研细） 生地黄（二两） 辰砂（一钱，另研） 粉霜（另研） 麝香（各五分）
上将灰汁滤澄清，下锅煎浓，下甲末，候焦干一半，下麝香，次
下粉霜，干及九分，下辰砂，候成膏，下炒锻石末，以成块子，即收入小罐子内，勿见风。
龙珠膏
龙芽草（五两） 棘枣根（五钱） 海藻（二钱五分） 苏木（五钱）
上细切，量水二十碗，煎至十二三碗，滤去渣，又用∶
桑柴灰（二碗半） 锻石（二碗半） 苍耳草灰（二碗半） 以草纸二层，皮
纸二层，放箩底，次置灰于上，用煎汤热淋，取灰汁十碗许澄清，入
锅内煎成膏，用巴豆霜、白丁香、石膏、麝香、轻粉，瓷罐子收贮，每
用取敷核上，再敷即去旧药并靥，再上新药，其核即溃而愈。根小者但只涂药于根上，其核自溃。
（以上皆石香方）
救苦化坚汤（东垣） 治瘰 、马刀、挟瘿，在耳下或耳后，下颈
至肩上，或入缺盆中，乃手足少阳之经分。其瘰 在颏下，或至颊
车，乃阳明之经分，受心脾之邪而作也。今将二证合而治之。
黄 （一钱，护皮毛间，补腠理虚及活血气，为疮家之圣药，又实表补元气
之妙剂也） 人参（三分，补肺气之药也，如气短不调及喘者，宜加之） 炙甘草（五分
，能调中，和诸药，泻火，益胃气，亦能去疮中之邪） 真漏芦 升麻（各一钱） 葛根
（五分，此三味，俱足阳明本经药也） 连翘（一钱，此一味，乃十二经疮中之药，不可无
也，能散诸血结气聚，此疮家之神药也） 牡丹皮（三分，去肠胃中留滞宿血） 当归
身（三分） 生地黄（三分） 熟地黄（三分，此三味，诸经中和血、生血、凉血药也）
白芍药（三分，如夏月倍之，其味酸气寒，能补中，益气之虚，治腹痛必用之，冬寒不可
用） 肉桂（二分，大辛热，能散结积，阴证疮疡须当少用之，此寒因热用之意。又为寒
阴腹盖其疮，用大辛热去阴寒之气。如有烦躁者，去之） 柴胡（八分，功用连翘。如
疮不在少阳经，则去之） 鼠粘子（三分，无肿不用） 羌活（一钱） 独活（五分） 防
风（五分，以上三味，必问手足太阳症，脊痛项强，不可回顾，腰似折，项似拔者是也。其
防风一味辛温，如疮在膈以上，虽无手足太阳经症，亦当用之，为能散结，去上部风邪）
昆布（二分，其味太咸，若坚硬者宜用，盖咸能软坚也） 荆三棱（炮，二分） 广术
炮，三分，此二味，若疮坚硬甚者用之，如不甚坚硬者不须用） 益智（二分，如唾多者，
胃不和也，或病患吐沫吐食、胃中寒者加之，无则勿用也） 麦 面（二钱，治腹中缩
急，又能消食健脾） 神曲（炒，二分，食不消化者用之） 黄连（三分，治烦闷）
浓朴（姜制，一钱一分，如腹胀者加之） 黄柏（炒，三分，如有热或腿脚无力者加之，
如有烦躁欲去衣者，肾中有伏火也，更宜加之，无则勿用）
上件共为细末，汤浸蒸饼捏作饼子，日干，捣如米粒大，每服三钱，白汤送下。如气不顺，加橘红。甚者，加木香
少许。量病患虚实，临时斟酌与之，毋令药多妨其饮食，此为治之大法也。如止在阳明分者，去柴胡、鼠粘子二味，余
皆用之。如在少阳分为马刀挟瘿者，去独活、漏芦、升麻、葛根，更加瞿麦三分。如本人素气弱，其病势来时，气盛而
不短促者，不可用。考其平素，宜作气盛，而从病变之权也，宜加黄芩、黄连、黄柏、知母、防己之类，视邪气在上中
下而用之。假令邪气在上焦，加黄芩（半酒洗，半生用），在中焦，加黄连（半酒洗，半生用），在下焦，则加酒制黄柏、
知母、防己之类，选而用之。如大便不通而滋其邪盛者，加酒制大黄以利之。如血燥而大便干燥者，加桃仁泥、酒制大
黄二味。如风结燥不行者，加麻仁、大黄以润之。如风涩而大便不行者，加煨皂角仁、大黄、秦艽以利之。如脉涩，觉
身有气涩而大便不通者，加郁李仁、大黄，以除气燥也。如阴寒之病，为寒结秘而大便不通，以局方中半硫丸，或加炮
附子、干姜，煎水冷服之。大抵用药之法，不惟疮疡一家，诸疾病重人素气弱者，当去苦寒之药，多加人参、黄 、甘
草之类，泻火而先补其元气，余皆仿此。
柴胡连翘汤（东垣） 治男子妇人马刀疮。
中桂（一分） 当归梢（五各） 鼠粘子（炒另研） 炙甘草 酒黄柏 生地黄（各一钱） 柴胡（一钱五分） 黄
芩（炒） 酒知母 连翘（各一钱五分） 瞿麦（二钱）
上细切，作一服，水二盏煎，稍热服。
消肿汤（东垣） 治马刀疮。
鼠粘子（炒，五分） 黄连（炒，五分） 当归梢 甘草（各七分） 栝蒌根
黄（各一钱，蜜炙） 生黄芩 柴胡（去芦，各一钱二分） 连翘（二钱） 红花（少许）
上细切，作一服，水二盏，煎至一盏，去渣稍热服。
柴胡通经汤（东垣） 治小儿项侧有核，坚而不溃，名曰马刀疮。
柴胡（去芦） 连翘 当归梢 生甘草 黄芩 鼠粘子（炒） 荆
三棱（醋炒） 桔梗（各二分） 黄连（五分） 红花（少许）
上细切，作一服，水二盏，煎至一盏，去渣，食后稍热服，忌苦药泄大便。
散肿溃坚汤（东垣） 治马刀疮，结硬如石，或在耳下，至缺盆中，或肩上，或胁下，皆手足少阳经中，及瘰
遍于颏，或至颊车，坚而不溃，在足阳明经中所出，或二症疮已破，流脓水，并皆治之。
黄芩（八分，酒洗，半炒半生） 草龙胆（酒洗炒四遍） 栝蒌根（酒洗） 黄柏（酒制炒） 知母（酒炒） 桔
梗（去芦） 昆布（酒洗，各五分） 柴胡（四分） 炙甘草 荆三棱（酒洗炒） 广术（酒拌炒） 连翘（各三分） 葛
根（二分） 白芍药（二分） 当归梢（二分） 黄连（二分） 升麻（一分）
上细切，作一服，水二盏，先浸半日，煎至一盏，去渣食后稍热服。于卧处伸足在高处，头低垂，每含一口，作十
次咽下，服毕少顷，根据常安卧，取药在膈上停蓄故也。另攒一料作细末，炼蜜为丸，如绿豆大，每服百余丸，以煎药汤
送下，或加海藻五分炒入亦妙。以海藻反甘草，此东垣用药妙处，世医莫晓也。
升阳调经汤（东垣） 治瘰 绕颈，或至颊车，此皆出足阳明胃经中来，若疮深远，隐曲肉底，是足少阴肾经
中来，乃戊脾传于癸肾，是夫传与妻，俱作块子坚硬，大小不等，并皆治之，或作丸亦可。
升麻（八分） 葛根 草龙胆（用酒四次制炒） 黄芩（各四分，酒制炒） 连翘（五分） 广术 荆三棱（二
味俱酒制炒） 炙甘草（各四分） 当归梢（三分） 桔梗（五分） 芍药（三分） 黄柏（酒炒，二分） 知母（酒
炒，一钱） 黄连（酒洗，五分） 黄芩（生，四分）
上细切，作一服，水二盏，先浸半日，煎至一盏，去渣临卧稍热服。外另称十帖之数为细末，炼蜜为丸，如绿豆大，
