治鬼疰传尸痨瘵。此五疰之一，其疰使人寒热，沉沉默默，不知所苦，而无处不
恶，死后传入，乃至灭门。
獭肝一具，须从獭身取下，不尔多伪，阴干，为末，水服二钱，日三服。獭肝治鬼
疰，此何以故？凡物恶人而僻处，昼伏而夜出者，皆阴类也。故假之以治阴疾，独用其
肝者，肝为厥阴藏魂之脏也。然昼伏夜出
者，狐鼠皆然，不独獭也。《本草》云∶诸肝皆有叶数，惟獭肝一月一叶，其间又有退
叶，独异于他兽，此其所以能治鬼疰也。
治五痨七伤，内有干血，肌肤甲错，两目黯黑。
大黄（十两，酒蒸） 黄芩（二两，炒） 甘草（三两） 桃仁（去皮、尖，炒） 杏仁
（去皮、尖，炒） 芍药（各四两，炒） 干漆（一两，炒） 地黄（十两） 水蛭（百枚，炙
黄） 虻虫（去翅、足，炒） 蛴螬（各一两五钱，炒） 虫（一两，去头、足，炒）
蜜丸，豆大，酒服五丸，日三服。劳伤之症，未有无瘀血者也。瘀之日久，则发而为
热，热涸其液，则干枯于经络之间愈干愈热，愈热愈干，而新血皆损，则无以润泽肌
肤，故甲错也。目得血而能视，营气不贯于空窍，故黯黑也。仲景圣于医者，洞见此
症，补之不可凉之无益，而立此方。《经》曰∶血主濡之，故以地黄为君；坚者削之，
故以大黄为臣；统血者脾也，《经》曰∶脾欲缓，急食甘以缓之；又曰∶酸苦涌泄为
阴，故以甘草、桃、杏、芍药为佐；《经》曰∶咸走血，苦胜血，故以干漆之苦，四虫
之咸为使。吴氏曰∶浊阴不降，则清阳不升，瘀血不去，则新血不生，今人一遇劳
证，便用滋阴服而不效，坐以待毙，岂知去瘀乃可生新？犹浣衣垢尽而加浆水也。
治疗鬼疰、传尸、痨瘵。这是五疰中的一种，这种疰病使人出现寒热往来，精神抑郁沉默，不知具体痛苦所在，且全身各处都感到厌恶不适，死后还会传染他人，甚至导致全家灭门。
獭肝一副，必须从活獭身上取下，否则多有伪造，阴干后研成粉末，用水送服二钱，每日服用三次。獭肝能治疗鬼疰，这是什么原因呢？凡是厌恶人类而僻居一隅，白天潜伏夜间活动的动物，都属于阴类。所以借用它们来治疗阴疾。单独使用其肝脏，是因为肝是厥阴经中藏魂的脏腑。然而，白天潜伏夜间活动的，狐狸和老鼠也是如此，并不只有獭是这样。《本草》记载：各种动物的肝脏都有固定的叶数，只有獭的肝脏一个月长一叶，其中还有退化的叶片，唯独与其他野兽不同，这就是它能治疗鬼疰的原因。
治疗五劳七伤，体内有干血（久积不行的瘀血），肌肤粗糙如鳞甲交错，两眼周围颜色暗黑。
大黄（十两，用酒蒸制） 黄芩（二两，炒制） 甘草（三两） 桃仁（去皮、尖，炒制） 杏仁（去皮、尖，炒制） 芍药（各四两，炒制） 干漆（一两，炒制） 地黄（十两） 水蛭（一百条，炙至黄色） 虻虫（去掉翅膀和足，炒制） 蛴螬（各一两五钱，炒制） 䗪虫（一两，去掉头、足，炒制）
炼蜜为丸，如豆粒大小，用酒送服五丸，每日服用三次。劳伤类的病症，没有不存在瘀血的。瘀血日久，就会化热，热邪耗竭津液，导致经络之间日益干枯；愈干枯则愈生热，愈热则愈干枯，致使新血受损，无法润泽肌肤，所以出现肌肤甲错。眼睛依靠血液才能视物，营气不能贯通于眼窍，所以眼圈发黑。张仲景医术高超，洞察到这一病症，认为补益不可行，清热也无益，于是创立了此方。《内经》说：血主濡养身体，所以用地黄作为君药；质地坚硬的积聚要削伐，所以用大黄作为臣药；统摄血液的是脾脏，《内经》说：脾喜缓急，急需食用甘味食物以缓和它；又说：酸苦涌泄属于阴，所以用甘草、桃仁、杏仁、芍药作为佐药；《内经》说：咸味入血分，苦味能胜血，所以用干漆的苦味以及四种虫药的咸味作为使药。吴氏说：浊阴不下降，清阳就无法上升；瘀血不去除，新血就无法生成。如今的人一遇到劳证，就使用滋阴药物，服用后无效，坐以待毙，哪里知道去除瘀血才能产生新血？这就像洗衣服，污垢洗净后才能上浆一样。
Treats Gui Zhu (Ghost Tethering), Chuan Shi (Transmitting Corpse), and Lao Zhai (Consumptive Disease). This is one of the Five Zhu (Five Types of Infectious/Parasitic Diseases). This type of Zhu causes alternating chills and fever, a state of depression and silence, with no clear sense of suffering, yet a feeling of aversion throughout the body. After death, it transmits to others, potentially wiping out an entire family.
