独形而小核者，为结核。
〔河〕结核，火气热甚则郁结坚硬，如果中核也，不须溃发，但热气散则自消。
〔丹〕结核，或在项、在颈、在臂、在身，如肿毒者，多在皮里膜外，多是痰注作核不散，问其
平日好食何物？吐下后，用药散核。结核在颈项方。
僵蚕（炒） 大黄（酒浸） 青黛 胆星（各等分）
上为末，蜜丸噙。
结核在下颏。二陈汤加酒炒大黄、连翘、桔梗、柴胡。结核在臂。二陈汤加连翘、防风、川
芎、酒芩、苍术、皂角刺、僵蚕、麝香，行太阴、厥阴之积痰，使结核自消，甚捷。
〔《济》〕治颏下结核不消，《经效》用大肚蜘蛛，不拘几个，以好酒浸之，研烂，同浸酌
酒，去渣，温热，临卧服之。
〔《灵》〕虚邪之入于身也深，寒与热相搏，久留而内着，寒胜其热则骨疼肉枯；热胜其寒
则烂肉腐肌为脓；内伤骨，内伤骨为骨蚀，有所疾前筋，（“疾前”二字，衍文也，筋当作“结”。）
筋屈不得伸，邪气居其间而不反，发为筋溜。有所结，气归之，卫气留之，不得反，津液久留，
合为肠溜。久者数岁乃成，以手按之柔，已有所结，气归之，津液留之，邪气中之，凝结日以易
甚，连以聚居，为昔瘤。以手按之坚，有所结，深中骨，气因于骨，骨与气并，日以益大，则
为骨疽。有所结，中于肉，宗气居之，邪留而不去，有热则化而为脓，无热则为肉疽。凡此
数气者，其发无常处，而有常名也。（刺节真邪篇 此皆虚邪中人为病弗去而久留着，故积岁累
月而成疽瘤也。）
〔子和〕新寨一妇人，年四十余，有瘤三瓣，戴人令以咸吐之。三涌、三汗、三下，瘿已消半。
次服化瘿之药，遂大消去。夫病在上者，皆宜吐，亦自有消息之法耳。
〔河〕瘤气赤瘤丹 ，热胜气也，火之色也。
〔丹〕瘿气先须断浓味。
海藻（洗，一两） 黄连（二两）
上为末，以少许置掌中，时时舐之，津咽下。如消三分之二，须止后服。一方，用黄柏二两，
海藻一两，不用黄连亦佳。
治瘿气结核，累累肿硬。以昆布一两，洗去咸，捣为末，每用一钱。绵裹于好醋中浸过，含
之咽津，药味尽，再噙之。
〔《肘》〕治颈下卒结囊，欲成瘿。海藻一斤，洗去咸，酒浸饮之。
〔无〕破结散
海藻（洗） 草龙胆 海蛤 通草 昆布 矾石（枯） 松萝（各三分） 麦面（四分）
半夏 贝母（各二分）
为末，酒服方寸匕，日三。忌鲫鱼、猪肉、五辛、生菜、诸杂毒物。十日知，二十日愈。
〔《济》〕玉壶散治三种瘿。
海藻（洗） 海带（洗） 昆布 雷丸（各一两） 青盐 广术（各半两）
上等分为细末，陈米饮丸，如榛子大，噙化。以炼蜜丸，亦好。
〔子和〕人参化瘿丹
海带（洗） 海藻（洗） 海蛤 昆布（以上四味皆焙） 泽泻（炒） 连翘（以上各等分）
猪靥 羊靥（各十枚，猪羊靥即猪羊外肾，乃囊中之卵也）
上为末，蜜丸，如鸡头大。临卧噙化一二丸，忌油腻物。
〔罗〕宝金散偏医瘿气无不瘥。
猪羊靥（十对。暖水洗去脂膜后晒干，杵为细末） 海藻（洗） 海带（各二两。洗）
丁香 木香 琥珀（研） 麝香（研，各一分） 真朱（研，半两）
上件，先将丁香、木香、海藻、海带杵为细末，入下项药味，合和再研细，重罗过，每服一
钱，热酒一盏调服，夜卧服，垂头而睡。若在室男女，十服必效。如男子、妇人患者，一月见效，
有胎不可服。
海带丸治瘿气，久不消。
海藻（洗） 贝母 青皮 陈皮
上件，各等分为细末，炼蜜为丸，如弹子大。食后噙化一丸，大效。
〔罗〕枯瘤方名一井散
砂 粉霜 雄黄（以上各二钱） 轻粉 没药 乳香（以上各一钱） 土黄（三钱，做土黄法∶
砒黄另末二两，木鳖子半两去壳，巴豆半两去油， 砂另为末二钱，上以砒黄一处为末，用木鳖
子同石脑油成一块，油纸裹定，埋于地坑内四十九日，取出于瓷器盛，掰作小块研细，少许。
砒黄即雌黄）
上为细末，以津调涂瘤顶，外边歇一韭叶，先以花纸贴之，上用小黄膏贴之。
小黄膏
黄柏 黄芩 大黄（各等分）
上为细末，以水调为糊，比前药大一遭，三日一易，至八九日不取，直候可取。一方，单用
黄柏末亦佳。
〔丹〕小儿丹瘤。蓖麻子五个，去皮，研入面一匙，水调涂之，甚妙。（出小儿门。）
〔罗〕生肌青龙散
诃子皮 高茶 龙骨
上件各等分为细末，干掺上。
又枯瘤方
砒 砂 黄丹 雄黄 轻粉（以上各一钱） 斑蝥（生用，三十个） 朱砂 乳香 没药（各一钱）
上研为末，糯米粥为丸，捏作棋子样，爆干。先灸破瘤顶三炷，以药饼盖上，用黄柏末以水
调贴之，数日，
自然枯干落下。
一方以铜绿为末，草刺瘤破，掺上以膏药涂之。
〔世〕点瘤 方神验。
桑柴灰 枣树灰 黄荆灰 桐壳灰（各二升半） 荞麦灰（少）
上以沸汤淋汁五碗许，澄清，入斑蝥四十个，穿山甲五片，乳香、脑子不拘多少，约五碗
煎作二碗，用瓷器盛之。乳香、脑子，候冷入之。后临用时，入新锻石调成膏，神妙。敷瘤上，
干以清水润之，其效如神。
〔罗〕枯瘤方
