（附论）
夫肾为作强之官。所藏者志也。男女大欲。不能以直遂其志。故败精搏血。留聚中途。
而结为便毒矣。夫人脚腿与小腹合缝之间。精气所出之道路也。或触景而动心。或梦泄而不
泄。既不得偶合阴阳。又不能忘情息念。精与血交滞。其不为肿结也几希。便毒处所上不在
腹。下不在腿。介乎两间之中是也。尝怪世俗无知。才觉有便毒证状。必以为热气所攻。每
每薄衣露足。遂使寒邪乘之。热气转不得散。日复一日。败精宿血。愈聚而愈结焉。不思一
身宗筋。上络于舌本。下聚于阴器。筋得寒则急。急则缩。甚至伛偻而不获伸。于斯时也。
百药并陈。亦难责效。况复从事于寒凉者乎。治法散寒利热。泄其肾邪。活其血脉。是为捷
径。外此老人气滞。亦或有之。
方
连翘汤 治便毒肿结。
连翘 独活 川升麻 射干 木通 桑寄生 赤茯苓 甘草（炙各七钱半） 大黄（生
用）
木香 乳香 沉香（各半两） 上锉细。每服三钱。水一盏半。慢火煎服。
复元通气散 治便毒初发用此方。
穿山甲（酒浸炙焦二两） 天花粉（酒浸一宿焙） 白芷 舶上茴香（炒） 白牵牛末
（炒）
延胡索（擦去皮） 南木香 当归 甘草（炙各一两） 青木香（半两） 上为细末。每服
二钱。
温酒调。食前服。不饮酒南木香煎汤下。
治便毒。
胡椒（十二粒烧过五分） 桦皮（一两半烧过五分） 穿山甲（一两蛤粉炒） 皂角针
（一两
炒） 山栀子（一两炒） 乳香（半两） 没药（半两） 甘草末（半两） 上为细末。每
服二钱。
温酒调下。食前服。
双解汤 治便毒门蕴热气。外挟寒邪。精血交滞。肿结疼痛。
辣桂 川大黄（生） 白芍药 泽泻 牵牛（炒取末） 桃仁（去皮炒干各一两） 甘
草（半
两） 上为粗末。每服三钱。水一盏半。姜五片。食前服。日两服。先小便快。热从小便出。
后大便利。皆是调毒。
治便毒。
大黄 黄连 枳壳 甘草 穿山甲 上 咀。为饮子酒水各半盏。煎十分浓。露一宿。
次早空心服。上半日不可吃食。更忌热物免吐。
又方
黄瓜 大黄 芒硝 甘草节 上用水二盏。煎至八分。空心服。调理甚妙。
威灵仙散 治发背便毒。
威灵仙 贝母 白芷 甘草（各等分） 上 咀。每服半两。酒水煎服。
治男子妇人便毒。验如神。
僵蚕（七个炒去丝） 大黄（一两重） 麝香（二字） 硝（少许） 上为细末。好煮
酒调和。
必要起五更服之。如过动即可。如不过、再用一服。已成脓者小便去之。未成即散。
千金托里散 治便毒恶疮。一服取效。如经三五日。已结成肿核。连进二三服为妙
。肿则先用乌龙膏贴之。
蛇床子（炒） 牡蛎（ ） 甘草（节生用） 大黄（各二两） 上 咀。每服五钱。
水一盏。
酒半盏。隔宿煎。露一宿。次早五更服。如大便实加大黄后。另下入药。去二三行。脏腑病
随药去。
治便毒绝妙。
胡桃（五个） 栝蒌（一个） 桦皮（少许） 上烧存性为末。酒调空心下。
治便毒肿痛。
雄黄 乳香（各二钱半） 黄柏（一钱） 上为细末。分作两服。以新水调敷自平。
又方 治便毒。
大黄 明矾 胡桃肉（各等分） 上同研为末。丸如弹子大。空心不嗽口细嚼一丸。好
酒
送下。忌煎炒热火物。
退毒饮 治便毒肿结。
穿山甲（半两蘸法醋炙焦） 木猪苓（三钱法醋微炙） 上为末。每服二钱。食前。老
酒调
下。次以法醋煮肥皂研膏。敷之妙。
治便毒。
木鳖子（一两去壳） 甘草节（一两） 上为末。好酒一碗煎之。热服。
贝母丸 治便毒瘰 有效。
贝母 皂角子（各半斤） 上为细末。用皂角半斤锉碎。搓揉浓水。滤过。作膏子和药
末。
丸如梧桐子大。每服五七十丸。早晨酒下。凡便毒证服二药不效。可服五香连翘汤。十奇内
补散。
治便毒。并治痈肿未有头。必穴方。
用牛蒡子一半炒。一半生碾为末。空心酒调服愈。单用牛蒡根敷之亦可。
又方
用斑蝥七个。去头翅足为细末。入海金沙半匙。酒调。露一宿。早空心服。忌食。至午
饭小便中见毒。方用粥调理甚妙。此方多效。
治便毒。
用楮桃三十二个。酒煮服。大病不禁二服。无脓服者。随气自散。
皂角膏 治便毒痈疽等。
用皂角一条。长尺以上者。捶碎。法醋煮烂。研成膏敷之。屡效。
胶方 治便毒初发。
用水胶用水溶开涂敷。若便毒已大而软。则用鱼鳔胶于热汤中煮软。乘热研烂敷之。或
要换药。以热汤洗去。
治便毒。
用紫背草研。醋调敷之。
治便毒初发。
用生姜一大块。米醋一合。姜蘸醋磨取千步峰泥。敷于作处即（千步峰即人家行步地上
有高块者是）
治KT 气。即 。
血余（一两烧灰研为细末即人发） 锦纹大黄（一两面裹煨过） 猪牙皂角（三钱） 上
半为
咀。半为末。先以 咀用水一盏半。煎至七分。却入好酒二盏。去滓。调前件药末。空心
服之。前药分作三服。
又方
知母（一两） 贝母（去心一两） 上各为细末。红酒调下。饮醉为妙。更以酒调药涂
患处。
治 方
穿山甲 蚌粉（同炒） 上为末。麻油轻粉调敷。
石霜膏
风化锻石 百草霜（等分） 上为末。以米醋调。鹅毛顺手扫起。
治 方 亦治便毒。
用大干芭蕉叶。熨斗内烧存性为末。麻油轻粉打和。敷 留头。以软纱贴。换易三次。
或散或破无痕。一方法醋、生姜自然汁调敷。
破毒散 治便毒横 。已成未成。随即消散。应效如神。
