同连翘，如疮不在少阳经勿用） 黍粘子（三分，无肿不用） 昆布（二分，味咸，若疮坚硬
甚者用之，咸能软坚也） 京三棱（炮，二分） 广术（三分。此二味疮坚硬甚者用之，不硬者勿
用） 羌活 独活 防风（各一钱，以上三味，必关手足太阳症脊痛项强不可回顾腰似折项似拔，
防风辛温，如疮在膈上虽无手足太阳经症，亦当用之，为能散结去上部风邪故也） 益智仁（二分，
如唾多者胃不和也，或吐沫吐食胃中寒者，加之，无则勿用） 麦芽（一钱，消食健脾）
神曲（炒，二分，食不消化者用之） 黄连（炒，三分，治烦闷） 浓朴（姜制，一钱二分，
如腹胀加之） 黄柏（炒，三分，如有热或腿脚无力加之，如烦躁欲去衣者，此肾中伏火也，
更宜加用）
上共为细末，汤浸蒸饼，捏作饼子，晒干捣如米粒大。每服三钱，白汤下。如气不顺，加橘
红，甚者加木香少许，量病患虚实消息之，毋令药多，妨其饮食，此治之大法也。如止在阳明
分者，去柴胡、黍粘子二味，余皆用之。如在少阳分，为马刀挟瘦，去独活、漏芦、升麻、葛根，
加瞿麦三分。如本人气素弱，其病势来时气盛，而不短促者，不可考其平素，宜作气盛而从病
变治之权也，加黄芩、黄连、黄柏、知母、防己，视邪气在上中下而用之。假令在上焦加黄芩，
（半酒洗，半生用。）在中焦加黄连，（半酒，半生。）在下焦加酒制黄柏、知母、防己之类，
选而用之。如大便不通而滋其邪盛者，加酒制大黄以利之。如血燥而大便干燥者，加桃仁泥、大
黄。如风结燥不行者，加麻仁、大黄以润之。如风涩而大便不行，加煨皂角仁、大黄、秦艽以利
之。如脉涩，觉身亦气涩，而大便不通者，加郁李仁、大黄，以除风燥。如阴寒症，为寒结秘，而
大便不通者，以局方半硫丸，或加炮附子、干姜煎，候冰冷服之。大抵用药之法，不惟疮疡一家，
凡诸疾病气素怯弱者，当去苦寒之剂，多加人参、黄 、甘草之类，以泻火而补元气，余皆仿此。
〔《本》〕治鼠 瘰 。
土附子（一个） 食盐（三升） 小便（五升）
上三味，同浸半月日取出，将附子去黑皮，阴干为末，用黑豆烂煮研为膏，丸附子末，如
桐子大。每服十丸酒吞下，早晚二服。
〔丹〕初发头项硬未破者，其效如神。牡蛎四两，甘草二两，为末，每服一大钱，食后腊茶同
点，日二服，半月除根。（初虞世方 丹溪治世义大官 疮用此方。）一切丈夫妇人，瘰 经效。牡
蛎用炭一称 通赤，取出于湿地上，用纸衬出火毒一宿，取四两，玄参三两，并捣罗为末，以
面糊丸，如桐子大。早晚食后临卧，各三十丸，酒下，药将尽， 亦除根。（出《经验方》）
〔《肘》〕治颔下瘰 如梅李大，宜速消之。海藻一斤，酒一升，渍数日，稍稍饮之。
〔《衍》〕取蓼子微炒，研为细末，薄荷酒调二三钱服。治瘰 ，久则效。
〔世〕治瘰 。用夜合草，遇夜则其叶闭合，本草名合明，俗名连钱母，出禾田中，贴水面生，
取其叶捣自然汁服之，渣 患处效。
〔《保》〕文武膏治瘰 。
用桑椹黑熟者二斗，以布袋绞取汁，石器中熬成膏子，白汤化下一匙，日三服，红者晒干为末，
汤调服。
〔《圣》〕治瘰 ，肿硬疼痛，年深时久不瘥。用狸头蹄骨酥炙黄，捣罗为散，每日空心粥饮调
下一钱匕。
〔《灵》〕黄帝曰∶寒热瘰 在于颈腋者，皆何气使生？岐伯曰∶此皆鼠 寒热之毒瓦斯也，留
于脉而不去者也。鼠 之本，皆在于藏，其末上出于颈腋之间，其浮于脉中，而未内着于肌肉，而
外为脓血者易去也。黄帝曰∶去之奈何？岐伯曰∶诸从其本引其末，可使衰去，而绝其寒热。审
按其道以予之，徐往徐来以去之，其小如麦者，一刺知，三刺而已。（寒热篇）
上经一章，皆从经脉，取脏腑之本，以治瘰 之末也。其末出于耳下或耳后下颈至肩上，
或入缺盆中者，当于手足少阳经取之，或针或灸，如后穴。
〔扁〕瘰 ∶天井 肩井。
〔《撮》〕瘰 ∶天井（半寸，灸七壮，泻之）
〔东〕腋下肿，马刀挟瘿，善自啮舌颊，天牖中肿，寒热∶临泣 丘墟（各一分，灸五壮）
太冲（一分，灸三壮） 腋下颈项肿∶天池（顺皮三分，灸七壮。）如颔肿，加后溪（二分，灸五壮。）
腋下肿马刀挟瘿喉痹∶阳辅（五分，灸二七壮） 申脉（一分，灸三壮立愈）
〔《甲》〕胸中满，腋下肿，马刀 ，善自啮舌颊，天牖中肿，淫泺胫酸，头眩，枕骨颔腮痛，
目涩身痹，洒淅振寒，季胁支满，寒热，胁腰腹膝外廉痛，临泣主之。马刀肿 ，渊液、章门、
支沟主之。出于颏下，或至颊车者，当于手足阳明经取之，或针或灸，如后穴∶三里（足阳明）
合谷（手阳明）
〔丹〕捣生商陆根作饼子，置于瘰 上，艾炷灸饼子上，干即易之，灸三四饼。（出《外台秘要》）
〔世〕当 上贴肉灸十四壮，神效。
〔东〕瘰 马刀，将先出一疮，用四楞铁环定住，不令出移，破作口子，以油纸捻 之，勿
令合了，以绝其疮之源，其效至速。如疮不破，或病患不肯破，更以药涂之，三日一易之。以龙
泉散主之。（方见表里条。）
〔世〕瘰 多生肩项，或赤或白，或沉或浮，初生如豆，久似核，年月浸久，其大如梅，或
如鸡卵，排行成列，或生二三，或生六七，俗名蟠蛇 是也。用性努力，思虑过久，则疾痛赤肿继
之，早治为上。流注 ，妇人多有之，其性躁急，其气怫郁，其心执着，初生在项，破后脓注四
肢，遍体结毒，如梅李状，不疗自破，孔窍相穿，寒热疼痛，或流脓汁，是名流注 也，又名
