瘰 属血气痰热。必起于少阳一经。不守禁忌。延及阳明。大抵食味之浓。郁气之积。
曰风
曰热。皆此二端。扼引变换。须分虚实。实者易治。虚者可虑。此属胆经。主决断。有相火
且气多血少。妇人见此。其月经如期。不作寒热者。易治。积久转为潮热。危矣。自非断
欲食淡。神仙不治也。
一论瘰 者。经所谓结核是也。或有耳前后连及颈项。下连缺盆。皆为瘰 。或在胸前
及
胸之侧。下连两胁。皆为马刀。手足少阳主之。独形而小者为结核。续数连接者为瘰 。形
长如蛤者为马刀也。
一论绕项起核。名曰蟠蛇 。延及胸前及连腋下者。名曰瓜藤 。左耳根肿核者。名曰
串袋 。右耳根肿核者。名曰蜂窝 。
一论瘰 马刀。生耳前后。或项下胸腋间。累累如珠者。未破已破皆治。
消毒化坚汤
当归（一钱） 黄 （一钱） 白芍（一钱） 玄参（六分） 天花粉（六分） 连翘（一钱五分）
柴
胡（一钱） 黄芩（五分） 牛蒡（七分） 龙胆草（四分） 升麻（七分） 桔梗（一钱） 陈皮（八
分） 羌活（七分） 薄荷（四分） 海昆布（七分） 甘草（四分）
上锉一剂。生姜煎服。
一方。加甘草节、知母、贝母海藻。更佳。
升阳调经丸
升麻（八钱） 葛根（五钱） 芍药（二钱煨） 连翘（五钱） 黄连（五钱） 黄芩（酒炒五钱）
生
黄芩（四钱） 黄柏（酒炒五钱） 桔梗（五钱） 归尾（二钱） 三棱（酒炒三钱） 莪术（酒炒）
胆草（酒洗） 甘草（炙各五钱） 夏枯草（五钱）
上药秤一半。另研为末。炼蜜为丸。如绿豆大。每服一百二十丸。白汤下。一半作饮片
每服五钱。水煎服。半月即痊。
一论久患瘰 流注。以致血气两虚。怀抱抑郁。饮食少思。或四肢患肿。肉色不变。或
日晡发热。或溃而不愈。久不愈者。
益气养荣汤
黄 （炙） 人参 白术（去芦炒各一钱五分） 当归（酒洗） 川芎 白芍（炒） 怀生地黄
（炒） 陈皮 香附 贝母（各一钱） 柴胡 地骨皮 桔梗 甘草（各五分）
上锉一剂。水煎。食后服。如有痰。加橘红。如胁下刺痛。加青皮。或木香。如午后有
热。
或头微眩。加黄柏炒。如脓水清。倍人参、黄 、当归。如女人有郁气。胸膈不利。倍香附
、贝母。如月经不调。加牡丹皮、当归。
一论瘰 兼诸瘤皆治。
抑气内消散
当归 川芎 白芍（炒） 白术（去芦炒） 青皮 白芷 半夏（姜炒） 陈皮 桔梗 羌活
独活
浓朴（姜炒） 防风 黄芩 乌药 香附 槟榔（各一两） 苏子（一两五钱） 沉香（三钱）
木香 人参 粉草（各五钱）
上锉。水煎。温服。十余服即消。若再发。照分两制为末。酒糊为丸。如梧子大。每
服五十丸。酒送下。
一论瘰 未破。在左为瘰 。宜
内消调经散 山东李西岭传。
升麻 葛根 龙胆草 黄连 桔梗 连翘 黄芩 黄柏 莪术 三棱 甘草（各五分）
当归尾 白芍（各三分）
上锉。水煎服。稍虚。加夏枯草。有痰。加天花粉、知母各五分。少阳。加柴胡四分。
一论在右为马刀疮。未破。宜
柴胡通经汤
柴胡 连翘 归尾 甘草 黄芩 鼠粘子 三棱 桔梗（各二分） 黄连 红花
上锉一剂。水煎。热服。
一论瘰 已破者。
补中胜毒汤
黄 （一钱） 人参 当归 生地黄 熟地黄 白芍 陈皮（各三分） 升麻（五分） 柴胡
（五分） 连翘（一钱） 防风 甘草（各五分）
上锉。水煎。热服。
一治瘰 并颈项结核。或肿或痛。宜夏枯草水煎。食后顿服。
一方。用夏枯草一把。水煎三次。去渣。熬成膏。贴患处立消。
一治瘰 元气无亏。用此以去之。若 既去而不收敛服前益气养荣汤若元气怯弱宜先补
后服 毒以后仍服前汤。度无他疾。此方治瘰 未成者消。已溃者敛。元气壮者可服。
必效散
南硼砂（二钱五分） 轻粉（一钱） 麝香（五分） 巴豆（五个去皮心用） 白槟榔（一个）
斑蝥（四十枚去头足用糯米炒熟去米）
上研极细末。取鸡子二个。去黄。用清调药。仍入壳内。以湿纸数重糊口。入饭甄蒸熟
取出曝干为末。每服五分。生姜酒炒。五更初调服。如觉小腹痛。用益元散一服。其毒俱从
大便出。
一治远年鼠 疮神方。
千捶绿云膏
松香（半斤熔七次滤去渣） 乳香（一钱五分） 没药（二钱五分） 血竭（一钱） 铜绿（二
钱半） 杏仁（去皮二钱） 孩儿茶（三分） 蓖麻子（去壳二两） 麻油（二两） 乳汁（二盏）
上为细末。合作一处。同乳汁麻油搅匀。捶捣千下成膏。用绢上药贴患处。
一妇人患瘰 久而不愈。或以为木旺之症。不宜于春。预用散肿溃坚汤肿硬益甚。余以
为肝
经亏损。用六味丸、补中益气汤。至春而愈。此症若肝经风火自病。元气无亏。可用散坚泻
青之剂。若肝自亏损。或水不生木。用六味丸。若金来克木。须补脾土。生肾水。若行攻
