研细） 生地黄（二两） 辰砂（一钱，另研） 粉霜（另研） 麝香（各五分）
上将灰汁滤澄清，下锅煎浓，下甲末，候焦干一半，下麝香，次
下粉霜，干及九分，下辰砂，候成膏，下炒锻石末，以成块子，即收入小罐子内，勿见风。
龙珠膏
龙芽草（五两） 棘枣根（五钱） 海藻（二钱五分） 苏木（五钱）
上细切，量水二十碗，煎至十二三碗，滤去渣，又用∶
桑柴灰（二碗半） 锻石（二碗半） 苍耳草灰（二碗半） 以草纸二层，皮
纸二层，放箩底，次置灰于上，用煎汤热淋，取灰汁十碗许澄清，入
锅内煎成膏，用巴豆霜、白丁香、石膏、麝香、轻粉，瓷罐子收贮，每
用取敷核上，再敷即去旧药并靥，再上新药，其核即溃而愈。根小者但只涂药于根上，其核自溃。
（以上皆石香方）
救苦化坚汤（东垣） 治瘰 、马刀、挟瘿，在耳下或耳后，下颈
至肩上，或入缺盆中，乃手足少阳之经分。其瘰 在颏下，或至颊
车，乃阳明之经分，受心脾之邪而作也。今将二证合而治之。
黄 （一钱，护皮毛间，补腠理虚及活血气，为疮家之圣药，又实表补元气
之妙剂也） 人参（三分，补肺气之药也，如气短不调及喘者，宜加之） 炙甘草（五分
，能调中，和诸药，泻火，益胃气，亦能去疮中之邪） 真漏芦 升麻（各一钱） 葛根
（五分，此三味，俱足阳明本经药也） 连翘（一钱，此一味，乃十二经疮中之药，不可无
也，能散诸血结气聚，此疮家之神药也） 牡丹皮（三分，去肠胃中留滞宿血） 当归
身（三分） 生地黄（三分） 熟地黄（三分，此三味，诸经中和血、生血、凉血药也）
白芍药（三分，如夏月倍之，其味酸气寒，能补中，益气之虚，治腹痛必用之，冬寒不可
用） 肉桂（二分，大辛热，能散结积，阴证疮疡须当少用之，此寒因热用之意。又为寒
阴腹盖其疮，用大辛热去阴寒之气。如有烦躁者，去之） 柴胡（八分，功用连翘。如
疮不在少阳经，则去之） 鼠粘子（三分，无肿不用） 羌活（一钱） 独活（五分） 防
风（五分，以上三味，必问手足太阳症，脊痛项强，不可回顾，腰似折，项似拔者是也。其
防风一味辛温，如疮在膈以上，虽无手足太阳经症，亦当用之，为能散结，去上部风邪）
昆布（二分，其味太咸，若坚硬者宜用，盖咸能软坚也） 荆三棱（炮，二分） 广术
炮，三分，此二味，若疮坚硬甚者用之，如不甚坚硬者不须用） 益智（二分，如唾多者，
胃不和也，或病患吐沫吐食、胃中寒者加之，无则勿用也） 麦 面（二钱，治腹中缩
急，又能消食健脾） 神曲（炒，二分，食不消化者用之） 黄连（三分，治烦闷）
浓朴（姜制，一钱一分，如腹胀者加之） 黄柏（炒，三分，如有热或腿脚无力者加之，
如有烦躁欲去衣者，肾中有伏火也，更宜加之，无则勿用）
上件共为细末，汤浸蒸饼捏作饼子，日干，捣如米粒大，每服三钱，白汤送下。如气不顺，加橘红。甚者，加木香
少许。量病患虚实，临时斟酌与之，毋令药多妨其饮食，此为治之大法也。如止在阳明分者，去柴胡、鼠粘子二味，余
皆用之。如在少阳分为马刀挟瘿者，去独活、漏芦、升麻、葛根，更加瞿麦三分。如本人素气弱，其病势来时，气盛而
不短促者，不可用。考其平素，宜作气盛，而从病变之权也，宜加黄芩、黄连、黄柏、知母、防己之类，视邪气在上中
下而用之。假令邪气在上焦，加黄芩（半酒洗，半生用），在中焦，加黄连（半酒洗，半生用），在下焦，则加酒制黄柏、
知母、防己之类，选而用之。如大便不通而滋其邪盛者，加酒制大黄以利之。如血燥而大便干燥者，加桃仁泥、酒制大
黄二味。如风结燥不行者，加麻仁、大黄以润之。如风涩而大便不行者，加煨皂角仁、大黄、秦艽以利之。如脉涩，觉
身有气涩而大便不通者，加郁李仁、大黄，以除气燥也。如阴寒之病，为寒结秘而大便不通，以局方中半硫丸，或加炮
附子、干姜，煎水冷服之。大抵用药之法，不惟疮疡一家，诸疾病重人素气弱者，当去苦寒之药，多加人参、黄 、甘
草之类，泻火而先补其元气，余皆仿此。
柴胡连翘汤（东垣） 治男子妇人马刀疮。
中桂（一分） 当归梢（五各） 鼠粘子（炒另研） 炙甘草 酒黄柏 生地黄（各一钱） 柴胡（一钱五分） 黄
芩（炒） 酒知母 连翘（各一钱五分） 瞿麦（二钱）
上细切，作一服，水二盏煎，稍热服。
消肿汤（东垣） 治马刀疮。
鼠粘子（炒，五分） 黄连（炒，五分） 当归梢 甘草（各七分） 栝蒌根
黄（各一钱，蜜炙） 生黄芩 柴胡（去芦，各一钱二分） 连翘（二钱） 红花（少许）
上细切，作一服，水二盏，煎至一盏，去渣稍热服。
柴胡通经汤（东垣） 治小儿项侧有核，坚而不溃，名曰马刀疮。
柴胡（去芦） 连翘 当归梢 生甘草 黄芩 鼠粘子（炒） 荆
三棱（醋炒） 桔梗（各二分） 黄连（五分） 红花（少许）
上细切，作一服，水二盏，煎至一盏，去渣，食后稍热服，忌苦药泄大便。
散肿溃坚汤（东垣） 治马刀疮，结硬如石，或在耳下，至缺盆中，或肩上，或胁下，皆手足少阳经中，及瘰
遍于颏，或至颊车，坚而不溃，在足阳明经中所出，或二症疮已破，流脓水，并皆治之。
黄芩（八分，酒洗，半炒半生） 草龙胆（酒洗炒四遍） 栝蒌根（酒洗） 黄柏（酒制炒） 知母（酒炒） 桔
梗（去芦） 昆布（酒洗，各五分） 柴胡（四分） 炙甘草 荆三棱（酒洗炒） 广术（酒拌炒） 连翘（各三分） 葛
根（二分） 白芍药（二分） 当归梢（二分） 黄连（二分） 升麻（一分）
上细切，作一服，水二盏，先浸半日，煎至一盏，去渣食后稍热服。于卧处伸足在高处，头低垂，每含一口，作十
