〔曾〕按《内经》大奇论曰∶肾脉大急沉，肝脉大急沉，皆为疝证。心脉搏滑急
为心疝。肺脉沉搏为肺疝。盖疝者，寒气结聚之所为，故令脐腹绞痛者是也。又，
巢元方曰∶诸疝者，阴气积于内，复为寒气所伤，荣卫不调，二气虚弱，风冷入腹
而成。故《脉经》云∶急者，紧也，紧则为寒，为实，为痛，血为寒泣（音涩）则为瘕，
气为寒聚则为疝，皆因本脏气虚，外感于寒湿，内伤于生冷，遂使脐腹绞刺激搏而
痛，无有定处，仓卒之际不堪忍者，谓之疝也。并宜先用五苓散沸汤调服和解，轻
则但以白芍药汤、乌梅散、钓藤膏为治，重者金茱丸、散气丸，未有不愈也。〔仁
斋〕 疝者，阴核气结肿大而钓痛也，多因小儿啼怒不止，动阴气，故阴气下系，
结聚不散而得之，或胎妇啼泣过伤，令儿生下，小肠气闭，亦变此证，惟是阴气不
得流行，加以风冷入焉，白水聚焉，故水气上乘于肺，先喘急而后疝痛，其状有如
李者，亦有稀软者，亦有并肾肿大者，亦有大硬者，脐下痛楚，皆不能忍，用药行
心气逐肾邪、利其大小二便，更无补法。〔薛〕小儿阴肿疝气者，多属肝肾气虚，
及坐卧寒湿之地，或风邪所伤，血气相搏，或啼叫气逆，水道不行，或禀父肝经虚热，
或妊娠肝气郁结，或乳母怒动肝火而致者。若儿肝经热，用栀子清肝散。儿啼躁怒，
用匀气散。乳母恚怒，用柴胡清肝散。肝火气逆，用加味逍遥散。小腹作痛，小便
涩滞，用龙胆泻肝汤。久坐冷地，小便不利，用四苓散加柴胡、山栀、车前子。不
时寒热者，加味小柴胡汤。经云∶肝气热则茎痿，宗筋弛纵，肾茎肿胀，或出白液
痒痛，或里急筋缩，挺纵不收，或精随便下者，此名筋疝，俱属肝火，不系于肾，
宜详治之。
茱萸内消丸 治小儿阴 ，偏大上攻，脐腹 痛，肤囊肿胀，或生疮疡，时出黄水。
川楝子（炒，一两半） 大腹皮 五味子 海藻（洗） 玄胡索（各一两二钱半） 桔梗
青皮 山茱萸（去核，各一两） 木香（七钱半） 香（炒） 桂心 川乌头（炮，去皮脐）
吴茱萸 桃仁（麸炒，另研） 食茱萸（各五钱）
上为细末，酒糊为丸，如麻子大。每服三十丸，空心，温酒送下。
当归散 治小儿 疝。
牵牛（微炒，取仁） 辣桂（各半两） 当归 大黄（各二钱半） 全蝎（一钱半）
桃仁（汤泡，去皮尖，二钱半）
上锉碎。每服三钱，水一钟，入蜜半匙，煎至五分，食前服。以利为度。
川楝丸 治小儿 疝，小腹痛引腰脊，挛曲身不能直。
木香 槟榔 三棱 蓬莪术（炮） 青皮（去白） 陈皮（去白） 川楝肉 芫花（米醋浸，
炒。各半两） 辣桂 牵牛（生，取仁。各三钱） 巴豆（不去油，一钱）
上为细末，飞面糊为丸，如麻子大。每服三丸，空心，用生姜汤送下。
五苓散（方见惊搐）
〔曾〕白芍药汤 治冷疝腹痛，及误汗误下，即坏证伤寒是也，并宜先服，次投对证
之剂。
白芍药（一两半） 泽泻（去粗皮，七钱半） 甘草（二钱，炙） 薄桂（去粗皮，一钱半）
上件， 咀。每服二钱，水一盏，煎七分，空心，温服。误汗、误下，加人参、
南木香各二钱，脐下痛，入生姜及盐同煎，或加钓藤亦好。
乌梅散 治腹疼，及初生婴孩脐下冷痛，疝气等疾。
乌梅（去核） 玄胡索 粉草（半生半炙。各五钱） 乳香 没药 钓藤（各二钱半）
上件， 咀。每服二钱，水一盏，煎七分，空心、温服。
金铃散 治疝气腹痛，投诸药后，愈而复作，宜服。
金铃子肉（六钱） 三棱（炮，锉） 莪术（醋煮，锉） 青皮（去白） 陈皮（去白。各二钱半）
赤茯苓（去皮） 香（各半两） 南木香（二钱） 甘草（炙，四钱） 槟榔 枳壳（去瓤，
麸炒黄） 钓藤（和钩。各三钱）
上，除槟榔、木香、不过火，余锉焙，仍同槟榔、木香为末。每服半钱至一
钱，仍用炒 香煎无灰酒，空心，调服。不饮酒者，煎炒 香汤调下。
钓藤膏（方见夜啼）
金茱丸 治冷疝气痛及肤囊浮肿。
金铃子肉（一两） 家园茱萸（半两）
上研末，酒煮面糊丸，麻仁大。每服三十丸至五十丸，空心，温盐汤下。温酒
亦可。儿小者丸粟粒大，丸数、下法、同前。
散气丸 理诸疝气小便利或不通，脐下作痛、不可忍者。
海藻（汤浸洗七次，焙干） 泽泻（去粗皮） 香（炒） 车前子（焙） 萝卜子（瓦上、
慢火干焙） 川楝肉（用斑蝥九枚去翅足，同炒、少时，去斑蝥） 大腹皮（净洗，焙干。各一两）
上，锉焙为末，酒煮面糊丸，绿豆大。每服三十丸至五十丸，南木香煎酒，空
心下，或防风、牡丹皮、煎酒下，不能饮者，于木香汤、防风、丹皮汤中，各
少入酒，并空心投，亦可。再，用盐炒 香煎汤尤妙。
