《奇疾方》云∶有人患头项肿大，又非瘿瘤，忽痛忽不痛，外现五色之纹，按之半空半实，此乃痰病结成，似瘤非
瘤，似瘿非瘿也。方用海藻、半夏、白芥子、南星、人参、桔梗、贝母各三钱、茯苓五钱，昆布一钱，附子一分，甘草
一钱，水煎服，此方乃消上焦之痰圣药也。又有海藻、昆布，以去其瘿瘤之外象，消其五色之奇纹，妙在消痰而仍不损
气，则胃气健而痰易化也。一剂知，二剂消大半，三剂则全消，四剂永不再发也。
《续玄怪录》云∶安康伶人刁俊朝，其妻巴妪，项生一瘿，初若鸡卵，渐大如升。积五年，大如数斛之鼎，重不能
行，有声如音乐。积数年，瘿外生小穴，如针芒者，不知几千亿。每天阴欲雨，则穴中吹白烟，霏霏如线缕，渐高布
散，结为屯云，雨则立降。其家少长惧之，咸请远送岩穴。妻惧送，请决折之。后朝即淬利刃，将及之中，轩然有声，
逐四分破裂，有一大猱，跳跃而去。即以白絮裹之，瘿疾顿愈。时大定中也，后犹有说不具论。
一妇项下忽生一肿块，渐缘至奶上肿起，莫知何病。偶用刀刺破，出清水一碗，日久不合。有道人见之曰∶此蚁漏
耳，因用饭误食蚁故耳。询之果然。道人云∶此易治，但用穿山甲数片，烧存性为末，敷遂愈，盖穿山甲蚁之所畏也。
薛己治一男子，素善怒，左项忽肿，渐大如升。用清痰理气，而大热作渴，小便频浊。薛谓肾水亏损，用六味地
黄，补中益气而愈。亦有胸胁等处，大如升斗，或破而如菌、如榴，不问大小，俱治以前法。
举人江节夫，项臂胁肋各结一核，服祛痰降火软坚之剂益甚。薛为肝胆经血少而火燥也。江执前药，至明年六
月，各核皆溃，脉浮大而涩。薛断秋金将旺，肝木被克，必不起，后果然。
予郡大人，项边忽痒，渐起白痕一条，相延渐欲至喉，痒不可忍，群医莫识。一方士用刀轻开其痕，内出白虱不计
其数而愈。士云∶此即虱瘤之类，凡内皮作痒，或起痕，或高起，即是症也。
补中益气汤
黄 （一钱五分，蜜炙） 人参 甘草 白术 陈皮 当归（各五分） 升麻 柴胡（各三分）
姜三片，枣二枚煎。
六味地黄丸（见头门）
《奇疾方》记载：有人患头颈部肿大，又不是瘿瘤（甲状腺肿或颈部肿块），有时痛有时不痛，皮肤表面显现五色纹路，按压时感觉半空半实，这是痰病凝结而成，像瘤又不是瘤，像瘿又不是瘿。处方用海藻、半夏、白芥子、南星、人参、桔梗、贝母各三钱，茯苓五钱，昆布一钱，附子一分，甘草一钱，水煎服。此方是消除上焦（胸部以上）痰浊的圣药。方中又有海藻、昆布，用以去除瘿瘤的外在表象，消除那五色奇异纹路，妙处在于消痰而不损伤正气，从而使胃气强健而痰液容易化解。服用一剂见效，两剂消除大半，三剂则完全消除，四剂后永不再复发。
《续玄怪录》记载：安康的艺人刁俊朝，他的妻子巴妪，脖子上长了一个瘿瘤，起初像鸡蛋大小，逐渐长大如升（容量单位）。经过五年，长得像几斛（容量单位）的大鼎那么重，无法行走，发出声音如同音乐。又过了几年，瘿瘤外面生出小孔，像针尖一样多，不知有几千万亿个。每当阴天要下雨时，孔中就吹出白烟，纷纷扬扬如线缕，逐渐升高散布，结成乌云，雨就立刻降下。家中老少都害怕，请求将其远远送到岩洞中。妻子害怕被送走，请求折断它。后来刁俊朝就磨利刀刃，即将刺入其中时，发出巨大的声响，随即四分五裂地破裂，有一只大猴子跳跃着逃走了。就用白棉絮包裹住它，瘿瘤疾病顿时痊愈。当时是大定年间，后来还有说不完的细节未加论述。
有一位妇女脖子下面突然生出一个肿块，逐渐蔓延到乳房上方肿起，不知道是什么病。偶然用刀刺破，流出一碗清水，日子久了伤口不愈合。有位道人看见后说：这是蚁漏（蚂蚁引起的瘘管），因为误食了混有蚂蚁的食物所致。询问之后果然如此。道人说：这容易治疗，只用穿山甲数片，烧至存性（保留部分药效的炭化状态）研成末，外敷即可痊愈，这是因为穿山甲是蚂蚁所畏惧的动物。
薛己治疗一名男子，平时易怒，左侧颈部突然肿胀，逐渐长大如升。使用清痰理气的药物后，出现大热和口渴，小便频繁且浑浊。薛己认为这是肾水亏损，使用六味地黄丸（滋补肾阴的经典方剂），配合补中益气汤（补益脾胃、升阳举陷的方剂）而痊愈。也有胸胁等处，肿大如升斗，或者破溃后像菌类、像石榴一样，不论大小，都用上述方法治疗。
