痰瘤结核，大者如拳，小者如栗，用南星研末，醋调作饼贴之，或以艾炷于上，日灸
三五壮，惟使温散，勿使过热，伤皮后不便灸也，良验。
消核散结，用大蒜同食茱萸捣涂。
枕后脑痹痰核，用浮石烧研，入轻粉，油调涂，或以百协议蓖麻仁研涂。
消痰核，用夏枯草煎膏贴之，数日立消。
治结核瘰疡瘿瘤神方，用海带、海藻、昆布、海螵蛸、海石各一两，紫背天葵晒干二
两，夏枯草晒干二两，连翘带子二两，贝母一两，桔梗一两，天花粉一两，皂角刺五钱
，俱为细末，炼蜜为丸梧子大，每食后滚白汤下百丸。
夫痿之与痈，固皆肺病，然溯所由，则有异矣。何也？痿则火郁气虚而肺燥，痈则火
迫血热而肺溃，二者较若苍素，治宁得无异乎？盖肺体清虚，本燥主乎气，金气清肃
则一呼一吸之间，脏腑经络，四体百骸，无往不之，而其动静之为，靡不借以司用。今也火
郁邪壅，致金体燥烈，肺气虚微，而敷运停息，亦自衰弱，不能充盈百脉，乃使筋骨痿
，由是而痿病作焉。故经曰∶肺伤善痿，然金体既伤叶亦焦枯，而其息亦不利，息既不利，
则火邪无从而泄，郁遏蒸熏，致咯唾咳嗽，血渗妄行，必云门中府隐痛，咳而喉腥，脉数而
虚，以此为验，乃曰肺痿。症与痨瘵仿佛，治当君以养气，佐以清金，而兼攻痰之法，则善
矣。至于肺痈，由则不然，或始于风寒袭肺，不即消散，致金气壅遏，而复饮酒，若火添油
，火迫血聚，灼而为痈。或素酗酒恣欲，致水亏火炽，金伤热迫，血聚结而为痈。种种之因
，又当晰辨，证必咳而烦满，心胸甲错，口啖生豆不腥，脉数而实，以此为谛，故曰∶肺痈
。始则咳血，渍久则腐化为脓。《脉诀》云∶疮浮酒灌穿，正此谓也。法当君以排脓凉血，佐
以保肺清金。吴氏所谓肺痈，当凉其血，肺痿，当养其血，盖亦得其旨矣。
痰核、瘰疬及肿瘤，大的像拳头，小的像栗子，用天南星研成粉末，用醋调制成饼状贴敷患处，或者在药饼上放置艾炷进行艾灸，每天灸三到五壮，只要使局部温热发散即可，不要使其过热，以免损伤皮肤后不便继续施灸，效果很好。
枕后脑部的痹症痰核，用浮石烧红研末，加入轻粉，用油调和后涂抹，或者用百部配合蓖麻仁研碎外涂。
消除痰核，用夏枯草煎煮成膏剂贴敷，几天内即可消退。
治疗结核、瘰疬、甲状腺肿大及肿瘤的特效方，使用海带、海藻、昆布、海螵蛸、海浮石各一两，紫背天葵晒干二两，夏枯草晒干二两，连翘（带果实）二两，贝母一两，桔梗一两，天花粉一两，皂角刺五钱，全部研成细末，用炼蜜制成梧桐子大小的丸药，每次饭后用滚开的白开水送服一百丸。
痿证与肺痈，固然都是肺部的疾病，但追溯其成因，却有所不同。为什么呢？痿证是因为火邪郁结、气虚导致肺燥；肺痈则是由于火邪逼迫、血热导致肺体溃烂，这两者差别如同黑白分明，治疗方法怎能没有区别呢？肺脏质地清虚，本性干燥而主司气机，金气清肃，则在一呼一吸之间，脏腑经络、四肢百骸无处不到，其动静功能无不依赖肺气来主宰。如今火邪郁结、邪气壅滞，导致肺体燥烈，肺气虚弱微小，输布运化停止，自身也衰弱，不能充盈血脉，致使筋骨痿软无力，由此产生痿病。所以《内经》说：肺受伤容易患痿证。然而肺叶既已受损焦枯，呼吸也不利，呼吸既然不利，火邪就无法宣泄，郁遏蒸熏，导致咳嗽咯唾，血液妄行溢出，必然出现云门、中府穴处隐痛，咳嗽时喉间有腥味，脉象数而虚，以此作为验证，这就叫做肺痿。症状与劳瘵相似，治疗应当以补气为主，辅以清金润肺，兼用化痰的方法，这样就很好了。至于肺痈，成因则不然，有的始于风寒侵袭肺部，未能立即消散，导致金气壅遏，又加上饮酒，如同火上浇油，火邪逼迫血液聚集，灼烧而成痈脓。有的是因为平时酗酒纵欲，导致肾水亏虚、火势炽盛，金脏受伤、热邪逼迫，血液聚集凝结而成痈。各种病因，应当仔细辨别，证候必定表现为咳嗽且烦闷胀满，心胸部位皮肤粗糙如鳞甲交错，口尝生豆不觉得腥，脉象数而有力，以此作为确证，所以叫做肺痈。初期咳血，日久则腐败化为脓液。《脉诀》说：“疮疡脉浮如酒灌穿”，正是这个意思。治法应当以排脓凉血为主，辅以保肺清金。吴氏所说肺痈应当凉血，肺痿应当养血，大概也是掌握了其中的宗旨吧。
Phlegm nodules, scrofula, and tumors, whether large as a fist or small as a chestnut, can be treated by grinding *Arisaema Cum Bile* (Nanxing, 南星) into powder, mixing it with vinegar to form a cake for topical application. Alternatively, moxa cones may be applied on top of the cake for moxibustion, three to five sessions daily. The goal is to induce warmth and dispersion without causing excessive heat that might damage the skin, rendering further moxibustion inconvenient; this method yields excellent results.
