初起一核，渐大如拳，坚硬如石，急以阳和汤、犀黄丸，每日早晚轮服可消。如迟至大
如升斗者，仍如石硬不痛，日久现出红筋则不能治。若生斑片，溃烂在即，溃后即放血三日
而死。若现青筋可治，内服阳和汤，外用活商陆根捣烂加食盐些少敷之，数日作痒，半月皱
皮，日敷日软，有脓袋下垂，以银针穿破，用千金托里散加熟地、生 各一两，煎服十剂后
，用阳和解凝膏粘贴，空出针穿之眼，膏外用布捆紧，务使皮膜相连；内服十全大补汤或保
元汤（参、 俱生用），服至收功为止（各方见后），如毒瓦斯未尽、忌服补剂。此林屋山人秘
法
又方∶蛇皮贴之亦效。
大者称恶核，小者痰核，与石疽初起相同，然其寒疑甚结，毒根最深却不易溃。未溃之
前，忌贴凉膏，忌服凉药。内服阳和、犀黄丸可消，亦有以大田螺捣烂敷涂消之者。大忌开
刀。如已开刀，疮口坚硬即照痈毒杂治门疮口坚硬疼痛各方治之，仍内服温补托毒消痰之剂
，犀黄丸尽可收功，屡试神效。丸内有麝香，孕妇忌用（各方见后），此林屋山人秘法也。
此患多生肩胛以上。初起微肿，皮色不变，日久渐大，坚硬如石，推之不移，按之不动
，其症与石疽相同，急服石疽各方治之。
即疡子也。小者称瘰、大者称 。名色甚多，项前为痰瘰、项后为湿瘰，左右两侧形软
，遇怒即肿为气 ，坚硬筋缩为筋 ，若连如贯珠者为瘰 。又有马刀（长形者是），子母
重
云
而
凡瘰 未破者，用子龙丸（见后），每服三分，淡姜汤送下，每日三次，至消乃止。倘
小
器研
凡瘰 内有溃烂，间有成脓未溃者，亦有未成脓者，宜服犀黄丸（见后），止其已溃之
痛
服温
不堪之
丸药后皮
烂至咽喉
本人中指，
正中骨顶之
可），以膏药盖
外用荆芥煎汤洗
上各法，乃林屋
银黝膏∶治瘰 及一切无名肿毒，无论已破未破，并治腰痛，俱极神效。先用真麻油一
斤，慢火熬开，再下银黝四两，用桑枝不住搅动，俟青烟起时再下黄丹五两，熬至滴水成珠
，放水中一二月拔去火气，随症用布摊贴。
又方∶用铜钱一枚，和蜓蝣虫（即无壳蜗牛，俗名鼻涕虫）捣融，以铜化为止，敷之即
愈
又方∶黑铅三两，炒成炭，醋和匀摊旧布上贴之。一日一换，半月之后不痛不破，内消
而愈。
又方∶顶好陈醋熬至滴水成珠，加生半夏末一钱调匀敷之，过夜再换，两日即消，神效
又方∶夏枯草、金银花、蒲公英各五钱，酒水煎，时时当茶服之，名三妙散。治结核瘰
遍布脖项，服之十日即消。如若再发，即于肩 （穴在肩端两骨间）、曲池（穴在肘外辅
骨
俱
又方∶元参（蒸）、牡蛎（ 、醋炒）、贝母（去心，熏）各四两，共为末，炼蜜为丸。
每服
又方∶凡瘰 已破者，将先破处面糊作饼粘贴，用小砂壶二个，浇酒煎滚去酒，以热壶
口覆于面饼上熏疮，如拔火壶一样，壶冷再换一壶，如此数次，将毒瓦斯拔尽即愈。熏后用猪
胆熬成膏贴疮口，奇效。
又方，集成白玉丹∶专治瘰 破烂，连及胸腋，臭秽难闻，十数载不愈者，药到病起，
其效如神。新出窑锻石一块，滴水化开成粉，用真生桐油调匀，干湿得中，先以花椒、葱煎
汤洗净，以此敷之。
又方∶荆芥（要近根下一段，须向药店买回自取为真）剪碎煎汤，温洗良久，看烂破处
紫
以愈为度。凡瘰 延至胸前、腋下及两肩、颈项，不能转动，四五年不愈者皆治，其效如神
又方，冰蛳散∶大田螺五个（去壳、线穿晒干），白砒一钱二分（面裹煨熟），顶上牙色
梅
瘰
成饼
核自粘
又方∶红膏药、绿膏药（见痈毒诸方），未破能消，已破能拔出根核，均极神效。
又方∶瘰 破烂见有黑筋如铁线者，名铁线疡，最难医治。用物钳出筋头，缓缓扯出长
一二尺或数尺不等，总要筋根拔尽方可断根。
At the initial stage, a single nodule appears, gradually enlarging to the size of a fist, hard as stone. Immediately administer Yanghe Decoction (Yanghe Tang) and Xihuang Pill (Xihuang Wan), taken alternately morning and evening daily, which can resolve it. If treatment is delayed until the nodule is as large as a sheng or dou (ancient volume units), remaining hard as stone but painless, and red veins appear on the surface after a long time, it becomes incurable. If macules appear on the skin, ulceration is imminent; bleeding for three days after ulceration will lead to death. If blue veins appear, it is treatable: internally take Yanghe Decoction (Yanghe Tang); externally apply fresh Phytolaccae Radix (Shanglu, 商陆) mashed with a small amount of salt. After several days, itching occurs; after half a month, the skin wrinkles. Daily application softens the mass. When an abscess sac hangs down, puncture it with a silver needle. Then take Qianjin Tuoli San (Qianjin Tuoli Powder) plus Shudi Huang (Rehmanniae Radix Praeparata, 熟地黄) and Sheng Huangqi (Astragali Radix, 生黄芪) each at 1 liang, decocted and taken for ten doses. Afterwards, apply Yangjie Xiening Gao (Yangjie Xiening Plaster) externally, leaving the puncture site uncovered. Bind tightly with cloth to ensure the skin membrane remains connected. Internally take Shiquan Dabu Tang (Shiquan Dabu Decoction) or Baoyuan Tang (Baoyuan Decoction) (Renshen (Ginseng Radix, 人参) and Huangqi (Astragali Radix, 黄芪) both used raw). Continue taking until recovery (see formulas later). If toxic heat is not fully cleared, avoid tonifying agents. This is a secret method of Linwu Shanren.
