疝气上逆心腹，痛不可忍，挛急屈伸不得，腹中冷重如石，自汗出，寒气也。用山栀子
四钱，附子一钱，盐水煎服。
疝气连小腹痛，木香、陈皮各一两，良姜、干姜、诃子皮、赤芍、枳实各五钱，草蔻、
黑丑、川芎各三两，共末，白汤下二钱。
阴疝引小腹痛，蒺藜、附子、栀子各一两，共末。每服二钱，水煎服。
疝偏于左右，名偏肾。用良姜、牡蛎为末，火酒调搽。
寒湿疝气。苍术八两（用米泔洗、姜汁、葱汁、人乳、青盐各炒一分，）赤茯苓二两，酒
炒山栀一两五钱，小茴一两，荔枝核一两，青盐二钱，沉香三钱，元米糊丸，空心盐汤下三十丸
验案
一人伤寒，汗不过腰，肾子胀大，湿热下注于肝经也。用破故纸五分，白术五分，茯苓
一钱，泽泻三钱，吴萸五厘，水煎服。
脐下动气，乃肾气泛上，不能纳气归原，肾之脾胃虚也。六味丸去泽泻，加五味、炮姜
、人参、河车。盖去泽泻，恐其泄肾气也；加参，姜以守中也，河车、五味以助肾也。
动气，肝气也；水不生木，木枯肝亢而动也。宜桂枝汤加桂。
验案
一人常伤气，脐下动气，此肺肾两虚也。气上冲胸中似痛，腰痛，水枯木亢也。茯苓、
甘草、山药、五味、白芍、破故纸，补肺、扶肾、平肝而愈。
疝气之气上逆至心腹部，疼痛剧烈难以忍受，身体拘挛紧急，屈伸困难，腹部感觉寒冷沉重如石头一般，伴有自汗出，这是寒气所致。使用山栀子四钱，附子一钱，用盐水煎煮后服用。
疝气牵连小腹痛，取木香、陈皮各一两，良姜、干姜、诃子皮、赤芍、枳实各五钱，草蔻、黑丑、川芎各三两，共同研为细末，用白开水送服二钱。
阴疝牵引小腹痛，取蒺藜、附子、栀子各一两，共同研为细末。每次服用二钱，用水煎煮后服用。
疝气偏向身体左侧或右侧的，称为偏肾疝。使用良姜、牡蛎研为细末，用火酒调和后外搽患处。
寒湿型疝气。苍术八两（需用米泔水清洗，并用姜汁、葱汁、人乳、青盐各一分炒制），赤茯苓二两，酒炒山栀一两五钱，小茴香一两，荔枝核一两，青盐二钱，沉香三钱，用元米糊制成丸药，空腹时用盐汤送服三十丸。
验案：
有一人患伤寒病，出汗仅到腰部以下，睾丸胀大，这是湿热下注于肝经所致。使用破故纸五分，白术五分，茯苓一钱，泽泻三钱，吴茱萸五厘，用水煎煮后服用。
脐下部位出现跳动的气感，这是肾气泛溢上行，不能纳气归原，属于肾及脾胃虚弱所致。使用六味地黄丸去掉泽泻，加入五味子、炮姜、人参、紫河车。之所以去掉泽泻，是担心它泄掉肾气；加入人参、生姜是为了固守中焦；加入紫河车、五味子是为了辅助肾脏功能。
这种动气现象，属于肝气妄动；由于水不生木，导致木枯而肝亢盛从而引发动气。适宜使用桂枝汤加重桂枝用量。
验案：
有一人经常耗伤正气，脐下出现动气，这是肺肾两虚所致。气向上冲撞胸部似有疼痛，伴有腰痛，这是肾水枯竭、肝木亢盛的表现。使用茯苓、甘草、山药、五味子、白芍、破故纸，以补益肺气、扶持肾气、平抑肝气，从而痊愈。
Shanqi (Hernia Qi) reverses upward to the heart and abdomen, causing pain that is unbearable, with spasms and stiffness preventing flexion and extension. The abdomen feels cold and heavy like a stone, accompanied by spontaneous sweating; this is caused by Cold Evil. Use Shan Zhizi (Gardeniae Fructus) 4 qian, Fuzi (Aconiti Lateralis Radix Praeparata) 1 qian, decocted in salt water for oral administration.
