证发脊骨第十四椎之旁，乃腰肾之位，名曰腰疽，即下搭手也。由于房劳过度，肾水亏伤而
致。其证口干舌燥，寒热交作，百节疼痛，急服败毒散、活命饮及黄 托里之类。若穿溃透膜者
，不可救矣。
有在腰胯之间，患疽如石不溃者，名石疽，属少阳、阳明二经之积热。邪毒内结，元气不
足，不能起发，急服活命饮加羌活、独活、柴胡、黄芩，及紫金锭汗之。实者一粒金丹，或黄连
内疏汤下之，随服十全大补汤、人参养荣汤托之。
（俗名贴骨痈）
证因风露寒湿所侵，或夏月贪凉，腠理开豁，卧于漆凳泥地而成。蕴蓄日久，变而为热。或
因醇酒浓味，留积热毒下注；或湿痰瘀血相搏而成。始则环跳穴作痛（穴在臀之侧，属厥阴肝经，）
不便行动，卧难转侧，疽生骨之上、肉之内，多至不救，急宜治疗，外用取汗法，内服追风散，
兼漏芦汤（方见总论）、败毒散、活命饮皆可服，攻散为愈。稍缓则脓成，外无赤肿之状，必宜
针破。如待溃穿，多难收敛而殂，针破后宜
托里排脓、补养气血，十全大补汤之类。
主方 苍术（制） 黄柏（炒。各五钱） 青皮（三钱） 甘草节（一钱） 金银花（一
钱）上用水煎，入姜汁少许，服。
生于腿 加牛膝（一钱）、薏苡仁（一钱），冬月加肉桂（七分）；夏加黄芩（一钱）。无汗
加麻黄（一钱）。
又方 足太阴、厥阴经分，疮生腿内近膝股，或痈、或附骨疽，初起肿痛势大。
黄 （二钱） 柴胡（一钱） 羌活（五分） 连翘（一钱五分） 归尾（七分半） 肉桂（
三分） 生地 黄柏（各二分） 土瓜根（酒洗。一钱）上水酒三盏煎，热服，二帖愈。
又方 治足少阴经分，痈生腿外侧。或因寒湿得附骨疽；或微侵阳明经分，坚硬肿痛，不能
行动等证。
黄 （二钱） 当归尾（二钱） 柴胡（一钱五分） 连翘（一钱） 肉桂（一钱） 大力
子（一钱） 白芷（一钱） 升麻（七分） 黄柏（五分） 甘草（五分）上水、酒各一钟，煎
服。
取汗法 掘地坑深数尺，柴炭烧红，将小便一桶泼之，急放小凳，令患人赤身坐定；坑上
放木板，铺浓被，勿出气，止露出患人头面。或以大桶令患人赤身竹椅坐下，置盆盛烧赤鹅卵石
或锻石，用荆芥末调米醋沃之，桶口用绵被盖覆，止露头出，令热气熏蒸，汗出毒散，未效再汗
。
病症发生在第十四节脊椎骨旁，这是腰和肾所在的部位，称为腰疽，也就是俗称的下搭手。这是由于房事过度，导致肾水亏损而引发的。其症状表现为口干舌燥，寒热交替发作，全身关节疼痛，应立即服用败毒散、活命饮以及黄芪托里汤等方剂。如果疮疡溃破穿透筋膜，则无法救治了。
有的生在腰部和胯部之间，患处的疽像石头一样坚硬且不溃烂的，称为石疽，属于少阳经和阳明经的积热所致。邪毒内结，元气不足，不能使疮毒起发（排出），应立即服用活命饮加羌活、独活、柴胡、黄芩，并配合紫金锭使其发汗。体质实者可用一粒金丹，或用黄连内疏汤攻下，随后服用十全大补汤、人参养荣汤来托毒外出。
（俗名贴骨痈）
病因是风露寒湿侵袭，或者是夏天贪凉，腠理（皮肤毛孔）开泄，睡在漆凳或泥地上而成。蕴蓄日久，变生为热。或者因为饮用烈酒、食用厚味食物，导致热毒留积并向下注；或者是湿痰与瘀血相互搏结而成。起初环跳穴处疼痛（该穴位在臀部侧面，属厥阴肝经），行动不便，睡觉时难以翻身，疽生于骨头之上、肌肉之内，大多难以救治，应当紧急治疗。外用取汗法，内服追风散，兼服漏芦汤（方剂见总论）、败毒散、活命饮均可服用，以攻散毒邪为痊愈。如果拖延稍久，脓液形成，外部没有红肿现象，必须用针挑破。如果等到自然溃破，大多难以收敛而导致死亡，针破后宜用托里排脓、补养气血的方法，如十全大补汤之类。
主方：苍术（制过的）五钱，黄柏（炒过的）五钱，青皮三钱，甘草节一钱，金银花一钱。以上用水煎煮，加入少许姜汁，服用。
若生于腿部：加牛膝一钱、薏苡仁一钱，冬季加肉桂七分；夏季加黄芩一钱。无汗者加麻黄一钱。
又一方：针对足太阴脾经、足厥阴肝经分布区域，疮生在腿部内侧靠近膝盖和大腿处，或是痈，或是附骨疽，初起时肿痛严重。
黄芪二钱，柴胡一钱，羌活五分，连翘一钱五分，当归尾七分半，肉桂三分，生地黄二分，黄柏二分，土瓜根（酒洗过）一钱。以上用水和酒共三盏煎煮，热服，两帖可愈。
又一方：治疗足少阴肾经分布区域，痈生在腿部外侧。或因寒湿导致附骨疽；或轻微侵犯阳明经分布区域，坚硬肿痛，不能行动等症状。
黄芪二钱，当归尾二钱，柴胡一钱五分，连翘一钱，肉桂一钱，大力子一钱，白芷一钱，升麻七分，黄柏五分，甘草五分。以上用水、酒各一钟煎煮，服用。
