〔田〕小儿狐疝气，偏有大小，时时上下者。蜘蛛十四枚熬焦，桂枝半两，二物为
散，每服八分，日再，酒调下，蜜丸亦通。
黑散
黄连 黄芩 大黄 黄柏（各二钱）
上同烧，存性，为极细末。雄猪胆汁、蜜，同调敷。
偏坠亦宜防葵丸。令儿坐于土中，午时灸印下偏坠之处七壮。（防葵丸未详）
小儿偏坠若非胎中所有，在后生者。于茎下、肾囊前中间弦子上，灸七壮，立愈。
〔明〕胎产疝卵偏坠。囊缝后十字纹上，灸三壮。（春灸夏瘥，夏灸冬、瘥）
腊茶散 治小儿阴囊生疮，疼痛水出，久不瘥。
腊茶 五倍子（各五钱） 腻粉（少许）
上为末。先用葱椒汤洗，后用香油调敷。
一方 治阴囊生疮疼痛。
上先用川椒、荆芥、槐枝、柳枝、蛇床子，煎汤洗，后用朴硝为末，鸡子清调敷。
一方 治阴生疮，脓水不干。
上，用乌贼鱼骨为细末，干掺患处。
一方 用紫苏叶煎汤淋洗，及作细末掺之，妙。
一方 治小儿阴生疮，不干。
上，用轻粉、密陀僧，为末贴之。如痒，加山栀子、诃子，烧存性，研，同前
药为末，先将米泔水洗净，然后敷贴此药。
〔薛〕经曰∶阳明，胃脉也，胃者六腑之海，其气亦下行，阳明逆，不得从其道，
故不得卧也。又曰∶胃不和则卧不安。夫人身之卫气，昼则行于阳，夜则行于阴，阳
主动，阴主静，寤则魂魄志意散于腑脏，发于耳目，动于肢体，而为人身指使之用，
寐则神气各归五宫，而为默运之妙矣，若脾胃气盛，则腑脏调和，水谷之精，各各
融化以为平和之气，若胃气一逆，则气血不得其宜，腑脏不得其所，不寐之证，由
此生焉，当用四君、远志酸枣仁。肝肾虚热者，六味丸。心血不足者，真珠母丸。
思虑过度者，归脾汤。精神短乏者，人参养荣汤。病后余热者，酸枣仁汤。胆虚不
得眠者，人参竹叶汤。肝火不宁者，加味小柴胡汤。振悸不得眠者，四君、生姜、
酸枣仁。夜啼惊哭不寐，各详别证，当参求之。
仲景酸枣汤 治虚劳虚烦不得眠。
酸枣仁（炒，一钱） 甘草 知母（炒） 茯苓 芎 生姜（各五分）
上，水煎服。
《本事》鳖甲丸 治胆虚不得眠，四肢无力。
鳖甲 酸枣仁（炒） 羌活 黄 （炒） 牛膝（酒炒） 人参（各一两） 五味子（五钱）
上为末，炼蜜丸，梧子大。每服三四十丸，温酒下。
《圣惠》治骨蒸劳热，烦心不得眠。用酸枣仁三钱，水煎熟，下地黄汁一蛤蜊壳服之。
《本事》真珠母丸 治肝胆二经，因虚内受风邪，卧则魂散而不守，状若惊悸。
真珠（别研细，七钱半） 当归 熟地黄（各一两半） 人参 酸枣仁（炒） 柏子仁（各一两）
犀角屑 茯神 沉香 龙齿（研。各半两）
上为末，炼蜜丸，小豆大，辰砂为衣。每服二十丸，白汤下，日午夜卧，各一服。
人参竹叶汤 治虚烦不得眠。
人参 竹叶 甘草（各二钱） 半夏 小麦 麦门冬（各一钱五分）
上，每服二三钱，姜二片，粳米一撮，水煎服。
人参养荣汤（见盗汗） 归脾汤（见惊悸）
【田氏】小儿狐疝气，表现为阴囊一侧偏大、时上时下。将十四枚蜘蛛炒至焦黑，配伍半两桂枝，将这两味药研成散剂。每次服用八分，每日两次，用酒调服；制成蜜丸服用也可以。
黑散
黄连、黄芩、大黄、黄柏（各二钱）
以上药物共同烧制，保留药性（存性），研成极细的粉末。用雄猪胆汁和蜂蜜调和后外敷。
治疗偏坠也适宜使用防葵丸。让患儿坐在土中，在午时于印堂穴下方偏坠的部位施灸七壮。（防葵丸的具体组成不详）
小儿偏坠如果不是先天胎中所带，而是后天生成的。在阴茎下方、阴囊前中间系带的部位，施灸七壮，即可立即痊愈。
【明代医家观点】治疗胎产导致的疝气和睾丸偏坠。在阴囊缝后方十字纹的位置，施灸三壮。（春季施灸夏季可愈，夏季施灸冬季可愈）
腊茶散 治疗小儿阴囊生疮，疼痛流水，久不愈合。
腊茶、五倍子（各五钱） 腻粉（少许）
