【方歌】结喉痈发项前中，肝肺积热塞喉凶，脓成若不急速刺，
溃穿咽喉何处刺。
【注】此痈发于项前结喉之上，又名猛疽，以其毒势猛烈也。
盖项前之中，经属任脉兼肝、肺二经积热忧愤所致。肿
甚则堵塞咽喉，汤水不下，其凶可畏。若脓成不针，向
内溃穿咽喉者则难生矣。初宜服黄连消毒饮，外敷二味
拔毒散。将溃调治之法，按痈疽肿疡、溃疡门。
方剂：黄连消毒饮（见头部百会疽）
二味拔毒散（见肿疡门）
【方歌】夹喉痈生喉两旁，肝胃毒热发其疮，疮与结喉痈同治，
尤嫌痰壅不时呛。
【注】此痈一名夹疽，生于结喉之两旁，属足厥阴肝经、足阳
明胃经火毒上攻而致。其治法与结喉痈同。
属性：小瘰大历三阳经，项前颈后侧旁生，痰湿气筋名虽异，
总由恚忿郁热成，更审缠绵诸证治，成劳日久不收功。
【注】此证小者为瘰，大者为历。当分经络：如生于项前，属
阳明经，名为痰瘰；项后属太阳经，名为湿瘰；项之左
右两侧，属少阳经，形软，遇怒即肿，名为气历；坚硬
筋缩者，名为筋历；若连绵如贯珠者，即为瘰历；或形
长如蛤蜊，色赤而坚，痛如火烙，肿势甚猛，名为马刀
。瘰历又有子母历，大小不一。有重台历，历上堆累三
、五枚，盘叠成攒。有绕项而生者，名蛇盘历。如黄豆
结篓者，又名锁项历。生左耳根，名蜂窝历。生上耳根
，名惠袋历。形小多痒者，名风历。颔红肿痛者，名为
燕窝历。延及胸液者，名瓜藤历。生乳旁两胯软肉等处
者，名〔淇〕疡历。生于遍身，漫肿而软，囊内含硬核
者，名流注历。独生一个，在囟门者，名单窠历。一包
生十数个者，名莲子历。坚硬如砖者，名门闩历。形如
荔枝者，名石历。如鼠形者，名鼠历，又名鼠疮。以上
诸历，推之移动为无根，属阳，外治宜因证用针灸、敷
贴、蚀腐等法；推之不移动者为有根且深，属阴，皆不
治之证也。切忌针砭及追蚀等药，如妄用之，则难收敛
。
瘰历形名各异，受病虽不外痰、湿、风、热、气毒结聚
而成，然未有不兼恚怒、忿郁、幽滞、谋虑不遂而成者
也。有外受风邪，内停痰湿，搏于经络，其患身体先寒
后热，疮势宣肿微热，皮色如常，易消、易溃、易敛，
此为风毒也，如防风羌活汤、海菜丸，拣择用之。有天
时亢热，暑湿偶中三阳经，兼过食膏梁厚味，酿结而成
。其患色红微热，结核坚硬缓肿，难消、溃迟、敛迟，
此为热毒也。如升阳调经汤、柴胡连翘汤、鸡鸣散，随
证轻重，拣择用之。有感冒四时杀厉之气而成，其患耳
项胸腋，骤成肿块，宣发暴肿，色红皮热，令人寒热，
头眩项强作痛，此为气毒也。如李杲连翘散坚汤、散肿
溃坚汤，俱可因证治之。有肝伤恚忿，血虚不能荣筋，
其患核坚筋缩，推之不移者，此筋瘰也。初服舒肝溃坚
汤，次服香贝养荣汤治之。有误食汗液、虫蚁鼠残、陈
水宿茶不净之物，其患初小后大，累累如贯珠，连接三
、五枚，不作寒热，初不觉疼，久方知痛，此为误食毒
物也。如杨氏家藏治瘰历方法，制灵鸡蛋，随证虚实，
拣择用之自愈。
其项后两旁湿瘰历，经属膀胱寒水，外感风邪与湿凝结
，漫肿疼痛，皮色如常，有日久将溃，皮色透红，微热
痛甚，其内外治法，用药总不宜寒凉，初肿宜用附子败
毒汤、外敷神功散；将溃已溃，俱按痈疽溃疡内外治法
。用药首尾得温暖即效，误犯寒凉，令人项背拘强，疮
势塌陷，毒气攻里，便泻者逆。但凡生瘰历者，男子不
宜太阳青筋暴露，潮热欬嗽，自汗盗汗；女人不宜眼内
红丝，经闭骨蒸，五心烦热。男妇有此，后必变疮劳俱
为逆证，难收功也。
方剂：防风羌活汤
主治：治风毒瘰历，初发寒热者。
组成：防风 羌活（各一钱）
连翘（去心，二钱） 升麻（七分）
夏枯草（二钱） 牛蒡子（炒，研，一钱）
川芎（一钱） 黄芩（酒浸，一钱）
甘草（五分） 昆布（酒洗，一钱）
海藻（酒洗，一钱） 僵蚕（酒炒，二钱）
薄荷（一钱）
水煎服。
【方歌】防风羌活驱瘰方，风毒发热最为良，芎芩昆布翘蒡草，
夏枯海藻薄升僵。
又方：海菜丸
主治：治风痰瘰历，遶项而生，无寒热者，宜常服，消尽为止
。
组成：海藻菜（荞麦同炒过，去麦不用）
白僵蚕（微炒去丝）
上等分为细末，用白梅肉泡汤为丸，如梧桐子大。
