左关弦急而鼓，右关尺俱浮大而无力。此命门火衰，不能生木土，肝木乘旺，复来侮脾。用葫芦巴、元胡索等
疏肝之剂，以治其标，随用八味丸，益火之原，以清阴翳，间进参、术补脾之药，以治其本，渐安。数载沉 ，
不三月而愈。（朱氏选。）
钱国宾云∶黄州客陈思云，负货行至德州仕馆。其人素有疝气，忽然阴子渐大如斗，半月卧床不起。偶有
道人化斋，彼甚嗔怪。道人曰∶尔病尚得我医，如何发怒？遂请进见，坐问根由，与芡实大红药丸，用无根凉
水送下，供之而出。去约三日后再来看汝。陈服药腹中微响，若周身气行之状。至三日消已大半，道人又至，
仍与前药二丸，三日一次，服尽阴子如故。谢银一两不受，讨紫花布道袍一件而去。陈求丸方，曰∶此药汝不
能合，用紫金锭，亦可以消斗大之阴子也。余与同寓亲见其治，九日而消斗大之阴子，真仙丹也。
蒋仲芳一日治二疝，一人升上作病，一人坠下作痛，俱闷痛欲绝。升上者，与故纸三两，炒黑丑一两，生
硫黄七钱，俱为末，盐酒打面糊为丸，盐酒送下。坠下者，与补中益气汤加杜仲、故纸、肉桂、炮姜、香附、
川芎。二人骇曰∶疝气同也，何方不同若是？曰∶姑且试之。至明日而皆愈。
潘惟秋间患疝气症，服肉桂、小茴香、荔核之类不应。自用生姜泡沙糖汤服，一二日稍愈，遂止饮沙糖汤
而愈。（沈初兄抄本。）
吴桥治胡有濡父旦，递以疝作逆桥，桥以其人习饮醇，第以凉剂而清湿热遂愈。一日疝作，适桥他出，乃
逆方生，家人出桥旧方示之，生按方而治不效。顷之则小溲浸短，小腹浸坚，复逆文学先生至，注黄金二镒，
属性学箧中，文学力任之治。再信而病益进，短者枯，坚者石矣。既而桥至，则病患递出错言。桥心异之，
此神乱也。既诊曰∶殆矣。有濡曰∶家大人疝递作，赖公一再剂而瘳，乃今两君子亦仿故方，何卒不效？桥曰∶
此刻舟也。今病得之内，当在阴，两君复以阴药投之，嫌于无阳也。既以阴剂阴，阳失其健而不能运，则壅阏
矣。家人侦其故，则与女竖私焉。桥辞归，旦中夜死。文学 箧归金而去。（《太函集》。）
魏玉横曰∶汪氏甥素有疝症，发则囊如盛二升粟，憎寒壮热，或与小茴香、青皮、木香、葫芦巴等服
之，囊肿赤而痛甚，势将成痈。次日仍与前药。诊之，脉数大无伦，面赤黯，亟用熟地二两，杞子一两，川楝
一枚，一剂而愈。后与人哄，巅顶着棒，闷绝而苏。次日，阴囊肿大如疝发时，于是巅痛甚则囊痛减，囊痛甚
则巅痛减，寒热往来，专科递治无效。盖厥阴肝脉，下络纂上行巅，故上下相连，而其痛则互为消长也。与前
方数剂，上下皆愈。凡疝治之失宜，过服香辛燥烈之剂，遂成劳损者伙矣。
鲍二官六七岁时，忽腹痛发热，夜则痛热尤甚。或谓风寒，发散之不效。又谓生冷，消导之不效。诊之，
面洁白，微有青气。按其虚里，则筑筑然跳动。问其痛，云在少腹。验其囊，则两睾丸无有。曰∶此疝痛也。
与生地、甘杞、沙参、麦冬、川楝、米仁，二剂全愈。凡疝症虽有寒、湿、痰、气之殊，余所愈多以此方，
捷如桴鼓。盖症虽不一，而病属厥阴则一也。要之，肝木为病，大抵燥火多而寒湿绝少也。余 儿十岁时，忽
蹲地以拳柱其腹，宛转不能语，察其面青，知疝发也。亟以杞子一两，川楝一枚，煎服，下咽立愈。
左关脉象弦急且搏动有力，右关及尺部脉象均浮大但按之无力。这是命门之火衰微，不能温煦肝木与脾土，导致肝木乘势亢盛，进而反侮脾土。先用葫芦巴、延胡索等疏肝理气的药物，以治其标；随后服用八味丸，补益命门之火以消除阴寒之邪，间或进服人参、白术等健脾补气的药物，以治其本，病情逐渐安定。数年的沉疴，不到三个月便痊愈了。（选自朱氏选编）
钱国宾说：黄州的客人陈思云，背着货物走到德州的仕馆。他平时就有疝气病，突然阴囊逐渐肿大如斗大，卧床半月起不来。偶然有个道人来化缘，他很生气责怪。道人说：“你的病我还能治好，怎么还发怒？”于是请道人进屋相见，坐下询问病因，给他芡实大红药丸，用无根凉水送下，供奉后让他离开。约莫三天后再来看你。陈思云服药后腹中微微作响，感觉周身之气在运行。到了第三天，肿胀消去大半，道人又来到，仍给前药两丸，每三日一次，服完后阴囊恢复如初。陈思云谢赠白银一两，道人不受，讨了一件紫花布道袍便离开了。陈思云求取药方，道人说：“这药你不能配制，用紫金锭，也可以消除斗大的阴囊肿块。”我和同住的人亲眼见到他的治疗，九天消除了斗大的阴囊肿块，真是仙丹啊。
蒋仲芳一天诊治两个疝气病人，一个疼痛向上牵引发作，一个疼痛向下坠胀发作，都感到闷痛欲绝。对于向上牵引的，给予故纸（补骨脂）三两，炒黑丑（牵牛子）一两，生硫黄七钱，都研为末，用盐酒调和面糊做成丸药，盐酒送下。对于向下坠胀的，给予补中益气汤加杜仲、故纸、肉桂、炮姜、香附、川芎。两人惊讶地说：“疝气是同一种病，为什么方剂不同到这种程度？”蒋仲芳说：“姑且试试。”到了第二天两人都痊愈了。
潘惟在秋季患疝气症，服用肉桂、小茴香、荔枝核之类的药物没有效果。自己用生姜泡红糖水服用，一两天后稍有好转，于是停止饮用红糖水而痊愈。（沈初兄抄本）
