《素问·腹中论》帝曰∶有病胸胁支满者，妨于食，病至则先闻腥臊臭，出清液，先唾血，四肢清，目
眩，时之前后血，病名为何？何以得之？岐伯曰∶病名血枯。此得之年少时，有所大脱血，若醉入房中，气竭
肝伤，故月事衰少不来也。帝曰∶治之奈何？岐伯曰∶以四乌贼骨一 茹，二物合并之，丸以雀卵，大如小
豆，以五丸为后饭，饮以鲍鱼汁，利肠中及伤肝也。
出清液者，时吐清液，脾虚不能摄涎故也；四肢清者，手足逆冷也；前后血，大小便皆有血也，此名血枯，
而男女皆有是病，后世名劳损也。中气竭，故四肢无阳和以温之而逆冷；肝伤，故目眩而唾血、便血；肝不能
藏血，故病至先闻腥臊臭，俗言血腥气也；肝气逆，则胸胁支满；而胃气不顺，则妨于食也。
乌贼骨丸，吴门王晋三《古方选注》解义甚精，当考之。
《素问·脉解篇》曰∶内夺而厥，则为喑痱，此肾虚也，少阴不至者，厥也。
《灵枢·热病篇》曰∶痱之为病也，身无痛者，四肢不收，智乱不甚，其言微知，可治；甚则不能言，
不可治也。病先起于阳，后入于阴者，先取其阳，后取其阴，浮而取之。
邪气盛为实，精气夺为虚。此由内伤夺精，而阳气厥逆，以成喑痱，故为肾虚，而少阴经脉之气，不能上
至于舌本，则不能言而为喑，阳上逆则下虚而为厥。非由外感之邪，故身无痛楚；本元气散，故四肢懈弛不收。
如其智乱不甚，其言略能成句，微
有可知者，用峻补之法可治；甚则不能言，而元气脱绝，不可治也。病起于阳，先治阳，后治阴，浮而取之者，
用针浅刺，通其经气也；其起于阴者，当从阴经治之。用药之法，可类推矣。方书称为类中风，以其肝肾虚而
风由内生，非外邪之风也。
黄帝问道：有人患胸胁部胀满支撑不适，影响进食，发病时先闻到腥臊气味，流出清稀液体，先吐出血液，四肢发冷，头晕目眩，大小便出血，这是什么病？是怎么得的？岐伯回答说：这病名叫血枯。这是因为他年轻时曾有过大量失血，或者在醉酒后进行房事，导致气耗竭、肝脏受损，所以月经量减少甚至闭经。黄帝问：怎么治疗呢？岐伯说：用四份海螵蛸（乌贼骨）和一份藘茹（茜草），将这两味药混合，用麻雀卵做丸剂，大小如小豆，每次服五丸，饭前服用，用鲍鱼汁送服，以通利肠道并修复受损的肝脏。
所谓“出清液”，是指时常吐出清稀涎液，这是因为脾虚不能固摄涎液所致；“四肢清”是指手足逆冷；“前后血”是指大小便都有血，这叫做血枯，男女都可能有这种病，后世称为劳损。中气衰竭，所以四肢没有阳气来温煦而逆冷；肝脏受伤，所以头晕目眩、吐血、便血；肝不能藏血，所以发病前先闻到腥臊气味，即俗话说的血腥气；肝气上逆，则胸胁部胀满支撑；胃气不顺畅，则影响进食。
关于乌贼骨丸，吴门王晋三在《古方选注》中的解释非常精妙，应当参考考证。
《素问·脉解篇》说：精气内夺而厥逆，就会变成喑痱，这是肾虚的表现，少阴经气不至，就是厥证。
《灵枢·热病篇》说：痱病的症状是身体无痛感，四肢弛缓不收，神志混乱不严重，说话还能让人听懂一点，可以治疗；如果严重到不能说话，就无法治疗了。病先从阳分起，后传入阴分的，先取阳经穴，后取阴经穴，采用浅刺的方法。
邪气盛实为实证，精气亏损为虚证。此病由内伤耗夺精气，导致阳气厥逆，形成喑痱，所以属于肾虚，少阴经脉之气不能上行至舌根，因此不能说话而成为喑，阳气上逆则下部虚寒而为厥。这不是由外感邪气引起，所以身体没有疼痛；本元元气涣散，所以四肢懈怠弛缓不能收持。如果神志混乱不严重，说话略能成句，稍微能让人明白意思，用峻补的方法可以治疗；如果严重到不能说话，且元气脱绝，就无法治疗了。病起于阳分，先治阳分，后治阴分，浮而取之，是指用针浅刺，以疏通经络之气；如果起于阴分，应当从阴经治疗。用药的原则，可以类推。医书称此类病为类中风，因为它是肝肾虚弱而生内风，并非外感的风邪。
The Yellow Emperor asked: There is a condition where the chest and hypochondrium feel distended and full, interfering with eating. Before the illness fully manifests, the patient first smells a fishy or foul odor, secretes clear fluid, expectorates blood, experiences cold limbs, dizziness, and bleeding from both the upper (vomiting) and lower (defecation) orifices. What is this disease called? How does it arise? Qibo replied: This disease is named "Blood Depletion" (Xueku). It arises from when the patient was young, having suffered massive blood loss, or engaging in sexual intercourse while intoxicated, leading to exhaustion of Qi and injury to the Liver. Consequently, menstruation becomes scanty or ceases entirely. The Yellow Emperor asked: How should it be treated? Qibo replied: Use four parts of Sepiae Endoconcha (Wuzhigu, cuttlefish bone) and one part of Rubia Cordifolia (Qiancao, madder root), combining these two substances. Form pills using quail eggs, sized like small beans. Take five pills before meals, washed down with Haliotidis Concha juice (Baoyujiao, abalone shell juice), to promote bowel movement and heal liver injury.
