病源瘿者由忧恚气结所生，亦由饮沙水，沙随气入于脉搏颈下而成之，初作与瘿核相似
而当
有
针之
三十
肘后疗颈下卒结，囊渐大欲成瘿。海藻酒方。
海藻（一斤去咸） 清酒（二升）
上二味，以绢袋盛海藻酒渍，春夏二日，一服二合，稍稍含咽之，日三，酒尽更以酒二
升渍，饮之如前。滓曝干末服方寸匕，日三，尽更作三剂佳。（崔氏文仲同）
又方
昆布海藻等分末之，蜜丸，含如杏核大，含稍稍咽汁。日四五。（并出中卷）
深师疗瘿方。
桂心 昆布（洗） 海藻（洗） 甘草（炙） 白面（熬钱三分） 龙胆草 海蛤（研）
土瓜根
上十一味为散，酢浆水服五分匕，先食，日三，十日知，尽药愈，节食盐、羊肉、饧，
生
葱、菘菜。
又方
海藻（二分洗） 龙胆草（二分） 昆布（二分洗） 土瓜根（二分） 半夏（二分洗）
小麦面
（二分炒）
上六味为散，先食酒服方寸匕，日三，二十日知，三十日愈。忌羊肉饧。（并出第二十
九卷中）
短剧瘿病者，始作与瘿核相似，其瘿病喜当颈下，当中央不偏两边也，乃不急
然，则是瘿也，中国人息气结瘿者，但垂 无核也，
长安及襄阳蛮人。其饮沙水喜瘿，有核瘰瘰，耳无根，浮动在皮中，其地妇人患之。肾气实，
沙石性合于肾，则令肾实，故病瘿也，北方妇人饮沙水者，产乳其于难，非针不出，是以比
家有不救者，良由此也。
疗瘿方。
小麦（一升）
醇苦酒一升，渍小麦令释，漉出曝燥，复渍使苦酒尽，曝麦燥捣筛，以海藻三两别捣，
以和麦末令调，酒服方寸匕，日三，禁盐、生鱼生菜、猪肉。（肘后崔氏备急云疗三十年瘿
疾集
集验疗瘿酒方。
是水雨经露出柳根。（三十斤）
上以水一斛，煮得五斗，同米三斗酿之，酒成，先食服一升，日三。（范汪同出第四卷
中）
崔氏海藻散，疗瘿方。
海藻（八两洗去咸汁 贝母（二两） 土瓜根（二分） 小麦曲（二分炒）
上四味作散，酒服方寸匕，日三。
又方
秫米（三升依酒法炊）
上一味，取圆叶白杨皮十两去上苍者，慎勿令见风，细切，以水五升，煮取二升浓汁，
渍曲末五两，用前件秫米依酒法 之熟讫，封塞一七日，然后空腹服一大盏，日再服，
三日内即
张文仲隐居效验疗瘿方。
昆布（洗） 松萝（各三分） 海藻（五分）
上三味捣，蜜丸如杏核大，含咽津，日三夜二，大佳。（备急肘后同）
又疗瘿，司农扬丞服效第一方。
昆布（六分洗） 海藻（七分） 松萝 干姜 桂心（各四分） 通草（五分）
上六味捣，筛，蜜丸如梧子，一服吞七丸，即住在颈下瘿处，欲至食时，即先饮少酒，
下却丸子后进食。禁酢、蒜、盐、酪、臭肉、仓米等。若瘿大者，加药令多，取瘥。
又第二方。
昆布（洗） 海藻（洗各一斤）
上二味细切，好酒五升浸七日，量力取数服，酒尽以酒更浸两遍，药力尽，当以此酒下
前丸药益善。（备急肘后同）
又方
小麦（三升）
右以三年米酢三升，渍麦曝干，干更浸，使酢尽，又曝干。捣筛为散，别捣昆布为散。
每服
尽即
又含丸方。
槟榔（三两） 马尾海藻（三两洗） 昆布（三两洗）
上三味末之，蜜丸如鸡子黄大。每日空腹含一丸，徐徐令津液取汁咽之。忌盐。并杨丞
方服验。（肘后备急同并出第六卷中）
救急疗瘿要切方。
鼠粘草根（一升汤洗）
右细切除皮者一升一物，以水三升，煮取一升半，分温三服，服相去如人行四五里一服
。宜顿服六剂，病即瘥，一方削除皮细切，取三大升，捣筛为散，蜜和丸如梧子，一服二十
丸，
古今录验疗气瘿方。（晋州熙公奏徐公方）
问荆（一两出海岛） 羯羊靥（五具去脂炙） 白蔹 椒目 甘草（炙各一分） 小麦
曲末
（二两熬）
上六味捣筛为散，羊靥一种，别捣为末，相和好浆浸，更捣作丸如小枣大，一服五丸，
无禁。
又方
羊靥一百枚，暖汤浸去脂炙，大枣二十枚去皮，作丸服。忌慎如常药法。
又方
取羊靥一具，去脂含汁，汁尽去皮，日一具，七日含便瘥。
又疗瘿海藻散方。
海藻（十分洗） 昆布（一两洗） 海蛤（一两研） 通草（一两） 菘萝（洗） 干
姜桂心
（各二两）
上七味下筛，酒服一钱匕，日三。（出第四十一卷中肘后无干姜有白蔹）
[Pathogenesis] Goiter (Ying Bing) arises from emotional distress and anger causing Qi stagnation, or from drinking water containing sand, where the sand enters the pulse with Qi and accumulates in the lower neck. Initially, it resembles a goiter nodule, but should be treated with acupuncture.
