脉∶疝脉弦急，积聚所酿；察其何部，肝为本脏，心滑肺沉，风疝易荡；关浮而迟，风虚之恙；阳急为瘕，
阴急疝状；沉迟浮涩，疝瘕寒痛；痛甚则伏，或细或动；牢急者生，弱急者丧。
疝气者 疝本肝经，宜通勿塞，绝与肾经无干。或无形有声，或有形如瓜，有声似蛙，是疝气病也。始初
湿热在经郁久，后感寒气外束，不得疏散，所以作痛。不可执作寒论，
须用寒热相兼，用神效汤加减，川乌以散寒气，山栀以清湿热，皆是下焦主药，其效速。
肠中走气作声，或痛者，是盘肠气也。小肠阴囊，手按作响声痛者，是膀胱气也。小肠脐旁一梗升上钓痛者
，是小肠气也。小腹下注，上奔心腹急痛者，是肾虚也。阴子偏大偏小者，是偏坠也。阴子虽硬，大而不痛者，
是水肾气也。一切疝气者，多因热郁于中而寒束于外也。（以上俱宜后方。）
神效汤 治一切疝气。
木香（另磨） 吴茱萸（各七分） 茴香（酒炒） 玄胡索 益智仁 苍术（米泔浸） 香附 当归
川乌（炮去皮减半） 山栀（炒各一钱） 砂仁（七分） 甘草（三分）
上锉一剂，姜三片，灯芯一团，水磨广木香调服。胀闷如痛加乳香、枳实；有瘀血胀痛加桃仁、川芎，去
益智、山栀；肾气注上，心痛闷欲绝者，加沉香、枳实，去益智、山栀。
乌苓通气散 治一切疝气，无问远近、寒热、风湿寒气。
乌药 当归 芍药 香附 糖球 陈皮（各一钱） 茯苓 白术（去芦） 槟榔 玄胡索 泽泻（各五分）
木香 甘草（各三分）
上锉一剂，生姜三片，水煎服。如恶寒、脉沉细加吴茱萸。
木香金铃丸 治疝气，外肾肿痛，如神。
木香 乳香 没药 大附子（炮去皮脐） 小茴香（盐水炒） 全蝎（去毒） 玄胡索 川楝子（去核）
人参（去芦。各等分）
上为细末，好酒打糊为丸，如梧桐子大。每服百丸，空心黄酒送下，一服即止。
神妙丸 治小肠气、膀胱气、疝气、盘肠气、水肾气、偏坠。
硫黄（熔化倾入水中，捞起研细末，二分） 荔枝核（一钱五分，砍碎炒黄色） 川芎（盐水煮，捞起切
片，五分） 吴茱萸（盐、酒炒，一钱） 大茴香（一钱半） 木香 沉香 乳香 橘核（各一钱）
上为末，酒糊为丸。每服五十丸，空心米汤下，酒亦可。
疝气因气恼而起者，宜顺气也。
行气香苏散 治偏坠气疼痛，初发憎寒壮热甚效。（方见伤食。）根据本方加茴香、青木香、三棱、莪
术、木通。
香楝酒 治偏坠气。
南木香 小茴香 大茴香 川楝肉（各三钱）
上合作一服，锅内炒至香，入葱白连须五根，用水一碗，淬入锅内，以碗罩住，候煎至半碗取出去滓，加
好酒半碗合和，入炒盐一茶匙，空心热服。极痛者，一服立愈。
疝气因劳役而发者，此夹虚也。每遇劳役即发，其脉沉紧、豁大无力，是夹虚也。其痛亦轻，但重坠牵引耳。
和气益荣汤 治夹虚疝痛。
人参（五分） 当归 川芎 青皮（去瓤） 茴香（盐、酒炒） 玄胡索 苍术（米泔浸。各一钱）
木香（另磨） 沉香（另磨） 川乌（炮，去皮。各五分） 山栀 砂仁 吴茱萸（各七分，炒） 甘草（二分）
上锉一剂，姜一片，水煎，磨沉、木香调服。发热加柴胡，去吴茱萸；腹痛加枳实、沉香，去人参。
疝气发于寒月者，多是寒邪入膀胱也。
加减五积散（方见中寒。）
疝气发于暑月者，多是暑入膀胱也。
加减香苓散 治偏坠气初起，憎寒壮热，发表药轻者，一服而愈。
枳壳 陈皮 香附 苍术 麻黄 香薷 猪苓 泽泻 木通 滑石 车前子 三棱 莪术 川楝子 玄胡索 甘草
上锉剂，姜葱煎，热服。
一切疝气，年久不愈者，宜攻补兼施也。
川楝汤 治一切疝气。
川楝子（去核） 小茴香（酒炒） 破故纸（酒炒） 青盐 三棱（煨） 山茱萸（酒蒸去核） 莪术（煨）
通草 橘核 荔枝核（各等分） 甘草（减半）
上锉一剂，水煎，空心服。立效收功，加马蔺花、苍术；如夏秋之月，暑入膀胱，疝气作痛加黄连、香薷、
扁豆、木通、滑石。车前子。
大小茴香丸 治疝气如神。
大茴香 小茴香 吴茱萸 川楝子（去核） 川椒（各一两）
上共为末，连须葱白八两，同药捣成饼子晒干；用粘米半升，同药饼捣碎，微火炒黄为末，酒糊为丸，如
梧桐子大。每服八九十丸，空心，盐汤或酒送下。忌发气物。
茱萸内消丸 治肾经虚弱，膀胱为邪气所袭，结成寒疝。阴囊偏坠痛，牵引脐腹，或生疮疡时出水。
吴茱萸（半酒半醋浸一宿，焙干） 山茱萸（蒸，去核） 马蔺花（醋浸，焙） 黑丑（炒取顶末）
玄胡索（炒） 川楝子（蒸去核） 海藻（盐水洗，焙） 青皮 官桂 舶上茴香（盐水炒） 陈皮（各一两）
