瘰 者。结核是也。或在耳前后连及颐颔下至缺盆。皆为瘰 或在胸及胸之侧。下连
两胁
。皆为马刀。手足少阳主之。此经多气少血。故多坚而少软脓白而稀如泔水状。又独形而小
者为结核。续断链接者为瘰 。形长如蛤者为马刀。
(此本膏粱火热之变。有因虚劳气郁所致。治宜补形气。调经脉。不必溃发。但令热气
散。其疮自消)
肩 曲池 合谷(手阳明) 支沟 天井(手少阳) 少海(手少阴) 天池(手厥阴) 大
足三里( 疮出于颊下。取足阳明) 渊液 阳辅 足临泣 太冲(腋肿马刀痈。取足少阳厥
阴)
以上凡毒深者灸后。再二三次报之愈。
初生时。男左女右灸风池。亦效。
一灸瘰 。用独蒜切如钱浓片。先从后发核上灸起。至初发母核而止。多灸自效。灸后
可服
煎药一剂。用牙皂七个。僵蚕七条。栝蒌一个连皮子切碎。五味子一岁一粒。以水二钟煎熟
外加生大黄(三五)钱量人虚实用之。一服即消。
一治瘰 不问已溃未溃。灸肘尖穴。以手仰置肩上微举起。则肘骨尖自见。即是灸处
。灸七壮。三次疮自除。在左灸左。在右灸右。
瘤者。留也。若怒动肝火。血涸而筋挛者。自筋肿起。按之如筋。久而或有赤缕。名曰
筋瘤
。若劳役火动。阴血沸腾外邪所搏而为肿者。自肌肉肿起。久而有赤缕。或皮俱赤者。名曰
血瘤。若郁结伤脾。肌肉消薄。外邪所搏而为肿者。自肌肉肿起。按之实软。名曰肉瘤。若
劳伤肺气。腠理不密。外邪所搏而壅肿者。自皮肤肿起。按之浮软。名曰气瘤。(一云有时
牵痛者)若劳伤肾水不能荣骨而为肿者。自骨肿起。按之坚硬。名曰骨瘤(一名石瘿)五瘤之
外。又惟粉瘤为最多。盖腠理津沫偶有所滞。聚而不散。则渐以成瘤是亦粉刺之属。但有浅
深
耳。深者在皮里。渐大成瘤也。向一人于眼皮下沿生一小瘤。初如米粒。渐大如豆。用钻针
三四枚。翻转眼皮刺其膜。少少出血。如此二三次。其瘤日缩。竟得渐消。又一人于手臂上
生
一瘤。渐大如龙眼。其人用小艾于瘤上灸七壮。竟尔渐消不长。或隔蒜灸之。凡有生此物者
。当以上二法酌宜用之。大都筋病宜灸。血病宜刺。或有以萝菔子南星朴硝之类敷而治之。
亦可暂消。若欲拔根。无如前法。
瘿瘤 颈瘤曰瘿。瘤气赤瘤。丹 。皆热胜气也。
风池(灸百壮) 大椎 天突(一切瘿瘤初起灸大妙) 肩 (男左灸十八壮。右灸十七壮
右灸十八壮左灸十七壮) 气舍 会 云门 天府 疣痣(疣。音由赘也。痣。音志黑子也
当疣上灸三壮即消。亦有只灸一壮。以水滴之自去者。
又灸手中指节宛宛中。疣痣皆效。
瘰疬，就是结核性的肿块。有的位于耳前、耳后，并延伸至下颌及缺盆部位，这些都称为瘰疬；有的位于胸部及胸侧，向下连接两胁部，这些都称为马刀。手足少阳经主管此类病症。这两条经脉多气而少血，所以肿块质地坚硬而缺乏柔软感，化脓时脓液稀薄如米泔水状。另外，单独形成且体积较小的称为结核；连续不断、相互连接的称为瘰疬；形状细长如蛤蜊壳的称为马刀。
（这原本是由于过食膏粱厚味导致火热之邪变化而成，也有因虚劳和气机郁结所致。治疗应当补益形体之气，调理经脉，不必强行溃破排脓，只需使热气消散，疮疡自然消除。）
取穴：肩髃、曲池、合谷（手阳明大肠经）；支沟、天井（手少阳三焦经）；少海（手少阴心经）；天池（手厥阴心包经）；足三里（疮疡生于颊下者，取足阳明胃经）；渊液、阳辅、足临泣、太冲（腋下肿胀、马刀痈，取足少阳胆经和足厥阴肝经）。
以上凡毒邪深重者，在艾灸之后，再施灸二三次以巩固疗效，即可痊愈。
初发时，男性灸左侧风池穴，女性灸右侧风池穴，也有效。
一种治疗瘰疬的方法：用独头蒜切成如铜钱厚的片状，先从后来发生的核上开始艾灸，直到最初发生的主核为止，多灸几次自有效果。艾灸后可以服用一剂煎药，药用牙皂七个、僵蚕七条、全瓜蒌一个（连皮带子切碎）、五味子按年龄一岁一粒，用水两碗煎煮至熟，外加生大黄三至五钱，根据患者虚实情况酌情使用。服一次即可消退。
另一种治疗瘰疬的方法，不问是否已经溃破，均灸肘尖穴。将手仰面放置于肩上微微举起，则肘骨尖端自然显露，此处即为灸处。每侧灸七壮，施灸三次，疮疡自然去除。左边的病灸左边，右边的病灸右边。
瘤，意为留滞不去。如果因愤怒触动肝火，导致阴血枯竭而筋脉拘挛，从筋部肿起，按压感觉像筋一样，时间久了可能出现红丝，称为筋瘤。如果因过度劳累导致火动，阴血沸腾，外邪搏结而形成肿胀，从肌肉层肿起，时间久了有红丝或皮肤全部发红，称为血瘤。如果因情志郁结损伤脾气，肌肉消薄，外邪搏结而形成肿胀，从肌肉层肿起，按压感觉实中带软，称为肉瘤。如果因劳累损伤肺气，腠理不紧密，外邪搏结而壅滞肿胀，从皮肤层肿起，按压感觉浮软，称为气瘤。（有一种说法是伴有牵拉疼痛）。如果因劳累损伤肾水，不能滋养骨骼而导致肿胀，从骨骼处肿起，按压感觉坚硬，称为骨瘤（又名石瘿）。在五瘤之外，又以粉瘤最为多见。这是因为腠理间的津液泡沫偶尔停滞，聚积不散，逐渐形成肿瘤，这也属于粉刺一类，只是深浅不同而已。深的在皮里，逐渐长大成为瘤。曾有一人眼皮下方沿生长一个小瘤，起初如米粒大小，逐渐长到如豆大，用钻针三四枚，翻转眼皮刺其膜，放出少量血液，如此二三次，瘤体日渐缩小，最终逐渐消退。又有一人在手臂上长了一个瘤，逐渐长到如龙眼大小，此人用小艾炷在瘤上灸七壮，最终逐渐消退不再生长。或者隔蒜灸也可以。凡是生有此物的人，应当根据上述两种方法酌情选用。大体而言，筋病适宜艾灸，血病适宜针刺。也有人用萝卜子、南星、朴硝等药物外敷治疗，也可以暂时消退。若想拔除病根，没有比前述方法更好的了。
