【方歌】五瘿属阳六瘤阴，瘿别血气肉石筋，瘤气血肉脂筋骨，
惟脂开溃不伤身，瘿蒂细小红不紧，瘤根温大亮白新，
证由内外风水气，疗治须当戒怒嗔。
【注】瘿瘤二证，发于皮肤血肉筋骨之处。瘿者，如缨络之状
；瘤者，随气留住，故有是名也。多外因六邪，荣卫气
血凝郁；内因七情，忧恚怒气，湿痰瘀滞，山风水气而
成，皆不痛痒。瘿证属阳，色红而高突，皮宽不急，蒂
小而下垂；瘤证属阴，色白而漫肿，皮嫩而光亮，顶小
而根大。瘿有五种：肉色不变者，为肉瘿，其筋脉现露
者，名筋瘿；若赤脉交络者，名血瘿；随喜怒消长者，
名气瘿；坚硬推之不移者，名石瘿。五瘿皆不可破，破
则脓血崩溃，多致伤生。瘤有六种：坚硬紫色，累累青
筋，盘曲若蚯蚓状者，又筋瘤，又名石瘤；微紫微红，
软硬间杂，皮肤中隐隐若红丝纠缠，时时牵痛，误有触
破，而血流不止者，名血瘤；或软如绵，或硬如馒，皮
色如常，不紧不宽，始终只似覆肝，名肉瘤；软而不坚
，皮色如常，随喜怒消长，无寒无热者，名气瘤，久日
化脓流出，又名脓瘤也；形色紫黑，坚硬如石，疙瘩叠
起，推之不移，昂昂坚贴于骨者，名骨瘤；软而不破，
皮色淡红者，名脂瘤，即粉瘤也，六瘤之形色如此。
凡瘿多生于肩项两颐，瘤则随处有之。夫肝统筋，怒气
动肝，则火盛血燥，致生筋瘿、筋瘤，宜清肝解郁，养
血舒筋，清肝芦荟丸主之。心主血，暴戾太甚，则火旺
逼血沸腾，复被外邪所搏，致生血瘿、血瘤，宜养血、
凉血、抑火、滋阴、安敛心神、调和血脉，芩连二母丸
主之。脾主肌肉，郁结伤脾，肌肉浇薄，土气不行，逆
于肉里，致生肉瘿、内瘤，宜理脾宽中、疏通戊土、开
郁行痰、调理饮食，加味归脾丸主之。肺主气，劳伤元
气，腠里不密，外寒搏之，致生气瘿、气瘤宜清肺气、
调经脉、理劳伤、和荣卫，通气散坚丸主之。肾主骨，
恣欲伤肾，肾火郁遏，骨无荣养，致生石瘿、骨瘿，石
瘤海藻玉壶汤主之，骨瘤尤宜补肾散坚，行瘀利窍，调
元肾气丸主之。瘿瘤诸证，用药缓缓消磨，自然缩小；
若久而脓血崩溃，渗漏不已者，皆为逆证，不可轻用刀
针决破，以致出血不止，立见卮殆。惟粉瘤可破，其色
粉红，多生耳项前后，亦有生于下体者，全系痰凝气结
而成，治宜铍针破去脂粉，以白降丹捻子插入数次，将
内膜化净，用生肌玉红膏贴之自愈。
又有一种黑砂瘤，多生臀腿，肿突大小不一，以手摄起
，内有黑色即是，亦用针刺出黑砂有声，软硬不一。又
有发瘤，多生耳后发下寸许，软小高突，按之不痛，亦
用针刺之，粉发齐出。又有虱瘤，发后其痒彻骨，开破
出虱无数，内有极大一虱出，其虱方尽。黑砂、发、虱
三瘤，外治皆同粉瘤之法，其口方收。又有虫瘤，每生
胁下，治法当按痈疽肿疡、溃疡门。但本忧思化成，每
难获效，诸证形状各异，皆五脏湿热邪火浊瘀，各有所
感而成，总非正气之所化也。
方剂：清肝芦荟丸
组成：当归 生地（酒浸，捣膏）
白芍（酒炒） 川芎（各二两）
黄连 青皮
海粉 牙皂
甘草节 昆布（酒洗）
芦荟（各五钱）
上为细末，神麴糊丸，如梧桐子大。每服八十丸，
白滚水量病上下，食前后服之。
【方歌】清肝芦荟怒伤肝，筋结瘿瘤血燥原，四物黄连青海粉，
牙皂甘昆麴糊丸。
又方：芩连二母丸
组成：黄芩 黄连
知母 贝母（去心）
