将蜈蚣末装入文蛤内，纸糊封口，外再用西纸糊七层，晒干，面麸拌炒，以纸黑焦
为度，去纸研极细末，加麝香一分，再研匀，陈醋调稠。温敷坚硬核处，外用薄纸盖之，每日一换。
【方歌】金倍散敷坚瘰 ，蜈蚣末入文蛤中，纸糊晒干同麸炒，加麝研之醋调灵。
神功散 治湿毒瘰 ，敷之神效。
制川乌头 嫩黄柏（各等分）
共研细末，米醋调稠。温敷肿处，每日一换。
【方歌】神功散敷湿瘰 ，嫩黄柏与川乌头，等分为末加米醋，调涂肿处即能瘳。
李杲龙泉散 治诸般瘰 ，未成者消，已成者溃。
瓦粉（即定粉） 龙泉粉（即磨刀石上粉也） 莪术（酒浸炒干） 京三棱（酒浸炒干） 昆布（去土，酒洗，各
五钱）
上共研极细，滚水调涂患处，用此消坚尤速。
【方歌】李杲龙泉敷诸 ，瓦粉龙泉莪术棱，昆布共研为细末，滚水调涂速又灵。
朱震亨贴瘰 饼 治项间瘰 ，不辨肉色，不问大小及日月深远，或有赤硬肿痛，并皆贴之效。
生山药 蓖麻子肉
上等分，捣匀摊贴之。
【方歌】震亨贴瘰 可移，蓖麻山药共研泥，不问日久并肿硬，作饼贴之效更奇。
神效瘰 方 治瘰 初起，消肿止痛。
白胶香 海螵蛸 降真香（心无土气者）
上等分，研末，温水调稠，薄纸摊贴。
【方歌】神效瘰 实良方，疏滞消肿止痛强，未破以前用之效，白胶海螵降真香。
龙珠膏
龙牙草（即马鞭草，五两） 棘枣根（五钱） 海藻（二钱五分） 苏木（五钱）
上细切，水二十碗，煎至十二三碗，去渣，又用桑柴灰、苍耳草灰、锻石各二碗半，
纸两层，先铺箩底，次置三种灰于箩内，用滚水热淋取灰汁十碗，澄清，同前汤入锅内
熬成膏；用巴豆霜、白丁香、石膏、麝香、轻粉各少许，研细入膏内搅匀，瓷罐收贮。取
敷核上，再敷时，去旧药，其核即溃。根小者，但涂于根上，其核自溃。
【方歌】龙珠膏敷 毒疮，溃迟未溃敷之良，海藻苏木龙牙草，再加枣根共煎汤，桑
石苍耳灰淋水，同煎成膏添麝香，石膏白丁轻巴豆，研入膏内涂瘰强。
瘰 溃后方
蟾酥拈子
蟾酥（黄豆大一块） 白丁香（十五粒） 寒水石（黄豆大一块） 巴豆（去壳，十粒）
寒食面（黄豆大一块）
上各研细，共合一处再研匀，炼蜜搓成捻子。每用一根，用针将瘰 当顶针一孔，插
捻子入孔内，用绿云膏盖贴。连插三日后，单换膏药，俟数日后，顽根自脱，以脓净硬退
为效。如硬未尽再用，以尽为度。
【方歌】蟾酥捻子化坚方，瘰 将溃纳入疮，寒水石共巴豆肉，寒食面与白丁香。
五云膏 专贴鼠疮、马刀、瘰 已溃。
银黝子（捶碎，四两） 黄丹（飞过，八两） 香油（二十两）
用砂锅一口盛香油，火温，候油热，将黝子投入油内，用桃、柳、桑、槐、枣五样
树枝搅之，候起珍珠花时，捞去渣，用布滤净；复将油下入锅内，慢慢将黄丹筛入油内，
用五枝不住手搅之，以滴水成珠为度，取出收贮。用时勿令见火，以重汤炖化，红缎摊贴。
【方歌】五云膏贴鼠疮证，瘰 溃后共马刀，银黝油熬渣滤净，黄丹五枝搅成膏。
绿云膏
黄连 大黄 黄芩 元参 黄柏 木鳖子（去壳，各一钱）
上药共切片，用香油一两，炸焦色，去渣；入净松香五两，再熬成膏，倾入水中，扯
拔令金黄色，入铫内再熬数滚，候温；将猪胆汁三枚，铜绿三钱，预用醋一两，浸一宿，
涓滤去渣；同入膏内，用有柳枝搅之，候冷为度。用时以重汤炖化，薄纸摊贴甚效。
【方歌】绿云 破贴最神，军柏连鳖元参芩，油炸滤渣加松脂，胆汁铜绿入搅匀。
蛇蜕膏
蜜蜂（二十一个） 蛇蜕（七分半） 蜈蚣（端午前收者佳，二条）
上用香油四两，将前三药入油，用文武火炸枯，捞去渣；入定粉二两，用如箸粗桑
枝七条，急搅候冷，出火气七日夜。方用纸摊贴患处。
【方歌】蛇蜕膏贴溃后 ，专消余毒功效极，蜈蚣蜜蜂炸去渣，定粉油熬出火气。
凡治瘰 马刀溃破之后，应用方药，气血两虚，宜八珍汤；坚硬未消者，宜香贝养
