有一种红丝疮，虽非丹胗，其毒实同，多生于两手中指节上，男左女右，则尤
甚也。其状，但一水泡，清澄光莹，如小鸡头大，其底下 然数十小针孔，不痒
不痛，都无妨碍，泡边当有一丝脉如红丝，隐隐在皮里，其行甚速，循臂而上，过
肘则危，至心即死。有此证者，急以针迎头挑断，或剜耳塞，或嚼白梅封之，丝即
不行。绍兴庚午，无为宰方梓，字楚材，与先子为同年，秩满代归，三日而殂，询
其所以，云无疾，但左手中指生一小水泡耳，盖不知其为红丝疮也。又卫提辖宜人
云∶比邻有女子，忽中指节生一水泡，色极清澈，其底尽细细针孔，历历可数，傍
有红丝一缕，举家嬉笑，忽有老妪来见，惊曰，此红丝疮也，当害汝命，急就其泡
上灼艾数十壮，仍于丝上数处挑断，遂免。
巢氏云∶小儿遇风热毒瓦斯，与血气相搏，结成顽核，生于颈项，遇风寒所折，
不消，结成瘰 ，久而溃脓成疮也。汤氏用宜服清凉饮子及升麻汤等，《千金》连翘
丸、龙胆汤、皆可服。〔曾〕瘰 一证，先贤名曰九漏，究其所因似热，稽考形状非
一，不过随象命名，大概初发于颈项肌肉之间，未成脓者，从本引末，可使衰去，
针之、灸之、敷之，从其所因而施疗，然小儿幼弱，岂堪针灸，但以服饵涂贴之剂
为治。此疾多生于耳后及颈项两旁，初发止是一枚，次必连生，大小十数，缠绕项
下，累累如贯珠，逐个先肿，作脓穿破，轻者可愈，重者难除，先穴漏脓，长岁不
干，谓之漏项，原其得病之初，自是三阳感受风热，与血气相搏而成，治以百解散
加当归散，水姜葱灯心煎服，次用玄参饮及牛蒡汤、木通散、内消丸，与之宣热化
毒，洗以槲皮散，涂用白芨散、二香散，使气血行，脓干汁尽，则自愈矣。仍忌躁
毒野味，其证不致再作。
〔薛〕胎毒瘰 者，乃禀肝胆二经郁火气滞所致，盖肝胆经行人身之侧，若因肝
火动而受患，故发于肝胆二经部分，当审其因而药之。或因乳母恚怒，或血虚内热
者，当审其所因而调其母，不可用峻厉之药，恐伤元气也。一小儿落草，颈间有
五枚。审其母素多怒，时常寒热，或乳间作痛，或胁肋微肿，悉属肝胆经证。先用
小柴胡汤加当归芍药，寒热顿退，又用加味逍遥散，母服两月余，其儿亦愈。一小
儿因乳母肝经有热，耳前后患之。用加味逍遥散治其母，其儿自愈。一小儿颈间耳
下，各结核三岁，久服消毒之剂，患处益甚，元气益虚。诊乳母素郁怒，致肝脾血
虚而有热。用加味归脾汤为主，佐以加味逍遥散，母热渐退，却与儿日各数匙，两
月余而愈。一小儿自落草时颈间患有四枚，至五岁，耳前后如贯珠，元气虚甚，寒
热往来，饮乳不彻。此禀肝胆经气滞之证。用八珍、逍遥、二散，与壮年妇人服之，
儿饮其乳，半载之后，儿体渐充，其核渐消，又服地黄丸、逍遥散、而全愈。一小
儿生下，颈间瘰 三枚，将期敷药，延及耳前。余谓此禀肝胆二经所致。诊其母，
肝胆脉尚洪数，余谓母子一体，治其母，儿自愈。不信，另用必效散一服，吐泻并
至，一夕而殁。
热毒瘰 乃手足少阳、足厥阴、二经风热之证，或肝疳食积所致，其证发于项
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。
作痛塞热者，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。后复结核，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、熟地黄、麦门、
五味，气血乃复，遂进必效散一服，毒下而痊。一小儿患此，服克治之药，致寒热
腹膨，此肝脾疳证，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。一小儿九岁，患此面色常青，肿硬不溃，肉色不
变，乃伐肝化痰。余曰当调补肝脾。不信，果虚证峰起。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。
百解散（惊） 当归散（潮热） 牛蒡汤（咽喉）
大圣散 治瘰 ，消风毒肿上壅内热，多生瘾疹风丹风证，食煎爆多致此疾。
羌活 荆芥 升麻 薄荷 防风 甘草 大黄 黄芩 玄参（各等分） 或加赤芍
药、连翘
上为末。每二钱，水一盏，煎六分，温服。又方，用牡蛎（二两），火 为末，玄参
（一两），甘草（半两），为末，每服二钱，茶清调下。
玄参饮 治瘰 ，及头上生恶核肿痛。
玄参 升麻（各五钱） 川乌（炮裂，去皮脐） 草乌（炮裂，去皮） 当归（酒洗）
川芎 赤葛 生干
地黄 赤芍药（各二钱半） 甘草（三钱） 大黄（半生半炮，四钱）
上锉。每服二钱，水一盏，姜二片，煎七分，无时温服。
升麻汤
升麻 射干 连翘 犀角屑 大黄（微炮） 朴硝（各半两）
上 咀，水煎。大小加减。忌酒、面、炙爆物。
木通散（淋）
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。
清肝益荣汤 治肝胆经风热血燥，筋挛结核，或作瘊子。
柴胡 龙胆草（酒拌，炒。各五分） 当归 川芎 芍药（各一钱） 熟地黄（自制）
白术（炒） 木瓜（不犯铁器） 山栀（炒） 茯苓 薏苡仁（各五分） 甘草（三分）
上，水煎服。
加味小柴胡汤 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证。
柴胡（二钱） 黄芩（炒，一钱） 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。（去山栀、牡丹皮，即小柴胡汤）
益气养荣汤 治气血虚弱，四肢颈项等处患肿，不问肿溃日久不敛，俱宜服之。
人参 茯苓 陈皮 贝母 香附（炒） 当归（酒洗） 川芎 黄 （炒） 熟地黄（自制）
芍药（炒。各一钱） 甘草（炙） 桔梗（各五分） 白术（炒） 柴胡（六分）
上，每服二三钱，姜水煎。
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，同糯米炒，去米）
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
出曝干研细。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。
贴恶核方
赤小豆 猪牙皂荚 硝石 黄药 木鳖子（各半两）
上末。鸡子清调涂患处。
贴散瘰 神效方
白胶香 降真香（用心无土气者） 海螵蛸
上等分，为末。糁患处，外以水纸掩之，一夜而退。