当归 白芍（酒炒）
羚羊角（镑） 生地
熟地 蒲黄
地骨皮 川芎（各一两）
甘草（生，五钱）
上为末，侧柏叶煎汤，打寒食面糊为丸，如梧桐子
大。每服七十丸，灯心煎汤送下。
【方歌】芩连二母血瘤瘿，血沸寒凝微紫红，归芍羚羊生熟地，
蒲黄地骨草川芎。
又方：加味归脾丸
组成：香附 人参
酸枣仁（炒） 远志（去心）
当归 黄耆
乌药 陈皮
茯神 白术（土炒）
贝母（去心，各一两） 木香
甘草（炙，各三钱）
上为细末，合欢树根皮四两煎汤，煮老米糊为丸，
如梧桐子大。每服六十丸，食远，白滚水送下。
【方歌】加味归脾香附参，枣远归耆乌药陈，茯神术草木香贝，
消瘿除瘤脾郁伸。
又方：通气散坚丸
组成：人参 桔梗
川芎 当归
花粉 黄芩（酒炒）
枳实（麸炒） 陈皮
半夏（制） 白茯苓
胆星 贝母（去心）
海藻（洗） 香附
石菖蒲 甘草（生，各一两）
上为细末，荷叶煎汤为丸，如豌豆大。每服一钱，
食远，灯心、生姜煎汤送下。
【方歌】通气散瘿坚气瘤，麦桔芎归花粉投，芩枳二陈星贝藻，
香附石菖患渐瘳。
又方：海藻玉壶汤
组成：海藻（洗） 陈皮
贝母（去心） 连翘（去心）
昆布 半夏（制）
青皮 独活
川芎 当归
甘草（节，各一钱） 海带（洗，五分）
水二钟，煎八分，量病上、下，食前后服之。
【方歌】海藻玉壶汤石瘿，陈贝连翘昆半青，独活芎归甘海带，
化硬消坚最有灵。
又方：调元肾气丸
组成：生地（酒煮，捣膏，四两） 山萸肉
山药（炒） 丹皮
白茯苓（各二两） 泽泻
麦冬（去心，捣膏） 人参
当归身 龙骨（〔火段〕）
地骨皮（各一两） 知母（童便炒）
黄柏（盐水炒，各五钱） 缩砂仁（炒）
木香（各三钱）
共研细末，鹿角胶四两，老酒化稠，加蜂蜜四两同
煎，滴水成珠，和药为丸，如梧桐子大。每服八十丸，
空心温酒送下。忌萝卜、火酒、房事。
【方歌】调元肾气缩砂石，六味地黄知麦参，归柏木香龙地骨，
骨瘤服此又滋阴。
又方：白降丹、生肌玉龙膏（俱见溃疡门）
【方歌】五种瘿病属于阳证，六种瘤病属于阴证。瘿分为血、气、肉、石、筋五类；瘤分为气、血、肉、脂、筋、骨六类。只有脂瘤溃破后不会损伤身体。瘿病的蒂部细小，颜色红而不紧绷；瘤病的根部宽大，色泽白而光亮如新。这些病症由内外因素的风、水、气邪引起，治疗时必须戒除愤怒和嗔恨。
【注】瘿和瘤这两种病症，发生在皮肤、血肉、筋骨之处。所谓“瘿”，形状像缨络（帽带结）；所谓“瘤”，随着气机停留而形成，因此得名。多因外感六淫邪气，导致营卫气血凝滞郁结；或因内伤七情，忧愤怒气，湿痰瘀血阻滞，以及山岚风水之气而成，通常都不痛不痒。瘿证属于阳证，颜色红且高突，皮肤宽松不紧缩，蒂小而下垂；瘤证属于阴证，颜色白且漫肿，皮肤嫩而光亮，顶部小而根部大。
瘿有五种：肤色不变者，称为肉瘿；筋脉显露者，称为筋瘿；若赤色脉络交错者，称为血瘿；随喜怒情绪消长变化者，称为气瘿；坚硬推之不移者，称为石瘿。这五种瘿都不可切开，一旦切开则脓血崩溃，大多会导致生命危险。
