论曰，喉痹谓喉里肿塞痹痛，水浆不得入也，治稍缓杀人，盖由脾肺不利，蕴积热毒，
外犯寒邪，二经壅热，结于喉间，痹而不通，其状身热恶寒，治法有先针而后药者，可谓知
急先务矣。
治喉痹肿塞。射干丸方
射干（一两） 豉（一合） 杏仁（汤浸去皮去双仁炒） 芎 犀角（屑各半两） 升
麻（一
两） 甘草（炙半两）
上七味，捣罗为末，炼蜜和丸，如小弹丸大，每服一丸，含化咽津，日可三五服，瘥。
治缠喉风，及喉痹。如圣丸方
大黄（末一分） 蜗牛（二七枚） 白矾（末） 马勃 陈白梅皮（各一分）
上五味，于五月五日午时，用白梅皮蜗牛，同研和丸，如栋实大，如患者开口不得，即
以水磨，用竹管子吹下，入喉中立瘥，如轻者，以绵裹含化一丸。
治走马缠喉风，及喉痹。开关散方
硝石（六两） 铅丹（四两） 白矾 砒霜（各半两）
上四味，各细研，用瓷罐子一个，先入硝石二两铺底，次下砒霜，又入硝石二两，方
下白矾，更入硝石二两，方下铅丹，后用圆瓦一片盖口，于净地上，用方砖一片，衬药罐子，
以炭火五斤， 令通赤，罐子固济熔成水，以炭条子搅令彻底匀，方去火放冷，于地上
，打罐子取药，研如粉，患者用箸头，蘸冷水惹药，深点咽喉内，渐渐咽津，至甚者不过三
两度点。
治喉痹。伏龙肝散方
伏龙肝（半两） 白矾（ 过） 白僵蚕（直者炒） 甘草（生各一分）
上四味，捣罗为散，每服一钱匕，如茶点服，吐出涎立效，未吐更进一服。
治喉痹。比金丸方
铅白霜（半两） 青黛（一两） 甘草（半两）
上三味，捣罗为末，醋糊为丸，如鸡头实大，含化咽津，痰出立效。
治男子妇人喉痹口噤，牙关紧。透关散方
雄黄（研） 猪牙皂荚（蜜炙去皮） 藜芦（各一分）
上三味，捣研为细散，每用一字，分弹入两鼻中，关透涎出，瘥。
治急喉痹。丹砂酒方
丹砂（研） 桂（去粗皮） 绛矾（各一钱）
上三味，捣研为末，以绵裹，用好酒少许，浸良久，含饮即瘥。
治喉痹。如圣散方
白僵蚕（直者炒） 天南星（炮各半两）
上二味，捣罗为散，每服一字，以生姜自然汁调下，如咽喉大段不通，即以小竹筒灌之
，涎出后，用生姜一片，略炙，含化咽津。
治缠喉风喉痹。乌头散方
乌头尖（生） 胆矾（各一分）
上二味，捣罗为散，每以一字，酒少许调服，良久即愈，如口噤，即于鼻内吹一字，立
效。
治缠喉风，一切喉痹急危。僵蚕散方
白僵蚕（三枚） 枯矾（一分）
上二味，捣罗为散，生姜蜜水调下一钱匕，细呷。
治咽喉卒肿，喉痹。胜金散方
戎盐（一两） 青黛（半钱）
上二味，同研匀，每服半钱匕，或一字，用小竹筒，吹入喉咽，咽津效。
治喉痹危急者。万金丹方
巴豆（一枚和皮以纸裹当中腰截断）
上一味，以绵系，分塞左右鼻窍中，熏之，须臾喉通，即取出。
治缠喉风，一切喉痹危急。如圣散方
白僵蚕（不拘多少直者新瓦上炒）
上一味为末，用生姜自然汁和丸，如鸡头实大含化，急者生姜汁调一大钱，以竹筒子灌
入喉中，立效。
治急喉痹逡巡不救方
皂荚（去皮子生半两）
上一味，捣为末，每服少许，箸头点在肿处，更以醋调药末，浓涂项下，须臾便破，少
出血，即愈。
治急喉痹方
蠡虫胆（腊月收阴干）
上一味为末，每取少许点患处，药至即瘥，病在深处，则水化灌之。
治喉痹方
蛇蜕皮（不以多少）
上一味，揉碎，以香炉一个烧烟，令患人用竹筒子，吸入喉咽内熏破。
治急喉痹方
生油（一合）
上一味，急灌之立愈，若未瘥，急解发令散，当顶心取方寸许，急捉痛拔之，少顷当通，
如更急，则喉下当咽管口，灸一壮，如麦粒大，火至即瘥，气虽似绝，但心下暖者，亦可
救，此数法皆神验。
治咽喉痹痛，不能喘息，水浆不得入。金硝丸方
郁金（锉） 马牙硝（研） 甘草（锉） 山栀子（去皮） 栝蒌根（各二两） 大黄
（锉） 玄参
白矾（研） 硼砂（研各一分）
上九味，捣研为末，炼蜜和丸，如鸡头实大，每用一丸，绵裹含化咽津。
治喉痹咽塞热痛。二砂丸方
沙参 丹砂（研） 砂（研） 人参 玄参 丹参
上六味等分，捣研为末，炼蜜丸如鸡头实大，食后临卧含一丸化之。
治缠喉风方
马牙硝（半两） 丹砂（一钱） 龙脑 麝香（各一字）
上四味，细研如粉，用鲩鱼胆和丸，如绿豆大，每边鼻内深送一丸，良久两牙关出涎，
瘥。
又方
白僵蚕 玄参 白矾（研各一钱） 甘草（半钱）
上四味，捣研为末，用鲩鱼胆和丸，如赤小豆大，每服十丸，冷生姜汤下。
治喉痹方
