瘰 必起于少阳一经，不守禁忌，延及阳明，大抵食味之浓，郁气之积，曰毒，曰
风，曰热，皆此三端，招引变换，须分虚实。实者易治，虚者可补。以其三焦相火，气多
血少。妇人见此，月经不调，寒热变生，
稍久，转为潮热，危矣。自非寡欲断味，神仙不治也。
瘰 者，结核是也。或在耳后，或在耳前，或在耳下，连及颐项，又或在颈下，
连及缺盆，皆谓之瘰 。或在胸前，及于两胁者，皆谓之马刀，手足少阳经之疾。少阳司
相火，但凡女子、小儿，三焦火窒一经，蓄怒忧思惊恐，抑郁气逆，遂致痰火积于经，
结核不散，而成瘰 ，至于发热憎寒，烦渴盗汗，或寒热往来，日渐羸瘦，邪热寝盛，则
必费调理，可不慎与？
又云∶结核连续者，为瘰 。刀形长如蚬蛤者，为马刀。
脉涩者补血为主。
脉弱者补气为主。
脉浮数者及肿痛，宜祛风清热凉血。
肿硬不溃者，补气血为主。
郁抑所致者，解郁结，调气血。
溃后不敛者，属气血俱虚，宜大补之。
虚劳所致者，补之。
因有核而不敛者，腐而补之。
脉实而不敛或不消者，下之。
治瘰 结核及头面诸疮肿、胸肋间肿痛，必用此法始。
经曰∶火淫所胜，治以咸寒。先用食盐一二两炒过，以长流水一大碗煎，放温，作
三四次顿服，少时以鸡翎于咽喉中探引吐涎三两升，后服凉血通经如玉烛散、四物凉膈散、
解毒汤之类。
地胆、斑蝥制度如法，能攻瘰 之毒，以其破瘰 之根，从小便中出，或如粉片
浆汁，或如血块烂肉，亦其
验耳。服此药者，当以木通、滑石等为向导，不然，恐遗毒于小肠，膀胱也。
夏枯草《本草》言大治瘰 ，散滞气，而有补养厥阴血脉之功。而经不言
其能退寒热，虚者尽可倚仗，实者以行散之药佐之，外施艾灸，亦渐取效。此草三四月
间开紫花，夏至时便枯，盖禀纯阳之气，得荣则枯耳。此瘰 中之要药也。
桑椹取极熟黑色者二斗，以布滤取自然汁，砂器属性武火慢熬，成薄膏。每日白
汤点一匙，食后稍远服，日三次。
散肿溃坚汤 治马刀结硬如石，沿在耳下至缺盆或肩上肋下者，皆手足少阳经分，或
颊或颊车坚硬如石，乃阳明经分，或二经疮已破，流脓，并皆治之。
柴胡梢（四钱） 桔梗（半两） 升麻 龙胆草 黄芩梢（半生，半酒炒） 连翘（各
三钱） 炙甘草 白芍药 当归尾（各三分） 黄连（二钱） 黄柏 知母（炒） 栝蒌根（
酒浸） 葛根 昆布（酒洗） 广术（酒浸，微炒） 三棱（酒拌湿，炒透，二钱）
上咀，每服六七钱，水二盏，浸大半日，煎一盏，热服。卧宜去枕，头低脚高，每噙一
口作数次咽，留一口送下后项丸药，服毕卧。药在膈上停留，以制上病故也。若能食，粪
硬者，加至七八钱一剂，前药取半料为末，炼蜜丸如绿豆大，每服百丸，用本汤下。
连翘散坚汤 治耳下或肩上及缺盆，疮核如石，动之无根，或生两胁，或未破溃，或已
流脓成疮，此手足少阳经分也。
柴胡（一两二钱） 当归尾（酒洗） 黄芩（生） 广术（酒炒） 三棱（酒炒）
连翘 芍药（各半两） 黄连（酒炒） 苍术（各二钱） 栝蒌根（一两，酒炒） 龙胆
草（酒洗） 黄芩（酒炒。各七钱） 炙甘草（三钱）
上一半煎，如前法服，一半为丸，亦如前法服。
玉烛散 治瘰 自消，和血通经。
当归 川芎 芍药 熟地黄 大黄 芒硝 黄芩 甘草（各等分）
上为粗末，每服三钱，水盏半，生姜三片，煎七分，温服。每日食后一服，七日效。
升麻调经汤 治绕项结核或至颊车，此阳明胃经瘰 也。手足少阳、足少阴肾经俱能结
块，此药并治。
升麻（一钱） 连翘（半两） 葛根 龙胆草（四钱） 桔梗（半两） 条黄芩（
六钱） 当归尾（一钱） 芍药（三钱） 生黄芩（四钱） 黄柏（七钱） 知母（一钱）
广术 三棱 黄连炙 甘草（各半两）
上药一半煎服，一半蜜丸，煎药吞下如前法。
救苦化坚汤 治瘰 ，马刀挟瘿，从耳下或耳后下颈至经，或入缺盆，乃手足少阳
经分，其在颊间或颊车，乃足阳明经分，受心脾之邪而作。今将二证合而治之。
升麻（一钱） 葛根（五分） 真漏芦（五分，三味俱足阳明本经药） 连翘（一钱，
诸疮必用之药，泻十二经之邪火，十二经疮药不可无，能散诸气聚血结） 丹皮（五分，
凉血，散滞血） 归身（三分） 生地（三分以上，和血凉血） 白芍药（三分，夏月
焙之。腹痛必用之药，味酸能收散气） 黄 （一钱，固皮毛腠理，补表之元气，及能
活血脉，生血，散火邪，疮家圣药） 肉桂（三分，大辛热，能散结积，阳证疮疡，须少
用之。又曰寒因热用，或有烦躁者去之） 麦芽（一钱，治腹中急缩，兼能消食补
胃） 柴胡（八分） 鼠粘子（一五分，若无马刀挟瘿，不在少阳者，去柴胡一味）
防风（五分，凡疮在上部，虽无手足太阳经证，亦当用之，为能散结。有脊痛项强，加
羌独活） 昆布（二分，味大咸。疮坚硬者用之，以咸能软坚也） 广术（三分，煨）
三棱（三分，煨。二味削坚积、疮毒坚硬者用之，不甚坚者减） 人参（三分，气弱，气短
者加） 黄柏（三分，有热、烦躁，肾中有伏火，或脚无力者，加倍） 益智仁（二分，
或呕吐，胃不和，及腹胀者，更加浓朴） 曲末（炒，三分） 炙甘草（五分，能调诸药，
泻火，助胃调中，除邪气） 黄连（三分，泻心火，治诸疮）
上为极细末，滚汤泡，蒸饼和匀，捻作饼子，日中晒干，捣如米粒大。每服一
钱或二钱，白汤送下。量病患虚实，无令药多妨其饮食，此治之大法也。
如在少阳阳明经分，为马刀挟瘿者，去独活、漏芦、升麻、葛根，加瞿麦（三分）。
