典藏书目

Apply six or seven moxa cones (Zhuang) on each nodule, or ten plus moxa cones. Additionally, apply three moxa cones each at Jianjing (GB21), Fengchi (GB20), Feishu (BL13), and Quepen (ST12). This is a miraculous method capable of rescuing the dying from death, ensuring complete recovery. Nowadays, people do not practice moxibustion but instead leave it to incompetent physicians to use topical applications, hooking, and cutting methods, which often lead to fatal consequences. Treatment should focus on nourishing blood and calming the spirit, resolving phlegm and dispersing stagnation. Furthermore, one should clear the heart and nurture the nature, maintaining a bland diet and regulating food intake to ensure ultimate auspiciousness. This condition mostly occurs in wealthy individuals who consume rich and greasy foods; due to their strong flavors and deep desires, they require extensive regulation. In contrast, it rarely affects poor individuals who eat coarse grains, as their flavors are bland and desires are few, thus ensuring safety without worry. The ancient saying states that treatment differs for those eating rich foods versus coarse grains, which precisely reflects this principle.

The *Xinfa* states: Small nodules are called *Luo Li* (Scrofula), while large ones are called *Dao Ku* (Horse Knife); their meridian affiliations must be distinguished. If occurring at the front of the neck, it belongs to the Yangming Meridian and is named Tan Luo (Phlegm Scrofula); if at the back of the neck, it belongs to the Taiyang Meridian and is named Shi Luo (Dampness Scrofula); if on the left and right sides of the neck, it belongs to the Shaoyang Meridian, is soft in texture, and swells upon anger, named Qi Luo (Qi Scrofula). If hard with contracted sinews, it is named Jin Luo (Sinew Scrofula); if continuous like a string of pearls, it is simply Luo Li; if long like a clam, red and hard, painful as if branded by fire, with severe swelling, it is named Ma Dao Luo Li (Horse Knife Scrofula). There is also Zi Mu Luo Li (Mother-Child Scrofula) with varying sizes; there is Chong Tai Luo Li (Double-Terrace Scrofula) where three to five nodules pile up on top, forming clusters. Those growing around the neck are named She Pan Luo (Snake-Coiling Scrofula); those resembling soybean pods are named Suo Xiang Luo (Neck-Locking Scrofula); those at the root of the left ear are named Feng Wo Luo (Honeycomb Scrofula); those at the root of the right ear are named Hui Dai Luo (Bag Scrofula); small ones that are very itchy are named Feng Luo (Wind Scrofula); those with red, swollen, and painful submandibular regions are named Yan Wo Luo (Swallow's Nest Scrofula); those extending to the chest and axilla are named Gua Teng Luo (Melon Vine Scrofula); those near the breast soft tissue are named Yong Yang Luo (Abscess Scrofula); those distributed all over the body, diffuse and soft with hard cores inside sacs, are named Liu Zhu Luo (Flowing Injection Scrofula). A single nodule on the fontanelle is named Dan Ke Luo (Single-Nest Scrofula); a cluster containing ten or more is named Lian Zi Luo (Lotus Seed Scrofula). Hard as bricks are Men Shuan Luo (Door Bolt Scrofula); shaped like lychees are Shi Luo (Stone Scrofula); shaped like mice are Shu Luo (Mouse Scrofula), also known as Shu Chuang (Mouse Sore). Regarding these various nodules, if they can be pushed and move, they are rootless and belong to Yang; external treatment should utilize acupuncture, topical applications, or cauterization based on the syndrome. If they cannot be moved, they have roots and are deep, belonging to Yin; these are all incurable conditions. One must strictly avoid needle pricking and corrosive drugs; if used recklessly, healing will be difficult. Although the etiology of Luo Li varies in shape and name, generally stemming from phlegm-dampness, wind-heat, and qi-toxin aggregation, it invariably involves anger, depression, and unfulfilled aspirations.