桃仁（去皮尖） 木香 白蒺藜（炒。各五钱）
上为末，酒煮稀糊为丸，如梧桐子大。每服四十丸，空心，温酒或盐汤下。
四炒楝实丸 治疝气、一切下部之疾，肿痛缩小。虽多年，服此除根。
川楝子肉（一斤，净肉分作四分）∶一分用巴戟（一两、麸一合，同炒黄色，去麸、巴戟不用）；一分用
斑蝥（四十九个同麸一合炒黄色，去麸、蝥不用）；一分用巴豆仁（四十九个，同麸炒黄色，去豆，麸不用）；
一分用茴香（一合，盐一两，同炒黄色，去茴香、盐不用） 木香 破故纸（各一两。）
上为末，酒糊为丸，如梧桐子大。每服五十丸，空心。盐汤下。甚者，日进三服。
灸法 治偏坠气痛。用蓖麻子，一岁一粒，去皮研烂，贴头顶囟门上，却令病入仰卧，将两脚掌相对，
以带子绑住二中指。于两指合缝处，艾炷如麦粒大，灸七壮实时止立效。
补遗方
治疝气偏坠、肿痛不可忍 槐子一钱，炒褐色为末，入盐三分，空心黄酒送下，立效。
秘方 治偏坠疝气神效。
五去风（即五倍子，用五六个焙存性） 为末，以好酒调服，以醉为度。
雄黄汤 治阴肿大如斗，核痛。
雄黄（一两） 白矾（二两） 甘草（五分） 共煎水洗。
治偏坠疝气、小肠气 荔枝内子焙黄色，为细末。每服三分，黄酒调下。
治疝气方 用干丝瓜穣，火烧存性。每服二钱，热黄酒下。
治疝气及心痛方
荔枝核（四十九粒） 陈皮（连白九钱） 硫黄（四钱）
上为细末，盐面打糊为丸，如绿豆大。遇痛，黄酒下九丸，良久，再服九丸。遇痛则可长服。如冷气心痛
可服；热心痛不可服。
治外肾着惊缩上者 麝香（三钱） 潮脑（三钱） 莴苣子（一茶钟）用莴苣叶捣为膏，贴脐上下。
治气胞木肾水胞偏坠 净沙土炒红，待温时入花椒、小茴、艾叶拌匀，放一盆内，中按一窝，上盖布
一片。将病胞坐在上，遍身汗出，胞内冷血、冷水、冷气尽化汗而出，将
沙土湿透再炒。如此数遍除根。
一船家，患小肠疝气，肿痛不可忍。又病两眼肿痛，眵泪瘾涩，两寸脉洪数，两尺脉微，此上盛下虚之症。
用凉药治眼，则疝痛愈增；用热药治疝，则眼痛愈盛。诸医措手，莫之能愈。予以木香金铃丸空心顿服，以治
下焦之虚寒；以退血散卧时服，以治上焦之风热。各三服均愈。
赵雪山，患因房劳后，五更起早，忽感其寒，作疝气肿痛不可忍，憎寒战栗。予诊六脉微而无力。以五积
散加吴茱萸、小茴香；又以蟠葱散俱不效。后以艾灸之，将患人两脚掌相对，以带子绑住，两中指合缝处以艾
炷麦粒大，灸七壮完痛止，神效。
Pulse: The pulse of hernia (Shan) is wiry and rapid, resulting from the accumulation of pathogenic factors; observing the location of the pulse, the Liver is the primary organ involved in hernia. A slippery pulse at the Heart position and a deep pulse at the Lung position indicate that Wind Hernia (Feng Shan) is prone to dissipate. A floating and slow pulse at the Guan position indicates Wind Deficiency syndrome. Spasm of the Yang sinews forms a mass (Jia), while spasm of the Yin sinews presents as hernia symptoms. A deep-slow or floating-choppy pulse indicates cold pain associated with hernia and masses. When pain is severe, the pulse may become hidden (Fu), thready, or erratic. A firm and rapid pulse suggests a favorable prognosis, whereas a weak and rapid pulse suggests an unfavorable one.
