热毒瘰 ，乃手足少阳、足厥阴二经风热之症，或肝疳食积所致。其症发于项腋，或耳前后，或如贯珠，当分表里
虚实。若 赤肿者，肝经热毒也，用人参败毒散。作痛寒热者，肝火内作也，用加味小柴胡汤。不痛而小便黄，肝血虚
也，用六味地黄丸。隐于肉里而色不变者，肝疳内作也，用九味芦荟丸。脓成而不溃，或溃而不敛者，脾气虚弱也，用
益气养荣汤。凡此肿 疼痛，寒热作渴者，属病气有余，形气不足，治宜清肝火，生肝血。肿硬不溃，溃而不敛者，属
病气形气俱虚，治宜补肾水，实脾土。若因乳母恚怒，肝火遗患者，又当随所因而治之。
一小儿脓水淋漓，其核未消，发热憎寒，此肝经气血虚而有热也，用补阴八珍汤为主，间以清肝益荣汤而愈。后复
核结，小便赤涩，晡热作渴，用参术柴苓汤为主，佐以六味地黄丸料加柴胡、山栀，及四味肥儿丸而敛。
一小儿十五岁患此，发热作渴，日晡颊赤，脉数无力，属阴虚而有热，用补阴八珍汤五十剂，加参、 又二十剂而
溃。但脓水清稀，肌肉不生，此脾气虚弱也，以参、 、归、术为主，佐以芍药、熟地、麦门、五味，气血乃复，遂进
必效散一服，毒下而痊。
一小儿十三岁，久不愈，寒热兼作，饮食少思，此肝火炽而脾胃虚也，用益脾清肝散；佐以九味芦荟丸而愈。至十
六岁，阴茎忽痿，服温补之药，茎窍出臭津，旧痕肿痛，余用清肝火之药而愈。
一小儿十五岁患此，恪用攻痰，前症益甚，虚症悉至，仍议前法。余曰∶小便频数，肝经阴虚也；两目连札，肝经
风热也；作呕懒食，胃气虚弱也；泄泻后重，脾气虚陷也。遂用补中益气汤、六味地黄丸渐愈，又用九味芦荟丸而消。
一小儿项间及四肢结核，久溃不敛，形体骨立，大便不调，小便频数，此肝脾疳症，用九味芦荟丸、补中益气汤而
愈。
一小儿十四岁患此，脓水清稀，肌体骨立，晡热盗汗，口干咳痰，此肾水不能生肝木也，用六味地黄丸、补中益气
汤。三月余，元气渐复，佐以四味肥儿丸而愈。毕姻后，唾痰体倦，发热作渴，此脾肺虚，不能生肾水，水泛而为痰，
用地黄丸、补中益气汤而痊。
一小儿患此，服克治之药，致寒热腹膨，此肝脾疳症，先用五味异功散加柴胡、升麻，佐以九味芦荟丸，渐退，又
用四味肥儿丸、五味异功散而消。
一小儿患此，服化痰散坚之药，面色赤白，少阳三焦部分见青筋，又目札出泪，此肝胆风热所致，脾土虚而肝木所
侮也，先用补中益气汤、柴胡清肝散加芜荑，核渐消，佐以五味异功散加芜荑而愈。
一小儿九岁患此，面色常青，肿硬不溃，肉色不变，乃伐肝化痰。余曰∶常调补肝脾。不信。果虚症蜂起。复请
治，仍欲伐肝。余曰∶面带青色，肝虚而本色见也；面色变白，肺虚而本色见也；痰涎上涌，脾虚而不能摄也；两目连
札，肝血虚而生风也。经云∶胃为五脏之本。当先救胃气。遂用五味异功散加升麻、柴胡，元气稍复。乃朝用补中益气
汤，夕用五味异功散，佐以九味芦荟丸，面色始黄，而核渐消；又以四味肥儿丸，间服地黄丸而愈。
一小儿五岁患此，小便白色，此肝脾疳症，用九味芦荟丸、四味肥儿丸而消。因食橙橘，二便俱白，拗间结核，亦
用前丸而愈。后目连札，颈间耳后结核，用柴胡清肝散、芦荟丸而愈。
张阁老侄孙患此，久服化痰削坚之剂，夜热吐痰，时季夏，脉大，按之而涩。余曰∶夏月肝症，而见肺脉，至金旺
之时，其病必进矣。至八月疾甚，果不治。
一女子十四岁，耳下患此，服化痰泄气药，前症益甚，诸症 臻。余曰∶此肝胆经虚火之症也，前药乃泛扰诸经，
无脏不伤者。不悟，仍服之，更四肢发搐，目闭口噤。余曰∶此肺经虚，肝木动，而脾土复伤也，当补脾土，滋肺金，
养肾水。亦不信，后果殁。
一小儿四岁，患此，泛服软坚伐肝之剂，益甚。余曰∶此禀肝经之虚羸，兼乳母郁怒所致，当调补乳母肝脾，滋子
之肾水。不悟，仍用前药，以致不起。
四味肥儿丸 治食积脾疳，面耳口舌生疮，目障云翳，牙齿腐烂等症。（方见贴骨痈）
柴芍参苓饮 治肝火血热，遍身搔痒，或起赤晕，或筋挛结核。
柴胡 芍药 人参 白术 茯苓 陈皮 当归（各五分） 牡丹皮 山栀（炒） 甘草（炒。各三分）
上姜枣水煎服。
神功散 治疮疡初起，肿 者用之可消，加血竭更好。丹毒未砭者，亦可用之。
黄柏（炒） 草乌（生用）
上各另为末等分，用漱口水调敷，常漱口水润之。
