亏损，疏泄失职也；其瘰 肿大，肝火郁结不舒也。乃以养荣汤，内加肉桂，月余已有痊意。更以前
方佐归脾养心，二方消息守服，三月而愈。
周汉卿治钱塘王氏女，生瘰 ，环头及腋凡十九窍，窍破白沈出，将死矣。汉卿为剔窍贯深二寸，
其余烙以火，（灸之也。）数日结痂愈。（《明史》）
张子和治一妇人，病瘰 ，延及胸臆，皆成大疮相连，无好皮肉。张曰∶火淫所胜，治以咸寒。
命以沧咸吐之，一吐而着痂。再用凉膈散、解毒汤等剂，皮肉乃复如初。
灸瘰 ，以手仰置肩上，微举肘，取肘骨尖上是穴，随所患处，左即灸左，右即灸右，艾炷如小
筋头许，三壮即愈。复作即再灸如前，不过三次，永绝根本。先 汤寿资宰钟离，有一小鬟，病疮已
破，传此法于本州一漕官，早灸，晚间脓水已干，凡两灸遂无恙。后屡以治人皆验。骆安之妻患四五
年，疮痂如田螺，靥不破退，辰时着艾，申后即落。所感颇深，凡三作三灸，遂除安矣。
薛立斋治一男子，素嗜欲且劳神，恶热喜冷，仲冬始衣绵，乃患瘰 ，脉洪大无力，曰∶此阴气
耗散，阳无所附，阳气浮散于外而恶热也。败毒散加芩、连、山栀，服四剂少愈。再以四物汤加芩、
连、白芷、桔梗根、甘草、金银花，数剂而消。（雄按∶既云此脉为阴耗阳浮，何以第十三条主以补
中益气耶？此用败毒，亦系发表太过也。）
缪仲淳治朱文学 患 ，为灸肩井、肘尖两穴，各数壮而愈。（《广笔记》）
薛立斋治一妇人，患瘰 ，延至胸腋，脓水淋漓，日久五心烦热，肢体疼痛，头目昏重，心忪颊
赤，口干咽燥，发热盗汗，食少嗜卧，月水不调，脐腹作疼。谓非疮故，乃血虚而然也。服逍遥散，
月余少可。更服八珍汤加丹皮、香附，又月余而经通。再加黄 、白术，两月余而愈。
沈氏室患瘰 ，久而不消，自汗恶寒，此气血俱虚也。遂以十全大补汤，月余而溃。然坚核虽取，
而疮口不敛，更灸以豆豉饼，仍与前药加乌药、香附，两月而愈。大抵坚而不溃，溃而不合，皆由气
不足也。尝见患此者，疮口虽合而不加补，往往变为瘵症。
薛立斋治一妇人，因怒耳下肿痛，以荆防败毒散加连翘、黄芩，四剂而愈。尝治此旬日不消者，
以益气血药，及饮远志酒，（远志一味，末之，酒一盏调，澄清饮之。以渣敷，先宜泔浸患处。治女
人乳疽尤效。）其肿自消。若无脓者亦自溃。不戒忿怒者难治。
一妇人发怒，耳下 肿，头痛寒热，与荆防败毒散加黄芩，表症悉退，但饮食少思，日晡发热。
东垣云∶虽有虚热，不可太攻，热去则寒生也。遂以小柴胡汤加地骨皮、川芎、当归、茯苓、白术、
陈皮，十余剂而愈。次年春，复肿坚不溃，来索方，与八珍汤加香附、柴胡、地骨皮、桔梗，自制服
之。至六七剂，以为延缓，仍服人参败毒散，势愈甚。又服流气饮，则盗汗发热，口干少食。至秋复
求治，诊视气血虚极，辞不治，果殁。今人有疮疡，不审元气虚实，病在表里，便服败毒、流气药，
殊不知败毒散乃发表之剂，果有表症，亦只宜一二服，多则元气反损，其毒愈甚，虽有人参莫补。流
气饮乃耗血之剂，果气结膈满，亦只宜一二服，多则血气愈伤，反为败症，虽有芎、归莫救。丹溪云∶
此不因膏粱丹毒之变，因虚劳气郁所致也。
一妇人患瘰 不消，脓清不敛，以八珍汤治之，少愈。忽肩背痛不能回顾，此膀胱经气郁所致，
当以防风通气汤治之。盖膀胱之脉，始于目内 ，上顶巅，至脑后，过风府，下项走肩膊，一支下腰
膂。是经气动，则脊痛项强，腰似折。按此非膀胱经症而何？彼乃云∶瘰 ，胆经病也。其脉主行项
侧，即是经火动而然。遂自服清肝降火之药，反致不食，痛盛。复求治，诊其脉，胃气愈弱，先以四
君子汤加陈皮、炒芍、半夏、羌活、蔓荆子，四剂，食进痛止。继以防风通气汤，二剂而愈。又一妇
流注溃久，忽发热，乃虚也，与补药二剂。不用，另用人参败毒散，大热而毙。夫老弱之人，虽有风
邪，亦宜以补中益气汤治之，况又非表症而峻表，不死何俟？（瘰 乃虚损之症，最为难治。古人虽
有成法，而用之多不验。余得一膏药方，用红毛雄鸡一只，取全骨一具，先用麻油煎枯，去渣，入降
香五两，千里奔即骡马休下蹄甲五钱，当归、甘草各一钱，槐枝三十寸。煎枯去渣，黄丹收膏，红绢
摊贴。未成者即消，已溃者即变出稠脓，屡试屡验。并治一切肿毒未成者，贴之即行消散，神效无比。）
一男子因怒，耳下及缺盆患 ，溃延腋下，形气颇实，疮口不合，以散肿溃坚丸治之而愈。一妇
患此，气血不弱，亦服此丸，其核并消。而疮口不敛，更以十全大补汤及灸以豆豉饼始痊。
江中翰侄，年及二十，耳下患 ， 痛，左关脉数，此肝经风热所致。以荆防败毒散三帖，表症
悉退。再与散肿溃坚丸，月余而复。
一妇年二十，耳下结核，经水每过期，午后头痛，服头风药愈甚。以八珍汤加柴胡、地骨皮，二
十余剂而愈。
治瘰 丸方∶元参蒸、牡蛎 、醋炒川贝母去心，各四两，炼蜜为丸。每服三钱，开水下，日二
服。此方神效，治愈不计其数。
王洪绪治一人，年十七，颈患瘰 ，成片延烂，耳腋及腰如手掌大数块，瘦弱成怯。初以洞天救
苦丹与服，毒水大流。十日后，以阳和汤、醒消丸，每日早晚各一服。十日项能舒转，饮食日增。外
贴阳和膏，内服大枣丸，始终用荆芥汤洗，以山莲散敷，九十日收功。因未服子龙丸、小金丹，其毒
根未除，后腋生恶核，仍以子龙丸消之。洞天救苦丹方∶露蜂窠要内有子者、两头尖、青皮、苦楝子，
（立冬后者佳。）各用瓦上炙，存性，为末，
等分研和。每服三钱，陈酒送服，务要隔两日再服。醒消丸方∶乳香、没药各一两，麝香一钱五分，
