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Scrofula (tuberculous lymphadenitis of the neck) that persists for a long time without healing is caused by wind-pathogenic toxic qi accumulating in the Zang-Fu organs, and clashing with the sinews and vessels between the neck, axilla, and other areas. The toxic qi stagnates and condenses but cannot dissipate, forming ulcerative sores or fistulas with continuous discharge of pus and water. It may also be triggered by dietary indiscretions or external injury from wind-cold. As days and months pass, medical treatment proves ineffective, leading to chronic non-healing.

To treat scrofula that has persisted for years with continuous pus discharge and intermittent swelling, use the Wild Dittany Powder Formula (Yelangdu San).
Wild Dittany (Radix Stellerae, 1 liang, chopped, stir-fried with vinegar until yellow), Root Bark of Mouse Plum (Cortex Rhamni, 1 liang), Kelp (Laminariae Thallus, 3 qian, washed to remove saltiness), Forsythia Fruit (Forsythiae Fructus, 1 liang), Agarwood (Aquilariae Lignum, 1 liang), Frankincense (Olibanum, 1 liang), Clove Bud (Caryophylli Flos, 1 liang), Cinnamon Bark (Cinnamomi Cortex, 1 liang, referred to as Zhantang Xiang here), Clove (Caryophylli Flos, 1 liang), Herb of Creeping Thyme (Thymi Herba, 3 qian), Blister Beetle (Mylabris, 20 pieces, stir-fried with glutinous rice until rice turns yellow, heads, wings, and feet removed).
The above herbs are finely ground and passed through a fine sieve to make a powder. Before meals, take 1 qian mixed with Schizonepeta Decoction (Jingjie Tang).

To treat scrofula that has persisted for a long time, presenting with hard, painful nodules, use the Stork Bone Pill Formula (Guangu Gu Wan).
Stork Bone (Os Gruis, 1 liang, coated with butter and roasted until slightly yellow), Otter Liver (Hepatis Lutrinae, 1.5 liang, lightly roasted), Fox Bone (Os Vulpis, 1.5 liang, coated with vinegar and roasted until slightly yellow), Forsythia Fruit (Forsythiae Fructus, 1.5 liang), Belamcanda Rhizome (Belamcandae Rhizoma, 1.5 liang), Rhinoceros Horn (Rhinocerotis Cornu, 1.5 liang, sliced), Agarwood (Aquilariae Lignum, 1.5 liang), Frankincense (Olibanum, 1.5 liang), Cinnamon Bark (Cinnamomi Cortex, 1.5 liang), Clove (Caryophylli Flos, 1.5 liang), Herb of Creeping Thyme (Thymi Herba, 3 qian), Musk (Moschus, 0.5 liang, finely ground), Ginseng Radix et Rhizoma (Ginseng Radix, 3 qian, radix and rhizome removed), Salvia Root (Salviae Miltiorrhizae Radix, 1 liang), Cimicifuga Rhizome (Cimicifugae Rhizoma, 1 liang).
The above herbs are ground into powder, mixed evenly with Cinnabar (Cinnabaris), then combined with refined honey and pounded 300-500 times. Form pills the size of paulownia seeds. Before meals, take 30 pills with gruel drink.

To treat scrofula that has persisted for a long time, spreading to the hypochondrium and axilla, breaking through skin and flesh with continuous discharge of pus and blood, use the Blister Beetle Pill Formula (Banmao Wan).
Blister Beetle (Mylabris, 1 fen, stir-fried with glutinous rice until rice turns yellow, heads, wings, and feet removed), Musk (Moschus, 1 fen, finely ground), Leech (Hirudo, 1 fen, lightly roasted until yellow), Blister Beetle (Meloides, 1 fen, stir-fried with glutinous rice until rice turns yellow, heads, wings, and feet removed), Licorice Root (Glycyrrhizae Radix et Rhizoma, 0.5 liang, roasted until slightly red and chopped), Black Soybean (Sojae Semen Nigrum, 1 liang, roasted熟), Rheum Root (Rhei Radix et Rhizoma, 1 liang, soaked in wine, cut, and dried).
The above herbs are ground into powder, mixed evenly with Musk, then combined with refined honey to form pills the size of mung beans. On an empty stomach daily, take 3 pills with gruel drink. If no effect is felt, increase to 5 pills. The appearance of rotting tendon-like material in urine indicates efficacy. If urination is difficult, take 1 qian of Talcum (Talcum) powder mixed with warm wine.

