阴囊肿大邪气凝，风痒湿坠热多疼，疏风五苓导赤散，偏坠守效尤最灵。
[注]
阴器者，乃诸经之总会也，因邪客于少阴厥阴之经，
湿热之气与风冷之气相搏，气不得通，
故结聚而阴囊肿大，总之风盛多痒，湿盛多坠，热盛多疼，
如外肾肤囊肿大，痒痛坠下，此风湿袭于下也，宜疏风五芩散主之，
如外肾肤囊肿光亮，此因心火移热于小肠故也，宜加味五苓散或导赤散主之，
更有偏坠一证，或左或右，睾丸作肿者，
此因食积不消，湿气下行故也，宜加味守效丸主之。
(疏风五苓散) 防风 苍术米泔水浸 肉桂 羌活 猪苓 泽泻 赤茯苓
白术土炒 引用生姜水煎服。
(方歌)
阴肿疏风五苓散，防风苍术肉桂羌，猪苓泽泻赤苓术，煎服之时入生姜。
(加味五苓散)金铃子 白术土炒 泽泻 木通 茴香炒 赤茯苓 橘核仁
肉桂 槟榔 猪苓 引用生姜灯心水煎服。
(方歌)
五苓散内用金铃，白术泽泻与木通，茴香赤苓橘核配，肉桂槟榔合猪苓。
(导赤散) 方见不小便。
(加味守效丸) 南星 山查肉酒炒 苍术各二钱炒 白芷 半夏姜制 橘核仁
神麴各一两 炒海藻 昆布各五钱 吴茱萸 青皮醋炒 元胡索醋炒
荔枝核各一两炒 以上共为末，神麴糊为丸，如梧桐子大，
每服三十丸，空心酒下。
%
疝证门
阴囊肿大是由于邪气凝聚所致，风邪盛则瘙痒，湿邪盛则下坠感，热邪盛则疼痛剧烈。治疗风邪为主者可用疏风五苓散；治疗偏坠（单侧睾丸肿大）且疗效显著的是守效丸。
[注释]
阴器是各条经络汇聚的地方。因为邪气客居于少阴经和厥阴经，湿热之气与风寒之气相互搏结，导致气机运行不畅，从而结聚形成阴囊肿大。总的来说，风邪盛多表现为瘙痒，湿邪盛多表现为下坠感，热邪盛多表现为疼痛。如果外肾（睾丸及阴囊皮肤）肿胀，伴有痒、痛、下坠感，这是风湿之邪侵袭下部所致，适宜用疏风五苓散主治。如果外肾皮肤光亮，这是因为心火移热于小肠所致，适宜用加味五苓散或导赤散主治。还有偏坠这一病症，无论左侧还是右侧，睾丸发生肿胀，这是由于食积不消化，湿气下行所致，适宜用加味守效丸主治。
(疏风五苓散) 防风、苍术（米泔水浸泡）、肉桂、羌活、猪苓、泽泻、赤茯苓、白术（土炒）。引用生姜水煎服。
(方歌)
阴肿疏风五苓散，防风苍术肉桂羌，猪苓泽泻赤苓术，煎服之时入生姜。
(加味五苓散) 金铃子、白术（土炒）、泽泻、木通、茴香（炒）、赤茯苓、橘核仁、肉桂、槟榔、猪苓。引用生姜、灯心草水煎服。
(方歌)
五苓散内用金铃，白术泽泻与木通，茴香赤苓橘核配，肉桂槟榔合猪苓。
(导赤散) 方剂见“不小便”章节。
(加味守效丸) 南星、山楂肉（酒炒）、苍术（各二钱，炒）、白芷、半夏（姜制）、橘核仁、神曲（各一两，炒）、海藻（炒）、昆布（各五钱）、吴茱萸、青皮（醋炒）、元胡索（醋炒）、荔枝核（各一两，炒）。以上药物共研为末，用神曲糊制作成丸，大小如梧桐子。每次服用三十丸，空腹时以酒送服。
Swelling of the scrotum is caused by the condensation of pathogenic factors. When wind predominates, itching occurs; when dampness predominates, a sensation of bearing down occurs; when heat predominates, pain is severe. For cases dominated by wind, Shufeng Wuling San (Wind-Dispersing Five-Ingredient Decoction) may be used; for cases of unilateral testicular swelling (Hernia/Scrofula with unilateral swelling), Shouxiao Wan (Effectiveness-Preserving Pill) is noted for its efficacy.
