治太阳病六七日表证在脉微沉不结胸其人发狂以热在下焦小腹满小便自利者下血乃
治太阳病身黄脉沉结小腹硬小便自利其人如狂者血证谛也
水蛭（三十个熬咸苦寒） 虻虫（三十个熬去翅足苦微寒） 桃仁（二十个去皮尖苦甘
平）
大黄
上四味以水五升煮取三升去滓温服一升不下再服
成无己曰人之所有者气与血也气为阳阳病易治气塞而不行者犹易散血为阴阴病难治血畜
而不
畜血
即抵当汤减水蛭（十个）虻虫桃仁（各减五个）大黄增一两杵捣分为四丸以水一升煮一
丸取
七合服之 时当下血若不下者更服治伤寒有热少腹满应小便不利今反利者为有血也当下
即抵当丸加 虫蛴螬干漆干地黄芍药杏仁黄芩甘草为末炼蜜丸小豆大酒饮服五
治五劳虚极羸瘦腹满不能饮食食伤忧伤房室伤饥伤劳伤经络营卫气伤内有干血肌肤
黯黑缓中补虚
用虻虫（一钱去足翅炒）水蛭（一钱炒）麝香（一钱）没药（三钱）为细末煎四物加鬼
箭红
胡索汤调服治血晕血结血聚于胸中或偏于少腹或连于胁肋服后血下痛止只服汤药
与小陷胸治证相同
桔梗（三分辛苦微温） 贝母（三分辛苦平） 巴豆（一分去皮心熬黑研如脂辛温）
上先以二味为散内巴豆更于臼中杵之以白饮和服强人半钱匕羸者减之病在膈上必吐在膈
下必
出浊唾腥臭久久吐脓如米粥者为肺痈也
治疗太阳病经过六七天，表证仍在，但脉象微沉，没有形成结胸证，病人出现发狂的症状，这是因为热邪在下焦。如果小腹胀满，小便通畅自如的，应当通过泻下瘀血来治疗。
治疗太阳病，身体发黄，脉象沉而涩滞，小腹坚硬，小便通畅，病人神志如狂，这是蓄血证的确凿证据。
水蛭（三十个，熬制，味咸、苦，性寒） 虻虫（三十个，熬制，去掉翅膀和足，味苦，性微寒） 桃仁（二十个，去皮和尖，味苦、甘，性平）
大黄
以上四味药，用水五升，煮取三升，去渣，温服一升。如果瘀血未下，再服一次。
成无己说：人所拥有的主要是气和血。气属阳，阳病容易治疗；气机阻滞而不运行，还比较容易消散。血属阴，阴病难治；血液蓄积……（原文此处似有脱漏或断句不清，结合上下文意为：血畜而不行即为蓄血）。
即抵当汤减去水蛭（减至十个）、虻虫、桃仁（各减五个），大黄增加一两，捣碎制成四丸。用水一升，煮一丸，取七合服用。此时应当排出瘀血，如果没下，再服。治疗伤寒发热，少腹胀满，应该小便不利，现在反而通利，这是有瘀血的表现，应当攻下。
即抵当丸加入䗪虫、蛴螬、干漆、干地黄、芍药、杏仁、黄芩、甘草，研为细末，炼蜜制成小豆大小的丸剂，用酒送服五丸。
治疗五劳导致极度虚弱消瘦，腹部胀满，不能饮食。食伤、忧伤、房室劳伤、饥饱失调、劳倦过度，损伤经络营卫之气，体内有干血，肌肤暗黑，缓中补虚。
使用虻虫（一钱，去足翅，炒制）、水蛭（一钱，炒制）、麝香（一钱）、没药（三钱），研为细末。煎煮四物汤加鬼箭羽、红藤，调服此药末。治疗血晕、血结，血液积聚在胸中，或者偏聚于少腹，或者连及胁肋。服药后瘀血下行，疼痛停止，只服用汤药即可。
与小陷胸汤治疗的证候相同。
桔梗（三分，味辛、苦，性微温） 贝母（三分，味辛、苦，性平） 巴豆（一分，去皮心，熬黑，研如脂状，味辛，性温）
先将前两味药研为散，加入巴豆，再在臼中捣匀，用白米饮调和服用。体质强者服半钱匕，体弱者减量。病位在膈上者必定呕吐，病位在膈下者必定排泄出浑浊腥臭的脓液，久久吐出像米粥一样的脓液，这是肺痈。
Treats Taiyang disease (Disease of the Taiyang/Bladder channel) for six or seven days, with exterior symptoms remaining, but the pulse is slightly deep and not forming Jie Xiong (Chest Binding syndrome). The patient exhibits mania due to heat in the Lower Jiao (Lower Burner). If the lower abdomen is full and urine flows freely, blood stasis should be purged.
