论曰疝者痛也，邪气聚于阴，致阴器肿大而痛者，阴疝也，一名 疝，其类有四，即肠
卵胀气 水 是也，世俗云疝气，亦云小肠气，或曰膀胱气，原其病本缘肾气通于阴，与
膀胱为表里，胞囊者、膀胱之候，此二经不足，下焦受寒，皆能致阴卵肿大，或发疝痛，故
通称曰阴疝，若寒湿之气，有连于小肠者，即少腹控睾而痛，阴丸上下，谓之肠 ，寒气客
于经筋，足厥阴脉受邪，脉胀不通，邪结于睾卵，谓之卵胀，肾虚之人，因饮食不节，喜怒
不时，津液内溢，下流于睾，寒气结聚不散，谓之气 ，水气盛则津液内结，谓之水 ，水
气 ，病生于标，故针灸可治，其疾易愈，肠 卵胀，病生于本，邪气入深，其治难瘥。
论曰黄帝针经曰，足厥阴之脉，环阴器，抵少腹，是动则病丈夫 疝，即阴疝也，嗜欲
劳伤，肾水涸竭，无以滋荣肝气，故留滞内结，发为阴疝之病，世俗论阴疝者，为肾余气，
殊不知邪实又本于肝经也，治法宜泻邪气之实，补肝经之虚。
治阴疝，牵引少腹痛，桃仁汤方
桃仁（去皮尖双仁炒） 吴茱萸（汤洗焙干炒） 陈橘皮（去白切炒） 桂（去粗皮） 海
藻（
榔（十枚
上九味，粗捣筛，每服五钱匕，水一盏半，生姜五片，煎至八分，去滓温服不拘时。
治阴疝，蒺藜汤方
蒺藜子（炒去角） 附子（炮裂去皮脐） 山栀子仁（各一两）
上三味， 咀如麻豆，每服五钱匕，水一盏半，煎至八分，去滓温服食前。
治阴疝，牵引疼痛，沙参散方
沙参（一两半） 桂（去粗皮半两） 桃仁（四十九枚去皮尖双仁炒研）
上三味，捣研为散，每服二钱匕，温酒调下，不拘时。
治阴疝，疼痛，或上攻脐腹，椒附丸方
蜀椒（去目并合口炒出汗一两） 附子（炮裂去皮脐） 桂（去粗皮） 巴戟天（去心）
桃仁
（去皮尖双仁炒研） 芎 当归（切炒各半两）
上七味，捣罗为末，炼蜜丸如梧桐子大，每服二十丸，空心日午夜卧，温酒下。
治阴疝肿大偏坠，昆布丸方
昆布（洗去咸炙） 海藻（洗去咸炙） 蒺藜子（炒去角） 芜荑仁（炒） 槟榔（锉
各一半两）
核各三分） 陈橘皮
上一十三味，捣研为末，和匀，炼蜜丸如梧桐子大，每服三十丸，空心食前温酒或盐汤
下。
治阴疝气攻肿痛，黄 丸方
黄 （锉） 桃仁（去皮尖双仁炒研） 山茱萸 龙骨（ ） 蒺藜子（炒去角） 槟
榔（锉各
切焙） 白茯苓（去
粗皮各三分） 远志（去心
上一十八味，捣罗为末，炼蜜丸如梧桐子大，每服二十丸，空心食前温酒或盐汤下。
治疝气沙参丸方
沙参（二两） 昆布（洗去咸焙） 香子（炒各半两）
上三味，捣罗为末，酒煮面糊，丸如梧桐子大，每服二十丸，空心食前温酒下。
治阴疝，上而不下，脐腹疼痛，二气丸方
石硫黄（研） 黑铅（各一两）
上二味，先以铅于铫内，熔成汁，次下硫黄炒，烟焰透移下，候冷取出，研为细末，糯
米糊和丸，如梧桐子大，每服二十丸，温酒下。
治阴疝急胀，疼痛卵肿，木香丸方
木香 陈橘皮（去白炒） 莱菔子（炒） 青橘皮（去白炒） 桂（去粗皮各一两） 牵
牛子（
上六味，捣罗为末，炼蜜丸如梧桐子大，每服二十丸，温酒下，以利为度。
治小肠疝气，巴戟散方
巴戟天（去心） 楝实（取肉麸炒） 木香 香子（炒） 附子（炮裂去皮脐各一两）
上五味，捣罗为散，每服一钱匕，空心温酒调下。
治小肠疝气，楝实散方
楝实（取肉麸炒） 香子（炒） 京三棱（煨锉） 蓬莪术（煨锉）
上四味等分，捣罗为散，每服三钱匕，葱酒调下。
治阴疝攻痛，葫芦巴煮散方
葫芦巴 沉香 马蔺花 蓬莪术（煨锉） 香子（炒各一两半） 楝实（取肉麸炒） 木
香
上一十二味，捣罗为散，每服三钱匕，水半盏，酒半盏，同煎至七分，空心食前，和滓
温服。
治阴疝气攻疼痛，葫芦巴丸方
葫芦巴 补骨脂（炒） 白豆蔻（去皮） 萆 青橘皮（去白焙） 香子（炒） 附
子（炮
菟丝子（酒浸
上一十二味，为细末，酒煮面糊为丸，如绿豆大，每服二十丸，空心生姜盐汤下。
治小肠膀胱疝气疼痛， 香子散方
香子（炒） 京三棱（煨锉各一两） 姜黄 马蔺花（醋炒各半两） 没药（研） 干
姜（炮各
上六味，捣罗为散，每服二钱匕，空心食前热酒调下。
治小肠气攻小腹疼痛，芫花丸方
芫花（醋炒焦） 木通（锉） 青橘皮（去白切） 胡椒 大黄（煨锉） 桂（去粗皮
