夫瘿瘤者，皆因气血凝滞，结而成之。瘿则忧恚所生，多着于肩项，皮宽不急，捶捶而
垂是也。瘤则随气留住，初作梅李之状，皮嫩而光，渐如杯卵是也。瘿有五种，其肉色不变
者，谓之肉瘿；其筋脉现露者，谓之筋瘿；赤脉交络者，名血瘿；若随忧恼而消长者，名气
瘿；若坚硬而不可移者，名石瘿。瘤亦有六种，一曰骨瘤，二曰脂瘤，三曰肉瘤，四曰脓瘤
，五曰血瘤，六曰石瘤。瘿瘤二者虽无痛痒，最不可决破，恐脓血崩溃，渗漏无已，必致杀
。其间肉瘤不可攻疗。若夫脂瘤气瘿之类，则当用海藻、昆布软坚之药治之，如东垣散肿溃
坚汤，亦可多服，庶得消散矣。
海藻丸
治瘿瘤通用。
海藻（洗晒） 川芎 当归 官桂 白芷 细辛 藿香 白蔹 昆布（洗晒） 明矾（ 各
一两） 松萝（净七钱半） 海蛤（ ，七钱半）
上为细末，炼蜜和丸，如弹子大。每服一丸，食后含咽下。
守瘿丸
治瘿瘤结硬。
通草（二两） 杏仁（去皮尖，研） 牛蒡子（各一合） 昆布（洗） 射干 诃藜勒 海藻（
洗，各四两）
上为细末，炼蜜和丸，如弹子大。每服一丸，噙化，日三服。
木通散
治项下卒生结囊欲成瘿。
木通 松萝 桂心 蛤蚧（酥炙） 白蔹 琥珀 海藻（洗） 昆布（洗，各一两）
上为细末，每服二钱，不拘时温酒调下。
五瘿丸
菖蒲（二两） 海蛤 白蔹 续断 海藻 松萝 桂心 倒挂草 蜀椒 半夏（各一两）
神曲（三两） 羊靥（百枚）
上为细末，以牛羊猪髓为丸，如芡实大。每服一丸，食后及临卧噙化服。
白头翁丸
治气瘿气瘤。
白头翁（半两） 昆布（十分，洗） 通草 海藻（洗，各七分） 连翘 玄参（各八分） 桂
心（三分） 白蔹（六分）
上为细末，炼蜜和丸，如梧桐子大。每服五丸，用酒送下。忌蒜面生葱猪鱼。
南星膏
治皮肤头面上疮瘤，大者如拳，小者如栗，或软或硬，不痒不痛。
上用大南星一枚，细研稠粘，用醋五七滴为膏。如无生者，用干者为末，醋为膏。先将
小针刺患处，令气透，却以药膏摊纸上，象瘿大小贴之。
系瘤法
兼去鼠奶痔，真奇药也。
芫花根净洗带湿，不得犯铁器，于木石器中捣取汁。用线一条浸半日或一宿，以线系瘤
，经宿即落。如未落，再换线，不过两次自落。后以龙骨诃子末敷，疮口即合。系鼠奶痔根据
上法，屡用之效。如无根，只用花泡浓水浸线。
昆布散
治瘿气结肿，胸膈不利宜服。
昆布（洗） 海藻（洗） 松萝 半夏（汤泡） 细辛 海蛤（细研） 白蔹 甘草（炙，各一
两） 龙胆草 土瓜根 槟榔（各二两）
上为细末，每服二钱，食后温酒调下。
治小瘤方
先用甘草煎膏，笔蘸妆瘤傍四围，干而复妆，凡三次，后以
大戟 芫花 甘遂
上等分为细末，米醋调，别笔妆敷其中，不得近着甘草处。次日缩小，又以甘草膏妆小
晕三次，中间仍用大戟芫花甘遂如前，自然焦缩。
散肿溃坚汤
（方见前）
治瘿瘤结核通用。
大凡瘿瘤，都是由于气血凝滞，结聚而成的。瘿病多由忧思恼怒所生，常发于肩颈部，皮肤松弛而不紧绷，用手捶打时下垂晃动。瘤病则是随着气机停留而生成，初起时形状像梅子或李子，皮肤嫩滑光亮，逐渐变得像杯盏或鸡蛋那样大小。瘿病分为五种：其中肉质颜色不变的，称为肉瘿；筋脉显露突出的，称为筋瘿；赤色血脉交错缠绕的，称为血瘿；若随情绪忧恼而时有消长的，称为气瘿；若质地坚硬且推之不移的，称为石瘿。瘤病也有六种：一是骨瘤，二是脂瘤，三是肉瘤，四是脓瘤，五是血瘤，六是石瘤。瘿和瘤两者虽然不痛不痒，但最不可切开破溃，恐怕导致脓血崩漏，渗漏不止，必然致死。其中的肉瘤不可用攻伐疗法治疗。至于脂瘤、气瘿这类病症，则应当使用海藻、昆布等具有软坚散结作用的药物治疗，如李东垣的散肿溃坚汤，也可以多服用，希望能使其消散。
海藻丸
治疗瘿瘤通用方。
海藻（清洗晒干）、川芎、当归、官桂、白芷、细辛、藿香、白蔹、昆布（清洗晒干）、明矾（各一两）、松萝（净重七钱半）、海蛤（煅制，七钱半）。
以上药物研成细末，用炼蜜调和制成丸药，大小如弹子。每次服用一丸，饭后含在口中慢慢咽下。
守瘿丸
治疗瘿瘤结块坚硬。
通草（二两）、杏仁（去皮尖，研磨）、牛蒡子（各一合）、昆布（清洗）、射干、诃黎勒、海藻（清洗，各四两）。
以上药物研成细末，用炼蜜调和制成丸药，大小如弹子。每次服用一丸，含化吞服，每日三次。
木通散
治疗颈项下突然生出结囊，欲形成瘿病。
木通、松萝、桂心、蛤蚧（用酥油炙烤）、白蔹、琥珀、海藻（清洗）、昆布（清洗，各一两）。
以上药物研成细末，每次服用二钱，不拘时间，用温酒调服。
五瘿丸
菖蒲（二两）、海蛤、白蔹、续断、海藻、松萝、桂心、倒挂草、蜀椒、半夏（各一两）、神曲（三两）、羊靥（一百个）。