以上药物研成粉末。先用葱椒汤清洗患处，后用香油调和药粉外敷。
另一方 治疗阴囊生疮疼痛。
先用川椒、荆芥、槐枝、柳枝、蛇床子煎汤清洗患处，后用朴硝研成粉末，用鸡蛋清调和外敷。
另一方 治疗阴部生疮，脓水不干。
以上药物，用乌贼鱼骨研成细末，直接干撒在患处。
另一方 用紫苏叶煎汤淋洗患处，并将紫苏叶研成细末撒在患处，效果奇妙。
另一方 治疗小儿阴部生疮，久不干燥。
以上药物，用轻粉、密陀僧研成粉末贴敷患处。如果瘙痒，加入山栀子、诃子，烧至存性，研磨成粉，与前药混合为末。先用米泔水洗净患处，然后敷贴此药。
【薛己】《内经》说：阳明经是胃的经脉，胃是六腑之海，其气也是下行的。如果阳明之气逆乱，不能顺从其正常的通道，就会导致无法入睡。又说：胃不和则卧不安。人体的卫气，白天运行于阳分，夜晚运行于阴分。阳主动，阴主静。清醒时，魂、魄、志、意散布于脏腑，表现于耳目，活动于肢体，从而发挥人体指挥的作用；睡眠时，神气各自回归五脏，发挥默默运转的妙用。如果脾胃之气旺盛，则脏腑调和，水谷的精微物质充分融化转化为平和之气；如果胃气一旦逆乱，则气血不得其宜，脏腑不得其所，不寐的病证便由此产生。应当使用四君子汤、远志、酸枣仁。肝肾虚热者，使用六味地黄丸。心血不足者，使用真珠母丸。思虑过度者，使用归脾汤。精神短乏者，使用人参养荣汤。病后余热未清者，使用酸枣仁汤。胆虚导致不得眠者，使用人参竹叶汤。肝火不宁者，使用加味小柴胡汤。振悸导致不得眠者，使用四君子汤加生姜、酸枣仁。夜啼惊哭导致不寐，需详细辨别其他证候，应当参考求治。
仲景酸枣汤 治疗虚劳引起的虚烦不得眠。
酸枣仁（炒，一钱） 甘草 知母（炒） 茯苓 川芎 生姜（各五分）
以上药物，加水煎煮后服用。
《本事方》鳖甲丸 治疗胆虚导致不得眠，四肢无力。
鳖甲 酸枣仁（炒） 羌活 黄芪（炒） 牛膝（酒炒） 人参（各一两） 五味子（五钱）
以上药物研成粉末，炼蜜制成梧桐子大小的丸剂。每次服用三四十丸，温酒送服。
《圣惠方》治疗骨蒸劳热，心烦不得眠。用酸枣仁三钱，加水煎熟，加入地黄汁一蛤蜊壳的量服用。
《本事方》真珠母丸 治疗肝胆二经因虚内受风邪，睡觉时魂散而不守舍，症状类似惊悸。
真珠（另研细，七钱半） 当归 熟地黄（各一两半） 人参 酸枣仁（炒） 柏子仁（各一两） 犀角屑 茯神 沉香 龙齿（研。各半两）
以上药物研成粉末，炼蜜制成小豆大小的丸剂，以辰砂为衣。每次服用二十丸，白开水送服，日中和午夜卧床时各服一次。
人参竹叶汤 治疗虚烦不得眠。
人参 竹叶 甘草（各二钱） 半夏 小麦 麦门冬（各一钱五分）
以上药物，每次取二三钱，加姜两片、粳米一撮，加水煎煮后服用。
[Tian] For pediatric fox hernia (Huxian Qi), characterized by asymmetry in scrotal size and intermittent movement up and down, roast fourteen spiders until charred, combine with half a liang of Guizhi Tang (Cinnamon Twig Decoction) ingredients (specifically Cinnamomi Ramulus / Gui Zhi), and grind into a powder. Take eight fen per dose, twice daily, mixed with wine; honey pills are also acceptable.
