肾开窍于耳。固也。而肾脉却不能上头。肾与心交。假道于心之腑以上耳中之穴。曰听
宫。小肠之经脉贯之。为司听之神所居之位。其形如珠。皮膜包裹真水。若真水破而耳立聋。
有为大声所振而聋者。皮膜破也。或聋或不聋者。心肾不交也。宜磁朱丸交媾水火。有先耳
鸣而后聋者。肾虚不能开藏。阴气窒塞于阳窍也。宜六味丸。去丹皮重加磁石。再加五味子
龟板胶为丸。令阴气自盛于本宫。不触于阳窍。若感冒暴聋。总不外少阳一经。足少阳胆脉。
绕耳输。手少阳三焦脉。入于耳。邪气壅实。听官为其所掩。宜逍遥散。去白术。加黄芩
半夏生姜玉竹大枣主之。如风火交煽。宜防风通圣散。肝火炽盛。宜芦荟当归丸。尺脉弱
者。宜桂附地黄丸。尺脉数者。宜大补阴丸二丸俱加磁石菖蒲苁蓉之类。神而明之。存乎其
人。非可以笔楮传者。
浮大为风。洪数为火。 洪大而实为风火。 尺数为阴火 迟濡为肾虚。
疝者。小腹睾丸为肿为痛是也。其名有七。曰寒疝。囊冷结硬如石。阴茎不举。或控睾
丸而痛。曰水疝。肾囊肿痛。阴汗时出。或肿状如水晶。或囊痒而外出黄水。曰筋疝。阴茎
肿胀。或溃或脓。或里急筋缩。或出白物。曰血疝。状如黄瓜。或小腹两旁横骨两端约中。
俗云便痈。曰气疝。上连肾区。下及阴囊或因号哭忿怒则胀。罢则气散。
曰狐疝。卧则入小腹。行立则出小腹。曰 疝。阴囊肿缒。如升如斗。不痒不痛。然亦
不必拘者。经云。任脉为病。男子内结七疝。女子带下瘕聚。又曰足厥阴肝病。丈夫 疝。
妇人少腹肿。大抵任病肝病居多。小肠病亦多。各经亦间有之。治之之法。统以二陈汤。加
泽泻猪苓白术桂枝小茴香木通金铃子主之余少时初用。疑为偶效。后屡试屡验。方知其调气
之功甚KT 。张景岳先得我心。景岳云。病名疝气。非无谓也。盖寒有寒气。热有热气。
湿有湿气。逆有逆气。陷有陷气。在阳分。则有气中之气。在阴分。则有血中之气。从寒热
虚实施治。俱当兼用气药。余此方。化膀胱之气。而诸气俱调。其义详于胀症。宜参究之。
本脉牢急。弱急不宜。
二陈汤加味外。○若寒甚者。再加干姜附子。○若热极者。加黄柏知母。○小便如膏者。
加石菖蒲萆 。○气上冲。去白术。加肉桂吴茱萸当归。○囊肿如水晶者。加苡仁桑皮。○
痛不可忍者。恐瘀血为脓致溃。加桃仁红花乳香。○筋缩者。加苡仁一两。木瓜二钱。○顽
麻不痛者。加川芎槟榔。○痒者。加刺蒺藜三钱。
千金翼洗方 治丈夫阴肿如斗。核中痛
雄黄末（一两） 矾石（二两） 甘草（七钱）
水五碗。煎二碗。洗。
又于关元两旁相去各三寸青脉上。灸七壮。即愈。左灸左。右灸右。
又灸外陵穴。在脐左右各开一寸半。灸疝立效。永不再发。
肾开窍于耳。固也。而肾脉却不能上头。肾与心交。假道于心之腑以上耳中之穴。曰听宫。小肠之经脉贯之。为司听之神所居之位。其形如珠。皮膜包裹真水。若真水破而耳立聋。有为大声所振而聋者。皮膜破也。或聋或不聋者。心肾不交也。宜磁朱丸交媾水火。有先耳鸣而后聋者。肾虚不能开藏。阴气窒塞于阳窍也。宜六味丸。去丹皮重加磁石。再加五味子龟板胶为丸。令阴气自盛于本宫。不触于阳窍。若感冒暴聋。总不外少阳一经。足少阳胆脉。绕耳输。手少阳三焦脉。入于耳。邪气壅实。听官为其所掩。宜逍遥散。去白术。加黄芩半夏生姜玉竹大枣主之。如风火交煽。宜防风通圣散。肝火炽盛。宜芦荟当归丸。尺脉弱者。宜桂附地黄丸。尺脉数者。宜大补阴丸二丸俱加磁石菖蒲苁蓉之类。神而明之。存乎其人。非可以笔楮传者。
浮大为风。洪数为火。 洪大而实为风火。 尺数为阴火 迟濡为肾虚。
疝者。小腹睾丸为肿为痛是也。其名有七。曰寒疝。囊冷结硬如石。阴茎不举。或控睾丸而痛。曰水疝。肾囊肿痛。阴汗时出。或肿状如水晶。或囊痒而外出黄水。曰筋疝。阴茎肿胀。或溃或脓。或里急筋缩。或出白物。曰血疝。状如黄瓜。或小腹两旁横骨两端约中。俗云便痈。曰气疝。上连肾区。下及阴囊或因号哭忿怒则胀。罢则气散。曰狐疝。卧则入小腹。行立则出小腹。曰㿗疝。阴囊肿缒。如升如斗。不痒不痛。然亦不必拘者。经云。任脉为病。男子内结七疝。女子带下瘕聚。又曰足厥阴肝病。丈夫㿗疝。妇人少腹肿。大抵任病肝病居多。小肠病亦多。各经亦间有之。治之之法。统以二陈汤。加泽泻猪苓白术桂枝小茴香木通金铃子主之。余少时初用。疑为偶效。后屡试屡验。方知其调气之功甚KT 。张景岳先得我心。景岳云。病名疝气。非无谓也。盖寒有寒气。热有热气。湿有湿气。逆有逆气。陷有陷气。在阳分。则有气中之气。在阴分。则有血中之气。从寒热虚实施治。俱当兼用气药。余此方。化膀胱之气。而诸气俱调。其义详于胀症。宜参究之。本脉牢急。弱急不宜。
二陈汤加味外。○若寒甚者。再加干姜附子。○若热极者。加黄柏知母。○小便如膏者。加石菖蒲萆薢。○气上冲。去白术。加肉桂吴茱萸当归。○囊肿如水晶者。加苡仁桑皮。○痛不可忍者。恐瘀血为脓致溃。加桃仁红花乳香。○筋缩者。加苡仁一两。木瓜二钱。○顽麻不痛者。加川芎槟榔。○痒者。加刺蒺藜三钱。
千金翼洗方 治丈夫阴肿如斗。核中痛
雄黄末（一两） 矾石（二两） 甘草（七钱）
水五碗。煎二碗。洗。
又于关元两旁相去各三寸青脉上。灸七壮。即愈。左灸左。右灸右。
又灸外陵穴。在脐左右各开一寸半。灸疝立效。永不再发。
