立斋曰∶此方乃解毒去腐搜脓之剂，非竟自生肌药也，盖毒尽则肉自生。常见患者往往
用龙骨、血竭之类以求生肌，殊不知余毒未尽，肌肉何以得生，及增腐烂耳。若此方诚有见也。
收口掺药（百五十）
李氏云∶龙游有患背疽者，大溃，五脏仅隔膜耳，自谓必死。用鲫鱼去肠，实以羯羊粪，
烘燥为末，干掺之，疮口自收。此出洪氏方，屡用有效，故附于此。须候脓少欲生肌肉时用之。
桔梗汤（一五一）治咳嗽吐脓，痰中有血，胸膈两胁作痛，烦闷作渴，或出臭浊，已
成肺痈证。
桔梗（炒） 贝母 当归（酒浸） 栝蒌仁 枳壳（麸炒） 薏仁 桑白皮（炒） 百合（蒸，
各一钱五分） 五味子（炒） 知母（炒） 地骨皮 甜葶苈（炒） 甘草节 防己 黄 杏仁（各五分）
水二钟，煎服。
（《济生》）桔梗汤（一五二） 治肺痈咳嗽脓血，咽干多渴，大小便赤涩。
方如前，但少五味、葶苈、知母、地骨皮四味。
用水二钟，姜五片，煎八分。食远服。大便秘者，加大黄。
人参五味子汤（一五三） 治气血劳伤，咳脓咯血，寒热往来，夜出盗汗，羸瘦困乏，
一切虚损肺痿之证并治。
人参 五味子（炒，捣） 熟地黄 当归（酒炒） 白术（炒） 白茯苓 炙甘草 陈皮
桔梗（炒） 前胡（各一钱） 黄 （炙） 地骨皮 桑白皮（炒） 枳壳（炒） 柴胡（各七分）
水一钟半，生姜三片，煎八分。食后服。
四顺散（一五四）治肺痈吐脓，五心烦热，壅闷咳嗽。
贝母（去心） 紫苑（去苗） 桔梗（炒，各一钱半） 甘草（七分）
水一钟半，煎七分，食远服。如咳嗽，加杏仁。亦可为末，白汤调服。
合欢饮（一五五）治肺痈久不敛口。
用合欢皮白蔹二味同煎服。合欢皮即槿树皮也，亦名夜合。
紫菀茸汤（一五六）治饮食过度，或煎爆伤肺，咳嗽咽干，吐痰唾血喘急，胁痛不得
安卧，肺痿等证。
紫菀茸（去苗） 桑叶（经霜者） 款冬花 百合（蒸焙） 杏仁（去皮尖） 阿胶（蛤
粉炒） 贝母（去心） 半夏（制） 蒲黄（炒，各一钱） 人参 犀角（镑末）
甘草（炙，各五分）
水一钟半，生姜三片，煎七分，入犀角末。食后服。
升麻汤（一五七）治肺痈胸乳间皆痛，吐脓腥臭。
川升麻 桔梗（炒） 薏苡仁 地榆 黄芩（炒） 赤芍药（炒） 牡丹皮 生甘草（各一钱）
水二钟，煎八分。食远服。
如金解毒散（一五八） 治肺痈。
桔梗（一钱） 甘草（一钱半） 黄连（炒） 黄芩（炒） 黄柏（炒） 山栀（炒，各七分）
水二钟，煎八分。徐徐陆续饮之，不可急服。按∶此方乃降火解毒之剂也，凡发热烦渴，
脉洪大者，用之即效。若脉数，咳痰腥臭，或唾脓瘀者，宜用桔梗汤。
如圣柘黄丸（一五九）治肺痈咳而腥臭，或唾脓瘀，不问脓之成否并效。肺家之病虽有方，
惟此方功效甚捷，不可忽之。
柘黄（一两，为末） 百齿霜（即梳垢，二钱）
用糊为丸，如桐子大。每服三五十丸，米饮下。柘黄，乃柘树所生者，其色黄，状
如灵芝，江南最多，北方鲜有。
葶苈散（百六十） 治过食煎 ，或饮酒过度，致肺壅喘不能卧，及肺痈浊唾腥臭。
甜葶苈 桔梗（炒） 栝蒌仁 川升麻 薏苡仁 桑白皮（炒） 葛根（各一钱）
甘草（炙，五分）
水一钟半，生姜三片，煎八分。食后服。
知母茯苓汤（一六一）治肺痿喘嗽不已，往来寒热，自汗。
知母（炒） 茯苓 炙甘草 人参 白术 五味子（炒，捣） 麦门冬 半夏（制）
薄荷 桔梗 柴胡 款年花（各一钱） 阿胶（蛤粉炒） 黄芩（炒，各二钱）
川芎（五分）
水二钟，姜三片，煎一钟。食远服。
四味排脓散（一六二） 治肺痈吐脓，五心烦热，壅闷咳嗽。
嫩黄 （盐水炒） 白芷 五味子（研，炒） 人参（等分）
上为细末。每服三钱，食后蜜汤调下。
八味排脓散（一六三） 治肠痈少腹胀痛，里急后重，脉滑数，或时时下脓。
黄 （炒） 当归（酒拌） 金银花 穿山甲（蛤粉炒） 白芷 防风 连翘 栝蒌（各三钱）
水二钟，煎八分，食前服；或为末，每服三钱，食后蜜汤调下。如脓将尽，去穿山甲、
连翘，倍当归，加川芎。
薏苡仁汤（一六四） 一名瓜子仁汤。治肠痈腹中 痛，或胀满不食，小便短涩。妇
人产后多有此证，纵非痈，服之尤效。
薏苡仁（炒，五钱） 栝蒌仁（三钱） 牡丹皮 桃仁（去皮尖，各二钱）
上水煎。空心服。
牡丹皮散（一六五） 治肠痈腹濡而痛，时时下脓。
牡丹皮 人参 黄 （炒） 白茯苓 天麻 白芷 桃仁（去皮尖） 薏苡仁 当归 川芎（各一钱）
官桂 甘草（各五分） 木香（三分）
上水煎服。
梅仁汤（一六六） 治肠痈壅痛，大便秘涩。
梅仁（九个，去皮尖） 大黄（炒） 牡丹皮 芒硝 犀角（镑，各一钱） 冬瓜仁（三钱，研）
上水煎，入犀角末服。
大黄汤（一六七） 一名牡丹皮汤。专治肠痈小腹坚肿而热，按之则痛，肉色如故，或
赤微肿，小便频数，汗出憎寒，其脉沉紧，脓未成者，急服之。
牡丹皮 栝蒌仁（各三钱） 桃仁（去皮尖） 大黄（煨） 芒硝（各二钱）
水二钟，煎一钟。食前服。本方去栝楼，即名大黄牡丹汤，立斋曰∶此方乃行血破血之剂也，如
发热自汗
恶寒，小腹作痛，小便如淋，脉未数者有效。丹溪曰∶小腹肿痞，按之痛，小便如淋，或自
调，发热身无汗，复恶寒，其脉迟紧者，脓未成，宜下之，当有血，此结热所成也，故《金匮》
用大黄利之，即此方也。若无前证，恐不宜用。其有脉滑数，腹内胀痛，或时时后重，而
脓已下，宜用八味排脓散、蜡矾丸，及托里之药。
射干汤（一六八）治胃脘痈吐脓血。
射干（去毛） 山栀仁 赤茯苓 升麻（各一钱） 白术（五分） 赤芍药（一钱半）
上水煎服。
槐花散（一六九）治肠风脏毒下血。
槐花（炒） 熟地黄 青皮 白术（炒） 荆芥穗 当归身（酒拌） 升麻（各一钱） 川芎（四分）
上为末。每服三钱，空心米饮调下。水煎服亦可。
除湿和血汤（百七十） 方在和阵二一九。治阳明虚陷，湿热便血腹痛。
夏枯草汤（一七一）治瘰 马刀，已溃未溃，或日久漏者。
夏枯草（六两）
水二钟，煎七分，去 。食远服。此生血治瘰 之圣药，虚甚者，当煎浓膏服，并涂患处，
多服益善，兼十全大补汤加香附、贝母、远志尤善。
必效膏（一七二） 治瘰 气血尚无亏损， 核不愈，内服此药，外以针头散腐之。
若气血虚者，先服益气养营汤数剂，后服此药。服后 毒尽下，再服煎汤数剂。
南硼砂（二钱半） 轻粉（一钱） 麝香（五分） 巴豆（五个，去膜） 白槟榔（一个）
斑蝥（四十个，去头翅，同糯米炒）
上同为极细末，取鸡子二个，去黄用清调药，仍入壳内，以湿纸数重糊口，入饭甑蒸熟，
取出曝干研末。虚者每服半钱，实者一钱，用炒生姜酒、或滚汤于五更调服。如觉小腹痛，
用益元散一服，其毒俱从小便出。胎妇勿饵。疮毒去后，多服益气养营汤，疮口自合。
