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[Prescription Verse] Shiring (Shi Rong) occurs around the ears, neck, and shoulders. Initially presenting as phlegm nodules that are immobile and hard as stone, with normal skin color but gradually enlarging, it is caused by the condensation of fire due to worry, thinking, anger, and qi stagnation. As time passes, qi declines and the body emaciates; the more it ulcerates, the harder it becomes, showing purple spots. The sores rot and ooze blood and water, with everted edges resembling flowers, making treatment extremely difficult.

[Annotation] Shiring syndrome arises at the front and back of the ears and on the neck and shoulders. Initially, the lesion resembles a phlegm nodule, is immobile upon pushing, hard as stone, has normal skin color, but grows day by day. It is formed by the condensation of worry, anger, qi stagnation, blood rebellion, and fire. Long-standing cases are difficult to heal; the patient's form and qi gradually decline, muscles emaciate, ulceration leads to increased hardness, purple spots appear, rotting and oozing blood and water, the sore opening enlarges, and granulation tissue protrudes high, resembling a flower-everted tumor. Although there are treatment methods in ancient and modern times, it ultimately belongs to a "defeated syndrome" (incurable or terminal stage). However, one must not abandon treatment. In the early stage, he Rong San Jian Wan (Harmonizing Ying and Dispersing Hardness Pill) should be taken internally, and Awei Huajian Gao (Asafoetida Hardness-Dissolving Plaster) applied externally, though this merely prolongs life for a few years.

Prescription: He Rong San Jian Wan (Harmonizing Ying and Dispersing Hardness Pill)
Indications: Treats Shiring, harmonizes Ying-blood, disperses hardness, and resolves stagnation.
Composition: Chuanxiong Rhizoma (Chuanxiong), Bai Shao Radix Paealae Albae (Bai Shao, stir-fried with wine), Danggui Radix Angelicae Sinensis (Danggui), Poria (Fuling), Shu Dihuang Radix Rehmanniae Preparata (Shudi), Chenpi Pericarpium Citri Reticulatae (Chenpi), Jiegeng Radix Platycodonis (Jiegeng), Xiangfu Rhizoma Cyperi (Xiangfu), Baizhu Rhizoma Atractylodis Macrocephalae (Baizhu, stir-fried with soil, 1 qian each), Renshen Radix Ginseng (Renshen), Gancao Radix Glycyrrhizae Preparata (Gancao, honey-fried), Haifen Natrii Boras (Haifen), Kunbu Thallus Laminariae seu Eckloniae (Kunbu), Beimu Bulbus Fritillariae Cirrhosae (Beimu, heart removed, 5 qian each), Shengma Rhizoma Cimicifugae (Shengma), Honghua Flos Carthami Tinctorii (Honghua, 3 qian each), Xiakucao Herba Prunellae Spicae (Xiakucao, decocted into soup, then add 4 liang of red honey, boil again into paste, total 1 jin).
Grind all herbs into fine powder. Mix with Xiakucao paste to form pills, size of Sophora japonica seeds. Take 3 qian per dose, washed down with warm boiled water far from meals.
If feverish, add Huangqin Cortex Scutellariae (Huangqin) and Chaihu Radix Bupleuri (Chaihu); if spontaneous or night sweating, remove Shengma, double Renshen, add Huangqi Radix Astragali Membranacei (Huangqi); if food tastes bland, add Huoxiang Herba Agastaches (Huoxiang) and Sharen Fructus Amomi Rotundus (Sharen); if food is indigestible, add Shanzha Fructus Crataegi (Shanzha) and Maiya Fructus Hordei Germinatus (Maiya); if chest and diaphragm feel stuffy, add Zexia Herba Alismatis (Zexia) and Muxing Fructus Aquilariae (Muxing); if coughing with unclear phlegm-qi, add Xingren Semen Armeniacae Amarum (Xingren) and Maidong Rhizoma Ophiopogonis (Maidong); if mouth dry and thirsty, add Zhimu Rhizoma Anemarrhenae (Zhmu) and Wuweizi Fructus Schisandrae Chinensis (Wuweizi); if sleep is restless, add Huangbai Cortex Phellodendri (Huangbai), Yuanzhi Radix Polygalae (Yuanzhi), and Zaoren Semen Ziziphi Spinosae (Zaoren); if palpitations and forgetfulness, add Fushen Sclerotium Poriae Cum Radice Xyli (Fushen) and Shichangpu Rhizoma Acori Tatarinowii (Shichangpu); if sweating with aversion to cold, add Bohe Herba Menthae haplocalycis (Bohe) and Banxia Rhizoma Pinelliae Preparata (Banxia); if no sweating with aversion to cold, add Cangzhu Rhizoma Atractylodis Lanceae (Cangzhu) and Huoxiang Herba Agastaches (Huoxiang); if women have irregular menstruation, add Yanhusuo Rhizoma Corydalis (Yanhusuo) and Danmu Pi Cortex Moutan (Danpi); if abdominal distension without relief, add Houpu Cortex Magnoliae Officinalis (Houpu) and Dafupi Pericarpium Arecae (Dafupi).

[Prescription Verse] He Rong San Jian Wan dissipates stagnation, opens knots, benefits deficiency, and regulates Liver and Spleen. It contains ingredients similar to Ba Zhen Tang, along with Beimu, Jiegeng, Chenpi, Xiangfu, Kunbu, Haizao, Shengma, Honghua, and Xiakucao.

Another Prescription: Awei Huajian Gao (Asafoetida Hardness-Dissolving Plaster)
Composition: Use one portion of Chan Su Wan (Toad Venom Pill) powder, five Golden-headed Wugong (Scolopendra Subspinipes mutilans, dried and roasted yellow, heads and feet removed), grind evenly together. Take 24 liang of Taiyi Gao (Taiyi Plaster), melt it in a double boiler, remove from fire, add the aforementioned powder, stir until cool. When using, melt again in a double boiler, spread on red silk, and apply. Change once every half month. Mild cases will gradually disappear; severe cases can be slightly relieved. Regular application can prevent progression to flower-everted tumors.

[Prescription Verse] Awei Huajian Gao eliminates accumulations. Chan Su Wan powder is ground fine, mixed with roasted Wugong and Taiyi Gao, melted and stirred evenly for rapid efficacy.

Another Prescription: Taiyi Gao (See Ulcer Section)
Chan Su Wan Niu Kou Feng (See Carbuncle/Furuncle Section)