次咽下，服毕少顷，根据常安卧，取药在膈上停蓄故也。另攒一料作细末，炼蜜为丸，如绿豆大，每服百余丸，以煎药汤
送下，或加海藻五分炒入亦妙。以海藻反甘草，此东垣用药妙处，世医莫晓也。
升阳调经汤（东垣） 治瘰 绕颈，或至颊车，此皆出足阳明胃经中来，若疮深远，隐曲肉底，是足少阴肾经
中来，乃戊脾传于癸肾，是夫传与妻，俱作块子坚硬，大小不等，并皆治之，或作丸亦可。
升麻（八分） 葛根 草龙胆（用酒四次制炒） 黄芩（各四分，酒制炒） 连翘（五分） 广术 荆三棱（二
味俱酒制炒） 炙甘草（各四分） 当归梢（三分） 桔梗（五分） 芍药（三分） 黄柏（酒炒，二分） 知母（酒
炒，一钱） 黄连（酒洗，五分） 黄芩（生，四分）
上细切，作一服，水二盏，先浸半日，煎至一盏，去渣临卧稍热服。外另称十帖之数为细末，炼蜜为丸，如绿豆大，
每服一百丸。服药时，足高，去枕仰卧，噙一口作十次咽之，留一口在后，送下丸药，服毕寝卧如常。
连翘散坚汤（东垣） 治耳下或至缺盆，或肩上，生疮坚硬如石，动之无根，名曰马刀疮，从手足少阳经中来
也。或生两胁下，或已流脓，作疮未破，并皆治之。
柴胡（一钱二分） 草龙胆（酒制，四次） 土瓜根（酒制炒，各一钱） 黄芩（酒炒二次，七分） 当归梢 生
黄芩 广术 荆三棱（酒炒） 连翘 白芍药（各五分） 炙甘草（三分） 黄连（酒炒，二次） 苍术（米泔浸，各
二分）
上细切，作一服，外另秤十帖之数为细末，炼蜜为丸，如绿豆大，每服百余丸。煎者，用水二盏，先浸大半日，煎
至一盏，去渣临卧稍热服，去枕仰卧，每口作十次咽下，留一口送下丸药，服毕如常安卧，更以后药涂之。
龙泉散（疮疡集）
龙泉粉（炒。即磨刀石上粉也） 瓦垄粉 广术 荆三棱（酒洗炒） 昆布（各五钱）
上同为细末，煎熟水调涂之，用此药去疾尤速。
三圣丸（济生） 治瘰 神效劫药。
丁香（五十粒） 班猫（十个，去翅及头足，炒） 麝香（一钱，另研）
上为末，用盐豉五十粒，汤浸烂研如泥，和前药末，丸如绿豆大，每服七丸，食前温酒送下，日三服，至五七日，
觉小便淋沥，是药之效，便加服。或小便下如青筋膜之状，乃病之根也。忌湿面、毒食。
立验大圣散（疮疡集） 治瘰 劫药。
班猫（大者三十个，去头及翅足，用糯米一协议炒，米黄色，去米，用班猫） 面僵蚕（一钱，去丝嘴炒） 黑牵
牛（半生半炒，共三钱，取头末一钱） 荆芥穗（一钱）
上为细末，每服一钱，空心无灰老酒下。服此药须忌鱼肉酒醋盐酱及发风动气等物，止可吃菜蔬白粥。且如次早服
药，隔夜不吃夜粥，黄昏煎川木通汤，调下玉屑妙灵散二钱重，次日五更，酒调立验大圣散一帖，如不能饮酒，用灯心
木通汤调下，至日中，觉小腹攻痛，小便涩痛，又用灯心汤调下琥珀末一钱，或玉屑妙灵散亦可，当利恶物，从小便中
出，如蒲萄肉状，中有凝血一点。或未下，三日后可再服，至日中前，用六丁神散一服催之，必然自下。五六日后，再
催一服，以病根除尽为度。如项上有 一枚，取下恶物十枚，则尽病根。如有小腹攻急，茎中涩痛之恼，不必惊恐，过
后便自平腹无事。
玉屑妙灵散
滑石细研为末，每服一钱，煎川木通汤调下。
六丁神散（疮疡集）
苦丁香（六枚，或秤五分重） 白丁香（一钱） 苦参末（五分） 赤小豆（一钱）
磨刀泥（青石者佳。一名龙泉粉） 大斑猫（七个，去头足，炒） 白僵蚕（去丝嘴，炒，各一钱）
上共为细末，每服一钱重，空心无灰酒调下。
瘿瘤方法∶
破结散（大成方） 治石瘿、气瘿、筋瘿、血瘿、肉瘿、马刀、瘰 等症。
海藻（酒洗净） 龙胆草（酒洗） 海蛤粉 通草 贝母（去心） 昆布
（酒洗净） 矾石（枯） 松萝（各三钱，今以桑寄生代效） 麦曲（炒，四钱） 半夏曲（二钱）
上为细末，每服二钱，热酒调，食后服，忌甘草、鲫鱼、鸡肉、五
辛、生果。有人于项上生 ，大如茄子，潮热不食，形瘦日久，百方不
效，后得此方，去松萝，加真桑寄生一倍服，三五日后，其疮软而散，热退而愈，屡医数人皆效。
南星散（疮疡集） 治皮肤颈项面上生瘤，大者如拳，小者如粟，
或软或硬，不痒不痛，宜用此药。切不可辄用针灸，多致不救。
生南星（大者一枚）
上细研烂，入好醋五七点，杵如膏。如无生者，即以干者为末，
醋调如膏。先以细针刺患处，令气透，却以膏药摊贴，觉痒则频换贴取效。
瘤者，气血凝滞结聚而成，或如桃李，或如瓜瓠。其名有六∶曰
骨瘤，曰脂瘤，曰脓瘤，曰血瘤，曰筋瘤，曰风瘤，以其中各有此物而名之也。以上诸瘤，通用龙珠膏治之。
龙珠膏（方见前瘰 条下。）
瘤宜服十六味流气饮。（方见前奶岩条下。）
凡瘿气，先须断浓味，用海藻一两、黄柏二两为末，置掌中，时
时舐之，以津唾咽下，待消三分之二，止药。
结核方法
丹溪曰∶大凡结核在项在臂在身，如肿毒不红不痛不作脓者，
多是痰注不散，名曰痰核，用二陈汤加酒炒大黄、连翘、桔梗、柴胡煎服。
又方∶治臂核作痛，用二陈汤加连翘、川芎、皂角刺、防风、黄芩（酒炒）、苍术煎服。
治耳后顶门各有一核，用炒僵蛋、酒蒸大黄、青黛、牛胆、南星为末，蜜丸噙化。
疔肿方法
石香程氏曰∶疔肿之症，皆蓄热毒之深而成者也。近者多见因食灾牛疫马之肉，而成此证。其形有十三种，皆以形
而名之耳∶一曰麻子疔，二曰石疔，三曰雄疔，四曰雌疔，五曰火疔，六曰烂疔，七曰三十六种疔，八曰蛇眼疔，九曰
盐肤疔，十曰水洗疔，十一曰刀镰疔，十二曰浮沤疔，十三曰牛狗疔。惟三十六种疔最为可畏，其状头黑浮起，形如黑
豆，四畔大赤色，今日生一，明日生二，后日生三，乃至十数，犹为可治，若满三十六，则为不治之证也。夫十三种疔，
