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Treats "Zhuan Mai Lou" (Fistula with pulsating pulse), initially appearing in the neck, with a palpable pulsation resembling flowing water. The patient suffers from fright, tremors, chills, and fever. This condition arises from being startled while sleeping with an improper pillow position; the root of the disease lies in the Small Intestine. (The *Ji Yan Fang* states the root is in the Heart.) It is primarily treated with Banmao Baizhi Wan (Cantharides and Angelica Dahurica Pill), using Baizhi (Angelicae Dahuricae Radix) as an adjuvant formula.

Ingredients: Banmao (Mylabris), Baizhi (Angelicae Dahuricae Radix), Lüqing (Azurite), Dahuang (Rhei Radix et Rhizoma) [each 2 fen], Shengma (Cimicifugae Rhizoma), Zhongru (Gypsum Fibrosum), Gancao (Glycyrrhizae Radix et Rhizoma), Fangfeng (Saposhnikoviae Radix), Dichan (Euphorbiae Pekinensis Radix), Xuduan (Dipsaci Radix), Shexiang (Moschus).
Process the above seventeen ingredients into fine powder, mix with honey to form pills the size of soybeans. Take ten pills with wine, twice daily. Avoid vegetables during treatment, and observe sexual abstinence for one hundred days. (The *Waitai Mi Yao* omits Dahuang from this formula.)

Formula for Nine Types of Fistulas:
Kongqing (Chrysocolla), Shanglu (Phytolaccae Radix), Zhimu (Anemarrhenae Rhizoma), Li Gu (Fox Bone), Jiegeng (Platycodonis Radix), Fangfeng (Saposhnikoviae Radix), Renzi (Perilla Seed), Fanshi (Alumen), Huangqin (Scutellariae Radix), Baizhi (Angelicae Dahuricae Radix), Shaoyao (Paeoniae Radix), Gancao (Glycyrrhizae Radix et Rhizoma), Cihuang (Realgar), Baizhu (Atractylodis Macrocephalae Rhizoma), Shiyan (Halitum), Dichan (Euphorbiae Pekinensis Radix), Banmao (Mylabris), Xionghuang (Realgar) [equal parts].
Process the above eighteen ingredients into fine powder, mix with honey to form pills the size of soybeans. Take three pills with vinegar. Improvement is seen in thirty days, cure in forty days, and full recovery in sixty days. Observe sexual abstinence for one hundred days. (Another method: grind into powder, take one Dao Gui measure with vinegar, twice daily; reduce dose for elderly and children.)

Another Formula: She Tui Pi (Ophichthys Skin), Lingli Jia (Manis Scale), Chu Ji (Bombyx Batryticatus) [each 4 pieces], He Gu (Crane Bone) [6 fen], Xi Yi (Lizard), Wu Gong (Scolopendra) [each 1 piece], Shujiao (Sichuan Pepper), Fuzi (Aconiti Lateralis Radix Praeparata), Danggui (Angelicae Sinensis Radix), Fengfang (Vespa Nest), Guixin (Cinnamomi Cortex), Diyu (Sanguisorbae Radix), Tongcao (Tetrapanacis Medulla), Ganqi (Dammar Resin), Mudanpi (Moutan Cortex), Yiyiren (Coicis Semen), Jili Zi (Tribuli Fructus), Loulu (Euphorbiae Humifusae Herba or Radix Longdan), Longdan (Gentianae Radix or Ossa Corii Asini) [each 2 fen], Banmao (Mylabris) [4 fen], Shechuangzi (Cnidii Fructus), Kushen (Sophorae Flavescentis Radix), Dahuang (Rhei Radix et Rhizoma), She Tui Pi (Ophichthys Skin), Xionghuang (Realgar), Ruyu (Myrrha), Xixin (Asari Radix et Rhizoma).
Process the above twenty-eight ingredients into fine powder. Take half a Fen Bi measure with wine, adjusting dosage until therapeutic effect is achieved. Take once daily.

Another Formula: Banmao (Mylabris) [7 pieces], She Tui Pi (Ophichthys Skin), Zhenzhu (Pearl), Xionghuang (Realgar) [each 1 fen].
Process the above four ingredients, sieve them, and take half a Qian Bi measure with wine, three times daily.

Another Formula: Use unrefined Songzhi (Pinicola Resina) to fill the fistula opening completely. Apply three to four times daily. Cure in seven days; this method is highly effective.

Another Formula: Banmao (Mylabris) [14 pieces], Xionghuang (Realgar), Guixin (Cinnamomi Cortex), Xijiao (Rhinocerotis Cornu) [each 1 liang].
Process the above four ingredients into fine powder. Take one Qian Bi measure with wine, twice daily. The pathogenic factor is expelled through urination.

Another Formula: Machixian (Portulacae Herba) [dried in shade], Layue Zhu Jin (Candle Wicks from the Twelfth Lunar Month) [equal parts].
Process the above two ingredients into fine powder. Mix with pig lard from the twelfth lunar month and apply to the wound. First, clean the area thoroughly with warm rice-washing water, dry it, then apply the medicine. Do this three times daily.