此药斑蝥、巴豆似为峻利，然巴豆能解斑蝥之毒，用者
勿畏。予于京师遇一富商，项有 痕一片颇大，询其由，彼云因怒而致，困苦二年，百
法不应，忽有方士与药一服即退，二三再服顿退，四服而平，旬日而痊，以重礼求之，乃是
必效散，因修合济入，无有不效。丹溪亦云，必效与神效栝蒌散相兼服之，自有神效，常以
二剂兼补剂用之，甚效，故录之。但此药虽云峻利，然 毒之深者，非此不能解，故宜用之。
惟血气虚者不可用，恐其有误也。又一道人治此证，用鸡子七个，每个入斑蝥一枚，饭上
蒸熟，每日空心食一个，求者甚多。考之各书瘰 门及《本草》亦有之，然气血虚者
恐不能治也。
射干连翘散（一七三） 治寒热瘰 。
射干 连翘 玄参 赤芍药 木香 升麻 前胡 栀子仁 当归 甘草（各一钱） 大黄（二钱）
水煎。食后服。
如神散（一七四）治瘰 已溃，瘀肉不去，疮口不合。
松香末（一两） 白矾（三钱）
为末。麻油调搽，干掺亦可。
遇仙无比丸（一七五） 治瘰 未成脓，其人气体如常，宜服此丸。形气觉虚者，宜先
服益气养营汤，待血气少充，方服此丸，核消后，仍服前汤。如溃后有瘀肉者，宜用针头散，
更不敛，亦宜服此丸，敛后再服前汤。
白术（炒） 槟榔 防风 黑丑（半生半炒取头末） 密陀僧 郁李仁（炮，去皮）
斑蝥（去足翅，用糯米同炒，去米不用） 甘草（各五钱）
为细末，水糊丸，梧子大。每服二十丸，早晚煎甘草槟榔汤下。服至月许，觉腹中微痛，
自小便中取下 毒如鱼目状，已破者自合，未脓者自消。
（《肘后》）治瘿方（一七六）
凡项下卒结囊欲成瘿者，用海藻一斤，洗去咸，浸酒饮之，不可间断，须要时时饮二
三杯，有酒气方妙。
神效开结散（一七七） 消瘿块甚效。
橘红（四两） 沉香 木香（各二钱） 珍珠（四十九粒，入砂罐内，以盐泥封因， 赤取出，
去火毒用） 猪靥肉子（四十九枚，用豚猪生项间如枣子者）
上为末。每服一钱，临卧酒调徐徐咽下。患小者三五服，大者一剂可愈。切忌酸咸油腻滞
气之物。须用除日于静室修合。
生地黄丸（一七八） 治师足、寡妇、室女，乍寒乍热而患疮疡，及颈间结核，肝脉弦
长而出鱼际，外无寒邪，内多郁火者，宜此治之。
生地（一两，酒拌杵膏） 秦艽 黄芩 硬柴胡（各半两） 赤芍药（一两）
上为末，入地黄膏加炼蜜为丸，桐子大。每服三五十丸，乌梅汤日进二服。
（《外台》）昆布丸（一七九） 治项下结囊欲成瘿者。
昆布（酒洗） 海藻（酒洗，各等分）
上为末，炼蜜丸，弹子大。含化咽之。
（《济生》）玉壶散（百八十）治三种毒瘿。
海藻 海带 昆布 雷丸（各一两） 广术 青盐（各半两）
上为细末，老米饮为丸，桐子大。不拘时噙化四五丸。
神效栝蒌散（一八一）治乳痈及一切痈疽，初起肿痛即消，脓成即溃，脓出即愈。治痈
之方甚多，独此方神效，瘰 疮毒尤效。凡一切痈疽余毒皆宜用之。
栝蒌（一个，烂研） 当归（酒洗） 生粉草（各半两） 乳香 没药（各一钱）
上用酒煎服，良久再服，如不能饮，以酒水各半煎之。如数剂不效，宜以补气血之药
兼服之。若肝经血虚，结核不消，佐以四物、柴胡、升麻、白术、茯苓。若肝脾气血虚弱，
佐以四君、芎、归、柴胡、升麻。若忧
郁伤脾，气血亏损，佐以归脾汤。
海藻散坚丸（一八二）治肝经瘿瘤。
海藻 昆布 龙胆草（酒拌炒焦。各二两） 小麦（醋煮炒干，四两）
上为末，炼蜜丸，桐子大。每服二三十丸，临卧白汤送下，或噙化咽之尤好。凡患瘰 ，
服调治之药未应，宜佐以此上二方。一方有柴胡二两。
连翘饮子（一八三） 治乳内结核。服数剂如不消宜兼服八珍汤。初起有表证者，
宜先解散。
连翘 川芎 栝蒌仁（研） 皂刺（炒） 橘叶 青皮 甘草节 桃仁（各一钱半）
上水煎。食远服。
清肝解郁汤（一八四）治肝经血虚风热，或郁火伤血，乳内结核，或为肿溃不愈，凡
肝胆经血气不和之病，皆宜用此药。
人参 熟地黄 芍药（炒） 茯苓 山栀（炒） 贝母（各一钱） 柴胡 牡丹皮 川芎
陈皮（各五分） 当归 白术（各一钱半） 甘草（五分）
上水煎服。
羌活白芷散（一八五）治风热血燥，手掌皱裂，或头面生疮，或遍身肿块，或脓水淋漓。
羌活 白芷 荆芥 软柴胡 蔓荆子 防风 甘草 牙皂 黄芩（酒炒） 黄连（酒炒，
各一钱）
上水煎服。
胡麻散（一八六） 治风热瘾疹瘙痒。
胡麻子（一两二钱） 苦参 荆芥穗 何首乌（各八钱） 威灵仙 防风 石菖蒲 牛蒡子（炒）
甘菊花 蔓荆子 白蒺藜（炒） 炙甘草（各六钱）
上为末。每服二钱，食后薄荷汤调服，茶清亦可。
四生散（一八七） 治 腿疮淫不愈，或眼目昏花，名肾脏风，并治风癣疥癞，
血风疮证。
黄 独活 白附子（真者） 白蒺藜（等分）
上为末。每服二钱，用猪腰子一枚，批开入药，湿纸包裹煨熟，空心连腰子细嚼，盐汤送下。
槟苏散（一八八） 治风湿流注，脚胫酸痛，或呕吐不食。
槟榔 木瓜 陈皮 炙甘草（各一钱） 香附 紫苏（各五分）
水一钟半，生姜三片，葱白三茎，煎一钟。空心服。
升麻和气饮（一八九） 治风癣疮疥热结，大便不通。
当归 陈皮（各一钱半） 枳壳（麸炒） 芍药（酒炒） 半夏（制） 桔梗（炒） 白芷
立斋说：这个方子是解毒、去除腐肉、搜剔脓液的药剂，并不是直接促进肌肉生长的药物。因为毒素排尽后，肌肉自然就会生长。常见患者往往使用龙骨、血竭之类的药物来寻求生肌，却不知道余毒未尽，肌肉怎么可能生长，反而会增加腐烂的情况。像这种观点确实很有见地。
收口掺药（第150方）
李氏说：龙游地方有个患背疽的病人，疮口大溃烂，五脏之间仅剩隔膜相连，自认为必死无疑。用鲫鱼去掉内脏，填入羯羊的粪便，烘干研成粉末，干撒在疮口上，疮口自然愈合。这出自洪氏的方子，多次使用都有效，所以附记在这里。必须等到脓液减少、快要长出新肉的时候才使用。
桔梗汤（第151方）治疗咳嗽吐脓，痰中带血，胸膈及两胁疼痛，烦闷口渴，或吐出臭浊之物，已成肺痈证候。
桔梗（炒）、贝母、当归（酒浸）、栝蒌仁、枳壳（麸炒）、薏苡仁、桑白皮（炒）、百合（蒸，各一钱五分）、五味子（炒）、知母（炒）、地骨皮、甜葶苈（炒）、甘草节、防己、黄芪、杏仁（各五分）。
用水二钟，煎服。
《济生》桔梗汤（第152方）治疗肺痈咳嗽脓血，咽干多渴，大小便赤涩。
方剂组成与前一方相同，但减去五味子、葶苈、知母、地骨皮四味药。
用水二钟，生姜五片，煎至八分。饭后服用。大便干燥者，加大黄。
人参五味子汤（第153方）治疗气血劳伤，咳脓咯血，寒热往来，夜间盗汗，身体消瘦困乏，一切虚损肺痿的证候一并治疗。
人参、五味子（炒，捣碎）、熟地黄、当归（酒炒）、白术（炒）、白茯苓、炙甘草、陈皮、桔梗（炒）、前胡（各一钱）、黄芪（炙）、地骨皮、桑白皮（炒）、枳壳（炒）、柴胡（各七分）。
