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The neck is surrounded by nodules, named "Pan She" (Coiling Snake); if it extends to the chest and axilla with nodules appearing, it is named "Gua Teng" (Melon Vine); swelling and nodules at the root of the left ear are named "Hui Dai" (Hui Bag); swelling and nodules at the root of the right ear are named "Feng Wo" (Honeycomb).

Nodules connected in a chain are called "Luo Li" (Scrofula). Those shaped long like clams are called "Ma Dao" (Horse Knife).

When Luo Li first appears, it must originate from the Shaoyang Meridian. If one does not observe dietary and behavioral restrictions, it will inevitably extend to the Yangming Meridian. Generally, rich and greasy food intake combined with stagnant Qi accumulation leads to the formation of toxins, wind, and heat, which attract and transform into this disease. It is necessary to distinguish between excess and deficiency patterns. For patients with excess patterns, although treatment is relatively easier, unless one strictly avoids rich foods and Qi-dispersing substances, even if it seems easy to treat, it remains difficult to cure, which is quite worrying because this condition belongs to the Gallbladder Meridian, which governs decision-making and contains Ministerial Fire, and is characterized by abundant Qi but scarce Blood. In women, if menstruation ceases accompanied by chills and fever, there is still hope for survival. However, if the condition persists and transforms into tidal fever, the prognosis becomes critical. Unless one abstains from sexual desires, eliminates excessive worry, and maintains a bland diet, even a sage-like physician cannot cure it.

For Luo Li starting from the Adam's apple: Zisu (Perilla Leaf), Wuyao (Lindera Root), Zhike (Aurantium Fruit), Jiegeng (Platycodon Root), Chaihu (Bupleurum Root), Qianhu (Peucedanum Root), Fangfeng (Saposhnikovia Root), Qianghuo (Notopterygium Rhizome), Duhuo (Angelica Pubescens Root), Chuanxiong (Ligusticum Chuanxiong Rhizome), Shaoyao (Peony Root), Fuling (Poria), Dafupi (Areca Peel), Gancao (Licorice Root) (all in equal parts). The above herbs are chopped, decocted in water, and taken after meals.

For Luo Li starting from the upper neck: Zisu (Perilla Leaf), Lianqiao (Forsythia Fruit), Jiegeng (Platocodon Root), Zhike (Aurantium Fruit), Fangfeng (Saposhnikovia Root), Chaihu (Bupleurum Root), Qianghuo (Notopterygium Rhizome), Duhuo (Angelica Pubescens Root), Baizhi (Angelica Dahurica Root), Danggui (Angelica Sinensis Root), Chuanxiong (Ligusticum Chuanxiong Rhizome), Shaoyao (Peony Root), Gancao (Licorice Root) (all in equal parts). The above herbs are chopped, decocted in water, and taken after meals.

For Luo Li starting from the left side: Zisu (Perilla Leaf), Houpo (Magnolia Bark), Danggui (Angelica Sinensis Root), Qianghuo (Notopterygium Rhizome), Zhike (Aurantium Fruit), Jiegeng (Platycodon Root), Qianhu (Peucedanum Root), Fangfeng (Saposhnikovia Root), Chuanxiong (Ligusticum Chuanxiong Rhizome), Shaoyao (Peony Root), Luobozhongzi (Radish Seed), Suzi (Perilla Seed), Gancao (Licorice Root). The above herbs are chopped, decocted in water, and taken after meals.

For Luo Li starting from the right side: Zisu (Perilla Leaf), Xiangfu (Cyperus Rhizome), Qingpi (Aurantium Peel), Wuyao (Lindera Root), Banxia (Pinellia Tuber), Houpo (Magnolia Bark), Jiegeng (Platycodon Root), Fuling (Poria), Chaihu (Bupleurum Root), Fangfeng (Saposhnikovia Root), Qianghuo (Notopterygium Rhizome), Gancao (Licorice Root). The above herbs are chopped, decocted in water, and taken warm.

