绕项起核，名曰蟠蛇 ；延及胸前、腋下起，名曰瓜藤 ；左耳根肿核者，名曰惠袋 ；右耳根肿
核者，名曰蜂窝 。
结核连续者，为瘰 也。形长如蛤者，为马刀也。
夫瘰 初发，必起于少阳经。不守禁戒，必延及阳明经。大抵饮食浓味，郁气之积，曰毒、曰风、
曰热，皆此三端招引变换。须分虚实。彼实者故易，自非痛断浓味与发气之物，虽易亦难，殊为可虑，
以其属胆经，主决断有相火，而且气多血少。妇人见此，若月信不作寒热可生。梢久转为潮热，其证危矣。
自非断欲绝虑食淡，虽圣神不可治也。
瘰 先从结喉起者∶紫苏 乌药 枳壳 桔梗 柴胡 前胡 防风 羌活 独活 川芎 芍药 茯苓
大腹皮 甘草（各等分） 上锉，水煎，食后服。
瘰 先从项上起者∶紫苏 连翘 桔梗 枳壳 防风
柴胡 羌活 独活 白芷 当归 川芎 芍药 甘草（各等分）
上锉，水煎，食后服。
瘰 先从左边起者∶紫苏 浓朴 当归 羌活 枳壳 桔梗 前胡 防风 川芎 芍药 萝卜子
苏子 甘草
上锉，水煎，食后服。
瘰 先从右边起∶紫苏 香附 青皮 乌药 半夏 浓朴 桔梗 茯苓 柴胡 防风 羌活 甘草
上锉，水煎，食后温服。
人稍壮者宜∶
内消散 治瘰 结核。
朱砂 血竭（各一钱） 斑蝥（去翅足，三分，生用。）
上为细末，每服一分，空心，烧酒调服。一日一服。未破者，三五服立消。已破者，内服此药；外用
金头蜈蚣一条，焙研极细末，用麻油一小钟浸三旦夕，搽患处，其疮即肿溃。过一二日肿消，可贴膏药。
疮势大者，二十日痊；小者，十余日可保平复。
琥珀散 治瘰 结核，内消神效。
滑石 白牵牛（头末。各一两） 斑蝥（三钱，去翅足） 僵蚕（一两） 枳壳（五钱） 赤芍
柴胡（各五钱） 木通 连翘（各七钱） 琥珀（二钱） 黄芩（一两） 甘草（三钱） 上锉作六剂，水煎
服。
斑蝥散（即神效散。）
斑蝥（去翅足，酒炒，净一钱） 穿山甲（土炒） 僵蚕（去头足酒炒） 丁香 白丁香
苦丁香 红小豆 磨刀泥（各一钱）
上为细末，每服一钱。五更无根水调服，至未时打下毒物，其形如鼠。后用田中野菊花焙黄色为末，
陈醋调，贴疮上。一日一换，七日全安。
赤白丸 治瘰 未破。
白矾（三两） 朱砂（九钱）
上为细末，酒糊为丸，如绿豆大。每服二十丸，清茶送下。日进三服，药尽即消。
人虚弱者宜∶
益气养荣汤 治怀抱抑郁，瘰 流注，或四肢患肿、肉色不变，或日晡发热。或溃不敛。
黄 人参 白术（炒。各一钱半） 当归 川芎 白芍 生地 陈皮 香附 贝母（去心。各一钱）
柴胡 桔梗（炒） 地骨皮 甘草（炙。各五分）
上锉一剂，水煎食远服。有痰加橘红；胁下刺痛加青皮、木香；午后有热，或头微眩加炒黄柏；脓水
清倍参、 、当归；女人有郁气，胸膈不利倍香附、贝母；月经不通加牡丹皮、当归。
益气内消散 治瘰 并诸瘤结核。
当归 川芎 白芍（酒炒） 白术（去芦） 青皮（去瓤） 陈皮 半夏（姜炒） 桔梗 羌活 白芷
独活 浓朴（姜汁炒。各八钱） 防风 黄芩 乌药 香附 槟榔（各一两） 苏叶（一两半） 沉香
（二钱） 木香 人参 粉草（各五钱）
上锉，水煎温服。服十余剂即消。若再服，照分量制酒糊为丸，如梧桐子大。每服七十丸，酒下。
瘰 外施之药
神品膏 历年久不愈瘰 疮神效。
香油（一斤） 官粉（二两半） 黄蜡（二两） 乳香 没药 孩儿茶 血竭（各四钱） 胡椒（六钱。）
先将香油熬滴水不散，方下官粉熬成膏，下黄蜡再熬、滴水成珠，离火，方入细药。疮久者，胡椒加
半搅匀，入瓷器内收贮，退火毒，油单纸摊贴。每用先将葱须、花椒、艾
