（附瘿）
周汉卿治山阴杨翁，项有疣如瓜，大醉仆阶下，溃血不能止。疣溃者必死。汉卿以药糁其穴，血
即止。（《明史》）
薛立斋治长洲庠王天爵，辛丑春，左腿近环跳穴患瘤，状如大桃，按之濡软。恪服除湿流气化痰
之剂，恶寒发热，食少体倦，形气俱虚。脉洪大而虚，气瘤也，肺主之。盖肝属木，肺属金，然发于
胆经部分，乃肺金侮肝木，元气亏损，而其脓已内溃矣。遂用十全大补汤，数剂出清白稀脓甚多，顿
加寒热，烦渴头痛，殊类伤寒状，此因脓泄而血气益虚，仍用前药。其势益甚，脉洪数大，按之如无，
乃加附子一钱。其势愈甚，而脉复如前，此虚甚而药不能及也，更加附子二钱，三剂诸症顿退。乃朝
用补中益气汤，夕用十全大补汤，各三十余剂，出腐骨五块，疮口将完。后因不慎起居，患处复溃，
诸症更发，咽间如焚，口舌无皮，用十全大补加附子一钱服之，诸症即愈。二日不服，内病悉至，患
处复溃。二年后又患，服前药不应。诊其尺脉，微细如丝，此属命门火衰，用八味丸为主，佐以十全
大补汤稍愈。至乙巳，仍患虚寒之症而殁。
一男子左腿外侧近臀肿一块，上有赤缕，三年矣，饮食起居如常。触破涌出血脓，发热恶寒。此胆经受症，
故发于腿外侧。诊其脉，左尺洪数，左关弦洪，此肾水不能生肝木，用补中益气汤、六味地黄丸而痊。
一老妪右腋下生一瘤，渐长至尺许，其状如长瓠子，久而溃烂。一方士以长柄鲜葫芦烧存性，研
末搽之，水出消尽而愈。
系瘤法∶芫花净洗带湿，不得犯铁器，于木石器中捣取汁，用线一条浸半日，或一宿，以线系瘤，
经宿即
落。如未落再换线，不过两次自落。后以龙骨并诃子末，敷疮口即合。根据上法系奶痔，累用得效。系
瘤法，《苏沈良方》有用蜘蛛丝者，然费力，不如此径捷。如无根，只用花泡浓水浸线亦得。赵氏家
姊尝用系腰间一瘤，不半日即落，亦不痛。（《百乙方》）
（ 按∶芫花用之系瘤即落，雄猛可知。虫门中，孙文坦尝用三分，以治某氏妇，立下其症。苟
非实积，未可轻试。）
孙真人治瘿一二年者，以万州黄药子半斤，须紧实者。若虚而轻，即他处产者，用一斤。取无灰
酒一斗浸，固脐器口，以糠火烧一伏时，停待酒冷却开，令患者日饮之，不令酒气绝。经三五日后，
以线围颈觉消，即停饮，否则令项细也。用火时不可多，惟烧酒气出瓶头，有津即止火，不待经宿也。
已验如神，忌毒食。
黄履素曰∶予年三十时，臀生一小瘤，根细如线，而头如豆大。越十年，渐大如荔，有妨跨马。
予有鉴于决瘤之说，不敢医。常叹曰∶吾年若六七十，此瘤当如碗大，必妨行坐矣，奈何？既而叹曰∶
七十即碍行坐，亦何妨？遂安意养之。及四十七岁时，偶擦伤瘤皮，水渗出不止。惧其成漏，乃延潘
惠峰问之。云∶欲去此瘤甚易，欲塞此漏甚难，瘤去则漏自塞矣。不得已，听其治。潘以药涂瘤，甚
痛，其肉尽黑，少倾血出津津。予甚惧且悔，不复求治，但求止血之药。越宿，则黑肉已坚如石片，
数日脱去，其根尚存如豆，水出仍不止，复商之潘。潘曰∶不去其根，漏仍不可塞也。又以前药点之，
痛甚，肉黑如初。次日复点，凡三次。内服托里散，每剂用黄 五钱。凡旬日，坚肉脱去，则根已平，
仍服托里散，外用长肌收口药，绝欲色劳，以渐收满，肌肉完好。予之服药，勤守戒慎者，而潘君亦
可谓妙手矣。
张子和在西华，众人皆讪以为吐泻。一日，魏寿之与张入食肆中，见一夫病一瘤，正当目之上纲，
肉色如灰李，下垂覆目之睛，不能视物。乃谓寿之曰∶吾不待食熟，立取此瘤。魏未之信也。语其
人，其人曰∶人
皆不敢割。曰∶吾非用刀割，别有一术焉。其人从之，乃引入一小室中，令俯卧一床，以绳束其 ，刺
乳中大出血，先令以手揉其目，瘤上亦刺，出雀粪立平。寿之大惊。张曰∶人之有技，可尽窥乎？
一女子未嫁，年十八，两手背皆有瘤，一类鸡距，一类角丸，腕不能驯。向明望之，如桃胶然。
夫家欲弃之。张见之曰∶在手背为胶瘤，在面者为粉瘤，此胶瘤也。以 针十字刺破，按出黄胶三两
匙，立平，更不再作。非素明者，不敢用此法。
一妇人年四十余，有瘿三瓣。张令以咸吐之，三涌、三汗、三下，瘿已半消。次服化瘿之药，遂
大消去。夫病在上皆宜吐，亦自有消息之法耳。
张景岳三旬外，忽臀下肛门前骨际皮里生一小粒，初如绿豆许，不以为意，及半年大如黄豆，又
一年如枣核，复如栗矣，乘马坐榻，皆有所碍，且渐痛。料此作敷药可散，又非煎药可及。若渐长大
如升如斗，悬挂腰股间，行动不便，将奈何？谋之识者，皆云不可割刺。恐为害，初亦不敢。然熟思
此时乘小不取，则日久愈大愈难矣。遂决意去之，乃饮酒乘醉，以柳叶针刺之，所出如豆腐白皮之类。
盖粉瘤也，刺后顿消。两日后则肿如热痈，以会通膏贴三日，脓溃而愈。不两日又肿起，更热更大，
始悔其刺之误，再以会通膏贴之。又三日而大溃，溃出一囊如鱼脬者，然后收口全愈。使治之再迟，
则难瘳矣。（藜按∶徐灵胎云∶凡形体有形之症，最宜外治。此语极为有见。余乡一人项生瘤大如拳，
已十余年，一日忽消去。问之，则曰近得一膏药贴之，故遂愈。急索其方，视之不过半夏、贝母、花
粉、陈皮、芥子、当归、川芎、红花、降香、桂枝、山甲、羌活、防风、麻黄、大黄等药，大意消痰
活血，通经络，并无奇特。然用之辄应手取效，后用之以贴流注，亦即消散。可见，药不在奇，对症
即能取效。景岳以瘤为非敷药可散，亦未明此理耳。）
一人眼皮下弦生一小瘤，初如米粒，渐大如豆，外科用攒针三四枚，翻转眼皮，刺其内膜，少少
出血。如此二三次，其瘤日缩，竟得尽消。