瘤有六种：坚硬紫色，累累青筋盘曲如蚯蚓状者，又名为筋瘤，又名石瘤；微紫微红，软硬相间，皮肤中隐隐可见红丝纠缠，时常牵拉疼痛，误触破后血流不止者，称为血瘤；或软如棉絮，或硬如馒头，皮色正常，不紧不宽，始终像倒扣的肝脏一样，称为肉瘤；软而不坚，皮色正常，随喜怒消长，无寒热感觉者，称为气瘤，日久化脓流出，又名为脓瘤；形色紫黑，坚硬如石头，疙瘩叠起，推之不移，紧贴于骨者，称为骨瘤；软而不破，皮色淡红者，称为脂瘤，即粉瘤。这六种瘤的形态颜色如此。
凡是瘿多生于肩颈两侧和下颌部位，瘤则随处都有。肝统管筋，愤怒伤肝，则火盛血燥，导致产生筋瘿、筋瘤，宜用清肝解郁、养血舒筋的方法，以清肝芦荟丸为主治方。心主血，暴戾太甚，则火旺逼血沸腾，再被外邪搏击，导致产生血瘿、血瘤，宜用养血、凉血、抑火、滋阴、安神敛心、调和血脉的方法，以芩连二母丸为主治方。脾主肌肉，郁结伤脾，肌肉消瘦变薄，脾气不行，逆阻于肌肉纹理之间，导致产生肉瘿、肉瘤，宜用理脾宽中、疏通脾胃之气、开郁行痰、调理饮食的方法，以加味归脾丸为主治方。肺主气，劳损元气，腠理不密，外寒搏击，导致产生气瘿、气瘤，宜用清肺气、调经脉、理劳伤、调和营卫的方法，以通气散坚丸为主治方。肾主骨，纵欲伤肾，肾火郁遏，骨骼缺乏荣养，导致产生石瘿、骨瘤，石瘤用海藻玉壶汤主治，骨瘤尤其宜用补肾散坚、行瘀利窍的方法，以调元肾气丸为主治方。
对于瘿瘤诸证，用药应缓缓消磨，使其自然缩小；如果日久脓血崩溃，渗漏不止者，都属于逆证，不可轻易用刀针决破，以致出血不止，立即危及生命。只有粉瘤可以切开，其色粉红，多生于耳项前后，也有生于下体的，完全由痰凝气结而成，治疗宜用铍针切开去除脂粉，将白降丹药捻插入数次，将内膜化净，再用生肌玉红膏贴敷，即可自愈。
又有一种黑砂瘤，多生于臀部和大腿，肿突大小不一，用手提起，内有黑色物质即为确诊，也用针刺出黑砂有声，质地软硬不一。又有发瘤，多生于耳后头发下一寸左右处，软小高突，按压不痛，也用针刺之，粉末状的头发全部出来。又有虱瘤，发作时瘙痒彻骨，切开破口后流出无数虱子，其中有一个极大的虱子出来，其余的虱子才排尽。黑砂、发、虱这三种瘤，外治法都与粉瘤相同，伤口才能愈合。又有虫瘤，每生于胁下，治法应当参照痈疽肿疡、溃疡门的处理方法。但本病由忧思化成，往往难以见效。诸证形状各异，都是五脏湿热邪火浊瘀，各自有所感受而成，总不是正气所化生的。
方剂：清肝芦荟丸
组成：当归、生地（酒浸，捣膏）、白芍（酒炒）、川芎（各二两）、黄连、青皮、海粉、牙皂、甘草节、昆布（酒洗）、芦荟（各五钱）。
上药研为细末，用神曲糊制成丸，如梧桐子大。每次服用八十丸，根据病情在上半身或下半身，饭前或饭后用白开水送服。
【方歌】清肝芦荟治怒伤肝，筋结瘿瘤源于血燥，四物汤合黄连、青黛、海粉，牙皂、甘草、昆布、神曲糊丸。
又方：芩连二母丸
组成：黄芩、黄连、知母、贝母（去心）、当归、白芍（酒炒）、羚羊角（镑片）、生地、熟地、蒲黄、地骨皮、川芎（各一两）、甘草（生用，五钱）。
上药研为末，用侧柏叶煎汤，打寒食面糊制成丸，如梧桐子大。每次服用七十丸，用灯心草煎汤送下。
【方歌】芩连二母丸治血瘤瘿，血沸寒凝致微紫红，归芍、羚羊角、生熟地，蒲黄、地骨皮、甘草、川芎。
又方：加味归脾丸
组成：香附、人参、酸枣仁（炒）、远志（去心）、当归、黄芪、乌药、陈皮、茯神、白术（土炒）、贝母（去心，各一两）、木香、甘草（炙，各三钱）。
