夫喉中生谷贼者。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。
方
象牙散 治咽喉中生谷贼。如鲠状不上不下。疼痛妨闷。
象牙（末一分） 甘草（大者一寸） 滑石（半分） 绿豆粉（二两） 郁金（小者一
块） 乳香
（研）
五味子汤 治咽喉中生谷贼。结肿疼痛。妨害饮食。
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）
不
计时候
射干汤 治咽喉生谷贼。咽物妨闷。
射干 升麻（各三两） 桔梗（锉炒一两） 玄参 木通（锉各三分） 甘草（炙锉半
两） 上
粗捣
一两
治咽喉生谷贼肿痛方（出圣惠方）
重台（半两赤色者） 木鳖子仁（半两） 川大黄（半两锉碎微炒） 马牙硝（半两） 半
夏
（一分
乳香丸（出圣惠方）治喉中生谷贼。若不急治亦能杀人。
乳香（半分） 砂（一分） 琥珀 松（各半两） 上各研为末。再同和匀。熔白
蜡为丸
如鸡
茯苓散 治喉中生谷贼。结肿疼痛。饮食妨闷。
赤茯苓 贯众 缩砂仁 甘草（炙等分） 上为细末。干掺一钱喉中。次以水送下。
治谷贼方（出直指方）
硼砂 牙硝（等分） 上细研。每服半钱。以薄绵裹。含咽。
麻仁散（出三因方）治谷贼。尸咽喉中痒。此因误吞谷芒。抢刺痒痛。
用脂麻。炒。不以多少为末。汤点服。凡谷贼属咽。马喉风属喉。不可不分。
治谷贼冲咽喉两颊。上 舌下暴肿。咽物妨闷疼痛。及咽喉中偏一旁痛。
用矾石生研为末。少少敷肿处。以瘥为度。有涎即吐之。一方用绵裹。含咽津。如旁痛。
侧
又方（出圣惠方）
用针刺破。令黑血出。后含马牙硝一小块。咽津即瘥。一方。用绵裹半钱匕。含。
升麻汤（一名黄柏汤）治咽喉生谷贼。咽物妨闷。
谷贼方（出直指方）
木鳖子仁 川大黄（焙） 牙硝 射干 山豆根 川升麻 白药（各等分） 上为末。
炼蜜
为丸
如神丸（一名如圣丸）治喉中忽然结塞不通。
When "Gu Zei" (referring to impaction of foreign bodies such as grain awns or thorns) occurs in the throat, it manifests as nodular swelling and pain in the pharynx, obstructing food and fluid intake, accompanied by chest stuffiness. This is caused by accidentally ingesting short spikes from cereal plants; their sharp edges lodge tightly in the throat, feeling like a fishbone stuck, unable to move up or down. If complicated by wind-heat pathogens, the nodular swelling will not subside. If not treated urgently, it may also be fatal.
Formulas:
Yaxiang San (Tusk Powder): Treats Gu Zei in the throat, with symptoms resembling a stuck fishbone that cannot move up or down, accompanied by pain and chest stuffiness.
Elephant Tusk (ground into powder, 1 fen) Licorice Root (large pieces, 1 cun long) Talcum (0.5 fen) Mung Bean Starch (2 liang) Curcuma Aromatica (small piece) Frankincense (ground)
Wuweizi Tang (Schisandra Decoction): Treats Gu Zei in the throat, characterized by nodular swelling, pain, and obstruction of food intake.
Schisandra Fruit (stir-fried, 1.5 liang) Dried Ginger (processed) Ophiopogon Tuber (heart removed, baked) Cinnamon Twig (bark removed, each 1 liang) Mulberry Root Bark (cut and stir-fried, 3 liang)
Take at any time.
Shexian Tang (Belamcanda Decoction): Treats Gu Zei in the throat, causing chest stuffiness when swallowing.
Belamcanda Rhizome Cimicifuga Rhizome (each 3 liang) Platycodon Root (cut and stir-fried, 1 liang) Scrophularia Root Akebia Stem (cut, each 3 qian) Licorice Root (honey-fried and cut, 0.5 liang)
Coarsely crush the above herbs.
Formula for Treating Pharyngeal Swelling and Pain due to Gu Zei (from *Taiping Shenghui Fang*):
Chongtai (0.5 liang, preferably red-colored) Biophytum Semen (0.5 liang) Rheum Palmatum Rhizome (0.5 liang, cut and lightly stir-fried) Halitum (0.5 liang) Pinellia Tuber (1 fen)
Ruxiang Wan (Frankincense Pill) (from *Taiping Shenghui Fang*): Treats Gu Zei in the throat. If not treated urgently, it can be fatal.
Frankincense (0.5 fen) Realgar (1 fen) Amber Pine Resin (each 0.5 liang)
Grind each herb into fine powder, mix evenly again, melt white beeswax, and form pills the size of chicken heads.
Fuling San (Poria Powder): Treats Gu Zei in the throat, characterized by nodular swelling, pain, and dietary obstruction with chest stuffiness.
Red Poria Polyporus Root Amomum Fruit Licorice Root (honey-fried, equal parts)
Grind the above herbs into fine powder. Dryly apply 1 qian into the throat, then swallow with water.
Formula for Treating Gu Zei (from *Zhizhi Fang*):
Borax Sodium Nitrate (equal parts)
Grind finely. Take 0.5 qian per dose, wrap in thin silk, and hold in mouth to swallow saliva.
Maren San (Hemp Seed Powder) (from *San Yin Fang*): Treats Gu Zei. Sensation of itching in the throat due to "corpse qi" blockage, caused by accidentally swallowing grain awns that prick and irritate the throat, leading to itching and pain.
Use Sesame seeds, stir-fry them, grind into powder regardless of quantity, and take with hot water. Note: Gu Zei affecting the pharynx and Ma Hou Feng (Horse Throat Wind) affecting the larynx must be distinguished.
Method for Treating Gu Zei Impacting the Throat and Cheeks, Sudden Sublingual Swelling, Painful Chest Stuffiness upon Swallowing, and Unilateral Throat Pain:
Grind Alum into fine powder. Apply a small amount to the swollen area until healed. Spit out if salivation occurs. Alternatively, wrap in silk and hold in mouth to swallow saliva. For unilateral pain, treat while lying on the side.
Another Formula (from *Taiping Shenghui Fang*):
Puncture the site with a needle to allow dark blood to flow out. Then hold a small piece of Halitum in the mouth and swallow saliva to heal. Another method: wrap half a qian-bi size in silk and hold in mouth.
Shengma Tang (Cimicifuga Decoction), also known as Huangbai Tang (Phellodendron Decoction): Treats Gu Zei in the throat, causing chest stuffiness when swallowing.
Gu Zei Formula (from *Zhizhi Fang*):
Biophytum Semen Rheum Palmatum Rhizome (baked) Halitum Belamcanda Rhizome Sophora Root Cimicifuga Rhizome Baiyao (equal parts)
Grind into powder, mix with refined honey to form pills.
Rushen Wan (Miracle Pill), also known as Rusheng Wan: Treats sudden obstruction and blockage in the throat.