瘰 之病，属三焦肝胆等经风热血燥，或肝肾二经精血亏损，虚火内动。或恚怒忧思，
气逆于肝胆二经。二经常多气少血，故怒伤肝，则木火动而血燥，肾阴虚则水不生木而血
燥。
血燥则筋病，肝主筋也，故累累然结若贯珠。其候多生于耳前后，连及颐颔，下至缺盆，及
胸腋之侧，又谓之马刀。其初起如豆粒，渐如梅李核，或一粒，或三五粒。按之则动而微痛
，不甚热，久之则日以益甚。或颈项强痛，或午后微热，或夜间口干，饮食少思，四肢倦怠
，或坚而不溃，或溃而不合，皆由气血不足，故往往变为痨瘵。《外台秘要》云∶肝肾虚热
则生 。《病机》云∶瘰 不系膏粱丹毒火热之变，总因虚劳气郁所致。止宜以益气养营之
药调而治之，其疮自消，盖不待汗之下之而已也。若不详脉证虚实之异，而概用追蚀攻下及
流气饮、十宣散之属，则必犯经禁病禁，以致血气愈损，必反为败证矣。若脉洪大，以元气
虚败为不治。若面色 白为金克木，亦不治。若眼内赤脉贯瞳人，见几条则几年死。使不
求本而妄用伐肝之剂则误矣，盖伐肝则脾土先伤，脾伤则损五脏之源矣。可不慎哉。
齐氏曰∶瘰 结核初觉时，宜内消之。如经久不除，气血渐衰，肌寒肉冷，或脓汁清稀
，毒瓦斯不出，疮口不含，聚肿不赤，结核无脓，外证不明者，并宜托里。脓未成者，使脓早
成；脓已溃者，使新肉早生。血气虚者，托里补之。阴阳不和者，托里调之。大抵托里之法
，使疮无变坏之证，所以宜用也。
丹溪曰∶瘰 必起于足少阳一经，不守禁忌，延及足阳明经。食味之浓，郁气之久，曰
毒，曰风，曰热，皆此三端。拓引变换，须分虚实，实者易治，虚者可虑。此经主决断，有
相火，且气多血少，妇人见此，若月水不调，寒热变生，稍久转为潮热，自非断欲食淡，神
医不能疗也。
立斋曰∶ 肿脉沉数者，邪气实也，宜泄之。肿痛憎寒发热，或拘急者，邪在表也，
宜
发散。因怒结核，或肿痛，或发热者，宜疏肝行气。肿痛脉浮数者，祛风清热。脉涩者，补
血为主，脉弱者，补气为主。肿硬不溃者，补气血为主。抑郁所致者，解郁结，调气血。溃
后不敛者，属气血俱虚，宜大补。虚劳所致者，补之。因有核而不敛者，腐而补之。脉实而
不敛，或不消者，下之。
又《治法》曰∶若寒热 痛者，此肝火风热而气病也，用小柴胡汤以清肝火，并服加
味四物汤以养肝血。若寒热既止，而核不消散者，此肝经火燥而血病也，用加味逍遥散以清肝
火，六味地黄丸以生肾水。若肿高而稍软，面色萎黄，皮肤壮热，脓已成也，可用针以决之
，及服托里之剂。若经久不愈，或愈后复发，脓水淋漓，肌肉羸瘦者，必纯补之剂，庶可收
敛，否则变成九 。《内经》曰∶陷脉为 ，留连肉腠，即此病也。外用豆豉饼、琥珀膏，
以驱散寒邪，补接阳气；内服补中益气汤、六味丸，以滋肾水，培肝木，健脾土，亦有可愈
者。
又《治法》曰∶大抵此证原属虚损，若不审虚实，而犯经禁病禁，则鲜有不误。常治此
证，先以调经解郁，更以隔蒜灸之，多自消。如不消，即以琥珀膏贴之。俟有脓，即针之
，否则变生他处。设若兼痰兼阴虚等证，只宜加兼证之剂，不可干扰余经。若气血已复而
核不消，却服散坚之剂至月余，不应，气血亦不觉损，方进必效散，或遇仙无比丸，其毒一下
即止二药。更服益气养营汤，以调理之。若疮口不敛，宜用豆豉饼灸之，用琥珀膏贴之。若
气血俱虚，或不慎饮食起居七情者，俱不治。然此证以气血为主，气血壮实者不用追蚀之剂
，彼亦能自腐，但取去之，亦使易于收敛。若气血虚者，不先用补剂，而数用追蚀之药，适
足以败之矣。若发寒热，眼内有赤脉贯瞳人者，不治。
灸瘰 法，取肩尖、肘尖骨缝交接处各一穴，即手阳明经肩 、曲池二穴也，各灸七
壮
，在左灸左，在右灸右，左右俱病者，俱灸之。余常用之甚效，薛氏以曲池云肘 ，似亦
未的也。
又《薛氏经验方》云∶治瘰 已成未成，已溃未溃者，以手仰置肩上，微举起，则肘骨
尖自见，即是灸处。灸以三四十壮为度，更服益气养营汤，灸三次，疮自除。如患三四年不
愈者，辰时灸至申时，三灸即愈，更服补剂。按此法乃单灸曲池，以多为贵也。然但用前法
