丹溪曰。囊痈者。湿热下注也。有作脓者。此浊气顺下。将流入渗道。因阴道或亏。水
道不
利而然。脓尽自安。不药可也。惟在善于调摄耳。又有因腹肿。渐流入囊。肿甚而囊自裂开
睾丸悬挂。水出以 炭末敷之。外以紫苏叶包裹。仰卧养之。一论痈疽入囊者。曾治数人
悉由湿热入肝经处治。而用补阴药佐之。虽脓溃皮脱。睾丸悬者。皆不死。
一方用野紫苏叶。面青背红是也。焙干为末。敷之。如燥者。以香油调敷。囊无皮者。
外以青荷叶包之。其皮自生也。
一论悬痈。此疮生谷道外肾之间。初发甚痒。状如松子。四十日赤肿如松。治迟则破。
而大小便皆从此出。不可治矣。
国老汤
用横纹大甘草一两。截长三寸许。取出山涧中流水一碗。不用井水河水。以甘草蘸水。
文武
火慢炙。不可性急。须用三时久。俟水尽为度。劈视草中润透。却以无灰酒二碗。煮至一碗
温服。一日一服。半月消尽为度。
将军散
大黄（煨） 贝母 白芷 甘草节
上为末。酒调。空心服。虚弱。加当归一半。
一论肝经湿热。玉茎患疮。或便毒悬痈肿痛。或溃烂作痛。小便涩滞。或睾囊挂。
龙胆泻肝汤
龙胆草（酒拌炒黄） 泽泻（各一钱） 车前子（炒） 木通 生地黄（酒炒） 当归尾（酒炒）
山栀（炒） 黄芩（炒） 甘草
上锉一剂。水煎。空心服。
丹溪说：囊痈，是由于湿热下注所致。有的会化脓，这是浊气顺行向下，即将流入渗道（尿道），因为阴道（精室/泌尿生殖道）亏损，水道不通利而形成的。脓液排尽后自然安宁，不需要用药治疗，关键在于善于调养护理。又有因腹部肿胀，逐渐流入阴囊，肿胀严重导致阴囊自行裂开，睾丸悬挂外露的情况。用炭末敷贴患处，外部用紫苏叶包裹，让患者仰卧静养。另一种说法是痈疽进入阴囊的病例，我曾治疗过几个人，都是由于湿热侵入肝经所致，治疗时加以滋阴药物辅助。虽然脓液溃破、皮肤脱落，甚至睾丸悬挂者，都没有死亡。
一方药使用野紫苏叶，特征是面青背红，将其焙干研成粉末，敷于患处。如果患处干燥，用香油调和后敷贴。如果阴囊皮肤缺失，外部用青荷叶包裹，皮肤自然会生长出来。
另一种说法关于悬痈：这种疮生在肛门与外肾之间，初发时非常瘙痒，形状像松子，四十天后红肿如松树状。治疗迟缓则会破溃，大小便都会从此处排出，这就无法治愈了。
国老汤：使用横纹大甘草一两，截成约三寸长的段，取山涧中的流水一碗，不用井水或河水。用甘草蘸水，在文火和武火交替下慢炙，不可性急，必须花费三个时辰的时间，等到水分完全蒸发为止。劈开检查，看到草中湿润透彻，然后用无灰酒二碗，煮至剩下一碗，温服。每日一服，半个月消尽为度。
将军散：大黄（煨制）、贝母、白芷、甘草节。以上药材研成粉末，用酒调匀，空腹服用。体质虚弱者，加一半剂量的当归。
另一种说法关于肝经湿热：玉茎（阴茎）患疮，或者便毒、悬痈肿痛，或者溃烂作痛，小便涩滞不畅，或者睾囊下垂挂起。
龙胆泻肝汤：龙胆草（酒拌炒黄）、泽泻（各一钱）、车前子（炒制）、木通、生地黄（酒炒）、当归尾（酒炒）、山栀（炒制）、黄芩（炒制）、甘草。以上药材锉碎为一剂，用水煎煮，空腹服用。
Danxi stated: Nangyong (Scrotal Abscess) is caused by Damp-Heat sinking downward. In some cases, pus forms; this indicates that turbid Qi is moving downward and is about to flow into the Shendao (urethral passage). This occurs due to a deficiency in the Yindao (genitourinary tract) and impaired fluid metabolism. Once the pus is discharged, the condition will resolve spontaneously without medication; the key lies in proper nursing care. There are also cases where abdominal swelling gradually extends into the scrotum, causing severe swelling that leads to spontaneous rupture of the scrotum and suspension of the testicles. Apply charcoal powder to the affected area and wrap it externally with Perilla frutescens leaves (Zisuye), keeping the patient in a supine position for recovery. Another theory regarding abscesses entering the scrotum mentions that I have treated several patients whose conditions were entirely due to Damp-Heat invading the Liver Meridian. Treatment involved addressing the Liver Meridian while assisting with Yin-nourishing herbs. Even when pus ruptured and skin sloughed off, resulting in suspended testicles, none of the patients died.
One prescription uses wild Perilla frutescens leaves (Ye Zisuye), characterized by green upper surfaces and red undersides. Dry them by roasting, grind into powder, and apply topically. If the area is dry, mix with sesame oil before application. If the scrotal skin is missing, wrap the area externally with fresh green lotus leaves (Qing Heye); the skin will regenerate naturally.
Another discussion concerns Xuanyong (Hanging Carbuncle): This sore appears between the anus and the external genitalia. Initially, it is very itchy and resembles a pine cone. After forty days, it becomes red and swollen like a pine tree. If treatment is delayed, it will ulcerate, and both urine and feces will discharge from this opening, rendering it incurable.
Guolao Tang (National Elder Decoction): Use 1 liang of large Licorice Root (Gancao) with transverse striations, cut into segments approximately 3 cun long. Take one bowl of running water from a mountain stream; do not use well or river water. Dip the Licorice Root in the water and slowly roast over alternating mild and strong heat. Do not rush; this process must take three shichen (6 hours). Stop when the water has completely evaporated. Split the root to check if it is thoroughly moistened inside. Then, add two bowls of pure wine (Wuhui Jiu) and boil until only one bowl remains. Take warm. Administer once daily until resolved within half a month.
Jiangjun San (General Powder): Rhubarb (Da Huang, roasted), Fritillaria (Beimu), Angelica dahurica (Baizhi), Licorice Root tips (Gancao Jie). Grind all ingredients into powder. Mix with wine and take on an empty stomach. For patients with deficiency, add half the dose of Angelica sinensis (Danggui).
Another discussion concerns Damp-Heat in the Liver Meridian: Sores on the Yujing (penis), or painful swelling from Biandu (perianal abscess) or Xuanyong, or ulceration with pain, obstructed urination, or hanging scrotum/testicles.
Longdan Xiegan Tang (Gentian Liver-Draining Decoction): Gentian Root (Longdan Cao, stir-fried with wine until yellow), Alisma (Zexie, each 1 qian), Plantago Seed (Cheqianzi, stir-fried), Akebia Stem (Mutong), Rehmannia Root (Sheng Dihuang, stir-fried with wine), Angelica sinensis tail (Danggui Wei, stir-fried with wine), Gardenia Fruit (Shanzhi, stir-fried), Scutellaria Root (Huangqin, stir-fried), Licorice Root (Gancao). Chop one dose, decoct in water, and take on an empty stomach.