人有生痰块于颈项,坚硬如石,久则变成瘰 ,流脓流血,一块未消,一块复
长,未几又溃,或耳下,或缺盆,或肩上下,有流出患走之状,故名鼠疮,又名串
疮,言其如鼠之能穿也。世人谓其食鼠窃余物,以成此症,而不尽然也。盖瘰 之
症,多起于痰,而痰块之生,多起于郁,未有不郁而能生痰,未有无痰而能成瘰
者也。故治瘰 之法,必须以开郁为主。然郁久则气血必耗,况流脓流血,则气血
更亏,徒消其痰,不解其郁,但开其郁,而不化痰,皆虚其虚也,不能奏功。方用
消串丹∶
白芍(一两) 白术(一两) 柴胡(二钱) 天花粉(三钱) 茯苓(五钱) 陈皮(一钱)
附子(一片) 甘草(一钱) 蒲公英(三钱) 紫贝天葵(五钱) 水煎服。连服八剂而痰
块渐消,再服十剂而瘰 尽化,再服一月全愈。愈后可服六君子汤,以为善后之计,断不再发。
此方妙在蒲公英与紫贝天葵为消串之神药,然非佐之以白芍、柴胡则肝木不平,
非辅之以白术、茯苓则脾胃之土不健,何以胜攻痰破块之烈哉,惟有攻有补,则调
济咸宜。得附子之力,以引群药直捣中坚,所以能愈宿疾沉 于旦夕耳。
人有久生瘰 ,两颈之间尽多溃烂,胸膈之上无非痰块,已有头破欲腐者,遂
至身体发热发寒,肌肉消瘦,饮食少思,盗汗自汗,惊悸恍惚,此等症原系难医,
然治之有法,尚可救也。大约瘰 初起,宜解郁为先,而佐之补虚,以消其毒。倘
执寻常治法,以祛痰败毒为事,鲜不速死。方用转败丹∶
人参(一两) 柴胡(二钱) 白芍(三钱) 金银花(三两) 当归(二两) 半夏(五钱)
白术(一两) 生甘草(三钱) 水煎服。四剂而胸间之痰块尽消,再服四剂而颈上溃烂亦愈。
将前方减半,再服十剂,疮口悉平,不再发也。
此方补多于消,而开郁寓于中,化痰存其内。世人从未有知此法者,但一味攻
毒,所以愈攻而愈坏也。曷不以此方试之哉,杀运无穷,神力难信,世见此等治法,
无不惊走辟易。否则,且有刺讥讪笑,摘吾方之过奇,谓大言不惭,何可为训。孰
知却是祛病之仙,夺命之异药哉。予不胜掩卷而三叹也。
A person may develop phlegm nodules in the neck and throat area, hard as stone. Over time, these transform into Scrofula (tuberculosis of cervical lymph nodes), discharging pus and blood. As one nodule fails to resolve, another grows; soon after, it ulcerates. The lesions may appear below the ear, in the supraclavicular fossa (Quepen), or above and below the shoulder, exhibiting a migratory pattern resembling a rat burrowing, hence named "Rat Sore" (Shu Chuang) or "String Sore" (Chuan Chuang), indicating its ability to spread like a rat piercing through holes. People often attribute this condition to eating food remnants stolen by rats, but this is not entirely accurate. In fact, Scrofula mostly originates from Phlegm-Dampness, and the formation of phlegm nodles mostly stems from Qi Stagnation. There is no generation of Phlegm without Stagnation, nor is there Scrofula without Phlegm. Therefore, the treatment for Scrofula must primarily focus on resolving Stagnation. However, prolonged Stagnation inevitably consumes Qi and Blood. Moreover, with the discharge of pus and blood, Qi and Blood are further depleted. Merely eliminating Phlegm without resolving Stagnation, or only resolving Stagnation without transforming Phlegm, will only further weaken the healthy Qi, failing to achieve efficacy. The prescription used is Xiao Chuan Dan:
Bai Shao (Radix Paeoniae Alba, 1 liang), Bai Zhu (Rhizoma Atractylodis Macrocephalae, 1 liang), Chai Hu (Radix Bupleuri, 2 qian), Tian Hua Fen (Radix Trichosanthis, 3 qian), Fu Ling (Poria, 5 qian), Chen Pi (Pericarpium Citri Reticulatae, 1 qian), Fu Zi (Radix Aconiti Lateralis Preparata, 1 slice), Gan Cao (Radix Glycyrrhizae, 1 qian), Pu Gong Ying (Herba Taraxaci, 3 qian), Zi Bei Tian Kui (Tuber Anemarrhenae Asphodeloides et Rhizoma Verbenae, 5 qian). Decoct in water and take orally. After taking eight doses consecutively, the phlegm nodules gradually subside; after ten more doses, the Scrofula completely resolves; after one month of continued intake, full recovery is achieved. For post-recovery care, Liu Jun Zi Tang (Six Gentlemen Decoction) can be taken to prevent recurrence.
