痛引腰脊小肠气，加味香苏温散宜，上冲心痛失笑散，有形胡卢巴丸医。
[注]
小肠气一证，其受病与疝气等，
亦因湿气在内，而寒气又束于外也，
发时少腹胀，控睾丸引腰脊，上冲心痛而不肿是也，治宜分别形状，
如引腰而痛者，加味香苏散温散之，
痛而冲心气者，加味失笑散主之，
如少腹中有形如卵，上下往来，痛不可忍者，宜胡卢巴丸主 。
(加味香苏散)苍术米泔水浸 陈皮 川楝肉 甘草 苏叶 香附酯炒
引用连须葱白水酒兑煎服。
(方歌)
加味香苏散苍术，广陈皮与川楝肉，甘草苏叶香附同，连须葱白共煎服。
(加味失笑散) 五灵脂 蒲黄隔纸炒 元胡索各等分醋炒 共为细末，
每服一二钱，水酒调下
(胡卢巴丸) 胡卢巴炒 川楝子各四钱蒸去皮核焙 川乌去皮脐
巴戟肉各一钱五分 茴香三钱 吴茱萸二钱五分半酒半醋浸一宿焙
牵牛二钱炒 以上共为细末，酒麴糊为丸，如梧桐子大，
每服数丸，空心温酒下。
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诸淋皆缘寒热湿，下移膀胱溲无时，水道涩滞常作痛，寒热石血随证医。
[注]
小儿淋证，或因风寒袭人，或因湿热下移，乘入膀胱，以致水道涩滞，
欲出不出，淋漓不断，甚至窒塞其间，令儿作痛，
然必辨其为寒为热，为石为血，分别治之，则水道宣通，淋自愈矣．
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淋证门
Xiaochang Qi (Intestinal Gas) characterized by pain radiating to the lower abdomen, waist, and spine is appropriately treated with Jiawei Xiangsu San (Modified Fragrant Eupatorium Powder) for warming and dispersing. If the pain ascends to cause heart pain, Shixiao San (Pain-Dispersing Powder) should be used. If there is a tangible mass in the abdomen, Hulu Ba Wan (Fenugreek Pill) is indicated.
[Note]
The syndrome of Xiaochang Qi (Intestinal Gas) shares etiology with Shan Qi (Hernia). It arises from dampness retained internally combined with cold binding externally. Upon onset, it presents with distension of the lower abdomen, pain radiating from the testicles to the waist and spine, and qi counterflow causing heart pain, without local swelling. Treatment must differentiate based on symptom morphology: For pain radiating to the waist, Jiawei Xiangsu San (Modified Fragrant Eupatorium Powder) is used to warm and disperse; for pain accompanied by qi counterflow to the heart, Jiawei Shixiao San (Modified Pain-Dispersing Powder) is the primary formula; for a tangible mass resembling an egg in the lower abdomen that moves up and down with unbearable pain, Hulu Ba Wan (Fenugreek Pill) is indicated.
(Modified Fragrant Eupatorium Powder) Cangzhu (Atractylodis Rhizoma) soaked in rice wash water, Chenpi (Citri Reticulatae Pericarpium), Chuanlianrou (Toosendan Fructus), Gancao (Glycyrrhizae Radix et Rhizoma), Suye (Perillae Folium), Xiangfu (Cyperi Rhizoma) stir-fried with vinegar.
Decoct with scallion white with roots, water, and wine.
(Prescription Verse)
Jiawei Xiangsan contains Cangzhu, Guang Chenpi and Chuanlianrou, Gancao, Suye, and Xiangfu together, decocted with scallion white with roots.
(Modified Pain-Dispersing Powder) Wulingzhi (Trogopterori Faeces), Puhuang (Typhae Pollen) stir-fried between papers, Yuanhusuo (Corydalis Rhizoma) each in equal parts stir-fried with vinegar, ground into fine powder.
Take 1–2 qian per dose, mixed with water and wine.
(Fenugreek Pill) Hulu Ba (Trigonellae Semens) stir-fried, Chuanlianzi (Meliae Fructus) 4 qian each steamed, skin and seeds removed, dried; Chuanwu (Aconiti Radix) peeled of skin and navel, Bajirou (Morindae Officinalis Radix) 1.5 qian each, Huixiang (Foeniculi Fructus) 3 qian, Wuzhuyu (Evodiae Fructus) 2.5 qian half soaked overnight in half wine and half vinegar, then dried; Qianniu (Pharbitidis Semen) 2 qian stir-fried. All ingredients are ground into fine powder, made into pills using wine yeast paste, sized like paulownia seeds.
Take several pills per dose, swallowed with warm wine on an empty stomach.
All types of Lin Syndrome (Dysuria) originate from cold, heat, and dampness pathogens shifting downward to the Bladder, causing frequent urination without regular intervals. The urinary pathway becomes obstructed and stagnant, often causing pain. Treatment should follow the specific presentation: cold, heat, stone, or blood Lin.
[Note]
Pediatric Lin Syndrome (Dysuria) may result from Wind-Cold invading the body or Damp-Heat shifting downward, entering the Bladder. This causes obstruction and stagnation of the urinary pathway, leading to difficulty voiding, continuous dribbling, and even blockage causing pain in children. However, one must distinguish whether it is Cold or Heat, Stone or Blood Lin, and treat accordingly. Once the urinary pathway is unobstructed, Lin Syndrome will heal spontaneously.
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Lin Syndrome Chapter