每服一百丸。服药时，足高，去枕仰卧，噙一口作十次咽之，留一口在后，送下丸药，服毕寝卧如常。
连翘散坚汤（东垣） 治耳下或至缺盆，或肩上，生疮坚硬如石，动之无根，名曰马刀疮，从手足少阳经中来
也。或生两胁下，或已流脓，作疮未破，并皆治之。
柴胡（一钱二分） 草龙胆（酒制，四次） 土瓜根（酒制炒，各一钱） 黄芩（酒炒二次，七分） 当归梢 生
黄芩 广术 荆三棱（酒炒） 连翘 白芍药（各五分） 炙甘草（三分） 黄连（酒炒，二次） 苍术（米泔浸，各
二分）
上细切，作一服，外另秤十帖之数为细末，炼蜜为丸，如绿豆大，每服百余丸。煎者，用水二盏，先浸大半日，煎
至一盏，去渣临卧稍热服，去枕仰卧，每口作十次咽下，留一口送下丸药，服毕如常安卧，更以后药涂之。
龙泉散（疮疡集）
龙泉粉（炒。即磨刀石上粉也） 瓦垄粉 广术 荆三棱（酒洗炒） 昆布（各五钱）
上同为细末，煎熟水调涂之，用此药去疾尤速。
三圣丸（济生） 治瘰 神效劫药。
丁香（五十粒） 班猫（十个，去翅及头足，炒） 麝香（一钱，另研）
上为末，用盐豉五十粒，汤浸烂研如泥，和前药末，丸如绿豆大，每服七丸，食前温酒送下，日三服，至五七日，
觉小便淋沥，是药之效，便加服。或小便下如青筋膜之状，乃病之根也。忌湿面、毒食。
立验大圣散（疮疡集） 治瘰 劫药。
班猫（大者三十个，去头及翅足，用糯米一协议炒，米黄色，去米，用班猫） 面僵蚕（一钱，去丝嘴炒） 黑牵
牛（半生半炒，共三钱，取头末一钱） 荆芥穗（一钱）
上为细末，每服一钱，空心无灰老酒下。服此药须忌鱼肉酒醋盐酱及发风动气等物，止可吃菜蔬白粥。且如次早服
药，隔夜不吃夜粥，黄昏煎川木通汤，调下玉屑妙灵散二钱重，次日五更，酒调立验大圣散一帖，如不能饮酒，用灯心
木通汤调下，至日中，觉小腹攻痛，小便涩痛，又用灯心汤调下琥珀末一钱，或玉屑妙灵散亦可，当利恶物，从小便中
出，如蒲萄肉状，中有凝血一点。或未下，三日后可再服，至日中前，用六丁神散一服催之，必然自下。五六日后，再
催一服，以病根除尽为度。如项上有 一枚，取下恶物十枚，则尽病根。如有小腹攻急，茎中涩痛之恼，不必惊恐，过
后便自平腹无事。
玉屑妙灵散
滑石细研为末，每服一钱，煎川木通汤调下。
六丁神散（疮疡集）
苦丁香（六枚，或秤五分重） 白丁香（一钱） 苦参末（五分） 赤小豆（一钱）
磨刀泥（青石者佳。一名龙泉粉） 大斑猫（七个，去头足，炒） 白僵蚕（去丝嘴，炒，各一钱）
上共为细末，每服一钱重，空心无灰酒调下。
瘿瘤方法∶
破结散（大成方） 治石瘿、气瘿、筋瘿、血瘿、肉瘿、马刀、瘰 等症。
海藻（酒洗净） 龙胆草（酒洗） 海蛤粉 通草 贝母（去心） 昆布
（酒洗净） 矾石（枯） 松萝（各三钱，今以桑寄生代效） 麦曲（炒，四钱） 半夏曲（二钱）
上为细末，每服二钱，热酒调，食后服，忌甘草、鲫鱼、鸡肉、五
辛、生果。有人于项上生 ，大如茄子，潮热不食，形瘦日久，百方不
效，后得此方，去松萝，加真桑寄生一倍服，三五日后，其疮软而散，热退而愈，屡医数人皆效。
南星散（疮疡集） 治皮肤颈项面上生瘤，大者如拳，小者如粟，
或软或硬，不痒不痛，宜用此药。切不可辄用针灸，多致不救。
生南星（大者一枚）
上细研烂，入好醋五七点，杵如膏。如无生者，即以干者为末，
醋调如膏。先以细针刺患处，令气透，却以膏药摊贴，觉痒则频换贴取效。
瘤者，气血凝滞结聚而成，或如桃李，或如瓜瓠。其名有六∶曰
骨瘤，曰脂瘤，曰脓瘤，曰血瘤，曰筋瘤，曰风瘤，以其中各有此物而名之也。以上诸瘤，通用龙珠膏治之。
龙珠膏（方见前瘰 条下。）
瘤宜服十六味流气饮。（方见前奶岩条下。）
凡瘿气，先须断浓味，用海藻一两、黄柏二两为末，置掌中，时
时舐之，以津唾咽下，待消三分之二，止药。
结核方法
丹溪曰∶大凡结核在项在臂在身，如肿毒不红不痛不作脓者，
多是痰注不散，名曰痰核，用二陈汤加酒炒大黄、连翘、桔梗、柴胡煎服。
又方∶治臂核作痛，用二陈汤加连翘、川芎、皂角刺、防风、黄芩（酒炒）、苍术煎服。
治耳后顶门各有一核，用炒僵蛋、酒蒸大黄、青黛、牛胆、南星为末，蜜丸噙化。
疔肿方法
石香程氏曰∶疔肿之症，皆蓄热毒之深而成者也。近者多见因食灾牛疫马之肉，而成此证。其形有十三种，皆以形
而名之耳∶一曰麻子疔，二曰石疔，三曰雄疔，四曰雌疔，五曰火疔，六曰烂疔，七曰三十六种疔，八曰蛇眼疔，九曰
盐肤疔，十曰水洗疔，十一曰刀镰疔，十二曰浮沤疔，十三曰牛狗疔。惟三十六种疔最为可畏，其状头黑浮起，形如黑
豆，四畔大赤色，今日生一，明日生二，后日生三，乃至十数，犹为可治，若满三十六，则为不治之证也。夫十三种疔，
其形状虽各不同，而其所由，皆热毒之甚也。治法并急用夺命丹下之，去其毒之锐势，次服化毒丸及内托散、二活散、
雄麝汤，随证经络病势缓急，用引经药斟酌施治。如无他证，有热即退热，有肿则退肿。如身冷自汗，呕逆躁喘，狂喝
妄语，直视者，皆毒瓦斯入内，不可治矣。如疔已拔去，用金银白芷散、加减十宣散调之，方获全安也。
今将十三种疔证候开列于后∶
一曰麻子疔，其状肉起，头如黍米，色稍黑，四边微赤，多痒，忌食麻子、近油衣布衣、并入麻田中行。
二曰石疔，其状皮肉相连，色如黑豆，甚硬，刺之不入，肉微痛，忌瓦砾砖石之属。
三曰雄疔，其状 头黑靥，四畔仰， 浆起，有水出，色黄，大如钱孔形高者，忌房事。
四曰雌疔，其状疮稍黄，向里靥，亦似灸疮，四面 浆起，心凹色赤，如钱孔者，忌房事。
（将药材）研磨成细粉。生地黄（二两），辰砂（一钱，单独研磨），粉霜（单独研磨），麝香（各五分）。
先将草木灰汁过滤澄清，放入锅中煎煮至浓稠，加入穿山甲末，等待煎至焦干一半时，加入麝香，接着加入粉霜，待药液干燥至九成时，加入辰砂，等待结成膏状，最后加入炒制的锻石末，使其成为块状，立即收入小罐中，避免接触风。
龙珠膏
龙芽草（五两），棘枣根（五钱），海藻（二钱五分），苏木（五钱）。
以上药材切碎，取水二十碗，煎煮至十二三碗，滤去药渣，再用：
桑柴灰（二碗半），锻石（二碗半），苍耳草灰（二碗半）。用两层草纸、两层皮纸铺在箩底，将灰放在上面，用煎好的药汤热淋，取得约十碗澄清的灰汁，倒入锅内煎制成膏，加入巴豆霜、白丁香、石膏、麝香、轻粉，用瓷罐收贮。每次使用时敷在肿块上，再次敷药时需去掉旧药及结痂，再敷上新药，肿块就会溃破而愈。根部较小的只需将药涂在根部，肿块自然会溃破。
