（附木肾、肾囊湿疮）
疝痛，湿热痰积流下作病，大概因寒郁而作，即是痰饮食积并死血。专主肝经，与
相干，大不宜下。痛甚者不宜参、术。 湿多。疝气宜灸大敦穴，在足大指爪甲后一韭叶
毛间，是穴。食积与死血成痛者，栀子、桃仁、山楂、枳子（一作枳实）、吴茱萸，并炒
生姜汁顺流水煎汤调服。一方加茴香、附子。却有水气而肿痛者，又有挟虚者，当用参、
为君，佐以疏导之药，其脉沉紧豁大者是。按之不定者属虚，必用桂枝、山栀炒、乌头
细切炒，上为末，姜汁糊丸，每服三四十丸，姜汤下，大能劫痛。
戴云∶疝，本属厥阴肝之一经，余常见俗说小肠膀胱下部气者，皆妄言也。
入方
治诸疝，定痛速效。
枳实（十五片，一作橘核） 山栀（炒） 山楂（炒） 吴茱萸（炒，各等分） 湿胜，荔枝核，（炮）
上为末，酒糊丸服。或为末，生姜水煎服，或长流水调下一二钱，空心。
守效丸 治 之要药不痛者。
苍术 南星 白芷（散水） 山楂（各一两） 川芎 枳核（又云枳实，炒） 半夏 秋冬加吴
茱萸，衣钵有山栀
上为末，神曲糊丸服。又云∶有热加山栀一两，坚硬加朴硝半两，又或加青皮、荔枝核
又方 治诸疝，发时服。
海石 香附
上为末。生姜汁调下。亦治心痛。
又方 治阳明受湿热，传入太阳，恶寒发热，小腹连毛际间闷痛不可忍。
山栀（炒） 桃仁（炒） 枳子（炒） 山楂
上各等分研，入姜汁，用顺流水荡起，同煎沸热服。一方加茱萸。
橘核散
橘核 桃仁 栀子 川乌（细切，炒） 吴茱萸
上研，煎服。橘核散，单止痛，此盖湿热因寒郁而发，用栀子仁以除湿热，用乌头以散
寒郁。况二药皆下焦之药，而乌头又为栀子所引，其性急速，不容胃中留也。
又方 治疝劫药。
用乌头细切炒 栀子仁炒，等分
为末，或加或减，白汤丸。
又方 治疝。
枇杷叶 野紫苏叶 椒叶 水晶葡萄叶
上以水煎熏洗。
肾气方
茴香 破故纸 吴茱萸（盐炒，各五钱） 胡芦巴（七钱半） 木香（二钱半）
上为末，萝卜捣汁丸。盐汤下。
积疝方
山楂（炒，一两） 茴香（炒） 柴胡（炒，三钱） 牡丹皮（一钱）
上为末，酒糊丸如桐子大。服五六十丸，盐汤下。
疝病黄病久者，皆好倒仓。
又方 治疝痛。
山楂（炒，四两） 枳实（炒） 茴香（炒） 山栀（炒，各二两） 柴胡 牡丹皮 桃仁（炒） 八角
茴香（炒，一两） 吴茱萸（炒，半两）
上为末，酒糊丸，桐子大。服五十丸，空心盐汤下。
又方 治疝作痛。
苍术（盐炒） 香附（盐炒） 黄柏（酒炒，为君） 青皮 玄胡索 益智 桃仁（为臣） 茴
香（佐） 附子（盐炒） 甘草（为使）
上为末。作汤服后，一痛过，更不再作矣。
又方 治 疝。
南星 山楂 苍术（二两） 白芷 半夏 枳核 神曲（一两） 海藻 昆布（半两） 玄明粉 茱
上为末，酒糊丸。
一人疝痛作，腹内块痛止；疝痛止，块痛作。
三棱 莪术（醋煮） 炒曲 姜黄 南星（各一两） 山楂（二两） 木香 沉香 香附（各三钱）
黄连（用茱萸炒，去茱萸，用五钱净） 萝卜子 桃仁 山栀 枳核（炒，各半两）
上为末，姜汁浸蒸饼为丸。
予尝治一人，病后饮水，患左丸痛甚。灸大敦穴，适有摩腰膏，内用乌附、丁香、麝香
将与摩其囊上横骨端，火温帛覆之，痛即止。一宿，肿亦消。予旧有柑橘积，后因山行饥甚
橘芋食之，橘动旧积，芋复滞气，实时右丸肿大，寒热。先服调胃剂一二帖。次早注神思
，气至下焦呕逆，觉积动吐复，吐后和胃气，疏通经络而愈。
〔附录〕木肾者，心火下降，则肾水不患其不温；真阳下行，则肾气不患其不和温。温且
和，安有所谓木强者哉？夫惟嗜欲内戕，肾家虚惫，故阴阳不相交，水火不相济，而沉寒痼
凝滞其间，胀大作痛，顽痹结硬，势所必至矣。不可纯用燥热，当温散温利以逐其邪。邪
气内消，荣卫流转，宛如寒谷回春，盖有不疾而速，不行而至者矣。
入方∶治木肾。
楮树叶（又云杨树），雄者晒干为末，酒糊丸桐子大。空心盐汤下五十丸。
又方 治木肾不痛。
枸杞子 南星 半夏 黄柏（酒炒） 苍术（盐炒） 山楂 白芷 神曲（炒） 滑石（炒）
上为末，酒糊丸桐子大。空心盐汤下七十丸。
治小肠气又木肾偏坠。
黑牵牛一斤，用猪尿胞装满，以线缚定口子。好酒米醋
各一碗，于砂锅内煮干为度，取出黑牵牛，用青红娘子各十九个，于铁锅内炒燥。去青红
子，将牵牛碾取头末四两，另入猪苓、泽泻细末各二两，醋糊丸如梧桐子大。每服三十丸，
空心盐酒送下。不可多服，多服令人头眩。如头眩，可服黑锡丹。
肾囊湿疮
密陀僧 干姜 滑石
上为末。擦上。
又方 先用吴茱萸煎汤洗。
吴茱萸（半两） 寒水石（三钱） 黄柏（二钱） 樟脑（半两） 蛇床子（半两） 轻粉（十
白矾（三钱） 硫黄（二钱） 槟榔（三钱） 白芷（三钱）
