《病源论》云∶恶核肿者，肉里忽有核，累累如梅李，小有如豆粒，皮内酸痛，左右走
身中，猝然而起，此风邪挟毒所成。其亦似射工毒。初得无常处，多恻恻痛。不即治，毒入
腹，烦闷恶寒即杀人也。久不瘥，则变作 。
《短剧方》云∶有恶核病者，肉中忽有核累累如梅李核状，小者如豆粒，皮肉中酸痛，
左右走人身中，壮热 KT 畏寒是也。与诸疮痕瘰 、结筋相似。其疮痕瘰 要因疮而生，
是缓疾无毒。其恶核病，猝然而起，有毒，不治，入腹烦闷则杀人。南方多有此疾，皆是冬
月受温风，至春夏有暴寒冷相搏，气结成此毒也。宜服五香连翘汤，以小豆薄涂之得消也。
亦煮五香汤，去滓，时时洗渍之，消化之后，以丹参膏敷余核令消尽，不消尽者，还敷小豆
薄也。
五香连翘汤 治恶脉及恶核，瘰 、风结诸核肿气痛方∶
青木香（二两） 麝香（半两） 沉木香（二两） 薰陆香（一两） 鸡舌香（一两） 连
翘子（二两） 夜干（二两） 升麻（二两） 独活（二两） 寄生（二两） 大黄（三两）
甘草（二两） 淡竹沥（二升）
凡十三物， 咀，以水九升煮药，计水减半许可纳竹沥汁，又克取三升，分三服。
丹参膏 治恶脉及恶核、瘰 、风结诸核肿气肿痛方∶
丹参（二两） 蒴 根（二两） 草（半两） 秦胶（一两） 独活（一两） 踯躅
花（半两） 蜀椒（半两） 白芨（一两） 牛膝（一两） 菊花（一两） 木防己（一两）
乌头（一两）
凡十二物，细切为善，以苦酒二升渍之一宿，夏月半日。急疾即煎之，以猪膏四升煎苦
酒竭，勿令暴焦熬也，去滓以膏涂诸疾上，日五、六，至良。
《葛氏方》治恶核肿结不肯散者方∶
乌 根 升麻（各二两）
以水三升，煮取半升，分再服，以滓熨上。
又方∶烧白鹅屎，以水服三方寸匕，以肉敷肿上。
又方∶苦酒摩由跃涂之，捣小蒜敷之。
《录验方》治恶核肿毒入腹五香汤方∶
薰陆香 射香 沉香 鸡舌香 青木香（各二两）
凡五物，以水六升，煮取二升半，适寒温分用三服。不瘥复作，云令剂可尽。
五香各一两，水四升，煮取三升，亦为二服。又滓敷肿上，神良。
《僧深方》∶凡得恶肿皆暴卒，初始大如半梅桃，或有核。或无核，或痛或不痛，其长
甚速，须臾如鸡鸭大，即不治之肿。热为进，烦闷拘挛，肿毒内侵，填塞血气，气息不通，
再宿便杀人。初觉此病便急，宜灸当中央及绕肿边灸之，令相去五分，使周匝肿上，可三七
壮。肿盛者多壮数为瘥。肿进者，逐灸前际取住乃止。
又方∶鲫鱼捣敷肿上。
又方∶啖鲫鱼脍蒜齑。
《刘涓子方》治恶核肿毒汤方∶
乌扇（二两） 升麻（二两） 栀子仁（十四枚，破）
上三物，切，以水三升，煮取一升半，分再服。以滓敷肿上甚良。
《张仲景方》治消核肿黄 贴方∶
黄 （三两） 真当归（三两） 大黄（三两） 芎 （一两） 白蔹（三两） 黄芩
（三两） 防风（三两） 夕药（二两） 鸡子（十枚） 黄连（二两）
凡十物，捣，筛，以鸡子白和涂纸上，贴肿上，燥易。
又方∶捣茱萸以囊盛，敷核上，亦可令速消开，多得效验。
According to *Zhu Bing Yuan Hou Lun* (Treatise on the Pathogenesis and Symptoms of All Diseases), "Ehe Zhong" (Malignant Nuclear Swelling) refers to lumps that suddenly appear within the muscle tissue, linked together like plums or apricots, with smaller ones resembling bean grains. There is soreness and pain inside the skin, and the pain wanders left and right throughout the body, arising abruptly. This condition is caused by wind-pathogen carrying toxicity. It also resembles the toxicity of "She Gong" (a type of toxic aquatic insect). Initially, there is no fixed location, and it often presents as a lingering pain. If not treated immediately, the toxin enters the abdomen, causing restlessness and aversion to cold, which can be fatal. If it persists for a long time without healing, it may transform into a fistula or ulcer.
