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Seven-Ingredient Holy Spirit Decoction (by Patriarch Qi)
*Honeysuckle Flower* (Jinyinhua, 金银花) (4 liang), *Dandelion* (Pugongying, 蒲公英) (2 liang), *Ginseng* (Renshen, 人参), *Angelica Sinensis* (Danggui, 当归), *Licorice Root* (Gancao, 甘草) (each 1 liang), *Rhubarb* (Dahuang, 大黄) (5 qian), *Trichosanthes Root* (Tianhuafen, 天花粉) (2 qian).
Decoct in water and take orally. One dose leads to resolution, two doses lead to complete recovery, and three doses heal if ulcerated.

For Maqi Yong (Perineal/Buttock Abscess) that has already suppuration. (from *Xindu Zhixian*)
*Astragalus Root* (Huangqi, 黄芪) (3 qian), *Ginseng* (Renshen, 人参) (2 qian), *Sichuan Lovage Rhizome* (Chuanxiong, 川芎), *Angelica Sinensis* (Danggui, 当归) (each 1 qian), *Angelica Dahurica* (Baizhi, 白芷), *Saposhnikovia Root* (Fangfeng, 防风), *Cinnamon Bark* (Rougui, 肉桂), *Licorice Root* (Gancao, 甘草) (each 5 fen).
Decoct in plain water. One patch stops the pain; subsequent doses lead to spontaneous rupture; ten patches promote tissue regeneration.

The *Xinfa* states: Zuoma Yong (Sitting Horse Abscess) arises slightly above the coccyx, belonging to the Du Meridian (Governor Vessel), formed by the concretion of damp-heat. In deficient individuals, this condition easily progresses to fistula formation.

The *Xinfa* states: Shangma Yong (Upper Horse Abscess) arises in the crease below the left buttock.

The *Xinfa* states: Xiamma Yong (Lower Horse Abscess) arises in the crease below the right buttock.

The *Xinfa* states: Yongquan Ju (Yongquan Carbuncle) arises anterior to the coccyx and posterior to the anus at the Changqiang acupoint (GV1), which is the first acupoint of the Du Meridian (Governor Vessel), formed by the concretion of damp-heat. In elderly or weak patients, this often becomes a cold fistula, difficult to cure.

Wang Kentang states: Chuandang Yi arises at the extreme lower part of the back, belonging to the Du Meridian (Governor Vessel) and the Taiyang Meridian (Greater Yang), caused by labor injury, sorrow, worry, and accumulated stagnation. It requires rapid treatment; slight delay leads to ulceration that is difficult to converge. Those prone to fistula formation often present with numbness and black depression. Cases accompanied by diarrhea, vomiting, hiccups, and fatigue are considered untreatable. (from *Zhunsheng*)
The *Xinfa* states: Chuandang Ju arises at the Huiyin acupoint (CV1), located anterior to the duodenum (anus) and posterior to the scrotum. This area is a hollow space within the skin folds. If pain radiates to the testicles, lower back, and anus, with deep roots and slow suppuration, leading to urethral damage and inability to control urine leakage, it is extremely dangerous.

Xuan Yong (Hanging Abscess)
The *Guiyi Fang* states: Below the tips of the buttocks in the groin, anterior to the large passage (anus) and posterior to the small passage (urethra/vagina), where water passages meet, Xuan Yong forms. This occurs only in individuals with extreme deficiency. Near the anus on either side, it is named Shi Yong (Hemorrhoidal Abscess). Urgent tonification of the Spleen is required, along with topical application of medication at the site, specifically using acupoint-emollient drugs. After rupture, apply pus-drawing ointment; once pus is exhausted, use wound-healing agents to close the sore. Do not let it persist through winter, or it will become a cold fistula, difficult to treat.
Wang Kentang states: Xuan Yong arises in the perineum, defined as the area posterior to the anterior orifice and anterior to the posterior orifice, the screen-like region, i.e., the Huiyin acupoint (CV1). It belongs to the collateral branches of the Ren Meridian (Conception Vessel) and is the convergence point of the Du Meridian (Governor Vessel) and Bo Mai (Penetrating Vessel). When a carbuncle arises here, standing feels as if hanging, hence the name Xuan Yong. It is a syndrome of deficiency in the Three Yin Meridians of the Foot. Mild cases lead to fistulas, draining blood and qi until death; severe cases lead to internal rupture and immediate death. Originally related to the Liver and Kidney meridians, even with single Yin deficiency, one may fear curelessness despite tonification; adding attacking methods guarantees death. (from *Zhunsheng*)
He also stated: For Xuan Yong and Maqi Yong, only Licorice Root (Gancao) should be controlled for internal use and external washing.
He also stated: The area near the ridge line at Jiao HT is named Pianmazhui, commonly known as Kuma Yong (Straddle Abscess); prevent fistula formation.
Chen Shigong states: Xuan Yong arises posterior to the scrotum and anterior to the anus, also known as Haidi Lou (Sea Bottom Fistula), which is the most difficult to heal. Initial swelling and pain quickly progress to suppuration and rupture, generally caused by damp-heat and ministerial fire internally burning Lung Metal. Guolao San and Modified Dihuang Wan should be taken; this is a fixed treatment method. (from *Zhengzong*)
Jiang Shiji states: Xuan Yong arises anterior to the anus and posterior to the genitalia, also called the Haidi acupoint. It results from deficiency of the Three Yin meridians and accumulation of damp-heat. Initially resembling a lotus seed, it is slightly itchy but mostly painful. Over time, it grows like a plum or peach, becoming red, swollen, and painful. Upon rupture, it discharges pus. Mild cases form fistulas; severe cases drain blood and qi, often progressing to consumptive disease (Lao Zhai) and immobility. In robust initial cases, purge the root of the disease; in slightly deficient cases, drain damp-heat; in established cases, support the interior and expel pus; in ulcerated cases, warm-tonify and nourish Yin. Strictly avoid cold-cooling herbs that damage the Stomach and freeze blood and qi, causing complications. (from *Shuoyue*)
Feng Luzhan states: Xuan Yong refers to sores arising anterior and posterior to the anus. Initially shaped like a pine cone, gradually like a lotus seed. After dozens of days, it worsens, becoming red and swollen like a peach before rupturing; post-rupture healing is most difficult. Treatment often uses one liang of Powdered Licorice (Fencao), decocted in unadulterated wine to detoxify. This condition mostly belongs to Yin deficiency, affecting those with insufficiency. Cold-cooling and attacking methods are strictly prohibited, as this is a syndrome of extreme deficiency of the Liver and Kidney. Heavy emphasis should be placed on vigorous Yin-nourishing tonification, strict abstinence from sexual activity, and urgent efforts to achieve healing; otherwise, it becomes the root of fistula and consumptive disease. (from *Jinnang*)
Wang Shengzhi states: Xuan Yong is equivalent to Maqi Yong. This condition is mostly caused by imprudence in alcohol and sexual activity, leading to damp-heat congestion. Moreover, the area anterior to the anus is the source of the Ren Meridian (Conception Vessel) Huiyin point and the convergence of the Liver Meridian’s Zongjin (tendons). Affected individuals mostly suffer from Yin deficiency of the Liver and Kidney meridians. Modern practitioners often use detoxifying and Qi-moving attacking agents, unaware that since Yin is already deficient, one must focus solely on tonification. Even then, pus formation and wound closure may fail; adding attacking methods guarantees death. (from *Lili*)