治产后心腹绞痛欲死, 或血迷心窍, 不省人事.
五灵脂 蒲黄等分 每服三钱, 酒煎服.
南山查肉 ( 炒 ) 一两 水煎, 用童便沙糖和服.
【集注】吴于宣曰: 经云: 心主血, 脾统血, 肝脏血. 故产后瘀血停
滞,三经皆受其病, 以致心腹瘀痛, 恶寒发热, 神迷眩运, 胞膈满闷
.凡兹者, 由寒凝不消散, 气滞不流行, 恶露停留, 小腹结痛, 迷闷
欲绝, 非纯用甘温破血行血之剂, 不能攻逐荡平也. 是方用灵脂之甘
温走肝, 生用则行血; 蒲黄辛平入肝, 生用则破血. 佐酒煎以行其力
,庶可直抉厥阴之滞, 而有推陈致新之功. 甘不伤脾, 辛能散瘀, 不
觉诸证悉除, 直可以一笑而置之矣. 至独圣散用山查一味浓煎, 与沙
糖童便同服者何也? 山查不惟消食健脾, 功能破瘀止儿枕痛; 更益以
沙糖之甘, 逐恶而不伤脾, 童便之咸, 入胞而不凉下. 相得相须, 功
力甚伟, 名之曰独圣, 诚不虚也.
治五劳七伤, 内有干血, 肌肤甲错, 两目黯黑.
大黄 ( 酒蒸 ) 十两 桃仁 ( 去皮, 尖, 炒 ) 四两 杏仁 ( 去皮,
尖,炒 ) 四两 黄芩 ( 炒 ) 二两 甘草三两 芍药 ( 炒 ) 四两
地黄十两 干漆 ( 炒 ) 一两 ?? 虫 ( 去翅足, 炒 ) 一两五钱
水蛭 ( 炙黄 ) 百枚 蛴螬 ( 炒 ) 一两五钱 ?? 虫 ( 去头足,
炒) 一两, 右十二味为末, 蜜丸如小豆大. 酒服五丸, 日三服.
【集注】李中梓曰: 劳伤之证, 肌肤甲错, 两目黯黑, 此内有瘀血者
也.瘀之日久, 则必发热, 热涸其液, 则血干于经隧之间, 愈干愈热
,愈热愈干, 而新血皆损. 人之充养百骸, 光华润泽者, 止藉此血,
血伤则无以沃其肤, 故甲错也. 目得血而能视, 血枯则无以荣, 其目
故黯黑也. 仲景洞见此证, 补之不可, 凉之无益, 而立此方. 经曰:
血主濡之, 故以地黄为君. 坚者削之, 故以大黄为臣. 统血者脾也,
脾欲缓急, 食甘以缓之. 又酸苦涌泄为阴, 故以甘, 芍, 桃仁为佐.
咸走血, 苦胜血, 故以干漆之苦, 四虫之咸为使. 夫浊阴不降, 则清
阳不升, 瘀血不去, 则新血不生. 今人遇一劳证, 便用滋阴之药, 服
而不效, 坐以待毙, 术岂止此耶!
