(耳后结核渐至两腋下,或浮突,或至烂疮,曰瘰 ;或自耳绕项结核,曰连珠。多是肝火夹痰而成)
栀子清肝汤
山栀子(酒炒,一钱) 柴胡 川芎 当归 白芍药(酒炒) 连翘(各七分) 桔梗 青皮 甘草(各五分)
此方加玄参、夏枯草各五分,又加胡桐泪,最是痰解之要药,宜加入不可缺。
一方∶昆布调唾敷核上,数月余则核自消散。
一方∶瘰 年久成疮蜃,盐敷疮上,以瘥为度。蛤盐亦可。
一方∶玄参三钱,夏枯草二钱煎服,逾年则必瘥。
一方∶鸡卵每朝三个。至七、八百个,服之(添加)则必效。
一方∶黑质白肠蛇 ,多服必效。
一方∶凡痰核,莴苣茎烂捣,敷之为妙。
(瘿者,细而垂,肉块也;瘤者,圆大如大肿而持久不脓,年久后成虫而脓,难治。盖此症多发颐下或项边)
破结散(治诸瘿瘤及瘰 、马刀。马刀疮多发颐下)
海藻(酒洗) 草龙胆(酒洗) 海粉 通草 贝母(去心,姜炒) 昆布(酒洗) 枯矾 松罗 麦曲 半夏
(各七分)
此剂忌甘草、鲫、鸡等。
十六味流气饮(治乳岩、瘰瘤、马刀等症。马刀肿形如瓜)
当归 川芎 白芍药(酒洗) 黄 人参 官桂 浓朴(姜炒) 桔梗 枳壳(麸炒) 乌药(去皮心,酒洗)
木香 槟榔 白芷 防风 紫苏叶 甘草(各一钱)
如痰瘿,合二陈汤(半夏炮干炒、陈皮、赤茯苓各七分。)
有一儿,颈上生血瘿四个,如手指状,长数寸许,服此剂二十余帖,瘿即自枯,根断不复出。
一方∶瘰 、瘿瘤,多服蛇 、蛇脯,奇效。
(耳后出现结核,逐渐蔓延至两侧腋下,有的浮突出来,有的溃烂成疮,称为瘰疬;有的从耳朵环绕颈部形成串珠状结核,称为连珠瘰。这大多是由肝火夹杂痰湿所导致。)
栀子清肝汤
山栀子(用酒炒制,一钱) 柴胡 川芎 当归 白芍药(用酒炒制) 连翘(各七分) 桔梗 青皮 甘草(各五分)
此方加入玄参、夏枯草各五分,再加入胡桐泪,这是化解痰结的关键药物,应当加入且不可省略。
另一个方子:将昆布调制成唾液状的糊剂敷在结核上,数月之后结核自然消散。
另一个方子:瘰疬日久溃烂成疮,用盐敷在疮口上,以痊愈为度。蛤盐也可以使用。
另一个方子:玄参三钱,夏枯草二钱,煎服,过了一年必定痊愈。
另一个方子:鸡蛋每天早晨吃三个。吃到七、八百个时服用(此处原文可能有误或指累积量),必然见效。
另一个方子:黑身白肠的蛇,多服用必然有效。
另一个方子:凡是痰核,将莴苣茎捣烂,敷在上面非常妙。
(瘿病,形状细长下垂,是肉块;瘤病,圆形肿大像大肿块一样持久不化脓,时间久了之后变成虫并化脓,难以治疗。大概这种病症多发于腮颊下方或脖子旁边。)
破结散(治疗各种瘿瘤及瘰疬、马刀。马刀疮多发于腮颊下方)
海藻(用酒洗) 草龙胆(用酒洗) 海粉 通草 贝母(去心,用姜炒) 昆布(用酒洗) 枯矾 松罗 麦曲 半夏
(各七分)
此方忌食甘草、鲫鱼、鸡肉等。
十六味流气饮(治疗乳岩、瘰疬、瘤、马刀等症。马刀肿形如瓜)
当归 川芎 白芍药(用酒洗) 黄芪 人参 官桂 厚朴(用姜炒) 桔梗 枳壳(用麸炒) 乌药(去皮心,用酒洗)
木香 槟榔 白芷 防风 紫苏叶 甘草(各一钱)
如果是痰瘿,配合二陈汤(半夏炮干炒、陈皮、赤茯苓各七分)。
有一个小孩,脖子上长了四个血瘿,像手指形状,长几寸左右,服用此方二十多帖后,瘿瘤自然干枯,根断不再复发。
另一个方子:瘰疬、瘿瘤,多服用蛇肉、蛇脯,有奇效。
(The posterior auricular lymph nodes gradually extend to both axillae; some protrude superficially, while others ulcerate into sores, known as Scrofula (Luo Li); some encircle the neck from the ear in a beaded chain, known as Beaded Scrofula (Lian Zhu). These are mostly caused by Liver Fire combined with Phlegm.)
