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王肯堂曰∶对脐发，发于背下命门穴，与脐相对，故名。乃督脉经毒发，有脓者
生，如出血水，谵语发渴者死。（《准绳》）
窦汉卿曰∶对脐毒即冲疽，又名历肾，生于腰肾间也。若内肾疼变为渴者，万无一生。（《全书》）
《心法》曰∶环跳疽生胯骨节间之环跳穴，所以腰难曲伸，漫肿隐痛，此证皆由
风湿寒邪凝结而成，属足少阳胆经。初起宜服黄狗下颏散，更刺委中穴出黑血，其腿即能转动矣。
黄狗下颏散
黄狗下颏（连舌、皮毛劈下，入罐内，盐泥封固，铁盏盖口， 一炷香，觉烟青即止，务宜存性取出，黑
如炭为度，若带白色，其性已过，则无用矣。用时研细。取狗下颏，宜用屠家已杀之犬，若生取特杀一犬，恐伤
德反招不祥） 豌豆粉 白蔹（各等分）
三味和匀。每服五钱，温黄酒空心调服，出臭汗及熟睡为效，外将此药用香油调敷患处。
陈实功曰∶阴毒者，乃纯阴无阳，被天时寒冷肃杀之气，侵入肌肤，流入骨髓，
以致气不能升，血不能行，凝滞经络，疼痛切骨。初起不红不肿不热，朝轻暮重；久
则作肿渐红，烂斑黑靥，臭水淋漓，秽气熏蒸，腐烂渐开，终久必死。（《正宗》）
王肯堂曰∶无名肿毒者，不拘于头面手足胸腹等处， 赤肿硬，结核疼痛，又
名肿疡，又名虚疡，但肿无头无面者，俱是也。肿热势盛者，以棱针刺去恶血，切
不可以火针烙之。若暴发赤肿，切不可以针破之，只宜以洗肿方法淋洗。（《准绳》）
又曰∶紫游风 紫游虚疡。（均属无名肿毒。）
陈远公曰∶头面无端忽生小疮痒甚，第二日头重如山，第三日面目青紫，此至危
之证。苟不速治，数日内一身发青黑而死。若青不至心胸者，尚可救，因此人素服热
药，热极而变为毒也。人入房久战，虽气主之，而实火主之也。气旺而非火济之，则
不足鼓其兴趣，博久战之欢，补气之药，断不能舍参 而求异味。世人贪欢者多，而
吝惜者不少，用热药助火，非多加人参，不足以驾驭其猛烈之威，无如人参力难多备，
方士不得已迁就世人之心，乃少减参则功力薄，多加热药以壮火，于是金石火 之
药，纷然杂投，谓不如此不足以助命门之火也。夫命门之火，肾火也，非真阴之水
不养，不同于脾胃之火，可以外水解之也。且肾水既旺，则外势刚强，多御女戎，亦
复何伤，无奈淫心无尽，火炽则水干，火沸则水涸，水不足以制火，热毒结于肠胃，
况战久必大泄精，精泄过多，火自更旺，未免再战，或归咎前药太少更多服以助其势，
不知药益多而火益烈，战益频而水益燥乎！久之水涸火炎，阳易举而不能久战，即有
忍精勉强而斗，精不化而变为毒，结于阴之部位则成痈，结于阳之部位则成毒。头
上阳部位也，较阴部尤为可畏，非多用化毒之药，安能起死回生哉？回生至圣丹∶金
银花八两，元参、蒲公英各三两，川芎一两，生甘草五钱，天花粉三钱，水煎服，一
剂头轻，青紫色淡，又一剂全愈。（此方化毒而不耗气，败毒而不损精，所以奇也。此毒原系水亏之极，
而泻毒之味皆损于阴阳，惟银花攻补兼妙，故以之为君，必多用而力始大，加元参去火，甘草泻毒，公英清热，花
粉消痰，川芎散结，自然相助成功也。《石室秘录·奇病门》中，亦有此证治法，宜参看。《辨证冰鉴》）
又曰∶肿毒生于思虑不到之处，其势凶恶，有生死之关，皆以无名肿毒名之，不
必分上中下也。前条只言头上，而身之左右前后四肢尚未言也，治之得法，可以通
治也。大凡上中下生肿毒者，多起于淫欲无度，加之气恼忧郁，火乘其隙处，蕴藏
结毒，故一发而不可救，所以此证尽属阴证，而无阳证也。治法似用解阴毒之药矣，
然解阴毒之药，大半消烁真阴，本因虚而结毒，复解毒而亏阴，安有济乎！余得异
传，于补阴之中，以行散郁之法，佐以解毒之品，少助行经之味，是以多收其功，不
敢秘传，书之于册，以救万世之人也。黑虎汤∶元参一斤，柴胡三钱，生甘草一两，
煎汤十碗，生头面者加川芎二两，附子二两，再煎汁取三碗，分二日服完，未破者
