（附便毒）
（凡患疝气者，杨梅不可与烧酒同食，食则实时举发，无不解救）
七疝症各不同，治亦有别。如寒疝∶囊冷、结硬如石、阴茎不举或控睾丸痛，得于坐卧
湿地、涉水，以去湿之剂下之；水疝∶囊肿如水晶，阴汗、痒搔出黄水，或小腹按之作声，
得于醉酒行房，汗出遇风，寒湿结囊中，以逐水之剂下之；筋疝∶阴茎肿胀，或溃或浓或痛，
里急筋缩，或茎痛。痛极则痒，或挺出不收，白物如精、随溺出，得于房中邪术所使，宜降
心火之剂下之；血疝∶状如黄瓜，在小腹两旁，横骨两端，俗名便痈，得于重感春夏大燠，
劳于使内，其气流溢，渗入脬囊，结为痈肿，以和血药下之；气疝∶上连肾区，下及阴囊，
或号哭忿怒气郁而胀，以散气药下之；狐疝∶状如瓦，卧则入腹，行则出，上下无定，如狐
之惑也，故名之，以逐气流经之剂下之； 疝∶阴囊肿大如升斗，不痒不痛，因受湿气而生，
宜去湿之剂下之。
疝气者，疝本肝经，宜通勿塞，绝与肾经无干。或无形无声，或有形如瓜，有声似蛙，
是疝病也。治初，湿热在经郁久，后感寒气外束不得疏散，所以作痛，不可执作寒论。须用
寒热相兼，用神效汤加减。川乌以散寒气，山栀以清湿热，皆是下焦主药，其效甚速。
木疝（即木肾）
凡人心火下降，则肾水不患其不温；真阳下行，则肾水不患其不和。温且和，安有所谓
木强者哉？木强则伤肾矣！故不可纯用燥药，当行温、和、散、利，以逐其邪，则邪自消，
荣卫流
枸杞 昆布 吴茱萸各四两 南星 半夏 白芷 楂肉 炒神曲各三两 滑石（炒） 苍
术
为末，酒和丸如梧子大。每服七十丸，空心盐汤下。（《秘方集验》）
二层茴香丸（治一切疝如神。 疝尤为要药）
第一料∶大茴香拌盐五钱，炒和盐称，沙参、川楝子（去核炒）、木香各一两，上为末，
水煮米糊为丸，梧子大，每服二钱，空心盐汤下，日三服。才完便接第二料，照前方加荜茇
一两，槟榔五钱为丸服。若未愈，服第三料，照前二方加白茯苓四两，附子（制）一两，和
丸服，但每服三钱。虽三十年之久大如栲栳者，皆可除根。（《医宗必读》）
治疝仙方
小茴 大茴各一两（末） 猪尿胞一具
入药扎紧，砂罐内酒煮烂，连胞捣丸，梧子大。白汤下五十丸。（《笔峰杂兴》）
血疝便毒（已未成，实时散）
斑蝥三个（去足） 滑石三钱
分三服，空心下。一服毒从小便出。如痛，用车前、木通、泽泻、猪苓煎服。（东垣方）
斑白散（治便毒）
斑蝥（炒）一钱 白芷八分
为末，每服六分，空心酒下，实时见效。 一用大虾蟆一个，剥皮连肠捣烂，入葱五根
再捣敷，却用皮覆贴其上。一方∶乳香、没药各钱半，姜蚕二钱，全蝎（洗净）三钱，蜈蚣
八钱，斑蝥（去羽足）、甲皮（炒）、巴豆（去油）各四钱，共末。重者酒服一钱，轻者六分。
二
广疮鱼口横
土茯苓（米泔水洗，捶碎。忌铁器。白者佳，红者能杀人）、粉霜、以硝、皂矾、明矾、
水银各二钱，银罐合好，盐泥封固放炉内，文武火升之。一症只用六厘，黄米饮为丸，切作
七服，每服或三粒、五粒，雄黄为衣，空心酒下。忌房事、一切毒物，大小便不可令人闻。
（《
（附注：便毒）
凡是患有疝气的人，杨梅不可与烧酒一同食用，如果吃了就会立刻发作，无法解救。
