散肿溃坚汤 治马刀疮，坚硬如石，或在耳下，或至缺盆，或在肩上，或至胁下
，皆
柴胡（四分） 升麻（二分） 龙胆草（酒炒，五分） 连翘（三分） 黄芩（酒炒，八分半）
甘草
，五分） 知母（酒炒，五分） 葛根 黄连 三棱（酒拌微炒） 广木香（各三分） 栝蒌根（五
分） 作一剂，水二钟，煎八分，食后服。
散肿溃坚丸 即散肿溃坚汤，料为末炼蜜丸，如梧桐子大，每服七八十丸，食后
四物汤 治血虚，或发热，及一切血虚之证。
当归（酒拌） 川芎（各一钱五分） 芍药（炒） 生地黄（各一钱） 作一剂，水二钟，煎八
分，食远服。
当归龙荟丸 治瘰 肿痛，或胁下作痛，似有积块，及下疳便痈，小便涩，大便
秘，或瘀血凝滞，小腹作痛。
当归（酒拌） 龙胆草（酒拌炒） 栀子仁（炒） 黄连 青皮 黄芩（各一两） 大黄（酒拌
炒）
服二三十丸，姜汤下。
分心气饮 治七情郁结，胸膈不利，或胁肋虚胀，噎塞不通，或噫气吞酸，呕秽
恶心，
虚痞。
木通 赤芍药 赤茯苓 官桂 半夏（姜制） 桑白皮（炒） 大腹皮 陈皮（去白） 青皮
（去
茎，煎八分，食远服。
四七汤（方见流注门）
生地黄丸 许白云学士云∶有一师尼，患恶风体倦，乍寒乍热，面赤心烦，或时
是时疫气大行，医见寒热，作伤寒治之，大、小柴胡汤杂进，数日病剧。余诊视之曰∶三部
无寒邪脉，但厥阴肝脉，弦长而上鱼际，宜用抑阴之药。遂用此方，治之而愈。
生地黄（一两，酒拌捣膏） 秦艽 黄芩 硬柴胡（各五钱） 赤芍药（一两） 为细末，入
地黄膏，加炼蜜少许，丸梧子大。每服三十丸，乌梅煎汤下，日二三服。
方脉流气饮（方见流注门）
遇仙无比丸 治瘰 未成脓，其人气体如常，宜服此丸。形气觉衰者，宜先服
益气养荣
亦宜服此丸。敛后，再服前汤。
白术（炒） 槟榔 防风 黑牵牛（半生半炒） 密陀僧 郁李仁（汤泡去皮） 斑蝥（去翅
足，
甘草槟榔汤下。服至月许，觉腹中微痛，自小便中，取下 毒，如鱼目状，已破者自合，未
脓者自消。
必效散 治瘰 ，未成脓自消，已溃者自敛，如核未去更以针头散腐之。若气血
虚
）。
南鹏砂（二钱五分） 轻粉（一钱） 斑蝥（四十个，糯米同炒熟，去头翅） 麝香（五分） 巴豆
（五粒，去壳心膜） 白槟榔（一个） 上为细末，每服一钱，壮实者钱半，五更用滚汤调下。
如小水涩滞，或微痛，此 毒欲下也，进益元散一服，其毒即下。此方斑蝥、巴豆似为峻利
，然用巴豆，乃解斑蝥之毒，用者勿畏。余京师遇一富商，项有瘰痕一片颇大，询其由，彼
云∶因怒而致，困苦二年，百法不应。忽有方士与药一服，即退二三，再服烦退，四服而平
，旬日而痊。以重礼求之，乃是必效散，修合济人，无有不效。又有一老媪，亦治此症，
索重价，始肯医治。其方法∶乃是中品锭子， 疮内，以膏药贴之，其根自腐，未尽再用，
去尽更搽生肌药，数日即愈，人多异之。余见其治气血不虚者果验，若气血虚者，虽溃去，
亦不愈。丹溪亦云∶必效散与神效栝蒌散，相兼服之，有神效。常以二药兼补剂用之效，故
录之。按锭子虽峻利，亦是一法，盖结核坚硬，非此未见易腐。必效散内有斑蝥，虽亦峻利
，然 毒之深者，非此药莫能易解，又有巴豆解其毒，所以 毒之深者，宜用之。但气血虚
者，用之恐有误。又一道人治此证，用鸡子七个，每个入斑蝥一枚，饭上蒸熟，每日空心食
一枚。求者甚多，考之各书瘰 门及本草亦云。然气血虚者，恐不能治也。
三品锭子
上品∶去十八种痔。
白明矾（二两） 白砒（一两零五分） 乳香（三钱五分） 没药（三钱五分） 牛黄（三钱）
中品∶去五漏，及翻花瘤，气核。