千岁疮。宜服托里救苦神应丸。
川乌附（去皮脐，生用，一两） 乌头（五两） 当归（酒浸，一宿） 没药 白芷
陈皮 甘草节（各一两） 蝉蜕（水洗，半两） 大皂角（七锭，去皮弦子） 姜黄（一两半）
上用皂角敲碎，水四大碗，煎至二大碗，滤去渣，用汁一同煮乌头、川乌，候乌头烂为度，
擂如泥。其余诸药，却另为末，和乌头泥为丸，如桐子大。每服六十丸，饥饱皆用薄荷汤下。
若疮既破，穿凿孔穴，其处必生肿肉如指大，或黑或白，乃风与气搏，宜驱风行经散气之剂，
以化气调经汤主之。
化气调经汤与神应丸间服，治流注 。
香附末（酒浸一宿，晒干，一两） 橘皮（二两） 羌活（一两） 白芷（一两） 甘草（半两）
牡蛎（ ，半两） 天花粉 皂角刺（各半两）
上为细末，每服二钱，用清汤不拘时候调下，日三次。
如脉有力者，先用追毒神异汤下之，却服救苦神应丸。
辰砂 血竭（各一钱） 麝香（一字。共为细末） 大黄（半两） 大甘草节（半两）
上为 咀，作一帖，河水一钟，煎半钟，调前末子，临卧服之。
单窠 者，生一个也，发于颈项，最难治。但宜如前药服之，日久自消。或发于囟骨，亦
难治。用毒药疗之，勿令浸渍日久。
莲子 ，一胞裹十数枚，生于项之左右，以手触则能转动，尚可用药治疗，如坚硬挨不动者，
乃不可生。憎寒发热，燥渴，凡遇此症，至难治，虽神圣亦无如之何也已。
重台 ，生于项颈，或左或右，初则单窠结在上，或在下，重叠见之，是名重台 。此症药
不可疗，不可针灸，若是毒行，甚肿痛，发渴生痰，万死一生，害人极速。初觉有之，急用小犀角
丸，粉金散治之。
燕窠 ，形似燕窠，不可治。
肺脉微涩，为鼠 ，在颈支腋之间，下不胜其上，其应善酸。（全文见治虚实法。色白，
脉主涩。）
〔《灵》〕黄帝曰∶决其生死奈何？岐伯曰∶反其目视之，其中有赤脉，上下贯瞳子，见一
脉，一岁死。见一脉半，一岁半死。见二脉，二岁死。见二脉半，二岁半死。见三脉，三岁而死。
见赤脉不下贯瞳子，可治也。（寒热篇）
〔丹〕夫瘰 初发，必起于少阳经。不守禁戒，必延及阳明经。大抵食味之浓，郁气之积，曰
毒，曰风，曰热，皆此三端，招引变换，须分虚实。彼实者固易治，自非痛断浓味与发气之物，
虽易亦难，殊为可虑。以其属胆经，主决断，有相火，而且气多血少，妇人见此，若月经行，不
作寒热，可生。稍久转为潮热，其症危矣。自非断欲绝虑食淡，虽神圣不可治也。
（以上药物同连翘功效类似，如果疮疡不在少阳经则不要使用）黍粘子（三分，如果没有肿胀就不使用）昆布（二分，味道咸，如果疮疡坚硬严重的可以使用它，因为咸味能软化坚硬之物）京三棱（炮制过，二分）广术（三分。这两味药用于疮疡坚硬严重的情况，如果不坚硬就不要使用）羌活、独活、防风（各一钱，以上三味药，必须关联手足太阳症见脊痛、项强、不能回顾、腰像折断、项像被拔起的情况，防风辛温，如果疮在膈上即使没有手足太阳经的症状，也应当使用，因为它能散结并去除上部的风邪）益智仁（二分，如果唾液多说明胃不和，或者吐沫、吐食因胃中寒所致，可以加入，没有这些症状就不要用）麦芽（一钱，消食健脾）神曲（炒制，二分，食物不消化时使用）黄连（炒制，三分，治疗烦闷）浓朴（姜汁制，一钱二分，如果有腹胀就加入）黄柏（炒制，三分，如果有热或腿脚无力就加入，如果是烦躁想脱衣服，这是肾中伏火，更应该加用）
以上药物共研为细末，用汤水浸泡蒸饼，捏成饼状，晒干后捣碎如米粒大小。每次服用三钱，用白开水送服。如果气不顺，加橘红，严重的加少许木香，根据病患的虚实酌情增减，不要让药量过多妨碍饮食，这是治疗的大法。如果病只在阳明分，去掉柴胡、黍粘子两味药，其余都使用。如果在少阳分，称为马刀挟瘿，去掉独活、漏芦、升麻、葛根，加瞿麦三分。如果病人平时体质虚弱，但发病时气势盛且呼吸不短促，不可拘泥于平素体质，应当视作气盛而从病变角度权宜治疗，加黄芩、黄连、黄柏、知母、防己，根据邪气在上、中、下焦而选用。假如邪气在上焦加黄芩，（一半酒洗，一半生用。）在中焦加黄连，（一半酒浸，一半生用。）在下焦加酒制黄柏、知母、防己之类，选择使用。如果大便不通且滋长邪气盛的，加酒制大黄以通利。如果血燥导致大便干燥的，加桃仁泥、大黄。如果风结燥行不通的，加麻仁、大黄以润肠。如果风涩导致大便不行，加煨皂角仁、大黄、秦艽以利便。如果脉涩，感觉身体也气涩，且大便不通的，加郁李仁、大黄，以除风燥。如果是阴寒症，因寒结秘结导致大便不通的，用局方半硫丸，或者加炮附子、干姜煎煮，等药液冰冷后服用。大抵用药的方法，不仅限于疮疡一家，凡是各种疾病平时正气怯弱的，应当去掉苦寒的药物，多加人参、黄芪、甘草之类，以泻火而补元气，其余都仿照此法。〔《本草》〕治疗鼠瘰瘰。
土附子（一个）食盐（三升）小便（五升）
以上三味，一同浸泡半个月取出，将附子去掉黑皮，阴干研为末，用黑豆烂煮研成膏，包裹附子末，做成如桐子大小的丸药。每次服用十丸，用酒吞服，早晚各一次。
