（附论）
夫瘰 者。结风于内。积热在肝。荣卫不和。胸膈壅滞。毒热相搏。流注于筋脉结聚所
成也。初得即觉项边磊磊。状若连珠。面色萎黄。皮肤壮热。久而不疗。俾热上蒸。则成脓
也。按内经谓荣气不从。逆于肉理。乃生壅肿。盖荣气逆则血郁。郁则热气聚而为脓。瘰
之疾。亦犹是也。热气内结。搏聚在肝。肝主筋。肝藏血。久不瘥。故热聚于血。血腐而为
脓。在于颈腋。肿结相连。有如梅李实是已。
方
神应膏 治瘰 已破。疮口浸引。脓水不绝。及治一切恶疮。贴之去恶肉。好肉自
生。
白芨 白蔹 当归 桂（去粗皮各一分） 附子（一枚半两者去皮脐） 乳香缠（半两）
东
南槐枝 柳枝（各二条各长七寸锉） 铅丹（三两） 巴豆（三分去皮研） 清油（六两） 上
各锉
细。于石器内先下油与白芨等。煎令焦黄。以白绵滤去滓。入铅丹、巴豆。慢火熬药成膏。
先以水一碗。投药入水。其药直入水中如珠为度。后刮下入瓷器内收贮。每用少许。量核大
小涂贴。
黄 丸 治瘰 结肿生脓。
黄 （锉） 木香 漏芦 玄参 枳壳（锉炒微黄去白） 犀角（屑） 桔梗（去芦头）
牛蒡
子（微炒） 大黄（微炒各一两） 上为末。炼蜜和丸如桐子大。空心及晚食前。以米饮下
二十
丸。
鳖甲散 治瘰 出脓血不止。宜服此。消死肉。散毒瓦斯。使 子转动宽软。
鳖甲（一两涂醋炙微炒黄去裙 ） 桑螵蛸（五枚微炒） 野狼毒（三两醋拌炒黄）
虫（五
枚微炒） 磁石（三两细研水飞过） 雄黄（一两细研） 麝香（一钱细研） 雌黄（一两
细研）
上为散。入研了药再调匀。每日空心。日午近夜各一服。米饮调下一钱。
枳壳丸 治瘰 结肿穿穴生脓。
枳壳（麸炒微黄去白） 玄参 漏芦 大黄（微炒） 芡实 牛蒡子（微炒各一两） 黄
露蜂房（半两微炒） 上为末。炼蜜和丸如桐子大。每服不计时候。米饮下三十丸。
连翘丸 治瘰 结核于颈腋下生痈脓。
白蔹丸 治瘰 结肿有头。脓水不止。
白蔹 黄 （锉） 木香 枳壳（微炒） 玄参 乌蛇（酒浸去皮骨炙色黄各一两） 斑
蝥
（十四枚去头足翅以糯米拌炒令米黄为度） 上为末。炼蜜和丸如桐子大。每服空心逐日晚
食
前米饮下十丸。
蜂房膏 治瘰 生头。脓水不绝。疼痛。
露蜂房（一两） 蛇蜕皮（半两） 玄参（半两） 黄 （二分） 杏仁（一两汤浸去
皮尖二仁
研） 乱发（如鸡子大） 黄丹（五两） 上细锉用麻油一斤。先煎发及杏仁候发消尽。即
以绵
滤去滓。下黄丹。以柳木篦不住手搅。候熬成膏。即倾于瓷盒中盛。旋取涂于帛上贴之。
连翘散 治瘰 热肿。肉败生脓。
两汤浸去
皮尖双仁麸炒微黄色） 玄参（半两） 上为散。每服三钱。以水一盏。煎至六分。去渣食
前
温服。
紫金膏（出圣济总录）治瘰 已破。脓水不止。
柳枝（三十条各长四寸） 槐枝（同上） 麻黄（六两青者是） 乳香（别研） 没药
（研） 柏
脂（各一分） 上为末。先熬油令沸。入槐柳枝煎令黑色。去枝不用。次入麻黄等熬成膏。
每
用油纸摊涂之。
地胆丸（出圣济总录）治瘰 成疮有脓。贴药后服此。
地胆（去头足翅糯米拌炒米黄为度） 斑蝥（去头足翅糯米拌炒米黄为度） 芫青（十
枚糯
米拌炒令黄去头足翅） 牛黄（别研一两） 生豆黄（三十一枚） 上为末。牛黄再研匀。
炼蜜
为丸如桐子大。每服一丸。空心茶下后。更服寻常补益丸散。
去毒散（出圣济总录）治瘰 毒瓦斯。郁结成脓。发泄不止。
巴豆（一两） 薄荷末（二两） 皂荚末（二两） 麝香（研二钱） 鲫鱼（一个去肠
肝） 上
研匀四味。入在鱼腹内。用泥固济。以炭五七斤。烧存性。候冷取出。细研。每服一钱匕。
用荆芥腊茶调下。日三服。
蜂房散（出圣济总录）治瘰 。
露蜂房（蜜涂文火炙令青色半两） 羊屎（四十九枚烧白色） 皂荚（一梃煨存性） 上
同研
和匀。洗疮口干。用此药贴之。后可服血竭散。
血竭散（出圣济总录）治瘰 已破。脓水不止者。
血竭（炒研一分） 大枣（二十枚青州者烧为灰） 生干地黄（焙半两研为末） 上同
研如
面。别取枳壳末三钱。用水一盏。煎至四分。去滓调下散子半钱。五更时服。良久觉肠痛。
但只以枳壳汤细饮之。即自止。有恶物自小肠出为效。
牵牛子散（出圣惠方）治瘰 头多。经久不瘥。脓血不止。极其疼痛者。
牵牛子 麝香（半钱细研） 上都细研如粉。以津唾调贴之。
薄荷丸（出圣惠方）治瘰 结成颗块疼痛。穿溃。脓水不绝。不计远近皆瘥。
薄荷（一束如碗大阴干） 皂荚（十挺长一尺二寸不蛀者去黑皮涂酥炙令黄） 上捣碎
以酒
一斗。浸经三宿。取出曝干。更浸三宿。如此取酒尽为度。干为散。以软饭和丸如桐子大。
每服食前黄 汤下一十丸。小儿酌减服之。
鼠灰散（出圣惠方）治瘰 脓水不绝。宜贴。
蛇腹中鼠（一枚烧灰） 虾蟆（一枚烧灰） 上为末。用生油调摊于帛上贴之。日一度
换之。
罐灰散（出圣济总录）治瘰 疮口脓水不止。
用粪堆里破瓦罐儿洗净。于灶掘次安在坑中。烧二日。令捻得碎。细研。干掺疮上。
