养生方云。 踞以两手从脚入据地。曲脚加其上。举尻。可用行气。治瘰 乳痈。
（附论）
论曰瘰 结核者。由风热毒瓦斯蕴积肝经。攻注筋脉。郁而不散。故项腋之间。结聚成核。
或如梅枣。或如珠颗。累累相连。其证令人乍寒乍热。头项肿痛。四肢不安。心神烦躁。盖
毒瓦斯与血气相搏。则营卫不和使之然也。其浮于皮肤之中。未着肌肉。可以药内消之。若肿
硬坚甚。不可消之。则以药外化为脓及血。令其溃散。则易愈也。
方
五香散（出圣惠方）治心膈久积热毒。肝气留滞。致项生瘰 结核。
沉香 木香 薰陆香（各一两） 麝香（一分细研） 丁香 羚羊角屑 子芩 赤芍药 玄
参当归 犀角 甘草 地骨皮（各三分） 连翘 升麻 麦门冬（去心） 大黄（微炒） 黄
（锉各一两） 上为散。入麝香研令匀。每服三钱。水一盏。入芦根五寸。生姜半分。煎
至
六分。去滓不计时温服。
瘰 结核。
黄 （七分） 玄参（八分） 连翘 人参 升麻 青木香 茯苓 苍耳子 甘草（炙）
朴
硝桂心（各四两） 大黄 麦门冬（去心五分） 羚角屑 鼠粘子 苦参（各九分） 上
为末。
捣蜜丸如桐子大。酒下十丸。日夜三四。渐加至二三十丸。以知为度。忌生冷、猪肉、海藻、
菘菜、 生、葱、蒜、陈臭等。
连翘汤（出圣济总录）治男女长少瘰 结核在项腋下。项强背痛。
连翘 玄参 木香 昆布（去咸焙干） 枳壳（去瓤炒） 犀角（镑各一两半） 柴胡
（去苗）
甘草（炙锉） 黄芩（去黑心） 沉香（锉） 当归（切焙） 木通（锉） 芍药 升麻 上
粗捣筛。
每服五钱匕。水二盏。入生姜一片。枣一枚拍碎。柳枝二寸长一握细锉。煎至一盏。去滓温
服。空心日午夜卧各一服。
琥珀膏（出圣惠方）治颈项瘰 。初起如梅子。肿结硬强。渐若连珠。或穿穴
脓溃。脓汁不绝。经久难瘥。渐成 疾。并治之。
琥珀（一两细研） 丁香 木香（各三分） 桂心（半两） 朱砂（细研） 木鳖子（去
壳一两）
当归 白芷 防风（去芦） 木通（各半两） 黄丹（七两） 垂柳枝 松脂（二两） 麻
油（一斤二
两） 上先用琥珀、丁香、桂心、朱砂、木香、五味为末。其余药并细锉以油浸一宿。于铛
中以慢火煎。候白芷焦黄漉出。次下松脂末滤去滓。再澄清油。却安铛中。慢火熬。下黄丹
以柳木枝。不住手搅令黑色。滴水中成珠不散。看硬软得所。入琥珀等末搅匀。于瓷器内盛。
用时看大小。用白绵纸上匀摊贴。不上数个立效。永不发。
乌蛇丸（出圣惠方）治瘰 结成颗核肿。疼痛不散。或破为脓水不绝。此方立
效。
乌蛇（三两酒浸去皮骨炙微黄） 犀角屑 玄参 昆布（洗去咸味） 甘草（炙微赤） 枳
壳
（麸炒微黄） 天麻 郁李仁（汤洗去皮微炒去油各三分） 连翘 牛蒡子（微炒捣） 大
黄（微
炒） 黄 （锉） 漏芦（各一两） 斑蝥（一分以糯米拌炒米黄去头足翅） 上为末。炼
蜜和丸
如梧桐子大。每服不计时候。以清米饮下二十丸。不过数次效。
五香汤（一名五香连翘汤出医方大成）治一切结积热。结核瘰 。痈疽疮疖
等。立见大效。
沉香（一分） 连翘 射干 寄生（无以升麻代） 大黄（蒸各三分） 乳香（一分） 麝
香
（一钱半） 丁香（二分） 甘草（二分） 青木香（一分） 上 咀。每服四钱。水一盏。
煎七
分。空心热服。以利恶毒为度。本方有竹沥、芒硝。随热轻重。当日添减。
丹参膏（出圣惠方）疗恶肉恶核瘰 。风结诸肿。
丹参 蒴 （各二两） 秦艽 独活 乌头 白芨 牛膝 菊花 防风（各一两） 芮
草叶
踯躅花 蜀椒（各半两） 白术（一两） 上切以苦酒二升浸之一宿。猪膏四斤。俱煎之。
令酒
竭。勿过焦。去滓以涂诸疾上。日五度涂故布上涂贴之。此膏亦可服。得大行即须少服。一
方有汉防己无防风。
升麻散 治瘰 结聚。颗块成疮。上攻头项疼痛。
升麻 玄参 败酱 犀角（屑） 虎杖 紫葛 桑根白皮 甘草（炙微赤各一两） 连
翘
大黄（微炒各二两等用） 红雪（每服一钱汤成下） 上为散。每服四钱。以水一盏。煎至
六分。
去滓不计时候温服。
犀角丸 治瘰 结核。
犀角（屑） 吴蓝 黄芩（去黑心） 山栀子仁 巴豆（去心皮炒研出油各半两） 升
麻黄
（锉） 防风（去叉） 甘草（炙各三分） 大黄（生锉一两半） 连珠草（一两） 上
为末。炼蜜
和丸如桐子大。每服三丸。米饮下。未利。加至六七丸。取利为度。
三黄丸 治瘰 肿毒。结成恶核。
大黄（锉炒） 当归（切焙各一两） 栀子仁（一分） 柴胡（去苗三分） 黄连（去
须） 黄芩
（去黑心） 赤茯苓（去黑皮） 桂（去粗皮） 干姜（炮） 芍药（各半两） 上为末。
炼蜜丸如小
豆大。空心温酒每服十丸。日三。取微利。更以意增减。
犀角丸 治恶核瘰 。
犀角（镑） 木香（各一分） 硼砂（研一钱） 白茯苓（去黑皮） 皂角（去皮子
酥炙）
干薄荷 大黄（锉炒各一两） 原蚕蛾 何首乌 天麻（各一两） 上为细末。用生羊肉精
者细切研成膏。和丸如黍米大。 每服七丸。茶清下不拘时。