Patients with slightly robust constitutions should use:
Neixiaosan (Internal Dissolving Powder): Treats Luo Li tubercles.
Zhusha (Cinnabar), Xuexie (Dragon's Blood) (each 1 qian), Bannao (Mylabris Beetle) (remove wings and feet, 3 fen, used raw). Grind into fine powder. Take 1 fen per dose, on an empty stomach, mixed with distilled liquor. Once daily. For unbroken lesions, three to five doses will eliminate them immediately. For broken lesions, take this internally; externally apply one dried Golden-headed Centipede, roasted and ground to fine powder, soaked in a small cup of Sesame Oil for three days and nights, then applied to the affected area, causing the sore to swell and ulcerate. After one or two days when swelling subsides, apply a plaster. Large sores heal in twenty days; small ones recover in ten-plus days.

Hupo San (Amber Powder): Treats Luo Li tubercles with miraculous internal dissolving effects.
Huashi (Talcum), Baiqianniu (White Morning Glory Seed, head powder only) (each 1 liang), Bannao (Mylabris Beetle) (3 qian, remove wings and feet), Jiangcan (Bombyx Batryticatus) (1 liang), Zhike (Aurantium Fruit) (5 qian), Chishao (Red Peony Root), Chaihu (Bupleurum Root) (each 5 qian), Mutong (Akebia Stem), Lianqiao (Forsythia Fruit) (each 7 qian), Hupo (Amber) (2 qian), Huangqin (Scutellaria Root) (1 liang), Gancao (Licorice Root) (3 qian). Chop into six doses, decoct in water, and take.

Bannao San (Mylabris Powder, also known as Shenxiao San):
Bannao (Mylabris Beetle) (remove wings and feet, wine-fried, net weight 1 qian), Shanshanjia (Pangolin Scales) (soil-fried), Jiangcan (Bombyx Batryticatus) (remove head and feet, wine-fried), Dingxiang (Clove), Baixiangding (White Styrax), Kuxiangding (Bitter Styrax), Hong Xiaodou (Red Adzuki Bean), Modaoni (Knife Grinding Mud) (each 1 qian). Grind into fine powder. Take 1 qian per dose. At dawn (Wu Geng time), mix with rainwater (unrooted water) and swallow. By Wei hour (1-3 PM), toxic matter resembling a rat will be expelled. Afterwards, roast wild chrysanthemums from fields until yellow, grind into powder, mix with aged vinegar, and apply to the sore. Change once daily; full recovery in seven days.

Chibai Wan (Red and White Pill): Treats unbroken Luo Li.
Baifan (Alum) (3 liang), Zhusha (Cinnabar) (9 qian). Grind into fine powder, make pills with wine paste, size of mung beans. Take 20 pills per dose, washed down with clear tea. Three times daily; upon finishing the medicine, the toxin dissipates.

Patients with weak constitutions should use:
Yiqi Yangrong Tang (Qi-Nourishing and Blood-Supplementing Decoction): Treats Luo Li flowing and injecting caused by emotional depression, or swelling in limbs with unchanged skin color, afternoon fever, or non-healing ulcers.
Huangqi (Astragalus Root), Renshen (Ginseng Root), Baizhu (Atractylodes Macrocephala Rhizome, stir-fried) (each 1.5 qian), Danggui (Angelica Sinensis Root), Chuanxiong (Ligusticum Chuanxiong Rhizome), Baishao (White Peony Root), Shengdi (Rehmannia Root), Chenpi (Aged Tangerine Peel), Xiangfu (Cyperus Rhizome), Beimu (Fritillaria Bulb, remove heart) (each 1 qian), Chaihu (Bupleurum Root), Jiegeng (Platycodon Root, stir-fried), Digupi (Cortex Lycii), Gancao (Licorice Root, honey-fried) (each 0.5 qian). Chop into one dose, decoct in water, and take well after meals. Add Juhong (Citrus Peel) for phlegm; add Qingpi (Aurantium Peel) and Muxiang (Vladimiria Root) for stabbing pain under ribs; add Chao Huangbai (Phellodendron Bark, stir-fried) for afternoon fever or slight dizziness; double Renshen (Ginseng Root), Huangqi (Astragalus Root), and Danggui (Angelica Sinensis Root) for thin pus; double Xiangfu (Cyperus Rhizome) and Beimu (Fritillaria Bulb) for women with Qi stagnation and chest discomfort; add Mudanpi (Tree Peony Root Bark) and Danggui (Angelica Sinensis Root) for amenorrhea.