用水一钟半，生姜三片，煎至八分。饭后服用。
四顺散（第154方）治疗肺痈吐脓，五心烦热，壅闷咳嗽。
贝母（去心）、紫菀（去苗）、桔梗（炒，各一钱半）、甘草（七分）。
用水一钟半，煎至七分，饭后服用。如果咳嗽，加杏仁。也可以研成粉末，用开水调服。
合欢饮（第155方）治疗肺痈久不敛口。
用合欢皮、白蔹两味药同煎服用。合欢皮就是槿树皮，也叫夜合树。
紫菀茸汤（第156方）治疗饮食过度，或吃煎炸食物损伤肺部，咳嗽咽干，吐痰唾血，喘急，胁痛不能安卧，肺痿等证候。
紫菀茸（去苗）、桑叶（经霜的）、款冬花、百合（蒸焙）、杏仁（去皮尖）、阿胶（蛤粉炒）、贝母（去心）、半夏（制）、蒲黄（炒，各一钱）、人参、犀角（镑成末）、甘草（炙，各五分）。
用水一钟半，生姜三片，煎至七分，加入犀角末。饭后服用。
升麻汤（第157方）治疗肺痈胸乳间皆痛，吐脓腥臭。
川升麻、桔梗（炒）、薏苡仁、地榆、黄芩（炒）、赤芍药（炒）、牡丹皮、生甘草（各一钱）。
用水二钟，煎至八分。饭后服用。
如金解毒散（第158方）治疗肺痈。
桔梗（一钱）、甘草（一钱半）、黄连（炒）、黄芩（炒）、黄柏（炒）、山栀（炒，各七分）。
用水二钟，煎至八分。慢慢陆续饮用，不可急服。按：此方是降火解毒的药剂，凡是发热烦渴，脉象洪大的，使用即见效。如果脉数，咳痰腥臭，或唾出脓瘀的，适宜用桔梗汤。
如圣柘黄丸（第159方）治疗肺痈咳嗽且腥臭，或唾出脓瘀，不论脓是否形成都有效。肺部的疾病虽然有方剂，只有此方功效非常迅速，不可忽视。
柘黄（一两，研成末）、百齿霜（即梳头垢，二钱）。
用面糊做成丸药，如梧桐子大。每次服用三五十丸，米汤送下。柘黄，是柘树上生长的，颜色黄，形状像灵芝，江南最多，北方很少见到。
葶苈散（第160方）治疗过食煎炸食物，或饮酒过度，导致肺气壅滞气喘不能平卧，以及肺痈浊唾腥臭。
甜葶苈、桔梗（炒）、栝蒌仁、川升麻、薏苡仁、桑白皮（炒）、葛根（各一钱）、甘草（炙，五分）。
用水一钟半，生姜三片，煎至八分。饭后服用。
知母茯苓汤（第161方）治疗肺痿气喘咳嗽不止，寒热往来，自汗。
知母（炒）、茯苓、炙甘草、人参、白术、五味子（炒，捣碎）、麦门冬、半夏（制）、薄荷、桔梗、柴胡、款冬花（各一钱）、阿胶（蛤粉炒）、黄芩（炒，各二钱）、川芎（五分）。
用水二钟，生姜三片，煎至一钟。饭后服用。
四味排脓散（第162方）治疗肺痈吐脓，五心烦热，壅闷咳嗽。
嫩黄芪（盐水炒）、白芷、五味子（研，炒）、人参（等分）。
以上研为细末。每次服用三钱，饭后用蜜汤调服。
八味排脓散（第163方）治疗肠痈少腹胀痛，里急后重，脉滑数，或时常排出脓液。
黄芪（炒）、当归（酒拌）、金银花、穿山甲（蛤粉炒）、白芷、防风、连翘、栝蒌（各三钱）。
用水二钟，煎至八分，饭前服用；或者研成粉末，每次服用三钱，饭后用蜜汤调服。如果脓液将尽，去掉穿山甲、连翘，加倍当归，加入川芎。
薏苡仁汤（第164方）又名瓜子仁汤。治疗肠痈腹中疼痛，或胀满不想进食，小便短涩。妇女产后多有此证，即使不是痈，服用也特别有效。
薏苡仁（炒，五钱）、栝蒌仁（三钱）、牡丹皮、桃仁（去皮尖，各二钱）。
以上用水煎。空腹服用。
牡丹皮散（第165方）治疗肠痈腹部柔软而痛，时常排出脓液。
牡丹皮、人参、黄芪（炒）、白茯苓、天麻、白芷、桃仁（去皮尖）、薏苡仁、当归、川芎（各一钱）、官桂、甘草（各五分）、木香（三分）。
以上用水煎服。
梅仁汤（第166方）治疗肠痈壅滞疼痛，大便秘结涩滞。
梅仁（九个，去皮尖）、大黄（炒）、牡丹皮、芒硝、犀角（镑，各一钱）、冬瓜仁（三钱，研碎）。
以上用水煎，加入犀角末服用。
大黄汤（第167方）又名牡丹皮汤。专门治疗肠痈小腹坚硬肿胀且热，按压则痛，皮肤颜色如故，或微红微肿，小便频数，出汗怕冷，脉象沉紧，脓未形成的，紧急服用。
牡丹皮、栝蒌仁（各三钱）、桃仁（去皮尖）、大黄（煨）、芒硝（各二钱）。
用水二钟，煎至一钟。饭前服用。本方去掉栝楼，就名叫大黄牡丹汤，立斋说：此方是行血破血的药剂，如果有发热自汗、恶寒、小腹作痛、小便像淋病一样、脉象尚未数的情况有效。丹溪说：小腹肿痞，按压痛，小便像淋病，或者自行通畅，发热身上无汗，又恶寒，脉象迟紧的，脓未形成，应当攻下，会有血排出，这是结热所成的，所以《金匮要略》用大黄通利，就是这个方子。如果没有前面的证候，恐怕不宜使用。如果有脉滑数，腹内胀痛，或时常里急后重，而脓已排出的，适宜用八味排脓散、蜡矾丸，以及托里透脓的药物。
射干汤（第168方）治疗胃脘痈吐脓血。
射干（去毛）、山栀仁、赤茯苓、升麻（各一钱）、白术（五分）、赤芍药（一钱半）。
以上用水煎服。
槐花散（第169方）治疗肠风脏毒下血。
槐花（炒）、熟地黄、青皮、白术（炒）、荆芥穗、当归身（酒拌）、升麻（各一钱）、川芎（四分）。
以上研为粉末。每次服用三钱，空腹用米汤调服。水煎服用也可以。
除湿和血汤（第170方）方剂在和阵篇第219条。治疗阳明虚陷，湿热便血腹痛。
夏枯草汤（第171方）治疗瘰疬马刀，已溃或未溃，或日久成漏的。
夏枯草（六两）。
用水二钟，煎至七分，去渣。饭后服用。这是生血治疗瘰疬的神药，虚损严重的，应当煎成浓膏服用，并涂抹患处，多服用更好，兼用十全大补汤加香附、贝母、远志尤其好。
必效膏（第172方）治疗瘰疬气血尚无亏损，结核不愈，内服此药，外用针头散腐蚀腐肉。
如果气血虚的，先服用益气养营汤几剂，再服用此药。服药后毒邪排尽，再服用煎汤几剂。
南硼砂（二钱半）、轻粉（一钱）、麝香（五分）、巴豆（五个，去膜）、白槟榔（一个）、斑蝥（四十个，去头翅，同糯米炒）。
以上共同研为极细末，取鸡蛋二个，去黄只用清，调和药粉，仍放入蛋壳内，用湿纸多层糊住口，放入饭甑蒸熟，取出晒干研末。虚证每次服用半钱，实证服用一钱，用炒生姜酒或滚开汤在五更时分调服。如果觉得小腹痛，服用益元散一剂，其毒气都从小便排出。孕妇勿服。疮毒去除后，多服用益气养营汤，疮口自然愈合。
此药中斑蝥、巴豆看似峻烈，然而巴豆能解斑蝥的毒，使用者不要畏惧。我在京师遇到一个富商，颈部有一大片瘢痕，询问原因，他说因愤怒所致，困苦两年，各种方法都不见效，忽然有方士给了一服药，一次就消退，再服两次完全消退，四次后平复，十天痊愈，他用厚礼求方，原来是必效散，因此配制救济他人，没有无效的。丹溪也说，必效散与神效栝蒌散配合服用，自有神效，常以两剂配合补剂使用，很有效，所以记录下来。只是此药虽然号称峻烈，然而毒邪深的，不用此药不能解除，所以适宜使用。只有血气虚的人不可用，恐怕有误。又有一位道人治疗此证，用鸡蛋七个，每个放入一枚斑蝥，在饭上蒸熟，每天空腹吃一个，求治的人很多。考证各书瘰疬门及《本草》也有记载，然而气血虚的人恐怕不能治愈。