各半两）
上八味，捣罗为末，酒煮面糊，丸如小豆大，丹砂末为衣，每服十丸至十五丸，空心食
前生姜热酒下。
治阴疝，撮痛不可忍者，应痛丸方
韭子（炒） 芎
上二味，等分为末，炼蜜丸如梧桐子大，每服三十丸，空心温酒下。
治阴疝，腰腹疼痛，及不能食，食即呕吐，寒热往来，吴茱萸丸方。
吴茱萸（三分汤浸七遍微炒） 半夏（三分汤洗七遍去滑） 细辛（一两） 紫菀（一
两去苗
两去芦头）
两去皮） 当归（三分
勒（一两半用皮） 木香（一两）
上一十八味，捣罗为末，炼蜜和捣五百杵，丸如梧桐子大，食前生姜汤下二十丸。
治阴疝、腰腹痛，手足逆冷，身体疼，乌头散方
川乌头（十枚炮裂去皮脐） 桂枝（二两）
上二味，捣罗为细散，每服二钱匕，水一盏，入生姜半分，煎至五分，次下蜜半合，更
煎三沸，令熟，食前和滓温服。
治阴疝积聚，绕脐腹疼痛，川乌头丸方
川乌头（一两炮裂去皮脐） 吴茱萸（半两汤浸七遍焙干微炒） 甘草（半两炙微赤锉）
京
仁（一两汤浸
上九味，捣罗为末，炼蜜和捣三二百杵，丸如梧桐子大，每服二十丸，生姜汤下。
论述说：疝，就是疼痛的意思。邪气聚集于阴部，导致阴器肿大且疼痛的，称为阴疝，又名疝。其类别有四种，即肠疝、卵胀、气疝、水疝。世俗所说的疝气，也称小肠气，或称膀胱气。推究其病本，是因为肾气通于阴部，与膀胱互为表里。胞囊是膀胱的外候，这两条经脉若不足，下焦受寒，都能导致阴囊和睾丸肿大，或者引发疝痛，所以通称为阴疝。如果寒湿之气连及小肠，就会出现少腹牵引睾丸疼痛，阴丸上下移动的情况，这叫做肠疝；寒气客居于经筋，足厥阴肝脉受邪，脉道胀满不通，邪气结聚于睾丸，叫做卵胀；肾虚之人，因饮食不节制，喜怒无常，津液内溢，向下流注于睾丸，寒气结聚不散，叫做气疝；水气旺盛则津液内结，叫做水疝。水疝和气疝，病生于标（表象），所以针灸可以治疗，疾病容易痊愈；肠疝和卵胀，病生于本（根本），邪气深入，治疗难以痊愈。
论述说：《黄帝针经》记载：足厥阴肝脉，环绕阴器，抵达少腹。这条经脉发生变动，就会使男子患疝病，也就是阴疝。这是因为嗜欲过度导致劳伤，肾水枯竭，无法滋养濡润肝气，所以邪气留滞内结，发为阴疝之病。世俗论断阴疝，认为是肾的余气所致，殊不知邪实又根源于肝经。治疗方法应当泻除邪气的实证，补益肝经的虚证。
治疗阴疝，牵引少腹疼痛，用桃仁汤方：
桃仁（去皮尖，双仁者，炒） 吴茱萸（汤洗后焙干炒） 陈橘皮（去白切后炒） 桂枝（去粗皮） 海藻（洗去咸味） 槟榔（十枚）
以上九味药，粗捣筛过，每次服用五钱匕，用水一盏半，生姜五片，煎至八分，去渣温服，不拘时间。
治疗阴疝，用蒺藜汤方：
蒺藜子（炒去角刺） 附子（炮裂，去皮脐） 山栀子仁（各一两）
以上三味药，切碎如麻豆大小，每次服用五钱匕，用水一盏半，煎至八分，去渣饭前温服。
治疗阴疝，牵引疼痛，用沙参散方：
沙参（一两半） 桂枝（去粗皮半两） 桃仁（四十九枚，去皮尖，双仁者，炒研）
以上三味药，捣碎研成散剂，每次服用二钱匕，用温酒调服，不拘时间。
治疗阴疝，疼痛，或者向上攻冲脐腹，用椒附丸方：
蜀椒（去目并合口处，炒出汗，一两） 附子（炮裂，去皮脐） 桂枝（去粗皮） 巴戟天（去心） 桃仁（去皮尖，双仁者，炒研） 川芎 当归（切后炒，各半两）
以上七味药，捣碎过罗成末，炼蜜制成梧桐子大小的丸药，每次服用二十丸，空腹时、半夜及睡前，用温酒送服。
治疗阴疝肿大偏坠，用昆布丸方：
昆布（洗去咸味，炙） 海藻（洗去咸味，炙） 蒺藜子（炒去角刺） 芜荑仁（炒） 槟榔（锉碎，各一半两） 陈皮（切焙，各三分）
以上十三味药，捣碎研成末，混合均匀，炼蜜制成梧桐子大小的丸药，每次服用三十丸，空腹食前，用温酒或盐汤送服。
治疗阴疝气攻肿痛，用黄芪丸方：
黄芪（锉碎） 桃仁（去皮尖，双仁者，炒研） 山茱萸 龙骨 蒺藜子（炒去角刺） 槟榔（锉碎，各半两） 白茯苓（去粗皮，各三分） 远志（去心，切焙）
以上十八味药，捣碎过罗成末，炼蜜制成梧桐子大小的丸药，每次服用二十丸，空腹食前，用温酒或盐汤送服。
治疗疝气，用沙参丸方：
沙参（二两） 昆布（洗去咸味焙干） 香子（炒，各半两）
