散肿溃坚汤 治马刀疮，坚硬如石，或在耳下，或至缺盆，或在肩上，或至胁下
，皆
柴胡（四分） 升麻（二分） 龙胆草（酒炒，五分） 连翘（三分） 黄芩（酒炒，八分半）
甘草
，五分） 知母（酒炒，五分） 葛根 黄连 三棱（酒拌微炒） 广木香（各三分） 栝蒌根（五
分） 作一剂，水二钟，煎八分，食后服。
散肿溃坚丸 即散肿溃坚汤，料为末炼蜜丸，如梧桐子大，每服七八十丸，食后
四物汤 治血虚，或发热，及一切血虚之证。
当归（酒拌） 川芎（各一钱五分） 芍药（炒） 生地黄（各一钱） 作一剂，水二钟，煎八
分，食远服。
当归龙荟丸 治瘰 肿痛，或胁下作痛，似有积块，及下疳便痈，小便涩，大便
秘，或瘀血凝滞，小腹作痛。
当归（酒拌） 龙胆草（酒拌炒） 栀子仁（炒） 黄连 青皮 黄芩（各一两） 大黄（酒拌
炒）
服二三十丸，姜汤下。
分心气饮 治七情郁结，胸膈不利，或胁肋虚胀，噎塞不通，或噫气吞酸，呕秽
恶心，
虚痞。
木通 赤芍药 赤茯苓 官桂 半夏（姜制） 桑白皮（炒） 大腹皮 陈皮（去白） 青皮
（去
茎，煎八分，食远服。
四七汤（方见流注门）
生地黄丸 许白云学士云∶有一师尼，患恶风体倦，乍寒乍热，面赤心烦，或时
是时疫气大行，医见寒热，作伤寒治之，大、小柴胡汤杂进，数日病剧。余诊视之曰∶三部
无寒邪脉，但厥阴肝脉，弦长而上鱼际，宜用抑阴之药。遂用此方，治之而愈。
生地黄（一两，酒拌捣膏） 秦艽 黄芩 硬柴胡（各五钱） 赤芍药（一两） 为细末，入
地黄膏，加炼蜜少许，丸梧子大。每服三十丸，乌梅煎汤下，日二三服。
方脉流气饮（方见流注门）
遇仙无比丸 治瘰 未成脓，其人气体如常，宜服此丸。形气觉衰者，宜先服
益气养荣
亦宜服此丸。敛后，再服前汤。
白术（炒） 槟榔 防风 黑牵牛（半生半炒） 密陀僧 郁李仁（汤泡去皮） 斑蝥（去翅
足，
甘草槟榔汤下。服至月许，觉腹中微痛，自小便中，取下 毒，如鱼目状，已破者自合，未
脓者自消。
必效散 治瘰 ，未成脓自消，已溃者自敛，如核未去更以针头散腐之。若气血
虚
）。
南鹏砂（二钱五分） 轻粉（一钱） 斑蝥（四十个，糯米同炒熟，去头翅） 麝香（五分） 巴豆
（五粒，去壳心膜） 白槟榔（一个） 上为细末，每服一钱，壮实者钱半，五更用滚汤调下。
如小水涩滞，或微痛，此 毒欲下也，进益元散一服，其毒即下。此方斑蝥、巴豆似为峻利
，然用巴豆，乃解斑蝥之毒，用者勿畏。余京师遇一富商，项有瘰痕一片颇大，询其由，彼
云∶因怒而致，困苦二年，百法不应。忽有方士与药一服，即退二三，再服烦退，四服而平
，旬日而痊。以重礼求之，乃是必效散，修合济人，无有不效。又有一老媪，亦治此症，
索重价，始肯医治。其方法∶乃是中品锭子， 疮内，以膏药贴之，其根自腐，未尽再用，
去尽更搽生肌药，数日即愈，人多异之。余见其治气血不虚者果验，若气血虚者，虽溃去，
亦不愈。丹溪亦云∶必效散与神效栝蒌散，相兼服之，有神效。常以二药兼补剂用之效，故
录之。按锭子虽峻利，亦是一法，盖结核坚硬，非此未见易腐。必效散内有斑蝥，虽亦峻利
，然 毒之深者，非此药莫能易解，又有巴豆解其毒，所以 毒之深者，宜用之。但气血虚
者，用之恐有误。又一道人治此证，用鸡子七个，每个入斑蝥一枚，饭上蒸熟，每日空心食
一枚。求者甚多，考之各书瘰 门及本草亦云。然气血虚者，恐不能治也。
三品锭子
上品∶去十八种痔。
白明矾（二两） 白砒（一两零五分） 乳香（三钱五分） 没药（三钱五分） 牛黄（三钱）
中品∶去五漏，及翻花瘤，气核。
白明矾（二两） 白砒（一两五钱） 乳香 没药（各三钱） 牛黄（二钱）
下品∶治瘰 、气核、疔疮、发背、脑疽诸恶证。
白明矾（二两） 白砒（一两五钱） 乳香（二钱五分） 没药（二钱五分） 牛黄（三分）
先将砒末入紫泥罐内，次用矾末盖之，以炭灰 令烟尽，取出研极细末，用糯米糊和为
梃子
调搽，干上亦可。
益元散
滑石（ ，六两） 甘草（炙，二两） 上各另为末，和蜜，每服二钱，热汤、冷水任下。
逍遥散 治妇人血虚，五心烦热，肢体疼痛，头目昏重，心忪颊赤，口燥咽干，
发热盗
痰嗽潮热，肌体羸瘦，渐成骨蒸。
当归（酒拌） 芍药 茯苓 白术（炒） 柴胡（各一钱） 甘草（七分） 作一剂，水二钟，