而已妙矣，尚有未应者，又当以此法治之。又曰∶此治瘰 之秘法。凡男子妇人若困恚怒伤肝，
气血壅遇而不愈者，宜灸此穴，以疏通经络。如取此穴，当以指甲掐两肘两肩四所，患处觉有
酸麻方是其穴。
又法灸瘰 未成脓者，用大蒜切片三钱浓，安患处，用艾壮于蒜上灸之，每三五壮即换
蒜再灸。每日灸十数蒜片，以拔郁毒。如破久不合，更以江西豆豉为末，以唾津和作饼，如
前灸之，以助阳气。内服补药，外贴琥珀膏，或太乙膏，疮口自合。又或疮口已破，核不腐
，则疮口不能敛，或贴琥珀膏不应，须用针头散敷之，以去腐肉。再以如神散敷之，更服益
气养营汤。若气血虚者，先服益气养营汤。待血气稍充，方用针头散，仍服前汤。
一男子患而肿硬，久不消，亦不做脓，服散坚败毒药不应，令灸肩尖、肘尖二穴，更服
益气养营汤，月余而愈。
一妇人久溃发热，月经每过期且少，用逍遥散兼前汤两月余，气血复而疮亦愈。但一口
不收，敷针头散，更灸前穴而痊。常治二三年不愈者，连灸三次，兼用托里药必愈。
一妇人因怒结核肿痛，察其气血俱实，先以必效散下之，更以益气养营汤三十余剂而消
。常治此证，虚者先用益气养营汤，待其气血稍充，乃用必效散，取去其毒，仍进前药，无
不效者。
田氏妇，年逾三十，瘰 已溃不愈，与八珍汤加柴胡、地骨皮、夏枯草、香附、贝母
，五十余剂，形气渐转，更与必效散二服，疮口遂合，惟气血未平，再与前药三十余剂而愈
。后田生执此方不问虚实，概以治人，殊不知散中斑蝥性毒，虽治瘰 ，多服则损元气。若
气血实者，先用此下之，而投补剂或可愈。若虚而用下药，或用追蚀药，瘀血虽去，而疮口
不合，反致难治。（俱薛按）
治瘰 痰核方，凡瘰 初起未甚者，即宜服此，或加夏枯草更佳。
用忍冬花、蒲公英各四五钱，以水二碗同煎汤，朝夕代茶饮之，十余日渐消。然此药但可
治标，若欲除根，必须灸肩 、曲池二穴。
瘰疬这一疾病，属于三焦、肝胆等经络感受风热之邪导致血燥，或者是肝肾两经精血亏损，虚火在内扰动。或者因为愤怒、忧愁思虑，导致气机逆乱于肝胆二经。这两条经脉通常气多而血少，所以发怒会伤肝，导致木火妄动而血液干燥；肾阴不足则不能滋养肝木，也会导致血液干燥。
血液干燥则筋脉发生病变，因为肝主筋，所以淋巴结结块累累相连，像串起来的珠子一样。这种病症多发生在耳朵前后，牵连到面颊和下颌，向下延伸至锁骨上窝（缺盆）以及胸腋侧面，又被称为“马刀”。初起时像豆粒大小，逐渐变成梅子或李子核的大小，可能是一颗，也可能是三五颗。按压时会移动且有轻微疼痛，发热不明显，时间久了就会日益加重。或者出现颈项强直疼痛，或者午后轻微发热，或者夜间口干，饮食减少，四肢倦怠无力，或者肿块坚硬而不溃破，或者溃破后伤口不愈合，这都是由于气血不足造成的，所以往往转变为虚劳痨病。《外台秘要》说：肝肾虚热就会产生瘰疬。《病机》说：瘰疬不是由膏粱厚味、丹毒、火热变化引起的，总因虚劳和气郁所致。只适宜用益气养营的药物调理治疗，疮疡自然消退，不需要等待发汗或攻下疗法。如果不详细辨别脉象和证候的虚实差异，而一概使用追蚀攻下以及流气饮、十宣散之类的药物，就一定会触犯经络禁忌和疾病禁忌，导致气血更加受损，必然反而变成败症。如果脉象洪大，是因为元气虚败，属于不治之症。如果面色㿠白，是金克木的表现，也是不治之症。如果眼内赤脉贯穿瞳孔，出现几条脉络就预示几年后死亡。如果不探求根本原因而妄用伐肝的药物，那就错了，因为伐肝会先损伤脾土，脾受伤就会损害五脏的根本。能不谨慎吗？
齐氏说：瘰疬结核在刚开始感觉时，应该采用内消法。如果经久不除，气血逐渐衰弱，肌肉寒冷，或者脓汁清稀，毒气排不出来，疮口不收敛，肿胀聚集但不发红，结核没有脓液，外部症状不明显的，都适宜用托里法。脓未形成的，使脓早日形成；脓已溃破的，使新肉早日生长。血气虚弱的，用托里法补益。阴阳不和的，用托里法调和。大体上托里法的作用是使疮疡不发生变坏的症状，所以适宜使用。
