论瘿瘤 瘿、瘤不同。瘿者，连肉而生，根大而身亦大，瘤者，根小而身大也。即瘤之中，又名不同。有骨瘤、
有脂瘤、有肉瘤、有脓瘤、有血瘤、有粉瘤、有筋瘤、有物瘤。筋瘤不可治，亦不必治，终身十载，不过大如桃核。脂
瘤破，去其脂粉则愈，亦不必治也。肉瘤最易治，用黄柏五钱、儿茶、血竭各三钱、水银、硼砂各一钱、麝香、冰片各
三分共为细末，擦于瘤之根处，随擦随落，根小者，无不落也。物瘤则根大，最难治，不时而动，无故而鸣，或如虫鸣，
或如鸟啼，必须用刀，破其中孔，则物自难居，必然突围而出，后用生肌神药敷之，则瘤化为水，平复如故矣。此乃不
敬神鬼，触犯岁君而得。病不可测，非理可谈，故吾《内经》）不言。（《岐天师别传》）
附∶生肌神药 麒麟血竭 三七根末 千年锻石（各三钱） 儿茶（二钱） 人参 象皮 乳香（去油） 没
药广木香末（各一钱）轻粉（五分） 冰片（三分） 共为极细末，研至无声为度。修合时，须用端五日，不可使一
人见，并忌鸡犬。（同上）
点瘿 桑炭灰 枣木灰 黄荆灰 桐壳灰（各二升半） 荞麦灰（炒） 共以沸汤，淋汁五碗许，入斑蝥四十
个、穿山甲五片、乳香、冰片不拘多少（后入）煎作二碗，以瓷器盛之。临用时，入新锻石，调膏敷。干则清水润之，
神效。（《赤水元珠》）
赘瘿焦法 甘草煎膏，笔搽瘤之四围。上三次，乃用芫花、大戟、甘遂等分为末，醋调，别以笔搽其中，勿近
甘草，次日缩小。又以甘草搽小晕三次，如前仍上，此自然焦缩。（《危氏得效方》）
头上生瘤 大者如拳，小者如栗，或软或硬，不痛不疼。用大南星一枚细研稠粘，用米醋六七滴为膏。如无生
者，即用干者为末，醋调如膏。先将小针刺患处，令气透，即以膏摊纸上，如瘤大小贴之。（《同寿 》）
眼皮生瘤 樱桃核磨水搽之。（《兰室秘藏》）
喉瘤 硼砂（三钱） 冰片 胆矾（各三分） 共研细末。用时，以箸头蘸药，点之即效。（《医学集成》）
血瘤 日久自破，以发灰掺之，外以膏药护好，自能敛口收功。（《崔氏纂要》）
粉瘤 紫荆花梗灰 豆梗灰 茄梗灰 炉灰（各等分） 共和匀，用热酒调如泥，涂瘤四围，中留小顶不涂。
数次，渐软即消，愈。（《简要济众》）
赤瘤 （《一名丹瘤》）颏下如樱桃突出，色赤而光，谓之赤瘤。用绵羊脑子，同朴硝研烂，贴患处立效。或以
蓖麻子同面研和，敷之。（《医镜》）
一方，用慈菇叶捣，敷二三次即退。（《本草发明》）
番花瘤 用马齿苋（一斤）烧灰研细，猪脂调敷。（《集简方》）
箍瘤膏 凡瘤初起者，箍之可以消除。已成者，箍之不致再大。用海藻、昆布、莞花（各二钱），以青炭灰水
熬化成膏，加入米醋一饭碗，再将生南星、生半夏、五倍子（各一两）共为细末，加风化锻石二两，炒红色，大黄末二
两，收为膏箍之，百日为度。箍过百日，初起者，如不消尽，再箍，俟消尽不箍。已成者，箍过百日，自然不大，不用
再箍矣。（《梓送经验方》）
项后疙疸不论大小及日月久近或赤硬肿痛 生山药（一挺，去皮） 蓖麻仁（十粒） 研匀，摊布上，贴之如
神。（《奇方类编》）
论瘿瘤 瘿和瘤是不同的。所谓“瘿”，是连着肌肉生长的，根基大而瘤体也大；所谓“瘤”，是根基小而瘤体大。在各类瘤之中，名称又各不相同。有骨瘤、脂瘤、肉瘤、脓瘤、血瘤、粉瘤、筋瘤、物瘤。筋瘤无法治愈，也不必治疗，终身十年间，不过长得像桃核那么大。脂瘤如果破裂，去除其中的脂粉即可痊愈，也不必专门治疗。肉瘤最容易治疗，用黄柏五钱、儿茶三钱、血竭三钱、水银一钱、硼砂一钱、麝香三分、冰片三分，共同研成细末，涂抹在瘤的根部，边涂边脱落，根基小的，没有不脱落的。物瘤则根基大，最难治疗，不时活动，无故发出声响，有的像虫鸣，有的像鸟啼，必须用刀切开中间的空洞，那么异物自然难以存留，必然会突围而出，之后用生肌神药敷贴，瘤体就会化为水液，平复如初。这是因不敬神鬼，触犯岁君而得的病。病情不可预测，不合常理，所以《内经》中没有记载。（出自《岐天师别传》）
附：生肌神药配方 麒麟血竭三钱、三七根末三钱、千年锻石三钱、儿茶二钱、人参一钱、象皮一钱、乳香（去油）一钱、没药一钱、广木香末一钱、轻粉五分、冰片三分。共同研成极细末，研磨到听不到声音为止。配制时，必须选择端午日进行，不能让一个人看见，并禁止鸡犬靠近。（同上书）
点瘿法 桑炭灰二升半、枣木灰二升半、黄荆灰二升半、桐壳灰二升半、荞麦灰（炒制）。共用沸水淋取汁液约五碗，加入斑蝥四十个、穿山甲五片、乳香、冰片适量（后放入），煎煮至两碗，用瓷器盛装。临用时，加入新煅制的锻石，调成膏状敷贴。干了就用清水润湿，效果神奇。（出自《赤水元珠》）
赘瘿焦缩法 用甘草煎制成膏，用笔涂抹在瘤的四周围。连续上药三次后，再用芫花、大戟、甘遂等分研成末，用醋调匀，另用笔涂抹在中间，不要接近甘草，第二天瘤体会缩小。再次用甘草涂抹小晕圈三次，像之前一样继续上药，这样瘤体会自然焦缩。（出自《危氏得效方》）
