论曰∶瘿之初结，胸膈满闷，气筑咽喉，噎塞不通，颈项渐粗，囊结不解，若此之类，
皆瘿初结之证也。
治气瘿初作。白前汤方
白前 昆布（洗去咸炙干） 浓朴（去粗皮生姜汁炙） 陈橘皮（汤浸去白切炒） 附
子（炮
裂去
（炙锉各
一两）
上十味，锉如麻豆，每服三钱匕，水一盏半，生姜一枣大拍碎，煎至八分去滓，食后温
服，日三。
治气瘿初作，海藻散方
海藻（洗去咸炙干） 龙胆 海蛤（研） 木通（锉） 昆布（洗去咸炙干） 石（
研） 松
萝（各半两） 小麦面（一两） 半夏（汤洗七遍半两）
上九味，捣罗为散，每服一钱匕，温酒调下，日三，不拘时。
治气瘿初结。昆布散方
昆布（洗去咸炙干） 海藻（洗去咸炙干各三两） 松萝（一两） 海蛤 木通（锉） 白
蔹
桂（去粗皮各二两）
上七味，捣罗为散，每服二钱匕，温酒调下，日三，不拘时。
治瘿气。二靥散方
猪羊靥（各十对水洗去脂膜切焙） 海藻（洗去咸炙干） 海带（各一两） 丁香 木
香琥
珀麝香（研各一两） 真珠（半两研）
上九味，捣罗为散，每服一钱匕，热酒一盏调下，垂头卧少时。
治咽喉不利，项颈渐粗，将成瘿瘤。羊靥丸方
羊靥（二七枚炙黄切） 人参（一两半） 昆布（洗去咸炙干三两） 木通（锉） 海
藻（洗去
咸炙干各一两） 海蛤（研） 杏仁（汤浸去皮尖双仁炒） 恶实（微炒各二两）
上八味，捣罗为末，炼蜜和丸，如梧桐子大，每服十五丸至二十丸，米饮下，日再。
治咽喉气闷，胸膈满塞，项颈渐粗。通气丸方
木通（锉） 海藻（洗去咸炙干） 海蛤（研各一两） 昆布（洗去咸炙干三两） 羊
靥（二七枚
炙黄切）
上五味，捣罗为末，炼蜜和丸，如弹子大，每服一丸，含化。
治咽喉噎塞，冷气上筑，妨闷渐成瘿气。昆布丸方
昆布（洗去咸炙干） 杏仁（去皮尖双仁炒研） 犀角（镑） 吴茱萸（汤洗焙干炒） 海
藻（
洗去咸炙干各二两） 人参（二两半） 干姜（炮） 葶苈子（纸上炒各一两）
上八味，捣研为末，炼蜜和丸，如梧子大，每服二十丸，米饮下，日三。
治咽喉噎闷成瘿。海藻丸方
海藻（洗去咸炙干） 槟榔（锉） 昆布（洗去咸炙干） 诃黎勒皮 文蛤（研各三两）
半夏
（汤洗七遍） 生姜（切焙各二两） 小麦（米醋浸三宿曝干三合） 海蛤（研二两）
上九味，捣研为末，炼蜜和丸，如弹子大，每服一丸，含化日三。
治咽喉气噎塞，成气瘿。紫苏膏方
紫苏子（炒） 桂（去粗皮） 大黄（锉炒） 当归（切焙） 干姜（炮各半两） 陈
橘皮（汤浸
去白焙一两） 蜀椒（去目并闭口炒出汗一分） 猪脂（腊月者煎去滓半斤）
上八味， 咀七味如麻豆大，先以水六升，煎至二升，绵滤去滓，纳猪脂再煎成膏，取
涂瘿上，日二夜一，以瘥为度。
治咽喉噎塞，冷气妨闷，结成瘿气。海藻酒方
海藻（洗去咸二两）
上一味细锉，以清酒四升浸二宿，漉去滓，每取半盏，细细含咽，日三，不拘时，以瘥
为度。
治瘿气初结，喉中壅闷，渐渐肿大。琥珀丸方
琥珀（研） 大黄（锉炒各一两） 昆布（洗去咸焙半两）
上三味，捣罗为细末，炼蜜和丸，如梧子大，每日空心及晚食后，以温酒下二十丸。
治瘿气胸膈壅塞，咽喉渐粗，宜服大效。羚羊角丸方
羚羊角屑（一两） 昆布（一两洗去咸） 桂心（一两） 木通（一两锉） 川大黄（一
两锉碎
微炒）
上五味，捣罗为末，炼蜜和丸，如梧子大，每服不计时候，以粥饮下二十丸。
又方
羊靥（一百枚去脂炙） 大枣（二十枚去皮核）
上二味，同杵作丸，桐子大，每服水下七丸。
Discourse states: When a Ying (goiter) initially forms, there is a sensation of fullness and oppression in the chest and diaphragm. Qi obstructs the throat, causing dysphagia and blockage. The neck gradually thickens, and nodular masses form that are difficult to resolve. Such manifestations constitute the syndrome of initial Ying formation.
