论曰∶甲乙经论瘰 寒热，皆鼠 寒热之毒瓦斯，留于脉而不去，上攻于颈腋之间，风热
毒瓦斯，与气血相搏，则营卫不和，故瘰 而发寒热也。
治瘰 寒热。射干连翘汤方
射干 连翘 玄参 赤芍药 木香 升麻 山栀子仁 前胡（去芦头） 当归（切焙） 甘
草（炙锉各一两） 大黄（锉炒三两）
上十一味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓入芒硝少许，食后温服，日
再服。
治寒热瘰 。曾青散方
曾青（研） 附子（炮裂去皮脐） 矾石（熬令汁枯研） 荏子（各半两） 当归（
切焙） 狸骨
（酥炙） 甘草（炙锉各二两） 细辛（去苗叶） 干姜（炮） 露蜂房（炙各一两） 斑
蝥（同芫青
炒）
上十二味，捣研为散，每服一钱匕，空心温酒调下。
治瘰 初结，成寒热。漏芦汤方
漏芦（去芦头） 连翘 木通（锉） 桂（去粗皮） 犀角（屑） 黄芩（去黑心） 柴
胡（去
苗）
上一十味，粗捣筛，每服三钱匕，水一盏，煎至八分，去滓下朴硝半钱匕搅动，空心临
卧温服，以快利为度。
治毒瓦斯攻肌肉肿痛，脉结寒热如瘰 ，急者数日杀人。大五香汤方
木香 鸡舌香 沉香（锉） 乳香（各一两） 藿香叶 犀角（屑各三分） 升麻（一
两） 吴
茱萸（汤浸焙干炒半两） 桂（去粗皮） 麻黄（去节） 甘草（炙锉） 细辛（去苗叶各
三分）
上十二味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓温服，空心近晚，各一服，
若恶寒，加附子一枚，炮裂，去皮脐，同煎，余滓即敷肿上。
治瘰 乍寒乍热。知母汤方
知母（焙） 连翘 木通（锉） 桂（去粗皮） 柴胡（去苗） 玄参 漏芦（去芦头）
大黄（
锉炒） 犀角（屑）
上九味等分，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓下朴消少许，搅动，空心
温服，以利为度。
治寒热瘰 。王瓜根散方
王瓜根（去土） 连翘 龙胆 黄连（去须） 苦参 栝蒌实（微焙） 大黄（微炒） 芍
药
木香
上九味等分，捣罗为散，食后临卧，以温酒调下一钱匕，日三服。
治瘰 寒热结核，在颈腋之下，坚痛。连翘丸方
连翘 玄参 木香 升麻（各一两半） 大黄（蒸半两） 昆布（洗去咸焙） 大麻子
（微炒
别捣研各二两） 枳壳（去瓤麸炒一两半）
上八味，捣研为末，炼蜜和丸，如梧桐子大，每服十五丸，食前米饮下，加至二十丸。
治瘰 连连大小，寒热烦闷。木香消毒汤方
木香 大黄（生各半两） 竹叶（干者一分） 连翘（一两） 独活（去芦头半两） 栀
子仁（
上六味，粗捣筛，每服三钱匕，水酒童子小便共一盏，煎至七分，去滓温服。
治瘰 寒热，先从颈腋诸处起者。玄参酒方
玄参（三斤细锉） 磁石（三斤烧令赤醋淬七遍细研水飞）
上二味，以生绢袋盛，酒三斗，浸六七日，每服一盏，空心临卧温服。
治寒热瘰 方
狸头一枚酥炙
上一味，捣罗为散，每服一钱匕，空心米饮调下。
又方
白僵蚕（炒一两）
上一味，捣罗为散，水调服一钱匕，日再服。
治瘰 恶寒壮热，久不瘥成 。射干丸方
射干 昆布（洗焙） 海藻（各一两洗焙） 木香 黄芩（去黑心） 犀角（屑各三分）
芍
药
二两半）
上十二味，捣罗为末，炼蜜和丸，如梧子大，每服四十丸，煎皂荚子汤下，食后服，日
三。
论述说：《甲乙经》中关于瘰疬寒热的记载，都是指鼠瘰寒热之毒气，停留在脉道中而不消散，向上攻冲至颈部和腋下之间。风热毒气与气血相互搏结，导致营卫不和，因此出现瘰疬并伴有发冷发热的症状。
治疗瘰疬寒热。射干连翘汤方
射干、连翘、玄参、赤芍药、木香、升麻、山栀子仁、前胡（去除芦头）、当归（切片焙干）、甘草（炙后锉碎，各一两）、大黄（锉碎炒制，三两）
以上十一味药，粗捣筛过，每次服用三钱匕，用水一盏，煎煮至七分满，滤去药渣，加入少许芒硝，饭后温服，每日两次。
治疗寒热瘰疬。曾青散方
曾青（研细）、附子（炮裂，去皮脐）、矾石（熬至汁液干枯后研细）、荏子（各半两）、当归（切片焙干）、狸骨（用酥油炙烤）、甘草（炙后锉碎，各二两）、细辛（去苗叶）、干姜（炮制）、露蜂房（炙烤，各一两）、斑蝥（同芫青一起炒制）
以上十二味药，捣碎研成散剂，每次服用一钱匕，空腹时用温酒调服。
