《寒热》篇。帝曰∶寒热瘰 在于颈腋者，皆何气使然？岐伯曰∶此皆鼠 寒热
之毒瓦斯也，留于脉而不去者也。鼠 之本，
皆在于脏，其末上出于颈腋之间，其浮于脉中，而未内着于肌肉，而外为脓血者，易
去也。帝曰∶去之奈何？岐伯曰∶请从其本，引其末，可使衰去而绝其寒热，按其
道以予之，徐往徐来以去之，其小如麦者，一刺知，三刺而已。帝曰∶决其死生奈何？
岐伯曰∶反其目视之，其中有赤脉，上下贯瞳子，见一脉，一岁死；见一脉半，一
岁半死，见二脉，二岁死；见二脉半，二岁半死；见三脉，三岁死；见赤脉不下贯瞳子，可治也。
\r瘰 \p04-a41a97.bmp\r
《外台秘要》曰∶肝肾虚热，则生瘰 。
《病机》云∶瘰 不系膏粱丹毒火热之变，总因虚劳气郁所致。止宜以益气养荣
之药，调而治之，其疮自消，不待汗之下之而已也。
朱丹溪曰∶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，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。
又曰∶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。（薛氏以曲池云附 ，似未的也。
薛立斋曰∶凡男子妇人，若因恚怒伤肝，气血壅遏而不愈者，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。此治瘰 之秘法也。
戴复庵曰∶瘰 之病，皆气血壅结，根在脏腑，多结于颈项之间，累累大小无定，
发作寒热，脓血溃烂，此没而彼起。
王肯堂曰∶单窠 者，生一个也。发于颈项最难治，或发于囟骨，亦难治。用
毒药疗之，勿令浸渍日久。（《准绳》）
又曰∶莲子 ，一胞裹十数枚，生于项之左右，以手触则能转动，尚可用药治
疗；如坚硬挨不动者，乃不可生，憎寒发热躁渴，凡遇此证，至难治，虽神圣亦无如之何也已。
又曰重台 ，生于颈项，或左或右，初则单窠结在上，或在下，重叠见之，是名
重台 。此证药不可疗，不可针灸。若是毒行其肿痛，发渴生痰，百死一生，害人
极速。初觉有之，急用小犀角丸、粉金散治之。
又曰∶燕窠 ，形似燕窠不可治。
陈远公曰∶有生痰块于项，坚硬如石，久则变成瘰 ，流脓流血，一块未消，一
块复长，未几又溃，或耳下，或缺盆，或肩上胁下，有串走之状，故名鼠疮，又名
串疮，如鼠之穿也。人谓食鼠窃余以成此证，而不尽然也。盖此证多起于痰，痰块
之生，多起于郁，未有不郁而生痰，无痰而成瘰 者也。故治法必以开郁为主。然
郁久气血必耗，况流脓血则气血更亏，消
痰而不解郁，解郁而不化痰，皆虚其虚也。消串丹∶白芍一两，白术一两，柴胡二钱，
蒲公英三钱，茯苓五钱，陈皮一钱，附子一片，甘草一钱，天花粉三钱，紫贝天葵
五钱。水煎服，八剂痰块渐消，又十剂尽化，又一月全愈。愈后服六君子汤为善后
计，不再发也。此方妙在蒲英、天葵为消串神品，然非佐以柴、芍，则肝木不平，非
助以苓、术，则脾胃土不健，又何能攻痰破块哉！惟其有攻有补，又得附子之力引
各味直捣中坚，所以能除夙痰于旦夕耳。（《冰鉴》）
又曰∶有久生瘰 ，颈间尽烂，且及于胸膈，无非痰块，以至身体发热发寒，肌
肉消瘦，不思饮食，自汗盗汗，惊悸恍惚。此证原难医治，然治得法，亦在可救也。夫
此证初起，宜解郁为先，佐之补虚，以消其毒；倘执寻常治法，以祛痰败毒为事，鲜
不速之亡矣。用转败丹∶人参二两，柴胡二钱，白芍三钱，金银花三两，当归二两，
半夏五钱，白术一两，生甘草三钱。水煎服，四剂，痰块在胸者尽消，又四剂，颈
上溃烂亦愈；将方减半，再服十剂，疮口渐平，不再发也。此方补多于消，而开郁
寓于中，化痰存于内，从未有知此治法，但一味攻毒，所以愈坏也。杀运无穷，神方
难信，人见此方，无不讪笑者，谁知乃祛病之仙丹，夺命之异药哉！余不胜掩卷叹息也。
陈实功曰∶夫瘰 者，有风毒、热毒、气毒之异；瘰 、痰 、筋 之殊，当察
而治之。风毒者，乃外受风寒，搏于经络，先寒后热，结核浮肿，治当散其风，除其
湿；热毒者，乃天时亢热，暑中三阳，或内食膏粱浓味，酿结而成，色红微热，结
核坚硬，治当清其脾，泻其热；气毒者，乃感冒四时杀厉之气而成，其患耳项胸腋，骤
成肿块，令人寒热头眩，项强作痛，治当调其血，和其气；瘰 者，累累如贯珠，连
接三五枚，其患先小后大，不作寒热，初
不觉疼，日久渐痛，坚硬如棋子，大小如梅李，绕颈延腋，得之于误食虫蚁鼠残之
物，又或汗液宿水陈茶，混入而餐，乃食毒郁结之久病也，最难消散，治当散其坚，
和其血；痰 者，初起如梅如李，生乃遍身，久则微红，后必溃破，易于收敛，此
乃饮食冷热不调，饥饱喜怒不常，多致脾气不能传运，遂成痰核，治当豁其痰，行
其气；筋 者，生于项侧筋间，形如棋子，坚硬大小不一，或陷或突，久则虚羸，多生寒热，
劳怒则甚，此乃忧愁思虑，暴怒伤肝，故令筋缩，结蓄成核，治当清其肝，解其郁。（《正宗》）
又曰∶如寡妇尼僧，鳏夫庶外家，志不得发，思不得遂，积想在心，过伤精力，此
劳中所得者，最难调治。有此先养心血，次开郁结，益肾安神，疏肝快膈，如归脾汤、
益气养荣汤，俱加香附、青皮、山栀、贝母、木香之类是也。
又曰∶男子不宜太阳青筋，潮热咳嗽，自汗盗汗；女人忌眼内红丝，经闭骨蒸，烦
热后必变为痨瘵。忌用巴霜、牵牛、斑蝥、大黄追蚀等药，往往克伐太过，致其危亡
者多矣。切宜戒之慎之。
又曰∶蛇蟠 ，绕项起核者是。
又曰∶耳项胸腋，骤成肿核，色红微热，寒热头痛，此乃风寒暑热之暴病也。此
