古来疝气厥阴肝，肾部从来无所干，食积湿痰亦寒郁，前人分作七般看。止痛饮子最端
的，
核。
五灵又是一方名，泽泻猪苓共茯苓，白术桂槟川楝子，木通橘核小茴香。一方白术参
芍，茱萸干姜玄胡索，归身泽泻巴戟天，甘草茴香用八角。
香苏散（见伤寒）
香苏散，加小茴香、木香、三棱、蓬术、木通，治偏坠，初寒热疼痛甚佳。
单方
治疝气 吴茱萸（去梗汤泡） 枳壳（麸炒）各八分。酒煎服，取汗为度。
又方
葫芦巴，铜锅内炒，研末。空心好酒热服三钱，数日而愈。
又熏洗方 苦参、紫苏叶、石菖蒲各四两。煎滚，入瓶熏之，口中饮酒，疝中如针刺。
待温洗之。
治偏坠方 鹅卵石一个，火烧红，入酒碗内，转七转，空心饮下。
治昆仑气入小腹痛 鲜沙参，捣汁和酒，尽量饮之。
余论
经有七疝∶寒、水、筋、血、气、狐、溃也，诸方甚多，效者少见，若用黑丑、槟榔等
药，克伐破气，非徒无益，而又害之矣。此疾于人无大害，苦痛时服药数剂，痛止宜听之。
治偏坠小肠气神效方 大黄五钱（火上炙干） 香白芷二钱五分 麝香半分 穿山甲
一钱五分（加黄土炒过） 白僵蚕二钱 乳香 没药各二钱五分。
共为细末，当归煎水熬膏为丸，分作二分，每早空心一服，好酒送下。
又方
用双蒂茄子，悬于房门上，出入用眼之，茄淹亦淹，茄干亦干矣。又云∶小儿偏坠，
双茄悬门上，每日抱儿视二三次，铁钉于上，十余日消。
治偏肾疝气煮酒方 棠棣根（即山楂树根，去粗皮，洗净）四两 小茴香一两（用北方
者盐水和匀，炒） 川归五钱 木香三钱 川楝子（去核炒用）一两 破故纸五钱（炒） 青
皮三钱（麸炒）上为粗末，以绢袋盛之，悬于坛内，用无灰酒五壶，以箬如法封固，煮一二
时，再埋土中三日，空心随量服。
治下元虚损偏坠，玉茎疼痛 好茅山苍术六斤。一斤老米泔水浸三日夜；一斤酒浸三日
夜，切片晒干；一斤用斗子青盐半斤炒黄色，盐不用；一斤小茴香四两炒黄色，去茴香不用
；一斤大茴香四两炒黄黑色，茴香不用；一斤桑椹子二斤取汁，制晒干。以上共为末，每服
三钱，酒下。
治肾囊偏坠 牡蛎（ ）、良姜各一两。为细末，津唾调敷。大便须臾，如火热者，痛
即安。
自古以来，疝气病主要归属于厥阴肝经，肾脏部位通常不受牵连。其病因多为食积、湿痰以及寒邪郁结，前人将其分为七种类型来看待。止痛饮子最为确切有效。
五灵方是另一个方剂名称，由泽泻、猪苓、茯苓、白术、桂枝、槟榔、川楝子、木通、橘核和小茴香组成。还有一个方剂包含白术、人参、芍药、吴茱萸、干姜、玄胡索、当归身、泽泻、巴戟天、甘草、小茴香和八角茴香。
香苏散（见于《伤寒论》）：在香苏散基础上，加入小茴香、木香、三棱、蓬术（莪术）、木通，用于治疗偏坠（睾丸一侧肿大下垂），初期伴有寒热且疼痛剧烈时效果极佳。
单方：
治疗疝气：吴茱萸（去除梗，用汤浸泡）、枳壳（麸皮炒）各八分。用酒煎服，以出汗为度。
又一方：
葫芦巴，在铜锅内炒制，研成粉末。空腹时用热好酒送服三钱，数日即可痊愈。
又熏洗方：苦参、紫苏叶、石菖蒲各四两。煎煮至滚沸，倒入瓶中熏蒸患处，同时口中饮酒，感觉疝气部位如针刺般。待温度适宜后清洗。
治疗偏坠方：取鹅卵石一块，烧红后放入酒碗中，转动七圈，空腹饮下。
余论：
医经中有七疝之说：寒疝、水疝、筋疝、血疝、气疝、狐疝、溃疝。各方众多，但见效的很少。如果使用黑丑（牵牛子）、槟榔等药物，进行克伐破气的攻伐治疗，不仅无益，反而有害。此病对人体无大害，痛苦时服用几剂药，疼痛停止后便听之任之即可。
治疗偏坠小肠气神效方：大黄五钱（火上烤干）、香白芷二钱五分、麝香半分、穿山甲一钱五分（加黄土炒过）、白僵蚕二钱、乳香、没药各二钱五分。
共研为细末，用当归煎水熬膏作为粘合剂制成丸药，分为二分，每早晨空腹服用一次，用好酒送下。
又一方：
用双蒂茄子，悬挂在房门上，出入时用眼睛看它，茄子受潮也会变干，茄子干燥也会变干（意指通过意念或自然规律使其萎缩）。又说：小儿偏坠，将双茄悬挂在门上，每天抱着孩子看两三次，并在茄子上钉铁钉，十余日后消退。
治疗偏肾疝气煮酒方：棠棣根（即山楂树根，去除粗皮，洗净）四两、小茴香一两（用北方的，盐水拌匀，炒制）、川归五钱、木香三钱、川楝子（去核炒用）一两、破故纸（补骨脂）五钱（炒）、青皮三钱（麸炒）。以上制成粗末，用绢袋盛装，悬挂在坛内，用无灰酒五壶，用箬竹叶依法封固，煮一二个时辰，再埋入土中三日，空腹适量服用。
治疗下元虚损导致的偏坠，玉茎（阴茎）疼痛：好茅山苍术六斤。一斤用老米泔水浸泡三日夜；一斤用酒浸泡三日夜，切片晒干；一斤用斗子青盐半斤炒至黄色，弃去盐不用；一斤用小茴香四两炒至黄色，弃去茴香不用；一斤用大茴香四两炒至黄黑色，弃去茴香不用；一斤用桑椹子二斤取汁，炮制后晒干。以上共研为末，每次服用三钱，用酒送下。