滑石末（三钱） 斑蝥（炒去头翅足三个为末） 上二件和匀。分作三服。空心食前。
一日
服毕。少用茶汤调下。毒瓦斯俱从小便中出。如小便疼痛。浓煎车前子、木通、灯心、泽泻汤。
顿服即已。
治便毒敷药
毒溃时用白芨、没药、乳香、血竭为末。糁效。
一醉散 治疽 。
贝母 香白芷 上等分为末酒服。次饮酒醉为妙。酒醒而病去矣。
又方\x
煎犀角饮子。调五苓散服。
(Attached Discussion)
The Kidney is the official responsible for strength. It stores Zhi (willpower). The great desire between men and women, if not directly fulfilled, causes ruined semen and blood to contend and remain stagnant in the middle pathway, thereby forming Biandu (groin abscess). The junction between the legs and the lower abdomen is the pathway where Jing-Qi (essence-qi) emerges. Sometimes, visual stimuli arouse the heart/mind, or nocturnal emission occurs without actual release. Since Yin-Yang union cannot be achieved, and emotions/thoughts cannot be forgotten and extinguished, Essence and Blood become inter-stagnant. If this does not result in swelling and nodulation, it would be rare. The location of Biandu is neither above in the abdomen nor below in the legs, but precisely in the intermediate space. I have often marveled at the ignorance of the secular world: upon sensing symptoms of Biandu, they invariably attribute it to Heat attacking, often wearing thin clothes and exposing their feet, allowing Cold pathogens to take advantage. Consequently, Heat fails to dissipate. Day after day, ruined semen and old blood accumulate and knot further. They fail to realize that the whole body's Zongjin (convergent sinews) connect upward to the root of the tongue and gather downward at the genitalia. When sinews are affected by Cold, they contract; when contracted, they retract, potentially leading to kyphosis (hunchback) with inability to extend. At such times, even using various medicines together may yield little effect, let alone those who employ Cold-Cooling methods. The treatment method should involve dispersing Cold and benefiting Heat, draining Kidney pathogens, and invigorating the blood vessels; this is the shortcut. Besides this, Qi stagnation in the elderly may also occur.
Prescriptions
Lianqiao Tang (Forsythia Decoction): Treats Biandu with swelling and nodulation.