丹溪说：瘰疬必定起始于足少阳一经，如果不遵守禁忌，会延及足阳明经。饮食味道浓厚，郁结之气日久，称为毒、风、热，都是这三个方面引起。病情扩展变换，必须分辨虚实，实证容易治疗，虚证令人担忧。这条经脉主管决断，有相火，且气多血少，妇女患此病，如果月经不调，寒热交替产生，稍久转为潮热，如果不是断绝性欲、饮食清淡，神医也不能治愈。
立斋说：肿块脉象沉数的，是邪气实，应当泄之。肿痛、憎寒发热，或者拘急的，是邪气在表，应当发散。因为愤怒导致结核，或者肿痛，或者发热的，应当疏肝行气。肿痛脉象浮数的，祛风清热。脉涩的，以补血为主；脉弱的，以补气为主。肿硬不溃破的，以补气血为主。抑郁导致的，解郁结，调气血。溃破后不收敛的，属于气血俱虚，应当大补。虚劳导致的，补益它。因为有结节而不收敛的，先腐去坏死组织再补益。脉实而不收敛，或者不消散的，攻下它。
另外《治法》说：如果有寒热疼痛的，这是肝火风热导致的气病，用小柴胡汤来清肝火，并服用加味四物汤来养肝血。如果寒热已经停止，但结节不消散的，这是肝经火燥导致的血病，用加味逍遥散来清肝火，六味地黄丸来滋生肾水。如果肿块高突且稍软，面色萎黄，皮肤壮热，脓已经形成的，可以用针刺破排脓，并服用托里的药剂。如果经久不愈，或者痊愈后复发，脓水淋漓，肌肉消瘦的，必须用纯补剂的药剂，才可以收敛，否则变成九漏。《内经》说：陷脉为漏，留连于肌肉腠理，就是这种病。外用豆豉饼、琥珀膏，来驱散寒邪，补接阳气；内服补中益气汤、六味地黄丸，来滋肾水，培肝木，健脾土，也有可以痊愈的。
另外《治法》说：大体上这个证候原本属于虚损，如果不审察虚实，而触犯经络禁忌和疾病禁忌，很少有不误人的。经常治疗这个证候，先用调经解郁的方法，再用隔蒜灸法，大多能自行消退。如果不消退，就用琥珀膏贴敷。等到有脓，就针刺它，否则变生他处。如果兼有痰湿、阴虚等证候，只宜加入治疗兼证的药剂，不可干扰其他经络。如果气血已经恢复但结节不消，却服用散坚药剂一个月以上，没有效果，气血也没有觉得受损，才进服必效散，或者遇仙无比丸，这两种药毒性一下即止。再服用益气养营汤，来调理身体。如果疮口不收敛，适宜用豆豉饼灸法，用琥珀膏贴敷。如果气血俱虚，或者不慎饮食起居七情的，都不治。然而这个证候以气血为主，气血壮实的人不用追蚀药剂，它们也能自行腐败，只要取去坏死组织，也容易收敛。如果气血虚弱的人，不先用补剂，而多次使用追蚀药物，恰好足以导致败症。如果发作寒热，眼内有赤脉贯穿瞳孔的，不治。
灸瘰疬的方法，取肩尖、肘尖骨缝交接处各一个穴位，就是手阳明经的肩髃穴、曲池穴两个穴位，各灸七壮，在左边灸左边，在右边灸右边，左右都病的，都灸。我常用这个方法很有效，薛氏认为曲池穴叫肘尖，似乎也不确切。
另外《薛氏经验方》说：治疗瘰疬已成未成，已溃未溃的，用手仰置肩上，微微举起，那么肘骨头尖自然显现，就是灸的地方。灸以三四十壮为限度，再服用益气养营汤，灸三次，疮疡自然消除。如果患病三四年不愈的，辰时灸到申时，三次灸疗即可痊愈，再服用补剂。按这种方法乃是单灸曲池穴，以数量多为贵。然而只用前面的方法就已经很妙了，还有没见效的，又应当用这种方法治疗。又说：这是治疗瘰疬的秘法。凡是男子妇人如果因愤怒伤肝，气血壅滞而不愈的，适宜灸这个穴位，来疏通经络。如果取这个穴位，应当用指甲掐两肘两肩四处，患处感觉到酸麻才是正确的穴位。
又一种方法灸瘰疬未成脓的，用大蒜切片三钱厚，放在患处，用艾壮在蒜上灸它，每三五壮就换蒜再灸。每天灸十几片蒜，来拔除郁毒。如果破溃很久不愈合，更用江西豆豉研末，用唾液调和做成饼，像前面那样灸它，来助长阳气。内服补药，外贴琥珀膏，或者太乙膏，疮口自然愈合。又或者疮口已经破溃，结节不腐败，那么疮口不能收敛，或者贴琥珀膏无效，须用针头散敷贴，来去除腐肉。再用如神散敷贴，再服用益气养营汤。如果气血虚的人，先服用益气养营汤。待血气稍微充盈，才用针头散，仍然服用前面的汤药。
有一个男子患此病，肿块硬，长久不消，也不做脓，服用散坚败毒药没有反应，让他灸肩尖、肘尖两个穴位，再服用益气养营汤，一个多月后痊愈。
