有一种红丝疮，虽非丹胗，其毒实同，多生于两手中指节上，男左女右，则尤
甚也。其状，但一水泡，清澄光莹，如小鸡头大，其底下 然数十小针孔，不痒
不痛，都无妨碍，泡边当有一丝脉如红丝，隐隐在皮里，其行甚速，循臂而上，过
肘则危，至心即死。有此证者，急以针迎头挑断，或剜耳塞，或嚼白梅封之，丝即
不行。绍兴庚午，无为宰方梓，字楚材，与先子为同年，秩满代归，三日而殂，询
其所以，云无疾，但左手中指生一小水泡耳，盖不知其为红丝疮也。又卫提辖宜人
云∶比邻有女子，忽中指节生一水泡，色极清澈，其底尽细细针孔，历历可数，傍
有红丝一缕，举家嬉笑，忽有老妪来见，惊曰，此红丝疮也，当害汝命，急就其泡
上灼艾数十壮，仍于丝上数处挑断，遂免。
巢氏云∶小儿遇风热毒瓦斯，与血气相搏，结成顽核，生于颈项，遇风寒所折，
不消，结成瘰 ，久而溃脓成疮也。汤氏用宜服清凉饮子及升麻汤等，《千金》连翘
丸、龙胆汤、皆可服。〔曾〕瘰 一证，先贤名曰九漏，究其所因似热，稽考形状非
一，不过随象命名，大概初发于颈项肌肉之间，未成脓者，从本引末，可使衰去，
针之、灸之、敷之，从其所因而施疗，然小儿幼弱，岂堪针灸，但以服饵涂贴之剂
为治。此疾多生于耳后及颈项两旁，初发止是一枚，次必连生，大小十数，缠绕项
下，累累如贯珠，逐个先肿，作脓穿破，轻者可愈，重者难除，先穴漏脓，长岁不
干，谓之漏项，原其得病之初，自是三阳感受风热，与血气相搏而成，治以百解散
加当归散，水姜葱灯心煎服，次用玄参饮及牛蒡汤、木通散、内消丸，与之宣热化
毒，洗以槲皮散，涂用白芨散、二香散，使气血行，脓干汁尽，则自愈矣。仍忌躁
毒野味，其证不致再作。
〔薛〕胎毒瘰 者，乃禀肝胆二经郁火气滞所致，盖肝胆经行人身之侧，若因肝
火动而受患，故发于肝胆二经部分，当审其因而药之。或因乳母恚怒，或血虚内热
者，当审其所因而调其母，不可用峻厉之药，恐伤元气也。一小儿落草，颈间有
五枚。审其母素多怒，时常寒热，或乳间作痛，或胁肋微肿，悉属肝胆经证。先用
小柴胡汤加当归芍药，寒热顿退，又用加味逍遥散，母服两月余，其儿亦愈。一小
儿因乳母肝经有热，耳前后患之。用加味逍遥散治其母，其儿自愈。一小儿颈间耳
下，各结核三岁，久服消毒之剂，患处益甚，元气益虚。诊乳母素郁怒，致肝脾血
虚而有热。用加味归脾汤为主，佐以加味逍遥散，母热渐退，却与儿日各数匙，两
月余而愈。一小儿自落草时颈间患有四枚，至五岁，耳前后如贯珠，元气虚甚，寒
热往来，饮乳不彻。此禀肝胆经气滞之证。用八珍、逍遥、二散，与壮年妇人服之，
儿饮其乳，半载之后，儿体渐充，其核渐消，又服地黄丸、逍遥散、而全愈。一小
儿生下，颈间瘰 三枚，将期敷药，延及耳前。余谓此禀肝胆二经所致。诊其母，
肝胆脉尚洪数，余谓母子一体，治其母，儿自愈。不信，另用必效散一服，吐泻并
至，一夕而殁。
热毒瘰 乃手足少阳、足厥阴、二经风热之证，或肝疳食积所致，其证发于项
腋或耳前后，或如贯珠，当分表里虚实，若 赤肿者，肝经热毒也，用人参败毒散。
作痛塞热者，肝火内作也，用加味小柴胡汤。不痛而小便黄，肝血虚也，用六味地
黄丸。隐于肉里，而色不变者，肝疳内作也，用九味芦荟丸。脓成而不溃，或溃而
不敛者，脾气虚弱也，用益气养荣汤。凡此肿 疼痛，寒热作渴者，属病气有余，
形气不足，治宜清肝火，生肝血；肿硬不溃，溃而不敛者，属病气形气俱虚，治宜
补肾水，实脾土。若因乳母恚怒，肝火遗患者，又当随所因而治之。一小儿脓水淋
漓，其核未消，发热憎寒，此肝经气血虚而有热也，用补阴八珍汤为主，间以清肝
益荣汤而愈。后复结核，小便赤涩，晡热作渴，用参术柴苓汤为主，佐以六味地黄
丸料加柴胡、山栀，及四味肥儿丸而敛。一小儿十五岁，患此发热作渴，日晡颊
赤，脉数无力，属阴虚而有热，用补阴八珍汤五十剂，加参 又二十剂而溃，但脓
水清稀，肌肉不生，此脾气虚弱也，以参 归术为主，佐以芍药、熟地黄、麦门、
五味，气血乃复，遂进必效散一服，毒下而痊。一小儿患此，服克治之药，致寒热
腹膨，此肝脾疳证，先用五味异功散加柴胡、升麻，佐以九味芦荟丸渐退，又用四
味肥儿丸、五味异功散、而消。一小儿九岁，患此面色常青，肿硬不溃，肉色不
变，乃伐肝化痰。余曰当调补肝脾。不信，果虚证峰起。复请治，仍欲伐肝。余曰
面带青色，肝虚而本色见也。面色变白，肺虚而本色见也。痰涎上涌，脾虚而不能
摄也。两目连札，肝血虚而生风也。经云∶胃为五脏之本，当先救胃气。遂用五味
异功散加升麻、柴胡，元气稍复，乃朝用补中益气汤，夕用五味异功散，佐以九味
芦荟丸，面色始黄，而核渐消，又以四味肥儿丸，间服地黄丸而愈。
百解散（惊） 当归散（潮热） 牛蒡汤（咽喉）
大圣散 治瘰 ，消风毒肿上壅内热，多生瘾疹风丹风证，食煎爆多致此疾。
羌活 荆芥 升麻 薄荷 防风 甘草 大黄 黄芩 玄参（各等分） 或加赤芍
药、连翘
上为末。每二钱，水一盏，煎六分，温服。又方，用牡蛎（二两），火 为末，玄参
（一两），甘草（半两），为末，每服二钱，茶清调下。
玄参饮 治瘰 ，及头上生恶核肿痛。
玄参 升麻（各五钱） 川乌（炮裂，去皮脐） 草乌（炮裂，去皮） 当归（酒洗）
川芎 赤葛 生干
地黄 赤芍药（各二钱半） 甘草（三钱） 大黄（半生半炮，四钱）
