并渣治一切痈疽瘰 ，便毒痰火胸紧，初起下以平之。
溃脓散 白芷，上、中二钱，下一钱六分，阴一钱四分；穿山甲，上三片，中二片，下、阴一片半；乳香，
上一钱四分，中九分，下、阴八分；僵蚕，上一钱，中五分，下一钱四分，阴一钱二分；甘草节，上一钱六分，
中一钱四分，下一钱三分，阴一钱六分，为末。先以当归煎酒，将疮洗过，如疮在头上者，服四钱四分；心脐
中者，服三钱七分；腿足下者，服三钱半；肚腹内阴者，服四钱半。俱用水、酒各一盏，煎调为末，通口尽服，
如不足，好酒和之，取利为度。治痈疽发背，疔疮瘰 ，对口乳痈，男妇便毒鱼口，已成未成皆效。
惟已发为荣卫薄欤，当补托以接其虚怯。托里清中，温中和中建中，抑青益黄益气相当。
托里散 人参、黄 各二钱，白术、陈皮、当归、熟地、茯苓、芍药各一钱半，甘草一钱，水煎服。治痈疽
气血虚，不能起发、腐溃、收敛，或恶寒发热，肌肉不生，宜此补托。如 肿热毒，加黄连；漫肿气虚，倍参、
术；表邪，加羌活、川芎；表虚，倍参、 ；内热饮冷便秘，去参、 、归、术，加大黄；内虚饮热便秘，倍参、
、归、术∶寒热饮冷、溺涩肝热，去参、 ，加柴胡、炒山栀；不作脓，脓不溃，气虚也，加参、术、桂；肿
赤作痛，血凝滞也，加乳香、没药；肉赤不敛，血虚有热，加熟地、牡丹皮；肉黯不敛，阳气虚寒也，加参、
、肉桂、白蔹；肉白不敛，阳气虚也，脓多不敛，气血虚也，俱倍参、 、归、术；漫肿不痛，肉死不溃，脾
虚甚也，加参、术、姜、附；脓多带赤，血虚也，倍参、术、归、地；忿怒晡热出血，肝火血虚也，加牡丹、山栀、
熟地；面青胁胀出血，肝虚不能藏也，加山药、山茱萸、五味子；食少体倦出血，脾虚不能摄也，倍参、 、归、
地；郁结少寐出血，加远志、酸枣仁、茯神、龙眼肉；欲呕作呕，或外搽内服寒凉，或痛甚，或感外邪秽气作呕，
胃虚也，加藿香、参、术；少食腹痛，肠鸣冷泻，脾虚寒也，加炮姜、木香∶脓多作渴，气血虚也，加熟地、五
味子、麦门冬；茎痛溺涩，精内败也，加山药、山茱萸、泽泻；劳役溺赤，气下陷也，加升麻、柴胡；日晡头痛
眩晕，阴血虚也，加熟地；身热恶衣欲投水中，脉沉微细，气脱发躁也，加姜、附、肉桂；晡热多痰，脾血虚也，
倍归、地、参、术；善思体痛，不寐盗
汗，脾血虚也，加茯神、酸枣仁；寝寐汗，肾气虚也，加五味子；饮食汗出，胃气虚也，加参、术、五味子；睡觉
饱而盗汗，宿食也，加参、术、半夏；妇人劳怒夜热，或谵，或适经行，热在血分也，加柴胡、生地、牡丹皮。
托里消毒散 人参、黄 、当归、芍药、白术、茯苓、陈皮各一钱，连翘、白芷、金银花各七分，甘草五分，水
煎服（一方去连翘，加川芎、皂刺、乳香、没药）。治痈疽肿痛俱慢，色不甚赤，元气虚弱，或行攻伐，不能
溃散者宜用之。未成者消，已成者溃。又去腐生新之良剂也，加减同前，但虚弱及已溃者，去翘、芷、金银花
三味消毒之药。
托里清中汤 人参、白术、茯苓、陈皮、半夏、桔梗各一钱，甘草五分，姜枣煎服。治痈疽脾胃虚弱，痰
气不清，饮食少思等症。
托里温中汤 附子四钱，干姜、羌活各二钱，益智仁、丁香、沉香、木香、茴香、陈皮各一钱，甘草二钱，
姜煎服。治痈疽阳气虚寒，肠鸣切痛，大便溏泄，呃逆昏愦，此寒变内陷，缓不可救。
托里和中汤 人参、白术、茯苓、陈皮、半夏、炮姜各一钱，木香、甘草各五分，姜、枣煎服。治痈疽中
气虚弱，饮食少思，疮不消散，或不肿痛，或溃而不敛等症。
托里建中汤 人参、白术、茯苓各二钱，半夏、炮姜各一钱，甘草五分，姜枣煎服。治痈疽元气素虚，
或因寒凉伤脾脶胃，饮食少思，或作呕泄泻等症，急服此药以健中气。
托里抑青汤 人参、白术、茯苓、陈皮、半夏各一钱，芍药、柴胡各五分，甘草三分，姜、枣煎服。治痈
疽脾胃虚弱，肝木所侮，以致饮食少思，或胸腹不利等症。
托里益黄汤 人参、白术、半夏、陈皮、川芎、香附、山栀、苍术各一钱，甘草五分，姜、枣煎服。治痈
疽脾胃虚寒，水侮土，以致饮食少思，或呕吐泄泻等症；兼治痈疽六郁所伤，中气虚弱，食少等症。
托里益气汤 白术二钱，人参、茯苓、贝母、陈皮、香附、芍药、当归、熟地各一钱，桔梗、甘草各五分，水
煎服。治痈肿硬，肉色不变，或晡热，或溃而不敛，并一切血气内症。如口干，加五味子、麦门冬；寒热往来，
加柴胡、地骨皮；脓清，加黄 ；脓多，加川芎；肌肉迟生，加白蔹、肉桂。
且夫脑疽羌活最灵，
当归羌活汤 当归（酒炒）、芩、连各二钱，酒柏、连翘、防风、羌活、甘草、山栀子各一钱，独活、
本各七分，泽泻五分，水浸良久，入酒一匙煎热服。日二次，三日尽六服，都将
药清汁调下木香、槟榔末各三钱，因膏粱热郁
者宜，贫穷寒湿者少用。
头疮酒归立化。
酒归饮 酒当归、白术各一钱半，酒芩、酒芍、川芎、陈皮各五分，酒天麻、苍术、苍耳各七分半，酒甘草、
黄柏各四分，防风三分，水煎，日四五服，服后蕴睡片时。
瘰 未破宜内消，调经通经，散坚软硬，而必效立应斑鸡其霸乎；
升麻调经汤 升麻八分，葛根、草龙胆、黄连、桔梗、连翘、酒芩、酒柏、莪术、三棱、甘草各五分，归
尾、芍药各三分，生黄芩四分，稍虚加夏枯草，有痰加天花粉、知母各五分，少阳加柴胡四分，先用水浸半
日，煎热服，再用大料为末，蜜丸绿豆大。每百丸，服药时，足高去枕仰卧，缓缓以前汤送下。治瘰 绕颈，
或至颊车，属足阳阴，疮深远隐曲肉底，属足少阴，乃戊胃传于癸肾，俱作块坚硬，大小不一，并皆治之。
柴胡通经汤 柴胡、连翘、归尾、甘草、黄芩、鼠粘子、三棱、桔梗各二分，黄连五分，红花少许，水煎
热服，忌苦药泄大便。治少阳部分，项侧有核，坚而不溃，名曰马刀。二汤元气无亏者可服。
海藻散坚丸 海藻、昆布、龙胆草、蛤粉、草、贝母、枯巩、真松萝各三钱，麦曲四钱，半
夏二钱，为末，酒调服，或蜜丸绿豆大。每三十丸，临卧葱白煎汤下，并含化咽之。忌甘草、鱼、鸡、猪肉、
五辛、生冷。治瘰 马刀坚硬，形瘦潮热不食，兼治一切瘿气神效。
软硬皂子丸 皂子一盏，去粗皮黄心，玄参、连翘各一两，水五盏，煮干，拣软者，食后细嚼，津液下；
硬者蜜丸如弹，每夜含化一丸，半月即效。未破者破，已破者令核易落，不问远年近日，肿硬疼痛皆宜。如体
盛硬甚者，皂子用 砂醋煮令酥，瘰少少服，瘰多多服。
必效散 硼砂一钱半，轻粉一钱，麝香五分，巴豆五个，槟榔一个，斑蝥四十枚，为末，用鸡子二个，取
清调匀，复入壳内，湿纸封固，蒸熟取出，晒为末。虚者五分，实者一钱，五更姜酒调服，如小腹作痛，溺如
