一 一妇方食时，触暴怒，忽仆地，气遂绝。用皂荚灰吹鼻不嚏，汤药灌之不受。延至半夜，皆
谓不治。庄一生视之，六脉尚全，而独气口脉沉伏，细寻之滑甚。曰∶此因暴怒，怒则气逆，冲入胃
中，胃素有痰，夹食壅闭胃口，气不得行而暴厥也。但历时久，汤药不入矣，急宜吐之可活。令以鹅
翎蘸桐油，探入喉中，吐出痰与食才一口，气遂通。再探吐至二三口，便觉油臭，以手推翎，但不能
言。一生曰∶无妨矣。知其体怯，不宜多吐，急煎枳、橘推 之剂灌之，尽剂而苏。后以平肝和胃药调
理，数剂而安。
二 一闺女病多年，食减肌削。诊脉时，手间筋掣肉颤，身倦气怯。嘉言用茯神、枣仁等补药，数
剂不应。因疑处女素无家，惟其神情浑似丧败之余，此何故也？问其面
色，曰∶时赤时黄，每晚睡去，口流白沫，战栗而绝，以姜汤灌之，良久方苏。嘉言曰∶此症确有邪
祟附入脏腑，吾有神药驱之，一剂可愈。乃用犀角、羚羊角、龙齿骨、虎威骨、牡蛎粉、鹿角霜、人
参、黄 等药为末，以羊肉半斤，煎浓汁三盏，尽调其末，一次服之，果得安寝，竟不再发。
疝病初起，未有不因寒受湿者。其邪或结少腹，或结阴丸，或结阴丸之上下左右，而筋急绞
痛，以寒主收引故也。经言诸寒收引，皆属于肾。又肾主阴也，故仲淳以疝病责之肾虚，寒湿之邪乘虚
客之所致。又按∶经言，足厥阴之脉，入毛中，过阴器，抵少腹。又言足厥阴病，丈夫 疝，妇人少腹
肿。 疝者，以其顽肿不仁也。疝为前阴少腹之病，男女皆有之。故妇人少腹肿，即疝病也。又言肝
所生病为狐疝，以其如狐之出入无常也。又言足厥阴气逆，则睾〔阴丸。〕肿卒疝，实则挺长，虚则暴
痒。故昔人论疝病，所以皆属之肝经。要之，疝病虽经言五脏、膀胱、小肠皆有，然无有不关于肝肾二
经。嵇之丹溪，以为疝病皆由肝经有湿热之邪，又得寒气外束，不得疏散，是以痛甚，宜祛逐肝经之湿
热，消导下焦之瘀血，而以寒因热用之法，立方处治，诚发前人之所未备。景岳谓方书疝病繁多，议论
纷纭，难以悉举，余求其要，大抵此症寒则多痛，热则多纵，湿则多肿坠，虚者亦然。在血分者不移，
在气分者多动，能察其因寒、因热、因湿，又当分三气孰多、孰少，为虚、为实，在气、在血，分别治
之，自无不效。又考子和大辟巢氏七疝之谬，亦自立寒、水、筋、血、气、狐、 七疝之名。谓囊冷坚
硬，阴茎不举，或连睾丸而痛，曰寒疝。治宜温散，囊肿光亮，阴汗时出，或按少腹作水声，曰水疝。治
宜除湿。阴茎肿胀，或溃而为脓，里急筋缩，或茎中作痛，痛极则痒，或挺纵不收，或白物如精随
溺而下，曰筋疝。治宜清火。少腹两旁状如黄瓜，血渗脬囊，留而不去，结成痈肿，脓少血多，曰血
疝。治宜行血。上连肩，下极囊，或因怒哭则气胀，怒哭罢则气散，曰气疝。治宜开郁快气。卧则
入少腹，立则归囊中，出入上下，与狐相似，曰狐疝。宜用疏气之剂，囊大如斗如升，不痛不痒，曰
疝。亦宜除湿之剂，后人讥其刺谬，与巢氏无异。然自丹溪以来，皆宗其说，亦未可尽非之，当合
参以治可也。
茴香乌药汤〔自制。〕治疝病初感寒邪，或寒湿兼感，未郁为热者，主此加减。
茴香〔炒研，钱许。〕乌药〔二钱。〕吴茱萸〔汤泡，三、五、七分。〕破故
纸〔均治寒虚疝气之药。炒研，钱许。〕川萆 〔除下部湿邪。五钱。〕木瓜〔治筋病缓
急。二钱。〕木香 砂仁〔止冷气腹痛。各钱许。〕荔枝核〔甘温散滞，善止疝痛。炒研，
五钱。〕或加猪胞〔用为引导。炙研，钱许。〕痛引腰脊加牛膝、杜仲，寒甚可加肉桂，〔五分
至一钱。〕虚甚可加人参，亦可浸酒服。
此辛温散寒祛温之剂，如郁久成热者，不宜服之。按《金匮》有大乌头煎，治寒疝绕脐绞痛，拘急
不得转侧，发则白津出，〔自汗冷涎皆是。〕手足厥冷，使人阴筋缩，其脉沉紧者，用乌头一味，专
驱寒邪，加白蜜以润其燥烈之性，功效最捷。如因湿热者，切勿误投。
广笔记方〔重订。〕治疝痛。
七味丸去萸肉，加枸杞〔四两。〕巴戟 牛膝〔各二两。〕茴香 沉香〔各
一两。将糯米一升拌药，如常造白酒法，俟浆足，用烧酒五十斤入糟中，封置大缸内，一月开用，空
心饥时饮一、二杯神验。〕
此方肾虚人感寒湿成疝作痛者宜之。
金铃黄柏散〔自制。〕治诸疝病属湿热者，主此加减。
金铃子〔导小肠膀胱，湿热疝气，要药。去核。〕黄柏〔苦寒除湿热。〕车前 茯
苓〔各二钱。〕泽泻〔利水渗湿热。钱许。〕川萆 〔同热药祛寒湿。同凉药祛湿热。五
钱。〕玄胡 山楂〔行瘀血，各二钱。〕青皮〔疏滞气，钱许。〕橘核〔苦平下气，最止
疝痛。炒研，五钱。〕 如湿热内蕴，寒气外束者，加茴香、吴茱萸。〔以散外寒。钱许。外煎浓紫苏
汤，熏洗。〕如坠逆气，槟榔、代储石。散瘀血，蒲黄、五灵脂。清肝火，龙胆、黑山栀。舒筋，羚羊
角。燥湿，苍术。随宜采用。
此苦寒清热祛湿之剂，合丹溪治疝法也。
海藏泻肾汤〔见火。〕治疝痛。
原方宜加知母黄柏牛膝车前橘核之属。
此方肾虚人，属湿热疝痛者宜之。
龙胆泻肝汤〔见胁痛。〕治肝经湿热火旺，茎中作痛，里急筋缩，或作痒、或作挺纵不收，白
物如精，随溺而下，名曰筋疝，主此加减。
此方但责之肝经湿热之火旺，肾不虚者宜之。
