穿甲（五钱） 川贝 茯苓 当归 僵蚕（各四钱） 白芍 柴胡 牡蛎 海藻（各三钱）
橘络 花粉 丹皮 牛蒡子 地骨皮（各二钱） 生甘草（一钱）
上共为末，炼蜜为丸，如豌豆大，每服三十九丸。红枣汤下，上身之症，可加桔梗二钱
，下
身加牛膝二钱，先服煎药一二剂后，即可服此丸，以全行消减为度。如妇人有身孕者，则以
固胎为主，方中川贝、牡蛎、穿甲、牛蒡等药，非所宜服，是又不可不知也。
总之，治痰 各法，属外治之功，十居八九；属内治之功，十居一二。若治痰子，纯用
外治
，亦可痊愈。至治瘰 ，非内外兼治，滋补虚损，调和气血，内治亦不可偏废。是神而明之
，存乎其人耳。
谚云∶灯火有推山之力，此等阴虚难治之症，非内服药而外用灯火，固难图功。然人身
有禁
用灯火之处，若误犯之，须臾不救而死，不得不特为标志，使学人随处留心。如咽喉胁眼心
窝腰眼少腹脐中等处，不可误用灯火。然有生于下 之外皮肤间者，名垫舌痰，铁门拴在喉
两旁，此于咽喉大有妨碍。夹胁痰生胁眼中，缠腰痰发于腰眼，下部贴骨痰，多生于鼠鼷穴
，此于胁眼腰眼少腹，亦有妨碍也。但此等气门关系紧要处，只宜在核顶上燃烧一二点，而
环核外无定烧点处，仍宜禁用火攻，寸步留心，不可稍忽，讵得以生人而反杀人乎。
又用灯火，须七日一次，手续取七日来复之意，不可过急过迟，迟速则无益而反损，以
核消
尽为度。当视患症之重轻，定愈期之迟速，予每治瘰 ，患者多不能持久耐劳，中途偶易他
医，用药复杂，欲速反剧，卒多不治，诚可惜也。不知此病，轻者数日可愈，重者非数月不
能为力，是在病者当根据期外用火攻，内服汤丸，不可求愈过急也。
又用火攻后，一切膏药敷贴，均可免用，何也？以用过灯火，设灯草上麻油未曾净尽，
烧点
皮肤起泡。若贴膏药于上，恐皮面易溃，且穴道不易审辨，是既用灯火，则膏药反无补而有
害。若溃口不易收敛，亦只以灯火于溃处轻微烧之，或用珍珠砂敷隔于溃处，而后用灯火，
自无不验之理。
穿甲（五钱） 川贝 茯苓 当归 僵蚕（各四钱） 白芍 柴胡 牡蛎 海藻（各三钱）
橘络 花粉 丹皮 牛蒡子 地骨皮（各二钱） 生甘草（一钱）
以上药物共同研磨成粉末，用炼蜜制成丸药，大小如豌豆，每次服用三十丸。用红枣汤送服，若病症位于上身，可加桔梗二钱；若位于下身，加牛膝二钱。先服用一两剂煎煮的药液后，即可服用此丸药，以病灶完全消除为限度。如果妇女怀孕，则以固护胎元为主，方中的川贝、牡蛎、穿甲、牛蒡等药物，不适合服用，这一点不可不知道。
总之，治疗痰核的各种方法，属于外治法的占十分之八九；属于内治法的占十分之一二。如果是治疗痰核（此处指较轻的皮下结节），纯用外治法，也可以痊愈。至于治疗瘰疬（颈部淋巴结结核），如果不内外兼治，滋补虚损，调和气血，单纯的内治法也不可偏废。能否神妙地运用这些方法，关键在于医生个人的悟性。
谚语说：灯火疗法有推山移石的力量，这种阴虚难治的疾病，如果不配合内服药而仅用外治灯火疗法，确实难以取得功效。然而人体有一些部位禁用灯火疗法，如果误用了，片刻之间就会因无法救治而死亡，不得不特别标注出来，使学习的人处处留心。例如咽喉、胁部、眼睛、心窝、腰眼、少腹、脐中等部位，不可误用灯火疗法。但是有一种生于下颌皮肤之间的痰核，名叫垫舌痰，铁门拴在喉头两旁，这对咽喉大有妨碍。夹胁痰生在胁眼中，缠腰痰发于腰眼，下部贴骨痰多生于鼠鼷穴（腹股沟淋巴结处），这对胁眼、腰眼、少腹也有妨碍。但这些部位都是气门关系紧要之处，只宜在肿块顶端燃烧一二点，而环绕肿块外围没有固定烧点的地方，仍应禁用火攻，寸步留心，不可稍有疏忽，怎能以治病救人反而变成杀人呢？
另外使用灯火疗法，需要每七日进行一次，取“七日来复”之意，不可过急或过迟，迟慢或急躁都无益反而有害，以肿块完全消退为限度。应当根据病情的轻重，决定痊愈时间的快慢，我治疗瘰疬时，患者大多不能持久耐劳，中途偶尔更换其他医生，用药复杂，想要速效反而病情加重，最终大多无法治愈，实在可惜。不知道这个病，轻者数日可愈，重者非数月不能见效，这在于患者应当根据期限外用火攻，内服汤药和丸药，不可求愈过急。
另外用火攻之后，一切膏药敷贴都可以免用，为什么呢？因为用过灯火后，如果灯草上的麻油未曾净尽，烧点皮肤起泡。如果在上面贴膏药，恐怕皮肤容易溃烂，而且穴位不易审辨，既然用了灯火疗法，那么膏药反而无补而有危害。如果溃口不易收敛，也只可用灯火在溃处轻微烧灼，或用珍珠砂敷在溃处，然后再用灯火，自然没有不灵验的道理。
Chuanjia (5 qian) Chuanbei Fuling Danggui Jiangcan (each 4 qian) Baishao Chaihu Muli Haizao (each 3 qian) Jueluo Huafen Danpi Niubangzi Digupi (each 2 qian) Shenggancao (1 qian)
Grind all the above ingredients into powder, mix with refined honey to make pills, sized like pea seeds. Take thirty pills per dose, swallowed with red date decoction. For symptoms located in the upper body, add Jiegeng (2 qian); for those in the lower body, add Niuxi (2 qian). Take one or two doses of the decoction first, then proceed to take these pills, continuing until the lesions are completely resolved. If the patient is a pregnant woman, the primary focus should be on stabilizing the fetus; the herbs in this formula such as Chuanbei, Muli, Chuanjia, and Niubang are not suitable for consumption, which must be noted.
In summary, regarding various methods for treating Tanhe (phlegm nodules), external treatments account for eight or nine out of ten cases, while internal treatments account for one or two out of ten. If treating simple phlegm nodules, pure external treatment can also lead to recovery. However, for treating Luoli (scrofula/tuberculous lymphadenitis), if internal and external treatments are not combined, and deficiency is not tonified, and qi and blood are not harmonized, relying solely on internal treatment cannot be neglected. The ability to apply these methods divinely and intelligently depends on the individual practitioner.