饭后或临卧时，每服六、七十丸，米汤送下，兼忌鱼腥
厚味。
【方歌】海菜丸治风痰历，海藻菜与白僵蚕，梅汤为丸如桐子，
米汤送下病可痊。
又方：升阳调经汤丸
主治：治热毒瘰历绕于项下，或至颊车，此证由阳明胃经中来
也。若其疮深远，隐曲肉低，俱作块子，坚硬大小不等
，并皆治之。或作丸服亦可。
组成：升麻（八钱） 连翘（去心）
龙胆草（酒炒） 桔梗
黄连（去须，酒炒） 京三棱（酒炒）
葛根 甘草（炙，各五钱）
知母（酒洗） 莪术（酒炒，各一两）
条黄芩（酒洗，六钱） 黄柏（去粗皮，酒炒）
上撮一剂，称一半为细末，炼蜜为丸，如梧桐子大
。每服一百丸，或一百五十丸。一半研粗末，每用五钱
。若胃强能，食大便干燥者，可旋加至七、八钱，用水
二钟，先将粗末浸半日，煎至一钟，去渣热服。服时仰
卧，伸脚置高处，去枕头，噙药一口，作十次咽之。一
钟将吃完，可留一口，将丸药送下。服药毕，卧如常，
此治法也。
【方歌】升阳调经医毒热，项颊瘰历坚如铁，升葛甘芩知柏棱，
黄连胆草翘术桔。
又方：柴胡连翘汤
主治：治男妇热毒，马刀瘰历，兼气寒血滞，经闭等证。
组成：柴胡 连翘（去心）
知母（酒炒） 黄芩（炒，各五钱）
黄柏（酒炒） 生地
甘草（炙，各三钱） 瞿麦穗（六钱）
牛蒡子（炒，研，二钱） 当归尾（一钱五分）
肉桂（三分）
上共研粗末，每服三钱或五钱。水二大钟，煎至一
钟，去渣，食后热温服。
【方歌】柴胡连翘医瘰历，马刀血滞与经闭，黄芩牛蒡归柏知，
瞿麦肉桂甘生地。
又方：鸡鸣散
主治：治瘰历疼痛，及热毒结核，或多烦闷，热而不寒者。
组成：黑牵牛（一两） 胡粉（即淀粉，一钱）
生大黄（二钱） 朴硝（炼成粉者，三钱）
上共细末，每服三钱。鸡鸣时井花水调服，以二便
利为度，如未利再服。
【方歌】鸡鸣散治瘰历疼，结核烦闷热相乘，粉牵硝黄为细末，
井水调服便利通。
又方：李杲连翘散坚汤
主治：治气毒瘰历，耳下或至缺盆，或至肩上，生疮坚硬如石
，推之无根者，名马刀疮。从手、足少阳经中来也。或
生两胁，或已流脓，或未破，并皆治之。
组成：当归（酒洗） 连翘（去心）
莪术（酒炒） 京三棱（酒炒，各五钱）
土瓜根（酒炒） 龙胆草（酒洗，各一两）
柴胡（一两二钱）
黄芩（一半生用，一半酒炒，一两二钱）
炙甘草（六钱） 黄连（酒炒）
苍术（炒，各三钱） 赤芍药（一钱）
上以一半为细末，炼蜜为丸，如梧桐子大。每服一
百丸，或一百五十丸，一半研粗末，每用五钱，水一钟
八分，先浸半日，煎一钟，去渣热服。临卧头低脚高，
去枕而卧，每口作十次咽之，留一口送下丸子，服毕如
常安卧。
【方歌】李杲连翘散坚汤，气毒瘰历马刀疮，归芍柴芩棱莪草，
土瓜龙胆黄连苍。
又方：舒肝溃坚汤
组成：夏枯草 僵蚕（炒，各二钱）
香附子（酒炒）
石决明（〔火段〕，各一钱五分）
当归 白芍（醋炒）
陈皮 柴胡
抚芎 穿山甲（炒，各一钱）
红花 片子姜黄
甘草（生，各五分）
引灯心五十寸，水三钟，煎一钟，食远温服。便燥
者，加乳香一钱。便溏者，加煆牡蛎一钱。
【方歌】舒肝溃坚汤开郁，筋历石疽柴决当，夏枯陈蚕香附抚，
红花芍草甲姜黄。
又方：散肿溃坚汤
主治：治气毒瘰历，一切马刀，结硬如石，推之有根者。如证
从耳下串至缺盆，或至肩上，或至胁下者，皆属手、足
少阳二经所发也。若瘰历遍生颏，或至颊车，坚而不溃
者，属足阳明经所发也。或二证已破，及流脓水者，并
皆治之。服药多少，临证斟酌量病人饮食多少，大便软
硬，以意消息之。
组成：柴胡梢（四钱） 龙胆草（酒炒）
黄柏（去粗皮，酒炒） 知母（炒）
花粉 昆布（去土，酒洗）
桔梗（各五钱） 甘草根（炙）
京三棱（酒炒） 莪术（酒炒）
连翘（去心） 当归（各三钱）
白芍（酒炒） 葛根
黄连（各二钱） 升麻（六钱）
黄芩梢（一半酒炒，一半生用，八钱）
海藻（五钱）
上共研末，每用六钱，或七钱。水二钟，先浸半日
，煎至一钟，去渣热服。服时于卧处伸脚在高处，头微
低，每噙一口，分十次咽之，至服毕根据常安卧，取药在
胸中多停留之意也。另攒半料作细末，炼蜜为丸，如梧