头上生瘤 大的像拳头，小的像栗子，或软或硬，不痛不痒。用一枚大南星细细研成稠粘状，加六七滴米醋调成膏。如果没有新鲜的，就用干品研末，用醋调成膏。先用小针刺患处，让气透入，然后将药膏摊在纸上，根据瘤的大小贴敷。（出自《同寿》）
喉瘤 硼砂三钱、冰片三分、胆矾三分。共同研成细末。使用时，用筷子头蘸取药物点涂，立即见效。（出自《医学集成》）
血瘤 日久自会破裂，用头发灰撒在伤口上，外面用膏药护好，自然能收敛伤口愈合。（出自《崔氏纂要》）
粉瘤 紫荆花梗灰、豆梗灰、茄梗灰、炉灰（各等分）。混合均匀，用热酒调成泥状，涂抹在瘤的四周围，中间留出一个小顶不涂。经过数次涂抹，逐渐变软即消退，痊愈。（出自《简要济众》）
赤瘤（又名丹瘤） 下巴下像樱桃一样突出，颜色红而光亮，称为赤瘤。用绵羊脑子同朴硝研烂，贴在患处立即见效。或者用蓖麻子同面粉研和，敷贴。（出自《医镜》）
另一方法，用慈菇叶捣碎，敷贴二三次即可消退。（出自《本草发明》）
番花瘤 用马齿苋一斤烧成灰研细，用猪脂调匀敷贴。（出自《集简方》）
箍瘤膏 凡是瘤初起时，箍束它可以消除。已经形成的，箍束它不会让它再变大。用海藻二钱、昆布二钱、莞花二钱，用青炭灰水熬化成膏，加入一碗米饭量的米醋，再将生南星一两、生半夏一两、五倍子一两共同研成细末，加入风化锻石二两，炒至红色，再加入大黄末二两，收膏用于箍束，以一百天为期限。箍过百日，初起的如果不消尽，再箍，直到完全消除不再箍。已经形成的，箍过百日，自然不再变大，不用再箍了。（出自《梓送经验方》）
项后疙疸 不论大小及发病时间长短，或红硬肿痛。用生山药一根（去皮）、蓖麻仁十粒，研匀，摊在布上，贴敷如神效。（出自《奇方类编》）
On Goiters and Tumors (Ying and Liu) "Ying" (goiter-like swelling) and "Liu" (tumor) are different. "Ying" grows attached to the flesh, with a large root and a large body; "Liu" has a small root but a large body. Among tumors, there are various specific names: bone tumor (Gu Liu), fatty tumor (Zhi Liu), fleshy tumor (Rou Liu), purulent tumor (Nong Liu), blood tumor (Xue Liu), powder tumor (Fen Liu), tendon tumor (Jin Liu), and object tumor (Wu Liu). Tendon tumors cannot be cured and need not be treated; over ten years or a lifetime, they will not grow larger than a peach pit. If a fatty tumor ruptures, removing the fatty powder leads to healing, so no special treatment is needed. Fleshy tumors are easiest to treat: use Huangbai (Phellodendri Cortex, 5 qian), Ercha (Catechu, 3 qian), Xuejie (Dragon's Blood, 3 qian), Shuiyin (Mercurius, 1 qian), Pengsha (Borax, 1 qian), Shexiang (Moschus, 3 fen), and Bingpian (Borneolum Syntheticum, 3 fen). Grind these into a fine powder and apply it to the root of the tumor; as you apply it, the tumor falls off. Those with small roots will invariably detach. Object tumors have large roots and are hardest to treat; they move intermittently and make noises without cause, sounding like insects or birds. One must use a knife to cut open the central cavity, causing the foreign