Phlegm-core scrofula is the name of a Chinese medical condition that refers to a chronic infectious disease that develops in the lymph nodes of the neck and has the appearance of beads on a string. Phlegm-core scrofula is most often caused by liver-qi stagnation (poor transportation of qi and blood in the liver, emotional depression), or lung-kidney yin deficiency, yin deficiency and fire, and most often occurs in frail children or young adults. At the beginning, the tuberculosis is the size of a bean, not accompanied by changes in skin color and pain, and can gradually increase in size and bunches, and when it breaks out, the pus is clear and thin, accompanied by septic material, usually one place is healed, and another place breaks out, and sinus tracts are formed in the course of time. According to clinical symptoms, phlegm core scrofula can be divided into qi stagnation and phlegm coagulation, yin deficiency and fire exuberance (deficiency of yin and essence in the body, and hyperactivity of deficiency fire), and qi and blood deficiency, and commonly used traditional Chinese medicine prescriptions for treating scrofula include the addition and subtraction of Yi Chen Tang, the addition and subtraction of Zhi Bo Di Huang and the addition and subtraction of Xiang Bei Nourishing Rong Tang, and the topical application of decoction ointment, Chong He Ointment and red oil ointment, etc. Different clinical stages can be treated with the use of local topical ointment. Different clinical stages, its treatment with different drugs, should be in the Chinese medicine practitioner’s diagnosis under the guidance of the use of drugs, not blindly self-use. Patients with scrofula of phlegm nuclei should go to regular Chinese medicine hospitals in time, and choose appropriate and effective medicines for treatment after identification by Chinese medicine practitioners.