举人江节夫，颈部、手臂、胁肋各处各结成一个硬核，服用祛痰降火软坚散结的药物后病情反而加重。薛己认为是肝胆经血少而火燥所致。江节夫坚持服用之前的药物，到了第二年六月，各个硬核都溃烂，脉象浮大而涩。薛己推断秋季金气将旺，克制肝木，病人必定不能存活，后果然应验。
我家乡的一位长辈，脖子旁边突然发痒，逐渐形成一条白色痕迹，相连延伸快要到达喉咙，痒得难以忍受，众医生都不认识。一位方士用刀轻轻划开那条痕迹，里面爬出无数只白虱，病就好了。方士说：这就是虱瘤之类的病，凡是皮肤内部作痒，或者起痕迹，或者高起，就是这个病症。
补中益气汤
黄芪（一钱五分，蜜炙） 人参 甘草 白术 陈皮 当归（各五分） 升麻 柴胡（各三分）
生姜三片，大枣二枚，煎服。
六味地黄丸（见头门章节）
According to *Qiji Fang* (Treatise on Strange Diseases): A person suffered from swelling of the head and neck, which was not a Ying tumor (goiter or neck mass). The pain was intermittent, appearing and disappearing. The skin surface displayed five-colored patterns, and upon palpation, it felt half-empty and half-solid. This is caused by the condensation of phlegm-dampness; it resembles a tumor but is not one, and resembles a goiter but is not one. The prescription consists of Haizao (Sargassum Herba), Banxia (Pinelliae Rhizoma), Baijiezi (Sinapis Semen), Nanxing (Arisaematis Rhizoma), Renshen (Ginseng Radix et Rhizoma), Jiegeng (Platycodonis Radix), Beimu (Fritillariae Bulbus), each at 3 qian; Fuling (Poria) at 5 qian; Kunbu (Eckloniae Thallus) at 1 qian; Fuzi (Aconiti Lateralis Radix Praeparata) at 1 fen; Gancao (Glycyrrhizae Radix et Rhizoma) at 1 qian. Decoct in water and take orally. This formula is the supreme medicine for eliminating phlegm in the Upper Jiao (upper burner/chest area). The inclusion of Haizao and Kunbu serves to remove the external appearance of the goiter/tumor and dissipate the strange five-colored patterns. Its brilliance lies in resolving phlegm without damaging healthy Qi, thereby strengthening Stomach Qi so that phlegm can be easily transformed. One dose brings relief, two doses eliminate more than half, three doses result in complete resolution, and after four doses, it will never recur.
