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*Chaoshi Bingyuan* (Source of Diseases) on the Syndrome of Scrofula in Children: When children develop hot sores on their bodies, scrofula is bound to occur. Its manifestation presents as nodules forming between the skin and flesh, usually two or three connected together. This arises from the struggle between wind pathogen and blood qi, generating phlegm nodules.

*Yingtong Baojian*: Scrofula in children is caused by accumulated heat in the Liver attacking the chest and neck, leading to the accumulation and stagnation of sinews and blood, forming lumps on the head, neck, and axilla.

*Waitai Miyao* citing *Bixiao Fang* for treating scrofula on the neck in children:
Mash the inner bark of Elm (*Ulmus* spp.) into a paste and apply it to the affected area, changing frequently.

*Jingyan Fang* (Prescriptions of Experience), a major formula for internal resolution of scrofula in adults and children:
Take one liang of Mylabris (*Mylabris phalerata*), remove wings and feet, stir-fry with one sheng of millet until scorched yellow, discard the millet, and finely grind the Mylabris. Add four liang of dried Mint (*Mentha haplocalyx*) powder, mix evenly, and bind with egg white from a black hen to form pills the size of mung beans. Take one pill fasting with aged tea, gradually increasing to five pills. Thereafter, decrease by one pill daily until reaching one pill, then maintain a dosage of five pills daily.

*Shenghui Fang*, Xijiao San (Rhinoceros Horn Powder) for treating scrofula in children accompanied by swelling and pain, high fever, intestinal obstruction, dark and scanty urination, mental restlessness, and insomnia:
Rhinoceros horn (shavings) half liang, Burdock seed (*Arctii Fructus*) half liang (lightly stir-fried), Forsythia fruit (*Forsythiae Fructus*) half liang, Clove (*Caryophylli Flos*) half liang, Akebia stem (*Akebiae Caulis*) (chopped), Scrophularia root (*Scrophulariae Radix*) three qian, Realgar (*Realgar*) one qian (finely ground), Agarwood (*Aquilariae Lignum Resinatum*) one liang, Mirabilite (*Natrii Sulfas*) one liang.
Grind the above herbs into a coarse powder. Take one qian per dose, decoct with one small cup of water until reduced to half a cup, strain, and administer warm according to the child's age and condition.

*Shenghui Fang*, Mutong San (Akebia Stem Powder) for treating severe scrofula in children with high fever, irritability, and restlessness:
Akebia stem (*Akebiae Caulis*) (chopped), Hemp seed (*Cannabis Semen*), Scrophularia root (*Scrophulariae Radix*), Bupleurum root (*Bupleuri Radix*), Patrinia root (*Patriniae Radix*), Forsythia fruit (*Forsythiae Fructus*), Rhubarb (*Rhei Radix et Rhizoma*) (chopped, lightly stir-fried), Mirabilite (*Natrii Sulfas*), Rhinoceros horn (shavings). Each half liang.
Grind the above herbs into a coarse powder. Take one qian per dose, decoct with one small cup of water until reduced to five or six tenths, strain, and administer warm according to the child's age and condition. Efficacy is indicated by the discharge of foul matter and membranes.

*Shenghui Fang*, Nifen San (Calomel Powder) for eliminating the root cause of scrofula in children:
Calomel (*Hydrargyri Chloridum Mite*) one qian, Phellodendron bark (*Phellodendri Cortex*) (chopped) one qian, Glutinous rice thirty-seven grains, Mylabris (*Mylabris phalerata*) fourteen grains (remove wings and feet, stir-fry with glutinous rice until yellow).
Grind the above herbs into a fine powder. Take one "yi zi" dose fasting with warm wine, followed by a little vinegar water after some time. The pathogen will be discharged via urine. Adjust dosage according to the child's age.

*Shenghui Fang*, Shexiang San (Musk Powder) for persistent scrofula in children:
Musk (*Moschi Ferax*) one qian, Pigeon droppings (*Columbae Excrementum*) one liang (stir-fried).
Finely grind the above herbs into a powder. Take half a qian per dose mixed with warm wine, twice daily. Adjust dosage according to the child's age.

