（附论）
夫卒疝者。肾脏虚弱之人。形寒饮冷。暴受邪气。传入经脉。盖以少阴肾经与太阳膀胱。
二
暴发疼痛。或自汗出。闷绝不省。难可堪忍。故名卒疝也。
方
香煮散 治卒疝攻小腹疼痛。
香子（炒） 枳壳（去瓤麸炒） 木香 芍药 浓朴（去粗皮生姜汁炙） 陈皮 桂
（去粗皮）
半两） 生地黄（各
热服。
木香丸 治卒疝。腹痛不可忍。
木香 桂（去粗皮） 槟榔（锉） 蓬莪术（煨） 香子（炒） 桃仁（去皮尖双仁
研膏各三分）
上将八味捣罗为末
前。
茱萸汤 治卒疝攻脐腹痛。汗出闷绝。
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） 桂
生姜一片。大
干姜汤 治卒疝。绕脐腹。猝暴疼痛。
干姜（炮裂） 白茯苓（去黑皮） 椒（去目并闭口者炒出汗） 附子（炮裂去皮脐） 桂
（去粗皮）
煎七分。去滓
蜀椒散 治卒疝。心痛如刺。绕脐腹中尽痛。自汗出。气欲死。
姜术散 治卒疝。小腹中相引疼痛。不可忍。
苍术（米泔浸切炒） 干姜（炮制） 马蔺花 芫花（醋炒焦） 五灵脂（去皮） 乌
头（炮制去皮
汤下。
当归汤 治卒疝。腹痛里急。
当归（焙） 生姜 芍药（各二两） 羊肉（切去脂膜半斤） 上将三味细切。先以水
五升。煮羊
走马汤（出圣惠方）治卒疝。无故心烦腹痛。阴缩手足厥逆。并治飞尸鬼击
尸疰兼治中恶。心痛腹胀。大便不通。\x
巴豆（三个去皮心炒） 杏仁（三个去皮心炒） 上味绵缠捶令碎。热汤二合。捻取
白汁饮之。
等物。
【附论】
所谓卒疝，是指肾脏虚弱之人，因形体受寒、饮食生冷，突然遭受邪气侵袭。邪气传入经脉，由于少阴肾经与太阳膀胱经相表里，导致病情暴发疼痛。或者出现自汗出、胸闷窒息甚至昏迷不省人事的症状，痛苦难以忍受，因此称为卒疝。
方剂：
香煮散：治疗卒疝攻冲小腹引起疼痛。
药材：香子（炒制）、枳壳（去除瓤后麸皮炒制）、木香、芍药、浓朴（去除粗皮后用生姜汁炙烤）、陈皮、桂枝（去除粗皮）。以上药材各半两。将上述药物捣碎过筛为散剂。每次服用三钱，加水一盏，煎至七分，去渣，趁热服用。
木香丸：治疗卒疝，腹痛剧烈无法忍受。
药材：木香、桂枝（去除粗皮）、槟榔（锉碎）、蓬莪术（煨制）、香子（炒制）、桃仁（去皮尖及双仁者，研成膏状，各三分）。
上将八味药捣罗为细末，炼蜜为丸，如梧桐子大。每次服用二十丸，空腹时用米汤送服。
茱萸汤：治疗卒疝攻冲脐部引起腹痛，伴有汗出、胸闷窒息。
药材：吴茱萸（用水浸泡后焙干炒制，半两）、细辛（去除苗叶）、附子（炮裂后去除皮和脐）、人参、白茯苓（去除黑皮）、桂枝（去除粗皮）。以上药材各一两。上药切碎，每次服用四钱，加水一盏半，加入生姜一片，大枣一枚，煎至七分，去渣，温服。
干姜汤：治疗卒疝，绕脐腹部猝然暴发疼痛。
药材：干姜（炮裂）、白茯苓（去除黑皮）、蜀椒（去除目并闭口者，炒至出汗）、附子（炮裂后去除皮和脐）、桂枝（去除粗皮）。以上药材各一两。上药切碎，每次服用四钱，加水一盏，煎至七分，去渣，温服。
蜀椒散：治疗卒疝，心痛如针刺，绕脐腹部全部疼痛，自汗出，气息微弱欲死。
药材：蜀椒（去除目并闭口者，炒出汗）、干姜（炮制）、附子（炮裂后去除皮和脐）、桂枝（去除粗皮）。以上药材各一两。上药捣罗为散，每次服用二钱，加水一盏，煎至七分，去渣，温服。
姜术散：治疗卒疝，小腹部牵引性疼痛，剧烈难忍。
药材：苍术（用米泔水浸泡后切片炒制）、干姜（炮制）、马蔺花、芫花（醋炒至焦）、五灵脂（去除皮）、乌头（炮制后去除皮）。以上药材各一两。上药捣罗为散，每次服用二钱，加水一盏，煎至七分，去渣，温服。
当归汤：治疗卒疝，腹痛且伴有里急后重感。
药材：当归（焙干）、生姜、芍药（各二两）、羊肉（切去脂膜，半斤）。上将前三味药细切，先用水五升，煮羊肉至熟烂，去羊骨，取汁，再入前三味药，煎至三升，分三次温服。
走马汤（出自《圣惠方》）：治疗卒疝，无故心烦腹痛，阴囊收缩，手足厥冷。同时治疗飞尸鬼击、尸疰，兼治中恶，心痛腹胀，大便不通。
药材：巴豆（三个，去皮心后炒制）、杏仁（三个，去皮心后炒制）。将上述药材用绵布包裹，捶打令其破碎，用热水二合，捻取白色汁液饮用。
[Attached Discussion]