有一个妇人长久溃破发热，月经每次过期且量少，用逍遥散兼前面的汤药两个多月，气血恢复而疮疡也好了。但只有一个口不收，敷针头散，再灸前面的穴位而痊愈。经常治疗二三年不愈的，连续灸三次，兼用托里药必定痊愈。
有一个妇人因为愤怒导致结核肿痛，观察她气血都实，先用必效散攻下，再以益气养营汤三十多剂而消散。经常治疗这个证候，虚的先服用益气养营汤，待其气血稍微充盈，才用必效散，取去毒素，仍进前面的药，没有不有效的。
田氏妇，年龄超过三十岁，瘰疬已溃破不愈，给予八珍汤加柴胡、地骨皮、夏枯草、香附、贝母，五十多剂，形体气息逐渐好转，再给必效散两服，疮口于是愈合，只是气血未平，再与前药三十多剂而痊愈。后来田生拿着这个方子不问虚实，一概用来治人，却不知道散剂中的斑蝥性有毒，虽然治瘰疬，多服则损伤元气。如果气血实的，先用此药攻下，然后投予补剂或许可以痊愈。如果虚而用下药，或用追蚀药，瘀血虽去，而疮口不合，反而导致难治。（均为薛己按语）
治疗瘰疬痰核方，凡是瘰疬初起不严重的，就适宜服用此方，或者加夏枯草更好。
用忍冬花、蒲公英各四五钱，用水二碗同煎汤，早晚代茶饮，十余日逐渐消退。然而此药只能治标，若想除根，必须灸肩髃、曲池两个穴位。
Lymphadenitis (Luoli) is a disease belonging to the Sanjiao and Liver-Gallbladder meridians, caused by wind-heat pathogenic factors leading to blood dryness, or by deficiency of essence and blood in the Liver and Kidney meridians with internal stirring of deficient fire. It may also result from anger and sorrowful overthinking, causing qi rebellion in the Liver and Gallbladder meridians. These two meridians typically possess abundant qi but scarce blood; thus, anger injures the Liver, causing Wood-fire to flare up and blood to dry out; Kidney yin deficiency fails to nourish Liver Wood, also resulting in blood dryness.
Blood dryness leads to pathology of the sinews, as the Liver governs the sinews; therefore, lymph nodes cluster together like beads on a string. This condition mostly occurs around the ears, extending to the cheeks and mandible, downward to the supraclavicular fossa (Quepen), and the sides of the chest and axilla, also known as "Madao" (Horse Knife). Initially, it resembles a bean grain, gradually growing to the size of a plum or walnut kernel, appearing as one nodule or three to five nodules. Palpation