证易于消散，宜用荆防败毒散加贝母、夏枯草，不应，再加软坚开郁之品。
又曰∶瓜藤 ，自颈项延及胸腋者是。
冯鲁瞻曰∶凡颈项眉颊，结核久凝，皆为气血太虚，切勿攻克。（《锦囊》）
又曰∶瘰 者，先贤名曰九漏，是由其人阴虚火盛，冲击关津管束之处，而又
过食 炙，风痰热毒，相搏而结成顽核，郁滞不散，久则内溃而为瘰 。治宜养阴和
肝，理脾舒郁，化痰清利，切勿徒事克伐，以损真元。若夫婴儿产下，因胎毒而即患
者，此禀母之肝胆二经火郁气滞，亦宜平肝滋肾化毒为主。盖瘰 之源，虽由于肝，
实根于肾；夫肝火之有余，乃肾阴之不足也。故其本在脏，其末上出颈腋之间，若
浮于脉中，未着于肌肉而为脓血者，易去也。若反其目而视之，赤脉贯于瞳人，如
见一脉，即一岁死；见一脉半，即岁半死；二脉三脉亦如之，若赤脉不见，庶可治也。
其始必发一枚，次必连生大小十数，缠绕项下，先肿作脓，穿破难干，故名漏项。若
在胸旁，或两胁者，此名马刀。至若其口深黑，内溃蚀烂，穿透咽喉，饮食不进，目
肿舌出，耳出黄脓者，不治。更有无故寒热，身体颈项结核如 ，及心胸腹背皆有
坚核而不痛者，此名为结风气肿也。审其是风是火，或虚或实治之。
又曰∶瘰 者，手足少阳蕴热结滞而致也。二经多气少血，所以结核坚而不溃，
延蔓串通。若阳明经则气血多而溃矣，即俗名烂 。惟少阳起者，当从本治，俗医
不知，概以毒药攻之，如负薪救火，为害更甚，元气弱者，反成痨瘵矣。
又曰∶夏枯草能散结气，而有补养血脉之功，能退寒热，虚者尽可用之；若实
者佐以行散之药，外施艾灸，亦渐取效。
又曰∶凡结核或在项，或在臂，或在身，或在耳后，或在顶门，如肿毒不红不
痛，不作脓者，皆是痰注，气滞不散，不外乎曰痰、曰气、曰热三者，久而不已，则
成瘰 。宜早治之。大抵因七情之气郁结，或因饮食之时，触犯恼怒，遂成此疾，妇
人女子患此最多，治宜开郁顺气，利膈化痰，清肺。然未有不由阴虚火旺而有痨瘵
根脚者，更宜兼乎补阴，乃其治也。
周文采曰∶ 生于头项上交接，名蛇蟠 。宜早治之。（《启玄》）
李东垣曰∶瘰 结核，寒热发渴，经久不消者，其人面色痿黄，潮热上蒸，已成脓也。（《十书》）
申斗垣曰∶九漏 名曰野狼漏，其根在肝，因所欲不遂，蓄怒而得。曰鼠漏，其
根在胃，因食鼠飧之物，胃受毒而播于肝。
曰脓漏，其根在胆，因志不遂而得之。曰蝼蛄漏，其根在大肠，因食蝼蛄及蝎虎所
伤之物，误食之而得。曰蜂漏，其根在脾，因食蜜物及蜂毒得之。曰蜈蚣漏，其根在
肺，因食蜈蚣所游之物而得之。曰蛴螬漏，其根在心，因喜之太过而得之。曰瘰 漏，
其根在肾，因食血发及诸肾得之。曰转脉漏，其根在小肠，因惊恐失枕而得之。故
瘰古人称为九漏，此之谓也。
窦汉卿曰∶独形者为结核；续链接者为瘰 。此证原非膏粱之变，乃虚劳气郁
所致。宜服益气养荣之剂，忌用金石暴悍之法，徒伤气血。
又曰∶溃后宜十全大补汤加贝母、香附、远志。
汪省之曰∶瘰 初起者，用四棱铁环按定，针一孔，以纸捻 之，勿令合口，以
绝其源，功效甚速。（《理例》）
胡公弼曰∶夫瘰 者，乃颈项坚结之核也。或在耳前，或在耳后，或在耳下，皆
属手足少阳经多气少血之患也。初如豆粒相似，不觉疼痛，及后长如桃榴梅李之状，
方见疼痛，头眩昏闷，四肢作痛作胀，寒热往来如疟。书云∶有痰核，有气瘰，有
风，有筋 ，有血 ，有串颈鼠尾 。头未破时，如弹丸相似，或一枚，或三五枚，
或多不计其数，累累连连，贯串沿漫，血胀皮薄，而自破出脓者有之；浸淫溃烂者
有之；或医家以刀针烂药刺破者亦有之；年深日久，竟不能痊者，亦有之。殊不知此
证原是七情伤于内，血气淫于外，气多血少，痰多壅盛，致伤于肝。肝主筋，故此
毒结于胸膈上焦之处，结于耳前及颐颏至缺盆者，名曰瘰 ，此手少阳三焦经证也。
凡看瘰 ，不宜过心，过心者必死。只问推之动与不动，不问大小枚数，破与不破，
须察推之动者易治，不动者难医；辨明五善七恶，不可一例混治。大法宜用火针，针
破其核，将药线插入六七次，看疮大小，大则多换，小则少换；量核浅深，务溃其根，
或烂断血筋。血流不止者，速以百草霜掺之；病患若血去多而晕，治当补血，外用
敷药，敷 四围，其核自脱，脱后换用生肌药，长肉收功。（《青囊》）
刘河间曰∶结核者，乃火气热甚，则郁结坚硬如果中核也。不须溃发，但热气散则自消。
朱丹溪曰∶结核或在项、在颈、在臂、在身，皮里膜外，不红不肿，不硬不痛，多
是痰注作核不散，当问平日好食何物，吐下后，用药散核。
又曰∶结核在颈项，用白僵蚕、炒大黄酒浸、青黛、胆南星各等分，蜜丸噙化。
核在下颏，用二陈汤加酒炒大黄、柴胡、桔梗、连翘。核在臂，二陈汤加连翘、防风、
川芎、酒芩、苍术、皂角针、白僵蚕、麝香，行太阴厥阴之积痰，使结核自消甚捷。
风热结核，用大连翘饮加白僵蚕、牛蒡子。如风核以去风消核散常服消之。
又曰∶凡一切风核疼痛，用大荞麦根、葫芦根磨末，半泔半醋暖涂之。
蒋示吉曰∶如瘰 证，男子骨蒸，女人经闭，已成坏证，若专攻其 ，是速其
毙也。理宜调理脾胃，补养气血，使根本既固，然后再理其疮，庶有可生之机也。（《说约》）
又曰∶瘰 之作，七情六欲，痰饮郁热，积久而成，实非一朝一夕之故也。故
当以益气养荣为主，而佐以治瘰之品。盖恐荣卫一衰，变证蜂起，虽欲治 ，而不可得矣。
又曰∶凡遇瘰 等证，须察虚实，不得尽剂攻伐，损伤元气，致成坏病者，十
有八九。此非患者之命，自出医人之手，不得不留心斟酌。
《圣济总录》曰∶瘰 在耳后颐项缺盆，乃手少阳三焦经主之。
《内经》曰∶陷脉为 ，留连肉腠，即此病也。
《病机》云∶瘰 不详脉证，经络受病
之异者，下之则犯经禁、病禁。虚虚之祸，如指诸掌。