治疗瘰疬初起结成肿块，伴有寒热症状。漏芦汤方
漏芦（去芦头）、连翘、木通（锉碎）、桂枝（去除粗皮）、犀角（锉屑）、黄芩（去除黑心部分）、柴胡（去苗）
以上十味药，粗捣筛过，每次服用三钱匕，用水一盏，煎煮至八分满，滤去药渣，加入半钱匕朴硝搅匀，空腹及睡前温服，以大便通畅为度。
治疗毒气攻注肌肉导致肿痛，脉搏结滞，寒热如瘰疬状，病情急重的数日内可致人死亡。大五香汤方
木香、鸡舌香、沉香（锉碎）、乳香（各一两）、藿香叶、犀角（锉屑，各三分）、升麻（一两）、吴茱萸（汤浸后焙干炒制，半两）、桂枝（去除粗皮）、麻黄（去节）、甘草（炙后锉碎）、细辛（去苗叶，各三分）
以上十二味药，粗捣筛过，每次服用五钱匕，用水一盏半，煎煮至八分满，滤去药渣温服，分别在空腹和临近晚上时各服一次。如果恶寒严重，加一枚附子，炮裂，去皮脐，一同煎煮，剩下的药渣敷在肿胀处。
治疗瘰疬忽冷忽热。知母汤方
知母（焙干）、连翘、木通（锉碎）、桂枝（去除粗皮）、柴胡（去苗）、玄参、漏芦（去芦头）、大黄（锉碎炒制）、犀角（锉屑）
以上九味药等量分配，粗捣筛过，每次服用三钱匕，用水一盏，煎煮至七分满，滤去药渣，加入少许朴消搅匀，空腹温服，以大便通畅为度。
治疗寒热瘰疬。王瓜根散方
王瓜根（去土）、连翘、龙胆、黄连（去须）、苦参、栝蒌实（微焙）、大黄（微炒）、芍药、木香
以上九味药等量分配，捣碎过筛成为散剂，饭后及睡前，用温酒调服一钱匕，每日三次。
治疗瘰疬寒热结核，位于颈部和腋下之下，坚硬疼痛。连翘丸方
连翘、玄参、木香、升麻（各一两半）、大黄（蒸制，半两）、昆布（洗去咸味后焙干）、大麻子（微炒后分别捣碎研细，各二两）、枳壳（去瓤麸炒，一两半）
以上八味药，捣碎研成末，用炼蜜调和做成丸药，大小如梧桐子，每次服用十五丸，饭前用米饮送服，可加至二十丸。
治疗瘰疬连绵不断，大小不一，伴有寒热烦闷。木香消毒汤方
木香、大黄（生用，各半两）、竹叶（干者，一分）、连翘（一两）、独活（去芦头，半两）、栀子仁（未列出具体用量，依上下文推测为等分或适量，此处原文缺失，按原文翻译）
以上六味药，粗捣筛过，每次服用三钱匕，用水、酒、童子小便共一盏，煎煮至七分满，滤去药渣温服。
治疗瘰疬寒热，先从颈部和腋下各处发起的。玄参酒方
玄参（三斤，细锉）、磁石（三斤，烧红后用醋淬七遍，研细，水飞法处理）
以上两味药，用生绢袋盛装，放入三斗酒中，浸泡六七日，每次服用一盏，空腹及睡前温服。
治疗寒热瘰疬方
狸头一枚，用酥油炙烤
以上一味药，捣碎过筛成为散剂，每次服用一钱匕，空腹时用米饮调服。
又一方
白僵蚕（炒制，一两）
以上一味药，捣碎过筛成为散剂，用水调服一钱匕，每日两次。
治疗瘰疬恶寒壮热，久不痊愈形成瘘管。射干丸方
射干、昆布（洗后焙干）、海藻（各一两，洗后焙干）、木香、黄芩（去除黑心部分）、犀角（锉屑，各三分）、芍药（二两半，原文此处可能有缺字，依常见配伍补全语境，但严格按原文提取实体）
以上十二味药，捣碎过筛成为末，用炼蜜调和做成丸药，大小如梧桐子，每次服用四十丸，煎皂荚子汤送服，饭后服用，每日三次。
Commentary states: The *Jia Yi Jing* (Systematic Classic of Acupuncture and Moxibustion) discusses scrofula (lymph node tuberculosis) with chills and fever, referring to the toxic qi of rat-like scrofula. This toxicity remains in the meridians without dispersing, attacking upwards between the neck and axilla. Wind-heat toxic qi contends with Qi and Blood, leading to disharmony of Ying (Nutritive) and Wei (Defensive) levels, thus causing scrofula accompanied by chills and fever.
