2.血疝便毒溃鱼口,???? 气坠筋即疳, 水疝胞痹皆癃疝, 冲似小肠
腰痛连.
【注】有谓血疝者, 其证即便毒鱼口也.?? 者疝, 其证即?? 疝也.
气疝者, 即偏坠也. 筋疝者, 即下疳也. 水疝小便不通, 胞痹即膀胱
气,皆癃疝也. 冲疝证似小肠气, 而更连腰痛也.
3.治疝左右分气血, 尤别虚湿热与寒, 寒收引痛热多纵, 湿肿重坠
虚轻然.
【注】疝病, 凡在左边阴丸属血分, 凡在右边阴丸属气分. 凡寒则收
引而痛甚, 热则纵而痛微. 凡湿则肿而重坠, 而虚亦肿坠, 但轻轻然
而不重也.
当归温疝汤 乌桂汤
4.中寒冷疝归芍附, 桂索茴楝泽萸苓, 外寒入腹川乌蜜, 肉桂芍草
枣姜同.
【注】当归温疝汤, 即当归, 白芍, 附子, 肉桂, 延胡索, 小茴香,
川炼子, 泽泻, 吴茱萸, 白茯苓也. 乌桂汤, 即川乌, 蜂蜜, 肉桂,
白芍药, 炙甘草, 生姜, 大枣也.
乌头栀子汤
5.外寒内热乌栀炒, 水酒加盐疝痛安,?? 疝不问新与久, 三层茴香
自可痊.
【注】此茴香丸, 方在『医宗必读』.
十味苍柏散
6.醇酒厚味湿热疝, 不谨房劳受外寒, 苍柏香附青益草, 茴索查桃
附子煎.
【注】此散, 即苍术, 黄柏, 香附, 青皮, 益智, 甘草, 小茴香, 南
山查, 元胡索, 桃仁, 附子也.
茴楝五苓散 大黄皂刺汤
7.膀胱水疝尿不利, 五苓茴楝与葱盐, 瘕硬血疝宜乎下, 大黄皂刺
酒来煎.
【注】大黄皂刺汤, 即大黄, 皂刺各三钱, 酒煎服也.
羊肉汤
8.血分寒疝女产后, 脐腹连阴胀痛疼, 羊肉一斤姜五两, 当归三两
水八升.
夺命汤
9.冲疝厥疝痛上攻, 脐悸奔豚气上行, 吴茱一味为君主, 肉桂泽泻
白茯苓.
青木香丸
10.气疝诸疝走注痛, 青木香附吴萸良, 巴豆拌炒川楝肉, 乌药荜澄
小茴香.
【注】青木香丸, 即青木香五钱, 酒醋浸炒吴茱萸一两, 香附醋炒一
两,荜澄茄五钱, 乌药五钱, 小茴香五钱, 巴豆仁二十一粒, 研碎拌
炒川楝肉五钱, 为末合均, 葱涎为小丸, 每服三钱, 酒盐任下立愈.
及能医一切疝痛神效.
茴香楝实丸
11.楝实狐疝一切疝, 楝肉茴香马蔺芫, 三萸二皮各一两, 仍宜急灸
大敦安.
【注】茴香楝实丸, 治狐疝及一切诸疝, 即川楝肉, 小茴香, 马蔺花
,芫花醋炒变焦色, 山茱萸, 吴茱萸, 食茱萸, 青皮, 陈皮各一两,
为末, 醋糊为小丸, 酒送二钱.
【按】大敦, 肝经穴, 在足大指甲后有毛处, 诸疝均宜灸之即安.
2. Blood hernia (Xue Shen), perineal abscess with ulceration, and fish-mouth sore; [text missing in original, inferred as "Jin Shen" or similar] qi sinking leads to the tendons developing chancre (Xia Gan); Water hernia (Shui Shen) and bladder bi syndrome both present as strangury (Long Shen); Chong hernia resembles small intestine qi disorder, accompanied by lower back pain radiating.
[Note] Some say blood hernia refers to perineal abscess and fish-mouth sore. [Text missing] hernia refers to [Text missing] hernia. Qi hernia (Qi Shen) is unilateral scrotal swelling and descent (Pian Zhui). Tendinous hernia (Jin Shen) is chancre (Xia Gan). Water hernia causes urinary obstruction; bladder bi is bladder qi stagnation, all belonging to strangury (Long Shen). Chong hernia resembles small intestine qi disorder but is more characterized by radiating lower back pain.
3. Treating hernia requires distinguishing left from right regarding blood and qi, and particularly differentiating deficiency, excess, dampness, heat, and cold. Cold causes contraction and severe pain; heat causes flaccidity and mild pain. Dampness causes swelling and heavy bearing sensation; deficiency also presents with swelling and bearing sensation, but it is light rather than heavy.
