金黄散（见肿疡门）
黄连解毒汤（见疔疮门）
冰硼散（见咽喉门）
升麻解毒汤（见杨梅疮门）
真君妙贴散（见肿疡门）
夫人生瘿瘤之症，非阴阳正气结肿，乃五脏瘀血、浊气、痰滞而成。瘿者阳也，色红而高突，或蒂小而下
垂；瘤者阴也，色白而漫肿，亦无痒痛，人所不觉，薛立斋分别甚详。肝统筋，怒动肝火，血燥筋挛曰筋瘤。
心主血，暴急太甚，火旺逼血沸腾，复被外邪所搏而肿曰血瘤。脾主肌肉，郁结伤脾，肌肉消薄，土气不行，
逆于肉里而为肿曰肉瘤。肺主气，劳伤元气，腠理不密，外寒搏而为肿曰气瘤。肾主骨，恣欲伤肾，肾火郁遏，
骨无荣养而为肿曰骨瘤。予曰∶筋瘤者，坚而色紫，垒垒青筋，盘曲甚者，结若蚯蚓；治当清肝解郁，养血舒
筋，清肝芦荟丸是也。
血瘤者，微紫微红，软硬间杂，皮肤隐隐，缠若红丝，擦破血流，禁之不住；治当养血凉血，抑火滋阴，安敛
心神，调和血脉，芩连二母丸是也。肉瘤者，软若绵，硬似馒，皮色不变，不紧不宽，终年只似复肝然；治当
理脾宽中，疏通戊土，开郁行痰，调理饮食，加味归脾丸是也。气瘤者，软而不坚，皮色如故，或消或长，无
热无寒；治当清肺气，调经脉，理劳伤，和荣卫，通气散坚丸是也。骨瘤者，形色紫黑，坚硬如石，疙瘩高起，
推之不移，昂昂坚贴于骨；治当补肾气，养血行瘀，散肿破坚，利窍调元，肾气丸是也。此瘤之五名，治瘤之
五法，惟在此也。又观立斋云∶筋骨呈露曰筋瘿，赤脉交结曰血瘿，皮色不变曰肉瘿，随忧喜消长曰气瘿，坚
硬不可移曰石瘿，此瘿之五名也。通治瘿瘤初起，元气实者，海藻玉壶汤、六军丸；久而元气虚者，琥珀黑
龙丹、十全流气饮，选服此药，自然缩小消磨；切不可轻用针刀，掘破出血不止，多致立危；久则脓血崩溃，
渗漏不已，终致伤人。又一种粉瘤，红粉色，多生耳项前后，亦有生于下体者，全是痰气凝结而成；宜披针破
去脂粉，以三品一条枪插入，数次以净内膜自愈。又一种黑砂瘤，多生臀腿，肿突大小不一，以手摄起，内有
黑色是也；亦用针刺，内出黑砂有声，软硬不一。又一种发瘤，多生耳后发下寸许，软小高突，按之不痛，亦
针之，粉发齐出。又一种蛔虫瘤，生于胁下；又一种疽瘤，连生肩膊，详在后治验中。予观古又有虱瘤矣，但
其形状之异，皆五脏湿热、邪火、浊气、瘀血各感而成，此非正病也。以上数瘤，皆亲手治验非谬也。
金黄散（参见肿疡门）
黄连解毒汤（参见疔疮门）
冰硼散（参见咽喉门）
升麻解毒汤（参见杨梅疮门）
真君妙贴散（参见肿疡门）
人生瘿瘤之症，并非由阴阳正气结聚而成的肿块，而是由于五脏的瘀血、浊气、痰湿停滞所形成。瘿属于阳证，颜色红且高突，有的蒂小而下垂；瘤属于阴证，颜色白且漫肿，也没有痒痛感，人们往往察觉不到，薛立斋对此区分得非常详细。肝主管筋，发怒引动肝火，导致血燥筋挛，称为筋瘤。心主血脉，情绪暴急太过，火势旺盛逼迫血液沸腾，再加上外邪搏击而肿胀，称为血瘤。脾主管肌肉，忧思郁结损伤脾胃，肌肉消薄，脾气运行不畅，逆阻于肌肉之中而形成肿胀，称为肉瘤。肺主气，劳累损伤元气，腠理不致密，外寒搏击而形成肿胀，称为气瘤。肾主骨，纵欲损伤肾脏，肾中相火郁遏，骨骼得不到荣养而形成肿胀，称为骨瘤。我说：筋瘤的特征是坚硬且颜色紫暗，青筋隆起成堆，盘曲严重的，结节像蚯蚓一样；治疗应当清肝解郁，养血舒筋，使用清肝芦荟丸。
血瘤的特征是微紫微红，软硬相间，皮肤下隐约可见，缠绕如红丝，擦破后流血不止；治疗应当养血凉血，抑火滋阴，安敛心神，调和血脉，使用芩连二母丸。肉瘤的特征是软得像棉花，硬得像馒头，皮色不变，不紧也不宽，整年看起来就像堆积的肝脏一样；治疗应当调理脾胃，宽中理气，疏通脾胃之气，开郁化痰，调理饮食，使用加味归脾丸。气瘤的特征是软而不坚硬，皮色如常，有时消退有时增大，没有发热也没有恶寒；治疗应当清肺气，调经脉，理劳伤，和营卫，使用通气散坚丸。骨瘤的特征是形色紫黑，坚硬如石头，疙瘩高起，推之不动，高高地坚硬附着在骨头上；治疗应当补肾气，养血行瘀，散肿破坚，利窍调元，使用肾气丸。这五种瘤的名称，治疗这五种瘤的方法，都在于此了。又观察薛立斋说：筋骨显露称为筋瘿，赤脉交错结聚称为血瘿，皮色不变称为肉瘿，随情绪忧喜而消长称为气瘿，坚硬不可移动称为石瘿，这是五种瘿的名称。通治瘿瘤初起，元气充实的人，选用海藻玉壶汤、六军丸；病程久且元气虚弱的人，选用琥珀黑龙丹、十全流气饮，选择服用这些药物，自然能缩小消磨；切不可轻易使用针刀，掘破后出血不止，多会导致立即危重；时间久了则脓血崩溃，渗漏不停，最终导致伤人致死。还有一种粉瘤，呈红粉色，多生在耳项前后，也有生在下体的，完全是由痰气凝结而成；宜用披针刺破去除脂粉，插入三品一条枪，数次之后内膜干净即可自愈。还有一种黑砂瘤，多生在臀腿，肿突大小不一，用手提起，里面有黑色物质；也用针刺，刺入后排出黑砂有声，质地软硬不一。还有一种发瘤，多生在耳后头发下一寸左右，软小高突，按压不痛，也用针刺，粉刺一起出来。还有一种蛔虫瘤，生在胁下；还有一种疽瘤，连生在肩膊，详情在后文的治疗验案中记载。我观察古代还有虱瘤，只是形状各异，都是五脏湿热、邪火、浊气、瘀血各自感受而形成的，这不是正经的病证。以上几种瘤，都是我亲手治疗的验证，绝非谬误。
Jinhuang San (Golden Yellow Powder) [see Men of Swollen Ulcers]
Huanglian Jiedu Tang (Coptis Decoction to Resolve Toxicity) [see Men of Ding Sores]
Bingpeng San (Ice and Borax Powder) [see Men of Throat and Mouth]
Shengma Jiedu Tang (Cimicifugae Decoction to Resolve Toxicity) [see Men of Syphilis]
Zhenjun Miaotie San (True Lord's Miraculous Paste Powder) [see Men of Swollen Ulcers]
