《易》以上下乖隔不通为蛊。夫子《系辞》以为蛊坏之极。先哲以蛊名其病证，正
谓气血虚极，阴阳不通，上下不相升降。先由内伤脾胃而运用失常，遂成中满痞塞之疾。渐而
虚极，上下不通，气血留积，坚聚成形，必为蛊证。药不能攻，斯坏之极而不可救。生气通天论
曰∶病久则传化，上下不并，（不通也。）良医弗为。其蛊证之谓欤？
知命者是必慎其将坏之初，而必谨其履霜之戒，当于痞满肿胀之时，求良医以图治安，
则无终蛊坚冰之患也。甫见今病蛊者皆弗究其将坏之初，而惟求治于既坏之后。医者不思蛊邪
固如磐石，岂一擘能移？虽用利药攻之，是欲速其死也，果何益之有哉？医书多以蛊证附
鼓胀、胀满门中，所以不知蛊之为病深重也。今别立一门，俾患者医者各知其所慎，不敢因循
而致于坏极，虽良医弗能救，而况其下者乎！
凡单腹胀肿屡经利下而不愈者，必成蛊证。治法宜于痞满、胀满、水肿三法中求治。其
初则不致于坏极成
蛊，一至成蛊，不能治矣。
中满分消丸 治气蛊腹胀如鼓，俗呼为梭子气，又谓之单腹胀，皆因脾虚所致。且胃为水
谷之海，水谷入胃，脾主运化。今胃虚不能运化，气块然不动，致水浸渍于脾，则为之胀满，
不有生意，肌肉消瘦，独腹肿胀，其硬如铁，将见脐下无纹，针所不入，药所不救，坐以待
毙矣。（方见胀满门。）
（《简易》）四炒枳壳丸 治气血凝滞，腹内蛊胀。
枳壳（四两去穣咀，分四制）
一分用苍术一两同炒，一分用萝卜子一协议炒，一分用干漆一两同炒，一分用小茴
香一两同炒。
上各炒，枳壳黄色为度，拣出为细末，却将苍术等四味用水二碗煎至半碗，去滓，
以汁搅面糊为丸，梧桐子大。每服三十丸，食远米饮下。
万金丸 治诸般气血积或食积，欲成蛊症者。
石菖蒲（细锉，八两） 斑蝥（八两去翅足，同菖蒲炒焦黄色，拣去蝥，用粗布袋盛起，
两手牵拽去斑蝥背上衣壳净用，入菖蒲）
上将菖蒲为末，醋糊丸，如绿豆大。每服三五十丸，食远温酒或白汤送下。如蛊将成，
用香附米一二钱煎汤下。
（《良方》）遇仙如意丸 治诸蛊胀虚弱。
白茯苓 青皮 陈皮（各一钱） 白豆蔻 石菖蒲 人参 丁香 三棱（炮） 白术 砂仁
官桂 莪术（炮） 远志 木香（各三钱） 山药（半两） 香附（炒，五两） 牵牛（取头末，八两）
甘草（五分）
上为细末，醋糊为丸，如梧桐子大。每服一百二十丸，临卧温白汤下。看老幼虚实加
减服，忌一切生冷硬物。气蛊水蛊每服三百丸立消。妇人月水不调，产后腹中有恶物，并宜
服之。服后利三四行，饮水一口即止。
利后胀消，可服甘露饮补之。
甘露散
人参 白术 茯苓 猪苓（各半两） 滑石（六两） 泽泻（半两） 甘草（三钱）
上为细末，每服三钱，食后滚白汤调下。
神效木香散 治二十四种蛊证。（方见水肿门。）
广术溃坚汤 治中满腹胀，内有积块，坚硬如石，生卧不安，寝成蛊胀，面色痿黄。（方见积聚门。）
（秘方）七圣君子散 治一切气血水食蛊证皆治，如患人面色青黑者肝死，两眉凸者肺
死，脐中突出脾死，两手无绞心死，下注脚肿肾死。此五证内显一证者不可治。
白樟柳枝 葛根 桑白皮 甘遂 续随子（各等分）
上为末，每服三钱，重者五钱，绿豆汤调下，看大小虚实用之。忌一切生冷油腻荤腥盐
酱面食鱼肉等发病之物，及房室一百日，宜服白粥米食淡物，服药取恶物如虫如鱼脑血块者即
去根。歌曰∶蛊药七圣君子，芳名著在烟霞。
白皮甘遂与干葛，商陆槟榔配合。
葶苈牵牛等分，休将各物争差。
豆汤调服胜丹砂，蛊胀诸膨消下。
（《圣惠》）槟榔丸 治水蛊。
槟榔 郁李仁（各一两） 甘遂 续随子（各半两） 茹 商陆 黑丑 大黄（各一两）
木通 海金沙（各五钱） 滑石（一两）
上为细末，面糊丸，梧桐子大。每服三十丸，酒下。如泻，白粥补之。常服止吃十丸至十
五丸，忌盐酱生冷油腻面食。
（《宣明》）鸡屎醴散 治蛊胀痞满，能旦食不能暮食。
大黄 桃仁（去皮尖） 鸡屎醴（干者炒）
上等分为末，每服一钱，姜汤调食后，临卧服。
（《瑞竹》）香枣丸 治十种蛊病。
苦丁香
为细末，煮枣肉丸，如梧桐子大。每服三十丸，空心枣汤下，三服立效。
（《百选》）水蛊商陆根治水蛊。
商陆根（赤者捣烂）
贴脐心，以帛缚定，水从小便出。
（《正传》）经验鸡屎醴 治蛊胀气胀水胀等疾。
羯鸡屎（干者一升炒焦色）
为末，出火毒再研细，百沸汤三升淋汁。每服一大盏，调木香槟榔末各一钱，日三服，
空心服，以平为期。
经验桃奴丸 治妇人室女且经不通，渐成胀满，及男子坠马，跌扑损伤，以致瘀血停积，
将成血蛊，并皆治之。
桃奴（桃树上干朽嫩桃十二月取用） 鼠粪（两头尖者，是雄鼠屎也） 玄胡索 肉桂
香附子 五灵脂 砂仁 桃仁（去皮尖。各等分）
上为细末，每服三钱，温酒调下。
（河间）二气散 治水气蛊胀。
白丑 黑丑（各二钱）
上为细末，外用大麦面四两同一处拌匀做烧饼。临卧用茶清一盏下，降气为验。
（河间）三花神 丸 治诸蛊证。（方见前肿门。）
（《直指》）木香二皮丸 治水肿气蛊。
木香 槟榔 青皮 陈皮（去白） 大戟 甘遂 肉豆蔻（各二钱半） 牵牛末（一两半）
上为细末水丸，或商陆汁丸，如绿豆大。每服五十丸，空心白汤下。
（《直指》）水蛭丸 治血蛊气蛊，腹硬如石。
三棱（炮） 莪术（炮） 干漆（炒烟尽） 牛膝（酒洗） 虻虫（糯米炒） 琥珀
