神效栝蒌散
治乳痈乳疽已成者化脓为水。未成者即消。如瘰
更效。
栝蒌仁（大的二个同捣如泥） 甘草 当归（各五钱） 没药 乳香（各一钱另研） 大力子（酥
炙末□分）
上作二剂用酒煎至二碗。分三次服之。一切痈疽发背皆治并效。如数剂未消尽。加人参黄 川芎
当归白术等补药即消。如神。
夫瘰 者。内经云。九漏是也。古方书所载名状不一。难以详述。其生也。此疮多生于项腋之间。
或牵蔓于胸胁。其形如梅李之状。其因皆是蓄怒而成。项胁是肝经所络之处。肝胆是将军之官。直而
不屈。少有不遂。故肝经蓄怒。肝主筋。肝病则筋缩。筋缩多结于项腋。肿核连牵。故名瘰 。延结
日久。亦化脓水溃烂。其疮最难得愈。胆经多气少血。肝经多血少气。世人不知其根由于脏腑虚实。
之所因。根之所得。治之所宜。辨之吉凶。察之生死。得其法。取效立验。不得其法。妄言擅医。
专以蚀药点之。或以针刀割之。亦如割韭相同。但取其标而未治其本。殊不
知症实在根本也。若不治其本。终不能济事。反以为害。余之素治专治其根。取效异验。不敢自秘。
世人共之。是其心也。
野狼 其根在于肝。因不遂。蓄怒而得之。
鼠 其根在胃。因食鼠餐之物。胃受毒而播于肝。
脓 其根在胆。因不遂志得之。
蝼蛄 其根在大肠。因食蝼蛄及蝎虎所伤之物而误食之所生。
蜂 其在脾。因食蜜物及蜂毒之物得之。
蜈蚣 其根在肺。因食蜈蚣所游毒物得之。
蛴螬 其根在心。因喜之太过得之。
瘰 其根在肾。因食物肾及血发得之。
转脉 其根在小肠。因惊恐失枕得之。
神效栝蒌散
治疗乳痈（乳房急性化脓性疾病）、乳疽（乳房深部脓肿）已经成脓的，使其化为脓液排出；尚未成脓的，立即消散。对于瘰疬（颈部淋巴结结核），效果更佳。
瓜蒌仁（选用大的两个，一同捣碎如泥状） 甘草 当归（各五钱） 没药 乳香（各一钱，单独研细） 牛蒡子（用酥油炙烤后研末，分量未详）
以上药材作为两剂，用酒煎煮至两碗量。分三次服用。一切痈疽、发背（背部急性化脓性疾病）都治疗且有效。如果服用几剂后未能完全消散，加入人参、黄芪、川芎、当归、白术等补益药物，即可消散，效果如神。
所谓瘰疬，《黄帝内经》称之为“九漏”。古代医方书籍中记载的名称和症状不一，难以详尽描述。这种疮疡多生于颈项和腋下之间，或者蔓延于胸胁部位。其形状像梅子或李子。病因都是由于郁怒所致。颈项和胁肋是肝经循行联络的部位。肝胆被称为“将军之官”，性格刚直不屈。稍有不如心意，就会导致肝经蓄积怒气。肝主筋，肝病则筋脉收缩。筋脉收缩容易结聚在颈项和腋下，形成肿核相连，所以称为瘰疬。拖延日久，也会化脓流水，溃烂。这种疮疡最难治愈。胆经多气少血，肝经多血少气。世人不知道其根源在于脏腑的虚实变化及其成因。探求疾病的根本，确定适宜的治疗方法，辨别吉凶，观察生死。掌握了这种方法，取效迅速；不得其法，妄言擅医，专门使用腐蚀性的药物点涂，或者用针刀割除，也如同割韭菜一样，只是去除了表面症状而未治本。殊不知病症实在根本所在。如果不治本，终究不能成功，反而造成危害。我素来治疗专治其根，取得奇异疗效，不敢私藏，愿与世人共享，这是我的用心所在。
野狼疬：其根源在肝。因情志不遂，郁怒而得病。
鼠瘘：其根源在胃。因食用老鼠或类似食物，胃受毒邪而传变于肝。
脓疬：其根源在胆。因志向不得伸展而得病。
蝼蛄疬：其根源在大肠。因误食被蝼蛄及蝎虎伤害过的食物而生。
蜂疬：其在脾。因食用蜜物及含有蜂毒的食物而得病。
蜈蚣疬：其根源在肺。因食用蜈蚣游历过的有毒食物而得病。
蛴螬疬：其根源在心。因喜悦过度而得病。
瘰疬：其根源在肾。因食用肾脏类食物及动血发物而得病。
转脉疬：其根源在小肠。因惊恐失枕（睡眠不安）而得病。
Shenxiao Gualou San (Miraculous Trichosanthes Seed Powder)
Treats Ru Yong (Acute Mastitis) and Ru Ju (Deep Breast Abscess). If pus has already formed, it facilitates the discharge of pus; if not yet formed, it resolves immediately. It is even more effective for Luo Li (Cervical Tuberculous Lymphadenitis).
