须当发日早晨服。
黄丹(炒色变)
上入好建茶合和二钱匕。白汤调下；或温酒调，不入茶。
雄黑豆（四十九粒，重午日井水浸，次日取去皮，拭干，研为膏) 真砒（一钱，研细，入豆
膏内研匀)
上五月五日午时丸，如绿豆大，控干，辰砂为衣，密器封之。发日空心井花水下一丸。
忌见鸡犬。若女人病，令男子闭目送入口。忌热食一日。孕妇不得服，于发日以缝帛系一丸
于右臂上。小儿不能吞，随男左女右系之。
又方
黄丹（不以多少）
上五月五日，用独头蒜煨熟研细，搜丸，如梧子大。每服五丸，当发前一食顷桃、柳枝煎汤调下。
青黛 桂心 砒 巴豆 硫黄（等分）
上并不去皮壳，不修治，为末，以五月五日五家灰粽角为丸，枣核大。绵裹定，当发日
塞耳中，男左女右。忌荤腥。
经论虽云七疝，诸疝等更不见名状，但出寒疝、 疝而已，唯大奇论列五脏脉为五疝证
，所谓肾脉大急沉为肾疝，肝脉大急沉为肝疝，心脉搏滑急为心疝，肺脉沉搏为肺疝，三阴
急为脾疝。三阴，即太阴脾脉也。大抵血因寒泣则为瘕气，因寒聚则为疝。但五脏脉理不同
，不可不辨。且肾脉本沉，心脉本滑，受寒则急，于理乃是；肝脉本弦，肺脉本涩，并谓之
沉，未为了义。又脾不出本脉，但云急为疝，亦文义之缺也。凡云急者，紧也。紧为寒，亦
可类推。且贼风入腹亦为疝，冒暑履湿，皆能为疝，当随四气改易急字。风则浮弦，暑则洪
数，湿则缓细，于理甚明。要知疝虽兼脏气，皆外所因也。
It should be taken on the morning of the day when the paroxysm occurs.
Huangdan (Calomelas, roasted until the color changes)
Mix the above with high-quality Jian tea, combining two qianbi (a traditional unit of weight/volume). Administer by mixing with white boiled water; or mix with warm wine, without adding tea.
Xiongheidou (Forty-nine grains of male black soybeans, soaked in well water on the fifth day of the fifth lunar month [Duanwu Festival], skin removed the next day, dried, and ground into a paste) Zhenpi (Real Realgar/Orpiment, one qian, finely ground and mixed evenly into the bean paste)
Prepare pills at noon on the fifth day of the fifth lunar month, sized like mung beans. Dry them thoroughly, coat with Chen Sha (Cinnabar), and seal in an airtight container. On the day of the paroxysm, swallow one pill on an empty stomach with "Jinghua Shui" (water drawn from a well just as dawn breaks).
Avoid seeing chickens and dogs. If the patient is female, have a man close his eyes while administering the medicine into her mouth. Avoid hot food for one day after administration. Pregnant women must not take this. On the day of the paroxysm, tie one pill to the right arm with a silk strip. For children who cannot swallow, tie it to the left arm for boys and the right arm for girls.
Another prescription
Huangdan (Calomelas, quantity unspecified)
On the fifth day of the fifth lunar month, roast a single-clove garlic until cooked, grind it finely, and use it to bind the powder into pills sized like wu zi (seeds of Cercis chinensis). Take five pills each time. One hour before a meal prior to the expected onset, administer with decoction made from peach and willow branches.
Qingdai (Indigo Naturalis) Guixin (Cortex Cinnamomi) Pi (Realgar/Orpiment) Badou (Semen Crotonis) Liuhuang (Sulfur) (Equal parts)
Do not remove the shells or process these ingredients specially. Grind them into powder. Use "Zongjiao" (the corner of a sticky rice dumpling wrapped in reed leaves) from five different households on the fifth day of the fifth lunar month as a binder to form pills sized like jujube seeds. Wrap securely in cotton cloth. On the day of the paroxysm, insert into the ear: left ear for males, right ear for females. Avoid meat and fish.
Although classical texts mention "Seven Types of Hernia" (Qi Shan), specific names and manifestations for various hernias are rarely detailed, with only Cold Hernia (Han Shan) and Masses (Jia Qi) being mentioned. Only the *Suwen: Daqi Lun* lists five types of hernia based on the pulse conditions of the five zang organs: A large, rapid, and deep kidney pulse indicates Kidney Hernia; a large, rapid, and deep liver pulse indicates Liver Hernia; a slippery, rapid, and forceful heart pulse indicates Heart Hernia; a deep and forceful lung pulse indicates Lung Hernia; and a rapid yin pulse indicates Spleen Hernia. Here, "Three Yin" refers to the Taiyin Spleen pulse. Generally speaking, blood stagnation due to cold forms Jia Qi (masses), while cold aggregation forms Shan (hernia). However, the pulse characteristics of the five zang organs differ, so they must be distinguished carefully. The kidney pulse is naturally deep, and the heart pulse is naturally slippery; becoming rapid/tense upon cold invasion is logically consistent. However, the liver pulse is naturally wiry, and the lung pulse is naturally choppy; describing both as "deep" is not entirely accurate. Furthermore, the spleen pulse does not show its characteristic features, merely stating that a rapid pulse indicates hernia, which is a textual omission. Whenever "rapid" (Ji) is mentioned, it actually implies "tight" (Jin). A tight pulse indicates cold, which can be inferred analogously. Additionally, pathogenic winds entering the abdomen can cause hernia, as can exposure to summer heat and dampness. Therefore, the meaning of "rapid" should be adjusted according to the four seasonal climates: wind presents with floating and wiry pulses, summer heat with surging and rapid pulses, and dampness with slow and fine pulses. This is clearly consistent with medical theory. It must be understood that although hernias involve the qi of the zang organs, they are primarily caused by external factors.