手腕毒生于掌后交骨之间，盖由心生热，肝生风，风热壅甚，血气燔灼，又兼喜怒忧恐，感积于心，而生此
毒。当用定痛消毒饮、内托流气饮，若毒贯透手心、手腕者，此心毒流于骨髓，乃危症也。急以三香托里饮救之，
或乳香返魂汤（方见前）。外贴万灵膏，后上生肌散。若痛甚，以乳香散熏之。
十八味三香托里散
乳香、木香、大黄、人参、黄 、甘草、紫苏、桂枝、干葛、乌药、当归、桔根、防风、花粉、白芍、二花、
升麻、玄参。
食后服。
十四味乳香散
乳香、没药、雄黄、二花、川芎、蒲公英、草乌、木鳖、艾叶、桃叶、白芷、青蒿叶、何首乌、麝香（少许）。
上药捣烂成团，用瓦器盛着烧烟熏之，或煎水洗亦可。
便毒即鱼口，生于马胯眼内，男妇皆有之，乃厥阴肝经之所司也。因酒色过度，或坐卧湿地，或湿热浸透而
生此毒。鱼口者，
开而不合也。治之不善，经年不愈，始以一扫丹、失笑饼，内服木香消毒饮，可内消而愈。如迟追以人参败毒饮，
黄解毒汤。既溃，用万灵膏、生肌散，忌行动不易合口。此毒有公母之分∶公者，小而长易治；母者，围而大
难治。公则无子，母则有三、四子，先生母毒，子别列于外，以艾灸三、四壮，其子即隐，次第服药，除其后患
矣。
二十二味木瓜消毒饮
木瓜、乳香、枳壳、紫苏、白芷、槟榔、防风、木香、腹皮、川膝、肉桂、连翘、甘草、防己、黄 、川芎、
当归、白芍、二花、小茴、羌活、柴胡。
空心服。
二十味人参败毒散
人参、甘草、川芎、茯苓、枳壳、前胡、羌活、独活、柴胡、木瓜、干葛、防己、牛膝、槟榔、腹皮、黄连、
黄柏、猪苓、麦冬、栀子。
空心服。
Wrist Poison (a toxic sore occurring at the wrist) arises between the bones of the wrist joint (carpal bones). This is primarily due to internal heat generated by the Heart and wind stirred by the Liver. When wind-heat becomes excessively congested, it causes Qi and Blood to burn and scorch. Additionally, emotional disturbances such as anger, joy, worry, and fear accumulate in the Heart, giving rise to this toxicity. Treatment should involve Ding Tong Xiao Du Yin (Pain-Calming and Toxin-Resolving Decoction) and Nei Tuo Liu Qi Yin (Internal Support and Qi-Circulating Decoction). If the toxin penetrates through the palm and wrist, indicating that Heart toxicity has flowed into the bone marrow, it constitutes a critical condition. In such cases, San Xiang Tuo Li Yin (Three Fragrances Supporting Interior Decoction) must be urgently administered for rescue, or Ruxiang Fanhun Tang (Frankincense Soul-Returning Decoction) may be used (formula see previous section). Externally, apply Wan Ling Gao (Myriad Spirits Ointment), followed by the application of Sheng Ji San (Flesh-Regenerating Powder). If pain is severe, fumigate with Ruxiang San (Frankincense Powder).
Eighteen-Fragrance Three-Fragrance Supporting Interior Powder:
Ingredients include: Ruxiang (Boswelliae Fructus, 乳香), Muxiang (Aucklandiae Radix, 木香), Dahuang (Rhei Radix et Rhizoma, 大黄), Renshen (Ginseng Radix, 人参), Huangqin (Scutellariae Radix, 黄芩), Gancao (Glycyrrhizae Radix et Rhizoma, 甘草), Zisu (Perillae Folium, 紫苏), Guizhi (Cinnamomi Ramulus, 桂枝), Gange (Puerariae Radix, 干葛), Wuyao (Linderae Radix, 乌药), Danggui (Angelicae Sinensis Radix, 当归), Jiegen (Platycodonis Radix, 桔根), Fangfeng (Saposhnikoviae Radix, 防风), Huafen (Trichosanthis Radix, 花粉), Baishao (Paeoniae Radix Alba, 白芍), Erhua (Lonicerae Japonicae Flos, 金银花), Shengma (Cimicifugae Rhizoma, 升麻), Xuanshen (Scrophulariae Radix, 玄参).
Take after meals.