桑柴灰（三碗） 锻石（三碗） 朽木（三两） 干桑耳（三两） 草乌（半斤） 川乌（四两）
上朽木等四味，一处烧灰，令存性，同前二灰研匀，用水一桶，淋汁，如法熬成膏用之。
〔东〕诸瘿恶气∶肩 （男左灸十八壮，右十七壮。女右灸十八壮，左十七壮。）
又法∶天府（七七壮） 冲阳（随年壮。）
〔《甲》〕瘿，天窗（一作天容，《千金》作天府）及 会主之。瘿瘤，气舍主之。
〔子和〕在西华，众人皆讪以为吐泻而已。一日，魏寿之与戴人入食肆中，见一夫病一瘤，正
当目上网内 ，色如灰李，下垂覆目睛，不能视物。戴人谓寿之曰∶吾不待食熟，立取此瘤。
魏未之信也。戴人曰∶吾与尔取此瘤何如？其人曰∶人皆不敢割。戴人曰∶吾非用刀割，别有
一术。其人从之。乃引入一小室中，令俯卧一床，以绳束其 ，刺委中大出血，先令以手揉其目
瘤上，亦刺出雀粪，立平出户。寿之大惊。戴人曰∶人之有技，可尽窥乎。郜城，戴人之乡也。
一女子未嫁，年十八，两手背皆有瘤，一类鸡距，一类羊角，腕不能钏，向明望之，如桃胶然。
夫家欲弃之，戴人见之曰∶在手背者，为胶瘤，在面者，为粉瘤，此胶瘤也。以 针十字刺破，
按出黄胶脓三二匙，立平。瘤核更不再作，婚事复成。非素明者，不敢用此法耳。
〔《本》〕治果报面生 瘤。方用艾丸灸十壮，即用醋磨硫黄，涂纸上，剪如螺蛳掩子大，
贴所灸处。更
用膏药重贴，二日一换，候痒挤出脓，如绿豆粉即愈。硫黄，罗谦甫作雄黄。
〔无〕瘿多着于肩项，瘤则随气凝结，此等皆年数深远，浸大浸长。坚硬不可移者，名曰石瘿。
皮色不变者，名曰肉瘿。筋脉露结者，名曰筋瘿。赤脉交结者，名曰血瘿。随忧愁消长者，名曰
气瘿。五瘿皆不可妄决破，决破则脓血崩溃，多致夭枉。瘤则有五，骨瘤、脂瘤、肉瘤、脓瘤、
血瘤，亦不可决溃，肉瘤尤不可治，治则杀人。唯脂瘤，破而去其脂粉则愈。
〔丹〕服瘿瘤药，先须断浓味。
Only those with a shape resembling a small kernel are termed *Jiehe* (Tubercle).
[He Jian] *Jiehe* occurs when excessive heat from Fire Qi causes stagnation and hardening, similar to a fruit pit. It does not require ulceration or suppuration; once the heat dissipates, it resolves spontaneously.
[Dan Xi] *Jiehe* may appear on the neck, lateral neck, arms, or body, resembling a swelling toxin. It is mostly located between the skin and fascia, often caused by phlegm condensing into a persistent nodule. One must ask what foods the patient usually prefers. After employing emetic or purgative therapies, use medications to disperse the nodules. Formula for *Jiehe* in the neck:
*Baijiangcan* (Stir-fried *Bombyx Batryticatus*) *Dahuang* (Steeped in wine) *Qingdai* (Indigo Naturalis) *Danning* (Equal parts of each)
Grind these into fine powder, form pills with honey, and take by holding in the mouth to dissolve (*qing*).
For *Jiehe* under the chin: *Erchen Tang* (Two-Cured Decoction) added with wine-stir-fried *Dahuang*, *Lianqiao*, *Jiegeng*, and *Chaihu*.
For *Jiehe* in the arm: *Erchen Tang* added with *Lianqiao*, *Fangfeng*, *Chuanxiong*, wine-*Huangqin*, *Cangzhu*, *Zaoyaoci*, *Baijiangcan*, and *Shexiang*. This unblocks accumulated phlegm in the Hand-Taiyin Lung Meridian and Foot-Jueyin Liver Meridian, causing the *Jiehe* to resolve naturally with great speed.