射干连翘散（第173方）治疗寒热瘰疬。
射干、连翘、玄参、赤芍药、木香、升麻、前胡、栀子仁、当归、甘草（各一钱）、大黄（二钱）。
用水煎。饭后服用。
如神散（第174方）治疗瘰疬已溃，瘀肉不去，疮口不合。
松香末（一两）、白矾（三钱）。
研为粉末。用麻油调涂，干撒也可以。
遇仙无比丸（第175方）治疗瘰疬未成脓，其人气体如常，适宜服用此丸。形体气息觉得虚的，适宜先服用益气养营汤，待血气稍充盛，才服用此丸，结核消散后，仍服用前面的汤剂。如果溃后有瘀肉的，适宜用针头散，不再收敛，也适宜服用此丸，收敛后再服用前面的汤剂。
白术（炒）、槟榔、防风、黑丑（半生半炒取头末）、密陀僧、郁李仁（炮，去皮）、斑蝥（去足翅，用糯米同炒，去米不用）、甘草（各五钱）。
研为细末，水糊丸，梧桐子大。每次服用二十丸，早晚煎甘草槟榔汤送下。服用约一个月，觉得腹中微痛，从小便中排出毒物如鱼目状，已破的自会愈合，未成脓的自会消散。
《肘后备急方》治疗瘿方（第176方）
凡是颈部突然结成囊状欲成瘿病的，用海藻一斤，洗去咸味，浸泡在酒中饮用，不可间断，必须时时饮用二三杯，有酒气才好。
神效开结散（第177方）消除瘿块非常有效。
橘红（四两）、沉香、木香（各二钱）、珍珠（四十九粒，放入砂罐内，用盐泥封固，烧红取出，去火毒后用）、猪靥肉子（四十九枚，用小猪脖子上像枣子大小的）。
以上研为粉末。每次服用一钱，临睡前用酒调匀慢慢咽下。患病小的三五服，大的一个疗程可愈。切忌酸咸油腻滞气之物。必须在除日于静室配制。
生地黄丸（第178方）治疗师足、寡妇、室女，乍寒乍热而患疮疡，以及颈间结核，肝脉弦长而出鱼际，外无寒邪，内多郁火的，适宜用此治疗。
生地（一两，酒拌杵成膏）、秦艽、黄芩、硬柴胡（各半两）、赤芍药（一两）。
以上研为粉末，加入地黄膏加炼蜜做成丸药，梧桐子大。每次服用三五十丸，乌梅汤每日进服两次。
《外台秘要》昆布丸（第179方）治疗颈部结囊欲成瘿病的。
昆布（酒洗）、海藻（酒洗，各等分）。
以上研为粉末，炼蜜丸，弹子大。含化咽下。
《济生方》玉壶散（第180方）治疗三种毒瘿。
海藻、海带、昆布、雷丸（各一两）、莪术、青盐（各半两）。
以上研为细末，老米饮为丸，梧桐子大。不拘时候含化四五丸。
神效栝蒌散（第181方）治疗乳痈及一切痈疽，初起肿痛即消，脓成即溃，脓出即愈。治疗痈的方剂很多，唯独此方神效，瘰疬疮毒尤其有效。凡是一切痈疽余毒都适宜使用。
栝蒌（一个，烂研）、当归（酒洗）、生粉草（各半两）、乳香、没药（各一钱）。
以上用酒煎服，过一会儿再服，如果不能饮酒，用酒水各半煎之。如果几剂无效，适宜以补气血的药兼服。如果肝经血虚，结核不消，佐以四物汤、柴胡、升麻、白术、茯苓。如果肝脾气血虚弱，佐以四君子汤、川芎、当归、柴胡、升麻。如果忧郁伤脾，气血亏损，佐以归脾汤。
海藻散坚丸（第182方）治疗肝经瘿瘤。
海藻、昆布、龙胆草（酒拌炒焦，各二两）、小麦（醋煮炒干，四两）。
以上研为粉末，炼蜜丸，梧桐子大。每次服用二三十丸，临睡前用开水送下，或者含化咽下更好。凡是患瘰疬，服用调治之药未见效的，适宜佐以此二方。一方中有柴胡二两。
连翘饮子（第183方）治疗乳内结核。服用几剂如果不消适宜兼服八珍汤。初起有表证的，适宜先解散。
连翘、川芎、栝蒌仁（研）、皂刺（炒）、橘叶、青皮、甘草节、桃仁（各一钱半）。
以上用水煎。饭后服用。
清肝解郁汤（第184方）治疗肝经血虚风热，或郁火伤血，乳内结核，或为肿溃不愈，凡肝胆经血气不和的病，都适宜用此药。
人参、熟地黄、芍药（炒）、茯苓、山栀（炒）、贝母（各一钱）、柴胡、牡丹皮、川芎、陈皮（各五分）、当归、白术（各一钱半）、甘草（五分）。
以上用水煎服。
羌活白芷散（第185方）治疗风热血燥，手掌皱裂，或头面生疮，或遍身肿块，或脓水淋漓。
羌活、白芷、荆芥、软柴胡、蔓荆子、防风、甘草、牙皂、黄芩（酒炒）、黄连（酒炒，各一钱）。
以上用水煎服。
胡麻散（第186方）治疗风热瘾疹瘙痒。
胡麻子（一两二钱）、苦参、荆芥穗、何首乌（各八钱）、威灵仙、防风、石菖蒲、牛蒡子（炒）、甘菊花、蔓荆子、白蒺藜（炒）、炙甘草（各六钱）。
以上研为粉末。每次服用二钱，饭后用薄荷汤调服，茶清也可以。
四生散（第187方）治疗腿疮久不愈，或眼目昏花，名肾脏风，并治风癣疥癞，血风疮证。
黄芪、独活、白附子（真品）、白蒺藜（等分）。
以上研为粉末。每次服用二钱，用猪腰子一枚，剖开纳入药粉，湿纸包裹煨熟，空腹连腰子细嚼，盐汤送下。
槟苏散（第188方）治疗风湿流注，脚胫酸痛，或呕吐不食。
槟榔、木瓜、陈皮、炙甘草（各一钱）、香附、紫苏（各五分）。
用水一钟半，生姜三片，葱白三茎，煎至一钟。空腹服用。
升麻和气饮（第189方）治疗风癣疮疥热结，大便不通。
当归、陈皮（各一钱半）、枳壳（麸炒）、芍药（酒炒）、半夏（制）、桔梗（炒）、白芷
Lizhai stated: This prescription is a formula for resolving toxicity, removing necrotic tissue, and extracting pus; it is not a medicine that directly promotes the growth of flesh. This is because once the pathogenic factors are exhausted, the flesh will naturally regenerate. It is common to see patients often using substances such as Longgu (Fossilized Bones) and Xuexue (Dragon's Blood) in an attempt to promote flesh regeneration. Little do they know that if residual toxins remain, how can the flesh grow? Instead, it only increases putrefaction. Such insight is indeed valuable.