槐条熬水洗疮，净后贴之。
奇效膏 贴瘰 ，未破内消，已破则合。
真香油一斤二两 大黄六两入油，炸浮滤去渣；慢火下净黄丹半斤，慢火再熬；滴水成珠，下古锻石炒
过五钱、乳香四钱、没药四钱、黄蜡二两。成膏，用油单纸摊膏贴。
治瘰 鼠疮甚效∶嫩槐条（一斤） 蕲艾（四两） 川椒（三两净） 上三味，用新大炒锅一个盛水满，
煎至七分，去渣待温，将所患之疮徐徐洗一炷香，去脓水并甲，用软白布擦待干；至午
时，仍将药渣入水一锅，又煎至六分，去渣，照前洗一炷香掺干；待晚，仍将熬洗一炷香。次日，
用大蒜瓣切薄片，围疮上，用麦子大艾炷灸蒜上。如痒再灸，以痛为止，渐渐自愈。
乌龙膏 治瘰 溃烂久不愈者神效。
木鳖子（带壳炒存性去壳） 柏叶（焙） 人中血（即乱发烧灰） 青龙背（即锅脾面上垢腻）
纸钱灰 飞罗面（各一钱）
上俱为末，用好陈米醋调成膏涂疮上，外用纸贴。
瘰 膏
真香油四两 象皮三钱，熬热去滓，入黄蜡三钱、官粉一两五钱，离火晾温，入乳香、没药各三钱、
孩儿茶一两、龙骨一钱五分、血竭一钱搅匀，以瓷器收贮，任意点之。
马刀疮者，项侧有疮，坚而不溃是也。
柴胡通经汤
柴胡 连翘 当归尾 黄连 黄芩 牛蒡子 三棱（各一钱） 桔梗（二两） 生甘草（一钱）
红花（少许。）
上锉，水煎，食后服。忌苦药泄大便。
散肿溃坚汤 治马刀结核硬如石，或在耳下至缺盆中，或至肩上，或于腋下，皆属手足少阳经；
及瘰 遍于颊下，或
至颊车，坚而不溃，在足阳明所出；或疮已破出水，并皆治之。兼治瘿瘤大如升，久不溃者。
昆布（冷水洗） 海藻（微炒） 黄柏（酒炒） 知母（酒浸） 天花粉 桔梗（各五钱）
连翘 三棱（酒浸） 莪术（各三钱，酒浸） 龙胆草 黄连 黄芩（酒炒） 干葛 白芍
（酒炒。各三钱） 升麻 柴胡（各五分） 甘草（炙，五钱） 归尾（五分）
上锉，每一两水二盏，先浸半日，煎至一盏，去渣，热服。于卧处伸足在高处，头微低。
每噙一口，作十次咽下。至服毕，根据常安卧，取意在胸中停蓄之意也。另拣半料作细末，炼蜜
为丸，如绿豆大。每服百丸，或百五十丸，用此汤留一口送下。
一妇人，瘰 后遍身作痒，脉大按而虚，以十全大补加香附治之而愈。大凡溃后，午前痒作气虚，
午后痒作血虚，若作风症治之，必死。
一儒者，瘰 愈后，体瘦发热，昼夜无定，此足三阴气血俱虚。八珍汤加麦门冬、五味子二十剂愈，
又用补中益气汤加麦门冬、五味子及六味丸而愈。
颈部周围出现肿块，称为“蟠蛇”；如果蔓延到胸前、腋下并出现肿块，称为“瓜藤”；左耳根处肿胀结块的，称为“惠袋”；右耳根处肿胀结块的，称为“蜂窝”。
结核相互连接的，称为“瘰疬”。形状细长像蛤蜊的，称为“马刀”。
瘰疬初起时，必定发源于少阳经。如果不遵守禁忌和戒律，病情必定会蔓延至阳明经。大抵是因为饮食肥甘厚味，加上郁结之气积聚，形成毒、风、热三种因素，招致病变转化。必须区分虚证和实证。对于实证患者，虽然相对容易治疗，但如果不彻底断绝肥甘厚味以及发散气机的食物，即使看似容易治疗也难以痊愈，这非常值得忧虑，因为该病属于胆经，胆主决断且含有相火，而且胆经多气少血。女性患此病，如果月经停止并伴有寒热症状，尚有生机。如果病程长久转为潮热，病情就危险了。除非能够断绝欲望、消除思虑、饮食清淡，否则即使是神医也无法治愈。
瘰疬先从喉结处开始的方剂：紫苏、乌药、枳壳、桔梗、柴胡、前胡、防风、羌活、独活、川芎、芍药、茯苓、大腹皮、甘草（以上药材各等分）。将上述药材切碎，加水煎煮，饭后服用。