reveals mobility and slight pain, with minimal heat sensation; over time, it worsens daily. Symptoms may include stiffness and pain in the neck, mild afternoon fever, night-time dry mouth, reduced appetite, limb fatigue, hard nodules that do not ulcerate, or ulcers that fail to heal. All these are due to insufficiency of qi and blood, often transforming into consumptive tuberculosis (Laozai). *Waitai Miyao* states: Deficient heat in the Liver and Kidneys generates lymphadenitis. *Bingji* states: Lymphadenitis is not caused by rich food, dan-du (toxic sores), or fire-heat transformations, but is entirely due to consumptive weakness and qi stagnation. Treatment should solely rely on herbs that tonify qi and nourish the nutritive level (Ying); the sores will resolve spontaneously without requiring diaphoresis or purgation. If the differentiation of pulse and syndrome excess/deficiency is not carefully examined, and agents for cauterization/purging such as Liqi Yin or Shixuan San are indiscriminately used, one will violate meridian and disease contraindications, further damaging qi and blood, inevitably leading to a critical state. A surging pulse indicates exhaustion of primal qi and is incurable. A sallow white complexion indicates Metal overcoming Wood, which is also incurable. Red vessels penetrating the pupil indicate death within the number of years corresponding to the visible vessels. Failing to seek the root cause and recklessly using herbs that suppress the Liver is erroneous, as suppressing the Liver first injures Spleen Earth; injury to the Spleen damages the source of the Five Zang organs. How can one not be cautious?