白明矾（二两） 白砒（一两五钱） 乳香 没药（各三钱） 牛黄（二钱）
下品∶治瘰 、气核、疔疮、发背、脑疽诸恶证。
白明矾（二两） 白砒（一两五钱） 乳香（二钱五分） 没药（二钱五分） 牛黄（三分）
先将砒末入紫泥罐内，次用矾末盖之，以炭灰 令烟尽，取出研极细末，用糯米糊和为
梃子
调搽，干上亦可。
益元散
滑石（ ，六两） 甘草（炙，二两） 上各另为末，和蜜，每服二钱，热汤、冷水任下。
逍遥散 治妇人血虚，五心烦热，肢体疼痛，头目昏重，心忪颊赤，口燥咽干，
发热盗
痰嗽潮热，肌体羸瘦，渐成骨蒸。
当归（酒拌） 芍药 茯苓 白术（炒） 柴胡（各一钱） 甘草（七分） 作一剂，水二钟，
煎八分，食远服。
补中益气汤（方见溃疡发热门）
治血分椒仁丸
椒仁 甘遂 续随子（去皮，研） 附子 郁李仁 黑牵牛 当归 五灵脂（碎研） 吴茱
萸
用） 斑蝥（十个，糯米炒黄，去米不用） 胆矾（一钱） 人言（一钱） 为末，面糊为丸，如
豌豆大。每服一丸，橘皮汤下。
此方药虽峻利，所用不多，若畏而不服，有养病害身之患，常治虚弱之人，用之亦未见
其有
用心精密，药岂轻用者，慎勿疑畏。
治水分葶苈丸
葶苈（炒，另研） 续随子（去壳，各半两，研） 干笋末（一两） 为末，枣肉丸，如梧子
大，每服七丸，煎匾竹汤下。如大便利者，减续随子、葶苈各一钱，加白术五钱。
又方∶治经脉不利即为水，水流走四肢，悉皆肿满，名曰血分。其候与水相类，医作水
治之非也，宜用此方。
人参 当归 大黄（湿纸裹，三斗米下，蒸米熟，去纸，切炒） 桂心 瞿麦穗 赤芍药
白
二三十丸，见《养生必用方》。
柏子仁丸 治月经短少，渐至不通，手足骨肉烦疼，日渐羸瘦，渐生潮热，其脉
微数。
通之，宜柏子仁丸、泽兰汤主之。
柏子仁（炒、研） 牛膝（酒拌） 卷柏（各半两） 泽兰叶 续断（各二两） 熟地黄（用生
者，
心米饮下。
泽兰汤 治证同前。
泽兰叶（三两） 当归（酒拌） 芍药（炒，各一两） 甘草（五钱） 为粗末，每服五钱，水
二钟，煎至一钟，去滓温服。
托里养荣汤 治瘰 流注，及一切不足之证。不作脓，或不溃，或溃后发热，或
恶寒，肌肉消瘦，饮食少思，睡眠不宁，盗汗不止。
人参 黄 （炙） 当归（酒拌） 川芎 芍药（炒） 白术（炒，各一钱） 五味子（炒、研）
麦
姜三片，枣一枚，煎八分，食远服。
琥珀膏 治颈项瘰 ，及腋下初如梅子，肿结硬强，渐若连珠，不消不溃，或溃
而脓水不绝，经久不瘥，渐成漏证。
琥珀（一两） 木通 桂心 当归 白芷 防风 松脂 朱砂（研） 木鳖子（肉，各五钱）
麻
以油二斤四两浸七日，入铛中，慢火煎，白芷焦黄漉出，徐下黄丹一斤，以柳条不住手搅，
煎
，贴之。
Sanzhong Kuijian Decoction (Swelling-Reducing and Hardness-Resolving Decoction): Treats Machang Chuang (a type of scrofula occurring in the axilla or neck, shaped like a machete), where the mass is hard as stone. It may be located below the ear, extend to the Keyuan (supraclavicular fossa), on the shoulder, or under the hypochondrium.
