王洪绪治一妇，项上痰核三处，年久生管，以拔管药插入，日易，半月愈其二，唯一管渐浅。不
意其夫远归，两日管深如前。后其母接女归，治之即愈。
一壮年臂上有二管，王问其有暗疾否？曰∶素患梦遗。乃以六味去泽泻，增龟胶、龙骨、芡实、
莲须为丸，鹿含草煎汤，早晚送下三钱，服半料愈。愈后即用拔管药，仍服前丸，二管皆愈。
一人耳下患恶核，被医穿生管，以阳和汤、小金丹轮服，未溃者全消，复求消管。王曰∶消管甚
易，管消即敛。倘将敛时，一经走泄，管即复生矣。喜其谨疾遂愈。消管方∶皂角刺尖五钱，柘树膜
五钱，红腹金钱
鳖三钱，榆树皮一钱，真蟾酥一钱，研极细。每遇漏管，先以猪鬃探通，料其浅深，然后以绵纸卷药
为条塞入，日易日塞，至愈乃止。
薛立斋治一妇人，经事不调，肢体结核，如榛如豆，不计其数，隐于肉里，其色不变，三年余矣，
大按则痛。或投以降火消毒，乃不按自痛，发热作渴，日晡益甚，经水过期，左关脉数，此肝火血燥
也。用清肝益荣汤，六十余剂，诸症已愈。惟项核未消，又以当归龙荟丸散服，及八珍汤加柴胡、山
栀，三十余剂而痊。
一妇人久郁怒，胸胁内股外 各结核，寒热往来，经候不调，胸膈不利，饮食少思，大便不调，
左关弦洪，右寸弦数，右关弦紧。曰∶左关弦洪，肝经热也；左寸弦数，木生火也；右关弦紧，肝克
脾也；右寸弦浮，木侮金也。法当生肝血，遂用加味四物汤而诸症退。用加味逍遥散而经候调，用加
味归脾而全愈。
一妇人因怒，肢体结核，睡中发搐，左关弦洪，此肝火血燥筋挛。当清肝火养元气，遂用加味小
柴胡汤、加味逍遥散，渐愈。又用八珍汤加丹皮、柴胡、山栀、钩藤而愈。
一妇人肢体结核，胸腹痞闷，气泄稍宽，此肝脾郁滞。不信，服降火行气化痰，病愈甚，而气愈
虚。用加味逍遥、加味归脾，二药间服，半载而痊。
一妇人项间结核，不时寒热，左目紧小，头项振掉，四肢抽搐，此肝火血虚风热也。用加味逍遥
加钩藤，数剂，诸症渐愈。又用八珍汤，调理而痊。
一妇人耳内、耳后、项侧结核作痛，寒热口苦，月经不调，此肝胆经火而伤脾胃也。用四君、柴
胡、丹皮及六味丸而愈。
一妇人因怒结核，经行不止，发热，昼安静而夜谵语。此血分有热，用小柴胡加生地顿安。其核
尚在，经来先期，肝脉弦数，此肝火血涸而筋挛也。用加味逍遥加生地，月经如期而核消。
一妇人项臂结核，头疼寒热，乳内时疼，两胁 痛，此肝脾郁火而血燥。先以加味逍遥散，再用
加味归脾
汤而愈。
一妇人素郁怒，患结核，内热晡热，久而不愈。若面色萎黄，则月经过期而少；若面色赤，则月
经先期而多。曰∶面黄过期，脾经虚弱也；面赤先期，脾虚火动也。朝用补中益气，升举脾土以益气
血，夕用加味逍遥，滋养肝血以息阴火，复以归脾汤解郁结，半载元气复而痊。又有患前症，因脾虚
下陷而发热，乃专治其疮，变瘵而殁。
一女子耳下结核， 痛寒热。此属肝经风热，用栀子清肝饮一剂，诸症悉愈。后因怒，耳后并额
两角作痛，寒热。此兼少阳经症，仍以前药加羌活，二剂而瘥。
一妇人项患五核，时常寒热，肝肺弦长，而出寸口，此血盛无耦之症也。用小柴胡汤加生地、乌
梅，治之而愈。（雄按∶阴虚者，每见此脉，治宜壮水，小柴加梅、地，不过用法之一格耳。）
施二守项右患一核，用凉药贴颈皆肿。又敷之，肿连胸胁，冷应腹内。不悟凉药所致，尚以为毒
盛，形体困惫，自分不起。见其敷药处热气如雾，急令去药，良久疮色变赤，刺出脓血，用托里药而
愈。
举人江节夫两耳下，两臂，两肋结核，恪服祛痰降火软坚之剂，益甚。薛曰∶此胆经血虚火燥也。
盖胆经行人身之侧，前药必致亏损。至明年七月，复请视，各核皆溃，脉浮大而涩，时金旺于秋，木