Prescription for Wound Closure Dusting Powder (No. 150)
Mr. Li said: In Longyou, there was a patient suffering from a carbuncle on the back. The wound had ulcerated severely, with only the diaphragm separating the internal organs. He believed he would certainly die. A preparation was made by removing the entrails from a crucian carp, stuffing them with dried dung from a castrated ram, baking it until dry, and grinding it into powder. This powder was applied dry to the wound, and the wound closed spontaneously. This method comes from Fangshi’s prescriptions and has been used successfully many times, so it is recorded here. It should only be used when the amount of pus has decreased and new flesh is about to grow.
Jiegeng Decoction (No. 151) Treats cough with expectoration of pus, blood in sputum, pain in the chest and hypochondrium, restlessness, thirst, or expectoration of foul turbid matter, indicating Lung Abscess syndrome.
Chuan Jie Geng (Scrophulariae Radix, stir-fried), Bei Mu (Fritillariae Bulbus), Dang Gui (Angelicae Sinensis Radix, soaked in wine), Gua Lou Ren (Trichosanthis Semen), Zhi Qiao (Aurantii Fructus, stir-fried with bran), Yi Yi Ren (Coicis Semen), Sang Bai Pi (Mori Cortex, stir-fried), Bai He (Lilii Bulbus, steamed), Wu Wei Zi (Schisandrae Fructus, stir-fried), Zhi Mu (Anemarrhenae Rhizoma, stir-fried), Di Gu Pi (Lycii Cortex), Tian Ting Li (Descurainiae Semen, stir-fried), Gan Cao Jie (Glycyrrhizae Radix et Rhizoma jointed), Fang Ji (Stephaniae Tetrandrae Radix), Huang Qi (Astragali Radix), Xing Ren (Armeniacae Semen Amarum). Each of the first group weighs 1.5 qian; each of the second group weighs 0.5 qian.
Add two zhong of water, decoct, and take orally.
Jiegeng Decoction from *Jisheng Fang* (No. 152) Treats Lung Abscess with cough, pus, and blood in sputum, dry throat with excessive thirst, and red, scanty urination and defecation.
The composition is the same as the previous formula, but excluding Wu Wei Zi, Ting Li, Zhi Mu, and Di Gu Pi.
Add two zhong of water and five slices of Sheng Jiang (Zingiberis Rhizoma Recens), decoct until eight-tenths remains. Take after meals. For constipation, add Da Huang (Rhei Radix et Rhizoma).
Renshen Wuweizi Decoction (No. 153) Treats qi and blood exhaustion due to overwork, coughing up pus and blood, alternating chills and fever, night sweats, emaciation, and fatigue. It treats all syndromes of deficiency damage and Lung Atrophy.
Renshen (Ginseng Radix), Wu Wei Zi (Schisandrae Fructus, stir-fried and crushed), Shu Di Huang (Rehmanniae Radix Preparata), Dang Gui (Angelicae Sinensis Radix, stir-fried with wine), Bai Zhu (Atractylodis Macrocephalae Rhizoma, stir-fried), Fu Ling (Poria), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried), Chen Pi (Citri Reticulatae Pericarpium), Chuan Jie Geng (Scrophulariae Radix, stir-fried), Qian Hu (Peucedani Radix), Huang Qi (Astragali Radix, honey-fried), Di Gu Pi (Lycii Cortex), Sang Bai Pi (Mori Cortex, stir-fried), Zhi Qiao (Aurantii Fructus, stir-fried), Chai Hu (Bupleuri Radix). The first group weighs 1 qian; the second group weighs 0.7 qian.
Add one and a half zhong of water and three slices of Sheng Jiang (Zingiberis Rhizoma Recens), decoct until eight-tenths remains. Take after meals.
Sishun San (No. 154) Treats Lung Abscess with expectoration of pus, heat in the five hearts, chest oppression, and cough.
Bei Mu (Fritillariae Bulbus, remove heart), Zi Wan (Asternae Radix, remove seedlings), Chuan Jie Geng (Scrophulariae Radix, stir-fried). Weigh 1.5 qian each. Gan Cao (Glycyrrhizae Radix et Rhizoma) weighs 0.7 qian.
Add one and a half zhong of water, decoct until seven-tenths remains. Take after meals. If cough persists, add Xing Ren (Armeniacae Semen Amarum). It can also be ground into powder and taken with warm water.
Hehuan Yin (No. 155) Treats Lung Abscess with wounds that fail to close for a long time.
Decoct He Huan Pi (Albiziae Cortex) and Bai Lian (Ampelopsis Radix) together and take orally. He Huan Pi is the bark of the silk tree (Hibiscus mutabilis), also known as Ye He (Night-closing Tree).
Ziwan Rong Tang (No. 156) Treats syndromes caused by overeating or injury to the lungs from fried foods, including cough, dry throat, hemoptysis, asthma, hypochondriac pain preventing sleep, and Lung Atrophy.
Zi Wan Rong (Asternae Radix, remove seedlings), Sang Ye (Mori Folium, those exposed to frost), Kua Dong Hua (Asteris Flos), Bai He (Lilii Bulbus, steamed and baked), Xing Ren (Armeniacae Semen Amarum, remove skin and tip), E Jiao (Colla Corii Asini, stir-fried with蛤粉 Ge Hui Fen), Bei Mu (Fritillariae Bulbus, remove heart), Ban Xia (Pinelliae Rhizoma, processed), Pu Huang (Typhae Pollen, stir-fried). Weigh 1 qian each. Renshen (Ginseng Radix), Xi Jiao (Rhino CeratUs Cornu, shaved into powder), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried). Weigh 0.5 qian each.
Add one and a half zhong of water and three slices of Sheng Jiang (Zingiberis Rhizoma Recens), decoct until seven-tenths remains. Add Xi Jiao powder. Take after meals.
Shengma Tang (No. 157) Treats Lung Abscess with pain in the chest and breasts, and expectoration of foul-smelling pus.
Chuan Sheng Ma (Cimicifugae Rhizoma), Chuan Jie Geng (Scrophulariae Radix, stir-fried), Yi Yi Ren (Coicis Semen), Di Yu (Sanguisorbae Radix), Huang Qin (Scutellariae Radix, stir-fried), Chi Shao Yao (Paeoniae Radix Rubra, stir-fried), Mu Dan Pi (Moutan Cortex), Sheng Gan Cao (Glycyrrhizae Radix et Rhizoma, raw). Weigh 1 qian each.
Add two zhong of water, decoct until eight-tenths remains. Take after meals.
Rujin Jiedu San (No. 158) Treats Lung Abscess.
