[总诀]膀胱胞室与肝经，时辈犹知此数层。独于瘕气和寒疝，此意从来少识人。
小腹满痛，由于小便不通者，膀胱之水结也。宜加味五苓散。
白芍（三钱） 白术（三钱） 云苓（三钱） 猪苓（三钱） 泽泻（三钱） 杏仁（三钱） 桂枝（二
钱）
歌曰∶小腹疼时便溺穷，膀胱水结二苓攻。
术和桂泽心阳导，芍杏还从肝肺通。
小腹满痛，小便仍然通利者，胞宫之血结也。宜加减桃仁汤（重者加大黄）。
桃仁（一钱） 蒲黄（三钱） 赤芍（二钱） 白芍（二钱） 灵脂（三钱） 郁金（一钱） 归尾（三
钱） 木香（一钱） 香附（三钱） 黄芩（二钱） 甘草（一钱） 川芎（八分）
歌曰∶疼居少腹便犹通，归郁灵桃蒲草攻。
二芍木香香附子，芎芩或与大黄同。
小腹绞痛，绕脐上下难忍者，下焦之寒疝也。宜乌头羊肉汤。
当归（三钱） 生姜（三钱） 羊肉（四两） 乌头（二钱炮）
歌曰∶绕脐疼痛下焦寒，羊肉乌头姜共餐。
更有当归宜合用，须知四药总温肝。
（伯未按∶感寒腹痛，用食盐川椒炒热，熨脐四周。）
小腹旁痛，以及软肋俱痛者，厥阴血不和也。宜当归四逆汤。
当归（三钱） 桂枝（二钱） 细辛（五分） 白芍（二钱） 木通（一钱） 生地（二钱） 云苓
（二钱） 香附（二钱） 灵脂（二钱） 甘草（一钱） 橘叶（三钱） 艾叶（二钱） 川芎（一钱）
台乌药（二钱）
歌曰∶小腹疼连软胁旁，归辛桂芍地通尝。
芎灵香附台乌草，橘叶云苓艾煮汤。
小腹疼痛，得屁腹鸣乃快者，小肠气不和也，宜普明橘核丸。
楂核（二钱） 荔枝（三钱） 吴萸（一钱） 橘核（三钱） 香附（三钱） 小茴（一钱） 楝子（三
钱）
歌曰∶腹鸣得屁痛方轻，楂荔吴萸橘核呈。
香附小茴和楝子，小肠疼痛此方平。
小腹疼痛，由于淋 血虚者，胞宫瘀与热也。宜下瘀清热汤。
黄柏（二钱） 黄芩（三钱） 白芍（二钱） 赤芍（二钱） 桃仁（三钱） 牛膝（一钱） 丹
皮（三钱） 茜草（一钱） 归尾（三钱） 生地（三钱） 甘草（一钱）
歌曰∶小腹疼因血结胞，柏芩二芍并甘梢。
桃仁牛膝丹和茜，归地浓煎煮作胶。
[General Verse]
The Bladder, the Uterus (Bao Gong), and the Liver Meridian are layers that contemporary physicians still understand. However, regarding Zha Qi (abdominal masses caused by qi stagnation) and Han Shan (cold hernia characterized by abdominal pain), few people have historically grasped this meaning.
Fullness and pain in the lower abdomen due to difficulty in urination is caused by the condensation of water in the Bladder. Jia Wei Wu Ling San (Modified Five-Ingredient Powder with Poria) is indicated.
Bai Shao (3 qian) Bai Zhu (3 qian) Yun Ling (3 qian) Zhu Ling (3 qian) Ze Xie (3 qian) Xing Ren (3 qian) Gui Zhi (2 qian)
Song says: When there is pain in the lower abdomen and urine output is exhausted, Zhu Ling and Fu Ling attack the water condensation in the Bladder.
Bai Zhu harmonizes with Gui Zhi and Ze Xie to guide Heart Yang, while Bai Shao and Xing Ren facilitate communication with the Liver and Lungs.
Fullness and pain in the lower abdomen where urination remains normal is caused by blood stasis condensing in the the Uterus (Bao Gong). Jia Jian Tao Ren Tang (Modified Peach Kernel Decoction) is indicated (add Da Huang for severe cases).
