论曰,阴疝卒肿痛者,肾气虚弱,暴受邪气,传入阴中,冷热相搏,故卒然而痛也,痛
甚则邪胜,邪胜则热胜,热胜则肿,皆卒然而作也。
治阴卒肿,鸡翎散方
鸡翎(六茎烧灰) 蛇床子(一两炒)
上二味,捣罗为散,每服一钱匕,温酒调下,如左边肿,即取鸡右翎,右边肿,即取左
翎。
治阴疝肿痛不消,发歇疼痛,沉香散方
沉香(三分) 槟榔(一两) 丹参(三分) 赤芍药(三分) 白蒺藜(三分微炒) 枳
壳(三
上七味,捣筛为散,每服三钱匕,水一盏,煎至六分,去滓食前温服。
治阴卒肿痛,攻注腹胀闷,木香散方
木香(半两) 赤茯苓(一两去皮) 牡丹(三分) 防风(半两去芦头) 槟榔(一
两) 泽泻
上七味,捣罗为散,每服二钱匕,温酒调下。
治阴卒肿胀,丹参散方
丹参(一两) 槟榔(一两) 青橘皮(半两去白) 香子(半两)
上四味,捣罗为散,每服二钱匕,温酒一盏调下,食前服之。
治阴卵卒肿痛,涂敷方
桂(去粗皮一分)
上一味为末,煮稀面糊,调涂肿处,频易以效为度。
治阴肿,雄黄淋洗方
雄黄 白矾 甘草(炙各一两)
上三味,捣研为散,每用药一两,以水一斗,煎至三升,通手淋洗至冷,候汗出瘥。
治久坐卑湿,忽阴囊虚肿,气上筑,黑豆熨方
上以米醋炒黑豆,青布袋盛,熨心腹,更以椒葱汤淋炸腰胯,浓衣盖下部,然后服诸药
治阴肿偏着一边,连小肠痛不可忍方
上以 香苗叶,捣取汁一升服之,日三四服,其滓贴肿上。
论述说,阴疝突然发生肿痛的原因,是肾气虚弱,骤然受到邪气侵袭,邪气传入阴部,寒热之气相互搏结,所以突然产生疼痛。如果疼痛剧烈,则邪气占优势;邪气盛则化热;热盛则导致肿胀。这些都是突然发作的。
治疗阴部突然肿胀的鸡翎散方:
鸡翎(六根烧成灰) 蛇床子(一两,炒制)
以上两味药,捣碎过筛制成散剂,每次服用一钱匕,用温酒调服。如果左边肿胀,就取右边的鸡翎;右边肿胀,就取左边的鸡翎。
治疗阴疝肿痛不消、时发时止疼痛的沉香散方:
沉香(三分) 槟榔(一两) 丹参(三分) 赤芍药(三分) 白蒺藜(三分,微炒) 枳壳(三[分])
以上七味药,捣碎过筛制成散剂,每次服用三钱匕,用水一盏,煎至六分,去渣滓,饭前温服。
治疗阴部突然肿胀,攻冲导致腹部胀闷的木香散方:
木香(半两) 赤茯苓(一两,去皮) 牡丹(三分) 防风(半两,去芦头) 槟榔(一两) 泽泻[一两]
以上七味药,捣碎过筛制成散剂,每次服用二钱匕,用温酒调服。
治疗阴部突然肿胀的丹参散方:
丹参(一两) 槟榔(一两) 青橘皮(半两,去白瓤) 香子[小茴香](半两)
以上四味药,捣碎过筛制成散剂,每次服用二钱匕,用一盏温酒调服,饭前服用。
治疗阴囊突然肿痛的涂敷方:
桂[枝/肉桂](去掉粗皮一分)
以上一味药研成粉末,用煮好的稀面糊调和,涂抹在肿胀处,频繁更换,以见效为度。
治疗阴肿的雄黄淋洗方:
雄黄 白矾 甘草(炙,各一两)
以上三味药,捣碎研磨制成散剂,每次用药一两,用水一斗,煎至三升,温度适宜时淋洗患处,直到冷却,待出汗后病愈。
治疗久坐卑湿之地,忽然阴囊虚肿,气向上冲击,黑豆熨烫方:
以上用米醋炒黑豆,装入青布袋中,熨烫心腹部,再用椒葱汤淋洗炸烫腰胯部,穿厚衣遮盖下部,然后再服用其他药物。
Discussion: The cause of sudden swelling and pain in the yin hernia (Yin Han) is deficiency of Kidney Qi, combined with a sudden invasion of pathogenic factors that transmit into the yin region. The struggle between cold and heat pathogens results in sudden pain. If the pain is severe, the pathogen prevails; when the pathogen prevails, heat dominates; when heat dominates, swelling occurs. All these manifestations arise suddenly.
Formula for Treating Sudden Swelling of the Yin: Jiling San (Chicken Feather Powder)
Ingredients: Chicken feathers (six stalks, burned to ash); Shechuangzi (Cnidii Fructus, one liang, stir-fried).
Preparation: Crush and sieve the above two ingredients to make a powder. Take one qianbi (a small measuring spoon) per dose, mixed with warm wine. If the swelling is on the left side, use the right chicken feather; if on the right side, use the left chicken feather.
Formula for Treating Persistent Swelling and Pain of Yin Hernia with Intermittent Attacks: Chenxiang San (Agarwood Powder)
Ingredients: Chenxiang (Aquilariae Lignum Resinatum, three fen); Binglang (Arecae Semen, one liang); Danshen (Salviae Miltiorrhizae Radix et Rhizoma, three fen); Chishao (Paeoniae Radix Rubra, three fen); Baijili (Tribuli Fructus, three fen, lightly stir-fried); Zhike (Aurantii Fructus Immaturus, [three fen]).
Preparation: Crush and sieve the above seven ingredients to make a powder. Take three qianbi per dose, decocted in one zhan (unit of volume) of water until reduced to six parts. Strain and take warm before meals.
Formula for Treating Sudden Yin Swelling with Abdominal Distension and Stifling Sensation: Muxiang San (Costus Root Powder)
Ingredients: Muxiang (Aucklandiae Radix, half liang); Chi Fuling (Poria Cocos with Red Skin, one liang, peeled); Mudan (Moutan Cortex, three fen); Fangfeng (Saposhnikoviae Radix, half liang, removed rhizome and rootlet); Binglang (Arecae Semen, one liang); Zexie (Alismatis Rhizoma, [one liang]).
Preparation: Crush and sieve the above seven ingredients to make a powder. Take two qianbi per dose, mixed with warm wine.
Formula for Treating Sudden Yin Swelling: Danshen San (Salvia Powder)
Ingredients: Danshen (Salviae Miltiorrhizae Radix et Rhizoma, one liang); Binglang (Arecae Semen, one liang); Qingju pi (Citri Reticulatae Pericarpium Viride, half liang, white pith removed); Xiangzi [Huixiang] (Foeniculi Fructus, half liang).
Preparation: Crush and sieve the above four ingredients to make a powder. Take two qianbi per dose, mixed with one zhan of warm wine. Take before meals.
Topical Formula for Treating Sudden Swelling and Pain of the Scrotum:
Ingredients: Gui [Guizhi/Rougui] (Cinnamomi Ramulus/Cortex, one fen, coarse bark removed).
Preparation: Grind the single ingredient into powder. Mix with thin paste made from boiled flour and apply to the swollen area. Change frequently until effective.
Washing Formula for Treating Yin Swelling using Realgar:
Ingredients: Xionghuang (Realgar); Baifan (Alumen); Gancao (Glycyrrhizae Radix et Rhizoma, honey-roasted, one liang each).
Preparation: Crush and grind the above three ingredients into a powder. Use one liang of the powder per treatment, decocted in one dou (unit of volume) of water until reduced to three sheng (units of volume). Wash the affected area while the liquid is comfortably warm until it cools down. Recovery is indicated by sweating.
Hot Compress Formula for Treating Sudden Flaccid Swelling of the Scrotum due to Prolonged Sitting in Damp Places, with Qi Rushing Upward:
Ingredients: Heidou (Sojae Semen Nigrum, stir-fried with rice vinegar).
Preparation: Place the stir-fried black beans in a green cloth bag and hot compress the heart and abdomen. Then, wash and fry the waist and hips with a decoction of pepper and scallion. Cover the lower part with thick clothing, then administer internal medications.
Formula for Treating Unilateral Yin Swelling with Intractable Pain Radiating to the Small Intestine:
Ingredients: [Ai] Xiangmiao ye (Artemisiae Annuae Herba or similar mugwort leaves).
Preparation: Crush the leaves to extract one sheng of juice. Drink this juice three to four times daily. Apply the residual dregs to the swollen area.