Chuan Jie Geng (Scrophulariae Radix) weighs 1 qian. Gan Cao (Glycyrrhizae Radix et Rhizoma) weighs 1.5 qian. Huang Lian (Coptidis Rhizoma, stir-fried), Huang Qin (Scutellariae Radix, stir-fried), Huang Bo (Phellodendri Cortex, stir-fried), Shan Zhi (Gardeniae Fructus, stir-fried). Weigh 0.7 qian each.
Add two zhong of water, decoct until eight-tenths remains. Drink slowly and continuously; do not take rapidly. Note: This formula descends fire and resolves toxicity. It is effective for fever, restlessness, thirst, and a surging pulse. If the pulse is rapid, sputum is foul-smelling, or pus and blood are expectorated, Jiegeng Decoction is appropriate.
Rusheng Zhehuang Wan (No. 159) Treats Lung Abscess with cough and foul odor, or expectoration of pus and blood. It is effective regardless of whether pus has formed. Among formulas for lung diseases, this one acts very swiftly and should not be neglected.
Zhe Huang (Zhehuang, resin from Zhe tree) weighs 1 liang, ground into powder. Baichi Shuang (Comb Scale Dirt) weighs 2 qian.
Make pills with paste, size of tung seeds. Take 30-50 pills per dose, washed down with rice drink. Zhe Huang grows on Zhe trees, is yellow in color, resembles Lingzhi mushroom, is abundant in Jiangnan, and rare in the North.
Tingli San (No. 160) Treats pulmonary obstruction and asthma preventing lying flat, and Lung Abscess with foul sputum, caused by overeating fried foods or excessive drinking.
Tian Ting Li (Descurainiae Semen), Chuan Jie Geng (Scrophulariae Radix, stir-fried), Gua Lou Ren (Trichosanthis Semen), Chuan Sheng Ma (Cimicifugae Rhizoma), Yi Yi Ren (Coicis Semen), Sang Bai Pi (Mori Cortex, stir-fried), Ge Gen (Puerariae Lobatae Radix). Weigh 1 qian each. Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried) weighs 0.5 qian.
Add one and a half zhong of water and three slices of Sheng Jiang (Zingiberis Rhizoma Recens), decoct until eight-tenths remains. Take after meals.
Zhimu Fuling Tang (No. 161) Treats Lung Atrophy with persistent asthma and cough, alternating chills and fever, and spontaneous sweating.
Zhi Mu (Anemarrhenae Rhizoma, stir-fried), Fu Ling (Poria), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried), Renshen (Ginseng Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Wu Wei Zi (Schisandrae Fructus, stir-fried and crushed), Mai Men Dong (Ophiopogonis Radix), Ban Xia (Pinelliae Rhizoma, processed), Bo He (Menthae Haplocalycis Herba), Chuan Jie Geng (Scrophulariae Radix), Chai Hu (Bupleuri Radix), Kua Dong Hua (Asteris Flos). Weigh 1 qian each. E Jiao (Colla Corii Asini, stir-fried with Ge Hui Fen), Huang Qin (Scutellariae Radix, stir-fried). Weigh 2 qian each. Chuan Xiong (Ligustici Chuanxiong Rhizoma) weighs 0.5 qian.
Add two zhong of water and three slices of Sheng Jiang (Zingiberis Rhizoma Recens), decoct until one zhong remains. Take after meals.
Siwei Paimon San (No. 162) Treats Lung Abscess with expectoration of pus, heat in the five hearts, and chest oppression with cough.
Nen Huang Qi (Astragali Radix, stir-fried with salt water), Bai Zhi (Angelicae Dahuricae Radix), Wu Wei Zi (Schisandrae Fructus, ground and stir-fried), Renshen (Ginseng Radix). Equal parts.
Grind into fine powder. Take 3 qian per dose, mixed with honey water after meals.
Bawei Paimon San (No. 163) Treats Intestinal Abscess with lower abdominal distension and pain, tenesmus, slippery and rapid pulse, or frequent passage of pus.
Huang Qi (Astragali Radix, stir-fried), Dang Gui (Angelicae Sinensis Radix, mixed with wine), Jin Yin Hua (Lonicerae Japonicae Flos), Chuan Shan Jia (Manis Squama, stir-fried with Ge Hui Fen), Bai Zhi (Angelicae Dahuricae Radix), Fang Feng (Saposhnikoviae Radix), Lian Qiao (Forsythiae Fructus), Gua Lou (Trichosanthis Fructus). Weigh 3 qian each.
Add two zhong of water, decoct until eight-tenths remains. Take before meals; or grind into powder, take 3 qian per dose with honey water after meals. When pus is nearly exhausted, remove Chuan Shan Jia and Lian Qiao, double the Dang Gui, and add Chuan Xiong (Ligustici Chuanxiong Rhizoma).
Yiyiren Tang (No. 164) Also known as Guazi Ren Tang. Treats Intestinal Abscess with abdominal pain, distension, loss of appetite, and scanty urine. This syndrome is common in postpartum women; even if it is not an abscess, taking this formula is particularly effective.
Chao Yi Yi Ren (Coicis Semen, stir-fried) weighs 5 qian. Gua Lou Ren (Trichosanthis Semen) weighs 3 qian. Mu Dan Pi (Moutan Cortex), Tao Ren (Persicae Semen, remove skin and tip). Weigh 2 qian each.
Decoct in water. Take on an empty stomach.
Mudanpi San (No. 165) Treats Intestinal Abscess with soft abdomen and pain, and frequent passage of pus.
Mu Dan Pi (Moutan Cortex), Renshen (Ginseng Radix), Huang Qi (Astragali Radix, stir-fried), Bai Fu Ling (Poria), Tian Ma (Gastrodiae Rhizoma), Bai Zhi (Angelicae Dahuricae Radix), Tao Ren (Persicae Semen, remove skin and tip), Yi Yi Ren (Coicis Semen), Dang Gui (Angelicae Sinensis Radix), Chuan Xiong (Ligustici Chuanxiong Rhizoma). Weigh 1 qian each. Guan Gui (Cinnamomi Cortex) and Gan Cao (Glycyrrhizae Radix et Rhizoma) weigh 0.5 qian each. Mu Xiang (Aucklandiae Radix) weighs 0.3 qian.
Decoct in water and take orally.
Meiren Tang (No. 166) Treats Intestinal Abscess with obstruction and pain, and constipation.
Meiren (Pruni Semen Persicae, nine kernels, remove skin and tip), Da Huang (Rhei Radix et Rhizoma, stir-fried), Mu Dan Pi (Moutan Cortex), Mang Xiao (Natrii Sulfas), Xi Jiao (Rhino CeratUs Cornu, shaved). Weigh 1 qian each. Dong Gua Ren (Benincasae Semen) weighs 3 qian, ground.
Decoct in water, add Xi Jiao powder, and take orally.
Dahuang Tang (No. 167) Also known as Mudanpi Tang. Specifically treats Intestinal Abscess with hard, swollen, hot lower abdomen, pain upon pressure, normal skin color or slight redness and swelling, frequent urination, sweating with aversion to cold, and deep, tight pulse, indicating pus has not yet formed. Take urgently.
Mu Dan Pi (Moutan Cortex), Gua Lou Ren (Trichosanthis Semen). Weigh 3 qian each. Tao Ren (Persicae Semen, remove skin and tip), Da Huang (Rhei Radix et Rhizoma, roasted), Mang Xiao (Natrii Sulfas). Weigh 2 qian each.
Add two zhong of water, decoct until one zhong remains. Take before meals. If Gua Lou is removed from this formula, it is named Dahuang Mudan Tang. Lizhai stated: This is a formula for moving and breaking blood stasis. It is effective for fever, spontaneous sweating, aversion to cold, lower abdominal pain, urinary symptoms resembling strangury, and a pulse that is not yet rapid. Danxi stated: Lower abdominal mass, pain on pressure, urinary symptoms resembling strangury or self-relief, fever without sweating, aversion to cold, and slow, tight pulse indicate unformed pus. Purging is indicated, and blood will be discharged. This is caused by accumulated heat. Therefore, *Jingui Yaolue* uses Da Huang to purge, which is this formula. If these symptoms are absent, it should not be used. If the pulse is slippery and rapid, with abdominal distension and pain, or frequent tenesmus, and pus has already drained, Bawei Paimon San, Lafan Wan, and interior-supporting medicines are appropriate.