紫金散（出圣济总录）治瘰 方破。
用槟榔不拘多少。端正者为细末。先以温浆水洗疮。以软帛拭干。油调涂日三上。用时
看多少。
治瘰 穿破作脓。宜服此方。（出圣惠方）
用五月六月麦柴堆上新生菌子七枚。熟捣。先以米泔净洗疮。拭干。贴。日二度换之。
治有疮口脓血出者。
用狸肉作羹如法食之。
水红花饮（出圣济总录）治瘰 肿核结硬不消。及脓水旁穿不瘥。
用水红花不拘多少。一半炒。一半生。粗捣筛每服二钱。水一盏。煎至七分。去滓温服。
食后临卧日三。好酒调亦可服。
单方 治瘰 破与未破。及脓血淋漓。其效如神。
牡蛎（不拘多少用灰深培上以三升米一 候尽取八两为细末） 甘草（二两） 上药匀
拌。
每服二钱。食后以建茗同点。日二服。忌鱼酒酢酱油盐海味等。此病多有人父子相传至死。
如若服此药。并不疼。亦不吐痢。
又方
用牡蛎不拘多少。火 为末。以糊丸如桐子大。每服二十丸。连翘煎汤下。
生肉方。
腊月猪脂 松脂（煮过收水上白者） 黄蜡（煮过收洁净者） 上各二两。用清麻油五
六
两。慢火熬成膏。先将温水洗去旧药。拭干。用纸剪一大团子。涂药在上。盖疮口如痒。不
得动。此生肉故也。一日一次。换药切戒毒物。
轻肌散（出鲍氏方）治瘰 肿痛。化恶脓血。寒热烦躁。肢筋无力困倦虚渴
。饮食少进。
山慈菇（即涂灯花） 何首乌 天名精 甘草（各三分） 生地黄（半两） 独将军（一
两去
茎） 上为散。每服二钱。薄荷七叶煎汤下。
活脓散（出鲍氏方）治瘰 出脓不快。肢节烦疼。寒热口干。
防风 当归 人参 川芎（各半两） 金星草（五叶） 羌活 甘草（各三钱） 上为
散。以
酒下二钱。日二服。
秦皮散（出鲍氏方）治瘰 并有效。
秦皮（三两） 莽草（二两） 细辛 苦参（半两） 黄连 黄芩（一两） 大黄（三分） 当
归上
为粗末。每一两水煎。去滓。日一洗之。
碧油五枝膏（出鲍氏方）治瘰 发毒。出脓血瘀肉。能止痛。
桃枝 柳枝 桑枝 槐枝 皂角枝 上各一握锉细麻。十两煎至八分。净入。
又方
明矾（半钱） 血竭（半两） 黄丹（四两） 上用慢火熬成膏。地上出火一宿。用时
摊在开
片帛上。大人小儿贴之。点硬白破皆用。未破不用。
【附论】
瘰疬（颈部淋巴结结核）这种病，是由于风邪结聚于体内，热毒积聚在肝脏，导致营卫之气不和，胸膈部位气机壅滞。毒热相互搏结，流注于筋脉，最终在结聚之处形成肿块。刚发病时，就会感觉脖子旁边有颗粒状隆起，形状像串联的珠子，面色萎黄，皮肤发热。如果长时间不治疗，使热毒向上蒸腾，就会化脓。按照《内经》的说法，营气运行不畅，逆乱于肌肉纹理之间，就会产生壅肿。大概是因为营气逆乱导致血液郁滞，郁滞则热气聚集而化为脓液。瘰疬这种疾病，也是同样的道理。热气在内结聚，搏结在肝脏。肝主司筋脉，肝贮藏血液。如果久治不愈，热邪就聚积在血液中，血液腐败就变成了脓液。病灶位于颈部和腋下，肿胀结块相连，就像梅子李子一样。
方剂
神应膏：治疗瘰疬已经破溃，疮口逐渐扩大，脓水淋漓不尽。也用于治疗各种恶疮，贴敷后可去除腐肉，新肉自然生长。
药材：白芨、白蔹、当归、桂枝（去掉粗皮，各一分）、附子（一枚半两重，去掉外皮和脐部）、乳香（半两）、东南方向的槐树枝、柳枝（各两条，每条长七寸，切碎）、铅丹（三两）、巴豆（三分，去皮后研碎）、清油（六两）。
制法：将上述药材分别切碎。先在石器中加入油和白芨等药，煎至焦黄色，用白色绵布过滤去掉药渣。加入铅丹、巴豆，用慢火熬制药成膏。先取一碗水，投入药膏测试，如果药膏入水后凝聚成珠状不散，即为火候适度。然后刮下药膏放入瓷器中储存。每次使用时取少量，根据结节大小涂抹贴敷。
黄芪丸：治疗瘰疬结肿化脓。
药材：黄芪（切碎）、木香、漏芦、玄参、枳壳（切碎炒至微黄，去掉白色内瓤）、犀角（锉屑）、桔梗（去掉芦头）、牛蒡子（微炒）、大黄（微炒，各一两）。
制法：将上述药材研为细末，用炼蜜调和制成如梧桐子大小的丸药。空腹及晚饭前，用米汤送服二十丸。
鳖甲散：治疗瘰疬流出脓血不止。适宜服用此方，以消除死肉，消散毒气，使核块转动变软。
药材：鳖甲（一两，涂醋炙至微黄，去掉裙边）、桑螵蛸（五枚，微炒）、野狼毒（三两，醋拌炒黄）、䗪虫（五枚，微炒）、磁石（三两，细研后用水飞法处理）、雄黄（一两，细研）、麝香（一钱，细研）、雌黄（一两，细研）。
制法：将上述药材研为散剂，加入已研细的药物再调匀。每天空腹、中午及临近夜晚各服一次，用米汤调服一钱。
枳壳丸：治疗瘰疬结肿穿破孔洞化脓。
药材：枳壳（麸炒至微黄，去掉白色内瓤）、玄参、漏芦、大黄（微炒）、芡实、牛蒡子（微炒，各一两）、黄芪、露蜂房（半两，微炒）。
制法：将上述药材研为细末，用炼蜜调和制成如梧桐子大小的丸药。每次服用不限时间，用米汤送服三十丸。
白蔹丸：治疗瘰疬结肿有头，脓水不止。
