一名地鳖。生于下湿土壤之虫，味咸气寒，得幽暗之气，故性有小毒，以刀断之，
中有白汁如浆，奏接即连，复能行走，故治跌扑损伤，续筋骨有奇效，乃足厥阴经药
也，夫血者身中之真阴也，灌溉百骸，周流经络者也。血若凝滞，则经络不通，阴阳之
用互乘，而寒热洗洗生焉。咸寒能入血软坚，故主心腹血积， 瘕血闭诸症。血和而
营卫通畅，寒热自除。经脉调匀，月事时至，而令妇人生子也。又治疟母，为必用之
药，然血闭由于血枯，而非瘀血停留者，勿服。同自然铜、血竭、乳香、没药五铢钱，
黄荆子，麻皮灰，狗头骨治跌扑损伤神效仲景方，大黄 虫丸。治产妇腹痛，有干
血，用 虫二十枚，去足桃仁二十枚，大黄二两，为末炼蜜，杵和分为四丸。每以一丸
酒一升，煮取二合温服，当下血也。集验方，治跌扑闪挫，用土鳖阴干一个，临时旋
研，人乳香，没药、自然铜，龙骨各等份，麝香少许，为末，每服三分，入土鳖末，以
酒调下，须先整定骨乃服，否用接挫也。又可代杖。
虫、去血积，搜剔极周，三折伤补接最速，煎含而木舌旋消，水服而乳浆立至。
味甘，气温，无毒。入足厥阴，手少阴经。性专行血，故主女子血闭。味甘而温。
故疗心腹冷气，及通利气脉也。其主小儿五疳者，以其亦能消化水谷。治肠风者，取其
行肠胃之瘀滞也。凡心胸血气刺痛，妇人产后少腹儿枕块诸痛，及痰挟血成窠囊血凝作
痛诸证，所必须之药。失笑散，治男子老少，心痛腹痈，少腹痛并少腹疝气，诸药不
效者，能行能止，妇人妊娠心痛，及产后心痛，少腹痛，血气痛，尤妙。用五灵脂、蒲
黄等分，研末，先以醋二杯，调末，熬成膏，入水一盏，煎至七分，连药热服，未效
再服。一方以酒代醋，一方以醋糊丸。童便，酒服。卒暴心痛，五灵脂炒一钱半，干
姜炮三分，为末，热酒服立愈。《夏子益奇疾方》∶血溃怪病，凡人眼中白珠浑黑，视
物殊常，毛发坚直如铁条，能饮食而不语，如醉名曰血溃，以五灵脂为末，汤服二钱，即愈。
五灵脂，专治女科，行血宜生，止血须炒，通经闭及治经行不止，去心痛，并疗血
气刺痛，驱血痢肠风，逐心腹冷气，定产妇血晕，小儿疳蛔，五灵脂，寒号禽之粪也。
畏寒喜暖，故其粪亦温，气味俱浓，阴中之阴，故入血分性专行血，走肝最速，诸血
虫痛，皆属肝木，盖肝主藏血，而诸虫皆生于肝，所以善治血病，虫病，心腹胁肋诸痛，血崩胎产诸症也。
【五灵脂】
又名地鳖。这是一种生活在潮湿土壤中的虫类，味道咸，气性寒，因为得到了幽暗环境的气息，所以药性带有小毒。用刀切断它，中间流出的白色汁液像浆液一样，一旦接触空气（或伤口）就会连接起来，虫子还能重新行走，因此治疗跌打损伤、接续筋骨有奇效，它是足厥阴肝经的药物。
血液是人身中的真阴，它灌溉全身骨骼，在经络中周流不息。如果血液凝滞，就会导致经络不通，阴阳之气相互偏盛，从而产生忽冷忽热的症状。咸味和寒性药物能够入血分并软化坚积，所以五灵脂主治心腹部的血积、瘕聚以及血闭等各种病症。血液调和则营卫通畅，寒热症状自然消除，经脉调匀，月经按时来潮，从而使妇女能够生育子女。此外，它还治疗疟疾形成的痞块（疟母），是必用的药物。但是，如果血闭是由于血枯（血液枯竭）引起的，而不是瘀血停留造成的，则不要服用。
与自然铜、血竭、乳香、没药、五铢钱、黄荆子、麻皮灰、狗头骨配合使用，治疗跌打损伤效果神妙。张仲景的方剂大黄䗪虫丸，用于治疗产妇腹痛且有干血（陈旧性瘀血）的情况，用法是用䗪虫二十枚（去足）、桃仁二十枚、大黄二两，研为细末，用炼蜜调和，捣杵均匀后分为四丸。每次取一丸，用酒一升，煮取二合，温服，服药后会排出瘀血。
《集验方》记载，治疗跌打闪挫，用一个阴干的土鳖虫，临时研磨，加入乳香、没药、自然铜、龙骨各等份，少许麝香，研为细末。每次服用三分，混入土鳖虫末，用酒调服。必须先整复骨折错位后再服用，否则无法接骨续筋。此药又可代替杖刑（指其止痛效果）。
䗪虫能去除血积，搜剔瘀血非常周全，对于折伤补接速度最快；煎汤含漱可使木舌迅速消退，用水送服可使乳汁立即到来。
【五灵脂】
味道甘，气性温，无毒。归足厥阴肝经和手少阴心经。药性专门善于行血，所以主治女子血闭。味道甘而性温，所以能治疗心腹冷气，以及通利气脉。它主治小儿五疳病，是因为它能消化水谷。治疗肠风下血，是取其能运行肠胃中的瘀滞。凡是心胸气血刺痛，妇人产后少腹儿枕块疼痛，以及痰挟血形成窠囊、血凝作痛等各种证候，都是必须使用的药物。