受金克，必不治。果卒。
周上舍两耳下项间筋牵，壅肿坚硬，咳嗽气喘，内热盗汗，所服皆化痰散坚行气之剂，势益甚。
诊之，左关弦涩，左尺洪数，此怒气伤肝，房劳损肾。须滋肾水，生肝血，慎调摄，至水旺之际，庶
可愈矣。彼欲速效，乃外敷商陆、锻石等药，内服海藻、蓬术之类。至秋金旺之际，元气愈虚，肿甚
而殁。
一上舍素豪善怒，耳下结一核，后溃而疮口翻张如菌， 连头痛，或胸胁作胀，或内作寒热。或
用清热消毒之药，年余未瘥。用补中益气汤、六味地黄丸而寻愈。（疮口翻出，亦名翻花疮。）
邵黄门子手合骨处患一核，半年后溃一小孔如粟，又年余不合，日出清脓数滴，或止三四滴，面
上赤，脉
数口干，夜则发热，昼则恶寒，行履如故，此气血俱虚也。辞不治。月余后，他处相会，彼云小儿有
不药之功矣。薛曰∶过火令，方为善也。已而果毙。
缪仲淳治一女子，颏下发一硬块而不痛，有似石瘿。用贝母、首乌各三钱，连翘、白芨、花粉各
二钱，牛蒡、苍耳、青木香各一钱半，银花、鲜菊、地丁各五钱。先用夏枯草五两，河水五碗，煎三
碗去渣，纳前药煎至一碗，服十剂全消。（外敷方∶南星三两，海藻、昆布、槟榔、姜黄、白蔹、牙
皂各一两，末，醋调。）
薛立斋治一男子，神劳多怒，颈肿一块，久而不消，诸药不应。以八珍汤加柴胡、香附，每日更
隔蒜灸数壮，及日饮远志酒二三盏而渐消。
王洪绪治疗一位妇女，颈部有三处痰核，病程长久已形成窦道。他用拔管药插入，每天更换，半个月后两处痊愈，仅有一处窦道逐渐变浅。没想到她的丈夫从远方归来，两天后窦道又变得像以前一样深。后来她的母亲接她回家，治疗后随即痊愈。
另一位壮年男子手臂上有两个窦道，王洪绪问他是否有房事不节制的隐疾？他回答说：素来有梦遗的毛病。于是用六味地黄丸去掉泽泻，增加龟板胶、龙骨、芡实、莲须制成丸药，用鹿含草煎汤，早晚送服三钱，服用半料药后痊愈。痊愈后立即使用拔管药，同时继续服用前面的丸药，两个窦道都治愈了。
还有一人耳下患恶核（恶性淋巴结结核），被医生切开形成窦道，轮流服用阳和汤和小金丹，未溃破的完全消散，随后请求消除窦道。王洪绪说：消除窦道很容易，窦道消失就会愈合。如果在即将愈合时，一旦精气走泄，窦道就会重新生成。幸好他谨慎调养疾病，最终痊愈。消除窦道的方子：皂角刺尖五钱，柘树膜五钱，红腹金钱鳖三钱，榆树皮一钱，真蟾酥一钱，研成极细粉末。每次遇到漏管，先用猪鬃探通，判断其深浅，然后用绵纸卷药做成条状塞入，每天更换塞入，直到痊愈为止。
薛立斋治疗一位妇人，月经不调，肢体出现结核，大小如榛子、豆子般，数量不计其数，隐藏在肌肉深处，颜色不变，三年多了，大力按压则疼痛。有人投以降火解毒的药物，结果不按也痛，发热口渴，傍晚时分加重，月经过期不来，左关脉数，这是肝火血燥所致。使用清肝益荣汤，六十多剂后，各种症状已愈。只有颈部的结核未消，又用当归龙荟丸散服，以及八珍汤加柴胡、山栀，三十多剂后痊愈。
另一位妇人长期郁怒，胸胁、大腿外侧各出现结核，寒热往来，月经不调，胸膈不畅，饮食减少，大便不调，左关脉弦洪，右寸脉弦数，右关脉弦紧。他说：左关弦洪，是肝经热盛；左寸弦数，是木生火（肝火犯心）；右关弦紧，是肝克脾（肝木乘脾土）；右寸脉浮，是木侮金（肝火犯肺）。治法应当生养肝血，于是用加味四物汤，各种症状消退。再用加味逍遥散使月经调顺，最后用加味归脾汤完全治愈。
又一位妇人因愤怒导致肢体结核，睡梦中发生抽搐，左关脉弦洪，这是肝火血燥引起的筋脉挛急。应当清肝火、养元气，于是用加味小柴胡汤、加味逍遥散，逐渐痊愈。后又用八珍汤加丹皮、柴胡、山栀、钩藤而痊愈。
