枳壳（去穣，面炒） 牵牛（炒，取头末） 木香 青皮（各一两） 甘草 大黄
上为细末。用皂角，长一尺许者，三挺约三两，炮焦捶碎，以好酒煮软，挪取汁，熬
膏稠粘，和前药末为丸，如梧桐子大。每服三五十丸，食后葱茶下。日进二服。
内消丸 治疮肿初生，及瘰 结核，热毒郁滞，服之内消矣，大效。
青皮 陈皮（各二两） 牵牛（八两，取头末，二两） 薄荷叶（八两） 皂角（八两，用不蛀者，
去粗皮，捶碎，以冷水一斗，煮令极软，揉汁，去滓，熬成膏）
上将青皮、陈皮末，并牵牛末和匀，用前膏子和丸，如绿豆大。每服三十丸，食后
荆芥、茶清、温水皆可下。
必效散 治瘰 ，气血虽无亏损，内有 核末去而不能愈。
南硼砂（二钱半） 轻粉（一钱） 麝香（五分） 巴豆（五粒，去心膜） 白槟榔（一个） 斑
蝥（十四枚，去足翅，同糯米炒）
上同研极细末。取鸡子二个，去黄用清，调药仍入壳内，以湿纸数重糊口，入饭甑候
熟，取出曝干，研末。虚者每服半钱；实者一钱，用炒生姜酒，五更初调服。如觉小腹
痛，用益元散一服，其毒俱从大便出。胎妇勿饵。毒去后，多服益气养荣汤，疮口自合。
（《精要》云∶治瘰 用必效散与栝蒌散，相间服神效。后有不问虚实，概用必效散，殊不知斑蝥性猛
大毒，利水破血，大损元气。若气血实者，用此劫之而投补剂，或可愈。若虚而用此，或用追蚀之剂，
瘀肉虽去，而疮口不合，反致不救。）
鸡鸣散 治气 疼痛及热毒结核，或多烦闷热而不寒者。
牵牛（一两） 胡粉（一钱） 大黄（蒸，二钱） 朴硝（炼成粉者，三钱）
上为细末。每服三钱，鸡鸣时，井花水调服，以利为度。如未利，再服。
法制灵鸡弹 治瘰 、马刀腋下生者。
斑蝥（七个，去头翅足）
上将鸡子一个，顶上敲开些小，入药在内，纸封固了，于饭上蒸熟，取出去壳，切
开去药。五更空心，和米饭嚼服。候小便通，如米泔水，状如脂即验也。如大便、小便不
通，却服琥珀散三二帖催之。然后常服后二药，尤佳。
妙灵散 服前药后，却将此散与连翘丸相间常服，疮愈方止。
木香（三钱） 沉香（二钱） 牛膝 何首乌 当归 海螵蛸 桑寄生（各一两） 海藻（二两）
海带 青葙子 昆布 甘草节（各半两）
上为末。每服三二钱，食后温酒调下。
内消连羌丸
连翘（三两） 漏芦 胡桃仁 夏枯草 土瓜根 射干 泽兰 沙参 白芨（各一两半）
上为末，入胡桃仁研匀，酒糊为丸，如桐子大。每服三五十丸，空心食前，盐酒下。
玉屑妙灵散
滑石（细研，为粉）
上每服三钱。煎川木通汤，调下。
六丁神散
苦丁香（六枚，或秤半钱） 白丁香（一钱） 苦参末（五分） 磨刀泥（青石者佳，名龙泉粉） 赤小
豆白僵蚕（去丝嘴、炒，各一钱） 大斑蝥（七个，去头足，炒）
上六味，共炒细末。每服一钱重，空心，用无灰酒调下。
薄荷丹 解瘰 ，风热之毒自小便去。宜毒后，常须服。
杜薄荷 皂角（不蛀者，去弦皮） 连翘 何首乌（米泔浸） 蔓荆子 京三棱（煨） 荆芥（各一两）
上为末，好豉二两半，以米醋煎沸，洒豉淹令软，研如糊和丸，桐子大。每服三十
丸，食后熟水下，日一服，病虽愈常服之。
四圣散 治瘰 ，服白花蛇散转利后，服此药调之，永去其根。
海藻（洗） 石决明（煨） 羌活 瞿麦穗（各等分）
上件共为细末。每服二钱，用米汤调下，清水尽力度。
瞿麦饮子 治瘰 ，马刀。
瞿麦穗（半斤） 连翘（一斤）
上为粗末。水煎临卧服。此药经效，多不能速验，宜待岁月之久除也。
海菜丸 治 生于头项上交接，名蛇盘疡，宜早治之。
海藻菜（荞麦炒） 白僵蚕（微炒，去丝嘴）
上等分为细末。海藻菜旋炒研筛；汤泡白梅取肉减半用，所泡汤为丸，如梧桐子大。
每服六七十丸，食后临卧米饮送下。其毒自大便内泄出，若与淡菜连服为妙。盖淡莱生
于海藻上，亦治此病。忌豆腐、鸡、羊、酒面，日五六服。
槟榔散 治气毒瘰 ，心膈壅闷，不下饮食。
槟榔 前胡（去芦） 赤茯苓 牛蒡子（炒，各一两） 人参（去芦） 枳壳（去穣，炒） 沉香 防风
（去芦，各半两） 甘草（炙，二钱半）
上锉碎。每服四钱，以水一盏，入生姜半分，煎至六分，去渣，空心，及晚食前温
服。
皂角煎丸 治风毒，瘰 。
皂角（不蛀者，三十挺，内十挺泡黑，十挺酥炙，十挺用水一盅煮软，揉取汁用） 何首乌 玄参
薄荷叶（各四两）
上为细末，以皂角汁熬膏，同炼蜜为丸，如豌豆大。每服三四十丸，食后，温汤送下。
祛风丸（一名何首乌丸） 治风毒。瘰 。
何首乌（蒸） 干薄荷叶 玄参（各四两，为末）
精羊肉（半斤） 皂角三十挺，用十挺火烧欲过，十挺酥炙去皮，十挺水挪取汁，去滓）
上以皂角水煮肉使烂，细研和药为丸，如
梧桐子大。每服二十丸，空心温酒，或薄荷汤送。
绛宫丸