荣汤；食少便泻者，宜香砂六君子汤；血虚肝热，或疮口出血，或红脓者，宜逍遥散加
丹皮、炒栀子；疮口敛迟，宜用十全大补汤加白蔹；虚烦不寐者，宜归脾汤调理。但药
剂大小，量人岁数、虚实，斟酌用之。
八珍汤（见溃疡门）
香贝养荣汤（见石疽门）
香砂六君子汤（见溃疡门）
逍遥散（见背部上搭手）
十全大补汤（见溃疡门）
归脾汤（见乳部乳中结核内）
益元散（即六一散加朱砂少许，见胸博蠹疽）
将蜈蚣粉末装入文蛤壳内，用纸张糊住封口，外部再用桑皮纸糊七层，晒干后，与面麸一起拌炒，直到纸张烧成黑焦状为止。去掉纸张，将药研成极细的粉末，加入一分麝香，再次研磨均匀，用陈醋调成稠糊状。温热地敷在坚硬结块处，外部覆盖薄纸，每天更换一次。
【方歌】金倍散用于敷治坚硬的瘰疬，将蜈蚣末放入文蛤中，用纸糊好晒干后与麦麸同炒，加入麝香研磨后用醋调和非常灵验。
神功散 治疗湿毒引起的瘰疬，敷用效果显著。
制川乌头、嫩黄柏（各等分）
共同研成细末，用米醋调成稠糊状。温热地敷在肿胀处，每天更换一次。
【方歌】神功散敷治湿性瘰疬，嫩黄柏与川乌头等分为末，加入米醋调和涂抹于肿胀处即可痊愈。
李杲龙泉散 治疗各种类型的瘰疬，未形成的可消散，已形成的可溃破。
瓦粉（即定粉）、龙泉粉（即磨刀石上的粉末）、莪术（酒浸后炒干）、京三棱（酒浸后炒干）、昆布（去土，酒洗，各五钱）
以上药物共同研成极细粉末，用滚开水调涂患处，用此法消散硬结尤其迅速。
【方歌】李杲龙泉散敷治各类瘰疬，瓦粉、龙泉粉、莪术和三棱，昆布共同研为细末，用滚水调涂快速又灵验。
朱震亨贴瘰疬饼 治疗颈项间的瘰疬，不论肤色如何，不问肿块大小及病程长短，或有红肿硬痛，均贴敷有效。
生山药、蓖麻子肉
以上药物等分，捣烂均匀摊贴。
【方歌】震亨贴瘰疬饼可移动使用，蓖麻子和山药共研成泥，不问病程日久还是肿硬，做成饼贴敷效果更奇妙。
神效瘰疬方 治疗瘰疬初起，消肿止痛。
白胶香、海螵蛸、降真香（心材无土气者）
以上药物等分，研成粉末，用温水调成稠糊，摊在薄纸上贴敷。
【方歌】神效瘰疬实为良方，疏理滞气、消肿止痛力强，在未破溃前使用有效，由白胶香、海螵蛸、降真香组成。
龙珠膏
龙牙草（即马鞭草，五两）、棘枣根（五钱）、海藻（二钱五分）、苏木（五钱）
以上药物细切，加水二十碗，煎至十二三碗，去渣；另取桑柴灰、苍耳草灰、锻石各二碗半，用两层纸先铺在箩底，再将三种灰置于箩内，用滚水热淋取灰汁十碗，澄清后，与前药汤一同入锅熬成膏；加入巴豆霜、白丁香、石膏、麝香、轻粉少许，研细后混入膏内搅匀，用瓷罐收贮。取药敷于结节上，下次敷药时，去除旧药，结节即会溃破。根部较小的，只涂于根部，结节自会溃破。
【方歌】龙珠膏敷治瘰疬毒疮，溃破迟缓或未溃破时敷用良好，海藻、苏木、龙牙草，再加枣根共同煎汤，桑树石、苍耳灰淋水，同煎成膏添加麝香，石膏、白丁香、轻粉、巴豆，研入膏内涂治瘰疬强效。
瘰疬溃后方
蟾酥捻子
蟾酥（黄豆大一块）、白丁香（十五粒）、寒水石（黄豆大一块）、巴豆（去壳，十粒）、寒食面（黄豆大一块）
以上药物分别研细，混合一处再研均匀，用炼蜜搓成线状捻子。每次用一根，用针在瘰疬顶部刺一孔，插入捻子，用绿云膏覆盖贴敷。连续插三天后，单换膏药，等待数日后，顽固的根脚自然脱落，以脓液排净、硬结消退为见效标准。如果硬结未尽，可继续使用，直至完全消除为止。
【方歌】蟾酥捻子是化坚消核的方子，瘰疬将要溃破时纳入疮口，寒水石配合巴豆肉，寒食面与白丁香。
五云膏 专贴鼠疮、马刀、瘰疬已溃破者。
银黝子（捶碎，四两）、黄丹（飞过，八两）、香油（二十两）