Lianqiao (Forsythiae Fructus), Duhuo (Angelicae Pubescentis Radix), Chuan Shengma (Cimicifugae Rhizoma), Shegan (Belamcandae Rhizoma), Mutong (Akebiae Caulis), Sangjisheng (Taxilli Cacumen), Chi Fuling (Poria cum Rhus), Gancao (Licorice Root, honey-fried, each 7.5 qian), Dahuang (Rhei Radix et Rhizoma, raw), Muxiang (Aucklandiae Radix), Xurxiang (Boswelliae Resina), Chenxiang (Aquilariae Lignum Resinatum, each 0.5 liang). Coarsely crush the herbs. Take 3 qian per dose, add 1.5 zhan of water, simmer slowly, and decoct for administration.
Fuyuan Tongqi San (Restoring Vitality Promoting Circulation Powder): Use this prescription for early-stage Biandu.
Chuanshanjia (Manis Squama, soaked in wine, fried until scorched, 2 liang), Tianhuafen (Trichosanthis Radix, soaked in wine overnight, dried), Baizhi (Angelicae Dahuricae Radix), Boshang Huixiang (Foeniculi Fructus, stir-fried), Bai Qianniu (Ipomoeae Semen, stir-fried powder), Yanhusuo (Corydalis Rhizoma, skin rubbed off), Nanmuxiang (Aucklandiae Radix), Danggui (Angelicae Sinensis Radix), Gancao (Licorice Root, honey-fried, each 1 liang), Qingmuxiang (Aucklandiae Radix, 0.5 liang). Grind into fine powder. Take 2 qian per dose, mix with warm wine, administer before meals. For those who do not drink alcohol, decoct Nanmuxiang in water to administer.
Treating Biandu:
Hujiao (Piperis Longi Fructus, 12 grains, burnt, take 0.5 fen), Huapi (Betulae Cortex, 1.5 liang, burnt, take 0.5 fen), Chuanshanjia (Manis Squama, 1 liang, stir-fried with蛤粉 [Glaebum]), Zaogaozhen (Gleditsiae Spina, 1 liang, stir-fried), Shanzhizi (Gardeniae Fructus, 1 liang, stir-fried), Xurxiang (Boswelliae Resina, 0.5 liang), Moyao (Myrrhae Resina, 0.5 liang), Gancaomo (Licorice Root powder, 0.5 liang). Grind into fine powder. Take 2 qian per dose, mix with warm wine, administer before meals.
Shuangjie Tang (Double Resolution Decoction): Treats Biandu with internal Heat accumulation, external Cold pathogen entrapment, inter-stagnation of Essence and Blood, resulting in swelling, nodulation, and pain.
Lagui (Cinnamomi Ramulus, spicy variety), Chuan Dahuang (Rhei Radix et Rhizoma, raw), Baishaoyao (Paeoniae Radix Alba), Zexie (Alismatis Rhizoma), Qianniu (Ipomoeae Semen, stir-fried, taken as powder), Taoren (Persicae Semen, skin removed, stir-fried dry, each 1 liang), Gancao (Licorice Root, 0.5 liang). Grind into coarse powder. Take 3 qian per dose, add 1.5 zhan of water and 5 slices of Shengjiang (Zingiberis Rhizoma), administer before meals. Twice daily. First, ensure smooth urination to expel Heat via urine; subsequently, ensure smooth defecation. These are methods to regulate toxins.
Treating Biandu:
Dahuang (Rhei Radix et Rhizoma), Huanglian (Coptidis Rhizoma), Zhike (Aurantii Fructus), Gancao (Licorice Root), Chuanshanjia (Manis Squama). Cut into pieces for infusion. Use half a zhan of water and half a zhan of wine. Simmer until very concentrated. Leave exposed overnight. Administer on an empty stomach the next morning. Do not eat during the first half of the day. Strictly avoid hot-natured foods to prevent vomiting.
Another Prescription:
Huanggua (Cucumis Sativus), Dahuang (Rhei Radix et Rhizoma), Mangxiao (Natrii Sulfas), Gancaojie (Licorice Root nodes). Add two zhan of water, simmer until reduced to eight parts. Administer on an empty stomach. Excellent for regulation.
Weilingxian San (Siraitiae Powder): Treats Fabei (back carbuncle) and Biandu.
Weilingxian (Sinomenii Caulis), Beimu (Fritillariae Bulbus), Baizhi (Angelicae Dahuricae Radix), Gancao (Licorice Root, equal parts). Cut into pieces. Take 0.5 liang per dose, decoct with water and wine.