以上三味药，捣碎过罗成末，用酒煮面糊，制成梧桐子大小的丸药，每次服用二十丸，空腹食前，用温酒送服。
治疗阴疝，气上逆不下，脐腹疼痛，用二气丸方：
石硫黄（研细） 黑铅（各一两）
以上两味药，先将铅在铫子内熔化，然后放入硫黄炒制，待烟焰透移下来，冷却后取出，研为细末，用糯米糊调和制成梧桐子大小的丸药，每次服用二十丸，用温酒送服。
治疗阴疝急胀，疼痛睾丸肿大，用木香丸方：
木香 陈皮（去白炒） 莱菔子（炒） 青橘皮（去白炒） 桂枝（去粗皮，各一两） 牵牛子（炒）
以上六味药，捣碎过罗成末，炼蜜制成梧桐子大小的丸药，每次服用二十丸，用温酒送服，以大便通畅为度。
治疗小肠疝气，用巴戟散方：
巴戟天（去心） 楝实（取肉，麸炒） 木香 香子（炒） 附子（炮裂，去皮脐，各一两）
以上五味药，捣碎过罗成散剂，每次服用一钱匕，空腹用温酒调服。
治疗小肠疝气，用楝实散方：
楝实（取肉，麸炒） 香子（炒） 京三棱（煨，锉碎） 蓬莪术（煨，锉碎）
以上四味药等分，捣碎过罗成散剂，每次服用三钱匕，用葱酒调服。
治疗阴疝攻痛，用葫芦巴煮散方：
葫芦巴 沉香 马蔺花 蓬莪术（煨，锉碎） 香子（炒，各一两半） 楝实（取肉，麸炒） 木香
以上十二味药，捣碎过罗成散剂，每次服用三钱匕，用水半盏，酒半盏，同煎至七分，空腹食前，连同药渣一起温服。
治疗阴疝气攻疼痛，用葫芦巴丸方：
葫芦巴 补骨脂（炒） 白豆蔻（去皮） 萆薢 青橘皮（去白焙干） 香子（炒） 附子（炮裂，去皮脐） 菟丝子（酒浸）
以上十二味药，研为细末，用酒煮面糊制成绿豆大小的丸药，每次服用二十丸，空腹用生姜盐汤送服。
治疗小肠膀胱疝气疼痛，用香子散方：
香子（炒） 京三棱（煨，锉碎，各一两） 姜黄 马蔺花（醋炒，各半两） 没药（研细） 干姜（炮，各半两）
以上六味药，捣碎过罗成散剂，每次服用二钱匕，空腹食前用热酒调服。
治疗小肠气攻小腹疼痛，用芫花丸方：
芫花（醋炒焦） 木通（锉碎） 青橘皮（去白切） 胡椒 大黄（煨，锉碎） 桂枝（去粗皮，各半两）
以上八味药，捣碎过罗成末，用酒煮面糊，制成小豆大小的丸药，用丹砂末做衣，每次服用十丸至十五丸，空腹食前用生姜热酒送服。
治疗阴疝，撮缩疼痛不可忍受，用应痛丸方：
韭子（炒） 川芎
以上两味药，等分为末，炼蜜制成梧桐子大小的丸药，每次服用三十丸，空腹用温酒送服。
治疗阴疝，腰腹疼痛，以及不能进食，进食即呕吐，寒热往来，用吴茱萸丸方：
吴茱萸（三分，汤浸七遍微炒） 半夏（三分，汤洗七遍去滑） 细辛（一两） 紫菀（一两，去苗） 甘草（一两，炙微赤，锉） 人参（一两，去芦头） 桂枝（一两，去皮） 当归（三分，切） 厚朴（一两半，用皮） 木香（一两）
以上十八味药，捣碎过罗成末，炼蜜调和捣五百杵，制成梧桐子大小的丸药，食前用生姜汤送服二十丸。
治疗阴疝，腰腹痛，手足逆冷，身体疼痛，用乌头散方：
川乌头（十枚，炮裂，去皮脐） 桂枝（二两）
以上两味药，捣碎过罗成细散，每次服用二钱匕，用水一盏，加入生姜半分，煎至五分，再加入蜂蜜半合，再煎三沸，使其熟透，食前连同药渣一起温服。
治疗阴疝积聚，绕脐腹疼痛，用川乌头丸方：
川乌头（一两，炮裂，去皮脐） 吴茱萸（半两，汤浸七遍焙干微炒） 甘草（半两，炙微赤，锉） 京三棱（煨，锉） 蓬莪术（煨，锉） 当归（切，焙） 桃仁（一两，汤浸，去皮尖，双仁者，炒）
以上九味药，捣碎过罗成末，炼蜜调和捣三二百杵，制成梧桐子大小的丸药，每次服用二十丸，用生姜汤送服。
Discussion states: "Shan" (hernia) refers to pain. When pathogenic factors gather in the yin region, causing swelling and pain of the external genitalia, it is called Yin Shan (Yin Hernia), also known as Shan. There are four categories: Chang Shan (Intestinal Hernia), Luan Zhang (Testicular Swelling), Qi Shan (Qi Hernia), and Shui Shan (Water Hernia). Commonly referred to as Shan Qi (Hernial Qi), or Small Intestine Qi, or Bladder Qi. Investigating the root cause, kidney qi connects to the yin region, and has a exterior-interior relationship with the bladder. The bladder sac is an indicator of the bladder; deficiency in these two meridians allows cold to invade the lower jiao, leading to swelling of the scrotum and testes, or triggering hernial pain, hence collectively termed Yin Shan. If cold-dampness affects the small intestine, there is pain radiating from the lower abdomen to the testis, with the testicles moving up and down, known as Chang Shan (Intestinal Hernia); if cold pathogens lodge in the sinews and vessels, affecting the Foot Jueyin Liver Meridian, causing vessel distension and obstruction, with pathogenic factors knotting in the testicles, it is called Luan Zhang (Testicular Swelling); in individuals with kidney deficiency, due to irregular diet and unregulated emotions, body fluids overflow internally and flow downward to the testicles, where cold qi knots and fails to disperse, this is called Qi Shan (Qi Hernia); when water qi is excessive, body fluids knot internally, this is called Shui Shan (Water Hernia). Water Hernia and Qi Hernia arise at the biao (superficial level), so acupuncture and moxibustion can treat them, and the disease is easy to cure. Intestinal Hernia and Testicular Swelling arise at the ben (root level), with deep-seated pathogenic factors, making treatment difficult.
Discussion states: The *Yellow Emperor's Classic of Acupuncture* records: "The Foot Jueyin Liver Meridian circles the external genitalia and reaches the lower abdomen. When this meridian is disturbed, it causes men to suffer from Shan disease, i.e., Yin Hernia." This occurs because excessive desires lead to exhaustion, depleting Kidney Water, which fails to nourish Liver Qi, causing stagnation and internal knotting, manifesting as Yin Hernia. Popular theories attribute Yin Hernia to residual qi of the Kidney, failing to realize that the pathogenic excess stems from the Liver Meridian. The treatment method should be to drain the excess of pathogenic factors and tonify the deficiency of the Liver Meridian.
For treating Yin Hernia with traction pain in the lower abdomen, use Tao Ren Tang (Peach Kernel Decoction):
Tao Ren (Persicae Semen, peeled, split kernels, stir-fried), Wu Zhu Yu (Evodiae Fructus, washed with hot water, dried, stir-fried), Chen Pi (Citri Reticulatae Pericarpium, white pith removed, sliced, stir-fried), Gui Zhi (Cinnamomi Ramulus, coarse bark removed), Hai Zao (Sargassum, washed to remove salt), Bing Lang (Arecae Semen, ten pieces).
Nine ingredients. Coarsely crush and sieve. Take five qian bi per dose. Add one and a half sheng of water and five slices of fresh ginger. Decoct until eight fen remains. Strain and take warm, without time restriction.
For treating Yin Hernia, use Ji Li Tang (Tribulus Decoction):
Ji Li (Tribuli Fructus, stir-fried, spines removed), Fu Zi (Aconiti Lateralis Radix Praeparata, cracked by frying, skin and umbilicus removed), Shan Zhi Zi (Gardeniae Fructus, each one liang).
Three ingredients. Crush to the size of hemp seeds. Take five qian bi per dose. Add one and a half sheng of water. Decoct until eight fen remains. Strain and take warm before meals.
For treating Yin Hernia with traction pain, use Sha Shen San (Adenophorae Radix Powder):
Sha Shen (Adenophorae Radix, one and a half liang), Gui Zhi (Cinnamomi Ramulus, coarse bark removed, half liang), Tao Ren (Persicae Semen, forty-nine pieces, peeled, split kernels, stir-fried and pounded).
Three ingredients. Pound and grind into powder. Take two qian bi per dose, mixed with warm wine, without time restriction.
For treating Yin Hernia with pain, or pain attacking upwards to the navel and abdomen, use Jiao Fu Wan (Sichuan Pepper and Aconite Pill):
Shu Jiao (Zanthoxyli Fructus, eyes and closed-mouth parts removed, stir-fried to release moisture, one liang), Fu Zi (Aconiti Lateralis Radix Praeparata, cracked by frying, skin and umbilicus removed), Gui Zhi (Cinnamomi Ramulus, coarse bark removed), Ba Ji Tian (Morindae Officinalis Radix, heart removed), Tao Ren (Persicae Semen, peeled, split kernels, stir-fried and pounded), Xiong (Chuanxiong Rhizome), Dang Gui (Angelicae Sinensis Radix, sliced, stir-fried, half liang each).
Seven ingredients. Pound and sieve into powder. Mix with refined honey to make pills the size of paulownia seeds. Take twenty pills per dose, on an empty stomach, at midnight, and before sleep, with warm wine.
For treating Yin Hernia with swelling and unilateral descent, use Kun Bu Wan (Laminaria Pill):
Kun Bu (Laminariae Thallus, washed to remove salt, roasted), Hai Zao (Sargassum, washed to remove salt, roasted), Ji Li (Tribuli Fructus, stir-fried, spines removed), Wu Yi (Myrobalani Fructus, stir-fried), Bing Lang (Arecae Semen, crushed, half liang each), Chen Pi (Citri Reticulatae Pericarpium, sliced and roasted, three fen each).
Thirteen ingredients. Pound and grind into powder, mix evenly. Make pills with refined honey the size of paulownia seeds. Take thirty pills per dose, on an empty stomach before meals, with warm wine or salt water.
For treating Yin Hernia with qi attack causing swelling and pain, use Huang Qi Wan (Astragali Pill):
Huang Qi (Astragali Radix, crushed), Tao Ren (Persicae Semen, peeled, split kernels, stir-fried and pounded), Shan Zhu Yu (Corni Fructus), Long Gu (Fossilia Ossis Mastodi et Scapulae), Ji Li (Tribuli Fructus, stir-fried, spines removed), Bing Lang (Arecae Semen, crushed, half liang each), Bai Fu Ling (Poria, coarse bark removed, three fen each), Yuan Zhi (Polygalae Radix, heart removed, sliced and roasted).
Eighteen ingredients. Pound and sieve into powder. Make pills with refined honey the size of paulownia seeds. Take twenty pills per dose, on an empty stomach before meals, with warm wine or salt water.
For treating Shan Qi, use Sha Shen Wan (Adenophorae Pill):
Sha Shen (Adenophorae Radix, two liang), Kun Bu (Laminariae Thallus, washed to remove salt and roasted), Xiang Zi (Baphicacanthi Fructus, stir-fried, half liang each).
Three ingredients. Pound and sieve into powder. Use wine-boiled wheat paste to make pills the size of paulownia seeds. Take twenty pills per dose, on an empty stomach before meals, with warm wine.
For treating Yin Hernia with qi rising but not descending, causing navel and abdominal pain, use Er Qi Wan (Two Qi Pill):
Shi Liu Huang (Native Sulfur, ground), Hei Qian (Black Lead, one liang each).
Two ingredients. First melt the lead in a pot. Then add sulfur and stir-fry until smoke penetrates downwards. Cool, remove, and grind into fine powder. Mix with glutinous rice paste to make pills the size of paulownia seeds. Take twenty pills per dose with warm wine.
For treating acute Yin Hernia distension, pain, and testicular swelling, use Mu Xiang Wan (Costi Pill):
Mu Xiang (Aucklandiae Radix), Chen Pi (Citri Reticulatae Pericarpium, white pith removed, stir-fried), Lai Fu Zi (Raphani Fructus, stir-fried), Qing Chen Pi (Citri Reticulatae Pericarpium viride, white pith removed, stir-fried), Gui Zhi (Cinnamomi Ramulus, coarse bark removed, one liang each), Qian Niu Zi (Pharbitidis Semen, stir-fried).
Six ingredients. Pound and sieve into powder. Make pills with refined honey the size of paulownia seeds. Take twenty pills per dose with warm wine. Stop when bowel movement is achieved.
For treating Small Intestine Shan Qi, use Ba Ji San (Morindae Powder):
Ba Ji Tian (Morindae Officinalis Radix, heart removed), Lian Shi (Meliae Fructus, flesh extracted, bran-roasted), Mu Xiang (Aucklandiae Radix), Xiang Zi (Baphicacanthi Fructus, stir-fried), Fu Zi (Aconiti Lateralis Radix Praeparata, cracked by frying, skin and umbilicus removed, one liang each).
Five ingredients. Pound and sieve into powder. Take one qian bi per dose, on an empty stomach, mixed with warm wine.
For treating Small Intestine Shan Qi, use Lian Shi San (Meliae Powder):
Lian Shi (Meliae Fructus, flesh extracted, bran-roasted), Xiang Zi (Baphicacanthi Fructus, stir-fried), Jing San Leng (Bistolomatis Rhizoma, baked, crushed), Peng E Zhu (Curcumae Phaeocaulis Rhizoma, baked, crushed).
Four ingredients in equal parts. Pound and sieve into powder. Take three qian bi per dose, mixed with green onion and wine.
For treating Yin Hernia attacking pain, use Hu Lu Ba Zhu San (Trigonellae Boiled Powder):
Hu Lu Ba (Trigonellae Semen), Chen Xiang (Aquilariae Lignum Resinatum), Ma Lin Hua (Iridis Flos), Peng E Zhu (Curcumae Phaeocaulis Rhizoma, baked, crushed), Xiang Zi (Baphicacanthi Fructus, stir-fried, one and a half liang each), Lian Shi (Meliae Fructus, flesh extracted, bran-roasted), Mu Xiang (Aucklandiae Radix).
Twelve ingredients. Pound and sieve into powder. Take three qian bi per dose. Add half sheng of water and half sheng of wine. Decoct until seven fen remains. Take warm with dregs on an empty stomach before meals.
For treating Yin Hernia qi attack pain, use Hu Lu Ba Wan (Trigonellae Pill):
Hu Lu Ba (Trigonellae Semen), Bu Gu Zhi (Psoraleae Fructus, stir-fried), Bai Dou Kou (Amomi Fructus Rotundus, peeled), Bi Xie (Dioscoreae Hypoglaucae Rhizoma), Qing Chen Pi (Citri Reticulatae Pericarpium viride, white pith removed, roasted), Xiang Zi (Baphicacanthi Fructus, stir-fried), Fu Zi (Aconiti Lateralis Radix Praeparata, cracked by frying, skin and umbilicus removed), Tu Si Zi (Cuscutae Semen, soaked in wine).
Twelve ingredients. Grind into fine powder. Use wine-boiled wheat paste to make pills the size of mung beans. Take twenty pills per dose, on an empty stomach with ginger and salt water.
For treating Small Intestine and Bladder Shan Qi pain, use Xiang Zi San (Baphicacanthi Powder):
Xiang Zi (Baphicacanthi Fructus, stir-fried), Jing San Leng (Bistolomatis Rhizoma, baked, crushed, one liang each), Jiang Huang (Curcumae Longae Rhizoma), Ma Lin Hua (Iridis Flos, vinegar-roasted, half liang each), Mo Yao (Myrrha), Gan Jiang (Zingiberis Rhizoma, fried, half liang each).
Six ingredients. Pound and sieve into powder. Take two qian bi per dose, on an empty stomach before meals, mixed with hot wine.
For treating Small Intestine Qi attacking lower abdominal pain, use Yuan Hua Wan (Genkwa Pill):
Yuan Hua (Genkwae Flos, vinegar-roasted to char), Mu Tong (Akebiae Caulis, crushed), Qing Chen Pi (Citri Reticulatae Pericarpium viride, white pith removed, sliced), Hu Jiao (Piperis Longi Fructus), Da Huang (Rhei Radix et Rhizoma, baked, crushed), Gui Zhi (Cinnamomi Ramulus, coarse bark removed, half liang each).
Eight ingredients. Pound and sieve into powder. Use wine-boiled wheat paste to make pills the size of adzuki beans. Coat with cinnabar powder. Take ten to fifteen pills per dose, on an empty stomach before meals, with ginger and hot wine.
For treating Yin Hernia with cramping pain unbearable, use Ying Tong Wan (Pain-Relieving Pill):
Jiu Zi (Allii Tuberosi Semen, stir-fried), Xiong (Chuanxiong Rhizome).
Two ingredients in equal parts. Grind into powder. Make pills with refined honey the size of paulownia seeds. Take thirty pills per dose, on an empty stomach with warm wine.
For treating Yin Hernia with waist and abdominal pain, inability to eat, vomiting after eating, and alternating chills and fever, use Wu Zhu Yu Wan (Evodiae Pill):
Wu Zhu Yu (Evodiae Fructus, three fen, soaked in water seven times, lightly stir-fried), Ban Xia (Pinelliae Tuber, three fen, washed with water seven times, slippery substance removed), Xi Xin (Asari Radix et Rhizoma, one liang), Zi Wan (Asteris Radix, one liang, weeds removed), Gan Cao (Glycyrrhizae Radix et Rhizoma, one liang, stir-baked slightly red, crushed), Ren Shen (Ginseng Radix, one liang, rhizome removed), Gui Zhi (Cinnamomi Ramulus, one liang, bark removed), Dang Gui (Angelicae Sinensis Radix, three fen, sliced), Hou Po (Magnoliae Officinalis Cortex, one and a half liang, use bark), Mu Xiang (Aucklandiae Radix, one liang).
Eighteen ingredients. Pound and sieve into powder. Mix with refined honey and pound five hundred times. Make pills the size of paulownia seeds. Take twenty pills before meals with ginger water.
For treating Yin Hernia with waist and abdominal pain, cold extremities, and body pain, use Wu Tou San (Aconite Powder):
Chuan Wu Tou (Aconiti Radix, ten pieces, cracked by frying, skin and umbilicus removed), Gui Zhi (Cinnamomi Ramulus, two liang).
Two ingredients. Pound and sieve into fine powder. Take two qian bi per dose. Add one sheng of water and half fen of fresh ginger. Decoct until five fen remains. Add half he of honey. Decoct for three boils until cooked. Take warm with dregs before meals.
For treating Yin Hernia accumulation with peri-umbilical and abdominal pain, use Chuan Wu Tou Wan (Sichuan Aconite Pill):
Chuan Wu Tou (Aconiti Radix, one liang, cracked by frying, skin and umbilicus removed), Wu Zhu Yu (Evodiae Fructus, half liang, soaked in water seven times, dried, lightly stir-fried), Gan Cao (Glycyrrhizae Radix et Rhizoma, half liang, stir-baked slightly red, crushed), Jing San Leng (Bistolomatis Rhizoma, baked, crushed), Peng E Zhu (Curcumae Phaeocaulis Rhizoma, baked, crushed), Dang Gui (Angelicae Sinensis Radix, sliced, roasted), Tao Ren (Persicae Semen, one liang, soaked in water, peeled, split kernels, stir-fried).
Nine ingredients. Pound and sieve into powder. Mix with refined honey and pound three to two hundred times. Make pills the size of paulownia seeds. Take twenty pills per dose with ginger water.