（附论）
夫风热毒瓦斯。蕴积脏腑。攻于筋脉。则结为瘰 。其疾毒瓦斯所感深者。则冲发肌肉。不
得消散。或成疮孔。脓水不绝。或饮食触犯。或外因风冷所伤。日久月深。医药无效。遂令
久不瘥也。此疾尤忌忧思恚怒。气血劳伤。饮食寒冷。
方
贯众汤（出圣济总录）治颈生瘰 。已针。疮尚不瘥者。
贯众（一两半） 乌蛇（酒浸去皮骨一两炙） 连翘 生干地黄（各二两焙） 鹤虱（炒
一两）
杏仁（汤浸去皮尖双仁炒） 桑根白皮（锉各二两） 白蔹（一两） 威灵仙（去苗土一两
半） 白
芨（一两半） 大腹皮（二两） 延胡索（一两半） 黄 （一两半锉） 黄连（去芦一两）
甘草
（一两炙） 木占斯（二两） 上为粗末捣筛。每服五钱匕。水一盏半。入生姜五片。煎至
八
分。去滓食后温服。
野狼毒散（出圣惠方）治瘰 久经年月。脓水不时发 肿。
野狼毒（锉醋拌） 鼠李根皮 沉香 连翘 薰陆香 鸡舌香 詹糖香 丁香（各一两） 蛇
衔（三分） 斑蝥（二十枚去头足翅糯米炒黄） 玄参（三分） 昆布（三分洗去咸味） 上
为散。
食前以荆芥汤调下一钱。
麝香膏（出圣惠方）治瘰 久经年月成 疮者。
麝香 雄黄（半两细研） 连翘 恒山 侧子 昆布 野狼毒 黄 败酱（各半两） 斑
蝥
（三十枚） 虾蟆灰（一两细研） 上细锉。以腊月猪脂一斤半。于净铛中煮十余沸。去滓
下
诸药。以慢火煎搅。候黄 黑色。用绵滤去滓。收瓦合中。后下麝香、雄黄、虾蟆灰调令匀。
每用故帛上涂贴。日三两度换之。
立应散 治 久不愈者。
射干丸（出圣济总录）治风热毒 久不瘥。恶寒壮热。劳动转甚。渐欲成 。
射干 昆布（去咸味） 海藻（洗咸味各一两） 木香 黄芩（去黑） 犀角屑（各三
分） 芍
药连翘 白蔹（各半两） 大黄（锉二两） 玄参（一两一分） 乌蛇（酒浸去皮骨二两）
上为
末。炼蜜丸如桐子大。食后温酒下十五丸。
斑蝥丸（出圣惠方）治 久不瘥。沉注胁腋。冲破皮肉。脓血不止。
斑蝥（一分去头足翅糯米拌炒令米黄为度） 麝香（一分细研） 水蛭（一分微炒令黄）
芫
青（一分糯米拌炒米黄为度去头足翅） 甘草（半两锉炙微赤） 黑豆（一两炒熟） 大黄
（一两
微炒） 乌蛇（二两酒浸去皮骨炙微令黄色） 上为末。入麝香研令匀。炼蜜和丸如绿豆大。
空心以米饮下三丸。如未觉。加至五丸。小便中当出烂肉为效。如小便较涩。以温水调滑石
末一钱服之。
丁香丸（出圣济总录）治 久不瘥。或已破脓血甚者。
母丁香（生半两） 苍耳苗（炒一两） 青箱子（生） 皂角仁（各半两） 葶苈（半
生半炒一
两） 浓朴（一两去皮姜汁拌炒） 丹皮（半两一分研） 上为末。用枣肉捣烂和丸如绿豆
大。
丹砂为衣。每服十丸至十五丸。米粟饮下。日三服。
漏芦汤（出圣济总录）治瘰 久不瘥。将欲破者。
漏芦（半两洗焙） 海藻（半两洗焙） 连翘（一两） 沉香（半两锉） 山栀子仁（一
两一分）
丹参 玄参（各一两） 上粗捣筛每服三钱匕。水一盏半。煎至八分。去滓温服。
何首乌丸（出圣济总录）治瘰 经久不瘥。
何首乌（去黑皮半两） 黄 （细锉半两） 皂荚（酥炙去皮子） 薄荷（各一两） 蛇
蜕皮
（焦灰半两） 龙脑（研一钱） 麝香（研一钱） 上为末。炼蜜丸如桐子大。每服十丸。
薄荷
茶下。不拘时候。
犀角散（出圣济总录）治瘰 经久不瘥。
犀角（屑镑） 芜荑（生） 斑蝥（炒各一两） 牵牛子（炒） 黑豆（各一两生用） 麝
香（细
研） 龙脑（研各一两） 上除龙脑、麝香外。为细末。再入研药拌匀。每服一钱匕。热酒
调
下。空心服。服药后再饮酒一盏。取下恶物为度。
七神丸（出圣惠方）治瘰 年久不瘥。根株渐大。流注四肢。
斑蝥（三十枚去头足翅糯米拌炒米黄为度） 露蜂房（半两烧灰） 蛇蜕皮（一条烧灰）
麝
香（三分细研） 雄黄（半两细研） 朱砂（三分细研水飞过） 皮（一两烧灰） 上为
末。入研
了药令匀。煮枣肉和丸如桐子大。空心糯米饮下七丸。如腹内觉有小痛。及增寒。即减两丸。
百日之内可瘥。
硼砂散（出圣惠方）治瘰 经久不瘥。
硼砂（一两） 斑蝥（三十枚去头足翅糯米拌炒令米黄为度） 干漆（一两捣碎炒令黄
色）
水马（三十枚去足炒黄） 白芨（半两） 滑石（一两） 桂心（半两） 上为散。空心以
米饮调下
一钱。晚食前再服。
麒麟竭膏（出圣惠方）治瘰 久穿。穴伤风冷。脓水不止。宜用此暖肌生肉。
麒麟竭（一分） 白蔹 黄连 槟榔 丁香 龙骨（各一分） 麝香（一钱细研） 上
为末。
入乳钵内研令匀。用野驼脂调如膏。涂于帛上贴之。日用二次。
