论曰，喉中生谷贼者，喉中结肿，疼痛不通，饮食妨闷，此由禾中有短穗，误作米食之
，涩搏咽喉，如鱼鲠，不上不下，风热加之，则结肿不消，若不急疗，亦能杀人。
治咽喉生谷贼，咽物妨闷。升麻汤方
升麻 木通（锉） 黄柏（去粗皮涂蜜炙） 玄参 麦门冬（去心焙各一两） 竹茹 前
胡（
去芦头） 大青（各三分） 芒硝（别研汤成下）
上九味，除芒硝外，粗捣筛，每服三钱匕，水一盏，煎至六分，去滓下芒硝末半钱匕，
搅令匀，食后温服，日三。
治咽喉生谷贼，咽物妨闷。射干汤方
射干 升麻（各三分） 桔梗（锉炒一两） 玄参 木通（锉各三分） 甘草（炙锉半
两）
上六味，粗捣筛，每服三钱匕，水一盏，入竹叶七片，煎至六分，去滓食后温服，如要
通利，加大黄一两，以利为度。
治喉中生谷贼，若不急治，亦能杀人。乳香丸方
乳香（半分） 砂（一分） 琥珀 松脂（各半两）
上四味，各研为末，再同和匀，熔白蜡为丸，如鸡头大，每服一丸，含化咽津，以瘥为
度。
治谷贼冲咽喉，两颊上 舌下暴肿，咽物妨闷疼痛，方
矾石（生用）
上一味研为末，少少敷肿处，以瘥为度，有涎即吐之。
又方
马牙硝（研）
上一味为末，以绵裹半钱匕，含化咽津，以瘥为度。
又方
上以针刺破，令黑血出后，含马牙硝一小块，咽津即瘥。
治喉中生谷贼，结肿疼痛，饮食妨闷。茯苓散方
赤茯苓（去黑皮） 贯众 缩砂仁 甘草（炙各一两）
上四味，捣罗为细散，每用一钱匕，掺喉中，以水送下，立效。
治咽喉中生谷贼，如鲠状，不上不下，疼痛妨闷。象牙散方
象牙末（一分） 甘草（大者一寸） 滑石（半分） 绿豆粉（二两） 郁金（小者半
块） 乳香
（研） 硼砂（研） 麝香（研各半分）
上八味，捣研为散，每服半钱匕，新汲水调下。
治咽喉中生谷贼，结肿疼痛，妨害饮食。五味子汤方
五味子（炒一两半） 干姜（炮） 麦门冬（去心焙） 桂（去粗皮各一两） 桑根白
皮（锉炒
三两） 粳米（炒一合）
上六味，粗捣筛，每服三钱匕，水一盏，煎至五分，去滓温服，日三，不计时候。
It is stated that the condition of "grain thorn" (Guzei, a foreign body or irritation in the throat) growing in the throat manifests as nodular swelling and pain in the pharynx, causing dysphagia and a sensation of obstruction and stifling during eating. This arises from short awns of grain being mistaken for rice; their rough texture rubs against the pharynx like a fishbone stuck fast, neither ascending nor descending. If aggravated by wind-heat pathogens, the nodular swelling will not subside. If not treated urgently, it can also be fatal.
Shengma Decoction (Cinnamon Twig-like Herb Decoction) for treating grain thorn in the throat with obstructive stifling upon swallowing:
Shengma (Rhizoma Cimicifugae), Mutong (Caulis Akebiae, crushed), Huangbai (Cortex Phellodendri, coarse bark removed, honey-fried), Xuanshen (Radix Scrophulariae), Maimendong (Radix Ophiopogonis, heart removed, baked, each 1 liang), Zhuru (Bambusae Caulis in Taeniam), Qianhu (Radium Peucedani, rhizome head removed), Daqing (Folium Isatidis, each 3 qian), Mangxiao (Natrii Sulfas, ground separately, added after decoction).
The above nine ingredients, except Mangxiao, are coarsely pounded and sieved. Each dose consists of 3 qianbi (measurements), decocted in one zhan (unit of volume) of water until reduced to 6 fen. The dregs are strained off, and half a qianbi of Mangxiao powder is added and stirred evenly. It is taken warm after meals, three times daily.
Shexiang Decoction (Belamcanda Decoction) for treating grain thorn in the throat with obstructive stifling upon swallowing:
Shexiang (Rhizoma Belamcandae), Shengma (Rhizoma Cimicifugae, each 3 qian), Jiegeng (Radix Platycodonis, crushed and fried, 1 liang), Xuanshen (Radix Scrophulariae), Mutong (Caulis Akebiae, crushed, each 3 qian), Gancao (Radix Glycyrrhizae, honey-fried and crushed, half 1 liang).
The above six ingredients are coarsely pounded and sieved. Each dose consists of 3 qianbi, decocted in one zhan of water with seven slices of Zhu Ye (Folium Bambusae) until reduced to 6 fen. The dregs are strained off, and it is taken warm after meals. If bowel unblocking is desired, add Dahuang (Radix et Rhizoma Rhei) 1 liang, stopping when stool becomes loose.
Ruxiang Pill (Frankincense Pill) for treating grain thorn in the throat, which can be fatal if not treated urgently:
Ruxiang (Resina Frankincense, half 1 fen), Sha (Realgar, 1 fen), Hupo (Succinum), Songzhi (Pini Resina, each half 1 liang).
The above four ingredients are each ground into powder, mixed uniformly again, and melted with Baicha (White Beeswax) to form pills the size of a chicken's head. Each dose is one pill, held in the mouth to dissolve and swallow the saliva, continuing until recovery.
Formula for treating grain thorn impacting the throat, with sudden swelling of both cheeks and under the tongue, and obstructive stifling and pain upon swallowing:
Fanshi (Alumen, raw use).
Grind this single ingredient into powder, apply sparingly to the swollen area, continuing until recovery. Spit out any saliva produced.
Another formula:
Mayaxiao (Saltpeter, ground).
Grind this single ingredient into powder, wrap half a qianbi in cotton, hold in the mouth to dissolve and swallow the saliva, continuing until recovery.
Another formula:
First puncture the area with a needle to allow black blood to flow out, then hold a small piece of Mayaxiao in the mouth. Swallowing the saliva will lead to recovery.
Fuling Powder (Poria Powder) for treating grain thorn in the throat with nodular swelling, pain, and obstructive stifling affecting diet:
Chi Fuling (Poria with Red Skin, black skin removed), Guanzhong (Rhizoma Cibotii), Suosharen (Fructus Amomi), Gancao (Radix Glycyrrhizae, honey-fried, each 1 liang).
The above four ingredients are pounded and sifted into a fine powder. Use one qianbi per dose, sprinkle into the throat, and wash down with water. Effect is immediate.
Xiangya Powder (Ivory Powder) for treating grain thorn in the throat, feeling like a stuck bone, neither ascending nor descending, with pain and obstructive stifling:
Xiangya Mo (Powdered Ivory, 1 fen), Gancao (Radix Glycyrrhizae, large pieces about 1 cun), Huashi (Talcum, half 1 fen), Lvdou Fen (Powder of Phaseoli Semen, 2 liang), Yujin (Radix Curcumae, small pieces half a block), Ruxiang (Resina Frankincense, ground), Pengsha (Borax, ground), Shexiang (Moschus, ground, each half 1 fen).
The above eight ingredients are pounded and ground into a powder. Each dose is half a qianbi, mixed with fresh drawn water and taken orally.
Wuweizi Decoction (Schisandra Decoction) for treating grain thorn in the throat with nodular swelling, pain, and interference with diet:
Wuweizi (Fructus Schisandrae, fried, 1.5 liang), Ganjiang (Rhizoma Zingiberis, processed), Maimendong (Radix Ophiopogonis, heart removed, baked), Gui (Ramulus Cinnamomi, coarse bark removed, each 1 liang), Sangbaipipi (Cortex Mori Radicis, crushed and fried, 3 liang), Jingmi (Semen Oryzae, fried, 1 he).
The above six ingredients are coarsely pounded and sieved. Each dose consists of 3 qianbi, decocted in one zhan of water until reduced to 5 fen. The dregs are strained off, and it is taken warm, three times daily, at any time.