论曰卒疝者，谓肾脏虚弱之人，形寒饮冷，暴受邪气，传入经脉，盖足少阴肾经，与太
阳膀胱，二经合为表里，卒然感寒热相搏，则筋脉不得流通，气道结涩而胀满，攻绕脐腹，
牵引于阴，暴发疼痛，或白汗出，闷绝不省，难可堪忍，故曰卒疝也。
治卒疝，心痛如刺，绕脐腹中尽痛，白汗出，气欲绝，蜀椒散方
蜀椒（去目并闭口炒出汗） 半夏（生姜汁制曝干半两） 附子（一枚炮炙去皮脐） 干
姜（
炮裂） 甘草（炙锉） 桂（去粗皮各半两）
上六味， 咀如麻豆，每服三钱匕，水一盏，生姜一枣大切，枣二枚劈破，煎至七分，
去滓温服不拘时。
治卒疝攻脐腹痛，汗出闷绝，茱萸汤方
吴茱萸（汤浸焙干炒半两） 细辛（去苗叶） 附子（炮裂去皮脐） 人参 白茯苓（去
黑皮）
上八味， 咀如麻豆，每服三钱匕，水一盏，生姜一枣大切，枣二枚劈破，煎至七分，
去滓温服不拘时。
治卒疝腹痛里急，四味当归汤方
当归（焙） 生姜 芍药（各二两） 羊肉（切去脂膜半斤）
上四味，将三味细锉，先以水五升，煮羊肉烂熟去肉，以汁煮药，候熟去滓澄清，每温
服一盏，不拘时。
治卒疝，绕脐腹卒暴疼痛，干姜汤方
干姜（炮裂） 白茯苓（去黑皮） 椒（去目并闭口炒出汗） 附子（炮裂去皮脐） 桂
（去粗
上八味， 咀如麻豆，每服二钱匕，水一盏，煎至七分，去滓温服不拘时。
治卒疝，攻少腹疼痛， 香煮散方
香子（炒） 木香 芍药 陈曲 浓朴（去粗皮生姜汁炙锉） 枳壳（去瓤麸炒） 桂
（去
各半两） 生
上一十三味，捣罗为细散，每服三钱匕，水一盏，葱白二寸，盐少许，煎至七分热服。
治卒疝，腹痛不可忍，木香丸方
木香 桂（去粗皮） 槟榔（锉） 香子（炒） 蓬莪术（煨锉） 桃仁（去皮尖双
仁研膏各
一两）
上九味，将八味捣罗为末，入桃仁膏和匀，酒煮面糊，丸如梧桐子大，每服二十丸。空
心食前温酒下。
治卒疝少腹与阴相引，疼痛不可忍，姜术丸方
苍术（米泔浸切炒） 干姜（炮裂） 马蔺花 芫花（醋炒焦） 五灵脂（去土） 乌
头（炮裂
上六味，捣罗为末，醋煮面糊，丸如梧桐子大，每服十丸，食前温酒或盐汤下。
论述说：所谓卒疝，是指肾脏虚弱的人，形体受寒、饮食生冷，突然感受邪气，邪气传入经脉。因为足少阴肾经与足太阳膀胱经互为表里，突然感受寒热之邪相互搏结，导致筋脉气血不得流通，气道郁结涩滞而胀满，疼痛攻冲并环绕脐腹，牵引至阴部，突然暴发剧烈疼痛，或者出冷汗，胸闷窒息甚至昏厥不省人事，痛苦难以忍受，所以称为卒疝。
治疗卒疝，心痛如针刺，绕脐腹部全部疼痛，出冷汗，气息微弱欲绝，用蜀椒散方：
蜀椒（去掉目和闭口者，炒至出汗） 半夏（用生姜汁制后晒干，半两） 附子（一枚，炮炙后去皮脐） 干姜（炮裂） 甘草（炙后锉碎） 桂枝（去掉粗皮，各半两）
以上六味药，切碎如麻豆大小，每次服用三钱匕，用水一盏，生姜一块大枣大小切得很大，大枣两枚劈破，煎煮至七分，去渣温服，不限时间。
治疗卒疝攻冲脐腹疼痛，汗出闷绝，用茱萸汤方：
吴茱萸（汤洗后焙干炒，半两） 细辛（去掉苗叶） 附子（炮裂去皮脐） 人参 白茯苓（去掉黑皮）
以上八味药（注：原文此处列药似有缺漏或排版问题，依文意理解为上述药材组合），切碎如麻豆大小，每次服用三钱匕，用水一盏，生姜一块大枣大小切得很大，大枣两枚劈破，煎煮至七分，去渣温服，不限时间。
治疗卒疝腹痛伴有里急感，用四味当归汤方：
当归（焙干） 生姜 芍药（各二两） 羊肉（切去脂膜半斤）
以上四味药，将前三味细锉，先用水五升，煮羊肉至烂熟，取出羊肉，用羊肉汁煮药，待药熟后去渣澄清，每次温服一盏，不限时间。
治疗卒疝，绕脐腹部突然暴发疼痛，用干姜汤方：
干姜（炮裂） 白茯苓（去掉黑皮） 花椒（去掉目和闭口者，炒至出汗） 附子（炮裂去皮脐） 桂枝（去掉粗皮……）
以上八味药（注：原文此处药材列举不全，依前文格式推断），切碎如麻豆大小，每次服用二钱匕，用水一盏，煎煮至七分，去渣温服，不限时间。
治疗卒疝，攻冲少腹疼痛，用茴香煮散方：
小茴香子（炒） 木香 芍药 陈曲 厚朴（去掉粗皮，用生姜汁炙后锉碎） 枳壳（去掉瓤，麸炒） 桂枝（去掉粗皮……）
以上十三味药，捣碎过筛成细散，每次服用三钱匕，用水一盏，葱白二寸，少许盐，煎煮至七分，热服。
治疗卒疝，腹痛不可忍受，用木香丸方：
木香 桂枝（去掉粗皮） 槟榔（锉碎） 小茴香子（炒） 蓬莪术（煨后锉碎） 桃仁（去皮尖，双仁研膏，各一两）
以上九味药，将前八味捣罗成末，加入桃仁膏混合均匀，用酒煮面糊为丸，如梧桐子大，每次服用二十丸。空腹食前用温酒送服。