[*Jisheng Fang*] To treat persistent submental *Jiehe*, [*Jingxiao Fang*] uses large-bellied spiders, regardless of quantity. Soak them in good wine, mash thoroughly, and drink the mixture including the soaking wine. Filter the dregs, warm the liquid, and take before bedtime.
[*Lingshu*] When deficient pathogens enter deeply, cold and heat contend. If they remain long-term and attach internally: if cold overcomes heat, bone pain and muscle wasting occur; if heat overcomes cold, flesh rots and turns to pus. Internal injury to bones leads to bone erosion. If tendons are injured ("Ji Qian" is a textual error, "Jin" should be "Jie"), tendon contraction prevents extension. Pathogenic qi stays there without returning, manifesting as *Jinliu* (Tendon Sliding Tumor). Wherever there is accumulation, Qi converges; if Wei Qi (Defensive Qi) remains stuck and cannot return, and fluids stay long-term, they combine to form *Changliu* (Intestinal Sliding Tumor). These may take years to form; palpation feels soft. If Qi converges where there is already an accumulation, fluids stay, and pathogenic qi invades, condensation worsens daily, clustering together to form *Xiliu* (Ancient Tumor). Palpation feels hard. If accumulation penetrates deep into bone, Qi attaches to bone, and bone merges with Qi, enlarging daily, it becomes *Guju* (Bone Abscess). If accumulation affects flesh, Zong Qi (Pectoral Qi) resides there; if pathogenic qi lingers, heat transforms it to pus, while absence of heat results in *Rouju* (Flesh Abscess). These various pathogenic influences have no fixed site of onset but have fixed names. (From *Ci Jie Zhen Xie Pian*: All these diseases result from deficient pathogens attacking humans; because the disease is not expelled, it lingers long-term, accumulating over years into abscesses and tumors.)