一、有一位妇女正在吃饭时，突然遭遇暴怒，随即跌倒在地，气息顿时断绝。用皂荚灰吹入鼻腔，她不打喷嚏；灌服汤药，她无法接受。拖延到半夜，大家都认为无法救治。庄一生诊察发现，六脉尚存，唯独气口脉沉伏，仔细探寻感觉滑象明显。他说：“这是因为暴怒所致，怒则气逆，冲入胃中，患者胃中素有痰饮，夹杂食物壅闭胃口，导致气机不得运行而突发厥证。但是时间已久，汤药已无法进入体内，应当急用催吐法方可救活。”于是令他用鹅翎蘸桐油，探入喉中，吐出痰和食物才一口，气息便通畅了。再次探吐二三口后，病人闻到油臭味，用手推开鹅翎，但已不能言语。庄一生说：“无妨了。”他推测患者体质虚弱，不宜多吐，急忙煎煮枳实、陈皮等推荡之剂灌服，服完药剂后苏醒。后来用平肝和胃的药物调理，服用数剂后病情安定。
二、一位未婚女子患病多年，食欲减退，肌肉消瘦。诊脉时，手指间筋脉抽搐，肌肉颤动，身体疲倦，气息怯弱。嘉言使用茯神、枣仁等补益药物，服用数剂无效。因此怀疑处女素来没有家室之累，为何神情恍惚，极似精神崩溃之后的样子呢？询问她的面色，回答说：面色时而发红，时而发黄，每晚入睡后，口中流出白沫，战栗昏厥，用姜汤灌服，很久才能苏醒。嘉言说：“此症确实有邪祟侵入脏腑，我有神药可以驱除它，一剂即可痊愈。”于是使用犀角、羚羊角、龙齿骨、虎威骨、牡蛎粉、鹿角霜、人参、黄芪等药物研成粉末，取羊肉半斤，煎煮浓汁三盏，将药末调匀，一次服下，果然能够安睡，此后不再发作。
疝病初起，没有不是因受寒湿引起的。邪气或结聚于少腹，或结聚于阴丸（睾丸），或结聚于阴丸的上下左右，导致筋脉拘急绞痛，这是因为寒性主收引的缘故。《内经》说：“诸寒收引，皆属于肾。”又因为肾主阴，所以仲淳认为疝病责之于肾虚，是寒湿之邪乘虚客居所致。另外按：《内经》说，足厥阴肝经的经脉，进入毛际之中，经过阴器，抵达少腹。又说足厥阴经的病，男子患疝，女子少腹肿。“疝”字，是指顽硬肿胀且麻木不仁。疝是前阴和少腹的疾病，男女都有。所以女子少腹肿，就是疝病。又说肝所生的疾病中有狐疝，是因为它像狐狸一样出入无常。又说足厥阴经气逆乱，则睾丸（阴丸）肿大突发疝痛，实证则阴茎挺长，虚证则突然发痒。所以古人论述疝病，都将其归属于肝经。总之，疝病虽然《内经》提到五脏、膀胱、小肠皆有涉及，但没有不关乎肝肾二经的。嵇某推崇丹溪的观点，认为疝病都是由肝经有湿热之邪，又得寒气外束，不得疏散，所以疼痛剧烈，应当祛除肝经的湿热，消导下焦的瘀血，并采用“寒因热用”的方法，立方处治，这确实是发挥了前人所未完备之处。景岳认为方书中关于疝病的记载繁多，议论纷纭，难以全部列举，我寻求其要点，大抵此症遇寒则多痛，遇热则多弛纵，遇湿则多肿胀下坠，虚证也是如此。在血分的病位固定不移，在气分的病位多动变，能察明是因寒、因热、因湿引起，又当分辨这三种邪气孰多孰少，属虚属实，在气在血，分别治疗，自然没有不有效的。另外考证子和大辟斥巢元方七疝之谬误，也自立寒、水、筋、血、气、狐、㿗（音同“颓”，指阴囊肿大）七疝之名。他说囊冷坚硬，阴茎不举，或连及睾丸而痛，称为寒疝。治疗宜温散；囊肿光亮，阴汗时常流出，或按压少腹有水声，称为水疝。治疗宜除湿；阴茎肿胀，或溃烂成脓，里急筋缩，或茎中作痛，痛极则痒，或阴茎挺纵不收，或有白色分泌物如精液随小便而下，称为筋疝。治疗宜清火；少腹两旁状如黄瓜，血液渗入膀胱和阴囊，停留不去，结成痈肿，脓少血多，称为血疝。治疗宜行血；上连肩部，下极阴囊，或因愤怒哭泣则气胀，怒哭罢则气散，称为气疝。治疗宜开郁快气；卧倒时进入少腹，站立时归入阴囊，出入上下，与狐狸相似，称为狐疝。宜用疏气之剂；阴囊大如斗如升，不痛不痒，称为㿗疝。也宜用除湿之剂，后人讥讽其荒谬，与巢氏无异。然而自丹溪以来，都尊崇他的说法，也不能完全否定，应当综合参考以进行治疗。
茴香乌药汤〔自制〕。治疗疝病初感寒邪，或寒湿兼感，尚未郁结为热的情况，以此方加减为主。
茴香〔炒研，约一钱。〕乌药〔二钱。〕吴茱萸〔汤泡，三至七分。〕破故纸〔均为治疗寒虚疝气的药物。炒研，约一钱。〕川萆薢〔清除下部湿邪。五钱。〕木瓜〔治疗筋病缓解急迫。二钱。〕木香、砂仁〔止冷气腹痛。各约一钱。〕荔枝核〔甘温消散滞气，善于止疝痛。炒研，五钱。〕或加猪胞〔用作引导药。炙研，约一钱。〕疼痛牵引腰脊者加牛膝、杜仲，寒甚者可加肉桂〔五分至一钱。〕虚甚者可加人参，也可浸酒服用。
这是辛温散寒祛湿的方剂，如果郁久化热者，不宜服用。按《金匮要略》有大乌头煎，治疗寒疝绕脐绞痛，拘急不能转侧，发作时流出白津〔自汗冷涎均属此类〕，手足厥冷，使人阴筋收缩，其脉沉紧者，用乌头一味，专驱寒邪，加白蜜以润其燥烈之性，功效最快捷。如果是因湿热所致，切勿误投此方。
广笔记方〔重订〕。治疗疝痛。
七味丸去掉山茱萸，加枸杞〔四两。〕巴戟天、牛膝〔各二两。〕茴香、沉香〔各一两。将糯米一升拌药，像通常酿造白酒的方法，待浆液充足，用烧酒五十斤加入酒糟中，密封置于大缸内，一个月后开用，空腹饥饿时饮用一二杯，效果神奇。〕
此方适用于肾虚之人感受寒湿而成疝作痛的情况。
金铃黄柏散〔自制〕。治疗诸疝病属于湿热者，以此方加减为主。