The Kidney opens into the ears. This is indeed so. However, the Kidney meridian cannot ascend to the head. The Kidney interacts with the Heart, borrowing the pathway of the Heart's Fu organ (Small Intestine) to ascend to the acupoint in the ear called Tinggong (Auditory Palace). The meridian of the Small Intestine passes through it, serving as the residence of the deity responsible for hearing. Its shape resembles a pearl, with skin and membrane wrapping around the True Water (Jing). If the True Water breaks, deafness occurs immediately. Some become deaf due to being startled by loud noises; this is due to the rupture of the skin and membrane. Whether one becomes deaf or not depends on whether the Heart and Kidney interact. Ci Zhu Wan (Magnetite and Cinnabar Pill) should be used to harmonize Water and Fire. Those who experience tinnitus first and then deafness suffer from Kidney deficiency failing to open the storage, causing Yin Qi to obstruct the Yang orifices. Liu Wei Wan (Six-Ingredient Rehmannia Pill) should be used, removing Dan Pi (Moutan Cortex), heavily adding Ci Shi (Magnetitum), and further adding Wu Wei Zi (Schisandrae Fructus) and Gui Ban Jiao (Colla Testudinis et Carapacis) to form pills. This allows Yin Qi to flourish naturally in its home palace without touching the Yang orifices. If sudden deafness occurs due to cold pathogen invasion, it generally does not go beyond the Shaoyang channel. The Foot-Shaoyang Gallbladder meridian winds around the ear, and the Hand-Shaoyang Sanjiao meridian enters the ear. Pathogenic qi is congested and excess, obscuring the auditory organs. Xiao Yao San (Free and Easy Wanderer Powder) should be used, removing Bai Zhu (Atractylodis Rhizoma), and adding Huang Qin (Scutellariae Radix), Ban Xia (Pinelliae Rhizoma), Sheng Jiang (Zingiberis Rhizoma Recens), Yu Zhu (Polygonati Odorati Rhizoma), and Da Zao (Jujubae Fructus) as the main treatment. If Wind and Fire stir mutually, Fang Feng Tong Sheng San (Siler and Gardenia Powder to Unblock the Stagnation) should be used. If Liver Fire is blazing, Lu Hui Dang Gui Wan (Aloe and Angelica Pill) should be used. If the Chi pulse is weak, Gui Fu Di Huang Wan (Cinnamon and Aconite Rehmannia Pill) should be used. If the Chi pulse is rapid, Da Bu Yin Wan (Great Tonify Yin Pill) should be used. Both of these two pills can have Ci Shi (Magnetitum), Shi Pu (Acori Tatarinowii Rhizoma), and Rong Rong (Cynomorii Herba) added. Spiritual understanding lies within the practitioner; it cannot be transmitted merely by writing.
Floating and large indicates Wind. Surging and rapid indicates Fire. Surging, large, and excess indicates Wind-Fire. Rapid at the Chi position indicates Yin Fire. Slow and soggy indicates Kidney deficiency.