用一口砂锅盛香油，火温，待油热，将银黝子投入油内，用桃、柳、桑、槐、枣五种树枝搅拌，等到出现珍珠花状时，捞去药渣，用布滤净；再将油倒入锅内，慢慢将黄丹筛入油内，用五枝树枝不停手搅拌，以滴水成珠为标准，取出收贮。用时不要让见火，隔水炖化，摊在红缎上贴敷。
【方歌】五云膏贴治鼠疮证，瘰疬溃后配合马刀，银黝子在油中熬煮去渣滤净，黄丹用五枝树枝搅拌成膏。
绿云膏
黄连、大黄、黄芩、元参、黄柏、木鳖子（去壳，各一钱）
以上药物共切片，用香油一两，炸至焦色，去渣；加入净松香五两，再熬成膏，倾入水中，拉扯拔弄至金黄色，放入铫内再熬数次沸腾，候温；将猪胆汁三枚、铜绿三钱，预先用醋一两浸泡一夜，过滤去渣；一同混入膏内，用柳枝搅拌，候冷即可。用时隔水炖化，摊在薄纸上贴敷甚为有效。
【方歌】绿云膏破溃贴敷最神奇，大黄、黄柏、黄连、木鳖、元参、黄芩，油炸滤渣加松脂，胆汁铜绿入内搅匀。
蛇蜕膏
蜜蜂（二十一个）、蛇蜕（七分半）、蜈蚣（端午前采收为佳，二条）
以上药物用香油四两，将前三味药入油中，用文武火炸枯，捞去药渣；加入定粉二两，用如筷子粗的桑枝七条，急搅候冷，除去火气七日夜。然后用药纸摊贴患处。
【方歌】蛇蜕膏贴敷溃后瘰疬，专门消除余毒功效极佳，蜈蚣蜜蜂炸去药渣，定粉在油中熬制除去火气。
凡是治疗瘰疬、马刀溃破之后，应用方药：气血两虚者，宜用八珍汤；坚硬未消者，宜用香贝养荣汤；食少便泻者，宜用香砂六君子汤；血虚肝热，或疮口出血，或流出红色脓液者，宜用逍遥散加丹皮、炒栀子；疮口收敛迟缓者，宜用十全大补汤加白蔹；虚烦不寐者，宜用归脾汤调理。但药剂剂量大小，需根据患者年龄、虚实情况斟酌使用。
八珍汤（见溃疡门）
香贝养荣汤（见石疽门）
香砂六君子汤（见溃疡门）
逍遥散（见背部上搭手）
十全大补汤（见溃疡门）
归脾汤（见乳部乳中结核内）
益元散（即六一散加朱砂少许，见胸博蠹疽）
Place the powder of *Scolopendra* (Centipede) into a shell of *Venerupis philippinarum* (Clam), seal it with paper, and paste seven layers of Xizhi (mulberry bark paper) on the outside. Dry it in the sun, then stir-fry it with bran until the paper turns black and charred. Remove the paper, grind the contents into an extremely fine powder, add one fen of *Moschus* (Musk), grind uniformly again, and mix with aged vinegar to form a thick paste. Apply warm to the area of hard nodules, cover with thin paper externally, and change once daily.
[Prescription Song] Jinbei San is applied to hard scrofula; Scolopendra powder is placed in clam shells, sealed with paper, dried, and stir-fried with bran. Adding musk and grinding, then mixing with vinegar makes it effective.