粉片血子，是毒出也。若觉小便涩痛，用益元散一服，或毒从大便出尤快，未下三日后再进一服，以病根去尽为
度。治暴患瘰 ，宜此动之。
立应散 连翘、赤芍、川芎、当归、甘草、滑石各五钱，黄芩、斑蝥各三钱，土蜂房（蜜水洗，饭上蒸
晒干）、白牵牛各二钱半，川乌尖七个，为末。每一钱浓煎，木通汤调，临卧服，毒从小便出，如粉片血块是
也。未效再服，继以宣热丹解其风热。且斑蝥性毒，济以乌尖，或冲上麻闷者，嚼葱白，茶清下以解之；如小便
涩，用灯心煎汤调五苓散，患处用好膏药贴；若宣导痈疽恶毒，去黄芩。
斑鸡丸 斑蝥一两，薄荷四两，为末，以鸡子清和丸，绿豆大。空心及半空心临卧茶清下一丸，每日加一
丸，加至五丸；每日减一丸，减至一丸；又每日加一丸，加至五丸后，每日仍服五丸，以脐下痛，小便取下恶
物为效。如小便秘，吃葱、茶少许，或用乌鸡子一个，顶上开一窍搅匀，以斑蝥一个入内，以纸封之，蒸熟，
去斑蝥，吃蛋一日一个，煎生料五积散送下，不过四五枚，已破者生肌，未破者消散，治瘰 多年不瘥。
瘰 已破兼外治，白蛇白蚕，宣热补中，而银右蚕茧猫蝠可敷也。
白蛇散 白花蛇二两，青皮、黑丑各五钱，生犀角五分，为末，每一钱，入腻粉五分，研匀，五更糯米饮
调下，巳时利下恶物，十日后再进一服，忌发风壅热物，如疮已成者，一月可效。治九漏瘰 ，憎寒发热、或
痛或不痛。利后用海藻、石决明、羌活、瞿麦各等分为末，米饮调下二钱，日三服。下尽清水后，调补以除病根。
白蚕丸 海藻、僵蚕各等分为末，取白梅肉汤泡，捣丸梧子大。每六七十丸，临卧米饮下，毒当从大便泄
去。忌豆、心、鸡、羊、酒、面，日五六服。治 生于头项上交接，名蛇盘 ，宜早治之，或单用海藻一斤浸
酒服，亦好。
宣热丹 薄荷、皂角、连翘、何首乌、蔓荆子、三棱、荆芥各一两，为末，用热醋浸淡豆豉二两半，捣膏
和丸梧子大。每三十丸，熟水下，日一服，解瘰 风热之毒，自小便宣毒后，及病虽愈，宜常服之。
补中胜毒饼 黄 一钱，人参三分，甘草五分，以上三味，补气调中为主；当归、生地、熟地、白芍各
三分，以上四味，和血生血凉血，惟芍药兼能益气之虚；陈皮三分顺气；升麻五分，足阳明引药；柴胡五分，
足少阳引药；连翘一钱，散血结气聚，疮药不可缺也；防风五分，散结去上部风邪。以上共为末，汤浸蒸饼调
剂捏作饼子，晒干，捣如米粒大。每三钱，白汤下。治瘰 马刀挟瘿，在手足少阳阳明部分，受心脾之邪而作。
如足阳明部疮多，倍升麻，加漏芦一钱，干葛五分；手足太阳项脊背腰强者，加羌活一钱，独活五分；肿甚加
鼠粘子三分；坚硬加昆布，硬甚加三棱、莪术各二分；寒月身凉，或有腹痛，加肉桂二分；暑月身热，或有烦闷，
加酒黄连、黄柏各三分；肠胃有瘀血，加牡丹皮二分；少食，加麦芽、神曲各二分；便秘，加酒大黄，或麻仁、
桃仁、秦艽；阴寒秘结，去诸苦药，加附子一钱，姜煎冷服；如疮属阳明部分，忌柴胡、鼠粘子；属少阳部分，
为马刀
挟瘿，忌独活、漏芦、升麻、干葛，加瞿麦三分。
银右散 朱砂、雄黄、蛇含石、磁石各一钱半，银右石、乳香、没药各一钱七分，明矾一钱，信石、白丁
香各六分，麝香三分，牛黄一分，巴豆二钱半，为末，唾口涎调匀，用本身男左女右手涂疮上，外用新笔蘸药
圈四周，药点中间，水粉膏贴之。上药一七二七，其核自落，后用生肌散。
猫蝠散 猫头骨一个，蝙蝠一个，二味俱撒黑豆上同烧，其骨化碎，为末干糁。治瘰 多年不愈神效。
通用猫头要减加，
猫头丸 猫头骨一个酥炙，蝙蝠一个以朱砂三钱填入腹内，瓦上炙焦，南星、白矾各一两，为末，用黄
蜡溶化，和丸绿豆大。每三十丸，临卧米饮下。如风热，实者，加防风、黄芩、山栀、蝉蜕、川芎、连翘、桔
梗各五钱；虚者，加夏枯草二两。虚痨骨蒸，加玄参二两，胡黄连五钱；汗多，加牡蛎三钱；有咳，加麦门冬
一两；血虚，加归、芍、生地；气虚，加参、术各一两，毒重加雄黄，痛甚加乳、没各二钱；坚硬加海藻四钱；
成漏加穿山甲一两；便燥用蜜为丸，空心及夜卧含化三丸尤妙。治瘰 马刀，不问远年近日，已破未破，用此
加减得宜皆效。
吞贴夏枯益虚者。
单夏枯草散、膏 夏枯草六两，水二盅，煎至七分，食远服，虚甚者煎成膏，多服益善，并涂患处，兼服
十全大补汤加香附、贝母、远志。治瘰 马刀，已溃未溃，或日久成漏。生血散结，退寒热之圣药也，惟实者
宜以行散之药佐之。
治瘰 溃烂久不愈者 用鼠骨、乱发如鸡子大，以三年腊月猪脂煎令骨、发俱消，半涂疮，半酒调服，
须臾鼠子从疮口出。
痰核润便含化丹，或海带丸以内消融∶
含化丹 僵蚕、大黄、青黛、胆星各等分为末，蜜丸含化，治脑项耳后结核。
海带丸 海带、青皮、贝母、陈皮各等分，甚者加昆布，为末，蜜丸弹子大。每一丸，食后含化。治痰核
瘿气经久不消。
瘿瘤开结舐掌散，或南星膏以外敷泻。
神效开结散 沉香二钱，木香三钱，陈皮四两，珍珠四十九粒，砂锅固济火 ，猪厌肉子（生猪项下喉咙
系，一枚如枣大，微扁色红）取四十九个瓦上焙干，共为末。每二钱，卧时冷酒调，徐徐咽下，轻者三五服见
效，重者一料全愈。忌酸、咸、油腻，滞气之物。治男妇项下瘿疾，不问远年近日皆效。
舐掌散 海藻一两散结，黄柏二两降火，为末。每用少许置掌中，时时舐之，津液送下，如消三分之二
即止，后服。
单方 大蜘蛛擂酒顿服，或海藻浸酒久服，瘿气瘰 皆效。
南星膏 鲜南星一个，细研稠粘，滴好醋三五点和膏，或醋调干南星末亦好，先将针刺肿处令气透，却以
（这些药物连同药渣一起）治疗各种痈疽、瘰疬、便毒以及痰火引起的胸中紧闷，在疾病初起时，使用攻下法来平抑病情。
溃脓散：白芷，上部病灶用二钱，中部病灶用二钱，下部病灶用一钱六分，阴部病灶用一钱四分；穿山甲，上部三片，中部两片，下部及阴部各一片半；乳香，上部一钱四分，中部九分，下部及阴部各八分；僵蚕，上部一钱，中部五分，下部一钱四分，阴部一钱二分；甘草节，上部一钱六分，中部一钱四分，下部一钱三分，阴部一钱六分，以上药材研为细末。先用当归煎酒清洗疮口，如果疮生在头部，服用四钱四分；生在心窝或肚脐中间，服用三钱七分；生在腿足下方，服用三钱半；生在肚腹内或阴部，服用四钱半。均用水和酒各一盏，煎煮后调匀药末，一次性服完。如果药力不足，可用好酒调和，以通利大便为度。此方治疗痈疽发背、疔疮、瘰疬、对口疮、乳痈，男女便毒、鱼口等症，无论已成脓或未成脓均有效。
