（附论）
夫蛴螬 者。由恐惧忧愁思虑。哭泣不止。余毒变化所生也。始发之时。在于颈项。无
头尾。如枣核。或移动皮中。使人寒热心满。其根在心也。
方
矾石白术散（出千金方）治蛴螬 。始发于颈下。无头尾。如枣核。块累移在
皮中。使人寒热心满。此得之因喜怒哭泣。其根在心。矾石主之。白术为之佐。
矾石 白术 空青 当归（各三分） 细辛（一两） 皮（一作干 肉） 斑蝥（一
分去头足
翅糯米拌炒以黄为度） 枸杞（一作根） 地胆（各一分去头足翅糯米拌炒以黄为度） 干
乌脑
脂（二豆大许） 上治下筛。以酢酱服方寸匕。日三。病在上。侧转卧。在下高枕卧。使药
下
流。忌生菜、桃、李、雀肉、生血、等发物。
玄参散（出圣惠方）治蛴螬 结核肿痛。
玄参（二两） 川升麻（二两） 独活（二两） 汉防己（一两） 甘菊花（一两） 连
翘（三两）
犀角屑（半两） 川大黄（半两锉碎微炒令黄） 上 咀。每服四钱。水一中盏。煎至六分。
去
滓。每于食前温服。
空青散（出圣惠方）治蛴螬 发于颈。如枣核。在皮中。不能消散。结肿疼痛
。
空青（三分烧过细研） 当归（三分） 细辛（三分） 枸杞根（三分） 皮（炙令
黄三分）
干乌脑脂（三分如豆大） 斑蝥（一分去头足翅糯米拌炒以黄为度） 地胆（一分去头足翅
糯米
拌炒以黄为度） 上为细末。每于食前以温浆水调下一钱。
犀角丸 治蛴螬 。
又方（出圣惠方）
蜗牛壳（一两以牛乳半升炒黄研细） 川大黄（三分捣为末） 上为细末。每日空心。
以温
酒调下一钱。即于大便中泻出恶物。
【附论】
所谓蛴螬（一种皮肤肿瘤，形如枣核），是由于恐惧、忧愁、思虑过度，以及持续哭泣，导致余毒变化而形成的。发病初期，病灶位于颈项部，没有头尾之分，形状像枣核，有时会在皮下移动，使人出现忽冷忽热、心胸烦闷的症状。其病根在于心。
方剂
矾石白术散（出自《千金方》），治疗蛴螬。症状表现为初发于颈部下方，无头尾，状如枣核，肿块在皮中移动，使人感到寒热交替、心胸满闷。此病因喜怒无常和哭泣所致，病根在心。以矾石为主药，白术为佐药。
药材组成：矾石、白术、空青、当归（各三分）、细辛（一两）、[缺字，疑为“桂”或类似皮类药]（一作干肉桂）、斑蝥（一分，去头足翅，用糯米拌炒至黄色为止）、枸杞（一作枸杞根）、地胆（各一分，去头足翅，用糯米拌炒至黄色为止）、干乌脑脂（约两豆大小）。
用法：将上述药物捣碎过筛。用醋酱送服一方寸匕的药粉，每日三次。若病位在上，侧身卧；若病位在下，垫高枕头卧，以使药力向下流动。忌食生菜、桃、李、雀肉、生血等发物。
玄参散（出自《圣惠方》），治疗蛴螬引起的结核肿痛。
药材组成：玄参（二两）、川升麻（二两）、独活（二两）、汉防己（一两）、甘菊花（一两）、连翘（三两）、犀角屑（半两）、川大黄（半两，锉碎后微炒至黄色）。
用法：将药物切碎。每次服用四钱，加水一中盏，煎煮至六分，滤去药渣。每次在饭前温服。
空青散（出自《圣惠方》），治疗蛴螬发于颈部，状如枣核，在皮中不能消散，结块肿胀疼痛。
药材组成：空青（三分，烧过后细研）、当归（三分）、细辛（三分）、枸杞根（三分）、[缺字，疑为“桂”]（炙至黄色，三分）、干乌脑脂（三分，如豆大）、斑蝥（一分，去头足翅，用糯米拌炒至黄色为止）、地胆（一分，去头足翅，用糯米拌炒至黄色为止）。
用法：将上述药物研成细末。每次在饭前用温浆水调服一钱。
犀角丸，治疗蛴螬。
又一方（出自《圣惠方》）
药材组成：蜗牛壳（一两，用牛乳半升炒黄后研细）、川大黄（三分，捣为末）。
用法：将上述药物研成细末。每天空腹时，用温酒调服一钱。随即会从大便中排出恶物。
[Supplementary Discussion]
The condition known as Qicao (a type of skin tumor, resembling a date pit) arises from excessive fear, worry, and overthinking, combined with incessant weeping. These factors generate residual toxins that transform into the disease. Initially, it appears on the neck, lacking distinct head or tail, resembling a date pit. It may migrate within the subcutaneous tissue, causing alternating chills and fever, along with chest fullness. Its root lies in the Heart.