金铃子〔引导小肠膀胱，是治疗湿热疝气的要药。去核。〕黄柏〔苦寒除湿热。〕车前子、茯苓〔各二钱。〕泽泻〔利水渗湿热。约一钱。〕川萆薢〔配合热药祛寒湿，配合凉药祛湿热。五钱。〕玄胡索、山楂〔行瘀血，各二钱。〕青皮〔疏滞气，约一钱。〕橘核〔苦平下气，最善止疝痛。炒研，五钱。〕如果湿热内蕴，寒气外束者，加茴香、吴茱萸〔以散外寒。约一钱。外用紫苏浓煎汤，熏洗。〕如果有坠逆之气，用槟榔、代赭石。散瘀血，用蒲黄、五灵脂。清肝火，用龙胆草、黑山栀。舒筋，用羚羊角。燥湿，用苍术。根据适宜情况选用。
这是苦寒清热祛湿的方剂，合丹溪治疗疝的方法。
海藏泻肾汤〔见火部〕。治疗疝痛。
原方宜加知母、黄柏、牛膝、车前子、橘核之类。
此方适用于肾虚之人，属于湿热疝痛的情况。
龙胆泻肝汤〔见胁痛部〕。治疗肝经湿热火旺，茎中作痛，里急筋缩，或作痒、或作挺纵不收，白色分泌物如精液随小便而下，名为筋疝，以此方加减为主。
此方只责之于肝经湿热之火旺，肾不虚者适用。
1. A woman was eating when she suddenly experienced a fit of violent anger, fell to the ground, and her breath ceased abruptly. Soap pod ash (Gleditsiae Sinensis Fructus Spine Ash) was blown into her nose to induce sneezing, but it failed; decoctions were forced down her throat, but she could not accept them. By midnight, everyone believed she was beyond saving. Zhuang Yisheng examined her and found that all six pulses were still present, but the Qi Kou pulse (radial artery at the wrist) was deep and hidden; upon careful palpation, it felt remarkably slippery. He said, "This is caused by violent anger. Anger causes Qi to rebel and rush into the stomach. Since the patient has phlegm in the stomach normally, combined with food causing obstruction at the gastric opening, Qi cannot circulate, leading to sudden syncope. However, since time has passed and decoctions cannot enter, we must urgently induce vomiting to save her." He instructed someone to dip an goose feather in tung oil and probe the throat. After one mouthful of phlegm and food was vomited, her Qi circulation resumed. After probing and vomiting two or three more times, she smelled the oil odor, pushed away the feather with her hand, but could no longer speak. Zhuang Yisheng said, "No harm done." Knowing her constitution was weak and unsuitable for excessive vomiting, he hastily decocted a pushing and purging agent containing Zhi Shi (Immature Bitter Orange) and Chen Pi (Tangerine Peel), administered it, and she regained consciousness after finishing the dose. Later, she was regulated with liver-pacifying and stomach-harmonizing herbs, and after several doses, her condition stabilized.