丹参膏 治恶肉恶核瘰 初肿。
丹参（炙锉） 白芨（各三两） 升麻 蒴 根（各一两半） 独活（去芦头） 防己 连
翘
白蔹 玄参 杏仁（去皮尖双仁各一两） 上细切。以生地黄汁一升。淹浸一宿。铛内微煎
十
沸。入猪膏四斤。微煎一炊久。膏成去滓。用摩病处。日二三度。
斑蝥丸 治瘰 结核肿硬。相连如珠颗。头项肩背烦疼。
斑蝥（一分赤黑斑点者佳去头翅足炒过令香） 猪牙皂角（一分去黑皮炙令黄） 蛇蜕
皮
（半两微炙） 乌蛇（一两半酒浸去皮炙令微黄） 天南星（半两炮制去皮） 露蜂房（二
两烧灰）
大黄（三分微炒） 麝香（一分研） 威灵仙（半两） 上为末入麝香研匀。炼蜜和丸如梧
桐子
大。空心以粥饮下十丸。至辰巳间病下如虾蟆衣。及诸恶物。
丹参汤 疗恶肉核瘰 。诸风气结聚。肿气诸病。并治之。
蒴 丹参（各二两） 甘草（炙） 秦艽 独活 乌头（炮） 牛膝（各一两） 踯
躅花 蜀
椒（各半两去汗） 上切。以水八升。煮取三升。温服一升。忌海藻、菘菜、猪肉、冷水。
连翘丸（出危氏方）治瘰 结核。未破或破者。
薄荷（二斤制取汁新者） 好肥皂（一挺水浸去皮治取汁以上二味一处银石器内熬成膏
次
之） 青皮（一两不去白） 连翘（半两） 陈皮（一两不去白） 黑牵牛（一两半半生半
炒） 上
为末。用前膏子丸如梧桐子大。每服三十丸。煎连翘汤下。食后服之。十日见效。一方黄连
煎汤下。
四香饮（出圣济总录）治气 结核未破者。
丁香 木香 沉香（锉） 乳香（各一两） 枳实（去瓤麸炒半两） 青橘皮（汤浸去
白一两
焙） 陈橘皮（汤浸去白焙半两） 上粗捣筛。每服三钱匕。水一盏。煎三四沸。去滓。食
后
温服。日三。
连翘散（出圣济总录）治恶核肿痛瘰 。
连翘 何首乌（米泔浸一宿焙） 干薄荷（各一两） 麝香（研半钱） 升麻 恶实（炒）
白茯苓（去黑皮） 蛇蜕皮（酒浸炙各半两） 上为散。每服一钱匕。食前温酒调下。日三。
犀角散（出圣济总录）治男女瘰 结核。
犀角（镑） 人参 鹿角（镑） 白蔹（各一两） 糯米（一合） 赤茯苓（男用白女
用赤各去
皮一分） 斑蝥（三十枚） 上为细散。合研令匀。看大小斟酌与服。每服二十以上二钱匕。
十岁以下一钱匕。并以蜜二匙。水二盏。同煎至一盏。先用滑石末调二钱匕。后调此散。夜
卧时服。至明小便内取下恶物。三五日一服。取瘥为度。
白蔹散（出圣惠方）治瘰 结核。根源深固。肿硬疼痛。
白蔹（三分） 黄连（去须） 大黄 黄芩 莽草 赤石脂 赤芍药（各三分） 上为
末。以
鸡子白旋调涂于故帛上贴之。燥即易之。一方有吴茱萸。
五香汤（出宣明论）治一切恶疮瘰 结核。无首尾及诸疮肿用之。
沉香 木香 鸡舌香（各一两） 薰陆香 麝香（各三分） 连翘（一两半） 上为末
细研。
每服二钱。水一盏。煎至六分。不计时候。
玄参汤 治恶核瘰 风结。
玄参 升麻 独活 连翘子（各三两） 木防己 菊花（各一两） 上切。以水八升。
煮取
三升。分服一升。日三。
内消丸（出圣济总录）治 初结。累累如梅李核。日渐不消。则破坏颈腋。
人参 玄参 丹参 何首乌（锉） 苦参（各一两） 上为末。别用皂角一十挺。以麻
绳接
续穿留索子头。盛在缸内。掘地埋饼子。留口。用童子小便浸三七日。如值雨下。即盖勿令
着水。候日足取出。以水洗挂阴处令干。用薄荷四两。酒一升。童子小便半升。共前皂角同
浸一宿。取出煎五七沸。倾出。以手按取汁。细布滤去滓。入药末一分。在汁内用文武火熬
成膏。末二分入龙脑、麝香各半钱。同研匀。丸如梧桐子大。每服二十丸。空心日午临卧时
薄荷茶汤下。
白蔹膏（出圣济总录）治瘰 息肉结硬。
白蔹 莽草（外台秘要作甘草） 玄参 木香 芍药 大黄（生各一两） 上为末。以
醋和
如膏。涂帛上贴之。干极即易。
内消丸（出外科精要）治瘰 结核。热毒郁滞。服之内消。
青皮 陈皮（各二两） 牵牛（半斤取头末二两） 薄荷（半斤） 皂角（半斤不蛀者
去粒皮
捶碎仁以水一斗煮软揉汁去渣熬成膏） 上将青皮、陈皮末并牵牛末和匀。用煎膏子和丸如
绿豆大。每服三十丸。食后荆芥茶清温水皆可下。
紫葳散（出圣济总录）治项上瘰 如枣李核大者。先服。
紫葳（凌霄花是） 海藻（洗去咸焙） 瞿麦穗 牡蛎（ 研成粉左顾者真） 甘草（炙
各一
两） 上为细末。每服一钱半匕。食后白汤调下。日三。
神妙散（出圣济总论）治瘰 肿痛成疮。
牵牛子（炒半生半熟） 青橘皮（汤浸去白焙） 栀子仁 地骨皮 玄参 上等分为散。
每
服二钱匕。空心糯米饮调下。次日服后牛犀丸。
牛犀丸（出圣济总录）消毒化结聚。
犀角（镑半钱） 龙脑（研半分） 麝香（研半分） 红娘子（二十枚） 斑蝥（二十
一枚去头
足翅同红娘子豆面炒焦） 上为细末。用豆面糊丸如绿豆大。每服一丸。空心日午夜卧腊茶
放温下。服至十日。加至二丸。除淡饭烧盐外。余并一月肉食切忌。
治瘰 结核肿硬疼痛。（出圣惠方）