明雄黄五钱，用饭一两捣为丸如莱菔子大，日干忌烘。每服三钱，陈酒送服，醉盖取汗。阳和解凝膏
方∶新鲜大力子根、梗、叶三斤，活白凤仙花梗四两。用麻油十斤，煎枯去渣，次日入生附子、桂枝、
大黄、当归、五灵脂、肉桂、川草乌、地龙、赤芍、僵蚕、白芷、白蔹各二两，广木香一两，白芨二
两，川芎四两，续断、防风、荆芥、香圆、陈皮各一两，再煎枯去渣。隔宿油冷，每油一斤加炒透黄
丹七两，搅和，文火慢熬至滴水成珠为度。移锅冷处，加入乳香末一两，麝香研细一两，苏合油四两，
入膏和匀，半月后摊贴。专治一切烂溃、阴疽、冻疮，疟疾贴背心。大枣丸方∶山羊屎晒干，入锅炒
如炭，存性为末，用大枣去皮核，先捣烂，然后入前粉捶成丸。遇毒烂不堪，将见内腐者，黑枣汤送
服四钱。山莲散方∶大活鲫鱼一尾，破腹去杂，以山羊屎塞实鱼腹，瓦上慢火炙干，研末，加麝香一
钱，瓷瓶密收。如遇烂溃不堪，与五内腑止隔一膜者，用此敷，立见奇功。子龙丸方∶法制甘遂、每
一斤用甘草四两，煎汤浸三日，汤黑去汤，河水洗淘取清水，日淘日洗日浸，每日换水数次。三日后
去心，再淘浸四五日，取一撮入白瓷盆内。隔一宿，水无异色，乃捞起沥干，以面裹如团，入糠火内
煨黄透。取出入锅炒，磨粉听用。法制大戟，去旁枝，用水煮透，去骨切片，晒干听用，白芥子炒。
以上三物，各等分为末，炼蜜为丸。日服三次，每服三分，淡姜汤送下。此治瘰 恶核流注之专药也。
一王姓媳，颈内瘰 数个，两腋恶核三个，又大腿患一毒，不作痛痒，百余日后，日渐发大，形
大如斗，按之如石，皮现青筋，常作抽痛。王视之曰∶此石疽也。初起时可消，今日久发大，上现筋
纹，虽按之如石，然其根下已成脓矣。如偶作一抽之痛，乃是有脓之症也。上现青筋者，其内已作黄
浆，可治。如上现小块，高底如石岩者，不治；三日后，主发大痛不溃而死。如现红筋者，其内已通
血海，不治。倘生斑点，即自溃之症，溃即放血，三日内毙。今患现青，若医至软，为半功。溃后脓
变稠后，可冀收功也。外以活商陆根捣涂，内服阳和汤，十日则止一抽之痛，十三剂内外作痒，十六
剂顶软，十八剂通患软，颈项之 ，两腋之核，尽行消散。止剩石疽高起，内脓袋下，令服参一钱，
于筋络处先以银针穿之，后以刀阔其口，以纸针塞入口内，次日
两次流水斗余。大剂滋补托里，删去人参，倍用生 ，服十剂甚相安。一医令将 、草俱炙用，三日，
四围发肿，内作疼痛。复延王治，王照前方，服二十余剂，外以阳和膏满贴患此，独留患孔，加以布
捆绑。王曰∶凡经溃阴疽将愈，则外皮渐活而内膜生，斯为佳兆。所出之脓，在皮里膜外，仅以空弄
，又不能以生肌散药放入。内服温补滋阴养血，温暖膏药之用捆，使其皮膜相连，易于脓尽，且又易
于连接生肌。果绑后数日，内脓浓浓，加参服两月收功。
化核膏，专治瘰 ，贴即暗消。内服子龙丸方，可除根，并杜后发。壁虎十四个，蜘蛛二十八个，
蜗牛三十六个，用菜油四斤，熬枯去渣。再入鲜首乌藤叶、甘菊根、薄荷、牛蒡草、苍耳草各半斤，
用武火熬枯去渣。俟油冷，再入连翘、元参、苦参、白蔹、白芥子、僵蚕、水红子、大黄、荆芥、防
风各四两，浸一宿，熬枯去渣，再熬至滴水成珠。每油一斤加黄丹七两，熬黑，加入丁香油二钱，麝
香二钱，苏合油一两，搅匀，退火，摊贴。凡治瘰 ，忌用海藻、夏枯草，久服则成 劳。后数年内，
忌食香橙，食则复发。
身体亏损，是疏泄功能失职；瘰疬肿大，是肝火郁结不得舒展。于是使用养荣汤，内部加入肉桂，一个多月后已有痊愈的迹象。接着以前方配合归脾汤、养心汤，两方交替守服，三个月后痊愈。
周汉卿治疗钱塘王氏的女儿，颈部生有瘰疬，环绕头部和腋下共有十九个孔窍，孔窍破溃流出白色脓液，病情危重濒临死亡。周汉卿为她剔除孔窍并深入探治二寸，其余部分用火烙法处理（即灸法），几天后结痂愈合。（出自《明史》）
张子和治疗一位妇人，患瘰疬，蔓延至胸臆部位，都变成相连的大疮，没有完好的皮肤肌肉。张子和说：这是火邪过盛所致，治疗应用咸寒之法。命令用沧盐催吐，一次吐后便结痂。再用凉膈散、解毒汤等药剂，皮肤肌肉才恢复如初。
治疗瘰疬，用手仰置肩上，微举肘部，取肘骨尖端处作为穴位，根据患处所在，左边就灸左边，右边就灸右边，艾炷大小如小筋头，三壮即可痊愈。如果复发，再像前面那样灸，不超过三次，就能永绝病根。先前的汤寿资在钟离做宰官时，有一个小丫鬟，疮疡已经破溃，将此法传授给本州的一位漕运官员，早早施灸，晚间脓水已干，总共只灸了两次就安然无恙。后来多次用来治疗他人都很有效。骆安之妻患病四五年，疮痂像田螺一样，凹陷不破不退，辰时施灸，申时后脱落。对此感触颇深，凡是发作三次就灸三次，于是彻底除病安宁。
薛立斋治疗一名男子，平素好色且劳神，怕热喜冷，仲冬时节才开始穿棉衣，却患了瘰疬，脉象洪大但无力，说：这是阴气耗散，阳气无所依附，阳气浮散于外所以怕热。用败毒散加黄芩、黄连、山栀，服用四剂后稍有好转。再用四物汤加黄芩、黄连、白芷、桔梗根、甘草、金银花，数剂后消散。（徐灵胎按语：既然说此脉象为阴耗阳浮，为何第十三条主张用补中益气汤呢？这里使用败毒散，也是发表太过所致。）
缪仲淳治疗朱文学患瘰疬，为他灸肩井、肘尖两个穴位，各灸数壮而愈。（出自《广笔记》）
