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Discussion on Tumors, Goiters, Stubborn Tinea, Tongue Reattachment, Tooth Growth, and Tooth Consolidation.

These "fragmented treatment methods" (therapeutic approaches involving surgical or traumatic interventions) are the most extraordinary. Some individuals have masses结 (nodules/masses) in their abdomen, taking shapes resembling insects, birds, or snakes. Various medicines fail to cure them; or there may be magpie-shaped entities inside the head, dove-shaped entities inside the hands, etc. There must be no internal organ pathology, but rather external manifestations of bizarre forms, such as goiters or tumors. It is necessary to excise the tumors and goiters, and remove the bird-like entities, for the disease to heal. However, this is still considered an extraneous complication. Although scalpels (dao gui) are used, the five zang organs are not harmed. Applying a tissue-regenerating medicine to the wound makes the patient appear as healthy as anyone else. Only when worms grow in the brain is it necessary to split open the skull, remove the worms, and thereby eliminate the headache disorder (tou feng). As for turtles, snakes, birds, and insects in the abdomen, one must also cut open the lower abdomen to extract these objects before survival is possible. Yet, such medical skills are too miraculous to leave specific prescriptions; preserving this narrative demonstrates that the Dao of Medicine can be so wondrous. Regarding the treatment method: first, use Wangxing Jiu (Forget-Form Wine) to intoxicate the patient until they are dazed and unaware of their surroundings, allowing the surgeon to split them open without feeling any pain. After extracting the worm-like objects, suture the incision with Shen Gao Yi Yao (Miraculous Ointment and Strange Medicines), apply a plaster, and within twenty-four hours, full recovery occurs. Then, slowly administer Jiesheng Tang (Resolve-Life Decoction); the patient awakens as if from a dream, and the previous symptoms vanish instantly. Since the transmission of the Qingnang Shu (Blue Bag Book, referring to profound medical secrets) and after Hua Tuo was punished, these techniques were lost for thousands of years. Now, transmitting them to Shuyuan Gong, I dare not lightly teach such arts to others to avoid causing him similar trouble. The lesson from the past should be heeded; do not repeat the pursuit. Since you ask again about goiters and tumors, I will not keep them secret, but transmit them to you so that you may save lives.

Goiters and tumors differ. A goiter grows attached to the flesh, with a large root and a large body; a tumor has a small root but a large body. Among tumors, there are further distinctions: powder tumors, flesh tumors, tendon tumors, and object tumors. Tendon tumors cannot be treated, nor need they be; over ten years, they may only grow as large as a walnut. Powder tumors naturally rupture after three years, expelling powder resembling incense ash; once expelled, they heal spontaneously, requiring no treatment. Flesh tumors are easiest to treat: use 1 qian of Mercury, 3 qian of Ercha (Catechu), 3 fen of Borneol, 1 qian of Borax, 3 fen of Musk, 5 qian of Phellodendron Bark, and 3 qian of Dragon's Blood. Grind each into fine powder. Apply this medicine to the root of the tumor; as you rub, it falls off. Those with small roots invariably fall off. Object tumors have large roots and are hardest to treat. They not only move but also make noises inexplicably, sounding like insect chirps or bird calls. One must cut open the central hole with a knife so the object cannot stay and must break out. Afterwards, apply a tissue-regenerating divine medicine; the tumor turns to water and flattens back to normal. This condition arises from disrespecting spirits and offending Tai Sui (the Grand Duke Jupiter); the illness is unpredictable and irrational, hence omitted from the *Neijing* (Inner Canon), though such diseases do exist in the world. The formula for Tissue-Regenerating Powder is as follows: 1 qian of Ginseng, 3 qian of Panax Notoginseng Root powder, 5 fen of Calomel, 3 qian of Qilin Dragon's Blood, 1 qian of Elephant Skin, 1 qian of Frankincense (oil removed), 1 qian of Myrrh, 3 qian of Thousand-Year Calcined Stone, 1 qian of Costus Root powder, 3 fen of Borneol, and 2 qian of Catechu. Grind all into extremely fine powder until silent. Preparation must occur on the Dragon Boat Festival (Duanwu); no one else may witness it.