（以上均为石香的方子）
救苦化坚汤（李东垣方） 治疗瘰疬、马刀疮、挟瘿，位于耳下或耳后，向下延伸至颈部至肩部，或进入缺盆中，这属于手少阳经和足少阳经的分布区域。瘰疬位于下巴下方，或延伸至颊车穴，这属于足阳明经的分布区域，是由心脾之邪气侵袭所致。现在将这两种证候合并治疗。
黄芪（一钱，保护皮毛间隙，补益腠理虚弱及活血行气，是治疗疮疡的圣药，也是固表补益元气的妙剂），人参（三分，补肺气的药物，如出现气短不调及喘息者，适宜加入），炙甘草（五分，能调和脾胃，协调诸药，泻火，益胃气，也能去除疮中的邪气），真漏芦，升麻（各一钱），葛根（五分，这三味药都是足阳明本经的药物），连翘（一钱，这一味药是十二经疮疡通用的药物，不可缺少，能消散各种血结气聚，是治疗疮疡的神药），牡丹皮（三分，去除肠胃中滞留的陈旧瘀血），当归身（三分），生地黄（三分），熟地黄（三分，这三味药是各经中和血、生血、凉血的药物），白芍药（三分，如在夏季加倍使用，其味酸气寒，能补中益气虚，治疗腹痛必用，冬季寒冷时不可使用），肉桂（二分，大辛大热，能消散结积，阴证疮疡须少量使用，这是“寒因热用”的意思。又如在寒冷季节腹部受寒覆盖疮口，需用大辛大热之品去除阴寒之气。如有烦躁症状者，去掉此药），柴胡（八分，功效类似连翘。如果疮不在少阳经，则去掉此药），鼠粘子（牛蒡子，三分，无肿胀不用），羌活（一钱），独活（五分），防风（五分，以上三味药，必须询问是否有手足太阳经症状，如脊痛项强，不能回顾，腰似折断，项似拔起者是也。防风一味辛温，如果疮在膈膜以上，即使没有手足太阳经症状，也应当使用，因为它能消散结滞，去除上部风邪），昆布（二分，味道太咸，如果肿块坚硬者适宜使用，因为咸味能软坚散结），荆三棱（炮制，二分），莪术（炮制，三分，这两味药，如果疮疡坚硬严重者使用，如果不甚坚硬则不需要使用），益智仁（二分，如果唾液多者，是胃不和的表现，或者病人吐沫吐食、胃中有寒者加入，没有则不用），麦面（二钱，治疗腹中收缩紧急，又能消食健脾），神曲（炒制，二分，食物不消化者使用），黄连（三分，治疗烦闷），厚朴（姜制，一钱一分，如果腹胀者加入），黄柏（炒制，三分，如果有热或腿脚无力者加入，如果有烦躁想脱衣者，说明肾中有伏火，更适宜加入，没有则不用）。
以上药材共研为细末，用汤浸泡蒸饼捏成饼状，晒干，捣碎如米粒大小，每次服用三钱，用白开水送服。如果气不顺，加橘红。严重的，加少许木香。根据病人的虚实情况，临时斟酌给予，不要让药物过多妨碍饮食，这是治疗的根本大法。如果仅在阳明经分，去掉柴胡、鼠粘子两味药，其余都用。如果在少阳经分为马刀挟瘿者，去掉独活、漏芦、升麻、葛根，再加瞿麦三分。如果病人平时气弱，发病时气势盛且不短促者，不可使用。考察其平素体质，宜作气盛处理，并根据病变权变，宜加黄芩、黄连、黄柏、知母、防己之类，视邪气在上、中、下焦而选用。假如邪气在上焦，加黄芩（半酒洗，半生用），在中焦，加黄连（半酒洗，半生用），在下焦，则加酒制黄柏、知母、防己之类，选择使用。如果大便不通且滋长邪气盛者，加酒制大黄以通利。如果血燥而大便干燥者，加桃仁泥、酒制大黄两味药。如果风结燥不行者，加麻仁、大黄以润肠。如果风涩而大便不行者，加煨皂角仁、大黄、秦艽以利便。如果脉涩，感觉身体气机涩滞而大便不通者，加郁李仁、大黄，以除气燥。如果是阴寒之病，因寒结秘而大便不通，用局方中的半硫丸，或加炮附子、干姜，煎好后放冷服。大抵用药之法，不仅限于疮疡一家，其他疾病重症且人平时气弱者，应当去掉苦寒之药，多加人参、黄芪、甘草之类，泻火的同时先补益元气，其余都仿照此法。
柴胡连翘汤（李东垣方） 治疗男女马刀疮。
肉桂（一分），当归梢（五钱），鼠粘子（炒，另研），炙甘草，酒黄柏，生地黄（各一钱），柴胡（一钱五分），黄芩（炒），酒知母，连翘（各一钱五分），瞿麦（二钱）。
以上切碎，作为一服药，用水两盏煎煮，稍热时服用。
消肿汤（李东垣方） 治疗马刀疮。
鼠粘子（炒，五分），黄连（炒，五分），当归梢，甘草（各七分），栝楼根，黄芪（各一钱，蜜炙），生黄芩，柴胡（去芦，各一钱二分），连翘（二钱），红花（少许）。
以上切碎，作为一服药，用水两盏，煎至一盏，滤去药渣，稍热时服用。
柴胡通经汤（李东垣方） 治疗小儿颈侧有核，坚硬而不溃破，名为马刀疮。
柴胡（去芦），连翘，当归梢，生甘草，黄芩，鼠粘子（炒），荆三棱（醋炒），桔梗（各二分），黄连（五分），红花（少许）。
以上切碎，作为一服药，用水两盏，煎至一盏，滤去药渣，饭后稍热时服用，忌用苦寒药导致腹泻。
散肿溃坚汤（李东垣方） 治疗马刀疮，结硬如石头，或在耳下，至缺盆中，或肩上，或胁下，都属于手足少阳经，以及瘰疬遍布下巴，或至颊车，坚硬而不溃破，属于足阳明经所出部位，或者两种疮症已经破溃，流脓水，都进行治疗。
黄芩（八分，酒洗，半炒半生），草龙胆（酒洗炒四遍），栝楼根（酒洗），黄柏（酒制炒），知母（酒炒），桔梗（去芦），昆布（酒洗，各五分），柴胡（四分），炙甘草，荆三棱（酒洗炒），莪术（酒拌炒），连翘（各三分），葛根（二分），白芍药（二分），当归梢（二分），黄连（二分），升麻（一分）。
以上切碎，作为一服药，用水两盏，先浸泡半天，煎至一盏，滤去药渣，饭后稍热时服用。睡觉时将脚伸在高处，头低垂，每次含一口药汁，分十次咽下，服完后稍顷，像平常一样安卧，这是因为让药在膈上停留蓄积的缘故。另外准备一份做成细末，炼蜜为丸，如绿豆大小，每次服用百余丸，用煎药的汤送下，或者加海藻五分炒入也很好。虽然海藻反甘草，但这是李东垣用药的妙处，世间的医生不明白。
升阳调经汤（李东垣方） 治疗瘰疬绕颈，或至颊车，这些都出自足阳明胃经，如果疮位深远，隐没在肌肉底部，是出自足少阴肾经，这是戊土脾传于癸水肾，是夫传与妻，都形成块子坚硬，大小不等，都进行治疗，也可以做成丸药。
升麻（八分），葛根，草龙胆（用酒四次制炒），黄芩（各四分，酒制炒），连翘（五分），莪术，荆三棱（两味都酒制炒），炙甘草（各四分），当归梢（三分），桔梗（五分），芍药（三分），黄柏（酒炒，二分），知母（酒炒，一钱），黄连（酒洗，五分），黄芩（生用，四分）。
以上切碎，作为一服药，用水两盏，先浸泡半天，煎至一盏，滤去药渣，临睡前稍热时服用。另外称取十帖的数量研为细末，炼蜜为丸，如绿豆大小，每次服用一百丸。服药时，脚抬高，去枕仰卧，含一口药汁分十次咽下，留一口在后，送下丸药，服完后像平常一样寝卧。