肉桂 砂 水蛭（锻石炒赤色） 大黄（各等分）
上为末，用生地黄自然汁和米醋调匀，丸梧桐子大。每服十丸，空心温酒或童便送下。
（《直指》）敷蛊法 治腹硬如石，或阴肿大，先用甘草煎汤一盏服之，后用此药敷之。
大戟 芫花 甘遂 海藻（各等分）
上为末，醋糊和敷肿处。
（秘方）保命丹 治诸蛊。
肉苁蓉（三两） 皂矾（一斤） 红枣（一斤，煮熟去核） 大麦芽（炒，一斤半） 香附子（一斤）
苁蓉皂矾二味入罐火 姻尽。上为细末，面糊丸，如梧桐子大。每服二十丸，好酒下，
食后服，日进三服，量大小虚实与之。
人参定喘汤 治气蛊有喘。
人参（一两） 杏仁（去皮尖炒，一两） 陈皮 甘草 木香（三钱）
上为末，每服三钱，食远苏木汤调下，三服喘止。
（《集成》）泄蛊丸 治一切水肿气胀。
甘遂 黑丑 大黄 茯苓 泽泻（各半两） 丁香 滑石 枳壳 木香 一扫仙 沉香（各二钱）
续随子（三钱）
上为细末，醋糊丸，如梧桐子大，雄黄为衣。
（《集成》）尊重丸 治蛊证水肿气肿喘急，小便赤涩，大便秘结不通，一切中满单腹胀。
人参 沉香 丁香 木香 槟榔 车前子 葶苈（各四钱） 胡椒 蝎梢 滑石 海金沙
赤茯苓 白豆蔻（钱半） 萝卜子（六钱） 郁李仁（一两一钱）
上为末，姜汁糊丸，梧桐子大。每服三丸，姜汤下，日三次。
（《医林》）沉香广圣散 治十种蛊气。
木通 大戟 商陆（各半两） 芫花（醋浸一宿炒，半两） 甘遂（二钱，面煨）
上为细末，每服二钱，空心蜜水调下。
（《医林》）愈蛊散
瞿麦 葛根 甘遂（各五钱） 牵牛 芫花 滑石 葶苈 胡椒（各三钱）
上为细末，每服一钱，加至二钱，空心好酒调服。
The *I Ching* (Book of Changes) refers to the obstruction and lack of communication between the upper and lower parts as "Gu" (a disease characterized by abdominal distension and accumulation). Confucius, in the *Xi Ci Zhuan* (Commentary on the Words of the Text), considers Gu to be the extreme of decay. Ancient philosophers named this pathological condition "Gu," precisely referring to a state where Qi and Blood are extremely deficient, Yin and Yang cannot interact, and the ascending and descending mechanisms of the upper and lower Jiao are blocked. Initially, it arises from internal injury to the Spleen and Stomach, leading to dysfunction in transportation and transformation, thereby forming a disease of middle-Jiao fullness and obstruction. Gradually, as deficiency reaches its extreme, the upper and lower do not communicate, Qi and Blood stagnate and accumulate, condensing into solid masses, inevitably becoming a Gu syndrome. At this stage, medicinal treatment cannot attack the pathogen; this represents the extreme of decay that is incurable. The *Su Wen: Sheng Qi Tong Tian Lun* states: "When a disease persists for a long time, it transmits and transforms; if the upper and lower do not connect, even a good physician cannot help." Does this not refer to the Gu syndrome?