Shengong San treats scrofula caused by damp-toxin, applying it yields miraculous effects.
Prepared *Aconitum carmichaelii* root lateral side (Chuanwu) and tender *Phellodendron amurense* bark (Huangbai) in equal parts.
Grind together into a fine powder, mix with rice vinegar to form a thick paste. Apply warm to the swollen area, changing once daily.
[Prescription Song] Shengong San applies to damp scrofula; tender Huangbai and Chuanwu are ground equally into powder, mixed with rice vinegar, and applied to the swelling for cure.
Li Gao's Longquan San treats various types of scrofula; those not yet formed will dissipate, those already formed will suppurate.
Wafen (i.e., Dinfen/Lead carbonate), Longquafen (powder from whetstones), *Curcuma zedoaria* rhizome (Ezhu, soaked in wine and stir-fried dry), *Bupleurum chinense* root (Sanleng, soaked in wine and stir-fried dry), *Laminaria japonica* thallus (Kunbu, cleaned of soil, washed in wine, each 5 qian).
Grind all together into an extremely fine powder, mix with boiling water, and apply to the affected area. This method dissipates hardness especially quickly.
[Prescription Song] Li Gao's Longquan San applies to various scrofula; Wafen, Longquafen, Ezhu, and Sanleng, along with Kunbu, are ground into fine powder and applied with boiling water for rapid effect.
Zhu Zhenheng's Scrofula-Pasting Cake treats scrofula in the neck region, regardless of skin color, size, or duration, even if red, hard, swollen, and painful, application is effective.
Raw *Dioscorea opposita* tuber (Shanyao) and flesh of *Ricinus communis* seed (Bimazi).
Equal parts, pounded evenly and spread for application.
[Prescription Song] Zhenheng's Scrofula Paste can be moved; Ricinus and Dioscorea are ground into mud. Regardless of long duration or swelling/hardness, making cakes for application yields wondrous effects.
Shenxiao Scrofula Formula treats early-stage scrofula, reducing swelling and relieving pain.
*Boswellia carterii* gum resin (Baijiaoxiang), *Sepia esculenta* bone (Haipiaoxiao), *Dalbergia odorifera* wood (Xiangzhuxiang, heartwood free of earthy smell).
Equal parts, ground into powder, mixed with warm water to form a thick paste, spread thinly on paper for application.
[Prescription Song] Shenxiao Scrofula is a good formula, strongly disperses stagnation, reduces swelling, and relieves pain. Effective before ulceration, composed of Baijiaoxiang, Haipiaoxiao, and Xiangzhuxiang.
Longzhu Gao (Dragon Pearl Ointment)
*Agrimonia pilosa* herb (Longyacao, i.e., *Verbena officinalis*, 5 liang), *Ziziphus jujuba* root (Jizao gen, 5 qian), *Sargassum fusiforme* thallus (Haizao, 2.5 qian), *Pterocarpus santalinus* wood (Sumu, 5 qian).
Finely chop the above, add 20 bowls of water, decoct until 12-13 bowls remain, strain. Take 2.5 bowls each of mulberry branch ash, *Xanthium strumarium* herb ash, and calcined gypsum/mineral ash (Duanshi). Line a sieve bottom with two layers of paper, place the three ashes inside, and pour boiling water over them to leach out 10 bowls of ash juice. Clarify this juice, combine with the previous decoction, and boil down into an ointment. Add small amounts of *Croton tiglium* seed frost (Badoushuang), *Os bidentis* (Baidingxiang), *Gypsum fibrosum* (Shigao), *Moschus* (Shexiang), and *Calomel* (Qingfen), grind finely, mix into the ointment, and store in porcelain jars. Apply to the nodule. For subsequent applications, remove old medicine; the nodule will then suppurate. For smaller roots, apply only to the root, and the nodule will spontaneously suppurate.
[Prescription Song] Longzhu Gao applies to scrofula toxic sores; good for slow or un-suppurated cases. Haizao, Sumu, Longyacao, plus Zao root decocted together. Mulberry stone and Xanthium ash leached water, boiled into ointment with musk. Shigao, Baodingxiang, Qingfen, Badou, ground into ointment for strong scrofula treatment.
Post-ulceration Formulas for Scrofula
Chansu Nianzi (Toad Venom Wick)
*Bufonius venenum* (Chansu, piece the size of a soybean), *Os bidentis* (Baidingxiang, 15 grains), *Aqua calcariae* (Hanshuishi, piece the size of a soybean), *Croton tiglium* seed (Badou, shelled, 10 grains), Han Shi Mian (Cold Food Flour, piece the size of a soybean).