*Zhou Hou Bei Ji Fang* treats sudden nodules under the neck that gradually enlarge into a goiter. Kelp Wine Formula.
Kelp (Hai Zao) (1 jin, remove saltiness) Clear wine (2 sheng)
Take the above two ingredients, place the Kelp in a silk bag, and soak in wine. In spring and summer, soak for two days. Take 2 he as a dose, slowly hold in the mouth and swallow, three times daily. When the wine is finished, soak again with 2 sheng of wine, and drink as before. Dry the dregs, grind into powder, take one fang cun bi as a dose, three times daily. It is best to prepare three more doses after finishing. (Same as recorded by Cui Shi and Wen Zhong)
Another formula
Kelp (Kun Bu) and Seaweed (Hai Zao) in equal parts, ground into powder, made into honey pills the size of an apricot kernel. Hold in the mouth and slowly swallow the juice. Four to five times daily. (All from Middle Volume)
*Shen Shi Fang* treats goiter.
Cinnamon Heart (Gui Xin) Kelp (Kun Bu) (washed) Seaweed (Hai Zao) (washed) Licorice Root (Gan Cao) (roasted) White flour (Bai Mian) (stir-fried until copper-colored, 3 fen) Gentian Root (Long Dan Cao) Clam Shell (Hai Ge) (ground) Sweet Potato Root (Tu Gua Gen)
Grind the above eleven ingredients into powder. Take 5 fen bi with vinegar-fermented rice water, before meals, three times daily. Improvement seen in ten days; cured when the medicine is exhausted. Avoid salt, mutton, maltose, raw green onions, and Chinese cabbage.
Another formula
Seaweed (Hai Zao) (2 fen, washed) Gentian Root (Long Dan Cao) (2 fen) Kelp (Kun Bu) (2 fen, washed) Sweet Potato Root (Tu Gua Gen) (2 fen) Pinellia Tuber (Ban Xia) (2 fen, washed) Wheat Flour (Xiao Mai Mian) (2 fen, stir-fried)
Grind the above six ingredients into powder. Take one fang cun bi with wine before meals, three times daily. Improvement seen in twenty days; cured in thirty days. Avoid mutton and maltose. (All from Volume 29)
*Duan Ju Fang* states that goiter initially resembles a goiter nodule. This disease prefers to appear in the center of the lower neck, not on either side. If it does not develop urgently, it is goiter. Chinese people who develop goiter due to Qi stagnation have only sagging without hard nodules. People from Chang'an and Xiangyang who drink sandy water are prone to goiter with multiple nodules, floating under the skin behind the ears without roots. Women in these regions suffer from it frequently. The kidney Qi is substantial; the nature of sand and stone combines with the Kidney, making the Kidney excessive, thus causing goiter. Northern women who drink sandy water face difficult childbirth; without acupuncture, delivery is impossible, leading to many deaths. This is the reason.
Treatment for goiter.
Wheat (Xiao Mai) (1 sheng)
Strong sour wine (Ku Jiu) 1 sheng, soak wheat until soft, filter out and dry. Soak again until the wine is exhausted. Dry the wheat, crush and sieve. Separately crush 3 liang of Kelp (Hai Zao). Mix with wheat powder. Take one fang cun bi with wine, three times daily. Avoid salt, raw fish, raw vegetables, and pork. (*Zhou Hou Bei Ji Fang*, *Cui Shi Bei Ji Fang* state this treats thirty-year goiter; *Ji Yan Fang* Goiter Wine Formula.)
Willow roots exposed to rain and dew (30 jin).
Boil in 1 hu of water until reduced to 5 dou. Add 3 dou of rice to ferment. Once the wine is ready, take 1 sheng before meals, three times daily. (Same as Fan Wang, from Volume 4)
Cui Shi's Kelp Powder, treatment for goiter.
Kelp (Hai Zao) (8 liang, wash to remove salty juice) Fritillaria Bulb (Bei Mu) (2 liang) Sweet Potato Root (Tu Gua Gen) (2 fen) Wheat Qu (Xiao Mai Qu) (2 fen, stir-fried)
Make the above four ingredients into powder. Take one fang cun bi with wine, three times daily.
