（附论）
夫风毒瘰 者。由风邪之气在于经脉。痞涩结聚所成也。此皆由脏腑夙有风热。不得宣
通。邪气客于肌肉。搏于血气。故流滞结为瘰 也。
方
昆布散（出圣惠方）治风毒瘰 肿结。内消。
昆布（洗去咸味） 海藻（洗去咸味） 枳壳（麸炒微黄去白） 何首乌 荆子（各一
两） 牛
蒡子（微炒） 甘草（微炒赤锉） 大黄（锉微炒各半两） 白荚仁（五十枚微炒令黄色） 连
翘
防风（去芦） 玄参 牵牛子（微炒各半两） 上为散。每服食后煎葱汤调下一钱。
犀角散（出圣惠方）治风毒瘰 。筋脉拘缩。烦急疼痛。
犀角屑 羚羊角 薏苡仁 黄芩 酸枣仁（微炒） 桂心 羌活 甘草（各三分） 防
风（去
芦头） 枳壳（麸炒黄） 升麻 槟榔（各一两） 上为散。每服四钱。以水一钟。煎至六
分。
去滓。每服于食后温服。
乌蛇丸（出圣惠方）治风毒留滞脏腑。攻注肌肉。于项腋生瘰 疼痛。
乌蛇（酒浸去皮骨微炒黄二两） 黄 （锉） 枳壳（微炒） 牛蒡子（微炒） 木通
（锉各一
两） 犀角 连翘 昆布（洗去咸味各三分） 漏芦（三分） 甘草（炙微赤锉半两） 斑
蝥（一分
以糯米拌炒米黄为度去头足翅） 大黄（微炒一两） 上为末。炼蜜和丸如桐子大。食后以
牛
蒡子汤下三十丸。
皂荚丸（出圣惠方）治风毒瓦斯盛。项边生 结硬。或赤肿痛。
皂荚（去黑皮去子酥涂炙黄） 干薄荷（各四两） 干蝎（微炒） 白姜（微炒） 升
麻牛黄
（研细各半两） 夜明砂（微炒） 蓬莪术（各一两） 鹁鸽（二两炒黄） 麝香（一分细
研） 上为
末。入麝香、牛黄同研令匀。炼蜜和丸如桐子大。每日空心及夜临卧时。以薄荷汤下三十丸。
皂荚丸（出圣惠方）治风毒瘰 。项腋下生如梅李枣核。肿痛。令内消。
皂荚（三十枚去黑皮涂酥炙令焦黄去子十枚生十枚烂用一升括绞取汁熬成膏） 何首乌
干薄荷（各半斤） 蜗牛（炒令微黄四两） 精羊肉（去脂盐四两细炙令黄） 硼砂（通白
散） 附
子（炮裂去皮脐） 天麻 天南星（炮） 半夏（汤洗七次去滑各一两） 上为末。入皂荚
膏和丸
如梧桐子大。每日空心及晚食前浸牛膝酒下十丸。渐加至二十丸。
大圣散 治瘰 。消风毒。肿上壅肉。多生瘾疹风毒证。气壮人食煎爆多。以致
此疾。
羌活 荆芥 升麻 防风 薄荷 甘草 大黄 玄参 黄芩 上等分为末。每服一钱。
水一盏。煎至六分温服。
斑蝥丸（出圣惠方）治风毒瘰 。生于项间。肿硬相连疼痛。
斑蝥（二十枚去头足翅糯米拌炒令米黄色） 麝香（半分细研） 水蛭（一分炒黄色） 甘
草
（半两炙微炒赤） 黑豆黄（三分生用） 芫青（二十枚去头足糯米拌炒令米黄色） 大黄
（半两
微炒） 青蛇（二两醋浸一宿去皮骨炙微黄） 上为末。研入麝香令匀。炼蜜和丸如绿豆大。
每日空心以米饮下三丸。如未有效。加至五丸。当小便出如烂筋。小便涩。以滑石二钱。水
五合。煎至三合。温服即利。
榆白皮散（出圣惠方）治风热肿毒。项生瘰 。
榆白皮（锉） 槐白皮（锉） 赤小豆 大麦面 桑白皮（锉） 朴硝 皂荚（去黑皮
涂酥炙
微黄以上各二两） 上为散。用鸡子清和如膏。以旧布摊可肿大小贴之。干即易之。
牛蒡丸（出圣惠方）治风毒结核瘰 。肿硬疼痛。内消。
牛蒡子（微炒） 何首乌（各二两） 干薄荷（一两） 麝香 牛黄（各二钱半） 皂
角（七挺
水半升捶汁熬成膏合药丸） 上为细末。以皂角膏为丸。如桐子大。每服三十丸。煎黄 汤
下。
祛风丸（一名何首乌丸出圣惠方）治风毒瘰 。
何首乌（蒸） 干薄荷 玄参（各四两为末） 精羊肉（半斤） 皂荚（数三十枚火烧
存性十
梃涂酥炙去皮俱以水绞汁去滓） 上以皂荚水煮肉使烂。细研。和药为丸如桐子大。每服二
十丸。空心温酒服。或薄荷汤亦可。一方炼蜜丸。食后温水下。无羊肉。
升麻汤 治风毒咽水不下。及瘰 肿。
升麻 芍药（各四两） 射干（三两） 杏仁（去皮尖炒三两） 麻黄（去节二两） 甘
草（炙
二两） 枫香 葛根（各三两） 上切以水八升。煎取半。分二服。忌海藻、粉菜。
秦艽汤（出圣惠方）治风毒久不瘥。搏于筋脉。因成瘰 结核生项腋。