Goiters vary in type and shape but are all caused by Damp-Heat. They grow from small to large, from large to ruptured, and from ruptured to death. At the onset, one should use a small knife to lacerate it, drain a little clear fluid, and apply Tissue-Regenerating Powder for immediate healing. If treatment is delayed, it grows larger. Apply medicine to the depressed area; after half a day, pain ensues, and fluid drains. White fluid indicates easy healing; yellow or red fluids indicate difficult healing. However, my medicine ensures recovery. For application: mix 1 qian of Mercury, 1 qian of Borax, 1 qian of Calomel, 1 qian of Magpie Droppings, 1 qian of Oriole Droppings, 5 fen of Borneol, 5 fen of Naphthalene, 1 qian of Green Vitriol, 1 qian of Alum, and 3 fen of Musk into fine powder. Pierce a small hole with a needle, then apply the medicine while bleeding occurs to promote adhesion. Use approximately 1 fen, mixed with human milk, applied to an area the size of a chickpea. Apply three times a day; on the second day, fluid will flow. Do not apply more during fluid discharge, as excessive application causes severe pain and hinders healing. After three days, fluid stops, and the skin hangs loosely like a bag. Subsequently, use the decoction below for complete restoration. Decoction Formula: 3 qian of Ginseng, 5 qian of Poria, 1 liang of Coix Seed, 2 qian of Alisma, 1 qian of Polyporus, 1 liang of Astragalus, 5 qian of White Peony Root, 1 qian of Raw Licorice, 1 qian of Tangerine Peel, 3 qian of Chinese Yam. Decoct in water and drink. Ten doses result in complete resolution. Abstain from sexual activity for one month; otherwise, no restrictions apply. Violating this leads to non-healing ulcers becoming chronic fistulas for life.

Master Zhang said: There are many fragmented treatment methods, which I shall expand upon. Some develop arm ulcers that become large masses, fist-sized. These must be excised, but patients often faint; thus, imitation is inadvisable. I have a miraculous formula: use a small knife to slightly breach the skin by one fen, then apply powder. It dissolves into water—a divine prescription. Formula: 3 qian of Ginseng, 1 qian of Licorice, 1 fen of Borax, 1 fen of Borneol, 0.5 fen of Calomel. Grind into powder and sprinkle; it dissolves immediately. This is a miraculous detoxification formula; do not underestimate it. Abdominal ulcers forming stubborn masses lasting all year can also be treated this way with instant effect.

For parasitic bird/insect diseases on the body, arms, or head, Master Qi has already transmitted excellent formulas; why transmit again? None surpass Master Qi. For foot tumors the size of a dou (a unit of volume), I have a method not requiring fragmentation: gently pierce a small hole with a needle, apply the aforementioned medicine, and fluid will flow incessantly. Immediately treat with a decoction: 3 liang of Ginseng, 3 liang of Astragalus, 5 liang each of Raw Licorice and Coix Seed, 3 qian of White Mustard Seed. Decoct in water. Two doses drain all fluid without leaving the patient exhausted. This is a dual internal-external treatment. Although it involves piercing, it is still considered fragmented therapy. Its wonder lies in tonifying primordial Qi while promoting diuresis without depleting Qi. Piercing to drain fluid damages Yuan Qi (Primordial Qi); by tonifying Qi, we fear not the loss of fluid. This is the miracle and subtlety of this formula.

The Heavenly Master said: Seven fragmented treatments remain untransmitted. One washes tendons, one splits the brain, one splits the abdomen, one washes intestines, one replaces the tongue, one replaces skin, and one reconnects bones. Do you not believe? "Replacing skin" means removing diseased skin to regenerate new skin; reattaching a bitten-off tongue. Splitting skin to bleed refers to treating goiters/tumors. This was not meant for transmission, but since you ask well, I will transmit two more. For stubborn tinea on the skin, unresponsive to herbs or rubbing for years: shave off the scaly skin with a knife, apply 5 qian of the aforementioned tissue-regenerating medicine. It will cause unbearable itching but minimal pain during shaving. Administer an anesthetic decoction to induce unconsciousness, then proceed with surgery. Anesthetic Formula: 3 qian of Rhododendron Molle (Yang Zhizhu), 1 qian of Jasmine Root, 1 liang of Angelica Sinensis, 3 fen of Acorus. Decoct in water. Drink one bowl; the patient sleeps deeply, feeling no pain or itch during cutting. Three days post-skin replacement, administer a waking decoction: 5 qian of Ginseng, 3 qian of Raw Licorice, 5 fen of Tangerine Peel, 1 qian of Pinellia, 1 qian of White Peony Herb, 5 fen of Acorus, 5 qian of Poria. Decoct and drink to awaken. Rhododendron Molle confuses the heart; Jasmine root induces insensibility; Acorus guides the herbs into the heart orifices to confuse the spirit. Without Ginseng, the patient might not wake for ten days. Ginseng restores righteous Qi, resolving the toxic effects; other herbs support righteousness, guided by Acorus to the Heart Meridian. The patient lies warm and still, sound asleep.

