（子和） 治寒湿水疝，阴囊肿胀。（囊如水晶，阴汗不绝，谓水疝。盖得之醉后而使
内，寒湿乘肾虚而流入也。）二便不利。（寒湿所凝。不得施化也。）
黑牵牛（四两） 茴香（一两炒）为末。每一钱，姜汁调下，或加木香一两。
黑牵牛辛烈，能达右肾命门。走精隧，行水泄湿，兼通大肠风秘气秘。茴香辛热温散，
能暖
（东垣） 治大便秘塞，或里急后重，数至圊而不能便，或有白脓，或血。慎
利之则必至重病，反郁结而不通矣。以此汤升举其阳，则阴自降矣。（通大便有用
即此意也。）
苍术（泔浸四钱） 防风（二钱） 茯苓 白术 芍药（一钱） 如胃寒，泄泻肠鸣，
加益智半夏
苍术辛温燥烈，升清阳而开诸郁，故以为君。白术甘温，茯苓甘淡，佐之以健脾利湿。
防风
必上行，
之举之。
（局方） 治湿气在表，头痛，头重，或腰脊重痛，或一身尽痛，微热昏倦。（湿
表，外伤于湿也。湿邪着于太阳，则头项腰脊痛。着于太阴，则肩背痛。着于阴阳之经
一身尽痛，惟着故痛且重也。湿郁则为热，然湿乃阴邪，故微热而昏倦也。东垣曰∶头
强，乃太阳之经气不行也，此汤主之。）
羌活 独活（一钱） 川芎 本 防风 甘草（炙五分） 蔓荆子（三分） 如身重，
腰中沉沉
经曰∶风能胜湿，羌独防 芎蔓，皆风药也。湿气在表，六者辛温升散，又皆解表之药，
使
关
若水湿在里，则当用行水渗泄之剂。（喻嘉言曰∶经曰，湿上甚为热，表之则易，下之
则难
苓六
唯
厌
合
除独活蔓荆川芎甘草，加升麻苍术，名羌活除湿汤。治风湿相搏，一身尽痛。除川芎，
加黄
当归
（张子和）治疗寒湿引起的水疝，表现为阴囊肿胀。（囊袋透明如水晶，阴部汗出不止，称为水疝。这通常是因为醉酒后行房事，寒湿之邪趁肾虚之际流入所致。）大小便不通畅。（因寒湿凝结，导致气化功能失常。）
黑牵牛（四两） 小茴香（一两，炒）研为细末。每次服用一钱，用姜汁调服，或者加入木香一两。
黑牵牛性味辛烈，能够通达右肾命门。它走窜精隧，具有行水利湿的功效，兼能通治大肠的风秘和气秘。小茴香性味辛热温散，能够温暖……
（李东垣）治疗大便秘结，或者伴有里急后重感，频繁去厕所却排不出大便，或者排出白色脓液，或者带血。如果谨慎使用泻下法，必然会导致病情加重，反而使郁结之气更加不通畅。用此汤剂升举阳气，则阴气自然下降。（通利大便有时也运用这一原理。）
苍术（用米泔水浸泡，四钱） 防风（二钱） 茯苓 白术 芍药（一钱）。如果胃寒，出现泄泻肠鸣，加益智仁、半夏。
苍术性味辛温燥烈，能升发清阳而开通各种郁滞，所以作为君药。白术性味甘温，茯苓性味甘淡，作为佐药以健脾利湿。
防风……必须上行，起到提升的作用。
（《局方》）治疗湿气在体表，症状包括头痛、头重，或者腰脊沉重疼痛，或者全身都疼痛，伴有轻微发热和昏沉疲倦。（湿气在表，是外受湿邪侵袭。湿邪附着于太阳经，则头项腰脊疼痛；附着于太阴经，则肩背疼痛；附着于阴阳各条经脉，则全身疼痛，正因为湿邪滞留，所以疼痛且感觉沉重。湿邪郁久化热，但湿属于阴邪，所以表现为微热和昏倦。李东垣说：头项强直，是太阳经气运行不畅所致，此汤主治。）
羌活 独活（一钱） 川芎 藁本 防风 甘草（炙，五分） 蔓荆子（三分）。如果身体沉重，腰部沉沉作痛……
医经说：风能胜湿，羌活、独活、防风、川芎、蔓荆子，都是风药。湿气在体表，这六味药性味辛温升散，又都是解表的药物，能使……关……
如果水湿在体内，则应当使用行水渗泄的药剂。（喻嘉言说：医经说，湿气在上部严重会化为热，通过发汗解表容易治疗，通过攻下则难治……苓六……唯……厌……合……）
(Zhang Hezi) Treats water hernia (Shuixian) caused by cold-dampness, characterized by swelling of the scrotum. (The scrotal sac is transparent like crystal, with incessant sweating in the genital area, termed water hernia. This is generally due to sexual intercourse after drunkenness, where cold-dampness enters while kidney deficiency exists.) Difficulty in urination and defecation. (Caused by condensation of cold-dampness, leading to failure of qi transformation.)
