论曰甲乙经曰，少腹控睾，引腰脊，上冲心肺，邪在小肠也，又曰小肠病者，少腹痛，
腰脊控睾而痛，夫小肠者，连睾系，属于脊，贯肝肺，络心系，其经虚不足，则风冷乘间而
入，邪气既盛，则有厥逆之证，其气上冲肝肺，客冷散于肓，结于脐，控引睾丸，上而不下，
痛引少腹，甚则冲于心胸，盖其经络之所系属然也。
治小肠受邪，控睾痛引少腹， 香子散方
香子（炒） 荜澄茄 楝实（锉） 木香（各一两半） 葫芦巴 青橘皮（汤浸去白
焙各一
上七味，捣罗为散，每服一钱匕，温酒调下，空心食前，日二。
治小肠受邪控睾，上而不下疼痛，楝实散方
楝实（四两十字锉开） 巴豆（椎令微破二味用麸一升同炒候麸色黑药焦黄去巴豆并麸
取楝实去皮用） 香子（炒一两） 甘草（炙锉一两） 青盐（别研一分）
上后三味，同前楝实，捣罗为散，每服一钱匕，热酒调下，空心服，病作不拘时。
治小肠受邪，控睾牵痛，木香散方
木香 马蔺花（各半两） 楝实 巴豆（各三十枚剥去皮同楝实炒候黑色去巴豆用楝实）
香子（炒一两） 砂（别研半钱）
上六味，除巴豆不用外，捣研为细散，每服二钱匕，煎葱酒调下，盐汤亦得，空心食前
服。
治小肠疝气，牵引脐腹疼痛，腰曲不伸，吴茱萸散方
吴茱萸（汤洗过炒） 楝实（四十九枚） 巴豆（半两椎令微破三味同炒候入楝实黄焦
色去
巴豆茱萸不用将楝实去核用） 沉香（半两） 木香 马蔺花（炒） 香子（炒各一分）
上七味，除巴豆吴茱萸不用外，捣罗为散，每服二钱匕，炒葱酒调下，空心夜卧发时服
治小肠受寒，控睾少腹坚硬 疼痛不可忍，延胡索丸方
延胡索 青橘皮（汤浸去白焙） 葫芦巴 海藻（酒洗去咸焙干） 昆布（酒洗去咸焙
干）
上一十味为末，入 砂阿魏安息香三味各一分，以醋二升，化开去泥土，以重汤煮令成
膏，和丸绿豆大，每服二十丸，烧绵灰酒下，空心食前服。
治小肠受寒气，控睾牵痛，木香丸方
木香（一两） 石楠 肉苁蓉（酒浸切焙别为末） 牛膝（酒浸切焙别为末） 菖蒲
香子
上七味，除苁蓉牛膝二味别作末外，捣罗为末，以酒二升，熬苁蓉牛膝成膏和药，丸如
梧桐子大，每服三十丸，空心食前，以纸裹葱白一寸煨熟，细嚼温酒下。
治控睾上而不下，痛引少腹，小肠受寒，丁香丸方
丁香 木香 野狼毒 蜀椒（去目并闭口炒出汗各一两） 附子（炮裂去皮脐） 芍药 桔
梗（炒） 干姜（炮各半两） 细辛（去苗叶一两半）
上九味，捣罗为末，炼蜜和丸，梧桐子大，每服三十丸，食前炒 香子酒下。
治控睾小肠气痛， 砂丸方
砂（一两别研细水飞） 蓬莪术（炮锉） 楝实（麸炒） 青橘皮（汤浸去白焙） 木
香丁香 荜澄茄 肉豆蔻（去壳炮） 槟榔（锉） 附子（炮裂去皮脐） 巴戟天（去心）
香子（炒各半两）
上一十二味，除 砂外，捣罗为末，以酒一升，先取 砂，并飞 砂水一盏，同熬及一，
入升诸药再熬，频搅候得所，丸如梧桐子大，每服二十丸，空心温酒下，加至三十丸。
治控睾痛引少腹，乌药散方
乌药 木香 香子（微炒） 青橘皮（汤浸去白焙） 高良姜（炒各半两） 槟榔（锉
二枚）
麸不用）
上八味，除炒巴豆不用外，捣罗为散，每服一钱匕，温酒调下，空心食前服，痛甚炒生
姜热酒调下。
治小肠受邪，睾丸控引上下，脐腹痛，乳香丸方
丹砂（研半两） 砂（研一分） 胡椒（半两） 海蛤（一分） 楝实（麸炒去核半
两） 当归
上九味，捣研为细末，用乳香一分研细，以酒煮糊和诸药末，丸如梧桐子大，每服二十
丸，温酒下，盐汤亦得，空心食前。
治小肠受邪控睾，引少腹痛，楝实丸方
楝实（麸炒去核） 香子（炒） 山茱萸 食茱萸 吴茱萸（汤洗焙干炒） 青橘皮
（汤浸
上九味，为细末，醋煮面糊和丸，如梧桐子大，每服二十丸，温酒下空心食前。
Discourse states: The *Jia Yi Jing* (Classic of Jia Yi) records that pain in the lower abdomen radiating to the testicles, pulling on the lumbar spine and sacrum, with Qi rushing upward to strike the heart and lungs, indicates pathogenic factors in the Small Intestine. It further states that those suffering from Small Intestine diseases experience lower abdominal pain, with the lumbar spine and testicles pulling and aching. The Small Intestine connects to the spermatic cord, is affiliated with the spine, penetrates the Liver and Lungs, and links to the Heart