独活寄生汤治肝肾虚弱风湿内攻两胫缓纵挛痛痹弱足膝挛重
方见腰疼门
东垣开结导引丸治饮食不消心下痞闷
白术 陈皮 泽泻 茯苓 神曲(炒) 麦 曲 半夏(各一两) 青皮 干生姜(各半两)
枳实(炒) 巴豆霜(各一钱半)
上为末汤浸蒸饼丸梧子大每四五十丸或七十丸温水下
按此治内伤饮食脾胃营运之气有亏不能上升下注为香港脚故用此导饮行水化脾气也出太阳
例然亦有致肿于身腰以上及面者意见水肿论平治法下
杂洗
洗药导气除湿汤
威灵仙 防风 荆芥 地骨皮 当归 升麻 白芍 朔 叶
上等分锉水二斗煮一斗五升去 热淋洗无时候敷药
白芷 苍术 羌活(各半两) 细辛(二钱半)
上为末生姜汁调敷患处
内经曰厥阴脉滑则病狐疝少阴脉滑则病肺风疝太阴脉滑则病脾风疝阳明脉滑则病心风疝
太阳脉浮则病肾风疝少阳脉浮则病肝风疝
针经曰心脉微滑为心疝引脐少腹鸣肝脉滑甚为 疝肾脉滑甚为癃
按发明云夫滑脉关以上见者为大热盖阳与阳并也故大热脉滑尺部见为大寒生 疝滑脉者
命门
包络之名也为丙丙丁热火并于下盖丙丁不胜壬癸从寒水之化也故生 疝然滑属阴脉也病自内
因寒亦与以上证同
难经曰任之为病其内苦结男子为七疝
按滑氏本义曰任脉起胞门行腹故病苦内结男为七疝女为瘕聚也
脉经曰肾脉大急沉为肾疝 肝脉大急沉为肝疝 心脉搏滑急为心疝 肺脉沉搏为肺疝
三阴
急为脾疝三阴脾脉也 寸口脉弦而紧弦紧相搏则为寒疝 趺阳脉虚迟为寒疝寒疝绕脐痛若发
则白汗出手足厥寒
Duhuo Jisheng Tang (Sanguisorba and Dangshen Decoction) is used to treat conditions where deficiency of the Liver and Kidneys allows Wind-Dampness to attack internally, resulting in flaccidity and spasmodic pain in both lower legs, bi-syndrome weakness, and stiffness/heaviness in the feet and knees.
This formula can be found in the "Lumbago Section" (Yaotong Men).
Dongyuan Kaijie Daoyin Wan (East Garden's Knot-Opening and Guiding Pill) is used to treat food stagnation not digesting, causing epigastric fullness and oppression.
Ingredients: Baizhu (Atractylodis Rhizoma), Chenpi (Citri Reticulatae Pericarpium), Zexie (Alismatis Rhizoma), Fuling (Poria), Shenqu (Medicated Leaven) (stir-fried), Maiqu (Malt Qu), Banxia (Pinelliae Rhizoma) (each 1 liang); Qingpi (Citri Reticulatae Pericarpium Viride), Ganjiang (Zingiberis Rhizoma Recens) (each 0.5 liang); Zhishi (Aurantii Fructus Immaturus) (stir-fried), Badoushuang (Crotonis Semen Frost) (each 1.5 qian).
Preparation and Administration: Grind the above ingredients into powder. Soak in rice water, steam into a cake, and shape into pills the size of wutong seeds. Take 40-50 or 70 pills each time with warm water.
Commentary: This formula treats internal injury from diet where the Spleen and Stomach's transporting and transforming qi is deficient, failing to ascend and instead sinking downward, leading to Hongxiangjiao (Gout/Lower limb swelling). Thus, this formula is used to guide out fluid retention, promote diuresis, and transform Spleen Qi. It originates from the *Taiyang Li*. However, there are also cases causing edema in the upper body, waist, and face; for opinions on this, see the "Edema Treatise" under the section on standard treatment methods.