蛇蜕 白梅 白僵蚕 甘草（各等分）
上四味，捣罗为末，绵裹含化咽津。
治喉痹方
白矾（烧令汁枯研） 白附子（捣末各等分）
上二味，研令匀，涂在舌上咽津。
治喉痹方
上用黄颡鱼颊骨，不计多少，烧灰出火毒，以茶清调下三钱匕。
又方
上用大盐球子，捣为末，以赤糖为丸，如弹子大含之。
治喉痹肿塞。散毒汤方
桔梗（微炒） 甘草（微炙锉各二两）
上二味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓温服。
治喉痹水浆不入方
上取石蟹，冷水磨饮之，兼涂喉上，瘥。
又方
上取生恶实茎叶，研涂喉上，兼椎一茎，令头破，纳喉中，瘥。
又方
上生研糯米，入蜜饮之。
又方
上以糯米半升，炒焦碾末，水调成膏，贴喉上，再换肿即消。
治喉痹。射干汤方
射干
上一味细锉，每服五钱匕，水一盏半，煎至八分，去滓入蜜少许，旋旋服。
Discourse states that Hou Bi (Sore Throat with Obstruction) refers to swelling, blockage, and painful obstruction in the throat, preventing the intake of water or gruel. If treatment is delayed even slightly, it can be fatal. This condition generally arises from dysfunction of the Spleen and Lung, leading to the accumulation of heat toxins internally, combined with an external invasion of cold pathogenic factors. The resulting stagnation and heat in these two meridians knot in the throat, causing obstruction and lack of free flow. Symptoms include fever and aversion to cold. Treatment methods include acupuncture followed by herbal medicine, which addresses the urgent priority.
Formula for Shegan Wan (Kochia Seed Pill) to treat swelling and blockage of Hou Bi:
Shegan (Flos Belamcandae, 1 liang), Chi (Fermented Soybean Paste, 1 he), Xingren (Semen Armeniacae Amarum, soaked in hot water, skin removed, twin kernels discarded, stir-fried), Chuanxiong (Rhizoma Chuanxiong), Xijiao (Cornu Rhinocerotis, crushed into powder, each 0.5 liang), Shengma (Rhizoma Cimicifugae, 1 liang), Gancao (Radix Glycyrrhizae, honey-fried, 0.5 liang).
The above seven ingredients are crushed, sieved into powder, mixed with refined honey, and formed into pills the size of small marbles. Take one pill per dose, hold in the mouth to dissolve, and swallow the saliva slowly. Take three to five times daily until cured.
