前药共入砂锅内，水煎浓汤，布滤去渣。将汤复入
砂锅内，漫火熬浓，加红蜜八两，再熬成膏，磁罐收贮
。每用一、二匙滚水冲服。兼戒气怒、鱼腥，亦可用薄
纸摊贴，瘰历自消。
【方歌】夏枯草膏医诸历，化硬消坚理肝虚，血燥忧思肝木旺，
烈药伤脾服此宜。归芍贝僵香附桔，昆红参草抚陈皮，
乌药同熬加红蜜，滚水冲服戒怒急。
方剂：金倍散（瘰历未溃敷贴方）
主治：治瘰历坚硬难消、难溃，敷之神效。
组成：整文蛤（攒孔，一枚） 金头蜈蚣（研粗末，一条）
将蜈蚣末装入文蛤内，纸糊封口，外再用西纸糊七
层，晒干，面麸拌炒，以纸黑焦为度，去纸研极细末，
加麝香一分，再研匀，陈醋调稠。温敷坚硬核处，外用
薄纸盖之，每日一换。
【方歌】金倍散敷坚瘰历，蜈蚣末入文蛤中，纸糊晒干同麸炒，
加麝研之醋调灵。
又方：神功散（瘰历未溃敷贴方）
主治：治湿毒瘰历，敷之神效。
组成：制川乌头 嫩黄柏（各等分）
共研细末，米醋调稠。温敷肿处，每日一换。
【方歌】神功散敷湿瘰历，嫩黄柏与川乌头，等分为末加米醋，
调涂肿处即能瘳。
又方：李杲龙泉散（瘰历未溃敷贴方）
主治：治诸般瘰历，未成者消，已成者溃。
组成：瓦粉（即定粉） 龙泉粉（即磨刀石上粉也）
莪术（酒浸炒干） 京三棱（酒浸炒干）
昆布（去土，酒洗，各五钱）
上共研极细，滚水调涂患处，用此消坚尤速。
【方歌】李杲龙泉敷诸历，瓦粉龙泉莪术棱，昆布共研为细末，
滚水调涂速又灵。
又方：朱震亨贴瘰历饼（瘰历未溃敷贴方）
主治：治项间瘰历，不辨肉色，不问大小及日月深远，或有赤
硬肿痛，并皆贴之效。
组成：生山药 蓖麻子肉
上等分，捣匀摊贴之。
【方歌】震亨贴瘰历可移，蓖麻山药共研泥，不问日久并肿硬，
作饼贴之效更奇。
又方：神效瘰历方（瘰历未溃敷贴方）
主治：治瘰历初起，消肿止痛。
组成：白胶香 海螵蛸
降真香
上等分，研末，温水调稠，薄纸摊贴。
【方歌】神效瘰历实良方，疏滞消肿止痛强，未破已前用之效，
白胶海螵降真香。
又方：龙珠膏（瘰历未溃敷贴方）
组成：龙牙草（即马鞭草，五两） 棘枣根（五钱）
海藻（二钱五分） 苏木（五钱）
上细切，水二十盆，煎至十二三盆，去滓，又用桑
柴灰、苍耳草灰、石灰各二盆半，纸两层，先铺箩底，
次置三种灰于箩内，用滚水热淋取灰汁十盆，澄清同前
汤入锅内熬成膏；用巴豆霜、白丁香、石膏、麝香、轻
粉各少许，研细入膏内搅匀，磁罐收贮。取敷核上，再
敷时，去旧药，其核即溃。根小者，但涂于根上，其核
自溃。
【方歌】龙珠膏敷历毒疮，溃迟未溃敷之良，海藻苏木龙牙草，
再加枣根共煎汤，桑石苍耳灰淋水，同煎成膏添麝香，
石膏白丁轻巴豆，研入膏内涂瘰强。
The aforementioned herbs are placed together in a clay pot, decocted with water into a concentrated liquid, and filtered through cloth to remove the dregs. The liquid is returned to the clay pot and simmered over low heat until thickened. Eight taels of red honey (Hongmi) are added, and it is further boiled into an ointment, which is stored in porcelain jars. Each time, take one or two spoonsful and dissolve in boiling water for oral administration. Concurrently, avoid anger and fishy foods. Alternatively, spread the ointment on thin paper and apply as a plaster; the scrofula will naturally dissipate.
[Prescription Verse] Xiakucao Gao (Prunella Vulgaris Ointment) treats various types of scrofula, softening hardness and resolving nodules by regulating Liver deficiency. It is suitable for cases involving blood dryness, worry, and thought leading to hyperactive Liver Wood, as well as for those whose Spleen has been damaged by harsh medicines. The formula contains Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Beimu (Fritillariae Cirrhosae Bulbus), Jiangcan (Bombyx Batryticatus), Xiangfu (Cyperi Rhizoma), Jiegeng (Platycodonis Radix), Kunbu (Laminariae Thallus), Hongshen (Ginseng Radix Rubra), Gancao (Glycyrrhizae Radix et Rhizoma), and Chenpi (Citri Reticulatae Pericarpium). These are decocted together with Wuyao (Linderae Radix) and red honey, taken orally with boiling water, while avoiding anger and impatience.
Formula: Jinbei San (Gold-Periwinkle Powder) [External application for un-ulcerated scrofula]
Indications: Treats hard, indolent scrofula that is difficult to resolve or ulcerate; external application yields miraculous effects.
Composition: Whole Clam Shell (with holes drilled, one piece), Golden-headed Centipede (ground into coarse powder, one piece).