*Shenghui Fang*, Lianqiao Wan (Forsythia Pills) for scrofula with chills and fever, hard stone-like nodules on the neck, and tightness in the abdomen, flanks, and back:
Forsythia fruit (*Forsythiae Fructus*), Mulberry root bark (*Mori Radicis Cortex*) (chopped), Rhinoceros horn (shavings), Pulsatilla root (*Anemones Radix*), Rhaponticum root (*Rhapontici Radix*), Phellodendron bark (*Phellodendri Cortex*) (chopped), Burdock seed (*Arctii Fructus*) (stir-fried), Gentian root (*Gentianae Radix*) (deprived of sprouts), Bupleurum root (*Bupleuri Radix*). Each half liang.
Grind the above herbs into powder, bind with refined honey to form pills the size of mung beans. Take five pills per dose with gruel broth, three times daily. Adjust dosage according to the child's age.

*Shenghui Fang*, Zaojiao Wan (Soap Bean Pills) for difficult-to-resolve scrofula in children:
Soap bean (*Gleditsiae Sinensis Fructus*) eight liang (soak overnight in water, remove black skin, coat with butter, roast until yellow and scorched), Mint (*Mentha haplocalyx*) five liang, Schizonepeta spike (*Schizonepetae Spica*) five liang, Realgar (*Realgar*) half liang (finely ground), Musk (*Moschi Ferax*) one qian (finely ground).
Grind the above herbs into powder, mix evenly. Take four liang of white goat meat, remove fascia, cut finely, mix with refined honey, pound 300-500 times, and form pills the size of mung beans. Take ten pills per dose with mint decoction. Adjust dosage according to the child's age.

*Shenghui Fang*, Shexiang Wan (Musk Pills) for long-standing scrofula nodules:
Musk (*Moschi Ferax*) one qian (finely ground), Cow bezoar (*Bovis Calculus*) one qian (finely ground), Snail (*Helix Aspersa*) (lightly stir-fried) one liang, Soap bean seed (*Gleditsiae Sinensis Fructus*) (lightly stir-fried) one liang, Soap bean spine (*Gleditsiae Sinensis Spina*) (roasted yellow) one liang, Dried Mint (*Mentha haplocalyx*) one liang, Male pigeon droppings (*Columbae Excrementum*) one liang (lightly stir-fried).
Grind the above herbs into powder, bind with refined honey to form pills the size of mung beans. Take seven pills per dose with mint decoction, three times daily. Adjust dosage according to the child's age.

*Shenghui Fang*, Lianqiao Wan (Forsythia Pills) for eliminating the root cause of persistent scrofula in children:
Forsythia fruit (*Forsythiae Fructus*) one liang, Scrophularia root (*Scrophulariae Radix*) one liang, Glutinous rice, Soap bean spine (*Gleditsiae Sinensis Spina*) (roasted), Rhubarb (*Rhei Radix et Rhizoma*) (chopped, stir-fried) half liang, Mylabris (*Mylabris phalerata*) one qian (stir-fried, remove wings and feet).
Grind the above herbs into powder, bind with refined honey to form pills the size of hemp seeds. Take two pills per dose fasting with ginger decoction, until foul matter is discharged. Follow with a porridge diet for one day to tonify.

*Shenghui Fang*, Woniu Wan (Snail Pills) for internal resolution of scrofula in children:
Live snails (*Helix Aspersa*) one hundred twenty pieces (shell removed), Mint (*Mentha haplocalyx*) powder two liang, Clove (*Caryophylli Flos*) powder half liang.
Pound the above ingredients in a mortar to form pills the size of mung beans. Take five pills per dose fasting with mint decoction in the morning, and again in the evening. Adjust dosage according to the child's age.

*Shenghui Fang*, Yuanshen Gao (Scrophularia Ointment) for brain heat causing scrofula with swollen and painful ears, chills and fever, and restlessness:
Scrophularia root (*Scrophulariae Radix*) one liang, Polygonum multiflorum vine (*Polygoni Multiflori Caulis*) (chopped) one liang, Phellodendron bark (*Phellodendri Cortex*) one liang, Rhubarb (*Rhei Radix et Rhizoma*) one liang, Aucklandia root (*Aucklandiae Radix*) one liang, Selaginella (*Selaginellae Herba*) one liang, Mirabilite (*Natrii Sulfas*) one liang, Rosewood (*Santalum Album Lignum*) one liang.
Grind the above herbs into powder, mix with egg white to appropriate consistency, and apply to the swelling. If the sore breaks, remove Mirabilite before application.

