（附论）
夫瘿者。由忧恚气结所生。亦曰饮沙水。沙随气入于脉。搏颈下而成之。初作与瘿核相
似。
成瘿
有气瘿可具针之。养生方云。诸山水黑土中。出泉流者。不可久居。常食令人作瘿病。动气
增患
是瘿
。耳无根。浮动在皮中。其地妇人患之。肾气实。沙石性合于肾。则令肾实。故病瘿也。北
方妇人饮沙水者。产后得乳甚难。非针不出。是以比家有不救者。良由此也。
凡瘿袋胀闷。养生论云。两山夹山。其人多瘿。土浓水深。其人多瘿。地势使然也。此
可服人参化瘿丹。自消。瘿药多用海藻、海带。味属咸寒。
《儒门事亲书》云。新寨一妇人。年四十余有瘿三瓣。戴人以盐吐之。三涌。三汗。三
下。瘿已半消。次服化瘿之药。遂大消去。夫病在上者。皆宜吐。亦自有消息之法耳。
方
化瘿丹
治瘿。
海藻 海带 昆布 泽泻 木通 猪靥 羊靥（各五枚） 海蛤 连翘 上为细末。研
靥为丸
疗瘿
昆布（六分洗去咸味） 海藻（七分洗去咸味） 松萝 干姜 桂心（各四分） 通草
（五分） 上
饮少许酒。却
瘥。
又方
疗颈下卒结硬核欲成瘿。
昆布（洗去咸味） 海藻（洗去咸味各一斤） 上细切。好酒五升。浸七日。量力取数
服。酒更
日四五
木通散
治颈下卒然结囊欲成瘿。
木通（锉） 海藻 昆布（各洗去咸味） 松萝 桂心 蛤蚧（涂酥炙令微黄） 白蔹 琥
珀（各
海藻散
疗瘿。
海藻（八两洗去咸味） 贝母（二两） 土瓜根（二分） 小麦面（二分炙） 上为散。
酒服方寸匕
昆布丸
治一切瘿病。不问新久。
昆布（洗去咸味一两） 海藻（洗去咸味一两） 小麦（好醋煮干一两） 上为细末。
炼蜜和丸如
治瘿项
蒲黄（三两如有热寒水石代之） 猪靥 羊靥（各五两去脂膜焙干） 上为细末。用饧
糖为丸如
疗瘿方
昆布（洗去咸味三分） 松萝（三分） 海藻（洗去咸味五分） 上研为末。丸如杏核
大。含咽津
治忽生瘿病一二年者。
用万州黄药子三斤。须紧重者为上。如轻虚即是他州者。其力即慢。须用焙取无灰酒一
斗。投药中。泥封固瓶口。以糠火烧一顿饭时。停住。令酒冷。即令患者时时饮一盏。不令
绝酒气。经三日后。常把镜自照。觉销即停饮。不尔。便令人颈细也。旁边糠火不可多堆。
烧酒气香出。瓶头有津。即止火。不待经宿也。已验如神。忌食毒物。
疗瘿方
用醇苦酒一升。渍小麦一升。含温沥出。曝干燥后。不须使苦酒浸曝麦燥。捣筛。以海
藻五
又方
用秫米三升。取圆叶白杨皮十两。去土苍者。慎勿令见风。细切五升。煮取二升。浓汁
渍曲
三日
又方
用小麦三升。三年米醋三升。渍麦曝干。更浸使醋尽。又曝干。捣筛为散。别捣昆布为
散。
得。服尽即瘥。多服弥善。无所禁。但不用举重及悲啼烦恼事。
救急疗瘿方
用鼠粘草根一升。汤洗细切除皮者一升。以水三升。煮取一升半。分三服。温下。去服
过时
和丸如梧桐子大。每服一十丸。日日服之。稍稍加至三十丸。以无灰酒进之。
治瘿
以杜蘅食之。
(Attached Discussion)
Ying disease (Goiter), arises from the stagnation of Qi due to sorrow and indignation. It is also referred to as "drinking sandy water," where sand enters the meridians along with Qi, combats and accumulates in the lower neck, forming a mass. Initially, it resembles Ying nuclei (lumps).
Formation of Ying
For Qi Ying (Qi-type goiter), acupuncture can be employed. The *Yangsheng Fang* states: In areas of black soil near mountains and waters where springs flow, one should not dwell for long periods. Regular consumption of the local water and soil can induce Ying disease, disturbing Qi and exacerbating the condition.
This is Ying Disease
This type of Ying lacks a root and floats within the skin. Women in this region suffer from it frequently because their Kidney Qi is substantial; the nature of sand and stones combines with the Kidney, causing Kidney excess, thus leading to Ying disease. Women in the north who drink sandy water often find lactation extremely difficult postpartum; without acupuncture to discharge it, relief is impossible. Consequently, some families have failed to save patients due to this reason.
Regarding the distension and fullness of Ying sacs, the *Yangsheng Lun* states: People living between two夾峙 mountains often suffer from Ying disease; those in areas with rich soil and deep water also frequently suffer from Ying disease. This is caused by the geographical terrain. In such cases, one may take Renshen Huaying Dan (Ginseng Goiter-Resolving Pill) to resolve it spontaneously. Medicines for treating Ying mostly use Haizao (Sargassum) and Haidai (Kelp), which are salty and cold in nature.
