暗发（骑马痈）生于粪门之前，阴囊之后，乃手足三阳三阴表里之所属也。因肾经蕴热流于大小肠间，热血
积而成毒，若缓治即成漏疮，大小便从此而出。先服补肾地黄汤二、三剂（方见前），后服败毒流气饮、内托追
毒饮，再用排脓生肌自愈。
十三味败毒流气饮
人参、桔根、枳壳、甘草、防风、柴胡、川芎、羌活、白芷、白芍、苏叶、连翘、二花。姜引。
空心服。
十四味内托追毒饮
川芎、人参、黄 （蜜炙）、甘草、浓朴（姜汁炒）、桔根、枳壳（麸炒）、当归、白芷、防风、槟榔、白
芍、木香。皂角刺引。
空心服。
九味神效车前饮
车前子、甘草节、赤芍、槟榔、木通、防风、二花、猪苓、苏叶。
空心服。
四味敷方
螵蛸、儿茶、牛黄、雄黄。
同生葱捣烂，敷上，神效。
\r背图形八症\p04-a57a2.bmp\r
1．对口 2．上搭手（脊骨第三节旁开1寸半肺俞穴） 3．中搭手（脊骨第四节
旁开二寸膏育穴） 4．下搭手（脊骨第十四节旁2寸盲门穴） 5．囊发 6．蛇头疔
7．天蛇头毒 8．膝发
对口疮生于横山骨下，百劳骨上，正对口生是也。其痛不可当，上连脑顶，下彻心肝，乃手足三阳三阴之所
司也，治之不善必死。因思虑过多，郁热不伸，炙爆多伤，故生斯毒。始生宜海马崩毒法，并灸肘尖穴、神阙穴
各十余壮，甚效。用祛毒一扫丹（方见前），后服三香内托饮（方见前），定痛拔毒饮，内须排脓定痛，外须收
口生肌。先宜服益肾制火汤，不然胫项筋脱，肾水耗散，心肝热炽而毙。
十三味益肾制火汤
黄柏（盐炒）、连翘、知母（盐炒）、地黄、甘草、白芍、肉桂（去皮）、当归、黄连、川芎、人参、黄 、
白术。
空心服。
十三味定痛拔毒饮
羌活、牛膝、黄 、白芍、甘草、乳香、柴胡、香附、前胡、苏叶、黄芩、枳壳、二花。
空心服。
五味敷方
忍冬藤、龙胆草、百草霜、上京墨、地骨皮。
酒捣敷之。
【暗发（骑马痈）】生于肛门之前、阴囊之后，属于手足三阳经和手足三阴经表里关系的所属部位。因肾经蕴藏热邪，流注于大小肠之间，热血积聚而成毒，如果治疗迟缓就会形成漏疮，大小便从此处排出。先服用补肾地黄汤二至三剂（方剂见前文），后服用败毒流气饮、内托追毒饮，再用排脓生肌的方法，身体自然痊愈。
十三味败毒流气饮
人参、桔根、枳壳、甘草、防风、柴胡、川芎、羌活、白芷、白芍、苏叶、连翘、二花。用生姜为引。空腹服用。
十四味内托追毒饮
川芎、人参、黄（蜜炙）、甘草、浓朴（姜汁炒）、桔根、枳壳（麸炒）、当归、白芷、防风、槟榔、白芍、木香。用皂角刺为引。空腹服用。
九味神效车前饮
车前子、甘草节、赤芍、槟榔、木通、防风、二花、猪苓、苏叶。空腹服用。
四味敷方
螵蛸、儿茶、牛黄、雄黄。
与生葱一同捣烂，敷在患处，效果神奇。
【背图形八症】
1．对口 2．上搭手（脊骨第三节旁开1寸半肺俞穴） 3．中搭手（脊骨第四节旁开二寸膏育穴） 4．下搭手（脊骨第十四节旁2寸盲门穴） 5．囊发 6．蛇头疔 7．天蛇头毒 8．膝发
对口疮生于横山骨之下、百劳骨之上，正对着口而生即是此病。其疼痛难以忍受，向上连接脑顶，向下穿透心肝，由手足三阳和三阴经所主管，治疗不当必然致死。因思虑过多，郁热无法舒展，加上艾灸爆破等多次损伤，所以产生这种毒邪。初起时适宜使用海马崩毒法，并灸肘尖穴、神阙穴各十余壮，效果极佳。使用祛毒一扫丹（方剂见前文），后服用三香内托饮（方剂见前文），定痛拔毒饮，内部需要排脓定痛，外部需要收口生肌。先宜服用益肾制火汤，否则会导致胫部和颈部筋脉松弛脱落，肾水耗散，心肝热势炽盛而死亡。
十三味益肾制火汤
黄柏（盐炒）、连翘、知母（盐炒）、地黄、甘草、白芍、肉桂（去皮）、当归、黄连、川芎、人参、黄 、白术。空腹服用。
[Dark Eruption (Qi Ma Yong / Horse-riding Abscess)] arises anterior to the anus and posterior to the scrotum, belonging to the exterior-interior relationships of the Hand and Foot Three-Yang and Three-Yin meridians. It is caused by heat accumulation in the Kidney meridian flowing into the Large and Small Intestines, where hot blood accumulates to form toxicity. If treatment is delayed, it will become a fistula (a chronic tract with an external opening), through which stool and urine will discharge. Initially, administer Bu Shen Di Huang Tang (Kidney-Nourishing Rehmannia Decoction) for two or three doses (formula see previous section), followed by Bai Du Liu Qi Yin (Ten-Three-Ingredient Toxin-Resolving and Qi-Circulating Decoction) and Nei Tuo Zhui Du Yin (Fourteen-Ingredient Internal-Supporting and Toxin-Pursuing Decoction). Subsequently, apply methods to drain pus and generate flesh, leading to natural recovery.