[He Zi] A woman in Xinzhai, over forty years old, had three lobulated tumors. Dairen instructed her to induce vomiting with salty substances. After three sessions of inducing vomiting, sweating, and purging, the goiter reduced by half. Subsequently, she took medicine to transform goiters, leading to significant resolution. Diseases in the upper body generally benefit from emesis, following appropriate methods of adjustment.
[He Jian] *Liuqi Chiliudan* (Goiter Qi Red Goiter Cinnabar) indicates heat overcoming Qi, representing the color of fire.
[Dan Xi] Treating goiter Qi requires first cutting off rich/flavorful foods.
*Haizao* (Washed, 1 liang) *Huanglian* (2 liang)
Grind into powder. Place a small amount in the palm, lick occasionally, and swallow with saliva. If two-thirds resolved, stop subsequent doses. Another prescription uses 2 liang *Huangbai* and 1 liang *Haizao*; omitting *Huanglian* is also effective.
To treat goiter Qi *Jiehe*, which are numerous, swollen, and hard: Use 1 liang *Kunbu*. Wash to remove salinity, grind to powder. Take 1 qian per dose. Wrap in cotton, soak in good vinegar, hold in mouth, and swallow saliva. When flavor fades, re-hold.
[*Zhouhou Beiji Fang*] To treat sudden cystic formation under the neck, threatening goiter: 1 jin *Haizao*, washed to remove salinity, soaked in wine and drunk.
[Wu Qiushi] *Po Jie San* (Break Knots Powder)
*Haizao* (Washed) *Caolongdan* *Hai Ge* *Tongcao* *Kunbu* *Fanshi* (Calcined) *Songluo* (Each 3 fen) *Maimian* (4 fen)
*Banxia* *Beimu* (Each 2 fen)
Grind to powder. Take one *cunbi* (square-inch measure) with wine, three times daily. Avoid crucian carp, pork, five pungent spices, raw vegetables, and miscellaneous toxic foods. Effects seen in 10 days, cured in 20.
[*Jisheng Fang*] *Yuhu San* (Jade Pot Powder) treats three types of goiter.
*Haizao* (Washed) *Haidai* (Washed) *Kunbu* *Leiwuan* (Each 1 liang) *Qingyan* *Guangzhu* (Each 0.5 liang)
Grind to fine powder. Form pills with aged rice water decoction, size of hazelnuts, to be held in mouth to dissolve. Honey pills are also acceptable.
[He Zi] *Renshen Huaying Dan* (Ginseng Goiter-Transforming Pill)
*Haidai* (Washed) *Haizao* (Washed) *Hai Ge* *Kunbu* (These four roasted/dried) *Zexie* (Stir-fried) *Lianqiao* (All equal parts)
*Zhuye* (Pig thyroid/neck meat) *Yangye* (Sheep thyroid/neck meat) (Each 10 pieces; pig/sheep ye refers to the external kidney/testicles within the scrotum)
Grind to powder, form honey pills, size of corn kernels. Hold 1-2 pills in mouth before bed. Avoid greasy foods.
[Luo Qianfu] *Baojin San* (Precious Gold Powder) effectively treats goiter Qi without exception.