Hernia Qi (Shan Qi): Hernia originates from the Liver Meridian; treatment should focus on unblocking rather than obstructing, and it is not directly related to the Kidney Meridian. Some cases present without a visible mass but with audible sounds; others present with a visible mass resembling a melon, accompanied by sounds like a frog croaking. This constitutes Hernia Qi disease. Initially, damp-heat stagnates in the meridians for a long time, followed by external cold constriction, preventing dispersion, thus causing pain. One must not rigidly classify this solely as a Cold syndrome; instead, herbs with both cold and hot properties should be combined. Shen Xiao Tang (Miraculous Efficacy Decoction) with modifications should be used: Chuan Wu (Prepared Aconite Root) to disperse cold, and Shan Zhi (Gardenia Fruit) to clear damp-heat. These are primary herbs for treating the Lower Jiao, yielding rapid results.
Gas moving in the intestines producing sound or pain indicates Pan Chang Qi (Coiled Intestine Qi). Pain and audible sounds upon palpation of the small intestine and scrotum indicate Bladder Qi (Pang Guang Qi). A knot rising from beside the umbilicus in the small intestine region causing hook-like pain indicates Small Intestine Qi (Xiao Chang Qi). Gas rushing downward from the lower abdomen and upward to the heart and abdomen causing acute pain indicates Kidney Deficiency (Shen Xu). Asymmetry in size of the testicles indicates Pian Zhui (Unilateral Descent). Hardness with swelling but no pain in the testicles indicates Shui Shen Qi (Water Kidney Qi). All hernia conditions are mostly caused by heat stagnating internally and cold constricting externally. (The following formulas are suitable for all the above.)
Shen Xiao Tang (Miraculous Efficacy Decoction): Treats all types of hernia.
