（丹溪）
治疝气疼痛。
吴茱萸 枳壳 栀子 唐球子（与山楂，俱炒用） 荔枝核（ ）。等分，为末。空心，
长流
此足厥阴药也。吴茱入厥阴气分，温肝逐寒；山栀泻三焦火热，由膀胱出；枳壳行气而
破症；山楂散瘀而磨积；荔枝双结，形类睾丸，能入肝肾辟寒散滞，故假之以为引也（丹溪
曰∶疝气《素问》而下，皆以为寒，世有寒而无疝者，必有说以通之可也。因思此病始于湿
热在经，郁遏既久，又感外寒，湿热被郁而作痛，只作寒论，恐有未尽。古方以乌头、栀子
等分作汤，其效亦速，后因此方随证加减，无有不应，须分湿热多少而治之。又有挟虚而发
者，当以参、术为君，而佐以疏导，其脉沉紧而豁大者是也。按∶疏导药即桃仁、山楂、枳
实、黑栀、川楝、吴茱、延胡、丁香、木香之类，山栀、附子酒煎加盐服，是栀附汤。丹溪
曰∶乌头
（《济生》）
治四种 疝（茎囊睾丸肿硬，不痛不痒，为 疝。亦有引脐腹绞痛者。四种∶肠 、卵
橘核 川楝子 海藻 海带 昆布 桃仁（二两） 延胡索 浓朴 枳实 木通 桂心
木香（五钱。）酒糊丸。盐汤或酒下。
此足厥阴药也。疝病由于寒湿，或在气，或在血，证虽见乎肾，病实本乎肝（厥阴肝脉
络阴器）。橘核、木香能入厥阴气分而行气；桃仁、延胡能入厥阴血分而活血；川楝、木通
能导小肠膀胱之热由小便下行，所以去湿；官桂能平肝暖肾，补肾命之火，所以祛寒；浓朴、
枳实并能行结水而破宿血；昆布、藻、带，咸润下而软坚，寒行水以泄热（湿久为热，寒久
亦为热）；同为散肿消坚之剂也（朱丹溪曰∶ 疝不痛，非痛断房事与浓味不可。若苍术、
神曲、山楂、白芷、川芎、枳实、半夏，皆要药。又宜随时月寒热加减，有热加栀子，坚硬
加朴硝，秋冬加吴
（朱丹溪）
治疗疝气疼痛。
吴茱萸、枳壳、栀子、唐球子（与山楂一起，都炒制使用）、荔枝核（等分），研成细末。空腹时，用长流水送服。
这是足厥阴肝经的药物。吴茱萸进入厥阴气分，温补肝脏驱逐寒气；山栀清泻三焦的火热，通过膀胱排出；枳壳行气并破除积聚；山楂消散瘀血并磨化积滞；荔枝核双结，形状类似睾丸，能进入肝肾驱散寒邪、消除滞气，所以借它作为引经药。（朱丹溪说：关于疝气，从《素问》以下，都认为属于寒证，世间有寒证而没有疝气的情况，一定有道理来通晓它。我思考这种病始于湿热在经络中，郁遏久了，又感受外寒，湿热被郁结而发作疼痛，只按寒证论述，恐怕有不全面之处。古方用乌头、栀子等分煎汤，效果也很快，后来根据这个方剂随证加减，没有不奏效的，必须区分湿热多少来治疗。又有夹杂虚证而发作的，应当以人参、白术为君药，辅以疏导药物，其脉象沉紧而豁大的是这种情况。按：疏导药即桃仁、山楂、枳实、黑栀子、川楝子、吴茱萸、延胡索、丁香、木香之类，山栀、附子酒煎加盐服用，就是栀附汤。朱丹溪说：乌头
（《济生方》）
治疗四种疝气（阴茎囊和睾丸肿胀坚硬，不痛不痒，称为疝气。也有牵引脐腹绞痛的。四种包括肠疝、卵疝等）。
橘核、川楝子、海藻、海带、昆布、桃仁（二两）、延胡索、厚朴、枳实、木通、桂心、木香（五钱）。用酒糊制成丸剂。用盐汤或酒送服。
这是足厥阴肝经的药物。疝病由于寒湿引起，或在气分，或在血分，症状虽然表现在肾脏，但病根实际上在于肝脏（厥阴肝经脉络生殖器）。橘核、木香能进入厥阴气分而行气；桃仁、延胡索能进入厥阴血分而活血；川楝子、木通能引导小肠膀胱的热邪从小便下行，所以能去湿；官桂能平肝暖肾，补肾命之火，所以能祛寒；厚朴、枳实都能行结聚的水饮并破除陈旧的血瘀；昆布、海藻、海带，味咸润下且软坚，性寒行水以泄热（湿气久留化为热，寒气久留也化为热）；都是消散肿胀、消除坚硬的药剂。（朱丹溪说：疝气如果不痛，除了断绝房事和浓味饮食外别无他法。如果苍术、神曲、山楂、白芷、川芎、枳实、半夏，都是要药。又适宜根据季节寒热进行加减，有热加栀子，坚硬加朴硝，秋冬加吴茱萸）
(Zhu Danxi)
Treats hernia pain.