上药研为细末，用合欢树根皮四两煎汤，煮老米糊制成丸，如梧桐子大。每次服用六十丸，饭后较长时间，用白开水送下。
【方歌】加味归脾丸含香附、人参，枣仁、远志、当归、黄芪、乌药、陈皮，茯神、白术、木香、贝母，可消瘿除瘤，舒展脾郁。
又方：通气散坚丸
组成：人参、桔梗、川芎、当归、花粉、黄芩（酒炒）、枳实（麸炒）、陈皮、半夏（制）、白茯苓、胆星、贝母（去心）、海藻（洗）、香附、石菖蒲、甘草（生用，各一两）。
上药研为细末，用荷叶煎汤制成丸，如豌豆大。每次服用一钱，饭后较长时间，用灯心草、生姜煎汤送下。
【方歌】通气散坚丸治瘿坚气瘤，麦冬、桔梗、川芎、当归、花粉投用，黄芩、枳实、二陈汤、胆星、贝母、海藻，香附、石菖蒲使病患渐愈。
又方：海藻玉壶汤
组成：海藻（洗）、陈皮、贝母（去心）、连翘（去心）、昆布、半夏（制）、青皮、独活、川芎、当归、甘草（节，各一钱）、海带（洗，五分）。
水两钟，煎至八分，根据病情在上半身或下半身，饭前或饭后服用。
【方歌】海藻玉壶汤治石瘿，陈皮、贝母、连翘、昆布、半夏、青皮，独活、川芎、当归、甘草、海带，化硬消坚最有灵验。
又方：调元肾气丸
组成：生地（酒煮，捣膏，四两）、山萸肉、山药（炒）、丹皮、白茯苓（各二两）、泽泻、麦冬（去心，捣膏）、人参、当归身、龙骨（煅）、地骨皮（各一两）、知母（童便炒）、黄柏（盐水炒，各五钱）、缩砂仁（炒）、木香（各三钱）。
共研细末，用鹿角胶四两，老酒化开成稠状，加蜂蜜四两同煎，滴水成珠，与药粉混合制成丸，如梧桐子大。每次服用八十丸，空腹用温酒送下。忌食萝卜、烈性酒及房事。
【方歌】调元肾气丸含缩砂、石菖蒲、地黄，六味地黄丸合知母、麦冬、人参，当归、黄柏、木香、龙骨、地骨皮，骨瘤服用此方可兼滋阴。
[Formula Song] The five types of Ying (goiter) belong to Yang, and the six types of Liu (tumors) belong to Yin. Ying is categorized into blood, qi, flesh, stone, and tendon; Liu is categorized into qi, blood, flesh, fat, tendon, and bone. Only Fat Liu (lipoma), when ulcerated, does not damage the body. The pedicle of Ying is thin, red in color, and not tight; the root of Liu is wide, white in color, and bright like new. These conditions arise from wind, water, and qi pathogens affecting the interior and exterior. Treatment requires abstaining from anger and resentment.