清肝益荣汤 治肝胆经风热血燥，筋挛结核，或作瘊子。
柴胡 山栀（炒，各五分） 龙胆草（酒拌炒黑，五分） 当归 川芎 芍药（各一钱） 熟地黄（自制）
白术（炒） 木瓜（不犯铁器） 茯苓 薏苡仁（各五分） 甘草（三分）
上水煎服。
加味小柴胡汤 山栀牡丹皮。治肝胆经风热，耳前后肿痛，或结核 痛，或寒热晡热，口苦耳聋等症。
（前方去山栀、丹皮，即小柴胡汤。）
柴胡（二钱） 黄芩（炒，二钱） 人参 半夏（各七分） 甘草（炙，五分） 山栀 牡丹皮（各一钱）
上姜水煎，徐徐服。
九味芦荟丸 治肝脾疳热，患瘰 结硬，或三焦目生云翳，耳内生疮，或肢体消瘦，热渴少食，或肚腹
不调，牙龈蚀，颊腐烂，下部生疮等症。（方见喉痹）
必效散 治瘰 ，元气无亏者，宜用此方。若元气怯弱者，宜先补而后服之， 毒已下，便与滋补，庶
无他患。若孕妇及虚劳气郁所致者，尤不可服。世以此方为良剂，故并注之。
南硼砂（二钱五分） 轻粉（一钱） 麝香（五分） 巴豆（五粒，去皮心膜） 白槟榔（一个） 斑蝥
（四十个去头足翅，用糯米炒）
上为末，取鸡子二个，去黄用清，调药入壳内，以湿纸数重糊口甑，蒸熟取出，曝干研末，每服五分，用
炒生姜酒五更调服，如毒出，小便涩痛，用益元散一服，其毒出而不痛。
益气养荣汤（方见鹤膝风）
栀子清肝散（方见胁痈）
补阴八珍汤（即八珍汤加黄柏、知母）
益脾清肝散（方见黄水疮）
热毒瘰疬，是手足少阳经、足厥阴肝经受风热侵袭的病证，或者由肝疳（肝经虚热导致的疳积）和食积引起。其症状发于颈部、腋下，或耳前耳后，有的像串珠一样排列，应当分辨病位在表在里，以及体质的虚实。如果局部红肿，属于肝经热毒，用人参败毒散治疗。如果伴有疼痛、恶寒发热，属于肝火内盛，用加味小柴胡汤治疗。如果不痛但小便黄赤，属于肝血亏虚，用六味地黄丸治疗。肿块隐伏在肌肉深处且颜色不变，属于肝疳内作，用九味芦荟丸治疗。脓液形成但不溃破，或者溃破后不愈合，属于脾气虚弱，用益气养荣汤治疗。凡是出现肿胀疼痛、恶寒发热、口渴的症状，属于病邪气有余而正气不足，治疗应当清泻肝火，滋养肝血。如果肿块坚硬不溃破，或者溃破后不收敛，属于病邪气和正气都虚弱，治疗应当补肾水，健脾土。如果是由于乳母愤怒，将肝火遗留给患儿引起的，又应当根据具体病因进行治疗。
有一个小儿脓水淋漓不尽，淋巴结核未消散，发热怕冷，这是肝经气血虚弱而有内热，以补阴八珍汤为主方，间服清肝益荣汤而痊愈。后来淋巴结再次结聚，小便红赤涩痛，午后发热口渴，以参术柴苓汤为主方，佐以六味地黄丸药料加柴胡、山栀，以及四味肥儿丸而收敛愈合。
有一个十五岁的小儿患此病，发热口渴，下午脸颊发红，脉象数而无力，属于阴虚而有内热，服用补阴八珍汤五十剂，加入人参、白术等再服二十剂后溃破。但脓水清稀，肌肉不生，这是脾气虚弱，以人参、白术、当归、白术为主，佐以芍药、熟地、麦冬、五味子，气血恢复后，再进服必效散一服，毒邪排出而痊愈。
有一个十三岁的小儿，久治不愈，寒热交替发作，饮食减少思虑，这是肝火炽盛而脾胃虚弱，用益脾清肝散；佐以九味芦荟丸而痊愈。到了十六岁，阴茎突然痿软，服用温补药物后，尿道口流出臭秽津液，旧伤处肿痛，我用清泻肝火的药物治疗而痊愈。
有一个十五岁的小儿患此病，严格使用攻伐痰浊的药物，前面的症状更加严重，虚证全部出现，仍然建议之前的治疗方法。我说：小便频数，是肝经阴虚；两眼频繁眨动，是肝经风热；呕吐不想吃东西，是胃气虚弱；腹泻且有里急后重感，是脾气虚陷下坠。于是用补中益气汤、六味地黄丸逐渐好转，又用九味芦荟丸使肿块消除。
有一个小儿颈部及四肢有结核，久溃不愈合，身体消瘦如骨立，大便不调，小便频数，这是肝脾疳症，用九味芦荟丸、补中益气汤而痊愈。
有一个十四岁的小儿患此病，脓水清稀，身体消瘦如骨立，午后发热盗汗，口干咳痰，这是肾水不能滋养肝木，用六味地黄丸、补中益气汤。三月多后，元气逐渐恢复，佐以四味肥儿丸而痊愈。结婚后，唾痰身体疲倦，发热口渴，这是脾肺虚弱，不能生养肾水，水湿泛滥而成痰，用地黄丸、补中益气汤而痊愈。
有一个小儿患此病，服用克制攻伐的药物，导致寒热腹胀，这是肝脾疳症，先用五味异功散加柴胡、升麻，佐以九味芦荟丸，症状逐渐消退，又用四味肥儿丸、五味异功散而消除。
