《病源论》云∶恶核肿者，肉里忽有核，累累如梅李，小有如豆粒，皮内酸痛，左右走
身中，猝然而起，此风邪挟毒所成。其亦似射工毒。初得无常处，多恻恻痛。不即治，毒入
腹，烦闷恶寒即杀人也。久不瘥，则变作 。
《短剧方》云∶有恶核病者，肉中忽有核累累如梅李核状，小者如豆粒，皮肉中酸痛，
左右走人身中，壮热 KT 畏寒是也。与诸疮痕瘰 、结筋相似。其疮痕瘰 要因疮而生，
是缓疾无毒。其恶核病，猝然而起，有毒，不治，入腹烦闷则杀人。南方多有此疾，皆是冬
月受温风，至春夏有暴寒冷相搏，气结成此毒也。宜服五香连翘汤，以小豆薄涂之得消也。
亦煮五香汤，去滓，时时洗渍之，消化之后，以丹参膏敷余核令消尽，不消尽者，还敷小豆
薄也。
五香连翘汤 治恶脉及恶核，瘰 、风结诸核肿气痛方∶
青木香（二两） 麝香（半两） 沉木香（二两） 薰陆香（一两） 鸡舌香（一两） 连
翘子（二两） 夜干（二两） 升麻（二两） 独活（二两） 寄生（二两） 大黄（三两）
甘草（二两） 淡竹沥（二升）
凡十三物， 咀，以水九升煮药，计水减半许可纳竹沥汁，又克取三升，分三服。
丹参膏 治恶脉及恶核、瘰 、风结诸核肿气肿痛方∶
丹参（二两） 蒴 根（二两） 草（半两） 秦胶（一两） 独活（一两） 踯躅
花（半两） 蜀椒（半两） 白芨（一两） 牛膝（一两） 菊花（一两） 木防己（一两）
乌头（一两）
凡十二物，细切为善，以苦酒二升渍之一宿，夏月半日。急疾即煎之，以猪膏四升煎苦
酒竭，勿令暴焦熬也，去滓以膏涂诸疾上，日五、六，至良。
《葛氏方》治恶核肿结不肯散者方∶
乌 根 升麻（各二两）
以水三升，煮取半升，分再服，以滓熨上。
又方∶烧白鹅屎，以水服三方寸匕，以肉敷肿上。
又方∶苦酒摩由跃涂之，捣小蒜敷之。
《录验方》治恶核肿毒入腹五香汤方∶
薰陆香 射香 沉香 鸡舌香 青木香（各二两）
凡五物，以水六升，煮取二升半，适寒温分用三服。不瘥复作，云令剂可尽。
五香各一两，水四升，煮取三升，亦为二服。又滓敷肿上，神良。
《僧深方》∶凡得恶肿皆暴卒，初始大如半梅桃，或有核。或无核，或痛或不痛，其长
甚速，须臾如鸡鸭大，即不治之肿。热为进，烦闷拘挛，肿毒内侵，填塞血气，气息不通，
再宿便杀人。初觉此病便急，宜灸当中央及绕肿边灸之，令相去五分，使周匝肿上，可三七
壮。肿盛者多壮数为瘥。肿进者，逐灸前际取住乃止。
又方∶鲫鱼捣敷肿上。
又方∶啖鲫鱼脍蒜齑。
《刘涓子方》治恶核肿毒汤方∶
乌扇（二两） 升麻（二两） 栀子仁（十四枚，破）
上三物，切，以水三升，煮取一升半，分再服。以滓敷肿上甚良。
《张仲景方》治消核肿黄 贴方∶
黄 （三两） 真当归（三两） 大黄（三两） 芎 （一两） 白蔹（三两） 黄芩
（三两） 防风（三两） 夕药（二两） 鸡子（十枚） 黄连（二两）
凡十物，捣，筛，以鸡子白和涂纸上，贴肿上，燥易。
又方∶捣茱萸以囊盛，敷核上，亦可令速消开，多得效验。
《诸病源候论》说：恶核肿，是指肌肉纹理间突然出现的肿块，一个个连缀如梅子、李子大小，小的像豆粒，皮肤内部感到酸痛，疼痛在身体左右游走，突然发作。这是风邪挟带毒气所形成。它也类似于“射工”（一种水中毒虫）的毒性。初起时没有固定位置，多表现为隐隐作痛。如果不立即治疗，毒气侵入腹部，出现烦闷、恶寒的症状，就会致死。如果久治不愈，则会转变为瘘管或溃疡。
《短剧方》说：患有恶核病的人，肉中突然长出累累如梅李核状的肿块，小的如豆粒，皮肉间酸痛，疼痛在身体左右游走，伴有高热和畏寒。这与各种疮疡、瘰疬、筋结相似。那些疮疡、瘰疬通常是因为疮口而生，属于缓慢发展的疾病且无毒。而恶核病则是突然发作，有毒性，若不治疗，毒气入腹导致烦闷，就会致死。南方地区多有此病，都是因为冬季感受温风，到了春夏又遭遇暴冷寒气相搏，气血凝结形成这种毒气。适宜服用五香连翘汤，并用赤小豆磨成的薄浆外涂，可以使肿块消散。也可以煎煮五香汤，滤去药渣，时常清洗浸泡患处，待肿块消化后，用丹参膏敷贴剩余的硬结使其完全消散；若未完全消散，则继续敷贴赤小豆薄浆。
五香连翘汤：治疗恶脉及恶核、瘰疬、风邪结聚所致各种核肿气痛的方剂：
青木香（二两）、麝香（半两）、沉木香（二两）、薰陆香（一两）、鸡舌香（一两）、连翘子（二两）、夜干（二两）、升麻（二两）、独活（二两）、桑寄生（二两）、大黄（三两）、甘草（二两）、淡竹沥（二升）。
以上十三味药，切碎，用水九升煎煮药物，待水量减少一半时，加入竹沥汁，再煎取三升药液，分三次服用。
