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Scrofula characterized shiny red swollen nodes on the neck, often below the ear, attributed to the gathering and binding of wind-heat possibly combined with liver-gallbladder fire. In severe cases, there may be heat effusion and aversion to cold and the nodes may be painful and suppurate.

Biomedical correspondence: acute lymphadenitis.

Medicinal therapy: Course wind, clear heat, and disperse binds. Use a combination of bupleurum (Bupleuri Radix, 柴胡 chái hú), arctium (Arctii Fructus, 牛蒡子 niú bàng zǐ), achyranthes (Achyranthis Bidentatae Radix, 牛膝 niú xī), unripe tangerine peel (Citri Reticulatae Pericarpium Viride, 青皮 qīng pí), saposhnikovia (Saposhnikoviae Radix, 防风 fáng fēng), trichosanthes root (Trichosanthis Radix, 天花粉 tiān huā fěn), smooth greenbrier root (Smilacis Glabrae Rhizoma, 土茯苓 tǔ fú líng), cremastra/pleione (Cremastrae seu Pleiones Pseudobulbus, 山慈姑 shān cí gū), pueraria (Puerariae Radix, 葛根 gé gēn), and prunella (Prunellae Spica, 夏枯草 xià kū cǎo).

Acumoxatherapy: Use the points given under scrofula, and needle with drainage at GV-20 (Hundred Convergences, 百会 bǎi huì), GB-20 (Wind Pool, 风池 fēng chí), TB-5 (Outer Pass, 外关 wài guān), GV-14 (Great Hammer, 大椎 dà zhuī), LI-4 (Union Valley, 合谷 hé gǔ), and ST-40 (Bountiful Bulge, 丰隆 fēng lóng); prick LU-11 (Lesser Shang, 少商 shào shāng) to bleed to course wind and disperse fire.

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