经曰∶病久则传化上下不并（不通也）。《易》以上下乖隔不通为蛊。其证乃阴阳气血皆虚，出
入升降违度。先由大怒致肝木盛极，克制脾土，营运失职，遂成中满痞塞诸疾，渐而正虚邪实，
以成胶固难起之 。至此欲攻恐正气愈虚，欲补恐邪气转炽，谨可中和调之。此际犹有恣食纵怒
者，自速死耳，欲行治理，必绝怒气，断盐酱、远音乐、戒鹅鸭，惹湿诸物，循序服药，十生一
二。脉浮大顺，虚细逆。或患人急胀痛苦之甚，姑以腹胀、痞满、水肿诸方及三花神佑丸（方见
痰门） 暂用数服；次以主方接服，消补兼行
主方 人参（五分） 白术 茯苓 猪苓 泽泻（各一钱） 木香（另磨） 白豆菀（另
研） 陈皮 木通（各七分）上水煎服
分消丸 治气蛊。腹胀如鼓，俗名单腹胀，脐突坚硬如石。
浓朴（一两） 半夏 枳实（各五分） 黄连 干姜 知母（各四钱） 泽泻 海金砂 陈
皮（各三钱） 猪苓 人参 姜黄 黄芩 白术 甘草（各一钱）
上为末，水丸绿豆大。每二钱炒，热汤下。
经验桃奴丸 治血蛊。腹上有血丝，妇女月经不通，腹中有块，胀痛及男子坠马跌扑，瘀
血留积胀痛等证。
桃奴（冬月树上小干桃） 鼠粪（雄鼠也，两头尖者是） 玄胡索 香附子 肉桂 五灵
脂桃仁（去皮尖，捣如泥） 砂仁（等分）
上为末，水法丸如绿豆大。每服三钱，空心温酒送下。
利水益元散 治湿热为病，二便不利，正气亏虚等证。
茯苓 白术 人参 猪苓 泽泻（各半两） 滑石（水飞，六两） 甘草（三钱）
上为末，每服三钱，食远，灯心汤调下。
简便方 蛊胀，用马鞭草锉晒，勿见火，或酒、或水煎服。
又 初感气实有痰，陈葫芦（一枚，去顶） 入酒，竹箸松其籽，仍用顶封固，重汤煮数沸
，去子饮酒尽，一吐几危，吐后腹渐宽，调理而愈。
《黄帝内经》说：疾病日久就会发生传变，导致上下气机不通畅（即阴阳之气不能交通）。《易经》将上下乖隔、气机不通的状态称为“蛊”。这种病症表现为阴阳两虚、气血不足，人体的出入升降功能违背了正常规律。起初是因为大怒导致肝木之气过盛，克制脾土，使得脾胃运化功能失职，从而形成中焦胀满、痞塞等各种疾病；逐渐发展为正气虚弱而邪气实盛，成为顽固难治的痼疾。到了这个阶段，想要攻伐邪气恐怕正气会更加虚弱，想要补益正气又恐怕邪气更加炽盛，只能谨慎地采用中和之法来调理。此时如果还有放纵饮食、肆意发怒的人，那就是自寻死路。想要进行治疗，必须杜绝怒气，断绝盐酱，远离音乐刺激，戒食鹅鸭及容易生湿的食物，按顺序服药，十个人中可能救活一两个。脉象浮大者为顺证，虚细者为逆证。如果患者腹胀痛苦非常严重，可以先暂时服用治疗腹胀、痞满、水肿的方剂以及三花神佑丸（方剂见痰证门）几服；然后再接续服用主方，以消补兼施的方法治疗。
主方：人参（五分），白术，茯苓，猪苓，泽泻（各一钱），木香（另磨成粉），白豆蔻（另研碎），陈皮，木通（各七分）。以上药材加水煎煮后服用。
分消丸：治疗气蛊。症状为腹部胀大如鼓，俗称单腹胀，肚脐突出坚硬如石。
配方：厚朴（一两），半夏，枳实（各五分），黄连，干姜，知母（各四钱），泽泻，海金砂，陈皮（各三钱），猪苓，人参，姜黄，黄芩，白术，甘草（各一钱）。
以上药物研为细末，用水泛丸，大小如绿豆。每次服用二钱，炒过后用热汤送下。
经验桃奴丸：治疗血蛊。症状为腹部有血丝，妇女月经不通，腹中有肿块，胀痛，以及男子因坠马跌扑导致的瘀血留积、胀痛等证候。
配方：桃奴（冬季树上未落的小干桃），鼠粪（雄鼠屎，两头尖的是正品），玄胡索，香附子，肉桂，五灵脂，桃仁（去皮尖，捣成泥状），砂仁（以上各药等分）。
以上药物研为细末，用水泛丸，大小如绿豆。每次服用三钱，空腹时用温酒送下。
利水益元散：治疗湿热引起的疾病，大小便不利，正气亏虚等证候。
配方：茯苓，白术，人参，猪苓，泽泻（各半两），滑石（水飞法处理，六两），甘草（三钱）。
以上药物研为细末，每次服用三钱，在饭后较远的时间，用灯心草汤调服。
简便方：治疗蛊胀，使用马鞭草切碎晒干，注意不要见火，或者用酒或水煎煮服用。
另一个方子：初感气实且有痰湿时，取陈葫芦一个，去掉顶部，装入酒，用竹筷搅松里面的籽，再用顶部封固，放入水中隔水煮沸数次，取出籽，将酒喝尽。此法服用后可能会引起剧烈呕吐，几乎危及生命，但吐之后腹部会逐渐宽松，经过调理即可痊愈。
The *Huangdi Neijing* (Yellow Emperor's Inner Canon) states: "When a disease persists for a long time, it transmits and transforms, leading to a lack of communication between the upper and lower parts" (i.e., the Qi of Yin and Yang cannot interact). The *I Ching* (Book of Changes) refers to the state where the upper and lower are separated and Qi flow is obstructed as "Gu" (Gu Syndrome). This syndrome manifests as deficiency in both Yin and Yang, insufficiency of Qi and Blood, and the body's ascending and descending functions deviate from normal regulation. Initially, excessive anger causes Liver Wood Qi to become hyperactive, overacting on Spleen Earth, resulting in dysfunction of transportation and transformation, thereby forming various diseases such as middle-jiao fullness and obstruction. Gradually, this develops into a condition where righteous Qi is deficient while pathogenic factors are excess, becoming a stubborn and difficult-to-treat chronic illness. At this stage, attempting to purge pathogens may further weaken righteous Qi, while tonifying righteous Qi may exacerbate pathogenic factors; thus, one must cautiously employ harmonizing methods. If patients at this juncture continue to indulge in diet or rage, they are hastening their own death. To treat this, one must eliminate anger, abstain from salt and soy sauce, avoid music stimulation, refrain from eating goose, duck, and other damp-producing foods, take medications in sequence, and only one or two out of ten might survive. A floating and large pulse indicates a favorable prognosis, while a deficient and fine pulse indicates an unfavorable one. If the patient suffers from severe abdominal distension and pain, temporarily administer several doses of formulas treating abdominal distension, obstruction, and edema, as well as Sanhua Shenyuan Wan (see Phlegm Section); subsequently, follow with the main formula, employing simultaneous reduction and tonification.
