鸡内金∶鸡之脾胃也，其中原含有稀盐酸，故其味酸而性微温，中有瓷、石、铜、铁皆能消化，其善化
瘀积可知。《内经》谓“诸湿肿满，皆属于脾”，盖脾中多回血管，原为通彻玲珑之体，是以居于中焦以升降
气化，若有瘀积，气化不能升降，是以易致胀满。用鸡内金为脏器疗法，若再与白术等分并用，为消化瘀积之
要药，更为健补脾胃之妙品，脾胃健壮，益能运化药力以消积也。且为鸡内金含有稀盐酸，不但能消脾胃之积，
无论脏腑何处有积，鸡内金皆能消之，是以男子 癖、女之 瘕，久久服之皆能治愈。又凡虚劳之证，其经络
多瘀滞，加鸡内金于滋补药中，以化其经络之瘀滞而病始可愈。至以治室女月信一次未见者，尤为要药，盖以
其能助归、芍以通经，又能助健补脾胃之药，多进饮食以生血也。
女子干血劳之证，最为难治之证也，是以愈者恒少。惟善用鸡内金者，则治之多能奏效。愚向为妇女治病，
其廉于饮食者，恒白术与鸡内金并用。乃有两次遇有此药者，一月间月信来三次，恍悟此过用鸡内金之弊也。
盖鸡内金善化瘀血，即能催月信速于下行也。然月信通者服之，或至过通，而月信之不通者服
之，即不难下通。况《内经》谓“中焦受气取汁，变化而赤，是为血。”血之来源，原在脾胃能多消饮食。鸡
内金与白术并用，原能健脾胃以消饮食也。况脾为后天资生之本，居中央以灌溉四旁。此证之多发劳嗽者，脾
虚肺亦虚也，多兼灼热者，脾虚而肾亦虚也。再加山药、地黄、枸杞诸药以补肺滋肾，有鸡内金以运化之，自
能变其浓浓之汁浆为精液，以灌注于肺肾也。迨至服药日久，脏腑诸病皆愈，身体已渐撤消，而月信仍不至者，
不妨再加 虫、水蛭诸药。如嫌诸药之猛悍，若桃仁、红花亦可以替代。然又须多用补正之药品以驾驭之，始
能有益而无害也。愚向曾本此意拟一方，名资生通脉汤，后列用其方治愈之案数则，可参观也。
《内经》谓“女子二七天癸至”，所谓二七者，十四岁也。然必足年足月十四岁，是则室女月信之通，
当在年十五矣。若是年至十五月信不通，即当预为之防。宜用整条生怀山药，轧细过罗，每用一两或八钱，煮
作茶汤，调以蔗糖令适口，以之送服生鸡内金细末五分许，当点心用之。日两次，久则月信自然通下。此因山
药善养血，鸡内金善通血也。若至因月信不通，饮食减少，渐觉灼热者，亦可治以此方，鸡内金末宜多用至一
钱，服茶汤后再嚼服天冬二三钱。
至于病又加重，身体虚弱劳嗽，宜用拙拟资生通脉汤。此方之后，载有数案，且用此方各有加减，若服
资生通脉汤，病虽见愈月信仍不至者，可参观所附案中加减诸方。
上所论诸方之外，愚有新拟之方，凡服资生通脉汤病见愈而月信不见者，可用生怀山药四两，煮浓汁，
送眼生鸡内金细末三钱。所余山药之渣，仍可水煮数次，当茶饮之。久之月信必至，盖鸡内金生用，为通月信
最要之药，而多用又恐稍损气分，故又多用山药至四两，以培气分也。
【附案】沈阳龚××，年三十岁，胃脘有硬物杜塞，已数年矣。饮食减少，不能下行，来院求为延医，其
脉象沉而微弦，右部尤甚，为疏方，用鸡内金一两，生酒曲五钱，服数剂硬物全消。
奉天史××，年近四旬，为腹有积聚，久治不愈，来院求为延医。其积在左胁下大径三寸，按之甚硬，时
或作疼，呃逆气短，饮食减少，脉象沉弦。此乃肝积肥气之类。俾用生鸡内金三两，柴胡一两，共为末，每服一
钱半，日服三次，旬余全愈。
奉天秦××，年三十余，胃中满闷，不能饮食，自觉贲门有物窒碍，屡经医治，分毫无效。脉象沉牢，为
疏方∶鸡内金六钱，白术、赭石各五钱，乳香、没药、丹参各四钱，生桃仁二钱，连服八剂全愈。
奉天宋氏女，年十九岁，自十七岁时，胃有瘀滞作疼，调治无效，浸至不能饮食。脉象沉而无力，右部尤
甚，为疏方∶鸡内金一两，生酒曲、党参各五钱，三棱、莪术、知母各三钱，樗鸡（俗名红娘子）十五个，服
至八剂，大小二便皆下血，胃中豁然，其疼遂愈。
盐山李氏妇，年三旬，胃脘旧有停积数年不愈，渐大如拳甚硬，不能饮食。左脉弦细，右脉沉濡，为疏方∶
鸡内金八钱，生箭耆六钱，三棱、莪术、乳香、没药各三钱，当归、知母各四钱，连服二十余剂积全消。
友人毛××治一孺子，自两三岁时腹即胀大，至五六岁益加剧，面目黄瘦，饮食减少，俗所谓大肚痞也。毛
××见拙拟期颐饼方后载，若减去芡实，可治小儿疳积痞胀、大人 瘕积聚，遂用其方（方系生鸡内金细末三两，
白面半斤，白沙糖不拘多少，和作极薄小饼，烙至焦熟，俾作点心服之），月余全愈。
鸡内金：是鸡的脾胃，其中原本含有稀盐酸，所以它的味道酸，性质微温，能够消化瓷器、石头、铜、铁等坚硬之物，由此可知它善于化解瘀积。《内经》说“各种湿邪导致的肿胀和满闷，都归属于脾”，大概是因为脾中有很多回血管，原本是通透玲珑的体质，因此居于中焦以升降气化，如果有瘀积，气化就不能升降，所以容易导致胀满。使用鸡内金作为脏器疗法，如果再与白术等量配合使用，是消化瘀积的重要药物，更是健补脾胃的妙品，脾胃健壮后，更能运化药力来消除积滞。而且因为鸡内金含有稀盐酸，不仅能消除脾胃的积滞，无论脏腑何处有积滞，鸡内金都能消除，所以男子形成的癖块、女子形成的瘕聚，长期服用都能治愈。另外凡是虚劳的病证，其经络多有瘀滞，在滋补药中加入鸡内金，以化解经络中的瘀滞，病才能痊愈。至于治疗处女月经一次未来的情况，尤其是要药，因为它能帮助当归、芍药来通经，又能帮助健补脾胃的药物，使饮食增多以生成血液。