伐。则脾胃伤。而反致木克土矣。
一妇人项核肿痛。察其血气虚实。先以必效散一服去之。更以益气养荣汤三十余剂补之
而消
盖此症初起。而血气虚弱者。先用益气养荣汤。待其气血稍充。乃用必效散以去其毒。仍
用补药。无不奏效。若已成脓者。即针而补托之。气血复而核不消者。服散坚之剂。倘不应
而气血如故。仍以必效散、养荣汤。又不应。灸肘尖肩 二穴。用千捶绿云膏自愈。若气血
壮实。不用追蚀。亦能自腐。用药以腐之者。便易于收敛耳。若血虚而用追蚀。不惟无益。
适以取败。凡不慎饮食七情者不治。
瘰疬属于血气痰热所致。必定起始于少阳一经。如果不遵守禁忌，会延及阳明经。大抵是由于饮食滋味浓厚、郁结之气积聚，导致风邪和热邪，都是这两个原因，相互牵引变化，必须区分虚实。实证容易治疗，虚证令人担忧。这属于胆经，胆主决断，且有相火，且气多血少。妇女出现此症，如果月经如期而至，没有寒热症状的，容易治疗；积久转为潮热的，就危险了。如果不是断绝欲望、饮食清淡，即使是神仙也难以治愈。
一种论述说：瘰疬，就是经络所说的“结核”。有的从耳前后连及颈项，向下连及缺盆，都称为瘰疬；有的在胸前及胸侧，向下连及两胁，都称为马刀。手足少阳经主治这些病症。单独形成且小的称为结核；连续数个连接的称为瘰疬；形状长如蛤蜊的称为马刀。
一种论述说：绕着颈部起核，名叫蟠蛇瘿；延及胸前及连腋下的，名叫瓜藤瘿；左耳根肿核的，名叫串袋瘿；右耳根肿核的，名叫蜂窝瘿。
一种论述说：瘰疬和马刀，生在耳前后，或项下胸腋间，累累如珠子的，无论未破已破都要治疗。
消毒化坚汤
当归（一钱） 黄芪（一钱） 白芍（一钱） 玄参（六分） 天花粉（六分） 连翘（一钱五分） 柴胡（一钱） 黄芩（五分） 牛蒡子（七分） 龙胆草（四分） 升麻（七分） 桔梗（一钱） 陈皮（八分） 羌活（七分） 薄荷（四分） 海昆布（七分） 甘草（四分）
以上药材锉成粗末，取一剂，加生姜煎服。
另一方：加入甘草节、知母、贝母、海藻，效果更好。
升阳调经丸
升麻（八钱） 葛根（五钱） 芍药（二钱，煨） 连翘（五钱） 黄连（五钱） 黄芩（酒炒五钱） 生黄芩（四钱） 黄柏（酒炒五钱） 桔梗（五钱） 归尾（二钱） 三棱（酒炒三钱） 莪术（酒炒）、胆草（酒洗） 甘草（炙，各五钱） 夏枯草（五钱）
以上药材称一半重量，另研为细末，炼蜜为丸，如绿豆大小。每次服用一百二十丸，白开水送下。另一半作为饮片，每次服用五钱，水煎服。半个月即可痊愈。
一种论述说：长期患瘰疬流注，导致血气两虚，怀抱抑郁，饮食减少思虑，或者四肢肿胀，肉色不变，或者日晡时发热，或者溃烂而不愈合，长期不愈的。
益气养荣汤
黄芪（炙） 人参 白术（去芦炒，各一钱五分） 当归（酒洗） 川芎 白芍（炒） 怀生地黄（炒） 陈皮 香附 贝母（各一钱） 柴胡 地骨皮 桔梗 甘草（各五分）
以上药材锉成粗末，取一剂，水煎，饭后服用。如果有痰，加橘红。如果胁下有刺痛，加青皮，或者木香。如果午后有热，或者头微眩，加炒黄柏。如果脓水清稀，倍用人参、黄芪、当归。如果女人有郁气，胸膈不利，倍用香附、贝母。如果月经不调，加牡丹皮、当归。
抑气内消散
当归 川芎 白芍（炒） 白术（去芦炒） 青皮 白芷 半夏（姜炒） 陈皮 桔梗 羌活 独活 浓朴（姜炒） 防风 黄芩 乌药 香附 槟榔（各一两） 苏子（一两五钱） 沉香（三钱） 木香 人参 粉草（各五钱）
以上药材锉碎，水煎，温服。十余服即可消除。如果再发，照分量制成粉末，酒糊为丸，如梧桐子大小。每次服用五十丸，酒送下。
一种论述说：瘰疬未破，在左侧为瘰疬疮。宜用内消调经散，由山东李西岭传授。
升麻 葛根 龙胆草 黄连 桔梗 连翘 黄芩 黄柏 莪术 三棱 甘草（各五分） 当归尾 白芍（各三分）
以上药材锉碎，水煎服。身体稍虚的，加夏枯草。有痰的，加天花粉、知母各五分。属少阳经的，加柴胡四分。
一种论述说：在右侧为马刀疮。未破的，宜用柴胡通经汤。
柴胡 连翘 归尾 甘草 黄芩 鼠粘子（牛蒡子） 三棱 桔梗（各二分） 黄连 红花
以上药材锉成粗末，取一剂，水煎，热服。
一种论述说：瘰疬已破的。
补中胜毒汤
黄芪（一钱） 人参 当归 生地黄 熟地黄 白芍 陈皮（各三分） 升麻（五分） 柴胡（五分） 连翘（一钱） 防风 甘草（各五分）
以上药材锉碎，水煎，热服。
一种治疗方法：治疗瘰疬并颈项结核，或者肿或者痛，宜用夏枯草水煎，饭后顿服。
另一方：用夏枯草一把，水煎三次，去渣，熬成膏，贴患处，立即消除。