2. An unmarried maiden had been ill for many years, suffering from reduced appetite and emaciation. During pulse diagnosis, her fingers twitched, muscles trembled, her body was fatigued, and her Qi was deficient. Jiayan prescribed tonifying herbs such as Fu Shen (Poria with Hostwood) and Zao Ren (Ziziphus Seed), but after several doses, there was no improvement. He suspected that although an unmarried girl typically lacks domestic burdens, why did her spirit appear so depleted, resembling post-collapse exhaustion? Upon asking about her complexion, she replied that her face turned red or yellow intermittently. Every night after falling asleep, white foam flowed from her mouth, followed by shivering and loss of consciousness; ginger decoction was administered, and she recovered only after a long while. Jiayan said, "This condition indeed involves evil spirits invading the Zang-Fu organs. I have divine medicine to expel them, which will cure her in one dose." He then used powder made from Xi Jiao (Rhinoceros Horn), Ling Yang Jiao (Antelope Horn), Long Chi Gu (Dragon Teeth Bone), Hu Wei Gu (Tiger Power Bone), Mu Li Fen (Oyster Shell Powder), Lu Jiao Shuang (Deer Antler Frost), Ren Shen (Ginseng), and Huang Qi (Astragalus). Half a jin (approx. 500g) of mutton was decocted to yield three bowls of concentrated broth, into which the herb powder was mixed and taken at once. She indeed slept peacefully and never relapsed.
At the onset of hernia disease (Shan Bing), it invariably arises from cold and dampness. The pathogen may accumulate in the lower abdomen, in the scrotum (Yin Wan), or above, below, left, or right of the scrotum, causing tendon urgency and twisting pain due to the contracting nature of cold. The Classics state: "All cold-induced contractions belong to the Kidney." Furthermore, since the Kidney governs Yin, Zhongchun attributes hernia disease to Kidney deficiency, where cold-damp pathogens invade due to this deficiency. Additionally, according to the Classics: "The Foot Jueyin (Liver) meridian enters the pubic region, passes through the genitalia, and reaches the lower abdomen." It also states: "Diseases of the Foot Jueyin meridian manifest as hernia in men and swelling of the lower abdomen in women." 