一核偏坠。或俱肿胀。或一核缩入小腹。痛不可忍。用手按捺。方得还旧。是为 气。宜蟠
葱散吞下茱萸内消丸。若未愈。荜澄茄散。下大茴香丸。
若大小腑不通。宜木香丸半帖。以通润之。却以斑蝥十个。去足头翅。锉碎同炒。去蝥
出火
毒。浓煎灯心汤。调五苓散下五七十丸。或用灯心葱。入水酒内煎。去灯心葱。调五苓散。
若痛入腹。逆上攻心。至成呕逆。先用盐酒下养正丹。次用生料五积散。加吴茱萸、茴香
、桃仁、玄胡索各炒入半钱。有因登高 伤外核。以致肿疼。或小便出血。或小便不通。宜
五苓散。和复元通气散服。
有阴 大如斗、诸药不能效者。宜当归四逆汤。加生姜茱萸。戴复庵曾用之效。
气因寒聚为疝。血因寒聚为瘕。即是疝气。今谓之横弦竖弦。绕脐走注。小腹 痛。宜
蟠葱散。吞下茱萸内消丸。或盐酒调异攻散。
不问何证。皆可用生料五苓散。加炒茴香半钱。或一钱。服药未效。大痛攻刺不已。阴
缩手
足厥冷。宜香附子。仍炒盐乘热用绢裹。熨脐下。若大小腑不甚通者。五苓散加桂。下青木
香丸。
初发或头疼身热。或增寒壮热。并宜参苏饮。加木香有逆上攻心。下不觉痛。而见心疼
者。
宜以生韭捣取自然汁。和五苓散为丸。茴香汤下。亦于心痹疼证中互言之。有肾气才动。心
气亦发。上下俱疼者。宜异攻散。吞茱内消丸。或且专治下。下痛定则上痛定矣。
有肾气逆上。痰涎壅塞。迷闷。宜肾逆散。吞养正丹。凡人忽患胸背手足、颈项腰胯、
痛不
可忍。连筋骨牵引吊痛。坐卧不安、走易不定。俗医不晓。谓之走注。用风药。及针灸。非
也。又疑风毒结聚。欲成痈疽。妄以药贴亦非也。或头痛不可举。或神意昏倦。多睡。或饮
食无味。痰唾稠粘。夜间喉中如锯声。多流涎唾。手足重坠痹冷。脉不通。误认为瘫痪。亦
非也。凡此乃是痰饮顽涎。伏在心膈上下。变为此疾（于后停饮伏痰中选药）
一个睾丸偏坠。或者两个都肿胀。或者一个睾丸缩入小腹。疼痛难以忍受。用手按压推拿，才能使其回到原位。这是疝气（此处指小肠气等寒凝气滞之证）。适宜用蟠葱散吞服茱萸内消丸。如果未痊愈，用荜澄茄散。服用大茴香丸。
如果大小便不通畅，适宜用木香丸半帖，以通利润下。接着用斑蝥十个，去掉足、头、翅膀，切碎同炒，去掉斑蝥以去除火毒。浓煎灯心草汤，调服五苓散，每次五七十丸。或者用灯心草和葱白，加入水和酒中煎煮，去掉灯心草和葱白，调服五苓散。
如果疼痛攻入腹部，逆上攻心，甚至导致呕吐逆气。先用盐酒送服养正丹。其次用生料五积散，加入吴茱萸、茴香、桃仁、玄胡索各炒制后加入半钱。有因为登高坠落损伤外生殖器，导致肿胀疼痛。或者小便出血。或者小便不通。适宜用五苓散，配合复元通气散服用。
有阴囊肿大如斗，各种药物不能见效的。适宜用当归四逆汤。加入生姜、吴茱萸。戴复庵曾经使用此方有效。
手气：手部肿痛。或者在手掌手指连及臂膊。并可用五痹汤、蠲痹汤。
疝气因寒邪凝聚而成。血因寒邪凝聚而成瘕。这就是疝气。现在称为横弦、竖弦。环绕肚脐走窜注痛。小腹疼痛。适宜用蟠葱散。吞服茱萸内消丸。或者用盐酒调服异攻散。
不论什么证候，都可以用生料五苓散。加入炒茴香半钱，或一钱。服药后未见效，剧烈疼痛攻刺不止。阴器收缩，手足厥冷。适宜用香附子，仍用盐炒趁热用绢布包裹，熨烫脐下。如果大小便不甚通畅，用五苓散加桂枝。服用青木香丸。
初发时如果有头痛身热。或者恶寒壮热。都适宜用参苏饮。加入木香。如果有逆气攻心，下部不觉痛，而见心疼的。
适宜用生韭菜捣取自然汁。和五苓散做成丸剂。用茴香汤送下。这也用心痹疼痛证候中互相参照说明。有肾气刚一动，心气也发作。上下都疼痛的。适宜用异攻散。吞服茱萸内消丸。或者暂且专门治疗下部。下部疼痛安定则上部疼痛也就安定了。
有肾气逆上，痰涎壅塞。神志迷闷。适宜用肾逆散。吞服养正丹。凡人忽然患胸背手足、颈项腰胯、疼痛不可忍受。连筋骨牵引吊痛。坐卧不安、游走不定。俗医不懂。称之为走注。用风药。以及针灸。都不对。又怀疑是风毒结聚。欲成痈疽。妄用药贴也不对。或者头痛得不能抬头。或者神意昏倦。多睡。或者饮食无味。痰唾稠粘。夜间喉中如锯声。多流涎唾。手足重坠痹冷。脉道不通。误认为瘫痪。也不对。凡是这些乃是痰饮顽涎。伏在心膈上下。变为此疾（于后停饮伏痰中选药）
