(附论)
黄帝针经曰。足厥阴之脉环阴器。抵少腹。是动则病丈夫 疝。即阴疝也。嗜欲伤肾。
肾水
知邪
方
昆布丸 治阴疝肿大偏坠。
昆布(洗去咸炙) 海藻(洗去咸炙) 蒺藜子(炒去角) 芜荑仁(炒) 槟榔(锉
各一两半) 枳
核各三分) 陈橘皮(去
上为末和匀。炼蜜丸如梧
葫芦巴煮散 治阴疝攻痛。
葫芦巴 沉香 马蔺花 蓬莪术(煨锉) 香子(炒各半两) 楝实(取肉麸炒) 木
香姜黄
上为散。每服
葫芦巴丸 治阴疝气攻疼痛。
葫芦巴 补骨脂 白豆蔻(去皮) 青橘皮(去白焙) 萆 茴香子(炒) 附子(炮
制去皮脐)
丝子(酒浸捣各一两) 上为末。酒煮面糊为丸。如绿豆大。每服二十丸。空心生姜盐汤下。
桃仁汤 治阴疝牵引小腹痛。
桃仁(去皮尖双仁炒) 吴茱萸(汤洗焙干炒) 陈橘皮(去白切焙) 桂(去粗皮) 海
藻(汤洗
槟榔(十枚锉
川乌头丸(出圣惠方)治阴疝积聚。绕脐腹疼痛。饮食不下。
川乌头(炮制去皮脐) 京三棱(煨锉) 桂心 木香 郁李仁(汤洗去微锉各一两) 吴
茱萸(
捣三二百杵
川乌头散 治阴疝腹腰痛。手足逆冷。身体疼痛。针灸诸药。所不能任者。
川乌头(十枚炮裂去皮脐) 桂枝(二两) 上为散。每服二钱。水一盏。生姜半分。
煎八分。
椒附丸 治阴疝肿痛。上攻脐腹。
蜀椒(去目并合口炒出汗一两) 附子(炮裂去皮脐) 桂(去粗皮) 巴戟天(去心)
桃仁(去
二十丸。空心日午夜卧温酒下。
木香丸 治阴疝急胀疼痛。卵肿。
木香 陈橘皮(去白炒) 莱菔子(炒) 青橘皮(去白炒) 桂(去粗皮各一两) 牵
牛子(炒二
二气丸 治阴疝上而不下。脐腹疼痛。
石硫黄(研) 黑铅(各一两) 上以铅于铫内。熔成汁。次下硫黄炒。烟焰透移下。
候冷取出
蒺藜汤(出卫生宝鉴)治阴疝牵引小腹痛。诸厥疝。即阴疝也。吸嘘劳痛不可
忍。之。
蒺藜子(炒去角) 附子(炮制去皮脐) 山栀子(各一两) 上 咀如麻豆。每服五
钱。水一盏
沙参散 治阴疝牵引疼痛。
沙参(一两半) 桂(去粗皮半两) 桃仁(四十九枚去皮尖双仁炒研) 上为散。每
服二十丸。
应痛丸 治阴疝撮痛。不可忍者。
韭子(炒) 芎 上等分为末。炼蜜丸如梧桐子大。每服三十丸。空心温酒下。
(附论)
《黄帝针经》说:足厥阴肝经的经脉环绕外生殖器,抵达小腹部。这条经脉发生病变时,会导致男子患疝气,也就是阴疝。这是因为纵欲过度损伤了肾脏。
昆布丸:治疗阴疝肿大、一侧偏坠的症状。
药材包括:昆布(洗净去除咸味后炙干)、海藻(洗净去除咸味后炙干)、蒺藜子(炒制并去掉尖角)、芜荑仁(炒制)、槟榔(锉碎,各一两半)、枳实(去核,各三分)、陈橘皮(去掉白色内瓤)。
将上述药物研成细末并混合均匀,用炼蜜制成梧桐子大小的药丸。
葫芦巴煮散:治疗阴疝引起的攻冲疼痛。
药材包括:葫芦巴、沉香、马蔺花、蓬莪术(煨制后锉碎)、茴香子(炒制,各半两)、楝实(取肉后用麸皮炒制)、木香、姜黄。
将上述药物制成散剂。每次服用适量。
葫芦巴丸:治疗阴疝之气攻冲导致的疼痛。
药材包括:葫芦巴、补骨脂、白豆蔻(去皮)、青橘皮(去掉白色内瓤焙干)、萆薢、小茴香子(炒制)、附子(炮制后去掉外皮和脐部)、菟丝子(酒浸后捣碎,各一两)。
将上述药物研成细末,用酒煮面糊作为粘合剂制成绿豆大小的药丸。每次服用二十丸,空腹时用生姜盐汤送服。
桃仁汤:治疗阴疝牵引小腹疼痛。
药材包括:桃仁(去皮尖及双仁后炒制)、吴茱萸(用水洗后焙干炒制)、陈橘皮(去掉白色内瓤切丝焙干)、桂枝(去掉粗皮)、海藻(用水洗)、槟榔(十枚锉碎)。
川乌头丸(出自《圣惠方》):治疗阴疝积聚,绕着脐部和腹部疼痛,饮食无法下咽。
药材包括:川乌头(炮制后去掉外皮和脐部)、京三棱(煨制后锉碎)、桂心、木香、郁李仁(用水洗后微锉碎,各一两)、吴茱萸。
捣碎至三二百杵的程度。
川乌头散:治疗阴疝引起的腹部和腰部疼痛,手足逆冷,身体疼痛,以及那些无法耐受针灸和其他药物治疗的患者。
药材包括:川乌头(十枚,炮裂后去掉外皮和脐部)、桂枝(二两)。
将上述药物制成散剂。每次服用二钱,加水一盏,生姜半分,煎至八分。
椒附丸:治疗阴疝肿痛,向上攻冲至脐腹部。
药材包括:蜀椒(去掉目并合口处,炒至出汗,一两)、附子(炮裂后去掉外皮和脐部)、桂枝(去掉粗皮)、巴戟天(去掉心)、桃仁(去掉...[原文此处似有缺漏])。
每次服用二十丸,空腹或在日中、午夜卧床时温酒送服。
木香丸:治疗阴疝急胀疼痛,睾丸肿胀。
药材包括:木香、陈橘皮(去掉白色内瓤炒制)、莱菔子(炒制)、青橘皮(去掉白色内瓤炒制)、桂枝(去掉粗皮,各一两)、牵牛子(炒制...[原文此处似有缺漏])。
二气丸:治疗阴疝之气上逆不下,脐腹部疼痛。
药材包括:石硫黄(研磨)、黑铅(各一两)。
先将黑铅在铫子内熔化,然后加入硫黄炒制,直到烟焰透移下来。
冷却后取出。
蒺藜汤(出自《卫生宝鉴》):治疗阴疝牵引小腹疼痛,各种厥疝,也就是阴疝。症状表现为呼吸时劳损疼痛,难以忍受。
药材包括:蒺藜子(炒制并去掉尖角)、附子(炮制后去掉外皮和脐部)、山栀子(各一两)。
将上述药物切碎如麻豆大小。每次服用五钱,加水一盏...[原文此处似有缺漏]。
沙参散:治疗阴疝牵引疼痛。
药材包括:沙参(一两半)、桂枝(去掉粗皮,半两)、桃仁(四十九枚,去皮尖及双仁后炒制并研磨)。