有一个小儿患此病，服用化痰散坚的药物，面色赤白相间，少阳三焦部位出现青筋，并且眼睛眨动流泪，这是肝胆风热所致，脾土虚弱而被肝木所乘侮，先用补中益气汤、柴胡清肝散加芜荑，肿块逐渐消退，佐以五味异功散加芜荑而痊愈。
有一个九岁的小儿患此病，面色常呈青色，肿块硬而不溃，肉色不变，这是因为过度伐肝化痰。我说：应当经常调补肝脾。他不听。果然虚证蜂拥而起。再次请我诊治，仍想伐肝。我说：面带青色，是肝虚而本色外露；面色变白，是肺虚而本色外露；痰涎上涌，是脾虚而不能摄纳；两眼频繁眨动，是肝血虚而生风。医经说：胃为五脏之本。应当先救胃气。于是用五味异功散加升麻、柴胡，元气稍复。然后早晨服用补中益气汤，晚上服用五味异功散，佐以九味芦荟丸，面色开始变黄，肿块逐渐消退；又以四味肥儿丸，间服地黄丸而痊愈。
有一个五岁的小儿患此病，小便白色，这是肝脾疳症，用九味芦荟丸、四味肥儿丸而消除。因为吃了橙橘，大小便都变白，腋窝间的结核，也用前面的药丸而痊愈。后来眼睛频繁眨动，颈部耳后结核，用柴胡清肝散、芦荟丸而痊愈。
张阁老的侄孙患此病，长期服用化痰削坚的药物，夜间发热吐痰，正值夏季六月，脉象大，按之涩滞。我说：夏季肝病，却见到肺脉，等到金气旺盛的时候，病情必定加重。到了八月疾病加重，果然无法治愈。
有一个十四岁的女子，耳下患此病，服用化痰泄气的药物，前面的症状更加严重，各种病症相继出现。我说：这是肝胆经虚火的病证，前面的药物乃泛扰各条经络，没有哪个脏腑不受伤害的。她不醒悟，仍然服用，更导致四肢抽搐，闭目牙关紧闭。我说：这是肺经虚弱，肝木妄动，而脾土又受损伤，应当补脾土，滋肺金，养肾水。她也不相信，后果死亡。
有一个四岁的小儿，患此病，广泛服用软坚伐肝的药物，病情加重。我说：这是禀受肝经的虚弱羸瘦，兼因乳母郁怒所致，应当调补乳母的肝脾，滋养孩子的肾水。她不醒悟，仍用前面的药物，以致死亡。
四味肥儿丸 治疗食积脾疳，面耳口舌生疮，目障云翳，牙齿腐烂等症状。（方剂见贴骨痈章节）
柴芍参苓饮 治疗肝火血热，遍身瘙痒，或起红色晕圈，或筋挛结核。
组成：柴胡、芍药、人参、白术、茯苓、陈皮、当归（各五分）、牡丹皮、山栀（炒）、甘草（炒，各三分）。
用法：以上药物用生姜、大枣煎水服用。
神功散 治疗疮疡初起，肿胀者用之可消，加入血竭效果更好。丹毒未砭刺者，也可使用。
组成：黄柏（炒）、草乌（生用）。
用法：以上药物分别研为细末，等分混合，用漱口水调敷，经常用漱口水润湿患处。
清肝益荣汤 治疗肝胆经风热血燥，筋挛结核，或长瘊子。
组成：柴胡、山栀（炒，各五分）、龙胆草（酒拌炒黑，五分）、当归、川芎、芍药（各一钱）、熟地黄（自制）、白术（炒）、木瓜（不接触铁器）、茯苓、薏苡仁（各五分）、甘草（三分）。
用法：以上药物用水煎服。
加味小柴胡汤 山栀、牡丹皮。治疗肝胆经风热，耳前后肿痛，或结核疼痛，或寒热午后发热，口苦耳聋等症状。（前方去掉山栀、丹皮，即为小柴胡汤。）
组成：柴胡（二钱）、黄芩（炒，二钱）、人参、半夏（各七分）、甘草（炙，五分）、山栀、牡丹皮（各一钱）。
用法：以上药物用姜水煎，慢慢服用。
九味芦荟丸 治疗肝脾疳热，患瘰疬结硬，或三焦、眼睛生云翳，耳朵内生疮，或肢体消瘦，热渴少食，或肚腹不调，牙龈蚀烂，脸颊腐烂，下部生疮等症状。（方剂见喉痹章节）
必效散 治疗瘰疬，元气没有亏损的人，适宜用此方。如果元气怯弱的人，应当先补益而后服用，毒邪已排出后，便给予滋补，这样才不会有其他祸患。如果是孕妇及虚劳气郁所致者，尤其不可服用。世人将此方视为良剂，所以一并注明。
组成：南硼砂（二钱五分）、轻粉（一钱）、麝香（五分）、巴豆（五粒，去皮心膜）、白槟榔（一个）、斑蝥（四十个去头足翅，用糯米炒）。
用法：以上药物研为细末，取鸡蛋二个，去黄只用蛋清，调和药物放入蛋壳内，用湿纸多层糊住口，放在甑中蒸熟取出，晒干研末。每次服用五分，用炒生姜酒在五更天调服。如果毒邪排出，小便涩痛，服用益元散一服，则毒出而不痛。