又一位妇人肢体结核，胸腹痞闷，排气后稍感宽舒，这是肝脾郁滞所致。患者不信，服用降火行气化痰的药物，病情反而加重，正气更加虚弱。改用加味逍遥散、加味归脾汤，两药交替服用，半年后痊愈。
又一位妇人颈部结核，不时寒热，左眼紧缩变小，头项震颤摇摆，四肢抽搐，这是肝火血虚风热所致。用加味逍遥散加钩藤，几剂后，各种症状逐渐痊愈。又用八珍汤调理而痊愈。
又一位妇人耳内、耳后、颈部侧面结核作痛，寒热口苦，月经不调，这是肝胆经火邪损伤脾胃所致。用四君子汤、柴胡、丹皮及六味地黄丸而痊愈。
又一位妇人因愤怒导致结核，月经淋漓不止，发热，白天安静而夜间谵语。这是血分有热，用小柴胡汤加生地顿服即安。但结核仍在，月经提前，肝脉弦数，这是肝火血枯导致筋脉挛急。用加味逍遥散加生地，月经如期而至且结核消散。
又一位妇人颈部、手臂结核，头痛寒热，乳房内部时常疼痛，两胁疼痛，这是肝脾郁火导致血燥。先用加味逍遥散，再用加味归脾汤而痊愈。
又一位妇人素来郁怒，患结核，内有热感，傍晚发热，长久不愈。如果面色萎黄，则月经过期且量少；如果面色赤红，则月经提前且量多。他说：面黄且经期推后，是脾经虚弱；面赤且经期提前，是脾虚火动。早晨服用补中益气汤，升举脾土以益气养血，晚上服用加味逍遥散，滋养肝血以平息阴火，再用归脾汤解郁结，半年后元气恢复而痊愈。又有患前症的，因为脾虚下陷而发热，却专门治疗疮疡，最终变成虚劳病而死。
一位女子耳下结核，疼痛伴寒热。这属于肝经风热，用栀子清肝饮一剂，各种症状全部痊愈。后来因愤怒，耳后及额头两侧角疼痛，寒热。这兼有少阳经症状，仍用前药加羌活，两剂后病愈。
又一位妇人颈部患五个结核，时常寒热，肝肺脉象弦长，且出现在寸口部位，这是血盛而无配偶（阴阳失衡）的症状。用小柴胡汤加生地、乌梅，治疗而痊愈。（徐大椿按：阴虚者，常出现这种脉象，治疗宜壮水制火，小柴胡汤加乌梅、生地，不过是用法中的一种常规罢了。）
施二守右侧颈部患一个结核，用凉药贴敷颈部，反而全身肿胀。又敷药，肿胀连及胸胁，冷感应至腹内。他不明白是凉药所致，还以为是毒气旺盛，身体困倦疲惫，自认无法存活。看到敷药处热气如雾，急忙令去除药物，许久后疮色变红，刺出脓血，用托里透脓药而痊愈。
举人江节夫双耳下、双臂、双肋均有结核，严格服用祛痰降火软坚的药物，病情反而加重。薛立斋说：这是胆经血虚火燥所致。胆经行于人身侧面，前药必然导致亏损。到了第二年七月，再次请诊，各个结核都已溃破，脉象浮大而涩，此时正值秋季金旺之时，木受金克，必定不治。果然去世。
周上舍双耳下颈部间筋脉牵引，壅肿坚硬，咳嗽气喘，内热盗汗，所服用的都是化痰散坚行气的药物，病情日益加重。诊察发现，左关脉弦涩，左尺脉洪数，这是怒气伤肝，房劳损肾。必须滋补肾水，生养肝血，谨慎调摄，等到水旺的季节，才可以痊愈。他想要速效，于是外敷商陆、锻石等药，内服海藻、蓬术之类。到了秋季金旺之时，元气更加虚弱，肿胀严重而死。
一位上舍素来豪爽善怒，耳下结成一个核，后来溃破且疮口翻张如菌状，牵连头痛，有时胸胁胀满，有时体内寒热交作。有人用清热消毒的药物，一年多未愈。用补中益气汤、六味地黄丸而很快痊愈。（疮口翻出，也叫翻花疮。）
邵黄门的儿子手合骨处患一个核，半年后溃破一个小孔如粟米大小，又一年多不合，每天流出清脓几滴，有时停止三四滴，面部发红，脉数口干，夜间发热，白天恶寒，行走如常，这是气血俱虚所致。拒绝治疗。一个多月后，在别处相遇，他说小儿有不药而愈的功效。薛立斋说：听从命令不治疗，才是明智之举。不久果然死亡。