煎八分，食远服。
补中益气汤（方见溃疡发热门）
治血分椒仁丸
椒仁 甘遂 续随子（去皮，研） 附子 郁李仁 黑牵牛 当归 五灵脂（碎研） 吴茱
萸
用） 斑蝥（十个，糯米炒黄，去米不用） 胆矾（一钱） 人言（一钱） 为末，面糊为丸，如
豌豆大。每服一丸，橘皮汤下。
此方药虽峻利，所用不多，若畏而不服，有养病害身之患，常治虚弱之人，用之亦未见
其有
用心精密，药岂轻用者，慎勿疑畏。
治水分葶苈丸
葶苈（炒，另研） 续随子（去壳，各半两，研） 干笋末（一两） 为末，枣肉丸，如梧子
大，每服七丸，煎匾竹汤下。如大便利者，减续随子、葶苈各一钱，加白术五钱。
又方∶治经脉不利即为水，水流走四肢，悉皆肿满，名曰血分。其候与水相类，医作水
治之非也，宜用此方。
人参 当归 大黄（湿纸裹，三斗米下，蒸米熟，去纸，切炒） 桂心 瞿麦穗 赤芍药
白
二三十丸，见《养生必用方》。
柏子仁丸 治月经短少，渐至不通，手足骨肉烦疼，日渐羸瘦，渐生潮热，其脉
微数。
通之，宜柏子仁丸、泽兰汤主之。
柏子仁（炒、研） 牛膝（酒拌） 卷柏（各半两） 泽兰叶 续断（各二两） 熟地黄（用生
者，
心米饮下。
泽兰汤 治证同前。
泽兰叶（三两） 当归（酒拌） 芍药（炒，各一两） 甘草（五钱） 为粗末，每服五钱，水
二钟，煎至一钟，去滓温服。
托里养荣汤 治瘰 流注，及一切不足之证。不作脓，或不溃，或溃后发热，或
恶寒，肌肉消瘦，饮食少思，睡眠不宁，盗汗不止。
人参 黄 （炙） 当归（酒拌） 川芎 芍药（炒） 白术（炒，各一钱） 五味子（炒、研）
麦
姜三片，枣一枚，煎八分，食远服。
琥珀膏 治颈项瘰 ，及腋下初如梅子，肿结硬强，渐若连珠，不消不溃，或溃
而脓水不绝，经久不瘥，渐成漏证。
琥珀（一两） 木通 桂心 当归 白芷 防风 松脂 朱砂（研） 木鳖子（肉，各五钱）
麻
以油二斤四两浸七日，入铛中，慢火煎，白芷焦黄漉出，徐下黄丹一斤，以柳条不住手搅，
煎
，贴之。
散肿溃坚汤：治疗马刀疮（瘰疬的一种，生于腋下或颈侧，形如马刀），肿块坚硬如石头，位置或在耳下，或延伸至缺盆（锁骨上窝），或在肩上，或至胁下。
处方组成：柴胡（四分）、升麻（二分）、龙胆草（用酒炒制，五分）、连翘（三分）、黄芩（用酒炒制，八分半）、甘草（五分）、知母（用酒炒制，五分）、葛根、黄连、三棱（用酒拌微炒）、广木香（各三分）、栝蒌根（瓜蒌根，五分）。
用法：以上为一剂药量，加水两钟（古代容量单位），煎煮至剩余八分，饭后服用。
散肿溃坚丸：即散肿溃坚汤的药方，将药物研为细末，炼蜜为丸，大小如梧桐子大。每次服用七八十丸，饭后服用。
四物汤：治疗血虚证，或伴有发热，以及一切属于血虚的病症。
处方组成：当归（用酒拌）、川芎（各一钱五分）、芍药（炒制）、生地黄（各一钱）。
用法：以上为一剂药量，加水两钟，煎煮至剩余八分，在离吃饭较远的时间服用（空腹或饭前）。
当归龙荟丸：治疗瘰疬肿痛，或胁下疼痛，感觉有积块，以及下疳（生殖器溃疡）便痈（肛门周围脓肿），小便涩痛不畅，大便便秘，或有瘀血凝滞导致小腹疼痛。
处方组成：当归（用酒拌）、龙胆草（用酒拌炒）、栀子仁（炒制）、黄连、青皮、黄芩（各一两）、大黄（用酒拌炒）。
用法：制成丸药，每次服用二三十丸，用姜汤送服。
分心气饮：治疗七情（喜、怒、忧、思、悲、恐、惊）郁结导致的胸膈部不适，或胁肋部虚胀，噎塞不通，或嗳气吞酸，呕吐秽浊之物伴恶心，以及因虚导致的痞满。
处方组成：木通、赤芍药、赤茯苓、官桂（肉桂）、半夏（用姜制）、桑白皮（炒制）、大腹皮、陈皮（去白）、青皮（去白）、甘草、生姜、葱白。
用法：切碎，加水煎煮至剩余八分，在离吃饭较远的时间服用。
生地黄丸：许白云学士曾说：有一位尼姑，患有怕风、身体疲倦，忽冷忽热，面红心烦，有时出现这些症状。当时正值时疫之气盛行，医生见到寒热症状，当作伤寒治疗，混用了大、小柴胡汤，几天后病情加重。我诊察后说：三部脉象没有寒邪的表现，只有厥阴肝脉呈现弦长且向上延伸至鱼际部的特征，适宜使用滋阴抑阳的药物。于是使用此方治疗，痊愈了。
处方组成：生地黄（一两，用酒拌捣成膏）、秦艽、黄芩、硬柴胡（各五钱）、赤芍药（一两）。
