（三钱） 附子（炮） 吴茱萸（汤泡七次各五钱） 荔枝子（煨八钱） 小茴香 木香（各七钱）
熬砂糖为丸，每服二钱，淡盐汤下。若有热者，去附桂。（《心悟》）（按∶此本《众妙方》回春丸，今去
白术、山楂、枳实，加川楝、桂、附、木香，以砂糖代炼蜜。又据彼方，每服二钱，服字恐丸字讹。）
暖肝煎，治肝肾阴寒，小腹疼痛，疝气等证。
当归（二三钱） 枸杞（三钱） 茯苓（二钱） 小茴香（二钱） 肉桂（一二钱） 乌药（二钱）
沉香（一钱或木香亦可）
水一钟半，加生姜三五片，煎七分，食远温服。如寒甚者，加吴茱萸、干姜。再甚者，加附子。（《景岳》）
八味丸，治劳疝，房劳伤精，损气气陷，但天寒时举作多而且甚，天暖举作少而且轻，本方加川楝肉、巴
戟天，以鹿角胶为丸。（《医经会元》）
胡桃散，治小肠气。
胡桃肉（汤浸去皮） 破故纸（炒） 大枣（煮去皮核）
上件各等分，为细末，每服二钱，温酒调下，食前。（《杨氏》）
养正丹，治奔豚气痛，呕吐身冷，调气散下。（《直指》）
通气方法 气聚则塞，气散则通，是痛之休作，由气之聚散也，故曰治疝必先治气。（《金匮翼》）
治育肠气，小腹连阴疼痛， 香散方。
香子（一两） 苦楝子（一两炒微黄） 槟榔（一两） 木香（半两） 青橘皮（半两汤浸去白瓤焙）
上件药捣，细罗为散，每服二钱，以水一中盏，入生姜半分，煎至五分，和滓不计时候热服。（《圣惠》）《杨
氏》茴香散，于本方去槟榔，加京三棱、蓬莪术、甘草、当归。
治育肠气疼痛，宜服沉香散方。
沉香（半两） 胡芦巴（半两） 肉豆蔻（半两去壳） 槟榔（三分） 木香（三分） 桂心（半两）
香子（半两）
上件药捣，细罗为散，每服不计时候，以温酒调下二钱。（《圣惠》）
聚香饮子，治七情所伤，遂成七疝，心腹胀痛，引腰胁连背，不可 仰。
檀香 木香 乳香 沉香 丁香（并不见火） 藿香叶（各一两） 玄胡索（炒去皮） 片子姜黄（洗）
川乌（炮去皮尖） 桔梗（去芦锉炒） 桂心（不见火） 甘草（炙各半两）
上 咀，每服四钱，水一盏半，生姜七片，枣一枚，煎至七分，去滓温服，不拘时候。（《济生》）（按∶
此《和剂》匀气散变方。）
金铃散，治疝气腹痛，投诸药后，愈而复作。
金铃子肉（六钱） 三棱（炮锉） 莪术（醋煮锉） 青皮（去白） 陈皮（去白各二钱半） 赤茯苓（去皮）
茴香（各半两） 南木香（二钱） 甘草（四钱炙） 槟榔 枳壳 钩藤（和钩各三钱）
上除木香、槟榔不过火，余十味锉焙，仍同木香、槟榔为末，每服半钱至一钱，仍用炒茴香煎无灰酒，空
心调服。不饮酒者，煎炒茴香汤调下。（《活幼心书》）
立效散，食积者用。
青皮（一钱二分醋炒） 小茴香（盐水炒一钱） 山楂（一钱五分醋炒） 枳实（麸炒） 苍术（米泔浸
一宿炒） 香附 吴茱萸 山栀（炒黑） 川楝肉（各一钱）
水二钟，姜三片，煎八分，食前服。（《统旨》）又川
楝散，治诸疝定痛如神，于本方去枳实，加橘核、玄胡索。
乌苓通气汤，治一切疝气，无问远近、寒热、风湿、寒气。
乌药 当归 芍药 糖球 香附 陈皮（各一钱） 茯苓 白术 槟榔 玄胡 泽泻（各五分） 木香 甘草
（各三分）
上剂，姜三片，水煎服。如恶寒脉沉细，加吴茱萸。（《回春》）（按∶此方本出《入门》，名乌附通气
汤，有猪苓，无槟榔、玄胡，曰痛甚，加槟榔、玄胡索。）
和血诸方 治小肠气，断弓弦方。
五灵脂 蒲黄（等分）
上二物，先用酽醋一合，熬药成膏，以水一小盏，煎至六七分，热呷，此又名失笑散，疗妇人血气尤验。
（《苏沈》）《直指》加玄胡索，各等分。
牡丹丸，治寒疝，心腹刺痛，休作无时，及治妇人月病，血刺疼痛。
川乌头（炮令焦黑去皮尖） 牡丹皮（四两） 桂心（五两） 桃仁（炒去皮尖五两别研）
上末，炼蜜丸，梧子大，每服五十丸，温酒下，妇人醋汤下。（《三因》）（按∶此牡丹五等散变方，彼
见《 病》中。）
桃仁当归汤，瘀血者。
桃仁（去皮尖二钱） 当归尾（酒洗） 玄胡索（各一钱半） 川芎 生地黄 赤芍药（炒） 吴茱萸
青皮（醋炒各一钱） 牡丹皮（八分）
水二钟，姜三片，煎八分，食前服。（《统旨》）
寒热兼行方法 疝气有寒束于外，郁热在内，攻刺急痛
者，法必寒热兼行，如仓卒散之类，丹溪云用之无有不效，盖川乌头治外束之寒，山栀仁治内郁之热也。（《金
匮翼》）（按∶丹溪说出《格致余论》。）
柴胡桂枝汤，治肾气冷热不调证。（《直指》）
治小肠气，仓卒散。
山栀子（四十九枚烧半过） 附子（一枚炮）
上每服二钱，酒一小盏，煎至七分（馆本八分），入盐一捻，温服。脾肾气挛急，极痛不可屈伸，腹中冷，