One whole liver of a otter (Lutra lutra), which must be taken from a live otter to avoid counterfeits, should be dried in the shade and ground into powder. Take two qian with water, three times daily. Why can the otter liver treat Gui Zhu? Generally, creatures that dislike humans, dwell in secluded places, hide during the day, and emerge at night belong to the Yin category. Therefore, they are borrowed to treat Yin diseases. Specifically using its liver is because the Liver is the zang organ of Jueyin (Jueyin Meridian) where the Hun (Ethereal Soul) resides. However, those that hide by day and emerge by night include foxes and rats, not just otters. The *Bencao* (Materia Medica) states: All animal livers have a fixed number of lobes, but the otter's liver grows one lobe per month, and among them, there are also regressing lobes. It is unique among other beasts, which is why it can treat Gui Zhu.
Treats Wu Lao (Five Exhaustions) and Qi Shang (Seven Injuries), with Gan Xue (Dry Blood/Stagnant Blood) inside, skin rough and scaly like fish scales (Jia Cuo), and dark circles around the eyes.
Dahuang (Rhei Radix et Rhizoma, 10 liang, steamed with wine) Huangqin (Scutellariae Radix, 2 liang, stir-fried) Gancao (Glycyrrhizae Radix et Rhizoma, 3 liang) Taoren (Persicae Semen, pitted and tip removed, stir-fried) Xingren (Armeniacae Semen Amarum, pitted and tip removed, stir-fried) Shaoyao (Paeoniae Radix, each 4 liang, stir-fried) Ganqi (Resina Ferulae, 1 liang, stir-fried) Dihuang (Rehmanniae Radix Praeparata, 10 liang) Shuizhi (Hirudo, 100 pieces, roasted until yellow) Mengchong (Ophryognathia, wings and legs removed, stir-fried) Qicao (Blaps, each 1.5 liang, stir-fried) E'chong (Asiatic Ground Beetle, 1 liang, head and legs removed, stir-fried)
Form pills with honey, size of beans. Take five pills with wine, three times daily. Symptoms of labor injury invariably involve blood stasis. When blood stasis persists for a long time, it generates heat. Heat consumes fluids, causing dryness in the meridians. The drier it gets, the more heat is generated; the hotter it gets, the drier it becomes. Consequently, new blood is damaged and cannot moisten the skin, resulting in Jia Cuo (skin scaling). Eyes rely on blood for vision. When Ying Qi (Nutritive Qi) fails to penetrate the orifices, the eye area appears dark. Zhang Zhongjing, a sage in medicine, clearly perceived this syndrome. He determined that tonification was inappropriate and cooling was ineffective, thus establishing this formula. The *Classic of Internal Medicine* (*Neijing*) states: "Blood primarily nourishes." Therefore, Dihuang is used as the Jun (Monarch) herb. "Hard accumulations are削 (scraped away/reduced)." Therefore, Dahuang is used as the Chen (Minister) herb. The Spleen controls blood. The *Neijing* states: "The Spleen desires relaxation; urgently use sweet flavors to relax it." It also states: "Sour and bitter induce vomiting and purging, belonging to Yin." Therefore, Gancao, Taoren, Xingren, and Shaoyao are used as Zuo (Assistant) herbs. The *Neijing* states: "Salty flavors travel to the Blood; Bitter flavors overcome Blood." Therefore, the bitterness of Ganqi and the saltiness of the four insects are used as Shi (Envoy) herbs. Mr. Wu stated: "If turbid Yin does not descend, Clear Yang cannot ascend. If blood stasis is not removed, new blood cannot be generated." Nowadays, when people encounter labor syndromes, they immediately use yin-nourishing drugs. When these fail, they sit and wait for death. How do they know that removing stasis allows for the generation of new blood? It is like washing clothes: only after the dirt is gone can starch be applied.