夫瘰 者。经所谓结核是也。或在耳前后。连及颐颔。下连缺盆。皆为瘰 。或在胸及胸之侧。下连两胁。
皆为马刀。手足少阳主之。此经多气少血。故多坚而少软。脓白而稀如泔水状。治者求水清可也。如瘰 生在
别经。临时于铜人内。随其所属经络部分。对证之穴灸之。并根据经内药用之。独形而小者。为结核。续数链接
者。为瘰 。形表如蛤者。为马刀。
治马刀。连翘汤
连翘（二斤） 瞿麦（一斤） 大黄（三两） 甘草（一两）
上 咀一两。水两碗。煎至一盏半。早食后巳时服。在项两边。是属少阳经。服药十余日后。可于临泣穴。
灸二七壮。服药不可住了。至六十日决效。有一方。加大黄。不用甘草。更加贝母五两。雄黄七分。槟榔半两。
同未热水调下三五钱。
治瘰 。文武膏。（桑椹也。）
文武实（二斗黑熟者）
上以布袋取汁。银石器中熬成薄膏。白汤点一匙。日三服。
论曰。手阳明大肠名曰害蜚。（蜚虫也）六元正纪论。阳明又曰司杀府。（手阳明属金）大肠名害蜚。谓
金能害五虫。又曰。司杀府。谓金主杀。既有此二名。何以自生虫。盖谓三焦相火盛。而能制阳明金。故木来
相侮。内经曰。侮谓胜己也。木主生五虫。叔和云。气主生于脾脏旁。大肠疼痛阵难当。渐觉稍泻三焦热。莫漫
多方立纪纲。此言饮酒多食热物。脾生大热。而助三焦气盛。火能生土也。当泻三焦。火热退。使金得气而反
制木。木受制则五虫不生。病自愈矣。
苍术泽泻丸
苍术（四两去皮） 泽泻（二两） 枳实（二两） 地榆（一两） 皂子（二两烧存性）
上为细末。烧饭为丸。桐子大。每服三十丸。食前酒或米饮下。
又方
川乌（炮） 古锻石（等分）
根据前丸服。
淋洗药
天仙子 荆芥 蜀椒 蔓荆子（等分）
上以水煎洗。
黑地黄丸。治痔之圣药也。在虚损门下有方。
所谓瘰疬，就是《内经》所说的“结核”。它可能出现在耳朵前后，牵连到面颊和下颌，向下连接缺盆穴部位，这些都称为瘰疬。也可能出现在胸部及胸侧部，向下连接两胁部，这些称为马刀瘘。手足少阳经主管这些病症。这条经脉多气而少血，所以肿块质地坚硬而柔软者少，脓液白色且稀薄像淘米水一样。治疗时以排出清稀的脓液为愈。如果瘰疬生在别的经络上，临时参照铜人针灸图，根据其所归属的经络部位，选取对应的穴位进行艾灸。同时依据经文使用药物。单独成形且体积小的，称为结核；连续多个链接在一起的，称为瘰疬；形状表面像蛤蜊一样的，称为马刀。
治疗马刀瘘，用连翘汤：
连翘（二斤） 瞿麦（一斤） 大黄（三两） 甘草（一两）
以上药材切碎成粗末，每次取一两，加水两碗，煎煮至一碗半。早饭后的巳时服用。如果在脖子两边发病，属于少阳经。服药十余日后，可以在足临泣穴灸七壮（十四壮）。服药不能中断，到六十天必定见效。有一个方子，加大黄用量，不用甘草，再加贝母五两、雄黄七分、槟榔半两，用温水调服三到五钱。
治疗瘰疬，用文武膏。（由桑椹制成。）
文武实（即黑熟桑椹，二斗）
以上用布袋榨取汁液，在银器或石器中熬制成稀薄的膏状。用白开水冲服一匙，每天三次服用。
论述说：手阳明大肠经被称为“害蜚”（蜚指虫类）。《六元正纪大论》中说，阳明又被称为“司杀府”（手阳明属金）。大肠名为害蜚，意思是金能伤害五种虫类；又说司杀府，意思是金主肃杀。既然有这两个名字，为什么还会自己生出虫子呢？这是因为三焦相火旺盛，能够制约阳明金气，导致木气来反侮（欺凌）。《内经》说：“侮是指凌驾于胜己之气之上。”木主生养五种虫类。王叔和说：“气主要生于脾脏旁边。大肠疼痛阵发难以忍受。逐渐觉得稍微腹泻是三焦有热。不要漫无章法地设立规矩。”这是说饮酒过多、吃热性食物，导致脾脏产生大热，从而助长三焦之气旺盛。火能生土（脾属土）。此时应当泻除三焦之火，火热消退后，使金气得令而反过来制约木气。木气受到制约，则五种虫类不生，病自然痊愈。
苍术泽泻丸：
苍术（四两，去皮） 泽泻（二两） 枳实（二两） 地榆（一两） 皂角子（二两，烧存性）
以上研成细末，用米饭做丸，如梧桐子大小。每次服用三十丸，饭前用酒或米饮送下。
另一个方子：
川乌（炮制） 古锻石（等分）
按照前面的丸药方法服用。
淋洗药方：
天仙子 荆芥 蜀椒 蔓荆子（等分）
以上用水煎煮后清洗患处。
黑地黄丸，是治疗痔疮的神药。在虚损门下已有此方。
Luoli (Scrofula) refers to what the Classics call "tubercles." They may appear around the ears, extending to the cheeks and mandible, and downward connecting to the Quepen (Diquan, SI11) area; these are all called Luoli. They may also appear in the chest and its lateral aspects, extending downward to connect with both hypochondria; these are called Madao (Marine Knife). The Hand-Shaoyang and Foot-Shaoyang meridians govern these conditions. This meridian has abundant Qi but scarce Blood, so the masses are hard rather than soft, and the pus is white, thin, and resembles rice water. Treatment aims at clearing the clear pus. If Luoli occurs in other meridians, one should temporarily consult the Bronze Man acupuncture chart, identify the corresponding acupoints based on the affected meridian's pathway, and apply moxibustion. Medications should also be used according to the Classics. A single, small formation is called a tubercle; multiple linked formations are called Luoli; those with a surface shape resembling a clam are called Madao.