六神散（出圣济总录）治瘰 久不瘥。
皂荚刺 薄荷 昆布（洗去咸味） 海藻（洗去咸味） 连翘（各半两） 白荚子（五
十枚烧
灰） 上为细末。每服二钱匕。茶调下食后卧服。
地柏散（出圣惠方）治瘰 经数年不瘥。
地柏（半两炒令微黄） 玄参（三分） 升麻（一两） 牛蒡子（一两炒） 犀角（一
两） 上为
散。食前温水调下一钱。
治瘰 经年不瘥。诸药无效者宜服此方。（出圣惠方）
蛇蜕皮（一条烧灰） 露蜂房（一两烧灰） 皮（一两细研） 斑蝥（二十枚糯米拌
炒米黄
为度去头足翅） 麝香（一两细研） 上为细末和丸如桐子大。食前皂荚子仁汤下七丸。
必效散（出外科精要）治久患瘰 不效。
斑蝥（四十枚去头） 巴豆（十粒去皮心膜） 白槟榔（一枚） 麝香（半钱细研） 南
硼砂
（二钱半） 轻粉（一钱） 上同研极细。取鸡子清二个。去黄调药令匀。即倾在鸡子壳内。
湿纸数重。糊定毋令透气。生饭甑内与饭一处蒸。饭熟。取药曝干研细末。临用时相度虚实。
虚人每服半钱。实人每服一钱。并用炒生姜酒下。五更初服药。至平明取下恶物。如觉小腹
内疼痛。更用蓖麻子烧灰。入没药等分。同研细。用茶调下一钱。便入大肠。其取下恶物如
烂肉老鼠儿。及新成卵内雀儿是效。妇人有胎不可服。
紫金散（出外科精要）治瘰 久不 者。
枯白矾（半两） 砒霜（一钱） 石胆（半两） 黄丹（二钱） 上为细末。糯米饮粥
和丸如桐
子大。捏作饼子。爆干。如疮破者。研为末。糁于疮上。如不破者。炙三倍。研如麦大。安
药饼子于炙盘上。后用水沉香盖之。当去根。
胜令膏（出圣济总录）治瘰 久不瘥。
黄连（去须） 蛀粟子（去壳） 甘草根（锉） 黄蜀葵花 龙骨（各半两） 白芨（一
分） 上
为细末。取榆窠上红虫称三两半。候干。同为末。更入粉霜三钱。同研匀。每用药三钱匕。
入腻粉少许。取鸡子清调摊帛上。以口湿浆水洗净 干贴之。隔日易换。
连翘汤（出圣济总录）治瘰 诸方不效。
连翘 犀角（镑） 青葙子 蔓荆子 黄 （锉各等分） 上粗捣筛。每服三钱匕。水
一盏。
煎至七分。去滓温服。空心食前服。
破毒雄黄丸（出危氏方）治瘰 久作不愈。寒热往来。项筋挛急。已破未破
。可服之。恶物自小便中出来。
通明雄黄 颗块大朱砂（各二钱） 斑蝥（二十八枚去头足翅糯米拌炒米黄为度） 水
银
（三钱） 上先以斑蝥为末。续以雄黄、朱砂为末。再入水银细研和匀。用鸡子清和糯米饭
调糊为丸如绿豆大。每服二钱。米饮或温酒下。如恶物未见下。半朝再一服。圣惠方有腻粉
无斑蝥。
治积年瘰 恶疮疳疮软疖出脓。及多年疮根蚀肉。肿痛不可医者。俱宜用此方。
（出圣惠方）
青黛 砒霜 硼砂 麝香（各一两） 粉霜（一钱） 上入乳钵内细研。以面糊丸如小
麦粒
大。若疮有头即入疮口中。以面糊纸盖头。须臾药发痛。后至五七日。出却疮根。便用生肌
膏药封之甚效。
桃红散（出圣济总录）
用血竭。须真者。如无。以深色胭脂代之。为细末。以自津唾调。日夜频涂。疮成靥。
即用浴毒汤洗之。
紫红散（出圣济总录）治瘰 已成。漏疮。岁久不愈。
信砒（一钱） 矾石（二钱） 丹铅（三钱） 上用瓷罐子。先入砒。次入矾。次入铅
丹。盖
之。盐泥固济。炭火 烟候至紫色。取出。以纸衬于地上。一个时辰。出火毒。研细。先以
温水洗净疮。拭干。取药少许。以生蜜调涂。日夜五六次。涂至五七日。疮渐敛。紫黑色。
即用前桃红散敷之。
浴毒汤（出圣济总录）
黄芩（去粗皮） 黄连（去须） 甘草（锉） 黄芩（去黑心各二两） 大豆（一合） 柏
枝（一
把截用） 上粗捣筛。每用三四匕。以水二升。煎至一升。乘热淋洗。日三四次。候洗下瘤
子。即用平肌散敷之。
平肌散（出圣济总录）
黄狗头骨（烧灰） 鲮鲤甲（烧灰各一钱） 乱发（一团如指大烧灰） 上研匀。如疮
口已
干。用自津唾调湿敷之。日三四次。疮即平愈。一方无鲮鲤甲。
治瘰 经年不瘥。常出脓血。疼痛不止。宜服此方。（出圣惠方）
斑蝥（一分去头足翅糯米拌炒米黄为度） 羚羊角（屑一分） 麝香（一分细研） 甘
草（一
两炙微赤） 上为末。用软饭和丸如绿豆大。空心以荆芥汤下七丸。
蜥蜴丸 治瘰 久不瘥。出脓水肿痛。日夜不已。
治瘰 肿硬疼痛。多时不瘥。宜用此。（出圣惠方）
硼砂 密陀僧 斑蝥 雄雀粪。（各一两） 上为末。用软饭和丸如麦粒大。曝干。内
入
疮口中。用面糊帛贴之。五六日自落。
乌鸡丸（出圣济总录）治瘰 经久不瘥。
乌鸡卵（一枚） 锦贝子（半两） 上将锦贝子入鸡卵内。用湿纸盖头七重。再用泥固
