【歌】项颐结核名为 ，胸胁间生是马刀。手足少阳经络部，久成遗漏速当消。
【论】夫瘰 之病者，即古谓九漏也。形状不一，生颈项者曰瘰 ，生乳腋者曰马刀，累累然结核，大小
无定，发作寒热，脓水溃漏，其根在脏腑。盖肝主野狼漏，胃主鼠漏，大肠主蝼蝈漏，脾主蜂漏，肺主蚍蜉漏，
心主蛴螬漏，胆主蜉蛆漏，肾主瘰 漏，小肠主转脉漏。一本漏作 ，原其所自，多因寒暑不调，或饮食乖节，
遂致气血壅结而成也。巢氏所载决其死生者∶但反其目而视其中，有赤脉从上下贯瞳子者死，不下贯者可治。
治之大法，以祛风热，溃坚结，消
痰降火，则肿消而核散，决不致溃漏之地也。
瘰
瘰 或破或不破，升麻调经汤。不破，坚硬如石，散肿溃坚汤，结核肿痛，皂子仁丸、连翘散。
升麻调经汤
升麻（八钱） 生黄芩（四钱） 葛根（三钱） 胆草（三钱） 三棱（三钱，酒炒） 桔梗（三钱） 酒黄
芩（三钱） 连翘（三钱） 甘草（三钱，炙） 黄连（三钱） 广术（三钱） 当归（三钱） 白芍药（三钱）
知母（一两） 黄柏（一两）
每服半两，水煎服，卧须略使足高于首，药可入膈。
散肿溃坚汤
柴胡（四钱） 升麻（二钱） 胆草（酒炒，三钱） 栝蒌根（三钱） 黄柏（酒炒，三钱） 知母（酒炒，
三钱） 昆布（五钱） 广术（酒炒，二钱） 三棱（酒炒，二钱） 连翘（三钱） 白芍药（二钱，酒炒） 归尾
（酒洗，五钱） 葛根（二钱）
每服六钱，煎服如前法。
皂子仁丸
治瘰结核。
皂子仁（一升） 玄参（一两） 连翘（一两）
水五升，慢火熬，水尽为度，捣烂，蜜丸弹子大，噙化。
连翘散
治瘰 马刀。
连翘（一斤） 瞿麦（一斤） 大黄（三两） 甘草（二两）
每服五钱，水煎服。十日后于临泣穴灸二七壮（穴在目上直入发际五分陷中，）再服药至六十日愈。
马刀
耳下至缺盆，肩上为马刀，溃坚汤、见前。连翘散坚汤。
连翘散坚汤
柴胡（一两二钱） 木瓜根（一两） 胆草（酒炒，一两） 连翘（一两） 芍
药（酒炒，一两） 当归（酒洗，一两） 生黄芩（七钱） 酒黄芩（七钱） 广术（酒炒，五钱） 三棱（五钱）
炙甘草（三钱） 黄连（酒沙，一钱） 苍术（一钱）
服法如前升麻调经汤。
[Song]
Lumps in the neck and cheek are called *Luoli* (Scrofula), while those arising between the chest and hypochondrium are called *Madao* (Marathon). These occur along the pathways of the Foot-Shaoyang and Hand-Shaoyang meridians; if they persist for a long time and become chronic ulcers (*Lou*), they should be eliminated promptly.
[Treatise]
The disease known as *Luoli* is what was anciently referred to as "Nine Types of Leukorrhea/Leakage" (Jiu Lou). Its manifestations vary: those appearing on the neck are termed *Luoli*, while those in the breast and axilla are termed *Madao*. They appear as clustered nodules of varying sizes, accompanied by alternating chills and fever during attacks, with pus and fluid leaking from ulcerated sores. The root of the disease lies within the Zang-Fu organs. Generally speaking, the Liver governs Wild Wolf Leakage, the Stomach governs Rat Leakage, the Large Intestine governs Mole Cricket Leakage, the Spleen governs Bee Leakage, the Lungs governs Ant Leakage, the Heart governs Maggot Leakage, the Gallbladder governs Mayfly Larva Leakage, the Kidneys govern *Luoli* Leakage, and the Small Intestine governs Pulse-Turning Leakage. Another version writes "Lou" as "Xian". Tracing its origin, this condition is mostly caused by disharmony of cold and heat, or irregular diet, leading to stagnation and condensation of Qi and Blood. Chao Yuanfang recorded methods for determining prognosis: ask the patient to roll their eyes back to look at the pupil; if red vessels run vertically through the pupil from top to bottom, death ensues; if they do not penetrate the pupil, the condition is treatable. The general principle of treatment is to dispel wind-heat, soften hardness and dissipate nodules, eliminate phlegm, and descend fire. In this way, swelling subsides and nodules disperse, preventing the condition from progressing to ulceration and leakage.
**Luoli**
For *Luoli* that has either ulcerated or not, use Shengma Tiaojing Tang. If it has not ulcerated and feels hard as stone, use Sanzhong Kuijian Tang. For tender and painful nodules, use Zaoziren Wan or Lianqiao San.