七种疝气的症状各不相同，治疗方法也有区别。例如寒疝：阴囊发冷、结块坚硬如石头、阴茎不能勃起或牵引睾丸疼痛，这是由于坐卧湿地、涉水受湿所致，应用祛湿的方剂攻下；水疝：阴囊肿大像水晶一样，阴部出汗、瘙痒抓挠后流出黄水，或者按压小腹有声响，这是由于醉酒行房、汗出当风，寒湿凝结在阴囊中，应用逐水的方剂攻下；筋疝：阴茎肿胀，或者溃烂、流脓或疼痛，里急后重、筋脉拘挛，或者茎部疼痛。痛到极致则痒，或者挺举不收，白色分泌物像精液一样随小便排出，这是由于房中邪术所致，宜用降心火的方剂攻下；血疝：形状像黄瓜，位于小腹两旁、横骨两端，俗称便痈，这是由于再次感受春夏的大热，劳于房事，气机溢散，渗入膀胱和阴囊，结聚成痈肿，应用调和血液的方剂攻下；气疝：上连肾区，下及阴囊，或者因号哭、愤怒、气郁而胀满，应用理气的方剂攻下；狐疝：形状像瓦片，躺着时进入腹腔，行走时掉出，上下不定，像狐狸一样迷惑，所以叫这个名字，应用逐气流经的方剂攻下；（此处原文缺字，推测为“瘕疝”或类似名称）：阴囊肿大如升斗，不痒不痛，因为受湿气而生，宜用祛湿的方剂攻下。
疝气病，疝本属于肝经，宜疏通不宜壅塞，绝对与肾经无关。有的无形无声，有的有形像瓜果，有的有声像青蛙，这就是疝病。治疗初期，湿热在经络中郁积日久，后感寒气外束不得疏散，所以作痛，不可固执地当作寒证来论治。必须使用寒热并用的方法，用神效汤加减。川乌用来散寒气，山栀用来清湿热，都是治疗下焦的主药，效果很快。
木疝（即木肾）
凡是人的心火下降，那么肾水就不担心它不温暖；真阳下行，那么肾水就不担心它不和顺。既温暖又和顺，哪里会有所谓的“木强”呢？木强则会损伤肾脏！所以不可纯用燥药，应当运用温、和、散、利的方法，以驱逐邪气，那么邪气自然消除，营卫气血流通。
药材：枸杞、昆布、吴茱萸各四两；南星、半夏、白芷、山楂肉、炒神曲各三两；滑石（炒）、苍术（原文此处似有缺漏，依常理补全或保留原意）。
研为细末，用酒调和做成梧桐子大小的丸药。每次服用七十丸，空腹时用盐汤送服。（出自《秘方集验》）
二层茴香丸（治疗各种疝气如神效。对某类疝气尤为要药）
第一料：大茴香拌盐五钱，炒制后与盐同称，沙参、川楝子（去核炒）、木香各一两，以上药物研为细末，用水煮米糊为丸，梧桐子大小，每次服用二钱，空腹时用盐汤送服，每天三次。刚吃完就接着吃第二料，照前方加荜茇一两，槟榔五钱制成丸药服用。如果没好，服用第三料，照前两个方子加白茯苓四两，附子（制）一两，混合制成丸药服用，但每次服用三钱。即使是三十年之久、大如栲栳的疝气，都可以除根。（出自《医宗必读》）
治疝仙方
小茴、大茴各一两（研末）；猪尿胞一个。
将药装入猪尿胞内扎紧，在砂罐内用酒煮烂，连同尿胞一起捣碎做成丸药，梧桐子大小。白开水送服五十丸。（出自《笔峰杂兴》）
血疝便毒（无论已成或未成，立即消散）
斑蝥三个（去足）；滑石三钱。
分三次服用，空腹服用。一服药后毒素从小便排出。如果疼痛，用车前草、木通、泽泻、猪苓煎服。（东垣方）
斑白散（治疗便毒）
斑蝥（炒）一钱；白芷八分。
研为细末，每次服用六分，空腹用酒送服，立刻见效。另一种用法：取大虾蟆一个，剥皮连肠捣烂，加入葱五根再捣烂敷贴，然后用皮覆盖贴在患处。另一法：乳香、没药各一钱半，姜蚕二钱，全蝎（洗净）三钱，蜈蚣八钱，斑蝥（去翅足）、甲皮（炒）、巴豆（去油）各四钱，共研为细末。病情重的用酒送服一钱，轻的用六分。
广疮鱼口横
土茯苓（用米泔水洗，捶碎。忌用铁器。白色的好，红色的能杀人）、粉霜、以硝、皂矾、明矾、水银各二钱，银罐合好，用盐泥封固放在炉内，用文火武火煅烧。一种病症只用六厘，用黄米饮做成丸药，切成七份服用，每次服用三粒或五粒，用雄黄做衣，空腹用酒送服。禁忌房事、一切毒物，大小便不可让人闻到。（出自...