缪仲淳治疗一位女子，下巴下方发硬块而不痛，类似石瘿。用贝母、首乌各三钱，连翘、白芨、花粉各二钱，牛蒡、苍耳、青木香各一钱半，银花、鲜菊、地丁各五钱。先用夏枯草五两，河水五碗，煎至三碗去渣，纳入前药煎至一碗，服用十剂全消。（外敷方：南星三两，海藻、昆布、槟榔、姜黄、白蔹、牙皂各一两，研末，醋调。）
薛立斋治疗一名男子，神劳多怒，颈部肿一块，长久不消，诸药无效。用八珍汤加柴胡、香附，每天隔蒜灸数壮，并每日饮用远志酒二三盏，逐渐消散。
Wang Hongxu treated a woman who had three phlegm nodules on her neck. The condition had persisted for years, leading to the formation of sinus tracts. He inserted medication for extracting sinuses, changing it daily. After half a month, two were healed, but one sinus tract gradually became shallower. Unexpectedly, when her husband returned from afar, the depth of the sinus reverted to its previous state within two days. Later, after her mother took her home, she was cured upon treatment.
A young man had two sinus tracts on his arm. Wang asked if he had any hidden ailments regarding sexual activity. The patient replied that he had suffered from nocturnal emissions since youth. Wang prescribed Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) with Ze Xie (Alisma Rhizome) removed, and added Gui Jiao (Tortoise Shell Glue), Long Gu (Fossilized Bones), Qian Shi (Euryale Seed), and Lian Xu (Lotus Stamen). These were made into pills. Lu Han Cao (Hypoxis Root) decoction was used to wash down three qian twice daily. After taking half a dosage, he was cured. Immediately after recovery, sinus extraction medication was applied, and the previous pills were continued, resulting in the healing of both tracts.