大黄（酒蒸） 白术（各二两） 山楂 连翘 川芎 当归（酒洗） 麦芽 桃仁 芦荟 甘草
芸苔子（各一两） 黄连（酒浸） 南星（酒浸） 海藻（酒洗，各一两半） 升麻 羌活 桔梗 防风（各
半两） 黄芩（酒炒，半两）
上为末，用神曲糊为丸。已破，加人参一两煎膏，用甘草节、僵蚕同煎。
治瘰 结核丸药
黄 （七分） 玄参（八分） 苦参 牛蒡子（各九分） 枳实（炒） 大黄 羚羊角屑 麦门冬（去
心，各五分） 连翘 人参（去芦） 青木香 苍耳子 升麻 茯苓 甘草（炙） 桂心 朴硝（各四
分）
上为细末，炼蜜和丸，如梧子大。以酒下十丸，日夜三四，渐加至二三十丸，以知
为度。忌生冷、猪肉、海藻、菘菜、生葱、酢蒜、陈臭等物。
水红花饮 治瘰 ，肿核结硬不消，及脓汁傍穿不瘥。
水红花（不拘多少，一半炒，一半生用）
上粗捣筛。每服二钱，水一盏，煎七分，去滓。温服食后临卧，日三。好酒调亦可。
又方
牡蛎（不以多少，用灰深培，上以炭三斤，严火尽取半斤，为细末，） 甘草（取末，二两）
研匀。每服二钱，食远以建茗同点，日二服。忌鱼酒、 酱、油盐、海味等物
治颈上块动者
夏枯草（六钱） 甘草（一钱）
上各另为末和匀。每服一钱至二钱，茶清调下，食后。
许学士云∶夏枯草大治瘰 ，散结气，有补养厥阴血脉之功而经不言。观其能退寒热，
虚者尽可倚仗。若实者以行散之药佐之，外施艾灸，亦渐取效，此草三四月开花，夏至
边便枯，盖禀纯阳之气，得阴则枯耳。世人不知，故表而出之。
《本事方》治鼠 、瘰 。
土附子（一枚） 食盐（三升） 小便（五升）
上三味同浸半月日取出，将附子去黑皮，阴干为末，用黑豆烂煮研为膏，丸附子末如
梧子大。每服十丸，酒吞下，早晚二服。
治一切丈夫妇人瘰 经效 牡蛎用炭一称， 通赤，取出，于湿地上用纸衬，出火
毒一宿，取四两，玄参三两，并捣罗为末，以面糊为丸，如梧桐子大。早晚食后临卧，各
服三十丸，酒吞下。此药将尽， 亦除根。
《肘后》治颔下瘰 如梅李大，宜速消之。海藻一斤，酒一升，渍数日，稍稍饮之。
〔衍〕 取蓼子微炒研，为细末。薄荷酒调二三钱服，治瘰 ，久则效。
初虞世治瘰 ，用夜合草，遇夜则其叶闭合，《本草》名合明，俗名连钱母。出禾田
中，贴水面生，取其叶捣自然汁，服之。渣 患处效。
保命文武膏 治瘰 ，用桑椹黑熟者二斗，以布袋绞取汁，石器中熬成膏子。白汤
化下一匙，日三服。红者晒干为末，汤调服。
《圣惠》治瘰 肿痛，年深时久不瘥。用狸头蹄骨，酥炙黄，捣罗为散。每日空心，粥
饮调下一钱匕。
破结散（《大成》） 治石瘿、气瘿、血瘿、肉瘿、马刀、瘰 等证。
海藻（酒洗净） 龙胆草（酒洗） 海蛤粉 通草 贝母（去心） 矾石（枯） 昆布（酒洗净） 松
萝（各三钱，今以桑寄生代，效） 麦曲（炒，四钱） 半夏曲（二钱）
上为细末。每服二钱，热酒调食后服。忌甘草、鲫鱼、鸡肉、五辛、生果。
有人于项上生病，大如茄子。潮热不食，形瘦日久，百方不效。后得此方，去松萝加
真桑寄生一倍，服五日后，其疮软而散，热退而愈。屡医数人皆效。
益气养荣汤 治怀抱抑郁，或气血损伤，四肢、颈项等处患肿，不问软硬、赤白肿痛，
或溃而不敛。
人参 茯苓 陈皮 贝母 香附子 当归（酒拌） 川芎 黄 （盐水拌，炒） 熟地黄（酒拌）
芍药（炒，各一钱） 甘草（炙） 桔梗（各五分） 白术（炒，二钱） 柴胡（六分）
上姜水煎服。
散肿溃坚丸 治瘰 、马刀疮，服益气养荣汤，不能消散者，宜服此丸五日，又服
益气汤五日，如此相兼服之，不应，以针头散敷之。
知母 黄柏（各酒拌，炒） 栝蒌根（酒拌） 昆布（酒洗，炒） 桔梗 蓬术（酒拌，炒） 连翘 黄
连（炒） 京三棱（酒拌，炒） 葛根 白芍药（各三钱）
升麻 当归尾（酒拌） 柴胡 甘草（各三两） 草龙胆（四两，酒炒） 黄芩（一钱五分，一半酒炒，一
半生用）
为细末，炼蜜为丸，如绿豆大。每服一百丸或一百五十丸，滚汤送下。
又治瘰
人参 白术 当归 陈皮 芍药（酒浸，各一钱） 川芎 香附子 茯苓 半夏（各五分） 甘草（少许）
上作一服。姜二片，以金银藤煎汤一盅半，煎前药，食后，就吞降宫丸五十粒，（方见
前。）
补阴八珍汤 治瘰 等疮，属足三阴虚者。
当归 川芎 熟地黄 芍药 人参 白术 茯苓 甘草 黄柏（酒炒黑） 知母（酒炒，各
七分）
上水煎服。
夏桔草汤 治瘰 、马刀，不问已溃未溃，或日久成漏。用夏枯草六两，水二盅，煎
至七分，去渣，食远服。此生血治瘰 之圣药，虚甚当煎浓膏服，并涂患处，多服益善。
兼十全大补汤加香附子、贝母、远志尤善。
初虞世云∶瘰 多生肩项，或赤或白，或沉或浮。初生如豆，久似核，年月浸久，其