桐子大，每服一百丸。此汤药豫留一口，以送丸药。
【方歌】散肿溃坚气毒滞，马刀瘰历耳肩交，遍颏或至颊车骨，
结硬如石用之消。知藻三棱归芍草，升芩花粉柴胡梢，
葛根黄连莪术桔，昆布龙胆柏连翘。
又方：杨氏家藏治瘰历方
主治：治误食毒物，致成瘰历，其功甚速。
组成：荆芥 白僵蚕（炒，去丝）
黑牵牛（各二钱）
斑蝥（去头、翅、足，大米炒，二十八个）
上为末，卧时先将滑石末一钱，用米饮调服，半夜
时再一服。五更初即用温酒调药一钱或二、三钱，量人
之强弱用之。服后如小水并无恶物行下，次日早再用一
服；仍不行，第三日五更初，先吃白糯米粥，再服煎药
一服，更用灯心汤，调琥珀末一钱服之，以小水内利去
恶物为愈。如尿孔痛，用青黛一钱以甘草汤调下，其痛
即止。
【方歌】杨氏家藏治瘰方，误食诸毒成历疮，牵牛斑蝥僵荆芥，
为末酒服量弱强。
又方：法制灵鸡蛋
主治：治误食毒物，致腋下生马刀瘰历者，其功稍缓。
组成：斑蝥（去头、翅、足，七个）
上将鸡子一个，顶上敲开小孔，入盘蝥在内，纸封
固了，于饭上蒸熟，取出去壳，切开去斑蝥，五更空心
和米饭嚼服。候小水通如米泔水或如脂，即其验也。如
大便、小水不通，即服琥珀散三、二贴催之，然后常服
妙灵散，内消连翘丸尤佳。
【方歌】制灵鸡蛋治马刀，鸡子一个入斑蝥，纸封蒸熟去壳药，
同饭嚼服历可消。
又方：琥珀散
组成：琥珀 黄芩
白茯苓 乌药
车前子 瞿麦
茵蔯蒿 石苇
紫草 茅根
连翘（去心，各等分）
上为极细末，每服三钱。用灯心汤调下，不拘时服
。
【方歌】琥珀散能利二便，泻毒消热最称奇，芩苓乌药车瞿麦，
茵苇紫草茅翘宜。
又方：妙灵散
主治：服灵鸡蛋后，却将此药与内消连翘丸相兼常服，疮愈方
止。
组成：海藻（二两） 川牛膝
何首乌（生） 当归（酒洗）
海螵蛸 桑寄生（一两）
海带 青葙子（酒洗）
昆布（酒洗） 甘草节（各五钱）
木香（三钱） 沈香（二钱）
上为细末，每服二钱。食后温酒调下。
又方：内消连翘丸
组成：连翘（去心，二两） 核桃仁
白芨 射干
夏栝草 土瓜根
泽兰叶 沙参
漏芦（各一两五钱）
上为细末，入核桃仁研匀，酒糊为丸，如梧桐子大
。每服三、五十丸，空心食前或酒下，或盐汤送下，。
【方歌】内消连翘解瘰历，妙灵与此两兼服，核桃芨射夏枯草，
土瓜泽兰沙漏芦。
又方：附子败毒汤
主治：治湿毒瘰历。
组成：羌活（一钱） 川附子（制，一钱）
白僵蚕（炒，三钱） 前胡（一钱）
连翘（去心，一钱五分） 生黄耆（一钱五分）
蔓荆子（一钱五分） 陈皮（一钱）
防风（一钱） 白茯苓（一钱五分）
金银花（二钱） 甘草（节，五分）
引用生姜一片，水三钟，煎一钟，食远温服。
【方歌】附子败毒太阳经，湿毒瘰历漫肿疼，陈苓前草耆羌活，
银花僵蔓翘防风。
又方：消核散
主治：治颈项痰凝瘰历，不论男妇小儿，用之无不神效。
组成：海藻（三两） 牡蛎
元参（各四两） 糯米（八两）
甘草（生，一两）
红娘子（同糯米炒胡黄色，去红娘子，用米，二十八个）
共研细，酒调服一钱或钱半，量人壮弱。
【方歌】消核散治诸瘰历，男妇小儿用之愈，红娘糯米炒胡黄，
甘草元参藻牡蛎。
又方：犀角丸
主治：治诸般瘰历，心火上攻，两目赤涩，服之有效。
组成：犀角 青皮
黑牵牛（半生，半炒） 陈皮（各一两）
连翘（去心，五钱） 薄荷（二斤）
[Formula Song] Jiehou Carbuncle (Carbuncle at the Adam's Apple) arises in the center of the anterior neck; Liver and Lung accumulated heat obstructs the throat, creating a perilous condition. If pus forms and is not rapidly punctured, ulceration penetrating the throat becomes difficult to treat.