〔汤〕治小肠疝气家传妙方
芫花（醋浸，炒） 木香 槟榔 三棱（各半两） 茯苓 青皮 全蝎 桂枝 附子 砂（各二钱半）
上为末，将 砂浸，澄去土，顿在汤瓶上，候成膏子，和糖醋打面糊为丸，如
豆大。每服三十丸，空心、温酒下。未效，再服。
匀气散 主调补通利后及冷疝腹痛，气滞不和。
桔梗（二两，锉，炒） 陈皮（去白，一两） 缩砂仁 香（各半两） 白姜（二钱半，炮）
粉草（四钱炙）
上，锉焙为末。每服半钱或一钱，空心，沸汤调服。冷疝腹痛，烧盐汤调下。
木香饮 治小儿小肠气痛。
川楝肉（十个，用巴豆七粒，同炒令黄色，去巴豆不用，入 香半两） 玄胡索（半两） 南木香（二钱） 使君
子（五枚，去壳）
上，为极细末。用米饮，食前调服。
栀子清肝散 柴胡清肝散（二方并见发热）
龙胆泻肝汤 治肝经湿热不利，下部生疮，两拗肿痛，或腹中作痛，小便涩滞等证。
龙胆草（酒拌，炒黄） 泽泻 车前子（炒） 木通 生地黄（酒拌） 当归（酒拌） 山
栀黄芩（炒） 甘草（各三分）
上，水煎，食前服。
四苓散即五苓去桂
小柴胡汤（方见发热）
[曾氏] 按照《内经·大奇论》所说：肾脉大而急沉，肝脉大而急沉，都是疝证的表现。心脉搏动滑利而急，是心疝。肺脉沉而搏指，是肺疝。大概疝病，是由于寒气结聚所致，所以导致脐腹部绞痛的就是这类病症。另外，巢元方说：各种疝病，是阴气积聚在体内，又受到寒气的伤害，营卫不调，正气虚弱，风冷侵入腹部而形成。所以《脉经》说：脉象急，就是紧脉，紧脉主寒、主实、主痛，血液因寒而凝涩（音同“涩”）则形成瘕积，气因寒而聚结则形成疝气，这都是因为本脏气虚，外感寒湿，内伤生冷，于是使脐腹绞刺激搏而疼痛，没有固定位置，突然发作时难以忍受，这就叫做疝病。都应当先用五苓散用沸水调服以和解，轻症只用白芍药汤、乌梅散、钓藤膏来治疗，重症用金茱丸、散气丸，没有不痊愈的。
[仁斋] 疝病，是指阴囊气结肿大并伴有牵引性疼痛，多因小儿啼哭愤怒不止，触动阴气，导致阴气下坠，结聚不散而得病；或者是孕妇啼哭过度受伤，致使婴儿出生后小肠气闭，也变成这种病症。只是由于阴气不得流通，加上风冷侵入，白水积聚，所以水气上乘于肺，先出现气喘急促而后发生疝痛。其症状有的像李子大小，也有稀软的，也有连同肾脏一起肿大的，也有特别坚硬的，脐下疼痛剧烈，都不能忍受。用药需行心气、逐肾邪、通利大小二便，更不能用补法。
[薛己] 小儿阴囊肿大、疝气，多属于肝肾气虚，以及坐卧在寒湿之地，或被风邪所伤，血气相互搏结，或者啼叫导致气逆，水道不通畅，或者禀受父亲肝经虚热，或者母亲妊娠期间肝气郁结，或者乳母发怒动肝火而导致。如果小儿肝经有热，用栀子清肝散。小儿啼哭烦躁愤怒，用匀气散。乳母恚怒，用柴胡清肝散。肝火气逆，用加味逍遥散。小腹作痛，小便涩滞，用龙胆泻肝汤。久坐冷地，小便不利，用四苓散加柴胡、山栀、车前子。不时出现寒热症状者，用加味小柴胡汤。经文说：肝气热则茎痿，宗筋弛缓纵弛，肾茎肿胀，或流出白色液体且痒痛，或里急筋缩，挺举或松弛不能收回，或精液随大便排出者，这名叫筋疝，都属于肝火，与肾无关，应当详细治疗。
茱萸内消丸：治疗小儿阴囊肿大，偏侧肿大向上攻冲，脐腹疼痛，皮肤囊肿胀，或生疮疡，时常流出黄水。
川楝子（炒，一两半）、大腹皮、五味子、海藻（洗净）、玄胡索（各一两二钱半）、桔梗、青皮、山茱萸（去核，各一两）、木香（七钱半）、丁香（炒）、桂心、川乌头（炮制，去皮脐）、吴茱萸、桃仁（麸炒，另研）、食茱萸（各五钱）。
以上药物研为细末，用酒糊制作成丸，如麻子大小。每次服用三十丸，空腹，用温酒送下。
当归散：治疗小儿疝气。
牵牛子（微炒，取仁）、辣桂（各半两）、当归、大黄（各二钱半）、全蝎（一钱半）、桃仁（汤泡，去皮尖，二钱半）。
以上药物切碎。每次服用三钱，用水一钟，加入蜂蜜半匙，煎至五分，饭前服用。以利下为度。
川楝丸：治疗小儿疝气，小腹痛牵连腰脊，身体拘挛弯曲不能伸直。
木香、槟榔、三棱、蓬莪术（炮制）、青皮（去白）、陈皮（去白）、川楝肉、芫花（米醋浸，炒。各半两）、辣桂、牵牛子（生，取仁。各三钱）、巴豆（不去油，一钱）。
以上药物研为细末，用飞面糊制作成丸，如麻子大小。每次服用三丸，空腹，用生姜汤送下。
五苓散（方剂见惊搐章节）。
[曾氏] 白芍药汤：治疗冷疝腹痛，以及误用汗法或下法导致的坏证伤寒，都应当先服用此方，然后再投用对症的药剂。
白芍药（一两半）、泽泻（去粗皮，七钱半）、甘草（二钱，炙）、薄桂（去粗皮，一钱半）。