To resolve masses and dissipate nodules, crush garlic together with *Cornus Officinalis* (Shizhuyu, 食茱萸) and apply externally.
For phlegm nodules associated with bi-syndrome at the back of the head, calcined *Pumice* (Fushi, 浮石) ground into powder, mixed with *Calomelas* (Qingfen, 轻粉), and blended with oil for topical application is effective. Alternatively, *Stemona Root* (Baibu, 百部) combined with *Ricinus Seed* (Bimaren, 蓖麻仁) can be crushed and applied.
To eliminate phlegm nodules, apply a paste made from boiling down *Prunella Vulgaris* (Xiakucao, 夏枯草); they typically disappear within a few days.
A divine prescription for treating tuberculosis, scrofula, goiter, and tumors consists of: *Sargassum* (Haidai, 海带), *Sargassum Horneri* (Zaozao, 海藻), *Laminaria* (Kunbu, 昆布), *Sepia Shell* (Haipiaoxiao, 海螵蛸), and *Pumice* (Haishi, 海石), each one tael; dried *Viola Yedoensis* (Zibeitiankui, 紫背天葵), two taels; dried *Prunella Vulgaris* (Xiakucao, 夏枯草), two taels; *Forsythia Fruit* (Lianqiao, 连翘) including seeds, two taels; *Fritillaria Bulb* (Beimu, 贝母), one tael; *Platycodon Root* (Jiegeng, 桔梗), one tael; *Trichosanthes Root* (Tianghuafen, 天花粉), one tael; and *Gleditsia Sinensis Thorn* (Zaociaoci, 皂角刺), five qian. All ingredients are finely powdered and formed into pills the size of wu-tzu seeds using refined honey. Take one hundred pills after each meal, washed down with boiling plain water.
Atrophy syndrome (Wei Bing, 痿病) and lung abscess (Fei Yong, 肺痈) are indeed both diseases of the Lung, but tracing their origins reveals differences. Why? Atrophy arises from constrained fire and qi deficiency leading to lung dryness, whereas lung abscess results from fire forcing blood heat and causing lung tissue ulceration. These two conditions differ as clearly as black and white; how could their treatments not differ? The Lung organ is pure and empty, inherently dry and governing Qi. When Metal Qi is clear and肃 (solemn/clear), during every inhalation and exhalation, it permeates the zang-fu organs, meridians, four limbs, and hundred bones, governing all movements and functions. Currently, if fire is constrained and pathogens obstructed, the Lung body becomes dry and fierce, Lung Qi becomes weak and minute, distribution and transportation cease, and the organ itself weakens, failing to fill the vessels. This leads to flaccidity of tendons and bones, giving rise to atrophy disease. Thus, the Classics state: "When the Lung is injured, atrophy easily occurs." Since the Lung leaves are damaged and scorched, respiration becomes difficult. If respiration is impaired, pathogenic fire cannot be vented, leading to constraint, steaming, and薰 (fuming), resulting in coughing and expectoration, with blood leaking and flowing recklessly. There will inevitably be dull pain in the Yunmen and Zhongfu acupoints, a fishy smell in the throat upon coughing, and a rapid yet deficient pulse. Based on these signs, it is termed Lung Atrophy (Fei Wei, 肺痿). Its symptoms resemble consumptive disease (Lao Zhai, 劳瘵). Treatment should prioritize nourishing Qi, assist with clearing Metal (cooling the Lung), and concurrently attack phlegm, which is optimal. As for lung abscess, the etiology is different. It may begin with wind-cold invading the Lung, failing to dissipate immediately, causing Metal Qi to become obstructed, compounded by alcohol consumption, akin to adding oil to fire. Fire forces blood to aggregate, burning and forming an abscess. Or, due to chronic alcoholism and indulgence, Kidney Water is depleted while Fire blazes, injuring Metal and forcing heat, causing blood to aggregate and congeal into an abscess. Various causes must be distinguished carefully. The presentation must include cough with vexation and fullness, rough skin over the heart and chest (like scales), no fishy taste when tasting raw beans, and a rapid yet forceful pulse. Based on these confirmations, it is termed Lung Abscess (Fei Yong, 肺痈). Initially, there is hemoptysis; prolonged stagnation leads to putrefaction and pus formation. The *Mai Jue* (Pulse Classic) states: "Abscess pulse floats like wine pouring through," referring precisely to this. The treatment method should prioritize draining pus and cooling blood, assisting with protecting the Lung and clearing Metal. Wu Shi stated that lung abscess requires cooling the blood, while lung atrophy requires nourishing the blood; this captures the essence of the matter.