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Green’s Dictionary of Slang

pus-bag n.

also bag of pus, pus brain, pushole, pus-nuts, puss-bag

[nuts n.² (1); the use of SE pus may offer a link to earlier derog. terms relating to venereal diseases]

(US) a contemptible person (cf. pussbucket n.).

1967–8		Baker et al. CUSS 178: Puss bag Constantly complaining and irritable.
1978		S. King Stand (1990) 344: Why, here’s the wise-ass pusbag, what’s the story, pusbag, got anything smart to say? [Ibid.] 740: ‘Like it, dontcha?’ The Kid panted. ‘I knew you would, you bag of pus.’.
1986		S. King It (1987) 50: Along come these three pusholes in their engineer boots and they steal his life.
1990		S. Morgan Homeboy 252: I got your number, pusbag.
1992		R. Marcinko Rogue Warrior (1993) 211: Those sorry motherfucking cocksucking pencil-dicked shit-for-brains pus-nuts goatfucker assholes.
1994		J. Wambaugh Finnegan’s Week 248: ‘Here, pus brain,’ she said.
1998		I. Welsh Filth 80: Two puss-bags known as Setterington and Gorman.