Another prescription: Applying snake skin is also effective.
Large nodules are called E-he (Malignant Nucleus), small ones Tan-he (Phlegm Nucleus). They resemble the initial stage of Shi-ju (Stone Abscess), but the cold pathogen is more deeply congealed, and the root of toxicity is deep yet difficult to ulcerate. Before ulceration, avoid applying cooling plasters and taking cooling medicines. Internally taking Yanghe Decoction (Yanghe Tang) and Xihuang Pill (Xihuang Wan) can resolve them. Some use mashed large river snails applied topically to resolve them. Incision is strictly forbidden. If incision has already been performed and the wound is hard and painful, treat according to the formulas for hard and painful wounds in the "Miscellaneous Treatments for Carbuncles and Toxins" section. Continue internally administering warming, tonifying, pus-expelling, and phlegm-resolving agents. Xihuang Pill (Xihuang Wan) can achieve success; it has been tested repeatedly with miraculous effects. The pill contains Moschus (Shexiang, 麝香), so it is contraindicated in pregnancy (see formulas later). This is a secret method of Linwu Shanren.
This condition mostly occurs above the shoulder blades. Initially, there is slight swelling with unchanged skin color. Over time, it gradually enlarges, becoming hard as stone, immovable upon pushing, and unyielding upon pressing. The symptoms are identical to Shi-ju (Stone Abscess); immediately treat with the formulas for Shi-ju (Stone Abscess).
This refers to Luo-li (Scrofula). Small ones are called Luo-li, large ones Ma-dao (Horse Knife). There are many names: Tan-luo (Phlegm Scrofula) at the front of the neck, Shi-luo (Dampness Scrofula) at the back of the neck, soft on both sides that swell upon anger are Qi-yi (Qi Goiter), hard with contracted tendons are Jin-bi (Tendon Bi), and those linked like beads are Luo-li (Scrofula). There is also Ma-dao (long-shaped). Regarding Zi-mu chuan (Mother-Child Transmission): For Luo-li (Scrofula) not yet broken, use Zilong Wan (Zilong Pill) (see later), take 3 fen per dose, delivered with light ginger soup, three times daily, until resolved. If Luo-li (Scrofula) has internal ulceration, with some suppurating but not broken, or not yet suppurating, take Xihuang Pill (Xihuang Wan) (see later) to stop pain from existing ulcers, take warming tonics, and avoid unsuitable pills. If skin rots extending to the throat, take the tip of the middle finger bone... cover with plaster, wash externally with Schizonepetae Herba (Jingjie, 荆芥) decoction. The above methods are secret methods of Linwu Shanren.
