王肯堂曰∶喉痈当结喉生，又名猛疽，以其毒势猛烈可畏也。属任脉及手太阳、手
少阴经积热忧愤所致。若过时不治，溃穿咽嗌者死。（《准绳》）
《灵枢》云∶痈发于嗌中，名曰猛疽。猛疽不治，化为脓；脓不泻，塞咽半日死；
其化为脓者泻，则合豕膏，冷食三日而已。
朱丹溪曰∶喉痈生于结喉之间，名曰海门第一关，最为恶毒。乃心肝火焰于脾
肺，毒瓦斯攻喉，切忌刀针。
陈实功曰∶咽喉红肿，瘀塞作痛，此属标病，脓自出愈。当以金锁匙吐出痰涎，
推荡积热，脓胀痛者开之，损而痛者益之，其患自安。（《正宗》）
\r喉痈\p04-a41a90.bmp\r
经曰∶喉痈不放脓，治皆非法。
蒋示吉曰∶喉痈生于咽外正中，肿痛妨碍饮食，红肿发热，如必欲溃脓，软而
胀痛者针之，内服补托之剂，玉红膏搽贴其肌完口。又有腐溃内通，汤水随孔出者，
曾治数人，俱亦无妨。（《说约》）
窦汉卿曰∶积热喉痈，其肿如黄糖李微黄，上面红丝，外证项上痛齿痛，此胃
经受热。胃气通于喉咙，故患喉痈，患痰法同，吹药加元明粉，煎药加当归、黄 ，
倍片芩。（《全书》）
又曰∶喉痈，此毒因七情郁结而成。毒生喉间，若不速治，恐毒瓦斯内攻喉骨。若
溃必致口内出脓，虽不伤命，即成冷 ，终身之痼疾也。
汪省之曰∶喉痈虽肿，而咽门半塞半开。其病虽凶，而喉道又宽又紧。此皆凶
证，虽重无妨。（《理例》）
奎光曰∶喉痈因过食辛辣灸 ，浓味
醇酒，感热而发，属肺。喉间无形，但红肿而痛，虚者亦发热，四五日可愈。
又曰∶HT 舌、喉痈，肥人感热性燥者多患此。凡舌下生如小舌为HT 舌，连喉肿
痛即发痈。大抵兼者势凶。
又曰∶治喉痈用碧丹加金丹少许，内服膏子药煎药。（方载咽喉门。）
又曰∶凡患HT 舌、喉痈，如大便秘，煎药内加元明粉、大黄，小便不利，内加六一散治之。
又曰∶HT 舌、喉痈用加减犀角地黄汤，舌用金丹吹舌根及两旁，莫间断。喉用碧
丹、金丹，频频吹入。
王肯堂说：喉痈生长在结喉部位，又被称为猛疽，因为它的毒势猛烈、令人畏惧。这是由于任脉以及手太阳经、手少阴经积热和忧愤所致。如果过时不治疗，溃烂穿透咽喉的会死亡。（《医学准绳六要》）
《灵枢》说：痈发生在咽喉中间，名叫猛疽。猛疽如果不治疗，会化为脓；脓液如果不排出，堵塞咽喉，半天就会死亡；如果已经化为脓，应当排脓，然后配合使用豕膏（猪油膏），冷服三天即可痊愈。
朱丹溪说：喉痈生长在结喉之间，名叫海门第一关，毒性最为恶烈。这是心肝之火侵犯脾肺，毒瓦斯攻冲咽喉，切忌使用刀针切开。
陈实功说：咽喉红肿，瘀血阻塞导致疼痛，这属于标病，脓液自然流出即可痊愈。应当用金锁匙吐出痰涎，推荡积聚的热邪，如果是脓胀疼痛的就切开引流，如果是正气受损疼痛的就补益，病患自然平安。（《外科正宗》）
[图片：喉痈]
蒋示吉说：喉痈生长在咽外正中，肿痛妨碍饮食，红肿发热，如果一定要让它溃脓，在肿块柔软且胀痛的时候可以用针穿刺，内服补托的药剂，用玉红膏涂抹贴敷直到肌肉修复、伤口愈合。又有腐溃向内贯通，汤水从孔洞流出的情况，我曾经治疗过几个人，也都无妨。（《疡医说约》）
窦汉卿说：积热引起的喉痈，肿胀像微黄的黄糖李，上面有红丝，外部症状表现为颈项痛、牙齿痛，这是胃经受热。胃气通于喉咙，所以患喉痈，患痰证的治疗方法相同，吹药中加入元明粉，煎药中加入当归、黄芪，加倍使用黄芩。（《疮疡全书》）
又说：喉痈，这种毒邪是因为七情郁结而成。毒邪生在喉间，如果不迅速治疗，恐怕毒瓦斯内攻喉骨。如果溃破必然导致口内出脓，虽然不伤性命，但会变成寒性漏管，成为终身的顽疾。
汪省之说：喉痈虽然肿胀，但咽门半塞半开。病情虽然凶险，但喉道既宽又紧。这都是凶险的证候，虽然严重但无妨。（《外科理例》）
奎光说：喉痈因为过食辛辣炙烤食物、浓味厚腻之品和醇酒，感受热邪而发作，归属于肺。喉间没有实质性的肿块，只是红肿疼痛，虚证患者也会发热，四五天可以痊愈。
又说：缠喉风（HT 舌）、喉痈，肥胖之人感受热邪且性质燥烈的多患此病。凡是舌下生出像小舌头一样的称为缠喉风，连累喉咙肿痛就发为痈。大抵兼夹缠喉风的病情凶险。
又说：治疗喉痈用碧丹加入少许金丹，内服膏子药或煎药。（方剂记载在咽喉门。）
Wang Kentang stated: Houyong (Peritonsillar Abscess) occurs at the Jiehou (Adam's apple) area, also known as Mengju (Fierce Carbuncle), because its toxic pathogenic factor is fierce and terrifying. It is caused by accumulated heat and resentment in the Ren Mai (Conception Vessel) and the Hand-Taiyang and Hand-Shaoyin meridians. If left untreated for too long, and it ulcerates through the pharynx, death ensues. (*Yixue Zhunsheng*)
The *Ling Shu* states: When a carbuncle develops in the middle of the pharynx, it is called Mengju. If Mengju is not treated, it transforms into pus; if the pus is not drained and blocks the pharynx, death occurs within half a day. If it has already transformed into pus, it should be drained, followed by the administration of Shigao (Pig Fat Ointment), taken cold, and recovery will occur within three days.
