平按∶此篇自篇首至末，见《素问》卷十一第四十《腹中论》篇，又见《甲乙经》
卷十一第七。
黄帝曰∶有病胸胁支满者，妨于食，病至则先闻腥臊臭，出清液，先唾血，四肢清，
目眩，时时前后血，病名为何？何以得之？岐伯曰∶病名曰血枯，此得之少时有所大脱
血，若醉以入房中气竭肝伤，故使月事衰少不来也。（血枯病形有八∶一，胸胁支满；
二，妨于食；三，病将发，先闻腥臊臭气；四，流出清液；五，病先唾血；六，四肢冷；
七，目眩；八，大小便时复出血。有此八状，名曰血枯之病。此得由于少年之时有大脱
血，若醉入房中，气竭绝伤肝，遂使月经衰少，或不复来，以成此血枯之病也。平按∶
《甲乙》支满作 满，清液作清涕。）黄帝曰∶治之奈何？以何术？答曰∶四乌贼鱼骨，
一茹，二物并令三合，丸以雀卵，大如小豆，以五丸为后饭，鲍鱼汁，利胁中及伤肝。
（四，四分。一，一分。捣以雀卵为丸，食后服之，饮鲍鱼汁，通利胁及补肝伤也。平
按∶《素问》以何术作复以何术，贼作 ， 作 ，新校正云∶“《太素》 作 。”
并令三合作并合之。《甲乙》乌上无四字，骨下无一字。并令三合作并合。《素问》《甲
乙》鲍鱼上有饮以二字，胁中作肠中。）
平按：本篇从开头到结尾，见于《素问》卷十一第四十《腹中论》篇，又见于《甲乙经》卷十一第七。
黄帝说：有患胸胁部胀满支撑不适的人，饮食受到妨碍，发病时先闻到腥臊臭味，流出清稀液体，先出现唾血，四肢发冷，头晕目眩，时常大小便出血，这病叫什么名字？是怎么得的？岐伯说：这病名叫血枯（血液枯竭之证），这是年轻时曾有大失血，或者醉酒后行房事导致精气耗竭、肝脏受损，所以使月经衰少甚至不来。（血枯病的症状表现有八种：一，胸胁部胀满支撑；二，饮食受阻；三，病将发作前，先闻到腥臊臭气；四，流出清稀液体；五，病发前先唾血；六，四肢寒冷；七，头晕目眩；八，大小便时反复出血。具备这八种症状，称为血枯病。此病是由于少年时有大失血，或者醉酒后行房事，精气耗竭损伤肝脏，从而导致月经衰少或不再来潮，形成这种血枯病。平按：《甲乙经》中“支满”作“满”，“清液”作“清涕”。）
黄帝说：如何治疗？用什么方法？回答说：用四份乌贼鱼骨（海螵蛸），一份茹草（茜草），将这两味药混合研磨成粉末，总量为三合，用雀卵和丸，大小如小豆，每次服用五丸，在饭后服用，饮用鲍鱼汁，以通利胁肋并补益肝脏损伤。
（四，指四分。一，指一分。捣碎后用雀卵和丸，饭后服用，喝鲍鱼汁，以通利胁肋及补益肝脏损伤。平按：《素问》中“以何术”作“复以何术”，“贼”字缺，“ ”字缺，“ ”字缺，新校正说：“《太素》中‘ ’字作‘ ’。”并令三合作“并合之”。《甲乙经》中“乌”字上无“四”字，“骨”字下无“一”字。“并令三合”作“并合”。《素问》《甲乙经》中“鲍鱼”上有“饮以”二字，“胁中”作“肠中”。）
Ping An: This chapter, from beginning to end, is found in Volume 11, Chapter 40 "Fu Zhong Lun" (Discussion on Abdominal Disorders) of the *Suwen* (Basic Questions), and also in Volume 11, Chapter 7 of the *Jiayi Jing* (Systematic Classic of Acupuncture and Moxibustion).
The Yellow Emperor said: There are cases where patients suffer from distension and fullness supporting the chest and hypochondrium, which hinders food intake. Upon the onset of the illness, they first perceive a fishy or foul odor, discharge clear fluid, experience hemoptysis (spitting blood) initially, have cold limbs, feel dizzy, and frequently bleed from both the upper and lower orifices. What is the name of this disease? How is it contracted?
Qibo replied: The disease is named Xueku (Blood Depletion Syndrome). It arises from significant blood loss during youth, or from sexual intercourse while intoxicated, leading to exhaustion of Qi and injury to the Liver. Consequently, menstruation becomes scanty or ceases entirely. (The clinical manifestations of Blood Depletion include eight signs: one, distension and fullness supporting the chest and hypochondrium; two, obstruction of food intake; three, perceiving a fishy or foul odor prior to the onset of the illness; four, discharge of clear fluid; five, initial hemoptysis upon onset; six, cold limbs; seven, dizziness; eight, recurrent bleeding during defecation and urination. Possessing these eight symptoms constitutes the disease of Blood Depletion. This condition results from massive blood loss in youth, or from sexual activity while drunk, causing Qi exhaustion and Liver injury, thereby leading to scanty or absent menstruation, forming this Blood Depletion disease. Ping An notes: In the *Jiayi Jing*, "Zhi Man" is written as "Man", and "Qing Ye" as "Qing Ti".)
The Yellow Emperor asked: How should it be treated? By what method?
The answer is: Use four parts of Hai Piao Xiao (Cuttlefish Bone / Sepiae Endoconcha) and one part of Qian Cao (Madder Root / Rubiae Radix et Rhizoma). Grind these two substances together into a powder totaling three he. Form pills using quail eggs, with each pill being the size of a small bean. Take five pills after meals, accompanied by drinking Bao Yu Zhi (Juice of Salted Fish), to promote free flow in the hypochondrium and nourish Liver injuries.
(Note: "Four" refers to four parts. "One" refers to one part. Pound and form pills using quail eggs, take them after meals, drink Bao Yu Zhi, to facilitate flow in the hypochondrium and tonify Liver injuries. Ping An notes: In the *Suwen*, "Yi He Shu" is written as "Fu Yi He Shu"; the character for "Ze" is missing; [characters] are missing; Xin Zheng Jiao states: "In *Tai Su*, [character] is written as [character]." 'Bing Ling San He' is interpreted as 'Bing He Zhi'. In the *Jiayi Jing*, there is no "Si" before "Wu", and no "Yi" after "Gu". 'Bing Ling San He' is written as 'Bing He'. In the *Suwen* and *Jiayi Jing*, "Yin Yi" precedes "Bao Yu", and "Xie Zhong" is written as "Chang Zhong".)