瘰疬先从颈部上方开始的方剂：紫苏、连翘、桔梗、枳壳、防风、柴胡、羌活、独活、白芷、当归、川芎、芍药、甘草（以上药材各等分）。将上述药材切碎，加水煎煮，饭后服用。
瘰疬先从左侧开始的方剂：紫苏、厚朴、当归、羌活、枳壳、桔梗、前胡、防风、川芎、芍药、萝卜子、苏子、甘草。将上述药材切碎，加水煎煮，饭后服用。
瘰疬先从右侧开始的方剂：紫苏、香附、青皮、乌药、半夏、厚朴、桔梗、茯苓、柴胡、防风、羌活、甘草。将上述药材切碎，加水煎煮，温服。
身体稍强壮的患者适宜使用：
内消散：治疗瘰疬结核。
朱砂、血竭（各一钱）、斑蝥（去掉翅膀和脚，三分，生用）。将上述药材研成细末，每次服用一分，空腹时用烧酒调服。每天服用一次。未破溃的，服用三到五次即可立即消除。已破溃的，内服此药；外用一条金头蜈蚣，焙干后研成极细末，用一小钟麻油浸泡三个早晚，涂抹在患处，疮口就会肿胀溃烂。过一两天肿胀消退后，可以贴膏药。疮势大的，二十天痊愈；小的，十几天可以保证平复。
琥珀散：治疗瘰疬结核，内消效果神奇。
滑石、白牵牛（取头道粉末，各一两）、斑蝥（三钱，去掉翅膀和脚）、僵蚕（一两）、枳壳（五钱）、赤芍、柴胡（各五钱）、木通、连翘（各七钱）、琥珀（二钱）、黄芩（一两）、甘草（三钱）。将上述药材切碎制成六剂，加水煎煮服用。
斑蝥散（即神效散）：
斑蝥（去掉翅膀和脚，酒炒，净重一钱）、穿山甲（土炒）、僵蚕（去掉头脚，酒炒）、丁香、白丁香、苦丁香、红小豆、磨刀泥（各一钱）。将上述药材研成细末，每次服用一钱。五更天时用无根水调服，到了未时排出毒物，其形状像老鼠。之后用田里的野菊花焙干呈黄色研成末，用陈醋调和，贴在疮口上。每天更换一次，七天完全康复。
赤白丸：治疗未破溃的瘰疬。
白矾（三两）、朱砂（九钱）。将上述药材研成细末，用酒糊制作成丸药，大小如绿豆。每次服用二十丸，用清茶送下。每天服用三次，药吃完后疮毒即消。
身体虚弱的患者适宜使用：
益气养荣汤：治疗怀抱抑郁导致的瘰疬流注，或者四肢肿胀、肉色不变，或者下午发热，或者溃破后不愈合。
黄芪、人参、白术（炒，各一钱半）、当归、川芎、白芍、生地、陈皮、香附、贝母（去心，各一钱）、柴胡、桔梗（炒）、地骨皮、甘草（炙，各五分）。将上述药材切碎为一剂，加水煎煮，饭后较长时间服用。有痰加橘红；胁下刺痛加青皮、木香；午后发热或头部轻微眩晕加炒黄柏；脓水清稀加倍使用人参、黄芪、当归；女性有郁气，胸膈不畅加倍使用香附、贝母；月经不通加牡丹皮、当归。
益气内消散：治疗瘰疬以及各种瘤状结核。
当归、川芎、白芍（酒炒）、白术（去芦头）、青皮（去瓤）、陈皮、半夏（姜炒）、桔梗、羌活、白芷、独活、厚朴（姜汁炒，各八钱）、防风、黄芩、乌药、香附、槟榔（各一两）、苏叶（一两半）、沉香（二钱）、木香、人参、粉草（各五钱）。将上述药材切碎，加水煎煮温服。服用十余剂后即可消除。如果再服用，按照分量制成酒糊丸，大小如梧桐子。每次服用七十丸，用酒送下。
治疗瘰疬的外用药物：
神品膏：对历年久治不愈的瘰疬疮有神奇疗效。
香油（一斤）、官粉（二两半）、黄蜡（二两）、乳香、没药、孩儿茶、血竭（各四钱）、胡椒（六钱）。先将香油熬制到滴水不散的程度，然后加入官粉熬成膏，再加入黄蜡继续熬制，直到滴水成珠，离火后，再放入细药。如果是陈旧性疮口，胡椒加倍并搅拌均匀，装入瓷器内收藏，以退去火毒，用油单纸摊开贴敷。每次使用前，先用葱须、花椒、艾槐条熬水洗疮，洗净后贴上。
奇效膏：贴敷瘰疬，未破溃可内消，已破溃可愈合。