Treatment for scrofula with chills and fever. Shegan Lianqiao Decoction Formula
Shegan (Belamcandae Rhizoma), Lianqiao (Forsythiae Fructus), Xuanshen (Scrophulariae Radix), Chishao Yao (Paeoniae Radix Rubra), Muxiang (Aucklandiae Radix), Shengma (Cimicifugae Rhizoma), Shanzhizi Ren (Gardeniae Semen), Qianhu (Peucedani Radix, remove rhizome head), Danggui (Angelicae Sinensis Radix, slice and dry-roast), Gancao (Liquiritiae Radix, honey-fried and crushed, each 1 liang), Dahuang (Rhei Radix et Rhizoma, crushed and stir-fried, 3 liang).
The above eleven herbs are coarsely pounded and sieved. Each dose is 3 qian bi (approx. 4.5g), decocted in 1 zhan (approx. 200ml) of water until reduced to 7/10 volume. Strain the dregs, add a small amount of Mangxiao (Natrii Sulfas), and take warm after meals. Administer twice daily.
Treatment for chills and fever scrofula. Zengqing San Powder
Zengqing (Azurite), Fuzi (Aconiti Lateralis Radix Praeparata, roasted, peel and navel removed), Fanshi (Alumen, boiled until juice is dry then ground), Renzi (Perillae Semen, each half liang), Danggui (Angelicae Sinensis Radix, slice and dry-roast), Li Gu (Vulpis Os, roast with butter), Gancao (Liquiritiae Radix, honey-fried and crushed, each 2 liang), Xixin (Asari Radix et Rhizoma, remove seedlings and leaves), Ganjiang (Zingiberis Rhizoma Praeparatum, roasted), Lubifang (Vespa Nidus, roasted, each 1 liang), Banmao (Mylabris, stir-fried with Yuanqing).
The above twelve herbs are pounded and ground into powder. Each dose is 1 qian bi, taken with warm wine on an empty stomach.
Treatment for initial formation of scrofula nodules with chills and fever. Loulu Tang Decoction
Loulu (Rhapontici Radix, remove rhizome head), Lianqiao (Forsythiae Fructus), Mutong (Akebiae Caulis, crushed), Gui (Cinnamomi Ramulus, remove coarse bark), Xijiao (Rhinocerotis Cornu, shaved), Huangqin (Scutellariae Radix, remove black heart), Chaihu (Bupleuri Radix, remove seedlings).
The above ten herbs are coarsely pounded and sieved. Each dose is 3 qian bi, decocted in 1 zhan of water until reduced to 8/10 volume. Strain the dregs, add half a qian bi of Puxiao (Natrii Sulfas), stir well, and take warm on an empty stomach and before sleep. Stop when bowel movement becomes smooth.
Treatment for toxic qi attacking muscles causing swelling and pain, knotted pulse, chills and fever resembling scrofula; severe cases may be fatal within days. Daxiwang Tang Decoction
Muxiang (Aucklandiae Radix), Jitexiang (Styrax Benzoin), Chenxiang (Aquilariae Lignum Resinatum, crushed), Ruxiang (Olibanum, each 1 liang), Huoxiang Ye (Agastachis Folium), Xijiao (Rhinocerotis Cornu, shaved, each 3 fen), Shengma (Cimicifugae Rhizoma, 1 liang), Wuzhuyu (Evodiae Fructus, soaked in water, dried, roasted, half liang), Gui (Cinnamomi Ramulus, remove coarse bark), Mahuang (Ephedrae Herba, remove joints), Gancao (Liquiritiae Radix, honey-fried and crushed), Xixin (Asari Radix et Rhizoma, remove seedlings and leaves, each 3 fen).
The above twelve herbs are coarsely pounded and sieved. Each dose is 5 qian bi, decocted in 1.5 zhan of water until reduced to 8/10 volume. Strain and take warm. Take one dose on an empty stomach and another near evening. If chills are severe, add one Fuzi (Aconiti Lateralis Radix Praeparata), roasted, peeled and navelled, decoct together. Apply the remaining dregs to the swollen area.