Zhizi Qinggan Tang (Gardenia Decoction to Clear the Liver)
Shanzhizi (Gardeniae Fructus, stir-fried with wine, 1 qian) Chaihu (Bupleuri Radix) Chuanxiong (Chuanxiong Rhizoma) Danggui (Angelicae Sinensis Radix) Baishao (Paeoniae Radix Alba, stir-fried with wine) Lianqiao (Forsythiae Fructus) (each 0.7 qian) Jiegeng (Platycodonis Radix) Qingpi (Citri Reticulatae Pericarpium Viride) Gancao (Licorice Root) (each 0.5 qian)
This formula should include Xuan Shen (Scrophulariae Radix) and Xiakucao (Prunellae Spica), each 0.5 qian, along with Hutonglei (Tamarisci Cacumen), which is a crucial herb for resolving Phlegm nodules; it must be added and cannot be omitted.
Another prescription: Apply Kelp (Kunbu) mixed with saliva onto the nodule; after several months, the nodule will naturally dissipate.
Another prescription: For chronic Scrofula that has ulcerated, apply salt to the sore until healed. Clam salt may also be used.
Another prescription: Decoct Xuanshen (3 qian) and Xiacao (2 qian) for oral administration; it will surely heal after one year.
Another prescription: Consume three chicken eggs every morning. Upon consuming seven or eight hundred eggs, efficacy is guaranteed.
Another prescription: Regular consumption of snakes with black bodies and white intestines is highly effective.
Another prescription: For all Phlegm nodules, crush fresh lettuce stems (Wojie) and apply them topically; this is excellent.
(Ying refers to elongated, hanging flesh masses; Liu refers to round, large swellings that persist without suppuration for a long time, eventually developing worms and pus in later stages, making them difficult to treat. Generally, these conditions occur below the cheeks or on the sides of the neck.)
Po Jie San (Breaking Accumulation Powder) (Treats various Ying and Liu, as well as Scrofula and Machang. Machang sores frequently occur below the cheeks.)
Haizao (Sargassum, washed with wine) Caolongdan (Gentiana scabra, washed with wine) Haifen (Halloysitum) Tongcao (Tetrapanacis Medulla) Beimu (Fritillariae Bulbus, heart removed, stir-fried with ginger) Kunbu (Kelp, washed with wine) Kufan (Alumen) Songluo (Usnea) Maiqu (Malt) Banxia (Pinelliae Rhizoma)
(each 0.7 qian)
Avoid Gancao (Licorice), Crucian carp (Ji), and Chicken (Ji) when taking this formula.
Shiliu Wei Liuqi Yin (Sixteen-Ingredient Qi-Flowing Decoction) (Treats Ru Yan, Scrofula, Liu, and Machang. Machang swelling resembles a melon.)
Danggui (Angelicae Sinensis Radix) Chuanxiong (Chuanxiong Rhizoma) Baishao (Paeoniae Radix Alba, washed with wine) Huangqi (Astragali Radix) Renshen (Ginseng Radix) Guanzi Gui (Cinnamomi Cortex) Houpo (Magnoliae Officinalis Cortex, stir-fried with ginger) Jiegeng (Platycodonis Radix) Zhike (Aurantii Fructus Immaturus, stir-fried with bran) Wuyao (Litseae Fructus, skin and heart removed, washed with wine)
Muxiang (Aucklandiae Radix) Binglang (Arecae Semen) Baizhi (Angelicae Dahuricae Radix) Fangfeng (Saposhnikoviae Radix) Zisuye (Perillae Folium) Gancao (Licorice Root)
(each 1 qian)
For Phlegm-type Ying, combine with Erchen Tang (Banxia processed by dry frying, Chenpi, Chi Fuling, each 0.7 qian).
There was a child who developed four blood-Ying nodules on the neck, resembling fingers and several inches long. After taking this decoction for more than twenty doses, the nodules withered naturally, the roots were severed, and they did not recur.
Another prescription: Frequent consumption of snake meat and dried snake slices for Scrofula and Ying/Liu yields miraculous effects.