失荣耳旁及项肩，起如痰核不动坚，皮色如常日渐大，忧思怒郁火凝然。日久气衰
形削瘦，愈溃愈硬现紫斑，腐烂浸淫流血水，疮口翻花治总难。
【注】失荣证，生于耳之前后及肩项。其证初起，状如痰核，推之不动，坚硬如石，皮
色如常，日渐长大。由忧思、恚怒、气郁、血逆与火凝结而成。日久难愈，形气渐衰，肌
肉削瘦，愈溃愈硬，色现紫斑，腐烂浸淫，渗流血水，疮口开大， 肉高突，形似翻花瘤
证。古今虽有治法，终属败证。但不可弃而不治，初宜服和荣散坚丸，外贴阿魏化坚膏，
然亦不过苟延岁月而已。
\r失荣证图\p04-34a71.bmp\r
和荣散坚丸 治失荣，调和荣血，散坚开郁。
川芎 白芍（酒炒） 当归 茯苓 熟地 陈皮 桔梗 香附 白术（土炒，各一钱） 人参
甘草（炙） 海粉 昆布 贝母（去心，各五钱） 升麻 红花（各三钱） 夏枯草（熬汤，再加红蜜
四两，再熬成膏，一斤）
共研细末，夏枯草膏合丸，如梧桐子大。每服三钱，食远白滚水送下。
身热，加黄芩、柴胡。自汗、盗汗，去升麻，倍人参，加黄 。饮食无味，加藿香、
砂仁。饮食不化，加山楂、麦芽。胸膈痞闷，加泽泻、木香。咳嗽痰气不清，加杏仁、麦
冬。口干作渴，加知母、五味子。睡眠不宁，加黄柏、远志、枣仁。惊悸健忘，加茯神、石
菖蒲。有汗恶寒，加薄荷、半夏。无汗恶寒，加苍术、藿香。妇人经事不调，加延胡索、丹
皮。腹胀不宽，加浓朴、大腹皮。
【方歌】和荣散坚丸消郁，开结益虚理肝脾，八珍贝桔陈香附，昆海升红枯草宜。
阿魏化坚膏
用蟾酥丸药末一料，金头蜈蚣五条，炙黄去头足，共研匀；将太乙膏二十四两，重
汤炖化，离火入前药末，搅冷为度。每用时以重汤炖化，用红绢摊贴，半月一换。轻者
渐消，重者亦可少解，常贴可保不致翻花。
【方歌】阿魏化坚消结聚，蟾酥丸料研末细，蜈蚣炙黄太乙膏，炖化搅匀功速极。
太乙膏（见溃疡门）
蟾酥丸（见疔疮门）
失荣证发生于耳旁及颈项肩部，肿块起始时如同痰核，推之不动且质地坚硬，皮肤颜色正常但日渐增大，多由忧思、愤怒导致气机郁结、火邪凝结所致。病程日久则正气衰败，形体消瘦，溃烂后反而更加坚硬并出现紫斑，疮面腐烂浸淫，流出血液和脓水，疮口外翻如菜花状，治疗极为困难。
【注释】失荣证，生于耳朵前后及肩颈部。此病初起时，形状像痰核，推动它不移动，坚硬得像石头一样，皮肤颜色如常，逐渐长大。这是由于忧思、愤怒、气机郁滞、血行逆乱与火邪凝结而形成的。病程长久难以痊愈，形体和气机逐渐衰弱，肌肉消瘦，越是溃烂越坚硬，颜色呈现紫斑，腐烂浸淫，渗出血液和脓水，疮口扩大，肉质高突，形状类似翻花瘤证。虽然古今都有治疗方法，但最终属于败证（难治之症）。只是不能放弃不治，初期适宜服用和荣散坚丸，外部贴敷阿魏化坚膏，然而也不过是勉强延续寿命而已。
和荣散坚丸：治疗失荣证，调和营血，消散坚块，开解郁结。
药材组成：川芎、白芍（酒炒）、当归、茯苓、熟地黄、陈皮、桔梗、香附、白术（土炒，以上各一钱）、人参、甘草（炙）、海粉、昆布、贝母（去心，以上各五钱）、升麻、红花（以上各三钱）、夏枯草（熬成汤，再加入红蜜四两，继续熬制成膏，总量一斤）。
制法与用法：将上述药材共研为细末，用夏枯草膏混合制成丸药，大小如梧桐子。每次服用三钱，饭后用温开水送服。
加减法：身体发热，加黄芩、柴胡；自汗、盗汗，去掉升麻，加倍人参用量，加黄芪；饮食无味，加藿香、砂仁；饮食不消化，加山楂、麦芽；胸膈痞闷，加泽泻、木香；咳嗽痰气不清爽，加杏仁、麦冬；口干口渴，加知母、五味子；睡眠不安宁，加黄柏、远志、酸枣仁；惊悸健忘，加茯神、石菖蒲；有汗且恶寒，加薄荷、半夏；无汗且恶寒，加苍术、藿香；妇女月经不调，加延胡索、牡丹皮；腹胀不宽舒，加厚朴、大腹皮。
【方歌】和荣散坚丸消除郁结，开通结聚、补益虚损、调理肝脾，方中含八珍汤成分及贝母、桔梗、陈皮、香附，昆布、海藻、升麻、红花、夏枯草适宜使用。
阿魏化坚膏
配方：使用蟾酥丸的药末一料，金头蜈蚣五条，炙黄芪（去头足），共同研磨均匀；取太乙膏二十四两，隔水炖化，离火后加入前面的药末，搅拌至冷却即可。每次使用时隔水炖化，用红绢摊涂贴敷，半个月更换一次。病情轻的逐渐消退，病情重的也可稍作缓解，经常贴敷可保证不致发展成翻花瘤。
Shirong Syndrome (Malnutrition of the Neck) occurs beside the ears and in the neck and shoulder regions. Initially, the mass resembles a phlegm nodule (Tanhe), is immobile upon pushing, and feels hard as stone. The skin color remains normal while the mass gradually enlarges. This condition is caused by emotional distress, anger, qi stagnation, blood rebellion, and fire condensation. As the disease progresses, qi and body fluids decline, leading to emaciation. Upon ulceration, the lesion becomes harder with purple spots appearing. The sore rots and oozes, discharging blood and pus, with the wound margin everted like a cauliflower; treatment is extremely difficult.