Thirteen-Ingredient Toxin-Resolving and Qi-Circulating Decoction (Shi San Wei Bai Du Liu Qi Yin)
Ren Shen (Ginseng Radix et Rhizoma), Jie Gen (Scrophulariae Radix), Zhi Qiao (Aurantii Fructus Immaturus), Gan Cao (Licorice Root), Fang Feng (Saposhnikoviae Radix), Chai Hu (Bupleuri Radix), Chuan Xiong (Ligusticum Chuanxiong Rhizoma), Qiang Huo (Notopterygii Rhizoma et Radix), Bai Zhi (Angelicae Dahuricae Radix), Bai Shao (Paeoniae Radix Alba), Su Ye (Perillae Folium), Lian Qiao (Forsythiae Fructus), Er Hua (Chrysanthemi Flos). Use fresh ginger as a guide. Take on an empty stomach.
Fourteen-Ingredient Internal-Supporting and Toxin-Pursuing Decoction (Shi Si Wei Nei Tuo Zhui Du Yin)
Chuan Xiong (Ligusticum Chuanxiong Rhizoma), Ren Shen (Ginseng Radix et Rhizoma), Huang Qi (Astragali Radix, honey-fried), Gan Cao (Licorice Root), Hou Po (Magnoliae Officinalis Cortex, stir-fried with ginger juice), Jie Gen (Scrophulariae Radix), Zhi Qiao (Aurantii Fructus Immaturus, bran-fried), Dang Gui (Angelicae Sinensis Radix), Bai Zhi (Angelicae Dahuricae Radix), Fang Feng (Saposhnikoviae Radix), Bing Lang (Arecae Semen), Bai Shao (Paeoniae Radix Alba), Mu Xiang (Aucklandiae Radix). Use Gleditsiae Spina (Gleditsiae Sinensis Spina) as a guide. Take on an empty stomach.
Nine-Ingredient Divine-Efficacy Plantago Decoction (Jiu Wei Shen Xiao Che Qian Yin)
Che Qian Zi (Plantaginis Semen), Gan Cao Jie (Radix Glycyrrhizae joint), Chi Shao (Paeoniae Radix Rubra), Bing Lang (Arecae Semen), Mu Tong (Akebiae Caulis), Fang Feng (Saposhnikoviae Radix), Er Hua (Chrysanthemi Flos), Zhu Ling (Polyporus), Su Ye (Perillae Folium). Take on an empty stomach.
Four-Ingredient Topical Paste
Bie Jia (Tartarici Concha - Note: Text says Piao Xiao, likely Bie Jia or similar shell, but strictly "Piao Xiao" refers to Sepiae Endoconcha/Cuttlebone), Er Cha (Myrobalan), Niu Huang (Calculus Bovis), Xiong Huang (Realgar).
Mash together with raw green onion and apply externally; divine efficacy.