吴桥诊治胡有濡的父亲，疝气反复发作导致身体逆乱。吴桥认为此人习惯饮用烈酒，只用凉性药剂清除湿热便痊愈了。有一天疝气发作，恰逢吴桥外出，于是找医生方生诊治，家人拿出吴桥以前的药方给方生看，方生照方治疗无效。不久小便短少涩痛，小腹逐渐坚硬，又找文学先生诊治，赠送黄金二镒，放入文学先生的书箱中，文学先生尽力负责治疗。再次服药后病情更加加重，短小的变得干枯，坚硬的像石头一样。后来吴桥回来，发现病患不断说出错话。吴桥心里觉得奇怪，这是神志混乱了。诊脉后说：“危险了。”胡有濡说：“家父疝气反复发作，依靠您几剂药就治愈了，现在两位君子也模仿旧方，为什么突然无效？”吴桥说：“这是刻舟求剑。现在的病得之于内，应当在阴分，两位医生再用阴寒性质的药物投治，恐怕缺乏阳气。既然用阴剂治阴病，阳气失去健运而不能推动，就会壅塞阻滞。”家人探听原因，原来是和婢女私通所致。吴桥辞别回家，当夜病人死亡。文学先生将金子放回书箱离去。（《太函集》）
魏玉横说：汪氏的外甥平时就有疝症，发作时阴囊肿得像装了两升粟米，憎恶寒冷且高热，有时给他小茴香、青皮、木香、葫芦巴等服用，结果囊肿发红且疼痛剧烈，形势快要形成痈脓。第二天仍然给前药。诊察脉象数大无比，面色赤暗，急忙用熟地黄二两，枸杞子一两，川楝子一枚，一剂药后痊愈。后来与人争吵，头顶被棒击打，昏厥后苏醒。第二天，阴囊肿大如疝气发作时，于是头顶痛严重时阴囊痛减轻，阴囊痛严重时头顶痛减轻，寒热往来，专科医生连续治疗无效。因为厥阴肝脉，下行联络阴器，上行至头顶，所以上下相连，疼痛互为消长。给予前方数剂，上下都痊愈了。凡是疝气治疗失宜，过服香辛燥烈的药物，从而造成劳损的患者很多了。
鲍二官六七岁时，忽然腹痛发热，夜间疼痛发热尤其严重。有人说风寒，发散治疗不效。又说生冷，消导治疗不效。诊察时，面色洁白，微带青色。按压虚里穴，则跳动明显。问疼痛部位，说是少腹。检查阴囊，则两侧睾丸缺失。说：“这是疝痛。”给予生地、甘杞、沙参、麦冬、川楝、薏苡仁，两剂药完全痊愈。凡是疝症虽然有寒、湿、痰、气的不同，我所治愈的多用此方，见效快如鼓槌敲鼓。大概症状虽然不一，但病属厥阴经是一致的。总之，肝木为病，大多是燥火多而寒湿极少。我的儿子十岁时，忽然蹲在地上用拳头支撑腹部，辗转不能说话，观察他面色发青，知道是疝气发作。急忙用枸杞子一两，川楝子一枚，煎服，咽下立刻痊愈。
The pulse at the left Guan position is wiry, rapid, and forceful; the pulses at the right Guan and Chi positions are both floating, large, but weak upon pressure. This indicates a decline of Mingmen Fire (Gate of Life Fire), which fails to generate and warm Liver Wood and Spleen Earth. Consequently, Liver Wood overacts aggressively and subsequently insults Spleen Earth. Initially, herbs such as *Trigonella foenum-graecum* seed (Huluba) and *Corydalis yanhusuo* rhizome (Yuanhuxue) were used in formulas to soothe the Liver and treat the branch (manifestation). Subsequently, *Bawei Wan* (Eight-Ingredient Pill with Rehmannia) was administered to tonify the source of Fire, thereby clearing Yin turbidity. Intermittently, herbs like *Panax ginseng* root (Renshen) and *Atractylodes macrocephala* rhizome (Baizhu) were given to tonify the Spleen and treat the root (etiology). The condition gradually stabilized. A chronic ailment lasting several years was cured in less than three months. (Selected by Zhu)
Qian Guobin stated: Chen Siyun, a guest from Huangzhou, carrying goods arrived at an official residence in Dezhou. He had a history of hernia (Shan Qi). Suddenly, his scrotum enlarged gradually to the size of a dou (a unit of volume), leaving him bedridden for half a month. A Daoist priest came to beg for alms, which greatly angered Chen. The priest said, "Your illness can still be