Yinyou Gao (Silver Glaze Plaster): Treats Luo-li (Scrofula) and all nameless swellings and toxins, whether broken or not, and also treats lower back pain, with extreme efficacy. First, boil one jin of pure sesame oil slowly over low fire. Add four liang of Yinyou (Silver Glaze/Lead Oxide). Stir continuously with mulberry branches. When green smoke rises, add five liang of Huangdan (Red Lead). Boil until it forms pearls when dropped into water. Soak in water for one to two months to remove fire qi. Apply to the affected area using cloth.
Another prescription: Mash one copper coin with Tingyou Chong (Dragonfly Larvae/Aquatic Snails, i.e., slugs without shells, commonly known as鼻涕虫) until the copper dissolves. Apply topically for immediate cure.
Another prescription: Three liang of Black Lead (Heiqian, 黑铅), stir-fried into charcoal, mixed evenly with vinegar, spread on old cloth, and applied. Change once daily. After half a month, if there is no pain or breaking, it resolves internally and heals.
Another prescription: Boil high-quality aged vinegar until it forms pearls when dropped into water. Add one qian of powder from Banxia (Pinelliae Rhizoma, 半夏) raw. Mix evenly and apply. Change overnight. It resolves in two days with miraculous effect.
Another prescription: XiaKukucao (Prunellae Spica, 夏枯草), Jinyinhua (Lonicerae Japonicae Flos, 金银花), and Pugongying (Taraxaci Herba, 蒲公英) each at five qian. Decoct with wine and water. Drink frequently as tea. Named Sanmiao San (Sanmiao Powder). Treats tuberculous Luo-li (Scrofula) distributed along the neck. It resolves in ten days of intake. If it recurs, massage Jianjing (GB21) (located between the two bones at the shoulder end) and Quchi (LI11) (located on the lateral side of the elbow)...
Another prescription: Yuan Shen (Scrophulariae Radix, 玄参 steamed), Mu Li (Ostreae Concha, 牡蛎 calcined and stir-fried with vinegar), and Bei Mu (Fritillariae Cirrhosae Bulbus, 贝母 dehearted and smoked) each at four liang. Grind into powder. Make pills with refined honey. Take...
Another prescription: For Luo-li (Scrofula) that has already broken, make a paste of flour and apply it to the broken area. Use two small clay pots. Pour wine into them, boil to evaporate the wine, then place the hot pot mouths over the flour paste to fumigate the sore, similar to cupping. Replace with another hot pot when one cools down. Repeat several times until all toxic heat is extracted, then it heals. After fumigation, apply pig gallbladder boiled into a plaster to the wound for miraculous effect.
Another prescription, Jicheng Baiyu Dan (Jicheng White Jade Pill): Specifically treats ruptured Luo-li (Scrofula) extending to the chest and axilla, with foul odor, persisting for over ten years. The medicine brings about recovery instantly with miraculous effect. Take a piece of newly kiln-fired Duan Shi (Calcined Stone), dissolve with water into powder. Mix evenly with pure raw Tung Oil to a moderate consistency. First, wash the area with decoction of Sichuan Pepper and Scallion. Apply this mixture.
Another prescription: Jingjie (Schizonepetae Herba, 荆芥) (use the part near the root, must be purchased from pharmacy for authenticity). Cut into pieces, decoct in water. Wash warmly for a long time. Observe if the rotten/broken area turns purple... continue until healed. Treats all cases where Luo-li (Scrofula) extends to the chest, axilla, shoulders, and neck, causing immobility, persisting for four to five years, with miraculous effect.
Another prescription, Bingsi San (Bingsi Powder): Five large river snails (shell removed, threaded and sun-dried), one qian two fen of Bai Pi (Realgar/White Arsenic, 白砒 wrapped in dough and baked cooked). Top... Luo-li... form a cake... nucleus adheres naturally.
Another prescription: Hong Gaoyao (Red Plaster) and Lv Gaoyao (Green Plaster) (see formulas for carbuncles and toxins). Can resolve before breaking, can extract the root nucleus after breaking. Both are extremely effective.
Another prescription: For ruptured Luo-li (Scrofula) showing black veins like iron wires, named Tie-xian Yang (Iron Wire Ulcer), it is the most difficult to treat. Use forceps to pull out the vein head, slowly pulling it out, varying in length from one or two chi to several chi. Must completely extract the root of the vein to eradicate the disease.