薛立斋治疗一名妇人，患瘰疬，蔓延至胸腋，脓水淋漓，日久五心烦热，肢体疼痛，头目昏重，心悸脸颊发红，口干咽燥，发热盗汗，食少嗜睡，月经不调，脐腹作痛。认为这不是疮疡本身的原因，而是血虚导致的。服用逍遥散，一个多月后稍感舒适。再服用八珍汤加丹皮、香附，又过了一个月月经通畅。再加黄芪、白术，两个多月后痊愈。
沈氏的妻子患瘰疬，久不消退，自汗恶寒，这是气血俱虚。于是用十全大补汤，一个多月后溃破。然而坚硬的核虽取出，但疮口不收敛，再用豆豉饼灸法，仍与前药加乌药、香附，两个月后痊愈。大抵坚硬而不溃破，或溃破后不愈合，都是由于气不足所致。曾见患此病的人，疮口虽然愈合但不加补益，往往转变为虚劳症。
薛立斋治疗一名妇人，因发怒导致耳下肿痛，用荆防败毒散加连翘、黄芩，四剂后痊愈。曾治疗此类症状十天不消的，用补气血药，以及饮用远志酒（远志一味药，研末，用一盏酒调匀，澄清后饮用。药渣敷贴，先用米泔水浸泡患处。治疗女性乳疽尤其有效），其肿自然消退。如果没有化脓也会自行溃破。如果不戒除愤怒则难治。
一妇人发怒，耳下肿胀，头痛寒热，给予荆防败毒散加黄芩，表证全部退去，但饮食减少思虑，下午发热。东垣说：虽然有虚热，不可过于攻伐，热去则寒生。于是用小柴胡汤加地骨皮、川芎、当归、茯苓、白术、陈皮，十余剂后痊愈。次年春天，再次肿胀坚硬不溃，来索要药方，给予八珍汤加香附、柴胡、地骨皮、桔梗，自制服用。到六七剂时，认为见效缓慢，仍服人参败毒散，病情更加严重。又服流气饮，则出现盗汗发热，口干少食。到了秋天再次求治，诊视发现气血极度虚弱，推辞不治，果然去世。现在有人患疮疡，不审察元气虚实，病在表里，就服用败毒、流气药，殊不知败毒散是发表之剂，果真有表证，也只宜一二服，多服则元气反损，其毒更甚，即使有人参也无法补救。流气饮是耗血之剂，果真有气结膈满，也只宜一二服，多服则血气更伤，反而成为败症，虽有川芎、当归也无法救治。丹溪说：这不是因为膏粱厚味丹毒引起的病变，而是因为虚劳气郁所致。
一妇人患瘰疬不消，脓液清稀不收敛，用八珍汤治疗，稍有好转。忽然肩背痛不能回顾，这是膀胱经气郁所致，应当用防风通气汤治疗。因为膀胱经脉，起于目内眦，上头顶，至脑后，过风府，下项走肩膊，一支下腰膂。这条经气动，则脊痛项强，腰似折断。看这难道不是膀胱经病症吗？那人却说：瘰疬是胆经病。其脉主行项侧，就是经火动所致。于是自行服用清肝降火之药，反而导致不进食，疼痛加剧。再次求治，诊其脉，胃气更弱，先用四君子汤加陈皮、炒芍药、半夏、羌活、蔓荆子，四剂后，食欲进，疼痛止。继用防风通气汤，二剂后痊愈。又一妇人流注溃烂很久，忽然发热，这是虚证，给予补药二剂。不用，另用人参败毒散，大热而死。年老体弱之人，虽有风邪，也宜用补中益气汤治疗，何况又不是表证而峻猛发表，不死还等什么？（瘰疬乃是虚损之症，最为难治。古人虽有成法，但使用大多不验。我得到一个膏药方，用红毛雄鸡一只，取全骨一副，先用麻油煎枯，去渣，入降香五两，千里奔即骡马休下的蹄甲五钱，当归、甘草各一钱，槐枝三十寸。煎枯去渣，黄丹收膏，红绢摊贴。未成的即消，已溃的即变出稠脓，屡试屡验。并治一切肿毒未成的，贴之即行消散，神效无比。）
一男子因发怒，耳下及缺盆患瘰疬，溃烂延至腋下，形体气势颇实，疮口不合，用散肿溃坚丸治疗而愈。一妇人患此病，气血不弱，也服此丸，其核并消。但疮口不收敛，再用十全大补汤及用豆豉饼灸才痊愈。
江中翰的侄子，年近二十，耳下患瘰疬，肿痛，左关脉数，这是肝经风热所致。用荆防败毒散三帖，表证全部退去。再与散肿溃坚丸，一个多月后复发。
一妇人年二十，耳下结核，月经每过期，午后头痛，服用头风药后加重。用八珍汤加柴胡、地骨皮，二十余剂后痊愈。
治疗瘰疬丸方：玄参蒸、牡蛎煅、醋炒川贝母去心，各四两，炼蜜为丸。每次服三钱，开水送下，每日二次。此方神效，治愈不计其数。
王洪绪治疗一人，年十七，颈患瘰疬，成片延烂，耳腋及腰如手掌大数块，瘦弱成怯。初以洞天救苦丹与服，毒水大流。十日后，以阳和汤、醒消丸，每日早晚各一服。十日项能舒转，饮食日增。外贴阳和膏，内服大枣丸，始终用荆芥汤洗，以山莲散敷，九十日收功。因未服子龙丸、小金丹，其毒根未除，后腋生恶核，仍以子龙丸消之。洞天救苦丹方：露蜂窠要内有子者、两头尖、青皮、苦楝子（立冬后者佳），各用瓦上炙，存性，为末，等分研和。每服三钱，陈酒送服，务要隔两日再服。醒消丸方：乳香、没药各一两，麝香一钱五分，明雄黄五钱，用饭一两捣为丸如莱菔子大，日干忌烘。每服三钱，陈酒送服，醉盖取汗。阳和解凝膏方：新鲜大力子根、梗、叶三斤，活白凤仙花梗四两。用麻油十斤，煎枯去渣，次日入生附子、桂枝、大黄、当归、五灵脂、肉桂、川草乌、地龙、赤芍、僵蚕、白芷、白蔹各二两，广木香一两，白芨二两，川芎四两，续断、防风、荆芥、香圆、陈皮各一两，再煎枯去渣。隔宿油冷，每油一斤加炒透黄丹七两，搅和，文火慢熬至滴水成珠为度。移锅冷处，加入乳香末一两，麝香研细一两，苏合油四两，入膏和匀，半月后摊贴。专治一切烂溃、阴疽、冻疮，疟疾贴背心。大枣丸方：山羊屎晒干，入锅炒如炭，存性为末，用大枣去皮核，先捣烂，然后入前粉捶成丸。遇毒烂不堪，将见内腐者，黑枣汤送服四钱。山莲散方：大活鲫鱼一尾，破腹去杂，以山羊屎塞实鱼腹，瓦上慢火炙干，研末，加麝香一钱，瓷瓶密收。如遇烂溃不堪，与五内腑止隔一膜者，用此敷，立见奇功。子龙丸方：法制甘遂，每一斤用甘草四两，煎汤浸三日，汤黑去汤，河水洗淘取清水，日淘日洗日浸，每日换水数次。三日后去心，再淘浸四五日，取一撮入白瓷盆内。隔一宿，水无异色，乃捞起沥干，以面裹如团，入糠火内煨黄透。取出入锅炒，磨粉听用。法制大戟，去旁枝，用水煮透，去骨切片，晒干听用，白芥子炒。以上三物，各等分为末，炼蜜为丸。日服三次，每服三分，淡姜汤送下。此治瘰疬恶核流注之专药也。
