下背发生于两肾眼中间，系督脉太阳经所司也。受在心经而五脏之毒，因肝积热于脾，又饮食爆炙，贪色过
多，以致水枯土耗，故生斯毒。治宜先补肾调脾，先用补肾地黄汤三、四剂，后用败毒流气饮相兼而服，后用排
脓生肌自愈，切勿割，慎之。
八味补肾地黄汤
山药、山萸、熟地、鹿茸、牛膝、丹皮、茯苓、泽泻。
空心服。可治腰肾发。
十六味败毒流气饮
紫苏、桔根、枳壳、防风、柴胡、甘草、川芎、白芷、白芍、当归（酒洗）、羌活、茯苓、乌药、陈皮、连
翘、二花（酒洗）。
空心服。
十六味内托流气饮
黄 （蜜炙）、生地（酒洗）、白芷、川芎、赤芍、赤茯、肉桂（少用）、防风、甘草、乌药、人参、枳壳、
桔根、木香、连翘、二花。姜枣引。
空心服。
五味敷方
忍冬藤（酒洗）、生地、地骨皮、丹皮、雄黄。
将好酒浸透，捣烂敷患处。
腰背发生于两肾眼之处，由肾、膀胱之所司也。乃三阳之毒，促人大命，内损元气，外感湿热，先用补肾地
黄汤三、四剂，后用败毒流气饮（此二方见前），再用三香内托饮，定痛消毒饮，绿豆粉饮。
十九味三香内托饮
人参、木香、甘草、浓朴、紫苏、桔根、枳壳、黄 （蜜炙）、藿香、肉桂、乌药、当归、白芍、白芷、川
芎、防风、乳香、升麻、干葛。
空心服。
十八味定痛消毒饮
人参、当归（酒洗）、川芎、白芍、白芷、枳壳（麸炒）、茯苓、半夏（青油炒）、柴胡、甘草、防风、羌
活、升麻、浓朴（姜汁炒）、二花、干葛、连翘、川楝子。
空心服。
八味绿豆粉汤
二花（酒洗）、豆粉、蒲公英（酒洗）、荆芥穗、乳香、没药、升麻、栝萎根、皮。
空心服。
五味敷方
地龙甲、山龙甲、忍冬花、龙胆草、雄黄。
以上诸药各等分，捶细末，以猪胆同酒调匀敷之。
又方
以地龙甲一味，炒焦存性，研末酒调敷之。
又方
用剪刀菜捶生酒糟敷患处，干即换之。
下背发（发生于下背部的痈疽）生在两个肾脏之间的位置，这是由督脉和太阳经所主管的。病邪源于心经以及五脏的毒邪，加上肝气积热传于脾脏，又因饮食中过多食用爆炒炙烤之物，加之房事过度，导致肾水枯竭、脾气耗损，从而产生这种毒疮。治疗应当先补肾并调理脾胃，先用八味补肾地黄汤服用三到四剂，随后将败毒流气饮配合服用，之后再使用排脓生肌的方法使其自然愈合，切勿切开手术，务必谨慎。
八味补肾地黄汤
药材包括：山药、山茱萸、熟地黄、鹿茸、牛膝、牡丹皮、茯苓、泽泻。
空腹服用。可治疗腰部和肾部的痈疽。
十六味败毒流气饮
药材包括：紫苏、桔梗根、枳壳、防风、柴胡、甘草、川芎、白芷、白芍、当归（用酒清洗）、羌活、茯苓、乌药、陈皮、连翘、金银花（用酒清洗）。
空腹服用。
十六味内托流气饮
药材包括：黄芪（蜂蜜炙烤）、生地黄（用酒清洗）、白芷、川芎、赤芍药、赤茯苓、肉桂（少量使用）、防风、甘草、乌药、人参、枳壳、桔梗根、木香、连翘、金银花。以生姜和大枣为引。
空腹服用。
五味敷方
药材包括：忍冬藤（用酒清洗）、生地黄、地骨皮、牡丹皮、雄黄。
用好酒浸泡透后，捣烂敷于患处。
腰背发（发生于腰背部的痈疽）生在两个肾脏所在的位置，由肾脏和膀胱所主管。这是三阳经的毒邪，会危及生命，内部损伤元气，外部感受湿热之邪。治疗先用八味补肾地黄汤服用三到四剂，再用败毒流气饮（这两个方子见前文），接着使用十九味三香内托饮、十八味定痛消毒饮、八味绿豆粉汤。
十九味三香内托饮
药材包括：人参、木香、甘草、厚朴、紫苏、桔梗根、枳壳、黄芪（蜂蜜炙烤）、藿香、肉桂、乌药、当归、白芍、白芷、川芎、防风、乳香、升麻、干葛（即葛根）。
空腹服用。
十八味定痛消毒饮
药材包括：人参、当归（用酒清洗）、川芎、白芍、白芷、枳壳（麸皮炒制）、茯苓、半夏（青油炒制）、柴胡、甘草、防风、羌活、升麻、厚朴（姜汁炒制）、金银花、干葛、连翘、川楝子。
空腹服用。
八味绿豆粉汤
药材包括：金银花（用酒清洗）、绿豆粉、蒲公英（用酒清洗）、荆芥穗、乳香、没药、升麻、栝楼根、栝楼皮。
空腹服用。
五味敷方
药材包括：地龙甲（蚯蚓蜕下的皮）、山龙甲（蜈蚣蜕下的皮）、忍冬花（金银花）、龙胆草、雄黄。
以上各药分量相等，捣成细末，用猪胆汁与酒调匀后敷在患处。
另一个方子
只用一味地龙甲，炒焦保留药性，研成粉末，用酒调匀后敷在患处。
又一个方子
用剪刀菜捣碎，混合生酒糟敷在患处，干了就更换。
Xia Bei Fa (carbuncle occurring on the lower back) arises in the area between the two kidneys, a region governed by the Du Mai (Conception Vessel of the Back) and Taiyang Bladder Meridian. The pathogenic factor originates from the Heart Meridian and the toxins of the Five Zang Organs. Due to liver heat accumulation affecting the Spleen, combined with excessive consumption of fried and roasted foods and sexual excess, this leads to the depletion of Kidney Water and exhaustion of Spleen Qi, thereby generating this toxic sore. Treatment should first tonify the Kidney and regulate the Spleen. Initially, administer Ba Wei Bu Shen Di Huang Tang (Eight-Ingredient Decoction for Tonifying the Kidney and Replenishing Earth) for three to four doses. Subsequently, combine it with Bai Du Liu Qi Yin (Sixteen-Ingredient Decoction for Resolving Toxins and Regulating Qi). Finally, employ methods to drain pus and generate flesh to allow natural healing. Do not perform surgical incision; exercise utmost caution.