只有当疮疡已经发作，且因营卫之气薄弱导致正气亏虚时，应当采用补益托毒的方法来接续其虚怯。根据病机不同，分别选用托里清中汤、温中汤、建中汤、抑青汤、益黄汤、益气汤等方剂，以对应不同的虚实寒热情况。
托里散：人参、黄芪各二钱，白术、陈皮、当归、熟地黄、茯苓、芍药各一钱半，甘草一钱，水煎服。治疗痈疽气血虚弱，不能使疮疡起发、腐溃、收敛，或者出现恶寒发热、肌肉不生等症状，适宜用此方进行补益托毒。如果红肿热毒明显，加黄连；漫肿无头且气虚，加倍人参、白术；有表邪，加羌活、川芎；表虚，加倍人参、黄芪；内有热象、喜饮冷水且便秘，去掉人参、黄芪、当归、白术，加大黄；内虚、喜饮热水且便秘，加倍人参、黄芪、当归、白术；寒热往来、喜饮冷水、小便涩滞且肝热，去掉人参、黄芪，加柴胡、炒山栀；不化脓或脓液不排出，是气虚所致，加人参、白术、肉桂；局部红肿疼痛，是血凝滞所致，加乳香、没药；肌肉红赤而不收敛，是血虚有热，加熟地黄、牡丹皮；肌肉暗紫而不收敛，是阳气虚寒，加人参、黄芪、肉桂、白蔹；肌肉色白而不收敛，是阳气虚；脓多而不收敛，是气血虚，均加倍人参、黄芪、当归、白术；漫肿不痛，肌肉僵硬不溃破，是脾虚严重，加人参、白术、干姜、附子；脓多带血色，是血虚，加倍人参、白术、当归、熟地黄；愤怒后午后发热出血，是肝火兼血虚，加牡丹皮、山栀、熟地黄；面色青、胁肋胀满出血，是肝虚不能藏血，加山药、山茱萸、五味子；食少体倦出血，是脾虚不能统血，加倍人参、黄芪、当归、熟地黄；郁结失眠出血，加远志、酸枣仁、茯神、龙眼肉；想呕吐或已呕吐，或因外搽内服寒凉药物，或疼痛剧烈，或感受外邪秽气而呕吐，是胃虚，加藿香、人参、白术；食少腹痛，肠鸣冷泻，是脾虚寒，加炮姜、木香；脓多口渴，是气血虚，加熟地黄、五味子、麦门冬；阴茎疼痛、小便涩滞，是精液败坏，加山药、山茱萸、泽泻；劳累后小便赤，是气下陷，加升麻、柴胡；午后头痛眩晕，是阴血虚，加熟地黄；身体发热、厌恶衣物想投入水中，脉象沉微细，是气脱烦躁，加干姜、附子、肉桂；午后发热痰多，是脾血虚，加倍当归、熟地黄、人参、白术；思虑过多身体疼痛、失眠盗汗，是脾血虚，加茯神、酸枣仁；睡眠中出汗，是肾气虚，加五味子；饮食后出汗，是胃气虚，加人参、白术、五味子；睡醒饱食后盗汗，是宿食停滞，加人参、白术、半夏；妇人劳累愤怒后夜间发热，或说胡话，或正值经期，热在血分，加柴胡、生地黄、牡丹皮。
托里消毒散：人参、黄芪、当归、芍药、白术、茯苓、陈皮各一钱，连翘、白芷、金银花各七分，甘草五分，水煎服（另一配方去掉连翘，加川芎、皂角刺、乳香、没药）。治疗痈疽肿痛进展缓慢，颜色不太红赤，元气虚弱，或者经过攻伐治疗后，不能溃散的情况，适宜使用此方。未成脓者可使其消散，已成脓者可促其溃破。这也是去除腐肉、生成新肉的良方。加减法同前，但对于虚弱及已溃破者，去掉连翘、白芷、金银花这三味消毒药物。
托里清中汤：人参、白术、茯苓、陈皮、半夏、桔梗各一钱，甘草五分，生姜、大枣煎服。治疗痈疽脾胃虚弱，痰气不清，饮食减少等症状。
托里温中汤：附子四钱，干姜、羌活各二钱，益智仁、丁香、沉香、木香、小茴香、陈皮各一钱，甘草二钱，生姜煎服。治疗痈疽阳气虚寒，肠鸣剧烈疼痛，大便溏泄，呃逆昏愦，这是寒邪变证内陷，病情危急，不可延误救治。
托里和中汤：人参、白术、茯苓、陈皮、半夏、炮姜各一钱，木香、甘草各五分，生姜、大枣煎服。治疗痈疽中气虚弱，饮食减少，疮疡不消散，或不肿痛，或溃破后不收敛等症状。
托里建中汤：人参、白术、茯苓各二钱，半夏、炮姜各一钱，甘草五分，生姜、大枣煎服。治疗痈疽元气素来虚弱，或因寒凉损伤脾胃，饮食减少，或呕吐泄泻等症状，需急服此药以健运中气。
托里抑青汤：人参、白术、茯苓、陈皮、半夏各一钱，芍药、柴胡各五分，甘草三分，生姜、大枣煎服。治疗痈疽脾胃虚弱，被肝木所克制，以致饮食减少，或胸腹不适等症状。
托里益黄汤：人参、白术、半夏、陈皮、川芎、香附、山栀、苍术各一钱，甘草五分，生姜、大枣煎服。治疗痈疽脾胃虚寒，水湿反侮脾土，以致饮食减少，或呕吐泄泻等症状；兼治痈疽因六郁所伤，中气虚弱，食少等症状。
托里益气汤：白术二钱，人参、茯苓、贝母、陈皮、香附、芍药、当归、熟地黄各一钱，桔梗、甘草各五分，水煎服。治疗痈肿坚硬，肤色不变，或午后发热，或溃破后不收敛，以及一切气血内伤病症。如果口干，加五味子、麦门冬；寒热往来，加柴胡、地骨皮；脓液清稀，加黄芪；脓液多，加川芎；肌肉生长缓慢，加白蔹、肉桂。
当归羌活汤：当归（酒炒）、黄芩、黄连各二钱，酒洗黄柏、连翘、防风、羌活、甘草、山栀子各一钱，独活、藁本各七分，泽泻五分，用水浸泡良久，加入一匙酒，煎热服用。每日两次，三日服完六剂，都将药汁澄清后调下木香、槟榔末各三钱。此方适用于膏粱厚味所致热郁者，贫穷受寒湿者少用。
头疮用酒归立化。
酒归饮：酒当归、白术各一钱半，酒黄芩、酒芍药、川芎、陈皮各五分，酒天麻、苍术、苍耳子各七分半，酒甘草、黄柏各四分，防风三分，水煎，每日四五次服用，服后稍作休息睡眠片刻。
瘰疬未破宜内消，通过调经通经，消散坚硬的肿块，必然效如桴鼓。
升麻调经汤：升麻八分，葛根、草龙胆、黄连、桔梗、连翘、酒黄芩、酒黄柏、莪术、三棱、甘草各五分，当归尾、芍药各三分，生黄芩四分，稍微虚损加夏枯草，有痰加天花粉、知母各五分，属少阳经加柴胡四分。先用水浸泡半天，煎热服用，再用大料研为细末，蜜丸如绿豆大。每次一百丸，服药时，抬高双脚，去枕仰卧，缓缓用前面的汤药送下。治疗瘰疬绕颈，或至颊车穴，属足阳明胃经；疮位深远隐蔽在肉底，属足少阴肾经，乃戊土（胃）传于癸水（肾），均结成块状坚硬，大小不一，此方均可治疗。
柴胡通经汤：柴胡、连翘、当归尾、甘草、黄芩、鼠粘子（牛蒡子）、三棱、桔梗各二分，黄连五分，红花少许，水煎热服，忌用苦寒药导致大便泄泻。治疗少阳经部位，项侧有核，坚硬不溃破，名叫马刀。这两首汤剂适合元气无亏损的人服用。
海藻散坚丸：海藻、昆布、龙胆草、蛤粉、海藻（原文“草”疑指海藻或类似软坚药，此处保留原意或泛指）、贝母、枯矾、真松萝各三钱，麦曲四钱，半夏二钱，研为细末，酒调服，或蜜丸如绿豆大。每次三十丸，临睡前用葱白煎汤送下，并含化咽下。忌食甘草、鱼、鸡、猪肉、五辛、生冷食物。治疗瘰疬、马刀坚硬，形体消瘦、潮热、食欲不振，兼治一切瘿气，效果神奇。
