除湿二陈汤 治臀痈上马下马等症。
陈皮 半夏 茯苓 秦艽 薏苡仁 麦冬 甘草（等分）
用生姜一片。灯心二十根。水煎。食远服。
内托羌活汤 尻臀生痈。坚硬肿痛者。
黄 （一钱五分） 黄柏（酒炒） 羌活（各三钱） 防风 归尾 本 连翘 苍术 陈皮 甘草（炙各一钱）
肉桂（三分）
用水一钟。黄酒半钟。煎八分。食前服。
绀珠丹 贵金丸 绀珠膏 卫生散 托里消毒散 六君子汤 六味地黄丸（俱见首卷）
上马痈 生于臀。近肛门之右。
下马痈 生于臀。近肛门之左。
上二症治同臀痈。
风疳生于臀腿。俗名坐板疮。形如疥癣。破流黄水。先痒后疼。由风寒客于谷道所致。宜香白散等药敷
之。令毒水出尽。即结痂而愈。
香白散
枯白矾 轻粉（各二钱） 樟脑（一钱）
共为末。湿则干掺。干用生桐油调敷。
一用丝瓜皮焙为末。烧酒调敷。或大蒜瓣烧存性。为末掺之。或用芫花根煎汤洗之。
悬痈 生于会阴穴。在阴囊之后。谷道之前。初生如松子。次大如莲子。数日始发。红热肿痛。大如桃李。
涌泉疽 生于尻前。书云。肿发太阴。状如伏鼠。十日可刺。得白脓者顺。青脓者险。赤黑者逆。不穴者死。
穿裆发 生穷骨穴。即阴器之底也。色赤 肿。痛连阴子及腰背肛门。灸三阴交穴三七壮。
跨马痈 生交裆。近积线之处。
按上症。皆生于前阴之后。后阴之前。以其形异而名亦异也。属任脉别络。夹督脉波脉之会。由足
三阴亏损。多兼志欲不遂之所致。轻则成漏。重而则陨。故麻木黑陷。泄泻呕哕。疲倦者。久延谷道。内
溃脏腑者。皆不治。古云。阳气亢盛者宜坎离丸。取其苦寒能泻水中之火。令阳气衰则阴自生。阳
气衰弱者宜六味地黄丸。取其酸温能生火中之水。使阳气旺则阴自生。然此症属阴精衰弱者十
有八九。阳气亢盛者百中一二。
初起肿痛。小便赤涩者。先服制甘草一二剂。及蒜灸之。次服龙胆泻肝汤。已成不得内消者。托里消
毒散加穿山甲、皂角刺。自破或脓胀痛者。针之。朝服六味地黄丸。午服十全大补汤。加丹皮、泽泻。或
再加附子。久而成漏者。宜国老膏化汤吞蜡矾丸。间以豆豉饼灸之。久则大附子饼灸之。如晡热烦
渴气喘。体倦食少。大便溏。小便数者。脾虚也。宜补中益气汤加茯苓、半夏。候饮食进。诸症减。更加麦
冬、五味子自瘥。经云。阴虚脾虚也。脾为阴土而主生血。若误用知母、黄柏苦寒之剂。复伤脾肺。是绝
其源矣。
Chushi Erchen Tang (Dampness-Expelling Two-Aged Decoction) is indicated for treating Buttock Carbuncle (Shentong), Shangma Abscess, and Xiaoma Abscess.
Ingredients: Chenpi (Aged Tangerine Peel), Banxia (Pinellia Rhizome), Fuling (Poria), Qinjiao (Gentiana Macrophylla Root), Yiyiren (Coix Seed), Maidong (Ophiopogon Tuber), Gancao (Licorice Root). Dosage: Equal parts.
Preparation: Use one slice of Shengjiang (Fresh Ginger) and twenty stalks of Dengxincao (Juncus Medulla). Decoct in water. Take after meals.
Neituo Qianghuo Tang (Interior-Supporting Notopterygium Decoction) is indicated for carbuncles arising in the sacral and gluteal regions, presenting with hardness, swelling, and pain.
Ingredients: Huangqi (Astragalus Root, 1.5 qian), Huangbai (Phellodendron Bark, wine-fried), Qianghuo (Notopterygium Rhizome, each 3 qian), Fangfeng (Saposhnikovia Root), Guiwei (Angelica Sinensis Tail), Bencao (Ligusticum Chuanxiong Rhizome), Lianqiao (Forsythia Fruit), Cangzhu (Atractylodes Rhizome), Chenpi (Aged Tangerine Peel), Zhigancao (Honey-fried Licorice Root, each 1 qian), Rougui (Cinnamon Bark, 0.3 qian).
Preparation: Use one cup of water and half a cup of yellow wine. Decoct until eight-tenths remain. Take before meals.
Ganzhou Dan, Guijin Wan, Ganzhou Gao, Weisheng San, Tuoli Xiaodu San, Liujunzi Tang, Liuwei Dihuang Wan (all described in the first volume of this book).
Shangma Abscess arises on the buttock, near the right side of the anus.
Xiaoma Abscess arises on the buttock, near the left side of the anus.