Gualou Ren (Trichosanthis Semen, two large seeds, pounded into a paste) Gancao (Glycyrrhizae Radix et Rhizoma), Danggui (Angelicae Sinensis Radix) (each 5 qian), Moyao (Myrrha), Ruxiang (Olibanum) (each 1 qian, separately ground into powder), Dalizi (Arctii Fructus, prepared with butter and ground into powder, amount unspecified).
Take the above ingredients as two doses, decoct with wine until reduced to two bowls. Divide into three doses for oral administration. It treats all types of Yong Ju (Carbuncle and Ulcer) and Fa Bei (Back Carbuncle) with efficacy. If several doses do not completely resolve the condition, add tonifying herbs such as Renshen (Ginseng Radix), Huangqi (Astragali Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), etc., to achieve resolution with miraculous effect.
Regarding Luo Li (Cervical Tuberculous Lymphadenitis), the *Neijing* (Yellow Emperor's Inner Canon) refers to it as "Jiu Lou" (Nine Leaks). Ancient medical texts record various names and manifestations, making it difficult to describe in detail. This type of sore typically arises between the neck and axilla, or may spread to the chest and hypochondrium. Its shape resembles plums or apricots. The etiology is invariably due to accumulated anger. The neck and hypochondrium are areas connected by the Liver Meridian. The Liver and Gallbladder are regarded as the "Generals," characterized by uprightness and inflexibility. Any slight frustration leads to the accumulation of anger in the Liver Meridian. The Liver governs the sinews; Liver pathology causes sinew contraction. Contraction often results in nodules clustering in the neck and axilla, forming linked swellings, hence named Luo Li. After prolonged stagnation, it may suppurate, leak fluid, and ulcerate. Such sores are notoriously difficult to heal. The Gallbladder Meridian is abundant in Qi but deficient in Blood, while the Liver Meridian is abundant in Blood but deficient in Qi. People are unaware that the root lies in the deficiency or excess of Zang-Fu organs and their causative factors. Understanding the root determines the appropriate treatment, allowing one to distinguish prognosis and assess life and death. Mastering this method yields immediate results; failing to do so and practicing medicine arbitrarily—specifically using caustic agents for point application or employing needles and knives for excision—is akin to cutting leeks: it addresses only the symptoms without treating the root cause. One fails to realize that the disease resides fundamentally in the root. Without treating the root, success is impossible, and harm ensues. My usual treatment focuses on addressing the root, yielding extraordinary efficacy. I dare not keep this secret and share it with the world, which is my intention.
Ye Lang Li (Wild Wolf Scrofula): Rooted in the Liver. Caused by emotional stagnation and accumulated anger.
Shu Lou (Rat Sore): Rooted in the Stomach. Caused by ingesting rat-contaminated food; stomach toxicity transmits to the Liver.
Nong Li (Pus Scrofula): Rooted in the Gallbladder. Caused by unfulfilled aspirations.
Lou Gu Li (Mole Cricket Scrofula): Rooted in the Large Intestine. Caused by accidentally ingesting food damaged by mole crickets or geckos.
Feng Li (Bee Scrofula): Located in the Spleen. Caused by consuming honey or bee-toxin-containing substances.
Wu Gong Li (Centipede Scrofula): Rooted in the Lung. Caused by ingesting toxic food traversed by centipedes.
Qi Cao Li (Mealworm Scrofula): Rooted in the Heart. Caused by excessive joy.
Luo Li (Scrofula): Rooted in the Kidney. Caused by consuming kidney meat or blood-activating/heat-inducing foods.
Zhuan Mai Li (Turning Pulse Scrofula): Rooted in the Small Intestine. Caused by fright and restless sleep.