Grind each finely, mix together and grind uniformly, roll into wicks using refined honey. Use one wick per application. Puncture a hole at the apex of the scrofula with a needle, insert the wick into the hole, and cover with Lüyun Gao. Insert continuously for three days, then change only the plaster. After several days, the stubborn root will naturally detach. Effect is achieved when pus is clean and hardness recedes. If hardness remains, continue use until completely resolved.
[Prescription Song] Chansu Ni Zi is a formula for resolving hardness; inserted into the sore as scrofula is about to suppurate. Hanshuishi combined with Badou flesh, Han Shi Mian and Baidingxiang.
Wuyun Gao specifically treats rat-chase, horse-knife, and post-ulceration scrofula.
Yinyouzi (crushed, 4 liang), Huangdan (calcined, 8 liang), Sesame oil (Xiangyou, 20 liang).
Place sesame oil in a clay pot, heat gently. When hot, throw in Yinyouzi. Stir with branches of peach, willow, mulberry, locust, and jujube trees. When "pearl flowers" appear, remove dregs and filter through cloth. Return oil to the pot, slowly sift in Huangdan while stirring constantly with the five branches until a drop forms a bead in cold water. Remove and store. Do not expose to fire when using; melt in a double boiler, spread on red silk for application.
[Prescription Song] Wuyun Gao applies to rat-chase syndrome, post-ulceration scrofula and horse-knife. Yinyouzi boiled in oil, dregs filtered clear, Huangdan stirred into ointment with five branches.
Lüyun Gao
*Coptis chinensis* rhizome (Huanglian), *Rheum palmatum* root (Dahuang), *Scutellaria baicalensis* root (Huangqin), *Scrophularia ningpoensis* root (Yuanshen), *Phellodendron amurense* bark (Huangbai), *Momordica cochinchinensis* seed (Mubiezi, shelled, each 1 qian).
Slice the above herbs, fry in 1 liang of sesame oil until dark brown, strain. Add 5 liang of purified pine rosin, boil into ointment, pour into water, pull and stretch until golden yellow. Boil again in a crucible several times, let cool slightly. Mix in bile of three pigs, 3 qian of *Viridians cupri acetum* (Tonglü), which has been soaked overnight in 1 liang of vinegar, then filtered. Combine into the ointment, stir with willow branch until cold. Melt in a double boiler when using, spread on thin paper for application; very effective.
[Prescription Song] Lüyun Gao is most divine for breaking ulcers. Dahuang, Huangbai, Huanglian, Mubie, Yuanshen, Huangqin. Fried in oil, strained, mixed with rosin. Bile and Tonglü added and stirred evenly.
Shetui Gao
Bees (21), Snake slough (Shetui, 7.5 fen), Centipede (Scolopendra, preferably collected before Dragon Boat Festival, 2 pieces).
Add the first three herbs to 4 liang of sesame oil. Fry with mild to moderate heat until withered, remove dregs. Add 2 liang of Dinfen. Stir rapidly with seven mulberry branches (thickness of chopsticks) until cool. Remove "fire qi" for seven days and nights. Then spread on medicinal paper and apply to the affected area.
[Prescription Song] Shetui Gao applies to post-ulceration scrofula, specifically eliminating residual toxin with extreme efficacy. Scolopendra and bees fried to remove dregs, Dinfen boiled in oil to remove fire qi.
For any treatment of scrofula or horse-knife after ulceration:
If there is deficiency of both Qi and Blood, use Bazhen Tang.
If hardness has not dissipated, use Xiangbei Yangrong Tang.
If appetite is poor and stools are loose, use Xiangsha Liujunzi Tang.
If there is Blood deficiency with Liver heat, or bleeding from the sore, or red pus, use Xiaoyao San plus *Morinda officinalis* root (Danpi) and stir-fried *Gardenia jasminoides* fruit (Zhizi).
If wound closure is delayed, use Shiquan Dabu Tang plus *Ampelopsis japonica* root (Bailian).
If there is deficiency-related irritability and insomnia, use Guipi Tang for regulation.
However, the dosage should be adjusted according to the patient's age and condition of excess or deficiency.
Bazhen Tang (see Ulcer Section)
Xiangbei Yangrong Tang (see Stone Abscess Section)
Xiangsha Liujunzi Tang (see Ulcer Section)
Xiaoyao San (see Back Upper Dasha)
Shiquan Dabu Tang (see Ulcer Section)
Guipi Tang (see Breast Nodule Section)
Yiyuan San (i.e., Liuyi San plus a little Cinnabar, see Chest Bo Du Ju)