Another patient suffered from an "evil nodule" (malignant lymph node tuberculosis) below the ear, which had been incised by another physician, forming a sinus tract. Yanghe Tang (Yang Harmony Decoction) and Xiaojin Dan (Small Golden Pill) were administered alternately. The un-ulcerated nodules completely resolved, and the patient then requested the elimination of the sinus tract. Wang said, "Eliminating the sinus is easy; once the sinus disappears, it will heal. However, if during the healing process, there is any leakage of essence, the sinus will regenerate." Fortunately, the patient was careful with his health, and he eventually recovered. The formula for eliminating sinuses consists of: Zao Jiao Ci Jian (Acacia Spine Tip) 5 qian, Zhe Shu Mo (Zelkova Tree Membrane) 5 qian, Hong Fu Jin Qian Bie (Red-bellied Money Turtle) 3 qian, Yu Shu Pi (Elm Bark) 1 qian, and Zhen Chan Su (Real Toad Venom) 1 qian, all ground into an extremely fine powder. Whenever encountering a leaking sinus, first probe it with a pig bristle to determine its depth, then roll the medicine in cotton paper into strips and insert them. Change and insert daily until healed.
Xue Lizhai treated a woman with irregular menstruation and nodular masses in her limbs, varying in size like hazelnuts or beans, numerous in count, hidden deep within the muscles, with unchanged skin color, persisting for over three years. Deep pressure caused pain. When treated with cooling fire and detoxifying herbs, pain occurred even without pressure, accompanied by fever, thirst, worsening in the late afternoon, and delayed menstruation. The pulse at the left Guan position was rapid. This indicated Liver Fire causing Blood Dryness. Qinggan Yirong Tang (Liver-Clearing and Nourishing Decoction) was prescribed for over sixty doses, resolving most symptoms. However, the cervical nodules remained. Danggui Longhui Wan (Angelica Dahurica and Gardenia Pill) was taken as a powder, followed by Bazhen Tang (Eight-Treasure Decoction) augmented with Chai Hu (Bupleurum Root) and Shan Zhi (Gardenia Fruit). After thirty-plus doses, she fully recovered.
Another woman, suffering from long-term depression and anger, developed nodules in the chest, hypochondrium, and outer thigh. She experienced alternating chills and fever, irregular menstruation, chest fullness, poor appetite, and irregular bowel movements. The left Guan pulse was wiry and surging, the right Cun pulse was wiry and rapid, and the right Guan pulse was wiry and tight. Xue explained: "The wiry and surging left Guan indicates Heat in the Liver Meridian; the wiry and rapid left Cun indicates Wood generating Fire (Liver Fire affecting the Heart); the wiry and tight right Guan indicates Wood overcoming Earth (Liver attacking Spleen); the floating right Cun indicates Wood insulting Metal (Liver Fire affecting Lung). The treatment should focus on nourishing Liver Blood." Jiawei Siwu Tang (Modified Four Substances Decoction) was used to resolve the symptoms. Jiawei Xiaoyao San (Modified Free Wanderer Powder) regulated menstruation, and Jiawei Guipi Tang (Modified Restore the Spleen Decoction) led to complete recovery.
A woman developed limb nodules due to anger, experiencing convulsions during sleep. The left Guan pulse was wiry and surging, indicating Liver Fire and Blood Dryness causing tendon spasms. Treatment involved clearing Liver Fire and nourishing Yuan Qi using Jiawei Xiao Chaihu Tang (Modified Minor Bupleurum Decoction) and Jiawei Xiaoyao San, leading to gradual improvement. Subsequently, Bazhen Tang augmented with Dan Pi (Moutan Cortex), Chai Hu, Shan Zhi, and Gou Teng (Uncaria Ramulus) cured her.