[Annotation] This carbuncle occurs above the Adam's apple on the anterior neck, also known as Mengju (Fierce Abscess), due to its fierce toxic nature. The center of the anterior neck belongs to the Ren Mai (Conception Vessel) meridian, combined with accumulated heat and indignation from the Liver and Lung meridians. Severe swelling blocks the throat, preventing the intake of soup and water, which is terrifyingly dangerous. If pus forms and is not punctured, leading to internal ulceration through the throat, survival is unlikely. Initially, administer Huanglian Xiaodu Yin (Coptis Decoction for Eliminating Toxins); externally apply Erwei Baidu San (Two-Ingredient Antidote Powder). For management when approaching ulceration, refer to the sections on Carbuncle/Sore Ulcer and Ulcerative Sore.
Formulas: Huanglian Xiaodu Yin (see Baihui Carbuncle of the Head)
Erwei Baidu San (see Sore Ulcer Section)
[Formula Song] Jiahou Carbuncle (Parapharyngeal Carbuncle) arises on both sides of the throat; Liver and Stomach toxic heat generates this sore. Its treatment is the same as Jiehou Carbuncle, but phlegm obstruction causing frequent choking is particularly concerning.
[Annotation] This carbuncle is also called Jiaju (Parapharyngeal Abscess), arising on both sides of the Adam's apple, caused by fire-toxicity attacking upward from the Foot Jueyin Liver Meridian and Foot Yangming Stomach Meridian. Its treatment method is the same as that for Jiehou Carbuncle.
Attributes: Small Luoli (Scrofula) and large Lili involve the Three Yang Meridians, arising in the anterior neck, posterior neck, and lateral sides. Although named differently as Phlegm, Dampness, Qi, or Tendon types, they all originate from indignation and stagnant heat. One must carefully examine the lingering symptoms; if prolonged, it may evolve into consumption (Lao disease) with no therapeutic effect.
[Annotation] This condition is called Luoli if small, and Lili if large. It should be differentiated by meridians: if arising in the anterior neck, it belongs to the Yangming Meridian, named Tanluoli (Phlegm Luoli); posterior neck belongs to the Taiyang Meridian, named Shiluoli (Dampness Luoli); left and right sides of the neck belong to the Shaoyang Meridian, soft in texture and swelling upon anger, named Qili (Qi Lili); hard with tendon contraction is named Jinli (Tendon Lili); if continuous like a string of pearls, it is Luoli; or long like a clam, red and hard, painful like burning iron, with fierce swelling, named Madao (Hatchet). Luoli also includes Zimu Li (Mother-Child Lili) of varying sizes. There is Chongtai Li (Double-Tier Lili), where three to five nodules pile up on the lili, forming clusters. Those growing around the neck are named Shepan Li (Snake-Coiling Lili). Those resembling beans in a pod are named Suoxiang Li (Neck-Locking Lili). Arising at the root of the left ear is Fengwo Li (Honeycomb Lili). Arising at the upper root of the ear is Huidai Li (Bag Lili). Small and itchy is Fengli (Wind Lili). Red, swollen, and painful in the jaw is Yanyao Li (Swallow's Nest Lili). Extending to the chest and axilla is Guateng Li (Melon-Vine Lili). Arising in the soft flesh beside the breasts and between the thighs is Qi Yangli. Arising all over the body, diffuse swelling and soft, with a hard core inside the sac is Liuzhu Li (Metastatic Lili). A single one arising at the fontanelle is Danke Li (Single-Cavity Lili). One sac containing ten to twenty nodules is Lianzi Li (Lotus Seed Lili). Hard as a brick is Men shuan Li (Door Bolt Lili). Resembling a lychee is Shi Li (Stone Lili). Mouse-shaped is Shuli (Mouse Lili), also named Shuchuang (Mouse Sore). Among the above types, those movable upon pushing are rootless, belonging to Yang; external treatment should use acupuncture, plasters, or cauterization according to the syndrome. Those immovable upon pushing have deep roots, belonging to Yin, and are considered incurable. Puncture, bloodletting, and corrosive medicines are strictly contraindicated; misuse makes healing difficult.
