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To treat heat accumulation in the Bladder (Bladder), with Wind-Dampness (Wind-Dampness) attacking mutually, causing swelling of the Yin organs and difficulty in urination and defecation.
Bai Qianniu (Semen Pharbitidis, slightly stir-fried, 2 liang), Baizhu (Rhizoma Atractylodis Macrocephalae, 0.5 liang), Sangbaipi (Cortex Mori Radicis), Chenpi (Pericarpium Citri Reticulatae), Mutong (Caulis Akebiae, each 0.5 liang).
Grind the above into powder. Take 2 qian per dose, mixed with Ginger Decoction (Ginger juice/water), taken on an empty stomach. If no effect is felt after the first dose, take another. This medicine does not damage Zang-Fu Qi (Vital energy of the internal organs), but only guides and promotes the discharge of stagnation. Formulas for treating Hernia (Hernia) generally use more warming herbs; this formula is suitable only for patients with Obstructive Heat Syndrome (Syndrome of heat obstruction).

To treat Yin Hu Hernia (Yin Fox Hernia), characterized by one side of the scrotum being larger or smaller than the other, moving up and down frequently, causing distension and discomfort.
Spider (14 pieces, roasted until charred), Guixin (Cortex Cinnamomi, 0.5 liang).
Grind the above into powder, make pills with honey, sized like wutong seeds. Take 10 pills with Rice Drink (Rice water).

To treat unilateral scrotal swelling, so distended that movement is impossible, causing restlessness in sitting and lying.
Mudanpi (Cortex Moutan Radicis), Fangfeng (Radix Saposhnikoviae, equal parts).
Grind the above into powder. Take one fangcun bi (a square-inch measure) with wine. *Duanju* mentions adding Guizhi (Ramulus Cinnamomi), Chi (Fermented Soybean), and Tiejing (Iron filings), totaling five ingredients. For infants, mix a small amount with breast milk.

To treat scrotal swelling.
Xiangfu Zi (Rhizoma Cyperi Rotundi, any amount).
Grind the above into powder. For each use, take one zhan of wine, decoct Haizao (Thallus Sargassii, 1 qian weight) until reduced to half a zhan. First remove the seaweed, chew it thoroughly, then use the decocted wine to mix with 2 qian of Xiangfu powder and take orally.

To treat massive scrotal swelling like a dou (a unit of volume), with testicular pain, a condition difficult for ordinary people to cure.
Xionghuang (Realgar, 1 liang, ground), Fan (Alumen, 2 liang, ground), Gancao (Radix Glycyrrhizae, raw, 0.5 liang).
Cut the above into coarse pieces for a powder. Decoct in 5 sheng of water, and wash the affected area.

Fa Bei Yong Ju (Back Carbuncle and Ulcer) arises from all three causes. The discussion states: Carbuncles, ulcers, and scrofula, regardless of deficiency/excess or cold/heat, are all caused by Qi Stagnation (Stagnation of Qi). The *Classic* also says: When Qi lodges in the meridians and flows sluggishly together with Blood, it obstructs and knots to form carbuncles and ulcers. It does not mention that heat alone creates these conditions, because they are formed due to emotional depression such as joy, anger, worry, and thought. Another discussion states: When the body has heat and is struck by Wind-Cold, the blood vessels become congealed and stagnant, and heat accumulates to form the condition; or when Yin deficiency allows Yang Qi to invade, Cold transforms into Heat, and excessive Heat rots flesh into pus. This is caused by external factors of Cold, Heat, Wind, and Dampness. Furthermore, taking Dan-Shi (Elixir stones), eating roasted/fried foods, alcohol, wheat products, sleeping on warm beds, and covering with thick quilts cause it; or exhausting oneself in sexual activity, leading to Essence deficiency and Qi depletion, is caused by non-internal and non-external factors. Thus, the Three Causes are complete. Another discussion states: Jie (Boil) means node; Yong (Carbuncle) means obstruction; Ju (Ulcer/Gangrene) means blockage. As long as Yin and Yang are unbalanced and there is obstruction/stagnation, carbuncles and ulcers will form. It is also said: When Yin stagnates in Yang, a Carbuncle develops; when Yang stagnates in Yin, an Ulcer develops. These two toxins have no fixed location for onset and should be distinguished by pulse. Floating, surging, slippery, and rapid pulses indicate Yang patterns; fine, deep, slow, and choppy pulses indicate Yin patterns. Yin patterns are treated with heat methods; Yang patterns are treated with cold methods. The key to treatment involves four stages and eight matters: at the initial stage, disperse heat and extract toxins; once ulcerated, drain pus and relieve pain; when pus is exhausted, eliminate internal gaps and fill defects; when foul tissue is gone, promote muscle growth and apply scabs. Although the sequence is clear, if the cause is not distinguished, treatment will be blind. Therefore, in treatment methods, using Yuanzhi (Radix Polygalae) to disperse heat addresses the Internal Cause; for External Causes, Dahuang (Radix et Rhizoma Rhei) is used; for Non-Internal/External Causes, Gancao (Radix Glycyrrhizae) is used. Physicians today merely stick to medical texts, mostly using Wuxiang Liaoqiao Tang (Five-Aroma Liaoqiao Decoction) and Loulu Tang (Loulu Decoction), without understanding the origin of the Three Causes. How can one adhere to a single method for universal application? Once the cause is identified, one must observe the depth of the disease and the auspiciousness/malevolence of the symptoms. Treat cold with warmth, heat with clearing, deficiency with tonification, excess with purging. Guide with needles and stones, cauterize with moxa cones, break toxicity and soften hardness, aiming for balance. Each has established methods. Recently, Official Hu obtained a formula, which he treasured and kept secret, presenting it to Chancellor Hong. The Chancellor wrote a preface, giving it great weight in the world, and it has now circulated widely. This formula is Qianjin Neibu San (Thousand Gold Internal Tonifying Powder) with Huang Qin (Radix Scutellariae) added, Renshen (Radix Ginseng) added, and Guizhi (Ramulus Cinnamomi) removed. In mild cases, taking it yields slight improvement; however, for true carbuncles and ulcers, the harm may be even greater. Neibu San should be used in the fourth stage; currently, one should take internal resolving medicines first, and only administer it after pus is exhausted. If used exclusively, it is called adhering to a single method. Confucius did not try medicines whose principles he had not fully understood, which is indeed profound. Scholars should deeply ponder these words, do not lightly trust medical prescriptions, and avoid misleading the world and future generations. Be cautious, be cautious.