（附论）
夫瘰 者。由风热毒瓦斯壅滞于胸膈之间。不得宣通。而搏于肝。肝主筋。故令筋蓄结而
肿。多生于颈腋之间。浮于筋皮之中。有结核累累相连。大小无定。其初发之时。热毒肿结。
故令寒热也。
方
曾青散（出千金方）治寒热瘰 及鼠 。
曾青 附子 矾石 荏子（各半两） 栝蒌根 露蜂房 当归 防风 芎 黄 黄
芩
狸骨 甘草（各二两） 细辛 干姜（各一两） 斑蝥 芫青（各五枚） 上为末。以温酒
调服一
方匕日再服。
连翘丸（出圣惠方）治瘰 结肿不散欲成脓。致寒热不退。
连翘 大黄（炒） 沉香 薰陆香 牛蒡子（炒） 黄 枳壳（麸炒黄各一两） 玄
参羌
活赤芍药 升麻 芎 黄芩 占斯（各三分） 红盐（一分波斯者） 皂荚子（四十九
粒微
炒黄） 上为末。炼蜜和丸如桐子大。每于食后温水下。
射干连翘汤（出圣惠方）治瘰 寒热。
射干 连翘 玄参 赤芍药 木香 升麻 山栀子 前胡（去芦） 当归（切焙） 甘
草
（炙锉各一两） 大黄（锉炙二两） 上粗捣筛每服三钱匕。水一盏。煎至七分。去滓。入
芒
硝少许。食后温服。日再服。
曾青散（出圣济总录）治寒热瘰 。
曾青（研） 附子（炮裂去皮脐） 矾石（熬令汁枯研细） 荏子（各半钱） 当归（切
焙） 狸
骨（炙酥） 甘草（炙各二两） 细辛（去苗叶） 干姜 露蜂房（炙各一两） 斑蝥（同
芫青炒）
芫青（各五枚去头足翅用糯米拌炒去米不用） 上研为散。每服一钱匕。空心温酒下。
栝蒌子散（出圣惠方） 治瘰 初肿。疼痛寒热。四肢不宁。
栝蒌子（微炒） 皂子仁（微炒） 牛蒡子（微炒） 连翘 牵牛子（微炒） 何首乌 大
黄
（炒） 栀子仁 甘草（生锉） 白螺壳 漏芦（各一两） 上为散。每服二钱。食前温酒
调下。
木通丸（出圣惠方）治瘰 结肿。身体寒热。心胸壅滞。
败酱（三分） 大麻仁（一两） 大黄（二两炒） 赤芍药（三分） 犀角屑（三分） 黑
豆（一
两炒熟去皮） 昆布（一两洗去咸味） 木通（一两锉） 玄参（一两） 连翘（一两） 升
麻（一
两） 上为末。炼蜜和丸如桐子大。食后用浆水下二十丸。
沉香散（出圣惠方）治瘰 寒热。结肿疼痛。心胸壅滞。
沉香 桑寄生 射干 升麻 连翘（各三两） 大黄（一两半炒） 防风 薰陆香 藿
香
（各三分） 麝香（一分研细） 上为散。入麝香研匀。每服四钱。水一盏。煎至六分。去
滓温
服。日三服。或四服。
漏芦汤（出圣济总录一名知母汤）治瘰 结核初成。时发寒热。
漏芦（去芦） 连翘 木通（锉） 桂（去粗皮） 犀角屑 黄芩（去黑皮） 柴胡（去
苗）
玄参 大黄（锉炒） 知母 上粗捣筛。每服三钱匕。水一盏。煎至八分。去滓下朴硝半钱
匕。
搅动。空心临卧服。以快为度。
土瓜根散（出圣济总录）治瘰 发寒热。
土瓜根（去土） 连翘 龙胆 黄连（去须） 苦参 栝蒌根（微炒） 大黄（微炒） 芍
药
木香 上等分捣为散。食后临卧温酒调下一钱匕。日三服。
石燕丸（出圣惠方）治瘰 结肿。寒热疼痛。心腹烦壅。
石燕（一枚细研） 真珠（一钱） 麸金石（三分细研） 木香 井泉石 续断（去皮
各三分）
槟榔（一两） 郁李仁（一两汤浸去皮微炒） 上为末同研令匀。炼蜜和丸如桐子大。每于
食后。
以米饮下十丸。
旱莲子丸（出危氏方）治少长脏气不平。忧思惊恐。抑郁结聚。及外伤风寒燥
湿饮食。结成百毒。瘰 发作寒热。遍于项腋。凡远近俱治之。
旱莲子 连翘子 威灵仙 何首乌 蔓荆子 京三棱（醋浸湿纸裹 ） 赤芍药（各一
两）
木香（二两） 大皂角（二挺刮去皮涂酥炙再和羊脂同炙） 上为末。糊丸如桐子大。用建
茶清
下三十丸或五十丸。日三服。小儿酌减与之。食后服。
玄参散（出圣惠方）治瘰 初生。结肿发渴。发寒热。
玄参 枳壳（麸炒微黄去白） 木通 独活（各一两） 犀角屑（半两） 大黄（一两
微炒）
杏仁（一两汤浸去皮尖双仁麸炒黄） 上为散。每服三钱。水一盏。煎至六分。去滓温服。
日
三。
木香消毒汤（出圣济总录）治瘰瘤发寒热烦闷。
木香 大黄（生各半两） 竹叶（干者一分） 连翘（一两） 独活（去芦半两） 栀
子仁（一
钱） 上粗捣筛。每服三钱。水酒童子小便共一盏。煎至七分。去滓温服。
狸头散（出千金翼方）治寒热瘰 。
连翘 土瓜根 苦参 黄连 栝蒌 芍药 常山皮（各一两） 狸头骨（一枚） 龙胆
（二两） 上共捣筛。酒服五分匕。日三。忌猪肉。冷水。一方无狸头。
连翘丸（出圣济总录）治瘰 寒热结硬在颈腋之下。
连翘 玄参 木香 升麻（各一两） 大黄（蒸半两） 昆布（去咸味焙二两） 枳壳
（去瓤
炒一两半） 大麻仁（微炒别研一两） 上捣筛为末。炼蜜和丸如桐子大。每服十五丸。食
前
米饮下。加至二十丸。一方作散。空心米饮调下一钱。
射干丸（出圣济总录）治瘰 恶寒壮热。久则必成痿 。
白蔹散（出圣惠方）治瘰 于项腋结肿寒热。宜用贴之。
白蔹（半两） 甘草 玄参 木香 赤芍药 大黄（各半两） 上为散。以醋调为膏。
贴于
患上。干即易之。
治瘰 初起。未破。作寒热。（出危氏方）
木鳖子（二分去壳磨） 草乌（半两磨） 忽白（连根用） 蚯蚓粪（二分） 上真米
醋磨木鳖
子、草乌二味。入蚯蚓粪、葱白调匀。敷 上。扯纸条贴之。欲令通气孔。
治寒热瘰 散。
狸骨（五两半分微炙） 乌头（七分炮） 黄连（七分） 上捣筛为末。食前以酒调服
一钱
匕。日三。忌猪肉冷水。
玄参汤（出圣济总录）治瘰 寒热。先从胫腋诸处起者。
玄参（三斤细研） 磁石（三斤烧令赤醋淬七次细研水飞过） 上以生绢袋盛。酒三斗
浸六
七日。每服一盏。空心临卧温服。
治寒热瘰 方。（出圣济总录）
用狸头一枚酥炙捣为散。每服一钱。空心米饮调下。
乌犀汤（出圣济总录）治初患瘰 皮肉寒热赤肿。\x
犀角（一钱） 恶实（三两炒） 沉香（三分） 麝香（半钱研） 丁香（半两） 玄
参（三分）
大黄（锉炒） 木通（锉） 射干 连翘 上粗捣筛。每服五钱匕。水一钟半。煎至八分。
去滓
空心温服。
(Attached Discussion)
Luo Li (Scrofula) is a condition caused by the stagnation and obstruction of wind-heat toxic pathogens in the chest and diaphragm, preventing their free circulation. These pathogens then bind to the Liver. Since the Liver governs the sinews, this leads to the accumulation and nodular swelling of the sinews. This disease mostly occurs between the neck and axilla, floating within the sinew and skin layers, presenting as multiple connected tubercles of varying sizes. At the initial stage, due to heat-toxin swelling and knotting, chills and fever occur.
Formulas:
Cengqing Powder (from *Qianjin Fang*), treating chills and fever associated with Luo Li and Shu Luo (Rat Scrofula).
Ingredients: Chrysocolla (Cengqing), Prepared Aconite Root (Fuzi), Alum (Fanshi), Perilla Seed (Renzi) (each 0.5 liang); Trichosanthes Root (Gualou Gen), Honeycomb (Lufengfang), Angelica Sinensis (Danggui), Saposhnikovia Root (Fangfeng), Ligusticum Rhizome (Xiong), Scutellaria Root (Huangqin), Civet Bone (Li Gu), Licorice Root (Gancao) (each 2 liang); Asarum (Xixin), Dried Ginger (Ganjiang) (each 1 liang); Mylabris (Banmao), Lytta (Yuanqing) (each 5 pieces).
Usage: Grind the above ingredients into powder. Take one fangcun bi (approx. 3-5 grams) mixed with warm wine, twice daily.
Liaoqiao Pill (from *Shenghui Fang*), treating persistent swelling and knotting of Luo Li that may suppurate, causing unremitting chills and fever.
Ingredients: Forsythia Fruit (Liaoqiao), Rhubarb (Da Huang, stir-fried), Agarwood (Chenxiang), Frankincense (Xunlu Xiang), Arctium Seed (Niubangzi, stir-fried), Scutellaria Root (Huangqin), Bitter Orange (Zhike, bran-stir-fried until slightly yellow) (each 1 liang); Scrophularia Root (Xuanshen), Notopterygium Root (Qianghuo), Red Peony Root (Chishaoyao), Cimicifuga Rhizome (Shengma), Ligusticum Rhizome (Xiong), Scutellaria Root (Huangqin), Opoponax (Zhan Si) (each 3 fen); Red Salt (Hongyan, 1 fen, preferably from Persia); Gleditsia Sinensis Fruit (Zaojiazi, 49 grains, lightly stir-fried until yellow).
Usage: Grind the above ingredients into powder. Mix with refined honey to form pills the size of tung tree seeds. Take with warm water after meals.
Shegan Liaoqiao Decoction (from *Shenghui Fang*), treating Luo Li with chills and fever.
Ingredients: Belamcanda Rhizome (Shegan), Forsythia Fruit (Liaoqiao), Scrophularia Root (Xuanshen), Red Peony Root (Chishaoyao), Aucklandia Root (Muxiang), Cimicifuga Rhizome (Shengma), Gardenia Fruit (Shanzhizi), Peucedanum Root (Qianhu, remove rhizome), Angelica Sinensis (Danggui, sliced and baked), Licorice Root (Gancao, roasted and crushed) (each 1 liang); Rhubarb (Da Huang, crushed and roasted) (2 liang).
Usage: Coarsely crush and sieve the above ingredients. Take 3 qianbi per dose. Add one zhan of water, decoct until 7/10 remains. Remove dregs, add a small amount of Mirabilite (Mangxiao). Take warm after meals, twice daily.
Cengqing Powder (from *Shengji Zonglu*), treating chills and fever associated with Luo Li.
Ingredients: Chrysocolla (Cengqing, ground); Prepared Aconite Root (Fuzi, roasted, split, peel and navel removed); Alum (Fanshi, boiled until juice is dry, finely ground); Perilla Seed (Renzi) (each 0.5 qian); Angelica Sinensis (Danggui, sliced and baked); Civet Bone (Li Gu, roasted with butter); Licorice Root (Gancao, roasted) (each 2 liang); Asarum (Xixin, remove seedlings and leaves); Dried Ginger (Ganjiang); Honeycomb (Lufengfang, roasted) (each 1 liang); Mylabris (Banmao, stir-fried with Lytta); Lytta (Yuanqing) (each 5 pieces, remove head, feet, and wings, stir-fry with glutinous rice, discard rice).
Usage: Grind the above ingredients into a powder. Take 1 qianbi per dose, taken with warm wine on an empty stomach.
Gualouzi Powder (from *Shenghui Fang*), treating initial swelling of Luo Li, pain with chills and fever, and restlessness in the four limbs.
Ingredients: Trichosanthes Seed (Gualouzi, lightly stir-fried); Gleditsia Sinensis Seed Kernel (Zaoziren, lightly stir-fried); Arctium Seed (Niubangzi, lightly stir-fried); Forsythia Fruit (Liaoqiao); Morning Glory Seed (Qianniuzi, lightly stir-fried); Polygonum Multiflorum (Heshouwu); Rhubarb (Da Huang, stir-fried); Gardenia Seed (Zhiziren); Licorice Root (Gancao, raw and crushed); White Conch Shell (Bailuoke); Radix Agrimoniae (Loulu) (each 1 liang).
Usage: Grind the above ingredients into a powder. Take 2 qian per dose, mixed with warm wine before meals.
Mutong Pill (from *Shenghui Fang*), treating swollen knots of Luo Li, body chills and fever, and stagnation in the chest and heart.
Ingredients: Patrinia Root (Baijiang, 3 fen); Hemp Seed (Dama Ren, 1 liang); Rhubarb (Da Huang, 2 liang, stir-fried); Red Peony Root (Chishaoyao, 3 fen); Rhinoceros Horn (Xijiao, 3 fen); Black Soybean (Heidou, 1 liang, cooked thoroughly, peeled); Kelp (Kunbu, 1 liang, washed to remove saltiness); Akebia Stem (Mutong, 1 liang, crushed); Scrophularia Root (Xuanshen, 1 liang); Forsythia Fruit (Liaoqiao, 1 liang); Cimicifuga Rhizome (Shengma, 1 liang).
Usage: Grind the above ingredients into powder. Mix with refined honey to form pills the size of tung tree seeds. Take 20 pills with Jiangshui (fermented grain drink) after meals.
Chenxiang Powder (from *Shenghui Fang*), treating Luo Li with chills and fever, swollen knots and pain, and stagnation in the chest and heart.
Ingredients: Agarwood (Chenxiang), Taxillus Branches (Sangjisheng), Belamcanda Rhizome (Shegan), Cimicifuga Rhizome (Shengma), Forsythia Fruit (Liaoqiao) (each 3 liang); Rhubarb (Da Huang, 1.5 liang, stir-fried); Saposhnikovia Root (Fangfeng), Frankincense (Xunlu Xiang), Patchouli Leaf (Huoxiang) (each 3 fen); Musk (Shexiang, 1 fen, finely ground).
Usage: Grind the above ingredients into powder, mix evenly with Musk. Take 4 qian per dose. Add one zhan of water, decoct until 6/10 remains. Remove dregs and take warm. Take three or four times daily.
Loulu Decoction (from *Shengji Zonglu*, also known as Zhimu Decoction), treating early formation of tubercles in Luo Li, with intermittent chills and fever.
Ingredients: Radix Agrimoniae (Loulu, remove rhizome); Forsythia Fruit (Liaoqiao); Akebia Stem (Mutong, crushed); Cinnamon Twig (Gui, remove coarse bark); Rhinoceros Horn (Xijiao); Scutellaria Root (Huangqin, remove black skin); Bupleurum Root (Chaihu, remove seedlings); Scrophularia Root (Xuanshen); Rhubarb (Da Huang, crushed and stir-fried); Anemarrhena Rhizome (Zhimu).
Usage: Coarsely crush and sieve the above ingredients. Take 3 qianbi per dose. Add one zhan of water, decoct until 8/10 remains. Remove dregs, add half a qianbi of Niter (Puxiao). Stir well. Take on an empty stomach and before sleep. Stop when bowel movement is smooth.
Tugua Gen Powder (from *Shengji Zonglu*), treating Luo Li with chills and fever.
Ingredients: Trichosanthes Root (Tugua Gen, remove soil); Forsythia Fruit (Liaoqiao); Gentian Root (Longdan); Coptis Rhizome (Huanglian, remove roots); Sophora Root (Kushen); Trichosanthes Root (Gualou Gen, lightly stir-fried); Rhubarb (Da Huang, lightly stir-fried); Peony Root (Shaoyao); Aucklandia Root (Muxiang).
Usage: Divide equally, crush into powder. Take 1 qianbi mixed with warm wine after meals and before sleep, three times daily.
Shiyan Pill (from *Shenghui Fang*), treating swollen knots of Luo Li, chills and fever with pain, and mental restlessness and stagnation in the heart and abdomen.
Ingredients: Shiyan (1 piece, finely ground); Real Pearl (Zhenzhu, 1 qian); Bran Stone Metal (Fu Jinshi, 3 fen, finely ground); Aucklandia Root (Muxiang); Well Spring Stone (Jingquanshi); Teasel Root (Xuduan, peel removed) (each 3 fen); Areca Seed (Binglang, 1 liang); Apricot Seed (Yuliren, 1 liang, soaked in water, peeled, lightly stir-fried).
Usage: Grind the above ingredients into powder, mix evenly. Mix with refined honey to form pills the size of tung tree seeds. Take 10 pills with rice drink after meals.
Han Lianzi Pill (from *Weishi Fang*), treating imbalance of internal organs in young and old, worry, thinking, fear, and fright, depression and aggregation, as well as external injury from wind-cold, dryness-dampness, and diet, leading to the formation of hundred toxins. It treats Luo Li with chills and fever spreading to the neck and axilla, effective regardless of location.
Ingredients: Eclipta Prostrate Herb (Han Lianzi); Forsythia Fruit (Liaoqiao Zi); Spirit Flower Root (Weilingxian); Polygonum Multiflorum (Heshouwu); Vitex Fruit (Manjing Zi); Curcuma Longa Rhizome (Jing Sanleng, soaked in vinegar, wrapped in wet paper, roasted); Red Peony Root (Chishaoyao) (each 1 liang); Aucklandia Root (Muxiang, 2 liang); Large Gleditsia Sinensis Fruit (Da Zaojiao, 2 pods, scraped, peeled, coated with butter, roasted again with sheep fat).
Usage: Grind the above ingredients into powder. Form pills with paste the size of tung tree seeds. Take 30 or 50 pills with Jian tea clear liquid. Three times daily. Reduce dosage for children. Take after meals.
Xuanshen Powder (from *Shenghui Fang*), treating newly formed Luo Li, with swollen knots, thirst, and chills and fever.
Ingredients: Scrophularia Root (Xuanshen); Bitter Orange (Zhike, bran-stir-fried until slightly yellow, remove white pith); Akebia Stem (Mutong); Saposhnikovia Root (Duhuo) (each 1 liang); Rhinoceros Horn (Xijiao, 0.5 liang); Rhubarb (Da Huang, 1 liang, lightly stir-fried); Almond (Xingren, 1 liang, soaked in water, peel and tip removed, double kernel, bran-stir-fried until yellow).
Usage: Grind the above ingredients into powder. Take 3 qian per dose. Add one zhan of water, decoct until 6/10 remains. Remove dregs and take warm. Three times daily.
Muxiang Xiaodu Decoction (from *Shengji Zonglu*), treating Luo Liu with chills, fever, and irritability.
Ingredients: Aucklandia Root (Muxiang); Rhubarb (Da Huang, raw) (each 0.5 liang); Bamboo Leaf (Zhuye, dried) (1 fen); Forsythia Fruit (Liaoqiao, 1 liang); Saposhnikovia Root (Duhuo, remove rhizome) (0.5 liang); Gardenia Seed (Zhiziren, 1 qian).
Usage: Coarsely crush and sieve the above ingredients. Take 3 qian per dose. Use water, wine, and urine of a healthy boy, totaling one zhan. Decoct until 7/10 remains. Remove dregs and take warm.
Litou Powder (from *Qianjin Yifang*), treating chills and fever associated with Luo Li.
Ingredients: Forsythia Fruit (Liaoqiao); Trichosanthes Root (Tugua Gen); Sophora Root (Kushen); Coptis Rhizome (Huanglian); Trichosanthes Fruit (Gualou); Peony Root (Shaoyao); Polygala Root Bark (Changshan Pi) (each 1 liang); Civet Head Bone (Litou Gu, 1 piece); Gentian Root (Longdan, 2 liang).
Usage: Crush and sieve together. Take 0.5 fangcun bi with wine. Three times daily. Avoid pork and cold water. Another formula excludes Civet Head.
Liaoqiao Pill (from *Shengji Zonglu*), treating hard knots of Luo Li with chills and fever under the neck and axilla.
Ingredients: Forsythia Fruit (Liaoqiao); Scrophularia Root (Xuanshen); Aucklandia Root (Muxiang); Cimicifuga Rhizome (Shengma) (each 1 liang); Rhubarb (Da Huang, steamed) (0.5 liang); Kelp (Kunbu, remove saltiness, bake) (2 liang); Bitter Orange (Zhike, remove pulp, stir-fry) (1.5 liang); Hemp Seed (Dama Ren, lightly stir-fried and separately ground) (1 liang).
Usage: Crush and sieve into powder. Mix with refined honey to form pills the size of tung tree seeds. Take 15 pills per dose, before meals with rice drink. Can increase to 20 pills. Another version is powder: take 1 qian with rice drink on an empty stomach.
Shegan Pill (from *Shengji Zonglu*), treating Luo Li with aversion to cold and high fever; if prolonged, it will inevitably become Wei Syndrome (atrophy syndrome).
(Note: Ingredients not listed in original text for this specific entry.)
Baijian Powder (from *Shenghui Fang*), treating Luo Li with swollen knots, chills, and fever in the neck and axilla. Suitable for external application.
Ingredients: Ampelopsis Rhizome (Baijian, 0.5 liang); Licorice Root (Gancao); Scrophularia Root (Xuanshen); Aucklandia Root (Muxiang); Red Peony Root (Chishaoyao); Rhubarb (Da Huang) (each 0.5 liang).
Usage: Grind the above ingredients into powder. Mix with vinegar to form a paste. Apply to the affected area. Change when dry.
Treating initial Luo Li, unbroken, with chills and fever. (From *Weishi Fang*)
Ingredients: Momordica Seed (Mubiezi, 2 fen, remove shell and grind); Aconite Root (Caowu, 0.5 liang, grind); Houbai (Hubai, use whole root including roots); Earthworm Feces (Qiuyin Fen, 2 fen).
Usage: Grind Mubiezi and Caowu with real rice vinegar. Add earthworm feces and scallion white, mix evenly. Apply to the lesion. Cover with paper strips to allow air holes.
Powder for Treating Chills and Fever Luo Li.
Ingredients: Civet Bone (Li Gu, 5.5 liang, lightly roasted); Aconite Root (Wutou, 7 fen, roasted); Coptis Rhizome (Huanglian, 7 fen).
Usage: Crush and sieve into powder. Take 1 qianbi mixed with wine before meals. Three times daily. Avoid pork and cold water.
Xuanshen Decoction (from *Shengji Zonglu*), treating Luo Li with chills and fever, starting first from the legs and axilla.
Ingredients: Scrophularia Root (Xuanshen, 3 jin, finely ground); Magnetite (Cishi, 3 jin, heated red, quenched in vinegar seven times, finely ground, washed with water).
Usage: Place in a raw silk bag. Soak in 3 dou of wine for six to seven days. Take one zhan per dose, warm, on an empty stomach and before sleep.
Formula for Treating Chills and Fever Luo Li. (From *Shengji Zonglu*)
Usage: Take one civet head, roast with butter, crush into powder. Take 1 qian per dose, mixed with rice drink on an empty stomach.
Wuxi Decoction (from *Shengji Zonglu*), treating initial Luo Li with chills, fever, redness, and swelling of skin and flesh.
Ingredients: Rhinoceros Horn (Xijiao, 1 qian); Arctium Fruit (Eshi, 3 liang, stir-fried); Agarwood (Chenxiang, 3 fen); Musk (Shexiang, 0.5 qian, ground); Clove (Dingxiang, 0.5 liang); Scrophularia Root (Xuanshen, 3 fen); Rhubarb (Da Huang, crushed and stir-fried); Akebia Stem (Mutong, crushed); Belamcanda Rhizome (Shegan); Forsythia Fruit (Liaoqiao).
Usage: Coarsely crush and sieve the above ingredients. Take 5 qianbi per dose. Add 1.5 zhong of water, decoct until 8/10 remains. Remove dregs and take warm on an empty stomach.