饮水即呛，乃会厌有血滞，用此方极效。古人评论全错，余详于痘症条。
心跳心忙，用归脾安神等方不效，用此方百发百中。
夜不安者，将卧则起，坐未稳又欲睡，一夜无宁刻，重者满床乱滚，此血府血瘀。此方
服十余副可除根。
当归（三钱） 生地（三钱） 桃仁（四钱） 红花（三钱） 枳壳（二钱） 赤芍（二钱） 柴胡
（一钱） 甘草（一钱） 桔梗（一钱半） 川芎（一钱半） 牛膝（三钱）
水煎服。
方歌
血府当归生地桃，红花甘草壳赤芍，
柴胡芎桔牛膝等，血化下行不作劳。
膈下逐瘀汤所治之症，开列于后。
积聚一症，不必论古人立五积、六聚、七 、八瘕之名，亦不议驳其错，驳之未免过烦
。今
然如故，自然不在肠胃之内，必在肠胃之外。肠胃之外，无论何处，皆有气血。气有气管，
血有血管。气无形不能结块，结块者，必有形之血也。血受寒，则凝结成块，血受热，则煎
熬成块，竖血管凝结，则成竖条，横血管凝结，则成横条，横竖血管皆凝结，必接连成片，
片凝日久，浓而成块。既是血块，当发烧。要知血府血瘀必发烧。血府，血之根本，瘀则殒
命。肚腹血瘀，不发烧。肚腹，血之梢末，虽瘀不致伤生。无论积聚成块，在左肋、右肋、
脐左、脐右、脐上、脐下，或按之跳动，皆以此方治之，无不应手取效。病轻者少服，病重
者多服，总是病去药止，不可多服。倘病患气弱，不任克消，原方加党参三五钱皆可，不必
拘泥。
饮水时立即发生呛咳，是因为会厌部位有血液瘀滞，使用此方效果极佳。古人的评论完全错误，我在痘症条目中已有详细论述。
夜间无法入睡，如果使用安神养血药物治疗无效，使用此方则神效。
白天不啼哭，夜间却啼哭的，是血瘀所致。服用此方一两副即可痊愈。
心跳心慌，使用归脾汤、安神丸等方剂治疗无效，使用此方百发百中。
夜间心神不安，刚躺下想睡就起来，坐不稳又想睡，整夜没有片刻安宁，严重的在床上乱滚，这是血府血瘀。服用此方十余副可除根。
无缘无故爱生气，是血府血瘀，不能按气病治疗。使用此方应手而效。
没有其他症状，只有干呕，这是血瘀的症状。使用此方化解瘀血，呕吐立刻停止。
每晚感到内热，兼有皮肤发热一时，服用此方一副即可痊愈，严重者两副。
当归（三钱） 生地（三钱） 桃仁（四钱） 红花（三钱） 枳壳（二钱） 赤芍（二钱） 柴胡（一钱） 甘草（一钱） 桔梗（一钱半） 川芎（一钱半） 牛膝（三钱）
水煎服。
方歌
血府当归生地桃，红花甘草壳赤芍，
柴胡芎桔牛膝等，血化下行不作劳。
膈下逐瘀汤所治疗的病症，开列如下。
积聚这一病症，不必讨论古人设立的“五积”、“六聚”、“七疝”、“八瘕”的名称，也不必议论驳斥其错误，驳斥未免过于繁琐。现在的情况依然如故，病灶自然不在肠胃之内，一定在肠胃之外。肠胃之外，无论何处，都有气血运行。气有气管，血有血管。气是无形的，不能结成块状，结成块状的，必定是有形的血。血受寒，则凝结成块；血受热，则煎熬成块。纵向血管凝结，则形成竖条状；横向血管凝结，则形成横条状；纵横血管都凝结，必然连接成片，片状凝结日久，浓稠而成块。既然是血块，应当发烧。要知道血府血瘀必然发烧。血府是血的根本，瘀阻则危及生命。肚腹血瘀，不发烧。肚腹是血的梢末，虽然瘀阻也不致伤及生命。无论积聚成块，位于左肋、右肋、脐左、脐右、脐上、脐下，或者按压时有跳动感，都用此方治疗，没有不应手取效的。病情轻者少服，病情重者多服，总是病去药止，不可多服。如果病患气弱，不能耐受攻伐消导，在原方中加入党参三五钱即可，不必拘泥于原方。
Immediate choking upon drinking water is caused by blood stasis in the epiglottis; this formula is extremely effective. The comments of the ancients are entirely wrong, as detailed in the section on smallpox symptoms.
