论曰∶瘰 者,其本多因恚怒气逆忧思恐惧,或饮食有虫鼠余毒,或风热邪气,客于肌
肉,随虚处停结,或在颈项,或在胸腋,累累相连是也。详考方论,有风毒瓦斯毒热毒之异,
有寒
是也。
大要,古
服五香连
论曰∶瘰 结核者,由风热毒瓦斯,蕴积肝经,攻注筋脉,毒瓦斯郁而不散,故项腋之间,
瘰
气与
治男女长幼瘰 结核,在项腋下,项强背痛。连翘汤方
连翘 玄参 木香 昆布(洗去咸焙) 枳壳(去瓤麸炒) 犀角(镑各一两半) 柴
胡(去
苗)
甘草(炙锉) 木通(锉) 芍药 黄芩(去黑心) 沉香(锉) 当归(切焙) 升麻
(各一两)
上十四味,粗捣筛,每服五钱匕,水二盏,入生姜一枣大拍碎,柳枝二寸长一握,细锉
。煎至一盏,去滓温服,空心日午夜卧,各一服。
治瘰 肿毒,结成恶核。三黄丸方
大黄(锉炒) 当归(切焙各一两) 栀子仁(一分) 柴胡(去苗三分) 黄连(去
须) 黄芩
(去黑心) 赤茯苓(去黑皮) 桂(去粗皮) 干姜(炮) 芍药(各半两)
上十味,捣罗为末,炼蜜丸如小豆大,每服十丸,空心温酒下,日三,取微利,更以意
增减。
治初患瘰 ,项边磊磊如石,皮肉寒热赤肿。乌犀汤方
犀角(镑) 恶实(炒各三两) 沉香(三分) 麝香(研半钱) 丁香(半两) 玄
参(三分)
大黄(锉炒) 木通(锉) 射干 连翘(各一两)
上十味,粗捣筛,每服五钱匕,水一盏半,煎至八分,去滓空心温服,至晚再服,利下
为度。
治恶核。犀角丸方
犀角(镑) 木香(各一分) 砂(研水飞一钱) 白茯苓(去黑皮半两) 皂荚(去
皮子酥
炙) 干白薄荷 大黄(锉炒各一两) 原蚕蛾 何首乌 天麻(各二两)
上十味,捣罗为细末,用生羊肉精者,细切研成膏,和丸如黍米大,每服七丸,茶清下
,不拘时。
治瘰 毒肿。沉香汤方
沉香(锉) 丁香 木香 麝香(研各一分) 连翘 黄芩(去黑心各半两) 犀角(镑
一两
半) 升麻一两)
上八味,粗捣筛,每服五钱匕,水一盏半,煎至八分,去滓温服空心,日午夜卧各一服
治恶核肿痛。连翘散方
连翘 何首乌(米泔浸一宿焙) 干白薄荷(各一两) 麝香(研半钱) 升麻 恶实
(炒)
白茯苓(去黑皮) 蛇蜕皮(酒浸炙各半两)
上八味,捣罗为细散,每服一钱匕,食前温酒调下,日三。
治气 结核未破者。四香饮方
丁香 木香 沉香(锉) 乳香 青橘皮(汤浸去白焙各一两) 陈橘皮(汤浸去白焙
半两)
枳实(去瓤麸炒一分)
上七味,粗捣筛,每服三钱匕,水一盏,煎三四沸,去滓食后温服,日三。
治瘰 ,肝中有根。桑白皮汤方
桑根白皮(锉) 硝石(研如粉各二两) 紫葛 芍药(各三分) 犀角(镑) 虎杖
(各一分)
上六味,将前五味粗捣筛,每服五钱匕,水一盏半,煎至八分,去滓入硝石半钱匕,打
匀,空心晚后温服,利根本,似筋膜虾蟆衣之类。
治丈夫妇人瘰 结实,在项上腋下,磊磊如弹丸相连。犀角散方
犀角(镑) 人参 鹿角(镑) 赤茯苓(男用白女用赤各去黑皮) 白蔹(各一分) 斑
蝥(
三十个糯米炒熟去米) 糯米(一合)
上七味,捣罗为细散,合研令匀,看大小斟酌与服,每服二十以上二钱匕,十岁一钱匕
,并
便内
治项上瘰 ,如枣李核者,先服。紫葳散方
紫葳(凌霄花是也) 海藻(洗去咸焙) 瞿麦穗 牡蛎( 研成粉左顾者真) 甘草
(炙
各一两)
上五味,捣罗为细散,每服一钱半匕,食后白汤调下,日二。
治瘰 肿痛成疮,神妙散方
牵牛子(炒半生半熟) 青橘皮(汤浸去白焙) 栀子仁 地骨皮 玄参
上五味等分,捣罗为细散,每服二钱匕,空心糯米饮调下,次日服后生犀丸。
消毒化结聚。生犀丸方
犀角(镑半钱) 龙脑 麝香(研各半分) 红娘子(二十枚) 斑蝥(二十一枚去头
翅足同
红娘子着豆面炒焦)
上五味,捣罗为细末,用豆面糊,丸如绿豆大,每服一丸,空心日午夜卧,腊茶放温下
,服至十日,加至二丸。
治风热毒瓦斯,项下结核,及欲作痈疽疮疖发背等。凝冰散方
绿豆粉乳香(研各一两)
上二味,合研为散,实人分作四服,虚人分作八服,食后米饮调下,就有核处一边卧,
尽剂必瘥,大消肿痛。
治瘰 肿痛,不同大人小儿,皆能疗之。不二散
牡蛎( 赤一两) 皮(一枚生锉焙干)
上二味,捣罗为散,每服二钱匕,温酒调下。
治瘰 一切结核。大效丸方
斑蝥(一枚) 黑豆(七粒生芽者)
上二味,同研为丸,如绿豆大,每服五丸,茶清下,小儿一丸。
治瘰 满项不破,及结核肿痛者。皂子丸方
不蛀皂子(三百粒)
上一味,用酒一升半,化 砂一两,同浸七日,以慢火熬酒尽为度,每服三粒,临卧含
化,半月必瘥。
治瘰 肿结。内消方
海藻(一斤)
上一味,用酒五升,浸数日,食后少少饮酒。
又方
蜗牛壳(不拘多少)
上一味,捣为细散,每服二钱匕,空心米饮调下,日再,至四十九日自消。
又方