Mu Xiang (Aucklandiae Radix, ground separately) 7 fen, Wu Zhu Yu (Evodiae Fructus) 7 fen, Hui Xiang (Foeniculi Fructus, stir-fried with wine), Yan Hu Suo (Corydalis Rhizoma), Yi Zhi Ren (Alpiniae Oxyphyllae Fructus), Cang Zhu (Atractylodis Rhizoma, soaked in rice water), Xiang Fu (Cyperi Rhizoma), Dang Gui (Angelicae Sinensis Radix), Chuan Wu (Aconiti Radix Praeparata, processed, skin removed, dose halved), Shan Zhi (Gardeniae Fructus, stir-fried) 1 qian, Sha Ren (Amomi Fructus Rotundus) 7 fen, Gan Cao (Glycyrrhizae Radix et Rhizoma) 3 fen.
Crush these into coarse powder for one dose. Add three slices of fresh ginger and a bundle of lamp wick. Grind Mu Xiang with water and take the mixture orally. If distension and pain occur, add Ru Xiang (Boswelliae Resina) and Zhi Shi (Aurantii Fructus Immaturus); if blood stasis causes distending pain, add Tao Ren (Persicae Semen) and Chuan Xiong (Ligustici Chuanxiong Rhizoma), removing Yi Zhi Ren and Shan Zhi. If Kidney Qi rushes upward causing severe chest pain and suffocation, add Chen Xiang (Aquilariae Lignum Resinatum) and Zhi Shi, removing Yi Zhi Ren and Shan Zhi.
Wu Ling Tong Qi San (Wu Ling Gas-Unblocking Powder): Treats all types of hernia, regardless of duration, cold-heat nature, or wind-damp-cold pathogens.
Wu Yao (Linderae Radix), Dang Gui, Shao Yao (Paeoniae Radix), Xiang Fu, Tang Qiu (Juglandis Semen, i.e., Walnut Shell/Kernel contextually often refers to Ju He here or similar fruit seed, WHO standard uses Juglandis Semen but text says Tang Qiu which is colloquial for walnut or similar, strictly translating as per text "Tang Qiu" but noting it likely refers to a seed/herb, here translated as Juglandis Semen/Walnut based on common usage in such contexts or kept as Tang Qiu if uncertain, however standard TCM herb list doesn't have Tang Qiu, it's likely a typo for Ju He or similar. Given "Ju He" appears later, Tang Qiu might be a specific local name. I will translate as "Tang Qiu (Walnut Kernel/Juglandis Semen)" for clarity or stick to literal if unsure. Actually, Tang Qiu is often a folk name for Juglandis Semen or similar. Let's use Juglandis Semen.), Chen Pi (Citri Reticulatae Pericarpium) 1 qian each, Fu Ling (Poria), Bai Zhu (Atractylodis Macrocephalae Rhizoma, remove rhizome head), Bing Lang (Arecae Semen), Yan Hu Suo, Ze Xie (Alismatis Rhizoma) 5 fen each, Mu Xiang, Gan Cao 3 fen each.
Crush into coarse powder for one dose. Add three slices of fresh ginger, decoct in water, and take orally. If there is aversion to cold and a deep-thready pulse, add Wu Zhu Yu.
Mu Xiang Jin Ling Wan (Mu Xiang and Golden Bell Pill): Treats hernia and painful swelling of the external genitalia, with miraculous effects.
Mu Xiang, Ru Xiang, Mo Yao (Commiphora Myrrha Resina), Da Fu Zi (Aconiti Lateralis Radix Praeparata, processed, skin and bud removed), Xiao Hui Xiang (Foeniculi Fructus, stir-fried with salt water), Quan Xie (Scorpio, detoxified), Yan Hu Suo, Chuan Liu Zi (Toosendan Fructus, pitted), Ren Shen (Ginseng Radix et Rhizoma, remove rhizome head). Equal parts.
Grind into fine powder. Use good wine to make paste for pills, sized like paulownia seeds. Take 100 pills per dose, orally with yellow wine on an empty stomach. One dose stops pain immediately.
Shen Miao Wan (Divine Wonder Pill): Treats Small Intestine Qi, Bladder Qi, Hernia Qi, Coiled Intestine Qi, Water Kidney Qi, and Unilateral Descent.
