（附论）
夫瘰 之候。大概有三。一曰风毒。得之于风。二曰气毒。得之于气。三曰热毒。得之
于热。盖风热气蕴蓄。经脉痞涩。皆能结于头项胸腋成瘰 。硬核状如连珠。肿溃生疮。不
疗则变为瘰 之证。令人寒热羸瘦。
方
木香丸（出圣济总录）治热风毒瓦斯结为瘰 。恶寒壮势。劳即更甚。将成 疾
。
木香 犀角（镑） 芍药 连翘（各一两半） 白蔹（一两一分） 射干 海藻（洗去
咸味焙
干） 昆布（洗去咸味焙干） 乌蛇（酒浸一宿去皮骨炙） 玄参（各二两） 大黄（锉微
炒三两）
上为末。炼蜜丸如梧桐子大。每服十丸。空心温酒下。至夜再服。
五香汤 疗毒肿瘰 。
麝香（研三分） 青木香 鸡舌香 芦香 薰陆香 当归 黄芩 升麻 芒硝（各二分）
大黄（五分） 上 咀。以水六升。煮取二升。去滓分服。相去如人行七八里再服。诸卒尸
注
恶气亦疗。
沉香汤（出圣济总录）
沉香 丁香 木香 麝香（各一分） 连翘（去黑心） 黄芩（各半两） 升麻（一两）
上粗
捣筛。每服五钱匕。水一盏半。煎至八分。去滓温服。空心日午夜卧各一服。
薄荷丹（出仁斋直指方）治解瘰 风热之毒。自小便宣毒后。须常服。
苏薄荷 皂角（不蛀去弦皮） 连翘 蔓荆子 何首乌（米泔浸一宿） 京三棱（煨） 荆
芥
（各一两） 上为末。好豉二两半。以米醋煎令沸。洒豉淹令软。研如糊。和丸如梧桐子大。
每服三十丸。食后热水日一服送下。病虽愈常服。
连翘丸（出圣济总录）治热毒瓦斯结成瘰 。
连翘 芍药 玄参 大黄（锉炒） 犀角（镑） 防己 羌活（去芦头） 木香 山栀
子仁
（各一两） 上为末。炼蜜如梧桐子大。食后米饮下二十丸。日再服。
蜂房膏（出圣济总录）治热毒瓦斯毒结成瘰 。
露蜂房（炙） 蛇蜕皮（炙） 玄参 黄 （锉细） 蛇床子（各三分） 杏仁（一两
半） 乱发
（鸡子许大） 铅丹（三两） 蜡（二两） 上先将前五味锉细绵裹。用酒少许浸一宿。勿
令酒多。
用油半斤。内杏仁、乱发煎十五沸。待发消尽。即用绵滤。更下铛中。然后下铅丹、蜡。又
煎五六沸。即泻出于瓷盆中盛。取贴疮上。一日一换。
木通丸（出圣济总录）治风热气毒瘰 。
木通（锉） 车前子（酒浸炒） 大黄（锉炒） 连翘（去芦） 玄参 知母（各一两）
上为
末。炼蜜丸如梧桐子大。每服十丸。腊茶下。
赤小豆散（出圣济总录）治热毒风毒瓦斯毒瘰 。
赤小豆（炒） 黄柏子 硝石（研如粉） 大黄（生各一两） 木鳖子（三枚去壳） 猪
牙皂荚
（五挺酥炙） 上为散。以不语津调涂之。干即易。
射干汤 疗恶毒身强痛瘰 。
射干 桂心（各二两） 麻黄（去节） 生姜 甘草（炙各二两） 杏仁（四十个去皮
尖） 上
切以水四升。煮取三升。去滓分三服。忌海藻、菘菜。
斑蝥散（出圣济总录）治项下并腋下热毒瓦斯。结成瘰 。
斑蝥（去头足翅糯米炒黄半两） 豆黄末 糯米末（炒各一两） 大米（生半两） 腻
粉（一
分） 上为散。一处研匀。空心米饮调下二钱。当吐泻下恶物。即煮糯米粥补之。如吐不止。
以炒豆黄末。煎汤止之。甚不止。磨少许雄黄、麝香止之。将息后。再服。取吐泻恶物尽为
度。
大黄散（出圣济总录）治风毒瓦斯毒热毒瘰 不破者。
大黄（湿纸裹煨微焦色） 甘草（炮） 白僵蚕（去虫焙干各一两） 槟榔（煨一分） 上
为
散。每服二钱匕。蜜熟水调下。日可三五服。取下恶物如鱼脑即愈。
鸡鸣散（出圣济总录）治气 疼痛。及热毒结核。或多烦闷热而不寒者。
牵牛子（一两） 胡粉（一钱） 大黄（蒸末二钱） 朴硝（炼成米者三钱） 上为散。
时以甘
草水调服三钱。以利为度。不利再服。
胡粉丸（出圣济总录）治风毒瓦斯毒瘰 。
胡粉（一钱） 雄黄（研一钱） 雌黄（研一钱） 上研令匀。用乌鸡子三枚取白。调
药入净
瓷盆内。于饭上炊。令软得所。丸如桐子大。每服三十丸至四十丸。温热水下。转恶物为验。
仙人放杖草根并苗（三斤） 羌活（去芦一斤） 杏仁（去皮尖炒研一两） 上将前三
味细
锉。研杏仁。以醇酒一斗于瓶内封。七日后取开。空心暖服一盏。临卧时再服。
羌活散（出圣济总录）治风热毒瓦斯结瘰 。
羌活（去芦头一两半） 白僵蚕（炙一两） 上为散。每日空心以蜜酒调下四钱匕。夜
再服。
凝米散（出圣济总录）治风热毒瓦斯。项下结核。及欲作痈疽疖发背等。
