夫瘿初结者。由人忧恚气逆。蕴蓄所成也。久饮沙石流水。毒瓦斯不散之所致也。皆是脾
肺壅
治颈卒生结囊。欲成瘿。宜服木通散方。
木通（一两锉） 海藻（一两热洗去咸水） 昆布（一两洗去咸味） 松萝（一两） 桂
心（一
两）
上件药。捣细罗为散。每服不计时候。以温酒调下二钱
治咽喉气壅闷。渐结成瘿。宜服海藻散方。
海藻（一两洗去咸味） 贝母（二两煨微炒） 土瓜根（半两） 小麦面（半两炒微黄）
上件药。捣细罗为散。每于食后。以温酒调下一钱。
治瘿气初结。咽喉中壅闷。不治即渐渐肿大。宜服昆布丸方。
昆布（一两洗去咸味） 诃黎勒皮（一两） 槟榔（一两） 松萝（半两） 干姜（半
两炮裂锉）
桂
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每于食后。以温酒下二十丸。
又方。
昆布（一两洗去咸味） 海藻（一两洗去咸味） 诃黎勒皮（一两） 枳壳（半两麸炒
去瓤）
上件药。捣罗为末。炼蜜和丸。如杏核大。常含一丸咽津。
又方。
琥珀（一两） 川大黄（一两锉炮微炒） 昆布（半两洗去咸味）
上件药。捣罗为末。炼蜜和丸。如梧桐子大。每日空心。及晚食后。以温酒下二十丸。
又方。
槟榔（三两） 海藻（二两洗去咸） 昆布（三两洗去咸水）
上件药。捣罗为末。炼蜜和丸。如小弹子大。常含一丸咽津。
又方。
小麦〔三（一）升以三年米醋三升浸之曝干更浸候醋尽为度〕 昆布（五两洗去咸味）
上捣细罗为散。每于食后。以温酒调下二钱。如不饮酒。以水调服之。服尽即瘥。多服
弥佳
Any initial formation of Ying (goiter, a swelling in the neck) is caused by emotional distress and anger leading to rebellious Qi, which accumulates and stagnates; or it results from long-term consumption of flowing water containing sand and stones, causing toxic vapors to remain unresolved. All these conditions lead to the obstruction of Pi (Spleen) and Fei (Lung) Qi.
For treating sudden nodular cysts appearing on the neck that are about to become Ying (goiter), the Mutong San (Wood Vetch Powder) formula is suitable.
Mutong (Caulis Akebiae, one liang, crushed) Haizao (Herba Sargassii, one liang, washed with hot water to remove saline content) Kunbu (Thallus Laminariae, one liang, washed to remove saline taste) Songluo (Ramulus Usnea, one liang) Guixin (Cortex Cinnamomi, one liang)
The above herbs are finely ground and sifted through a fine sieve into a powder. Take two qian at any time, mixed with warm wine for administration.
For treating Qi obstruction and stuffiness in the throat that gradually forms Ying (goiter), the Haizao San (Sargassum Powder) formula is suitable.
Haizao (Herba Sargassii, one liang, washed to remove saline taste) Beimu (Bulbus Fritillariae Cirrhosae, two liang, baked until slightly fried) Tugegen (Radix Polymeli, half liang) Xiaomai Mian (Triticum aestivum flour, half liang, stir-fried until slightly yellow)
The above herbs are finely ground and sifted through a fine sieve into a powder. Take one qian after meals, mixed with warm wine for administration.
For treating the initial formation of Ying Qi (goiter qi), characterized by obstruction and stuffiness in the throat, which if untreated will gradually swell, the Kunbu Wan (Laminaria Pill) formula is suitable.
Kunbu (Thallus Laminariae, one liang, washed to remove saline taste) Helilepi (Pericarpium Terminaliae Chebulae, one liang) Binglang (Areca Seed, one liang) Songluo (Ramulus Usnea, half liang) Ganjiang (Rhizoma Zingiberis Recens, half liang, processed until cracked and crushed) Guixin (Cortex Cinnamomi, one liang)
The above herbs are ground into powder, mixed with refined honey to form pills the size of Sophora japonica seeds. Take twenty pills after meals, administered with warm wine.
Another prescription.
Kunbu (Thallus Laminariae, one liang, washed to remove saline taste) Haizao (Herba Sargassii, one liang, washed to remove saline taste) Helilepi (Pericarpium Terminaliae Chebulae, one liang) Zhike (Fructus Aurantii, half liang, stir-fried with bran, placenta removed)
The above herbs are ground into powder, mixed with refined honey to form pills the size of apricot kernels. Frequently hold one pill in the mouth and swallow the saliva.
Another prescription.
Hupo (Fossilia Subcorium, one liang) Chuan Dahuang (Radix et Rhizoma Rhei, one liang, crushed and processed until slightly fried) Kunbu (Thallus Laminariae, half liang, washed to remove saline taste)
The above herbs are ground into powder, mixed with refined honey to form pills the size of Sophora japonica seeds. On an empty stomach daily, and after evening meals, take twenty pills administered with warm wine.
Another prescription.
Binglang (Areca Seed, three liang) Haizao (Herba Sargassii, two liang, washed to remove saline taste) Kunbu (Thallus Laminariae, three liang, washed to remove saline water)
The above herbs are ground into powder, mixed with refined honey to form pills the size of small marbles. Frequently hold one pill in the mouth and swallow the saliva.
Another prescription.
Xiaomai (Fructus Tritici aestivi, three sheng, soaked in three sheng of rice vinegar aged three years, dried, then soaked again until the vinegar is fully absorbed) Kunbu (Thallus Laminariae, five liang, washed to remove saline taste)
The above herbs are finely ground and sifted through a fine sieve into a powder. Take two qian after meals, mixed with warm wine for administration. If alcohol is not consumed, mix with water instead. The condition will resolve after finishing the dose; taking more is even better.