〔朱丹溪〕初发时头项硬但未破溃的，效果如神。牡蛎四两，甘草二两，研为末，每次服用一大钱，饭后用腊茶同点服，每日两次，半个月可除根。（出自初虞世方，丹溪治世义大官疮用此方。）一切男女患瘰疬经效。牡蛎用炭烧至通红，从湿地上取出，用纸衬垫除去火毒一夜，取四两，玄参三两，一起捣罗为末，用面糊丸，如桐子大小。早晚饭后临睡前，各服三十丸，酒送下，药快吃完时，也能除根。（出自《经验方》）
〔《肘后备急方》〕治疗颔下瘰疬如梅核大，宜迅速消除。海藻一斤，酒一升，浸泡数日，慢慢饮用。
〔《衍义》〕取蓼子微炒，研为细末，用薄荷酒调服二三钱。治疗瘰疬，久用有效。
〔世医〕治疗瘰疬。用夜合草，到了晚上叶子闭合，本草名叫合明，俗名连钱母，生长在禾田中，贴着水面生长，取其叶捣取自然汁服用，药渣敷在患处有效。
〔《保命集》〕文武膏治疗瘰疬。
用桑椹黑熟者二斗，用布袋绞取汁，在石器中熬成膏子，用白开水化开一匙服用，每日三次，红色的晒干研为末，用汤调服。
〔《圣济总录》〕治疗瘰疬，肿硬疼痛，年深日久不愈。用狸头蹄骨酥炙黄，捣罗为散，每天空腹用粥饮调下一钱匕。
〔《灵枢》〕黄帝说：寒热瘰疬生在颈腋部的，是什么气引起的？岐伯说：这都是鼠瘰寒热的毒气，停留在脉中而不消散。鼠瘰的根本在于脏腑，其表现向上出于颈腋之间，它浮在脉中，而未深入肌肉，外表化为脓血的容易去除。黄帝说：如何去除？岐伯说：诸病从其根本引导其末梢，可以使病势衰退，断绝寒热。仔细按照其道给予治疗，缓慢进针缓慢出针以去除病邪，小的如麦粒大小的，刺一次见效，刺三次痊愈。（出自《寒热篇》）
上面这一章经文，都是从经脉入手，取脏腑的根本，来治疗瘰疬的末梢表现。其末梢出现在耳下或耳后，下颈至肩上，或进入缺盆中的，应当在手足少阳经取穴，或针或灸，如下穴位。
〔东垣〕腋下肿，马刀挟瘿，喜欢自己咬舌颊，天牖中肿，寒热：临泣、丘墟（各一分，灸五壮）太冲（一分，灸三壮）腋下颈项肿：天池（顺皮三分，灸七壮。）如果颌部肿，加后溪（二分，灸五壮。）腋下肿马刀挟瘿喉痹：阳辅（五分，灸十四壮）申脉（一分，灸三壮立即痊愈）
〔《甲乙经》〕胸中满，腋下肿，马刀瘰疬，喜欢自己咬舌颊，天牖中肿，淫泺胫酸，头眩，枕骨颔腮痛，目涩身痹，洒淅振寒，季胁支满，寒热，胁腰腹膝外廉痛，由临泣主治。马刀肿瘰疬，由渊液、章门、支沟主治。出于颏下，或至颊车者的，应当在手足阳明经取穴，或针或灸，如下穴位：三里（足阳明）、合谷（手阳明）
〔丹溪〕捣生商陆根作饼子，置于瘰疬上，艾炷灸饼子上，干了就换新的，灸三四张饼。（出自《外台秘要》）
〔东垣〕瘰疬马刀，先将一个疮发出，用四楞铁环定住，不让它移动，破作口子，用油纸捻塞住，不让它愈合，以绝其疮之源，效果极快。如果疮不破，或者病人不肯破，再用药涂之，三天换一次。以龙泉散为主治。（方剂见表里条。）
〔世医〕瘰疬多生于肩项，或赤或白，或沉或浮，初生如豆，久后似核，年月久了，大如梅，或如鸡卵，排行成列，或生二三，或生六七，俗名蟠蛇瘰是也。用心用力，思虑过久，则疾痛赤肿继之，早治为上策。流注瘰疬，妇人多有之，其性躁急，其气怫郁，其心执着，初生在项，破后脓注四肢，遍体结毒，如梅李状，不治疗自破，孔窍相穿，寒热疼痛，或流脓汁，是名流注瘰疬也，又名千岁疮。宜服托里救苦神应丸。
川乌附（去皮脐，生用，一两）乌头（五两）当归（酒浸，一宿）没药白芷陈皮甘草节（各一两）蝉蜕（水洗，半两）大皂角（七锭，去皮弦子）姜黄（一两半）
以上用皂角敲碎，水四大碗，煎至二大碗，滤去渣，用汁一同煮乌头、川乌，候乌头烂为度，擂如泥。其余诸药，另研为末，和乌头泥为丸，如桐子大小。每次服用六十丸，饥饱皆用薄荷汤送下。
如果疮已破，穿凿孔穴，其处必生肿肉如指大，或黑或白，乃风与气搏结，宜驱风行经散气之剂，以化气调经汤主治。
化气调经汤与神应丸间服，治疗流注瘰疬。
香附末（酒浸一宿，晒干，一两）橘皮（二两）羌活（一两）白芷（一两）甘草（半两）牡蛎（煅，半两）天花粉皂角刺（各半两）
以上为细末，每次服用二钱，用清汤不拘时候调下，每日三次。
如果脉有力的，先用追毒神异汤下之，再服救苦神应丸。
辰砂血竭（各一钱）麝香（一字。共为细末）大黄（半两）大甘草节（半两）
以上为粗末，作一帖，河水一钟，煎半钟，调前末子，临卧服之。
单窠瘰疬，生一个，发于颈项，最难治。只宜如前药服之，日久自消。或发于囟骨，也难治。用毒药疗之，勿令浸渍日久。
莲子瘰疬，一胞裹十数枚，生于项之左右，以手触则能转动，尚可用药治疗，如坚硬挨不动者，乃不可生。憎寒发热，燥渴，凡遇此症，至难治，虽神圣亦无如之何也已。
重台瘰疬，生于项颈，或左或右，初则单窠结在上，或在下，重叠见之，是名重台瘰疬。此症药不可疗，不可针灸，若是毒行，甚肿痛，发渴生痰，万死一生，害人极速。初觉有之，急用小犀角丸，粉金散治之。
燕窠瘰疬，形似燕窠，不可治。
肺脉微涩，为鼠瘰，在颈支腋之间，下不胜其上，其应善酸。（全文见治虚实法。色白，脉主涩。）
〔《灵枢》〕黄帝说：决其生死怎么办？岐伯说：反视其目，其中有赤脉，上下贯瞳子，见一脉，一岁死。见一脉半，一岁半死。见二脉，二岁死。见二脉半，二岁半死。见三脉，三岁而死。见赤脉不下贯瞳子，可治也。（出自《寒热篇》）