一人臂上生一瘤，渐大如龙眼，其人用小艾于瘤上灸七壮，竟尔渐消，亦善法也。或用隔蒜灸之，
亦无不可。
一人腹上生一瘤，大如胡桃，治者以蛛丝捻成粗线，扎其根。数日其丝渐紧，瘤根渐细，屡易屡
细，不十日竟脱落，诚奇法也。可见他线日松，惟蛛丝日紧，物理之妙，有当知者如此。然缠之亦宜
早，若情势既大，恐不宜也。（方出焦氏《笔乘》，旧案已载其略。）
沈抠文幼啮指甲，及长不能自禁，此肝火血燥也。又颈侧常生小疣子，屡散屡发。又臂生一块如
绿豆大，若触碎则如断束缕，扯之则长，纵之则缩。后两鬓发白点，求治。曰∶子素肝病，此部亦属
肝胆经也。夫爪为筋之余，但行人身之侧，正与啮爪生疣等症相应，须滋补肾水，以生肝胆，则诸症
自愈。与六味地黄丸服之，一年白点自退，瘤亦不生。
一男子小腹中一块，不时攻痛，或用行气化痰等药不应。犹以为血鳖，服行气逐血之剂，后手背
结一疣子，渐长寸许，形如鳖状，肢体间如豆大者甚多。彼疑鳖生子，今发于外，亦用行血，虚症悉
至，左尺洪数，关脉洪数而弦。谓肾水不能生肝木，以致肝火血燥而筋挛，用六味丸滋水生肝，三月
而愈。
陶氏佃民有病瘿者，尝与陶仆输谷如市，道远劳极，瘿撄其颈，气几不接。陶仆素愚，匆遽间削
竹为锐， 刺之，瘿穿气溢，颈复完，复荷担而起，一无所苦。（《说颐》。雄按∶可谓其愚不可及
也。）
予兄奇峰生两瘤，大如拳，僧传一方，用竹刺将瘤顶上，稍稍拨开油皮，勿令见血，细研铜绿少
许，放于拨开处，以膏药贴之，数日即溃出粉而愈。（《续金陵琐事》）
钱国宾治山西神池百长张侄女，年十七，自八岁左手背生瘤，日大，已如钟许，看系粉瘤可治。
与一方，用巴豆、蓖麻子肉各四两，大杏仁一两，香油一斤二两，血丹八两，熬膏药贴之，一日一换。
其皮渐浓，旬日皮红，半月皮破，出脓碗许，瘤消口平。
辛酉夏，广陵各盐场大行时疫，人多湿热病。若伤寒，头疼发热不恶寒，身体痛，舌红，昏睡不
食，思凉饮，肌黄，大便结，小便红，医用发散清凉剂，罔效。钱亦临症，治复不投病势，数日如故。
前后胸背渐长数十瘤，如核桃大，其皮甚薄，以针挑破，每瘤出虱数千，遍抓四处，人人寒禁，莫敢
近视。瘤破虱出调服，后
人仿此俱愈。
气颈之症，乃人项下坠如长瘤也。山东多有此症，虽风水所致，亦卧热炕，过食辛辣而然。他方
间有此。根由足厥阴肝经之脉，循喉咙之后，上入颃颡属肝，统于足阳明胃经。此盖起于肝胃二经，
瘤长挂下，虽非致命，大不美观。古今并无治法。钱访海上仙方，遇异人传授∶用青皮六钱疏肝；桔
梗六钱引导；木馒头，一名鬼馒头， 存性一两，消瘿散肝胃二经结气。共末，酒下一钱。凡气颈小
者，三四月消。大者七八月，或一年消。其功虽缓，其方百发百中。即钱已治兰溪王元直，兖州赵瑚
琏二人矣。不惜良方，普利后世。
会溪黄元亮，文士也，年五旬颈生气瘤。候其六脉波旺，荣卫俱足，精神元气亦浓，止肝部沉滞，
气结成瘤。钱告之曰∶公无病患也，气瘤结于颈下，不过不美观耳，然无大害。书云∶凡粉瘤、痰瘤、
蛊瘤、石瘤、腿瘤、虱瘤、发疽瘤可治，凡气瘤、筋瘤、肉瘤、肩瘤、瘿瘤、血瘤、肋瘤、乳瘤、肘
臂瘤不可治，治之破膜泄气不救，宜绝此念，勿信庸愚，以轻性命也。黄拜谢而去。
（附：瘿病）
周汉卿治疗山阴杨老先生，其颈部生有疣状物，大小如瓜。老人大醉后倒在台阶下，导致疣体溃破出血不止。疣体溃破者必死无疑。周汉卿用药粉敷撒在疮口上，血随即止住。（出自《明史》）
薛立斋治疗长洲县学廪生王天爵，辛丑年春天，左腿靠近环跳穴处患肿瘤，形状像大桃子，按压时感觉柔软。患者严格服用除湿、行气、化痰的药物，出现恶寒发热、食欲减退、身体疲倦的症状，形体与正气都虚弱。脉象洪大但按之空虚，这是气瘤，由肺脏所主。因为肝属木，肺属金，但病变发生在胆经循行部位，这是肺金反侮肝木，加上元气亏损，且脓液已经在内部溃破。于是使用十全大补汤，服用几剂后排出大量清白色的稀脓，突然加重了寒热症状，心烦口渴、头痛，非常类似伤寒的症状，这是因为脓液流出导致气血更加虚弱，仍然使用前面的药物。病情反而更加严重，脉象洪数而大，但重按却感觉不到脉搏跳动，于是增加附子一钱。病情进一步加重，脉象又恢复到之前的状态，这是因为虚损太严重，药力不能到达，再增加附子二钱，服用三剂后各种症状顿时消退。于是早晨服用补中益气汤，晚上服用十全大补汤，各服用三十多剂，排出腐骨五块，疮口即将愈合。后来因为起居不慎，患处再次溃破，各种症状再次发作，咽喉间如火烧，口舌无皮，使用十全大补汤加附子一钱服用，各种症状立即痊愈。两天不服药，内伤病症全部复发，患处再次溃破。两年后又患病，服用以前的药物无效。诊察其尺脉，微细如丝，这属于命门火衰，以八味丸为主方，佐以十全大补汤，稍微好转。到了乙巳年，仍然因患虚寒症去世。
一个男子左腿外侧靠近臀部肿起一块，上面有红色血丝，已经三年了，饮食起居如常。触碰破裂后涌出血液和脓液，伴有发热恶寒。这是胆经受邪所致，所以发于腿外侧。诊察其脉象，左尺脉洪数，左关脉弦洪，这是肾水不能生养肝木，使用补中益气汤、六味地黄丸而痊愈。
一位老妇人右腋下生有一个肿瘤，逐渐长到一尺多长，形状像长葫芦，时间久了溃烂。一位道士用长柄鲜葫芦烧至存性，研成粉末外搽，水流尽后肿块消失而痊愈。