Although Luoli manifests in various shapes and names, the pathology stems from the accumulation of Phlegm, Dampness, Wind, Heat, or Qi-Toxin, invariably accompanied by indignation, depression, stagnation, or unfulfilled ambitions. External Wind pathogen combined with internal Phlegm-Dampness binding in the meridians causes initial chills followed by fever, diffuse swelling with slight heat, normal skin color, easy resolution, ulceration, and healing; this is Wind-Toxin. Use Fangfeng Qianghuo Tang or Haicai Wan selectively. Excessive heat in weather, summer-dampness affecting the Three Yang Meridians, combined with rich food intake,酿结 (ferments and accumulates) to cause redness, slight heat, hard tubercles with slow swelling, difficult resolution, delayed ulceration and healing; this is Heat-Toxin. Use Shengyang Tiaojing Tang, Chaihu Lianqiao Tang, or Jiming San selectively based on severity. Contracting the killing qi of the four seasons causes sudden masses in the ears, neck, chest, and axilla, rapid violent swelling, red hot skin, chills and fever, dizziness, stiff neck, and pain; this is Qi-Toxin. Use Li Gao's Lianqiao Sanjian Tang or Sanzhong Kuijian Tang according to the syndrome. Liver injury from indignation and Blood deficiency failing to nourish tendons results in hard nodules and contracted tendons immovable upon pushing; this is Jinluoli (Tendon Luoli). Initially administer Shugan Kuijian Tang, followed by Xiangbei Yangrong Tang. Ingestion of sweat, insects, ant/mouse residues, stale water, or unclean tea causes lesions starting small and growing large, continuous like pearls, connecting three to five nodules, without chills/fever, initially painless but painful later; this is Poisonous Food Toxin. Use methods from Yang Family's Collection for Luoli, such as Prepared Spirit Chicken Eggs, selecting based on excess/deficiency for self-healing.
Shiluoli (Dampness Luoli) on both sides of the posterior neck belongs to the Bladder Cold Water meridian; external Wind pathogen condenses with Dampness, causing diffuse swelling and pain with normal skin color. As it approaches ulceration, skin turns red, slight heat and severe pain occur. Internal and external treatments should avoid cold/cool herbs. Initial swelling uses Fuzi Baidu Tang and external Shen Gong San; approaching or after ulceration, follow general Carbuncle/Ulcer protocols. Warmth throughout treatment is effective; violating cold/cool properties causes neck/back stiffness, sinking sores, internal toxic attack, and diarrhea, indicating adverse prognosis. Men with Luoli should not exhibit exposed Qingjin (Green Veins) of the Taiyang meridian, tidal fever, cough, spontaneous sweating, or night sweats; women should not show red threads in eyes, amenorrhea, bone-steaming fever, or five-palm heat. Presence of these in men or women indicates transformation into Chuang Lao (Sore Consumption), an adverse sign difficult to cure.
Formula: Fangfeng Qianghuo Tang
Indications: Wind-Toxin Luoli with initial chills and fever.
Composition: Fangfeng (Saposhnikovia Root), Qianghuo (Notopterygium Rhizome) [1 qian each]; Lianqiao (Forsythia Fruit, heart removed) [2 qian]; Shengma (Cimicifuga Rhizome) [7 fen]; Xiakucao (Prunella Spike) [2 qian]; Niubangzi (Arctium Seed, fried and ground) [1 qian]; Chuanxiong (Ligusticum Rhizome) [1 qian]; Huangqin (Scutellaria Root, wine-soaked) [1 qian]; Gancao (Licorice Root) [5 fen]; Kunbu (Kelp) [1 qian]; Haizao (Sargassum Thallus) [1 qian]; Jiangcan (Bombyx Batryticatus, wine-fried) [2 qian]; Bohe (Mint Leaf) [1 qian].
Decoct in water and take warm.
[Formula Song] Fangfeng Qianghuo drives away Luoli, excellent for Wind-Toxin fever; Chuanxiong, Huangqin, Kunbu, Lianqiao, Niubang, Gancao, Xiakucao, Haizao, Bohe, Shengma, Jiangcan.
Another Formula: Haicai Wan
Indications: Wind-Phlegm Luoli growing around the neck without chills/fever; suitable for regular use until resolved.
Composition: Haizaocai (Seaweed, stir-fried with Buckwheat, remove buckwheat); Baibaijiangcan (White Silkworm, lightly fried, remove silk).
Grind into fine powder, mix with soaked white plum pulp to form pills the size of Sophora seeds. Take 60-70 pills after meals or before bed with rice gruel; avoid fishy and rich foods.
[Formula Song] Haicai Wan treats Wind-Phlegm Lili, Seaweed and White Silkworm; Plum juice pills like Sophora seeds, Rice gruel delivery cures the disease.
Another Formula: Shengyang Tiaojing Tang/Wan
Indications: Heat-Toxin Luoli around the neck or extending to Jiache (masseter region), originating from the Yangming Stomach Meridian. Treats deep sores, recessed flesh, hard nodules of unequal size. Can be taken as decoction or pills.
