此症或单或双，亦生喉旁，不红不痛，饮食无碍。与蛾子异，不可妄作蛾症治。有因病
后而生，有不知不觉而生。或一月两月而愈，或数月而愈，有数年而不愈者。法宜看平日体
气寒热虚实，缓缓治之。仍以元珠丹时常吹上瘤处，久久自然全愈。切不可动用刀针，一经
溃烂，反致不救！
此症初起，恶寒，发热，口渴，舌生苔刺，头面赤肿如匏瓜，目不能开，咽喉疼痛肿胀
闭塞，语言不出，口流涎水。此乃时行瘟疫疠气为病，最为凶恶之症也。及至牙关紧闭，不
省人事，不可救矣。捷法莫如初起时，即用外治之法，最为急救之良方。先以香油搽后颈窝
，如刮痧样刮现红点处，即用瓷针刺破，令人口含吮去毒血数口。随又勒刺两手少商穴，挤
去恶血。再用 鼻散或熏鼻等法，查照卷一咽喉门外治各法，急急施治，或可有救。以神功
辟邪散连进数剂，取吐痰涎各方皆可施治。仍以元珠丹吹之。惟此疫症最易传染，凡在侧看
视之人，须用辟瘟五良法防护自己，以免传染为要。
其法有五∶切莫空腹入瘟病家看病，能饮者须饮雄黄烧酒，不能饮者食大蒜、涂雄黄酒
于鼻中。或用人马平安散，或用紫金锭水磨涂鼻孔，一也；每看病毕即浣手，开瓶取 鼻散
之取嚏，二也；用明雄黄、朱砂、苍术、北细辛、牙皂、紫红降香、檀香、鬼箭羽、甘松
、广木香、公丁香、丹参、排草、山柰，以上各一钱，麝香五厘、冰片三分，合研极细。合
时择上吉日于净室中，勿令妇人、鸡、犬及孝服人见。用红绸缝三角袋盛之，佩带身上，并
挂门户上方内。或再加入虎头骨，斧头木尤妙，三也；至病家行坐莫离客位，切不可起贪淫
邪念之心，四也；丹参炒二两，鬼箭羽炒二两，小红豆子炒熟二两，各研细筛，合匀炼蜜丸
如梧桐子大，飞过朱砂为衣，晒干，每日空心用白滚汤服五丸，五也。辟瘟良法，无法于此
，医者、病家，并宜制用，使已病者易愈，未病者不染，不仅患喉症者之受益已也。
这种喉瘤症状，有时单侧发生，有时双侧发生，也生长在喉咙旁边，患处不红也不痛，不影响饮食。它与“蛾子”（扁桃体炎）不同，不可错误地当作蛾症来治疗。有的因病后体虚而生，有的则在不知不觉中生成。有的经过一两个月痊愈，有的数月痊愈，也有数年都不痊愈的。治疗方法应当根据患者平素的体质是寒、热、虚、实，缓缓进行调理。仍然建议时常使用元珠丹吹敷在瘤处，久而久之自然能完全痊愈。千万不可动用刀针手术，一旦溃烂，反而会导致无法救治！
这种大头瘟喉丹症状初起时，恶寒，发热，口渴，舌面生苔刺，头面部红肿得像匏瓜一样，眼睛睁不开，咽喉疼痛肿胀闭塞，说不出话，口流涎水。这是由时行瘟疫疠气引起的疾病，是最为凶险恶毒的症状。等到牙关紧闭，神志不清，人事不省，就无法救治了。急救的良策莫过于在初起时就采用外治法，这是最为急救的好方子。先用香油涂抹在后颈窝处，像刮痧那样刮出红点，立即用瓷针刺破，让病人含在口中吮吸吐出几口毒血。接着再刺破两手少商穴，挤出恶血。然后再用鼻散或熏鼻等方法，参照卷一咽喉门外治的各种方法，紧急施治，或许还有救。服用神功辟邪散连进数剂，或者采取催吐痰涎的方法都可以施治。仍然继续使用元珠丹吹敷患处。只是这种疫症最容易传染，凡是在一旁看护的人，必须使用辟瘟五良法防护自己，以免被传染才是最重要的。
这五种方法如下：第一，千万不要空腹进入瘟疫病人家中看病，能喝酒的人必须喝雄黄烧酒，不能喝酒的人吃大蒜，并将雄黄酒涂在鼻孔中；或者使用人马平安散，或者用紫金锭磨成水涂在鼻孔里。第二，每次看完病后立即洗手，打开瓶子取鼻散打嚏以排毒。第三，使用明雄黄、朱砂、苍术、北细辛、牙皂、紫红降香、檀香、鬼箭羽、甘松、广木香、公丁香、丹参、排草、山柰，以上各一钱，麝香五厘、冰片三分，混合研磨成极细粉末。制作时要选择吉日在洁净的房间中进行，不要让妇女、鸡、狗以及穿孝服的人看见。用红绸缝制三角袋盛装，佩戴在身上，并悬挂在门户上方内侧。或者再加入虎头骨、斧头木效果更佳。第四，到病人家中行坐不要离开客位，千万不可产生贪淫邪念之心。第五，丹参炒二两，鬼箭羽炒二两，小红豆子炒熟二两，分别研细过筛，混合均匀后用炼蜜制成梧桐子大小的药丸，用飞过朱砂为衣，晒干，每天空腹用白开水送服五丸。这辟瘟良法没有比这更好的了，医生和病家都应当制备使用，使已经生病的人容易痊愈，没有生病的人不被感染，不仅仅是患喉症的人受益而已。
This condition, whether unilateral or bilateral, also occurs beside the throat. The affected area is neither red nor painful, and eating and drinking are unaffected. It differs from "Ezi" (tonsillitis) and must not be mistakenly treated as such. Some cases arise after illness due to deficiency, while others appear unknowingly. Recovery may take one or two months, several months, or even years without healing. The treatment method should be based on the patient's usual constitution—whether cold, hot, deficient, or excess—and administered gradually. It is still recommended to frequently apply Yuanzhu Dan (Pearl Pearl Pill) to the tumor site; with prolonged use, complete recovery will naturally occur. One must absolutely avoid using knives or needles; once ulceration occurs, it may lead to untreatable conditions!
