夫小儿阴 者。是阴核结肿大也。小儿患此者多因啼努。 气不正。动于阴。阴气下击。
结
治小儿阴 肿硬。或时疼闷。薏苡仁散方。
薏苡仁 赤芍药 土瓜根 黄芩 蛇床子 地肤子 桔梗（去芦头以上各三分）
上件药。捣细罗为散。一二岁每服。空心以温酒调下半钱。日午晚后再服。量儿大小。
以意
治小儿阴 。药未效。魁蛤散方。
魁蛤（三分细研） 狗阴（一具炙令黄） 白术（半两） 桂心（一分）
上件药。捣细罗为散。一二岁儿。每于空心。以粥饮调下半钱。晚后再服。酒下更良。
量儿大小。以意加减。
治小儿阴 不消。白蒺藜散方。
白蒺藜（半两微炒去刺） 香豉（半两微炒） 鼠妇 虫（微炙） 川大黄（锉微炒）
桂心
细
上件药。捣细罗为散。一二岁儿。每服。以温酒调下半钱。早晨晚后各一服。量儿大小。
以
治小儿阴 肿胀。木香散方。
木香 白蒺藜（微炒去刺） 地肤子 昆布（洗去咸味） 枳壳（麸炒令黄去瓤） 槐
子（以
上各
上件药。捣细罗为散。一二岁儿。空心以粥饮调下半钱。晚后再服。量儿大小。以意加
减。
治小儿阴 肿硬。时复疼痛。土瓜根散方。
土瓜根 赤芍药 当归（锉微炒以上各半两）
上件药。捣粗罗为散。每服一钱。以水一小盏。煎至六分。去滓。量儿大小。以意加减
服之
治小儿阴 。日夜疼痛。桃仁丸方。
桃仁（三分汤浸去皮尖双仁微炒） 川大黄（半两锉微炒） 赤芍药（半两） 防葵（半
两）
半夏
炒令去
汗）
上件药。捣罗为末。炼蜜和丸。如绿豆大。三岁儿。每于食前。以温酒下五丸。看儿大
小。
治小儿阴 肿硬。桂心散方。
桂心（半两） 地肤子〔一（二）两〕 白术（一两）
上件药。捣细罗为散。三岁儿每服。以温酒下半钱。日三服。量儿大小。以意加减。
又方。
蜴蜥（二枚烧灰）
上细研为散。一二岁儿每服。以温酒调下半钱。早晨晚后各一服。量儿大小。以意加减。
治小儿阴 。肿大不消方。
硼砂（一分）
上以水研化涂之。立效。
Pediatric Yin Hernia refers to the condition characterized by nodular swelling of the scrotum. This condition in children is often caused by excessive crying and straining, leading to qi stagnation and disturbance in the genital region, causing cold qi to descend and accumulate.
**Yiyiren San (Coix Seed Powder)** for treating pediatric yin hernia with swelling and hardness, or occasional pain and distension:
*Ingredients:* Yiyiren (Coicis Semen), Chishao Yao (Paeoniae Radix Rubra), Tugua Gen (Trichosanthes Radix), Huangqin (Scutellariae Radix), Shechuangzi (Cnidii Fructus), Difuzi (Kochiae Fructus), Jiegeng (Platycodonis Radix) [remove the radicle head; each 3 fen].
*Preparation:* Pulverize the above ingredients finely and sieve them to make a powder.
*Administration:* For infants aged one to two years, take half a qian mixed with warm wine on an empty stomach. Administer again at noon and in the evening. Adjust the dosage according to the child's age and size.
**Kuige San (Tridacna Gigas Powder)** for pediatric yin hernia when previous treatments have been ineffective:
*Ingredients:* Kuige (Tridacna Gigas Shell) [3 fen, finely ground], Gou Yin (Canis Penis) [one piece, roasted until yellow], Baizhu (Atractylodis Macrocephalae Rhizoma) [0.5 liang], Guixin (Cinnamomi Ramulus) [1 fen].
*Preparation:* Pulverize the above ingredients finely and sieve them to make a powder.