取汗法：挖掘一个深几尺的地坑，用柴炭烧红，将一桶小便泼在上面，急忙放上小凳子，让患者赤身坐定；在地坑上放一块木板，铺上厚厚的被子，不要透气，只露出患者的头面部。或者用一个大桶，让患者赤身坐在竹椅上，放置盆中盛有烧红的鹅卵石或锻石，用荆芥末调和米醋浇在上面，用绵被盖住桶口，只露出头，让热气熏蒸，出汗排毒，如果没效果再重复发汗。
The disease occurs beside the fourteenth vertebra of the spine, which is the location of the waist and Kidney (Shen), named Yao Ju (Lumbar Carbuncle), also known as Xia Da Shou (Lower Back Hand-attached Carbuncle). It is caused by excessive sexual activity leading to a deficiency of Kidney Water. The symptoms include dry mouth and tongue, alternating chills and fever, and pain in all joints. One should immediately administer Bai Du San (Poison-Defeating Powder), Huo Ming Yin (Life-Saving Decoction), and formulas containing Huang Qi (Astragalus Root) for supporting the interior. If the ulcer penetrates through the fascia, it is incurable.
Some cases occur between the waist and hip, where the carbuncle is hard like stone and does not suppurate; this is named Shi Ju (Stone Carbuncle), belonging to the accumulated heat of the Shaoyang (Lesser Yang) and Yangming (Yang Brightness) meridians. Pathogenic toxins are knotted internally, and Yuan Qi (Original Qi) is insufficient to raise and expel the toxin. One should immediately administer Huo Ming Yin (Life-Saving Decoction) with added Qiang Huo (Notopterygii Rhizoma), Du Huo (Angelicae Pubescentis Radix), Chai Hu (Bupleuri Radix), and Huang Qin (Scutellariae Radix), and use Zi Jin Ding (Purple Gold Pill) to induce sweating. For excess patterns, Yi Li Jin Dan (One-Pill Golden Elixir) or Huang Lian Nei Shu Tang (Coptis Internal-Draining Decoction) should be used to purge, followed by Shi Quan Da Bu Tang (Comprehensive Great Tonifying Decoction) and Ren Shen Yang Rong Tang (Ginseng Nourishing Nutritive Blood Decoction) to support and expel.
