人有腰眼之间，忽生疽毒，疼痛呼号，似乎阳症。然而腰肾之处，乃至阴之地，未可作阳疽治之。若竟阴
症治之，则亦不可也。此症本于过忍其精，欲泄不泄，以成斯毒，似乎纯是阴分之过。但腰间去肾不远，肾火
发而成毒，则阴中有阳，未可能以阴症治之也。必须合阴阳并治，以化其毒，则毒去如扫。倘不补阴而竟治
毒，则肾气愈伤，而毒难速化矣。盖补阴而不补阳，则阴无阳不生，则毒深藏于肾宫而不得外泄矣。然而阴阳
两治，则腰肾之气利而易奏功也。方用两治汤∶
杜仲（一两） 当归（一两） 白术（一两） 防己（三钱） 草（三钱） 金银花（三两） 甘草（三钱）
水煎服，一剂轻，二剂而痛止，三剂痊愈矣。此方用白术、杜仲以利其腰脐，气通而毒自难结也。又得银
花、当归之类，补中有散；而防己、 直入肾宫以祛逐蕴热
之毒，则阴阳无偏胜之虞，正有助而邪无纷争，自然三剂而成功也。
秘诀∶
腰疽必须两治汤，杜归白术一两添，
再加三钱防 甘，银花三两一齐煎。
此症用九灵丹亦效∶
生地（五钱） 丹皮（五钱） 黑荆芥（三钱） 甘草（三钱） 防风（一钱） 紫花地丁（一两）
山萸（一两） 炒白术（二两） 熟地（二两）
水煎服，连服二剂效。
秘诀∶
又有腰疽九灵丹，生地丹皮各五钱，
黑芥草三防风一，地丁山萸一两添，
惟有焦术熟地二，连服二剂效如仙。
In the area of the waist eyes (lumbosacral region), a carbuncle toxin suddenly appears, causing severe pain and loud cries, resembling a Yang syndrome. However, the waist and kidney region is an area of extreme Yin, so it cannot be treated as a Yang carbuncle. Conversely, treating it entirely as a Yin syndrome is also incorrect. This condition originates from excessive retention of essence (forced suppression of ejaculation), where the desire to release is suppressed, leading to the formation of this toxin. It seems purely to be a fault of the Yin aspect. Yet, since the waist is close to the kidneys, if Kidney Fire erupts to form toxins, there is Yang within Yin, and it cannot be treated solely by methods for Yin syndromes. One must treat both Yin and Yang simultaneously to resolve the toxin, so that the toxin is removed as easily as sweeping. If one does not tonify Yin but only treats the toxin, the Kidney Qi will be further damaged, and the toxin will be difficult to resolve quickly. This is because tonifying Yin without tonifying Yang means Yin cannot generate without Yang; thus, the toxin remains deeply hidden in the Palace of the Kidneys and cannot be excreted outward. However, by treating both Yin and Yang, the Qi of the waist and kidneys becomes smooth, making it easy to achieve efficacy. The prescription used is Liangzhi Tang (Two-Way Treatment Decoction): Eucommiae Cortex (Duzhong, 1 liang), Angelicae Sinensis Radix (Danggui, 1 liang), Atractodis Rhizoma (Baizhu, 1 liang), Stephaniae Tetrandrae Radix (Fangji, 3 qian), Smilacis Glabrae Rhizoma (Baxie, 3 qian), Lonicerae Japonicae Flos (Jinyinhua, 3 liang), Glycyrrhizae Radix et Rhizoma (Gancao, 3 qian). Decoct in water and take orally. Symptoms lighten after one dose, pain stops after two doses, and recovery occurs after three doses. This formula uses Baizhu and Duzhong to facilitate the flow of Qi in the waist and umbilical region; when Qi flows smoothly, the toxin naturally struggles to consolidate. Additionally, herbs like Jinyinhua and Danggui provide dispersion within tonification; while Fangji and Baxie enter the Palace of the Kidneys directly to expel accumulated heat toxins. Thus, there is no risk of Yin-Yang imbalance, Zheng Qi (Upright Qi) is assisted, and Xie Qi (Evil Qi) does not contend, naturally achieving success in three doses.
Secret Formula:
For lumbar carbuncles, Liangzhi Tang is essential; add 1 liang each of Duzhong, Danggui, and Baizhu.
Add 3 qian each of Fangji and Gancao, and decoct together with 3 liang of Jinyinhua.
The Jiuling Dan (Nine-Spirit Pill) is also effective for this condition:
Rehmanniae Radix Preparata (Shengdi, 5 qian), Moutan Cortex (Danpi, 5 qian), Schizonepetae Spica Nigra (Hei Jingjie, 3 qian), Glycyrrhizae Radix et Rhizoma (Gancao, 3 qian), Saposhnikoviae Radix (Fangfeng, 1 qian), Viola Yedoensis Herba (Zihuadiding, 1 liang), Corni Fructus (Shanyu, 1 liang), Stir-fried Atractodis Rhizoma (Chao Baizhu, 2 liang), Rehmanniae Radix Preparata (Shudi, 2 liang).
Decoct in water and take orally. Efficacy is seen after continuous administration for two doses.
Secret Formula:
There is also Jiuling Dan for lumbar carbuncles, with Shengdi and Danpi at 5 qian each.
Hei Jingjie and Gancao at 3 qian each, Fangfeng at 1 qian, plus 1 liang each of Zihuadiding and Shanyu.
Only Jiaozhu (Charred Baizhu) and Shudi are 2 liang each; taking continuously for two doses yields effects like a fairy's.