大如梅，或如鸡卵，排行成列，或生二三，或生六七，俗云蟠蛇 是也。用性努力，思虑
过久，则疾痛赤肿继之。早治为上。
流注疡，妇人多有之。其性躁急，其气怫郁，其心执着。初生在项，破后脓注四肢
遍体，结毒如梅李状，不疗自破，孔窍相穿，寒热疼痛，或流脓汁，是名流注疡也，又名
千岁疮。宜服托里救苦神应丸。
川乌附（去皮脐，生用） 当归（酒浸一宿） 没药 白芷 陈皮 甘草节（各一两） 乌头（五两）
姜黄（一两半） 蝉蜕（水洗，半两） 大皂角（七锭，去皮弦子）
上用皂角敲碎，水四大碗，煎至二大碗，滤去渣。用汁一同煮乌头、川乌，候乌头烂
为度，擂如泥。其余诸药却另为末，和乌头泥为丸，如桐子大。每服六十丸，饥饱皆用
薄荷汤下。若疮既破，穿凿孔穴，其处必生肿肉如指大，或黑或白，乃风与气搏，宜驱
风行经散气之剂，以化气调经汤主之。
化气调经汤 与神应丸间服，治流注 。
香附子（酒浸一宿，日干） 羌活 白芷（各一两） 牡蛎（火 ） 甘草 天花粉 皂角刺（各半
两） 橘皮（二两）
上为细末。每服二钱，用白汤，不拘时调下，日三次。如脉有力者，先用追毒神异
汤下之，却服救苦神应丸。
追毒神异汤
辰砂 血竭（各一钱） 麝香（一字，共研细） 大黄 大甘草节（各半两，共为 咀）
上为 咀。河水一盅，煎至半盅，调前末子，临卧服之。
单窠 者，生一个也，发于劲项，最难治。但宜如前药服之，日久自消。或发于囟
骨亦难治，用毒药疗之，勿令浸渍日久。莲子 一胞，裹十数枚，生于项之左右，以手
触则能转动，尚可用药治疗，如坚硬挨不动者，乃不可生，憎寒发热，躁渴，凡遇此证
至难治，虽神圣亦无如之何也已。
重台 ，生于项颈，或左或右，初则单窠，结在上或在下，重叠见之，是名重台 。
此证药不可疗，不可针灸。若是毒，行其肿痛，发渴生痰，万死一生，害人极速。初觉
有之，急用小犀角丸、粉金散治之。燕窠 ，形似燕窠，不可治。
程石香治法∶以火针刺入核中，不可透底，纳蟾酥膏于中，外用绿云膏贴之，三日
后，取去核中稠脓，脓尽取去核外薄膜，先破初起之核一枚，以绝其源。服药后出者皆
愈，或不肯收，如银杏者，尽皆开了，用药取之。其自溃者，犹如木果之腐熟，肉虽溃
而核犹存，故脓水淋漓，久虽得愈，治者用铁烙烧赤，烙去其破核犹存者并肉溃处；次
用金宝膏、龙珠膏等药，追去蠹恶之根，遂能长肉而愈。随经络证候，服除风热兼引经
Zhiqiao (Bitter Orange Fruit, removed pith, stir-fried with flour) Qian Niu Zi (Pharbitidis Semen, stir-fried, take the first powder) Muxiang (Aucklandiae Radix) Qingpi (Green Tangerine Peel, each one tael) Gancao (Licorice Root) Dahuang (Rhei Radix et Rhizoma)
The above ingredients are ground into fine powder. Select soap pods (Gleditsiae Fructus) about one chi in length, three stalks (approximately three taels), roast until charred and crush. Boil in good wine until soft, squeeze to extract juice, and simmer into a thick, sticky paste. Mix with the aforementioned drug powder to make pills, sized like Sophora japonica seeds. Take thirty to fifty pills per dose, after meals, with scallion tea. Administer twice daily.
Neixiao Wan (Internal Resolution Pill): Treats early-stage carbuncles and swellings, as well as scrofula tubercles, where heat-toxin is stagnant; administration leads to internal resolution, with great efficacy.
