论曰阴疝肿缩者,寒邪客于厥阴之经,而阳气不能自温,故令诸筋拘急,阴器紧缩而肿
痛也,肝者筋之合也,筋者聚于阴器而络于舌本,脉不营即筋缩急,筋缩急则引卵与舌,故
舌卷卵缩者,皆厥阴为病也。
治阴疝肿缩疼痛,野狼毒丸方
野狼毒(炙二两) 防葵(炒) 附子(炮裂去皮脐各一两)
上三味,捣罗为末,炼蜜丸如梧桐子大,每服十丸,温酒下,空心日午临卧服。
治阴疝肿缩,鸡翅灰散方
鸡翅(左右俱用不限多少烧灰)
上一味,细研为散,每服二钱匕,温酒调下,不拘时。
治阴疝肿缩,黄连丸方
黄连(去须) 熟艾(炙) 杏仁(去皮尖别研各半两)
上三味,捣研罗为末,炼蜜丸如梧桐子大,每服二十丸,盐汤下,空心服。
治阴疝肿缩疼痛, 砂丸方
砂(研) 木香(各半两) 楝实(去核炒) 香子(炒) 京三棱(炮各一两)
上五味,捣罗为末,炼蜜丸如梧桐子大,每服二十丸,空心酒下。
治阴疝肿缩,槐子丸方
槐子(炒一两)
上一味,捣罗为末,炼蜜丸如梧桐子大,每服二十丸,温酒下空心服。
治阴疝肿缩疼痛,莴苣熨方
莴苣(切半斤) 皂荚(锉碎三挺) 蜀椒(去目及闭口者炒出汗一两)
上三味,少用水煮,令相得,不可太稀,乘热用布三两重裹,熨肿处,冷即易,频熨自
消。
治阴疝肿缩,雄黄洗方
雄黄(研) 甘草(各一两) 矾石(研二两)
上三味,捣研为末,每用药一两,热汤五升,通手洗肿处,良久再暖洗。
治阴疝肿缩,车前子涂方
车前子(不拘多少)
上一味,捣罗为末,汤调涂肿处。
治阴疝肿缩,蔓荆散涂方
蔓荆根(不拘多少锉碎)
上一味,捣罗为散,温水调涂肿处,或以绢帛敷之,以瘥为度。
论述说:阴疝肿缩,是指寒邪侵袭厥阴经(足厥阴肝经),导致阳气无法自我温煦,从而引起各种筋脉拘挛紧急,阴器紧缩并伴有肿胀疼痛。肝主筋,是筋的汇聚之处;筋聚于阴器并联络于舌根。如果经脉气血不能濡养,就会导致筋脉收缩紧急;筋脉收缩紧急则会牵引睾丸和舌头,因此出现舌头卷曲、睾丸上缩的症状,这都是厥阴经受病所致。
治疗阴疝肿缩疼痛的野狼毒丸方:
野狼毒(炙烤二两)、防葵(炒制)、附子(炮裂后去皮去脐,各一两)。
以上三味药,捣碎过筛成粉末,用炼蜜制成梧桐子大小的药丸。每次服用十丸,用温酒送服,空腹时、中午及睡前服用。
治疗阴疝肿缩的鸡翅灰散方:
鸡翅(左右翅膀均使用,数量不限,烧成炭灰)。
以上一味药,细细研磨成散剂。每次服用二钱匕,用温酒调服,不拘泥于具体时间。
治疗阴疝肿缩的黄连丸方:
黄连(去掉须根)、熟艾(炙烤)、杏仁(去皮尖,分别研磨,各半两)。
以上三味药,捣碎研磨过筛成粉末,用炼蜜制成梧桐子大小的药丸。每次服用二十丸,用盐汤送服,空腹服用。
治疗阴疝肿缩疼痛的砂丸方:
砂(研磨)、木香(各半两)、楝实(去掉果核,炒制)、香子(炒制)、京三棱(炮制,各一两)。
以上五味药,捣碎过筛成粉末,用炼蜜制成梧桐子大小的药丸。每次服用二十丸,空腹时用酒送服。
治疗阴疝肿缩的槐子丸方:
槐子(炒制一两)。
以上一味药,捣碎过筛成粉末,用炼蜜制成梧桐子大小的药丸。每次服用二十丸,空腹时用温酒送服。
治疗阴疝肿缩疼痛的莴苣熨方:
莴苣(切块半斤)、皂荚(锉碎三挺)、蜀椒(去掉目及闭口者,炒至出汗一两)。
以上三味药,加少量水煮,使其混合均匀,不可太稀。趁热用三层厚的布包裹,熨烫肿胀部位,变冷后即更换,频繁熨烫可自行消退。
治疗阴疝肿缩的雄黄洗方:
雄黄(研磨)、甘草(各一两)、矾石(研磨二两)。
以上三味药,捣碎研磨成粉末。每次取药一两,加入五升热水,待水温适宜(通手)时清洗肿胀部位,过一会儿再加热清洗。
治疗阴疝肿缩的车前子涂方:
车前子(数量不限)。
以上一味药,捣碎过筛成粉末,用开水调匀后涂抹在肿胀部位。
治疗阴疝肿缩的蔓荆散涂方:
蔓荆根(数量不限,锉碎)。
以上一味药,捣碎过筛成散剂,用温水调匀后涂抹在肿胀部位,或者用绢帛敷贴,以痊愈为度。
Discussion states: Yin hernia with swelling and retraction refers to cold pathogenic factors invading the Jueyin Meridian (Foot-Jueyin Liver Meridian), causing Yang Qi to fail in self-warming, thereby leading to spasmodic tension of various sinews, contraction of the genital organ accompanied by swelling and pain. The Liver governs the sinews and is the convergence point of sinews; sinews gather at the genital organ and connect to the root of the tongue. If the meridians fail to nourish, the sinews will contract and become tense; such contraction will pull on the testicles and the tongue. Therefore, symptoms such as tongue curling and testicular retraction are all diseases of the Jueyin Meridian.
