积聚胃强攻可用，攻虚兼补正邪安，气食积癖宜化滞，温白桃仁控涎丹。
【注】积聚宜攻，然胃强能食，始可用攻。若攻虚人，须兼补药，或一攻三补，或五补
一攻，攻邪而不伤正，养正而不助邪，则邪正相安也。凡攻气食积癖，宜用秘方化滞丸，
方在内伤门。攻积聚、 瘕，宜用温白丸，即万病紫菀丸，方倍川乌。攻血积、血瘕，宜
用桃仁煎，即桃仁、大黄各一两，虻虫炒五钱，朴硝一两，共为末，先以醇醋一斤，用
砂器慢火煎至多半盅，下末药搅良久，为小丸，前一日不吃晚饭，五更初，温酒送下一
钱，取下恶物如豆汁鸡肝。未下，次日再服，见鲜血止药。如无虻虫，以 虫代之，然不
如虻虫为愈也。攻痰积，宜用控涎丹，方在痰饮门。
经云任脉结七疝，子和七疝主于肝，肝经过腹环阴器，任脉循腹里之原。疝证少腹
引阴痛，冲上冲心二便难，厥吐瘕 狐出入，溃脓癃秘木 顽。
【注】经曰∶任脉为病，男子内结七疝，女子带下瘕聚。瘕聚者，即女子之疝也。七
疝主任者，原以任脉起中极，循腹里也。七疝主肝者，盖以肝经过腹里，环阴器也。是
以诸疝病，无不由是二经，故主之也。疝病之证，少腹痛引阴丸，气上冲心，不得二便
者，为冲疝也。少腹痛引阴丸，肝之逆气冲胃作吐者，为厥疝也。少腹之气不伸，左右
块作痛者，为瘕疝也。卧则入腹，立则出腹入囊，似狐之昼则出穴而尿，夜则入穴而
不尿者，为狐疝也。少腹痛引阴丸，横骨两端约文中状如黄瓜，内有脓血者，为 疝也。
少腹痛引阴丸，小便不通者，为癃疝也。少腹不痛，阴囊肿大顽硬者，为 疝也。
积聚病证，若患者胃气强盛、食欲正常，可以采用攻伐之法；若患者体质虚弱，则需攻补兼施，以使邪去而正气安宁。对于气滞、食积及癖块，适宜使用消导化滞的方法，可选用温白丸、桃仁煎或控涎丹等方剂。
【注释】治疗积聚应当采用攻法，但前提是患者胃气强健且能进食，此时方可使用攻伐之法。如果对患者体质虚弱者强行攻伐，必须配合补益药物，或者采取“一次攻伐三次补益”，或者“五次补益一次攻伐”的策略。这样既能祛除邪气而不损伤正气，又能养护正气而不助长邪气，从而使邪气与正气相安无事。凡是治疗气滞、食积及癖块，适宜使用秘方化滞丸（该方收录在内伤门中）。治疗积聚和瘕块，适宜使用温白丸（即万病紫菀丸，方中川乌用量加倍）。治疗血积和血瘕，适宜使用桃仁煎（由桃仁一两、大黄一两、炒虻虫五钱、朴硝一两组成，共研为细末。先用纯醋一斤，在砂器中以慢火煎至大半盅，加入药末搅拌良久，制成小丸。服药前一天晚上不吃晚饭，次日清晨五更时分，用温酒送服一钱，排出如豆汁、鸡肝样的恶浊之物。若未排出，次日再服，见到鲜血排出时停药。如果没有虻虫，可以用蛰虫替代，但不如虻虫疗效好）。治疗痰积，适宜使用控涎丹（该方收录在痰饮门中）。
《内经》记载任脉病变可形成七种疝气，张子和认为七疝主要责之于肝脏。因为肝经经过腹部并环绕阴器，而任脉循行于腹部深处。疝证的表现为少腹牵引阴部疼痛，气逆上冲心胸导致大小便困难，厥疝、瘕疝、狐疝交替发作，以及溃破流脓、小便不通或大便闭结、阴囊肿大坚硬等症状。
【注释】经典医籍说：任脉发生病变，男子会内结七疝，女子会出现带下病和瘕聚。所谓瘕聚，就是女子的疝病。之所以说七疝由任脉主导，是因为任脉起于中极穴，循行于腹部深处。之所以说七疝主属于肝，是因为肝经经过腹部深处，环绕阴器。因此各种疝病，无不是由这两条经脉引起，所以以这两条经脉为主进行诊治。疝病的症状表现：少腹痛并牵引睾丸，气上冲心胸，大小便不通的，称为冲疝。少腹痛并牵引睾丸，肝之逆气冲犯胃部导致呕吐的，称为厥疝。少腹之气不得舒展，左右两侧出现肿块作痛的，称为瘕疝。躺下时肿物进入腹腔，站立时肿物出腹入囊，像狐狸白天出洞排尿、晚上回洞不排尿一样的，称为狐疝。少腹痛并牵引睾丸，横骨两端约纹处状如黄瓜，内有脓血的，称为痈疝（注：原文此处缺字，根据语境推测为“痈”或类似含义，此处依原文留空或意译，鉴于要求忠实原文，保留“为 疝也”结构，但在翻译中需体现其描述特征，通常指“癫疝”或“痈疝”，此处暂译为“...的，称为[缺失]疝”或根据后文“顽”推测可能为“癫疝”，但严格遵循原文提取，故译为“...的，称为 [缺失字] 疝”）。少腹痛并牵引睾丸，小便不通的，称为癃疝。少腹不痛，但阴囊肿大坚硬的，称为 [缺失字] 疝（注：原文最后一个“ ”前也有缺字，结合“阴囊肿大顽硬”，通常指“癫疝”或“寒疝”，此处依原文结构处理）。
Accumulation and mass disorders: If the patient's stomach qi is strong and appetite is normal, attacking methods (攻法) can be used. If the patient is deficient, attacking and tonifying should be combined to ensure that the pathogenic factor is eliminated while the healthy qi remains secure. For qi stagnation, food retention, and masses, resolving stagnation is appropriate; formulas such as Wenbai Wan (Warm White Pill), Taoren Jian (Peach Kernel Decoction), or Kongxian Dan (Control Saliva Pill) may be selected.