Qingpi (Green Tangerine Peel) Chenpi (Aged Tangerine Peel, each two taels) Qian Niu Zi (Pharbitidis Semen, eight taels, take the first powder, two taels) Bohe Ye (Menthae Haplocalycis Folium, eight taels) Zaojiao (Gleditsiae Fructus, eight taels, select non-borer ones, remove coarse skin, crush, boil in ten dou of cold water until extremely soft, squeeze juice, remove dregs, simmer into paste)
Mix the powders of Qingpi and Chenpi with Qian Niu Zi powder evenly. Use the aforementioned paste to form pills, sized like mung beans. Take thirty pills per dose, after meals, with Schizonepeta, clear tea, or warm water.
Bixiao San (Must-Efficacious Powder): Treats scrofula where qi and blood are not deficient, but internal nodules remain unresolved.
Nan Pengsha (South Borax, two qian half) Qingfen (Calomelas, one qian) Shexiang (Moschus, five fen) Badou (Crotonis Fructus, five kernels, remove heart membrane) Baibinglang (Arecae Betel Nut, one) Banmao (Mylabris, fourteen pieces, remove feet and wings, stir-fry with glutinous rice)
Grind the above six ingredients into an extremely fine powder. Take two chicken eggs, discard yolks, use only whites to mix the medicine, return to the shell. Seal with several layers of wet paper, steam in a rice steamer until cooked, take out, dry in sun, and grind into powder. For deficiency patterns, take half a qian; for excess patterns, take one qian, mixed with stir-fried ginger wine at dawn (wugeng). If lower abdominal pain occurs, take one dose of Yiyuan San; toxins will be expelled via stool. Pregnant women must not ingest. After toxin removal, frequently administer Yiqi Yangrong Tang; the wound will heal naturally.
(The *Jingyao* states: Treating scrofula with Bixiao San and Gualou San alternately yields miraculous effects. Later, some used Bixiao San indiscriminately regardless of deficiency or excess, unaware that Banmao is potent and highly toxic, promoting urination and breaking blood, severely damaging yuan qi. If qi and blood are excess, using this to attack pathogens followed by tonics may cure. If deficiency uses this, or employs cauterizing agents, although necrotic flesh is removed, the wound fails to close, leading to untreatable conditions.)
Jiming San (Crowing Rooster Powder): Treats qi stagnation pain and heat-toxin tubercles, or cases with much irritability, heat, and no chills.
Qian Niu Zi (Pharbitidis Semen, one tael) Hufen (Lead White, one qian) Dahuang (Rhei Radix et Rhizoma, steamed, two qian) Puxiao (Mirabilitum, refined powder, three qian)
Grind into fine powder. Take three qian per dose at Jiming time (pre-dawn), mixed with well water. Stop when bowel movement occurs. If not loose, take again.
Fazhi Lingji Dan (Processed Spirit Chicken Egg): Treats scrofula and machete-shaped swellings arising in the axilla.
Banmao (Mylabris, seven pieces, remove head, wings, feet)
Crack open the top of one chicken egg slightly, insert medicine, seal with paper, steam on rice until cooked. Remove, peel shell, cut open, discard medicine. At dawn on an empty stomach, chew with rice. When urination becomes smooth, urine resembling rice wash water and lipid-like substance indicates efficacy. If bowel or bladder obstruction persists, take Hubo San (Amber Powder) two to three doses to promote flow. Then frequently take the following two medicines for best results.
Miaoling San (Wonderful Efficacy Powder): After taking previous medicines, alternate this powder with Lianqiao Wan (Forsythia Pill) for frequent use until healing.
Muxiang (Aucklandiae Radix, three qian) Chenxiang (Aquilariae Lignum Resinatum, two qian) Niuxi (Achyranthis Bidentatae Radix) Heshouwu (Polygoni Multiflori Radix) Danggui (Angelicae Sinensis Radix) Haipiaoxiao (Sepiae Endoconcha) Sangjisheng (Taxilli Caulis, each one tael) Haizao (Sargassum, two taels) Haidai (Eckloniae Thallus) Qingxiangzi (Lepidii Semen) Kunbu (Laminariae Thallus) Gancao Jie (Licorice Joint, each half tael)
Grind into powder. Take two to three qian per dose, after meals, mixed with warm wine.
Neixiao Lianqiang Wan (Internal Resolution Forsythia and Qianghuo Pill)
Lianqiao (Forsythiae Fructus, three taels) Loulu (Euphorbiae Humifusae Herba) Hutao Ren (Juglandis Semen) Xiakucao (Prunellae Spica) Tuguagen (Polymniae Radix) Shegan (Belamcandae Rhizoma) Zelan (Lycopersici Herba) Shashen (Glehniae Radix) Baiji (Bletillae Rhizoma, each one tael half)
Grind into powder, add Hutao Ren and grind evenly. Use wine paste to form pills, sized like Sophora japonica seeds. Take thirty to fifty pills per dose, before meals on an empty stomach, with salted wine.
Yuxie Miaoling San (Jade Dust Wonderful Efficacy Powder)
Huashi (Talcum, finely ground into powder)
Take three qian per dose. Decoct Chuan Mutong (Akebiae Caulis) soup, mix and take.
