悬痈毒生会阳穴，初如莲子渐如桃，三阴亏损湿热郁，溃久成漏为疮劳。
【注】此证一名骑马痈，生于篡间，系前阴之后，后阴之前屏翳穴，即会阴穴，系任
脉经首穴也。初生如莲子，微痒多痛，日久 肿，形如桃李。由三阴亏损，兼忧思气结，
湿热壅滞而成。其色红作脓欲溃，若破后溃深，久则成漏，以致沥尽气血，变为疮劳。初
起气壮实，尚未成脓，小水涩滞者，宜用九龙丹泻去病根；稍虚者，仙方活命饮，利去
湿热，如法治之，遇十证可消三四。如十余日后，肿势已成，不能内消，宜服托里消毒
散，或托里透脓汤自破；如不破，肿高、光亮、胀痛者，用卧针开之，秽脓一出，其肿
全消者顺。朝服六味地黄丸，午服十全大补汤，温补滋阴。又有过食膏粱浓味，气实者
初服龙胆泻肝汤，溃服滋阴八物汤。又有房劳过度，羸弱者，初服八珍汤，溃服十全大
补汤，脾虚不食六君子汤。日久成漏者，国老膏化汤送服琥珀蜡矾丸。外治法按痈疽溃
疡门。当戒房劳、怒气、鱼腥发物，慎重调理。
九龙丹
木香 乳香 没药 儿茶 血竭 巴豆（不去油）
等分为末，生蜜调成一块，瓷盒收贮。临用时旋丸豌豆大，每服九丸，空心热酒一杯
送下。行四五次，方食稀粥；肿甚者，间日再用一服自消。
【方歌】九龙丹医悬痈毒，初起气实脓未成，木香乳没儿茶竭，巴豆蜜丸酒服灵。
滋阴八珍汤
当归 生地黄 白芍药（酒炒） 川芎 丹皮 花粉（各一钱） 泽泻（五分） 甘草节（一钱）
水二盅，灯心五十寸，煎八分，食前服。大便秘者，加蜜炒大黄一钱。
【方歌】滋阴八物过膏粱，悬痈已溃服此方，四物丹皮花粉泻，草节便秘加大黄。
仙方活命饮 琥珀蜡矾丸 托里消毒散（俱见肿疡门）
托里透脓汤（见头部侵脑疽）
六味地黄丸（见面部雀斑）
十全大补汤 八珍汤 六君子汤（即香砂六君子汤减去藿香、砂仁。俱见溃疡门）
龙胆泻肝汤（见腰部缠腰火丹）
国老膏（见背部丹毒发）
悬痈的毒邪生于会阳穴，初起时像莲子大小，逐渐发展如同桃子般大。这是由于三阴经亏损，导致湿热郁结所致；若溃破后久不愈合形成瘘管，则演变为疮劳（慢性消耗性疮疡）。
【注】此证又名骑马痈，生长在会阴部（即前阴之后、后阴之前的屏翳穴，也就是会阴穴），属于任脉的首穴。初生时如莲子大小，微痒且多痛，日久肿胀，形状像桃李一样。由三阴经亏损，加上忧思导致气机郁结，湿热壅滞而成。其颜色红赤，化脓欲溃；如果破溃后创口深，时间久了就会形成瘘管，以致气血耗尽，转变为疮劳。初起时患者体质壮实，尚未成脓，但小便涩滞不通的，适宜使用九龙丹泻去病根；体质稍虚的，使用仙方活命饮，以清除湿热，按照上述法则治疗，十个病例可以消除三四个。如果十几天后，肿势已经形成，不能通过内服药物消散，适宜服用托里消毒散，或者托里透脓汤使其自行破溃；如果不破溃，且肿块高突、光亮、胀痛明显的，用卧针切开排脓，秽浊脓液一出，肿块全消的为顺证。早晨服用六味地黄丸，中午服用十全大补汤，以温补滋阴。又有因过食肥甘厚味，体质壮实的，初起时服用龙胆泻肝汤，溃破后服用滋阴八物汤。又有因房事过度，身体羸弱的，初起时服用八珍汤，溃破后服用十全大补汤；脾虚食欲不振者服用六君子汤。日久形成瘘管的，用国老膏化水送服琥珀蜡矾丸。外治方法参照痈疽溃疡门。应当禁忌房事、怒气以及鱼腥发物，慎重调理。
九龙丹
木香、乳香、没药、儿茶、血竭、巴豆（不去油）
以上药材等分为末，用生蜂蜜调和成一块，装入瓷盒中保存。临用时现制成豌豆大小的丸剂，每次服用九丸，空腹时用一杯热酒送下。排便四五次后，方可进食稀粥；肿胀严重的，隔日再服用一次即可自行消退。
【方歌】九龙丹医悬痈毒，初起气实脓未成，木香乳没儿茶竭，巴豆蜜丸酒服灵。
滋阴八珍汤
当归、生地黄、白芍药（酒炒）、川芎、丹皮、花粉（各一钱）、泽泻（五分）、甘草节（一钱）
用水两盅，灯心草五十寸，煎至八分，饭前服用。大便秘结者，加蜜炒大黄一钱。
【方歌】滋阴八物过膏粱，悬痈已溃服此方，四物丹皮花粉泻，草节便秘加大黄。
仙方活命饮、琥珀蜡矾丸、托里消毒散（均见肿疡门）
托里透脓汤（见头部侵脑疽）
六味地黄丸（见面部雀斑）
十全大补汤、八珍汤、六君子汤（即香砂六君子汤减去藿香、砂仁。均见溃疡门）
龙胆泻肝汤（见腰部缠腰火丹）
国老膏（见背部丹毒发）
The toxic pathogen of Xuan Yong (Hanging Abscess) arises at the Huiyang acupoint. Initially, it is as small as a lotus seed, gradually enlarging to the size of a peach. This condition results from deficiency of the Three Yin meridians and stagnation of damp-heat; if it ulcerates and fails to heal for a long time, forming a fistula, it evolves into Chuang Lao (chronic consumptive sore).
[Note] This syndrome is also known as Qima Yong (Horse-Riding Abscess), occurring in the perineum (specifically at the Pingyi acupoint located behind the anterior orifice and in front of the posterior orifice, which is also the Yinhui acupoint, the first point of the Ren Mai meridian). It initially appears like a lotus seed, with slight itching and significant pain. Over