Another woman presented with limb nodules, chest and abdominal distension, relieved slightly by flatulence, indicating Liver-Spleen Qi Stagnation. Disbelieving this diagnosis, she took herbs for clearing heat, moving Qi, and resolving phlegm, which worsened her condition and depleted her Qi. Alternating Jiawei Xiaoyao San and Jiawei Guipi Tang resulted in recovery after half a year.
A woman with neck nodules experienced intermittent chills and fever, a tightly closed left eye, tremors of the head and neck, and limb convulsions. This was diagnosed as Liver Fire with Blood Deficiency and Wind-Heat. Jiawei Xiaoyao San plus Gou Teng was administered for several doses, gradually improving symptoms. Bazhen Tang was then used for conditioning, leading to full recovery.
A woman suffered from painful nodules inside and behind the ear and on the side of the neck, with alternating chills/fever, bitter taste, and irregular menstruation. This was attributed to Fire in the Liver and Gallbladder meridians damaging the Spleen and Stomach. Sijunzi Tang (Four Gentlemen Decoction), Chai Hu, Dan Pi, and Liuwei Dihuang Wan cured her.
A woman developed nodules due to anger, with continuous menstrual bleeding, fever, quietness during the day, and delirium at night. This indicated Heat in the Blood Level. Xiao Chaihu Tang plus Sheng Di Huang (Rehmannia Root) provided immediate relief. However, the nodules persisted, and menstruation came early with a wiry and rapid Liver pulse, indicating Liver Fire depleting Blood and causing tendon spasms. Jiawei Xiaoyao San plus Sheng Di Huang restored regular menstruation and resolved the nodules.
A woman had neck and arm nodules, headache, chills/fever, intermittent breast pain, and flank pain. This was Liver-Spleen Depressed Fire causing Blood Dryness. Jiawei Xiaoyao San was used first, followed by Jiawei Guipi Tang, resulting in recovery.
A woman with a history of depression and anger suffered from internal heat and afternoon fever due to nodules, persisting for a long time. If her complexion was sallow, menstruation was delayed and scanty; if red, it was early and heavy. Xue stated: "Sallow complexion with delay indicates Spleen Deficiency; red complexion with early onset indicates Spleen Deficiency with Fire Hyperactivity." Bu Zhong Yi Qi Tang (Tonify the Middle and Augment the Qi Decoction) was taken in the morning to raise Spleen Qi and nourish Blood and Qi. Jiawei Xiaoyao San was taken in the evening to nourish Liver Blood and extinguish Yin Fire. Guipi Tang was used to resolve stagnation. After half a year, Yuan Qi recovered, and she healed. Another case with similar symptoms involved Spleen Deficiency with sinking Qi causing fever; treating only the sores led to consumption disease and death.
A young woman had nodules below the ear with pain and chills/fever, attributed to Wind-Heat in the Liver Meridian. Zhizi Qinggan Yin (Gardenia Liver-Clearing Infusion) cured all symptoms in one dose. Later, due to anger, pain occurred behind the ear and at the corners of the forehead with chills/fever, involving the Shaoyang Meridian. The previous formula plus Qiang Huo (Notopterygium Rhizome) cured her in two doses.
A woman had five neck nodules with frequent chills/fever. The Liver and Lung pulses were wiry and long, appearing at the Cun position. This indicated a condition of Excess Blood without balance (Yin-Yang disharmony). Xiao Chaihu Tang plus Sheng Di Huang and Wu Mei (Mume Fruit) cured her. (Xu Dachun noted: This pulse is common in Yin Deficiency; treatment should strengthen Water. Adding Wu Mei and Sheng Di to Xiao Chaihu Tang is merely one standard approach.)
Shi Ershou had a nodule on the right side of his neck. Applying cooling medicines caused swelling throughout the neck. Further application caused swelling to spread to the chest and hypochondrium, with cold sensations extending to the abdomen. Misinterpreting this as severe toxicity rather than damage from cooling herbs, he became exhausted and despaired. Seeing heat vapor rising from the application site, the medication was urgently removed. After some time, the lesion turned red, and pus and blood were drained. Toli medications (Supporting Interior formulas) led to recovery.