刘河间曰∶瘰 生于耳后及项间，一名九子包，又名者鼠疮。其突起者，瘰
也，多起厥阴少阳之二经，以其多气少血故也。由嗜欲太甚，饮酒太过，食味太浓，
思想太穷，所愿不遂，意淫于外，内蕴七情，中伤六欲，或传染，或误治，种类不
同，为害则一。男子患此，潮热顿生；女子患此，月经不调，渐渐不治，神仙难救。
神方∶于初起或二三核时，耳后项下有连珠，就于初起大核之上，着艾炷灸之，每
《素问·寒热》篇记载：黄帝问道：颈部和腋下出现的寒热瘰疬，是由什么气机引起的？岐伯回答说：这都是鼠瘰寒热的毒气，停留在经脉中而不消散。鼠瘰的根本在于内脏，其表现向上反映在颈部和腋下之间；如果毒气浮游在脉中，尚未深入肌肉内部，也没有向外化为脓血，这种病情容易治愈。黄帝问：如何去除它？岐伯说：请从根本入手，引导末梢的邪气，可以使病势衰退并断绝寒热；沿着经络循行路线施治，进针缓慢、出针缓慢以祛除病邪。如果肿块小如麦粒，针刺一次即可见效，针刺三次即可痊愈。黄帝问：如何判断生死预后？岐伯说：观察患者眼睛，如果瞳孔上下有赤色脉络贯穿，见到一条赤脉，预示一年死；见到一条半赤脉，预示一年半死；见到两条赤脉，预示两年死；见到两条半赤脉，预示两年半死；见到三条赤脉，预示三年死；如果赤脉没有向下贯穿瞳孔，则是可以治疗的。
《外台秘要》说：肝肾虚热，就会生成瘰疬。
《病机》云：瘰疬不是由于膏粱厚味、丹石毒药或火热之邪变化而成的，总是因为虚劳和气机郁结所致。只应当用益气养荣的药物，调理治疗，疮疡自然消除，不需要使用发汗或攻下的方法。
朱丹溪说：瘰疬必定起始于足少阳胆经，如果不遵守禁忌，会延及足阳明胃经。饮食滋味浓厚，气机郁结日久，形成毒、风、热三种因素，这三者相互牵引变换，必须分辨虚实。实证容易治疗，虚证令人担忧。这条经脉主决断，内有相火，且气多血少，女性患此病，如果月经不调，产生寒热变证，时间久了转为潮热，如果不是断绝房事、饮食清淡，即使是神医也不能治愈。
又说：灸治瘰疬的方法，取肩尖（肩峰）、肘尖骨缝交接处各一穴（即手阳明大肠经的肩髃穴、曲池穴），每穴灸七壮，左侧患病灸左侧，右侧患病灸右侧，左右都患病则都灸。我常用这个方法，非常有效。（薛立斋认为取曲池穴的说法不准确。）
薛立斋说：凡是男女，如果因为愤怒伤肝，导致气血壅滞而不能痊愈的，适宜灸这些穴位来疏通经络。如果取这些穴位，应当用指甲掐按两肘和两肩四个患处，感觉到酸麻，才是正确的穴位。这是治疗瘰疬的秘法。
戴复庵说：瘰疬的病，都是气血壅结，根源在脏腑，多结聚在颈项之间，累累大小不定，发作时伴有寒热，脓血溃烂，这里好了那里又起来。
王肯堂说：单窠瘰疬，是指生一个结节。发于颈项的最难治疗，或者发于囟门部位，也难治疗。用毒药疗治，不要让病灶浸渍日久。（《医学准绳六要》）
又说：莲子瘰疬，一个包膜包裹着十几枚结节，生于脖子左右，用手触摸能转动，还可以用药治疗；如果坚硬推不动的，就是不可救治，伴有憎寒发热、烦躁口渴，凡遇到这种证候，极难治疗，即使是神圣医者也无可奈何了。
又说重台瘰疬，生于颈项，或左或右，起初是单个结节结在上面或下面，重叠出现，这叫重台瘰疬。这个证候药物不可疗治，也不可用针灸。如果毒气流行引起肿痛，发热口渴生痰，百死一生，害人极速。刚觉得有这个病，急忙用小犀角丸、粉金散治疗。
又说燕窠瘰疬，形状像燕子窝，不可治疗。
陈远公说：有人在颈部生出痰块，坚硬如石头，久了变成瘰疬，流脓流血，一块未消，一块又长，不久又溃烂，有的在耳下，有的在锁骨上窝，有的在肩上胁下，有串走的样子，所以名叫鼠疮，又名串疮，像老鼠打洞一样。人们说是吃了老鼠偷吃剩下的东西而成这个病，但这并不完全正确。大概这个病多起于痰，痰块的生成，多起于气郁，没有不郁而生痰，无痰而成为瘰疬的。所以治法必须以开郁为主。然而郁久必耗伤气血，何况流脓血则气血更亏，只消痰不解郁，或解郁不化痰，都会使正气更虚。消串丹：白芍一两，白术一两，柴胡二钱，蒲公英三钱，茯苓五钱，陈皮一钱，附子一片，甘草一钱，天花粉三钱，紫贝天葵五钱。水煎服，八剂后痰块逐渐消退，再服十剂全部化解，再过一个月完全痊愈。愈后服用六君子汤作为善后之计，不再复发。这个方子的妙处在于蒲公英、天葵是消除串结的神品，但如果没有柴胡、白芍佐助，则肝木不平；如果没有茯苓、白术辅助，则脾胃土不健，又怎么能攻痰破块呢！正因为有攻有补，再加上附子的力量引导各味药直捣中坚，所以能在短时间内清除陈旧之痰。（《石室秘录》）
又说：有人长久生瘰疬，颈部全部烂掉，并且波及胸膈，无非是痰块，以至于身体发热发冷，肌肉消瘦，不思饮食，自汗盗汗，惊悸恍惚。这个病原本难治，但如果治疗方法得当，也是可救的。这个病初起，宜以解郁为先，佐以补虚，以消除毒邪；如果拘执于寻常治法，以祛痰败毒为事，很少有不加速死亡的。转败丹：人参二两，柴胡二钱，白芍三钱，金银花三两，当归二两，半夏五钱，白术一两，生甘草三钱。水煎服，四剂后，胸中的痰块全部消除，再服四剂，颈上的溃烂也愈合；将方子剂量减半，再服十剂，疮口逐渐平复，不再复发。这个方子补多于消，而开郁寓于其中，化痰存于内里，从未有过知道这种治法，只是一味攻毒，所以越治越坏。杀运无穷，神方难信，人看到这个方子，无不讥笑，谁知道这是祛病的仙丹，夺命的异药啊！我不胜掩卷叹息。