济。
火过后。入地坑内出火毒一宿。取出。研细入黄柏末半两。麝香一钱。同研细。炼蜜为丸
如绿豆大。每日空心蜜水下五丸。不过五服自效。
异效散（出圣济总录）治瘰 经久不瘥。
芫青（四十九枚） 麒麟竭（一两） 上同藏于瓶中。烧过存性。地上出火毒。研细。
每
半钱匕。米饮调下。加至一钱匕。
内消方（一名必捷丸出仁斋直指方）治瘰 年远不瘥。及治大人小儿初发瘰
令内消。
斑蝥（一分去头足翅糯米拌炒） 薄荷叶（三分） 用乌鸡子清和末。为丸如桐子大。
空心
茶清下二丸。午时候服三丸。临卧服四丸。次日空心服五丸。脐下痛。小便取下恶物为效。
如小便涩塞。饮葱茶少许。
花叶散（出存仁方）治瘰 漏疮恶疮。妇人乳痈。无论痛与不痛。多年不瘥者
并治之。
黄蜀葵（十五朵去蒂） 桑叶（二十五片） 上熏干为末。入乳香半分研匀。每用少许。
疮干。用麻油调涂。疮湿干糁。
治年久瘰 尚未交合项者皆可服。（出百一选方）
用鲫鱼两个。三寸长者。开去肠肚。不去鳞。巴豆不拘多少。填鱼腹内。以满为度。麻
皮缠定。用炼热黄泥裹了。晒七分干。用一二斤炭火 过。鱼药同研极细。用陈米饮和丸如
绿豆大。每服两粒。或三粒。陈米饮下。日二三服。忌羊肉动风发物。一方加麝香少许。
治瘰 久不瘥者。（出危氏方）
用生玄参捣碎敷之。日三次易换。
木鳖膏（出仁斋直指方）治瘰 发歇无已。及脓血淋漓。并宜服之。
用木鳖仁二个。原纸拭去油。研碎。以乌鸡子调和。瓷盏盛之。甑内蒸熟。每日食后服
一次。服半月自消。
治瘰 肿痛经久不瘥。
用狸头骨涂酥。炙令黄。捣为散。每日空心米饮调下一钱匕。
治瘰 经久不瘥。
用斑蝥一枚。去翅足。微炙。以浆水一盏。空心下之。或用蜜水下之。重者不过七次而
瘥。
治瘰 肿硬疼痛。经久不瘥。（出圣惠方）
用蝙蝠端午日收之。烧灰细研。如是翁 即无头。母 即有头。含水洗之。以纸 子。
药于疮孔中。不过三五度即瘥。若是翁。以密陀僧末少许。用面糊调之即内消。
治瘰 年深日久不瘥。溃烂不堪。脓血臭秽者。
用五丁草。俗名猫儿眼睛。连根采取。不拘多少。亦不切碎。盛入砂锅内。浇满冷水煎
熬极烂顺手不住搅转。干则再添水。至熬化成稠膏。入全蝎数个。再熬。捞去粗筋屑。以香
为度。倾入瓷罐。埋土中。留口出火气。以红帛摊贴患处。两三日自落。不过三两次即愈。
比及上药。先以艾炷于疮口四围密排灸之痛极。至不痛为度。脓血流出。用软物 干净。然
后将前膏药贴之。
治瘰 经久不瘥。
用猪腊膏涂之。
(Attached Discussion)
Wind-heat toxic factors accumulate in the Zang-Fu organs and attack the sinews and vessels, condensing to form Scrofula (Luo Li). If the pathogenic factor is deeply contracted, it rushes into the muscles and flesh, failing to dissipate, or forms ulcerative sores with continuous discharge of pus and water. It may also be triggered by dietary indiscretions or external injury from wind-cold. Over a long period, medical treatment proves ineffective, leading to chronic non-healing. This disease particularly contraindicates worry, overthinking, anger, and resentment, which damage Qi and Blood, as well as the consumption of cold foods.
Prescriptions:
Guanzhong Decoction (from *Shengji Zonglu*), treating Scrofula arising on the neck, where acupuncture has been applied but the sore remains unhealed.
