（诸疝气 胎疝 寒疝 卒疝）
必用方云、治水 偏大。上下不定。疼不可忍。俗呼为膀胱气。用 过牡蛎二两、炮干
两、为末涂病处。即愈。则是水 即膀胱气也。千金云、气冲主 。明堂下经云、治 疝。
则是 即 疝也。恐人惑其名而误治之。故为之辨。
曲泉、主 疝阴跳痛引脐中。（千）中都、合阳、中 、关元、大巨、交信、中封、太
地机、主 疝。中封、主 疝癃暴痛痿厥。少府、主阴痛。实时挺长寒热。阴暴痛遗
尿。偏虚则暴痒气逆。卒疝、小便不利。冲门、主妇人阴疝。商丘、主阴股内痛。气
痈狐疝走上下。引小腹痛。不可俯仰。巨阙、主狐疝。太冲、主狐疝呕厥。肩井旁肩
解与臂相接处、主偏 。气冲、主 阴肿痛。中管、主冲疝
冒死不知人。交信、主气癃 疝阴急。股枢膊内廉痛。脐中、石门、天枢、气海、主小
腹疝气游行。五脏疝绕脐。冲胸不得息。（并千。）脐疝绕脐痛。冲胸不得息。灸脐中。脐
疝绕脐痛。石门主之。脐疝绕脐痛。时止。天枢主之。又主气疝烦呕。（千云主气疝呕。）
面肿贲豚。（并甲。）气冲、主 。（明下作 疝。）阴肿痛。阴痿茎中痛。两丸骞痛。不可
仰卧。五枢、主阴疝。两丸上入小腹痛。明下云、主阴疝小腹痛。阴交、石门、太冲、
主两丸骞。（见阴缩。）交信、（见淋。）中都、（见肠鸣。）大巨、曲骨、（见小腹。）治 疝。
（铜）曲泉、治丈夫 疝。阴股痛。小便难。腹胁支满。癃闭。少气泄利。四肢不举。实即
身热目眩痛。汗不出。目KT KT 。膝痛筋挛。不可屈伸。千金曰、 有四种。肠 、卵胀难灸
。气 、水 、针灸易治。卵偏大、上入腹。灸三阴交随年。卵偏大 病、灸关元百壮。或
大敦随年壮。或横骨边二七壮。夹茎是。（详见千金。）
筑宾、治小儿胎疝。（明下同。）痛不得乳。小儿胎疝、卵偏重。灸囊后缝十字纹当上
三壮
漏血。（千）蠡沟、主女子疝。赤白淫下。时多时少。暴腹痛。阴交、石门、主疝。（见
无子。）小儿气 。灸足厥阴大敦。左灸右。右灸左。各一壮。太仓公诊司空命妇曰、疝
气客于膀胱。难于前后溲而溺赤。灸其足厥阴脉左右各一所。即不遗溺而溲清。更为火齐汤
饮之。而疝气散。阴市、肝俞、疗寒疝下至腰脚如冷水。水伤诸疝。按之在膝上伏兔下寒
痛。腹胀满厥少气。明下云、卒疝小腹痛。力痿气少。伏兔中寒。腰如冷水。铜云、寒疝小
腹胀。腰以下伏兔上。寒如冷水。合阳、治寒疝阴偏痛。（铜）然谷、治寒疝小腹胀。上抢
胸胁。次 、治疝气下坠。腰脊痛不得转摇。急引阴器痛不可忍。腰下至足不仁。背腠寒
。小便赤淋。心下坚胀。大溪、行间、（见白浊。）肓俞、（见腹胀。）肝俞、治寒疝。（见
咳明同。）阴交、治寒疝。引小腹痛。腰膝拘挛。五枢、治男子寒疝。卵上入小腹痛。
中封、治寒疝引腰中痛。或身微热。大敦、主寒疝阴挺出。（见下。）
舍弟少戏举重。得偏坠之疾。有道人为当关元两旁相去各三寸青脉上灸七壮。即愈。王
彦之患小肠气。亦如此灸之愈。（余见膀胱。）
金门、（见尸厥。）丘墟、（见腋肿。）治暴疝痛。大敦、治卒疝。小便数遗溺。阴头中
。心痛汗出。阴上入腹。阴偏大。腹脐中痛。悒悒不乐。病左取右。病右取左。蠡沟、治
卒疝。小腹肿。时小腹暴痛。小便不利如癃闭。数噫恐悸。少气不足。腹痛。悒悒不乐。咽
中闷如有 肉。背拘急不可俯仰。太冲、治小儿卒疝。呕逆发寒。咽干 肿。内踝前痛淫
泺。 酸腋下肿。明下云、疗卒疝。小腹痛。小便不利如淋。照海、治卒疝。小腹痛。呕吐
。嗜卧。阴跷、疗卒疝。小腹痛。（上同。）左取右。右取左。立已。（明）蠡沟、疗卒疝
。小腹肿。小便不利。（交仪同。）脐下积气如卵石。足寒胫酸屈伸难。（下）石门、疗卒疝
绕脐痛。关元、疗卒（铜作暴。千同。）疝小腹痛。转胞不得小便。陷谷、疗卒疝小腹痛
。交信、（见淋）疗卒疝。
华佗疗卒阴卵偏大。取足大指去甲五分内侧白肉际。灸三壮。炷如半枣核。左取右。右
取左。
照海、主四肢淫泺。身闷。阴暴起疝。（千）大敦、主卒疝暴痛。阴跳上入腹。寒疝。
阴挺
出偏大肿。脐腹中悒悒不乐。小便难而痛。灸刺立已。左取右。右取左。（甲云。照海主之
。）
阴陵泉、治疝瘕。小便不利。气淋。（铜）千云、主妇人疝瘕。按之如以汤沃股内至腰。
飧泄
。阴痛。小腹痛坚急。下湿。不嗜食。大溪、主胞中有大疝瘕积聚。与阴相引。（千）太
阴、冲门、主疝瘕阴疝。四满、主脐下疝积。（甲云。胞中有血。）石门、主腹满疝积。
四满、（见积聚。）中极、治疝瘕。府舍、治疝癖。（见脾疼。）瘕聚。灸气海、天枢百壮
。（并见腹胀。）丘墟、主大疝腹坚。关元、治瘕聚（见赤白带。）带下。灸间使三十。
又淋小便赤。尿道痛。脐下结块如覆盆。或因食得。或因产得。恶露不下。遂成疝瘕。或因
月事不调。血结成块。皆针之。（千翼）
The *Beiji Qianjin Yaofang* (Essential Prescriptions Worth a Thousand Gold for Emergencies) records: To treat Shui Chan (Water Hernia), characterized by scrotal swelling that moves up and down without fixed position, with unbearable pain, commonly known as Bladder Qi. Use two liang of calcined Oyster Shell (Muli, 牡蛎) and one liang of processed dried ginger (Ganjiang, 干姜), grind into powder, and apply to the affected area. It will heal immediately. Thus, Shui Chan is equivalent to Bladder Qi. The *Mingtang Xiaying* (Lower Classic of Mingtang) states: Qichong (ST30) treats Shui Chan. Therefore, Shui Chan is a type of Chan disease. Fearing that people may be confused by the name and treat it incorrectly, this distinction is made.