一王姓媳妇，颈内瘰疬数个，两腋恶核三个，又大腿患一毒，不作痛痒，百余日后，日渐发大，形大如斗，按之如石，皮现青筋，常作抽痛。王视之曰：此石疽也。初起时可消，今日久发大，上现筋纹，虽按之如石，然其根下已成脓矣。如偶作一抽之痛，乃是有脓之症也。上现青筋者，其内已作黄浆，可治。如上现小块，高底如石岩者，不治；三日后，主发大痛不溃而死。如现红筋者，其内已通血海，不治。倘生斑点，即自溃之症，溃即放血，三日内毙。今患现青，若医至软，为半功。溃后脓变稠后，可冀收功也。外以活商陆根捣涂，内服阳和汤，十日则止一抽之痛，十三剂内外作痒，十六剂顶软，十八剂通患软，颈项之瘰，两腋之核，尽行消散。止剩石疽高起，内脓袋下，令服参一钱，于筋络处先以银针穿之，后以刀阔其口，以纸针塞入口内，次日两次流水斗余。大剂滋补托里，删去人参，倍用生黄芪，服十剂甚相安。一医令将芪、草俱炙用，三日，四围发肿，内作疼痛。复延王治，王照前方，服二十余剂，外以阳和膏满贴患此，独留患孔，加以布捆绑。王曰：凡经溃阴疽将愈，则外皮渐活而内膜生，斯为佳兆。所出之脓，在皮里膜外，仅以空弄，又不能以生肌散药放入。内服温补滋阴养血，温暖膏药之用捆，使其皮膜相连，易于脓尽，且又易于连接生肌。果绑后数日，内脓浓浓，加参服两月收功。
化核膏，专治瘰疬，贴即暗消。内服子龙丸方，可除根，并杜后发。壁虎十四个，蜘蛛二十八个，蜗牛三十六个，用菜油四斤，熬枯去渣。再入鲜首乌藤叶、甘菊根、薄荷、牛蒡草、苍耳草各半斤，用武火熬枯去渣。俟油冷，再入连翘、元参、苦参、白蔹、白芥子、僵蚕、水红子、大黄、荆芥、防风各四两，浸一宿，熬枯去渣，再熬至滴水成珠。每油一斤加黄丹七两，熬黑，加入丁香油二钱，麝香二钱，苏合油一两，搅匀，退火，摊贴。凡治瘰疬，忌用海藻、夏枯草，久服则成虚劳。后数年内，忌食香橙，食则复发。
Deficiency and loss of function, failure of dispersing and draining; the swelling of scrofula (scrofula) is due to liver fire stagnation and discomfort. Therefore, using Yangrong Tang (Nourishing Prosperity Decoction) with added Rougui (Cinnamon Twig), after more than a month there were signs of recovery. Subsequently, alternating the previous prescription with Guipi Tang (Restore the Spleen Decoction) and Yangxin Decoction (Nourish Heart Decoction), adhering to this regimen for three months led to complete recovery.
Zhou Hanqing treated the daughter of the Wang family in Qiantang, who had developed scrofula around her head and armpits, totaling nineteen openings. The openings ruptured and discharged white pus, and she was on the verge of death. Zhou Hanqing excised the openings and probed deeply two cun, while cauterizing the rest with fire (moxibustion). After several days, scabs formed and healed. (From *History of Ming*)
Zhang Hezi treated a woman suffering from scrofula that extended to the chest and epigastrium, forming large connected ulcers with no healthy skin or flesh remaining. Zhang said: "This is caused by excessive pathogenic fire; it should be treated with salty-cold methods." He ordered the use of Cangyan (Blue Salt) to induce vomiting. After one episode of vomiting, scabs formed. He then administered Liangge San (Cooling the Diaphragm Powder) and Jiedu Tang (Detoxification Decoction), after which the skin and flesh recovered as before.