The condition of Ying (Goiter) and Liu (Tumor) in human beings is not a swelling formed by the knotting of Yin and Yang healthy Qi, but rather results from stasis of blood, turbid Qi, and phlegm stagnation within the Five Zang Organs. Ying belongs to Yang; its color is red and it protrudes high, sometimes with a small pedicle hanging down. Liu belongs to Yin; its color is white and it presents as diffuse swelling, without itching or pain, often unnoticed by people. Xue Lizhai distinguished these very clearly. The Liver governs the sinews; anger stirs up Liver Fire, causing dryness of blood and contraction of sinews, termed Jin Liu (Sinew Tumor). The Heart governs the blood vessels; extreme sudden urgency causes Fire to flourish, forcing blood to boil, and when combined with external pathogens striking, it swells, termed Xue Liu (Blood Tumor). The Spleen governs the muscles; depression and knotting injure the Spleen, causing muscles to thin and Spleen Qi to fail to circulate, reversing into the flesh to cause swelling, termed Rou Liu (Flesh Tumor). The Lung governs Qi; labor and injury deplete Yuan Qi, making the Cou Li (pores/skin texture) insecure, allowing external cold to strike and cause swelling, termed Qi Liu (Qi Tumor). The Kidney governs the bones; indulgence injures the Kidney, suppressing Kidney Fire, leaving bones without nourishment to cause swelling, termed Gu Liu (Bone Tumor). I say: Jin Liu is characterized by hardness and purple color, with raised blue veins; if coiled severely, the knots resemble earthworms. Treatment should clear the Liver and resolve depression, nourish blood and relax sinews, using Qinggan Lulu Wan (Liver-Clearing Aloe Pill). Xue Liu is characterized by slight purple-red color, mixed softness and hardness, with faint red threads visible under the skin; if scratched, bleeding cannot be stopped. Treatment should nourish and cool blood, suppress fire and nourish Yin, calm and secure the Spirit, and harmonize blood vessels, using Qinlian Ermu Wan (Scutellaria and Anemarrhena Two-Mother Pill). Rou Liu is characterized by softness like cotton and hardness like steamed bun, unchanged skin color, neither tight nor loose, resembling piled liver throughout the year. Treatment should regulate the Spleen and widen the middle, unblock Stomach Earth, open depression and move phlegm, and regulate diet, using Jiawei Guipi Wan (Modified Restore the Spleen Pill). Qi Liu is characterized by softness without firmness, normal skin color, fluctuating in size without heat or chills. Treatment should clear Lung Qi, regulate meridians, address labor injuries, and harmonize Ying and