At the onset of this Da Tou Wen Hou Dan (Big Head Plague Throat Duan), there is aversion to cold, fever, thirst, prickly coating on the tongue, swelling and redness of the head and face resembling a calabash, inability to open the eyes, pain and swelling in the throat causing obstruction, inability to speak, and drooling. This is a disease caused by epidemic pestilential qi, representing the most vicious and dangerous condition. Once the jaw becomes tightly closed and consciousness is lost, it becomes incurable. The most effective emergency method is to employ external treatments at the very beginning, which serves as the best first-aid prescription. First, apply sesame oil to the hollow behind the neck and scrape until red spots appear, similar to Guasha (scraping therapy). Immediately puncture these spots with a porcelain needle and have the patient suck out several mouthfuls of toxic blood. Then, prick the Shaoshang (LU11) acupoints on both hands to squeeze out bad blood. Subsequently, use nasal powders or fumigation methods, referring to the various external treatment methods for throat diseases in Volume 1, and administer urgent treatment; there might be a chance of salvation. Administer Shengong Pixie San (Divine Power Expelling Evil Powder) continuously for several doses, or employ methods to induce vomiting of phlegm and saliva. Continue applying Yuanzhu Dan. However, this epidemic disease is highly contagious. Anyone attending to the patient must use the Five Good Methods for Preventing Plague to protect themselves, avoiding infection being paramount.
The five methods are as follows: First, never visit plague patients' homes on an empty stomach. Those who can drink alcohol must consume Xionghuang Liquor (Realgar-infused Wine); those who cannot drink should eat garlic and smear Realgar wine into their nostrils. Alternatively, use Renma Ping'an San (Human-Horse Peace Powder) or grind Zijin Ding (Purple Gold Pellet) with water and apply it to the nostrils. Second, wash hands immediately after each visit and use the Bi San (Nasal Powder) from the bottle to induce sneezing for detoxification. Third, prepare a mixture of Ming Xionghuang (Refined Realgar), Zhusha (Cinnabar), Cangzhu (Atractylodis Rhizoma), Beixixin (Asari Radix et Rhizoma), Yazao (Gleditsiae Sinensis Spina), Zihong Jiangxiang (Red Sandalwood), Tanxiang (Sandalwood), Guijianyu (Arceuthosium), Gansong (Nardostachys Radix et Rhizoma), Guangmuxiang (Costi Rhizoma), Gongdingxiang (Caryophylli Flos), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Paicao (Hedyotis Diffusa), and Shannai (Kaempferia Galanga), one qian each of the above, plus Shexiang (Musk) 5 li and Bingpian (Borneol) 3 fen. Grind all ingredients into an extremely fine powder. Choose an auspicious day to mix them in a clean room, ensuring no women, chickens, dogs, or mourners see the process. Sew the powder into triangular bags made of red silk, wear them on the body, and hang them above the inner side of doorways. Adding Tiger Head Bone or Axe Wood is particularly effective. Fourth, when visiting the patient, remain in the guest area and absolutely avoid harboring lustful or evil thoughts. Fifth, stir-fry Danshen (Salviae Miltiorrhizae Radix et Rhizoma) 2 liang, stir-fry Guijianyu (Arceuthosium) 2 liang, and stir-fry Xiaohong Dousizi (Small Red Bean Seeds) 2 liang until cooked. Grind each finely and sieve, then mix evenly. Form pills the size of paulownia seeds using refined honey, coat them with Feiguo Zhusha (Processed Cinnabar), dry them, and take five pills daily on an empty stomach with plain boiling water. There is no better method for preventing plague than these. Both doctors and patients should prepare and use them so that the sick recover easily and the healthy remain uninfected, benefiting not only those suffering from throat diseases.