matter to naturally exit. Afterwards, apply the Divine Drug for Regenerating Flesh (Shengji Shen Yao); the tumor will liquefy and return to normal. This condition arises from disrespecting deities and offending the Tai Sui (Grand Duke Jupiter). The pathology is unpredictable and irrational, which is why it is not mentioned in the *Neijing* (Inner Canon of the Yellow Emperor) (Source: *QiTianshi Biezhuan*).
Appendix: Formula for the Divine Drug for Regenerating Flesh (Shengji Shen Yao) Qilin Xuejie (Draconis Sanguis Resina, 3 qian), Sanqi Gen Mo (Notoginseng Radix et Rhizoma Powder, 3 qian), Qiannian Duanshi (Calx Haematitae Preparata, 3 qian), Ercha (Catechu, 2 qian), Renshen (Ginseng Radix et Rhizoma, 1 qian), Xiangpi (Corium Corii Asini, 1 qian), Rushi Quyou (Olibanum Deoiled, 1 qian), Moyao (Myrrha, 1 qian), Guangmuxiang Mo (Aucklandiae Radix Powder, 1 qian), Qingfen (Calomelas, 5 fen), Bingpian (Borneolum Syntheticum, 3 fen). Grind all ingredients into an extremely fine powder until no sound is heard during grinding. Preparation must be done on the fifth day of the fifth lunar month (Duanwu Festival); no one should witness the process, and chickens and dogs must be kept away (Same source).
Method for Applying Medication to Goiters (Dian Ying) Sangtan Hui (Ash of Mulberry Charcoal, 2.5 sheng), Zaimu Hui (Ash of Jujube Wood, 2.5 sheng), Huangjing Hui (Ash of Vitex Negundo, 2.5 sheng), Tongqiao Hui (Ash of Tung Nut Shell, 2.5 sheng), Qiaomai Hui (Stir-fried Buckwheat Hull Ash). Pour boiling water over these ashes to extract approximately five bowls of liquid. Add Banmao (Mylabris, 40 individuals), Chuanshanjia (Manis Pentadactyla Scale, 5 slices), Rushi (Olibanum), and Bingpian (Borneolum Syntheticum, appropriate amount, added later). Decoct until two bowls remain. Store in a porcelain vessel. Before use, add freshly calcined Duanshi (Calcined Hematite) and mix into a paste for application. If it dries, moisten with clear water. This yields miraculous effects (Source: *Chishui Yuanzhu*).