连翘散坚汤（李东垣方） 治疗耳下或至缺盆，或肩上，生疮坚硬如石头，推动无根，名为马刀疮，从手足少阳经中来。或者生在两胁下，或者已经流脓，作疮未破，都进行治疗。
柴胡（一钱二分），草龙胆（酒制，四次），土瓜根（酒制炒，各一钱），黄芩（酒炒二次，七分），当归梢，生黄芩，莪术，荆三棱（酒炒），连翘，白芍药（各五分），炙甘草（三分），黄连（酒炒，二次），苍术（米泔浸，各二分）。
以上切碎，作为一服药，另外称取十帖的数量研为细末，炼蜜为丸，如绿豆大小，每次服用百余丸。煎煮的，用水两盏，先浸泡大半日，煎至一盏，滤去药渣，临睡前稍热时服用，去枕仰卧，每口分十次咽下，留一口送下丸药，服完后像平常一样安卧，再用后面的药涂抹。
龙泉散（《疮疡集》）
龙泉粉（炒。即磨刀石上的粉末），瓦垄粉，莪术，荆三棱（酒洗炒），昆布（各五钱）。
以上共同研为细末，用煎熟的热水调涂患处，用此药去除疾病尤其迅速。
三圣丸（《济生方》） 治疗瘰疬的神效劫药。
丁香（五十粒），斑蝥（十个，去翅及头足，炒），麝香（一钱，另研）。
以上研为末，用盐豉五十粒，热水浸泡烂研如泥，和前药末，丸如绿豆大小，每次服用七丸，饭前温酒送下，每天三次，到五七日，感觉小便淋漓，是药物的效果，便增加服用。或者小便排出如青筋膜状，是病的根源。忌湿面、毒食。
立验大圣散（《疮疡集》） 治疗瘰疬劫药。
斑蝥（大的三十个，去头及翅足，用糯米一起炒，米变黄色，去米，用斑蝥），面僵蚕（一钱，去丝嘴炒），黑牵牛（半生半炒，共三钱，取头末一钱），荆芥穗（一钱）。
以上研为细末，每次服用一钱，空腹用无灰老酒送下。服用此药必须忌鱼肉酒醋盐酱及发风动气等物，只可吃菜蔬白粥。比如次日早晨服药，隔夜不吃夜粥，黄昏煎川木通汤，调下玉屑妙灵散二钱重，次日五更，酒调立验大圣散一帖，如果不能饮酒，用灯心草木通汤调下，到中午，感觉小腹攻痛，小便涩痛，又用灯心汤调下琥珀末一钱，或者玉屑妙灵散也可以，应当排出恶物，从小便中出，如葡萄肉状，中有凝血一点。如果未排出，三天后可再服，到中午前，用六丁神散一服催之，必然自行排出。五六日后，再催一服，以病根除尽为度。如果项上有一枚，取下恶物十枚，则尽除病根。如果有小腹攻急，尿道涩痛之恼，不必惊恐，过后便自平腹无事。
六丁神散（《疮疡集》）
苦丁香（六枚，或称五分重），白丁香（一钱），苦参末（五分），赤小豆（一钱），磨刀泥（青石者佳。一名龙泉粉），大斑猫（七个，去头足，炒），白僵蚕（去丝嘴，炒，各一钱）。
以上共研为细末，每次服用一钱重，空腹无灰酒调下。
瘿瘤方法：
破结散（《大成方》） 治疗石瘿、气瘿、筋瘿、血瘿、肉瘿、马刀、瘰疬等症。
海藻（酒洗净），龙胆草（酒洗），海蛤粉，通草，贝母（去心），昆布（酒洗净），矾石（枯），松萝（各三钱，今以桑寄生代替有效），麦曲（炒，四钱），半夏曲（二钱）。
以上研为细末，每次服用二钱，热酒调服，饭后服用，忌甘草、鲫鱼、鸡肉、五辛、生果。有人在项上生瘿，大如茄子，潮热不食，形体消瘦日久，百方无效，后得此方，去掉松萝，加真桑寄生一倍服用，三五日后，其疮软而散，热退而愈，屡治数人都有效。
南星散（《疮疡集》） 治疗皮肤颈项面上生瘤，大的如拳头，小的如粟米，或软或硬，不痒不痛，宜用此药。切不可随意用针灸，多导致无法救治。
生南星（大的一个）。
以上细研烂，加入好醋五七点，杵如膏。如果没有生的，就以干的研为末，醋调如膏。先用细针刺患处，令气透，然后用膏药摊贴，觉得痒则频繁更换贴敷以取效。
瘤，是气血凝滞结聚而成，或如桃李，或如瓜瓠。其名有六种：曰骨瘤，曰脂瘤，曰脓瘤，曰血瘤，曰筋瘤，曰风瘤，因为其中各有此物而得名。以上各种瘤，通用龙珠膏治疗。
龙珠膏（方见前瘰疬条下。）
瘤宜服用十六味流气饮。（方见前乳岩条下。）
凡是瘿气，必须先断绝浓味，用海藻一两、黄柏二两为末，置于掌中，时时舔舐，以津唾咽下，待消退三分之二，停止用药。
结核方法
朱丹溪说：大凡结核在项在臂在身，如肿毒不红不痛不作脓者，多是痰注不散，名为痰核，用二陈汤加酒炒大黄、连翘、桔梗、柴胡煎服。
又一方：治疗臂核作痛，用二陈汤加连翘、川芎、皂角刺、防风、黄芩（酒炒）、苍术煎服。
治疗耳后顶门各有一核，用炒僵蚕、酒蒸大黄、青黛、牛胆、南星为末，蜜丸噙化。
疔肿方法
石香程氏说：疔肿之症，都是蓄积热毒之深而成的。近来多见因食用灾牛疫马的肉，而成此证。其形有十三种，都以形状而得名：一曰麻子疔，二曰石疔，三曰雄疔，四曰雌疔，五曰火疔，六曰烂疔，七曰三十六种疔，八曰蛇眼疔，九曰盐肤疔，十曰水洗疔，十一曰刀镰疔，十二曰浮沤疔，十三曰牛狗疔。只有三十六种疔最为可怕，其状头黑浮起，形如黑豆，四周大红色，今天生一个，明天生两个，后天生三个，乃至十几个，还为可治，如果满三十六个，则为不治之证。那十三种疔，其形状虽各不相同，但其由来，都是热毒之极盛。治法并急用夺命丹下之，去除毒之锐势，其次服用化毒丸及内托散、二活散、雄麝汤，随证经络病势缓急，用引经药斟酌施治。如果没有其他证候，有热即退热，有肿则退肿。如果身冷自汗，呕逆躁喘，狂喝妄语，直视者，都是毒瓦斯入内，不可治了。如果疔已拔去，用金银白芷散、加减十宣散调理，方能获得全安。
现将十三种疔证候开列如下：
一曰麻子疔，其状肉起，头如黍米，色稍黑，四边微赤，多痒，忌食麻子、近油衣布衣、并入麻田中行。
二曰石疔，其状皮肉相连，色如黑豆，甚硬，刺之不入，肉微痛，忌瓦砾砖石之属。
三曰雄疔，其状头黑靥，四畔仰，浆起，有水出，色黄，大如钱孔形高者，忌房事。
四曰雌疔，其状疮稍黄，向里靥，亦似灸疮，四面浆起，心凹色赤，如钱孔者，忌房事。
(Grind the ingredients) into fine powder. Sheng Di Huang (Rehmanniae Radix, two taels), Chen Sha (Cinnabar, one qian, ground separately), Fen Shuang (White Arsenic Powder, ground separately), She Xiang (Moschus, five fen each).