Thermal-toxin scrofula (Res, thermal-toxin type) is a syndrome caused by wind-heat invading the Foot-Shaoyang and Hand-Shaoyang meridians, as well as the Foot-Jueyin Liver meridian, or it may result from Liver Gan (Liver deficiency with heat leading to malnutrition syndrome) and food stagnation. The lesions manifest in the neck, axillae, or around the ears, sometimes arranged like beads. One must differentiate between exterior and interior locations, as well as excess and deficiency patterns. If the area is red and swollen, it indicates thermal-toxin in the Liver meridian; treat with Renshen Baidu San (Ginseng Detoxification Powder). If accompanied by pain, aversion to cold, and fever, it indicates internal stirring of Liver fire; treat with Jiawei Xiaochaihu Tang (Modified Minor Decoherence Decoction). If there is no pain but yellow urine, it indicates Liver blood deficiency; treat with Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill). If the lump is hidden deep within the flesh with unchanged skin color, it indicates internal activity of Liver Gan; treat with Jiuwei Lvhui Wan (Nine-Ingredient Aloe Pill). If pus forms but does not ulcerate, or if it ulcerates but fails to heal, it indicates Spleen Qi deficiency; treat with Yiqi Yangrong Tang (Tonify Qi and Nourish Blood Decoction). In cases of swelling, pain, aversion to cold, fever, and thirst, the pathogenic Qi is in excess while the Formative Qi is deficient; treatment should clear Liver fire and nourish Liver blood. If the mass is hard, does not ulcerate, or ulcerates without healing, both pathogenic Qi and Formative Qi are deficient; treatment should tonify Kidney Water and strengthen Spleen Earth. If caused by the wet nurse's anger transmitting Liver fire to the infant, treatment must address the specific cause.
