（一名骑马痈，一名老鼠偷粪。）
生肛门前阴根近后阴两相交界之处。初起细粒，渐如莲子，数日大如桃李，其色红 痛
者，
服，以速敛为贵。其色白坚硬者，用小金丹消之，如溃兼以鹿角胶三钱，清晨酒化下，每日
轮服，或用温补气血之剂，同小金丹早晚轮服亦妙，至愈乃止。斯证溃后，一经走泄，即生
管成漏，大小便从此浸出，血脉沥尽而死。证同怯损，诸漏可治，独此不能治，治则漏管愈
大，遂成海底漏。
悬痈多有由忍精提气而成，所谓欲泄不泄，化为脓血是也，最难疗治，以其部位皮肉与
他处
伤，不易收功。初起色赤 痛者，用逐邪至神丹∶银花四两、蒲公英二两、人参一两、生甘
草一两、当归一两、大黄五钱、天花粉二钱，水煎服一剂消毒，二剂全愈。溃者三剂可以收
功。此方用银花、蒲公英佐之参、归，又用大黄五钱攻逐，虚人似乎非宜，初起毒正盛，乘
其初起之时，正气未衰，补而兼泻之药，方为得宜。倘因循失治，或畏缩不前，及至流脓出
血，正气萧索，始用参、 补气，往往用至数斤，尚不能撤消，何不早用补药于化毒之中，
正气无伤，毒又解散矣。
国老煎
粉甘草（一两，截断，用涧内水浸润，漫火炙透。）
上一味细锉，用无灰酒煎服。
醒消丸（通用四十七。）
小金丹（通用五十二。）
(This condition is also known as "Riding Carbuncle" or "Mouse Stealing Feces".)
It arises at the junction of the anterior to the anus, the root of the genitals, and the posterior orifice. Initially, it presents as fine granules, gradually enlarging to the size of a lotus seed, and after several days, becomes as large as a plum or peach. If the lesion is red and painful, [a specific formula is implied but missing in the text] should be taken, with rapid healing being the priority. If the lesion is white and hard, use *Xiao Jin Dan* (Little Golden Pill) to dissipate it. If it has ulcerated, take 3 qian of Deer Antler Glue (Lujiaojiao), dissolved in wine and taken on an empty stomach in the morning. These can be alternated daily, or one may use formulas that warm and tonify Qi and Blood, alternating with *Xiao Jin Dan* morning and evening, which is also excellent, continuing until痊愈 (recovery). Once this condition ulcerates, if essence leaks out, it will form a fistula (Lou syndrome). Stool and urine will leak from here, leading to death when blood vessels are exhausted. This condition resembles consumptive disease (Qie Sun). While most fistulas are treatable, this one is particularly difficult; treatment may cause the fistula to enlarge further, eventually becoming a "Sea Bottom Fistula."
"Hanging Carbuncle" (Xuanyong) often results from retaining semen and raising Qi, described as desiring ejaculation but suppressing it, transforming into pus and blood. It is extremely difficult to treat because the skin and flesh in this area differ from other parts, making recovery from injury slow. If initially red and painful, use *Zhu Xie Zhi Shen Dan* (Divine Formula for Expelling Evil): Silver Flower (Jinyinhua) 4 liang, Dandelion (Gongying) 2 liang, Ginseng (Renshen) 1 liang, Raw Licorice Root (Sheng Gancao) 1 liang, Angelica Sinensis (Danggui) 1 liang, Rhubarb (Dahuang) 5 qian, and Trichosanthes Root (Tianhuafen) 2 qian. Decoct in water and take one dose to eliminate toxicity, and two doses for complete cure. For ulcerated cases, three doses suffice for healing. This formula uses Silver Flower and Dandelion to assist Ginseng and Angelica, while using 5 qian of Rhubarb to attack and purge. It seems unsuitable for deficient persons, but during the initial stage when toxin is strong and Zheng Qi (Upright Qi) is not yet depleted, using herbs that tonify while purging is appropriate. If treatment is delayed or hesitation occurs, waiting until pus and blood flow out and Zheng Qi is exhausted before using Ginseng and Astragalus (Huangqi) to tonify Qi often requires several jin (catty) without success. Why not use tonifying herbs early within the context of resolving toxicity, preserving Zheng Qi while dispersing the toxin?
Guolao Jian (Decoction of the Old Man)
Powdered Licorice Root (Fen Gancao) (1 liang, cut into sections, soaked in mountain spring water, and slowly roasted through.)
Take the above single herb, finely chopped, decocted in pure wine (wine without sediment/additives).
Xing Xiao Wan (Awakening and Eliminating Pill) (See General Formula No. 47.)
Xiao Jin Dan (Little Golden Pill) (See General Formula No. 52.)