（附论）
论曰。瘰 诸病。皆由风热气毒。蕴积脏腑。搏于肝筋所致。盖肝主筋。毒瓦斯攻于筋脉。
故随肌肉虚处停结。而为瘰 。多生颈腋间。其状结核累累。相连如梅李。谓之瘰 。
方
救苦胜灵丹（一名救苦化坚汤出济生拔粹方）治瘰 马刀疮挟瘿。从耳下或耳
后。下颈至肩上。或入缺盆中。乃手足少阳经分野。其瘰 者。在于头下。或至颊车。
乃足阳明之分野。受心脾之邪而作也。今将二证合而治之。
黄 （一钱 护皮毛间腠理虚。乃活血脉。亦疮家圣药。又能补表之元气消弱也。通和
阳气。泄火邪也。） 人参（三钱 补肺气之药也。如气短喘不调。有喘者用之。） 甘草（炙
半钱能调和药。泻火。益胃气。） 升麻（一钱） 葛根（半钱） 真漏芦（半钱 如无。
去此一
味。此三味。俱足阳明本经药也。） 连翘（一钱 此一味。十二经中血结气聚。必此散之。
疮药中不可无） 牡丹皮（三钱 去肠胃留血滞血也。） 当归（五钱） 熟地黄（五钱） 生
地
黄（五钱 此三味诸药中和血生血凉血药也。） 白芍药（五分 其味酸。其气寒。能补中
益
肺之虚弱。治腹中痛必用。） 肉桂（三分 能散结积阴疮疡。须当少用之。一曰寒因热用。
又为寒阴覆盖其疮。以辛热以消浮冻之气。或燥烦者去之。阴证疮必须用之也。） 柴胡（八
分同连翘用乃少阳引用也。若无马刀挟瘿疮。是不在少阳经。去柴胡一味） 黍粘子（五
分
无肿不用。有肿用也。） 昆布（五分 其味咸。若坚硬者宜用。为咸能软坚也。） 广术（五
分用火 ） 京三棱（煨五分 疮坚硬甚者用之。不甚坚硬者不可用也。） 益智仁（三分 如
吐沫吐食。胃上寒者用之。无则去之。） 大麦 面（一钱治腹中缩急兼能消食补胃。） 神
曲末（炒五分 为食不消化故也。） 黄连（五分 治烦闷。） 一方无生地黄。上同为细末。
白汤浸和蒸饼和匀。捏作饼子。日干捣如米粒大。每服三钱或二钱。白汤送下。量人病虚实。
临时斟酌。无令药多。妨其饮食。此治之大法也。如手足太阳脊强痛。不可回顾。腰似折。
项似拔者。加独活半钱。羌活、防风各一钱。其防风一味辛温。若疮在膈上。虽无手足太阳
经证。亦当用之。为能散结。去上部风药。病患拘急者。风也。如有热。或足腿无力。加
炒黄柏五分用。如有燥烦欲去衣者。肾中伏火也。更宜添加之。无此证勿用。服药腹胀者。
加浓朴五分炒。无则勿用。如气不顺。加橘皮。更加木香。如在阳明分为瘰 者。去柴胡、
黍粘子二味。如在少阳分为马刀挟瘿者。去独活、漏芦、升麻、葛根、更加瞿麦穗三分。大
抵用药之法。不惟疮疡。诸疾病量人气弱者。当去苦寒之药。多加人参、黄 、甘草之类。
泻火而先补其元气。假令邪在上中下三处。若在上焦。加黄芩一半酒洗。一半生用。在中焦。
加黄连一半酒洗。一半生用。在下焦。加黄柏酒洗。知母酒洗。防己之类选用之。如大便不
通。滋其邪盛者。加酒洗大黄以利之。如因血燥。大便干燥者。加桃仁、酒洗大黄。如风结
燥不行者。加麻子仁、大黄。如风涩而大便不行者。加煨皂荚仁、大黄、秦艽以利之。如风
脉涩者。有气涩而小便者。加郁李仁大黄。以除气燥。如寒阴之病。为寒结闭。而大便不通
。以局方中半硫丸。或煎加附子、干姜。水冷与之。
散毒溃坚散（出济生拔粹方）治马刀疮。结硬如石。或在耳下至缺盆中。或至
肩上于胁下。皆手足少阳经中。及瘰 遍于颔。或至颊车。坚而不溃。在足阳明经中所
出。或二疮已破。乃流脓水。并皆治之。临卧时。服药斟酌病患饮食多少。大便硬软。
以意料之。
龙胆草（半两酒洗炒四次） 甘草（炙半钱） 升麻（六分） 柴胡（半钱） 桔梗（半
两）
连翘（三钱） 葛根 白芍药 黄连（各二钱） 昆布（半两） 知母（酒洗二次半两） 当
归梢
（半钱） 栝蒌根（半两挫细酒洗） 黄芩梢（一钱半酒洗炒一半生用） 京三棱（三钱酒
洗微炒）
广术（三钱细酒洗炒） 黄柏（酒炒四次半两） 上 咀。每服六钱。或七钱。水二盏。先
浸多
半日。煎至一盏。去滓热服。于卧处伸足在高处。头微低。每噙一口。作十次咽。至服毕。
根据常安卧。取药在胸中停蓄也。另攒半料作细末。炼蜜为丸如绿豆大。每服一百丸。或一百
五十丸。此药汤留一口送下。更加海藻半两炒。
颧骨丸（出圣惠方）治瘰 。
鹳骨 狸骨 射干 玄参 升麻（炙） 青木香 沉香 犀角（并炙） 丁香 羚羊角
（屑）
丹参 甘草（炙各四钱） 人参 沙参（各三两） 獭肝（六分） 连翘子（六分） 光明