其形状虽各不同，而其所由，皆热毒之甚也。治法并急用夺命丹下之，去其毒之锐势，次服化毒丸及内托散、二活散、
雄麝汤，随证经络病势缓急，用引经药斟酌施治。如无他证，有热即退热，有肿则退肿。如身冷自汗，呕逆躁喘，狂喝
妄语，直视者，皆毒瓦斯入内，不可治矣。如疔已拔去，用金银白芷散、加减十宣散调之，方获全安也。
今将十三种疔证候开列于后∶
一曰麻子疔，其状肉起，头如黍米，色稍黑，四边微赤，多痒，忌食麻子、近油衣布衣、并入麻田中行。
二曰石疔，其状皮肉相连，色如黑豆，甚硬，刺之不入，肉微痛，忌瓦砾砖石之属。
三曰雄疔，其状 头黑靥，四畔仰， 浆起，有水出，色黄，大如钱孔形高者，忌房事。
四曰雌疔，其状疮稍黄，向里靥，亦似灸疮，四面 浆起，心凹色赤，如钱孔者，忌房事。
(Grind the ingredients) into fine powder. Sheng Di Huang (Rehmanniae Radix, two taels), Chen Sha (Cinnabar, one qian, ground separately), Fen Shuang (White Arsenic Powder, ground separately), She Xiang (Moschus, five fen each).
First, filter the plant ash juice until clear, boil it in a pot until concentrated, add Chuan Shan Jia (Pangolin Scales) powder, wait until it is half scorched and dry, then add She Xiang (Moschus), followed by Fen Shuang (White Arsenic Powder). When the medicine is nine-tenths dry, add Chen Sha (Cinnabar). Wait until it forms a paste, then add Chao Duan Shi (Calcined Alumen) powder to form solid pieces. Immediately store them in small jars, avoiding exposure to wind.
Long Zhu Gao (Dragon Pearl Ointment)
Long Ya Cao (Agrimoniae Herba, five taels), Ji Zao Gen (Ziziphi Spinosae Radicis Cortex, five qian), Hai Zao (Sargassum, two qian five fen), Su Mu (Sappan Wood, five qian).
Finely chop the above ingredients, add twenty bowls of water, and decoct until twelve or thirteen bowls remain. Filter out the dregs. Then use:
Sang Chai Hui (Ash from Mulberry Twigs, two and a half bowls), Duan Shi (Alumen, two and a half bowls), Cang Er Cao Hui (Ash from Xanthii Fructus Herb, two and a half bowls). Place two layers of grass paper and two layers of skin paper at the bottom of a sieve, put the ashes on top, and pour the hot decoction over them to leach the ash juice. Collect about ten bowls of clarified ash juice, pour it into a pot, and decoct into a paste. Add Ba Dou Shuang (Crotonis Semen Extract), Bai Ding Xiang (Streptopeliae Faeces), Shi Gao (Gypsum Fibrosum), She Xiang (Moschus), and Qing Fen (Calomelas). Store in porcelain jars. Apply to the nodule each time. For subsequent applications, remove the old medicine and scabs before applying new medicine; the nodule will ulcerate and heal. For smaller roots, simply apply the medicine to the root, and the nodule will naturally ulcerate.
