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(When there is intermittent bleeding from both the anterior and posterior orifices, what is the name of this disease, and how does it arise? [Fullness in the limbs feels like something supporting the diaphragm. The Lung governs Qi, its odor is fishy. The Liver governs Blood, its odor is musky. When Lung Qi cannot subdue Liver Wood, causing both Liver and Lung Qi to rebel upwards, turbid Qi fails to descend and clear Qi fails to ascend; thus, one smells fishy and musky odors and vomits clear fluid. Saliva mixed with blood indicates that Blood fails to return to its vessels. Cold limbs indicate that Yang Qi fails to circulate throughout the body. Dizziness of the head and eyes results from excessive blood loss, where Qi departs with the Blood. Since Qi and Blood are disordered, blood appears intermittently from the anterior and posterior yin orifices, while menstruation becomes irregular.] Qibo said: This disease is named "Blood Depletion" (Xue Ku). It arises from a history of significant blood loss during youth. Or, it may result from sexual intercourse while intoxicated, leading to exhaustion of Middle Qi and injury to the Liver, causing menstrual flow to diminish or cease. [Blood Depletion refers to the cessation of menstruation. There are two main causes for this. First, significant blood loss in youth, such as from multiple pregnancies, metrorrhagia, menorrhagia, hematemesis, or epistaxis. Second, sexual activity after intoxication; when blood is abundant and hot, indulgence exhausts Yin Essence. When Essence is lost, Qi is lost, leading to exhaustion of Middle Qi. The Kidney governs the closure of the Zang organs, while the Liver governs free flow. This injures not only the Kidney but also the Liver. Over time, the Three Yin meridians become deficient, presenting first with the symptoms mentioned above, eventually leading to Blood Depletion and amenorrhea. Although described here regarding women, if men suffer from these conditions, they will inevitably develop Essence Depletion, which falls under the category of consumptive diseases.] The Emperor asked: How should it be treated? What method restores the condition? [To "restore" means to restore the origin of Qi and Blood.] Qibo said: Use four parts of Sepia Cuttlebone (Wuzeiguz) and one part of Rubia Cordifolia (Ruyu). Combine these two substances and form pills using sparrow eggs, sized like beans. Take five pills after meals, washed down with cuttlefish juice, to promote intestinal motility and treat liver injury. [Rubia Cordifolia, also known as Lanyu, is used by Wang Bing to dissipate bad blood and unblock meridians. Sparrow eggs have a sweet and warm nature, benefiting Essence and Blood, treating male impotence, promoting fertility, and addressing leukorrhea and difficult urination in women. "After meals" means taking medicine before eating. Cuttlefish (Baoyu) refers to dried salted fish. Various fish can be used, but those from Sciaenidae or Carassius auratus are superior; they are pungent, warm, and non-toxic. As aquatic creatures, their properties enter the Water organ, unblock blood vessels, and benefit Yin Qi. Boiled juice taken with other medicines can treat female blood obstruction. All four ingredients promote blood circulation. Since Blood is governed by the Liver, this formula is applicable to any disease injuring the Liver. Su Song noted that Materia Medica herbs do not typically treat Blood Depletion, but the Classic uses them to address the root cause. Li Shizhen stated that while people know sparrow eggs treat male Yang deficiency, they fail to recognize their efficacy in treating female Blood Depletion due to their ability to benefit Essence and Blood. Note: In the *Jia Yi Jing*, *Tai Su*, and Li Shi Zhen's *Bencao Gang Mu*, "Ru" is written as "Lan Ru". Zhang Jingyue identified it as Rubia cordifolia (Qiancao), which stops bleeding and activates blood/unblocks meridians. This is recorded for reference.]