One testis hangs lower. Or both are swollen. Or one testis retracts into the lower abdomen, with unbearable pain. It can only return to its original position after manual pressing and manipulation. This is *Shan Qi* (Hernia, specifically referring to cold-stagnation qi disorders such as Xiao Chang Qi). It is suitable to swallow Zhuyu Neixiao Wan (Calamus Internal-Resolving Pill) with Pancong San (Allium Scallion Powder). If not cured, use Bichengqie San (Cubeb Powder). Administer Dahuixiang Wan (Fennel Pill).
If bowel movements and urination are unobstructed, it is suitable to take half a dose of Muxiang Wan (Aucklandia Pill) to promote unblocking and moistening. Subsequently, use ten Banmao (Mylabris), removing legs, head, and wings, chopping finely and stir-frying together, then remove the Mylabris to eliminate fire toxicity. Decoct Dengxin Cao (Juncus Effusus) in thick liquid, mix with Wuling San (Five-Ingredient Powder with Poria), and administer 50–70 pills. Alternatively, decoct Dengxin Cao (Juncus Effusus) and Cong Bai (White Part of Allium Fistulosum) in water and wine, remove the Juncus and White Part of Allium Fistulosum, mix with Wuling San (Five-Ingredient Powder with Poria).
If pain attacks the abdomen and rebels upward to attack the Heart, leading to vomiting and rebellious Qi, first administer Yangzheng Dan (Nourishing Righteousness Pill) with salt wine. Next, use Shengliao Wuji San (Raw Material Five Accumulations Powder) added with Chao Wu Zhu Yu (Stir-fried Evodiae Fructus), Chao Huixiang (Stir-felled Foeniculum Vulgare Fruit), Tao Ren (Prunus Persica Seed), and Xuanhusuo (Corydalis Rhizoma), each stir-fried and added in half qian. There are cases where falling from heights injures the external genitalia, causing swelling and pain, or hematuria, or urinary obstruction. It is suitable to use Wuling San (Five-Ingredient Powder with Poria) combined with Fuyuan Tongqi San (Restoring Origin Promoting Circulation Powder).
