论曰，马喉痹之状，势如奔马，喉间痹痛，肿连颊骨，壮热烦满，数数吐气者是也，此
盖脾肺不利，热毒攻冲，发于咽喉所致。
治热冲喉间，连颊肿，数出气烦满。生犀丸方
犀角（镑） 枳实（去瓤麸炒） 射干 海藻（洗去咸焙） 升麻（各一两） 白附子
（炮半两）
百合 胡黄连 蒺藜子（炒各三分） 杏仁（汤浸去皮尖双仁研三分）
上一十味，捣罗为末，炼蜜丸如弹子大，每服一丸，绵裹咽津，不计时。
治咽喉肿痛，连舌颊牙根赤肿，心烦，咽干多渴，眠睡不稳。龙脑丹砂丸方
龙脑（研一钱） 丹砂（研半两） 人参 白茯苓（去黑皮各一两） 羚羊角（镑） 犀
角（镑）
甘草（炙锉） 升麻 恶实（炒各半两） 麦门冬（去心焙一两半） 马牙硝（研） 黄
药（各一
分）
上一十二味，捣研为末，再同和匀，炼蜜丸如鸡头实大，每服一丸，含化咽津，食后临
卧。
治咽喉连颊颔肿，日数深远，咽津液热，发歇疼痛。龙脑丸方
龙脑（研） 升麻 甘草 马牙硝（研各一分） 玄明粉（研三分） 麝香（研） 石
膏（碎）
上一十味，除地黄汁外，捣罗为末，以地黄汁和，如干更入炼过蜜少许，为丸如小弹子
大，用绵裹，含化咽津，日四五次，不计时。
治马喉痹，咽喉肿痛，唇焦舌干，腮颊连肿。天门冬丸方
天门冬（去心焙） 玄参 恶实（炒各一两） 百药煎 紫苏叶（各半两） 甘草（炙
锉一两
半） 人参 硼砂（研） 龙脑（研各一分）
上九味，捣研为细末，炼蜜和丸，如皂子大，每服一丸，食后临卧，细嚼温熟水下。
治口干咽肿，喉颊胀痛。生银丸方
人参（半两） 丹砂（研） 铅霜（研） 锡蔺脂 朴硝（研） 升麻（各一分） 硼
砂（研三钱）
龙脑（研一钱）
上八味，捣研为末，和匀，炼蜜为丸，如皂子大，每服一丸，含化咽津。
治马喉痹，咽颊肿痛，吐气不快。七圣散方
白矾（二钱） 马牙硝（五钱） 硝石（一两） 铅丹（三钱） 砂（一钱） 蛇蜕
（半条） 巴
豆（两枚去壳）
上七味，先研白矾牙硝 砂三味，入罐子内，次入硝石，次掺铅丹于上面，只用平瓦一
小片盖，以慢火烧成汁，便用竹片子夹蛇蜕，搅五七度，又入巴豆，更搅五七度，取出候冷，
研为散，如小可咽喉肿痛，咽津妨碍，及口疮，只干掺一字，或大段喉痹，及马喉痹，或
腮颐生瘀肉，侵咽喉，即干掺半钱，安稳仰卧。其喉痈肿处自破，立瘥。
治热结喉间，连颊肿不消，心膈烦满。绛雪散方
木通（锉） 桔梗（锉炒） 槟榔（各二两） 枳壳（去瓤麸炒） 犀角（镑各一两半）
柴胡（
去苗） 升麻 木香 赤茯苓（去黑皮各二两） 桑根白皮（锉） 山栀子仁（各四两） 桂
（去粗
皮） 人参（各二两） 苏枋木（五两） 朴硝（研一斤） 丹砂（炒一两） 麝香（研一
分） 诃黎
勒（去核五枚）
上一十八味，除朴硝丹砂麝香外，各细锉，以水二斗，于银器内，慢火熬至七升，以
生绢滤去滓，再煎至五升，下朴硝，以柳木篦搅，勿住手，候稍凝，即去火，倾入盆中，将
丹砂麝香末，拌令匀，瓷器盛之，勿令透气，每服一钱或二钱，以冷蜜汤调下，食后临卧，
看老少加减。
治马喉痹，喉中连颊 肿，犀角汤方
犀角（镑） 甘草（炙锉） 升麻（各半两） 射干 桔梗（炒） 马蔺根（锉各三分）
上六味，粗捣筛，每服三钱匕，水一盏，入竹叶七片，煎至七分，去滓入马牙硝末半钱
匕，搅令匀，细细呷服。
治毒瓦斯壅塞，咽喉不利，颊颔连肿。玉液丸方
百药煎（一两） 麝香（研） 朴硝（各半钱） 丹砂（二钱研） 龙脑（研） 甘草
末（各一钱）
上六味，各研为末，再同研匀、细，以水浸蒸饼心，为丸如梧桐子大，更用丹砂为衣，
阴干，含化一丸。
治咽候中壅塞如核，连颊肿痛。胡黄连散方
胡黄连（一分） 升麻（半两） 铅霜（研一分）
上三味，除铅霜外，捣罗为散，再同和匀，每服半钱匕，绵裹含化咽津，日三五度，不
计时候。
治马喉痹，肿连颊，吐气，方
马衔铁（一具）
上以水三升，煎至一升，细细含咽。
又方
马鞭草根（一握）
上截去两头，捣取汁服之，愈。
又方
生姜（二斤取汁） 蜜（三两）
上二味，以微火煎令得所，每服一合，日四五服，含咽。
治马喉痹，颊咽痛。龙脑散方
白龙脑（细研） 牛黄（细研） 犀角屑 羚羊角屑 马牙硝（细研） 玄参 沉香 朱
砂（
细研） 甘草（炙微赤锉以上各一分） 川升麻（半两） 硼砂（一钱细研）
上一十一味，除龙脑牙硝，捣筛为散，每服三钱匕，水一盏，竹叶七片，煎至六分，去