Evodiae Fructus (Wuzhuyu), Aurantii Fructus (Zhike), Gardeniae Fructus (Zhizi), Crataegi Fructus (Shanzha, referred to here as Tangqiuzi in the text but clarified as Shanzha for processing), and Litchi Seed (Lizhihe) in equal parts, ground into fine powder. Take on an empty stomach with long-flowing water.
This is a medicine for the Foot Jueyin Liver Meridian. Evodiae Fructus enters the Qi aspect of Jueyin, warming the Liver and expelling cold; Gardeniae Fructus clears heat fire from the Triple Burner, excreting it via the Bladder; Aurantii Fructus promotes Qi movement and breaks accumulations; Crataegi Fructus disperses blood stasis and grinds down masses; Litchi Seed is double-knotted and resembles the testicles, entering the Liver and Kidney to dispel cold and resolve stagnation, thus used as a guiding herb. (Zhu Danxi said: Regarding hernia, from the *Suwen* onwards, it has always been considered a cold syndrome. However, there are cases of cold without hernia, implying there must be principles to understand this. I ponder that this disease originates from damp-heat in the meridians; after long-term stagnation, external cold is contracted. The damp-heat is constrained and causes pain. Discussing it solely as a cold syndrome may be incomplete. Ancient formulas using Aconiti Lateralis Radix Preparata (Wutou) and Gardeniae Fructus in equal parts decocted as soup also work quickly. Later, modifying this formula according to symptoms yielded consistent results. One must treat based on the degree of damp-heat. There are also cases triggered by deficiency, where Ginseng Radix et Rhizoma (Renshen) and Atractylodis Macrocephalae Rhizoma (Baizhu) should be the sovereign herbs, assisted by draining and guiding agents; the pulse is deep, tight, yet hollow and large. Note: Draining and guiding herbs include Persicae Semen (Taoren), Crataegi Fructus (Shanzha), Ziziphi Spinosae Semen (Zhishi - *note: text says Zhishi but context implies Ziziphi Spinosae Fructus or similar, standard is Zhishi/Aurantii Fructus*, Black Gardeniae Fructus (Heizhi), Toosendan Fructus (Chuanlian), Evodiae Fructus (Wuzhuyu), Corydalis Rhizoma (Yanhusu), Eugeniae Flos (Dingxiang), and Aucklandiae Radix (Muxiang). Gardeniae Fructus and Aconiti Lateralis Radix Preparata (Fuzi) decocted in wine with salt taken internally is called Zhifu Decoction. Zhu Danxi said: Wutou
(*Jisheng Fang*)
Treats four types of hernia (swelling and hardness of the scrotum and testicles, without pain or itching, termed hernia. It may also cause colicky pain radiating to the umbilicus and abdomen. The four types include intestinal hernia, egg hernia, etc.).
Aurantii Fructus (Juhe), Toosendan Fructus (Chuanlianzi), Sargassum (Haizao), Laminaria Thallus (Haidai), Ecklonia Thallus (Kunbu), Persicae Semen (Taoren, 2 liang), Corydalis Rhizoma (Yanhusu), Magnoliae Officinalis Cortex (Houpo), Ziziphi Spinosae Fructus (Zhishi), Akebiae Caulis (Mutong), Cinnamomi Ramulus (Guixin), and Aucklandiae Radix (Muxiang, 5 qian). Form pills with wine paste. Take with salt water or wine.
This is a medicine for the Foot Jueyin Liver Meridian. Hernia arises from cold-dampness, affecting either the Qi or Blood aspects. Although symptoms manifest in the Kidney, the root lies in the Liver (the Jueyin Liver meridian connects to the genital organs). Aurantii Fructus and Aucklandiae Radix enter the Qi aspect of Jueyin to promote Qi movement; Persicae Semen and Corydalis Rhizoma enter the Blood aspect of Jueyin to invigorate Blood; Toosendan Fructus and Akebiae Caulis guide heat from the Small Intestine and Bladder downward through urination, thereby removing dampness; Cinnamomi Ramulus pacifies the Liver, warms the Kidney, and tonifies the Fire of the Gate of Vitality, thereby dispelling cold; Magnoliae Officinalis Cortex and Ziziphi Spinosae Fructus both move stagnant fluids and break old blood stasis; Ecklonia Thallus, Sargassum, and Laminaria Thallus are salty, moistening, descending, and softening, while their cold nature moves water to drain heat (dampness lingering becomes heat, cold lingering also becomes heat); together they are agents for dissipating swelling and resolving hardness. (Zhu Danxi said: For non-painful hernia, abstaining from sexual intercourse and rich flavors is indispensable. If so, Atractylodis Rhizoma (Cangzhu), Moutan Cortex (Shenqu - *note: Shenqu is usually Massae Medicamentae Fermentatae*), Crataegi Fructus (Shanzha), Angelicae Dahuricae Radix (Baizhi), Chuanxiong Rhizoma (Chuanxiong), Ziziphi Spinosae Fructus (Zhishi), and Pinelliae Tuber (Banxia) are essential herbs. Adjustments should be made according to seasonal heat and cold; add Gardeniae Fructus for heat, Mirabilite (Poxiao) for hardness, and Evodiae Fructus (Wuzhuyu) for autumn and winter)