*Duan Ju Fang* (Short Drama Formulas) states: Patients suffering from Ehe disease have lumps in the flesh that suddenly appear, linked like plum or apricot pits, small ones like bean grains. There is soreness and pain in the skin and flesh, with pain wandering left and right through the body, accompanied by high fever and aversion to cold. This resembles various sores, scrofula (Luo Li), and tendon knots. Those sores and scrofula usually arise from existing wounds and are slow-progressing diseases without toxicity. In contrast, Ehe disease arises abruptly, possesses toxicity, and if untreated, the toxin entering the abdomen causes restlessness and death. This disease is common in the southern regions, caused by contracting warm winds in winter, which then clash with sudden cold qi in spring and summer, leading to the coagulation of qi and formation of this toxin. It is suitable to take Wuxiang Lianqiao Tang (Five-Aromatic Forsythia Decoction) and apply a thin paste made from Adzuki Beans externally to dissipate the swelling. One can also boil Wuxiang Tang, strain the dregs, and frequently wash and soak the affected area. After the swelling subsides, apply Danshen Gao (Salvia Ointment) to the remaining nodules to make them disappear completely; if they do not fully resolve, continue applying the Adzuki Bean paste.
**Wuxiang Lianqiao Tang (Five-Aromatic Forsythia Decoction)**: A formula for treating E Mai (Malignant Veins), Ehe, Luo Li (Scrofula), and various nuclear swellings and qi pain caused by wind-node.
- Qingmuxiang (Aucklandiae Radix) - 2 liang
- Shexiang (Moschus) - 0.5 liang
- Chenmuxiang (Aquilariae Lignum Resinatum) - 2 liang
- Xunluxiang (Olibanum) - 1 liang
- Jishe Xiang (Caryophylli Flos) - 1 liang
- Lianqiao Zi (Forsythiae Fructus) - 2 liang
- Yegan (Nandinae Folium) - 2 liang
- Shengma (Bunge's Goldenrod Rhizome) - 2 liang
- Duhuo (Angelicae Pubescentis Radix) - 2 liang
- Jisheng (Taxilli Herba) - 2 liang
- Dahuang (Rhei Radix et Rhizoma) - 3 liang
- Gancao (Glycyrrhizae Radix et Rhizoma) - 2 liang
- Danzhuli (Bamboo Sap) - 2 sheng
These thirteen ingredients are crushed. Boil in 9 sheng of water until the volume is reduced by half, then add the Bamboo Sap. Continue boiling until 3 sheng remains. Divide into three doses.
**Danshen Gao (Salvia Ointment)**: A formula for treating E Mai, Ehe, Luo Li, and various nuclear swellings and qi pain caused by wind-node.
- Danshen (Salviae Miltiorrhizae Radix) - 2 liang
- Shuodi Gen (Dioscoreae Hypoglaucae Rhizoma) - 2 liang
- Cao [Missing Character] (Herb) - 0.5 liang
- Qinjiao (Gentianae Macrophyllae Radix) - 1 liang
- Duhuo (Angelicae Pubescentis Radix) - 1 liang
- Zhi Zhu Hua (Rhododendri Mollis Flos) - 0.5 liang
- Shujiao (Sichuan Pepper) - 0.5 liang
- Baiji (Bletillae Rhizoma) - 1 liang
- Niuxi (Achyranthis Bidentatae Radix) - 1 liang
- Juhua (Chrysanthemi Flos) - 1 liang
- Mu Fangji (Stephaniae Tetrandrae Radix) - 1 liang
- Wutou (Aconiti Lateralis Radix Praeparata) - 1 liang
These twelve ingredients are finely cut. Soak in 2 sheng of Ku Jiu (Vinegar) overnight (or half a day in summer). Quickly decoct using 4 sheng of Pig Fat (Zhugao) until the vinegar evaporates. Do not let it burn violently. Strain the dregs and apply the ointment to the lesions five to six times daily until healed.