秦艽（去苗土） 连翘 青橘皮（去白焙） 槟榔（煨各半两） 犀角（镑三分） 上
粗捣筛。
每服三钱。水一盏。入木通少许。同煎至七分。去滓温服。
皂荚丸（出圣惠方）治肝肺风毒。项生结核。痒痛。遍身顽痹。
皂荚（十两去黑皮涂酥炙令黄去子） 独活（五两） 防风（三两去芦） 天麻（五两）
薄
荷（五两干的） 上为末。炼蜜和丸如桐子大。食后煎槐白皮汤下三十丸。
麝香散（出圣惠方）治瘰 夹风毒壅热。咽喉肿满。胸膈不利。
麝香（一分研细） 白荚子（四两炒黄） 腻粉 铅霜（各半两） 上同研为散。不计
时候。
以薄荷汤调下一钱。
治风毒瘰 结核硬肿痛。（出圣惠方）
玄参 夜明砂（微炒二两） 皂荚（五挺去黑皮涂酥炙微黄） 上为末。炼蜜丸如桐子
大。
食后煎薄荷汤下二十丸。
又方（出圣惠方）
乌蛇（二两酒浸去皮骨炙令微黄） 牛蒡子（一两炒微黄） 何首乌（二两） 上为末。
炼蜜
和丸如桐子大。食后以温水下二十丸。
治瘰 内消方。（出圣惠方）
何首乌（十两九蒸九曝为末） 皂荚（十挺五挺去黑皮涂酥炙令黄色去子为末五挺水浸
一
宿揉绞取水一二升入药） 上用精羊肉一斤细切。将皂荚水同熬如膏。入何首乌末及皂荚末。
丸如桐子大。空心以米饮下三十丸。
治风毒瘰 赤肿痛硬。（出圣惠方）
鼠粘子（一升微炒） 荆芥穗（四两） 上为散。每服三钱。以水一盏。煎至五分。去
滓。
入竹沥半合。搅匀服之。日三。
治风毒外攻。绕项生瘰 如连珠。宜服浸酒方。（出圣惠方）
海藻（五两洗去咸味） 乌蛇（五两酒浸去皮骨炙令微黄） 上为散。以酒七升。浸五
日。
每取酒半盏饮之。日再服。
治瘰 。消风毒肿上壅内热。
牡蛎（二两火 为末） 玄参（一两） 甘草（半两炙） 上为末。每服二钱。同腊茶
清调下。
又方
用白鸽粪不拘多少。陈米饭拌和得所。丸如梧桐子大。米饮下五十丸。
治瘰 赤肿。（出圣惠方）
用地松一斤。捣如泥。敷 上。干即易之。以痒为度。
治瘰 风热结毒肿硬痛未破方。（出圣惠方）
用五月内取大槲子叶一称。锉令细。入大釜灶内。以水五斗。煎至一斗。滤去滓。却入
锅中。熬成膏。每服空心以温酒调半两服之。良久当吐。以吐出 子根为度。
治风毒瘰 。（出圣惠方）
用牛蒡子三升。微炒为散。用绢袋盛。以无灰酒五升。渍二七日。空心温服一盏。
治风毒 子。
用黄花蛇一条。酒浸一宿。去皮骨。炙令黄。捣为散。空心以粥饮调下一钱。服尽即歇
十日。若未消减。即更作服之。如已减即止。
治风毒瘰 赤肿。
用生栗子肉生嚼敷之。
【附论】
所谓风毒瘰疬，是由于风邪之气滞留于经脉，导致气机痞塞、涩滞，进而结聚形成的。这通常是因为脏腑素来蕴有风热，无法宣通发散，致使邪气客居在肌肉之间，与血气相互搏结，从而流动停滞并凝结成瘰疬。
方剂
昆布散（出自《圣惠方》），治疗风毒引起的瘰疬肿结，使其从内部消散。
药材：昆布（洗净去除咸味）、海藻（洗净去除咸味）、枳壳（麸炒至微黄，刮去白瓤）、何首乌、荆芥子、牛蒡子（微炒）、甘草（微炒后赤色，锉碎）、大黄（锉碎，微炒，各半两）、白蔹仁（五十枚，微炒至黄色）、连翘、防风（去芦头）、玄参、牵牛子（微炒，各半两）。以上药物研为散剂。每次饭后，用煎好的葱汤调服一钱。
犀角散（出自《圣惠方》），治疗风毒引起的瘰疬，伴有筋脉拘挛收缩、心烦急躁、疼痛等症状。
药材：犀角屑、羚羊角、薏苡仁、黄芩、酸枣仁（微炒）、桂心、羌活、甘草（各三分）、防风（去芦头）、枳壳（麸炒黄）、升麻、槟榔（各一两）。以上药物研为散剂。每次服用四钱，用水一钟，煎至六分，滤去药渣。每次饭后温服。
乌蛇丸（出自《圣惠方》），治疗风毒留滞于脏腑，攻注于肌肉，在颈部和腋下生出瘰疬并伴有疼痛。
药材：乌梢蛇（酒浸，去皮骨，微炒至黄色，二两）、黄芪（锉碎）、枳壳（微炒）、牛蒡子（微炒）、木通（锉碎，各一两）、犀角、连翘、昆布（洗净去除咸味，各三分）、漏芦（三分）、甘草（炙至微赤，锉碎，半两）、斑蝥（一分，用糯米拌炒至米变黄为度，去掉头、足、翅）、大黄（微炒，一两）。以上药物研为细末，用炼蜜调和制成如梧桐子大小的丸剂。饭后用牛蒡子汤送服三十丸。