Composition: Shengma (8 qian); Lianqiao (heart removed); Longdancao (Gentian Root, wine-fried); Jiegeng (Platycodon Root); Huanglian (Coptis Rhizome, must removed, wine-fried); Jing Sanleng (Sparganium Rhizome, wine-fried); Gegen (Pueraria Root); Gancao (Licorice Root, honey-fried) [5 qian each]; Zhimu (Anemarrhena Rhizome, wine-washed); Ezhu (Curcuma Rhizome, wine-fried) [1 liang each]; Tiao Huangqin (Scutellaria Root, wine-washed) [6 qian]; Huangbai (Phellodendron Bark, coarse skin removed, wine-fried).
Take one dose, grind half into fine powder, refine honey to form pills size of Sophora seeds. Take 100-150 pills. Grind the other half into coarse powder, use 5 qian. If stomach strength is strong, appetite good, and stool dry, increase to 7-8 qian. Soak coarse powder in 2 zhong water for half a day, decoct to 1 zhong, strain and take hot. Lie supine with feet elevated, remove pillow, hold medicine in mouth and swallow in ten portions. Finish the decoction, save a mouthful to wash down the pills. Rest normally after.
[Formula Song] Shengyang Tiaojing treats Toxic Heat, Neck/Jaw Luoli hard as iron; Shengma, Gegen, Gancao, Huangqin, Zhimu, Huangbai, Sanleng, Huanglian, Longdancao, Lianqiao, Ezhu, Jiegeng.
Another Formula: Chaihu Lianqiao Tang
Indications: Heat-Toxin in men and women, Madao Luoli, combined with Qi-cold and Blood-stasis, amenorrhea, etc.
Composition: Chaihu (Bupleurum Root); Lianqiao (heart removed); Zhimu (wine-fried); Huangqin (Scutellaria Root, fried) [5 qian each]; Huangbai (Phellodendron Bark, wine-fried); Shengdi (Rehmannia Root); Gancao (Licorice Root, honey-fried) [3 qian each]; Qumaisui (Persicaria Flower Spike) [6 qian]; Niubangzi (Arctium Seed, fried and ground) [2 qian]; Dangguiwei (Angelica Sinensis Tail) [1.5 qian]; Rougui (Cinnamon Bark) [3 fen].
Grind into coarse powder, take 3-5 qian. Decoct in 2 large zhong water to 1 zhong, strain, take warm after meals.
[Formula Song] Chaihu Lianqiao treats Luoli, Hatchet Blood-Stasis and Amenorrhea; Huangqin, Niubang, Danggui, Huangbai, Zhimu, Qumai, Rougui, Gancao, Shengdi.
Another Formula: Jiming San
Indications: Painful Luoli, Heat-Toxin tubercles, much irritability, heat without chills.
Composition: Hei Qianniu (Black Morning Glory Seed) [1 liang]; Hufen (Starch) [1 qian]; Sheng Dahuang (Rhubarb Root, raw) [2 qian]; Puxiao (Mirabilite, refined powder) [3 qian].
Grind into fine powder, take 3 qian. At cockcrow, mix well water to take. Stop when bowels and urine are clear; repeat if not.
[Formula Song] Jiming San treats Luoli pain, Tubercles irritability Heat multiplies; Hufen, Qianniu, Puxiao, Dahuang ground fine, Well water mix clears bowels.
Another Formula: Li Gao's Lianqiao Sanjian Tang
Indications: Qi-Toxin Luoli below ear or to Clavicle/Shoulder, hard sores like stone, rootless, named Madao Chuang (Hatchet Sore). Originates from Hand/Foot Shaoyang Meridians. Also treats hypochondriac masses, purulent or intact.
Composition: Danggui (Angelica Sinensis Root, wine-washed); Lianqiao (heart removed); Ezhu (Curcuma Rhizome, wine-fried); Jing Sanleng (Sparganium Rhizome, wine-fried) [5 qian each]; Tugua Gen (Trichosanthes Root, wine-fried); Longdancao (Gentian Root, wine-washed) [1 liang each]; Chaihu (Bupleurum Root) [1.2 liang]; Huangqin (Scutellaria Root, half raw, half wine-fried) [1.2 liang]; Zhi Gancao (Honey-fried Licorice) [6 qian]; Huanglian (Coptis Rhizome, wine-fried); Cangzhu (Atractylodes Rhizome, fried) [3 qian each]; Chi Shaoyao (Red Peony Root) [1 qian].
Grind half into fine powder, refine honey for pills (Sophora seed size). Take 100-150 pills. Grind rest into coarse powder, use 5 qian. Soak in 1.8 zhong water for half a day, decoct to 1 zhong, strain and take hot. Lie with head low, feet high, remove pillow, swallow in ten portions, save last mouthful for pills. Rest normally.
[Formula Song] Li Gao's Lianqiao Sanjian Tang, Qi-Toxin Luoli Hatchet Sore; Danggui, Shaoyao, Chaihu, Huangqin, Sanleng, Ezhu, Gancao, Tugua, Longdancao, Huanglian, Cangzhu.