斑蝥（十四枚去头足翅糯米拌炒令米黄为度） 雄鼠粪（二十枚微炒） 上同研令细。
入腻
粉二钱。更研。以绿豆面入新汲水和丸如绿豆大。每服空心以麝香酒下三丸。觉腹内痛。便
以硝石末一钱用酒一小盏煎一沸。温服。服药一炊久。大小盒饭有如雀卵汁一合以来。下者
是效。宜服药补之。雄黄丸。
雄黄丸
雄黄（细研） 朱砂（细研） 麝香（细研） 细辛 人参（去芦各半两） 上为细末。
入研了
药。令匀。炼蜜和丸如绿豆大。每服于食前以温酒下三丸。
螺子丸（出圣惠方）治瘰 结核肿硬。
小螺子（一十八枚去尖微炒） 斑蝥（二十一枚炒去头足翅） 雀儿粪（六十三枚白色
者微
炒）麝香（一钱研细） 上为末。入麝香研令匀。以好豉一合。烂捣研和丸如绿豆大。每日
空
腹以葱茶下五丸。
治瘰 结核不散。
腻粉（一钱研） 精羊肉（二两切细） 干姜（一钱） 凌霄花（取白微出一两） 上
为散。入
腻粉都拌匀。以湿纸裹三五丸。重火煨熟。取出。作一服吃了。以温酒下。仍含生姜一片。
恐吐。卧时服。至二更取下恶物。五日一般服。
治瘰 结核。外贴令自出方。（出圣惠方）
腻粉 粉霜 燕子粪（一分微炒） 斑蝥（一分） 上研细末。用腊月猪脂调匀。每用
小豆
大。安 子上。用面糊纸封定五六七日。有脓水下。至半月日自出。速用生肌药贴之。
麝香散（出御药院方）治瘰 结核肿硬不消。疼痛。
麝香（半钱研） 枳壳（二钱半麸炒去瓤） 白丁香（二两） 上为细末。每服二钱。
用温酒
半盏调匀。食后日进一服。
皂角丸 治瘰 满项不破。及结核肿者。
好皂角子（一升） 玄参 连翘（各一两） 上用水五升。砂锅内慢火煎。水尽为度。
每服
拣取好皂角子软者三粒。食后临卧时细嚼津下。硬者捣烂蜜和丸如榛子大。含化。半月必瘥。
忌酒面熟毒物。
治瘰 结核。
Yangsheng Fang records: Adopt a squatting posture, insert both hands from behind the heels to support on the ground, bend the legs and place them on top, and lift the hips. This method can be used to promote the flow of Qi and treat scrofula (Luo Li) and breast abscess (Ru Yong).
(Attached Discussion)
It is stated that scrofula tubercles arise from the accumulation of wind-heat toxic factors in the Liver Meridian, attacking and injecting into the sinews and vessels, where they stagnate and fail to disperse. Consequently, nodules form and cluster between the neck and axilla. They may resemble plums or dates, or pearl-like granules, connected in chains. The symptoms include alternating chills and fever, swelling and pain in the head and neck, restlessness in the four limbs, and mental irritability. This is generally caused by the struggle between toxic factors and Qi and Blood, leading to disharmony of Ying (Nutritive) and Wei (Defensive) Qi. If the swelling floats within the skin and has not yet penetrated the muscles, it can be dissipated internally with medication. If the swelling is hard and severe and cannot be dissolved, external medication should be applied to transform it into pus and blood, causing it to ulcerate and disperse, which facilitates easier healing.