重如石，痛不可忍，白汗如泻，手足冰冷，久不瘥，卧欲死者，服此药一剂，忽如失去，甚者两服瘥。予自得
效，亦屡以治人皆验。（苏沈）（按∶又治胸痹，栀子汤，亦此二味，宜参。）《宣明论》蒺藜汤，治阴疝，
牵引小腹痛，诸厥疝即阴疝也，嗜欲劳痛，不可忍之，于本方加蒺藜，水煎服。
玄胡索苦楝汤，治脐下冷撮痛，阴冷大寒。
肉桂（三分） 附子（三分） 熟地黄（一钱） 甘草梢（炙半钱） 苦楝子 玄胡索（各二分） 黄柏
（一分为引用）
上都作一服，水四盏，煎至一盏，稍热服，食前。（《试效方》）（按∶此本出《妇人》门，今从《纲目》
拈于斯。）
十味苍柏散，治疝作痛。
苍术（盐炒） 香附（盐炒） 黄柏（酒炒为君） 青皮 玄胡索 益智 桃仁（为臣） 茴香（佐）
附子（盐炒） 甘草（为使）
上为末，作汤，服后一痛过，更不再作矣。（《丹溪》）（按原无方名，今从《入门》标之。）
荡实急治方法 文仲疗卒得诸疝，少腹及阴中相引绞痛，白汗出欲死。（原此有沙参捣筛酒服方，不
录。）若不瘥，服诸利丸下之，走马汤亦佳。此名寒疝，亦名阴疝。
（《外台》）
赤岸朱同道，年四十岁，八月望，雨后得凉，半夜后腹痛甚，汗如雨，两脚蹈破壁，痛在少腹，手不可近，
六脉弦而细实，重取如循刀刃责责然。问之，云六月大热时，于深潭浴水，病或起于此。与大承气汤，大便微
利，痛遂顿止。至次日酉时，其痛复作，痛在小腹，坚硬手不可近。又与大承气加桂两服，研桃仁同煎，大便
下紫黑血升余而痛顿止。至次日酉时，痛复作如初，脉虽稍减，而责责然犹在。与大承气汤加附子两帖，研桃仁
同煎，下大便五行，得黑紫血如破絮者二升许，痛遂顿止，一夜得睡。次日酉时，痛复如初，询知小腹和软，
痛在脐腹间下，脉亦和，似若无病，但呻吟如旧。询知乃食萝卜菜苗羹两顿，与小建中汤一帖而愈。（《纲目》
引《丹溪》）（按∶汪石山有小承气汤加桃仁按，其意相似，仍不录。）
愚谓子和七疝之治，虽各有不同，然无非用下，则不能无偏。故刘宗浓徐用诚，皆疑而议之，亦谓其太过耳，
非谓尽不可用也。再观丹溪之法，则曰治疝大不宜下，是又相左之甚矣。余因考子和治案，如治蔡参军，因坐
湿地，疝痛不堪，用导水丸下之而愈。又治一人，因疟渴过饮浆水，病疝，医进姜附，为燥热所壅，以致阴囊重
坠，大如升斗，乃先以导水丸，后用猪肤散，大下之而愈。又治一人病卒疝，赤肿大痛，数日不止，诸药如石
投水，遂以导水丸，次以通经散，大下之而愈。若此类者，岂皆不可下乎。故但宜酌其虚实缓急，如或为邪热
所闭，或以少年暴疾，或以肿硬赤痛之极者，则如导水丸、三花神 丸、禹功散之类，皆所当用。盖邪盛而急，
势不可当，又非行气利水等剂所能及者，则不得不攻。此子和之法，亦自有必不可废者，是不可不察也。（《景岳》）
导水丸。
大黄（二两） 黄芩（二两） 滑石（四两） 黑牵牛（四两另取头末用）
上为细末，滴水丸梧桐子大，每服五十丸，或加至百丸，临卧温水下。（《三法六门》）
禹功散。
黑牵牛头末（四两） 茴香（一两炒） 或加木香（一两）
上为细末，以生姜自然汁调一二钱，临卧服。（同上）
通经散。
陈皮（去白） 当归（各一两） 甘遂（以面包，不令透水，煮百余翻）
取出，用冷水浸过，去面焙干。
上为细末，每服三钱，温汤调下，临卧服。（同上）
荡实缓治诸方 治小肠气，下元闭塞不通，川楝散。
川楝子（一两和皮破为四片） 巴豆（一两并壳捣令碎）
上同和匀，入铫内炒令紫色，取出去巴豆，只取川楝子净刷为末，每服一钱，先炒茴香令香，秤一钱，用
酒一盏冲，更煎三五沸去滓，调川楝子末，连进二服，得下泄立瘥。此方同治远年内外 疮方，于建安军人吴
美得之。（苏沈）（宜考前“治不可以虚骤补”条。）《经验方》治丈夫本脏气伤，膀胱连小肠等气，金铃子
一百个，温汤浸过，去皮，巴豆二百个，捶微破，麸二升。同于铜铛内炒，金铃子赤熟为度，放冷取出，去
核为末，每服三钱，非时热酒、醋汤调并得。其麸、巴豆不用也。（《本草》）（《本事续集》名金莲散，曰∶
古今一切名方，无如此方奇特有效。）《圣济》治小肠受邪，控睾上而不下，疼痛，楝实散，于本方加
甘草、青盐。《幼幼》赵氏家传，治大人小儿诸疝偏气方，于本方加丁香、青橘皮。《直指》金铃散，治膀胱
小肠气，外肾肿痛，于本方加木香（用舶上茴香）、连根葱白煎。
《叶氏》金铃子丸，治膀胱小肠肾经疝气攻作，脐腹撮痛不可忍者，于本方加破故纸、胡卢巴为末，面糊丸，如
梧子大，每服三十丸，细嚼炒胡桃仁三个，热葱盐酒送下。《示儿仙方》借性丸，于本方去茴香，金铃子末为丸，