皂荚丸（出自《圣惠方》），治疗风毒瓦斯旺盛，颈部旁边生出结核，质地坚硬，或者红肿疼痛。
药材：皂荚（去掉黑皮，去掉种子，涂酥油炙烤至黄色，各四两）、干薄荷（四两）、干蝎（微炒）、干姜（微炒）、升麻、牛黄（研细，各半两）、夜明砂（微炒）、蓬莪术（各一两）、鹁鸽（二两，炒黄）、麝香（一分，研细）。以上药物研为细末，加入麝香、牛黄共同研磨均匀。用炼蜜调和制成如梧桐子大小的丸剂。每天空腹时及夜间临睡前，用薄荷汤送服三十丸。
皂荚丸（出自《圣惠方》），治疗风毒引起的瘰疬。在颈部和腋下生出像梅子、李子、枣核一样的肿块，伴有肿痛，使其从内部消散。
药材：皂荚（三十枚，去掉黑皮，涂酥油炙烤至焦黄色，去掉种子；其中十枚生用，十枚烂熟使用，共取汁一升，括绞取汁，熬成膏）、何首乌、干薄荷（各半斤）、蜗牛（炒至微黄，四两）、精羊肉（去掉脂肪，加盐四两，细烤至黄色）、硼砂（通白散状）、附子（炮裂，去皮脐）、天麻、天南星（炮制）、半夏（汤洗七次，去滑腻，各一两）。以上药物研为细末，加入皂荚膏调和，制成如梧桐子大小的丸剂。每天空腹时及晚饭前，用牛膝酒浸泡送服十丸，逐渐增加至二十丸。
大圣散，治疗瘰疬。消除风毒，消散上部壅滞的肿胀肉块，多生瘾疹等风毒证候。此病多见于体质壮实之人，因饮食煎炸爆炒食物过多所致。
药材：羌活、荆芥、升麻、防风、薄荷、甘草、大黄、玄参、黄芩。以上药物等分为末。每次服用一钱，用水一盏，煎至六分，温服。
斑蝥丸（出自《圣惠方》），治疗风毒引起的瘰疬，生于颈部中间，肿胀坚硬相连且疼痛。
药材：斑蝥（二十枚，去掉头、足、翅，用糯米拌炒至米变黄色）、麝香（半分，研细）、水蛭（一分，炒至黄色）、甘草（半两，炙至微炒赤色）、黑豆黄（三分，生用）、芫青（二十枚，去掉头足，用糯米拌炒至米变黄色）、大黄（半两，微炒）、青蛇（二两，醋浸一夜，去皮骨，炙至微黄）。以上药物研为细末，加入麝香研磨均匀。用炼蜜调和制成如绿豆大小的丸剂。每天空腹时用米饮送服三丸。如果未见效果，可增加至五丸。服药后小便会排出如烂筋样的物质，若小便涩痛，可用滑石二钱，水五合，煎至三合，温服即可通利。
榆白皮散（出自《圣惠方》），治疗风热引起的肿毒，颈部生出瘰疬。
药材：榆白皮（锉碎）、槐白皮（锉碎）、赤小豆、大麦面、桑白皮（锉碎）、朴硝、皂荚（去掉黑皮，涂酥油炙烤至微黄，以上各二两）。以上药物研为散剂。用鸡蛋清调和如膏状，敷在旧布上，根据肿胀大小贴敷。干了就更换。
牛蒡丸（出自《圣惠方》），治疗风毒引起的结核性瘰疬，肿胀坚硬疼痛，使其从内部消散。
药材：牛蒡子（微炒）、何首乌（各二两）、干薄荷（一两）、麝香、牛黄（各二钱半）、皂角（七挺，用水半升捶打取汁，熬成膏用于合药制丸）。以上药物研为细末，以皂角膏为粘合剂制成如梧桐子大小的丸剂。每次服用三十丸，煎黄芪汤送服。
祛风丸（又名何首乌丸，出自《圣惠方》），治疗风毒引起的瘰疬。
药材：何首乌（蒸制）、干薄荷、玄参（各四两，研为末）、精羊肉（半斤）、皂荚（三十枚，火烧存性；十梃涂酥油炙烤，去皮，均用水绞汁去滓）。以上用皂荚水煮羊肉至烂熟，细细研磨，与药末混合制成如梧桐子大小的丸剂。每次服用二十丸，空腹时温酒送服。也可以用薄荷汤送服。另一法是用炼蜜制丸，饭后温水送服。若无羊肉亦可。
升麻汤，治疗风毒引起的咽喉吞咽困难，以及瘰疬肿胀。
药材：升麻、芍药（各四两）、射干（三两）、杏仁（去皮尖，炒，三两）、麻黄（去节，二两）、甘草（炙，二两）、枫香、葛根（各三两）。以上切碎，用水八升，煎取一半药液，分两次服用。忌食海藻、粉菜。
秦艽汤（出自《圣惠方》），治疗风毒久治不愈，搏结于筋脉，因而形成瘰疬结核，生于颈部和腋下。
药材：秦艽（去苗土）、连翘、青橘皮（去白焙干）、槟榔（煨，各半两）、犀角（镑片，三分）。以上粗捣筛过。每次服用三钱，用水一盏，加入少许木通，同煎至七分，滤去药渣，温服。