白皮(切二合)
上一味,以水四盏,煎至一盏,去滓顿服,当吐恶物。
治恶肉恶核,瘰 初肿。丹参膏方
丹参(炙锉) 白芨(各二两) 升麻 蒴 根(各一两半) 独活(去芦头) 防己 连
翘
白蔹 玄参 杏仁(去皮尖双仁各一两)
上十味细切,以生地黄汁一升,淹浸一宿,入铛内微煎十沸,入猪膏四升,微煎一炊饭
久,膏成去滓,用摩病处,日二三度。
治瘰 息肉结硬。白蔹膏方
白蔹 莽草 玄参 木香 芍药 大黄(生用各三两)
上六味,捣罗为末,旋取以醋和如膏,涂帛上贴之,干极即易。
治风热结硬,肿赤疼痛,及腮颔下忽结成核。消毒涂方
大黄(二两) 景天(五两护火草是也)
上二味,同捣烂,涂于患处,干即再敷。
治瘰 结聚不散,硬如石。大蒜膏方
大蒜(三枚捣烂) 麝香(研半钱匕)
上二味和匀,敷于帛上贴之,一日二易,旋捣最好。
治瘰 发肿,及结恶核,皆不可针,及痈未溃。方
莽草(一两)
上一味,捣末和鸡子白,涂贴之,一日二易。
治瘰 已成漏疮,岁久不愈,千治千愈。紫红散方
信砒(一钱) 矾石(二钱) 铅丹(三钱)
上三味,用瓷罐子,先入砒,次入矾,次入铅丹,匀盖之,盐泥固济,炭火 烟尽,至
紫色
调涂
桃红散方
血竭(须真好者如无以深色胭脂代之)
上一味为细末,以自津唾调,日夜频涂,候疮成靥,即用浴毒汤洗之。
浴毒汤方
黄柏(去粗皮) 黄连(去须) 甘草(锉) 黄芩(去黑心各一两) 柏枝(一把截
如箅子长)
大豆(一合)
上六味,粗捣筛,每用三四匙,以水二升,煎至一升,乘热淋洗,日三四次,候洗下靥
子,即用平肌散敷之。
平肌散方
黄狗头骨(烧灰) 鲮鲤甲(烧灰各一钱) 乱发(一团指大烧灰)
上三味研匀,如疮口已干,用自津唾调湿敷之,日三四次,疮即平愈。
治瘰 在项上,结成颗块,及触处但有结凝,似作 痈。急灸法
独头蒜(一颗)
上一味,截两头去心,作艾炷,大与蒜称,贴 子灸之,勿令破肉,但取气而已,觉热
勿畏,每七壮易蒜,可至七易取消。
治瘰 。白蚕散方
白僵蚕(一两) 麒麟竭 没药(各半两)
上三味,捣研为散,每服一钱半匕,麝香温酒调下。
治瘰 已破未破。蜗牛丸方
蜗牛(半碗) 鸡苏(半斤)
上二味,同研极细,水浸宿蒸饼,丸如梧桐子大,每服十五丸,疮未破,浆水下。已破
,薄荷汤下,日三。
治瘰 疮口,脓水不止。罐灰散方
粪堆里破瓦罐耳
上一味净洗,于灶心掘坑,安在坑中,烧三日令捻得碎,细研,干掺疮上。
治瘰 。蛇犀散方
白花蛇肉(酒浸焙四两) 犀角(镑一两) 青橘皮(去白焙半两) 牵牛子(一两半
内一两
炒熟半两生用)
上四味,捣罗为散,每服二钱匕,别入腻粉二钱匕,糯米饮调下,五更初服,至午前取
下恶物,如取未尽,经半月后再服,未成疮者内消,成疮者疮自干合。
治五种瘰 。牡蛎散方
牡蛎( 研) 连翘(瓦上炒捣各一两)
上二味,为细散,每服一钱匕,临卧无灰酒调下,瘥后更服一两,永不发。
治瘰 结核。犀角丸方
犀角(屑) 吴蓝 黄芩(去黑心) 山栀子仁 巴豆(去心皮炒研出油各半两) 升
麻黄
(锉) 防风(去叉) 甘草(炙锉各三分) 大黄(生锉一两半) 连珠草(一两)
上十一味,捣研为末,炼蜜和丸,如梧桐子大,每服三丸,米饮下,未利加至六七丸,
取利为度。
治瘰 初结,累累如梅李核,日渐不消,则破坏颈腋。内消丸方
人参 玄参 丹参 苦参 何首乌(各一两并细锉)
上五味,捣罗为末,别用皂荚十梃,以麻绳接续,穿留索子头,盛在瓶内,掘地埋瓶子
,留口用童子小便浸三七日,如值雨下,即盖之,勿令着水,候日足取出,以水淋洗,挂阴
处令
以手
半钱
论曰:瘰疬,其根本多因愤怒气逆、忧思恐惧,或饮食中带有虫鼠残留的毒素,或风热邪气,客居于肌肉之间,随着身体虚弱之处停留结聚,有的在颈项部,有的在胸胁腋下,结节累累相连。详细考证方论,有风毒、瓦斯毒、热毒的不同,也有寒……(原文此处残缺)大要,古……服五香连……
论曰:瘰疬结核,是由于风热毒瓦斯蕴积在肝经,攻注于筋脉,毒瓦斯郁结而不能消散,所以在颈项和腋窝之间,出现瘰疬……气与……治疗男女老少颈项腋下瘰疬结核,伴有颈项强直、背痛。连翘汤方:连翘、玄参、木香、昆布(洗去咸味焙干)、枳壳(去瓤麸炒)、犀角(镑片,各一两半)、柴胡(去苗)、甘草(炙锉)、木通(锉)、芍药、黄芩(去黑心)、沉香(锉)、当归(切焙)、升麻(各一两)。以上十四味药,粗捣筛过,每次服用五钱匕,用水二盏,加入生姜一块枣大小拍碎,柳枝长二寸一握,细锉。煎至一盏,去渣温服,空腹时、半夜及睡前各服一次。
治疗瘰疬肿毒,结成恶核。三黄丸方:大黄(锉炒)、当归(切焙,各一两)、栀子仁(一分)、柴胡(去苗三分)、黄连(去须)、黄芩(去黑心)、赤茯苓(去黑皮)、桂(去粗皮)、干姜(炮制)、芍药(各半两)。以上十味药,捣罗成末,炼蜜制成如小豆大小的丸剂,每次服用十丸,空腹时用温酒送下,每日三次,以微微通利为度,再根据情况增减剂量。
