项下忽肿一块，渐延至颈，偶破，出水碗许，烂久不合。此因食中偶食毒蚁所生，故名
之。初起者，易治，久者难痊。
此虚火上炎，肺受燥热，致攻喉间，生红丝，如哥窑纹，又如海棠叶背纹。干燥妨食，
或痛或痒，虽不丧命，亦难速愈，如用药迟延，不守戒忌，必生重症。久则失音不救，劳症多患
之。【谔按∶凡患喉症，均当忌口戒欲。前于师处临诊，见有一石姓女者，患咽痛，经师治
愈后，忽一日复来诊，猝然失音，帝丁红肿，诊脉尺大而浮，知其不戒欲之故。乃用养阴摄
纳
至。实非喉癣症，积习之陋，可嗤可叹。】
喉痹叙毒，痰涎稠实，而发寒热，关上可治，关下难治。【谔按∶塞喉风纯系痰气阻塞
，用余自制霹雳针开关，继用中白乌牛散及柳华秘药吹之。内服以涤痰通便为要。】
因过食辛辣炙爆，浓味醇酒，感热而发，或七情郁结而生，皆属肺病。（景华按∶林佩
琴云∶胃大肠二经，喉间无形，但红肿而痛，重者亦发寒热，头疼四五日可愈。有白星者为蛾。无
星者名痈。）
肥人感热性躁，多生此症。凡舌下生如小舌样者，为HT 舌，如连喉肿痛为喉痈，此乃心
脾二经之郁火，上攻使然。HT 舌兼喉痈并发，其势最重，速治可愈。伤寒后发者，难治。如气闭
不通，无形无声，多是危症。【谔按∶又有一种外喉痈，咽喉不痛，生于颏下，红肿穿溃，
一候即愈。甲寅秋，治一张姓者，暑热内蕴，透发肌肤，暑疖瘰瘰，颏下结核，红肿作痛，
已成下喉痈，势难消散。宜清营化毒，速溃速愈，以止其蔓。方用银花、连翘、大贝母、姜
山栀、防风、赤苓、苡米、夏枯草、蝉衣、竹叶、西赤芍。服一剂后，即用刀开，溃后脓泄
稀少，肿势不退，脉弦劲，宜托毒化脓，肿消为要。方用炒牛蒡、炒荆芥、防风、连翘、大
贝母、金银花、黑山栀、蝉衣、钩钩、白蒺藜盐水炒、生甘草、地丁草、姜、竹茹、薄荷叶
，外掺自制去解妙丹，一候即愈。（内痈以不溃为妙。）】
颈部下方突然肿起一块，逐渐蔓延至颈部，偶尔破溃，流出约一碗水量的液体，腐烂长久不愈合。这是因为进食时偶然吃下毒蚂蚁所致，因此得名。初起阶段容易治疗，病程久则难以痊愈。
这是由于虚火上炎，肺受燥热侵袭，导致邪气攻冲喉间，生出红色丝状纹理，如同哥窑瓷器的裂纹，又像是海棠叶背面的纹路。咽喉干燥妨碍饮食，或痛或痒，虽然不会丧命，但也难以快速痊愈。如果用药延迟，且不遵守禁忌，必然引发重症。日久可能导致失音而无法救治，劳损类病症患者多患此病。【谔按：凡是患有喉部疾病的人，都应当忌口并节制性欲。此前我在老师处临诊时，见到一位姓石的女子，患有咽痛，经老师治愈后，忽然有一天复诊，突然失音，喉核（扁桃体）红肿，诊脉尺部大而浮，知道她是不节制性欲的缘故。于是采用养阴摄纳的方法治疗。这实在不是喉癣症，这种积习陋规，真是可笑可叹。】
喉痹叙述毒症，痰涎稠厚坚实，并伴有寒热症状，脉象在关部以上尚可治疗，关部以下则难治。【谔按：塞喉风纯粹是由痰气阻塞引起，使用我自制的霹雳针开关窍，继而又用中白乌牛散及柳华秘药吹入患处。内服以涤除痰浊、通便为关键。】
因为过食辛辣烧烤食物、浓味醇酒，感受热邪而发病；或者因七情郁结而生，这些都归属于肺病。（景华按：林佩琴说：胃经和大肠二经循行于喉间无形之处，仅表现为红肿疼痛，重者也会发生寒热，头疼四五日即可痊愈。有白色星点状的称为蛾。没有星点的称为痈。）
肥胖之人感受热邪且性情急躁，多生此症。凡舌下生出像小舌头一样的东西，称为HT舌（悬雍垂肿胀/喉头水肿），如果连合喉部肿痛则为喉痈，这是心脾二经的郁火向上攻冲所致。HT舌兼喉痈并发，病情最为严重，迅速治疗可以痊愈。伤寒病后发作的，难以治疗。如果出现气闭不通，无声无形，多是危重病症。【谔按：还有一种外喉痈，咽喉不痛，生于下巴下方，红肿穿溃，一个疗程（一候）即可痊愈。甲寅年秋天，治疗一位姓张的患者，暑热内蕴，透发肌肤，出现暑疖瘰疬，下巴下方结核，红肿作痛，已成下喉痈，势难消散。宜清营化毒，速溃速愈，以阻止其蔓延。方用金银花、连翘、大贝母、姜山栀、防风、赤茯苓、薏苡仁、夏枯草、蝉蜕、竹叶、西赤芍。服用一剂后，即用刀切开，溃后脓液分泌稀少，肿势不退，脉弦劲有力，宜托毒化脓，以消肿为关键。方用炒牛蒡子、炒荆芥、防风、连翘、大贝母、金银花、黑山栀、蝉蜕、钩藤、白蒺藜（盐水炒）、生甘草、地丁草、生姜、竹茹、薄荷叶，外掺自制去解妙丹，一个疗程即愈。（内痈以不溃破为妙。）】
The area below the neck suddenly swells into a lump, gradually extending to the neck. It occasionally ruptures, discharging about one bowl of fluid, and remains ulcerated for a long time without healing. This is caused by accidentally consuming poisonous ants during meals, hence the name. In the early stage, it is easy to treat; if prolonged, it is difficult to cure.