Black Qian Niu (Semen Kochiae, 4 liang) and Huixiang (Fructus Foeniculi, 1 liang, stir-fried) are ground into powder. Take 1 qian each time, mixed with ginger juice, or add Muxiang (Aucklandiae Radix, 1 liang).
Hei Qianniu is pungent and harsh, capable of reaching the Right Kidney Mingmen Gate. It travels through the spermatic channels, promotes diuresis and expels dampness, and simultaneously treats wind-constipation and qi-constipation of the large intestine. Huixiang is pungent, hot, warm, and dispersing, capable of warming...
(Li Dongyuan) Treats severe constipation, or tenesmus (feeling of incomplete defecation), frequent trips to the toilet without ability to pass stool, or passage of white pus or blood. Caution must be exercised against using purgatives, as this will inevitably lead to severe illness, causing stagnation and obstruction. By using this decoction to raise the Yang, the Yin will naturally descend. (This principle is also applied when treating constipation.)
Cangzhu (Soaked in rice washings, 4 qian) Fangfeng (Radix Saposhnikoviae, 2 qian) Fuling (Poria) Baizhu (Rhizoma Atractylodis Macrocephalae) Shaoyao (Radix Paeoniae Alba, 1 qian). If there is stomach cold with diarrhea and borborygmus, add Yizhi (Fructus Alpiniae Oxyphyllae) and Banxia (Rhizoma Pinelliae).
Cangzhu is pungent, warm, dry, and harsh; it raises clear Yang and opens various depressions, thus serving as the Sovereign herb. Baizhu is sweet and warm; Fuling is sweet and bland; they serve as Assistant herbs to strengthen the Spleen and promote diuresis to resolve dampness.
Fangfeng... must ascend upward, playing a lifting role.
(From *Ju Fang*) Treats dampness in the exterior, manifesting as headache, heaviness of the head, or heavy pain in the lower back and spine, or generalized body pain, accompanied by slight fever and mental fatigue/drowsiness. (Dampness in the exterior results from external invasion by damp pathogens. When dampness adheres to the Taiyang channel, there is pain in the head, neck, lower back, and spine; when it adheres to the Taiyin channel, there is shoulder and back pain; when it adheres to both Yin and Yang channels, there is generalized pain. Because dampness lingers, the pain is accompanied by a sensation of heaviness. Dampness stagnating transforms into heat, but since dampness is a Yin pathogen, it presents as slight fever and drowsiness. Li Dongyuan stated: Stiffness of the head and neck indicates impaired circulation of Taiyang channel Qi; this decoction treats it.)
Qianghuo (Radix Notopterygii) Duhuo (Radix Angelicae Pubescentis, 1 qian) Chuanxiong (Rhizoma Chuanxiong) Bencao (Rhizoma Ligustici) Fangfeng (Radix Saposhnikoviae) Gancao (Radix Glycyrrhizae, honey-fried, 5 fen) Manjingzi (Fructus Viticis, 3 fen). If there is body heaviness and a sinking sensation in the waist...
The Classics state: Wind can overcome dampness. Qianghuo, Duhuo, Fangfeng, Chuanxiong, and Manjingzi are all wind-dispelling herbs. For dampness in the exterior, these six herbs are pungent, warm, ascending, and dispersing, and are all exterior-resolving agents, enabling... Guan...
If water-dampness is in the interior, one should use formulas that promote urination and leach out dampness. (Yu Jiayan stated: The Classics say, "When dampness is severe in the upper part, it generates heat." Exterior resolution via sweating is easy, whereas downward purging is difficult... Ling Liu... Wei... Yan... He...)
Remove Duhuo, Manjingzi, Chuanxiong, and Gancao, add Shengma (Rhizoma Cimicifugae) and Cangzhu, named Qianghuo Chushi Tang (Notopterygium Decoction for Expelling Dampness). Treats rheumatism-wind attacking together, causing generalized body pain. Remove Chuanxiong, add Huang... Danggui...