疝气者，睾丸肿大而痛也。其证虽属肝肾之邪，而实原于任脉。《经》云∶任脉为病，男子内结七疝
是也。水寒木郁，阴气结滞，乃成此证。法宜温水木之寒，散肾肝之结，则疝气自消矣。如寒疝腹中痛，逆
冷手足不仁者，以乌头桂枝汤加味主之。如寒疝，宜去湿调气者，以五苓散加味主之。外法以锻石敷之。如
狐疝之偏，有大小，时时上下者，用蜘蛛散亦良。
乌头桂枝加味汤
乌头（三钱泡） 桂枝（三钱） 芍药（三钱） 甘草（二钱） 生姜（三钱） 吴茱萸
（三钱泡） 泽泻（三钱） 大枣（四枚） 水煎大半杯，温服。其臃肿偏坠者，用此药煎汤热洗之。
或用药末盛带中热熨之，日作数次，令其囊消而止。
五苓散
（方见痰饮） 加小茴木香、木通、金铃子，如痛甚须防其溃烂，加金银花为君，再加乳
香、没药为佐。如麻木不痛，恐为 疝，宜加桃仁、附子、荜茇、沙参、蒺藜，蜜丸，盐汤送下。
外治法
用雄黄（一两），矾石（二两），甘草（五钱），煮汤洗之。
蜘蛛散
蜘蛛（十四枚焦炒） 桂枝（五分） 研末，取八分一匕，饮和，日再服，蜜丸亦可。
奔豚者，肾之积也。缘阴气凝聚，结于少腹，坚实牢硬，有时逢郁则发，奔腾逆上，势如惊豚。
腹胁心胸，诸病皆作，气冲咽喉，七窍火发，危困欲死，不可支也。其将发之时，则脐下悸作，凡惊悸
一生，即为奔豚欲发之兆也。如汗后亡阳，脐下悸动，奔豚欲作者，以茯苓桂枝甘草大枣汤主之。如奔
豚方作，气从少腹上冲心部者，以桂枝加桂汤主之。如奔豚盛作，气上冲胸，头疼腹痛，往来寒热者，以
奔豚汤主之。
茯苓桂枝甘草大枣汤
茯苓（一两） 桂枝（四钱） 甘草（二钱） 大枣（十五枚） 甘澜水四杯，先煎
茯苓，减二杯，入诸药煎大半杯，温服，日三服。作甘澜水法，大盆置水，以勺扬之，千百遍，令水珠散
乱，千颗相逐，乃取用之。
桂枝加桂汤
即桂枝汤再加桂枝二钱
奔豚汤
甘草（二钱） 半夏（四钱） 芍药（二钱） 当归（二钱） 黄芩（二钱） 生姜（四钱） 芎
（二
钱） 生葛（五钱） 甘李根白皮（三钱） 水煎大半杯，温服。
Shanqi (Hernia), characterized by swelling and pain of the testicles, although its syndrome belongs to the pathogenic factors of the Liver and Kidney, actually originates from the Ren Mai (Conception Vessel). The *Classic* states: "When the Ren Mai is diseased, seven types of Shanqi (hernias) form internally in men," which refers to this condition. Due to cold water causing stagnation of Wood (Liver), Yin Qi (Cold-Dampness) condenses and obstructs, thereby forming this syndrome. The treatment principle should be to warm and dispel the cold of the Kidney and Liver, and dissipate the stagnation of the Kidney and Liver, so that Shanqi will naturally subside. If it is Hanhan (Cold Hernia) causing abdominal pain with counterflow coldness and numbness of the hands and feet, a modified Wutou Guizhi Tang (Aconite Twig Decoction) should be used as the main formula. If it is Cold Hernia requiring dampness removal and Qi regulation, a modified Wuling San (Five-Ingredient Powder with Poria) should be used. For external treatment, Duanshi (Calcined Mineral Drug) can be applied as a poultice. If it is Huxian (Fox Hernia), presenting with asymmetry, varying size, and frequent upward and downward movement, Zhizhu San (Spider Powder) is also effective.