气不顺者，加橘皮。邪在上焦，加黄芩。在中焦，加黄连。在下焦，加黄柏、知母、防己，
皆酒制用之。大便不通，印壅起邪盛，急
加酒大黄以利之。如血燥不行，加桃仁、酒大黄。风涩不行，加煨皂角仁、秦艽、
大黄。如阴寒秘结，以《局方》半硫丸，或加附子、干姜，冰冷与之。大抵诸疮素弱者，
少用苦寒，多加参 甘草之类，泄火，以补元气为主。
海藻散 治瘰 。
海藻（洗） 昆布 何首乌（不犯铁器） 皂角刺（炒黄色。各一两） 蛇蜕（
一条）
上五味，为细末，用猪项下刀口肉烧熟，蘸药末食之，向患处一边侧卧一伏时，每
核上灸七壮，烟从口中出为度，脓尽即安。
瞿麦饮子 治瘰 马刀疮。
瞿麦穗（半斤） 连翘（一斤）
上为粗末，水煎临卧服。此药经效，多不能速验，宜待岁月之人，自消除也。
连翘汤 治前证。
连翘 瞿麦（各斤） 大黄（三两） 甘草（二两）
上咀，每服半两，煎，食后服。十余日后，可于临泣穴，炙二七壮，服药不可止，
五六十日效。
柴胡连翘汤 治前证。
柴胡 连翘 黄芩（炒） 知母（酒炒。各半两） 中桂（三分） 炙甘草 黄柏（
酒炒） 生地黄（各三钱） 归尾（钱半） 瞿麦穗（六钱） 鼠粘子（一钱）
上咀，每服半两，水二盏，煎一盏，食后稍热服。
柴胡通经汤 治小儿项侧有核，坚而不溃，名曰马刀。
柴胡 归尾 桔梗 生甘草 连翘 三棱 鼠粘子 黄芩 黄连（各五分）
红花（少许）
上咀，水二盏煎一盏，食后稍热服。
白花蛇散 治九漏瘰 ，发于项颈之间，憎寒发热，或痛或不痛。
白花蛇（酒浸软，去皮骨，焙干称二两） 生犀角（二钱，镑） 牵牛（半生半炒，
一两） 青皮（半两）
上为细末，每服一钱，入腻粉五分硬匀，五更糯米饮调，服已，时利下恶物，乃疮之根
也。更候十余日，再进一服，忌发风热毒物。已成疮者，一月可效。
四圣散 治瘰 。服白花蛇散转利后，服此调之，永去其根。
海藻（洗） 石决明（ ） 羌活 瞿麦穗（各等分）
上为细末，每服二钱，米汤调下，清水尽为度。
遇仙无比丸专治瘰 。
白术 槟榔 防风 牵牛（半生半炒） 郁李仁（汤泡去皮） 密陀僧 甘草（各半两）
斑蝥（去翅足，糯米炒，去米）
上以斑蝥减半为末，糊丸，梧桐子大。每服二十丸，早晚煎甘草槟榔汤送下。服至一
月后，觉腹中微痛，
于小便中取下毒物，有如鱼目状。已破者自合，未破者自消。
（ 斋）立应散 治瘰 神效。已破未破皆可服。
连翘 赤芍药 川芎 当归 炙甘草 滑石（研。各半两） 黄芩（三钱）
白牵牛（生取末，二钱半） 土蜂房（蜜水洗，饭上蒸，日晒干。二钱） 川乌尖（七个）
地胆（去头足，秫米炒，以米黄为度，去米用，三钱）
上为细末，每服抄一大钱匕，浓煎，木通汤调下，临卧服，毒根从小便中出，痛涩
不妨，毒出如粉片块血烂肉是也。如未效，后再服，继以薄荷丹解其风热。且地胆性带毒，
济以乌尖，或冲上麻闷，不能强制，嚼葱白一寸，茶清下，以解之。如小便涩，灯心煎汤，
调五苓散服。瘰 以好膏贴之。
薄荷丹解瘰 风热之毒，自小便宣毒之后，须常服此。
土薄荷 皂角（去子皮） 连翘 何首乌（米泔浸） 蔓荆子 三棱（炮） 荆芥（各一
两）
上为末，好豉二两半，以米醋煎沸，酒豉淹令软，研如糊，和丸梧桐子大。每服三
十丸，食后熟水下，日
一服，常服为妙。
神秘丸 治瘰 多年不愈。
斑蝥（去头足，秫米炒，一分） 薄荷叶（三分）
上为细末，鸡子清和丸梧桐子大。空心茶清下二丸，午时后服三丸，临卧服四
丸，次日空心服五丸。脐下痛，小便取下恶物为效。如小便涩，吃葱茶少许。
必效散 治瘰
斑蝥（去头足，面炒，二十一个） 荆芥穗 黑牵牛 直僵蚕（炒去丝嘴）
上为细末，每服一钱，五更好酒调下。日中当利恶物，如不下，次日五更再进
一服，或更不下，第三日五更先吃秫米粥一碗，次服此药，其毒决下。如小便痛涩，以
葱茶解之，或煎木通灯心汤利之。
雌雄散 治前证。
斑蝥（一雌一雄足翅全者，新瓦焙焦，去头翅足） 贯众（二钱） 鹤虱 甘草（
各五分）
为细末，作粥服，饱饭后好茶浓点一盏调下。
射干连翘汤 治瘰 寒热往来。
射干 连翘 玄参 赤芍药 木香 升麻 前胡 山栀仁 当归炙 炙甘草（各一
两） 大黄（炒，二两）
上咀，每服三钱，水一盏煎七分，入芒硝少许，食后温服，日再服。
栝蒌子散 治瘰 初肿疼痛，寒热，四肢不宁。
栝蒌子（微炒） 连翘 何首乌 皂角子（微炒） 牛蒡子（微炒） 大黄（微炒）
白螺壳 山栀仁 漏芦 牵牛（微炒） 生甘草（各一两）
上为细末，每服二钱，食后温酒调下。
皂角子丸 治瘰 。
肥皂角子（一升） 玄参 连翘（各一两）
上以水五升于砂锅内慢火熬，水尽为度，先拣皂角子软者，每服三粒，食后临卧时
细嚼津下，硬者捣烂，炼蜜和丸，如榛子大。每夜含化一丸、半月效。忌酒热物。
连翘饮 治瘰 结核，不论已溃未溃。
新薄荷叶（二斤，取自然汁） 肥皂角（一条，去皮水浸，去渣取汁。上二味砂锅
熬膏） 青皮 陈皮（各一两） 连翘（半两） 牵牛（半生半炒末，一两） 皂角子（炮
去皮，以仁为末，两半）
上为末，用膏子丸。每服三十丸，煎连翘汤下，十日效。
蝙蝠散 治瘰 多年不愈神效。
蝙蝠（一个） 猫头（一个）
上以二物俱撒上黑豆同烧，其骨化、研为细末。疮湿，即以末药干掺之，疮干，以香油
调敷之。内服连翘等汤，效。
