脉寸口弦紧为寒疝（弦则卫气不行，不行则恶寒。）寸口迟缓为寒疝（迟为寒，缓为气，
气寒相搏故痛。）脉沉紧豁大者为虚。脉滑为疝。急为疝。搏为疝。见于何部而知其藏所病。
盖病全在厥阴肝经。有因湿热在经，抑遏至久，又感外寒，湿热被郁而
作痛，或大劳则火起于筋，醉饱则火起于胃，房劳则火起于肾，大怒则火起于本经。
凡火郁之甚，湿气便盛，浊气凝聚，并入血隧，流于肝经，为寒所束，宜其痛甚。
有因痰饮食积，流入厥阴，聚结成核。
有因痰血结于本经。
有因本经虚或寒，然肝经与冲任督所会聚于阴器，伤于寒则阴缩入，伤于热
则缓挺不收，盖木性速急也。
丁香练实丸
川归（酒洗） 附（炮去皮脐） 川楝子 茴香（各一两以酒三升煮尽焙干作入下药） 丁
香木香（五分） 蝉蝎（十三个） 玄胡（五钱）
上同为末，酒糊丸，梧子大，酒下百丸。
参术丸 治虚疝脉豁者死。
人参 白术 栀子 香附
秘方 治诸症。
枳实（止痛） 山栀 茱萸 山楂 橘子（以上去核积） 桃仁（去瘀血） 川乌（同栀劫
痛） 桂枝（止痛不定用之） 青皮 荔核（湿则加之）
仓卒散 治寒疝入腹，心腹卒痛，小腹膀胱气绞，腹冷重如石，自汗。
山枝（四十个烧半过） 附（一个炮） 一方有乌无附酒煎下二钱。
神应散 治诸疝此方能散气开结。
玄胡 胡椒 或有茴香酒煎二钱。
牡丹丸 治寒疝，心腹刺痛及血。
川乌（炮去皮尖） 牡丹皮（各四钱） 桃仁（炒去皮尖） 桂（各五钱） 青皮 俱为末，蜜丸，酒下。
桃仁汤 治 疝。
桃仁（如泥） 茱萸 桂枝 青皮 枳壳 槟榔 木香 山棱 莪术 蒺藜 海藻 茯苓
任意加减服。
治 要药
苍术 南星 半夏 白芷（散水） 川芎 枳实 山楂
应痛丸 治败积恶物不出，结成疝痛不忍。
阿魏（二两醋和乔麦面裹，火煨熟） 槟榔（大者两个，刮空入滴乳香满盛，将刮下末和乔
麦面裹，慢火煨。）
为末，入KT 砂一钱、赤芍药一两，同为末，面糊和丸，梧子大，盐酒下。
雄黄散 治阴肿大如斗，核痛。
矾（一两） 雄黄（五钱） 甘草（二钱半） 煎洗。
张论有七疝
寒疝 因寒水湿处使内过多，囊冷结硬如石，阴茎不举或控睾丸而宜温剂下之。
小疝 因醉使内汗出，遇风寒湿气，聚囊肿痛如水晶，搔出黄水，小腹
按之作水声，宜逐水。
筋疝 因房劳及邪术所使，阴茎肿，或溃脓、或痛而里急筋缩，或挺不收，
或白物如精，或茎痛，痛极则痒，宜降火下之。
血疝 因使内气血流溢，渗入脬囊，结为痈脓，名便痈，宜和血。
气疝 因怒气而胀，怒罢则散，宜以疝气下之。
孤疝 状如仰瓦，卧则入小腹，行立出囊中，宜逐气流经之剂下之。
疝 因湿得之，重如升斗，不痒不痛，宜去湿之药下之。
三因有四
气 因七情藏气下坠，阴 肿胀急痛，易治。
水 同 疝。
肠 因房劳过度，元藏虚冷，肠边 系不收，坠入囊中，上下无定，此难治。
卵 因劳役坐马，致卵核肿胀，或偏有大小，上下无常，亦难治也。
茎挺长（湿热也），小柴胡加黄连；有块加青皮；外服用丝瓜汁调五倍子末服。
脉象在寸口部位呈现弦紧，是寒疝（因寒邪凝滞肝经所致的少腹牵引睾丸疼痛的病证）的表现（弦脉表示卫气运行不畅，卫气不行则出现恶寒）。寸口脉象迟缓也是寒疝的表现（迟脉主寒，缓脉主气，寒气与气相互搏结因此产生疼痛）。脉象沉紧且豁大的是虚证。脉滑是疝病。脉急是疝病。脉搏动有力是疝病。根据脉象出现在哪个部位，可以知道是哪个脏腑患病。大概疾病完全在于厥阴肝经。有的因为湿热在经络中，被压抑很久，又感受外寒，湿热被郁遏而发作疼痛；或者过度劳累则火起于筋脉，醉酒饱食则火起于胃，房事过度则火起于肾，大怒则火起于本经（肝经）。凡是火郁结得很厉害，湿气就会旺盛，浊气凝聚，并入血隧（血脉通道），流注于肝经，被寒气束缚，所以疼痛剧烈。有的因为痰饮和饮食积滞，流入厥阴肝经，聚结形成肿块。有的因为痰血结在本经。有的因为本经虚或寒，然而肝经与冲脉、任脉、督脉汇聚于阴器，受寒则阴茎内缩，受热则松弛挺举不收，这是因为木性（肝属木）急速紧急的缘故。
丁香练实丸
当归（酒洗） 附子（炮制去皮脐） 川楝子 茴香（各一两，用三升酒煮至酒尽，焙干后作为下药加入） 丁香 木香（各五分） 蝎梢（十三个） 玄胡索（五钱）
以上药物共同研为细末，用酒糊制作成丸，如梧桐子大小，用酒送服一百丸。
参术丸 治疗虚疝脉象豁大的预后不良（死）。
人参 白术 栀子 香附
秘方 治疗各种症状。
枳实（止痛） 山栀 吴茱萸 山楂 橘子（以上去核留皮） 桃仁（去除瘀血） 川乌（同栀子一起劫夺疼痛） 桂枝（止痛，不一定使用） 青皮 荔枝核（湿重时加上）
仓卒散 治疗寒疝入腹，心腹部突然疼痛，小腹膀胱气绞结，腹部寒冷沉重如石头，自汗出。
山栀（四十个烧至半焦） 附子（一个炮制） 另一方有乌头无附子，用酒煎服二钱。
神应散 治疗各种疝病，此方能疏散气机、开解结聚。
玄胡索 胡椒 或者有茴香，用酒煎服二钱。
牡丹丸 治疗寒疝，心腹部刺痛及伴有出血。
川乌（炮制去皮尖） 牡丹皮（各四钱） 桃仁（炒制去皮尖） 桂枝（各五钱） 青皮 全部研为细末，蜜丸，用酒送服。
桃仁汤 治疗疝病。
桃仁（捣如泥状） 吴茱萸 桂枝 青皮 枳壳 槟榔 木香 三棱 莪术 蒺藜 海藻 茯苓
任意加减服用。
治疗疝病的要药
苍术 天南星 半夏 白芷（发散水湿） 川芎 枳实 山楂
应痛丸 治疗败积恶物排不出，结成疝痛难以忍受。
阿魏（二两，用醋调和荞麦面包裹，火煨熟） 槟榔（大的两个，刮空填入滴乳香满盛，将刮下的粉末混合荞麦面包裹，慢火煨。）