〔丹溪〕夫瘰疬初发，必起于少阳经。不守禁戒，必延及阳明经。大抵食味之浓，郁气之积，曰毒，曰风，曰热，皆此三端，招引变换，须分虚实。彼实者固易治，自非痛断浓味与发气之物，虽易亦难，殊为可虑。以其属胆经，主决断，有相火，而且气多血少，妇人见此，若月经行，不作寒热，可生。稍久转为潮热，其症危矣。自非断欲绝虑食淡，虽神圣不可治也。
(Similar to the effects of *Forsythiae Fructus* [Lianqiao, 连翘], do not use if the sore is not in the Shaoyang meridian) *Arctii Fructus* [Shuniuzi, 黍粘子] (3 fen, do not use if there is no swelling) *Laminariae Thallus* [Kunbu, 昆布] (2 fen, salty taste; use if the sore is extremely hard, as saltiness can soften hardness) *Bulbus Sparganii* [Jingsanleng, 京三棱] (processed, 2 fen) *Rhizoma Curcumae Longae* [Guangzhu, 广术] (3 fen. These two herbs are used when sores are extremely hard; do not use if not hard) *Notopterygii Rhizoma et Radix* [Qianghuo, 羌活], *Angelicae Dahuricae Radix* [Duhuo, 独活], *Saposhnikoviae Radix* [Fangfeng, 防风] (each 1 qian; these three herbs must be associated with Taiyang syndrome of the hand and foot presenting with back pain, neck stiffness, inability to look back, waist feeling like broken, neck feeling like pulled; *Saposhnikoviae Radix* is acrid and warm; even if the sore is above the diaphragm without Taiyang symptoms, it should still be used because it can dissipate nodules and remove wind pathogenic factors from the upper part) *Alpinae Oxyphyllae Fructus* [Yizhiren, 益智仁] (2 fen; add if excessive saliva indicates stomach disharmony, or if vomiting foam/food due to cold in the stomach; do not use otherwise) *Hordei Fructus Germinatus* [Maiya, 麦芽] (1 qian, promotes digestion and strengthens spleen) *Medicated Leaven* [Shenqu, 神曲] (fried, 2 fen, use for indigestion) *Coptidis Rhizoma* [Huanglian, 黄连] (fried, 3 fen, treats irritability and oppression) *Magnoliae Officinalis Cortex* [Houpo, 厚朴] (processed with ginger juice, 1.2 qian, add if abdominal distension occurs) *Phellodendri Cortex* [Huangbai, 黄柏] (fried, 3 fen, add if heat or weakness in legs/feet; if irritable and wanting to remove clothes, this indicates latent fire in the kidney, so it should definitely be added)