Qi Shi stated: When lymphadenitis nodules are first perceived, internal resolution should be employed. If persistent, leading to gradual decline of qi and blood, cold muscles and flesh, thin pus, failure of toxic matter to exit, non-healing wounds, swelling without redness, nodules without pus, and unclear external signs, interior-supporting methods (Tuoli) are appropriate. For unformed pus, accelerate formation; for ulcerated sores, promote early granulation. For qi-blood deficiency, support the interior and tonify; for yin-yang disharmony, support the interior and harmonize. Generally, interior-supporting methods prevent deterioration of the sore, hence their suitability.
Danxi stated: Lymphadenitis originates in the Foot-Shaoyang meridian; ignoring taboos allows it to spread to the Foot-Yangming meridian. Rich diet and long-standing qi stagnation generate toxicity, wind, and heat. Progression requires differentiation of excess and deficiency; excess is easier to treat, while deficiency is concerning. This meridian governs decision-making and houses ministerial fire, possessing abundant qi and scarce blood. In women, if accompanied by irregular menstruation and alternating chills and fever progressing to tidal fever, only abstinence and bland diet can allow even a divine physician to cure it.
Lizhai stated: Swelling with a deep, rapid pulse indicates excess pathogenic factors, requiring drainage. Swelling, pain, aversion to cold, fever, or spasms indicate pathogenic factors at the exterior, requiring dispersal. Nodules caused by anger, with swelling, pain, or fever, require soothing the Liver and moving qi. Swelling and pain with a floating, rapid pulse require dispelling wind and clearing heat. A choppy pulse indicates primary blood tonification; a weak pulse indicates primary qi tonification. Hard, non-ulcerated swelling requires tonifying qi and blood. Depression-induced cases require resolving stagnation and regulating qi and blood. Non-healing post-ulceration indicates dual qi-blood deficiency, requiring strong tonification. Consumptive causes require tonification. Nodules preventing healing require removing necrotic tissue followed by tonification. Excess pulse with non-healing or non-resolving nodules requires purgation.
Furthermore, *Zhifa* states: Cases with chills, fever, and pain involve Liver fire and wind-heat affecting qi; use Xiao Chai Hu Tang to clear Liver fire and Jiawei Siwu Tang to nourish Liver blood. If chills and fever cease but nodules persist, this involves Liver meridian fire-dryness affecting blood; use Jiawei Xiaoyao San to clear Liver fire and Liuwei Dihuang Wan to generate Kidney water. High, soft swelling with sallow complexion and hot skin indicates formed pus; puncture with a needle and administer interior-supporting formulas. Chronic non-healing or recurrent cases with dripping pus and emaciation require pure tonics to achieve closure, otherwise evolving into nine types of fistula (Jiulou). *Neijing* states: Depressed meridians lead to fistulas lingering in muscle interstices, describing this disease. Externally apply Fermented Soybean Cake (Douchi Bing) and Amber Ointment (Hupo Gao) to disperse cold evil and restore yang; internally take Buzhong Yiqi Tang and Liuwei Wan to nourish Kidney water, cultivate Liver wood, and strengthen Spleen earth, offering potential for cure.
Furthermore, *Zhifa* states: Generally, this condition belongs to deficiency. Ignoring excess/deficiency differentiation violates contraindications and leads to error. Standard treatment begins with regulating menstruation and resolving stagnation, followed by Garlic-Separated Moxibustion, often resulting in spontaneous resolution. If unresolved, apply Amber Ointment. Once pus forms, puncture to prevent spread. If complicated by phlegm or yin deficiency, add corresponding herbs without disturbing other meridians. If qi and blood recover but nodules persist despite a month of scrofula-resolving herbs without effect and no qi-blood damage, then administer Bixiao San or Yuxian Wubi Wan, stopping after one dose to avoid toxicity. Follow with Yiqi Yangying Tang for regulation. For non-healing ulcers, apply Fermented Soybean Cake moxibustion and Amber Ointment. Cases with dual qi-blood deficiency or negligence in diet/lifestyle/emotions are incurable. However, this disease centers on qi and blood; robust individuals need not use cauterizing agents, as necrosis occurs naturally and removal facilitates healing. Weak individuals failing to use tonics first and repeatedly using cauterizing agents invite disaster. Cases with chills/fever and red vessels penetrating the pupil are incurable.