First, filter the plant ash juice until clear, boil it in a pot until concentrated, add Chuan Shan Jia (Pangolin Scales) powder, wait until it is half scorched and dry, then add She Xiang (Moschus), followed by Fen Shuang (White Arsenic Powder). When the medicine is nine-tenths dry, add Chen Sha (Cinnabar). Wait until it forms a paste, then add Chao Duan Shi (Calcined Alumen) powder to form solid pieces. Immediately store them in small jars, avoiding exposure to wind.
Long Zhu Gao (Dragon Pearl Ointment)
Long Ya Cao (Agrimoniae Herba, five taels), Ji Zao Gen (Ziziphi Spinosae Radicis Cortex, five qian), Hai Zao (Sargassum, two qian five fen), Su Mu (Sappan Wood, five qian).
Finely chop the above ingredients, add twenty bowls of water, and decoct until twelve or thirteen bowls remain. Filter out the dregs. Then use:
Sang Chai Hui (Ash from Mulberry Twigs, two and a half bowls), Duan Shi (Alumen, two and a half bowls), Cang Er Cao Hui (Ash from Xanthii Fructus Herb, two and a half bowls). Place two layers of grass paper and two layers of skin paper at the bottom of a sieve, put the ashes on top, and pour the hot decoction over them to leach the ash juice. Collect about ten bowls of clarified ash juice, pour it into a pot, and decoct into a paste. Add Ba Dou Shuang (Crotonis Semen Extract), Bai Ding Xiang (Streptopeliae Faeces), Shi Gao (Gypsum Fibrosum), She Xiang (Moschus), and Qing Fen (Calomelas). Store in porcelain jars. Apply to the nodule each time. For subsequent applications, remove the old medicine and scabs before applying new medicine; the nodule will ulcerate and heal. For smaller roots, simply apply the medicine to the root, and the nodule will naturally ulcerate.
(Above are all formulas from Shi Xiang.)
Jiu Ku Hua Jian Tang (Rescue from Misery and Harden-Softening Decoction, by Li Dongyuan) Treats Luo Li (Scrofula), Ma Dao (Marine Knife/Linear Scrofula), and Jia Ying (Accessory Goiter). Located below or behind the ear, extending down the neck to the shoulder, or entering the Que Pen (Clavicular Fossa). This belongs to the distribution areas of the Hand-Shaoyang and Foot-Shaoyang meridians. Luo Li located under the chin or extending to the Jia Che (Masseter) point belongs to the Foot-Yangming meridian area, caused by pathogenic factors from the Heart and Spleen. Now treating both conditions together.
Huang Qi (Astragali Radix, one qian, protects the skin and hair follicles, tonifies the deficiency of Cou Li [interstices], and invigorates blood qi; it is the sacred medicine for wound diseases and an excellent agent for consolidating the exterior and tonifying Yuan Qi), Ren Shen (Panacis Ginseng Radix, three fen, a medicine that tonifies Lung Qi; suitable for addition if there is shortness of breath or irregular breathing and wheezing), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma, five fen, can harmonize the Middle Jiao, coordinate various herbs, drain fire, benefit Stomach Qi, and also eliminate pathogens in sores), Zhen Lou Lu (Euphorbiae Humifusae Radix), Sheng Ma (Cimicifugae Rhizoma, one qian each), Ge Gen (Puerariae Lobatae Radix, five fen; these three herbs belong to the Foot-Yangming meridian), Lian Qiao (Forsythiae Fructus, one qian; this herb is used for sores in all twelve meridians and cannot be omitted; it dissipates blood stasis and qi stagnation, and is a divine medicine for wound diseases), Mu Dan Pi (Moutan Cortex, three fen, removes retained old blood stasis in the intestines and stomach), Dang Gui Shen (Angelicae Sinensis Radix Body, three fen), Sheng Di Huang (Rehmanniae Radix, three fen), Shu Di Huang (Prepared Rehmanniae Radix, three fen; these three herbs harmonize blood, generate blood, and cool blood in various meridians), Bai Shao Yao (Paeoniae Radix Alba, three fen; double the dose in summer; its sour taste and cold nature tonify the center, benefit Qi deficiency, and are essential for treating abdominal pain; do not use in winter cold), Rou Gui (Cinnamomi Cortex, two fen, greatly acrid and hot, can dissipate nodules and accumulations; must be used sparingly in Yin-type sores, reflecting the principle of "treating cold with heat." Also used when covering sores on the cold abdomen with large acrid-hot herbs to dispel Yin-cold. Remove if irritability is present), Chai Hu (Bupleuri Radix, eight fen, functions similarly to Lian Qiao. Remove if the sore is not in the Shaoyang meridian), Niu Bang Zi (Arctii Fructus, three fen, omit if no swelling), Qiang Huo (Notopterygii Rhizoma et Radix, one qian), Du Huo (Angelicae Pubescentis Radix, five fen), Fang Feng (Saposhnikoviae Radix, five fen; for the above three herbs, inquire about symptoms of the Hand and Foot-Taiyang meridians, such as back pain, stiff neck, inability to look back, waist feeling like breaking, neck feeling like pulling. Fang Feng is acrid and warm; if the sore is above the diaphragm, use it even without Taiyang symptoms, as it dissipates nodules and removes Wind-pathogens from the upper body), Kun Bu (Sargassum, two fen, very salty; suitable for hard nodules, as saltiness softens hardness), Jing San Leng (Prunasi Semen, processed, two fen), E Zhu (Curcumae Rhizoma, processed, three fen; use these two herbs only if the sore is extremely hard; omit if not very hard), Yi Zhi Ren (Alpiniae Oxyphyllae Fructus, two fen; if there is excessive saliva, indicating Stomach disharmony, or if the patient spits foam/vomit and has Stomach cold, add it; omit if absent), Mai Mian (Wheat Flour, two qian, treats abdominal contraction and urgency, promotes digestion, and strengthens the Spleen), Shen Qu (Medicated Leaven, processed, two fen, use for indigestion), Huang Lian (Coptidis Rhizoma, three fen, treats irritability), Hou Po (Magnoliae Officinalis Cortex, ginger-processed, one qian one fen, add if abdominal distension), Huang Bo (Phellodendri Cortex, processed, three fen, add if there is heat or weakness in legs and feet; if there is irritability and desire to undress, indicating latent fire in the Kidney, it is especially suitable to add; omit if absent).
