夫瘰 者。由结风于内。积热在肝。营卫不和。胸膈壅滞。毒热搏于筋脉。结聚所成也
。初
也。
连翘（一两） 犀角屑（一两） 玄参（半两） 黄 （一两锉） 木通（半两锉） 漏
芦（一分）
杏仁（一两汤浸去皮尖双仁麸炒微黄）
上件药。捣筛为散。每服三钱。以水一中盏。煎六分。去滓。食前温服。
治瘰 出脓血不止。宜服此消死肉。散毒瓦斯。使 子转动宽软。鳖甲散方。
鳖甲（一两涂醋炙令黄去裙 ） 桑螵蛸（五枚微炒） 野狼毒（二两锉醋拌炒黄）
虫（五
枚
细研）
上件药。捣细罗为散。入研了药更研令匀。每日空心日午近夜。各一服。以粥饮调下一
钱。
治瘰 头多。经久不瘥。脓血不止。疼痛。豆牛子散方。
豆牛子（豆叶上生者二七枚以糯米同炒令米黄） 麝香（半钱细研）
上件药。同研如面。别取枳壳末三钱。用水一盏。煎至四分。去滓。调下散子半钱。五
更时服。良久觉腹痛。但只以枳壳汤细细呷之。即自止。有恶物从小肠出为效。
治瘰 结肿生脓。宜服黄 丸方。
黄 （一两锉） 木香（一两） 漏芦（一两） 枳壳（一两麸炒微黄去瓤） 玄参（一
两） 犀
角屑（一两） 桔梗（一两去芦头） 牛蒡子（二两微炒） 川大黄（一两锉碎微炒）
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每日空心及晚食前。以粥饮下
二十丸。
治瘰 结肿。穿溃生脓。枳壳丸方。
枳壳（一两半麸炒微黄去瓤） 玄参（一两） 漏芦（一两半） 川大黄（一两半锉碎
微炒）
黄（二两锉） 营实（一两） 牛蒡子（二两微炒） 露蜂房（半两微炙）
上件药。捣细罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服不计时候。以粥饮下三
十丸。
治瘰 结肿有头。脓水不止。白蔹丸方。
白蔹（一两） 黄 （一两锉） 木香（一两） 枳壳（一两麸炒微黄去瓤） 玄参（一
两） 乌
蛇（二两酒浸去皮骨炙令黄） 斑蝥（十四枚去头足翅翎以糯米拌炒令米黄）
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每日空心及晚食前。以粥饮下十丸。
治瘰 结成颗块。疼痛。穿溃脓水不绝。不计远近皆瘥。薄荷丸方。
薄荷（一束如碗大阴干） 皂荚（十挺长一尺二寸不 者去黑皮涂醋炙令焦黄）
上件药。捣碎。以酒一斗。浸经三宿。取出曝干。更浸三宿。如此。取酒尽为度。焙干
。捣罗为散。以烧饭和丸。如梧桐子大。每于食前。以黄 汤下二十丸。小儿减丸服之。
治瘰 生头。脓水不干。疼痛。宜贴蜂房膏方。
露蜂房（一两） 蛇蜕皮（半两） 玄参（半两） 黄 （三分） 杏仁（一两汤浸去
皮尖双仁
研） 乱发（如鸡子大） 黄丹（五两）
上件药。细锉。用麻油一斤。先煎发及杏仁。候发消尽。即以绵滤去滓。都入铛中。将
前药煎令焦黄。又滤去滓。下黄丹。以柳木篦不住手搅。候熬成膏。即倾于瓷盒中盛。旋取
涂于帛上贴之。
治瘰 脓水不绝。宜贴鼠灰散方。
蛇腹中鼠（一枚烧灰） 虾蟆（一枚炒灰）
上件药。捣罗为末。用生油调摊于帛上贴之。日一度换之。
治瘰 穿破作脓。宜用此方。
上取五月五日时。麦粉堆上生者茵子七枚。熟捣。先以米泔净疮。拭干贴之。日二度换
之。神效。
Luoli (cervical lymph node tuberculosis) is a disease formed by the accumulation of wind pathogens internally, heat toxicity accumulating in the Liver, disharmony of Ying and Wei (nutritive and defensive Qi), stagnation in the chest and diaphragm, and the binding of toxic heat with sinews and vessels, resulting in nodular aggregation.
Qiaoliao (Forsythiae Fructus, one tael), Xijiao xie (Rhinocerotis Cornu, one tael), Xuanshen (Scrophulariae Radix, half tael), Huangqin (Scutellariae Radix, one tael, sliced), Mutong (Akebiae Caulis, half tael, sliced), Loulu (Dangsheni Radix, one fen), Xingren (Armeniacae Semen, one tael, soaked in hot water, skin and tip removed, double-kernel bran-fried until slightly yellow).
The above herbs are crushed, sifted, and made into a powder. Each dose is three qian. Add one zhong of water, decoct until six parts remain, remove the dregs, and take warm before meals.
For Luoli with continuous discharge of pus and blood, it is appropriate to take this formula to eliminate necrotic tissue, disperse toxic vapors, and make the nodules mobile and soft. Biejia San Formula:
Biejia (Testudinis Carapax et Plastrum, one tael, coated with vinegar, fried until yellow, skirt removed), Sangpiaoxiao (Mantidis Ootheca, five pieces, lightly fried), Yelangdu (Stemona Radix, two taels, sliced, mixed with vinegar and fried until yellow), Chong (Eupolyphaga seu Steleophaga, five pieces, finely ground).
The above herbs are finely crushed, sifted through a fine sieve, and mixed thoroughly with the previously ground ingredients. Take one dose each time on an empty stomach, at noon, and near nightfall. Mix one qian with millet gruel for administration.
For multiple-headed Luoli that persist for a long time without healing, accompanied by continuous pus and blood discharge and pain. Douniu Zi San Formula:
Douniu Zi (Fructus Arctii growing on bean leaves, seven pairs, stir-fried together with glutinous rice until the rice turns yellow), Shexiang (Moschus, half qian, finely ground).
The above herbs are ground together into a fine powder. Separately, take three qian of Zhike powder, add one zhong of water, decoct until four parts remain, remove the dregs, and mix with half qian of the powder. Take at wugeng time (3-5 AM). After a while, abdominal pain may occur; simply sip the Zhike decoction slowly, and the pain will cease spontaneously. The expulsion of foul matter from the small intestine indicates efficacy.
For Luoli nodules swelling and suppurating, it is appropriate to take Huangqi Wan Formula:
Huangqi (Astragali Radix, one tael, sliced), Muxiang (Aucklandiae Radix, one tael), Loulu (Dangsheni Radix, one tael), Zhike (Aurantii Fructus, one tael, bran-fried until slightly yellow, pith removed), Xuanshen (Scrophulariae Radix, one tael), Xijiao xie (Rhinocerotis Cornu, one tael), Jiegeng (Platycodonis Radix, one tael, radix removed), Niubangzi (Arctii Fructus, two taels, lightly fried), Chuandahuang (Rhei Radix et Rhizoma, one tael, sliced and crushed, lightly fried).
The above herbs are crushed, sifted, and made into powder. Mix with refined honey and pound 300-200 times. Form pills the size of paulownia seeds. Take twenty pills on an empty stomach and before evening meals, washed down with millet gruel.
For Luoli nodules that have ulcerated and suppurated. Zhike Wan Formula:
Zhike (Aurantii Fructus, one and a half taels, bran-fried until slightly yellow, pith removed), Xuanshen (Scrophulariae Radix, one tael), Loulu (Dangsheni Radix, one and a half taels), Chuandahuang (Rhei Radix et Rhizoma, one and a half taels, sliced and crushed, lightly fried), Huangqi (Astragali Radix, two taels, sliced), Yingshi (Rubiae Radix, one tael), Niubangzi (Arctii Fructus, two taels, lightly fried), Lufengfang (Apiapis Alveus, half tael, lightly roasted).
The above herbs are finely crushed, sifted, and made into powder. Mix with refined honey and pound 300-200 times. Form pills the size of paulownia seeds. Take thirty pills at any time, washed down with millet gruel.
For Luoli nodules with heads and continuous purulent discharge. Bailian Wan Formula:
Bailian (Puerariae Radix, one tael), Huangqi (Astragali Radix, one tael, sliced), Muxiang (Aucklandiae Radix, one tael), Zhike (Aurantii Fructus, one tael, bran-fried until slightly yellow, pith removed), Xuanshen (Scrophulariae Radix, one tael), Wushe (Agkistrodon, two taels, soaked in wine, skin and bones removed, roasted until yellow), Banmao (Mylabris, fourteen pieces, head, feet, wings, and feathers removed, stir-fried with glutinous rice until the rice turns yellow).
The above herbs are crushed, sifted, and made into powder. Mix with refined honey to form pills the size of paulownia seeds. Take ten pills on an empty stomach and before evening meals, washed down with millet gruel.
For Luoli forming lumps with pain and continuous purulent discharge after ulceration, curable regardless of duration. Bohe Wan Formula:
Bohe (Menthae Haplocalyx, one bundle bowl-sized, dried in shade), Zaojiao (Gleditsiae Sinensis Fructus, ten stalks, one chi two cun long, free of pests, black skin removed, coated with vinegar, roasted until scorched yellow).
The above herbs are crushed. Soak in one dou of wine for three nights. Remove and dry in the sun. Soak again for three nights. Repeat until the wine is fully absorbed. Dry by roasting, crush, and sift into powder. Mix with cooked rice to form pills the size of paulownia seeds. Take twenty pills before meals, washed down with Huangqi decoction. Reduce dosage for children.
For Luoli with heads, non-drying purulent discharge, and pain, apply Fengfang Gao externally:
Lufengfang (Apiapis Alveus, one tael), Shetuipi (Bombyx Batryticatus, half tael), Xuanshen (Scrophulariae Radix, half tael), Huangqi (Astragali Radix, three qian), Xingren (Armeniacae Semen, one tael, soaked in hot water, skin and tip removed, double-kernel ground), Luankou (Human hair, size of a chicken egg), Huangdan (Minii Oxidum, five taels).
The above herbs are finely sliced. Use one jin of sesame oil. First decoct the hair and almonds until the hair dissolves completely. Filter through silk cloth to remove dregs. Add all remaining herbs to the pot and decoct until scorched yellow. Filter again to remove dregs. Add Huangdan. Stir continuously with a willow wood spatula until the ointment forms. Pour into a porcelain container. Apply as needed onto cloth and patch to the affected area.
For continuous purulent discharge from Luoli, apply Shuhui San externally:
Shefushuzhongshu (Mouse found in snake belly, one piece, burned to ash), Xama (Bufo bufo gargarizans, one piece, stir-fried to ash).
The above herbs are crushed, sifted, and made into powder. Mix with raw sesame oil, spread on cloth, and apply to the affected area. Change once daily.
For Luoli that have ruptured and suppurred, use this formula:
Take seven Yinzhou (roots of Typhonium or similar herb growing on wheat flour piles) harvested on the fifth day of the fifth lunar month. Pound them thoroughly. First clean the wound with rice wash water, dry it, and apply the paste. Change twice daily. This is highly effective.