Liuding Shen San (Six Ding Divine Powder)
Kudingxiang (Stemona Radix, six pieces, or weigh half a qian) Baidingxiang (Vomeris Os, one qian) Kushen Mo (Stemoniae Radix powder, five fen) Modao Ni (Whetstone Mud, green stone is best, named Longquan Fen) Chixiaodou (Adzuki Bean) Baijiangcan (Bombyx Batryticatus, remove silk mouth, stir-fried, each one qian) Da Banmao (Large Mylabris, seven pieces, remove head and feet, stir-fry)
Roast the above six ingredients together, grind into fine powder. Take one qian weight per dose, on an empty stomach, mixed with unadulterated wine.
Bohe Dan (Mint Pill): Resolves scrofula, allowing wind-heat toxin to exit via urine. Should be taken frequently after toxin removal.
Dubohe (Wild Mint) Zaojiao (Gleditsiae Fructus, non-borer, remove strings and skin) Lianqiao (Forsythiae Fructus) Heshouwu (Polygoni Multiflori Radix, soaked in rice wash water) Manjingzi (Viticis Fructus) Jingsanleng (Curcumae Radix, baked) Jingjie (Schizonepetae Spica, each one tael)
Grind into powder. Hao Chi (Fermented Soybean) two taels half, boil in rice vinegar until bubbling, sprinkle over Chi to soften, grind into paste, mix with pill base, size like Sophora japonica seeds. Take thirty pills per dose, after meals with cooked water, once daily. Continue even after cure.
Sisheng San (Four Sages Powder): Treats scrofula. After taking Baihua She San (White Flower Snake Powder) promotes flow, take this medicine to regulate, permanently removing the root.
Haizao (Sargassum, washed) Shijueming (Haliotidis Concha, roasted) Qianghuo (Notopterygii Rhizoma et Radix) Qumai Sui (Persicae Carpidium, equal parts)
Grind all into fine powder. Take two qian per dose, mixed with rice soup, drink clear water to measure dosage.
Qumai Yinzi (Persicae Carpidium Decoction): Treats scrofula, machete-shaped swellings.
Qumai Sui (Persicae Carpidium, half jin) Lianqiao (Forsythiae Fructus, one jin)
Grind into coarse powder. Decoct in water, take before bed. This medicine is effective but slow-acting; expect long-term usage for complete resolution.
Haicai Wan (Seaweed Vegetable Pill): Treats lesions connecting on head and neck, named Shepan Yang (Snake-Coiling Ulcer); treat early.
Haizao Cai (Seaweed Vegetable, stir-fried with buckwheat) Baijiangcan (Bombyx Batryticatus, lightly stir-fried, remove silk mouth)
Grind equally into fine powder. Haizao Cai should be freshly stir-fried and ground/sifted. Soak white plum in hot water, take flesh, use half amount. Use soaking water to form pills, size like Sophora japonica seeds. Take sixty to seventy pills per dose, after meals and before bed, with rice drink. Toxin exits via stool; co-administration with Dancai (Edible Mussel) is excellent, as Dancai grows on seaweed and treats this disease too. Avoid tofu, chicken, mutton, alcohol, and wheat noodles; take five to six times daily.
Binglang San (Areca Nut Powder): Treats qi-toxin scrofula, chest diaphragm fullness/stuffiness, inability to eat.
Binglang (Arecae Semen) Qianhu (Peucedani Radix, remove rhizome) Chi Fuling (Poria with Red Heart) Niubangzi (Arctii Fructus, stir-fried, each one tael) Renshen (Ginseng Radix, remove rhizome) Zhike (Aurantii Fructus, remove pith, stir-fried) Chenxiang (Aquilariae Lignum Resinatum) Fangfeng (Saposhnikoviae Radix, remove rhizome, each half tael) Gancao (Licorice Root, honey-fried, two qian half)
Cut into small pieces. Take four qian per dose, with one cup of water, add half a piece of ginger, decoct to six-tenths, remove dregs. Take warm on empty stomach and before evening meal.
Zaojiao Jian Wan (Soap Pod Decoction Pill): Treats wind-toxin, scrofula.
Zaojiao (Gleditsiae Fructus, non-borer, thirty stalks: ten soaked until black, ten fried with butter, ten boiled in one cup water until soft, squeezed for juice) Heshouwu (Polygoni Multiflori Radix) Xuanshen (Scrophulariae Radix) Bohe Ye (Menthae Haplocalycis Folium, each four taels)
Grind into fine powder. Simmer Zaojiao juice into paste, mix with refined honey to form pills, size like pea. Take thirty to forty pills per dose, after meals, with warm water.
Qufeng Wan (Wind-Expelling Pill, also known as Heshouwu Wan): Treats wind-toxin. Scrofula.
Heshouwu (Polygoni Multiflori Radix, steamed) Gan Bohe Ye (Dried Mint Leaf) Xuanshen (Scrophulariae Radix, each four taels, ground into powder)
Jing Yangrou (Lean Mutton, half jin) Zaojiao (Thirty stalks: ten fire-roasted nearly burnt, ten butter-fried removing skin, ten water-extracted juice, filtered)
Boil meat in Zaojiao water until tender, grind finely, mix with medicine to form pills, size like Sophora japonica seeds. Take twenty pills per dose, on empty stomach with warm wine or mint tea.