Another Formula: Ganniu Shi (Dry Cow Dung), Ganren Shi (Dry Human Feces) [equal parts].
Crush the above two ingredients. First, cover the wound with cotton cloth, then place the dung on the cloth. Worms will emerge upon smelling the odor. If itching occurs, remove the cloth. Repeat with fresh dung and cloth until all worms are expelled.

Another Formula: Ku Hu (Bitter Bottle Gourd) [four pieces, large ones like a cup]. Pierce a hole in each, about the size of a finger. Boil them in water for several boils. Take a bamboo tube, one chi long. Insert one end into the gourd hole and the other end into the fistula opening. Replace when cool.

Formula for All Types of Fistulas:
Banmao (Mylabris) [40 pieces], Chishao (Fermented Soybean) [49 pieces], Yuanqing (Blister Beetle), Sheng Da Huang (Raw Yellow Soybean), Dichan (Euphorbiae Pekinensis Radix) [each 10 pieces], Wu Gong (Scolopendra) [1.5 cun], Xijiao (Rhinocerotis Cornu), Niuhuang (Calculus Bovis) [each the size of a jujube pit].
Process the above eight ingredients into fine powder, mix with honey to form pills the size of wutong seeds. Take two pills with water. Shortly after, drink a large amount of sour porridge, chilled. The pathogenic factor is expelled through urination. Observe the urine basin; if worm-like shapes or glue-like fluid appear, the disease is exiting. Take every other day, continue normal porridge diet. For weak patients, take every three to four days. Continue until no worms are expelled and the wound gradually heals. Strictly avoid greasy food. All utensils must be washed with ash before cooking. (Cui Shi states: For nine types of fistulas, eat little on the first night of medication. Take two pills the next morning. By the seventh day, if feeling very weak and stifled, one may cook turnip soup. Avoid all fats, acids, and fruits.)

Another Formula: Bo salt flowers. Wrap the diseased area with dough. Place the salt flowers inside the dough ring, thickness about two cun. Line the bottom with three layers of mulberry leaves to support the salt. Wait until the temperature is bearable—too cold is ineffective, too hot damages flesh. Apply once daily. Stop when the root of the scrofula subsides. If an ulcer has formed, crush grain husks into powder.

Another Formula: Take thirty jin of the white inner bark of the oak tree (Hu) from the shady side. Chop finely. Boil in one shi of water until reduced to one dou. Strain and boil down to a syrup consistency. Take fourteen male rat droppings and fourteen female rat droppings from a latrine, burn until the juice evaporates, and grind into powder. Add this powder to the syrup. Add one sheng of warm wine and stir well. Weak persons take half a sheng; worms should be expelled.

Another Formula: Pumpkin flowers collected after frost, dried and ground into powder. Apply topically.

Another Formula: Crush Tudigua (Trichosanthes cucumeroides) root and apply. Change when dry; time is not restricted.

Another Formula: Take bones from a dead snake (skin and flesh removed), grind into powder, mix, and apply to seal the wound. If severe pain occurs, massage with Xingren Gao (Apricot Kernel Ointment) until pain stops.

Another Formula: Burn a dead snake with pig lard from the twelfth lunar month, grind into powder, and insert into the fistula.

Another Formula: Burn dead dung beetles, grind into powder, mix with vinegar, and apply. Alternatively, use ash from dead snakes mixed with vinegar and apply.

Another Formula: Wrap salt in old cloth, shape like a pellet, burn until red-hot, grind into powder, and take with wine.

Another Formula: Drink one sheng of juice from white horse feces.

Another Formula: Bo one sheng of pig lard with five he of wine until boiling. Take in one dose.

Another Formula: Grind almonds with water and take orally.

Another Formula: Mix salt and flour, burn to ash, and apply topically.

Another Formula: Dry male fox feces collected in the first lunar month in the shade, grind into powder, and take with water.

Formula for Treating Fistula Openings:
Grind Lu Feng Fang (Vespa Nest) into powder, mix with pig lard from the twelfth lunar month, and apply into the opening.

Formula for Fistulas Occurring Below the Chest and Abdomen:
Songzhi (Pinicola Resina), Wudu Xionghuang (Realgar from Wudu) [each 3 liang].
Mix the above two ingredients into blocks, scrape into powder with a knife. Take one Fang Cun Bi measure with water, twice daily. If not cured, prepare more.

Formula for Fistulas:
Luoxie (Iron Filings from Falling Iron), Gou Jiache Lianchi Gu (Dog Jawbone with Teeth, roasted), Hushi (Tiger Feces), Lupi (Deer Skin with hair, burned to ash) [equal parts].
Process the above four ingredients, sieve them, mix with pig lard, and insert into the wound. Change frequently, five to six times daily.

Formula for All Cold Fistulas:
Burn human vomited roundworms to ash. First wash the wound with Gancao Tang (Licorice Decoction) to remove foul matter, then apply the ash. All cases will heal. Be cautious with diet.