真香油一斤二两，大黄六两放入油中炸至浮起滤去渣滓；慢火加入净黄丹半斤，慢火继续熬制；滴水成珠后，加入古锻石炒过的五钱、乳香四钱、没药四钱、黄蜡二两。制成膏药，用油单纸摊开贴敷。
治疗瘰疬鼠疮非常有效的方法：嫩槐条（一斤）、蕲艾（四两）、川椒（三两，洗净）。以上三味药，用新的炒锅盛满水，煎至七分满，滤去渣滓待温度适宜，将患处的疮慢慢清洗一炷香的时间，去除脓水和腐甲，用软白布擦干待干；到了午时，仍将药渣放入一锅水中，再次煎至六分满，滤去渣滓，照之前的方法清洗一炷香并撒干粉；等到晚上，仍然用熬好的药液清洗一炷香。第二天，用大蒜瓣切薄片，围在疮口上，用麦子大小的艾炷灸在大蒜上。如果痒再灸，以感到疼痛为度，渐渐自愈。
乌龙膏：治疗瘰疬溃烂久治不愈者有神奇疗效。
木鳖子（带壳炒至存性，去壳）、柏叶（焙干）、人中血（即乱发烧成的灰）、青龙背（即锅底垢腻）、纸钱灰、飞罗面（各一钱）。将上述药材都研成末，用好陈米醋调成膏涂在疮口上，外面用纸贴住。
瘰疬膏：
真香油四两，象皮三钱，熬热去渣，加入黄蜡三钱、官粉一两五钱，离火晾温，加入乳香、没药各三钱、孩儿茶一两、龙骨一钱五分、血竭一钱搅匀，用瓷器收贮，随意点涂。
柴胡通经汤：
柴胡、连翘、当归尾、黄连、黄芩、牛蒡子、三棱（各一钱）、桔梗（二两）、生甘草（一钱）、红花（少许）。将上述药材切碎，加水煎煮，饭后服用。忌食苦寒泄大便的药物。
散肿溃坚汤：治疗马刀结核坚硬如石，位置或在耳下到缺盆中，或到肩上，或在腋下，这些都属于手足少阳经；以及瘰疬遍布颊下，或到颊车穴，坚硬而不溃烂，位于足阳明经所出之处；或者疮口已破流水，都适用此方。兼治瘿瘤大如升，久不溃烂的情况。
昆布（冷水洗）、海藻（微炒）、黄柏（酒炒）、知母（酒浸）、天花粉、桔梗（各五钱）、连翘、三棱（酒浸）、莪术（各三钱，酒浸）、龙胆草、黄连、黄芩（酒炒）、干葛、白芍（酒炒，各三钱）、升麻、柴胡（各五分）、甘草（炙，五钱）、归尾（五分）。将上述药材切碎，每一两药材用两盏水，先浸泡半天，煎至一盏，滤去渣滓，热服。服药时在卧处将脚伸高，头微微低下。每次含一口，分十次咽下。服完后，照常安静躺卧，意在让药力在胸中停蓄。另外挑选一半药材制成细末，炼蜜为丸，大小如绿豆。每次服用一百丸或一百五十丸，用此汤留一口送下。
有一位妇女，瘰疬后全身瘙痒，脉象大而按之空虚，用十全大补汤加香附治疗而痊愈。大凡溃破后，午前瘙痒是气虚，午后瘙痒是血虚，如果当作风症治疗，必死无疑。
有一位读书人，瘰疬痊愈后，身体消瘦发热，昼夜不定，这是足三阴气血俱虚。用八珍汤加麦门冬、五味子二十剂后痊愈，又用补中益气汤加麦门冬、五味子及六味丸而彻底康复。
The neck is surrounded by nodules, named "Pan She" (Coiling Snake); if it extends to the chest and axilla with nodules appearing, it is named "Gua Teng" (Melon Vine); swelling and nodules at the root of the left ear are named "Hui Dai" (Hui Bag); swelling and nodules at the root of the right ear are named "Feng Wo" (Honeycomb).