The so-called acute hernia (Zu Han) refers to a condition occurring in individuals with weak Kidney Qi, caused by external cold exposure and consumption of cold food or drink, leading to a sudden invasion of pathogenic factors. These pathogens transmit into the meridians. Since the Shaoyin Kidney Meridian is internally-externally related to the Taiyang Bladder Meridian, this results in sudden onset of severe pain. Symptoms may include spontaneous sweating, chest oppression, suffocation, loss of consciousness, and unbearable suffering; hence it is named acute hernia.
Formulas:
Xiang Zhu San (Fragrant Decoction Powder): Treats acute hernia attacking the lower abdomen causing pain.
Ingredients: Xiangzi (Styrax Seed, fried), Zhike (Aurantii Fructus, pulp removed, stir-fried with bran), Muxiang (Aucklandiae Radix), Shaoyao (Paeoniae Radix), Houpo (Magnoliae Officinalis Cortex, coarse bark removed, processed with ginger juice), Chenpi (Citri Reticulatae Pericarpium), Guizhi (Cinnamomi Ramulus, coarse bark removed). Each ingredient weighs half liang. The above ingredients are crushed and sifted into powder. Take three qian per dose, add one cup of water, decoct until reduced to 70%, remove dregs, and take hot.
Muxiang Wan (Aucklandiae Pill): Treats acute hernia with unbearable abdominal pain.
Ingredients: Muxiang (Aucklandiae Radix), Guizhi (Cinnamomi Ramulus, coarse bark removed), Binglang (Arecae Semen, crushed), Ezhu (Curcumae Rhizoma, roasted), Xiangzi (Styrax Seed, fried), Taoren (Persicae Semen, skin and tip removed, non-double kernel ones used, ground into paste). Each weighs three fen.
The above eight ingredients are crushed and sifted into fine powder. Honey is added to form pills the size of tung tree seeds. Take twenty pills per dose on an empty stomach, administered with rice gruel.
Zuyu Tang (Evodia Decoction): Treats acute hernia attacking the umbilicus causing abdominal pain, accompanied by sweating and chest oppression/suffocation.
