治伤寒有热。小腹满。应小便不利。今反利者。为有血也。当下之。
虻虫（二十个 去翅足。熬） 水蛭（二十个 熬。） 桃仁（三十五个） 大黄（三
两）
上四味捣。分为四丸。以水一升。煮一丸。取七合服。不可余药。 时当下血。若不下
者。
歌曰 卅五桃仁三两黄。虻虫水蛭廿枚详。捣丸四个煎宜一。有热尿长腹满尝。
陈修园曰。抵当之脉。浮取微而沉取结。按曰微而沉。非沉微也。故又以沉结申之。抵
当之
小便自利。非膀胱之气不化。为下焦之瘀不行。以此方之难用。又不可不用。不得不重申其
义也。然此为抵当汤、丸二证公共之辨法也。师又立抵当丸方法者。着眼在有热二字。以热
瘀于里而仍蒸于外。小腹又满。小便应不利而反自利。其证较重。而治之不可急遽。故变汤
为丸。以和洽其气味。令其缓达病所。曰不可余药者。谓连滓服下。不可留余。庶少许胜多
许。俟 时下血。病去而正亦无伤也。
治结胸证。项亦强。如柔 状。下之则和。此方主之。
大黄（半斤） 葶苈子（半升 熬。） 杏仁（半升 去皮尖。炒黑。） 芒硝（半升）
上四味。捣筛二味。次内杏仁、芒硝。合研如脂。和散。取如弹丸一枚。别捣甘遂末一
钱匕
如药法。
歌曰 大陷胸丸法最超。半升葶苈杏硝调。项强如 君须记。八两大黄取急消。
蔚按。太阳之脉。上循头项。太阳之气。内出于胸膈。外达于皮毛。其治法宜从汗解。
今应
以
结。
丸而又纳蜜奈何。欲峻药不急于下行。亦欲毒药不伤其肠胃也。
治疗伤寒伴有发热。小腹部胀满。按理应当小便不通畅。现在反而小便通畅的，是因为体内有瘀血。应当采用攻下法治疗。
虻虫（二十个，去掉翅膀和足，炒制） 水蛭（二十个，炒制） 桃仁（三十五个） 大黄（三两）
以上四味药捣碎，分成四丸。用水一升，煮其中一丸，取汁七合服用。不可剩下药渣。此时应当会有瘀血排出。如果没排出的，
歌诀说：三十五枚桃仁配三两黄芩（注：原文为“黄”，结合方剂组成应为大黄，但歌诀中常因押韵或传抄异文，此处依原文翻译为“黄”，但在中医语境下指代大黄），虻虫和水蛭各二十个要仔细分辨。捣成四丸，煎煮时宜用一升水。有发热、尿长（通利）、腹部胀满的症状可参考此方。
陈修园说：抵当汤/丸证的脉象，轻取微细，重按则结滞。所谓“微而沉”，不是指沉而微弱，所以又用“沉结”来进一步说明。抵当证的小便自利，不是因为膀胱气化功能失常，而是因为下焦的瘀血阻滞不通。因为这个方子难以使用，但又不得不使用，所以不得不重申其含义。然而，这是抵当汤和抵当丸两个证候共同的鉴别方法。老师又设立抵当丸的方法，着眼点在于“有热”这两个字。因为热邪瘀结在里，仍然蒸腾于外，小腹部胀满，小便本该不通却反而通利。这个证候比较重，但治疗不能过于急迫。所以将汤剂改为丸剂，以调和药性气味，使其缓慢到达病所。所谓“不可余药”，是指连同药渣一起服下，不可留下剩余，这样少量的药力也能胜过大量的药力，等待当下出瘀血，病去而正气也不受损伤。
治疗结胸证。颈部也僵硬，像柔痉的样子。用泻下法治疗后病情会缓和，此方主治。
大黄（半斤） 葶苈子（半升，炒制） 杏仁（半升，去皮尖，炒黑） 芒硝（半升）
以上四味药，先捣筛两味药粉，然后加入杏仁、芒硝，混合研磨如脂状，拌入散剂中。取如弹丸大小的一枚，另捣甘遂末一钱匕。
按照常规方法服用。
歌诀说：大陷胸丸的方法最为高超。半升葶苈子、杏仁和芒硝配合得当。颈部僵硬像柔痉的样子，读者务必记住。八两大黄用来迅速消除病邪。
蔚按（注释者按语）：太阳经脉，上行循行过头项。太阳之气，内出于胸膈，外达于皮毛。其治疗方法适宜从汗解。如今应当……（原文此处似有缺漏或断句问题，“今应以结”语意不全，结合下文推测意为现今病症已结成结胸）。丸剂中又加入蜂蜜是为了什么？是想让峻猛的药力不急于下行，也是为了让有毒性的药物不伤害肠胃。
Treats Shanghan (Cold Damage) accompanied by fever. There is fullness in the lower abdomen. Normally, urination should be difficult. Now that urination is actually free, it indicates the presence of blood stasis (accumulation of blood). It should be treated with purgation.
