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Cold-dampness accumulates internally for a long time, and is subsequently invaded by wind-cold and water-dampness, resulting in a cold, hard, and painful scrotum, forming Cold Hernia (Han Shan). Treatment should utilize Wutou Guizhi Tang (Aconite Twig Decoction) or Jinju Wan.

[Note]
Cold Hernia arises because children have previously consumed excessive amounts of raw and cold foods, or slept on damp ground, causing Yin-cold to knot internally and Qi stagnation to impede movement.
After accumulating for a long period, it is further constrained by wind-cold and injured by water-dampness.
Consequently, upon onset, the scrotum becomes cold, knotted, and hard, with pain radiating to and affecting the lower abdomen.
If the condition is newly acquired and accompanied by exterior symptoms, Wutou Guizhi Tang (Aconite Twig Decoction) is the primary formula; if the cold pathogen is severe, Jinju Wan is used for treatment.

(Wutou Guizhi Tang [Aconite Twig Decoction]) Ingredients: Guizhi (Cinnamon Twig), Chishao Yao (Red Peony Root), Zhi Gancao (Honey-fried Licorice Root), Wutou (Aconite Root). Preparation: Use Shengjiang (Fresh Ginger) as an adjuvant, decoct with water, and take orally.
(Prescription Verse)
Wutou Guizhi treats Cold Hernia, its method of releasing the exterior and warming the middle is most excellent; Guang Guizhi combined with Chishao Yao, Wutou and Gancao, guided by Shengjiang.

(Jinju Wan) Ingredients: Jinlingzi Rou (Violet Fruit Flesh), one tael; Wu Zhuyu (Evodia Fruit), five qian. Grind the above into fine powder, make pills using a paste prepared by boiling yeast with wine,
size similar to hemp seeds. Take several pills per dose, administered with salted water.

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Disease Category: Hernia

Excessive consumption of rich flavors generates Damp-Heat, which, when triggered by wind-cold, forms Hernia Qi. The scrotum hangs loose, turns red and swollen, and suffers frequent stabbing pain; taking Wutou Zhizi Tang brings immediate relief.

[Note]
Children who habitually overconsume rich and greasy foods generate Damp-Heat internally. The Damp-Heat Qi descends and flows into the scrotum.
When constrained by wind-cold, the Hernia syndrome is formed. Upon onset, the scrotum hangs loose, becomes red and swollen, and experiences frequent stabbing pain.
One should regulate and treat with Wutou Zhizi Tang, so that the hernia may be cured.

(Wutou Zhizi Tang) Ingredients: Wutou (Aconite Root), Zhi Zi (Gardenia Fruit, stir-fried). Preparation: Use Shunliushui (Flowing Water) and Jiangzhi (Ginger Juice), decoct with water, and take orally.
(Prescription Verse)
Hernia Qi pain caused by Damp-Heat sensing Cold, Wutou Zhizi Tang is most effective; Zhi Zi, Wutou, and Jiangzhi together, decocted with Shunliushui, the illness immediately calms.

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Disease Category: Hernia

Fetal Hernia is mostly due to the mother crying excessively; the infant is born with a hard scrotum/bag and ceaseless pain. Mild cases are treated with Shiwei Cangnie San, while severe cases are suitable for Jinling San or Chuanlian Wan.

[Note]
Fetal Hernia occurs because the pregnant woman cried excessively, causing Qi knotting to fail to dissipate and accumulate within the Baozhong (uterus/womb), causing the child to be born with a hard and painful scrotum/bag.
For mild cases, Shiwei Cangnie San is the primary formula; for severe cases, Jinling San or Chuanlian Wan is the primary formula.

(Shiwei Cangnie San) Ingredients: Qingpi (Green Tangerine Peel, vinegar-fried), Chuan Fuzi (Prepared Aconite Lateral Root), Huangbai (Phellodendron Bark), Jiuchao Nanshan Zha Rou (Wine-fried Hawthorn Fruit Flesh), Cangzhu (Atractylodes Rhizome, soaked in rice wash water), Xiangfu (Cyperi Rhizoma, processed), Yizhiren (Alpinia Oxyphylla Fruit), Cu Chao Yuanhusuo (Vinegar-fried Corydalis Rhizome), Taoren (Peach Kernel), Zhi Gancao (Honey-fried Licorice Root). Preparation: Use Xiaohuixiang (Fennel Fruit) as an adjuvant, decoct with water, and take orally.
(Prescription Verse)
Shiwei Cangnie San treats Fetal Hernia; Qingpi, Chuan Fuzi, Huangbai, Shan Zha, Cangzhu, Xiangfu, Yizhiren, Yuanhusuo, Taoren, Gancao, guided by Huixiang.

(Jinling San) Ingredients: Sanleng (Sparganium Rhizome), Ezhu (Curcuma Rhizome), each three qian; Chenpi (Aged Tangerine Peel), Chifuling (Red Poria), each five qian; Huixiang (Fennel Fruit), three qian; Sheng Gancao (Raw Licorice Root), two qian; Binglang (Areca Seed), Zhi Ke (Bitter Orange Fruit, bran-fried), each three qian; Biji Lei (Tribulus Fructus), Qingpi (Green Tangerine Peel, vinegar-fried), each four qian; Nanmuxiang (Costus Root), three qian; Jinlingzi Rou (Violet Fruit Flesh), one tael.
Except for Binglang and Nanmuxiang which are not roasted over fire, all other ingredients are baked and ground together into fine powder. Take half to one qian per dose, mixed and taken with Wuhuijiu (pure liquor without ash).

(Chuanlian Wan) Ingredients: Muxiang (Aucklandiae Radix), Binglang (Areca Seed), Sanleng (Sparganium Rhizome), Ezhu (Curcuma Rhizome), each three qian; Qingpi (Green Tangerine Peel, vinegar-fried), Chenpi (Aged Tangerine Peel), each four qian; Chuanlian Rou (Toosendan Fruit Flesh), eight qian; Yuanhua (Genkwa Flos, vinegar-fried), five fen; Lagui (Cinnamon Bark), two qian; Qianniu (Morning Glory Seed, raw, kernel extracted), two qian; Badou (Croton Seed, oil removed), three grains.
Grind all into extremely fine powder, make pills using flour paste, size similar to hemp seeds. Take three or four pills per dose, delivered with ginger soup.

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Disease Category: Hernia