化气调经汤 治流注、瘰 ，与神应丸间服之。
香附米（四两，酒浸一宿，晒干） 陈皮（二两） 羌活 白芷（各一两） 天花粉
牡蛎（ ） 甘草（各半两） 皂角刺（半两）
上为细末，每服二钱，用清油不拘时调下，日三次。
追毒神异汤 治瘰 热盛脉有力者，以此下之。
辰砂（一钱） 血竭（一钱） 麝香（一字。共研末） 大黄（半两） 大甘草（
半两）
上分一半为末，一半咀，河水一盏煎，临卧调末药服，渣再煎。
托里救苦神应丸 治一切流注 疮，与调经汤间服。
川乌头（炮去皮脐） 陈皮（各一两） 当归（酒浸） 甘草节 白芷 没药（各半两）
蝉蜕（去土，半两） 大皂角（去皮弦） 生地黄 姜
黄（各两半）
上将皂角捶碎，水四碗煎二碗，滤去渣用汁，同煮乌头，至烂为度，捣如泥，
余诸药却另为末，和乌头泥为丸，如梧桐子大。每服六十丸，半饥时薄荷汤下。若疮
既破，有腐肿黑肉，当服化气调经汤，外贴太乙神圣等膏为妙。
（《纲目》）太乙膏 治瘰 疮神效。
没药（四钱） 黄丹（五两） 冰片（五分） 乳香 轻粉（各三钱） 麝香（五
Lymphatic tuberculosis (Luoli) must originate from the Shaoyang meridian. If taboos are not observed, it spreads to the Yangming meridian. Generally speaking, rich flavors in diet and accumulated stagnant qi constitute poison, wind, and heat. These three factors induce pathological changes; one must distinguish between excess and deficiency patterns. Excess patterns are easy to treat, while deficiency patterns can be tonified. This is because the Sanjiao (Triple Burner) features abundant fire and relatively scarce blood and qi. When women present with this condition, menstrual irregularities occur, accompanied by alternating chills and fever. If prolonged, it transforms into tidal fever, which is critical. Unless one practices sexual restraint and avoids rich foods, even a divine physician cannot cure it.
Luoli refers to tubercles. They may appear behind the ear, in front of the ear, below the ear, extending to the mandible and neck; or below the neck, extending to the supraclavicular fossa (Quepen). All these are called Luoli. Those on the chest and hypochondrium are called Machdao (a type of tubercle growing along the chest and ribs), representing diseases of the Hand-Shaoyang and Foot-Shaoyang meridians. Shaoyang governs ministerial fire. In women and children, if the Sanjiao fire is obstructed, and anger, worry, thought, fear, and anxiety accumulate, causing qi depression and rebellion, phlegm-fire accumulates in the meridians. Tubercles fail to dissipate, resulting in Luoli. Symptoms include fever and aversion to cold, restlessness, thirst, night sweats, alternating chills and fever, progressive emaciation, and increasing pathogenic heat. Such cases require careful management; how can one not be cautious?