以上药物捣碎。每次服用二钱，用水一盏，煎至七分，空腹，温服。若是误汗、误下，加人参、南木香各二钱；脐下痛，加入生姜及盐同煎，或者加钓藤也可以。
乌梅散：治疗腹痛，以及初生婴儿脐下冷痛、疝气等疾病。
乌梅（去核）、玄胡索、粉草（半生半炙。各五钱）、乳香、没药、钓藤（各二钱半）。
以上药物捣碎。每次服用二钱，用水一盏，煎至七分，空腹，温服。
金铃散：治疗疝气腹痛，服用其他药物后，病愈后又复发，适宜服用此方。
金铃子肉（六钱）、三棱（炮制，锉碎）、莪术（醋煮，锉碎）、青皮（去白）、陈皮（去白。各二钱半）、赤茯苓（去皮）、丁香（各半两）、南木香（二钱）、甘草（炙，四钱）、槟榔、枳壳（去瓤，麸炒黄）、钓藤（带钩。各三钱）。
以上药物，除了槟榔、木香不过火外，其余切碎焙干，再与槟榔、木香一起研为细末。每次服用半钱至一钱，仍用炒丁香煎无灰酒，空腹调服。不饮酒的人，煎炒丁香汤调下。
钓藤膏（方剂见夜啼章节）。
金茱丸：治疗冷疝气痛及皮肤囊肿浮肿。
金铃子肉（一两）、家园茱萸（半两）。
以上研为细末，用酒煮面糊制作成丸，如麻仁大小。每次服用三十丸至五十丸，空腹，用温盐汤送下。温酒也可以。幼儿小的做成粟粒大小，丸数、服用方法同上。
散气丸：调理各种疝气，小便通利或不通，脐下作痛、不可忍受的情况。
海藻（汤浸洗七次，焙干）、泽泻（去粗皮）、丁香（炒）、车前子（焙）、萝卜子（瓦上、慢火干焙）、川楝肉（用斑蝥九枚去翅足，同炒，少时，去掉斑蝥）、大腹皮（净洗，焙干。各一两）。
以上药物，切碎焙干研为细末，用酒煮面糊制作成丸，如绿豆大小。每次服用三十丸至五十丸，用南木香煎酒，空腹服用，或者用防风、牡丹皮煎酒送下，不能饮酒的人，在木香汤、防风、丹皮汤中，各少量加入酒，并空腹投服，也可以。另外，用盐炒丁香煎汤尤妙。
[汤氏] 治疗小肠疝气家传妙方：
芫花（醋浸，炒）、木香、槟榔、三棱（各半两）、茯苓、青皮、全蝎、桂枝、附子、砂仁（各二钱半）。
以上研为细末，将砂仁浸泡，澄清去除泥土，顿放在汤瓶上，候成膏状，和糖醋打面糊制作成丸，如豆大小。每次服用三十丸，空腹、温酒送下。无效，再服用。
匀气散：主治调补通利后及冷疝腹痛，气滞不和。
桔梗（二两，锉碎，炒）、陈皮（去白，一两）、缩砂仁、丁香（各半两）、白姜（二钱半，炮制）、粉草（四钱炙）。
以上药物，切碎焙干研为细末。每次服用半钱或一钱，空腹，沸水调服。冷疝腹痛，烧盐汤调下。
木香饮：治疗小儿小肠气痛。
川楝肉（十个，用巴豆七粒，同炒令黄色，去掉巴豆不用，加入丁香半两）、玄胡索（半两）、南木香（二钱）、使君子（五枚，去壳）。
以上，研为极细末。用米饮，饭前调服。
龙胆泻肝汤：治疗肝经湿热不利，下部生疮，睾丸肿痛，或腹中作痛，小便涩滞等证。
龙胆草（酒拌，炒黄）、泽泻、车前子（炒）、木通、生地黄（酒拌）、当归（酒拌）、山栀、黄芩（炒）、甘草（各三分）。
以上，水煎，饭前服用。
小柴胡汤（方剂见发热章节）。
[Zeng] According to the "Da Qi Lun" (Great Wondrous Discussions) of the *Neijing* (Classic of Internal Medicine): A kidney pulse that is large, rapid, and deep, and a liver pulse that is large, rapid, and deep, both indicate hernia syndromes. A heart pulse that is slippery and rapid indicates Heart Hernia (*Xin Shan*). A lung pulse that is deep and forceful indicates Lung Hernia (*Fei Shan*). Generally, hernias are caused by the accumulation and knotting of cold pathogenic factors, resulting in colicky pain in the umbilical and abdominal regions. Furthermore, Chao Yuanfang