（一名救苦化坚汤。东垣）
治瘰 马刀挟瘿，从耳下或耳后下颈至肩，或入缺盆中，乃手足少阳经分；其瘰 在颈
下或至颊车，乃足阳明经分受心脾之邪而作也。今将三证合而治之（一切杂病，皆有六经所
见之证
黄 （护皮毛，实元气，活血生血，疮家圣药） 连翘（能散诸经血凝气聚，十二经疮
药中不可无也） 漏芦 升麻（各一钱）葛根（五分，此三味足阳明本经药也）丹皮（去
肠胃中留滞宿血） 当归生地 熟地（此三味和血凉血生血） 白芍药各三分（酸寒能补
中益肺，治腹痛必用之，夏月倍之，冬寒则不可用） 防风（五分）羌活 独活（一钱，
此三味必关手足太阳证，脊痛、项强、腰似折、顶似拔者用之。防风辛温，若疮在膈以上，
虽无太阳证亦当用之，为能散上部风邪，去病患拘急也 柴胡八分，功同连翘，如疮不在少
阳经，去之） 鼠粘子（解毒，无肿不用） 人参（三分，补肺气，如气短不调反喘者，加
之）甘草（炙，五分，能调中，和诸药，泻火，益胃气，亦去疮邪），肉桂（二分，能散结
积，阴证疮疡当少用之，此寒因热用之意；又为阴寒覆盖其疮，用大辛热以消浮冻之气。烦
燥者去之） 黄连（以治烦闷） 黄柏（炒，三分，如有热或腿脚无力，加之，如烦躁欲去
衣者，肾中伏火也，更宜加之，无此不用） 昆布（二分，咸能软坚，疮坚硬者宜用） 三
棱煨，（二分） 莪术（煨，三分，此二味疮坚甚者用之，不坚不用） 益智（二分，唾多
者，胃不和也，病患吐沫吐食、胃寒者加之） 麦芽（一钱，治腹中缩急，兼消食补胃） 神
曲（炒，能化食） 浓朴（一钱二分，腹胀加之，否则勿用）。蒸饼为丸。每服三钱。如气
不顺，加陈皮、木香；大便不通，加酒制大黄；血燥加桃仁、大黄；风燥加麻仁、大黄、秦
艽、皂角子
此足阳明、手足少阳药也。解照东垣注各药下。东垣立此法，以听用者之进退，倘能随
证加减，实能统治诸疡，亦嘉惠后人无穷之心也。
治疗瘰疬、马刀及挟瘿，病位从耳下或耳后沿颈部下行至肩部，或者进入缺盆中，这属于手少阳经和足少阳经的范畴；如果瘰疬位于颈部下方甚至到达颊车穴处，这是足阳明经受心脾之邪气侵袭所致。现在将这三种证候合并治疗：
黄芩（保护皮毛，充实元气，活血生血，是疮疡科医生的圣药）
连翘（能消散各条经络中的血凝气聚，是十二经疮疡药物中不可或缺的）
漏芦
升麻（各一钱）
葛根（五分，这三味药是足阳明胃经的本经药）
牡丹皮（去除肠胃中滞留的陈旧瘀血）
当归、生地、熟地（这三味药能调和血液、凉血并生血）
白芍药（各三分，酸寒之性能补益中焦、增益肺气，治疗腹痛必用此药，夏季用量加倍，冬季寒冷时不可使用）
防风（五分）
羌活、独活（一钱，这三味药必须关联手足太阳经的证候，如脊痛、项强、腰似折断、头顶似被拔起者使用。防风辛温，若疮疡在膈膜以上，即使没有太阳经证候也应当使用，因为它能疏散上部的风邪，解除病患的拘急状态）
柴胡（八分，功效同连翘，如果疮疡不在少阳经，则去掉不用）
鼠粘子（即牛蒡子，解毒，无肿胀者不用）
人参（三分，补益肺气，如果出现气短不调反而喘息的情况，加入此药）
甘草（炙，五分，能调和中焦，调和诸药，泻火，益胃气，也能祛除疮邪）
肉桂（二分，能消散结积，阴证疮疡应当少量使用，这是“寒因热用”的意思；又因为阴寒之气覆盖疮面，用大辛大热的药物来消除浮冻之气。出现烦躁症状的去掉不用）
黄连（用于治疗烦闷）
黄柏（炒，三分，如果有热象或腿脚无力，加入此药；如果出现烦躁想脱衣服的症状，这是肾中伏火，更适宜加入，没有这些症状则不用）
昆布（二分，咸味能软坚散结，疮疡坚硬者宜用）
三棱（煨制，二分）
莪术（煨制，三分，这两味药用于疮疡坚硬严重的情况，不坚硬者不用）
益智仁（二分，唾液多者，说明胃不和，病患吐沫、吐食、胃寒者加入此药）
麦芽（一钱，治疗腹部收缩紧急，兼能消食补胃）
神曲（炒制，能消化食物）
厚朴（一钱二分，腹胀者加入，否则勿用）。以上药物蒸饼为丸。每次服用三钱。如果气机不顺，加陈皮、木香；大便不通，加酒制大黄；血燥加桃仁、大黄；风燥加麻仁、大黄、秦艽、皂角子。
此方是足阳明、手少阳、足少阳经的药物。具体解释参照李东垣在各药下的注释。李东垣创立此法，是为了让使用者根据病情灵活进退加减，如果能随证加减，确实能够统管各种疮疡，这也是嘉惠后人的无穷心意啊。
(Also known as Jiu Ku Hua Jian Tang. Created by Li Dongyuan)
Treats scrofula (Luo Li), machete-shaped scrofula (Ma Dao), and scrofula with goiter (Xie Ying). The lesion extends from below the ear or behind the ear down the neck to the shoulder, or enters the supraclavicular fossa (Que Pen); this belongs to the domains of the Hand Shaoyang and Foot Shaoyang meridians. If the scrofula is located below the neck or even reaches the Jiache acupoint, it is caused by pathogenic factors from the Heart and Spleen affecting the Foot Yangming meridian. Now, these three types of syndromes are treated together:
Huang Qin (Scutellariae Radix): Protects the skin and hair, consolidates Yuan Qi, invigorates blood and generates new blood; it is the sacred medicine for physicians specializing in sores and ulcers.
