上胁痈，生于胁下二、三寸远，乃肝经风热壅甚，故生此毒。宜清肝流气饮，如溃万灵膏贴之，上生肌散，
自然平安。
十九味羌活定痛饮
羌活、独活、玄参、升麻、白芷、乳香、没药、防风、紫苏、桔根、柴胡、麦冬、甘草、黄 、人参、白术、
连翘、二花。姜枣引。
食远服。
下胁痈生于两胁下，与脐相对是也。由肝肾二经湿热壅甚而生。治法汤药与上胁同。
腿游毒，生于大腿之中，乃肾与小肠之所司也。由邪聚于经络，热气伤于皮肤，血凝此处而生。始觉用一扫
丹、失笑饼可消（方见上），迟则服后药，溃后用万灵膏彻脓，再上生肌散可愈。
十三味紫苏流气饮
紫苏、川朴、甘草、香附、槟榔、木瓜、腹皮、川芎、二花、枳壳、乌药、牛膝、骨皮。
十一味托里流气饮
紫苏、枳壳、桔根、羌活、独活、大黄、甘草、腹皮、乌药、香附、连翘。
空心服。
臀痈生于臀突之上，上近腰肾，下近大腿。由湿热相侵，气血凝滞而生，形大如盘，上肿其腰，下肿其胯，
此为阴中之阳，因血结而气不通矣。宜宣热拔毒，大补气血之剂，浓脾胃，滋补根本，如此则脓易作，而热易宣。
宜拔毒羌活饮、宣热连翘汤。不然经年月难愈。滋补之后，脓血既成，以长针开之，针孔内以芫花根插之，外用
万灵膏贴之，内服人参败毒散，俟脓尽而自平矣，勿图速效，听信下工之言，以草药敷之，血得寒凉凝聚不行，
以致数年之苦，良可畏矣。
十九味拔毒羌活饮
羌活、独活、连翘、白芷、桔根、紫苏、枳壳、槟榔、大腹皮、柴胡、前胡、白芍、当归、郁金、乳香、没
药、丹皮、穿甲。皂刺引。
空心服。
二十三味宣热连翘汤
连翘、紫苏、甘草、黄连、人参、黄芩、黄 、川
芎、当归、生地、栀子、柴胡、枳壳、香附、赤芍、郁金、地骨皮、白术、二花、牛子、茯苓、川朴、花粉。
水煎，空心服。
**Upper Hypochondriac Carbuncle** arises two to three cun below the hypochondrium. It is caused by severe congestion of wind-heat in the Liver Meridian, resulting in this toxicity. The *Qinggan Liuqi Yin* (Clear Liver and Promote Qi Decoction) should be used. If it ulcerates, apply *Wanling Gao* (Wanling Plaster) externally and sprinkle *Shengji San* (Tissue-Regenerating Powder). Peace will naturally ensue.
**Nineteen-Ingredient Qianghuo Pain-Relieving Decoction** (*Shijiuwei Qianghuo Dingtong Yin*)
Ingredients: *Qianghuo* (Notopterygii Rhizoma et Radix), *Duhuo* (Angelicae Pubescentis Radix), *Xuanshen* (Scrophulariae Radix), *Shengma* (Cimicifugae Rhizoma), *Baizhi* (Angelicae Dahuricae Radix), *Ruxiang* (Olibanum), *Moyao* (Myrrha), *Fangfeng* (Saposhnikoviae Radix), *Zisu* (Perillae Folium), *Jiegen* (Platycodonis Radix), *Chaihu* (Bupleuri Radix), *Maidong* (Ophiopogonis Tuber), *Gancao* (Glycyrrhizae Radix et Rhizoma), *Huangqin* (Scutellariae Radix), *Renshen* (Ginseng Radix), *Baizhu* (Atractylodis Macrocephalae Rhizoma), *Lianqiao* (Forsythiae Fructus), *Erhua* (Lonicerae Japonicae Flos). Use fresh ginger and jujube as guides. Take after meals.
**Lower Hypochondriac Carbuncle** arises in the lower part of both hypochondria, opposite the umbilicus. It is generated by severe damp-heat congestion in the Liver and Kidney meridians. The treatment method for herbal decoctions is the same as for the upper hypochondriac carbuncle.
**Leg Wandering Toxicity** (*Tui Youdu*) arises in the middle of the thigh. This area is governed by the Kidney and Small Intestine. It occurs when pathogenic factors accumulate in the collaterals, heat qi damages the skin, and blood coagulates at this site. At the initial stage, *Yisao Dan* (One-Sweep Powder) or *Shixiao Bing* (Shixiao Cake) can be used to dissipate it (formulas see above). If delayed, take the subsequent prescription. After ulceration, use *Wanling Gao* to drain pus, then apply *Shengji San* to heal.