The *Rumen Shiqin Shu* records: A woman in Xinzhai, over forty years old, had a tri-lobed Ying. Dai Ren (Zhang Congzheng) treated her with salt-induced emesis. After three rounds of vomiting, sweating, and purging, half of the Ying was resolved. Subsequently, she took medicines to resolve Ying, leading to its complete disappearance. Generally, diseases located in the upper body are suitable for emetic therapy, but there are specific methods for weighing and applying them appropriately.
Formulas
[Huaying Dan]
Treats Ying disease.
Haizao (Sargassum), Haidai (Kelp), Kunbu (Laminaria), Zexie (Alisma), Mutong (Akebia), Zhu Ye (Pig thyroid), Yang Ye (Sheep thyroid) (each 5 pieces), Hai Ge (Clam shell), Lianqiao (Forsythia). Grind the above herbs into fine powder. Grind the pig and sheep thyroids and form pills.
[Liao Ying Fang]
Kunbu (6 fen, washed to remove salinity), Haizao (7 fen, washed to remove salinity), Songluo (Dendrochiopsis), Ganjiang (Dried Ginger), Guixin (Cinnamon Twig), Tongcao (Tetrapanax) (each 4 fen). Take with a small amount of wine until recovery.
[Another Formula]
Treats sudden hard nodules under the neck that are about to become Ying.
Kunbu (washed to remove salinity), Haizao (washed to remove salinity, each 1 jin). Finely chop the above herbs and soak in 5 sheng of good wine for seven days. Take an appropriate amount based on tolerance. Heat the wine four or five times daily.
[Mutong San]
Treats sudden cystic formations under the neck that are about to become Ying.
Mutong (chopped), Haizao, Kunbu (each washed to remove salinity), Songluo, Guixin, Gejie (Gecko, prepared with butter and roasted until slightly yellow), Bailian (Pueraria lobata root), Hupo (Amber) (equal parts).
[Haizao San]
Treats Ying disease.
Haizao (8 liang, washed to remove salinity), Beimu (Fritillaria), Tugua Gen (Trichosanthes kirilowii root), Xiaomai Mian (Wheat flour, roasted) (each 2 fen). Grind into powder. Take one cun bi (measure) with wine.
[Kunbu Wan]
Treats all types of Ying disease, regardless of new or old onset.
Kunbu (1 liang, washed to remove salinity), Haizao (1 liang, washed to remove salinity), Xiaomai (Wheat grain, boiled dry in good vinegar, 1 liang). Grind into fine powder. Mix with refined honey to form pills the size of wutong seeds.
[Zhi Ying Xiang Fang]
Puhuang (3 liang, replace with Hanshuishi if heat signs are present), Zhu Ye, Yang Ye (each 5 liang, remove fat membrane and roast dry). Grind into fine powder. Form pills the size of wutong seeds using yitang (maltose).
[Liao Ying Fang]
Kunbu (3 fen, washed to remove salinity), Songluo (3 fen), Haizao (5 fen, washed to remove salinity). Grind into powder. Form pills the size of apricot kernels. Hold in mouth and swallow saliva.
[Treatment for Sudden Onset Ying lasting One to Two Years]
Use 3 jin of Huangyaozi (Dioscorea bulbifera) from Wanzhou. Choose dense and heavy specimens; light ones from other regions are less effective. Pour 1 dou of non-ash wine into the medicine, seal the bottle mouth with mud, and simmer over chaff fire for the duration of a meal. Let it cool. Have the patient drink one zhan (cup) occasionally, ensuring the aroma of wine is never absent. After three days, check regularly in the mirror. Stop drinking when reduction is felt; otherwise, the neck may become too thin. Do not pile too much chaff around the fire. Stop heating when the aroma of wine emerges and moisture appears at the bottle neck, without waiting overnight. This method is verified as miraculous. Avoid toxic foods.
[Liao Ying Fang]
Soak 1 sheng of wheat in 1 sheng of strong sour vinegar. Warm, squeeze out the liquid, and dry the wheat without further soaking. Grind and sieve. Add Haizao... (text incomplete).
[Another Formula]
Use 3 sheng of Shumi (Millet) and 10 liang of round-leaf white poplar bark. Remove dirt and coarse parts, avoiding wind exposure. Finely chop 5 sheng. Boil to obtain 2 sheng of concentrated juice. Soak Qu (yeast)... (text incomplete). Three days...
[Another Formula]
Soak 3 sheng of wheat in 3 sheng of three-year-old rice vinegar. Dry after soaking. Re-soak until vinegar is fully absorbed, then dry again. Grind and sieve into powder. Separately grind Kunbu into powder. ... (text incomplete). Take until cured. More is better. No dietary restrictions. Avoid heavy lifting and emotional distress/sorrow.
[Jiuji Liao Ying Fang]
Use 1 sheng of Niuniu Cao Gen (Arctium lappa root). Wash with hot water, remove skin, use 1 sheng. Boil in 3 sheng of water to obtain 1.5 sheng. Divide into three doses, take warm. ... (text incomplete).
Form pills the size of wutong seeds. Take 10 pills daily, gradually increasing to 30 pills. Administer with non-ash wine.
[Zhi Ying]
Consume Duheng (Asarum).