陈实功说：瘰疬，有风毒、热毒、气毒的不同；瘰疬、痰核、筋疽的区别，应当察辨而治疗。风毒者，是外受风寒，搏结于经络，先寒后热，结核浮肿，治当疏散风邪，除去湿气；热毒者，是天时亢热，暑气侵犯三阳经，或者内食膏粱浓味，酿结而成，颜色红微热，结核坚硬，治当清脾，泻热；气毒者，是感冒四时疫厉之气而成，病变在耳项胸腋，骤然成肿块，令人寒热头眩，项强作痛，治当调血，和气；瘰疬者，累累如贯珠，连接三五枚，病变先小后大，不作寒热，起初不觉疼痛，日久渐痛，坚硬如棋子，大小如梅李，绕颈延腋，得之于误食虫蚁鼠残之物，或者汗液宿水陈茶混入而餐，是食毒郁结的久病，最难消散，治当散坚，和血；痰核者，初起如梅如李，生乃遍身，久了微红，后来必溃破，易于收敛，这是由于饮食冷热不调，饥饱喜怒不常，多致脾气不能传运，遂成痰核，治当豁痰，行气；筋疽者，生于项侧筋间，形如棋子，坚硬大小不一，或陷或突，久了虚羸，多生寒热，劳怒则加重，这是由于忧愁思虑，暴怒伤肝，故令筋缩，结蓄成核，治当清肝，解郁。（《外科正宗》）
又说：如寡妇尼僧、鳏夫庶出子女等，志向不得抒发，思虑不得实现，积想在心，过伤精力，这是劳中所获得的病，最难调治。有此病先养心血，次开郁结，益肾安神，疏肝快膈，如归脾汤、益气养荣汤，都加香附、青皮、山栀、贝母、木香之类。
又说：男子不宜出现太阳青筋、潮热咳嗽、自汗盗汗；女人忌眼内红丝、经闭骨蒸、烦热，后来必变为痨瘵。忌用巴豆霜、牵牛、斑蝥、大黄追蚀等药，往往克伐太过，导致危亡的很多。切宜戒之慎之。
又说蛇蟠瘰疬，是绕项起核的。
又说耳项胸腋，骤然成肿核，色红微热，寒热头痛，这是风寒暑热暴病。这个病易于消散，宜用荆防败毒散加贝母、夏枯草，无效，再加软坚开郁之品。
又说瓜藤瘰疬，是自颈项延及胸腋的。
冯鲁瞻说：凡是颈项眉颊，结核久凝，都是气血太虚，切勿攻克。（《外科锦囊》）
又说：瘰疬，先贤名叫九漏，是由于其人阴虚火盛，冲击关津管束之处，而又过食炙烤食物，风痰热毒，相互搏结而成顽核，郁滞不散，久了内溃而为瘰疬。治宜养阴和肝，理脾舒郁，化痰清利，切勿徒事克伐，以损真元。如果是婴儿产下，因胎毒而立即患病的，这是禀受母亲肝胆二经火郁气滞，也宜平肝滋肾化毒为主。大概瘰疬之源，虽由于肝，实根于肾；肝火之有余，乃肾阴之不足也。所以其本在脏，其末上出颈腋之间，如果浮于脉中，未着于肌肉而为脓血的，容易去除。如果反视其目，赤脉贯于瞳人，如见一脉，即一岁死；见一脉半，即岁半死；二脉三脉也如此，如果赤脉不见，才可以治疗。其始必发一枚，接着必连生大小十数，缠绕项下，先肿作脓，穿破难干，所以名叫漏项。如果在胸旁，或两胁者，这名叫马刀。至于其口深黑，内溃蚀烂，穿透咽喉，饮食不进，目肿舌出，耳出黄脓的，不治。更有无故寒热，身体颈项结核如粟米，及心胸腹背皆有坚核而不痛的，这名叫结风气肿。审察是风是火，或虚或实治疗。
又说：瘰疬，是手足少阳蕴热结滞而致的。这两条经脉多气少血，所以结核坚而不溃，延蔓串通。如果阳明经则气血多而溃了，即俗名烂瘰疬。只有少阳起的，应当从本治，俗医不知，一概以毒药攻之，如负薪救火，为害更甚，元气弱的，反而成了痨瘵。
又说：夏枯草能散结气，而有补养血脉之功，能退寒热，虚者尽可用之；如果实者佐以行散之药，外施艾灸，也渐渐取效。
又说：凡是结核或在项，或在臂，或在身，或在耳后，或在顶门，如肿毒不红不痛，不作脓的，都是痰注，气滞不散，不外乎曰痰、曰气、曰热三者，久而不已，则成瘰疬。宜早治之。大抵因七情之气郁结，或因饮食之时，触犯恼怒，遂成此疾，妇人女子患此最多，治宜开郁顺气，利膈化痰，清肺。然未有不由阴虚火旺而有痨瘵根脚的，更宜兼乎补阴，乃其治也。
周文采说：生于头项上交接，名叫蛇蟠瘰疬。宜早治之。（《外科启玄》）
李东垣说：瘰疬结核，寒热发渴，经久不消的，其人面色痿黄，潮热上蒸，已成脓了。（《东垣十书》）
申斗垣说：九漏名叫野狼漏，其根在肝，因所欲不遂，蓄怒而得。叫鼠漏，其根在胃，因食鼠吃剩之物，胃受毒而播于肝。叫脓漏，其根在胆，因志不遂而得之。叫蝼蛄漏，其根在大肠，因食蝼蛄及蝎虎所伤之物，误食之而得。叫蜂漏，其根在脾，因食蜜物及蜂毒得之。叫蜈蚣漏，其根在肺，因食蜈蚣所游之物而得之。叫蛴螬漏，其根在心，因喜之太过而得之。叫瘰疬漏，其根在肾，因食血发及诸肾得之。叫转脉漏，其根在小肠，因惊恐失枕而得之。所以瘰疬古人称为九漏，就是这个意思。
窦汉卿说：独形者为结核；续链接者为瘰疬。这个病原本不是膏粱厚味的变化，乃虚劳气郁所致。宜服益气养荣之剂，忌用金石暴悍之法，徒伤气血。
又说：溃后宜十全大补汤加贝母、香附、远志。
汪省之说：瘰疬初起的，用四棱铁环按定，针一孔，以纸捻腐蚀之，勿令合口，以绝其源，功效甚速。（《外科理例》）
胡公弼说：夫瘰疬者，乃颈项坚结之核也。或在耳前，或在耳后，或在耳下，皆属手足少阳经多气少血之患也。初如豆粒相似，不觉疼痛，及后长如桃榴梅李之状，方见疼痛，头眩昏闷，四肢作痛作胀，寒热往来如疟。书云：有痰核，有气瘰，有风，有筋疽，有血疽，有串颈鼠尾。头未破时，如弹丸相似，或一枚，或三五枚，或多不计其数，累累连连，贯串沿漫，血胀皮薄，而自破出脓的有之；浸淫溃烂的有之；或医家以刀针烂药刺破的也有之；年深日久，竟不能痊的，也有之。殊不知这个病原是七情伤于内，血气淫于外，气多血少，痰多壅盛，致伤于肝。肝主筋，故此毒结于胸膈上焦之处，结于耳前及颐颏至缺盆的，名叫瘰疬，这是手少阳三焦经证也。凡看瘰疬，不宜过心，过心的必死。只问推之动与不动，不问大小枚数，破与不破，须察推之动者易治，不动者难医；辨明五善七恶，不可一例混治。大法宜用火针，针破其核，将药线插入六七次，看疮大小，大则多换，小则少换；量核浅深，务溃其根，或烂断血筋。血流不止的，速以百草霜掺之；病患若血去多而晕，治当补血，外用敷药，敷在四周，其核自脱，脱后换用生肌药，长肉收功。（《外科青囊经验方》）