Formulas
Wu Xiang San (Five Fragrances Powder) [from *Sheng Hui Fang*]: Treats chronic heat-toxin accumulation in the Heart and Diaphragm, stagnation of Liver Qi, leading to scrofula tubercles in the neck.
Chen Xiang (Aquilaria Lignum), Mu Xiang (Vladimiria Root), Xun Lu Xiang (Frankincense) (each 1 liang), She Xiang (Musk) (1 fen, finely ground), Ding Xiang (Clove), Ling Yang Jiao (Saiga Antler Horn shavings), Zi Qin (Scutellaria Root), Chi Shao Yao (Red Peony Root), Xuan Shen (Scrophularia Root), Dang Gui (Angelica Sinensis), Xi Jiao (Rhinoceros Horn), Gan Cao (Licorice Root), Di Gu Pi (Cortex Lycii) (each 3 qian), Lian Qiao (Forsythia Fruit), Sheng Ma (Cimicifuga Rhizome), Mai Men Dong (Ophiopogon Tuber, heart removed), Da Huang (Rhubarb Rhizome, slightly stir-fried), Huang Qin (Scutellaria Root, sliced) (each 1 liang). Grind the above herbs into a powder, add She Xiang and grind evenly. Take 3 qian per dose, with 1 cup of water, add 5 cun of Lu Gen (Reed Rhizome) and 0.5 fen of Sheng Jiang (Fresh Ginger), decoct until 0.6 cup remains, strain, and take warm at any time.
[Another formula] For scrofula tubercles.
Huang Qi (Astragalus Root) (7 fen), Xuan Shen (8 fen), Lian Qiao, Ren Shen (Ginseng Root), Sheng Ma, Qing Mu Xiang (Costus Root), Fu Ling (Poria), Cang Er Zi (Xanthium Fruit), Gan Cao (Licorice Root, honey-fried), Po Xiao (Mirabilite), Gui Xin (Cinnamon Twig Center) (each 4 liang), Da Huang, Mai Men Dong (heart removed, 5 fen), Ling Jiao Xie (Antelope Horn shavings), Niu Bang Zi (Arctium Fruit), Ku Shen (Sophora Root) (each 9 fen). Grind the above herbs into powder, mix with pounded honey to make pills the size of paulownia seeds. Take 10 pills with wine, 3-4 times day and night, gradually increasing to 20-30 pills, stopping when effective. Avoid raw/cold foods, pork, Hai Zao (Seaweed), Song Cai (Chinese Cabbage), raw Cong (Green Onion), Suan (Garlic), and stale/odorous foods.
Lian Qiao Tang (Forsythia Decoction) [from *Sheng Ji Zong Lu*]: Treats scrofula tubercles in the neck and axilla of men and women of all ages, accompanied by stiffness and back pain.
Lian Qiao, Xuan Shen, Mu Xiang, Kun Bu (Kelp, wash salt and roast dry), Zhi Ke (Bitter Orange Fruit, remove pulp and stir-fry), Xi Jiao (sliced, each 1.5 liang), Chai Hu (Bupleurum Root, remove seedlings), Gan Cao (Licorice Root, honey-fried and sliced), Huang Qin (remove black heart), Chen Xiang (sliced), Dang Gui (sliced and roasted), Mu Tong (Akebia Stem, sliced), Shao Yao (Peony Root), Sheng Ma. Coarsely crush and sieve the above herbs. Take 5 qian bi per dose, with 2 cups of water, add 1 slice of Sheng Jiang, 1 date (smashed), and 1 handful of Liu Zhi (Willow Branch, 2 cun long, finely sliced), decoct until 1 cup remains, strain, and take warm. Take one dose on an empty stomach, at noon, midnight, and before sleep.
Hu Po Gao (Amber Ointment) [from *Sheng Hui Fang*]: Treats neck scrofula. Initially like a plum, swollen, knotted, hard and strong, gradually becoming like linked pearls, or piercing holes with pus discharge, persistent for a long time, difficult to heal, gradually forming fistulas. This formula treats all such conditions.
Hu Po (Amber) (1 liang, finely ground), Ding Xiang, Mu Xiang (each 3 qian), Gui Xin (0.5 liang), Zhu Sha (Cinnabar, finely ground), Mu Bie Zi (Momordica Seed, remove shell, 1 liang), Dang Gui, Bai Zhi (Angelica Dahurica), Fang Feng (Saposhnikovia Root, remove radicle), Mu Tong (each 0.5 liang), Huang Dan (Lead Tetroxide) (7 liang), Chui Liu Zhi (Weeping Willow Branch), Song Zhi (Pine Resin) (2 liang), Ma You (Hemp Seed Oil) (1 jin 2 liang). First, grind Hu Po, Ding Xiang, Gui Xin, Zhu Sha, and Mu Xiang into powder. Finely slice the remaining herbs and soak in oil overnight. Simmer slowly in a pan. When Bai Zhi turns scorched yellow, remove it. Then add Song Zhi powder, filter out dregs, and clarify the oil again. Return to the pan, simmer slowly, add Huang Dan, and stir constantly with a willow branch until black. Test by dropping into water; it should form a bead without dispersing. Adjust hardness/softness appropriately. Add the Hu Po powder mixture and stir evenly. Store in a porcelain container. Apply evenly on white cotton paper according to lesion size. A few applications yield immediate results and prevent recurrence.
Wu She Wan (Black Snake Pill) [from *Sheng Hui Fang*]: Treats scrofula forming nodular swellings, persistent pain, or ulceration with continuous pus discharge. This formula yields immediate effects.
