帝曰∶寒热瘰 在项腋者，何气使然？岐伯曰∶此皆鼠 寒热之毒瓦斯，留于脉而不去者也。
帝日∶去之奈何？岐伯曰∶鼠 之本，皆在脏，其末上出于颈腋之间。浮于脉中，尚未内着于肌
肉，而外为脓血者易去也。瘰 者，结核连续是也；形长如蛤者，为马刀也。必起于少阳一经，
不守禁忌，延及阳明。大抵原属气血不足，复感恚怒气逆，忧思郁结，风热邪气，内搏于肝，食
味之浓，曰毒、曰风、曰热，皆此三端，招引变换。须分虚实，实者易治，虚者兼补。以其三焦
相火、气多血少所致。妇人患此则月经不调，寒热变生；稍久转为潮热等证渐宽，则俗谓 怯是
矣。宜隔蒜灸之，服败毒散十帖。不消，服后方。必宜戒怒寡欲，断绝浓味可治。脉浮数，清热
凉血；脉沉伏，散郁行气。经曰∶火淫所胜，治以
卤寒。先用食盐一、二两炒热，入长流水数碗频饮。以鹅翎于喉中探引，得吐涎三、二碗。先服
五香连翘饮加牡蛎，便实加大黄数钱。攻动作痛作热，次用消散之药。接服凉血通经药，加玉烛
散、四物汤（方见妇科）、凉膈散、黄连解毒汤（方见火门。）
主方 桔梗 甘草（炙） 防风 海藻 昆布（各五钱） 连翘 柴胡梢 三棱 龙胆草
条芩（半生半酒） 蓬术（各三钱） 黄连 白芍药 黄柏（酒炒） 知母（炒） 天粉 葛根（
各三钱） 升麻 当归尾（各五钱）
上锉，每服一两，水二钟，浸半日，煎至一钟，去渣。卧床去枕，头着席，患处向下，足伸
高，顿热呷一口，作十次咽。用后方亦如此服法。另配一料，水法丸绿豆大，留前药汁一口，咽
下即安卧，药气在咽。
甘桔散 汤 治瘰 先从喉下起。
甘草 桔梗 枳壳 羌活 川芎 芍药 前胡 大腹皮 紫苏 黄芩 柴胡（各等分）水煎
服。
羌独破结汤 治先从项中起。
羌活 独活 防风 紫苏 连翘 川芎 芍药 桔梗 前胡 苍术 甘草（各等分）水煎服。
疏肝消滞汤 治先从左起。
柴胡 青皮 羌活 防风 枳壳 桔梗 当归 芍药 龙胆草 川芎 甘草（各等分）水煎
服。
导气抑留汤 治先从右起。
香附子 萝卜子 乌药 苏子 浓朴 桔梗 羌活 防风 半夏（制） 茯苓 甘草（等分）
上水煎服。
玉烛散 治瘰 自消，和血通经。
当归 川芎 赤芍药 熟地黄 大黄 黄芩 甘草（等分） 上为末，每三钱加姜三片，水
煎，入芒硝三分，连渣服。
清肝饮 治马刀生胁下。
柴胡 桔梗 连翘 当归尾 黄芩 黄连 牛蒡子 三棱（各二钱） 甘草（一钱） 红花（
少许）上水煎服。
连翘溃坚汤 治瘰 、马刀。
柴胡（一两二钱） 天粉（一两，酒炒） 龙胆草 黄芩（俱酒炒） 防风 羌活（各七钱）
连翘 当归尾 芍药（各五钱） 三棱（酒炒） 蓬术（酒炒） 黄连（酒炒） 苍术 甘草（炙
。各二钱）
上锉一料为粗末，每服一两。水煎一料为末，水法丸，药汁送下。
又 连翘（一斤） 瞿麦（八两） 大黄（酒煮，三两） 甘草（二两） 分六十服，每日水
煎，卧床服，法同前。
又 夏枯草大治瘰 ，散滞气，补养厥阴血脉，退寒热。虚者，尽可倚仗；实者，行散。佐之
艾灸，取效。草高尺许，枝头密，开紫花，夏至即枯，鲜者捣汁煎膏，枯者煎服。
又 桑椹黑者，捣汁，桑柴火，砂锅熬膏，卧床服。
又 五倍子、大黄、南星、芒硝为末，等分。初起时用米醋，蜜调围，日数次，散为度。 、马刀、结核皆消。
又 皂角刺（一升）、玄参、连翘（各一两）。水五碗，砂锅慢火熬，水尽为度。用煮皂子软者，每夜嚼三粒，
津唾咽下。硬者为末，蜜丸噙化。
The Yellow Emperor asked: What qi causes scrofula (Luo Li, cervical lymphadenitis) accompanied by aversion to cold and fever in the neck and axilla? Qibo replied: These are all caused by the toxic qi of mouse scrofula (Shu Luo) and cold-heat pathogens remaining in the meridians without dissipating.