丹参膏：治疗恶脉及恶核、瘰疬、风邪结聚所致各种核肿气痛的方剂：
丹参（二两）、蒴藋根（二两）、草（半两，原文缺字，据方义推测可能为某草药，此处保留原意或略过具体名，依原文结构处理，注：原文“草”前似有缺字，但按规则不增添，故译为“草”）、秦胶（一两）、独活（一两）、踯躅花（半两）、蜀椒（半两）、白芨（一两）、牛膝（一两）、菊花（一两）、木防己（一两）、乌头（一两）。
以上十二味药，切碎拌匀，用苦酒（醋）二升浸泡一夜，夏季浸泡半天。迅速煎煮，用猪脂四升煎煮至苦酒挥发殆尽，注意不要使其猛烈焦枯。滤去药渣，将膏涂抹于各种病症处，每日五到六次，直至痊愈。
《葛氏方》治疗恶核肿结聚不散的方剂：
乌头根、升麻（各二两）。
用水三升，煎取半升药液，分两次服用，并将药渣热敷于患处。
另一个方剂：烧白鹅屎，用水送服三方寸匕的量，并用鹅肉敷贴在肿胀处。
又一个方剂：用醋研磨由跃（疑为某种药物或部位，原文如此）涂抹，捣碎小蒜敷贴。
《录验方》治疗恶核肿毒气入腹的五香汤方剂：
薰陆香、射香（即麝香）、沉香、鸡舌香、青木香（各二两）。
以上五味药，用水六升，煎取二升半药液，调节温度适中，分三次服用。如果病未愈，可重新制作，据说可以让剂量全部用完。
另外，五香各一两，水四升，煎取三升，也分为两次服用。剩下的药渣敷在肿胀处，效果极佳。
《僧深方》：凡是患上恶肿，都是突然发作，起初大如半个梅桃，或者有核，或者无核，或者痛或者不痛，其生长速度极快，一会儿就像鸡鸭蛋那么大，这就是难以治愈的肿症。热势加剧，出现烦闷、拘挛，肿毒内侵，堵塞气血，气息不通，两天后就可能致死。刚察觉此病就要紧急处理，适宜在肿块中央及周围施灸，间距五分，环绕整个肿胀部位，可灸三七二十一壮。肿胀严重者可增加灸壮数以治愈。如果肿胀还在发展，就沿着之前灸过的边缘继续灸直到停止。
又一个方剂：吃鲫鱼脍（生鱼片）配蒜泥。
《刘涓子方》治疗恶核肿毒的汤剂：
乌扇（即鸢尾根）、升麻（各二两）、栀子仁（十四枚，破开）。
以上三味药，切碎，用水三升，煎取一升半药液，分两次服用。将药渣敷在肿胀处，效果很好。
《张仲景方》治疗消散核肿的黄耆贴方：
黄耆（三两）、真当归（三两）、大黄（三两）、川芎（一两）、白蔹（三两）、黄芩（三两）、防风（三两）、芍药（二两）、鸡蛋（十枚）、黄连（二两）。
以上十味药，捣碎筛细，用鸡蛋清调和涂在纸上，贴在肿胀处，干了就更换。
According to *Zhu Bing Yuan Hou Lun* (Treatise on the Pathogenesis and Symptoms of All Diseases), "Ehe Zhong" (Malignant Nuclear Swelling) refers to lumps that suddenly appear within the muscle tissue, linked together like plums or apricots, with smaller ones resembling bean grains. There is soreness and pain inside the skin, and the pain wanders left and right throughout the body, arising abruptly. This condition is caused by wind-pathogen carrying toxicity. It also resembles the toxicity of "She Gong" (a type of toxic aquatic insect). Initially, there is no fixed location, and it often presents as a lingering pain. If not treated immediately, the toxin enters the abdomen, causing restlessness and aversion to cold, which can be fatal. If it persists for a long time without healing, it may transform into a fistula or ulcer.
