七味圣神汤（岐天师）
金银花（四两） 蒲公英（二两） 人参 当归 甘草（各一两） 大黄（五钱） 天花粉（二钱）
水煎服。一剂即消，二剂全愈，溃者三剂愈。
骑马痈已成脓者。（《新都治验》）
黄 （三钱） 人参（二钱） 川芎 当归（各一钱） 白芷 防风 肉桂 甘草（各五分）
白水煎，一贴痛止，再服自溃，十贴肉生。
《心法》曰∶坐马痈生于尻骨略上，属督经，由湿热凝结而成，虚人患此，易于成漏。
《心法》曰∶涌泉疽生于尻骨之前，肛门之后长强穴，属督经首穴，由湿热凝结而成。老弱患此，多成冷漏，难痊。
王肯堂曰∶穿裆宜，生背之下极，属督脉及太阳经，由劳伤忧思积郁所致。宜
速治，稍缓则溃烂难收敛。欲成漏者，多麻木黑陷。泄泻呕哕，疲倦者不治。（《准绳》）
《心法》曰∶穿裆疽生于会阴穴，在谷道之前，肾囊之后，此系皮囊空处，如痛
连睾丸及腰背肛门。根深迟溃，腐伤尿管，漏溺不能收敛者，至险。
\r悬痈\p04-a41a182.bmp\r
《鬼遗方》云∶胯下两臀尖下，大道前（谷道）。小道后，水道成悬痈，皆是虚极人患
此。近谷道左右，乃名痔痈，宜急补脾脏，及发处贴药，即用发穴药。破后用抽脓膏，
脓尽用合疮口药合之。慎勿过冬，即成冷漏，难治。
王肯堂曰∶悬痈生于篡间，谓前阴之后，后阴之前，屏翳处也，即会阴穴。属
任脉别络，侠督脉波脉之会，痈生其间，人起立则若悬然，故名悬痈，属足三阴亏损
之证。轻则为漏，沥尽气血而亡；重则内溃而即殒。原属肝肾二经，阴虚虽一，于
补犹恐不治，若又加克伐，不死何待。（《准绳》）
又曰∶悬痈与骑马痈，惟制甘草内服外洗。
又曰∶交HT 一处近棱在线名骗马坠，俗名跨马痈，防漏。
陈实功曰∶悬痈生于肾囊之后，肛门
之前，又名海底漏，最难收功。初起肿痛继即溃脓，总由湿热相火内灼肺金而然也。
宜服国老散、加减地黄丸，此一定之治法也。（《正宗》）
蒋示吉曰∶悬痈生于谷道之前，阴器之后，又谓海底穴也。乃三阴亏损。湿热
结聚而成。初生状如莲子，少痒多痛，日久渐如桃李，赤肿 痛，溃而流脓，破后
轻则成漏，重则气血沥尽，变为痨瘵不起之候者多矣。初起壮实者，泻其病根；稍
虚者，利其湿热；已成者，托里排脓；已溃者，温补滋阴。切忌寒凉损胃，冰凝气血，致生变证。（《说约》）
冯鲁瞻曰∶悬痈者，谷道前后生疮是也。初发形如松子，渐如莲子，数十日后
甚，赤肿如桃即破，破最难收。其治每用粉草一两，无灰酒煎服以解毒，此证多属
阴虚，故不足人患之。大禁寒凉克削，肝肾虚极之证也。重为滋阴峻补，并为绝欲，
急令收功，否则成漏痨瘵之根矣。（《锦囊》）
汪省之曰∶悬痈即骑马痈也。此证多因酒色不慎，湿热壅滞而作，况谷道之前，
乃任脉会阴发源之地，又乃肝经宗筋所会之处，患此多属肝肾二经阴虚。今人每以
败毒流气等攻伐之剂治之，殊不知阴既虚矣，须一于补，尚恐不能成脓敛口，反加克伐，不死何待。（《理例》）
七味圣神汤（岐天师方）
金银花（四两） 蒲公英（二两） 人参 当归 甘草（各一两） 大黄（五钱） 天花粉（二钱）
用水煎服。服用一剂即可消散，两剂完全痊愈，已经溃破的三剂痊愈。
骑马痈（生于跨部的痈疽）已经化脓的情况。（《新都治验》）
黄芪（三钱） 人参（二钱） 川芎 当归（各一钱） 白芷 防风 肉桂 甘草（各五分）
用白水煎煮，一帖疼痛停止，再服用自然溃破，十帖肌肉生长。
《医宗心法》说：坐马痈生长在尾骨略上方，属于督脉经，由湿热凝结而成，体虚的人患此病，容易形成瘘管。
《医宗心法》说：涌泉疽生长在尾骨之前，肛门之后的长强穴处，属于督脉的首穴，由湿热凝结而成。年老体弱者患此病，多形成冷性瘘管，难以治愈。