绿豆粉（四两） 乳香（研各一两） 上合研为散。分作四服。虚弱人分作八服。食后
米汤
调下。就有核处一边卧。尽剂必瘥。大消肿痛。
内消膏（出圣济总录）治风毒瓦斯毒不顺。结聚成 或破或不破。
用 皮生锉一枚。用瓷瓶盛泥固济。木炭烧为末。酒调服。
白梅丸（出圣济总录）治风毒瓦斯毒瘰 。
用白僵蚕直者。不拘多少。炒令黄色。捣为末。用陈白梅肉和为丸如桐子大。每服三十
丸。熟水下。空心午后各一服。
内消方（出圣济总录）治风热毒瓦斯结成瘰 。\x
用小麦淘净。煮三五升频吃即愈。
(Attached Discussion)
The manifestations of Luoli (scrofula, lymphatic tuberculosis) generally fall into three categories. The first is Wind Toxin, caused by wind pathogenic factors; the second is Qi Toxin, caused by qi stagnation; and the third is Heat Toxin, caused by heat pathogenic factors. Generally speaking, when wind, qi, and heat accumulate and stagnate, causing obstruction and stasis in the meridians, they can all knot together in the head, neck, chest, and axilla to form Luoli. The nodules are hard and resemble a string of pearls. They swell, ulcerate, and generate sores. If left untreated, it will transform into severe Luoli syndrome, causing chills and fever, emaciation, and wasting.
Formulas
Muxiang Wan (Cinnamon Twig Pill, from *Shengji Zonglu*), treating Luoli formed by the accumulation of wind-heat toxin and toxic vapors. Symptoms include aversion to cold, high fever, worsening upon exertion, and impending development of malaria.
Herbs: Muxiang (Costi Rhizoma), Xijiao (Rhinocerotis Cornu), Shaoyao (Paeoniae Radix Alba), Lianqiao (Forsythiae Fructus) (each 1 liang 5 qian), Bailian (Trollii Radix) (1 liang 1 fen), Shegan (Belamcandae Rhizoma), Haizao (Sargassum Herba) (washed to remove salty taste and baked dry), Kunbu (Eckloniae Thallus) (washed to remove salty taste and baked dry), Wushe (Zaocys), soaked in wine overnight, skin and bones removed, roasted), Xuanshen (Scrophulariae Radix) (each 2 liang), Dahuang (Rhei Radix et Rhizoma) (cut into small pieces, lightly stir-fried, 3 liang).