Jianggong Wan (Crimson Palace Pill)
Dahuang (Rhei Radix et Rhizoma, wine-steamed) Baizhu (Atractylodis Macrocephalae Rhizoma, each two taels) Shanzha (Crataegi Fructus) Lianqiao (Forsythiae Fructus) Chuanxiong (Ligustici Chuanxiong Rhizoma) Danggui (Angelicae Sinensis Radix, wine-washed) Maiya (Hordei Fructus Germinatus) Taoren (Persicae Semen) Lvhua (Aloe) Gancao (Licorice Root) Yuntaizi (Brassicae Pekinensis Semen, each one tael) Huanglian (Coptidis Rhizoma, wine-soaked) Nanxing (Arisaematis Rhizoma, wine-soaked) Haizao (Sargassum, wine-washed, each one tael half) Shengma (Cimicifugae Rhizoma) Qianghuo (Notopterygii Rhizoma et Radix) Jiegeng (Platycodonis Radix) Fangfeng (Saposhnikoviae Radix, each half tael) Huangqin (Scutellariae Radix, wine-stir-fried, half tael)
Grind into powder, use Shenqu (Medicated Leaven) paste to form pills. If ulcerated, add one tael of Renshen, decoct into paste, cook with Gancao Jie and Baijiangcan.
Treating Scrofula Tubercle Pills
Huangqi (Astragali Radix, seven fen) Xuanshen (Scrophulariae Radix, eight fen) Kushen (Sophorae Flavescentis Radix) Niubangzi (Arctii Fructus, nine fen each) Zhishi (Aurantii Fructus Immaturus, stir-fried) Dahuang (Rhei Radix et Rhizoma) Lingyangjiao Xie (Saigae Tataricae Cornu) Maidong (Ophiopogonis Radix, remove heart, five fen each) Lianqiao (Forsythiae Fructus) Renshen (Ginseng Radix, remove rhizome) Qingmuxiang (Illicii Aromati Radix) Cangerzi (Xanthii Fructus) Shengma (Cimicifugae Rhizoma) Fuling (Poria) Gancao (Licorice Root, honey-fried) Guixin (Cinnamomi Ramulus) Puxiao (Mirabilitum, four fen each)
Grind into fine powder, mix with refined honey to form pills, size like Sophora japonica seeds. Take ten pills with wine, three to four times day and night, gradually increase to twenty to thirty pills, stop when effect is felt. Avoid raw/cold foods, pork, seaweed, Chinese cabbage, raw scallions, sour garlic, stale/odorous items.
Shuihonghua Yin (Red Flower Water Drink): Treats scrofula, swollen hard nodules not resolving, and suppurating wounds failing to heal.
Shuihonghua (Alternanthera Philoxeroides, any amount, half stir-fried, half raw)
Coarsely crush and sift. Take two qian per dose, with one cup of water, decoct to seven-tenths, remove dregs. Take warm after meals and before bed, three times daily. Can also be mixed with good wine.
Another Prescription
Muli (Ostreae Concha, any amount, deep-buried in ash, covered with three jin charcoal, intense fire until red, take half jin, grind into fine powder) Gancao (Licorice Root, take powder, two taels)
Grind evenly. Take two qian per dose, far from meals, mixed with high-quality tea, twice daily. Avoid fish, alcohol, soy sauce, salt/oil, seafood.
Treating Moving Masses on Neck
Xiakucao (Prunellae Spica, six qian) Gancao (Licorice Root, one qian)
Grind each separately into powder, mix evenly. Take one to two qian per dose, mixed with clear tea, after meals.
Academician Xu stated: Xiakucao greatly treats scrofula, dissipates knotting qi, has merit in nourishing Jueyin blood vessels, though classics do not mention it. Observing its ability to resolve chills and fever, deficiency patterns can rely on it. For excess patterns, assist with dispersing medicines, apply external moxibustion, and gradual efficacy is achieved. This herb flowers in March-April, withers near Summer Solstice, possessing pure yang qi, withering upon receiving yin. People do not understand this, so I highlight it.
*Bbenshi Fang* treats rat scrofula and scrofula.
Tu Fuzi (Earth Aconite Child Root, one piece) Shiyen (Rock Salt, three sheng) Xiaobian (Urine, five sheng)
Soak the three ingredients together for fifteen days, take out, remove black skin of Fuzi, dry in shade, grind into powder. Cook black beans until rotten, grind into paste, mix with Fuzi powder to form pills, size like Sophora japonica seeds. Take ten pills per dose, swallowed with wine, morning and evening.
Effective Prescription for All Men and Women with Scrofula: Use one weight of Muli, roast red-hot with charcoal, take out, place on wet ground lined with paper to remove fire toxicity overnight. Take four taels, Xuanshen three taels, pound and sieve into powder, use flour paste to form pills, size like Sophora japonica seeds. Take thirty pills after morning/evening meals and before bed, swallowed with wine. As medicine finishes, root is removed.
*Zhouhou Fang* treats submandibular scrofula the size of a plum seed, should be resolved quickly. Haizao one jin, wine one sheng, soak for several days, drink slowly.
[Yan] Take Liaozimi (Polygoni Avicularis Fructus), lightly stir-fry and grind into fine powder. Mix with Bohe Jiu (Mint Wine), take two to three qian, treats scrofula, effective over time.
Chu Yushi treated scrofula using Yehe Cao (Albiziae Corolla), whose leaves close at night. Named Heming in Materia Medica, colloquially Lianqianmu. Grows in grain fields, floating on water surface. Take leaves, crush to extract natural juice, ingest. Dregs applied to affected area effective.
Baoming Wenwu Gao (Preserve Life Civil-Martial Paste): Treats scrofula. Use two dou of ripe black mulberries, squeeze juice through cloth bag, simmer in stone vessel into paste. Dissolve one spoonful in white water, take three times daily. Red ones dried and ground into powder, mixed with water.
*Shenghui Fang* treats scrofula swelling/pain, chronic and unhealed. Use badger head, hooves, bones, fry in butter until yellow, pound and sieve into powder. Daily on empty stomach, mix with porridge drink, take one qian bi.