将上述药物制成散剂。每次服用...[原文此处有误,前文为散剂却言每服二十丸,疑原文有误或省略]。
应痛丸:治疗阴疝撮缩疼痛,难以忍受。
药材包括:韭子(炒制)、川芎。
等分为末,用炼蜜制成梧桐子大小的药丸。每次服用三十丸,空腹时温酒送服。
(Attached Discussion)
The *Huangdi Zhenjing* (Yellow Emperor's Classic of Acupuncture) states: The Foot Jueyin Liver Meridian (Zu Jueyin Gan Jing) surrounds the external genitalia and reaches the lower abdomen. When this meridian is affected, it causes hernia in men, which is also known as Yin Hernia (Yin Han). This condition arises because excessive sexual desire damages the Kidney (Shen).
Kunbu Wan (Kelp Pill): Treats Yin Hernia characterized by swelling and unilateral descent.
Ingredients include: Kunbu (Laminariae Thallus, washed to remove salinity and dried), Haizao (Sargassum Thallus, washed to remove salinity and dried), Jili Zi (Tribuli Fructus, stir-fried and spines removed), Wuyi Ren (Alpiniae Katsumadai Semen, stir-fried), Binglang (Arecae Semen, crushed, 1.5 liang each), Zhishi (Aurantii Fructus Immaturus, pips removed, 3 fen each), Chenjupi (Citri Reticulatae Pericarpium, white pith removed).
Grind the above ingredients into a fine powder, mix evenly, and form pills with refined honey the size of mulberry seeds.
Huluba Zhusan (Huluba Decoction Powder): Treats attacking pain caused by Yin Hernia.
Ingredients include: Huluba (Trigonellae Semen), Chenxiang (Aquilariae Lignum Resinatum), Malinhua (Iris lactea var. chinensis flower), Peng'ezhu (Curcumae Rhizoma, roasted and crushed), Huixiang Zi (Foeniculi Fructus, stir-fried, half liang each), Lianshi (Meliae Fructus, flesh extracted and bran-roasted), Muxiang (Aucklandiae Radix), Jianghuang (Curcumae Longae Rhizoma).
Process the above ingredients into a powder. Take an appropriate dose per serving.
Huluba Wan (Huluba Pill): Treats pain caused by Qi attack from Yin Hernia.
Ingredients include: Huluba (Trigonellae Semen), Buguzhi (Psoraleae Fructus), Baidoukou (Amomi Fructus Rotundus, peel removed), Qingjupi (Citri Reticulatae Pericarpium Viride, white pith removed and baked), Bibo (Dioscoreae Hypoglaucae Rhizoma), Xiaohuixiang Zi (Foeniculi Fructus, stir-fried), Fuzi (Aconiti Lateralis Radix Praeparata, processed, peel and umbilicus removed), Tusizi (Cuscutae Semen, soaked in wine and pounded, 1 liang each).
