〔治外束之寒〕
丁香楝实丸（东垣） 治男子七疝，痛不可忍，妇人瘕聚带下。
当归（去芦） 附子（炮，去皮脐） 川楝子 茴香（炒。各一两）
上四味，锉碎，以好酒三升同煮，酒尽焙干，作细末，每药末一两，再入下项药∶
丁香 木香（各五分，作二钱） 全蝎（十三个） 玄胡索（五钱，一作一两）
上四味，同为细末，入前项当归等末拌匀，酒糊丸，如桐子大。每服三十丸至百丸，
空心食前温酒送下。（一方无当归、木香，名苦楝丸。）
沉香桂附丸（《宝鉴》） 治中气虚弱，脾胃虚寒，饮食不美，气不调和，退阴助阳，除
脏腑积冷，心腹疼痛，胁肋膨胀，腹中雷鸣，面色不泽，手足厥逆，便利无度。又治下焦
阳虚，及疗七疝，痛引小腹不可忍，腰屈不能伸，喜热熨稍缓。
沉香 附子（炮，去皮脐） 川乌（炮，去皮脐） 干姜（炮） 良姜（炒） 官桂 吴茱萸（汤浸去苦） 茴
香（炒。各一两）
上研为末，醋煮面糊为丸，如桐子大。每服五十丸至七八十丸，食前米饮下，日二。忌生冷。
丁香疝气丸（东垣） 治肾疝。
当归 茴香（各一两） 玄胡索 甘草梢（各五钱） 麻黄根节 丁香 川乌 肉桂 防己
（各二钱半） 羌活（七钱半） 全蝎（三十个）
上为细末，酒糊丸，如豌豆大。每服五十丸，淡盐汤、温酒送下，须空心宿食消尽服之。
当归四逆汤（《宝鉴》）
当归梢（七分） 附子（炒） 官桂 茴香（炒） 柴胡（各五分） 芍药（四分） 玄胡索 川楝子
茯苓（各三分） 泽泻（二分）
上研为粗末，都作一服，水煎，空心服。
天台乌药散（东垣）
天台乌药 木香 茴香（炒） 青皮（去白） 良姜（炒。各五钱） 槟榔（锉，二枚） 川楝子（十个）
巴豆（十四枚）
上八味，先以巴豆打碎，同楝实用麸炒，候黑色，去巴豆、麸俱不用，外为细末，每
服一钱，温酒调下，痛甚者，炒生姜热酒下。
川苦楝散（东垣）
木香 川楝子（锉细，用巴豆十粒打破，一处炒黄，去巴豆） 茴香（盐一匙，炒黄去盐，各一两）
上为细末，每服二钱，空心食前温酒调下。
木香楝子散（《易简》） 治小肠疝气，膀胱偏坠，久药不效者，服此神效。
川楝子（三十个，巴豆二十枚同炒黄赤色，去巴豆不用。） 萆 （半两） 石菖蒲（一两，炒） 青木香
（一两，炒） 荔枝核（二十枚，炒）
上研为细末，每服二钱，入麝香少许，空心炒茴香盐酒调下。
乌头桂枝汤（仲景）
乌头
上一味，以蜜二斤，煎减半，去滓，以桂枝汤五合解之，得一升后，初服二合不知，
即服三合，又不知，复加至五合。其知者如醉状，得吐者为中病。（桂枝汤方见伤湿。）
乌头煎（仲景）
乌头（大者五枚，熬，去皮，不 咀）
上以水三升，煮取一升，去滓，纳蜜二
升，煎令水气尽，取二升，强人服七合，弱人服五合，不瘥，明日更服，又不可日再服。
葫芦巴丸（《和剂》） 治小肠疝气，偏坠阴肿，小腹有形如卵，上下来去，痛不可忍，或
绞结绕脐攻刺，呕吐闷乱。
葫芦巴（炒，一斤） 茴香（盐炒，十二两） 吴茱萸（洗 炒，十两） 川楝子（去核，炒，一斤二两） 巴
戟（去心，炒） 川乌（炮，去皮。各六两）
上为末，酒糊丸，如桐子大。每服十五丸至二十丸，空心温酒下。小儿五丸，茴香
汤下，食前。一方，有黑牵牛。
〔治内郁之湿热〕
加味通心散（《得效》） 治肾与膀胱实热，小肠气痛，小腑不通。
瞿麦穗 木通（去皮节） 栀子（去壳） 黄芩 连翘 甘草 枳壳（去穣） 川楝子（去核，各等分）
上锉散，每服五钱 水一盏半，灯芯二十茎，车前草五茎同煎，空心温服。
八正散 治肾气实热，脉洪数，小腹、外肾、肛门俱热，大小便不利作痛。每服四钱，
灯芯二十茎，枳壳半斤去瓤煎，食前温服。热盛加淡竹叶二十皮。（方见小便不通。）
加减柴苓汤 治诸疝。此和肝肾，顺气消疝治湿之剂。
柴胡 甘草 半夏 茯苓 白术 泽泻 猪苓 山栀（炒） 山楂 荔枝核（各等分）
上咀片，水二盅，姜三片，煎至八分，空心服。
〔寒热兼施〕
蒺藜汤（《宝鉴》） 治阴疝牵引小腹痛，诸厥疝即阴疝也，房欲劳痛不可忍者。
蒺藜（炒，去尖） 附子（炮，去皮脐） 山栀仁（各等分）
上为末，每服三钱，水一盏半，煎至七分，食前温服。
丹溪方
橘核 桃仁 栀子 吴茱萸 川乌（各等分）
上研，水煎服。
治疝作急痛
苍术 香附子（俱盐炒） 茴香（炒。为佐） 黄柏（酒炒，为君） 青皮 玄胡索 益智 桃仁（为
臣） 附子（盐水炒） 甘草（为使）
上研末，作汤服后，一痛过，更不再作矣。
仓卒散 治寒疝入腹，心腹卒痛，及小肠膀胱气 刺，脾肾气攻，挛急极痛不可忍，
屈伸不能，腹中冷重如石，白汗出。
山栀子（四十九个，烧半过） 附子（一枚，炮）
上锉散，每服二钱，水一盏，酒半盏，煎七分，入盐一捻，温服即愈。暑证，香薷散
加瞿麦、木通，每服四钱，盐少许，煎服。
〔补〕
当归生姜羊肉汤 治寒疝腹中痛，及胁痛里急者。
当归（三两） 生姜（五两） 羊肉（一斤）
水八升，煮取三升，温服七合，日三服。若寒多者，加生姜十片。痛多而呕者，加陈
皮二两，白术一两。加生姜等者，亦加水五升，煮取三升二合服之。
补肾汤 治寒疝入腹，小肠 痛，时复泄泻，胸膈痞塞。
沉香（五分） 人参 茯苓 附子（炮，去皮脐） 黄 白术 木瓜（各一钱半） 羌活 芎
紫苏 炙甘草（各一钱）
上作一服，水二盅，姜三片，红枣一枚，煎一盅，食前服。呕吐加半夏一钱，生姜七片，煎服。
〔泻〕
敌金丸 治疝气，外肾肿胀极大，或生疮出黄水，其痛绕腹，寒热往来。
京三棱（煨） 蓬术（煨） 猪苓 白附子 萝卜子 赤芍药 黑牵牛 川楝子 山茵陈
青木香 陈橘皮 五灵脂 海藻（酒浸，焙） 穿山甲（灰火煨焦） 姜黄 小 香 海浮石（米
醋浸， 红醋淬，再 再淬，黑色为度，各一两） 青皮（去白，二两，一两生用，一两锉，以斑蝥五十
枚，去头足翅同炒黄色，去斑蝥） 香附子（净三两，一两生用，一两以巴豆五十粒去壳同炒色焦，去巴豆
不用） 泽泻（一两半） 南木香（半两） 丁香（二钱半）
上为细末，酒煮面糊为丸，如梧子大。每服二十丸，用温酒下。此药能泄，斟酌用之。
腰子散 治肾气作痛。
黑牵牛（炒熟） 白牵牛（炒熟，等分）
为细末，每用三钱，猪腰子一对，薄切开，缝入川椒五十粒，茴香一百粒，以牵牛
末遍掺入腰子中，线扎，湿纸数重裹，煨香熟，出火气。灯后空心嚼吃，好酒送下。少
顷就枕，天明取下恶物即愈。
治肾气疼痛方 丈夫肾气，妇人血气疼痛，不可胜忍，面青唇黑，几于不救。丈夫
则攻击脏腑，腰背拳曲，妇人则腹中成块，结为 瘕，骤然疼痛，便至危困，经年累月，疼
无暂停者，并宜服之。
当归 芍药（各一两） 没药 麒麟竭 蓬术 玄胡索 三棱 牵牛（醋煮焙干） 木香（各
半两） 芫花（四两） 野狼毒（半两捶碎，同芫花于瓦器内醋炒黄色）
上先修制芫花、野狼毒，乳钵内研如泥，又将麒麟竭等亦作一处，研如飞尘，余药又作
一处为细末，方将芫花、野狼毒、麒麟竭、没药等末相和匀，更研千遍。每服一钱半，气
痛时葱酒调下，和滓吃。不可饱食后吃。若大腑秘热，出后不通，唇皮焦黑，口中涎溢，
吃药一服效。
〔肝气〕
木香汤 治寒疝攻注，胸胁满痛，汗出。
木香（七钱半） 槟榔 细辛（去苗） 赤茯苓（去皮） 人参（去芦） 芍药 当归（切，焙） 官桂（去
粗皮） 前胡（去芦） 青皮（去白，焙。各一两）
上锉，每服三钱，水一盏，煎七分，去滓服，无时。
〔小肠气〕
喝起丸 治小肠气及腰痛。
杜仲（酥炙去丝） 葫芦巴（芝麻炒） 破故纸（炒） 小茴香（盐水浸一宿） 萆 （各一两） 胡桃肉汤
（浸，去皮，研泥）
上为细末，入胡桃肉和匀，丸如桐子大。每服三十丸或五十丸，空心盐酒或盐汤下。
夺命丹 治远年近日小肠疝气，偏坠搐痛，脐下胀痛，以致闷乱，及外肾肿硬，日
渐滋长，阴间湿痒，抓之成疮。
吴茱萸（一斤，去枝梗净，四两酒浸，四两盐汤浸，四两醋浸，四两童便浸，各浸一宿，焙干） 泽
泻（二两，去灰土，切作片，去粗皮，酒浸一夜）
上为细末，酒糊丸，如桐子大。每服五十丸，食前盐酒或盐汤送下。
救痛散 治小肠疝气，筑心疼痛不可忍。
肉豆蔻（面裹煨） 木香（煨。各半两） 荆三棱（煨） 马兰花（醋炒） 金铃子（去核） 茴香（炒。各一两）
为细末，每服一大钱，痛时热酒调服，立效。
〔膀胱气〕
五苓散加川楝子一分，治疝气卒痛，小便涩。（方见消瘅。）
《澹寮》云∶治疝气发作，痛不可忍，真料五苓散一帖，连根葱白一寸，灯芯七茎，煎
汤吞下青木香丸五十粒，即效。又法，以青木香丸二百粒，斑蝥七枚，去头翅，为粗末，
瓦铫以文武火同炒令药微香，用瓷盘盖之，放冷处，去斑蝥，取丸子分二服，空心茴香酒
吞下，累效。
砂丸（《本事》）
木香 沉香 巴豆肉（各一两） 青皮（二两） 铜青（半两，研） 砂（一分，研）
上二香及青皮三味，同巴豆慢火炒令紫色，去巴豆，为细末，入 砂二味，同研匀，
蒸饼和，丸如桐子大。每服七丸至十丸，盐汤下，日二三服，空心食前。
加味通心饮（见前。）
《济生》葵子汤 治膀胱湿热，腹胀，小便不通，口舌干燥。
赤茯苓 猪苓 葵子 枳实 瞿麦 车前子 木通 黄芩 滑石 甘草（各等分）
每服五钱，入姜煎，空心服。
葱白散 治一切冷气不和，及本脏膀胱发气，攻刺疼痛，及治妇人产后腹疼，或血
刺痛，及治脏腑宿冷，百节倦痛怯弱，伤劳滞癖，久服尽除，但妇人一切疾病宜服。
川芎 当归 枳壳（去穣，麸炒） 浓朴（姜汁制炒） 青皮 官桂（去粗皮） 干姜（炮） 川楝子（炒）
茵香（炒） 神曲（炒） 麦 （炒） 干地黄 三棱（煨） 人参 茯苓 芍药 蓬术（醋浸，焙） 木香
（炮。各一两）
上为末，每服三钱，水一盏，葱白二寸，煎七分，入盐少许热服。如大便秘涩加大黄
煎，大便溏利加诃子煎，食前服。
茴香散 治膀胱气痛。
茴香 蓬术 京三棱 金铃子肉（各一两） 炙甘草（半两）
上为细末，每服二钱，热酒调服。每发痛甚连日，只二三服立定。
治奔豚气
穿山甲（麸炒） 破故纸（麸炒） 香附（去毛。各半两） 土狗（十枚，去头尾，瓦上焙干） 海藻（焙）
茴香 木香（各一两） 黑牵牛（头末四两） 全蝎（十五枚，去毒） 吴茱萸（一两半）
为末，用大萝卜一枚，剜去心肉，装入茱萸，以糯米一碗同萝卜煮，饭烂为度，出
茱萸晒干，同诸药为末，次将萝卜细切，入米饭捣丸，如桐子大。每服二十丸，加至三
十丸，食前盐酒送下。
〔心疝〕
木香散 治心疝，小腹痛闷不已。
木香 陈皮 良姜 干姜 诃子（去核） 枳实（各一钱半） 草豆蔻 黑牵牛 川芎（各一钱）
水二盅，煎至一盅，食前服。或为细末，每服二钱，白汤调服。
广术煮散 治心疝心痛，肢体虚冷。
蓬莪术（煨） 槟榔（生锉） 官桂（去皮） 附子（炮，去皮脐） 甘草（炙。各半两） 芎 白术（各七钱半）
上锉碎，每服二钱，水一盏，煎七分，温服，无时。
〔 疝〕
海蛤丸（洁古）
海蛤（烧，醋淬七次） 当归 海金砂 腻粉 砂（各一钱） 海藻 粉霜（各五分） 水蛭（二十
一条，炒） 青黛 滑石 乳香（各一钱） 朱砂（二钱，另研） 地龙（二十一个，去头足）
为细末，盐煮面糊为丸，如小豆大，朱砂为衣。每服十丸，灯芯汤空心服，小便下
冷脓恶物乃效，却以黄连、紫河车、板蓝根各二钱煎汤漱口，以固牙齿。或去板蓝根，加贯众。
荔核散 治疝气，阴核肿大，痛不可忍。
荔枝核（十四枚，烧灰存性，用新者，） 八角 香（炒） 沉香 木香 青盐 食盐（各一钱） 川
楝肉 小 香（各二钱）
上为细末，每服三钱，空心热酒调服。
三层茴香丸 治肾与膀胱俱虚，为邪气搏结，遂成寒疝，伏留不散，脐腹疼痛，阴
核偏大，肤囊壅肿，重坠滋长，有妨行步，瘙痒不止，时出黄水，浸成疮疡，或长怪肉，屡
治不痊，以致肾经闭结，阴阳不通，外肾肿胀，冷硬如石，渐大，皆由频服热药内攻，或
[Treating Exterior-Constrained Cold]
Dingxiang Lianshi Wan (Li Dongyuan's Formula) Treats seven types of hernia in men, with unbearable pain, and in women, mass accumulation (abdominal masses) and leukorrhea.
Danggui (remove rhizome) Fuzi (processed, remove skin and umbilicus) Chuanlianzi Huixiang (stir-fried. Each 1 liang)
The above four herbs are chopped, boiled together in 3 sheng of good wine until the wine is exhausted, then dried and ground into fine powder. For every 1 liang of this powder, add the following:
Dingxiang Muxiang (Each 5 fen, total 2 qian) Quanxie (13 pieces) Yanhusuo (5 qian, another version uses 1 liang)
The above four herbs are ground into fine powder, mixed evenly with the previous Danggui powder, formed into pills with wine paste, size of paulownia seeds. Take 30 to 100 pills each time, swallowed with warm wine on an empty stomach before meals. (Another formula without Danggui and Muxiang is called Kulian Wan.)
Chenxiang Guifu Wan (from *Yixue Fabian*) Treats deficiency of middle Qi, deficiency-cold of spleen and stomach, poor appetite, disharmony of Qi, retreating Yin and assisting Yang, eliminating accumulated cold from viscera, heart and abdominal pain, distension of hypochondrium, borborygmus in abdomen, lusterless complexion, cold extremities, and uncontrolled bowel movements. Also treats deficiency of Yang in lower jiao, and seven types of hernia with pain radiating to the lower abdomen that is unbearable, inability to extend the waist, relief with hot compresses.
Chenxiang Fuzi (processed, remove skin and umbilicus) Chuanwu (processed, remove skin and umbilicus) Ganjiang (processed) Liangjiang (stir-fried) Guigui Wuzhuyu (soaked in water to remove bitterness) Huixiang (stir-fried. Each 1 liang)
Grind into powder, form pills with vinegar-boiled wheat paste, size of paulownia seeds. Take 50 to 70-80 pills each time, swallowed with rice drink before meals, twice daily. Avoid raw and cold foods.
Dingxiang Shanqi Wan (Li Dongyuan's Formula) Treats kidney hernia.
Danggui Huixiang (Each 1 liang) Yanhusuo Gancao Shao (Each 5 qian) Mahuang Genjie Dingxiang Chuanwu Rougui Fangji (Each 2.5 qian) Qianghuo (7.5 qian) Quanxie (30 pieces)
Grind into fine powder, form pills with wine paste, size of pea seeds. Take 50 pills each time, swallowed with light salt soup or warm wine, must be taken on an empty stomach after food residue has cleared.
Danggui Sini Tang (from *Yixue Fabian*)
Danggui Shao (7 fen) Fuzi (stir-fried) Guigui Huixiang (stir-fried) Chaihu (Each 5 fen) Shaoyao (4 fen) Yanhusuo Chuanlianzi Fuling (Each 3 fen) Zexie (2 fen)
Grind into coarse powder, take all as one dose, decoct in water, take on an empty stomach.
Tiantai Wuyao San (Li Dongyuan's Formula)
Tiantai Wuyao Muxiang Huixiang (stir-fried) Qingpi (remove white pith) Liangjiang (stir-fried. Each 5 qian) Binglang (chopped, 2 pieces) Chuanlianzi (10 pieces) Badou (14 pieces)
The above eight herbs: first crush Badou, stir-fry together with Chuanlianzi using bran until black, discard Badou and bran, grind the rest into fine powder. Take 1 qian each time, mixed with warm wine. For severe pain, use stir-fried ginger and hot wine.
Chuan Kulian San (Li Dongyuan's Formula)
Muxiang Chuanlianzi (chopped fine, stir-fry together with 10 crushed Badou until yellow, discard Badou) Huixiang (with 1 spoon of salt, stir-fry until yellow, discard salt, each 1 liang)
Grind into fine powder. Take 2 qian each time, mixed with warm wine on an empty stomach before meals.
Muxiang Lianzi San (from *Yijian Fang*) Treats small intestine hernia and bladder ptosis, effective for cases unresponsive to long-term medication.
Chuanlianzi (30 pieces, stir-fry together with 20 Badou until yellow-red, discard Badou) Biba (0.5 liang) Shichangpu (1 liang, stir-fried) Qingmuxiang (1 liang, stir-fried) Lizhihe (20 pieces, stir-fried)
Grind into fine powder. Take 2 qian each time, add a little Shexiang, mixed with stir-fried Huixiang salt wine on an empty stomach.
Wutou Guizhi Tang (Zhang Zhongjing's Formula)
Wutou
Take this single herb, decoct with 2 jin of honey until reduced by half, strain, dissolve in 5 he of Guizhi Tang to obtain 1 sheng. Initially take 2 he; if no effect, take 3 he; if still no effect, increase to 5 he. Knowing effect presents like drunkenness; vomiting indicates the medicine has struck the disease. (Guizhi Tang formula see Wind-Cold-Dampness chapter.)
Wutou Jian (Zhang Zhongjing's Formula)
Wutou (5 large pieces, roasted, skin removed, not chewed)
Decoct in 3 sheng of water to obtain 1 sheng, strain, add 2 sheng of honey, boil until moisture is gone to obtain 2 sheng. Strong persons take 7 he, weak persons take 5 he. If not cured, take again tomorrow, but do not take more than once a day.
Huluba Wan (from *Heji Jufang*) Treats small intestine hernia, unilateral testicular swelling, abdominal mass like an egg moving up and down, unbearable pain, or cramping around the navel, vomiting and confusion.
Huluba (stir-fried, 1 jin) Huixiang (salt-stir-fried, 12 liang) Wuzhuyu (washed and stir-fried, 10 liang) Chuanlianzi (pitted and stir-fried, 1.2 liang) Bajitian (core removed, stir-fried) Chuanwu (processed, skin removed. Each 6 liang)
Grind into powder, form pills with wine paste, size of paulownia seeds. Take 15-20 pills each time, warm wine on an empty stomach. Children take 5 pills, swallowed with Huixiang soup before meals. Another version includes Heiqianniu.
[Treating Internal-Stagnant Damp-Heat]
Jiawei Tongxin San (from *Boji Fang*) Treats excess heat of kidney and bladder, small intestine Qi pain, and urinary obstruction.
Qumai Sui Mutong (remove nodes) Zhizi (remove shell) Huangqin Lianqiao Gancao Zhike (remove pulp) Chuanlianzi (pitted, equal parts)
Chop and scatter. Take 5 qian each time, with 1.5 sheng of water, 20 stems of Dengxin, and 5 stems of Cheqiancao, decoct together, take warm on an empty stomach.
Bazheng San Treats excess heat of kidney Qi, surging and rapid pulse, heat in lower abdomen, external genitals, and anus, painful difficulty in urination and defecation. Take 4 qian each time, with 20 stems of Dengxin and half a jin of Zhike (pulp removed), decoct, take warm before meals. Add 20 leaves of Danzhuye for intense heat. (Formula see Urinary Obstruction chapter.)
Jiajian Chai Ling Tang Treats various hernias. This is a formula to harmonize liver and kidney, regulate Qi, eliminate hernia, and treat dampness.
Chaihu Gancao Banxia Fuling Baizhu Zexie Zhuling Zhizi (stir-fried) Shanzha Lizhihe (Equal parts)
Slice, decoct in 2 zhong of water with 3 slices of ginger until 0.8 zhong remains, take on an empty stomach.
[Combining Cold and Heat]
Jili Tang (from *Yixue Fabian*) Treats yin hernia radiating to lower abdominal pain, various jue hernias (which are yin hernias), unbearable pain due to sexual fatigue.
Jili (stir-fried, remove spines) Fuzi (processed, remove skin and umbilicus) Zhiren (Equal parts)
Grind into powder. Take 3 qian each time, with 1.5 sheng of water, decoct until 0.7 sheng remains, take warm before meals.
Danxi's Formula
Juhe Taoren Zhizi Wuzhuyu Chuanwu (Equal parts)
Grind, decoct in water and take.
Treating Hernia with Acute Pain
Cangzhu Xiangfu (Both salt-stir-fried) Huixiang (stir-fried. As assistant) Huangbai (wine-stir-fried. As sovereign) Qingpi Yanhusuo Yizhi Taoren (As minister) Fuzi (salt-water stir-fried) Gancao (As envoy)
Grind into powder, make into decoction. After taking, the pain will pass and not recur.
Cucu San Treats cold hernia entering the abdomen, sudden heart and abdominal pain, stabbing pain of small intestine and bladder Qi, attacking spleen and kidney Qi, extreme spasmodic pain unbearable, inability to bend or stretch, abdomen cold and heavy like stone, sweating of cold sweat.
Zhizi (49 pieces, burned halfway) Fuzi (1 piece, processed)
Chop and scatter. Take 2 qian each time, with 1 sheng of water and half a sheng of wine, decoct until 0.7 sheng remains, add a pinch of salt, take warm to cure. For summerheat syndrome, use Xiangru San plus Qumai and Mutong, take 4 qian each time with a little salt, decoct and take.
[Tonifying]
Danggui Shengyang Roushou Tang Treats cold hernia with abdominal pain, and hypochondriac pain with internal tension.
Danggui (3 liang) Shengjiang (5 liang) Yangrou (1 jin)
Decoct in 8 sheng of water to obtain 3 sheng. Take 7 he warm, three times a day. If cold is excessive, add 10 slices of Shengjiang. If pain is severe with vomiting, add 2 liang of Chenpi and 1 liang of Baizhu. If adding Shengjiang etc., also add 5 sheng of water, decoct to obtain 3.2 sheng and take.
Bushen Tang Treats cold hernia entering abdomen, small intestine pain, frequent diarrhea, chest and diaphragm stuffiness.
Chenxiang (5 fen) Renshen Fuling Fuzi (processed, remove skin and umbilicus) Huangqi Baizhu Mugua (Each 1.5 qian) Qianghuo Chuanxiong Zisu Zhigancao (Each 1 qian)
Take as one dose, decoct in 2 zhong of water with 3 slices of ginger and 1 red date until 1 zhong remains, take before meals. For vomiting, add 1 qian Banxia and 7 slices of Shengjiang, decoct and take.
[Purging]
Dijin Wan Treats hernia Qi, extreme swelling of external genitals, or sores oozing yellow fluid, pain surrounding abdomen, alternating chills and fever.
Jingsanleng (roasted) Pengzhi (roasted) Zhuling Baifuzi Luobozizi ChiShaoyao Heiqianniu Chuanlianzi Shanyinchén Qingmuxiang Chenjupi Wulingzhi Haizao (soaked in wine, roasted) Chuanshanjia (roasted in ash fire until charred) Jianghuang Xiaohuixiang Haifushi (soaked in rice vinegar, quenched in red vinegar, repeated until black, each 1 liang) Qingpi (remove white pith, 2 liang, 1 liang raw, 1 liang chopped, stir-fried with 50 Baimao removing head/legs/wings until yellow, discard Baimao) Xiangfu (cleaned 3 liang, 1 liang raw, 1 liang stir-fried with 50 Badou shells removed until scorched, discard Badou) Zexie (1.5 liang) Nanmuxiang (0.5 liang) Dingxiang (2.5 qian)
Grind into fine powder, form pills with wine-boiled wheat paste, size of wu zi. Take 20 pills each time, swallowed with warm wine. This medicine purges; use with discretion.
Yaozi San Treats kidney Qi pain.
Heiqianniu (cooked) Baiqianniu (cooked, equal parts)
Grind into fine powder. Use 3 qian each time, with one pig kidney sliced thinly, sewn with 50 Sichuan pepper grains and 100 Huixiang grains. Sprinkle Qianniu powder inside the kidney, tie with thread, wrap in several layers of wet paper, roast until fragrant and cooked, remove fire heat. Chew on an empty stomach after lamp lighting, swallow with good wine. Lie down shortly after, discharge foul matter at dawn to be cured.
Formula for Kidney Qi Pain Treating husband's kidney Qi and wife's blood Qi pain, unbearable, blue face and black lips, nearly incurable. Husband attacks viscera, back curled like a fist; wife forms masses in abdomen, becoming zhen, sudden pain leading to critical condition, year-round pain without pause, all should take this.
Danggui Shaoyao (Each 1 liang) Moyao Qilinjie Pengzhi Yanhusuo Sanleng Qianniu (vinegar-cooked and dried) Muxiang (Each 0.5 liang) Yuanhua (4 liang) Yelangdu (0.5 liang crushed, stir-fried with Yuanhua in earthenware with vinegar until yellow)
First process Yuanhua and Yelangdu, grind in mortar like mud. Grind Qilinjie etc. like dust. Grind remaining herbs into fine powder. Mix Yuanhua, Yelangdu, Qilinjie, Moyao powders evenly, grind thousand times. Take 1.5 qian each time, when Qi pain occurs, mix with scallion wine and take including dregs. Do not take after full meal. If large bowel constipation with heat, difficult defecation, dry black lips, salivation, one dose is effective.
[Liver Qi]
Muxiang Tang Treats cold hernia attacking and injecting, chest and hypochondriac fullness/pain, sweating.
Muxiang (7.5 qian) Binglang Xixin (remove seedlings) Chi Fuling (remove skin) Renshen (remove rhizome) Shaoyao Danggui (slice, roast) Guigui (remove rough bark) Qianhu (remove rhizome) Qingpi (remove white pith, roast. Each 1 liang)
Chop. Take 3 qian each time, with 1 sheng of water, decoct until 0.7 sheng remains, strain and take, anytime.
[Small Intestine Qi]
Heqi Wan Treats small intestine Qi and lower back pain.
Duzhong (roast with butter, remove fibers) Huluba (sesame stir-fried) Poguzhi (stir-fried) Xiaohuixiang (soak in salt water overnight) Biba (Each 1 liang) Hutaorou Tang (soak, peel, grind to paste)
Grind into fine powder, mix with walnut paste, form pills size of paulownia seeds. Take 30 or 50 pills each time, swallowed with salt wine or salt soup on an empty stomach.
Duoming Dan Treats long-standing or recent small intestine hernia, unilateral ptosis and cramping pain, distending pain below navel causing confusion, external genital swelling/hardness, gradual growth, itching in yin area scratching into sores.
Wuzhuyu (1 jin, clean branches, 4 liang soaked in wine, 4 liang in salt water, 4 liang in vinegar, 4 liang in child urine, soak overnight each, dry) Zexie (2 liang, remove dirt, slice, remove rough bark, soak in wine overnight)
Grind into powder, form pills with wine paste, size of paulownia seeds. Take 50 pills each time, swallowed with salt wine or salt soup before meals.
Jitong San Treats small intestine hernia, stabbing heart pain unbearable.
Roudoukou (flour-wrapped roasted) Muxiang (roasted. Each 0.5 liang) Jingsanleng (roasted) Malanhua (vinegar stir-fried) Jinlingzi (pitted) Huixiang (stir-fried. Each 1 liang)
Grind into powder. Take one large qian each time, mixed with hot wine during pain, immediate effect.
[Bladder Qi]
Wuling San plus 1 fen Chuanlianzi, treats sudden hernia pain, astringent urination. (Formula see Xiao Dao chapter.)
*Tanliao* says: Treat hernia attack, unbearable pain, true material Wuling San one packet, green onion white root 1 cun, Dengxin 7 stems, decoct soup to swallow 50 Qingmuxiang Wan pills, immediate effect. Another method: 200 Qingmuxiang Wan pills, 7 Baimao remove head/wings, coarse powder, stir-fry in clay pot with gentle/fire until slightly fragrant, cover with porcelain plate, cool, remove Baimao, divide pills into two doses, swallow with Huixiang wine on empty stomach, repeatedly effective.
Naosha Wan (from *Benshi Fang*)
Muxiang Chenxiang Badou Rou (Each 1 liang) Qingpi (2 liang) Tongqing (0.5 liang, ground) Naosha (1 fen, ground)
The above two aromatics and Qingpi, stir-fry slowly with Badou until purple, remove Badou, grind fine, add Naosha, grind evenly, mix with steamed dough, form pills size of paulownia seeds. Take 7-10 pills each time, swallowed with salt soup, 2-3 times daily, before meals on empty stomach.
Jiawei Tongxin Yin (See above.)
*Jisheng* Kuizi Tang Treats bladder damp-heat, abdominal distension, urinary obstruction, dry mouth and tongue.
Chi Fuling Zhuling Kuizi Zhishi Qumai Cheqianzi Mutong Huangqin Huashi Gancao (Equal parts)
Take 5 qian each time, add ginger, decoct, take on empty stomach.
Congbai San Treats all cold Qi disharmony, bladder Qi attacking/stabbing pain, postpartum abdominal pain in women, blood stabbing pain, chronic cold in viscera, joint fatigue/weakness, injury/labor stagnation/masses, long-term use eliminates all, suitable for all women's diseases.
Chuanxiong Danggui Zhike (remove pulp, bran-roasted) Houpo (ginger juice processed and stir-fried) Qingpi Guigui (remove rough bark) Ganjiang (processed) Chuanlianzi (stir-fried) Yinxiang (stir-fried) Shenqu (stir-fried) Maiya (stir-fried) Dihuang Sanleng (roasted) Renshen Fuling Shaoyao Pengzhi (vinegar-soaked, roasted) Muxiang (processed. Each 1 liang)
Grind into powder. Take 3 qian each time, with 1 sheng of water and 2 cun Congbai, decoct until 0.7 sheng remains, add little salt, take hot. If constipation add Dahuang, if loose stool add Hezi, take before meals.
Huixiang San Treats bladder Qi pain.
Huixiang Pengzhi Jingsanleng Jinlingzi Rou (Each 1 liang) Zhigancao (0.5 liang)
Grind into powder. Take 2 qian each time, mixed with hot wine. If severe pain lasts days, only 2-3 doses stop it immediately.
Treating Ben Tun Qi
Chuanshanjia (bran-roasted) Poguzhi (bran-roasted) Xiangfu (remove hairs. Each 0.5 liang) Tougou (10 pieces, remove head/tail, roast on tile) Haizao (roast) Huixiang Muxiang (Each 1 liang) Heiqianniu (head powder 4 liang) Quanxie (15 pieces, remove poison) Wuzhuyu (1.5 liang)
Grind into powder. Take one large radish, hollow out center, insert Wuzhuyu, cook with 1 bowl glutinous rice and radish until rice is soft, remove Wuzhuyu and dry, grind with other herbs. Chop radish finely, mix with rice flour to form pills size of paulownia seeds. Take 20 pills, up to 30, swallowed with salt wine before meals.
[Heart Hernia]
Muxiang San Treats heart hernia, persistent lower abdominal pain and stuffiness.
Muxiang Chenpi Liangjiang Ganjiang Hezi (pitted) Zhishi (Each 1.5 qian) Caodoukou Heiqianniu Chuanxiong (Each 1 qian)
Decoct 2 zhong of water to 1 zhong, take before meals. Or grind fine, take 2 qian each time, mixed with plain water.
Guangzhi Zhu San Treats heart hernia heart pain, limb deficiency/cold.
Pengezhi (roasted) Binglang (raw chop) Guigui (peel) Fuzi (processed, remove skin/umbilicus) Zhigancao (roasted. Each 0.5 liang) Chuanxiong Baizhu (Each 7.5 qian)
Chop. Take 2 qian each time, with 1 sheng water, decoct until 0.7 sheng, take warm, anytime.
[Hu Hernia]
Haige Wan (Jiegu's Formula)
Haige (burn, quench in vinegar 7 times) Danggui Haijinsha Nifen Naosha (Each 1 qian) Haizhi Fen Shuang (Each 5 fen) Shuizhi (21 pieces, roasted) Qingdai Huashi Ruxiang (Each 1 qian) Zhusha (2 qian, separately ground) Dilong (21 pieces, remove head/feet)
Grind fine, form pills with salt-boiled wheat paste, size of small beans, coat with Zhusha. Take 10 pills each time, Dengxin soup on empty stomach. Effective when cold pus/foul matter passes in urine. Then rinse mouth with Huanglian, Ziheche, Banlangen (each 2 qian) decoction to strengthen teeth. Or remove Banlangen, add Guanzhong.
Lihe San Treats hernia, scrotal swelling, unbearable pain.
Lizhihe (14 pieces, burn to charcoal retaining nature, use new ones) Bajiaoxiang (stir-fried) Chenxiang Muxiang Qingyan Shiyán (Each 1 qian) Chuanlianrou Xiaohuixiang (Each 2 qian)
Grind fine. Take 3 qian each time, mixed with hot wine on empty stomach.
Sanceng Huixiang Wan Treats deficiency of kidney and bladder, evil Qi knotting forming cold hernia, lingering不散, umbilical/abdominal pain, enlarged scrotum, scrotal swelling/heaviness hindering walking, incessant itching, occasional yellow fluid exuding causing sores, or growing strange flesh,屡次 treatment failing, leading to kidney meridian closure, Yin/Yang blockage, external genital swelling/cold/hard like stone, gradually enlarging, all due to frequent internal attack with hot medicines, or