左畔虚阳热上攻。乳蛾单重喉旁风。关前易治疗须急。关后生兮施不同。
此症生在帝中之旁。如莲子样。左属心。右属肺。治法与双蛾同。亦不可用刀。
枢扶氏曰。此症有部位之分。有虚实风热气郁之别。凡生于帝中两边者是。双单蛾属关前实症。为易治。若起
于咽喉内者。名喉瘤。属关后气郁虚症。却难治。时医不识。概以鹅症治之。安能获效。然喉瘤。由肝肺二经郁热。
更兼多语损气性躁而成。形如圆眼。红丝相裹。或双或单。生于喉内之旁。亦有顶大蒂小者。初起喉间微痛。不恶
寒发热。日久形色带白而微硬。不犯不痛。或因醇酒炙爆。或因怒气喊叫。犯之则痛切。忌用针刀。吹以消瘤碧玉
散。宜服加味逍遥散。益气清金汤。或用夏枯草同郁金煎汤代茶服之。日久自然消退。若体虚。因忧郁不舒而发是
疾者。宜用归脾汤。加柴胡丹皮山栀。至于出入加减之法。又当神而明之可也。
燕口生在帝中旁欲尝饮食不能飧。针刀善施无差误。功效旋收亦不难。
此症生在帝中两边靠于上 左右俱有。皆红肿不能吞咽。甚至肿出舌上来连舌亦痛。用刀之法。宜靠肿处将刀
轻轻刺破。切不可深。若上 中间及燕口形上。切勿将刀误用。先以角药取痰次开风路针。吹回生丹。服紫地汤。
枢扶氏曰。此症初起只须吹赤麟散。胜用角药针刀多多矣。内仍服紫地汤加开关散。火甚。量加石膏。此余屡
经收效者也。
左侧出现虚阳之火上攻咽喉。单侧乳蛾病情较重，伴有喉旁风邪。病位在关前（咽喉浅表部位）者容易治疗，但必须及时；若病位在关后（咽喉深部）则治疗方法不同。
此症生长在“帝中”（指天突穴附近或咽喉正中深处）的旁边，形状像莲子一样。左侧归属于心，右侧归属于肺。治疗方法与双侧乳蛾相同，也绝对不可使用刀刺破。
枢扶氏说：此症有部位深浅之分，也有虚实、风热、气郁的区别。凡是生长在“帝中”两侧的是双单侧乳蛾，属于关前的实证，容易治疗。如果长在咽喉内部深处，称为“喉瘤”，属于关后的气郁虚证，却难以治疗。当时的医生不认识这一点，一概当作鹅症（乳蛾）来治，怎么能获得疗效呢？然而喉瘤，是由肝、肺两经郁结化热，再加上多说话损伤元气、性格急躁而形成的。形状像圆眼（龙眼），红色的血丝包裹着它，或者双侧或者单侧，生长在咽喉内部的旁边，也有顶部大蒂部小的。初起时喉咙间轻微疼痛，没有恶寒发热的症状，日子久了颜色带白且微微变硬，不触碰就不痛。如果因为饮用烈酒、吃油炸烧烤食物，或者因为愤怒喊叫刺激到它，就会感到剧烈疼痛。禁忌使用针刀，可以吹敷消瘤碧玉散，适宜服用加味逍遥散、益气清金汤，或者用夏枯草同郁金煎汤代替茶服用。时间久了自然会消退。如果是身体虚弱，因忧郁不畅而引发此疾的人，适宜使用归脾汤，加入柴胡、丹皮、山栀。至于药物的加减运用，应当灵活掌握，神而明之即可。
燕口风（双燕口风）生长在“帝中”旁边，想要尝试饮食却无法吞咽。如果使用针刀治疗得当，没有差错，疗效很快就能收到，也不难。
此症生长在“帝中”两边靠上的位置，左右都有，都红肿不能吞咽，甚至肿胀突出到舌头上面，连舌头也疼痛。使用刀法时，应该靠着肿胀处将刀轻轻刺破，千万不可刺得太深。如果在“上 中间”及燕口形上方，千万不要误用刀具。先用角药祛除痰涎，然后针刺开通风路，吹敷回生丹，服用紫地汤。
枢扶氏说：此症初起只需要吹敷赤麟散，效果胜过使用角药和针刀多多。内服仍然服用紫地汤加上开关散，火气很重的，酌情加入石膏。这是我屡次经过验证有效的方子。
The deficient Yang fire on the left side attacks upward. Unilateral tonsillitis (Ru E) is severe, accompanied by wind pathogenic factors in the throat sides. Lesions located at the Guan Qian (anterior/shallow part of the throat) are easy to treat but require urgency; those at the Guan Hou (posterior/deep part) require different treatments.