兴化李八哥传贴瘰 膏药，未破者即消，已破者即出恶物收敛，神验良方。
轻粉 麝香 珍珠 血竭 没药 乳香 黄蜡 铜青（各六分） 松香（八钱） 杏仁（二十
枚，去皮尖） 蓖麻子（二十枚，去壳）
以上十一味，各研极细末，搅和，用瓷杵钵捣成泥膏。不犯铁器，不见火，将
膏掐敷绢上，以手扑薄贴。
治痹 破溃不敛者方
用烧人场上红黄土，研细，洗净患处掺之，神效。
〔薛〕惊风结核，属肝胆二经风木相火用事，木旺生风，热同化，其病抽掣扰动，
此乃风热血燥而然耳。盖风动则肝火盛，火盛则肝血内消，血不能养筋，故筋挛，
结核如贯珠。然颈项两侧，正属肝胆经部分，治宜滋肾水，清肝火，养阴血，壮脾
土，盖肾水旺则肝火自清，肝火清则阴血自生，阴血生则相火自宁，火既宁则无热
伤元气、火乘土位之疾矣。一小儿甫周岁，项间结核，两臂反张，索败毒之药。余
意此属肝经血燥，询之，果前患惊风，曾服朱砂等药。遂与六味地黄丸滋其肝血，
数服而愈。一小儿项侧结核，痰盛发搐，服金石香燥之剂，手足筋挛。此肝血复
伤，即急惊也。遂用加味小柴胡汤加钓藤钩、山栀、芎、归，六味丸料加五味、麦
门而痊。一小儿每受惊，项间结核，发热减食，睡间四肢微抽。此肝木侮脾土
也。用五味异功散加柴胡、升麻、钓藤钩、随愈。毕姻后，腿臂腕间结核，误服行
气破血药，腿臂筋挛，肌体消瘦如瘵证。余考绩到京，用地黄丸生肝肾之血，佐以
补中益气汤补脾肺之气而愈。一小儿耳前后结核，遇惊即痰盛切牙，抽搐摇头，恪
服香燥之药，以致慢惊而卒。
皂角子丸 治肝胆经风热，项胁两侧结核。
皂角子（用仁，炒，二两） 连翘（八钱） 当归 柴胡 芍药（炒） 山栀（炒） 川芎（各一两）
桔梗（炒） 龙胆草（酒拌，炒黑） 甘草（炒。各四钱）
上为末，米糊、丸绿豆大。量儿大小加减，滚汤下。
人参败毒散 治小儿风热瘙痒，顽核毒疮，或解脱衣裳，风邪所伤，恶风发热，胸
膈生痰，头目不清。（方见后）
九味柴胡汤 治肝经热毒下注，患便毒肿痛，或小腹胁间结核，凡肝胆经部分一切
疮疡，或风毒恶核瘰 。
柴胡（炒） 黄芩（炒，各五分） 人参 山栀（炒） 半夏 龙胆草（炒） 当归 芍药（炒。
各三分） 甘草（二分）
上，水煎服。若肿痛赤色，元气无亏者宜用。溃后肿消痛止者不宜用。大凡肿
硬不溃，溃后不愈者，因元气虚也，午前宜用四君、归、 、升麻；午后宜用四君、
芎、归、柴胡为主，佐以九味芦荟丸。若饮食少思者，宜用五味异功散专补胃
气。若脓水清稀而见一切诸证，皆因血气内亏，但温补脾胃，饮食加进，血气化
生，诸证自退。设治疮邪，是虚其虚也，祸不旋踵矣。
琥珀膏 治瘰 不溃，或溃而不愈，变成漏证。
琥珀 木通 桂心 当归 白芷 防风 松香 朱砂 丁香 木香 木鳖子（肉。各二两）
上，先用琥珀、丁香、桂心、朱砂、木香为末，其余 咀。以麻油二斤六两，
慢火煎至白芷焦黑，滤去渣，徐下黄丹一斤，以柳枝不住手搅至黑色，滴水捻软
硬得中，却入琥珀等末，搅匀，于瓷器盛之。用时取少许摊贴。
益脾清肝散 治肝火侮脾，饮食少思，发热或寒热往来，疮不能消散。（方见后）
补阴八珍汤 治元气虚弱，不能溃敛，或内热、晡热，肌体消瘦。即八珍汤加酒炒黑
黄柏、知母。
有一种红丝疮，虽然不属于丹疹（一种皮肤发红如涂丹砂的急性感染性疾病），但其毒性相同。这种病多生长于两手的中指节上，男性左侧、女性右侧发病时尤为严重。其症状表现为：只有一个水泡，清澈透明、光亮莹润，大小如同小鸡头，底部有数十个细小的针孔，不痒也不痛，通常没有大碍；但水泡边缘有一条像红丝一样的脉络，隐隐在皮下，蔓延速度极快，沿手臂向上走，如果过了肘部就危险了，到达心脏就会死亡。出现这种证候的人，应立即用针在红丝前端挑断，或者挖取耳垢塞住伤口，或者嚼烂白梅封住伤口，红丝即可停止蔓延。绍兴庚午年，无为县令方梓，字楚材，与先父是同一年考中进士的，任期届满代理回家，三天后就去世了。询问他去世的原因，他说自己并无其他疾病，只是左手中指生了一个小水泡罢了，大概是因为不知道这是红丝疮的缘故。又有卫提辖的妻子宜人说道：邻居有个女子，忽然中指节生了一个水泡，颜色极其清澈，底部全是细细的针孔，清晰可数，旁边有一缕红丝，全家人都嬉笑不在意，忽然有一位老妇人来看见，惊恐地说：“这是红丝疮啊，会害了你的命！”急忙在水泡上艾灸几十壮，并在红丝上的几处挑断，于是得以幸免。
巢元方说：小儿遇到风热毒气，与血气相互搏结，结成顽固的核块，生长在颈项部位，如果遇到风寒遏制，不能消散，结成瘰疬，时间久了溃烂流脓形成疮疡。汤氏建议服用清凉饮子及升麻汤等，《千金方》中的连翘丸、龙胆汤，都可以服用。〔曾〕瘰疬这一证候，先贤称之为“九漏”，探究其病因似乎属于热证，考察其形状不一，不过是根据形象命名。大体上初发于颈项肌肉之间，未成脓时，从本源引导至末端，可以使病情衰退，通过针刺、艾灸、敷贴等方法，根据其病因进行治疗。然而小儿幼弱，怎能承受针灸治疗？只能以服药和涂贴的药物来治疗。此病多生于耳后及颈项两旁，初发只有一枚，随后必然接连生长，大小十几枚，缠绕在项下，累累相连如同串珠，逐个先肿胀，化脓穿破，轻者可以痊愈，重者难以去除，先穴漏出脓水，长年不干，称为“漏项”。推究其得病之初，自是三阳经感受风热，与血气相搏而成。治疗用百解散加当归散，用水、姜、葱、灯心草煎服，其次用玄参饮及牛蒡汤、木通散、内消丸，用来宣散热毒，外用槲皮散清洗，涂用白芨散、二香散，使气血运行，脓干汁尽，则自然痊愈。仍然忌食燥热、有毒的野味，这样病症就不会再发作。
〔薛〕胎毒瘰疬，是由于禀受肝胆二经郁火气滞所致。因为肝胆经脉行于人身之侧，如果因肝火动而患病，所以发于肝胆二经所主的部位，应当审察病因并用药治疗。有的因为乳母愤怒，或乳母血虚内热，应当审察病因调理乳母，不可使用峻烈猛厉的药物，恐怕损伤元气。有一个婴儿出生时，颈部有五枚结核。审察其母亲平素易怒，时常寒热往来，有时乳房疼痛，有时胁肋微肿，都属于肝胆经证候。先用小柴胡汤加当归、芍药，寒热顿时消退，又用加味逍遥散，母亲服用两个多月，孩子也痊愈了。另一个婴儿因为乳母肝经有热，患于耳前后。用加味逍遥散治疗其母亲，孩子自愈。还有一个婴儿颈部耳下各有结核三年，长期服用消毒药物，患处更加严重，元气更加虚弱。诊察发现乳母平素抑郁易怒，导致肝脾血虚而有热。用加味归脾汤为主，佐以加味逍遥散，母亲的热象逐渐消退，同时每天给孩子喂几匙，两个多月后痊愈。还有一个婴儿从出生时颈部患有四枚结核，到五岁时，耳前后如串珠般排列，元气非常虚弱，寒热往来，吃奶不饱。这是禀受肝胆经气滞的证候。用八珍汤、逍遥散、二散，让壮年妇女服用，孩子喝她的乳汁，半年之后，孩子身体逐渐充实，结核逐渐消退，又服用地黄丸、逍遥散，完全痊愈。还有一个婴儿生下时，颈部有三枚瘰疬，即将到期敷药，蔓延到了耳前。我说这是禀受肝胆二经所致。诊察其母亲，肝胆脉象尚且洪数，我说母子一体，治疗母亲，孩子自然痊愈。母亲不信，另用必效散一服，吐泻并至，一夜就死了。
