Library

Shiquan Dabu Tang (Decoction for Perfect Ten Tonics), Bazhen Tang (Eight-Treasure Decoction) (see Men on Ulceration and Sores of Carbuncles and Foul Ulcers)
Xiaoyao San (Free and Easy Wanderer Powder), Bingsi San (Ice Snail Powder), Xiaochaihu Tang (Minor Bupleurum Decoction) (see Men on Scrofula)
Tuoli Xiaodu San (Interior-Supporting and Toxin-Expelling Powder) (see Men on Swollen Ulcers)
awei Huapi Gao (Asafoetida Plaster for Dissolving Masses) (see Men on Abdominal Masses)

(Attachment: Crux Popliteum / Elephant Foot Disease)
Fu Gu Ju (Bone-Adhering Abscess) is a disease caused by Yin-cold pathogenic factors penetrating into the bone. However, if a person's Qi and Blood are robust in daily life, even when encountering cold, the pathogenic factors will not invade the bone. Those whose pathogenic factors do invade are all due to individuals with weak constitutions who sleep outdoors in summer and autumn, allowing cold-dampness to invade from within; or after sexual intercourse, when covered thinly, cold qi takes advantage of the deficiency to enter the interior, thus forming this disease. Initially, alternating chills and fever occur, resembling wind-pathogen symptoms slightly; subsequently, pain arises in the tendons, bones, and muscles of the buttocks and thighs, without heat or redness, with pain penetrating to the bone. In severe cases, flexion, extension, and turning over become impossible. After a long time, the Yin condition transforms into Yang, and cold transforms into heat. When heat becomes excessive, flesh rots and turns into pus, indicating that the Fu Gu Ju has formed. For treating this syndrome, during the initial stage of alternating chills, fever, and pain, Wujie San (Five Accumulations Powder) added with Niuxi (Radix Achyranthis Bidentatae) and Honghua (Flos Carthami) should be used to induce sweating, dispel cold, and unblock the meridians; alternatively, Wanling Dan (Ten Thousand Spirits Pill) can be used to induce sweating. Subsequently, Dafangfeng Tang (Great Saposhnikovia Decoction) is used to circulate the meridians, invigorate blood, drain dampness, and tonify deficiency. For those presenting with diffuse swelling and pain in the sacral and gluteal regions, Neituo Qianghuo Tang (Interior-Supporting Notopterygium Decoction) is indicated; for diffuse swelling and numbness/pain near the knee on the medial thigh, Neituo Chai Tang (Interior-Supporting Bupleurum Decoction) is indicated; for the lateral thigh, Neituo Jiu Jian Tang (Interior-Supporting Wine-Decocted Decoction) is indicated. Generally, at the onset, Renshen Baidu San (Ginseng Detoxification Powder) added with Mugua (Fructus Chaenomelis), Niuxi, Sumu (Lignum Sappan), and Honghua is used; for the deficient, Shiquan Dabu Tang added with Qianghuo (Rhizoma et Radix Notopterygii), Fangji (Radix Stephaniae Tetrandrae), and Niuxi is used. For abscesses formed but about to suppurate, Fuzi Bazhen Tang (Aconite Eight-Treasure Decoction) is used. For painful swelling due to formed pus, immediate needle drainage is performed. For thick yellow pus and a robust constitution, Shiquan Dabu Tang is used. For thin white pus and a weak constitution, Baoyuan Dacheng Tang (Protect Origin Great Success Decoction) is used. For poor appetite and fatigue, Xiangsha Liujunzi Tang (Aucklandia and Amomum Six-Gentlemen Decoction) is used. For spleen deficiency with alternating chills and fever, Buzhong Yiqi Tang (Middle-Boosting and Qi-Supplementing Decoction) is used, and regulation with these methods is sufficient. There are also syndromes where wind and dampness combine, initially presenting with alternating chills and fever, then progressing to leg swelling and pain, with shiny, slightly red skin, fever, swollen painful areas that pit upon pressure and do not rebound quickly. Danggui Niantong Tang (Angelica Joint-Pain Relieving Decoction) or Fuling Zuojing Tang (Poria Meridian-Assisting Decoction) should be used, with intermittent administration of Wanling Dan to harmonize. All the above syndromes stem from insufficiency of Yuan Qi (Original Qi). One must not mistakenly use herbs that damage the spleen, deplete Qi, or defeat toxins, nor apply external cold-cooling methods. If mistakenly used, it will inevitably cause Qi and Blood to congeal like ice, leading to internal tissue stasis and rotting. Over time, this turns into foul water and败脓 (decayed pus), flowing uncontrollably, ultimately resulting in death. Additionally, there are cases caused by sexual exhaustion and injury, where cold and heat alternate, Qi and Blood deviate, and meridians relax. As the disease deepens over days, the affected thigh gradually swells like a winter melon, extending above the hip and abdomen, connecting below to the sole of the foot, with diffuse swelling. The skin color is not red. After a long time, it ulcerates and discharges pus that is white, foul-smelling, and turbid. The swelling does not subside, and the pain does not diminish. Yuan Qi declines daily, the body shrinks, lips and tongue become dry and scorched, urination and defecation become dry and constipated, various medicines fail, and food intake ceases; such cases are ultimately incurable. Another condition is He Xi Feng (Crane Knee Wind), which is a syndrome of deficiency in the Three Yin Meridians of the Foot. At the initial stage of alternating chills and fever, Wujie San added with Niuxi and Honghua, or Wanling Dan to induce sweating, are both suitable. If swelling and pain persist after sweating, it indicates deep-seated Yin-cold; Dafangfeng Tang should be used to warm the meridians. In severe cases, moxibustion on the two Xiyang acupoints (Eye of the Knee) combined with application of Hupo Gao (Amber Plaster) can gradually yield results. If the aforementioned methods are ineffective, it eventually becomes a stubborn disease. It is unnecessary to force resolution with strong medications; instead, continuous consumption of Xiantian Dazao Wan (Heavenly Origin Great Creation Pills) and Shiguogong Jiu (State Duke's Medicinal Wine) throughout the year can transform severe illness into mild, allowing for walking and movement, offering hope for recovery.