软硬皂子丸：皂角子一盏，去掉粗皮和黄心，玄参、连翘各一两，加水五盏，煮干，拣出软的，饭后细嚼，津液送下；硬的蜜丸如弹子大，每晚含化一丸，半月即见效。未破的可使其破溃，已破的可使核容易脱落，不论病程长短，肿硬疼痛皆适宜。如果体质壮实且硬结严重者，皂角子用砂醋煮至酥软，瘰疬少的少量服用，瘰疬多的多服用。
必效散：硼砂一钱半，轻粉一钱，麝香五分，巴豆五个，槟榔一个，斑蝥四十枚，研为细末，用两个鸡蛋，取蛋清调匀，重新放入蛋壳内，用湿纸封固，蒸熟取出，晒为细末。体虚者服五分，体实者服一钱，五更时分用姜酒调服。如果小腹作痛，小便排出如粉片状的血液杂质，这是毒邪排出的表现。如果感觉小便涩痛，服用益元散一次，或者毒邪从大便排出更快，未排便者在三天后再进服一次，以病根去除干净为度。治疗突发瘰疬，适宜用此方攻动毒邪。
立应散：连翘、赤芍、川芎、当归、甘草、滑石各五钱，黄芩、斑蝥各三钱，土蜂房（用蜂蜜水洗，饭上蒸晒干）、白牵牛各二钱半，川乌尖七个，研为细末。每次一钱，浓煎木通汤调服，临睡前服用，毒邪从小便排出，表现为如粉片状的血块。未见效再服，随后用宣热丹解除风热。而且斑蝥性有毒，配合乌头尖，如果出现毒气冲上导致麻木胸闷，嚼食葱白，茶清送下以解其毒；如果小便涩滞，用灯心草煎汤调服五苓散，患处用好膏药贴敷；如果要宣导痈疽恶毒，去掉黄芩。
斑蝥丸：斑蝥一两，薄荷四两，研为细末，用鸡蛋清和丸，如绿豆大。空腹及半空腹、临睡前用茶清送下一丸，每日增加一丸，增至五丸；然后每日减少一丸，减至一丸；又每日增加一丸，增至五丸后，每日仍服五丸，以脐下疼痛，小便排出恶物为见效。如果小便闭塞，吃少许葱、茶，或用乌鸡蛋一个，顶上开一窍搅匀，将一枚斑蝥放入内，用纸封好，蒸熟，去掉斑蝥，吃蛋，每日一个，煎生料五积散送下，不过四五枚，已破的生肌，未破的消散，治疗多年不愈的瘰疬。
瘰疬已破兼用外治，白蛇、白蚕，宣热补中，以及银右石、蚕茧、猫骨、蝙蝠等可敷用。
白蛇散：白花蛇二两，青皮、黑丑（牵牛子）各五钱，生犀角五分，研为细末，每次一钱，加入腻粉五分，研匀，五更时分用糯米饮调下，巳时（上午9-11点）排泄出恶物，十日后再次进服，忌食发风壅热之物，如果疮疡已成，一个月可见效。治疗九漏瘰疬，憎寒发热、或痛或不痛。泻下后用海藻、石决明、羌活、瞿麦各等分为末，米饮调下二钱，每日三次。泻尽清水后，调补以除病根。
白蚕丸：海藻、僵蚕各等分为末，取白梅肉汤泡，捣丸如梧桐子大。每次六七十丸，临睡前米饮送下，毒邪应从大便泄去。忌食豆、心、鸡、羊、酒、面，每日五六次服用。治疗生于头项上交接，名叫蛇盘瘰疬，宜早治疗，或单用海藻一斤浸酒服用，也很好。
宣热丹：薄荷、皂角、连翘、何首乌、蔓荆子、三棱、荆芥各一两，研为细末，用热醋浸泡淡豆豉二两半，捣膏和丸如梧桐子大。每次三十丸，熟水送下，每日一次，解除瘰疬风热之毒，自小便宣毒后，以及病虽愈，宜常服之。
补中胜毒饼：黄芪一钱，人参三分，甘草五分，以上三味，以补气调中为主；当归、生地黄、熟地黄、白芍各三分，以上四味，和血生血凉血，惟芍药兼能益气之虚；陈皮三分顺气；升麻五分，引药入足阳明经；柴胡五分，引药入足少阳经；连翘一钱，散血结气聚，疮药不可缺也；防风五分，散结去上部风邪。以上共为细末，汤浸蒸饼调剂捏作饼子，晒干，捣如米粒大。每次三钱，白开水送下。治疗瘰疬、马刀挟瘿，在手足少阳阳明经部分，受心脾之邪而作。如果足阳明经部位疮多，加倍升麻，加漏芦一钱，干葛五分；手足太阳经项脊背腰强者，加羌活一钱，独活五分；肿甚加鼠粘子三分；坚硬加昆布，硬甚加三棱、莪术各二分；寒月身凉，或有腹痛，加肉桂二分；暑月身热，或有烦闷，加酒黄连、黄柏各三分；肠胃有瘀血，加牡丹皮二分；食少，加麦芽、神曲各二分；便秘，加酒大黄，或麻仁、桃仁、秦艽；阴寒秘结，去诸苦药，加附子一钱，姜煎冷服；如果疮属阳明经部分，忌柴胡、鼠粘子；属少阳经部分，为马刀挟瘿，忌独活、漏芦、升麻、干葛，加瞿麦三分。
银右散：朱砂、雄黄、蛇含石、磁石各一钱半，银右石、乳香、没药各一钱七分，明矾一钱，信石、白丁香各六分，麝香三分，牛黄一分，巴豆二钱半，研为细末，唾液调匀，用本人男左女右手涂疮上，外用新笔蘸药圈四周，药点中间，水粉膏贴之。上药一七二七（七日或十四日），其核自落，后用生肌散。
猫蝠散：猫头骨一个，蝙蝠一个，二味俱撒黑豆上同烧，其骨化碎，为末干糁。治疗瘰疬多年不愈神效。
通用猫头要减加。
猫头丸：猫头骨一个酥炙，蝙蝠一个以朱砂三钱填入腹内，瓦上炙焦，南星、白矾各一两，研为细末，用黄蜡溶化，和丸如绿豆大。每次三十丸，临睡前米饮送下。如果风热，实证，加防风、黄芩、山栀、蝉蜕、川芎、连翘、桔梗各五钱；虚证，加夏枯草二两。虚劳骨蒸，加玄参二两，胡黄连五钱；汗多，加牡蛎三钱；有咳，加麦门冬一两；血虚，加当归、芍药、生地黄；气虚，加人参、白术各一两，毒重加雄黄，痛甚加乳香、没药各二钱；坚硬加海藻四钱；成漏加穿山甲一两；便燥用蜜为丸，空腹及夜卧含化三丸尤妙。治疗瘰疬、马刀，不问病程长短，已破未破，用此加减得宜皆效。
单夏枯草散、膏：夏枯草六两，水二盅，煎至七分，食远服，虚甚者煎成膏，多服益善，并涂患处，兼服十全大补汤加香附、贝母、远志。治疗瘰疬、马刀，已溃未溃，或日久成漏。生血散结，退寒热之圣药也，惟实证宜以行散之药佐之。
治疗瘰疬溃烂久不愈者：用鼠骨、乱发如鸡蛋大，以三年腊月猪脂煎令骨、发俱消，半涂疮，半酒调服，须臾鼠子从疮口出。
含化丹：僵蚕、大黄、青黛、胆星各等分为末，蜜丸含化，治疗脑项耳后结核。
海带丸：海带、青皮、贝母、陈皮各等分，甚者加昆布，研为细末，蜜丸如弹子大。每一丸，食后含化。治疗痰核瘿气经久不消。
神效开结散：沉香二钱，木香三钱，陈皮四两，珍珠四十九粒，砂锅固济火煅，猪厌肉子（生猪项下喉咙系，一枚如枣大，微扁色红）取四十九个瓦上焙干，共为细末。每次二钱，卧时冷酒调，徐徐咽下，轻者三五服见效，重者一料全愈。忌酸、咸、油腻，滞气之物。治疗男女项下瘿疾，不问病程长短皆效。
(These herbs, including the dregs) treat all types of carbuncles and sores (yongju), scrofula (luoli), buboes (biandu), and chest tightness caused by phlegm-fire. In the initial stage, purgation is used to subdue the condition.