stated: Various hernias arise from the accumulation of Yin qi internally, compounded by injury from cold pathogens, leading to disharmony of Ying and Wei (Nutritive and Defensive Qi), weakness of both Qi and Blood, and the invasion of wind-cold into the abdomen. Thus, the *Mai Jing* (Pulse Classic) states: A rapid pulse is a tight pulse; a tight pulse indicates cold, excess, and pain. Blood congeals due to cold, forming masses (*Jia*), while Qi gathers due to cold, forming hernias. All these result from deficiency of the Zang-organ Qi, external contraction of cold-dampness, and internal injury from raw or cold foods, causing colicky, throbbing pain in the umbilical and abdominal regions without fixed location, which is unbearable during sudden onset, termed "hernia." Treatment should initially employ Wu Ling San (Five-Ingredient Poria Pill) mixed with boiling water for harmonization. For mild cases, only Bai Shao Yao Tang (White Peony Decoction), Wu Mei San (Mume Powder), or Diao Teng Gao (Uncaria Paste) should be used. For severe cases, Jin Zhu Wan (Gold and Cornus Pill) or San Qi Wan (Qi-Dispersing Pill) should be used, all of which lead to recovery.
[Renzhai] Hernia refers to the swelling and enlargement of the scrotum due to Qi knotting, accompanied by drawing pain. It is often caused by prolonged crying and anger in children, stirring up Yin Qi, causing it to sink and accumulate without dispersing. Alternatively, if a pregnant woman cries excessively, damaging her Qi, the infant may be born with closed Small Intestine Qi, also developing this syndrome. The fundamental mechanism is the stagnation of Yin Qi, combined with the invasion of wind-cold and the accumulation of fluid-water. Consequently, Water Qi rises to attack the Lungs, causing first wheezing and urgency, followed by hernia pain. The