上锉。每服二钱，水一盏，姜二片，煎七分，无时温服。
升麻汤
升麻 射干 连翘 犀角屑 大黄（微炮） 朴硝（各半两）
上 咀，水煎。大小加减。忌酒、面、炙爆物。
木通散（淋）
柴芍参苓饮 治肝火血热，遍身搔痒，或起赤晕，或筋挛结核。
柴胡 芍药 人参 白术 茯苓 陈皮 当归（各五分） 牡丹皮 山栀（炒） 甘
草（炒。各三分）
上，姜枣水煎服。
清肝益荣汤 治肝胆经风热血燥，筋挛结核，或作瘊子。
柴胡 龙胆草（酒拌，炒。各五分） 当归 川芎 芍药（各一钱） 熟地黄（自制）
白术（炒） 木瓜（不犯铁器） 山栀（炒） 茯苓 薏苡仁（各五分） 甘草（三分）
上，水煎服。
加味小柴胡汤 治肝胆经风热，耳前后肿痛，或结核 痛，或寒热晡热口苦耳聋等证。
柴胡（二钱） 黄芩（炒，一钱） 人参 半夏（各七分） 甘草（炙，五分） 山栀 牡丹
皮（各一钱）
上，姜水煎，徐徐服。（去山栀、牡丹皮，即小柴胡汤）
益气养荣汤 治气血虚弱，四肢颈项等处患肿，不问肿溃日久不敛，俱宜服之。
人参 茯苓 陈皮 贝母 香附（炒） 当归（酒洗） 川芎 黄 （炒） 熟地黄（自制）
芍药（炒。各一钱） 甘草（炙） 桔梗（各五分） 白术（炒） 柴胡（六分）
上，每服二三钱，姜水煎。
必效散 治瘰 元气无亏者，宜用此方。若元气怯弱者，宜先补而后服之， 毒已
下，便与滋补，庶无他患。若孕妇及虚劳气郁所致者，尤不可服，世以此方为良
剂，故并注之。
南硼砂（二钱五分） 轻粉（一钱） 麝香（五分） 巴豆（五粒，去皮心膜） 白槟榔（一个）
斑蝥（四十个，去头足翅，同糯米炒，去米）
上为末。取鸡子二个，去黄，用清调药入壳内，以湿纸数重糊口，甑蒸熟，取
出曝干研细。每服五分，用炒生姜酒，五更调服。如毒出小便涩痛，用益元散一
服，其毒出而不痛。
贴恶核方
赤小豆 猪牙皂荚 硝石 黄药 木鳖子（各半两）
上末。鸡子清调涂患处。
贴散瘰 神效方
白胶香 降真香（用心无土气者） 海螵蛸
上等分，为末。糁患处，外以水纸掩之，一夜而退。
兴化李八哥传贴瘰 膏药，未破者即消，已破者即出恶物收敛，神验良方。
轻粉 麝香 珍珠 血竭 没药 乳香 黄蜡 铜青（各六分） 松香（八钱） 杏仁（二十
枚，去皮尖） 蓖麻子（二十枚，去壳）
以上十一味，各研极细末，搅和，用瓷杵钵捣成泥膏。不犯铁器，不见火，将
膏掐敷绢上，以手扑薄贴。
治痹 破溃不敛者方
用烧人场上红黄土，研细，洗净患处掺之，神效。
〔薛〕惊风结核，属肝胆二经风木相火用事，木旺生风，热同化，其病抽掣扰动，
此乃风热血燥而然耳。盖风动则肝火盛，火盛则肝血内消，血不能养筋，故筋挛，
结核如贯珠。然颈项两侧，正属肝胆经部分，治宜滋肾水，清肝火，养阴血，壮脾
土，盖肾水旺则肝火自清，肝火清则阴血自生，阴血生则相火自宁，火既宁则无热
伤元气、火乘土位之疾矣。一小儿甫周岁，项间结核，两臂反张，索败毒之药。余
意此属肝经血燥，询之，果前患惊风，曾服朱砂等药。遂与六味地黄丸滋其肝血，
数服而愈。一小儿项侧结核，痰盛发搐，服金石香燥之剂，手足筋挛。此肝血复
伤，即急惊也。遂用加味小柴胡汤加钓藤钩、山栀、芎、归，六味丸料加五味、麦
门而痊。一小儿每受惊，项间结核，发热减食，睡间四肢微抽。此肝木侮脾土
也。用五味异功散加柴胡、升麻、钓藤钩、随愈。毕姻后，腿臂腕间结核，误服行
气破血药，腿臂筋挛，肌体消瘦如瘵证。余考绩到京，用地黄丸生肝肾之血，佐以
补中益气汤补脾肺之气而愈。一小儿耳前后结核，遇惊即痰盛切牙，抽搐摇头，恪
服香燥之药，以致慢惊而卒。
皂角子丸 治肝胆经风热，项胁两侧结核。
皂角子（用仁，炒，二两） 连翘（八钱） 当归 柴胡 芍药（炒） 山栀（炒） 川芎（各一两）
桔梗（炒） 龙胆草（酒拌，炒黑） 甘草（炒。各四钱）
上为末，米糊、丸绿豆大。量儿大小加减，滚汤下。
人参败毒散 治小儿风热瘙痒，顽核毒疮，或解脱衣裳，风邪所伤，恶风发热，胸
膈生痰，头目不清。（方见后）
九味柴胡汤 治肝经热毒下注，患便毒肿痛，或小腹胁间结核，凡肝胆经部分一切
疮疡，或风毒恶核瘰 。
柴胡（炒） 黄芩（炒，各五分） 人参 山栀（炒） 半夏 龙胆草（炒） 当归 芍药（炒。
各三分） 甘草（二分）
上，水煎服。若肿痛赤色，元气无亏者宜用。溃后肿消痛止者不宜用。大凡肿
硬不溃，溃后不愈者，因元气虚也，午前宜用四君、归、 、升麻；午后宜用四君、
芎、归、柴胡为主，佐以九味芦荟丸。若饮食少思者，宜用五味异功散专补胃
气。若脓水清稀而见一切诸证，皆因血气内亏，但温补脾胃，饮食加进，血气化
生，诸证自退。设治疮邪，是虚其虚也，祸不旋踵矣。
琥珀膏 治瘰 不溃，或溃而不愈，变成漏证。
琥珀 木通 桂心 当归 白芷 防风 松香 朱砂 丁香 木香 木鳖子（肉。各二两）
上，先用琥珀、丁香、桂心、朱砂、木香为末，其余 咀。以麻油二斤六两，
慢火煎至白芷焦黑，滤去渣，徐下黄丹一斤，以柳枝不住手搅至黑色，滴水捻软
硬得中，却入琥珀等末，搅匀，于瓷器盛之。用时取少许摊贴。
益脾清肝散 治肝火侮脾，饮食少思，发热或寒热往来，疮不能消散。（方见后）
补阴八珍汤 治元气虚弱，不能溃敛，或内热、晡热，肌体消瘦。即八珍汤加酒炒黑
黄柏、知母。