Preparation and Administration: Grind the above herbs into fine powder. Use refined honey to make pills the size of paulownia seeds. Take 10 pills each time, with warm wine on an empty stomach. Take again at night.
Wuxiang Tang (Five Fragrances Decoction), treating toxic swelling and Luoli.
Herbs: Shexiang (Moschus), Qingmuxiang (Aucklandiae Radix), Jitixiang (Caryophylli Flos), Luxiang (Agarwood Resina or Aquilariae Resina), Xunluxiang (Boswelliae Resina), Danggui (Angelicae Sinensis Radix), Huangqin (Scutellariae Radix), Shengma (Cimicifugae Rhizoma), Mangxiao (Natrii Sulfas) (each 2 fen), Dahuang (Rhei Radix et Rhizoma) (5 fen).
Preparation and Administration: Cut the herbs into small pieces. Boil in 6 sheng of water until reduced to 2 sheng. Strain and divide into doses. Administer the next dose after the patient has walked approximately 7 to 8 li. This formula also treats various sudden cases of Shizhu disease (corpse transmission disease) and evil qi.
Chenxiang Tang (Aquilaria Decoction, from *Shengji Zonglu*)
Herbs: Chenxiang (Aquilariae Lignum Resinatum), Dingxiang (Caryophylli Flos), Muxiang (Costi Rhizoma), Shexiang (Moschus) (each 1 fen), Lianqiao (Forsythiae Fructus) (remove black heart), Huangqin (Scutellariae Radix) (each 0.5 liang), Shengma (Cimicifugae Rhizoma) (1 liang).
Preparation and Administration: Coarsely grind and sieve the herbs. Take 5 qianbi per dose. Add 1.5 sheng of water, decoct until reduced to 0.8 sheng. Strain and take warm. Take one dose on an empty stomach, one at noon, and one before bed at midnight.
Bohe Dan (Peppermint Pill, from *Renzhai Zhizhi Fang*), treating the resolution of wind-heat toxin in Luoli. After toxins are excreted via urination, regular consumption is required.
Herbs: Su Bohe (Menthae Haplocalycis Herba), Zaojiao (Gleditsiae Fructus) (remove rind and strings if not worm-eaten), Lianqiao (Forsythiae Fructus), Manjingzi (Viticis Semen), Heshouwu (Polygoni Multiflori Radix) (soaked overnight in rice washing water), Jingsanleng (Sparganii Rhizoma) (stir-baked), Jingjie (Schizonepetae Spica) (each 1 liang).
Preparation and Administration: Grind the above herbs into fine powder. Take 2.5 liang of good douchi (fermented soybeans), boil with rice vinegar until bubbling, sprinkle over the douchi to soften, and grind into a paste. Mix with the herb powder to make pills the size of paulownia seeds. Take 30 pills after meals, washed down with hot water, once daily. Continue regular use even after recovery.
Lianqiao Wan (Forsythia Pill, from *Shengji Zonglu*), treating Luoli formed by the accumulation of heat toxin and toxic vapors.
Herbs: Lianqiao (Forsythiae Fructus), Shaoyao (Paeoniae Radix Alba), Xuanshen (Scrophulariae Radix), Dahuang (Rhei Radix et Rhizoma) (cut and stir-fried), Xijiao (Rhinocerotis Cornu), Fangji (Stephaniae Tetrandrae Radix), Qianghuo (Notopterygii Rhizoma et Radix) (remove rhizome head), Muxiang (Costi Rhizoma), Shanzhizi Ren (Gardeniae Semen) (each 1 liang).
Preparation and Administration: Grind the above herbs into fine powder. Use refined honey to make pills the size of paulownia seeds. Take 20 pills after meals with rice drink, twice daily.
Fengfang Gao (Honeycomb Ointment, from *Shengji Zonglu*), treating Luoli formed by the accumulation of heat toxin and toxic vapors.