以上药物研成细末，用牛、羊、猪的骨髓作为粘合剂制成丸药，大小如芡实。每次服用一丸，饭后及临睡前含化服用。
白头翁丸
治疗气瘿、气瘤。
白头翁（半两）、昆布（十分之一量，清洗）、通草、海藻（清洗，各七分）、连翘、玄参（各八分）、桂心（三分）、白蔹（六分）。
以上药物研成细末，用炼蜜调和制成丸药，大小如梧桐子。每次服用五丸，用酒送服。忌食蒜、面、生葱、猪肉、鱼类。
南星膏
治疗皮肤头面部的疮瘤，大的如拳头，小的如栗子，或软或硬，不痒不痛。
取大南星一枚，细细研磨至稠粘状，用醋五到七滴调成膏。如果没有新鲜的，就用干燥的研成粉末，用醋调成膏。先用小针刺患处，使气息透达，然后将药膏摊在纸上，根据瘿瘤的大小贴敷。
系瘤法
兼治鼠奶痔，是极其奇妙的药方。
将芫花根洗净带湿，不得接触铁器，在木制或石制容器中捣取汁液。用一根线浸泡半天或一夜，然后用这根线系住瘤体，经过一夜就会脱落。如果未脱落，再换一根线，不超过两次自然脱落。之后用龙骨、诃子粉敷在伤口上，疮口即可愈合。治疗鼠奶痔也依据上述方法，屡试有效。如果没有根，只用花泡浓水浸线。
昆布散
治疗瘿气结肿，胸膈部不适宜服用。
昆布（清洗）、海藻（清洗）、松萝、半夏（汤泡）、细辛、海蛤（细研）、白蔹、甘草（炙，各一两）、龙胆草、土瓜根、槟榔（各二两）。
以上药物研成细末，每次服用二钱，饭后用温酒调服。
治疗小瘤方
先用甘草煎煮成膏，用笔蘸取涂在小瘤周围四圈，干了再涂，共三次，然后用大戟、芫花、甘遂上等份研成细末，用米醋调匀，另用笔涂抹在中间，不得接触到之前涂过甘草的地方。第二天瘤体会缩小，再用甘草膏涂在小晕周围三次，中间仍用大戟、芫花、甘遂按前法处理，自然会焦枯萎缩。
Generally speaking, ying and liu (goiter and tumor) are all formed due to the stagnation of Qi and blood, leading to accumulation. Ying disease is mostly caused by worry and indignation, often occurring in the shoulder and neck area, with loose and non-tight skin that hangs down when beaten. Liu disease arises from the retention of Qi; initially resembling a plum or apricot, the skin is tender and shiny, gradually enlarging to the size of a cup or egg. There are five types of ying: those with unchanged flesh color are called Rou Ying (Flesh Goiter); those with exposed tendons and vessels are called Jin Ying (Tendon Goiter); those with intersecting red veins are called Xue Ying (Blood Goiter); those that fluctuate with emotional distress are called Qi Ying (Qi Goiter); and those that are hard and immobile are called Shi Ying (Stone Goiter). There are also six types of liu: Gu Liu (Bone Tumor), Zhi Liu (Fat Tumor), Rou Liu (Flesh Tumor), Nong Liu (Pus Tumor), Xue Liu (Blood Tumor), and Shi Liu (Stone Tumor). Although ying and liu are neither painful nor itchy, they must never be incised or ruptured, lest pus and blood collapse