*Zhuyangye* (10 pairs. Warm water wash to remove fat membrane, dry, grind to fine powder) *Haizao* (Washed) *Haidai* (Each 2 liang. Washed)
*Dingxiang* *Muxiang* *Hupo* (Ground) *Shexiang* (Ground, Each 1 fen) *Zhenzhu* (Ground, 0.5 liang)
First, pound *Dingxiang*, *Muxiang*, *Haizao*, *Haidai* to fine powder. Add remaining ingredients, mix, grind finely, and sieve. Take 1 qian, mixed with one cup of hot wine, taken at night while sleeping with head lowered. For unmarried men and women, ten doses guarantee efficacy. For married men/women, effects seen in one month. Contraindicated in pregnancy.
*Haidai Wan* (Kelp Pill) treats goiter Qi that persists long-term.
*Haizao* (Washed) *Beimu* *Qingpi* *Chenpi*
Grind all equal parts to powder. Form honey pills, size of marbles. Hold one pill in mouth after meals. Highly effective.
[Luo Qianfu] Drying Tumor Formula named *Yijing San*
*Pi Shuang* *Fenshuang* *Xionghuang* (Each 2 qian) *Qingfen* *Moyao* *Ruxiang* (Each 1 qian) *Tuhuang* (3 qian. Method for making Tuhuang: Separate 2 liang *Cihuang* (Orpiment) into powder, 0.5 liang *Mubeizi* (Semen Euphorbiae Lathyri) shelled, 0.5 liang *Badou* (Semen Crotonis) de-oiled. Grind *Pi Shuang* separately to 2 qian powder. Mix *Cihuang* powder with *Mubeizi* and petroleum ether (stone brain oil) into a block. Wrap in oil paper, bury in ground pit for 49 days. Retrieve, store in porcelain, break into small pieces, grind finely. Small amount needed. *Cihuang* is Orpiment.)
Grind to fine powder. Mix with saliva, apply to tumor apex. Place a leek leaf around the edge. Cover with floral paper, then apply *Xiaohuang Gao* (Little Yellow Ointment).
*Xiaohuang Gao*
*Huangbai* *Huangqin* *Dahuang* (Equal parts)
Grind to powder. Mix with water to paste consistency. Apply slightly larger than previous medication. Change every three days. Do not remove until day 8-9, wait until ready to peel. Alternatively, using only *Huangbai* powder is also good.
[Dan Xi] Pediatric Dan Liu (Red Tumor). Five *Bimazi* (Ricinus seeds), peeled, ground with one spoonful of flour, mixed with water, applied topically. Very excellent. (From Pediatric Section.)
[Luo Qianfu] *Shengji Qinglong San* (Muscle-Regenerating Green Dragon Powder)
*Hezi Pi* *Gaocha* *Longgu*
Grind equal parts to powder. Apply dry powder directly to the wound.
Another Drying Tumor Formula
*Pi Shuang* *Pi Sha* *Huandan* *Xionghuang* *Qingfen* (Each 1 qian) *Banmao* (Raw, 30 pieces) *Zhusha* *Ruxiang* *Moyao* (Each 1 qian)
Grind to powder. Make pills with glutinous rice porridge, shape like chess pieces, dry by baking. Moxibustion pierces tumor apex with 3 moxa cones. Place medicated cake on top. Apply *Huangbai* powder mixed with water as a patch. After several days, it naturally dries and falls off.
Alternative: Grind *Tonglv* (Verdigris), prick tumor with grass thorn, sprinkle powder, cover with ointment.
[Worldly Physicians] Spotting Tumor Formula is miraculous.
*Sangchaihui* (Mulberry branch ash) *Zaoshuhui* (Date tree ash) *Huangjinghui* (Yellow荆 ash) *Tongkehui* (Poppy husk ash) (Each 2.5 sheng) *Qiaomaihui* (Buckwheat ash, small amount)
Pour boiling water over ashes to get ~5 bowls of juice. Clarify. Add 40 *Banmao*, 5 slices of *Chuanshanjia*, and unspecified amounts of *Ruxiang* and *Naozi* (Camphor/Borneol). Boil down to 2 bowls. Store in porcelain. Add *Ruxiang* and *Naozi* after cooling. Before use, mix with fresh *Duanshi* (Calx) to form paste. Apply to tumor. Moisten with clear water when dry. Effect is miraculous.