每服十丸，服以得利下不妨。（金铃子巴豆各四十九个）
天台乌药散，治小肠疝气，牵引脐腹疼痛。
乌药 木香 茴香（炒） 良姜（炒） 青皮（去白五钱） 槟榔（锉二个） 川楝（十个） 巴豆（十四个，
微打破，同川楝实用麸炒，候麸黑色，去麸、巴不用，只用川楝。）
上为末，每服一钱，温酒调下。痛甚者，炒生姜热酒调下亦得。（《宝鉴》）（《按∶此方系《圣惠》 香
散，合《本事》金莲散，加乌药、良姜者。）
麝香丸，治心腹冷疼，男子小肠气。
麝香（一钱别研） 胡椒（一两） 木香 巴豆（四钱去皮心研） 全蝎（四钱去毒微炒）
上件为细末，汤浸蒸饼丸，如绿豆大，每服三丸。心腹痛，煨姜汤下。小肠气，腹胁攻痛，茴香汤下。
（《杨氏》）《尊生书》曰∶此方无麝香，即神保丸，凡膀胱气、胁下痛最难治，此药主之。（神保丸见《胁
痛》）
金铃丸，治小肠气，一服立愈。
牵牛子（炒） 青皮（去白） 良姜（各等分） 川楝子 舶上 茴香（各半两） 玄胡索（四两）
上为细末，生姜自然汁煮面糊丸，如梧桐子大，朱砂为衣，每服三十丸，烧绵为灰浸酒下，不计时候。（别
本《中藏经》）《神效名方》荡疝丹，于本方去良姜、玄胡索，加破故纸、陈皮、广术、木香，用好酒打面
糊为丸。《本事续集》立效散，于本方去良姜、玄胡素，加川芎、桃仁为细
末，每服二钱，无灰酒一盏，煎至八分盏，温服。《杨氏》橘核散，治寒湿腰痛，小肠气，壮筋骨，暖下元，
于本方去青皮、良姜，加五灵脂、破故纸、庵 草、橘核、棠球子，为细末，每服二钱，热酒调下，不拘时候。
气宝丸，治一切气滞，心胸痞满，及酒食所伤，脾胃积滞，膀胱疝气，攻注腰脚。
茴香（炒秤二两） 陈橘红（一两） 木香（一分） 黑牵牛（四两，以吴茱萸二两慢火同炒，候茱萸焦
取出，不用茱萸，只用牵牛头末一两。）
上件为细末拌匀，炼蜜为丸，如梧桐子大，每服二十丸至三十丸，生姜汤下，更看虚实加减，食前服。小
肠气痛，盐汤下。（《杨氏》）
复元通气散，治小肠气，肾痈便毒，腰疼气刺，腿膝生疮。
玄胡索（擦去皮） 陈皮（去白） 白牵牛（炒取末） 甘草（炙各一两） 南木香（不见火一两半）
茴香（舶上者炒） 穿山甲（锉蛤粉炒去粉各二两）
上为细末，每服一大钱，热酒调，病在上食后服，病在下食前服。不饮酒人，煎南木香汤调下。（《和
剂》）
治育肠气发歇，疼痛不可忍方。
砂（二两，研为末，以醋煎调，涂于多年铜杓子面上，用新盆盖七日，刮取绿细研。） 槟榔（一两）
木香（一两） 没药（半两） 香子（一两）
上件药捣，细罗为末，入 砂研令匀，以糯米饭和丸，如绿豆大，每服不计时候，以热生姜酒下七丸。
（《圣惠》）
又方
(Wuzhuyu, 3 qian) Fuzi (prepared) Wuzhuyu (soaked in decoction seven times, each 5 qian) Litchi seed (roasted, 8 qian) Huixiang (Fennel) Muxiang (Aucklandia root; each 7 qian)
Boil rock sugar to make pills. Take 2 qian per dose, administered with light salt water. If there are signs of heat, remove Fuzi and Rougui. (From *Xinwu*) [Note: This formula originates from the Huichun Wan in *Zhongmiao Fang*. It now removes Baizhu, Shanzha, and Zhishi, adding Chuanlianzi, Rougui, Fuzi, and Muxiang, using rock sugar instead of refined honey. Additionally, according to that formula, "take 2 qian" likely contains a typo where "dose" should be "pill".]
Nuan Gan Jian (Warming Liver Decoction), treats cold-deficiency of the Liver and Kidney, lower abdominal pain, hernia, etc.