刘河间说：结核者，乃火气热甚，则郁结坚硬如果中核也。不须溃发，但热气散则自消。
朱丹溪说：结核或在项、在颈、在臂、在身，皮里膜外，不红不肿，不硬不痛，多是痰注作核不散，当问平日好食何物，吐下后，用药散核。
又说：结核在颈项，用白僵蚕、炒大黄酒浸、青黛、胆南星各等分，蜜丸噙化。核在下颏，用二陈汤加酒炒大黄、柴胡、桔梗、连翘。核在臂，二陈汤加连翘、防风、川芎、酒芩、苍术、皂角针、白僵蚕、麝香，行太阴厥阴之积痰，使结核自消甚捷。风热结核，用大连翘饮加白僵蚕、牛蒡子。如风核以去风消核散常服消之。
又说：凡一切风核疼痛，用大荞麦根、葫芦根磨末，半泔半醋暖涂之。
蒋示吉说：如瘰疬证，男子骨蒸，女人经闭，已成坏证，若专攻其核，是速其毙也。理宜调理脾胃，补养气血，使根本既固，然后再理其疮，庶有可生之机也。（《外科说约》）
又说：瘰疬之作，七情六欲，痰饮郁热，积久而成，实非一朝一夕之故也。故当以益气养荣为主，而佐以治瘰之品。盖恐荣卫一衰，变证蜂起，虽欲治核，而不可得矣。
又说：凡遇瘰疬等证，须察虚实，不得尽剂攻伐，损伤元气，致成坏病的，十有八九。这不是患者的命，出自医人之手，不得不留心斟酌。
《圣济总录》说：瘰疬在耳后颐项缺盆，乃手少阳三焦经主之。
《内经》说：陷脉为瘰，留连肉腠，即此病也。
《病机》云：瘰疬不详脉证，经络受病之异者，下之则犯经禁、病禁。虚虚之祸，如指诸掌。
刘河间说：瘰疬生于耳后及项间，一名九子包，又名鼠疮。其突起者，瘰疬也，多起厥阴少阳之二经，以其多气少血故也。由嗜欲太甚，饮酒太过，食味太浓，思想太穷，所愿不遂，意淫于外，内蕴七情，中伤六欲，或传染，或误治，种类不同，为害则一。男子患此，潮热顿生；女子患此，月经不调，渐渐不治，神仙难救。
神方：于初起或二三核时，耳后项下有连珠，就于初起大核之上，着艾炷灸之，每
In the chapter "Cold and Heat" of the *Suwen* (Basic Questions), the Yellow Emperor asked: What qi causes cold-heat scrofula (scrofula characterized by alternating chills and fever) appearing in the neck and axilla? Qibo replied: These are all toxic vapors of mouse-scrofula cold-heat, lingering in the meridians without departing. The root of mouse-scrofula lies within the zang organs, while its branches manifest upward between the neck and axilla. If the pathogen floats within the vessels but has not yet penetrated into the muscles nor externally transformed into pus and blood, it is easy to treat. The Yellow Emperor asked: How should it be removed? Qibo said: Please address the root and guide the branch; this can cause the pathogenic factors to decline and cut off the cold-heat. Treat along the meridian pathways, inserting the needle slowly and withdrawing it slowly to expel the pathogen. If the nodule is small like a wheat grain, one acupuncture session brings improvement, and three sessions result in cure. The Yellow Emperor asked: How to determine life and death prognosis? Qibo said: Observe the eyes. If red vessels penetrate vertically through the pupil, seeing one red vessel indicates death in one year; one and a half vessels indicates death in one and a half years; two vessels indicate death in two years; two and a half vessels indicate death in two and a half years; three vessels indicate death in three years. If the red vessels do not extend downward to penetrate the pupil, the condition is treatable.