*Shenghui Fang*, external plaster formula to induce spontaneous expulsion of formed scrofula nodules:
Mercury (*Hydrargyrum*) (grind with saliva in palm to paste), Frost powder (*Sublimatum Corrosivum* derivative), Arsenic trioxide (*Arsenici Trioxidum*), Mylabris (*Mylabris phalerata*) (stir-fried with glutinous rice until yellow, remove wings and feet), Swallow droppings. Each one qian.
Finely grind and mix uniformly, blend with pig fat from the twelfth lunar month to appropriate consistency. Apply a small bean-sized amount to the nodule, cover with anti-swelling plaster. After six to seven days, an opening should appear discharging pus; within half a month, the nodule should expel itself. Subsequently apply muscle-generating ointment for cure.

*Shenghui Fang*, Shengji San (Muscle-Generating Powder) for scrofula sores with pus:
Rock salt one qian, Alum (*Alumen*) one qian, Lead monoxide (*Lithargyrum*) half liang (calcine these three in a porcelain bottle over high fire until red hot, then grind finely), Phellodendron bark (*Phellodendri Cortex*) (chopped) one qian, Peucedanum root (*Peucedani Radix*) one qian, Calomel (*Hydrargyri Chloridum Mite*) one qian.
Grind the above herbs into a fine powder, mix evenly. Before application, wash the sore clean with warm saline water, dry, and apply according to sore size. Use twice daily.

*Shenghui Fang*, Wuxiang Gao (Five Fragrances Ointment):
Agarwood (*Aquilariae Lignum Resinatum*) half liang, Sandalwood (*Santalum Album Lignum*) half liang, Aucklandia root (*Aucklandiae Radix*) half liang, Clove (*Caryophylli Flos*) half liang, Bear bile (*Ursi Fel*) one qian, Aloe (*Aloes*) one qian, Lead monoxide (*Lithargyrum*) two liang, Beeswax (*Cera Flava*) two liang, Musk (*Moschi Ferax*) half qian (finely ground), Human hair (*Capillus Humanus*) one liang, Oil half jin.
Finely chop the herbs. Boil oil over low heat, add human hair and dissolve. Add other herbs, boil three times lifting off heat. Strain through silk, add beeswax, then lead monoxide and musk, stirring until uniform. Store in porcelain. Wash with rice water before use, spread on old cloth, and apply.

*Shenghui Fang*, Shengji Gao (Muscle-Generating Ointment) for post-ulceration care:
Lead monoxide (*Lithargyrum*) half liang, Beeswax (*Cera Flava*) half liang, Almond kernel (*Pruni Armeniaci Semen*) (blanched, peeled) one liang, Human hair (*Capillus Humanus*) one liang, Snake slough (*Bombyx Batryticatus*) one strip, Rapeseed oil six liang, Soap bean (*Gleditsiae Sinensis Fructus*) three cun (soaked, black skin removed).
Crush almond, snake slough, and soap bean. Melt human hair in rapeseed oil, add the three crushed herbs, boil three times lifting off heat. Strain, add beeswax, then lead monoxide, stirring continuously with a willow stick until uniform. Store in porcelain, spread on cloth, and apply.

*Shenghui Fang*, Banmao Gao (Mylabris Plaster) for non-ulcerated scrofula:
Mylabris (*Mylabris phalerata*) two pieces (remove wings and feet), Pine resin (*Pini Resina*) three liang, Sparrow droppings (*Passeris Excrementum*) one liang (powdered), Croton seed (*Crotonis Fructus*) ten pieces (peeled, heart removed, boiled in vinegar water, ground with Mylabris).
Melt pine resin, add Mylabris and Croton seed, cook into a paste, shape into cakes. Apply hot to the scrofula. Once ulcerated, switch to muscle-generating ointment. Change twice daily until cured.