治疗卒疝，少腹与阴部相互牵引，疼痛不可忍受，用姜术丸方：
苍术（米泔水浸泡切片炒） 干姜（炮裂） 马蔺花 芫花（醋炒焦） 五灵脂（去掉土） 乌头（炮裂……）
以上六味药，捣碎过筛成末，用醋煮面糊为丸，如梧桐子大，每次服用十丸，食前用温酒或盐汤送服。
Discourse states: The so-called acute hernia (Zu Han) refers to a condition where individuals with weak Kidney Qi, having exposed their bodies to cold and consumed cold drinks or food, suddenly contract pathogenic factors that transmit into the meridians. Since the Foot-Shaoyin Kidney Meridian and the Foot-Taiyang Bladder Meridian are exteriorly-interiorly related, sudden contraction of cold and heat pathogens fighting each other causes the sinews and vessels to lose free flow. The Qi mechanism becomes knotted and obstructed, leading to distension and fullness. The pain attacks and circles the umbilicus and abdomen, radiating to the Yin organs, erupting suddenly with severe pain. One may sweat profusely (cold sweat), feel suffocated and faint, losing consciousness, making the suffering unbearable; hence it is called acute hernia.
To treat acute hernia with heart pain like stabbing, complete pain around the umbilicus and abdomen, profuse cold sweat, and Qi nearly exhausted, use Shujiao San Formula:
Shu Jiao (Sichuan Pepper Fruit, remove eyes and closed-mouth ones, stir-fry until oil appears) Ban Xia (Pinelliae Rhizoma, processed with fresh Ginger Juice, dried, half tael) Fu Zi (Aconiti Lateralis Radix Praeparata, one piece, processed, peel skin and navel removed) Gan Jiang (Dried Ginger, processed until cracked) Gan Cao (Licorice Root, roasted and chopped) Gui Zhi (Cinnamomi Ramulus, remove coarse bark, half tael each).
The above six herbs are crushed like hemp seeds. Each dose is three qian bi (approx. 3-5g), boiled in one sheng (approx. 200ml) of water with one large date-sized piece of fresh ginger (cut roughly) and two dates (split). Decoct until reduced to 70%, strain, and take warm at any time.
To treat acute hernia attacking the umbilicus and abdomen with pain, sweating, and suffocation/fainting, use Zhuyu Tang Formula:
Wu Zhu Yu (Evodiae Fructus, washed with hot water, baked dry, stir-fried, half tael) Xi Xin (Asari Radix et Rhizoma, remove seedlings and leaves) Fu Zi (Aconiti Lateralis Radix Praeparata, processed until cracked, peel skin and navel removed) Ren Shen (Ginseng Radix) Bai Fu Ling (Poria, remove black skin).
*Note: The original text lists "above eight flavors" but only lists five ingredients here; following the source text structure.*
The above herbs are crushed like hemp seeds. Each dose is three qian bi, boiled in one sheng of water with one large date-sized piece of fresh ginger (cut roughly) and two dates (split). Decoct until reduced to 70%, strain, and take warm at any time.
To treat acute hernia abdominal pain with internal urgency, use Siwei Danggui Tang Formula:
Dang Gui (Angelicae Sinensis Radix, baked) Sheng Jiang (Fresh Ginger) Bai Shao (Paeoniae Radix Alba, two liang each) Yang Rou (Mutton, cut removing fat membrane, half jin).
The above four items: finely chop the first three. First, boil mutton in five sheng of water until tender and cooked, remove the meat. Use the mutton broth to decoct the herbs. When ready, strain and clarify. Take one zhan (approx. 100-200ml) warm at any time.
To treat acute hernia with sudden violent pain circling the umbilicus and abdomen, use Ganjiang Tang Formula:
Gan Jiang (Dried Ginger, processed until cracked) Bai Fu Ling (Poria, remove black skin) Jiao (Sichuan Pepper Fruit, remove eyes and closed-mouth ones, stir-fry until oil appears) Fu Zi (Aconiti Lateralis Radix Praeparata, processed until cracked, peel skin and navel removed) Gui Zhi (Cinnamomi Ramulus, remove coarse bark...).
*Note: Original text cuts off ingredient list but states "above eight flavors".*
Crush like hemp seeds. Each dose is two qian bi, boiled in one sheng of water until reduced to 70%, strain, and take warm at any time.
To treat acute hernia attacking the lower abdomen with pain, use Huixiang Zhusan Formula:
Xiang Zi (Foeniculi Fructus, stir-fried) Mu Xiang (Aucklandiae Radix) Bai Shao (Paeoniae Radix Alba) Chen Qu (Fermented Wheat Mass) Hou Po (Magnoliae Officinalis Cortex, remove coarse bark, process with Ginger Juice and chop) Zhi Ke (Aurantii Fructus, remove pith, stir-fried with bran) Gui Zhi (Cinnamomi Ramulus, remove coarse bark...).
*Note: Original text cuts off but states "above thirteen flavors".*
Pound and sieve into fine powder. Each dose is three qian bi, boiled in one sheng of water with two cun (approx. 6cm) of scallion white and a little salt. Decoct until reduced to 70% and take hot.
To treat acute hernia with unbearable abdominal pain, use Muxiang Wan Formula:
Mu Xiang (Aucklandiae Radix) Gui Zhi (Cinnamomi Ramulus, remove coarse bark) Bing Lang (Arecae Semen, chopped) Xiang Zi (Foeniculi Fructus, stir-fried) Peng E Zhu (Curcumae Phaeocaulis Rhizoma, baked and chopped) Tao Ren (Persicae Semen, remove skin and tips, double kernels ground into paste, one liang each).
The above nine items: pound the first eight into powder, mix evenly with Tao Ren paste. Use wine-boiled wheat paste to form pills the size of paulownia seeds. Each dose is twenty pills. Take with warm wine on an empty stomach before meals.
To treat acute hernia with lower abdomen and Yin organ traction pain, unbearable, use Jiangshu Wan Formula:
Cang Zhu (Atractylodis Rhizoma, soaked in rice wash water, sliced, stir-fried) Gan Jiang (Dried Ginger, processed until cracked) Ma Lin Hua (Iridis Tectorii Flos) Yuan Hua (Genkwa Flos, stir-fried with vinegar until charred) Wu Ling Zhi (Trogopterori Faex, remove soil) Wu Tou (Aconiti Radix, processed...).
*Note: Original text cuts off but states "above six flavors".*
Pound and sieve into powder. Use vinegar-boiled wheat paste to form pills the size of paulownia seeds. Each dose is ten pills. Take before meals with warm wine or salt water.