There is a condition called "Red Thread Sore" (Hong Si Chuang). Although it is not carbuncle or rash (Dan Zhen), its toxicity is actually the same. It mostly occurs on the joints of the middle fingers of both hands, and is particularly severe in males on the left side and females on the right side. Its presentation is a single blister, clear, transparent, bright, and glossy, about the size of a chick's head. The base has dozens of tiny needle-like holes. It is neither itchy nor painful and causes no significant harm. However, a vein like a red thread runs faintly beneath the skin at the edge of the blister. This thread spreads very rapidly along the arm upwards; if it passes the elbow, the condition becomes critical, and if it reaches the heart, death ensues. For those with this condition, one should urgently pierce and cut off the leading end of the red thread with a needle, or plug the wound with earwax, or apply chewed white plum to seal it, which will stop the spread of the thread. In the Gengwu year of the Shaoxing era, Fang Zi (courtesy name Chuzai), the magistrate of Wuwei County, who was a contemporary of my late father, died three days after his term ended and he returned home as an acting official. When asked about the cause of his death, he said he had no illness, only a small blister on his left middle finger joint. He likely did not know it was a Red Thread Sore. Additionally, Lady Yiren, wife of Inspector Wei, said: A neighbor girl suddenly developed a blister on her middle finger joint. The color was extremely clear, the bottom was full of fine needle holes clearly countable, and there was a strand of red thread beside it. The whole family laughed and ignored it. Suddenly, an old woman came and saw it, exclaiming in alarm, "This is a Red Thread Sore! It will cost you your life!" She urgently applied dozens of moxa cones on the blister and pierced the red thread in several places, thus avoiding disaster.