*Shenghui Fang*, Mituoseng San (Litharge Powder) for ruptured scrofula with continuous pus discharge:
Litharge (*Lithargyrum*) two liang, White lead (*Cerussa*) two liang, Bear bile (*Ursi Fel*) one liang, Aloe (*Aloes*) one liang, Bletilla rhizome (*Bletillae Rhizoma*) one liang, Peucedanum root (*Peucedani Radix*) one liang.
Grind into a fine powder. Apply inside the wound for efficacy.

*Shenghui Fang*, Zaojiao Ci San (Soap Bean Thorn Powder) for hard, swollen scrofula:
Burn one jin of soap bean thorns in a basin. When fire is strong, sprinkle half sheng of burdock seeds into the fire. Burn both into ash, cool, crush, and sieve finely. Take one qian per dose mixed well water, three times daily. Within three to five days, foul matter resembling maltose will be discharged. Complete discharge ensures permanent cure.

*Shenghui Fang*, internal resolution formula for hard scrofula nodules:
Calomel (*Hydrargyri Chloridum Mite*) half liang, Egg whites from three eggs.
Mix into a thin batter, stir-fry over low heat with rapid stirring using chopsticks to prevent sticking, until scorched black. Mix with half liang of high-quality Cinnabar (*Cinnabaris*) into a flour-like consistency. Take half a qian per dose with gruel broth at dawn. Abdominal pain and diarrhea following administration indicate expulsion of the root (shaped like a date pit). Repeat every other day if necessary. For existing sores, use the subsequent powder externally.

*Shenghui Fang*, another prescription:
Viper skin three strips, Evodia fruit (*Evodiae Fructus*) half he.
Burn to ash, grind finely, mix with raw oil for topical application. Cover with cloth to prevent fumes from entering eyes. Strictly avoid eye exposure.

*Shenghui Fang*, Naosha Wan (Sal Ammoniac Pills) for inducing ulceration of hard scrofula nodules:
Sal ammoniac (*Natrii Chloridum*) one qian, Orpiment (*Realgar* derivative/Orpiment proper context dependent, here likely Orpiment *Realgar* or similar arsenic sulfide, text says Pi Huang which is Orpiment) one qian.
Grind finely, bind with glutinous rice water to form pills the size of wheat grains. Cauterize the nodule, insert one pill. Within five days, the nodule should necrose and expel itself. Apply muscle-generating ointment subsequently.

*Shenghui Fang*, Woniu San (Snail Powder) for scrofula:
Snail shell (*Concha Helicis*) one liang, Real cow milk half sheng.
Simmer milk and shell over low heat until milk is exhausted. Grind shell to powder, mix with one qian of Rhubarb (*Rhei Radix et Rhizoma*) powder. Take half a qian per dose with soap bean kernel decoction. Cure indicated by discharge of foul matter via stool and urine.

*Shenghui Fang*, another prescription:
Soak forty-nine soap bean seeds in a bamboo tube submerged in a cesspit for forty-nine days. Remove, wash, dry, crush, and sieve finely. Take half a qian per dose with gruel broth, three times daily. Adjust dosage by age.

*Shenghui Fang*, another prescription:
Roast five liang of Bungarus multicinctus (Many-banded Krait) coated in butter until yellow and scorched, crush, and sieve finely. Take half a qian per dose with gruel broth, three times daily. Adjust dosage by age.

*Shenghui Fang*, another prescription:
Stir-fry silkworm (*Bombyx Batryticatus*), crush, and sieve finely. Take half a qian per dose with warm water, three times daily. Adjust dosage by age.

*Shenghui Fang*, Bohe Wan (Mint Pills) for painful, suppurating scrofula of any duration:
Mint (*Mentha haplocalyx*) one bunch (air-dried), Soap bean (*Gleditsiae Sinensis Fructus*) ten pods (remove black skin, coat with butter, roast until yellow and scorched).
Crush herbs, soak in one dou of wine for three nights, dry, soak again for three nights, repeat until wine is absorbed. Dry, crush, sieve finely, bind with cooked rice dough to form pills the size of paulownia seeds. Take twenty pills per dose before meals with yellow wine broth. Reduce dose for children.