滓，温，入龙脑马牙硝一钱，搅令匀，细细含咽。
又方
五倍子（半两） 黄柏（半两锉） 川升麻（三分） 射干（半两） 甘草（一分炙微
赤锉）
上五味，捣筛为散，每服三钱匕，水一小盏，煎至四分，去滓不计时候温服。
烟方
乳香（一分） 白僵蚕（三七枚直者）
上二味，捣罗为末，每用一钱匕，香炉上烧，开口令烟熏入喉中，涎出，效。
治马喉痹，势如奔马，肿痛烦满，数数吐气。橘皮汤方
陈橘皮（汤浸去白焙） 青竹茹 生地黄（切焙） 黄芩（去黑心） 山栀子仁（各三
两）
桂（去粗皮一两） 白术（三两） 芒硝（研汤成下） 赤茯苓（去黑皮二两）
上九味，除芒硝外，粗捣筛，每服三钱匕，以水一盏，入生姜半分拍碎，枣二枚擘破，
煎至五分，去滓下芒硝末一钱匕，搅匀，温服食后，日三。
治缠喉风，卒然喉痹，急如奔马，喉颊俱肿，名为马喉痹。凝水石散方
凝水石 甜硝（各半两并用无油瓷合盛火 通赤合于地上出火毒一宿） 白僵蚕（麸炒
黄
研如粉一两）
上三味，同研令匀，每取少许，掺咽喉中，病甚每服二钱匕，温水调下，若牙关紧急，
只于鼻中吸入。
Discourse states that the manifestation of Ma Hou Bi (Horse Throat Obstruction) is characterized by a condition developing rapidly like a galloping horse, with obstruction and pain in the throat, swelling extending to the cheekbone, accompanied by high fever, irritability, fullness, and frequent exhalation. This is primarily caused by dysfunction of the Spleen and Lung, where heat-toxin attacks and rushes upward, manifesting in the throat and pharynx.
Formula for treating heat rushing into the throat, causing swelling connected to the cheeks, frequent exhalation, and irritability/fullness: Sheng Xi Wan (Raw Rhinoceros Horn Pill) Formula
Xi Jiao (Rhinoceros Horn, sliced) Zhi Shi (Immature Bitter Orange, pulp removed, bran-fried) She Gan (Belamcanda Rhizome) Hai Zao (Sargassum, washed to remove saltiness, baked) Sheng Ma (Cimicifugae Rhizome) [each 1 liang] Bai Fu Zi (Typhonii Rhizoma Praeparatum, processed, 0.5 liang)
Bai He (Lilii Bulbus) Hu Huang Lian (Picrorhizae Rhizoma) Ji Li Zi (Tribuli Fructus, fried) [each 3 fen] Xing Ren (Prunus Seed, soaked in hot water, skin and tip removed, double-kernel ground) [3 fen]
The above ten herbs are crushed, sifted into powder, and mixed with refined honey to form pills the size of a bullet. Take one pill per dose, wrap in cotton, hold in the mouth to swallow saliva, at any time.
