人有阴囊左右而生痈毒者，名曰便毒。生于囊之下，粪门谷道之前，名曰囊痈。
三处相较，便毒易治，而囊痈最难疗也。以囊之下为悬痈，其皮肉与他处不同，盖
他处皮肉或横生，或直生，俱易合口，而悬痈之处，横中有直，直中有横，一有损
伤，不易收功。然治之有法，未尝难也。此等之痈，皆少年贪于酒色，或游花街而
浪战，或入柳巷而角欢，忍精而斗，耐饥而交，或已泄而重提其气，或将败而再鼓
其阳，或有毒之妇而轻于苟合，或生疮之妓而甘为精斗，往往多生此痈。所谓欲泄
不泄，化为脓血是也。治之法必须大补其虚而佐之化毒之味，以毒因虚而成，不治
虚可得乎。方用逐邪至神丹∶
金银花（四两） 蒲公英（二两） 人参（一两） 当归（二两） 生甘草（一两） 大黄（五钱）
天花粉（二钱） 水煎服。一剂而毒消，二剂而全愈，溃者三剂可以收功矣。
此方用金银花四两，用蒲公英二两，佐之参、归、大黄之大料，未免过于霸气。
然大虚之病，又用大黄祛逐，似乎非宜。谁知毒正盛，乘其初起之时，正未甚衰，
大补泻火之为得乎。倘因循失治，或畏缩而不敢治，及至流脓出血，正气萧索，始
用参、 补气，往往有用至数斤而尚未能复元。何不早用于化毒之中，正又无伤而
毒又易散哉。此因势利道之法，又不可不知也。
人有饮烧酒入房，精不得泄，至夜半寒热烦渴，小便淋赤，痰涎涌盛，明日囊
肿腹 痛，又明日囊处悉腐，玉茎下面贴囊者亦腐，人以为酒毒也，谁知是肝火得
酒毒湿而肆虐乎。夫酒何至作腐？盖火酒大热之物也，人过饮火酒多致醉死，死后
往往身体腐烂，以火酒乃气，酒遇热自焚，人身脏腑原自有火，以火引火，安得不
炎烧耶。饮火酒而入房，以鼓动精房之火，宜是命门之火而非肝火也。然而木能生
火，肝属木，肝木生于相火，实理之常也。入房而借火酒之力，则火势必猛，火动
无根，何能久乎，势必精欲外泄而火可解也。无奈精欲泄，而阻抑之火无可泄之路，
火无可根据，而火酒又无可解，于是火入于肝，将根据母而自归也。惟相火内火也，可
附肝以为家，而酒火外火也，反得木而焚体。囊与玉茎乃筋之会也，筋属肝，因入
房而火聚于阴器之际，故火发而囊肿，囊肿极而茎亦腐。治法解酒毒而益补气补血
之品，则湿热解而腐肉可长矣。方用救腐汤∶
人参（一两） 当归（一两） 黄 （二两） 白术（一两） 茯苓（五钱） 黄柏（三钱） 薏仁（五钱）
泽泻（三钱） 白芍（一两） 葛根（三钱） 炒黑栀子（三钱） 水煎服。四剂腐肉脱而新肉生，再服四
剂囊茎悉平复矣。
酒毒成于拂抑，平肝泄火，利湿解毒宜也。何以又用参、 、归、术以大补其
气血耶。大凡气血盛者，力能胜酒，纵酣饮而无碍。服火酒而腐，必成于火酒之毒，
亦其气血之衰，力不能胜酒，所以两火相合，遂至焚身外腐。苟不急补其气血，则
酒毒难消，而腐肉又何以速长哉。
有人阴囊左右长痈毒的，名叫便毒。生于阴囊下方、肛门之前的，名叫囊痈。
比较这三处（注：原文虽提三处，但前文仅明确提及便毒与囊痈两处，此处依原文直译），便毒容易治疗，而囊痈最难治愈。因为阴囊下方称为悬痈，那里的皮肉与其他部位不同，其他部位的皮肉或横生纹理，或直生纹理，都容易愈合伤口；而悬痈之处，横纹中夹杂直纹，直纹中夹杂横纹，一旦受损，不容易收口痊愈。然而治疗是有方法的，并非真的难治。这类痈疽，都是因为年轻人贪恋酒色，或在烟花巷中纵欲，或在青楼中寻欢，强忍精液交合，忍受饥饿行房，或者已经泄精却强行提气，或者精气将败却再次鼓动阳气，或者与有毒病的妇女轻率苟合，或者与患有疮疡的妓女甘愿拼命交合，往往多生这种痈疽。这就是所谓的“欲泄不泄，化为脓血”。治疗的方法必须大补其虚损，并辅以化解毒邪的药物，因为毒邪是因虚而成，不治疗虚损能行吗？方用逐邪至神丹：
金银花（四两） 蒲公英（二两） 人参（一两） 当归（二两） 生甘草（一两） 大黄（五钱）
天花粉（二钱） 水煎服。一剂药后毒邪消散，两剂药后完全痊愈，溃烂的三剂药可以收口。
此方用金银花四两，蒲公英二两，佐以人参、当归、大黄的大剂量，未免过于霸道猛烈。但是大虚的病证，又用大黄来祛逐，似乎不太适宜。谁知毒邪正盛，趁着初起之时，正气尚未严重衰弱，大补兼泻火才是得法。如果因循守旧延误治疗，或者畏缩不敢治疗，等到流脓出血，正气萧条索然时，才开始用人参、黄芪补气，往往有用到几斤还未能恢复元气。为什么不早用于化解毒邪的过程中，这样正气既无损伤，毒邪又容易消散呢。这是因势利导的方法，也不可不知道啊。
有人喝烧酒后入房，精液不得排泄，到了半夜寒热交替、烦躁口渴，小便淋漓赤痛，痰涎涌盛，第二天阴囊肿胀腹部疼痛，第三天阴囊处全部腐烂，阴茎下面贴近阴囊的部分也腐烂了，人们以为是酒毒所致，谁知是肝火得到酒毒湿气而肆虐呢。酒怎么会导致腐烂呢？盖烈性酒是大热之物，人过量饮用烈性酒多会导致醉死，死后身体往往腐烂，因为烈性酒属气，酒遇到热就会自焚，人身脏腑原本就有火，以火引火，怎么能不燃烧呢。喝烈性酒而入房，以鼓动精室之火，应该是命门之火而非肝火。然而木能生火，肝属木，肝木生于相火，这是常理。入房借助烈性酒的力量，火势必然猛烈，火动而无根，怎么能持久呢，势必是精液想要外泄而火才能解除。无奈精液想泄，却被阻抑的火没有宣泄的路径，火没有凭借，而烈性酒又无法化解，于是火进入肝脏，根据母脏（水生木，此处指肝肾同源或五行相生关系，原文意指依附于肝）而自我归属。只有相火是内火，可以依附肝脏作为家园，而酒火是外火，反而得到木（肝）的助燃而焚烧身体。阴囊与阴茎是筋的汇聚处，筋属于肝，因为入房而火聚集在阴器之间，所以火发则阴囊肿胀，肿胀至极则阴茎也腐烂。治疗方法是解酒毒并益补气血的药物，那么湿热解除而腐肉可以生长了。方用救腐汤：
人参（一两） 当归（一两） 黄芪（二两） 白术（一两） 茯苓（五钱） 黄柏（三钱） 薏仁（五钱）