Liu Huang (Sulfur, melted and poured into water, scooped out and ground to fine powder) 2 fen, Li Zhi He (Litchi Seed) 1.5 qian (crushed and stir-fried until yellow), Chuan Xiong 5 fen (boiled in salt water, scooped out and sliced), Wu Zhu Yu 1 qian (stir-fried with salt and wine), Da Hui Xiang 1.5 qian, Mu Xiang, Chen Xiang, Ru Xiang, Ju He (Citri Reticulatae Semen) 1 qian each.
Grind into powder. Use wine paste to form pills. Take 50 pills per dose, orally with rice water on an empty stomach; wine is also acceptable.
For hernia caused by anger and frustration, promote the smooth flow of Qi.
Xing Qi Xiang Su San (Qi-Moving Magnolia and Perilla Powder): Treats pain from unilateral descent Qi; highly effective for initial onset with aversion to cold and high fever. (Formula see Food Stagnation chapter). Add Hui Xiang, Qing Mu Xiang, San Leng, E Zhu, Mu Tong to this formula.
Xiang Lan Jiu (Magnolia and Toosendan Wine): Treats unilateral descent Qi.
Nan Mu Xiang, Xiao Hui Xiang, Da Hui Xiang, Chuan Liu Rou (Toosendan Flesh) 3 qian each.
Combine as one dose. Stir-fry in a pot until fragrant. Add five green onion whites with roots. Add one bowl of water, cover with a bowl, simmer until half a bowl remains. Remove residue, add half a bowl of good wine, mix well. Add one teaspoon of roasted salt. Take hot on an empty stomach. For severe pain, one dose brings immediate cure.
For hernia triggered by overexertion, this involves deficiency. It occurs upon exertion; the pulse is deep-tight, wide, and forceless, indicating mixed deficiency. The pain is mild, characterized mainly by heaviness and dragging sensation.
He Qi Yi Rong Tang (Harmonizing Qi and Nourishing Blood Decoction): Treats hernia pain with mixed deficiency.
Ren Shen 5 fen, Dang Gui, Chuan Xiong, Qing Pi (Citri Reticulatae Pericarpium Rubrum, remove pith), Hui Xiang (salt and wine stir-fried), Yan Hu Suo, Cang Zhu (rice water soaked) 1 qian each, Mu Xiang (ground separately), Chen Xiang (ground separately), Chuan Wu (processed, skin removed) 5 fen each, Shan Zhi, Sha Ren, Wu Zhu Yu (stir-fried) 7 fen each, Gan Cao 2 fen.
Crush into coarse powder for one dose. Add one slice of ginger, decoct in water. Grind Chen Xiang and Mu Xiang and take the mixture orally. If feverish, add Chai Hu (Bupleuri Radix) and remove Wu Zhu Yu; if abdominal pain, add Zhi Shi and Chen Xiang, remove Ren Shen.
Hernia occurring in cold months is mostly due to cold pathogens invading the Bladder.
Jia Jian Wu Ji San (Modified Five Accumulations Powder) (Formula see Middle Cold chapter).
Hernia occurring in summer months is mostly due to summer-heat invading the Bladder.
Jia Jian Xiang Ling San (Modified Magnolia and Poria Powder): Treats early-stage unilateral descent Qi with aversion to cold and high fever; effective with light releasing-exterior herbs, curing after one dose.
Zhi Ke (Aurantii Fructus), Chen Pi, Xiang Fu, Cang Zhu, Ma Huang (Ephedrae Herba), Xiang Ru (Elsholtziae Herba), Zhu Ling (Polyporus), Ze Xie, Mu Tong (Akebiae Caulis), Hua Shi (Talcum), Che Qian Zi (Plantaginis Semen), San Leng (Sparganii Rhizoma), E Zhu (Curcumae Rhizoma), Chuan Liu Zi, Yan Hu Suo, Gan Cao.
Crush into coarse powder. Decoct with ginger and green onion, take hot.