一种治疗方法：治疗瘰疬元气无亏损的，用此方去除它。如果瘰疬已经去除但不收敛，服用前文提到的益气养荣汤；如果元气怯弱，宜先补后服；解毒以后仍服用前文汤剂。如果没有其他疾病，此方能治疗未成的瘰疬使其消散，已溃的使其收敛。元气壮实者可服用。必效散
南硼砂（二钱五分） 轻粉（一钱） 麝香（五分） 巴豆（五个，去皮心使用） 白槟榔（一个） 斑蝥（四十枚，去头足，用糯米炒熟去米）
以上研成极细粉末，取鸡蛋二个，去黄，用蛋清调和药粉，仍放入蛋壳内，用湿纸数层糊住口，放入饭甑蒸熟，取出晒干研末。每次服用五分，生姜酒炒，五更初调服。如果觉得小腹痛，服用益元散一服，其毒素都从大便排出。
一种治疗方法：治疗远年鼠瘘疮的神方。
千捶绿云膏
松香（半斤，熔化七次滤去渣） 乳香（一钱五分） 没药（二钱五分） 血竭（一钱） 铜绿（二钱半） 杏仁（去皮二钱） 孩儿茶（三分） 蓖麻子（去壳二两） 麻油（二两） 乳汁（二盏）
以上为细末，合在一起，同乳汁、麻油搅匀，捶捣千下成膏。用绢帛敷药贴患处。
一位妇人患瘰疬久而不愈。有人认为是木旺之症，不宜在春季治疗，预先使用散肿溃坚汤，导致肿硬更加严重。我认为这是肝经亏损，使用六味丸、补中益气汤。到了春天而痊愈。此症如果是肝经风火自病，元气无亏损，可用散坚泻青之剂。如果是肝自身亏损，或者水不生木，用六味丸。如果是金来克木，须补脾土，生肾水。如果进行攻伐，则脾胃受伤，反而导致木克土。
一位妇人颈部核肿痛，察其血气虚实，先用必效散一服去除它，再用益气养荣汤三十余剂补之而消除。大概此症初起，而血气虚弱者，先用益气养荣汤。待其气血稍充，乃用必效散以去除其毒，仍用补药，无不奏效。如果已成脓的，即针刺并补托之。气血恢复而核不消的，服用散坚之剂。倘若不应验而气血如故，仍以必效散、养荣汤。又不应验，灸肘尖、肩井二穴，用千捶绿云膏自愈。如果气血壮实，不用追蚀，也能自腐。用药以腐蚀之，便易于收敛。如果血虚而用追蚀，不惟无益，适以取败。凡是不谨慎饮食七情的，不治。
Lymphadenitis (Luoli) is caused by blood qi, phlegm, and heat. It invariably originates in the Shaoyang channel. If taboos are not observed, it spreads to the Yangming channel. Generally, it results from rich dietary flavors and accumulated stagnant qi, leading to wind and heat; these are the two main factors that interact and transform. One must distinguish between excess and deficiency patterns. Excess patterns are easy to treat, while deficiency patterns are concerning. This condition belongs to the Gallbladder channel, which governs decision-making, possesses Ministerial Fire, and is characterized by abundant Qi and scarce Blood. In women presenting with this condition, if menstruation occurs on schedule without chills or fever, it is easy to treat; however, if it persists and transforms into tidal fever, it is critical. Unless one abstains from sexual desire and maintains a bland diet, even an immortal could not cure it.