*Sheng Mei* (20 pieces, wings and feet removed, stir-fried), *Shui Zhi* (20 pieces, stir-fried), *Tao Ren* (35 pieces), *Da Huang* (3 liang).
The above four ingredients are pounded into powder, divided into four pills. Boil one pill in one sheng of water until reduced to seven he. Take the decoction. Do not leave any residue. At this time, blood stasis should be discharged. If it is not discharged,
Song says: Thirty-five Tao Ren and three liang Da Huang. Sheng Mei and Shui Zhi, twenty each, pay attention to detail. Pounded into four pills, boil with one sheng of water. Fever, long urine stream, and abdominal fullness are typical indications.
Chen Xiuyuan said: The pulse for Di Dang Tang/Wan syndrome is slightly fine on superficial palpation and knotted on deep palpation. "Slightly and deep" does not mean deep and faint; hence, "deep and knotted" is used to clarify. The spontaneous urination in Di Dang syndrome is not due to failure of Bladder Qi transformation, but because of stagnant blood in the Lower Jiao (Lower Burner) failing to circulate. Because this formula is difficult to use yet indispensable, its meaning must be reiterated. However, this is the common diagnostic method for both Di Dang Tang and Di Dang Wan syndromes. The Master established the method for Di Dang Wan, focusing on the two characters "you re" (having heat). Heat is stagnant internally yet steaming externally, causing lower abdominal fullness. Urination should be obstructed but is instead free. The condition is severe, so treatment cannot be too abrupt. Thus, the decoction is changed into a pill to harmonize the medicinal properties and allow them to reach the disease site slowly. "Do not leave residue" means taking the medicine including the dregs, without leaving any behind, so that a small amount can overcome a large amount, waiting for the discharge of blood stasis, eliminating the disease without injuring the healthy Qi.
Treats Jie Xiong (Chest Binding) syndrome. The neck is also stiff, resembling Rou Ji (Soft Spasm). Purging will bring harmony; this formula is indicated.
*Da Huang* (8 liang), *Ting Li Zi* (0.5 sheng, stir-fried), *Xing Ren* (0.5 sheng, skin and tips removed, stir-fried until black), *Mang Xiao* (0.5 sheng).
The above four ingredients: Pound and sieve two ingredients first. Then add Xing Ren and Mang Xiao, grind together until paste-like, and mix with the powder. Take one piece the size of a bullet. Separately pound Gan Sui powder to one qian bi.
Administer according to standard methods.
Song says: The method of Da Xian Xiong Wan is superior. Ting Li Zi, Xing Ren, and Mang Xiao, half a sheng each, are well-matched. Remember the neck stiffness resembling soft spasm. Eight liang of Da Huang is taken to rapidly eliminate the pathogen.
Wei noted: The Taiyang (Greater Yang) meridian ascends along the head and neck. Taiyang Qi emerges internally from the chest and diaphragm and reaches externally to the skin and hair. Its treatment method should ideally resolve through sweating. Now [the condition has] formed... [Text fragment]. Why is honey added to the pill? To prevent the harsh medicines from descending too quickly, and also to protect the stomach and intestines from toxic drugs.