Herbs: Lufengfang (Vespa Nidus) (roasted), Shetuipi (Bombyx Batryticatus) (roasted), Xuanshen (Scrophulariae Radix), Huangqi (Astragali Radix) (cut finely), Chuangzi (Cnidii Fructus) (each 3 fen), Xingren (Armeniacae Semen Amarum) (1.5 liang), Luannian (Human Capillus) (size of a chicken egg), Qiandan (Minii Oxidum Rubrum) (3 liang), La (Cera Flava) (2 liang).
Preparation and Administration: First, cut the first five herbs finely, wrap in cotton cloth, and soak in a small amount of wine overnight. Do not use too much wine. Use half a jin of oil, add Xingren and Luannian, and boil for fifteen boils. When the hair is completely dissolved, filter through cotton cloth. Return the filtered oil to the pot, then add Qiandan and La. Boil for five or six more boils. Pour out into a porcelain basin. Apply the ointment to the sore, changing once daily.
Mutong Wan (Akebia Pill, from *Shengji Zonglu*), treating wind-heat qi toxin Luoli.
Herbs: Mutong (Akebiae Caulis), Cheqianzi (Plantaginis Semen), Dahuang (Rhei Radix et Rhizoma) (cut and stir-fried), Lianqiao (Forsythiae Fructus) (remove rhizome), Xuanshen (Scrophulariae Radix), Zhimu (Anemarrhenae Rhizoma) (each 1 liang).
Preparation and Administration: Grind the above herbs into fine powder. Use refined honey to make pills the size of paulownia seeds. Take 10 pills each time, washed down with winter tea.
Chixiaodou San (Red Bean Powder, from *Shengji Zonglu*), treating Luoli caused by heat toxin, wind toxin, and toxic vapors.
Herbs: Chixiaodou (Phaseoli Semen Rubrum) (stir-fried), Huangbaizi (Phellodendri Cortex), Xiaoshi (Natrii Nitras) (ground to powder), Dahuang (Rhei Radix et Rhizoma) (raw, each 1 liang), Mugiezi (Momordicae Semen), Zhuyazaojia (Gleditsiae Sinensis Fructus) (five stalks, fried with lard).
Preparation and Administration: Grind into powder. Mix with the patient's saliva (when not speaking) to apply topically. Change when dry.
Shegan Tang (Belamcanda Decoction), treating severe toxicity causing body stiffness, pain, and Luoli.
Herbs: Shegan (Belamcandae Rhizoma), Guixin (Cinnamomi Ramulus) (each 2 liang), Mahuang (Ephedrae Herba) (remove joints), Shengjiang (Zingiberis Rhizoma Recens), Gancao (Glycyrrhizae Radix et Rhizoma) (roasted, each 2 liang), Xingren (Armeniacae Semen Amarum) (40 kernels, remove skin and tips).
Preparation and Administration: Cut the herbs. Boil in 4 sheng of water until reduced to 3 sheng. Strain and divide into three doses. Avoid Haizao and Songcai (Chinese cabbage).
Banmao San (Mylabris Powder, from *Shengji Zonglu*), treating heat toxin and toxic vapors knotting in the neck and axilla to form Luoli.
Herbs: Banmao (Mylabris) (remove head, feet, wings, stir-fry with glutinous rice until yellow, 0.5 liang), Douhuang Mo (Powdered Soybean), Nuomic Mo (Powdered Glutinous Rice) (stir-fried, each 1 liang), Damii (Oryza Sativa, raw) (0.5 liang), Nifen (Calomel), Shang (grind uniformly).
Preparation and Administration: Grind uniformly. Take 2 qian on an empty stomach with rice drink. Vomiting and diarrhea should occur to expel evil substances. Subsequently, cook glutinous rice porridge to replenish. If vomiting persists, boil Douhuang powder to stop it. If severe, use ground Xionghuang (Realgar) and Shexiang (Moschus) to stop it. After recuperation, take again until all evil substances are expelled.
Dahuang San (Rhubarb Powder, from *Shengji Zonglu*), treating Luoli caused by wind toxin, toxic vapors, and heat toxin that has not ulcerated.