砂（三分
研即好丹砂） 上捣筛。蜜丸以饮服十五丸。日二服。渐加至二十丸。空心服之。下利。忌
生冷油腻血食。并热 肉。海藻。菘菜。粘食陈臭物。一方有麝香。
黑牵散（一名神秘散一名大圣散一名牵牛丸出仁济直指方）治瘰 经年不瘥。
斑蝥（不拘多少去头足濡米炒令黑色米黄为度去米就地隔纸出火毒研为末留米于空隙
时服之） 白蚕（拣直者炒去丝） 黑牵牛（用头末） 荆芥穗（上三味各自为末等分用之）
上
每服斑蝥末一钱。僵蚕、牵牛、荆芥穗、共一钱。每作服调为一盏。如遇此疾。隔日晚饭勿
食。令心空。先以荆芥汤调滑石末二钱。重服一盏。至一更再服一盏。少顷用无灰酒调前四
味。服一盏毕。便卧。若小便不以溺器盛之。如涕如块为验。看项上生几 。小便中出几块。
大抵如鼠形者多数或不足。根据前再服。倘小便涩甚。灯草煎汤调琥珀末服一二钱。恶物即下。
荆芥调滑石末亦可。如药涩不通。用生料五苓散黑豆汤调服亦可。有孕妇人不可服。服后小
便闭涩。只服灯草调琥珀一盏。再用下后药。疮未破者。用桑椹不拘多少。争破纽汁入瓷器
内。熬成膏子。滴水不散为度。却用胆矾煨炒研细。等分与桑椹膏同剂摊纸上贴疮。已破者
用辰砂、胆矾研末。微掺上。忌热毒风物。疮破不愈者。用敷贴药各半钱重。
蜘蛛 斑蝥 红娘子 水蛙 地胆 芫花（各半钱） 上烧新瓦热焙药干研为末。先用
葱
白汤洗疮净。软绢帛拭干。以好米醋调药末敷上。日用三次。疮水尽。用生肌药。
血竭 龙骨 乳香 明矾（ 过） 石膏（ 过） 黄丹（以上各一钱） 上研为末。
候疮内
黄水脓血尽。干掺。自然生肌为效。
化毒散 治瘰 。
当归 白芍药 赤芍药 知母 苎麻根 白胶香 甘草 贝母 秦艽 生地黄 败龟
柴胡 前胡 官桂 熟生黄（以上各一两） 上 咀。每服半两。水二盏。生姜三片。枣子
二
个。煎至七分。去滓温服。
柴胡汤（出圣济总录）治瘰 。
柴胡（去苗） 荆芥穗 秦艽（去苗土） 知母 当归 桂心（去皮） 藿香（去梗） 甘
松
败龟（醋炙） 乌头（炮制去皮脐） 地骨皮 枫香脂 白芍药（各半两等） 苎根（湿称
二两磁
切） 芎 （一两） 上并洗净。曝干为末。每服三钱。以水一盏。生姜三片。大枣一枚。
同
煎至七分。去滓温服。早晨午食后夜卧各一服。
蔷薇丸（出千金方）治身体有热气瘰 。及常有细疥。并口中生疮。
蔷薇根（三两） 黄 黄芩 鼠李根皮 栝蒌根 芍药 苦参 石龙芮 防风（一作
防
己） 白蔹 龙胆（各一两） 栀子仁（四两） 上为末。蜜丸如桐子大。米饮下十五丸。
日再。
一方有黄柏一两。
槐角煎丸（出疮科精要）治疮疡瘰疥癣。赤肿等疮。
天麻 川芎 甘草 黄药子 甘菊花 人参（各一两） 何首乌 苦参（各一两半） 荆
芥
穗防风（各二两） 槐角（并仁另研） 皂角（不蛀者各四两水一斗煮软绞汁去滓熬成膏
子其
皂角取肉研入膏为度） 上除皂角膏外槐仁与诸药为末。入膏内搅和。炼蜜为丸如豌豆大。
每服五十丸。食后竹叶汤下。
立应散（出仁斋直指方）治瘰 已破。皆可服。
连翘 赤芍药 川芎 当归 川乌尖（七个） 生甘草（炙） 滑石（研各半两） 黄
芩（三
钱） 白牵牛（生取末用） 土蜂房（以水洗饮上蒸日干各二钱半） 地胆（去头翅足秫米
炒米黄
为度三钱） 上为末。服一大盏。浓煎一钱。木通汤下。临卧毒根从小便中出。如粉片块血
烂肉是也。如未效。后再服。继以薄荷汤解其热毒瓦斯。且地胆性带毒。济以乌尖。或冲上麻
闷。不能强制。嚼葱白一寸。茶清下。以解之。如小便涩。灯心煎汤调五苓散服。疮处用好
膏药贴。若疗痈疽。用此宣导恶物。本方去黄芩不用。
荔枝膏 治瘰 。
荔枝肉（一两） 轻粉 麝香 川芎 白豆蔻 砂仁（各半钱） 朱砂 龙骨 血竭 乳
香
（各一钱） 全蝎（五个） 上将荔枝肉碎擂。以软米饭和为膏。看疮大小摊贴。如有三五
个者。
止去贴为头者妙。
乌蛇丸（出圣济总录）治诸瘰方。
乌蛇（酒浸去皮骨灰） 白僵蚕（微炒） 大黄（湿纸裹煨） 昆布（细挫麦炒） 干
虾蟆（一
个烧灰） 芫青（三个与斑蝥同炒） 连翘（半两） 斑蝥（半两糯米炒黄去米不用） 雄
鸽粪（取
净者一合用） 皂子（一百粒拣圆熟肥好者熨斗内烧存性） 上为末。炼蜜和丸如桐子大。
每
服七丸。加至九丸。茶清下。空心晚食后各一服。成疮者不过四十日内消干。其效皆胜于转