Yiqi Neixiaosan (Qi-Supplementing Internal Dissolving Powder): Treats Luo Li and various tumor-like tubercles.
Danggui (Angelica Sinensis Root), Chuanxiong (Ligusticum Chuanxiong Rhizome), Baishao (White Peony Root, wine-fried), Baizhu (Atractylodes Macrocephala Rhizome, remove rhizome base), Qingpi (Aurantium Peel, remove pith), Chenpi (Aged Tangerine Peel), Banxia (Pinellia Tuber, ginger-fried), Jiegeng (Platycodon Root), Qianghuo (Notopterygium Rhizome), Baizhi (Angelica Dahurica Root), Duhuo (Angelica Pubescens Root), Houpo (Magnolia Bark, ginger juice-fried) (each 8 qian), Fangfeng (Saposhnikovia Root), Huangqin (Scutellaria Root), Wuyao (Lindera Root), Xiangfu (Cyperus Rhizome), Binglang (Betel Nut) (each 1 liang), Suye (Perilla Leaf) (1.5 liang), Chenxiang (Agarwood), Muxiang (Vladimiria Root), Renshen (Ginseng Root), Fencacao (Licorice Root) (each 5 qian). Chop, decoct in water, and take warm. Elimination occurs after more than ten doses. If continued, process according to dosage into pills with wine paste, size of paulownia seeds. Take 70 pills per dose, washed down with wine.

External Medicines for Luo Li:
Shenpin Gao (Divine Quality Plaster): Miraculous for chronic, non-healing Luo Li sores.
Xiangyou (Sesame Oil) (1 jin), Guanfen (Lead Carbonate) (2.5 liang), Huangla (Yellow Beeswax) (2 liang), Xuxiang (Frankincense), Moyao (Myrrh), Haiercha (Camellia Seed Cake), Xuexie (Dragon's Blood) (each 4 qian), Hujiao (Black Pepper) (6 qian). First, boil Sesame Oil until a drop does not disperse in water. Then add Lead Carbonate and boil into a paste. Add Yellow Beeswax and continue boiling until drops form pearls. Remove from fire, then add finely ground herbs. For old sores, double the Black Pepper, mix evenly, store in porcelain to reduce fire toxicity, spread on oil paper, and apply. Before each use, wash the sore with decoction of Scallion Roots, Sichuan Pepper, Mugwort, and Sophora branches. Cleanse thoroughly before applying.

Qixiao Gao (Miraculous Effect Plaster): Apply to Luo Li. Eliminates internally if unbroken; promotes healing if broken.
True Sesame Oil (1 jin 2 liang), Dahuang (Rhubarb Root) (6 liang, fried in oil until floating, filter residue); slowly add Jing Huangdan (Yellow Litharge) (0.5 jin), simmer slowly; until drops form pearls, add Gu Duanshi (Calcined Ancient Stone) (5 qian, stir-fried), Xuxiang (Frankincense) (4 qian), Moyao (Myrrh) (4 qian), Huangla (Yellow Beeswax) (2 liang). Form plaster, spread on oil paper, and apply.

Very effective treatment for Luo Li Rat Sores: Nèn Huaitiao (Young Sophora Branches) (1 jin), Qiai (Artemisia argyi) (4 liang), Chuanjiao (Sichuan Pepper) (3 liang, cleaned). Place these three ingredients in a new large wok filled with water, boil to 70% volume, strain, and let cool to warm temperature. Slowly wash the affected sore for the duration of one incense stick, removing pus and necrotic tissue. Dry with soft white cloth. At noon, reuse the herb residues in a pot of water, boil to 60% volume, strain, and wash again for one incense stick duration, then sprinkle dry powder. In the evening, wash again for one incense stick duration. The next day, slice garlic cloves thinly and surround the sore. Place moxa cones the size of wheat grains on the garlic and moxibustion. If itching occurs, moxibustion again, stopping when pain is felt. Gradual self-healing ensues.

Wulong Gao (Black Dragon Plaster): Miraculous for chronic, non-healing ulcerated Luo Li.
Mubiezi (Momordica Seed) (stir-fried with shell until charred, remove shell), Baiye (Cypress Leaf) (roasted), Renzhongxue (Human Hair Ash), Qinglongbei (Pot Bottom Soot), Zhiqianhui (Paper Money Ash), Feiluomian (Fine Wheat Flour) (each 1 qian). Grind all into powder, mix with aged rice vinegar to form a paste, apply to sore, and cover with paper.