Formula for Rusheng Wan (Like-Sage Pill) to treat Chan Hou Feng (Coiling Throat Wind) and Hou Bi:
Dahuang (Radix et Rhizoma Rhei, powdered, 1 fen), Woniu (Helix Aspersa/Murex Snail, 14 pieces), Baifan (Alumen, powdered), Mabo (Mycetozoa Polyporus), Chen Baimei Pi (Pericarpium Pruni Mume dried, 1 fen each).
The above five ingredients are ground together on the noon hour of the fifth day of the fifth lunar month using the dried peel of the white plum and the snails, and formed into pills the size of oak acorns. If the patient cannot open their mouth, grind the pill with water and blow it into the throat using a bamboo tube; it cures immediately upon entry. For mild cases, wrap one pill in cotton and hold it in the mouth to dissolve.
Formula for Kaiguan San (Gate-Opening Powder) to treat Zou Ma Chan Hou Feng (Running-Horse Coiling Throat Wind) and Hou Bi:
Xiaoshi (Natrii Nitras, 6 liang), Qiandan (Minii Oxidum, 4 liang), Baifan (Alumen, 0.5 liang), Pishuang (Arsenic Trioxide, 0.5 liang).
The above four ingredients are finely ground separately. Place a porcelain jar on the ground, line the bottom with 2 liang of Xiaoshi, add Pishuang, then another 2 liang of Xiaoshi, then Baifan, then another 2 liang of Xiaoshi, and finally Qiandan. Cover the jar with a round tile, place it on a brick on clean ground, and heat with 5 jin of charcoal until the jar glows red, melting the contents into liquid. Stir thoroughly with a charcoal stick, remove from fire, and cool. Break the jar to retrieve the medicine, grind into powder. Dip the tip of a chopstick in cold water, dip into the powder, and apply deep into the throat. Swallow saliva gradually. For severe cases, apply no more than three times.
Formula for Fulonggan San (Dragon's House Liver Powder) to treat Hou Bi:
Fulonggan (Caulis Longan? Note: Traditionally Aluminis Residuum/Calculus Ferri, 0.5 liang), Baifan (Calcined, 1 fen), Baijiangcan (Bombyx Batryticatus, stir-fried, 1 fen), Gancao (Raw Radix Glycyrrhizae, 1 fen).
The above four ingredients are crushed and sieved into powder. Take one qianbi (approx. 3-5g) per dose, mix like tea and drink. It takes effect immediately upon vomiting phlegm. If not vomited, take another dose.
Formula Bijin Wan (Gold-Comparing Pill) to treat Hou Bi:
Qianbaishuang (Plumbum Subcarbonate, 0.5 liang), Qingdai (Indigo Naturalis, 1 liang), Gancao (Radix Glycyrrhizae, 0.5 liang).
The above three ingredients are crushed and sieved into powder, mixed with vinegar paste, and formed into pills the size of cockle seeds. Hold in the mouth to dissolve and swallow saliva. It takes effect immediately upon expectoration of phlegm.
Formula Touguan San (Pass-the-Gate Powder) to treat Hou Bi with locked jaw and tight teeth in men and women:
Xionghuang (Realgar, finely ground), Zhuya Zaojia (Fructus Gleditsiae Sinensis, honey-fried, skin removed), Lilü (Veratrum Nigrum, 1 fen each).
The above three ingredients are crushed and ground into fine powder. Use one zi (approx. 0.5-1g) divided into both nostrils. Once the gate opens and phlegm flows out, the disease is cured.
Formula Dansha Jiu (Cinnabar Wine) to treat Ji Hou Bi (Acute Sore Throat):
Dansha (Cinnabar, finely ground), Gui (Ramulus Cinnamomi, bark removed), Jiangfan (Vitriolum Cupri Rubrum, 1 qian each).
The above three ingredients are crushed and ground into powder, wrapped in cotton, soaked in a small amount of good wine for a long time, held in the mouth and swallowed. It cures immediately.
Formula Rusheng San (Like-Sage Powder) to treat Hou Bi:
Baijiangcan (Bombyx Batryticatus, stir-fried), Tiannanxing (Rhizoma Arisaematis, processed, 0.5 liang each).