Another formula
Millet (Shu Mi) (3 sheng, cook according to wine-making method)
Take 10 liang of white poplar bark (Yang Pi) with round leaves, remove the old outer bark, avoid wind exposure. Finely chop, boil in 5 sheng of water to obtain 2 sheng of concentrated decoction. Soak 5 liang of Qu powder in this decoction. Cook the Shu Mi according to the wine-making method. Seal and store for seven days. Then take one large cup on an empty stomach, twice daily. Within three days... [Text incomplete in source]
Zhang Wenzhong's Hermit Effective Goiter Treatment.
Kelp (Kun Bu) (washed) Ramie Vine (Song Luo) (each 3 fen) Seaweed (Hai Zao) (5 fen)
Crush the above three ingredients, make into honey pills the size of apricot kernels. Hold in mouth and swallow saliva, three times daily, twice at night. Very effective. (Same as *Bei Ji Zhou Hou Fang*)
Another goiter treatment, First Formula effective for Yang Cheng, Minister of Agriculture.
Kelp (Kun Bu) (6 fen, washed) Seaweed (Hai Zao) (7 fen) Ramie Vine (Song Luo) Dried Ginger (Gan Jiang) Cinnamon Heart (Gui Xin) (each 4 fen) Tetrapanax Pith (Tong Cao) (5 fen)
Crush and sieve the above six ingredients, make into honey pills the size of sophora seeds. Swallow seven pills per dose. They will stay at the goiter site under the neck. Before eating, drink a little wine to swallow the pills, then eat. Avoid vinegar, garlic, salt, dairy, spoiled meat, and stored rice. If the goiter is large, increase the dosage until cured.
Second Formula.
Kelp (Kun Bu) (washed) Seaweed (Hai Zao) (washed, each 1 jin)
Finely chop the above two ingredients, soak in 5 sheng of good wine for seven days. Take appropriate number of doses. When wine is finished, soak again twice. When medicinal power is exhausted, use this wine to take the previous pills for better effect. (Same as *Bei Ji Zhou Hou Fang*)
Another formula
Wheat (Xiao Mai) (3 sheng)
Soak wheat in 3 sheng of three-year-old vinegar, dry. Soak again until vinegar is exhausted, then dry. Crush and sieve into powder. Separately crush Kelp (Kun Bu) into powder. Each dose... [Text incomplete in source]
Another holding pill formula.
Areca Nut (Bing Lang) (3 liang) Tail-like Seaweed (Ma Wei Hai Zao) (3 liang, washed) Kelp (Kun Bu) (3 liang, washed)
Grind the above three ingredients into powder, make into honey pills the size of egg yolk. On an empty stomach daily, hold one pill in mouth, slowly let saliva extract juice and swallow. Avoid salt. Verified with Yang Cheng's formula. (Same as *Zhou Hou Bei Ji Fang*, from Volume 6)
Emergency Goiter Treatment.
Burdock Root (Shu Niu Za Cao Gen) (1 sheng, wash with hot water)
Finely chop 1 sheng of Burdock root (peeled), single ingredient. Boil in 3 sheng of water to obtain 1.5 sheng. Divide into three warm doses. Take one dose every distance equivalent to walking 4-5 li. Ideally take six doses consecutively for cure. Another method: peel, finely chop, take 3 da sheng, crush and sieve into powder, mix with honey into sophora seed-sized pills. Take 20 pills per dose.
*Gu Jin Lu Yan* treats Qi Goiter. (Submitted by Xi Gong of Jinzhou, Formula of Xu Gong)
Horsetail (Wen Jing) (1 liang, from islands) Sheep Thyroid (Ge Yang Ye) (5 pieces, remove fat, roast) Belamcanda Rhizome (Bai Lian) Pepper Seeds (Jiao Mu) Licorice Root (Gan Cao) (roasted, each 1 fen) Wheat Qu Powder (Xiao Mai Qu Mo) (2 liang, roasted)
Crush and sieve the above six ingredients into powder. Grind the sheep thyroid separately into powder. Mix well with fermented grain liquid, crush into jujube-sized pills. Take 5 pills per dose. No restrictions.
Another formula
100 sheep thyroids, soak in warm water, remove fat, roast. 20 jujubes, remove pits. Make into pills. Observe usual dietary restrictions.
Another formula
Take one sheep thyroid, remove fat, hold in mouth to extract juice. Spit out juice, discard skin. One piece daily. Cured after seven days.
Another Kelp Powder for Goiter.
Seaweed (Hai Zao) (10 fen, washed) Kelp (Kun Bu) (1 liang, washed) Clam Shell (Hai Ge) (1 liang, ground) Tetrapanax Pith (Tong Cao) (1 liang) Ramie Vine (Song Luo) (washed) Dried Ginger (Gan Jiang) Cinnamon Heart (Gui Xin) (each 2 liang)
Sieve the above seven ingredients. Take one qian bi with wine, three times daily. (From Volume 41; *Zhou Hou Fang* has Bai Lian instead of Gan Jiang)