论曰疝病有七，厥逆心痛足寒，饮食则吐者，名厥疝，腹中气满，心下尽痛，气积如臂
者，名坚疝，寒饮则胁下腹中尽痛者，名寒疝，腹中乍满乍减而痛者，名气疝，腹中痛在脐
傍者，名盘疝，腹中痛在脐下，有积聚者，名 疝，少腹与阴相引而痛，大便难者，名野狼疝，
凡此七疝，皆由寒气内积，血气凝涩，不得通利，冷剧则痛，故皆谓之疝，难经曰，任之为
病，其内苦结，男子为七疝，女子为瘕聚，盖以此也。
治七疝诸寒在脐傍痛，上冲胸中满少气，椒姜丸方
蜀椒（去目及闭口炒汗出一两一分） 干姜（炮） 浓朴（去粗皮涂生姜汁炙） 黄芩
（去黑
心） 细辛（去苗叶） 芍药 桂（去粗皮各一两） 桔梗（炒半两） 乌喙（炮裂去皮脐
一分）
柴胡（去苗） 白茯苓（去黑皮） 牡丹皮（各一分）
上一十二味，捣罗为末，炼蜜和丸，梧桐子大，每服二十丸，温酒或米饮下，日三服。
治诸疝，桃仁汤方
桃仁（去皮尖双仁炒） 吴茱萸（汤洗焙干炒） 陈橘皮（汤浸去白焙） 海藻（洗去
咸） 白
茯苓（去黑皮） 羌活（去芦头） 蒺藜子（炒去角各三两）
上七味，粗捣筛，每服三钱匕，水一盏，生姜一枣大切，煎至七分，去滓温服不拘时。
治七疝，或心腹厥逆，不得气息，痛达背膂，或心下坚痛，手不可近，或脐下坚痛，得
寒冷食辄剧，或胁下坚痛大如手，或少腹胀满，引膀胱急痛，或女子月事不时。椒附丸方
蜀椒（去目及闭口者炒出汗一两） 桔梗（锉炒） 芍药 干姜（炮） 浓朴（去粗皮
生姜汁
上八味，捣罗为末，炼蜜丸如梧桐子大，每服二十丸，米饮或温酒下，日三服。
治七疝脐腹坚痛，蓬莪术丸方
蓬莪术（炮锉） 木香 大黄（锉炒） 当归（切炒） 芎 京三棱（炮锉） 草豆
蔻（去皮）
令烟出一两）
上一十一味，捣罗为末，醋面糊为丸，梧桐子大，每服二十丸，温酒或生姜汤下，不拘
时。
治七疝肢体寒，脐腹坚痛满闷，浓朴丸方
浓朴（去粗皮生姜汁炙） 附子（炮裂去皮脐） 香子（炒） 白术（锉炒） 桂（去
粗皮）
干姜（炮） 枳壳（去瓤麸炒） 青橘皮（汤浸去白焙） 芎 乌头（炮裂去皮脐） 木
香（炮）
上一十二味，捣罗为末，炼蜜为丸，如梧桐子大，每服二十丸，温酒下，生姜汤亦得，
不拘时。
Discourse states: There are seven types of Shan disease (abdominal pain and hernia syndromes). If there is Jue-ni (reversal cold), heart pain, cold feet, and vomiting after eating, it is named Jue Shan (Reversal Hernia); if the abdomen is distended with Qi, and there is complete pain below the heart, with Qi accumulation as large as an arm, it is named Jian Shan (Firm Hernia); if drinking cold fluids causes complete pain in the hypochondrium and abdomen, it is named Han Shan (Cold Hernia); if the abdomen is intermittently distended and reduced with pain, it is named Qi Shan (Qi Hernia); if abdominal pain is located beside the umbilicus, it is named Pan Shan (Plate Hernia); if abdominal pain is located below the umbilicus with accumulations, it is named [Missing Character] Shan; if the lower abdomen and genitalia are mutually pulling and painful, accompanied by difficulty in defecation, it is named Ye Lang Shan (Wild Wolf Hernia). All these seven types of Shan are caused by the internal accumulation of Cold pathogen, leading to coagulation and stagnation of Blood and Qi, preventing free flow. When the cold is severe, pain occurs; therefore, they are all called Shan. The *Nan Jing* (Classic of Difficult Issues) states: "When the Ren Mai (Conception Vessel) is diseased, there is internal bitterness from knotting; in men, it manifests as Seven Shans, and in women, as Jia Ju (Masses)." This is likely the reason.