presentation may resemble a plum stone, be soft, involve simultaneous swelling of the kidneys, or be hard. Pain below the umbilicus is unbearable. Medication should move Heart Qi, expel Kidney pathogenic factors, and promote urination and defecation; tonification methods are contraindicated.
[Xue Ji] Scrotal swelling and hernia in children mostly belong to deficiency of Liver and Kidney Qi, sitting or lying on cold-damp ground, injury by wind pathogens, struggle between Blood and Qi, crying causing Qi rebellion and obstruction of the water passages, inheriting deficient heat from the father's Liver channel, maternal Liver Qi depression during pregnancy, or maternal anger stirring Liver Fire. If the child has Liver Heat, use Zhi Zi Qing Gan San (Gardenia Clear Liver Powder). If the child cries restlessly and angrily, use Yun Qi San (Harmonizing Qi Powder). If the wet nurse is angry, use Chai Hu Qing Gan San (Bupleurum Clear Liver Powder). If Liver Fire causes Qi rebellion, use Jia Wei Xiao Yao San (Modified Free Wanderer Powder). If there is lower abdominal pain and astringent urination, use Long Dan Xie Gan Tang (Gentian Drain Liver Decoction). If urination is difficult due to long sitting on cold ground, use Si Ling San (Four-Poria Decoction) added with Chai Hu, Shan Zhi, and Che Qian Zi. If there are intermittent chills and fever, use Jia Wei Xiao Chai Hu Tang (Modified Minor Bupleurum Decoction). The Canon states: When Liver Qi is hot, the penis becomes flaccid, the sinews relax, the Kidney penis swells, white discharge occurs with itching and pain, there is tenesmus and sinew contraction, erection or flaccidity cannot be controlled, or essence passes with stool; this is named Sinew Hernia (*Jin Shan*), belonging entirely to Liver Fire, not related to the Kidneys, and requires detailed treatment.