Wei, using Tongqi Sanjian Wan (Qi-Ventilating Hardness-Resolving Pill). Gu Liu is characterized by purple-black color and form, hardness like stone, nodular elevation, immovable upon pushing, firmly attached to the bone. Treatment should tonify Kidney Qi, nourish blood and move stasis, dissipate swelling and break firmness, benefit orifices and adjust Yuan, using Shenqi Wan (Kidney Qi Pill). These five names of tumors and five methods of treating tumors lie herein. Furthermore, observing Lizhai's words: sinews and bones exposed is Jin Ying (Sinew Goiter); red vessels interwoven is Xue Ying (Blood Goiter); unchanged skin color is Rou Ying (Flesh Goiter); waxing and waning with sorrow and joy is Qi Ying (Qi Goiter); hard and immovable is Shi Ying (Stone Goiter). These are the five names of Ying. For early-stage Ying and Liu, if Yuan Qi is solid, select Haizao Yuhu Tang (Seaweed Jade Pot Decoction) or Liu Jun Wan (Six-Army Pill); if prolonged and Yuan Qi is deficient, select Hupo Heilong Dan (Amber Black Dragon Pellet) or Shiquan Liuqi Yin (Perfect Ten Qi-Flowing Decoction), selecting and taking these medicines will naturally reduce and dissolve them. One must never lightly use needles or knives; piercing leads to uncontrollable bleeding, often causing immediate danger; prolonged leakage of pus and blood ultimately harms life. Another type is Fen Liu (Powder Tumor), pinkish-red, mostly occurring behind ears and neck, also sometimes on the lower body, entirely formed by knotting of phlegm and Qi. It is suitable to pierce with a lancet to remove powder, insert Sanpin Yitiao Qiang (Three Grades Single-Spear), and after several times, the clean inner membrane heals itself. Another type is Heisha Liu (Black Sand Tumor), mostly on buttocks and thighs, varying sizes of protrusion, lifting with hand reveals black matter inside. Also use needle puncture, black sand comes out with sound, varying hardness. Another type is Fa Liu (Hair Tumor), mostly one cun below hair behind ears, small and soft protrusion, painless on pressure, also punctured with needle, hair and powder come out together. Another type is Huichong Liu (Ascaris Tumor), occurring under the hypochondrium; another type is Ju Liu (Carbuncle Tumor), connected to shoulders and upper arms, detailed in later treatment cases. I observe that ancient texts also mention Lice Tumors, differing in shape, all formed by damp-heat, pathogenic fire, turbid Qi, and blood stasis of the Five Zang Organs; this is not a proper disease. The above several tumors are all verified by my own hands, not falsehoods.