系瘤法：将芫花洗净带湿，不得接触铁器，在木石器中捣取汁液，用一根线浸泡半天或一夜，用这根线系住肿瘤根部，经过一夜即脱落。如果未脱落再换线，不超过两次自然脱落。之后用龙骨和诃子末敷在疮口上即可愈合。根据这种方法系奶痔，多次使用都有效。系瘤法，《苏沈良方》中有用蜘蛛丝的，但是费力，不如这个方法简便快捷。如果没有根，只用芫花泡浓水浸线也可以。赵氏家姐曾用此法系腰间的一个肿瘤，不到半天就脱落，也不疼痛。（出自《百乙方》）
（按语：芫花用于系瘤即刻脱落，可知其药性雄猛。虫类药门中，孙文坦曾使用三分，治疗某姓妇女，立刻立下疗效。如果不是实证积聚，不可轻易尝试。）
孙真人治疗患瘿病一两年的患者，用万州产的半斤黄药子，必须选择坚实紧实的。如果是虚而轻的，就是其他地方出产的，用一斤。取无灰酒一斗浸泡，密封容器口，用糠火烧煮一顿饭的时间，等待酒冷却后打开，让患者每天饮用，不让酒气断绝。经过三五天后，用线围住脖子觉得消减，就停止饮用，否则会让脖子变细。用火时不可过多，只要烧得酒气从瓶头冒出，有津液渗出就停止火，不需要等到过夜。已经验证如神，忌食有毒食物。
黄履素说：我三十岁时，臀部生了一个小肿瘤，根部细如线，头部如豆大。过了十年，逐渐长大如荔枝，妨碍跨马。我有鉴于决瘤的说法，不敢医治。常常叹息说：如果我活到六七十岁，这个肿瘤应该会有碗那么大，一定妨碍行坐了，怎么办？接着又叹息说：即使七十岁妨碍行坐，又有什么妨碍呢？于是安心调养它。到了四十七岁时，偶然擦伤瘤皮，水渗出不止。害怕形成漏管，于是请潘惠峰诊治。他说：想要去掉这个肿瘤很容易，想要堵塞这个漏管很难，肿瘤去掉了漏管自然就会堵塞。不得已，听从他的治疗。潘医生用药涂抹肿瘤，非常疼痛，肉完全变黑，过了一会儿血渗出津津。我非常恐惧且后悔，不再求治，只求止血药。过了一夜，黑肉已经坚硬如石片，几天后脱落，根部还残留如豆大，水渗出仍不止，再次咨询潘医生。潘医生说：不去除根部，漏管仍然无法堵塞。又用前药点涂，疼痛剧烈，肉变黑如初。第二天再次点涂，共三次。内服托里散，每剂用黄芪五钱。共十天，坚肉脱落，根部已平，继续服用托里散，外用长肌收口药，戒绝房事劳累，逐渐收满，肌肉完好。我服药勤勉，遵守戒律谨慎，而潘君也可谓妙手了。
张子和在西华，众人都讥笑他让人吐泻。一天，魏寿之和张子和一起进入餐馆，看见一个男人患有一个肿瘤，正当眼睛上方，肉色像灰色的李子，下垂覆盖眼球，不能视物。张子和对魏寿之说：我不等饭熟，立刻取下这个肿瘤。魏寿之不相信。张子和告诉那个人，那人说：别人都不敢割。张子和说：我不是用刀割，另有别的技术。那人听从了他，于是引他进入一个小房间，让他俯卧在床上，用绳子束住乳头，刺破乳头大量出血，先让他用手揉眼睛，肿瘤上也刺破，流出像麻雀粪便一样的东西，肿瘤立刻平复。魏寿之非常惊讶。张子和说：人的技艺，可以完全窥探吗？
一个女子未出嫁，十八岁，两手背都有肿瘤，一类像鸡距，一类像角丸，手腕不能自如活动。对着光亮看，像桃胶一样。夫家想抛弃她。张子和见了说：在手背的是胶瘤，在面部的叫粉瘤，这是胶瘤。用针十字形刺破，按压出黄胶三两匙，立刻平复，不再复发。不是平时精通医术的人，不敢用这种方法。
一个四十多岁的妇人，有三瓣瘿病。张子和让她用咸味催吐，三次涌吐、三次发汗、三次泻下，瘿病已经消除一半。接着服用化瘿的药物，于是大大消除去除。凡是病在上部都适宜用吐法，也有其中的道理和方法罢了。
张景岳三十多岁后，忽然臀下肛门前骨际皮肤里生出一小粒，起初像绿豆大小，不以为意，半年后大如黄豆，又一年像枣核，又像栗子，骑马坐榻，都有阻碍，并且逐渐疼痛。料想这种病用敷药可以消散，又不是煎药能达到的。如果逐渐长大如升如斗，悬挂在腰股之间，行动不便，该怎么办？向有见识的人谋划，都说不可割刺。恐怕有害，起初也不敢。然而深思此时趁着小不取除，则日久越大越难了。于是决定去除它，便饮酒乘醉，用柳叶针刺入，所出的东西像豆腐白皮之类。原来是粉瘤，刺后立刻消退。两天后则肿胀像热痈，用会通膏贴三天，脓溃而愈。不到两天又肿起，更热更大，开始后悔刺错了，再用会通膏贴之。又三天后大溃，溃出一个像鱼鳔一样的囊，然后收口全愈。如果治疗再迟一些，就很难治愈了。（藜按：徐灵胎说：凡是形体有形之症，最适宜外治。这话非常有见地。我家乡一人项部生瘤大如拳头，已有十多年，一天忽然消失。询问他，他说最近得到一张膏药贴上，所以痊愈。急忙索要其方，看不过半夏、贝母、花粉、陈皮、芥子、当归、川芎、红花、降香、桂枝、山甲、羌活、防风、麻黄、大黄等药，大意是消痰活血，通经络，并无奇特。然而使用辄应手取效，后来用它贴流注，也即消散。可见，药不在奇，对症即能取效。景岳认为瘤非敷药可散，也未明白这个道理耳。）
一个人眼皮下缘生一小瘤，起初如米粒，逐渐大如豆，外科医生用三四枚攒针，翻转眼皮，刺其内膜，少量出血。如此二三次，其瘤日渐缩小，最终完全消除。
一个人手臂上生一瘤，逐渐大如龙眼，此人用小艾炷在瘤上灸七壮，竟然渐渐消退，也是好方法。或者用隔蒜灸，也没有不可以。
一个人腹部生一瘤，大如胡桃，治疗者用蛛丝捻成粗线，扎其根部。几天后丝线逐渐收紧，瘤根逐渐变细，屡次更换屡次变细，不到十天竟然脱落，真是奇特的方法。可见其他线日渐松弛，只有蛛丝日渐收紧，物理的奥妙，应当知道的如此。然而缠绕也应该早，如果情势已经很大，恐怕不宜。（方出焦氏《笔乘》，旧案已记载其略。）