(Above are all formulas from Shi Xiang.)
Jiu Ku Hua Jian Tang (Rescue from Misery and Harden-Softening Decoction, by Li Dongyuan) Treats Luo Li (Scrofula), Ma Dao (Marine Knife/Linear Scrofula), and Jia Ying (Accessory Goiter). Located below or behind the ear, extending down the neck to the shoulder, or entering the Que Pen (Clavicular Fossa). This belongs to the distribution areas of the Hand-Shaoyang and Foot-Shaoyang meridians. Luo Li located under the chin or extending to the Jia Che (Masseter) point belongs to the Foot-Yangming meridian area, caused by pathogenic factors from the Heart and Spleen. Now treating both conditions together.
Huang Qi (Astragali Radix, one qian, protects the skin and hair follicles, tonifies the deficiency of Cou Li [interstices], and invigorates blood qi; it is the sacred medicine for wound diseases and an excellent agent for consolidating the exterior and tonifying Yuan Qi), Ren Shen (Panacis Ginseng Radix, three fen, a medicine that tonifies Lung Qi; suitable for addition if there is shortness of breath or irregular breathing and wheezing), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma, five fen, can harmonize the Middle Jiao, coordinate various herbs, drain fire, benefit Stomach Qi, and also eliminate pathogens in sores), Zhen Lou Lu (Euphorbiae Humifusae Radix), Sheng Ma (Cimicifugae Rhizoma, one qian each), Ge Gen (Puerariae Lobatae Radix, five fen; these three herbs belong to the Foot-Yangming meridian), Lian Qiao (Forsythiae Fructus, one qian; this herb is used for sores in all twelve meridians and cannot be omitted; it dissipates blood stasis and qi stagnation, and is a divine medicine for wound diseases), Mu Dan Pi (Moutan Cortex, three fen, removes retained old blood stasis in the intestines and stomach), Dang Gui Shen (Angelicae Sinensis Radix Body, three fen), Sheng Di Huang (Rehmanniae Radix, three fen), Shu Di Huang (Prepared Rehmanniae Radix, three fen; these three herbs harmonize blood, generate blood, and cool blood in various meridians), Bai Shao Yao (Paeoniae Radix Alba, three fen; double the dose in summer; its sour taste and cold nature tonify the center, benefit Qi deficiency, and are essential for treating abdominal pain; do not use in winter cold), Rou Gui (Cinnamomi Cortex, two fen, greatly acrid and hot, can dissipate nodules and accumulations; must be used sparingly in Yin-type sores, reflecting the principle of "treating cold with heat." Also used when covering sores on the cold abdomen with large acrid-hot herbs to dispel Yin-cold. Remove if irritability is present), Chai Hu (Bupleuri Radix, eight fen, functions similarly to Lian Qiao. Remove if the sore is not in the Shaoyang meridian), Niu Bang Zi (Arctii Fructus, three fen, omit if no swelling), Qiang Huo (Notopterygii Rhizoma et Radix, one qian), Du Huo (Angelicae Pubescentis Radix, five fen), Fang Feng (Saposhnikoviae Radix, five fen; for the above three herbs, inquire about symptoms of the Hand and Foot-Taiyang meridians, such as back pain, stiff neck, inability to look back, waist feeling like breaking, neck feeling like pulling. Fang Feng is acrid and warm; if the sore is above the diaphragm, use it even without Taiyang symptoms, as it dissipates nodules and removes Wind-pathogens from the upper body), Kun Bu (Sargassum, two fen, very salty; suitable for hard nodules, as saltiness softens hardness), Jing San Leng (Prunasi Semen, processed, two fen), E Zhu (Curcumae Rhizoma, processed, three fen; use these two herbs only if the sore is extremely hard; omit if not very hard), Yi Zhi Ren (Alpiniae Oxyphyllae Fructus, two fen; if there is excessive saliva, indicating Stomach disharmony, or if the patient spits foam/vomit and has Stomach cold, add it; omit if absent), Mai Mian (Wheat Flour, two qian, treats abdominal contraction and urgency, promotes digestion, and strengthens the Spleen), Shen Qu (Medicated Leaven, processed, two fen, use for indigestion), Huang Lian (Coptidis Rhizoma, three fen, treats irritability), Hou Po (Magnoliae Officinalis Cortex, ginger-processed, one qian one fen, add if abdominal distension), Huang Bo (Phellodendri Cortex, processed, three fen, add if there is heat or weakness in legs and feet; if there is irritability and desire to undress, indicating latent fire in the Kidney, it is especially suitable to add; omit if absent).