女子干血劳的病证，是最难治疗的病证，所以治愈的人很少。只有善于使用鸡内金的人，治疗时多能奏效。我过去为妇女治病，对于那些饮食廉少（食欲不佳）的患者，常常将白术与鸡内金配合使用。曾两次遇到服药后，一个月内月经来了三次的情况，恍然醒悟这是过度使用鸡内金的弊端。因为鸡内金善于化瘀血，即能促进月经迅速下行。然而月经通畅者服用它，可能会导致通经过度；而月经不通畅者服用它，就不难使其通畅下来。况且《内经》说“中焦接受水谷之气，提取汁液，变化成红色，这就是血。”血的来源，原本在于脾胃能多消化饮食。鸡内金与白术配合使用，原本就能健补脾胃以消化饮食。况且脾是后天资生的根本，居于中央以灌溉四周。这个病证多发劳嗽（因虚劳引起的咳嗽），是因为脾虚肺也虚；多兼有灼热感，是因为脾虚肾也虚。再加山药、地黄、枸杞等药物来补肺滋肾，有鸡内金来运化它们，自然能将浓厚的汁浆转化为精液，灌注于肺肾之中。等到服药日久，脏腑的各种病证都痊愈了，身体已经逐渐消瘦，但月经仍不来的，不妨再加用水蛭、虻虫等药物。如果觉得这些药物过于猛烈，用桃仁、红花也可以替代。但是又必须多用补益正气的药品来驾驭它们，才能有益而无害。我过去曾根据这个意思拟定一方，名为资生通脉汤，后面列出了用此方治愈的几个案例，可以参考。
《内经》说“女子十四岁天癸至”，所谓二七，就是十四岁。但是必须足年足月十四岁，那么处女月经通畅，应当在十五岁左右。如果到了十五岁月经仍不通，就应当预先防范。宜用整条生的怀山药，轧细过筛，每次用一两或八钱，煮成茶汤，调入蔗糖使其适口，用它送服生鸡内金细末约五分，当作点心食用。每天两次，久了月经自然会通下。这是因为山药善于养血，鸡内金善于通血。如果到了因为月经不通，饮食减少，渐渐觉得有灼热感的，也可以用这个方子治疗，鸡内金末宜多用至一钱，服完茶汤后再嚼服天冬二三钱。
至于病情又加重，身体虚弱且有劳嗽，宜用我拟定的资生通脉汤。这个方子后面载有几个案例，且用此方各有加减，如果服用资生通脉汤，病虽然见好但月经仍不来的，可以参考所附案例中的加减诸方。
在上述讨论的各方之外，我又新拟定了一个方子，凡是服用资生通脉汤病见好转但月经不见来的，可用生怀山药四两，煮成浓汁，送服生鸡内金细末三钱。剩下的山药渣，仍可水煮数次，当茶饮用。久了月经必定会来，因为鸡内金生用，是通月经最重要的药物，但多用又恐怕稍损气分，所以又多用山药至四两，以培补气分。
【附案】沈阳龚××，三十岁，胃脘部有硬物堵塞，已有数年。饮食减少，不能下行，来院求医，其脉象沉而微弦，右部尤为明显，为他开方，用鸡内金一两，生酒曲五钱，服用数剂后硬物全消。
奉天史××，近四十岁，腹中有积聚，久治不愈，来院求医。其积块在左胁下，直径三寸，按之很硬，时常疼痛，呃逆气短，饮食减少，脉象沉弦。这是肝积肥气之类的病。让他用生鸡内金三两，柴胡一两，共研为末，每次服用一钱半，每天三次，十几天后完全痊愈。
奉天秦××，三十多岁，胃中满闷，不能饮食，自觉贲门有物窒碍，屡次医治，分毫无效。脉象沉牢，为他开方：鸡内金六钱，白术、赭石各五钱，乳香、没药、丹参各四钱，生桃仁二钱，连服八剂后完全痊愈。
奉天宋氏女，十九岁，从十七岁时起，胃中有瘀滞作痛，调治无效，逐渐发展到不能饮食。脉象沉而无力，右部尤为明显，为她开方：鸡内金一两，生酒曲、党参各五钱，三棱、莪术、知母各三钱，樗鸡（俗名红娘子）十五个，服用至八剂，大小便皆下血，胃中豁然开朗，疼痛随即痊愈。
盐山李氏妇，三十岁，胃脘旧有停积数年不愈，逐渐增大如拳头般硬，不能饮食。左脉弦细，右脉沉濡，为她开方：鸡内金八钱，生黄芪六钱，三棱、莪术、乳香、没药各三钱，当归、知母各四钱，连服二十余剂后积滞全消。
友人毛××治疗一个小孩，从两三岁时腹部就胀大，到五六岁时更加严重，面目黄瘦，饮食减少，俗称大肚痞。毛××见我拟定的期颐饼方后记载，若减去芡实，可治小儿疳积痞胀、大人瘕积聚，于是用他的方子（方子是生鸡内金细末三两，白面半斤，白沙糖不拘多少，混合做成极薄的小饼，烙至焦熟，让患者当作点心服用），一个多月后完全痊愈。
Ji Neijin (Chicken Gizzard Lining): It is the stomach and spleen of the chicken. It originally contains dilute hydrochloric acid, so its taste is sour and its nature is slightly warm. It can digest porcelain, stones, copper, and iron; thus, it is known for its ability to resolve blood stasis and accumulation. The *Neijing* (Classic of Internal Medicine) states that "all dampness-induced swelling and fullness belong to the Spleen." This