沈抠文小时候咬指甲，长大后不能自我控制，这是肝火血燥。另外颈侧常生小疣子，屡散屡发。另外臂生一块如绿豆大，如果触碎则像断开的丝缕，拉扯则长，松开则缩。后来两鬓出现白发点，求治。我说：你素来肝病，此部位也属肝胆经。爪为筋之余，只行于人身侧面，正与咬爪生疣等症状相应，须滋补肾水，以生养肝胆，则诸症自愈。给予六味地黄丸服用，一年后白点自退，肿瘤也不再生长。
一个男子小腹中有一块，不时攻痛，或用行气化痰等药无效。还以为是血鳖，服用行气逐血的药剂，后来手背结一疣子，逐渐长寸许，形状像鳖，肢体间如豆大的很多。他怀疑鳖生子，现在发于外部，也用行血药，虚症全部到来，左尺脉洪数，关脉洪数而弦。说是肾水不能生养肝木，以致肝火血燥而筋挛，用六味丸滋水生肝，三个月而愈。
陶氏佃户有病瘿的，曾经与陶仆运谷如集市，路途远劳累至极，瘿病侵扰颈部，气几乎接不上。陶仆向来愚笨，匆忙间削竹为锐器，刺破瘿病，瘿穿气溢，颈部复原，重新担起担子起来，一无所苦。（《说颐》。雄按：可谓其愚不可及也。）
我的哥哥奇峰生两个肿瘤，大如拳头，僧人传授一方，用竹刺将瘤顶上，稍稍拨开油皮，不要令见血，细研铜绿少许，放在拨开处，用膏药贴之，几天后即溃出粉而愈。（《续金陵琐事》）
钱国宾治疗山西神池百长张侄女，年十七，自八岁左手背生瘤，日大，已如钟许，看系粉瘤可治。给一方，用巴豆、蓖麻子肉各四两，大杏仁一两，香油一斤二两，血丹八两，熬膏药贴之，一日一换。其皮渐浓，旬日皮红，半月皮破，出脓碗许，瘤消口平。
辛酉夏，广陵各盐场大行时疫，人多湿热病。若伤寒，头疼发热不恶寒，身体痛，舌红，昏睡不食，思凉饮，肌黄，大便结，小便红，医用发散清凉剂，罔效。钱亦临症，治复不投病势，数日如故。前后胸背渐长数十瘤，如核桃大，其皮甚薄，以针挑破，每瘤出虱数千，遍抓四处，人人寒禁，莫敢近视。瘤破虱出调服，后人仿此俱愈。
气颈之症，乃人项下坠如长瘤也。山东多有此症，虽风水所致，亦卧热炕，过食辛辣而然。他方间有此。根由足厥阴肝经之脉，循喉咙之后，上入颃颡属肝，统于足阳明胃经。此盖起于肝胃二经，瘤长挂下，虽非致命，大不美观。古今并无治法。钱访海上仙方，遇异人传授∶用青皮六钱疏肝；桔梗六钱引导；木馒头，一名鬼馒头， 存性一两，消瘿散肝胃二经结气。共末，酒下一钱。凡气颈小者，三四月消。大者七八月，或一年消。其功虽缓，其方百发百中。即钱已治兰溪王元直，兖州赵瑚琏二人矣。不惜良方，普利后世。
会溪黄元亮，文士也，年五旬颈生气瘤。候其六脉波旺，荣卫俱足，精神元气亦浓，止肝部沉滞，气结成瘤。钱告之曰∶公无病患也，气瘤结于颈下，不过不美观耳，然无大害。书云∶凡粉瘤、痰瘤、蛊瘤、石瘤、腿瘤、虱瘤、发疽瘤可治，凡气瘤、筋瘤、肉瘤、肩瘤、瘿瘤、血瘤、肋瘤、乳瘤、肘臂瘤不可治，治之破膜泄气不救，宜绝此念，勿信庸愚，以轻性命也。黄拜谢而去。
(Attached: Goiter)
Zhou Hanqing treated an old gentleman named Yang from Shanyin, who had a wart-like growth on his neck, the size of a melon. After falling down drunk onto the steps, the growth ulcerated and bled uncontrollably. Ulceration of warts is invariably fatal. Zhou Hanqing applied medicinal powder to the wound, and the bleeding stopped immediately. (From *History of Ming*)
Xue Lizhai treated Wang Tianjue, a student at the Changzhou county school. In the spring of the Xinchou year, he developed a tumor near the Huantiao acupoint on his left leg, shaped like a large peach and soft to the touch. He strictly took decoctions for dampness removal, qi circulation, and phlegm resolution, but developed aversion to cold, fever, poor appetite, fatigue, and deficiency in both form and vital energy. His pulse was surging yet empty upon pressure, indicating Qi Tumor (a type of tumor associated with the Lung organ). Since the Liver belongs to Wood and the Lung to Metal, but the lesion occurred in the Gallbladder meridian region, this represented Metal insulting Wood, compounded by depletion of Yuan Qi (Original Vital Energy), with pus already forming internally. He prescribed Shiquan Dabu Tang (Ten-Agent Tonifying Decoction). After several doses, copious clear white thin pus was discharged. Suddenly, chills and fever intensified, accompanied by irritability, thirst, and headache, resembling Cold Damage (Shanghan). This was due to further depletion of Qi and Blood following pus discharge; thus, the previous formula was continued. The condition worsened, and the pulse became surging, rapid, and large but vanished upon deep pressure. An additional one qian of Fuzi (Prepared Aconite Root) was added. The condition deteriorated further, and the pulse returned to its previous state, indicating severe deficiency where the medication could not reach. Another two qian of Fuzi were added. After three doses, all symptoms subsided. Thereafter, Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) was taken in the morning, and Shiquan Dabu Tang in the evening, each for over thirty doses. Five pieces of necrotic bone were expelled, and the wound nearly healed. Later, due to improper daily care, the site re-ulcerated, and symptoms recurred: burning sensation in the throat, loss of skin on the mouth and tongue. Shiquan Dabu Tang with one qian of Fuzi was administered, resolving the symptoms. However, after two days without medication, internal disorders returned, and the site re-ulcerated. Two years later, the illness recurred, and previous medications failed. The Chi pulse (Kidney pulse) was faint and thread-like, indicating Declining Fire of the Gate of Vitality (Mingmen). Bayi Wan (Eight-Ingredient Pill) was used as the main formula, assisted by Shiquan Dabu Tang, resulting in slight improvement. By the Yisi year, he died from deficiency-cold syndrome.
A man had a swelling on the lateral aspect of his left thigh near the buttock, with red blood vessels on the surface, lasting three years. His diet and daily activities were normal. Upon rupture, blood and pus gushed out, accompanied by fever and aversion to cold. This resulted from pathogenic factors affecting the Gallbladder meridian, hence appearing on the lateral leg. The left Chi pulse was surging and rapid, and the left Guan pulse was wiry and surging, indicating that Kidney Water fails to nourish Liver Wood. Treatment with Buzhong Yiqi Tang and Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia) led to recovery.