Grind all the above into fine powder. Soak in decoction, steam, shape into cakes, dry in the sun, and crush to the size of rice grains. Take three qian per dose, swallowed with plain boiled water. If Qi is not smooth, add Ju Hong (Citri Reticulatae Pericarpium). For severe cases, add a little Mu Xiang (Vladimiriae Root). Adjust according to the patient's deficiency or excess; do not let the medicine interfere too much with diet. This is the general principle of treatment. If the condition is only in the Yangming meridian, remove Chai Hu (Bupleuri Radix) and Niu Bang Zi (Arctii Fructus); use the rest. If it is in the Shaoyang meridian as Ma Dao and Jia Ying, remove Du Huo (Angelicae Pubescentis Radix), Lou Lu (Euphorbiae Humifusae Radix), Sheng Ma (Cimicifugae Rhizoma), and Ge Gen (Puerariae Lobatae Radix); additionally add Qu Mai (Dianthi Herba, three fen). If the patient is constitutionally weak but the disease presents with strong Qi and no shortness of breath, do not use this formula. Examine their usual state; treat as excess Qi and adjust according to the pathology. It is appropriate to add Huang Qin (Scutellariae Radix), Huang Lian (Coptidis Rhizoma), Huang Bo (Phellodendri Cortex), Zhi Mu (Anemarrhenae Rhizoma), and Fang Ji (Stephaniae Tetrandrae Radix), selecting based on whether the pathogen is in the Upper, Middle, or Lower Jiao. For example, if the pathogen is in the Upper Jiao, add Huang Qin (half wine-washed, half raw); in the Middle Jiao, add Huang Lian (half wine-washed, half raw); in the Lower Jiao, add wine-processed Huang Bo (Phellodendri Cortex), Zhi Mu (Anemarrhenae Rhizoma), and Fang Ji (Stephaniae Tetrandrae Radix). If constipation exacerbates the excess pathogen, add wine-processed Da Huang (Rhei Radix et Rhizoma) to promote purgation. If blood dryness causes dry stool, add Tao Ren (Persicae Semen) paste and wine-processed Da Huang (Rhei Radix et Rhizoma). If Wind-stagnation causes dryness and obstruction, add Ma Ren (Cannabis Semen) and Da Huang (Rhei Radix et Rhizoma) to moisten. If Wind-dryness causes obstruction, add Wei Zao Jiao Ren (Gleditsiae Sinensis Semen, roasted), Da Huang (Rhei Radix et Rhizoma), and Qin Jiao (Gentianae Macrophyllae Radix) to promote bowel movement. If the pulse is choppy and there is a sensation of Qi stagnation with constipation, add Yu Li Ren (Chrysobalanis Semen) and Da Huang (Rhei Radix et Rhizoma) to remove Qi dryness. If it is a Yin-cold disease causing constipation due to cold stagnation, use Ban Shou Wan (Half-Sulfur Pill) from the Bureau Formulas, or add Pao Fu Zi (Aconiti Lateralis Radix Praeparata) and Gan Jiang (Zingiberis Rhizoma), decocted and taken cold. Generally, in medication methods, not only for sores but also for other severe diseases in patients with weak constitution, remove bitter-cold herbs and increase Ren Shen (Panacis Ginseng Radix), Huang Qi (Astragali Radix), and Gan Cao (Glycyrrhizae Radix et Rhizoma) to drain fire while first tonifying Yuan Qi. Follow this pattern for others.
Chai Hu Lian Qiao Tang (Bupleurum and Forsythia Decoction, by Li Dongyuan) Treats Ma Dao (Marine Knife/Linear Scrofula) in men and women.
Zhong Gui (Cinnamomi Ramulus, one fen), Dang Gui Shao (Angelicae Sinensis Radix Tip, five qian), Niu Bang Zi (Arctii Fructus, processed and ground separately), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma), Jiu Huang Bo (Wine-processed Phellodendri Cortex), Sheng Di Huang (Rehmanniae Radix, one qian each), Chai Hu (Bupleuri Radix, one qian five fen), Huang Qin (Scutellariae Radix, processed), Jiu Zhi Mu (Wine-processed Anemarrhenae Rhizoma), Lian Qiao (Forsythiae Fructus, one qian five fen each), Qu Mai (Dianthi Herba, two qian).
Finely chop, take as one dose, decoct with two zhan of water, and take slightly warm.
Xiao Zhong Tang (Reduce Swelling Decoction, by Li Dongyuan) Treats Ma Dao (Marine Knife/Linear Scrofula).
Niu Bang Zi (Arctii Fructus, processed, five fen), Huang Lian (Coptidis Rhizoma, processed, five fen), Dang Gui Shao (Angelicae Sinensis Radix Tip), Gan Cao (Glycyrrhizae Radix et Rhizoma, seven fen each), Gua Lou Gen (Trichosanthis Radix), Huang Qi (Astragali Radix, one qian each, honey-fried), Sheng Huang Qin (Raw Scutellariae Radix), Chai Hu (Bupleuri Radix, de-ruffled, one qian two fen each), Lian Qiao (Forsythiae Fructus, two qian), Hong Hua (Carthami Flos, a little).
Finely chop, take as one dose, decoct with two zhan of water until one zhan remains, filter, and take slightly warm.
Chai Hu Tong Jing Tang (Bupleurum Meridian-Unblocking Decoction, by Li Dongyuan) Treats children with nodules on the side of the neck, hard and un-ulcerated, named Ma Dao (Marine Knife/Linear Scrofula).
Chai Hu (Bupleuri Radix, de-ruffled), Lian Qiao (Forsythiae Fructus), Dang Gui Shao (Angelicae Sinensis Radix Tip), Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma), Huang Qin (Scutellariae Radix), Niu Bang Zi (Arctii Fructus, processed), Jing San Leng (Prunasi Semen, vinegar-processed), Jie Geng (Platycodonis Radix, two fen each), Huang Lian (Coptidis Rhizoma, five fen), Hong Hua (Carthami Flos, a little).
Finely chop, take as one dose, decoct with two zhan of water until one zhan remains, filter, and take slightly warm after meals. Avoid bitter medicines that cause diarrhea.
San Zhong Kui Jian Tang (Disperse Swelling and Soften Hardness Decoction, by Li Dongyuan) Treats Ma Dao (Marine Knife/Linear Scrofula), hard as stone, located below the ear, extending to the Que Pen (Clavicular Fossa), shoulder, or hypochondrium, all within the Hand and Foot-Shaoyang meridians, as well as Luo Li (Scrofula) spreading under the chin or to the Jia Che (Masseter) point, hard and un-ulcerated, originating from the Foot-Yangming meridian. Also treats cases where either type of sore has ulcerated and discharged pus.