用法：研为细末，加入地黄膏，加少许炼蜜，制成梧桐子大小的丸药。每次服用三十丸，用乌梅煎汤送服，每日二三次。
遇仙无比丸：治疗瘰疬尚未化脓，患者体质气息如常者，适宜服用此丸。若形体气息显得衰弱者，适宜先服用益气养荣汤（补益气血的方剂），待正气恢复后再服用此丸。溃破收敛后，再服用前面的汤剂。
处方组成：白术（炒制）、槟榔、防风、黑牵牛（一半生用，一半炒制）、密陀僧、郁李仁（用热水泡去皮）、斑蝥（去掉翅足，糯米同炒）、甘草、槟榔。
用法：以槟榔甘草汤送服。服用约一个月左右，感觉腹部轻微疼痛，从小便中排出毒物，形状像鱼眼睛一样。已经破溃的会自然愈合，未化脓的会自行消散。
必效散：治疗瘰疬，未化脓的可自行消退，已溃破的可自行收敛。如果核团未去除，再用针头散腐蚀腐肉。若气血虚弱者慎用（原文此处似有省略，意指气血虚者不宜单用峻剂）。
处方组成：南鹏砂（二钱五分）、轻粉（一钱）、斑蝥（四十个，与糯米同炒熟，去掉头翅）、麝香（五分）、巴豆（五粒，去掉壳、心及内膜）、白槟榔（一个）。
用法：以上研为细末。每次服用一钱，体质壮实者服用一钱半。在五更天（凌晨3-5点）用滚开水调服。如果小便涩滞或轻微疼痛，这是毒物欲排出的征兆，再进服一次益元散，毒物即可排出。此方中斑蝥、巴豆看似峻烈，但使用巴豆是为了化解斑蝥的毒性，使用者不必畏惧。我在京城遇到一位富商，颈部有一大片瘰疬瘢痕，询问病因，他说因愤怒所致，痛苦两年，各种方法都无效。忽然有位方士给了一服药，立刻退去二三成，再服烦热退去，服四次后平复，十天痊愈。他用重礼求取此方，原来是必效散，配制济人，无有不效。又有一位老妇人，也治此症，索要高价才肯医治。其方法是：使用中品锭子，放入疮口内，用膏药贴敷，根部自然腐烂，未尽再用，去尽后更搽生肌药，数日即愈，人们对此感到惊奇。我见其治疗气血不虚的患者果然有效，若气血虚者，虽然溃破去腐，也不能痊愈。丹溪也说：必效散与神效栝蒌散，配合服用，有神奇疗效。我经常将这两种药兼补剂一起使用，效果显著，所以记录下来。按语：锭子虽峻烈，也是一种方法，因为结核坚硬，不用此法未见容易腐烂。必效散内有斑蝥，虽也峻烈，但对于毒邪深重的情况，非此药不能轻易化解，又有巴豆解其毒，所以毒邪深重者宜用之。但气血虚者，使用恐怕有误。还有一位道人治疗此证，用鸡蛋七个，每个放入一枚斑蝥，在饭上蒸熟，每天空腹吃一枚。求方的人很多，考证各书瘰疬门及本草也有记载。然而气血虚者，恐怕不能治愈。
三品锭子：
上品：去除十八种痔疮。
配方：白明矾（二两）、白砒（一两零五分）、乳香（三钱五分）、没药（三钱五分）、牛黄（三钱）。
中品：去除五漏，及翻花瘤、气核。
配方：白明矾（二两）、白砒（一两五钱）、乳香、没药（各三钱）、牛黄（二钱）。
下品：治疗瘰疬、气核、疔疮、发背、脑疽等各种恶证。
配方：白明矾（二两）、白砒（一两五钱）、乳香（二钱五分）、没药（二钱五分）、牛黄（三分）。
制法：先将砒末放入紫泥罐内，其次用矾末覆盖，用炭灰熏烤直至烟尽，取出研成极细末，用糯米糊调和做成梃子（棒状制剂）。
用法：调匀搽涂，干燥状态下也可使用。
益元散：
配方：滑石（六两，原文有缺字，通常指飞滑石）、甘草（炙制，二两）。
用法：以上分别研为细末，混合蜂蜜，每次服用二钱，热汤或冷水任便送服。
逍遥散：治疗妇女血虚，五心烦热（手心、脚心及心胸烦热），肢体疼痛，头目昏重，心悸脸颊发红，口燥咽干，发热盗汗，痰嗽潮热，身体消瘦，逐渐形成骨蒸劳热。
处方组成：当归（用酒拌）、芍药、茯苓、白术（炒制）、柴胡（各一钱）、甘草（七分）。
用法：以上为一剂药量，加水两钟，煎煮至剩余八分，在离吃饭较远的时间服用。
治血分椒仁丸：
配方：椒仁、甘遂、续随子（去皮，研碎）、附子、郁李仁、黑牵牛、当归、五灵脂（碎研）、吴茱萸（用酒浸）、斑蝥（十个，糯米炒黄，去掉米不用）、胆矾（一钱）、人言（砒霜，一钱）。
用法：研为细末，用面糊制成丸药，大小如豌豆。每次服用一丸，橘皮汤送服。
按语：此方药物虽峻烈，但用量不多。若因畏惧而不服用，会有养虎为患损害身体的隐患。常用于治疗虚弱之人，也未见其有副作用。用药用心精密，岂能轻易使用？切勿怀疑畏惧。
治水分葶苈丸：
配方：葶苈子（炒制，另研）、续随子（去壳，各半两，研碎）、干笋末（一两）。