[Note] Ying and Liu are conditions occurring in the skin, flesh, blood, and bones. "Ying" resembles a tassel or knot; "Liu" refers to masses that remain stationary due to Qi stagnation, hence the name. They are mostly caused by external contraction of the Six Evils (pathogenic factors), leading to coagulation and stagnation of Ying (Defensive) and Wei (Nutritive) Qi and Blood; or internally by the Seven Emotions, such as worry, indignation, and anger, causing damp-phlegm and blood stasis obstruction, as well as mountain wind and water qi. They typically present without pain or itching. Ying conditions are Yang-type: red in color, elevated and protruding, with loose skin that is not tight, having a small pedicle and hanging down. Liu conditions are Yin-type: white in color, diffusely swollen, with tender and shiny skin, a small apex, and a large base.
There are five types of Ying: Those with unchanged skin color are called Rou Ying (Flesh Goiter); those with visible tendons are called Jin Ying (Tendon Goiter); those with intersecting red vessels are called Xue Ying (Blood Goiter); those that fluctuate in size with emotions of joy and anger are called Qi Ying (Qi Goiter); those that are hard and immovable upon pushing are called Shi Ying (Stone Goiter). None of these five Ying should be incised; if incised, pus and blood will collapse, often leading to fatal consequences.
There are six types of Liu: Hard and purple, with clustered blue veins coiling like earthworms, is also called Jin Liu (Tendon Tumor) or Shi Liu (Stone Tumor); slightly purple or red, mixed hardness and softness, with hidden red threads entangled in the skin, causing occasional pulling pain, and continuous bleeding if accidentally broken, is called Xue Liu (Blood Tumor); soft as cotton or hard as a steamed bun, with normal skin color, neither tight nor loose, resembling an inverted liver throughout, is called Rou Liu (Flesh Tumor); soft but not firm, normal skin color, fluctuating with emotions, without cold or heat sensations, which may suppurate over time, is called Qi Liu (Qi Tumor) or Nong Liu (Pus Tumor); purple-black in color, hard as stone, nodular and stacked, immovable, and firmly attached to the bone, is called Gu Liu (Bone Tumor); soft and unbroken, with pale red skin, is called Zhi Liu (Fat Tumor), also known as Fen Liu (Powder Tumor). Thus are the shapes and colors of the six Liu.
Ying generally occurs on the shoulders, neck, and both sides of the jaw; Liu can occur anywhere. The Liver governs the tendons; anger injures the Liver, causing excessive fire and dry blood, leading to Jin Ying and Jin Liu. Treatment should clear the Liver, resolve depression, nourish blood, and relax tendons, primarily using Qinggan Lulu Wan (Liver-Clearing Aloe Pill). The Heart governs blood; excessive violence causes fire to surge and boil blood, combined with external pathogens, leading to Xue Ying and Xue Liu. Treatment should nourish blood, cool blood, suppress fire, nourish Yin, calm and anchor the Shen (Spirit), and harmonize blood vessels, primarily using Qinlian Ermu Wan (Scutellaria and Coptis Two Mother Pills). The Spleen governs muscles; depression injures the Spleen, causing muscle wasting and failure of Earth Qi to circulate, reversing into the muscle tissue, leading to Rou Ying and Rou Liu. Treatment should regulate the Spleen, broaden the middle, unblock Stomach Qi, resolve depression, move phlegm, and adjust diet, primarily using Jiawei Guipi Wan (Modified Restore the Spleen Pill). The Lung governs Qi; labor injury depletes Yuan Qi, making the Couli (pores) loose, allowing external cold to attack, leading to Qi Ying and Qi Liu. Treatment should clear Lung Qi, regulate meridians, remedy labor injury, and harmonize Ying and Wei, primarily using Tongqi Sanjian Wan (Unblocking Qi and Dissolving Hardness Pill). The Kidney governs bones; indulgence injures the Kidney, causing Kidney Fire to be suppressed and bones lacking nourishment, leading to Shi Ying and Gu Liu. Shi Liu is treated primarily with Haizao Yuhu Tang (Seaweed Jade Pot Decoction); Gu Liu especially requires tonifying the Kidney, dissipating hardness, moving blood stasis, and benefiting orifices, primarily using Yaoyuan Shenqi Wan (Regenerating Origin Kidney Qi Pill).
