湿痰脾湿懒饮食，倦怠嗜卧面色黄，痰多枳桔二陈剂，饮多桂苓甘术汤。
[注]
湿痰者，因小儿过食生冷油腻之物，有伤脾胃，
遂致脾土虚湿，不能运化而成湿痰，滑而易出，
脾虚不运，故懒食，
脾主四肢，故倦怠嗜卧，
脾属土，故面色多黄，
痰多者，宜用枳桔二陈汤加苍术白术，除湿化痰，
饮盛者，须用桂苓甘术汤，扶阳散饮，调治合宜，而痰自化矣。
(枳桔二陈汤) 方见□乳。
(桂苓甘术汤) 茯苓 桂枝 甘草生 自术土炒 引用生姜水煎服。
(方歌)
桂苓甘术湿痰饮，除湿利饮更扶阳，茯苓桂枝生甘草，白术土炒引生姜。
%
诸疝厥阴，任脉病，外因风寒邪聚凝，内因湿热为寒郁，证皆牵睾引腹疼，
胎疝多因禀赋病，总审热纵寒痛疼，血左不移气右动，湿则坠重虚坠轻。
[注]
厥阴环阴器入少腹，
任脉起于中极之下，以上毛际，循腹里上关元，故诸病疝莫不属之也，
小儿病此，多因先天不足，本藏虚弱，
复因外感风邪，内食生冷，寒邪凝结而成有之，
或因湿热郁于中，复被寒邪束于外，邪气乘虚井于血队，流入厥阴，
厥阴属肝，其性急速，故牵引睾丸少腹绞痛也，
又有胎疝一证，多因孕妇啼泣过伤，动于阴气，结聚不散，
令儿生下即成此证者，
大扺热则多纵，寒则多痛，在血分者不移，在气分者多动，
湿肿坠则重，虚肿坠则轻，因证施治，自切中病情矣。
%
疝证门
湿痰证表现为脾虚湿盛导致食欲不振，身体疲倦乏力、喜欢躺卧，面色萎黄，痰多。若以痰多为主，宜用枳桔二陈汤；若以水饮内停为主，宜用桂苓甘术汤。
[注]
湿痰证，是因为小儿过量食用生冷油腻食物，损伤了脾胃，
从而导致脾土虚弱湿困，不能正常运化水液而形成湿痰，质地滑利容易咳出。
因为脾虚无法运化，所以食欲不振；
脾主四肢肌肉，所以感到疲倦乏力、嗜睡懒动；
脾在五行中属土，对应黄色，所以面色多呈黄色。
痰多的患者，适宜使用枳桔二陈汤加入苍术、白术，以祛除湿气、化解痰浊；
水饮旺盛的患者，必须使用桂苓甘术汤，以扶助阳气、消散水饮，调理得当，痰自然就会化解。
（枳桔二陈汤）方剂见前文“乳”字部分。
（桂苓甘术汤）药物组成：茯苓、桂枝、生甘草、炒白术。煎服法：加生姜为引，用水煎服。
（方歌）
桂苓甘术汤治疗湿痰与水饮，既能祛除湿邪、利水渗湿，又能扶助阳气。
方中药物为茯苓、桂枝、生甘草，白术需土炒，煎药时加生姜作为药引。
各种疝气病，归属于厥阴肝经和任脉的病变。外因是风寒邪气聚集凝结，内因是湿热被寒邪郁遏。症状都表现为牵引睾丸及腹部疼痛。
胎疝多因先天禀赋不足所致。总体辨证要点在于辨别热证与寒证：热证多见松弛纵缓，寒证多见疼痛；病在血分的则痛处固定不移，病在气分的则痛处游走不定；湿邪重者坠胀感沉重，正气虚者坠胀感轻微。
[注]
厥阴肝经环绕生殖器进入少腹部，
任脉起于中极穴之下，向上经过毛际，沿着腹腔内部上行至关元穴，所以各种疝气病没有不属于这两条经脉的。
小儿患此病，多因先天禀赋不足，脏腑本体虚弱，
再加上外感风邪，内伤生冷饮食，导致寒邪凝结而成病；
或者因为湿热郁结在中焦，又被外部寒邪束缚，邪气乘虚侵入血分，流入厥阴经。
厥阴经属于肝脏，肝性急迫，所以会出现牵引睾丸和少腹部的绞痛；
还有一种称为“胎疝”的病证，多因孕妇过度啼哭悲伤，扰动阴气，结聚不散，
导致婴儿出生后即刻形成此病。
大抵而言，热证多表现为松弛纵缓，寒证多表现为疼痛；病在血分者位置固定不移，病在气分者位置游走多动；
湿邪所致肿胀下坠者感觉沉重，虚损所致肿胀下坠者感觉轻微。根据具体证候施治，自然能切中病情要害。
Damp-Phlegm (Shi Tan) syndrome manifests as spleen deficiency with dampness leading to poor appetite, fatigue and lethargy, a desire to lie down, and a sallow complexion. If phlegm is abundant, Zhijie Erchen Tang (Bitter Orange and Platycodon Two-Chen Decoction) is indicated; if fluid retention (Yin) is prominent, Guiling Gan Zhu Tang (Poria, Cinnamon Twig, Licorice, and Atractylodes Macrocephala Decoction) is indicated.
