核上各灸六七壮,或十余壮,更于肩并、风池、肺俞、缺盆穴上各灸三壮,真起死回
生之妙法,可收全功。今人不行艾灸之法,而听下工敷贴钩割,多取丧亡之咎。治宜
养血清神,化痰散郁,更宜清心养性,淡味节食,可保终吉。此证生于富贵膏粱之
人,多费调理,以味浓欲深故也;生于藜藿之人,可保无虞,以味淡欲少故也。古
云;膏藿不同治,正此义也。
《心法》曰∶瘰 小者为瘰,大者为 ,当分经络。如生项前,属阳明经,名为痰
瘰;项后属太阳经,名为湿瘰;项之左右两侧,属少阳经,形软遇怒即肿,名曰气
。坚硬筋缩者,名为筋 ;若连绵如贯珠者,即为瘰 ;或形长如蛤,色赤而坚,
痛如火烙,肿势甚猛,名曰马刀瘰 。又有子母 ,大小不一;有重台 , 上堆
累三五枚,盘叠成攒。有绕项生者,名蛇盘 ;如黄豆结荚者,又名锁项 ;生左
耳根者,名蜂窝 ;生右耳根者,名惠袋 ;形小多痒者,名风 ;颔红肿痛者,名
为燕窝 ;近及胸腋者,名瓜藤 ;生乳旁软肉等处者,名 疡 ;生于遍身,漫
肿而软,囊内含硬核者,名流注 。独生一个在囟门者,名单窠 ;一包生十数个
者,名莲子 。坚硬如砖者,名门闩 ;形如荔枝者,名石 ;形如鼠形者,名鼠 ,
又名鼠疮。以上诸 ,推之移动,为无根,
属阳,外治宜因证用针灸、敷贴、蚀腐等法;推之不移动者,为有根且深,属阴,皆
不治之证也。切忌针砭及追蚀等药,如妄用之,则难收敛。瘰 形名各异,受病虽
不外痰湿风热,气毒结聚而成,然未有不兼恚怒气郁幽滞,谋虑不遂而成者也。
Apply six or seven moxa cones (Zhuang) on each nodule, or ten plus moxa cones. Additionally, apply three moxa cones each at Jianjing (GB21), Fengchi (GB20), Feishu (BL13), and Quepen (ST12). This is a miraculous method capable of rescuing the dying from death, ensuring complete recovery. Nowadays, people do not practice moxibustion but instead leave it to incompetent physicians to use topical applications, hooking, and cutting methods, which often lead to fatal consequences. Treatment should focus on nourishing blood and calming the spirit, resolving phlegm and dispersing stagnation. Furthermore, one should clear the heart and nurture the nature, maintaining a bland diet and regulating food intake to ensure ultimate auspiciousness. This condition mostly occurs in wealthy individuals who consume rich and greasy foods; due to their strong flavors and deep desires, they require extensive regulation. In contrast, it rarely affects poor individuals who eat coarse grains, as their flavors are bland and desires are few, thus ensuring safety without worry. The ancient saying states that treatment differs for those eating rich foods versus coarse grains, which precisely reflects this principle.
The *Xinfa* states: Small nodules are called *Luo Li* (Scrofula), while large ones are called *Dao Ku* (Horse Knife); their meridian affiliations must be distinguished. If occurring at the front of the neck, it belongs to the Yangming Meridian and is named Tan Luo (Phlegm Scrofula); if at the back of the neck, it belongs to the Taiyang Meridian and is named Shi Luo (Dampness Scrofula); if on the left and right sides of the neck, it belongs to the Shaoyang Meridian, is soft in texture, and swells upon anger, named Qi Luo (Qi Scrofula). If hard with contracted sinews, it is named Jin Luo (Sinew Scrofula); if continuous like a string of pearls, it is simply Luo Li; if long like a clam, red and hard, painful as if branded by fire, with severe swelling, it is named Ma Dao Luo Li (Horse Knife Scrofula). There is also Zi Mu Luo Li (Mother-Child Scrofula) with varying sizes; there is Chong Tai Luo Li (Double-Terrace Scrofula) where three to five nodules pile up on top, forming clusters. Those growing around the neck are named She Pan Luo (Snake-Coiling Scrofula); those resembling soybean pods are named Suo Xiang Luo (Neck-Locking Scrofula); those at the root of the left ear are named Feng Wo Luo (Honeycomb Scrofula); those at the root of the right ear are named Hui Dai Luo (Bag Scrofula); small ones that are very itchy are named Feng Luo (Wind Scrofula); those with red, swollen, and painful submandibular regions are named Yan Wo Luo (Swallow's Nest Scrofula); those extending to the chest and axilla are named Gua Teng Luo (Melon Vine Scrofula); those near the breast soft tissue are named Yong Yang Luo (Abscess Scrofula); those distributed all over the body, diffuse and soft with hard cores inside sacs, are named Liu Zhu Luo (Flowing Injection Scrofula). A single nodule on the fontanelle is named Dan Ke Luo (Single-Nest Scrofula); a cluster containing ten or more is named Lian Zi Luo (Lotus Seed Scrofula). Hard as bricks are Men Shuan Luo (Door Bolt Scrofula); shaped like lychees are Shi Luo (Stone Scrofula); shaped like mice are Shu Luo (Mouse Scrofula), also known as Shu Chuang (Mouse Sore). Regarding these various nodules, if they can be pushed and move, they are rootless and belong to Yang; external treatment should utilize acupuncture, topical applications, or cauterization based on the syndrome. If they cannot be moved, they have roots and are deep, belonging to Yin; these are all incurable conditions. One must strictly avoid needle pricking and corrosive drugs; if used recklessly, healing will be difficult. Although the etiology of Luo Li varies in shape and name, generally stemming from phlegm-dampness, wind-heat, and qi-toxin aggregation, it invariably involves anger, depression, and unfulfilled aspirations.