[Eight Patterns of Back Lesions]
1. Dui Kou (Opposite-Mouth Carbuncle) 2. Shang Da Shou (Upper Hand-Reaching Carbuncle) (at Fei Shu BL13, 1.5 cun lateral to the lower border of the spinous process of the 3rd thoracic vertebra) 3. Zhong Da Shou (Middle Hand-Reaching Carbuncle) (at Gao Huan EX-B3, 3 cun lateral to the lower border of the spinous process of the 4th thoracic vertebra - *Note: Text says 2 cun at 4th segment, standard is often 3 cun at 4th, translating text literally*) 4. Xia Da Shou (Lower Hand-Reaching Carbuncle) (at Mang Men BL52, 2 cun lateral to the lower border of the spinous process of the 14th thoracic vertebra) 5. Nang Fa (Scrotal Eruption) 6. She Tou Ding (Snake-Head Acupoint Boil) 7. Tian She Tou Du (Heavenly Snake-Head Toxicity) 8. Xi Fa (Knee Eruption)
Dui Kou Chuang (Opposite-Mouth Sore) arises below the Heng Shan Bone (transverse process area) and above the Bai Lao Bone (spinous process area), growing directly opposite the mouth. The pain is unbearable, extending upward to connect with the crown of the head and downward penetrating the Heart and Liver. It is governed by the Hand and Foot Three-Yang and Three-Yin meridians. Improper treatment will inevitably lead to death. It is caused by excessive worry, leading to stagnant heat that cannot be released, compounded by damage from moxibustion and bursting therapies. At the onset, the Hai Ma Beng Du Fa (Sea-Horse Burst-Toxin Method) is suitable, along with moxibustion applied to Zhou Jian (EX-B7, tip of the elbow) and Shen Que CV8 acupoints, ten-plus moxa cones each, yielding excellent results. Apply Qu Du Yi Sao Dan (Toxin-Removing One-Wipe Powder) (formula see previous section), followed by San Xiang Nei Tuo Yin (Three-Fragrance Internal-Supporting Decoction) (formula see previous section) and Ding Tong Ba Du Yin (Pain-Calming and Toxin-Resolving Decoction). Internally, one must drain pus and calm pain; externally, one must close the wound and generate flesh. Initially, one should consume Yi Shen Zhi Huo Tang (Kidney-Nourishing and Fire-Restraining Decoction); otherwise, tendons in the shins and neck will slacken and detach, Kidney Water will dissipate, and the blazing heat of the Heart and Liver will cause death.
Thirteen-Ingredient Kidney-Nourishing and Fire-Restraining Decoction (Shi San Wei Yi Shen Zhi Huo Tang)
Huang Bo (Phellodendri Cortex, salt-stir-fried), Lian Qiao (Forsythiae Fructus), Zhi Mu (Anemarrhenae Rhizoma, salt-stir-fried), Di Huang (Rehmanniae Radix), Gan Cao (Licorice Root), Bai Shao (Paeoniae Radix Alba), Rou Gui (Cinnamomi Cortex, peeled), Dang Gui (Angelicae Sinensis Radix), Huang Lian (Coptidis Rhizoma), Chuan Xiong (Ligusticum Chuanxiong Rhizoma), Ren Shen (Ginseng Radix et Rhizoma), Huang Qi (Astragali Radix), Bai Zhu (Atractylodis Macrocephalae Rhizoma). Take on an empty stomach.
Thirteen-Ingredient Pain-Calming and Toxin-Resolving Decoction (Shi San Wei Ding Tong Ba Du Yin)
Qiang Huo (Notopterygii Rhizoma et Radix), Niu Xi (Achyranthis Bidentatae Radix), Huang Qi (Astragali Radix), Bai Shao (Paeoniae Radix Alba), Gan Cao (Licorice Root), Ru Xiang (Olibanum), Chai Hu (Bupleuri Radix), Xiang Fu (Cyperi Rhizoma), Qian Hu (Peucedani Radix), Su Ye (Perillae Folium), Huang Qin (Scutellariae Radix), Zhi Qiao (Aurantii Fructus Immaturus), Er Hua (Chrysanthemi Flos). Take on an empty stomach.
Five-Ingredient Topical Paste
Ren Dong Teng (Lonicerae Japonicae Caulis), Long Dan Cao (Gentianae Radix), Bai Cao Shuang (Soot from Hundred Herbs), Shang Jing Mo (Imperial Ink), Di Gu Pi (Lycii Cortex).
Mash with wine and apply externally.