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。
咽喉部位出现“谷贼”（指误吞谷物芒刺等异物嵌顿）的情况，表现为喉中结块肿胀、疼痛，导致饮食不通，伴有胸闷憋闷感。这是由于在禾本科植物中短小的穗状物被误食，其尖锐部分涩滞搏结于咽喉，感觉如同鱼刺卡住，不上不下。若再感受风热之邪，则结肿难以消退；若不紧急治疗，也可能危及生命。
方剂：
象牙散：治疗咽喉中生谷贼，症状如鱼刺卡住般上下不得，疼痛且胸闷憋气。
象牙（研成细末，一分） 甘草（选用大的，一寸长） 滑石（半分） 绿豆粉（二两） 郁金（小的一块） 乳香（研磨）
五味子汤：治疗咽喉中生谷贼，结块肿胀疼痛，妨碍饮食。
五味子（炒制，一两半） 干姜（炮制） 麦门冬（去心后焙干） 桂枝（去除粗皮，各一两） 桑根白皮（锉碎后炒制，三两）
不拘时候服用。
射干汤：治疗咽喉生谷贼，吞咽食物时胸闷憋气。
射干 升麻（各三两） 桔梗（锉碎后炒制，一两） 玄参 木通（锉碎，各三分） 甘草（炙烤后锉碎，半两）
以上药材粗捣碎。
治疗咽喉生谷贼肿痛的方法（出自《圣惠方》）：
重台（半两，以赤色者为佳） 木鳖子仁（半两） 川大黄（半两，锉碎后微炒） 马牙硝（半两） 半夏（一分）
乳香丸（出自《圣惠方》）：治疗喉中生谷贼。若不紧急治疗也能致死。
乳香（半分） 砂（一分） 琥珀 松脂（各半两）
以上各药研为细末，再次混合均匀，熔化白蜡制成丸药，大小如鸡头实。
茯苓散：治疗喉中生谷贼，结块肿胀疼痛，饮食受阻胸闷。
赤茯苓 贯众 缩砂仁 甘草（炙制，等分）
以上药物研为细末，每次取一钱干掺入喉中，随后用水送服。
治疗谷贼的方法（出自《直指方》）：
硼砂 牙硝（等分）
以上细研。每次服用半钱，用薄绵包裹，含咽。
麻仁散（出自《三因方》）：治疗谷贼。尸气阻滞咽喉发痒，这是因为误吞谷芒，抢刺咽喉导致痒痛。
使用脂麻（芝麻），炒制，不限数量，研为细末，用开水冲服。凡是谷贼属于咽部不适，马喉风属于喉部病变，不可不加以区分。
治疗谷贼冲击咽喉及两颊，舌下突然肿胀，吞咽食物胸闷疼痛，以及咽喉一侧偏侧疼痛的方法：
使用矾石生研为细末，少量敷于肿胀处，以痊愈为度。若有涎液即吐出。另一方法是用绵包裹，含咽津液。若是偏侧疼痛，可侧卧处理。
又一方（出自《圣惠方》）：
用针刺破患处，令黑血流出，之后含一小块马牙硝，咽下津液即可痊愈。另一方，用绵包裹半钱匕大小，含于口中。
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.