研为细末，加入硼砂一钱、赤芍药一两，共同研为细末，用面糊和丸，梧桐子大小，盐酒送服。
雄黄散 治疗阴囊肿大如斗，睾丸疼痛。
明矾（一两） 雄黄（五钱） 甘草（二钱半） 煎水清洗。
张景岳论述有七种疝
寒疝 因受寒、涉水、居处潮湿以及房事过多，导致囊冷结硬如石，阴茎不举或牵引睾丸疼痛，适宜用温剂治疗。
小疝 因醉酒后行房出汗，遇到风寒湿气，聚于阴囊肿痛如水晶，搔抓流出黄水，小腹按压有水声，适宜逐水治疗。
筋疝 因房劳过度及邪术所致，阴茎肿胀，或溃烂流脓、或疼痛伴里急筋缩，或挺举不收，或有白色分泌物如精液，或茎部疼痛，痛极则痒，适宜降火治疗。
血疝 因行房时气血流溢，渗入脬囊，结为痈脓，名为便痈，适宜调和血液治疗。
气疝 因怒气导致胀满，怒息后消散，适宜用治疝气的方法治疗。
孤疝 形状像仰放的瓦片，卧时进入小腹，站立时出于阴囊中，适宜用逐气流经的药剂治疗。
湿疝 因湿气所致，沉重如升斗，不痒不痛，适宜用祛湿药物治疗。
三因有四种
气疝 因七情导致脏气下坠，阴囊肿胀急痛，容易治疗。
水疝 同湿疝类似。
肠疝 因房劳过度，元脏虚冷，肠边系膜不收，坠入囊中，上下移动不定，这难治疗。
卵疝 因劳役坐马，导致睾丸肿胀，或偏大偏小，上下无常，也难治疗。
Pulse at the Cun Kou (Cun position) presenting as Xian (Wiry) and Jin (Tight) indicates Han She (Cold Hernia, a condition of pain in the lower abdomen radiating to the testicles caused by cold pathogen stagnation in the Liver meridian). A Wiry pulse indicates that Wei Qi (Defensive Qi) is not circulating; when it does not circulate, aversion to cold occurs. A Chi (Slow) and Huan (Relaxed) pulse at the Cun Kou also indicates Han She. Slow pulse indicates Cold, Relaxed pulse indicates Qi; the struggle between Cold and Qi causes pain. A Chen (Deep), Jin (Tight), and Huo Da (Hollow and Large) pulse indicates Deficiency. Hua (Slippery) pulse indicates She disease. Ji (Rapid/Tense) pulse indicates She disease. Bo (Beating/Forceful) pulse indicates She disease. By observing which location the pulse appears in, one can determine which Zang organ is diseased. Generally, the disease lies entirely in the Jue Yin Liver Meridian. Some cases arise from Shi Re (Damp-Heat) in the meridians, suppressed for a long time, combined with external Cold; the Damp-Heat is constrained and causes pain. Or, excessive labor causes Fire to arise in the sinews; drunkenness and overeating cause Fire to arise in the Stomach; sexual excess causes Fire to arise in the Kidney; extreme anger causes Fire to arise in this meridian (Liver). When Fire is severely constrained, Dampness becomes abundant, turbid Qi condenses, enters the blood vessels, flows into the Liver Meridian, and is bound by Cold, thus causing severe pain. Some cases arise from Tan Yin (Phlegm-Rheum) and food retention flowing into the Jue Yin, gathering to form nodules. Some cases arise from Phlegm-Blood stagnation in this meridian. Some cases arise from deficiency or Cold in this meridian. However, the Liver Meridian converges with the Chong, Ren, and Du meridians at the genitalia; injury by Cold causes retraction of the penis, while injury by Heat causes flaccidity and inability to retract, because the nature of Wood (Liver) is swift and urgent.
