如患人二日内有赤脉上下贯至瞳人。见一脉主一岁死。一脉半主一岁半死。二脉二岁死。三脉三
岁死。无赤脉者可治。或一目有。一目无。半吉凶亦可治。如
不早治。亦恐一目赤脉而至二目有之。不可不察也。
凡灸瘰 用独蒜切片。如二铜钱浓于疮上。以蕲艾壮灸之九壮。或如年壮。初发即愈。如有五七
个者先以孙 灸之。次灸子 。次至每 。再次至祖 。已溃未溃。俱可以灸之。
将患人两手仰置肩上。微举后跟内踝骨尖上灸之七壮。两边有 。则二穴灸之。如一边有以左灸
右。右灸左。又肩 二穴。在肩骨尖上灸之。亦同前。
立效散
初一发时宜服此药。一名六一散。一名天水散。一名益原散。能抑火解毒。去赤脉。消暑祛瘰
之毒。
桂府滑石（六两水飞） 甘草（一两二钱炙）
上末每服一二钱。用米汤调送下。一日三服。夜再一服。五七日后次服。
立应散
治瘰 必用神方。
花斑蝥（二十八个同糯米炒黄去米及头足） 姜蚕（炙） 黑丑（炒头末各四钱）
三味共末每服一钱。五更初用好酒调服之。待恶物从小便中出。如未尽出。次早再一服。必毒尽
为妙。次用白糯米稀粥补之。后次再灯心汤调琥珀末一钱送下。以涤小便内。恶毒除根。永不再发。
如肚腹痛不止。恶毒不尽。用冷茶补之即止。如肚痛再不止。用防风末滚汤调送即止。不可用茶。
神秘汤
治瘰 经验方。
橘皮（去白） 紫苏 人参 桔梗 桑皮 生姜 五味子
等分每服一两。水二钟煎服。
又方木通汤
木通 车前 猪苓 泽泻 连翘 花粉 金银花 栝蒌子
等分每服八钱。水二钟。加竹叶灯心煎服。忌醋猪头肉肝肠驴马羊肉及房事气怒。
败毒散
治四种瘰 。
人参 当归 浓朴（姜制炒） 桔梗 白芷 肉桂 防风 黄 粉草
各等每服五钱。水酒各半煎服。
膏药方
沉香 麝香 轻粉 银朱 荔枝肉
各等分入熟鱼胶捣成膏贴之。专治硬核不消不破甚效。
大龟丸
治瘰 毒久服除根甚验
大乌龟（一个重一斤多） 雄黄（五钱） 胡椒（三钱） 穿山甲（三钱）
将药研末入龟颈肉以麻绳横缚定。勿令头出。面裹
严外盐泥固火 红透。取出为末。蜜丸每五十丸酒下。
万金丹
治多年瘰 。
赤矾（一两） 牛黄（三钱） 金脚信（一两） 乳香 没药 朱砂（各三钱） 黄丹（二钱）
为末。新铁杓内先下牛黄。次下矾信。 至无烟。方群药冷定为细末。用蒸饼和成线香样截段。
三四分重。量疮大小敷之。如疮未破。以艾灸之一二壮。待破入此锭子在内。外以膏药贴之。勿露风。
三四日开视之。周遭渐渐蚀开者。只用一挺。如未甚开。再一锭换之。待去净核。须用生肌等药上之
愈。
治瘰 奇方
已破未破甚验。
蛇丹果草连根叶端午日午时采来。不拘多少。阴干。每次用四钱。真川椒三钱。二味用无灰酒二
斤煎三四沸。露一夜。空心饮之三五杯。酒服不
过十斤。一扫光愈。
又方抬头草膏
治瘰 已破者。
用五抬头草不拘多少。清水煮烂。去草止用汁熬成膏。去火毒粘贴一个。不必再换。其核自出而
愈。
单方全蝎丸
治多年瘰 。百治不痊。服此药七日全好。
全蝎（三两焙干去勾足）
为末。用油核桃肉捣为丸。绿豆大。每日二服。清辰用六分。晚用七分。火酒送下。看人大小。
加减服之甚妙。
单方天葵草膏
治瘰 如神。
千年老鼠尿（即天葵草又名紫霞杯）
采根不拘多少洗净。每服三钱。酒水煎服。渣再捣醋调患处敷之效。
参 散
治瘰 疮破久不收口。内宜服十宣散等补剂。
人参 黄 （盐汤润炙） 当归（酒浸焙） 浓朴（姜汁制炒） 桔梗 白芷（各一两）
上末每三钱。热酒调下。不饮者木香汤送下。
如果患者两眼在两天内出现赤色血脉上下贯穿至瞳孔。见到一条脉主一年死，一条半脉主一年半死，两条脉主两年死，三条脉主三年死。没有赤色血脉的可以治愈。或者一只眼有，一只眼无，吉凶参半也可以治愈。如果不早点治疗，恐怕一只眼的赤脉会蔓延到两只眼都有，不可不仔细考察。
凡是灸治瘰疬，用独头蒜切成片，厚度比两个铜钱叠起来还厚，放在疮口上，用蕲州产的艾绒做的艾炷灸九壮。或者根据患者的年龄决定灸的壮数（如五十岁灸五十壮）。初发时立即施灸即可痊愈。如果有五七个结节，先灸母穴，再灸子穴，接着灸孙穴，再次灸祖穴。无论是否溃烂，都可以施灸。