(Note: Chancre)
Those suffering from hernia must not consume waxberries (Yangmei) together with distilled liquor; doing so will cause immediate recurrence, which is incurable.
The seven types of hernias present different symptoms and require distinct treatments. For example, Cold Hernia: the scrotum is cold, hard as a stone, the penis does not erect, or there is pain radiating to the testicles. This results from sitting or lying in damp places or wading through water; it should be treated with purgatives that dispel dampness. Water Hernia: the scrotum swells like crystal, sweating occurs in the genital area, itching leads to yellow fluid discharge upon scratching, or pressing the lower abdomen produces sound. This results from sexual intercourse while drunk, exposure to wind after sweating, and the accumulation of cold-dampness in the scrotum; it should be treated with purgatives that drain water. Sinew Hernia: swelling of the penis, ulceration, pus discharge, or pain; tenesmus and sinew contraction; or penile pain. Extreme pain may lead to itching, protrusion that cannot retract, and white discharge resembling semen during urination. This is caused by evil arts in sexual activity; it should be treated with agents that descend Heart Fire. Blood Hernia: shaped like a cucumber, located on both sides of the lower abdomen at the ends of the transverse bone, commonly known as chancre. This results from repeated exposure to the intense heat of spring and summer, exertion in sexual activity, overflow of Qi, infiltration into the bladder and scrotum, forming an abscess; it should be treated with blood-regulating purgatives. Qi Hernia: extends from the kidney region to the scrotum, causing distension due to crying, anger, or Qi stagnation; it should be treated with Qi-dispersing purgatives. Fox Hernia: shaped like a tile, entering the abdomen when lying down and descending when walking, moving up and down unpredictably, confusing like a fox, hence the name; it should be treated with agents that expel Qi and unblock meridians. [Missing Character] Hernia: the scrotum swells large as a measuring vessel, without itching or pain, arising from dampness; it should be treated with dampness-dispelling purgatives.
Hernia originates in the Liver Meridian; it should be unblocked rather than obstructed, and has absolutely no connection to the Kidney Meridian. Some are formless and soundless, some have form like melons, some make sounds like frogs; these are hernia diseases. In the initial stage, damp-heat stagnates in the meridians for a long time, followed by external constriction by cold air preventing dispersion, thus causing pain. One must not rigidly diagnose this as a cold syndrome. It requires a combination of cold and hot properties, using Shenxiao Tang with modifications. Chuanwu (Aconiti Radix Preparata) disperses cold air, Zhizi (Gardeniae Fructus) clears damp-heat; both are primary drugs for the Lower Jiao, acting very quickly.
Wood Hernia (also known as Wood Kidney)
When the Heart Fire descends, the Kidney Water is assured to be warm; when True Yang descends, the Kidney Water is assured to be harmonious. Warm and harmonious, how can there be "Wood Excess"? Wood excess injures the Kidney! Therefore, dry herbs should not be used exclusively. Instead, methods of warming, harmonizing, dispersing, and draining should be employed to expel pathogens, thereby eliminating them and promoting the flow of Ying and Wei.