'Hernia' refers to hard, swollen, and insensate areas. Hernia is a disease of the anterior genitals and lower abdomen, affecting both men and women. Thus, swelling of the lower abdomen in women constitutes hernia disease. It is also stated that diseases generated by the Liver include Fox Hernia (Hu Shan), named because its appearance is unpredictable like a fox. Furthermore, rebellion of Foot Jueyin Qi causes testicular (Yin Wan) swelling and sudden hernia pain; excess conditions result in penile erection, while deficiency leads to sudden itching. Therefore, ancient discussions on hernia disease all attribute it to the Liver Meridian. In summary, although the Classics mention involvement of the Five Zang organs, Bladder, and Small Intestine in hernia, none are unrelated to the Liver and Kidney meridians. Ji advocated for Danxi's view, believing hernia stems from damp-heat in the Liver meridian constrained by external cold, preventing dispersion, thus causing severe pain. Treatment should eliminate Liver damp-heat and guide Stasis in the Lower Jiao, employing the method of "treating heat with cold" (Han Yin Re Yong), which innovatively expanded upon previous theories. Jingyue noted that medical texts contain numerous, conflicting discussions on hernia. Seeking the essence, he summarized: Cold causes pain, Heat causes flaccidity, Dampness causes swelling and heaviness, and Deficiency presents similarly. Blood-level issues remain fixed, while Qi-level issues move frequently. By identifying causes (cold, heat, damp), distinguishing their proportions, and differentiating deficiency/excess and Qi/blood involvement, treatment will be effective. Furthermore, Zihe criticized Chao Yuanfang's Seven Hernias and proposed his own classification: Cold, Water, Tendon, Blood, Qi, Fox, and Kui (scrotal enlargement). He described Cold Hernia as cold, hard scrotum with impotence or testicular pain, treated with warming dispersal. Water Hernia features a shiny, swollen