让患者将双手仰置在肩上，微微抬起脚跟，在内踝骨尖上方施灸七壮。两边都有结节的话，就灸这两个穴位。如果只有一边有，则左病灸右，右病灸左。还有肩井穴，在肩骨尖上方施灸，方法同上。
立效散
初次发病时适宜服用此药。又名六一散、天水散、益原散。能抑制火毒解毒，去除赤脉，消暑祛除湿热瘰疬之毒。
桂府滑石（六两，水飞法处理） 甘草（一两二钱，炙制）
以上药物研为细末，每次服用一二钱，用米汤调服。一日三次，夜间再加服一次。五七天后再继续服用。
立应散
治疗瘰疬必用的神效方剂。
花斑蝥（二十八个，同糯米炒黄后去掉米及头足） 僵蚕（炙制） 黑丑（炒制，取头末和尾末各四钱）
三味药共研为细末，每次服用一钱。五更初用好酒调服。等待恶物从小便中排出。如果没有排尽，第二天早晨再服一次。以毒物排尽为妙。随后用白糯米稀粥补养身体。之后再用灯心草汤调服琥珀末一钱送下，以涤荡小便内的恶毒，除根，永不复发。如果出现肚子疼痛不止，说明恶毒未尽，喝冷茶即可止住腹痛。如果肚子痛仍不止，用防风末加滚开水调服即可止住，此时不可用茶。
神秘汤
治疗瘰疬的经验方。
橘皮（去白） 紫苏 人参 桔梗 桑白皮 生姜 五味子
等分，每次服用一两，加水两碗煎服。
又方：木通汤
木通 车前子 猪苓 泽泻 连翘 天花粉 金银花 瓜蒌子
等分，每次服用八钱，加水两碗，加入竹叶、灯心草煎服。忌食醋、猪头肉、肝肠、驴马羊肉以及房事和生气。
败毒散
治疗四种瘰疬。
人参 当归 厚朴（姜汁制炒） 桔梗 白芷 肉桂 防风 黄芪 粉草（即甘草）
各等分，每次服用五钱，用水和酒各半煎服。
膏药方
沉香 麝香 轻粉 银朱 荔枝肉
各等分，加入熟鱼胶捣成膏药贴敷。专门治疗硬核不消不破的情况，效果显著。
大龟丸
治疗瘰疬毒邪，久服可除根，非常有效。
大乌龟（一个，重一斤多） 雄黄（五钱） 胡椒（三钱） 穿山甲（三钱）
将药材研为细末，填入龟颈肉中，用麻绳横向绑紧，不要让龟头伸出。外面裹上面糊，外层再用盐泥封固，在火上烧红透。取出后研为细末，蜂蜜泛丸，每次五十丸，用酒送下。
万金丹
治疗多年的瘰疬。
赤矾（一两） 牛黄（三钱） 金脚信（砒霜的一种，一两） 乳香 没药 朱砂（各三钱） 黄丹（二钱）
研为细末。在新铁勺内先放入牛黄，其次放入矾和信石。加热至无烟后，再将其他药物冷却后定形为细末。用蒸饼和成药线香样截成段，每段三四分重，根据疮口大小敷用。如果疮口未破，先用艾灸一二壮，待疮口破后，将此锭子放入疮内，外用膏药贴敷，不要受风。三四天后打开查看，如果周围渐渐腐蚀开，只用一根锭子；如果腐蚀得不深，再换一根锭子。等到核完全去除后，必须使用生肌类药物涂抹才能痊愈。
治疗瘰疬奇方
无论已破或未破都非常有效。
蛇含石果草（连根带叶）在端午日午时采集。不拘多少，阴干。每次用四钱，真川椒三钱。两味药用无灰酒二斤煎煮三四沸，露天放置一夜。空腹饮用三五杯。服药不超过十斤酒，即可一扫而光痊愈。
又方：抬头草膏
治疗已破的瘰疬。
用五叶一枝蒿（抬头草）不拘多少，清水煮烂，去掉草渣只用汁液熬成膏。去掉火毒后贴敷一个，不必再换。其核自出而愈。
单方全蝎丸
治疗多年的瘰疬，百治不愈者，服用此药七日全好。
全蝎（三两，焙干去钩足）
研为细末，用油核桃肉捣成丸，绿豆大小。每日两次，清晨用六分，晚上用七分，用火酒送下。根据患者体型大小加减服用，效果甚妙。
单方天葵草膏
治疗瘰疬如神。
千年老鼠尿（即天葵草，又名紫霞杯）
采挖根部不拘多少洗净。每次服用三钱，酒水煎服。药渣再捣碎，用醋调匀敷于患处，有效。
参芪散
治疗瘰疬疮口破溃久不收口。内部宜服用十宣散等补剂。
人参 黄芪（盐汤润炙） 当归（酒浸焙干） 厚朴（姜汁制炒） 桔梗 白芷（各一两）
以上药物研为细末，每次三钱，热酒调服。不饮酒者可用木香汤送下。
