柴胡 羌活 苍术 黄 （各一钱五分） 防风 升麻 本 炙甘草（各一钱） 蔓
荆子（七
水疝者，肾囊肿大，阴汗不绝，宜此方主之。
子和云∶水疝者，得之饮水醉酒，劳于使内。其言当矣。盖饮水醉酒，则湿气胜，劳于
使内，则肾气虚。肾气虚，则湿胜而流坎者势也，故令肾囊肿大如水晶，阴汗不绝如罅漏也。
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蔓荆、独活，皆味辛而气清，风药也。亦升药也，故可以胜湿，可以升阳。而黄 之甘，可
使托其陷下之气。甘草之温，可使培其防水之土。当归之润，可使调荣血于风药之队也。泄
泻门胃苓汤亦可酌用。
此即灶心土也。土足以防水，燥足以胜湿。水疝者，以此物细末掺之肾囊，亦良法也。
生甘草梢（二两） 黑豆（半斤）
水五倍，煎去半，空心服。
筋疝者，此方主之。
筋疝者，茎筋挈痛，挺胀不堪也。子和云∶此以邪术得之。邪术者，房术春方之故也。
治宜解毒缓急，故用甘草梢、黑豆以主之。
外肾因扑损而伤，睾丸偏大，有时疼痛者，中有瘀血，名曰血疝。宜于夜分之时，自以
一手托其下，一手按其上，由轻至重，玩弄百回，弥月之间，瘀血尽散，陈气皆行，诚妙术
也！虽年深日久，无不愈之。
黄柏（盐酒炒） 知母（盐酒炒） 熟地黄（各三两） 白芍药（酒炒） 陈皮（盐水
润，晒干） 牛膝（各二两） 龟板（四两，酥炙） 锁阳（酒润，晒干） 当归（各一两
半，酒洗） 虎胫骨（一
羊肉为丸。
气疝者，拂郁则睾丸肿大，悲哀则不药而消，宜此方主之。
邪之所凑，常乘其虚。拂郁而睾丸肿大者，肝气乘肾之虚也。悲哀不药而消者，气有所
泄也。先医云∶肝肾之病同一治。故黄柏、知母、熟地、芍药、牛膝、当归、锁阳，味浓之
品也，可以补肾，亦可以补肝。龟得天地之阴气最浓，虎得天地之阴气最雄，以血气中之阴
类以补阴，欲其同气相求耳；阴皮者，取其能推陈腐之气。羊肉者，取其能补五脏之阳也。
或问∶何以不用橘核仁、细辛、枳实、川楝子、青皮之辈？余曰∶此皆破气药也，昔医固多
用之，然而治标云尔，况蹈重虚之戒乎？气实者用之可也。
柴胡、羌活、苍术、黄芩（各一钱五分），防风、升麻、藁本、炙甘草（各一钱），蔓荆子（七枚）。
张子和说：水疝的成因，是由于饮水过量或醉酒，加之房事过度所致。他的说法是正确的。因为饮水醉酒会导致湿气偏盛，房事过度则导致肾气虚弱。肾气虚弱，湿气偏盛而流注于下焦坎位，这是必然的趋势，所以导致肾囊肿大如水晶，阴部汗出不止如漏洞一般。
《医方考》指出：蔓荆子、独活，都是气味辛清的药物，属于风药，也是升提药，因此可以胜湿，可以升阳。而黄芩的甘味，可以托举下陷之气；甘草的温性，可以培补制约水湿的脾土；当归的润性，可以在风药队伍中调和营血。泄泻门中的胃苓汤也可以酌情使用。
灶心土就是伏龙肝。土足以防水，燥足以胜湿。水疝患者，可以将此物研成细末撒在肾囊上，也是一种良法。
用水五倍量，煎至减半，空腹服用。
筋疝，以此方主治。
筋疝，表现为阴茎筋脉牵引疼痛，挺举胀满难以忍受。张子和说：这是由于邪术所致。所谓邪术，是指房中术和春药的原因。治疗宜解毒缓急，因此用甘草梢、黑豆来主治。
外肾因跌打损伤而受伤，睾丸一侧肿大，有时疼痛的，是因为中有瘀血，名叫血疝。适宜在深夜时分，自己用一只手托住下部，另一只手按压上部，由轻到重，揉弄百次，一个月之间，瘀血尽散，陈旧的寒气皆行，确实是妙术！即使年深日久，没有不痊愈的。
黄柏（盐酒炒）、知母（盐酒炒）、熟地黄（各三两），白芍药（酒炒），陈皮（盐水润透，晒干），牛膝（各二两），龟板（四两，酥炙），锁阳（酒润，晒干），当归（各一两半，酒洗），虎胫骨（一两，酥炙）。
以上药物为末，羊肉煮烂捣烂为丸。
邪气所聚集之处，常乘人体之虚。抑郁而导致睾丸肿大的，是肝气乘袭肾之虚所致。悲哀时不药而消的，是气有所宣泄的缘故。先医说：肝肾之病治法相同。所以黄柏、知母、熟地、芍药、牛膝、当归、锁阳，都是味道浓厚的药物，可以补肾，也可以补肝。龟得到天地最浓厚的阴气，虎得到天地最雄壮的阴气，以血气中的阴类来补阴，是想让它们同气相求罢了；阴皮（指龟板下的内膜或相关部位，此处指代滋阴之物），取其能推陈腐之气。羊肉，取其能补五脏之阳。
有人问：为什么不用橘核仁、细辛、枳实、川楝子、青皮这类药物？我说：这些都是破气药，以前的医生固然多用它们，然而这只是治标罢了，况且要触犯“重虚”的戒律吗？只有气实者使用才可以。
Chai Hu (Bupleuri Radix), Qiang Huo (Notopterygii Rhizoma et Radix), Cang Zhu (Atractylodis Rhizoma), Huang Qin (Scutellariae Radix) (each 1.5 qian), Fang Feng (Saposhnikoviae Radix), Sheng Ma (Cimicifugae Rhizoma), Gao Ben (Ligustici Rhizoma et Radix), Zhi Gan Cao (Prepared Glycyrrhizae Radix et Rhizoma) (each 1 qian), Man Jing Zi (Viticis Fructus) (7 pieces).
