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。
论述说，喉中生长谷贼的病症，表现为咽喉部结块肿胀，疼痛且吞咽不畅，饮食受到阻碍和闷塞感。这是由于禾本科植物中有短小的穗状物，误当作米饭食用后，其粗糙质地摩擦咽喉，如同鱼刺卡住一样，不上不下；若再感受风热之邪，则导致结肿无法消退。如果不及时救治，也可能危及生命。
治疗咽喉生谷贼，吞咽食物时感到阻碍闷塞的升麻汤方：
升麻、木通（锉碎）、黄柏（去除粗皮，涂蜜炙烤）、玄参、麦门冬（去心，焙干，各一两）、竹茹、前胡（去除芦头）、大青（各三分）、芒硝（单独研磨，待药汤煎成后加入）。
以上九味药，除芒硝外，粗捣筛过，每次服用三钱匕，用水一盏，煎至六分，滤去药渣，加入半钱匕芒硝末，搅拌均匀，饭后温服，每日三次。
治疗咽喉生谷贼，吞咽食物时感到阻碍闷塞的射干汤方：
射干、升麻（各三分）、桔梗（锉碎炒制一两）、玄参、木通（锉碎，各三分）、甘草（炙烤锉碎半两）。
以上六味药，粗捣筛过，每次服用三钱匕，用水一盏，加入七片竹叶，煎至六分，滤去药渣，饭后温服。如果需要通利大便，可加入大黄一两，以大便通畅为度。
治疗喉中生谷贼，若不及时治疗，也可能危及生命的乳香丸方：
乳香（半分）、砂（一分）、琥珀、松脂（各半两）。
以上四味药，分别研磨成粉末，再次混合均匀，用白蜡熔化后制成丸剂，大小如鸡头米，每次服用一丸，含在口中化开咽下津液，以病愈为度。
治疗谷贼冲击咽喉，两颊及舌下突然肿胀，吞咽食物时阻碍闷塞疼痛的方剂：
矾石（生用）。
将一味药研磨成粉末，少量敷于肿胀处，以病愈为度，若有唾液分泌则吐出。
又一方：
马牙硝（研磨）。
将一味药研成粉末，用棉絮包裹半钱匕，含在口中化开咽下津液，以病愈为度。
又一方：
先用针刺破患处，让黑血流出后，含一小块马牙硝，咽下津液即可痊愈。
治疗喉中生谷贼，结块肿胀疼痛，饮食受阻闷塞的茯苓散方：
赤茯苓（去除黑皮）、贯众、缩砂仁、甘草（炙烤，各一两）。
以上四味药，捣碎筛选成细散，每次取一钱匕，掺入喉中，用水送下，立即见效。
治疗咽喉中生谷贼，感觉像鱼刺卡住一样，不上不下，疼痛且阻碍闷塞的象牙散方：
象牙末（一分）、甘草（大的寸许长）、滑石（半分）、绿豆粉（二两）、郁金（小的半块）、乳香（研磨）、硼砂（研磨）、麝香（研磨，各半分）。
以上八味药，捣碎研磨成散剂，每次服用半钱匕，用新汲水调服。
治疗咽喉中生谷贼，结块肿胀疼痛，妨害饮食的五味子汤方：
五味子（炒制一两半）、干姜（炮制）、麦门冬（去心焙干）、桂枝（去除粗皮，各一两）、桑根白皮（锉碎炒制三两）、粳米（炒制一合）。
以上六味药，粗捣筛过，每次服用三钱匕，用水一盏，煎至五分，滤去药渣，温服，每日三次，不限时候。
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.