*Duan Ju Fang* (Short Drama Formulas) states: Patients suffering from Ehe disease have lumps in the flesh that suddenly appear, linked like plum or apricot pits, small ones like bean grains. There is soreness and pain in the skin and flesh, with pain wandering left and right through the body, accompanied by high fever and aversion to cold. This resembles various sores, scrofula (Luo Li), and tendon knots. Those sores and scrofula usually arise from existing wounds and are slow-progressing diseases without toxicity. In contrast, Ehe disease arises abruptly, possesses toxicity, and if untreated, the toxin entering the abdomen causes restlessness and death. This disease is common in the southern regions, caused by contracting warm winds in winter, which then clash with sudden cold qi in spring and summer, leading to the coagulation of qi and formation of this toxin. It is suitable to take Wuxiang Lianqiao Tang (Five-Aromatic Forsythia Decoction) and apply a thin paste made from Adzuki Beans externally to dissipate the swelling. One can also boil Wuxiang Tang, strain the dregs, and frequently wash and soak the affected area. After the swelling subsides, apply Danshen Gao (Salvia Ointment) to the remaining nodules to make them disappear completely; if they do not fully resolve, continue applying the Adzuki Bean paste.
**Wuxiang Lianqiao Tang (Five-Aromatic Forsythia Decoction)**: A formula for treating E Mai (Malignant Veins), Ehe, Luo Li (Scrofula), and various nuclear swellings and qi pain caused by wind-node.
- Qingmuxiang (Aucklandiae Radix) - 2 liang
- Shexiang (Moschus) - 0.5 liang
- Chenmuxiang (Aquilariae Lignum Resinatum) - 2 liang
- Xunluxiang (Olibanum) - 1 liang
- Jishe Xiang (Caryophylli Flos) - 1 liang
- Lianqiao Zi (Forsythiae Fructus) - 2 liang
- Yegan (Nandinae Folium) - 2 liang
- Shengma (Bunge's Goldenrod Rhizome) - 2 liang
- Duhuo (Angelicae Pubescentis Radix) - 2 liang
- Jisheng (Taxilli Herba) - 2 liang
- Dahuang (Rhei Radix et Rhizoma) - 3 liang
- Gancao (Glycyrrhizae Radix et Rhizoma) - 2 liang
- Danzhuli (Bamboo Sap) - 2 sheng
These thirteen ingredients are crushed. Boil in 9 sheng of water until the volume is reduced by half, then add the Bamboo Sap. Continue boiling until 3 sheng remains. Divide into three doses.
**Danshen Gao (Salvia Ointment)**: A formula for treating E Mai, Ehe, Luo Li, and various nuclear swellings and qi pain caused by wind-node.
- Danshen (Salviae Miltiorrhizae Radix) - 2 liang
- Shuodi Gen (Dioscoreae Hypoglaucae Rhizoma) - 2 liang
- Cao [Missing Character] (Herb) - 0.5 liang
- Qinjiao (Gentianae Macrophyllae Radix) - 1 liang
- Duhuo (Angelicae Pubescentis Radix) - 1 liang
- Zhi Zhu Hua (Rhododendri Mollis Flos) - 0.5 liang
- Shujiao (Sichuan Pepper) - 0.5 liang
- Baiji (Bletillae Rhizoma) - 1 liang
- Niuxi (Achyranthis Bidentatae Radix) - 1 liang
- Juhua (Chrysanthemi Flos) - 1 liang
- Mu Fangji (Stephaniae Tetrandrae Radix) - 1 liang
- Wutou (Aconiti Lateralis Radix Praeparata) - 1 liang
These twelve ingredients are finely cut. Soak in 2 sheng of Ku Jiu (Vinegar) overnight (or half a day in summer). Quickly decoct using 4 sheng of Pig Fat (Zhugao) until the vinegar evaporates. Do not let it burn violently. Strain the dregs and apply the ointment to the lesions five to six times daily until healed.