**Zhu Yu Nei Xiao Wan (Cornus Internal-Dissolving Pill):** Treats pediatric scrotal swelling, unilateral enlargement attacking upward, umbilical/abdominal pain, skin cyst swelling, or sores producing yellow fluid.
* Chuan Lian Zi (Stemona Fructus, stir-fried, 1.5 liang)
* Da Fu Pi (Areca Peel)
* Wu Wei Zi (Schisandra Fruit)
* Hai Zao (Sargassum, washed)
* Xuan Hu Suo (Corydalis Rhizome)
* Jie Geng (Platycodon Root)
* Qing Pi (Citrus Unripe Peel)
* Shan Zhu Yu (Cornus Fruit, pitted)
* Mu Xiang (Aucklandiae Radix, 0.75 liang)
* Ding Xiang (Caryophylli Flos, stir-fried)
* Gui Xin (Cinnamomi Cortex)
* Chuan Wu Tou (Aconiti Radix, processed, skin and root end removed)
* Wu Zhu Yu (Evodiae Fructus)
* Tao Ren (Persicae Semen, bran-fried, separately ground)
* Shi Zhu Yu (Zanthoxyli Fructus, 0.5 liang each for the group listed before Mu Xiang except specified amounts).
Grind into fine powder, make pills with wine paste, size of hemp seeds. Take 30 pills empty stomach, with warm wine.
**Dang Gui San (Angelica Decoction):** Treats pediatric hernia.
* Qian Niu (Pharbitidis Semen, lightly fried, kernel taken)
* La Gui (Cinnamomi Ramulus, 0.5 liang each)
* Dang Gui (Angelicae Sinensis Radix)
* Da Huang (Rhei Radix et Rhizoma, 2.5 qian each)
* Quan Xie (Scorpio, 1.5 qian)
* Tao Ren (Persicae Semen, soaked in water, skin and tip removed, 2.5 qian)
Chop finely. Take 3 qian per dose, with one zhong of water and half spoon of honey, decoct to 0.5 zhong, take before meals. Stop when purged.
**Chuan Lian Wan (Stemona Pill):** Treats pediatric hernia with lower abdominal pain radiating to the waist and spine, body curling unable to straighten.
* Mu Xiang (Aucklandiae Radix)
* Bing Lang (Areca Seed)
* San Leng (Sparganii Rhizoma)
* Peng E Zhu (Curcumae Rhizoma, processed)
* Qing Pi (Citrus Unripe Peel, white part removed)
* Chen Pi (Citrus Ripe Peel, white part removed)
* Chuan Lian Rou (Stemonae Fructus Flesh)
* Yuan Hua (Genkwa Flos, soaked in rice vinegar, fried, 0.5 liang each for the group)
* La Gui (Cinnamomi Ramulus)
* Qian Niu (Pharbitidis Semen, raw, kernel taken, 3 qian each)
* Ba Dou (Crotonis Fructus, oil not removed, 1 qian)
Grind into fine powder, make pills with refined flour paste, size of hemp seeds. Take 3 pills empty stomach, with ginger soup.
**Wu Ling San (Five-Ingredient Poria Pill)** (Formula seen in Convulsions chapter).
[Zeng] **Bai Shao Yao Tang (White Peony Decoction):** Treats cold hernia abdominal pain, and bad-stage typhoid resulting from erroneous sweating or purging methods. It should be taken first, followed by syndrome-specific formulas.
