨天还那样高大威严呢。于是接着使用五福饮（Wufu Decoction）之类的方剂，服用几剂后便康复了。怀疑的人，开始都感到惊骇佩服。从此以后，感激我的再生之恩，于是成为了生死之交。
Zihe said: Pharyngitis (Hou Bi, throat obstruction) is generally caused by phlegm-fire. In acute cases, it is appropriate to induce vomiting to expel phlegm, followed by purgation. The disease can be cured by dispersing pathogens from both the upper and lower aspects. For more severe cases, acupuncture bloodletting should be performed first, followed by medication for vomiting and purgation; this is the superior treatment strategy. If patients fear these methods and seek circuitous alternatives, they may lose their lives in an instant. Treating the fire of pharyngitis is like fighting a fire; there is no room for delay. The *Neijing* states: "For fire constrained, disperse it." "Disperse" means to scatter; vomiting contains the meaning of dispersion, and bloodletting is also a form of dispersion. Physicians treating this disease must not adhere strictly to mild or small-dose formulas, claiming, "My medicine follows the Kingly Way and does not disturb the Zang-Fu organs." If by chance a mild case is cured, but a severe case dies due to this approach, is this not mistaken killing?
Pang stated: The disease of latent qi was called "Kidney Cold Damage" (Shen Shanghan) in ancient prescriptions. It refers to sudden cold invading the body out of season, where toxic qi lies latent in the Shaoyin Meridian. Initially, there are no symptoms, but after ten days or a month, it manifests with a faint pulse. According to the method, it should be treated as Cold Damage. This is not pharyngitis. Subsequently, dysentery will inevitably occur. I observe: I have encountered this syndrome before. It occurs when the Fire Command of Shaoyin and Shaoyang, the Cold Command of Taiyang, and the Dampness Command of Taiyin coincide, compounded by Wind-Cold pathogens. Therefore, treating this condition does not require targeting the pharyngitis specifically; one only needs to treat the external pathogens, and the throat will heal itself. For example, various Chaihu Yin formulas and other dispersive prescriptions can be used as appropriate.
My friend Wang Pengque, aged just over thirty, whom I had never met before, suffered from pharyngitis for more than ten days and invited me to examine him. His head and face were swollen and enlarged, his throat and neck extremely thick, he had rapid breathing and hoarseness, swollen throat and mouth ulcers, and experienced severe pain. A maid supported his back; he sat upright without lying down for several days. Upon examining his pulse, it was extremely fine, rapid, and weak. Listening to his speech, his voice was so faint it seemed unable to project. Asking about the medicines he had taken, they were all herbs such as Huangqin (Scutellariae Radix), Lianzi (Coptidis Rhizoma), Zhizi (Gardeniae Fructus), and Huangbai (Phellodendri Cortex). This illness likely originated from Yin injury, further aggravated by cold-cooling medicines, leading to excessive cold in the lower part and floating Yang in the upper part (Ge Yang, rejecting Yang). At this stage, even water and drinks were difficult to swallow, and he particularly feared heat and irritability. I said, "Dangerous! If we delay another half day, he certainly cannot be saved." I then prescribed Zhenyin Decoction (Zhenyin Jian), cooled thoroughly with cold water, and instructed him to swallow it slowly. After finishing one decoction, by overnight, the swelling and pain in his head and neck disappeared completely as if they had never existed. When I saw him the next morning, he appeared merely as a thin, frail person; how could he have been so imposing yesterday? I then continued using Wufu Decoction (Wufu Yin) and similar formulas. After a few doses, he recovered. Those who doubted were initially shocked and convinced. From then on, grateful for my giving him a second life, we became bosom friends.