The above two ingredients are crushed and sieved into powder. Take one zi per dose, mixed with fresh ginger juice. If the throat is severely blocked,灌 (irrigate) using a small bamboo tube. After phlegm is expelled, roast a slice of ginger slightly, hold in the mouth to dissolve and swallow saliva.
Formula Wutou San (Aconite Powder) to treat Chan Hou Feng and Hou Bi:
Wutou Jian (Aconiti Lateralis Radix Preparata tip, raw), Danfan (Chalcanthite, 1 fen each).
The above two ingredients are crushed and sieved into powder. Take one zi per dose, mixed with a little wine. It heals after a while. If the jaw is locked, blow one zi into the nose for immediate effect.
Formula Jiangcan San (Silkworm Powder) to treat Chan Hou Feng and all acute/critical Hou Bi:
Baijiangcan (Bombyx Batryticatus, 3 pieces), Kufan (Alumen Calcined, 1 fen).
The above two ingredients are crushed and sieved into powder. Mix with ginger-honey water, take one qianbi, sip slowly.
Formula Shengjin San (Victory-Gold Powder) to treat sudden swelling of the throat and Hou Bi:
Rongyan (Sal Regalis/Rock Salt, 1 liang), Qingdai (Indigo Naturalis, 0.5 qian).
The above two ingredients are ground evenly. Take half a qianbi or one zi per dose, blow into the throat/pharynx using a small bamboo tube. Swallowing saliva brings efficacy.
Formula Wanjindan (Myriad-Gold Pill) to treat critical Hou Bi:
Badou (Semen Crotonis, 1 piece, with skin, wrapped in paper, cut in the middle).
Tie the single ingredient with silk thread, insert into left and right nostrils alternately to fumigate. The throat opens after a moment; remove immediately.
Formula Rusheng San (Like-Sage Powder) to treat Chan Hou Feng and all critical Hou Bi:
Baijiangcan (Bombyx Batryticatus, any amount, straight ones, stir-fried on new tile).
Grind the single ingredient into powder, mix with fresh ginger juice to form pills the size of cockle seeds. Hold in mouth to dissolve. For emergencies, mix one daqian (large measure) with ginger juice and irrigate into the throat with a bamboo tube for immediate effect.
Formula for Ji Hou Bi if delay leads to no rescue:
Zaojia (Fructus Gleditsiae Sinensis, skin and seeds removed, raw, 0.5 liang).
Grind into powder. Take a small amount, apply with chopstick tip to the swollen area. Mix remaining powder with vinegar, apply thickly to the neck. It breaks open shortly, bleeds slightly, and heals.
Formula for Ji Hou Bi:
Lichong Dan (Gall Bladder of Insect/Larva, collected in December, dried in shade).
Grind into powder. Apply a small amount to the affected area; it cures upon application. If the disease is deep, dilute with water and irrigate.
Formula for Hou Bi:
Shetuipi (Ophichthus Formosanus/Snake Skin, any amount).
Crush the snake skin, burn in an incense burner to produce smoke. Have the patient inhale the smoke into the throat/pharynx using a bamboo tube until the swelling breaks.
Formula for Ji Hou Bi:
Shengyou (Raw Oil, 1 he).
Irrigate urgently; it heals immediately. If not cured, untie hair, take a square inch patch from the crown of the head, pull firmly. The throat should open shortly. If more urgent, moxa one zhuang (cone) at the opening of the swallowing tube below the throat, size of a wheat grain. When heat arrives, it cures. Even if breath seems absent, if the heart area is warm, it can be saved. These methods are all miraculous.
Formula Jinxio Wan (Gold-Nitre Pill) to treat throat obstruction pain, inability to breathe, and inability to swallow liquids:
Yujin (Radix Curcumae Longae, chopped), Mayaxiao (Natrii Sulfas Crystallisatus, ground), Gancao (Radix Glycyrrhizae, chopped), Shanzhizi (Fructus Gardeniae, peeled), Gualougen (Radix Trichosanthis, 2 liang each), Dahuang (Radix et Rhizoma Rhei, chopped), Xuanshen (Radix Scrophulariae), Baifan (Alumen, ground), Pengsha (Borax, ground, 1 fen each).
