瘰 者，颈上项侧结聚成核，累累相连。或生于胸胁之间，重者形如马刀，更重者聚成一片，坚硬如铁，俗名铁板
，必死。凡 ，多起于耳之前后，乃少阴之部位也。女子善怀，每多忧郁，宜逍遥散加贝母、夏枯草、牡蛎、栝蒌子、
青皮之类常服；虚者加味归脾汤最妙。必须灸肩 二穴、曲池二穴、命门一穴、气海一穴、足三里二穴，方能除根。又
取大虾蟆一个，去肠洗净，复于 上，以艾如大豆样，灸虾蟆皮上，至热气透 ，再灸别处；如虾蟆皮焦，移易灸之。
三五日灸一次，熏者三次可愈。服消 汤∶栝蒌一个（捣）甘草汁三钱，皂角一片（去弦子），大黄三钱，五味子一岁一
粒，水煎服；下秽物愈，未下再服。常服丸方∶元参（蒸）、牡蛎（醋煮）、川贝母各半斤，为末，以夏枯草二斤，长流
水（熬膏）半碗，入熟蜜为丸，如梧桐子大，每服三钱，一日两服，开水送下。此症忌刀针及敷溃烂之药。有丹方用羚
羊角（以磁盘刮下为末，或用旧明角琉璃刮下为末尤良），每斤入贝母四两，全蝎三两，蜜丸，空腹服三钱。外用皂角入
鲫鱼腹中， 灰存性，蜜和醋调涂，无不应效。
《经》云∶乳头属足厥阴肝经，乳房属足阳明胃经。若乳房忽然肿痛，数日之外， 肿而溃，稠脓涌出，脓尽而愈，
此属肝胃热毒、血气壅滞所致，名曰乳痈，犹为易治。若乳岩者，初起内结小核如棋子，不赤不痛，积久渐大崩溃，形
如
熟榴，内溃深洞，脓水淋漓，有 岩之势，故名曰乳岩；此属脾肺郁结，血气亏损，最为难治。乳痈初起，若服人参败
毒散，栝蒌散加忍冬藤、白芷、青橘皮、生 、当归、红花之类，敷以香附饼，即见消散；如已成脓，则以神仙太乙膏
贴之，吸尽脓水自愈矣。乳岩初起，若用加味逍遥散、加味归脾汤二方间服，亦可内消。及其病势已成，虽有卢扁，亦
难为力。但当确服前方，补养气血，纵未脱体，亦可延生。周季芝云∶乳痈、乳岩结硬未溃，以活鲫鱼同天生山药捣烂
入麝香少许，涂块上，觉痒勿搔动，隔衣轻轻揉之，以七日一涂，旋涂旋消；若用行血破气之剂，是速其危也。更有乳
缩症，乳头缩收肉内，此肝经受寒，气敛不舒，宜当归补血汤加干姜、肉桂、白芷、防风、木通之类主之。又有乳卸症，
乳头拖下，长一二尺，此肝经风热发泄也，用小柴胡汤加羌活、防风主之；外用羌活、防风、白蔹火烧熏之；仍以蓖麻
子四十九粒、麝香一分，研极烂涂顶心，俟至乳收上，急洗去。此系属怪症，妇人盛怒者多得之，不可不识。
栝蒌散
栝蒌（一个） 明乳香（二钱） 酒煎服。
香附饼 敷乳痈，实时消散；一切痈肿，皆可敷。
香附（细未，净一两） 麝香（二分）
上二味研，以蒲公英二两，煎酒去渣，以酒调药，炖热敷患处。
神仙太乙膏 治一切痈疽，不问脓之成否，并宜贴之。
元参 白芷 当归 肉桂 生地 赤芍 大黄（各一两） 黄丹（十二两，炒筛）
上药用麻油二斤，内诸药煎黑，滤去滓；复将油入锅，熬至滴水成珠，入黄丹十二两再熬，滴水中，看其硬软得中，
即成膏矣。如软，再加黄丹数钱。
加味逍遥散 治肝经郁火，颈生瘰 ，并胸胁胀痛；或作寒热，甚至肝木生风，眩晕振摇；或切牙发痉诸症。
《经》云∶木郁则达之，是也。
北柴胡 茯苓 当归 天生术 甘草 白芍 牡丹皮 山栀（炒黑，各一钱） 薄荷（五分） 老生姜（一片） 清
水煎。
Scrofula (Luo Li) refers to the accumulation of nodules on the sides of the neck, linked together like beads. Some may arise between the chest and hypochondrium; in severe cases, the shape resembles a "horse knife" (long, narrow tumor), and in even more severe cases, they coalesce into a single mass, hard as iron, commonly known as "iron plate," which is invariably fatal. Generally, scrofula often originates around the ears, which is the region of the Shaoyin (Lesser Yin) meridian. Women are prone to melancholy and often suffer from depression; it is advisable to take Xiaoyao San (Free and Easy Wanderer Powder) with added Fumu (Fritillariae Bulbus), Xiakucao (Prunellae Spica), Muli (Ostreae Concha), Gualouzi (Trichosanthis Semen), and Qingpi (Aurantii Fructus Pericarpium Viridis) for regular use. For those with deficiency, Jiawei Guipi Tang (Modified Restore the Spleen Decoction) is most excellent. It is essential to moxa the Jianjing GB21 acupoints bilaterally, Quchi LI11 bilaterally, Mingmen GV4 unilaterally, Qihai CV6 unilaterally, and Zusanli ST36 bilaterally to eradicate the root cause. Additionally, take one large toad, remove the entrails and clean it, then apply it to the affected area. Use moxa cones the size of soybeans to moxibustion the skin of the toad until the heat penetrates deeply into the lesion, then move to other areas; if the toad's skin becomes charred, replace it with a fresh one. Perform this every three to five days; fumigation treatment three times can lead to a cure. Take Xiao Luo Tang (Eliminate Scrofula Decoction): one Trichosanthis Fructus (Gu Lou), crushed; three qian of Licorice Juice (Gan Cao Zhi); one piece of Gleditsiae Sinensis Fructus (Zao Jiao), seeds removed; three qian of Rheum Palmatum Radix et Rhizoma (Da Huang); and one seed of Schisandrae Chinensis Fructus (Wu Wei Zi) for each year of age. Decoct in water and drink orally; recovery occurs upon expulsion of foul matter, otherwise repeat the dose. For regular maintenance, take pills: half jin of prepared Scrophulariae Radix (Xuan Shen), half jin of vinegar-processed Ostreae Concha (Mu Li), and half jin of Chuanbei Mu (Fritillariae Cirrhosae Bulbus). Grind into powder. Boil two jin of Prunellae Spica (Xia Ku Cao) in flowing water to make half a bowl of paste. Mix with refined honey to form pills the size of paulownia seeds. Take three qian per dose, twice daily, washed down with warm water. This condition contraindicates surgical incision or application of ulcerating medicines. There is a folk prescription using Antelope Horn (Ling Yang Jiao): scrape into powder using a porcelain plate, or preferably scrape old clear horn/glaze. Add four liang of Fumu (Fritillariae Bulbus) and three liang of Scorpio (Quan Xie) per jin of horn powder. Form into honey pills and take three qian on an empty stomach. Externally, place Gleditsiae Sinensis Fructus (Zao Jiao) inside a crucian carp, calcine until preserved nature (cun xing), mix with honey and vinegar, and apply; this is invariably effective.
The Classic states: The nipple belongs to the Foot-Jueyin Liver Meridian, and the breast belongs to the Foot-Yangming Stomach Meridian. If the breast suddenly becomes swollen and painful, and after several days swells and ulcerates, discharging thick pus until healing occurs upon completion of pus discharge, this is caused by Heat-Toxin in the Liver and Stomach with stagnation of Qi and Blood. It is named Ru Yong (Breast Abscess) and is relatively easy to treat. However, Ru Yan (Breast Cancer/Rock) begins internally with small nodules like chess pieces, without redness or pain. Over time, it gradually enlarges, breaks down, and takes the shape of a ripe pomegranate, with deep internal ulceration and dripping pus, resembling rock, hence the name Ru Yan. This is caused by depression and consolidation in the Spleen and Lungs with depletion of Qi and Blood, making it extremely difficult to treat. In the early stage of Ru Yong, taking Renshen Baidu San (Ginseng Detoxification Powder) or Gualou San (Trichosanthes Powder) with added Hengdongteng (Lonicerae Japonicae Caulis), Baizhi (Angelicae Dahuricae Radix), Qingjupi (Aurantii Fructus Viridis), Sheng Dihuang (Rehmanniae Radix Recens), Danggui (Angelicae Sinensis Radix), and Honghua (Carthami Flos) externally applied with Xiangfu Bing (Cyperi Cataplasm) will lead to immediate resolution. If suppuration has already occurred, apply Shenxian Taiyi Gao (Immortal Great One Plaster) to absorb the pus, leading to spontaneous healing. In the early stage of Ru Yan, alternating Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) and Jiawei Guipi Tang (Modified Restore the Spleen Decoction) can also resolve the condition internally. Once the disease is established, even masters like Lu Bian (Lu Yu and Bian Que) would find it difficult to help. One should strictly take the aforementioned formulas to tonify Qi and Blood; although complete recovery may not occur, life can be prolonged. Zhou Zhizhi stated: For hardened Ru Yong or Ru Yan that have not yet ulcerated, mash a live crucian carp with natural Dioscorea Rhizome (Tiansheng Shanyao), add a small amount of Moschus (Shexiang), and apply to the lump. Do not scratch if itching occurs; gently rub through clothing. Apply once every seven days, and it will dissipate as it is applied. Using blood-invigorating and qi-breaking agents accelerates danger. Furthermore, there