人有阴囊左右而生痈毒者，名曰便毒。生于肾囊之下，谷道之前，名曰囊痈。二者之间，便毒易治，而囊
痈难疗也。以囊之下为悬痈，其皮肉与他处不同。盖他处皮肉，或横生，或直生，俱易合；而悬痈之处，横中
有直，直中有横，一有损伤，不易收功。然治之得法，未尝难也。此等之症，皆少年贪于酒色，或入花街而
酣战，或入柳巷而恣欢，……往往多生此疮者，所谓“欲泄不泄，精化为脓血”是也。治之法，必须大补其虚，
而佐以化毒之品。以毒因虚而成，不治乎虚，痈安得痊？方用逐邪至
神丹∶
金银花（四两） 蒲公英（二两） 当归（二两） 大黄（五钱） 人参（一两） 甘草（一两）
天花粉（二钱）
水煎服，一剂而毒消，二剂而痊愈，溃者三剂可以收功矣。此方用银花、公英佐之归参大黄之大料，未免
过于伯（霸）道，况大虚之病，又用大黄以祛逐，似乎非宜？谁知毒瓦斯甚盛，乘其初起之时，正气未衰，而大
补大泻之为得乎？倘因循失治，或畏缩而不敢治，及治流脓出血，正气萧索，始用参 补气，往往有用至数斤
而尚未能复元，何若早用于化毒之中，正气无伤，而毒又易散哉？此因势利导之法，又不可不知也。
秘诀∶
逐邪神丹银四两，二蒲归兮五大黄，
一两参草二钱粉，水煎三剂消痈囊。
方用八圣丹治之亦效∶
金银花（四两） 归尾（一两） 人参（二两） 柴胡（三钱） 黄芩（三钱） 黄柏（三钱） 贝母（三
钱） 栀子（三钱）
水煎服，一剂轻，二剂效，毒已出，即可勿服。
秘诀∶
八圣丹中四两金，一两当归二两参，
柴胡芩柏三钱入，贝栀亦然研去心。
人有饮酒入房，精不得泻，至半夜，烦热烦渴，小便
淋赤，痰涎涌盛，第一日阴囊肿胀 痛，明日阴囊处肉腐，玉茎下贴囊者亦腐，人以为酒毒也，谁知是肝火得
酒湿而肆疟乎？夫酒湿何至腐烂？盖火酒大热之物也，人过饮火酒，多致醉死，死后往往身体腐烂，乃火酒之毒
也。……治之法，解酒毒而补气血，则湿热祛而腐肉可长，患可愈矣。方用救腐汤∶
人参（一两） 白术（一两） 当归（二两） 黄 （二两） 茯苓（五钱） 玉米（五钱） 白芍（一两）
黄柏（二钱） 泽泻（二钱） 葛根（二钱） 栀子（二钱）
水煎服，四剂腐肉脱而新肉生，再服四剂囊茎悉平复矣。夫酒毒成于拂抑，平肝泄火，利湿解毒可也，何
以又用参 归术以补其气血耶？大凡气血盛者，力能胜酒，纵酣饮而无碍。服火酒而腐烂，因火酒而结毒，亦
因气血之衰，力不能胜酒毒耳。所以两火相合，遂至焚身腐肉，若不急补气血，则酒毒难消，而腐肉又何以
能速生肌长肉哉？
秘诀∶
参术一两二归 ，茯苓五钱并玉米，
白芍两重二四剂，黄柏泽葛二钱栀。
方用异宝散亦效∶
茯苓（一两） 冰片（三分） 黄柏（五钱） 瓦草（五钱） 青苔（五钱） 儿茶（五钱） 麝香（八分）
樟脑（三钱） 乳香（二钱） 没药（二钱）
为末，撒于患处，水无流出，即不再腐矣。
秘诀∶
又有异宝撒囊痈，一两茯苓三分冰，
黄柏瓦草各五钱，青苔儿茶一样同，
麝香八分樟三钱，乳香没药二钱从。
There are cases where sores and toxins appear on the left and right sides of the scrotum, known as Bian Du (Perineal Abscess). When they occur below the renal scrotum and in front of the anal canal, they are called Nang Yong (Scrotal Carbuncle). Among these two conditions, Bian Du is easier to treat, while Nang Yong is difficult to cure. This is because the area below the scrotum is called Xuan Yong (Hanging Perineum), and its skin and flesh differ from other parts. In other areas, the skin and flesh grow either horizontally or vertically, making them easy to heal; however, in the Xuan Yong area, the texture is a mix of horizontal and vertical fibers, so once damaged, it does not easily recover. Nevertheless, with proper treatment methods, it is not necessarily difficult. Such conditions often arise because young people indulge in alcohol and sexual desires, frequenting brothels for unrestrained pleasure... leading to such sores. This is what is referred to as "when desire is unfulfilled, essence transforms into pus and blood." The treatment method must focus on greatly tonifying deficiency and assisting with herbs that resolve toxins. Since toxins form due to deficiency, if deficiency is not treated, how can the carbuncle heal? Use Zhu Xie Zhi Shen Dan (Eliminate Evil Supreme Divine Decoction): Jin Yin Hua (Lonicerae Japonicae Flos, 4 liang), Pu Gong Ying (Taraxaci Herba, 2 liang), Dang Gui (Angelicae Sinensis Radix, 2 liang), Da Huang (Rhei Radix et Rhizoma, 5 qian), Ren Shen (Ginseng Radix, 1 liang), Gan Cao (Glycyrrhizae Radix, 1 liang), Tian Hua Fen (Trichosanthis Radix, 2 qian). Decoct in water and take orally. After one dose, the toxin dissipates; after two doses, recovery occurs; for ulcerated cases, three doses suffice for healing. This formula uses large doses of Jin Yin Hua and Pu Gong Ying to assist Dang Gui, Ren Shen, and Da Huang, which might seem overly aggressive. Moreover, using Da Huang to purge in a case of severe deficiency seems inappropriate. However, who knows that the toxic qi is very strong? Taking advantage of the initial stage when righteous qi has not yet declined, employing both great tonification and purging is appropriate. If one delays treatment or fears treating it, waiting until pus and blood flow out and righteous qi becomes depleted before starting to use Ren Shen to tonify qi, it often takes several jin of herbs without full recovery. Why not use it early during toxin resolution, preserving righteous qi while facilitating toxin dispersion? This is the method of guiding according to circumstances, which must be understood.