Treats Biandu in men and women, effective as a spirit:
Jiangcan (Bombyx Batryticatus, seven grains, stir-fried, remove silk), Dahuang (Rhei Radix et Rhizoma, one liang weight), Shexiang (Moschus, two zi), Xiao (Sal Nitrati, a small amount). Grind into fine powder. Mix well with boiled wine. Must be taken at Wugeng (3-5 AM). If movement/response occurs, stop. If not, take another dose. If pus has formed, it exits via urine; if not formed, it dissipates.
Qianjin Tuoli San (Thousand Gold Supporting Interior Powder): Treats Biandu and malignant sores. Effective with one dose. If three to five days have passed and a swollen nodule has formed, taking two to three consecutive doses is ideal. For swelling, first apply Wulong Gao (Black Dragon Plaster).
Shechuangzi (Cnidii Fructus, stir-fried), Muli (Concha Ostreae, calcined), Gancao (Licorice Root nodes, raw), Dahuang (Rhei Radix et Rhizoma, each 2 liang). Cut into pieces. Take 5 qian per dose, add one zhan of water and half a zhan of wine. Decoct overnight, leave exposed overnight. Take at Wugeng the next morning. If stool is solid, add Dahuang later separately. Expel two to three movements; organ diseases depart with the medicine.
Exquisite method for treating Biandu:
Hutao (Juglandis Fructus, five nuts), Gualou (Trichosanthis Fructus, one fruit), Huapi (Betulae Cortex, a small amount). Burn until carbonized (retain nature), grind into powder. Mix with wine, take on an empty stomach.
Treating Biandu swelling and pain:
Xionghuang (Realgar, 2.5 qian), Xurxiang (Boswelliae Resina, 2.5 qian), Huangbai (Phellodendri Cortex, 1 qian). Grind into fine powder. Divide into two doses. Mix with fresh water and apply externally until flat.
Another Prescription, treating Biandu:
Dahuang (Rhei Radix et Rhizoma), Mingfan (Alumen, equal parts), Hutao Rou (Juglandis Fructus, equal parts). Grind together into powder. Form pills the size of a bullet. Chew one pill thoroughly on an empty stomach without rinsing mouth, send down with good wine. Avoid fried, roasted, and hot-natured foods.
Tuoidu Yin (Toxin-Resolving Drink): Treats Biandu swelling and nodulation.
Chuanshanjia (Manis Squama, 0.5 liang, fried scorched with vinegar), Mumuzhong (Polyporus, 3 qian, slightly fried with vinegar). Grind into powder. Take 2 qian per dose, before meals, mix with old wine. Subsequently, boil soap in vinegar, grind into paste, and apply externally. Wonderful effect.
Treating Biandu:
Mubiezi (Semen Strychni, 1 liang, remove shell), Gancaojie (Licorice Root nodes, 1 liang). Grind into powder. Decoct in one bowl of good wine. Take while hot.
Beimu Wan (Fritillaria Pill): Effective for Biandu and Luoli (scrofula).
Beimu (Fritillariae Bulbus), Zaogaozi (Gleditsiae Fructus, each 0.5 jin). Grind into fine powder. Take 0.5 jin of Zaogao (Gleditsiae Fructus), cut finely, rub in thick water, filter, make into paste, and mix with herb powder. Form pills the size of wutong seeds. Take 50-70 pills per dose, with wine in the morning. If Biandu symptoms do not respond to these two medicines, one may take Wuxiang Lianqiao Tang (Five-Aromatic Forsythia Decoction) or Shiqi Neibu San (Ten Miracles Internal-Supporting Powder).
Treating Biandu, and also treating Yizhong (carbuncles/swellings) before head formation. Acupuncture points must be used.
Use Niubangzi (Arctii Fructus): half stir-fried, half raw, grind into powder. Take with wine on an empty stomach to cure. Applying single Niubang Gen (Arctii Radix) externally is also acceptable.
Another Prescription:
Use Banmao (Mylabris, seven grains), remove head, wings, and feet, grind into fine powder. Add Haijinsha (Lygodii Spora, half spoon). Mix with wine, leave exposed overnight. Take on an empty stomach in the morning. Fast from food. By lunchtime, see toxin expelled in urine. Then use congee for regulation. This prescription is highly effective.
Treating Biandu:
Use Chutao (Cornus Officinalis Fruit? Note: Text says 'Chutao', likely Cornus or similar fruit, 32 units). Boil in wine and take. For severe illness, two doses are intolerable. If no pus, taking it allows dissipation via Qi.