(Also commonly known as Tie Gu Yong / Bone-Adherent Abscess)
The etiology involves invasion by wind, dew, cold, and dampness, or greed for coolness in summer when the Cou Li (skin pores and interstices) are open, sleeping on lacquered stools or muddy ground. Accumulated over a long time, it transforms into heat. Alternatively, it results from retaining alcohol and rich flavors, causing heat toxins to accumulate and descend; or from the struggle between damp-phlegm and blood stasis. Initially, there is pain at the Huan Tiao acupoint (located on the side of the buttock, belonging to the Jueyin Liver Meridian), making movement difficult and turning over in bed hard. The carbuncle arises above the bone and within the flesh, often proving incurable. Urgent treatment is required: externally apply the method to induce sweating; internally administer Zhui Feng San (Wind-Chasing Powder), along with Lou Lu Tang (Euphorbiae Humifusae Decoction - see General Discussion), Bai Du San (Poison-Defeating Powder), and Huo Ming Yin (Life-Saving Decoction). Victory is achieved by attacking and dispersing. If delayed slightly, pus forms, but without external redness and swelling; needle puncture is necessary. If waiting for natural rupture, healing is difficult, leading to death. After needle puncture, one should employ methods to support the interior, drain pus, and nourish Qi and Blood, such as Shi Quan Da Bu Tang (Comprehensive Great Tonifying Decoction).
Main Formula: Cang Zhu (Prepared Atractylodis Rhizoma) 5 qian, Huang Bo (Stir-fried Phellodendri Cortex) 5 qian, Qing Pi (Tangerine Peel) 3 qian, Gan Cao Jie (Licorice Joint) 1 qian, Jin Yin Hua (Lonicerae Flos) 1 qian. Decoct with water, add a little Jiang Zhi (Ginger Juice), and take orally.
If located on the leg: Add Niu Xi (Achyranthis Bidentatae Radix) 1 qian, Yi Yi Ren (Coicis Semen) 1 qian; in winter, add Rou Gui (Cinnamomi Cortex) 0.7 qian; in summer, add Huang Qin (Scutellariae Radix) 1 qian. If there is no sweat, add Ma Huang (Ephedrae Herba) 1 qian.
Another Formula: For lesions in the distribution of the Foot-Taiyin Spleen Meridian and Foot-Jueyin Liver Meridian, sores appearing on the inner thigh near the knee or femur, whether carbuncles or Fu Gu Ju (Bone-Adhering Carbuncle), presenting with severe swelling and pain upon initial onset.
Huang Qi (Astragali Radix) 2 qian, Chai Hu (Bupleuri Radix) 1 qian, Qiang Huo (Notopterygii Rhizoma) 0.5 qian, Lian Qiao (Forsythiae Fructus) 1.5 qian, Gui Wei (Angelicae Sinensis Radix Tail) 0.75 qian, Rou Gui (Cinnamomi Cortex) 0.3 qian, Sheng Di Huang (Rehmanniae Radix) 0.2 qian, Huang Bo (Phellodendri Cortex) 0.2 qian, Tu Gua Gen (Trichosanthes Radix) 1 qian (washed with wine). Decoct with three cups of water and wine, take hot, two doses cure.
Another Formula: Treating lesions in the distribution of the Foot-Shaoyin Kidney Meridian, abscesses appearing on the outer side of the leg. Caused by cold-dampness leading to Fu Gu Ju (Bone-Adhering Carbuncle); or slight invasion of the Yangming distribution, presenting with hardness, swelling, pain, and inability to move.
Huang Qi (Astragali Radix) 2 qian, Dang Gui Wei (Angelicae Sinensis Radix Tail) 2 qian, Chai Hu (Bupleuri Radix) 1.5 qian, Lian Qiao (Forsythiae Fructus) 1 qian, Rou Gui (Cinnamomi Cortex) 1 qian, Da Li Zi (Arctii Fructus) 1 qian, Bai Zhi (Angelicae Dahuricae Radix) 1 qian, Sheng Ma (Cimicifugae Rhizoma) 0.7 qian, Huang Bo (Phellodendri Cortex) 0.5 qian, Gan Cao (Glycyrrhizae Radix et Rhizoma) 0.5 qian. Decoct with one cup each of water and wine, take orally.
Method to Induce Sweating: Dig a pit several feet deep, burn firewood and charcoal until red, pour a bucket of urine onto it, quickly place a small stool, and have the patient sit naked on it; place a wooden board over the pit, cover with thick quilts to retain heat, exposing only the patient's head and face. Alternatively, use a large barrel, have the patient sit naked on a bamboo chair inside, place a basin containing red-hot pebbles or calcined gypsum (Duan Shi) in front, mix Jing Jie powder (Schizonepetae Spica) with rice vinegar and pour it over the stones, cover the barrel opening with cotton quilts, exposing only the head, allowing steam to fumigate and induce sweating to disperse toxins. Repeat if ineffective.