肿痛或发热者，肝经湿热也，清肝燥湿。
肿痛发寒热者，邪气伤表也，发散之。
肿痛小便赤涩者，肝经湿热壅滞也，疏肝导湿。
张子和曰∶遗精、癃闭、阴痿、脬痹、精滑、白淫，皆男子之疝，不可妄归之肾冷。
若血涸不月，月罢腰膝上热，足热嗌干，癃闭，小腹有块，或定或移，前阴突出，后阴痔
核，皆女子疝也。但女子不谓之疝，而谓之瘕。
一人患小便肿硬， 痛寒热，先以人参败毒散，二贴而止，更以小柴胡加黄连、
青皮而愈。
一人溃而肿痛，小便赤涩，以加减龙胆泻肝散，加青皮、黄连，二剂少愈；以小柴胡加
黄连、知母、茯苓，数剂而愈。
一人茎肿不消；一人溃而肿痛发热，小便秘涩，日晡或热；一小儿肿痛，诸药不应。各
以小柴胡吞芦荟丸，数剂并愈。
一人阴茎或肿、或作痛、或梃纵不收；一人茎中作痛，急缩或作痒，白物如精随溺而
下，此筋疝也，并用龙胆泻肝汤，皆愈。
一人溃而肿痛发热，日晡尤甚，以小柴胡加黄柏、知母、当归而愈。
一人溃愈，惟茎中一块不散，以小柴胡加青皮、荆、防治之，更以荆、防、牛膝、何
首乌、滑石、甘草各半两，煎汤薰洗，各数服而消。
一人年逾四十，素有淋患疳疮， 痛倦怠，用小柴胡加连、柏、青皮、当归而愈。
一人因劳，茎窍作痒，时出白物，发热口干，以清心莲子饮而安。
一人玉茎肿痛，小便如淋，自汗甚苦，时或尿血少许，尺脉洪滑，按之则涩，先用清
心莲子饮，加牛膝、山栀、黄柏、知母，数剂少愈，更以滋肾丸，一剂而痊。
先贤云∶如自汗小便少，不可以药利之，既以自汗，则津液外亡，小便自少。若利之，
则荣卫涸竭，无以制火，烦热愈甚。当俟热退汗止，小便自行也，兼此，乃阳明经火，忌利小
便也。
一老患疳疮，小便淋涩，脉细体倦，此气虚兼湿热也。用清心莲子饮，及补中益气
汤而愈。下疳疮，丹溪用青黛、蛤粉、密陀僧、黄连为末，敷。又以鸡肫皮烧，存性为末，敷。
下疳疮并 疮 哈粉 腊茶 苦参 密陀僧
为末，河水洗净，猪油调敷。
又方 米泔水洗疮，净，用头发，盐水洗去油，净，再用清汤洗，晒干，烧灰敷疮，即生靥。
又方 治注疳疮，蚀臭腐烂，疼痛难忍。兼治小儿疳疮。
黄柏（炙） 黄丹（三钱） 轻粉（五分） 乳香（三钱） 密陀僧（三钱） 高木香（三钱）
麝香（少许）
上为末，用葱汤洗疮，次贴之此药。
敷药 木香 槟榔 黄连 铜青 轻粉 枯矾 海螵蛸 麝香 各等分为末，洗后至夜敷上。
洗药 黄连 黄柏 当归 白芷 独活 防风 荆芥 朴硝 等分，水煎，入钱五十文、
乌梅五个、盐一匙同煎，沸，温洗，日五七次。敷前项药。
If swelling, pain, or fever occurs in the affected area, it is damp-heat in the Liver channel; treatment should clear the Liver and dry dampness.
If swelling, pain, accompanied by alternating chills and fever, indicates pathogenic factors damaging the exterior; treatment should disperse the exterior.
If swelling, pain, with red and scanty urine, indicates stagnation of damp-heat in the Liver channel; treatment should soothe the Liver and guide out dampness.
Zhang Zihe stated: Nocturnal emission, strangury (urinary retention), impotence, bladder bi-syndrome, seminal leakage, and leukorrhea are all hernias in men and should not be rashly attributed to Kidney cold.
If a woman suffers from blood depletion and amenorrhea, heat above the waist and knees after menstruation ceases, heat in the feet, dry throat, strangury, abdominal masses that are either fixed or migratory, protrusion of the anterior yin, and hemorrhoidal nodules at the posterior yin, these are all hernias in women. However, they are not called hernias in women but rather zhā (masses).
One patient suffered from swollen and hard urination, accompanied by pain, chills, and fever. Initially treated with Renshen Baidu San (Ginseng Detoxification Decoction) for two doses, which stopped the symptoms; subsequently treated with Xiaochaihu Tang (Minor Bupleurum Decoction) added with Huanglian (Coptis Rhizome) and Qingpi (Aurantii Fructus Perfricatus) until cured.
One patient had ulceration with swelling and pain, and red, scanty urine. Treated with Jiajian Longdan Xiegan San (Modified Gentian Liver-Draining Powder) added with Qingpi and Huanglian; improved slightly after two doses. Then treated with Xiaochaihu Tang added with Huanglian, Zhimu (Anemarrhenae Rhizoma), and Fuling (Poria) for several doses until cured.