皂荚丸（出自《圣惠方》），治疗肝肺风毒，颈部生出结核，瘙痒疼痛，全身顽固性麻痹。
药材：皂荚（十两，去掉黑皮，涂酥油炙烤至黄色，去掉种子）、独活（五两）、防风（三两，去芦）、天麻（五两）、薄荷（五两，干的）。以上药物研为末，用炼蜜调和制成如梧桐子大小的丸剂。饭后用槐白皮汤送服三十丸。
麝香散（出自《圣惠方》），治疗瘰疬夹杂风毒壅热，导致咽喉肿胀满闷，胸膈不畅。
药材：麝香（一分，研细）、白蔹子（四两，炒黄）、腻粉、铅霜（各半两）。以上共同研为散剂。不限时候，用薄荷汤调服一钱。
治疗风毒瘰疬结核，坚硬肿痛。（出自《圣惠方》）
药材：玄参、夜明砂（微炒，二两）、皂荚（五挺，去掉黑皮，涂酥油炙烤至微黄）。以上药物研为末，炼蜜制成如梧桐子大小的丸剂。饭后用薄荷汤送服二十丸。
又一方（出自《圣惠方》）
药材：乌梢蛇（二两，酒浸，去皮骨，炙至微黄）、牛蒡子（一两，炒至微黄）、何首乌（二两）。以上药物研为末，炼蜜调和制成如梧桐子大小的丸剂。饭后用温水送服二十丸。
治疗瘰疬内消方。（出自《圣惠方》）
药材：何首乌（十两，九蒸九晒后研为末）、皂荚（十挺，五挺去掉黑皮，涂酥油炙烤至黄色，去掉种子研为末；五挺用水浸泡一夜，揉绞取水一二升，加入药中）。以上用精羊肉一斤细切，将皂荚水同煮熬成膏，加入何首乌末及皂荚末，制成如梧桐子大小的丸剂。空腹时用米饮送服三十丸。
治疗风毒瘰疬，红肿坚硬疼痛。（出自《圣惠方》）
药材：鼠粘子（即牛蒡子，一升，微炒）、荆芥穗（四两）。以上药物研为散剂。每次服用三钱，用水一盏，煎至五分，滤去药渣，加入竹沥半合，搅匀服用，每日三次。
治疗风毒外攻，环绕颈部生出如连珠状的瘰疬，宜服用浸酒方。（出自《圣惠方》）
药材：海藻（五两，洗净去除咸味）、乌梢蛇（五两，酒浸，去皮骨，炙至微黄）。以上药物研为散剂，用酒七升，浸泡五日。每次取酒半盏饮用，每日服用两次。
治疗瘰疬，消除风毒，消散上部壅滞的内热。
药材：牡蛎（二两，火煅研为末）、玄参（一两）、甘草（半两，炙）。以上药物研为末。每次服用二钱，同腊茶清调服。
又一方
用白鸽粪不拘多少，陈米饭拌和均匀，制成如梧桐子大小的丸剂。米饮送服五十丸。
治疗瘰疬红肿。（出自《圣惠方》）
用地松一斤，捣如泥状，敷在患处。干了就更换，以感觉痒为度。
治疗瘰疬风热结毒，肿硬痛未破溃方。（出自《圣惠方》）
用五月内采集的大槲树叶子一秤，锉碎，放入大锅灶内，用水五斗，煎至一斗，滤去药渣，再倒入锅中，熬成膏。每次空腹用温酒调服半两。良久应当呕吐，以吐出瘰疬根部为度。
治疗风毒瘰疬。（出自《圣惠方》）
用牛蒡子三升，微炒研为散剂，用绢袋盛装，用无灰酒五升，浸泡两个七日。空腹温服一盏。
治疗风毒瘰疬子。
用黄花蛇一条，酒浸一夜，去皮骨，炙至黄色，捣为散剂。空腹用粥饮调服一钱。服完即停服十日。如果未消退，再制作服用。如果已经减轻就停止。
[Attached Discussion]
The so-called "Fengdu Luoli" (Wind-Toxin Scrofula) is formed by the stagnation of Wind-Evil Qi in the meridians, leading to obstruction and stasis, which then aggregates. This condition typically arises because the Zang-Fu organs inherently harbor Wind-Heat that fails to diffuse and circulate freely. Consequently, Evil Qi lodges in the muscles, contending with Blood and Qi, causing flow to stagnate and condense into Luoli (Scrofula).