Danggui (Angelica sinensis root; 2-3 qian) Gouqi (Goji berry; 3 qian) Fuling (Poria; 2 qian) Huixiang (Fennel; 2 qian) Rougui (Cinnamon twig; 1-2 qian) Wuyao (Lindera root; 2 qian)
Chenxiang (Aquilaria wood; 1 qian, or Muxiang may be used)
Add 1.5 zhong of water and 3-5 slices of Shengjiang (Fresh ginger). Decoct until 0.7 zhong remains. Take warm after meals. If cold is severe, add Wuzhuyu and Ganjiang (Dried ginger). If even more severe, add Fuzi. (From *Jingyue Quanshu*)
Bawei Wan (Eight-Ingredient Pill), treats Lao Shan (labor-induced hernia), caused by excessive sexual activity damaging essence, depleting Qi causing sinking. Symptoms occur frequently and severely in cold weather, but less frequently and mildly in warm weather. Add Chuanlianrou (Pericarpium Meliae) and Bajitian (Morinda officinalis root) to this formula, made into pills with Lujiaojiao (Deer horn glue). (From *Yijing Huiyuan*)
Hutao San (Walnut Powder), treats Xiaochang Qi (Small Intestine Qi disorder).
Hutaorou (Walnut kernel; soaked in water and peeled) Poguzhi (Psoralea fruit; roasted) Dazao (Jujube; boiled, peeled, and pitted)
All ingredients in equal parts, ground into fine powder. Take 2 qian per dose, mixed with warm wine, before meals. (From *Yangshi*)
Yangzheng Dan (Nourishing Righteousness Pill), treats Ben Tun Qi pain (fleeing pig qi pain), vomiting, cold body, combined with Tiao Qi San (Regulating Qi Powder). (From *Zhizhi Fang*)
Methods for Promoting Qi Circulation: When Qi gathers, there is obstruction; when Qi scatters, there is patency. The onset and cessation of pain depend on the gathering and scattering of Qi. Therefore, it is said that treating hernia requires first treating Qi. (From *Jinkui Yi*)
Treating Yuchang Qi (Intestinal Qi disorder) with pain radiating from the lower abdomen to the genitals, use Xiang San Fragrant Powder.
Xiangzi (Cnidium fruit; 1 liang) Kulianzi (Melia toosendan seed; 1 liang, stir-fried until slightly yellow) Binglang (Areca nut; 1 liang) Muxiang (Aucklandia root; 0.5 liang) Qingjupi (Green tangerine peel; 0.5 liang, soaked in water, white pith removed, dried)
Grind all ingredients finely and sieve into a powder. Take 2 qian per dose. Add 1 zhong of water and 0.5 fen of Shengjiang (Fresh ginger). Decoct until 0.5 zhong remains. Drink hot with the dregs, at any time. (From *Taiping Shenghui Fang*) *Yangshi*'s Huixiang San (Fennel Powder) removes Binglang from this formula and adds Jingsanleng (Curcuma zedoaria rhizome), Peng'ezhu (Curcuma phaeocaulis rhizome), Gancao (Licorice root), and Danggui (Angelica sinensis root).
For Yuchang Qi pain, it is suitable to take Chenxiang San (Agarwood Powder).
Chenxiang (Aquilaria wood; 0.5 liang) Huluba (Trigonella foenum-graecum seed; 0.5 liang) Roudoukou (Nutmeg; 0.5 liang, shell removed) Binglang (Areca nut; 3 fen) Muxiang (Aucklandia root; 3 fen) Guixin (Cinnamon heart; 0.5 liang)
Xiangzi (Cnidium fruit; 0.5 liang)
Grind all ingredients finely and sieve into a powder. Take 2 qian per dose mixed with warm wine, at any time. (From *Taiping Shenghui Fang*)
Juxiang Yinzi (Gathering Fragrance Decoction), treats damage from Seven Emotions leading to Seven Hernias, distending and painful fullness in the heart and abdomen, radiating to the waist, hypochondrium, and back, making supine position unbearable.
Tánxiang (Sandalwood) Muxiang (Aucklandia root) Ruxiang (Frankincense) Chenxiang (Aquilaria wood) Dingxiang (Clove) (none exposed to fire) Huoxiangye (Patchouli leaf; each 1 liang) Xuanshusuo (Corydalis rhizome; stir-fried and peeled) Pianzi Jianghuang (Turmeric tuber; washed)
Chuanwu (Aconite lateral root; prepared, peeled, and tip removed) Jiegeng (Platycodon root; de-radicle, cut, and stir-fried) Guixin (Cinnamon heart; not exposed to fire) Gancao (Licorice root; honey-fried, each 0.5 liang)
Cut into pieces. Take 4 qian per dose. Add 1.5 zhong of water, 7 slices of Shengjiang (Fresh ginger), and 1 jujube. Decoct until 0.7 zhong remains. Strain and take warm, at any time. (From *Jisheng Fang*) [Note: This is a variation of Yunqi San from *Heji Ju Fang*.]
Jinling San (Golden Bell Powder), treats hernia abdominal pain that recurs after various medications have been tried.
Jinlingzirou (Pericarpium Meliae; 6 qian) Sanleng (Sparganium rhizome; prepared and cut) Ezhu (Curcuma rhizome; vinegar-boiled and cut) Qingpi (Green tangerine peel; de-white) Chenpi (Aged tangerine peel; de-white, each 2.5 qian) Chi Fuling (Red Poria; peeled)
Huixiang (Fennel; each 0.5 liang) Nanmuxiang (Southern Aucklandia root; 2 qian) Gancao (Licorice root; honey-fried, 4 qian) Binglang (Areca nut) Zhiqiao (Bitter orange fruit) Gouteng (Uncaria rhynchophylla; with hooks, each 3 qian)
Except for Nanmuxiang and Binglang which are not overheated, the remaining ten herbs are cut and baked. Then grind together with Nanmuxiang and Binglang into powder. Take 0.5-1 qian per dose. Use fried Huixiang (Fennel) decocted in pure wine to mix. Take on an empty stomach. For those who do not drink alcohol, use fried Huixiang decoction. (From *Huoyou Xinshu*)
Lixiao San (Rapid Effect Powder), used for food stagnation.