泻。及小便内取者。
皂角丸（出圣济总录）治诸 。
猪牙皂（七根三根炮二挺生炙并去皮一处椎破又用温水浸七日夜每日揉一过去渣绢滤熬
如糊） 母丁香（四十九个） 龙脑（研） 麝香（研各半钱） 漏芦（去芦头） 木通（锉）
红娘
子（去头足翅） 苏枋木节（挫） 滑石（各一钱） 粳米（少许） 上除皂角外。捣研为
末。都入
皂角冲中更和寒食面。少许为丸如绿豆大。每服十丸。丁香水下空心食前日三四服。服时不
得见日。此药内消。不吐不利。
恶食丸（出圣济总录）治诸瘰 。不限年久日近。或已破或未脓。及诸痈肿疮
。并皆治之。
恶实（四两炒） 麝香（半两） 大黄（煨三两） 牵牛子（一两半一半生一半炒） 薄
荷（各
二两） 漏芦（去芦头挫） 上为末。用羊颈骨髓打破。煎浓汁。作大麦面糊为丸如梧桐子
大。
每服十五丸。日午临卧嚼薄荷汤下。
替针丸（出瑞竹堂）专治一切瘰 恶疮。
龙脑（二分） 麝香（半钱） 轻粉（一钱） 粉霜（一钱） 雄黄（一钱赤色者） 白
丁香（二
钱直白） 砂（半钱） 金脚信（二钱） 巴豆（十个去心膜） 上为末。大麦面为丸。
如小麦
粒大。若用时觑疮大小加减用。如疮破者两丸。疮小不破者一丸。用砭针破出血尽 药后。
用黄蜡封于针口。如疮肿者不妨不过三日自消。
遇仙无比丸（出瑞竹堂）治瘰 。
白术（生） 槟榔（生） 甘草（生） 牵牛（一半生一半炒） 郁李仁（汤浸去皮） 密
陀僧
防风 斑蝥（糯米炒去皮足翅不用米以上各等分用） 上为末。面糊为丸如桐子大。早晚煎
甘
草、槟榔汤下。每服二十丸。至月后肠中微痛。如小便中取下 子毒物。有如鱼目状。已破
自合。未破自消。
连翘丸（出圣济总录）治 绕项如连珠。
连翘 防己 羌活（去芦） 木香 栀子仁 芍药（各二钱） 玄参（五两） 大黄（一
两）
上为末。炼蜜为丸如桐子大。每服二十丸。食后温水下。
内消散（出德生堂）治 已破。未破者内消。
大黄（半两） 木香（二钱） 连翘（半两） 丁香（三钱） 栀子（四钱） 沉香（一
钱） 没药
（二钱） 薄荷（一钱） 甘草（三钱） 黄芩（三钱） 上 咀。每服五钱。水盏半。煎
至七分。
食后临卧服。入麝香一钱同煎。三五服。看病患实者加朴硝三钱。虚者一钱半。再煎温服。
十日后再进一服。后却用大蜘蛛一个活烂研。好酒一盏。调用绢帛滤。去滓壳服之。即日内
消。
治 已破者。（出德生堂）
巴豆（七个） 虾蟆（一个将巴豆放虾蟆内将室中吊一宿一桑柴火烧存性） 黑猪胆（一
个
锻石放胆内阴干急焙干等用） 陈年锻石（炒黄一钱） 乳香（一钱） 黄丹（一钱瓷器内
炒不见
铁） 轻粉（半钱） 上为末。于疮口上轻糁。口噙将水洗净。用软帛 干。贴药。
神圣大易膏 治 。兼治八十种恶疮。
小油（半斤） 生地黄 当归 川芎 赤芍药 香白芷（上各四两） 黄丹（四两） 上
为粗
末。择水日将上件药末油浸一宿。用文武火熬过。以净好绵滤去滓。再熬。黄丹一钱旋旋点
之。用槐柳条搅截焦头。再熬尽黄丹为度。滴水成珠使用。
治瘰 （出儒门事亲）
[Supplementary Discussion]
The discussion states: Luoli (scrofula) and other diseases are all caused by wind-heat qi and toxic factors accumulating in the zang-fu organs, clashing with the liver meridians and sinews. Since the Liver governs the sinews, when toxic vapors attack the sinews and vessels, they stop and knot in areas where the muscles are deficient, forming Luoli. It mostly occurs between the neck and axilla. Its appearance is like a cluster of nodules, connected continuously like plums or plums, called Luoli.
