2.血疝便毒溃鱼口,???? 气坠筋即疳, 水疝胞痹皆癃疝, 冲似小肠
腰痛连.
【注】有谓血疝者, 其证即便毒鱼口也.?? 者疝, 其证即?? 疝也.
气疝者, 即偏坠也. 筋疝者, 即下疳也. 水疝小便不通, 胞痹即膀胱
气,皆癃疝也. 冲疝证似小肠气, 而更连腰痛也.
3.治疝左右分气血, 尤别虚湿热与寒, 寒收引痛热多纵, 湿肿重坠
虚轻然.
【注】疝病, 凡在左边阴丸属血分, 凡在右边阴丸属气分. 凡寒则收
引而痛甚, 热则纵而痛微. 凡湿则肿而重坠, 而虚亦肿坠, 但轻轻然
而不重也.
当归温疝汤 乌桂汤
4.中寒冷疝归芍附, 桂索茴楝泽萸苓, 外寒入腹川乌蜜, 肉桂芍草
枣姜同.
【注】当归温疝汤, 即当归, 白芍, 附子, 肉桂, 延胡索, 小茴香,
川炼子, 泽泻, 吴茱萸, 白茯苓也. 乌桂汤, 即川乌, 蜂蜜, 肉桂,
白芍药, 炙甘草, 生姜, 大枣也.
乌头栀子汤
5.外寒内热乌栀炒, 水酒加盐疝痛安,?? 疝不问新与久, 三层茴香
自可痊.
【注】此茴香丸, 方在『医宗必读』.
十味苍柏散
6.醇酒厚味湿热疝, 不谨房劳受外寒, 苍柏香附青益草, 茴索查桃
附子煎.
【注】此散, 即苍术, 黄柏, 香附, 青皮, 益智, 甘草, 小茴香, 南
山查, 元胡索, 桃仁, 附子也.
茴楝五苓散 大黄皂刺汤
7.膀胱水疝尿不利, 五苓茴楝与葱盐, 瘕硬血疝宜乎下, 大黄皂刺
酒来煎.
【注】大黄皂刺汤, 即大黄, 皂刺各三钱, 酒煎服也.
羊肉汤
8.血分寒疝女产后, 脐腹连阴胀痛疼, 羊肉一斤姜五两, 当归三两
水八升.
夺命汤
9.冲疝厥疝痛上攻, 脐悸奔豚气上行, 吴茱一味为君主, 肉桂泽泻
白茯苓.
青木香丸
10.气疝诸疝走注痛, 青木香附吴萸良, 巴豆拌炒川楝肉, 乌药荜澄
小茴香.
【注】青木香丸, 即青木香五钱, 酒醋浸炒吴茱萸一两, 香附醋炒一
两,荜澄茄五钱, 乌药五钱, 小茴香五钱, 巴豆仁二十一粒, 研碎拌
炒川楝肉五钱, 为末合均, 葱涎为小丸, 每服三钱, 酒盐任下立愈.
及能医一切疝痛神效.
茴香楝实丸
11.楝实狐疝一切疝, 楝肉茴香马蔺芫, 三萸二皮各一两, 仍宜急灸
大敦安.
【注】茴香楝实丸, 治狐疝及一切诸疝, 即川楝肉, 小茴香, 马蔺花
,芫花醋炒变焦色, 山茱萸, 吴茱萸, 食茱萸, 青皮, 陈皮各一两,
为末, 醋糊为小丸, 酒送二钱.
【按】大敦, 肝经穴, 在足大指甲后有毛处, 诸疝均宜灸之即安.