and leak endlessly, inevitably leading to death. Rou Liu cannot be treated with attacking methods. For conditions such as Zhi Liu and Qi Ying, herbs with the property of softening hardness and dissipating nodules, such as Haizao (Sargassum Herba) and Kunbu (Laminariae Thallus), should be used. Dongyuan's Sanzhong Kuijian Tang (Decoction for Dispersing Swelling and Hardness) can also be taken frequently to achieve resolution.
Haizao Wan (Seaweed Pill)
A general formula for treating ying and liu.
Haizao (washed and dried), Chuanxiong Rhizoma, Danggui Radix Angelicae Sinensis, Guigui Cinnamomi Ramulus, Baizhis Radix, Xixin Asari Radix et Rhizoma, Huoxiang Pogostemonis Herba, Bailian Iridis Rhizoma, Kunbu (washed and dried), Mingfan Alum (each 1 liang), Songluo Usnea (7 qian 5 fen), Haihae Concha Mercurii (calcined, 7 qian 5 fen).
Grind the above into fine powder, mix with refined honey to form pills the size of a bullet. Take one pill after meals, holding it in the mouth to dissolve and swallow slowly.
Shouying Wan (Goiter-Containing Pill)
For treating hardened knots of ying and liu.
Tongcao Tetrapanacis Medulla, Xingren Armeniacae Semen Amarum (skin and tip removed, ground), Niubangius Fructus (each 1 he), Kunbu (washed), Sheye Belamcandae Rhizoma, Helile Terminaliae Fructus, Haizao (washed, each 4 liang).
Grind the above into fine powder, mix with refined honey to form pills the size of a bullet. Take one pill, holding it in the mouth to dissolve, three times daily.
Mutong San (Akebia Powder)
For sudden formation of nodular sacs under the neck, intending to become ying.
Mutong Akebiae Caulis, Songluo Usnea, Guixin Cinnamomi Cortex, Gejie Gekko (roasted with butter), Bailian Iridis Rhizoma, Hupo Succinum, Haizao (washed), Kunbu (washed, each 1 liang).
Grind the above into fine powder. Take 2 qian each time, at any time, mixed with warm wine.