In cases of Yin Nang (Scrotum) swelling as large as a dou (a unit of volume), where various medicines fail, it is suitable to use Danggui Sini Tang (Angelica Decoction for Cold Extremities) added with Sheng Jiang (Zingiberis Rhizoma Recens) and Zhu Yu (Evodiae Fructus). Dai Fu'an once used this formula with efficacy.
Hand Qi: Swelling and pain in the hand. Or involving the palm and fingers extending to the arm. Both Wubi Tang (Five Bi Decoction) and Juanbi Tang (Expelling Bi Decoction) may be used.
Shan Qi (Hernia) forms due to cold aggregation. Xia Jia (Masses formed by blood stasis) forms due to cold aggregation. This is Shan Qi. Now referred to as Heng Xian (Horizontal String) or Shu Xian (Vertical String). Pain wanders around the umbilicus and strikes the lower abdomen. It is suitable to use Pancong San (Allium Scallion Powder) and swallow Zhuyu Neixiao Wan (Calamus Internal-Resolving Pill). Or mix Yigong San (Different Attack Powder) with salt wine.
Regardless of the syndrome, Shengliao Wuling San (Raw Material Five-Ingredient Powder with Poria) can be used, added with half a qian or one qian of stir-fried Huixiang (Foeniculum Vulgare Fruit). If medication is ineffective and severe stabbing pain persists, with retraction of the Yin organ and cold extremities, it is suitable to use Xiangfu Zi (Cyperi Rhizoma). Stir-fry with salt, apply while hot wrapped in silk cloth, and moxa/iron the area below the umbilicus. If bowel movements and urination are not significantly obstructed, use Wuling San (Five-Ingredient Powder with Poria) added with Gui Zhi (Cinnamomi Ramulus) and administer Qingmuxiang Wan (Blue Aucklandia Pill).
At initial onset, if there is headache and fever, or aversion to cold with high fever, Shenru Yin (Ginseng and Perilla Drink) added with Mu Xiang (Aucklandiae Radix) is suitable. If rebellious Qi attacks the Heart, with no pain felt in the lower part but heart pain present, it is suitable to crush fresh Jiu Cai (Chinese Chive) to extract natural juice, mix with Wuling San (Five-Ingredient Powder with Poria) to make pills, and administer with Huixiang Tang (Fennel Decoction). This also cross-references Xin Bi (Heart Bi) pain syndromes. When Kidney Qi moves, Heart Qi also flares, causing pain both above and below, Yigong San (Different Attack Powder) is suitable, swallowing Zhuyu Neixiao Wan (Calamus Internal-Resolving Pill). Or temporarily treat the lower part exclusively; once lower pain settles, upper pain will settle.
When Kidney Qi rebels upward, phlegm-fluids obstruct, causing mental confusion and dizziness, Shen Ni San (Kidney Rebellious Powder) is suitable, swallowing Yangzheng Dan (Nourishing Righteousness Pill). When people suddenly suffer from unbearable pain in the chest, back, hands, feet, neck, waist, and hips, with牵引 (pulling) pain affecting bones and tendons, restlessness in sitting and lying, and wandering unpredictability, folk doctors do not understand and call it Zou Zhu (Wandering Injection). Using wind-dispelling drugs and acupuncture are incorrect. Suspecting wind-toxin aggregation wanting to form carbuncles and ulcers, and blindly using medicinal plasters is also incorrect. Or headache so severe one cannot lift the head, or mental confusion and fatigue, excessive sleep, loss of taste in food, thick and sticky sputum, sawing sounds in the throat at night, excessive salivation, heavy and cold numbness in hands and feet, unobstructed pulse, misdiagnosed as Tan Huan (Paralysis), is also incorrect. All these are actually stubborn phlegm-fluids and rheum hiding above and below the diaphragm, transforming into this disease (select medicine from the following section on retained fluids and hidden phlegm).