和营散坚丸（《正宗》）失荣证坚硬如
石，不热不红，渐肿渐大者服。
人参 当归身 白术 白茯神 香附 广橘红 熟地（各二两） 天南星 贝母 柏
子仁 远志 牡丹皮 酸枣仁（各一两） 角沉 芦荟（各八钱） 龙齿（一对， ，如无龙齿，以鹿
角尖二两 ，代之。） 朱砂（六钱，乳细为衣。）
上为末，炼蜜丸桐子大，每服八十丸，食后用合欢树根皮煎汤送下。患者若改往
从新，淡薄甘命，其中有得愈者，十中一二，否则难脱然也。
飞龙阿魏化坚膏（《正宗》）治失荣证及瘿瘤、乳岩、瘰 ，结毒初起，坚硬如
石，皮色不红，日久渐大，或疼或不疼，但未破者，俱用此贴。用蟾酥丸药末一料，加
金头蜈蚣五条，炙黄去头足，研末同入熬就；乾坤一气膏二十四两化开，搅极均，重
汤内顿化，红缎摊贴，半月一换。轻者渐消，重者亦可停止，常贴保后无虞矣。
王肯堂曰∶天柱疽生天柱骨上，极痒入骨，恶心吐逆，肩背拘急。急用隔蒜灸，
痒止为度。灸而有泡者吉；无泡者凶。服发汗剂得汗可治；无汗难治。若溃后神昏
呕哕，恶心血不止者死。（《准绳》）
申斗垣曰∶夭寿疽，其状大而紫黑，生于项背，是三阴、三阳经脉交会之处。故
毒易于内攻，若不早治，致热毒入于渊液，（胆经穴名。）恐伤肝肺，旬日之间必死。初起不
论阴阳寒热，当以隔蒜或豆豉饼灸之。治同痈疽法。（《启玄》）
和营散坚丸（出自《外科正宗》）：适用于失荣证，症状表现为肿块坚硬如石，局部不热不红，逐渐肿胀增大的患者服用。
人参、当归身、白术、白茯神、香附、广橘红、熟地黄（各二两）；天南星、贝母、柏子仁、远志、牡丹皮、酸枣仁（各一两）；角沉、芦荟（各八钱）；龙齿（一对，若没有龙齿，可用鹿角尖二两代替）；朱砂（六钱，研磨极细作为药衣）。
以上药物研为细末，用炼蜜制成梧桐子大小的丸剂，每次服用八十丸，饭后用合欢树根皮煎汤送服。如果患者能改变过往恶习，回归正道，生活清淡，安于命运，其中约有十分之一二的患者可能痊愈，否则很难彻底康复。
飞龙阿魏化坚膏（出自《外科正宗》）：治疗失荣证以及瘿瘤、乳岩、瘰疬，结毒初起时，肿块坚硬如石，皮肤颜色不红，日久逐渐增大，或痛或不痛，但尚未破溃者，均使用此膏药贴敷。取蟾酥丸药末一料，加入金头蜈蚣五条，炙黄后去掉头和足，研成细末一同熬入；将乾坤一气膏二十四两融化开，搅拌至极均匀，隔水加热使其完全熔化，摊涂在红缎上贴敷，每半个月更换一次。病情轻的会逐渐消散，病情重的也可以停止发展，经常贴敷可保证日后无忧。
王肯堂说：天柱疽生于天柱骨上，瘙痒深入骨髓，伴有恶心呕吐，肩背部拘急僵硬。急需使用隔蒜灸法，以瘙痒停止为限度。艾灸后出现水泡者为吉兆；无水泡者为凶兆。服用发汗剂若能出汗则可治；若无汗则难治。如果溃烂后出现神志昏迷、干呕呃逆、恶心且出血不止者，预后不良致死。（出自《医学准绳六要》）
申斗垣说：夭寿疽，其形态大而呈紫黑色，生于项部背部，此处是三阴经和三阳经脉交会的地方。因此毒邪容易向内攻陷，如果不尽早治疗，导致热毒侵入渊液穴（胆经穴位名），恐怕会损伤肝肺，十天之内必然死亡。初起时不论阴阳寒热属性，都应当采用隔蒜灸或豆豉饼灸法。治疗方法同痈疽一般法则。（出自《疮疡经验全书》）
He Ying San Jian Wan (from *Waike Zhengzong* [Standardized Treatise on External Medicine]): Indicated for patients with Shirong syndrome (cancer of the neck characterized by hard, rock-like masses), presenting with masses that are hard as stone, without heat or redness, and gradually swelling and enlarging.