Nodules connected in a chain are called "Luo Li" (Scrofula). Those shaped long like clams are called "Ma Dao" (Horse Knife).
When Luo Li first appears, it must originate from the Shaoyang Meridian. If one does not observe dietary and behavioral restrictions, it will inevitably extend to the Yangming Meridian. Generally, rich and greasy food intake combined with stagnant Qi accumulation leads to the formation of toxins, wind, and heat, which attract and transform into this disease. It is necessary to distinguish between excess and deficiency patterns. For patients with excess patterns, although treatment is relatively easier, unless one strictly avoids rich foods and Qi-dispersing substances, even if it seems easy to treat, it remains difficult to cure, which is quite worrying because this condition belongs to the Gallbladder Meridian, which governs decision-making and contains Ministerial Fire, and is characterized by abundant Qi but scarce Blood. In women, if menstruation ceases accompanied by chills and fever, there is still hope for survival. However, if the condition persists and transforms into tidal fever, the prognosis becomes critical. Unless one abstains from sexual desires, eliminates excessive worry, and maintains a bland diet, even a sage-like physician cannot cure it.
For Luo Li starting from the Adam's apple: Zisu (Perilla Leaf), Wuyao (Lindera Root), Zhike (Aurantium Fruit), Jiegeng (Platycodon Root), Chaihu (Bupleurum Root), Qianhu (Peucedanum Root), Fangfeng (Saposhnikovia Root), Qianghuo (Notopterygium Rhizome), Duhuo (Angelica Pubescens Root), Chuanxiong (Ligusticum Chuanxiong Rhizome), Shaoyao (Peony Root), Fuling (Poria), Dafupi (Areca Peel), Gancao (Licorice Root) (all in equal parts). The above herbs are chopped, decocted in water, and taken after meals.
For Luo Li starting from the upper neck: Zisu (Perilla Leaf), Lianqiao (Forsythia Fruit), Jiegeng (Platocodon Root), Zhike (Aurantium Fruit), Fangfeng (Saposhnikovia Root), Chaihu (Bupleurum Root), Qianghuo (Notopterygium Rhizome), Duhuo (Angelica Pubescens Root), Baizhi (Angelica Dahurica Root), Danggui (Angelica Sinensis Root), Chuanxiong (Ligusticum Chuanxiong Rhizome), Shaoyao (Peony Root), Gancao (Licorice Root) (all in equal parts). The above herbs are chopped, decocted in water, and taken after meals.
For Luo Li starting from the left side: Zisu (Perilla Leaf), Houpo (Magnolia Bark), Danggui (Angelica Sinensis Root), Qianghuo (Notopterygium Rhizome), Zhike (Aurantium Fruit), Jiegeng (Platycodon Root), Qianhu (Peucedanum Root), Fangfeng (Saposhnikovia Root), Chuanxiong (Ligusticum Chuanxiong Rhizome), Shaoyao (Peony Root), Luobozhongzi (Radish Seed), Suzi (Perilla Seed), Gancao (Licorice Root). The above herbs are chopped, decocted in water, and taken after meals.
For Luo Li starting from the right side: Zisu (Perilla Leaf), Xiangfu (Cyperus Rhizome), Qingpi (Aurantium Peel), Wuyao (Lindera Root), Banxia (Pinellia Tuber), Houpo (Magnolia Bark), Jiegeng (Platycodon Root), Fuling (Poria), Chaihu (Bupleurum Root), Fangfeng (Saposhnikovia Root), Qianghuo (Notopterygium Rhizome), Gancao (Licorice Root). The above herbs are chopped, decocted in water, and taken warm.
Patients with slightly robust constitutions should use:
Neixiaosan (Internal Dissolving Powder): Treats Luo Li tubercles.
