论曰小儿身生热疮，久不瘥者，必生瘰 。其状作结核，在皮肉间，三两个相连累也，
是风邪搏于血气， 结所生也。
治小儿瘰 肿疼痛，身体壮热，大肠壅滞，小便赤涩，心神烦躁，少得眠卧。犀角散
方犀角（镑屑一两） 恶实（一两） 连翘（二两） 麝香（研一两） 木通（锉炒一两）
玄参（二两） 沉香（锉一两半） 丁香（一两半） 朴硝（一两）
上九味，粗捣筛，每服二钱匕，以水一盏，煎至六分，去滓分温三服，早晨日午晚后各
一。以利为度，更量儿大小，以意加减。
治小儿颈生瘰 。榆白皮敷方
上以榆白皮，烂捣如泥，封颈上，频易。
治小儿瘰 。铅丹涂方
铅丹（三两）
上以铫子熬，当有脚如黑灰，取脚不计多少，更研如粉。用面脂调涂，以故帛贴，数拭
患处，有恶汁出，拭却更贴，半月瘥，内消不作疮，极效。
治小儿瘰 ，连缀如梅李核状。 砂丸方
砂 砒黄（各一分）
上二味，研如粉，用糯米饭为剂，拈如小麦粒大，有患者，即烙破纳一丸，五日一换
，后用生肌膏。
治小儿瘰 。生肌膏方
铅丹（半两） 杏仁（汤浸去皮尖双仁炒一两） 蛇蜕皮（炙焦一条） 蜡（半两） 头
发（如
胡桃大一团） 菜子油（半斤） 皂荚（去黑皮并子三寸）
上七味，先捣杏仁蛇皮皂荚如粉，与诸药于铫子中煎，以柳篦子不住手搅成膏。但有疮
，涂贴日换，无不瘥者。
治小儿瘰 结核，久不瘥，追毒。斑蝥膏方
斑蝥（二枚去翅足及头炒） 巴豆（二十枚去皮心浆水煮） 松脂（三分）
上三味，先研二味为粉，次入松脂熔化，搅令匀，更捣一二百杵，作饼热贴在瘰 上。
药力尽别换，以瘥为度。
治小儿脑热结瘰 ，连两耳下肿痛，身体寒热，坐卧不安，食饮不下。玄参膏方
玄参 紫葛 黄药子 大黄（锉炒令黄） 木香 卷柏 芒硝 紫檀香（各一两）
上八味，捣罗为细末，以鸡子白调和，稀稠得所。涂于疮上，疮肿破时，则去芒硝涂之。
治小儿瘰 结核寒热。防风丸方
防风（去芦头） 连翘 桑根白皮（炙锉） 牡丹皮 白头翁 黄柏（去粗皮微炙） 豉
（炒
令黄） 独活（去芦头） 秦艽（去苗土各一两） 海藻（洗去咸焙三两）
上一十味，捣罗为细末，炼蜜丸如麻子大，每服三丸，米饮下，早晨日晚各一服，更量
儿大小加减。
治小儿瘰 。麝香散方
麝香（研一分） 鸽粪（炒三遍秤一两）
上二味，再同研如粉，每服半钱匕，酒调下。日二服，早晨晚后各一，更量儿大小加减。
治小儿热毒风肿瘰 ，内消。赤小豆散方
赤小豆（炒） 猪牙皂荚（炙去黑皮并子） 黄药子 硝石 大黄（锉炒） 木鳖子（去
壳各
一两）
上六味，捣为散，每用量疮大小，以不语津唾调涂，干即易，以瘥为度。
Commentary states: When a child develops hot sores on the body that fail to heal for a long time, Luoli (scrofula/cervical lymphadenitis) will inevitably develop. Its manifestation presents as nodules forming between the skin and flesh, usually two or three linked together in a chain. This is caused by wind pathogen clashing with blood and qi, generating at the site of accumulation.
To treat pediatric Luoli characterized by swelling and pain, high fever, stagnation of the large intestine, red and scanty urination, mental restlessness, and insomnia: Xijiao San (Rhinoceros Horn Powder). Rhinoceros horn (sliced into flakes, 1 liang), Burdock fruit (Fructus Arctii, 1 liang), Forsythia fruit (Flos Forsythiae, 2 liang), Musk (Crinis Ungulae Asini, ground, 1 liang), Akebia stem (Caulis Aquilegiae, chopped and stir-fried, 1 liang), Scrophularia root (Radix Scrophulariae, 2 liang), Agarwood (Lignum Aquilariae Resinatum, chopped, 1.5 liang), Clove (Flos Caryophylli, 1.5 liang), Mirabilite (Natrii Sulfas, 1 liang). The above nine herbs are coarsely crushed and sifted. Each dose consists of 2 qianbi (approx. 6-9g), decocted in one sheng (approx. 200ml) of water until reduced to 0.6 sheng. Strain the dregs and divide into three warm doses, taken in the morning, at noon, and in the evening. Stop when bowel movements become unobstructed; adjust dosage according to the child's age and size.
To treat pediatric neck Luoli: Yu Bai Pi Pou (Elm Bark Application). Take Elm bark (Cortex Ulmi), pound it into a paste, apply it to the neck, and change frequently.