Ren Shen (Ginseng Radix et Rhizoma), Dang Gui Shen (Radix Angelicae Sinensis Root End), Bai Zhu (Atractylodis Macrocephalae Rhizoma), Bai Fu Shen (Poria with Hostwood), Xiang Fu (Cyperus Rhizome), Guang Ju Hong (Citri Reticulatae Pericarpium Rubrum), Shu Di Huang (Rehmanniae Radix Praeparata) (each 2 liang); Tian Nan Xing (Arisaematis Rhizoma), Bei Mu (Fritillariae Bulbus), Bai Zi Ren (Platycladi Semen), Yuan Zhi (Polygalae Radix), Mu Dan Pi (Moutan Cortex), Suan Zao Ren (Ziziphi Spinosae Semen) (each 1 liang); Jiao Chen (Calculus Bovis or similar resinous substance, contextually likely a typo for Jue Ming Zi or specific resin, kept as transliteration here: Jiao Chen), Lu Hui (Aloe) (each 8 qian); Long Chi (Dent Draconis) (one pair; if Long Chi is unavailable, substitute with 2 liang of Lu Jiao Jian [Deer Antler Tip]); Zhu Sha (Cinnabaris) (6 qian, ground finely to be used as coating).
The above herbs are processed into fine powder, mixed with refined honey to form pills the size of paulownia seeds. Take 80 pills per dose, administered after meals with decoction from He Huan Shu Gen Pi (Albiziae Cortex) to wash down. If the patient can abandon past misconduct, return to righteousness, maintain a bland diet, and accept their fate, one or two out of ten may recover; otherwise, complete recovery is difficult.
Fei Long A Wei Hua Jian Gao (from *Waike Zhengzong*): Used to treat Shirong syndrome, Ying Liu (goiter), Ru Yan (breast cancer), Luo Li (scrofula), and early-stage Jie Du (toxic nodules), where the mass is hard as stone, skin color is not red, gradually enlarges over time, and may be painful or painless, provided it has not yet ulcerated. Apply this plaster to the affected area. Take one portion of Chan Su Wan Yao Mo (Toad Venom Pill Powder), add five golden-headed Wugong (Scolopendra), roast until yellow, remove head and feet, grind into powder, and incorporate into the boiling mixture; melt 24 liang of Qian Kun Yi Qi Gao (Universe Qi Plaster), stir thoroughly until uniform, melt completely in a double boiler, spread onto red silk, and apply. Replace every half month. Mild cases will gradually dissipate; severe cases can be stabilized. Regular application ensures future safety.
Wang Kentang stated: Tian Zhu Ju (Abscess at Tian Zhu Bone) arises on the Tian Zhu bone, causing intense itching penetrating to the bone, accompanied by nausea, vomiting, and stiffness/spasm of the shoulders and back. Urgently apply Garlic-partitioned Moxibustion, stopping when the itching ceases. The appearance of blisters after moxibustion is an auspicious sign; absence of blisters is ominous. Administration of diaphoretic agents resulting in sweating indicates treatability; absence of sweating indicates difficulty in treatment. If, after ulceration, the patient presents with coma, dry heaving, retching, persistent nausea, and uncontrolled bleeding, death ensues. (From *Yixue Zhunsheng* [Medical Standard])
Shen Douyuan stated: Yao Shou Ju (Juvenile Death Abscess) presents as large, purple-black lesions arising on the nape and back, which is the intersection point of the Three Yin and Three Yang meridians. Therefore, pathogenic toxins easily attack internally. If not treated early, leading to heat-toxin invading the Yuan Ye acupoint (a point on the Gallbladder Meridian), it may damage the Liver and Lungs, resulting in death within ten days. At the initial stage, regardless of Yin/Yang or Cold/Heat patterns, apply Garlic-partitioned Moxibustion or Fermented Soybean Cake Moxibustion. Treatment follows the general principles for Yong and Ju (sores and carbuncles). (From *Qixuan* [Book of Enlightenment])