用法：研为细末，用枣肉制成丸药，大小如梧桐子。每次服用七丸，煎匾竹汤送服。如果大便通畅者，减少续随子、葶苈子各一钱，增加白术五钱。
又方：治疗经脉不利即为水湿，水流走窜四肢，全部肿胀，名为血分。其症状与水病相似，医生误作水病治疗是不对的，适宜用此方。
配方：人参、当归、大黄（用湿纸包裹，与三斗米同蒸，米熟后去掉纸，切片炒制）、桂心、瞿麦穗、赤芍药、白...（原文此处截断，推测为白术或其他药）、...二三十丸，见《养生必用方》。
柏子仁丸：治疗月经量少，逐渐至闭经，手足骨肉烦疼，日渐消瘦，逐渐产生潮热，脉象微数。
治法：宜用柏子仁丸、泽兰汤主治。
处方组成：柏子仁（炒、研）、牛膝（用酒拌）、卷柏（各半两）、泽兰叶、续断（各二两）、熟地黄（用生者...原文此处可能有误，熟地通常由生地加工而来，此处可能指特定炮制或原文笔误，依原文译）、...心米饮下（原文可能有缺字，通常为辰砂末或特定引经药，依原文保留）。
泽兰汤：治疗证候同上。
处方组成：泽兰叶（三两）、当归（用酒拌）、芍药（炒制，各一两）、甘草（五钱）。
用法：研为粗末，每次服用五钱，加水两钟，煎至一钟，去渣温服。
托里养荣汤：治疗瘰疬流注，以及一切正气不足的证候。表现为不作脓，或不溃破，或溃破后发热，或恶寒，肌肉消瘦，饮食少思，睡眠不宁，盗汗不止。
处方组成：人参、黄芪（炙制）、当归（用酒拌）、川芎、芍药（炒制）、白术（炒制，各一钱）、五味子（炒、研）、麦冬...（原文此处截断，通常为麦冬等养阴药）、生姜三片，大枣一枚。
用法：加水煎煮至剩余八分，在离吃饭较远的时间服用。
琥珀膏：治疗颈部瘰疬，以及腋下初起如梅子大小，肿结硬强，逐渐如连珠状，不消不溃，或溃破后脓水不绝，经久不愈，逐渐形成漏证。
处方组成：琥珀（一两）、木通、桂心、当归、白芷、防风、松脂、朱砂（研碎）、木鳖子（肉，各五钱）、麻...（原文此处截断，通常为芝麻或麻油等基质）。
制法：用油二斤四两浸泡七日，放入铛中，用慢火煎炸，待白芷焦黄时捞出，慢慢加入黄丹一斤，用柳条不停搅拌，煎至...（原文截断，通常为滴水成珠），贴敷患处。
Sanzhong Kuijian Decoction (Swelling-Reducing and Hardness-Resolving Decoction): Treats Machang Chuang (a type of scrofula occurring in the axilla or neck, shaped like a machete), where the mass is hard as stone. It may be located below the ear, extend to the Keyuan (supraclavicular fossa), on the shoulder, or under the hypochondrium.
Ingredients: Chaihu (Bupleuri Radix, 4 fen), Shengma (Cimicifugae Rhizoma, 2 fen), Longdancao (Gentianae Radix, wine-fried, 5 fen), Lqiao (Forsythiae Fructus, 3 fen), Huangqin (Scutellariae Radix, wine-fried, 8.5 fen), Gancao (Glycyrrhizae Radix et Rhizoma, 5 fen), Zhimu (Anemarrhenae Rhizoma, wine-fried, 5 fen), Gegen (Puerariae Radix), Huanglian (Coptidis Rhizoma), Sanleng (Sparganii Rhizoma, wine-mixed and lightly fried), Guangmuxiang (Costi Radix, each 3 fen), Gualougen (Trichosanthis Radix, 5 fen).