Ingredients: Chaihu (Bupleuri Radix, 4 fen), Shengma (Cimicifugae Rhizoma, 2 fen), Longdancao (Gentianae Radix, wine-fried, 5 fen), Lqiao (Forsythiae Fructus, 3 fen), Huangqin (Scutellariae Radix, wine-fried, 8.5 fen), Gancao (Glycyrrhizae Radix et Rhizoma, 5 fen), Zhimu (Anemarrhenae Rhizoma, wine-fried, 5 fen), Gegen (Puerariae Radix), Huanglian (Coptidis Rhizoma), Sanleng (Sparganii Rhizoma, wine-mixed and lightly fried), Guangmuxiang (Costi Radix, each 3 fen), Gualougen (Trichosanthis Radix, 5 fen).
Usage: This constitutes one dose. Add two zhong of water, decoct until eight parts remain, and take after meals.
Sanzhong Kuijian Pill: Consists of the ingredients of Sanzhong Kuijian Decoction, ground into fine powder, mixed with refined honey to form pills the size of paulownia seeds. Take 70–80 pills per dose after meals.
Siwu Tang (Four Substance Decoction): Treats Blood Deficiency, fever associated with blood deficiency, and all conditions characterized by Blood Deficiency.
Ingredients: Danggui (Angelicae Sinensis Radix, wine-mixed), Chuanxiong (Ligustici Chuanxiong Rhizoma, each 1.5 qian), Shaoyao (Paeoniae Radix, fried), Shengdihuang (Rehmanniae Radix Recens, each 1 qian).
Usage: One dose. Add two zhong of water, decoct until eight parts remain, and take far from mealtime (on an empty stomach).
Danggui Longhui Wan (Angelica and Gardenia Pill): Treats painful swelling of scrofula, pain in the hypochondrium with a sensation of accumulation, Xiagan (chancre) and Bianyong (perianal abscess), dysuria with astringency, constipation, blood stasis causing lower abdominal pain.
Ingredients: Danggui (Angelicae Sinensis Radix, wine-mixed), Longdancao (Gentianae Radix, wine-mixed and fried), Zhizi Ren (Gardeniae Semen, fried), Huanglian (Coptidis Rhizoma), Qingpi (Citri Reticulatae Pericarpium Viride), Huangqin (Scutellariae Radix, each 1 liang), Dahuang (Rhei Radix et Rhizoma, wine-mixed and fried).
Usage: Form into pills. Take 20–30 pills per dose, washed down with ginger soup.
Fenxin Qi Yin (Cardiac-Qi Separating Infusion): Treats stagnation of the Seven Emotions leading to chest and diaphragm discomfort, false distension of the hypochondrium, choking and obstruction, belching with acid regurgitation, vomiting of foul matter with nausea, and deficiency-type epigastric fullness.
Ingredients: Mutong (Akebiae Caulis), Chi Shaoyao (Paeoniae Radix Rubra), Chi Fuling (Poria with Pink Host, Poria Cum Rosa), Guanzi Gui (Cinnamomi Cortex), Banxia (Pinelliae Rhizoma, ginger-processed), Sangbaipi (Mori Cortex, fried), Dafupi (Arecae Pericarpium), Chenpi (Citri Reticulatae Pericarpium, white part removed), Qingpi (Citri Reticulatae Pericarpium Viride, white part removed), Gancao (Glycyrrhizae Radix et Rhizoma), Shengjiang (Zingiberis Rhizoma Recens), Congbai (Allii Fistulosi Bulbus).
Usage: Coarsely chop, add water, decoct until eight parts remain, and take far from mealtime.
Siqi Tang (Seven-Character Decoction): (See the "Liuzhu" chapter for the formula.)