Grind all the above into fine powder. Soak in decoction, steam, shape into cakes, dry in the sun, and crush to the size of rice grains. Take three qian per dose, swallowed with plain boiled water. If Qi is not smooth, add Ju Hong (Citri Reticulatae Pericarpium). For severe cases, add a little Mu Xiang (Vladimiriae Root). Adjust according to the patient's deficiency or excess; do not let the medicine interfere too much with diet. This is the general principle of treatment. If the condition is only in the Yangming meridian, remove Chai Hu (Bupleuri Radix) and Niu Bang Zi (Arctii Fructus); use the rest. If it is in the Shaoyang meridian as Ma Dao and Jia Ying, remove Du Huo (Angelicae Pubescentis Radix), Lou Lu (Euphorbiae Humifusae Radix), Sheng Ma (Cimicifugae Rhizoma), and Ge Gen (Puerariae Lobatae Radix); additionally add Qu Mai (Dianthi Herba, three fen). If the patient is constitutionally weak but the disease presents with strong Qi and no shortness of breath, do not use this formula. Examine their usual state; treat as excess Qi and adjust according to the pathology. It is appropriate to add Huang Qin (Scutellariae Radix), Huang Lian (Coptidis Rhizoma), Huang Bo (Phellodendri Cortex), Zhi Mu (Anemarrhenae Rhizoma), and Fang Ji (Stephaniae Tetrandrae Radix), selecting based on whether the pathogen is in the Upper, Middle, or Lower Jiao. For example, if the pathogen is in the Upper Jiao, add Huang Qin (half wine-washed, half raw); in the Middle Jiao, add Huang Lian (half wine-washed, half raw); in the Lower Jiao, add wine-processed Huang Bo (Phellodendri Cortex), Zhi Mu (Anemarrhenae Rhizoma), and Fang Ji (Stephaniae Tetrandrae Radix). If constipation exacerbates the excess pathogen, add wine-processed Da Huang (Rhei Radix et Rhizoma) to promote purgation. If blood dryness causes dry stool, add Tao Ren (Persicae Semen) paste and wine-processed Da Huang (Rhei Radix et Rhizoma). If Wind-stagnation causes dryness and obstruction, add Ma Ren (Cannabis Semen) and Da Huang (Rhei Radix et Rhizoma) to moisten. If Wind-dryness causes obstruction, add Wei Zao Jiao Ren (Gleditsiae Sinensis Semen, roasted), Da Huang (Rhei Radix et Rhizoma), and Qin Jiao (Gentianae Macrophyllae Radix) to promote bowel movement. If the pulse is choppy and there is a sensation of Qi stagnation with constipation, add Yu Li Ren (Chrysobalanis Semen) and Da Huang (Rhei Radix et Rhizoma) to remove Qi dryness. If it is a Yin-cold disease causing constipation due to cold stagnation, use Ban Shou Wan (Half-Sulfur Pill) from the Bureau Formulas, or add Pao Fu Zi (Aconiti Lateralis Radix Praeparata) and Gan Jiang (Zingiberis Rhizoma), decocted and taken cold. Generally, in medication methods, not only for sores but also for other severe diseases in patients with weak constitution, remove bitter-cold herbs and increase Ren Shen (Panacis Ginseng Radix), Huang Qi (Astragali Radix), and Gan Cao (Glycyrrhizae Radix et Rhizoma) to drain fire while first tonifying Yuan Qi. Follow this pattern for others.
Chai Hu Lian Qiao Tang (Bupleurum and Forsythia Decoction, by Li Dongyuan) Treats Ma Dao (Marine Knife/Linear Scrofula) in men and women.
Zhong Gui (Cinnamomi Ramulus, one fen), Dang Gui Shao (Angelicae Sinensis Radix Tip, five qian), Niu Bang Zi (Arctii Fructus, processed and ground separately), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma), Jiu Huang Bo (Wine-processed Phellodendri Cortex), Sheng Di Huang (Rehmanniae Radix, one qian each), Chai Hu (Bupleuri Radix, one qian five fen), Huang Qin (Scutellariae Radix, processed), Jiu Zhi Mu (Wine-processed Anemarrhenae Rhizoma), Lian Qiao (Forsythiae Fructus, one qian five fen each), Qu Mai (Dianthi Herba, two qian).
Finely chop, take as one dose, decoct with two zhan of water, and take slightly warm.
Xiao Zhong Tang (Reduce Swelling Decoction, by Li Dongyuan) Treats Ma Dao (Marine Knife/Linear Scrofula).
Niu Bang Zi (Arctii Fructus, processed, five fen), Huang Lian (Coptidis Rhizoma, processed, five fen), Dang Gui Shao (Angelicae Sinensis Radix Tip), Gan Cao (Glycyrrhizae Radix et Rhizoma, seven fen each), Gua Lou Gen (Trichosanthis Radix), Huang Qi (Astragali Radix, one qian each, honey-fried), Sheng Huang Qin (Raw Scutellariae Radix), Chai Hu (Bupleuri Radix, de-ruffled, one qian two fen each), Lian Qiao (Forsythiae Fructus, two qian), Hong Hua (Carthami Flos, a little).
Finely chop, take as one dose, decoct with two zhan of water until one zhan remains, filter, and take slightly warm.
Chai Hu Tong Jing Tang (Bupleurum Meridian-Unblocking Decoction, by Li Dongyuan) Treats children with nodules on the side of the neck, hard and un-ulcerated, named Ma Dao (Marine Knife/Linear Scrofula).
Chai Hu (Bupleuri Radix, de-ruffled), Lian Qiao (Forsythiae Fructus), Dang Gui Shao (Angelicae Sinensis Radix Tip), Sheng Gan Cao (Raw Glycyrrhizae Radix et Rhizoma), Huang Qin (Scutellariae Radix), Niu Bang Zi (Arctii Fructus, processed), Jing San Leng (Prunasi Semen, vinegar-processed), Jie Geng (Platycodonis Radix, two fen each), Huang Lian (Coptidis Rhizoma, five fen), Hong Hua (Carthami Flos, a little).
Finely chop, take as one dose, decoct with two zhan of water until one zhan remains, filter, and take slightly warm after meals. Avoid bitter medicines that cause diarrhea.
San Zhong Kui Jian Tang (Disperse Swelling and Soften Hardness Decoction, by Li Dongyuan) Treats Ma Dao (Marine Knife/Linear Scrofula), hard as stone, located below the ear, extending to the Que Pen (Clavicular Fossa), shoulder, or hypochondrium, all within the Hand and Foot-Shaoyang meridians, as well as Luo Li (Scrofula) spreading under the chin or to the Jia Che (Masseter) point, hard and un-ulcerated, originating from the Foot-Yangming meridian. Also treats cases where either type of sore has ulcerated and discharged pus.
Huang Qin (Scutellariae Radix, eight fen, wine-washed, half processed half raw), Cao Long Dan (Gentae Scabrae Radix, wine-washed and processed four times), Gua Lou Gen (Trichosanthis Radix, wine-washed), Huang Bo (Phellodendri Cortex, wine-processed and fried), Zhi Mu (Anemarrhenae Rhizoma, wine-fried), Jie Geng (Platycodonis Radix, de-ruffled), Kun Bu (Sargassum, wine-washed, five fen each), Chai Hu (Bupleuri Radix, four fen), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma), Jing San Leng (Prunasi Semen, wine-washed and processed), E Zhu (Curcumae Rhizoma, wine-mixed and fried), Lian Qiao (Forsythiae Fructus, three fen each), Ge Gen (Puerariae Lobatae Radix, two fen), Bai Shao Yao (Paeoniae Radix Alba, two fen), Dang Gui Shao (Angelicae Sinensis Radix Tip, two fen), Huang Lian (Coptidis Rhizoma, two fen), Sheng Ma (Cimicifugae Rhizoma, one fen).
Finely chop, take as one dose, soak in two zhan of water for half a day, decoct until one zhan remains, filter, and take slightly warm after meals. When lying down, extend legs high, keep head low, hold one mouthful of medicine, and swallow in ten portions. After taking, lie quietly for a moment, allowing the medicine to accumulate above the diaphragm. Prepare another batch as fine powder, make pills with refined honey, size of mung beans. Take over one hundred pills per dose, washed down with the decoction. Adding Haizao (Sargassum, five fen, processed) is also excellent. Although Haizao (Sargassum) opposes Gan Cao (Glycyrrhizae Radix et Rhizoma), this is Li Dongyuan's clever use of herbs, unknown to most physicians.
