First, the etiology and pathogenesis of hernia, mostly damp-heat phlegm and blood stasis, accompanied by deficiency, coupled with external cold, make the meridians stretch, and pain. Its disease is related to ren meridian, liver and kidney. All internal and external evil feelings can lead to disharmony between Yin and Yang, when Yin is abundant, it will cause cold shock, and when Yang is abundant, it will cause hernia of any pulse. The liver assists ren meridian to generate life, so hernia disease originates from ren meridian, and nothing is better than liver. Because the liver is mainly concentrated in the lower ring of the vulva, hernia is mostly related to the liver. Liver and kidney live together in the lower energizer, and if the kidney is strong, external evil will not be committed, so hernia must be marked by kidney deficiency and damp heat.
Second, the clinical manifestations and diagnosis
1. The first clinical manifestation of hernia is testicular pain, followed by lower abdomen, chest and hypochondriac attacks, umbilical pain or heartburn.
2. The diagnosis of hernia can generally be made according to external conditions.
Third, dialectical treatment.
1. Yin cold stagnation type (cold hernia)
Differentiation of symptoms and signs: Yin cyst is hard and afraid of cold, controlling testicular pain, cold and warm. Accompanied by penis failure, cold limbs and low back pain. Pale tongue with white fur and heavy pulse.
Treat warm liver and dispel cold, promote qi circulation and relieve pain.
Prescription Tiantai Linderae Powder: Radix Aucklandiae, Fructus Foeniculi, Pericarpium Citri Reticulatae Viride, Fructus Toosendan, Radix Angelicae Sinensis, Fructus Crotonis (a little), Radix Tiantai Linderae 12g each, Rhizoma Alpiniae Officinalis and Areca catechu 9g each, and Fructus Lycii and Cortex Cinnamomi 6g each.
Add or subtract Evodia rutaecarpa, or warm liver and dispel cold tablets; Those with great pain: add incense and rhizoma corydalis to regulate qi and relieve pain; For patients with severe qi stagnation, Semen Citri Tangerinae and Semen Litchi are added.
2. Water-wet internal resistance type (water hernia)
Syndrome differentiation scrotum edema, crystalloid, bloating. With sweating, or pain or itching. The tongue coating is thin and greasy, and the pulse is string.
Removing dampness and treating dampness, promoting qi circulation and treating hernia.
The formula of the animation Moria Goddess Wuling Powder is: Poria, Polyporus, Atractylodes macrocephala, Alisma orientalis, Ramulus Cinnamomi, Fructus Foeniculi, Fructus Toosendan, and appropriate amount of onion and salt.
Add or subtract the weak constitution: add Radix Astragali, Radix Codonopsis and Radix Angelicae Sinensis to strengthen the body; For patients with qi stagnation and pain, orange seed and litchi seed are added to regulate qi and relieve pain; Blood stasis: add peach kernel and Achyranthes bidentata to remove blood stasis and promote blood circulation; Dampness and heat: Rhizoma Atractylodis and Cortex Phellodendri are added to clear away heat and dry dampness; Cold pain: aconite, Evodia rutaecarpa and cinnamon; Scrotal pruritus: Radix Saposhnikoviae and Fructus Tribuli are added.
3. Damp-heat downward flow type (ruptured hernia, syncope hernia)
According to syndrome differentiation, the scrotum is red, swollen, itchy and painful, or ulcerated or suppurated, or the penis is swollen, or vertical, or white as fine, and it goes down with urine. Accompanied by chest and abdomen, sultry, poor stool, short and astringent stool.
The tongue coating is yellow and greasy, and the pulse is heavy or moist.
Treat damp-heat in liver and gallbladder.
The prescription of Longdan Xiegan Decoction is as follows: 9g of Scutellaria baicalensis Georgi and 9 g of Gardenia, 4g of Alisma orientalis10, 4 g of Akebia Akebia, 8g of Gentiana, 8 g of Angelica sinensis and 8 g of Radix Rehmanniae, 6g of Plantaginis, 6g of Bupleurum chinense and 6 g of Glycyrrhiza uralensis Fisch. Dianthus japonica And 6 grams each of Polyporus umbellatus.
Add and subtract chest and hypochondriac pain: add Bupleurum and Pinellia; Swelling penis and dysuria: adding Herba Lophatheri and Glycyrrhrizae Radix; Poor stool: increase cortex phellodendri and cortex magnolia officinalis; People with turbid urine: Lygodium japonicum and Rhizoma Dioscoreae Septemlobae.
4. Stagnation of liver qi (gas hernia, fox hernia)
Syndrome differentiation and classification: scrotal emphysema is caused by anger, crying and overwork every time. When accompanied by emphysema, it will gather and disperse, and the abdomen will stagnate, uncomfortable, and there will be no urgency. The tongue is pale with thin white fur, and the pulse is string.
Treatment, circulation of qi and pain relief.
The prescription of chrysanthemum fragrance primer is: sandalwood, banksia rose, lignum Aquilariae Resinatum, Flos Caryophylli (above without fire), Folium Agastaches each 30g, Rhizoma Corydalis (parched and peeled), Curcuma longa (parched), Radix Aconiti (processed and peeled), Radix Platycodonis (reed removed, filed and fried), Cortex Cinnamomi (without fire) and Radix Glycyrrhizae (parched).