Shui Han (Water Hernia), characterized by enlargement of the scrotum and continuous sweating in the genital area, is primarily treated with this formula.
Zi He said: The cause of Shui Han lies in excessive drinking or intoxication, combined with sexual exhaustion. His statement is accurate. Excessive drinking or intoxication leads to an excess of dampness, while sexual exhaustion depletes Kidney Qi. When Kidney Qi is deficient, it is inevitable that excess dampness flows into the Kan (Lower Jiao/Kidney) region, resulting in a scrotal swelling like crystal and continuous leakage-like sweating in the genital area.
Man Jing Zi and Du Huo (Angelicae Pubescentis Radix) are pungent and clear in aroma; they are wind-dispelling herbs and also ascending herbs. Thus, they can overcome dampness and raise Yang. The sweetness of Huang Qin can support sinking Qi. The warmth of Gan Cao can fortify the Spleen Earth, which controls water. The moistening nature of Dang Gui (Angelicae Sinensis Radix) can harmonize Ying Blood within the group of wind-dispelling herbs. Wei Ling Tang (Poria Decoction) from the Diarrhea section may also be used酌情ly.
Zao Xin Tu (Fuxlonggan / Hearth Soil) is also known as Fuxlonggan. Earth is sufficient to control water, and dryness is sufficient to overcome dampness. For Shui Han, applying this substance as a fine powder to the scrotum is also a good method.
Sheng Gan Cao Shao (Tip of Raw Licorice Root) (2 liang), Hei Dou (Black Soybean) (0.5 jin).
Boil with five times the amount of water until half remains, and take on an empty stomach.
Jin Han (Sinew Hernia) is primarily treated with this formula.
Jin Han is characterized by pulling pain in the penile sinews and unbearable distension during erection. Zi He said: This arises from "evil arts," specifically referring to sexual techniques and aphrodisiacs. Treatment should focus on resolving toxicity and relaxing urgency; therefore, Gan Cao Shao and Hei Dou are used.
When the external kidneys are injured by falls or blows, causing unilateral testicular enlargement and occasional pain due to intra-abdominal blood stasis, it is named Xue Han (Blood Hernia). It is advisable to use one hand to support the lower part and the other to press the upper part at night, massaging gently to firmly for a hundred times. Within a month, the blood stasis will dissipate completely, and stagnant Qi will circulate freely. This is indeed a wonderful technique! Even if long-standing, there is no case that cannot be cured.
Huang Bai (Phellodendri Cortex, stir-fried with salted wine), Zhi Mu (Anemarrhenae Rhizoma, stir-fried with salted wine), Shu Di Huang (Rehmanniae Radix Praeparata) (each 3 liang), Bai Shao Yao (Paeoniae Radix Alba, stir-fried with wine), Chen Pi (Citri Reticulatae Pericarpium, moistened with salted water and dried), Niu Xi (Achyranthis Bidentatae Radix) (each 2 liang), Gui Ban (Testudo Carapax et Plastrum, roasted with suet), Suo Yang (Cynomorii Herba, moistened with wine and dried), Dang Gui (Angelicae Sinensis Radix, washed with wine) (each 1.5 liang), Hu Jing Gu (Tigris Ossis Tibia, roasted with suet) (1 liang).
Grind into powder and form pills using mutton paste.
Qi Han (Qi Hernia), where testicular enlargement occurs due to emotional depression and subsides spontaneously due to grief, is primarily treated with this formula.
Evil pathogens often gather where there is deficiency. Testicular enlargement due to depression results from Liver Qi invading the deficiency of the Kidney. Spontaneous resolution due to grief indicates the release of Qi. Ancient physicians stated: The treatment for Liver and Kidney diseases is similar. Therefore, Huang Bai, Zhi Mu, Shu Di, Shao Yao, Niu Xi, Dang Gui, and Suo Yang, being substances with strong flavors, can tonify both the Kidney and the Liver. The turtle possesses the strongest Yin Qi of heaven and earth, and the tiger possesses the most vigorous Yin Qi. Using these Yin-class substances from blood and Qi to tonify Yin aims for resonance of similar energies (Tong Qi Xiang Qiu); Yin Pi (referring to the inner membrane or related parts of the turtle shell) is used for its ability to push out stale Qi. Mutton is used for its ability to tonify the Yang of the Five Zang Organs.
Someone asked: Why not use Ju He Ren (Arilluss Citri Grandis), Xi Xin (Asari Radix et Rhizoma), Zhi Shi (Aurantii Fructus Immaturus), Chuan Lian Zi (Meliae Fructus), or Qing Pi (Citri Reticulatae Pericarpium Viride)? I replied: These are all Qi-breaking herbs. Although past physicians often used them, they only treat the branch (symptoms). Moreover, do they not violate the warning against further weakening the deficient? They can only be used when Qi is Excess.