Ingredients: Wuzhuyu (Evodiae Fructus, soaked in water, dried, fried, half liang), Xixin (Asari Radix et Rhizoma, seedlings and leaves removed), Fuzi (Aconiti Lateralis Radix Praeparata, cracked, skin and navel removed), Renshen (Ginseng Radix), Baifuling (Poria, black skin removed), Guizhi (Cinnamomi Ramulus, coarse bark removed). Each weighs one liang. The herbs are cut into small pieces. Take four qian per dose, add one and a half cups of water, one slice of Shengjiang (Zingiberis Rhizoma Recens), one Jujubae Fructus, decoct until reduced to 70%, remove dregs, and take warm.
Ganjiang Tang (Dried Ginger Decoction): Treats acute hernia with sudden severe pain around the umbilicus and abdomen.
Ingredients: Ganjiang (Zingiberis Rhizoma, cracked), Baifuling (Poria, black skin removed), ShuJiao (Zanthoxyli Pericarpium, remove eyes and closed-mouth ones, stir-fry until oil appears), Fuzi (Aconiti Lateralis Radix Praeparata, cracked, skin and navel removed), Guizhi (Cinnamomi Ramulus, coarse bark removed). Each weighs one liang. The herbs are cut into small pieces. Take four qian per dose, add one cup of water, decoct until reduced to 70%, remove dregs, and take warm.
Shujiao San (Zanthoxylum Powder): Treats acute hernia with heart pain like stabbing, complete pain around the umbilicus and abdomen, spontaneous sweating, and faintness resembling death.
Ingredients: ShuJiao (Zanthoxyli Pericarpium, remove eyes and closed-mouth ones, stir-fry until oil appears), Ganjiang (Zingiberis Rhizoma, processed), Fuzi (Aconiti Lateralis Radix Praeparata, cracked, skin and navel removed), Guizhi (Cinnamomi Ramulus, coarse bark removed). Each weighs one liang. The ingredients are crushed and sifted into powder. Take two qian per dose, add one cup of water, decoct until reduced to 70%, remove dregs, and take warm.
Jiangshu San (Ginger and Atractylodes Powder): Treats acute hernia with pulling pain in the lower abdomen, unbearable.
Ingredients: Cangzhu (Atractylodis Rhizoma, soaked in rice wash water, sliced, fried), Ganjiang (Zingiberis Rhizoma, processed), Malianhua (Iris lactea var. chinensis flower), Yuanhua (Genkwa Flos, stir-fried with vinegar until charred), Wulingzhi (Trogopterori Faeces, skin removed), Wutou (Aconiti Radix, processed, skin removed). Each weighs one liang. The ingredients are crushed and sifted into powder. Take two qian per dose, add one cup of water, decoct until reduced to 70%, remove dregs, and take warm.
Danggui Tang (Angelica Decoction): Treats acute hernia with abdominal pain and tenesmus.
Ingredients: Danggui (Angelicae Sinensis Radix, baked), Shengjiang (Zingiberis Rhizoma Recens), Shaoyao (Paeoniae Radix, each two liang), Yangrou (Ovis/Capra Meat, fat membrane removed, half jin). The first three ingredients are finely cut. First, use five sheng of water to boil the meat until tender. Remove the bones, take the broth, then add the three herbs, decoct until reduced to three sheng. Divide into three doses and take warm.
Zouma Tang (Running Horse Decoction, from *Shenghui Fang*): Treats acute hernia with unexplained irritability and abdominal pain, retraction of the genitals, and cold limbs. Also treats Feishi Guiji (flying corpse ghost strike), Shizhu (corpse transmission), and simultaneously treats Zhong'e (sudden evil invasion), heart pain, abdominal distension, and constipation.
Ingredients: Badou (Crotonis Fructus, three kernels, skin and heart removed, fried), Xingren (Armeniacae Semen Amarum, three kernels, skin and heart removed, fried). Wrap the ingredients in cotton cloth, pound until broken. Add two he of hot water, squeeze out the white juice, and drink.