2. 血疝、便毒溃烂及鱼口疮，[此处原文缺字，据注推测为“筋疝”或类似]气坠导致筋即发生下疳，水疝、胞痹均表现为小便不通的癃疝，冲疝症状似小肠气病，且腰痛牵连。
【注】有人说血疝，其证候就是便毒和鱼口疮。[此处原文缺字]疝，其证候就是[此处原文缺字]疝。气疝，就是偏坠（一侧阴囊肿大下垂）。筋疝，就是下疳（生殖器溃疡）。水疝导致小便不通，胞痹即是膀胱气滞，都属于癃疝（小便不利）。冲疝证候类似小肠气，但更伴有腰痛牵连。
3. 治疗疝气需左右区分气血，尤其要辨别虚、实、湿、热与寒。寒邪致收引而痛剧，热邪致弛纵而痛轻；湿邪致肿重坠胀，虚证亦见肿坠，但程度较轻。
当归温疝汤 乌桂汤
4. 中寒冷疝用当归、白芍、附子，肉桂、延胡索、小茴香、川楝子、泽泻、吴茱萸、茯苓。外寒入腹用川乌、蜂蜜，配肉桂、白芍、甘草、大枣、生姜同煎。
【注】当归温疝汤，由当归、白芍、附子、肉桂、延胡索、小茴香、川楝子、泽泻、吴茱萸、白茯苓组成。乌桂汤，由川乌、蜂蜜、肉桂、白芍药、炙甘草、生姜、大枣组成。
乌头栀子汤
5. 外寒内热证，炒制川乌、栀子，加水酒并少许盐，可安疝痛。狐疝不论新久，三层茴香丸自能痊愈。
【注】此茴香丸方剂，记载于《医宗必读》。
十味苍柏散
6. 醇酒厚味所致湿热疝，或因房劳不谨复感外寒，用苍术、黄柏、香附、青皮、益智仁、甘草、小茴香、延胡索、南山楂、桃仁、附子煎服。
【注】此散剂，由苍术、黄柏、香附、青皮、益智仁、甘草、小茴香、南山楂、元胡索、桃仁、附子组成。
茴楝五苓散 大黄皂刺汤
7. 膀胱水疝致小便不利，用五苓散加茴香、川楝子、葱白、盐。瘕块坚硬之血疝宜用攻下法，用大黄、皂刺以酒煎服。
【注】大黄皂刺汤，由大黄、皂刺各三钱，酒煎服用。
羊肉汤
8. 血分寒疝多见于女产后，脐腹连及阴部胀痛疼痛，用羊肉一斤、生姜五两、当归三两，加水八升煎煮。
夺命汤
9. 冲疝、厥疝疼痛上攻，脐下悸动如奔豚之气上行，以吴茱萸一味为君药，配肉桂、泽泻、白茯苓。
青木香丸
10. 气疝及诸疝走注疼痛，青木香、香附、吴茱萸疗效良好，巴豆拌炒川楝肉，配乌药、荜澄茄、小茴香。
【注】青木香丸，由青木香五钱，酒醋浸炒吴茱萸一两，香附醋炒一两，荜澄茄五钱，乌药五钱，小茴香五钱，巴豆仁二十一粒，研碎拌炒川楝肉五钱，混合均匀，葱涎制为小丸，每服三钱，酒盐送服立愈。并能医治一切疝痛，神效。
茴香楝实丸
11. 楝实丸治狐疝及一切疝气，用川楝肉、茴香、马蔺花、芫花，三萸（山茱萸、吴茱萸、食茱萸）和二皮（青皮、陈皮）各一两，仍宜急灸大敦穴以安。
【注】茴香楝实丸，治狐疝及一切诸疝，由川楝肉、小茴香、马蔺花、芫花（醋炒变焦色）、山茱萸、吴茱萸、食茱萸、青皮、陈皮各一两，研末，醋糊为小丸，酒送服二钱。
【按】大敦穴，属肝经，位于足大趾指甲后毛发处，诸疝均宜灸此穴即可安宁。
2. Blood hernia (Xue Shen), perineal abscess with ulceration, and fish-mouth sore; [text missing in original, inferred as "Jin Shen" or similar] qi sinking leads to the tendons developing chancre (Xia Gan); Water hernia (Shui Shen) and bladder bi syndrome both present as strangury (Long Shen); Chong hernia resembles small intestine qi disorder, accompanied by lower back pain radiating.
[Note] Some say blood hernia refers to perineal abscess and fish-mouth sore. [Text missing] hernia refers to [Text missing] hernia. Qi hernia (Qi Shen) is unilateral scrotal swelling and descent (Pian Zhui). Tendinous hernia (Jin Shen) is chancre (Xia Gan). Water hernia causes urinary obstruction; bladder bi is bladder qi stagnation, all belonging to strangury (Long Shen). Chong hernia resembles small intestine qi disorder but is more characterized by radiating lower back pain.
3. Treating hernia requires distinguishing left from right regarding blood and qi, and particularly differentiating deficiency, excess, dampness, heat, and cold. Cold causes contraction and severe pain; heat causes flaccidity and mild pain. Dampness causes swelling and heavy bearing sensation; deficiency also presents with swelling and bearing sensation, but it is light rather than heavy.
Danggui Wenshen Decoction (Angelica Sinensis Decoction for Warming Hernia) Wugui Tang
4. For cold-induced internal hernia, use Dang Gui, Bai Shao, Fu Zi, Rou Gui, Yan Hu Suo, Xiao Hui Xiang, Chuan Lian Zi, Ze Xie, Wu Zhu Yu, and Bai Fu Ling. For external cold penetrating the abdomen, use Chuan Wu, honey, Rou Gui, Bai Shao, Gan Cao, Da Zao, and Sheng Jiang.