Use an infusion of raw iron filings (Shengtie Luo) to treat Yang Jue (Yang Reversal). In *Su Wen: Bing Neng Lun*, the Emperor asked: A patient suffers from anger and mania; how did this disease arise? [Anger and mania involve excessive anger and madness, such as cursing without regard for kinship or distance.] Qibo said: It arises from Yang. [It originates from the rebellion of Yang Qi.] The Emperor asked: How does Yang Qi cause mania? Qibo said: When Yang Qi suffers sudden frustration and cannot be resolved, it leads to irritability; this disease is named Yang Jue. [Yang Qi should be smooth and unobstructed. Sudden frustration prevents its release, causing irritability and mania. The Qi of the Three Yang meridians rebels and ascends, hence the name Yang Jue.] The Emperor asked: How can we know this? Qibo said: The Yangming pulse is usually active, whereas the Juyang (Taiyang) and Shaoyang pulses are usually inactive. If the inactive areas show rapid and strong pulsation, this is the sign. [Yangming activity refers to pulses at Xiaguan, Dicang, Daying, Renying, Qichong, and Chongyang, which are normally palpable. Juyang and Shaoyang inactivity refers to points like Weizhong and Kunlun for Taiyang, and Tinghui and Xuanzhong for Shaoyang, where pulses are faint. If these normally quiet areas beat strongly and rapidly, the condition is severe. This is the sign of Yang Jue and mania.] The Emperor asked: How to treat it? Qibo said: Restricting food intake will cure it. Food enters the Yin and generates Yang Qi; thus, restricting food cures it. [The five flavors enter and are transformed by the Splen (Yin aspect). Stored in the Stomach, they nourish the Five Zang organs (generating Yang Qi). Reducing food intake reduces Qi; therefore, restricting diet prevents Stomach Fire from assisting Yang pathogenic factors, curing Yang Jue and mania.) Have the patient drink an infusion of raw iron filings (Shengtie Luo). Raw iron filings have a rapid descending effect on Qi. [Raw iron filings are iron chips from smithies. Soaked in water, they make a drink. They belong to Metal, are cold and heavy in nature, and excel at descending heat, resolving stagnation, and pacifying Wood and Fire pathogens. Thus, they descend rebellious Qi and eliminate mania. Other iron-based medicines like Iron Essence, Iron Flower Powder, Needle Sand, or Rust Water share this principle.]

Use equal parts (10 fen each) of Alisma Orientale (Zexie) and Atractylodes Macrocephala (Bai Zhu), plus 5 fen of Dipsacus Asperoides (Mi Xian), combined into doses measured by three fingers, taken after meals, to treat Jiufeng (Alcohol Wind). In *Su Wen: Bing Neng Lun*, the Emperor asked: A patient has fever, lethargy, profuse sweating like bathing, aversion to wind, and shortness of breath. What is this disease? Qibo said: This is named Jiufeng. [This corresponds to "Lou Feng" (Leaking Wind) in the *Feng Lun*. Alcohol is made from yeast and heat-producing agents, causing fever. Damp-heat damages sinews, causing laxity and lack of support, leading to lethargy. Heat steams dampness, causing profuse sweating. Frequent sweating depletes Qi and weakens Defensive Qi, causing aversion to wind and shortness of breath. Since the illness arises from alcohol followed by wind exposure, it is called Jiufeng.] The Emperor asked: How to treat it? Qibo said: Use 10 fen of Alisma Orientale and 10 fen of Atractylodes Macrocephala, plus 5 fen of Dipsacus Asperoides, combined into doses measured by three fingers, taken after meals. [Alisma Orientale is sweet and salty, slightly cold, promoting diuresis and draining damp-heat. Atractylodes Macrocephala is sweet, bitter, and warm, tonifying the Middle, drying dampness, and stopping sweating. Mi Xian is also known as Wei Xian or Wuxin Cao. Southerners call it Wu Feng Cao, which is Dipsacus asper (Deer Tongue Grass), related to deer. It is bitter and slightly cold, treating wind-damp. "10 fen" implies doubling the base unit; "5 fen" implies halving. Combined by three fingers, this determines the dose for decoction. Taken after meals, it is called "after meal" administration.]

Take square-inch hair from the left corner of the head, burn it to ash, and wash it down with fine wine to treat Shi Jue (Corpse Jue). *Su Wen: Miao Ci Lun* states: Pathogens invade the collaterals of the Hand-Shaoyin, Foot-Shaoyin, Hand-Taiyin, Foot-Taiyin, and Foot-Yangming. These five collaterals converge in the ear and connect upward to the left temple. [Pathogens invade the Heart, Kidney, Lung, Spleen, and Stomach meridians. These five collaterals meet in the ear and connect to the left temporal region.] When all five collaterals are exhausted, the body's pulses move, but the form is unconscious. The appearance resembles a corpse, hence the name Shi Jue. [Exhaustion of the five collaterals leads to separation of Yin and Yang. Body pulses move, muscles twitch. Upper and lower separation causes Jue reversal and chaotic Qi, leading to coma and unconsciousness, hence Shi Jue.] Acupuncture the medial side of the big toe, near the nail edge, about the width of a leek leaf. [This is the Jing-Well point of the Foot-Taiyin Spleen Meridian, Yinbai (SP1).] Then acupuncture the sole of the foot. [This is the Jing-Well point of the Foot-Shaoyin Kidney Meridian, Yongquan (KI1).] Then acupuncture the dorsal side of the second toe, near the nail edge. [This is the Jing-Well point of the Foot-Yangming Stomach Meridian, Lidui (ST45). ] Then acupuncture the medial side of the thumb, near the nail edge. [This is the Jing-Well point of the Hand-Taiyin Lung Meridian, Shaoshang (LU11).] Then acupuncture the center of the palm, the Jing-Well point of the Hand-Jueyin Pericardium Meridian, Zhongchong (PC9). The previous text did not mention the Hand-Jueyin, but here it is needled to harmonize the Chest. [Shenmen (HT7) is the Shu-Stream point of the Hand-Shaoyin Heart Meridian. New Correction notes: Tao Hongjing suggests blowing into the left ear three times vigorously, then the right ear three times.] Take square-inch hair from the left corner of the head, burn to ash, and wash down with one cup of fine wine. If unable to drink, force-feed; recovery will be immediate. [Hair is shed from the left temple, representing the surplus of blood from the five collaterals. Burning to powder and taking with wine promotes Qi and Blood movement. Using similar things to tonify allows immediate recovery from Shi Jue.]