Wu She (Black Snake) (3 liang, soaked in wine, remove skin and bones, roast until slightly yellow), Xi Jiao Xie, Xuan Shen, Kun Bu (wash to remove salt), Gan Cao (honey-roast until slightly red), Zhi Ke (bran-roast until slightly yellow), Tian Ma (Gastrodia Rhizome), Yu Li Ren (Prunus Seed, wash in water, peel, slightly roast, remove oil, each 3 qian), Lian Qiao, Niu Bang Zi (slightly roast and crush), Da Huang (slightly roast), Huang Qi (sliced), Lou Lu (Euphorbia Root) (each 1 liang), Ban Mao (Mylabris) (1 fen, stir-fry with glutinous rice until rice is yellow, remove head, wings, feet). Grind the above herbs into powder, mix with refined honey to make pills the size of paulownia seeds. Take 20 pills with clear rice drink at any time. Effective within a few doses.
Wu Xiang Tang (Five Fragrances Decoction) [also known as Wu Xiang Lian Qiao Tang, from *Yi Fang Da Cheng*]: Treats all types of accumulated heat-toxin, tubercles, scrofula, carbuncles, sores, and boils. Yields significant immediate effects.
Chen Xiang (1 fen), Lian Qiao, She Gan (Belamcanda Rhizome), Ji Sheng (Viscum Branch, substitute Sheng Ma if unavailable), Da Huang (steamed, each 3 qian), Ru Xiang (Frankincense) (1 fen), She Xiang (1.5 qian), Ding Xiang (2 fen), Gan Cao (2 fen), Qing Mu Xiang (1 fen). Chop the above herbs. Take 4 qian per dose, with 1 cup of water, decoct until 0.7 cup remains. Take hot on an empty stomach, aiming to purge toxic matter. The original formula includes Zhu Li (Bamboo Sap) and Mang Xiao (Mirabilite); add or subtract based on heat severity on the same day.
Dan Shen Gao (Salvia Ointment) [from *Sheng Hui Fang*]: Treats malignant flesh, malignant nodules, scrofula, and various swellings due to wind stagnation.
Dan Shen (Salvia Root), Shuo Luo (Polygonum Vine) (each 2 liang), Qin Jiao (Gentiana Macrophylla Root), Du Huo (Angelica Pubescens Root), Wu Tou (Aconite Root), Bai Ji (Bletilla Rhizome), Niu Xi (Achyranthes Root), Ju Hua (Chrysanthemum Flower), Fang Feng (each 1 liang), Rui Cao Ye (Herba Siegesbeckiae), Zhi Zhu Hua (Rhododendron Flower), Shu Jiao (Sichuan Pepper) (each 0.5 liang), Bai Zhu (Atractylodes Macrocephala Rhizome) (1 liang). Chop the above herbs, soak in 2 sheng of Ku Jiu (Bitter Wine) overnight. Add 4 jin of Pig Fat (Zhu Gao) and decoct together until the wine is exhausted. Do not burn. Strain and apply to lesions. Apply to old cloth and patch 5 times daily. This ointment can also be taken internally; reduce dosage if strong movement is felt. One formula uses Han Fang Ji instead of Fang Feng.
Sheng Ma San (Cimicifuga Powder): Treats scrofula clustering, forming ulcers, attacking head and neck causing pain.
Sheng Ma, Xuan Shen, Bai Jiang (Patrinia Rhizome), Xi Jiao (shavings), Hu Zhang (Japanese Knotweed Rhizome), Zi Ge (Consolida Root), Sang Gen Bai Pi (Mulberry Root Bark), Gan Cao (honey-roast until slightly red, each 1 liang), Lian Qiao, Da Huang (slightly roast, each 2 liang, equal parts), Hong Xue (Red Snow/Sugar Candy) (add 1 qian when decoction is ready). Grind the above herbs into powder. Take 4 qian per dose, with 1 cup of water, decoct until 0.6 cup remains. Strain and take warm at any time.
Xi Jiao Wan (Rhinoceros Horn Pill): Treats scrofula tubercles.
Xi Jiao (shavings), Wu Lan (Isatis Leaf), Huang Qin (remove black heart), Shan Zhi Zi Ren (Gardenia Seed), Ba Dou (Croton Seed, remove heart/skin, stir-fry, grind, remove oil, each 0.5 liang), Sheng Ma, Huang (Astragalus, sliced), Fang Feng (remove forked tips), Gan Cao (honey-roast, each 3 qian), Da Huang (raw, sliced, 1.5 liang), Lian Zhu Cao (Lonicera Caulis) (1 liang). Grind the above herbs into powder, mix with refined honey to make pills the size of paulownia seeds. Take 3 pills with rice drink. If no bowel movement, increase to 6-7 pills. Stop when purged.
San Huang Wan (Three Yellows Pill): Treats scrofula swelling/toxicity, forming malignant nodules.
Da Huang (sliced and stir-fried), Dang Gui (sliced and roasted, each 1 liang), Zhi Zi Ren (Gardenia Seed) (1 fen), Chai Hu (remove seedlings, 3 qian), Huang Lian (Coptis Rhizome, remove threads), Huang Qin (remove black heart), Chi Fu Ling (Red Poria, remove black skin), Gui (Cinnamon Bark, remove rough bark), Gan Jiang (Dried Ginger, processed), Shao Yao (Peony Root) (each 0.5 liang). Grind the above herbs into powder, mix with refined honey to make pills the size of mung beans. Take 10 pills with warm wine on an empty stomach, 3 times daily. Aim for mild purgation, adjust as needed.