system. If the meridians of the Small Intestine are deficient and weak, Wind-Cold pathogens will take advantage of the opening to enter. When pathogenic Qi becomes excessive, symptoms of Jue Ni (Cold Reversal) appear; Qi rushes upward to the Liver and Lungs, where lingering Cold disperses into the Huang Mo (Sanjiao membrane), knots at the umbilicus, pulls and draws the testicles, rising but not descending, causing pain that radiates to the lower abdomen. In severe cases, it strikes the chest and heart region. This is due to the connections and affiliations of the meridians.
Treatment for Small Intestine affected by pathogenic factors, with testicular traction pain radiating to the lower abdomen: Xiangzi San Formula.
Xiangzi (Stir-fried), Bichengqie (Piperis Betle Fructus), Lianshi (Meliae Toosendan Fructus, crushed), Muxiang (Aucklandiae Radix) (each 1.5 liang), Hulusba (Trigonellae Semen), Qingju pi (Citri Reticulatae Pericarpium, soaked in decoction, white pith removed, dried) (each 1 liang).
The above seven herbs are pounded and sifted into a powder. Each dose is one qianbi (approx. 3-5g), taken with warm wine, on an empty stomach or before meals, twice daily.
Treatment for Small Intestine affected by pathogenic factors causing testicular traction, with Qi rushing upward without descending and pain: Lianshi San Formula.
Lianshi (4 liang, scored crosswise), Badou (Crotonis Fructus, cracked slightly). These two are stir-fried together with 1 sheng of bran until the bran turns black and the medicine turns scorched yellow; remove Badou and bran, retaining only the peeled Lianshi. Xiangzi (Stir-fried, 1 liang), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried and crushed, 1 liang), Qingyan (Green Salt, separately ground, 1 fen).
The latter three herbs are combined with the prepared Lianshi, pounded and sifted into a powder. Each dose is one qianbi, taken with hot wine, on an empty stomach. During attacks, time does not matter.
Treatment for Small Intestine affected by pathogenic factors, with testicular traction pain: Muxiang San Formula.