[Note] Danggui Wenshen Decoction consists of Dang Gui, Bai Shao, Fu Zi, Rou Gui, Yan Hu Suo, Xiao Hui Xiang, Chuan Lian Zi, Ze Xie, Wu Zhu Yu, and Bai Fu Ling. Wugui Tang consists of Chuan Wu, honey, Rou Gui, Bai Shao Yao, Zhi Gan Cao, Sheng Jiang, and Da Zao.
Wutou Zhizi Tang
5. For exterior cold and interior heat, stir-fried Chuan Wu and Zhizi, added with water, wine, and salt, can alleviate hernia pain. Fox hernia (Hu Shen), regardless of new or old onset, can be cured by San Ceng Hui Xiang Wan.
[Note] This Hui Xiang Wan formula is recorded in *Yizong Bidu*.
Shiwei Cangbai San
6. Hernia caused by rich food and alcohol (damp-heat), or due to excessive sexual activity leading to susceptibility to external cold, is treated with Cang Zhu, Huang Bo, Xiang Fu, Qing Pi, Yi Zhi Ren, Gan Cao, Xiao Hui Xiang, Yan Hu Suo, Nan Shan Zha, Tao Ren, and Fu Zi decocted together.
[Note] This powder consists of Cang Zhu, Huang Bo, Xiang Fu, Qing Pi, Yi Zhi Ren, Gan Cao, Xiao Hui Xiang, Nan Shan Zha, Yuan Hu Suo, Tao Ren, and Fu Zi.
Hui Lian Wuling San Dahuang Zaoci Tang
7. Bladder water hernia causing difficult urination is treated with Wuling San plus Xiao Hui Xiang, Chuan Lian Zi, Cong Bai, and Yan. Hard masses in blood hernia should be purged using Dahuang and Zaoci decocted in wine.
[Note] Dahuang Zaoci Tang consists of Dahuang and Zaoci, each three qian, decocted in wine for administration.
Yangrou Tang
8. Blood-deficiency cold hernia often occurs after childbirth in women, presenting with distending and painful swelling from the umbilicus and abdomen extending to the yin region. Use one jin of lamb meat, five liang of ginger, three liang of Dang Gui, and eight sheng of water.
Duoming Tang
9. Chong hernia and Jue hernia feature pain attacking upwards, palpitations below the umbilicus, and a sensation of gas rushing upward like Ben Tun (fleeing pig). Wu Zhu Yu alone serves as the sovereign herb, combined with Rou Gui, Ze Xie, and Bai Fu Ling.
Qingmuxiang Wan
10. Qi hernia and various hernias with wandering pain are well-treated by Qing Mu Xiang, Xiang Fu, and Wu Yu. Ba Dou is mixed and stir-fried with Chuan Lian Rou, combined with Wu Yao, Bi Cheng Qie, and Xiao Hui Xiang.
[Note] Qingmuxiang Wan consists of Qing Mu Xiang (5 qian), Wu Yu soaked in wine/vinegar and stir-fried (1 liang), Xiang Fu stir-fried with vinegar (1 liang), Bi Cheng Qie (5 qian), Wu Yao (5 qian), Xiao Hui Xiang (5 qian), Ba Dou ren (21 grains), and Chuan Lian Rou stir-fried with crushed Ba Dou (5 qian). These are mixed uniformly, formed into small pills with onion juice, taken 3 qian per dose with wine and salt for immediate relief. It is also effective for all types of hernia pain.
Hui Xiang Lianshi Wan
11. Lianshi Wan treats fox hernia and all types of hernia, using Chuan Lian Rou, Hui Xiang, Ma Lin Hua, and Yuan Hua. The three Yu (Shan Zhu Yu, Wu Zhu Yu, Shi Zhu Yu) and two skins (Qing Pi, Chen Pi) are each one liang. Acupoint Dadun should be moxibusted urgently for relief.
[Note] Hui Xiang Lianshi Wan treats fox hernia and all other hernias. It consists of Chuan Lian Rou, Xiao Hui Xiang, Ma Lin Hua, Yuan Hua (stir-fried with vinegar until darkened), Shan Zhu Yu, Wu Zhu Yu, Shi Zhu Yu, Qing Pi, and Chen Pi, each one liang. These are powdered, bound with vinegar paste into small pills, and taken 2 qian with wine.
[Commentary] Dadun (LR1) is an acupoint of the Liver Meridian, located behind the nail on the big toe where hair grows. Moxibustion here is suitable for all hernias to bring relief.