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Cold mounting

寒疝 〔寒疝〕hán shàn

1. A mounting disease described in Essential Prescriptions of the Golden Cabinet (金匮要略 jīn guì yào lüè) characterized by severe abdominal pain and attributed to vacuity cold and repeated contraction of wind-cold.

Medicinal therapy: Treat by warming the channels and dispersing cold and breaking accumulations and freeing the stool. Use formulas such as Major Aconite Main Tuber Brew (大乌头煎 dà wū tóu jiān), Major Center-Fortifying Decoction (大建中汤 dà jiàn zhōng tāng), Aconite Main Tuber and Cinnamon Twig Decoction (乌头桂枝汤 wū tóu guì zhī tāng), and Chinese Angelica, Fresh Ginger, and Goat Meat Decoction (当归生姜羊肉汤 dāng guī shēng jiāng yáng ròu tang).

Acumoxatherapy: Base treatment mainly on CV, ST, SP, and LI. Select CV-12 (Center Stomach Duct, 中脘 zhōng wǎn), CV-8 (Spirit Gate Tower, 神阙 shén què), ST-25 (Celestial Pivot, 天枢 tiān shū), BL-25 (Large Intestine Transport, 大肠俞 dà cháng shù), ST-36 (Leg Three Lǐ, 足三里 zú sān lǐ), SP-15 (Great Horizontal, 大横 dà hèng), SP-4 (Yellow Emperor, 公孙 gōng sūn), and LI-4 (Union Valley, 合谷 hé gǔ); needle with drainage and add moxa. Moxibustion on ginger can be performed at CV-8 (Spirit Gate Tower, 神阙 shén què).

See mounting.

2. A condition of cold pain in the scrotum attributable to cold evil invading the reverting yīn (jué yīn) liver channel. The scrotum becomes swollen, hard as stone, cold, and painful. Attending signs may include impotence, desire for warmth and aversion to cold, physical cold and cold limbs. The pulse is sunken, stringlike, and tight.

Medicinal therapy: Warm the liver and disperse cold using Evodia Decoction (吴茱萸汤 wú zhū yú tāng) plus aconite (Aconiti Radix Lateralis Praeparata, 附子 fù zǐ), fenugreek (Trigonellae Semen, 胡芦巴 hú lú bā), lindera (Linderae Radix, 乌药 wū yào), and fennel (Foeniculi Fructus, 茴香 huí xiāng).

Acumoxatherapy: Base treatment mainly on CV, LR, and SP. Select CV-6 (Sea of Qì, 气海 qì hǎi), CV-4 (Pass Head, 关元 guān yuán), SP-6 (Three Yīn Intersection, 三阴交 sān yīn jiāo), and LR-1 (Large Pile, 大敦 dà dūn), and needle with drainage and add moxa.

See mounting; compare yīn mounting.

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