For treating scrofula, place the hand palm-up on the shoulder, slightly raise the elbow, and locate the acupoint at the tip of the elbow bone. Treat the affected side: if on the left, moxa the left; if on the right, moxa the right. Use moxa cones the size of a small sinew head, three moxibustions are sufficient for cure. If it recurs, repeat the moxibustion as before; no more than three times will permanently eradicate the root. Tang Shouzi, when serving as magistrate in Zhongli, had a young maid with an ulcerated sore. She passed this method to a local grain transport official. Early moxibustion dried the pus by evening; only two sessions were needed for full recovery. It was later used successfully on many others. Lady Luo Anzhi suffered for four or five years with scrofula crusts resembling snail shells, sunken and unhealed. Moxibustion applied at Chen hour (7-9 AM) resulted in detachment by Shen hour (3-5 PM). Deeply impressed, she noted that three recurrences required three treatments, leading to permanent relief.
Xue Lizhai treated a man who indulged in sexual desires and mental labor, disliked heat and preferred cold, and only wore cotton clothing in mid-winter. He developed scrofula with a surging but forceless pulse. Xue said: "This is consumption of yin qi, leaving yang without attachment. Yang floats outward causing aversion to heat." He prescribed Baidu San (Eliminate Toxin Powder) with Huangqin (Scutellaria Root), Lian (Gardenia Fruit), and Zhizi (Gardenia Fruit), taken for four doses with slight improvement. Then, Siwu Tang (Four Substances Decoction) with Huangqin, Lian, Baizhi (Angelica Dahurica Root), Jiegenggen (Platycodon Root), Gancao (Licorice Root), and Jinyinhua (Honeysuckle Flower) was given for several doses until resolution. (Xu Lingtai's note: Since the pulse indicates yin depletion and floating yang, why does Article 13 advocate Bu Zhong Yi Qi Tang? Using Baidu San here is also an case of excessive releasing of the exterior.)