[Annotation]
The external genitalia are the convergence point of all meridians. Pathogenic factors invade the Shaoyin and Jueyin meridians, where damp-heat and cold-wind pathogens contend with each other. This obstruction prevents the smooth flow of Qi, leading to condensation and resulting in scrotal swelling. Generally speaking, excess wind manifests as itching, excess dampness as a bearing-down sensation, and excess heat as pain. If the external genitalia (scrotal skin and testes) swell with itching, pain, and a bearing-down sensation, this indicates an invasion of wind-dampness into the lower body, and Shufeng Wuling San (Wind-Dispersing Five-Ingredient Decoction) is indicated. If the scrotal skin appears bright and shiny, this is due to Heart Fire transferring heat to the Small Intestine, and Jiawei Wuling San (Modified Five-Ingredient Decoction) or Daochi San (Guide Out Red Powder) are indicated. There is also a condition known as unilateral swelling (Pianzhui), where either the left or right testis swells. This is caused by food stagnation that fails to digest, causing dampness to descend downward. Jiawei Shouxiao Wan (Modified Effectiveness-Preserving Pill) is indicated.
(Shufeng Wuling San [Wind-Dispersing Five-Ingredient Decoction]) Fangfeng (Saposhnikoviae Radix), Cangzhu (Atractylodis Rhizoma, soaked in rice water), Rougui (Cinnamomi Cortex), Qianghuo (Notopterygii Rhizoma et Radix), Zhuling (Polyporus), Zexie (Alismatis Rhizoma), Chi Fuling (Poria with Red Core), Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried with soil). Decoct with fresh ginger water.
(Fangge [Prescription Verse])
For scrotal swelling, Shufeng Wuling San is used,
With Saposhnikovia, Atractylodes, Cinnamon Twig, and Notopterygium.
Polyporus, Alisma, Poria with red core, and Atractylodes macrocephala,
Add fresh ginger when decocting and taking orally.
(Jiawei Wuling San [Modified Five-Ingredient Decoction]) Jinlingzi (Meliae Toosendan Fructus), Baizhu (Atractylodis Macrocephalae Rhizoma, stir-fried with soil), Zexie (Alismatis Rhizoma), Mutong (Akebiae Caulis), Huixiang (Foeniculi Fructus, stir-fried), Chi Fuling (Poria with Red Core), Juhe Ren (Citri Reticulatae Semen), Rougui (Cinnamomi Cortex), Binglang (Arecae Semen), Zhuling (Polyporus). Decoct with fresh ginger and Centelli Herba (Jiangxin) water.
(Fangge [Prescription Verse])
In Wuling San, add Meliae Toosendan Fructus,
Along with Atractylodes macrocephala, Alisma, and Akebiae Caulis.
Foeniculum, Poria with red core, and Citrus seeds are matched,
Combined with Cinnamon Twig, Areca nut, and Polyporus.
(Daochi San [Guide Out Red Powder]) See the section on "Urination Difficulty" (Bu Xiao Bian).
(Jiawei Shouxiao Wan [Modified Effectiveness-Preserving Pill]) Nanxing (Arisaematis Rhizoma), Shanzha Rou (Crataegi Fructus flesh, wine-fried), Cangzhu (Atractylodis Rhizoma, 2 qian each, stir-fried), Baizhi (Angelicae Dahuricae Radix), Banxia (Pinelliae Rhizoma, ginger-processed), Juhe Ren (Citri Reticulatae Semen), Shenqu (Massa Medicata Fermentata, 1 liang each, stir-fried), Haizao (Sargassum, stir-fried), Kunbu (Eckloniae Thallus, 5 qian each), Wuzhuyu (Evodiae Fructus), Qingpi (Citri Reticulatae Pericarpium Viride, vinegar-processed), Yuanhusuo (Corydalis Rhizoma, vinegar-processed), Lizhi He (Litchi Semen, 1 liang each, stir-fried). Grind all above into powder, bind with Massa Medicata Fermentata paste to form pills the size of Sophora japonica seeds. Take 30 pills per dose, swallowed with wine on an empty stomach.