上为末。麻油调搽。
又方 治肾上风湿疮及两腿。
全蝎（一钱） 槟榔（一钱） 蛇床子（一钱） 硫黄（一钱）
上四味，研如细末。用麻油调入手心搽热，吸三口，用手抱囊一顷。次搽药两腿上。
(Attached: Wood Kidney, Scrotal Eczema)
Scrotal pain is generally caused by the accumulation and downward flow of damp-heat and phlegm turbidity. It is mostly triggered by cold stagnation, essentially involving phlegm-fluids, food retention, and dead blood (blood stasis). The pathology primarily belongs to the Liver Meridian and is related to the Kidney. Purging methods are strictly contraindicated. For severe pain, tonics such as Renshen (Ginseng Radix et Rhizoma) and Baizhu (Atractylodis Macrocephalae Rhizoma) should not be used. If dampness predominates, Moxibustion on Dazhun (LR1, Great Dun) acupoint is suitable for hernia; this point is located in the hair margin between the big toe nail and the skin, approximately the width of a leek leaf. For pain caused by food retention and blood stasis, use Zhizi (Gardeniae Fructus), Taoren (Persicae Semen), Shanzha (Crataegi Fructus), Zhizi (Zanthoxyli Fructus or Zhi Shi - Citri Reticulatae Pericarpium), and Wuzhuyu (Evodiae Fructus), decocted with fried ginger juice and flowing water, taken as a powder suspension. Another prescription adds Huixiang (Foeniculi Fructus) and Fuzi (Aconiti Lateralis Radix Praeparata). In cases with fluid retention causing swelling and pain, or those with deficiency, Renshen (Ginseng Radix et Rhizoma) and [Baizhu] (Atractylodis Macrocephalae Rhizoma) should serve as the sovereign drugs, assisted by draining and guiding agents. The pulse in such cases is typically deep, tight, or wide and empty. Tenderness that is indistinct upon palpation indicates deficiency; one must use Guizhi (Cinnamomi Ramulus), fried Zhizi (Gardeniae Fructus), and Wu Tou (Aconiti Radix), finely cut and fried, ground into powder, mixed with ginger juice to form pills. Take 30-40 pills per dose with ginger soup; this strongly alleviates pain.