泽泻（三钱） 白芍（一两） 葛根（三钱） 炒黑栀子（三钱） 水煎服。四剂药后腐肉脱落新肉生长，再服四剂阴囊和阴茎完全平复恢复。
酒毒形成于压抑不畅，平肝泄火，利湿解毒是适宜的。为什么又用人参、黄芪、当归、白术来大补气血呢？大凡气血旺盛的人，力量能胜过酒力，即使酣饮也无妨碍。服用烈性酒导致腐烂，必定是因为烈性酒的毒性，也是由于气血衰弱，力量不能胜过酒力，所以两火相合，以至于焚烧身体外部腐烂。如果不紧急补益气血，那么酒毒难以消除，而腐肉又怎么能快速生长呢。
Individuals who develop carbuncles and sores on the left and right sides of the scrotum are named "Bian Du" (Inguinal Abscess). Those occurring below the scrotum, anterior to the anus, are named "Nang Yong" (Scrotal Carbuncle).
Comparing these three locations [Note: Text mentions three but details two], Bian Du is easy to treat, whereas Nang Yong is the most difficult to heal. This is because the area below the scrotum is called Xuan Yong (Hanging Carbuncle); its skin and flesh differ from other parts. In other areas, skin and flesh textures are either horizontal or vertical, making wounds easy to close; however, in the Xuan Yong area, horizontal and vertical textures intermingle, so once damaged, it is difficult to achieve healing. Nevertheless, there are methods for treatment, and it is not inherently difficult. Such carbuncles often arise because young men indulge in alcohol and lust, engaging in promiscuous activities in brothels, enduring semen retention during intercourse, having sex while hungry, forcibly raising Qi after ejaculation, or re-stimulating Yang when essence is nearly exhausted. They may also engage in reckless unions with women carrying toxins or prostitutes suffering from sores. Consequently, such carbuncles frequently occur. This is what is meant by "desire to release but unable to do so, transforming into pus and blood." The treatment method must strongly tonify deficiency and assist with ingredients that resolve toxicity, because toxicity arises from deficiency; can one succeed without treating the deficiency? Use Zhuxie Zhishen Dan (Miraculous Decoction for Expelling Evil):
Jinyinhua (Lonicerae Japonicae Flos, 4 liang) Gongyingying (Taraxaci Herba, 2 liang) Renshen (Ginseng Radix et Rhizoma, 1 liang) Danggui (Angelicae Sinensis Radix, 2 liang) Sheng Gancao (Glycyrrhizae Radix et Rhizoma Recens, 1 liang) Dahuang (Rhei Radix et Rhizoma, 5 qian)
Tianhuafen (Trichosanthis Radix, 2 qian) Decoct in water and take orally. After one dose, toxicity dissipates; after two doses, full recovery occurs; for ulcerated cases, three doses suffice for healing.