Usage: This constitutes one dose. Add two zhong of water, decoct until eight parts remain, and take after meals.
Sanzhong Kuijian Pill: Consists of the ingredients of Sanzhong Kuijian Decoction, ground into fine powder, mixed with refined honey to form pills the size of paulownia seeds. Take 70–80 pills per dose after meals.
Siwu Tang (Four Substance Decoction): Treats Blood Deficiency, fever associated with blood deficiency, and all conditions characterized by Blood Deficiency.
Ingredients: Danggui (Angelicae Sinensis Radix, wine-mixed), Chuanxiong (Ligustici Chuanxiong Rhizoma, each 1.5 qian), Shaoyao (Paeoniae Radix, fried), Shengdihuang (Rehmanniae Radix Recens, each 1 qian).
Usage: One dose. Add two zhong of water, decoct until eight parts remain, and take far from mealtime (on an empty stomach).
Danggui Longhui Wan (Angelica and Gardenia Pill): Treats painful swelling of scrofula, pain in the hypochondrium with a sensation of accumulation, Xiagan (chancre) and Bianyong (perianal abscess), dysuria with astringency, constipation, blood stasis causing lower abdominal pain.
Ingredients: Danggui (Angelicae Sinensis Radix, wine-mixed), Longdancao (Gentianae Radix, wine-mixed and fried), Zhizi Ren (Gardeniae Semen, fried), Huanglian (Coptidis Rhizoma), Qingpi (Citri Reticulatae Pericarpium Viride), Huangqin (Scutellariae Radix, each 1 liang), Dahuang (Rhei Radix et Rhizoma, wine-mixed and fried).
Usage: Form into pills. Take 20–30 pills per dose, washed down with ginger soup.
Fenxin Qi Yin (Cardiac-Qi Separating Infusion): Treats stagnation of the Seven Emotions leading to chest and diaphragm discomfort, false distension of the hypochondrium, choking and obstruction, belching with acid regurgitation, vomiting of foul matter with nausea, and deficiency-type epigastric fullness.