Xi Jiao Wan (Rhinoceros Horn Pill): Treats malignant nodule scrofula.
Xi Jiao (sliced), Mu Xiang (each 1 fen), Peng Sha (Borax) (ground, 1 qian), Bai Fu Ling (Poria, remove black skin), Zao Jiao (Tamarisk Fruit, remove skin/seeds, roast with butter), Gan Bo He (Dry Mint), Da Huang (sliced and stir-fried, each 1 liang), Yuan Can E (Silkworm Pupae), He Shou Wu (Polygonum Multiflorum Root), Tian Ma (Gastrodia Rhizome) (each 1 liang). Grind the above herbs into fine powder. Use lean raw lamb meat, finely chopped and pounded into paste, to bind pills the size of millet grains. Take 7 pills with tea liquor at any time.
Dan Shen Gao (Salvia Ointment): Treats malignant flesh, malignant nodules, initial scrofula swelling.
Dan Shen (roasted and sliced), Bai Ji (each 3 liang), Sheng Ma, Shuo Luo Gen (Polygonum Vine Root) (each 1.5 liang), Du Huo (remove radicle), Fang Ji (Stephania Root), Lian Qiao, Bai Lian (Pueraria Root), Xuan Shen, Xing Ren (Apricot Seed, remove skin/tip/double kernels, each 1 liang). Finely chop the above herbs. Soak in 1 sheng of Sheng Di Huang Zhi (Fresh Rehmannia Juice) overnight. Simmer gently in a pan for 10 boils. Add 4 jin of Pig Fat and simmer gently for the duration of a meal. Strain when done. Massage onto the affected area 2-3 times daily.
Ban Mao Wan (Mylabris Pill): Treats scrofula tubercles, hard swelling, connected like pearls,烦疼 (irritating pain) in head, neck, shoulders, and back.
Ban Mao (1 fen, red-black spotted ones are best, remove head/wings/feet, stir-fry until fragrant), Zhu Ya Zao Jiao (Toothpick Tamarisk Fruit) (1 fen, remove black skin, roast until yellow), She Tui Pi (Snake Slough) (0.5 liang, slightly roast), Wu She (Black Snake) (1.5 liang, soak in wine, remove skin, roast until slightly yellow), Tian Nan Xing (Arisaema Rhizome) (0.5 liang, process and remove skin), Lu Feng Fang (Honeycomb) (2 liang, burn to ash), Da Huang (3 qian, slightly roast), She Xiang (Musk) (1 fen, ground), Wei Ling Xian (Clematis Root) (0.5 liang). Grind the above herbs into powder, add She Xiang and grind evenly. Mix with refined honey to make pills the size of paulownia seeds. Take 10 pills with porridge drink on an empty stomach. By Chen/Si hours (7-11 AM), the lesion should discharge material resembling frog skin and other evil substances.
Dan Shen Tang (Salvia Decoction): Treats malignant flesh, nodular scrofula, various wind-Qi aggregations, swelling, and related diseases.
Shuo Luo, Dan Shen (each 2 liang), Gan Cao (honey-fried), Qin Jiao, Du Huo, Wu Tou (processed), Niu Xi (each 1 liang), Zhi Zhu Hua, Shu Jiao (remove sweat, each 0.5 liang). Chop the above herbs. Decoct 8 sheng of water to 3 sheng. Take 1 sheng warm. Avoid Hai Zao, Song Cai, pork, and cold water.
Lian Qiao Wan (Forsythia Pill) [from *Wei Shi Fang*]: Treats scrofula tubercles, whether unbroken or broken.
Bo He (Mint) (2 jin, process to extract juice, fresh), Hao Fan Zao (Good Soap Pod) (1 stick, soak in water, remove skin/process to extract juice). Combine the above two ingredients and boil in a silver/copper vessel to form a paste. Next, add Qing Pi (Green Tangerine Peel, 1 liang, keep white pith), Lian Qiao (0.5 liang), Chen Pi (Aged Tangerine Peel, 1 liang, keep white pith), Hei Qian Niu (Black Morning Glory Seed) (1.5 liang, half raw, half stir-fried). Grind into powder. Use the previous paste to bind pills the size of paulownia seeds. Take 30 pills per dose, decocted with Lian Qiao Tang, after meals. Effective in 10 days. One formula uses Huang Lian decoction.
Si Xiang Yin (Four Fragrances Drink) [from *Sheng Ji Zong Lu*]: Treats Qi goiter/scrofula tubercles unbroken.
Ding Xiang, Mu Xiang, Chen Xiang (sliced), Ru Xiang (Frankincense) (each 1 liang), Zhi Shi (Immature Bitter Orange, remove pulp, bran-roast, 0.5 liang), Qing Ju Pi (Green Tangerine Peel, soak in water, remove white pith, 1 liang, roast), Chen Ju Pi (Aged Tangerine Peel, soak in water, remove white pith, roast, 0.5 liang). Coarsely crush and sieve. Take 3 qian bi per dose, with 1 cup of water, boil 3-4 times, strain, take warm after meals, 3 times daily.
Lian Qiao San (Forsythia Powder) [from *Sheng Ji Zong Lu*]: Treats malignant nodules, swelling/pain, scrofula.
Lian Qiao, He Shou Wu (soak in rice water overnight, roast), Gan Bo He (each 1 liang), She Xiang (ground, 0.5 qian), Sheng Ma, E Shi (Arctium Fruit, stir-fried), Bai Fu Ling (remove black skin), She Tui Pi (soak in wine, roast, each 0.5 liang). Grind into powder. Take 1 qian bi per dose, mixed with warm wine before meals, 3 times daily.