治疗初患瘰疬,颈边结节磊磊如石,皮肤肌肉寒热赤肿。乌犀汤方:犀角(镑片)、恶实(炒,各三两)、沉香(三分)、麝香(研,半钱)、丁香(半两)、玄参(三分)、大黄(锉炒)、木通(锉)、射干、连翘(各一两)。以上十味药,粗捣筛过,每次服用五钱匕,用水一盏半,煎至八分,去渣空腹温服,到晚上再服,以下利为度。
治疗恶核。犀角丸方:犀角(镑片)、木香(各一分)、砂(研,水飞,一钱)、白茯苓(去黑皮半两)、皂荚(去皮子,酥炙)、干白薄荷、大黄(锉炒,各一两)、原蚕蛾、何首乌、天麻(各二两)。以上十味药,捣罗成细末,用优质的生羊肉,细切研成膏,调和药末制成如黍米大小的丸剂,每次服用七丸,茶清送下,不拘时间。
治疗瘰疬毒肿。沉香汤方:沉香(锉)、丁香、木香、麝香(研,各一分)、连翘、黄芩(去黑心,各半两)、犀角(镑,一两半)、升麻(一两)。以上八味药,粗捣筛过,每次服用五钱匕,用水一盏半,煎至八分,去渣空腹温服,半夜及睡前各服一次。
治疗恶核肿痛。连翘散方:连翘、何首乌(米泔水浸泡一夜焙干)、干白薄荷(各一两)、麝香(研,半钱)、升麻、恶实(炒)、白茯苓(去黑皮)、蛇蜕皮(酒浸炙,各半两)。以上八味药,捣罗成细散,每次服用一钱匕,食前用温酒调下,每日三次。
治疗气瘿结核未破者。四香饮方:丁香、木香、沉香(锉)、乳香、青橘皮(汤浸去白焙,各一两)、陈橘皮(汤浸去白焙,半两)、枳实(去瓤麸炒,一分)。以上七味药,粗捣筛过,每次服用三钱匕,用水一盏,煎三四沸,去渣食后温服,每日三次。
治疗瘰疬,肝中有根。桑白皮汤方:桑根白皮(锉)、硝石(研如粉,各二两)、紫葛、芍药(各三分)、犀角(镑)、虎杖(各一分)。以上六味药,将前五味药粗捣筛过,每次服用五钱匕,用水一盏半,煎至八分,去渣加入硝石半钱匕,搅匀,空腹晚后温服,以利下根本,排出类似筋膜、虾蟆衣之类的物质为度。
治疗男子妇人瘰疬结实,在颈上腋下,结节累累如弹丸相连。犀角散方:犀角(镑)、人参、鹿角(镑)、赤茯苓(男用白女用赤,各去黑皮)、白蔹(各一分)、斑蝥(三十个,糯米炒熟去米)、糯米(一合)。以上七味药,捣罗成细散,混合研匀,看患者大小斟酌给药,每次二十岁以上二钱匕,十岁一钱匕,并便内……(原文此处残缺)
治疗颈上瘰疬,如枣李核者,先服。紫葳散方:紫葳(即凌霄花)、海藻(洗去咸味焙干)、瞿麦穗、牡蛎(研成粉,左顾者为真品)、甘草(炙,各一两)。以上五味药,捣罗成细散,每次服用一钱半匕,食后用白开水调下,每日两次。
治疗瘰疬肿痛成疮,神妙散方:牵牛子(炒,半生半熟)、青橘皮(汤浸去白焙)、栀子仁、地骨皮、玄参。以上五味药等分,捣罗成细散,每次服用二钱匕,空腹用糯米饮调下,次日服用后生犀丸。
消毒化结聚。生犀丸方:犀角(镑,半钱)、龙脑、麝香(研,各半分)、红娘子(二十枚)、斑蝥(二十一枚,去头翅足,同红娘子用豆面炒焦)。以上五味药,捣罗成细末,用豆面糊制作,丸如绿豆大小,每次服用一丸,空腹半夜及睡前,用腊茶放温送下,服用至十日,加至二丸。
治疗风热毒瓦斯,项下结核,以及欲作痈疽疮疖发背等。凝冰散方:绿豆粉、乳香(研,各一两)。以上二味药,合研为散,体质壮实的人分四次服用,体虚的人分八次服用,食后米饮调下,向有核处的一侧卧倒,服完药剂必痊愈,大消肿痛。
治疗瘰疬肿痛,不论大人小儿,皆能治疗。不二散:牡蛎(煅赤,一两)、皮(一枚,生锉焙干)。以上二味药,捣罗成散,每次服用二钱匕,温酒调下。
治疗瘰疬一切结核。大效丸方:斑蝥(一枚)、黑豆(七粒,生芽者)。以上二味药,同研为丸,如绿豆大小,每次服用五丸,茶清送下,小儿一丸。
治疗瘰疬满项不破,及结核肿痛者。皂子丸方:不蛀皂子(三百粒)。以上一味药,用酒一升半,化开砂一两,同浸七日,以慢火熬尽酒为度,每次服用三粒,临卧含化,半月必痊愈。
治疗瘰疬肿结。内消方:海藻(一斤)。以上一味药,用酒五升,浸泡数日,食后少量饮酒。
又一方:蜗牛壳(不拘多少)。以上一味药,捣为细散,每次服用二钱匕,空腹米饮调下,每日两次,至四十九日自消。
又一方:白皮(切,二合)。以上一味药,以水四盏,煎至一盏,去渣顿服,应当吐出恶物。
治疗恶肉恶核,瘰疬初肿。丹参膏方:丹参(炙锉)、白芨(各二两)、升麻、蒴藋根(各一两半)、独活(去芦头)、防己、连翘、白蔹、玄参、杏仁(去皮尖双仁,各一两)。以上十味药细切,以生地黄汁一升,淹浸一夜,入铛内微煎十沸,入猪膏四升,微煎一顿饭之久,膏成去渣,用来按摩病处,每日二三次。
