（附论）
夫瘿之初结者。由人忧虑。志气常逆。蕴蓄之所成也。又饮沙石流水。毒瓦斯不散之所致
也。
消散也。
方
白前汤
治气瘿初作。
白前 昆布（洗去咸味炙干） 浓朴（去粗皮生姜汁炙） 杏仁（汤浸去皮尖双仁炒） 陈
橘皮（
次） 甘草（炙
盏半。生姜一片。
枣一大枚。拍碎。煎至八分。去滓。食后温服。日三次。
杏仁丸
治气结颈项。蓄聚不散成瘿。
杏仁（去皮尖双仁炒令黄） 连壳（各一两） 海藻（洗去咸味焙一两一分） 诃黎勒
（煨去核二
各一两） 槟榔（锉）
三十丸。空心米饮下。仍
因气成瘿。
海藻（洗去咸味焙） 海带 昆布（洗去咸味焙） 木通（锉） 甘草（各一两） 诃
子薄荷（各
忌油腻盐物。
必效主气瘿方（一名白头翁丸）
兼治气瘤。
白头翁（半两） 昆布（十分洗去咸味焙） 海藻（七分洗去咸味焙） 通草（七分） 玄
参连壳
每服五丸。用
治气结喉中。蓄聚不散欲成瘿。
白茯苓（去黑皮三两） 半夏（汤洗去滑） 生姜（切焙各二两） 昆布（洗去咸焙） 海
藻（洗去
大。含化一粒
紫苏膏
治咽喉气噎塞成气瘿。
紫苏子（炒） 桂（去皮） 大黄（锉炒） 当归（切焙） 干姜（炮各半两） 陈橘
皮（汤浸去白焙
咀。如麻豆
一次。以瘥为度
治气瘿
问荆（一两出海岛） 羯羊靥（五枚去脂炙） 蜀椒（去目及合口者炒令出汗） 甘草
（炙各一分）
更捣作丸如小
昆布丸
治气瘿初结。喉中壅闷。不治即渐肿。宜服此。
昆布（洗去咸味焙） 诃黎勒皮 槟榔（各一两） 松萝（半两） 干姜（半两炮锉） 桂
心（半两）
每于食前。煎好
又方
昆布（一两洗去咸味） 海藻（一两洗去咸味） 诃黎勒皮（一两） 枳壳（半两麸炒
去瓤） 上为
又方
琥珀（一两） 大黄（一两锉微炒） 昆布（半两洗去咸味） 上为末。炼蜜和丸如梧
桐子大。每
又方
槟榔（三两） 海藻（二两洗去咸味） 昆布（三两洗去咸味） 上为细末。炼蜜和丸
如小弹子大
治气瘿
海藻（洗去咸味） 海带 海螵蛸 上等分为细末。酒煮。空心服。
治气瘿
用海藻为末。露一宿。清晨不须洗面。旋汲井花水调。面东礼拜。面东服。每日如此服
之。
针砂方
专治气瘿。
用针砂浸于水缸。平日饮食皆用此水。十日一换针砂。服之半年。自然消散。以针砂能
解毒也。
治气瘿
用羊靥一具。去脂含汁。汁尽去皮。日一具。七日含便瘥。
疗气瘿方
用平旦手挽瘿。令离项。掏其下根脉断愈。一日一度掏。易愈者七日。难愈者三七日。
矾蝎散
治项气。又名瘿气。
白矾（一两生令细） 全蝎（半两） 上将矾为末。用耳锅一个。将蝎用麻黄包了。线
扎定。将矾分作两处。一半在底。一半在上。全蝎在中心。用瓦片子盖定。再用盐泥固济。
候干。用热火二斤。 一斤。将取出。为细末。每服一钱。入麝香少许。将 猪靥一个。切。
入药
海带丸治瘿气久而不消。
海带 南贝母 青皮 陈皮 上各等分。为细末。炼蜜和丸如弹子大。食后噙化一丸。
海藻溃坚丸
治瘿气盛大。久而不消。
海藻（洗去咸味） 海带 昆布（洗去咸味各一两） 青盐（半分） 广术（半两） 上
为细末。炼
治一切瘿已结成。将溃未溃时。
上用皂角刺四两。牵牛子四两。洗净。扫阔砖石上铺定。皂角刺糁牵牛子在上。燃火烧
之。
(Attached Discussion)
The initial formation of Ying (goiter/nodule) is caused by prolonged worry, leading to a constant reversal of Zhi Qi (will and spirit), resulting from the accumulation and stagnation of pathogenic factors. Additionally, drinking flowing water containing sand and stones, where toxic vapors cannot dissipate, also causes this condition.
