肿痛或发热者。肝经湿热也。清肝除湿。
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。
一人患此肿硬。 痛寒热。先以人参败毒散二剂而止。更以小柴胡加黄连青皮而愈。（
此因症因经也。）
一人溃而肿痛。小便赤涩。以加减龙胆泻肝汤加青皮、黄连二剂少愈。以小柴胡加黄柏
、知母、当归、茯苓数剂而愈。（此因症因经也。）
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。或挺纵不收。一人茎中作痛。筋急缩。或作痒。白物如精。随
溺而下。此筋疝也。并用龙胆泻肝汤皆愈。（此因症也。）
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。若月涸。
。月罢。腰膝上热。足热。嗌干。癃闭。少腹有块。或定或移。前阴突出。后阴痔核。皆女
子之疝也。但女子不谓之疝。而谓之瘕。
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。（此因症也。）
一人已愈。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
、活石、甘草各五钱。煎汤熏洗。各数剂而消。（此因症也。）
一人年逾四十。素有淋。患疳疮。 痛倦怠。用小柴胡（五）加连、柏、青皮、当归而愈
。（此因症而治。）
一人因劳。茎窍作痒。时出白物。发热口干。以清心莲子饮而安。（此因劳处治。）
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、山枝、黄柏、知母数剂少愈。更以滋肾丸一剂而痊。（此因症也。）
前贤云。如自汗。小便少。不可以药利之。既已自汗。则津液外亡。小便自少。若利之
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。大忌利小便
一老患疳疮。小便淋沥。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 蛤粉 蜡茶 苦参 密陀僧为末。河水洗净。腊猪油调敷。
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 治下注疳疮。蚀臭腐烂。疼痛难忍。兼治小儿疳疮。
黄柏（蜜炙） 黄丹（三分） 轻粉（钱半） 乳香（三分） 密陀僧 高末茶（各三分） 麝香
（少许）
上末。用葱汤洗疮。次贴此药。
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。温洗。日五七次。敷下项药。
敷药 木香 槟榔 黄连 铜青 轻粉 枯矾 海螵硝 麝香
等分为末。洗后至夜敷上。
如果患处出现肿胀疼痛或发热，这是肝经湿热所致。治疗应清泻肝火、祛除湿邪。
如果肿胀疼痛伴有恶寒发热，这是邪气损伤体表所致。治疗应采用发散法。
如果肿胀疼痛且小便赤红涩痛，这是肝经湿热壅滞所致。治疗应疏利肝气、引导湿邪排出。
有一人患此病，局部肿硬，疼痛并伴有寒热往来。先用两剂人参败毒散使症状停止，再改用加黄连、青皮的小柴胡汤而痊愈。（这是根据病症和经络进行辨证治疗。）
有一人溃疡后仍肿痛，小便赤红涩痛。用加减龙胆泻肝汤加入青皮、黄连，服两剂后症状稍减，再用加黄柏、知母、当归、茯苓的小柴胡汤，服数剂后痊愈。（这是根据病症和经络进行辨证治疗。）
有一人阴茎肿胀不消；另一人溃疡后肿痛、发热，小便短少涩痛，下午申时（日晡）发热；还有一个小儿肿痛，服用各种药物无效。这几人都用小柴胡汤送服芦荟丸，服数剂后全部痊愈。
有一人阴茎时而肿胀，时而作痛，或者挺举纵长不能收缩；另一人尿道内作痛，筋脉拘急缩短，或者作痒，流出白色分泌物像精液一样，随尿液排出。这属于筋疝。都用龙胆泻肝汤治疗而痊愈。（这是根据病症进行治疗。）
张子和说：遗精、癃闭（排尿困难）、阳痿、膀胱痹阻、精液滑泄、白带过多，都是男子的疝病，不可随意归结为肾冷。如果是月经断绝、月经停止，腰膝上部发热，足部发热，咽喉干燥，排尿困难，小腹部有肿块，有时固定有时移动，前阴突出，后阴痔疮结节，这些都是女子的疝病。只是女子不称之为疝，而称之为瘕。
有一人溃疡后肿痛、发热，下午申时尤为严重。用加黄柏、知母、当归的小柴胡汤治疗而痊愈。（这是根据病症进行治疗。）
有一人已痊愈，只有阴茎中有一块硬结不散。用小柴胡汤加入青皮、荆芥来防治。再用荆芥、防风、牛膝、何首乌、石膏、甘草各五钱，煎汤熏洗，服数剂后消散。（这是根据病症进行治疗。）
有一人年龄超过四十岁，平素有淋证，患下疳疮，疼痛倦怠。用小柴胡汤加入黄连、黄柏、青皮、当归而痊愈。（这是根据病症进行治疗。）
有一人因劳累，尿道口作痒，时常流出白色分泌物，发热口干。用清心莲子饮治疗而安定。（这是针对劳损部位进行治疗。）
有一人阴茎肿痛，小便像淋证一样，自汗非常痛苦，偶尔尿血少许，尺脉洪滑，重按则涩。先用清心莲子饮，加入牛膝、山栀、黄柏、知母，服数剂后症状稍减，再用滋肾丸一剂而康复。（这是根据病症进行治疗。）
前贤说：如果有自汗、小便量少，不可以用药强行利尿。既然已经自汗，津液就会外泄亡失，小便自然减少。如果强行利尿，卫气和津液会枯竭，无法制约虚火，导致烦热更加严重。应当等待热退汗止之后，小便自然会恢复正常。况且这属于阳明经病，最忌用利尿药。
一位老人患下疳疮，小便淋漓不尽，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治疗而痊愈。
对于下疳疮，丹溪用青黛、蛤粉、密陀僧、黄连研成末，外敷。又用鸡肫皮烧至存性，研成末，外敷。
治疗下疳疮并伴有其他疮疡的方子：蛤粉、蜡茶、苦参、密陀僧研成末。用河水洗净患处，用腊猪油调和后外敷。
另一个方子：用米泔水洗净疮面，用头发用盐水洗去油脂，再用清水洗净，晒干，烧成灰，敷在疮上即可生肌收口。
又一个方子：治疗下部流注的下疳疮，腐蚀发臭腐烂，疼痛难忍。兼治小儿下疳疮。
配方：黄柏（蜜炙）、黄丹（三分）、轻粉（半钱）、乳香（三分）、密陀僧、高末茶（各三分）、麝香（少许）。
制法：以上药物研成细末。用葱汤清洗疮面，然后贴上此药。
洗药方：黄连、黄柏、当归、白芷、独活、防风、荆芥等分。水煎，加入五十文铜钱、五个乌梅、一匙盐同煎。温洗患处，每天五到七次。清洗后敷以下药物。
If the affected area presents with swelling, pain, or fever, it is due to damp-heat in the Liver channel. The treatment should clear the Liver and eliminate dampness.