This condition arises beside the Di Zhong (central deep part of the throat, near Tian Tu acupoint), resembling a lotus seed. The left side corresponds to the Heart, and the right side to the Lung. The treatment method is the same as for bilateral tonsillitis, and knife incision must absolutely be avoided.
Shu Fu said: This condition has distinctions in location and differences between deficiency/excess, wind-heat, and Qi stagnation. Those arising on both sides of the Di Zhong are unilateral or bilateral tonsillitis, belonging to excess patterns at the Guan Qian, which are easy to treat. If it originates inside the deep throat, it is named "Throat Tumor" (Hou Liu), belonging to Qi stagnation and deficiency patterns at the Guan Hou, which are difficult to treat. Contemporary physicians fail to recognize this and generally treat it as tonsillitis; how can they expect efficacy? However, Throat Tumors arise from heat stagnation in the Liver and Lung meridians, compounded by excessive speech damaging Qi and an irritable temperament. The shape resembles a longan fruit, wrapped with red blood vessels, appearing either bilaterally or unilaterally, growing beside the inner throat, sometimes with a large head and small stalk. Initially, there is slight pain in the throat without aversion to cold or fever. After a long time, the color becomes white and slightly hard, causing no pain unless touched. It may be aggravated by strong alcohol, fried/grilled foods, or anger and shouting, leading to sharp pain. Needle and knife therapies are contraindicated. Blow powder Xiao Liu Bi Yu San onto the lesion. Internal administration of Jia Wei Xiao Yao San or Yi Qi Qing Jin Tang is suitable. Alternatively, decoct Xia Ku Cao (Prunella vulgaris) together with Yu Jin (Curcuma aromatica Rhizome) and drink it as tea. Over time, it will naturally subside. For those with weak constitutions who develop this disease due to depression and dissatisfaction, Gui Pi Tang added with Chai Hu (Bupleuri Radix), Dan Pi (Moutan Cortex), and Shan Zhi (Gardeniae Fructus) is appropriate. Regarding modifications, one should apply wisdom and flexibility.
Yan Kou Feng (Swallow's Mouth Wind) arises beside the Di Zhong, making it impossible to swallow food or drink despite wanting to eat. If needle and knife therapies are applied correctly without error, rapid efficacy can be achieved easily.
This condition appears on both sides above the Di Zhong, affecting both left and right, presenting with redness and swelling that prevents swallowing. In severe cases, the swelling protrudes over the tongue, causing pain throughout the tongue. When using the knife method, gently puncture the swollen area carefully. Do not pierce deeply. Under no circumstances should the knife be used mistakenly in the middle of the upper region or the upper part of the Yan Kou shape. First, use Jiao Yao (horn medicine) to resolve phlegm, then use acupuncture to open the wind pathway, blow Hui Sheng Dan powder, and administer Zi Di Tang internally.
Shu Fu said: At the initial stage of this condition, blowing Chi Lin San is sufficient, which is far superior to using horn medicines and knives. Internally, continue administering Zi Di Tang plus Kai Guan San. If the fire pathogen is severe, add Shi Gao (Gypsum Fibrosum) according to the degree. This is a method I have repeatedly verified to be effective.