失笑散，治疗男子老少的心痛、腹痈、少腹痛以及少腹疝气，当其他药物无效时，此方能行能止，对于妇人妊娠期间心痛，以及产后心痛、少腹痛、血气痛，尤为奇妙。用法是用五灵脂、蒲黄等份，研为细末，先用醋二杯调匀药末，熬成膏状，再加入水一盏，煎至七分，连药渣热服，如果未见效再服。另一方法是用酒代替醋，或者用醋糊制成丸剂。用童便或酒送服。突发剧烈心痛，用五灵脂炒一钱半，干姜炮制三分，研为细末，用热酒送服，立即可愈。
《夏子益奇疾方》记载：血溃怪病，凡人眼中白珠变浑黑，视物异常，毛发坚直如铁条，能饮食但不能说话，像喝醉了一样，名叫血溃，用五灵脂研为细末，开水送服二钱，即可痊愈。
五灵脂专门治疗妇科病，行血宜生用，止血须炒用。用于通经闭及治疗经期不止，去除心痛，并治疗血气刺痛，驱除血痢肠风，驱逐心腹冷气，安定产妇血晕，治疗小儿疳蛔。五灵脂，是寒号鸟的粪便。这种鸟畏寒喜暖，所以它的粪便也是温性的，气味浓厚，属于阴中之阴，所以入血分，药性专门行血，走肝经速度最快。各种血虫病痛，都属于肝木范畴，因为肝主藏血，而各种虫都生于肝，所以五灵脂善于治疗血病、虫病，以及心腹胁肋诸痛，血崩胎产诸症。
[Five-Tiger Resin / Wulingzhi]
Also known as Di Bie. This is a type of insect living in damp soil, with a salty taste and cold nature. Having absorbed the qi of darkness, its medicinal property carries slight toxicity. When cut with a knife, white juice flows from within like pulp; upon exposure to air (or wounds), it reconnects, and the insect can walk again. Therefore, it has miraculous effects in treating contusions and traumatic injuries, and in knitting bones and tendons. It is a herb belonging to the Foot Jueyin Liver Meridian.
Blood is the true Yin within the body; it irrigates all bones and circulates throughout the meridians. If blood stagnates, the meridians become obstructed, leading to an imbalance where Yin and Yang mutually overact, resulting in alternating chills and fever. Salty and cold substances can enter the blood level and soften hardness. Thus, it primarily treats blood accumulations in the heart and abdomen, masses (Zhang-Jia), and various conditions of amenorrhea due to blood obstruction. When blood harmonizes and Ying and Wei Qi flow smoothly, chills and fever are naturally eliminated, meridians regulate evenly, menstruation arrives on time, enabling women to bear children. Furthermore, it treats "malaria mother" (splenomegaly associated with malaria) and is an essential herb. However, if amenorrhea is caused by blood depletion rather than blood stasis, it should not be taken.