The brilliance of this formula lies in Pu Gong Ying and Zi Bei Tian Kui being divine herbs for eliminating String Sores. However, without Bai Shao and Chai Hu to soothe the Liver Wood (regulate Liver function to prevent excessive Liver Qi), the Liver Qi would not harmonize. Without Bai Zhu and Fu Ling to strengthen the Spleen Earth, the Spleen and Stomach functions would not be robust, making it impossible to withstand the potent action of attacking Phlegm and breaking masses. Only by combining attack (dispersing pathogens) with tonification can balance be maintained. With the assistance of Fu Zi guiding the other herbs directly to the core of the disease, chronic ailments can be cured in a short time.
Some individuals suffer from long-standing Scrofula, with extensive ulceration between both necks and numerous phlegm masses above the chest and diaphragm. Some lesions have broken heads and are nearing putrefaction. This leads to fever and chills, emaciation, poor appetite, night sweats (Dao Han), spontaneous sweating (Zi Han), palpitations, and mental restlessness. These symptoms are originally difficult to treat, yet they can still be saved if treated correctly. Generally, for early-stage Scrofula, resolving Stagnation should be prioritized, assisted by tonifying deficiency to eliminate toxicity. If one adheres to conventional methods focusing solely on expelling Phlegm and defeating toxicity, death often follows rapidly. The prescription used is Zhuan Bai Dan:
Ren Shen (Radix Ginseng, 1 liang), Chai Hu (Radix Bupleuri, 2 qian), Bai Shao (Radix Paeoniae Alba, 3 qian), Yin Hua Jin (Flos Lonicerae Japonicae, 3 liang), Dang Gui (Radix Angelicae Sinensis, 2 liang), Ban Xia (Rhizoma Pinelliae Preparata, 5 qian), Bai Zhu (Rhizoma Atractylodis Macrocephalae, 1 liang), Sheng Gan Cao (Raw Radix Glycyrrhizae, 3 qian). Decoct in water and take orally. After four doses, the phlegm masses in the chest disappear; after four more doses, the neck ulcers heal. Reduce the dosage of the previous formula by half and take for ten more doses until the wound surfaces are flat and no longer recur.
This formula emphasizes tonification over dispersion, embedding the resolution of Stagnation within the dispersive action and retaining supportive measures within the Phlegm-transforming strategy. Few people in the world know this method; they merely attack toxicity indiscriminately, causing the condition to worsen with each attack. Why not try this formula? Fate is unpredictable, and miraculous powers are hard to believe. When people see such treatments, they are often terrified and retreat. Otherwise, they might mock and ridicule, criticizing the formula as too bizarre and claiming it is boastful and unteachable. Little do they know that this is actually an immortal herb for curing diseases and a miraculous medicine for saving lives. I cannot help but sigh three times while closing the book.