Shengdihuang Wan (Rehmannia Pill): Scholar Xu Baiyun stated: A nun suffered from aversion to wind, fatigue, alternating chills and fever, facial flushing, and mental restlessness. At that time, an epidemic was prevalent. Physicians treated her chills and fever as Taiyang disease (Cold Damage), administering Da Xiaochaihu Tang and Xiao Chaihu Tang indiscriminately. After several days, her condition worsened. I examined her pulse and said: The pulses in the three positions show no signs of pathogenic cold; only the Jueyin Liver pulse is wiry, long, and extending toward the Yuji area. She requires yin-nourishing and yang-suppressing herbs. I prescribed this formula, and she recovered.
Ingredients: Shengdihuang (Rehmanniae Radix Recens, 1 liang, wine-mixed and pounded into paste), Qinjiao (Gentianae Macrophyllae Radix), Huangqin (Scutellariae Radix), Yingschaihu (Bupleuri Radix, hard variety, each 5 qian), Chi Shaoyao (Paeoniae Radix Rubra, 1 liang).
Usage: Grind into fine powder, mix with Rehmannia paste and a little refined honey to form pills the size of paulownia seeds. Take 30 pills per dose, washed down with sour plum decoction, two to three times daily.
Fangmai Liuqi Yin (Pulse-Qi Circulating Infusion): (See the "Liuzhu" chapter for the formula.)
Yuxian Wubi Wan (Immortal Peerless Pill): Treats scrofula that has not yet suppurated, in patients whose vital qi is normal. If the patient's constitution appears weak, it is advisable to first administer Yiqi Yangrong Tang (Qi-Nourishing and Blood-Nourishing Decoction) to restore strength before taking this pill. After the ulcer heals and closes, resume the previous decoction.
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma, fried), Binglang (Arecae Semen), Fangfeng (Saposhnikoviae Radix), Heiqianniu (Pharbitidis Semen, half raw, half fried), Mituoseng (Electrotum), Yuliren (Pruni Semen, soaked in water and skin removed), Bantao (Mylabris, wings and feet removed, stir-fried with rice), Gancao (Glycyrrhizae Radix et Rhizoma), Binglang (Arecae Semen).
Usage: Wash down with Binglang Gancao Tang (Areca and Licorice Decoction). After about a month of use, if mild abdominal pain is felt and fish-eye-like toxic matter is passed via urine, healing occurs. Existing ulcers will heal naturally; non-suppurated nodules will resolve spontaneously.
Bixiao San (Highly Effective Powder): Treats scrofula; un-suppurated nodules may resolve spontaneously, and ulcers may close. If nodules persist, use Zhentou San to cauterize necrotic tissue. Use with caution in cases of Qi and Blood Deficiency.
Ingredients: Nanpengsha (South Peng Sand, 2.5 qian), Qingfen (Calomelas, 1 qian), Bantao (Mylabris, 40 insects, stir-fried with sticky rice until cooked, heads and wings removed), Shexiang (Moschus, 5 fen), Badou (Crotonis Fructus, 5 seeds, shell, core, and membrane removed), Bai Binglang (White Areca Seed, 1 piece).
Usage: Grind into fine powder. Take 1 qian per dose (1.5 qian for robust individuals). Mix with boiling water and take at wugeng (early morning, 3–5 AM). If urination is obstructed or slightly painful, this indicates the toxin is being expelled; administer Yi Yuan San once more to facilitate expulsion. Although Bantao and Badou are harsh, Badou neutralizes the toxicity of Bantao; users need not fear. I met a wealthy merchant in the capital with a large patch of scrofula scars on his neck. He attributed it to anger and had suffered for two years without success. A practitioner gave him one dose of this formula, reducing symptoms by 20–30%; after four doses, he was flat, and cured within ten days. He sought the formula heavily, which turned out to be Bixiao San. Another elderly woman used a medium-grade Dingzi (plug) inserted into the wound, covered with a plaster, causing the root to rot. Once removed, she applied flesh-regenerating medicine, curing her in days. I observed this method effective for those with sufficient Qi and Blood, but ineffective for those with Deficiency. Danxi noted that combining Bixiao Shen with Shenxiao Gualou San yields miraculous results. I often use them with tonics with great effect, hence recording them. Note: Although Dingzi is harsh, it is necessary for hard tubercles. Bixiao San contains Bantao, which is harsh, but combined with Badou to mitigate toxicity, making it suitable for deep-seated toxins. However, it should be avoided in Qi and Blood Deficiency. Another Daoist treated this with seven eggs, each containing one Bantao, steamed and eaten fasting. This method is recorded in various texts but is unsuitable for deficient patients.