Those who understand destiny must be cautious at the initial stage when the body is about to deteriorate and strictly heed the warning of "treading on frost, expecting hard ice" (recognizing early signs to prevent severe outcomes). When bloating and swelling appear, one should seek a skilled physician to ensure stability and peace, thus avoiding the ultimate disaster of Gu syndrome, which is as unyielding as hard ice. I observe today that patients suffering from Gu do not investigate the early signs before deterioration, but only seek treatment after the damage is done. Physicians fail to consider that Gu pathogens are as solid as boulders; how can they be moved easily? Even if harsh purgatives are used to attack them, this merely accelerates death. What benefit does this bring? Medical texts often attach Gu syndrome to sections on Drum Distension (Gu Zhang) and Fullness, so people do not realize the severity of Gu as a disease. Now, I establish a separate section so that both patients and physicians know to be cautious, preventing negligence that leads to irreversible deterioration. At that point, even a good physician cannot save them, let alone inferior ones!
Whenever single-abdominal distension and swelling persist despite repeated purgative treatments, it will inevitably become a Gu syndrome. Treatment methods should be sought among the approaches for Obstruction Fullness (Pi Man), Abdominal Fullness (Zhang Man), and Edema. If treated in the early stage, it will not deteriorate into Gu; once Gu is formed, it cannot be cured.
Zhongman Fenxiao Wan (Middle Fullness Dispersing Pill): Treats abdominal distension like a drum caused by Qi Gu, commonly known as "Spindle Qi" or "Single Abdominal Distension," all resulting from Spleen deficiency. The Stomach is the sea of water and grain. After food enters the Stomach, the Spleen governs its transportation and transformation. Now, due to Stomach deficiency failing to transport and transform, Qi stagnates in clumps, causing water-dampness to soak the Spleen, leading to fullness. Vitality is lost, muscles emaciate, while only the abdomen swells, becoming hard as iron. Eventually, no skin folds will be visible below the umbilicus, acupuncture needles cannot penetrate, and medicines cannot rescue; one can only sit and wait for death. (Formula see section on Abdominal Fullness.)