Zaogao Gao (Gleditsia Paste): Treats Biandu, Yongsu (carbuncles/fistulas).
Take one strip of Zaogao (Gleditsiae Fructus), longer than one chi. Crush, boil in vinegar until soft, grind into paste, and apply. Repeatedly effective.
Jiao Fang (Glue Prescription): Treats early-stage Biandu.
Dissolve Shuijiao (Animal Glue) in water and apply. If Biandu is large and soft, use Yubiao Jiao (Fish Bladder Glue), soften in hot water, grind while hot, and apply. To change dressing, wash off with hot water.
Treating Biandu:
Grind Zi Bei Cao (Perilla Leaf?), mix with vinegar, and apply.
Treating early-stage Biandu:
Take one large piece of Shengjiang (Zingiberis Rhizoma), one he of Mi Cu (Rice Vinegar). Dip ginger in vinegar, grind to obtain "Qianbufeng Ni" (mud from high spots on walking paths). Apply to the affected area to cure.
Treating Shan Qi (Hernia/Scrotal swelling).
Xueyu (Hair Ash, 1 liang, burn to ash, grind fine - human hair), Jinwen Dahuang (Rhei Radix et Rhizoma with brocade pattern, 1 liang, wrapped and baked), Zhuya Zaogao (Gleditsiae Spina, 3 qian). Half cut into pieces, half ground to powder. First, decoct the cut pieces in 1.5 zhan of water until reduced to 0.7 zhan. Add 2 zhan of good wine, strain, and mix with the powder. Take on an empty stomach. Divide the previous medicine into three doses.
Another Prescription:
Zhimu (Anemarrhenae Rhizoma, 1 liang), Beimu (Fritillariae Bulbus, remove heart, 1 liang). Grind each into fine powder. Mix with red wine and take. Getting drunk is ideal. Also, mix medicine with wine and apply to the lesion.
Treating Hu Xian (Fox Hernia) Prescription:
Chuanshanjia (Manis Squama), Bangfen (Unio Shell Powder, stir-fried together). Grind into powder. Mix with Maz You (Sesame Oil) and Qing Fen (Calomel), and apply.
Shishuang Gao (Stone Frost Plaster):
Fenghua Duanshi (Calcined Alumina treated by weathering), Baicaoshuang (Soot from hundred herbs, equal parts). Grind into powder. Mix with rice vinegar. Sweep on smoothly with goose feather.
Treating Hu Xian Prescription, also treats Biandu:
Use large dried Bajiao Ye (Musa Basjoo Leaf). Burn in an iron soleplate until carbonized, grind into powder. Mix with Maz You (Sesame Oil) and Qing Fen (Calomel). Apply, leaving the head open. Cover with soft gauze. Change three times. Whether it dissipates or breaks, no scar remains. Another method: mix with vinegar and natural juice of Shengjiang (Zingiberis Rhizoma) and apply.
Podu San (Toxin-Breaking Powder): Treats Biandu Heng Xuan (transverse hernia/groin swelling). Whether formed or unformed, it dissipates immediately. Effectively miraculous.
Huashi Mo (Talcum Powder, 3 qian), Banmao (Mylabris, stir-fried, remove head/wings/feet, three grains, grind to powder). Mix the two ingredients evenly. Divide into three doses. Take on an empty stomach before meals. Finish within one day. Take with a little tea soup. Toxins exit via urine. If urinary pain occurs, decoct Cheqianzi (Plantaginis Semen), Mutong (Akebiae Caulis), Dengxin (Junci Medulla), Zexie (Alismatis Rhizoma) strongly, and take in one dose to resolve.
Topical Medicine for Treating Biandu:
When toxin ulcerates, use Baiji (Bletillae Rhizoma), Moyao (Myrrhae Resina), Xurxiang (Boswelliae Resina), Xuexie (Draco Sanguis), grind into powder, and sprinkle. Effective.
Yizui San (One Drunkenness Powder): Treats Ju (carbuncles) and Shan (hernia).
Beimu (Fritillariae Bulbus), Xiang Baizhi (Angelicae Dahuricae Radix). Equal parts, grind into powder, take with wine. Getting drunk afterwards is ideal. Disease resolves upon waking.
Another Prescription:
Decoct Xijiao Yinzi (Rhinoceros Horn Infusion), mix with Wuling San (Five-Ingredient Powder with Poria), and take.