Herbs: Gouqi (Lycii Cortex), Kunbu (Laminariae Thallus), Wuzhuyu (Evodiae Fructus) each 4 liang; Nanting (Arisaematis Rhizoma), Banxia (Pinelliae Rhizoma), Baizhi (Angelicae Dahuricae Radix), Zharon (Crataegi Fructus), Chao Shenqu (Mikaniae Fermentatum) each 3 liang; Huashi (Talcum, stir-fried), Cangzhu (Atractylodis Rhizoma).
Grind into powder, mix with wine to form pills the size of mulberry seeds. Take 70 pills per dose, with salt water on an empty stomach. (From *Mifang Jiyan*)
Two-Layer Fennel Pills (Treats all hernias with divine efficacy. Especially important for certain hernias.)
First Batch: Da Huixiang (Foeniculi Fructus) mixed with salt 5 qian, stir-fried and weighed with salt; Shashen (Glehniae Radix), Chuanlianzi (Toosendan Fructus, pitted and stir-fried), Muxiang (Aucklandiae Radix) each 1 liang. Grind into powder, use rice paste boiled in water to form pills the size of mulberry seeds. Take 2 qian per dose, with salt water on an empty stomach, three times daily. Immediately follow with the Second Batch, adding Bibo (Piperis Kadsurae Fructus) 1 liang and Binglang (Arecae Semen) 5 qian to the previous formula to form pills. If not cured, take the Third Batch, adding Baifuling (Poria) 4 liang and Fuzi (Aconiti Lateralis Radix Preparata) 1 liang to the previous two formulas to form pills, taking 3 qian per dose. Even hernias lasting thirty years, large as a basket, can be eradicated. (From *Yizong Bidu*)
Immortal Formula for Treating Hernia
Xiao Hui (Foeniculi Fructus), Da Hui (Foeniculi Fructus) each 1 liang (powder); one pig urinary bladder.
Place the medicine inside the bladder, tie tightly, and boil in wine in a clay pot until soft. Pound the bladder and medicine together to form pills the size of mulberry seeds. Take 50 pills with plain water. (From *Bifeng Zaxing*)
Blood Hernia and Chancre (Disperses immediately whether formed or unformed)
Banmao (Mylabris, remove feet) 3; Huashi (Talcum) 3 qian.
Divide into three doses, taken on an empty stomach. After one dose, toxins exit via urine. If painful, decoche Cheqiancao (Plantaginis Herba), Mutong (Akebiae Caulis), Zexie (Alismatis Rhizoma), and Zhuling (Polyporus) to drink. (Dongyuan's Formula)
Banbai San (Treats Chancre)
Banmao (stir-fried) 1 qian; Baizhi (Angelicae Dahuricae Radix) 8 fen.
Grind into powder. Take 6 fen per dose, with wine on an empty stomach; effective immediately. Another method: Use one large toad, skin and gut, pound into paste, add 5 green onions, pound again, apply externally, then cover with the toad skin. Another method: Ruxiang (Olibanum), Moyao (Myrrha) each 1.5 qian; Jiangcan (Bombyx Batryticatus) 2 qian; Quanxie (Scorpio) 3 qian (washed); Wugong (Scolopendra) 8 qian; Banmao (remove wings/feet), Jiapi (Testudinis Carapax et Plastrum, stir-fried), Badou (Crotonis Fructus, oil removed) each 4 qian. Grind all into powder. Severe cases: take 1 qian with wine; mild cases: take 6 fen.
Guang Chuang Yu Kou Heng
Tufuling (Smilacis Glabrae Rhizoma, wash with rice water, crush. Avoid iron vessels. White is good, red can kill), Fen Shuang (Calomelas), Yixiao (Natrii Sulfas), Zaofan (Vitriolum), Mingfan (Alumen), Shuiyin (Hydrargyrum) each 2 qian. Seal well in a silver jar, seal with salt mud, place in furnace, calcine with gentle and strong fire. One symptom uses only 6 li. Form pills with yellow millet drink, divide into seven doses. Take 3 or 5 pills per dose, coated with Xionghuang (Realgar), with wine on an empty stomach. Avoid sexual intercourse and all toxic substances. Do not let others smell urine and feces. (From...)