Prescriptions
Jiuku Shengling Dan (also known as Jiuku Huajian Tang, from *Jisheng Bachui Fang*) treats Luoli, Madao Chuang (scrofulous abscesses resembling machetes), and Ying (goiter). The lesions start from below or behind the ear, extending down the neck to the shoulder, or entering the Quepen (ST12) area; this is the distribution field of the Hand-Shaoyang Sanjiao Meridian and Foot-Shaoyang Gallbladder Meridian. Those Luoli located at the lower head, even reaching the Jiache (ST6) point, belong to the distribution field of the Foot-Yangming Stomach Meridian, arising from pathogenic factors affecting the Heart and Spleen. Now, these two conditions are treated together.
Huangqi (Astragali Radix, 1 qian): Protects the exterior and interstices of the skin and hair. If the interstices are deficient, it invigorates blood vessels. It is also a sacred medicine for treating sores and ulcers, capable of tonifying primordial Qi on the surface to eliminate weakness, harmonizing Yang Qi, and draining fire pathogens.
Renshen (Ginseng Radix, 3 qian): A herb that tonifies Lung Qi. Use it if there is shortness of breath and irregular breathing with panting.
Gancao (Prepared Glycyrrhizae Radix et Rhizoma, half qian): Harmonizes the herbs, drains fire, and benefits Stomach Qi.
Shengma (Cimicifugae Rhizoma, 1 qian)
Gegen (Puerariae Lobatae Radix, half qian)
Zhen Loulu (Euphorbiae Humifusae Radix, half qian): If unavailable, omit this herb. These three herbs are specific to the Foot-Yangming Stomach Meridian.
Lqiao (Forsythiae Fructum, 1 qian): This herb dissipates blood stasis and Qi stagnation in the twelve meridians; it is indispensable in sore-treating formulas.
Mudanpi (Moutan Cortex, 3 qian): Removes stagnant blood in the intestines and stomach.
Danggui (Angelicae Sinensis Radix, 5 qian)
Shudihuang (Prepared Rehmanniae Radix, 5 qian)
Shengdihuang (Rehmanniae Radix, 5 qian): These three herbs harmonize, generate, and cool the blood among various medicines.
Baishaoyao (Paeoniae Radix Alba, 5 fen): Sour in taste and cold in nature, it tonifies the Middle Jiao and benefits Lung deficiency. It must be used for treating abdominal pain.
Rougui (Cinnamomi Cortex, 3 fen): Dissipates accumulated Yin and yin-sores/ulcers. It should be used in small amounts. One theory suggests "treating cold with heat," using acrid-hot properties to cover Yin-cold and dissipate floating frozen Qi. Omit if the patient is dry and irritable. It must be used for Yin-type sores.
Chaihu (Bupleuri Radix, 8 fen, used with Lqiao as a guiding herb for the Shaoyang Meridian). If there is no Madao or Ying, the disease is not in the Shaoyang Meridian; omit Chaihu.
Shuniuzi (Arctii Fructum, 5 fen): Do not use if there is no swelling; use if swelling is present.
Kunbu (Sargassum, 5 fen): Salty in taste; suitable for hard masses because salt softens hardness.
Ezhu (Curcumae Rhizoma, 5 fen, fire-processed)
Jingsanleng (Sparganii Rhizoma, 5 fen, roasted): Use for very hard sores; do not use if not very hard.
Yizhiren (Alpiniae Oxyphyllae Fructum, 3 fen): Use for vomiting saliva or food due to Cold in the upper Stomach. Omit if absent.
Damaimian (Hordeum Vulgare Farina, 1 qian): Treats abdominal contraction and urgency; also aids digestion and tonifies the Stomach.
Shenqu (Medicated Leaven Powder, 5 fen, stir-fried): For indigestion.
Huanglian (Coptidis Rhizoma, 5 fen): Treats irritability and oppression.