As the proverb says: "Denghuo (lamp-fire therapy) has the power to push mountains." For such difficult-to-treat conditions caused by yin deficiency, it is indeed hard to achieve efficacy using only external lamp-fire therapy without accompanying internal medicine. However, there are areas on the human body where Denghuo is contraindicated. If mistakenly applied, death may occur within moments due to lack of rescue. Therefore, special marks must be made to ensure practitioners remain vigilant everywhere. For example, Denghuo must not be mistakenly used on the throat, hypochondrium, eyes, xionwo (heart pit), yaoyan (waist eyes), shaofu (lower abdomen), and umbilicus. However, there is a type of phlegm nodule growing between the skin under the chin, named Dianshi tan (pad-tongue phlegm), and Tieshuanshan (iron gate tie) located on both sides of the throat, which greatly obstructs the throat. Jiaxie tan (hypochondriac phlegm) arises in the xieyan (hypochondriac eye), Chan Yao tan (wrapping-waist phlegm) erupts at the yaoyan, and Xibu Tiegu tan (lower bone-adhering phlegm) often occurs in the Shuxi acupoint (inguinal region), which also affects the xieyan, yaoyan, and shaofu. But these locations are critical points related to Qi gates; only one or two spots on top of the nodule should be burned, while the area around the outside of the nodule, where there are no fixed burning points, should still strictly prohibit fire attacks. One must be vigilant every step of the way and not be negligent, lest healing becomes killing.
Furthermore, when using Denghuo therapy, it should be performed once every seven days, following the principle of "seven days for renewal." It should not be too urgent or too slow; being too late or too hasty is unbeneficial and harmful. The treatment continues until the nodules are completely eliminated. The speed of recovery should be determined based on the severity of the condition. In my treatment of Luoli, patients often lack endurance and persistence, occasionally changing doctors midway. With complex medications, seeking quick results often aggravates the condition, leading to untreatable cases, which is truly regrettable. They do not realize that this disease, if mild, can heal in a few days; if severe, it requires several months to show effect. Patients must adhere to the schedule for external fire therapy and internal decoctions and pills, avoiding excessive haste for recovery.
Additionally, after using fire therapy, all plaster applications can be omitted. Why? Because after using Denghuo, if the sesame oil on the rush wick is not completely clean, blisters may form on the burned skin. Applying plasters on top may cause the skin to ulcerate easily, and acupoints become difficult to identify. Thus, having used Denghuo, plasters become not only useless but harmful. If an ulcerated wound is difficult to heal, one may only lightly burn the ulcerated area with Denghuo, or place Zhenzhu Sha (Pearl Powder) over the ulcer before applying Denghuo. There will surely be no failure in efficacy.