Since ancient times, Shan Qi (Hernia) has been primarily associated with the Jueyin Liver Meridian (Jueyin Gan Jing), while the Kidney region is generally not involved. The etiology often involves food stagnation, damp-phlegm, and cold pathogen constraint. Predecessors categorized it into seven types for observation. Zhitong Yinzi (Pain-Relieving Decoction) is considered the most precise and effective.
Wuling Fang is another formula name, composed of Ze Xie (Alisma Rhizome), Zhu Ling (Polyporus), Fu Ling (Poria), Bai Zhu (Atractylodes Macrocephala Rhizome), Gui Zhi (Cinnamon Twig), Bing Lang (Areca Seed), Chuan Lian Zi (Sichuan Chinaberry Fruit), Mu Tong (Akebia Caulis), Ju He (Tangerine Seed), and Xiao Hui Xiang (Fennel). Another formula contains Bai Zhu (Atractylodes Macrocephala Rhizome), Ren Shen (Ginseng Root), Shao Yao (Peony Root), Zhu Yu (Evodia Fruit), Gan Jiang (Dried Ginger), Yan Hu Suo (Corydalis Rhizome), Dang Gui Shen (Angelica Sinensis Root Body), Ze Xie (Alisma Rhizome), Ba Ji Tian (Morinda Officinalis Root), Gan Cao (Licorice Root), Xiao Hui Xiang (Fennel), and Ba Jiao Hui Xiang (Star Anise).
Xiang Su San (See Shang Han Lun): Add Xiao Hui Xiang (Fennel), Mu Xiang (Costus Root), San Leng (Burreed Tuber), Peng Zhu (Curcuma Zedoaria Rhizome), and Mu Tong (Akebia Caulis) to Xiang Su San. It treats Pian Zhui (Unilateral Testicular Swelling/Hydrocele). It is highly effective in the early stages when accompanied by chills, fever, and severe pain.
Single Prescriptions:
Treating Shan Qi: Wu Zhu Yu (Evodia Fruit, remove stems, soak in decoction) and Zhi Ke (Aurantium Fructus, bran-fried) each 8 fen. Decoct in wine and take orally; sweating is the desired outcome.
Another Prescription:
Hu Lu Ba (Trigonella Foenum-graecum Seed), stir-fry in a copper pot, grind into powder. Take 3 qian with hot good wine on an empty stomach; recovery occurs within a few days.