Tao Ren (1 qian) Pu Huang (3 qian) Chi Shao (2 qian) Bai Shao (2 qian) Ling Zhi (3 qian) Yu Jin (1 qian) Gui Wei (3 qian) Mu Xiang (1 qian) Xiang Fu (3 qian) Huang Qin (2 qian) Gan Cao (1 qian) Chuan Xiong (8 fen)
Song says: Pain located in the Shaoyang/abdomen with unobstructed bowel and bladder movements is attacked by Gui, Yu, Ling, Tao, Pu, and Cao.
Two types of Shao, Mu Xiang, and Xiang Fu Zi; Chuan Xiong and Huang Qin may be used together with Da Huang.
Cramping pain in the lower abdomen, unbearable as it wraps around the umbilicus up and down, is Han Shan of the Lower Jiao. Wu Tou Yang Rou Tang (Aconite and Mutton Decoction) is indicated.
Dang Gui (3 qian) Sheng Jiang (3 qian) Yang Rou (4 liang) Wu Tou (2 qian, processed)
Song says: Periumbilical pain stems from Cold in the Lower Jiao; Yang Rou, Wu Tou, and Sheng Jiang are consumed together.
Dang Gui is suitably combined; know that these four herbs collectively warm the Liver.
(Ber An's Note: For abdominal pain caused by cold invasion, stir-fry Yan Yan (salt) and Chuan Jiao until hot, then apply as a compress around the navel.)
Pain on both sides of the lower abdomen, along with pain in the hypochondrium, indicates disharmony of blood in the Jueyin Meridian. Dang Gui Si Ni Tang (Angelica Sinensis Four Reversal Decoction) is indicated.
Dang Gui (3 qian) Gui Zhi (2 qian) Xi Xin (5 fen) Bai Shao (2 qian) Mu Tong (1 qian) Sheng Di (2 qian) Yun Ling (2 qian) Xiang Fu (2 qian) Ling Zhi (2 qian) Gan Cao (1 qian) Ju Ye (3 qian) Ai Ye (2 qian) Chuan Xiong (1 qian) Tai Wu Yao (2 qian)
Song says: Lower abdominal pain extending to the soft hypochondriac region; try Dang Gui, Xi Xin, Gui Zhi, Bai Shao, Sheng Di, and Mu Tong.
Chuan Xiong, Ling Zhi, Xiang Fu, Tai Wu, and Gan Cao; boil with Ju Ye, Yun Ling, and Ai Ye to make a decoction.
Lower abdominal pain that feels relieved after passing gas and hearing borborygmus indicates disharmony of Xiao Chang Qi (Small Intestine Qi). Pu Ming Ju He Wan (Pu Ming Tangerine Seed Pill) is indicated.
Zha He (2 qian) Li Zhi (3 qian) Wu Yu (1 qian) Ju He (3 qian) Xiang Fu (3 qian) Xiao Hui (1 qian) Lian Zi (3 qian)
Song says: Pain lightens only when borborygmus occurs and gas is passed; Zha, Li, Wu Yu, and Ju He present their efficacy.
Xiang Fu, Xiao Hui, and Lian Zi harmonize; this formula calms Small Intestine pain.
Lower abdominal pain due to Lin Syndrome (dysuria) accompanied by Blood deficiency indicates Blood stasis and Heat in the the Uterus (Bao Gong). Xia Yu Qing Re Tang (Descend Stasis and Clear Heat Decoction) is indicated.
Huang Bo (2 qian) Huang Qin (3 qian) Bai Shao (2 qian) Chi Shao (2 qian) Tao Ren (3 qian) Niu Xi (1 qian) Dan Pi (3 qian) Qian Cao (1 qian) Gui Wei (3 qian) Sheng Di (3 qian) Gan Cao (1 qian)
Song says: Lower abdominal pain arises from Blood binding in the Bao Gong; Huang Bo, Huang Qin, two Shaos, and Gan Cao tip are used together.
Tao Ren, Niu Xi, Dan Pi, and Qian Cao; Gui and Sheng Di are decocted thickly into a gelatinous consistency.