Ingredients: Mutong (Akebiae Caulis), Chi Shaoyao (Paeoniae Radix Rubra), Chi Fuling (Poria with Pink Host, Poria Cum Rosa), Guanzi Gui (Cinnamomi Cortex), Banxia (Pinelliae Rhizoma, ginger-processed), Sangbaipi (Mori Cortex, fried), Dafupi (Arecae Pericarpium), Chenpi (Citri Reticulatae Pericarpium, white part removed), Qingpi (Citri Reticulatae Pericarpium Viride, white part removed), Gancao (Glycyrrhizae Radix et Rhizoma), Shengjiang (Zingiberis Rhizoma Recens), Congbai (Allii Fistulosi Bulbus).
Usage: Coarsely chop, add water, decoct until eight parts remain, and take far from mealtime.
Siqi Tang (Seven-Character Decoction): (See the "Liuzhu" chapter for the formula.)
Shengdihuang Wan (Rehmannia Pill): Scholar Xu Baiyun stated: A nun suffered from aversion to wind, fatigue, alternating chills and fever, facial flushing, and mental restlessness. At that time, an epidemic was prevalent. Physicians treated her chills and fever as Taiyang disease (Cold Damage), administering Da Xiaochaihu Tang and Xiao Chaihu Tang indiscriminately. After several days, her condition worsened. I examined her pulse and said: The pulses in the three positions show no signs of pathogenic cold; only the Jueyin Liver pulse is wiry, long, and extending toward the Yuji area. She requires yin-nourishing and yang-suppressing herbs. I prescribed this formula, and she recovered.
Ingredients: Shengdihuang (Rehmanniae Radix Recens, 1 liang, wine-mixed and pounded into paste), Qinjiao (Gentianae Macrophyllae Radix), Huangqin (Scutellariae Radix), Yingschaihu (Bupleuri Radix, hard variety, each 5 qian), Chi Shaoyao (Paeoniae Radix Rubra, 1 liang).
Usage: Grind into fine powder, mix with Rehmannia paste and a little refined honey to form pills the size of paulownia seeds. Take 30 pills per dose, washed down with sour plum decoction, two to three times daily.
Fangmai Liuqi Yin (Pulse-Qi Circulating Infusion): (See the "Liuzhu" chapter for the formula.)
Yuxian Wubi Wan (Immortal Peerless Pill): Treats scrofula that has not yet suppurated, in patients whose vital qi is normal. If the patient's constitution appears weak, it is advisable to first administer Yiqi Yangrong Tang (Qi-Nourishing and Blood-Nourishing Decoction) to restore strength before taking this pill. After the ulcer heals and closes, resume the previous decoction.
Ingredients: Baizhu (Atractylodis Macrocephalae Rhizoma, fried), Binglang (Arecae Semen), Fangfeng (Saposhnikoviae Radix), Heiqianniu (Pharbitidis Semen, half raw, half fried), Mituoseng (Electrotum), Yuliren (Pruni Semen, soaked in water and skin removed), Bantao (Mylabris, wings and feet removed, stir-fried with rice), Gancao (Glycyrrhizae Radix et Rhizoma), Binglang (Arecae Semen).
Usage: Wash down with Binglang Gancao Tang (Areca and Licorice Decoction). After about a month of use, if mild abdominal pain is felt and fish-eye-like toxic matter is passed via urine, healing occurs. Existing ulcers will heal naturally; non-suppurated nodules will resolve spontaneously.
Bixiao San (Highly Effective Powder): Treats scrofula; un-suppurated nodules may resolve spontaneously, and ulcers may close. If nodules persist, use Zhentou San to cauterize necrotic tissue. Use with caution in cases of Qi and Blood Deficiency.
Ingredients: Nanpengsha (South Peng Sand, 2.5 qian), Qingfen (Calomelas, 1 qian), Bantao (Mylabris, 40 insects, stir-fried with sticky rice until cooked, heads and wings removed), Shexiang (Moschus, 5 fen), Badou (Crotonis Fructus, 5 seeds, shell, core, and membrane removed), Bai Binglang (White Areca Seed, 1 piece).