[Note] Shirong Syndrome arises anterior and posterior to the ears and on the shoulders and neck. In its early stage, it presents as a phlegm nodule, is immobile when pushed, and is as hard as stone, with normal skin color but gradual enlargement. It results from the condensation of worry, anger, qi stagnation, blood rebellion, and fire. Long-standing cases are difficult to cure, with gradual decline of form and qi, muscle wasting, increasing hardness upon ulceration, appearance of purple spots, rotting and oozing, discharge of blood and water, widening of the wound, and hyperplastic tissue resembling a "flower-turning" tumor. Although treatments exist in ancient and modern times, it ultimately belongs to "defeated syndromes" (incurable or terminal conditions). However, one should not abandon treatment. Initially, He Rong San Jian Wan is suitable for internal use, and Awei Huajian Gao is applied externally. Nevertheless, this merely serves to prolong life temporarily.
He Rong San Jian Wan: Treats Shirong Syndrome, harmonizes Ying (Nutritive) Blood, dissipates hardness, and resolves stagnation.
Ingredients: Chuanxiong Rhizoma (Chuanxiong), Bai Shao Radix Paeoniae Alba (Bai Shao, stir-fried with wine), Danggui Radix Angelicae Sinensis (Danggui), Poria (Fuling), Shu Dihuang Radix Rehmanniae Preparata (Shudi), Chenpi Pericarpium Citri Reticulatae (Chenpi), Jiegeng Radix Platycodonis (Jiegeng), Xiangfu Rhizoma Cyperi (Xiangfu), Baizhu Rhizoma Atractylodis Macrocephalae (Baizhu, stir-fried with soil), each 1 qian; Renshen Radix Ginseng (Renshen), Gancao Radix Glycyrrhizae Preparata (Gancao, honey-roasted); Haifen Natrii Boras (Haifen), Kunbu Thallus Laminariae seu Eckloniae (Kunbu), Beimu Bulbus Fritillariae Cirrhosae (Beimu, heart removed), each 5 qian; Shengma Rhizoma Cimicifugae (Shengma), Honghua Flos Carthami Tinctorii (Honghua), each 3 qian; Xiakucao Herba Prunellae Spicae (Xiakucao, decocted into soup, then add 4 liang of red honey, continue boiling until paste consistency, total weight 1 jin).