Mao Xiansheng's formula for applying medication to broken scrofula, wind sores, and cold sores:
Calcined alum (*Alumen Ustum*) two liang (boiled in two sheng of good vinegar until thick like syrup), Almond powder (*Pruni Armeniaci Semen*) one liang, Calomel (*Hydrargyri Chloridum Mite*) half liang.
Mix, bind with water drops to form pills the size of a bullet. Place in the cavity, cover with paper. The medicine melts, promoting tissue regeneration. One pill per cavity.

Zhang Huan's Miaosheng San (Wonderful Sage Powder) for persistent scrofula:
Astragalus root (*Astragali Radix*) one liang, Forsythia fruit (*Forsythiae Fructus*) one liang, Rhubarb (*Rhei Radix et Rhizoma*) (stir-fried), Pigeon droppings (*Columbae Excrementum*) (burnt to ash), Glutinous rice (stir-fried with seven Mylabris, discard Mylabris), Rhinoceros horn (shavings) half liang.
Grind into fine powder. Take one qian per dose, decoct with eight-tenths cup water and three drops of wine until reduced to half a cup. Strain, warm, and sip slowly.

Zhang Huan's Zitan San (Rosewood Powder) for topical application on scrofula and goiter nodules:
Rosewood (*Santalum Album Lignum*) one liang, Aucklandia root (*Aucklandiae Radix*) one liang, Mirabilite (*Natrii Sulfas*) (ground) one liang, Selaginella (*Selaginellae Herba*) one liang, Rhubarb (*Rhei Radix et Rhizoma*) half liang, White Peony root (*Paeoniae Radix Alba*) half liang.
Grind into fine powder. Mix a small amount with egg white to appropriate consistency and apply to the affected area.

*Wangshi Shouji* (Wang Family Manual) for new and old scrofula:
Non-bitten soap bean (*Gleditsiae Sinensis Fructus*) (skin removed, roasted with butter until yellow), Clematis root (*Clematidis Radix*) (cleaned), Epimedium leaf (*Epimedii Folium*) (leaves only, stems removed).
Grind into fine powder, bind with refined honey to form pills the size of mung beans. Take twenty-five pills per dose with warm rice drink, fasting, before meals, and before bed, three times daily. Avoid pork, greasy food, hot noodles, and tea. Resume normal diet after cure.

*Wangshi Shouji* for cervical scrofula (rat scrofula):
Sal ammoniac (*Natrii Chloridum*) (ground) two qian, Calomel (*Hydrargyri Chloridum Mite*) two qian (or one qian each).
Break one egg, separate white into a clean cup. Mix drug powder with egg white inside the shell. Seal break with dough paste. Wrap egg in dough, boil in oil-free pot for nearly a thousand boils. Dry, grind to powder. Patient drinks one cup of wine first. Then take half a qian of medicine mixed with wine. Disease exits via stool like peach gum. Repeat if necessary. Severe cases require two to three doses. Avoid greasy food, fish, and wind-aggravating foods.

*Wangshi Shouji* for scrofula:
Collect Tian Qie Zi (Cowherb fruit/Solanum nigrum fruit) after frost in the ninth month. Take roots, peel with bamboo knife, dry on new tile, grind to powder. Avoid iron.
Take two qian per dose. Stuff powder into the belly of one live crucian carp (scaled). Wrap in wet paper and bake thoroughly. Chew slowly and swallow with rice drink. Internal resolution if no sore; if sore exists, mix powder with saliva and apply topically for miraculous effect.

*Wangshi Shouji*, Yulu Wan (Jade Dew Pills) for scrofula not yet ulcerated:
Mylabris (*Mylabris phalerata*) twenty-one pieces (heads removed), Gold sand (*Huidongsha* / Auripigmentum? No, Hai Jin Sha is Lygodium spore), Lygodium spore (*Lygodii Spora*) three qian, Cold Food Powder (*Hanshi Mian*) one qian.
Grind into fine powder, bind with water drops to form pills the size of mung beans. Dry, then re-wrap in Cold Food Powder dough and reform pills. To administer, take two cups of sour water (*Jiangshui*). Boil one cup with the pill, skim the floating dough into the remaining cold cup, retrieve the pill, and swallow with the liquid. Disease exits via urine. Dosage: Ages 3-10: one pill per two years of age; Age 10: five pills; Ages 10-20: one pill per year; Ages 30+: one pill per two years. Adjust based on deficiency/excess.