A child presented with dripping pus, unresolving lymph nodes, fever, and aversion to cold. This indicated deficiency of Qi and Blood in the Liver meridian with internal heat. Treatment primarily used Buyin Bazhen Tang (Nourish Yin Eight-Treasure Decoction), interspersed with Qinggan Yirong Tang (Clear Liver and Nourish Blood Decoction), resulting in recovery. Later, lymph nodes re-aggregated with red, scanty urination, afternoon fever, and thirst. Treatment primarily used Shenzu Chailing Tang (Ginseng, Atractylodes, Bupleurum, and Poria Decoction), assisted by Liuwei Dihuang Wan ingredients added with Chaihu (Bupleuri Radix) and Zhizi (Gardeniae Fructus), along with Siwei Feier Wan (Four-Ingredient Stomach-Strengthening Pill), leading to healing.
A fifteen-year-old child suffered from this disease with fever, thirst, flushed cheeks in the afternoon, and a rapid, forceless pulse. This indicated Yin deficiency with internal heat. After taking fifty doses of Buyin Bazhen Tang (Nourish Yin Eight-Treasure Decoction) and another twenty doses with added Renshen (Ginseng) and Baizhu (Atractylodis Macrocephalae Rhizoma), the lesion ulcerated. However, the pus was thin and clear, and muscle did not regenerate, indicating Spleen Qi deficiency. Treatment focused on Renshen (Ginseng), Baizhu (Atractylodis Macrocephalae Rhizoma), Danggui (Angelicae Sinensis Radix), and Baizhu (Atractylodis Macrocephalae Rhizoma), assisted by Shaoyao (Paeoniae Radix), Shudihuang (Rehmanniae Radix Praeparata), Maimendong (Ophiopogonis Radix), and Wuweizi (Schisandrae Fructus). Once Qi and Blood were restored, one dose of Bixiao San (Extremely Effective Powder) was administered to expel the toxin, resulting in recovery.