* Bai Shao Yao (Paeoniae Radix Alba, 1.5 liang)
* Ze Xie (Alismatis Rhizoma, coarse skin removed, 0.75 liang)
* Gan Cao (Licorice Root, 2 qian, honey-fried)
* Bo Gui (Cinnamomi Cortex, thin, coarse skin removed, 1.5 qian)
Crush. Take 2 qian per dose, with one zhan of water, decoct to 0.7 zhan, take warm empty stomach. For erroneous sweating/purging, add Ren Shen and Nan Mu Xiang (2 qian each). For pain below the umbilicus, add fresh ginger and salt to decoct, or add Diao Teng.
**Wu Mei San (Mume Powder):** Treats abdominal pain, and initial newborn cold pain below the umbilicus, hernia, etc.
* Wu Mei (Mume Fructus, pitted)
* Xuan Hu Suo (Corydalis Rhizome)
* Fen Cao (Glycyrrhizae Radix et Rhizoma, half raw half fried, 5 qian each)
* Ru Xiang (Olibanum)
* Mo Yao (Myrrha)
* Diao Teng (Uncariae Ramulus cum Uncis, 2.5 qian each)
Crush. Take 2 qian per dose, with one zhan of water, decoct to 0.7 zhan, take warm empty stomach.
**Jin Ling San (Golden Bell Powder):** Treats hernia abdominal pain that recurs after taking other medicines.
* Jin Ling Zi Rou (Toosendan Fructus Flesh, 6 qian)
* San Leng (Sparganii Rhizoma, processed, crushed)
* E Zhu (Curcumae Rhizoma, vinegar-boiled, crushed)
* Qing Pi (Citrus Unripe Peel, white part removed)
* Chen Pi (Citrus Ripe Peel, white part removed, 2.5 qian each)
* Chi Fu Ling (Poria with Red Skin, skin removed)
* Ding Xiang (Caryophylli Flos, 0.5 liang each)
* Nan Mu Xiang (Aucklandiae Radix, 2 qian)
* Gan Cao (Licorice Root, honey-fried, 4 qian)
* Bing Lang (Areca Seed)
* Zhi Ke (Aurantii Fructus, pulp removed, bran-fried yellow)
* Diao Teng (Uncariae Ramulus cum Uncis, 3 qian each)
Except for Bing Lang and Mu Xiang which are not over-heated, chop and bake the rest, then grind together with Bing Lang and Mu Xiang. Take 0.5 to 1 qian per dose, mixed with decoction of fried Ding Xiang in non-grain wine, empty stomach. Non-drinkers use decoction of fried Ding Xiang in water.
**Diao Teng Gao (Uncaria Paste)** (Formula seen in Night Crying chapter).
**Jin Zhu Wan (Gold and Cornus Pill):** Treats cold hernia Qi pain and scrotal edema.
* Jin Ling Zi Rou (Toosendan Fructus Flesh, 1 liang)
* Jia Yuan Zhu Yu (Cornus Fruit, 0.5 liang)
Grind to powder, make pills with wine-boiled flour paste, size of hemp seed. Take 30-50 pills empty stomach, with warm salt water. Warm wine is also acceptable. For small children, make pills size of millet grains; dosage and method same as above.
**San Qi Wan (Qi-Dispersing Pill):** Regulates various hernias with normal or obstructed urination, unbearable pain below the umbilicus.
* Hai Zao (Sargassum, soaked in water washed 7 times, baked dry)
* Ze Xie (Alismatis Rhizoma, coarse skin removed)
* Ding Xiang (Caryophylli Flos, fried)
* Che Qian Zi (Plantaginis Semen, baked)
* Luo Bo Zi (Brassicae Semens, slow-fire baked on tile)
* Chuan Lian Rou (Stemonae Fructus Flesh, stir-fried with 9 Ban Mao [Mylabris] wings/legs removed, then discard Ban Mao)
* Da Fu Pi (Arecae Pericarpium, clean washed, baked dry, 1 liang each)
Chop, bake, grind to powder. Make pills with wine-boiled flour paste, size of mung bean. Take 30-50 pills empty stomach, with Nan Mu Xiang decocted wine, or Fang Feng/Mu Dan Pi decocted wine. Non-drinkers add a little wine to Mu Xiang/Fang Feng/Dan Pi decoctions, take empty stomach. Salt-fried Ding Xiang decoction is excellent.