It is also said: Continuous tubercles are called Luoli. Tubercles shaped like a knife blade, long as a clam shell, are called Machdao.
If the pulse is choppy (Se), treatment should focus on nourishing blood.
If the pulse is weak (Ruo), treatment should focus on tonifying qi.
If the pulse is floating and rapid (Fu Shu) with swelling and pain, dispel wind, clear heat, and cool blood.
If swollen and hard without ulceration, tonify qi and blood.
If caused by emotional depression, resolve stagnation and regulate qi and blood.
If non-healing after ulceration, it belongs to joint deficiency of qi and blood; strongly tonify.
If caused by consumptive disease (Xu Lao), tonify.
If there are nodules that do not heal, remove necrotic tissue first, then tonify.
If the pulse is excess (Shi) and healing/dissipation does not occur, use purgation.
To treat Luoli tubercles and various swellings/sores on the head and face, and swelling/pain in the chest and hypochondrium, this method must be applied initially.
The Classics state: "When fire pathogen prevails, treat with salty-cold methods." First, stir-fry one to two taels of salt, decoct in one large bowl of flowing water, let cool to warm, and drink in three to four doses. Shortly after, induce vomiting of saliva/phlegm (three sheng) using a chicken feather to probe the throat. Then administer formulas such as Yuzhu San (Jade Candle Powder) to cool blood and unblock meridians, Siwu Liangge San (Four Substances Cooling Diaphragm Powder), or Jiedu Tang (Detoxification Decoction).
Didan (Euphorbia kansui root) and Banmao (Mylabris) processed according to regulations can attack the toxicity of Luoli because they break the root of the tubercles, which are expelled via urine, appearing as powder-like flakes, paste, blood clots, or rotting flesh. This serves as verification. When taking these medicines, use Mutong (Akebia Caulis) and Huashi (Talcum) as guiding herbs; otherwise, toxic residue may remain in the Small Intestine and Bladder.
Xiakucao (Prunella Vulgaris) is stated in Ben Cao to effectively treat Luoli, dispersing stagnant qi, and benefiting the Jueyin blood vessels. Although classics do not mention its ability to relieve chills and fever, it is reliable for deficiency patterns. For excess patterns, assist with dispersing herbs, apply external moxibustion, and gradual improvement will occur. This herb blooms purple flowers in March-April and withers at Summer Solstice, implying it possesses pure yang qi and withers when receiving prosperity (yang). It is a key herb for Luoli.
Take two dou of very ripe, black mulberries (Sangshen), filter through cloth to obtain natural juice, and slowly simmer in a clay vessel over high heat until a thin paste forms. Take one spoonful daily dissolved in plain boiled water, taken well after meals, three times a day.
Sanzhong Kuijian Tang (Decoction to Disperse Swelling and Harden Nodules) treats Machdao where nodules are hard as stone, extending from below the ear to Quepen, shoulder, or hypochondrium (Hand/Foot Shaoyang divisions); or hard as stone on the cheek or Jiache (Foot Yangming division); or if sores in these meridians have ulcerated and discharged pus.
Chaihu Shao (Bupleurum Tip) (4 qian), Jiegeng (Platycodon Root) (0.5 liang), Shengma (Cimicifugae Rhizoma), Longdancao (Gentianae Radix), Huangqin Shao (Scutellariae Radix tip) (half raw, half wine-fried), Lianqiao (Forsythiae Fructus) (3 qian each), Zhi Gancao (Honey-fried Licorice Root), Baishao (White Peony Root), Danggui Wei (Angelica Sinensis Tail) (3 fen each), Huanglian (Coptidis Rhizoma) (2 qian), Huangbai (Phellodendri Cortex), Zhimu (Anemarrhenae Rhizoma) (fried), Gualou Gen (Trichosanthis Radix) (wine-soaked), Gegen (Puerariae Radix), Kunbu (Laminariae Thallus) (wine-washed), Zhuansu (Curcumae Aromatica Rhizoma) (wine-soaked, slightly fried), Sanleng (Sparganii Rhizoma) (wine-moistened, thoroughly fried, 2 qian).
Cut into pieces. Take 6-7 qian per dose, soak in two zhan of water for most of the day, decoct to one zhan, and take hot. When lying down, remove the pillow; keep head low and feet high. Hold one mouthful in the mouth and swallow in several portions, saving the last portion to wash down the posterior neck pills, then lie down. The medicine stays above the diaphragm to control upper body diseases. If appetite is good and stool is hard, increase to 7-8 qian per dose. Take half the previous formula as powder, mix with refined honey, make pills the size of mung beans. Take 100 pills per dose, washed down with this decoction.
Lianqiao Sanjian Tang (Decoction to Disperse Hardness with Forsythia) treats nodules under the ear, on the shoulder, or at Quepen, hard as stone, mobile without root, or occurring in the hypochondrium; whether un-ulcerated or already discharging pus. This involves the Hand/Foot Shaoyang meridians.