Another Fumigation and Washing Prescription: Ku Shen (Sophora Root), Zi Su Ye (Perilla Leaf), Shi Chang Pu (Acorus Rhizome) each 4 liang. Boil, pour into a bottle for fumigation. Drink wine simultaneously; the hernia area will feel like needle pricking. Wash when temperature is suitable.
Treating Pian Zhui: Take one goose egg-shaped stone, heat until red-hot, place in a wine bowl, rotate seven times, and drink on an empty stomach.
Treating Kunlun Qi entering lower abdomen causing pain: Fresh Sha Shen (Glehnia Root or Adenophora Root), crush to extract juice, mix with wine, drink as much as possible.
Additional Remarks:
The Classics mention seven types of Shan Qi: Cold, Water, Sinew, Blood, Qi, Fox, and Ulcerative Shan Qi. There are many formulas, but few are effective. Using harsh purgatives like Hei Qiu (Black Morning Glory Seed/Convolvulus Seed) and Bing Lang (Areca Seed) to attack and deplete Qi is not only useless but harmful. This disease causes little harm to the body overall. When painful, take a few doses of medicine; once pain subsides, let it be.
Divine Efficacy Formula for Treating Pian Zhui and Small Intestine Qi: Da Huang (Rhubarb Root) 5 qian (roasted dry over fire), Xiang Bai Zhi (Angelica Dahurica Root) 2.5 qian, She Xiang (Musk) 0.5 fen, Chuan Shan Jia (Pangolin Scale) 1.5 qian (fried with yellow earth), Bai Jiang Can (Bombyx Batryticatus) 2 qian, Ru Xiang (Frankincense) and Mo Yao (Myrrh) each 2.5 qian.
Grind all into fine powder. Use Dang Gui (Angelica Sinensis Root) decoction boiled into a paste as a binder to form pills. Divide into two doses. Take one dose every morning on an empty stomach, delivered with good wine.
Another Prescription:
Use a double-stemmed eggplant, hang it on the door frame. Look at it when entering and exiting. As the eggplant becomes moist, it dries; as it dries, it shrinks (symbolizing the reduction of swelling). It is also said: For pediatric Pian Zhui, hang a double-stemmed eggplant on the door, hold the child to look at it twice or three times daily, and drive an iron nail into it. It will subside in about ten days.
Boiled Wine Prescription for Treating Kidney-related Shan Qi: Tang Di Gen (Root of Crabapple Tree/Crabapple Root, i.e., Hawthorn Root, remove coarse bark, wash clean) 4 liang, Xiao Hui Xiang (Fennel) 1 liang (use northern variety, mix with salt water, stir-fry), Chuan Gui (Angelica Sinensis Root) 5 qian, Mu Xiang (Costus Root) 3 qian, Chuan Lian Zi (Sichuan Chinaberry Fruit, remove seed, fry) 1 liang, Po Gu Zhi (Psoralea Fruit, fry) 5 qian, Qing Pi (Citrus Reticulata Green Peel, bran-fried) 3 qian. Grind into coarse powder, place in a silk bag, suspend inside a jar. Add 5 hu of unadulterated wine, seal tightly with bamboo leaves, boil for 1-2 shichen (hours), then bury in soil for 3 days. Take appropriate amount on an empty stomach.
Treating Lower Yuan Deficiency leading to Pian Zhui and Yu Jing (Penile) Pain: Hao Mao Shan Cang Zhu (High-quality Atractylodes Lancea from Maoshan) 6 jin. One jin soaked in old rice washing water for 3 days and nights; one jin soaked in wine for 3 days and nights, sliced and sun-dried; one jin stir-fried with half a jin of Dou Zi Qing Yan (Green Salt) until yellow, discard salt; one jin stir-fried with 4 liang Xiao Hui Xiang (Fennel) until yellow, discard fennel; one jin stir-fried with 4 liang Da Hui Xiang (Star Anise) until dark yellow-black, discard anise; one jin processed with juice from 2 jin Sang Shen Zi (Mulberry Fruit), dried after processing. Grind all into powder. Take 3 qian per dose, delivered with wine.
Treating Scrotal Pian Zhui: Mu Li (Oyster Shell, calcined) and Liang Jiang (Galangal Rhizome) each 1 liang. Grind into fine powder, mix with saliva to apply topically. After defecation, if a burning heat sensation occurs, pain will immediately subside.