药材：白蔹、黄芪（切碎）、木香、枳壳（微炒）、玄参、乌梢蛇（酒浸后去皮骨，炙至色黄，各一两）、斑蝥（十四枚，去掉头足翅，用糯米拌炒至米变黄为止）。
制法：将上述药材研为细末，用炼蜜调和制成如梧桐子大小的丸药。每次空腹及每晚晚饭前，用米汤送服十丸。
蜂房膏：治疗瘰疬生头，脓水不绝，疼痛。
药材：露蜂房（一两）、蛇蜕皮（半两）、玄参（半两）、黄芪（二分）、杏仁（一两，热水浸泡去皮尖及双仁后研碎）、乱发（如鸡蛋大小）、黄丹（五两）。
制法：将上述药材细切，用麻油一斤。先煎炸乱发及杏仁，待乱发完全消尽，即用绵布过滤去渣。加入黄丹，用柳木棍不停搅拌，熬成膏后，倒入瓷盒中盛放。随时取适量涂在帛布上贴敷。
连翘散：治疗瘰疬热肿，肌肉败坏生脓。
药材：连翘（热水浸泡去皮尖双仁，麸炒至微黄色）、玄参（半两）。
制法：将上述药材研为散剂。每次服用三钱，用水一盏，煎至六分，去渣，食前温服。
紫金膏（出自《圣济总录》）：治疗瘰疬已破溃，脓水不止。
药材：柳枝（三十条，每条长四寸）、槐枝（同上）、麻黄（六两，青色者为佳）、乳香（另研）、没药（研）、柏脂（各一分）。
制法：将上述药材研为细末。先熬油至沸腾，加入槐枝、柳枝煎至黑色，去掉枝条不用。接着加入麻黄等药熬成膏。每次用油纸摊开涂敷。
地胆丸（出自《圣济总录》）：治疗瘰疬成疮有脓。贴药后服用此方。
药材：地胆（去掉头足翅，用糯米拌炒至米变黄为止）、斑蝥（去掉头足翅，用糯米拌炒至米变黄为止）、芫青（十枚，用糯米拌炒至黄，去掉头足翅）、牛黄（另研一两）、生豆豉（三十一枚）。
制法：将上述药材研为细末，牛黄再次研匀。用炼蜜制成如梧桐子大小的丸药。每次服用一丸，空腹用茶送服。之后可再服用常规的补益丸散。
去毒散（出自《圣济总录》）：治疗瘰疬毒气郁结化脓，发泄不止。
药材：巴豆（一两）、薄荷末（二两）、皂荚末（二两）、麝香（研二钱）、鲫鱼（一条，去掉肠肝）。
制法：将前四味药研匀，放入鱼腹内，用泥封固。用炭五七斤烧至存性（烧透但保留药性），冷却后取出，细研。每次服用一钱匕，用荆芥腊茶调服，每日三次。
蜂房散（出自《圣济总录》）：治疗瘰疬。
药材：露蜂房（蜂蜜涂抹，文火炙至青色，半两）、羊屎（四十九枚，烧至白色）、皂荚（一根，煨至存性）。
制法：将上述药材同研和匀。清洗疮口干涸处，用此药贴敷。之后可服用血竭散。
血竭散（出自《圣济总录》）：治疗瘰疬已破溃，脓水不止者。
药材：血竭（炒后研一分）、大枣（二十枚，青州产者，烧成灰）、生干地黄（焙干，半两，研为末）。
制法：将上述药材同研如面粉状。另取枳壳末三钱，用水一盏，煎至四分，去渣调服散剂半钱。在五更时服用。过一会儿感到肠痛，只需慢慢饮用枳壳汤，疼痛自止。若有恶物从小肠排出即为有效。
牵牛子散（出自《圣惠方》）：治疗瘰疬头部多，经久不愈，脓血不止，极其疼痛者。
药材：牵牛子、麝香（半钱，细研）。
制法：将上述药材细研如粉，用唾液调匀贴敷患处。
薄荷丸（出自《圣惠方》）：治疗瘰疬结成颗块疼痛，穿溃，脓水不绝，无论病程长短皆可治愈。
药材：薄荷（一束如碗大，阴干）、皂荚（十根，长一尺二寸，无蛀虫者，去掉黑皮，涂酥炙至黄）。
制法：捣碎，用酒一斗浸泡三个晚上，取出晒干。再浸泡三个晚上，如此反复直到酒被吸尽为止。干燥后研为散剂，用软饭调和制成如梧桐子大小的丸药。每次饭前用黄芪汤送服十丸，小儿酌情减量。
鼠灰散（出自《圣惠方》）：治疗瘰疬脓水不绝，适宜贴敷。
药材：蛇腹中的老鼠（一枚，烧成灰）、蟾蜍（一枚，烧成灰）。
制法：将上述药材研为细末，用生油调匀摊在帛布上贴敷，每天更换一次。
罐灰散（出自《圣济总录》）：治疗瘰疬疮口脓水不止。
用法：取粪堆里破碎的瓦罐儿洗净，在灶坑挖掘安置在坑中，烧两天，捏得碎，细研。干掺于疮口上。
紫金散（出自《圣济总录》）：治疗瘰疬刚破溃。
用法：取槟榔不拘多少，选端正者研为细末。先用温浆水洗疮口，用软帛拭干，用油调涂，每日三次。用时视情况而定。
治疗瘰疬穿破化脓，适宜服用此方。（出自《圣惠方》）
用法：取五月六月麦柴堆上新生的菌子七枚，熟捣。先用米泔水洗净疮口，拭干，贴敷，每天换两次。
水红花饮（出自《圣济总录》）：治疗瘰疬肿核结硬不消，以及脓水旁穿不愈。
用法：取水红花不拘多少，一半炒，一半生，粗捣筛。每次服用二钱，用水一盏，煎至七分，去渣温服。饭后临睡前服用，每日三次。用好酒调服也可以。
单方：治疗瘰疬破与未破，以及脓血淋漓，效果如神。
药材：牡蛎（不拘多少，用灰深培，用三升米煮候尽，取八两为细末）、甘草（二两）。
用法：将上述药物拌匀。每次服用二钱，饭后用建茗（茶叶）同点服，每日两次。忌食鱼、酒、醋、酱油、盐、海味等。此病多有父子相传至死者。如果服用此药，并不疼痛，也不呕吐腹泻。
又一方
用法：用牡蛎不拘多少，火煅为末，以糊制成如梧桐子大小的丸药。每次服用二十丸，连翘煎汤送服。