Qingpi (Green tangerine peel; 1.2 qian, vinegar-fried) Xiaohuixiang (Little fennel; 1 qian, salt-water-fried) Shanzha (Hawthorn fruit; 1.5 qian, vinegar-fried) Zhishi (Immature bitter orange; bran-fried) Cangzhu (Atractylodes rhizome; soaked in rice wash water overnight and fried) Xiangfu (Cyperus rhizome) Wuzhuyu (Evodia fruit) Shanzhi (Gardenia fruit; charcoal-fried) Chuanlianrou (Pericarpium Meliae; each 1 qian)
Add 2 zhong of water and 3 slices of Shengjiang (Fresh ginger). Decoct until 0.8 zhong remains. Take before meals. (From *Yixue Tongzhi*) There is also Chuanlian San (Melia Powder), which stops pain miraculously for various hernias. Remove Zhishi from this formula and add Juhe (Tangerine seed) and Xuanshusuo (Corydalis rhizome).
Wuling Tongqi Tang (Aucklandia, Poria, and Qi-Promoting Decoction), treats all types of hernia, regardless of duration, cold/heat, wind-dampness, or cold qi.
Wuyao (Lindera root) Danggui (Angelica sinensis root) Shaoyao (Peony root) Tangqiu (Mulberry root or similar; retain original name) Xiangfu (Cyperus rhizome) Chenpi (Aged tangerine peel; each 1 qian) Fuling (Poria) Baizhu (Atractylodes macrocephala rhizome) Binglang (Areca nut) Xuanhu (Corydalis rhizome) Zexie (Alisma rhizome; each 0.5 fen) Muxiang (Aucklandia root) Gancao (Licorice root; each 0.3 fen)
Cut ingredients. Add 3 slices of Shengjiang (Fresh ginger). Decoct in water and take. If there is aversion to cold and deep, thin pulse, add Wuzhuyu (Evodia fruit). (From *Huichun Fang*) [Note: This formula originally appears in *Yixue Rumeng* as Wufu Tongqi Tang, containing Zhu Ling (Polyporus) but lacking Binglang and Xuanhu. It states to add Binglang and Xuanshusuo if pain is severe.]
Formulas for Harmonizing Blood: Treating Xiaochang Qi (Small Intestine Qi disorder), Duan Gongxian Formula.
Wulingzhi (Trogopterus dung) Puhuang (Lycopodium spore; equal parts)
Take these two herbs. First, boil with 1 he of strong vinegar until a paste forms. Add 1 small zhong of water and decoct until 0.6-0.7 zhong remains. Drink hot. This is also known as Shixiao San (Stop Sorrow Powder), particularly effective for women's blood disorders. (From *Su Shen Liang Fang*) *Zhizhi Fang* adds Xuanshusuo (Corydalis rhizome) in equal parts.
Mudan Wan (Tree Peony Pill), treats Han Shan (Cold Hernia), stabbing pain in the heart and abdomen occurring at irregular intervals, and treats women's menstrual diseases with stabbing blood pain.
Chuanwutou (Aconite lateral root; prepared until charred black, peeled, and tip removed) Mudanpi (Tree peony bark; 4 liang) Guixin (Cinnamon heart; 5 liang) Taoren (Peach kernel; stir-fried, peeled, and tip removed, 5 liang, separately ground)
Grind into powder. Make pills with refined honey, size of wutong seeds. Take 50 pills per dose with warm wine. Women take with vinegar water. (From *Sanyin Ji Yi Bing Zheng Fang Lun*) [Note: This is a variation of Mudan Wu Deng San, seen in *XX Bing*.]
Taoren Danggui Tang (Peach Kernel and Angelica Decoction), for blood stasis.
Taoren (Peach kernel; peeled and tip removed, 2 qian) Dangguiwei (Angelica sinensis tail; wine-washed) Xuanshusuo (Corydalis rhizome; each 1.5 qian) Chuanxiong (Szechwan lovage rhizome) Sheng Dihuang (Rehmannia root; raw) Chi Shaoyao (Red peony root; stir-fried) Wuzhuyu (Evodia fruit)
Qingpi (Green tangerine peel; vinegar-fried, each 1 qian) Mudanpi (Tree peony bark; 0.8 fen)
Add 2 zhong of water and 3 slices of Shengjiang (Fresh ginger). Decoct until 0.8 zhong remains. Take before meals. (From *Yixue Tongzhi*)
Methods for Simultaneous Treatment of Cold and Heat: When hernia has cold binding externally and stagnant heat internally, causing stabbing acute pain, the method must treat both cold and heat simultaneously, such as with Cuzu San (Hasty Powder). Danxi stated it is always effective because Chuanwutou (Aconite lateral root) treats external binding cold, and Shanzhiren (Gardenia seed) treats internal stagnant heat. (From *Jinkui Yi*) [Note: Danxi's theory comes from *Gezhi Yulun*.]
Chaihu Guizhi Tang (Bupleurum and Cinnamon Twig Decoction), treats symptoms of imbalance between cold and heat in Kidney Qi. (From *Zhizhi Fang*)
Treating Xiaochang Qi (Small Intestine Qi disorder), Cuzu San (Hasty Powder).