治疗瘰疬息肉结硬。白蔹膏方:白蔹、莽草、玄参、木香、芍药、大黄(生用,各三两)。以上六味药,捣罗成末,随时取用醋调和如膏,涂在帛上贴之,干极即更换。
治疗风热结硬,肿赤疼痛,及腮颔下忽结成核。消毒涂方:大黄(二两)、景天(五两,护火草是也)。以上二味药,同捣烂,涂于患处,干即再敷。
治疗瘰疬结聚不散,硬如石。大蒜膏方:大蒜(三枚捣烂)、麝香(研,半钱匕)。以上二味药和匀,敷于帛上贴之,一日二次更换,现捣最好。
治疗瘰疬发肿,及结恶核,皆不可针,及痈未溃。方:莽草(一两)。以上一味药,捣末和鸡子白,涂贴之,一日二次更换。
治疗瘰疬已成漏疮,岁久不愈,千治千愈。紫红散方:信砒(一钱)、矾石(二钱)、铅丹(三钱)。以上三味药,用瓷罐子,先入砒,次入矾,次入铅丹,均匀盖之,盐泥固济,炭火煅烧烟尽,至紫色……调涂……
桃红散方:血竭(须真好者,如无以深色胭脂代之)。以上一味药为细末,以自身津唾调匀,日夜频涂,候疮成靥,即用浴毒汤洗之。
浴毒汤方:黄柏(去粗皮)、黄连(去须)、甘草(锉)、黄芩(去黑心,各一两)、柏枝(一把截如箅子长)、大豆(一合)。以上六味药,粗捣筛过,每次用三四匙,以水二升,煎至一升,乘热淋洗,每日三四次,候洗下靥子,即用平肌散敷之。
平肌散方:黄狗头骨(烧灰)、鲮鲤甲(烧灰,各一钱)、乱发(一团指大烧灰)。以上三味药研匀,如疮口已干,用自身津唾调湿敷之,每日三四次,疮即平愈。
治疗瘰疬在颈上,结成颗块,及触处但有结凝,似作痈。急灸法:独头蒜(一颗)。以上一味药,截两头去心,作艾炷,大与蒜称,贴……子灸之,勿令破肉,但取气而已,觉热勿畏,每七壮易蒜,可至七易取消。
治疗瘰疬。白蚕散方:白僵蚕(一两)、麒麟竭、没药(各半两)。以上三味药,捣研为散,每次服用一钱半匕,麝香温酒调下。
治疗瘰疬已破未破。蜗牛丸方:蜗牛(半碗)、鸡苏(半斤)。以上二味药,同研极细,水浸宿蒸饼,丸如梧桐子大,每次服用十五丸,疮未破,浆水下。已破,薄荷汤下,每日三次。
治疗瘰疬疮口,脓水不止。罐灰散方:粪堆里破瓦罐耳。以上一味药净洗,于灶心掘坑,安在坑中,烧三日令捻得碎,细研,干掺疮上。
治疗瘰疬。蛇犀散方:白花蛇肉(酒浸焙,四两)、犀角(镑,一两)、青橘皮(去白焙,半两)、牵牛子(一两半,内一两炒熟半两生用)。以上四味药,捣罗为散,每次服用二钱匕,别入腻粉二钱匕,糯米饮调下,五更初服,至午前取下恶物,如取未尽,经半月后再服,未成疮者内消,成疮者疮自干合。
治疗五种瘰疬。牡蛎散方:牡蛎(煅研)、连翘(瓦上炒捣,各一两)。以上二味药,为细散,每次服用一钱匕,临卧无灰酒调下,瘥后更服一两,永不发。
治疗瘰疬结核。犀角丸方:犀角(屑)、吴蓝、黄芩(去黑心)、山栀子仁、巴豆(去心皮炒研出油,各半两)、升麻黄(锉)、防风(去叉)、甘草(炙锉,各三分)、大黄(生锉,一两半)、连珠草(一两)。以上十一味药,捣研为末,炼蜜和丸,如梧桐子大,每次服用三丸,米饮下,未利加至六七丸,取利为度。
治疗瘰疬初结,累累如梅李核,日渐不消,则破坏颈腋。内消丸方:人参、玄参、丹参、苦参、何首乌(各一两并细锉)。以上五味药,捣罗为末,别用皂荚十梃,以麻绳接续,穿留索子头,盛在瓶内,掘地埋瓶子,留口用童子小便浸三七日,如值雨下,即盖之,勿令着水,候日足取出,以水淋洗,挂阴处令……以手……半钱……(原文此处残缺)
Commentary states: Luoli (scrofula), its root cause is often due to anger causing qi reversal, worry and fear, or food containing residual toxins from insects and rodents, or wind-heat pathogenic factors lodging in the muscles. Following areas of deficiency, they stop and accumulate, appearing either in the neck and nape, or in the chest and axillae, with nodules connecting in a chain-like manner. Detailed examination of formulas and theories reveals differences among wind-toxin, gas-toxin, and heat-toxin, as well as cold... (text missing here). Generally, ancient... take Wuxiang Lian...