One discussion states: Lymphadenitis corresponds to the "scrofula" (Jiehe) mentioned in classics. When nodules extend from around the ears to the neck and downward to the clavicular fossa (Quepen), they are called Lymphadenitis. When located on the chest or its sides, extending downward to the hypochondrium, they are called "Horse Knife" (Madao). These are governed by the Hand and Foot Shaoyang channels. A solitary, small nodule is called scrofula (Jiehe); a series of connected nodules is called lymphadenitis (Luoli); a long, clam-shaped nodule is called horse knife (Madao).
Another discussion states: Nodules arising around the neck are named "Coiling Snake Goiter" (Panshe Ying); those extending to the chest and connecting to the axilla are named "Melon Vine Goiter" (Guateng Ying); swelling and nodules at the root of the left ear are named "String Bag Goiter" (Chuandai Ying); those at the root of the right ear are named "Honeycomb Goiter" (Fengwo Ying).
Another discussion states: For lymphadenitis and madao appearing around the ears, neck, chest, or axilla, resembling beads, treatment is required whether the skin is intact or ulcerated.
Xiaodu Huajian Decoction (Disinfecting and Hardness-Resolving Decoction)
Danggui (Angelicae Sinensis Radix) - 1 qian
Huangqi (Astragali Membranacei Radix) - 1 qian
Baishao (Paeoniae Radix Alba) - 1 qian
Xuanshen (Scrophulariae Radix) - 6 fen
Tianhuafen (Trichosanthis Radix) - 6 fen
Lianqiao (Forsythiae Fructus) - 1.5 qian
Chaihu (Bupleuri Radix) - 1 qian
Huangqin (Scutellariae Radix) - 5 fen
Niubangzi (Arctii Fructus) - 7 fen
Longdancao (Gentianae Radix et Rhizoma) - 4 fen
Shengma (Cimicifugae Rhizoma) - 7 fen
Jiegeng (Platycodonis Radix) - 1 qian
Chenpi (Citri Reticulatae Pericarpium) - 8 fen
Qianghuo (Notopterygii Rhizoma et Radix) - 7 fen
Bohe (Menthae Haplocalycis Herba) - 4 fen
Haikunbu (Sargassum) - 7 fen
Gancao (Glycyrrhizae Radix et Rhizoma) - 4 fen
Process as coarse powder, one dose, decoct with fresh ginger and take orally.