Sanpin Dingzi (Three-Grade Plugs):
Top Grade: Removes eighteen types of hemorrhoids.
Ingredients: Baimingfan (Alumen, 2 liang), Baibi (Realgar/Orpiment variant, 1 liang 5 fen), Ruxiang (Olibanum, 3.5 qian), Moyao (Myrrha, 3.5 qian), Niuhuang (Calculus Bovis, 3 qian).
Middle Grade: Removes five types of fistulas, Fanhualiu (fungating tumors), and Qihe (gas nodules).
Ingredients: Baimingfan (Alumen, 2 liang), Baibi (Realgar/Orpiment variant, 1 liang 5 qian), Ruxiang (Olibanum, 3 qian), Moyao (Myrrha, 3 qian), Niuhuang (Calculus Bovis, 2 qian).
Bottom Grade: Treats scrofula, Qihe, Dingchuang (carbuncle), Fabei (back carbuncle), Naoju (brain furuncle), and other malignant conditions.
Ingredients: Baimingfan (Alumen, 2 liang), Baibi (Realgar/Orpiment variant, 1 liang 5 qian), Ruxiang (Olibanum, 2.5 qian), Moyao (Myrrha, 2.5 qian), Niuhuang (Calculus Bovis, 3 fen).
Preparation: Place Baibi powder in a purple clay jar, cover with Mingfan powder, smoke with charcoal ash until smoke ceases, remove, grind to ultra-fine powder, and mix with rice paste to form plug shapes.
Usage: Apply topically; can be used dry.
Yiyuan San (Benefit Element Powder):
Ingredients: Huashi (Talcum, 6 liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-roasted, 2 liang).
Usage: Grind separately, mix with honey. Take 2 qian per dose, with hot or cold water as preferred.
Xiaoyao San (Free and Easy Wanderer Powder): Treats women with Blood Deficiency presenting with five-palm heat, limb pain, heavy head and dizzy eyes, palpitations with flushed cheeks, dry mouth and throat, fever with night sweats, phlegm-cough with tidal fever, emaciation, and gradual development of bone-steaming consumption.
Ingredients: Danggui (Angelicae Sinensis Radix, wine-mixed), Shaoyao (Paeoniae Radix), Fuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma, fried), Chaihu (Bupleuri Radix, each 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 7 fen).
Usage: One dose. Add two zhong of water, decoct until eight parts remain, and take far from mealtime.
Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction): (See the "Ulcer with Fever" chapter for the formula.)
Zhi Xuefen Jiaoren Wan (Treat Blood-Section Pepper Kernel Pill):
Ingredients: Jiaoren (Zanthoxyli Semen), Gansui (Kansui Radix), Xuisui Zi (Crotonis Fructus, peeled and ground), Fuzi (Aconiti Lateralis Radix Preparata), Yuliren (Pruni Semen), Heiqianniu (Pharbitidis Semen), Danggui (Angelicae Sinensis Radix), Wulingzhi (Trogopterori Faeces, crushed), Wuzhuyu (Evodiae Fructus, wine-soaked), Bantao (Mylabris, 10 insects, stir-fried with rice until yellow, rice discarded), Danfan (Chalcanthite, 1 qian), Renyan (Arsenic Trioxide, 1 qian).
Usage: Grind into powder, bind with wheat paste to form pills the size of peas. Take one pill per dose, washed down with tangerine peel decoction.
Note: Although these herbs are harsh, the dosage is small. Refusal to take them due to fear may lead to worsening the disease. Used cautiously in weak patients without adverse effects. Precision in prescription is key; do not hesitate.
Zhi Shuifen Tingli Wan (Treat Water-Section Lepidium Pill):
Ingredients: Tingli (Descurainiae Semen seu Lepidii, fried, ground separately), Xuisui Zi (Crotonis Fructus, shelled, each half liang, ground), Gansunmo (Dried Bamboo Shoot Powder, 1 liang).