An elderly woman developed a tumor in her right axilla, growing to about one chi long, resembling a long gourd, which eventually ulcerated. A Daoist practitioner applied powder made from fresh long-handled gourds calcined to preservation of nature, ground into powder. The exudate dried up, and the tumor resolved.
Method for Ligating Tumors: Wash Yuanhua (Genkwa Flower) while wet, avoiding iron utensils. Crush in wooden or stone vessels to extract juice. Soak a thread in the juice for half a day or overnight. Use this thread to ligate the base of the tumor. It will fall off after one night. If not, replace the thread; it should fall off within two attempts. Apply powder of Longgu (Fossilized Bones) and Hezi (Chebula Fruit) to the wound to promote healing. This method has been effective for mammary tumors. *Su Shen Liang Fang* mentions using spider silk, but it is laborious and less convenient than this method. If no root is present, soaking thread in concentrated Yuanhua infusion suffices. Ms. Zhao used this method to remove a waist tumor in half a day without pain. (From *Bai Bai Fang*)
(Note: Yuanhua's efficacy in causing immediate tumor detachment reveals its potent nature. Sun Wentan used three fen of insect-derived medicines to treat a woman, achieving immediate results. Such potent agents should not be used lightly unless there is substantial accumulation.)
Sun Simiao treated goiter of one to two years' duration using half a jin of Huangyaizi (Yellow Drug tuber) from Wanzhou, selecting only dense, solid specimens. If lighter or from other regions, use one jin. Soak in ten dou of unadulterated wine, seal the vessel, and heat with bran for the time it takes to cook a meal. Cool, then let the patient drink daily without letting the effect cease. After three to five days, if encircling the neck shows reduction, stop drinking to prevent excessive neck thinning. Heat carefully until wine vapor escapes and moisture appears, then stop heating; do not wait overnight. This method is highly effective; avoid toxic foods.