Chao Yuanfang stated: When children encounter wind-heat toxic qi, it clashes with blood and qi, forming stubborn nodules that arise on the neck and nape. If constrained by wind-cold, they fail to dissipate, forming scrofula (Luo Li). Over time, they ulcerate, suppurate, and become sores. Dr. Tang suggested taking Qingliang Yinzi (Cooling Drink) and Shengma Tang (Cimicifuga Decoction), etc. Lianqiao Wan (Forsythia Pills) and Longdan Tang (Gentian Decoction) from *Qianjin Fang* are also suitable. [Zeng] Regarding scrofula, ancient sages called it "Jiu Lou" (Nine Leaks). Investigating its etiology suggests heat involvement, while examining its morphology shows variety; names are generally derived from appearances. Generally, it first appears between the muscles of the neck and nape. Before suppuration occurs, treating the root can influence the branch, helping to reduce the condition. Treatments include acupuncture, moxibustion, and topical applications, administered according to the specific cause. However, young children are frail and weak, unable to withstand acupuncture and moxibustion; therefore, treatment relies on internal medication and external pastes. This disease often arises behind the ears and on both sides of the neck. Initially, there is one nodule, which subsequently multiplies into a dozen or so, wrapping around the neck, resembling beads on a string. Each swells, suppurates, and ruptures. Mild cases can be cured, but severe ones are difficult to eradicate. If pus leaks from acupoints and remains unhealed for years, it is called "Lou Xiang" (Leaking Neck). Tracing back to the onset, it originates from the Three Yang meridians contracting wind-heat, which clashes with blood and qi. Treatment involves Baijie San (Hundred Resolutions Powder) combined with Danggui San (Angelica Sinensis Powder), decocted with water, ginger, green onion, and Jiedixin (Centella Herb). Subsequently, Xuanshen Yin (Scrophularia Drink), Niubang Tang (Arctium Decoction), Mutong San (Akebia Powder), and Neixiao Wan (Internal Dissolving Pills) are used to vent heat and resolve toxicity. Externally, Hupi San (Oak Bark Powder) is used for washing, and Baiji San (Bletilla Powder) and Erxiang San (Two Fragrances Powder) for application, promoting qi and blood circulation until pus dries and fluid ceases, leading to spontaneous recovery. One must avoid spicy, toxic foods and game meat to prevent recurrence.
