结核者。火因痰注而不散。郁结坚硬如果中核。或在颈胁。或在手足。或在颈项。或在
臂在
腋。如肿毒。不红不痛。不作脓。不必溃发。但令热气散。核自消。大法。宜二陈汤加竹沥
多服为效。
梅核气者。窒碍于咽喉之间。咯之不出。咽之不下。如梅核之状者是也。始因喜怒太过
积热
蕴隆而成。疠痰郁结。致有斯疾耳。治宜导痰开郁。清热顺气。加陈皮、半夏、川芎、香附
、山栀、黄芩、枳壳、苏子之类是也。如老痰凝结不开。以咸能软坚之药。海石是也。
一论咽喉结核成块。如核桃者。肿硬疼痛。两腋下俱有。及颈项肿硬。头不能转。
消解散
南星（三钱） 半夏（二钱姜炒） 陈皮（二钱） 枳实（一钱） 桔梗（八分） 前胡（二钱）
柴胡
（八分） 黄连（六分） 白附子（八分） 连翘（三钱） 赤芍（二钱） 防风（一钱五分） 独活（
二钱） 莪术（一钱） 木通（二钱） 苏子（三钱） 白芥子（二钱） 蔓荆子（二钱） 甘草（八分
）上锉。生姜、灯草煎服。
一论不问男妇。遍身疙瘩成块如核。不红不痛。皆痰流注而成结核也。
醉翁仙方 海上异人传。
白头翁一斤。去叶用根。分作四服。每一服四两。用酒煎。一日三服。二日服尽而已。
一秘方 治症同前。效不可言。
蓖麻子一斤。去壳用肉。放入公猪肚内。酒煮肚烂为度。取去蓖麻子。晒干为末。用前
烂猪肚。捣千余下。为丸。酒送下。一日服三次。
一论妇人遍身痰核。不痛不红不肿。内消之剂。
陈皮（二钱） 半夏（二钱） 白茯苓（三钱） 当归（三钱） 川芎（一钱五分） 白芍（二钱）
枳
实（一钱） 黄连（六分） 香附（二钱） 桔梗（八分） 龙胆草（三钱） 连翘（三钱） 防己（二
钱） 羌活（二钱） 柴胡（八分） 甘草（八分）
上锉。生姜三片。水煎服。
一论结核。浑身手足俱有。如胡桃者。并治胸中胃脘至咽门窄狭如线。疼痛者。此风痰
气热所致也。
开结导痰汤
陈皮（一钱） 半夏（七分） 枳壳（一钱） 枳实（七分） 桔梗（五分） 前胡（五分） 黄芩
（一
钱） 香附（童便浸三分） 威灵仙（七分） 荆芥（七分） 羌活（七分） 木香（七分） 槟榔（八
分） 僵蚕（二分） 射干（七分） 甘草（七分）
上锉一剂。生姜三片。水煎服。
一论痰核气核。 腮疙瘩。及吹乳等症。
内消散 朱宾湖得效。
南薄荷（三钱） 斑蝥（去翅足三分炒）
上为细末。每服三分。烧酒调下。立效。服之后。小便频数。服益元散。以乌鸡子清丸
如绿
豆大。每服一丸茶下。加至五丸。却每日减少一丸。减至一丸后。每日服五丸。治瘰 。名
内消丸。
一论痰核方 庠生石介伯传。
归尾（一两） 赤芍梢（一两五钱） 连翘（一两） 本（七钱五分） 细辛（八分） 羌活（
一两）
）桂枝（一两） 甘草节（六钱） 赤芍（一两）
上为细末。每服二三钱。食后。酒调服。
一论痰核。在喉咙上下左右。或生在两腋下。并治瘰 。庠生敏所兄传。
防风（一两五钱） 山茨茹（一两） 穿山甲（七钱） 射干（二两） 红内消（二两） 白芷梢
（一
薄荷（各一两） 金银花 桔梗（各一两五钱） 独活（一两） 僵蚕（一两） 半夏（一两）
枯草（二两） 皂角刺（二两） 小川芎（一两） 当归尾（一两） 甘草（五钱）
上锉一剂。水煎。食后服。有潮热。加黄芩、柴胡各五钱。
一男子素善怒。忽项微肿。渐大如升。用清痰理气。而大热作渴。小便频浊。余谓肾水
亏损
用六味地黄丸。补中益气而愈。亦有项胁等处。大如升斗。或破如菌榴。不问大小。俱
治以前法。必多服。以愈为度。
Tubercles refer to hard, nodular accumulations caused by the retention of heat-fire due to phlegm obstruction, resembling the pit within a fruit. These nodules may appear in the neck, hypochondrium, hands and feet, nape of the neck, arms, or axillae. Their appearance resembles a swelling toxin (tumefaction), but they are neither red nor painful, do not suppurate, and do not require ulceration or discharge. Once the internal heat dissipates, the nodules will naturally resolve. The general treatment principle is to administer Er Chen Tang (Two-Aged Decoction, a basic formula for drying dampness and resolving phlegm) with Zhu Li (Bamboo Sap, used to clear heat and resolve phlegm), taken in large quantities for efficacy.
