肾俞二穴。在十四椎下两傍各寸半陷中。灸五壮。主腰痛不可俯仰。转侧难。身寒热。食倍多
。身羸瘦。面黄黑。目KT KT 。又主丈夫妇人冷积气劳病。
中膂俞二穴。在十一椎下两傍各寸半。灸五壮。主腰痛不可俯仰。夹脊膂痛。上下按之应手者。从
项后始至此穴。痛皆灸之。立愈也。腰俞一穴。在二十一椎节下。间陷中。灸五壮。主腰疼不能久
立。腰以下至足冷不仁。起坐难。腰脊痛不能立。急强不得俯。腰重如石。难举动也。
张仲文传神仙灸法。疗腰重痛不可转侧。起坐难。及冷痹脚筋挛急。不可转侧屈伸。灸曲
两文头。左右脚四处各三壮。每灸一脚。二火齐下。艾炷到肉。初觉疼痛。用二人两边齐吹。至火
灭。午时着灸。人定己来。脏腑自动一两行。或转动如雷声。其疾立愈。此法神效。卒不可量也。
疝气痛及腰痛膝无力及控睾证。（启玄子云。控。引也。睾阴丸也）
至真大要论云。小腹控睾。引腰脊上冲心。唾出清水。及为哕噫。甚则入心。善悲善忘。甲乙
经曰。邪在小肠也。小肠病者。小腹痛引腰脊。贯肝肺。其经虚不足。则风冷乘间而入。邪气既入
则厥之证。上冲肝肺。客冷散于胸。结于脐。控引睾丸。上而不下。痛而入腹。甚则冲心胸。盖其
经络所属所系也。
【控引睾丸】治小肠病结。上而不下。痛引心臆。
茴香（炒） 楝实（锉炒） 食茱萸 陈皮
马兰花（各一两。醋炒） 芫花（五钱。醋炒）
上为末。醋糊丸如桐子大。每服十丸至二十丸。温酒送下。空心食前。
阴疝足厥阴之脉。环阴器。抵少腹。或痛。肾虚寒水涸竭。泻邪补肝。宜以蒺藜汤主之。
【蒺藜汤】治阴疝牵引小腹痛。诸厥疝即阴疝也。喜欲劳痛不可忍也。
蒺藜（炒。去尖） 附子（炮。去皮脐） 栀子（去皮。各等分）
上为末。每服三钱。水一盏半。煎至七分。去渣。温服食前。
【茴香楝实丸】 治阴疝痛不可忍。及小肠气痛。
川楝实（炒） 茴香（炒） 山茱萸 食茱萸
吴茱萸 青皮（去白） 马兰花 芫花（醋炒）
陈皮（去白。各等分）
上为末。醋糊丸如桐子大。每服三十丸。温酒送下。食前。
【丁香楝实丸】治男子七疝痛不可忍。妇人瘕聚带下。皆任脉所主阴经也。乃肾肝受病
。治法同归。
当归（去芦锉） 附子（炮。去皮脐） 川楝（锉） 茴香（炒）
上四味各一两。以好酒三升同煮。酒尽焙干为细末。每秤药末一两。再入下项药。
丁香 木香（各半钱） 全蝎（十三个） 玄胡索（五钱）
上四味同为末。与前项药末拌和匀。酒糊丸如桐子大。每服三十丸至一百丸。用酒送下。空心
食前。凡疝气带下。皆属于风。全蝎治风之圣药。茴香、川楝、皆入小肠经。当归、玄胡。活血止
痛。疝气带下。皆积寒
邪入于小肠之间。故用附子佐之。丁香、木香为引导也。
【沉香鹿茸丸】大补益脾胃。强壮筋骨。辟除一切恶气。令人内实五脏。外充肌肤。补益
阳气。和畅荣卫。
沉香（一两。另为末） 麝香（一两。研） 鹿茸（一两。先用草火烧去毛为末）
上三味同研匀。水糊丸如桐子大。每服三十丸至五十丸。暖酒送下。空心食前。
【三白散】治阴囊肿胀。大小便不通。
白牵牛（二两） 桑白皮 白术 木通（去节）
陈皮（各半两）
上为细末。每服二钱。姜汤调下。空心服。未觉再进。
【葫芦巴丸】治小肠疝气。偏坠阴肿。小腹有物如卵。上下去来。痛不堪忍。或绞结绕脐
攻刺。呕吐闷乱。
葫芦巴（一斤。炒） 吴茱萸（十两。洗炒） 川楝子（炒。一两） 巴戟（去心。炒）
川乌头（炮。去皮。各六两） 茴香（盐炒。去盐。十两）
上为末。酒糊丸桐子大。每服十五丸。空心温酒下。
【川苦楝散】 治小肠气痛。
木香（一两。另为末） 茴香（一两。盐炒黄。去盐） 川楝子（一两锉。用巴豆十个碎
与川楝炒黄。去巴豆）
上为末。每服二钱。温酒一盏调下。空心食前。许学士云。大抵此疾因虚得之。不可以虚骤补
。经云。邪之
所凑。其气必虚。留而不去。其病则实。故必先涤所蓄之热。然后补之。是以诸方多借巴豆气者。
盖谓此也。
Shenshu (Kidney Shu, BL23) acupoints. Located in the depressions on both sides of the lower border of the fourth lumbar vertebra, one and a half cun lateral to the midline. Moxibustion: five moxa cones. Mainly treats low back pain with inability to bend or extend, difficulty turning the body, alternating chills and fever, increased appetite, emaciation, sallow and dark complexion, and dry/blurry vision. Also mainly treats cold accumulation qi labor disease in men and women.
