经曰∶瘤气结核，皆属于热。盖由气郁成火，结滞坚硬，如果之核，不须溃发，气散自消。
结于颈项臂胁，多在皮里膜外。湿痰流注，七情过伤，皆致斯患。妇女常感者，因富贵贫贱多有
郁也。若卧枕动悲苦忿怒乃成。项中不散，则变瘰 ；腋下不消，则为马刀。必宜早治。日积月
累而得，服药亦须久长。最忌鲜猪肉、热毒物。
主方 （项腋结核） 橘红 南星 半夏（并姜制） 枳实 桔梗 羌活 防风 前胡
柴胡 连翘 赤芍药 黄连 蓬术 蔓荆子 木通 甘草（等分） 上加生姜五片，灯心三十枚
，水煎。去枕卧床，患处向下，慢哈
细咽。
散结丸 治结核久不消。兼用围方（见痰门）。
橘红（盐水拌） 赤茯苓 大黄（酒煮） 连翘（各一两） 黄芩（酒炒） 山栀（炒。各
八钱） 半夏曲 桔梗 栝蒌仁 牡蛎（ 、童便淬） 玄参 天粉 僵蚕（洗。各七钱） 甘
草节（四钱）
上为末，水叠丸萝卜子大，每服二钱，卧床白汤下。
滚痰丸 （方见痰门）每服五分，临睡葱盐汤下，常服三分，睡时拌蜜噙。
简便方 僵蚕（炒） 大黄（酒浸） 青黛 胆星各等分为末，蜜丸噙化。
又 蓖麻子（七个，去壳），研烂，纸卷插入鸡子内，纸封固，水浸湿，煨熟；去纸壳，只食
鸡子，每早晚一枚，十日效。或射干磨，酒服效。
《黄帝内经》说：瘤气和结核，都属于热证。这主要是由于气机郁结化火，导致气血凝结阻滞、质地坚硬，就像果核一样，不需要让它溃烂排脓，只要气机疏散，病症自然消除。
结核发生在颈部、项部、手臂和胁肋部位时，多位于皮肤与筋膜之间。湿痰流注体内，以及七情（喜、怒、忧、思、悲、恐、惊）过度损伤，都会导致这种病患。妇女常患此病，是因为无论富贵还是贫贱之人，多有情绪郁结。如果睡觉时枕头不当，加上悲伤痛苦或愤怒，就会形成此病。颈部结核若不消散，就会变成瘰疬；腋下结核若不消除，就会变成马刀（瘰疬的一种）。必须尽早治疗。这种病是日积月累形成的，服药也需要长期坚持。最忌讳吃新鲜猪肉和具有热毒的食物。
主方（针对颈部和腋下的结核）：橘红、南星、半夏（均用姜汁炮制）、枳实、桔梗、羌活、防风、前胡、柴胡、连翘、赤芍药、黄连、蓬术、蔓荆子、木通、甘草（以上药材等量）。上方加入生姜五片、灯心草三十根，用水煎煮。服药时去掉枕头卧床，患处朝下，慢慢哈气并细细咽下汤药。
散结丸：治疗结核日久不消退的情况。同时配合使用围方（见“痰”章节）。
配方：橘红（用盐水拌）、赤茯苓、大黄（用酒煮）、连翘（各一两）、黄芩（用酒炒）、山栀（炒，各八钱）、半夏曲、桔梗、栝蒌仁、牡蛎（煅烧后用童便淬炼）、玄参、天粉（天花粉）、僵蚕（洗净，各七钱）、甘草节（四钱）。
将上述药材研成粉末，用水泛制成如萝卜籽大小的药丸，每次服用二钱，卧床时用白开水送服。
滚痰丸（方剂见“痰”章节）：每次服用五分，临睡前用葱盐汤送服；长期服用则每次三分，睡前含服蜂蜜调和的药丸。
简便方：僵蚕（炒）、大黄（酒浸）、青黛、胆星（天南星加牛胆汁制成），各等分研成粉末，用蜜制成药丸含化。
又一方：蓖麻子（七个，去壳），研烂，用纸卷起插入鸡蛋内，用纸封固，在水中浸泡湿润后煨熟；去掉纸壳，只吃鸡蛋，早晚各一枚，十日见效。或者用射干磨碎，用酒送服也有效。
The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states: Tumors and scrofula-like masses all belong to heat syndromes. This is primarily due to Qi stagnation transforming into fire, causing accumulation and obstruction that becomes hard and firm, resembling a fruit pit. It does not require ulceration or suppuration; once the Qi disperses, the condition resolves spontaneously.