For chronic hernia lasting many years, combine attacking and tonifying methods.
Chuan Liu Tang (Toosendan Decoction): Treats all types of hernia.
Chuan Liu Zi (pitted), Xiao Hui Xiang (wine stir-fried), Po Gu Zhi (Psoraleae Fructus, wine stir-fried), Qing Yan (Green Salt), San Leng (roasted), Shan Zhu Yu (Corni Fructus, wine steamed, pitted), E Zhu (roasted), Tong Cao (Akebiae Caulis), Ju He, Li Zhi He. Equal parts. Gan Cao (half dose).
Crush into coarse powder for one dose. Decoct in water, take on an empty stomach. Immediate effect. Can add Ma Lin Hua (Iris lactea var. chinensis flower) and Cang Zhu. In summer/autumn, if summer-heat invades the bladder causing hernia pain, add Huang Lian (Coptidis Rhizoma), Xiang Ru, Bian Dou (Dolichoris Semen), Mu Tong, Hua Shi, Che Qian Zi.
Da Xiao Hui Xiang Wan (Major and Minor Fennel Pill): Treats hernia with miraculous effects.
Da Hui Xiang, Xiao Hui Xiang, Wu Zhu Yu, Chuan Liu Zi (pitted), Chuan Jiao (Zanthoxyli Pericarpium) 1 liang each.
Grind into powder. Mix with 8 liang of green onion whites with roots. Pound into cakes and dry. Mix with half sheng of glutinous rice, pound together, stir-fry lightly until yellow, grind to powder. Use wine paste to form pills, sized like paulownia seeds. Take 80-90 pills per dose, orally with salt water or wine on an empty stomach. Avoid foods that generate Qi/distension.
Zhu Yu Nei Xiao Wan (Evodia Internal-Dissolving Pill): Treats Kidney Meridian weakness where Bladder is invaded by pathogens, forming Cold Hernia. Symptoms include unilateral scrotal descent and pain radiating to the umbilicus and abdomen, or sores oozing fluid.
Wu Zhu Yu (soaked overnight in half wine/half vinegar, dried), Shan Zhu Yu (steamed, pitted), Ma Lin Hua (soaked in vinegar, dried), Hei Chou (Pharbitidis Semen, stir-fried, take top powder), Yan Hu Suo (stir-fried), Chuan Liu Zi (steamed, pitted), Hai Zao (Sargassum, washed in salt water, dried), Qing Pi, Guan Gui (Cinnamomi Cortex), Bo Shang Hui Xiang (salt water stir-fried), Chen Pi 1 liang each, Tao Ren (Pruni Semen, remove skin and tip), Mu Xiang, Bai Ji Li (Tribuli Fructus, stir-fried) 5 qian each.
Grind into powder. Use wine-boiled thin paste to form pills, sized like paulownia seeds. Take 40 pills per dose, orally with warm wine or salt water on an empty stomach.
Si Chao Lian Shi Wan (Four-Fried Toosendan Pill): Treats hernia and all lower body diseases, reducing swelling and pain. Even for long-standing cases, this removes the root cause.
Chuan Liu Zi Meat (1 jin, pure meat divided into four parts): One part stir-fried with Ba Ji Tian (Morinda Officinalis Radix, 1 liang) and bran (1 he) until yellow; discard bran and Ba Ji Tian. One part stir-fried with Ban Mao (Mylabris, 49 pieces) and bran (1 he) until yellow; discard bran and Mylabris. One part stir-fried with Ba Dou Ren (Crotonis Semen, 49 pieces) and bran until yellow; discard bean and bran. One part stir-fried with Hui Xiang (1 he) and salt (1 liang) until yellow; discard fennel and salt. Mu Xiang, Po Gu Zhi 1 liang each.
Grind into powder. Use wine paste to form pills, sized like paulownia seeds. Take 50 pills per dose, orally with salt water on an empty stomach. For severe cases, take three times daily.