Danggui Wenshen Decoction (Angelica Sinensis Decoction for Warming Hernia) Wugui Tang
4. For cold-induced internal hernia, use Dang Gui, Bai Shao, Fu Zi, Rou Gui, Yan Hu Suo, Xiao Hui Xiang, Chuan Lian Zi, Ze Xie, Wu Zhu Yu, and Bai Fu Ling. For external cold penetrating the abdomen, use Chuan Wu, honey, Rou Gui, Bai Shao, Gan Cao, Da Zao, and Sheng Jiang.
[Note] Danggui Wenshen Decoction consists of Dang Gui, Bai Shao, Fu Zi, Rou Gui, Yan Hu Suo, Xiao Hui Xiang, Chuan Lian Zi, Ze Xie, Wu Zhu Yu, and Bai Fu Ling. Wugui Tang consists of Chuan Wu, honey, Rou Gui, Bai Shao Yao, Zhi Gan Cao, Sheng Jiang, and Da Zao.
Wutou Zhizi Tang
5. For exterior cold and interior heat, stir-fried Chuan Wu and Zhizi, added with water, wine, and salt, can alleviate hernia pain. Fox hernia (Hu Shen), regardless of new or old onset, can be cured by San Ceng Hui Xiang Wan.
[Note] This Hui Xiang Wan formula is recorded in *Yizong Bidu*.
Shiwei Cangbai San
6. Hernia caused by rich food and alcohol (damp-heat), or due to excessive sexual activity leading to susceptibility to external cold, is treated with Cang Zhu, Huang Bo, Xiang Fu, Qing Pi, Yi Zhi Ren, Gan Cao, Xiao Hui Xiang, Yan Hu Suo, Nan Shan Zha, Tao Ren, and Fu Zi decocted together.
[Note] This powder consists of Cang Zhu, Huang Bo, Xiang Fu, Qing Pi, Yi Zhi Ren, Gan Cao, Xiao Hui Xiang, Nan Shan Zha, Yuan Hu Suo, Tao Ren, and Fu Zi.
Hui Lian Wuling San Dahuang Zaoci Tang
7. Bladder water hernia causing difficult urination is treated with Wuling San plus Xiao Hui Xiang, Chuan Lian Zi, Cong Bai, and Yan. Hard masses in blood hernia should be purged using Dahuang and Zaoci decocted in wine.
[Note] Dahuang Zaoci Tang consists of Dahuang and Zaoci, each three qian, decocted in wine for administration.
Yangrou Tang
8. Blood-deficiency cold hernia often occurs after childbirth in women, presenting with distending and painful swelling from the umbilicus and abdomen extending to the yin region. Use one jin of lamb meat, five liang of ginger, three liang of Dang Gui, and eight sheng of water.
Duoming Tang
9. Chong hernia and Jue hernia feature pain attacking upwards, palpitations below the umbilicus, and a sensation of gas rushing upward like Ben Tun (fleeing pig). Wu Zhu Yu alone serves as the sovereign herb, combined with Rou Gui, Ze Xie, and Bai Fu Ling.
Qingmuxiang Wan
10. Qi hernia and various hernias with wandering pain are well-treated by Qing Mu Xiang, Xiang Fu, and Wu Yu. Ba Dou is mixed and stir-fried with Chuan Lian Rou, combined with Wu Yao, Bi Cheng Qie, and Xiao Hui Xiang.
[Note] Qingmuxiang Wan consists of Qing Mu Xiang (5 qian), Wu Yu soaked in wine/vinegar and stir-fried (1 liang), Xiang Fu stir-fried with vinegar (1 liang), Bi Cheng Qie (5 qian), Wu Yao (5 qian), Xiao Hui Xiang (5 qian), Ba Dou ren (21 grains), and Chuan Lian Rou stir-fried with crushed Ba Dou (5 qian). These are mixed uniformly, formed into small pills with onion juice, taken 3 qian per dose with wine and salt for immediate relief. It is also effective for all types of hernia pain.
Hui Xiang Lianshi Wan
11. Lianshi Wan treats fox hernia and all types of hernia, using Chuan Lian Rou, Hui Xiang, Ma Lin Hua, and Yuan Hua. The three Yu (Shan Zhu Yu, Wu Zhu Yu, Shi Zhu Yu) and two skins (Qing Pi, Chen Pi) are each one liang. Acupoint Dadun should be moxibusted urgently for relief.
[Note] Hui Xiang Lianshi Wan treats fox hernia and all other hernias. It consists of Chuan Lian Rou, Xiao Hui Xiang, Ma Lin Hua, Yuan Hua (stir-fried with vinegar until darkened), Shan Zhu Yu, Wu Zhu Yu, Shi Zhu Yu, Qing Pi, and Chen Pi, each one liang. These are powdered, bound with vinegar paste into small pills, and taken 2 qian with wine.
[Commentary] Dadun (LR1) is an acupoint of the Liver Meridian, located behind the nail on the big toe where hair grows. Moxibustion here is suitable for all hernias to bring relief.