（附论）
夫恶核病者。肉中忽有核累累如梅李核。小者如豆粒。皮肉 痛壮热。 索恶寒是也。
与诸
治入
又
无常定处。多恻恻然痛。或时不痛。人不痛者便不忧。不忧则救迟。救迟即杀人。是以宜早
防之。尤忌鱼鸡猪牛马驴等肉。其疾初如粟米。或似麻子在肉里而坚似 。长甚速。初得多
恶寒。须臾即短气。取吴茱萸五合作末。水一升和之。取汁顿服。以滓敷上。服此汁令毒散
止。即不入腹也。入腹则成祸矣。切慎之。
方
五香散（一名五香连翘汤）治肉中或有恶核生。肿破不消。恶肉恶脉。瘰
肿。结气。（出圣惠方）
鸡舌香（各一两） 射香（一分细研） 薰陆香（一两） 射干 紫葛（锉） 川
升麻 独活 桑寄
香（各一两） 上为散
更煎一二沸。温服。
连翘散（出圣惠方）治项上恶核 肿。
连翘 川升麻 独活 木通（锉） 木香 沉香（各一两） 桑寄生 丁香（各半两） 川
大黄（
独活散（出圣惠方）治恶核风结肿毒。四肢烦热拘急。
独活 木香 射干 连翘 甘草（生锉） 桑寄生 川升麻 沉香 川大黄（生用各一
两） 上
之。日
丹参膏（出肘后方）治恶核肿。
白蔹散（出圣惠方）治恶核 肿不消。及痈疽。
白蔹 川大黄 赤石脂 赤芍药 芥草 黄芩 黄连（去须） 吴茱萸（各一两） 上
为末。以
黄 散（出圣惠方）治恶核 肿疼痛。
黄 （一两半锉） 黄芩 芎 黄连（去须） 白芷 赤芍药 当归（各一两） 上
为末。以
贴恶核散
赤小豆 猪牙皂角 硝石 黄柏 木鳖子（各半两） 上为末。鸡子清调。涂气体壮实
者。仍
治恶核肿结不散方（出肘后方）
吴茱萸（末一两） 小蒜（二两） 上捣为汁敷之。日三换。以瘥为度。
治恶核
蜗牛 蟾酥 以针挑破贴之。
治恶核肌黄患肿
以针破。用香油烧竹。滴油在患处。
又方
用火炮姜捣碎如飞盐。刺核破。揩黄水流出亦妙。后用蓖麻子百粒。去壳捣烂。加小七
香丸
治恶核肿不散
用鲜鲫鱼杵敷之。一方用鲤鱼烧灰。调醋敷之。或加天仙子米醋。调匀敷患处。尤佳。
治结核（出本草）
用堇菜干末。和油煎成膏。摩结核上。日三度瘥。
（附论）
所谓恶核病，是指肌肉中突然长出累累如梅李核大小的肿块，小的像豆粒一样。皮肤和肌肉疼痛，伴有高热、严重恶寒的症状。
这种病症没有固定的位置，大多感到隐隐作痛，有时也不痛。如果不痛，人们就不会担忧；不担忧就会延误救治；延误救治就会导致死亡。因此应当尽早预防。尤其忌讳食用鱼、鸡、猪、牛、马、驴等肉类。这种疾病初起时像粟米大小，或者像肉里的麻子一样坚硬，生长速度非常快。初期多伴有恶寒，片刻之后就会出现气短。取吴茱萸五合研成末，用水一升调和，取汁液一次性服下，并将药渣敷在患处。服用此汁液可使毒气消散停止扩散，这样毒素就不会进入腹内。如果进入腹内就会造成祸患。务必谨慎。
方剂：
五香散（又名五香连翘汤），治疗肌肉中生出恶核，肿胀破溃后不消退，伴有坏死的肌肉和异常的脉络，瘰疬肿结，气机郁结。（出自《圣惠方》）
鸡舌香（各一两）、麝香（一分，细研）、薰陆香（乳香，一两）、射干、紫葛（锉碎）、川升麻、独活、桑寄生、沉香（各一两）。以上药材研为散剂，再煎煮一二沸，温服。
连翘散（出自《圣惠方》），治疗颈部恶核肿痛。
连翘、川升麻、独活、木通（锉碎）、木香、沉香（各一两）、桑寄生、丁香（各半两）、川大黄（未注明剂量，依上下文推测可能为一两或适量，此处保留原文结构，通常此类方剂剂量相近，但严格按原文“川\n大黄”后无数字，结合前文及常规，若缺省常默认为一两或参照同类，但此处仅翻译原文存在的实体，故列出药材名即可，剂量缺失则不译剂量）。注：原文此处断句混乱，“川\n大黄”后似缺字，但根据后续“独活散”有明确剂量，此处暂按原文列出药材。
独活散（出自《圣惠方》），治疗恶核风结肿毒，四肢烦热拘急。
独活、木香、射干、连翘、甘草（生锉）、桑寄生、川升麻、沉香、川大黄（生用，各一两）。以上药材研为散剂，日服...（原文残缺，译为“每日...”）。
白蔹散（出自《圣惠方》），治疗恶核肿痛不消退，以及痈疽。
白蔹、川大黄、赤石脂、赤芍药、芥草、黄芩、黄连（去须）、吴茱萸（各一两）。以上药材研为末，以...（原文残缺，译为“用...”）。
黄...散（出自《圣惠方》），治疗恶核肿痛疼痛。（注：原文“黄 ”后缺字，通常为黄芪或黄芩等，此处依原文留空或缺损处理，提取实体时若无法确定则不强行补全，但根据下文有黄芩黄连，且名为“黄x散”，常见为黄芪或黄柏等，此处仅翻译可见部分）。
黄芪（一两半，锉碎）、黄芩、川芎、黄连（去须）、白芷、赤芍药、当归（各一两）。以上药材研为末，以...（原文残缺）。
贴恶核散
赤小豆、猪牙皂角、硝石、黄柏、木鳖子（各半两）。以上药材研为末，用鸡蛋清调和。涂抹于体质壮实者患处，仍...（原文残缺）。
治恶核肿结不散方（出自《肘后方》）
吴茱萸（末一两）、小蒜（二两）。以上捣烂取汁敷之，每日更换三次，以痊愈为度。
又方
用火炮姜捣碎如飞盐状。刺破恶核，揩去流出的黄水也很有效。之后用蓖麻子一百粒，去壳捣烂，加小七香丸...（原文残缺）。
(Attached Discussion)
The disease known as "Ehe" (Malignant Nodule) refers to the sudden appearance of nodules within the muscle tissue, resembling plum or apricot pits in size, with smaller ones being like bean grains. The skin and flesh are painful, accompanied by high fever and severe aversion to cold.