**Thirteen-Ingredient Zisu Promoting Qi Decoction** (*Shisanwei Zisu Liuqi Yin*)
Ingredients: *Zisu* (Perillae Folium), *Chuanpo* (Magnoliae Officinalis Cortex), *Gancao* (Glycyrrhizae Radix et Rhizoma), *Xiangfu* (Cyperi Rhizoma), *Binglang* (Arecae Semen), *Mugua* (Chaenomelis Fructus), *Fupi* (Arecae Pericarpium), *Chuanxiong* (Chuanxiong Rhizoma), *Erhua* (Lonicerae Japonicae Flos), *Zhike* (Aurantii Fructus), *Wuyao* (Linderae Radix), *Niuxi* (Achyranthis Bidentatae Radix), *Gupi* (Lycii Cortex Radicis).
**Eleven-Ingredient Tuoli Promoting Qi Decoction** (*Shiyiwei Tuoli Liuqi Yin*)
Ingredients: *Zisu* (Perillae Folium), *Zhike* (Aurantii Fructus), *Jiegen* (Platycodonis Radix), *Qianghuo* (Notopterygii Rhizoma et Radix), *Duhuo* (Angelicae Pubescentis Radix), *Dahuang* (Rhei Radix et Rhizoma), *Gancao* (Glycyrrhizae Radix et Rhizoma), *Fupi* (Arecae Pericarpium), *Wuyao* (Linderae Radix), *Xiangfu* (Cyperi Rhizoma), *Lianqiao* (Forsythiae Fructus). Take on an empty stomach.
**Gluteal Carbuncle** (*Tun Yong*) arises on the prominence of the buttocks, close to the lumbar region and kidneys superiorly, and near the thigh inferiorly. It is caused by invasion of damp-heat leading to stagnation of qi and blood. Its shape is large like a plate; swelling extends up to the waist and down to the hip. This is a "Yang within Yin" condition, where blood coagulation obstructs qi flow. Treatment should focus on venting heat and extracting toxicity, using major formulas to tonify qi and blood, strengthen the Spleen and Stomach, and nourish the root. This facilitates pus formation and heat dispersion. Suitable prescriptions include *Badu Qianghuo Yin* (Toxin-Extracting Qianghuo Decoction) and *Xuanre Lianqiao Tang* (Heat-Venting Lianqiao Decoction). Otherwise, it may persist for years without healing. After tonification, once pus and blood are formed, incise with a long needle, insert the root of *Yuanhua* (Genkwa Flos) into the puncture, apply *Wanling Gao* externally, and internally administer *Renshen Baidu San* (Ginseng Detoxifying Powder). Wait until the pus is exhausted for natural resolution. Do not seek quick results or heed the advice of incompetent practitioners who apply herbal pastes. Cold and cooling herbs cause blood to coagulate and stagnate, leading to suffering for years, which is truly formidable.
**Nineteen-Ingredient Badu Qianghuo Decoction** (*Shijiuwei Badu Qianghuo Yin*)
Ingredients: *Qianghuo* (Notopterygii Rhizoma et Radix), *Duhuo* (Angelicae Pubescentis Radix), *Lianqiao* (Forsythiae Fructus), *Baizhi* (Angelicae Dahuricae Radix), *Jiegen* (Platycodonis Radix), *Zisu* (Perillae Folium), *Zhike* (Aurantii Fructus), *Binglang* (Arecae Semen), *Dafupi* (Arecae Pericarpium), *Chaihu* (Bupleuri Radix), *Qianhu* (Peucedani Radix), *Baishao* (Paeoniae Radix Alba), *Danggui* (Angelicae Sinensis Radix), *Yujin* (Curcumae Radix), *Ruxiang* (Olibanum), *Moyao* (Myrrha), *Danpi* (Moutan Cortex), *Chuanjia* (Manis Squama). Use *Zaocili* (Gleditsiae Spina) as a guide. Take on an empty stomach.
**Twenty-Three-Ingredient Xuanre Lianqiao Decoction** (*Sanershiwei Xuanre Lianqiao Tang*)
Ingredients: *Lianqiao* (Forsythiae Fructus), *Zisu* (Perillae Folium), *Gancao* (Glycyrrhizae Radix et Rhizoma), *Huanglian* (Coptidis Rhizoma), *Renshen* (Ginseng Radix), *Huangqin* (Scutellariae Radix), *Huangqi* (Astragali Radix), *Chuanxiong* (Chuanxiong Rhizoma), *Danggui* (Angelicae Sinensis Radix), *Shengdi* (Rehmanniae Radix), *Zhizi* (Gardeniae Fructus), *Chaihu* (Bupleuri Radix), *Zhike* (Aurantii Fructus), *Xiangfu* (Cyperi Rhizoma), *Chishao* (Paeoniae Radix Rubra), *Yujin* (Curcumae Radix), *Digupi* (Lycii Cortex Radicis), *Baizhu* (Atractylodis Macrocephalae Rhizoma), *Erhua* (Lonicerae Japonicae Flos), *Niuzi* (Arctii Fructus), *Fuling* (Poria), *Chuanpo* (Magnoliae Officinalis Cortex), *Huafen* (Trichosanthis Radix). Decoct in water and take on an empty stomach.