方
一方 专治脚臭。
黄柏皮（三钱） 黄连 黄丹 白矾（飞） 蛤粉（微炒各二钱） 龙脑（少许） 上
碾为极细末
治脚汗方
杜矾 光粉 天竹黄 上等分为末。渗之。
治脚汗
白矾 干葛（等分） 上二味为末。每用半两。水三碗。煎十数沸热洗。逐日一次。经
三五日
又方 治脚汗。
上用杨花着袜内。或加棉絮入脚内尤佳。
夫肾主纳气，人之气海系焉。肾虚而为风寒所乘。为暑湿所袭。为喜怒忧恐所伤。而冰
结不
候不
自
覆
有不欲食者。其于阴间。则卵有大小伸缩。而上下不常。囊有肿胀急痛。而发歇无定。挟冷
触怒。则块物逼上囊根。或攻腹之胁。时和心平。则块物自循肾系。归入囊中。凡此皆谓之
肾气。治法纲领。风则散之。寒则温之。暑则解其热。湿则渗其水。七情所发。调其心气。
水与气搏。行其小便。其间以主治肾气之剂参之。然总治之法。大要以流行疏利为先。毋曰
肾虚得病。不敢疏泄。盖肾为邪气所干。若非逐去。病何由愈。倘或姑息畏虚。妄以刚剂兜
住。使大小腑秘而不通。邪气入腹冲心。危殆必矣。然肾气发。则固以肾虚得之。然虚中有
冷。虚中有热。又有冷热不调。尤当详审。冷者胁边及外肾清冷。小便清而多。遇寒即发是
也。热者内挟暑气。或积毒。或服暖药于前。外肾与小腹俱热。肛门间粪后赤热。小便多涩。
遇热则甚是也。冷热不调者。小便外肾。乍冷乍热。大便小便。或秘或利。用药温凉。当
随证而权度之。但所谓流行疏导。常常运斡于其中矣。其若大小便流利之后。或更有牵刺引
疼。或气游注于肌肤之间。此则肾虚血虚。气不还元。当加润养。人参、当归、川芎、芍药、
桑螵蛸、葫芦巴辈。又不可无。惟是逆气乘虚。中脘停酸燥闷。扰甚而至于呕吐。最为恶
候。何则。天一生水。肾实主之。宗筋丽于阴器。惟藉阳明以养之。今脾土不济。肾水上乘。
必为酸汁。必为涎饮。荏苒超时。遂成暴吐。医家执剂之始。皆知肾经恶燥。如苍术、白
术、良姜之类。诚不敢用。及其呕吐大作。姜术辈用之而罔顾。若犹未也。则吴茱萸、荜茇
刚燥等剂。又加多焉。虽附子亦用之而救急矣。病势至此。脾土未强。肾水已为之涸。肾水
既涸。脾土又为之焦。往往阴阳不升降。荣卫不流行。大小二便。关隔涩闭。而肾汁皆自其
口出也。如此者大抵不救。临病须当识病。预与病家言之。夫心火下降。则肾水不患其不温。
真阳下行。则肾气不患其不和。安有所谓木强者哉。惟夫嗜欲内戕。肾气虚惫。故阴阳不
相交。水火不相济。而沉寒涸冷。凝滞其间。胀满作疼。顽痹结硬。势所必至矣。执剂之法。
不可纯用燥热。当温利以逐其邪。邪气内消。荣卫流转。盖如寒谷春生。有不戒而速。不
行而至者矣。外此又有一种。升高坠下。外肾跌伤。惊起与败血交攻。亦有木强胀疼之证。
治法大要则同。于中更为之消瘀血。大抵诸疝之脉当弦紧。盖弦者寒也。紧者痛也。疝有七
证。厥疝、症疝、寒疝、气疝、盘疝、附疝、狐疝是也。何以言之。厥疝则心痛足冷。食已
则吐。症疝腹中气乍满。气积如臂。寒疝因寒饮食。猝然胁下腹中痛。气疝腹中乍满。满而
痛。盘疝腹中痛引脐旁。附疝腹痛连脐。下有积聚。狐疝小腹与阴相引而痛。诸疝不愈。邪
气留滞。及成积聚。其脉厥而紧。浮而牢。皆积聚之脉也。但牢强急者生。虚弱急者。不可
治。
儒门事亲书云。寒疝名水疝。律科王敏之病寒疝。脐下结聚如黄瓜。每发绕腰间。痛急
不能忍。戴人先以舟车及猪肾散。下四五行。觉药绕脐三五次而下。其泻皆水也。猪肾甘遂。
皆
也
日
贯
肝
胃
故
曰
忍
青
瓷
