人有生痰块于项颈，坚如石者，久则变成瘰 ，流脓流血，一块未消，一块又长，未几又溃，或耳下，或
缺盆，或肩上，有流行串走之状，故名鼠疮，又名串疮，言其如鼠之能穿也。世人谓食鼠窃之物以成，而不然也。
盖瘰 多起于痰而成于郁，未有不郁而能生痰者，未有无痰
而能成瘰 者也。世人必须以开郁消痰为治，然郁久则气血必耗，耗则气血更亏，若徒消痰而不解郁，或但开
郁而不消痰，是以虚而益虚也，何能奏功？余谓此症，不若平肝而健脾，助土木相调而愈矣。方用清串汤∶
白芍（一两） 白术（一两） 柴胡（二钱） 蒲公英（三钱） 天花粉（三钱） 茯苓（五钱） 陈皮
（一钱） 附子（一钱） 紫背天葵（五钱）
水煎服，六剂痰块渐消，再服十剂而瘰 化尽，再服一月痊愈。愈后可服六君子汤数十剂，以为善后之计，
永不再发也。此方妙在蒲公英、天葵为消串之神药，然非佐之以白芍、柴胡，则肝木不平，非辅之以白术、
茯苓，则脾土不健，何以能胜攻痰破块之烈哉？惟有攻有补，则调剂咸宜，更得附子之力，以引降药，直捣中
坚，所以能愈宿疾沉 于旦夕耳。
秘诀∶
清串汤芍两白术，柴二蒲粉三茯五，
陈皮附草一钱用，紫背天葵五钱煮。
此症用康乐汤亦效∶
白术（五钱） 茯苓（五钱） 夏枯草（五钱） 半夏（三钱） 炒香附（三钱） 白附子（一钱）
甘草（一钱） 陈皮（一钱） 连翘（二钱） 白芍（一两）
水煎服，十剂痊愈。
秘诀∶
康乐术苓枯草五，制夏三钱炒香附，
白附草陈一钱用，连翘三钱芍两煮。
人有久生瘰 ，两项之间，尽已溃烂，串至胸膈之上，无非痰块，亦已头破而腐者，遂至身体发热发寒，
肌肉消瘦，饮食少思，自汗盗汗，惊悸恍惚。此等之症，原系难治，然治得法，尚可救也。大约瘰 初起，
以解郁消痰为主，而佐之补虚以消其毒。病久宜以补虚为君，而佐之以解郁消痰。若徒以祛痰败毒为事，而
不补气血之虚，鲜有不死矣！方用转败汤∶
人参（一两） 当归（一两） 土炒白术（一两） 金银花（三两） 白芍（三两） 柴胡（二钱）
制半夏（五钱） 甘草（三钱）
水煎服，四剂胸开痰消，再四剂而溃烂愈。将前方减半，再服十剂而痊愈矣。此方补虚多于消痰，解郁
中而寓化痰，世人从未有知此治法者。倘一于攻毒，则愈攻而愈坏。此方实祛病之仙丹，而夺命之神品也。
秘诀∶
参归一两土炒术，银芍三两二钱胡，
制夏五钱三钱草，八剂减半服十付。
此症用消瘰汤亦效∶
熟附子（三钱） 白术（一两） 麦冬（一两） 菟丝子（一两） 白芍（一两） 天葵（一两）
人参（五钱） 茯苓（五钱） 甘草（三钱） 贝母（三钱）
水煎服，十剂轻，三十剂则痊愈矣。
秘诀∶
消瘰三钱熟附子，术两麦冬菟丝子，
白芍天葵俱两用，参苓五钱三草贝。
颈部和项部出现坚如石头的痰块，日久后演变为瘰疬（颈部淋巴结结核），流脓流血。一块未消，另一块又长出来，不久便溃破，部位可能在耳下、锁骨上窝或肩部，呈现游走扩散的态势，因此称为鼠疮，又称串疮，意指其像老鼠打洞一样穿行。世人认为这是吃了被老鼠偷过的食物所致，其实并非如此。
瘰疬多由痰凝引起，而痰的形成源于气郁，没有气郁就不会生痰，没有痰也就不会形成瘰疬。治疗必须以疏解气郁、消除痰凝为主。然而，气郁日久必然耗伤气血，导致气血更加亏虚。如果只消除痰凝而不疏解气郁，或者只疏解气郁而不消除痰凝，都会使虚者更虚，怎能取得疗效呢？我认为此症不如平抑肝木、健运脾土，助益土木协调从而痊愈。方用清串汤：白芍（一两）、白术（一两）、柴胡（二钱）、蒲公英（三钱）、天花粉（三钱）、茯苓（五钱）、陈皮（一钱）、附子（一钱）、紫背天葵（五钱）。水煎服，服用六剂后痰块逐渐消退，再服十剂瘰疬完全化解，继续服用一个月即可痊愈。痊愈后可服用数十剂六君子汤（健脾益气、燥湿化痰的经典方剂）作为善后调理，以防复发。此方的妙处在于蒲公英和天葵是消散串结的神药，但若无白芍、柴胡佐助，则肝木不得平抑；若无白术、茯苓辅助，则脾土不得强健，何以能胜任攻伐痰块之猛烈药力呢？只有攻补兼施，调剂得当，再加上附子的引经报使之功，直捣病所核心，所以能在短时间内治愈陈年旧疾。
秘诀口诀：
清串汤中芍药一两白术同，柴胡二钱蒲公英花粉各三钱，茯苓五钱陈皮附子草一钱，紫背天葵五钱共煮效如神。
此症使用康乐汤也有效：
白术（五钱）、茯苓（五钱）、夏枯草（五钱）、半夏（三钱）、炒香附（三钱）、白附子（一钱）、甘草（一钱）、陈皮（一钱）、连翘（二钱）、白芍（一两）。水煎服，十剂痊愈。
秘诀口诀：
康乐汤中白术茯苓夏枯草各五钱，制半夏三钱炒香附，白附子甘草陈皮各一钱，连翘三钱白芍一两共煮。
有人长期患有瘰疬，两侧颈部之间全部溃烂，蔓延至胸膈以上，无非都是痰块，已经头破腐烂，导致身体发热恶寒，肌肉消瘦，饮食减少，自汗盗汗，惊悸恍惚。这类病症原本难以治疗，但如果治疗方法得当，尚可挽救。大抵瘰疬初起，以疏解气郁、消除痰凝为主，辅以补虚以解毒。病程久了应以补虚为主，辅以疏解气郁、消除痰凝。如果只顾祛痰败毒，而不补益气血之虚，很少有不被治死的！方用转败汤：人参（一两）、当归（一两）、土炒白术（一两）、金银花（三两）、白芍（三两）、柴胡（二钱）、制半夏（五钱）、甘草（三钱）。水煎服，四剂后胸闷开解、痰液消退，再服四剂溃烂愈合。将前方剂量减半，再服十剂即可痊愈。此方补虚多于消痰，在解郁中蕴含化痰之意，世人从未知晓这种治法。如果一味攻毒，只会越治越坏。此方实为祛病的仙丹，夺命的神品。
秘诀口诀：
人参当归一两土炒白术，金银花白芍三两柴胡二钱，制半夏五钱甘草三钱，八剂后减半再服十付。
此症使用消瘰汤也有效：
熟附子（三钱）、白术（一两）、麦冬（一两）、菟丝子（一两）、白芍（一两）、天葵（一两）、人参（五钱）、茯苓（五钱）、甘草（三钱）、贝母（三钱）。水煎服，十剂症状减轻，三十剂痊愈。