To treat various symptoms of the Seven Shans, where Cold is present with pain beside the umbilicus, rushing up to the chest causing fullness and shortness of breath, use the Jiao Jiang Wan (Pepper and Ginger Pill) formula:
Shu Jiao (Sichuan Pepper, remove eyes and closed-mouth ones, stir-fry until sweat appears, 1 liang 1 fen), Gan Jiang (Dried Ginger, processed), Hou Po (Magnolia Bark, remove rough bark, apply fresh ginger juice and roast), Huang Qin (Scutellaria Root, remove black heart), Xi Xin (Asarum, remove seedlings and leaves), Bai Shao (White Peony Root), Gui Zhi (Cinnamon Twig, remove rough bark, each 1 liang), Jie Geng (Platycodon Root, stir-fry, half liang), Wu Hui (Aconite Lateral Root, processed, crack, remove skin and navel, 1 fen), Chai Hu (Bupleurum Root, remove seedlings), Fu Ling (Poria, remove black skin), Mu Dan Pi (Moutan Cortex, each 1 fen).
The above twelve ingredients are pounded and sifted into powder. Mix with refined honey to form pills the size of Sophora seeds. Take 20 pills per dose, administered with warm wine or rice drink, three times a day.
To treat various Shans, use the Tao Ren Tang (Peach Kernel Decoction) formula:
Tao Ren (Peach Seed, remove skin and pointed ends, double-kernel ones preferred, stir-fry), Wu Zhu Yu (Evodia Fruit, wash with water, bake dry, stir-fry), Chen Pi (Aged Tangerine Peel, soak in water, remove white pith, bake), Hai Zao (Sargassum, wash to remove saltiness), Fu Ling (Poria, remove black skin), Qiang Huo (Notopterygium Rhizome, remove root head), Ji Li Tribulus (Tribulus Fruit, stir-fry, remove spines, each 3 liang).
The above seven ingredients are coarsely pounded and sieved. Take three qian bi (approx. 9-15g depending on era/measurement) per dose. Add one cup of water and one large date-sized slice of fresh ginger. Decoct until 70% remains, strain, and take warm at any time.
To treat the Seven Shans, or if there is reversal cold in the heart and abdomen, inability to breathe smoothly, pain radiating to the back and spine, or firm pain below the heart that cannot be touched, or firm pain below the umbilicus exacerbated by cold food, or firm pain in the hypochondrium as large as a hand, or lower abdominal fullness pulling to urgent bladder pain, or irregular menstruation in women, use the Jiao Fu Wan (Pepper and Aconite Pill) formula:
Shu Jiao (Sichuan Pepper, remove eyes and closed-mouth ones, stir-fry until sweat appears, 1 liang), Jie Geng (Platycodon Root, cut and stir-fry), Bai Shao (White Peony Root), Gan Jiang (Dried Ginger, processed), Hou Po (Magnolia Bark, remove rough bark, apply fresh ginger juice... [Text incomplete in source]), [Source text lists "Eight Ingredients" but omits some names between Hou Po and the summary].
The above eight ingredients (as stated in source) are pounded and sifted into powder. Mix with refined honey to form pills the size of Sophora seeds. Take 20 pills per dose, administered with rice drink or warm wine, three times a day.
To treat Seven Shans with firm pain in the umbilical and abdominal regions, use the Peng E Zhu Wan (Curcuma Pill) formula:
Peng E Zhu (Curcuma Zedoaria, processed and cut), Mu Xiang (Aucklandia Root), Da Huang (Rhubarb Root, cut and stir-fry), Dang Gui (Angelica Sinensis, sliced and stir-fry), Chuan Xiong (Ligusticum Chuanxiong), Jing San Leng (Curcuma Phaeocaulis, processed and cut), Cao Dou Kou (Black Cardamom, remove skin... [Text anomaly "Let smoke emerge 1 liang" appears misplaced]).
The above eleven ingredients are pounded and sifted into powder. Use vinegar and wheat paste to form pills the size of Sophora seeds. Take 20 pills per dose, administered with warm wine or fresh ginger decoction, at any time.
To treat Seven Shans with cold limbs, firm pain and fullness in the umbilical and abdominal regions, use the Hou Po Wan (Magnolia Bark Pill) formula:
Hou Po (Magnolia Bark, remove rough bark, apply fresh ginger juice and roast), Fu Zi (Prepared Aconite Child Root, process until cracked, remove skin and navel), Xiang Zi (Costus Seed, stir-fry), Bai Zhu (Atractylodes Macrocephala Rhizome, cut and stir-fry), Gui Zhi (Cinnamon Twig, remove rough bark), Gan Jiang (Dried Ginger, processed), Zhi Ke (Bitter Orange Fruit, remove pulp, stir-fry with bran), Qing Ju Pi (Green Tangerine Peel, soak in water, remove white pith, bake), Chuan Xiong (Ligusticum Chuanxiong), Wu Tou (Aconite Mother Root, process until cracked, remove skin and navel), Mu Xiang (Aucklandia Root, processed).
The above twelve ingredients are pounded and sifted into powder. Mix with refined honey to form pills the size of Sophora seeds. Take 20 pills per dose, administered with warm wine, or fresh ginger decoction is also acceptable, at any time.