cured by me; why are you angry?" He was invited inside, questioned about the cause, and given a red pill made from *Euryale ferox* seed (Qianshi). It was taken with cool water without a source (rainwater or dew). After being served, he was dismissed. The priest said he would return in about three days. After taking the medicine, Chen felt slight rumbling in his abdomen, as if Qi was circulating throughout his body. By the third day, the swelling had reduced by more than half. The priest returned and gave two more pills, to be taken once every three days. After finishing the course, the scrotal swelling returned to normal. Chen offered one tael of silver in gratitude, which the priest refused; instead, the priest asked for and took a purple-flowered cloth Daoist robe before leaving. When Chen requested the prescription, the priest said, "You cannot prepare this medicine yourself. Using Zijin Ding (Purple Gold锭/Plaster) can also eliminate a scrotal swelling the size of a dou." I witnessed this treatment with my co-residents. In nine days, the dou-sized scrotal swelling disappeared; it was truly a celestial elixir.
Jiang Zhongfang treated two patients with hernia on the same day. One experienced pain radiating upward, while the other suffered from dragging pain downward. Both complained of stifling pain bordering on unbearable. For the patient with upward radiation, he prescribed 3 liang of *Psoralea corylifolia* fruit (Guzhi/Bu Gu Zhi), 1 liang of stir-fried black *Pharbitis nil* seed (Hei Qian Niu), and 7 qian of raw sulfur, all powdered. These were formed into pills using flour paste mixed with salted wine, taken with salted wine. For the patient with downward dragging pain, he prescribed *Buzhong Yiqi Tang* (Tonify the Middle and Augment the Qi Decoction) supplemented with *Eucommia ulmoides* bark (Duzhong), *Psoralea corylifolia* fruit (Guzhi), *Cinnamomum cassia* bark (Rou Gui), fried ginger (Pao Jiang), *Cyperi rhizoma* (Xiang Fu), and *Ligusticum chuanxiong* rhizome (Chuanxiong). The patients were astonished, saying, "The hernia is the same disease; how can the prescriptions differ so much?" Jiang replied, "Let us try it first." By the next day, both were cured.