Grind all the above into fine powder. Soak steamed wheat cake in decoction, shape into cakes, dry them, and crush into particles the size of rice grains. Take 3 qian per dose, washed down with plain boiled water. If qi is not smooth, add *Citri Reticulatae Pericarpium* [Juhong, 橘红]; if severe, add a little *Aucklandiae Radix* [Muxiang, 木香]. Adjust according to the patient's deficiency or excess; do not let the dosage be too high to interfere with diet. This is the general principle of treatment. If the disease is only in the Yangming branch, remove *Bupleuri Radix* [Chaihu, 柴胡] and *Arctii Fructus* [Shuniuzi, 黍粘子], use the rest. If in the Shaoyang branch, termed "Madao Jia Ying" (Marble Knife with Goiter), remove *Angelicae Dahuricae Radix* [Duhuo, 独活], *Rhapontici Radix* [Loulu, 漏芦], *Bupleuri Radix* [Shengma, 升麻], *Puerariae Radix* [Gegen, 葛根], and add *Cistanches Herba* [Qumai, 瞿麦] 3 fen. If the patient is constitutionally weak but the disease onset shows strong qi and no shortness of breath, do not rely solely on their usual constitution; instead, treat it as an excess condition based on the disease change. Add *Scutellariae Radix* [Huangqin, 黄芩], *Coptidis Rhizoma* [Huanglian, 黄连], *Phellodendri Cortex* [Huangbai, 黄柏], *Anemarrhenae Rhizoma* [Zhimu, 知母], *Stephaniae Tetrandrae Radix* [Fangji, 防己], selecting based on whether the pathogen is in the Upper, Middle, or Lower Jiao. For example, add *Scutellariae Radix* [Huangqin, 黄芩] for Upper Jiao (half wine-washed, half raw); *Coptidis Rhizoma* [Huanglian, 黄连] for Middle Jiao (half wine-soaked, half raw); *Phellodendri Cortex* [Huangbai, 黄柏], *Anemarrhenae Rhizoma* [Zhimu, 知母], *Stephaniae Tetrandrae Radix* [Fangji, 防己] for Lower Jiao. If constipation exacerbates pathogenic excess, add wine-processed *Rhei Radix et Rhizoma* [Dahuang, 大黄] to promote purgation. If blood dryness causes dry stool, add *Persicae Semen* [Taoren, 桃仁] paste and *Rhei Radix et Rhizoma* [Dahuang, 大黄]. If wind-stagnation causes dryness and blockage, add *Cannabis Semen* [Maren, 麻仁] and *Rhei Radix et Rhizoma* [Dahuang, 大黄] to moisten. If wind-dryness prevents bowel movement, add baked *Gleditsiae Sinensis Spina* [Zaorén, 皂角仁], *Rhei Radix et Rhizoma* [Dahuang, 大黄], *Gentianae Macrophytae Radix* [Qinjiao, 秦艽] to facilitate movement. If