【痧胀腹痛之症】忽尔胸腹胀痛，手足厥冷，指甲带青，痛不可忍，不吐不泻，或吐或
泻，按之痛甚，俗名绞肠痧，此即痧胀腹痛之症也。
【痧胀腹痛之因】或沿海之地，或山岚之间，或风木之邪，燥金之胜，一切不正之气，
袭人肠胃，则为痧毒而腹痛作矣。
【痧胀腹痛之脉】脉多数大，或多促结，痛极而结，脉反停歇。
【痧胀腹痛之治】十指青冷，刺指出血，欲吐不吐，盐汤探吐，攻刺胁肋，则刺期门。
或
人名曰放痧。恶寒发热，脉浮大者，败毒散。
羌独败毒散
羌活 独活 柴胡 前胡 桔梗 防风 荆芥 广皮 甘草 川芎
桢按∶以上五条，皆外感腹痛，故另列于前。
【热积腹痛之症】身热腹热，烦躁不寐，时作时止，痛则汗出，或痛而作声，或痛而一
泛即欲下痢，一利即止，此热积腹痛之症也。
【热积腹痛之因】或膏粱酒热，曰积于中，或心肝火动，煎熬于内，或多食过饱，停积
发热，凡此皆热积腹痛之症也。
【热积腹痛之脉】右关滑数，肠胃积热。左关弦急，肝胆有火。热积内伏，脉反沉伏，
按之良久，应指劈劈。
【热积腹痛之治】膏粱浓味者，枳壳川连汤。痛而欲痢，痢后稍减，片时复痛，承气汤
选用。酒热成积者，栀连平胃散，加枳、葛。食积发热者，保和丸，加枳、连。右关洪数者，
清胃汤。左关洪数者，龙胆泻肝汤。
枳壳川连汤
枳壳 川黄连
胸前满闷加砂仁末。小便不利加木通、滑石。大便结加大黄、玄明粉。
承气汤
大黄 枳壳 浓朴 芒硝
栀连平胃散
浓朴 陈皮 甘草 山栀 葛根 熟苍术 川连 枳壳
小便赤加木通、滑石。大便结加大黄、芒硝。胸满闷加砂仁、白蔻仁。目黄胆色
保和丸
山楂 神曲 半夏 白茯苓 莱菔子 陈皮 连翘
积热重加川连。胸满闷加枳壳、浓朴。
清胃汤
升麻 山栀 甘草 丹皮 川黄连
龙胆泻肝汤
柴胡 黄芩 山栀 知母 天冬 麦冬 胆草 人参 甘草 川黄连
【痧胀腹痛的症状】突然发生胸腹部胀痛，手足冰冷，指甲呈现青色，疼痛难以忍受，不呕吐也不腹泻，或者出现呕吐或腹泻，按压时疼痛加剧，俗称绞肠痧，这就是痧胀腹痛的症状。
【痧胀腹痛的病因】或者是沿海地区，或者是山林之间，或者是风木之邪，燥金之气过胜，一切不正之气，侵袭人的肠胃，就会形成痧毒而导致腹痛发作。
【痧胀腹痛的脉象】脉象多数表现为盛大，或者出现促脉、结脉，疼痛极度剧烈时脉搏反而出现停歇。
【痧胀腹痛的治疗】如果十个手指青紫冰冷，刺破指尖出血；想要呕吐却吐不出来，用盐汤探吐；攻刺胁肋部位，则针刺期门穴。有人称之为放痧。如果有恶寒发热、脉象浮大的症状，使用败毒散。
羌独败毒散
组成：羌活、独活、柴胡、前胡、桔梗、防风、荆芥、广皮（陈皮）、甘草、川芎。
桢按：以上五条，都属于外感引起的腹痛，所以单独列在前面。
【热积腹痛的症状】身体发热，腹部发热，烦躁不安无法入睡，疼痛时作时止，疼痛时会出汗，或者疼痛时发出声音，或者疼痛一阵后就想要下痢，一旦排便后疼痛即停止，这就是热积腹痛的症状。
【热积腹痛的病因】或者是食用膏粱厚味和饮酒产生的内热，积聚在体内；或者是心肝之火妄动，在体内煎熬；或者是饮食过多过饱，停滞积聚而发热，凡此种种都是热积腹痛的症状。
【热积腹痛的脉象】右关脉滑数，表示肠胃积热。左关脉弦急，表示肝胆有火。热积潜伏在内，脉象反而沉伏，按压良久，指下感觉搏动有力如劈劈声。
【热积腹痛的治疗】食用膏粱厚味者，使用枳壳川连汤。疼痛且想要下痢，排便后稍减，片刻后又痛，选用承气汤。因酒热成积者，使用栀连平胃散，加枳壳、葛根。因食积发热者，使用保和丸，加枳壳、黄连。右关脉洪数者，使用清胃汤。左关脉洪数者，使用龙胆泻肝汤。
枳壳川连汤
组成：枳壳、川黄连。
胸前满闷加砂仁末。小便不利加木通、滑石。大便干结加大黄、玄明粉。
承气汤
组成：大黄、枳壳、浓朴、芒硝。
栀连平胃散
组成：浓朴、陈皮、甘草、山栀、葛根、熟苍术、川连、枳壳。
小便赤加木通、滑石。大便干结加大黄、芒硝。胸满闷加砂仁、白蔻仁。目黄胆色（注：原文此处似有脱漏或语意未完，依原文直译）
保和丸
组成：山楂、神曲、半夏、白茯苓、莱菔子、陈皮、连翘。
积热重加川黄连。胸满闷加枳壳、浓朴。
清胃汤
组成：升麻、山栀、甘草、丹皮、川黄连。
龙胆泻肝汤
组成：柴胡、黄芩、山栀、知母、天冬、麦冬、胆草、人参、甘草、川黄连。
[Symptoms of Sha Distension Abdominal Pain] Sudden onset of distending pain in the chest and abdomen, coldness of the hands and feet, cyanosis of the fingernails, unbearable pain, absence of vomiting or diarrhea, or presence of vomiting or diarrhea, exacerbation of pain upon pressure. Commonly known as "Intestinal Cramping Sha," this constitutes the syndrome of Sha Distension Abdominal Pain (Sha Zheng Fu Tong).