For all Ying and Liu conditions, medications should be used slowly to gradually dissolve them until they shrink naturally. If they persist for a long time and pus and blood collapse with continuous leakage, these are adverse signs. Do not lightly use knives or needles to incise, lest uncontrollable bleeding lead to immediate danger. Only Fen Liu (Powder Tumor/Lipoma) can be incised. It is pinkish-red, often occurring before and behind the ears, or sometimes on the lower body, formed entirely by phlegm condensation and Qi knotting. Treatment should use a Pi Zhen (blade needle) to incise and remove the fat powder, insert Baijiang Dan (White Reduction Powder) moxa sticks several times to dissolve the inner membrane, and apply Shengji Yuhong Gao (Regenerate Flesh Jade Red Ointment) for self-healing.
Another type is Heisha Liu (Black Sand Tumor), often occurring on the buttocks and thighs, with varying sizes of swelling. When lifted by hand, black matter inside confirms the diagnosis. Puncture with a needle releases black sand with sound; texture varies in hardness. Another is Fa Liu (Hair Tumor), often occurring about one cun below the hair behind the ear, soft, small, and protruding, painless on pressure. Puncture with a needle expels powdery hair completely. Another is Shi Liu (Louse Tumor), where itching penetrates the bone during onset. Upon opening and breaking, countless lice emerge, ending only when one extremely large louse exits. For Heisha, Fa, and Shi Liu, external treatment follows the same method as Fen Liu, allowing the wound to heal. Another is Chong Liu (Worm Tumor), often occurring under the hypochondrium. Treatment should follow the guidelines for Yong Ju (Carbuncles and Ulcers) swellings and ulcers. However, since this arises from sorrow and thinking, it is often difficult to achieve efficacy. The shapes of these conditions vary, all resulting from damp-heat, evil fire, turbidity, and stasis in the Five Zang Organs, contracted from various sources, and none are generated by righteous Qi.
Formula: Qinggan Lulu Wan (Liver-Clearing Aloe Pill)
Ingredients: Dang Gui (Angelicae Sinensis Radix), Sheng Di Huang (Rehmanniae Radix Preparata, soaked in wine, pounded into paste), Bai Shao (Paeoniae Radix Alba, stir-fried with wine), Chuan Xiong (Ligustici Chuanxiong Rhizoma) (each 2 liang); Huang Lian (Coptidis Rhizoma), Qing Pi (Citri Reticulatae Pericarpium Viride), Hai Fen (Concha Meretricis et Cyclinae), Ya Zao (Gleditsiae Sinensis Fructus Spina), Gan Cao Jie (Glycyrrhizae Radix et Rhizoma with nodes), Kun Bu (Eckloniae Thallus, washed with wine), Lu Hui (Aloe) (each 5 qian).
Grind into fine powder, make pills with Shen Qu (Mass Medicamentosa) paste, size of Sophora japonica seeds. Take 80 pills each time, with plain boiled water, according to the location of the disease (upper or lower body), taken before or after meals.