即消，已破者生肌自愈，不必二剂。生身左右前后者，加当归二两，甘菊花一两，附
子三分，如前服。生手足四肢者，加白术二两，茯苓一两，附子五分，亦如前服，无
不收功。（按元参退浮游之火，得甘草之助，解其迅速之威，得柴胡之佐，能舒抑郁之气，又有引经之味，引
至毒处，大为祛除，用至一斤，力量更大，又是补中兼散，则解阴毒，不伤阴气，所以建功，人勿见药之重，不
敢轻试，负余殷殷济世之心也。若些小之证与非阴证，不必用此重剂，不可不知也。）
又曰∶有四肢间或头面上，忽然生疽，头黑皮紫，疼痛异常，此阳证之毒也，亦
能杀人。此证其势甚骤，不急散毒，则养成大横。世人每以生疽甚小，不似生痈之
大，往往不以为意。谁知变成大毒，疽与痈实有不同，痈溃于内而疽肿于外也。溃
内者难外治，肿外者易内消，虽痈疽之毒，尽由内而发外，宜皆治内而外愈，而疽尤
宜内治也。消疽散∶生地、地榆、连翘、天花粉各三钱，忍冬藤、夏枯草、当归各一
两，白芷、生甘草各二钱，水煎服，未溃者二剂即消，已溃者四剂痊愈。此方通治
恶疽，无不神效。（盖补血以散毒，则血活而毒难留，凉血以清火，则血寒而火易散，疽多阳证，所以治无不宜也。）
王肯堂说：对脐发，生于背部下方的命门穴处，与肚脐相对，因此得名。这是督脉经的毒邪外发，如果出脓则生，若流出血水、出现胡言乱语和口渴症状的则死。（《医学准绳六要》）
窦汉卿说：对脐毒就是冲疽，又名历肾，生长在腰肾之间。如果内部肾脏疼痛并转变为口渴症状的，万无一生。（《窦太师针法全书》）
《医宗心法》说：环跳疽生在胯骨关节间的环跳穴处，所以腰部难以弯曲伸展，漫肿且隐痛，此证皆由风湿寒邪凝结而成，属于足少阳胆经。初起时宜服用黄狗下颏散，同时针刺委中穴放出黑血，腿部就能转动了。
黄狗下颏散配方：
黄狗下颏（连着舌头和皮毛一起劈下，放入罐内，用盐泥密封固定，铁盏盖住口，燃烧一炷香的时间，闻到烟变青就停止，务必保留药性取出，烧至黑如炭为度，如果带白色，药性已过，就没有用了。使用时研成细粉。取狗下颏，应用屠户已杀的狗，如果是活捉特杀一只狗，恐怕伤德反而招致不祥） 豌豆粉 白蔹（各等分）
将三味药混合均匀。每次服用五钱，用温黄酒空腹调服，以排出臭汗和熟睡为见效标志，外用此药调和香油敷在患处。
陈实功说：阴毒，是纯阴无阳，被天时寒冷肃杀之气侵入肌肤，流入骨髓，导致气不能上升，血不能运行，凝滞于经络，疼痛深入骨骼。初起时不红不肿不热，早晨轻晚上重；时间久了则肿胀渐红，溃烂出现黑色痂皮，臭水淋漓，秽气熏蒸，腐烂逐渐扩大，最终必死。（《外科正宗》）
王肯堂说：无名肿毒，不限于头面、手足、胸腹等部位，表现为赤色肿胀坚硬，结核疼痛，又名肿疡，又名虚疡，凡是肿胀没有头也没有面的，都是此类。如果肿胀热势旺盛的，用棱针刺去恶血，千万不可以用火针烙烫。如果是突然暴发的赤肿，千万不可以用针挑破，只适宜用洗肿的方法淋洗。（《医学准绳六要》）
又说：紫游风、紫游虚疡。（均属于无名肿毒范畴。）
陈远公说：头面无端忽然生出小疮，瘙痒非常严重，第二天头部沉重如山，第三天面目青紫，这是极其危险的证候。如果不迅速治疗，数日内全身发青黑而死。如果青色不到达心胸部位，还可以救治，这是因为此人平时服用热药，热极而变为毒。人进入房事久战，虽然气主之，但实际是火主之。气旺而没有火来济助，则不足以鼓动其兴致，博得久战的欢乐，补气的药物，绝对不能舍弃人参而寻求其他异味的药物。世人贪恋欢愉的多，而吝惜人参的不少，使用热药助火，不多加人参，不足以驾驭其猛烈的威力，无奈人参力量难以大量储备，方士不得已迁就世人的心理，于是减少人参用量则功力薄弱，多加热药以壮火势，于是金石火热之药，纷纷杂乱投用，认为不如此不足以助命门之火。夫命门之火，即肾火，不是真阴之水不能滋养，不同于脾胃之火，可以用外水解之。而且肾水既旺，则外势刚强，多御女色，又有什么伤害？