─ 是书原稿，本无凡例，兹特增入评注圈点，故列凡例。
─ 是书虽为喉科而设，实于温病伤寒，均有关系，能于此书贯通悟彻，不惟可治喉症
，一切外疡虚实标本之意，均可悟出。
─ 是书凡着眼处，必加圈点，以使阅者醒目，间有窃附鄙意及治案，必加（谔按）二字
，以醒眉目。
─ 是书共分两卷，其体例悉遵其旧，篇末另附治喉秘方，皆系谔搜罗诸家之精萃，并
深心研究而得，幸无以浅近而忽之。
甲寅年原历八月海虞张谔附识
喉症切脉，须辨内外二因。内因，系房劳伤肾，郁怒伤肝，或喜啖煎炒炙爆，热伤肺胃
，熬损阴津，逐渐而起，脉宜细数有力，忌芤涩；外因，感六淫之气，邪客肺胃，痰火上壅，骤
然而发，脉宜浮洪滑数，忌急促无神。结代沉伏者，不治。舌病脉当左寸大于右手，牙病
脉当右关大于左手，正者为顺，反者为逆，医者须明辨治之，诊脉合症，万无一失。【谔按∶
舌为心苗。舌病，脉左寸大于左手者，心火炽而肺气郁也。牙为骨余，而龈属脾胃。牙病，
脉右关大于左手者，脾胃之热恋而肝胆之气不疏也。】
夫脉有表里定位。右手寸口，表手阳明大肠（传道之官），里手太阴肺（相傅之官），脉浮
涩而短。右手关部，表足阳明胃（仓廪之官），里足太阴脾（谏议之官），脉缓而散大。右手尺部，
表手少阳三焦（决渎之官），里手厥阴心包络，命门（臣使之官），脉缓而悠洋。左手寸口，表
手太阳小肠（受盛之官），里手少阴心（君主之官），脉悠洋缓散。左手关部，表足少阳胆（中
正之官），里足厥阴肝（将军之官），脉沉而弦长。左手尺部，表足太阳膀胱（州都之官），里
足少阴肾（作强之官），脉虚细（女尺宜大），三部之脉，呼吸四至为平，反此则病，迟寒数热
，细缓虚寒，细数虚热，脉位既定，乃审苗窍。【谔按∶此言诊脉大端。简而赅，要而明，
若欲穷源溯洄，尤当博考群书，方臻完善。】
─ 本书原稿原本没有凡例，现在特别加入评注、圈点和标点，因此列出凡例。
─ 本书虽然是为喉科而设，但实际上与温病和伤寒都有关系，能够在这本书中贯通领悟透彻，不仅可治疗喉症，一切外科疮疡虚实标本的道理，都可以由此悟出。
─ 本书凡是关键之处，必定加上圈点，以使读者醒目，偶尔附上个人的见解及医案，必定加上“谔按”二字，以引起注意。
─ 本书共分两卷，其体例完全遵循旧制，篇末另外附有治疗喉症的秘方，都是张谔搜集各家精华，并深入钻研研究所得，希望不要因内容浅近而忽视它。
甲寅年农历八月海虞张谔附识
诊断喉症切脉，必须辨别内因和外因。内因，是由于房事过度损伤肾脏，抑郁愤怒损伤肝脏，或者喜欢食用煎炒烤炸食物，热邪损伤肺胃，煎熬损耗阴津，逐渐发作，脉象应当细数有力，忌讳芤脉（浮大中空）和涩脉（往来艰涩）；外因，感受六淫邪气，邪气客居肺胃，痰火上壅，突然发作，脉象应当浮洪滑数，忌讳急促无神。出现结代脉（脉律不齐）或沉伏脉（深藏不起）的，难以治愈。舌病的脉象应当左手寸口大于右手，牙病的脉象应当右手关部大于左手，符合这种规律的是顺证，相反的是逆证，医生必须明辨并治疗，诊脉结合症状，万无一失。【张谔按：舌是心的苗窍。舌病，脉象左手寸口大于左手的，是心火炽盛而肺气郁结。牙齿是骨骼的余气，牙龈属于脾胃。牙病，脉象右手关部大于左手的，是脾胃之热留恋而肝胆之气不疏泄。】
脉象有表里定位。右手寸口部位，表为手阳明大肠经（传导排泄的官职），里为手太阴肺经（辅佐君主的官职），脉象浮涩而短。右手关部，表为足阳明胃经（仓廪之官），里为足太阴脾经（谏议之官），脉象缓而散大。右手尺部，表为手少阳三焦经（决渎水道的官职），里为手厥阴心包络和命门（臣使的官职），脉象缓而悠长洋洒。左手寸口部位，表为手太阳小肠经（受纳盛装的官职），里为手少阴心经（君主的官职），脉象悠长缓散。左手关部，表为足少阳胆经（中正之官），里为足厥阴肝经（将军之官），脉象沉而弦长。左手尺部，表为足太阳膀胱经（州都之官），里为足少阴肾经（作强之官），脉象虚细（女性尺脉宜大）。三部脉象，一呼一吸跳动四次为平脉，与此相反则为病脉，迟脉主寒，数脉主热，细缓虚脉主寒，细数脉主虚热。脉位确定之后，再审查苗窍。【张谔按：这是论述诊脉的大致纲要。简洁而完备，简要而明确，如果想要穷究本源追溯流变，尤其应当广泛考证群书，才能达到完善。】
─ The original manuscript of this book originally had no "General Principles" (Fanli). Now, annotations, circles, and dots are specifically added; therefore, the General Principles are listed.
