肿痛或发热者，肝经湿热也，清肝燥湿。
肿痛发寒热者，邪气伤表也，发散之。
肿痛小便赤涩者，肝经湿热壅滞也，疏肝导湿。
张子和曰∶遗精、癃闭、阴痿、脬痹、精滑、白淫，皆男子之疝，不可妄归之肾冷。
若血涸不月，月罢腰膝上热，足热嗌干，癃闭，小腹有块，或定或移，前阴突出，后阴痔
核，皆女子疝也。但女子不谓之疝，而谓之瘕。
一人患小便肿硬， 痛寒热，先以人参败毒散，二贴而止，更以小柴胡加黄连、
青皮而愈。
一人溃而肿痛，小便赤涩，以加减龙胆泻肝散，加青皮、黄连，二剂少愈；以小柴胡加
黄连、知母、茯苓，数剂而愈。
一人茎肿不消；一人溃而肿痛发热，小便秘涩，日晡或热；一小儿肿痛，诸药不应。各
以小柴胡吞芦荟丸，数剂并愈。
一人阴茎或肿、或作痛、或梃纵不收；一人茎中作痛，急缩或作痒，白物如精随溺而
下，此筋疝也，并用龙胆泻肝汤，皆愈。
一人溃而肿痛发热，日晡尤甚，以小柴胡加黄柏、知母、当归而愈。
一人溃愈，惟茎中一块不散，以小柴胡加青皮、荆、防治之，更以荆、防、牛膝、何
首乌、滑石、甘草各半两，煎汤薰洗，各数服而消。
一人年逾四十，素有淋患疳疮， 痛倦怠，用小柴胡加连、柏、青皮、当归而愈。
一人因劳，茎窍作痒，时出白物，发热口干，以清心莲子饮而安。
一人玉茎肿痛，小便如淋，自汗甚苦，时或尿血少许，尺脉洪滑，按之则涩，先用清
心莲子饮，加牛膝、山栀、黄柏、知母，数剂少愈，更以滋肾丸，一剂而痊。
先贤云∶如自汗小便少，不可以药利之，既以自汗，则津液外亡，小便自少。若利之，
则荣卫涸竭，无以制火，烦热愈甚。当俟热退汗止，小便自行也，兼此，乃阳明经火，忌利小
便也。
一老患疳疮，小便淋涩，脉细体倦，此气虚兼湿热也。用清心莲子饮，及补中益气
汤而愈。下疳疮，丹溪用青黛、蛤粉、密陀僧、黄连为末，敷。又以鸡肫皮烧，存性为末，敷。
下疳疮并 疮 哈粉 腊茶 苦参 密陀僧
为末，河水洗净，猪油调敷。
又方 米泔水洗疮，净，用头发，盐水洗去油，净，再用清汤洗，晒干，烧灰敷疮，即生靥。
又方 治注疳疮，蚀臭腐烂，疼痛难忍。兼治小儿疳疮。
黄柏（炙） 黄丹（三钱） 轻粉（五分） 乳香（三钱） 密陀僧（三钱） 高木香（三钱）
麝香（少许）
上为末，用葱汤洗疮，次贴之此药。
敷药 木香 槟榔 黄连 铜青 轻粉 枯矾 海螵蛸 麝香 各等分为末，洗后至夜敷上。
洗药 黄连 黄柏 当归 白芷 独活 防风 荆芥 朴硝 等分，水煎，入钱五十文、
乌梅五个、盐一匙同煎，沸，温洗，日五七次。敷前项药。
如果患处出现肿胀疼痛或发热，属于肝经湿热证，治疗应清泻肝火、燥湿。
如果肿胀疼痛并伴有寒热往来，属于邪气损伤体表，治疗应发散表邪。
如果肿胀疼痛且小便赤红涩痛，属于肝经湿热壅滞，治疗应疏理肝气、引导湿气排出。
张子和说：遗精、尿闭、阳痿、膀胱痹阻、精液滑泄、白浊，都是男子的疝病，不可随意归结为肾冷。
如果是女性血枯经闭，月经停止后腰膝上部发热、足部发热、咽喉干燥、尿闭、小腹有肿块，或固定不移或游走不定，前阴突出，后阴痔核，这些都是女子的疝病。只是女子不称之为疝，而称之为瘕。
有一人患小便肿硬，伴疼痛、恶寒发热，先用人参败毒散，服两帖后症状停止，再用小柴胡汤加黄连、青皮而痊愈。
有一人溃烂且肿痛，小便赤红涩痛，用加减龙胆泻肝散，加青皮、黄连，服两剂后稍见好转；再用小柴胡汤加黄连、知母、茯苓，服数剂后痊愈。
有一人阴茎肿胀不消；有一人溃烂且肿痛发热，小便短少涩痛，傍晚时分发热；有一个小儿肿痛，各种药物无效。分别用小柴胡汤送服芦荟丸，服数剂后都痊愈了。
有一人阴茎有时肿胀、有时作痛、有时挺纵不收；有一人尿道内作痛，紧急收缩或作痒，白色分泌物像精液一样随尿液而下，这是筋疝，都用龙胆泻肝汤治疗，都痊愈了。
有一人溃烂且肿痛发热，傍晚时分尤为严重，用小柴胡汤加黄柏、知母、当归而痊愈。
有一人溃烂愈合后，只有阴茎中有一块硬结不散，用小柴胡汤加青皮、荆芥、防风防治，再用荆芥、防风、牛膝、何首乌、滑石、甘草各半两，煎汤熏洗，服数次后消散。
有一人年过四十，素有淋证和疳疮病史，感到疼痛倦怠，用小柴胡汤加黄连、黄柏、青皮、当归而痊愈。
有一人因劳累，尿道口作痒，时常流出白色分泌物，发热口干，用清心莲子饮而安宁。
有一人玉茎（阴茎）肿痛，小便像淋证一样，自汗非常痛苦，偶尔尿少量血，尺脉洪滑，重按则涩，先用清心莲子饮，加牛膝、山栀、黄柏、知母，服数剂后稍见好转，再用滋肾丸，服一剂后痊愈。
先贤说：如果有自汗且小便量少，不可以用药利尿，既然已经有自汗，津液就会向外亡失，小便自然减少。如果强行利尿，会导致营卫枯竭，无法制约火邪，烦热会更加严重。应当等待热退汗止，小便自然会恢复，兼有此症，属于阳明经火证，忌用利尿药。
一位老人患疳疮，小便淋沥涩痛，脉细身体疲倦，这是气虚兼夹湿热。用清心莲子饮及补中益气汤而痊愈。下疳疮，朱丹溪用青黛、蛤粉、密陀僧、黄连研为末，外敷。又用鸡肫皮烧存性研为末，外敷。
下疳疮并其他疮疡，用蛤粉、腊茶、苦参、密陀僧研为末，用河水洗净，猪油调匀后外敷。