A thirteen-year-old child had a chronic condition with alternating chills and fever, and poor appetite. This indicated excessive Liver fire and weak Spleen/Stomach. Treatment used Yipi Qinggan San (Spleen-Strengthening and Liver-Clearing Powder), assisted by Jiuwei Lvhui Wan (Nine-Ingredient Aloe Pill), leading to recovery. At sixteen, sudden penile flaccidity occurred. After taking warming and tonifying medicines, foul fluid exuded from the urethra, and old scars became swollen and painful. I treated with herbs that clear Liver fire, resulting in recovery.
A fifteen-year-old child took strong phlegm-resolving drugs strictly, worsening previous symptoms and bringing forth all deficiency signs. I recommended the previous method. I stated: Frequent urination indicates Liver Yin deficiency; frequent blinking of eyes indicates wind-heat in the Liver meridian; vomiting and anorexia indicate weak Stomach Qi; diarrhea with tenesmus indicates sinking of Spleen Qi. Thus, Buzhong Yiqi Tang (Center-Supplementing Qi-Boosting Decoction) and Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) were used for gradual improvement, followed by Jiuwei Lvhui Wan (Nine-Ingredient Aloe Pill) to eliminate the nodules.
A child had tubercles in the neck and limbs, chronically ulcerating without healing, emaciated to the point of being skeletal, with irregular bowel movements and frequent urination. This was Liver-Spleen Gan syndrome. Treatment with Jiuwei Lvhui Wan (Nine-Ingredient Aloe Pill) and Buzhong Yiqi Tang (Center-Supplementing Qi-Boosting Decoction) led to recovery.
A fourteen-year-old child presented with thin, clear pus, skeletal emaciation, afternoon fever, night sweats, dry mouth, and coughing with sputum. This indicated Kidney Water failing to nourish Liver Wood. Treatment used Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) and Buzhong Yiqi Tang (Center-Supplementing Qi-Boosting Decoction). After more than three months, Yuanqi (Primal Qi) gradually recovered, assisted by Siwei Feier Wan (Four-Ingredient Stomach-Strengthening Pill), leading to recovery. After marriage, he experienced spitting of phlegm, fatigue, fever, and thirst. This indicated Spleen-Lung deficiency failing to generate Kidney Water, causing water flooding to form phlegm. Treatment with Dihuang Wan (Rehmannia Pill) and Buzhong Yiqi Tang (Center-Supplementing Qi-Boosting Decoction) resulted in cure.
A child took harsh attacking medicines, leading to chills, fever, and abdominal distension. This was Liver-Spleen Gan syndrome. Initially, Wuyi Yigong San (Five-Agent Extraordinary Efficacy Powder) with Chaihu (Bupleuri Radix) and Shengma (Cimicifugae Rhizoma) was used, assisted by Jiuwei Lvhui Wan (Nine-Ingredient Aloe Pill), leading to gradual subsidence. Subsequently, Siwei Feier Wan (Four-Ingredient Stomach-Strengthening Pill) and Wuyi Yigong San (Five-Agent Extraordinary Efficacy Powder) eliminated the condition.
A child took phlegm-resolving and hardness-dispersing medicines, resulting in mottled red and white complexion, visible blue veins in the Shaoyang Sanjiao region, eye blinking, and tearing. This was caused by wind-heat in the Liver and Gallbladder, with weak Spleen Earth being overacted upon by Liver Wood. Initially, Buzhong Yiqi Tang (Center-Supplementing Qi-Boosting Decoction) and Chaihu Qinggan San (Bupleurum Liver-Clearing Powder) with Wuyi (Meliae Cortex) were used, leading to gradual nodule reduction. Assisted by Wuyi Yigong San (Five-Agent Extraordinary Efficacy Powder) with Wuyi (Meliae Cortex), recovery ensued.