Zhu Danxi stated: Houyong grows between the Jiehou, named the First Pass of Haimen, possessing the most malignant toxicity. This is due to the fire of the Heart and Liver attacking the Spleen and Lungs, with toxic factors assaulting the throat. The use of knives and needles for incision is strictly contraindicated.
Chen Shigong stated: Redness and swelling of the throat and pharynx, with blood stasis causing obstruction and pain, belongs to a branch disease (Biao Bing). Recovery occurs when pus discharges naturally. One should use Jin Suo Chi (Golden Lock Key) to expel phlegm and saliva, pushing away accumulated heat. For cases with distending pain from pus accumulation, incision is indicated; for cases where deficiency causes pain, tonification is indicated, and the patient will recover safely. (*Waike Zhengzong*)
[Image: Houyong]
Classical texts state: If Houyong does not discharge pus, all treatment methods are incorrect.
Jiang Shiji stated: Houyong grows in the center of the outer pharynx, causing swelling and pain that hinders eating, accompanied by redness, swelling, and fever. If one insists on inducing suppuration, needle puncture should be performed when the swelling is soft and distendingly painful. Internally administer formulas for tonifying and supporting expulsion. Apply Yuhong Gao (Jade Red Ointment) externally until the muscle regenerates and the wound closes. In cases where ulceration connects internally, allowing fluids to leak out through the perforation, I have treated several such patients without adverse outcomes. (*Yangyi Shuyue*)
Dou Hanqing stated: Accumulated heat causing Houyong presents with swelling resembling a slightly yellow "Huangtang Li" (a type of plum), with red filaments on the surface. External symptoms include neck pain and toothache, indicating Heat in the Stomach Meridian. Since Stomach Qi connects to the throat, this results in Houyong. The treatment method for Phlegm disorders applies here as well: add Yuanming Fen (Mirabilite) to medicated powders for insufflation, and add Dang Gui (Angelica Sinensis), Huangqi (Astragalus), and doubled Huangqin (Scutellaria) to decoctions. (*Chuangyang Quan shu*)
He further stated: Houyong arises from pathogenic factors resulting from the stagnation of the Seven Emotions. If these toxic factors arise in the throat and are not treated promptly, they may invade the laryngeal bone internally. If ulceration occurs, pus will inevitably appear in the mouth. Although life may not be lost, it may develop into a cold fistula (Leng Lou), becoming a chronic lifelong ailment.
Wang Shengzhi stated: Although Houyong causes swelling, the entrance to the pharynx is partially blocked and partially open. Although the condition is fierce, the throat passage is both wide and tight. These are all ominous signs; although severe, they are not necessarily fatal. (*Waike Lili*)
Kui Guang stated: Houyong is caused by excessive consumption of spicy, roasted foods, rich flavors, and strong wine, leading to contraction of Heat pathogens, and is attributed to the Lung. There is no solid mass in the throat, only redness, swelling, and pain. Deficient patients may also experience fever, and recovery can occur within four to five days.
He further stated: Chantoufeng (Tying Throat Wind) and Houyong are commonly suffered by obese individuals who contract Heat pathogens with dry nature. When a small tongue-like structure forms under the tongue, it is called Chantoufeng. If it extends to the throat causing swelling and pain, a carbuncle develops. Generally, conditions involving both are fierce.
He further stated: To treat Houyong, use Bidan (Green Cinnabar Powder) with a small amount of Jindan (Golden Pill), administered internally along with paste medicines or decoctions. (Formulas recorded in the Throat Diseases section.)
He further stated: For patients suffering from Chantoufeng or Houyong, if constipation is present, add Yuanming Fen and Dahuang (Rhubarb) to the decoction; if urination is difficult, add Liuyi San (Six-to-One Powder).
He further stated: For Chantoufeng and Houyong, use Jiawei Xijiao Dihuang Tang (Modified Rhinoceros Horn and Rehmannia Decoction). For the tongue, insufflate Jindan onto the root and sides of the tongue continuously without interruption. For the throat, frequently insufflate Bidan and Jindan.