[Xue] Scrofula caused by fetal toxin results from stagnant qi and郁 fire (depressed heat) in the Liver and Gallbladder meridians. Since these meridians run along the sides of the body, pathology arising from Liver fire manifests in these areas. One must investigate the cause and medicate accordingly. Sometimes it is due to the nursing mother's anger or blood deficiency with internal heat; in such cases, the mother should be regulated according to the cause. Harsh medicines should be avoided to prevent damaging Yuan Qi (Original Qi). An infant born with five nodules on the neck: investigating the mother revealed she was prone to anger, suffered alternating chills and fever, had breast pain, and slight swelling in the hypochondrium—all signs of Liver-Gallbladder meridian pathology. Xiao Chaihu Tang (Minor Bupleurum Decoction) plus Danggui (Angelica Sinensis) and Shaoyao (Peony) was used first, resolving the chills and fever immediately. Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) was then administered to the mother for over two months, curing the child. Another infant suffered from nodules around the ears and front due to the mother's Liver meridian heat; treating the mother with Jiawei Xiaoyao San cured the child spontaneously. Another child had nodules in the neck and below the ears for three years. Long-term use of detoxifying agents worsened the lesions and depleted Yuan Qi. Diagnosis showed the mother’s chronic depression and anger led to Liver-Spleen blood deficiency with heat. Jiawei Guipi Tang (Modified Restore the Spleen Decoction) was the main formula, assisted by Jiawei Xiaoyao San. As the mother's heat subsided, giving the child a few spoonfuls daily resulted in recovery after two months. Another child had four nodules since birth; by age five, nodules around the ears resembled beads. Yuan Qi was severely deficient, with alternating chills/fever and incomplete feeding. This indicated Qi stagnation in the Liver-Gallbladder meridians. Bazhen Tang (Eight Treasures Decoction), Xiaoyao San, and other formulas were given to a healthy adult woman to nurse the child. After half a year, the child's physique improved, nodules shrank, and subsequent use of Dihuang Wan (Rehmannia Pills) and Xiaoyao San led to complete recovery. Another newborn had three scrofula nodules on the neck, spreading to the front of the ear before scheduled topical treatment. I stated this resulted from Liver-Gallbladder meridian constitution. The mother's Liver-Gallbladder pulse was surging and rapid. I advised treating the mother would cure the child. Disbelieving, she took Bixiao San (Highly Effective Powder) once, resulting in vomiting and diarrhea, and died overnight.
Heat-toxin scrofula is a wind-heat syndrome of the Hand-Foot Shaoyang and Foot-Jueyin meridians, or caused by Liver malnutrition and food accumulation. Symptoms appear in the neck, axilla, or around the ears, sometimes like beads. Differentiate exterior-interior and deficiency-excess. Redness and swelling indicate Liver meridian heat-toxin; treat with Renshen Baidu San (Ginseng Detoxification Powder). Pain with stifling heat indicates internal Liver fire; treat with Jiawei Xiao Chaihu Tang. Non-painful yellow urine indicates Liver blood deficiency; treat with Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill). Nodules hidden deep in flesh with unchanged color indicate internal Liver malnutrition; treat with Jiawei Luohua Wan (Nine-Ingredient Aloe Vera Pill). Suppuration without rupture or rupture without healing indicates Spleen Qi deficiency; treat with Yiqi Yangrong Tang (Tonify Qi and Nourish Blood Decoction). Swelling, pain, chills, fever, and thirst belong to excess pathogenic qi and deficient form qi; treatment should clear Liver fire and generate Liver blood. Hard swelling without suppuration or non-healing ulcers belong to simultaneous deficiency of pathogenic and form qi; treatment should tonify Kidney Water and strengthen Spleen Earth. If caused by the mother's anger transmitting Liver fire, treat according to the cause. An infant with dripping pus and unresolved nodules, fever, and aversion to cold has Liver meridian Qi-blood deficiency with heat; treat mainly with Buyin Bazhen Tang (Nourish Yin Eight Treasures Decoction), interspersed with Qinggan Yirong Tang (Clear Liver and Nourish Prosperity Decoction) for recovery. Later recurrence with dark scanty urine and afternoon fever/thirst was treated with Shenzhu Chailing Tang as main formula, assisted by Liuwei Dihuang Wan material plus Chaihu (Bupleurum) and Zhizi (Gardenia), and Simei Feier Wan (Four-Ingredient Child-Nourishing Pill) for closure. A fifteen-year-old boy with fever, thirst, flushed cheeks at dusk, and rapid weak pulse had Yin deficiency with heat. Fifty doses of Buyin Bazhen Tang, plus twenty doses with Renshen (Ginseng), led to suppuration. Clear thin pus and lack of muscle growth indicated Spleen Qi deficiency. Main treatment was Renshen, Danggui (Angelica), Baizhu (Atractylodes), assisted by Shaoyao (Peony), Shudihuang (Prepared Rehmannia), Maidong (Ophiopogon), and Wuweizi (Schisandra). Qi and blood recovered, followed by one dose of Bixiao San to expel toxin and heal. A boy treated with harsh drugs developed chills, fever, and abdominal distension, indicating Liver-Spleen malnutrition. Wuyi Yigong San (Five Agents Extraordinary Skill Powder) plus Chaihu and Shengma (Cimicifuga), assisted by Jiawei Luohua Wan, gradually reduced symptoms. Simemei Feier Wan and Wuyi Yigong San eliminated them. A nine-year-old boy with constant greenish complexion, hard non-suppurating nodules, and unchanged skin color underwent Liver-attacking phlegm-resolving therapy. I advised regulating and tonifying Liver-Spleen. Disbelieving, deficiency syndromes arose. Upon re-evaluation, he still wanted Liver-attacking therapy. I explained: Green face indicates Liver deficiency revealing true color; white face indicates Lung deficiency; rushing phlegm indicates Spleen deficiency failing to control; eye twitching indicates Liver blood deficiency generating wind. The Classics state: The Stomach is the root of the Five Viscera; save Stomach Qi first. Wuyi Yigong San plus Shengma and Chaihu restored some Yuan Qi. Morning: Buzhong Yiqi Tang (Middle-Warmer Tonifying Qi Decoction); Evening: Wuyi Yigong San, assisted by Jiawei Luohua Wan. Complexion turned yellow, nodules shrank. Intermittent Dihuang Wan and Simemei Feier Wan completed the cure.