time, it swells and takes on the shape of a plum or peach. It is caused by deficiency of the Three Yin meridians combined with emotional worry leading to Qi stagnation, resulting in the accumulation and stagnation of damp-heat. The color becomes red as pus forms and rupture approaches. If the rupture leads to a deep wound that persists for a long time, it forms a fistula, exhausting Qi and Blood, and transforming into Chuang Lao. In the early stage, if the patient's constitution is strong and solid, but no pus has formed yet, accompanied by difficult and scanty urination, Jiulong Dan (Nine Dragons Pill) should be used to purge the root of the disease. For patients with slightly deficient constitutions, Xianfang Huoming Yin (Immortal Life Elixir Decoction) should be used to drain damp-heat; treating according to this method can resolve three or four out of ten cases. If after more than ten days the swelling has fully formed and cannot be resolved internally, Tuoli Xiaodu San (Interior-Supporting Detoxification Powder) or Tuoli Tou Nong Tang (Interior-Supporting Pus-Releasing Decoction) should be taken to induce spontaneous rupture. If it does not rupture spontaneously, and the swelling is high, shiny, and distendingly painful, a horizontal needle incision should be performed. If foul pus drains out and the swelling completely subsides, this is a favorable outcome (Shun). Take Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) in the morning and Shiquan Dabu Tang (Ten-Ingredient Great Tonifying Decoction) at noon to warm-tonify and nourish Yin. For those who have consumed excessive rich and greasy foods and have a robust constitution, Longdan Xiegan Tang (Gentian Liver-Draining Decoction) should be taken initially, followed by Ziyin Bawu Tang (Yin-Nourishing Eight-Ingredient Decoction) after rupture. For those with excessive sexual activity and a emaciated constitution, Bazhen Tang (Eight-Treasure Decoction) should be taken initially, followed by Shiquan Dabu Tang after rupture; for those with Spleen deficiency and poor appetite, Liujunzi Tang (Six-Gentleman Decoction) should be used. For chronic cases that have formed fistulas, Guolao Gao (Old Man's Paste) dissolved in water should be used to deliver Hubo Lafan Wan (Amber and Alum Pill). External treatment methods follow the protocols in the "Ulcerative Sores and Carbuncles" section. One must abstain from sexual intercourse, anger, and stimulating foods such as fish and seafood, and manage care prudently.