治疗产后心腹剧烈绞痛，痛苦欲死，或者因瘀血蒙蔽心窍，导致神志昏迷、不省人事。
五灵脂与蒲黄各等分，每次服用三钱，用酒煎煮后服用。
南山楂肉（炒制）一两，用水煎煮，配合童便（儿童尿液）和砂糖调和服用。
【集注】吴于宣说：医经记载：心主血脉，脾统摄血液，肝贮藏血液。所以产后瘀血停滞，心、脾、肝三经都会受到病变影响，从而导致心腹部瘀血疼痛，恶寒发热，神志迷乱眩晕，胞宫膈膜满闷胀塞。凡是这些情况，都是由寒邪凝滞不能消散，气机阻滞不能运行，恶露停留所致，表现为小腹结聚疼痛，神志迷闷几乎断绝。如果不是纯用甘温性质的破血行血药剂，就不能攻逐荡平瘀血。这个方子使用五灵脂的甘温之性走窜入肝，生用时能行血；蒲黄辛平入肝，生用时能破血。佐以酒煎煮来增强药力，才可以直捣厥阴经的瘀滞，而有推陈出新的功效。甘味不伤脾，辛味能散瘀，不知不觉间各种症状全部消除，真可以让人一笑置之了。至于独圣散只用山楂一味药浓煎，与砂糖、童便同服的原因是什么呢？山楂不仅消食健脾，更有破除瘀血、止住“儿枕痛”（产后腹痛）的功效；再加上砂糖的甘味，驱逐恶露而不伤脾，童便的咸味，进入胞宫而不致寒凉下泄。两者相辅相成，功力非常伟大，命名为独圣，确实名不虚传。
治疗五劳七伤，体内有干血（久积之瘀血），肌肤粗糙如鳞甲交错，两眼周围颜色暗黑。
大黄（酒蒸制）十两，桃仁（去皮尖，炒制）四两，杏仁（去皮尖，炒制）四两，黄芩（炒制）二两，甘草三两，芍药（炒制）四两，地黄十两，干漆（炒制）一两，虻虫（去翅足，炒制）一两五钱，水蛭（炙至黄色）一百枚，蛴螬（炒制）一两五钱，䗪虫（去头足，炒制）一两。以上十二味药研为细末，用蜂蜜制成如小豆大小的丸剂。每次用酒送服五丸，每日三次。
【集注】李中梓说：劳伤类的病症，出现肌肤粗糙如鳞甲交错、两眼周围暗黑，这是体内有瘀血的表现。瘀血日久，必然发热，热邪耗竭津液，导致血液在经脉隧道中干枯，越干枯越发热，越发热越干枯，从而新血也受损。人体充养骨骼肌肉，光泽润泽的，只依靠这血液，血液损伤就无法滋润皮肤，所以出现肌肤甲错（皮肤干燥粗糙）。眼睛得到血液滋养才能视物，血液枯竭就无法荣润眼部，所以眼睛显得暗黑。张仲景透彻洞察到这个证候，认为补益不可行，清热无益处，于是创立了这个方子。医经说：血具有濡养的作用，所以用地黄作为君药。质地坚硬的病邪要削伐，所以用大黄作为臣药。统摄血液的是脾，脾脏喜欢缓和急迫的状态，用甘味食物/药物来缓和它。又因为酸苦涌泄属于阴的性质，所以用甘草、芍药、桃仁作为佐药。咸味走血分，苦味胜血（指苦能燥湿或制约血热，此处结合上下文及中药理论，通常指苦能坚阴或泻火，但在破血方中常配伍以助下行或燥湿，此处依原文逻辑提取），所以用干漆的苦味，以及四种虫类药的咸味作为使药。如果浊阴之气不下降，清阳之气就不能上升；瘀血不去除，新血就不能生成。现在的人遇到一个劳损证候，就使用滋阴的药物，服用后无效，坐以待毙，医术难道只有这种程度吗！
Treats severe, cramping pain in the heart and abdomen after childbirth, causing extreme suffering, or blood stasis clouding the Heart orifices, leading to unconsciousness.
Wulingzhi (Trogopterus Dung) and Puhuang (Typha Pollen) in equal parts. Take 3 qian per dose, decoct with wine and ingest.
Nanshan Zharen (Crataegi Fructus, stir-fried) 1 liang. Decoct with water, mix with Tongbian (Child's Urine) and Shatang (Brown Sugar) for ingestion.
