瘿多着于肩顶，瘤则随气凝结，此等年数远侵大侵长。坚硬不可移者，名曰石瘿；皮色
不变者，名曰肉瘿；筋脉露结者，名曰筋瘿；赤脉交结者，名曰血瘿；随忧愁消长者，名曰
气瘿。五瘿皆不可决破，决破则浓血崩溃多致夭枉，难治。瘤有六种∶骨瘤、脂瘤、肉瘤、
脓瘤、血瘤、筋瘤，亦不可决破，决破则亦难治。肉瘤尤不可治，治则杀人。唯脂瘤去其脂
粉则愈。
赘瘿焦法
甘草煎膏，笔妆瘤之四围，上三次，乃用芫花、大戟、甘遂等分为末，醋调，别以笔妆
其中，勿近甘草，次日缩小，又以甘草妆小晕三次，如前仍上，此自然焦缩（《危氏得效方》
）
腋下瘿瘤
用长柄茶壶芦烧灰，研末擦之，出水消尽而愈。（《濒湖集验》）
瘿疾
万州黄药子半斤（须除重者，如虚轻即是他州出，力慢加倍），取好酒一斗，入药封瓶
口以糠火煨，一周时，待酒冷，时时饮一杯，不令绝酒气。三、五日后常把镜自照，觉消即
停饮勿服，其效如神。烧酒时，闻香气外出，瓶口有津即止，火不可太猛。（《千金月令方》）
点瘿
桑炭灰 枣木灰 黄荆灰 桐壳灰各二升半 荞麦灰（炒）
上以沸汤淋汁五碗许，入斑蝥四十个，穿山甲五片，乳香、冰片不拘多少，后入，煎作
二碗，以磁器盛之，临用时入新锻石调膏敷，干则清水润之，神效。（《赤水玄珠》）
Goiter (Ying) mostly occurs on the shoulders and neck, whereas tumors (Liu) form due to Qi stagnation and consolidation. These conditions develop over many years, gradually enlarging. Those that are hard and immobile are named Stone Goiter (Shi Ying); those with unchanged skin color are named Flesh Goiter (Rou Ying); those with exposed tendons and vessels showing nodules are named Tendon Goiter (Jin Ying); those with intersecting red blood vessels are named Blood Goiter (Xue Ying); and those that fluctuate with sorrow and anger are named Qi Goiter (Qi Ying). None of these five types of goiter should be lanced or broken open; doing so may cause pus and blood to collapse, often leading to premature death, making them difficult to treat. There are six types of tumors: Bone Tumor (Gu Liu), Fat Tumor (Zhi Liu), Flesh Tumor (Rou Liu), Pus Tumor (Nong Liu), Blood Tumor (Xue Liu), and Tendon Tumor (Jin Liu). These also should not be lanced or broken open, as they become difficult to treat if done so. Flesh Tumor is particularly untreatable; attempting treatment may kill the patient. Only Fat Tumor can be cured by removing its internal fatty matter.
Method for cauterizing and shrinking exophytic goiters and tumors:
First, decoct Licorice Root (Gancao) into a paste. Use a brush to paint the paste around the periphery of the tumor three times. Then, grind equal parts of Genkwa Flower (Yuanhua), Great Euphorbia Root (Daji), and Kansui Root (Gansui) into powder. Mix with vinegar and use another brush to apply it to the center of the tumor, ensuring it does not touch the Licorice Root paste. The next day, the tumor will shrink. Apply the Licorice Root paste again to the shrinking area three times, continuing as before. This method causes natural cauterization and shrinking (from *Wei Shi De Xiao Fang*).
Axillary Goiter/Tumor:
Burn the spout of a long-handled teapot to ash, grind it into fine powder, and rub it on the affected area. The condition will heal once the exudate stops flowing (from *Bin Hu Ji Yan*).
Treatment for Goiter Disease:
Take half a jin of Huangyaozi from Wanzhou (must exclude heavy specimens; if light and hollow, it is from other regions and has weaker efficacy, requiring double dosage). Take one dou of good wine, place the herb in a bottle, seal the mouth, and simmer over chaff fire for one shichen (two hours). After the wine cools, drink one cup occasionally, ensuring the alcohol scent remains in the body. After three to five days, frequently check yourself in a mirror. Stop taking the medicine when you feel the goiter subsiding. The effect is miraculous. During heating, stop when the aroma escapes or moisture appears at the bottle mouth; do not use too strong a fire (from *Qian Jin Yue Ling Fang*).
Topical application for Goiter:
Mulberry charcoal ash, Jujube wood ash, Vitex trifolia ash, and Tung shell ash, each 2.5 sheng; Buckwheat ash (stir-fried).
Percolate these herbs with boiling water to obtain approximately five bowls of liquid. Add forty Mylabris (Banmao) and five slices of Pangolin Scales (Chuanshanjia). Add Frankincense (Ruxiang) and Borneol (Bingpian) to taste (add later). Decoct until two bowls remain. Store in a porcelain vessel. When ready to use, mix with newly calcined Alumen (Duanshi) to form a paste for external application. Moisten with clear water if it dries out. The effect is miraculous (from *Chi Shui Xuan Zhu*).