Xi Jiao San (Rhinoceros Horn Powder) [from *Sheng Ji Zong Lu*]: Treats male/female scrofula tubercles.
Xi Jiao (sliced), Ren Shen, Lu Jiao (Deer Antler, sliced), Bai Lian (each 1 liang), Nu Mi (Glutinous Rice) (1 he), Chi Fu Ling (Red Poria, males use white, females use red, remove skin, 1 fen), Ban Mao (30 pieces). Grind into fine powder, mix evenly. Adjust dosage by patient size. Take 20+ pieces (equivalent to 2 qian bi) per dose for adults, 1 qian bi for children under 10. Add 2 spoons of honey and 2 cups of water, decoct to 1 cup. First, mix 2 qian bi of Hua Shi (Talcum Powder), then mix this powder. Take before sleep. Evil matter will be discharged in urine next morning. Take every 3-5 days until healed.
Bai Lian San (Pueraria Root Powder) [from *Sheng Hui Fang*]: Treats deep-rooted scrofula tubercles, hard/swollen painful nodes.
Bai Lian (3 qian), Huang Lian (remove threads), Da Huang, Huang Qin, Mang Cao (Asarum/Magnolia Herb?), Chi Shi Zhi (Red Halloysite), Chi Shao Yao (each 3 qian). Grind into powder. Mix with Egg White (Ji Zi Bai) and apply to old silk, patching the lesion. Change when dry. One formula includes Wu Zhu Yu.
Wu Xiang Tang (Five Fragrances Decoction) [from *Xuan Ming Lun*]: Treats all malignant sores, scrofula tubercles, regardless of stage, and various swellings.
Chen Xiang, Mu Xiang, Ji She Xiang (Cardamom), Xun Lu Xiang, She Xiang (each 3 qian), Lian Qiao (1.5 liang). Grind into fine powder. Take 2 qian per dose, with 1 cup of water, decoct to 0.6 cup. Take at any time.
Xuan Shen Tang (Scrophularia Decoction): Treats malignant nodules, scrofula, wind aggregation.
Xuan Shen, Sheng Ma, Du Huo, Lian Qiao Zi (Forsythia Fruit) (each 3 liang), Mu Fang Ji (Stephania Tetrandra), Ju Hua (Chrysanthemum) (each 1 liang). Chop the above herbs. Decoct 8 sheng of water to 3 sheng. Divide into three doses of 1 sheng each, 3 times daily.
Nei Xiao Wan (Internal Dissolution Pill) [from *Sheng Ji Zong Lu*]: Treats early-stage scrofula, clustered like plum pits. If not resolving, it destroys neck/axilla.
Ren Shen, Xuan Shen, Dan Shen, He Shou Wu (sliced), Ku Shen (each 1 liang). Grind into powder. Separately, take 10 stalks of Zao Jiao (Tamarisk Fruit), thread with hemp rope, leave a handle end. Place in a jar, bury in ground with a brick leaving an opening. Soak in urine of a young boy for 3-7 days. Cover if raining to avoid water. When ready, take out, wash, hang in shade to dry. Mix with 4 liang of Bo He (Mint), 1 sheng of wine, and 0.5 sheng of boy's urine. Soak the dried Zao Jiao overnight. Remove, boil 5-7 times, pour out, press to extract juice, filter through fine cloth. Add 1 fen of herb powder to the juice. Simmer with medium-low fire to form a paste. Add 2 fen of powder containing Long Nao (Borneol) and She Xiang (Musk), each 0.5 qian, grind evenly. Make pills the size of paulownia seeds. Take 20 pills on an empty stomach, at noon, and before bed with Bo He Tea Soup.
Bai Lian Gao (Pueraria Root Ointment) [from *Sheng Ji Zong Lu*]: Treats scrofula polyps and hard knots.
Bai Lian, Mang Cao (*Waitai Mi Yao* lists as Gan Cao), Xuan Shen, Mu Xiang, Shao Yao, Da Huang (raw, each 1 liang). Grind into powder. Mix with vinegar to form a paste. Apply to silk and patch. Change when very dry.
Nei Xiao Wan (Internal Dissolution Pill) [from *Wai Ke Jing Yao*]: Treats scrofula tubercles, heat-toxin stagnation, dissolves internally upon ingestion.
Qing Pi, Chen Pi (each 2 liang), Qian Niu (Morning Glory Seed) (0.5 jin, take first flour, 2 liang), Bo He (Mint) (0.5 jin), Zao Jiao (Tamarisk Fruit) (0.5 jin, non-wormy, remove seeds/skin, crush kernels, boil in 1 dou of water until soft, rub to extract juice, strain, boil to paste). Mix Qing Pi, Chen Pi powders and Qian Niu powder. Bind with the paste to make pills the size of mung beans. Take 30 pills after meals with Jing Jie Tea or warm water.
Zi Wei San (Catalpa Powder) [from *Sheng Ji Zong Lu*]: Treats neck scrofula the size of dates/plum pits. Take first.
Zi Wei (Catalpa Flower), Hai Zao (Seaweed, wash salt and roast), Qu Mai (Dianthus Seed), Mu Li (Oyster Shell, ground to powder, left-facing is authentic), Gan Cao (honey-roast, each 1 liang). Grind into fine powder. Take 1.5 qian bi per dose, mixed with plain hot water after meals, 3 times daily.