Inability to sleep at night: if sedative and blood-nourishing medicines are ineffective, this formula works miraculously.
Crying only at night but not during the day is due to blood stasis. One or two doses of this formula will result in a cure.
Palpitations and anxiety: if Guipi Tang (Restore the Spleen Decoction) and other calming formulas are ineffective, this formula is successful in every case.
Restlessness at night: tossing about when trying to lie down, sitting uneasily then wanting to sleep again, with no peace throughout the night; severe cases involve rolling all over the bed. This is blood stasis in the Blood Mansion (Xuefu). Taking this formula for more than ten doses can eradicate the root cause.
Unprovoked irritability is due to blood stasis in the Blood Mansion (Xuefu); it should not be treated as a Qi disorder. This formula acts swiftly and effectively.
No other symptoms except dry retching indicate blood stasis. Using this formula to resolve the blood stasis stops the retching immediately.
Internal heat every night, accompanied by transient skin fever, can be cured with one dose of this formula; severe cases require two doses.
Angelicae Sinensis Radix (Danggui, 3 qian), Rehmanniae Radix Preparata (Shengdi, 3 qian), Persicae Semen (Taoren, 4 qian), Carthami Flos (Honghua, 3 qian), Aurantii Fructus Immaturus (Zhike, 2 qian), Paeoniae Radix Rubra (Chishao, 2 qian), Bupleuri Radix (Chaihu, 1 qian), Glycyrrhizae Radix et Rhizoma (Gancao, 1 qian), Platycodonis Radix (Jiegeng, 1.5 qian), Chuanxiong Rhizoma (Chuanxiong, 1.5 qian), Achyranthis Bidentatae Radix (Niuxi, 3 qian).
Decoct in water and take orally.
Formula Verse:
Blood Mansion Danggui Shengdi Tao, Honghua Gancao Zhike Chishao,
Chaihu Xiong Jie Niuxi Deng, Blood transforms and descends, preventing exhaustion.
The symptoms treated by Gexia Zhuyu Tang (Blood-Invigorating and Stasis-Resolving Decoction for the Diaphragm) are listed below.
Regarding the condition of accumulation and mass formation, there is no need to discuss the ancient names of "Five Accumulations," "Six Gatherings," "Seven Hernias," or "Eight Masses," nor is it necessary to refute their errors, as refutation would be overly tedious. The situation remains unchanged; naturally, these masses are not within the intestines and stomach, but outside them. Outside the intestines and stomach, wherever there is, there is Qi and Blood. Qi has its vessels, and Blood has its vessels. Qi is formless and cannot form lumps; lumps must be formed by tangible Blood. When Blood is affected by Cold, it coagulates into lumps; when affected by Heat, it boils and condenses into lumps. Vertical vessel coagulation forms vertical strips; horizontal vessel coagulation forms horizontal strips; coagulation of both vertical and horizontal vessels connects into sheets. Sheets of coagulation, over time, thicken into masses. Since these are blood clots, fever should occur. It must be known that blood stasis in the Blood Mansion (Xuefu) inevitably causes fever. The Blood Mansion is the root of Blood; stasis here is fatal. Blood stasis in the abdomen does not cause fever. The abdomen is the extremity of Blood; although stasis occurs here, it is not life-threatening. Regardless of whether the accumulation or mass is located in the left hypochondrium, right hypochondrium, left of the umbilicus, right of the umbilicus, above the umbilicus, or below the umbilicus, or if pulsation is felt upon palpation, this formula should be used, and it will invariably be effective. For mild conditions, take fewer doses; for severe conditions, take more doses. Always stop medication once the disease is gone; do not overdose. If the patient has weak Qi and cannot tolerate aggressive dispersing and resolving actions, add Codonopsis Radix (Dangshen) 3-5 qian to the original formula; do not adhere rigidly to the original prescription.