Zhonglvshu (Middle Spine Shu, BL25) acupoints. Located at the lower border of the eleventh thoracic vertebra, one and a half cun lateral to the midline on both sides. Moxibustion: five moxa cones. Mainly treats low back pain with inability to bend or extend, pain along both sides of the spine, where pressing above or below elicits a response. For pain starting from the posterior neck down to this acupoint, apply moxibustion to all painful areas; it will be cured immediately. Yaoshu (Lumbar Shu, BL23 - *Note: Context suggests specific point for severe stiffness, often associated with Dazhui or local points, but text says Yaoshu*) acupoint. Located in the depression below the twenty-first vertebral segment. Moxibustion: five moxa cones. Mainly treats lumbar pain preventing prolonged standing, coldness and numbness from the lower waist to the feet, difficulty rising and sitting, lumbar and spinal pain preventing standing, acute stiffness preventing bending, heaviness in the waist as if weighted by stone, and difficulty moving.
The Divine Moxibustion Method transmitted by Zhang Zhongwen treats heavy and painful waist unable to turn or side-lie, difficulty rising and sitting, and cold bi syndrome causing leg tendon spasms and cramps, preventing turning, side-lie, flexion, and extension. Moxibustion is applied to the upper two-cun head of Qu Gu (CV2) on both sides, four locations on each foot, three moxa cones per location. When moxibusting one foot, two fires are lit simultaneously, with moxa cones touching the skin. Initially feeling pain, two people blow from both sides until the fire extinguishes. Perform moxibustion at Wu hour (noon). After Ding hour (9-11 PM), the zang-fu organs will automatically move or rotate, possibly producing sounds like thunder; the disease will be cured immediately. This method is miraculous and its efficacy is immeasurable.
Hernia pain, low back pain with knee weakness, and testicular traction syndrome. (*Qixuanzi states: Kong means traction; Gao refers to the testicles.*)
The Treatise on the Great Essentials of Truth states: The lower abdomen pulls the testicles, ascending to the lumbar spine and rushing up to the heart, spitting clear fluid, accompanied by hiccups and belching. In severe cases, it enters the heart, causing sadness and forgetfulness. The Jing-Yi Classic states: This is pathogenic factors in the Small Intestine. Diseases of the Small Intestine involve lower abdominal pain pulling to the lumbar spine, penetrating the Liver and Lungs. If the meridians are deficient, wind and cold enter opportunistically. Once pathogens enter, Jue syndrome occurs, rushing upward to the Liver and Lungs. Guest cold scatters in the chest, knots at the umbilicus, pulls and leads the testicles upward without descending, pain entering the abdomen, and in severe cases, rushing to the heart and chest. This is due to the meridian affiliations.
[Treating Testicular Traction]: Treats Small Intestine pathology with knotting, ascending without descending, pain pulling to the heart and chest.
Fennel Seed (Stir-fried), Chinaberry Fruit (Chopped and stir-fried), Edible Bayberry, Tangerine Peel.
Mala Flower (Each 1 liang, stir-fried with vinegar), Genkwa Flower (5 qian, stir-fried with vinegar).
Grind into powder. Make pills the size of tung seeds using vinegar paste. Take 10-20 pills per dose, delivered with warm wine, on an empty stomach or before meals.
Yin Hernia involves the Foot-Jueyin Liver Meridian, which circles the genitalia and reaches the lower abdomen, sometimes causing pain. Due to Kidney deficiency and cold water depletion, one must drain pathogens and tonify the Liver. Use Jili Tang as the primary formula.
[Jili Tang]: Treats Yin hernia pulling the lower abdomen to pain, various Jue hernias (which are Yin hernias), characterized by aggravation after exertion and unbearable pain.