Miao Zhongchun treated Zhu Wenxue for scrofula by moxibusting the Jianjing (GB21) and Zuijian (Elbow Tip) acupoints, several moxibustions per point, resulting in cure. (From *Guang Biji*)
Xue Lizhai treated a woman with scrofula extending to the chest and armpits, with dripping pus. Long-standing symptoms included five-palm heat, limb pain, heavy head and eyes, palpitations, flushed cheeks, dry mouth and throat, fever, night sweats, poor appetite, lethargy, irregular menstruation, and abdominal pain. He stated this was not due to the sore itself, but to blood deficiency. She took Xiaoyao San (Free and Easy Wanderer Powder) for over a month with slight relief. Then Bazhen Tang (Eight Treasures Decoction) with Danpi (Moutan Bark) and Xiangfu (Cyperus Rhizome) was given for another month, restoring menstruation. Astragalus (Huangqi) and Atractylodes (Baizhu) were added, leading to recovery after two months.
The wife of Mr. Shen suffered from scrofula that did not resolve for a long time, with spontaneous sweating and aversion to cold, indicating dual deficiency of qi and blood. She was given Shiquan Dabu Tang (Ten Significant Tonifying Decoction). After over a month, it suppurated. Although the hard nodule was removed, the wound failed to close. Moxibustion with Fermented Soybean Cake (Douchi Bing) was applied, along with the previous medicine plus Wuyao (Lindera Root) and Xiangfu. Recovery occurred after two months. Generally, hardness without suppuration or failure to heal after suppuration is due to insufficient qi. I have seen patients whose wounds healed but lacked tonification, often transforming into consumptive diseases.
Xue Lizhai treated a woman with swelling and pain below the ear due to anger, prescribing Jingfang Baidu San (Perilla and Saposhnikovia Eliminate Toxin Powder) with Chaiqiao (Forsythia Fruit) and Huangqin, cured in four doses. For cases lasting ten days without resolution, he used qi and blood tonics and Yuanzhi Wine (Polygala Root wine: Polygala root powder mixed with wine, clarified and drunk; dregs applied externally after soaking the area in rice water. Especially effective for female breast abscesses). Swelling subsided spontaneously. Even without pus, it would ulcerate spontaneously. Difficult to treat if anger is not restrained.
A woman, angered, had swelling below the ear, headache, chills, and fever. Given Jingfang Baidu San with Huangqin, exterior symptoms resolved, but appetite decreased and afternoon fever appeared. Dongyuan said: "Even with deficient heat, do not attack too severely; removing heat generates cold." Thus, Xiao Chaihu Tang (Minor Bupleurum Decoction) with Digupi (Groundsel Root), Chuanxiong (Ligusticum Rhizome), Danggui (Angelica Sinensis Root), Fuling (Poria), Baizhu (Atractylodes Macrocephala Rhizome), and Chenpi (Tangerine Peel) was given for over ten doses, curing her. The following spring, recurrence with hardness and no suppuration occurred. She requested a formula; I gave Bazhen Tang with Xiangfu, Chaihu (Bupleurum Root), Digupi, and Jiegeng (Platycodon Root). After six or seven doses, finding it slow, she resumed Renshen Baidu San (Ginseng Eliminate Toxin Powder), worsening the condition. Taking Liuqi Yin (Flowing Qi Drink) caused night sweats, fever, dry mouth, and poor appetite. Seeking treatment again in autumn, her qi and blood were extremely depleted; I declined treatment, and she died. Nowadays, people with sores do not assess the deficiency or excess of yuan qi or the location of disease in interior/exterior, but take Baidu or Liuqi medicines. Unknowingly, Baidu San is an exterior-releasing formula; even with exterior symptoms, only one or two doses are suitable. Overuse damages yuan qi and intensifies toxicity; even with Ginseng, it cannot be supplemented. Liuqi Yin consumes blood; even with qi stagnation and chest fullness, only one or two doses are suitable. Overuse injures qi and blood further, leading to fatal conditions; even with Chuanxiong and Danggui, rescue is impossible. Danxi said: "This is not a change from rich food or toxic substances, but caused by deficiency labor and qi stagnation."