The treatment for these two conditions is the same as that for Buttock Carbuncle.
Fenggan arises on the buttocks and thighs, commonly known as "Sitting Board Sore." It resembles scabies or tinea, breaks open to discharge yellow fluid, and presents with itching preceding pain. It is caused by wind-cold pathogenic factors lodging in the anal region. It is appropriate to apply Xiangbai San or similar medicaments externally to allow the toxic fluid to drain completely, leading to scabbing and healing.
Xiangbai San: Kubai Fan (Calcined Alum), Qingfen (Calomel, each 2 qian), Zhangnao (Borneol, 1 qian).
Grind all into powder. If the lesion is moist, sprinkle the dry powder; if dry, mix with raw Tung Oil for topical application.
Alternative methods: Roast Loofah Skin to dryness, grind into powder, and apply mixed with Sha Jiu (Baijiu); or roast Garlic Clove until carbonized (preserving its nature), grind into powder, and sprinkle; or decoct Yuanhua Root in water to wash the affected area.
Xuanyong arises at the Huiyin Acupoint, located posterior to the scrotum and anterior to the anus. Initially, it is like a pine cone; subsequently, it enlarges to the size of a lotus seed. After several days, it erupts with redness, heat, swelling, and pain, eventually becoming as large as a plum or peach.
Yongquan Ju arises anterior to the sacrum. Medical texts state: Swelling manifests along the Taiyin Meridian, resembling a crouching mouse. It may be punctured after ten days. Discharge of white pus indicates a favorable prognosis; green pus indicates danger; red-black pus indicates an unfavorable prognosis. Failure to puncture leads to death.
Chuandang Fa arises at the Qiongu Acupoint, which is the base of the genitalia. The area is red and swollen, with pain radiating to the genitals, lower back, and anus. Moxibustion should be applied to Sanyinjiao Acupoint for thirty-seven moxa cones.
Kuma Abscess arises between the legs, near the pubic hair line.
Note: All the above conditions arise posterior to the anterior yin (genitals) and anterior to the posterior yin (anus). They are named differently due to their distinct morphologies. These conditions belong to the collateral branches of the Ren Mai (Conception Vessel) and are located at the convergence of the Du Mai (Governor Vessel) and Bo Mai vessels. They result from deficiency of the Three Yin Meridians of the Foot, often compounded by unfulfilled sexual desires. Mild cases may develop into fistulas; severe cases may lead to death. Therefore, symptoms such as numbness, black depression, diarrhea, vomiting, hiccups, and fatigue, or prolonged progression leading to internal organ ulceration via the anal canal, are considered incurable. Ancient texts state: For those with hyperactive Yang Qi, Kanli Wan is suitable, utilizing its bitter-cold property to drain fire within water, thereby reducing Yang Qi so that Yin naturally generates. For those with deficient Yang Qi, Liuwei Dihuang Wan is suitable, utilizing its sour-warm property to generate water within fire, thereby strengthening Yang Qi so that Yin naturally generates. However, nine out of ten cases of this condition involve Yin Essence deficiency, while only one in a hundred involves Yang Qi hyperactivity.
In the initial stage, if there is swelling, pain, and dark, scanty urination, first administer Zhi Gancao (Processed Licorice Root) for one to two doses, combined with Suan Jiu (Garlic Moxibustion). Subsequently, administer Longdan Xiegan Tang (Gentian Liver-Draining Decoction). If the abscess has matured and cannot be resolved internally, use Tuoli Xiaodu San (Interior-Supporting Toxin-Resolving Decoction) added with Chuanshanjia (Pangolin Scale) and Zaojiaoci (Gleditsia Spine). If it ruptures spontaneously or causes distending pain due to pus, perform needle drainage. In the morning, administer Liuwei Dihuang Wan (Six-Ingredient Pill with Rehmannia); at noon, administer Shiquan Dabu Tang (Ten-Ingredient Great Tonifying Decoction) added with Mudanpi (Tree Peony Bark), Zexie (Alisma Rhizome), or additionally Fuzi (Aconite Root). If it becomes a chronic fistula, dissolve Guolao Gao (Honey Confection) in decoction and swallow with Lafan Wan (Beeswax-Alum Pill). Intermittently apply Douchi Bing Jiu (Fermented Soybean Cake Moxibustion). For long-standing cases, apply Da Fuzi Bing Jiu (Large Aconite Cake Moxibustion). If evening fever, irritability, thirst, panting, body fatigue, poor appetite, loose stools, and frequent urination occur, this indicates Spleen Deficiency. It is appropriate to administer Buzhong Yiqi Tang (Middle-Warming Qi-Boosting Decoction) added with Fuling (Poria) and Banxia (Pinellia Rhizome). Once appetite improves and other symptoms subside, add Maidong (Ophiopogon Tuber) and Wuweizi (Schisandra Berry) for natural recovery. The Classics state: This is Yin Deficiency combined with Spleen Deficiency. The Spleen is Yin Earth and governs blood generation. If one mistakenly uses bitter-cold agents such as Zimu (Anemarrhena Rhizome) and Huangbai (Phellodendron Bark), further damaging the Spleen and Lung, it severs the source of Qi and Blood production.