夫瘿瘤者。多由喜怒不节。忧思过度。而成斯病焉。大抵人之气血。循环常欲无滞留之
患。
然肿
瘿、
瘿不可决破。决破则脓血崩溃。多致夭枉。六瘤者。脂瘤可破。去脂粉则愈外。五瘤亦不可
轻易决溃。慎之。
(附论)
夫气血凝滞。结为瘿瘤。瘿则忧患所生。着于肩项。皮宽不急。槌槌而垂是也。瘤则随
气留
者。谓之筋瘿。其赤脉交络者。谓之血瘿。随忧患而消长者。谓之气瘿。坚硬而不可移者。
谓之石瘿。瘿之名有五者此也。一曰骨瘤。二曰脂瘤。三曰肉瘤。四曰脓瘤。五曰血瘤。六
曰石瘤。瘤之种有六者此也。凡瘿瘤虽无痛痒。然最不可决破。决破则脓血崩溃。渗漏无已。
必
方海藻丸
海藻(洗去咸味晒干一两) 海蛤( ) 松萝(各七钱半研) 当归 川芎 官桂 白
芷细辛
如弹子大。每
穿瘿丸
治瘿瘤结硬。
通草(二两) 杏仁(去皮尖研) 牛蒡子(去油各一两) 射干 昆布(去咸) 诃
黎勒 海藻(
海藻散
治瘿瘤。
海藻(洗去咸味焙一两一钱) 昆布(洗去咸味焙一两半) 白茯苓(去黑皮半两) 海
蛤(研)
酒下三钱。半夜一
治 瘤方
昆布(洗去咸味焙二两) 桂心 逆流水 柳须(各一两) 海藻(洗去咸味焙) 干
姜(各二两
忌五辛、湿
海蛤散
治瘿瘤。
海蛤(研) 海藻(马尾者洗去咸味) 白茯苓(去黑皮) 人参 半夏(水煮一两洗
去滑切焙各
甘草一寸。
水五盏同煎。取一盏半。分三次。每次调散二钱匕。临卧服。男人四服。女人八服。次
用丸
除毒丸 治瘿瘤。服海蛤散后。宜服此。
巴豆(铁串穿烧去心用) 大黄末(各半两) 上研末。端午日粽子为丸如绿豆大。空
心冷茶下
连壳丸
治气瘤及瘿。
连壳(微炒二两) 石榴皮(醋焙) 干姜(炮各三分半) 枳壳(麸炒去瓤一两) 上
为末。更入
饮汤下三十
猪靥散
治气瘤瘿。
猪靥(二七枚) 半夏(洗去滑二十二枚) 上为散。每服温酒调一钱匕。临卧垂头
服。
海藻酒方
治颈下卒然结核。渐大。欲成瘤瘿。
用海藻洗去咸味一斤。酒二升。渍一宿。取三合饮之。酒尽。将海藻晒干。捣为末。酒
调一钱。一日三服。即瘥。如浸时用绢袋盛了。春夏浸二日。秋冬浸三日。
柳根酒
治瘤瘿。
用柳根三斤。须水所经有露出者。水一斗。煮取五升。用米三升酿之。酒成。每服饮半
升。
治瘿瘤鬼气疰。
用铅锡为末。和清油敷之。
Generally speaking, goiter and tumors (Ying Liu) are mostly caused by unregulated emotions of joy and anger, as well as excessive worry and thought. Generally, the circulation of Qi and Blood in the human body should ideally be free from stagnation. However, swollen goiters and general goiters should not be easily incised or ruptured; if ruptured, it may lead to the collapse and loss of pus and blood, often resulting in premature death. Among the six types of tumors, lipomas can be incised, and after removing the fatty matter, they will heal. The other five types of tumors should not be lightly incised or ruptured; caution is required.
(Additional Discussion)
Stagnation of Qi and Blood condenses to form goiters and tumors. Goiters arise from worry and grief, attaching to the shoulder and neck area, with loose and non-tight skin, hanging down like a hammer blow. Tumors are formed where Qi remains stagnant. Those where tendons are prominent are called tendon goiters (Jin Ying); those with intersecting red blood vessels are called blood goiters (Xue Ying); those that fluctuate with emotional states are called qi goiters (Qi Ying); and those that are hard and immobile are called stone goiters (Shi Ying). These are the five names for goiters. The first is bone tumor (Gu Liu), the second is lipoma (Zhi Liu), the third is flesh tumor (Rou Liu), the fourth is abscess/pus tumor (Nong Liu), the fifth is blood tumor (Xue Liu), and the sixth is stone tumor (Shi Liu). These are the six species of tumors. Although goiters and tumors are generally painless and itchless, they must never be incised or ruptured; once ruptured, pus and blood will leak continuously, making them difficult to cure.