If the patient exhibits red meridians extending vertically through the pupils in both eyes within two days, one meridian indicates death in one year; one and a half meridians indicate death in one and a half years; two meridians indicate death in two years; three meridians indicate death in three years. Cases without red meridians are treatable. If only one eye is affected while the other is not, the prognosis is mixed but still treatable. If treatment is not initiated early, it is feared that the red meridian from one eye may spread to both, so careful observation is essential.
For moxibustion treatment of Scrofula (Luo Li), use a slice of single-clove garlic, thicker than two stacked copper coins, placed on the lesion. Apply nine moxa cones (Moxa) made from Qi moxa. Alternatively, apply moxa cones equal to the patient's age. Immediate application at the onset can lead to cure. If there are five or seven nodules, first moxa the Mother point, then the Son point, followed by the Grandson point, and finally the Ancestor point. Moxibustion can be applied regardless of whether the lesion has ulcerated.
Have the patient place both hands supine on their shoulders and slightly lift the heels. Apply seven moxa cones above the tip of the medial malleolus. If nodules exist on both sides, moxa both points. If present on only one side, apply left-sided lesions to the right point and right-sided lesions to the left point. Also, moxa the Jianjing (GB21) point located above the acromion process, using the same method as above.
Li Xiao San (Instant Efficacy Powder)
Suitable for initial onset. Also known as Liu Yi San (Six-to-One Powder), Tian Shui San (Heavenly Water Powder), or Yi Yuan San (Benefiting Origin Powder). It suppresses fire toxicity, resolves toxins, removes red meridians, clears summerheat, and dispels damp-heat toxicity associated with Scrofula.