Method for Cauterizing and Shrinking Pedunculated Goiters (Zhui Ying Jiao Fa) Prepare a paste from Gancao (Licorice Root) decoction. Use a brush to apply it around the periphery of the tumor. After three applications, prepare a powder from equal parts Yuanhua (Genkwa Flos), Daji (Euphorbiae Humifusae Radix), and Gansui (Kansui Radix). Mix with vinegar and use a separate brush to apply this mixture to the center of the tumor, ensuring it does not touch the licorice paste. The tumor will shrink by the next day. Apply the licorice paste to the shrinking area three times again, repeating the previous steps, resulting in natural cauterization and shrinkage (Source: *Weishi Dexiao Fang*).
Tumors on the Head Large ones are fist-sized, small ones chestnut-sized; they may be soft or hard, painless. Use one large Nanxing (Arisaema Cum Bile) tuber, finely ground into a sticky consistency. Add six or seven drops of rice vinegar to form a paste. If fresh rhizomes are unavailable, use dried powder mixed with vinegar to form a paste. First, prick the affected area with a small needle to allow qi penetration. Then, spread the paste on paper and apply it to the site according to the size of the tumor (Source: *Tongshou*).
Tumors on the Eyelids Grind cherry pits with water and apply the solution (Source: *Lanshi Micang*).
Throat Tumors Pengsha (Borax, 3 qian), Bingpian (Borneolum Syntheticum, 3 fen), Danfan (Alumen, 3 fen). Grind into a fine powder. For use, dip the tip of a chopstick into the medicine and dab it onto the lesion for immediate effect (Source: *Yixue Jiicheng*).
Blood Tumors These may rupture spontaneously after a long duration. Sprinkle hair ash (Fa Hui) on the wound and cover with a plaster to promote healing and closure (Source: *Cuishi Zuanyao*).
Powder Tumors Jingdai Huageng Hui (Ash of Bauhinia Variegata Stem), Dou Geng Hui (Ash of Bean Stems), Qie Geng Hui (Ash of Eggplant Stems), Luhu (Stove Ash) in equal parts. Mix uniformly and adjust with hot wine to a mud-like consistency. Apply around the perimeter of the tumor, leaving a small apex uncovered. After several applications, the tumor gradually softens and disappears, leading to recovery (Source: *Jianyao Jizhong*).
Red Tumors (Also known as Dan Liu) A cherry-like protrusion under the chin that is red and shiny is called a Red Tumor. Grind sheep brain with Puxiao (Mirabilite) until smooth and apply to the lesion for immediate effect. Alternatively, grind castor seeds (Bimazi) with flour and apply (Source: *Yijing*). Another method: Crush Colocasia esculenta leaves (Cigu Ye) and apply for two or three applications to reduce the swelling (Source: *Bencao Faming*).
Fan Hua Tumors Burn one jin (approx. 500g) of Machixian (Portulaca Oleracea) to ash, grind finely, and mix with pig fat (Zhuzhi) for topical application (Source: *Jijian Fang*).
Plaster for Encasing Tumors (Gu Liu Gao) For newly formed tumors, encasing can eliminate them. For established tumors, encasing prevents further growth. Use Haizao (Sargassum, 2 qian), Kunbu (Ecklonia, 2 qian), and Wanhua (Adonis Amurensis, 2 qian). Decoct in water made from green charcoal ash until a paste forms. Add one bowl of rice-measured vinegar. Then, add Sheng Nanxing (Raw Arisaema, 1 liang), Sheng Banxia (Raw Pinellia, 1 liang), and Wubeizi (Galla Chinensis, 1 liang), grinding them into a fine powder. Add Liuhua Duanshi (Weathered Calcined Hematite, 2 liang), stir-fried until red, and Dahuang Mo (Rhubarb Powder, 2 liang). Form into a plaster for encasing. The course lasts 100 days. If newly formed tumors do not fully resolve after 100 days, continue encasing until resolved. Established tumors will stop growing after 100 days of encasing and require no further treatment (Source: *Zisong Jingyan Fang*).
Lumps at the Back of the Neck Regardless of size or duration, whether red, hard, swollen, or painful. Use one raw Shanyao (Dioscorea Rhizome, peeled) and ten Bimazi (Castor Seeds). Grind evenly, spread on cloth, and apply as a plaster for divine efficacy (Source: *Qifang Leibian*).