Huang Lvsu stated: At age thirty, I developed a small tumor on my buttock, with a root as thin as a thread and a head the size of a bean. Ten years later, it grew to the size of a lychee, hindering horse riding. Knowing the risks of surgical removal, I dared not treat it. I sighed, "If I live to sixty or seventy, this will be bowl-sized and hinder walking and sitting. What then?" Then I reasoned, "Even if it hinders movement at seventy, what harm is there?" So I accepted it. At forty-seven, I accidentally scratched the tumor skin, causing continuous fluid leakage. Fearing fistula formation, I consulted Pan Huifeng. He said, "Removing the tumor is easy; sealing the leak is hard. Remove the tumor, and the leak seals itself." Reluctantly, I agreed. Pan applied medicine to the tumor, causing severe pain and blackening of the flesh, followed by oozing blood. I feared and regretted, seeking only hemostatics. Overnight, the blackened flesh hardened like stone and shed after several days, leaving a bean-sized root with continued leakage. Pan said, "Without removing the root, the leak cannot be sealed." He reapplied the medicine three times. Internally, Tuoli San (Support the Interior Powder) with five qian of Huangqi (Astragalus Root) per dose was given. After ten days, the hardened flesh shed, the root flattened, and Tuoli San continued externally with muscle-regenerating agents. Abstaining from sexual activity and labor allowed gradual healing. My diligence in taking medicine and Pan's skill combined for success.
Zihe Zheng (Zhang Yuansu) was in Xihua, mocked by many for inducing vomiting and purging. One day, Wei Shouzhi and Zheng entered a restaurant and saw a man with a tumor above the eye, grayish like a plum, hanging over the eyeball, obscuring vision. Zheng told Wei, "I will remove this tumor before our food cooks." Wei doubted him. Zheng asked the patient, who said others dared not cut it. Zheng replied, "I do not use a knife; I have another technique." The patient agreed. Zheng led him to a small room, instructed him to lie prone, tied the nipple, pierced it causing heavy bleeding, rubbed the eye, and pierced the tumor, discharging material resembling sparrow droppings. The tumor flattened instantly. Wei was astonished. Zheng said, "Can human skills be fully understood?"
An unmarried eighteen-year-old girl had tumors on both dorsal hands, resembling chicken spurs and horned testicles, limiting wrist movement. They looked like peach gum when held to light. Her husband's family wanted to discard her. Zheng identified them as Jiao Liu (Glue Tumors) on the hands, distinct from Fen Liu (Powder Tumors) on the face. He punctured them in a cross pattern, expressing three spoonfuls of yellow glue. The tumors flattened instantly and did not recur. Only those well-versed in such methods dare use this technique.
A woman in her forties had a tri-lobed goiter. Zheng induced vomiting three times, sweating three times, and purging three times. The goiter reduced by half. Subsequent administration of goiter-resolving herbs caused significant reduction. Diseases located superiorly are often suitable for emesis, following specific principles.
Zhang Jingyue, in his thirties, developed a small lump under the skin between the anus and buttocks, initially mung-bean sized. Ignored initially, it grew to soybean size in six months, jujube pit size in a year, and chestnut size thereafter, hindering riding and sitting, with increasing pain. He suspected external application could resolve it, believing decoctions would not reach it. He worried about future enlargement and immobility. Advisers warned against cutting. Reflecting that early removal is easier, he decided to proceed. Drunk, he pricked it with a willow-leaf needle, extruding material resembling tofu skin. It was a Fen Liu (Powder Cyst). It collapsed immediately post-pricking. Two days later, it swelled like a hot abscess. Applied Huitong Gao (Huitong Plaster) for three days; pus drained, and it healed. Two days later, it swelled again, hotter and larger. Regretting the prick, he reapplied plaster. Three days later, it ulcerated massively, expelling a fish-bladder-like sac. Healing ensued. Delayed treatment would have been difficult. (Li's Note: Xu Lingtai stated, "External treatment is best for tangible形体 abnormalities." This is insightful. A villager had a拳-sized neck tumor for ten years that suddenly disappeared after applying a plaster containing Banxia, Beimu, Fenhua, Chenpi, Jiezi, Danggui, Chuanxiong, Honghua, Jiangxiang, Guizhi, Shan Jia, Qianghuo, Fangfeng, Mahuang, Dahuang, etc., aimed at resolving phlegm, invigorating blood, and unblocking meridians. Effectiveness depends on correct diagnosis, not novelty. Zhang's belief that tumors cannot be resolved by plasters was mistaken.)
A man had a small tumor below the eyelid margin, starting rice-grain sized, growing to bean-sized. A surgeon used multiple needles to evert the eyelid and pierce the inner membrane, causing slight bleeding. After two or three sessions, the tumor shrank and disappeared.
A man had a tumor on his arm, growing to longan size. He moxa-burned it with seven cones of small mugwort, leading to gradual resolution. Alternatively, garlic-separated moxibustion is also acceptable.