Shanzhizi (Gardenia fruit; 49 fruits, burned until half-done) Fuzi (Aconite lateral root; 1 piece, prepared)
Take 2 qian per dose. Add 1 small zhong of wine. Decoct until 0.7 zhong remains (manuscript version 0.8 zhong). Add a pinch of salt. Take warm. For spasmodic pain due to Spleen and Kidney Qi, unable to bend or stretch, cold abdomen, heavy as stone, unbearable pain, cold sweat like flowing, cold hands and feet, chronic non-healing, feeling like dying in bed, one dose of this medicine will suddenly relieve symptoms, severe cases cured in two doses. I experienced its efficacy myself and have treated many others successfully. (From *Su Shen Liang Fang*) [Note: Also treats chest bi (obstruction). Zhizi Tang also uses these two herbs; refer to them.] *Xuanming Lun Fang* Jili Tang (Tribulus Decoction) treats Yin Hernia, pulling pain to the lower abdomen. Various Jue Hernias are Yin Hernias, caused by lust and labor pain, unbearable. Add Jili (Tribulus terrestris fruit) to this formula, decoct in water and take.
Xuanshusuo Kulian Tang (Corydalis and Melia Decoction), treats cold grasping pain below the umbilicus, extreme cold in the yin region.
Rougui (Cinnamon twig; 0.3 fen) Fuzi (Aconite lateral root; 0.3 fen) Shudihuang (Prepared Rehmannia root; 1 qian) Gancaoshao (Licorice root tip; honey-fried, 0.5 fen) Kulianzi (Melia toosendan seed) Xuanshusuo (Corydalis rhizome; each 0.2 fen) Huangbai (Phellodendron bark; 0.1 fen, as a guiding herb)
Make one dose. Add 4 zhong of water. Decoct until 1 zhong remains. Take slightly warm, before meals. (From *Shixiao Fang*) [Note: This formula originally appeared in the *Women's Department*, now extracted here from *Bencao Gangmu*.]
Shiwei Cangbai San (Ten-Ingredient Atractylodes and Phellodendron Powder), treats hernia pain.
Cangzhu (Atractylodes rhizome; salt-fried) Xiangfu (Cyperus rhizome; salt-fried) Huangbai (Phellodendron bark; wine-fried as Sovereign herb) Qingpi (Green tangerine peel) Xuanshusuo (Corydalis rhizome) Yizhi (Alpinia oxyphylla fruit) Taoren (Peach kernel; Ministers) Huixiang (Fennel; Assistant)
Fuzi (Aconite lateral root; salt-fried) Gancao (Licorice root; Envoy)
Grind into powder. Make into decoction. After taking, once the pain passes, it will not recur. (From *Danxi Xinfa*) [Note: Originally no formula name, now labeled from *Yixue Rumeng*.]
Methods for Rapid Purging of Excess: Wen Zhong treated sudden onset of various hernias, pulling and stabbing pain in the lower abdomen and genitals, cold sweat, feeling like dying. (Original text had a formula of Shashen ground and taken with wine, not recorded here.) If not relieved, take various purgative pills or Zouma Tang (Running Horse Decoction) is also good. This is named Han Shan (Cold Hernia), also Yin Hernia.
(From *Waitai Miyao*)
Zhu Tongdao from Chi'an, aged forty, on the Mid-Autumn Festival (August 15th), caught cold after rain. After midnight, severe abdominal pain, sweating like rain, kicking through walls with his feet. Pain in the lower abdomen, intolerable to touch. Six pulses were wiry, thin, and solid; heavy pressure felt like touching blades. He reported bathing in a deep pool during the intense heat of June, suggesting this as the cause. Given Dachengqi Tang (Major Order the Qi Decoction), slight bowel movement occurred, and pain stopped immediately. At You hour (5-7 PM) the next day, pain recurred in the lower abdomen, hard and intolerable to touch. Given another two doses of Dachengqi Tang plus Rougui (Cinnamon twig), with crushed Taoren (Peach kernel) decocted together. More than a sheng of dark purple-black blood was passed, and pain stopped immediately. At You hour the next day, pain recurred as before. Pulses slightly decreased but still felt sharp. Given two doses of Dachengqi Tang plus Fuzi (Aconite lateral root), with crushed Taoren (Peach kernel) decocted together. Passed five stools, obtaining about two sheng of black-purple blood like broken cotton. Pain stopped immediately, allowing sleep through the night. At You hour the next day, pain recurred as before. Inquiry revealed the lower abdomen was soft, pain located below the umbilicus. Pulses were harmonious, appearing normal, yet groaning continued. Inquiry revealed he had eaten two bowls of radish green soup. Given one dose of Xiao Jianzhong Tang (Minor Construct the Middle Decoction), and he recovered. (From *Bencao Gangmu* citing *Danxi Xinfa*) [Note: Wang Shishan had a case of Xiaochengqi Tang plus Taoren, with similar intent, not recorded here.]
I believe Zihe's treatment of the Seven Hernias, although varied, relies heavily on purgatives, thus having bias. Liu Zongnong and Xu Yongcheng doubted and criticized it, saying it was too extreme, not that it was completely unusable. Looking at Danxi's method, he said treating hernia strongly contraindicates purgatives, which is a great contradiction. I examined Zihe's medical cases: treating Cai Canjun, who sat on damp ground causing unbearable hernia pain, cured by purging with Daoshui Wan (Water-Guiding Pill). Treating another person who drank too much sweet water due to malaria thirst, developing hernia; doctors gave Jiang (Ginger) and Fu (Aconite), causing blockage by dry heat, leading to heavy, swollen scrotum the size of a measuring cup. First given Daoshui Wan, then Zhufu San (Pig Skin Powder), purged heavily, and cured. Treating another person with sudden hernia, red, swollen, and extremely painful for days, unresponsive to other medicines. Given Daoshui Wan, followed by Tongjing San (Unblocking Meridian Powder), purged heavily, and cured. Are such cases truly untreatable by purgation? Therefore, one must weigh deficiency/excess and urgency. If blocked by pathogenic heat, or sudden illness in youth, or extreme swelling/hardness/redness/pain, then Daoshui Wan (Water-Guiding Pill), Sanhua Shenwan (Three-Flower Divine Pill), Yugong San (Yu Gong Powder), etc., are appropriate. When pathogen is abundant and urgent,势头 unstoppable, and beyond the reach of Qi-moving or diuretic agents, attack is necessary. Zihe's methods have their indispensable value, which must be understood. (From *Jingyue Quanshu*)
Daoshui Wan (Water-Guiding Pill).