Kuannong San (Discharge Pus Powder): Baizhi (Angelicae Dahuricae Radix), 2 qian for lesions on the upper body, 2 qian for the middle, 1.6 qian for the lower body, and 1.4 qian for the yin area; Chanshanjia (Manis Squama), 3 scales for the upper body, 2 for the middle, and 1.5 for the lower body and yin area; Ruxiang (Boswelliae Resina), 1.4 qian for the upper body, 0.9 qian for the middle, and 0.8 qian for the lower body and yin area; Jiangcan (Bombyx Batryticatus), 1 qian for the upper body, 0.5 qian for the middle, 1.4 qian for the lower body, and 1.2 qian for the yin area; Gancao Jie (Glycyrrhizae Radix et Rhizoma with nodes), 1.6 qian for the upper body, 1.4 qian for the middle, 1.3 qian for the lower body, and 1.6 qian for the yin area. These are ground into fine powder. First, wash the sore with wine decocted with Danggui (Angelicae Sinensis Radix). If the sore is on the head, take 4.4 qian; if in the heart or navel region, take 3.7 qian; if on the legs or feet, take 3.5 qian; if in the abdomen or yin area, take 4.5 qian. Decoct each dose with one cup of water and one cup of wine, mix with the powder, and take all at once. If insufficient effect, add good wine. The goal is bowel movement. This formula is effective for carbuncles, back sores, ding sores, scrofula, neck sores, breast abscesses, male and female buboes, and fish-mouth sores, whether suppurated or not.
However, if the sore has erupted due to thinning of Ying and Wei (nutritive and defensive qi), tonification and support should be used to address deficiency. For clearing heat and supporting the middle, use Tuoli Qingzhong Tang; for warming the middle, use Wenzhong Jianzhong Tang; for suppressing liver wood and benefiting spleen earth, use Yiqing Yi Huang and Yiqi formulas.
Tuoli San (Support Interior Powder): Renshen (Ginseng Radix) and Huangqi (Astragali Radix) each 2 qian; Baizhu (Atractylodis Macrocephalae Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Danggui (Angelicae Sinensis Radix), Shudi (Rehmanniae Radix Preparata), Fuling (Poria), and Shaoyao (Paeoniae Radix) each 1.5 qian; Gancao (Glycyrrhizae Radix et Rhizoma) 1 qian. Decoct in water and take. It treats qi and blood deficiency in carbuncles and sores, where the lesion cannot rise, suppurate, or heal, accompanied by aversion to cold and fever, or lack of muscle growth. Use this for tonification and support. If there is red swelling and heat toxin, add Huanglian (Coptidis Rhizoma); if there is diffuse swelling due to qi deficiency, double Renshen and Baizhu; if there is exterior pathogen, add Qianghuo (Notopterygii Rhizoma et Radix) and Chuanxiong (Ligustici Chuanxiong Rhizoma); if there is exterior deficiency, double Renshen and Huangqi; if there is internal heat, preference for cold drinks, and constipation, remove Renshen, Huangqi, Danggui, and Baizhu, and add Dahuang (Rhei Radix et Rhizoma); if there is internal deficiency, preference for hot drinks, and constipation, double Renshen, Huangqi, Danggui, and Baizhu; if there is alternating chills and fever, preference for cold drinks, astringent urination, and liver heat, remove Renshen and Huangqi, and add Chaihu (Bupleuri Radix) and Chao Shanzhi (Gardeniae Fructus Preparatus); if pus does not form or drain due to qi deficiency, add Renshen, Baizhu, and Rougui (Cinnamomi Cortex); if red swelling and pain indicate blood stasis, add Ruxiang (Boswelliae Resina) and Moyao (Myrrhae Resina); if red flesh fails to heal due to blood deficiency with heat, add Shudi (Rehmanniae Radix Preparata) and Mudanpi (Moutan Cortex); if dark flesh fails to heal due to yang deficiency and cold, add Renshen, Huangqi, Rougui (Cinnamomi Cortex), and Bailian (Trollii Bulbus); if white flesh fails to heal due to yang deficiency, or excessive pus fails to heal due to qi and blood deficiency, double Renshen, Huangqi, Danggui, and Baizhu; if diffuse swelling without pain and stiff flesh failing to ulcerate indicates severe spleen deficiency, add Renshen, Baizhu, Shengjiang (Zingiberis Rhizoma Recens), and Fuzi (Aconiti Lateralis Radix Preparata); if pus is bloody due to blood deficiency, double Renshen, Baizhu, Danggui, and Shudi; if anger causes afternoon fever and bleeding due to liver fire and blood deficiency, add Mudanpi (Moutan Cortex), Shanzhi (Gardeniae Fructus), and Shudi (Rehmanniae Radix Preparata); if blue face, distended hypochondrium, and bleeding indicate liver deficiency failing to store blood, add Shanyao (Dioscoreae Rhizoma), Shanzhuyu (Corni Fructus), and Wuweizi (Schisandrae Fructus); if poor appetite, fatigue, and bleeding indicate spleen deficiency failing to control blood, double Renshen, Huangqi, Danggui, and Shudi; if depression, insomnia, and bleeding indicate adding Yuanzhi (Polygalae Radix), Suanzaoren (Ziziphi Spinosae Semen), Fushen (Poria cum Pinodi), and Longyanrou (Longan Arillus); if nausea or vomiting occurs due to external application/internal use of cold medicines, severe pain, or exposure to evil qi, indicating stomach deficiency, add Huoxiang (Agastaches Herba), Renshen, and Baizhu; if poor appetite, abdominal pain, borborygmus, and cold diarrhea indicate spleen deficiency cold, add Paojiang (Zingiberis Rhizoma Preparatum) and Muxiang (Aucklandiae Radix); if excessive pus and thirst indicate qi and blood deficiency, add Shudi (Rehmanniae Radix Preparata), Wuweizi (Schisandrae Fructus), and Maidong (Ophiopogonis Radix); if penile pain and astringent urination indicate essence corruption, add Shanyao (Dioscoreae Rhizoma), Shanzhuyu (Corni Fructus), and Zexie (Alismatis Rhizoma); if labor causes red urine due to qi sinking, add Shengma (Cimicifugae Rhizoma) and Chaihu (Bupleuri Radix); if afternoon headache and vertigo indicate yin blood deficiency, add Shudi (Rehmanniae Radix Preparata); if body heat, aversion to clothing, desire to lie in water, and deep, faint, fine pulse indicate qi escape and restlessness, add Shengjiang (Zingiberis Rhizoma Recens), Fuzi (Aconiti Lateralis Radix Preparata), and Rougui (Cinnamomi Cortex); if afternoon fever and profuse phlegm indicate spleen blood deficiency, double Danggui (Angelicae Sinensis Radix), Shudi (Rehmanniae Radix Preparata), Renshen, and Baizhu; if excessive thinking, body pain, insomnia, and night sweats indicate spleen blood deficiency, add Fushen (Poria cum Pinodi) and Suanzaoren (Ziziphi Spinosae Semen); if sleep sweating indicates kidney qi deficiency, add Wuweizi (Schisandrae Fructus); if eating-induced sweating indicates stomach qi deficiency, add Renshen, Baizhu, and Wuweizi (Schisandrae Fructus); if waking after full meal causes night sweats due to retained food, add Renshen, Baizhu, and Banxia (Pinelliae Rhizoma); if women experience night fever after labor and anger, delirium, or fever during menstruation due to heat in the blood level, add Chaihu (Bupleuri Radix), Shengdi (Rehmanniae Radix), and Mudanpi (Moutan Cortex).
Tuoli Xiaodu San (Support Interior and Eliminate Toxin Powder): Renshen (Ginseng Radix), Huangqi (Astragali Radix), Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), and Chenpi (Citri Reticulatae Pericarpium) each 1 qian; Lianqiao (Forsythiae Fructus), Baizhi (Angelicae Dahuricae Radix), and Jinyinhua (Lonicerae Japonicae Flos) each 0.7 qian; Gancao (Glycyrrhizae Radix et Rhizoma) 0.5 qian. Decoct in water and take. (Alternative: remove Lianqiao, add Chuanxiong, Zaocili, Ruxiang, and Moyao). It treats slow-progressing carbuncles and sores with slight redness, weak yuan qi, or failure to suppurate after purgation. It resolves unformed sores and promotes rupture of formed ones. It is also an excellent agent for removing necrotic tissue and generating new flesh. Additions/subtractions follow previous rules, but for weakness or already ruptured cases, remove Lianqiao, Baizhi, and Jinyinhua.
Tuoli Qingzhong Tang (Support Interior and Clear Middle Decoction): Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma), and Jiegeng (Platycodonis Radix) each 1 qian; Gancao (Glycyrrhizae Radix et Rhizoma) 0.5 qian. Decoct with Shengjiang (Zingiberis Rhizoma Recens) and Dazao (Jujubae Fructus). It treats spleen and stomach weakness in carbuncles/sores, unclear phlegm qi, and poor appetite.