热毒瘰疬是手足少阳、足厥阴二经风热的证候，或者是肝疳食积所致。其证候发于项腋或耳前后，或者如串珠状，应当分辨表里虚实。如果红肿赤色，是肝经热毒，用人参败毒散。如果作痛且塞热，是肝火内作，用加味小柴胡汤。如果不痛而小便黄，是肝血虚，用六味地黄丸。如果隐于肉里而颜色不变，是肝疳内作，用九味芦荟丸。如果脓成而不溃破，或溃破而不收敛，是脾气虚弱，用益气养荣汤。凡是这些肿痛疼痛，寒热口渴的，属于病气有余，形气不足，治疗宜清肝火，生肝血；如果肿硬不溃破，溃破而不收敛，属于病气和形气都虚，治疗宜补肾水，实脾土。如果因为乳母愤怒，肝火遗害患者，又应当随其病因治疗。有一个婴儿脓水淋漓，结核未消，发热憎寒，这是肝经气血虚而有热，用补阴八珍汤为主，间以清肝益荣汤而愈。后来再次结核，小便赤涩，午后发热口渴，用参术柴苓汤为主，佐以六味地黄丸料加柴胡、山栀，及四味肥儿丸而收敛。有一个十五岁的婴儿，患此病发热口渴，下午脸颊红，脉数无力，属于阴虚而有热，用补阴八珍汤五十剂，加人参又二十剂而溃破，但脓水清稀，肌肉不生，这是脾气虚弱，以人参、当归、白术为主，佐以芍药、熟地黄、麦门冬、五味子，气血乃恢复，于是进服必效散一服，毒邪排出而痊愈。有一个婴儿患此病，服用克伐治疗的药物，导致寒热腹胀，这是肝脾疳证，先用五味异功散加柴胡、升麻，佐以九味芦荟丸逐渐消退，又用四味肥儿丸、五味异功散，而消除。有一个九岁的婴儿，患此病面色常青，肿硬不溃破，肉色不变，是伐肝化痰。我说应当调补肝脾。他不信，果然虚证蜂拥而起。再次请我治疗，仍想伐肝。我说面带青色，是肝虚而本色显露；面色变白，是肺虚而本色显露；痰涎上涌，是脾虚而不能摄纳；两目连眨，是肝血虚而生风。经云：“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，然后早晨用补中益气汤，晚上用五味异功散，佐以九味芦荟丸，面色始黄，而结核逐渐消退，又以四味肥儿丸，间服地黄丸而痊愈。
百解散（主治惊风） 当归散（主治潮热） 牛蒡汤（主治咽喉肿痛）
大圣散 治疗瘰疬，消风毒肿上壅内热，多生瘾疹、风丹、风证，饮食煎炸爆炒食物多导致此疾。
羌活、荆芥、升麻、薄荷、防风、甘草、大黄、黄芩、玄参（各等分） 或加赤芍药、连翘
以上研为末。每服二钱，水一盏，煎至六分，温服。又一方，用牡蛎（二两），煅烧为末，玄参（一两），甘草（半两），研为末，每服二钱，茶清调下。
玄参饮 治疗瘰疬，及头上生恶核肿痛。
玄参、升麻（各五钱） 川乌（炮裂，去皮脐） 草乌（炮裂，去皮） 当归（酒洗） 川芎 赤葛 生干地黄 赤芍药（各二钱半） 甘草（三钱） 大黄（半生半炮，四钱）
以上锉碎。每服二钱，水一盏，姜二片，煎至七分，随时温服。
升麻汤
升麻、射干、连翘、犀角屑、大黄（微炮）、朴硝（各半两）
以上切碎，水煎。根据年龄大小加减剂量。忌酒、面食、炙烤爆炒物。
木通散（主治淋证）
柴芍参苓饮 治疗肝火血热，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）
以上，姜枣水煎服。
清肝益荣汤 治疗肝胆经风热血燥，筋挛结核，或作瘊子。
柴胡、龙胆草（酒拌，炒。各五分） 当归、川芎、芍药（各一钱） 熟地黄（自制）、白术（炒）、木瓜（不犯铁器）、山栀（炒）、茯苓、薏苡仁（各五分） 甘草（三分）
以上，水煎服。
加味小柴胡汤 治疗肝胆经风热，耳前后肿痛，或结核疼痛，或寒热、午后热、口苦、耳聋等证候。
柴胡（二钱） 黄芩（炒，一钱） 人参、半夏（各七分） 甘草（炙，五分） 山栀、牡丹皮（各一钱）
以上，姜水煎，徐徐服。（去掉山栀、牡丹皮，即小柴胡汤）
益气养荣汤 治疗气血虚弱，四肢颈项等处患肿，不问肿溃日久不敛，都适宜服用。
人参、茯苓、陈皮、贝母、香附（炒）、当归（酒洗）、川芎、黄芪（炒）、熟地黄（自制）、芍药（炒。各一钱） 甘草（炙）、桔梗（各五分） 白术（炒）、柴胡（六分）
以上，每服二三钱，姜水煎。
必效散 治疗瘰疬元气无亏损者，适宜用此方。如果元气怯弱者，适宜先补而后服用，毒邪已下，便给予滋补，才没有其他祸患。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。
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，同糯米炒，去米）
以上研为末。取鸡蛋二个，去黄，用蛋清调药入壳内，用湿纸数层糊住口，蒸熟，取出晒干研细。每服五分，用炒生姜酒，五更时分调服。如果毒出小便涩痛，用益元散一服，毒出而不痛。
贴恶核方
赤小豆、猪牙皂荚、硝石、黄药、木鳖子（各半两）
以上研末。鸡子清调涂患处。
贴散瘰疬神效方
白胶香、降真香（用心无土气者）、海螵蛸
以上等分，为末。撒于患处，外以水纸掩之，一夜而退。
兴化李八哥传贴瘰疬膏药，未破者即消，已破者即出恶物收敛，神验良方。
轻粉、麝香、珍珠、血竭、没药、乳香、黄蜡、铜青（各六分） 松香（八钱） 杏仁（二十枚，去皮尖） 蓖麻子（二十枚，去壳）
以上十一味，各研极细末，搅和，用瓷杵钵捣成泥膏。不犯铁器，不见火，将膏掐敷绢上，用手拍薄贴。
治痹症破溃不敛者方
用烧人场上红黄土，研细，洗净患处掺之，神效。
〔薛〕惊风结核，属肝胆二经风木相火用事，木旺生风，热同化，其病抽掣扰动，这是风热血燥而然。盖风动则肝火盛，火盛则肝血内消，血不能养筋，故筋挛，结核如贯珠。然而颈项两侧，正属肝胆经部分，治疗宜滋肾水，清肝火，养阴血，壮脾土，盖肾水旺则肝火自清，肝火清则阴血自生，阴血生则相火自宁，火既宁则无热伤元气、火乘土位之疾矣。有一个婴儿刚满周岁，项间结核，两臂反张，索要败毒之药。我认为这属于肝经血燥，询问得知，果然后患惊风，曾服用朱砂等药。于是给予六味地黄丸滋其肝血，数服而愈。有一个婴儿项侧结核，痰盛发搐，服用金石香燥之剂，手足筋挛。这是肝血复伤，即急惊。于是用加味小柴胡汤加钓藤钩、山栀、川芎、当归，六味丸料加五味子、麦门冬而痊愈。有一个婴儿每次受惊，项间结核，发热减食，睡间四肢微抽。这是肝木侮脾土。用五味异功散加柴胡、升麻、钓藤钩，随愈。结婚后，腿臂腕间结核，误服行气破血药，腿臂筋挛，肌体消瘦如痨病。我考绩到京，用地黄丸生肝肾之血，佐以补中益气汤补脾肺之气而愈。有一个婴儿耳前后结核，遇惊即痰盛切牙，抽搐摇头，恪服香燥之药，以致慢惊而卒。