Plum-pit Qi refers to a sensation of obstruction in the throat, where the foreign body cannot be expectorated nor swallowed, feeling like a plum pit stuck there. This condition initially arises from excessive anger or joy, leading to accumulated heat and flourishing stagnation, causing stubborn phlegm to knot and resulting in this disease. Treatment should employ methods to guide out phlegm, open depression, clear heat, and regulate qi. Herbs such as Chen Pi (Citrus Peel), Ban Xia (Pinellia Rhizome), Chuan Xiong (Sichuan Lovage Rhizome), Xiang Fu (Cyperus Rhizome), Shan Zhi (Gardenia Fruit), Huang Qin (Scutellaria Root), Zhi Qiao (Aurantium Fruit), and Su Zi (Perilla Seed) may be selected. If old phlegm is knotted and unyielding, salty herbs that can soften hardness, such as Hai Shi (Floating Limestone), should be used.
One discussion addresses tubercles forming lumps in the throat, sized like walnuts, which are swollen, hard, and painful, accompanied by similar conditions in both axillae and stiffness/swelling in the neck preventing head rotation.
Xiao San Jie Powder:
Nan Xing (Arisaema Cum Bile, 3 qian), Ban Xia (Pinellia Rhizome fried with ginger, 2 qian), Chen Pi (Citrus Peel, 2 qian), Zhi Shi (Immature Bitter Orange, 1 qian), Jie Geng (Platycodon Root, 8 fen), Qian Hu (Peucedani Radix, 2 qian), Chai Hu (Bupleuri Radix, 8 fen), Huang Lian (Coptis Rhizome, 6 fen), Bai Fu Zi (Typhonii Rhizoma, 8 fen), Lian Qiao (Forsythiae Fructus, 3 qian), Chi Shao (Red Peony Root, 2 qian), Fang Feng (Saposhnikoviae Radix, 1.5 qian), Du Huo (Angelicae Pubescentis Radix, 2 qian), E Zhu (Curcumae Rhizoma, 1 qian), Mu Tong (Akebia Caulis, 2 qian), Su Zi (Perilla Seed, 3 qian), Bai Jie Zi (Sinapis Semen, 2 qian), Man Jing Zi (Vitalae Fructus, 2 qian), Gan Cao (Licorice Root, 8 fen).
Decoct these ingredients with fresh ginger and Juncus effusus (Deng Cao) for administration.
Another discussion states that regardless of gender, widespread nodules appearing like pits on the body, which are neither red nor painful, are all tubercles formed by the flow and deposition of phlegm.
The Immortal Formula of the Drunken Old Man, transmitted by an outsider from the sea.
Bai Tou Weng (Pulsatilla Root, 1 jin). Remove leaves, use only roots. Divide into four doses. Each dose is 4 liang. Decoct with wine. Take three times a day. Finish within two days.
A secret formula treats the same symptoms as above, with indescribable efficacy.
Bi Ma Zi (Ricinus Seed, 1 jin). Remove shells, use only the meat. Place inside a male pig's stomach. Decoct with wine until the stomach is thoroughly rotten. Remove the ricinus seeds. Dry and grind into powder. Use the previously boiled rotten pig stomach, pound it over a thousand times, and mix with the powder to form pills. Administer with wine, three times a day.
A discussion addresses phlegm nodules all over a woman's body, which are painless, non-red, and non-swollen, using an internal resolution agent.
Chen Pi (Citrus Peel, 2 qian), Ban Xia (Pinellia Rhizome, 2 qian), Bai Fu Ling (Poria, 3 qian), Dang Gui (Angelica Sinensis, 3 qian), Chuan Xiong (Sichuan Lovage Rhizome, 1.5 qian), Bai Shao (White Peony Root, 2 qian), Zhi Shi (Immature Bitter Orange, 1 qian), Huang Lian (Coptis Rhizome, 6 fen), Xiang Fu (Cyperus Rhizome, 2 qian), Jie Geng (Platycodon Root, 8 fen), Long Dan Cao (Gentiana Root, 3 qian), Lian Qiao (Forsythiae Fructus, 3 qian), Fang Ji (Stephania Tetrandra, 2 qian), Qiang Huo (Notopterygii Rhizoma et Radix, 2 qian), Chai Hu (Bupleuri Radix, 8 fen), Gan Cao (Licorice Root, 8 fen).
Decoct these ingredients with three slices of fresh ginger in water for administration.
