脉诀曰疝多弦而紧弦则为寒紧则为痛弦紧相缚则为疝矣
内经曰肝脉大紧沉皆为疝心脉滑搏为心疝肺脉沉搏为肺疝
丹溪云疝病专出肝经与肾经绝无相干切不可攻下
一治疝之法寒疝宜温宜用 蟠葱散 姜桂汤 吴茱萸汤 茱萸内消丸
一水疝宜逐水宜用 加味五苓散 牵牛汤
一筋疝宜降心火补肾水用 茴香柏皮汤 芡实丸
一血疝宜和血用 乳香川楝散 橘核散 桃仁汤
一气疝宜散气用 聚香饮子 槟榔散
一狐疝宜逐气流经用 益智汤 椒苓丸
一 疝宜用 蓬术玄胡散
一膀胱气疝外肾肿大不消宜 海藻木香汤
一心疝宜用 木香散
一通肠疝气以物抵则上鸣若哇声宜用 益智仁汤
治寒疝疼痛作寒热
官桂 干姜 蓬术 甘草 苍术 丁香 槟榔 三棱 茯苓 青皮 玄胡索
水二钟葱姜煎服
治寒疝
辣桂 川白姜 吴茱萸 良姜 茴香
荜澄茄 砂仁 木香 茯苓 益智仁 甘草
白水煎服
治寒疝
麻黄 羌活（各五分） 吴茱萸（四分） 本 升麻 黄 （各三分） 黄芩 当归 黄
柏
（各
The *Mai Jue* (Pulse Classic) states: Hernia (*Shan*) often presents with wiry (*Xian*) and tight (*Jin*) pulses. A wiry pulse indicates cold, while a tight pulse indicates pain; when wiry and tight pulses bind together, it constitutes hernia (*Shan*).
The *Neijing* (Inner Canon) states: A large, tight, or deep liver pulse are all signs of hernia (*Shan*); a slippery and forceful heart pulse indicates Heart Hernia (*Xin Shan*); a deep and forceful lung pulse indicates Lung Hernia (*Fei Shan*).
Zhu Danxi stated that hernia (*Shan*) diseases originate specifically from the Liver and Kidney meridians and have no relation to other meridians; purgative methods must absolutely not be used.
Treatment for Cold Hernia (*Han Shan*): Warming is appropriate. Formulas include Pancong San, Jianggui Tang, Wuzhuyu Tang, and Zhuyu Neixiao Wan.
Treatment for Water Hernia (*Shui Shan*): Draining water is appropriate. Formulas include Jiawei Wuling San and Qianniu Tang.
Treatment for Sinew Hernia (*Jin Shan*): Clearing Heart Fire and tonifying Kidney Water is appropriate. Formulas include Huixiang Baipi Tang and Qianshi Wan.
Treatment for Blood Hernia (*Xue Shan*): Harmonizing blood is appropriate. Formulas include Ruxiang Chuanli San, Juhe San, and Taoren Tang.
Treatment for Qi Hernia (*Qi Shan*): Dispersing Qi stagnation is appropriate. Formulas include Juxiang Yinzi and Binglang San.
Treatment for Fox Hernia (*Hu Shan*): Expelling fluid through the meridians is appropriate. Formulas include Yizhi Tang and Jiaoling Wan.
Treatment for [missing character] Hernia: Pengzhu Xyan San is appropriate.
Treatment for Bladder Qi Hernia (characterized by swelling of the external genitalia that does not subside): Haizao Muxiang Tang is appropriate.
Treatment for Heart Hernia (*Xin Shan*): Muxiang San is appropriate.
Treatment for Tongchang Hernia Qi (characterized by upper rumbling sounds resembling vomiting when pressed with an object): Yizhi Ren Tang is appropriate.
Formula for treating Cold Hernia (*Han Shan*) with pain accompanied by alternating chills and fever:
Guigui, Ganjiang, Pengzhu, Gancao, Cangzhu, Dingxiang, Binglang, Sanleng, Fuling, Qingpi, Xuanhusuo.
Decoct with two cups of water, adding fresh ginger and scallion white, and take orally.
Formula for treating Cold Hernia (*Han Shan*):
Lagui, Chuanbaijiang, Wuzhuyu, Liangjiang, Huixiang, Bichengqie, Sharen, Muxiang, Fuling, Yizhiren, Gancao.
Decoct with plain water and take orally.
Formula for treating Cold Hernia (*Han Shan*):
Mahuang, Qianghuo (each 5 fen), Wuzhuyu (4 fen), Gaoben, Shengma, Huangqi (each 3 fen), Huangqin, Danggui, Huangbai (each ... text incomplete here).
Formula for treating Cold Hernia (*Han Shan*):
Shanzhuyu, Chenpi, Wuzhuyu, Malanhua, Muxiang, Rougui, Shanyao, Chuanlianzi, Qingpi, Huixiang (equal parts).
Make pills using wine paste and swallow with warm wine.
Formula for treating Water Hernia (*Shui Shan*):
Muxiang, Xiaohui, Chuanlianzi, Binglang, Heiqianniu, Guozhi (Boguzhi), Mutong, Qingpi, Sanleng, Ezhu, Zexie, Zhuling, Baizhu, Fuling, Rougui.