【方歌】黄瓜痈在背旁生，脾火色红黄瓜形，肿高寸余长尺许，
四肢麻木引心疼。
【注】此证生于背旁，一名肉龟，由脾火积毒而成。皮肉色红
，状若黄瓜，肿高寸余，长可尺许，四肢麻木，疼痛引
心。红活速溃者顺；紫陷脉微，自汗谵语，坚硬溃迟者
逆。初起宜服仙方活命饮，加羌活、柴胡或夺命丹治之
。其余内外治法，俱按痈疽肿疡、溃疡门。
方剂：仙方活命饮（见肿疡门）
夺命丹（见阴阳二气疽）
【方歌】肾俞发生肾俞穴，单者酒色兼湿热，房劳怒火则双生，
红活黑陷顺逆别。
【注】此证生肾俞穴，在腰骨两旁陷肉虚，有单有双。单者由
酒色湿热而成，双者由房劳怒火而发。若疮形红活高肿
，十四日生脓属顺；若疮形紫黑，干枯坚硬，应期无脓
属逆。或脓稀伤膜者，系真阳血气大亏。初宜服人参养
荣汤，或加减八味丸以救其源。其顺逆内外治法，俱按
痈疽肿疡、溃疡门。
方剂：人参养荣汤、加减八味丸（俱见溃疡门）
【方歌】石疽寒凝瘀血聚，生于腰胯最缠绵，坚硬如石皮不变，
时觉木痛消溃难。
【注】此证由寒气瘀血凝结，生于腰胯之间，缠绵难以收功。
其疽时觉木痛，难消难溃，坚硬如石，皮色不变。初宜
内服没药丸，外用鲜商陆捣烂，贴于患处治之，随用艾
壮当顶灸之，以软为度。溃后按痈疽溃疡治法。
方剂：没药丸
组成：桃仁（炒，一两） 乳香
没药 川芎
川椒（去目及合口者） 当归
赤芍（各五钱）
自然铜（火烧醋淬七次，二钱五分）
共研细末，用黄蜡二两，火化开入药末，不住手搅
匀，丸如弹子大。每用一丸，以好酒一钟，将药化开，
煎至五分，乘热服下。
【方歌】没药丸治中石疽，乳没桃芎归芍宜，川椒自然铜黄蜡，
用酒服之行血瘀。
【方歌】黄瓜痈生长在背部两侧，因脾经火毒蕴结所致，患处皮肤发红，形状如同黄瓜，肿胀高度超过一寸，长度可达一尺左右，伴有四肢麻木和牵引性心痛。
【注】此病证生于背部两侧，又名“肉龟”，由脾经火毒积聚成毒而形成。患处皮肉颜色红赤，状如黄瓜，肿胀高度约一寸多，长度约一尺左右，出现四肢麻木，疼痛牵引至心部。若疮色红活、迅速溃破者属顺证；若疮色紫暗下陷、脉象微弱、自汗出、神昏谵语，或疮体坚硬、溃破迟缓者属逆证。初起时宜服用仙方活命饮，加入羌活、柴胡，或者使用夺命丹治疗。其余内治和外治方法，均参照痈疽肿疡门、溃疡门的记载执行。
方剂：仙方活命饮（见肿疡门）
夺命丹（见阴阳二气疽）
【方歌】肾俞发发生于肾俞穴部位，单发的多因饮酒过度、房事不节兼夹湿热引起，双发的多因房劳过度、怒火伤肝而引发，通过观察疮形红活或黑陷来判断顺逆。
【注】此病证生于肾俞穴，位于腰部骨骼两侧的肌肉凹陷处，有单发也有双发。单发者由酒色过度、湿热内蕴而成；双发者由房劳过度、怒火郁结而发。若疮形红活高肿，十四天左右化脓者属顺证；若疮形紫黑，干枯坚硬，到了应期却无脓液形成者属逆证。若脓液稀薄损伤筋膜者，属于真阳和血气严重亏损。初期宜服用人参养荣汤，或者加减八味丸以挽救本源。其顺证与逆证的内治外治方法，均参照痈疽肿疡门、溃疡门的记载执行。
方剂：人参养荣汤、加减八味丸（均见溃疡门）
【方歌】石疽由寒气凝结、瘀血聚积所致，好发于腰胯之间，病程缠绵难愈，疮体坚硬如石头且皮肤颜色不变，时常感觉麻木疼痛，难以消散和溃破。
【注】此病证由寒气和瘀血凝结而成，生于腰部与胯部之间，病情缠绵难以治愈。该疽疮时常感觉麻木疼痛，难以消散也难以溃破，质地坚硬如石，皮肤颜色没有变化。初期宜内服没药丸，外用鲜商陆捣烂敷贴于患处，随后用艾炷在疮顶直接灸疗，以疮体变软为度。溃破后按照痈疽溃疡的治疗方法处理。
方剂：没药丸
组成：桃仁（炒制，一两）、乳香、没药、川芎、川椒（去除椒目及闭合口者）、当归、赤芍（各五钱）、自然铜（火烧后醋淬七次，二钱五分）。
将上述药材共研为细末，取黄蜡二两，用火熔化后加入药末，不停手搅拌均匀，制成如弹子大小的丸剂。每次服用一丸，用好酒一杯，将药丸化开，煎煮至剩余五分量，趁热服用。
【方歌】没药丸治疗中石疽，乳香、没药、桃仁、川芎、当归、赤芍适宜，配合川椒、自然铜和黄蜡，用酒送服以行散血瘀。
[Prescription Verse] The Cucumber Carbuncle (Huanggua Yong) arises on the sides of the back, caused by Spleen Fire accumulating into toxicity. The skin is red, resembling a cucumber in shape; it swells to a height of over one cun and a length of approximately one chi, accompanied by numbness in the four limbs and heart pain radiating from the abdomen.