另一个方子：用米泔水洗疮，洗净后，取头发，用盐水洗去油脂，洗净，再用清水洗，晒干，烧成灰敷在疮上，即可生肌收口。
另一个方子：治疗注疳疮，腐蚀发臭腐烂，疼痛难忍。兼治小儿疳疮。
黄柏（炙）三钱，黄丹三钱，轻粉五分，乳香三钱，密陀僧三钱，高木香三钱，麝香少许。
以上研为末，用葱汤洗疮，然后贴敷此药。
敷药：木香、槟榔、黄连、铜青、轻粉、枯矾、海螵蛸、麝香，各等分研为末，清洗后至夜间敷上。
洗药：黄连、黄柏、当归、白芷、独活、防风、荆芥、朴硝，等分，水煎，加入五十文钱、乌梅五个、盐一匙同煎，煮沸后温洗，每日五到七次。敷前述药物。
If swelling, pain, or fever occurs in the affected area, it is damp-heat in the Liver channel; treatment should clear the Liver and dry dampness.
If swelling, pain, accompanied by alternating chills and fever, indicates pathogenic factors damaging the exterior; treatment should disperse the exterior.
If swelling, pain, with red and scanty urine, indicates stagnation of damp-heat in the Liver channel; treatment should soothe the Liver and guide out dampness.
Zhang Zihe stated: Nocturnal emission, strangury (urinary retention), impotence, bladder bi-syndrome, seminal leakage, and leukorrhea are all hernias in men and should not be rashly attributed to Kidney cold.
If a woman suffers from blood depletion and amenorrhea, heat above the waist and knees after menstruation ceases, heat in the feet, dry throat, strangury, abdominal masses that are either fixed or migratory, protrusion of the anterior yin, and hemorrhoidal nodules at the posterior yin, these are all hernias in women. However, they are not called hernias in women but rather zhā (masses).
One patient suffered from swollen and hard urination, accompanied by pain, chills, and fever. Initially treated with Renshen Baidu San (Ginseng Detoxification Decoction) for two doses, which stopped the symptoms; subsequently treated with Xiaochaihu Tang (Minor Bupleurum Decoction) added with Huanglian (Coptis Rhizome) and Qingpi (Aurantii Fructus Perfricatus) until cured.
One patient had ulceration with swelling and pain, and red, scanty urine. Treated with Jiajian Longdan Xiegan San (Modified Gentian Liver-Draining Powder) added with Qingpi and Huanglian; improved slightly after two doses. Then treated with Xiaochaihu Tang added with Huanglian, Zhimu (Anemarrhenae Rhizoma), and Fuling (Poria) for several doses until cured.
