\r五灵脂\pd467.bmp\r
味甘，温，无毒。主疗心腹冷气，小儿五疳，辟疫，治肠风，通利气脉，女子月闭
。出北地，此是寒号虫粪也。（今附）
臣禹锡等今据∶寒号虫四足，有肉翅不能远飞，所以不入禽部。
图经曰∶五灵脂，出北地，今惟河东州郡有之。云是寒号虫粪，色黑如铁，采无时。然
多是
夹沙石，绝难修治。若用之，先以酒研飞炼，令去沙石，乃佳。治伤冷积聚及小儿、女子方∶
中多用之。今医治产妇血晕昏迷，上冲闷绝，不知人事者。五灵脂二两，一半炒熟，一半生
用
，捣罗为散，每服一钱，温热水调下，如口噤者，以物斡开口灌之，入喉即愈，谓之独胜散
。又∶治血崩不止。五灵脂十两，捣罗为末，以水五大盏，煎至三盏，去滓澄清，再煎为膏
，入神曲末二两，合和，丸如梧桐子大。每服二十丸，温酒下，空心服便止。诸方∶用之极
多。
经验方∶治丈夫、妇人味逆，连日不止，粥食汤药不能下者，可以应用此得效。摩丸，
五
灵脂
煎热
生姜、酒，摩令极细，更以少生姜、酒化以汤，汤药令极热，须是先做下粥，温热得所，左
手与患人药吃，不得嗽口，右手急将粥与患人吃，不令太多。经效方∶治妇人心痛，血气
刺不可忍。失笑散∶五灵脂净好者，蒲黄等分，为末。每服二钱，用好醋一杓熬成膏，再入
水一盏同煎至七分，热服，立效。又方∶治妇人经血不止。五灵
脂末，炒令过熟，出尽烟气。每服五两钱，用当归两片，酒一中盏，与药末同煎至六
分，去滓热服。连三、五服效。
衍义曰∶五灵脂，行经血有功，不能生血。尝有人病眼中翳，往来不定，如此乃是血所
病也
。盖心生血，肝藏血，肝受血则能视，目病不治血为背理。此物入肝最速。一法，五灵脂二
两
，没药一两，乳香半两，川乌头一两半，炮去皮，同为末，滴水丸如弹子大，每用一丸，生
姜温酒磨服，治风冷气血闭，手足身体疼痛，冷麻。又有人被毒蛇所伤，良久之间已昏困；
有老僧以酒调药二钱灌之，遂苏。及以药滓涂咬处，良久，复灌二钱，其苦皆去。问之，乃
五灵脂一两，雄黄半两，同为末，只此耳。后有中毒者用之，无不验。此药虽不甚贵，然亦
多有伪者。
味甘，性温，无毒。主治心腹部的冷气积聚，小儿的五种疳积病，辟除瘟疫，治疗肠风便血，疏通气脉，治疗女子经闭。产于北方地区，这是寒号虫的粪便。（今附）
臣禹锡等人现在依据：寒号虫有四只脚，长着肉翅但不能远飞，所以不列入禽类部。
《图经本草》说：五灵脂产于北方地区，如今只有河东州的郡县有出产。说是寒号虫的粪便，颜色黑得像铁，采集没有固定时间。然而大多夹杂沙石，极难炮制处理。如果要使用它，先用酒研磨、飞炼（水飞法），使其去除沙石，这样才好。在治疗伤冷积聚以及小儿、女子的方剂中多用此药。如今医生治疗产妇因血晕导致的昏迷，气血上冲闷绝，人事不知的情况。用五灵脂二两，一半炒熟，一半生用，捣碎过筛成散剂，每次服用一钱，用温热水调服，如果牙关紧闭，就用器具撬开嘴灌入，药入喉即愈，这叫独胜散。又方：治疗血崩不止。用五灵脂十两，捣碎过筛成粉末，用水五大盏，煎至三盏，去渣澄清，再煎成膏状，加入神曲末二两，混合均匀，制成梧桐子大小的丸药。每次服用二十丸，用温酒送下，空腹服用即可止血。各方中用它的情况极多。
经验方：治疗男子、妇人呃逆，连续几天不停，粥食汤药无法咽下的情况，应用此方可得效。摩丸：将五灵脂与热生姜、酒一起研磨至极细，再加少许生姜、酒化开为汤，汤药要极热。必须先做好粥，温度适宜，左手给病人喂药吃，不能漱口，右手急忙将粥给病人吃，不要吃得太多。经效方：治疗妇人心痛，血气刺痛不可忍受。失笑散：选用干净优质的五灵脂，与蒲黄等量，研成粉末。每次服用二钱，用好醋一杓熬成膏状，再加入水一盏同煎至七分，热服，立即见效。又方：治疗妇人经血不止。用五灵脂末，炒至过熟，烧尽烟气。每次服用五钱，用当归两片，酒一中盏，与药末同煎至六分，去渣热服。连服三、五次有效。
《衍义》说：五灵脂在通经活血方面有功效，但不能生血。曾经有人患眼中翳障，位置游移不定，这乃是血病所致。因为心生血，肝藏血，肝得到血液滋养就能视物，眼病如果不治血就是违背常理。此物入肝最快。一种方法：五灵脂二两，没药一两，乳香半两，川乌头一两半，炮制去皮，共同研成粉末，滴水制成如弹子大的丸药，每次用一丸，用生姜温酒磨服，治疗风冷气血闭塞，手足身体疼痛，发冷麻木。又有人被毒蛇咬伤，过了一会儿已经昏困；有位老僧用酒调药二钱灌下去，于是苏醒。然后用药渣涂抹咬处，过了很久，又灌下二钱，痛苦全部消除。询问得知，那是五灵脂一两，雄黄半两，共同研成粉末，仅此而已。后来中毒者使用此方，无不灵验。此药虽然不是很贵重，但也有很多伪品。
Wulingzhi (Trogopterus Dung)
Sweet in flavor, warm in nature, non-toxic. It primarily treats cold qi accumulation in the heart and abdomen, five types of infantile malnutrition syndromes (Wu Gang), dispels epidemics, treats intestinal wind bleeding, unblocks and promotes the flow of Qi and blood vessels, and treats amenorrhea in women. It originates from northern regions; this is the feces of the "Han Hao Chong" (flying squirrel). (Modern addition)
Minister Yuxi et al. now state: The Han Hao Chong has four feet and fleshy wings but cannot fly far, therefore it is not classified under the avian section.
The *Illustrated Classic* states: Wulingzhi originates from northern regions and is currently only found in prefectures of Hedong. It is said to be the feces of the Han Hao Chong, black like iron, collected at any time. However, it often contains sand and stones, making it extremely difficult to process. If used, it must first be ground with wine and washed (water flotation method) to remove sand and stones for best results. It is frequently used in formulas treating cold injuries and accumulations, as well as in prescriptions for infants and women. Currently, physicians use it to treat postpartum blood syncope characterized by coma, upward rushing of Qi and blood causing suffocation and unconsciousness. Use two liang of Wulingzhi, half stir-fried until cooked, half raw. Pulp and sieve into a powder. Take one qian each time, mixed with warm water and swallowed. If the jaw is clenched, pry open the mouth with an instrument and administer the medicine; recovery occurs immediately upon entering the throat. This is called Dusheng San (Single Victory Powder). Another prescription: Treats unstoppable metrorrhagia. Use ten liang of Wulingzhi, pulp and sieve into powder. Add five large bowls of water, decoct until three bowls remain, filter the dregs and clarify, then decoct again into a paste. Add two liang of Shenqu (Medicated Leaven) powder, mix well, and form pills the size of paulownia seeds. Take twenty pills each time, administered with warm wine on an empty stomach to stop bleeding. Its use in various formulas is extremely common.
Empirical Prescription: Treats hiccups in men and women that persist for days, preventing the ingestion of porridge, food, or medicinal decoctions. Applying this formula yields effective results. Mo Wan (Rubbing Pill): Grind Wulingzhi with hot ginger and wine until extremely fine. Further dissolve with a small amount of ginger, wine, and hot water. The medicinal liquid should be very hot. Prepare porridge beforehand at a suitable temperature. With the left hand, feed the medicine to the patient without allowing them to rinse their mouth. With the right hand, quickly feed the porridge to the patient, ensuring they do not eat too much. Jingxiao Fang (Effective Formula): Treats female heart pain caused by stabbing pain from stagnant Qi and blood that is unbearable. Shixiao San (Formula for Stopping Pain): Use clean, high-quality Wulingzhi and Puhuang (Cattail Pollen) in equal proportions, grind into powder. Take two qian each time. Boil one ladle of good vinegar into a paste, add one bowl of water, and decoct together until 70% remains. Administer while hot for immediate effect. Another prescription: Treats unstoppable menstrual bleeding in women. Use Wulingzhi powder, stir-fry until thoroughly cooked and all smoky odor is gone. Take five qian each time, decoct together with two slices of Danggui (Angelica Sinensis) and one medium bowl of wine until 60% remains. Filter dregs and take while hot. Effective after three to five doses.
*Yanyi* states: Wulingzhi has merit in promoting menstrual blood flow but cannot generate blood. Once, a person suffered from eye nebulae (cataracts/opacities) that moved around unpredictably; this was a disorder of the blood. Since the Heart generates blood and the Liver stores blood, and the Liver enables vision when nourished by blood, treating eye diseases without addressing the blood contradicts medical principles. This substance enters the Liver channel most rapidly. One method: Two liang of Wulingzhi, one liang of Moyao (Myrrh), half a liang of Ruxiang (Frankincense), and one and a half liang of Chuanwutou (Aconitum Carmichaelii Radix Preparata, processed and peeled). Grind all into powder, add drops of water to form pills the size of bullet seeds. Use one pill each time, rubbed with ginger and warm wine for administration. Treats wind-cold blocking Qi and blood, causing pain, coldness, and numbness in the hands, feet, and body. Another case: A person bitten by a venomous snake became comatose after some time. An old monk administered two qian of medicine mixed with wine, leading to revival. The residue was then applied to the bite site. After some time, another two qian were administered orally, eliminating all suffering. Inquiry revealed the composition was one liang of Wulingzhi and half a liang of Xionghuang (Realgar), ground together. Subsequent poisonings treated with this formula proved invariably effective. Although this drug is not very expensive, there are many counterfeit versions available.