Formula for treating sore and swollen throat, red and swollen tongue, cheeks, and tooth roots, irritability, dry throat with excessive thirst, and restless sleep: Long Nao Dan Sha Wan (Borneol and Cinnabar Pill) Formula
Long Nao (Borneolum Syntheticum, ground) [1 qian] Dan Sha (Cinnabaris, ground) [0.5 liang] Ren Shen (Ginseng Radix et Rhizoma) Bai Fu Ling (Poria, black skin removed) [each 1 liang] Ling Yang Jiao (Saiga Antelope Horn, sliced) Xi Jiao (Rhinoceros Horn, sliced)
Gan Cao (Licorice Root, roasted and chopped) Sheng Ma (Cimicifugae Rhizome) E Shi (Fructus Aurantii, fried) [each 0.5 liang] Mai Men Dong (Ophiopogonis Tuber, heart removed, baked) [1.5 liang] Ya Xiao (Natrii Sulfas Crystallisatus, ground) Huang Yao [1 fen]
The above twelve herbs are crushed and ground into powder, mixed evenly, and combined with refined honey to form pills the size of a corn kernel. Take one pill per dose, dissolve in the mouth to swallow saliva, after meals and before bed.
Formula for treating swelling of the throat connected to the cheeks and jaw, long-standing duration, heat sensation when swallowing saliva, and intermittent pain: Long Nao Wan (Borneol Pill) Formula
Long Nao (Borneolum Syntheticum, ground) Sheng Ma (Cimicifugae Rhizome) Gan Cao (Licorice Root) Ya Xiao (Natrii Sulfas Crystallisatus, ground) [each 1 fen] Xuan Ming Fen (Mirabilitum Limatum, ground) [3 fen] She Xiang (Moschus, ground) Shi Gao (Gypsum Fibrosum, crushed)
The above ten herbs, except for Di Huang juice, are crushed and sifted into powder. Mix with Di Huang juice; if too dry, add a little refined honey. Form pills the size of small bullets. Wrap in cotton, hold in the mouth to dissolve and swallow saliva, four or five times daily, at any time.
Formula for treating Ma Hou Bi (Horse Throat Obstruction), sore and swollen throat, cracked lips and dry tongue, swelling of cheeks and face: Tian Men Dong Wan (Asparagi Tuber Pill) Formula
Tian Men Dong (Asparagi Tuber, heart removed, baked) Xuan Shen (Scrophulariae Radix) E Shi (Fructus Aurantii, fried) [each 1 liang] Bai Yao Jian (Fermented Medicinal Cake) Zi Su Ye (Perillae Folium) [each 0.5 liang] Gan Cao (Licorice Root, roasted and chopped) [1.5 liang] Ren Shen (Ginseng Radix et Rhizoma) Peng Sha (Borax, ground) Long Nao (Borneolum Syntheticum, ground) [each 1 fen]
The above nine herbs are crushed and ground into fine powder, mixed with refined honey to form pills the size of soap pods. Take one pill per dose, after meals and before bed, chew thoroughly and swallow with warm cooked water.
Formula for treating dry mouth, sore and swollen throat, and distending pain in the throat and cheeks: Sheng Yin Wan (Silver Pill) Formula
Ren Shen (Ginseng Radix et Rhizoma) [0.5 liang] Dan Sha (Cinnabaris, ground) Qian Shuang (Plumbi Subcarbonas, ground) Xi Lin Zhi [1 fen] Pu Xiao (Natrii Sulfas, ground) Sheng Ma (Cimicifugae Rhizome) [each 1 fen] Peng Sha (Borax, ground) [3 qian]
Long Nao (Borneolum Syntheticum, ground) [1 qian]
The above eight herbs are crushed and ground into powder, mixed evenly, and formed into pills the size of soap pods using refined honey. Take one pill per dose, dissolve in the mouth to swallow saliva.
Formula for treating Ma Hou Bi (Horse Throat Obstruction), sore and swollen throat and cheeks, and difficult exhalation: Qi Sheng San (Seven Sages Powder) Formula
Bai Fan (Alumen, 2 qian) Ya Xiao (Natrii Sulfas Crystallisatus, 5 qian) Xiao Shi (Nitrums, 1 liang) Qian Dan (Plumbi Oxidum Rubrum, 3 qian) Sha [1 qian] She Tui (Bombyx Batryticatus, half strip) Ba Dou (Crotonis Fructus, two kernels, shell removed)
The above seven herbs: First grind Bai Fan, Ya Xiao, and Sha finely, place in a jar. Add Xiao Shi, then sprinkle Qian Dan on top. Cover with a small flat tile shard. Heat slowly over low fire until it melts into liquid. Use a bamboo stick to hold She Tui, stir five or seven times. Add Ba Dou, stir five or seven more times. Remove, cool, and grind into powder. For mild sore throat/swelling or difficulty swallowing, or mouth ulcers, apply a "yi" amount (approx. 0.1-0.2g) directly. For severe throat obstruction, Ma Hou Bi, or flesh growths in the cheek/jaw invading the throat, apply a "ban qian" amount (approx. 1.5-2g). Lie down comfortably. The abscess will naturally rupture and heal immediately.
