论曰内经谓脾风传之肾，病名曰疝瘕，少腹冤热而痛出白，一名曰蛊，夫脾受风邪，
传于肾经，邪热内烁，故其证少腹冤热而痛，真精不守，故其证溲出白液，病名曰蛊，以邪
热内烁，真精不守，久而弗治，适以丧志也，水之精为志，志丧则精从之，左传谓惑以丧志
为蛊者，如此。
治蛊病，少腹急痛，便溺失精，大建中汤方
黄 （锉） 远志（去心） 当归（去芦头） 泽泻（各三两） 芍药 人参 龙骨 甘
草（炙各二两）
上八味，锉如麻豆，每服五钱匕，水二盏，生姜三片，枣二枚劈破，煎至一盏，去滓
温服，不拘时候。
治蛊病，少腹冤热而痛，精气不守，溲便出白，泽泻丸方
泽泻（锉） 补骨脂（炒） 巴戟天（去心） 五味子 石槲（去根） 芍药 人参 甘
草（炙
上八味，捣罗为末，炼蜜丸如梧桐子大，每服三十丸，温酒或盐汤下，空心日午临卧各
一。
治蛊病，少腹冤热而痛，便溺出白，肉苁蓉丸方
肉苁蓉（去皴皮酒浸切焙） 白茯苓（去黑皮） 黄 （锉） 泽泻 牡蛎（火 研） 五
味
上八味，捣罗为末，炼蜜丸如梧桐子大，每服三十丸，温酒下，空心日午临卧各一。
治蛊病少腹热痛，精液出白，磁石丸方
磁石（火 醋淬七遍） 龙骨（各一两） 白茯苓（去黑皮） 牡蛎（火 各二两）
上四味，捣罗为末，炼蜜丸如梧桐子大，每服三十丸，盐汤下，空心日午临卧各一。
治蛊病，精气不守，便溺出白，少腹冤热而痛，干地黄丸方
熟干地黄（焙二两） 钟乳粉（半两） 龙骨 菟丝子（酒浸一宿别捣） 磁石（火
醋淬七
上七味，捣罗为末，酒煮面糊，丸如梧桐子大，每服二十丸，温酒或盐汤下，空心日晚
Commentary states: The *Neijing* (Inner Canon) mentions that if wind pathogen affects the Spleen and transmits to the Kidney, the disease is named Shanxia (Hernia and Mass), characterized by heat accumulation and pain in the lower abdomen, and discharge of white fluid from the urine. This condition is also called Gu (Gu Disease). When the Spleen is invaded by wind pathogen, the evil transmits to the Kidney meridian, where evil heat scorches internally. Consequently, the symptoms include heat accumulation and pain in the lower abdomen. Because the true essence (Jing) fails to remain secure, the symptom is the discharge of white fluid in the urine, and the disease is named Gu. Due to internal scorching by evil heat and the failure of true essence to remain secure, if left untreated for a long time, it will eventually lead to the loss of spirit (Zhi). The essence of water corresponds to Zhi; when Zhi is lost, Jing follows. The *Zuo Zhuan* (Commentary of Zuo) states that losing one's spirit due to bewilderment is called "Gu," which is precisely this meaning.
To treat Gu disease with symptoms of urgent pain in the lower abdomen and loss of essence during urination or defecation, use Da Jianzhong Tang (Great Construct Middle Decoction):
Huangqi (Astragali Radix, sliced) 3 liang, Yuanzhi (Polygalae Radix, heart removed) 3 liang, Danggui (Angelicae Sinensis Radix, radix tip removed) 3 liang, Zexie (Alismatis Rhizoma) 3 liang, Shaoyao (Paeoniae Radix Alba) 2 liang, Renshen (Ginseng Radix) 2 liang, Longgu (Fossilia Ossis Mastodi) 2 liang, Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried) 2 liang.
The above eight ingredients are sliced into particles the size of hemp seeds. Each dose consists of 5 qianbi, boiled with 2 zhan of water, 3 slices of Shengjiang (Zingiberis Rhizoma Recens), and 2 fractured Dazao (Ziziphi Jujubae Fructus) until reduced to 1 zhan. Strain and take warm, at any time.
To treat Gu disease with symptoms of heat accumulation and pain in the lower abdomen, insecurity of essence, and discharge of white fluid in urine, use Zexie Wan (Alisma Pill):
Zexie (Alismatis Rhizoma, sliced), Buguzhi (Psoraleae Fructus, stir-fried), Bajitian (Morindae Officinalis Radix, heart removed), Wuweizi (Schisandrae Chinensis Fructus), Shihu (Dendrobii Caulis, roots removed), Shaoyao (Paeoniae Radix Alba), Renshen (Ginseng Radix), Gancao (Glycyrrhizae Radix et Rhizoma, honey-fried).
The above eight ingredients are pounded, sifted into powder, and mixed with refined honey to form pills the size of Sophora japonica seeds. Take 30 pills each time, administered with warm wine or salted water, on an empty stomach, at noon, and before sleep.
To treat Gu disease with symptoms of heat accumulation and pain in the lower abdomen, and discharge of white fluid in urine and stool, use Roushoucong Wan (Cistanche Pill):
Roushoucong (Cistanches Herba, bark removed, soaked in wine, sliced, and dried), Baifuling (Poria, black skin removed), Huangqi (Astragali Radix, sliced), Zexie (Alismatis Rhizoma), Muli (Concha Ostreae, calcined and ground), Wuweizi (Schisandrae Chinensis Fructus).
The above eight ingredients are pounded, sifted into powder, and mixed with refined honey to form pills the size of Sophora japonica seeds. Take 30 pills each time, administered with warm wine, on an empty stomach, at noon, and before sleep.
To treat Gu disease with symptoms of heat and pain in the lower abdomen, and discharge of white seminal fluid, use Cishi Wan (Magnetite Pill):
Cishi (Magnetitum, calcined and quenched in vinegar seven times), Longgu (Fossilia Ossis Mastodi, 1 liang each), Baifuling (Poria, black skin removed), Muli (Concha Ostreae, calcined, 2 liang each).
The above four ingredients are pounded, sifted into powder, and mixed with refined honey to form pills the size of Sophora japonica seeds. Take 30 pills each time, administered with salted water, on an empty stomach, at noon, and before sleep.
To treat Gu disease with symptoms of insecurity of essence, discharge of white fluid in urine and stool, and heat accumulation and pain in the lower abdomen, use Gadihuang Wan (Rehmannia Pill):
Shugan Dihuang (Prepared Rehmanniae Radix, baked, 2 liang), Zhongru Fen (Stalactitum Pulvis, 0.5 liang), Longgu (Fossilia Ossis Mastodi), Tusizi (Cuscutae Semen, soaked in wine overnight and separately pounded), Cishi (Magnetitum, calcined and quenched in vinegar seven times).
The above seven ingredients are pounded, sifted into powder, and bound with paste made from boiling flour in wine to form pills the size of Sophora japonica seeds. Take 20 pills each time, administered with warm wine or salted water, on an empty stomach and in the evening... (Text ends here)