Formulas
Fanshi Baizhu San (Alum and Atractylodes Powder) [Source: *Qianjin Fang*]. Treats Qicao. Symptoms include initial onset below the neck, without head or tail, resembling a date pit, with lumps migrating under the skin, causing alternating chills and fever and chest fullness. This condition results from emotional fluctuations and weeping, with its root in the Heart. Alum serves as the sovereign herb, and Baizhu as the minister herb.
Ingredients: Fanshi (Alumen), Baizhu (Atractylodis Rhizoma), Kongqing (Azurite), Danggui (Angelicae Sinensis Radix) (each 3 fen); Xixin (Asari Radix) (1 liang); [Missing character, likely Gui], alternatively Gan Rougui (Dried Cinnamon Bark) (1 liang); Banmao (Mylabris) (1 fen, remove head, feet, and wings, stir-fry with glutinous rice until yellow); Gouqi (Lycii Fructus) [or alternatively Gouqigen (Lycii Radicis Cortex)]; Dichaon (Euphorbiae Pekinensis Radix) (each 1 fen, remove head, feet, and wings, stir-fry with glutinous rice until yellow); Gan Wunaozhi (Dried Ura Brain Fat) (approx. size of two beans).
Preparation and Administration: Grind the above herbs and sieve them. Take one fangcunbi (a measure approx. 2.74 ml) of powder with vinegar sauce, three times daily. If the lesion is located superiorly, lie on your side; if inferiorly, sleep with a high pillow to facilitate the downward flow of the medicine. Avoid raw vegetables, peaches, plums, sparrow meat, raw blood, and other "fa wu" (stimulating foods that may exacerbate disease).
Xuanshen San (Scrophulariae Powder) [Source: *Shenghui Fang*]. Treats Qicao presenting as tubercles with swelling and pain.
Ingredients: Xuanshen (Scrophulariae Radix) (2 liang); Chuan Shengma (Cimicifugae Rhizoma) (2 liang); Duohuo (Angelicae Pubescentis Radix) (2 liang); Han Fangji (Stephaniae Tetrandrae Radix) (1 liang); Gan Juhua (Chrysanthemi Flos) (1 liang); Liaoqiao (Forsythiae Fructus) (3 liang); Xijiaoxie (Rhinocerotis Cornu) (0.5 liang); Chuan Dahuang (Rhei Radix et Rhizoma) (0.5 liang, sliced and lightly stir-fried until yellow).
Preparation and Administration: Cut the herbs into small pieces. Take 4 qian per dose, add 1 zhong of water, decoct until 6 fen remains, strain, and take warm before meals.
Kongqing San (Azurite Powder) [Source: *Shenghui Fang*]. Treats Qicao arising on the neck, resembling a date pit, remaining in the subcutaneous tissue without dissipating, forming swollen, painful knots.
Ingredients: Kongqing (Azurite) (3 fen, calcined and finely ground); Danggui (Angelicae Sinensis Radix) (3 fen); Xixin (Asari Radix) (3 fen); Gouqigen (Lycii Radicis Cortex) (3 fen); [Missing character, likely Gui], roasted until yellow (3 fen); Gan Wunaozhi (Dried Ura Brain Fat) (3 fen, bean-sized); Banmao (Mylabris) (1 fen, remove head, feet, and wings, stir-fry with glutinous rice until yellow); Dichaon (Euphorbiae Pekinensis Radix) (1 fen, remove head, feet, and wings, stir-fry with glutinous rice until yellow).
Preparation and Administration: Grind into a fine powder. Take 1 qian per dose, mixed with warm fermented grain water, before meals.
Xijiao Wan (Rhinoceros Horn Pill). Treats Qicao.
Another Formula [Source: *Shenghui Fang*]
Ingredients: Woniu Ke (Helicis Costata Shell) (1 liang, stir-fried with half sheng of cow's milk until yellow, then finely ground); Chuan Dahuang (Rhei Radix et Rhizoma) (3 fen, pounded into powder).
Preparation and Administration: Grind into a fine powder. Take 1 qian per dose daily on an empty stomach, mixed with warm wine. Malignant substances will subsequently be discharged via stool.