Chaihu (Bupleuri Radix) (1.2 liang), Danggui Wei (Angelicae Sinensis Radix caudex) (wine-washed), Huangqin (Scutellariae Radix) (raw), Zhuansu (Curcumae Aromatica Rhizoma) (wine-fried), Sanleng (Sparganii Rhizoma) (wine-fried), Lianqiao (Forsythiae Fructus), Shaoyao (Paeoniae Radix Alba) (0.5 liang each), Huanglian (Coptidis Rhizoma) (wine-fried), Cangzhu (Atractylodis Rhizoma) (2 qian each), Gualou Gen (Trichosanthis Radix) (1 liang, wine-fried), Longdancao (Gentianae Radix) (wine-washed), Huangqin (Scutellariae Radix) (wine-fried, 7 qian each), Zhi Gancao (Honey-fried Licorice Root) (3 qian).
Decoct half as directed previously; make the other half into pills, administered similarly.
Yuzhu San (Jade Candle Powder) treats spontaneous resolution of Luoli, harmonizing blood and unblocking meridians.
Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shaoyao (Paeoniae Radix), Shudi (Rehmanniae Radix Preparata), Dahuang (Rhei Radix et Rhizoma), Mangxiao (Natrii Sulfas), Huangqin (Scutellariae Radix), Gancao (Glycyrrhizae Radix et Rhizoma) (equal parts).
Make coarse powder. Take 3 qian per dose with 1.5 zhan of water and 3 slices of fresh ginger. Decoct to 0.7 zhan, take warm. One dose after each meal; effective within seven days.
Shengma Tiaojing Tang (Decoction to Regulate Menstruation with Cimicifuga) treats cervical tubercles extending to Jiache, representing Luoli of the Foot-Yangming Stomach meridian. It also treats nodules formed in the Hand/Foot Shaoyang and Foot-Shaoyang Kidney meridians.
Shengma (Cimicifugae Rhizoma) (1 qian), Lianqiao (Forsythiae Fructus) (0.5 liang), Gegen (Puerariae Radix), Longdancao (Gentianae Radix) (4 qian), Jiegeng (Platycodonis Radix) (0.5 liang), Tiao Huangqin (Scutellariae Radix) (6 qian), Danggui Wei (Angelicae Sinensis Radix caudex) (1 qian), Shaoyao (Paeoniae Radix Alba) (3 qian), Sheng Huangqin (Scutellariae Radix) (4 qian), Huangbai (Phellodendri Cortex) (7 qian), Zhimu (Anemarrhenae Rhizoma) (1 qian), Zhuansu (Curcumae Aromatica Rhizoma), Sanleng (Sparganii Rhizoma), Zhi Huanglian (Honey-fried Coptidis Rhizoma), Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma) (0.5 liang each).
Decoct half; make half into honey pills. Swallow pills with decoction as before.
Jiuku Huajian Tang (Decoction to Save from Suffering and Dissolve Hardness) treats Luoli, Machdao with Ying (goiter), extending from below/behind the ear down the neck or into Quepen (Hand/Foot Shaoyang divisions); or in the cheeks/Jiache (Foot-Yangming division), caused by pathogens affecting Heart and Spleen. This formula treats both conditions combined.
Shengma (Cimicifugae Rhizoma) (1 qian), Gegen (Puerariae Radix) (5 fen), Zhen Loulu (Euphorbiae Humifusae Radix) (5 fen, these three are primary Foot-Yangming herbs), Lianqiao (Forsythiae Fructus) (1 qian, essential for all sores, clears pathogenic fire of twelve meridians, disperses qi stagnation and blood concretion), Danpi (Moutan Cortex) (5 fen, cools blood, disperses stagnant blood), Guishen (Angelicae Sinensis Radix body) (3 fen), Shengdi (Rehmanniae Radix) (over 3 fen, harmonizes and cools blood), Baishao (Paeoniae Radix Alba) (3 fen, baked in summer; essential for abdominal pain, sour taste gathers scattered qi), Huangqi (Astragali Radix) (1 qian, consolidates skin/collaterals, tonifies exterior yuan qi, invigorates blood vessels, generates blood, disperses fire pathogen, holy herb for sores), Rougui (Cinnamomi Cortex) (3 fen, acrid-hot, dissolves accumulation; use sparingly in yang-pattern sores; "treat cold with heat"; discard if irritability exists), Maiya (Hordei Fructus Germinatus) (1 qian, treats abdominal cramping, aids digestion, tonifies stomach), Chaihu (Bupleuri Radix) (8 fen), Niubangzi (Arctii Fructus) (1.5 fen; if no Machdao/Ying or not Shaoyang pattern, remove Chaihu), Fangfeng (Saposhnikoviae Radix) (5 fen; use for upper body sores even without Taiyang symptoms to disperse nodules; add Qianghuo/Duhuo if back pain/stiff neck exists), Kunbu (Laminariae Thallus) (2 fen, very salty; use for hard sores as salt softens hardness), Zhuansu (Curcumae Aromatica Rhizoma) (3 fen, roasted), Sanleng (Sparganii Rhizoma) (3 fen, roasted; these two reduce hard accumulations/toxicity; reduce dose if not very hard), Renshen (Ginseng Radix) (3 fen; add if qi deficient/short of breath), Huangbai (Phellodendri Cortex) (3 fen; double if heat/irritability, latent kidney fire, or leg weakness), Yizhiren (Alpiniae Oxyphyllae Fructus) (2 fen; add Houpo if vomiting, stomach disharmony, or abdominal distension), Qu Mo (Stelli Fermentatum) (roasted, 3 fen), Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma) (5 fen, harmonizes herbs, clears fire, assists stomach/middle jiao, removes pathogenic qi), Huanglian (Coptidis Rhizoma) (3 fen, clears heart fire, treats sores).