Dahuang (Rhubarb root; 2 liang) Huangqin (Scutellaria root; 2 liang) Huashi (Talcum; 4 liang) Hei Qianniu (Black Morning Glory seed; 4 liang, use only the top-end powder)
Grind into fine powder. Make pills with water drops, size of wutong seeds. Take 50 pills, or up to 100, with warm water before bed. (From *Sanfa Liumen*)
Yugong San (Yu Gong Powder).
Hei Qianniu Toumo (Top-end powder of Black Morning Glory seed; 4 liang) Huixiang (Fennel; 1 liang, stir-fried) Or add Muxiang (Aucklandia root; 1 liang)
Grind into fine powder. Mix 1-2 qian with fresh Ginger juice. Take before bed. (Same source)
Tongjing San (Unblocking Meridian Powder).
Chenpi (Aged tangerine peel; de-white) Danggui (Angelica sinensis root; each 1 liang) Gansui (Kansui root; wrapped in dough, boiled over 100 times to prevent permeation)
Remove, soak in cold water, remove dough, and bake dry.
Grind into fine powder. Take 3 qian per dose, mixed with warm water, before bed. (Same source)
Methods for Slow Purging of Excess: Treating Xiaochang Qi (Small Intestine Qi disorder) with closure and blockage of the lower origin, Chuanlian San (Melia Powder).
Chuanlianzi (Melia toosendan fruit; 1 liang, split into four pieces with skin) Badou (Croton seed; 1 liang, crushed with shell)
Mix evenly. Stir-fry in a pot until purple. Remove Badou (Croton seed). Only keep Chuanlianzi (Melia fruit), clean and brush into powder. Take 1 qian per dose. First, stir-fry Huixiang (Fennel) until fragrant, measure 1 qian. Mix with 1 zhong of wine, boil 3-5 times, strain, and mix with Chuanlianzi powder. Take two consecutive doses. Relief occurs immediately upon bowel movement. This formula was obtained from Wu Meide, a soldier in Jian'an, for treating chronic internal and external sores. (From *Su Shen Liang Fang*) (Refer to the section "Do not tonify deficiency abruptly".) *Jingyan Fang* treats men's organ Qi injury, Bladder connecting to Small Intestine Qi. Jinlingzi (Melia fruit) 100, soaked in warm water, peeled. Badou (Croton seed) 200, lightly crushed. Bran 2 sheng. Stir-fry together in a copper pot until Jinlingzi is red and cooked. Cool, remove, de-pit, and grind into powder. Take 3 qian per dose, mixed with hot wine or vinegar water at any time. The bran and Badou (Croton seed) are discarded. (From *Bencao*) (*Benshi Xuji* names this Jinlian San, stating: Among all famous formulas ancient and modern, none is as unique and effective as this.) *Shengji Zonglu* treats Small Intestine receiving pathogen, testicles pulling up without descending, painful. Lianshi San (Melia Fruit Powder) adds Gancao (Licorice root) and Qingyan (Green salt) to this formula. *Youyou Xinshu* Zhao family transmission treats adults and children's various hernias and unilateral Qi. Adds Dingxiang (Clove) and Qingjupi (Green tangerine peel) to this formula. *Zhizhi Fang* Jinling San treats Bladder and Small Intestine Qi, external genital swelling and pain. Adds Nanmuxiang (Southern Aucklandia root, using imported fennel) and whole-root Congbai (Green onion white) to decoct.
*Ye Shi* Jinlingzi Wan (Melia Seed Pill) treats Bladder, Small Intestine, and Kidney meridian hernia attacks, unbearable grasping pain in the umbilical and abdominal region. Adds Poguzhi (Psoralea fruit) and Huluba (Trigonella foenum-graecum seed) to powder, made into pills with flour paste, size of wutong seeds. Take 30 pills per dose. Chew 3 stir-fried Walnut kernels thoroughly, send down with hot green onion, salt, and wine. *Shi'er Xianfang* Jixing Wan removes Huixiang (Fennel) from this formula, makes pills with Jinlingzi powder. Take 10 pills per dose; relief via bowel movement is acceptable. (Jinlingzi and Badou 49 each)
Tiantai Wuyao San (Tiantai Lindera Powder), treats Small Intestine hernia, pulling pain to the umbilical and abdominal region.
Wuyao (Lindera root) Muxiang (Aucklandia root) Huixiang (Fennel; stir-fried) Liangjiang (Galangal rhizome; stir-fried) Qingpi (Green tangerine peel; de-white, 5 qian) Binglang (Areca nut; 2 pieces, cut) Chuanlian (Melia fruit; 10) Badou (Croton seed; 14, slightly cracked, stir-fried with Chuanlian using bran until bran is black. Discard bran and Badou, use only Chuanlian.)