To treat scrofula that has persisted for several years, use the Ground Cypress Powder Formula (Dibai San).
Ground Cypress (Cupressi Cacumen, 0.5 liang, roasted until yellow), Scrophularia Root (Scrophulariae Radix, 3 qian), Cimicifuga Rhizome (Cimicifugae Rhizoma, 1 liang), Arctium Seed (Arctii Fructus, 1 liang, lightly roasted), Rhinoceros Horn (Rhinocerotis Cornu, 1 liang, sliced).
The above herbs are finely ground and passed through a fine sieve to make a powder. Before meals, take 1 qian mixed with warm water.

To treat scrofula that has persisted for several years, with roots gradually enlarging and spreading to the limbs, it is advisable to take the Seven Deities Pill Formula (Qishen Wan).
Blister Beetle (Mylabris, 30 pieces, heads, wings, and feet removed, stir-fried with glutinous rice until rice turns yellow), Honeycomb (Vespa Nidus, 0.5 liang, burned to ash), Snake Slough (Bombyx Batryticatus, 1 strip, burned to ash), Gecko (Gekko, 1 strip, burned to ash), Musk (Moschus, 1 fen, finely ground), Realgar (Realgar, 0.5 liang, finely ground), Cinnabar (Cinnabaris, 3 qian, finely ground and water-washed).
The above herbs are ground into powder, mixed evenly with previously ground ingredients, then combined with boiled jujube flesh to form pills the size of paulownia seeds. On an empty stomach daily, take 7 pills with glutinous rice gruel drink. If mild abdominal pain or aversion to cold occurs, reduce the dose by 2 pills. Within 100 days... [text incomplete].

To treat scrofula that has persisted for a long time, where medication causes excretion resembling fish bladders or brains via urine, which is foul-smelling and repulsive, use the Realgar Pill Formula (Xionghuang Wan).
Realgar (Realgar, 1 fen), Mercury (Hydrargyrum, 1 fen), Cinnabar (Cinnabaris, 3 qian, finely ground and water-washed), Calomel (Calomelas, 1 fen).
The above ingredients are finely ground together until mercury disappears completely. Combine with egg white to form pills the size of mung beans. On an empty stomach daily, take 3 pills with scallion white decoction. Discontinue when healed.

To treat scrofula that has persisted for a long time, with pus discharge, edema, and pain day and night, use the Gecko Pill Formula (Xiyyi Wan).
Gecko (Gekko, 1 piece, lightly roasted), Blister Beetle (Meloides, 10 pieces, stir-fried with glutinous rice until rice turns yellow, heads, feet, and wings removed), Musk (Moschus, 1 fen, finely ground), Rhinoceros Horn (Rhinocerotis Cornu, 3 qian, sliced), Licorice Root (Glycyrrhizae Radix et Rhizoma, 3 qian, roasted until slightly red and chopped), Yamsnail Root (Sanguisorbae Radix, 3 qian, roasted until slightly red and chopped).
The above herbs are ground into powder, mixed evenly with Musk, then combined with soft cooked rice to form pills the size of mung beans. On an empty stomach daily, take 3 pills with gruel drink. Natural efficacy will appear within one month.

To treat scrofula that has persisted for a long time, with continuous pus and blood discharge and unceasing pain, use this formula.
Blister Beetle (Mylabris, 1 fen, stir-fried with glutinous rice until rice turns yellow, heads, feet, and wings removed), Antelope Horn (Saigae Tataricae Cornu, 1 liang, sliced), Musk (Moschus, 1 fen, finely ground), Licorice Root (Glycyrrhizae Radix et Rhizoma, 1 liang, roasted until slightly red and chopped).
The above herbs are ground into powder, combined with soft cooked rice to form pills the size of mung beans. On an empty stomach, take 7 pills with Schizonepeta Decoction (Jingjie Tang).

To treat scrofula that has persisted for years and formed ulcers, use the Musk Ointment Formula (Shexiang Gao).
Musk (Moschus, 1 fen, finely ground), Realgar (Realgar, 0.5 liang, finely ground), Forsythia Fruit (Forsythiae Fructus, 0.5 liang), Swallowwort Root (Ipecacuanhae Radix, 0.5 liang), Prepared Aconite Root (Aconiti Lateralis Radix Praeparata, 0.5 liang), Kelp (Laminariae Thallus, 0.5 liang), Wild Dittany (Radix Stellerae, 0.5 liang), Astragalus Root (Astragali Radix, 0.5 liang), Patrinia Root (Patriniae Radix, 0.5 liang), Blister Beetle (Mylabris, 30 pieces), Toad Ash (Bufo Bufonis, 1 liang, finely ground).
The above herbs are finely chopped. Using 1.5 jin of lard from the twelfth lunar month, boil in a clean pot for over ten boils. Strain out dregs, add the herbs, and simmer slowly while stirring. When the mixture turns yellow-black, strain through silk to remove dregs. Store in a porcelain box. Add Musk, Realgar, and Toad Ash later, mixing evenly. Apply to old cloth and patch the area. Change twice daily.