Juren Jiang Jiefu had nodules below both ears, on both arms, and ribs. Strict use of phlegm-resolving, fire-clearing, and softening-hardness agents worsened the condition. Xue Lizhai diagnosed it as Blood Deficiency and Fire Dryness in the Gallbladder Meridian, noting that the previous drugs damaged the meridian running along the sides of the body. By July of the following year, all nodules ulcerated. The pulse was floating, large, and choppy. In autumn, when Metal is prosperous and overcomes Wood, the prognosis was fatal. He indeed died.
Zhoushang had tendon traction, swelling, hardness between the ears and neck, cough, asthma, internal heat, and night sweats. Having taken phlegm-resolving and Qi-moving agents, his condition worsened. The left Guan pulse was wiry and choppy; the left Chi pulse was surging and rapid. This was attributed to Anger injuring the Liver and Sexual Exhaustion damaging the Kidney. Nourishing Kidney Water and generating Liver Blood, along with careful regulation, was required, expecting recovery during the Water-prosperous season. Seeking quick results, he used external applications of Shang Lu (Phytolacca Root) and Duan Shi (Calcined Alumen), and internal herbs like Hai Zao (Sargassum) and Peng Ru (Curcuma Zedoaria). In autumn, when Metal is strong, Yuan Qi further depleted, leading to severe swelling and death.
A Sheshe, known for being bold and prone to anger, had a nodule below the ear that ulcerated with an everted, mushroom-like wound edge, radiating pain to the head, occasional chest/hypochondriac distension, and internal chills/fever. Heat-clearing and detoxifying herbs failed for over a year. Bu Zhong Yi Qi Tang and Liuwei Dihuang Wan led to quick recovery. (An everted wound is also called Fan Hua Chuang / Flower-Everting Sore.)
The son of Sha Huangmen had a nodule at the wrist joint. Half a year later, a small pore like a millet grain ulcerated, remaining open for another year, draining clear pus a few drops daily. His face was red, pulse rapid, mouth dry, with night fever and daytime aversion to cold, yet walking normally. This indicated Dual Deficiency of Qi and Blood. Treatment was declined. A month later, they met again, and he reported spontaneous healing. Xue said, "Obeying the order not to treat was wise." Shortly after, he died.
Miu Zhongchun treated a young woman with a hard, painless lump under the chin, resembling Shi Ying (Stone Goiter). Bei Mu (Fritillaria Bulb) and Shou Wu (Polygonum Multiflorum Root) each 3 qian; Lian Qiao (Forsythia Fruit), Bai Ji (Bletilla Rhizome), and Hua Fen (Taro Tuber) each 2 qian; Niu Bang Zi (Arctium Fruit), Cang Er Zi (Xanthium Fruit), and Qing Mu Xiang (Tasmannia Stem) each 1.5 qian; Yin Hua (Chrysanthemum Indicum Flower), Xian Ju (Fresh Chrysanthemum), and Di Ding (Sonchus Herb) each 5 qian. First, Xia Ku Cao (Prunella Spike) 5 liang was decocted in 5 bowls of river water to 3 bowls, strained, and the other herbs added, decocted to 1 bowl. Ten doses resulted in complete resolution. (External formula: Nan Xing (Arisaema Rhizome) 3 liang; Hai Zao, Kun Bu (Kelp), Bing Lang (Areca Seed), Jiang Huang (Turmeric Rhizome), Bai Lian (Ampelopsis Rhizome), Ya Zao (Soap Bean) each 1 liang, powdered, mixed with vinegar.)
Xue Lizhai treated a man with mental fatigue and anger, presenting with a neck swelling that persisted despite various treatments. Bazhen Tang augmented with Chai Hu and Xiang Fu (Cyperi Rhizoma) was prescribed. Daily moxibustion through garlic slices and drinking Yuan Zhi Jiu (Polygala Wine) 2-3 cups daily led to gradual resolution.