A nine-year-old child presented with a constant greenish complexion, hard swelling without ulceration, and unchanged skin color, due to excessive liver-subduing and phlegm-resolving. I advised regular tonification of Liver and Spleen. He did not believe me. Indeed, deficiency signs arose rapidly. Upon re-consultation, he still desired liver-subduing treatment. I stated: Green complexion indicates Liver deficiency revealing its true color; white complexion indicates Lung deficiency revealing its true color; surging saliva indicates Spleen deficiency failing to control; frequent eye blinking indicates Liver blood deficiency generating wind. The Classics state: The Stomach is the root of the Five Zang organs. One must first rescue Stomach Qi. Thus, Wuyi Yigong San (Five-Agent Extraordinary Efficacy Powder) with Shengma (Cimicifugae Rhizoma) and Chaihu (Bupleuri Radix) was used, slightly restoring Yuanqi (Primal Qi). Then, Buzhong Yiqi Tang (Center-Supplementing Qi-Boosting Decoction) was taken in the morning, and Wuyi Yigong San (Five-Agent Extraordinary Efficacy Powder) in the evening, assisted by Jiuwei Lvhui Wan (Nine-Ingredient Aloe Pill). The complexion turned yellow, and nodules gradually reduced. Finally, Siwei Feier Wan (Four-Ingredient Stomach-Strengthening Pill) and intermittent Dihuang Wan (Rehmannia Pill) led to recovery.
A five-year-old child presented with white urine, indicating Liver-Spleen Gan syndrome. Treatment with Jiuwei Lvhui Wan (Nine-Ingredient Aloe Pill) and Siwei Feier Wan (Four-Ingredient Stomach-Strengthening Pill) eliminated the condition. Due to eating oranges and tangerines, both stool and urine turned white, and axillary tubercles also healed with the aforementioned pills. Later, frequent eye blinking and cervical/retroauricular tubercles were treated with Chaihu Qinggan San (Bupleurum Liver-Clearing Powder) and Lvhui Wan (Aloe Pill), resulting in recovery.
The nephew of Grand Secretary Zhang suffered from this disease, long taking phlegm-resolving and hardness-reducing agents. He had night fever and spitting of phlegm. It was mid-summer, and his pulse was large but choppy upon pressure. I stated: Summer Liver disease presenting with a Lung pulse indicates that when Metal energy peaks, the disease will progress. By August, the disease worsened, and indeed, it was incurable.
A fourteen-year-old girl developed this below the ear. Taking phlegm-resolving and Qi-draining medicines worsened previous symptoms and brought forth various signs. I stated: This is a deficiency-fire syndrome of the Liver and Gallbladder meridians. The previous medicines disturbed all meridians, injuring every Zang organ. She did not realize this, continued taking them, and subsequently developed limb convulsions, closed eyes, and locked jaws. I stated: This is Lung deficiency, Liver Wood agitation, and further injury to Spleen Earth. One must tonify Spleen Earth, nourish Lung Metal, and nourish Kidney Water. She did not believe, and eventually died.
A four-year-old child suffered from this, widely taking softening-hardness and liver-subduing agents, worsening the condition. I stated: This is congenital Liver meridian weakness and deficiency, compounded by the wet nurse's depression and anger. One should regulate and tonify the wet nurse's Liver and Spleen, and nourish the child's Kidney Water. She did not realize this, continued using the previous medicines, and the child died.
Siwei Feier Wan (Four-Ingredient Stomach-Strengthening Pill) treats food stagnation Spleen Gan, sores on face/ears/mouth/tongue, visual obstruction with nebula, and dental caries. (Formula see Tiegu Yong section)
Chaishao Shenling Yin (Bupleurum, Peony, Ginseng, and Poria Drink) treats Liver fire and blood heat, generalized pruritus, red halos, or tendon spasms with tubercles.
Ingredients: Chaihu (Bupleuri Radix), Shaoyao (Paeoniae Radix), Renshen (Ginseng), Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Chenpi (Citri Reticulatae Pericarpium), Danggui (Angelicae Sinensis Radix) (each 0.5 fen); Mudanpi (Moutan Cortex), Zhizi (Gardeniae Fructus, stir-fried), Gancao (Licorice Root, stir-fried) (each 0.3 fen).
Preparation: Decoct with fresh ginger and dates.
Shengong San (Divine Merit Powder) treats early-stage sores and swellings; can reduce swelling. Adding Xuejie (Dragon's Blood) is better. Also usable for erysipelas before scarification.
