(次卒痛论之后)
有病心腹满。旦食则不能暮食(朝宽暮急。病在营血)名为鼓胀(虚大而急亦名蛊胀)治之
以鸡矢
醴。一剂知。二剂已(鸡矢之性。消积下气。一剂可知其效。二剂则已其病○用羯鸡矢一升
。研细炒微焦。入无灰酒三碗煎至一半。用布滤取汁。五更热饮则腹鸣辰巳时行二三次。皆
黑水也。次日觉足面渐有绉纹。又饮一次。而病愈矣)
有病胸胁支满者。妨于食病至。则先闻腥臊臭(肺气腥肝气臊)出清液(清冷臭液)先唾血
(肝
不能藏血)四支清(脾虚则阳气不行于四末)目眩(肝虚)时时前后血(阴失其守)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。以四乌 骨。
一茹。二物并合之。丸以雀卵。大如小豆。以五丸为后饭(先药后饭也)饮以鲍鱼汁利肠中
(乌 鱼骨涩物也 茹即蔺茹。味苦。气芳。雀卵益元阳。鲍鱼味浓益阴。)
病有少腹盛。上下左右皆有根。病名曰伏梁(难经伏梁为心之积与此不同)裹大脓血。居
肠胃
之外。不可治。治之每切按之致死(切按之。谓过于妄攻也)此下则因阴。必下脓血。上则迫
胃脘。生鬲侠。胃脘内痈(内溃之痈)此久病也难治。居脐上为逆居脐下为从。勿动亟夺(言
勿得动胃气行大便而数。夺之也。)
人有身体髀股 皆肿。环脐而痛病名伏梁。此风根也(风毒根于中也)其气溢于大肠而着
于肓
。肓之原在脐下。故环脐而痛也。不可动之。动之为水溺涩之病(言不可下之而动其便)何以
知
怀子之且生也(生者。无后患之意)身有病而无邪脉也(如有呕恶头痛诸症而脉不病。若经闭
知其为胎气也)
（在论述卒痛之后）
有一种病表现为心腹部胀满，早晨吃了东西到了晚上就不能再吃（早晨症状缓解，傍晚加重，病在营血），这种病名叫鼓胀（腹部虚大且急迫的也称为蛊胀）。治疗它用鸡矢醴。服用一剂就能见效，服用两剂病就好了。（鸡矢的性质，能消除积滞、下气。服用一剂就可以知道它的疗效，服用两剂病就会痊愈○使用羯鸡的粪便一升，研细后炒至微焦，加入无灰酒三碗，煎至剩下一半，用布过滤取汁液。在五更天时热饮，腹中会鸣响，辰时和巳时会排出两三次黑色的水。第二天感觉脚面逐渐出现皱纹，再喝一次，病就痊愈了）
有一种病表现为胸胁部支撑胀满，妨碍进食，发病时先闻到腥臊的气味（肺的气味为腥，肝的气味为臊），流出清冷的液体（清冷且带有臭味的液体），经常唾血（肝不能藏血），四肢发凉（脾虚则阳气不能运行到四肢末端），头晕目眩（肝虚），时常大小便出血（阴液失去固守）。这种病名叫血枯。这通常是因为年轻时曾经大量失血，或者酒后行房事，导致中气衰竭，肝脏受损，所以月经减少甚至闭经。治疗方法是用四份乌贼骨，一份茜草，将这两种药混合，用雀卵做丸，大小如小豆。每次服用五丸，作为饭后服（先服药后吃饭），用鲍鱼汁送服以通利肠道（乌贼骨具有收敛作用，茜草即蔺茹，味苦，气味芳香，雀卵能补益元阳，鲍鱼味道浓郁能补益阴液。）
有一种病表现为少腹部胀满坚实，上下左右都有根结，这种病名叫伏梁（《难经》中提到的伏梁是心的积块，与此不同）。它包裹着大量的脓血，位于肠胃之外，属于不可治愈的疾病。如果治疗时强行切按，会导致死亡（切按是指过于妄加攻伐）。如果向下攻治，必然导致下脓血；如果向上攻治，则会压迫胃脘，产生膈膜附近的内痈（内部溃烂的痈肿）。这是久病，难以治愈。病灶在脐上为逆证，在脐下为顺证。不要扰动胃气，使其频繁排便而耗夺正气（意思是不要让胃气下行导致大便次数过多，从而耗夺正气。）
有人身体大腿和小腿都肿胀，围绕肚脐疼痛，这种病名叫伏梁。这是风毒之邪潜伏于体内（风毒根源于中焦）。邪气溢入大肠并附着于肓膜。肓的原气部位在脐下，所以会出现围绕肚脐疼痛的症状。不可用攻下法治疗，如果误用攻下，会导致小便涩痛的病症（意思是不可用泻下法而扰动二便）。如何判断孕妇即将分娩呢？（“生”的意思是产后没有后患之意）身体虽然有妊娠反应等病症，但脉象没有病态（如果有呕吐恶心、头痛等症状，但脉象正常，若月经停止，就知道是胎气所致。）
(After the discussion on sudden pain)
There is a disease characterized by fullness in the heart and abdomen. The patient cannot eat at night after eating in the morning (symptoms relieve in the morning and worsen in the evening, indicating pathology in Ying-Blood), named Gu Zhang (Drum Distension) (also called Gu Distension when the abdomen is vacuously enlarged and tense). It is treated with Ji Shi Li (Chicken Dropping Fermented Liquid). One dose brings noticeable improvement; two doses cure the disease. (The nature of chicken droppings eliminates accumulation and directs Qi downward. One dose demonstrates its efficacy; two doses resolve the disease. ○ Use one sheng of male chicken droppings, grind finely, stir-fry until slightly scorched, add three bowls of unadulterated wine, decoct until half remains, filter through cloth to obtain the juice. Drink hot during the Wu Geng period (1-3 AM). Abdominal borborygmi will occur, and two to three times of black watery stools will pass during Chen and Si hours (7-11 AM). The next day, wrinkles gradually appear on the dorsum of the feet. Drink once more, and the disease is cured.)