The *Waitai Miyao* states: Deficient heat in the Liver and Kidney generates scrofula.
The *Bingji* (Pathogenesis) states: Scrofula is not caused by changes from rich foods, cinnabar/stone drugs, or fire-heat toxins, but is generally due to deficiency labor (chronic depletion) and qi stagnation. It should only be treated with herbs that tonify qi and nourish the nutritive level (ying); the sores will subside naturally without needing sweating or purging methods.
Zhu Danxi stated: Scrofula invariably originates in the Foot-Shaoyang Gallbladder Meridian. If taboos are not observed, it spreads to the Foot-Yangming Stomach Meridian. Rich flavors and long-standing qi stagnation create toxicity, wind, and heat. These three factors interact and transform; one must distinguish excess from deficiency. Excess patterns are easier to treat, while deficiency patterns are concerning. This meridian governs decision-making and contains ministerial fire; it has abundant qi but scarce blood. In women, if menstruation is irregular and cold-heat variations arise, progressing over time to tidal fever, unless sexual abstinence and a bland diet are maintained, even divine physicians cannot cure it.
He also stated: For moxibustion treatment of scrofula, select one point at the junction of the acromion and olecranon fossae on each side (specifically Jianyu [LI15] and Quchi [LI11] of the Hand-Yangming Large Intestine Meridian). Moxa seven cones on each point. Treat the left side for left-sided lesions, the right for right-sided lesions, and both if bilateral. I have used this method frequently with great efficacy. (Xue Lizhai considered the selection of Quchi alone inaccurate.)
Xue Lizhai stated: For men and women whose scrofula fails to heal due to anger injuring the Liver and causing qi-blood stagnation, moxibustion at these points is suitable to unblock the meridians. To locate these points, press the four affected areas (both elbows and both shoulders) with fingernails until a sour-numb sensation is felt; this confirms the correct point. This is a secret method for treating scrofula.
Dai Fu'an stated: Scrofula involves qi-blood congestion and knotting, rooted in the zang organs, often clustering in the neck region. The nodules vary in size and number, accompanied by chills and fever during flare-ups, with pus and blood discharging from ulcers. As one subsides, another arises.
Wang Kentang stated: A single-nest scrofula refers to a solitary nodule. Those arising in the neck are difficult to treat; those arising at the fontanelle are also difficult. Treat with toxic herbs, preventing prolonged maceration. (*Zhunsheng*)
He further stated: Lotus-seed scrofula consists of a sac containing dozens of nodules, located on either side of the neck. If movable upon touch, it remains treatable with medicine. If hard and immovable, it is incurable. Accompanied by aversion to cold, fever, restlessness, and thirst, such cases are extremely difficult to treat; even divine physicians are helpless.
He also described Double-Terrace scrofula: Arising in the neck, unilateral or bilateral, starting as a single nest above or below, appearing in overlapping layers. This condition resists herbal and acupuncture treatment. If toxicity spreads causing swelling, pain, fever, thirst, and phlegm, mortality is high, and the disease progresses rapidly. Upon initial suspicion, immediately administer Xiaoxijiao Wan (Small Rhinoceros Horn Pill) or Fenjin San (Powdered Gold Powder).
He also mentioned Swallow-Nest scrofula: Shaped like a swallow's nest, it is untreatable.
Chen Yuangong stated: Phlegm nodules in the neck, hard as stone, may transform into scrofula over time, discharging pus and blood. As one mass resolves, another grows, eventually ulcerating. Locations include under the ear, supraclavicular fossa, or shoulder/rib area, exhibiting a wandering pattern, hence named Mouse-Cancer or Wandering-Sore, resembling rat burrows. Some attribute this to consuming food stolen by rats, but this is not entirely accurate. This condition largely stems from phlegm, which arises from stagnation. Without stagnation, there is no phlegm; without phlegm, there is no scrofula. Therefore, treatment must prioritize resolving stagnation. However, prolonged stagnation consumes qi and blood, and discharge of pus/blood further depletes them. Eliminating phlegm without resolving stagnation, or resolving stagnation without eliminating phlegm, both exacerbate deficiency. Xiao Chuan Dan (Eliminate Wandering Pill): Baishao (Radix Paeoniae Alba) 30g, Baizhu (Rhizoma Atractylodis Macrocephalae) 30g, Chaihu (Radix Bupleuri) 6g, Pugongying (Herba Taraxaci) 9g, Fuling (Sclerotium Poriae Cocos) 15g, Chenpi (Pericarpium Citri Reticulatae) 3g, Fuzi (Radix Aconiti Lateralis Preparata) 1 slice, Gancao (Radix Glycyrrhizae Uralensis) 3g, Tianhuafen (Radix Trichosanthis) 9g, Zi Bei Tian Kui (Tubera Typhonii Flagelliformis) 15g. Decoct in water. After eight doses, phlegm nodules gradually subside; after ten more doses, they dissolve completely; full recovery occurs after one month. Post-recovery, take Liujunzi Tang (Six Gentlemen Decoction) for consolidation to prevent recurrence. The efficacy of this formula lies in Pugongying and Tiankui as supreme agents for dissolving wandering knots, supported by Chaihu and Baishao to soothe the Liver, and Fuling and Baizhu to strengthen the Spleen/Stomach. With Fuzi guiding the herbs to the center, old phlegm is cleared rapidly. (*Shishi Milu*)
He also stated: Chronic scrofula involving extensive necrosis of the neck extending to the chest/diaphragm, accompanied by systemic fever/chills, emaciation, anorexia, spontaneous/night sweats, palpitations, and mental confusion, is inherently difficult but curable with proper method. Initial treatment should prioritize resolving stagnation and tonifying deficiency to dissipate toxicity. Adhering to standard phlegm-resolving and detoxifying methods accelerates death. Zhuanbai Dan (Transform Failure Pill): Ren Shen (Radix Ginseng) 60g, Chaihu 6g, Baishao 9g, Jinyinhua (Flos Lonicerae Japonicae) 90g, Danggui (Radix Angelicae Sinensis) 60g, Banxia (Rhizoma Pinelliae Preparata) 15g, Baizhu 30g, Sheng Gancao (Raw Radix Glycyrrhizae) 9g. Decoct in water. After four doses, chest phlegm clears; after four more, neck ulcers heal. Reduce dosage by half and continue for ten doses to flatten scars and prevent recurrence. This formula emphasizes tonification over elimination, embedding stagnation resolution within phlegm transformation. Unknowingly, many fail because they rely solely on aggressive detoxification. This divine prescription is often ridiculed but is truly a miracle drug. I sigh deeply upon closing the book.