Make extremely fine powder. Steep in boiling water, mix with steamed wheat cake dough, shape into cakes, dry in sun, crush to rice-grain size. Take 1-2 qian washed down with plain water. Adjust dose based on patient's excess/deficiency to avoid hindering appetite; this is the general principle.
For Machdao/Ying in Shaoyang/Yangming divisions, remove Duhuo, Loulu, Shengma, Gegen; add Qumai (Dianthi Herba) (3 fen).
For qi stagnation, add Chenpi (Citri Reticulatae Pericarpium).
For pathogen in Upper Jiao, add Huangqin.
For Middle Jiao, add Huanglian.
For Lower Jiao, add Huangbai, Zhimu, Fangji (Stephaniae Tetrandrae Radix), all wine-processed.
For constipation with fullness/excess pathogen, urgently add Jiu Dahuang (Wine-processed Rheum) to promote bowel movement.
For blood dryness/stagnation, add Taoren (Persicae Semen), Jiu Dahuang.
For wind-dryness stagnation, add Wei Zaojiaoren (Roasted Gleditsiae Spina), Qinjiao (Gentianae Macrophyllae Radix), Dahuang.
For yin-cold constipation, use Ju Fang Banshen Wan (Half-Sulfur Pill) or add Fuzi (Aconiti Lateralis Radix Preparata), Ganjiang (Zingiberis Rhizoma), serve cold.
Generally, for patients with chronic weak sores, use less bitter-cold herbs; add more Renshen, Gancao to clear fire and tonify yuan qi.
Haizao San (Kelp Powder) treats Luoli.
Haizao (Sargassum) (washed), Kunbu (Laminariae Thallus), Heshouwu (Polygoni Multiflori Radix) (avoid iron), Zaocius Ci (Gleditsiae Spina) (yellow-fried, 1 liang each), Shehui (Ophichthidae Cutis) (one strip).
Grind five ingredients to fine powder. Cook pork neck meat (cut open) until done, dip in powder, and eat. Lie on side towards affected area for one shichen. Moxa seven cones on each nodule until smoke exits mouth. Safe once pus is exhausted.
Qumai Yinzi (Decoction of Dianthus) treats Luoli/Machdao sores.
Qumai Sui (Dianthi Herba spike) (0.5 jin), Lianqiao (Forsythiae Fructus) (1 jin).
Make coarse powder, decoct in water, take before bed. Effective but slow-acting; suitable for patients willing to wait months for self-resolution.
Lianqiao Tang (Forsythia Decoction) treats preceding conditions.
Lianqiao (Forsythiae Fructus), Qumai (Dianthi Herba) (1 jin each), Dahuang (Rhei Radix et Rhizoma) (3 liang), Gancao (Glycyrrhizae Radix et Rhizoma) (2 liang).
Cut into pieces. Take 0.5 liang per dose, decoct, take after meal. After 10+ days, moxa Tongziliao (Bl-1) fourteen times. Continue medication; effective in 50-60 days.
Chaihu Lianqiao Tang (Bupleurum-Forsythia Decoction) treats preceding conditions.
Chaihu (Bupleuri Radix), Lianqiao (Forsythiae Fructus), Huangqin (Scutellariae Radix) (fried), Zhimu (Anemarrhenae Rhizoma) (wine-fried, 0.5 liang each), Zhonggui (Cinnamomi Ramulus) (3 fen), Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma), Huangbai (Phellodendri Cortex) (wine-fried), Shengdi (Rehmanniae Radix) (3 qian each), Guiwei (Angelicae Sinensis Radix caudex) (1.5 qian), Qumai Sui (Dianthi Herba spike) (6 qian), Niubangzi (Arctii Fructus) (1 qian).
Cut into pieces. Take 0.5 liang per dose, decoct in two zhan water to one zhan, take slightly warm after meal.
Chaihu Tongjing Tang (Bupleurum Meridian-Unblocking Decoction) treats pediatric cervical nodules, hard and un-ulcerated, named Machdao.
Chaihu (Bupleuri Radix), Guiwei (Angelicae Sinensis Radix caudex), Jiegeng (Platycodonis Radix), Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma), Lianqiao (Forsythiae Fructus), Sanleng (Sparganii Rhizoma), Niubangzi (Arctii Fructus), Huangqin (Scutellariae Radix), Huanglian (Coptidis Rhizoma) (5 fen each), Honghua (Carthami Flos) (small amount).
Cut into pieces, decoct in two zhan water to one zhan, take slightly warm after meal.
Baihuashe San (White Flower Snake Powder) treats Jiulou Luoli (nine types of lymphatic tuberculosis) occurring in neck/head region, with aversion to cold, fever, painful or painless.
Baihuashe (Bungarus multicinctus) (wine-soaked soft, skin/bone removed, dried 2 liang), Sheng Xijiao (Rhinocerotis Cornu) (2 qian, shaved), Qianniu (Pharbitidis Semen) (half raw, half fried, 1 liang), Qingpi (Citri Reticulatae Pericarpium Viride) (0.5 liang).
Grind to fine powder. Take 1 qian mixed with Nifen (Calomelas, 5 fen). At fifth watch, take with glutinous rice drink. Frequent passage of foul matter indicates removal of sore root. Wait 10+ days, repeat dose. Avoid wind-heat-toxic foods. Ulcerated cases resolve in one month.
Sisheng San (Four Saints Powder) treats Luoli. Taken after Baihuashe San promotes evacuation, to regulate and permanently remove root.
Haizao (Sargassum) (washed), Shijueming (Haliotidis Concha) (calcined), Qianghuo (Notopterygii Rhizoma et Radix), Qumai Sui (Dianthi Herba spike) (equal parts).
