囊痈者。乃阴虚湿热流注于囊。结而为肿。至溃之后。睾丸悬挂。犹不伤人。其毒从外
发。治当补阴。清利湿热为主。
如意黄金散 敷囊痈初起。红赤肿痛。发热坠重者。
天花粉 黄柏 大黄 姜黄（各五分） 白芷（三两） 浓朴 陈皮 甘草 苍术 南星（
上为末。以葱汁同蜜。调敷患处。
清肝渗湿汤 治囊痈。肝经湿热结肿。小水不利。发热 痛。
川芎 当归 龙胆草 生地 白芍 柴胡（各一钱五分） 天花粉 山栀 黄芩 木通
泽泻（各一钱） 灯心三十茎。食前服。
滋阴内托散 治囊痈已成。肿痛发热。有脓服之即溃。
当归 川芎 白芍 黄 （各一钱五分） 熟地 皂角刺 穿山甲（炒） 泽泻（各八分）
悬痈者。乃三阴亏损。湿热结聚而成。此穴在谷道之前。阴器之下。又谓之海底穴也。
初起如豆。少痒多痛。日久渐大。赤肿掀痛。溃脓后。轻则成漏。重则沥尽气血。变为痨瘵多
内消沃雪汤 治悬痈初起。增寒疼痛。（方见痈疽门）
琥珀蜡矾丸 治悬痈。并一切痈疽发背。已成未成之际。恐毒不能出。必致内攻。预服
以护心膜。亦散毒止痛。
明矾（一两五钱） 黄蜡（一两二钱） 琥珀 朱砂 雄黄（各二钱） 乳香（一钱） 蜂蜜（
前药俱为细末。将蜡溶化。再末药并蜜搅匀众手急丸。如绿豆大。朱砂为衣。每服三十
丸。白滚汤下。病重早晚日进二次。神效。
神功内托散 治悬痈日久不溃。高硬肿痛不可当者。
人参 白术（各二钱） 白芍 当归 附子 陈皮 穿山甲 木香（各一钱二分） 川芎
枳壳 皂角刺 黄 （各一钱） 生姜三片煎八分食前服。
透脓散 治悬痈。并一切疽毒已成。不肯穿破者服之即溃。
穿山甲（炒） 当归（各二钱） 黄 川芎 皂角刺（各一钱五分） 水酒各一碗食前热服
生肌丸 治悬痈。不能收口。每日早晚服之即愈。（方见发背门）
Scrotal carbuncle (Nang Yong) is caused by Yin deficiency leading to the flow and accumulation of damp-heat into the scrotum, where it condenses to form swelling. Even after ulceration, when the testicles hang exposed, it does not necessarily endanger life, as the pathogenic toxin emanates from the exterior. Treatment should primarily focus on nourishing Yin and clearing/drainage of damp-heat.
Ruyi Huangjin San (如意黄金散): Applied topically for early-stage scrotal carbuncle presenting with redness, swelling, pain, fever, and a sensation of heaviness or dragging in the lower region.
Ingredients: Tiaranfen (Fen Sheng Mai Dong), Huangbai (Phellodendron Bark), Dahuang (Rhubarb Root), Jianghuang (Turmeric Rhizome) (each 0.5 fen); Baizhi (Angelica Dahurica Root) (3 liang); Nongpo (Magnolia Bark), Chenpi (Tangerine Peel), Gancao (Licorice Root), Cangzhu (Atractylodes Rhizome), Nanxing (Arisaema Rhizome).
Usage: Grind the above herbs into fine powder. Mix with juice of green onion and honey, then apply externally to the affected area.
Qinggan Shenshi Tang (清肝渗湿汤): Used to treat scrotal carbuncle caused by damp-heat accumulation in the Liver meridian resulting in swelling, difficult urination, fever, and pain.
Ingredients: Chuanxiong (Ligusticum Rhizome), Danggui (Angelica Sinensis Root), Longdancao (Gentiana Root), Shengdi (Rehmannia Root), Baishao (White Peony Root), Chaihu (Bupleurum Root) (each 1.5 qian); Tianhuafen (Trichosanthes Root), Shanzhi (Gardenia Fruit), Huangqin (Scutellaria Root), Mutong (Akebia Stem), Zexie (Alisma Rhizome) (each 1 qian); Dengxincao (Juncus Pith) (30 stalks).