[Haizao Wan (Seaweed Pill)]
Haizao (Algae, washed to remove saltiness, dried, 1 liang), Haige (Clam Shell), Songluo (Lichen, each 7 qian 5 fen, ground), Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Guanzi Gui (Cinnamon Twig), Baizhi (Angelicae Dahuricae Radix), Xixin (Asari Radix et Rhizoma).
Made into pills the size of a bullet. Take an appropriate amount each time.
[Chuanying Wan (Goiter-Piercing Pill)]
Treats hardened nodules of goiter and tumors.
Tongcao (Tetrapanacis Medulla, 2 liang), Xingren (Prunus Armeniaca Seed, peeled and cored, ground), Niubangzi (Arctii Fructus, oil removed, each 1 liang), Shegan (Belamcandae Rhizoma), Kunbu (Laminariae Thallus, desalted), Helile (Terminalia Chebula Retz.).
[Haizao San (Seaweed Powder)]
Treats goiter and tumors.
Haizao (Algae, washed to remove saltiness, baked, 1 liang 1 qian), Kunbu (Laminariae Thallus, washed to remove saltiness, baked, 1 liang 5 qian), Baifuling (Poria, black skin removed, 0.5 liang), Haige (Clam Shell, ground).
Take 3 qian with wine. Take one dose at midnight.
[Treatment Formula for Tumors]
Kunbu (Laminariae Thallus, washed to remove saltiness, baked, 2 liang), Guixin (Cinnamon Bark), Niliushui (Reverse-flowing Water), Liuxu (Willow Catkins, each 1 liang), Haizao (Algae, washed to remove saltiness, baked), Ganjiang (Dried Ginger, each 2 liang).
Avoid five pungent spices and damp foods.
[Haige San (Clam Shell Powder)]
Treats goiter and tumors.
Haige (Clam Shell, ground), Haizao (马尾-shaped Algae, washed to remove saltiness), Baifuling (Poria, black skin removed), Renshen (Ginseng Radix), Banxia (Pinelliae Rhizoma, boiled for 1 liang, washed to remove slipperiness, sliced, baked).
Gancao (Licorice Root, 1 cun).
Decoct with 5 bowls of water until 1.5 bowls remain. Divide into three doses. For each dose, mix with 2 qian bi of powder. Take before retiring to bed. Men take four doses; women take eight doses. Follow with pill medication.
[Chudu Wan (Toxin-Removing Pill)]
Treats goiter and tumors. Should be taken after Haige San.
Badou (Crotonis Fructus, threaded with iron string, roasted to remove heart/core, used), Dahuangmo (Rhei Radix et Rhizoma powder, each 0.5 liang). Grind all ingredients into fine powder. On the Dragon Boat Festival (Duanwu Day), wrap in Zongzi leaves to make pills the size of mung beans. Take on an empty stomach with cold tea.
[Lianke Wan (Shell-Included Pill)]
Treats qi tumors and goiters.
Lianke (Castanea mollissima shell, lightly stir-fried, 2 liang), Shiliupi (Pomegranate Peel, vinegar-baked), Ganjiang (Dried Ginger, processed, each 3 qian 5 fen), Zhike (Aurantii Fructus, bran-fried, pulp removed, 1 liang). Grind into powder, add more...
Take 30 units with drinking soup.
[Zhu Ye San (Pig Facelet Powder)]
Treats qi tumor goiter.
Zhu ye (Pig facelets/tonsils, 21 pieces), Banxia (Pinelliae Rhizoma, washed to remove slipperiness, 22 pieces). Grind into powder. Each time, take 1 qian bi mixed with warm wine. Take before retiring to bed while bowing the head.
[Haizao Jiu Fang (Seaweed Wine Recipe)]
Treats sudden nodules under the neck that gradually enlarge, intending to become tumor/goiter.
Use Haizao (Algae, washed to remove saltiness, 1 jin), steep in 2 sheng of wine overnight. Take 3 he of the liquid to drink. When the wine is finished, dry the Haizao, grind into powder, mix with wine to take 1 qian. Take three times a day until recovered. If soaking, use a silk bag. Soak for two days in spring and summer, three days in autumn and winter.
[Liu Gen Jiu (Willow Root Wine)]
Treats tumors and goiters.
Use 3 jin of Willow roots (Liugen), specifically those exposed to dew along the water path. Add 1 dou of water, boil down to 5 sheng. Use 3 sheng of rice to ferment. Once the wine is ready, take half a sheng each time.
[Treatment for Goiter/Tumor Ghost Qi Zhu Disease]
Treats goiter/tumor, ghost qi, and zhuan disease.
Grind Qianxi (Lead-Tin alloy) into powder, mix with clear oil, and apply topically.