To treat pediatric Luoli: Qian Dan Tu (Lead Tetroxide Topical Application). Lead tetroxide (Sanqi Hong, 3 liang). Heat in a pot until a black ash-like residue forms. Collect this residue, grind it into powder, mix with animal fat (Mian Zhi), apply topically, and cover with old cloth. Wipe the affected area repeatedly; if foul discharge appears, wipe it off and reapply. It heals within half a month, resolving internally without ulceration, which is extremely effective.
To treat pediatric Luoli appearing as clustered kernels like plums or apricots: Pisha Wan (Arsenic Pill). Realgar (Xionghuang, 1 fen each). Grind the two ingredients into powder, bind with glutinous rice paste, and roll into pills the size of wheat grains. Cauterize the patient's lesion, insert one pill, and change every five days. Subsequently apply Shengji Gao (Regenerating Flesh Ointment).
To treat pediatric Luoli: Shengji Gao (Regenerating Flesh Ointment). Lead tetroxide (0.5 liang), Almond seed (Semen Armeniacae Amarum, soaked in hot water, peeled, deseeded, stir-fried, 1 liang), Snake slough (Exuviation Bufo, charred, 1 strip), Beeswax (0.5 liang), Human hair (a ball the size of a walnut), Rapeseed oil (Banzi You, 0.5 jin), Gleditsia sinensis pod (Gleditsiae Fructus, scraped clean, 3 cun). First, crush almonds, snake slough, and Gleditsia pods into powder. Add other herbs to a pot and decoct, stirring constantly with a willow twig until an ointment forms. Apply daily to any sores; no case fails to heal.
To treat pediatric Luoli nodules that persist for a long time, aiming to draw out toxins: Banmao Gao (Mustard Beetle Ointment). Mustard beetle (Mylabris, 2 pieces, wings/legs/head removed, stir-fried), Croton seed (Semen Crotonis, 20 pieces, husk/core removed, boiled in vinegar water), Pine resin (Resina Pini, 3 fen). Grind the first two ingredients into powder, melt pine resin into them, mix evenly, and pound 100-200 times. Shape into cakes and apply hot to the Luoli. Replace when the medicinal power fades, continuing until healed.
To treat pediatric brain heat causing Luoli, with swelling and pain extending to below both ears, alternating chills and fever, restlessness, and inability to eat or drink: Xuanshen Gao (Scrophularia Ointment). Scrophularia root (Radix Scrophulariae), Purple Kudzu root (Radix Puerariae Thomsonii), Yellow Dioscorea rhizome (Rhizoma Dioscoreae Hypoglaucae), Rhubarb root (Radix Rhei Palmati, chopped and stir-fried until yellow), Costus root (Radix Aucklandiae), Serpentine fern (Herba Polypodii), Mirabilite (Natrii Sulfas), Red Sandalwood wood (Lignum Santali Rubri). Each 1 liang. Crush and sieve into fine powder. Mix with egg white to appropriate consistency. Apply to sores. If the sore breaks open, remove Mirabilite from the formula before applying.
To treat pediatric Luoli nodules with chills and fever: Fangfeng Wan (Saposhnikovia Pill). Saposhnikovia root (Radix Saposhnikoviae, remove radicle), Forsythia fruit (Flos Forsythiae), Mulberry root bark (Cortex Mori Radicis, charred and chopped), Moutan bark (Cortex Moutan), Pulsatilla root (Radix Anemones Raddeanae), Phellodendron bark (Cortex Phellodendri, remove coarse bark, lightly charred), Fermented soybean (Semen Sojae Preparatum, stir-fried until yellow), Angelica root (Radix Angelicae Dahuricae, remove radicle), Gentian root (Radix Gentianae, remove roots and soil, 1 liang each), Kelp (Thallus Laminariae, washed to remove salt, baked, 3 liang). Ten ingredients. Crush and sieve into fine powder. Bind with refined honey into pills the size of sesame seeds. Take 3 pills per dose with rice water, once in the morning and once in the evening. Adjust based on the child's size.
To treat pediatric Luoli: Shexiang San (Musk Powder). Musk (Moschus, ground, 1 fen), Pigeon droppings (Coturnicis Excrementum, stir-fried three times, weighed 1 liang). Grind together into powder. Take 0.5 qianbi per dose, mixed with wine. Twice daily, morning and evening. Adjust based on the child's size.
To treat pediatric Luoli caused by heat toxin and wind swelling, aiming for internal resolution: Chixiaodou San (Adzuki Bean Powder). Adzuki bean (Vigna angularis, stir-fried), Pig-tooth Gleditsia pod (Gleditsiae Sinensis Fructus, charred, scraped, de-seeded), Yellow Dioscorea rhizome (Rhizoma Dioscoreae Hypoglaucae), Niter (Natrii Nitras), Rhubarb root (Radix Rhei Palmati, chopped and stir-fried), Spurge seed (Semen Euphorbiae Lathyridis, de-shelled, 1 liang each). Six ingredients. Crush into powder. Apply according to the size of the sore, mixed with saliva. Change when dry. Continue until healed.