* Guanzhong (*Cyathulae Radix*, 1.5 liang)
* Wushe (*Agkistrodon*, soaked in wine, skin and bones removed, 1 liang, roasted)
* Lqiao (*Forsythiae Fructus*)
* Sheng Gan Dihuang (*Rehmanniae Radix*, each 2 liang, baked)
* Heshi (*Pedicularis*, roasted, 1 liang)
* Xingren (*Prunus Armeniacae Semen*, soaked in water, skin and tips removed, double-kernel roasted)
* Sanggen Baipi (*Mori Cortex*, chopped, each 2 liang)
* Bailian (*Ampelopsis Radix*, 1 liang)
* Weilingxian (*Clematidis Radix et Rhizoma*, roots and soil removed, 1.5 liang)
* Baiji (*Bletillae Rhizoma*, 1.5 liang)
* Dafupi (*Arecae Pericarpium*, 2 liang)
* Yanshusuo (*Corydalis Rhizoma*, 1.5 liang)
* Huangqi (*Astragali Radix*, 1.5 liang, chopped)
* Huanglian (*Coptidis Rhizoma*, radix removed, 1 liang)
* Gancao (*Glycyrrhizae Radix et Rhizoma*, 1 liang, roasted)
* Miansishi (*Litseae Fructus*, 2 liang)
Crush and sieve these into coarse powder. Take 5 qianbi per dose. Add 1.5 zhan of water and 5 slices of fresh ginger. Decoct until 0.8 portion remains. Strain and take warm after meals.
Yelangdu San (from *Taiping Shenghui Fang*), treating Scrofula persisting for years with intermittent swelling and pus discharge.
* Yelangdu (*Euphorbiae Lathyridis Radix*, chopped, mixed with vinegar)
* Shuli Genpi (*Pruni Rhamnoideis Cortex*)
* Chenxiang (*Aquilariae Lignum Resinatum*)
* Lqiao (*Forsythiae Fructus*)
* Xunluxiang (*Boswelliae Resina*)
* Jishe Xiang (*Myristicae Semen*)
* Zhantang Xiang (*Styrax*)
* Dingxiang (*Caryophylli Flos*, each 1 liang)
* She Xian (*Omphalodes Virgatae Herba*, 3 fen)
* Banmao (*Mylabris*, 20 pieces, head, feet, and wings removed, stir-fried with glutinous rice until yellow)
* Xuanshen (*Scrophulariae Radix*, 3 fen)
* Kunbu (*Laminariae Thallus*, 3 fen, washed to remove saltiness)
Grind into powder. Before meals, mix 1 qian with Jingjie Decoction and take orally.
Shexiang Gao (from *Taiping Shenghui Fang*), treating Scrofula that has ulcerated after many years.
* Shexiang (*Moschus*)
* Xionghuang (*Realgar*, 0.5 liang, finely ground)
* Lqiao (*Forsythiae Fructus*)
* Hengshan (*Polygalae Radix*)
* Cizi (*Aconiti Lateralis Radix Praeparata*)
* Kunbu (*Laminariae Thallus*)
* Yelangdu (*Euphorbiae Lathyridis Radix*)
* Huangqi (*Astragali Radix*)
* Baijiangcao (*Patriniae Herba*, each 0.5 liang)
* Banmao (*Mylabris*, 30 pieces)
* Xiamahui (*Bufo Toxin Ash*, 1 liang, finely ground)
Finely chop. Boil 1.5 jin of pig lard from the twelfth lunar month in a clean pot for more than ten boils. Remove dregs, add the herbs, and simmer slowly while stirring until the mixture turns yellow-black. Filter through cotton cloth and store in a ceramic vessel. Add Shexiang, Xionghuang, and Xiamahui, mixing evenly. Apply to old silk patches and dress the wound. Change 3-4 times daily.
Liying San, treating Scrofula that does not heal for a long time. (Note: Formula composition is missing in the source text immediately following this title; the next formula listed is Shegan Wan.)
Shegan Wan (from *Shengji Zonglu*), treating Scrofula caused by Wind-heat toxicity that persists, accompanied by aversion to cold and high fever, worsening with exertion, and gradually progressing to ulceration.
* Shegan (*Belamcandae Rhizoma*)
* Kunbu (*Laminariae Thallus*, desalted)
* Haizao (*Sargassum Thallus*, washed to remove saltiness, each 1 liang)
* Muxiang (*Aucklandiae Radix*)
* Huangqin (*Scutellariae Radix*, remove black heart)
* Xijiao Xie (*Rhinocerotis Cornu*, each 3 fen)
* Shaoyao (*Paeoniae Radix Alba*)
* Lqiao (*Forsythiae Fructus*)
* Bailian (*Ampelopsis Radix*, each 0.5 liang)
* Dahuang (*Rhei Radix et Rhizoma*, chopped, 2 liang)
* Xuanshen (*Scrophulariae Radix*, 1.1 liang)
* Wushe (*Agkistrodon*, soaked in wine, skin and bones removed, 2 liang)
Grind into powder. Mix with refined honey to make pills the size of paulownia seeds. Take 15 pills with warm wine after meals.
Banmao Wan (from *Taiping Shenghui Fang*), treating Scrofula that persists, sinking into the hypochondrium and axilla, breaking through skin and flesh, with continuous pus and blood discharge.