皂角子丸 治疗肝胆经风热，项胁两侧结核。
皂角子（用仁，炒，二两） 连翘（八钱） 当归、柴胡、芍药（炒）、山栀（炒）、川芎（各一两） 桔梗（炒）、龙胆草（酒拌，炒黑）、甘草（炒。各四钱）
以上为末，米糊、丸绿豆大。根据儿童大小加减剂量，滚汤送下。
人参败毒散 治疗小儿风热瘙痒，顽核毒疮，或解脱衣裳，风邪所伤，恶风发热，胸膈生痰，头目不清。（方见后）
九味柴胡汤 治疗肝经热毒下注，患便毒肿痛，或小腹胁间结核，凡肝胆经部分一切疮疡，或风毒恶核瘰疬。
柴胡（炒）、黄芩（炒，各五分） 人参、山栀（炒）、半夏、龙胆草（炒）、当归、芍药（炒。各三分） 甘草（二分）
以上，水煎服。如果肿痛赤色，元气无亏者适宜用。溃后肿消痛止者不宜用。大凡肿硬不溃，溃后不愈者，因元气虚也，午前适宜用四君子汤、当归、黄芪、升麻；午后适宜用四君子汤、川芎、当归、柴胡为主，佐以九味芦荟丸。如果饮食少思者，适宜用五味异功散专补胃气。如果脓水清稀而见一切诸证，皆因血气内亏，但温补脾胃，饮食加进，血气化生，诸证自退。如果治疗疮邪，是虚其虚也，祸不旋踵矣。
琥珀膏 治疗瘰疬不溃，或溃而不愈，变成漏证。
琥珀、木通、桂心、当归、白芷、防风、松香、朱砂、丁香、木香、木鳖子（肉。各二两）
以上，先用琥珀、丁香、桂心、朱砂、木香为末，其余切碎。以麻油二斤六两，慢火煎至白芷焦黑，滤去渣，徐下黄丹一斤，以柳枝不住手搅至黑色，滴水捻软硬得中，却入琥珀等末，搅匀，于瓷器盛之。用时取少许摊贴。
There is a condition called "Red Silk Sore" (Hong Si Chuang). Although it is not Dan Zhen (a type of acute skin infection characterized by redness like cinnabar), its toxicity is the same. It mostly occurs on the joints of the middle fingers of both hands, and is particularly severe in males on the left side and females on the right side. Its presentation is a single blister, clear, transparent, bright, and lustrous, about the size of a small chicken's head. The base has dozens of tiny puncture-like holes. It is neither itchy nor painful, and generally causes no major harm. However, at the edge of the blister, there is a vein-like thread resembling a red silk strand, faintly visible under the skin. It spreads very rapidly along the arm upwards; if it passes the elbow, the condition becomes critical, and if it reaches the heart, it leads to death. For those with this condition, one should immediately use a needle to pierce and cut off the red silk strand at its leading edge, or apply earwax to seal the wound, or chew white plums to seal the wound, which will stop the spread of the red silk strand. In the Gengwu year of the Shaoxing era, Fang Zi, the magistrate of Wuwei, courtesy name Chuzai, who was a fellow Jinshi with my late father, died three days after his term ended while serving as an acting official returning home. Upon inquiry into the cause of his death, he stated that he had no other illness, only a small blister on his left middle finger joint. This was likely because he did not recognize it as Red Silk Sore. Additionally, Lady Yiren, wife of Inspector Wei, said: A neighbor's daughter suddenly developed a blister on her middle finger joint. The color was extremely clear, and the base was covered with fine puncture-like holes that were clearly countable. There was a strand of red silk beside it. The whole family laughed it off. Suddenly, an old woman came and saw it, exclaiming in alarm, "This is Red Silk Sore! It will take your life!" She urgently applied dozens of moxa cones on the blister and pierced the red silk strand at several points, thereby saving her life.