王肯堂说：穿裆宜（一种病症），生长在背部下方极处，属于督脉及足太阳膀胱经，由劳损、忧伤、思虑积郁所致。应当迅速治疗，稍迟缓就会溃烂难以收敛。想要形成瘘管的，多有麻木黑陷的症状。伴有泄泻、呕吐呃逆、疲倦的，属于不治之症。（《医学准绳六要》）
《医宗心法》说：穿裆疽生长在会阴穴，位于谷道（肛门）之前，肾囊之后，此处是皮囊空处，如果疼痛牵连睾丸以及腰背肛门，根深且溃破缓慢，腐烂损伤尿管，漏尿不能收敛的，非常危险。
悬痈
《鬼遗方》说：胯下两臀尖下方，大道前（肛门）。小道后，水道成悬痈，都是极度虚弱的人患此病。靠近肛门左右，名叫痔痈，应当紧急补益脾脏，并在患处贴敷药物，即使用发泡穴位药。破溃后用抽脓膏，脓液排尽后用生肌合口药愈合伤口。千万不要过冬，否则形成冷性瘘管，难以治疗。
王肯堂说：悬痈生长在篡间，指前阴之后，后阴之前，屏翳之处，即会阴穴。属于任脉别络，与督脉波脉交会之处，痈发生在此处，人站立时感觉像悬挂着一样，所以名叫悬痈，属于足三阴经亏损的证候。轻则形成瘘管，沥尽气血而亡；重则内溃而立即死亡。原本属于肝肾二经，阴虚虽然单一，在补益方面尚且担心不能治愈，如果再加以攻伐，不死还等什么。（《医学准绳六要》）
又说：悬痈与骑马痈，只有控制甘草内服外洗。
又说：交HT 一处近棱在线名骗马坠，俗名跨马痈，预防瘘管。
陈实功说：悬痈生长在肾囊之后，肛门之前，又名海底漏，最难收功。初起肿痛随即溃破流脓，总由湿热相火内灼肺金所致。应当服用国老散、加减地黄丸，这是一定的治疗方法。（《外科正宗》）
蒋示吉说：悬痈生长在肛门之前，阴器之后，又称海底穴。乃三阴经亏损，湿热结聚而成。初生时状如莲子，少痒多痛，日久逐渐如桃李大小，赤肿疼痛，溃破后流脓，破溃后轻则形成瘘管，重则气血沥尽，变为痨瘵不起的证候很多。初起身体壮实的，泻其病根；稍虚的，利其湿热；已经形成的，托里排脓；已经溃破的，温补滋阴。切忌寒凉损伤胃气，冰凝气血，导致产生变证。（《疡科说约》）
冯鲁瞻说：悬痈，就是肛门前后生疮。初发形状如松子，逐渐如莲子，数十日后严重，赤肿如桃即破，破溃后最难收口。其治疗每用粉草一两，无灰酒煎服以解毒，此证多属阴虚，所以不足之人患此病。大禁寒凉攻削，这是肝肾虚极的证候。重在滋阴峻补，并绝对禁止房事，急令收功，否则成为瘘管痨瘵的病根。（《疡科锦囊》）
汪省之说：悬痈即骑马痈。此证多因酒色不慎，湿热壅滞而发作，况且肛门之前，乃任脉会阴发源之地，又是肝经宗筋所会之处，患此多属肝肾二经阴虚。今人常用败毒流气等攻伐之剂治疗，殊不知阴既已虚，必须专一于补益，尚且担心不能成脓敛口，反而加以攻伐，不死还等什么。（《疡科理例》）
Seven-Ingredient Holy Spirit Decoction (by Patriarch Qi)
*Honeysuckle Flower* (Jinyinhua, 金银花) (4 liang), *Dandelion* (Pugongying, 蒲公英) (2 liang), *Ginseng* (Renshen, 人参), *Angelica Sinensis* (Danggui, 当归), *Licorice Root* (Gancao, 甘草) (each 1 liang), *Rhubarb* (Dahuang, 大黄) (5 qian), *Trichosanthes Root* (Tianhuafen, 天花粉) (2 qian).