Si Chao Zhiqiao Wan (Four-Fried Bitter Orange Pill) [from *Jianyi*]: Treats Qi and Blood stagnation causing intra-abdominal Gu distension.
Zhiqiao (Bitter Orange, 4 liang, pith removed and cut, divided into four parts for processing):
One part fried with Cangzhu (Atractylodes Rhizome, 1 liang); one part fried with Luobozhong (Radish Seed, 1 yi); one part fried with Ganxi (Dry Lacquer, 1 liang); one part fried with Xiaohuixiang (Fennel Fruit, 1 liang).
Each is fried separately until Zhiqiao turns yellow. Remove and grind into fine powder. Then decoct the four other herbs (Cangzhu, etc.) in two bowls of water until half remains. Strain, and use the liquid to mix with flour paste to form pills the size of Sophora seeds. Take 30 pills per dose, washed down with rice water after meals.
Wanjin Wan (Myriad Gold Pill): Treats various accumulations of Qi and Blood or Food Stagnation threatening to become Gu syndrome.
Shichangpu (Acorus Rhizome, finely chopped, 8 liang) Banmao (Mylabris, 8 liang, wings and feet removed, fried with Shichangpu until scorched yellow, remove Mylabris, place in a coarse cloth bag, rub between hands to remove the outer shell, then combine with Shichangpu).
Grind Shichangpu into fine powder, mix with vinegar paste to form pills the size of mung beans. Take 30-50 pills per dose, washed down with warm wine or plain boiled water after meals. If Gu is impending, take 1-2 qian of Xiangfu (Cyperus Rhizome) decoction to wash down.
Yuxian Ruyi Wan (Immortal Meeting Like-Intent Pill) [from *Liangfang*]: Treats various Gu distensions in weak constitutions.
Baifuling (Poria, 1 qian), Qingpi (Green Tangerina Peel, 1 qian), Chenpi (Aged Tangerina Peel, 1 qian); Baiddoukou (White Cardamom, 3 qian), Shichangpu (Acorus Rhizome, 3 qian), Renshen (Ginseng Root, 3 qian), Dingxiang (Clove, 3 qian), Sanleng (Sedge Tuber, processed, 3 qian), Baizhu (Atractylodes Macrocephala Rhizome, 3 qian), Sharen (Amomum Fruit, 3 qian), Guanzi (Cinnamon Twig, 3 qian), Ezhu (Curcuma Rhizome, processed, 3 qian), Yuanzhi (Polygala Root, 3 qian), Muxiang (Vladimiria Root, 3 qian); Shanyao (Dioscorea Rhizome, 0.5 liang); Xiangfu (Cyperus Rhizome, fried, 5 liang); Qianniu (Pharbitis Seed, head powder only, 8 liang); Gancao (Licorice Root, 0.5 fen).
Grind all into fine powder, mix with vinegar paste to form pills the size of Sophora seeds. Take 120 pills per dose, washed down with warm plain water before sleep. Adjust dosage according to age and deficiency/excess. Avoid all raw, cold, and hard foods. For Qi Gu and Water Gu, taking 300 pills causes immediate resolution. Suitable for women with irregular menstruation or postpartum retention of lochia. After taking, bowel movements may occur 3-4 times; drinking a sip of water stops it.
After distension resolves, Ganlu Yin (Sweet Dew Decoction) can be taken to tonify.
Ganlu San (Sweet Dew Powder):
Renshen (Ginseng Root, 0.5 liang), Baizhu (Atractylodes Macrocephala Rhizome, 0.5 liang), Fuling (Poria, 0.5 liang), Zhuling (Polyporus, 0.5 liang); Huashi (Talcum, 6 liang); Zexie (Alisma Rhizome, 0.5 liang); Gancao (Licorice Root, 3 qian).
