朱丹溪于此道中甚有发明，而其临症处方，又多以扶植元气为主，孰虑人遭厄运，其手
书皆不传
，而传于世者，皆为盲夫俗子裁剪增续，疵谬实多。《纂要》一书，其舛尤甚。凡丹溪长处
皆为删去，甚可恨也。即如疝症一门，首载云∶专主肝经，与肾虚而致者甚多。肝乃肾之子，而前
阴肾之窍也，欲补其肝，能无顾其母乎，而世俗执肝无补法之论，逢一疝症，辄为肝实，过用克伐，
死者多矣。今《纂要》中全不载一补法，时师既无正悟之明，又无他书足考，焉得而不误也。按
∶
丹溪云，疝有挟虚而发者，其脉不甚沉紧，而豁大无力者是也。当以参、术为君，疏导药佐
之，何尝封锁补法哉。张仲景治寒疝腹中痛，又胁痛里急者，当归生姜半肉汤主之。《本草衍义》称
其无
不应验，岂非补肝之效乎。余每治病甚气上冲心危急者，以八味丸投之立应，又补肾之一验
也
。又大便不通者，当利大便，如许叔微、罗谦甫，皆用芫花是已。今如《纂要》云∶不干肾
经，则五
苓不当用。又言∶疝不可下，则芫花不当用。而所列者，惟数种破血之药，苦辛杂收，寒热
无别
，既不能补肝肾之真阴，又不能通利二窍，使邪有所泄，而耗其气于冥冥之中，且日趋于危
而不自觉也，岂不悖哉。
疝有七种，治当分别。虚实寒热，未可泥于温补。亦不可过用破气之品，景岳言之详矣
。
朱丹溪在疝病的研究上颇有创见，但他临床处方时，多以扶持元气为主。可惜他遭遇厄运（指著作散佚），手稿大多未流传下来，而流传于世的版本，都是被不懂医理的庸医裁剪增补，错误谬误实在很多。《纂要》这本书，其中的错漏尤其严重。凡是朱丹溪的高明之处都被删去了，这真是令人痛恨。就拿疝症这一门来说，书中开头记载说：治疗专主肝经，以及肾虚导致的疝症非常多。肝是肾的儿子，前阴是肾的窍道，想要补肝，怎能不顾及作为母脏的肾呢？但世俗之人执着于“肝无补法”的理论，遇到疝症就认为是肝实证，过度使用克伐攻邪的药物，导致死亡的人很多。现在的《纂要》中完全不记载任何补法，当时的医生既没有正确的领悟，又没有其他书籍可供考证，怎么能不犯错呢？
按照：朱丹溪曾说，疝病有因虚而发的，其脉象不甚沉紧，而是豁大无力的，就是这种情况。应当以人参、白术为君药，配合疏导药物作为佐使，何曾封锁过补法呢？张仲景治疗寒疝腹中疼痛，又伴有胁痛、里急后重者，用当归生姜羊肉汤主治。《本草衍义》称其没有不灵验的，这难道不是补肝的效果吗？我每次治疗那些气机上冲心胸、情况危急的病人，投用八味丸立刻见效，这也是补肾的一个验证。还有大便不通的，应当通利大便，像许叔微、罗谦甫等人，都使用芫花，就是这个道理。现在像《纂要》中说：如果不关乎肾经，就不当用五苓散。又说：疝病不可用下法，那么芫花就不当使用。而书中列出的，只有几种破血药物，苦辛混杂收集，寒热不分，既不能补益肝肾的真阴，又不能通利二便使邪气有出路，反而在不知不觉中耗损正气，并且一天天趋向危重而自己却不觉察，这岂不荒谬吗？
Zhu Danxi made significant contributions to the understanding of hernia (Shan), and his clinical prescriptions primarily focused on supporting Yuan Qi (Primal Qi). Regrettably, due to misfortune, his handwritten manuscripts were not transmitted, and those that circulated in the world were edited, added to, and continued by ignorant quacks, resulting in numerous errors and fallacies. The book *Zuan Yao* is particularly rife with such mistakes. All of Zhu Danxi's superior insights have been deleted, which is truly hateful. Taking the category of hernia as an example, it begins by stating: "Treatment focuses specifically on the Liver Meridian, and many cases are caused by Kidney Deficiency." The Liver is the child of the Kidney, and the anterior orifice is the opening of the Kidney. If one wishes to tonify the Liver, how can one neglect its mother organ? However, laypeople adhere to the theory that "the Liver has no tonification method," and upon encountering a case of hernia, they invariably diagnose it as Liver Excess, overusing draining and attacking methods, leading to many deaths. The current *Zuan Yao* does not record any tonification methods at all. Physicians of the time, lacking correct insight and having no other books for reference, inevitably make mistakes.
According to Zhu Danxi: Hernia can arise from deficiency; in such cases, the pulse is not deeply tight but rather wide and forceless. One should use Ren Shen (Ginseng) and Bai Zhu (Atractylodes Macrocephala Rhizome) as the sovereign drugs, assisted by herbs that promote circulation and drainage. How could he have blocked tonification methods? Zhang Zhongjing treated cold hernia with abdominal pain, accompanied by hypochondriac pain and internal tension, using Dang Gui Sheng Jiang Yang Rou Tang (Angelica Sinensis, Ginger, and Mutton Decoction). *Bencao Yan Yi* states that it is effective without exception; is this not evidence of the effect of tonifying the Liver? In my own practice, when treating patients suffering from critical conditions where Qi rushes upward to the chest and heart, I administer Ba Wei Wan (Eight-Ingredient Pill with Rehmannia) and see immediate results; this is another verification of tonifying the Kidney. Furthermore, in cases of constipation, one should promote bowel movement. For instance, Xu Shuwei and Luo Qianfu both used Yuan Hua (Genkwa Flower). Yet, *Zuan Yao* claims: "If it does not involve the Kidney Meridian, Wu Ling San (Five-Ingredient Powder with Poria) should not be used." It also states: "Hernia should not be treated with purgatives," implying that Yuan Hua should not be used. The herbs listed in the book are merely a few blood-breaking agents, mixed arbitrarily between bitter and acrid, cold and hot. They neither tonify the True Yin of the Liver and Kidney nor facilitate the free flow of the two lower orifices to allow pathogenic factors to exit. Instead, they silently deplete Qi, driving the patient toward danger day by day without their awareness. Is this not absurd?
There are seven types of hernia, and treatment must distinguish between them. Regarding deficiency, excess, cold, and heat, one should not rigidly adhere to warm tonification. Nor should one overuse herbs that break Qi. Zhang Jingyue has discussed this in detail.