Grind into powder. Take 1 qian per dose, mixed with warm wine. For severe pain, stir-fried Shengjiang (Fresh ginger) with hot wine is also effective. (From *Baojian*) [Note: This formula combines Xiang San (Fragrant Powder) from *Taiping Shenghui Fang* and Jinlian San from *Benshi Fang*, adding Wuyao (Lindera root) and Liangjiang (Galangal rhizome).]
Shexiang Wan (Musk Pill), treats cold pain in the heart and abdomen, men's Small Intestine Qi disorder.
Shexiang (Musk; 1 qian, separately ground) Hujiao (White pepper; 1 liang) Muxiang (Aucklandia root) Badou (Croton seed; 4 qian, peeled and heart removed, ground) Quanxie (Scorpion; 4 qian, detoxified and lightly stir-fried)
Grind all into fine powder. Soak steamed bread dough in water to make pills, size of mung beans. Take 3 pills per dose. For heart/abdominal pain, take with roasted Ginger water. For Small Intestine Qi, attacking pain in abdomen/flanks, take with Fennel water.
(From *Yangshi*) *Zunsheng Shu* states: Without Musk, this is Shenbao Wan. It governs difficult-to-treat Bladder Qi and flank pain. (Shenbao Wan seen in *Xietong*)
Jinling Wan (Golden Bell Pill), treats Small Intestine Qi, cured with one dose.
Qianniu (Morning Glory seed; stir-fried) Qingpi (Green tangerine peel; de-white) Liangjiang (Galangal rhizome; equal parts) Chuanlian (Melia fruit) Boshang Huixiang (Imported Fennel; each 0.5 liang) Xuanshusuo (Corydalis rhizome; 4 liang)
Grind into powder. Cook flour paste with fresh Ginger juice. Make pills size of wutong seeds. Coat with Cinnabar. Take 30 pills per dose, sent down with wine infused with burnt silk ash, at any time. (Alternative *Zhongzang Jing*) *Shenxiao Mingfang* Dangshan Dan (Hernia-Clearing Pill) removes Liangjiang (Galangal rhizome) and Xuanshusuo (Corydalis rhizome) from this formula, adds Poguzhi (Psoralea fruit), Chenpi (Aged tangerine peel), Guangzhu (Curcuma), and Muxiang (Aucklandia root). Made into pills with flour paste using good wine. *Benshi Xuji* Lixiao San (Rapid Effect Powder) removes Liangjiang (Galangal rhizome) and Xuanshusuo (Corydalis rhizome), adds Chuanxiong (Szechwan lovage rhizome) and Taoren (Peach kernel). Grind into powder. Take 2 qian per dose, decoct in 1 zhong of pure wine until 0.8 zhong remains. Take warm. *Yangshi* Juzhe San (Tangerine Seed Powder) treats cold-damp lower back pain, Small Intestine Qi, strengthens sinews/bones, warms lower origin. Removes Qingpi (Green tangerine peel) and Liangjiang (Galangal rhizome) from this formula, adds Wulingzhi (Trogopterus dung), Poguzhi (Psoralea fruit), Anchu (Achyranthes root), Juzhe (Tangerine seed), and Tangqiu (Mulberry root). Grind into powder. Take 2 qian per dose, mixed with hot wine, at any time.
Qibao Wan (Qi Treasure Pill), treats all Qi stagnation, chest/epigastric fullness, damage from alcohol/food, Spleen/Stomach accumulation, Bladder hernia attacking waist/legs.
Huixiang (Fennel; stir-fried, weighed 2 liang) Chenjuhong (Aged tangerine red peel; 1 liang) Muxiang (Aucklandia root; 1 fen) Hei Qianniu (Black Morning Glory seed; 4 liang, stir-fried slowly with 2 liang Wuzhuyu (Evodia fruit) until Wuzhuyu is scorched. Remove Wuzhuyu. Use only 1 liang of Qianniu top-end powder.)
Mix powder well. Make pills with refined honey, size of wutong seeds. Take 20-30 pills per dose with Ginger water. Adjust based on deficiency/excess. Take before meals. For Small Intestine Qi pain, take with salt water. (From *Yangshi*)
Fuyuan Tongqi San (Restoring Patency and Promoting Qi Powder), treats Small Intestine Qi, Kidney abscess, external sores, lower back pain with Qi stabbing, leg/knee sores.
Xuanshusuo (Corydalis rhizome; rubbed to remove skin) Chenpi (Aged tangerine peel; de-white) Bai Qianniu (White Morning Glory seed; stir-fried and powdered) Gancao (Licorice root; honey-fried, each 1 liang) Nanmuxiang (Southern Aucklandia root; not exposed to fire, 1.5 liang)
Huixiang (Imported Fennel; stir-fried) Chuanshanjia (Pangolin scale; cut, stir-fried with clam powder, powder removed, each 2 liang)
Grind into powder. Take 1 large qian per dose, mixed with hot wine. If disease is upper, take after meal. If lower, take before meal. Non-drinkers, decoct Nanmuxiang (Southern Aucklandia root) water to mix. (From *Heji Ju Fang*)
Formula for Intermittent Yuchang Qi Pain, Unbearable.
Naosha (Sal ammoniac; 2 liang, ground to powder, mixed with vinegar decoction, applied to surface of old copper ladle, covered with new basin for 7 days, scraped off, finely ground) Binglang (Areca nut; 1 liang)
Muxiang (Aucklandia root; 1 liang) Moyao (Myrrh; 0.5 liang) Xiangzi (Cnidium fruit; 1 liang)
Grind all herbs finely and sieve into powder. Mix with ground Naosha (Sal ammoniac). Combine with glutinous rice paste to make pills, size of mung beans. Take 7 pills per dose with hot Ginger wine, at any time.
(From *Taiping Shenghui Fang*)
Another Formula