Place the centipede powder inside the clam shell, seal the opening with paper, and paste seven layers of mulberry paper on the outside. Dry it, then stir-fry with bran until the paper turns black and scorched. Remove the paper and grind the contents into an extremely fine powder. Add one fen of Shexiang (Moschus), grind uniformly, and mix with aged vinegar to form a thick paste. Apply warm to the hard nodule, cover with thin paper externally, and change once daily.
[Prescription Verse] Jinbei San applied to hard scrofula involves placing centipede powder in the clam shell, sealing with paper, drying, and stir-frying with bran. Adding Moschus and grinding with vinegar makes it effective.
Another Formula: Shengong San (Divine Merit Powder) [External application for un-ulcerated scrofula]
Indications: Treats scrofula caused by damp-toxin; external application yields miraculous effects.
Composition: Zhi Chuanwu (Prepared Chuanwu Rhizoma) and Nen Huangbai (Young Phellodendri Cortex) in equal parts.
Grind into fine powder, mix with rice vinegar to form a thick paste. Apply warm to the swollen area and change once daily.
[Prescription Verse] Shengong San applied to damp scrofula uses Young Phellodendri Cortex and Chuanwu Rhizoma in equal parts ground to powder and mixed with rice vinegar; applying to the swelling leads to recovery.
Another Formula: Li Gao Longquan San (Li Gao's Dragon Spring Powder) [External application for un-ulcerated scrofula]
Indications: Treats various types of scrofula; resolves those not yet formed and promotes ulceration of those already formed.
Composition: Wafen (Tile Powder, i.e., Dingfen), Longquafen (Dragon Spring Powder, i.e., powder from whetstones), Ezhu (Curcumae Rhizoma, soaked in wine and stir-fried dry), Jingsanleng (Broomrape Rhizoma, soaked in wine and stir-fried dry), Kunbu (Laminariae Thallus, cleaned of earth and washed in wine, 5 qian each).
Grind all ingredients into an extremely fine powder, mix with boiling water, and apply to the affected area. This method rapidly resolves hardness.
[Prescription Verse] Li Gao's Longquan San applied to various scrofula includes Tile Powder, Dragon Spring Powder, Ezhu, and Sanleng, along with Kunbu ground into fine powder; applying with boiling water is fast and effective.
Another Formula: Zhu Zhenheng Tie Luoli Bing (Zhu Zhenheng's Scrofula Plaster Cake) [External application for un-ulcerated scrofula]
Indications: Treats scrofula in the neck region, regardless of skin color changes, size, or duration. Effective even if accompanied by redness, hardness, swelling, and pain.
Composition: Sheng Shanyao (Raw Dioscoreae Rhizoma) and Bimazi Rou (Seed of Ricini Fructus).
Take equal parts, pound into a uniform paste, and apply as a plaster.
[Prescription Verse] Zhu Zhenheng's plaster cake for scrofula is remarkable; Ricini Fructus and Dioscoreae Rhizoma are pounded into mud. Regardless of duration or hardness/swelling, making a cake for application yields wondrous results.
Another Formula: Shenxiao Luoli Fang (Miraculous Efficacy Scrofula Prescription) [External application for un-ulcerated scrofula]
Indications: Treats early-stage scrofula, reducing swelling and relieving pain.
Composition: Baijiaoxiang (White Copal Resin), Haipiaoxiao (Sepiae Endoconcha), and Jiangzhenxiang (Daemonorops Spikes).
Take equal parts, grind into powder, mix with warm water to form a thick paste, spread on thin paper, and apply.
[Prescription Verse] Shenxiao Luoli Fang is indeed a good prescription, effectively dispersing stagnation, reducing swelling, and relieving pain. It is effective before ulceration, composed of White Copal Resin, Sepiae Endoconcha, and Daemonorops Spikes.
Another Formula: Longgu Gao (Dragon Pearl Ointment) [External application for un-ulcerated scrofula]
Composition: Longyacao (Agrimoniae Herba, i.e., Verbena Officinalis, 5 liang), Jizao Gen (Root of Ziziphus Jujuba var. Spinosa, 5 qian), Haizao (Sargassum Thallus, 2.5 qian), Sumu (Sappan Lignum, 5 qian).
Finely chop the above herbs, decoct in twenty pots of water until reduced to twelve or thirteen pots. Filter out the dregs. Use two and a half pots each of Sangchaihui (Ash of Mulberry Branches), Can'ercao Hui (Ash of Xanthii Cao), and Shihui (Calcitrum). Place two layers of paper at the bottom of a sieve, put the three ashes in the sieve, and pour boiling water over them to extract ten pots of ash lye. Clarify this lye and combine it with the previous decoction in a pot to boil into an ointment. Add small amounts of Badoushuang (Prepared Seed of Crotonis Tiglii), Baixingding (Streptopeliae Stomacholithus), Shigao (Gypsum Fibrosum), Shexiang (Moschus), and Qingfen (Calomelas). Grind these finely and mix into the ointment. Store in porcelain jars. Apply to the nodule. For subsequent applications, remove the old medicine, and the nodule will ulcerate. For smaller roots, simply apply to the root, and the nodule will naturally ulcerate.
[Prescription Verse] Longgu Gao applied to toxic sores is excellent for delayed ulceration or un-ulcerated cases. It contains Sargassum Thallus, Sappan Lignum, Agrimoniae Herba, and Ziziphus Root decocted together. Ash lye from Mulberry Branches, Calcitrum, and Xanthii Cao is used. The ointment is enhanced with Moschus, Gypsum Fibrosum, Streptopeliae Stomacholithus, Calomelas, and Prepared Seed of Crotonis Tiglii, ground and mixed into the ointment to treat hard scrofula.