Shen Miao San (Divine Wonder Powder) [from *Sheng Ji Zong Lun*]: Treats scrofula swelling/pain forming ulcers.
Qian Niu Zi (Morning Glory Seed, stir-fried, half raw half cooked), Qing Ju Pi (soak in water, remove white pith, roast), Zhi Zi Ren (Gardenia Seed), Di Gu Pi (Cortex Lycii), Xuan Shen. Equal parts, grind into powder. Take 2 qian bi per dose, mixed with empty-stomach glutinous rice drink. Next day, take Niu Xi Wan.
Niu Xi Wan (Ox-Horn Pill) [from *Sheng Ji Zong Lu*]: Disinfects and resolves aggregations.
Xi Jiao (sliced, 0.5 qian), Long Nao (Borneol) (ground, 0.5 fen), She Xiang (Musk) (ground, 0.5 fen), Hong Niang Zi (Red Lady Beetle) (20 pieces), Ban Mao (Mylabris) (21 pieces, remove head/feet/wings, stir-fry with red lady beetles and bean flour until scorched). Grind into fine powder. Bind with bean flour paste to make pills the size of mung beans. Take 1 pill on an empty stomach, at noon, midnight, and before bed with aged tea warmed. After 10 days, increase to 2 pills. Strictly avoid meat for one month except for light rice and roasted salt.
Treating Scrofula Tubercles Hard Swelling Pain [from *Sheng Hui Fang*]:
Ban Mao (14 pieces, remove head/feet/wings, stir-fry with glutinous rice until yellow), Xiong Shu Fen (Male Rat Feces) (20 pieces, slightly roast). Grind together finely. Add Ni Fen (Calomel) 2 qian, grind again. Bind with Mian Dou (Bean Flour) and fresh well water to make pills the size of mung beans. Take 3 pills with She Xiang Wine on an empty stomach. If abdominal pain occurs, take 1 qian of Xiao Shi (Niter) decocted in 0.1 cup of wine for one boil, take warm. After a meal duration, expect stool/urine resembling sparrow egg yolk (approx. 1 he). Discharge indicates efficacy. Follow up with tonic medicine. Xiong Huang Wan.
Xiong Huang Wan (Realgar Pill)
Xiong Huang (Realgar, finely ground), Zhu Sha (Cinnabar, finely ground), She Xiang (Musk, finely ground), Xi Xin (Asarum), Ren Shen (Ginseng, remove radicle) (each 0.5 liang). Grind into fine powder, mix thoroughly. Bind with refined honey to make pills the size of mung beans. Take 3 pills with warm wine before meals.
Luo Zi Wan (Snail Pill) [from *Sheng Hui Fang*]: Treats scrofula tubercles hard swelling.
Xiao Luo Zi (Small Snail) (18 pieces, remove tip, slightly roast), Ban Mao (21 pieces, stir-fry remove head/feet/wings), Que Er Fen (Sparrow Droppings) (63 pieces, white ones, slightly roast), She Xiang (Musk) (1 qian, finely ground). Grind into powder, add She Xiang and grind evenly. Mix with 1 he of Hao Chi (Good Fermented Soybean), pound and grind to bind pills the size of mung beans. Take 5 pills with Cong Cha (Green Onion Tea) on an empty stomach daily.
Treating Scrofula Tubercles Not Dispersing.
Ni Fen (Calomel) (1 qian, ground), Jing Yang Rou (Lean Lamb Meat) (2 liang, finely cut), Gan Jiang (Dried Ginger) (1 qian), Ling Xiao Hua (Catalpa Flower, white part, 1 liang). Grind into powder, mix Ni Fen evenly. Wrap 3-5 pills in wet paper, roast over high heat until cooked. Take as one dose with warm wine. Hold a slice of Sheng Jiang in mouth to prevent vomiting. Take before bed. Evil matter discharged by second watch. Repeat every 5 days.
External Patch Formula to Expel Scrofula Tubercles [from *Sheng Hui Fang*]:
Ni Fen, Fen Shuang (Sublimated Calomel), Yan Zi Fen (Swallow Droppings) (1 fen, slightly roast), Ban Mao (1 fen). Grind into fine powder. Mix with December Pig Fat. Apply pea-sized amount to umbilicus. Seal with flour-paste paper for 5-7 days. Pus discharge indicates effect. Self-extraction occurs by half a month. Quickly apply tissue-regenerating medicine.
She Xiang San (Musk Powder) [from *Yu Yao Yuan Fang*]: Treats scrofula tubercles hard swelling not resolving, painful.
She Xiang (Musk) (0.5 qian, ground), Zhi Ke (Bitter Orange, 2.5 qian, bran-roast remove pulp), Bai Ding Xiang (White Civet Cat Excrement) (2 liang). Grind into fine powder. Take 2 qian per dose, mixed with 0.5 cup warm wine. Take one dose daily after meals.
Zao Jiao Wan (Tamarisk Pill): Treats scrofula filling neck unbroken, and swollen tubercles.
Hao Zao Jiao Zi (Good Tamarisk Seeds) (1 sheng), Xuan Shen, Lian Qiao (each 1 liang). Decoct in 5 sheng of water in clay pot over slow fire until water is gone. Pick 3 soft good seeds per dose, chew thoroughly with saliva after meals/before bed. Hard seeds pound, mix with honey, make hazelnut-sized pills, suck slowly. Heal in half a month. Avoid alcohol, wheat products, and "cooked/toxic" foods.
Treating Scrofula Tubercles.