Formulas
Baiqian Tang (White Anterior Decoction)
Treats early-stage Qi Ying (Qi goiter).
Baiqian (Antirrhinis Radix), Kunbu (Laminariae Thallus - washed to remove salty taste and dried by roasting), Houpo (Magnoliae Officinalis Cortex - coarse bark removed, roasted with ginger juice), Xingren (Prunus Armeniaca Seed - soaked in hot water, skin and tip removed, double kernels discarded, stir-fried), Chenpi (Citri Reticulatae Pericarpium - processed as per standard, e.g., peeled or dried), Gancao (Glycyrrhizae Radix et Rhizoma - roasted). Use 1.5 bowls of water, add one slice of Shengjiang (Zingiberis Rhizoma Recens) and one large Zao (Jujubae Fructus, crushed). Decoct until 0.8 bowl remains, filter dregs, take warm after meals, three times daily.
Xingren Wan (Apricot Seed Pill)
Treats Qi stagnation in the neck, accumulating and not dispersing to form Ying.
Xingren (Prunus Armeniaca Seed - skin and tip removed, double kernels discarded, stir-fried until yellow), Lian Qiao (Forsythiae Fructus - with shell, implied context), Haizao (Sargassii Thallus - washed to remove salty taste and baked, 1 liang 1 fen), Helile (Terminalia Chebulae Fructus - roasted, core removed, 2 liang), Binglang (Arecae Semen - chopped). Equal parts, make into 30 pills. Take on an empty stomach with rice decoction. Applicable for Ying formed due to Qi stagnation.
Haizao Formula (Unnamed in text)
Haizao (Sargassii Thallus - washed to remove salty taste and baked), Haidai (Eckloniae Thallus), Kunbu (Laminariae Thallus - washed to remove salty taste and baked), Mutong (Akebiae Caulis - chopped), Gancao (Glycyrrhizae Radix et Rhizoma - each 1 liang), Hezi (Terminalia Chebulae Fructus), Bohe (Menthae Haplocalycis Herba - amounts missing in text). Avoid greasy and salty foods.
Bixiao Zhuqiying Fang (Highly Effective Main Qi Ying Prescription, also known as Baitouweng Wan)
Also treats Qi Li (Qi tumor).
Baitouweng (Pulsatillae Radix - half liang), Kunbu (Laminariae Thallus - 10 fen, washed to remove salty taste and baked), Haizao (Sargassii Thallus - 7 fen, washed to remove salty taste and baked), Tongcao (Tetrapanacis Medulla - 7 fen), Xuanshen (Scrophulariae Radix), Lian Qiao (Forsythiae Fructus - with shell, implied). Take 5 pills per dose, with [missing medium, usually water or rice soup].
Treats Qi stagnation in the throat, accumulating and not dispersing, about to form Ying.
Baifuling (Poria - black skin removed, 3 liang), Banxia (Pinelliae Rhizoma - washed in hot water to remove slipperiness), Shengjiang (Zingiberis Rhizoma Recens - sliced and baked, each 2 liang), Kunbu (Laminariae Thallus - washed and baked), Haizao (Sargassii Thallus - washed [amount/method missing]). Large [missing], hold one pill in mouth to dissolve slowly.
Zisu Gao (Perilla Paste)
Treats Qi obstruction in the throat forming Qi Ying.
Zisuzi (Perillae Fructus - stir-fried), Gui (Cinnamomi Ramulus - bark removed), Dahuang (Rhei Radix et Rhizoma - chopped and stir-fried), Danggui (Angelicae Sinensis Radix - sliced and baked), Ganjiang (Zingiberis Rhizoma - processed, each half liang), Chenpi (Citri Reticulatae Pericarpium - soaked in hot water, white pith removed, baked [process missing]). Chopped like hemp seeds. One dose, continue until cured.
Treats Qi Ying
Wen Jing (Equiseti Herba - 1 liang, from islands), Jieyangye (Caput Ovis Arietis - 5 pieces, fat removed, roasted), Shujiao (Zanthoxyli Pericarpium - remove eyes and closed ones, stir-fried until sweat appears), Gancao (Glycyrrhizae Radix et Rhizoma - roasted, each 1 fen). Further pound and make pills small [size missing].
Kunbu Wan (Kelp Pill)
Treats early-stage Qi Ying, feeling of fullness in the throat. If untreated, it gradually swells. This formula is suitable.