生肉方。
药材：腊月猪脂、松脂（煮过收水上白者）、黄蜡（煮过收洁净者）。各二两。
用法：用清麻油五六两，慢火熬成膏。先将温水洗去旧药，拭干。用纸剪一大团子，涂药在上，盖住疮口。如果发痒，不要动，这是生肉的原因。一天一次，换药切忌吃发物。
轻肌散（出自《鲍氏方》）：治疗瘰疬肿痛，化除恶脓血，寒热烦躁，肢筋无力困倦虚渴，饮食少进。
药材：山慈菇（即涂灯花）、何首乌、天名精、甘草（各三分）、生地黄（半两）、独将军（一两，去掉茎）。
制法：将上述药材研为散剂。每次服用二钱，用薄荷七叶煎汤送服。
活脓散（出自《鲍氏方》）：治疗瘰疬出脓不快，肢节烦疼，寒热口干。
药材：防风、当归、人参、川芎（各半两）、金星草（五叶）、羌活、甘草（各三钱）。
制法：将上述药材研为散剂。用酒送服二钱，每日两次。
秦皮散（出自《鲍氏方》）：治疗瘰疬均有效。
药材：秦皮（三两）、莽草（二两）、细辛、苦参（半两）、黄连、黄芩（一两）、大黄（三分）、当归。
制法：将上述药材研为粗末。每一两加水煎煮，去渣。每天清洗一次患处。
碧油五枝膏（出自《鲍氏方》）：治疗瘰疬发毒，出脓血瘀肉，能止痛。
药材：桃枝、柳枝、桑枝、槐枝、皂角枝。
制法：各一握切碎，用麻油十两煎至八分，滤净。
又方
药材：明矾（半钱）、血竭（半两）、黄丹（四两）。
制法：用慢火熬成膏，在地上退火一夜。用时摊在开片帛布上，大人小孩均可贴敷。点刺硬白破溃皆可用，未破者不用。
[Attached Discussion]
Luo Li (Scrofula, cervical lymph node tuberculosis) is a disease caused by wind pathogen knotting internally and heat toxin accumulating in the Liver. It results from disharmony of Ying (Nutrient) and Wei (Defensive) Qi, and stagnation in the chest and diaphragm. Toxic heat fights and flows into the sinews and vessels, eventually forming masses at sites of accumulation. Initially, one feels nodular lumps along the neck, resembling a string of beads, with a sallow complexion and hot skin. If left untreated for a long time, allowing heat to steam upward, suppuration occurs. According to the *Nei Jing* (Inner Canon), when Ying Qi does not flow smoothly and reverses within the muscle tissue, it generates swelling and congestion. Essentially, reversed Ying Qi leads to blood stasis; stasis causes heat to gather and transform into pus. Luo Li follows this same principle. Internal heat knots and gathers in the Liver. The Liver governs the sinews and stores blood. If not cured for a long time, heat aggregates in the blood, causing the blood to rot and become pus. Located in the neck and axilla, the swollen nodes are connected, resembling plums or plums.
Formulas
Shenying Gao (Miraculous Response Ointment): Treats Luo Li that has already ulcerated, with wounds gradually expanding and continuous discharge of pus. Also treats all kinds of malignant sores; applying it removes necrotic tissue, and healthy flesh regenerates naturally.