pulse is choppy and body feels qi-stagnated with constipation, add *Prunus mume* [Yuliren, 郁李仁] and *Rhei Radix et Rhizoma* [Dahuang, 大黄] to dispel wind-dryness. For Yin-cold syndrome causing constipation due to cold stagnation, use *Banliu Wan* (Half-Sulfur Pill) from the Bureau Formula, or decoct processed *Aconiti Lateralis Radix Praeparata* [Fuzi, 附子] and *Zingiberis Rhizoma* [Ganjiang, 干姜], and take cold. Generally, medication principles apply not only to sores but to all diseases where constitutional qi is weak; remove bitter-cold agents and add more *Ginseng Radix* [Renshen, 人参], *Astragali Radix* [Huangqi, 黄芪], *Glycyrrhizae Radix et Rhizoma* [Gancao, 甘草] to drain fire and tonify primal qi. The rest follows this pattern. [Ben Cao] Treats Shuluo (Scrofula).
*Tuber Aconiti Kusnezoffii* [Tufuzi, 土附子] (1 piece) *Halitum* [Shiyan, 食盐] (3 sheng) *Urine* [Xiaobian, 小便] (5 sheng)
Soak the above three together for half a month, then remove. Remove black skin of the tuber, dry in shade, grind to powder. Boil black beans until soft, grind into paste, coat the powder to make pills the size of paulownia seeds. Take 10 pills swallowed with wine, morning and evening.
[Danxi] For initial hard head/neck lesions not yet ulcerated, effect is miraculous. *Ostreae Concha* [Muli, 牡蛎] 4 liang, *Glycyrrhizae Radix et Rhizoma* [Gancao, 甘草] 2 liang, grind to powder. Take 1 da qian per dose, mixed with aged tea after meals, twice daily. Root cured in half a month. (From Chu Yushi's formula, Danxi used this for Shi Yi Da Guan's sore.) Effective for all men and women with scrofula. Calcine *Ostreae Concha* [Muli, 牡蛎] until red hot, remove from wet ground, place on paper overnight to remove fire toxicity. Take 4 liang, *Scrophulariae Radix* [Xuanshen, 玄参] 3 liang, grind together. Make pills with flour paste, size of paulownia seeds. Take 30 pills after meals and before bed with wine. Cure root by end of course. (From *Experience Formula*)
[Zhoubi] Treat submandibular scrofula the size of a plum pit; eliminate quickly. *Sargassum Herba* [Haizao, 海藻] 1 jin, wine 1 sheng, soak for several days, drink slowly.