Another version omits Shengdihuang. Grind the above herbs into fine powder. Soak in boiling water, mix with steamed wheat dough, knead evenly, shape into cakes, sun-dry, and crush into rice-grain-sized pellets. Take 3 qian or 2 qian each time, washed down with boiling water. Adjust dosage according to the patient's deficiency or excess, ensuring the dose does not hinder appetite. This is the general principle of treatment.
If accompanied by stiffness and pain of the spine (Hand and Foot Taiyang meridians), inability to look back, waist feeling like breaking, and neck feeling like pulling, add Duhuo (0.5 qian), Qianghuo and Fangfeng (1 qian each). Fangfeng is acrid and warm; even without Taiyang symptoms, if the sore is above the diaphragm, it should be used to disperse Wind in the upper body. Contraction and spasm indicate Wind. If there is Heat or weakness in the legs, add Chao Huangbo (0.5 fen). If there is dryness, irritability, and desire to undress, indicating latent Fire in the Kidney, add more Huangbo. Omit if these symptoms are absent. If abdominal distension occurs after taking medicine, add Chao Houpo (0.5 fen); omit if unavailable. If Qi is stagnant, add Chenpi (Citri Reticulatae Pericarpium) and Muxiang (Vladimiriae Root).
For Luoli in the Yangming distribution, omit Chaihu and Shuniuzi. For Madao/Ying in the Shaoyang distribution, omit Duhuo, Loulu, Shengma, Gegen, and add Qumai (3 fen).
Generally, for sores and other diseases, if the person is weak, omit bitter-cold herbs and increase Renshen, Huangqi, Gancao, etc., to tonify Yuan Qi before draining fire.
If the pathogen is in the Upper Jiao, add Huangqin (half wine-washed, half raw). In the Middle Jiao, add Huanglian (half wine-washed, half raw). In the Lower Jiao, select Jiushui Huangbai, Jiushui Zhimu, Fangji, etc.
If stool is unsmooth due to excessive pathogen, add Jiuda Huang (wine-washed Rhizoma Rhei) to promote bowel movement. If due to Blood dryness causing dry stool, add Taoren (Peach Kernel) and Jiuda Huang. If due to Wind-dryness obstruction, add Maziren (Cannabis Seed) and Huanglian. If due to Wind-astringency causing constipation, add Weijiaoren (Roasted Gleditsia Sinensis Seed), Da Huang, and Qinjiao (Radix Gentianae Macrophyllae) to promote movement. If Wind-pulse is astringent with Qi-stagnation and urinary difficulty, add Yuliren (Prunus Semen) and Da Huang to remove Qi-dryness.
For Yin-Cold diseases with cold-clumping closure and constipation, use Banshu Wan from the Bureau Formulas, or decoct with Fuzi (Prepared Aconiti Lateralis Radix) and Ganjiang (Zingiberis Rhizoma), taken cold.
Sandu Kuijian San (from *Jisheng Bachui Fang*) treats Madao Chuang, where knots are hard as stone, located from below the ear to Quepen, or to the shoulder and hypochondrium, involving the Hand and Foot Shaoyang meridians, and Luoli spreading over the jaw to Jiache, hard but unruptured, involving the Foot-Yangming meridian. Or if both sores have ruptured and discharged pus, treat accordingly. Take medicine before sleep, judging dosage based on diet and stool consistency.
Longdancao (Gentianae Radix, 0.5 liang, wine-washed and stir-fried four times)
Gancao (Prepared, half qian)
Shengma (6 fen)
Chaihu (0.5 qian)
Jiegeng (Platycodonis Radix, 0.5 liang)
Lqiao (3 qian)
Gegen Baishaoyao Huanglian (2 qian each)
Kunbu (0.5 liang)
Zhimu (Zhi Mu Rhizoma, 0.5 liang, wine-washed twice)
Danggui Shao (Angelicae Sinensis Radix tip, 0.5 qian)
Gualougen (Trichosanthis Radix, 0.5 liang, cut finely, wine-washed)
Huangqin Shao (Scutellariae Radix tip, 1.5 qian, wine-washed and stir-fried, half raw)
Jingsanleng (3 qian, wine-washed, slightly roasted)
Ezhu (3 qian, finely wine-washed and stir-fried)
Huangbai (Phellodendri Cortex, 0.5 liang, wine-stir-fried four times)
Cut the above herbs. Take 6 qian or 7 qian each time, with 2 cups of water, soak for half a day, decoct to 1 cup, strain, and take hot. While lying down, elevate feet, keep head slightly low, hold one mouthful of liquid, swallow in ten portions until finished. Rest frequently to allow medicine to accumulate in the chest. Prepare half the dose as fine powder, honey-pill size of mung beans. Take 100-150 pills each time. Wash down with a mouthful of the decoction. Add Haizao (Sargassum, 0.5 liang, stir-fried).
Quangu Wan (from *Shenghui Fang*) treats Luoli.
