大黄（十两，蒸） 黄芩（二两） 甘草（三两） 干漆（炒） 桃仁（各一两） 芍
药（四两）
杏仁（去皮尖） 虻虫（去翅足，炒） 蛴螬（炒，各一升） 虫（半升，炒） 水蛭（百
枚，炙
黄） 干地黄（半两）
共为末，蜜丸小豆大。日三服，每五丸。
腹胀有形块，按之而痛不移，口不恶食，小便自利，大便黄色，面黄肌错者，血证谛也
，此丸与之。
腹胀有形块，按之而痛移者，气与火也，今痛不移，则属有形矣。然食与血皆有形，食
而腹胀则恶食，今不恶食，则知其为血矣。小便自利者，血病而气不病也。大便黑色者，病
属于阴也。面黄肌错者，血病则不能荣养其容，濡泽其肤，故令萎黄甲错耳。大黄，攻下之
品也，引以干漆、虻虫、蛴螬、水蛭、 虫、桃仁之辈，则入血而攻血。芍药、地黄，生新
血于去瘀之际。杏仁、甘草，致新气于逐败之余。而黄芩之苦，又所以浓肠坚胃，而不为攻
下所伤耳。
大黄（酒润） 桃仁（去皮尖） 鸡屎（白者，酒炒，等分）
共为末，每服三钱，姜汤下。
此方治血蛊良。
大黄苦寒，利于攻下。佐以桃仁，逐败血也。佐以鸡屎，杀蛊虫也。
《腹中论》曰∶有病心腹满，旦食则不能暮食，此为何病？岐伯对曰∶名为鼓胀。黄帝
曰∶治之奈何？岐伯曰∶治之以鸡矢醴，一剂知，二剂已。王冰注曰∶鸡屎利小便，微寒。
此注还未妥。
大黄（十两，蒸制） 黄芩（二两） 甘草（三两） 干漆（炒制） 桃仁（各一两） 芍药（四两）
杏仁（去皮和尖） 虻虫（去掉翅膀和足，炒制） 蛴螬（炒制，各一升） 䗪虫（半升，炒制） 水蛭（一百枚，炙烤至黄色） 干地黄（半两）
以上药物共同研磨成粉末，用蜂蜜制成如小豆大小的丸剂。每日服用三次，每次五丸。
腹部胀满且有有形肿块，按压时疼痛位置固定不移，口中不厌恶进食，小便通畅自如，大便呈黄色，面色萎黄且皮肤粗糙如鳞甲交错者，这是血瘀证的确切表现，此丸剂适用于此症。
腹部胀满且有形肿块，按压时疼痛位置移动者，属于气滞与火邪所致；如今疼痛位置固定不移，则说明属于有形之邪。然而饮食停滞与血瘀皆有形体，若因食积导致腹胀则会厌恶进食，如今并不厌恶进食，由此可知其为血瘀所致。小便通畅自如，说明病在血分而气分未受病。大便黑色者，说明病属阴证。面色萎黄且皮肤粗糙如鳞甲交错者，是因为血病导致无法荣养面容、滋润肌肤，所以出现萎黄且皮肤干燥起屑的症状。大黄，是攻下泻实的药物，借助干漆、虻虫、蛴螬、水蛭、䗪虫、桃仁等药物引导，则能进入血分而攻破血瘀。芍药、地黄，能在祛除瘀血的同时生成新血。杏仁、甘草，能在驱逐败血之余促进新气的生成。而黄芩的苦味，正是为了厚肠坚胃，以免受到攻下药物的伤害。
大黄（酒润制） 桃仁（去皮和尖） 鸡矢（白色者，酒炒制，与上述药材等量）
以上药物共同研磨成粉末，每次服用三钱，用姜汤送服。
此方治疗血蛊效果良好。
大黄苦寒，利于攻下泻实。佐以桃仁，以驱逐败血。佐以鸡矢，以杀灭蛊虫。
《腹中论》说：有人患心腹满胀，早晨吃了饭晚上就不能再吃，这是什么病？岐伯回答说：名叫鼓胀。黄帝问：怎么治疗？岐伯说：用鸡矢醴治疗，服一剂见效，服两剂痊愈。王冰注释说：鸡屎能通利小便，性微寒。这个注释还不够妥当。
Dahuang (Cassiae Semen, Rhubarb Radix et Rhizoma) [10 liang, steamed], Huangqin (Scutellariae Radix, Scutellaria Root) [2 liang], Gancao (Glycyrrhizae Radix et Rhizoma, Licorice Root) [3 liang], Ganqi (Dry Laccares, Dry Resin of Chinese Lac Insect) [stir-fried], Taoren (Persicae Semen, Peach Seed) [each 1 liang], Shaoyao (Paeoniae Radix, Peony Root) [4 liang]
Xingren (Apricot Kernel, remove skin and tips), Mengchong (Blatta Orientalis, Oriental Cockroach) [remove wings and feet, stir-fried], Qicao (Melandryi Semen, Melandryum Seed) [stir-fried, each 1 sheng], E chong (Eupolyphaga Steleophaga, Ground Beetle) [0.5 sheng, stir-fried], Shuizhi (Hirudo, Leech) [100 pieces, roasted until yellow], Ganhuangdi (Rehmanniae Radix Preparata, Prepared Rehmannia Root) [0.5 liang]
Grind all ingredients into powder, form pills with honey the size of small beans. Take three times a day, five pills each time.
Abdominal distension with palpable masses, pain upon pressure that does not shift location, no aversion to food in the mouth, free urination, yellow stool, sallow complexion with rough, scaly skin: this is a definitive blood stasis syndrome (Blood Stasis Syndrome). This pill is indicated for this condition.