Treats Taiyang disease where the body is yellow, the pulse is deep and choppy, the lower abdomen is hard, urine flows freely, and the patient appears manic; this is a definitive sign of Blood Stasis (Xue Zheng).
Shuizhi (Leech, *Hirudo nipponica*, 30 pieces, processed; salty, bitter, cold)
Machong (Blue bottle fly larva, *Chrysomya megacephala*, 30 pieces, processed, wings and feet removed; bitter, slightly cold)
Taoren (Peach Kernel, *Prunus persica*, 20 pieces, skin and tips removed; bitter, sweet, neutral)
Dahuang (Rhubarb Root, *Rheum palmatum*)
The above four ingredients are boiled in five sheng of water to obtain three sheng. Strain and take one sheng warm. If blood stasis does not pass, administer again.
Cheng Wuji stated: What humans possess primarily is Qi and Blood. Qi belongs to Yang; Yang diseases are easy to treat. Even if Qi is obstructed and fails to circulate, it is relatively easy to disperse. Blood belongs to Yin; Yin diseases are difficult to treat. When blood accumulates... [text fragment implies: accumulation of blood constitutes Blood Stasis].
This refers to Didang Tang modified by reducing Shuizhi (to 10), Machong, and Taoren (each reduced by 5), increasing Dahuang by one liang, pounding into powder, and dividing into four pills. Boil one pill in one sheng of water to obtain seven ge. Take orally. This should result in the passage of blood stasis; if not, administer again. Treats Shanghan (Cold Damage) with fever, lower abdominal fullness. Urine should be difficult, but now it is free; this indicates blood stasis, which must be purged.
This refers to Didang Wan modified by adding Bichong (Ground beetle larva, *Oryctes rhinoceros*), Qicao (Mealworm, *Tenebrio molitor*), Ganqi (Dried Resin of Chinese Sumac, *Rhus chinensis*), Dihuang (Rehmannia Root, *Rehmannia glutinosa*), Shaoyao (Peony Root, *Paeonia lactiflora*), Xingren (Apricot Seed, *Prunus armeniaca*), Huangqin (Scutellaria Root, *Scutellaria baicalensis*), and Gancao (Licorice Root, *Glycyrrhiza uralensis*). Grind into fine powder, refine honey to make pills the size of red beans, and take five pills with wine.
Treats deficiency and emaciation caused by the Five Exhaustions (Wu Lao), abdominal fullness, and inability to eat. Caused by dietary injury, emotional injury, sexual excess, hunger/fatigue, or meridian and Ying-Wei (Nutritive and Defensive Qi) injury, leading to dry blood inside, darkened skin, and requiring gentle supplementation to tonify deficiency.
Use Machong (one qian, feet and wings removed, stir-fried), Shuizhi (one qian, stir-fried), Shexiang (Musk, *Moschus moschiferus*, one qian), and Moyao (Myrrh, *Commiphora myrrha*, three qian), ground into fine powder. Decoct Siwu Tang (Four Substances Decoction) with Guijianyu (Arrow Wood, *Eucommia ulmoides* branch? Note: Text says Gui Jian Yu usually refers to *Eucommia* or *Artemisia*, here likely specific herb) and Honghu (Safflower/Turnip root? Text says Hong Hu Suo, likely *Bignonia capreolata* or similar vine, often translated as Hook Vine or similar) soup to mix and take. Treats blood fainting and blood binding, where blood gathers in the chest, or concentrates in the lower abdomen, or extends to the hypochondrium. After taking, blood passes and pain stops; only decoction is needed.
The syndrome treated is the same as Xiaoxianxiong Tang (Minor Intra-thoracic Phlegm-Heat Decoction).
Jiegeng (Platycodon Root, *Platycodon grandiflorus*, 3 fen; pungent, bitter, slightly warm)
Beimu (Fritillary Bulb, *Fritillaria cirrhosa*, 3 fen; pungent, bitter, neutral)
Badou (Croton Seed, *Croton tiglium*, 1 fen, skin and heart removed, roasted black, pounded to fat-like consistency; pungent, warm)
First, grind the first two ingredients into a powder, add Badou, and pound further in a mortar. Mix with white rice water and administer. Strong individuals take half a qianbi (measure); weak individuals reduce the dose. If the pathology is above the diaphragm, vomiting will occur; if below the diaphragm, turbid, foul-smelling discharge will occur. Long-term expulsion of pus resembling congee indicates Fei Yong (Lung Abscess).