One patient had persistent penile swelling; one patient had ulceration with swelling, pain, fever, and short, scanty urine with afternoon fever; one child had swelling and pain unresponsive to various medicines. All were treated with Xiaochaihu Tang administered with Lushui Wan (Aloe Pill) for several doses and all recovered.
One patient had intermittent penile swelling, pain, or flaccidity without retraction; one patient had pain in the urethra, urgent retraction, or itching, with white discharge resembling semen accompanying urine. This is Jinshan (Sinew Hernia); both were treated with Longdan Xiegan Tang (Gentian Liver-Draining Decoction) and recovered.
One patient had ulceration with swelling, pain, and fever, worse in the late afternoon. Treated with Xiaochaihu Tang added with Huangbai (Phellodendri Cortex), Zhimu, and Danggui (Angelicae Sinensis Radix) until cured.
One patient’s ulcer healed, but a lump remained in the penis unresolved. Treated with Xiaochaihu Tang added with Qingpi, Jingjie (Schizonepetae Herba), and Fangfeng (Saposhnikoviae Radix) for prevention and treatment; additionally, a decoction of Jingjie, Fangfeng, Niuxi (Achyranthis Bidentatae Radix), Heshouwu (Polygoni Multiflori Radix), Huashi (Talcum), and Gancao (Liquorice Root), each half liang, was used for fumigation and washing. After several applications, it dissipated.
One patient over forty years old, with a history of lin syndrome and gan sores, experienced pain and fatigue. Treated with Xiaochaihu Tang added with Lian (Huanglian), Bai (Huangbai), Qingpi, and Danggui until cured.
One patient, due to overwork, experienced itching in the urethral orifice, occasional discharge of white matter, fever, and dry mouth. Calmed with Qingxin Lianzi Yin (Clear Heart Lotus Seed Decoction).
One patient had swelling and pain of the jade stem (penis), urination resembling lin syndrome, severe spontaneous sweating, occasional slight hematuria, and a chi pulse that was surging and slippery but choppy upon pressure. Initially treated with Qingxin Lianzi Yin added with Niuxi, Shanzhi (Gardeniae Fructus), Huangbai, and Zhimu; improved slightly after several doses. Then treated with Zishen Wan (Kidney-Nourishing Pill) for one dose until recovered.
Ancient sages said: If there is spontaneous sweating and little urine, diuretics should not be used. Since spontaneous sweating causes fluid loss, urine naturally decreases. If forced diuresis is applied, Ying and Wei fluids will be exhausted, failing to control fire, causing vexation and heat to worsen. One should wait for heat to subside and sweating to stop, after which urine will return to normal. In cases involving Yangming channel fire, diuretics are contraindicated.
An elderly patient suffered from gan sores, strangury with scanty urine, a fine pulse, and physical fatigue, indicating Qi deficiency combined with damp-heat. Treated with Qingxin Lianzi Yin and Buzhong Yiqi Tang until cured. For lower gan sores, Danxi used Qingdai (Indigo Naturalis), Gafen (Concha Meretricis), Miduoseng (Litharge), and Huanglian ground into powder for external application. Also, Ji Dunpi (Chicken Gizzard Membrane) was burned to retain its properties, ground into powder, and applied externally.
For lower gan sores and other sores, Gafen, Chaye (Tea Leaf), Kushen (Sophorae Flavescentis Radix), and Miduoseng were ground into powder. Washed clean with river water, mixed with pig fat, and applied externally.
Another prescription: Wash the sore with rice water. Cleanse hair with salt water to remove oil, then wash with clear water, dry, burn to ash, and apply to the sore to promote healing.
Another prescription: Treats zhu gan sores (infectious/erosive gan sores) with erosion, foul odor, rotting, and unbearable pain. Also treats pediatric gan sores.
Huangbai (roasted) 3 qian, Huangdan (Lead Monoxide) 3 qian, Qingfen (Calomelas) 5 fen, Ruxiang (Olibanum) 3 qian, Miduoseng 3 qian, Gaomuxiang (Agarwood) 3 qian, Shexiang (Musk) a small amount.
Grind all into powder. Wash the sore with scallion water, then apply this medicine.
Topical powder: Muxiang (Aucklandiae Radix), Binglang (Arecae Semen), Huanglian, Tongqing (Chalcanthite), Qingfen, Kufan (Alumen), Haipiaoxiao (Sepiae Endoconcha), Shexiang, equal parts ground into powder. Apply at night after washing.
Washing solution: Huanglian, Huangbai, Danggui, Baizhi (Angelicae Dahuricae Radix), Duhuo (Angelicae Pubescentis Radix), Fangfeng, Jingjie, Puxiao (Mirabilite), equal parts. Decoct in water, add fifty cash coins, five Wumei (Mume Fructus), and one spoonful of salt. Boil, cool to warm temperature, and wash five to seven times daily. Apply the aforementioned topical powder.