Po Jie San (Break Knots Powder, from *Dacheng*): Treats stone goiter, qi goiter, blood goiter, flesh goiter, machete-shaped swellings, scrofula etc.
Haizao (Sargassum, washed with wine) Longdancao (Gentianae Radix, washed with wine) Hai Ge Fen (Clam Shell Powder) Tongcao (Tetrapanacis Medulla) Beimu (Fritillariae Bulbus, remove heart) Fanshi (Alumen, calcined) Kunbu (Laminariae Thallus, washed with wine) Songluo (Usnea, each three qian, now replaced with Sangjisheng, effective) Maiqu (Wheat Medicated Leaven, stir-fried, four qian) Banxia Qu (Pinelliae Medicated Leaven, two qian)
Grind into fine powder. Take two qian per dose, mixed with hot wine after meals. Avoid Gancao, crucian carp, chicken meat, five pungents, raw fruits.
Someone had a disease on neck, large as eggplant. tidal fever, no appetite, emaciated for long time, hundred methods ineffective. Later obtained this prescription, remove Songluo, add real Sangjisheng double amount. After five doses, sore softened and dispersed, fever subsided, healed. Repeatedly tested on several people, all effective.
Yiqi Yangrong Tang (Benefit Qi Nourish Blood Decoction): Treats depression, or qi/blood injury, swelling on limbs/neck, regardless of hardness/softness, red/white swelling/pain, or ulcerated non-healing.
Renshen (Ginseng Radix) Fuling (Poria) Chenpi (Aged Tangerine Peel) Beimu (Fritillariae Bulbus) Xiangfuzi (Cyperi Rhizoma) Danggui (Angelicae Sinensis Radix, mixed with wine) Chuanxiong (Ligustici Chuanxiong Rhizoma) Huangqi (Astragali Radix, mixed with salt water, stir-fried) Shudihuang (Rehmanniae Radix Praeparata, mixed with wine) Shaoyao (Paeoniae Radix, stir-fried, each one qian) Gancao (Licorice Root, honey-fried) Jiegeng (Platycodonis Radix, each five fen) Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried, two qian) Chaihu (Bupleuri Radix, six fen)
Decoct with ginger water.
Sanzhong Kuijian Wan (Disperse Swelling Harden-Unbind Pill): Treats scrofula, machete-shaped sores. If Yiqi Yangrong Tang fails to resolve, take this pill for five days, then Yiqi Tang for five days, alternating. If ineffective, apply Zhentou San (Needle Head Powder).
Zhimu (Anemarrhenae Rhizoma) Huangbai (Phellodendri Cortex, each wine-mixed, stir-fried) Gualougen (Trichosanthis Radix, wine-mixed) Kunbu (Laminariae Thallus, wine-washed, stir-fried) Jiegeng (Platycodonis Radix) Pengzhu (Curcumae Phaeocaulis Rhizoma, wine-mixed, stir-fried) Lianqiao (Forsythiae Fructus) Huanglian (Coptidis Rhizoma, stir-fried) Jingsanleng (Curcumae Radix, wine-mixed, stir-fried) Gegen (Puerariae Radix) Baishaoyao (Paeoniae Radix Alba, each three qian)
Shengma (Cimicifugae Rhizoma) Dangguiwei (Angelicae Sinensis Radix Tail, wine-mixed) Chaihu (Bupleuri Radix) Gancao (Licorice Root, each three taels) Caolongdan (Gentianae Macrophyllae Radix, four taels, wine-stir-fried) Huangqin (Scutellariae Radix, one qian half, half wine-stir-fried, half raw)
Grind into fine powder, refine honey to form pills, size like mung beans. Take one hundred or one hundred fifty pills per dose, with boiling water.
Another Treatment for Scrofula
Renshen (Ginseng Radix) Baizhu (Atractylodis Macrocephalae Rhizoma) Danggui (Angelicae Sinensis Radix) Chenpi (Aged Tangerine Peel) Shaoyao (Paeoniae Radix, wine-soaked, each one qian) Chuanxiong (Ligustici Chuanxiong Rhizoma) Xiangfuzi (Cyperi Rhizoma) Fuling (Poria) Banxia (Pinelliae Rhizoma, each five fen) Gancao (Licorice Root, small amount)
Make one dose. Two slices of ginger, decoct Jin Yin Teng (Lonicerae Japonicae Caulis) soup one and a half cups, decoct previous medicine, after meals, swallow Jianggong Wan fifty pills (formula seen previously).
Buyin Bazhen Tang (Nourish Yin Eight Treasures Decoction): Treats scrofula and similar sores belonging to Foot Three Yin deficiency.
Danggui (Angelicae Sinensis Radix) Chuanxiong (Ligustici Chuanxiong Rhizoma) Shudihuang (Rehmanniae Radix Praeparata) Shaoyao (Paeoniae Radix) Renshen (Ginseng Radix) Baizhu (Atractylodis Macrocephalae Rhizoma) Fuling (Poria) Gancao (Licorice Root) Huangbai (Phellodendri Cortex, wine-stir-fried black) Zhimu (Anemarrhenae Rhizoma, wine-stir-fried, each seven fen)
Decoct in water.
Xiajucao Tang (Prunella Decoction): Treats scrofula, machete-shaped swellings, whether ulcerated or not, or chronic fistula. Use six taels of Xiakucao, two cups of water, decoct to seven-tenths, remove dregs, take far from meals. This is a sacred medicine generating blood and treating scrofula. For severe deficiency, decoct into thick paste, take and apply to affected area; more is better. Combined with Shiquan Dabu Tang adding Xiangfuzi, Beimu, Yuanzhi is especially good.