Huang Qin (Scutellariae Radix, eight fen, wine-washed, half processed half raw), Cao Long Dan (Gentae Scabrae Radix, wine-washed and processed four times), Gua Lou Gen (Trichosanthis Radix, wine-washed), Huang Bo (Phellodendri Cortex, wine-processed and fried), Zhi Mu (Anemarrhenae Rhizoma, wine-fried), Jie Geng (Platycodonis Radix, de-ruffled), Kun Bu (Sargassum, wine-washed, five fen each), Chai Hu (Bupleuri Radix, four fen), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma), Jing San Leng (Prunasi Semen, wine-washed and processed), E Zhu (Curcumae Rhizoma, wine-mixed and fried), Lian Qiao (Forsythiae Fructus, three fen each), Ge Gen (Puerariae Lobatae Radix, two fen), Bai Shao Yao (Paeoniae Radix Alba, two fen), Dang Gui Shao (Angelicae Sinensis Radix Tip, two fen), Huang Lian (Coptidis Rhizoma, two fen), Sheng Ma (Cimicifugae Rhizoma, one fen).
Finely chop, take as one dose, soak in two zhan of water for half a day, decoct until one zhan remains, filter, and take slightly warm after meals. When lying down, extend legs high, keep head low, hold one mouthful of medicine, and swallow in ten portions. After taking, lie quietly for a moment, allowing the medicine to accumulate above the diaphragm. Prepare another batch as fine powder, make pills with refined honey, size of mung beans. Take over one hundred pills per dose, washed down with the decoction. Adding Haizao (Sargassum, five fen, processed) is also excellent. Although Haizao (Sargassum) opposes Gan Cao (Glycyrrhizae Radix et Rhizoma), this is Li Dongyuan's clever use of herbs, unknown to most physicians.
Sheng Yang Tiao Jing Tang (Raise Yang and Regulate Meridians Decoction, by Li Dongyuan) Treats Luo Li (Scrofula) encircling the neck or reaching the Jia Che (Masseter) point, originating from the Foot-Yangming Stomach meridian. If the sore is deep and hidden in the muscle base, it originates from the Foot-Shaoyin Kidney meridian, representing the transmission from Wu Earth (Spleen) to Gui Water (Kidney), i.e., husband transmitting to wife. Both form hard nodules of unequal size and are treated together; pills may also be made.
Sheng Ma (Cimicifugae Rhizoma, eight fen), Ge Gen (Puerariae Lobatae Radix), Cao Long Dan (Gentae Scabrae Radix, processed with wine four times), Huang Qin (Scutellariae Radix, four fen each, wine-processed and fried), Lian Qiao (Forsythiae Fructus, five fen), E Zhu (Curcumae Rhizoma), Jing San Leng (Prunasi Semen, two herbs wine-processed and fried), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma, four fen each), Dang Gui Shao (Angelicae Sinensis Radix Tip, three fen), Jie Geng (Platycodonis Radix, five fen), Shao Yao (Paeoniae Radix, three fen), Huang Bo (Phellodendri Cortex, wine-fried, two fen), Zhi Mu (Anemarrhenae Rhizoma, wine-fried, one qian), Huang Lian (Coptidis Rhizoma, wine-washed, five fen), Huang Qin (Scutellariae Radix, raw, four fen).
Finely chop, take as one dose, soak in two zhan of water for half a day, decoct until one zhan remains, filter, and take slightly warm before bed. Separately weigh ten doses, grind to fine powder, make pills with refined honey, size of mung beans. Take one hundred pills per dose. During administration, elevate feet, lie supine without pillow, hold one mouthful of decoction and swallow in ten portions, leaving one portion to wash down the pills. Lie normally after finishing.
Lian Qiao San Jian Tang (Forsythia Hardness-Scattering Decoction, by Li Dongyuan) Treats sores below the ear or extending to the Que Pen (Clavicular Fossa) or shoulder, hard as stone, mobile without root, named Ma Dao (Marine Knife/Linear Scrofula), originating from the Hand and Foot-Shaoyang meridians. Also treats sores under the hypochondrium, already discharging pus, or un-ulcerated sores.
Chai Hu (Bupleuri Radix, one qian two fen), Cao Long Dan (Gentae Scabrae Radix, wine-processed four times), Tu Gua Gen (Benincasae Caulis, wine-processed and fried, one qian each), Huang Qin (Scutellariae Radix, wine-fried twice, seven fen), Dang Gui Shao (Angelicae Sinensis Radix Tip), Sheng Huang Qin (Raw Scutellariae Radix), E Zhu (Curcumae Rhizoma), Jing San Leng (Prunasi Semen, wine-fried), Lian Qiao (Forsythiae Fructus), Bai Shao Yao (Paeoniae Radix Alba, five fen each), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma, three fen), Huang Lian (Coptidis Rhizoma, wine-fried twice), Cang Zhu (Atractylodis Rhizoma, soaked in rice wash water, two fen each).
Finely chop, take as one dose. Separately weigh ten doses, grind to fine powder, make pills with refined honey, size of mung beans. Take over one hundred pills per dose. For decoction, soak in two zhan of water for most of a day, decoct until one zhan remains, filter, and take slightly warm before bed. Lie supine without pillow, swallow one mouthful in ten portions, leave one portion to wash down pills, and lie normally afterwards. Apply the following external medicine.
Long Quan San (Dragon Spring Powder, from *Chuang Yang Ji*)
Long Quan Fen (Quern Dust, processed. i.e., dust from grinding knives), Wa Long Fen (Terebrantis Testa), E Zhu (Curcumae Rhizoma), Jing San Leng (Prunasi Semen, wine-washed and processed), Kun Bu (Sargassum, five qian each).