Chao Yuanfang stated: When children encounter wind-heat toxic factors, these interact with the blood and qi, forming stubborn nodules that arise in the neck region. If constrained by wind-cold, they fail to dissipate, forming Luoli (scrofula). Over time, they ulcerate, suppurate, and become sores. Dr. Tang suggested taking Qingliang Yinzi (Cooling Drink) and Shengma Tang (Cimicifuga Decoction), etc. Lianqiao Wan (Forsythia Pill) and Longdan Tang (Gentian Decoction) from *Qianjin Fang* are also suitable. [Zeng] The condition of Luoli was named "Jiu Lou" (Nine Leaks) by ancient sages. Investigating its etiology suggests it relates to heat, but its morphology varies, named merely according to appearance. Generally, it initially appears between the muscles of the neck. Before suppuration occurs, treating from the root to guide the branch can reduce the condition. Treatments include acupuncture, moxibustion, and topical applications, administered according to the specific cause. However, young children are frail and cannot withstand acupuncture and moxibustion; thus, treatment relies on oral medications and topical pastes. This disease often arises behind the ears and on both sides of the neck. Initially, there is only one nodule, which then multiplies, numbering over ten, winding around the neck like beads strung together. Each swells, suppurates, and ruptures. Mild cases can be cured, while severe ones are difficult to eradicate. If pus leaks from acupoints and remains unhealed for years, it is called "Lou Xiang" (Leaking Neck). Tracing back to the onset, it results from the Three Yang meridians contracting wind-heat, which clashes with blood and qi. Treatment involves Baiejie San (Hundred Resolutions Powder) combined with Danggui San (Angelica Sinensis Powder), decocted with water, ginger, green onion, and Jiaomao Dengxincao (Juncus effusus stem). Subsequently, Xuanshen Yin (Scrophularia Drink), Niubang Tang (Arctium Decoction), Mutong San (Akebia Powder), and Neixiao Wan (Internal Resolution Pill) are used to disperse heat and resolve toxicity. Externally, Hupi San (Oak Bark Powder) is used for washing, and Baiji San (Bletilla Powder) and Erxiang San (Two Fragrances Powder) for application, promoting qi and blood circulation until pus dries and fluids cease, leading to spontaneous recovery. One must avoid dry, toxic wild game meats to prevent recurrence.