is because the Spleen contains many venous vessels and is originally a transparent and delicate organ, residing in the Middle Jiao (Middle Burner) to regulate the ascending and descending of Qi transformation. If there is accumulation, Qi transformation cannot ascend or descend, leading easily to distension and fullness. Using Ji Neijin as an organ therapy, when combined with equal parts of Baizhu (Atractylodis Rhizoma), it becomes a key medicine for resolving accumulation and an excellent product for strengthening and tonifying the Spleen and Stomach. A strong Spleen and Stomach can better transport and transform medicinal power to eliminate stagnation. Furthermore, since Ji Neijin contains dilute hydrochloric acid, it not only eliminates accumulation in the Spleen and Stomach but also resolves accumulation anywhere in the Zang-Fu organs. Therefore, *pi* masses in men and *jia* masses in women can be cured with long-term use. Additionally, in cases of deficiency consumption (Xu Lao), meridians often have stasis. Adding Ji Neijin to tonic medicines to resolve meridianal stasis allows the disease to heal. For treating virgins who have never menstruated, it is especially a crucial medicine because it assists Danggui (Angelicae Sinensis Radix) and Shaoyao (Paeoniae Radix) to unblock menstruation and helps tonifying medicines increase dietary intake to generate blood.
The syndrome of Gan Xue Lao (Dry Blood Consumption) in women is one of the most difficult to treat, hence few recover. Only those skilled in using Ji Neijin can achieve good results. In my past practice treating women with poor appetite, I often combined Baizhu with Ji Neijin. However, on two occasions, patients experienced menstruation three times within a month after taking this combination, leading me to realize the drawback of overusing Ji Neijin. Since Ji Neijin excels at dissolving blood stasis, it can accelerate the downward flow of menstruation. Thus, while it may cause excessive flow in those with normal menstruation, it facilitates flow in those with amenorrhea. Moreover, the *Neijing* states that "the Middle Jiao receives Qi, extracts juices, transforms