[Etiology of Sha Distension Abdominal Pain] Whether in coastal regions or amidst mountain mists, or due to pathogenic factors of Wind-Wood, or excessive Dryness-Metal, all manner of abnormal Qi invading the intestines and stomach can generate Sha Toxin, leading to abdominal pain.
[Pulse Diagnosis of Sha Distension Abdominal Pain] The pulse is mostly large and forceful, or presents with rapid (Cu) or knotted (Jie) characteristics. When pain is extreme, the pulse may exhibit intermittent pauses.
[Treatment of Sha Distension Abdominal Pain] If the ten fingers are cyanotic and cold, puncture the fingertips to release blood. If there is an urge to vomit but inability to do so, induce vomiting using salt water solution. For pain radiating to the hypochondrium, puncture Qimen (LR14). This practice is referred to by some as "Releasing Sha." In cases accompanied by aversion to cold and fever with a floating and large pulse, utilize Baidu San (Decoction for Resolving Toxicity).
Qiang Du Baidu San (Qiang Huo and Du Huo Decoction for Resolving Toxicity)
Ingredients: Radix Notopterygii (Qiang Huo), Radix Angelicae Dahuricae et Saposhnikoviae (Du Huo), Radix Bupleuri (Chai Hu), Caulis Peucedani (Qian Hu), Flos Platycodonis (Jie Geng), Radix Saposhnikoviae (Fang Feng), Herba Schizonepetae (Jing Jie), Pericarpium Citri Reticulatae (Guang Pi), Radix Glycyrrhizae (Gan Cao), Radix Chuanxiong (Chuan Xiong).
Note by Zhen: The above five items all pertain to abdominal pain caused by external contraction; hence, they are listed separately at the beginning.
[Symptoms of Heat Accumulation Abdominal Pain] Fever of the body and abdomen, restlessness, insomnia, intermittent pain, sweating during pain episodes, vocalization during pain, or an immediate urge for dysentery after a bout of pain, with cessation of pain upon defecation. This constitutes the syndrome of Heat Accumulation Abdominal Pain (Re Ji Fu Tong).
[Etiology of Heat Accumulation Abdominal Pain] Accumulation of internal heat from rich foods and alcohol, or hyperactivity of Heart and Liver Fire causing internal scorching, or overeating leading to food stagnation and subsequent fever. All these scenarios result in the syndrome of Heat Accumulation Abdominal Pain.