Pan Weiqiu suffered from hernia in autumn. Medications such as *Cinnamomum cassia* bark (Rou Gui), *Foeniculum vulgare* fruit (Xiao Hui Xiang), and *Litchi chinensis* seed (Li He) were ineffective. He self-medicated with ginger-infused brown sugar water. After one or two days, he felt slightly better, so he stopped drinking the brown sugar water and recovered. (Copied by Shen Chu's elder brother)
Wu Qiao treated the father of Hu Youru, whose hernia recurred repeatedly causing systemic disharmony. Wu Qiao reasoned that since the patient habitually drank strong alcohol, cooling agents clearing damp-heat were sufficient to cure him. One day, the hernia flared up while Wu Qiao was away. The family consulted Doctor Fang Sheng, showing him Wu Qiao’s previous prescription. Fang Sheng followed the prescription, but it was ineffective. Soon, urination became scanty and difficult, and the lower abdomen became progressively hard. They then consulted Mr. Wenxue, offering two yi of gold placed in his book chest. Mr. Wenxue took charge of the treatment. Upon re-administration of the medicine, the condition worsened: the urinary tract dried up, and the hardness became stone-like. When Wu Qiao returned, he found the patient speaking nonsense. Wu Qiao suspected mental confusion. After palpating the pulse, he said, "It is critical." Hu Youru asked, "My father’s hernia recurred repeatedly, yet your few doses cured him. Now, why did the two gentlemen fail using similar old prescriptions?" Wu Qiao replied, "This is like carving a mark on a moving boat to find the sword. The current pathology originates internally and resides in the Yin aspect. The two doctors again administered Yin-cold medicines, lacking Yang support. Treating Yin with Yin agents causes Yang to lose its vigorous movement, leading to stagnation and obstruction." Investigating the cause, the family discovered the patient had engaged in sexual intercourse with a maid. Wu Qiao withdrew, and the patient died in the middle of the night. Mr. Wenxue retrieved the gold from his chest and left. (*Taihan Ji*)
Wei Yuheng stated: Wang’s nephew had a chronic hernia. During attacks, his scrotum swelled to the size of two sheng of millet, accompanied by aversion to cold and high fever. Sometimes, he took *Foeniculum vulgare* fruit (Xiao Hui Xiang), *Citrus reticulata* pericarp (Qing Pi), *Costus root* (Muxiang), and *Trigonella foenum-graecum* seed (Huluba). This resulted in the scrotal swelling becoming red and extremely painful, threatening to form an abscess. On the second day, the same herbs were given again. The pulse was rapid and excessively large; the face was dark red. Urgently, he was prescribed 2 liang of prepared *Rehmannia glutinosa* root (Shu Di Huang), 1 liang of *Lycium barbarum* fruit (Gouqi Zi), and one *Toosendan fructus* (Chuan Lian Zi). One dose resulted in a cure. Later, after an argument, he was struck on the head with a stick, fell unconscious, and revived. The next day, his scrotum swelled as during a hernia attack. Thus, when head pain was severe, scrotal pain decreased; when scrotal pain was severe, head pain decreased. He experienced alternating chills and fever. Specialist treatments failed. This is because the Jueyin Liver meridian connects below to the genitalia and ascends to the vertex. Therefore, the upper and lower parts are connected, and their pains wax and wane reciprocally. Several doses of the aforementioned formula cured both areas. Many cases of hernia become consumptive due to inappropriate treatment, specifically the excessive use of aromatic, pungent, and drying-hot agents.
Bao Erguan, at age six or seven, suddenly suffered from abdominal pain and fever, worse at night. Some attributed it to wind-cold; dispersing treatments failed. Others blamed cold/raw food; resolving treatments failed. Palpation revealed a pale white complexion with a slight bluish tint. Pressing the Xuli point (located above the heart apex) revealed distinct pulsation. Inquiry confirmed pain in the lower abdomen. Examination showed absent bilateral testicles. Diagnosis: Hernia pain. Prescribed *Rehmannia glutinosa* root (Sheng Di Huang), *Lycium barbarum* fruit (Gan Qi), *Adenophora stricta* root (Shashen), *Ophiopogon japonicus* tuber (Maidong), *Toosendan fructus* (Chuan Lian Zi), and *Coix lacryma-jobi* seed (Yiren). Two doses resulted in complete recovery. Although hernias may differ in etiology (cold, damp, phlegm, Qi stagnation), most of my cures utilized this formula, effective as swiftly as a drumstick striking a drum. Regardless of varying symptoms, the pathology belongs to the Jueyin meridian. Generally, Liver Wood pathologies involve mostly dry-fire rather than cold-dampness. My son, at ten years old, suddenly squatted on the ground, supporting his abdomen with fists, rolling in pain and unable to speak. Observing his blueish face, I identified a hernia flare-up. Urgently, I prescribed 1 liang of *Lycium barbarum* fruit (Gouqi Zi) and one *Toosendan fructus* (Chuan Lian Zi), decocted and administered. Upon swallowing, he recovered immediately.