When Shanqi extends to the lower abdomen causing pain, use Muxiang (Aucklandiae Radix) and Chenpi (Citri Reticulatae Pericarpium), each 1 liang; Liangjiang (Alpiniae Officinarum Rhizoma), Ganjiang (Zingiberis Rhizoma), Hezi Pi (Terminaliae Chebulae Pericarpium), Chishao (Paeoniae Radix Rubra), and Zhishi (Aurantii Fructus Immaturus), each 5 qian; Cao Kou (Amomi Fructus Rotundus), Heiqiu (Bungeae Semen Preparatum), and Chuanxiong (Ligustici Chuanxiong Rhizoma), each 3 liang. Grind all into powder, and take 2 qian with warm boiled water.
Yinshan (Yin Hernia) radiating pain to the lower abdomen: use Jili (Tribuli Fructus), Fuzi, and Zhizi, each 1 liang. Grind into powder. Take 2 qian per dose, decocted in water.
When Shanqi occurs on either the left or right side, it is named Pian Shen (Oblique Kidney Hernia). Use Liangjiang and Muli (Ostreae Concha) ground into powder, mixed with Huojiu (Fire Wine) for external application.
Cold-Dampness Shanqi: Cangzhu (Atractylodis Rhizoma) 8 liang (washed with rice washing water, then stir-fried separately with Ginger Juice, Scallion Juice, Human Milk, and Green Salt, one fen each); Chi Fuling (Poria with Red Hosta Root) 2 liang; Shan Zhizi stir-fried with wine 1.5 liang; Xiaohui (Foeniculi Fructus) 1 liang; Lizhihe (Litchi Seed) 1 liang; Qingyan (Green Salt) 2 qian; Chenxiang (Aquilariae Lignum Resinatum) 3 qian. Make pills using Yuanmi paste (rice paste). Take 30 pills orally on an empty stomach with salt water.
Clinical Case:
A patient suffered from Shanghan (Cold Damage Syndrome). Sweating was limited only to below the waist, and the testicles were swollen and enlarged. This indicates Damp-Heat pouring downward into the Liver Meridian. Use Pogu Zhi (Psoraleae Fructus) 5 fen, Baizhu (Atractylodis Macrocephalae Rhizoma) 5 fen, Fuling (Poria) 1 qian, Zexie (Alismatis Rhizoma) 3 qian, Wuyu (Evodiae Fructus) 5 li. Decoct in water and administer orally.
Qi movement below the umbilicus indicates Kidney Qi flooding upward, failing to return to its root. This reflects deficiency of the Kidney and Spleen-Stomach. Use Liuwei Wan (Six-Ingredient Pill with Rehmannia) minus Zexie, plus Wuweizi (Schisandrae Chinensis Fructus), Paojiang (Prepared Ginger), Renshen (Ginseng Radix et Rhizoma), and Heche (Placenta Hominis). Removing Zexie prevents the leakage of Kidney Qi; adding Renshen and Jiang secures the Middle Jiao; adding Heche and Wuweizi assists the Kidney.
This "Qi movement" pertains to Liver Qi. Since Water fails to generate Wood, the Wood becomes dry and the Liver becomes hyperactive, causing movement. Guizhi Tang (Cinnamon Twig Decoction) with added Guizhi (Cinnamomi Ramulus) is appropriate.
Clinical Case:
A person frequently injured their Qi, presenting with Qi movement below the umbilicus. This indicates deficiency of both the Lung and Kidney. Qi rushes upward to the chest, causing apparent pain, accompanied by lower back pain. This represents depletion of Kidney Water and hyperactivity of Liver Wood. Use Fuling, Gancao (Glycyrrhizae Radix et Rhizoma), Shanyao (Dioscoreae Rhizoma), Wuweizi, Baishao (Paeoniae Radix Alba), and Pogu Zhi to tonify the Lung, support the Kidney, and calm the Liver, leading to recovery.