瘿瘤：颈部肿块称为瘿，瘤气赤瘤、丹毒，都是热盛气滞的表现。
取穴：风池（灸百壮）、大椎、天突（一切瘿瘤初起时艾灸非常妙）、肩髃（男性左侧灸十八壮，右侧灸十七壮；女性右侧灸十八壮，左侧灸十七壮）、气舍、会厌、云门、天府。
疣痣：疣，音同“由”，赘生物也；痣，音同“志”，黑子也。应当在疣上灸三壮即消退，也有只灸一壮，用水滴之使其自行脱落的。
另外，灸手中指节弯曲凹陷处，对疣和痣都有效。
Luoli (Scrofula) refers to tubercular masses. They may occur in the preauricular and postauricular regions, extending to the submandibular area down to the clavicular fossa; these are all termed Luoli. Those located on the chest and its lateral aspects, extending downward to connect with both hypochondria, are all termed Machdao (Horseshoe-shaped Scrofula). The Hand-Shaoyang (Sanjiao) and Foot-Shaoyang (Gallbladder) meridians govern these conditions. These meridians have abundant Qi but scarce Blood; therefore, the masses are hard rather than soft, and when suppurating, the pus is thin like rice wash water. Additionally, those that form individually and are small are called Jiehe (Tubercles); those that are continuous and linked are called Luoli; those shaped long like a clam shell are called Machdao.
(This condition originally stems from changes due to excessive consumption of rich, greasy, and hot-natured foods, or it may be caused by consumptive disease and Qi stagnation. Treatment should focus on tonifying the body's Qi and regulating the meridians. There is no need to forcibly induce ulceration; simply allowing the heat to dissipate will cause the sores to heal spontaneously.)
Acupoints: Jianyu (LI15), Quchi (LI11), Hegu (LI4) [Hand-Yangming]; Zhigou (TE6), Tianjing (TE10) [Hand-Shaoyang]; Shaohai (HT3) [Hand-Shaoyin]; Tianchi (PC1) [Hand-Jueyin]; Zusanli (ST36) [For sores arising below the cheek, select Foot-Yangming]; Yuanli (GB23), Yangfu (GB38), Zulinqi (GB41), Taichong (LR3) [For axillary swelling, Machdao, and carbuncles, select Foot-Shaoyang and Foot-Jueyin].
For cases where the pathogenic toxin is deep, after moxibustion, perform two or three additional sessions for cure.