them into red, which is blood." The source of blood lies in the Spleen and Stomach's ability to digest food well. The combination of Ji Neijin and Baizhu strengthens the Spleen and Stomach to aid digestion. The Spleen is the root of postnatal nourishment, residing centrally to irrigate the four directions. Frequent labor coughs in this condition indicate that Spleen deficiency leads to Lung deficiency; frequent sensations of burning heat indicate that Spleen deficiency leads to Kidney deficiency. Adding Shanyao (Dioscoreae Rhizoma), Dihuang (Rehmanniae Radix), and Gouqi (Lycii Fructus) to tonify the Lung and nourish the Kidney, along with Ji Neijin to facilitate transformation, naturally converts thick fluids into essence to irrigate the Lung and Kidney. After long-term medication, when visceral diseases are cured and the body has emaciated but menstruation still does not occur, one may add Chong (Mantis Ootheca) and Shui Zhi (Hirudo). If these are considered too harsh, Taoren (Persicae Semen) and Honghua (Carthami Flos) can substitute. However, sufficient Qi-tonifying medicines must be used to control them to ensure benefit without harm. I previously formulated a prescription based on this idea named Zisheng Tongmai Tang (Nourishing Life and Unblocking Pulse Decoction); several case records of its successful use follow for reference.
The *Neijing* states that "at age fourteen (two sevens), Tian Gui arrives in women." Fourteen years old is the standard, meaning menstruation should begin around fifteen. If menstruation has not started by fifteen, preventive measures should be taken. Use whole raw Huai Shanyao (Dioscorea opposita), finely ground and sifted. Take 1 liang or 8 qian, boil as tea, adjust taste with sucrose, and take with approximately 5 fen of raw Ji Neijin powder as a snack. Twice daily; over time, menstruation will naturally flow. This is because Shanyao nourishes blood, and Ji Neijin unblocks blood. If amenorrhea leads to reduced appetite and gradual burning heat, this formula can also be used. Increase Ji Neijin powder to 1 qian, and after drinking the tea, chew Tian Dong (Asparagi Radix) 2-3 qian.