Miscellaneous Washing Therapy:
The washing medicine is called Daoqi Chushi Tang (Qi-Guiding and Dampness-Expelling Decoction).
Ingredients: Weilingxian (Clematidis Radix et Rhizoma), Fangfeng (Saposhnikoviae Radix), Jingjie (Schizonepetae Spica), Digupi (Lycii Cortex), Danggui (Angelicae Sinensis Radix), Shengma (Cimicifugae Rhizoma), Baishao (Paeoniae Radix Alba), Shuo Ye (Leaf - likely a textual variant for Qu Ye/Oak Leaf).
Equal parts, coarsely powdered. Boil in 2 dou of water until reduced to 1.5 dou. Strain and wash the affected area while hot, at any time.
Topical Application Medicine:
Ingredients: Baizhi (Angelicae Dahuricae Radix), Cangzhu (Atractylodis Rhizoma), Qianghuo (Notopterygii Rhizoma et Radix) (each 0.5 liang), Xixin (Asari Radix et Rhizoma) (2.5 qian).
Preparation and Administration: Grind into powder, mix with ginger juice, and apply to the affected area.
The *Huangdi Neijing* states: If the Jueyin pulse is slippery, the disease is Hu Hernia (Fox Hernia); if the Shaoyin pulse is slippery, the disease is Lung Wind Hernia; if the Taiyin pulse is slippery, the disease is Spleen Wind Hernia; if the Yangming pulse is slippery, the disease is Heart Wind Hernia; if the Taiyang pulse is floating, the disease is Kidney Wind Hernia; if the Shaoyang pulse is floating, the disease is Liver Wind Hernia.
The *Zhenjing* (Classic of Acupuncture) states: A slightly slippery Heart pulse indicates Heart Hernia, drawing pain to the umbilicus and lower abdomen with borborygmus; an excessively slippery Liver pulse indicates [missing character] Hernia; an excessively slippery Kidney pulse indicates Long Bi (difficulty in urination).
Commentary: The *Nan Jing Fa Ming* explains that a slippery pulse appearing above the Guan position indicates severe Heat, as Yang merges with Yang. Therefore, it manifests as severe Heat. If a slippery pulse appears at the Chi position, it indicates severe Cold, which generates [missing character] Hernia. The slippery pulse belongs to Yin pulses. The disease arises from internal causes. Cold invasion is similar to the aforementioned syndromes.
Mingmen (Gate of Life) is another name for the Bao Luo (Pericardium). Bing Fire and Ding Fire combine below. Since Bing and Ding cannot overcome Ren and Gui (Water), they transform according to Cold Water, thus generating [missing character] Hernia. However, the slippery pulse is a Yin pulse, and the disease stems from internal causes; cold invasion is consistent with the above syndromes.
The *Nan Jing* states: When the Ren Mai (Conception Vessel) is diseased, there is bitter knotting internally. In men, this manifests as Seven Hernias.
Commentary: Mr. Hua Shou's original meaning states: The Ren Mai originates from the Bao Men (Womb Gate) and travels along the abdomen. Therefore, when diseased, it suffers from internal knotting. In men, it becomes Seven Hernias; in women, it becomes Jia Ju (Masses).
The *Mai Jing* (Pulse Classic) states: A large, rapid, and deep Kidney pulse indicates Kidney Hernia; a large, rapid, and deep Liver pulse indicates Liver Hernia; a beating, slippery, and rapid Heart pulse indicates Heart Hernia; a deep and pounding Lung pulse indicates Lung Hernia; a rapid Three Yin pulse indicates Spleen Hernia (Three Yin refers to the Spleen pulse). If the Cunkou pulse is wiry and tight, the combination of wiry and tight indicates Cold Hernia; a deficient and slow Duyang pulse indicates Cold Hernia. Cold Hernia involves pain around the umbilicus. Upon onset, there is cold sweat, and the hands and feet become cold.