If swelling and pain are accompanied by aversion to cold and fever, it indicates that pathogenic factors have injured the exterior. The treatment should employ dispersing methods.
If swelling and pain are accompanied by red, scanty, and painful urination, it indicates stagnation of damp-heat in the Liver channel. The treatment should soothe the Liver and guide out dampness.
A patient suffered from this condition with local swelling and hardness, pain, and alternating chills and fever. Initially, two doses of Renshen Baidu San (Ginseng Detoxification Powder) were administered to stop the symptoms, followed by Xiaochaihu Tang (Minor Bupleurum Decoction) added with Huanglian (Coptidis Rhizoma) and Qingpi (Aurantii Fructus Pericarpium), resulting in a cure. (This treatment was based on syndrome differentiation according to symptoms and meridians.)
Another patient had ulceration but still experienced swelling, pain, and red, scanty, painful urination. Jiajian Longdan Xiegan Tang (Modified Gentiana Liver-Draining Decoction) added with Qingpi and Huanglian was given for two doses, leading to slight improvement. Subsequently, Xiaochaihu Tang added with Huangbai (Phellodendri Cortex), Zhimu (Anemarrhenae Rhizoma), Danggui (Angelicae Sinensis Radix), and Fuling (Poria) was administered for several doses, resulting in a cure. (This treatment was based on syndrome differentiation according to symptoms and meridians.)
One patient had persistent penile swelling; another had ulceration with swelling, pain, fever, and short, scanty, painful urination, with fever in the afternoon (Shi hour); and a child suffered from swelling and pain unresponsive to various medications. All three were cured after taking several doses of Xiaochaihu Tang (Minor Bupleurum Decoction) taken with Lushui Wan (Aloe Pill).
One patient experienced intermittent penile swelling, pain, or flaccidity with inability to retract. Another patient suffered from pain in the urethra, tendon tension with retraction, itching, and discharge of white fluid resembling semen during urination. This is classified as Jin Shan (Tendon Hernia). Both cases were cured using Longdan Xiegan Tang (Gentiana Liver-Draining Decoction). (This treatment was based on the specific symptoms.)
Zhang Zihe stated: Nocturnal emission, long bi (difficulty in urination), impotence, bladder obstruction, seminal leakage, and leukorrhea are all hernias in men and should not be casually attributed to Kidney cold. In women, amenorrhea, cessation of menstruation, heat in the upper waist and knees, heat in the feet, dry throat, difficulty in urination, masses in the lower abdomen that may be fixed or mobile, protrusion of the anterior yin, and hemorrhoidal nodules in the posterior yin are all considered hernias in women. However, these conditions in women are not called hernias but are termed Jia (masses).