Heisan (Black Powder)
Huanglian (Coptidis Rhizoma), Huangqin (Scutellariae Radix), Dahuang (Rhei Radix et Rhizoma), Huangbai (Phellodendri Cortex) (each two qian).
Burn the above herbs together to preserve their properties (cun xing), then grind into an extremely fine powder. Mix with bile from a male pig and honey for external application.
For treating ptosis of the testicle (Pianzhui), Fangkui Wan is also suitable. Have the child sit on the ground, and at noon, moxibustion should be applied seven times (zhuang) below the Yintang point on the side where the ptosis occurs. (The composition of Fangkui Wan is unknown.)
If pediatric ptosis is not congenital but acquired later in life, apply moxibustion seven times on the raphe located between the base of the penis and the anterior aspect of the scrotum; it will heal immediately.
[Ming Dynasty Physician] For hernia and testicular ptosis resulting from fetal development or birth trauma. Apply moxibustion three times on the cross-shaped wrinkle behind the scrotal seam. (Moxibustion performed in spring heals in summer; performed in summer heals in winter.)
Lachasan (Wax Tea Powder) Treats pediatric scrotal sores with pain and discharge that persistently fail to heal.
Lacha (Aged Tea), Wubeizi (Galla Chinensis) (each five qian), Nifen (Calomel) (a small amount).
Grind the above into powder. First wash the affected area with a decoction of green onion and Sichuan pepper, then mix the powder with sesame oil for external application.
Another prescription treats painful scrotal sores.
First wash with a decoction of Chuanjiao (Sichuan Pepper), Jingjie (Schizonepetae Herba), Huaizhi (Locust Twig), Liuzhi (Willow Twig), and Shechuangzi (Cnidii Fructus). Then, grind Puxiao (Mirabilite) into powder, mix with egg white, and apply externally.
Another prescription treats genital sores with persistent purulent discharge.
Grind Oumeiyu Gu (Sepiae Endoconcha) into a fine powder and dust it directly onto the affected area.
Another prescription: Wash the area with a decoction of Zisu Ye (Perilla Leaf) and also apply the powdered leaf externally; this is effective.
Another prescription treats pediatric genital sores that do not dry up.
Grind Qingfen (Calomel) and Miduoseng (Litharge) into powder and apply as a plaster. If itching occurs, add Shanzhizi (Gardeniae Fructus) and Hezi (Chebulae Fructus), burn them to preserve their properties, grind into powder, and mix with the previous powders. First clean the area with rice washing water, then apply this medication.
[Xue Ji] The *Neijing* states: "The Yangming channel is the stomach meridian. The stomach is the sea of the six fu organs, and its qi also moves downward. If Yangming qi rebels and cannot follow its proper pathway, sleeplessness ensues." It also states: "When the stomach is disharmonious, sleep is unsettled."