There is a disease characterized by distending fullness in the chest and hypochondrium, which hinders eating. At the onset, the patient first smells fishy and rank odors (the lung odor is fishy, the liver odor is rank), flows clear fluids (clear, cold, and foul-smelling fluids), expectorates blood frequently (liver fails to store blood), feels cold in the four limbs (spleen deficiency leads to Yang Qi failing to circulate to the extremities), experiences dizziness (liver deficiency), and frequently bleeds from both the anterior and posterior orifices (Yin fluids lose their securing function). This disease is named Xue Ku (Blood Depletion). It often results from massive blood loss in youth or sexual intercourse while intoxicated, leading to exhaustion of Middle Qi and injury to the liver, causing menstrual flow to decrease or cease. The treatment involves combining four parts of Hai Piao Xiao (Cuttlefish Bone) and one part of Qian Cao (Madder Root), forming pills using quail eggs, sized like small beans. Take five pills as a post-meal dose (take medicine before food), washed down with Bao Yu Zhi (Abalone Juice) to promote intestinal lubrication (Hai Piao Xiao has an astringent property; Qian Cao, also known as Lin Ru, is bitter and aromatic; quail eggs tonify Yuan Yang; abalone is rich in flavor and nourishes Yin.)
There is a disease characterized by fullness and hardness in the lower abdomen, with roots palpable above, below, left, and right, named Fu Liang (Hidden Beam) (different from the Heart Accumulation described in Nan Jing). It wraps around large amounts of pus and blood, residing outside the intestines and stomach. It is considered incurable. Treatment involving forceful pressing can be fatal (pressing refers to excessive and reckless attacking). If treated by purging downwards, pus and blood will inevitably pass from the rectum; if treated by pushing upwards, it will compress the epigastrium, generating an internal abscess near the diaphragm (internal ulcerating carbuncle). This is a chronic condition and difficult to treat. Lesions located above the umbilicus indicate a adverse prognosis (Ni); those below the umbilicus indicate a favorable prognosis (Cong). Do not disturb the Stomach Qi to induce frequent defecation and deplete Zheng Qi (meaning: do not allow Stomach Qi to descend excessively causing frequent bowel movements, thereby depleting vital energy.)
A person presents with swelling of the thighs and legs, and pain surrounding the umbilicus, named Fu Liang. This is rooted in Wind pathogens (Wind-toxin resides in the interior). The pathogenic Qi overflows into the Large Intestine and attaches to the Huang (Sanjiao membrane). The source of the Huang is below the umbilicus, hence the pain surrounding the navel. It must not be treated with purgatives; doing so will cause difficulty in urination (meaning: do not use laxatives that disturb bowel movements). How can one determine that a pregnant woman is about to give birth? ("Sheng" implies no subsequent complications.) The body exhibits symptoms (such as pregnancy-related signs), but the pulse is free of pathological indicators (if there are symptoms like nausea, vomiting, or headache, but the pulse is normal, and menstruation has ceased, it indicates fetal Qi.)