scrotum with sweating or fluid sounds in the lower abdomen, treated with damp-draining. Tendon Hernia involves penile swelling, ulceration, urgency, tendon contraction, pain, itching, flaccidity, or discharge resembling semen with urine, treated with fire-clearing. Blood Hernia presents as cucumber-shaped masses in the lower abdomen sides, blood seeping into the bladder/scrotum forming abscesses with more blood than pus, treated with blood-invigorating. Qi Hernia extends to the shoulders and scrotum, distending with anger/crying and dissipating afterwards, treated with depression-resolving and Qi-moving. Fox Hernia moves between the lower abdomen and scrotum depending on posture, similar to a fox, treated with Qi-dispersing agents. Kui Hernia features a large, non-painful, non-itchy scrotum, treated with damp-draining agents. Although later critics mocked this as absurd and similar to Chao's views, Danxi's followers respected these methods, which should be integrated in practice.
Fen Xiang Wu Yao Tang (Anise and Lindera Decoction) [Self-made]. Treats early-stage hernia affected by cold or cold-damp, before heat accumulation. Modify as needed.
Fen Xiang (Fennel Fruit) [Stir-fried and ground, approx. 3g.] Wu Yao (Lindera Root) [6g.] Wu Zhu Yu (Evodia Fruit) [Soaked in hot water, 1-2g.] Po Gu Zhi (Cibotium Rhizome) [Herbs treating cold-deficiency hernia. Stir-fried and ground, approx. 3g.] Chuan Bi Xie (Dioscorea Hypoglauca Rhizome) [Removes lower body dampness. 15g.] Mu Gua (Chaenomeles Fruit) [Relaxes tendons and relieves spasm. 6g.] Mu Xiang (Aucklandia Root) and Sha Ren (Amomum Fruit) [Stop cold-Qi abdominal pain. Each approx. 3g.] Li Zhi He (Lychee Seed) [Sweet-warm, disperses stagnation, stops hernia pain. Stir-fried and ground, 15g.] Optionally add Zhu Bao (Pig Bladder) [Used as a guiding vehicle. Roasted and ground, approx. 3g.] If pain radiates to the waist and spine, add Niu Xi (Achyranthes Root) and Du Zhong (Eucommia Bark); if cold is severe, add Rou Gui (Cinnamon Bark) [1.5-3g]; if deficiency is severe, add Ren Shen (Ginseng), or take as wine infusion.