[Yanyi] Lightly fry *Polygoni Orientalis Fructus* [Liaozizi, 蓼子], grind to fine powder. Mix with mint wine, take 2-3 qian. Effective for long-term scrofula.
[World Doctors] Treat scrofula. Use *Albiziae Cortex* [Yehé Cǎo, 夜合草] (leaves close at night, named Hemim in Materia Medica, common name Lianqianmu, grows in rice fields on water surface). Crush leaves to extract natural juice, drink it; apply dregs to affected area.
[Baoming Ji] Wenwu Gao treats scrofula.
Use 2 dou of ripe black mulberries, squeeze juice through cloth bag, boil in stone vessel into paste. Dissolve one spoon in boiled water, take three times daily. Red ones dry, grind to powder, mix with water.
[Shengji Zonglu] Treat scrofula, swollen/hard/painful, chronic non-healing. Roast wild cat head/hoof bones with酥 (butter/oil) until yellow, grind to powder. Take 1 qian bish empty stomach with porridge drink.
[Ling Shu] Yellow Emperor asked: What qi causes cold-heat scrofula in neck/axilla? Qibo answered: These are toxins from mouse-lobe cold-heat, staying in vessels. Root in zang organs, manifest in neck/axilla. Floating in vessels, not internalized in muscles, externalizing as pus/blood is easy to remove. How to remove? Guide from root to tip to decline disease and cut off cold-heat. Carefully follow the path, slow insertion/removal. Small like wheat grain: one puncture sees effect, three punctures cure. (Cold-Heat Chapter)
This chapter uses meridians to treat scrofula tips via zang organ roots. Tips appearing below/behind ear, down neck to shoulder, or into Suken (supraclavicular fossa): treat Hand/Foot Shaoyang meridians, needle or moxa as follows.
[Bian Que] Scrofula: Tianjing, Jianjing.
[Cuyao] Scrofula: Tianjing (0.5 cun, moxa 7 cones, reducing method)
[Dongyuan] Axillary swelling, Madao Jia Ying, self-biting tongue/cheek, Tianyou swelling, cold-heat: Linqi, Qiuxu (each 1 fen, moxa 5 cones). Taichong (1 fen, moxa 3 cones). Axillary/neck swelling: Tianchi (parallel skin 0.3 cun, moxa 7 cones). If jaw swollen, add Houxi (2 fen, moxa 5 cones). Axillary swelling/Madao Jia Ying/Sore throat: Yangfu (0.5 cun, moxa 14 cones). Shenmai (1 fen, moxa 3 cones, immediate cure).
[Jia Yi Jing) Chest fullness, axillary swelling, Madao Scrofula, self-biting tongue/cheek, Tianyou swelling, limb acid pain, dizziness, occipital/jaw/cheek pain, dry eyes, body bi, chills, hypochondriac fullness, cold-heat, lateral costal/waist/abdomen/knee pain: Linqi governs. Madao swelling/scrofula: Yuanlin, Zhangmen, Zhigou governs. Emerging from chin to Jiache: treat Hand/Foot Yangming meridians, needle/moxa: Zusanli (Foot Yangming), Hegu (Hand Yangming).
[Danxi] Crush fresh *Phytolaccae Radix* [Shanglu, 商陆] root into cake, place on scrofula, moxa on cake. Replace when dry. Moxa 3-4 cakes. (From *Waitai Miyao*)
[World Doctors] Moxa directly on flesh over lesion 14 cones, miraculous effect.
[Dongyuan] Scrofula/Madao: Let one sore emerge first. Fix with square iron ring to prevent migration. Cut open, insert oil-paper wick to keep open, cutting off source. Fast effect. If not breaking or patient refuses, apply medicine, change every 3 days. Main formula: Longquan San (see Biao-Li section).
[World Doctors] Scrofula often on shoulder/neck, red/white, deep/superficial. Starts like bean, becomes nodule. Over years, size of plum or chicken egg, arranged in rows. Commonly called Pan She Luo (Coiled Snake Scrofula). Mental exertion/overthinking leads to pain/swelling. Early treatment best. Liuzhu Scrofula common in women. Irritable nature, qi stagnation, obsessive mind. Starts on neck, after rupture pus flows to limbs, systemic toxicity like plum/apricot. Unhealed ruptures connect holes, cold-heat pain, pus flow. Named Liuzhu Scrofula or Thousand-Year Sore. Take Tuoli Jiuku Shenyin Wan.