Grind to fine powder. Take 2 qian washed down with rice soup until clear water passes.
Yuxian Wubi Wan (Immortal Matchless Pill) specifically treats Luoli.
Baizhu (Atractylodis Macrocephalae Rhizoma), Binglang (Arecae Semen), Fangfeng (Saposhnikoviae Radix), Qianniu (Pharbitidis Semen) (half raw, half fried), Yuliren (Pruni Armeniaci Semen Amarum) (hot water soaked, skin removed), Miduoseng (Litharge), Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 liang each), Banmao (Mylabris) (wings/legs removed, fried with glutinous rice, rice discarded).
Reduce Banmao to powder, bind with paste, make pills walnut-sized. Take 20 pills morning/evening washed down with Gancao-Binglang decoction. After one month, mild abdominal pain occurs; toxic matter resembling fish eyes is passed in urine. Open sores heal; closed ones resolve spontaneously.
(Liu) Liying San (Instant Response Powder) treats Luoli miraculously. Usable for open/closed sores.
Lianqiao (Forsythiae Fructus), Chi Shaoyao (Red Peony Root), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma), Huashi (Talcum) (ground, 0.5 liang each), Huangqin (Scutellariae Radix) (3 qian), Bai Qianniu (White Pharbitis Seed) (raw powder, 2.5 qian), Tu Fengfang (Ground Beehive) (honey-washed, steamed, sun-dried, 2 qian), Chuanwu Jian (Aconiti Radix Lateralis Preparata tip) (7 pieces), Didan (Euphorbiae Kansui Radix) (head/legs removed, fried with millet until yellow, rice discarded, 3 qian).
Grind to fine powder. Take one large coin-scoop, decoct strongly, wash down with Mutong decoction before bed. Toxic root passes in urine; pain/astringency is acceptable. Expulsion appears as powder flakes, blood, or rotting flesh. If ineffective, repeat. Follow with Bohe Dan (Peppermint Pill) to resolve wind-heat. Didan is toxic; Chuanwu counteracts numbness/stuffiness. If severe, chew 1 cun green onion white, wash down with tea. If urinary difficulty, decoct Dengxin (Junci Medulla) and take Wuling San (Five-Ling Powder). Apply good ointment externally.
Bohe Dan (Peppermint Pill) resolves wind-heat toxicity of Luoli. Must be taken regularly after urinary detoxification.
Tu Bohe (Wild Peppermint), Zaocao (Gleditsiae Sinensis Fructus) (seed/skin removed), Lianqiao (Forsythiae Fructus), Heshouwu (Polygoni Multiflori Radix) (rice water soaked), Manjingzi (Viticis Fructus), Sanleng (Sparganii Rhizoma) (pounded), Jingjie (Schizonepetae Spica) (1 liang each).
Grind to powder. Mix with 2.5 liang good fermented soybean paste, boil rice vinegar, soak paste until soft, grind to paste, bind pills walnut-sized. Take 30 pills after meal washed down with cooked water, once daily. Regular use is best.
Shenmi Wan (Mysterious Secret Pill) treats chronic Luoli.
Banmao (Mylabris) (head/legs removed, fried with millet, 1 fen), Bohe Ye (Menthae Haplocalycis Folium) (3 fen).
Grind to powder, bind with egg white, make pills walnut-sized. Take 2 pills empty stomach with tea; 3 pills after noon; 4 pills before bed; 5 pills next day empty stomach. Effect indicated by umbilical pain and passage of foul matter in urine. If urinary difficulty, consume small amount of green onion tea.
Bixiao San (Must-Efficacious Powder) treats Luoli.
Banmao (Mylabris) (head/legs removed, flour-fried, 21 pieces), Jingjie Sui (Schizonepetae Spica), Hei Qianniu (Black Pharbitis Seed), Zhi Jiangcan (Bombyx Batryticatus) (fried, silk/mouth removed).
Grind to powder. Take 1 qian at fifth watch washed down with good wine. Foul matter should pass during day. If not, repeat at next fifth watch. If still no effect, on third day fifth watch, eat millet porridge first, then take medicine; toxin will definitely pass. If painful urination, resolve with green onion tea or Mutong-Dengxin decoction.
Cixiong San (Male-Female Powder) treats preceding condition.
Banmao (Mylabris) (one male, one female, complete legs/wings, baked on new tile until charred, remove head/legs/wings), Guanzhong (Cyathulae Radix) (2 qian), Heshi (Nanthorrhizoides Fructus), Gancao (Glycyrrhizae Radix et Rhizoma) (5 fen each).
Grind to powder, mix with porridge. After full meal, wash down with strong tea.
Shegan Lianqiao Tang (Belamcanda-Forsythia Decoction) treats Luoli with alternating chills/fever.
Shegan (Belamcandae Rhizoma), Lianqiao (Forsythiae Fructus), Xuanshen (Scrophulariae Radix), Chi Shaoyao (Red Peony Root), Muxiang (Aucklandiae Radix), Shengma (Cimicifugae Rhizoma), Qianhu (Peucedani Radix), Shanzhiren (Gardeniae Fructus), Zhi Danggui (Honey-fried Angelicae Sinensis Radix), Zhi Gancao (Honey-fried Glycyrrhizae Radix et Rhizoma) (1 liang each), Dahuang (Rhei Radix et Rhizoma) (fried, 2 liang).
Cut into pieces. Take 3 qian, decoct in one zhan water to 0.7 zhan, add small amount of Mangxiao (Natrii Sulfas), take warm after meal, twice daily.