Ingredients: Bletillae Rhizoma (Baiji), Ampelopsis Radix (Bailian), Angelicae Sinensis Radix (Danggui), Cinnamomi Ramulus (Guizhi, bark removed, 1 fen each), Aconiti Lateralis Radix Praeparata (Fuzi, 1.5 liang, skin and umbilicus removed), Boswelliae Resina (Ruxiang, 0.5 liang), Branches of Sophora japonica from Southeast (Dongnan Huaizhi), Branches of Salix alba (Liuzhi, 2 branches each, 7 cun long, chopped), Minium (Qiandan, 3 liang), Crotonis Fructus (Badou, 3 fen, skin removed and crushed), Refined Oil (Qingyou, 6 liang).
Preparation: Chop ingredients finely. In a stone vessel, first add oil and Baiji etc., decoct until scorched yellow. Filter through white cotton cloth to remove dregs. Add Qiandan and Badou, simmer slowly over low heat until ointment forms. Test by dropping a small amount into a bowl of water; if it forms a bead-like shape without dispersing, the fire control is correct. Scrape the ointment into a porcelain container for storage. Apply a small amount as needed, sized according to the nodule.
Huangqi Wan (Astragalus Pill): Treats Luo Li with nodular swelling and suppuration.
Ingredients: Astragali Radix (Huangqi, chopped), Costi Radix (Muxiang), Leucanthemi Herba (Loulu), Scrophulariae Radix (Xuanshen), Aurantii Fructus (Zhike, chopped, stir-fried until slightly yellow, white pith removed), Rhinocerotis Cornu (Xijiao, shaved), Platycodonis Radix (Jiegeng, radix removed), Arctii Fructus (Niubangzi, slightly stir-fried), Rhei Radix et Rhizoma (Dahuang, slightly stir-fried, 1 liang each).
Preparation: Grind into powder, mix with refined honey to form pills the size of paulownia seeds. Take 20 pills on an empty stomach and before evening meal, washed down with rice drink.
Biejia San (Softshell Turtle Powder): Treats continuous discharge of pus and blood from Luo Li. Suitable for eliminating dead flesh and dissipating toxic gas, making the nodules mobile and soft.
