熏 初起者,即愈,用熟艾,于小罐内烧烟熏之。
敷 大扎草灰贴。蜡膏纸,入油些少,乳香些少更妙,或只用文蛤末。
一方∶黄连(五) 蛤粉(四) 轻粉(一) 黄丹(一) 枯矾(半)
下 显仁丸。下注疮只用当归拈痛汤效,或作丸服。
因寒、气、湿热、痰积流下, ,不痛者是也。
温 酒煮当归丸、夺命丹、十补丸。按之痛定者属虚。桂(炒、) 栀子、乌头,姜汁
糊丸,劫痛,第三四十丸服。海石、小茴香,入姜汁,汤调下。或盐煎散、乌头桂枝汤。
导气 郁甚,复元通气散、天台乌药散。
上病,尿时,用手掩右口鼻耳,少时效。右则取右。
疏风 大抵多是肝病。
渗湿 五苓加川楝。
下 三白散。控引睾丸,蜘蛛散选用之。
灸 大敦、三阴交。一法,于脐中蒸之。
一法∶于小腹下横纹斜尖上灸一壮,以下连灸三处,神效。
针 太冲、大敦、跳骨、足小指下。
行血 有食积与瘀血成痛者,炒栀子、桃仁、山楂、枳实、吴茱萸、荔核,姜汁糊丸
。
消 外肾囊偏大,用荔核、橄榄核,鼻涕团果核,共烧灰,空心用小茴香汤调下。
湿热,食积,流注,风湿,寒湿。
胜湿 仙术、白术、防己、川芎为主,或六物附子汤。湿热,当归拈痛汤。
下 显仁丸。兼气郁甚者,舟车丸、除湿丹。有饮者,东垣开始导饮丸。
劫 如神救苦散、一粒金丹、应疼丸(方在后。)赤芍(半两) 草乌(半两) 各煨,去
皮尖,酒糊为丸。
解表 麻黄左经汤等药,随证选用。有兼痰气、寒湿,五积散。
双解 大黄左经汤选用,东垣羌活导滞汤。
理血 八味丸,四物汤加羌活、天麻,或四物加黄柏、南星,或健步丸。
补阳 黄 、防己、白术、桂、南星、木瓜、茯菟。
通关透肌骨 三因胜骏丸。
疏风养血 独活寄生汤。
外治 敷贴,用姜汁,芥子、白芷等为末,敷糁。或用仙术、羌活、独活、白芷、细
辛,为末,入帛内, 用。
熨 脚心用附子末,津贴。涌泉穴,却以热熨之。
洗药 威灵仙、防风、荆芥、地骨、当归、升麻、朔 。
针 公孙二穴,冲阳二穴。
灸 三里。
熏法:对于初起的疝气,即可治愈。使用熟艾绒,在小罐内燃烧产生烟雾进行熏蒸。
敷法:用大扎草的灰烬贴敷。在蜡膏纸上滴入少许油,再加入少许乳香效果更佳,或者仅使用文蛤粉。
另一方:黄连(五份)、蛤粉(四份)、轻粉(一份)、黄丹(一份)、枯矾(半份)。
下注法:使用显仁丸。如果是下肢流注疮疡,使用当归拈痛汤效果显著,也可以制成丸剂服用。
由于寒邪、气滞、湿热、痰饮积聚流注于下所致,表现为不疼痛的疝气。
温法:酒煮当归丸、夺命丹、十补丸。按压后疼痛停止的属于虚证。桂枝(炒制)、栀子、乌头,用姜汁糊丸,用于强力止痛,每次服用三十至四十丸。海浮石、小茴香,加入姜汁,用汤药调服。或者使用盐煎散、乌头桂枝汤。
上病法:排尿时,用手掩住右侧的口、鼻、耳,片刻后见效。右侧患病则取右侧穴位或方法。
灸法:大敦穴、三阴交穴。另一种方法,在脐中蒸灸。
另一种方法:在小腹下方的横纹斜尖处灸一壮,随后连续在三处施灸,效果神奇。
行血法:有食积和瘀血导致疼痛者,使用炒栀子、桃仁、山楂、枳实、吴茱萸、荔枝核,用姜汁糊丸。
消法:外肾囊偏大者,使用荔枝核、橄榄核、鼻涕团果核,共同烧成灰,空腹时用少量茴香汤调服。
胜湿法:以苍术、白术、防己、川芎为主药,或者使用六物附子汤。若是湿热证,使用当归拈痛汤。
下注法:显仁丸。兼有严重气郁者,使用舟车丸、除湿丹。有饮邪停留者,使用李东垣的启脾导饮丸。
劫痛法:如神救苦散、一粒金丹、应疼丸(方剂在后面)。赤芍(半两)、草乌(半两),各自煨制,去皮尖,用酒糊为丸。
解表法:麻黄左经汤等药物,随证选用。若兼有痰气、寒湿,使用五积散。
理血法:八味丸,四物汤加羌活、天麻,或者四物汤加黄柏、天南星,或者健步丸。
外治法:敷贴,用姜汁,将芥子、白芷等研为细末,敷撒患处。或者使用苍术、羌活、独活、白芷、细辛,研为细末,装入布帛内,熨烫使用。
洗药:威灵仙、防风、荆芥、地骨皮、当归、升麻、朔望(此处原文可能有误,通常指某药材,暂按原文保留或推测为特定草药,但根据上下文多为祛风除湿药,此处依原文列出)。
Moxibustion (Fumigation): For hernias in the initial stage, this method can achieve a cure. Use prepared mugwort (Shu Ai) and burn it in a small jar to generate smoke for fumigation.