*Radix Aconiti Carmichaelii* [Chuanwu, 川乌] (peeled, raw, 1 liang) *Radix Aconiti* [Wutou, 乌头] (5 liang) *Angelicae Sinensis Radix* [Danggui, 当归] (wine soaked overnight) *Myrrha* [Moyao, 没药] *Angelicae Dahuricae Radix* [Baizhi, 白芷] *Citri Reticulatae Pericarpium* [Chenpi, 陈皮] *Glycyrrhizae Radix et Rhizoma* [Gancao Jie, 甘草节] (each 1 liang) *Bombyx Batryticatus* [Chantui, 蝉蜕] (washed, 0.5 liang) *Gleditsiae Sinensis Fructus* [Da Zaorao, 大皂角] (7 pieces, peeled) *Curcumae Longae Rhizoma* [Jianghuang, 姜黄] (1.5 liang)
Crush gourd melon, decoct in 4 bowls water to 2 bowls, filter. Decoct Wutou/Chuanwu in filtrate until soft, mash to paste. Other herbs grind separately, mix with paste to make paulownia-sized pills. Take 60 pills with mint tea regardless of hunger/fullness.
If ulcerated with holes, fleshy growth like finger appears (black/white), due to wind/qi conflict. Use wind-dispelling/qi-regulating formula: Huaqi Tiaojing Tang.
Alternate Huaqi Tiaojing Tang and Shenyin Wan for Liuzhu Scrofula.
*Aucklandiae Radix* [Xiangfu, 香附] (wine soaked overnight, dried, 1 liang) *Citri Reticulatae Pericarpium* [Jupi, 橘皮] (2 liang) *Notopterygii Rhizoma et Radix* [Qianghuo, 羌活] (1 liang) *Angelicae Dahuricae Radix* [Baizhi, 白芷] (1 liang) *Glycyrrhizae Radix et Rhizoma* [Gancao, 甘草] (0.5 liang) *Ostreae Concha* [Muli, 牡蛎] (calcined, 0.5 liang) *Trichosanthis Radix* [Tianguafen, 天花粉] *Gleditsiae Sinensis Spina* [Zaocishi, 皂角刺] (each 0.5 liang)
Grind to powder. Take 2 qian with clear water anytime, 3 times daily.
If pulse is forceful, first use Zhuidu Shenyi Tang, then Jiuku Shenyin Wan.
*Cinnabar* [Chensha, 辰砂] *Dragon's Blood* [Xuejie, 血竭] (each 1 qian) *Moschus* [Shexiang, 麝香] (1 zi, fine powder) *Rhei Radix et Rhizoma* [Dahuang, 大黄] (0.5 liang) *Glycyrrhizae Radix et Rhizoma* [Da Gancao Jie, 大甘草节] (0.5 liang)
Coarse powder, decoct 1 bowl river water to 0.5 bowl. Mix with fine powder, take before bed.
Single-nest scrofula: single lesion on neck, hardest to treat. Take previous meds, will resolve over time. Occurring on fontanelle also hard to treat. Use toxic drugs, avoid prolonged soaking.
Lotus seed scrofula: capsule holds dozens, on sides of neck, movable by touch. Treatable. Hard/imovable means incurable. Chills/fever, dry thirst: very hard to treat, even sages cannot help.
Chongtai Scrofula: on neck, left/right. Single nest stacked top/bottom. Incurable by meds/acupuncture. Toxic spread causes severe swelling/pain/thirst/phlegm. High mortality. Early detection: use Xiaoxijiao Wan, Fenjin San.
Yanke Scrofula: shaped like swallow nest, incurable.
Lung pulse slightly choppy indicates Mouse Scrofula between neck/axilla. Lower body cannot support upper. Corresponds to sour taste. (See Deficiency/Excess methods. White color, choppy pulse.)
[Ling Shu] Yellow Emperor: How to determine life/death? Qibo: Look at eyes. Red vessels piercing pupil: 1 vessel = death in 1 year. 1.5 = 1.5 years. 2 = 2 years. 2.5 = 2.5 years. 3 = 3 years. Red vessels NOT piercing pupil: treatable. (Cold-Heat Chapter)
[Danxi] Scrofula starts in Shaoyang. Ignoring taboos spreads to Yangming. Rich food/stagnant qi create toxin/wind/heat. Must distinguish deficiency/excess. Excess is easier to treat, but requires strict diet/lifestyle changes. Belongs to Gallbladder meridian, governs decision-making, has Ministerial Fire, qi abundant/blood scarce. Women: if menstruation occurs without cold-heat, survival likely. Prolonged case turns to tidal fever, critical. Without abstinence/dietary blandness, even sages cannot cure.