Baijie San (for Convulsion) Danggui San (for Tidal Fever) Niubang Tang (for Throat Disorders)
Dasheng San: Treats scrofula, eliminates wind-toxin swelling and internal heat congestion, often causing urticaria, wind-dan, and wind syndromes, frequently induced by fried and roasted foods.
Qianghuo (Notopterygium Rhizome), Jingjie (Schizonepeta Spike), Shengma (Cimicifuga Rhizome), Bohe (Mint), Fangfeng (Saposhnikovia Root), Gancao (Licorice Root), Dahuang (Rhubarb Radix), Huangqin (Scutellaria Root), Xuanshen (Scrophularia Root) (equal parts). Optionally add Chishaoyao (Red Peony Root) and Lianqiao (Forsythia Fruit).
Grind into powder. Take 2 qian per dose, decoct in one cup of water until 0.6 cup remains, take warm. Alternative method: Use Musli (Oyster Shell, 2 liang), calcined to powder; Xuanshen (1 liang), Gancao (0.5 liang), ground to powder. Take 2 qian per dose, mixed with clear tea.
Xuanshen Yin: Treats scrofula and malignant nodules with swelling and pain on the head.
Xuanshen (5 qian), Shengma (5 qian), Chuanwu (Processed Sichuan Aconite, peeled), Caowu (Processed Monkshood, peeled), Danggui (Wine-washed), Chuanxiong (Ligusticum Rhizome), Chige (Polygonum Multiflorum), Shengdihuang (Raw Rehmannia Root), Chishaoyao (2.5 qian each), Gancao (3 qian), Dahuang (Half raw, half processed, 4 qian).
Cut into pieces. Take 2 qian per dose, decoct in one cup of water with two slices of ginger until 0.7 cup remains, take warm anytime.
Shengma Tang:
Shengma (0.5 liang), Shegan (Belamcanda Rhizome), Lianqiao (0.5 liang), Xijiaoxie (Rhinoceros Horn Shavings - *Note: Substitute with Buffalo Horn in modern practice*), Dahuang (Lightly processed, 0.5 liang), Puxiao (Mirabilite, 0.5 liang).
Cut into pieces, decoct in water. Adjust dosage by age. Avoid alcohol, wheat products, and roasted/fried foods.
Mutong San (for Strangury)
Chaishao Shenling Yin: Treats Liver fire and blood heat causing generalized itching, red halos, or tendon spasms with nodules.
Chaihu (Bupleurum Root), Shaoyao (Peony Root), Renshen (Ginseng Root), Baizhu (Atractylodes Macrocephala Rhizome), Fuling (Poria), Chenpi (Tangerine Peel), Danggui (1.5 fen each), Mudanpi (Tree Peony Root Bark), Zhizi (Gardenia Fruit, stir-fried), Gancao (Stir-fried, 1 fen each).
Decoct with ginger and jujube in water.
Qinggan Yirong Tang: Treats wind-heat and blood dryness in Liver-Gallbladder meridians causing tendon spasms, nodules, or warts.
Chaihu (1.5 fen), Longdancao (Gentian Root, wine-mixed, stir-fried, 1.5 fen), Danggui (3 fen), Chuanxiong (3 fen), Shaoyao (3 fen), Shudihuang (Homemade), Baizhu (Stir-fried), Mugua (Chaenomeles Fruit, avoid iron), Zhizi (Stir-fried), Fuling (1.5 fen each), Yiyiren (Coix Seed, 1.5 fen), Gancao (1 fen).