Grind into fine powder. Take 3 qian per dose, mixed with boiling plain water after meals.
Shenxiao Muxiang San (Divine Efficacy Aucklandia Powder): Treats 24 types of Gu syndromes. (Formula see section on Edema.)
Guangshu Kuijian Tang (Curcuma Softening Hardness Decoction): Treats middle-Jiao fullness and abdominal distension with intra-abdominal masses hard as stone, causing restlessness in sitting and lying, eventually developing into Gu distension, with sallow complexion. (Formula see section on Accumulations and Masses.)
Qisheng Junzi San (Seven-Sage Gentleman's Powder) [Secret Recipe]: Treats all types of Qi, Blood, Water, and Food Gu syndromes. However, if the patient has a blue-black complexion, Liver Death is indicated; if eyebrows protrude, Lung Death is indicated; if the umbilicus protrudes, Spleen Death is indicated; if there is no pulse in both hands, Heart Death is indicated; if fluid flows downward causing leg swelling, Kidney Death is indicated. If any of these five death signs appear, the case is untreatable.
Baizhangliuzhi (White Poplar Willow Branch), Gegen (Kudzu Root), Sangbaipi (Mulberry Bark), Gansui (Kansui Root), Suisuizi (Euphorbia Lathyris Seed) (all equal parts).
Grind into powder. Take 3 qian per dose, 5 qian for severe cases, mixed with mung bean soup. Use according to constitution and severity. Avoid all raw, cold, greasy, meat, salty, fermented, wheat, fish, and other aggravating foods, and abstain from sexual activity for 100 days. Consume white rice porridge and bland foods. Passing evil substances resembling worms, fish brains, or blood clots indicates removal of the root. Song: "Seven-Sage Gentleman's Gu medicine, famous fragrance in the misty clouds. White bark, Kansui, and dried Kudzu, combined with Phytolacca and Areca Nut. Barbaitis and Pharbitis in equal parts, do not dispute the proportions. Mung bean soup administration surpasses cinnabar, eliminating Gu distension and swellings."
Binglang Wan (Areca Nut Pill) [from *Shenghui*]: Treats Water Gu.
Binglang (Areca Nut, 1 liang), Yuliren (Prunus Seed, 1 liang); Gansui (Kansui Root, 0.5 liang), Suisuizi (Euphorbia Lathyris Seed, 0.5 liang); Ruyu (Asarum Root? Note: Text says 'Ru', likely Asarum or similar), Shanglu (Phytolacca Root), Heiqiu (Black Pharbitis Seed), Dahuang (Rhubarb Root) (all 1 liang); Mutong (Akebia Stem), Haijinsha (Lygodium Spore) (each 0.5 liang); Huashi (Talcum, 1 liang).
Grind into fine powder, mix with flour paste to form pills the size of Sophora seeds. Take 30 pills per dose, washed down with wine. If diarrhea occurs, replenish with white rice porridge. For maintenance, take 10-15 pills. Avoid salt, soy sauce, raw/cold, greasy foods, and wheat products.
Jishi Li San (Chicken Dropping Wine Dispersion) [from *Xuanming*]: Treats Gu distension and obstruction fullness, where the patient can eat in the morning but not in the evening.
Dahuang (Rhubarb Root), Taoren (Peach Seed, peeled and core removed); Jishili (Chicken Dropping, dried and fried).
Grind all into equal parts powder. Take 1 qian per dose, mixed with ginger tea after eating, taken before sleep.
Xiangzao Wan (Fragrant Date Pill) [from *Ruizhu*]: Treats ten types of Gu diseases.
Kudingxiang (Burdock Flower Bud? Note: Text says 'Ku Ding Xiang', likely Burdock or similar aromatic herb).
Grind into fine powder, mix with cooked date flesh to form pills the size of Sophora seeds. Take 30 pills per dose, washed down with date tea on an empty stomach. Three doses yield immediate effect.
Shanglu Gen (Phytolacca Root) for Water Gu [from *Baixuan*]: Cures Water Gu.
Shanglu Gen (Phytolacca Root, red variety, pounded).