Ba Wei Bu Shen Di Huang Tang (Eight-Ingredient Decoction for Tonifying the Kidney and Replenishing Earth)
Ingredients: Dioscoreae Rhizoma (Shan Yao), Corni Fructus (Shan Yu Zhu), Rehmanniae Radix Praeparata (Shu Di Huang), Cervi Cornu Degelatinatum (Lu Rong), Achyranthis Bidentatae Radix (Niu Xi), Moutan Cortex (Dan Pi), Poria (Fu Ling), Alismatis Rhizoma (Ze Xie).
Take on an empty stomach. It treats kidney and lumbar carbuncles.
Shi Liu Wei Bai Du Liu Qi Yin (Sixteen-Ingredient Decoction for Resolving Toxins and Regulating Qi)
Ingredients: Perillae Folium (Zi Su), Platycodonis Radix (Jie Geng Gen), Aurantii Fructus Immaturus (Zhi Ke), Saposhnikoviae Radix (Fang Feng), Bupleuri Radix (Chai Hu), Glycyrrhizae Radix et Rhizoma (Gan Cao), Chuanxiong Rhizoma (Chuan Xiong), Angelicae Dahuricae Radix (Bai Zhi), Paeoniae Radix Alba (Bai Shao), Angelicae Sinensis Radix (Dang Gui, washed with wine), Notopterygii Rhizoma et Radix (Qiang Huo), Poria (Fu Ling), Linderae Radix (Wu Yao), Citri Reticulatae Pericarpium (Chen Pi), Forsythiae Fructus (Lian Qiao), Lonicerae Japonicae Flos (Er Hua, washed with wine).
Take on an empty stomach.
Shi Liu Wei Nei Tuo Liu Qi Yin (Sixteen-Ingredient Decoction for Internal Support and Regulating Qi)
Ingredients: Astragali Radix (Huang Qi, honey-fried), Rehmanniae Radix (Sheng Di Huang, washed with wine), Angelicae Dahuricae Radix (Bai Zhi), Chuanxiong Rhizoma (Chuan Xiong), Paeoniae Radix Rubra (Chi Shao), Poria (Chi Fu), Cinnamomi Ramulus (Rou Gui, use sparingly), Saposhnikoviae Radix (Fang Feng), Glycyrrhizae Radix et Rhizoma (Gan Cao), Linderae Radix (Wu Yao), Ginseng Radix (Ren Shen), Aurantii Fructus Immaturus (Zhi Ke), Platycodonis Radix (Jie Geng Gen), Aucklandiae Radix (Mu Xiang), Forsythiae Fructus (Lian Qiao), Lonicerae Japonicae Flos (Er Hua). Use Zingiberis Rhizoma Recens (Sheng Jiang) and Jujubae Fructus (Da Zao) as guides.
Take on an empty stomach.
Wu Wei Fu Fang (Five-Ingredient External Application Formula)
Ingredients: Lonicerae Japonicae Caulis (Ren Dong Teng, washed with wine), Rehmanniae Radix (Sheng Di Huang), Lycii Cortex (Di Gu Pi), Moutan Cortex (Dan Pi), Realgar (Xiong Huang).