Main Formula: Renshen (Ginseng Radix, 5 fen), Baizhu (Atractylodis Rhizoma, unspecified amount), Fuling (Poria, unspecified amount), Zhuling (Polyporus, unspecified amount), Zexie (Alismatis Rhizoma, 1 qian each), Muxiang (Aucklandiae Radix, ground separately), Baidoukou (Amomi Fructus Rotundus, crushed separately), Chenpi (Citri Reticulatae Pericarpium, 7 fen each), Mutong (Akebiae Caulis, 7 fen each). Decoct in water and take orally.
Fenxiao Wan: Treats Qi Gu. Symptoms include abdominal distension like a drum, commonly known as single-abdominal distension, with the umbilicus protruding and hard as stone.
Ingredients: Houpo (Magnoliae Officinalis Cortex, 1 liang), Banxia (Pinelliae Rhizoma, 5 fen each), Zhishi (Aurantii Fructus Immaturus, 5 fen each), Huanglian (Coptidis Rhizoma, 4 qian each), Ganjiang (Zingiberis Rhizoma, 4 qian each), Zhimu (Anemarrhenae Rhizoma, 4 qian each), Zexie (Alismatis Rhizoma, 3 qian each), Haijinsha (Lygodii Spora, 3 qian each), Chenpi (Citri Reticulatae Pericarpium, 3 qian each), Zhuling (Polyporus, 1 qian each), Renshen (Ginseng Radix, 1 qian each), Jianghuang (Curcumae Longae Rhizoma, 1 qian each), Huangqin (Scutellariae Radix, 1 qian each), Baizhu (Atractylodis Rhizoma, 1 qian each), Gancao (Glycyrrhizae Radix et Rhizoma, 1 qian each).
Grind into powder, form pills with water, size of mung beans. Take 2 qian per dose, stir-fried, and swallow with hot water.
Jingyan Taonuo Wan: Treats Blood Gu. Symptoms include blood streaks on the abdomen, amenorrhea in women, abdominal masses with distension and pain, and conditions in men such as abdominal distension and pain due to retained blood stasis from falling off horses or bruises.
Ingredients: Taonuo (Dried small peaches remaining on the tree in winter), Shufen (Mus Carduus, male mice feces, those pointed at both ends are authentic), Yanshusuo (Cyperus rotundus? Note: Text says Xuanhusuo, likely Corydalis Yanhusuo), Xiangfuzi (Cyperi Rhizoma), Rougui (Cinnamomi Cortex), Wulingzhi (Trogopterori Faeces), Taoren (Persicae Semen, peeled and pitted, pounded into paste), Sharen (Amomi Fructus). All ingredients in equal proportions.
Grind into powder, form pills with water, size of mung beans. Take 3 qian per dose, on an empty stomach, washed down with warm wine.
Lishui Yiyuan San: Treats diseases caused by Damp-Heat, including difficulty in urination and defecation, and deficiency of righteous Qi.
Ingredients: Fuling (Poria, half liang each), Baizhu (Atractylodis Rhizoma, half liang each), Renshen (Ginseng Radix, half liang each), Zhuling (Polyporus, half liang each), Zexie (Alismatis Rhizoma, half liang each), Huashi (Talcum, water-ground, 6 liang), Gancao (Glycyrrhizae Radix et Rhizoma, 3 qian).
Grind into powder. Take 3 qian per dose, far after meals, mixed with Dengxincao (Junci Medullia) decoction.
Simple Prescription: For Gu Distension, use Mabiancao (Verbena officinalis), chopped and sun-dried, avoiding fire. Decoct in wine or water and take orally.
Another Prescription: For initial stages of Qi Excess with Phlegm, take one aged gourd (Hu Lu), remove the top, insert wine, loosen the seeds inside with a bamboo chopstick, seal the top again, and boil in water for several boils. Remove the seeds and drink the wine completely. This may induce severe vomiting, nearly fatal, but after vomiting, the abdomen will gradually relax, and recovery follows with proper conditioning.