Combined with Pyrite (Ziran Tong), Dragon's Blood (Xuejie), Frankincense (Ruxiang), Myrrh (Moyao), Wu Zhu Qian, Huang Jing Zi, Hemp Husk Ash, and Dog Head Bone, it produces miraculous results for contusions and traumatic injuries. Zhang Zhongjing's formula, Dahuang Zhechong Wan, is used to treat postpartum abdominal pain with dry blood (old blood stasis). The usage involves taking 20 Dahuang Zhechong insects (feet removed), 20 Tao Ren (Peach Kernels), and 2 liang of Da Huang (Rhubarb Root), grinding them into powder, mixing with refined honey, pounding until uniform, and dividing into four pills. Each time, take one pill, boil in 1 sheng of wine until reduced to 2 he, and take warm. Stasis blood will be discharged.
The *Ji Yan Fang* records: For contusions and sprains, use one dried ground beetle (Tu Bie), freshly ground at the time of use, mixed with equal parts of Ruxiang, Moyao, Ziran Tong, and Long Gu, plus a small amount of Shexiang (Musk). Grind into powder. Take 3 fen each time, mixed with the ground beetle powder, administered with wine. Bone dislocations must be set first before administration, otherwise, bone knitting cannot occur. This herb can also substitute for corporal punishment (cane beating) due to its analgesic properties.
Dahuang Zhechong removes blood accumulations, thoroughly searching out and eliminating stasis. It is fastest in repairing fractures and dislocations. Decoction gargled can rapidly resolve "wooden tongue," while oral administration can immediately induce lactation.
[Wulingzhi]
Taste: Sweet. Nature: Warm. Toxicity: Non-toxic. Meridians Entered: Foot Jueyin Liver Meridian, Hand Shaoyin Heart Meridian. Its nature specializes in promoting blood circulation, thus primarily treating female amenorrhea. Due to its sweet and warm nature, it treats cold qi in the heart and abdomen and unblocks Qi and blood vessels. It treats the "Five Kindling Diseases" (Wu Gang) in children because it aids in digesting food and fluids. It treats intestinal wind bleeding by removing stasis in the intestines and stomach. It is an indispensable herb for conditions such as stabbing pain in the chest and heart due to Qi and blood stagnation, postpartum lower abdominal pain from "Erzhen Masses" (retained placenta or lochia), pain caused by phlegm binding with blood forming cysts, and pain from blood coagulation.
Shixiao San (Pain-Relieving Powder) treats cardiac pain, abdominal abscesses, lower abdominal pain, and hernia in the lower abdomen in men and women of all ages, especially when other herbs fail. It can both move and stop bleeding. It is particularly effective for cardiac pain during pregnancy, postpartum cardiac pain, lower abdominal pain, and Qi-blood stabbing pain. Usage: Mix equal parts of Wulingzhi and Puhuang (Pollen Typhae), grind into powder. First, mix the powder with two cups of vinegar, boil into a paste, add one cup of water, and decoct until three-tenths remain. Take the medicine hot with the dregs. If ineffective, take again. Another method substitutes wine for vinegar, or forms pills using vinegar paste. Administer with child's urine or wine. For sudden severe cardiac pain, stir-fry 1 qian 5 fen of Wulingzhi and stir-fry 3 fen of Ganjiang (Dried Ginger), grind into powder, and take with hot wine for immediate relief.
The *Xia Ziyi Qiji Fang* records: A strange disease called "Blood Collapse." Symptoms include cloudy black sclera, abnormal vision, stiff hair standing up like iron rods, ability to eat and drink but inability to speak, resembling drunkenness. Administer Wulingzhi powder, 2 qian, with boiled water for cure.
Wulingzhi specializes in gynecology. Raw form promotes blood circulation; stir-fried form stops bleeding. It is used to unblock amenorrhea and treat prolonged menstruation, relieve cardiac pain, treat Qi-blood stabbing pain, expel bloody dysentery and intestinal wind, drive away cold qi in the heart and abdomen, stabilize postpartum blood syncope, and treat pediatric kindling roundworms. Wulingzhi is the feces of the Cold-War Bird (Hanhao Qin). This bird fears cold and prefers warmth, so its feces are also warm. With strong aroma and flavor, it belongs to "Yin within Yin," entering the blood level. Its nature specializes in moving blood, acting fastest on the Liver Meridian. Various blood-related diseases and parasites belong to Wood of the Liver, as the Liver stores blood and parasites often originate in the Liver. Therefore, it excels in treating blood diseases, parasitic diseases, pain in the heart, abdomen, and hypochondrium, as well as metrorrhagia and obstetric conditions.