A phlegm nodule forms in the neck and nape, hard as stone. Over time, it transforms into Scrofula (tuberculosis of cervical lymph nodes), discharging pus and blood. As one nodule fails to resolve, another grows; soon after, it ulcerates. It may appear under the ear, in the supraclavicular fossa, or on the shoulder, exhibiting a migratory and spreading pattern. Hence, it is named Rat Sore (Shu Chuang) or String Sore (Chuan Chuang), implying its ability to burrow like a rat. The common belief that this results from consuming food stolen by rats is incorrect.
Scrofula primarily originates from Phlegm accumulation, which arises from Qi Stagnation. Without Qi Stagnation, Phlegm cannot form; without Phlegm, Scrofula cannot develop. Treatment must focus on resolving Qi Stagnation and eliminating Phlegm. However, prolonged stagnation inevitably consumes Qi and Blood, leading to further deficiency. If one merely eliminates Phlegm without resolving Stagnation, or resolves Stagnation without eliminating Phlegm, the deficiency will only worsen, rendering treatment ineffective. I propose that for this condition, soothing the Liver and strengthening the Spleen is preferable, promoting the harmonious interaction between Wood (Liver) and Earth (Spleen) to achieve recovery. The prescription used is Qing Chuan Tang: Bai Shao (Caulis Paeoniae Albae, 1 liang), Bai Zhu (Rhizoma Atractylodis Macrocephalae, 1 liang), Chai Hu (Radix Bupleuri, 2 qian), Pu Gong Ying (Herba Taraxaci, 3 qian), Tian Hua Fen (Radix Trichosanthis, 3 qian), Fu Ling (Poria, 5 qian), Chen Pi (Pericarpium Citri Reticulatae, 1 qian), Fu Zi (Radix Aconiti Lateralis Preparata, 1 qian), Zi Bei Tian Kui (Herba Basellae, 5 qian). Decoct with water and take orally. After six doses, the phlegm nodules gradually subside; after ten more doses, the Scrofula completely dissolves; continuing for one month leads to full recovery. For post-recovery care, several doses of Liu Jun Zi Tang (Six Gentlemen Decoction) can be taken to prevent recurrence. The brilliance of this formula lies in Pu Gong Ying and Tian Kui being divine herbs for dissipating string-like nodules. However, without Bai Shao and Chai Hu to soothe the Liver Wood, the Liver remains unbalanced; without Bai Zhu and Fu Ling to strengthen Spleen Earth, the Spleen remains weak. How could they withstand the harsh action of breaking down phlegm masses? Only through a combination of attacking and tonifying, properly balanced, and aided by Fu Zi to guide the descending properties directly to the core of the disease, can chronic ailments be cured in a short time.