Guangu Gu (Stork Bone), Li Gu (Fox Bone), Shegan (Belamcandae Rhizoma), Xuanshen (Scrophulariae Radix), Shengma (Prepared), Qingmuxiang (Aquilariae Lignum Resinatum), Chenxiang (Aucklandiae Radix), Xijiao (Rhino Ceratostigma, all prepared), Dingxiang (Caryophylli Flos), Lingyangjiao (Saiga Tataricae Cornu, powdered), Danshen (Salviae Miltiorrhizae Radix), Gancao (Prepared, 4 qian each), Renshen, Shashen (Adenophorae Radix, 3 liang each), Tagan (Otis Liver, 6 fen), Liaoqiao Zi (Forsythiae Fructus, 6 fen), Guangming Sha (Cinnabaris, 3 fen, ground well). Grind and sieve. Honey-pills. Take 15 pills with drink, twice daily, gradually increasing to 20 pills. Take on an empty stomach. Diarrhea patients avoid raw/cold, greasy, blood foods, hot meat, Haizao, Songcai (Chinese Cabbage), sticky/stale foods. Another formula includes Shexiang (Moschus).
Heiqian San (aka Shenmi San, Dasheng San, Qianniuan, from *Renji Zhizhi Fang*) treats chronic Luoli.
Banmao (Mylabris, any amount, remove head/legs, stir-fry with rice until black/rice yellow, remove rice, remove fire toxicity by placing on paper on ground, grind to powder, reserve rice for later use)
Baican (Bombyx Batryticatus, select straight ones, stir-fry to remove silk)
Heiqian Niu (Semen Kochiae, use first-run powder)
Jingjie Sui (Schizonepetae Spica, top). Grind the above three separately, mix equal parts.
Take 1 qian of Banmao powder, plus 1 qian combined Baican, Qian Niu, Jingjie Sui. Mix with 1 cup of liquid. On the day of treatment, skip dinner to empty the stomach. First, take 2 qian Hutong powder mixed with Jingjie Decoction, heavy dose 1 cup. At first watch (9-11 PM), take another cup. Shortly after, take 1 cup of the four herbs mixed with non-intoxicating wine, then lie down. If urine is not collected in a vessel, expect discharge resembling mucus or lumps. Count the number of Luoli on the neck; the number of lumps in urine should match. Rat-shaped ones usually heal. Repeat if necessary. If urination is severely difficult, take 1-2 qian Hupo (Amber) mixed with Dengcao (Juncus Decoction) to expel evil matter. Jingjie + Hutong also works. If medicine causes blockage, take Wuling San with Black Bean Decoction. Pregnant women forbidden. If post-medication urinary retention occurs, take Dengcao + Hupo. Then use subsequent medicine.
For unruptured sores: Use Sangshen (Mulberry Fruit), extract juice, boil into paste (drop test: does not spread). Mix with Wei Danfan (Calcined Alum), apply on paper to the sore.
For ruptured sores: Apply Chen Sha (Cinnabar) and Danfan powder lightly. Avoid hot/toxic/windy foods.
For non-healing ruptured sores, use topical powder:
Zhizhu (Spider), Banmao, Hong Niangzi (Lytta Minor), Shuiwa (Water Frog), Didan (Blister Beetle Larva), Yuanhua (Genkwa Flos), 0.5 qian each. Roast on new tile until dry, grind. Wash sore with Scallion White Decoction, dry with soft silk. Apply with good rice vinegar. Three times daily. When fluid dries up, use flesh-generating medicine.
Xuejie (Dragon's Blood), Longgu (Fossilized Bones), Rushiang (Frankincense), Mingfan (Alumen), Gaoyaosh (Gypsum Fibrosum), Huangdan (Lead Tetroxide), 1 qian each (calcined/pass through fire). Grind. When yellow pus/blood is gone, sprinkle dry. Naturally generates flesh.
Huadu San treats Luoli.
Danggui, Baishaoyao, Chishaoyao (Red Peony Root), Zhimu, Zhuma Gen (Ramie Root), Baijiaoxiang (Elemi Resin), Gancao, Beimu (Fritillariae Bulbus), Qinjiao, Shengdihuang, Baigui (Tortoise Plastron), Chaihu, Qianhu (Peucedani Radix), Guanzi Gui (Cassia Twig), Sheng Huang (Raw Astragalus), Shu Huang (Prepared Astragalus), 1 liang each. Cut. Take 0.5 liang, 2 cups water, 3 slices ginger, 2 dates. Decoct to 70%, strain, take warm.
Chaihu Tang (from *Shengji Zonglu*) treats Luoli.
Chaihu (remove seedlings), Jingjie Sui, Qinjiao (remove soil), Zhimu, Danggui, Guixin (Cinnamon Twig, remove bark), Huoxiang (Patchouli), Gansong (Nardostachys), Baigui (vinegar-roasted), Wutou (Prepared Aconite, remove skin/navel), Digupi (Lycii Cortex), Fengxiangzhi (Liquidambar), Baishaoyao, 0.5 liang each. Zhu Gen (Fresh Ramie Root, weigh wet 2 liang, cut magnet-style), Xiong (Ligusticum Wallichii Rhizome), 1 liang. Wash, dry, grind. Take 3 qian, 1 cup water, 3 slices ginger, 1 date. Decoct to 70%, strain, take warm. Morning, post-lunch, pre-bed.