Abdominal distension with palpable masses where pain shifts upon pressure indicates Qi stagnation and Fire pathogen; since the pain here does not shift, it belongs to tangible pathogens. However, both food retention and blood stasis are tangible. If abdominal distension were due to food retention, there would be an aversion to food; since there is no aversion to food, we know it is blood stasis. Free urination indicates the disease is in the Blood level while the Qi level is unaffected. Black stool indicates the disease belongs to the Yin category. Sallow complexion with rough, scaly skin occurs because blood pathology fails to nourish the face and moisten the skin, resulting in sallow color and dry, scaling skin. Dahuang (Rhubarb Radix et Rhizoma) is a purgative agent; guided by Ganqi (Dry Laccares), Mengchong (Oriental Cockroach), Qicao (Melandryum Seed), Shuizhi (Leech), E chong (Ground Beetle), and Taoren (Peach Seed), it enters the Blood level to attack blood stasis. Shaoyao (Peony Root) and Ganhuangdi (Prepared Rehmannia Root) generate new blood during the process of removing stasis. Xingren (Apricot Kernel) and Gancao (Licorice Root) promote the generation of new Qi after expelling败血 (decayed blood). The bitterness of Huangqin (Scutellaria Root) thickens the intestines and strengthens the stomach, preventing injury from the purgative action.
Dahuang (Rhubarb Radix et Rhizoma, moistened with wine), Taoren (Peach Seed, remove skin and tips), Jishi (Galli Gigerii Endothelium Corneum, Chicken Gizzard Lining) [white variety, stir-fried with wine, equal proportion]
Grind all ingredients into powder. Take 3 qian per dose, administered with Ginger Decoction (Jiang Tang).
This formula is effective for treating Xue Gu (Blood Gu, a type of abdominal mass caused by blood stasis and parasites).
Dahuang (Rhubarb Radix et Rhizoma) is bitter and cold, facilitating purgation. Assisted by Taoren (Peach Seed) to expel decaying blood. Assisted by Jishi (Chicken Gizzard Lining) to kill Gu worms (parasites).
The *Fuzhong Lun* states: "There is a disease characterized by fullness in the heart and abdomen, where one cannot eat dinner if they ate breakfast. What is this disease?" Qibo replied: "It is named Guzhang (Drum Distension)." The Yellow Emperor asked: "How should it be treated?" Qibo said: "Treat it with Jishi Li (Chicken Dropping Wine Decoction); one dose brings improvement, two doses bring cure." Wang Bing annotated: "Chicken droppings promote diuresis and are slightly cold." This annotation is not entirely appropriate.