无奈淫心无尽，火炽则水干，火沸则水涸，水不足以制火，热毒结于肠胃，况且久战必然大泄精，精泄过多，火自然更旺，未免再战，或者归咎于前药太少更多服用以助其势，不知道药越多火越烈，交媾越频繁水越燥呢！久而久之水涸火炎，阳气易举但不能久战，即使有忍住精液勉强交斗的，精不化而变为毒，结于阴的部位则成痈，结于阳的部位则成毒。头上是阳部位，较阴部更为可怕，不用多用化毒的药物，怎么能起死回生呢？回生至圣丹：金银花八两，元参、蒲公英各三两，川芎一两，生甘草五钱，天花粉三钱，水煎服，一剂后头轻，青紫色淡，又一剂全愈。（此方化毒而不耗气，败毒而不损精，所以奇妙。此毒原系水亏之极，而泻毒之味皆损于阴阳，惟银花攻补兼妙，故以之为君药，必须多用才力量大，加元参去火，甘草泻毒，公英清热，花粉消痰，川芎散结，自然相助成功也。《石室秘录·奇病门》中，也有此证治法，宜参看。《辨证冰鉴》）
又说：肿毒生于思虑不到的地方，其势凶恶，有生死之关，都称为无名肿毒，不必分上中下。前条只说了头上，而身体左右前后四肢尚未提及，治疗方法得当，可以通治。大凡上中下生肿毒者，多起于淫欲无度，加之气恼忧郁，火乘其隙处，蕴藏结毒，所以一发而不可救，因此此证尽属阴证，而无阳证。治法似乎应用解阴毒的药物了，然而解阴毒的药物，大半消烁真阴，本因虚而结毒，又解毒而亏阴，怎么会有帮助呢！我得到异传，在补阴之中，施行散郁的方法，佐以解毒之品，少助行经之味，因此多收其功，不敢秘传，书写在册，以救万世之人。黑虎汤：元参一斤，柴胡三钱，生甘草一两，煎汤十碗，生于头面的加川芎二两，附子二两，再煎汁取三碗，分两日服完，未破的即消，已破的生肌自愈，不必两剂。生于身左右前后者，加当归二两，甘菊花一两，附子三分，像前面那样服用。生于手足四肢者，加白术二两，茯苓一两，附子五分，也像前面那样服用，无不收功。（按：元参退浮游之火，得甘草之助，解其迅速之威，得柴胡之佐，能舒抑郁之气，又有引经之味，引至毒处，大为祛除，用至一斤，力量更大，又是补中兼散，则解阴毒，不伤阴气，所以建功，人勿见药之重，不敢轻试，负余殷殷济世之心也。若些小之证与非阴证，不必用此重剂，不可不知也。）
又说：有四肢间或头面上，忽然生疽，头黑皮紫，疼痛异常，这是阳证的毒，也能杀人。此证其势甚骤，不急散毒，则养成大横。世人每以为生疽很小，不像生痈那么大，往往不以为意。谁知变成大毒，疽与痈实在有不同，痈溃于内而疽肿于外也。溃内者难外治，肿外者易内消，虽痈疽之毒，尽由内而发外，宜皆治内而外愈，而疽尤宜内治也。消疽散：生地、地榆、连翘、天花粉各三钱，忍冬藤、夏枯草、当归各一两，白芷、生甘草各二钱，水煎服，未溃者二剂即消，已溃者四剂痊愈。此方通治恶疽，无不神效。（盖补血以散毒，则血活而毒难留，凉血以清火，则血寒而火易散，疽多阳证，所以治无不宜也。）
Carbuncle Opposite the Umbilicus
Wang Kentang stated: Carbuncle opposite the umbilicus arises at the Mingmen acupoint (Gate of Life) below the back, directly opposite the navel, hence the name. It is a toxin eruption from the Du Meridian (Governing Vessel). If pus forms, the patient survives; if bloody fluid discharges accompanied by delirium and thirst, the patient dies. (*Yixue Zhunsheng*)
