论曰∶风热毒瓦斯，蕴积腑脏，攻于筋膜，则结为瘰 ，其毒瓦斯所感，深者则冲发肌肉，
而久不瘥，此疾尤忌忧思恚怒，气血劳伤，饮食寒冷。
治瘰 久不瘥。六神散方
皂荚刺 薄荷 昆布（洗去咸） 海藻（洗去咸） 连翘（各半两） 皂荚子（五十枚
烧灰）
上六味，捣罗为细散，每服三钱匕，茶调下，食后临卧服。
治风热毒瘰 ，久不瘥，恶寒壮热，劳动转甚，渐成 者。射干丸方
射干 昆布（洗去咸） 海藻（洗去咸各二两） 木香 黄芩（去黑心） 犀角（屑各
三分）
芍药 连翘 白蔹（各半两） 大黄（锉炒） 乌蛇（酒浸去皮骨各二两） 玄参（一两一
分）
上十二味，捣罗为末，炼蜜丸梧子大，食后温酒下十五丸，日三夜一。
治瘰 久不瘥，或已破脓血甚者。丁香丸方
丁香母（生半两） 苍耳苗（炒一两） 青葙子（生） 皂子仁（各半两） 甜葶苈（半
炒半生
一两） 浓朴（去粗皮姜汁炙一两） 丹砂（研半两一分为衣一分入药）
上七味，捣研为末，枣肉为丸，如绿豆大，丹砂为衣，每服十丸，至十五丸，粟米饮下
，日三服。
治瘰 久不瘥，将欲破者。漏芦汤方
漏芦（洗焙半两） 海藻（洗焙半两） 连翘（一两） 沉香（锉半两） 山栀子仁（一
分） 玄
参丹参（各一两）
上七味，粗捣筛，每服三钱匕，水一盏半，煎至八分，去滓温服。
治瘰 久不瘥。何首乌丸方
何首乌（去黑皮一两） 黄 （细锉半两） 皂荚（去皮子酥炙） 薄荷（各一两） 蛇
蜕皮（
烧灰半两） 龙脑（研一钱） 麝香（研一钱）
上七味，捣研为细末，炼蜜和丸，梧子大，每服十丸，薄荷茶下，不计时候。
治瘰 久不瘥。犀角散方
犀角（镑屑） 芜荑（生） 斑蝥（炒各一两） 牵牛子（炒） 黑豆（生各一分） 麝
香（研）
龙脑（研各一钱）
上七味，除龙脑麝香外，捣罗为细散，再入研药拌匀，每服一钱匕，热酒调下，空心服
，服药后，再饮酒一盏投之，下恶物为效。
治瘰 久不瘥。乌鸡丸方
乌鸡卵（一枚） 锦贝子（半两）
上二味，将锦贝子入在鸡卵内，用湿纸裹头七重，再用泥固济，火 过后，入地坑内，
出火
丸，
治瘰 。必效逐邪散方
皂荚子（不限多少以绢袋盛厕中浸三七日取出净洗安地坑中碗盖出毒一宿焙干为末） 斑
蝥（五十枚去头翅麸炒令黄为末）
上二味，每服用皂子末二钱匕，斑蝥末一钱匕，水银粉二钱，生鸡卵一枚取白倾盏内，
更入饭饮半盏，并药同搅匀，四更初服，至五更取下毒物，或从小便中下，如有些小涩痛不
妨，
治瘰 疮久不瘥。胜金膏方
黄连（去须） 栗子（去壳） 甘草根（锉） 黄蜀葵花 龙骨（各半两） 白芨（一
分）
上六味，捣罗为细末，取榆窠上红虫，秤三两半，候干同为末，更入粉霜三钱，同研匀
，
治颈生瘰 ，已针，疮尚不瘥者。贯众汤方
贯众（一两半） 乌蛇（酒浸炙去皮骨一两） 连翘 生干地黄（焙各二两） 鹤虱（炒
一两）
杏
两半）
白芨
两） 甘草
（炙
上十六味，粗捣筛，每服五钱匕，水一盏半，入生姜五片，煎至八分，去滓食后温服。
治瘰 不瘥。败肉生脓。连翘汤方
连翘 犀角（镑各一两） 玄参 木通（锉） 黄 （锉） 漏芦（去芦头） 杏仁（去
皮尖双
仁炒黄各一两半）
上七味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓食后温服，日三。
治瘰 结核，久不瘥，异效散方
芫青（四十九枚） 麒麟竭（一两）
上二味，同于藏瓶存性烧过，地上出火毒，研细，每服半钱匕，米饮调下，加至一钱匕
Discourse states: Wind-heat toxic factors accumulate in the zang-fu organs and attack the fascia, condensing into scrofula (Luo Li). The depth of this toxic invasion causes it to penetrate the muscles, resulting in chronic non-healing. This condition is particularly contraindicated with worry, anger, qi-blood exhaustion, and cold dietary intake.
