寒湿内蓄日已深，复被风冷水气侵，囊冷硬痛成寒疝，乌头桂枝金茱神。
[注]
寒疝者，因儿平日过食生冷，或卧湿地，以致阴结于内，气滞不行，
为日既久，复为风冷所束，水湿所伤，
故发时囊冷结硬，牵引少腹作痛，
初得之兼表者，以乌头桂枝汤主之，寒甚者，以金茱丸治之。
(乌头桂枝汤) 桂枝 赤芍药 甘草炙 乌头 引用生姜水煎服。
(方歌)
乌头桂枝治寒疝，解表温中法最良，广桂枝同赤芍药，乌头甘草引生姜。
(金茱丸) 金铃子肉一两 吴茱萸五钱 以上为细末，酒煮麴糊为丸，
如麻子大，每服数丸，盐汤下。
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疝证门
厚味过度生湿热，复触风寒疝气成，囊纵红肿常刺痛，乌头栀子服即宁。
[注]
小儿平素过食厚味，致生湿热，湿热之气下行，流入囊中，
复为风寒所束，而疝证成矣，发时囊纵红肿，常常刺痛，
当以乌头栀子汤调治之，庶疝可愈矣。
(乌头栀子汤) 乌头 栀子炒 引用顺流水入姜汁煎服。
(方歌)
湿热感寒疝气疼，乌头栀子汤最灵，栀子乌头姜汁共，顺流水煎病即宁。
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疝证门
胎疝多因母过啼，儿生胞硬痛无时，轻用十味苍蘖治，重用金铃川楝宜。
[注]
胎疝者，因孕妇啼泣过伤，气结不散，蕴于胞中，令儿生下胞硬疼痛，
轻者十味苍蘖散主之，重者以金钤散或川楝丸主之。
(十味苍蘖散) 青皮醋炒 川附子炮 黄蘖 南山查肉酒炒 苍术米泔水浸
香附制 益智仁 元胡索醋炒 桃仁 甘草炙 引用小茴香水煎服。
(方歌)
十味苍蘖治胎疝，青皮川附蘖查苍，香附益智元胡索，桃仁甘草引茴香。
(金铃散) 三棱 莪术各三钱 陈皮 赤茯苓各五钱 茴香三钱 甘草二钱生
槟榔 枳壳各三钱麸炒 □藤□ 青皮各四钱炒 南木香三钱 金铃子肉一两
以上除槟榔木香不过火，余焙共为细末，每服半钱至一钱，无灰酒调服。
(川楝丸) 木香 槟榔 三棱 莪术各三钱 青皮醋炒 陈皮各四钱
川楝肉八钱 芫花五分醋炒 辣桂二钱 牵牛二钱生取仁 巴豆三粒去油
共为极细末，面糊为丸，如麻子大，每服三四丸，姜汤送下。
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疝证门
寒湿之邪在体内蓄积日久，又遭受风冷与水气的侵袭，导致阴囊寒冷、坚硬且疼痛，从而形成寒疝，治疗宜用乌头桂枝汤或金茱丸。
[注]
所谓寒疝，是因为小儿平日过食生冷食物，或者睡卧在潮湿之地，致使寒气凝结于体内，气机阻滞运行不畅。
经过长时间积累，再受到风冷的束缚以及水湿的伤害，
所以在发病时会出现阴囊寒冷、结块坚硬，并牵引少腹部产生疼痛的症状。
如果是初起且兼有表证（外感症状）的，以乌头桂枝汤为主治方剂；如果寒邪特别严重的，则以金茱丸进行治疗。
(乌头桂枝汤) 组成包括：桂枝、赤芍药、炙甘草、乌头。煎服方法为：加入生姜作为药引，用水煎煮后服用。
(方歌)
乌头桂枝汤用于治疗寒疝，其解表散寒、温中止痛的方法最为良善，方中广桂枝配合赤芍药，加上乌头和甘草，并以生姜为引。
(金茱丸) 组成包括：金铃子肉一两、吴茱萸五钱。将以上药材研成细末，用酒煮面糊制作成丸剂，
大小如麻子般，每次服用几丸，用盐开水送服。
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疝证门
饮食厚味过度而生湿热，又触犯风寒而形成疝气，表现为阴囊松弛、红肿且经常刺痛，服用乌头栀子汤即可安宁。
[注]
小儿平素过食肥甘厚味，导致体内产生湿热，湿热之气向下流动，流入阴囊之中，
再被风寒所束缚，从而形成了疝证。发病时阴囊松弛、红肿，常常感到刺痛，
应当使用乌头栀子汤进行调理治疗，这样疝病才可以痊愈。
(乌头栀子汤) 组成包括：乌头、炒栀子。煎服方法为：加入顺流水及姜汁，用水煎煮后服用。
(方歌)
湿热感受风寒导致的疝气疼痛，乌头栀子汤疗效最灵验，栀子、乌头与姜汁共同使用，用顺流水煎煮则病痛即刻安宁。
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疝证门
胎疝多因孕妇过度啼哭所致，婴儿出生后胞块坚硬且疼痛无休止，轻症可用十味苍蘖散治疗，重症则适宜使用金铃散或川楝丸。
[注]
所谓胎疝，是因为孕妇啼哭过度损伤身体，导致气机郁结不散，蕴积在胞宫之中，致使婴儿出生后胞块坚硬且疼痛不止。
病情较轻者，以十味苍蘖散为主治方剂；病情较重者，以金铃散或川楝丸为主治方剂。
(十味苍蘖散) 组成包括：醋炒青皮、炮制川附子、黄柏、酒炒南山楂肉、米泔水浸泡苍术、制香附、益智仁、醋炒元胡索、桃仁、炙甘草。煎服方法为：加入小茴香作为药引，用水煎煮后服用。
(方歌)
十味苍蘖散用于治疗胎疝，方中包含青皮、川附子、黄柏、山楂、苍术，以及香附、益智仁、元胡索，还有桃仁、甘草，以小茴香为引。
(金铃散) 组成包括：三棱、莪术各三钱，陈皮、赤茯苓各五钱，茴香三钱，生甘草二钱，槟榔、麸炒枳壳各三钱，白蒺藜、醋炒青皮各四钱，南木香三钱，金铃子肉一两。
除槟榔和木香不经过火炒外，其余药材焙干后共研为细末，每次服用半钱至一钱，用无灰酒调匀服用。
(川楝丸) 组成包括：木香、槟榔、三棱、莪术各三钱，醋炒青皮、陈皮各四钱，川楝肉八钱，醋炒芫花五分，辣桂二钱，生牵牛仁二钱，去油巴豆三粒。
共研为极细末，用面糊制作成丸剂，大小如麻子般，每次服用三四丸，用姜汤送服。
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疝证门
Cold-dampness accumulates internally for a long time, and is subsequently invaded by wind-cold and water-dampness, resulting in a cold, hard, and painful scrotum, forming Cold Hernia (Han Shan). Treatment should utilize Wutou Guizhi Tang (Aconite Twig Decoction) or Jinju Wan.
[Note]
Cold Hernia arises because children have previously consumed excessive amounts of raw and cold foods, or slept on damp ground, causing Yin-cold to knot internally and Qi stagnation to impede movement.
After accumulating for a long period, it is further constrained by wind-cold and injured by water-dampness.
Consequently, upon onset, the scrotum becomes cold, knotted, and hard, with pain radiating to and affecting the lower abdomen.
If the condition is newly acquired and accompanied by exterior symptoms, Wutou Guizhi Tang (Aconite Twig Decoction) is the primary formula; if the cold pathogen is severe, Jinju Wan is used for treatment.
(Wutou Guizhi Tang [Aconite Twig Decoction]) Ingredients: Guizhi (Cinnamon Twig), Chishao Yao (Red Peony Root), Zhi Gancao (Honey-fried Licorice Root), Wutou (Aconite Root). Preparation: Use Shengjiang (Fresh Ginger) as an adjuvant, decoct with water, and take orally.
(Prescription Verse)
Wutou Guizhi treats Cold Hernia, its method of releasing the exterior and warming the middle is most excellent; Guang Guizhi combined with Chishao Yao, Wutou and Gancao, guided by Shengjiang.
(Jinju Wan) Ingredients: Jinlingzi Rou (Violet Fruit Flesh), one tael; Wu Zhuyu (Evodia Fruit), five qian. Grind the above into fine powder, make pills using a paste prepared by boiling yeast with wine,
size similar to hemp seeds. Take several pills per dose, administered with salted water.
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Disease Category: Hernia
Excessive consumption of rich flavors generates Damp-Heat, which, when triggered by wind-cold, forms Hernia Qi. The scrotum hangs loose, turns red and swollen, and suffers frequent stabbing pain; taking Wutou Zhizi Tang brings immediate relief.
[Note]
Children who habitually overconsume rich and greasy foods generate Damp-Heat internally. The Damp-Heat Qi descends and flows into the scrotum.
When constrained by wind-cold, the Hernia syndrome is formed. Upon onset, the scrotum hangs loose, becomes red and swollen, and experiences frequent stabbing pain.
One should regulate and treat with Wutou Zhizi Tang, so that the hernia may be cured.
(Wutou Zhizi Tang) Ingredients: Wutou (Aconite Root), Zhi Zi (Gardenia Fruit, stir-fried). Preparation: Use Shunliushui (Flowing Water) and Jiangzhi (Ginger Juice), decoct with water, and take orally.
(Prescription Verse)
Hernia Qi pain caused by Damp-Heat sensing Cold, Wutou Zhizi Tang is most effective; Zhi Zi, Wutou, and Jiangzhi together, decocted with Shunliushui, the illness immediately calms.
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Disease Category: Hernia
Fetal Hernia is mostly due to the mother crying excessively; the infant is born with a hard scrotum/bag and ceaseless pain. Mild cases are treated with Shiwei Cangnie San, while severe cases are suitable for Jinling San or Chuanlian Wan.
[Note]
Fetal Hernia occurs because the pregnant woman cried excessively, causing Qi knotting to fail to dissipate and accumulate within the Baozhong (uterus/womb), causing the child to be born with a hard and painful scrotum/bag.
For mild cases, Shiwei Cangnie San is the primary formula; for severe cases, Jinling San or Chuanlian Wan is the primary formula.
(Shiwei Cangnie San) Ingredients: Qingpi (Green Tangerine Peel, vinegar-fried), Chuan Fuzi (Prepared Aconite Lateral Root), Huangbai (Phellodendron Bark), Jiuchao Nanshan Zha Rou (Wine-fried Hawthorn Fruit Flesh), Cangzhu (Atractylodes Rhizome, soaked in rice wash water), Xiangfu (Cyperi Rhizoma, processed), Yizhiren (Alpinia Oxyphylla Fruit), Cu Chao Yuanhusuo (Vinegar-fried Corydalis Rhizome), Taoren (Peach Kernel), Zhi Gancao (Honey-fried Licorice Root). Preparation: Use Xiaohuixiang (Fennel Fruit) as an adjuvant, decoct with water, and take orally.
(Prescription Verse)
Shiwei Cangnie San treats Fetal Hernia; Qingpi, Chuan Fuzi, Huangbai, Shan Zha, Cangzhu, Xiangfu, Yizhiren, Yuanhusuo, Taoren, Gancao, guided by Huixiang.
(Jinling San) Ingredients: Sanleng (Sparganium Rhizome), Ezhu (Curcuma Rhizome), each three qian; Chenpi (Aged Tangerine Peel), Chifuling (Red Poria), each five qian; Huixiang (Fennel Fruit), three qian; Sheng Gancao (Raw Licorice Root), two qian; Binglang (Areca Seed), Zhi Ke (Bitter Orange Fruit, bran-fried), each three qian; Biji Lei (Tribulus Fructus), Qingpi (Green Tangerine Peel, vinegar-fried), each four qian; Nanmuxiang (Costus Root), three qian; Jinlingzi Rou (Violet Fruit Flesh), one tael.
Except for Binglang and Nanmuxiang which are not roasted over fire, all other ingredients are baked and ground together into fine powder. Take half to one qian per dose, mixed and taken with Wuhuijiu (pure liquor without ash).
(Chuanlian Wan) Ingredients: Muxiang (Aucklandiae Radix), Binglang (Areca Seed), Sanleng (Sparganium Rhizome), Ezhu (Curcuma Rhizome), each three qian; Qingpi (Green Tangerine Peel, vinegar-fried), Chenpi (Aged Tangerine Peel), each four qian; Chuanlian Rou (Toosendan Fruit Flesh), eight qian; Yuanhua (Genkwa Flos, vinegar-fried), five fen; Lagui (Cinnamon Bark), two qian; Qianniu (Morning Glory Seed, raw, kernel extracted), two qian; Badou (Croton Seed, oil removed), three grains.
Grind all into extremely fine powder, make pills using flour paste, size similar to hemp seeds. Take three or four pills per dose, delivered with ginger soup.
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Disease Category: Hernia