The Yellow Emperor asked: How can they be removed? Qibo said: The root of mouse scrofula lies within the Zang organs, while its manifestations emerge upward between the neck and axilla. If the pathogen floats within the vessels and has not yet deeply attached to the muscles, but only forms pus and blood externally, it is easy to remove. "Luo Li" refers to continuous tubercles; those shaped long like clams are called "Ma Dao" (scrofulous abscesses on the side of the neck). These conditions invariably originate from the Shaoyang meridian. If taboos are not observed, the disease extends to the Yangming meridian. Generally, this originates from a deficiency of Qi and Blood, compounded by anger causing Qi rebellion, worry and thought causing stagnation, and wind-heat pathogenic factors internally assaulting the Liver. Rich flavors in food generate toxicity, wind, and heat, which fall into these three categories, inducing transformation and disease. One must distinguish between excess and deficiency patterns. Excess patterns are easier to treat, while deficiency patterns require simultaneous tonification. This is due to the flourishing of Minister Fire in the San Jiao (Triple Burner), characterized by abundant Qi and scarce Blood. Women suffering from this condition experience irregular menstruation and the generation of alternating chills and fever; if the condition lingers and transforms into tidal fever symptoms that gradually subside, it is commonly known as "Qie Disease" (consumptive disease/tuberculosis). It is suitable to apply garlic-separated moxibustion and administer Baidu San (Poison-Destroying Powder) for ten doses. If it does not resolve, administer the subsequent formula. One must strictly avoid anger, reduce desires, and eliminate rich and greasy foods to achieve a cure. For a floating and rapid pulse, clear heat and cool blood; for a deep and hidden pulse, disperse stagnation and move Qi. The Classic states: "When Fire excess prevails, treat with salty-cold methods." First, stir-fry one or two taels of salt until hot, add several bowls of running water, and drink frequently. Use a goose feather to induce vomiting in the throat, expelling two or three bowls of saliva. First, administer Wuxiang Lianqiao Yin (Five-Aromatic Forsythia Decoction) with Oyster Shell (Muli). For patients with solid constitutions, add Rhubarb (Dahuang) by several qian. If purgative action causes pain and heat, subsequently use resolving medications. Follow with blood-cooling and meridian-unblocking medicines, combined with Yuzhu San (Jade Candle Powder), Siwu Tang (Four Substances Decoction) (see Gynecology section), Liangge San (Cool the Chest Powder), and Huanglian Jiedu Tang (Coptis Decoction for Resolving Toxicity) (see Fire Section).
Main Formula: Platycodon Root (Jiegeng), Licorice Root (Gancao, roasted), Saposhnikovia Root (Fangfeng), Sargassum (Haizao), Kelp (Kunbu) (each 5 qian); Forsythia Fruit (Lianqiao), Bupleurum Tip (Chaihu Shao), Spiny Echinops Root (Sanleng), Gentian Root (Longdan Cao), Scutellaria Root (Tiao Qin, half raw/half wine-soaked), Curcuma Zedoary Rhizome (Pengzhu) (each 3 qian); Coptis Rhizome (Huanglian), White Peony Root (Baishao), Phellodendron Bark (Huangbai, wine-fried), Anemarrhena Rhizome (Zhimu, fried), Tianfen, Kudzu Root (Gegen) (each 3 qian); Cimicifuga Rhizome (Shengma), Angelica Sinensis Tail (Danggui Wei) (each 5 qian).
Crush the above herbs. Take one liang per dose, add two zhong of water, soak for half a day, decoct until one zhong remains, and strain. Lie down without a pillow, head resting on the mat, affected area facing downward, legs elevated high. Sip one mouthful while hot, swallowing in ten portions. The subsequent formulas are taken using the same method. Prepare another batch, water-pelletized to the size of mung beans. Retain a mouthful of the previous decoction, swallow the pill immediately, then lie quietly so the medicinal qi remains in the throat.
Ganjie San Tang: Treats Luo Li starting from below the throat.
Licorice Root (Gancao), Platycodon Root (Jiegeng), Bitter Orange (Zhike), Notopterygium Root (Qianghuo), Ligusticum Chuanxiong Rhizome (Chuanxiong), Peony Root (Shaoyao), Peucedanum Root (Qianhu), Areca Seed (Dafupi), Perilla Leaf (Zisu), Scutellaria Root (Huangqin), Bupleurum Root (Chaihu) (equal parts). Decoct in water and take orally.
Qiangdu Pojie Tang: Treats conditions starting from the middle of the neck.
Notopterygium Root (Qianghuo), Angelica Dahurica Root (Duhuo), Saposhnikovia Root (Fangfeng), Perilla Leaf (Zisu), Forsythia Fruit (Lianqiao), Ligusticum Chuanxiong Rhizome (Chuanxiong), Peony Root (Shaoyao), Platycodon Root (Jiegeng), Peucedanum Root (Qianhu), Atractylodes Rhizome (Cangzhu), Licorice Root (Gancao) (equal parts). Decoct in water and take orally.