* Banmao (*Mylabris*, 1 fen, head/feet/wings removed, stir-fried with glutinous rice until yellow)
* Shexiang (*Moschus*, 1 fen, finely ground)
* Shuizhi (*Hirudo*, 1 fen, lightly roasted until yellow)
* Yuanqing (*Lyttae Mylabris*, 1 fen, stir-fried with glutinous rice until yellow, head/feet/wings removed)
* Gancao (*Glycyrrhizae Radix et Rhizoma*, 0.5 liang, chopped and roasted until slightly red)
* Heidou (*Sojae Semen Nigrum*, 1 liang, roasted thoroughly)
* Dahuang (*Rhei Radix et Rhizoma*, 1 liang, lightly roasted)
* Wushe (*Agkistrodon*, 2 liang, soaked in wine, skin/bones removed, roasted until slightly yellow)
Grind into powder. Add Shexiang and mix evenly. Combine with refined honey to make pills the size of mung beans. Take 3 pills on an empty stomach with rice drink. If no effect, increase to 5 pills. Effectiveness is indicated by the passage of rotting flesh in urine. If urination is difficult, take 1 qian of Talcum Powder (*Huashi*) mixed with warm water.
Dingxiang Wan (from *Shengji Zonglu*), treating Scrofula that persists or has severely ulcerated with pus and blood.
* Mu Dingxiang (*Caryophylli Flos*, raw, 0.5 liang)
* Cang'er Miao (*Xanthii Herba*, roasted, 1 liang)
* Qingxiangzi (*Celosiae Semen*, raw)
* Zaojiao Ren (*Gleditsiae Sinensis Fructus Seed*, each 0.5 liang)
* Tingli (*Descurainiae Semen seu Fructus*, half raw, half roasted, 1 liang)
* Houpo (*Magnoliae Officinalis Cortex*, 1 liang, skin removed, stir-fried with ginger juice)
* Danpi (*Moutan Cortex*, 0.51 liang, ground)
Grind into powder. Mix with jujube paste to make pills the size of mung beans. Coat with Cinnabar (*Dansha*). Take 10-15 pills with millet drink, three times daily.
Lulu Tang (from *Shengji Zonglu*), treating Scrofula that persists and is about to rupture.
* Lulu (*Euphorbiae Humifusae Herba*, 0.5 liang, washed and baked)
* Haizao (*Sargassum Thallus*, 0.5 liang, washed and baked)
* Lqiao (*Forsythiae Fructus*, 1 liang)
* Chenxiang (*Aquilariae Lignum Resinatum*, 0.5 liang, chopped)
* Shanzhizi Ren (*Gardeniae Fructus Seed*, 1.1 liang)
* Danshen (*Salviae Miltiorrhizae Radix*)
* Xuanshen (*Scrophulariae Radix*, each 1 liang)
Coarsely crush and sieve. Take 3 qianbi per dose. Add 1.5 zhan of water. Decoct until 0.8 portion remains. Strain and take warm.
Heshouwu Wan (from *Shengji Zonglu*), treating Scrofula that persists for a long time.
* Heshouwu (*Polygoni Multiflori Radix*, remove black skin, 0.5 liang)
* Huangqi (*Astragali Radix*, finely chopped, 0.5 liang)
* Zaojia (*Gleditsiae Sinensis Fructus*, roasted with酥 [lard], skin and seeds removed)
* Bohe (*Menthae Haplocalycis Herba*, each 1 liang)
* Shetui (*Boas Skin Ash*, 0.5 liang)
* Longnao (*Borneolum Syntheticum*, 1 qian, ground)
* Shexiang (*Moschus*, 1 qian, ground)
Grind into powder. Mix with refined honey to make pills the size of paulownia seeds. Take 10 pills with Bohe Tea at any time.
Xijiao San (from *Shengji Zonglu*), treating Scrofula that persists for a long time.
* Xijiao (*Rhinocerotis Cornu*, shaved)
* Wuyi (*Chukrasiae Tabularis Seed*, raw)
* Banmao (*Mylabris*, roasted, each 1 liang)
* Qianniuzi (*Pharbitidis Semen*, roasted)
* Heidou (*Sojae Semen Nigrum*, each 1 liang, raw)
* Shexiang (*Moschus*, finely ground)
* Longnao (*Borneolum Syntheticum*, 1 liang, ground)
Except for Longnao and Shexiang, grind the rest into fine powder. Add Longnao and Shexiang and mix well. Take 1 qianbi with hot wine on an empty stomach. After taking the medicine, drink one zhan of wine. Continue until foul matter is discharged.
Qishen Wan (from *Taiping Shenghui Fang*), treating Scrofula persisting for years with enlarging roots and flow into the limbs.
* Banmao (*Mylabris*, 30 pieces, head/feet/wings removed, stir-fried with glutinous rice until yellow)
* Lubofang (*Vespa Nidus*, 0.5 liang, burned to ash)
* Shetui (*Boas Skin*, 1 strip, burned to ash)
* Shexiang (*Moschus*, 3 fen, finely ground)
* Xionghuang (*Realgar*, 0.5 liang, finely ground)
* Zhusha (*Cinnabaris*, 3 fen, finely ground, water-washed)
* Pi (*Unknown bark/substance*, 1 liang, burned to ash)
Grind into powder. Mix with the ground ingredients. Combine with boiled jujube paste to make pills the size of paulownia seeds. Take 7 pills on an empty stomach with glutinous rice drink. If mild abdominal pain and chills occur, reduce the dose by 2 pills. Healing occurs within 100 days.
Pengsha San (from *Taiping Shenghui Fang*), treating Scrofula that persists for a long time.
* Pengsha (*Borax*, 1 liang)
* Banmao (*Mylabris*, 30 pieces, head/feet/wings removed, stir-fried with glutinous rice until yellow)
* Ganqi (*Dammar Resina*, 1 liang, crushed and roasted until yellow)
* Shuima (*Unknown insect/substance*, 30 pieces, feet removed, roasted yellow)
* Baiji (*Bletillae Rhizoma*, 0.5 liang)
* Huashi (*Talcum*, 1 liang)
* Guixin (*Cinnamomi Cortex*, 0.5 liang)
Grind into powder. Take 1 qian with rice drink on an empty stomach. Take again before evening meal.
Qilinjie Gao (from *Taiping Shenghui Fang*), treating Scrofula that has ulcerated for a long time, exposed to wind-cold, with continuous pus discharge. Use this to warm the muscles and promote tissue regeneration.
* Qilinjie (*Dracaenae Sanguis*, 1 fen)
* Bailian (*Ampelopsis Radix*)
* Huanglian (*Coptidis Rhizoma*)
* Binglang (*Arecae Semen*)
* Dingxiang (*Caryophylli Flos*)
* Longgu (*Fossilia Ossis Mastodi et Frontis*, each 1 fen)
* Shexiang (*Moschus*, 1 qian, finely ground)
Grind into powder. Mix in a mortar until uniform. Blend with wild camel fat to form a paste. Apply to silk patches and dress the wound. Use twice daily.
Liushen San (from *Shengji Zonglu*), treating Scrofula that persists for a long time.
* Zaojia Ci (*Gleditsiae Sinensis Fructus Spina*)
* Bohe (*Menthae Haplocalycis Herba*)
* Kunbu (*Laminariae Thallus*, washed to remove saltiness)
* Haizao (*Sargassum Thallus*, washed to remove saltiness)
* Lqiao (*Forsythiae Fructus*, each 0.5 liang)
* Baijiazi (*Unknown seed*, 50 pieces, burned to ash)
Grind into fine powder. Take 2 qianbi with tea, taken after meals while lying down.
Dibai San (from *Taiping Shenghui Fang*), treating Scrofula persisting for several years.
* Dibai (*Unknown root/bark*, 0.5 liang, roasted until slightly yellow)
* Xuanshen (*Scrophulariae Radix*, 3 fen)
* Shengma (* Cimicifugae Rhizoma*, 1 liang)
* Niubangzi (*Arctii Fructus*, 1 liang, roasted)
* Xijiao (*Rhinocerotis Cornu*, 1 liang)
Grind into powder. Take 1 qian with warm water before meals.
For Scrofula persisting for years with no effect from other medicines, take this prescription. (From *Taiping Shenghui Fang*)
* Shetui (*Boas Skin*, 1 strip, burned to ash)
* Lubofang (*Vespa Nidus*, 1 liang, burned to ash)
* Pi (*Unknown bark/substance*, 1 liang, finely ground)
* Banmao (*Mylabris*, 20 pieces, stir-fried with glutinous rice until yellow, head/feet/wings removed)
* Shexiang (*Moschus*, 1 liang, finely ground)
Grind into fine powder. Make pills the size of paulownia seeds. Take 7 pills before meals with Zaojia Zi Ren Decoction.
Bixiao San (from *Waike Jingyao*), treating chronic Scrofula unresponsive to treatment.
* Banmao (*Mylabris*, 40 pieces, heads removed)
* Badou (*Crotonis Fructus*, 10 kernels, skin/core/membrane removed)
* Bai Binglang (*Arecae Semen*, 1 piece)
* Shexiang (*Moschus*, 0.5 qian, finely ground)
* Nan Pengsha (*Borax*, 2.5 qian)
* Qingfen (*Calomelas*, 1 qian)
Grind together extremely finely. Take 2 egg whites, remove yolks, and mix with the powder. Pour into eggshells. Seal with multiple layers of wet paper to prevent air leakage. Steam in a rice steamer until rice is cooked. Dry the medicine and grind into fine powder. Adjust dosage based on deficiency or excess: Deficient patients take 0.5 qian; Excess patients take 1 qian. Both take with stir-fried ginger wine. Take at dawn (5-7 AM). By morning, foul matter will be discharged. If lower abdominal pain occurs, take 1 qian of Ricinus Seed Ash (*Bimazi*) mixed equally with Myrrh (*Moyao*), prepared with tea, to guide the medicine to the Large Intestine. Efficacy is shown by discharging foul matter resembling rotten rat flesh or a chick in an egg. Contraindicated in pregnancy.
Zijin San (from *Waike Jingyao*), treating Scrofula that has not ulcerated for a long time.
* Ku Bai Fan (*Alumen*, 0.5 liang)
* Pishuang (*Arsenic Trioxide*, 1 qian)
* Shidan (*Melanteritum*, 0.5 liang)
* Huangdan (*Minii Litharge*, 2 qian)
Grind into fine powder. Mix with glutinous rice porridge to make pills the size of paulownia seeds. Shape into cakes and dry. If the sore is open, grind to powder and sprinkle on the wound. If closed, roast three times, grind to wheat-grain size. Place the cake on a roasting pan, cover with Aquilaria wood, and process at the root.
Shengling Gao (from *Shengji Zonglu*), treating Scrofula that persists for a long time.
* Huanglian (*Coptidis Rhizoma*, remove stamens)
* Zhu Susi (*Castaneae Nuciferae Semen*, shell removed)
* Gancao Gen (*Glycyrrhizae Radix*, chopped)
* Huangshukui Hua (*Abutilonis Indicae Flos*)
* Longgu (*Fossilia Ossis Mastodi et Frontis*, each 0.5 liang)
* Baiji (*Bletillae Rhizoma*, 1 fen)
Grind into fine powder. Weigh 3.5 liang of red worms from elm holes (*Yuke Shang Hongchong*). Dry them and grind together. Add 3 qian of Frost Powder (*Fenshuang*) and mix evenly. Take 3 qianbi of medicine, add a small amount of Calomelas (*Nifen*), mix with egg white, spread on silk. Clean the area with saliva-moistened brine water, apply, and change every other day.