Ququan (LR8) mainly treats Han Chan (Cold Hernia), with jumping pain in the testicles radiating to the umbilicus. (*Qianjin Yaofang*) Zhongdu (LR6), Heyang (BL57), Zhongdu (GB34), Guanyuan (CV4), Daju (ST29), Jiaoxin (KI8), Zhongfeng (LR4), Taixi (KI3), and Diji (SP8) mainly treat Han Chan. Zhongfeng (LR4) mainly treats Han Chan accompanied by dribbling urine, sudden pain, flaccidity, and cold limbs. Shaofu (HT8) mainly treats genital pain, abnormal erection, aversion to cold and fever, sudden genital pain, and enuresis; deficiency leads to sudden itching and rebellious Qi; Cu Chan (Sudden Hernia) and dysuria. Chongmen (ST30) mainly treats female Yin Chan. Shangqiu (SP5) mainly treats pain in the medial aspect of the thigh and groin, Qi Yong (Qi Abscess), Hu Chan (Fox Hernia) moving up and down, pulling on lower abdominal pain, inability to bend or extend. Juque (CV14) mainly treats Hu Chan. Taichong (LR3) mainly treats Hu Chan accompanied by vomiting and reversal cold. Jianjing (GB21) at the junction of the shoulder blade and arm mainly treats unilateral hernia pain. Qichong (ST30) mainly treats genital swelling and pain. Zhongwan (CV12) mainly treats Chong Chan (Rushing Hernia), where Qi rushes upward causing unconsciousness. Jiaoxin (KI8) mainly treats Qi Long (Qi Stagnation/Obstruction), Han Chan, genital tension, and pain in the inner aspect of the thigh and arm. Qizhong (CV8), Shimen (CV5), Tianshu (ST25), and Qihai (CV6) mainly treat Xiao Fu Chan Qi (Lower Abdominal Hernia Qi) wandering around, Wu Zang Chan (Five Viscera Hernia) encircling the umbilicus, rushing to the chest causing breathing difficulty. (All from *Qianjin Yaofang*). For Qi Chan (Umbilical Hernia) with pain encircling the umbilicus and Qi rushing to the chest causing breathing difficulty, moxa Qizhong. For Qi Chan with pain encircling the umbilicus, Shimen treats it. For Qi Chan with pain encircling the umbilicus, occurring intermittently, Tianshu treats it. It also treats Qi Chan with irritability and vomiting. (*Qianjin Yaofang* records it treats Qi Chan vomiting). Facial swelling and Ben Tun (Running Piglet Qi). (All from *Jiayi Jing*). Qichong (ST30) treats hernia pain. (*Mingtang Xiaying* writes "treats Chan"), genital swelling and pain, impotence with penile pain, bilateral testicular dragging pain, inability to lie supine. Wushu (GB26) treats Yin Chan, bilateral testicular retraction into lower abdominal pain. *Mingtang Xiaying* records it treats Yin Chan and lower abdominal pain. Yinjiao (CV7), Shimen (CV5), and Taichong (LR3) treat bilateral testicular retraction (see Yin Suo syndrome). Jiaoxin (KI8) (see Lin syndrome), Zhongdu (LR6) (see intestinal borborygmus), Daju (ST29), and Qugu (CV2) (see lower abdominal pain) treat Han Chan. (*Tongren Shuxue Zhenjiu Tujing*) Ququan (LR8) treats male Han Chan, pain in the medial thigh, difficult urination, fullness and distension in the abdomen and hypochondrium, urinary retention, shortness of breath, diarrhea, inability to move the four limbs; excess patterns present with body heat, dizziness, and eye pain, absence of sweating, blurred vision, knee pain and tendon contraction, inability to flex and extend. *Qianjin Yaofang* states: There are four types of Chan. Chang Chan (Intestinal Hernia) and Luan Zhang (Scrotal Swelling) are difficult to moxa; Qi Chan and Shui Chan are easy to treat with acupuncture and moxibustion. For testicular enlargement entering the abdomen, moxa Sanyinjiao (SP6) according to age. For testicular enlargement disease, moxa Guanyuan (CV4) 100 moxa cones. Or moxa Dadun (LR1) according to age. Or moxa Henggu (KI11) side 14 cones, clamping the penis. (See *Qianjin Yaofang* for details).
Zhubin (KI9) treats pediatric Tai Chan (Fetal Hernia). Pain prevents breastfeeding. For pediatric Tai Chan with heavy testicles, moxa three cones at the center of the cross-shaped wrinkle behind the scrotum. Bleeding. (*Qianjin Yaofang*) Ligou (LR5) mainly treats female Chan, red and white leukorrhea, varying in amount, sudden abdominal pain. Yinjiao (CV7) and Shimen (CV5) treat Chan (see infertility). Pediatric Qi Chan, moxa Dadun (LR1) of the Foot-Jueyin Liver Meridian, left lesion treated on right, right lesion treated on left, one cone each. Taicanggong diagnosed the wife of Sikong saying: Chan Qi resides in the bladder, causing difficulty in urination and defecation with red urine. Moxa one point on the left and right of the Foot-Jueyin Meridian, then enuresis stops and urine becomes clear. Administer Huoqi Tang decoction to drink, and Chan Qi dissipates. Yinshi (ST33) and Ganshu (BL18) treat Han Chan, pain extending down to waist and feet as if immersed in cold water, various Chan caused by water injury, pressing below Futu (ST32) on the knee causes cold pain, abdominal fullness, reversal cold, and shortness of breath. *Mingtang Xiaying* records: Cu Chan (Sudden Hernia) lower abdominal pain, weakness and shortness of breath, cold in Futu, waist feeling like cold water. *Tongren Shuxue Zhenjiu Tujing* records: Han Chan lower abdominal distension, cold from waist down to above Futu as if cold water. Heyang (BL57) treats Han Chan with unilateral genital pain. (*Tongren Shuxue Zhenjiu Tujing*) RanGu (KI2) treats Han Chan with lower abdominal distension, Qi rushing to chest and hypochondrium. Cili (BL32) treats descending Chan Qi, back and spine pain with inability to turn or sway, urgent pulling pain in genital organs unbearable, numbness from waist down to feet, coldness in back pores, red and dribbling urine, hardness and distension in epigastrium. Daxi (BL62) and Xingjian (LR2) (see white turbid discharge), Huangshu (BL23) (see abdominal distension), Ganshu (BL18) treat Han Chan (see cough, *Mingtang Xiaying* same). Yinjiao (CV7) treats Han Chan, pulling lower abdominal pain, stiffness and spasm of waist and knees. Wushu (GB26) treats male Han Chan, testicular retraction into lower abdominal pain. Zhongfeng (LR4) treats Han Chan pulling waist pain, or slight body heat. Dadun (LR1) mainly treats Han Chan with genital prolapse (see below).
My younger brother suffered from unilateral scrotal swelling due to lifting weights when young. A Daoist practitioner moxa seven cones on the blue veins three cun apart on both sides of Guanyuan (CV4), and he recovered immediately. Wang Yanzhi suffered from Small Intestine Qi, and was also cured by such moxibustion. (For other content, see Bladder Disease chapter).
Jinmen (BL63) (see Corpse-like Coma), Qiuxu (GB40) (see Axillary Swelling) treat Bao Chan (Acute Hernia) pain. Dadun (LR1) treats Cu Chan, frequent urination and enuresis, pain in the glans penis, heart pain with sweating, Yin Qi entering the abdomen, enlarged genitalia, pain in abdomen and umbilicus, depression and unhappiness, treat right side for left lesion, left side for right lesion. Ligou (LR5) treats Cu Chan, lower abdominal swelling, occasional sudden lower abdominal pain, dysuria resembling Long Bi (Urinary Obstruction), frequent belching, fear and palpitations, shortness of breath, insufficient Qi, abdominal pain, depression and unhappiness, stuffiness in throat as if having a polyp, back stiffness unable to bend or extend. Taichong (LR3) treats pediatric Cu Chan, vomiting and reverse qi with chills, dry throat and swelling, pain and dampness before the medial malleolus, acid soreness and axillary swelling. *Mingtang Xiaying* records: Treats Cu Chan, lower abdominal pain, dysuria resembling Lin syndrome. Zhaohai (KI6) treats Cu Chan, lower abdominal pain, vomiting, lethargy. Yin Qiao (KI6 via Yin Qiao Mai) treats Cu Chan, lower abdominal pain (same as above). Treat right for left, left for right, immediate effect. (*Mingtang Xiaying*) Ligou (LR5) treats Cu Chan, lower abdominal swelling, dysuria. (*Jiaoyi* same) Accumulated Qi below umbilicus like a stone, cold feet, sore calves, difficulty flexing and extending. (*Tongren Shuxue Zhenjiu Tujing*) Shimen (CV5) treats Cu Chan with pain encircling the umbilicus. Guanyuan (CV4) treats Cu Chan (*Tongren* writes Bao Chan, *Qianjin* same) lower abdominal pain, inverted uterus unable to urinate. Xianggu (ST41) treats Cu Chan lower abdominal pain. Jiaoxin (KI8) (see Lin syndrome) treats Cu Chan.
Hua Tuo treated sudden testicular enlargement by taking the medial white flesh boundary five fen from the nail of the big toe, moxa three cones, cone size like half a jujube pit, treat right for left, left for right.
Zhaohai (KI6) mainly treats dampness and soreness of four limbs, body heaviness, sudden onset of Yin Chan. (*Qianjin Yaofang*) Dadun (LR1) mainly treats Cu Chan and sudden pain, jumping Yin Qi entering abdomen, Han Chan, genital prolapse, enlargement and swelling, depression in umbilical and abdominal region, difficult and painful urination, moxa and acupuncture have immediate effect, treat right for left, left for right. (*Jiayi Jing* records: Zhaohai treats it.)
Yinlingquan (SP9) treats Chan Jia (Hernia Masses), dysuria, Qi Lin. (*Tongren Shuxue Zhenjiu Tujing*) *Qianjin Yaofang* records: Mainly treats female Chan Jia, pressing feels like hot water poured from inner thigh to waist, undigested food diarrhea, genital pain, hard and urgent lower abdominal pain, dampness below, poor appetite. Daxi (BL62) mainly treats large Chan Jia accumulation in the uterus, pulling on Yin. (*Qianjin Yaofang*) Taiyin (SP9/Yinlingquan context implies Spleen channel points), Chongmen (ST30) mainly treat Chan Jia and Yin Chan. Siman (ST29) mainly treats umbilical lower abdominal Chan accumulation. (*Jiayi Jing* records: Blood in uterus). Shimen (CV5) treats abdominal fullness and Chan accumulation. Siman (ST29) (see Accumulation), Zhongji (CV3) treats Chan Jia. Fushe (ST27) treats Pi Chan (Hernia Lump) (see Spleen pain). Jia Ju (Mass Aggregation), moxa Qihai (CV6) and Tianshu (ST25) 100 cones each. (All see abdominal distension). Qiuxu (GB40) mainly treats large Chan with hard abdomen. Guanyuan (CV4) treats Jia Ju (see red and white leukorrhea), leukorrhea, moxa Jianshi (PC5) 30 cones. Also treats Lin syndrome with red urine, urethral pain, mass below umbilicus like an inverted basin, caused by diet or childbirth, lochia not descending, forming Chan Jia, or irregular menstruation, blood coagulating into masses, all treated with acupuncture. (*Qianjin Yifang*)