Sheng Yang Tiao Jing Tang (Raise Yang and Regulate Meridians Decoction, by Li Dongyuan) Treats Luo Li (Scrofula) encircling the neck or reaching the Jia Che (Masseter) point, originating from the Foot-Yangming Stomach meridian. If the sore is deep and hidden in the muscle base, it originates from the Foot-Shaoyin Kidney meridian, representing the transmission from Wu Earth (Spleen) to Gui Water (Kidney), i.e., husband transmitting to wife. Both form hard nodules of unequal size and are treated together; pills may also be made.
Sheng Ma (Cimicifugae Rhizoma, eight fen), Ge Gen (Puerariae Lobatae Radix), Cao Long Dan (Gentae Scabrae Radix, processed with wine four times), Huang Qin (Scutellariae Radix, four fen each, wine-processed and fried), Lian Qiao (Forsythiae Fructus, five fen), E Zhu (Curcumae Rhizoma), Jing San Leng (Prunasi Semen, two herbs wine-processed and fried), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma, four fen each), Dang Gui Shao (Angelicae Sinensis Radix Tip, three fen), Jie Geng (Platycodonis Radix, five fen), Shao Yao (Paeoniae Radix, three fen), Huang Bo (Phellodendri Cortex, wine-fried, two fen), Zhi Mu (Anemarrhenae Rhizoma, wine-fried, one qian), Huang Lian (Coptidis Rhizoma, wine-washed, five fen), Huang Qin (Scutellariae Radix, raw, four fen).
Finely chop, take as one dose, soak in two zhan of water for half a day, decoct until one zhan remains, filter, and take slightly warm before bed. Separately weigh ten doses, grind to fine powder, make pills with refined honey, size of mung beans. Take one hundred pills per dose. During administration, elevate feet, lie supine without pillow, hold one mouthful of decoction and swallow in ten portions, leaving one portion to wash down the pills. Lie normally after finishing.
Lian Qiao San Jian Tang (Forsythia Hardness-Scattering Decoction, by Li Dongyuan) Treats sores below the ear or extending to the Que Pen (Clavicular Fossa) or shoulder, hard as stone, mobile without root, named Ma Dao (Marine Knife/Linear Scrofula), originating from the Hand and Foot-Shaoyang meridians. Also treats sores under the hypochondrium, already discharging pus, or un-ulcerated sores.
Chai Hu (Bupleuri Radix, one qian two fen), Cao Long Dan (Gentae Scabrae Radix, wine-processed four times), Tu Gua Gen (Benincasae Caulis, wine-processed and fried, one qian each), Huang Qin (Scutellariae Radix, wine-fried twice, seven fen), Dang Gui Shao (Angelicae Sinensis Radix Tip), Sheng Huang Qin (Raw Scutellariae Radix), E Zhu (Curcumae Rhizoma), Jing San Leng (Prunasi Semen, wine-fried), Lian Qiao (Forsythiae Fructus), Bai Shao Yao (Paeoniae Radix Alba, five fen each), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma, three fen), Huang Lian (Coptidis Rhizoma, wine-fried twice), Cang Zhu (Atractylodis Rhizoma, soaked in rice wash water, two fen each).
Finely chop, take as one dose. Separately weigh ten doses, grind to fine powder, make pills with refined honey, size of mung beans. Take over one hundred pills per dose. For decoction, soak in two zhan of water for most of a day, decoct until one zhan remains, filter, and take slightly warm before bed. Lie supine without pillow, swallow one mouthful in ten portions, leave one portion to wash down pills, and lie normally afterwards. Apply the following external medicine.
Long Quan San (Dragon Spring Powder, from *Chuang Yang Ji*)
Long Quan Fen (Quern Dust, processed. i.e., dust from grinding knives), Wa Long Fen (Terebrantis Testa), E Zhu (Curcumae Rhizoma), Jing San Leng (Prunasi Semen, wine-washed and processed), Kun Bu (Sargassum, five qian each).
Grind all together into fine powder. Mix with boiled water and apply. This medicine removes disease particularly quickly.
San Sheng Wan (Three Sages Pill, from *Ji Sheng Fang*) A miraculous pill for treating Luo Li (Scrofula).
Ding Xiang (Caryophylli Flos, fifty grains), Ban Mao (Mylabris, ten, remove wings, head, and feet, process), She Xiang (Moschus, one qian, ground separately).
Grind into powder. Use Yan Chi (Fermented Soybean Paste, fifty grains), soak in water until soft, grind into paste, mix with the above powder, and make pills size of mung beans. Take seven pills per dose, washed down with warm wine before meals, three times daily. After five to seven days, if urination becomes dribbling, it indicates the medicine is effective; increase dosage. If urine resembles green fascia, it is the root of the disease. Avoid wet noodles and toxic foods.
Li Yan Da Sheng San (Immediately Effective Great Sage Powder, from *Chuang Yang Ji*) A drastic medicine for treating Luo Li (Scrofula).
Ban Mao (Mylabris, thirty large ones, remove head, wings, feet; stir-fry with glutinous rice until rice turns yellow, discard rice, use Mylabris), Mian Jiang Can (Bombyx Batryticatus, one qian, remove silk mouth, process), Hei Qian Niu (Melongenae Semen, half raw half processed, total three qian, take the finest powder, one qian), Jing Jie Sui (Schizonepetae Spica, one qian).
Grind into fine powder. Take one qian per dose, washed down with aged wine without lime on an empty stomach. Must avoid fish, meat, alcohol, vinegar, salt, soy sauce, and foods that trigger Wind or move Qi. Only eat vegetables and white porridge. For example, if taking medicine the next morning, skip night porridge the previous night. At dusk, decoct Chuan Mu Tong (Akebiae Caulis) soup, mix with Yu Xie Miao Ling San (Jade Dust Marvelous Spirit Powder, two qian). At fifth watch the next day, mix Li Yan Da Sheng San (Immediately Effective Great Sage Powder) with wine. If unable to drink alcohol, use Deng Xin Cao (Junci Medullae) and Mu Tong (Akebiae Caulis) soup. By noon, if lower abdominal pain and painful dysuria occur, use Deng Xin Cao (Junci Medullae) soup to mix Hu Po (Amber) powder (one qian) or Yu Xie Miao Ling San (Jade Dust Marvelous Spirit Powder). Evil matter should be expelled via urine, resembling grape flesh with a clot. If not expelled, repeat after three days. Before noon, use Liu Ding Shen San (Six Divine Gods Powder) to induce expulsion; it will surely pass. Repeat induction after five to six days until the disease root is completely removed. If one nodule on the neck yields ten units of evil matter, the disease root is cleared. If there is lower abdominal urgency and urethral pain, do not panic; it will subside.
Yu Xie Miao Ling San (Jade Dust Marvelous Spirit Powder)
Hua Shi (Talcum), finely ground. Take one qian per dose, mixed with Chuan Mu Tong (Akebiae Caulis) decoction.
Liu Ding Shen San (Six Divine Gods Powder, from *Chuang Yang Ji*)
Ku Ding Xiang (Styrax Resina, six pieces, or weigh five fen), Bai Ding Xiang (Streptopeliae Faeces, one qian), Ku Shen (Sophorae Flavescentis Radix) powder (five fen), Chi Xiao Dou (Adzuki Bean, one qian), Mo Dao Ni (Quern Mud, preferably from bluestone. Also known as Long Quan Fen), Da Ban Mao (Large Mylabris, seven, remove head and feet, process), Bai Jiang Can (Bombyx Batryticatus, remove silk mouth, process, one qian each).