Lian Qiao (Forsythiae Fructus): Can dissipate blood stasis and qi stagnation in various meridians; it is indispensable among medicines for sores and ulcers of the twelve meridians.
Lou Lu (Euphorbiae Humifusae Radix)
Sheng Ma (Cimicifugae Rhizoma): Each 1 qian.
Ge Gen (Puerariae Lobatae Radix): 5 fen. These three herbs are intrinsic medicines of the Foot Yangming Stomach meridian.
Mu Dan Pi (Moutan Cortex): Removes retained old blood stasis in the intestines and stomach.
Dang Gui (Angelicae Sinensis Radix), Sheng Di Huang (Rehmanniae Radix), Shu Di Huang (Prepared Rehmanniae Radix): These three herbs harmonize blood, cool blood, and generate blood.
Bai Shao Yao (Paeoniae Radix Alba): Each 3 fen. Its sour and cold nature tonifies the Middle Jiao and benefits the Lung; it is essential for treating abdominal pain. In summer, double the dosage; in winter when it is cold, do not use it.
Fang Feng (Saposhnikoviae Radix): 5 fen.
Qiang Huo (Notopterygii Rhizoma et Radix), Du Huo (Angelicae Pubescentis Radix): Each 1 qian. These three herbs must be associated with syndromes of the Hand Taiyang and Foot Taiyang meridians; they are used for symptoms such as back pain, stiff neck, sensation of waist breaking, and sensation of head being pulled. Fang Feng is pungent and warm; if the sore is above the diaphragm, it should be used even without Taiyang syndrome, because it can disperse wind-pathogens in the upper body and relieve patient stiffness.
Chai Hu (Bupleuri Radix): 8 fen. Its efficacy is similar to Lian Qiao; if the sore is not in the Shaoyang meridian, remove it.
Shu Niu Zi (Arctii Fructus): Resolves toxicity; do not use if there is no swelling.
Ren Shen (Ginseng Radix): 3 fen. Tonifies Lung Qi; add if there is shortness of breath, irregular breathing, or wheezing.
Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma): 5 fen. Harmonizes the Middle Jiao, modulates other herbs, clears fire, benefits Stomach Qi, and also dispels pathogenic factors from sores.
Rou Gui (Cinnamomi Cortex): 2 fen. Dissipates nodules and accumulations; should be used in small amounts for Yin-type sores and ulcers. This reflects the principle of "treating cold with heat"; furthermore, since yin-cold covers the sore, large pungent-hot herbs are used to eliminate floating frozen qi. Remove if irritability is present.
Huang Lian (Coptidis Rhizoma): Used to treat restlessness and oppression.
Huang Bai (Phellodendri Cortex): Stir-fried, 3 fen. Add if there is heat or weakness in the legs and feet; if there is irritability and a desire to remove clothing, indicating latent fire in the Kidney, it is especially suitable to add; do not use if these symptoms are absent.
Kun Bu (Sargassum): 2 fen. Salty flavor softens hardness; suitable for hard sores.
San Leng (Sparganii Rhizoma): Roasted, 2 fen.
E Zhu (Curcumae Rhizoma): Roasted, 3 fen. These two herbs are used for severe, hard sores; do not use if not hard.
Yi Zhi Ren (Alpiniae Oxyphyllae Fructus): 2 fen. Excessive salivation indicates disharmony of the Stomach; add for patients who spit saliva or vomit food due to Stomach cold.
Mai Ya (Hordei Fructus Germinatus): 1 qian. Treats abdominal contraction and urgency; also aids digestion and tonifies the Stomach.
Shen Qu (Massa Medicata Fermentata): Stir-fried; promotes digestion.
Hou Po (Magnoliae Officinalis Cortex): 1.2 qian. Add for abdominal distension; otherwise do not use.
Process into pills using steamed wheat cake. Take 3 qian per dose. If Qi movement is obstructed, add Chen Pi (Citri Reticulatae Pericarpium) and Mu Xiang (Aucklandiae Radix); if constipation occurs, add Da Huang (Rhei Radix et Rhizoma) processed with wine; if blood dryness exists, add Tao Ren (Persicae Semen) and Da Huang; if wind dryness exists, add Hu Ma Ren (Cannabis Semen), Da Huang, Qin Jiao (Gentianae Macrophyllae Radix), and Zao Jiao Zi (Gleditsiae Sinensis Spina).
This prescription consists of herbs for the Foot Yangming, Hand Shaoyang, and Foot Shaoyang meridians. Refer to Li Dongyuan's annotations under each herb for detailed explanations. Li Dongyuan established this method to allow practitioners to adjust the formula flexibly according to the syndrome. If adjusted appropriately, it can indeed manage various sores and ulcers comprehensively, reflecting his infinite benevolence towards future generations.