Hua Shi (Talcum, processed by water flotation) - 6 liang
Gan Cao (Licorice Root, honey-fried) - 1 liang 2 qian
Grind into fine powder. Take 1-2 qian each time, mixed with rice soup. Take three times daily, plus one dose at night. Continue after five to seven days.
Li Ying San (Instant Response Powder)
A divine prescription for treating Scrofula.
Ban Mao (Mylabris, fried with glutinous rice until yellow, remove head and legs) - 28 pieces
Jiang Can (Bombyx Batryticatus, fried)
Hei Chou (Pharbitidis Semen, fried, using head and tail ends) - 4 qian each
Grind the three ingredients into fine powder. Take 1 qian at dawn, mixed with good wine. Wait for foul matter to discharge via urination. If not fully discharged, take another dose the next morning. The goal is complete expulsion of toxins. Subsequently, nourish the body with white glutinous rice congee. Then, take 1 qian of Hu Po (Amber) powder mixed with Deng Xin Cao (Juncus Effusus) decoction to cleanse foul toxins from the urine, ensuring root removal and preventing recurrence. If abdominal pain persists, indicating incomplete toxin expulsion, drink cold tea to stop the pain. If pain continues, take Fang Feng (Saposhnikovia Root) powder mixed with boiling water to stop it; do not use tea.
Shen Mi Tang (Mysterious Decoction)
An empirical formula for Scrofula.
Chen Pi (Citrus Reticulatae Pericarpium, pith removed)
Zi Su (Perilla Leaf)
Ren Shen (Ginseng Radix et Rhizoma)
Jie Geng (Platycodonis Radix)
Sang Bai Pi (Mori Cortex)
Sheng Jiang (Zingiberis Rhizoma Recens)
Wu Wei Zi (Schisandrae Fructus)
Equal parts. Take 1 liang per dose, decocted in two bowls of water.
Another Prescription: Mu Tong Tang (Akebia Decoction)
Mu Tong (Akebiae Caulis)
Che Qian (Plantaginis Semen)
Zhu Ling (Polyporus)
Ze Xie (Alismatis Rhizoma)
Lian Qiao (Forsythiae Fructus)
Hua Fen (Trichosanthis Radix)
Jin Yin Hua (Lonicerae Japonicae Flos)
Gua Lou Zi (Trichosanthis Semen)
Equal parts. Take 8 qian per dose, decocted in two bowls of water with Zhu Ye (Bambusa Leaves) and Deng Xin Cao (Juncus Effusus). Avoid vinegar, pig head meat, liver, intestines, donkey, horse, and mutton, as well as sexual intercourse and anger.
Bai Du San (Defeat Toxin Powder)
For four types of Scrofula.
Ren Shen (Ginseng Radix et Rhizoma)
Dang Gui (Angelicae Sinensis Radix)
Hou Po (Magnoliae Officinalis Cortex, ginger-processed and fried)
Jie Geng (Platycodonis Radix)
Bai Zhi (Angelicae Dahuricae Radix)
Rou Gui (Cinnamomi Cortex)
Fang Feng (Saposhnikovia Root)
Huang Qi (Astragali Radix)
Fen Cao (Glycyrrhizae Radix et Rhizoma)
Equal parts. Take 5 qian per dose, decocted in half water and half wine.
Gao Yao Fang (Plaster Formula)
Chen Xiang (Aquilaria Lignum)
She Xiang (Moschus)
Qing Fen (Calomelas)
Yin Zhu (Cinnabar mixed with mercury compounds)
Li Zhi Rou (Litchi Arillus)
Equal parts. Mix with cooked Ichthyocolle (Fish Glue) to form a plaster. Specifically treats hard nodules that do not resolve or ulcerate; highly effective.
Da Gui Wan (Great Turtle Pill)
For chronic Scrofula toxicity; long-term use removes the root. Very effective.