Soak thoroughly in good wine, pound into a paste, and apply to the affected area.
Yao Bei Fa (carbuncle occurring on the waist and back) arises at the location of the two kidneys, governed by the Kidney and Bladder organs. This is a toxin of the Three Yang meridians, which can endanger life, damage Yuan Qi internally, and be externally affected by damp-heat. Initially, administer Ba Wei Bu Shen Di Huang Tang (Eight-Ingredient Decoction for Tonifying the Kidney and Replenishing Earth) for three to four doses, followed by Bai Du Liu Qi Yin (see previous formulas). Then use Shi Jiu Wei San Xiang Nei Tuo Yin (Nineteen-Ingredient Decoction for Internal Support with Three Fragrances), Shi Ba Wei Ding Tong Xiao Du Yin (Eighteen-Ingredient Decoction for Pain Relief and Detoxification), and Ba Wei Lv Dou Fen Tang (Eight-Ingredient Mung Bean Powder Decoction).
Shi Jiu Wei San Xiang Nei Tuo Yin (Nineteen-Ingredient Decoction for Internal Support with Three Fragrances)
Ingredients: Ginseng Radix (Ren Shen), Aucklandiae Radix (Mu Xiang), Glycyrrhizae Radix et Rhizoma (Gan Cao), Magnoliae Officinalis Cortex (Hou Po), Perillae Folium (Zi Su), Platycodonis Radix (Jie Geng Gen), Aurantii Fructus Immaturus (Zhi Ke), Astragali Radix (Huang Qi, honey-fried), Agastaches Herba (Huo Xiang), Cinnamomi Ramulus (Rou Gui), Linderae Radix (Wu Yao), Angelicae Sinensis Radix (Dang Gui), Paeoniae Radix Alba (Bai Shao), Angelicae Dahuricae Radix (Bai Zhi), Chuanxiong Rhizoma (Chuan Xiong), Saposhnikoviae Radix (Fang Feng), Boswelliae Resina (Ru Xiang), Cimicifugae Rhizoma (Sheng Ma), Puerariae Radix (Gan Ge).
Take on an empty stomach.
Shi Ba Wei Ding Tong Xiao Du Yin (Eighteen-Ingredient Decoction for Pain Relief and Detoxification)
Ingredients: Ginseng Radix (Ren Shen), Angelicae Sinensis Radix (Dang Gui, washed with wine), Chuanxiong Rhizoma (Chuan Xiong), Paeoniae Radix Alba (Bai Shao), Angelicae Dahuricae Radix (Bai Zhi), Aurantii Fructus Immaturus (Zhi Ke, stir-fried with bran), Poria (Fu Ling), Pinelliae Rhizoma (Ban Xia, stir-fried with green oil), Bupleuri Radix (Chai Hu), Glycyrrhizae Radix et Rhizoma (Gan Cao), Saposhnikoviae Radix (Fang Feng), Notopterygii Rhizoma et Radix (Qiang Huo), Cimicifugae Rhizoma (Sheng Ma), Magnoliae Officinalis Cortex (Hou Po, stir-fried with ginger juice), Lonicerae Japonicae Flos (Er Hua), Puerariae Radix (Gan Ge), Forsythiae Fructus (Lian Qiao), Toosendan Fructus (Chuan Lian Zi).
Take on an empty stomach.
Ba Wei Lv Dou Fen Tang (Eight-Ingredient Mung Bean Powder Decoction)
Ingredients: Lonicerae Japonicae Flos (Er Hua, washed with wine), Phaseoli Radiati Semen Pulvis (Dou Fen), Taraxaci Herba (Pu Gong Ying, washed with wine), Schizonepetae Spica (Jing Jie Sui), Boswelliae Resina (Ru Xiang), Myrrha Resina (Mo Yao), Cimicifugae Rhizoma (Sheng Ma), Trichosanthis Radix (Gua Lou Gen), Trichosanthis Pericarpium (Gua Lou Pi).
Take on an empty stomach.
Wu Wei Fu Fang (Five-Ingredient External Application Formula)
Ingredients: Draining Skin of Earthworm (Di Long Jia), Drying Skin of Centipede (Shan Long Jia), Lonicerae Japonicae Flos (Ren Dong Hua), Gentianae Radix (Long Dan Cao), Realgar (Xiong Huang).
Mix equal parts of the above herbs into a fine powder. Blend with pig bile and wine, then apply to the affected area.
Another Formula
Use only one ingredient: Draining Skin of Earthworm (Di Long Jia). Stir-fry until charred but retaining medicinal properties, grind into powder, mix with wine, and apply.
Yet Another Formula
Pound fresh Jian Dao Cai (Oxalis corniculata) and mix with raw fermented rice wine lees. Apply to the affected area; replace when dry.