When these masses occur in the neck, nape, arms, and hypochondrium, they are mostly located between the skin and the fascia. The flow of damp-phlegm and excessive injury from the Seven Emotions (Joy, Anger, Worry, Thought, Sorrow, Fear, Fright) can both cause this ailment. Women often suffer from this because, regardless of wealth or poverty, there is much emotional depression. If one sleeps on an improper pillow while experiencing sorrow, distress, or anger, the condition forms. If masses in the neck do not dissipate, they transform into *luoli* (scrofula); if those in the axilla do not resolve, they become *madao* (a type of scrofula). Early treatment is essential. Since this disease accumulates over months and years, medication must be taken for a long duration. One must strictly avoid fresh pork and foods with hot-toxic properties.
Main Formula (for cervical and axillary masses): Juhong (Exocarpium Citri Reticulatae), Nanting (Arisaema Cum Bile), Banxia (Rhizoma Pinelliae Praeparatum with Ginger Juice), Zhishi (Fructus Aurantii Immaturus), Jiegeng (Radix Platycodonis), Qianghuo (Rhizoma et Radix Notopterygii), Fangfeng (Radix Saposhnikoviae), Qianhu (Radix Peucedani), Chaihu (Radix Bupleuri), Lianqiao (Fructus Forsythiae), Chi Shaoyao (Radix Paeoniae Rubra), Huanglian (Rhizoma Coptidis), Pengzhu (Rhizoma Curcumae), Manjingzi (Fructus Viticis), Mutong (Caulis Akebiae), Gancao (Radix Glycyrrhizae). All ingredients are used in equal parts. Add five slices of Shengjiang (Fresh Rhizoma Zingiberis) and thirty stalks of Dengxincao (Papyrus Medulla). Decoct in water. When taking the medicine, lie down without a pillow with the affected area facing downward, slowly inhale the steam, and swallow the decoction carefully.
Sanjie Wan (Scrofula-Resolving Pill): Treats masses that have persisted for a long time without resolving. Also use the Wei Fang (Surrounding Formula) (see the Phlegm section).
Ingredients: Juhong (mixed with salt water), Chifuling (Poria with Hostwood), Dahuang (Radix et Rhizoma Rhei boiled with wine), Lianqiao (each 1 liang), Huangqin (Radix Scutellariae stir-fried with wine), Shanzhi (Fructus Gardeniae stir-fried, each 8 qian), Banxiaqu (Massa Medicata Fermentata Bisce cum Herba), Jiegeng, Gualouren (Semen Trichosanthis), Muli (Concha Ostreae calcined and quenched with child’s urine), Xuanshen (Radix Scrophulariae), Tianfen (Radix Angelicae Dahuricae - note: likely refers to Tianhuafen/Trichosanthes Root here contextually, but literal is Angelica), Jiangcan (Bombyx Batryticatus washed, each 7 qian), Gancaojie (Node of Licorice Root, 4 qian).
Grind the above into powder, make pills using water as a binder, sized like radish seeds. Take 2 qian per dose, swallowing with plain warm water while lying down.
Gutan Wan (Phlegm-Rolling Pill) (Formula see Phlegm section): Take 5 fen per dose, swallowed with green onion and salt water before sleep. For long-term use, take 3 fen, mixed with honey and held in the mouth before sleep.
Simple Formula: Jiangcan (stir-fried), Dahuang (soaked in wine), Qingdai (Indigo Naturalis), Dansheng (Arisaema Cum Bile). Grind equal parts into powder, make pills with honey, and dissolve in the mouth.
Another Method: Use seven Sesamum indicum seeds (Bimazi, remove shell), grind them into a paste, roll in paper, insert into a chicken egg, seal with paper, soak in water until wet, and bake until cooked. Remove the paper shell and eat only the egg. Take one egg morning and evening; effectiveness appears within ten days. Alternatively, grind Shegan (Radix Belamcandae), mix with wine, and take orally; this is also effective.