This condition has no fixed location and is mostly characterized by a lingering pain, though sometimes it may be painless. If there is no pain, people will not worry; if they do not worry, treatment will be delayed; delayed treatment leads to death. Therefore, early prevention is essential. One should particularly avoid consuming meats such as fish, chicken, pig, cow, horse, and donkey. Initially, the disease appears like millet grains or like hemp seeds embedded firmly in the flesh, growing very rapidly. Early stages often involve aversion to cold, followed shortly by shortness of breath. Take 5 he of Evodiae Fructus (Wuzhuyu, 吴茱萸), grind it into powder, mix with 1 sheng of water, extract the juice, and take it all at once. Apply the dregs to the affected area. Taking this juice helps dissipate the toxicity and prevents it from spreading; thus, it does not enter the abdomen. If it enters the abdomen, disaster ensues. Be extremely cautious.
Formulas:
Wuxiang San (Five-Aromatic Powder) (also known as Wuxiang Lianqiao Tang / Cinnamon Twig and Forsythia Decoction), treats malignant nodules arising in the muscle, where swelling breaks but does not resolve, accompanied by necrotic flesh and abnormal vessels, scrofula-like swellings, and qi stagnation. (From *Shenghui Fang*)
Jiti Xiang (Clove, 1 liang each), Shexiang (Moschus/Musk, 1 fen, finely ground), Xunlu Xiang (Olibanum/Frankincense, 1 liang), Shegan (Belamcanda Rhizome), Zige (Polygoni Multiflori Caulis/Caulis Polygoni Multiflori, chopped), Chuan Shengma (Cimicifugae Rhizoma, 1 liang each), Duhuo (Angelicae Pubescentis Radix), Sangjisheng (Taxilli Herba), Chenxiang (Aquilariae Lignum Resinatum/Agarwood, 1 liang each). Grind the above into a powder, decoct for one or two boils, and take warm.
Lianqiao San (Forsythia Powder) (From *Shenghui Fang*), treats malignant nodules and swelling on the neck.
Lianqiao (Forsythiae Fructus), Chuan Shengma (Cimicifugae Rhizoma), Duhuo (Angelicae Pubescentis Radix), Mutong (Akebiae Caulis/Caulis Akebiae, chopped), Muxiang (Aucklandiae Radix), Chenxiang (Aquilariae Lignum Resinatum/Agarwood, 1 liang each), Sangjisheng (Taxilli Herba), Dingxiang (Caryophylli Flos/Clove, half liang each), Chuan Dahuang (Rhei Radix et Rhizoma/Rhubarb Root).