Chen Shigong stated: Scrofula differs in Wind-Toxicity, Heat-Toxicity, and Qi-Toxicity; distinctions exist between Scrofula, Phlegm-Nodules, and Tendon-Ulcers. Wind-Toxicity results from external wind-cold binding meridians, presenting with initial chills then fever, tender swollen nodes; treat by dispersing wind and removing dampness. Heat-Toxicity arises from extreme summer heat affecting Yang meridians or internal accumulation from rich foods, presenting with red, slightly hot, hard nodes; treat by clearing the Spleen and draining heat. Qi-Toxicity results from seasonal epidemic pathogens affecting ears, neck, chest, axilla, causing sudden masses, chills/fever, dizziness, and stiff painful neck; treat by regulating blood and harmonizing qi. Scrofula presents as beads strung together, 3-5 connected, starting small and growing large without chills/fever, initially painless but becoming painful and hard like chess pieces or plums/peaches around the neck and axilla; caused by ingesting insect/rat remnants or contaminated water/tea, representing long-term food-toxin stagnation, hardest to resolve; treat by softening hardness and harmonizing blood. Phlegm-Nodules start plum-sized, spread over the body, turn slightly red, ulcerate easily, and heal readily; caused by dietary imbalance and emotional instability impairing Spleen transportation; treat by resolving phlegm and moving qi. Tendon-Ulcers arise between tendons on the neck side, hard like chess pieces, varying in size, sunken or protruding, leading to wasting and chills/fever, worsened by fatigue/anger; caused by worry/thoughts and anger injuring the Liver, causing tendon contraction and nodule formation; treat by clearing the Liver and resolving stagnation. (*Zhengzong*)
He also stated: Widows, nuns, widowers, and illegitimate children who suppress desires and frustrations accumulate thoughts and exhaust essence; this labor-damage is hardest to regulate. First nourish Heart blood, then open stagnation, benefit Kidney and calm spirit, soothe Liver and open diaphragm. Use Guipi Tang (Restore the Spleen Decoction) or Yiqi Yangrong Tang (Tonify Qi and Nourish Ying Decoction) plus Xiangfu (Rhizoma Cyperi Rotundi), Qingpi (Pericarpium Citri Reticulatae Viride), Zhizi (Fructus Gardeniae Jasminoidis), Beimu (Bulbus Fritillariae Cirrhosae), and Muxiang (Radix Aucklandiae).
He warned: Men should avoid symptoms like Sun-Meridian blue veins, tidal fever, cough, and sweating; women should avoid red filaments in eyes, amenorrhea, bone-steaming fever, and irritability, as these progress to consumption (tuberculosis). Avoid drastic purgatives like Badoushuang (Croton Seed Preparation), Qianniu (Seed Pharbitidis), Banmao (Mylabris), and Dahuang (Radix et Rhizoma Rhei) for erosion, as excessive attacking often leads to death. Be vigilant.
He defined Snake-Coiling Scrofula as nodules encircling the neck.
He described acute swelling in ears/neck/chest/axilla with redness, slight heat, chills/fever, and headache as an acute attack of wind-cold-summer-heat. This resolves easily; use Jingfang Baidu San (Aristolochia and Saposhnikovia Decoction to Overcome Toxicity) plus Beimu and Xiakucao (Herba Prunellae Spicatos). If ineffective, add softening and stagnation-resolving herbs.
He defined Vine-Like Scrofula as spreading from neck to chest/axilla.
Feng Luzhan stated: Persistent nodules in neck/cheeks indicate severe qi-blood deficiency; do not use attacking methods. (*Jinnang*)
He stated: Ancient names for scrofula include Nine-Leakages. Caused by yin deficiency with hyperactive fire striking gateways, combined with excessive roasted foods, wind-phlegm-heat-toxicity forming stubborn knots. Treatment should nourish yin, harmonize Liver, regulate Spleen, resolve stagnation, and clear phlegm. Avoid destructive methods that damage true yuan. Infantile cases due to fetal toxin stem from maternal Liver/Gallbladder fire/qi stagnation; treat by soothing Liver, nourishing Kidney, and transforming toxin. Although originating in Liver, the root is Kidney; Liver fire excess stems from Kidney yin insufficiency. Root is in zang, branch in neck/axilla. Floating in vessels without muscle involvement/pus is easy to treat. Red vessels piercing pupils indicate poor prognosis (death timelines as previously described). Starting as one nodule, multiplying to ten+ around neck, suppurating and failing to dry, named Leak-Neck. On chest/flanks, named Horse-Knife. Deep black ulcers eroding throat, inability to eat, bulging eyes/protruding tongue, yellow ear discharge are intractable. Sudden chills/fever with millet-like nodules on body/neck/chest/abdomen/back without pain is called Wind-Qi Swelling. Differentiate wind/fire, deficiency/excess.
He also stated: Scrofula results from heat-stagnation in Hand/Foot Shaoyang meridians. These meridians have abundant qi but scarce blood, leading to hard, non-ulcerating, spreading nodules. Yangming meridians have abundant qi/blood and ulcerate easily (commonly called Rotten Scrofula). Shaoyang-originated cases must be treated at the root; vulgar doctors wrongly use toxic herbs, worsening the condition like adding firewood to a fire, potentially causing consumption in those with weak yuan.
He noted: Xiakucao (Herba Prunellae Spicatos) dissipates stagnant qi and nourishes blood vessels, relieving chills/fever; safe for deficiency patterns. For excess patterns, combine with dispersing herbs and external moxibustion for gradual effect.
He stated: Nodules anywhere (neck, arm, body, behind ear, vertex) that are swollen but not red/painful/non-suppurating are phlegm deposits due to qi stagnation (phlegm, qi, heat). Long-standing unresolved cases become scrofula; treat early. Generally caused by emotional stagnation or anger during meals, most common in women. Treat by opening stagnation, smoothing qi, benefiting diaphragm, resolving phlegm, and clearing Lung. Underlying cause is often yin deficiency with fire-wang leading to consumption roots; thus, supplementing yin is essential.