Tribulus (Stir-fried, remove spines), Aconite Root (Processed, remove skin and navel), Gardenia Fruit (Remove skin, equal parts).
Grind into powder. Take 3 qian per dose, add 1.5 cups of water, decoct to 0.7 cups, strain, and take warm before meals.
[Fennel Chinaberry Pill]: Treats unbearable Yin hernia pain and Small Intestine Qi pain.
Sichuan Chinaberry Fruit (Stir-fried), Fennel (Stir-fried), Cornus Fruit, Edible Bayberry, Evodia Fruit, Green Tangerine Peel (remove white pith), Mala Flower, Genkwa Flower (vinegar-fried), Tangerine Peel (remove white pith, equal parts).
Grind into powder. Make pills the size of tung seeds using vinegar paste. Take 30 pills per dose, delivered with warm wine, before meals.
[Dingxiang Chinaberry Pill]: Treats unbearable pain from the Seven Hernias in men, and mass accumulation with leukorrhea in women. These are governed by the Ren Mai (Conception Vessel) and belong to Yin meridians, resulting from Kidney and Liver pathology; treatment methods are similar.
Angelica Sinensis (Remove rhizome, chop), Aconite Root (Processed, remove skin and navel), Sichuan Chinaberry (Chop), Fennel (Stir-fried).
Take 1 liang of each of the above four herbs. Simmer together in 3 sheng of good wine until the wine is exhausted. Dry and grind into fine powder. For every 1 liang of this powder, add the following:
Clove, Costus Root (Each 0.5 qian), Scorpion (13 whole), Corydalis Rhizome (5 qian).
Grind these four into powder and mix evenly with the previous powder. Make pills the size of tung seeds using wine paste. Take 30-100 pills per dose, delivered with wine, on an empty stomach or before meals. Generally, hernias and leukorrhea are attributed to Wind. Scorpion is the supreme herb for treating Wind. Fennel and Sichuan Chinaberry enter the Small Intestine meridian. Angelica and Corydalis invigorate blood and stop pain. Hernias and leukorrhea are caused by accumulated cold pathogens entering between the intestines, so Aconite is used to assist, while Clove and Costus serve as guides.
[Chenxiang Deer Antler Pill]: Greatly tonifies Spleen and Stomach, strengthens sinews and bones, dispels all evil qi, makes the internal Zang-fu solid, fills the external skin and muscles, tonifies Yang Qi, and harmonizes Ying and Wei.
Agarwood (1 liang, ground separately), Musk (1 liang, crushed), Deer Antler (1 liang, first burn off hair with grass fire then grind).
Grind these three together uniformly. Make pills the size of tung seeds using water paste. Take 30-50 pills per dose, delivered with warm wine, on an empty stomach or before meals.
[Sanbai San]: Treats scrotal swelling and obstruction of urination and defecation.
White Morning Glory Seed (2 liang), Mulberry Root Bark, Atractylodes Macrocephala Rhizome, Akebia Stem (remove nodes), Tangerine Peel (Each 0.5 liang).
Grind into fine powder. Take 2 qian per dose, mixed with ginger soup, taken on an empty stomach. Repeat if ineffective.
[Huluba Pill]: Treats Small Intestine hernia, unilateral scrotal swelling, a mass in the lower abdomen like an egg moving up and down, unbearable pain, or twisting around the umbilicus causing stabbing pain, vomiting, and confusion.
Trigonella Foenum-Graecum Seed (1 jin, stir-fried), Evodia Fruit (10 liang, washed and stir-fried), Sichuan Chinaberry (Stir-fried, 1 liang), Morinda Officinalis Root (Remove core, stir-fried), Aconitum Carmichaelii Root (Processed, remove skin, each 6 liang), Fennel (Salt-stir-fried, remove salt, 10 liang).
Grind into powder. Make pills the size of tung seeds using wine paste. Take 15 pills per dose, delivered with warm wine on an empty stomach.
[Chuan Kulian San]: Treats Small Intestine Qi pain.
Costus Root (1 liang, ground separately), Fennel (1 liang, salt-stir-fried yellow, remove salt), Sichuan Chinaberry (1 liang chopped, stir-fried yellow with 10 Croton Seeds, remove Croton Seeds).
Grind into powder. Take 2 qian per dose, mixed with one cup of warm wine, on an empty stomach or before meals. Scholar Xu states: Generally, this disease arises from deficiency; one should not tonify deficiency abruptly. The Classics state: Where pathogens gather, Qi is necessarily deficient; if they remain, the pathology becomes excess. Therefore, one must first cleanse accumulated heat before tonifying. This is why many formulas borrow the qi of Croton Seeds, referring to this principle.