Formulas
Kunbu San (Seaweed Powder) [Source: *Shenghui Fang*]
Indications: Treats Fengdu Luoli characterized by swelling and nodulation, promoting internal resolution.
Ingredients: Kunbu (Laminariae Thallus, washed to remove saltiness), Haizao (Sargassum Thallus, washed to remove saltiness), Zhike (Aurantii Fructus, bran-fried until slightly yellow, white pith removed), Heshouwu (Polygoni Multiflori Radix), Jingjizi (Schizonepetae Semen), Niubangzi (Arctii Fructus, slightly fried), Gancao (Glycyrrhizae Radix et Rhizoma, slightly fried until red, crushed), Dahuang (Rhei Radix et Rhizoma, crushed, slightly fried, each half liang), Bailianren (Bletillae Rhizoma, 50 pieces, slightly fried until yellow), Lianqiao (Forsythiae Fructus), Fangfeng (Saposhnikoviae Radix, radicle removed), Xuanshen (Scrophulariae Radix), Qianniuzi (Pharbitidis Semen, slightly fried, each half liang).
Preparation and Administration: Grind all ingredients into a powder. After meals, mix one qian with decocted green onion soup and take orally.
Xijiao San (Rhinoceros Horn Powder) [Source: *Shenghui Fang*]
Indications: Treats Fengdu Luoli accompanied by tendon and vessel contraction, irritability, urgency, and pain.
Ingredients: Xijiaoxie (Rhinocerotis Cornu, shaved), Lingyangjiao (Saigae Tataricae Cornu), Yiyiren (Coicis Semen), Huangqin (Scutellariae Radix), Suanzaoren (Ziziphi Spinosae Semen, slightly fried), Guixin (Cinnamomi Cortex), Qianghuo (Notopterygii Rhizoma et Radix), Gancao (Glycyrrhizae Radix et Rhizoma, each three fen), Fangfeng (Saposhnikoviae Radix, radicle removed), Zhike (Aurantii Fructus, bran-fried until yellow), Shengma (Cimicifugae Rhizoma), Binglang (Arecae Semen, each one liang).
Preparation and Administration: Grind all ingredients into a powder. Take four qian per dose. Add one zhong of water, decoct until six parts remain, filter dregs, and take warm after meals.
Wushe Wan (Black Snake Pill) [Source: *Shenghui Fang*]
Indications: Treats Wind-Toxin stagnating in the Zang-Fu and attacking the muscles, causing Luoli with pain in the neck and axilla.
Ingredients: Wushe (Zaocys, soaked in wine, skin and bones removed, slightly fried until yellow, two liang), Huangqi (Astragali Radix, crushed), Zhike (Aurantii Fructus, slightly fried), Niubangzi (Arctii Fructus, slightly fried), Mutong (Akebiae Caulis, crushed, each one liang), Xijiao (Rhinocerotis Cornu), Lianqiao (Forsythiae Fructus), Kunbu (Laminariae Thallus, washed to remove saltiness, each three fen), Loulu (Euphorbiae Humifusae Herba, three fen), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried until slightly red, crushed, half liang), Banmao (Mylabris, one fen, stir-fried with glutinous rice until rice turns yellow; remove head, feet, and wings), Dahuang (Rhei Radix et Rhizoma, slightly fried, one liang).
Preparation and Administration: Grind into fine powder. Mix with refined honey to form pills the size of paulownia seeds. Take thirty pills after meals with Niubangzi (Arctii Fructus) soup.
Zaojiao Wan (Tamarisk Fruit Pill) [Source: *Shenghui Fang*]
Indications: Treats excessive Wind-Toxin Qi, causing hard nodules on the side of the neck, or red, swollen, and painful lesions.
