肚门痈在股肚生，股内近膝箕门痈，二证红肿 热痛，膀胱脾经湿热成。
【注】此二证俱属湿热凝结而成。肚门痈生于大腿肚，属足太阳膀胱经；箕门痈生于
股内近膝，属足太阴脾经。初起红肿 痛者，宜服神授卫生汤；若 肿便秘，烦躁饮冷，脉
数者，热淫于内也，宜内疏黄连汤，或双解贵金丸下之；若肿痛寒热，脉沉而无力，胸
腹胀满，饮食如常者，宜服槟苏散；如肿痛寒热已止，即换服逍遥散；若肿痛色不变，寒
热，食少，体倦者，由肝虚湿痰下注也，宜补中益气汤加茯苓、半夏、芍药服之；若患
此入房，肿硬，二便不通者，宜六味地黄丸加牛膝、车前，俟二便通利，仍服补中益气
汤。余治按痈疽肿疡、溃疡门。
\r肚门痈图\p04-34a190.bmp\r
\r箕门痈图\p04-34a191.bmp\r
槟苏散
槟榔 紫苏 香附 木瓜 陈皮 大腹
皮（各一钱） 羌活（五分） 木香（三分）
生姜三片，葱白三寸，水二盅，煎一盅，空心服。
【方歌】槟苏腹胀气不舒，股内箕门痈可除，香附木瓜陈大腹，木香羌活槟榔苏。
神授卫生汤 内疏黄连汤 双解贵金丸（俱见肿疡门）
逍遥散（见背部上搭手）
补中益气汤（见溃疡门）
六味地黄丸（见面部雀斑）
Dumen Carbuncle (Carbuncle of the Popliteal Fossa/Thigh Muscle) occurs in the muscle belly of the thigh, while Jimen Carbuncle (Carbuncle of the Jimen Acupoint area) occurs on the medial aspect of the thigh near the knee. Both conditions present with redness, swelling, heat, and pain, resulting from damp-heat accumulation in the Bladder Meridian and Spleen Meridian.
[Note] These two conditions are both caused by the coagulation of damp-heat. Dumen Carbuncle arises in the fleshy part of the thigh (gastrocnemius region) and belongs to the Foot-Taiyang Bladder Meridian; Jimen Carbuncle arises on the medial thigh near the knee and belongs to the Foot-Taiyin Spleen Meridian. In the initial stage, presenting with redness, swelling, heat, and pain, Shen Shou Wei Sheng Tang (Divine Grant Health Preservation Decoction) is appropriate. If there is severe swelling accompanied by constipation, irritability, a desire for cold drinks, and a rapid pulse, it indicates excessive heat rampant within; Neishu Huanglian Tang (Internal Draining Coptis Decoction) or Shuangjie Guijin Wan (Double Resolving Precious Gold Pill) should be used to purge the heat downwards. If swelling and pain are accompanied by alternating chills and fever, with a deep and weak pulse, chest and abdominal fullness, but normal appetite, Bingsu San (Areca and Perilla Powder) is appropriate. Once the swelling, pain, chills, and fever have subsided, switch to Xiaoyao San (Free and Easy Wanderer Powder). If the swelling and pain persist without color change, accompanied by chills/fever, poor appetite, and fatigue, this is due to liver deficiency causing damp-phlegm to sink downward; Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) added with Fuling (Poria), Banxia (Pinellia Rhizome), and Shaoyao (Peony Root) is appropriate. If sexual intercourse during the illness leads to hard swelling and obstruction of urination and defecation, Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) added with Niuxi (Achyranthes Root) and Cheqianzi (Plantago Seed) is appropriate; once urination and defecation become unobstructed, resume taking Buzhong Yiqi Tang. For other treatments, refer to the sections on Carbuncles and Ulcers.
Bingsu San (Areca and Perilla Powder)
Areca Seed (Binglang), Perilla Leaf (Zisu), Cyperus Rhizome (Xiangfu), Quince (Mugua), Tangerine Peel (Chenpi), Areca Peel (Dafupi) (each 1 qian), Notopterygium Rhizome (Qianghuo) (0.5 qian), Costus Root (Muxiang) (0.3 qian).
Add three slices of fresh ginger and three cun of white part of scallion, decoct in two cups of water until one cup remains. Take on an empty stomach.
[Prescription Verse] Bingsu resolves abdominal distension and stagnant qi, curing Jimen carbuncle in the inner thigh; It contains Cyperus, Quince, Tangerine peel, and Areca peel, along with Costus, Notopterygium, Areca seed, and Perilla.
Shen Shou Wei Sheng Tang (Divine Grant Health Preservation Decoction), Neishu Huanglian Tang (Internal Draining Coptis Decoction), Shuangjie Guijin Wan (Double Resolving Precious Gold Pill) (See section on Early Stage Ulcers)
Xiaoyao San (Free and Easy Wanderer Powder) (See section on Upper Back Hand-Climbing Carbuncle)
Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction) (See section on Ulcerated Sores)
Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) (See section on Facial Freckles)