[Pulse Diagnosis of Heat Accumulation Abdominal Pain] A slippery and rapid pulse at the Right Guan position indicates Heat Accumulation in the Intestines and Stomach. A wiry and urgent pulse at the Left Guan position indicates Fire in the Liver and Gallbladder. When Heat Accumulation lies latent internally, the pulse may appear deep and hidden; upon prolonged pressing, the pulsation feels vigorous and distinct.
[Treatment of Heat Accumulation Abdominal Pain] For those consuming rich and greasy foods, utilize Zhike Chuanlian Tang (Zhi Guo and Coptis Decoction). For pain with urge for dysentery, slight relief after defecation, and recurrence shortly after, select Chengqi Tang (Downbearing Decoction). For accumulation caused by wine and heat, utilize Zhilian Pingwei San (Gardenia and Coptis Powder for Calming the Stomach), adding Zhi Guo and Ge Gen. For fever due to food stagnation, utilize Baohe Wan (Preserve Harmony Pill), adding Zhi Guo and Lian. For a flooding and rapid pulse at the Right Guan position, use Qingwei Tang (Clear Stomach Decoction). For a flooding and rapid pulse at the Left Guan position, use Longdan Xiegan Tang (Gentian Decoction to Drain the Liver).
Zhike Chuanlian Tang (Zhi Guo and Coptis Decoction)
Ingredients: Fructus Aurantii (Zhi Ke), Rhizoma Coptidis (Chuan Lian Huang).
Add Semen Amomi Rotundum powder if there is fullness and oppression in the chest. Add Herba Aristolochiae Manshuriensis (Mutong) and Talcum (Huashi) if urination is difficult. Add Radix Rhei Palmati (Dahuang) and Natrii Sulfas (Xuanming Fen) if stool is constipated.
Chengqi Tang (Downbearing Decoction)
Ingredients: Radix Rhei Palmati (Dahuang), Fructus Aurantii (Zhi Ke), Cortex Magnoliae Officinalis (Nong Po), Natrii Sulfas (Mang Xiao).
Zhilian Pingwei San (Gardenia and Coptis Powder for Calming the Stomach)
Ingredients: Cortex Magnoliae Officinalis (Nong Po), Pericarpium Citri Reticulatae (Chen Pi), Radix Glycyrrhizae (Gan Cao), Fructus Gardeniae (Shan Zhi), Radix Puerariae Lobatae (Ge Gen), Prepared Rhizoma Atractylodis Macrocephalae (Shu Cang Zhu), Rhizoma Coptidis (Chuan Lian), Fructus Aurantii (Zhi Ke).
Add Mutong and Huashi for red urine. Add Dahuang and Mang Xiao for constipation. Add Amomi Fructus Rotundus (Sharen) and Cardamomi Albi Fructus (Baikou Ren) for chest fullness. [Text fragment regarding yellow eyes and gallbladder color omitted as incomplete].
Baohe Wan (Preserve Harmony Pill)
Ingredients: Fructus Crataegi (Shanzha), Massa Medicata Fermentata (Shenqu), Rhizoma Pinelliae Preparatum (Banxia), Polyporus (Baifuling), Semen Raphani (Laifuzi), Pericarpium Citri Reticulatae (Chen Pi), Flos Forsythiae (Lianqiao).
Add Rhizoma Coptidis (Chuanlian) for severe accumulated heat. Add Zhi Ke and Nong Po for chest fullness.
Qingwei Tang (Clear Stomach Decoction)
Ingredients: Rhizoma Cimicifugae (Shengma), Fructus Gardeniae (Shanzhi), Radix Glycyrrhizae (Gancao), Cortex Moutan (Danpi), Rhizoma Coptidis (Chuanhuanglian).
Longdan Xiegan Tang (Gentian Decoction to Drain the Liver)
Ingredients: Radix Bupleuri (Chaihu), Radix Scutellariae (Huangqin), Fructus Gardeniae (Shanzhi), Rhizoma Anemarrhenae (Zhimu), Radix Asparagi (Tian Dong), Radix Ophiopogonis (Maidong), Herba Gentianae (Dancao), Radix Ginseng (Renshen), Radix Glycyrrhizae (Gancao), Rhizoma Coptidis (Chuanhuanglian).