Da Gui (Testudo Chinensis Carapax et Plastrum, >1 jin)
Xiong Huang (Realgar) - 5 qian
Hu Jiao (Piperis Longi Fructus) - 3 qian
Chuan Shan Jia (Manis Squama) - 3 qian
Grind herbs into powder, insert into turtle neck meat, bind tightly with hemp rope to prevent head protrusion. Wrap in dough, seal with salt mud, and roast over fire until thoroughly red-hot. Grind into powder, make pills with honey. Take 50 pills per dose with wine.
Wan Jin Dan (Ten Thousand Gold Pill)
For long-standing Scrofula.
Chi Fan (Alumen Rubrum) - 1 liang
Niu Huang (Bovis Calculus) - 3 qian
Jin Jiao Xin (Arsenic compound) - 1 liang
Ru Xiang (Olibanum)
Mo Yao (Myrrha)
Zhu Sha (Cinnabaris) - 3 qian each
Huang Dan (Minii Oxidum) - 2 qian
Grind into powder. In a new iron spoon, add Niu Huang first, then Fan and Xin. Heat until no smoke rises. Cool, then mix with other drugs to form fine powder. Combine with steamed wheat cake dough to form incense-like sticks, cut into segments weighing 3-4 fen. Apply according to wound size. If un-ulcerated, moxa 1-2 cones first. Once ulcerated, insert the pill inside, cover with plaster, and keep away from wind. Check after 3-4 days. If surrounding tissue gradually necroses, use one stick; if not sufficiently opened, replace with another. After removing the nodule completely, apply flesh-regenerating medicines to heal.
Qi Fang (Miraculous Formula for Scrofula)
Effective for both ulcerated and non-ulcerated cases.
She Han Guo Cao (Herba Siegesbeckiae, including roots and leaves) harvested at noon on Dragon Boat Festival. Dry in shade. Use 4 qian per dose with 3 qian of Zhen Chuan Jiao (Sichuan Pepper). Decoct in 2 jin of pure wine, boil 3-4 times, leave exposed overnight. Drink 3-5 cups on an empty stomach. Cure achieved within 10 jin of wine consumption.
Another Formula: Tai Tou Cao Gao (Uplifting Grass Plaster)
For ulcerated Scrofula.
Use Wu Tai Tou Cao (Herba Patriniae) freely. Boil in clear water until soft, strain, and reduce juice to a plaster. Remove heat toxicity, apply once, no need to change. The nodule will extrude spontaneously and heal.
Dan Fang Quan Xie Wan (Single Herb Scorpion Pill)
For chronic Scrofula resistant to other treatments. Seven days of this medication yields full recovery.
Quan Xie (Scorpio, roasted dry, remove hooks and legs) - 3 liang
Grind into powder. Mix with oil-rich walnut meat to form pills the size of mung beans. Take twice daily: 6 fen in the morning, 7 fen in the evening, with fire wine. Adjust dosage based on patient constitution.
Dan Fang Tian Kui Cao Gao (Single Herb Tiankui Plaster)
Highly effective for Scrofula.
Tian Kui Cao (Radix Sempevivi, also known as Zi Xia Bei)
Wash roots freely. Take 3 qian per dose, decocted in wine and water. Mash residue, mix with vinegar, and apply topically to the lesion.
Shen Qi San (Ginseng and Astragalus Powder)
For Scrofula ulcers that fail to close after prolonged duration. Internally, tonifying formulas like Shi Xuan San should be used.
Ren Shen (Ginseng Radix et Rhizoma)
Huang Qi (Astragali Radix, salt-water moistened and fried)
Dang Gui (Angelicae Sinensis Radix, wine-soaked and roasted)
Hou Po (Magnoliae Officinalis Cortex, ginger-juice processed and fried)
Jie Geng (Platycodonis Radix)
Bai Zhi (Angelicae Dahuricae Radix) - 1 liang each
Grind into powder. Take 3 qian per dose with hot wine. For those who do not drink alcohol, use Mu Xiang (Vladimiriae Radix) decoction.