Formula for treating heat accumulation in the throat, persistent swelling of the cheeks, and irritability/fullness in the chest and diaphragm: Jiang Xue San (Crimson Snow Powder) Formula
Mu Tong (Akebiae Caulis, chopped) Jie Geng (Platycodonis Radix, chopped and fried) Bing Lang (Arecae Semen) [each 2 liang] Zhi Ke (Aurantii Fructus Immaturus, pulp removed, bran-fried) Xi Jiao (Rhinoceros Horn, sliced) [each 1.5 liang]
Chai Hu (Bupleuri Radix, buds removed) Sheng Ma (Cimicifugae Rhizome) Mu Xiang (Aucklandiae Radix) Chi Fu Ling (Poria with Red Skin, black skin removed) [each 2 liang] Sang Bai Pi (Mori Cortex, chopped) Shan Zhi Zi Ren (Gardeniae Semen, 4 liang) Gui (Cinnamomi Cortex, rough bark removed) Ren Shen (Ginseng Radix et Rhizoma) [each 2 liang] Su Fang Mu (Sappan Lignum) [5 liang] Pu Xiao (Natrii Sulfas, ground) [1 jin] Dan Sha (Cinnabaris, roasted) [1 liang] She Xiang (Moschus, ground) [1 fen] He Le Le (Terminalia Chebula, pits removed, 5 fruits)
The above eighteen herbs, excluding Pu Xiao, Dan Sha, and She Xiang, are finely chopped. Boil in 2 dou of water in a silver vessel over slow fire until reduced to 7 sheng. Filter through raw silk to remove dregs. Decoct again to 5 sheng. Add Pu Xiao, stir constantly with a willow wood spatula until slightly thickened. Remove from heat, pour into a basin. Mix in powdered Dan Sha and She Xiang evenly. Store in a ceramic vessel, ensuring it is airtight. Take 1 or 2 qian per dose, mixed with cold honey water, after meals and before bed. Adjust dosage according to age.
Formula for treating Ma Hou Bi (Horse Throat Obstruction), throat swelling connected to the cheeks: Xi Jiao Tang (Rhinoceros Horn Decoction) Formula
Xi Jiao (Rhinoceros Horn, sliced) Gan Cao (Licorice Root, roasted and chopped) Sheng Ma (Cimicifugae Rhizome) [each 0.5 liang] She Gan (Belamcanda Rhizome) Jie Geng (Platycodonis Radix, fried) Ma Lin Gen (Iris Root, chopped) [each 3 fen]
The above six herbs are coarsely crushed and sifted. Take 3 qian bi per dose, with 1 sheng of water, add 7 leaves of Zhu Ye (Bambusa Leaves), decoct to 0.7 sheng. Remove dregs, add 0.5 qian bi of Ya Xiao powder, mix well, and sip slowly.
Formula for treating toxic qi stagnation, throat obstruction, and swelling of cheeks and jaw: Yu Ye Wan (Jade Liquid Pill) Formula
Bai Yao Jian (Fermented Medicinal Cake) [1 liang] She Xiang (Moschus, ground) Pu Xiao (Natrii Sulfas) [each 0.5 qian] Dan Sha (Cinnabaris, ground) [2 qian] Long Nao (Borneolum Syntheticum, ground) Gan Cao Mo (Licorice Powder) [each 1 qian]
The above six herbs are each ground into powder, then mixed thoroughly. Soak steamed dough center in water, form pills the size of Sophora seeds. Coat with Dan Sha. Dry in shade. Dissolve one pill in the mouth.
Formula for treating a lump-like obstruction in the throat, connected to cheek swelling and pain: Hu Huang Lian San (Picrorhiza Powder) Formula
Hu Huang Lian (Picrorhizae Rhizoma) [1 fen] Sheng Ma (Cimicifugae Rhizome) [0.5 liang] Qian Shuang (Plumbi Subcarbonas, ground) [1 fen]
The above three herbs, excluding Qian Shuang, are crushed and sifted into powder. Mix evenly. Take 0.5 qian bi per dose, wrap in cotton, hold in mouth to dissolve and swallow saliva, three to five times daily, at any time.
Formula for treating Ma Hou Bi (Horse Throat Obstruction), swelling connected to cheeks, and exhalation issues:
Ma Xian Tie (Iron Bit from Horse's Mouth) [one set]
Boil in 3 sheng of water until reduced to 1 sheng. Hold in mouth and swallow slowly.