Ding Xiang Lian Shi Wan (Clove and Elaeocarpus Pill)
Chuan Gui (Szechwan Lovage Root, wine-washed) Fu Zi (Prepared Aconite Child, processed, skin and umbilical scar removed) Chuan Li Zi (Sichuan Chinaberry Fruit) Hui Xiang (Fennel Fruit) [each 1 liang, boiled in 3 sheng of wine until dry, then dried and added to the powder] Ding Xiang (Clove) Mu Xiang (Costus Root) [each 5 fen] Chan Xie (Scorpion Tail) [13 pieces] Xuan Hu (Corydalis Rhizome) [5 qian]
Grind all together into fine powder, mix with wine paste to make pills the size of wutong seeds, take 100 pills with wine.
Shen Zhu Wan (Ginseng and Atractylodes Pill) Treats Xu She (Deficient Hernia); if the pulse is Huo Da (Hollow and Large), the prognosis is fatal.
Ren Shen (Ginseng Root) Bai Zhu (Atractylodes Macrocephala Rhizome) Zhi Zi (Gardenia Fruit) Xiang Fu (Cyperus Rhizome)
Secret Formula Treats various symptoms.
Zhi Shi (Immature Bitter Orange) [for pain relief] Shan Zhi (Gardenia Fruit) Zhu Yu (Evodia Fruit) Shan Zha (Hawthorn Fruit) Ju Zi (Citrus Reticulata Peel) [above remove pits, keep peel] Tao Ren (Peach Seed) [remove stasis] Chuan Wu (Sichuan Aconite Root) [with Gardenia to seize pain] Gui Zhi (Cinnamon Twig) [for pain, optional use] Qing Pi (Green Citrus Peel) Li He (Lychee Seed) [add if dampness is heavy]
Cang Cu San (Sudden Powder) Treats Han She entering the abdomen, sudden heart and abdominal pain, strangury of Qi in the lower abdomen and bladder, abdomen cold and heavy like stone, spontaneous sweating.
Shan Zhi (Gardenia Fruit) [40 pieces, roasted half-charred] Fu Zi (Prepared Aconite Child) [1 piece, processed] Another formula uses Wu Tou (Aconite Root) instead of Fu Zi, decocted in wine, take 2 qian.
Shen Ying San (Divine Response Powder) Treats various She diseases; this formula can dissipate Qi and resolve knots.
Xuan Hu (Corydalis Rhizome) Hu Jiao (Black Pepper) If Hui Xiang (Fennel Fruit) is present, decoct in wine, take 2 qian.
Mu Dan Wan (Moutan Pill) Treats Han She, stabbing pain in the heart and abdomen, and bleeding.
