【方歌】悬痈毒生会阴穴，初如莲子渐如桃，三阴亏损湿热郁，
溃久成漏为疮劳。
【注】此证一名骑马痈，生于篡间，系前阴之后，后阴之前屏
翳穴，即会阴穴，系任脉经首穴也。初生如莲子，微痒
多痛，日久焮肿，形如桃李。由三阴亏损，兼忧思气结
，湿热壅滞而成。其色红作脓欲溃，若破后溃深，久则
成漏，以致沥尽气血，变为疮劳。初起气壮实，尚未成
脓，小水涩滞者，宜用九龙丹泻去病根；稍虚者，仙方
活命饮利去湿热，如法治之，遇十证可消三四。如十余
日后，肿势已成，不能内消，宜服托里消毒散，或托里
透脓汤自破；如不破，肿高、光亮、胀痛者，用卧针开
之，秽脓一出，其肿全消者顺。朝服六味地黄丸，午服
十全大补汤，温补滋阴。又有过食膏梁厚味，气实者初
服龙胆泻肝汤，溃服滋阳八物汤。又有房劳过度，嬴弱
者，初服八珍汤，溃服十全大补汤，脾虚不食六君子汤
。日久成漏者，国老膏化汤送服琥珀蜡矾丸。外治法按
痈疽溃疡门。当戒房劳、怒气、鱼腥发物，慎重调理。
方剂：九龙丹
组成：木香 乳香
没药 儿茶
血竭 巴豆（不去油）
等分为末，生蜜调成一块，磁盒收贮。临用时旋丸
豌豆大，每服九丸，空心热酒一杯送下。行四、五次，
方食稀粥；肿甚者，间日再用一服自消。
【方歌】九龙丹医悬痈毒，初起气实脓未成，木香乳没儿茶竭，
巴豆蜜丸酒服灵。
又方：滋阳八物汤
组成：当归 生地黄
白芍药（酒炒） 川芎
丹皮 花粉（各一钱）
泽泻（五钱） 甘草节（一钱）
水二钟，灯心五十寸，煎八分，食前服。大便秘者
，加蜜炒大黄一钱。
【方歌】滋阴八物过膏梁，悬痈已溃服此方，四物丹皮花粉泻，
草节便秘加大黄。
又方：仙方活命饮、琥珀蜡矾丸、托里消毒散（俱见肿疡门）
托里透脓汤（见头部侵脑疽）
六味地黄丸（见面部雀斑）
十全大补汤、八珍汤、六君子汤（即香砂六君子汤减去
藿香、砂仁。俱见溃
疡门）
龙胆泻肝汤（见腰部缠腰火丹）
国老膏（见背部丹发毒）
【方歌】悬痈的毒邪生于会阴穴，初起时像莲子大小，逐渐增大如同桃子。这是由于三阴经亏损，导致湿热郁结，溃破日久形成瘘管，演变为疮劳。
【注】此证又名骑马痈，生长在两便之间（即前阴之后、后阴之前）的屏翳穴，也就是会阴穴，属于任脉的首个穴位。初生时如莲子般大小，微痒且多痛，日久红肿热痛，形状像桃李一样。这是由于三阴经亏损，加上忧思导致气机郁结，湿热壅滞而成。其颜色发红，化脓欲溃，若破溃后创口深，日久则形成漏管，以致气血耗尽，转变为疮劳。初起时正气壮实，尚未成脓，小便涩滞者，宜用九龙丹泻去病根；体质稍虚者，用仙方活命饮利湿清热，按此法治之，十个病例可消除三四个。如果十余日后，肿势已成，不能从内部消散，宜服用托里消毒散，或托里透脓汤使其自行破溃；如果不破溃，肿势高突、光亮、胀痛者，用卧针切开，秽脓一出，肿势全消者为顺证。早晨服用六味地黄丸，中午服用十全大补汤，以温补滋阴。又有因过食肥甘厚味，体质实者，初起服用龙胆泻肝汤，溃破后服用滋阳八物汤。又有因房事过度，身体羸弱者，初起服用八珍汤，溃破后服用十全大补汤，脾虚不食者服用六君子汤。日久形成漏管者，用国老膏化汤送服琥珀蜡矾丸。外治法参照痈疽溃疡门。应当戒除房事、怒气及鱼腥发物，慎重调理。
方剂：九龙丹
组成：木香、乳香、没药、儿茶、血竭、巴豆（不去油）
以上药材等分为末，用生蜜调和成一块，收于磁盒中。临用时现搓成豌豆大小的丸药，每次服用九丸，空腹时用一杯热酒送下。排便四、五次后，方可进食稀粥；肿势严重者，隔日再用一服，可自行消退。
【方歌】九龙丹治疗悬痈毒邪，初起气实脓未成时，由木香、乳香、没药、儿茶、血竭、巴豆制成蜜丸，酒服有效。
又方：滋阳八物汤
组成：当归、生地黄、白芍药（酒炒）、川芎、丹皮、花粉（各一钱）、泽泻（五钱）、甘草节（一钱）
用水二钟，灯心草五十寸，煎至八分，饭前服用。大便秘结者，加蜜炒大黄一钱。
【方歌】滋阴八物汤适用于过食膏粱厚味后的悬痈已溃阶段，包含四物汤、丹皮、花粉、泽泻，若便秘则加大黄。
又方：仙方活命饮、琥珀蜡矾丸、托里消毒散（均见肿疡门）
托里透脓汤（见头部侵脑疽）
六味地黄丸（见面部雀斑）
十全大补汤、八珍汤、六君子汤（即香砂六君子汤减去藿香、砂仁。均见溃疡门）
龙胆泻肝汤（见腰部缠腰火丹）
国老膏（见背部丹发毒）
[Prescription Verse] The toxic pathogen of Xuan Yong (Hanging Abscess) arises at the Huiyin acupoint. Initially, it is like a lotus seed, gradually enlarging to resemble a peach. This condition results from the deficiency of the Three Yin meridians and the stagnation of damp-heat. If ulcerated for a long time, it becomes a fistula, evolving into Chuang Lao (Chronic Ulcerous Consumption).