This prescription uses four liang of Jinyinhua and two liang of Gongyingying, assisted by large doses of Renshen, Danggui, and Dahuang, which may seem overly aggressive. However, for severe deficiency conditions, using Dahuang for purging seems inappropriate. Yet, knowing that toxicity is at its peak, and taking advantage of the early stage when Zheng Qi (Upright Qi) has not yet severely declined, strong tonification combined with draining fire is appropriate. If one delays treatment due to hesitation or fear, waiting until pus and blood flow out and Zheng Qi becomes depleted before starting to tonify Qi with Renshen and Huangqi (Astragali Radix), one might use several jin (ancient weight unit) and still fail to recover. Why not use them earlier during the process of resolving toxicity, thereby protecting Zheng Qi while facilitating the dispersion of toxicity? This is a method of following the trend and utilizing the pathway, which one must understand.
Some individuals consume distilled spirits (Shaojiu) and then engage in sexual activity, preventing ejaculation. By midnight, they experience alternating chills and fever, restlessness, thirst, dysuria with red urine, and profuse phlegm-saliva. The next day, the scrotum swells and the abdomen hurts; by the third day, the scrotal tissue completely necroses, and the part of the penis adjacent to the scrotum also necroses. People assume this is caused by alcohol toxicity, but who knows it is actually Liver Fire exacerbated by alcohol toxin and dampness? How can alcohol cause necrosis? Distilled spirits are extremely hot substances. Excessive consumption often leads to death from drunkenness, after which the body may rot, because distilled spirits are qi-like; when alcohol meets heat, it self-ignites. The human body's zang-fu organs naturally contain fire; using fire to attract fire, how can it not burn? Consuming distilled spirits and engaging in sex stirs up the fire of the essence chamber. One might think this is Mingmen Fire (Gate of Life Fire) rather than Liver Fire. However, Wood generates Fire; the Liver belongs to Wood, and Liver Wood is born from Ministerial Fire (Xiang Huo), which is a natural principle. Engaging in sex while borrowing the power of distilled spirits makes the fire force fierce. Fire moving without root cannot last long; inevitably, if essence could be released externally, the fire would subside. Unfortunately, although essence desires release, the suppressed fire has no outlet, and the fire lacks foundation, while the distilled spirit remains unresolvable. Thus, the fire enters the Liver, attaching itself to the Mother organ (Liver/Wood relationship) and settling there. Only Ministerial Fire is internal fire, capable of dwelling in the Liver; whereas Alcohol Fire is external fire, which, upon encountering Wood, burns the body. The scrotum and penis are gatherings of sinews, and sinews belong to the Liver. Due to sexual activity, fire gathers at the genitalia. Therefore, when fire erupts, the scrotum swells; when swelling reaches its extreme, the penis also necroses. The treatment method involves resolving alcohol toxicity and benefiting Qi and Blood tonics, so that damp-heat resolves and necrotic flesh can regenerate. Use Jiufu Tang (Decoction for Saving Necrotic Flesh):
Renshen (Ginseng Radix et Rhizoma, 1 liang) Danggui (Angelicae Sinensis Radix, 1 liang) Huangqi (Astragali Radix, 2 liang) Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang) Fuling (Poria, 5 qian) Huangbai (Phellodendri Cortex, 3 qian) Yiren (Coicis Semen, 5 qian)
Zexie (Alismatis Rhizoma, 3 qian) Baishao (Paeoniae Radix Alba, 1 liang) Gegen (Puerariae Lobatae Radix, 3 qian) Chao Hei Zhizi (Gardeniae Fructus Carbonized, 3 qian) Decoct in water and take orally. After four doses, necrotic flesh detaches and new flesh grows; after another four doses, the scrotum and penis completely flatten and recover.
Alcohol toxicity forms due to suppression and obstruction; soothing the Liver, draining fire, and promoting diuresis to resolve dampness and detoxify is appropriate. Why use Renshen, Huangqi, Danggui, and Baizhu to strongly tonify Qi and Blood? Generally, those with abundant Qi and Blood have strength to overcome alcohol; even heavy drinking causes no harm. Necrosis after consuming distilled spirits must result from the toxicity of the spirits, indicating deficient Qi and Blood where strength fails to overcome the alcohol. Thus, two fires combine, leading to burning and external necrosis. If Qi and Blood are not urgently tonified, alcohol toxicity will be hard to eliminate, and how can necrotic flesh grow quickly?