Zhusha (Cinnabar), Xuexie (Dragon's Blood) (each 1 qian), Bannao (Mylabris Beetle) (remove wings and feet, 3 fen, used raw). Grind into fine powder. Take 1 fen per dose, on an empty stomach, mixed with distilled liquor. Once daily. For unbroken lesions, three to five doses will eliminate them immediately. For broken lesions, take this internally; externally apply one dried Golden-headed Centipede, roasted and ground to fine powder, soaked in a small cup of Sesame Oil for three days and nights, then applied to the affected area, causing the sore to swell and ulcerate. After one or two days when swelling subsides, apply a plaster. Large sores heal in twenty days; small ones recover in ten-plus days.
Hupo San (Amber Powder): Treats Luo Li tubercles with miraculous internal dissolving effects.
Huashi (Talcum), Baiqianniu (White Morning Glory Seed, head powder only) (each 1 liang), Bannao (Mylabris Beetle) (3 qian, remove wings and feet), Jiangcan (Bombyx Batryticatus) (1 liang), Zhike (Aurantium Fruit) (5 qian), Chishao (Red Peony Root), Chaihu (Bupleurum Root) (each 5 qian), Mutong (Akebia Stem), Lianqiao (Forsythia Fruit) (each 7 qian), Hupo (Amber) (2 qian), Huangqin (Scutellaria Root) (1 liang), Gancao (Licorice Root) (3 qian). Chop into six doses, decoct in water, and take.
Bannao San (Mylabris Powder, also known as Shenxiao San):
Bannao (Mylabris Beetle) (remove wings and feet, wine-fried, net weight 1 qian), Shanshanjia (Pangolin Scales) (soil-fried), Jiangcan (Bombyx Batryticatus) (remove head and feet, wine-fried), Dingxiang (Clove), Baixiangding (White Styrax), Kuxiangding (Bitter Styrax), Hong Xiaodou (Red Adzuki Bean), Modaoni (Knife Grinding Mud) (each 1 qian). Grind into fine powder. Take 1 qian per dose. At dawn (Wu Geng time), mix with rainwater (unrooted water) and swallow. By Wei hour (1-3 PM), toxic matter resembling a rat will be expelled. Afterwards, roast wild chrysanthemums from fields until yellow, grind into powder, mix with aged vinegar, and apply to the sore. Change once daily; full recovery in seven days.
Chibai Wan (Red and White Pill): Treats unbroken Luo Li.
Baifan (Alum) (3 liang), Zhusha (Cinnabar) (9 qian). Grind into fine powder, make pills with wine paste, size of mung beans. Take 20 pills per dose, washed down with clear tea. Three times daily; upon finishing the medicine, the toxin dissipates.
Patients with weak constitutions should use:
Yiqi Yangrong Tang (Qi-Nourishing and Blood-Supplementing Decoction): Treats Luo Li flowing and injecting caused by emotional depression, or swelling in limbs with unchanged skin color, afternoon fever, or non-healing ulcers.
Huangqi (Astragalus Root), Renshen (Ginseng Root), Baizhu (Atractylodes Macrocephala Rhizome, stir-fried) (each 1.5 qian), Danggui (Angelica Sinensis Root), Chuanxiong (Ligusticum Chuanxiong Rhizome), Baishao (White Peony Root), Shengdi (Rehmannia Root), Chenpi (Aged Tangerine Peel), Xiangfu (Cyperus Rhizome), Beimu (Fritillaria Bulb, remove heart) (each 1 qian), Chaihu (Bupleurum Root), Jiegeng (Platycodon Root, stir-fried), Digupi (Cortex Lycii), Gancao (Licorice Root, honey-fried) (each 0.5 qian). Chop into one dose, decoct in water, and take well after meals. Add Juhong (Citrus Peel) for phlegm; add Qingpi (Aurantium Peel) and Muxiang (Vladimiria Root) for stabbing pain under ribs; add Chao Huangbai (Phellodendron Bark, stir-fried) for afternoon fever or slight dizziness; double Renshen (Ginseng Root), Huangqi (Astragalus Root), and Danggui (Angelica Sinensis Root) for thin pus; double Xiangfu (Cyperus Rhizome) and Beimu (Fritillaria Bulb) for women with Qi stagnation and chest discomfort; add Mudanpi (Tree Peony Root Bark) and Danggui (Angelica Sinensis Root) for amenorrhea.