[Annotation] This syndrome is also known as Qima Yong (Horse-Riding Abscess). It occurs in the perineum, located behind the anterior orifice and before the posterior orifice, at the Pingyi acupoint, which is the Huiyin acupoint. Huiyin is the first acupoint of the Ren Mai (Conception Vessel). Initially, it is the size of a lotus seed, slightly itchy and mostly painful. Over time, it becomes red, swollen, hot, and painful, resembling a plum or peach. It is caused by the deficiency of the Three Yin meridians combined with Qi stagnation due to worry and thought, leading to the accumulation and stagnation of damp-heat. The color turns red, pus forms, and it is about to ulcerate. If it ruptures deeply and remains unhealed for a long time, it forms a fistula, exhausting Qi and Blood, and transforming into Chuang Lao (Chronic Ulcerous Consumption). In the early stage, if the patient's Zheng Qi (Upright Qi) is strong and pus has not yet formed, but urination is difficult and obstructed, use Jiu Long Dan (Nine Dragons Powder) to purge the root of the disease. If the constitution is slightly deficient, use Xian Fang Huo Ming Yin (Immortal Life-Rescuing Decoction) to drain damp-heat; treating according to this method can resolve three or four out of ten cases. If after more than ten days the swelling has matured and cannot be resolved internally, take Tuo Li Xiao Du San (Support the Interior and Eliminate Toxin Powder) or Tuo Li Tou Nong Tang (Support the Interior and Drain Pus Decoction) to facilitate spontaneous rupture. If it does not rupture spontaneously, and the swelling is high, shiny, and distendingly painful, incise it with a horizontal needle. Once foul pus drains out and the swelling subsides completely, it is a favorable prognosis. Take Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill) in the morning and Shi Quan Da Bu Tang (Comprehensive Great Tonifying Decoction) at noon to warm-tonify and nourish Yin. For those who have consumed excessive rich and greasy foods and have a robust constitution, take Long Dan Xie Gan Tang (Gentian Liver-Draining Decoction) in the early stage, and Zi Yang Ba Wu Tang (Nourish Yang Eight-Ingredient Decoction) after ulceration. For those who have overindulged in sexual activity and are emaciated, take Ba Zhen Tang (Eight-Treasure Decoction) in the early stage, and Shi Quan Da Bu Tang (Comprehensive Great Tonifying Decoction) after ulceration. For those with Spleen deficiency and poor appetite, take Liu Jun Zi Tang (Six-Gentleman Decoction). For those who have developed a fistula over a long period, dissolve Guo Lao Gao (National Elder Ointment) in decoction and swallow Hu Po La Fan Wan (Amber Wax-Alum Pill). External treatment methods refer to the Chapter on Ulcerative Sores and Carbuncles. One must abstain from sexual intercourse, anger, and stimulating foods such as fish and seafood, and manage care prudently.