Six God Powder for treating chronic non-healing scrofula:
Gleditsiae Spina (Zao Jia Ci), Menthae Haplocalycis Herba (Bo He), Laminariae Thalli (Kun Bu) [washed to remove salinity], Sargassum Thallus (Hai Zao) [washed to remove salinity], Forsythiae Fructus (Lian Qiao) [each 0.5 liang], Gleditsiae Fructus Seed (Zao Jia Zi) [50 pieces, burnt to ash].
The above six ingredients are pounded and sifted into a fine powder. Each dose is 3 qian bi, taken with tea mixture after meals and before sleep.
Shegan Pill for treating wind-heat toxic scrofula, chronic non-healing, accompanied by aversion to cold and high fever, worsening with exertion, gradually forming ulcers:
Belamcandae Rhizoma (She Gan), Laminariae Thalli (Kun Bu) [washed to remove salinity], Sargassum Thallus (Hai Zao) [washed to remove salinity, each 2 liang], Aquilariae Lignum Resinatum (Mu Xiang), Scutellariae Radix (Huang Qin) [remove black heart], Rhinocerotis Cornu (Xi Jiao) [shaved, each 3 fen], Paeoniae Radix Alba (Shao Yao), Forsythiae Fructus (Lian Qiao), Ampelopsis Radix (Bai Lian) [each 0.5 liang], Rheii Radix et Rhizoma (Da Huang) [cut and stir-fried], Naja (Wu She) [soaked in wine, skin and bones removed, each 2 liang], Scrophulariae Radix (Xuan Shen) [1 liang 1 fen].
The above twelve ingredients are pounded and sifted into powder. Honey pills are made the size of wutong seeds. Take 15 pills with warm wine after meals, three times during the day and once at night.
Dingxiang Pill for treating chronic non-healing scrofula, or those already ulcerated with severe pus and blood discharge:
Caryophylli Flos (Ding Xiang Mu) [raw, 0.5 liang], Xanthii Causalis Herba (Cang Er Miao) [stir-fried, 1 liang], Celosiae Semen (Qing Xiang Zi) [raw], Gleditsiae Fructus Seed Kernel (Zao Zi Ren) [each 0.5 liang], Lepidii Semen et Descurainiae Semen (Ting Li Zi) [half stir-fried, half raw, 1 liang], Magnoliae Officinalis Cortex (Nou Pu) [remove rough bark, ginger juice processed, 1 liang], Cinnabaris (Dan Sha) [ground, 0.5 liang 1 fen used as coating, 1 fen added to medicine].
The above seven ingredients are pounded and ground into powder. Pills are formed with jujube flesh, sized like mung beans, coated with cinnabar. Take 10 to 15 pills with millet drink, three times daily.
Loulu Decoction for treating chronic non-healing scrofula, about to ulcerate:
Euphorbiae Humifusae Herba (Lou Lu) [washed and dried, 0.5 liang], Sargassum Thallus (Hai Zao) [washed and dried, 0.5 liang], Forsythiae Fructus (Lian Qiao) [1 liang], Aquilariae Lignum Resinatum (Chen Xiang) [cut, 0.5 liang], Gardeniae Fructus (Shan Zhi Zi Ren) [1 fen], Scrophulariae Radix (Xuan Shen), Salviae Miltiorrhizae Radix et Rhizoma (Dan Shen) [each 1 liang].
The above seven ingredients are coarsely crushed and sieved. Each dose is 3 qian bi, decocted with 1.5 sheng of water until 0.8 sheng remains. Strain and take warm.
Heshouwu Pill for treating chronic non-healing scrofula:
Polygoni Multiflori Radix (He Shou Wu) [remove black skin, 1 liang], Astragali Membranacei Radix (Huang Qi) [finely cut, 0.5 liang], Gleditsiae Fructus (Zao Jia) [remove skin and seeds, fried with butter], Menthae Haplocalycis Herba (Bo He) [each 1 liang], Ophichthidis Cutis Corneum (She Tui Pi) [burnt to ash, 0.5 liang], Borneolum Syntheticum (Long Nao) [ground, 1 qian], Moschus (She Xiang) [ground, 1 qian].
The above seven ingredients are pounded and ground into fine powder. Mix with refined honey to form pills the size of wutong seeds. Take 10 pills with mint tea, at any time.