The body's Wei Qi (Defensive Qi) travels through the yang aspects during the day and the yin aspects at night. Yang governs movement, while yin governs stillness. Upon waking, the hun, po, zhi, and yi disperse among the zang-fu organs, manifest in the eyes and ears, and move through the limbs, serving as the body's instruments of action. Upon sleeping, the shen qi returns to the five zang organs, performing silent, subtle operations. If spleen and stomach qi are robust, the zang-fu organs harmonize, and the essence of food and drink transforms smoothly into peaceful qi. However, if stomach qi rebels, qi and blood become unsuitable, and the zang-fu organs lose their proper residence, leading to insomnia. In such cases, use Sijunzi Tang (Four Gentlemen Decoction), Yuanzhi (Polygalae Radix), and Suanzaoren (Ziziphi Spinosae Semen). For deficiency-heat in the liver and kidneys, use Liuwei Dihuang Wan (Six-Ingredient Rehmannia Pill). For insufficient heart blood, use Zhenzhumu Wan (Mother-of-Pearl Pill). For excessive mental exertion, use Guipi Tang (Restore the Spleen Decoction). For spiritual depletion, use Renshen Yangrong Tang (Ginseng Nourishing the Vigor Decoction). For residual heat after illness, use Suanzaoren Tang. For insomnia due to gallbladder deficiency, use Renshen Zhuye Tang (Ginseng and Bamboo Leaf Decoction). For restlessness due to liver fire, use Jiawei Xiaochaihu Tang (Modified Minor Bupleurum Decoction). For palpitations causing insomnia, use Sijunzi Tang with Shengjiang (Fresh Ginger) and Suanzaoren. For night crying and fright-induced insomnia, refer to other specific syndromes for detailed differentiation.
Zhongjing's Suanzaoren Tang treats insomnia caused by deficiency-emaciation and empty irritability.
Suanzaoren (Stir-fried, one qian), Gancao (Licorice Root), Zhimu (Stir-fried), Fuling (Poria), Xiong (Chuanxiong Rhizome), Shengjiang (Fresh Ginger) (each five fen).
Decoct in water and take orally.
*Benshi Fang*'s Biejia Wan treats insomnia due to gallbladder deficiency and weakness in the four limbs.
Biejia (Testudinis Carapax et Plastrum), Suanzaoren (Stir-fried), Qianghuo (Notopterygii Rhizoma et Radix), Huangqi (Stir-fried), Niuxi (Stir-fried with wine), Renshen (each one liang), Wuweizi (five qian).
Grind into powder, make pills with refined honey the size of wutong seeds. Take thirty to forty pills per dose, washed down with warm wine.
*Shenghui Fang* treats bone-steaming consumption fever, irritability, and insomnia. Use three qian of Suanzaoren, decoct in water until cooked, add one clam-shell measure of Dihuang juice (Rehmanniae Radix Juice), and take.
*Benshi Fang*'s Zhenzhumu Wan treats wind-pathogens invading internally due to deficiency in the liver and gallbladder channels, causing the hun to scatter during sleep and lack containment, resembling palpitations and fright.
Zhenzhu (Pearl, separately ground fine, seven qian and half), Danggui (Angelicae Sinensis Radix), Shudihuang (Prepared Rehmanniae Radix) (each one liang and half), Renshen, Suanzaoren (Stir-fried), Baiziren (Biota Seed) (each one liang), Xijiao Xie (Rhinocerotis Cornu Fragment), Fushen (Poria with Hostwood), Chenxiang (Aquilariae Lignum Resinatum), Longchi (Fossilized Bones) (ground, each half liang).
Grind into powder, make pills with refined honey the size of azuki beans, coat with Zhensha (Cinnabar). Take twenty pills per dose, washed down with plain boiled water, once at midday and once at midnight before bed.
Renshen Zhuye Tang treats insomnia due to empty irritability.
Renshen, Zhuye (Bamboo Leaf), Gancao (each two qian), Banxia (Pinelliae Tuber), Xiaomai (Tritici Fructus), Maimendong (Ophiopogonis Radix) (each one qian and five fen).
Take two to three qian per dose, add two slices of ginger and a pinch of Jingmi (Japonica Rice), decoct in water, and take orally.
Renshen Yangrong Tang (see chapter on Night Sweats)
Guipi Tang (see chapter on Palpitations)