[Xue] Congenital toxin Luoli is caused by stagnant fire and qi in the Liver and Gallbladder meridians. Since the Liver and Gallbladder meridians run along the sides of the body, if afflicted by moving Liver fire, lesions appear in the areas governed by these meridians. One must examine the cause and medicate accordingly. Some cases arise because the wet nurse is angry or suffers from blood deficiency with internal heat. In such cases, the wet nurse should be treated according to the cause. Harsh and drastic medicines should be avoided to prevent damaging the primordial qi. An infant presented with five nodules in the neck at birth. Examination revealed the mother was prone to anger, suffered from alternating chills and fever, occasional breast pain, and slight swelling in the hypochondrium, all indicative of Liver-Gallbladder meridian syndromes. Xiao Chaihu Tang (Minor Bupleurum Decoction) plus Danggui (Angelica sinensis) and Shaoyao (Peony) was prescribed first, resolving the chills and fever instantly. Then, Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) was given to the mother for over two months, resulting in the child's recovery. Another infant suffered from lesions around the ears due to the wet nurse's Liver meridian heat. Treating the mother with Jiawei Xiaoyao San led to the child's spontaneous recovery. A third infant had nodules below the neck and ears for three years. Long-term use of detoxifying agents worsened the lesions and depleted the primordial qi. Diagnosis showed the wet nurse's chronic depression and anger caused Liver-Spleen blood deficiency with heat. Jiawei Guipi Tang (Modified Restore the Spleen Decoction) was used as the main formula, assisted by Jiawei Xiaoyao San. As the mother's heat subsided, she fed the infant a few spoonfuls daily, leading to recovery after two months. Another infant had four nodules in the neck since birth. By age five, nodules around the ears resembled strings of beads. The primordial qi was severely deficient, with alternating chills and fever, and incomplete feeding. This indicated Qi stagnation in the Liver-Gallbladder meridians. Bazhen Tang (Eight Treasure Decoction), Xiaoyao San, and Er San (Two Powders) were given to a healthy adult woman. The infant drank her milk. After half a year, the infant's physique improved, and nodules gradually diminished. Further treatment with Dihuang Wan (Rehmannia Pill) and Xiaoyao San led to complete recovery. Another infant had three Luoli nodules in the neck at birth, spreading to the front of the ears. I stated this resulted from congenital Liver-Gallbladder issues. The mother's Liver-Gallbladder pulse was surging and rapid. I advised treating the mother, as mother and child share one body. The mother refused, taking Bixiao San (Highly Effective Powder) instead, resulting in vomiting and diarrhea, and death within a night.
Heat-toxin Luoli is a syndrome of wind-heat in the Hand-Foot Shaoyang and Foot-Jueyin meridians, or caused by Liver malnutrition and food accumulation. Lesions appear in the neck, axilla, or around the ears, sometimes like beads. Differentiate exterior-interior and excess-deficiency. If red and swollen, it is Liver meridian heat-toxin; treat with Renshen Baidu San (Ginseng Detoxification Powder). If painful and feeling blocked/heat, it is internal Liver fire; treat with Jiawei Xiao Chaihu Tang. If painless with yellow urine, it is Liver blood deficiency; treat with Liuwei Dihuang Wan (Six Ingredient Pill with Rehmannia). If hidden in the flesh with unchanged color, it is internal Liver malnutrition; treat with Jiawei Luohua Wan (Nine Ingredient Aloe Vera Pill). If pus forms but does not rupture, or ruptures but does not heal, it is Spleen qi deficiency; treat with Yiqi Yangrong Tang (Benefit Qi and Nourish Blood Decoction). For swelling and pain with chills, fever, and thirst, indicating excess pathogenic qi and deficient form qi, clear Liver fire and generate Liver blood. For hard swelling without rupture or non-healing ulcers, indicating deficiency of both pathogenic and form qi, tonify Kidney water and strengthen Spleen earth. If caused by the wet nurse's anger transmitting Liver fire, treat according to the cause. An infant with dripping pus and unresolved nodules, suffering from fever and aversion to cold, had Liver meridian qi-blood deficiency with heat. Treated mainly with Buyin Bazhen Tang (Nourish Yin Eight Treasure Decoction), intermittently with Qinggan Yirong Tang (Clear Liver and Benefit Blood Decoction), leading to recovery. Later, recurrent nodules with dark, scanty urine and afternoon fever/thirst were treated mainly with Shenzhu Chailing Tang, assisted by Liuwei Dihuang Wan material plus Chaihu (Bupleurum) and Shanzhi (Gardenia), and Simei Feier Wan (Four Ingredient Fattening Child Pill), leading to healing. A fifteen-year-old infant with fever, thirst, afternoon facial redness, and weak rapid pulse had yin deficiency with heat. Treated with Buyin Bazhen Tang for fifty doses, plus Renshen (Ginseng) for twenty doses, leading to rupture. However, thin pus and lack of muscle growth indicated Spleen qi deficiency. Treated mainly with Renshen, Danggui (Angelica), Baizhu (Atractylodes), assisted by Shaoyao (Peony), Shudihuang (Prepared Rehmannia), Maidong (Ophiopogon), and Wuweizi (Schisandra), restoring qi and blood. Then, one dose of Bixiao San was taken, expelling toxins and curing the disease. An infant treated with harsh purgatives developed chills, fever, and abdominal distension, indicating Liver-Spleen malnutrition. Treated initially with Wuyi Yigong San (Five Agents Extraordinary Merit Powder) plus Chaihu and Shengma (Cimicifuga), assisted by Jiawei Luohua Wan, gradually receding. Then, Simei Feier Wan and Wuyi Yigong San eliminated the condition. A nine-year-old infant with constant greenish complexion, hard non-suppurating nodules, and unchanged skin color was being treated with Liver-draining and phlegm-resolving methods. I advised regulating and tonifying Liver and Spleen. He refused, resulting in a surge of deficiency symptoms. Upon re-consultation, he still wanted Liver-draining. I explained: Green face indicates Liver deficiency revealing its true color; white face indicates Lung deficiency; rushing phlegm indicates Spleen deficiency failing to control; blinking eyes indicate Liver blood deficiency generating wind. The Classics state: "The Stomach is the root of the Five Zang organs." Save the Stomach qi first. Used Wuyi Yigong San plus Shengma and Chaihu. As primordial qi recovered, morning administration of Buzhong Yiqi Tang (Center-Benefiting Qi-Ascending Decoction) and evening administration of Wuyi Yigong San, assisted by Jiawei Luohua Wan, turned the complexion yellow and nodules shrank. Intermittent Dihuang Wan and Simei Feier Wan led to full recovery.
Baiejie San (for fright) Danggui San (for tidal fever) Niubang Tang (for throat)
Dasheng San treats Luoli, dissipating wind-toxin swelling and internal heat obstruction, often causing urticaria, wind-dan, and wind syndromes, frequently caused by fried and roasted foods.
Qianghuo (Notopterygium Rhizome), Jingjie (Schizonepeta Spike), Shengma (Cimicifuga Rhizome), Bohe (Mint), Fangfeng (Saposhnikovia Root), Gancao (Licorice Root), Dahuang (Rhubarb Root), Huangqin (Scutellaria Root), Xuanshen (Scrophularia Root) (equal parts). Or add Chishaoyao (Red Peony Root) and Lianqiao (Forsythia Fruit).
