痛引腰脊小肠气，加味香苏温散宜，上冲心痛失笑散，有形胡卢巴丸医。
[注]
小肠气一证，其受病与疝气等，
亦因湿气在内，而寒气又束于外也，
发时少腹胀，控睾丸引腰脊，上冲心痛而不肿是也，治宜分别形状，
如引腰而痛者，加味香苏散温散之，
痛而冲心气者，加味失笑散主之，
如少腹中有形如卵，上下往来，痛不可忍者，宜胡卢巴丸主 。
(加味香苏散)苍术米泔水浸 陈皮 川楝肉 甘草 苏叶 香附酯炒
引用连须葱白水酒兑煎服。
(方歌)
加味香苏散苍术，广陈皮与川楝肉，甘草苏叶香附同，连须葱白共煎服。
(加味失笑散) 五灵脂 蒲黄隔纸炒 元胡索各等分醋炒 共为细末，
每服一二钱，水酒调下
(胡卢巴丸) 胡卢巴炒 川楝子各四钱蒸去皮核焙 川乌去皮脐
巴戟肉各一钱五分 茴香三钱 吴茱萸二钱五分半酒半醋浸一宿焙
牵牛二钱炒 以上共为细末，酒麴糊为丸，如梧桐子大，
每服数丸，空心温酒下。
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诸淋皆缘寒热湿，下移膀胱溲无时，水道涩滞常作痛，寒热石血随证医。
[注]
小儿淋证，或因风寒袭人，或因湿热下移，乘入膀胱，以致水道涩滞，
欲出不出，淋漓不断，甚至窒塞其间，令儿作痛，
然必辨其为寒为热，为石为血，分别治之，则水道宣通，淋自愈矣．
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淋证门
疼痛放射至腰脊的小肠气病，适宜使用加味香苏散进行温散治疗；若疼痛上冲导致心痛，则使用失笑散治疗；若腹部有有形之邪（如疝块），则使用胡卢巴丸治疗。
[注]
小肠气这一证候，其发病原因与疝气相同，也是由于湿气蕴结于内，寒气束缚于外所致。发作时表现为少腹胀满，牵引睾丸并波及腰脊，气机上冲致心痛，但局部不肿胀。治疗应当根据症状形态加以区分：如果是牵引腰部疼痛的，宜用加味香苏散温散寒湿；如果是疼痛且气机上冲心部的，以加味失笑散为主治方剂；如果少腹中有形之物如卵状，上下移动，疼痛剧烈难以忍受的，宜用胡卢巴丸主治。
（加味香苏散）苍术用米泔水浸泡，陈皮，川楝肉，甘草，苏叶，香附醋炒。
引用连须葱白、水、酒兑合煎服。
（方歌）
加味香苏散含苍术，广陈皮与川楝肉，甘草苏叶香附同，连须葱白共煎服。
（加味失笑散）五灵脂，蒲黄隔纸炒，元胡索各等分醋炒，共研为细末。
每次服用一二钱，用水和酒调服。
（胡卢巴丸）胡卢巴炒制，川楝子各四钱蒸后去皮核焙干，川乌去皮脐，巴戟肉各一钱五分，茴香三钱，吴茱萸二钱五分半用半酒半醋浸泡一夜后焙干，牵牛子二钱炒制。以上药物共研为细末，用酒曲糊制作成丸，大小如梧桐子大。
每次服用数丸，空腹时用温酒送下。
各种淋证皆因寒热湿邪引起，邪气下移膀胱导致小便频急无度，水道涩滞常伴有疼痛，需根据是寒、是热、是石淋还是血淋随证治疗。
[注]
小儿淋证，可能是因为风寒侵袭人体，也可能是因为湿热下移，乘虚进入膀胱，导致水道涩滞，想排尿却排不出，淋漓不断，甚至堵塞其间，使小儿感到疼痛。然而必须辨别其为寒证还是热证，为石淋还是血淋，分别进行治疗，这样水道宣通，淋证自然痊愈。
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淋证门
Xiaochang Qi (Intestinal Gas) characterized by pain radiating to the lower abdomen, waist, and spine is appropriately treated with Jiawei Xiangsu San (Modified Fragrant Eupatorium Powder) for warming and dispersing. If the pain ascends to cause heart pain, Shixiao San (Pain-Dispersing Powder) should be used. If there is a tangible mass in the abdomen, Hulu Ba Wan (Fenugreek Pill) is indicated.
[Note]
The syndrome of Xiaochang Qi (Intestinal Gas) shares etiology with Shan Qi (Hernia). It arises from dampness retained internally combined with cold binding externally. Upon onset, it presents with distension of the lower abdomen, pain radiating from the testicles to the waist and spine, and qi counterflow causing heart pain, without local swelling. Treatment must differentiate based on symptom morphology: For pain radiating to the waist, Jiawei Xiangsu San (Modified Fragrant Eupatorium Powder) is used to warm and disperse; for pain accompanied by qi counterflow to the heart, Jiawei Shixiao San (Modified Pain-Dispersing Powder) is the primary formula; for a tangible mass resembling an egg in the lower abdomen that moves up and down with unbearable pain, Hulu Ba Wan (Fenugreek Pill) is indicated.
(Modified Fragrant Eupatorium Powder) Cangzhu (Atractylodis Rhizoma) soaked in rice wash water, Chenpi (Citri Reticulatae Pericarpium), Chuanlianrou (Toosendan Fructus), Gancao (Glycyrrhizae Radix et Rhizoma), Suye (Perillae Folium), Xiangfu (Cyperi Rhizoma) stir-fried with vinegar.
Decoct with scallion white with roots, water, and wine.
(Prescription Verse)
Jiawei Xiangsan contains Cangzhu, Guang Chenpi and Chuanlianrou, Gancao, Suye, and Xiangfu together, decocted with scallion white with roots.
(Modified Pain-Dispersing Powder) Wulingzhi (Trogopterori Faeces), Puhuang (Typhae Pollen) stir-fried between papers, Yuanhusuo (Corydalis Rhizoma) each in equal parts stir-fried with vinegar, ground into fine powder.
Take 1–2 qian per dose, mixed with water and wine.
(Fenugreek Pill) Hulu Ba (Trigonellae Semens) stir-fried, Chuanlianzi (Meliae Fructus) 4 qian each steamed, skin and seeds removed, dried; Chuanwu (Aconiti Radix) peeled of skin and navel, Bajirou (Morindae Officinalis Radix) 1.5 qian each, Huixiang (Foeniculi Fructus) 3 qian, Wuzhuyu (Evodiae Fructus) 2.5 qian half soaked overnight in half wine and half vinegar, then dried; Qianniu (Pharbitidis Semen) 2 qian stir-fried. All ingredients are ground into fine powder, made into pills using wine yeast paste, sized like paulownia seeds.
Take several pills per dose, swallowed with warm wine on an empty stomach.
All types of Lin Syndrome (Dysuria) originate from cold, heat, and dampness pathogens shifting downward to the Bladder, causing frequent urination without regular intervals. The urinary pathway becomes obstructed and stagnant, often causing pain. Treatment should follow the specific presentation: cold, heat, stone, or blood Lin.
[Note]
Pediatric Lin Syndrome (Dysuria) may result from Wind-Cold invading the body or Damp-Heat shifting downward, entering the Bladder. This causes obstruction and stagnation of the urinary pathway, leading to difficulty voiding, continuous dribbling, and even blockage causing pain in children. However, one must distinguish whether it is Cold or Heat, Stone or Blood Lin, and treat accordingly. Once the urinary pathway is unobstructed, Lin Syndrome will heal spontaneously.
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Lin Syndrome Chapter