Usage: Grind into fine powder. Take 1 qian per dose (1.5 qian for robust individuals). Mix with boiling water and take at wugeng (early morning, 3–5 AM). If urination is obstructed or slightly painful, this indicates the toxin is being expelled; administer Yi Yuan San once more to facilitate expulsion. Although Bantao and Badou are harsh, Badou neutralizes the toxicity of Bantao; users need not fear. I met a wealthy merchant in the capital with a large patch of scrofula scars on his neck. He attributed it to anger and had suffered for two years without success. A practitioner gave him one dose of this formula, reducing symptoms by 20–30%; after four doses, he was flat, and cured within ten days. He sought the formula heavily, which turned out to be Bixiao San. Another elderly woman used a medium-grade Dingzi (plug) inserted into the wound, covered with a plaster, causing the root to rot. Once removed, she applied flesh-regenerating medicine, curing her in days. I observed this method effective for those with sufficient Qi and Blood, but ineffective for those with Deficiency. Danxi noted that combining Bixiao Shen with Shenxiao Gualou San yields miraculous results. I often use them with tonics with great effect, hence recording them. Note: Although Dingzi is harsh, it is necessary for hard tubercles. Bixiao San contains Bantao, which is harsh, but combined with Badou to mitigate toxicity, making it suitable for deep-seated toxins. However, it should be avoided in Qi and Blood Deficiency. Another Daoist treated this with seven eggs, each containing one Bantao, steamed and eaten fasting. This method is recorded in various texts but is unsuitable for deficient patients.
Sanpin Dingzi (Three-Grade Plugs):
Top Grade: Removes eighteen types of hemorrhoids.
Ingredients: Baimingfan (Alumen, 2 liang), Baibi (Realgar/Orpiment variant, 1 liang 5 fen), Ruxiang (Olibanum, 3.5 qian), Moyao (Myrrha, 3.5 qian), Niuhuang (Calculus Bovis, 3 qian).
Middle Grade: Removes five types of fistulas, Fanhualiu (fungating tumors), and Qihe (gas nodules).
Ingredients: Baimingfan (Alumen, 2 liang), Baibi (Realgar/Orpiment variant, 1 liang 5 qian), Ruxiang (Olibanum, 3 qian), Moyao (Myrrha, 3 qian), Niuhuang (Calculus Bovis, 2 qian).
Bottom Grade: Treats scrofula, Qihe, Dingchuang (carbuncle), Fabei (back carbuncle), Naoju (brain furuncle), and other malignant conditions.
Ingredients: Baimingfan (Alumen, 2 liang), Baibi (Realgar/Orpiment variant, 1 liang 5 qian), Ruxiang (Olibanum, 2.5 qian), Moyao (Myrrha, 2.5 qian), Niuhuang (Calculus Bovis, 3 fen).
Preparation: Place Baibi powder in a purple clay jar, cover with Mingfan powder, smoke with charcoal ash until smoke ceases, remove, grind to ultra-fine powder, and mix with rice paste to form plug shapes.
Usage: Apply topically; can be used dry.
Yiyuan San (Benefit Element Powder):
Ingredients: Huashi (Talcum, 6 liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-roasted, 2 liang).
Usage: Grind separately, mix with honey. Take 2 qian per dose, with hot or cold water as preferred.
Xiaoyao San (Free and Easy Wanderer Powder): Treats women with Blood Deficiency presenting with five-palm heat, limb pain, heavy head and dizzy eyes, palpitations with flushed cheeks, dry mouth and throat, fever with night sweats, phlegm-cough with tidal fever, emaciation, and gradual development of bone-steaming consumption.
Ingredients: Danggui (Angelicae Sinensis Radix, wine-mixed), Shaoyao (Paeoniae Radix), Fuling (Poria), Baizhu (Atractylodis Macrocephalae Rhizoma, fried), Chaihu (Bupleuri Radix, each 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma, 7 fen).
Usage: One dose. Add two zhong of water, decoct until eight parts remain, and take far from mealtime.
Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction): (See the "Ulcer with Fever" chapter for the formula.)
Zhi Xuefen Jiaoren Wan (Treat Blood-Section Pepper Kernel Pill):
Ingredients: Jiaoren (Zanthoxyli Semen), Gansui (Kansui Radix), Xuisui Zi (Crotonis Fructus, peeled and ground), Fuzi (Aconiti Lateralis Radix Preparata), Yuliren (Pruni Semen), Heiqianniu (Pharbitidis Semen), Danggui (Angelicae Sinensis Radix), Wulingzhi (Trogopterori Faeces, crushed), Wuzhuyu (Evodiae Fructus, wine-soaked), Bantao (Mylabris, 10 insects, stir-fried with rice until yellow, rice discarded), Danfan (Chalcanthite, 1 qian), Renyan (Arsenic Trioxide, 1 qian).
Usage: Grind into powder, bind with wheat paste to form pills the size of peas. Take one pill per dose, washed down with tangerine peel decoction.
Note: Although these herbs are harsh, the dosage is small. Refusal to take them due to fear may lead to worsening the disease. Used cautiously in weak patients without adverse effects. Precision in prescription is key; do not hesitate.