Secret Formula:
Qing Chuan Tang contains one liang of Bai Shao and equal amount of Bai Zhu,
Two qian of Chai Hu, three qian each of Pu Gong Ying and Tian Hua Fen,
Five qian of Fu Ling, one qian each of Chen Pi, Fu Zi, and Gan Cao,
Five qian of Zi Bei Tian Kui boiled together.
Kang Le Tang is also effective for this condition:
Bai Zhu (5 qian), Fu Ling (5 qian), Xia Ku Cao (Spica Prunellae, 5 qian), Ban Xia (Rhizoma Pinelliae Preparata, 3 qian), Chao Xiang Fu (Fructus Cyperi Preparatus, 3 qian), Bai Fu Zi (Rhizoma Typhonii, 1 qian), Gan Cao (Radix Glycyrrhizae, 1 qian), Chen Pi (1 qian), Lian Qiao (Fructus Forsythiae, 2 qian), Bai Shao (1 liang). Decoct with water and take orally. Recovery occurs after ten doses.
Secret Formula:
Kang Le Tang uses five qian each of Bai Zhu, Fu Ling, and Xia Ku Cao,
Three qian of prepared Ban Xia and stir-fried Xiang Fu,
One qian each of Bai Fu Zi, Gan Cao, and Chen Pi,
Three qian of Lian Qiao and one liang of Bai Shao boiled together.
Some patients suffer from long-standing Scrofula, where both sides of the neck are completely ulcerated, spreading up to the chest and diaphragm. These are essentially phlegm masses that have ruptured and become putrid. This leads to fever and chills, emaciation, loss of appetite, spontaneous sweating, night sweats, palpitations, and mental confusion. Such conditions are originally difficult to treat, but if managed correctly, they can still be saved. Generally, early-stage Scrofula should be treated primarily by resolving Qi Stagnation and eliminating Phlegm, supplemented by tonifying deficiency to clear toxicity. In chronic stages, tonifying deficiency should be the primary method, supplemented by resolving Stagnation and eliminating Phlegm. If one focuses solely on expelling Phlegm and clearing toxicity without replenishing Qi and Blood, death is rarely avoided. The prescription used is Zhuan Bai Tang: Ren Shen (Radix Ginseng, 1 liang), Dang Gui (Radix Angelicae Sinensis, 1 liang), Tu Chao Bai Zhu (Earth-fried Rhizoma Atractylodis Macrocephalae, 1 liang), Yin Jin Hua (Flos Lonicerae Japonicae, 3 liang), Bai Shao (3 liang), Chai Hu (2 qian), Zhi Ban Xia (Prepared Rhizoma Pinelliae, 5 qian), Gan Cao (3 qian). Decoct with water and take orally. After four doses, chest congestion clears and Phlegm dissipates; after four more doses, ulcers heal. Reduce the dosage of the previous formula by half and take for ten more doses for full recovery. This formula emphasizes tonifying deficiency over eliminating Phlegm, incorporating Phlegm-resolving actions within Qi-moving strategies. This approach is unknown to most practitioners. If one relies solely on attacking toxicity, the condition will deteriorate further. This formula is truly an elixir for curing diseases and a divine product for saving lives.
Secret Formula:
One liang each of Ren Shen and Dang Gui, earth-fried Bai Zhu,
Three liang each of Yin Jin Hua and Bai Shao, two qian of Chai Hu,
Five qian of prepared Ban Xia, three qian of Gan Cao,
After eight doses, reduce the dose and take ten additional prescriptions.
Xiao Luo Tang is also effective for this condition:
Shu Fu Zi (Prepared Radix Aconiti Lateralis, 3 qian), Bai Zhu (1 liang), Mai Dong (Radix Ophiopogonis, 1 liang), Tu Si Zi (Semen Cuscutae, 1 liang), Bai Shao (1 liang), Tian Kui (1 liang), Ren Shen (5 qian), Fu Ling (5 qian), Gan Cao (3 qian), Bei Mu (Bulbus Fritillariae Cirrhosae, 3 qian). Decoct with water and take orally. Symptoms lighten after ten doses; full recovery occurs after thirty doses.
Secret Formula:
Xiao Luo Tang uses three qian of Shu Fu Zi,
One liang each of Bai Zhu, Mai Dong, and Tu Si Zi,
One liang each of Bai Shao and Tian Kui,
Five qian each of Ren Shen and Fu Ling, three qian each of Gan Cao and Bei Mu.