Grind into powder. Take 2 qian per dose, decoct in one cup of water until reduced to 0.6 cups, take warm. Another prescription: Oyster Shell (2 liang), calcined to powder; Xuanshen (1 liang), Gancao (0.5 liang), ground to powder. Take 2 qian per dose, mixed with clear tea water.
Xuanshen Yin treats Luoli and painful swelling of malignant nodules on the head.
Xuanshen (5 qian), Shengma (5 qian), Chuanwu (Processed Sichuan Aconite, peeled), Caowu (Processed Monkshood, peeled), Danggui (Wine-washed), Chuanxiong (Ligusticum Rhizome), Chige (Polygonum Multiflorum Stem), Shengdihuang (Raw Rehmannia Root), Chishaoyao (Red Peony Root) (2.5 qian each), Gancao (3 qian), Dahuang (Half raw, half processed, 4 qian).
Cut into pieces. Take 2 qian per dose, decoct in one cup of water with two slices of ginger until reduced to 0.7 cups, take warm at any time.
Shengma Tang
Shengma (Cimicifuga Rhizome), Shegan (Belamcanda Rhizome), Lianqiao (Forsythia Fruit), Xijiaoxie (Rhinoceros Horn Shavings - *Note: Substitute with Buffalo Horn in modern practice*), Dahuang (Lightly processed), Puxiao (Mirabilite) (0.5 liang each).
Cut into pieces, decoct in water. Adjust dosage based on age. Avoid alcohol, wheat products, and roasted/fried foods.
Mutong San (for strangury)
Chaishao Shenling Yin treats Liver fire and blood heat, causing generalized itching, red halos, or tendon spasms and nodules.
Chaihu (Bupleurum Root), Shaoyao (Peony Root), Renshen (Ginseng Root), Baizhu (Atractylodes Macrocephala Rhizome), Fuling (Poria), Chenpi (Tangerine Peel), Danggui (Angelica Sinensis Root) (0.5 fen each), Mudanpi (Tree Peony Bark), Shanzhi (Gardenia Fruit, stir-fried), Gancao (Licorice Root, stir-fried) (0.3 fen each).
Decoct with ginger and jujube in water.
Qinggan Yirong Tang treats wind-heat and blood dryness in Liver-Gallbladder meridians, tendon spasms, nodules, or warts.
Chaihu (0.5 fen), Longdancao (Gentiana Root, wine-mixed, stir-fried, 0.5 fen), Danggui (1 qian), Chuanxiong (1 qian), Shaoyao (1 qian), Shudihuang (Homemade), Baizhu (Stir-fried), Mugua (Papaya, avoid iron), Shanzhi (Stir-fried), Fuling (0.5 fen each), Yiyiren (Coix Seed, 0.5 fen), Gancao (0.3 fen).
Decoct in water.
Jiawei Xiao Chaihu Tang treats wind-heat in Liver-Gallbladder meridians, swelling and pain around ears, painful nodules, chills/fever, afternoon fever, bitter taste, deafness.
Chaihu (2 qian), Huangqin (Stir-fried, 1 qian), Renshen (0.7 fen), Banxia (Pinellia Tuber, 0.7 fen), Gancao (Roasted, 0.5 fen), Shanzhi (1 qian), Mudanpi (1 qian).
Decoct in ginger water, take slowly. (Removing Shanzhi and Mudanpi yields standard Xiao Chaihu Tang).
Yiqi Yangrong Tang treats qi-blood deficiency causing swelling in limbs and neck, regardless of duration or healing status.
Renshen (Ginseng Root), Fuling (Poria), Chenpi (Tangerine Peel), Beimu (Fritillaria Bulb), Xiangfu (Cyperus Rhizome, stir-fried), Danggui (Wine-washed), Chuanxiong (Ligusticum Rhizome), Huangqi (Astragalus Root, stir-fried), Shudihuang (Homemade), Shaoyao (Stir-fried, 1 qian each), Gancao (Roasted), Jiegeng (Platycodon Root, 0.5 fen each), Baizhu (Stir-fried), Chaihu (0.6 fen).
Take 2-3 qian per dose, decoct in ginger water.
Bixiao San treats Luoli when primordial qi is intact. Use this formula. If primordial qi is weak, tonify first, then take. After toxins are expelled, provide nourishment to avoid complications. Do not use for pregnant women or those with deficiency-labor and qi stagnation. Noted as a good formula by the world.
Nan Pengsha (South Borax, 2.5 qian), Qingfen (Calomel, 1 qian), Shexiang (Musk, 0.5 fen), Badou (Croton Seed, 5 seeds, peeled), Baibinglang (Areca Nut, 1 piece), Banmao (Blister Beetle, 40 pieces, heads/legs/wings removed, stir-fried with glutinous rice, discard rice).
Grind to powder. Take two eggs, remove yolks, mix medicine with egg whites inside the shell. Seal with wet paper layers, steam until cooked, dry, and grind fine. Take 0.5 fen per dose, mixed with stir-fried ginger wine at dawn (5 AM). If toxins cause painful urination, take Yiyuan San to relieve pain upon expulsion.
Paste for Malignant Nodules
Chixiaodou (Adzuki Bean), Zhuya Zaojia (Toothpick Soap Pod), Xiaoshi (Niter), Huangyao (Dioscorea bulbifera), Mubiezi (Momordica Seed) (0.5 liang each).
Grind to powder. Mix with egg white and apply to affected area.
Divine Efficacy Paste for Dissipating Luoli
Baijiaoxiang (Elemi Resin), Jiangzhenxiang (Dalbergia Odorifera Heartwood, free of soil odor), Haipiaoxiao (Cuttlefish Bone) (equal parts).
Grind to powder. Sprinkle on affected area, cover with wet paper overnight.
Li Baguo from Xinghua's secret paste for Luoli: resolves unruptured nodules, expels bad matter and heals ruptured ones. Highly effective.
Qingfen (Calomel), Shexiang (Musk), Zhenzhu (Pearl), Xuejie (Dragon's Blood), Moyao (Myrrh), Ruxiang (Frankincense), Huangla (Yellow Beeswax), Tongqing (Malachite) (0.6 fen each), Songxiang (Pine Rosin, 8 qian), Xingren (Almond, 20 kernels, peeled), Bimazi (Castor Seed, 20 kernels, shelled).