Xijiao Powder for treating chronic non-healing scrofula:
Rhinocerotis Cornu (Xi Jiao) [shaved], Myrobalani Fructus (Wu Yi) [raw], Mylabris (Ban Mao) [stir-fried, each 1 liang], Pharbitidis Semen (Qian Niu Zi) [stir-fried], Glycines Max Semen (Hei Dou) [raw, each 1 fen], Moschus (She Xiang) [ground], Borneolum Syntheticum (Long Nao) [ground, each 1 qian].
Except for borneol and musk, the above seven ingredients are pounded and sifted into fine powder. Add the ground drugs and mix well. Take 1 qian bi with hot wine on an empty stomach. After taking the medicine, drink another cup of wine to enhance efficacy. Discharge of foul matter indicates effectiveness.
Wuji Pill for treating chronic non-healing scrofula:
Galli Melanoleuci Ovipsum (Wu Ji Luan) [one egg], Tridacnae Concha (Jin Bei Zi) [0.5 liang].
Place the tridacna shell inside the chicken egg. Wrap the head with seven layers of wet paper, seal with mud, roast over fire, then bury in a pit underground. Remove and eliminate fire toxicity to make pills.
Bixiao Zhuxie San for treating scrofula:
Gleditsiae Fructus Seed (Zao Jia Zi) [unlimited quantity, placed in a silk bag in a toilet to soak for 21 days, take out, wash clean, place in a pit covered with a bowl overnight to release toxicity, dry and powder], Mylabris (Ban Mao) [50 pieces, remove head and wings, bran-fried until yellow, powder].
For each dose, take 2 qian bi of gleditsia seed powder, 1 qian bi of mylabris powder, 2 qian of hydrargyrum (Shui Yin Fen). Mix with the white of one raw chicken egg in a cup, add half a cup of rice drink, stir evenly. Take at the beginning of the fourth watch (around 1-3 AM). Toxic matter should be discharged by the fifth watch (3-5 AM), either through stool or urine. Mild discomfort is acceptable.
Shengjin Gao for treating chronic non-healing scrofula sores:
Coptidis Rhizoma (Huang Lian) [remove stamens], Castaneae Chinensis Fructus (Li Zi) [remove shell], Glycyrrhizae Radix et Rhizoma (Gan Cao Gen) [cut], Malvae Abelmoschus Flower (Huang Shu Kui Hua), Dragon Bone (Long Gu) [each 0.5 liang], Bletillae Rhizoma (Bai Ji) [1 fen].
The above six ingredients are pounded and sifted into fine powder. Take red worms from elm hollows, weigh 3.5 liang, dry them, and powder together. Add 3 qian of calamina (Fen Shuang) and grind uniformly.
Guanzhong Decoction for treating neck scrofula that has been needled but still not healing:
Cyathulae Radix (Guan Zhong) [1.5 liang], Naja (Wu She) [wine-soaked, roasted, skin and bones removed, 1 liang], Forsythiae Fructus (Lian Qiao), Rehmanniae Radix Preparata (Sheng Gan Di Huang) [dried, each 2 liang], Dolichos Lablab Seed (He Shi) [stir-fried, 1 liang], Armeniacae Semen Amarum (Xing Ren) [remove skin and pointed end, double kernel, stir-fried until yellow, each 1.5 liang], Bletillae Rhizoma (Bai Ji) [1 liang], Glycyrrhizae Radix et Rhizoma (Gan Cao) [roasted, 1 liang].
The above sixteen ingredients are coarsely crushed and sieved. Each dose is 5 qian bi, decocted with 1.5 sheng of water and five slices of fresh ginger until 0.8 sheng remains. Strain and take warm after meals.
Lianqiao Decoction for treating non-healing scrofula with necrotic tissue and pus formation:
Forsythiae Fructus (Lian Qiao), Rhinocerotis Cornu (Xi Jiao) [shaved, each 1 liang], Scrophulariae Radix (Xuan Shen), Akebiae Caulis (Mu Tong) [cut], Astragali Membranacei Radix (Huang Qi) [cut], Euphorbiae Humifusae Herba (Lou Lu) [remove root head], Armeniacae Semen Amarum (Xing Ren) [remove skin and pointed end, double kernel, stir-fried until yellow, each 1.5 liang].
The above seven ingredients are coarsely crushed and sieved. Each dose is 5 qian bi, decocted with 1.5 sheng of water until 0.8 sheng remains. Strain and take warm after meals, three times daily.
Yixiao San for treating scrofula nodules, chronic non-healing:
Mylabris (Yan Qing) [49 pieces], Draco Sanguis (Qilin Jie) [1 liang].
The above two ingredients are burnt in a sealed jar to preserve their nature, cooled on the ground to remove fire toxicity, and ground finely. Take 0.5 qian bi with rice drink, increasing up to 1 qian bi if necessary.