大迎、五里、臂 、主寒热。颈瘰 。(千)大迎、治寒热。颈痛瘰 。(铜)缺盆、
治寒
热瘰 。缺盆中肿。外溃则生。胸中热满。腹大。水气。缺盆中痛。汗出。(明同。)五里
、治寒热瘰 咳嗽。臂 、治寒热。颈项急。瘰 。肩背痛不得举。少海、疗腋下瘰
臂疼屈伸不得。风痹疼疰病。(明)天牖、疗瘰 寒热。颈有积气。暴聋肩痛。(下)灸一
切瘰 在项上。及触处但有肉结凝。似作 及痈疖者。以独头蒜截两头留心。大作艾炷如蒜
大小。贴 子上灸之。勿令上破肉。但取热而已。七壮一易蒜。日日灸之。取消止。一切瘰
。灸两胯里患 处宛宛中。日一壮止。神验。又五里、人迎各三十壮。又患人背两边腋下
后文上。随年壮。又耳后发际直脉七壮。
有同舍项上患 。人教用忍冬草研细。酒与水煎服。以滓敷而愈。(详见良方。)次年复
生。用前药不效。以艾灸之而除根。有小儿耳后生 。用药敷不效。亦灸之而愈云。
瘰 初生如梅李。切忌以毒药点蚀。及针刀镰割。劳 为甚。既经蚀取之。后无有不死
者。
盖外医既少慈悲。又利于积日。特宜戒之。(必) 疡着颈及胸前。灸乳间。(见白驳。)
腋下瘰 漏。臂疼屈伸不得。风痹漏瘙。针少海三分。(留七呼。泻五吸。)针瘰 、先拄针
皮上三十六息。推针入。内之追核大小。勿出核。三上三下乃出针。颈漏、天池百壮。又心
鸠尾下宛宛中七十。又章门、临泣、支沟、阳辅、百壮。又肩井随年。又以艾炷绕四畔周匝
。七壮即止。诸恶漏中冷 肉出。灸足内踝上各三壮。二年者六壮。(千翼)
Daying (ST5), Wuli (LI21), and Binao (SI9) govern chills and fever, and scrofula of the neck. (Qian) Daying treats chills and fever, neck pain, and scrofula. (Tong) Quepen (SI13) treats chills and fever, scrofula. Swelling in the middle of Quepen; if it ulcerates externally, sores arise. Heat and fullness in the chest, abdominal distension, water qi accumulation, pain in the middle of Quepen, and sweating. (Ming is the same.) Wuli treats chills and fever, scrofula, and cough; Binao treats chills and fever, stiffness of the neck and nape, scrofula, shoulder and back pain with inability to lift the arm. Shaohai (HT3) treats scrofula in the axilla, arm pain, inability to flex and extend, wind-bi, and traveling pain diseases. (Ming) Tianyou (TE16) treats scrofula, chills and fever, accumulated qi in the neck, sudden deafness, and shoulder pain. (Xia) Moxibustion for all scrofula located on the neck, as well as any palpable nodules resembling tubercles or carbuncles. Use a single-clove garlic, cut off both ends but keep the center, make moxa cones the size of the garlic clove, place them on the lesion, and moxibustate without breaking the skin, only until heat is felt. Change the garlic after seven cones. Moxibustate daily until the scrofula disappears. For all scrofula, moxibustate the hollows in the inner aspect of both groins at the affected sites, one cone per day, which is miraculous. Alternatively, moxibustate Wuli and Renying (ST9) each thirty cones. Or, on both sides of the patient's back, behind the axillae, and above the wrist bones, use the number of cones corresponding to the patient's age. Or, moxibustate seven cones on the vessel directly below the hairline behind the ear.
A colleague had scrofula on his neck. Someone taught him to grind Honeysuckle Stem (Lonicerae Japonicae Caulis) into fine powder, decoct it with wine and water, drink the liquid, and apply the dregs topically, resulting in a cure. (See Liang Fang.) It recurred the next year. The previous medicine was ineffective. Root removal was achieved only by moxibustation. A child developed scrofula behind the ear. Topical medication was ineffective. It also healed after moxibustation.
When scrofula first appears, the size of a plum or apricot, strictly avoid using toxic drugs for cauterization, nor use needles, knives, or sickles for excision, as this leads to severe debilitation. Once treated with cauterization or surgery, death invariably follows later. This is because external physicians often lack compassion and benefit from prolonged treatment periods; this practice must be strictly avoided. (Bi) Ulcers adhering to the neck and anterior chest can be treated by moxibustating between the breasts. (See Bai Bo) Scrofulous fistula in the axilla, arm pain with inability to flex and extend, wind-bi fistula, and pruritus: needle Shaohai 0.3 cun deep. Retain the needle for seven breaths, employ reducing method for five breaths. When needling scrofula nodules, first rest the needle tip on the skin for thirty-six breaths, then push the needle in. The depth should follow the size of the nodule, but do not penetrate through the nodule. Perform three lifting and thrusting motions, then withdraw the needle. Neck fistula: moxibustate Tianchi (PC1) one hundred cones. Also moxibustate seventy cones in the hollow below Xinjiuwei (CV15). Also moxibustate Zhangmen (LR13), Zulinqi (GB41), Zhigou (TE6), and Yangfu (GB38), each one hundred cones. Also moxibustate Jianjing (GB21) according to the patient's age. Additionally, surround the perimeter of the lesion with moxa cones, stopping after seven cones. For various malignant fistulas with cold flesh protruding, moxibustate three cones on each side above the medial malleolus. For cases lasting two years, moxibustate six cones. (Qian Yi)