A woman with unresolved scrofula and thin, non-healing pus improved slightly with Bazhen Tang. Suddenly, she had shoulder and back pain preventing turning of the head, caused by bladder meridian qi stagnation. She should have been treated with Fangfeng Tongqi Tang (Saposhnikovia Regulating Qi Decoction). The bladder meridian starts at the inner canthus, goes up to the vertex, passes behind the head through Fengfu (GV16), down the neck to the shoulders, and a branch descends to the lower back. When this meridian moves, it causes spinal pain, stiff neck, and waist pain resembling breaking. Is this not a bladder meridian syndrome? The patient claimed scrofula is a gallbladder meridian disease, running along the side of the neck, caused by fire moving in the meridian. She self-medicated with liver-clearing and fire-descending herbs, leading to anorexia and increased pain. Upon re-evaluation, her stomach qi was weaker. First, Six Gentlemen Decoction (Sijunzi Tang) with Chenpi, fried Shaoyao (Peony Root), Banxia (Pinellia Tuber), Qianghuo (Notopterygium Rhizome), and Manjingzi (Vernonia Seed) was given for four doses, improving appetite and stopping pain. Then Fangfeng Tongqi Tang for two doses cured her. Another woman with chronic suppurating liuzhu (flowing deposits) suddenly developed fever, indicating deficiency. Two doses of tonics were given. Refusing them, she took Renshen Baidu San, leading to high fever and death. In elderly and weak persons, even with wind pathogens, Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) should be used. How much more so when it is not an exterior syndrome but harsh exterior-releasing methods are used? Death is inevitable. (Scrofula is a deficiency-consumption disease, most difficult to treat. Ancients had established methods, but they were often ineffective. I obtained a plaster formula: One red-feathered rooster, taking the whole skeleton. Fry in sesame oil until crisp, remove residue. Add Jiangxiang (Aquilaria Wood) 5 liang, Qianliben (Hooves of mules/horses that have rested) 5 qian, Danggui 1 qian, Gancao 1 qian, Huai Zhi (Locust Branch) 30 cun. Fry until crisp, remove residue. Collect paste with Huangdan (Red Lead). Apply on red silk. Unformed nodules dissipate; formed ulcers produce thick pus. Tested repeatedly with success. Also treats all unformed swellings; application causes immediate dissipation, extremely effective.)
A man, angered, developed scrofula below the ear and clavicle, ulcerating and extending to the armpit. His constitution was robust, but the wound failed to heal. Scanzhong Kuijian Wan (Disperse Swelling and Harden Nodules Pill) cured him. A woman with similar symptoms, whose qi and blood were not weak, also took this pill; nodules disappeared. However, the wound did not heal. Shiquan Dabu Tang and moxibustion with fermented soybean cake eventually cured her.
The nephew of Hanlin Academician Jiang, aged twenty, had scrofula below the ear with swelling and pain. The left guan pulse was rapid, indicating wind-heat in the liver meridian. Three doses of Jingfang Baidu San resolved exterior symptoms. Scanzhong Kuijian Wan was then given, but it recurred after a month.
A twenty-year-old woman had tubercles below the ear, delayed menstruation, and afternoon headaches. Headache medicines worsened her condition. Bazhen Tang with Chaihu and Digupi cured her after twenty-plus doses.
Formula for Scrofula Pills: Zhengshen (Prepared Scrophularia Root), Mudie (Calcined Oyster Shell), Cu Chao Chuan Beimu (Vinegar-fried Fritillaria Thunbergii Bulb, heart removed), each 4 liang. Make pills with refined honey. Take 3 qian each time with warm water, twice daily. This formula is miraculous, curing countless cases.
Wang Hongxu treated a seventeen-year-old with scrofula on the neck, spreading in patches and ulcerating, with multiple palm-sized areas in ears, armpits, and waist. He was emaciated and timid. Initially given Dongtian Jiuku Dan (Heavenly Cave Saving Souls Pill), causing profuse discharge of toxic fluid. Ten days later, Yanghe Tang (Warm Harmony Decoction) and Xingxiao Wan (Awakening消 Pill) were given morning and evening. Within ten days, neck mobility improved and appetite increased. Externally, Yanghe Gao (Warm Harmony Plaster) was applied; internally, Dazao Wan (Jujube Pill) was taken. Throughout, washed with Schizonepeta tea and dusted with Shanlian San (Lotus Mountain Powder). Recovery took ninety days. Because Zilong Wan (Dragon Child Pill) and Xiaojin Dan (Little Gold Pill) were not taken, the toxic root remained, and malignant nodules later appeared in the armpit, which were resolved with Zilong Wan.
Dongtian Jiuku Dan Formula: Dew-beehive nests containing larvae, Liangtoujian (Galium Verum Herb), Qingpi (Green Tangerine Peel), Kulianzi (Chinaberry Seed) (preferably collected after Start of Winter). Roast on tile until charred but retaining nature, grind to powder. Mix equal parts. Take 3 qian with aged wine, every two days.
Xingxiao Wan Formula: Rushing Incense (Ruxiang) 1 liang, Myrrh (Moyao) 1 liang, Musk (Shexiang) 1.5 qian, Realgar (Xionghuang) 5 qian. Pound with 1 liang of cooked rice to form pills the size of radish seeds. Dry in sun, avoid baking. Take 3 qian with aged wine, cover warmly to induce sweat.
Yanghe Jieniu Gao Formula: Fresh Arctium root, stem, and leaves 3 jin, fresh white balsam apple stems 4 liang. Fry in 10 jin of sesame oil until crisp, remove residue. Next day add raw Fuzi (Aconite Root), Guizhi (Cinnamon Twig), Dahuang (Rhubarb Root), Danggui, Wulingzhi (Trogopterus Dung), Rougui (Cinnamon Bark), Chuan Cao Wu (Aconitum Carmichaelii Root), Dilong (Earthworm), Chishao (Red Peony Root), Jiangcan (Silkworm), Baizhi, Bailian (Lily Bulb), each 2 liang, Guangmuxiang (Costus Root) 1 liang, Baiji (Bletilla Rhizome) 2 liang, Chuanxiong 4 liang, Xuduan (Dipsacus Root), Fangfeng (Saposhnikovia Root), Jingjie (Schizonepeta Spike), Xiangyuan (Citron), Chenpi, each 1 liang. Fry until crisp, remove residue. Cool oil overnight. Add 7 liang of calcined Huangdan per jin of oil, stir, simmer slowly until drops form beads in water. Move pot to cool place. Add 1 liang Rushing Incense powder, 1 liang fine Musk, 4 liang Suhé Oil. Mix evenly. Let stand half a month before applying. Specifically treats all ulcerations, yin abscesses, frostbite; apply to back for malaria.