Formula for Treating Yin Hernia with Swelling, Retraction, and Pain: Yelangdu Wan (Wild Spurge Pill)
Yelangdu (Radix Euphorbiae Lathyridis, roasted, 2 liang), Fangkui (Radix Adenophorae, fried), Fuzi (Radix Aconiti Lateralis Preparata, processed until cracked, skin and umbilicus removed, each 1 liang).
The above three ingredients are crushed, sieved into powder, mixed with refined honey, and formed into pills the size of paulownia seeds. Take 10 pills per dose, administered with warm wine, on an empty stomach, at noon, and before bedtime.
Formula for Treating Yin Hernia with Swelling and Retraction: Wuji Hui San (Chicken Wing Ash Powder)
Wuji (Chicken wings, both left and right, quantity unrestricted, burned to ash).
The above single ingredient is finely ground into a powder. Take 2 qianbi per dose, mixed with warm wine, without restriction on time.
Formula for Treating Yin Hernia with Swelling and Retraction: Huanglian Wan (Coptis Pill)
Huanglian (Rhizoma Coptidis, remove roots), Shuai Ai (Folium Artemisiae Argyi Preparatum, roasted), Xingren (Semen Armeniacae Amarum, remove skin and tips, grind separately, each half liang).
The above three ingredients are crushed, ground, and sieved into powder, mixed with refined honey, and formed into pills the size of paulownia seeds. Take 20 pills per dose, administered with salt water, on an empty stomach.
Formula for Treating Yin Hernia with Swelling, Retraction, and Pain: Sha Wan (Sand Pill)
Sha (Realgar, ground), Muxiang (Radix Aucklandiae, each half liang), Lianshi (Fructus Meliae Toosendan, remove core, fried), Xiangzi (Buckwheat Fruit, fried), Jingsanleng (Rhizoma Sparganii, processed, each 1 liang).
The above five ingredients are crushed, sieved into powder, mixed with refined honey, and formed into pills the size of paulownia seeds. Take 20 pills per dose, administered with wine on an empty stomach.
Formula for Treating Yin Hernia with Swelling and Retraction: Huaizi Wan (Sophora Pill)
Huaizi (Fructus Sophorae, fried, 1 liang).
The above single ingredient is crushed, sieved into powder, mixed with refined honey, and formed into pills the size of paulownia seeds. Take 20 pills per dose, administered with warm wine on an empty stomach.
External Application Method for Treating Yin Hernia with Swelling, Retraction, and Pain: Woju Yi (Lettice Compress)
Woju (Herba Lactucae, cut, half jin), Zaojia (Fructus Gleditsiae Sinensis, chopped into pieces, three stalks), Shujiao (Pericarpium Zanthoxyli, remove eyes and closed ones, stir-fried until oil appears, 1 liang).
The above three ingredients are boiled with a small amount of water until well combined; do not make it too thin. Wrap in a cloth three layers thick while hot, and apply as a compress to the swollen area. Replace when cool. Frequent application will lead to spontaneous resolution.
Wash Formula for Treating Yin Hernia with Swelling and Retraction: Xionghuang Xi (Realgar Wash)
Xionghuang (Realgar, ground), Gancao (Radix Glycyrrhizae, each 1 liang), Fanshi (Alumen, ground, 2 liang).
The above three ingredients are crushed and ground into powder. Take 1 liang of medicine per use, add 5 sheng of hot water. When the temperature is suitable for touching the skin, wash the swollen area. Re-warm and wash again after some time.
Paste Formula for Treating Yin Hernia with Swelling and Retraction: Cheqianzi Tu (Plantago Seed Paste)
Cheqianzi (Semen Plantaginis, quantity unrestricted).
The above single ingredient is crushed, sieved into powder, mixed with boiled water, and applied as a paste to the swollen area.
Paste Formula for Treating Yin Hernia with Swelling and Retraction: Manjing San Tu (Vitex Root Powder Paste)
Manjinggen (Radix Viticis Negundo, quantity unrestricted, chopped).
The above single ingredient is crushed, sieved into powder, mixed with warm water, and applied as a paste to the swollen area, or covered with silk fabric. Continue until healed.