[Formula Song] Qinggan Lulu treats Liver injury from anger, tendon knots and Ying/Liu originate from dry blood; Four Substances, Huang Lian, Qing Dai, Hai Fen; Ya Zao, Gan Cao, Kun Bu, Shen Qu paste pills.
Another Formula: Qinlian Ermu Wan (Scutellaria and Coptis Two Mother Pills)
Ingredients: Huang Qin (Scutellariae Radix), Huang Lian (Coptidis Rhizoma), Zhi Mu (Anemarrhenae Rhizoma), Bei Mu (Fritillariae Cirrhosae Bulbus, heart removed), Dang Gui (Angelicae Sinensis Radix), Bai Shao (Paeoniae Radix Alba, stir-fried with wine), Ling Yang Jiao (Capricornu Saigae Tataricae, shaved), Sheng Di Huang (Rehmanniae Radix Preparata), Shu Di Huang (Rehmanniae Radix Preparata, processed), Pu Huang (Typhae Pollen), Di Gu Pi (Lycii Cortex), Chuan Xiong (Ligustici Chuanxiong Rhizoma) (each 1 liang); Gan Cao (Glycyrrhizae Radix et Rhizoma, raw, 5 qian).
Grind into powder, decoct Ce Bai Ye (Biota Tops) in water, mix with Han Shi Mian (Cold Food Dough) paste to make pills, size of Sophora japonica seeds. Take 70 pills each time, delivered with Deng Xin Cao (Junci Medulla) decoction.
[Formula Song] Qinlian Ermu treats Blood Tumor and Ying, boiling blood and cold coagulation cause slight purple-red; Dang Gui, Bai Shao, Ling Yang Jiao, Sheng/Shu Di Huang; Pu Huang, Di Gu Pi, Gan Cao, Chuan Xiong.
Another Formula: Jiawei Guipi Wan (Modified Restore the Spleen Pill)
Ingredients: Xiang Fu (Cyperi Rhizoma), Ren Shen (Ginseng Radix et Rhizoma), Suan Zao Ren (Ziziphi Spinosae Semen, stir-fried), Yuan Zhi (Polygalae Radix, heart removed), Dang Gui (Angelicae Sinensis Radix), Huang Qi (Astragali Radix), Wu Yao (Linderae Radix), Chen Pi (Citri Reticulatae Pericarpium), Fu Shen (Poria with Hostwood), Bai Zhu (Atractylodis Macrocephalae Rhizoma, stir-fried with earth), Bei Mu (Fritillariae Cirrhosae Bulbus, heart removed) (each 1 liang); Mu Xiang (Aucklandiae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) (each 3 qian).
Grind into fine powder, decoct He Huan Pi (Albiziae Cortex) four liang in water, cook Lao Mi Hu (old rice paste) to make pills, size of Sophora japonica seeds. Take 60 pills each time, well after meals, delivered with plain boiled water.
[Formula Song] Jiawei Guipi contains Xiang Fu and Ren Shen, Zao Ren, Yuan Zhi, Dang Gui, Huang Qi, Wu Yao, Chen Pi; Fu Shen, Bai Zhu, Mu Xiang, Bei Mu; eliminates Ying and Liu, extends Spleen depression.
Another Formula: Tongqi Sanjian Wan (Unblocking Qi and Dissolving Hardness Pill)
Ingredients: Ren Shen (Ginseng Radix et Rhizoma), Jie Geng (Platycodonis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), Hua Fen (Trichosanthis Radix), Huang Qin (Scutellariae Radix, stir-fried with wine), Zhi Shi (Aurantii Fructus Immaturus, bran-fried), Chen Pi (Citri Reticulatae Pericarpium), Ban Xia (Pinelliae Rhizoma Preparatum), Bai Fu Ling (Poria), Dan Xing (Arisaematis Cum Bile), Bei Mu (Fritillariae Cirrhosae Bulbus, heart removed), Hai Zao (Sargassum Thallus, washed), Xiang Fu (Cyperi Rhizoma), Shi Chang Pu (Acori Tatarinowii Rhizoma), Gan Cao (Glycyrrhizae Radix et Rhizoma, raw) (each 1 liang).
