论狐疝 论强阳不倒 论痿阳不振
天师曰∶男子与女子之治，原无分别，然而亦有殊处。男子与妇人殊者，疝病，阳强不倒，痿而不
举。疝病不同，然而与妇人异者，止狐疝不同耳，余俱相同。狐疝者，日间缩在囊之上，夜间垂在囊之下
也。此乃寒湿，又感阴阳不正之气，乘于交感之际，或在神道之旁，或在风湿之际，感而成之也。方用
杜若五钱，捣汁，以凉水浣之，取汁一碗，加沙参一两，肉桂一钱，桂枝一钱，小茴香一钱，橘核一钱，
水煎服。（〔批〕扶正祛疝汤。）一服即伸出，二服即消，三服全愈。神方也。
强阳不倒，此虚火炎上，而肺金之气不能下行故尔。若用黄柏、知母二味，煎汤饮之，立时消散。然
而自倒之后，终岁经年，不能重振，亦是苦也。方用元参三两，肉桂三分，麦冬三两，水煎服，即
倒。（〔批〕养阳汤。）此方妙在用元参以泻肾中浮游之火，尤妙肉桂三分，引其入宅，而招散其
沸越之火，同气相求，火自回合。况麦冬又助肺金之气，清肃下行，以生肾水，水足火自息矣，此不求
倒而自倒。他日亦可重整戈矛，再图欢合耳。
至于痿而不振者，乃过于琢削，日泄其肾中之水，而肾中之火亦日消亡。盖水去则火亦去，必然之
理。如一家人口，厨下无水，又何以煮爨而生烟，必汲其泉源，而后取其薪炭，可以钻燧取火，以煮饮
食，否则空铛安爨也。方用熟地一两，山茱萸四钱，远志一钱，巴戟天一钱，肉苁蓉一钱，肉桂二钱，人
参三钱，枸杞子三钱，茯神二钱，杜仲一钱，白术五钱，水煎服。（〔批〕起阳至神丹。）一剂起，二剂
强，三剂妙。老人倍加。此方用热药于补水之中，则火起而不愁炎烧之祸，自然煮汤可饮，煮米可餐。断
不致焦釜沸干，或虞爆碎也，此皆男治之法也。
张公曰∶男治法妙，然余亦有数方，可并传之。狐疝方∶用白术五钱，沙参一两，柴胡三钱，白芍三
钱，王不留行三钱，水煎服。（〔批〕逐狐丹。）一剂即出而不缩。
阳倒不举方，用熟地一斤，肉桂三两，覆盆子三两，黄 二斤，巴戟天六两，柏子仁三两，去油，麦
冬三两，当归六两，白术八两，各为末，蜜为丸。每日白滚汤送下一两，自然阳旺不倒矣。（〔批〕强阳
神丹。）
孙真君传治疝方。用沙参一两，橘核一钱，肉桂一钱，柴胡一钱，白芍五钱，陈皮五分，吴茱萸五
分，水煎服。一剂即定痛，二剂即全愈。疝气一症，大约皆肝木之病，予所以治其肝，自随手而奏功也。（
妙。）
陈士铎说：男子与女子的治疗，原本没有区别，然而也有特殊之处。男子与妇人不同的地方，在于疝病、阳强不倒、阳痿不举。疝病种类不同，但与妇人不同的，只有狐疝这一种不同罢了，其余都相同。所谓狐疝，就是白天缩在阴囊上方，晚上垂在阴囊下方的病症。这是由于寒湿，又感受了阴阳不正之气，在交合之际，或在神道之旁，或在风湿之时，感邪而形成的。方用杜若五钱，捣碎取汁，用凉水清洗患处，取汁一碗，加入沙参一两，肉桂一钱，桂枝一钱，小茴香一钱，橘核一钱，水煎服。（批注：扶正祛疝汤。）服用一剂即伸出，二剂即消退，三剂全愈。这是神效的方子。
阳强不倒，这是虚火炎上，而肺金之气不能下行所致。如果用黄柏、知母两味药，煎汤饮用，立刻消散。然而一旦倒伏之后，终年经岁，不能再振奋，这也是痛苦的。方用元参三两，肉桂三分，麦冬三两，水煎服，即可倒伏。（批注：养阳汤。）此方妙在用元参来泻除肾中浮游之火，尤其妙在肉桂三分，引导其入宅，招散其沸越之火，同气相求，火自然回合。况且麦冬又助益肺金之气，清肃下行，以生肾水，水足则火自息矣，这是不求倒伏而自然倒伏。日后亦可重新振作，再图欢合。
至于痿而不振者，是由于过度纵欲，每日耗泄肾中之水，而肾中之火也日渐消亡。因为水去则火亦去，这是必然的道理。就像一家人口，厨房下无水，又何以煮饭而生烟？必须汲取泉源，然后取其薪炭，可以钻燧取火，用来煮饮食，否则空锅怎能做饭呢？方用熟地一两，山茱萸四钱，远志一钱，巴戟天一钱，肉苁蓉一钱，肉桂二钱，人参三钱，枸杞子三钱，茯神二钱，杜仲一钱，白术五钱，水煎服。（批注：起阳至神丹。）一剂见效，二剂强壮，三剂奇妙。老人加倍使用。此方在补水之中使用热药，则火起而不愁炎烧之祸，自然可以煮汤可饮，煮米可餐。绝不会导致焦釜沸干，或担心爆裂破碎，这都是男子治疗的方法。
张公说：男子治疗之法精妙，然而我也有几个方子，可以一并传授。治狐疝方：用白术五钱，沙参一两，柴胡三钱，白芍三钱，王不留行三钱，水煎服。（批注：逐狐丹。）一剂即出而不缩。
治阳倒不举方，用熟地一斤，肉桂三两，覆盆子三两，菟丝子二斤，巴戟天六两，柏子仁三两（去油），麦冬三两，当归六两，白术八两，各研为末，蜂蜜为丸。每日用白开水送下一两，自然阳气旺盛不倒伏了。（批注：强阳神丹。）
孙真人传授的治疗疝气方。用沙参一两，橘核一钱，肉桂一钱，柴胡一钱，白芍五钱，陈皮五分，吴茱萸五分，水煎服。一剂即定痛，二剂即全愈。疝气这一病症，大约都是肝木的病，我所以治疗其肝，自然随手奏效。（妙。）