This is a pungent-warm formula to scatter cold and dispel dampness. Do not use if heat has accumulated over time. According to *Jin Gui Yao Lue*, Da Wu Tou Jian (Great Aconite Decoction) treats Cold Hernia with periumbilical colic, rigidity preventing turning, profuse salivation/sweat, cold limbs, retracted penis, and deep-tight pulse. It uses Aconite alone to drive out cold, modified with Honey to mitigate its acrid-hot nature, offering rapid efficacy. Do not use for damp-heat cases.
Guang Bi Ji Fang (Broad Notes Prescription) [Revised]. Treats hernia pain.
Qi Wei Wan (Seven-Ingredient Pill) without Yu Rou (Cornus Fruit), plus Gou Qi (Goji Berry) [120g], Ba Ji Tian (Morinda Root) and Niu Xi (Achyranthes Root) [Each 60g], Fen Xiang (Fennel Fruit) and Chen Xiang (Aquilaria Wood) [Each 30g]. Mix herbs with one sheng (approx. 1 liter) of glutinous rice. Brew like white wine. When fermentation is complete, add 50 jin (approx. 25 kg) of distilled liquor to the lees. Seal in a large jar for one month. Drink 1-2 cups on an empty stomach for miraculous results.
This formula suits kidney-deficient individuals with hernia pain caused by cold-damp.
Jin Ling Huang Bo San (Melia and Phellodendron Powder) [Self-made]. Treats various hernias belonging to damp-heat. Modify as needed.
Jin Ling Zi (Melia Fruit) [Guides Small Intestine and Bladder, key herb for damp-heat hernia. Remove seeds.] Huang Bo (Phellodendron Bark) [Bitter-cold, drains damp-heat.] Che Qian Zi (Plantago Seed) and Fu Ling (Poria) [Each 6g.] Ze Xie (Alisma Rhizome) [Promotes urination to leach damp-heat. Approx. 3g.] Chuan Bi Xie (Dioscorea Hypoglauca Rhizome) [Paired with warm herbs to remove cold-damp; paired with cool herbs to remove damp-heat. 15g.] Yan Hu Suo (Corydalis Rhizome) and Shan Zha (Hawthorn Fruit) [Invigorate blood, each 6g.] Qing Pi (Green Tangerine Peel) [Moves stagnant Qi, approx. 3g.] Ju He (Tangerine Seed) [Bitter-neutral, directs Qi downward, best for stopping hernia pain. Stir-fried and ground, 15g.] If damp-heat is internal with external cold constraint, add Fen Xiang (Fennel Fruit) and Wu Zhu Yu (Evodia Fruit) [To scatter external cold, approx. 3g. External wash with strong Perilla decoction.] For sinking/rebellious Qi, use Bing Lang (Areca Seed) and Dai Zhe Shi (Hematite). To disperse blood stasis, use Pu Huang (Typha Pollen) and Wu Ling Zhi (Trogopterus Feces). To clear Liver fire, use Long Dan Cao (Gentian Root) and Hei Zhi Zi (Black Gardenia Fruit). To relax tendons, use Ling Yang Jiao (Antelope Horn). To dry dampness, use Cang Zhu (Atractylodes Rhizome). Select based on suitability.
This is a bitter-cold formula to clear heat and drain dampness, aligning with Danxi's hernia treatment principles.
Hai Zang Xie Shen Tang (Sea Storehouse Kidney-Purging Decoction) [See Fire section]. Treats hernia pain.
Original formula should be added with Zhi Mu (Anemarrhena Rhizome), Huang Bo (Phellodendron Bark), Niu Xi (Achyranthes Root), Che Qian Zi (Plantago Seed), and Ju He (Tangerine Seed).
This formula suits kidney-deficient individuals with damp-heat hernia pain.
Long Dan Xie Gan Tang (Gentian Liver-Purging Decoction) [See Hypochondriac Pain section]. Treats Liver meridian damp-heat and fire hyperactivity, causing penile pain, urgency, tendon contraction, itching, flaccidity, or discharge resembling semen with urine, known as Tendon Hernia. Modify as needed.
This formula targets Liver meridian damp-heat fire hyperactivity and is suitable when the Kidney is not deficient.