Usage: Take before meals.
Ziyang Neituo San (滋阴内托散): Used to treat scrotal carbuncle where pus has formed, presenting with swelling, pain, and fever; administration promotes ulceration and drainage of pus.
Ingredients: Danggui (Angelica Sinensis Root), Chuanxiong (Ligusticum Rhizome), Baishao (White Peony Root), Huangqi (Astragalus Root) (each 1.5 qian); Shudi (Prepared Rehmannia Root), Zaogelaci (Gleditsia Spine), Chuanshanjia (Pangolin Scale, stir-fried), Zexie (Alisma Rhizome) (each 0.8 qian).
Perineal abscess (Xuan Yong) is formed due to the deficiency of the Three Yin meridians and the accumulation of damp-heat. This acupoint is located anterior to the anus (Gu Dao) and inferior to the genitalia, also known as the Haidi acupoint.
Initially, it appears like a bean, with slight itching but predominant pain. Over time, it gradually enlarges, becoming red, swollen, and intensely painful. After ulceration and pus discharge, mild cases may develop into fistulas, while severe cases may exhaust Qi and Blood, transforming into consumptive disease (Lao Zhai).
Neixiao Xuoxue Tang (内消沃雪汤): Used to treat early-stage perineal abscess accompanied by aversion to cold and pain. (Formula see section on Carbuncles and Ulcers).
Hupo Lafan Wan (琥珀蜡矾丸): Used to treat perineal abscess, as well as all types of carbuncles and back sores, during the stage where pus is forming or has formed. It is taken prophylactically to prevent the toxin from failing to exit and invading inward, thereby protecting the Pericardium membrane, dispersing toxicity, and relieving pain.
Ingredients: Mingfan (Alum) (1.5 liang 5 qian), Huangla (Yellow Beeswax) (1.2 liang); Hupo (Amber), Zhusha (Cinnabar), Xionghuang (Realgar) (each 2 qian); Ruxiang (Frankincense) (1 qian); Fengmi (Honey) (appropriate amount).
Usage: Grind all aforementioned medicines into fine powder. Melt the beeswax, mix with the medicine powder and honey evenly. Roll into pills quickly while warm, sized like mung beans. Coat with Cinnabar powder. Take 30 pills each time with warm boiled water. For severe conditions, take twice daily (morning and evening) for miraculous efficacy.
Shengong Neituo San (神功内托散): Used to treat perineal abscess that has persisted for a long time without ulcerating, presenting with high, hard swelling and unbearable pain.
Ingredients: Renshen (Ginseng Root), Baizhu (Atractylodes Macrocephala Rhizome) (each 2 qian); Baishao (White Peony Root), Danggui (Angelica Sinensis Root), Fuzi (Prepared Aconite Root), Chenpi (Tangerine Peel), Chuanshanjia (Pangolin Scale), Muxiang (Costus Root) (each 1.2 qian); Chuanxiong (Ligusticum Rhizome), Zhike (Bitter Orange Fruit), Zaogelaci (Gleditsia Spine), Huangqi (Astragalus Root) (each 1 qian); Fresh Ginger (3 slices).
Usage: Decoct with water until reduced to 80%, take hot before meals.
Tounong San (透脓散): Used to treat perineal abscess, and all types of deep-seated sores where pus has formed but fails to rupture spontaneously; administration promotes immediate ulceration.
Ingredients: Chuanshanjia (Pangolin Scale, stir-fried), Danggui (Angelica Sinensis Root) (each 2 qian); Huangqi (Astragalus Root), Chuanxiong (Ligusticum Rhizome), Zaogelaci (Gleditsia Spine) (each 1.5 qian).
Usage: Decoct with one bowl of water and one bowl of wine, take hot before meals.
Shengji Wan (生肌丸): Used to treat perineal abscess where the wound fails to heal and close; taking this morning and evening leads to recovery. (Formula see section on Back Sores).