Treatment for intermittent chills and fever in scrofula. Zhimu Tang Decoction
Zhimu (Anemarrhenae Rhizoma, dry-roasted), Lianqiao (Forsythiae Fructus), Mutong (Akebiae Caulis, crushed), Gui (Cinnamomi Ramulus, remove coarse bark), Chaihu (Bupleuri Radix, remove seedlings), Xuanshen (Scrophulariae Radix), Loulu (Rhapontici Radix, remove rhizome head), Dahuang (Rhei Radix et Rhizoma, crushed and stir-fried), Xijiao (Rhinocerotis Cornu, shaved).
The above nine herbs are equal parts, coarsely pounded and sieved. Each dose is 3 qian bi, decocted in 1 zhan of water until reduced to 7/10 volume. Strain, add a small amount of Puxiao (Natrii Sulfas), stir well, and take warm on an empty stomach. Stop when bowel movement becomes smooth.
Treatment for chills and fever scrofula. Wanggua Gen San Powder
Wagua Gen (Trichosanthes Cucumerinae Radix, remove soil), Lianqiao (Forsythiae Fructus), Longdan (Gentianae Radix), Huanglian (Coptidis Rhizoma, remove roots), Kushen (Sophorae Flavescentis Radix), Gualou Shi (Trichosanthis Fructus, lightly roasted), Dahuang (Rhei Radix et Rhizoma, lightly stir-fried), Shaoyao (Paeoniae Radix), Muxiang (Aucklandiae Radix).
The above nine herbs are equal parts, pounded and sieved into powder. Take 1 qian bi with warm wine after meals and before sleep. Administer three times daily.
Treatment for scrofula cold-heat tubercles located under the neck and axilla, hard and painful. Lianqiao Wan Pill Formula
Lianqiao (Forsythiae Fructus), Xuanshen (Scrophulariae Radix), Muxiang (Aucklandiae Radix), Shengma (Cimicifugae Rhizoma, each 1.5 liang), Dahuang (Rhei Radix et Rhizoma, steamed, half liang), Kunbu (Laminariae Thallus, wash to remove saltiness and roast), Dama Zi (Cannabis Semen, lightly roasted and separately pounded/grinded, each 2 liang), Zhike (Aurantii Fructus, remove pulp and bran-fry, 1.5 liang).
The above eight herbs are pounded and ground into powder. Mix with refined honey to form pills the size of Sophora seeds. Take 15 pills before meals with rice drink; can increase to 20 pills.
Treatment for continuous scrofula of varying sizes with chills, fever, and irritability. Muxiang Xiaodu Tang Decoction
Muxiang (Aucklandiae Radix), Dahuang (Rhei Radix et Rhizoma, raw, each half liang), Zhuye (Phyllostachys Folium, dry, 1 fen), Lianqiao (Forsythiae Fructus, 1 liang), Duhuo (Angelicae Pubescentis Radix, remove rhizome head, half liang), Zhizi Ren (Gardeniae Semen).
The above six herbs are coarsely pounded and sieved. Each dose is 3 qian bi, decocted in 1 zhan mixture of water, wine, and urine from a healthy boy until reduced to 7/10 volume. Strain and take warm.
Treatment for scrofula chills and fever starting first from various places in the neck and axilla. Xuanshen Jiu Wine Preparation
Xuanshen (Scrophulariae Radix, 3 jin, finely crushed), Cishi (Magnetitum, 3 jin, heated red-hot and quenched in vinegar seven times, finely ground and processed by water flotation).
The above two ingredients are placed in a raw silk bag, immersed in 3 dou of wine, and soaked for 6-7 days. Take 1 zhan per dose, warm, on an empty stomach and before sleep.
Treatment for chills and fever scrofula. One Li Tou (Fox Head)
One Fox Head, roasted with butter.
This single ingredient is pounded and sieved into powder. Take 1 qian bi with rice drink on an empty stomach.
Another Prescription
Bai Jiangcan (Bombyx Batryticatus, stir-fried, 1 liang).
This single ingredient is pounded and sieved into powder. Take 1 qian bi mixed with water. Administer twice daily.
Treatment for scrofula with aversion to cold and high fever, persisting for a long time and forming fistulas. Shegan Wan Pill Formula
Shegan (Belamcandae Rhizoma), Kunbu (Laminariae Thallus, washed and roasted), Haizao (Sargassum Thallus, each 1 liang, washed and roasted), Muxiang (Aucklandiae Radix), Huangqin (Scutellariae Radix, remove black heart), Xijiao (Rhinocerotis Cornu, shaved, each 3 fen), Shaoyao (Paeoniae Radix, 2.5 liang).
The above twelve herbs (note: text lists fewer distinct items but claims twelve, likely counting processed forms or missing items in source transcription, but entities extracted as present) are pounded and sieved into powder. Mix with refined honey to form pills the size of Sophora seeds. Take 40 pills with decoction of Gaojia Zi (Gleditsiae Spina) after meals. Administer three times daily.