Yiqi Neixiaosan (Qi-Supplementing Internal Dissolving Powder): Treats Luo Li and various tumor-like tubercles.
Danggui (Angelica Sinensis Root), Chuanxiong (Ligusticum Chuanxiong Rhizome), Baishao (White Peony Root, wine-fried), Baizhu (Atractylodes Macrocephala Rhizome, remove rhizome base), Qingpi (Aurantium Peel, remove pith), Chenpi (Aged Tangerine Peel), Banxia (Pinellia Tuber, ginger-fried), Jiegeng (Platycodon Root), Qianghuo (Notopterygium Rhizome), Baizhi (Angelica Dahurica Root), Duhuo (Angelica Pubescens Root), Houpo (Magnolia Bark, ginger juice-fried) (each 8 qian), Fangfeng (Saposhnikovia Root), Huangqin (Scutellaria Root), Wuyao (Lindera Root), Xiangfu (Cyperus Rhizome), Binglang (Betel Nut) (each 1 liang), Suye (Perilla Leaf) (1.5 liang), Chenxiang (Agarwood), Muxiang (Vladimiria Root), Renshen (Ginseng Root), Fencacao (Licorice Root) (each 5 qian). Chop, decoct in water, and take warm. Elimination occurs after more than ten doses. If continued, process according to dosage into pills with wine paste, size of paulownia seeds. Take 70 pills per dose, washed down with wine.
External Medicines for Luo Li:
Shenpin Gao (Divine Quality Plaster): Miraculous for chronic, non-healing Luo Li sores.
Xiangyou (Sesame Oil) (1 jin), Guanfen (Lead Carbonate) (2.5 liang), Huangla (Yellow Beeswax) (2 liang), Xuxiang (Frankincense), Moyao (Myrrh), Haiercha (Camellia Seed Cake), Xuexie (Dragon's Blood) (each 4 qian), Hujiao (Black Pepper) (6 qian). First, boil Sesame Oil until a drop does not disperse in water. Then add Lead Carbonate and boil into a paste. Add Yellow Beeswax and continue boiling until drops form pearls. Remove from fire, then add finely ground herbs. For old sores, double the Black Pepper, mix evenly, store in porcelain to reduce fire toxicity, spread on oil paper, and apply. Before each use, wash the sore with decoction of Scallion Roots, Sichuan Pepper, Mugwort, and Sophora branches. Cleanse thoroughly before applying.
Qixiao Gao (Miraculous Effect Plaster): Apply to Luo Li. Eliminates internally if unbroken; promotes healing if broken.
True Sesame Oil (1 jin 2 liang), Dahuang (Rhubarb Root) (6 liang, fried in oil until floating, filter residue); slowly add Jing Huangdan (Yellow Litharge) (0.5 jin), simmer slowly; until drops form pearls, add Gu Duanshi (Calcined Ancient Stone) (5 qian, stir-fried), Xuxiang (Frankincense) (4 qian), Moyao (Myrrh) (4 qian), Huangla (Yellow Beeswax) (2 liang). Form plaster, spread on oil paper, and apply.
Very effective treatment for Luo Li Rat Sores: Nèn Huaitiao (Young Sophora Branches) (1 jin), Qiai (Artemisia argyi) (4 liang), Chuanjiao (Sichuan Pepper) (3 liang, cleaned). Place these three ingredients in a new large wok filled with water, boil to 70% volume, strain, and let cool to warm temperature. Slowly wash the affected sore for the duration of one incense stick, removing pus and necrotic tissue. Dry with soft white cloth. At noon, reuse the herb residues in a pot of water, boil to 60% volume, strain, and wash again for one incense stick duration, then sprinkle dry powder. In the evening, wash again for one incense stick duration. The next day, slice garlic cloves thinly and surround the sore. Place moxa cones the size of wheat grains on the garlic and moxibustion. If itching occurs, moxibustion again, stopping when pain is felt. Gradual self-healing ensues.
Wulong Gao (Black Dragon Plaster): Miraculous for chronic, non-healing ulcerated Luo Li.
Mubiezi (Momordica Seed) (stir-fried with shell until charred, remove shell), Baiye (Cypress Leaf) (roasted), Renzhongxue (Human Hair Ash), Qinglongbei (Pot Bottom Soot), Zhiqianhui (Paper Money Ash), Feiluomian (Fine Wheat Flour) (each 1 qian). Grind all into powder, mix with aged rice vinegar to form a paste, apply to sore, and cover with paper.
