痧毒攻胃，蛔死入大肠，与宿粪相结，腹中大痛，又有胃中热胀之甚，蛔不能存，因而
上涌，乘吐而出。或蛔结腹痛，不大便，或由大便出，与伤寒吐蛔伏阴在内者不同，治宜清
痧胀为主，加熟大黄（竹七）。
一女痧发痛极，头汗如雨，脉芤而洪实，放刮不出，用竹二方，次日筋现放痧，用石七
方下死蛔三条，结粪亦下，腹痛遂止。
一妇发热心疼，口多痰涎，吐蛔二条，投竹七方，痰遂退。
浑身上下、头面眼珠尽如姜黄色者，邪热散乎脾胃，而土之本色现乎外也。盖脾为阴脏
以土主燥，胃为阳腑戊土主湿，一湿一燥，湿热熏蒸（如 面状，故发黄也。竹八）。
一羽士时疫七八日，遍身发黄，目瞪体僵，六脉如无，忽又如沸，二便久闭，奄奄待毙
，以涤痧散撬灌，刺臂指血点滴如墨，委中绝无，勉与竹八方，竟霍然。
（汾）按，《本草从新》云∶黄胆须分阴阳，阳黄宜茵陈，阴黄须温补，若用茵陈多致
不
当
头面手足十指如锅煤色，不治，以血凝也。或用火酒擦身法，委中刺出紫黑血两茶杯，
竟有立愈者。
气痞痛、血块痛、食积块痛，皆因刮放未尽，不用药消，以致毒流滞成块。治法∶在气
分用沉香、砂仁之类；血分用桃仁、红花之类；食积用槟、卜之类；相兼者，当并治（匏一
二）。
又有不忌食物，痧毒裹食成块，两胁下痛，其痧块变症甚多，故为难治。且治痧惟在初
发若饮热汤，毒血凝结，即慢痧不致胀急伤人，亦成胁痛，瘀之日久，势必难散。
一妇腹痛，放痧二次，忽左胁有块，屡痛不止，坐卧不安，脉芤沉微。此毒滞不行之故
。用竹五并匏一方与石一方加贝母、白芥子，二服而痊。
一人身热吐痰胁痛、喘呕不已，左脉洪数，右脉似伏，刺过二针，服童便，喘呕稍减，
用金七丸、润下丸，身热吐痰俱已，又用匏二方，三服而痊。
痧毒侵袭胃部，蛔虫死亡后进入大肠，与体内积存的粪便相互结聚，导致腹部剧烈疼痛；加之胃中热邪胀满严重，蛔虫无法生存，因而向上涌逆，随呕吐物排出。也有因蛔虫结聚引起腹痛、大便不通的情况，有时蛔虫或结粪可从大便排出，这与伤寒病中“伏阴在内”导致的吐蛔症状不同，治疗应以清除痧毒、消除胀满为主，并加入熟大黄（竹七方）。
有一名女子患痧症，疼痛极其剧烈，头部出汗如雨，脉象芤大而洪实有力，采用放刮疗法未能见效，于是使用竹二方；次日出现筋络显现的症状并进行放痧处理，随后使用石七方排出三条死蛔虫及结聚的粪便，腹痛随即停止。
有一名妇女发热伴心区疼痛，口中多痰涎，吐出两条蛔虫，投用竹七方后，痰涎随即消退。
全身上下、头面部及眼珠全部呈现姜黄色，这是邪热散布于脾胃，而脾土的本色显露于体外的表现。因为脾属于阴脏，以土性主燥；胃属于阳腑，戊土主湿。一湿一燥，湿热熏蒸（如面状），所以导致发黄（可用竹八方）。
有一位姓羽的道士感染时疫七八天，遍身发黄，两眼直视，身体僵硬，六脉微弱似无，忽然又变得像沸腾般躁动，大小便长期闭塞，气息奄奄等待死亡，医生用涤痧散撬开口腔灌服，并针刺臂指放出点滴如墨汁般的黑血，委中穴处却找不到血管，勉强给予竹八方服用，竟然迅速痊愈。
（汾水）按语：《本草从新》记载：黄疸必须区分阴阳，阳黄适宜用茵陈，阴黄必须温补，如果滥用茵陈往往会导致不当的治疗后果。
头面及手足十指呈现如同锅煤般的黑色，属于不治之症，这是因为血液凝滞所致。或者采用火酒擦拭身体的方法，刺破委中穴放出两茶杯紫黑色的血液，竟有立即痊愈的案例。
气痞痛、血块痛、食积块痛，都是因为刮痧放血不彻底，且未用药物的消散作用，导致毒素流注停滞形成肿块。治疗方法：在气分阻滞的用沉香、砂仁之类药物；在血分阻滞的用桃仁、红花之类药物；食积阻滞的用槟榔、卜子（莱菔子）之类药物；兼夹证候者，应当同时治疗（匏一二方）。
又有不忌口食物，痧毒包裹食物形成肿块，两胁下疼痛，这种痧块的变证非常多，因此难以治疗。而且治疗痧症关键在于初期，如果饮用热汤，会导致毒血凝结，即使是慢性痧症不至于造成胀急伤人，也会形成胁痛，瘀血日久，势必难以消散。
有一名妇女腹痛，进行两次放痧后，忽然左胁出现肿块，多次疼痛不止，坐卧不安，脉象芤沉微细。这是由于毒邪停滞不行的缘故。使用竹五方并配合匏一方以及石一方，加入贝母、白芥子，服用两剂后痊愈。
有一人身热、吐痰、胁痛、气喘呕吐不止，左脉洪数，右脉似伏，针刺两针后，服用童便，气喘呕吐稍见减轻，接着使用金七丸、润下丸，身热吐痰症状全部消除，又使用匏二方，服用三剂后痊愈。
Sha toxin attacks the stomach, roundworms die and enter the large intestine, where they bind with accumulated feces, causing severe abdominal pain. Additionally, due to extreme heat and distension in the stomach, the roundworms cannot survive and surge upward, being expelled through vomiting. Alternatively, roundworm binding causes abdominal pain and constipation; sometimes the worms or bound feces are passed via stool. This differs from the vomiting of roundworms seen in *Shanghan* (Cold Damage) disease caused by latent yin within. The treatment should primarily focus on clearing sha toxin and relieving distension, adding prepared *Rhei Radix et Rhizoma* (Shu Dahuang) [Zhu Qi Formula].