Xiao Jin Dan (Little Golden Pill) treats Wu Yi (Five Plagues). *Su Wen Yi Pian: Ci Fa Lun* records: The Yellow Emperor said: I have heard that the Five Plagues spread easily, affecting all ages with similar symptoms. Without treatment, how can one avoid transmission? [Wu Yi refers to epidemic Qi from the Five Movements. Avoiding transmission requires securing internal Zheng Qi so that Evil cannot interfere. Air exits from the brain, preventing pathogenic invasion. Tian Pin refers to the nose, which receives Heaven's Qi. Laozi calls it Xuan Pin. Qi comes from emptiness and should leave through emptiness; thus, one avoids toxic miasma. Entering through Tian Pin and exiting back through it prevents infection. Qi connects the nose to the brain, spreading through meridians and causing contagion. Sneezing expels Qi from the brain; opening the nose disperses the toxic miasma.] To prepare, visualize the heart as the sun. [The Sun represents Solar Qi corresponding to the Heart. Visualizing the heart as the sun preserves one's Qi and strengthens Shen, preventing pathogenic invasion.] Before entering an epidemic room, first visualize green Qi emerging from the Liver, moving left to the East, transforming into forests. [Where the mind goes, Qi follows. Visualization focuses Shen and strengthens Qi. Moving left to the East strengthens Liver Qi.] Next, visualize white Qi emerging from the Lungs, moving right to the West, transforming into weapons and armor. [This describes Lung Qi.] Next, visualize red Qi emerging from the Heart, moving south to the upper region, transforming into flames. [This strengthens Heart Qi.] Next, visualize black Qi emerging from the Kidneys, moving north to the lower region, transforming into water. [This describes Kidney Qi.] Next, visualize yellow Qi emerging from the Spleen, staying in the Center, transforming into earth. [This strengthens Spleen Qi.] After completing the visualization of the Five Qi protecting the body, visualize the head shining brightly like the Big Dipper, then one may enter the epidemic room. [Brightly shining refers to radiance. Epidemics spread quickly; thus, one must guard against them carefully.]

Another method: On the day of Lichun (Start of Spring), before sunrise, induce vomiting. [Old commentary: Decoct Polygala tenuifolia (Yuanzhi) without heart, drink two cups, and vomit to prevent infection.] Another method: After Yushui (Rain Water solar term), bathe three times with medicinal herbs to induce sweating. [Decoct dispelling-pathogen and detoxifying herbs, bathe three times to sweat out pathogens.] Another method is the Xiao Jin Dan formula: Cinnabar (Chensha) 2 liang, Arsenic Trioxide (Xionghuang) 1 liang ground in water, Realgar (Cihuang) 1 liang, Zijin 0.5 liang. [Grind together with gold foil into fine powder.] Place together in a crucible (Hezi), seal externally, dig a hole one chi deep, compact the earth, do not use a furnace, no additional processing needed. Burn with fire weighing 20 jin for seven days (keep fire continuous). Wait seven days for cooling, then remove the next day. Bury the medicine in the earth for seven days, then take out. Grind clockwise for three days. Refine white sand honey into pills, size of wutong seeds. Every morning, face east, inhale one mouthful of solar Qi, swallow one pill with ice water, harmonizing Qi. Taking ten pills prevents epidemic interference. [Hezi refers to porcelain jars. Clockwise grinding means rotating left. Note: This passage from the Yi Pian is likely a later addition; the method is not ancient, and...]