If a tongue tip is bitten off, or severed at the root, whether one day, two days, or half a month later, it can be reattached. Quickly take one dog tongue. Observe the patient's tongue size, cut the dog tongue to match the human tongue's appearance. Extend the patient's tongue root; have the patient sit on a chair, recline with head on the backrest, and hold their own throat to extend the tongue. Dip the dog tongue in powder medicine and attach it to the human tongue. Once joined, it never falls off. Powder Formula: 3 qian of Longchi (Dragon Teeth, transparent variety), 3 fen of Borneol, 3 qian of Ginseng (transparent variety), 1 qian of Elephant Skin, 3 qian of Rehmannia Root, 3 ground beetles (remove heads and wings), 20 earth lice. Grind Ginseng and others into powder first. Mash ground beetles and earth lice, mix into the powder, wear on the body for three days, dry, and grind into powder. Store in a bottle for treating such cases. (Commentary: Tongue-Reattaching Divine Pill.) This powder is miraculous for bone setting; ingesting 1 qian heals fractures instantly.

It is said that biting off a tongue and rinsing with vinegar allows regrowth. The Master says: Nonsense. Acid causes flesh to contract; how could it extend? Regrowth requires a Divine Pill. Since you pray to Heaven, I will teach you. Rinse mouth for half a day with a decoction of 1 liang of Ginseng. After finishing, use 3 fen of Dragon Teeth powder, 1 qian of Ginseng powder, 1 qian of Ophiopogon powder, 3 fen of Dragon's Blood, 2 fen of Borneol, 1 ground beetle, and 10 earth lice. Roast each over fire, place on earth for a moment to remove fire heat. While finishing the Ginseng rinse, dip your tongue in this powder to coat it thoroughly. Do not retract the tongue immediately; hold it outside for half a moment until unbearable, then retract. Repeat three times, and the tongue elongates. This is a Divine Pill, extraordinarily miraculous and inconceivable. (Commentary: Tongue-Growing Divine Pill.)

Tooth-Growth Method: Use the entire spine of a male rat (discard other bones, tail, head). Mix with 3 qian of Drynaria Root, stir-fried into powder. Add 1 fen of Musk. Dry prepared Rehmannia Root by carrying it on the body until dry, then grind into 3 qian of powder. Prepared Rehmannia must be homemade; absolutely no iron contact, or efficacy is lost. Raw Rehmannia must also avoid iron needles piercing it. Add 3 fen of Asarum, 3 fen of Elm Bark. In summary, none of the herbs may touch iron. Add 1 qian of Angelica Sinensis, 2 qian of Blue Salt, 1 qian of Eucommia. Grind all into ultra-fine powder. Remove meat from rat bone, roast on new tile until dry (do not burn), preserving its vital energy. Store in a porcelain jar. At dawn (Wugeng time), silently, lightly rub the powder onto edentulous areas thirty-six times. Allow the medicine to be swallowed naturally; do not rinse with water. Continue for one month. Rubbing at noon is even better, following the same count.

Tooth-Fortifying Formula: Use one male rat spine, 1 qian of Angelica Sinensis, 3 qian of Prepared Rehmannia, 1 qian of Asarum, 3 qian of Elm Bark, 3 qian of Drynaria Root, 1 qian of Blue Salt, 2 qian of Eucommia. Grind into powder. Wrap in cotton paper into strips. Chew on the gums until the flavor dissipates. One strip prevents tooth loss forever. Again, avoid iron contact. Fortunately, you benefited from this medicine, hence your teeth remain firm past fifty. Do not worry; yesterday you took my talisman. Transmit this to save others. This medicine can save hundreds; roughly three strips per person.

Master Zhang said: The tendon-washing method is hardest to transmit and least effective; it is best discussed only as symptom management. Tendon contraction stems from blood failing to nourish. Chronic lack of nourishment causes tendon shortening and inability to regenerate. One must cut skin and flesh to wash with medicine. If the method is flawed or medicine impure, success is impossible, leading to death. Is it not better not to transmit it? Splitting the brain is especially dangerous. Was Cao Cao not wise? Lightly splitting a living person's brain kills them; who would believe revival? Amidst noise and chaos, how can one calmly devise methods to restore consciousness? Splitting the abdomen exposes intestines; the patient appears dead, and belief in revival is absent. Washing intestines is similar. This is why Master Qi hid these methods. Today, light transmission invites criticism. For tongue and skin replacement, Master Qi left unique arts; how can we add depth now?

Tongue reattachment is miraculous; tongue growth is more so. Without immortal transmission, how could the world possess these methods? Respect them; preserve them for millennia.

Tooth growth and fortification are minor arts, not remarkable enough to be strange. Keep them for reference. They are not truly fragmented therapies; thus, they should be deleted here and appended elsewhere.

Master Hua said: This transmission lacks the method for self-growing tongues.