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Whenever there is pain in the lower abdomen that radiates to the testicles, accompanied by more cold than heat and a preference for drinking hot liquids, this is **Shan Qi** (Hernia Disease). If the scrotum presents with redness, swelling, and heat, dark and scanty urine, internal heat, dry mouth, heaviness, and pain due to sagging, these are signs of **Nang Yong** (Scrotal Abscess). In such cases, warm herbs used for treating hernias should not be applied; instead, **Qing Gan Shen Shi Tang** (Liver-Clearing and Damp-Draining Decoction) should be the primary treatment.

Chuanxiong Rhizome (Chuanxiong), Gentiana Root (Longdan Cao), Trichosanthes Root (Tianhuafen), Angelica Sinensis Root (Danggui), Rehmannia Root (Shengdi), Bupleurum Root (Chaihu), Gardenia Fruit (Shanzhi), Scutellaria Root (Huangqin) (each 1 qian), Alisma Rhizome (Zexie), Akebia Stem (Mutong), Licorice Root (Gancao) (each 0.5 qian), add Juncus Effusus (Dengxin), decoct in water, and take before meals.

For post-ulceration topical powder: Use Clam Shell (Bangke), Coptis Rhizome (Huanglian), and Indigo Naturalis (Qingdai) in equal parts, grind into an extremely fine powder, and apply externally.

Another method: Take the inner membrane of a chicken eggshell, mix with Coptis Rhizome (Huanglian) and Calomel (Qingfen) in equal proportions, grind into powder, and apply using refined Sesame Oil (Mazhuyou).

This formula specifically treats hemorrhoids and fistulas, regardless of whether they are recent or chronic. For conditions with pus and blood passing through the intestines, taking this medicine will dissolve the tract and eradicate the root cause. This formula was transmitted by an unusual person to save people from disaster, relieve pain, and has saved many lives. It should only be disseminated as a prescription and dispensed as medicine; it must not be taught to unscrupulous individuals. Those seeking it out of selfish interest should not receive it.

Ingredients: Tai Yuan (Three pieces, i.e., male umbilical cord, calcined on a new tile until carbonized but retaining efficacy), Chen Zong (7 qian, preferably from decades-old palm fibers, burned to ash and carbonized), Jing Niuhuang (3 fen), Huaijiaozi (5 qian, large and plump ones calcined on a tile until carbonized), Ci Pi (3 qian, fried with lard), Xiang Pi (4 qian, fried with lard), Diyü (3 qian). The above seven ingredients are ground into a fine powder, mixed with rendered animal fat (Suyou) to form pills the size of silkworm eggs. If they do not hold shape, add a little rice paste. Take seven pills per dose, swallowed with plain boiling water on an empty stomach. The tract dissolves and pain stops within three days; the wound fills flat within seven days, serum clears, and pus stops; the root cause is eliminated within ten days. This is a miraculous formula.

Take a handful of willow root hairs from the riverside, Baijiezi (White Mustard Seed) and Huajiao (Sichuan Pepper) each 2 qian. Decoct in water to fumigate and wash the affected area. The worms, which have black heads and white bodies, will emerge from the sore, leading to immediate recovery.

Take three large black dates, slice them open and remove the pits. Insert Tonglü (Malachite Green) into the cavity. Wrap tightly with clean red earth mixed with mud. After processing, remove the earth, grind into a fine powder, and mix with genuine Sesame Oil (Mazhuyou) for topical application.