Tuoli Wenzhong Tang (Support Interior and Warm Middle Decoction): Fuzi (Aconiti Lateralis Radix Preparata) 4 qian; Ganjiang (Zingiberis Rhizoma) and Qianghuo (Notopterygii Rhizoma et Radix) each 2 qian; Yizhiren (Alpiniae Oxyphyllae Fructus), Dingxiang (Caryophylli Flos), Chenxiang (Aquilariae Lignum Resinatum), Muxiang (Aucklandiae Radix), Huixiang (Foeniculi Fructus), and Chenpi (Citri Reticulatae Pericarpium) each 1 qian; Gancao (Glycyrrhizae Radix et Rhizoma) 2 qian. Decoct with Shengjiang (Zingiberis Rhizoma Recens). It treats yang deficiency cold in carbuncles/sores, loud borborygmus, cutting pain, loose stools, hiccups, and confusion. This is a cold transformation with interior collapse, requiring urgent treatment.
Tuoli Hezhong Tang (Support Interior and Harmonize Middle Decoction): Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Chenpi (Citri Reticulatae Pericarpium), Banxia (Pinelliae Rhizoma), and Paojiang (Zingiberis Rhizoma Preparatum) each 1 qian; Muxiang (Aucklandiae Radix) and Gancao (Glycyrrhizae Radix et Rhizoma) each 0.5 qian. Decoct with Shengjiang (Zingiberis Rhizoma Recens) and Dazao (Jujubae Fructus). It treats middle qi weakness in carbuncles/sores, poor appetite, non-resolving sores, non-painful swelling, or non-healing ulcers.
Tuoli Jianzhong Tang (Support Interior and Establish Middle Decoction): Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), and Fuling (Poria) each 2 qian; Banxia (Pinelliae Rhizoma) and Paojiang (Zingiberis Rhizoma Preparatum) each 1 qian; Gancao (Glycyrrhizae Radix et Rhizoma) 0.5 qian. Decoct with Shengjiang (Zingiberis Rhizoma Recens) and Dazao (Jujubae Fructus). It treats inherent yuan qi deficiency in carbuncles/sores, or spleen/stomach injury from cold-cooling agents, leading to poor appetite, vomiting, or diarrhea. Take urgently to strengthen middle qi.
Tuoli Yiqing Tang (Support Interior and Suppress Green/Liver Decoction): Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Chenpi (Citri Reticulatae Pericarpium), and Banxia (Pinelliae Rhizoma) each 1 qian; Shaoyao (Paeoniae Radix) and Chaihu (Bupleuri Radix) each 0.5 qian; Gancao (Glycyrrhizae Radix et Rhizoma) 0.3 qian. Decoct with Shengjiang (Zingiberis Rhizoma Recens) and Dazao (Jujubae Fructus). It treats spleen/stomach weakness oppressed by liver wood, causing poor appetite or chest/abdominal discomfort.
Tuoli Yi Huang Tang (Support Interior and Benefit Yellow/Spleen Decoction): Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Banxia (Pinelliae Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Chuanxiong (Ligustici Chuanxiong Rhizoma), Xiangfu (Cyperi Rhizoma), Shanzhi (Gardeniae Fructus), and Cangzhu (Atractylodis Rhizoma) each 1 qian; Gancao (Glycyrrhizae Radix et Rhizoma) 0.5 qian. Decoct with Shengjiang (Zingiberis Rhizoma Recens) and Dazao (Jujubae Fructus). It treats spleen/stomach deficiency cold with water insulting earth, causing poor appetite, vomiting, or diarrhea; also treats six stagnations injuring middle qi, causing weakness and poor appetite.
Tuoli Yiqi Tang (Support Interior and Benefit Qi Decoction): Baizhu (Atractylodis Macrocephalae Rhizoma) 2 qian; Renshen (Ginseng Radix), Fuling (Poria), Beimu (Fritillariae Cirrhosae Bulbus), Chenpi (Citri Reticulatae Pericarpium), Xiangfu (Cyperi Rhizoma), Shaoyao (Paeoniae Radix), Danggui (Angelicae Sinensis Radix), and Shudi (Rehmanniae Radix Preparata) each 1 qian; Jiegeng (Platycodonis Radix) and Gancao (Glycyrrhizae Radix et Rhizoma) each 0.5 qian. Decoct in water and take. It treats hard swellings with unchanged skin color, afternoon fever, or non-healing ulcers, and all internal qi/blood disorders. If dry mouth, add Wuweizi (Schisandrae Fructus) and Maidong (Ophiopogonis Radix); if alternating chills/fever, add Chaihu (Bupleuri Radix) and Digupi (Lycii Cortex); if clear pus, add Huangqi (Astragali Radix); if profuse pus, add Chuanxiong (Ligustici Chuanxiong Rhizoma); if slow muscle growth, add Bailian (Trollii Bulbus) and Rougui (Cinnamomi Cortex).
For brain carbuncles, Qianghuo (Notopterygii Rhizoma et Radix) is most effective.
Danggui Qianghuo Tang (Angelica and Notopterygium Decoction): Danggui (Angelicae Sinensis Radix, wine-fried), Huangqin (Scutellariae Radix), and Huanglian (Coptidis Rhizoma) each 2 qian; Jiubaibo (Phellodendri Cortex, wine-washed), Lianqiao (Forsythiae Fructus), Fangfeng (Saposhnikoviae Radix), Qianghuo (Notopterygii Rhizoma et Radix), Gancao (Glycyrrhizae Radix et Rhizoma), and Shanzhizi (Gardeniae Fructus) each 1 qian; Duhuo (Angelicae Pubescentis Radix) and Bencao (Ligustici Wallichii Rhizoma et Radix) each 0.7 qian; Zexie (Alismatis Rhizoma) 0.5 qian. Soak in water for a long time, add one spoon of wine, heat, and take. Twice daily, finish six doses in three days. Mix the clear liquid with Muxiang (Aucklandiae Radix) and Binglang (Arecae Semen) powder, 3 qian each. Suitable for heat stagnation from rich diet; use sparingly for poverty-related cold-dampness.
For head sores, Jiuhui Yin (Wine Angelica Drink) brings immediate resolution.
Jiuhui Yin: Jiudanggui (Angelicae Sinensis Radix, wine-treated) and Baizhu (Atractylodis Macrocephalae Rhizoma) each 1.5 qian; Jiuhuangqin (Scutellariae Radix, wine-treated), Jiushaoyao (Paeoniae Radix, wine-treated), Chuanxiong (Ligustici Chuanxiong Rhizoma), and Chenpi (Citri Reticulatae Pericarpium) each 0.5 qian; Jiutianma (Gastrodiae Rhizoma, wine-treated), Cangzhu (Atractylodis Rhizoma), and Cangerzi (Xanthii Fructus) each 0.75 qian; Jiugancao (Glycyrrhizae Radix et Rhizoma, wine-treated) and Huangbai (Phellodendri Cortex) each 0.4 qian; Fangfeng (Saposhnikoviae Radix) 0.3 qian. Decoct in water, take 4-5 times daily, rest briefly after taking.
For unruptured scrofula, internal resolution via regulating menstruation and meridians, softening hardness, is effective.
Shengma Tiaojing Tang (Cimicifuga Regulating Menstruation Decoction): Shengma (Cimicifugae Rhizoma) 0.8 fen; Gegen (Puerariae Lobatae Radix), Caolongdan (Gentiana Scabra Radix), Huanglian (Coptidis Rhizoma), Jiegeng (Platycodonis Radix), Lianqiao (Forsythiae Fructus), Jiuhuangqin (Scutellariae Radix, wine-treated), Jiubaibo (Phellodendri Cortex, wine-treated), Ezhu (Curcumae Rhizoma), and Sanleng (Sparganii Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma) each 0.5 fen; Guiwei (Angelicae Sinensis Radix tail) and Shaoyao (Paeoniae Radix) each 0.3 fen; Sheng Huangqin (Scutellariae Radix) 0.4 fen. Add Xiakucao (Prunellae Spica) for slight deficiency; add Tianhuafen (Trichosanthis Radix) and Zhimu (Anemarrhenae Rhizoma) 0.5 fen each for phlegm; add Chaihu (Bupleuri Radix) 0.4 fen for Shaoyang channel. Soak in water for half a day, heat, and take. Make large pills with honey, size of mung beans. Take 100 pills while sitting upright with feet elevated and no pillow, slowly swallowing with the decoction. Treats scrofula around the neck or to Jiache point (Stomach channel); deep sores in flesh (Kidney channel); transmission from Stomach to Kidney; hard lumps of varying sizes.