Grind all together into fine powder. Take one qian per dose, washed down with aged wine without lime on an empty stomach.
Methods for Ying Liu (Goiter and Tumors):
Po Jie San (Break Accumulation Powder, from *Da Cheng Fang*) Treats Shi Ying (Stone Goiter), Qi Ying (Qi Goiter), Jin Ying (Sinew Goiter), Xue Ying (Blood Goiter), Rou Ying (Flesh Goiter), Ma Dao (Marine Knife/Linear Scrofula), and Luo Li (Scrofula).
Hai Zao (Sargassum, washed with wine), Long Dan Cao (Gentae Scabrae Radix, wine-washed), Hai Ge Fen (Concha Arcae), Tong Cao (Tetrapanacis Medulla), Bei Mu (Fritillariae Bulbus, remove heart), Kun Bu (Sargassum, washed with wine), Fan Shi (Alumen, calcined), Song Luo (Usnea, three qian each; now replaced by Sang Ji Sheng (Taxilli Caulis) with similar effect), Mai Qu (Saccharomyces, processed, four qian), Ban Xia Qu (Pinelliae Fermented Powder, two qian).
Grind into fine powder. Take two qian per dose, mixed with hot wine, taken after meals. Avoid Gan Cao (Glycyrrhizae Radix et Rhizoma), Crucian Carp, Chicken Meat, Five Spices, and Raw Fruits. One person developed a goiter on the neck, large as an eggplant, with tidal fever, loss of appetite, and emaciation for a long time. Hundred remedies failed. Later obtained this formula, removed Song Luo (Usnea), added double amount of Zhen Sang Ji Sheng (Taxilli Caulis). After three to five days, the sore softened and dispersed, fever subsided, and healing occurred. Repeatedly effective on several patients.
Nan Xing San (Arisaema Powder, from *Chuang Yang Ji*) Treats tumors on skin, neck, and face, large as fist or small as millet, soft or hard, non-itchy and non-painful. Use this medicine. Do not use acupuncture or moxibustion arbitrarily, as it often leads to untreatable conditions.
Sheng Nan Xing (Arisaematis Rhizoma, one large piece).
Grind finely, add five to seven drops of good vinegar, pound into paste. If fresh is unavailable, use dried powder mixed with vinegar into paste. First prick the affected area with fine needle to allow Qi penetration, then apply paste. Change frequently if itching occurs to achieve effect.
Liu (Tumor) is formed by coagulation and stagnation of Qi and Blood, resembling peaches/plums or gourds. There are six names: Gu Liu (Bone Tumor), Zhi Liu (Fat Tumor), Nong Liu (Pus Tumor), Xue Liu (Blood Tumor), Jin Liu (Sinew Tumor), Feng Liu (Wind Tumor), named after the material inside. All the above tumors are treated with Long Zhu Gao (Dragon Pearl Ointment).
Long Zhu Gao (Dragon Pearl Ointment) (Formula see Luo Li section above.)
For Liu (Tumor), take Shi Liu Wei Liu Qi Yin (Sixteen-Ingredient Qi-Flowing Decoction). (Formula see Ru Yan section above.)
For any Ying Qi (Goiter Qi), first stop rich flavors. Use Hai Zao (Sargassum, one tael) and Huang Bo (Phellodendri Cortex, two taels) ground to powder. Place in palm, lick occasionally, and swallow with saliva. Stop medicine when two-thirds resolved.
Methods for He Jie (Tubercles)
Zhu Danxi said: Generally, tubercles in the neck, arms, or body that resemble abscesses but are not red, painful, or suppurating are mostly Phlegm accumulation that does not scatter, named Tan He (Phlegm Nodule). Use Er Chen Tang (Two-Aged Decoction) plus Jiu Chao Da Huang (Wine-processed Rheum Palmatum Radix et Rhizoma), Lian Qiao (Forsythiae Fructus), Jie Geng (Platycodonis Radix), and Chai Hu (Bupleuri Radix) decocted and taken.
Another prescription: For painful arm nodules, use Er Chen Tang (Two-Aged Decoction) plus Lian Qiao (Forsythiae Fructus), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Zao Jiao Ci (Gleditsiae Sinensis Spina), Fang Feng (Saposhnikoviae Radix), Huang Qin (Scutellariae Radix, wine-processed), and Cang Zhu (Atractylodis Rhizoma) decocted and taken.
For nodules behind the ear and on the vertex, use Chao Jiang Can (Processed Bombyx Batryticatus), Jiu Zheng Da Huang (Wine-steamed Rheum Palmatum Radix et Rhizoma), Qing Dai (Indicum), Niu Dan (Bovis Fel), and Nan Xing (Arisaematis Rhizoma) ground to powder, made into pills with honey to dissolve in mouth.
Methods for Ding Zhong (Carbuncle/Furuncle)
Shi Xiang Chengshi said: Ding Zhong (Carbuncle/Furuncle) syndromes are all caused by deep accumulation of Heat-Toxin. Recently, many cases arise from eating meat of diseased cattle or horses. There are thirteen types, named by shape: 1. Ma Zi Ding (Hemp Seed Carbuncle), 2. Shi Ding (Stone Carbuncle), 3. Xiong Ding (Male Carbuncle), 4. Ci Ding (Female Carbuncle), 5. Huo Ding (Fire Carbuncle), 6. Lan Ding (Rotting Carbuncle), 7. San Shi Liu Zhong Ding (Thirty-Six-Type Carbuncle), 8. She Yan Ding (Snake Eye Carbuncle), 9. Yan Fu Ding (Salt Skin Carbuncle), 10. Shui Xi Ding (Water Washed Carbuncle), 11. Dao Lian Ding (Sickle Carbuncle), 12. Fu Ao Ding (Floating Bubble Carbuncle), 13. Niu Gou Ding (Cow-Dog Carbuncle). The Thirty-Six-Type Carbuncle is most feared. Its appearance has a black, floating head, shaped like a black bean, with bright red surroundings. If one appears today, two tomorrow, three the day after, up to dozens, it is still treatable. If it reaches thirty-six, it is incurable. Although the shapes of the thirteen types differ, they all originate from extreme Heat-Toxin. Treatment urgently requires Duo Ming Dan (Life-Seizing Pill) to purge and reduce the sharpness of the toxin. Subsequently take Hua Du Wan (Toxin-Transforming Pill), Nei Tuo San (Internal Support Powder), Er Huo San (Two Active Herbs Powder), and Xiong She Tang (Male Musk Decoction). Select guiding herbs according to the meridian, syndrome, and severity. If no other syndromes, reduce heat if present, reduce swelling if present. If cold limbs, spontaneous sweating, vomiting, restlessness, wheezing, delirium, wild shouting, staring eyes, the toxin has entered internally and is incurable. If the Ding (Carbuncle) has been extracted, use Jin Yin Bai Zhi San (Silver White Angelica Powder) or Jia Jian Shi Xuan San (Modified Ten Acupoints Powder) to regulate, ensuring full recovery.
The thirteen types of Ding (Carbuncle) syndromes are listed below:
1. Ma Zi Ding (Hemp Seed Carbuncle): Flesh raised, head like millet, slightly black color, slightly red edges, often itchy. Avoid eating hemp seeds, touching oiled clothes/cloth, and walking in hemp fields.
2. Shi Ding (Stone Carbuncle): Skin and flesh connected, color like black bean, very hard, cannot be pierced, slight flesh pain. Avoid gravel and bricks.
3. Xiong Ding (Male Carbuncle): Head black with scab, edges elevated, pus rises, fluid exudes, yellow color, large as coin hole, high shape. Avoid sexual intercourse.
4. Ci Ding (Female Carbuncle): Sore slightly yellow, inward scab, resembles moxibustion scar, pus rises on four sides, center concave and red, like coin hole. Avoid sexual intercourse.