瘕积聚，随气血以分门。故方云，以 瘕属肝部，积聚属肺部，不亦明矣。况
七者火数，属心，盖血生于心；八者木数，属肝，盖血归于肝。虽曰强分，理似不混。夫
者，坚也，坚则难破；瘕者，假也，假物成形。然七 八瘕之名，经论亦不详出
，虽有蛟龙、鱼、鳖、肉、发、虱、米等七证，初非定名，偶因食物相感而致患耳。若妇人
七八瘕，则由内外不内外因动伤五脏气血而成。古人将妇人病为痼疾，以蛟龙等为生
瘕，然亦不必如此执泥。妇人 瘕，并属血病，龙蛇鱼鳖等，事皆出偶然，但饮食间，
误中之，留聚腹脏，假血而成，自有活性。亦犹永徽中僧病噎者，腹有一物，其状如鱼，即
生瘕也。与夫宿血停凝，结为痞块，虽内外所感之不同，治法当以类相从。所谓医者，意也
，如以败梳治虱瘕，铜屑治龙瘕，曲 治米瘕，锻石治发瘕，如此等类，方论至多，不
复繁引，学人可以理解。
治七 八瘕，聚结痞块；及妇人带下绝产，并欲服丹药，腹中有 瘕
者，当先下之。此药但去 瘕，不令人困。
硝石（六两） 大黄（八两） 人参 甘草（各三两）
上为末，以三年苦酒三升，置铜器中，以竹作准，每一升作一刻，拄器中，纳大黄，常
搅不息，使微沸，尽一刻，乃纳余药；又尽一刻，极微火熬，使可丸，则丸如鸡子中黄；若
不能服大丸，则作小丸如梧子大。米汤下三十丸，四日一服。妇人服之，或下如鸡肝，或如
米泔，正赤黑等三二升。下后忌风冷，自养如产妇。
癥积与聚散，依据气血的不同而分类。所以医方中说，癥属于肝的管辖范围，积聚属于肺的管辖范围，这不是很明确吗？况且“七”是火之数，归属于心，因为血由心生；“八”是木之数，归属于肝，因为血归于肝。虽然说是强行区分，但道理似乎并不混乱。所谓“癥”，是指坚硬，坚硬则难以攻破；“瘕”，是指假借，假借外物形成形体。然而关于“七瘕八瘕”的名称，经典论述中也没有详细列出，虽然有蛟龙、鱼、鳖、肉、发、虱、米等七种证候，起初并没有固定的名称，只是偶然因为食物相互作用而导致患病罢了。如果妇女患有七瘕八瘕，则是由于内因、外因及不内外因触动损伤五脏气血而形成的。古人将妇女的疾病视为顽固疾病，认为蛟龙等是产生瘕的原因，但也不必如此拘泥固执。妇女的癥瘕，都属于血病，龙蛇鱼鳖等说法，事情都是出于偶然，只是在饮食之间，误食了这些东西，滞留聚集在腹脏之中，假借血液而形成，自有其活性。也就像唐高宗永徽年间有个僧人患噎膈病，腹中有一物，形状像鱼，这就是生瘕。这与宿血停滞凝结，结成痞块，虽然内外感受的因素不同，但治疗方法应当归类相同。所谓医者，靠的是意会，比如用败梳治疗虱瘕，用铜屑治疗龙瘕，用曲药治疗米瘕，用锻石治疗发瘕，像这样的例子，方论非常多，不再繁琐引用，学习者可以由此理解。
治疗七瘕八瘕，聚结成的痞块；以及妇女带下病导致不孕，并且想要服用丹药，腹中有癥瘕的人，应当先用泻下法攻逐。这个药只能去除癥瘕，不会让人身体困倦虚弱。
硝石（六两） 大黄（八两） 人参 甘草（各三两）
以上药物研成细末，用三年的醋三升，放入铜器中，用竹子做刻度标记，每一升代表一刻时间，插入器中作为深度标准，放入大黄，不断搅拌不停止，使其微微沸腾，直到过了一刻钟的时间，然后放入其余的药物；又过了一刻钟，用极微的火熬煮，使药料可以制成丸剂，那么丸药的大小如同鸡蛋黄；如果不能服用大丸药，就做成梧桐子大小的丸药。用米汤送服三十丸，每四天服用一次。妇女服用后，可能会排出像鸡肝一样的东西，或者像淘米水一样的液体，或者是正赤黑色等，总共二三升。服药后要忌避风寒寒冷，自我调养要像产妇一样。
Zheng (masses) and Ju (gatherings) are classified according to the differentiation of Qi and Blood. Therefore, medical formulas state that Zheng belongs to the Liver region, while Ju belongs to the Lung region; is this not clear? Moreover, "seven" is the number of Fire, belonging to the Heart, because Blood is generated by the Heart; "eight" is the number of Wood, belonging to the Liver, because Blood returns to the Liver. Although it is said to be a forced distinction, the principles seem not to be mixed up. The term "Zheng" means hard; being hard, it is difficult to break. The term "Jia" means false or temporary; it takes form by borrowing external substances. However, regarding the names of the Seven Jia and Eight Jia (Seven Types of Jia and Eight Types of Jia), classical treatises do not list them in detail. Although there are seven conditions named after dragon, fish, turtle, meat, hair, louse, and rice, these were not originally fixed names but rather accidental ailments caused by the interaction of food items. If women suffer from the Seven Jia and Eight Jia, it is formed due to internal causes, external causes, and non-internal/non-external causes damaging the Qi and Blood of the Five Zang Organs. Ancient people regarded women's diseases as