Dou Hanqing stated: Carbuncle opposite the umbilicus is also known as Chong Ju (Chong Carbuncle), or Li Shen (Traversing Kidney), arising between the waist and kidneys. If internal kidney pain transforms into thirst, there is no chance of survival. (*Dou Taishi Zhenfa Quanshu*)
*Yizong Xinfa* stated: Huantiao Ju (Carbuncle at Huantiao) arises at the Huantiao acupoint between the hip bone joints, causing difficulty in bending and extending the waist, with diffuse swelling and dull pain. This condition is caused by the coagulation of Wind-Dampness and Cold pathogens, belonging to the Foot-Shaoyang Gallbladder Meridian. At the onset, Huanggou Xiake San (Yellow Dog Lower Jaw Powder) should be taken internally, and the Weizhong acupoint should be pricked to release dark blood, after which the leg can move again.
**Huanggou Xiake San (Yellow Dog Lower Jaw Powder)**
Ingredients:
Yellow dog lower jaw (with tongue and skin/fur removed together, placed in a jar, sealed tightly with salt mud, covered with an iron lid, roasted for the duration of one incense stick; stop when smoke turns blue. Ensure the material retains its medicinal properties upon removal, turning black like charcoal. If it appears white, the potency is lost and it is useless. Grind finely before use. The dog used should be one already slaughtered by a butcher; killing a live dog specifically may bring bad karma and misfortune.)
Pea flour
Baolian (Ampelopsis radix)
(All ingredients in equal parts.)
Mix the three ingredients evenly. Take 5 qian per dose, mixed with warm yellow rice wine on an empty stomach. Efficacy is indicated by the discharge of foul sweat and deep sleep. Externally, mix this powder with sesame oil and apply to the affected area.