论云。厥阴脉滑。则病狐疝。少阴脉滑。则病肺风疝。太阴脉滑。则病脾风疝。阳明脉滑。
则病心风疝。太阳脉滑。则病肾风疝。少阳脉滑。则病肝风疝。灵枢经云、心脉微滑。为心
疝。引脐。少腹鸣。肝脉滑甚。为 疝。
夫滑脉关以上见者。为大热。盖阳与阳并也。故大热脉滑。尺脉见为大寒。主 疝。脉
滑者
寸口
凡瘦
夫阴 、属肝系宗筋。胃阳明养之。世多不识。谓之外肾。非特名义差错。亦使五内不
分。
过度
思恐
致阴
上下
治。
为疝
贱多
急作
前阴分大寒大热。囊垂缩。阴阳症别。夫三阳为病。发寒热。下为痈肿。及为痿厥 。
其
内
脉
两
家
中
脚
大
热
以证之也。冬天阳气在内。阴气在外。人亦应之。故寒在外。则皮急而囊缩。夏月阴气在内
。阳气在外。人亦应之。故热在外则皮暖。皮暖则囊垂。此 疝之像也。三说文殊。皆一理
也。用药详而审之。
【方剂】
一方：专门治疗脚臭。
黄柏皮（三钱）、黄连、黄丹、白矾（飞研）、蛤粉（微炒，各二钱）、龙脑（少许）。以上药物碾磨成极细的粉末。
治疗脚汗的方子：
杜矾、光粉、天竹黄，以上药物等分研磨成粉末。撒在患处。
治疗脚汗：
白矾、干葛（等分），以上两味药研磨成粉末。每次使用半两，加水三碗，煎煮十余次沸腾后，趁热清洗。每天一次，经过三五天即可见效。
又一方：治疗脚汗。
用杨花放在袜子内，或者加入棉絮放入脚内，效果更佳。
肾脏主管纳气，人体的气海系于此。肾虚时容易受到风寒侵袭，被暑湿侵犯，或因喜怒忧恐等情绪损伤。导致寒气凝结不化，出现不想吃东西的症状。在阴部方面，则表现为睾丸有大小伸缩变化，位置上下不定；阴囊肿胀急痛，发作和停止没有规律。如果夹杂寒气并触动怒气，则肿块逼迫向上到达阴囊根部，或者攻冲腹部的胁肋部位。当心情平和时，肿块自然顺着肾经脉络，回归进入阴囊中。凡此种种，都称为“肾气”病。治疗的纲领是：风邪则疏散它，寒邪则温散它，暑邪则解除其热，湿邪则渗利其水。七情所引发的疾病，调理其心气。水与气相互搏结，通过通利小便来治疗。其间配合主治肾气的方剂参合使用。然而总体的治疗方法，大要以流通疏导为先，不要说因为肾虚致病，就不敢使用疏泄的方法。因为肾脏被邪气干扰，如果不将其驱逐出去，病怎么能痊愈呢？如果姑息养奸，畏惧虚证，胡乱使用刚燥的药物强行兜住，使大小便秘结不通，邪气进入腹部冲犯心脏，危险必定到来。然而肾气发病，固然因为肾虚所致，但虚证中有冷，虚证中有热，又有冷热不调的情况，尤其应当详细审察。冷的表现是胁边及外肾清冷，小便清长且多，遇寒冷即发作。热的表现是内部挟带暑气，或积毒，或之前服用过暖药，外肾与小腹俱热，肛门间排便后有赤热感，小便多而涩滞，遇热则症状严重。冷热不调的表现是小便和外肾，忽冷忽热，大便和小便，有时秘结有时通畅，用药的温凉，应当根据证候权衡度量。只是所谓的流通疏导，常常在其中运作调节。如果在大小便流利之后，还有牵引刺痛，或者气游走注于肌肤之间，这则是肾虚血虚，气不能回归本源，应当增加滋润滋养的药物，如人参、当归、川芎、芍药、桑螵蛸、葫芦巴之类，也不可缺少。只有那种逆气乘虚而入，中脘停聚酸水燥闷，扰乱严重以至于呕吐，是最为凶险的证候。为什么呢？天一生水，肾脏主宰它。宗筋依附于阴器，只依靠阳明胃经来滋养。现在脾土不能救济，肾水上乘，必然产生酸汁，必然产生涎饮，拖延超时，遂成暴吐。医家在开方之初，都知道肾经厌恶燥性，像苍术、白术、良姜之类的药物，确实不敢使用。等到呕吐大作时，却使用姜、术类药物而不顾后果。如果还没有停止，那么吴茱萸、荜茇等刚燥的药物，又加多了。