If the condition worsens with physical weakness and labor cough, use my Zisheng Tongmai Tang. Several cases following this formula show modifications. If symptoms improve with Zisheng Tongmai Tang but menstruation remains absent, refer to the modified formulas in the attached cases.
Beyond the aforementioned prescriptions, I have newly formulated another: for those whose symptoms improve with Zisheng Tongmai Tang but menstruation does not return, use 4 liang of raw Huai Shanyao boiled into a thick decoction to deliver 3 qian of raw Ji Neijin powder. Boil the remaining Shanyao dregs several times and drink as tea. Menstruation will eventually arrive. Raw Ji Neijin is the most important herb for inducing menstruation, but excessive use may slightly damage Qi. Hence, the large dose of Shanyao is used to support Qi.
[Attached Cases]
Gong XX from Shenyang, aged 30, had a hard mass blocking the epigastrium for years, reducing appetite and preventing food descent. His pulse was deep and slightly wiry, more pronounced on the right side. Prescribed: Ji Neijin 1 liang, raw Jiuqu (Medicated Leaven) 5 qian. After several doses, the hard mass completely dissolved.
Shi XX from Fengtian, nearly 40, had abdominal accumulations unresponsive to treatment. The mass was under the left hypochondrium, 3 cun in diameter, very hard upon pressure, with occasional pain, hiccups, shortness of breath, and reduced appetite. Pulse was deep and wiry. This is a type of Liver accumulation called Feiqi. Prescribed: Raw Ji Neijin 3 liang, Chaihu (Bupleuri Radix) 1 liang, powdered together. Take 1.5 qian per dose, three times daily. Completely cured after ten-plus days.
Qin XX from Fengtian, over 30, suffered from gastric fullness and inability to eat, feeling obstruction at the cardia. Previous treatments failed. Pulse was deep and firm. Prescribed: Ji Neijin 6 qian, Baizhu 5 qian, Zheshi (Ostreae Concha) 5 qian, Ruxiang (Boswelliae Resina) 4 qian, Moyao (Myrrhae Resina) 4 qian, Danshen (Salviae Miltiorrhizae Radix et Rhizoma) 4 qian, raw Taoren 2 qian. Cured after eight doses.
Ms. Song from Fengtian, aged 19, had gastric stasis pain since age 17, unresponsive to treatment, progressing to inability to eat. Pulse was deep and weak, more pronounced on the right. Prescribed: Ji Neijin 1 liang, raw Jiuqu 5 qian, Dangshen (Codonopsis Radix) 5 qian, Sanleng (Sparganii Rhizoma) 3 qian, Ezhu (Curcumae Rhizoma) 3 qian, Zhimu (Anemarrhenae Rhizoma) 3 qian, Chuji (Red Ladybug, 15 pieces). After eight doses, blood appeared in stool and urine, the stomach felt clear, and pain ceased.
Mrs. Li from Yanshan, aged 30, had a stationary accumulation in the epigastrium for years, growing to the size of a fist and becoming very hard, preventing eating. Left pulse was wiry and thin; right pulse was deep and soft. Prescribed: Ji Neijin 8 qian, raw Huangqi (Astragali Radix) 6 qian, Sanleng 3 qian, Ezhu 3 qian, Ruxiang 3 qian, Moyao 3 qian, Danggui 4 qian, Zhimu 4 qian. Cured after twenty-plus doses.
Friend Mao XX treated a child whose abdomen swelled from ages 2-3, worsening by ages 5-6, with sallow, thin complexion and reduced appetite, commonly known as "Big Belly Bloat." Seeing my note on Qiyi Bing (Longevity Cake) stating that removing Qianshi (Euryales Semen) treats pediatric malnutrition bloat and adult accumulations, he used that formula (Raw Ji Neijin powder 3 liang, wheat flour 0.5 jin, white sugar as needed, mixed into thin pancakes, baked until crisp, taken as snacks). Cured in over a month.