*Ge Shi Fang* (Ge's Formulas) for treating Ehe Zhong that clusters and refuses to disperse:
- Wu Tou Gen (Aconiti Radix) - 2 liang
- Shengma (Bunge's Goldenrod Rhizome) - 2 liang
Boil in 3 sheng of water until 0.5 sheng remains. Divide into two doses. Apply the dregs as a hot compress to the affected area.
Another formula: Burn white goose feces, administer with water using a measure of 3 cun cubes, and apply meat to the swelling.
Another formula: Rub You Yue [unclear term] with Vinegar and apply; crush Small Garlic and apply.
*Lu Yan Fang* (Verified Record Formulas) for treating Ehe Zhong where toxin enters the abdomen, Wuxiang Tang:
- Xunluxiang (Olibanum)
- She Xiang (Moschus)
- Chen Xiang (Aquilariae Lignum Resinatum)
- Ji She Xiang (Caryophylli Flos)
- Qing Mu Xiang (Aucklandiae Radix)
(Each 2 liang)
Boil these five ingredients in 6 sheng of water until 2.5 sheng remains. Adjust temperature and divide into three doses. If not cured, prepare again, allowing the full dose to be consumed.
Alternatively, use 1 liang of each of the Five Aromatics, boil in 4 sheng of water until 3 sheng remains, and divide into two doses. Apply the dregs to the swelling; this is highly effective.
*Seng Shen Fang* (Monk Shen's Formulas): Whenever one contracts E Zhong, it strikes suddenly. Initially, it is as large as half a plum or peach, with or without a nucleus, painful or painless. It grows very rapidly, becoming as large as a chicken or duck egg in an instant, making it difficult to treat. As heat increases, restlessness and spasms occur. The swelling toxin invades internally, blocking blood and qi, preventing breath flow, leading to death within two nights. Upon first noticing this disease, urgent action is required. Moxibustion should be applied to the center of the swelling and around its perimeter, spaced 5 fen apart, encircling the entire swelling. Apply 21 moxa cones (San Qi Zhuang). For severe swelling, increase the number of cones to achieve cure. If the swelling is progressing, continue moxibustion along the previous boundary until it stops.
Another formula: Crush freshwater fish and apply to the swelling.
Another formula: Consume raw sliced freshwater fish with minced garlic.
*Liu Juanzi Fang* (Liu Juanzi's Formulas) for treating Ehe Zhong toxin, Decoction:
- Wu Shan (Iris Tectorii Rhizoma) - 2 liang
- Shengma (Bunge's Goldenrod Rhizome) - 2 liang
- Zhizi Ren (Gardeniae Fructus) - 14 seeds, broken
Cut these three ingredients. Boil in 3 sheng of water until 1.5 sheng remains. Divide into two doses. Apply the dregs to the swelling; this is very effective.
*Zhang Zhongjing Fang* (Zhang Zhongjing's Formulas) for dissipating nuclear swelling, Huangqi Paste:
- Huangqi (Astragali Radix) - 3 liang
- Zhen Danggui (Angelicae Sinensis Radix) - 3 liang
- Dahuang (Rhei Radix et Rhizoma) - 3 liang
- Xiong (Ligustici Chuanxiong Rhizoma) - 1 liang
- Bailian (Bletillae Rhizoma) - 3 liang
- Huangqin (Scutellariae Radix) - 3 liang
- Fangfeng (Saposhnikoviae Radix) - 3 liang
- Xi Yao (Paeoniae Radix Alba) - 2 liang
- Ji Zi (Galli Ovatis Ovum) - 10 eggs
- Huanglian (Coptidis Rhizoma) - 2 liang
Crush and sieve these ten ingredients. Mix with Egg White (Jizi Bai) and spread on paper. Apply to the swelling; replace when dry.
Another formula: Crush Evodia Fruit (Zhuyu), place in a bag, and apply to the nodule. This can also cause rapid resolution and has proven effective in many cases.