咽喉者。水谷之道也。喉咙者。气之所以上下者也。(人有二喉。一软一硬。软者居后
是谓
咽喉。硬者居前是谓喉咙。喉主天气。咽主地气。)会厌者。音声之户也。(喉间是薄膜周关
会合。上连悬壅。咽喉入息之道得以不乱者。赖其遮厌。故谓之会厌。能开能阖声由以出故
谓之户。)口唇者。音声之扇也。(唇启则声扬。故谓之扇。)舌者音声之机也(舌动则音生故
谓之机。)悬雍垂者。音声之关也。(此即悬而下垂者俗谓之小舌。当气道之冲。为喉间要会
。故谓之关)颃颡者。分气之所泄也。(颃颡。即颈中之喉颡当咽喉之上悬雍之后张口可见者
也。颡前有窍。息通于鼻。故为分气之所泄。)横骨者。神气所使主发舌者也。(横骨。即喉
上之软骨。下连心肺。故为神气所使。上连舌本故主举发舌机)故人之鼻洞涕出不收者颃颡
不开。分气失也(鼻洞者。涕液流泄于鼻也。颃颡之窍不开则清气不行。清气不行则浊液聚
而下出。由于分气之失职也。)是故厌小而疾薄。则发气疾。(速也)其开阖利。其出气易。
其厌大而浓。则开阖难。其气出迟。故重言也。(重言。言语謇涩之谓。)人卒然无音者。寒
气客于厌则厌不能发发不能下。至其开阖。不致。(不能也。)故无音。(寒气客于会厌。则
气道不利。既不能发纵而高。又不能低抑而下。开阖俱有不便。故卒然失音。○此下言刺法
。)足之少阴。上系于舌络于横骨。终于会厌。两泻其血脉。(刺两足之太 穴。)浊气乃辟
。(辟。开也。○观此节之义凡有虚劳而渐致失音者亦属肾经。其治当同此法。)会厌之脉。
上络任脉。取之天突其厌乃发也。(天突为阴维任脉之会。取治暴喑。)
咽喉，是水谷通行的通道。喉咙，是气上下运行的部位。（人有两个喉管，一个软一个硬。软的在后，称为咽喉；硬的在前，称为喉咙。喉主管天气，咽主管地气。）会厌，是声音发出的门户。（喉间有一层薄膜周围关合，上连悬雍垂，使咽喉呼吸之气不致混乱，依靠它来遮蔽覆盖，所以叫会厌。它能开能闭，声音由此发出，所以叫门户。）口唇，是声音的扇动器。（嘴唇开启则声音扬起，所以叫扇。）舌，是声音的关键机关。（舌头运动则声音产生，所以叫机关。）悬雍垂，是声音的关卡。（这就是悬挂而下垂的部分，俗称小舌，位于气道冲要之处，是喉间的重要交会点，所以叫关卡。）颃颡（háng sǎng），是分泄气的地方。（颃颡，即颈中的喉颡，位于咽喉之上、悬雍垂之后，张口可见。颃颡前方有窍孔，气息通达于鼻，所以是分泄气的地方。）横骨，是受神气支配、主要发动舌体运动的骨骼。（横骨，即喉上的软骨，下连心肺，所以受神气支配；上连舌根，所以主举发舌的运动。）因此，人的鼻孔流涕不止无法收敛的，是因为颃颡不开，分气功能失职。（鼻洞，指涕液从鼻中流出。颃颡的窍孔不开，则清气不能运行；清气不行，则浊液积聚而向下流出，这是由于分气功能失职造成的。）所以，会厌小而薄的人，发声迅速。（“疾”意为快。）它开阖灵活，出气容易。会厌大而厚的人，开阖困难，出气迟缓，所以说话重浊迟钝。（“重言”，指言语謇涩迟钝。）人突然失音的，是寒气客居于会厌，导致会厌不能发动，发动了也不能下降，以至于开阖功能失常。（“不致”意为不能达到正常状态。）所以没有声音。（寒气客居在会厌，导致气道不利，既不能高扬发声，也不能低抑下行，开阖都有不便，所以突然失音。○以下讲述针刺方法。）足少阴肾经，上行系于舌根，联络横骨，终于会厌。针刺双侧相应血脉。（刺两足的太溪穴。）浊气得以消散。（“辟”意为开散。○从这一节的意思来看，凡是因虚劳逐渐导致失音的，也属于肾经病变，治疗应当采用同样的方法。）会厌的脉络，向上联络任脉，取天突穴治疗，会厌的功能就能恢复。（天突是阴维脉和任脉的交会穴，取此穴治疗暴发性失音。）
The pharynx (throat) is the pathway for water and food. The larynx (windpipe) is the passage through which Qi ascends and descends. (Humans have two throat structures: one soft and one hard. The soft one is located posteriorly and is called the pharynx; the hard one is located anteriorly and is called the larynx. The larynx governs Heavenly Qi, and the pharynx governs Earthly Qi.) The epiglottis is the gate of voice production. (In the throat, there is a membrane that surrounds and closes off, connecting superiorly to the uvula. It prevents the airway during respiration from becoming chaotic by covering and shielding it, hence named "epiglottis" (meeting and covering). Because it can open and close, allowing sound to emerge, it is called the "gate".) The lips are the fan of voice. (When the lips open, the sound projects, hence called the "fan".) The tongue is the mechanism of voice. (When the tongue moves, sound is produced, hence called the "mechanism".) The uvula is the hinge of voice. (This refers to the hanging and drooping part, commonly known as the little tongue. It is located at the critical point of the airway and serves as an important junction in the throat, hence called the "hinge".) The nasopharynx (hangsang) is the place where Qi is distributed and discharged. (The nasopharynx is located in the neck, above the pharynx and posterior to the uvula, visible when the mouth is opened. There are orifices anterior to the palate, through which breath connects to the nose, making it the site for the discharge of distributed Qi.) The hyoid bone (transverse bone) is governed by Shen-Qi and primarily controls the movement of the tongue. (The hyoid bone is the cartilage above the larynx. It connects inferiorly to the Heart and Lungs, thus being governed by Shen-Qi. It connects superiorly to the root of the tongue, thus controlling the initiation of tongue movement.) Therefore, if a person suffers from nasal leakage of mucus that cannot be controlled, it is because the nasopharyngeal orifice is not opening, indicating a failure of the distribution of Qi. (Nasal leakage refers to the flow of mucus from the nose. If the orifice of the nasopharynx does not open, clear Qi cannot circulate; if clear Qi does not circulate, turbid fluids accumulate and flow downward. This is due to the dysfunction of Qi distribution.) Consequently, if the epiglottis is small and thin, sound emission is rapid ("ji" means fast). Its opening and closing are flexible, and air exits easily. If the epiglottis is large and thick, opening and closing are difficult, air exit is slow, resulting in dysarthria or slurred speech ("zhongyan" refers to speech impediment or slowness). When a person suddenly loses their voice, it is because Cold pathogen has invaded the epiglottis, causing it to fail to move or, if moved, to fail to descend properly, leading to dysfunction in opening and closing. ("Bu zhi" means failing to achieve normal function.) Thus, there is no voice. (When Cold invades the epiglottis, the airway becomes obstructed; it cannot project sound high nor suppress it low, and both opening and closing are impaired, resulting in sudden aphonia. ○ Below describes the acupuncture methods.) The Foot-Shaoyin Kidney Meridian ascends to tie with the root of the tongue, connects with the hyoid bone, and terminates at the epiglottis. Puncture the blood vessels on both sides. (Puncture the Taixi [KI3] acupoint on both feet.) The turbid Qi will dissipate. ("Bi" means to open or dissipate. ○ From the meaning of this section, it can be seen that aphonia gradually caused by deficiency consumption also belongs to the Kidney Meridian pathology, and the treatment should follow the same method.) The vessels of the epiglottis connect superiorly to the Ren Mai (Conception Vessel). Needling Tianchu [RN22] restores the function of the epiglottis. (Tianchu is the meeting point of the Yin Linking Vessel and the Ren Mai; needling this point treats sudden aphonia.)