虽然附子也用来救急。病情发展到这种地步，脾土尚未强壮，肾水已经枯竭。肾水既然枯竭，脾土又为之焦枯。往往阴阳不能升降，营卫不能流行，大小二便关隔涩闭，而肾液都从口中吐出。像这样的情况，大多无法救治。临病必须认识疾病，预先告知病人家属。如果心火下降，则肾水不担心其不温暖；真阳下行，则肾气不担心其不和，哪里会有所谓肝木强盛的呢？只是因为嗜欲内伤，肾气虚惫，所以阴阳不相交，水火不相济，导致沉寒涸冷，凝滞其间，胀满作痛，顽痹结硬，这是势所必至的结果。用药的方法，不可纯用燥热，应当温利以驱逐邪气。邪气在内消除，营卫流转，就像寒谷春生一样，有不戒而速至，不行而至的效果。除此之外还有一种情况，升高坠落，外肾跌伤，惊恐起与败血交攻，也有肝木强盛胀痛的证候。治疗方法大体相同，在此基础上更要消除瘀血。大概各种疝气的脉象应当弦紧。弦代表寒，紧代表痛。疝气有七种证候：厥疝、症疝、寒疝、气疝、盘疝、附疝、狐疝。为什么这样说呢？厥疝则心痛足冷，食后即吐；症疝腹中气突然胀满，气积聚如手臂粗；寒疝因受寒饮食，突然胁下腹中痛；气疝腹中突然胀满，胀满而痛；盘疝腹中痛牵引脐旁；附疝腹痛连脐，下部有积聚；狐疝小腹与阴部相引而痛。各种疝气久治不愈，邪气留滞，形成积聚，其脉象厥而紧，浮而牢，都是积聚的脉象。但是脉象牢强急者预后较好，虚弱急者，不可治愈。
《儒门事亲》记载：寒疝名为水疝。律科王敏之患寒疝，脐下结聚如黄瓜，每次发作环绕腰间，疼痛剧烈难以忍受。戴人先用舟车丸及猪肾散，泻下四五行，感觉药力围绕脐下三五次而下，泻下的都是水。猪肾散中的甘遂……（原文此处有缺漏/乱码）……贯肝胃……故曰……忍青瓷……
《论》云：厥阴脉滑，则病狐疝；少阴脉滑，则病肺风疝；太阴脉滑，则病脾风疝；阳明脉滑，则病心风疝；太阳脉滑，则病肾风疝；少阳脉滑，则病肝风疝。《灵枢经》云：心脉微滑，为心疝，牵引脐部，少腹鸣响；肝脉滑甚，为……疝。
夫滑脉在关以上出现，为大热，因为阳与阳相并。所以大热脉滑，尺脉出现则为大寒，主……疝。脉滑者在寸口……凡是瘦……
夫阴……属肝系宗筋，胃阳明养之。世人多不认识，称之为外肾。这不仅名义差错，也使五脏六腑不分……过度思恐，导致阴……上下……治疝……贱多急作……前阴分大寒大热，阴囊下垂或收缩，阴阳证候区别明显。三阳经生病，发寒热，下部发生痈肿，以及痿厥……其内脉两家中脚大热，以此证明。冬天阳气在内，阴气在外，人也顺应这一规律。所以寒在外，则皮肤紧绷而阴囊收缩；夏月阴气在内，阳气在外，人也顺应这一规律。所以热在外则皮肤温暖，皮肤温暖则阴囊下垂。这是……疝的形象。三说文殊，道理都是一样的。用药要详细审慎。
[Formulas]
One formula: Specifically treats foot odor.
Phellodendri Cortex (Huangbai Pi) (3 qian), Coptidis Rhizoma (Huanglian), Minium (Huandan), Alum (Baifan, calcined), Trichosanthes Powder (Gefen, lightly fried, each 2 qian), Borneol (Longnao, a small amount). The above ingredients are ground into an extremely fine powder.