Dai Yun stated: Hernia fundamentally belongs to the Jueyin Liver Meridian. I often see vulgar theories attributing it to Qi issues in the lower parts of the Small Intestine or Bladder, which are all false statements.
[Prescriptions]
Treating various hernias with rapid pain relief.
Zhi Shi (Citri Reticulatae Pericarpium, 15 slices, alternatively Ju He - Tangerine Seed), fried Zhizi (Gardeniae Fructus), fried Shanzha (Crataegi Fructus), fried Wuzhuyu (Evodiae Fructus) in equal proportions. If dampness is excessive, add Pao Lizhi He (Litchi Seed).
Grind all ingredients into powder, mix with wine paste to form pills. Alternatively, take the powder decocted in ginger water, or mix 1-2 qian with long-flowing water, taken on an empty stomach.
Shou Xiao Wan (Guarding Efficacy Pill): A key medicine for hernia, specifically for non-painful types.
Cangzhu (Atractylodis Rhizoma), Nanxing (Arisaematis Rhizoma), Baizhi (Angelicae Dahuricae Radix, to dissipate water-dampness), fried Shanzha (Crataegi Fructus) (each 1 liang), Chuanxiong (Ligusticum Chuanxiong Rhizoma), Zhi He (Tangerine Seed, also said to be Zhi Shi - Citri Reticulatae Pericarpium, fried), Banxia (Pinelliae Rhizoma). Add Wuzhuyu (Evodiae Fructus) in autumn and winter. Some versions include Zhizi (Gardeniae Fructus).
Grind into powder, mix with Shenqu (Massa Medicata Fermentata) paste to form pills. Note: Add 1 liang of Zhizi (Gardeniae Fructus) if there is heat; add 0.5 liang of Pomiao (Mirabilitum) if masses are hard; or add Qingpi (Citri Reticulatae Pericarpium Viride) and Lizhi He (Litchi Seed).
Another Prescription: Treating various hernias, taken during attacks.
Haishi (Pumex), Xiangfu (Cyperi Rhizoma).
Grind into powder. Take mixed with ginger juice. Also treats Heart Pain.
Another Prescription: Treating Yangming Meridian affected by damp-heat transmitting to the Taiyang Meridian, presenting with aversion to cold, fever, and unbearable stifling pain in the lower abdomen extending to the pubic region.
Fried Zhizi (Gardeniae Fructus), fried Taoren (Persicae Semen), fried Zhizi (Zanthoxyli Fructus or Zhi Shi - Citri Reticulatae Pericarpium), fried Shanzha (Crataegi Fructus).
Grind equal parts into powder, add ginger juice, suspend in flowing water, boil together until hot, and drink. Another version adds Wuzhuyu (Evodiae Fructus).
Ju He San (Tangerine Seed Powder)
Ju He (Tangerine Seed), Taoren (Persicae Semen), Zhizi (Gardeniae Fructus), Chuan Wu (Aconiti Radix, finely cut and fried), Wuzhuyu (Evodiae Fructus).
Grind and decoct for administration. Ju He San is used solely for pain relief. This condition arises from damp-heat constrained by cold. Zhizi Ren (Gardeniae Semen) is used to drain damp-heat, while Wu Tou (Aconiti Radix) disperses cold constraint. Both herbs act on the Lower Jiao, and Wu Tou's action is accelerated by Zhizi, ensuring rapid efficacy without lingering in the Stomach.
Another Prescription: A "Jie" (seizing/alleviating) medicine for hernia.
Wu Tou (Aconiti Radix, finely cut and fried), fried Zhizi Ren (Gardeniae Semen) in equal proportions.
Grind into powder, or make pills with white water.
Another Prescription: Treating hernia.
Pipaye (Eriobotryae Folium), Ye Zisu Ye (Perillae Folium Wild), Jiaoye (Zanthoxyli Folium), Shuijing Putao Ye (Vitis Vinifera Leaf).
Decoct in water for fumigation and washing.
Shen Qi Fang (Kidney Qi Formula)
Huixiang (Foeniculi Fructus), Poguzhi (Psoraleae Fructus), Salt-fried Wuzhuyu (Evodiae Fructus) (each 5 qian), Huluhaba (Trigonellae Semis) (7.5 qian), Muxiang (Aucklandiae Radix) (2.5 qian).