Alternative prescription: Add Gancaojie (Glycyrrhizae Radix et Rhizoma with nodes), Zhimu (Anemarrhenae Rhizoma), Beimu (Fritillariae Thunbergii Bulbus), and Haizao (Sargassum). This is more effective.
Shengyang Tiaojing Pill (Yang-Raising and Menstruation-Regulating Pill)
Shengma (Cimicifugae Rhizoma) - 8 qian
Gegen (Puerariae Lobatae Radix) - 5 qian
Shaoyao (Paeoniae Radix), stir-baked - 2 qian
Lianqiao (Forsythiae Fructus) - 5 qian
Huanglian (Coptidis Rhizoma) - 5 qian
Huangqin (Scutellariae Radix), wine-fried - 5 qian
Sheng Huangqin (Scutellariae Radix, raw) - 4 qian
Huangbai (Phellodendri Cortex), wine-fried - 5 qian
Jiegeng (Platycodonis Radix) - 5 qian
Guiwei (Angelicae Sinensis Radix, tail end) - 2 qian
Sanleng (Sparganii Rhizoma), wine-fried - 3 qian
Ezhu (Curcumae Rhizoma), wine-fried
Dancao (Gentianae Radix et Rhizoma), wine-rinsed
Gancao (Glycyrrhizae Radix et Rhizoma), honey-fried - 5 qian each
Xiakucao (Prunellae Spica) - 5 qian
Take half the weight of the herbs, grind separately into fine powder. Mix with refined honey to form pills the size of mung beans. Take 120 pills per dose with warm water. The remaining half is used as slices for decoction, 5 qian per dose, decocted in water. Recovery expected within half a month.
One discussion states: For chronic lymphadenitis with flowing deposits causing dual deficiency of blood and qi, emotional depression, poor appetite, limb edema with unchanged skin color, afternoon fever, or non-healing ulcers lasting a long time.
Yiqi Yangrong Decoction (Qi-Nourishing and Blood-Enriching Decoction)
Huangqi (Astragali Membranacei Radix), honey-fried
Renshen (Ginseng Radix)
Baizhu (Atractylodis Macrocephalae Rhizoma), de-rhizome and stir-fried - 1.5 qian each
Danggui (Angelicae Sinensis Radix), wine-washed
Chuanxiong (Ligustici Chuanxiong Rhizoma)
Baishao (Paeoniae Radix Alba), stir-fried
Huai Shengdihuang (Rehmanniae Radix Preparata), stir-fried
Chenpi (Citri Reticulatae Pericarpium)
Xiangfu (Cyperi Rhizoma)
Beimu (Fritillariae Thunbergii Bulbus) - 1 qian each
Chaihu (Bupleuri Radix)
Digupi (Lycii Cortex)
Jiegeng (Platycodonis Radix)
Gancao (Glycyrrhizae Radix et Rhizoma) - 5 fen each
Process as coarse powder, one dose, decoct in water, take after meals. If there is phlegm, add Juhong (Citri Reticulatae Pericarpium Rubrum). If there is stabbing pain under the hypochondrium, add Qingpi (Citri Reticulatae Pericarpium Viride) or Muxiang (Aucklandiae Radix). If there is afternoon fever or slight dizziness, add fried Huangbai (Phellodendri Cortex). If pus is clear, double the dosage of Renshen, Huangqi, and Danggui. If the woman has stagnant qi and chest discomfort, double Xiangfu and Beimu. If menstruation is irregular, add Mudanpi (Moutan Cortex) and Danggui.
One discussion states: Treats lymphadenitis and various tumors.