One patient had ulceration with swelling, pain, and fever, which was particularly severe in the afternoon. The case was cured using Xiaochaihu Tang (Minor Bupleurum Decoction) added with Huangbai, Zhimu, and Danggui. (This treatment was based on the symptoms.)
One patient had recovered, except for a hard nodule in the penis that did not dissipate. It was prevented and treated with Xiaochaihu Tang (Minor Bupleurum Decoction) added with Qingpi and Jingjie (Schizonepetae Herba). Additionally, a decoction of Jingjie, Fangfeng (Saposhnikoviae Radix), Niuxi (Achyranthis Bidentatae Radix), Heshouwu (Polygoni Multiflori Radix), Shigao (Gypsum Fibrosum), and Gancao (Glycyrrhizae Radix et Rhizoma), each five qian, was used for fumigation and washing. After several doses, the nodule dissipated. (This treatment was based on the symptoms.)
A patient over forty years old, who typically suffered from lin syndrome, developed a chancre with pain and fatigue. The case was cured using Xiaochaihu Tang (Minor Bupleurum Decoction) added with Huanglian, Huangbai, Qingpi, and Danggui. (This treatment was based on the symptoms.)
One patient, due to overwork, experienced itching at the urethral orifice, intermittent discharge of white fluid, fever, and dry mouth. The condition was stabilized using Qingxin Lianzi Yin (Clear Heart Lotus Seed Decoction). (This treatment addressed the site of labor-induced injury.)
One patient had penile swelling and pain, urinary symptoms resembling lin syndrome, severe spontaneous sweating, occasional slight hematuria, and a chi pulse that was surging and slippery but became choppy upon deep pressure. Initially, Qingxin Lianzi Yin (Clear Heart Lotus Seed Decoction) added with Niuxi, Shanzhi (Gardeniae Fructus), Huangbai, and Zhimu was administered for several doses, leading to slight improvement. Subsequently, Zishen Wan (Kidney-Nourishing Pill) one dose resulted in recovery. (This treatment was based on the symptoms.)
Former sages stated: If there is spontaneous sweating and scanty urine, diuretics should not be used forcibly. Since spontaneous sweating has already occurred, body fluids are lost externally, and urine naturally becomes scanty. If diuretics are used, defensive qi and fluids will be exhausted, failing to control deficiency fire, leading to increased irritability and heat. One should wait for the heat to subside and sweating to cease, after which urination will normalize naturally. Moreover, this belongs to the Yangming channel, where the use of diuretics is strictly contraindicated.
An elderly patient suffered from a chancre with dribbling urine, a fine pulse, and physical fatigue, indicating Qi deficiency combined with damp-heat. The condition was cured using Qingxin Lianzi Yin (Clear Heart Lotus Seed Decoction) and Buzhong Yiqi Tang (Tonify the Middle and Augment the Qi Decoction).
For chancre, Danxi used Qingdai (Indigo Naturalis), Gafen (Concha Meretricis), Miduoseng (Lithargyrum), and Huanglian, ground into powder, applied externally. He also burned Ji Dun Pi (Gallus gallus domesticus gizzard lining) until preserved in carbonized state, ground it into powder, and applied it externally.
For chancre and accompanying sores: Gafen, Latiao Cha (Wax Tea), Kushen (Sophorae Flavescentis Radix), and Miduoseng were ground into powder. The affected area was washed clean with river water, then applied with rendered lard from a sow's ear.
Another prescription: Wash the sore clean with rice water. Wash hair with salt water to remove oil, then rinse with clear water, dry, burn to ash, and apply to the sore to promote healing and scabbing.
Another prescription: For lower-jet chancre causing erosion, foul odor, rotting, and unbearable pain. Also treats pediatric chancre.
Ingredients: Huangbai (Honey-fried), Huangdan (Minium), Qingfen (Calomelas), Ruxiang (Olibanum), Miduoseng, Gaomo Cha (High-end Tea), each 3 fen; Muxiang (Musk), a small amount.
Preparation: Grind all ingredients into fine powder. Wash the sore with green onion soup, then apply this medicine.
Washing Medicine: Huanglian, Huangbai, Danggui, Baizhi (Angelicae Dahuricae Radix), Duhuo (Angelicae Pubescentis Radix), Fangfeng, Jingjie, equal parts. Decoct in water, add fifty cash coins, five Wumei (Chinese Plum), and one spoonful of salt. Decoct together. Wash warm, five to seven times daily. Apply the following dressing after washing.
Dressing Medicine: Muxiang, Binglang (Arecae Semen), Huanglian, Tongqing (Verdigris), Qingfen, Kufan (Alumen Exsiccatum), Haipiaoxiao (Sepiae Endoconcha), Muxiang.
Preparation: Grind equal parts into powder. Apply at night after washing.