Formula for Scrofula Swollen Nodes Pain, Before Suppuration:
Apply Baiye (Cupressus Leaf) to the swelling. Roast salt and place on the leaf to iron/warm the area, directing heat downward. The swelling will subside.

Formula for Wind Fistula and Scrofula:
Chixiaodou (Adzuki Bean), Bailian (Belamcandae Rhizoma), Huangqi (Astragali Radix), Muli (Ostrea Concha) [equal parts].
Process the above four ingredients into fine powder. Take one Fang Cun Bi measure with wine, three times daily.

Formula for Antlion Fistula:
First boil Hu Ye (Oak Leaf) in rice-washing water, take the juice to wash the wound, dry it, then insert Hu Ye Hui (Ash of Oak Leaves) into the wound.

Discussion on Treating Bee Fistula:
Initially, it resembles a peach and itches. Scratching causes it to enlarge to the size of a chicken egg, resembling an inverted hand. Iron with roasted salt for three nights. If not cured in four days, it becomes a fistula after one hundred days, large as four to five cun, deep and wide as three cun. Bees emerge from the center, numbering hundreds. Burn Liu Huang (Sulfur) with candles as needed, let the juice drip into the fistula. Within moments, dozens of bees will appear. When all bees are expelled, the condition heals.

Formula for Bee Fistula:
Mix human feces, ash of snake skin, and pig lard from the twelfth lunar month, and apply.

Another Formula: Burn crow heads to ash and apply.

Another Formula: Take bee nests, burn to ash, mix with pig lard from the twelfth lunar month, and apply into the opening.

Formula for Ant Fistula (Holes accommodating needles, sometimes three or four holes):
Burn snake skin, liver, and heart to ash, grind into powder, and take one Qian Bi measure with wine.

Another Formula: Take rats found in dead snakes, fry in pig lard from the twelfth lunar month until scorched, strain, and apply.

Another Formula: Take large ants, plow soil until red-hot. Because ants were soaked in vinegar, the wall soil is hot. Place ants on the hot wall soil, roll to heat them, then apply to the wound.

Another Formula: Burn fourteen Lingli Jia (Manis Scales) to powder, mix with pig lard, and apply to the wound.

Another Formula: Crush one Banxia (Pinelliae Rhizoma) into powder, mix with duck fat, and apply.

Formula for Scrofula Transverse and Head-Shaped Like Almonds:
Burn rooster manure to ash, mix with pig lard from the twelfth lunar month, and seal the area.

Formula for Dung Beetle Fistula:
Burn cow dung to ash, mix with pig lard from the twelfth lunar month, and apply.

Another Formula: Use Dung Beetle Pills (feces consumed by dung beetles), grind into powder, and apply.

Another Formula: Apply dry cow dung powder. If itching occurs, remove and reapply thickly. Stop when healed.

Another Formula: Apply hot cow dung. Change frequently. Dung beetles should emerge.

Formula for Earthworm Fistula:
Jishi (Chicken Manure), Qiuyin Shi (Earthworm Feces) [equal parts].
Process the above two ingredients into powder, mix with marrow from the lower jaw of a strong boar, and apply.

Formula for Scorpion Fistula (Five or Six Holes Connected):
Crush Maogen (Imperatae Rhizoma) to extract juice, and drip into the holes.

Formula for Toad Fistula:
Use snake heads collected on the fifth day of the fifth lunar month and wild boar fat, along with Shuiyi (Aquatic Membrane), to seal the area.

Formula for Snake Fistula:
Burn snake skin to ash, mix with pig lard from the twelfth lunar month, and seal.

Formula for Frog Fistula:
Burn frogs found in snake bellies to ash and apply.

Formula for Dian Dang Fistula:
Crush Tudigua root and apply until healed. Be cautious with diet.

Formula for Sparrow Fistula:
Burn sow feces to ash, mix with pig lard from the twelfth lunar month, and apply. Worms resembling sparrows should emerge.

Formula for Purulent Fistula:
Grind Taohua (Peach Blossom) into powder, mix with pig lard, and seal.

Formula for Stone Fistula (Protruding at Both Ends, Hard, Causing Chills and Fever):
Incise with a large Pi Zhen (Large Lancet). Then, grind Er Fen of Niu Nian Ye (Arctii Leaf) into powder, mix with one egg white, and apply.

Another Formula: Crush Huai Zi (Sophora Fruit), mix with well water, and apply.

Another Formula: Crush fresh Shanglu (Phytolaccae Radix), shape into cakes the size of coins, thickness three fen. Place on the fistula. Moxibustion on the cake. Change when dry. Moxa three to four sheng of moxa sticks. Cured. (*Waitai Mi Yao* mentions moxibustion for scrofula.)

Another Formula: Collect Mahua (Flower of Hemp) before sunrise on the seventh day of the seventh lunar month. Collect Ai Ye (Artemisiae Argyi Folium) on the fifth day of the fifth lunar month. Mix equal parts, pound into moxa cones. Apply one hundred zhuang of moxibustion to the wound. (*Waitai Mi Yao* mentions moxibustion for scrofula.)