Muxiang (Aucklandiae Radix), Malinhua (Iris lactea var. chinensis flower) (each 0.5 liang), Lianshi, Badou (30 seeds each, peeled and stir-fried with Lianshi until black; remove Badou, use only Lianshi), Xiangzi (Stir-fried, 1 liang), Shashi (Realgar, separately ground, 0.5 qian).
Excluding Badou, the remaining six herbs are pounded and ground into a fine powder. Each dose is 2 qianbi, taken with decocted scallion wine. Salt water is also acceptable. Take on an empty stomach or before meals.
Treatment for Small Intestine Hernia Qi (Xiao Chang Shan Qi), with traction pain in the umbilical and abdominal regions, and inability to straighten the waist: Wuzhuyu San Formula.
Wuzhuyu (Evodiae Fructus, washed with decoction then stir-fried), Lianshi (49 seeds), Badou (0.5 liang, cracked slightly). Stir-fry these three together until Lianshi turns yellow and scorched; remove Badou and Wuzhuyu, do not use them. Retain only the pitted Lianshi. Chenxiang (Aquilariae Lignum Resinatum, 0.5 liang), Muxiang (Aucklandiae Radix), Malinhua (Stir-fried), Xiangzi (Stir-fried) (each 1 fen).
Excluding Badou and Wuzhuyu, the remaining seven herbs are pounded and sifted into a powder. Each dose is 2 qianbi, taken with stir-fried scallion wine. Take on an empty stomach, before sleep, or during an attack.
Treatment for Small Intestine affected by Cold pathogens, with testicular traction, hard lower abdomen, and unbearable pain: Yanhusuo Wan Formula.
Yanhusuo (Corydalis Rhizoma), Qingju pi (Citri Reticulatae Pericarpium, soaked in decoction, white pith removed, dried), Hulusba (Trigonellae Semen), Haizao (Sargassum, washed with wine to remove saltiness, dried), Kunbu (Eckloniae Thallus, washed with wine to remove saltiness, dried).
(Note: Text mentions ten ingredients, though fewer are listed here). All are powdered. Add Shashi (Realgar), Aw ei (Ferulae Resina), Anshixiang (Styrax) (each 1 fen). Dissolve in 2 sheng of vinegar, filter out soil impurities, and boil over double boiler until forming a paste. Mix with the herb powders to form pills the size of mung beans. Each dose is 20 pills, taken with wine mixed with ash from burnt cotton. Take on an empty stomach or before meals.
Treatment for Small Intestine affected by Cold pathogens, with testicular traction pain: Muxiang Wan Formula.
Muxiang (Aucklandiae Radix, 1 liang), Shinan (Fuki No Ki no Koshi), Roucongrong (Cistanche Stem), Niuxi (Achyranthis Bidentatae Radix, soaked in wine, sliced, dried, ground separately), Changpu (Acori Tatarinowii Rhizoma), Xiangzi.
(Note: Text lists seven items). Excluding Roucongrong and Niuxi which are ground separately, the others are pounded and sifted into powder. Use 2 sheng of wine to simmer Roucongrong and Niuxi into a paste to mix with the medicines. Form pills the size of paulownia seeds. Each dose is 30 pills. On an empty stomach or before meals, wrap 1 cun of scallion white in paper, bake until cooked, chew thoroughly, and swallow with warm wine.
Treatment for testicular traction with Qi rising without descending, pain radiating to the lower abdomen, Small Intestine affected by Cold: Dingxiang Wan Formula.
Dingxiang (Caryophylli Flos), Muxiang (Aucklandiae Radix), Yelangdu (Stellerae Radix), Shujiao (Zanthoxyli Fructus, remove eyes and closed ones, stir-fried to release oil, each 1 liang), Fuzi (Aconiti Lateralis Radix Praeparata, roasted, cracked, peel and navel removed), Shaoyao (Paeoniae Radix), Jiegeng (Platycodonis Radix, stir-fried), Ganjiang (Zingiberis Rhizoma, roasted, each 0.5 liang), Xixin (Asari Radix et Rhizoma, remove seedlings and leaves, 1.5 liang).