Modified Wutou Guizhi Tang
Wutou (Aconiti Lateralis Radix Praeparata, 3 qian, soaked) Guizhi (Cinnamomi Ramulus, 3 qian) Shaoyao (Paeoniae Radix Alba, 3 qian) Gancao (Glycyrrhizae Radix et Rhizoma, 2 qian) Shengjiang (Zingiberis Rhizoma Recens, 3 qian) Wuzhuyu (Evodiae Fructus, 3 qian, soaked) Zexie (Alismatis Rhizoma, 3 qian) Dazao (Jujubae Fructus, 4 pieces). Decoct in water until half a cup remains, take warm. For cases with swelling and pendulous heaviness, use this decoction for hot washing. Alternatively, place the powdered medicine in a bag for hot compresses, several times a day, until the scrotum subsides.
Wuling San
(See formula under "Phlegm-Fluid Retention") Add Xiaohui Xiang (Foeniculi Fructus), Muxiang (Aucklandiae Radix), Mutong (Akebiae Caulis), Jinlingzi (Meliosmae Fructus). If pain is severe, preventing ulceration is necessary; add Jinyinhua (Lonicerae Japonicae Flos) as the sovereign herb, plus Ruxiang (Olibanum) and Moyao (Myrrha) as minister herbs. If there is numbness without pain, fearing malignant transformation of hernia, add Taoren (Persicae Semen), Fuzi (Aconiti Lateralis Radix Praeparata), Bibo (Piperis Longi Fructus), Shashen (Glehniae Radix), Jili (Tribuli Fructus), make honey pills, and swallow with salted water.
External Treatment Method
Use Xionghuang (Realgar, 1 liang), Fanshi (Alumen, 2 liang), Gancao (Licorice Root, 5 qian), boil in water and wash the affected area.
Zhizhu San
Zhizhu (Araneus, 14 pieces, fried until charred) Guizhi (Cinnamomi Ramulus, 5 fen). Grind into powder, take one-eighth of a bi (spoonful), mix with water and drink, twice daily. Honey pills are also acceptable.
Ben Tun (Running Piglet), is an accumulation disease of the Kidney. It arises from the condensation of Yin Qi, knotting in the lower abdomen, becoming solid and hard. Sometimes triggered by emotional depression, it erupts and rushes upward, resembling a startled running piglet. During such episodes, diseases in the abdomen, flanks, chest, and heart all manifest; Qi rushes to the throat, fire erupts in the seven orifices, the condition is critical and agonizing, unbearable. At the time of impending attack, palpitations occur below the umbilicus. Anyone prone to fright and palpitations shows signs of impending Ben Tun. If after sweating Yang is lost, with palpitations below the umbilicus and impending Ben Tun, Fuling Guizhi Gancao Dazao Tang (Poria, Cinnamon Twig, Licorice, and Jujube Decoction) is indicated. If Ben Tun is just starting, with Qi rushing from the lower abdomen to the heart region, Guizhi Jia Gui Tang (Cinnamon Twig Decoction with Additional Cinnamon Twig) is indicated. If Ben Tun is severely active, with Qi rushing to the chest, headache, abdominal pain, and alternating chills and fever, Bentun Tang (Running Piglet Decoction) is indicated.
Fuling Guizhi Gancao Dazao Tang
Fuling (Poria, 1 liang) Guizhi (Cinnamomi Ramulus, 4 qian) Gancao (Glycyrrhizae Radix et Rhizoma, 2 qian) Dazao (Jujubae Fructus, 15 pieces). Use Ganlan Shui (Ganlan Water/Gliding Water, 4 cups). First decoct Fuling until reduced by two cups, then add other herbs and decoct until half a cup remains. Take warm, three times daily. Method for making Ganlan Water: Place water in a large basin, ladle it up and down thousands of times until the water droplets are scattered and chasing each other, then use it.
Guizhi Jia Gui Tang
This is Guizhi Tang (Cinnamon Twig Decoction) with an additional 2 qian of Guizhi (Cinnamomi Ramulus).
Bentun Tang
Gancao (Licorice Root, 2 qian) Banxia (Pinelliae Rhizoma, 4 qian) Shaoyao (Paeoniae Radix Alba, 2 qian) Danggui (Angelicae Sinensis Radix, 2 qian) Huangqin (Scutellariae Radix, 2 qian) Shengjiang (Zingiberis Rhizoma Recens, 4 qian) Xiong (Chuanxiong Rhizoma, 2 qian) Shengge (Puerariae Lobatae Radix, 5 qian) Gan Li Gen Bai Pi (Cortex Pruni Spinosae Albus, 3 qian). Decoct in water until half a cup remains, take warm.