Grind into powder, make pills with radish juice. Take with salt water.
Ji She Fang (Retention Hernia Formula)
Fried Shanzha (Crataegi Fructus) (1 liang), Fried Huixiang (Foeniculi Fructus), Fried Chaihu (Bupleuri Radix) (3 qian), Mudanpi (Moutan Cortex) (1 qian).
Grind into powder, make pills with wine paste, size of sesame seeds. Take 50-60 pills with salt water.
Patients with chronic hernia or jaundice are suitable for Dao Cang Fa (Stomach Purging/Cathartic Therapy).
Another Prescription: Treating scrotal pain.
Fried Shanzha (Crataegi Fructus) (4 liang), Fried Zhi Shi (Citri Reticulatae Pericarpium), Fried Huixiang (Foeniculi Fructus), Fried Zhizi (Gardeniae Fructus) (each 2 liang), Chaihu (Bupleuri Radix), Mudanpi (Moutan Cortex), Fried Taoren (Persicae Semen), Fried Bajiao Huixiang (Illicii Veri Fructus) (1 liang), Fried Wuzhuyu (Evodiae Fructus) (0.5 liang).
Grind into powder, make pills with wine paste, size of sesame seeds. Take 50 pills on an empty stomach with salt water.
Another Prescription: Treating hernia pain.
Salt-fried Cangzhu (Atractylodis Rhizoma), Salt-fried Xiangfu (Cyperi Rhizoma), Wine-fried Huangbai (Phellodendri Cortex) as Sovereign, Qingpi (Citri Reticulatae Pericarpium Viride), Yuanhusuo (Corydalis Rhizoma), Yizhi (Alpiniae Oxyphyllae Fructus), Fried Taoren (Persicae Semen) as Minister, Huixiang (Foeniculi Fructus) as Assistant, Salt-fried Fuzi (Aconiti Lateralis Radix Praeparata), Gancao (Glycyrrhizae Radix et Rhizoma) as Envoy.
Grind into powder. Decoct and take. After one dose, the pain ceases and does not recur.
Another Prescription: Treating [Phlegm] Hernia.
Nanxing (Arisaematis Rhizoma), Shanzha (Crataegi Fructus), Cangzhu (Atractylodis Rhizoma) (2 liang), Baizhi (Angelicae Dahuricae Radix), Banxia (Pinelliae Rhizoma), Zhi He (Tangerine Seed), Shenqu (Massa Medicata Fermentata) (1 liang), Haizao (Sargassum), Kunbu ( Eckloniae Stipes) (0.5 liang), Xuanmingfen (Mirabilite), [Wu]zhuyu (Evodiae Fructus).
Grind into powder, make pills with wine paste.
A patient experienced alternating pain: when hernia pain occurred, abdominal mass pain stopped; when hernia pain stopped, mass pain began.
Cu Zhu Sanleng (Sparganii Rhizoma Vinegar-boiled), Cu Zhu Ezhu (Curcumae Rhizoma Vinegar-boiled), Fried Shenqu (Massa Medicata Fermentata), Jianghuang (Curcumae Longae Rhizoma), Nanxing (Arisaematis Rhizoma) (each 1 liang), Shanzha (Crataegi Fructus) (2 liang), Muxiang (Aucklandiae Radix), Chenxiang (Aquilariae Lignum Resinatum), Xiangfu (Cyperi Rhizoma) (each 3 qian), Huanglian (Coptidis Rhizoma) (fried with Wuzhuyu, discard Wuzhuyu, use 5 qian pure), Luobozzi (Brassicae Napus Semen), Taoren (Persicae Semen), Fried Zhi He (Tangerine Seed) (each 0.5 liang).
Grind into powder, soak in ginger juice, steam with steamed bread dough to form pills.