Qiangwei Wan (from *Qianjin Fang*) treats Luoli due to internal heat, fine scabies, and oral ulcers.
Qiangwei Gen (Rose Root), Huangqi, Huangqin, Shuli Genpi (Mouse Plum Bark), Gualougen, Shaoyao, Kushen (Sophorae Flavescentis Radix), Shilongrui (Ranunculus Ternatus), Fangfeng (or Fangji), Bailian (Trollii Bulbus), Longdan (Gentiana), 1 liang each. Zhizi Ren (Gardeniae Semen, 4 liang). Grind, honey-pills, size of sesame seeds. Take 15 pills with rice drink, twice daily. Another formula adds Huangbai (1 liang).
Huaijiao Jian Wan (from *Chuangke Jingyao*) treats sores, Luoli, scabies, tinea, red swelling.
Tianma (Gastrodiae Rhizoma), Chuanxiong (Ligusticum Chuanxiong Rhizome), Gancao, Huangyaozi (Dioscorea Hypoglauca Tuber), Gan Juhua (Chrysanthemi Flos), Renshen, 1 liang each. Heshouwu (Polygoni Multiflori Radix), Kushen, 1.5 liang each. Jingjie Sui, Fangfeng, 2 liang each. Huaijiao (Sophorae Tonkinensis Legume, kernel separately ground), Zaojiao (Gleditsiae Sinensis Fructus, non-wormy, 4 liang each, boil in 10 dou water until soft, squeeze juice, strain, boil to paste, grind Zaojiao meat into paste). Mix kernels and herbs into paste, honey-pills, size of pea. Take 50 pills after meals with Bamboo Leaf Decoction.
Liying San (from *Renzhai Zhizhi Fang*) treats ruptured Luoli.
Lqiao, Chishaoyao, Chuanxiong, Danggui, Chuan Wu Jian (Aconitum Carmichaelianum Lateralis Radix Tip, 7 pieces), Sheng Gancao (Prepared), Huashi (Talcum, ground, 0.5 liang each), Huangqin (3 qian), Bai Qian Niu (Semen Kochiae, raw powder), Tu Fengfang (Ground Beehive, washed, steamed, dried, 2.5 qian each), Didan (Blister Beetle Larva, remove head/wings/legs, stir-fry with millet until yellow, 3 qian). Grind. Take 1 large cup, decoct 1 qian strongly, wash down with Mutong (Akebiae Caulis) Decoction. Toxins exit via urine at night (powder-like blocks, bloody rotten flesh). If ineffective, repeat. Follow with Bohe (Menthae Haplocalycis Herba) Decoction to clear heat/toxins. Didan is toxic; Wu Tou neutralizes it. If numbness/oppression occurs, chew 1 cun Scallion White, wash down with tea. If urine is astringent, take Wuling San with Dengxin (Junci Medulla) Decoction. Apply good plaster to sore. For carbuncles, this guides out evil matter; omit Huangqin.
Lizhi Gao treats Luoli.
Lizhi Rou (Lychee Flesh, 1 liang), Qingfen (Calomelas), Shexiang, Chuanxiong, Baidoukou (Cardamomi Rotundus Fructus), Sharen (Amomi Fructus), 0.5 qian each. Zhusha (Cinnabar), Longgu, Xuejie, Rushiang, 1 qian each. Quanxie (Scorpio, 5 pieces). Mash Lychee, mix with soft rice flour into paste. Apply according to sore size. Best to apply only to the leading sore if multiple exist.
Wushe Wan (from *Shengji Zonglu*) treats various Luoli.
Wushe (Taipeii Snake, wine-soaked, skin removed, bone ash), Bai Jiangcan (Silkworm, slightly roasted), Da Huang (wrapped in wet paper, roasted), Kunbu (cut fine, stir-fried with wheat), Gan Hamax (Toad, 1, burned to ash), Yanqing (Meloides, 3, stir-fried with Banmao), Lqiao (0.5 liang), Banmao (0.5 liang, stir-fried with rice until yellow, remove rice), Xiong Ge Fen (Pigeon Droppings, clean, 1 he), Zaozi (Gleditsia Seeds, 100, round/plump, roast in iron pot until charred outside/raw inside). Grind, honey-pills, size of sesame seeds. Take 7 pills, increase to 9, wash down with tea. Empty stomach and post-dinner. Heals within 40 days. Superior to purging or extracting via urine.
Zaojiao Wan (from *Shengji Zonglu*) treats various Luoli.