According to *Xu Xuanguan Lu* (Continued Records of Mysterious Marvels): Diao Junzhao, an entertainer from Ankang, had a wife named Ba Yu who developed a goiter on her neck. Initially the size of a chicken egg, it gradually enlarged to the capacity of a Sheng (ancient unit of volume). After five years, it grew as heavy as a large Ding (ancient cauldron) holding several Hu (ancient unit of volume), making movement impossible. It emitted sounds resembling music. Years later, small holes appeared on the exterior of the goiter, numbering in the hundreds of millions, each like the tip of a needle. Whenever cloudy weather indicated impending rain, white smoke would blow out from these holes, drifting like threads, rising and spreading to form dark clouds, causing immediate rainfall. The family members, young and old, were terrified and requested to send her away to a cave. Fearing being sent away, she begged for the goiter to be broken. Diao Junzhao then sharpened a blade and, just as he was about to pierce it, a loud noise erupted, and the goiter split into four pieces. A large monkey jumped out and fled. They wrapped it in white cotton wool, and the goiter disease was instantly cured. This occurred during the Dading era; there are further details not fully recounted here.
A woman suddenly developed a lump under her neck, which gradually spread to swell up towards her breast. The nature of the disease was unknown. Accidentally, it was pierced with a knife, releasing a bowl of clear fluid. The wound failed to heal over time. A Daoist priest saw this and said: "This is an ant fistula (leakage caused by ants), resulting from accidentally ingesting food contaminated with ants." Upon inquiry, this proved true. The priest said: "This is easy to treat. Use a few slices of Chuanshanjia (Manis Pentadactyla scales), calcined until carbonized but retaining efficacy, grind into powder, and apply externally. It will heal, because Chuanshanjia is feared by ants."
Xue Ji treated a man who was prone to anger. His left neck suddenly swelled and gradually enlarged to the size of a Sheng. He used formulas to resolve phlegm and regulate Qi, but this induced severe heat and thirst, along with frequent, turbid urination. Xue Ji diagnosed Kidney Yin deficiency (Kidney Water depletion) and prescribed Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) combined with Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction), leading to recovery. In cases where the chest, hypochondrium, etc., swell to the size of a Sheng or Dou (ancient units), or rupture to resemble fungi or pomegranates, regardless of size, the aforementioned methods should be applied.
Jiang Jiefu, a Jinshi degree holder, had nodules forming in his neck, arms, and hypochondrium. After taking herbs to resolve phlegm, clear fire, and soften hardness, his condition worsened. Xue Ji determined this was due to blood deficiency and dryness-fire in the Liver and Gallbladder meridians. Jiang persisted with the previous medication. By June of the following year, all nodules ulcerated, and his pulse became floating, large, and choppy. Xue Ji predicted that since Metal (Autumn) energy was about to flourish and overcome Wood (Liver), the patient would not survive. This prediction came true.
An elder from my hometown suddenly experienced itching on the side of his neck, which gradually formed a white streak extending towards the throat. The itching was unbearable, and no physician could identify the ailment. A local practitioner lightly incised the streak with a knife, revealing countless white lice, after which the patient recovered. The practitioner stated: "This is a type of louse tumor. Any internal skin itching, marking, or elevation constitutes this syndrome."
Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction)
Huangqi (Astragali Radix, 1.5 qian, honey-fried), Renshen (Ginseng Radix et Rhizoma), Gancao (Glycyrrhizae Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Danggui (Angelicae Sinensis Radix), each at 0.5 qian; Shengma (Cimicifugae Rhizoma), Chaihu (Bupleuri Radix), each at 0.3 qian.
Decoct with 3 slices of Shengjiang (Zingiberis Rhizoma Recens) and 2 dates (Jujubae Fructus).
Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) (See section on Head diseases)