Grind the above ingredients into a fine powder, use wine-boiled wheat paste as a binder to form pills the size of mung beans. Take 20 pills per serving, administered on an empty stomach with ginger-salt decoction.
Taoren Tang (Peach Kernel Decoction): Treats Yin Hernia pulling pain in the lower abdomen.
Ingredients include: Taoren (Persicae Semen, peel and tips removed, double-kernel avoided, stir-fried), Wuzhuyu (Evodiae Fructus, washed with water, baked dry and stir-fried), Chenjupi (Citri Reticulatae Pericarpium, white pith removed, sliced and baked), Guizhi (Cinnamomi Ramulus, coarse bark removed), Haizao (Sargassum Thallus, washed with water), Binglang (Arecae Semen, 10 pieces crushed).
Chuanwutou Wan (Chuanwu Pill) (From *Shenghui Fang*): Treats Yin Hernia accumulation, pain winding around the navel and abdomen, and inability to ingest food.
Ingredients include: Chuanwutou (Aconiti Radix, processed, peel and umbilicus removed), Jingsanleng (Sparganii Rhizoma, roasted and crushed), Guixin (Cinnamomi Cortex), Muxiang (Aucklandiae Radix), Yuliren (Pruni Semen, washed with water and slightly crushed, 1 liang each), Wuzhuyu (Evodiae Fructus).
Pound until thoroughly mixed (three to two hundred pestle strikes).
Chuanwutou San (Chuanwu Powder): Treats abdominal and lumbar pain from Yin Hernia, cold extremities, body pain, and cases where acupuncture and other medications are not tolerated.
Ingredients include: Chuanwutou (Aconiti Radix, 10 pieces, cracked by processing, peel and umbilicus removed), Guizhi (Cinnamomi Ramulus, 2 liang).
Process the above ingredients into a powder. Take 2 qian per serving, add one cup of water and half a piece of fresh ginger, decoct until reduced to 0.8 cups.
Jiaofu Wan (Pepper and Aconite Pill): Treats Yin Hernia swelling and pain, attacking upwards to the navel and abdomen.
Ingredients include: Shujiao (Zanthoxyli Pericarpium, remove eyes and closed-mouth parts, stir-fried until sweat appears, 1 liang), Fuzi (Aconiti Lateralis Radix Praeparata, cracked by processing, peel and umbilicus removed), Guizhi (Cinnamomi Ramulus, coarse bark removed), Bajitian (Morindae Officinalis Radix), Taoren (Persicae Semen, peel removed... [text missing]).
Take 20 pills per serving, administered on an empty stomach or at noon/midnight while lying down, with warm wine.
Muxiang Wan (Aucklandia Pill): Treats acute distension and pain from Yin Hernia, and testicular swelling.
Ingredients include: Muxiang (Aucklandiae Radix), Chenjupi (Citri Reticulatae Pericarpium, white pith removed and stir-fried), Laifuzi (Raphani Fructus, stir-fried), Qingjupi (Citri Reticulatae Pericarpium Viride, white pith removed and stir-fried), Guizhi (Cinnamomi Ramulus, coarse bark removed, 1 liang each), Qianniuzi (Pharbitidis Semen, stir-fried... [text missing]).
Erqi Wan (Two Qi Pill): Treats Yin Hernia with Qi rising but not descending, causing navel and abdominal pain.
Ingredients include: Shiliuhuang (Sulfur), Qian (Lead, 1 liang each).
First melt the lead in a pot, then add sulfur and stir-fry until the smoke and flame penetrate downwards.
Remove after cooling.
Jili Tang (Tribulus Decoction) (From *Weisheng Baojian*): Treats Yin Hernia pulling pain in the lower abdomen, various Jue Hernias, i.e., Yin Hernia. Symptoms include severe pain exacerbated by breathing/labour.
Ingredients include: Jili Zi (Tribuli Fructus, stir-fried and spines removed), Fuzi (Aconiti Lateralis Radix Praeparata, processed, peel and umbilicus removed), Shanzhizi (Gardeniae Fructus, 1 liang each).
Cut the above ingredients into pieces the size of hemp seeds. Take 5 qian per serving, add one cup of water... [text missing].
Shashen San (Adenophora Powder): Treats pulling pain from Yin Hernia.
Ingredients include: Shashen (Glehniae Radix, 1.5 liang), Guizhi (Cinnamomi Ramulus, coarse bark removed, half liang), Taoren (Persicae Semen, 49 pieces, peel and tips removed, double-kernel avoided, stir-fried and ground).
Process the above ingredients into a powder. Take... [Text error in original: mentions "20 pills" for a powder preparation].
Yingtong Wan (Pain-Relieving Pill): Treats Yin Hernia with cramping pain that is unbearable.
Ingredients include: Jiu Zi (Allii Tuberosi Semen, stir-fried), Xiong (Ligustici Chuanxiong Rhizoma).
Grind equally into a powder, form pills with refined honey the size of mulberry seeds. Take 30 pills per serving, administered on an empty stomach with warm wine.