Moxibustion Method: Treats unilateral descent Qi pain. Use Castor Bean (Bi Ma Zi), one seed per year of age. Peel and grind into paste. Apply to the anterior fontanelle (Xin Men) on the head. Have the patient lie supine. Bring the soles of the feet together and bind the middle fingers of both hands with a strap. Place a moxa cone the size of a wheat grain on the gap between the two middle fingers. Moxa-burn 7 cones (zhuang). Stop when effective; relief is immediate.
Supplementary Formulas
Treat unbearable pain and swelling from unilateral descent hernia: Huai Zi (Sophorae Tonkinensis Seed) 1 qian, stir-fried until brown, ground to powder. Add 3 fen of salt. Take orally with yellow wine on an empty stomach. Immediate effect.
Secret Recipe: Miraculous for unilateral descent hernia.
Wu Bei Zi (Galla Chinensis, i.e., Chinese Gallnut, referred to as Wu Qu Feng in text) 5-6 pieces, stir-fried until carbonized (preserving nature). Grind to powder. Take with good wine until intoxicated.
Xiong Huang Tang (Realgar Decoction): Treats massive scrotal swelling like a bucket and testicular pain.
Xiong Huang (Realgar) 1 liang, Bai Fan (Alumen) 2 liang, Gan Cao 5 fen. Decoct together for washing.
Treat unilateral descent hernia and Small Intestine Qi: Roast Li Zhi He (Litchi Seed) until yellow, grind to fine powder. Take 3 fen per dose, mixed with yellow wine.
Hernia Formula: Use dried loofah fiber (Si Gua Rang), burn until carbonized. Take 2 qian per dose, with hot yellow wine.
Hernia and Heartache Formula
Li Zhi He (49 seeds), Chen Pi (with white pith 9 qian), Liu Huang (4 qian).
Grind to fine powder. Use salt dough to form pills, sized like mung beans. At onset of pain, take 9 pills with yellow wine. After a while, take another 9 pills. Can be taken long-term for recurrent pain. Suitable for Cold-type heartache; not suitable for Heat-type heartache.
Treat external genitalia shrinking inward due to fright: She Xiang (Moschus) 3 qian, Chao Nao (Borneolum Syntheticum) 3 qian, Wo Ju Zi (Lactucae Semen) 1 tea cup. Make paste from Lactuca leaves and apply above and below the navel.
Treat Qi Bladder, Wood Kidney, Water Bladder unilateral descent: Stir-fry clean sand until red. When warm, mix with Hua Jiao (Zanthoxyli Pericarpium), Xiao Hui Xiang, Ai Ye (Artemisiae Argyi Folium). Place in a basin, press a depression in the center, cover with cloth. Sit on the depression until sweating profusely. Cold blood, water, and Qi in the scrotum transform into sweat and exit. Re-stir-fry the wet sand. Repeat several times to cure.
Case 1: A boatman suffered from Small Intestine Hernia with unbearable swelling and pain. He also had swollen, painful eyes with discharge, tearing, and itching. Pulse: Cun positions were flooding and rapid; Chi positions were faint. This indicated Excess above and Deficiency below. Cooling herbs for the eyes worsened the hernia pain; warming herbs for the hernia worsened the eye pain. Physicians were helpless. I administered Mu Xiang Jin Ling Wan orally on an empty stomach to treat Lower Jiao deficiency-cold, and Tui Xue San (Blood-Dispersing Powder) before bed to treat Upper Jiao wind-heat. Three doses of each resulted in complete recovery.
Case 2: Zhao Xueshan developed unbearable hernia pain and swelling, with aversion to cold and shivering, after sexual activity followed by rising early at dawn and exposure to cold. Pulse: All six positions were faint and forceless. I prescribed Wu Ji San modified with Wu Zhu Yu and Xiao Hui Xiang, and Pan Cong San, but neither was effective. Later, I applied moxibustion. The patient’s feet were brought sole-to-sole and bound. Moxa cones the size of wheat grains were applied to the gap between the middle fingers. After 7 cones, the pain ceased. The effect was miraculous.