Ingredients: Chini Plastrum (Biejia, 1 liang, coated with vinegar, roasted until slightly yellow, skirt removed), Spermantidis Mantis Oötheca (Sangpiaoxiao, 5 pieces, slightly stir-fried), Stellerae Radix (Yelangdu, 3 liang, mixed with vinegar and stir-fried until yellow), Eupolyphaga seu Steleophaga (Chong, 5 pieces, slightly stir-fried), Magnetitum (Cishi, 3 liang, finely ground and levigated with water), Realgar (Xionghuang, 1 liang, finely ground), Moschus (Shexiang, 1 qian, finely ground), Orpiment (Ci Huang, 1 liang, finely ground).
Preparation: Grind into powder, mix thoroughly with other finely ground ingredients. Take once on an empty stomach, at noon, and near night, mixed with rice drink, 1 qian per dose.
Zhike Wan (Aurantii Fructus Pill): Treats Luo Li with nodular swelling, perforation, and suppuration.
Ingredients: Aurantii Fructus (Zhike, bran-stir-fried until slightly yellow, white pith removed), Scrophulariae Radix (Xuanshen), Leucanthemi Herba (Loulu), Rhei Radix et Rhizoma (Dahuang, slightly stir-fried), Euryales Semen (Qianshi), Arctii Fructus (Niubangzi, slightly stir-fried, 1 liang each), Astragali Radix (Huangqi), Apis Floccosa (Lufengfang, 0.5 liang, slightly stir-fried).
Preparation: Grind into powder, mix with refined honey to form pills the size of paulownia seeds. Take 30 pills at any time, washed down with rice drink.
Lianqiao Wan (Forsythia Pill): Treats Luo Li forming nodules in the neck and axilla with abscess and suppuration.
Bailian Wan (Ampelopsis Pill): Treats Luo Li with nodular swelling having a head, with continuous pus discharge.
Ingredients: Ampelopsis Radix (Bailian), Astragali Radix (Huangqi, chopped), Costi Radix (Muxiang), Aurantii Fructus (Zhike, slightly stir-fried), Scrophulariae Radix (Xuanshen), Naja atra (Wushe, soaked in wine, skin and bones removed, roasted until yellow, 1 liang each), Mylabris (Banmao, 14 pieces, heads, feet, and wings removed, stir-fried with glutinous rice until rice turns yellow).
Preparation: Grind into powder, mix with refined honey to form pills the size of paulownia seeds. Take 10 pills on an empty stomach and before evening meal, washed down with rice drink.
Fengfang Gao (Honeycomb Ointment): Treats Luo Li with heads, continuous pus discharge, and pain.
Ingredients: Apis Floccosa (Lufengfang, 1 liang), Serpentis Dermis (Shetuipi, 0.5 liang), Scrophulariae Radix (Xuanshen, 0.5 liang), Astragali Radix (Huangqi, 2 fen), Armeniacae Semen Amarum (Xingren, 1 liang, soaked in hot water, skin and tips removed, kernels separated and crushed), Disordered Hair (Luankou, egg-sized), Minium (Huandan, 5 liang).
Preparation: Chop finely, use 1 jin of Sesami Oleum (Mayou). First decoct hair and Xingren until hair dissolves completely. Filter through cotton cloth. Add Huandan, stir constantly with a willow wood spatula until ointment forms. Pour into a porcelain box. Apply as needed on cloth patches.
Lianqiao San (Forsythia Powder): Treats Luo Li with hot swelling, tissue necrosis, and suppuration.
Ingredients: Forsythiae Fructus (Lianqiao, soaked in water, skin and tips removed, bran-stir-fried until slightly yellow), Scrophulariae Radix (Xuanshen, 0.5 liang).
Preparation: Grind into powder. Take 3 qian per dose, decoct with 1 cup of water until reduced to 0.6 cup. Strain and take warm before meals.
Zijin Gao (Purple Gold Ointment) (from *Shengji Zonglu*): Treats Luo Li that has ulcerated with continuous pus discharge.
Ingredients: Branches of Salix alba (Liuzhi, 30 pieces, 4 cun long each), Branches of Sophora japonica (Huazhi, same), Ephedrae Herba (Mahuang, 6 liang, green ones preferred), Boswelliae Resina (Ruxiang, separately ground), Myrrha (Moyao, ground), Cupressi Lignum Resina (Baizhi, 1 fen each).
Preparation: Grind into powder. Boil oil, add Huazhi and Liuzhi, decoct until black. Remove branches. Add Mahuang etc., simmer until ointment forms. Spread on oil paper for application.
Dichan Wan (Epicauta Pill) (from *Shengji Zonglu*): Treats Luo Li forming sores with pus. Take after topical medication.
Ingredients: Epicauta (Dic han, heads, feet, wings removed, stir-fried with glutinous rice until rice turns yellow), Mylabris (Banmao, heads, feet, wings removed, stir-fried with glutinous rice until rice turns yellow), Vespa (Yuanqing, 10 pieces, stir-fried with glutinous rice until yellow, heads, feet, wings removed), Bovis Calculus (Niuhuang, separately ground, 1 liang), Fermented Soybean (Sheng Douchi, 31 pieces).