Chen Shiduo said: The treatment for men and women is originally without distinction; however, there are also specific differences. The areas where men differ from women lie in hernia diseases (hernia), persistent erection (persistent erection), and impotence (impotence). Although hernias vary, the only difference compared to women is specifically "fox hernia" (a type of inguinal hernia characterized by intermittent protrusion); the rest are identical. Fox hernia refers to a condition where the swelling retracts above the scrotum during the day and hangs below the scrotum at night. This arises from cold-dampness combined with pathogenic qi of abnormal yin and yang, contracted during sexual intercourse, or near the Shen Dao (spiritual path), or amidst wind-damp conditions. The prescription uses Du Ruo (Radix Polliae) 5 qian, crushed to extract juice, used to wash the affected area; take one bowl of this juice, add Sha Shen (Radix Adenophorae seu Glehniae) 1 liang, Rou Gui (Cortex Cinnamomi) 1 qian, Gui Zhi (Ramulus Cinnamomi) 1 qian, Xiao Hui Xiang (Fructus Foeniculi) 1 qian, Ju He (Semen Citri Reticulatae) 1 qian, decocted in water and taken orally. (Commentary: Fu Zheng Qu Shan Tang [Support Righteousness and Expel Hernia Decoction]). After one dose, it extends; after two doses, it subsides; after three doses, full recovery occurs. This is a miraculous formula.
Persistent erection results from deficient fire flaring upward, preventing the Qi of Lung Metal from descending. If Huang Bo (Cortex Phellodendri) and Zhi Mu (Rhizoma Anemarrhenae) are decocted in water and drunk, the condition dissipates immediately. However, once the erection subsides, the inability to regain potency for months or years is indeed painful. The prescription uses Yuan Shen (Radix Scrophulariae) 3 liang, Rou Gui (Cortex Cinnamomi) 3 fen, Mai Dong (Tuber Ophiopogonis) 3 liang, decocted in water and taken orally, which will cause the erection to subside. (Commentary: Yang Yang Tang [Nourish Yang Decoction]). The brilliance of this formula lies in using Yuan Shen to drain the floating fire in the Kidney, and particularly in using 3 fen of Rou Gui to guide the fire back to its residence, dispersing the boiling fire through the principle of similar energies attracting each other. Furthermore, Mai Dong assists the Qi of Lung Metal, clearing and purifying its descent to generate Kidney Water; when Water is sufficient, Fire naturally extinguishes. Thus, the erection subsides naturally without being forced. Later, potency can be restored for renewed intimacy.