Another Formula: Shugan Kuijian Tang
Composition: Xiakucao (Prunella Spike); Jiangcan (Bombyx Batryticatus, fried) [2 qian each]; Xiangfu (Cyperus Rhizome, wine-fried); Shijueming (Abalone Shell, calcined) [1.5 qian each]; Danggui (Angelica Sinensis Root); Baishao (White Peony Root, vinegar-fried); Chenpi (Citrus Peel); Chaihu (Bupleurum Root); Fuxiong (Ligusticum Chuanxiong); Chanshunjia (Pangolin Scales, fried) [1 qian each]; Honghua (Safflower); Pianzi Jianghuang (Turmeric Tuber); Gancao (Licorice Root, raw) [5 fen each].
Guide with 50 cun Dengxin (Juncus Effusus), 3 zhong water, decoct to 1 zhong, take warm far from meals. Add Rushiang (Frankincense) 1 qian for dry stool; add Huamu Li (Calcined Oyster Shell) 1 qian for loose stool.
[Formula Song] Shugan Kuijian Tang opens Depression, Tendon Lili Stone Abscess Chai/Shijueming/Danggui; Xiakucao, Chenpi, Jiangcan, Xiangfu, Fuxiong, Honghua, Shaoyao, Gancao, Chanshunjia, Jianghuang.
Another Formula: Sanzhong Kuijian Tang
Indications: Qi-Toxin Luoli, all Madao, hard as stone, rooted. From ear to clavicle/shoulder/hypochondrium belongs to Hand/Foot Shaoyang. All over chin/Jiache, hard non-ulcerated belongs to Foot Yangming. Treats ruptured/purulent cases too. Dosage adjusted by diet/stool.
Composition: Chaihu Shao (Bupleurum Tip) [4 qian]; Longdancao (Gentian Root, wine-fried); Huangbai (Phellodendron Bark, coarse skin removed, wine-fried); Zhimu (Anemarrhena Rhizome, fried); Huafen (Trichosanthes Root); Kunbu (Kelp, soil removed, wine-washed); Jiegeng (Platycodon Root); Gancao Gen (Licorice Root, honey-fried); Jing Sanleng (Sparganium Rhizome, wine-fried); Ezhu (Curcuma Rhizome, wine-fried); Lianqiao (Forsythia Fruit, heart removed); Danggui (Angelica Sinensis Root) [5 qian each for first four, 3 qian for latter four]; Baishao (White Peony Root, wine-fried); Gegen (Pueraria Root); Huanglian (Coptis Rhizome) [2 qian each]; Shengma (Cimicifuga Rhizome) [6 qian]; Huangqin Shao (Scutellaria Root tip, half wine-fried, half raw) [8 qian]; Haizao (Sargassum Thallus) [5 qian].
Grind to powder, use 6-7 qian. Soak in 2 zhong water for half a day, decoct to 1 zhong, strain and take hot. Lie with feet high, head low, hold in mouth, swallow in ten portions, rest normally. Save half material for fine powder pills (Sophora seed size), take 100 pills. Use decoction mouthful to wash down pills.
[Formula Song] Sanzhong Kuijian dissipates Qi-Toxin Stagnation, Hatchet Luoli Ear/Shoulder junction; Chin/Jiache Bone Hard as Stone dissolves; Zhimu, Haizao, Sanleng, Danggui, Shaoyao, Gancao, Shengma, Huangqin, Huafen, Chaihu Shao, Gegen, Huanglian, Ezhu, Jiegeng, Kunbu, Longdancao, Huangbai, Lianqiao.
Another Formula: Yang Family's Collection for Luoli
Indications: Luoli caused by ingesting toxins, rapid effect.
Composition: Jingjie (Schizonepeta Spike); Baibaijiangcan (White Silkworm, fried, silk removed); Hei Qianniu (Black Morning Glory Seed) [2 qian each]; Banmao (Mylabris, head/wings/legs removed, fried with rice, 28 insects).
Grind to powder. At bedtime, take 1 qian Hutashi (Talcum Powder) with rice drink, then another dose at midnight. At dawn, take 1-3 qian medicine with warm wine based on strength. If urine has no foul matter, repeat next morning. If still no result, on third dawn, eat white glutinous rice porridge, then decoction, then Hu Po (Amber) powder mixed with Dengxin Tang. Cure when foul matter passes via urine. If urethral pain, take Qingdai (Indigo Naturalis) 1 qian with Gancao Tang.
[Formula Song] Yang Family's Collection treats Luoli, Mis-ingested toxins form Lili Sore; Qianniu, Banmao, Jiangcan, Jingjie ground, Wine dosage based on strength.
Another Formula: Prepared Spirit Chicken Egg
Indications: Axillary Madao Luoli from ingested toxins, slower effect.
Composition: Banmao (Mylabris, head/wings/legs removed, 7 insects).
Make a hole in one egg, insert Banmao, seal with paper, steam with rice. Remove shell, discard insect, chew with rice at dawn on empty stomach. Verification: urine flows like rice water or fat. If constipation/urinary retention, take Hupo San 2-3 doses to promote, then regularly take Miaoling San and Neixiao Lianqiao Wan.
[Formula Song] Prepared Spirit Egg treats Hatchet, One egg contains Banmao; Paper sealed steamed shell removed medicine, Chew with rice Lili dissolves.
