囊腹腹前痘如囊，枭毒冲突势猖狂，透毒松肌通圣散，攻毒归宗汤甚良。
【注】腹前出痘，状如囊聚，名曰囊腹。是枭毒冲突，势甚猖狂也。此地近于脏腑，毒
易内攻，须先用松肌通圣散透发其毒，再用归宗汤以攻其毒，使地界分明，根脚松动，庶无虞矣。
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松肌通圣散（方见蒙头证治）
归宗汤（方见发热证治）
鳞坐两臀痘若鳞，急急治之莫逡巡；平扁灰滞通圣效，板硬紫黯归宗神。
【注】鳞坐者，两臀之痘聚集如鳞也。因毒火太甚，攒聚于至阴之地。若不急治，变
如反掌。如平扁灰滞者，松肌通圣散主之；板硬紫黯者，归宗汤主之。
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松肌通圣散（方见蒙头证治）
归宗汤（方见发热证治）
囊球痘密在肾囊，毒聚于斯最难当，即用散结汤调治，毒宣热解始安康。
【注】肾囊者，乃肾之外候关要处也。若痘出稠密，乃毒聚于斯也。宜用散结汤主之，
疏解通畅，庶可愈矣。
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散结汤
荆芥 羌活 牛蒡子（炒） 升麻 川芎 丹皮 紫花地丁 赤芍 木通 紫草 青皮 山楂
引加芦笋十株，水煎服。
【方歌】散结汤中药堪夸，荆芥羌蒡共升麻，川芎丹皮地丁芍，木通紫草青山楂。
囊腹：腹部前方的痘疹如同囊袋聚集，这是枭毒（强烈的毒性邪气）冲突，病势猖狂。使用透毒松肌通圣散来透发毒邪、疏松肌表，或使用攻毒归宗汤效果极佳。
【注】腹部前方出现痘疹，形状像囊袋一样聚拢，称为“囊腹”。这是因为枭毒冲突，病势非常猖狂。这个部位靠近脏腑，毒邪容易向内攻陷，必须先用松肌通圣散透发其毒邪，再用归宗汤以攻解毒邪，使病位界限分明，痘根松动，这样才没有危险。
鳞坐：两臀部的痘疹像鱼鳞一样密集，必须紧急治疗，不可犹豫拖延；如果痘形平扁、颜色灰暗滞涩，用松肌通圣散有效；如果痘形板硬、颜色紫暗，用归宗汤神奇有效。
【注】所谓“鳞坐”，是指两臀部的痘疹聚集得像鳞片一样。因为毒火太盛，攒聚在至阴的部位（臀部）。如果不紧急治疗，病情变化如反掌般迅速。如果是平扁灰滞的，主治方为松肌通圣散；如果是板硬紫黯的，主治方为归宗汤。
囊球：痘疹密集在肾囊（阴囊），毒邪聚集在此处最难抵挡，立即使用散结汤进行调治，只有毒邪宣散、热邪解除，才能恢复安康。
【注】肾囊，是肾脏的外候和关要之处。如果痘疹出得稠密，说明毒邪聚集在这里。适宜用散结汤为主进行治疗，疏通解表，通畅气机，才可以痊愈。
Nangfu (Sack-like Abdomen): The pox on the anterior abdomen gather like a sack; this is caused by the conflict of Xiao Du (severe toxic pathogen), with a rampant disease progression. Use Songji Tongsheng San (Poria and Cinnamon Twig Decoction for Releasing the Exterior) to vent the toxin and loosen the muscle layer, or use Guizong Tang (Decoction for Returning to the Origin) which is highly effective.
[Note] When pox appear on the anterior abdomen, gathering in a shape resembling a sack, it is named "Nangfu". This indicates that Xiao Du (severe toxic pathogen) is conflicting, and the condition is extremely rampant. This area is close to the Zang-Fu organs, making it prone to internal invasion by toxins. One must first use Songji Tongsheng San (Poria and Cinnamon Twig Decoction for Releasing the Exterior) to vent the toxin, followed by Guizong Tang (Decoction for Returning to the Origin) to attack the toxin. This ensures clear boundaries of the lesion site and loosens the base of the pox, thereby avoiding danger.
Linzuo (Scale-like Buttocks): The pox on both buttocks are dense like scales; treatment must be urgent without hesitation. If the pox are flat, gray, and stagnant, Songji Tongsheng San (Poria and Cinnamon Twig Decoction for Releasing the Exterior) is effective; if they are hard, purple, and dark, Guizong Tang (Decoction for Returning to the Origin) is miraculous.
[Note] "Linzuo" refers to the aggregation of pox on both buttocks resembling scales. This occurs because the toxic fire is excessive and gathers in the region of extreme Yin (the buttocks). If not treated urgently, the condition will change rapidly. For cases presenting as flat, gray, and stagnant, Songji Tongsheng San (Poria and Cinnamon Twig Decoction for Releasing the Exterior) is indicated; for cases presenting as hard, purple, and dark, Guizong Tang (Decoction for Returning to the Origin) is indicated.
Nangqiu (Sack-like Scrotum): Pox are dense in the scrotum (Kidney Sack); toxins accumulate here, making it difficult to withstand. Immediately use Sanjie Tang (Decoction for Dissipating Nodules) for treatment. Only when the toxin is dispersed and heat is resolved can health be restored.
[Note] The scrotum is an external indicator and a critical area related to the Kidneys. If pox emerge densely, it signifies toxin accumulation in this location. Sanjie Tang (Decoction for Dissipating Nodules) should be used as the primary formula to promote free flow and unblockage, allowing for recovery.
Sanjie Tang (Decoction for Dissipating Nodules)
Schizonepetae Herba (Jingjie), Notopterygii Rhizoma et Radix (Qianghuo), Arctii Fructus (Niubangzi - stir-fried), Cimicifugae Rhizoma (Shengma), Chuanxiong Rhizoma (Chuanxiong), Moutan Cortex (Danpi), Violae Herba (Zihuadiding), Rubia Cordifolia Radix et Rhizoma (Chishao), Akebiae Caulis (Mutong), Lithospermi Radix et Rhizoma (Zicao), Citri Reticulatae Pericarpium Viride (Qingpi), Crataegi Fructus (Shanzha).
Guiding herb: Add ten stalks of Phragmitis Rhizoma (Lusun), decoct in water and take orally.
[Prescription Verse] The herbs in Sanjie Tang (Decoction for Dissipating Nodules) are praiseworthy: Jingjie (Schizonepetae Herba), Qianghuo (Notopterygii Rhizoma et Radix), Niubangzi (Arctii Fructus), and Shengma (Cimicifugae Rhizoma) together; Chuanxiong (Chuanxiong Rhizoma), Danpi (Moutan Cortex), Diziding (Violae Herba), and Shaoyao (Rubia Cordifolia Radix et Rhizoma/Cornus Officinalis Fructus context dependent, here likely referring to Chi Shao/Paeoniae Radix Rubra based on formula composition usually associated with cooling blood); Mutong (Akebiae Caulis), Zicao (Lithospermi Radix et Rhizoma), Qingpi (Citri Reticulatae Pericarpium Viride), and Shanzha (Crataegi Fructus).