A female patient suffered from sha disease with extreme pain, sweating profusely on the head like rain, and a pulse that was hollow (*Kou*), large, and full. Scraping and bloodletting were ineffective. She was treated with Zhu Er Fang. The next day, tendons became visible, and bloodletting was performed. Subsequently, Shi Qi Xia was administered, resulting in the expulsion of three dead roundworms and bound feces, after which the abdominal pain ceased.
A female patient presented with fever, heart pain, excessive salivary phlegm, and vomited two roundworms. After administering Zhu Qi Fang, the phlegm subsided.
When the entire body, including the face and eyeballs, turns ginger-yellow, it indicates that pathogenic heat has dispersed into the spleen and stomach, revealing the true color of earth (yellow). The spleen is a yin organ governed by dry earth, while the stomach is a yang fu organ governed by damp earth (Wu Earth). The interaction of dampness and dryness leads to steaming and steaming of damp-heat, manifesting as jaundice (treatable with Zhu Ba Fang).
A Daoist surnamed Yu contracted an epidemic disease for seven to eight days, presenting with generalized jaundice, staring eyes, rigid body, and six pulses that were imperceptible yet suddenly became turbulent. He had been constipated for a long time and was near death. The physician used Di Sha San to pry open his mouth for administration, pricked the arm and fingers to release ink-black blood drops, but found no suitable vein at Weizhong (BL40). Reluctantly, he administered Zhu Ba Fang, resulting in a complete recovery.
(Fenshui) Commentary: *Bencao Congxin* states that jaundice must be differentiated into yin and yang types. Yang jaundice is suitable for *Yinchenhao*, while yin jaundice requires warming and tonification. Inappropriate use of *Yinchenhao* often leads to incorrect treatment.
If the face, head, hands, feet, and ten fingers turn black like soot from a pot, it is incurable due to blood coagulation. Alternatively, rubbing the body with fire wine and pricking Weizhong (BL40) to release two teacups of purple-black blood has resulted in immediate cures.
Qi stagnation pain, blood stasis mass pain, and food retention mass pain all result from incomplete scraping and bloodletting, combined with the failure to use resolving medications, leading to toxin stagnation and mass formation. Treatment methods: For qi branch involvement, use herbs such as *Chenxiang* and *Sharen*; for blood branch involvement, use *Taoren* and *Honghua*; for food retention, use *Binglang* and *Buzi* (Laifuzi); for mixed patterns, treat concurrently (Pao Yi-Er Fang).
Furthermore, if dietary restrictions are ignored, sha toxin may wrap around food to form masses, causing pain under both hypochondria. There are many variations of sha masses, making them difficult to treat. Treating sha disease is most effective in the early stages. If hot soup is consumed, toxic blood coagulates. Even if chronic sha does not cause acute distension endangering life, it will lead to hypochondriac pain. Long-standing blood stasis becomes difficult to dissipate.
A female patient with abdominal pain underwent bloodletting twice. Suddenly, a mass appeared in the left hypochondrium with persistent pain, restlessness, and a hollow, deep, and faint pulse. This was due to stagnant toxin. She was treated with Zhu Wu Fang combined with Pao Yi Fang and Shi Yi Fang, added with *Beimu* and *Baijiezhi*. Two doses resulted in recovery.
A male patient presented with fever, phlegm expectoration, hypochondriac pain, and incessant asthma and vomiting. The left pulse was rapid and surging, while the right pulse seemed hidden. After two acupuncture needles and administration of child urine, symptoms slightly improved. Then, Jin Qi Wan and Run Xia Wan were administered, resolving fever and phlegm. Finally, Pao Er Fang was given, resulting in recovery after three doses.