"Secretion of clear fluid" refers to frequently spitting out clear saliva, caused by Spleen deficiency failing to control saliva; "cold limbs" refers to coldness in the hands and feet; "bleeding from front and back" refers to blood in both urine/stool and vomit/blood. This is named Blood Depletion, occurring in both men and women, later generations calling it "Consumptive Disease" (Laosun). Exhaustion of Middle Qi means there is no Yang warmth to warm the limbs, resulting in coldness; Liver injury causes dizziness, hemoptysis, and hematochezia/hematuria; the Liver's failure to store blood leads to smelling a fishy odor at onset, commonly known as the smell of blood; rebellious Liver Qi causes chest and hypochondriac distension; disharmonious Stomach Qi interferes with eating.
Regarding the Sepiae Endoconcha Pill, Wang Jin San from Wu Men provided an excellent explanation in his *Gu Fang Xuan Zhu* (Selection and Annotation of Ancient Prescriptions); this should be consulted.
The *Suwen · Maijie Pian* states: When essence is depleted internally leading to厥 (Jue, reversal/collapse), it results in Yin (aphonia) and Fei (paralysis), which is due to Kidney deficiency. When the Shaoyin meridian Qi fails to arrive, it constitutes Jue.
The *Lingshu · Rebing Pian* states: In Fei disease, the body has no pain, the limbs are flaccid and unresponsive. If mental confusion is slight and speech is partially intelligible, it is treatable; if severe enough that speech is lost, it is untreatable. For diseases starting in the Yang aspect and later entering the Yin aspect, first select Yang meridians, then Yin meridians, using superficial needling.
Excess of pathogenic factors constitutes Excess patterns; depletion of essential Qi constitutes Deficiency patterns. This condition arises from internal injury depleting essence, causing Yang Qi to reverse and collapse, forming Yin and Fei. Thus, it is Kidney deficiency, and the Qi of the Shaoyin meridian cannot ascend to the base of the tongue, resulting in aphonia (Yin). Yang Qi rebelling upward leads to lower deficiency and Jue. Since it is not caused by external pathogenic factors, the body feels no pain; because primordial Yuan Qi is scattered, the limbs are flaccid and unable to hold themselves. If mental confusion is slight and speech can form sentences, allowing for some understanding, potent tonification methods can treat it; if severe enough to lose speech and Yuan Qi collapses, it is untreatable. Diseases arising from Yang are treated at Yang first, then Yin; "superficial selection" refers to shallow needle insertion to unblock meridian Qi; those arising from Yin should be treated via Yin meridians. The principles of herbal medicine can be inferred analogously. Medical texts refer to this as "Stroke-like Syndrome" (Lei Zhongfeng), because it stems from Liver and Kidney deficiency generating internal wind, rather than external wind pathogens.