Ingredients: Zaojiao (Gleditsiae Fructus, remove black skin and seeds, coat with lard, roast until yellow, four liang), Ganbohe (Menthae Haplocalycis Herba, four liang), Ganzhe (Fullus, slightly fried), Jiang (Zingiberis Rhizoma, slightly fried), Shengma (Cimicifugae Rhizoma), Niuhuang (Calculus Bovis, finely ground, each half liang), Yemingcha (Feces Vespertilionis, slightly fried), Peng'ezhu (Curcumae Aenomatis Rhizoma, each one liang), Bozhe (Columba, two liang, fried until yellow), Shexiang (Moschus, one fen, finely ground).
Preparation and Administration: Grind into fine powder. Mix Shexiang and Niuhuang evenly. Combine with refined honey to form pills the size of paulownia seeds. Take thirty pills on an empty stomach and before bed with Bohe (Menthae Haplocalycis Herba) soup.
Zaojiao Wan (Tamarisk Fruit Pill) [Source: *Shenghui Fang*]
Indications: Treats Fengdu Luoli, where plum-, date-, or pit-sized nodules appear in the neck and axilla, causing swelling and pain, promoting internal resolution.
Ingredients: Zaojiao (Gleditsiae Fructus, 30 pods: remove black skin, coat with lard, roast until charred yellow, remove seeds; ten raw, ten cooked thoroughly; extract one sheng of juice by squeezing and decoct into paste), Heshouwu (Polygoni Multiflori Radix), Ganbohe (Menthae Haplocalycis Herba, each half jin), Woniu (Helix, fried until slightly yellow, four liang), Jing Yangrou (Lean Mutton, remove fat, add four liang salt, roast finely until yellow), Pengsha (Borax, pure white powder), Fuzi (Aconiti Lateralis Radix Praeparata, roasted until cracked, remove skin and navel), Tianma (Gastrodiae Rhizoma), Tiannanxing (Arisaematis Rhizoma, roasted), Banxia (Pinelliae Rhizoma, washed seven times in hot water to remove slipperiness, each one liang).
Preparation and Administration: Grind into powder. Mix with Zaojiao paste to form pills the size of paulownia seeds. Take ten pills before breakfast and dinner, soaked in Niuxi (Achyranthis Bidentatae Radix) wine, gradually increasing to twenty pills.
Da Sheng San (Great Sage Powder)
Indications: Treats Luoli, eliminates Wind-Toxin, reduces upper congestion and fleshy swellings, and addresses wind-toxin syndromes like urticaria. This disease often results from robust individuals consuming excessive fried and roasted foods.
Ingredients: Qianghuo (Notopterygii Rhizoma et Radix), Jingjie (Schizonepetae Spica), Shengma (Cimicifugae Rhizoma), Fangfeng (Saposhnikoviae Radix), Bohe (Menthae Haplocalycis Herba), Gancao (Glycyrrhizae Radix et Rhizoma), Dahuang (Rhei Radix et Rhizoma), Xuanshen (Scrophulariae Radix), Huangqin (Scutellariae Radix).
Preparation and Administration: Grind equal parts into powder. Take one qian per dose. Decoct in one zhan of water until six parts remain, and take warm.
Banmao Wan (Mylabris Pill) [Source: *Shenghui Fang*]
Indications: Treats Fengdu Luoli occurring in the neck, characterized by connected, hard swelling and pain.
Ingredients: Banmao (Mylabris, 20 pieces, remove head/feet/wings, stir-fry with glutinous rice until rice turns yellow), Shexiang (Moschus, half fen, finely ground), Shuizhi (Hirudo, one fen, fried until yellow), Gancao (Glycyrrhizae Radix et Rhizoma, half liang, honey-fried until slightly red), Heidouhuang (Sojae Semen Praeparatum, three fen, raw), Yuanqing (Meloe, 20 pieces, remove head/feet, stir-fry with glutinous rice until rice turns yellow), Dahuang (Rhei Radix et Rhizoma, half liang, slightly fried), Qingshe (Ptyas mucosa, two liang, soak in vinegar overnight, remove skin/bones, fry until slightly yellow).
Preparation and Administration: Grind into powder. Mix with Shexiang. Form pills the size of mung beans using refined honey. Take three pills on an empty stomach with rice drink. If ineffective, increase to five pills. Urine may contain rotting-tendon-like substances; if dysuria occurs, take Huashi (Talcum, two qian) decocted in five he of water until three he remain, warm, to promote urination.
Yubaipi San (Elm Bark Powder) [Source: *Shenghui Fang*]
Indications: Treats Wind-Heat swelling/toxicity and Luoli in the neck.
Ingredients: Yubaipi (Ulmus cortex, crushed), Huaibaipi (Morus alba bark, crushed), Chixiaodou (Vigna angularis), Damai mian (Hordeum vulgare flour), Sangbaipi (Mori Cortex, crushed), Poxiao (Natrii Sulfas), Zaojiao (Gleditsiae Fructus, remove black skin, coat with lard, fry until slightly yellow, each two liang).