For chronic scrofula, malignant sores, childhood malnutrition sores (gan chuang), soft nodes with pus discharge, and long-standing root lesions eroding flesh with unbearable swelling and pain, use this formula.
Indigo Naturalis (Indigo Naturalis, 1 fen), Arsenic Trioxide (Arsenicum Trioxidum, 1 fen), Borax (Borax, 1 fen), Musk (Moschus, 1 fen), Licorice Root (Glycyrrhizae Radix et Rhizoma, 1 qian).
The above ingredients are placed in a mortar and ground finely. Combine with wheat paste to form pills the size of wheat grains. If the sore has a head, insert the pill into the sore and cover with wheat-paste paper. After a short time, pain will occur. Within five to seven days, the root of the sore will be expelled. Then apply a flesh-regenerating ointment. This is very effective.

For scrofula that has persisted for years and resisted all other treatments, use this formula.
Snake Slough (Bombyx Batryticatus, 1 strip, burned to ash), Honeycomb (Vespa Nidus, 1 liang, burned to ash), Gecko (Gekko, 1 liang, burned to ash), Musk (Moschus, 1 fen, finely cut), Blister Beetle (Mylabris, 20 pieces, stir-fried with glutinous rice until rice turns yellow, wings, heads, and feet removed).
The above ingredients are ground finely, combined with refined honey to form pills the size of paulownia seeds. Before meals, take 7 pills with soap pod kernel decoction.

For scrofula that has persisted for a long time, use the Borax Pill Formula (Pengsha Wan).
Borax (Borax, 1 fen), Blister Beetle (Mylabris, 27 pieces, stir-fried with glutinous rice until rice turns yellow, heads, wings, and feet removed), Dry Lacquer (Resina Rhus, 0.5 liang, crushed and roasted until yellow), Water Horse (Potamopyrgus antipodarum? Note: Traditional term often refers to specific insect/larva, literal translation "Water Ma", 27 pieces, feet removed and roasted yellow), Angelica Dahurica Root (Angelicae Dahuricae Radix, 0.5 liang), Talcum (Talcum, 1 liang), Cassia Twig (Cassiae Ramulus, 0.5 liang).
The above herbs are finely ground and passed through a fine sieve to make a powder. Take 1 qian on an empty stomach with gruel drink, and repeat before evening meal.

For scrofula with long-standing perforations, injured by wind-cold, with continuous pus discharge, use the Dragon's Blood Ointment Formula (Qilinjie Gao) to warm the muscles and generate flesh.
Dragon's Blood (Dracaena Sangue, 1 fen), White Peony Root (Paeoniae Radix Alba, 1 fen), Coptis Rhizome (Coptidis Rhizoma, 1 fen), Areca Seed (Arecae Semen, 1 fen), Clove (Caryophylli Flos, 2 fen), Musk (Moschus, 1 qian, finely ground), Long Bone (Os Draconis, 1 fen).
The above herbs are ground into powder, further ground in a mortar until uniform. Mix with wild camel fat to form an ointment. Apply to cloth and patch the area. Use twice daily.

For scrofula with swelling, hardness, and pain persisting for a long time, use this formula.
Bat (Vespertilio, collected on Dragon Boat Festival, burned to ash and finely ground).
Male bats (Weng) have no head; female bats (Mu) have a head. First wash the area with wet paper. Wrap the powder in paper and insert into the sore hole. Healing usually occurs within three to five applications. For male bats, mix a small amount of Lead Monoxide (Litargyrus) powder with wheat paste and apply externally to resolve internally.

Another formula.
Borax (Borax, 1 fen), Lead Monoxide (Litargyrus, 1 fen, finely ground), Blister Beetle (Mylabris, 1 fen), Male Sparrow Droppings (Passer Domesticus Excrementum, 1 fen).
The above herbs are ground into powder, combined with soft cooked rice to form pills the size of wheat grains. Dry them, insert into the sore hole, and cover with wheat-paste cloth. They will naturally fall off after five to six days.

Another formula.
Fox head, hooves, bones, etc.
The above ingredients are coated with butter, roasted until yellow, finely ground, and passed through a fine sieve to make a powder. On an empty stomach, take 1 qian mixed with gruel drink.

Another formula.
Take one fox head bone, roast until yellow, grind into powder, and take 1 qian mixed with gruel drink.

Another formula.
Take two cat eyes, dry in shade, burn to ash, grind finely, and take with well-water.

Another formula.
Take a dried cat tongue, roast until yellow, grind into powder, and sprinkle onto the sore.

Another formula.
Burn a wild fox head to ash, grind finely, and apply to the sore.