Grind all together into fine powder. Mix with boiled water and apply. This medicine removes disease particularly quickly.
San Sheng Wan (Three Sages Pill, from *Ji Sheng Fang*) A miraculous pill for treating Luo Li (Scrofula).
Ding Xiang (Caryophylli Flos, fifty grains), Ban Mao (Mylabris, ten, remove wings, head, and feet, process), She Xiang (Moschus, one qian, ground separately).
Grind into powder. Use Yan Chi (Fermented Soybean Paste, fifty grains), soak in water until soft, grind into paste, mix with the above powder, and make pills size of mung beans. Take seven pills per dose, washed down with warm wine before meals, three times daily. After five to seven days, if urination becomes dribbling, it indicates the medicine is effective; increase dosage. If urine resembles green fascia, it is the root of the disease. Avoid wet noodles and toxic foods.
Li Yan Da Sheng San (Immediately Effective Great Sage Powder, from *Chuang Yang Ji*) A drastic medicine for treating Luo Li (Scrofula).
Ban Mao (Mylabris, thirty large ones, remove head, wings, feet; stir-fry with glutinous rice until rice turns yellow, discard rice, use Mylabris), Mian Jiang Can (Bombyx Batryticatus, one qian, remove silk mouth, process), Hei Qian Niu (Melongenae Semen, half raw half processed, total three qian, take the finest powder, one qian), Jing Jie Sui (Schizonepetae Spica, one qian).
Grind into fine powder. Take one qian per dose, washed down with aged wine without lime on an empty stomach. Must avoid fish, meat, alcohol, vinegar, salt, soy sauce, and foods that trigger Wind or move Qi. Only eat vegetables and white porridge. For example, if taking medicine the next morning, skip night porridge the previous night. At dusk, decoct Chuan Mu Tong (Akebiae Caulis) soup, mix with Yu Xie Miao Ling San (Jade Dust Marvelous Spirit Powder, two qian). At fifth watch the next day, mix Li Yan Da Sheng San (Immediately Effective Great Sage Powder) with wine. If unable to drink alcohol, use Deng Xin Cao (Junci Medullae) and Mu Tong (Akebiae Caulis) soup. By noon, if lower abdominal pain and painful dysuria occur, use Deng Xin Cao (Junci Medullae) soup to mix Hu Po (Amber) powder (one qian) or Yu Xie Miao Ling San (Jade Dust Marvelous Spirit Powder). Evil matter should be expelled via urine, resembling grape flesh with a clot. If not expelled, repeat after three days. Before noon, use Liu Ding Shen San (Six Divine Gods Powder) to induce expulsion; it will surely pass. Repeat induction after five to six days until the disease root is completely removed. If one nodule on the neck yields ten units of evil matter, the disease root is cleared. If there is lower abdominal urgency and urethral pain, do not panic; it will subside.
Yu Xie Miao Ling San (Jade Dust Marvelous Spirit Powder)
Hua Shi (Talcum), finely ground. Take one qian per dose, mixed with Chuan Mu Tong (Akebiae Caulis) decoction.
Liu Ding Shen San (Six Divine Gods Powder, from *Chuang Yang Ji*)
Ku Ding Xiang (Styrax Resina, six pieces, or weigh five fen), Bai Ding Xiang (Streptopeliae Faeces, one qian), Ku Shen (Sophorae Flavescentis Radix) powder (five fen), Chi Xiao Dou (Adzuki Bean, one qian), Mo Dao Ni (Quern Mud, preferably from bluestone. Also known as Long Quan Fen), Da Ban Mao (Large Mylabris, seven, remove head and feet, process), Bai Jiang Can (Bombyx Batryticatus, remove silk mouth, process, one qian each).
Grind all together into fine powder. Take one qian per dose, washed down with aged wine without lime on an empty stomach.
Methods for Ying Liu (Goiter and Tumors):
Po Jie San (Break Accumulation Powder, from *Da Cheng Fang*) Treats Shi Ying (Stone Goiter), Qi Ying (Qi Goiter), Jin Ying (Sinew Goiter), Xue Ying (Blood Goiter), Rou Ying (Flesh Goiter), Ma Dao (Marine Knife/Linear Scrofula), and Luo Li (Scrofula).
Hai Zao (Sargassum, washed with wine), Long Dan Cao (Gentae Scabrae Radix, wine-washed), Hai Ge Fen (Concha Arcae), Tong Cao (Tetrapanacis Medulla), Bei Mu (Fritillariae Bulbus, remove heart), Kun Bu (Sargassum, washed with wine), Fan Shi (Alumen, calcined), Song Luo (Usnea, three qian each; now replaced by Sang Ji Sheng (Taxilli Caulis) with similar effect), Mai Qu (Saccharomyces, processed, four qian), Ban Xia Qu (Pinelliae Fermented Powder, two qian).
Grind into fine powder. Take two qian per dose, mixed with hot wine, taken after meals. Avoid Gan Cao (Glycyrrhizae Radix et Rhizoma), Crucian Carp, Chicken Meat, Five Spices, and Raw Fruits. One person developed a goiter on the neck, large as an eggplant, with tidal fever, loss of appetite, and emaciation for a long time. Hundred remedies failed. Later obtained this formula, removed Song Luo (Usnea), added double amount of Zhen Sang Ji Sheng (Taxilli Caulis). After three to five days, the sore softened and dispersed, fever subsided, and healing occurred. Repeatedly effective on several patients.
Nan Xing San (Arisaema Powder, from *Chuang Yang Ji*) Treats tumors on skin, neck, and face, large as fist or small as millet, soft or hard, non-itchy and non-painful. Use this medicine. Do not use acupuncture or moxibustion arbitrarily, as it often leads to untreatable conditions.
Sheng Nan Xing (Arisaematis Rhizoma, one large piece).