The above nine ingredients are crushed and ground into powder, mixed with refined honey, and formed into pills the size of cockle seeds. Take one pill per dose, wrap in cotton, hold in mouth to dissolve and swallow saliva.
Formula Ersha Wan (Two-Cinnabars Pill) to treat Hou Bi with throat blockage and heat pain:
Shashen (Radix Adenophorae), Dansha (Cinnabar, ground), Sha (Note: Likely refers to Zhu Sha/Cinnabar again or a specific mineral, kept as Sha), Renshen (Radix Ginseng), Xuanshen (Radix Scrophulariae), Danshen (Radix Salviae Miltiorrhizae).
The above six ingredients in equal parts are crushed and ground into powder, mixed with refined honey into pills the size of cockle seeds. Hold one pill in the mouth to dissolve after meals and before sleep.
Formula for Chan Hou Feng:
Mayaxiao (Natrii Sulfas Crystallisatus, 0.5 liang), Dansha (Cinnabar, 1 qian), Longnao (Borneolum Syntheticum), Shexiang (Moschus, 1 zi each).
The above four ingredients are finely ground into powder, mixed with Huanyu Dan (Trachinotus Carpo Gallbladder) to form pills the size of mung beans. Insert one pill deep into each nostril. After a while, phlegm flows from both jaws, and it cures.
Another Formula:
Baijiangcan (Bombyx Batryticatus), Xuanshen (Radix Scrophulariae), Baifan (Alumen, ground, 1 qian each), Gancao (Radix Glycyrrhizae, 0.5 qian).
The above four ingredients are crushed and ground into powder, mixed with Huanyu Dan (Trachinotus Carpo Gallbladder) to form pills the size of adzuki beans. Take ten pills per dose, washed down with cold ginger soup.
Formula for Hou Bi:
Shetuipi (Snake Skin), Baimei (Prunus Mume Fruit), Baijiangcan (Bombyx Batryticatus), Gancao (Radix Glycyrrhizae, equal parts).
The above four ingredients are crushed and sieved into powder, wrapped in cotton, held in the mouth to dissolve and swallow saliva.
Formula for Hou Bi:
Baifan (Alumen, burned until dry and ground), Baifuzi (Radix Aconiti Kusnezoffii, ground into powder, equal parts).
The above two ingredients are ground evenly, applied to the tongue, and swallowed with saliva.
Formula for Hou Bi:
Use Huangsangyu Jiagu (Cheekbone of Pelteobagrus Fulvidraco), any amount, burned to ash to remove fire toxicity, mixed with clear tea, taken as three qianbi.
Another Formula:
Use Da Yan Qiuzi (Large Salt Ball), ground into powder, formed into pills the size of marbles with red sugar, held in the mouth.
Formula Sandu Tang (Disperse-Toxin Decoction) to treat swelling and blockage of Hou Bi:
Jiegeng (Radix Platycodonis, lightly stir-fried), Gancao (Radix Glycyrrhizae, lightly honey-fried and chopped, 2 liang each).
The above two ingredients are coarsely crushed and sieved. Take five qianbi per dose, add one and a half cups of water, decoct to eight-tenths, remove dregs, and take warm.
Formula for Hou Bi where liquids cannot enter:
Take Shi Xie (Stone Crab), grind in cold water, drink, and also apply to the throat. It cures.
Another Formula:
Take fresh Eshi (Arctii Fructus/Niupang) stems and leaves, grind and apply to the throat. Also break one stem, break the head, and insert into the throat. It cures.
Another Formula:
Freshly grind Nuomi (Glutinous Rice), mix with honey, and drink.
Another Formula:
Use half a sheng of Nuomi (Glutinous Rice), stir-fry until scorched, grind into powder, mix with water to form a paste, apply to the throat. Change application, and swelling subsides.
Formula Shegan Tang (Kochia Seed Decoction) to treat Hou Bi:
Shegan (Flos Belamcandae).
Finely chop the single ingredient. Take five qianbi per dose, add one and a half cups of water, decoct to eight-tenths, remove dregs, add a little honey, and take slowly.