Eleven ingredients, ground to fine powder, mixed, pounded into paste using porcelain mortar and pestle. Avoid iron and fire. Apply thin layer on silk cloth.
Formula for Bi Syndrome Ulcers That Do Not Heal
Use red-yellow loess from cremation grounds, grind fine, wash affected area, and sprinkle. Highly effective.
[Xue] Fright-induced nodules belong to wind-fire activity in Liver-Gallbladder meridians. Wood excess generates wind, heat transforms similarly. Symptoms include twitching and agitation, caused by wind-heat and blood dryness. Wind movement increases Liver fire; excessive fire consumes Liver blood; blood fails to nourish tendons, causing spasms and bead-like nodules. Neck sides are governed by Liver-Gallbladder meridians. Treatment should nourish Kidney water, clear Liver fire, nourish yin blood, and strengthen Spleen earth. Strong Kidney water clears Liver fire spontaneously; clear Liver fire generates yin blood spontaneously; generated yin blood calms ministerial fire spontaneously; calm fire prevents damage to primordial qi and fire attacking Earth. An infant aged one year had neck nodules and hyperextended arms, demanding detoxification. I suspected Liver blood dryness. Inquiry confirmed prior fright syndrome treated with Cinnabar. Prescribed Liuwei Dihuang Wan to nourish Liver blood; recovered after a few doses. An infant with lateral neck nodles, profuse phlegm, and convulsions took metallic aromatic-dry agents, causing limb spasms. This re-injured Liver blood, constituting acute fright. Treated with Jiawei Xiao Chaihu Tang plus Gouteng (Uncaria), Shanzhi, Chuanxiong, Danggui, and Liuwei Wan material plus Wuweizi, Maidong; recovered. An infant had neck nodules, fever, reduced appetite, and mild limb twitching during sleep after fright. This is Liver wood insulting Spleen earth. Treated with Wuyi Yigong San plus Chaihu, Shengma, Gouteng; recovered. After marriage, nodules appeared in legs/arms/wrists. Mistakenly taking qi-moving and blood-breaking herbs caused limb spasms and emaciation resembling tuberculosis. Upon my return to Beijing, used Dihuang Wan to generate Liver-Kidney blood, assisted by Buzhong Yiqi Tang to tonify Spleen-Lung qi; recovered. An infant had ear-neck nodules, profuse phlegm, teeth grinding, and shaking upon fright. Strictly taking aromatic-dry herbs led to slow fright and death.
Zaojiaozi Wan treats wind-heat in Liver-Gallbladder meridians, nodules on neck and hypochondrium.
Zaojiaozi (Kernel, stir-fried, 2 liang), Lianqiao (8 qian), Danggui (1 liang), Chaihu (1 liang), Shaoyao (Stir-fried, 1 liang), Shanzhi (Stir-fried, 1 liang), Chuanxiong (1 liang), Jiegeng (Stir-fried), Longdancao (Wine-mixed, stir-fried black), Gancao (Stir-fried, 4 qian each).
Grind to powder, make pills with rice paste, size of mung beans. Adjust dosage by age, swallow with boiling water.
Renshen Baidu San treats pediatric wind-heat itching, stubborn toxic sores, exposure to wind after undressing, aversion to wind, fever, phlegm in chest/diaphragm, unclear head/eyes. (Formula seen later)
Jiuwei Chaihu Tang treats Liver meridian heat-toxin sinking, painful swelling of genital sores, or nodules in lower abdomen/hypochondrium. Treats all sores in Liver-Gallbladder areas, or wind-toxin malignant nodules/Luoli.
Chaihu (Stir-fried), Huangqin (Stir-fried, 0.5 fen each), Renshen (Ginseng Root), Shanzhi (Stir-fried), Banxia (Pinellia Tuber), Longdancao (Stir-fried), Danggui (Angelica Sinensis Root), Shaoyao (Stir-fried, 0.3 fen each), Gancao (0.2 fen).
Decoct in water. Suitable for painful, red swelling with intact primordial qi. Unsuitable after swelling/pain subside post-ulceration. Generally, hard non-suppurating or non-healing ulcers indicate primordial qi deficiency. Morning: Sizijunzi Tang (Four Gentlemen Decoction), Danggui, Huangqi, Shengma. Afternoon: Sizijunzi Tang, Chuanxiong, Danggui, Chaihu, assisted by Jiawei Luohua Wan. For poor appetite, use Wuyi Yigong San to tonify Stomach qi. For thin pus and various symptoms, due to internal qi-blood deficiency, warm-tonify Spleen-Stomach, increase diet, regenerate qi-blood, and symptoms will retreat. Treating sores directly in this state depletes deficiency, bringing swift disaster.
Hupo Gao (Amber Plaster) treats Luoli that do not suppurate or heal, turning into fistulas.
Hupo (Amber), Mutong (Akebia Caulis), Guixin (Cinnamon Twig), Danggui (Angelica Sinensis Root), Baizhi (Angelica Dahurica Root), Fangfeng (Saposhnikovia Root), Songxiang (Pine Rosin), Zhusha (Cinnabar), Dingxiang (Clove), Muxiang (Aucklandia Root), Mubiezi (Meat, 2 liang each).
First, grind Hupo, Dingxiang, Guixin, Zhusha, Muxiang to powder. Cut remaining herbs. Slowly boil in 2 jin 6 liang sesame oil until Baizhi is charred black. Filter dregs. Slowly add 1 jin Huangdan (Lead Monoxide), stirring constantly with willow branch until black. Test consistency with water drop. Add Hupo powder, mix well, store in ceramic vessel. Apply small amount as needed.
Yipi Qinggan San treats Liver fire insulting Spleen, poor appetite, fever or alternating chills, sores unable to dissipate. (Formula seen later)
Buyin Bazhen Tang treats primordial qi weakness preventing suppuration/healing, or internal/afternoon fever, emaciation. It is Bazhen Tang plus Jiuchao Hei Huangbai (Wine-roasted Black Phellodendron Bark) and Zhimu (Anemarrhena Rhizome).