At the initial onset, males should have Fengchi (GB20) moxa-burned on the left side, and females on the right side; this is also effective.
One method for treating Luoli: Slice a single-clove garlic into thick pieces resembling a coin. Begin moxibustion on the nuclei that appeared later, continuing until reaching the primary nucleus that appeared first. Moxa-burning more frequently yields better results. After moxibustion, one dose of decoction can be taken: seven pods of Gleditsia sinensis (Yazao, 牙皂), seven silkworms treated with vinegar (Jiangcan, 僵蚕), one whole Trichosanthes fruit (Gualou, 栝蒌) including peel and seeds (crushed), and one Wuweizi (Schisandra chinensis, 五味子) berry per year of age. Decoct in two bowls of water until cooked. Add Sanhuang (Rhei Radix et Rhizoma, 大黄) 3-5 qian, adjusted according to the patient's deficiency or excess. One dose causes resolution.
Another treatment for Luoli, regardless of whether it has ulcerated or not, involves moxa-burning the Zhousjian (Elbow Tip) acupoint. Place the hand palm-up on the shoulder and lift slightly; the tip of the elbow bone becomes visible, which is the moxa-burning site. Moxa-burn seven cones (zhuang). After three sessions, the sore disappears naturally. Treat the left side if the lesion is on the left, and the right if on the right.
Liu (Tumor) means retention. If anger stirs Liver Fire, causing Yin blood to dry up and tendons to contract, swelling arises from the tendons; palpation feels like tendon. Over time, red threads may appear, named Jinliu (Tendon Tumor). If overwork stirs fire, causing Yin blood to boil and external pathogens to collide resulting in swelling, swelling arises from the muscle layer; over time, red threads appear or the skin turns entirely red, named Xueliu (Blood Tumor). If emotional depression injures Spleen Qi, causing muscle thinning, and external pathogens collide resulting in swelling, swelling arises from the muscle layer; palpation feels solid yet soft, named Rouliu (Flesh Tumor). If overwork injairs Lung Qi, making the interstices (Couli, 腠理) loose, and external pathogens collide causing congestion and swelling, swelling arises from the skin layer; palpation feels floating and soft, named Qiliu (Qi Tumor). (Some say it involves pulling pain). If overwork injures Kidney Water, failing to nourish bones and causing swelling, swelling arises from the bone; palpation feels hard, named Guliu (Bone Tumor) (also known as Shiying, Stone Goiter). Outside of these five tumors, Fenliu (Powder Tumor) is the most common. This occurs because fluids and phlegm in the interstices occasionally stagnate, gathering without dispersing, gradually forming a tumor. This also belongs to the category of acne, differing only in depth. Deep ones lie within the skin, gradually enlarging into a tumor. Once, a person had a small tumor growing along the lower eyelid, initially grain-sized, gradually enlarging to bean-sized. Using three or four piercing needles, the eyelid was turned inside out to pierce its membrane, releasing a small amount of blood. After two or three such sessions, the tumor shrank daily and eventually dissipated. Another person had a tumor on the arm, gradually enlarging to the size of a longan. This person used small moxa cones to moxa-burn seven cones on the tumor, which gradually dissipated and did not grow again. Alternatively, garlic-separated moxibustion can be used. For anyone developing such growths, one should choose between the above two methods appropriately. Generally, tendon disorders benefit from moxibustion, while blood disorders benefit from acupuncture. Some use topical applications of Radish seeds (Luobozhongzi, 萝卜子), Arisaema cum Bile (Nanxing, 南星), and Mirabilite (Piaoxiao, 朴硝) to treat them, which can temporarily reduce swelling. To eradicate the root, there is no method superior to the aforementioned ones.
Yingliu (Goiter and Tumors): Neck masses are called Ying (Goiter). Liuqi Cheliu (Red Tumor), Dandu (Erysipelas), are all due to Heat exceeding and Qi stagnating.
Acupoints: Fengchi (GB20) [Moxa-burn 100 cones], Dazhui (GV14), Tiantu (CV22) [Moxa-burning at the initial stage of any goiter or tumor is excellent], Jianyu (LI15) [Males: Left 18 cones, Right 17 cones; Females: Right 18 cones, Left 17 cones], Qishe (ST11), Huiyin (CV24 - *Note: Text says 'Hui', likely referring to a neck point contextually, possibly Yifeng or similar, but literal translation is Hui*), Yunmen (LU2), Tianfu (LU3).
Youzhi (Warts and Moles): You (Wart), pronounced 'you', is an excrescence; Zhi (Mole), pronounced 'zhi', is a black spot. Moxa-burn three cones directly on the wart to eliminate it; some cases require only one cone, followed by dropping water to make it fall off naturally.
Additionally, moxa-burning the center of the middle finger joint (Zhongzhixie, 中指节宛宛中) is effective for both warts and moles.