Luoli Gao (Scrofula Plaster):
True Sesame Oil (4 liang), Xiangpi (Elephant Skin) (3 qian, melt and filter), Huangla (Yellow Beeswax) (3 qian), Guanfen (Lead Carbonate) (1.5 liang). Remove from fire, cool slightly, add Xuxiang (Frankincense) (3 qian), Moyao (Myrrh) (3 qian), Haiercha (Camellia Seed Cake) (1 liang), Longgu (Fossilized Bone) (1.5 qian), Xuexie (Dragon's Blood) (1 qian), mix evenly, store in porcelain, and apply as needed.

Ma Dao Chuang (Horse Knife Sore) refers to sores on the side of the neck that are hard and do not ulcerate.

Chaihu Tongjing Tang (Bupleurum Channel-Unblocking Decoction):
Chaihu (Bupleurum Root), Lianqiao (Forsythia Fruit), Dangguiwei (Angelica Sinensis Root Tail), Huanglian (Coptis Rhizome), Huangqin (Scutellaria Root), Niubangzi (Arctium Seed), Sanleng (Sparganium Tuber) (each 1 qian), Jiegeng (Platycodon Root) (2 liang), Sheng Gancao (Raw Licorice Root) (1 qian), Honghua (Carthamus Flower) (a little). Chop, decoct in water, take after meals. Avoid bitter drugs that purge bowels.

Sanzhong Kuijian Tang (Swelling-Reducing and Hardness-Breaking Decoction): Treats Ma Dao tubercles hard as stone, located from below the ear to the Clavicular Fossa, or to the shoulder, or in the axilla, all belonging to the Hand and Foot Shaoyang Meridians; and Luo Li spreading under the cheekbone or to the Jiache acupoint, hard and unulcerated, located where the Foot Yangming Meridian emerges; or sores already broken and weeping fluid. Also treats Goiters large as a measuring cup that do not ulcerate for a long time.
Kunbu (Kelp), Haizao (Sargassum, lightly stir-fried), Huangbai (Phellodendron Bark, wine-fried), Zhimu (Anemarrhena Rhizome, wine-soaked), Tianhuafen (Trichosanthes Root), Jiegeng (Platycodon Root) (each 5 qian), Lianqiao (Forsythia Fruit), Sanleng (Sparganium Tuber, wine-soaked), Ezhu (Curcuma Rhizome) (each 3 qian, wine-soaked), Longdancao (Gentiana Root), Huanglian (Coptis Rhizome), Huangqin (Scutellaria Root, wine-fried), Gange (Kudzu Root), Baishao (White Peony Root, wine-fried) (each 3 qian), Shengma (Cimicifuga Rhizome), Chaihu (Bupleurum Root) (each 0.5 qian), Gancao (Licorice Root, honey-fried) (5 qian), Guiwei (Angelica Sinensis Root Tail) (0.5 qian). Chop, for every 1 liang of herbs use 2 cups of water, soak for half a day, decoct to 1 cup, strain, and take hot. When taking, lie down with feet elevated and head slightly lowered. Hold one mouthful in the mouth and swallow in ten portions. After finishing, rest quietly as usual, intending for the medicinal power to accumulate in the chest. Alternatively, take half the material, grind to fine powder, make pills with refined honey, size of mung beans. Take 100-150 pills per dose, washed down with a mouthful of this decoction.

A woman suffered generalized itching after Luo Li. Her pulse was large but empty upon pressure. She was cured using Shiquan Dabu Tang (Ten Ingredients Great Tonifying Decoction) plus Xiangfu (Cyperus Rhizome). Generally, post-ulceration itching in the morning indicates Qi deficiency, while itching in the afternoon indicates Blood deficiency. Treating this as a Wind syndrome will certainly lead to death.

A scholar recovered from Luo Li but remained emaciated with irregular fever day and night. This indicated deficiency of Qi and Blood in the Three Yin Meridians of the Foot. He was cured after twenty doses of Bazhen Tang (Eight Treasures Decoction) plus Maidong (Ophiopogon Tuber) and Wuweizi (Schisandra Fruit). Subsequently, he was fully recovered using Buzhong Yiqi Tang (Middle-Warmer Qi-Supplementing Decoction) plus Maidong (Ophiopogon Tuber) and Wuweizi (Schisandra Fruit), along with Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia).