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The Seven Hernias (Qi Shan) include Jue Shan (Jue Hernia), Zheng Shan (Zheng Hernia), Han Shan (Cold Hernia), Qi Shan (Qi Hernia), Pan Shan (Pan Hernia), [Missing Character] Shan, and Ye Lang Shan (Wild Wolf Hernia); these are referred to as the Seven Hernias.
Jue Ni Xin Tong (Jue Reversal with Heart Pain):
Pain throughout the hypochondrium and abdomen immediately after eating is called Han Shan (Cold Hernia). Abdominal distension that fluctuates between fullness and reduction accompanied by pain is called Qi Shan (Qi Hernia). Abdominal pain located beside the umbilicus is called Pan Shan (Pan Hernia). Accumulations below the umbilicus in the abdomen are called [Missing Character] Shan. Pain radiating between the lower abdomen and the genitalia, accompanied by difficult defecation, is called Ye Lang Shan (Wild Wolf Hernia). All Seven Hernias arise from deficiency of blood and qi, and irregularity in diet regarding temperature (cold and warm).

The first is Shi Shan (Stone Hernia), the second is Xue Shan (Blood Hernia), the third is Yin Shan (Yin Hernia), the fourth is Du Shan (Jealousy Hernia), and the fifth is Qi Shan (Qi Hernia); these are referred to as the Five Hernias. Fan Wang’s record of Hua Tuo’s Tai Yi Jue Yi Shuang Wan states that this formula treats Ba Pi (Eight Stagnations), Five Hernias, Ji Ju (Accumulations and Masses), Fu Re (Hidden Heat), Liu Yin (Retained Fluids), and Wang Lai Han Re (Alternating Chills and Fever), but it does not explicitly describe the manifestations of the Five Hernias. Investigating these conditions, they all arise from weakness of the fu and zang organs, lack of dietary moderation, disharmony of blood and qi, and irregularity in exposure to cold and warmth.

Shan (Hernia) denotes pain. It results from yin qi accumulating internally, with cold qi failing to dissipate, rushing upward to strike the heart, thereby causing heart pain; this is termed Xin Shan (Heart Hernia). The pain may feel like being pierced by an awl or knife, or it may be a dull ache; other signs include cold extremities and bluish discoloration of the lips and mouth, which are all characteristic symptoms.

When yin qi resides internally and cold qi lodges in the collaterals of the Foot-Yangming and Hand-Shaoyin meridians, it causes hunger immediately after eating and pain in the heart; thus, it is called Ji Shan (Hunger Hernia).

Shan (Hernia) means pain; Jia (Mass) means false. Although the disease involves knotted masses, they are "false" in nature and can be moved or displaced; therefore, it is called Shan Jia (Hernia-Mass). This condition is formed by the struggle between cold pathogenic factors and the zang-fu organs. Symptoms include acute pain within the abdomen, pain radiating between the waist and back, and pain extending to the lower abdomen.
A pulse that is deep, fine, and slippery indicates Shan Jia; a pulse that is tense and slippery also indicates Shan Jia. Formulas state that consuming meat jerky that has not been dried thoroughly can lead to the formation of Shan Jia.
Treatments involving decoctions, moxibustion/warming applications, acupuncture, and stone therapy have separate specific formulas. Methods for nourishment and qigong guidance are attached hereafter.
The *Yangsheng Fang* (Prescriptions for Nourishing Life) · *Daoyin Fa* (Guiding and Pulling Method) states: Pull the toes of both feet, pause after five breaths, to guide the qi in the abdomen. This removes Shan Jia and benefits the orifices.
It further states: Sit, extend both legs, grasp the big toes with both hands, positioning the feet above and the head below, pull vigorously, pause after five breaths, to circulate abdominal qi throughout the body. This removes Shan Jia disease, benefits all orifices, and facilitates the smooth flow of qi and blood. Long-term practice leads to mental clarity, keen hearing and vision, and a tall, slender physique.