Preparation: Grind into powder, re-grind Niuhuang evenly. Mix with refined honey to form pills the size of paulownia seeds. Take 1 pill on an empty stomach with tea. Afterwards, take regular tonifying pills/powders.
Qudu San (Toxin-Removing Powder) (from *Shengji Zonglu*): Treats Luo Li where toxic qi knots and suppurates, with unremitting discharge.
Ingredients: Crotonis Fructus (Badou, 1 liang), Menthae Haplocalycis Herba powder (Bohe mo, 2 liang), Gleditsiae Sinensis Fructus powder (Zaojiao mo, 2 liang), Moschus (Shexiang, ground, 2 qian), Crucian Carp (Jiyu, 1 piece, guts and liver removed).
Preparation: Grind the first four ingredients evenly, place inside the fish belly. Seal with mud. Burn with charcoal (5-7 jin) until "preserving nature" (carbonized but retaining efficacy). Cool, remove, grind finely. Take 1 qian bi per dose, mixed with Schizonepetae Herba (Jingjie) and aged tea. Take three times daily.
Fengfang San (Honeycomb Powder) (from *Shengji Zonglu*): Treats Luo Li.
Ingredients: Apis Floccosa (Lufengfang, coated with honey, roasted on low fire until blue-green, 0.5 liang), Caprae Hircus Faeces (Yangshi, 49 pieces, burned until white), Gleditsiae Sinensis Fructus (Zaojiao, 1 stick, baked until preserving nature).
Preparation: Grind together evenly. Wash the dry wound, apply this powder. Afterwards, can take Xuexie San.
Xuexie San (Dragon's Blood Powder) (from *Shengji Zonglu*): Treats Luo Li that has ulcerated with continuous pus discharge.
Ingredients: Dracaenae Sangue (Xuexie, stir-fried and ground, 1 fen), Jujubae Fructus (Dazao, 20 pieces, from Qingzhou, burned to ash), Rehmanniae Radix Recens (Sheng Gan Dihuang, dried, 0.5 liang, ground).
Preparation: Grind together like flour. Separately take 3 qian of Zhike powder, decoct with 1 cup of water until reduced to 0.4 cup. Strain and mix with half a qian of the powder. Take at wugeng (3-5 AM). Intestinal pain may follow; stop it by slowly drinking Zhike decoction. Passage of foul matter from the small intestine indicates efficacy.
Qianniuzi San (Pharbitidis Seed Powder) (from *Shenghui Fang*): Treats Luo Li with many heads, chronic non-healing, continuous pus/blood, and severe pain.
Ingredients: Pharbitidis Semen (Qianniuzi), Moschus (Shexiang, 0.5 qian, finely ground).
Preparation: Grind finely like powder. Mix with saliva and apply topically.
Bohe Wan (Mint Pill) (from *Shenghui Fang*): Treats Luo Li forming painful nodules, ulcerating, with continuous pus discharge. Effective regardless of duration.
Ingredients: Menthae Haplocalycis Herba (Bohe, one bunch bowl-sized, shade-dried), Gleditsiae Sinensis Fructus (Zaojiao, 10 sticks, 1 chi 2 cun long, uninfested, black skin removed, coated with su and roasted until yellow).
Preparation: Crush, soak in 1 dou of wine for three nights. Remove and dry. Soak again for three nights. Repeat until wine is absorbed. Dry and grind into powder. Mix with soft rice to form pills the size of paulownia seeds. Take 10 pills before meals with Huangqi decoction. Reduce dose for children.
Shuhui San (Mouse Ash Powder) (from *Shenghui Fang*): Treats Luo Li with continuous pus discharge, suitable for topical application.
Ingredients: Mouse found in snake belly (Shu, 1 piece, burned to ash), Toad (Hamax, 1 piece, burned to ash).
Preparation: Grind into powder. Mix with raw oil, spread on cloth, and apply. Change once daily.
Guanhui San (Jar Ash Powder) (from *Shengji Zonglu*): Treats Luo Li wounds with continuous pus discharge.
Usage: Take broken jar shards from manure piles, wash clean. Place in a pit dug near the stove, burn for two days until crumbly. Grind finely. Apply dry powder to the wound.
Zijin San (Purple Gold Powder) (from *Shengji Zonglu*): Treats Luo Li just broken.
Usage: Take Arecae Semen (Binglang) as needed, select straight pieces, grind to fine powder. Wash wound with warm grain water, dry with soft cloth. Mix with oil and apply, three times daily. Adjust amount as needed.
Treatment for Luo Li perforated and suppurating. Take this formula. (from *Shenghui Fang*)
Usage: Take seven fresh mushrooms growing on wheat straw stacks in May/June. Mash well. Wash wound with rice water, dry, and apply. Change twice daily.
For cases with open sores discharging pus and blood.
Usage: Make soup with Civet Cat meat (Li Rou) and eat according to method.
Shuihonghua Yin (Red Flower Drink) (from *Shengji Zonglu*): Treats hard, indurated Luo Li nodules that do not resolve, and lateral sinus tracts with pus that do not heal.