Shegan Tang (No. 168) Treats Gastric Abscess with expectoration of pus and blood.
Shegan (Belamcandae Rhizoma, remove hairs), Shan Zhi Ren (Gardeniae Semen), Chi Fu Ling (Poria with Red Heart), Sheng Ma (Cimicifugae Rhizoma). Weigh 1 qian each. Bai Zhu (Atractylodis Macrocephalae Rhizoma) weighs 0.5 qian. Chi Shao Yao (Paeoniae Radix Rubra) weighs 1.5 qian.
Decoct in water and take orally.
Huaihua San (No. 169) Treats bleeding from intestinal wind and organ toxins.
Chao Huai Hua (Stemonae Flos, stir-fried), Shu Di Huang (Rehmanniae Radix Preparata), Qing Pi (Citri Reticulatae Pericarpium Viride), Chao Bai Zhu (Atractylodis Macrocephalae Rhizoma, stir-fried), Jingjie Sui (Schizonepetae Spica), Dang Gui Shen (Angelicae Sinensis Radix, mixed with wine), Sheng Ma (Cimicifugae Rhizoma). Weigh 1 qian each. Chuan Xiong (Ligustici Chuanxiong Rhizoma) weighs 0.4 qian.
Grind into powder. Take 3 qian per dose with rice drink on an empty stomach. Decocting in water is also acceptable.
Chushi Hexue Tang (No. 170) See Formula No. 219 in the Harmonizing Chapter. Treats Yangming deficiency collapse with damp-heat causing bloody stool and abdominal pain.
Xiakucao Tang (No. 171) Treats Scrofula (Luo Li) and Mardao (Marble Knife-like lumps), whether ulcerated or not, or chronic fistulas.
Xiakucao (Prunellae Spica) weighs 6 liang.
Add two zhong of water, decoct until seven-tenths remains. Remove dregs. Take after meals. This is a divine herb for nourishing blood and treating scrofula. For severe deficiency, decoct into a thick paste, take orally, and apply topically. More is better. Combining with Shiquan Dabu Tang plus Xiang Fu (Cyperi Rhizoma), Bei Mu (Fritillariae Bulbus), and Yuan Zhi (Polygalae Radix) is especially good.
Bixiao Gao (No. 172) Treats Scrofula where qi and blood are not yet depleted, and nodules persist. Take internally, and externally use Zhentou San to corrode necrotic tissue.
For qi and blood deficiency, first take Yiqi Yangying Tang for several doses, then take this medicine. After the toxin is expelled, take decoction for several more doses.
Nan Peng Sha (Borax), Qing Fen (Calomelas), She Xiang (Moschus), Ba Dou (Crotonis Fructus, five kernels, remove membrane), Bai Bing Lang (Arecae Betel Nut), Ban Mao (Mylabris, forty kernels, remove head and wings, stir-fry with glutinous rice).
Grind all into extremely fine powder. Take two chicken eggs, separate yolk from white. Use egg white to mix the powder, return to shell, seal with wet paper, steam in a rice cooker until cooked, dry, and grind into powder. For deficiency, take 0.5 qian; for excess, take 1 qian. Mix with stir-fried ginger wine or boiling water at dawn. If lower abdominal pain occurs, take Yiyuan San to expel toxin via urine. Pregnant women must not take. After toxin removal, take Yiqi Yangying Tang to heal the wound. Although Ban Mao and Ba Dou seem harsh, Ba Dou resolves the toxicity of Ban Mao, so do not fear. I met a wealthy merchant in the capital with a large neck scar caused by anger, suffering for two years without relief. A physician gave him one dose of this powder, which resolved immediately; repeated doses cured him completely in ten days. He sought the formula, which was Bixiao San. I compounded it to help others with success. Danxi also said that combining Bixiao San with Shenxiao Gualou San yields divine results. Usually, two doses combined with tonics are very effective, so it is recorded. Although harsh, it is necessary for deep-seated toxins. However, it is contraindicated for qi and blood deficiency. Another Daoist treated this with seven eggs, each containing one Ban Mao, steamed in rice. One eaten daily on an empty stomach. Many sought this. Books on Scrofula and Materia Medica record it, but it may not suit qi and blood deficiency.
Shegan Lianqiao San (No. 173) Treats Scrofula with alternating chills and fever.
Shegan (Belamcandae Rhizoma), Lian Qiao (Forsythiae Fructus), Xuan Shen (Scrophulariae Radix), Chi Shao Yao (Paeoniae Radix Rubra), Mu Xiang (Aucklandiae Radix), Sheng Ma (Cimicifugae Rhizoma), Qian Hu (Peucedani Radix), Zhi Zi Ren (Gardeniae Semen), Dang Gui (Angelicae Sinensis Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma). Weigh 1 qian each. Da Huang (Rhei Radix et Rhizoma) weighs 2 qian.
Decoct in water. Take after meals.
Rushen San (No. 174) Treats Scrofula that has ulcerated, with retained necrotic tissue and non-healing wounds.
Song Xiang Mo (Pini Resina) weighs 1 liang. Bai Fan (Alumen) weighs 3 qian.
Grind into powder. Mix with sesame oil for application, or sprinkle dry.
Yuxian Wubi Wan (No. 175) Treats Scrofula without pus formation, in patients with normal constitution. Take this pill. If qi and body feel deficient, first take Yiqi Yangying Tang until qi and blood are replenished, then take this pill. After nodules resolve, resume the previous decoction. If necrotic tissue remains after ulceration, use Zhentou San; if it does not heal, take this pill. After healing, resume the previous decoction.
Chao Bai Zhu (Atractylodis Macrocephalae Rhizoma, stir-fried), Bing Lang (Arecae Semen), Fang Feng (Saposhnikoviae Radix), Hei Chou (Brassicae Semen Nigrum, half raw half stir-fried, take top powder), Mi Tuo Seng (Lithargyri Pulvis), Yu Li Ren (Pruni Semen, processed, remove skin), Ban Mao (Mylabris, remove feet and wings, stir-fry with glutinous rice, discard rice), Gan Cao (Glycyrrhizae Radix et Rhizoma). Weigh 5 qian each.
Grind into fine powder, make pills with water paste, size of wu tou seeds. Take 20 pills morning and evening with Gan Cao and Bing Lang decoction. After about a month, mild abdominal pain may occur, and toxic material resembling fish eyes will pass via urine. Ulcerated ones will heal; un-ulcerated ones will dissipate.
*Zhouhou Fang* Treatment for Goiter (No. 176)
For sudden cystic formation in the neck developing into goiter, use 1 jin of Hai Zao (Sargassum), wash away saltiness, soak in wine, and drink continuously. Drink 2-3 cups frequently until a wine aroma is perceived.
Shenxiao Kaijie San (No. 177) Very effective for resolving goiter masses.
Ju Hong (Citri Reticulatae Pericarpium) weighs 4 liang. Chen Xiang (Aquilariae Lignum Resinatum), Mu Xiang (Aucklandiae Radix). Weigh 2 qian each. Zhen Zhu (Margarita, 49 grains, sealed in clay pot, fired red, cool to remove fire toxicity), Zhu Ye Rouzi (Porcine Thyroid, 49 pieces, from pig neck, date-sized).
Grind into powder. Take 1 qian per dose, mixed with wine before bed, swallow slowly. Small cases: 3-5 doses; large cases: one course cures. Avoid sour, salty, greasy, and qi-stagnating foods. Compound on a "Removal Day" in a quiet room.
Shengdi Huang Wan (No. 178) Treats widows, nuns, and unmarried women with alternating chills and fever, sores, cervical lymphadenopathy, wiry and long liver pulse extending beyond大鱼际 (Thenar Eminence), external absence of cold pathogens, and internal stagnant fire.
Sheng Di Huang (Rehmanniae Radix, 1 liang, mixed with wine and pounded into paste), Qin Jiao (Gentianae Macrophyllae Radix), Huang Qin (Scutellariae Radix), Ying Chai Hu (Bupleuri Radix). Weigh 0.5 liang each. Chi Shao Yao (Paeoniae Radix Rubra) weighs 1 liang.