Preparation and Administration: Grind into powder. Mix with egg white to form a paste. Spread on old cloth according to the size of the swelling and apply. Replace when dry.
Niubang Wan (Arctium Pill) [Source: *Shenghui Fang*]
Indications: Treats Wind-Toxin tuberculous Luoli with hard, painful swelling, promoting internal resolution.
Ingredients: Niubangzi (Arctii Fructus, slightly fried), Heshouwu (Polygoni Multiflori Radix, each two liang), Ganbohe (Menthae Haplocalycis Herba, one liang), Shexiang (Moschus), Niuhuang (Calculus Bovis, each two qian half), Zaojiao (Tamarisk fruit, 7 pods, crush in half sheng water, decoct into paste for binding).
Preparation and Administration: Grind into fine powder. Use Zaojiao paste to form pills the size of paulownia seeds. Take thirty pills per dose with Huangqi (Astragali Radix) decoction.
Qufeng Wan (Wind-Expelling Pill, aka Heshouwu Wan) [Source: *Shenghui Fang*]
Indications: Treats Fengdu Luoli.
Ingredients: Heshouwu (Polygoni Multiflori Radix, steamed), Ganbohe (Menthae Haplocalycis Herba), Xuanshen (Scrophulariae Radix, each four liang, ground), Jing Yangrou (Lean Mutton, half jin), Zaojiao (Gleditsiae Fructus, 30 pods fire-roasted to retain character; 10 pods coated with lard, roasted, skin removed, squeezed in water to extract juice).
Preparation and Administration: Boil mutton in Zaojiao juice until tender. Grind finely. Mix with medicine powder to form pills the size of paulownia seeds. Take twenty pills on an empty stomach with warm wine, or Bohe (Menthae Haplocalycis Herba) soup. Another method uses refined honey and warm water after meals; mutton is optional.
Shengma Tang (Cimicifuga Decoction)
Indications: Treats Wind-Toxin causing difficulty swallowing water and Luoli swelling.
Ingredients: Shengma (Cimicifugae Rhizoma), Shaoyao (Paeoniae Radix, each four liang), Shegan (Belamcandae Rhizoma, three liang), Xingren (Pruni Semen, remove skin/spices, fry, three liang), Mahuang (Ephedrae Herba, remove joints, two liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried, two liang), Fengxiang (Liquidambaris Resina), Gegen (Puerariae Lobatae Radix, each three liang).
Preparation and Administration: Cut herbs. Decoct in eight sheng of water until half remains. Divide into two doses. Avoid Haizao (Sargassum Thallus) and Fencai (Brassicaceae vegetables).
Qinjiao Tang (Gentian Decoction) [Source: *Shenghui Fang*]
Indications: Treats chronic Wind-Toxin not healing, contending with tendons/vessels, forming Luoli tubercles in the neck and axilla.
Ingredients: Qinjiao (Gentianae Macrophyllae Radix, remove seedlings/soil), Lianqiao (Forsythiae Fructus), Qingju pi (Citri Reticulatae Pericarpium Viride, remove white pith, bake), Binglang (Arecae Semen, baked, each half liang), Xijiao (Rhinocerotis Cornu, sliced, three fen).
Preparation and Administration: Coarsely crush and sieve. Take three qian per dose. Add one zhan of water and a little Mutong (Akebiae Caulis). Decoct until seven parts remain, filter, and take warm.
Zaojiao Wan (Tamarisk Fruit Pill) [Source: *Shenghui Fang*]
Indications: Treats Liver-Lung Wind-Toxin, causing neck tubercles, itching/pain, and generalized numbness/paralysis.
Ingredients: Zaojiao (Gleditsiae Fructus, ten liang, remove black skin, coat with lard, roast until yellow, remove seeds), Duhuo (Angelicae Pubescentis Radix, five liang), Fangfeng (Saposhnikoviae Radix, three liang, remove radicle), Tianma (Gastrodiae Rhizoma, five liang), Bohe (Menthae Haplocalycis Herba, dried, five liang).
Preparation and Administration: Grind into powder. Mix with refined honey to form pills the size of paulownia seeds. Take thirty pills after meals with Huaibaipi (Morus alba bark) soup.
Shexiang San (Moschus Powder) [Source: *Shenghui Fang*]
Indications: Treats Luoli complicated by Wind-Toxin congestion-heat, causing throat swelling/fullness and chest/diaphragm discomfort.
Ingredients: Shexiang (Moschus, one fen, finely ground), Bailianzi (Bletillae Rhizoma, four liang, fried yellow), Nifen (Calomel), Qianshuang (Plumbum Subacetatum, each half liang).
Preparation and Administration: Grind together into powder. Take one qian mixed with Bohe (Menthae Haplocalycis Herba) soup at any time.