Liaoqiao Tang (from *Shengji Zonglu*), treating Scrofula unresponsive to other formulas.
* Lqiao (*Forsythiae Fructus*)
* Xijiao (*Rhinocerotis Cornu*, shaved)
* Qingxiangzi (*Celosiae Semen*)
* Manjingzi (*Viticis Fructus*)
* Huangqi (*Astragali Radix*, chopped, equal parts)
Coarsely crush and sieve. Take 3 qianbi per dose. Add 1 zhan of water. Decoct until 0.7 portion remains. Strain and take warm on an empty stomach before meals.
Podu Xionghuang Wan (from *Wei Shi Fang*), treating Scrofula persisting with alternating cold and heat, spasms of neck tendons, whether ulcerated or not. Foul matter exits via urine.
* Tongming Xionghuang (*Realgar*, transparent)
* Kuaiku Dazhusha (*Cinnabaris*, large chunk, each 2 qian)
* Banmao (*Mylabris*, 28 pieces, head/feet/wings removed, stir-fried with glutinous rice until yellow)
* Shuiyin (*Hydrargyrum*, 3 qian)
First grind Banmao into powder. Then grind Xionghuang and Zhusha into powder. Add Shuiyin and grind finely until uniform. Mix with egg white and glutinous rice paste to make pills the size of mung beans. Take 2 qian with rice drink or warm wine. If foul matter is not discharged, take another dose in the mid-morning. (*Taiping Shenghui Fang* contains Nifen instead of Banmao).
For chronic Scrofula, malignant sores, Chancre sores, soft boils with pus, and deep-rooted ulcers causing swelling, pain, and incurable conditions, use this formula. (From *Taiping Shenghui Fang*)
* Qingdai (*Indigo Naturalis*)
* Pishuang (*Arsenic Trioxide*)
* Pengsha (*Borax*)
* Shexiang (*Moschus*, each 1 liang)
* Fenshuang (*Sublimated Arsenic Sulfide*, 1 qian)
Grind finely in a mortar. Make pills the size of wheat grains with flour paste. If the sore has a head, insert the pill into the opening. Cover with flour-paste paper. Pain will arise shortly. After 5-7 days, the root will emerge. Seal with Regenerating Flesh Ointment for best results.
Taohong San (from *Shengji Zonglu*)
Use true Dracaena Sanguis (*Xuejie*). If unavailable, use dark red rouge. Grind into fine powder. Mix with own saliva. Apply frequently day and night. Once a scab forms, wash with Yudao Tang.
Zihong San (from *Shengji Zonglu*), treating established Scrofula and chronic draining sores.
* Xin Pi (*Arsenic Trioxide*, 1 qian)
* Fanshi (*Alumen*, 2 qian)
* Danqian (*Lead Monoxide*, 3 qian)
Place in a porcelain jar. Add Pi first, then Fanshi, then Danqian. Seal with salt mud. Roast over charcoal fire until purple smoke appears. Remove. Place on paper for one hour to eliminate fire toxicity. Grind finely. Wash the sore with warm water and dry. Mix a small amount of powder with raw honey and apply 5-6 times daily. After 5-7 days, the sore will contract and turn purple-black. Apply Taohong San thereafter.
Yudao Tang (from *Shengji Zonglu*)
* Huangqin (*Scutellariae Radix*, remove rough bark)
* Huanglian (*Coptidis Rhizoma*, remove stamens)
* Gancao (*Glycyrrhizae Radix et Rhizoma*, chopped)
* Huangqin (*Scutellariae Radix*, remove black heart, each 2 liang)
* Dadou (*Sojae Semen*, 1 he)
* Bozhi (*Platycladi Cacumen*, 1 bundle, cut)
Coarsely crush and sieve. Take 3-4 qianbi. Add 2 sheng of water. Decoct until 1 sheng remains. Wash while hot, 3-4 times daily. After the tumor falls off, apply Pingji San.
Pingji San (from *Shengji Zonglu*)
* Huang Goutou Gu (*Canis Cranium*, burned to ash)
* Lingqi Jia (*Manis Squama*, burned to ash, each 1 qian)
* Luankou (*Human Hair*, fist-sized, burned to ash)
Grind uniformly. If the sore is dry, mix with own saliva for moist application. Apply 3-4 times daily until healed. One variation excludes Lingqi Jia.
For Scrofula persisting for years with constant pus/blood discharge and unceasing pain, take this formula. (From *Taiping Shenghui Fang*)
* Banmao (*Mylabris*, 1 fen, head/feet/wings removed, stir-fried with glutinous rice until yellow)
* Lingyangjiao (*Saigae Tataricae Cornu*, shaved, 1 fen)
* Shexiang (*Moschus*, 1 fen, finely ground)
* Gancao (*Glycyrrhizae Radix et Rhizoma*, 1 liang, roasted until slightly red)
Grind into powder. Mix with soft rice to make pills the size of mung beans. Take 7 pills on an empty stomach with Jingjie Decoction.
Xi Yi Wan, treating Scrofula persisting with pus, edema, pain, day and night.