*Administration:* For infants aged one to two years, take half a qian mixed with rice water on an empty stomach. Administer again in the evening. Taking it with wine is more effective. Adjust the dosage according to the child's age and size.
**Bajili San (Tribuli Fructus Powder)** for pediatric yin hernia where the swelling does not subside:
*Ingredients:* Bajili (Tribuli Fructus) [0.5 liang, lightly stir-fried and thorns removed], Xiangchi (Fermented Soybean) [0.5 liang, lightly stir-fried], Shufu Chong (Psocids) [lightly roasted], Chuan Dahuang (Rhei Radix et Rhizoma) [crushed, lightly stir-fried], Guixin (Cinnamomi Ramulus), Xi Xin (Asari Radix et Rhizoma) [text incomplete in original].
*Preparation:* Pulverize the above ingredients finely and sieve them to make a powder.
*Administration:* For infants aged one to two years, take half a qian mixed with warm wine. Take once in the morning and once in the evening. Adjust the dosage according to the child's age and size.
**Muxiang San (Costi Powder)** for pediatric yin hernia with swelling:
*Ingredients:* Muxiang ( Aucklandiae Radix ), Bajili (Tribuli Fructus) [lightly stir-fried and thorns removed], Difuzi (Kochiae Fructus), Kunbu (Laminariae Thallus) [washed to remove saltiness], Zhike (Aurantii Fructus) [bran-roasted until yellow, pith removed], Huaizi [text incomplete in original].
*Preparation:* Pulverize the above ingredients finely and sieve them to make a powder.
*Administration:* For infants aged one to two years, take half a qian mixed with rice water on an empty stomach. Administer again in the evening. Adjust the dosage according to the child's age and size.
**Tugua Gen San (Trichosanthes Radix Powder)** for pediatric yin hernia with swelling, hardness, and recurrent pain:
*Ingredients:* Tugua Gen (Trichosanthes Radix), Chishao Yao (Paeoniae Radix Rubra), Danggui (Angelicae Sinensis Radix) [crushed, lightly stir-fried; each 0.5 liang].
*Preparation:* Coarsely pulverize the above ingredients and sieve them to make a powder.
*Administration:* Take one qian per dose. Add one small cup of water, decoct until reduced to six-tenths, strain, and administer. Adjust the dosage according to the child's age and size.
**Taoren Wan (Prunus Persica Seed Pill)** for pediatric yin hernia with day-and-night pain:
*Ingredients:* Taoren (Persicae Semen) [3 fen, soaked in water, skin and tips removed, double-kernel ones discarded, lightly stir-fried], Chuan Dahuang (Rhei Radix et Rhizoma) [0.5 liang, crushed, lightly stir-fried], Chishao Yao (Paeoniae Radix Rubra) [0.5 liang], Fangkui (Adenophorae Radix) [0.5 liang], Banxia [text incomplete in original].
*Preparation:* Pulverize the ingredients into fine powder and mix with refined honey to form pills the size of mung beans.
*Administration:* For three-year-old children, take five pills with warm wine before meals. Adjust the dosage according to the child's age and size.
**Guixin San (Cinnamon Twig Powder)** for pediatric yin hernia with swelling and hardness:
*Ingredients:* Guixin (Cinnamomi Ramulus) [0.5 liang], Difuzi (Kochiae Fructus) [1 or 2 liang], Baizhu (Atractylodis Macrocephalae Rhizoma) [1 liang].
*Preparation:* Pulverize the above ingredients finely and sieve them to make a powder.
*Administration:* For three-year-old children, take half a qian mixed with warm wine per dose. Take three times a day. Adjust the dosage according to the child's age and size.
**Another Prescription:**
*Ingredients:* Xi Yi (Lacerta) [two pieces, burned to ash].
*Preparation:* Finely grind into a powder.
*Administration:* For infants aged one to two years, take half a qian mixed with warm wine. Take once in the morning and once in the evening. Adjust the dosage according to the child's age and size.
**Prescription for Pediatric Yin Hernia with Persistent Swelling:**
*Ingredients:* Pengsha (Borax) [1 fen].
*Administration:* Dissolve in water and apply topically to the affected area. Immediate effect is expected.