Chuan Wu (Sichuan Aconite Root, processed, skin and tip removed) Mu Dan Pi (Tree Peony Bark) [each 4 qian] Tao Ren (Peach Seed, stir-fried, skin and tip removed) Gui Zhi (Cinnamon Twig) [each 5 qian] Qing Pi (Green Citrus Peel) Grind all into powder, make honey pills, take with wine.
Tao Ren Tang (Peach Kernel Decoction) Treats She disease.
Tao Ren (Peach Kernel, mashed into paste) Zhu Yu (Evodia Fruit) Gui Zhi (Cinnamon Twig) Qing Pi (Green Citrus Peel) Zhi Ke (Bitter Orange Fruit) Bing Lang (Areca Nut) Mu Xiang (Costus Root) San Leng (Burreed Rhizome) E Zhu (Curcuma Rhizome) Ji Li (Tribulus Fruit) Hai Zao (Sargassum Seaweed) Fu Ling (Poria)
Modify arbitrarily according to condition.
Key Herbs for Treating She Disease
Cang Zhu (Atractylodes Lancea Rhizome) Nan Xing (Arisaema Rhizome) Ban Xia (Pinellia Tuber) Bai Zhi (Angelica Dahurica Root) [disperses water] Chuan Xiong (Ligusticum Rhizome) Zhi Shi (Immature Bitter Orange) Shan Zha (Hawthorn Fruit)
Ying Tong Wan (Pain-Relieving Pill) Treats failure of敗积 (decayed accumulation) and evil substances to exit, forming painful She.
A Wei (Ferula Resin) [2 liang, mixed with vinegar and buckwheat flour, wrapped and roasted in fire] Bing Lang (Areca Nut) [2 large ones, hollowed out and filled with Ru Xiang (Frankincense Resin), mixed with scraped powder and buckwheat flour, wrapped and slow-roasted]
Grind into powder, add Peng Sha (Borax) 1 qian, Chi Shao Yao (Red Peony Root) 1 liang, grind together into powder, mix with flour paste to make pills the size of wutong seeds, take with salted wine.
Xiong Huang San (Realgar Powder) Treats scrotal swelling as large as a dou (measure), testicular pain.
Fan Shi (Alum) [1 liang] Xiong Huang (Realgar) [5 qian] Gan Cao (Licorice Root) [2.5 qian] Decoct for washing.
Zhang's Discussion on Seven Types of She Disease
Han She (Cold Hernia) Caused by cold, water exposure, damp living conditions, and excessive intercourse, leading to cold, hard scrotum like stone, impotence, or pain radiating to testicles; treat with warming agents.
Xiao She (Small Hernia) Caused by intercourse after drunkenness and sweating, encountering wind-cold-dampness, accumulating in scrotum causing pain like crystal, scratching yields yellow fluid, water sound upon pressing lower abdomen; treat by draining water.
Jin She (Sinew Hernia) Caused by sexual excess and evil arts, penile swelling, or ulceration with pus, or pain with tenesmus and sinew contraction, or flaccidity without retraction, or white discharge like semen, or penile pain, itching when pain is extreme; treat by descending Fire.
Xue She (Blood Hernia) Caused by blood and qi overflow during intercourse, seeping into the bladder sac, forming abscess/pus, named Bian Yong (Perineal Abscess); treat by harmonizing blood.
Qi She (Qi Hernia) Distension due to anger, dispersing when anger subsides; treat with hernia-Qi resolving methods.
Gu She (Solitary Hernia) Shape like an inverted tile, enters lower abdomen when lying down, emerges from scrotum when standing/walking; treat with agents that drain qi and flow through meridians.
Shi She (Damp Hernia) Caused by dampness, heavy as a sheng/dou measure, no itching or pain; treat with damp-draining herbs.
Three Causes, Four Types
Qi She (Qi Hernia) Due to seven emotions causing visceral qi to sink, scrotal swelling and acute pain, easy to treat.
Shui She (Water Hernia) Similar to Shi She (Damp Hernia).
Chang She (Intestine Hernia) Due to excessive sexual activity, deficiency and cold of Yuan Zang (Primordial Viscera), intestinal mesentery fails to hold, intestine drops into scrotum, moving up and down不定ly, difficult to treat.
Luan She (Testicle Hernia) Due to labor and horse riding, causing testicular swelling, or asymmetry in size, moving up and down不定ly, also difficult to treat.
Penile Priapism (due to Damp-Heat): Use Xiao Chai Hu Tang (Minor Bupleurum Decoction) plus Huang Lian (Coptis Rhizome); if masses are present, add Qing Pi (Green Citrus Peel); externally, apply Si Gua Zhi (Loofah Juice) mixed with Wu Bei Zi Mo (Galla Chinensis Powder).