[Luo Qianfu] Drying Tumor Formula
*Sangchaihui* (3 bowls) *Duanshi* (3 bowls) *Xiumu* (Rotten wood, 3 liang) *Gangsanger* (Dry mulberry fungus, 3 liang) *Caowu* (Aconitum carmichaelii root side-lateral) (0.5 jin) *Chuanwu* (Aconitum carmichaelii root main-lateral) (4 liang)
Burn rotten wood etc. (four items) to ash, preserving properties. Mix evenly with the two ashes. Pour 1 bucket of water, leach juice, boil according to method to form paste.
[Dong Yuan] Various malignant goiter Qi: Jiāoliáo point (Male: Left 18 moxa cones, Right 17 cones. Female: Right 18 cones, Left 17 cones.)
Another method: Tiānfǔ point (77 cones) Chōngyáng point (Cones based on age.)
[*Jiayi Jing*] Goiter: Tiānchuāng point (Also Tiānróng in some texts, Tiānfǔ in *Qianjin*) and Dànzhōng point govern it. Goiter tumors: Qìshě point governs it.
[He Zi] In Xihua, people mocked him saying he only induced vomiting and diarrhea. One day, Wei Shouzhi and Dairen entered a restaurant, seeing a man with a tumor inside the upper eyelid net, gray-plum colored, hanging down covering the eye, obstructing vision. Dairen told Shouzhi: I will remove this tumor before the meal is cooked.
Wei did not believe him. Dairen said: Shall I remove it for you? The man said: No one dares cut it. Dairen said: I do not use knives, I have another technique. The man agreed. Led to a small room, made him lie prone on a bed, tied wrists, pricked Wěizhōng (BL40) to bleed heavily. First, he rubbed the eye tumor manually, also pricking out material resembling bird droppings. Immediately flat, walked out. Shouzhi was shocked. Dairen said: Can one fully窥 (peek) at others' skills? Gaocheng is my hometown. An unmarried girl, 18 years old, had tumors on both hands backs, one like chicken spur, one like sheep horn, wrists couldn't fit bracelets. Looking in light, resembled peach gum. Husband's family wanted to discard her. Dairen saw and said: On hand backs, it is Jiao Liu (Glue Tumor); on face, Fen Liu (Powder Tumor). This is Jiao Liu. Prick crosswise with needle, press out 2-3 spoons of yellow glue-like pus. Immediately flat. Nucleus never recurs, marriage restored. Only those well-versed dare use this method.
[*Bencao*] Treat facial tumors from karmic retribution. Moxa cone 10 cones on lesion. Immediately grind *Liuhuang* (Sulfur) with vinegar, smear on paper, cut to size of snail shell, apply to moxa site. Re-cover with plaster, change every two days. Wait for itching, squeeze out pus resembling mung bean powder, then cured. *Liuhuang*, Luo Qianfu wrote as *Xionghuang*.
[Wu Qiushi] Goiters mostly occur on shoulders/neck; tumors follow Qi condensation. These exist for many years, gradually enlarging. Hard and immobile is called *Shiying* (Stone Goiter).
Skin color unchanged is *Rouying* (Flesh Goiter). Visible vein knots is *Jinying* (Tendon Goiter). Red vessels interlaced is *Xuèying* (Blood Goiter). Fluctuates with emotion is *Qiying* (Qi Goiter). None of the five goiters should be arbitrarily incised; incision causes pus/blood collapse, often leading to death. Tumors have five types: *Guli* (Bone Tumor), *Zhilu* (Fat Tumor), *Roulü* (Flesh Tumor), *Nonglü* (Pus Tumor), *Xuèlü* (Blood Tumor). Also cannot be incised. *Roulü* especially untreatable; treatment kills. Only *Zhilu* cures if incised and fat removed.
[Dan Xi] Taking goiter/tumor medicine requires first cutting off rich/flavorful foods.