*Ge Shi Fang* (Ge's Formulas) for treating Ehe Zhong that clusters and refuses to disperse:
- Wu Tou Gen (Aconiti Radix) - 2 liang
- Shengma (Bunge's Goldenrod Rhizome) - 2 liang
Boil in 3 sheng of water until 0.5 sheng remains. Divide into two doses. Apply the dregs as a hot compress to the affected area.
Another formula: Burn white goose feces, administer with water using a measure of 3 cun cubes, and apply meat to the swelling.
Another formula: Rub You Yue [unclear term] with Vinegar and apply; crush Small Garlic and apply.
*Lu Yan Fang* (Verified Record Formulas) for treating Ehe Zhong where toxin enters the abdomen, Wuxiang Tang:
- Xunluxiang (Olibanum)
- She Xiang (Moschus)
- Chen Xiang (Aquilariae Lignum Resinatum)
- Ji She Xiang (Caryophylli Flos)
- Qing Mu Xiang (Aucklandiae Radix)
(Each 2 liang)
Boil these five ingredients in 6 sheng of water until 2.5 sheng remains. Adjust temperature and divide into three doses. If not cured, prepare again, allowing the full dose to be consumed.
Alternatively, use 1 liang of each of the Five Aromatics, boil in 4 sheng of water until 3 sheng remains, and divide into two doses. Apply the dregs to the swelling; this is highly effective.
*Seng Shen Fang* (Monk Shen's Formulas): Whenever one contracts E Zhong, it strikes suddenly. Initially, it is as large as half a plum or peach, with or without a nucleus, painful or painless. It grows very rapidly, becoming as large as a chicken or duck egg in an instant, making it difficult to treat. As heat increases, restlessness and spasms occur. The swelling toxin invades internally, blocking blood and qi, preventing breath flow, leading to death within two nights. Upon first noticing this disease, urgent action is required. Moxibustion should be applied to the center of the swelling and around its perimeter, spaced 5 fen apart, encircling the entire swelling. Apply 21 moxa cones (San Qi Zhuang). For severe swelling, increase the number of cones to achieve cure. If the swelling is progressing, continue moxibustion along the previous boundary until it stops.
Another formula: Crush freshwater fish and apply to the swelling.
Another formula: Consume raw sliced freshwater fish with minced garlic.
*Liu Juanzi Fang* (Liu Juanzi's Formulas) for treating Ehe Zhong toxin, Decoction:
- Wu Shan (Iris Tectorii Rhizoma) - 2 liang
- Shengma (Bunge's Goldenrod Rhizome) - 2 liang
- Zhizi Ren (Gardeniae Fructus) - 14 seeds, broken
Cut these three ingredients. Boil in 3 sheng of water until 1.5 sheng remains. Divide into two doses. Apply the dregs to the swelling; this is very effective.
*Zhang Zhongjing Fang* (Zhang Zhongjing's Formulas) for dissipating nuclear swelling, Huangqi Paste:
- Huangqi (Astragali Radix) - 3 liang
- Zhen Danggui (Angelicae Sinensis Radix) - 3 liang
- Dahuang (Rhei Radix et Rhizoma) - 3 liang
- Xiong (Ligustici Chuanxiong Rhizoma) - 1 liang
- Bailian (Bletillae Rhizoma) - 3 liang
- Huangqin (Scutellariae Radix) - 3 liang
- Fangfeng (Saposhnikoviae Radix) - 3 liang
- Xi Yao (Paeoniae Radix Alba) - 2 liang
- Ji Zi (Galli Ovatis Ovum) - 10 eggs
- Huanglian (Coptidis Rhizoma) - 2 liang
Crush and sieve these ten ingredients. Mix with Egg White (Jizi Bai) and spread on paper. Apply to the swelling; replace when dry.
Another formula: Crush Evodia Fruit (Zhuyu), place in a bag, and apply to the nodule. This can also cause rapid resolution and has proven effective in many cases.