Formula for Baiqian Tang to treat early-stage Qi Ying:
Baiqian (Radix Primulae), Kunbu (Thallus Laminariae, washed to remove saltiness, dried by roasting), Houpo (Cortex Magnoliae Officinalis, scraped to remove rough bark, processed with ginger juice), Chenpi (Pericarpium Citri Reticulatae, soaked in water, white pith removed, sliced and stir-fried), Fuzi (Radix Aconiti Lateralis Preparata, roasted until cracked, skin and umbilicus removed), Ziwang (Herba Asteris Tatarici, rhizomes removed), Gui (Ramulus Cinnamomi, rough bark removed), Renshen (Radix Ginseng), Gancao (Radix Glycyrrhizae Preparata, roasted), Banxia (Rhizoma Pinelliae, washed seven times in decoction). The above ten herbs are coarsely chopped like hemp seeds. Each dose consists of three qianbi (approx. 3-5g), boiled with one dan (approx. 200ml) of water and one jujube-sized piece of fresh ginger (crushed) until reduced to eight-tenths volume. Strain and take warm after meals, three times daily.
Formula for Haizao San to treat early-stage Qi Ying:
Haizao (Thallus Sargassii, washed to remove saltiness, dried by roasting), Longdan (Radix Gentianae), Haihu (Concha Arcae), Mutong (Caulis Akebiae, coarsely chopped), Kunbu (Thallus Laminariae, washed to remove saltiness, dried by roasting), Shijueming (Concha Haliotidis, ground), Songluo (Usnea, each half liang), Xiaomaimian (Farina Tritici aestivi, one liang), Banxia (Rhizoma Pinelliae, washed seven times in decoction, half liang). The above nine herbs are pounded and sieved into a powder. Each dose is one qianbi, taken with warm wine, three times daily, at any time.
Formula for Kunbu San to treat initial Qi Ying:
Kunbu (Thallus Laminariae, washed to remove saltiness, dried by roasting), Haizao (Thallus Sargassii, washed to remove saltiness, each three liang), Songluo (Usnea, one liang), Haihu (Concha Arcae), Mutong (Caulis Akebiae, coarsely chopped), Bailian (Radix Paeoniae Rubra), Gui (Ramulus Cinnamomi, rough bark removed, each two liang). The above seven herbs are pounded and sieved into a powder. Each dose is two qianbi, taken with warm wine, three times daily, at any time.
Formula for Er Ye San to treat Ying Qi:
Zhu Ye and Yang Ye (Pig and Sheep Thyroids, each ten pairs, washed to remove fatty membrane, sliced and baked), Haizao (Thallus Sargassii, washed to remove saltiness, dried by roasting), Haidai (Thallus Eckloniae, each one liang), Dingxiang (Flos Caryophylli), Muxiang (Radix Aucklandiae), Hupo (Electrum), Shexiang (Moschus, ground, each one liang), Zhenzhu (Margarita, half liang, ground). The above nine herbs are pounded and sieved into a powder. Each dose is one qianbi, taken with one cup of hot wine. After taking, lie down with head lowered for a short while.
Formula for Yang Ye Wan to treat throat discomfort, gradual neck thickening, impending goiter:
Yang Ye (Sheep Thyroid, fourteen pieces, roasted yellow and sliced), Renshen (Radix Ginseng, one and a half liang), Kunbu (Thallus Laminariae, washed to remove saltiness, dried by roasting, three liang), Mutong (Caulis Akebiae, coarsely chopped), Haizao (Thallus Sargassii, washed to remove saltiness, dried by roasting, each one liang), Haihu (Concha Arcae, ground), Xingren (Semen Pruni Armeniacae, soaked in water, skin and tips removed, double-kernel ones discarded, stir-fried), Niu Bang Zi (Fructus Arctii, lightly stir-fried, each two liang). The above eight herbs are pounded and sieved into powder. Mix with refined honey to make pills the size of Sophora seeds. Take 15-20 pills per dose with rice drink, twice daily.
Formula for Tongqi Wan to treat throat qi stagnation, chest fullness, gradual neck thickening:
Mutong (Caulis Akebiae, coarsely chopped), Haizao (Thallus Sargassii, washed to remove saltiness, dried by roasting), Haihu (Concha Arcae, ground, each one liang), Kunbu (Thallus Laminariae, washed to remove saltiness, dried by roasting, three liang), Yang Ye (Sheep Thyroid, fourteen pieces, roasted yellow and sliced). The above five herbs are pounded and sieved into powder. Mix with refined honey to make pills the size of a bullet. Take one pill per dose, dissolve slowly in the mouth.