Chu Yushi said: Scrofula mostly arises on shoulders/neck, red or white, sinking or floating. Initially like bean, later like kernel, over years grows like plum or chicken egg, arranged in rows, two-three or six-seven in number, colloquially called Pan She Chuan (Coiling Snake String). Straining nature, excessive thinking leads to painful red swelling. Early treatment is superior.
Liuzhu Yang (Flowing Abscess Ulcer) is common in women. Nature is irritable, qi is depressed, mind is fixed. Initially on neck, after rupture pus flows to limbs/body, toxic knots like plum/prune, untreated self-rupture, holes penetrate, chills/fever/pain, or flowing pus, named Liuzhu Yang, also Qiansui Chuang (Thousand Year Sore). Should take Tuoli Jiuku Shenying Wan (Support Interior Save Suffering Divine Response Pill).
Chuan Wu Fu (Chuanwu Child Root, remove skin/navel, raw) Danggui (Angelicae Sinensis Radix, wine-soaked overnight) Moyao (Myrrha) Baizhi (Angelicae Dahuricae Radix) Chenpi (Aged Tangerine Peel) Gancao Jie (Licorice Joint, each one tael) Wutou (Aconiti Lateralis Radix Praeparata, five taels) Jianghuang (Curcumae Longae Rhizoma, one tael half) Chantui (Cicadae Periostracum, washed, half tael) Da Zaojiao (Large Soap Pod, seven cakes, remove skin/strings)
Crush Zaojiao, four big bowls of water, decoct to two big bowls, filter dregs. Use juice to boil Wutou and Chuanwu until rotten, pound into mud. Other drugs ground separately, mix with Wutou mud to form pills, size like Sophora japonica seeds. Take sixty pills per dose, with mint tea regardless of hunger/fullness. If sore ruptures, piercing holes, swelling flesh like finger appears there, black or white, due to wind/qi struggle, use wind-dispelling meridian-regulating qi-scattering agents, Huqi Tiaojing Tang (Regulate Qi Regulate Meridian Decoction) as main treatment.
Huqi Tiaojing Tang (Regulate Qi Regulate Meridian Decoction): Alternate with Shenying Wan, treat flowing abscess scrofula.
Xiangfuzi (Cyperi Rhizoma, wine-soaked overnight, sun-dried) Qianghuo (Notopterygii Rhizoma et Radix) Baizhi (Angelicae Dahuricae Radix, each one tael) Muli (Ostreae Concha, fire-calcined) Gancao (Licorice Root) Tianhuafen (Trichosanthis Radix) Zaojiao Ci (Gleditsiae Spina, each half tael) Jupi (Citri Reticulatae Pericarpium, two taels)
Grind into fine powder. Take two qian per dose, with white water, anytime, mixed and taken, three times daily. If pulse is forceful, first use Zhuidu Shenyi Tang (Extract Toxin Divine Difference Decoction), then take Jiuku Shenying Wan (Save Suffering Divine Response Pill).
Zhuidu Shenyi Tang (Extract Toxin Divine Difference Decoction)
Chensha (Cinnabaris) Xuejie (Santalum Rubrum, each one qian) Shexiang (Moschus, one zi, grind together fine) Dahuang (Rhei Radix et Rhizoma) Da Gancao Jie (Large Licorice Joint, each half tael, chop together)
Chop into pieces. One cup river water, decoct to half cup, mix with previous powder, take before bed.
Dan Ke (Single Cavity) refers to single nodule, arising on strong neck, hardest to treat. Should take previous medicines, resolves over time. Arising on fontanelle also hard to treat, use toxic drugs, do not let soak long. Lotus seed pod containing ten-plus seeds, arising left/right of neck, movable by touch, still treatable with medicine. If hard immobile, cannot survive, aversion to cold/fever, irritability/thirst, such cases extremely hard to treat, even divine sages helpless.
Chongtai (Double Terrace) scrofula, arises on neck, left or right, initially single cavity, knotting upper or lower, overlapping visible, named Chongtai Scrofula. This condition medicine cannot treat, acupuncture/moxibustion contraindicated. If toxic, spreading swelling/pain, thirst/phlegm generation, death likely, harming rapidly. Upon initial sensation, urgently treat with Xiaoxijiao Wan (Small Rhinoceros Horn Pill), Fenjin San (Powder Gold Powder). Yanke (Swallow's Nest) scrofula, shape like swallow nest, untreatable.
Cheng Shixiang treatment method: Use fire needle pierce into nodule, do not penetrate bottom, insert Chansu Gao (Toad Venom Paste) inside, externally apply Lvyun Gao (Green Cloud Paste). After three days, remove thick pus from nodule, when pus exhausted remove outer membrane of nodule. First rupture initial nodule to cut off source. Medicines taken afterward heal all emerging ones, or if refusing to close, like ginkgo nuts, all opened, use medicine to extract. Self-ulcerated ones, like rotting wood fruit, flesh ulcerated but nodule remains, thus pus/drainage continuous. Though heals eventually, practitioner uses red-hot iron烙 (cautery iron) to burn away remaining broken nodule and ulcerated flesh; next use Jinbao Gao (Gold Treasure Paste), Longzhu Gao (Dragon Pearl Paste) etc., chase away evil roots, thereby flesh grows and heals. Follow meridians/syndrome, take wind-heat dispelling plus channel-guiding