Decoct in water and take orally. One dose leads to resolution, two doses lead to complete recovery, and three doses heal if ulcerated.
For Maqi Yong (Perineal/Buttock Abscess) that has already suppuration. (from *Xindu Zhixian*)
*Astragalus Root* (Huangqi, 黄芪) (3 qian), *Ginseng* (Renshen, 人参) (2 qian), *Sichuan Lovage Rhizome* (Chuanxiong, 川芎), *Angelica Sinensis* (Danggui, 当归) (each 1 qian), *Angelica Dahurica* (Baizhi, 白芷), *Saposhnikovia Root* (Fangfeng, 防风), *Cinnamon Bark* (Rougui, 肉桂), *Licorice Root* (Gancao, 甘草) (each 5 fen).
Decoct in plain water. One patch stops the pain; subsequent doses lead to spontaneous rupture; ten patches promote tissue regeneration.
The *Xinfa* states: Zuoma Yong (Sitting Horse Abscess) arises slightly above the coccyx, belonging to the Du Meridian (Governor Vessel), formed by the concretion of damp-heat. In deficient individuals, this condition easily progresses to fistula formation.
The *Xinfa* states: Shangma Yong (Upper Horse Abscess) arises in the crease below the left buttock.
The *Xinfa* states: Xiamma Yong (Lower Horse Abscess) arises in the crease below the right buttock.
The *Xinfa* states: Yongquan Ju (Yongquan Carbuncle) arises anterior to the coccyx and posterior to the anus at the Changqiang acupoint (GV1), which is the first acupoint of the Du Meridian (Governor Vessel), formed by the concretion of damp-heat. In elderly or weak patients, this often becomes a cold fistula, difficult to cure.
Wang Kentang states: Chuandang Yi arises at the extreme lower part of the back, belonging to the Du Meridian (Governor Vessel) and the Taiyang Meridian (Greater Yang), caused by labor injury, sorrow, worry, and accumulated stagnation. It requires rapid treatment; slight delay leads to ulceration that is difficult to converge. Those prone to fistula formation often present with numbness and black depression. Cases accompanied by diarrhea, vomiting, hiccups, and fatigue are considered untreatable. (from *Zhunsheng*)
The *Xinfa* states: Chuandang Ju arises at the Huiyin acupoint (CV1), located anterior to the duodenum (anus) and posterior to the scrotum. This area is a hollow space within the skin folds. If pain radiates to the testicles, lower back, and anus, with deep roots and slow suppuration, leading to urethral damage and inability to control urine leakage, it is extremely dangerous.
Xuan Yong (Hanging Abscess)
The *Guiyi Fang* states: Below the tips of the buttocks in the groin, anterior to the large passage (anus) and posterior to the small passage (urethra/vagina), where water passages meet, Xuan Yong forms. This occurs only in individuals with extreme deficiency. Near the anus on either side, it is named Shi Yong (Hemorrhoidal Abscess). Urgent tonification of the Spleen is required, along with topical application of medication at the site, specifically using acupoint-emollient drugs. After rupture, apply pus-drawing ointment; once pus is exhausted, use wound-healing agents to close the sore. Do not let it persist through winter, or it will become a cold fistula, difficult to treat.