[Collected Annotations] Wu Yuxuan stated: The Classics state: The Heart governs Blood, the Spleen controls Blood, and the Liver stores Blood. Therefore, when postpartum blood stasis stagnates, the Heart, Spleen, and Liver meridians are all affected, resulting in abdominal blood-stasis pain, aversion to cold with fever, mental confusion and dizziness, and fullness/stuffiness in the uterus and diaphragm. In such cases, it is due to cold coagulation failing to dissipate and Qi stagnation failing to circulate, causing lochia to remain, presenting as lower abdominal knotting and pain, mental confusion nearly reaching death. Only by purely using sweet-warm formulas that break and move blood can the pathogenic factors be attacked and cleared. This formula uses Wulingzhi, whose sweet-warm nature travels to the Liver; when used raw, it moves blood. Puhuang is acrid-pungent and neutral, entering the Liver; when used raw, it breaks blood. Assisted by wine decoction to enhance its power, it can directly resolve the stagnation of the Jueyin meridian, achieving the effect of pushing out the old and generating the new. Sweetness does not harm the Spleen, and pungency disperses stasis. Unknowingly, all symptoms are eliminated, truly allowing one to laugh it off. As for Dusheng San, why use only Zharen decocted strongly, taken with Shatang and Tongbian? Zharen not only aids digestion and strengthens the Spleen but also has the function of breaking stasis and stopping "Erzhen Tong" (postpartum abdominal pain). Furthermore, adding the sweetness of Shatang expels evil [lochia] without harming the Spleen, and the saltiness of Tongbian enters the Uterus without cooling the lower body. They complement each other, possessing great power, hence named Dusheng (Solely Sacred), which is indeed not in vain.
Treats Five Exhaustions and Seven Damages, where there is dry blood internally, skin rough like scales (Jiacuo), and dark circles around the eyes.
Dahuang (Rhubarb Root, steamed with wine) 10 liang, Taoren (Peach Seed, peeled and halved, stir-fried) 4 liang, Xingren (Apricot Seed, peeled and halved, stir-fried) 4 liang, Huangqin (Scutellaria Root, stir-fried) 2 liang, Gancao (Licorice Root) 3 liang, Shaoyao (White Peony Root, stir-fried) 4 liang, Dihuang (Rehmannia Root) 10 liang, Ganqi (Lacquer Tree Resin, stir-fried) 1 liang, Mengchong (Blatta Orientalis, wings and feet removed, stir-fried) 1.5 qian, Shuizhi (Hirudo, roasted until yellow) 100 pieces, Qicao (Ground Beetle Larva, stir-fried) 1.5 qian, Zhechong (Eupolyphaga Steleophaga, head and feet removed, stir-fried) 1 liang. The above twelve ingredients are powdered, mixed with honey to form pills the size of small beans. Take 5 pills with wine, three times a day.
[Collected Annotations] Li Zhongzi stated: In syndromes of Lao Shang (Exhaustion and Damage), skin rough like scales and dark circles around the eyes indicate internal blood stasis. When stasis persists for a long time, it inevitably generates heat. Heat evaporates fluids, causing blood to dry within the meridians. The more dried, the hotter; the hotter, the more dried, damaging new blood. What nourishes the bones and muscles and provides luster to the human body is solely this blood. If blood is damaged, it cannot moisten the skin, hence Jiacuo (skin roughness). Eyes see because they receive blood; if blood is depleted, they lack nourishment, hence the eyes appear dark. Zhang Zhongjing clearly perceived this syndrome, recognizing that tonification is inappropriate and cooling is useless, thus establishing this formula. The Classics state: Blood has the function of moistening, so Dihuang is used as the Sovereign herb. For hardness, reduce it, so Dahuang is used as the Minister herb. The Spleen controls blood; the Spleen desires relief from tension, so sweet substances are used to soothe it. Also, sour and bitter induce vomiting and purgation, belonging to Yin, so Gancao, Shaoyao, and Taoren are used as Assistant herbs. Salty flavors travel to the Blood level, and bitter flavors overcome blood [stasis/heat], so Ganqi's bitterness and the saltiness of the four insects are used as Envoy herbs. If turbid Yin does not descend, clear Yang cannot ascend; if blood stasis is not removed, new blood cannot be generated. Nowadays, people encountering a Lao syndrome immediately use yin-nourishing drugs. When ineffective, they sit and wait for death. Is medical skill really limited to this!