Library

The *Da Qi Lun* (Great Wonders Chapter) of the *Huangdi Neijing* (Yellow Emperor's Inner Canon) states: A kidney pulse that is large, urgent, and deep indicates a hernia syndrome; a liver pulse that is large, urgent, and deep also indicates a hernia syndrome; a heart pulse that is wiry, slippery, and urgent indicates Heart Hernia; a lung pulse that is deep and wiry indicates Lung Hernia. Generally, hernia syndromes are caused by the condensation and accumulation of Cold Evil, resulting in severe pain in the abdomen and around the umbilicus.

Furthermore, Chao Yuanfang stated: Various hernia syndromes arise from the accumulation of Yin Qi internally, compounded by injury from Cold Hernia, leading to disharmony between Ying (Nutritive) and Wei (Defensive) Qi, weakness of Yin and Yang Qi, and the invasion of Wind-Cold into the abdomen. Thus, the *Mai Jing* (Pulse Classic) says: An urgent pulse is a tight pulse; a tight pulse indicates Cold, Excess, and Pain. Blood coagulating due to Cold forms masses (Jia), while Qi aggregating due to Cold forms Hernias.

Ren Zhai stated: Hernia syndrome manifests as swelling and enlargement of the scrotal sac with Qi stagnation, accompanied by pulling pain. It is often caused by prolonged crying and anger in children, which injures Yin Qi, causing it to descend and aggregate without dispersing. In some cases, excessive crying by the pregnant mother injures the fetus, leading to closure of Qi in the small intestine after birth, which transforms into this condition. Due to the obstruction of Qi flow, combined with the invasion of Wind-Cold, blood and fluids accumulate. Consequently, Water Qi ascends to attack the Lungs, first causing panting and urgency, followed by hernia pain. The presentation may resemble a peach pit, be soft, involve swelling of the external genitalia (testes), or feel woody and hard. There is unbearable pain below the umbilicus. Treatment involves regulating Heart Qi, expelling Kidney pathogenic factors, and promoting urination and defecation; no tonification methods are used. The primary formulas for treatment are Wu Ling San (Five-Ingredient Poria Pill), Dang Gui San (Angelica Decoction), and Chuan Lian San (Toosendan Fruit Powder).

For pediatric hernia presenting with unilateral scrotal swelling, moxibustion should be applied to three burns on the cross-shaped line at the posterior seam of the scrotum. Spring moxibustion yields results in summer; summer moxibustion yields results in autumn; autumn moxibustion yields results in winter; winter moxibustion yields results in the following spring.

For pediatric scrotal swelling, moxibustion is applied to two points named Nei Kunlun (referring to the area near Taixi), three burns each. The location is five fen behind the medial malleolus, in the depression between the bone and tendon.

For treating dribbling urine (Lin syndrome), stir-fried salt is used in an unspecified amount, filled hot into the patient's umbilicus (Shenque Point). Then, moxa cones the size of wheat grains are applied for seven burns, which is highly effective. Alternatively, Sanyinjiao (SP6) can be moxibusted.

Xiang Xiong Wan (Fragrant Ligusticum Pill): Treats various Lin syndromes in children; it is especially excellent for cases caused by Wind obstruction.
Ingredients: Xiang Fu (Cyperus Rhizome), Chuan Xiong (Ligusticum Rhizome), Chi Fu Ling (Red Poria), Hai Jin Sha (Lygodium Spore), Hua Shi (Talcum), Zhi Qiao (Aurantium Fructus), Ze Xie (Alisma Rhizome), Shi Wei (Pyrrosiae Folium), Bing Lang (Areca Seed) (each half liang for the first two pairs, each 2.5 qian for the latter four).
Preparation and Administration: Grind the above ingredients into fine powder. Use glutinous rice flour paste as a binder to form pills the size of hemp seeds. Take 33 to 55 pills, or up to 77 pills per dose, washed down with prepared water from Ophiopogon japonicus (Maidong). If urinary difficulty presents with only a few drops and pain, take smooth flowing water from the Yangtze River, warm it slightly over fire, add a little salt, mix well, and swallow on an empty stomach.

Kui Zi San (Abutilon Seed Powder): Treats various Lin syndromes in children.
Ingredients: Kui Zi (Abutilon Seed), Che Qian Zi (Plantago Seed), Mu Tong (Akebia Caulis), Sang Bai Pi (Morus Root Bark, stir-fried), Qu Mai (Dianthus Herba), Chi Fu Ling (Red Poria), Shan Zhi Zi (Gardenia Fruit), Gan Cao (Licorice Root, honey-fried) in equal proportions.
Preparation and Administration: Decoct one cup of water and drink.

Dao Chi San (Guide Out the Red Powder): Treats pediatric Hematuric Lin Syndrome.
Ingredients: Sheng Gan Di Huang (Raw Rehmannia Root), Mu Tong (Akebia Caulis) (each 2 qian); Huang Qin (Scutellaria Root), Gan Cao (Licorice Root, raw) (each 2 qian).
Preparation and Administration: Grind into fine powder. Take one qian per dose, decocted with well water and Deng Xin Cao (Juncus Medullary). Additionally, mix You Fa Hui (Ash of Human Hair) with Mi Yin (Rice Drink) and administer orally on an empty stomach.

Ju Fang Wu Lin San (Bureau Formula Five-Lin Powder): Treats Lin syndrome caused by Heat in the Bladder and obstruction of the urinary pathway, resulting in dribbling inability to urinate, urine resembling bean juice, formation of sand/stones, pasty consistency, heat retention, or hematochezia/hematuria.
Ingredients: Chi Fu Ling (Red Poria) (6 qian); Chi Shao Yao (Red Peony Root), Shan Zhi Zi (Gardenia Fruit) (each 2 qian); Dang Gui (Angelica Sinensis), Gan Cao (Licorice Root) (each 5 qian).
Preparation and Administration: Coarsely crush the ingredients. Take 3 qian per dose, decocted with a small cup of water and Deng Xin Cao (Juncus Medullary).