Decoct in water.
Jiawei Xiao Chaihu Tang: Treats wind-heat in Liver-Gallbladder meridians causing swelling/pain around ears, painful nodules, chills/fever, afternoon fever, bitter taste, deafness.
Chaihu (6 qian), Huangqin (Stir-fried, 3 qian), Renshen (2.1 qian), Banxia (Pinellia Tuber, 2.1 qian), Gancao (Roasted, 1.5 qian), Zhizi (3 qian), Mudanpi (3 qian).
Decoct with ginger water, take slowly. (Removing Zhizi and Mudanpi yields standard Xiao Chaihu Tang).
Yiqi Yangrong Tang: Treats Qi and blood deficiency causing swelling in limbs/neck, regardless of duration or healing status.
Renshen (3 qian), Fuling (3 qian), Chenpi (3 qian), Beimu (Fritillaria Bulb), Xiangfu (Cyperus Rhizome, stir-fried), Danggui (Wine-washed), Chuanxiong (3 qian each), Huangqi (Astragalus Root, stir-fried), Shudihuang (Homemade), Shaoyao (Stir-fried, 3 qian), Gancao (Roasted), Jiegeng (Platycodon Root, 1.5 fen each), Baizhu (Stir-fried), Chaihu (1.8 fen).
Take 2-3 qian per dose, decoct with ginger water.
Bixiao San: For scrofula with intact Yuan Qi. If Yuan Qi is weak, tonify first. After toxin expulsion, resume tonification to avoid complications. Contraindicated in pregnancy and deficiency-fatigue with Qi stagnation.
Nanpengsha (South Borax, 2.5 qian), Qingfen (Calomel, 1 qian), Shexiang (Musk, 0.5 fen), Badou (Croton Seed, 5 seeds, peeled), Baixinglang (Areca Nut, 1 piece), Banmao (Mustard Beetle, 40 pieces, heads/legs/wings removed, fried with glutinous rice, discard rice).
Grind to powder. Take two egg whites, remove yolks, mix medicine into shells. Seal with wet paper layers, steam until cooked, dry, and grind fine. Take 0.5 fen per dose at dawn with stir-fried ginger wine. If toxin exits via painful urination, take Yiyuan San to relieve pain.
Paste for Malignant Nodules:
Xiaodou (Adzuki Bean), Zhu Ya Zaojia (Tofu Soap Pod), Xiaoshi (Niter), Huangyao (Dioscorea bulbifera), Mubiezi (Momordica Seed) (0.5 liang each).
Grind to powder. Mix with egg white and apply to lesion.
Divine Efficacy Paste for Scrofula:
Baijiaoxiang (Benzoin), Jiangzhenxiang (Dalbergia Odorifera Heartwood, free of earthy smell), Haipiaoxiao (Cuttlefish Bone) (equal parts).
Grind to powder. Sprinkle on lesion, cover with water-paper overnight.
Li Bagge's Paste for Scrofula from Xinghua: Eliminates unruptured nodules, draws out evil matter and heals ruptured ones.
Qingfen (0.6 fen), Shexiang (0.6 fen), Zhenzhu (Pearl, 0.6 fen), Xuejie (Dragon's Blood, 0.6 fen), Moyao (Myrrh, 0.6 fen), Rushiang (Frankincense, 0.6 fen), Huangla (Yellow Beeswax, 0.6 fen), Tongqing (Malachite, 0.6 fen), Songxiang (Pine Rosin, 8 qian), Xingren (Almond Kernel, 20 pieces, peeled), Bimazi (Castor Seed, 20 pieces, shelled).
Grind eleven ingredients finely, mix, and pound into paste using porcelain mortar. Avoid iron and fire. Spread thinly on silk.
Formula for Ulcerated Bi Syndrome Not Healing:
Use red-yellow soil from pyre sites, grind fine, wash lesion, and sprinkle. Highly effective.