Duhuo San (Angelicae Pubescentis Powder) (From *Shenghui Fang*), treats malignant nodules caused by wind accumulation and toxic swelling, with vexing heat and stiffness in the four limbs.
Duhuo (Angelicae Pubescentis Radix), Muxiang (Aucklandiae Radix), Shegan (Belamcanda Rhizome), Lianqiao (Forsythiae Fructus), Gancao (Glycyrrhizae Radix et Rhizoma/Raw and chopped), Sangjisheng (Taxilli Herba), Chuan Shengma (Cimicifugae Rhizoma), Chenxiang (Aquilariae Lignum Resinatum/Agarwood), Chuan Dahuang (Rhei Radix et Rhizoma/Raw, 1 liang each). Grind the above into [powder], take daily... [text incomplete].
Danshen Gao (Salvia Miltiorrhiza Ointment) (From *Zhouhou Fang*), treats malignant nodules and swelling.
Bailian San (Ampelopsis Radix Powder) (From *Shenghui Fang*), treats persistent malignant nodule swelling and carbuncles/furuncles.
Bailian (Ampelopsis Radix), Chuan Dahuang (Rhei Radix et Rhizoma/Rhubarb Root), Chishizhi (Halloysit Rubra/Halloysite Red), Chishaoyao (Paeoniae Radix Rubra/Red Peony Root), Jiecao [likely Jiexue Cao or similar, text says Jiecao], Huangqin (Scutellariae Radix/Baical Skullcap Root), Huanglian (Coptidis Rhizoma/Coptis Rhizome, remove stamens), Wuzhuyu (Evodiae Fructus/Evodia Fruit, 1 liang each). Grind the above into powder, use [to prepare]... [text incomplete].
Huang... San (Yellow... Powder) (From *Shenghui Fang*), treats painful malignant nodule swelling.
[Huangqi? Huangbo?] (1.5 liang, chopped), Huangqin (Scutellariae Radix/Baical Skullcap Root), Xiong [Chuanxiong?], Huanglian (Coptidis Rhizoma/Coptis Rhizome, remove stamens), Baizhi (Angelicae Dahuricae Radix/Dahurian Angelica Root), Chishaoyao (Paeoniae Radix Rubra/Red Peony Root), Danggui (Angelicae Sinensis Radix/Sweet Angelica Root, 1 liang each). Grind the above into powder, use [to prepare]... [text incomplete].
Tie Ehe San (Paste for Malignant Nodules Powder)
Xiaohongdou (Phaseoli Semen Adzuki/Adzuki Bean Seed), Zhuya Zaojiao (Gleditsiae Sinensis Spina/Gleditsia Sinensis Thorn), Xiaoshi (Natrii Sulfas/Niter), Huangbai (Phellodendri Cortex/Phellodendron Bark), Mubiezi (Strychni Semen/Strychnos Seed, half liang each). Grind the above into powder, blend with egg white. Apply to those with strong constitutions... [text incomplete].
Formula for Treating Persistent Malignant Nodule Swelling (From *Zhouhou Fang*)
Wuzhuyu (Evodiae Fructus/Evodia Fruit, powdered, 1 liang), Xiao Suan (Allium Macrostemon/Small Garlic, 2 liang). Pound and crush to extract juice, apply to the area. Change three times a day, until healed.
Treating Malignant Nodules
Woniu (Helix Aspersa Snail), Chansu (Bufonis Venenum/Toad Venom). Puncture the nodule with a needle and apply the paste.
Treating Malignant Nodules with Yellow Muscle Swelling
Puncture with a needle. Burn bamboo in sesame oil, and drip the oil onto the affected area.
Another Formula
Roast ginger over fire, pound into powder like flying salt. Pierce the nodule, wipe away the yellow fluid; this is also effective. Afterwards, use 100 Castor Seeds (Ricini Semen/Castor Bean Seed), remove shells, pound into a paste, add Xiao Qixiang Wan [Seven-Aromatic Pill]... [text incomplete].
Treating Persistent Malignant Nodule Swelling
Apply pounded fresh crucian carp. Another method uses burnt carp ash mixed with vinegar for application. Or add Tianxianzi (Daturae Semen/Datura Seed) and rice vinegar, mix well, and apply to the affected area, which is especially good.
Treating Scrofula/Tubercles (From *Bencao*)
Use dried powder of Jincai (Viola Herb/Violet Herb), mix with oil, boil into an ointment, and massage onto the tubercles. Three times a day until healed.