Another formula:
Ma Bian Cao Gen (Verbena Root) [a handful]
Cut off both ends, crush to extract juice, and drink. Curative.
Another formula:
Sheng Jiang (Zingiberis Rhizoma Recens, juice from 2 jin) Mi (Honey) [3 liang]
Simmer these two ingredients gently. Take 1 he per dose, four to five times daily, hold and swallow.
Formula for treating Ma Hou Bi (Horse Throat Obstruction), cheek and throat pain: Long Nao San (Borneol Powder) Formula
Bai Long Nao (Borneolum Syntheticum, finely ground) Niu Huang (Calculus Bovis, finely ground) Xi Jiao Xie (Rhinoceros Horn chips) Ling Yang Jiao Xie (Saiga Antelope Horn chips) Ya Xiao (Natrii Sulfas Crystallisatus, finely ground) Xuan Shen (Scrophulariae Radix) Chen Xiang (Aquilariae Lignum Resinatum) Zhu Sha (Cinnabaris, finely ground) Gan Cao (Licorice Root, roasted reddish-brown and chopped) [each 1 fen] Chuan Sheng Ma (Cimicifugae Rhizoma) [0.5 liang] Peng Sha (Borax, finely ground) [1 qian]
The above eleven herbs, excluding Long Nao and Ya Xiao, are crushed and sifted into powder. Take 3 qian bi per dose, with 1 sheng of water and 7 Zhu Ye leaves, decoct to 0.6 sheng. Remove dregs. While warm, add 1 qian of Long Nao and Ya Xiao, mix well, and hold/sip slowly.
Another formula:
Wu Bei Zi (Galla Chinensis) [0.5 liang] Huang Bo (Phellodendri Cortex, chopped) [0.5 liang] Chuan Sheng Ma (Cimicifugae Rhizoma) [3 fen] She Gan (Belamcanda Rhizome) [0.5 liang] Gan Cao (Licorice Root, roasted reddish-brown and chopped) [1 fen]
The above five herbs are crushed and sifted into powder. Take 3 qian bi per dose, with a small cup of water, decoct to 0.4 sheng. Remove dregs. Drink warm at any time.
Smoke Inhalation Formula:
Ru Xiang (Olibanum) [1 fen] Bai Jiang Can (Bombyx Batryticatus, three straight ones)
Crush these two into powder. Burn 1 qian bi on an incense burner. Inhale the smoke into the throat with mouth open. Saliva discharge indicates efficacy.
Formula for treating Ma Hou Bi (Horse Throat Obstruction), rapid onset like a galloping horse, swelling, pain, irritability, and frequent exhalation: Ju Pi Tang (Tangerine Peel Decoction) Formula
Chen Ju Pi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, baked) Qing Zhu Ru (Bambusa Textilis Interior, fresh) Sheng Di Huang (Rehmanniae Radix, sliced and baked) Huang Qin (Scutellariae Radix, black heart removed) Shan Zhi Zi Ren (Gardeniae Semen) [each 3 liang]
Gui (Cinnamomi Cortex, rough bark removed) [1 liang] Bai Zhu (Atractylodis Macrocephalae Rhizoma) [3 liang] Mang Xiao (Natrii Sulfas, ground, added when decoction is ready) Chi Fu Ling (Poria with Red Skin, black skin removed) [2 liang]
The above nine herbs, excluding Mang Xiao, are coarsely crushed and sifted. Take 3 qian bi per dose, with 1 sheng of water, add 0.5 fen of crushed Sheng Jiang and 2 broken dates. Decoct to 0.5 sheng. Remove dregs, add 1 qian bi of Mang Xiao powder, mix well. Drink warm after meals, three times daily.
Formula for treating Chan Hou Feng (Coiling Throat Wind), sudden onset of Hou Bi (Throat Obstruction), urgent like a galloping horse, swelling of throat and cheeks, named Ma Hou Bi (Horse Throat Obstruction): Ning Shui Shi San (Halloysitum Powder) Formula
Ning Shui Shi (Halloysitum) Tian Xiao (Sweet Nitrum) [each 0.5 liang, stored in oil-free porcelain container, fired red-hot, placed on ground overnight to remove fire toxicity] Bai Jiang Can (Bombyx Batryticatus, bran-fried yellow, ground to powder) [1 liang]
The above three herbs are ground together evenly. Take a small amount, sprinkle into the throat. For severe cases, take 2 qian bi, mixed with warm water. If jaw is locked, inhale through the nose.