Formula for Kunbu Wan to treat throat blockage, upward rushing of cold qi, obstruction leading to Ying Qi:
Kunbu (Thallus Laminariae, washed to remove saltiness, dried by roasting), Xingren (Semen Pruni Armeniacae, skin and tips removed, double-kernel ones discarded, stir-fried and ground), Xijiao (Cornu Rhinocerotis, shaved), Wuzhuyu (Fructus Evodiae, washed in water, baked dry and stir-fried), Haizao (Thallus Sargassii, washed to remove saltiness, dried by roasting, each two liang), Renshen (Radix Ginseng, two and a half liang), Jiangjiang (Rhizoma Zingiberis Preparata, roasted), Tinglizi (Semen Lepidii et Descurainiae, stir-fried on paper, each one liang). The above eight herbs are pounded and ground into powder. Mix with refined honey to make pills the size of Sophora seeds. Take 20 pills per dose with rice drink, three times daily.
Formula for Haizao Wan to treat throat blockage and fullness forming Ying:
Haizao (Thallus Sargassii, washed to remove saltiness, dried by roasting), Binglang (Semen Arecae), Kunbu (Thallus Laminariae, washed to remove saltiness, dried by roasting), Helile Pi (Pericarpium Chebulae), Wenhe (Concha Clamys, ground, each three liang), Banxia (Rhizoma Pinelliae, washed seven times in water), Shengjiang (Rhizoma Zingiberis Recens, sliced and baked, each two liang), Xiaomai (Fructus Tritici aestivi, soaked in rice vinegar for three nights, sun-dried, three he), Haihu (Concha Arcae, ground, two liang). The above nine herbs are pounded and ground into powder. Mix with refined honey to make pills the size of a bullet. Take one pill per dose, dissolve slowly in the mouth, three times daily.
Formula for Zisu Gao to treat throat qi blockage forming Qi Ying:
Zisuzi (Semen Perillae, stir-fried), Gui (Ramulus Cinnamomi, rough bark removed), Dahuang (Radix et Rhizoma Rhei, coarsely chopped and stir-fried), Danggui (Radix Angelicae Sinensis, sliced and baked), Jiangjiang (Rhizoma Zingiberis Preparata, roasted, each half liang), Chenpi (Pericarpium Citri Reticulatae, soaked in water, white pith removed, baked, one liang), Shujiao (Fructus Schisandrae or Zanthoxylum? Note: Shujiao usually refers to Zanthoxylum bungeanum or Sichuan pepper, here likely Zanthoxylum, pericarp removed, eyes and closed-mouth ones discarded, stir-fried to release oil, one fen), Zhuzhi (Adip Sus, from December, rendered to remove dregs, half jin). The above eight herbs: chop seven herbs to the size of hemp seeds. First boil six sheng of water to two sheng. Filter through silk cloth to remove dregs. Add pig fat and simmer into an ointment. Apply to the goiter twice daily and once at night, until cured.
Formula for Haizao Jiu to treat throat blockage, cold qi obstruction forming Ying Qi:
Haizao (Thallus Sargassii, washed to remove saltiness, two liang). The above single herb is finely chopped and soaked in four sheng of clear wine for two nights. Strain to remove dregs. Take half zhan per dose, hold in mouth and swallow slowly, three times daily, at any time, until cured.
Formula for Hupo Wan to treat initial Ying Qi, throat congestion, gradual swelling:
Hupo (Electrum, ground), Dahuang (Radix et Rhizoma Rhei, coarsely chopped and stir-fried, each one liang), Kunbu (Thallus Laminariae, washed to remove saltiness, baked, half liang). The above three herbs are pounded and sieved into fine powder. Mix with refined honey to make pills the size of Sophora seeds. Take 20 pills with warm wine on an empty stomach in the morning and after evening meal daily.
Formula for Lingyangjiao Wan to treat Ying Qi with chest/diaphragm congestion and gradual neck thickening, for great efficacy:
Lingyangjiao Xie (Cornu Saigae Tataricae, shaved, one liang), Kunbu (Thallus Laminariae, one liang, washed to remove saltiness), Guixin (Ramulus Cinnamomi Cortex, one liang), Mutong (Caulis Akebiae, one liang, coarsely chopped), Chuan Dahuang (Radix et Rhizoma Rhei, one liang, coarsely chopped and lightly stir-fried). The above five herbs are pounded and sieved into powder. Mix with refined honey to make pills the size of Sophora seeds. Take 20 pills per dose with gruel drink, at any time.
Another formula:
Yang Ye (Sheep Thyroid, one hundred pieces, remove fatty membrane and roast), Dazao (Fructus Jujubae, twenty pieces, remove skin and pits). The above two herbs are pounded together to make pills the size of Sophora seeds. Take seven pills per dose with water.