Grind into fine powder, make pills with He Ye (Nelumbinis Folium) decoction, size of pea seeds. Take 1 qian each time, well after meals, delivered with Deng Xin Cao (Junci Medulla) and Sheng Jiang (Zingiberis Rhizoma Recens) decoction.
[Formula Song] Tongqi Sanjian treats Ying hardness and Qi Liu, Mai Dong, Jie Geng, Chuan Xiong, Dang Gui, Hua Fen administered; Huang Qin, Zhi Shi, Er Chen Tang, Dan Xing, Bei Mu, Hai Zao; Xiang Fu, Shi Chang Pu, patients gradually recover.
Another Formula: Haizao Yuhu Tang (Seaweed Jade Pot Decoction)
Ingredients: Hai Zao (Sargassum Thallus, washed), Chen Pi (Citri Reticulatae Pericarpium), Bei Mu (Fritillariae Cirrhosae Bulbus, heart removed), Lian Qiao (Forsythiae Fructus, heart removed), Kun Bu (Eckloniae Thallus), Ban Xia (Pinelliae Rhizoma Preparatum), Qing Pi (Citri Reticulatae Pericarpium Viride), Du Huo (Angelicae Pubescentis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Dang Gui (Angelicae Sinensis Radix), Gan Cao Jie (Glycyrrhizae Radix et Rhizoma with nodes) (each 1 qian), Hai Dai (Laminariae Thallus, washed, 5 fen).
Decoct in two zhong of water until eight fen remains. Take before or after meals, depending on whether the disease is in the upper or lower body.
[Formula Song] Haizao Yuhu Tang treats Stone Ying, Chen Pi, Bei Mu, Lian Qiao, Kun Bu, Ban Xia, Qing Pi; Du Huo, Chuan Xiong, Dang Gui, Gan Cao, Hai Dai; dissolves hardness and eliminates firmness, most spiritual.
Another Formula: Yaoyuan Shenqi Wan (Regenerating Origin Kidney Qi Pill)
Ingredients: Sheng Di Huang (Rehmanniae Radix Preparata, boiled in wine, pounded into paste, 4 liang), Shan Yu Rou (Corni Fructus), Shan Yao (Dioscoreae Rhizoma, stir-fried), Mu Dan Pi (Moutan Cortex), Bai Fu Ling (Poria) (each 2 liang), Ze Xie (Alismatis Rhizoma), Mai Dong (Ophiopogonis Radix, heart removed, pounded into paste), Ren Shen (Ginseng Radix et Rhizoma), Dang Gui Shen (Angelicae Sinensis Radix radix portion), Long Gu (Fossilia Ossis Mastodi, calcined), Di Gu Pi (Lycii Cortex) (each 1 liang), Zhi Mu (Anemarrhenae Rhizoma, stir-fried with child's urine), Huang Bo (Phellodendri Cortex, stir-fried with salt water) (each 5 qian), Suo Sha Ren (Amomi Fructus, stir-fried), Mu Xiang (Aucklandiae Radix) (each 3 qian).
Grind into fine powder. Use Lu Jiao Jiao (Colla Cornus Cervi) four liang, melted in old wine to a thick consistency, add Si Liang of honey, decoct together until drops form pearls. Mix with medicine powder to make pills, size of Sophora japonica seeds. Take 80 pills each time, on an empty stomach with warm wine. Avoid radishes, strong alcohol, and sexual intercourse.
[Formula Song] Yaoyuan Shenqi contains Suo Sha, Shi Chang Pu, Liu Wei Di Huang, Zhi Mu, Mai Dong, Ren Shen; Dang Gui, Huang Bo, Mu Xiang, Long Gu, Di Gu Pi; taking this for Bone Liu also nourishes Yin.
Another Formula: Baijiang Dan (White Reduction Powder), Shengji Yulong Gao (Regenerate Flesh Jade Dragon Ointment) (both see Section on Ulcers).