Ingredients: Huangbai (Phellodendri Cortex, stir-fried), Caowu (Aconiti Radix, raw).
Preparation: Grind each into fine powder separately, mix equal parts. Apply mixed with mouthwash, keeping the area moist with mouthwash frequently.
Qinggan Yirong Tang (Clear Liver and Nourish Blood Decoction) treats wind-heat and blood dryness in Liver/Gallbladder meridians, tendon spasms, tubercles, or warts.
Ingredients: Chaihu (Bupleuri Radix), Zhizi (Gardeniae Fructus, stir-fried) (each 0.5 fen); Longdancao (Gentianae Radix, wine-stir-fried until black, 0.5 fen); Danggui (Angelicae Sinensis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shaoyao (Paeoniae Radix) (each 1 qian); Shudihuang (Rehmanniae Radix Praeparata, homemade); Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried); Mugua (Chaenomelis Fructus, avoid iron); Fuling (Poria), Yiyiren (Coicis Semen) (each 0.5 fen); Gancao (Licorice Root) (0.3 fen).
Preparation: Decoct with water.
Jiawei Xiaochaihu Tang (Modified Minor Decoction of Bupleurum): Zhizi (Gardeniae Fructus), Mudanpi (Moutan Cortex). Treats wind-heat in Liver/Gallbladder meridians, swelling/pain around ears, painful tubercles, chills/fever, afternoon fever, bitter taste, deafness. (Removing Zhizi and Mudanpi from the above formula yields Xiaochaihu Tang.)
Ingredients: Chaihu (Bupleuri Radix) (2 qian); Huangqin (Scutellariae Radix, stir-fried, 2 qian); Renshen (Ginseng), Banxia (Pinelliae Rhizoma) (each 0.7 fen); Gancao (Licorice Root, honey-fried, 0.5 fen); Zhizi (Gardeniae Fructus), Mudanpi (Moutan Cortex) (each 1 qian).
Preparation: Decoct with ginger water, take slowly.
Jiuwei Lvhui Wan (Nine-Ingredient Aloe Pill) treats Liver-Spleen Gan heat, hard scrofula tubercles, nebula in Sanjiao/eyes, otitis interna, emaciation, thirst with poor appetite, abdominal irregularity, gingival erosion, cheek rot, and lower body sores. (Formula see Hou Bi section)
Bixiao San (Extremely Effective Powder) treats scrofula in patients with intact Yuanqi (Primal Qi). For those with weak Yuanqi, tonify first, then administer. After toxin expulsion, provide nourishment to prevent complications. Contraindicated in pregnancy and deficiency-wasting with Qi stagnation.
Ingredients: Nan Pengsha (South Borax) (2.5 qian); Qingfen (Calomelas) (1 qian); Shexiang (Moschus) (0.5 fen); Badou (Crotonis Fructus, 5 seeds, peeled, heart and membrane removed); Baibinglang (Arecae Betel Nut) (1 piece); Banmao (Mylabris, 40 pieces, heads, feet, wings removed, stir-fried with glutinous rice).
Preparation: Grind into powder. Take two eggs, separate whites from yolks. Mix medicine into egg whites inside the shell. Seal with multiple layers of wet paper. Steam in a steamer until cooked. Remove, dry, and grind into powder. Take 0.5 fen per dose, mixed with stir-fried ginger wine at dawn (fifth watch). If toxin exits causing dysuria/pain, take Yiyuan San (Beneficial Origin Powder) to relieve pain upon toxin exit.
Yiqi Yangrong Tang (Tonify Qi and Nourish Blood Decoction) (See Hexikfeng section)
Zhizi Qinggan San (Gardenia Liver-Clearing Powder) (See Xieyong section)
Buyin Bazhen Tang (Nourish Yin Eight-Treasure Decoction) (Eight-Treasure Decoction plus Huangbai (Phellodendri Cortex) and Zhimu (Anemarrhenae Rhizoma))
Yipi Qinggan San (Spleen-Strengthening and Liver-Clearing Powder) (See Huangshichuang section)