is a condition called Ru Suo (Nipple Retraction), where the nipple retracts into the flesh, caused by Cold invading the Liver Meridian and constriction of Qi mechanism. It is treated primarily with Danggui Buxue Tang (Danggui Tonifying Blood Decoction) plus Ganjiang (Zingiberis Rhizoma), Rougui (Cinnamomi Cortex), Baizhi (Angelicae Dahuricae Radix), Fangfeng (Saposhnikoviae Radix), and Mutong (Akebiae Caulis). Another condition is Ru Xie (Nipple Prolapse), where the nipple hangs down, one or two chi long, caused by Wind-Heat venting from the Liver Meridian. It is treated with Xiao Chaihu Tang (Minor Bupleurum Decoction) plus Qianghuo (Notopterygii Rhizoma et Radix) and Fangfeng (Saposhnikoviae Radix). Externally, burn Qianghuo (Notopterygii Rhizoma et Radix), Fangfeng (Saposhnikoviae Radix), and Baijian (Paeoniae Radix Rubra? Note: Text says Bai Lian, likely Aconiti Lateralis Radix Preparata or similar, but literal is Bai Lian) for fumigation. Also, grind forty-nine Castor Seeds (Bimazi) and one fen of Moschus (Shexiang) into a fine paste and apply to the vertex (Dingxin). Wash off immediately when the nipple retracts upward. This is a strange disease, mostly occurring in women who suffer from intense anger; it must be recognized.
Gu Lou San (Trichosanthes Powder)
One Trichosanthis Fructus (Gu Lou), two qian of Ming Rush Xiang (Styrax Resina). Decoct in wine and drink.
Xiang Fu Bing (Cyperi Cataplasm)
Apply for Ru Yong (Breast Abscess) for immediate dissipation; applicable to all carbuncles and swellings.
One liang of finely powdered Cyperi Rhizoma (Xiang Fu), two fen of Moschus (Shexiang).
Grind these two ingredients. Decoct two liang of Taraxaci Herba (Pugongying) in wine, strain, and mix with the medicine. Warm and apply to the affected area.
Shenxian Taiyi Gao (Immortal Great One Plaster)
Treats all carbuncles and sores, whether pus is formed or not; suitable for application.
One liang each of Scrophulariae Radix (Yuan Shen), Angelicae Dahuricae Radix (Baizhi), Angelicae Sinensis Radix (Danggui), Cinnamomi Cortex (Rougui), Rehmanniae Radix (Sheng Di), Paeoniae Radix Rubra (Chi Shao), and Rheum Palmatum Radix et Rhizoma (Da Huang). Twelve liang of Minium (Huang Dan), fried and sifted.
Boil the above herbs in two jin of Sesame Oil (Ma You) until black. Filter out the dregs. Return the oil to the pot and boil until a drop forms a bead in water. Add twelve liang of Minium (Huang Dan) and boil again. Test hardness in water; adjust consistency. If too soft, add a few qian more Minium.
Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder)
Treats constrained Fire in the Liver Meridian, causing scrofula on the neck, distending pain in the chest and hypochondrium; alternating chills and fever; even Liver Wood generating Wind, causing dizziness and tremors; or teeth grinding and spasms.
The Classic states: "When Wood is constrained, release it." This is correct.
Five qian each of Bupleuri Radix (Chai Hu), Poria (Fu Ling), Angelicae Sinensis Radix (Dang Gui), Atractylodis Macrocephalae Rhizoma (Tian Sheng Zhu - *Note: Likely Bai Zhu*), Glycyrrhizae Radix et Rhizoma (Gan Cao), Paeoniae Radix Alba (Bai Shao), Moutan Cortex (Mu Dan Pi), and Gardeniae Fructus (Shan Zhi, stir-fried black). Five fen of Menthae Haplocalycis Herba (Bo He). One slice of Zingiberis Rhizoma Recens (Lao Sheng Jiang). Decoct in clear water.