Herbs: Dahuang (Rhei Radix et Rhizoma) (wrapped in wet paper and baked until slightly charred), Gancao (Glycyrrhizae Radix et Rhizoma) (processed), Baijiangcan (Bombyx Batryticatus) (remove insects, bake dry, each 1 liang), Binglang (Arecae Semen) (baked, 1 fen).
Preparation and Administration: Grind into powder. Take 2 qianbi each time, mixed with honey water. Take 3 to 5 times daily. Recovery occurs when fish-brain-like evil substances are expelled.
Jiming San (Cockcrow Powder, from *Shengji Zonglu*), treating qi stagnation pain, heat toxin nodules, or cases with frequent irritability, fever without chills.
Herbs: Qianniuzi (Pharbitidis Semen), Hufen (Cerussa), Dahuang (Rhei Radix et Rhizoma) (steamed and powdered, 2 qian), Puxiao (Natrii Sulfas) (refined into rice-grain shape, 3 qian).
Preparation and Administration: Grind into powder. Take 3 qian mixed with licorice water. Stop when purged. If no purge, take again.
Hufen Wan (Cerussa Pill, from *Shengji Zonglu*), treating Luoli caused by wind toxin and toxic vapors.
Herbs: Hufen (Cerussa) (1 qian), Xionghuang (Realgar) (ground, 1 qian), Cihuang (Orpiment) (ground, 1 qian).
Preparation and Administration: Grind uniformly. Take egg whites from three black hens to mix the medicine. Place in a clean porcelain bowl and steam over rice until soft but firm. Make pills the size of paulownia seeds. Take 30 to 40 pills each time with warm water. Efficacy is confirmed by the expulsion of moving evil substances.
Xianren Fangzhang Cao Gen and seedlings (3 jin), Qianghuo (Notopterygii Rhizoma et Radix) (remove rhizome head, 1 jin), Xingren (Armeniacae Semen Amarum) (remove skin and tips, stir-fry, grind, 1 liang).
Preparation and Administration: Finely cut the first three herbs. Grind the Xingren. Seal in a bottle with 1 dou of strong wine. After seven days, open. Take one cup warm on an empty stomach, and another dose before bed.
Qianghuo San (Notopterygium Powder, from *Shengji Zonglu*), treating Luoli formed by wind-heat toxin and toxic vapors.
Herbs: Qianghuo (Notopterygii Rhizoma et Radix) (remove rhizome head, 1.5 liang), Baijiangcan (Bombyx Batryticatus) (roasted, 1 liang).
Preparation and Administration: Grind into powder. Take 4 qianbi on an empty stomach mixed with honey wine, and again at night.
Ningmi San (Solidified Rice Powder, from *Shengji Zonglu*), treating wind-heat toxin and toxic vapors, neck nodules, and impending abscesses, carbuncles, boils, or back infections.
Herbs: Lvdou Fen (Vigna Radiata Powder) (4 liang), Ruxiang (Olibanum) (ground, 1 liang).
Preparation and Administration: Mix and grind into powder. Divide into four doses. For weak patients, divide into eight doses. Take after meals with rice soup. Lie on the side where the nodule is located. Complete the course for cure. Significantly reduces swelling and pain.
Neixiao Gao (Internal Resolution Ointment, from *Shengji Zonglu*), treating adverse wind-toxin and toxic vapors knotting into Luoli, whether ulcerated or not.
Usage: Take one fresh Qicao (earthworm), cut finely, store in a porcelain jar sealed with mud, burn with charcoal to ash. Mix with wine and take orally.
Baimei Wan (White Plum Pill, from *Shengji Zonglu*), treating Luoli caused by wind-toxin and toxic vapors.
Usage: Select straight Baijiangcan (Bombyx Batryticatus), any quantity. Stir-fry until yellow, grind to powder. Mix with dried white plum flesh to make pills the size of paulownia seeds. Take 30 pills with cooked water. Take one dose on an empty stomach and one in the afternoon.
Neixiao Fang (Internal Resolution Formula, from *Shengji Zonglu*), treating Luoli formed by wind-heat toxin and toxic vapors.
Usage: Wash wheat thoroughly, boil 3 to 5 sheng, and consume frequently until cured.