Qi deficiency addition and subtraction: add Codonopsis pilosula and Astragalus membranaceus to replenish qi; Kidney deficiency: add Eucommia ulmoides and fenugreek to tonify kidney; Blood stasis: Rhizoma Sparganii and Rhizoma Curcumae are added to promote blood circulation and remove blood stasis; Qi stagnation and cold: add aconite and Evodia rutaecarpa to warm the liver; Qi stagnation and heat: Rhizoma Atractylodis and Cortex Phellodendri are added to clear away heat.
5. Blood stasis and qi stagnation type (blood hernia, hernia collapse)
Syndrome differentiation scrotum swelling and tingling, near the lower abdomen on both sides of the transverse bone, like a cucumber-like mass, even with purulent blood, the mouth wants to gargle but can not swallow. Pale purple tongue with ecchymosis and astringent pulse.
Promoting blood circulation and removing blood stasis, promoting qi circulation and relieving pain.
The prescription of litchi kernel soup is: peach kernel, corydalis tuber, hawthorn kernel each 15g, orange kernel 30g, Fructus Aurantii and litchi kernel each 12g, Poria cocos, Atractylodes macrocephala each 10g, and licorice root 6g.
Add and subtract qi stagnation: add green tangerine peel and dried tangerine peel to regulate qi; For patients with severe blood stasis, Rhizoma Sparganii and Hirudo are added to remove blood stasis; Blood stasis and suppuration: Radix Platycodi and Radix Astragali are added to support suppuration; Severe pain:
Add Radix Aconiti and Rhizoma Cyperi to regulate qi and relieve pain.
6. Phlegm-dampness and blood stasis type (wood hernia)
Differentiation of symptoms and signs: Yin cyst is as hard as ascending bucket, falling heavily, numb and painless. Accompanied by general drowsiness and heavy limbs. The tongue coating is greasy and the pulse is astringent.
Treat phlegm and dampness, remove blood stasis and eliminate hardness.
He Ju Pill: He Ju Pill 65438 00g, Toosendan Fructus 65438 00g, seaweed, kelp, peach kernel and kelp 65438 00g, Rhizoma Corydalis (processed with vinegar) 3g, Cortex Cinnamomi, Cortex Magnolia Officinalis (processed with ginger), Caulis Akebiae, Radix Aucklandiae and Fructus Aurantii Immaturus (processed with bran) 3g.
Add and subtract scrotal edema: add Wuling powder to promote qi and diuresis; Wet weight: Rhizoma Atractylodis and Poria are added to eliminate dampness; Qi stagnation: add litchi seed and fennel to warm the liver and regulate qi; Cold pain: add Evodia rutaecarpa and Lindera root to warm the liver and relieve pain; Heat dissipation: add Gardenia and Cortex Phellodendri to clear away heat.
7. Qi deficiency subsidence type (virtual hernia)
Syndrome differentiation Every time due to fatigue, hunger and weakness, scrotal emphysema appears, and urgency is always the syndrome feature. Accompanied by general weakness, low language, or rectocele, or backache and leg weakness. The tongue is fat and tender, thin and white, and the pulse is weak.
Treating and invigorating qi.
Jiawei Buzhong Yiqi Decoction: Radix Astragali 15g, Radix Angelicae Sinensis, Radix Codonopsis and Atractylodis Macrocephalae 10g, Radix Glycyrrhizae Preparata 5g, Pericarpium Citri Tangerinae 6g, Cimicifuga, Radix Bupleuri 3g, jujube and a little ginger.
Add and subtract kidney yang deficiency: add Eucommia ulmoides and Cuscuta chinensis to tonify kidney yang; Kidney yin deficiency: add Shengmai Powder or Liuwei Dihuang Pill to nourish kidney yin; Blood stasis: Radix Achyranthis Bidentatae and Semen Persicae are added to promote blood circulation and remove blood stasis; Blood deficiency: add Chuanxiong, Radix Rehmanniae Preparata and Radix Paeoniae Alba to replenish blood; Qi stagnation: add fennel and Rhizoma Cyperi to regulate qi.
Fourth, adjuvant therapy.
1. Prescribed hernia pills, orange pill and Buzhong Yiqi pill.
2. Prescription
(1) fennel 10g, litchi seed 10g, orange seed 6g, Evodia rutaecarpa 6g, aucklandia root 3g, decocted in water, daily 1 dose.
(2) Radix Linderae and Rhizoma Cimicifugae 65438±00g each, decocted in water, 65438 0 doses per day.
(3) 8 Chinese fir pills, decocted in water, 65438 0 doses per day.
3. Off-site treatment
(1) Fructus Evodiae, Fructus Toosendan and Fructus Foeniculi each 10g, dried and ground into powder, blended with vinegar, wrapped with gauze and applied to Shenque, Qihai and Zhongji points.
(2) Cinnamon 10g, ground into powder, blended with vinegar, wrapped with gauze and applied to umbilical region.
(3) 7 castor kernels are ground, flour is appropriate, water is mixed into paste, and the side springs are applied. You can also stick the left pain to the right waist and the right pain to the left waist.
(4) HEMEROCALLIS HEMEROCALLIS 30g, decocted and smoked, 1 ~ 2 times a day 1 time.
(5) 30 grams of pepper, 30 grams of fennel and 500 grams of kitchen soil. Grinding Zanthoxylum bungeanum and fennel into fine powder, breaking kitchen soil, mixing the three ingredients, and wrapping with cotton cloth to make a cushion.
Verb (abbreviation of verb) nursing
(1) Actively treat other diseases that induce this disease, such as chronic cough, prostatic hypertrophy and chronic constipation.
(2) No depression and anger, no lust, no fatigue, no food and no cold.