A discussion addresses tubercles present all over the body and limbs, sized like walnuts, and also treats narrowing of the chest, epigastrium, and throat to the width of a thread, accompanied by pain. This is caused by wind-phlegm and qi-heat.
Kai Jie Dao Tan Decoction:
Chen Pi (Citrus Peel, 1 qian), Ban Xia (Pinellia Rhizome, 7 fen), Zhi Qiao (Aurantium Fruit, 1 qian), Zhi Shi (Immature Bitter Orange, 7 fen), Jie Geng (Platycodon Root, 5 fen), Qian Hu (Peucedani Radix, 5 fen), Huang Qin (Scutellaria Root, 1 qian), Xiang Fu (Cyperus Rhizome soaked in child's urine, 3 fen), Wei Ling Xian (Clematis Root, 7 fen), Jing Jie (Schizonepeta Spike, 7 fen), Qiang Huo (Notopterygii Rhizoma et Radix, 7 fen), Mu Xiang (Aucklandiae Radix, 7 fen), Bing Lang (Areca Seed, 8 fen), Jiang Can (Bombyx Batryticatus, 2 fen), She Ye (Belamcanda Rhizome, 7 fen), Gan Cao (Licorice Root, 7 fen).
Decoct one dose with three slices of fresh ginger in water for administration.
A discussion addresses phlegm nodules, qi nodules, cheek swellings, and conditions such as acute mastitis (Blow Breast).
Nei Xiao San, an effective formula obtained by Zhu Binhu.
Nan Bo He (Mentha Haplocalyx, 3 qian), Ban Mao (Mylabris, wings and feet removed, 3 fen, stir-fried).
Grind into fine powder. Take 3 fen per dose, mixed with strong liquor. Immediate effect is expected. After taking this, frequent urination may occur. Subsequently, take Yi Yuan San (Benefiting Prime Powder) prepared with egg white from a black hen into pills the size of mung beans. Take one pill with tea, gradually increasing to five pills. Then decrease by one pill daily until reaching one pill, after which maintain five pills daily. This formula is used to treat scrofula and is named Nei Xiao Wan.
A formula for phlegm nodules, transmitted by Scholar Shi Jiebo.
Gui Wei (Angelica Sinensis Tail, 1 liang), Chi Shao Shao (Red Peony Root Tip, 1.5 liang), Lian Qiao (Forsythiae Fructus, 1 liang), Ben Cao/Luo Bu Gen (Ligusticum Chuanxiong Rhizome, 7.5 qian), Xi Xin (Asarum Root, 8 fen), Qiang Huo (Notopterygii Rhizoma et Radix, 1 liang), Gui Zhi (Cinnamon Twig, 1 liang), Gan Cao Jie (Licorice Root Joint, 6 qian), Chi Shao (Red Peony Root, 1 liang).
Grind into fine powder. Take 2-3 qian per dose after meals, mixed with wine.
A discussion addresses phlegm nodules located above, below, left, or right of the throat, or in the axillae, and also treats scrofula. Transmitted by the elder brother of Scholar Min.
Fang Feng (Saposhnikoviae Radix, 1.5 liang), Shan Ci Ru (Iphigenia Bulb, 1 liang), Chuan Shan Jia (Pangolin Scale, 7 qian), She Ye (Belamcanda Rhizome, 2 liang), Hong Nei Xiao (Herba Siegesbeckiae, 2 liang), Bai Zhi Shao (Angelica Dahurica Root Tip, 1 liang), Bo He (Mentha Haplocalyx, 1 liang each), Jin Yin Hua (Lonicerae Japonicae Flos, 1 liang), Jie Geng (Platycodon Root, 1.5 liang each), Du Huo (Angelicae Pubescentis Radix, 1 liang), Jiang Can (Bombyx Batryticatus, 1 liang), Ban Xia (Pinellia Rhizome, 1 liang), Ku Cao (Prunella Spica, 2 liang), Zao Jiao Ci (Gleditsiae Spina, 2 liang), Xiao Chuan Xiong (Sichuan Lovage Rhizome, 1 liang), Dang Gui Wei (Angelica Sinensis Tail, 1 liang), Gan Cao (Licorice Root, 5 qian).
Decoct one dose in water, take after meals. If tidal fever is present, add Huang Qin (Scutellaria Root) and Chai Hu (Bupleuri Radix), 5 qian each.
A man who was prone to anger suddenly developed slight swelling in the neck, which gradually enlarged to the size of a sheng (a unit of volume). Initially treated with phlegm-clearing and qi-regulating methods, he developed severe heat, thirst, and frequent turbid urination. I diagnosed Kidney Water deficiency and treated him with Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia) combined with Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction), resulting in recovery. In cases where the neck or hypochondrium swells to the size of a sheng or dou, or ulcerates like a pomegranate, regardless of size, the aforementioned methods should be applied. Large quantities must be taken until痊愈 (recovery) is achieved.