Commentary states: Luoli tubercles arise from wind-heat toxin and qi-gas accumulating in the Liver Meridian, attacking and pouring into the sinews and vessels. The toxin and qi-gas stagnate and fail to disperse, thus causing luoli between the neck/nape and axillae... qi and... Treatment for men, women, young and old with luoli tubercles in the neck and axillae, accompanied by neck stiffness and back pain. Liaoqiao Tang (Forsythia Decoction): Liaoqiao (Forsythiae Fructus), Xuanshen (Scrophulariae Radix), Muxiang (Aucklandiae Radix), Kunbu (Laminariae Thallus [washed to remove saltiness and roasted]), Zhike (Aurantii Fructus [pulp removed, bran-fried], each 1.5 liang), Chaihu (Bupleuri Radix [sprouts removed]), Gancao (Glycyrrhizae Radix et Rhizoma [roasted and crushed]), Mutong (Akebiae Caulis [crushed]), Shaoyao (Paeoniae Radix [White]), Huangqin (Scutellariae Radix [black heart removed]), Chenxiang (Aquilariae Lignum Resinatum [crushed]), Danggui (Angelicae Sinensis Radix [sliced and roasted]), Shengma (Cimicifugae Rhizoma [each 1 liang]). The above fourteen herbs are coarsely pounded and sieved. Each dose consists of 5 qianbi, boiled with 2 zhan of water, adding ginger the size of a jujube (smashed), and a handful of willow branches 2 cun long (finely chopped). Decoct until 1 zhan remains, strain, and take warm. Doses are taken on an empty stomach, at midnight, and before sleep.
Treatment for luoli swelling and toxicity, forming malignant kernels. Sanhuang Wan (Three Yellows Pill): Dahuang (Rhei Radix et Rhizoma [crushed and fried]), Danggui (Angelicae Sinensis Radix [sliced and roasted, each 1 liang]), Zhizi Ren (Gardeniae Semen [1 fen]), Chaihu (Bupleuri Radix [sprouts removed, 3 fen]), Huanglian (Coptidis Rhizoma [beard removed]), Huangqin (Scutellariae Radix [black heart removed]), Chi Fuling (Poria Cocos [red pelt removed]), Gui (Cinnamomi Cortex [rough bark removed]), Ganjiang (Zingiberis Rhizoma [processed]), Shaoyao (Paeoniae Radix [each 0.5 liang]). The above ten herbs are pounded and sifted into powder, mixed with refined honey to form pills the size of small beans. Take 10 pills per dose, with warm wine on an empty stomach, three times daily. Aim for mild laxation, then adjust dosage according to condition.
Treatment for initial onset of luoli, where nodules on the side of the neck are firm like stones, with skin and muscle exhibiting alternating cold and heat, redness, and swelling. Wuxi Tang (Black Rhinoceros Horn Decoction): Xijiao (Rhinocerotis Cornu [shaved]), Eshi (Arctii Fructus [fried, each 3 liang]), Chenxiang (Aquilariae Lignum Resinatum [3 fen]), Shexiang (Moschus [powdered, 0.5 qian]), Dingxiang (Syzygii Flos [0.5 liang]), Xuanshen (Scrophulariae Radix [3 fen]), Dahuang (Rhei Radix et Rhizoma [crushed and fried]), Mutong (Akebiae Caulis [crushed]), Shegan (Belamcandae Rhizoma), Liaoqiao (Forsythiae Fructus [each 1 liang]). The above ten herbs are coarsely pounded and sieved. Each dose consists of 5 qianbi, boiled with 1.5 zhan of water until reduced to 0.8 zhan. Strain and take warm on an empty stomach, with another dose in the evening. Stop when bowel movement occurs.
Treatment for malignant kernels. Xijiao Wan (Black Rhinoceros Horn Pill): Xijiao (Rhinocerotis Cornu [shaved]), Muxiang (Aucklandiae Radix [each 1 fen]), Sha (Sand [powdered, water-flown, 1 qian]), Bai Fuling (Poria Cocos [black pelt removed, 0.5 liang]), Zaojiao (Gleditsiae Fructus [skin and seeds removed, roasted with butter]), Gan Baohouhe (Dry Menthae Haplocalycis Herba), Dahuang (Rhei Radix et Rhizoma [crushed and fried, each 1 liang]), Yuancan'e (Bombyx Batryticatus [original silkworm moth]), Heshouwu (Polygoni Multiflori Radix), Tianma (Gastrodiae Rhizoma [each 2 liang]). The above ten herbs are pounded and sifted into fine powder. Use high-quality raw mutton, finely sliced and pounded into a paste, to mix with the powder and form pills the size of millet grains. Take 7 pills per dose, with clear tea water, at any time.
Treatment for luoli toxic swelling. Chenxiang Tang (Aquilaria Decoction): Chenxiang (Aquilariae Lignum Resinatum [crushed]), Dingxiang (Syzygii Flos), Muxiang (Aucklandiae Radix), Shexiang (Moschus [powdered, each 1 fen]), Liaoqiao (Forsythiae Fructus), Huangqin (Scutellariae Radix [black heart removed, each 0.5 liang]), Xijiao (Rhinocerotis Cornu [shaved, 1.5 liang]), Shengma (Cimicifugae Rhizoma [1 liang]). The above eight herbs are coarsely pounded and sieved. Each dose consists of 5 qianbi, boiled with 1.5 zhan of water until reduced to 0.8 zhan. Strain and take warm on an empty stomach, with doses at midnight and before sleep.