A man had a walnut-sized tumor on his abdomen. The practitioner tied its base with thick spider-silk thread. As the thread tightened over days, the tumor base narrowed. After changing threads repeatedly over ten days, it detached. This demonstrates the unique property of spider silk tightening over time. Early intervention is crucial; advanced cases may not be suitable. (From Jiao Shi's *Bicheng*, previously recorded briefly.)
Shen Kouwen bit his nails in childhood, unable to stop as an adult, indicating Liver Fire and Blood Dryness. He also frequently developed small warts on the neck side and a绿豆-sized lump on the arm that elongated when pulled and contracted when released, resembling broken threads. Later, white spots appeared on his temples. Diagnosis: Chronic Liver disease affects the Gallbladder/Liver meridian region. Nails are extensions of sinews, running along the body's sides, correlating with nail-biting and warts. Treatment required nourishing Kidney Water to generate Liver Wood. Liuwei Dihuang Wan was administered. White spots faded, and tumors ceased after one year.
A man had intermittent abdominal pain from a mass. Qi-moving and phlegm-resolving drugs failed. Suspecting Blood Bi, he took blood-invigorating formulas. Later, a wart appeared on the hand, growing to an inch, turtle-shaped, with many bean-sized lesions on the limbs. Suspecting external manifestation of internal parasites, he used blood-invigorating drugs, leading to deficiency signs. Left Chi pulse was surging/rapid; Guan pulse was surging/rapid/wiry. Diagnosis: Kidney Water failing to nourish Liver Wood, causing Liver Fire, Blood Dryness, and tendon spasms. Liuwei Wan nourished Water to generate Liver Wood. Recovery in three months.
A tenant of the Tao family suffered from goiter. While transporting grain with a servant over a long distance, exhaustion aggravated the goiter, nearly stopping his breath. The foolish servant quickly sharpened a bamboo stick and pierced the goiter. Air escaped, the neck restored, and he resumed carrying loads without discomfort. (From *Shuo Yi*. Note: This illustrates extreme folly.)
My brother Qifeng had fist-sized tumors. A monk provided a recipe: Pierce the top of the tumor slightly, opening the oily skin without bleeding. Grind a small amount of Tonglv (Malachite Green), apply to the opened area, and cover with plaster. Pus and powder discharged after several days, curing the condition. (From *Xu Jinling Suoshi*)
Qian Guobin treated a seventeen-year-old niece of a local official in Shenshi, Shanxi. She had developed a tumor on her left hand since age eight, growing to bell-sized. Identified as a Fen Liu (Powder Cyst), treatable. Prescribed a plaster made from Sibadou (Croton Seed), Bimazi Rou (Castor Bean Paste), Daxingren (Almond), Sesame Oil, and Xuedan (Cinnabar). Applied daily. Skin thickened, reddened in ten days, ruptured in fifteen days, draining a bowl of pus. Tumor resolved, wound closed.
In summer of Xinyou year, an epidemic swept salt fields in Guangling, causing damp-heat syndromes. Symptoms resembled Cold Damage but included headache, fever without aversion to cold, body ache, red tongue, lethargy, anorexia, craving cold drinks, jaundice, constipation, and red urine. Dispersing and cooling agents failed. Qian observed the condition worsening despite treatment. Dozens of walnut-sized tumors with thin skin appeared on the chest and back. Puncturing them released thousands of lice. Scratching caused chills; people avoided them. Administering the extracted lice content cured subsequent cases.
Qi Jing (Qi Neck) refers to a sagging mass on the neck resembling a long tumor. Common in Shandong, caused by wind-water, sleeping on hot kang, and excessive spicy food. Pathogenesis involves the Foot Jueyin Liver meridian circling the throat and connecting to the Liver, governed by the Foot Yangming Stomach meridian. Arising from Liver-Stomach disharmony, these tumors hang down, unsightly though not fatal. No ancient treatments existed. Qian learned a secret formula: Qingpi (Green Tangerine Peel) 6 qian to soothe Liver; Jiegeng (Platycodon Root) 6 qian to guide; Mutouteng (Wood Mallow) 1 liang, calcined, to dissipate stagnation in Liver/Stomach meridians. Ground to powder, taken with wine, one qian. Small cases resolve in 3-4 months; large ones in 7-8 months or a year. Slow but effective. Qian successfully treated Wang Yuanzhi and Zhao Hulian. Sharing this good prescription for public benefit.
Huang Yuanliang, a scholar from Huixi, aged fifty, developed a Qi Tumor on his neck. Pulse waves were vigorous, Ying and Wei sufficient, spirit and Yuan Qi robust, except for stagnation in the Liver sector causing Qi condensation. Qian advised: "You have no serious illness. The Qi Tumor is merely unsightly, not harmful. Texts state: Fen Liu, Tan Liu, Gu Liu, Shi Liu, Tui Liu, Shi Liu, Fa Ju Liu are treatable. Qi Liu, Jin Liu, Rou Liu, Jian Liu, Ying Liu, Xue Liu, Lei Liu, Ru Liu, Zhou Bi Liu are untreatable. Treating them breaks membranes, leaks Qi, and is fatal. Abandon this idea. Do not trust quacks and risk your life." Huang thanked him and left.