（附论）
石瘿、泥瘿、劳瘿、忧瘿、气瘿。是为五瘿。石与泥。则因山水饮食而得之。忧、劳、
气。
而不
名气瘿。五瘿皆不可妄决。决破则脓血崩溃。多致夭枉。宜服以下诸方。
方
五瘿丸
菖蒲 海蛤 白蔹 续断 海藻 松萝 官桂心 蜀椒（去目及闭口者） 倒挂草 半
夏（各
大。日服三
破结散
治五瘿等症。
海藻（洗去咸味） 龙胆草 海蛤 通草 昆布（洗去咸味） 矾石（枯） 松萝（各
三分） 麦曲
猪肉鸡鱼豆辛生菜
海藻散
治五瘿。
海藻（洗去咸味） 海蛤（各三两） 昆布（洗去咸味） 半夏（汤洗七次去滑） 细
辛土瓜根
匕。酒调服。日再。
不得作劳用力。
昆布（洗去咸味焙三两） 白蔹 木通（锉） 海蛤（研） 松萝（各二两） 桂（去
粗皮） 海藻（
禁生冷、醋滑
玉壶散
治三种瘿。
海藻（去咸味焙） 海带（去咸味焙） 昆布（去咸味焙） 雷丸（各一两） 青盐 广
术（各五钱）
不断。如蜜和
又方
小麦面（一斤） 海藻（一斗洗去咸焙） 时生矾石（十两） 上以三年米醋。浸小麦
面。曝干。各捣为散。合和服。一方每日可用四五服。含津乃咽之。禁食姜、五辛、猪肉、
鱼、生菜。并忌吹打及诵读耳语等声。
又方
取鹿靥以佳酒浸令汁出。炙干。内酒中。更炙令香。含咽汁。味尽更易。尽十具愈。
治五瘿
上以昆布一两。并切如指大。酢渍。含咽汁愈。
（附论）
石瘿、泥瘿、劳瘿、忧瘿、气瘿，这被称为“五瘿”。石瘿和泥瘿，是由于饮用山水或饮食不当而引发的。忧瘿、劳瘿、气瘿，则不称为“气瘿”（注：原文此处逻辑似有脱漏或笔误，通常指因情志、劳累、气滞所致，但依原文直译）。这五种瘿病都不可随意切开决破。如果切破，会导致脓血崩溃，大多导致早夭。适宜服用以下各方。
方剂：五瘿丸
药材：菖蒲、海蛤、白蔹、续断、海藻、松萝、官桂心、蜀椒（去除目及闭口者）、倒挂草、半夏（各等分）。
用法：制成丸药，如梧桐子大。每日服用三次，用酒送服。
功效：破结散瘀。
主治：治疗五瘿等症状。
方剂：海藻散
药材：海藻（洗去咸味）、龙胆草、海蛤、通草、昆布（洗去咸味）、矾石（枯矾）、松萝（各三分）、麦曲。
用法：研为散剂，每次取一方寸匕，用酒调服，每日两次。
禁忌：不得劳作用力。禁食生冷、醋及滑腻食物。
方剂：玉壶散
药材：海藻（洗去咸味焙干）、海带（洗去咸味焙干）、昆布（洗去咸味焙干）、雷丸（各一两）、青盐、广术（各五钱）。
用法：将药物研细，如蜂蜜般调和成丸，含化咽下，使药效不断持续。
又一方
药材：小麦面（一斤）、海藻（一斗，洗去咸味后焙干）、时生矾石（十两）。
用法：用三年的米醋浸泡小麦面，晒干，分别捣碎为散剂，混合均匀服用。另一说法是每日可用四五次，含津液后咽下。
禁忌：禁食姜、五辛、猪肉、鱼、生菜。并忌吹打乐器及诵读、耳语等声音。
又一方
用法：取鹿靥（鹿喉部肉瘤），用优质酒浸泡使其汁液流出，炙烤至干，再放入酒中，再次炙烤至香，含在口中咽下汁液。味道尽后再更换新的。用完十个即可痊愈。
(Attached Discussion)
Shi Ying (Stone Goiter), Ni Ying (Mud Goiter), Lao Ying (Labor Goiter), You Ying (Worry Goiter), and Qi Ying (Qi Goiter). These are collectively known as the "Five Yings" (Five types of goiter). Shi Ying and Ni Ying arise from drinking mountain water or improper diet. You Ying, Lao Ying, and Qi Ying... [Note: The original text contains a logical inconsistency or omission here regarding the naming convention, literally stating they do not name Qi Ying, but contextually refers to etiology]. All five types of Ying should not be arbitrarily incised. Incision leads to the collapse of pus and blood, often resulting in premature death. It is appropriate to take the following prescriptions.