Zhi Shuifen Tingli Wan (Treat Water-Section Lepidium Pill):
Ingredients: Tingli (Descurainiae Semen seu Lepidii, fried, ground separately), Xuisui Zi (Crotonis Fructus, shelled, each half liang, ground), Gansunmo (Dried Bamboo Shoot Powder, 1 liang).
Usage: Grind into powder, bind with jujube paste to form pills the size of paulownia seeds. Take seven pills per dose, washed down with Bianzhu Tang (Bamboo Leaf Decoction). If stool is loose, reduce Xuisui Zi and Tingli by 1 qian each, and add Baizhu (5 qian).
Alternative Formula: Treats fluid retention due to meridian obstruction, where water flows to limbs causing generalized edema, termed Blood Section. Symptoms mimic Water Disease, but misdiagnosis as Water Disease is incorrect; use this formula.
Ingredients: Renshen (Ginseng Radix), Danggui (Angelicae Sinensis Radix), Dahuang (Rhei Radix et Rhizoma, wrapped in wet paper and steamed with three dou of rice until ripe, paper removed, sliced and fried), Guixin (Cinnamomi Ramulus), Qumai (Polygoni Avicularis Herba), Chi Shaoyao (Paeoniae Radix Rubra)... (Text cuts off). See "Yangsheng Biyong Fang" for details on forming 20–30 pills.
Baiziren Wan (Biota Seed Pill): Treats scanty menstruation progressing to amenorrhea, irritability and pain in limbs and bones, progressive emaciation, tidal fever, and a slightly rapid pulse.
Treatment: Use Baiziren Wan and Zelan Tang.
Ingredients: Baiziren (Biota Semen, fried and ground), Niuxi (Achyranthis Bidentatae Radix, wine-mixed), Juanbai (Selaginellae Herba, each half liang), Zelan Ye (Leonuri Herba), Xuduan (Dipsaci Radix, each 2 liang), Shudihuang (Rehmanniae Radix Preparata, using fresh... text error likely, usually prepared)... (Text cuts off). Wash down with Xinmi Yin (Heart Rice Drink).
Zelan Tang (Leonurus Decoction): Treats the same conditions as above.
Ingredients: Zelan Ye (Leonuri Herba, 3 liang), Danggui (Angelicae Sinensis Radix, wine-mixed), Shaoyao (Paeoniae Radix, fried, each 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 5 qian).
Usage: Coarsely crush. Take 5 qian per dose, add two zhong of water, decoct to one zhong, strain, and take warm.
Tuoli Yangrong Tang (Support Interior and Nourish Glory Decoction): Treats scrofula and Liuzhu (flowing nodes), and all deficiency syndromes. Manifestations include failure to suppurate, failure to ulcerate, fever after ulceration, aversion to cold, muscle emaciation, poor appetite, restless sleep, and incessant night sweats.
Ingredients: Renshen (Ginseng Radix), Huangqi (Astragali Radix, honey-roasted), Danggui (Angelicae Sinensis Radix, wine-mixed), Chuanxiong (Ligustici Chuanxiong Rhizoma), Shaoyao (Paeoniae Radix, fried), Baizhu (Atractylodis Macrocephalae Rhizoma, fried, each 1 qian), Wuweizi (Schisandrae Fructus, fried and ground), Maidong (Ophiopogonis Tuber)... (Text cuts off), Shengjiang (Zingiberis Rhizoma Recens, 3 slices), Dazao (Jujubae Fructus, 1 piece).
Usage: Add water, decoct until eight parts remain, and take far from mealtime.
Hupo Gao (Amber Ointment): Treats cervical scrofula and axillary lumps initially the size of a plum, hard and swollen, gradually becoming bead-like, failing to resolve or ulcerate, or ulcerating with continuous pus discharge, leading to chronic fistulas.
Ingredients: Hupo (Amber, 1 liang), Mutong (Akebiae Caulis), Guixin (Cinnamomi Ramulus), Danggui (Angelicae Sinensis Radix), Baizhi (Angelicae Dahuricae Radix), Fangfeng (Saposhnikoviae Radix), Songzhi (Pini Resina), Zhusha (Cinnabar, ground), Miebiezi (Strychni Semen, flesh only, each 5 qian), Ma... (Text cuts off, likely Sesame or Hemp oil base).
Preparation: Soak in 2 jin 4 liang of oil for seven days. Boil in a pan over slow fire. Remove Baizhi when scorched yellow. Slowly add 1 jin of Huangdan (Lead Monoxide). Stir continuously with a willow twig until... (Text cuts off, typically until it forms a consistent ointment consistency). Apply externally.