肾痈肾经不足生，京门微肿隐隐疼，少腹肋下 胀满，房劳形寒邪外乘。
【注】此证始发京门穴，必隐痛微肿，令人寒热往来，面白不渴，少腹及肋下 胀塞
满。由肾虚不足之人，房劳太过，身形受寒，邪气自外乘之。初服五积散加细辛；寒尽痛
止，宜用桂附地黄丸调理。
京门穴又名肾募，在身侧腰中监骨下肋间。
\r五脏六腑诸募穴图（二）\p04-34a138.bmp\r
五积散
苍术（炒，二钱） 陈皮 桔梗 川芎 当归 白芍（各一钱） 麻黄 枳壳（麸炒） 桂心 干姜
浓朴（各八分） 白芷 半夏（制） 甘草（生） 茯苓（各四分）
引姜一片，水二盅，煎八分，不拘时服。
头痛恶寒者，加连须葱头三个，盖卧汗出甚效。
【方歌】五积散苍壳陈苓，麻黄半桔归芍芎，芷朴桂心干姜草，肾痈寒邪服成功。
桂附地黄汤（见溃疡门）
三焦痈由湿热凝，石门穴上肿隐疼，寒结治同肠痈法，内痈俱系膜内生。
【注】此证始发石门穴，必隐疼微肿，令人寒热往来，二便秘涩，由湿热遇寒凝结而
成。治法与大、小肠痈同。凡内痈俱系膜内成患，外皮不腐。
石门穴又名三焦募，在脐下二寸。
\r五脏六腑诸募穴图（一）\p04-34a137.bmp\r
肾痈是由于肾经正气不足而发生的，表现为京门穴处轻微肿胀、隐隐作痛，少腹部及胁肋下方胀满，多因房事过度导致身体受寒，外邪乘虚而入所致。
【注】此证起始于京门穴，必然出现隐痛和轻微肿胀，使人感到寒热往来，面色苍白且不口渴，少腹部及胁肋下感觉胀塞满闷。这是由于肾虚不足之人，房劳太过，身形受寒，邪气从外部侵袭所致。初期服用五积散加细辛；待寒气尽除、疼痛停止后，宜用桂附地黄丸进行调理。
（此处插入图片：五脏六腑诸募穴图二）
五积散
处方组成：苍术（炒制，二钱）、陈皮、桔梗、川芎、当归、白芍（各一钱）、麻黄、枳壳（麸炒）、桂心、干姜、浓朴（各八分）、白芷、半夏（炮制）、甘草（生用）、茯苓（各四分）。
煎服法：加入生姜一片，水两盅，煎至八分，不拘时候服用。
若伴有头痛、恶寒症状者，加带须葱头三个，盖被卧床发汗，效果显著。
【方歌】五积散由苍术、枳壳、陈皮、茯苓组成，包含麻黄、半夏、桔梗、当归、白芍、川芎，还有白芷、厚朴、桂心、干姜、甘草，治疗肾痈因寒邪所致可获成功。
桂附地黄汤（参见溃疡门章节）
三焦痈是由湿热凝结而成，表现为石门穴处肿胀、隐隐作痛，若属寒结则治疗方法同肠痈，内痈均是在膜原内部形成的。
【注】此证起始于石门穴，必然出现隐痛和轻微肿胀，使人感到寒热往来，大小便便秘涩滞，这是由湿热遇寒凝结而成的。治疗方法与大、小肠痈相同。凡是内痈都是在膜内形成病变，外皮不会溃烂。
（此处插入图片：五脏六腑诸募穴图一）
Kidney Abscess arises from insufficiency of the Kidney Meridian, presenting with slight swelling and dull pain at Jingmen (GB25), distension and fullness in the lower abdomen and hypochondrium. It is caused by excessive sexual activity leading to physical coldness, allowing pathogenic factors to invade from the exterior.
[Note] This condition originates at Jingmen (GB25), characterized by dull pain and slight swelling, causing alternating chills and fever, a pale complexion without thirst, and a sensation of distension and fullness in the lower abdomen and hypochondrium. It results from individuals with Kidney deficiency and insufficiency, who engage in excessive sexual activity, suffer from physical cold exposure, and allow pathogenic factors to invade from the exterior. Initially, Wuji San (Five Accumulations Powder) with Xixin (Asari Radix et Rhizoma) should be administered; once the cold is eliminated and pain ceases, Guifu Dihuang Wan (Cinnamon Twig and Aconite Pill for the Kidney) should be used for regulation.
Jingmen (GB25), also known as the Front-Mu point of the Kidney, is located on the side of the body in the waist, in the intercostal space below the Jian Gu (monitor bone).
(Image: Diagram of Front-Mu Points of the Five Zang and Six Fu Organs II)
Wuji San (Five Accumulations Powder)
Ingredients: Cangzhu (Atractylodis Rhizoma, stir-fried, 2 qian), Chenpi (Citri Reticulatae Pericarpium), Jiegeng (Platycodonis Radix), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba, each 1 qian), Mahuang (Ephedrae Herba), Zhike (Aurantii Fructus Immaturus, bran-fried), Guixin (Cinnamomi Ramulus), Ganjiang (Zingiberis Rhizoma), Houpo (Magnoliae Officinalis Cortex, each 8 fen), Baizhi (Angelicae Dahuricae Radix), Banxia (Pinelliae Tuber, processed), Gancao (Glycyrrhizae Radix et Rhizoma, raw), Fuling (Poria, each 4 fen).
Preparation and Administration: Add one slice of Shengjiang (Zingiberis Rhizoma Recens), two bowls of water, decoct until eight-tenths remain. Take at any time.
If accompanied by headache and aversion to cold, add three scallion heads with roots. Cover with blankets to induce sweating; this is highly effective.
[Prescription Verse] Wuji San contains Cangzhu, Zhike, Chenpi, and Lingzhu; Mahuang, Banxia, Jiegeng, Danggui, Baishao, and Chuanxiong; Baizhi, Houpo, Guixin, Ganjiang, and Gancao. For kidney abscess caused by cold pathogens, successful treatment is achieved.
Guifu Dihuang Tang (See Chapter on Ulcerative Diseases)
Sanjiao Abscess is formed by the coagulation of damp-heat, presenting with swelling and dull pain at Shimen (CV5). If caused by cold coagulation, the treatment is the same as for Intestinal Abscess. Internal abscesses all arise within the membranes.
[Note] This condition originates at Shimen (CV5), characterized by dull pain and slight swelling, causing alternating chills and fever, and constipation with difficult urination and defecation. It is formed by the coagulation of damp-heat encountering cold. The treatment method is the same as that for Large Intestine and Small Intestine abscesses. All internal abscesses form within the membranes, and the external skin does not ulcerate.
Shimen (CV5), also known as the Front-Mu point of the Sanjiao, is located two cun below the umbilicus.
(Image: Diagram of Front-Mu Points of the Five Zang and Six Fu Organs I)