Preparation and Administration: Grind all ingredients into fine powder. Mix with Xiakucao paste to form pills, size similar to Sophora seeds. Take 3 qian per dose, washed down with warm boiled water after meals.
Modifications: For fever, add Huangqin Cortex Scutellariae (Huangqin) and Chaihu Radix Bupleuri (Chaihu). For spontaneous sweating and night sweats, remove Shengma, double the dosage of Renshen, and add Huangqi Radix Astragali Membranacei (Huangqi). For loss of taste, add Huoxiang Herba Agastaches (Huoxiang) and Sharen Fructus Amomi Rotundus (Sharen). For indigestion, add Shanzha Fructus Crataegi (Shanzha) and Maiya Fructus Hordei Germinatus (Maiya). For chest fullness and oppression, add Zexia Herba Alismatis Orientalis (Zexia) and Muxing Fructus Aquilariae (Muxing). For cough with turbid phlegm/qi, add Xingren Semen Armeniacae Amarum (Xingren) and Maidonng Radix Ophiopogonis (Maidong). For dry mouth and thirst, add Zhimu Rhizoma Anemarrhenae (Zhimu) and Wuweizi Fructus Schisandrae Chinensis (Wuweizi). For restless sleep, add Huangbai Cortex Phellodendri (Huangbai), Yuanzhi Radix Polygalae (Yuanzhi), and Zaoren Semen Ziziphi Spinosae (Zaoren). For palpitations and forgetfulness, add Fushen Sclerotium Poriae Cum Radice (Fushen) and Shichangpu Rhizoma Acori Tatarinowii (Shichangpu). For sweating with aversion to cold, add Bohe Herba Menthae haplocalyx (Bohe) and Banxia Rhizoma Pinelliae Preparata (Banxia). For no sweating with aversion to cold, add Cangzhu Rhizoma Atractylodis Lanceae (Cangzhu) and Huoxiang. For irregular menstruation in women, add Yanshuso Rhizoma Corydalis Yanhusuo (Yanshusuo) and Danmu Pi Cortex Moutan (Danpi). For abdominal distension, add Houkou Cortex Magnoliae Officinalis (Houpo) and Dafupi Pericarpium Arecae Catechu (Dafupi).
[Fang Ge / Prescription Verse] He Rong San Jian Wan disperses stagnation, opens knots, benefits deficiency, and regulates Liver and Spleen. It contains Ba Zhen Tang components along with Beimu, Jiegeng, Chenpi, and Xiangfu; Kunbu, Haifeng, Shengma, Honghua, and Xiakucao are appropriate.
Awei Huajian Gao
Formula: Use one portion of Chan Su Pill powder, five Golden-headed Wugong Scolopendra (Wugong), and Zhi Huangqi Radix Astragali Membranacei (Huangqi, roasted, heads and feet removed). Grind uniformly together. Take 24 liang of Taiyi Gao, melt via double-boiling method. Remove from heat, add the aforementioned powder mixture, and stir until cool. To apply, melt again via double-boiling, spread onto red silk, and apply as a plaster. Change every half month. Mild cases will gradually resolve; severe cases may see slight relief. Regular application can prevent progression to "flower-turning" tumors.
[Fang Ge / Prescription Verse] Awei Huajian Gao eliminates knot accumulation. Chan Su pill powder is ground finely. Combined with roasted Wugong, Huangqi, and Taiyi Gao, melted and stirred evenly, its efficacy is rapid and extreme.
Taiyi Gao (See Ulcer Section)
Chan Su Pill (See Ding Chuang/Carbuncle Section)