I once treated a patient who drank water after illness and suffered severe pain in the left testicle. We moxa-ed Dazhun (LR1) Acupoint. I happened to have Moyao Gao (Waist Rubbing Plaster) containing Wutou (Aconiti Radix), Fuzi (Aconiti Lateralis Radix Praeparata), Dingxiang (Syzygii Aromatici Flos), and Shexiang (Moschus). I applied it to the transverse bone end above the scrotum, covered it with a heated cloth, and the pain ceased immediately. By morning, the swelling subsided. I previously had citrus retention. Once, while hiking and very hungry, I ate oranges and taro. The oranges disturbed my old retention, and the taro stagnated Qi, causing immediate swelling of the right testicle with chills and fever. I first took 1-2 doses of Stomach-regulating medicine. The next morning, I administered acupuncture at Shenque (CV8); Qi reached the Lower Jiao inducing vomiting. Feeling the retention loosen and vomit out, I then harmonized Stomach Qi and unblocked meridians, resulting in recovery.
[Appendix] "Wood Kidney" occurs when Heart Fire descends, ensuring Kidney Water is warm; when True Yang descends, Kidney Qi is harmonious and warm. With warmth and harmony, how could "wood-like hardness" occur? It happens because internal damage from desires leads to Kidney deficiency and exhaustion. Yin and Yang fail to interact, Water and Fire fail to balance, allowing deep-seated cold to stagnate. This results in distension, severe pain, stubborn numbness, and hard masses—a inevitable progression. Do not use purely drying-hot medicines; instead, use warming-dispersing and warming-draining methods to expel pathogens. As pathogens dissipate internally, Ying and Wei Qi circulate freely, akin to a cold valley returning to spring, achieving rapid results without forced effort.
[Prescription]: Treating Wood Kidney.
Chuye (Broussonetiae Folium, or Yangshu Ye - Populus Leaf), male plant dried and powdered. Mix with wine paste to form pills size of sesame seeds. Take 50 pills on an empty stomach with salt water.
Another Prescription: Treating Wood Kidney without pain.
Gouqizi (Lycii Fructus), Nanxing (Arisaematis Rhizoma), Banxia (Pinelliae Rhizoma), Wine-fried Huangbai (Phellodendri Cortex), Salt-fried Cangzhu (Atractylodis Rhizoma), Shanzha (Crataegi Fructus), Baizhi (Angelicae Dahuricae Radix), Fried Shenqu (Massa Medicata Fermentata), Fried Huashi (Talcum).
Grind into powder, make pills with wine paste, size of sesame seeds. Take 70 pills on an empty stomach with salt water.
Treating Small Intestine Qi and Wood Kidney Ptosis.
Heiqianniu (Pharbitidis Semen) 1 jin, filled into a pig bladder, tied securely. Boil with good wine and rice vinegar (1 bowl each) in a clay pot until dry. Remove Heiqianniu. Stir-fry 19 Qingniangzi (Mylabris) and Hongniangzi (Mylabris) in an iron pan until dry. Discard insects. Grind Heiqianniu to obtain the finest powder (4 liang). Add Zhu Ling (Polypori Sclerotium) and Zexie (Alismatis Rhizoma) fine powders (2 liang each). Make pills with vinegar paste, size of paulownia seeds. Take 30 pills on an empty stomach with salt wine. Do not overdose, as it causes dizziness. If dizzy, take Heixi Dan (Black Tin Pill).
Scrotal Eczema
Mituoseng (Litharge), Ganjiang (Zingiberis Rhizoma), Huashi (Talcum).
Grind into powder. Apply externally.
Another Prescription: First wash with Wuzhuyu (Evodiae Fructus) decoction.
Wuzhuyu (Evodiae Fructus) (0.5 liang), Hanshuishi (Calcitum) (3 qian), Huangbai (Phellodendri Cortex) (2 qian), Zhangnao (Camphora) (0.5 liang), Shechuangzi (Cnidii Fructus) (0.5 liang), Qingfen (Calomelas) [amount missing], Baijian (Alumen) (3 qian), Liuhuang (Sulfur) (2 qian), Binglang (Arecae Semen) (3 qian), Baizhi (Angelicae Dahuricae Radix) (3 qian).
Grind into powder. Mix with sesame oil and apply.
Another Prescription: Treating wind-damp eczema on the kidneys and both legs.
Quanxie (Scorpio) (1 qian), Binglang (Arecae Semen) (1 qian), Shechuangzi (Cnidii Fructus) (1 qian), Liuhuang (Sulfur) (1 qian).
Grind these four ingredients into fine powder. Mix with sesame oil, warm in palms, inhale three breaths, and hold hands over the scrotum briefly. Then apply medicine to both legs.