Hernia refers to swelling and pain in the lower abdomen and testicles. There are seven types. Han Shan (Cold Hernia): the scrotum is cold, hard like stone, the penis does not erect, or there is pain radiating to the testicles. Shui Shan (Water Hernia): the kidney sac swells and hurts, sweat appears intermittently from the yin area, or the swelling looks like crystal, or the scrotum itches and discharges yellow fluid. Jin Shan (Sinew Hernia): the penis swells, or ulcerates, or suppurates, or there is urgency with sinew contraction, or white discharge occurs. Xue Shan (Blood Hernia): shaped like a cucumber, or located between the ends of the transverse bones on both sides of the lower abdomen, commonly known as Bian Yong (Perineal Abscess). Qi Shan (Qi Hernia): extends upward to the kidney region and downward to the scrotum; it swells when crying or angry, and dissipates when calm. Hu Shan (Fox Hernia): when lying down, it enters the lower abdomen; when walking or standing, it exits the lower abdomen. Ti Shan (Scrotal Hernia): the scrotum hangs swollen, like a measuring cup or bucket, without itching or pain. However, one need not be rigidly bound by these definitions. The Classics state: "Diseases of the Ren Mai cause internal formation of seven hernias in men and leukorrhea and masses in women." It also states: "Liver disease of the Foot-Jueyin causes ti hernia in men and lower abdominal swelling in women." Generally, Ren Mai and Liver diseases are most common, followed by Small Intestine diseases, with occasional involvement of other meridians. The treatment method uniformly uses Er Chen Tang (Two-Cured Decoction), adding Ze Xie (Alismatis Rhizoma), Zhu Ling (Polyporus), Bai Zhu (Atractylodis Rhizoma), Gui Zhi (Cinnamomi Ramulus), Xiao Hui Xiang (Foeniculi Fructus), Mu Tong (Akebiae Caulis), and Jin Ling Zi (Meliae Fructus). When I first used this formula in my youth, I suspected it was merely accidental efficacy. Later, repeated trials confirmed its effectiveness, realizing its great merit in regulating Qi. Zhang Jingyue anticipated my thoughts. Jingyue said: "The disease name 'Hernia Qi' is not meaningless. Cold has cold qi, Heat has heat qi, Dampness has damp qi, Reversal has reversal qi, Sinking has sinking qi. In the Yang division, there is qi within qi; in the Yin division, there is qi within blood. When treating based on Cold, Heat, Deficiency, and Excess, Qi-regulating herbs must always be included. My formula transforms the Qi of the Bladder, thereby regulating all Qi. The principle is detailed in the chapter on Distension; it should be studied carefully. The root pulse should be firm and urgent; weak and urgent is unsuitable."
Besides the modified Er Chen Tang: ○ If Cold is severe, add Gan Jiang (Zingiberis Rhizoma) and Fu Zi (Aconiti Lateralis Radix Praeparata). ○ If Heat is extreme, add Huang Bo (Phellodendri Cortex) and Zhi Mu (Anemarrhenae Rhizoma). ○ If urine is like paste, add Shi Pu (Acori Tatarinowii Rhizoma) and Bi Xie (Dioscoreae Hypoglaucae Rhizoma). ○ If Qi rushes upward, remove Bai Zhu (Atractylodis Rhizoma), add Rou Gui (Cinnamomi Cortex), Wu Zhu Yu (Evodiae Fructus), and Dang Gui (Angelicae Sinensis Radix). ○ If the cyst is like crystal, add Yi Yi Ren (Coicis Semen) and Sang Bai Pi (Mori Cortex). ○ If pain is unbearable, fearing blood stasis turning to pus leading to ulceration, add Tao Ren (Persicae Semen), Hong Hua (Carthami Flos), and Ru Xiang (Olibanum). ○ If sinews contract, add Yi Yi Ren (Coicis Semen) 1 liang and Mu Gua (Chaenomelis Fructus) 2 qian. ○ If there is stubborn numbness without pain, add Chuan Xiong (Ligustici Chuanxiong Rhizoma) and Bing Lang (Arecae Semen). ○ If there is itching, add Ci Ji Li (Tribuli Fructus) 3 qian.
Qianjin Yi Xi Fang (Prescription from Qianjin Yi for Washing) treats men with scrotal swelling like a bucket and pain in the testicles.
Xiong Huang Mo (Realgar Powder) (1 liang)
Fan Shi (Alumen) (2 liang)
Gan Cao (Glycyrrhizae Radix et Rhizoma) (7 qian)
Five bowls of water, decoct to two bowls. Wash externally.
Also, moxa seven cones on the blue veins three cun away on both sides of Guan Yuan (CV4). It will heal immediately. Moxa left for left, right for right.
Also moxa Wai Ling (ST36? Note: Text says Wai Ling, usually ST29 is Waiguan/Lower Abdomen area, but specifically defined here). Wai Ling is located 1.5 cun left and right of the umbilicus. Moxa for hernia yields immediate effect and prevents recurrence forever.