Prescription: Wu Ying Wan (Five Ying Pill)
Herbs: Chang Pu (Acori Tatarinowii Rhizoma), Hai Ge (Concha Arcae), Bai Lian (Paeoniae Radix Rubra), Xu Duan (Dipsaci Radix), Zao Hai (Sargassum Herba), Song Luo (Usnea Diffusa), Guan Gui Xin (Cinnamomi Cortex), Shu Jiao (Zanthoxyli Pericarpium, remove seeds and closed ones), Dao Gua Cao (Hedyotis diffusa), Ban Xia (Pinelliae Rhizoma). Each ingredient is used in equal amounts.
Usage: Form into pills the size of tung tree seeds. Take three times daily with wine.
Action: Break stagnation and dissipate masses.
Indication: Treats symptoms of the Five Yings.
Prescription: Zao Hai San (Seaweed Powder)
Herbs: Zao Hai (Sargassum Herba, washed to remove saltiness), Long Dan Cao (Gentianae Radix), Hai Ge (Concha Arcae), Tong Cao (Tetrapanacis Medulla), Kun Bu (Laminariae Thallus, washed to remove saltiness), Fan Shi (Alumen, calcined), Song Luo (Usnea Diffusa), Mai Qu (Saccharomyces). Each ingredient is used in 3 fen.
Usage: Grind into powder. Take one fang cun bi (approx. 2-3 grams) per dose, mixed with wine. Take twice daily.
Contraindications: Avoid physical labor and exertion. Avoid cold/raw foods, vinegar, and slippery/greasy foods.
Prescription: Yu Hu San (Jade Pot Powder)
Herbs: Zao Hai (Sargassum Herba, washed to remove saltiness and roasted), Hai Dai (Laminariae Thallus, washed to remove saltiness and roasted), Kun Bu (Laminariae Thallus, washed to remove saltiness and roasted), Lei Wan (Ovum Ascaris), each 1 liang; Qing Yan (Halitum), Guang Zhu (Curcumae Radix), each 5 qian.
Usage: Grind finely, mix with honey to form pills. Hold in mouth and swallow slowly to ensure continuous effect.
Another Prescription
Ingredients: Xiao Mai Mian (Triticum aestivum flour, 1 jin), Zao Hai (Sargassum Herba, 1 dou, washed to remove saltiness and roasted), Shi Sheng Fan Shi (Fresh Alumen, 10 liang).
Usage: Soak the wheat flour in rice vinegar aged for three years, dry it, grind each separately into powder, mix well, and take. Another method suggests taking 4-5 doses daily, holding saliva and swallowing.
Contraindications: Avoid ginger, the "five pungents" (wu xin), pork, fish, and raw vegetables. Also avoid sounds from blowing/playing instruments, reading aloud, or whispering.
Another Prescription
Usage: Take Lu Ye (Deer throat mass/saccus laryngis), soak in fine wine until juices exude, roast until dry, place back in wine, roast again until fragrant. Hold in mouth and swallow the juice. Replace when flavor is exhausted. After using ten pieces, the condition heals.
Treatment for Five Yings
Usage: Take 1 liang of Kun Bu (Laminariae Thallus), cut into finger-sized strips, soak in vinegar, hold in mouth and swallow the juice until healed.