Kunbu (Laminariae Thallus - washed to remove salty taste and baked), Helile Pi (Terminalia Chebulae Pericarpium), Binglang (Arecae Semen - each 1 liang), Songluo (Usnea - half liang), Ganjiang (Zingiberis Rhizoma - half liang, processed and chopped), Guixin (Cinnamomi Ramulus - half liang). Before meals, decoct well [medium missing].
Another Formula
Kunbu (Laminariae Thallus - 1 liang, washed to remove salty taste), Haizao (Sargassii Thallus - 1 liang, washed to remove salty taste), Helile Pi (Terminalia Chebulae Pericarpium - 1 liang), Zhike (Aurantii Fructus - half liang, bran-roasted, placenta removed). Grind into [form missing, likely powder/pills].
Another Formula
Hupo (Electrum - 1 liang), Dahuang (Rhei Radix et Rhizoma - 1 liang, chopped and lightly stir-fried), Kunbu (Laminariae Thallus - half liang, washed to remove salty taste). Grind into powder, mix with refined honey to make pills the size of wutong seeds. Take [dose missing].
Another Formula
Binglang (Arecae Semen - 3 liang), Haizao (Sargassii Thallus - 2 liang, washed to remove salty taste), Kunbu (Laminariae Thallus - 3 liang, washed to remove salty taste). Grind into fine powder, mix with refined honey to make pills the size of small marbles.
Treats Qi Ying
Haizao (Sargassii Thallus - washed to remove salty taste), Haidai (Eckloniae Thallus), Haipiaoxiao (Sepiae Endoconcha). Equal parts, grind into fine powder. Decoct in wine, take on an empty stomach.
Treats Qi Ying
Use Haizao (Sargassii Thallus) ground into powder, exposed overnight. In the early morning, without washing face, draw well water immediately to mix and take. Bow facing east, take medicine facing east. Do this daily.
Zhensha Fang (Needle Sand Prescription)
Specifically treats Qi Ying.
Soak Zhensha (Ferrum Limatura) in a water vat. Use this water for daily diet and drinking. Replace the needle sand every ten days. Take for half a year, and it will naturally dissipate. Because needle sand can detoxify.
Treats Qi Ying
Use one Yangye (Caput Ovis Arietis), remove fat, hold in mouth to suck juice. When juice is exhausted, discard the skin. One piece per day. Hold for seven days, and it will heal.
Liao Qi Ying Fang (Prescription for Treating Qi Ying)
In the early morning, use hand to pull the Ying nodule away from the neck, dig out the root vessels underneath until they break, then it heals. Dig once a day. Easy cases heal in seven days; difficult cases in twenty-one days.
Fanxie San (Alum and Scorpion Powder)
Treats Neck Qi, also known as Ying Qi.
Baifan (Alumen - 1 liang, raw and finely ground), Quanxie (Scorpio - half liang). Grind Baifan into powder. Use one ear pot. Wrap Quanxie in Mahuang (Ephedrae Herba) and tie tightly with thread. Place half the alum at the bottom and half at the top, with Quanxie in the center. Cover with a tile shard, seal with salt mud. When dry, use hot fire [weight/time missing]... Take out, grind into fine powder. Take 1 qian per dose, add a little Shexiang (Moschus). Cut one Zhu Ye (Caput Porci), mix with medicine [method missing].
Haidai Wan (Kelp Pill)
Treats Ying Qi that does not dissipate over a long time.
Haidai (Eckloniae Thallus), Nan Beimu (Fritillariae Thunbergii Bulbus), Qingpi (Citri Reticulatae Pericarpium Viride), Chenpi (Citri Reticulatae Pericarpium). Equal parts, grind into fine powder, mix with refined honey to make pills the size of marbles. Hold one pill in mouth after meals to dissolve slowly.
Haizao Kuijian Wan (Sea Algae Hardness-Dispersing Pill)
Treats severe Ying Qi that does not dissipate over a long time.
Haizao (Sargassii Thallus - washed to remove salty taste), Haidai (Eckloniae Thallus), Kunbu (Laminariae Thallus - washed to remove salty taste, each 1 liang), Qingyan (Natrii Chloridum - half fen), Guangzhu (Curcumae Longae Rhizoma - half liang). Grind into fine powder, mix with [refined honey, process missing].
Treats all types of Ying that have formed but are about to ulcerate/dissolve.
Use 4 liang of Zaocaulis Spina (Gleditsiae Sinensis Spina) and 4 liang of Qianniu Zi (Pharbitidis Semen). Wash clean, spread on a wide brick/stone surface. Sprinkle Qianniu Zi over Zaocaulis Spina. Burn with fire [process incomplete].