One patient had persistent penile swelling; one patient had ulceration with swelling, pain, fever, and short, scanty urine with afternoon fever; one child had swelling and pain unresponsive to various medicines. All were treated with Xiaochaihu Tang administered with Lushui Wan (Aloe Pill) for several doses and all recovered.
One patient had intermittent penile swelling, pain, or flaccidity without retraction; one patient had pain in the urethra, urgent retraction, or itching, with white discharge resembling semen accompanying urine. This is Jinshan (Sinew Hernia); both were treated with Longdan Xiegan Tang (Gentian Liver-Draining Decoction) and recovered.
One patient had ulceration with swelling, pain, and fever, worse in the late afternoon. Treated with Xiaochaihu Tang added with Huangbai (Phellodendri Cortex), Zhimu, and Danggui (Angelicae Sinensis Radix) until cured.
One patient’s ulcer healed, but a lump remained in the penis unresolved. Treated with Xiaochaihu Tang added with Qingpi, Jingjie (Schizonepetae Herba), and Fangfeng (Saposhnikoviae Radix) for prevention and treatment; additionally, a decoction of Jingjie, Fangfeng, Niuxi (Achyranthis Bidentatae Radix), Heshouwu (Polygoni Multiflori Radix), Huashi (Talcum), and Gancao (Liquorice Root), each half liang, was used for fumigation and washing. After several applications, it dissipated.
One patient over forty years old, with a history of lin syndrome and gan sores, experienced pain and fatigue. Treated with Xiaochaihu Tang added with Lian (Huanglian), Bai (Huangbai), Qingpi, and Danggui until cured.
One patient, due to overwork, experienced itching in the urethral orifice, occasional discharge of white matter, fever, and dry mouth. Calmed with Qingxin Lianzi Yin (Clear Heart Lotus Seed Decoction).
One patient had swelling and pain of the jade stem (penis), urination resembling lin syndrome, severe spontaneous sweating, occasional slight hematuria, and a chi pulse that was surging and slippery but choppy upon pressure. Initially treated with Qingxin Lianzi Yin added with Niuxi, Shanzhi (Gardeniae Fructus), Huangbai, and Zhimu; improved slightly after several doses. Then treated with Zishen Wan (Kidney-Nourishing Pill) for one dose until recovered.
Ancient sages said: If there is spontaneous sweating and little urine, diuretics should not be used. Since spontaneous sweating causes fluid loss, urine naturally decreases. If forced diuresis is applied, Ying and Wei fluids will be exhausted, failing to control fire, causing vexation and heat to worsen. One should wait for heat to subside and sweating to stop, after which urine will return to normal. In cases involving Yangming channel fire, diuretics are contraindicated.
An elderly patient suffered from gan sores, strangury with scanty urine, a fine pulse, and physical fatigue, indicating Qi deficiency combined with damp-heat. Treated with Qingxin Lianzi Yin and Buzhong Yiqi Tang until cured. For lower gan sores, Danxi used Qingdai (Indigo Naturalis), Gafen (Concha Meretricis), Miduoseng (Litharge), and Huanglian ground into powder for external application. Also, Ji Dunpi (Chicken Gizzard Membrane) was burned to retain its properties, ground into powder, and applied externally.
For lower gan sores and other sores, Gafen, Chaye (Tea Leaf), Kushen (Sophorae Flavescentis Radix), and Miduoseng were ground into powder. Washed clean with river water, mixed with pig fat, and applied externally.
Another prescription: Wash the sore with rice water. Cleanse hair with salt water to remove oil, then wash with clear water, dry, burn to ash, and apply to the sore to promote healing.
Another prescription: Treats zhu gan sores (infectious/erosive gan sores) with erosion, foul odor, rotting, and unbearable pain. Also treats pediatric gan sores.
Huangbai (roasted) 3 qian, Huangdan (Lead Monoxide) 3 qian, Qingfen (Calomelas) 5 fen, Ruxiang (Olibanum) 3 qian, Miduoseng 3 qian, Gaomuxiang (Agarwood) 3 qian, Shexiang (Musk) a small amount.
Grind all into powder. Wash the sore with scallion water, then apply this medicine.
Topical powder: Muxiang (Aucklandiae Radix), Binglang (Arecae Semen), Huanglian, Tongqing (Chalcanthite), Qingfen, Kufan (Alumen), Haipiaoxiao (Sepiae Endoconcha), Shexiang, equal parts ground into powder. Apply at night after washing.
Washing solution: Huanglian, Huangbai, Danggui, Baizhi (Angelicae Dahuricae Radix), Duhuo (Angelicae Pubescentis Radix), Fangfeng, Jingjie, Puxiao (Mirabilite), equal parts. Decoct in water, add fifty cash coins, five Wumei (Mume Fructus), and one spoonful of salt. Boil, cool to warm temperature, and wash five to seven times daily. Apply the aforementioned topical powder.