Jiulong Dan (Nine Dragons Pill)
Muxiang (Aucklandiae Radix), Ruxiang (Olibanum), Moyao (Myrrha), Ercha (Catechu), Xuexie (Dragon's Blood), Badou (Crotonis Fructus, oil not removed).
Grind all ingredients into equal parts powder. Mix with raw honey to form a paste, and store in a porcelain jar. When needed, roll into pills the size of pea seeds. Take nine pills each time, swallowed with a cup of hot wine on an empty stomach. After four or five bowel movements, one may consume thin porridge; for severe swelling, administer another dose every other day until it resolves spontaneously.
[Fang Ge - Formula Song] Jiulong Dan treats the toxin of Xuan Yong, when Qi is excess and pus has not yet formed; Muxiang, Ruxiang, Moyao, Ercha, and Xuexie, mixed with honey and taken with wine, are effective.
Ziyin Bawu Tang (Yin-Nourishing Eight-Ingredient Decoction)
Danggui (Angelicae Sinensis Radix), Shengdihuang (Rehmanniae Radix Recens), Baishaoyao (Paeoniae Radix Alba, stir-fried with wine), Chuanxiong (Ligustici Chuanxiong Rhizoma), Danpi (Moutan Cortex), Fengfen (Bletillae Rhizoma) (each 1 qian), Zexie (Alismatis Rhizoma) (0.5 qian), Gancao Jie (Scutellariae Radix node-like part? Note: Text says Gancao Jie, usually refers to licorice nodes or specific preparation, here likely Licorice Root nodes/sections) (1 qian).
Add two cups of water and fifty cun of Dengxin Cao (Junci Medulla). Decoct until eight fen remains. Take before meals. For constipation, add 1 qian of Mahuangda Huang (Rhei Radix et Rhizoma stir-fried with honey).
[Fang Ge - Formula Song] Ziyin Bawu treats cases following rich diet, take this formula for ruptured Xuan Yong; Siwu, Danpi, Fengfen, and Zexie drain heat, add Da Huang for constipation with Gancao Jie.
Xianfang Huoming Yin (Immortal Life Elixir Decoction), Hubo Lafan Wan (Amber and Alum Pill), Tuoli Xiaodu San (Interior-Supporting Detoxification Powder) (See Ulcerative Sores Section).
Tuoli Tou Nong Tang (Interior-Supporting Pus-Releasing Decoction) (See Head Region Brain-Penetrating Carbuncle).
Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill) (See Facial Freckles).
Shiquan Dabu Tang (Ten-Ingredient Great Tonifying Decoction), Bazhen Tang (Eight-Treasure Decoction), Liujunzi Tang (Six-Gentleman Decoction) (i.e., Xiangsha Liujunzi Tang minus Huoxiang and Sharen. See Ulcerative Sores Section).
Longdan Xiegan Tang (Gentian Liver-Draining Decoction) (See Waist Area Herpes Zoster).
Guolao Gao (Old Man's Paste) (See Back Erysipelas).