Moxibustion for Lymphadenitis: Select one point each at the junction of the acromion and olecranon processes, specifically Jianyu (LI15) and Quchi (LI11) of the Hand-Yangming Meridian. Moxa 7 cones per point. Treat left side for left lesions, right for right; bilateral lesions require bilateral treatment. I find this highly effective. Xue’s identification of Quchi as "Elbow Tip" is imprecise.
*Xue Shi Jingyan Fang* states: For formed/unformed or ulcerated/non-ulcerated lymphadenitis, place hand on shoulder, lift slightly to expose the olecranon tip, the moxa site. Moxa 30-40 cones, then take Yiqi Yangying Tang. Three sessions remove the sore. For chronic cases (3-4 years), moxa from Chen hour to Shen hour; three sessions cure, followed by tonics. This method emphasizes single-point Quchi moxa with high cone count. While prior methods are excellent, refractory cases require this. It is a secret method for men and women with Liver injury from anger and qi-blood stagnation, to unblock meridians. Locate points by pressing elbows and shoulders until numbness/aching is felt at the lesion.
Another method for non-purulent lymphadenitis: Apply 3-qian thick garlic slices to the lesion, moxa on top. Replace garlic every 3-5 cones. Moxa dozens of slices daily to extract stagnant toxin. For chronic non-healing ulcers, use Jiangxi Fermented Soybean powder mixed with saliva as a cake for moxa to boost yang. Internally take tonics, externally apply Amber Ointment or Taiyi Gao for closure. If the ulcer opens but the nodule does not necrose, hindering healing, or if Amber Ointment fails, apply Zhentou San to remove necrotic tissue, then Rushen San, followed by Yiqi Yangying Tang. For qi-blood deficiency, start with Yiqi Yangying Tang; once blood/qi improves, use Zhentou San while continuing the decoction.
Case 1: Male with hard, non-resolving, non-purulent swelling unresponsive to scrofula-resolving toxins. Moxa Jianjian and Zhoujian points, plus Yiqi Yangying Tang; cured in one month.
Case 2: Female with chronic ulceration, fever, delayed scanty menses. Used Xiaoyao San combined with previous decoction for two months; qi-blood restored, sore healed. One opening remained open; applied Zhentou San and moxa anterior points; cured. Chronic cases (2-3 years) cured by three consecutive moxa sessions plus interior-supporting herbs.
Case 3: Female with tender/swollen nodules from anger, presenting excess qi-blood. Initially purged with Bixiao San, then resolved with 30+ doses of Yiqi Yangying Tang. General rule: Tonify weak patients first with Yiqi Yangying Tang until qi-blood improves, then purge with Bixiao San to remove toxin, then resume tonics. Always effective.
Case 4: Mrs. Tian, >30 years old, chronic ulcerated lymphadenitis. Treated with Bazhen Tang plus Chaihu, Digupi, Xiakucao, Xiangfu, Beimu for 50+ doses; constitution improved. Given Bixiao San twice; wound closed. Qi-blood still unstable; resumed previous formula for 30+ doses; cured. Later, Mr. Tian used this formula indiscriminately without differentiation. He failed to realize Banmao (Mylabris) in the powder is toxic; excessive use damages primal qi. Excess cases may benefit from initial purgation followed by tonics. Deficient cases treated with purgatives/cauterizers retain stasis but fail to heal, becoming difficult. (All noted by Xue Ji).
Formula for Lymphadenitis Phlegm-Nodules: For early, mild lymphadenitis, take this formula; adding Xiakucao is beneficial.
Use Jin Yin Hua (Lonicerae Japonicae Flos) and Pu Gong Ying (Taraxaci Herba) 4-5 qian each. Decoct in 2 bowls of water. Drink morning and evening as tea. Gradually resolves in ~10 days. This treats symptoms; for root cure, moxa Jianyu and Quchi points.