Apply to the center of the umbilicus and bind securely. Water exits through urination.
Experience Jishi Li [from *Zhengzhuan*]: Treats Gu distension, Qi distension, Water distension, etc.
Shejishi (Male Sheep Dropping, 1 sheng, dried and fried until dark).
Grind into powder, remove fire toxicity, and grind finely. Pour 3 sheng of boiling water over it to extract juice. Take one large cup per dose, mixed with 1 qian each of Muxiang (Vladimiria Root) and Binglang (Areca Nut) powders. Take three times daily on an empty stomach, until symptoms resolve.
Experience Taonuo Wan: Treats women with amenorrhea gradually developing into distension, and men with injuries from falling off horses or bruises causing blood stasis accumulation, threatening to become Blood Gu. All are treatable.
Taonuo (Dried tender peach on tree, harvested in December), Shufen (Mouse Feces, pointed at both ends, indicating male mouse), Xuanshen (Cyathula Root), Rougui (Cinnamon Bark), Xiangfuzi (Cyperus Rhizome), Wulingzhi (Trogopterus Feces), Sharen (Amomum Fruit), Taoren (Peach Seed, peeled and core removed) (all equal parts).
Grind into fine powder. Take 3 qian per dose, mixed with warm wine.
Erqi San (Two-Qi Powder) [He Jian]: Treats Water Qi Gu distension.
Baiqiu (White Pharbitis Seed), Heiqiu (Black Pharbitis Seed) (each 2 qian).
Grind into fine powder. Mix with 4 liang of barley flour to make roasted cakes. Take one cup of tea-clearing liquid before sleep to wash down. Effectiveness is judged by the descent of Qi.
Sanhua Shen Wan (Three-Flower Divine Pill) [He Jian]: Treats various Gu syndromes. (Formula see previous Swelling section.)
Muxiang Erpi Wan (Aucklandia Two-Bark Pill) [from *Zhizhi*]: Treats Edema and Qi Gu.
Muxiang (Vladimiria Root, 2.5 qian), Binglang (Areca Nut, 2.5 qian), Qingpi (Green Tangerina Peel, 2.5 qian), Chenpi (Aged Tangerina Peel, white removed, 2.5 qian), Daji (Euphorbia Root, 2.5 qian), Gansui (Kansui Root, 2.5 qian), Roudoukou (Nutmeg, 2.5 qian); Qianniu Mo (Pharbitis Seed Powder, 1.5 liang).
Grind into fine powder, form water pills or pills with Shanglu juice, size of mung beans. Take 50 pills per dose on an empty stomach with plain water.
Shizhi Wan (Leech Pill) [from *Zhizhi*]: Treats Blood Gu and Qi Gu, with abdomen hard as stone.
Sanleng (Sedge Tuber, processed), Ezhu (Curcuma Rhizome, processed), Ganxi (Dry Lacquer, fried until smoke ceases), Niuxi (Achyranthes Root, wine-washed), Mengchong (Blister Beetle, fried with glutinous rice), Hupo (Amber), Rougui (Cinnamon Bark), Sha (Borneol?), Shizhi (Leech, calcined with lime until red), Dahuang (Rhubarb Root) (all equal parts).
Grind into powder. Mix with natural juice of fresh Rehmannia Root and rice vinegar to form pills the size of Sophora seeds. Take 10 pills per dose on an empty stomach, washed down with warm wine or child's urine.
Fu Gu Fa (Application Method for Gu) [from *Zhizhi*]: Treats abdomen hard as stone or scrotal swelling. First, drink one cup of Gancao (Licorice) decoction, then apply this medicine externally.
Daji (Euphorbia Root), Yuanhua (Genkwa Flower), Gansui (Kansui Root), Haizao (Sargassum Thallus) (all equal parts).
Grind into powder, mix with vinegar paste, and apply to the swollen area.
Baoming Dan (Life-Preserving Pill) [Secret Recipe]: Treats various Gu syndromes.