stubborn illnesses and considered dragons etc. as the origin of generating Jia, yet one need not be so rigid in such beliefs. Women's Zheng and Jia all belong to Blood diseases. The stories of dragons, snakes, fish, and turtles are merely coincidental; they are accidentally ingested during eating, remain aggregated in the abdominal viscera, take shape by borrowing Blood, and possess their own vitality. This is similar to a monk in the Yonghui era of Emperor Gaozong who suffered from Yige (dysphagia/choking sensation); there was an object in his abdomen shaped like a fish, which constituted a Sheng Jia (living Jia). Although the internal and external factors causing it differ from those causing old Blood to stagnate and coagulate into a Pi Kuai (obstructive mass), the treatment methods should follow similar principles. It is said that a physician relies on intuition (Yi). For example, using a worn comb to treat Louse Jia, copper filings to treat Dragon Jia, Qu (fermented grain starter) to treat Rice Jia, and Duan Shi (calcined iron ore) to treat Hair Jia. There are many such examples in formula discussions, which will not be cited exhaustively here; students can understand this by analogy.
To treat the Seven Jia and Eight Jia, gathered obstructive masses; as well as women suffering from Dai Xia (leukorrhea) leading to infertility, and those who wish to take Dan Yao (alchemy pills) but have Zheng Jia in the abdomen, one should first use a purgative method to drain them. This medicine only removes Zheng Jia without causing physical exhaustion.
Xiao Shi (Natrii Nitras, Saltpeter) (6 liang) Da Huang (Rhei Radix et Rhizoma, Rhubarb) (8 liang) Ren Shen (Ginseng Radix, Ginseng Root) Gan Cao (Glycyrrhizae Radix et Rhizoma, Licorice Root) (each 3 liang)
Grind the above ingredients into powder. Place three sheng of aged vinegar (three years old) in a copper vessel. Use a bamboo stick with markings as a gauge: each mark represents one ke (a traditional unit of time/measure). Insert the bamboo into the vessel to measure depth. Add Da Huang, stir constantly without stopping until it boils slightly. Wait for one ke, then add the remaining medicines. Wait another ke, simmer over very low heat until the mixture can be formed into pills. The pills should be the size of a chicken egg yolk. If large pills cannot be taken, make small pills the size of wu zi (seeds of Chorisia speciosa). Take thirty pills with Mi Tang (rice soup), once every four days. After women take this medicine, they may pass excrement resembling chicken liver, rice water, or dark red-black substance, totaling two to three sheng. After defecation, avoid wind and cold. Self-care should be conducted as if one were a postpartum woman.