The above nine herbs are pounded and sifted into powder. Mix with refined honey to form pills the size of paulownia seeds. Each dose is 30 pills, taken before meals with wine infused with stir-fried Xiangzi.
Treatment for testicular traction and Small Intestine Qi pain: Shashi Wan Formula.
Shashi (Realgar, 1 liang, separately ground finely and purified by water flotation), Peng'ezhu (Curcumae Zedoariae Rhizoma, roasted and crushed), Lianshi (Meliae Toosendan Fructus, bran-stir-fried), Qingju pi (Citri Reticulatae Pericarpium, soaked in decoction, white pith removed, dried), Muxiang (Aucklandiae Radix), Dingxiang (Caryophylli Flos), Bichengqie (Piperis Betle Fructus), Roudoukou (Myristicae Semen, shell removed, roasted), Binglang (Arecae Semen, crushed), Fuzi (Aconiti Lateralis Radix Praeparata, roasted, cracked, peel and navel removed), Bajitian (Morindae Officinalis Radix, remove heart), Xiangzi (Stir-fried) (each 0.5 liang).
Excluding Shashi, the remaining eleven herbs are pounded and sifted into powder. Use 1 sheng of wine. First, take Shashi and 1 cup of the water used for floating Shashi, boil down to half volume. Add all other herbs and boil again, stirring frequently until consistency is appropriate. Form pills the size of paulownia seeds. Each dose is 20 pills, taken on an empty stomach with warm wine. Can increase to 30 pills.
Treatment for testicular traction pain radiating to the lower abdomen: Wuyao San Formula.
Wuyao (Linderae Radix), Muxiang (Aucklandiae Radix), Xiangzi (Lightly stir-fried), Qingju pi (Citri Reticulatae Pericarpium, soaked in decoction, white pith removed, dried), Gaoliangjiang (Alpiniae Officinarum Rhizoma, stir-fried) (each 0.5 liang), Binglang (Arecae Semen, crushed, 2 pieces).
(Note: Text mentions eight ingredients). Pounded and sifted into a powder. Each dose is one qianbi, taken with warm wine, on an empty stomach or before meals. For severe pain, take with stir-fried fresh ginger and hot wine.
Treatment for Small Intestine affected by pathogenic factors, with testicles pulling up and down, umbilical and abdominal pain: Rushi Wan Formula.
Dansha (Cinnabaris, ground, 0.5 liang), Shashi (Realgar, ground, 1 fen), Hujiao (Piperis Longi Fructus, 0.5 liang), Hai ge (Concha Arcae), Lianshi (Meliae Toosendan Fructus, bran-stir-fried, pitted, 0.5 liang), Danggui (Angelicae Sinensis Radix).
(Note: Text mentions nine ingredients, listing fewer explicitly). Pound and grind into fine powder. Use 1 fen of Rushi (Boswelliae Resina), ground finely. Boil wine to make a paste to mix with the herb powders. Form pills the size of paulownia seeds. Each dose is 20 pills, taken with warm wine. Salt water is also acceptable. Take on an empty stomach or before meals.
Treatment for Small Intestine affected by pathogenic factors causing testicular traction and lower abdominal pain: Lianshi Wan Formula.
Lianshi (Meliae Toosendan Fructus, bran-stir-fried, pitted), Xiangzi (Stir-fried), Shanzhuyu (Corni Fructus), Shizhuyu (Zanthoxyli Fructus edulis), Wuzhuyu (Evodiae Fructus, washed with decoction, dried, stir-fried), Qingju pi (Citri Reticulatae Pericarpium, soaked in decoction).
(Note: Text mentions nine ingredients). Make into fine powder. Mix with vinegar-boiled wheat flour paste to form pills the size of paulownia seeds. Each dose is 20 pills, taken with warm wine, on an empty stomach or before meals.