Wuying Wan (Five Ying Pills)
Changpu Acori Tatarinowii Rhizoma (2 liang), Haihae Concha Mercurii, Bailian Iridis Rhizoma, Xuduan Dipsaci Radix, Haizao, Songluo Usnea, Guixin Cinnamomi Cortex, Daogua Cao (Herba Siegesbeckiae), Shujiao Zanthoxyli Pericarpium, Banxia Pinelliae Rhizoma Preparatum (each 1 liang), Shenqu Mass Medicamentum Fermentatum (3 liang), Yangye Ovis Thyroidea (100 pieces).
Grind the above into fine powder, use marrow of cattle, sheep, or pig as binder to form pills the size of Euphorbia seed. Take one pill after meals and before bed, holding it in the mouth to dissolve.
Baitouweng Wan (Pulsatilla Pill)
For treating Qi Ying and Qi Liu.
Baitouweng Pulsatillae Radix (ban liang), Kunbu (1/10 part, washed), Tongcao Tetrapanacis Medulla, Haizao (washed, each 7 fen), Lianqiao Forsythiae Fructus, Xuanshen Scrophulariae Radix (each 8 fen), Guixin Cinnamomi Cortex (3 fen), Bailian Iridis Rhizoma (6 fen).
Grind the above into fine powder, mix with refined honey to form pills the size of Sophora seeds. Take five pills each time, delivered with wine. Avoid garlic, wheat products, raw scallions, pork, and fish.
Nanxing Gao (Arisaema Paste)
For sores and tumors on the skin and face, large ones like fists, small ones like chestnuts, either soft or hard, without itch or pain.
Take one large Nanxing Arisaematis Rhizoma, grind finely until thick and sticky, add five to seven drops of vinegar to make a paste. If fresh material is unavailable, use dried material ground to powder and mixed with vinegar. First, prick the affected area with a small needle to allow Qi penetration, then spread the paste on paper and apply it to the lesion according to its size.
Xiliu Method (Tying the Tumor Method)
Also treats Shunai Zhi (rat-nipple hemorrhoids), a truly miraculous remedy.
Clean the root of Yuanhua Genkwa Flos while still wet, do not let it touch iron vessels, crush it in wooden or stone mortars to extract juice. Soak a thread for half a day or overnight, then tie the tumor with this thread. It will fall off after one night. If it does not fall, change the thread; it will naturally fall within two attempts. Afterwards, apply powder of Longgu Os Draconis and Hezi Chebulae Fructus to the wound to close it. The method for Shunai Zhi is the same and has proven effective repeatedly. If roots are unavailable, soak the thread in strong water infused with the flowers.
Kunbu San (Laminaria Powder)
For treating swelling due to Qi stagnation in ying, suitable for cases with chest and diaphragm discomfort.
Kunbu (washed), Haizao (washed), Songluo Usnea, Banxia Pinelliae Rhizoma Preparatum (soaked in boiling water), Xixin Asari Radix et Rhizoma, Haihae Concha Mercurii (finely ground), Bailian Iridis Rhizoma, Gancao Glycyrrhizae Radix et Rhizoma (roasted, each 1 liang), Longdancao Gentianae Radix, Tugua Radix, Binglang Arecae Semen (each 2 liang).
Grind the above into fine powder. Take 2 qian each time, mixed with warm wine after meals.
Formula for Treating Small Tumors
First, decoct Gancao Glycyrrhizae Radix et Rhizoma into a paste. Use a brush to paint around the perimeter of the small tumor. Repeat painting three times as it dries. Then, take equal parts of Daji Euphorbiae Pekinensis Radix, Yuanhua Genkwa Flos, and Gansui Kansui Radix, grind into fine powder, mix with rice vinegar, and use another brush to paint only the center, avoiding the area previously painted with Gancao paste. The next day, the tumor will shrink. Paint the shrinking rim with Gancao paste three more times. Continue using Daji, Yuanhua, and Gansui in the center as before, and it will naturally dry up and shrink.
Sanzhong Kuijian Tang (Decoction for Dispersing Swelling and Hardness)
(See formula mentioned earlier)
A general formula for treating ying and liu lymphatic nodes.