As for impotence, it stems from excessive indulgence, daily depleting the Water of the Kidney, causing the Fire of the Kidney to gradually perish. Since Water departs, Fire must also depart; this is an inevitable principle. It is like a household: if there is no water in the kitchen, how can one cook rice and produce steam? One must draw from the spring source, then gather fuel, to kindle fire by drilling wood, thereby cooking food and drink; otherwise, how can one cook in an empty pot? The prescription uses Shu Di (Radix Rehmanniae Preparata) 1 liang, Shan Zhu Yu (Fructus Corni) 4 qian, Yuan Zhi (Radix Polygalae) 1 qian, Ba Ji Tian (Radix Morindae Officinalis) 1 qian, Rou Cong Rong (Herba Cistanche) 1 qian, Rou Gui (Cortex Cinnamomi) 2 qian, Ren Shen (Radix Ginseng) 3 qian, Gou Qi Zi (Fructus Lycii) 3 qian, Fu Shen (Poria cum Radice) 2 qian, Du Zhong (Cortex Eucommiae) 1 qian, Bai Zhu (Rhizoma Atractylodis Macrocephalae) 5 qian, decocted in water and taken orally. (Commentary: Qi Yang Zhi Shen Dan [Revitalize Yang Supreme Spirit Pill]). One dose restores function, two doses strengthen, three doses yield marvelous results. For the elderly, double the dosage. This formula employs warming herbs within a water-nourishing base, so that Fire rises without fear of burning damage, naturally allowing for cooking and nourishment. It prevents the cauldron from drying out or bursting, representing the methods for treating male disorders.
Master Zhang said: The methods for treating men are exquisite, yet I have several formulas to pass on as well. Formula for Fox Hernia: Use Bai Zhu (Rhizoma Atractylodis Macrocephalae) 5 qian, Sha Shen (Radix Adenophorae seu Glehniae) 1 liang, Chai Hu (Radix Bupleuri) 3 qian, Bai Shao (Radix Paeoniae Alba) 3 qian, Wang Bu Liu Xing (Semen Vaccariae) 3 qian, decocted in water and taken orally. (Commentary: Zhu Hu Dan [Expel Fox Pill]). One dose causes protrusion without retraction.
Formula for Impotence: Use Shu Di (Radix Rehmanniae Preparata) 1 jin, Rou Gui (Cortex Cinnamomi) 3 liang, Fu Pen Zi (Fructus Rubi) 3 liang, Tu Si Zi (Semen Cuscutae) 2 jin, Ba Ji Tian (Radix Morindae Officinalis) 6 liang, Bai Zi Ren (Semen Platycladi) 3 liang (oil removed), Mai Dong (Tuber Ophiopogonis) 3 liang, Dang Gui (Radix Angelicae Sinensis) 6 liang, Bai Zhu (Rhizoma Atractylodis Macrocephalae) 8 liang. Grind each into powder, form pills with honey. Take 1 liang daily delivered with plain boiled water, naturally resulting in robust, sustained potency. (Commentary: Qiang Yang Shen Dan [Strengthen Yang Divine Pill]).
Sun Simiao’s transmitted formula for treating hernia: Use Sha Shen (Radix Adenophorae seu Glehniae) 1 liang, Ju He (Semen Citri Reticulatae) 1 qian, Rou Gui (Cortex Cinnamomi) 1 qian, Chai Hu (Radix Bupleuri) 1 qian, Bai Shao (Radix Paeoniae Alba) 5 qian, Chen Pi (Pericarpium Citri Reticulatae) 5 fen, Wu Zhu Yu (Fructus Evodiae) 5 fen, decocted in water and taken orally. One dose stops pain, two doses achieve full recovery. Hernia disease is generally a disorder of Liver Wood; therefore, by treating the Liver, success follows effortlessly. (Marvelous.)