[Note]
Damp-Phlegm arises because children overconsume raw, cold, or greasy foods, damaging the Spleen and Stomach. This leads to Spleen Earth becoming deficient and damp, failing to transform and transport fluids, thereby forming Damp-Phlegm, which is slippery and easily expectorated. Due to Spleen deficiency and failure of transportation, there is an aversion to food; since the Spleen governs the four limbs, there is fatigue and a tendency to sleep; as the Spleen corresponds to the Element of Earth and the color Yellow, the complexion is often yellow. For patients with abundant phlegm, Zhijie Erchen Tang added with Cangzhu (Atractylodis Rhizoma) and Baizhu (Atractylodis Macrocephalae Rhizoma) should be used to dispel dampness and resolve phlegm. For those with severe fluid retention, Guiling Gan Zhu Tang must be used to support Yang and dissipate fluids; with appropriate regulation, the phlegm will naturally resolve.
(Zhijie Erchen Tang) Formula see previous section on "Breast".
(Guiling Gan Zhu Tang) Ingredients: Poria (Fuling), Cinnamon Twig (Guizhi), Raw Licorice Root (Sheng Gancao), Stir-fried Atractylodis Macrocephalae Rhizoma (Baizhu). Administration: Decoct with fresh Ginger (Shengjiang) as a guide.
(Verse for Memorization)
Guiling Gan Zhu treats damp-phlegm and fluid retention, dispelling dampness, promoting urination, and supporting Yang.
The formula contains Poria, Cinnamon Twig, and Raw Licorice; Atractylodis Macrocephalae Rhizoma is stir-fried with soil, using Fresh Ginger as a guide.
Various Hernia (Shan) syndromes belong to diseases of the Jueyin Liver Meridian and the Ren Mai (Conception Vessel). Externally, it is caused by the aggregation and coagulation of Wind-Cold pathogens; internally, it is due to Damp-Heat being constrained by Cold. The symptoms all involve traction pain in the testicles and abdomen. Fetal Hernia (Tai Shan) is mostly due to congenital insufficiency. Generally, one must examine whether it is Heat or Cold: Heat tends to cause flaccidity and relaxation, while Cold causes pain; involvement of the Blood level results in fixed pain, while involvement of the Qi level results in moving pain; Dampness causes heavy bearing-down sensation, while Deficiency causes light bearing-down sensation.
[Note]
The Jueyin Liver Meridian circles the external genitalia and enters the lower abdomen. The Ren Mai originates below the Zhongji point (CV3), ascends above the pubic hair line, and follows the interior of the abdomen up to the Guanyuan point (CV4); therefore, all hernia syndromes are attributed to these meridians. Children suffering from this condition often have congenital insufficiency and inherent weakness of the Zang-Fu organs. Additionally, they may contract external Wind pathogens or suffer internal injury from raw/cold foods, causing Cold pathogens to coagulate. Alternatively, Damp-Heat may stagnate in the Middle Jiao and be bound externally by Cold pathogens; the pathogenic factors take advantage of the deficiency to enter the Blood level and flow into the Jueyin Meridian. Since Jueyin belongs to the Liver, and the Liver's nature is swift and urgent, this causes traction pain in the testicles and colicky pain in the lower abdomen. There is also a syndrome called "Fetal Hernia," mostly caused by excessive weeping and sadness during pregnancy, disturbing Yin Qi, which knots and fails to disperse, resulting in the infant developing this condition immediately after birth. Broadly speaking, Heat presents with flaccidity, Cold with pain; pathology in the Blood level is fixed, pathology in the Qi level moves; swelling and bearing-down due to Dampness feel heavy, while those due to Deficiency feel light. Treatment based on the specific syndrome will accurately address the disease.