Formula for treating foot sweat:
Alum (Du Fan), Light Powder (Guang Fen), Bamboo Honey (Tianzhu Huang). The above ingredients are mixed in equal parts and ground into powder. Dust it on the affected area.
Treatment for foot sweat:
Alum (Baifan), Puerariae Radix (Gange), in equal parts. Grind the above two ingredients into powder. Use half liang each time. Add three bowls of water, boil more than ten times until hot, then wash with the hot liquid. Once daily. Effective after three to five days.
Another formula: Treats foot sweat.
Place willow catkins (Yanghua) inside socks, or add cotton wadding into the feet, which is even better.
The Kidney governs the reception of Qi, and the body's Sea of Qi is connected to it. When Kidney deficiency occurs, one is susceptible to invasion by Wind-Cold, assault by Summer-Heat-Dampness, and injury from emotional disturbances such as joy, anger, worry, and fear. This leads to the condensation of cold without resolving, resulting in loss of appetite. In the genital region, there may be fluctuations in the size and position of the testes, moving up and down irregularly; the scrotum may swell with acute pain, with episodes occurring unpredictably. If cold pathogens combine with anger, masses may force their way up to the root of the scrotum or attack the hypochondriac region of the abdomen. When emotions are calm, these masses naturally follow the Kidney channel and return to the scrotum. All these conditions are referred to as "Kidney Qi" disorders. The general principles of treatment are: disperse Wind, warm Cold, resolve Heat from Summer-Heat, and drain Dampness. For disorders caused by the Seven Emotions, regulate Heart Qi. When Water and Qi contend, promote urination. These methods should be combined with formulas specifically targeting Kidney Qi. However, the overall therapeutic approach prioritizes promoting circulation and unblocking obstruction. One should not refrain from draining and purging simply because the disease stems from deficiency. Since the Kidneys are disturbed by pathogenic factors, if they are not expelled, how can the disease heal? If one hesitates due to fear of worsening deficiency and recklessly uses harsh, drying agents to trap the pathogens, causing constipation and urinary retention, the pathogens may enter the abdomen and strike the Heart, leading to critical danger. Although Kidney Qi disorders arise from Kidney deficiency, deficiency may involve Cold, Heat, or a mix of both. Careful differentiation is essential. Cold patterns present with coldness in the hypochondrium and external genitals, clear and profuse urine, and exacerbation upon exposure to cold. Heat patterns involve internal Summer-Heat, accumulated toxins, or prior use of warming herbs, presenting with heat in the external genitals and lower abdomen, burning sensation in the anus after defecation, and scanty, difficult urination, worsening with heat. Mixed cold-heat patterns show alternating cold and heat in the urine and genitals, with variable bowel movements. The temperature of medications (warming or cooling) must be weighed according to the syndrome. The principle of promoting circulation and unblocking should always be applied. If, after normalizing bowel and bladder functions, pulling or stabbing pain persists, or Qi wanders in the skin and muscles, this indicates Kidney and Blood deficiency with failure of Qi to return to its source. Nourishing and moistening herbs such as Ginseng Radix (Renshen), Angelicae Sinensis Radix (Danggui), Ligusticum Chuanxiong Rhizoma (Chuanxiong), Paeoniae Radix (Shaoyao), Mantis Ootheca (Sangpiaoxiao), and Trigonellae Semen (Huluba) should be added. However, if rebellious Qi invades due to deficiency, causing sour stagnation and dry oppression in the Middle Jiao, leading to severe disturbance and vomiting, this is a dire prognosis. Why? Heaven generates Water, governed by the Kidneys. The sinews attach to the genitalia and rely on the Stomach (Yangming) for nourishment. If Spleen Earth fails to support, Kidney Water rebels upward, producing sour fluids and phlegm-fluids. Over time, this becomes violent vomiting. Initially, physicians know that the Kidney meridian dislikes dryness and avoid herbs like Atractylodes Macrocephala Rhizoma (Cangzhu), Atractylodes Rhizoma (Baizhu), and Galangal Rhizome (Liangjiang). But when vomiting becomes severe, they resort to Ginger and Atractylodes without hesitation. If this fails, they increase doses of harsh, drying herbs like Evodia Fruit (Wuzhuyu) and Long Pepper Fruit (Bibo). Even