Grind finely, add five to seven drops of good vinegar, pound into paste. If fresh is unavailable, use dried powder mixed with vinegar into paste. First prick the affected area with fine needle to allow Qi penetration, then apply paste. Change frequently if itching occurs to achieve effect.
Liu (Tumor) is formed by coagulation and stagnation of Qi and Blood, resembling peaches/plums or gourds. There are six names: Gu Liu (Bone Tumor), Zhi Liu (Fat Tumor), Nong Liu (Pus Tumor), Xue Liu (Blood Tumor), Jin Liu (Sinew Tumor), Feng Liu (Wind Tumor), named after the material inside. All the above tumors are treated with Long Zhu Gao (Dragon Pearl Ointment).
Long Zhu Gao (Dragon Pearl Ointment) (Formula see Luo Li section above.)
For Liu (Tumor), take Shi Liu Wei Liu Qi Yin (Sixteen-Ingredient Qi-Flowing Decoction). (Formula see Ru Yan section above.)
For any Ying Qi (Goiter Qi), first stop rich flavors. Use Hai Zao (Sargassum, one tael) and Huang Bo (Phellodendri Cortex, two taels) ground to powder. Place in palm, lick occasionally, and swallow with saliva. Stop medicine when two-thirds resolved.
Methods for He Jie (Tubercles)
Zhu Danxi said: Generally, tubercles in the neck, arms, or body that resemble abscesses but are not red, painful, or suppurating are mostly Phlegm accumulation that does not scatter, named Tan He (Phlegm Nodule). Use Er Chen Tang (Two-Aged Decoction) plus Jiu Chao Da Huang (Wine-processed Rheum Palmatum Radix et Rhizoma), Lian Qiao (Forsythiae Fructus), Jie Geng (Platycodonis Radix), and Chai Hu (Bupleuri Radix) decocted and taken.
Another prescription: For painful arm nodules, use Er Chen Tang (Two-Aged Decoction) plus Lian Qiao (Forsythiae Fructus), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Zao Jiao Ci (Gleditsiae Sinensis Spina), Fang Feng (Saposhnikoviae Radix), Huang Qin (Scutellariae Radix, wine-processed), and Cang Zhu (Atractylodis Rhizoma) decocted and taken.
For nodules behind the ear and on the vertex, use Chao Jiang Can (Processed Bombyx Batryticatus), Jiu Zheng Da Huang (Wine-steamed Rheum Palmatum Radix et Rhizoma), Qing Dai (Indicum), Niu Dan (Bovis Fel), and Nan Xing (Arisaematis Rhizoma) ground to powder, made into pills with honey to dissolve in mouth.
Methods for Ding Zhong (Carbuncle/Furuncle)
Shi Xiang Chengshi said: Ding Zhong (Carbuncle/Furuncle) syndromes are all caused by deep accumulation of Heat-Toxin. Recently, many cases arise from eating meat of diseased cattle or horses. There are thirteen types, named by shape: 1. Ma Zi Ding (Hemp Seed Carbuncle), 2. Shi Ding (Stone Carbuncle), 3. Xiong Ding (Male Carbuncle), 4. Ci Ding (Female Carbuncle), 5. Huo Ding (Fire Carbuncle), 6. Lan Ding (Rotting Carbuncle), 7. San Shi Liu Zhong Ding (Thirty-Six-Type Carbuncle), 8. She Yan Ding (Snake Eye Carbuncle), 9. Yan Fu Ding (Salt Skin Carbuncle), 10. Shui Xi Ding (Water Washed Carbuncle), 11. Dao Lian Ding (Sickle Carbuncle), 12. Fu Ao Ding (Floating Bubble Carbuncle), 13. Niu Gou Ding (Cow-Dog Carbuncle). The Thirty-Six-Type Carbuncle is most feared. Its appearance has a black, floating head, shaped like a black bean, with bright red surroundings. If one appears today, two tomorrow, three the day after, up to dozens, it is still treatable. If it reaches thirty-six, it is incurable. Although the shapes of the thirteen types differ, they all originate from extreme Heat-Toxin. Treatment urgently requires Duo Ming Dan (Life-Seizing Pill) to purge and reduce the sharpness of the toxin. Subsequently take Hua Du Wan (Toxin-Transforming Pill), Nei Tuo San (Internal Support Powder), Er Huo San (Two Active Herbs Powder), and Xiong She Tang (Male Musk Decoction). Select guiding herbs according to the meridian, syndrome, and severity. If no other syndromes, reduce heat if present, reduce swelling if present. If cold limbs, spontaneous sweating, vomiting, restlessness, wheezing, delirium, wild shouting, staring eyes, the toxin has entered internally and is incurable. If the Ding (Carbuncle) has been extracted, use Jin Yin Bai Zhi San (Silver White Angelica Powder) or Jia Jian Shi Xuan San (Modified Ten Acupoints Powder) to regulate, ensuring full recovery.
The thirteen types of Ding (Carbuncle) syndromes are listed below:
1. Ma Zi Ding (Hemp Seed Carbuncle): Flesh raised, head like millet, slightly black color, slightly red edges, often itchy. Avoid eating hemp seeds, touching oiled clothes/cloth, and walking in hemp fields.
2. Shi Ding (Stone Carbuncle): Skin and flesh connected, color like black bean, very hard, cannot be pierced, slight flesh pain. Avoid gravel and bricks.
3. Xiong Ding (Male Carbuncle): Head black with scab, edges elevated, pus rises, fluid exudes, yellow color, large as coin hole, high shape. Avoid sexual intercourse.
4. Ci Ding (Female Carbuncle): Sore slightly yellow, inward scab, resembles moxibustion scar, pus rises on four sides, center concave and red, like coin hole. Avoid sexual intercourse.