Treatment for malignant kernel swelling and pain. Liaoqiao San (Forsythia Powder): Liaoqiao (Forsythiae Fructus), Heshouwu (Polygoni Multiflori Radix [soaked in rice wash overnight and roasted]), Gan Baohouhe (Dry Menthae Haplocalycis Herba [each 1 liang]), Shexiang (Moschus [powdered, 0.5 qian]), Shengma (Cimicifugae Rhizoma), Eshi (Arctii Fructus [fried]), Bai Fuling (Poria Cocos [black pelt removed]), Shetui (Ophioglossi Cutis [soaked in wine and roasted, each 0.5 liang]). The above eight herbs are pounded and sifted into fine powder. Each dose consists of 1 qianbi, taken with warm wine before meals, three times daily.
Treatment for Qi Ying (Qi goiter) tubercles that have not ulcerated. Sixiang Yin (Four Fragrances Drink): Dingxiang (Syzygii Flos), Muxiang (Aucklandiae Radix), Chenxiang (Aquilariae Lignum Resinatum [crushed]), Ruxiang (Olibanum), Qing Ju Pi (Citri Reticulatae Pericarpium [soaked in hot water, white pith removed, roasted, each 1 liang]), Chen Ju Pi (Citri Reticulatae Pericarpium [soaked in hot water, white pith removed, roasted, 0.5 liang]), Zhishi (Aurantii Fructus Immaturus [pulp removed, bran-fried, 1 fen]). The above seven herbs are coarsely pounded and sieved. Each dose consists of 3 qianbi, boiled with 1 zhan of water for three to four boils. Strain and take warm after meals, three times daily.
Treatment for luoli with roots in the liver. Sangbaipi Tang (Mulberry Root Bark Decoction): Sanggen Baipi (Mori Cortex [crushed]), Xiaoshi (Natrii Sulfas [powdered, each 2 liang]), Zi Ge (Tetrastigma Caulis), Shaoyao (Paeoniae Radix [each 3 fen]), Xijiao (Rhinocerotis Cornu [shaved]), Hu Zhang (Polygoni Cuspidati Rhizoma et Radix [each 1 fen]). The above six herbs: coarsely pound and sieve the first five. Each dose consists of 5 qianbi, boiled with 1.5 zhan of water until reduced to 0.8 zhan. Strain and add 0.5 qianbi of Xiaoshi, mix well, and take warm on an empty stomach and in the evening. The goal is to induce evacuation of the root, expelling substances resembling fascia or frog skin.
Treatment for men and women with solidified luoli in the neck and axillae, with nodules connected like bean-sized balls. Xijiao San (Black Rhinoceros Horn Powder): Xijiao (Rhinocerotis Cornu [shaved]), Renshen (Ginseng Radix et Rhizoma), Lu Jiao (Cervi Cornu Degelatinatum [shaved]), Chi Fuling (Poria Cocos [men use white, women use red, black pelt removed]), Bailian (Pentaphragmatis Radix [each 1 fen]), Banmao (Mylabris [30 pieces, fried with glutinous rice until cooked, rice discarded]), Nuomi (Glutinis Oryzae Semen [1 he]). The above seven herbs are pounded and sifted into fine powder, mixed thoroughly. Dosage depends on age/size: over 20 years old take 2 qianbi; 10 years old take 1 qianbi... (text missing).
Treatment for luoli in the neck, sized like dates or plum pits. Take first. Ziwei San (Catalpa Powder): Ziwei (Catalpae Flos, i.e., Catalpa Speciosa Flower), Haizao (Sargassum Thallus [washed to remove saltiness and roasted]), Qumai Sui (Dianthi Spica), Muli (Ostrea Concha [powdered, left-facing shells are authentic]), Gancao (Glycyrrhizae Radix et Rhizoma [roasted, each 1 liang]). The above five herbs are pounded and sifted into fine powder. Each dose consists of 1.5 qianbi, taken with plain warm water after meals, twice daily.
Treatment for luoli swelling, pain, and ulceration. Shenmiao San (Divine Wonder Powder): Qianniuzi (Pharbitidis Semen [fried, half raw half cooked]), Qing Ju Pi (Citri Reticulatae Pericarpium [soaked in hot water, white pith removed, roasted]), Zhizi Ren (Gardeniae Semen), Digupi (Lycii Cortex), Xuanshen (Scrophulariae Radix). The above five herbs in equal parts are pounded and sifted into fine powder. Each dose consists of 2 qianbi, taken on an empty stomach with glutinous rice drink. On the following day, take Shengxi Wan (Fresh Rhinoceros Horn Pill).
To disinfect and resolve accumulations. Shengxi Wan (Fresh Rhinoceros Horn Pill): Xijiao (Rhinocerotis Cornu [shaved, 0.5 qian]), Longnao (Borneolum Syntheticum), Shexiang (Moschus [powdered, each 0.5 fen]), Hongniangzi (Lyttae Caraboidea [20 pieces]), Banmao (Mylabris [21 pieces, head, wings, and legs removed, fried with Hongniangzi in bean flour until scorched]). The above five herbs are pounded and sifted into fine powder. Use bean flour paste to form pills the size of green mung beans. Take 1 pill per dose on an empty stomach at midnight and before sleep, with warm aged tea. After ten days, increase to 2 pills.
Treatment for wind-heat toxin and qi-gas, tubercles under the neck, and conditions about to become carbuncles, sores, furuncles, or back abscesses. Ningbing San (Congealed Ice Powder): Lvdou Fen (Vigna Radiatae Semen Pulvis), Ruxiang (Olibanum [powdered, each 1 liang]). The above two herbs are mixed and ground into powder. For robust individuals, divide into four doses; for weak individuals, divide into eight doses. Take with rice drink after meals. Lie on the side with the nodule. Completion of the course will surely cure, significantly reducing swelling and pain.
Treatment for luoli swelling and pain, effective for both adults and children. Bu'er San (Non-Two Powder): Muli (Ostrea Concha [calcined red, 1 liang]), Pi (Skin/Crust [one piece, freshly crushed, dried, and roasted]). The above two herbs are pounded and sifted into powder. Each dose consists of 2 qianbi, taken with warm wine.
Treatment for all types of luoli tubercles. Da Xiao Wan (Great Efficacy Pill): Banmao (Mylabris [1 piece]), Heidou (Sojae Semen Nigrum [7 germinated grains]). The above two herbs are ground together and formed into pills the size of green mung beans. Take 5 pills per dose with clear tea water; infants take 1 pill.
Treatment for luoli filling the neck without ulceration, and painful swollen tubercles. Zaozi Wan (Soap Pod Pill): Buzhu Zaozi (Non-moth-eaten Gleditsiae Fructus [300 pods]). One herb: soak in 1.5 sheng of wine with 1 liang of Sha (Arsenolite) dissolved, for seven days. Simmer slowly until the wine is exhausted. Take 3 pills per dose, holding them in the mouth to dissolve before sleep. Cure expected within half a month.
Treatment for luoli swelling and knotting. Neixiao Formula (Internal Resolution Formula): Haizao (Sargassum Thallus [1 jin]). One herb: soak in 5 sheng of wine for several days. Drink a small amount after meals.
Another formula: Woniu Ke (Snail Shell [any amount]). One herb: grind into fine powder. Each dose consists of 2 qianbi, taken on an empty stomach with rice drink, twice daily. Self-resolution expected by the 49th day.
Another formula: Bapi (White Bark [cut, 2 he]). One herb: boil in 4 zhan of water until reduced to 1 zhan. Strain and take in one dose. Vomiting of foul matter is expected.
Treatment for foul flesh, malignant kernels, and initial swelling of luoli. Danshen Gao (Salvia Ointment): Danshen (Salviae Miltiorrhizae Radix et Rhizoma [roasted and crushed]), Baiji (Bletillae Rhizoma [each 2 liang]), Shengma (Cimicifugae Rhizoma), Shuodigen (Tetrastigmae Caulis [each 1.5 liang]), Duohuo (Angelicae Pubescentis Radix [radicle removed]), Fangji (Stephaniae Tetrandrae Rhizoma), Liaoqiao (Forsythiae Fructus), Bailian (Pentaphragmatis Radix), Xuanshen (Scrophulariae Radix), Xingren (Pruni Semen [skin, tip, and double-kernel removed, each 1 liang]). The above ten herbs are finely cut. Soak in 1 sheng of fresh Rehmanniae Juice overnight. Simmer gently in a pan for ten boils. Add 4 sheng of lard (Zhigao) and simmer gently for the duration of cooking a meal. Once the ointment is ready, strain. Apply to the affected area 2-3 times daily.
Treatment for luoli polyps and hard knots. Bailian Gao (Pentaphragma Ointment): Bailian (Pentaphragmatis Radix), Mangcao (Illicii Anisi Stellati Herba? Note: Mangcao usually refers to Illicium lanceolatum or similar toxic herb, context implies topical use), Xuanshen (Scrophulariae Radix), Muxiang (Aucklandiae Radix), Shaoyao (Paeoniae Radix), Dahuang (Rhei Radix et Rhizoma [raw, each 3 liang]). The above six herbs are pounded and sifted into powder. Mix with vinegar to form a paste as needed. Apply on cloth and patch it. Replace when dry.
Treatment for wind-heat hard knots, red and painful swelling, and sudden nodules under the cheeks/jaw. Xiaodu Tu Formula (Disinfectant Paste): Dahuang (Rhei Radix et Rhizoma [2 liang]), Jingtian (Sedum Acre [5 liang, also known as Huhuocao]). The above two herbs are pounded together until mashed. Apply to the affected area. Reapply when dry.
Treatment for luoli accumulation that does not disperse, hard as stone. Dasuan Gao (Garlic Ointment): Dasuan (Allii Sativi Bulbus [3 cloves, pounded]), Shexiang (Moschus [powdered, 0.5 qianbi]). The above two herbs are mixed evenly, applied on cloth, and patched. Change twice daily. Freshly pounded is best.
Treatment for luoli swelling and malignant kernel formation. Acupuncture is contraindicated, as is treatment for unruptured carbuncles. Formula: Mangcao (Illicii Anisi Stellati Herba? Or possibly another Mangcao, 1 liang). One herb: grind into powder, mix with egg white, apply and patch. Change twice daily.
Treatment for luoli that has become a fistula, chronic and non-healing, treated thousands of times with success. Zihong San (Purple Red Powder): Xinpi (Realgar/Arsenic compound [1 qian]), Fanshi (Alumen [2 qian]), Qiandan (Minii Rubrum [3 qian]). The above three herbs: place in a porcelain jar. Add Xinpi first, then Fanshi, then Qiandan. Cover evenly, seal with salt mud, and calcine over charcoal fire until smoke ceases and the color turns purple... mix and apply...
Taohong San (Peach Red Powder): Xuejie (Dragon's Blood [must be genuine; if unavailable, use dark red cinnabar as substitute]). One herb: grind into fine powder. Mix with own saliva. Apply frequently day and night. When the sore forms a scab, wash with Yudushang Tang (Poison-Bathing Decoction).