Usage: Grind into powder, bind with jujube paste to form pills the size of paulownia seeds. Take seven pills per dose, washed down with Bianzhu Tang (Bamboo Leaf Decoction). If stool is loose, reduce Xuisui Zi and Tingli by 1 qian each, and add Baizhu (5 qian).
Alternative Formula: Treats fluid retention due to meridian obstruction, where water flows to limbs causing generalized edema, termed Blood Section. Symptoms mimic Water Disease, but misdiagnosis as Water Disease is incorrect; use this formula.
Ingredients: Renshen (Ginseng Radix), Danggui (Angelicae Sinensis Radix), Dahuang (Rhei Radix et Rhizoma, wrapped in wet paper and steamed with three dou of rice until ripe, paper removed, sliced and fried), Guixin (Cinnamomi Ramulus), Qumai (Polygoni Avicularis Herba), Chi Shaoyao (Paeoniae Radix Rubra)... (Text cuts off). See "Yangsheng Biyong Fang" for details on forming 20–30 pills.
Baiziren Wan (Biota Seed Pill): Treats scanty menstruation progressing to amenorrhea, irritability and pain in limbs and bones, progressive emaciation, tidal fever, and a slightly rapid pulse.
Treatment: Use Baiziren Wan and Zelan Tang.
Ingredients: Baiziren (Biota Semen, fried and ground), Niuxi (Achyranthis Bidentatae Radix, wine-mixed), Juanbai (Selaginellae Herba, each half liang), Zelan Ye (Leonuri Herba), Xuduan (Dipsaci Radix, each 2 liang), Shudihuang (Rehmanniae Radix Preparata, using fresh... text error likely, usually prepared)... (Text cuts off). Wash down with Xinmi Yin (Heart Rice Drink).
Zelan Tang (Leonurus Decoction): Treats the same conditions as above.
Ingredients: Zelan Ye (Leonuri Herba, 3 liang), Danggui (Angelicae Sinensis Radix, wine-mixed), Shaoyao (Paeoniae Radix, fried, each 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 5 qian).
Usage: Coarsely crush. Take 5 qian per dose, add two zhong of water, decoct to one zhong, strain, and take warm.
Tuoli Yangrong Tang (Support Interior and Nourish Glory Decoction): Treats scrofula and Liuzhu (flowing nodes), and all deficiency syndromes. Manifestations include failure to suppurate, failure to ulcerate, fever after ulceration, aversion to cold, muscle emaciation, poor appetite, restless sleep, and incessant night sweats.
Ingredients: Renshen (Ginseng Radix), Huangqi (Astragali Radix, honey-roasted), Danggui (Angelicae Sinensis Radix, wine-mixed), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shaoyao (Paeoniae Radix, fried), Baizhu (Atractylodis Macrocephalae Rhizoma, fried, each 1 qian), Wuweizi (Schisandrae Fructus, fried and ground), Maidong (Ophiopogonis Tuber)... (Text cuts off), Shengjiang (Zingiberis Rhizoma Recens, 3 slices), Dazao (Jujubae Fructus, 1 piece).
Usage: Add water, decoct until eight parts remain, and take far from mealtime.
Hupo Gao (Amber Ointment): Treats cervical scrofula and axillary lumps initially the size of a plum, hard and swollen, gradually becoming bead-like, failing to resolve or ulcerate, or ulcerating with continuous pus discharge, leading to chronic fistulas.
Ingredients: Hupo (Amber, 1 liang), Mutong (Akebiae Caulis), Guixin (Cinnamomi Ramulus), Danggui (Angelicae Sinensis Radix), Baizhi (Angelicae Dahuricae Radix), Fangfeng (Saposhnikoviae Radix), Songzhi (Pini Resina), Zhusha (Cinnabar, ground), Miebiezi (Strychni Semen, flesh only, each 5 qian), Ma... (Text cuts off, likely Sesame or Hemp oil base).
Preparation: Soak in 2 jin 4 liang of oil for seven days. Boil in a pan over slow fire. Remove Baizhi when scorched yellow. Slowly add 1 jin of Huangdan (Lead Monoxide). Stir continuously with a willow twig until... (Text cuts off, typically until it forms a consistent ointment consistency). Apply externally.