─ Although this book is designed for throat diseases, it is actually related to Warm Diseases (Wenbing) and Cold Damage (Shanghan). If one can thoroughly comprehend and penetrate its contents, not only can throat diseases be treated, but the principles of deficiency and excess, root and branch in all external sores and ulcers can also be realized.
─ Wherever key points appear in this book, they are marked with circles and dots to make them stand out to readers. Occasionally, personal insights and medical cases are attached, preceded by the characters "E An" (Commentary by E), to draw attention.
─ This book is divided into two volumes, following the original structure. At the end, secret formulas for treating throat diseases are appended. These were collected by Zhang E from the essence of various schools and obtained through deep research. I hope they will not be neglected because they seem superficial.
Recorded by Zhang E of Haiyu, August of the Jiayin Year.
When taking the pulse for throat diseases, one must distinguish between internal and external causes. Internal causes stem from sexual exhaustion damaging the Kidneys, or depression and anger damaging the Liver. Alternatively, a preference for fried, roasted, and grilled foods may cause heat to damage the Lungs and Stomach, boiling away Yin fluids, leading to a gradual onset. The pulse should be fine, rapid, and forceful; Kun (Hollow) and Se (Choppy) pulses are contraindicated. External causes involve contracting the Six Evils (Liu Yin), where pathogens lodge in the Lungs and Stomach, causing Phlegm and Fire to surge upward, resulting in sudden onset. The pulse should be floating, surging, slippery, and rapid; hurried and spiritless pulses are contraindicated. Jie Dai (Intermittent/Irregular) or Chen Fu (Deep/Hidden) pulses indicate untreatable conditions. For tongue diseases, the pulse at the Cun position on the left hand should be larger than that on the right hand; for tooth diseases, the pulse at the Guan position on the right hand should be larger than that on the left hand. Conformity to these patterns indicates a favorable course (Shun), while deviation indicates an unfavorable course (Ni). Physicians must clearly distinguish and treat accordingly. Combining pulse diagnosis with symptoms ensures success without error. [Commentary by E: The tongue is the sprout of the Heart. In tongue diseases, if the left Cun pulse is larger than the left hand's other positions, it indicates blazing Heart Fire and stagnant Lung Qi. Teeth are the surplus of bones, and gums belong to the Spleen and Stomach. In tooth diseases, if the right Guan pulse is larger than the left hand's other positions, it indicates lingering Heat in the Spleen and Stomach and unsmooth flow of Liver and Gallbladder Qi.]
Pulses have specific locations indicating interior and exterior. At the Cun position of the right hand, the exterior corresponds to the Hand-Yangming Large Intestine Channel (the official of transmission/conduction), and the interior corresponds to the Hand-Taiyin Lung Channel (the official assisting the ruler); the pulse is floating, choppy, and short. At the Guan position of the right hand, the exterior corresponds to the Foot-Yangming Stomach Channel (the official of granaries), and the interior corresponds to the Foot-Taiyin Spleen Channel (the official of remonstrance); the pulse is slow and dispersed/large. At the Chi position of the right hand, the exterior corresponds to the Hand-Shaoyang Sanjiao Channel (the official of waterways), and the interior corresponds to the Hand-Jueyin Pericardium and Mingmen (the ministerial envoy); the pulse is slow and leisurely. At the Cun position of the left hand, the exterior corresponds to the Hand-Taiyang Small Intestine Channel (the official of receiving and holding), and the interior corresponds to the Hand-Shaoyin Heart Channel (the sovereign/ruler); the pulse is leisurely, slow, and dispersed. At the Guan position of the left hand, the exterior corresponds to the Foot-Shaoyang Gallbladder Channel (the official of uprightness), and the interior corresponds to the Foot-Jueyin Liver Channel (the general); the pulse is deep, wiry, and long. At the Chi position of the left hand, the exterior corresponds to the Foot-Taiyang Bladder Channel (the official of the capital/collection), and the interior corresponds to the Foot-Shaoyin Kidney Channel (the official of strength); the pulse is deficient and fine (in women, the Chi pulse should be larger). For the three positions, four beats per respiration cycle constitute a normal pulse; deviation indicates disease. Slow pulses indicate Cold, Rapid pulses indicate Heat, Fine-Slow-Deficient pulses indicate Cold, and Fine-Rapid pulses indicate Deficient Heat. Once the pulse location is established, examine the orifices/sprouts. [Commentary by E: This discusses the main principles of pulse diagnosis. It is concise yet comprehensive, brief yet clear. To trace the source and follow the stream, one must extensively consult various texts to achieve perfection.]