[Tang] Family Secret Formula for Small Intestine Hernia:
* Yuan Hua (Genkwa Flos, vinegar-soaked, fried)
* Mu Xiang (Aucklandiae Radix)
* Bing Lang (Areca Seed)
* San Leng (Sparganii Rhizoma, 0.5 liang each)
* Fu Ling (Poria)
* Qing Pi (Citrus Unripe Peel)
* Quan Xie (Scorpio)
* Gui Zhi (Cinnamomi Ramulus)
* Fu Zi (Aconiti Lateralis Radix Praeparata)
* Sha Ren (Amomi Fructus, 2.5 qian each)
Grind to powder. Soak Sha Ren, settle to remove earth, boil down to paste. Mix with sugar and vinegar, make flour-paste pills, size of beans. Take 30 pills empty stomach, with warm wine. If ineffective, take again.
**Yun Qi San (Harmonizing Qi Powder):** Mainly regulates post-tonification/purging, cold hernia abdominal pain, Qi stagnation and disharmony.
* Jie Geng (Platycodon Root, 2 liang, crushed, fried)
* Chen Pi (Citrus Ripe Peel, white part removed, 1 liang)
* Suo Sha Ren (Amomi Fructus Rotundus)
* Ding Xiang (Caryophylli Flos, 0.5 liang each)
* Bai Jiang (Zingiberis Rhizoma, 2.5 qian, processed)
* Fen Cao (Glycyrrhizae Radix et Rhizoma, 4 qian, honey-fried)
Chop, bake, grind to powder. Take 0.5 or 1 qian per dose, empty stomach, mixed with boiling water. For cold hernia abdominal pain, mix with burnt salt water.
**Mu Xiang Yin (Aucklandia Drink):** Treats pediatric Small Intestine Qi pain.
* Chuan Lian Rou (Stemonae Fructus Flesh, 10 pieces, stir-fried with 7 Ba Dou until yellow, discard Ba Dou, add Ding Xiang 0.5 liang)
* Xuan Hu Suo (Corydalis Rhizome, 0.5 liang)
* Nan Mu Xiang (Aucklandiae Radix, 2 qian)
* Shi Jun Zi (Quisqualis Fructus, 5 pieces, shelled)
Grind to very fine powder. Mix with rice drink, take before meals.
**Zhi Zi Qing Gan San (Gardenia Clear Liver Powder)** and **Chai Hu Qing Gan San (Bupleurum Clear Liver Powder)** (Both formulas seen in Fever chapter).
**Long Dan Xie Gan Tang (Gentian Drain Liver Decoction):** Treats Liver channel damp-heat obstruction, sores in the lower body, testicular swelling and pain, abdominal pain, astringent urination, etc.
* Long Dan Cao (Gentianae Radix et Rhizoma, wine-mixed, fried yellow)
* Ze Xie (Alismatis Rhizoma)
* Che Qian Zi (Plantaginis Semen, fried)
* Mu Tong (Akebiae Caulis)
* Sheng Di Huang (Rehmanniae Radix, wine-mixed)
* Dang Gui (Angelicae Sinensis Radix, wine-mixed)
* Shan Zhi (Gardeniae Fructus)
* Huang Qin (Scutellariae Radix, fried)
* Gan Cao (Licorice Root, 3 fen each)
Decoct in water, take before meals.
**Si Ling San (Four-Poria Decoction)** is Wu Ling San minus Gui Zhi.
**Xiao Chai Hu Tang (Minor Bupleurum Decoction)** (Formula seen in Fever chapter).