Grind into powder, mix with Sheng Di Huang paste and refined honey to make pills, size of tung seeds. Take 30-50 pills per dose, twice daily with Wumei Tang (Mume Decoction).
*Waitai Mi Yao* Kunbu Wan (No. 179) Treats cystic formation in the neck developing into goiter.
Kun Bu (Eckloniae Thallus, washed with wine), Hai Zao (Sargassum Thallus, washed with wine). Equal parts.
Grind into powder, make pills with refined honey, size of marbles. Hold in mouth and swallow.
*Jisheng Fang* Yuhu San (No. 180) Treats three types of toxic goiter.
Hai Zao (Sargassum Thallus), Hai Dai (Laminaria Thallus), Kun Bu (Eckloniae Thallus), Lei Wan (Holostei Granulum). Weigh 1 liang each. E Zhu (Curcumae Rhizoma), Qing Yan (Natrii Chloridum). Weigh 0.5 liang each.
Grind into fine powder, make pills with old rice drink, size of tung seeds. Hold 4-5 pills in mouth anytime.
Shenxiao Gualou San (No. 181) Treats Breast Abscess and all carbuncles/furuncles. Reduces swelling and pain initially, induces rupture when pus forms, and heals after drainage. Among many formulas for carbuncles, this one is divine, especially for scrofula and sores. Suitable for residual toxins of all carbuncles.
Gua Lou (Trichosanthis Fructus, one fruit, mashed), Dang Gui (Angelicae Sinensis Radix, washed with wine), Sheng Gan Cao (Glycyrrhizae Radix et Rhizoma, raw). Weigh 0.5 liang each. Ru Xiang (Boswelliae Resina), Mo Yao (Commiphora Resina). Weigh 1 qian each.
Decoct in wine, take, wait a while, then take again. If unable to drink wine, use half wine half water. If ineffective after several doses, combine with qi and blood tonics. For Liver channel blood deficiency with persistent nodules, combine with Siwu Tang, Chai Hu, Sheng Ma, Bai Zhu, Fu Ling. For Liver/Spleen qi and blood deficiency, combine with Sijunzi Tang, Chuan Xiong, Dang Gui, Chai Hu, Sheng Ma. For spleen injury from depression with qi/blood loss, combine with Guipi Tang.
Haizao Sanjian Wan (No. 182) Treats Liver channel goiters and tumors.
Hai Zao (Sargassum Thallus), Kun Bu (Eckloniae Thallus), Long Dan Cao (Gentianae Radix, mixed with wine, stir-fried scorched). Weigh 2 liang each. Xiao Mai (Triticum Vulgare Fructus, boiled in vinegar, stir-fried dry) weighs 4 liang.
Grind into powder, make pills with refined honey, size of tung seeds. Take 20-30 pills before bed with warm water, or hold in mouth. For scrofula unresponsive to other treatments, combine with this and the previous formula. One variant includes 2 liang of Chai Hu.
Lianqiao Yinzi (No. 183) Treats intramammary nodules. If not resolved after several doses, combine with Bazhen Tang. For initial exterior syndromes, resolve exterior first.
Lian Qiao (Forsythiae Fructus), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Gua Lou Ren (Trichosanthis Semen, ground), Zao Ci (Gleditsiae Spina, stir-fried), Ju Ye (Citri Reticulatae Folium), Qing Pi (Citri Reticulatae Pericarpium Viride), Gan Cao Jie (Glycyrrhizae Radix et Rhizoma jointed), Tao Ren (Persicae Semen). Weigh 1.5 qian each.
Decoct in water. Take after meals.
Qinggan Jieyu Tang (No. 184) Treats Liver channel blood deficiency with wind-heat, or stagnant fire injuring blood, intramammary nodules, or non-healing swelling/ulcers. Suitable for all Liver/Gallbladder channel qi-blood disharmony.
Renshen (Ginseng Radix), Shu Di Huang (Rehmanniae Radix Preparata), Shao Yao (Paeoniae Radix, stir-fried), Fu Ling (Poria), Shan Zhi (Gardeniae Fructus, stir-fried), Bei Mu (Fritillariae Bulbus). Weigh 1 qian each. Chai Hu (Bupleuri Radix), Mu Dan Pi (Moutan Cortex), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Chen Pi (Citri Reticulatae Pericarpium). Weigh 0.5 qian each. Dang Gui (Angelicae Sinensis Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma). Weigh 1.5 qian each. Gan Cao (Glycyrrhizae Radix et Rhizoma) weighs 0.5 qian.
Decoct in water and take orally.
Qianghuo Baizhi San (No. 185) Treats wind-heat and blood dryness causing palm cracking, facial/head sores, body masses, or oozing pus.
Qiang Huo (Notopterygii Rhizoma et Radix), Bai Zhi (Angelicae Dahuricae Radix), Jingjie (Schizonepetae Spica), Ruan Chai Hu (Bupleuri Radix), Man Jing Zi (Vitalbae Fructus), Fang Feng (Saposhnikoviae Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma), Ya Zao (Gleditsiae Fructus), Huang Qin (Scutellariae Radix, wine-fried), Huang Lian (Coptidis Rhizoma, wine-fried). Weigh 1 qian each.
Decoct in water and take orally.
Huma San (No. 186) Treats wind-heat urticaria and itching.
Hu Ma Zi (Sesami Fructum) weighs 1.2 liang. Ku Shen (Sophorae Radix), Jingjie Sui (Schizonepetae Spica), He Shou Wu (Polygoni Multiflori Radix). Weigh 8 qian each. Wei Ling Xian (Salviae Miltiorrhizae Radix - *Note: Text says Wei Ling Xian, usually Saposhnikoviae, but context implies distinct herb*), Fang Feng (Saposhnikoviae Radix), Shi Chang Pu (Acori Tatarinowii Rhizoma), Niu Bang Zi (Arctii Fructus, stir-fried), Gan Ju Hua (Chrysanthemi Flos), Man Jing Zi (Vitalbae Fructus), Bai Ji Li (Tribuli Fructus, stir-fried), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried). Weigh 6 qian each.
Grind into powder. Take 2 qian per dose after meals with Bo He (Menthae Haplocalycis Herba) tea or clear tea.
Sisheng San (No. 187) Treats chronic leg ulcers, blurred vision (Kidney Wind), wind-xeroderma, scabies, and blood-wind sores.
Huang Qi (Astragali Radix), Du Huo (Angelicae Pubescentis Radix), Bai Fu Zi (Gmelini Rhizoma, authentic), Bai Ji Li (Tribuli Fructus). Equal parts.
Grind into powder. Take 2 qian per dose. Slice one pig kidney, insert powder, wrap in wet paper, roast until cooked. Chew finely on empty stomach, wash down with salt water.
Bingsu San (No. 188) Treats wind-dampness flowing accumulation, leg soreness/pain, or vomiting/anorexia.
Bing Lang (Arecae Semen), Mu Gua (Chaenomelis Fructus), Chen Pi (Citri Reticulatae Pericarpium), Zhi Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried). Weigh 1 qian each. Xiang Fu (Cyperi Rhizoma), Zi Su (Perillae Folium). Weigh 0.5 qian each.
Add one and a half zhong of water, three slices of Sheng Jiang (Zingiberis Rhizoma Recens), three stalks of Cong Bai (Allii Fistulosi Bulbus), decoct until one zhong remains. Take on empty stomach.
Shengma Heqi Yin (No. 189) Treats wind-xeroderma, sores, heat accumulation, and constipation.
Dang Gui (Angelicae Sinensis Radix), Chen Pi (Citri Reticulatae Pericarpium). Weigh 1.5 qian each. Zhi Qiao (Aurantii Fructus, stir-fried with bran), Shao Yao (Paeoniae Radix, wine-fried), Ban Xia (Pinelliae Rhizoma, processed), Chuan Jie Geng (Scrophulariae Radix, stir-fried), Bai Zhi (Angelicae Dahuricae Radix)