Gualouzi San (Trichosanthes Seed Powder) treats early-stage Luoli swelling/pain, chills/fever, restless limbs.
Gualouzi (Trichosanthis Semen), Lianqiao (Forsythiae Fructus), Heshouwu (Polygoni Multiflori Radix), Zaocao Zi (Gleditsiae Sinensis Fructus seed) (slightly fried), Niubangzi (Arctii Fructus) (slightly fried), Dahuang (Rhei Radix et Rhizoma) (slightly fried), Bailuoke (Concha Veneris), Shanzhiren (Gardeniae Fructus), Loulu (Euphorbiae Humifusae Radix), Qianniu (Pharbitidis Semen) (slightly fried), Sheng Gancao (Raw Glycyrrhizae Radix et Rhizoma) (1 liang each).
Grind to powder. Take 2 qian washed down with warm wine after meal.
Zaocaozi Wan (Gleditsia Seed Pill) treats Luoli.
Zaocao Zi (Gleditsiae Sinensis Fructus seed) (1 sheng), Xuanshen (Scrophulariae Radix), Lianqiao (Forsythiae Fructus) (1 liang each).
Decoct in five sheng water in clay pot over slow fire until water evaporates. Select soft seeds, take 3 grains per dose, chew finely with saliva after meal/before bed. Hard seeds crush, bind with honey, make hazelnut-sized pills. Dissolve one pill nightly; effective in half month. Avoid alcohol/hot foods.
Lianqiao Yin (Forsythia Drink) treats Luoli tubercles, regardless of ulceration status.
Xin Bohe Ye (Fresh Menthae Haplocalycis Folium) (2 jin, extract natural juice), Zaocao (Gleditsiae Sinensis Fructus) (one strip, peel, soak in water, strain juice). Simmer these two in clay pot to paste. Add Qingpi (Citri Reticulatae Pericarpium Viride), Chenpi (Citri Reticulatae Pericarpium) (1 liang each), Lianqiao (Forsythiae Fructus) (0.5 liang), Qianniu (Pharbitidis Semen) (half raw/half fried powder, 1 liang), Zaocao Zi (Gleditsiae Sinensis Fructus seed) (pounded, skin removed, powder, half portion).
Make powder, bind with paste. Take 30 pills washed down with Lianqiao decoction; effective in ten days.
Bifu San (Bat Powder) treats chronic Luoli miraculously.
Bifu (Vespertilio), Maotou (Felis Head) (one each).
Roast both with black soybeans until bones dissolve, grind to fine powder. For wet sores, sprinkle dry powder; for dry sores, mix with sesame oil and apply. Internal administration of Lianqiao decoction enhances efficacy.
Huaji Tiaojing Tang (Qi-Regulating Menstruation-Decoction) treats Liuzhu (flowing abscesses) and Luoli, alternate with Shenying Wan.
Xiangfu Mi (Cyperi Rhizoma) (4 liang, wine-soaked overnight, dried), Chenpi (Citri Reticulatae Pericarpium) (2 liang), Qianghuo (Notopterygii Rhizoma et Radix), Baizhi (Angelicae Dahuricae Radix) (1 liang each), Tianhuafen (Trichosanthis Radix), Mumli (Ostreae Concha) (calcined), Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 liang each), Zaocici (Gleditsiae Spina) (0.5 liang).
Grind to powder. Take 2 qian washed down with clear oil anytime, three times daily.
Zuidu Shenyi Tang (Poison-Chasing Miraculous Decoction) treats Luoli with intense heat and strong pulse; use for purgation.
Chensha (Cinnabar) (1 qian), Xuexie (Draco Sanguis) (1 qian), Shexiang (Moschus) (one character; grind together), Dahuang (Rhei Radix et Rhizoma) (0.5 liang), Da Gancao (Large Glycyrrhizae Radix et Rhizoma) (0.5 liang).
Split: half powder, half cut pieces. Decoct pieces in one zhan river water. Before bed, mix powder with decoction and take. Re-decoct dregs.
Tuoli Jiuku Shenying Wan (Interior-Supporting Poison-Chasing Miraculous Pill) treats all Liuzhu sores; alternate with Tiaojing Tang.
Chuan Wutou (Aconiti Radix Lateralis Preparata) (pounded, skin/navel removed), Chenpi (Citri Reticulatae Pericarpium) (1 liang each), Danggui (Angelicae Sinensis Radix) (wine-soaked), Gancao Jie (Licorice Joint), Baizhi (Angelicae Dahuricae Radix), Moyao (Myrrha) (0.5 liang each), Chantui (Cicadae Periostracum) (dust removed, 0.5 liang), Da Zaocao (Large Gleditsiae Sinensis Fructus) (skin/strings removed), Shengdi (Rehmanniae Radix), Jianghuang (Curcumae Longae Rhizoma) (1.5 liang each).
Crush Zaocao, decoct in four bowls water to two bowls, strain juice. Boil Wutou in juice until soft/mushy, pound to paste. Grind other herbs separately, mix with Wutou paste, make pills walnut-sized. Take 60 pills washed down with peppermint tea when half-hungry. If sores ulcerated with necrotic black flesh, take Huaji Tiaojing Tang internally and apply Taiyi Shensheng Gao externally.
(Taiyi Gao from Compendium) treats Luoli sores miraculously.
Moyao (Myrrha) (4 qian), Huangdan (Lithargyrum) (5 liang), Bingpian (Borneolum Syntheticum) (5 fen), Ruxiang (Olibanum), Qingfen (Calomelas) (3 qian each), Shexiang (Moschus) (5