Chen Shigong stated: Yin Du (Yin Toxin) occurs when pure Yin lacks Yang, allowing cold and desolate Qi from the weather to invade the skin and penetrate the bone marrow. This causes Qi to fail to ascend and Blood to fail to circulate, leading to stagnation in the meridians and bone-piercing pain. Initially, there is no redness, swelling, or heat; symptoms are lighter in the morning and heavier in the evening. Over time, swelling increases and reddens, ulcerating with black crusts, discharging foul water, and emitting a putrid odor. The rot spreads until death ensues. (*Waike Zhengzong*)
Wang Kentang stated: Wuming Zhongdu (Nameless Swelling and Toxicity) is not limited to the head, face, hands, feet, chest, or abdomen. It presents as red, swollen, hard, tender nodules. It is also called Zhongyang (Swollen Ulcer) or Xuyang (Deficiency Ulcer). Any swelling without a distinct head or surface falls into this category. If the swelling and heat are severe, prick with a triangular needle to remove evil blood; absolutely do not use fire needles or cauterization. If acute red swelling erupts suddenly, do not puncture with a needle; instead, wash the area with the prescribed washing method. (*Yixue Zhunsheng*)
Furthermore: Zi You Feng (Purple Roaming Wind) and Zi You Xuyang (Purple Roaming Deficiency Ulcer) both belong to the category of Wuming Zhongdu.
Chen Yuan Gong stated: Small sores suddenly appearing on the head and face with intense itching, followed by a heavy head like a mountain on the second day, and cyanosis of the face and eyes on the third day, constitute a critical condition. Without rapid treatment, the whole body will turn cyanotic-black within days, leading to death. If the cyanosis does not reach the heart and chest, rescue is possible. This occurs because the person has previously consumed hot-natured medicines, causing extreme Heat to transform into Toxin. Prolonged sexual intercourse is governed by Qi but driven by Fire. If Qi is strong but unassisted by proper Fire regulation, it cannot sustain interest or prolonged performance. Tonifying Qi requires Ginseng; other herbs cannot substitute. Many people indulge in pleasure but are stingy with Ginseng. Using hot herbs to boost Fire requires large doses of Ginseng to control the intensity. Due to the scarcity of Ginseng, practitioners compromise by reducing Ginseng and adding more hot herbs to strengthen Fire, mixing various mineral and fire-heating substances, claiming this boosts the Fire of the Gate of Life (Mingmen). However, Mingmen Fire is Kidney Fire, nourished only by True Yin Water, unlike Spleen-Stomach Fire which can be cooled externally. If Kidney Water is abundant, external strength is robust, and frequent sexual activity causes no harm. But endless lust leads to blazing Fire drying up Water; boiling Fire evaporates Water. When Water fails to control Fire, Heat-Toxin accumulates in the intestines and stomach. Prolonged intercourse causes massive essence loss; excessive essence loss intensifies Fire, leading to further intercourse. Blaming previous insufficient medication and taking more to boost power ignores that more medicine means fiercer Fire, and more frequent intercourse means drier Water. Eventually, Water dries and Fire flares; erection occurs but endurance fails. Even if essence is retained forcibly, untransformed essence becomes Toxin. Accumulating in Yin areas causes Abscesses (Yong); accumulating in Yang areas causes Toxic Sores (Du). The head is a Yang area, more dangerous than Yin areas. Only by using ample detoxifying herbs can life be restored. **Huisheng Zhisheng Dan (Resurrection Holy Pill):** Jinyinhua (Lonicerae Japonicae Flos) 8 liang, Yuanshen (Scrophulariae Radix) and Pugongying (Taraxaci Herba) 3 liang each, Chuanxiong (Ligustici Chuanxiong Rhizoma) 1 liang, Sheng Gancao (Glycyrrhizae Radix et Rhizoma) 5 qian, Tianhuafen (Trichosanthis Radix) 3 qian. Decoct in water and drink. After one dose, head heaviness decreases and cyanosis fades; after another dose, full recovery occurs. (This formula resolves toxin without depleting Qi, eliminates toxicity without damaging Essence, hence its efficacy. This toxin stems from extreme Yin deficiency. Most detoxifying herbs damage Yin and Yang. Jinyinhua excels in both attacking and tonifying, serving as the sovereign herb; high dosage is required for strength. Yuanshen clears Fire, Gancao drains Toxin, Pugongying clears Heat, Tianhuafen resolves Phlegm, Chuanxiong disperses nodules. They assist each other naturally. See *Shishi Milu · Qibing Men* for similar treatments. *Bianzheng Bingjian*.)