Treatment for Wind-Toxin Luoli Tubercles, Hard Swelling and Pain [Source: *Shenghui Fang*]
Ingredients: Xuanshen (Scrophulariae Radix), Yemingcha (Feces Vespertilionis, slightly fried, two liang), Zaojiao (Gleditsiae Fructus, five pods, remove black skin, coat with lard, fry until slightly yellow).
Preparation and Administration: Grind into powder. Mix with refined honey to form pills the size of paulownia seeds. Take twenty pills after meals with Bohe (Menthae Haplocalycis Herba) soup.
Another Formula [Source: *Shenghui Fang*]
Ingredients: Wushe (Zaocys, two liang, soak in wine, remove skin/bones, fry until slightly yellow), Niubangzi (Arctii Fructus, one liang, fry until slightly yellow), Heshouwu (Polygoni Multiflori Radix, two liang).
Preparation and Administration: Grind into powder. Mix with refined honey to form pills the size of paulownia seeds. Take twenty pills after meals with warm water.
Internal Resolution Formula for Luoli [Source: *Shenghui Fang*]
Ingredients: Heshouwu (Polygoni Multiflori Radix, ten liang, nine-steamed nine-sun-dried, ground), Zaojiao (Gleditsiae Fructus, ten pods: five remove black skin/coat with lard/roast/yellow/remove seeds/grind; five soak in water overnight/rub/squeeze to obtain 1-2 sheng juice for mixing).
Preparation and Administration: Finely chop one jin of lean mutton. Decoct with Zaojiao juice until it becomes a paste. Add Heshouwu powder and Zaojiao powder. Form pills the size of paulownia seeds. Take thirty pills on an empty stomach with rice drink.
Treatment for Wind-Toxin Luoli Red Swelling, Hardness and Pain [Source: *Shenghui Fang*]
Ingredients: Shuniuzi (Arctii Fructus, one sheng, slightly fried), Jingjie sui (Schizonepetae Spica, four liang).
Preparation and Administration: Grind into powder. Take three qian per dose. Decoct in one zhan of water until five parts remain. Filter dregs. Add Banxia zhu li (Bambusae Sap in Testudinis Carapacis et Plastrum - specifically Bamboo Juice here implied as Zhu Li), half he. Mix well and take. Three times daily.
Treatment for Wind-Toxin Attacking Externally, Pearl-String Luoli Around Neck [Source: *Shenghui Fang*]
Ingredients: Haizao (Sargassum Thallus, five liang, wash to remove saltiness), Wushe (Zaocys, five liang, soak in wine, remove skin/bones, fry until slightly yellow).
Preparation and Administration: Grind into powder. Soak in seven sheng of wine for five days. Drink half zhan per dose, twice daily.
Treatment for Luoli, Eliminating Wind-Toxin and Upper Congestion Heat
Ingredients: Muli (Ostreae Concha, two liang, calcined and ground), Xuanshen (Scrophulariae Radix, one liang), Gancao (Glycyrrhizae Radix et Rhizoma, half liang, honey-fried).
Preparation and Administration: Grind into powder. Take two qian per dose, mixed with La Cha Qing (Winter Tea infusion).
Another Formula
Use Bai Ge fen (Columbae Feces) in any amount. Mix with aged rice flour to form pills the size of paulownia seeds. Take fifty pills with rice drink.
Treatment for Red Swollen Luoli [Source: *Shenghui Fang*]
Use Disong (Radix Isatidis - note: text says Di Song, likely referring to a specific local herb or typo for Di Gu Pi/Lu Gen, but literally "Ground Pine" or similar; context implies topical application) one jin. Pound into mud. Apply to the lesion. Replace when dry. Stop when itching sensation occurs.
Treatment for Wind-Heat Toxic Knot Luoli, Hard Swelling/Pain Unbroken [Source: *Shenghui Fang*]
Collect large Huqu leaf (Quercus variabilis leaf) in May. Crush finely. Place in a large cauldron with five dou of water. Decoct until one dou remains. Filter dregs. Return to pot and boil down to paste. Take half liang mixed with warm wine on an empty stomach. Vomiting should occur after some time. Continue until the root of the Luoli is expelled.
Treatment for Wind-Toxin Luoli [Source: *Shenghui Fang*]
Use Niubangzi (Arctii Fructus) three sheng. Slightly fry and grind into powder. Place in a silk bag. Soak in five sheng of unadulterated wine for fourteen days (two sevens). Take one zhan warm on an empty stomach.
Treatment for Wind-Toxin Luoli Zi (Small Nodules)
Use one Huanghua She (Yellow-flowered Snake). Soak in wine overnight. Remove skin/bones. Fry until yellow. Pound into powder. Take one qian mixed with porridge drink on an empty stomach. Stop for ten days after finishing. If not reduced, prepare and take again. Stop if reduced.
Treatment for Wind-Toxin Luoli Red Swelling
Chew raw Lizi (Castanea sativa flesh) raw and apply.