Zhou Wencai stated: Nodules meeting at head/neck junction are Snake-Coiling Scrofula. Treat early. (*Qixuan*)
Li Dongyuan stated: Scrofula nodules with chills/fever/thirst persisting long, with sallow complexion and tidal fever steaming upward, indicate suppuration. (*Dongyuan Shishu*)
Shen Douyuan stated: Nine-Leakages include Wild Wolf Leakage (root Liver, from unfulfilled desires/anger), Mouse Leakage (root Stomach, from eating rat scraps/toxin spreading to Liver), Pus Leakage (root Gallbladder, from thwarted will), Mole Cricket Leakage (root Large Intestine, from eating mole crickets/scorpions), Bee Leakage (root Spleen, from honey/bees), Centipede Leakage (root Lung, from centipede contact), Caterpillar Leakage (root Heart, from excessive joy), Scrofula Leakage (root Kidney, from blood/hair/kidney ingestion), Pulse-Turning Leakage (root Small Intestine, from fright/sleeping on pillow improperly). Hence the term Nine-Leakages.
Dou Hanqing stated: Solitary nodules are termed Knots; connected chains are Scrofula. Not caused by rich food, but deficiency labor and qi stagnation. Use Qi-Yi Yang-Rong agents; avoid harsh mineral/drug therapies that damage qi-blood.
He added: After ulceration, use Shiquan Dabu Tang (Ten Great Tonifying Decoction) plus Beimu, Xiangfu, Yuanzhi.
Wang Shengzhi stated: For early scrofula, press with a four-cornered iron ring, puncture one hole, insert paper wick to cauterize/prevent closure, cutting off the source for rapid effect. (*Lili*)
Hu Gongbi stated: Scrofula are hard neck nodules in front/behind/below ears, related to Hand/Foot Shaoyang meridians (abundant qi, scarce blood). Initially bean-sized, painless; later grow to plum/peach size, painful, with dizziness, limb pain/swelling, alternating chills/fever like malaria. Text mentions Phlegm-Nodules, Qi-Scrofula, Wind, Tendon-Ulcers, Blood-Ulcers, Wandering Neck Rat-Tail. Before rupture, like bullet seeds, single or multiple, linked continuously, thin skin, bursting with pus, or oozing ulcers, or surgically opened, or chronic non-healing. Rooted in emotional injury internally and blood/qi excess externally, damaging Liver (governs tendons). Toxicity knots in upper jiao/chest, ears, chin, supraclavicular fossa, named Scrofula, a Hand-Shaoyang Sanjiao Meridian syndrome. Prognosis: Do not let pathology reach the Heart (fatal). Assess mobility: mobile is easy to treat, immobile is difficult. Differentiate Five Good and Seven Bad signs; do not treat uniformly. Major method: Fire needle to pierce node, insert medicinal thread 6-7 times, change frequency based on sore size. Penetrate deep to destroy root or sever blood vessels. If bleeding persists, apply Baicaoshuang (Soot from Burning Grass). If patient faints from blood loss, tonify blood; apply external dressing around nodule until it detaches, then use flesh-regenerating herbs. (*Qingnang*)
Liu Hejian stated: Knots result from intense fire-heat stagnation, hard like fruit pits. No need to induce suppuration; dissipating heat resolves them spontaneously.
Zhu Danxi stated: Knots in neck/arm/body, subcutaneous, non-red/non-swollen/non-hard/non-painful, are mostly phlegm deposits. Ask about dietary habits, use expectorant/purgative methods, then herbs to scatter nodules.
He added: Neck knots: equal parts Baijiangcan (Bombyx Batryticatus), fried Dahuang soaked in wine, Qingdai (Indigo Naturalis), Dantanxing (Arisaema cum Bile). Honey-pill, held in mouth. Chin knots: Erchen Tang plus wine-fried Dahuang, Chaihu, Jiegeng, Lianqiao. Arm knots: Erchen Tang plus Lianqiao, Fangfeng, Chuanxiong, wine-Huangqin, Cangzhu, Zaojiaoren, Baijiangcan, Shexiang. Moves accumulated phlegm in Taiyin/Jueyin, resolving knots quickly. Wind-heat knots: Dalianqiao Yin plus Baijiangcan, Niubangzi. Wind-knots: Changfu Qu Feng Xiaohe San (Wind-Dispersing Knot-Resolving Powder).
He also stated: Painful wind-knots: Apply warm paste of Da Qiaomagen (Polygonum Multiflorum Root) and Hulu Gen (Calabash Root) powder mixed with rice wash and vinegar.
Jiang Shiji stated: Scrofula with male bone-steaming or female amenorrhea represents advanced bad syndrome. Attacking the node directly accelerates death. Regulate Spleen/Stomach, tonify qi-blood to secure foundation, then treat sores for chance of survival. (*Shuoyue*)
He added: Scrofula arises from emotions/desires, phlegm-fluid stagnation-heat accumulating over time, not overnight. Prioritize Qi-Yi Yang-Rong, assisting with scrofula-specific herbs. Fear that if defensive/nutritive levels decline, complications arise, making treatment impossible.
He warned: In scrofula cases, assess deficiency/excess; do not overuse attacking herbs to damage yuan qi, causing bad outcomes in 80-90% of cases. This is physician error, not fate. Exercise caution.
*Shengji Zonglu* stated: Scrofula behind ears/jaw/neck/supraclavicular fossa is governed by Hand-Shaoyang Sanjiao Meridian.
*Neijing* stated: Depressed meridians form scrofula, lingering in muscle clefts; this is the disease.
*Bingji* warned: Treating scrofula without analyzing pulse/symptoms/meridian differences, using purgatives violates meridian/disease taboos. The disaster of treating deficiency as excess is obvious.
Liu Hejian stated: Scrofula behind ears/neck, also called Nine-Children Pack or Mouse-Cancer. Protruding ones are scrofula, often from Jueyin/Shaoyang meridians (abundant qi, scarce blood). Caused by excessive desires/alcohol/rich food/worry/unfulfilled wishes, external lust, internal emotions, internal desires, contagion, or mis-treatment. Types differ, harm is same. Men get sudden tidal fever; women get menstrual irregularity. Untreated, even gods cannot save.
Divine Formula: At onset (2-3 nodes), when pearl-like chain forms behind ear/neck, apply moxa cone directly on the largest initial node. Each