Furthermore: Sores arising in unexpected places are fierce and critical, termed Wuming Zhongdu, regardless of location. The previous section only mentioned the head, not the left/right/front/back limbs. With proper treatment, it can be managed universally. Generally, sores anywhere arise from excessive lust combined with anger and depression, allowing Fire to exploit gaps, accumulate, and form toxins. Once erupted, they are incurable. Thus, these cases are purely Yin syndromes, lacking Yang manifestations. Treatment seems to require herbs for resolving Yin Toxin. However, most Yin-toxin-resolving herbs consume True Yin. Since the root cause is deficiency forming toxins, further detoxification harms Yin, offering no benefit. I received a special transmission: tonify Yin while dispersing stagnation, aided by detoxifiers and mild meridian-guiding herbs. This yields good results. I dare not keep it secret but record it to save future generations. **Heihu Tang (Black Tiger Decoction):** Yuanshen 1 jin, Chaihu 3 qian, Sheng Gancao 1 liang. Decoct in water to make 10 bowls. For sores on the head/face, add Chuanxiong 2 liang and Fuzi (Aconiti Lateralis Radix Praeparata) 2 liang; decoct again to obtain 3 bowls, divided over two days. Unruptured sores resolve; ruptured ones heal with flesh regeneration, requiring no more than two doses. For sores on the body's left/right/front/back, add Danggui (Angelicae Sinensis Radix) 2 liang, Ganjuhua (Chrysanthemi Flos) 1 liang, Fuzi 3 fen; take as above. For sores on hands/feet/limbs, add Baizhu (Atractylodis Macrocephalae Rhizoma) 2 liang, Fuling (Poria) 1 liang, Fuzi 5 fen; take as above. All achieve success. (Note: Yuanshen clears floating Fire; assisted by Gancao to moderate its rapid action; aided by Chaihu to soothe depression; acts as a guiding herb to direct treatment to the toxin site. Used in large doses (1 jin) for greater effect. It tonifies while dispersing, resolving Yin Toxin without harming Yin Qi, thus achieving success. Do not hesitate due to heavy dosage, failing my intention to help the world. Minor or non-Yin cases do not require such heavy doses; this must be known.)
Furthermore: Sudden carbuncles appearing on limbs or head, with black heads and purple skin, causing extreme pain, are Yang-type toxins that can also be fatal. The progression is rapid; failure to quickly dissipate the toxin leads to severe complications. People often dismiss small carbuncles as less serious than abscesses. Little do they know they transform into major toxins. Carbuncles (Ju) and abscesses (Yong) differ: Yong ulcerates internally, while Ju swells externally. Internal ulceration is hard to treat externally; external swelling is easier to resolve internally. Although toxins in both originate internally and manifest externally, treating internally leads to external healing, especially for Ju. **Xiaojü San (Carbuncle-Resolving Powder):** Shengdi (Rehmanniae Radix), Diyü (Sanguisorbae Radix), Lianqiao (Forsythiae Fructus), Tianhuafen 3 qian each; Rendongteng (Lonicerae Japonicae Caulis), Xiakucao (Prunellae Spica), Danggui 1 liang each; Baizhi (Angelicae Dahuricae Radix), Sheng Gancao 2 qian each. Decoct in water and drink. Unruptured cases resolve in two doses; ruptured cases heal in four doses. This formula effectively treats malignant carbuncles universally. (Nourishing Blood disperses toxin, making Blood active and preventing toxin retention; cooling Blood clears Fire, making Blood cool and Fire easy to dissipate. Since Ju is mostly Yang syndrome, treatment is suitable.)