Yudushang Tang (Poison-Bathing Decoction): Huangbai (Phellodendri Cortex [rough bark removed]), Huanglian (Coptidis Rhizoma [beard removed]), Gancao (Glycyrrhizae Radix et Rhizoma [crushed]), Huangqin (Scutellariae Radix [black heart removed, each 1 liang)), Baizhi (Platycladi Cacumen [one handful, cut to length of a sieve]), Dadou (Sojae Semen [1 he]). The above six herbs are coarsely pounded and sieved. Use 3-4 spoons, boil in 2 sheng of water until reduced to 1 sheng. Wash while hot, 3-4 times daily. After washing off scabs, apply Pingji San (Skin-Leveling Powder).
Pingji San (Skin-Leveling Powder): Huang Goutou Gu (Calcan Humani Canis [burned to ash]), Lingli Jia (Manis Squama [burned to ash, each 1 qian]), Luankou (Human Hair [a ball the size of a finger, burned to ash]). The above three herbs are ground evenly. If the sore is dry, mix with own saliva to moisten and apply. Apply 3-4 times daily. The sore will level and heal.
Emergency Moxibustion Method for luoli in the neck forming lumps, or any contact-induced condensation resembling a carbuncle. Dutou Suan (Single-Clove Garlic [1 clove]). One herb: cut off both ends, remove the core. Shape moxa cones to match the size of the garlic. Apply to the... point/mole and moxibustate. Do not break the skin; only aim to transmit the qi. Do not fear the heat. Change the garlic every 7 moxa cones. Up to 7 changes may be used to eliminate the condition.
Treatment for luoli. Baican San (White Silkworm Powder): Bai Jiangcan (Bombyx Batryticatus [1 liang]), Qilinjie (Dragon's Blood), Moyao (Myrrha [each 0.5 liang]). The above three herbs are pounded and ground into powder. Each dose consists of 1.5 qianbi, taken with warm wine mixed with Shexiang (Moschus).
Treatment for luoli, whether ruptured or not. Woniu Wan (Snail Pill): Woniu (Helix Aspersa/Mollusc [half bowl]), Jisu (Elsholtziae Herba [half jin]). The above two herbs are pounded extremely finely. Soak in water overnight, steam with rice cake dough, and form pills the size of wutong tree seeds. Take 15 pills per dose. If the sore is unruptured, take with grain water. If ruptured, take with mint decoction. Three times daily.
Treatment for luoli sores with continuous pus discharge. Guanhui San (Jar Ash Powder): Fen Dui Li Po Wa Guan Er (Ear of broken clay jar from manure heap). One herb: clean thoroughly. Dig a pit in the stove heart, place the jar inside, and burn for three days until it crumbles to touch. Grind finely. Sprinkle dry powder onto the sore.
Treatment for luoli. Shexi San (Snake and Rhinoceros Powder): Baihua She Rou (Bungarus Parvus Meat [soaked in wine, dried, 4 liang]), Xijiao (Rhinocerotis Cornu [shaved, 1 liang]), Qing Ju Pi (Citri Reticulatae Pericarpium [white pith removed, roasted, 0.5 liang]), Qianniuzi (Pharbitidis Semen [1.5 liang total: 1 liang fried, 0.5 liang raw]). The above four herbs are pounded and sifted into powder. Each dose consists of 2 qianbi, plus 2 qianbi of Nifen (Calomel/Nigrum Hydrargyri), taken with glutinous rice drink. Take at dawn (fifth watch). By mid-morning, foul matter should be evacuated. If not fully evacuated, repeat after half a month. Unformed sores will resolve internally; formed sores will dry and close.
Treatment for five types of luoli. Muli San (Oyster Shell Powder): Muli (Ostrea Concha [calcined and powdered]), Liaoqiao (Forsythiae Fructus [fried on tile and pounded, each 1 liang]). The above two herbs are made into fine powder. Each dose consists of 1 qianbi, taken with non-grain alcohol before sleep. After cure, take another 1 liang to prevent recurrence forever.
Treatment for luoli tubercles. Xijiao Wan (Black Rhinoceros Horn Pill): Xijiao (Rhinocerotis Cornu [crushed]), Wulan (Isatidis Folium? Or distinct herb), Huangqin (Scutellariae Radix [black heart removed]), Shan Zhizi Ren (Gardeniae Semen), Badou (Crotonis Fructus [heart and skin removed, fried, pounded, oil expressed, each 0.5 liang]), Shengma Huang (Cimicifugae Rhizoma [crushed]), Fangfeng (Saposhnikoviae Radix [forks removed]), Gancao (Glycyrrhizae Radix et Rhizoma [roasted and crushed, each 3 fen]), Dahuang (Rhei Radix et Rhizoma [raw crushed, 1.5 liang]), Lianzhu Cao (Smilacis Glabrae Rhizoma? Or distinct herb [1 liang]). The above eleven herbs are pounded and ground into powder. Mix with refined honey to form pills the size of wutong tree seeds. Take 3 pills per dose with rice drink. If no laxation, increase to 6-7 pills. Stop when laxation occurs.
Treatment for initial formation of luoli, nodules like plum/pit fruits, gradually failing to dissipate, which would then destroy the neck and axillae. Neixiao Wan (Internal Resolution Pill): Renshen (Ginseng Radix et Rhizoma), Xuanshen (Scrophulariae Radix), Danshen (Salviae Miltiorrhizae Radix et Rhizoma), Kushen (Sophorae Flavescentis Radix), Heshouwu (Polygoni Multiflori Radix [each 1 liang, finely crushed]). The above five herbs are pounded and sifted into powder. Separately, take ten stalks of Zaojiao (Gleditsiae Fructus), connect with hemp rope, leave a string end, place in a bottle. Bury the bottle in the ground, leaving the mouth exposed. Soak in urine of a boy for 21-30 days. If it rains, cover it to keep water out. When time is sufficient, take out, rinse with water, hang in a shady place to dry... use hand... half qian... (text missing).