Chaihu Tongjing Tang (Bupleurum Unblocking Meridians Decoction): Chaihu (Bupleuri Radix), Lianqiao (Forsythiae Fructus), Guiwei (Angelicae Sinensis Radix tail), Gancao (Glycyrrhizae Radix et Rhizoma), Huangqin (Scutellariae Radix), Niuniuzi (Arctii Fructus), Sanleng (Sparganii Rhizoma), and Jiegeng (Platycodonis Radix) each 2 fen; Huanglian (Coptidis Rhizoma) 5 fen; Honghua (Carthami Flos) a little. Heat and take. Avoid bitter laxatives. Treats Shaoyang channel nodules on the side of the neck, hard and unruptured, called "Hadao" (Horse Knife). These two decoctions are suitable for those with intact yuan qi.
Haizao Sanjian Wan (Seaweed Hardness-Resolving Pill): Haizao (Sargassum), Kunbu (Laminariae Thallus), Longdancao (Gentianae Radix), Gafen (Concha Margaritifera Ustas), Cao (likely Haizao or similar), Beimu (Fritillariae Cirrhosae Bulbus), Kufan (Alumen Exsiccatum), and Zhen Songluo (Usnea) each 3 qian; Maiqu (Massa Medicata Fermentata) 4 qian; Banxia (Pinelliae Rhizoma) 2 qian. Grind to powder, take with wine, or make honey pills size of mung beans. Take 30 pills before bed with scallion white decoction, and dissolve in mouth. Avoid Gancao (Glycyrrhizae Radix et Rhizoma), fish, chicken, pork, five pungents, and raw/cold foods. Treats hard scrofula and Hadao, emaciation, tidal fever, anorexia, and all goiter conditions.
Ruanying Zhaozi Wan (Soft-Hard Soap Nut Pill): One cup of Zhaozi (Gleditsiae Sinensis Fructus), remove coarse skin and yellow heart; Xuan Shen (Scrophulariae Radix) and Lianqiao (Forsythiae Fructus) each 1 liang. Boil in 5 cups of water until dry. Pick soft ones, chew finely after meals, swallow with saliva; hard ones make honey pills size of bullet, dissolve one nightly. Effective in half a month. Unruptured will rupture; ruptured will shed core. Effective for any duration of swelling/hardness/pain. For strong constitutions with severe hardness, boil Zhaozi in vinegar until soft. Take less for mild scrofula, more for severe.
Bixiao San (Must-Effective Powder): Pengsha (Borax) 1.5 qian; Qingfen (Calomelas) 1 qian; Shexiang (Moschus) 0.5 fen; Badou (Crotonis Semen) 5 seeds; Binglang (Arecae Semen) 1 piece; Banchao (Mylabris) 40 insects. Grind to powder. Take 2 eggs, separate whites, mix powder, return to shells, seal with wet paper, steam, dry, and grind. Deficient take 5 fen; excess take 1 qian. At 5 AM, take with ginger-wine. Lower abdominal pain and urinary discharge of pink flakes/blood indicate toxin expulsion. If urinary difficulty/pain, take Yiyuan San once. Faster if expelled via stool. Repeat after 3 days if not passed, until root is removed. Treats acute scrofula by moving toxins.
Liying San (Immediate-Effect Powder): Lianqiao (Forsythiae Fructus), Chishao (Paeoniae Radix Rubra), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Gancao (Glycyrrhizae Radix et Rhizoma), and Huashi (Talcum) each 5 qian; Huangqin (Scutellariae Radix) and Banchao (Mylabris) each 3 qian; Tu Fengfang (Anthophidis Florentis Nidus, honey-washed, steamed, dried) and Bai Qianniu (Ipomoeae Petiolatae Semen) each 2.5 qian; Chuanwu Jian (Aconiti Radix Lateralis Preparata tip) 7 pieces. Grind to powder. Take 1 qian, mix with thick Mumeng (Akebiae Caulis) decoction, take before bed. Toxin exits via urine as pink blood flakes. Repeat if ineffective, then use Xuanye Dan to resolve wind-heat. Note: Banchao is toxic; combined with Chuanwu, if toxicity rises causing numbness/chest oppression, chew scallion white and swallow with tea water to detoxify. If urinary difficulty, use Dengxin (Junci Medullia) decoction to mix Wuling San (Five-Ingredient Powder with Poria), apply good plaster to lesion. For guiding out carbuncle toxins, remove Huangqin.
Banchao Wan (Mylabris Pill): Banchao (Mylabris) 1 liang, Bohe (Menthae Haplocalycis Herba) 4 liang. Grind, mix with egg white, make mung bean-sized pills. Take one pill on empty stomach, half-empty, and before bed with tea water. Increase by one daily to five; then decrease by one daily to one; then increase again to five, then maintain five daily. Effective when lower abdomen hurts and foul matter is discharged via urine. If urinary retention, eat small amount of scallion/tea, or use black hen egg: open top, mix, insert one Banchao, seal, steam, remove insect, eat egg daily. Send down with Shengliao Wuji San (Raw Material Five Accumulations Decoction). Within 4-5 doses, ruptured sores generate flesh, unruptured dissipate. Treats chronic scrofula.
For ruptured scrofula, combine with external treatment: Bai She (White Snake), Bai Can (White Silkworm), Xuanye Buchong (Clear Heat Tonify Middle), and external applications like Yinjishi (Silver Right Stone), Canjian (Silkworm Cocoon), Maogu (Cat Bone), and Fuzi (Bat).
Baisha San (White Snake Powder): Baihua She (Bungarus multicinctus) 2 liang, Qingpi (Citri Reticulatae Pericarpium Viride), and Heiqiu (Semen Convolvuli) each 5 qian; Sheng Xijiao (Rhino Ceratostigma Raw) 0.5 fen. Grind. Take 1 qian mixed with Nifen (Calomelas) 0.5 fen, grind well. At 5 AM, take with rice gruel. Evacuate foul matter at Si hour (9-11 AM). Repeat after 10 days. Avoid wind-inducing/hot foods. Effective in one month for formed sores. Treats nine leaks/scrofula with chills/fever, painful or painless. After evacuation, take equal parts Haizao (Sargassum), Shijueming (Concha Argoensis), Qianghuo (Notopterygii Rhizoma et Radix), and Qumai (Dianthi Herba) powder, 2 qian with rice drink, 3 times daily. After clear water evacuates, tonify to remove root.
Baican Wan (White Silkworm Pill): Haizao (Sargassum) and Jiangcan (Bombyx Batryticatus) equal parts. Grind, soak in sour plum meat soup, mash into pills size of wu zi. Take 60-70 pills before bed with rice drink. Toxin exits via stool. Avoid beans, heart, chicken, mutton, alcohol, noodles. Take 5-6 times daily. Treats snake-ring scrofula on head/neck. Treat early, or soak 1 jin Haizao in wine.
Xuanye Dan (Clear Heat Pill): Bohe (Menthae Haplocalycis Herba), Zaojiao (Gleditsiae Sinensis Fructus), Lianqiao (Forsythiae Fructus), Heshouwu (Polygoni Multiflori Radix), Manjingzi (Viticis Semen), Sanleng (Sparganii Rhizoma), and Jingjie (Schizonepetae Spica) each 1 liang. Grind. Soak Danshidou (Fermented Soybean) 2.5 liang in hot vinegar, mash into paste, mix with pills size of wu zi. Take 30 pills with warm water, once daily. Resolves scrofula wind-heat toxin. Continue after urinary toxin release and even after cure.