Dazao Wan Formula: Dry goat dung roasted in pan until charcoal-like, retain nature, grind to powder. Remove skin and pits from jujubes, pound into paste, mix with powder to form pills. For severe ulcerations nearing internal rot, take 4 qian with black jujube soup.
Shanlian San Formula: One large live crucian carp, gutted. Stuff belly tightly with goat dung. Slow-roast on tile until dry, grind to powder. Add 1 qian Musk. Store tightly in porcelain bottle. For severe ulcerations separated from internal organs only by a membrane, apply externally for miraculous results.
Zilong Wan Formula: Processed Gansui (Euphorbia Kansui Root). For every 1 jin, use 4 liang Gancao (Licorice Root), decoct in water, soak for three days. When water turns black, discard water. Wash and rinse with river water, changing water several times daily. After three days, remove heart. Soak and rinse for four to five more days. Take a pinch, place in white porcelain basin. Leave overnight; if water remains clear, remove, drain, wrap in dough, bake in chaff fire until yellow and thorough. Stir-fry in pan, grind to powder. Processed Daji (Euphorbia Pekinensis Root): Remove branches, boil thoroughly in water, slice, dry. Fried Baijiezì (White Mustard Seed). Grind these three ingredients equally to powder. Form pills with refined honey. Take three times daily, 3 fen each time, with light ginger soup. This is a specific medicine for scrofula, malignant nodules, and flowing deposits.
A Wang family daughter-in-law had several scrofulae inside the neck, three malignant nodules in both armpits, and a toxin on the thigh that was neither painful nor itchy. After over a hundred days, it grew large, like a bushel, hard as stone, with blue veins showing on the skin, and frequent drawing pains. Wang examined it and said: "This is Shi Ju (Stone Abscess)." At onset, it could be dissipated. Now, having grown large with visible vein patterns, although hard as stone, pus has formed at the root. Occasional drawing pain indicates presence of pus. Blue veins indicate yellow serum inside; treatable. If small, rock-hard protrusions appear, untreatable; death by severe pain without suppuration in three days. Red veins indicate connection to Blood Sea; untreatable. Spots indicate spontaneous rupture; bleeding upon rupture leads to death within three days. Currently, blue veins appear. If treated until soft, success is half achieved. After suppuration, when pus becomes thick, recovery may be expected. Externally, crush fresh Phytolacca root and apply. Internally, Yanghe Tang. Ten days later, drawing pain stopped. Thirteen doses later, itching began. Sixteen doses later, the top softened. Eighteen doses later, the entire lesion softened. Neck scrofulae and armpit nodules completely dissipated. Only the stone abscess remained elevated with an internal pus bag. Prescribed 1 qian Ginseng. Puncture the tendon/muscle area with a silver needle, widen the opening with a knife, insert paper wick. The next day, over a dou of watery fluid drained twice. Large doses of tonic and interior-supporting herbs were used. Ginseng was omitted, and raw Huangqi (Astragalus Root) was doubled. Ten doses were well-tolerated. A doctor instructed roasting both Huangqi and Gancao. After three days, swelling occurred around the perimeter with internal pain. Wang was consulted again. Following the original prescription for twenty-plus doses, Yanghe Gao was applied fully except for the wound hole, bound with cloth. Wang said: "When a yin abscess is about to heal after suppuration, the outer skin gradually becomes active and inner membrane regenerates, which is a good omen. The discharged pus lies between skin and membrane. Simply emptying it is insufficient; muscle-generating powders cannot be inserted easily. Internal warming, tonifying, yin-nourishing, and blood-supplementing herbs, combined with warm plasters and binding, connect the skin and membrane, facilitating pus drainage and muscle regeneration. Indeed, after binding for several days, thick pus accumulated. Adding Ginseng, recovery was achieved in two months."
Huahe Gao (Nodule-Dissolving Plaster) specifically treats scrofula; application causes gradual disappearance. Internally, Zilong Wan eradicates the root and prevents recurrence. Geckos 14, spiders 28, snails 36. Fry in 4 jin rapeseed oil until crisp, remove residue. Add fresh Polygonum multiflorum vines/leaves, Matricaria roots, Mint, Arctium herbs, Xanthium herbs, each 0.5 jin. Fry vigorously until crisp, remove residue. When oil cools, add Forsythia, Scrophularia, Sophora, Anemarrhena, White Mustard Seed, Silkworm, Water Hyacinth Seed, Rhubarb, Schizonepeta, Saposhnikovia, each 4 liang. Soak overnight, fry until crisp, remove residue. Simmer until drops form beads. Add 7 liang Huangdan per jin of oil, fry until black. Add 2 qian Clove Oil, 2 qian Musk, 1 liang Suhé Oil. Mix well, let cool, apply. When treating scrofula, avoid Hai Zao (Sargassum) and Xiakucao (Prunella Vulgaris); long-term use leads to consumptive disease. In the following years, avoid eating oranges; consumption causes relapse.