Wang Kentang states: Xuan Yong arises in the perineum, defined as the area posterior to the anterior orifice and anterior to the posterior orifice, the screen-like region, i.e., the Huiyin acupoint (CV1). It belongs to the collateral branches of the Ren Meridian (Conception Vessel) and is the convergence point of the Du Meridian (Governor Vessel) and Bo Mai (Penetrating Vessel). When a carbuncle arises here, standing feels as if hanging, hence the name Xuan Yong. It is a syndrome of deficiency in the Three Yin Meridians of the Foot. Mild cases lead to fistulas, draining blood and qi until death; severe cases lead to internal rupture and immediate death. Originally related to the Liver and Kidney meridians, even with single Yin deficiency, one may fear curelessness despite tonification; adding attacking methods guarantees death. (from *Zhunsheng*)
He also stated: For Xuan Yong and Maqi Yong, only Licorice Root (Gancao) should be controlled for internal use and external washing.
He also stated: The area near the ridge line at Jiao HT is named Pianmazhui, commonly known as Kuma Yong (Straddle Abscess); prevent fistula formation.
Chen Shigong states: Xuan Yong arises posterior to the scrotum and anterior to the anus, also known as Haidi Lou (Sea Bottom Fistula), which is the most difficult to heal. Initial swelling and pain quickly progress to suppuration and rupture, generally caused by damp-heat and ministerial fire internally burning Lung Metal. Guolao San and Modified Dihuang Wan should be taken; this is a fixed treatment method. (from *Zhengzong*)
Jiang Shiji states: Xuan Yong arises anterior to the anus and posterior to the genitalia, also called the Haidi acupoint. It results from deficiency of the Three Yin meridians and accumulation of damp-heat. Initially resembling a lotus seed, it is slightly itchy but mostly painful. Over time, it grows like a plum or peach, becoming red, swollen, and painful. Upon rupture, it discharges pus. Mild cases form fistulas; severe cases drain blood and qi, often progressing to consumptive disease (Lao Zhai) and immobility. In robust initial cases, purge the root of the disease; in slightly deficient cases, drain damp-heat; in established cases, support the interior and expel pus; in ulcerated cases, warm-tonify and nourish Yin. Strictly avoid cold-cooling herbs that damage the Stomach and freeze blood and qi, causing complications. (from *Shuoyue*)
Feng Luzhan states: Xuan Yong refers to sores arising anterior and posterior to the anus. Initially shaped like a pine cone, gradually like a lotus seed. After dozens of days, it worsens, becoming red and swollen like a peach before rupturing; post-rupture healing is most difficult. Treatment often uses one liang of Powdered Licorice (Fencao), decocted in unadulterated wine to detoxify. This condition mostly belongs to Yin deficiency, affecting those with insufficiency. Cold-cooling and attacking methods are strictly prohibited, as this is a syndrome of extreme deficiency of the Liver and Kidney. Heavy emphasis should be placed on vigorous Yin-nourishing tonification, strict abstinence from sexual activity, and urgent efforts to achieve healing; otherwise, it becomes the root of fistula and consumptive disease. (from *Jinnang*)
Wang Shengzhi states: Xuan Yong is equivalent to Maqi Yong. This condition is mostly caused by imprudence in alcohol and sexual activity, leading to damp-heat congestion. Moreover, the area anterior to the anus is the source of the Ren Meridian (Conception Vessel) Huiyin point and the convergence of the Liver Meridian’s Zongjin (tendons). Affected individuals mostly suffer from Yin deficiency of the Liver and Kidney meridians. Modern practitioners often use detoxifying and Qi-moving attacking agents, unaware that since Yin is already deficient, one must focus solely on tonification. Even then, pus formation and wound closure may fail; adding attacking methods guarantees death. (from *Lili*)