[Xue] Convulsive nodules belong to wind-wood and ministerial fire activity in Liver-Gallbladder meridians. Wood excess generates wind, heat transforms similarly. Symptoms include spasms and agitation due to wind-heat and blood dryness. Wind moves causing Liver fire excess; fire excess consumes Liver blood; blood fails to nourish tendons causing spasms and bead-like nodules. Neck sides correspond to Liver-Gallbladder meridians. Treatment should nourish Kidney Water, clear Liver fire, nourish Yin blood, and strengthen Spleen Earth. Strong Kidney Water clears Liver fire; cleared fire generates Yin blood; generated blood calms ministerial fire; calm fire prevents damage to Yuan Qi and invasion of Spleen Earth. An infant with neck nodules and opisthotonos sought detoxification. I diagnosed Liver blood dryness from prior convulsions and Cinnabar use. Liuwei Dihuang Wan nourished Liver blood, curing him. Another infant with neck nodules, profuse phlegm, and convulsions took metallic aromatic-dry drugs, causing limb spasms. This re-injured Liver blood, constituting acute convulsion. Jiawei Xiao Chaihu Tang plus Gouteng (Uncaria), Zhizi, Chuanxiong, Danggui, and Liuwei Wan material plus Wuweizi, Maidong cured him. Another infant had neck nodules, fever, poor appetite, and mild limb spasms during sleep upon fright. This is Liver wood insulting Spleen earth. Wuyi Yigong San plus Chaihu, Shengma, Gouteng cured him. Post-marriage, nodules in legs/arms/wrists appeared after mistaken use of Qi-moving/Blood-breaking drugs, causing spasms and emaciation. In Beijing, I used Dihuang Wan to generate Liver-Kidney blood, assisted by Buzhong Yiqi Tang to tonify Spleen-Lung Qi, curing him. Another infant had ear/nodules, worsening with fright, grinding teeth, shaking head, and slow convulsion from aromatic-dry drugs, leading to death.
Zaojiaozi Wan: Treats wind-heat in Liver-Gallbladder meridians causing nodules on neck/hypochondrium.
Zaojiaozi (Kernel, stir-fried, 2 liang), Lianqiao (8 qian), Danggui, Chaihu, Shaoyao (Stir-fried), Zhizi (Stir-fried), Chuanxiong (3 qian each), Jiegeng (Stir-fried), Longdancao (Wine-mixed, charred), Gancao (Stir-fried, 1.2 qian each).
Grind to powder, make pills with rice paste, size of mung beans. Adjust by age, swallow with boiling water.
Renshen Baidu San: Treats pediatric wind-heat itching, stubborn toxic sores, exposure after undressing, aversion to wind, fever, phlegm in chest/diaphragm, unclear head/eyes. (Formula see later)
Jiuwei Chaihu Tang: Treats Liver meridian heat-toxin descending causing groin swelling/pain, lower abdomen/hypochondrial nodules, all sores in Liver-Gallbladder areas, or wind-toxin malignant nodules/scrofula.
Chaihu (Stir-fried), Huangqin (Stir-fried, 1.5 fen each), Renshen, Zhizi (Stir-fried), Banxia, Longdancao (Stir-fried), Danggui, Shaoyao (Stir-fried, 0.9 fen each), Gancao (0.6 fen).
Decoct in water. Suitable for painful/swollen/red conditions with intact Yuan Qi. Unsuitable after swelling/pain subside post-ulceration. Generally, hard non-suppurating or non-healing ulcers indicate Yuan Qi deficiency. Morning: Six Gentlemen Decoction, Danggui, Huangqi, Shengma. Afternoon: Six Gentlemen, Chuanxiong, Danggui, Chaihu, assisted by Jiawei Luohua Wan. Poor appetite: Wuyi Yigong San to tonify Stomach Qi. Clear thin pus with various symptoms indicates internal Qi-blood deficiency; warm-tonify Spleen-Stomach, increase diet, regenerate Qi-blood, symptoms recede. Treating sore pathogens here empties deficiency, bringing swift disaster.
Hupo Gao: Treats scrofula not suppurating or non-healing ulcers becoming sinuses.
Hupo (Amber), Mutong (Akebia Stem), Guixin (Cinnamon Twig), Danggui, Baizhi (Angelica Dahurica Root), Fangfeng, Songxiang, Zhusha (Cinnabar), Dingxiang (Clove), Muxiang (Aucklandia Root), Mubiezi (Meat, 2 liang each).
First, grind Amber, Clove, Cinnamon, Cinnabar, Aucklandia to powder. Cut remaining herbs. Slow-fire fry in 2 jin 6 liang Sesame Oil until Baizhi is black. Filter dregs, slowly add 1 jin Yellow Dan (Lead Monoxide), stirring constantly with willow branch until black. Test consistency with water drop. Add Amber powder, mix well, store in porcelain. Apply small amount when needed.
Yipi Qinggan San: Treats Liver fire insulting Spleen, poor appetite, fever or alternating chills/fever, sores not dissipating. (Formula see later)
Buyin Bazhen Tang: Treats weak Yuan Qi unable to suppurate/heal, internal heat, afternoon fever, emaciation. Is Bazhen Tang plus Jiu Chao Hei Huangbai (Wine-fried Black Phellodendron Bark) and Zhimu (Anemarrhena Rhizome).