Luoli Gao (Scrofula Plaster):
True Sesame Oil (4 liang), Xiangpi (Elephant Skin) (3 qian, melt and filter), Huangla (Yellow Beeswax) (3 qian), Guanfen (Lead Carbonate) (1.5 liang). Remove from fire, cool slightly, add Xuxiang (Frankincense) (3 qian), Moyao (Myrrh) (3 qian), Haiercha (Camellia Seed Cake) (1 liang), Longgu (Fossilized Bone) (1.5 qian), Xuexie (Dragon's Blood) (1 qian), mix evenly, store in porcelain, and apply as needed.
Ma Dao Chuang (Horse Knife Sore) refers to sores on the side of the neck that are hard and do not ulcerate.
Chaihu Tongjing Tang (Bupleurum Channel-Unblocking Decoction):
Chaihu (Bupleurum Root), Lianqiao (Forsythia Fruit), Dangguiwei (Angelica Sinensis Root Tail), Huanglian (Coptis Rhizome), Huangqin (Scutellaria Root), Niubangzi (Arctium Seed), Sanleng (Sparganium Tuber) (each 1 qian), Jiegeng (Platycodon Root) (2 liang), Sheng Gancao (Raw Licorice Root) (1 qian), Honghua (Carthamus Flower) (a little). Chop, decoct in water, take after meals. Avoid bitter drugs that purge bowels.
Sanzhong Kuijian Tang (Swelling-Reducing and Hardness-Breaking Decoction): Treats Ma Dao tubercles hard as stone, located from below the ear to the Clavicular Fossa, or to the shoulder, or in the axilla, all belonging to the Hand and Foot Shaoyang Meridians; and Luo Li spreading under the cheekbone or to the Jiache acupoint, hard and unulcerated, located where the Foot Yangming Meridian emerges; or sores already broken and weeping fluid. Also treats Goiters large as a measuring cup that do not ulcerate for a long time.
Kunbu (Kelp), Haizao (Sargassum, lightly stir-fried), Huangbai (Phellodendron Bark, wine-fried), Zhimu (Anemarrhena Rhizome, wine-soaked), Tianhuafen (Trichosanthes Root), Jiegeng (Platycodon Root) (each 5 qian), Lianqiao (Forsythia Fruit), Sanleng (Sparganium Tuber, wine-soaked), Ezhu (Curcuma Rhizome) (each 3 qian, wine-soaked), Longdancao (Gentiana Root), Huanglian (Coptis Rhizome), Huangqin (Scutellaria Root, wine-fried), Gange (Kudzu Root), Baishao (White Peony Root, wine-fried) (each 3 qian), Shengma (Cimicifuga Rhizome), Chaihu (Bupleurum Root) (each 0.5 qian), Gancao (Licorice Root, honey-fried) (5 qian), Guiwei (Angelica Sinensis Root Tail) (0.5 qian). Chop, for every 1 liang of herbs use 2 cups of water, soak for half a day, decoct to 1 cup, strain, and take hot. When taking, lie down with feet elevated and head slightly lowered. Hold one mouthful in the mouth and swallow in ten portions. After finishing, rest quietly as usual, intending for the medicinal power to accumulate in the chest. Alternatively, take half the material, grind to fine powder, make pills with refined honey, size of mung beans. Take 100-150 pills per dose, washed down with a mouthful of this decoction.
A woman suffered generalized itching after Luo Li. Her pulse was large but empty upon pressure. She was cured using Shiquan Dabu Tang (Ten Ingredients Great Tonifying Decoction) plus Xiangfu (Cyperus Rhizome). Generally, post-ulceration itching in the morning indicates Qi deficiency, while itching in the afternoon indicates Blood deficiency. Treating this as a Wind syndrome will certainly lead to death.
A scholar recovered from Luo Li but remained emaciated with irregular fever day and night. This indicated deficiency of Qi and Blood in the Three Yin Meridians of the Foot. He was cured after twenty doses of Bazhen Tang (Eight Treasures Decoction) plus Maidong (Ophiopogon Tuber) and Wuweizi (Schisandra Fruit). Subsequently, he was fully recovered using Buzhong Yiqi Tang (Middle-Warmer Qi-Supplementing Decoction) plus Maidong (Ophiopogon Tuber) and Wuweizi (Schisandra Fruit), along with Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia).