《集验》疗卒疝暴痛方。
灸大敦,男左女右,三壮立已。穴在灸经图上。(出第六卷中)
文仲疗卒得诸疝,少腹及阴中相引绞痛,白汗出,欲死方。
捣沙参下筛。酒服方寸匕,立愈。(《肘后》、《备急》同)
又若不瘥,服诸利丸下之,走马汤亦佳,此名寒疝,亦名阴疝,张仲景飞尸走马汤方。
巴豆(二枚去心、皮,熬) 杏仁(一枚去尖、皮)
上二味,取绵缠,捶令极碎,投热汤二合,捻取白汁服之,须臾瘥。未瘥更一服,老小
量之。通疗鬼击有尸疹者,常蓄此药,用验。忌野猪肉、芦笋。(《备急》同,出第十卷中)
《病源》七疝候,七疝者,厥疝,症疝,寒疝,气疝,盘疝, 疝,野狼疝也。厥逆心痛
,足寒,诸饮食吐不下,名曰厥疝也;腹中气乍满,心下尽痛,气积如臂,名曰症疝也;寒
饮食则胁下腹中尽痛,名曰寒疝也;腹中乍满乍减而痛,名曰气疝也;腹中痛在脐旁,名
盘疝也;腹中脐下有积聚,名曰 疝也;少腹与阴相引而痛,大便难,名曰野狼疝也。凡七疝
,皆由血气虚弱,饮食寒温不调之所生也。(出第二十卷中)
文仲小器七疝丸 主暴心腹厥逆,不得气息,痛达背膂,名曰尸疝;心下坚痛,不可手
迫,名曰石疝;脐下坚痛,得寒冷食辄剧,名曰寒疝;胁下坚痛大如手,痛时出见,若不痛
不见,名曰盘疝;脐下结痛,女人月事不时,名曰血疝;少腹胀满引膀胱急痛,名曰脉疝;
悉主之方。(臣等看详七疝,已载前序)
椒(四分汗) 桔梗 芍药 干姜 浓朴(炙) 细辛 附子(炮各二分) 乌头(一
分炮)
上八味,末之,蜜和丸。服如大豆三丸,加至七八丸,日三服。忌猪肉、冷水、生菜。
(出第一卷中)
《古今录验》七疝丸 疗疝诸寒,脐旁痛,上支胸中满,少气。太医丞樊之方。
蜀椒(五分汗) 干姜 浓朴(炙) 黄芩 细辛 芍药 桂心(各四分) 桔梗(二
分) 乌
喙(一分炮) 柴胡(一分) 茯苓(一分) 牡丹皮(一分)
上十二味,捣筛,蜜和丸梧子大。先 以酒服七丸,日三,不知渐加,以知为度。忌猪
肉、冷水、生葱、生菜、酢物、胡荽。(《范汪》同,出第十卷中)
《集验》疝气。桃仁汤方。
桃仁(去皮、尖) 吴茱萸 橘皮 海藻(各三两) 生姜 茯苓 羌活 蒺藜子(去
角各
三两)
上八味,切,以水三大升,煮取九合,分为三服,空心服。忌酢物。
《集验方》治疗突然发作的疝气、剧烈疼痛的方剂。
艾灸大敦穴,男子灸左侧,女子灸右侧,每穴各灸三壮,疼痛立即停止。该穴位在针灸经络图上可以查到。(出自第六卷中)
文仲治疗突然患上各种疝气,小腹部及阴部相互牵引绞痛,出冷汗,痛苦欲死的方法。
将沙参捣碎过筛。用酒送服一方寸匕的药量,疼痛立即痊愈。(《肘后备急方》、《备急千金要方》记载相同)
如果上述方法无效,服用各种具有泻下作用的丸药通便,走马汤(Zouma Tang, Horse-Running Decoction)也很好。这被称为寒疝(Cold Hernia),也称为阴疝(Yin Hernia)。这是张仲景的飞尸走马汤方。
巴豆(两枚,去掉心、皮,炒制) 杏仁(一枚,去掉尖、皮)
以上两味药,用绵纸包裹,捶打至极碎,投入热汤二合(约40毫升),揉搓提取白色汁液服用,片刻后病愈。若未痊愈,再服一次,老人和儿童酌情减量。此方也通用治疗鬼击(Guiji, Ghost Strike)伴有尸疹(Shizhen, Corpse Rash)的患者,常备此药,使用有效。忌食野猪肉、芦笋。(与《备急千金要方》相同,出自第十卷中)
《诸病源候论》关于七种疝气的证候:所谓七疝,是指厥疝(Jue Hernia)、症疝(Zheng Hernia)、寒疝(Han Hernia)、气疝(Qi Hernia)、盘疝(Pan Hernia)、[缺字]疝、野狼疝(Yelang Hernia)。
厥逆心痛,足部寒冷,各种饮食吐不出也咽不下,称为厥疝;
腹中气机突然胀满,心窝处完全疼痛,气积聚如手臂粗细,称为症疝;
进食寒凉饮食则胁下及腹中全部疼痛,称为寒疝;
腹中突然胀满又突然减轻并伴有疼痛,称为气疝;
腹痛位于肚脐旁边,称为盘疝;
腹中脐下有积块聚结,称为[缺字]疝;
小腹与阴部相互牵引而痛,大便困难,称为野狼疝。
凡七种疝气,都是由气血虚弱,饮食寒温不调所导致的。(出自第二十卷中)
文仲的小器七疝丸,主治突然的心腹厥逆,气息不通,疼痛放射至背部脊柱,称为尸疝(Shi Hernia);心窝处坚硬疼痛,不可用手按压,称为石疝(Shi Hernia);脐下坚硬疼痛,遇到寒冷食物则加剧,称为寒疝;胁下坚硬疼痛大如手掌,疼痛时显现,不痛时消失,称为盘疝;脐下结聚疼痛,女性月经不定期,称为血疝(Xue Hernia);少腹胀满牵引膀胱急痛,称为脉疝(Mai Hernia)。以上症状均适用此方。(臣等审阅详查七疝,已记载在前序中)
花椒(四分,去汗/炒制) 桔梗 芍药 干姜 厚朴(炙烤) 细辛 附子(炮制,各二分) 乌头(一分,炮制)
以上八味药,研成粉末,用蜂蜜调和制成丸药。每次服用如大豆大小的三丸,逐渐增加至七八丸,每日三次服用。忌食猪肉、冷水、生菜。(出自第一卷中)
《古今录验》七疝丸,治疗疝气各类寒证,肚脐旁疼痛,向上支撑胸中胀满,气短。太医丞樊之的方剂。
蜀椒(五分,去汗/炒制) 干姜 厚朴(炙烤) 黄芩 细辛 芍药 桂心(各四分) 桔梗(二分) 乌喙(一分,炮制) 柴胡(一分) 茯苓(一分) 牡丹皮(一分)
以上十二味药,捣碎过筛,用蜂蜜调和制成梧桐子大小的丸药。先用酒送服七丸,每日三次,若无感觉逐渐加量,以见效为度。忌食猪肉、冷水、生葱、生菜、醋物、胡荽(香菜)。(与《范汪方》相同,出自第十卷中)
《集验方》疝气。桃仁汤方。
桃仁(去皮、尖) 吴茱萸 橘皮 海藻(各三两) 生姜 茯苓 羌活 蒺藜子(去角,各三两)
以上八味药,切碎,用水三大升(约600毫升),煮取九合(约180毫升),分为三次服用,空腹服用。忌食醋物。
The *Jiyan Fang* (Collected Verified Prescriptions) treats sudden onset of hernia with acute pain.
Moxibustion on the Dadun acupoint (LR1, Great Dun), left side for males and right side for females, three moxa cones per point, pain stops immediately. The location of this acupoint can be found in the acupuncture meridian charts. (From Volume VI)
Wen Zhong's prescription for sudden onset of various types of hernia, characterized by cramping pain drawing from the lower abdomen to the genitalia, profuse cold sweating, and a sensation of impending death.
Crush Radix Codonopsis (Dangshen, 党参) and sift it. Administer one fangcun bi (a square inch measure) with wine; recovery is immediate. (Same as recorded in *Zhouhou Beiji Fang* and *Beiji Qianjin Yaofang*)
If there is no improvement, administer various purgative pills to induce bowel movement, or Zouma Tang (Horse-Running Decoction) is also excellent. This condition is named Cold Hernia (Han Hernia), also known as Yin Hernia (Yin Hernia). This refers to Zhang Zhongjing's Feishi Zouma Tang (Flying Corpse Horse-Running Decoction) formula.
Radix Crotonis Tiglii (Baidu Dou, 巴豆) (2 seeds, remove heart and skin, stir-fry)
Semen Armeniacae Amarum (Xingren, 杏仁) (1 seed, remove tip and skin)
Take these two ingredients, wrap them in cotton cloth, pound until extremely fine, pour in 2 he (approx. 40 ml) of hot water, knead to extract the white juice, and drink. Recovery occurs within moments. If not cured, take another dose; adjust dosage for elderly and children. This prescription is also effective for treating Guiji (Ghost Strike) accompanied by Shizhen (Corpse Rash). Keep this medicine on hand for verified use. Avoid wild boar meat and reeds. (Same as *Beiji Qianjin Yaofang*, From Volume X)
The *Bingyuan* discusses the syndrome of Seven Hernias. The seven hernias are: Jue Hernia (Jue Hernia), Zheng Hernia (Zheng Hernia), Han Hernia (Cold Hernia), Qi Hernia (Qi Hernia), Pan Hernia (Pan Hernia), [missing character] Hernia, and Yelang Hernia (Wild Wolf Hernia).
Jue Hernia: Rebellious pain in the heart region, cold feet, inability to vomit or swallow food.
Zheng Hernia: Sudden abdominal distension, complete pain in the epigastrium, qi accumulation resembling the size of an arm.
Han Hernia: Pain throughout the hypochondrium and abdomen after consuming cold food or drink.
Qi Hernia: Abdominal distension that comes and goes accompanied by pain.
Pan Hernia: Abdominal pain located beside the umbilicus.
[Missing Character] Hernia: Accumulation and mass below the umbilicus.
Yelang Hernia: Drawing pain between the lower abdomen and genitals, difficult defecation.
All seven hernias arise from deficiency of blood and qi, and irregularity in dietary temperature (cold/hot). (From Volume XX)
Wen Zhong's Xiaoqi Seven-Hernia Pill treats sudden rebelliousness of the heart and abdomen, inability to breathe, pain radiating to the back and spine, named Shi Hernia (Corpse Hernia); hardness and pain in the epigastrium intolerable to touch, named Shi Hernia (Stone Hernia); hardness and pain below the umbilicus exacerbated by cold food, named Han Hernia (Cold Hernia); hardness and pain in the hypochondrium the size of a hand, appearing when painful and disappearing when painless, named Pan Hernia (Pan Hernia); knotting and pain below the umbilicus with irregular menstruation in women, named Xue Hernia (Blood Hernia); distension of the lower abdomen drawing into urgent bladder pain, named Mai Hernia (Pulse Hernia). This formula addresses all these conditions. (Our review details the seven hernias, already recorded in the preceding preface).
Fructus Zanthoxyli (Huajiao, 花椒) (4 fen, processed to remove moisture/oil)
Radix Platycodi (Jiegeng, 桔梗)
Radix Paeoniae Alba (Shaoyao, 芍药)
Rhizoma Zingiberis Recens (Ganjiang, 干姜)
Cortex Magnoliae Officinalis (Houpo, 厚朴) (stir-fried)
Radix Asari (Xixin, 细辛)
Radix Aconiti Lateralis Preparata (Fuzi, 附子) (processed, each 2 fen)
Radix Aconiti (Wutou, 乌头) (1 fen, processed)
Grind these eight herbs into powder, mix with honey to form pills. Take three pills the size of soybeans initially, gradually increasing to seven or eight pills, taken three times daily. Avoid pork, cold water, and raw vegetables. (From Volume I)
The *Gujin Luyan* Seven-Hernia Pill treats various cold syndromes of hernia, pain beside the umbilicus, upward support causing chest fullness, and shortness of breath. Formula of Fan Zhi, Vice Director of the Imperial Medical Bureau.
Fructus Zanthoxyli (Shujiao, 蜀椒) (5 fen, processed to remove moisture/oil)
Rhizoma Zingiberis Recens (Ganjiang, 干姜)
Cortex Magnoliae Officinalis (Houpo, 厚朴) (stir-fried)
Radix Scutellariae (Huangqin, 黄芩)
Radix Asari (Xixin, 细辛)
Radix Paeoniae Alba (Shaoyao, 芍药)
Cortex Cinnamomi (Guixin, 桂心) (each 4 fen)
Radix Platycodi (Jiegeng, 桔梗) (2 fen)
Radix Aconiti (Wuhui, 乌喙) (1 fen, processed)
Radix Bupleuri (Chaihu, 柴胡) (1 fen)
Poria (Fuling, 茯苓) (1 fen)
Cortex Moutan (Mudanpi, 牡丹皮) (1 fen)
Pound and sift these twelve herbs, mix with honey to form pills the size of wutong seeds. Initially take seven pills with wine, three times daily; if no effect, gradually increase the dose until therapeutic effect is achieved. Avoid pork, cold water, raw green onions, raw vegetables, vinegar products, and coriander. (Same as *Fan Wang Fang*, From Volume X)
The *Jiyan Fang* for Hernia Qi. Tao Ren Tang (Peach Kernel Decoction) formula.
Semen Persicae (Taoren, 桃仁) (remove skin and tip)
Fructus Evodiae (Wuzhuyu, 吴茱萸)
Pericarpium Citri Reticulatae (Juapi, 橘皮)
Thallus Laminariae (Haizao, 海藻) (each 3 liang)
Rhizoma Zingiberis Recens (Shengjiang, 生姜)
Poria (Fuling, 茯苓)
Radix Notopterygii (Qianghuo, 羌活)
Fructus Tribuli (Jilizi, 蒺藜子) (remove spines, each 3 liang)
Cut these eight herbs, boil in 3 sheng (approx. 600 ml) of water until reduced to 9 he (approx. 180 ml). Divide into three doses, taken on an empty stomach. Avoid vinegar products.