Fourteen-Fragrance Frankincense Powder:
Ingredients include: Ruxiang (Boswelliae Fructus, 乳香), Moyao (Olibanum, 没药), Xionghuang (Realgar, 雄黄), Erhua (Lonicerae Japonicae Flos, 金银花), Chuanxiong (Ligustici Chuanxiong Rhizoma, 川芎), Pugongying (Taraxaci Herba, 蒲公英), Caowu (Aconiti Kusnezoffii Radix, 草乌), Mugua (Chaenomelis Fructus, 木鳖 - Note: Text says Mu Bie, likely Mu Bie Zi), Aiye (Artemisiae Argyi Folium, 艾叶), Taoye (Persicae Folium, 桃叶), Baizhi (Angelicae Dahuricae Radix, 白芷), Qinghaoye (Artemisiae Annuae Folium, 青蒿叶), Heshouwu (Polygoni Multiflori Radix, 何首乌), Shexiang (Moschus, 麝香, small amount).
Mash the above herbs into a paste, place in a clay vessel, burn to produce smoke for fumigation of the affected area, or decoct for washing.
Bi Du (toxic swelling in the groin), also known as Yu Kou (Fish Mouth), occurs in the inguinal region (inner thigh crease). It affects both men and women and is governed by the Jueyin Liver Meridian. It arises from excessive alcohol consumption and sexual activity, sitting or lying on damp ground, or infiltration by damp-heat pathogens. The term "Yu Kou" refers to the appearance of the ulcer, which opens wide and does not close easily. If treated improperly, it may persist for years without healing. Initially, use Yi Sao Dan (One Sweep Powder) and Shi Xiao Bing (Shi Xiao Cake), along with internal administration of Muxiang Xiao Du Yin (Aucklandia Toxin-Resolving Decoction), to resolve the toxicity internally and achieve cure. If treatment is delayed, administer Renshen Bai Du Yin (Ginseng Resisting Pathogens Decoction) and Huanglian Jie Du Tang (Coptis Toxin-Resolving Decoction). Once ulcerated, apply Wan Ling Gao (Myriad Spirits Ointment) and Sheng Ji San (Flesh-Regenerating Powder). Avoid movement, as it hinders wound closure. This toxicity is classified into male and female types: Male type is small and elongated, easy to treat; Female type is round and large, difficult to treat. The male type has no branches ("sons"); the female type has three or four branches. If the female type appears first, the branches appear separately around it. Apply moxibustion to three or four points (or three to four burns); the branches will recede. Then take medicines sequentially to eliminate future complications.
Twenty-Two-Ingredient Papaya Toxin-Resolving Decoction:
Ingredients include: Mugua (Chaenomelis Fructus, 木瓜), Ruxiang (Boswelliae Fructus, 乳香), Zhike (Aurantii Fructus Immaturus, 枳壳), Zisu (Perillae Folium, 紫苏), Baizhi (Angelicae Dahuricae Radix, 白芷), Binglang (Arecae Semen, 槟榔), Fangfeng (Saposhnikoviae Radix, 防风), Muxiang (Aucklandiae Radix, 木香), Fupi (Magnoliae Officinalis Cortex, 腹皮), Chuanxi (Cyathulae Radix, 川膝), Rougui (Cinnamomi Cortex, 肉桂), Lianqiao (Forsythiae Fructus, 连翘), Gancao (Glycyrrhizae Radix et Rhizoma, 甘草), Fangji (Stephaniae Tetrandrae Radix, 防己), Huangqin (Scutellariae Radix, 黄芩), Chuanxiong (Ligustici Chuanxiong Rhizoma, 川芎), Danggui (Angelicae Sinensis Radix, 当归), Baishao (Paeoniae Radix Alba, 白芍), Erhua (Lonicerae Japonicae Flos, 金银花), Xiaohui (Foeniculi Fructus, 小茴), Qianghuo (Notopterygii Rhizoma et Radix, 羌活), Chaihu (Bupleuri Radix, 柴胡).
Take on an empty stomach.
Twenty-Ingredient Ginseng Resisting Pathogens Powder:
Ingredients include: Renshen (Ginseng Radix, 人参), Gancao (Glycyrrhizae Radix et Rhizoma, 甘草), Chuanxiong (Ligustici Chuanxiong Rhizoma, 川芎), Fuling (Poria, 茯苓), Zhike (Aurantii Fructus Immaturus, 枳壳), Qianhu (Peucedani Radix, 前胡), Qianghuo (Notopterygii Rhizoma et Radix, 羌活), Duhuo (Angelicae Pubescentis Radix, 独活), Chaihu (Bupleuri Radix, 柴胡), Mugua (Chaenomelis Fructus, 木瓜), Gange (Puerariae Radix, 干葛), Fangji (Stephaniae Tetrandrae Radix, 防己), Niuxi (Achyranthis Bidentatae Radix, 牛膝), Binglang (Arecae Semen, 槟榔), Fupi (Magnoliae Officinalis Cortex, 腹皮), Huanglian (Coptidis Rhizoma, 黄连), Huangbai (Phellodendri Cortex, 黄柏), Zhuling (Polyporus, 猪苓), Maidong (Ophiopogonis Radix, 麦冬), Zhizi (Gardeniae Fructus, 栀子).
Take on an empty stomach.