[Annotation] This condition manifests on the lateral aspects of the back, also known as "Rou Gui" (Flesh Turtle), resulting from the accumulation of Spleen Fire toxins. The skin and flesh are red, shaped like a cucumber, swelling about one cun high and roughly one chi long, with numbness in the four limbs and pain radiating to the heart. A red, vibrant appearance with rapid suppuration indicates a favorable prognosis (Shun); a purple, sunken appearance with a faint pulse, spontaneous sweating, delirium, hardness, and delayed suppuration indicate an unfavorable prognosis (Ni). In the initial stage, Xianfang Huoming Yin (Immortal Life Elixir) should be taken, augmented with Qianghuo (Notopterygii Rhizoma et Radix) and Chaihu (Bupleuri Radix), or Duoming Dan (Life-Rescuing Pill) may be used. All other internal and external treatment methods follow the protocols for Carbuncles and Ulcers (Zhongyang Men and Ku Yang Men).
Prescriptions: Xianfang Huoming Yin (see Zhongyang Men); Duoming Dan (see Yin Yang Er Qi Ju).
[Prescription Verse] Shensu Fa occurs at the Shensu acupoint. Single lesions result from alcohol consumption, sexual excess, and damp-heat; double lesions arise from sexual exhaustion and liver fire. Favorable and unfavorable outcomes are distinguished by whether the lesion appears red and vibrant or purple-black and sunken.
[Annotation] This condition develops at the Shensu (BL23) acupoint, located in the hollows of the muscles on either side of the lumbar vertebrae. It can occur singly or doubly. Single lesions are caused by excessive alcohol and sexual activity combined with damp-heat; double lesions are triggered by sexual exhaustion and anger/fire. If the lesion is red, vibrant, and highly swollen, with pus forming around the fourteenth day, it is a favorable sign (Shun). If the lesion is purple-black, dry, hard, and fails to produce pus when expected, it is an unfavorable sign (Ni). If the pus is thin and damages the fascia, it indicates a severe deficiency of True Yang and blood/qi. Initially, Renshen Yangrong Tang (Ginseng Nourishing Harmony Decoction) or Jiaban Bawei Wan (Modified Eight-Ingredient Pill) should be taken to restore the source. Internal and external treatments for favorable and unfavorable cases follow the protocols for Carbuncles and Ulcers.
Prescriptions: Renshen Yangrong Tang; Jiaban Bawei Wan (both see Ku Yang Men).
[Prescription Verse] Shi Ju (Stone Scrofula) results from cold coagulation and blood stasis accumulation. It occurs most persistently between the waist and hips. It is hard as stone with unchanged skin color, causing intermittent numbness and pain, and is difficult to dissipate or suppurate.
[Annotation] This condition is formed by the coagulation of cold qi and blood stasis, occurring between the waist and hip region, with a lingering course that is difficult to resolve. The scrofula feels numb and painful, resists dissipation and suppuration, is hard as stone, and the skin color remains unchanged. Initially, Moyao Wan (Myrrh Pill) should be taken internally. Externally, fresh Shanglu (Phytolaccae Radix) should be mashed and applied to the affected area, followed by direct moxibustion with moxa cones on the top of the lesion until it softens. After suppuration, treat according to the protocols for ulcerated carbuncles and scrofula.
Prescription: Moyao Wan
Composition: Tao Ren (Peach Seed, stir-fried, 1 liang), Xiangru (Frankincense), Moyao (Myrrh), Chuanxiong (Ligustici Chuanxiong Rhizoma), Chuanjiao (Sichuan Pepper, remove pits and closed ends), Danggui (Angelicae Sinensis Radix), Chishao (Red Peony Root, each 5 qian), Ziran Tong (Pyritum, calcined in vinegar seven times, 2.5 qian).
Grind all ingredients into fine powder. Melt 2 liang of Huangla (Yellow Beeswax) over fire, add the powder, and stir continuously until uniform. Form into pills the size of bullet seeds. Take one pill per dose, dissolve it in a cup of good wine, boil until reduced to 0.5 sheng, and drink while hot.
[Prescription Verse] Moyao Wan treats Zhong Shi Ju (Middle Stone Scrofula); Frankincense, Myrrh, Peach Seed, Ligusticum, Angelica, and Red Peony are suitable. Combined with Sichuan Pepper, Pyritum, and Yellow Beeswax, taken with wine to promote blood circulation and resolve stasis.