Zhuya Zao (Toothpick Soap Pod, 7 roots: 3 roasted, 2 raw/prepared, remove skin, crush, soak in warm water 7 days, rub daily, strain through silk, boil to paste). Mudingxiang (Mother Clove, 49 pieces), Longnao (Borneolum Syntheticum, ground), Shexiang (ground, 0.5 qian each), Loulu (remove root head), Mutong (cut), Hongniangzi (remove head/wings), Sufangmu Jie (Sappanwood Knot, cut), Huashi, 1 qian each. Jingmi (Glutinous Rice, small amount). Grind except Zaojiao paste. Mix into paste with Hanshi Mian (Cold Food Flour). Pills size of mung beans. Take 10 pills, wash down with Dingxiang Water, empty stomach before meals, 3-4 times daily. Do not expose to sunlight during administration. Internal resolution, no vomiting/purging.
Eshi Wan (from *Shengji Zonglu*) treats various Luoli, chronic or recent, ruptured or unruptured, abscesses.
Eshi (Arctii Fructus, 4 liang, roasted), Shexiang (0.5 liang), Da Huang (roasted, 3 liang), Qianniuzi (Semen Kochiae, 1.5 liang, half raw/half roasted), Bohe (Menthae Haplocalycis Herba, 2 liang each), Loulu (remove root head, cut). Grind. Break sheep neck marrow, boil thick juice, make paste with Hordeum Farina. Pills size of Sophora seeds. Take 15 pills, chew Bohe Decoction at noon and bedtime.
Tizhen Wan (from *Ruizhutang*) treats all Luoli and malignant sores.
Longnao (2 fen), Shexiang (0.5 qian), Qingfen (1 qian), Fenshuang (Sublimated Calomel, 1 qian), Xionghuang (Realgar, 1 qian, red), Baixiang (White Clove, 2 qian, straight/white), Sha (Arsenic Trioxide, 0.5 qian), Jinjiaoxin (Yellow Arsenic, 2 qian), Badou (Crotonis Fructus, 10, remove heart/membrane). Grind, Hordeum Farina pills, size of wheat grain. Adjust based on sore size. Ruptured: 2 pills. Small/unruptured: 1 pill. Puncture with Bian needle until blood stops, insert pill, seal with Yellow Wax. Swelling resolves in 3 days.
Yuxian Wubi Wan (from *Ruizhutang*) treats Luoli.
Baizhu (Raw), Binglang (Arecae Semen, Raw), Gancao (Raw), Qianniu (Half raw/half roasted), Yuliren (Soaked, peeled), Mituoseng (Galena), Fangfeng, Banmao (Rice-roasted, remove skin/legs/wings, equal parts). Grind, wheat paste pills, size of sesame seeds. Wash down with Gancao/Binglang Decoction morning/evening. Take 20 pills. After a month, slight intestinal pain, pass toxic matter in urine like fish eyes. Ruptured heals, unruptured dissolves.
Liaoqiao Wan (from *Shengji Zonglu*) treats Luoli around neck like beads.
Liaoqiao, Fangji, Qianghuo (remove root head), Muxiang, Zhizi Ren, Shaoyao, 2 qian each. Xuanshen (5 liang), Da Huang (1 liang). Grind, honey-pills, size of sesame seeds. Take 20 pills after meals with warm water.
Neixiao San (from *Deshengtang*) treats ruptured Luoli, internally resolves unruptured.
Da Huang (0.5 liang), Muxiang (2 qian), Liaoqiao (0.5 liang), Dingxiang (3 qian), Zhizi (4 qian), Chenxiang (1 qian), Moyao (Myrrha, 2 qian), Bohe (1 qian), Gancao (3 qian), Huangqin (3 qian). Cut. Take 5 qian, 1.5 cups water, decoct to 70%. Take after meals/before bed. Add Shexiang (1 qian) to decoct. 3-5 doses. Excess type: add Pomiao (Mirabilite, 3 qian). Deficiency type: 1.5 qian. Re-decoct warm. After 10 days, take another dose. Then, grind 1 live large spider, mix with 1 cup good wine, filter through silk, take residue-free. Internally resolves same day.
Treat Ruptured Luoli (from *Deshengtang*).
Badou (7 pieces), Hamax (1, put Badou inside, hang in room overnight, burn with Mulberry wood until charred externally/raw internally). Hei Zhu Dan (Black Pig Gallbladder, 1, put Duanshi (Burnt Lime) inside, dry in shade, bake quickly, equal parts). Chen Nian Duanshi (Roasted yellow, 1 qian), Rushiang (1 qian), Huangdan (1 qian, roast in porcelain until no iron smell), Qingfen (0.5 qian). Grind. Lightly sprinkle on sore. Rinse mouth with water, dry with soft cloth, apply medicine.
Shensheng Dayi Gao treats Luoli. Also treats 80 types of malignant sores.
Xiao You (Vegetable Oil, 0.5 jin), Shengdihuang, Danggui, Chuanxiong, Chishaoyao, Xiang Baizhi (Angelicae Dahuricae Radix, 4 liang each), Huangdan (4 liang). Coarse powder. Soak in oil overnight on auspicious water day. Boil with mild/fire heat, filter through clean cotton, re-boil. Add Huangdan drop by drop. Stir with Willow/Spruce twig until burnt head clears. Boil until Huangdan exhausted. Test: drops form pearls in water.
Treating Luoli (from *Rumen Shiqin*)