This condition arises from deficiency fire flaming upward, with the Lung affected by dryness-heat, causing pathogenic factors to attack the throat. Red thread-like patterns emerge, resembling the crackle glaze of Ge ware (Ge kiln porcelain), or the veins on the back of a begonia leaf. The throat feels dry, hindering eating; there may be pain or itching. Although not fatal, it does not heal quickly. If medication is delayed and dietary/lifestyle taboos are not observed, severe complications will inevitably arise. Prolonged cases may lead to aphonia (loss of voice) that is incurable; this condition is commonly seen in patients with consumption diseases (Lao Zheng). [E's Note: All patients with throat disorders must observe dietary restrictions and abstain from sexual desire. Previously, while consulting at my master's clinic, I saw a woman surnamed Shi who suffered from sore throat. After being cured by my master, she returned suddenly one day with acute aphonia, swollen tonsils (Di Ding), and a pulse that was large and floating at the Chi position. I deduced this was due to her failure to abstain from sexual activity. I then employed methods to nourish Yin and grasp Qi. This was truly not Throat Tinea (Hou Xuan); such entrenched bad habits are both laughable and lamentable.]
In descriptions of Hou Bi (Sore Throat) involving toxic pathogens, the phlegm and saliva are thick and solid, accompanied by aversion to cold and fever. If the pulse is accessible at the Guan position above, it is treatable; if below, it is difficult to treat. [E's Note: Sai Hou Feng (Throat Blocking Wind) is purely caused by obstruction of Phlegm-Qi. I used my self-made Pi Li Zhen (Thunderbolt Needle) to open the orifices, followed by blowing Zhong Bai Wu Niu San (Middle White Black Ox Powder) and Liu Hua Mi Yao (Liu Hua Secret Medicine) into the lesion. Internal treatment focuses on clearing Phlegm and promoting bowel movements.]
This occurs due to excessive consumption of spicy, roasted, and fried foods, as well as rich flavors and strong alcohol, leading to heat contraction; or it arises from emotional stagnation. All these belong to Lung diseases. [Jinghua's Note: Lin Peiqin stated: The Stomach and Large Intestine meridians pass through the formless areas of the throat, presenting only with redness, swelling, and pain. Severe cases may also involve chills and fever, with headache resolving in four to five days. Those with white star-like spots are called E (Tonsillar Abscess). Those without spots are called Yong (Carbuncle/Abscess).]
Obese individuals who contract heat and have irritable temperaments are prone to this condition. When something resembling a small tongue grows under the tongue, it is called HT She (HT Tongue, referring to uvular edema/swelling). If accompanied by throat swelling and pain, it is called Hou Yong (Throat Carbuncle). This is caused by stagnant fire in the Heart and Spleen meridians attacking upward. Concurrent HT She and Hou Yong represent the most severe condition, but can be cured with prompt treatment. Cases occurring after Shang Han (Cold Damage) are difficult to treat. If Qi blockage occurs with no sound or visible form, it is mostly a critical condition. [E's Note: There is another type of external Hou Yong where the throat is not painful, but swelling occurs below the chin, becoming red, swollen, and ulcerated, healing within one cycle (five days). In autumn of the Jiayin year, I treated a patient surnamed Zhang. Internal accumulation of summer-heat toxin manifested on the skin as summer boils and scrofula. Lymph nodes under the chin were swollen, red, and painful, forming a lower Hou Yong that was resistant to resolution. Treatment should clear the Ying level, resolve toxicity, promote rapid suppuration and healing, and stop spread. Formula: Jin Yin Hua (Flos Lonicerae Japonicae), Lian Qiao (Fructus Forsythiae), Da Bei Mu (Bulbus Fritillariae Cirrhosae), Jiang Shan Zhi (Zanthoxylis Pericarpium processed with ginger), Fang Feng (Radix Saposhnikoviae), Chi Ling (Poria Cocos with red color), Yi Mi (Semen Coicis), Xia Ku Cao (Spica Prunellae), Chan Yi (Periostracum Cicadae), Zhu Ye (Folium Bambusae), Xi Chi Shao (Radix Paeoniae Rubra). After one dose, incision was performed. Post-ulceration, pus discharge was scant, swelling persisted, and the pulse was wiry and forceful. Treatment shifted to supporting Qi to expel toxicity and promote suppuration, aiming to reduce swelling. Formula: Chao Niu Bang Zi (Fructus Arctii processed), Chao Jing Jie (Herba Schizonepetae processed), Fang Feng, Lian Qiao, Da Bei Mu, Jin Yin Hua, Hei Shan Zhi (Gardeniae Fructus processed with charcoal), Chan Yi, Gou Gou (Ramulus Uncariae cum Uncis), Bai Ji Li (Semen Tribuli processed with salt water), Sheng Gan Cao (Radix Glycyrrhizae Preparata), Di Ding Cao (Herba Taraxaci), Sheng Jiang (Rhizoma Zingiberis Recens), Zhu Ru (Caulis Bambusae in Taenia), Bo He Ye (Folium Menthae Haplocalycis). Externally applied with self-made Qu Jie Miao Dan. Healed within one cycle. (For internal abscesses, non-ulceration is ideal.)]