Formula: Jiu Long Dan (Nine Dragons Powder)
Composition: Mu Xiang (Aucklandiae Radix), Ru Xiang (Olibanum), Mo Yao (Myrrha), Er Cha (Catechu), Xue Jie (Santal Rubrum), Ba Dou (Crotonis Fructus, oil not removed).
Grind all ingredients into equal parts powder. Mix with raw honey to form a paste, and store in a porcelain jar. When needed, roll into pills the size of a pea. Take nine pills each time, swallowed with a cup of warm wine on an empty stomach. After four or five bowel movements, one may consume thin congee. For severe swelling, administer another dose every other day until it resolves spontaneously.
[Prescription Verse] Jiu Long Dan treats the toxic pathogen of Xuan Yong when the condition is in its early stage with robust Qi and no pus formed. It consists of Mu Xiang, Ru Xiang, Mo Yao, Er Cha, Xue Jie, and Ba Dou, made into honey pills and taken with wine for efficacy.
Another Formula: Zi Yang Ba Wu Tang (Nourish Yang Eight-Ingredient Decoction)
Composition: Dang Gui (Angelicae Sinensis Radix), Sheng Di Huang (Rehmanniae Radix), Bai Shao Yao (Paeoniae Radix Alba, stir-fried with wine), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Dan Pi (Moutan Cortex), Hua Fen (Trichosanthis Radix) (each 1 qian), Ze Xie (Alismatis Rhizoma) (5 qian), Gan Cao Jie (Glycyrrhizae Radix et Rhizoma node) (1 qian).
Add two zhong of water and fifty cun of Deng Xin Cao (Junci Medulla). Decoct until eight fen remains. Take before meals. For constipation, add Mi Chao Da Huang (Rhei Radix et Rhizoma stir-fried with honey) 1 qian.
[Prescription Verse] Zi Yang Ba Wu Tang (Nourishing Yin Eight Ingredients) is used for Xuan Yong after ulceration, following excessive consumption of rich foods. It contains Si Wu Tang (Four Substances Decoction), Dan Pi, Hua Fen, and Ze Xie. Add Da Huang if constipated.
Other Formulas:
Xian Fang Huo Ming Yin (Immortal Life-Rescuing Decoction), Hu Po La Fan Wan (Amber Wax-Alum Pill), Tuo Li Xiao Du San (Support the Interior and Eliminate Toxin Powder) (see Chapter on Ulcerative Sores).
Tuo Li Tou Nong Tang (Support the Interior and Drain Pus Decoction) (see Head Area Invading Brain Carbuncle).
Liu Wei Di Huang Wan (Six-Ingredient Rehmannia Pill) (see Facial Freckles).
Shi Quan Da Bu Tang (Comprehensive Great Tonifying Decoction), Ba Zhen Tang (Eight-Treasure Decoction), Liu Jun Zi Tang (Six-Gentleman Decoction) (which is Xiang Sha Liu Jun Zi Tang minus Huo Xiang and Sha Ren. See Chapter on Ulcerative Sores).
Long Dan Xie Gan Tang (Gentian Liver-Draining Decoction) (see Waist Coiling Fire Snake/Herpes Zoster).
Guo Lao Gao (National Elder Ointment) (see Back Dafa Toxicity/Erysipelas).