[Note] Treatment of accumulation and mass should employ attacking methods, but only when the patient has strong stomach qi and can eat. If attacking a deficient person, tonic herbs must be combined, employing strategies such as "one attack followed by three tonifications" or "five tonifications followed by one attack." This eliminates the pathogen without damaging the healthy qi, and nourishes the healthy qi without aiding the pathogen, thereby allowing the pathogen and healthy qi to coexist peacefully. For treating qi stagnation, food retention, and masses, the secret formula Huazhi Wan (Resolve Stagnation Pill) is appropriate (recorded in the Internal Injury section). For treating accumulation and jia masses, Wenbai Wan (i.e., Wanbing Ziwan Wan, with doubled dosage of Chuanwu/Caulis Aconiti Preparatus) is appropriate. For treating blood accumulation and blood jia, Taoren Jian (Peach Kernel Decoction) is appropriate (composed of Tao Ren/Persicae Semen 1 liang, Da Huang/Rhei Radix et Rhizoma 1 liang, Meng Chong/Blattariae Periplanetae Folium stir-fried 5 qian, Piao Xiao/Natrii Sulfas 1 liang, all ground into powder. First, boil 1 jin of pure vinegar slowly in a clay pot until reduced to slightly more than half a cup, add the powder, stir for a long time, and form small pills. Do not eat dinner the day before. At dawn (wugeng), take 1 qian with warm wine to expel foul matter resembling bean juice or chicken liver. If not expelled, take again the next day; stop medication when fresh blood appears. If Meng Chong is unavailable, Zhe Chong/Mantis Oviposita may substitute, though it is less effective than Meng Chong). For treating phlegm accumulation, Kongxian Dan (Control Saliva Pill) is appropriate (recorded in the Phlegm-Fluids section).
The Classics state that disorders of the Ren Mai (Conception Vessel) result in seven types of hernia (shan). Zhang Hezi attributes the seven hernias primarily to the Liver. The Liver Channel passes through the abdomen and surrounds the genitalia, while the Ren Mai circulates within the abdominal interior. Hernia syndromes manifest as pain in the lower abdomen radiating to the genitals, qi rushing up to the heart causing difficulty in urination and defecation, alternating episodes of Jue hernia, Jia hernia, and Hu hernia, as well as ulceration with pus discharge, strangury (long), constipation, and hard, swollen scrotum.
[Note] The classics say: When the Ren Mai is diseased, men develop internal seven hernias, and women develop leukorrhea and jia-ju masses. Jia-ju refers to hernia-like conditions in women. The reason the seven hernias are governed by the Ren Mai is that the Ren Mai originates at Zhongji (CV3) and circulates within the abdomen. The reason they are governed by the Liver is that the Liver Channel passes through the abdominal interior and surrounds the genitalia. Therefore, all hernia diseases arise from these two meridians, so treatment focuses on them. Symptoms of hernia disease: Lower abdominal pain radiating to the testicles, qi rushing up to the heart, and inability to pass urine or stool is called Chong hernia. Lower abdominal pain radiating to the testicles, with rebellious Liver qi attacking the Stomach causing vomiting is called Jue hernia. Qi in the lower abdomen failing to extend, with lumps on either side causing pain is called Jia hernia. When lying down, the mass enters the abdomen; when standing, it exits the abdomen into the scrotum, resembling a fox that leaves its hole to urinate during the day and returns at night without urinating, is called Hu hernia. Lower abdominal pain radiating to the testicles, with a cucumber-shaped swelling between the ends of the Henggu bone containing pus and blood, is called [Missing Character] hernia. Lower abdominal pain radiating to the testicles, with urinary obstruction, is called Long hernia. No pain in the lower abdomen, but with a large, hard, and stiff scrotal swelling, is called [Missing Character] hernia.