Yiqi Neixiao Powder (Qi-Suppressing Internal-Dissolving Powder)
Danggui (Angelicae Sinensis Radix)
Chuanxiong (Ligustici Chuanxiong Rhizoma)
Baishao (Paeoniae Radix Alba), stir-fried
Baizhu (Atractylodis Macrocephalae Rhizoma), de-rhizome and stir-fried
Qingpi (Citri Reticulatae Pericarpium Viride)
Baizhi (Angelicae Dahuricae Radix)
Banxia (Pinelliae Rhizoma), ginger-fried
Chenpi (Citri Reticulatae Pericarpium)
Jiegeng (Platycodonis Radix)
Qianghuo (Notopterygii Rhizoma et Radix)
Duhuo (Angelicae Pubescentis Radix)
Nanpo (Magnoliae Officinalis Cortex), ginger-fried
Fangfeng (Saposhnikoviae Radix)
Huangqin (Scutellariae Radix)
Wuyao (Linderae Radix)
Xiangfu (Cyperi Rhizoma)
Binglang (Arecae Semen) - 1 liang each
Suzi (Perillae Fructus) - 1.5 liang
Chenxiang (Aquilariae Lignum Resinatum) - 3 qian
Muxiang (Aucklandiae Radix)
Renshen (Ginseng Radix)
Fengcao (Glycyrrhizae Radix et Rhizoma) - 5 qian each
Process as coarse powder, decoct in water, take warm. Dissipation expected after ten to twelve doses. If it recurs, process according to the dosage into powder, bind with rice paste to form pills the size of wutong seeds. Take 50 pills per dose with wine.
One discussion states: For unruptured lymphadenitis on the left side, use Neixiao Tiaojing San (Internal-Dissolving and Menstruation-Regulating Powder), transmitted by Li Xiling from Shandong.
Shengma (Cimicifugae Rhizoma)
Gegen (Puerariae Lobatae Radix)
Longdancao (Gentianae Radix et Rhizoma)
Huanglian (Coptidis Rhizoma)
Jiegeng (Platycodonis Radix)
Lianqiao (Forsythiae Fructus)
Huangqin (Scutellariae Radix)
Huangbai (Phellodendri Cortex)
Ezhu (Curcumae Rhizoma)
Sanleng (Sparganii Rhizoma)
Gancao (Glycyrrhizae Radix et Rhizoma) - 5 fen each
Dangguiwei (Angelicae Sinensis Radix, tail end)
Baishao (Paeoniae Radix Alba) - 3 fen each
Process as coarse powder, decoct in water, take orally. For slight deficiency, add Xiakucao (Prunellae Spica). For phlegm, add Tianhuafen (Trichosanthis Radix) and Zhimu (Anemarrhenae Rhizoma), 5 fen each. For Shaoyang channel involvement, add Chaihu (Bupleuri Radix), 4 fen.
One discussion states: For madao sores on the right side, unruptured, use Chaihu Tongjing Tang (Bupleurum Channel-Unblocking Decoction).
Chaihu (Bupleuri Radix)
Lianqiao (Forsythiae Fructus)
Guiwei (Angelicae Sinensis Radix, tail end)
Gancao (Glycyrrhizae Radix et Rhizoma)
Huangqin (Scutellariae Radix)
Niuniuzi (Arctii Fructus)
Sanleng (Sparganii Rhizoma)
Jiegeng (Platycodonis Radix) - 2 fen each
Huanglian (Coptidis Rhizoma)
Honghua (Carthami Flos)
Process as coarse powder, one dose, decoct in water, take hot.
One discussion states: For ruptured lymphadenitis.
Buzhong Shengdu Tang (Middle-Supplementing and Toxin-Overcoming Decoction)
Huangqi (Astragali Membranacei Radix) - 1 qian
Renshen (Ginseng Radix)
Danggui (Angelicae Sinensis Radix)
Shengdihuang (Rehmanniae Radix)
Shudihuang (Rehmanniae Radix Preparata)
Baishao (Paeoniae Radix Alba)
Chenpi (Citri Reticulatae Pericarpium) - 3 fen each
Shengma (Cimicifugae Rhizoma) - 5 fen
Chaihu (Bupleuri Radix) - 5 fen
Lianqiao (Forsythiae Fructus) - 1 qian
Fangfeng (Saposhnikoviae Radix)
Gancao (Glycyrrhizae Radix et Rhizoma) - 5 fen each
Process as coarse powder, decoct in water, take hot.
Treatment for lymphadenitis and cervical scrofula, whether swollen or painful: Decoct Xiakucao (Prunellae Spica) in water and take immediately after meals.