Shugan Xiaozhi Tang: Treats conditions starting from the left side.
Bupleurum Root (Chaihu), Green Tangerine Peel (Qingpi), Notopterygium Root (Qianghuo), Saposhnikovia Root (Fangfeng), Bitter Orange (Zhike), Platycodon Root (Jiegeng), Angelica Sinensis Root (Danggui), Peony Root (Shaoyao), Gentian Root (Longdan Cao), Ligusticum Chuanxiong Rhizome (Chuanxiong), Licorice Root (Gancao) (equal parts). Decoct in water and take orally.
Daoqi Yiliu Tang: Treats conditions starting from the right side.
Cyperi Rhizome (Xiangfuzi), Radish Seed (Luobozzi), Lindera Root (Wuyao), Perilla Seed (Suzi), Magnolia Bark (Noupu), Platycodon Root (Jiegeng), Notopterygium Root (Qianghuo), Saposhnikovia Root (Fangfeng), Pinellia Tuber (Banxia, processed), Poria (Fuling), Licorice Root (Gancao) (equal parts). Decoct in water and take orally.
Yuzhu San: Treats Luo Li to resolve spontaneously, harmonizing blood and unblocking meridians.
Angelica Sinensis Root (Danggui), Ligusticum Chuanxiong Rhizome (Chuanxiong), Red Peony Root (Chishaoyao), Prepared Rehmannia Root (Shudihuang), Rhubarb (Dahuang), Scutellaria Root (Huangqin), Licorice Root (Gancao) (equal parts). Grind into powder. Take three qian per dose with three slices of ginger, decoct in water, add Mirabilite (Mangxiao) three fen, and consume with the dregs.
Qinggan Yin: Treats Ma Dao occurring under the hypochondrium.
Bupleurum Root (Chaihu), Platycodon Root (Jiegeng), Forsythia Fruit (Lianqiao), Angelica Sinensis Tail (Danggui Wei), Scutellaria Root (Huangqin), Coptis Rhizome (Huanglian), Arctium Fruit (Niubangzi), Spiny Echinops Root (Sanleng) (each 2 qian); Licorice Root (Gancao) (1 qian); Safflower (Honghua) (a small amount). Decoct in water and take orally.
Lianqiao Kuijian Tang: Treats Luo Li and Ma Dao.
Bupleurum Root (Chaihu, 1 liang 2 qian), Tianfen (1 liang, wine-fried), Gentian Root (Longdan Cao), Scutellaria Root (Huangqin, both wine-fried), Saposhnikovia Root (Fangfeng), Notopterygium Root (Qianghuo) (each 7 qian); Forsythia Fruit (Lianqiao), Angelica Sinensis Tail (Danggui Wei), Peony Root (Shaoyao) (each 5 qian); Spiny Echinops Root (Sanleng, wine-fried), Curcuma Zedoary Rhizome (Pengzhu, wine-fried), Coptis Rhizome (Huanglian, wine-fried), Atractylodes Rhizome (Cangzhu), Licorice Root (Gancao, roasted) (each 2 qian).
Crush one portion into coarse powder. Take one liang per dose. Decoct in water, grind the residue into powder, water-pelletize, and swallow with the decoction.
Another prescription: Forsythia Fruit (Lianqiao, 1 jin), Dianthus Flower (Qumai, 8 liang), Rhubarb (Dahuang, wine-boiled, 3 liang), Licorice Root (Gancao, 2 liang). Divide into sixty doses. Decoct in water daily, take while lying down, following the previous method.
Another prescription: Prunella Vulgaris Spike (Xiakucao) is highly effective for Luo Li. It disperses stagnant Qi, nourishes the Jueyin blood vessels, and reduces chills and fever. It can be relied upon for deficiency patterns; for excess patterns, it moves and disperses. Combined with moxibustion, it yields results. The herb grows about one chi high, with dense branches, purple flowers, and withers at the Summer Solstice. Fresh herbs can be crushed for juice or decocted into paste; dried herbs are decocted for oral administration.
Another prescription: Black Mulberry Fruits (Sangshen) are crushed for juice, then boiled into a paste over mulberry wood fire in a clay pot. Take while lying down.
Another prescription: Chinese Gall (Wubeizi), Rhubarb (Dahuang), Arisaema Rhizome (Nanxing), and Mirabilite (Mangxiao) are ground into powder in equal parts. At the onset, mix with rice vinegar and honey to apply around the lesion multiple times daily until resolved. Luo Li, Ma Dao, and tubercles will all dissipate.
Another prescription: Gleditsia Sinensis Thorn (Zaogelaci, 1 sheng), Scrophularia Root (Xuanshen), Forsythia Fruit (Lianqiao) (each 1 liang). Add five bowls of water, simmer slowly in a clay pot until the water is exhausted. Chew three soft, boiled Gleditsia seeds nightly, swallowing with saliva. Hard seeds should be ground into powder, formed into honey pills, and held in the mouth to dissolve.