Rongrong (Cistanche Stem, 3 liang), Zaofan (Alum Stone, 1 jin), Hongzao (Red Date, 1 jin, cooked and pitted), Dayamai (Barley Sprout, fried, 1.5 jin), Xiangfuzi (Cyperus Rhizome, 1 jin).
Roast Rongrong and Zaofan in a jar until dry. Grind all into fine powder, mix with flour paste to form pills the size of Sophora seeds. Take 20 pills per dose with good wine, after meals, three times daily. Adjust dosage according to size and constitution.
Renshen Dingchuan Tang (Ginseng Calming Asthma Decoction): Treats Qi Gu accompanied by asthma.
Renshen (Ginseng Root, 1 liang), Xingren (Apricot Seed, peeled, core removed, fried, 1 liang); Chenpi (Aged Tangerina Peel, 3 qian), Gancao (Licorice Root, 3 qian), Muxiang (Vladimiria Root, 3 qian).
Grind into powder. Take 3 qian per dose, mixed with Sumu (Sappan Wood) tea after meals. Asthma stops after three doses.
Xiegu Wan (Draining Gu Pill) [from *Jicheng*]: Treats all edema and Qi distension.
Gansui (Kansui Root, 0.5 liang), Heiqiu (Black Pharbitis Seed, 0.5 liang), Dahuang (Rhubarb Root, 0.5 liang), Fuling (Poria, 0.5 liang), Zexie (Alisma Rhizome, 0.5 liang); Dingxiang (Clove, 2 qian), Huashi (Talcum, 2 qian), Zhiqiao (Bitter Orange, 2 qian), Muxiang (Vladimiria Root, 2 qian), Yisaoxian (?), Chenxiang (Agarwood, 2 qian); Suisuizi (Euphorbia Lathyris Seed, 3 qian).
Grind into fine powder, mix with vinegar paste to form pills the size of Sophora seeds, coated with Xionghuang (Realgar).
Zunzhong Wan (Respectful Pill) [from *Jicheng*]: Treats Gu syndrome with edema, Qi distension, asthma, red/scanty urination, constipation, and all middle-Jiao fullness/single abdominal distension.
Renshen (Ginseng Root, 4 qian), Chenxiang (Agarwood, 4 qian), Dingxiang (Clove, 4 qian), Muxiang (Vladimiria Root, 4 qian), Binglang (Areca Nut, 4 qian), Cheqianzi (Plantago Seed, 4 qian), Tingli (Descurainia Seed, 4 qian); Hujiao (Pepper, 1.5 qian), Xieshao (Scorpion Tail, 1.5 qian), Huashi (Talcum, 1.5 qian), Haijinsha (Lygodium Spore, 1.5 qian), Chi Fuling (Red Poria, 1.5 qian), Baiddoukou (White Cardamom, 1.5 qian); Luobozhong (Radish Seed, 6 qian), Yuliren (Prunus Seed, 1.1 liang).
Grind into powder, mix with ginger juice paste to form pills the size of Sophora seeds. Take 3 pills per dose, washed down with ginger tea, three times daily.
Chenxiang Guangsheng San (Agarwood Extensive Sage Powder) [from *Yilin*]: Treats ten types of Gu Qi.
Mutong (Akebia Stem, 0.5 liang), Daji (Euphorbia Root, 0.5 liang), Shanglu (Phytolacca Root, 0.5 liang); Yuanhua (Genkwa Flower, soaked in vinegar overnight and fried, 0.5 liang); Gansui (Kansui Root, 2 qian, baked in flour).
Grind into fine powder. Take 2 qian per dose on an empty stomach, mixed with honey water.
Yu Gu San (Gu-Curing Powder) [from *Yilin*]:
Qumai (Dianthus Herb, 5 qian), Gegen (Kudzu Root, 5 qian), Gansui (Kansui Root, 5 qian); Qianniu (Pharbitis Seed, 3 qian), Yuanhua (Genkwa Flower, 3 qian), Huashi (Talcum, 3 qian), Tingli (Descurainia Seed, 3 qian), Hujiao (Pepper, 3 qian).
Grind into fine powder. Take 1 qian per dose, increasing to 2 qian, mixed with good wine on an empty stomach.