Alternative: Use a handful of Xiakucao, decoct in water three times, strain, and boil down to a paste. Apply to the affected area for immediate dissipation.
For lymphadenitis where vital qi is not depleted, use this formula to remove it. If the lesion is removed but does not heal, take the previously mentioned Yiqi Yangrong Tang. If vital qi is weak, tonify first, then take the toxin-clearing formula. After detoxification, continue taking the previous decoction. Assuming no other diseases, this formula dissipates unformed lesions and consolidates ulcerated ones. Suitable for those with strong vital qi. Bixiao San (Extremely Effective Powder)
Nan Pengsha (Borax) - 2.5 qian
Qingfen (Calomelas) - 1 qian
Shexiang (Moschus) - 5 fen
Badou (Crotonis Fructus) - 5 seeds, peel and remove heart
Baibinglang (Arecae Semen) - 1 piece
Banmao (Mylabris) - 40 pieces, remove head and feet, stir-fry with glutinous rice, discard rice
Grind all ingredients into extremely fine powder. Take two eggs, remove yolks, use egg whites to mix the medicine. Place back into the shell, seal with several layers of wet paper, steam in a rice steamer until cooked, dry, and grind into powder. Take 5 fen per dose, mixed with ginger and wine-fried, taken at dawn. If lower abdominal pain occurs, take Yi Yuan San (Beneficial Origin Powder); toxins will be expelled through stool.
Divine prescription for chronic scrofula sores.
Qianchui Lüyun Gao (Thousand-Beaten Green Cloud Ointment)
Songxiang (Pini Resina) - 0.5 jin, melt seven times, filter residue
Ruxiang (Olibanum) - 1.5 qian
Moyao (Myrrha) - 2.5 qian
Xuejie (Sanguis Draconis) - 1 qian
Tonglü (Chalcanthite) - 2.5 qian
Xingren (Armeniacae Semen Amarum), peeled - 2 qian
Haiercha (Camelliae Seed Tea) - 3 fen
Bimazi (Ricini Semen), shelled - 2 liang
Mayou (Sesamum Oil) - 2 liang
Ru zhi (Breast milk) - 2 zhan
Grind into fine powder, mix together with breast milk and sesame oil, stir evenly, beat and pound a thousand times to form ointment. Apply to gauze and place on the affected area.
A woman suffered from lymphadenitis for a long time without healing. Some considered it a Wood-excess syndrome, unsuitable for spring treatment, and pre-treated with Sanzhong Kuijian Tang (Swelling-Dispelling and Hardness-Resolving Decoction), causing increased swelling and hardness. I diagnosed it as Liver channel deficiency and treated with Liuwei Wan (Six-Ingredient Pill with Rehmannia) and Buzhong Yiqi Tang (Middle-Supplementing Qi-Nourishing Decoction). She recovered by spring. If this syndrome is caused by Wind-Fire in the Liver channel itself with no vital qi deficiency, one may use Jianjian Xieqing agents (Hardness-Resolving and Liver-Clearing agents). If the Liver itself is deficient, or Water fails to generate Wood, use Liuwei Wan. If Metal overacts on Wood, one must tonify Spleen Earth and generate Kidney Water. If aggressive purging is used, Spleen and Stomach will be damaged, leading to Wood overacting on Earth.
A woman had swollen and painful neck nodules. Examining her blood and qi deficiency/excess, I first administered one dose of Bixiao San to remove the pathogen, followed by thirty-plus doses of Yiqi Yangrong Tang to tonify, resulting in resolution. Generally, for early-stage lymphadenitis with blood and qi weakness, first use Yiqi Yangrong Tang. Wait until blood and qi are slightly replenished, then use Bixiao San to clear toxins, followed by tonic medicines. This approach is invariably effective. If pus has formed, puncture and tonify/support. If nodules persist despite restored blood and qi, use Jianjian agents (Hardness-Resolving agents). If ineffective and blood/qi remain unchanged, continue with Bixiao San and Yangrong Tang. If still ineffective, moxa Zhoushui (Elbow Tip) and Jianjing (GB21) acupoints, and apply Qianchui Lüyun Gao for self-healing. If blood and qi are robust, spontaneous necrosis may occur without cauterization. Using medication to cauterize facilitates easier consolidation. If blood is deficient and cauterization is used, it is not only useless but leads to failure. Cases involving disregard for diet and emotions are incurable.