Application: Apply ashes from large grass bundles. On waxed paper, add a small amount of oil and a small amount of frankincense (Ruxiang) for better effect, or simply use powder of clam shell (Wenge).
Another prescription: Coptis Rhizome (Huanglian, 5 parts), Argo Shell Powder (Gafen, 4 parts), Calomel (Qingfen, 1 part), Red Lead (Huandan, 1 part), Calcined Alum (Kufan, half part).
Treatment for Lower Flowing Sores: Use Xianren Wan. For sores flowing down to the lower limbs, Danggui Niantong Tang is effective; it can also be taken as pills.
Caused by cold pathogen, qi stagnation, damp-heat, or phlegm accumulation flowing downward, presenting as painless hernia.
Warming Method: Jiuzhu Danggui Wan, Duoming Dan, Shibu Wan. If pressing stops the pain, it belongs to deficiency syndrome. Prepared cinnamon twig (Guizhi, stir-fried), Gardenia fruit (Zhizi), Aconite Root (Wutou), made into pills with ginger juice for strong pain relief; take 30–40 pills per dose. Pumice (Haishi), Fennel seed (Xiaohuixiang), mixed with ginger juice and taken with decoction. Alternatively, use Yanjian San or Wutou Guizhi Tang.
Qi-guiding Method: For severe qi stagnation, use Fuyuan Tongqi San or Tiantai Wuyao San.
Upper Disease Method: During urination, cover the right mouth, nose, and ear with the hand; relief occurs after a short time. For right-sided conditions, apply the right side.
Wind-dispersing Method: Generally mostly related to liver disease.
Damp-draining Method: Wuling San plus Toosendan Fruit (Chuanlianzi).
Lower Flowing Method: Sanbai San. For cases involving testicular traction pain, select Zhizhu San.
Moxibustion: Daguin (LR1), Sanyinjiao (SP6). Another method involves steaming moxibustion at the umbilicus.
Another method: Moxa one cone at the oblique tip below the horizontal crease of the lower abdomen, followed by continuous moxibustion at three locations below; this is highly effective.
Acupuncture: Taichong (LR3), Daguin (LR1), Tiaggu (Extra point), and the area below the little toe.
Blood-moving Method: For pain caused by food stagnation and blood stasis, use stir-fried Gardenia fruit (Zhizi), Peach kernel (Taoren), Hawthorn fruit (Shanzha), Immature bitter orange (Zhishi), Evodia fruit (Wuzhuyu), and Lychee seed (Lihe), made into pills with ginger juice.
Reduction Method: For unilateral enlargement of the scrotum, use lychee seed (Lihe), olive seed, and "snout" fruit seeds, burned to ash, taken on an empty stomach with fennel decoction.
Damp-heat, food stagnation, flowing abscesses, wind-dampness, cold-dampness.
Damp-conquering Method: Primarily using Atractylodes macrocephala Rhizome (Xianzhu/Baizhu), Atractylodes Rhizome (Baizhu), Stephania Root (Fangji), and Ligusticum Chuanxiong Rhizome (Chuanxiong); or Liuwu Fuzi Tang. For damp-heat, use Danggui Niantong Tang.
Lower Flowing Method: Xianren Wan. For those with severe qi stagnation, use Zhouche Wan or Chushi Dan. For fluid retention, use Dongyuan Kaishi Daoyin Wan.
Pain-relieving (Severe) Method: Rushen Jiuku San, Yili Jindan, Yingpeng Wan (prescription follows later). Red Peony Root (Chishao, half liang), Wild Aconite Root (Caowu, half liang), both roasted, skin and tips removed, made into pills with wine paste.
Exterior-resolving Method: Select Ma Huang Zuojing Tang and other medicines according to symptoms. If accompanied by phlegm-qi and cold-dampness, use Wuji San.
Dual-resolution Method: Select Dahuang Zuojing Tang, or Dongyuan's Qiang Huo Daozhi Tang.
Blood-regulating Method: Bawei Wan, Siwu Tang plus Notopterygium Rhizome (Qianghuo) and Gastrodia Rhizome (Tianma); or Siwu Tang plus Phellodendron Bark (Huangbai) and Pinellia Tuber (Nanxing); or Jianbu Wan.
Yang-tonifying Method: Astragalus Root (Huangqi), Stephania Root (Fangji), Atractylodes Rhizome (Baizhu), Cinnamon Twig (Guizhi), Pinellia Tuber (Nanxing), Papaya (Mugua), Dodder Seed (Tusizi).
Opening Orifices and Penetrating Muscle and Bone: Sanyin Shengjun Wan.
Wind-dispersing and Blood-nourishing: Duhuo Jisheng Tang.
External Treatment: Application, using ginger juice, with mustard seed (Jiezi) and Angelica Dahurica Root (Baizhi) powdered and applied. Or use Atractylodes Macrocephala Rhizome (Xianzhu), Notopterygium Rhizome (Qianghuo), Angelica Pubescens Root (Duhuo), Angelica Dahurica Root (Baizhi), and Asarum Root (Xixin), powdered, placed within cloth, and used for hot compress.
Hot Compress: Apply Aconite Root (Fuzi) powder to the sole of the foot, securing it tightly. At Yongquan (KI1) acupoint, apply heat via hot compress.
Washing Medicine: Clematis Root (Weilingxian), Saposhnikovia Root (Fangfeng), Schizonepeta Spike (Jingjie), Cortex Lycii (Digupi), Angelica Sinensis Root (Danggui), Cimicifuga Rhizome (Shengma), and Shuowang (Note: Original text likely contains a typo or specific local herb name, retained as is).
Acupuncture: Gongsun (SP4) two points, Chongyang (ST42) two points.
Moxibustion: Zusanli (ST36).