神效栝蒌散
治乳痈乳疽已成者化脓为水。未成者即消。如瘰
更效。
栝蒌仁（大的二个同捣如泥） 甘草 当归（各五钱） 没药 乳香（各一钱另研） 大力子（酥
炙末□分）
上作二剂用酒煎至二碗。分三次服之。一切痈疽发背皆治并效。如数剂未消尽。加人参黄 川芎
当归白术等补药即消。如神。
夫瘰 者。内经云。九漏是也。古方书所载名状不一。难以详述。其生也。此疮多生于项腋之间。
或牵蔓于胸胁。其形如梅李之状。其因皆是蓄怒而成。项胁是肝经所络之处。肝胆是将军之官。直而
不屈。少有不遂。故肝经蓄怒。肝主筋。肝病则筋缩。筋缩多结于项腋。肿核连牵。故名瘰 。延结
日久。亦化脓水溃烂。其疮最难得愈。胆经多气少血。肝经多血少气。世人不知其根由于脏腑虚实。
之所因。根之所得。治之所宜。辨之吉凶。察之生死。得其法。取效立验。不得其法。妄言擅医。
专以蚀药点之。或以针刀割之。亦如割韭相同。但取其标而未治其本。殊不
知症实在根本也。若不治其本。终不能济事。反以为害。余之素治专治其根。取效异验。不敢自秘。
世人共之。是其心也。
野狼 其根在于肝。因不遂。蓄怒而得之。
鼠 其根在胃。因食鼠餐之物。胃受毒而播于肝。
脓 其根在胆。因不遂志得之。
蝼蛄 其根在大肠。因食蝼蛄及蝎虎所伤之物而误食之所生。
蜂 其在脾。因食蜜物及蜂毒之物得之。
蜈蚣 其根在肺。因食蜈蚣所游毒物得之。
蛴螬 其根在心。因喜之太过得之。
瘰 其根在肾。因食物肾及血发得之。
转脉 其根在小肠。因惊恐失枕得之。
Shenxiao Gualou San (Miraculous Trichosanthes Seed Powder)
Treats Ru Yong (Acute Mastitis) and Ru Ju (Deep Breast Abscess). If pus has already formed, it facilitates the discharge of pus; if not yet formed, it resolves immediately. It is even more effective for Luo Li (Cervical Tuberculous Lymphadenitis).
Gualou Ren (Trichosanthis Semen, two large seeds, pounded into a paste) Gancao (Glycyrrhizae Radix et Rhizoma), Danggui (Angelicae Sinensis Radix) (each 5 qian), Moyao (Myrrha), Ruxiang (Olibanum) (each 1 qian, separately ground into powder), Dalizi (Arctii Fructus, prepared with butter and ground into powder, amount unspecified).
Take the above ingredients as two doses, decoct with wine until reduced to two bowls. Divide into three doses for oral administration. It treats all types of Yong Ju (Carbuncle and Ulcer) and Fa Bei (Back Carbuncle) with efficacy. If several doses do not completely resolve the condition, add tonifying herbs such as Renshen (Ginseng Radix), Huangqi (Astragali Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), etc., to achieve resolution with miraculous effect.
Regarding Luo Li (Cervical Tuberculous Lymphadenitis), the *Neijing* (Yellow Emperor's Inner Canon) refers to it as "Jiu Lou" (Nine Leaks). Ancient medical texts record various names and manifestations, making it difficult to describe in detail. This type of sore typically arises between the neck and axilla, or may spread to the chest and hypochondrium. Its shape resembles plums or apricots. The etiology is invariably due to accumulated anger. The neck and hypochondrium are areas connected by the Liver Meridian. The Liver and Gallbladder are regarded as the "Generals," characterized by uprightness and inflexibility. Any slight frustration leads to the accumulation of anger in the Liver Meridian. The Liver governs the sinews; Liver pathology causes sinew contraction. Contraction often results in nodules clustering in the neck and axilla, forming linked swellings, hence named Luo Li. After prolonged stagnation, it may suppurate, leak fluid, and ulcerate. Such sores are notoriously difficult to heal. The Gallbladder Meridian is abundant in Qi but deficient in Blood, while the Liver Meridian is abundant in Blood but deficient in Qi. People are unaware that the root lies in the deficiency or excess of Zang-Fu organs and their causative factors. Understanding the root determines the appropriate treatment, allowing one to distinguish prognosis and assess life and death. Mastering this method yields immediate results; failing to do so and practicing medicine arbitrarily—specifically using caustic agents for point application or employing needles and knives for excision—is akin to cutting leeks: it addresses only the symptoms without treating the root cause. One fails to realize that the disease resides fundamentally in the root. Without treating the root, success is impossible, and harm ensues. My usual treatment focuses on addressing the root, yielding extraordinary efficacy. I dare not keep this secret and share it with the world, which is my intention.
Ye Lang Li (Wild Wolf Scrofula): Rooted in the Liver. Caused by emotional stagnation and accumulated anger.
Shu Lou (Rat Sore): Rooted in the Stomach. Caused by ingesting rat-contaminated food; stomach toxicity transmits to the Liver.
Nong Li (Pus Scrofula): Rooted in the Gallbladder. Caused by unfulfilled aspirations.
Lou Gu Li (Mole Cricket Scrofula): Rooted in the Large Intestine. Caused by accidentally ingesting food damaged by mole crickets or geckos.
Feng Li (Bee Scrofula): Located in the Spleen. Caused by consuming honey or bee-toxin-containing substances.
Wu Gong Li (Centipede Scrofula): Rooted in the Lung. Caused by ingesting toxic food traversed by centipedes.
Qi Cao Li (Mealworm Scrofula): Rooted in the Heart. Caused by excessive joy.
Luo Li (Scrofula): Rooted in the Kidney. Caused by consuming kidney meat or blood-activating/heat-inducing foods.
Zhuan Mai Li (Turning Pulse Scrofula): Rooted in the Small Intestine. Caused by fright and restless sleep.