To treat Madao, use Liaoqiao Tang (Forsythia Decoction):
Liaoqiao (Forsythiae Fructus, 2 jin), Qumai (Herba Siegesbeckiae, 1 jin), Dahuang (Radix et Rhizoma Rhei, 3 liang), Gancao (Radix Glycyrrhizae, 1 liang).
Grind the above into coarse powder. Take 1 liang, add two bowls of water, and decoct until one and a half bowls remain. Take after breakfast during the Si hour (9-11 AM). If the condition is on both sides of the neck, it belongs to the Shaoyang meridian. After taking the medicine for more than ten days, apply moxibustion (7 cones, total 14 moxa burns) to the Linqi (Zulinqi, GB41) acupoint. Do not stop taking the medicine; efficacy will be determined within sixty days. Another prescription increases the dose of Dahuang, omits Gancao, and adds Beimu (Fritillariae Bulbus, 5 liang), Xionghuang (Realgar, 7 fen), and Binglang (Arecae Semen, 0.5 liang). Mix with warm water and take 3-5 qian.
To treat Luoli, use Wenwu Gao (Civil and Martial Paste), made from Sangshen (Mori Fructus).
Wenwushi (Black ripe Mori Fructus, 2 dou).
Extract the juice using a cloth bag, and boil it down into a thin paste in silver or ceramic vessels. Take one spoonful mixed with plain boiled water, three times daily.
The discussion states: The Hand-Yangming Large Intestine meridian is named "Hai Fei" (Fei refers to insects). In the *Liuyuan Zhengji Da Lun*, Yangming is also called "Si Sha Fu" (The Mansion of Killing Authority), as the Hand-Yangming corresponds to Metal. The Large Intestine is named Hai Fei, meaning Metal can harm the five types of worms. It is also called Si Sha Fu, meaning Metal governs killing. Given these two names, why would it generate worms internally? This is because the Sanjiao (Triple Burner) Ministerial Fire is excessive, capable of restraining the Yangming Metal, causing Wood to invade (reverse control). The *Neijing* states: "Invade means overcoming that which overcomes oneself." Wood governs the generation of the five worms. He Suhe said: "Qi primarily originates beside the Spleen. Paroxysmal pain in the Large Intestine is unbearable. Gradual slight diarrhea indicates heat in the Sanjiao. Do not arbitrarily establish regulations." This refers to excessive alcohol consumption and eating hot-natured foods, generating intense heat in the Spleen, thereby assisting the exuberance of Sanjiao Qi. Fire generates Earth (Spleen). At this point, one should drain the Sanjiao fire. Once the fire recedes, Metal Qi returns to restrain Wood. When Wood is restrained, the five worms do not generate, and the disease heals itself.
Cangzhu Zexie Wan (Atractylodes and Alisma Pill):
Cangzhu (Rhizoma Atractylodis Macrocephalae, 4 liang, peeled), Zexie (Rhizoma Alismatis, 2 liang), Zhishi (Fructus Aurantii Immaturus, 2 liang), Diyü (Radix Sanguisorbae, 1 liang), Zaozi (Fructus Gleditsiae Sinensis, 2 liang, charred but retaining nature).
Grind into fine powder, make pills with steamed rice, size of Toosun seeds (Cinnamomi Fructus). Take thirty pills before meals, washed down with wine or rice drink.
Another prescription:
Chuanwu (Radix Aconiti Lateralis Preparata, processed), Guduan Shi (Ancient Hammered Stone, equal parts).
Take according to the previous pill method.
Washing Medicine:
Tianxianzi (Fructus Daturae Stramonii), Jingjie (Herba Schizonepetae), Shujiao (Pericarpium Zanthoxyli), Manjingzi (Fructus Viticis Negundo), equal parts.
Decoct in water and wash the affected area.
Hei Dihuang Wan (Black Rehmannia Pill) is the sacred medicine for treating hemorrhoids. There is a prescription for it under the section on Deficiency and Damage.