Buchong Shengdu Bing (Tonify Middle and Overcome Toxin Cake): Huangqi (Astragali Radix) 1 qian, Renshen (Ginseng Radix) 0.3 qian, Gancao (Glycyrrhizae Radix et Rhizoma) 0.5 qian: primarily tonify qi and regulate middle. Danggui (Angelicae Sinensis Radix), Shengdi (Rehmanniae Radix), Shudi (Rehmanniae Radix Preparata), and Baishao (Paeoniae Radix Alba) each 0.3 qian: harmonize/generate/cool blood; Shaoyao also benefits qi deficiency. Chenpi (Citri Reticulatae Pericarpium) 0.3 qian regulates qi. Shengma (Cimicifugae Rhizoma) 0.5 qian guides to Yangming channel. Chaihu (Bupleuri Radix) 0.5 qian guides to Shaoyang channel. Lianqiao (Forsythiae Fructus) 1 qian resolves blood knots/qi masses; essential for sore meds. Fangfeng (Saposhnikoviae Radix) 0.5 qian resolves knots/removes upper wind. Grind all, mix with dough steamed in soup, shape into cakes, dry, crush to rice grain size. Take 3 qian with plain water. Treats scrofula/Hadao/goiter in Shaoyang/Yangming channels, caused by Heart/Spleen pathogens. If Yangming sores many, double Shengma, add Loulu (Euphorbiae Pekinensis Radix) 1 qian, Gange (Puerariae Radix) 0.5 fen; if Taiyang neck/back stiffness, add Qianghuo (Notopterygii Rhizoma et Radix) 1 qian, Duhuo (Angelicae Pubescentis Radix) 0.5 fen; if severe swelling, add Niuniuzi (Arctii Fructus) 0.3 fen; if hard, add Kunbu (Laminariae Thallus); if very hard, add Sanleng (Sparganii Rhizoma) and Ezhu (Curcumae Rhizoma) 0.2 fen each; if cold month/cool body/abdominal pain, add Rougui (Cinnamomi Cortex) 0.2 fen; if hot month/body heat/restlessness, add Jiu Huanglian (Coptidis Rhizoma, wine-treated) and Huangbai (Phellodendri Cortex) 0.3 fen each; if blood stasis in gut, add Mudanpi (Moutan Cortex) 0.2 fen; if poor appetite, add Maiya (Hordei Fructus Germinatus) and Shenqu (Massa Medicata Fermentata) 0.2 fen each; if constipation, add Jiu Dahuang (Rhei Radix et Rhizoma, wine-treated), or Mahren (Semen Cannabis), Taoren (Persicae Semen), Qinjiao (Gentianae Macrophyllae Radix); if cold constipation, remove bitter meds, add Fuzi (Aconiti Lateralis Radix Preparata) 1 qian, decoct with ginger, take cold; if Yangming channel sore, avoid Chaihu/Niuniuzi; if Shaoyang channel Hadao/goiter, avoid Duhuo/Loulu/Shengma/Gange, add Qumai (Dianthi Herba) 0.3 fen.
Yinjiao San (Silver Right Powder): Zhusha (Cinnabar), Xionghuang (Realgar), Shehanshi (Oreochromis Mossambicus Whole), Ci Shi (Magnetitum) each 1.5 qian; Yinjiaoshi (Silver Right Stone), Ruxiang (Boswelliae Resina), Moyao (Myrrhae Resina) each 1.7 qian; Mingfan (Alumen) 1 qian; Xinshi (Arsenical Orpiment), Baixiang (Excrement Columbae) each 0.6 fen; Shexiang (Moschus) 0.3 fen; Niuhuang (Bovis Calculus) 0.1 fen; Badou (Crotonis Semen) 2.5 qian. Grind, mix with saliva. Apply with patient's own hand (male left, female right) to sore, circle with brush, dot center, cover with Shuifen Gao (Lead White Plaster). After 7-14 days, core falls off, then use Shengji San (Generate Flesh Powder).
Maofu San (Cat-Bat Powder): Maotougu (Cranium Felis) 1, Fuzi (Vespertilio) 1. Roast together with black soybeans on beans, crush bone to powder. Dry dust. Highly effective for chronic scrofula.
General Cat Head Formula Adjustments.
Maotou Wan (Cat Head Pill): Maotougu (Cranium Felis)酥 roasted; Fuzi (Vespertilio) stuffed with Zhusha (Cinnabar) 3 qian, roasted on tile until charred; Nanxing (Arisaematis Rhizoma) and Baifan (Alumen) each 1 liang. Grind, melt Huangla (Beeswax), mix into mung bean pills. Take 30 pills before bed with rice drink. For wind-heat/excess, add Fangfeng (Saposhnikoviae Radix), Huangqin (Scutellariae Radix), Shanzhi (Gardeniae Fructus), Chantui (Cryptotympanae Cutis), Chuanxiong (Ligustici Chuanxiong Rhizoma), Lianqiao (Forsythiae Fructus), Jiegeng (Platycodonis Radix) each 5 qian; for deficiency, add Xiakucao (Prunellae Spica) 2 liang. For consumption/tidal fever, add Xuanshen (Scrophulariae Radix) 2 liang, Huhuanglian (Anemarrhenae Rhizoma) 0.5 liang; for sweating, add Muli (Concha Ostreae) 3 qian; for cough, add Maidong (Ophiopogonis Radix) 1 liang; for blood deficiency, add Danggui (Angelicae Sinensis Radix), Shaoyao (Paeoniae Radix), Shengdi (Rehmanniae Radix); for qi deficiency, add Renshen (Ginseng Radix), Baizhu (Atractylodis Macrocephalae Rhizoma) 1 liang each; for heavy toxin, add Xionghuang (Realgar); for severe pain, add Ruxiang/Moyao 2 qian each; for hardness, add Haizao (Sargassum) 4 qian; for fistula, add Chanshanjia (Manis Squama) 1 liang; for dry stool, make honey pills, dissolve 3 pills empty stomach/night. Treats scrofula/Hadao, any duration, ruptured/unruptured, effective with proper adjustments.
Swallow/Application Xiakucao Benefits Deficiency.
Dan Xiakucao San/Gao (Single Prunella Powder/Paste): Xiakucao (Prunellae Spica) 6 liang, water 2 bowls, decoct to 0.7 bowl, take away from meals. For severe deficiency, make paste, take more, apply to site. Also take Shiquan Dabu Tang (Ten-Ingredient Great Tonifying Decoction) plus Xiangfu (Cyperi Rhizoma), Beimu (Fritillariae Cirrhosae Bulbus), Yuanzhi (Polygalae Radix). Treats scrofula/Hadao, ruptured/unruptured, or chronic fistula. Generates blood, resolves knots, cures chills/fever. Suitable for excess with resolving herbs.
For chronic non-healing ruptured scrofula: Use Shugu (Rattus Bone) and Luangfa (Human Hair) size of egg, fry in December pig fat until dissolved. Half apply to sore, half take with wine. Rat pup will exit wound.
Phlegm Knots: Run Bowel Dissolve Pill or Kaidai Wan (Kelp Pill) for internal resolution.
Han Hua Dan (Dissolve Pill): Jiangcan (Bombyx Batryticatus), Dahuang (Rhei Radix et Rhizoma), Qingdai (Indigo Naturalis), Danning (Arisaema Cum Bile) equal parts. Grind, honey pills, dissolve in mouth. Treats neck/ear lobe tubercles.
Kaidai Wan (Kelp Pill): Kaidai (Laminariae Thallus), Qingpi (Citri Reticulatae Pericarpium), Beimu (Fritillariae Cirrhosae Bulbus), Chenpi (Citri Reticulatae Pericarpium) equal parts. Add Kunbu (Laminariae Thallus) if severe. Grind, honey pills size of bullet. Dissolve one after meals. Treats persistent phlegm knots/goiter.
Goiter/Tumor: Kaie Shizhang San (Open Knot Lick Palm Powder) or Nanxing Gao (Arisaema Paste) for external application.
Shenxiao Kaie San (Miraculous Open Knot Powder): Chenxiang (Aquilariae Lignum Resinatum) 2 qian, Muxiang (Aucklandiae Radix) 3 qian, Chenpi (Citri Reticulatae Pericarpium) 4 liang, Zhenzhu (Margarita) 49 grains, Shaguo Guji Huo (Sandpot sealed and fired), Zhu Yanrouzi (Pig throat gland, date-sized, flat, red) 49 pieces baked on tile. Grind. Take 2 qian with cold wine at bedtime, swallow slowly. Mild cases improve in 3-5 doses; severe cured in one batch. Avoid sour/salty/greasy/qi-stagnating foods. Treats neck goiter in men/women, any duration.
Shizhang San (Lick Palm Powder): Haizao (Sargassum) 1 liang resolves knots, Huangbai (Phellodendri Cortex) 2 liang descends fire. Grind. Take small amount in palm, lick frequently, swallow with saliva. Stop when 2/3 resolved, then take other meds.
Single Prescriptions: Large spider mashed in wine taken at once, or long-term Haizao (Sargassum) wine, effective for goiter/scrofula.
Nanxing Gao (Arisaema Paste): Fresh Nanxing (Arisaematis Rhizoma) 1, grind fine sticky, add 3-5 drops good vinegar to make paste. Or mix dry Nanxing powder with vinegar. Prick swollen area first to let qi through, then apply.