Usage: Take Polygoni Orientalis Herba (Shuihonghua) as needed. Half stir-fried, half raw. Coarsely crush and sieve. Take 2 qian per dose, decoct with 1 cup of water until 0.7 cup remains. Strain and take warm. Take three times daily after meals and before bed. Can also be taken mixed with good wine.
Single Prescription: Treats Luo Li whether broken or not, and dripping pus/blood. Effect is miraculous.
Ingredients: Ostreae Concha (Muli) as needed (deeply roasted in ash, boiled with 3 sheng of rice until done, take 8 liang, grind to fine powder), Glycyrrhizae Radix et Rhizoma (Gancao, 2 liang).
Usage: Mix evenly. Take 2 qian per dose after meals, brewed with Jianming (tea). Take twice daily. Avoid fish, alcohol, vinegar, soy sauce, salt, and seafood. This disease often passes from father to son, sometimes fatal. Taking this medicine causes no pain, vomiting, or diarrhea.
Another Formula
Usage: Take Ostreae Concha (Muli) as needed, calcine to ash, grind to powder. Form pills with paste the size of paulownia seeds. Take 20 pills per dose, washed down with Lianqiao decoction.
Flesh-Regenerating Formula.
Ingredients: Pig Fat from December (Layue Zhizhi), Pine Resin (Songzhi, boiled, white part collected), Beeswax (Huangla, boiled, cleaned). Each 2 liang.
Usage: Use 5-6 liang of pure Sesame Oil. Simmer slowly into ointment. Wash old medicine off with warm water, dry. Cut a large piece of paper, apply medicine on it, cover the wound. Itching is normal due to new flesh growth. Change once daily. Strictly avoid triggering foods.
Qingji San (Light Muscle Powder) (from *Bao Shi Fang*): Treats Luo Li swelling/pain, resolves bad pus/blood, chills/fever, irritability, limb weakness/fatigue, false thirst, poor appetite.
Ingredients: Smilacis Glabrae Rhizoma (Shancigu, also known as Tudenghua), Polygoni Multiflori Radix (Heshouwu), Hyoscyami Nigris Herba (Tianmingjing), Glycyrrhizae Radix et Rhizoma (Gancao, 3 fen each), Rehmanniae Radix Recens (Sheng Dihuang, 0.5 liang), Polygoni Multiflori Radix Preparata? (Du Jiangjun, 1 liang, stem removed). Note: "Du Jiangjun" usually refers to Rheum palmatum or similar purgatives in some contexts, but listed here with Shancigu/Heshouwu.
Preparation: Grind into powder. Take 2 qian per dose, washed down with decoction of 7 Mint leaves.
Huonong San (Pus-Activating Powder) (from *Bao Shi Fang*): Treats slow drainage of pus from Luo Li, joint pain, chills/fever, dry mouth.
Ingredients: Saposhnikoviae Radix (Fangfeng), Angelicae Sinensis Radix (Danggui), Ginseng Radix (Renshen), Ligustici Chuanxiong Rhizoma (Chuanxiong, 0.5 liang each), Venus's Nettle? (Jinxingcao, 5 leaves), Notopterygii Rhizoma et Radix (Qianghuo), Glycyrrhizae Radix et Rhizoma (Gancao, 3 qian each).
Preparation: Grind into powder. Take 2 qian with wine, twice daily.
Qinpi San (Qinpi Powder) (from *Bao Shi Fang*): Effective for Luo Li.
Ingredients: Fraxini Cortex (Qinpi, 3 liang), Magnoliae Flos? (Caogcao/Mangcao - likely Magnolia or similar aromatic herb), Asari Radix et Rhizoma (Xixin), Sophorae Flavescentis Radix (Kushen, 0.5 liang each), Coptidis Rhizoma (Huanglian), Scutellariae Radix (Huangqin, 1 liang), Rhei Radix et Rhizoma (Dahuang, 3 fen), Angelicae Sinensis Radix (Danggui).
Preparation: Grind into coarse powder. Decoct 1 liang in water. Strain. Wash the area once daily.
Biyou Wuzhi Gao (Green Oil Five-Branch Ointment) (from *Bao Shi Fang*): Treats Luo Li toxicity, discharging pus/blood/necrotic tissue, relieves pain.
Ingredients: Pruni Persicae Ramulus (Taozhi), Salix alba Ramulus (Liuzhi), Morus alba Ramulus (Sangzhi), Sophora japonica Ramulus (Huazhi), Gleditsiae Sinensis Ramulus (Zaojiao).
Preparation: Take one handful of each, chop finely. Decoct in 10 liang of Sesame Oil until reduced to 0.8 portion. Strain cleanly.
Another Formula
Ingredients: Alum (Mingfan, 0.5 qian), Dracaenae Sangue (Xuexie, 0.5 liang), Minium (Huandan, 4 liang).
Preparation: Simmer slowly into ointment. Let cool on the ground overnight to remove fire toxicity. Spread on open cloth for application. Suitable for adults and children. Use for hardened, white, or ruptured lesions. Do not use on unruptured lesions.