For Scrofula swelling, hardness, and pain persisting for a long time, use this. (From *Taiping Shenghui Fang*)
* Pengsha (*Borax*)
* Mituosen (*Lithargyrum*)
* Banmao (*Mylabris*)
* Xiong Que Fen (*Male Sparrow Droppings*, each 1 liang)
Grind into powder. Mix with soft rice to make pills the size of wheat grains. Dry. Insert into the sore. Cover with flour-paste silk. It will fall off naturally in 5-6 days.
Wuji Wan (from *Shengji Zonglu*), treating Scrofula persisting for a long time.
* Wuji Lv (*Galli Ovum*, 1 piece)
* Jinbeizi (*Unknown shell/conch*, 0.5 liang)
Place Jinbeizi inside the chicken egg. Cover with 7 layers of wet paper. Seal with mud. Roast. Bury in a pit overnight to eliminate fire toxicity. Remove, grind finely. Add 0.5 liang of Huangbai Powder and 1 qian of Shexiang. Grind finely. Make pills the size of mung beans with refined honey. Take 5 pills on an empty stomach with honey water daily. Effect seen within 5 doses.
Yixiao San (from *Shengji Zonglu*), treating Scrofula persisting for a long time.
* Yuanqing (*Lyttae Mylabris*, 49 pieces)
* Qilinjie (*Dracaenae Sanguis*, 1 liang)
Store in a bottle. Roast until preserved nature remains. Eliminate fire toxicity on the ground. Grind finely. Take 0.5 qianbi with rice drink, increasing to 1 qianbi if necessary.
Neixiao Fang (aka Bijie Wan, from *Ren Zhi Zhi Fang*), treating chronic Scrofula and early-stage Scrofula in adults and children to resolve internally.
* Banmao (*Mylabris*, 1 fen, head/feet/wings removed, stir-fried with glutinous rice)
* Bohe Ye (*Menthae Haplocalycis Herba*, 3 fen)
Mix powder with hen egg white. Make pills the size of paulownia seeds. Take 2 pills with clear tea on an empty stomach. Take 3 pills at noon. Take 4 pills before bed. Take 5 pills on the second day on an empty stomach. Effect indicated by lower abdominal pain and discharge of foul matter in urine. If urination is blocked, drink a little Scallion Tea.
Huaye San (from *Cun Ren Fang*), treating Scrofula, draining sores, malignant sores, and breast abscesses in women, painful or not, chronic cases.
* Huang Shukui (*Abutilonis Indicae Flos*, 15 flowers, stems removed)
* Sangye (*Mori Folium*, 25 leaves)
Dry by smoking. Grind into powder. Add 0.5 fen of Rush Xiang (*Boswelliae Resina*) and mix. For dry sores, mix with sesame oil and apply. For wet sores, sprinkle dry powder.
For chronic Scrofula not yet fused to the neck, all can take this. (From *Bai Yi Xuan Fang*)
Take two 3-cun crucian carp. Gut them but keep scales. Fill belly with Badou (*Crotonis Fructus*) to capacity. Tie with hemp skin. Wrap in hot refined yellow mud. Dry to 70%. Roast with 1-2 jin of charcoal fire. Grind fish and medicine extremely finely. Mix with aged rice drink to make pills the size of mung beans. Take 2-3 pills with aged rice drink, 2-3 times daily. Avoid mutton and wind-aggravating foods. One variation adds a little Shexiang.
For Scrofula persisting for a long time. (From *Wei Shi Fang*)
Apply raw Xuanshen (*Scrophulariae Radix*) mashed. Change 3 times daily.
Mubie Gao (from *Ren Zhi Zhi Fang*), treating recurrent Scrofula and dripping pus/blood.
Take 2 Mubie Ren (*Strychni Semen*). Wipe off oil with original paper. Grind. Mix with hen egg. Steep in porcelain cup in a steamer until cooked. Take once after meals. Self-resolves in half a month.
For Scrofula swelling/pain persisting for a long time.
Apply Li Tou Gu (*Vulpis Cranium*) coated with酥 [lard], roast until yellow, grind to powder. Take 1 qianbi with rice drink on an empty stomach daily.
For Scrofula persisting for a long time.
Take 1 Banmao (*Mylabris*), remove wings/feet, lightly roast. Take on an empty stomach with 1 zhan of Jiangshui [sour water] or honey water. Severe cases heal in no more than 7 doses.
For Scrofula swelling/hardness/pain persisting for a long time. (From *Taiping Shenghui Fang*)
Collect bats on Dragon Boat Festival. Burn to ash and grind finely. Male bats have no head; female bats have a head. Rinse with water. Wrap in paper. Insert medicine into the sore hole. Heals in 3-5 applications. If male bat, mix a little Mituosen powder with flour paste to resolve internally.
For chronic Scrofula, severe ulceration, foul pus/blood.
Use Wuding Cao (*Unknown herb*, common name Cat's Eye). Collect whole roots. Do not chop. Place in clay pot. Cover with cold water. Boil until very soft, stirring constantly. Add water if dry. Boil into thick paste. Add a few Quanxie (*Scorpio*). Boil again. Remove coarse fibers. Stop when fragrant. Pour into porcelain jar. Bury in earth, leaving opening to vent gas. Spread on red silk and apply to lesion. Falls off in 2-3 days. Heals in 2-3 applications. Before applying medicine, moxa around the sore until extreme pain subsides. Drain pus/blood. Clean with soft material. Then apply the ointment.
For Scrofula persisting for a long time.
Apply Pig Lard Gao (*Zhu Lagao*).