Secret Formula:
Zhu Xie Shen Dan contains four liang of Silver Flower,
Two Pu Gong Ying, Dang Gui, and five Da Huangs.
One liang each of Ren Shen and Gan Cao, two qian of Tian Hua Fen,
Decoct in water for three doses to eliminate the scrotal carbuncle.
Ba Sheng Dan (Eight Sages Decoction) is also effective: Jin Yin Hua (Lonicerae Japonicae Flos, 4 liang), Gui Wei (Caulis Cinnamomi Cum Cortece, 1 liang), Ren Shen (Ginseng Radix, 2 liang), Chai Hu (Bupleuri Radix, 3 qian), Huang Qin (Scutellariae Radix, 3 qian), Huang Bo (Phellodendri Cortex, 3 qian), Bei Mu (Fritillariae Bulbus, 3 qian), Zhi Zi (Gardeniae Fructus, 3 qian). Decoct in water and take orally. Symptoms lighten after one dose, effectiveness appears after two doses. Once toxins have exited, stop taking it.
Secret Formula:
In Ba Sheng Dan, four liang of Gold (Jin Yin Hua),
One liang of Dang Gui, two liang of Ren Shen.
Chai Hu, Huang Qin, and Huang Bo, three qian each enter,
Bei Mu and Zhi Zi are also ground, removing hearts.
Some individuals engage in intercourse after drinking alcohol, preventing the release of essence. By midnight, they experience irritability, heat, thirst, dysuria with red urine, and excessive phlegm-saliva. On the first day, the scrotum swells and hurts; by the next day, the flesh of the scrotum rots, and the part of the penis adhering to the scrotum also rots. People attribute this to alcohol toxicity, but who knows it is Liver Fire exacerbated by Damp-Heat from alcohol? How can alcohol dampness cause rotting? Because fire wine is extremely hot. Excessive consumption leads to drunken death, and corpses often decompose due to the toxicity of the fire wine... The treatment method involves resolving alcohol toxicity and tonifying Qi and Blood, thereby dispelling Damp-Heat and promoting the growth of healthy tissue, leading to recovery. Use Jiu Fu Tang (Rescue Rotting Decoction): Ren Shen (Ginseng Radix, 1 liang), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1 liang), Dang Gui (Angelicae Sinensis Radix, 2 liang), Huang Qi (Astragali Radix, 2 liang), Fu Ling (Poria, 5 qian), Yu Mi (Corni Fructus, 5 qian), Bai Shao (Paeoniae Radix Alba, 1 liang), Huang Bo (Phellodendri Cortex, 2 qian), Ze Xie (Alismatis Rhizoma, 2 qian), Ge Gen (Puerariae Lobatae Radix, 2 qian), Zhi Zi (Gardeniae Fructus, 2 qian). Decoct in water and take orally. After four doses, necrotic tissue falls off and new tissue grows; continue for another four doses until the scrotum and penis completely flatten and recover. Alcohol toxicity forms due to suppression; soothing the Liver, draining Fire, and promoting diuresis to resolve toxins is feasible. Why use Ren Shen, Dang Gui, and Bai Zhu to tonify Qi and Blood? Generally, those with abundant Qi and Blood can withstand alcohol; even heavy drinking causes no harm. Rotting after consuming fire wine and forming toxins occurs because Qi and Blood are weak and cannot overcome the alcohol's toxicity. Thus, two Fires combine, burning the body and rotting flesh. Without urgent tonification of Qi and Blood, alcohol toxicity will not dissipate, and how can necrotic tissue quickly regenerate muscle and flesh?
Secret Formula:
One liang each of Ren Shen and Bai Zhu, two Dang Gui,
Five qian of Fu Ling and Yu Mi combined.
Bai Shao at two liang, taken over two to four doses,
Huang Bo, Ze Xie, Ge Gen, and Zhi Zi, two qian each.
Yi Bao San (Rare Treasure Powder) is also effective: Fu Ling (Poria, 1 liang), Bing Pian (Borneolum Syntheticum, 3 fen), Huang Bo (Phellodendri Cortex, 5 qian), Wa Cao (Herba Siegesbeckiae, 5 qian), Qing Tai (Moss, 5 qian), Er Cha (Catechu, 5 qian), She Xiang (Moschus, 8 fen), Zhang Nao (Camphora, 3 qian), Ru Xiang (Olibanum, 2 qian), Mo Yao (Myrrha, 2 qian). Grind into powder and sprinkle on the affected area. Once fluid discharge stops, further rotting ceases.
Secret Formula:
Another rare treasure sprinkles on scrotal carbuncles,
One liang of Fu Ling, three fen of Bing Pian.
Huang Bo and Wa Cao, five qian each,
Qing Tai and Er Cha are identical in amount.
Eight fen of She Xiang, three qian of Zhang Nao,
Ru Xiang and Mo Yao, two qian each, follow suit.