Aconite Lateralis Radix Praeparata (Fuzi) is used for emergency rescue. By this stage, Spleen Earth is weak, and Kidney Water is exhausted. With Kidney Water depleted, Spleen Earth scorches. Yin and Yang fail to ascend and descend; Ying and Wei fail to circulate. Bowel and bladder obstructions occur, and Kidney fluids are vomited out. Such cases are generally incurable. Physicians must recognize the disease and warn the family beforehand. If Heart Fire descends, Kidney Water warms; if True Yang descends, Kidney Qi harmonizes. There would be no Liver Wood hyperactivity. It is only due to excessive desires damaging the interior, causing Kidney Qi deficiency and exhaustion, that Yin and Yang do not interact, Water and Fire do not balance, leading to deep cold and depletion, stagnation, distension, pain, stubborn bi-syndromes, and hard masses. Treatment should not rely solely on hot, drying herbs but should use warming and draining methods to expel pathogens. Once pathogens are eliminated internally, Ying and Wei flow freely, akin to spring arriving in a cold valley, bringing rapid recovery. Another condition involves trauma from falling or climbing, injuring the external genitals, where fright and blood stasis interact, also causing Liver Wood hyperactivity with distension and pain. The treatment principles are similar, but additionally require resolving blood stasis. Generally, hernia pulses are wiry and tight. Wiry indicates Cold; tight indicates Pain. There are seven types of hernia: Jue Hernia, Zheng Hernia, Han Hernia, Qi Hernia, Pan Hernia, Fu Hernia, and Hu Hernia. Jue Hernia presents with heart pain and cold feet, vomiting after eating. Zheng Hernia features sudden abdominal fullness with Qi accumulation like an arm. Han Hernia results from cold food/drink, causing sudden pain in the hypochondrium and abdomen. Qi Hernia causes sudden abdominal fullness and pain. Pan Hernia involves abdominal pain radiating to the umbilicus. Fu Hernia includes abdominal pain connecting to the umbilicus with accumulations below. Hu Hernia causes pain linking the lower abdomen and genitals. Chronic hernias with lingering pathogens form accumulations, showing wiry-tight or floating-firm pulses. Firm and strong pulses indicate survival; weak and tense pulses indicate intractability.
*Rumen Shinqin* records: Han Hernia is called Shui Hernia. Wang Minzhi suffered from Han Hernia, with a mass under the umbilicus like a cucumber, wrapping around the waist during attacks with unbearable pain. Dai Ren first administered Zhouche Wan and Zhushen San, inducing diarrhea four to five times. The medicine seemed to circle the umbilicus before passing. The discharge was watery. Zhushen San contains Kansui Radix (Gansui)... [Text missing/corrupted]... connects Liver and Stomach... therefore said... endure green porcelain...
*Treatise* states: Slipping pulse at Jueyin indicates Hu Hernia; at Shaoyin, Fei-Feng Hernia; at Taiyin, Pi-Feng Hernia; at Yangming, Xin-Feng Hernia; at Taiyang, Shen-Feng Hernia; at Shaoyang, Gan-Feng Hernia. *Ling Shu* states: Slight slipping pulse at Heart indicates Xin Hernia, drawing to the umbilicus with lower abdominal sounds; very slipping pulse at Liver indicates ... Hernia.
A slipping pulse appearing above the Guan position indicates intense Heat, as Yang combines with Yang. Thus, slipping pulse with intense Heat at the Chi position indicates Cold, governing ... Hernia. Slipping pulse at Cun Kou... Regarding thin individuals...
The Yin... belongs to the Liver system and sinews, nourished by Stomach Yangming. People often do not recognize this, calling it "external Kidney." This is not only a nomenclature error but also confuses the Zang-Fu organs... Excessive thinking and fear lead to Yin... upper and lower... treat hernia... cheap many urgent onset... Anterior Yin divides into extreme Cold and Heat, with scrotal hanging or shrinking, distinguishing Yin-Yang syndromes. Diseases of the Three Yang meridians manifest as chills and fever, abscesses/swelling below, and flaccidity/cold limbs... Internally, pulse... between families, middle, foot, large heat, proving by symptoms. In winter, Yang Qi is internal, Yin Qi external; humans correspond. Thus, external Cold causes tight skin and scrotal retraction. In summer, Yin Qi is internal, Yang Qi external; humans correspond. Thus, external Heat causes warm skin, and warm skin leads to scrotal hanging. This is the image of ... Hernia. The three texts differ in wording but share the same principle. Medications must be selected with detailed care.