**Shengma Tiaojing Tang (Cimicifugae Decoction for Regulating the Menstruation)**
Shengma (Rhizoma Cimicifugae, 8 qian)
Sheng Huangqin (Radix Scutellariae, raw, 4 qian)
Gegen (Puerariae Radix, 3 qian)
Dancao (Radix Gentianae, 3 qian)
Sanleng (Rhizoma Sparganii, wine-fried, 3 qian)
Jiegeng (Radix Platycodonis, 3 qian)
Jiu Huangqin (Radix Scutellariae, wine-processed, 3 qian)
Lianqiao (Fructus Forsythiae, 3 qian)
Gancao (Radix Glycyrrhizae, honey-fried, 3 qian)
Huanglian (Rhizoma Coptidis, 3 qian)
Ezhu (Rhizoma Curcumae Longae, 3 qian)
Danggui (Radix Angelicae Sinensis, 3 qian)
Baishao (Radix Paeoniae Alba, 3 qian)
Zhimu (Rhizoma Anemarrhenae, 1 liang)
Huangbai (Cortex Phellodendri, 1 liang)
Take half a liang per dose, decoct in water and take orally. After taking the medicine, sleep with the feet slightly elevated above the head to facilitate the medicine's entry into the diaphragm.
**Sanzhong Kuijian Tang (Decoction for Dissolving Swelling and Softening Hardness)**
Chaihu (Radix Bupleuri, 4 qian)
Shengma (Rhizoma Cimicifugae, 2 qian)
Dancao (Radix Gentianae, wine-fried, 3 qian)
Gualougen (Radix Trichosanthis, 3 qian)
Huangbai (Cortex Phellodendri, wine-fried, 3 qian)
Zhimu (Rhizoma Anemarrhenae, wine-fried, 3 qian)
Kunbu (Thallus Laminariae seu Eckloniae, 5 qian)
Ezhu (Rhizoma Curcumae Longae, wine-fried, 2 qian)
Sanleng (Rhizoma Sparganii, wine-fried, 2 qian)
Lianqiao (Fructus Forsythiae, 3 qian)
Baishao (Radix Paeoniae Alba, wine-fried, 2 qian)
Guiwei (Radix Angelicae Sinensis tail, wine-rinsed, 5 qian)
Gegen (Puerariae Radix, 2 qian)
Take six qian per dose, decoct and take orally as described above.
**Zaoziren Wan (Soap Nut Seed Pill)**
Treats *Luoli* nodules.
Zaoziren (Semen Gleditsiae Sinensis, 1 sheng)
Xuanshen (Radix Scrophulariae, 1 liang)
Lianqiao (Fructus Forsythiae, 1 liang)
Decoct in five sheng of water over slow fire until the water is exhausted. Mash thoroughly, mix with honey, and form pills the size of a bullet. Hold in the mouth to dissolve slowly.
**Lianqiao San (Forsythia Powder)**
Treats *Luoli* and *Madao*.
Lianqiao (Fructus Forsythiae, 1 jin)
Qumai (Herba Dianthi, 1 jin)
Dahuang (Radix et Rhizoma Rhei, 3 liang)
Gancao (Radix Glycyrrhizae, 2 liang)
Take five qian per dose, decoct in water and take orally. Ten days later, moxa-burn fourteen Zhuang (units of moxa cones) at the Zulinqi (GB41, Foot-Gallbladder) acupoint (located in the depression approximately 0.5 cun directly above the hairline, aligned with the eye). Continue taking the medicine for sixty days to achieve cure.
**Madao**
The area from below the ear to the Clavicle (Quepen), extending to the shoulder, is termed *Madao*. Use Kuijian Tang (see above) or Lianqiao Sanjian Tang.
**Lianqiao Sanjian Tang (Forsythia Powder for Hardness Dissolution)**
Chaihu (Radix Bupleuri, 1 liang 2 qian)
Mugua Gen (Radix Chaenomelis, 1 liang)
Dancao (Radix Gentianae, wine-fried, 1 liang)
Lianqiao (Fructus Forsythiae, 1 liang)
Shaoyao (Radix Paeoniae, wine-fried, 1 liang)
Danggui (Radix Angelicae Sinensis, wine-rinsed, 1 liang)
Sheng Huangqin (Radix Scutellariae, raw, 7 qian)
Jiu Huangqin (Radix Scutellariae, wine-processed, 7 qian)
Ezhu (Rhizoma Curcumae Longae, wine-fried, 5 qian)
Sanleng (Rhizoma Sparganii, 5 qian)
Zhi Gancao (Radix Glycyrrhizae, honey-fried, 3 qian)
Huanglian (Rhizoma Coptidis, wine-sand fried, 1 qian)
Cangzhu (Rhizoma Atractylodis Lanceae, 1 qian)
Administer as described previously for Shengma Tiaojing Tang.