Another Formula: Hupo San
Composition: Hu Po (Amber); Huangqin (Scutellaria Root); Baifuling (Poria Cocos); Wuyao (Lindera Root); Cheqianzi (Plantago Seed); Qumai (Persicaria Herb); Yinyi Hao (Artemisia Capillaris); Shiwei (Pyrrosia Leaf); Zicao (Arnebia Root); Maogen (Imperata Rhizome); Lianqiao (Forsythia Fruit, heart removed) [Equal parts].
Grind to ultra-fine powder, take 3 qian with Dengxin Tang, any time.
[Formula Song] Hupo San benefits two bowels, Drains toxin clears heat most miraculous; Huangqin, Fuling, Wuyao, Cheqian, Qumai, Yinyi, Shiwei, Zicao, Maogen, Lianqiao suitable.
Another Formula: Miaoling San
Indications: After Spirit Egg, combine with Neixiao Lianqiao Wan regularly until healed.
Composition: Haizao (Sargassum Thallus) [2 liang]; Chuan Niuxi (Achyranthes Root); Heshouwu (Polygonum Multiflorum Root, raw); Danggui (Angelica Sinensis Root, wine-washed); Haipiaoxiao (Cuttlefish Bone); Sangjisheng (Taxillus Branch) [1 liang each]; Haidai (Kelp); Qingxiangzi (Celosia Seed); Kunbu (Kelp, wine-washed); Gancao Jie (Licorice Joint) [5 qian each]; Muxiang (Aucklandia Root) [3 qian]; Chenxiang (Agarwood) [2 qian].
Grind to fine powder, take 2 qian with warm wine after meals.
Another Formula: Neixiao Lianqiao Wan
Composition: Lianqiao (Forsythia Fruit, heart removed) [2 liang]; Tao Ren (Peach Kernel); Baiji (Bletilla Rhizome); Shegan (Belamcanda Rhizome); Xiaguacao (Prunella Spike - *Note: Text says Xia Kua Cao, likely Xiakucao*); Tugua Gen (Trichosanthes Root); Zelanye (Lycopus Leaf); Shashen (Adenophora Root); Loulu (Euphorbia Root) [1.5 liang each].
Grind to powder, mix with ground Peach Kernel, glue with wine paste for pills (Sophora seed size). Take 30-50 pills on empty stomach before meals, with wine or salt water.
[Formula Song] Neixiao Lianqiao resolves Luoli, Miaoling and this taken together; Tao Ren, Baiji, Shegan, Xiakucao, Tugua, Zelanye, Shashen, Loulu.
Another Formula: Fuzi Baidu Tang
Indications: Damp-Toxin Luoli.
Composition: Qianghuo (Notopterygium Rhizome) [1 qian]; Chuan Fuzhi (Prepared Aconite Root) [1 qian]; Baibaijiangcan (White Silkworm, fried) [3 qian]; Qianhu (Peucedanum Root) [1 qian]; Lianqiao (Forsythia Fruit, heart removed) [1.5 qian]; Sheng Huangqi (Raw Astragalus Root) [1.5 qian]; Manjingzi (Vijaya Fruit) [1.5 qian]; Chenpi (Citrus Peel) [1 qian]; Fangfeng (Saposhnikovia Root) [1 qian]; Baifuling (Poria Cocos) [1.5 qian]; Jinyinhua (Honeysuckle Flower) [2 qian]; Gancao Jie (Licorice Joint) [5 fen].
Guide with 1 slice Shengjiang (Fresh Ginger), 3 zhong water, decoct to 1 zhong, take warm far from meals.
[Formula Song] Fuzi Baidu Taiyang Meridian, Damp-Toxin Luoli Diffuse Swelling Pain; Chenpi, Fuling, Qianhu, Gancao, Huangqi, Qianghuo, Jinyinhua, Jiangcan, Manjing, Lianqiao, Fangfeng.
Another Formula: Xiaohe San
Indications: Phlegm-condensation Luoli in neck, effective for men, women, children.
Composition: Haizao (Sargassum Thallus) [3 liang]; Muli (Oyster Shell); Yuan Shen (Scrophularia Root) [4 liang each]; Nuomi (Glutinous Rice) [8 liang]; Gancao (Licorice Root, raw) [1 liang]; Hong Niangzi (Lytta Beetle, stir-fried with glutinous rice until yellow, remove beetle, use rice, 28 beetles).
Grind fine, mix with wine, take 1-1.5 qian based on constitution.
[Formula Song] Xiaohe San treats all Luoli, Men/Women/Children cured; Hongniang, Nuomi fried yellow, Gancao, Yuan Shen, Haizao, Muli.
Another Formula: Xijiao Wan
Indications: Various Luoli, Heart-Fire attacking, red gritty eyes, effective.
Composition: Xijiao (Rhinoceros Horn - *Note: Substitute with Buffalo Horn in modern practice*); Qingpi (Citrus Aurantium Peel); Hei Qianniu (Black Morning Glory Seed, half raw, half fried); Chenpi (Citrus Peel) [1 liang each]; Lianqiao (Forsythia Fruit, heart removed) [5 qian]; Bohe (Mint Leaf) [2 jin].