论曰内经谓病有少腹盛，上下左右皆有根，名曰伏梁。裹大脓血，居肠胃之外，不可治，
治之每切按之至死，又曰人有身体髀股 皆肿。环脐而痛，病名伏梁，此风根也，夫气之所
聚名曰聚，气之所积名曰积，聚阳气也，故无所留止，积阴气也，故有形。伏梁心之积也，
起于脐上，故少腹盛，上下左右皆有根，裹大脓血，居肠胃之外，故环脐而痛，此为风水之
病，故身体髀 皆肿，名曰伏梁，以其若梁之隐伏也，其证有浅深。居脐上为逆。以邪气之
逆上行也，居脐下为从。以邪气之顺下行也，治法不可动，动之为水溺涩之病，论在刺法中。
治伏梁积气，鳖甲汤方
鳖甲（去裙 醋炙黄） 京三棱（锉） 大腹（锉） 芍药（各一两） 当归（切焙） 柴
胡（去苗） 生干地黄
上九味。粗捣筛，每服三钱匕，水一盏，入木香末半钱，同煎至七分，去滓空心温服，
日再。
治心积伏梁，人参丸方
人参（一两） 陈橘皮（汤浸去白焙二两捣末醋一升煎膏） 射干 自然铜（研如粉） 金
牙（研如粉） 枳壳（去瓤麸炒） 知母（锉） 当归（切焙） 细辛（去苗叶） 槟榔（锉）
石菖蒲（泔浸一宿切焙） 远志（去心） 赤茯苓（去黑皮） 麦门冬（去心焙各一两）
上一十四味，除煎研者外，捣罗为末，入煎研者药和匀，炼蜜和丸，如梧桐子大，每服
二十丸，空心炒生姜黑豆汤下，日再，稍加至三十丸。
治伏梁气，胸下痞痛，小便赤涩，及惊悸不安，夜多梦寐，丹砂丸方
丹砂 金牙 马牙硝（以上三味同研细） 人参 赤茯苓（去黑皮） 麦门冬（去心焙）
升麻 远
上一十味，除研者外，捣罗为末，入研者药拌匀，炼蜜和丸。如梧桐子大，每服二十丸，
临卧煎桑根白皮葱汤下。
治忧积伏梁气，诃黎勒丸方
诃黎勒（煨去核二两） 槟榔（锉三两半） 赤茯苓（去黑皮） 柴胡（去苗） 枳壳
（去瓤麸炒） 羚羊角（镑） 黄连（去须） 防葵（锉） 生姜（切焙各一两半） 黄芩
（去黑心一两） 大黄（锉炒三两半） 木通（锉一
上一十二味，捣罗为末，炼蜜和丸，梧桐子大，每服十丸，空腹米饮下，日再，渐加至
三十丸，以利为度。
治伏梁气，桃奴丸方
桃奴（一两）
上一味。捣罗为散，每服三钱匕，空腹温酒调下。
论述说：《内经》提到，有一种病症表现为少腹部胀满坚硬，上下左右都有根脚，名叫伏梁。其内部包裹着大量的脓血，位于肠胃之外，属于难治之症。如果治疗时强行按压，往往会导致死亡。又说，有人身体大腿和股部都出现肿胀，环绕肚脐疼痛，这种病名叫伏梁，这是风邪留下的病根。凡是气机聚集的地方叫做“聚”，气机积聚不散的地方叫做“积”。“聚”属于阳气，所以没有固定的停留位置；“积”属于阴气，所以有固定的形态。伏梁是心的积病，起始于脐上，所以少腹部胀满坚硬，上下左右都有根脚，内部包裹大量脓血，位于肠胃之外，因此环绕肚脐疼痛。这属于风水病，所以身体和大腿都会肿胀，名叫伏梁，因为它像房梁一样隐伏在体内，其病情有浅深之分。病位如果在脐上，属于逆证，因为邪气逆乱上行；病位如果在脐下，属于顺证，因为邪气顺势下行。治疗方法不可妄动，一旦妄动就会引发小便涩滞的病症，相关论述在刺法篇中。
治疗伏梁积气的鳖甲汤方：
鳖甲（去除裙边，用醋炙至黄色）一两，京三棱（锉碎）一两，大腹（锉碎）一两，芍药一两，当归（切片焙干）一两，柴胡（去苗）一两，生干地黄一两。
以上九味药，粗捣筛过，每次服用三钱匕，加水一盏，加入木香末半钱，共同煎煮至七分，滤去药渣，空腹温服，每日两次。
治疗心积伏梁的人参丸方：
人参一两，陈橘皮（用汤浸泡后去白，焙干，取二两捣成末，用一升醋煎成膏），射干一两，自然铜（研成粉末）一两，金牙（研成粉末）一两，枳壳（去瓤，麸炒）一两，知母（锉碎）一两，当归（切片焙干）一两，细辛（去苗叶）一两，槟榔（锉碎）一两，石菖蒲（用淘米水浸泡一夜后切片焙干）一两，远志（去心）一两，赤茯苓（去黑皮）一两，麦门冬（去心焙干）一两。
以上十四味药，除了需要煎制和研磨的药物外，其余捣碎过罗成末，将煎膏和研磨的药粉混合均匀，用炼蜜调和制成丸药，大小如梧桐子。每次服用二十丸，空腹时用炒生姜黑豆汤送服，每日两次，逐渐增加至三十丸。
治疗伏梁气引起的胸下痞闷疼痛、小便红赤涩痛，以及惊悸不安、夜间多梦的丹砂丸方：
丹砂一两，金牙一两，马牙硝一两（以上三味药共同研细），人参一两，赤茯苓（去黑皮）一两，麦门冬（去心焙干）一两，升麻一两，远志一两。
以上十味药，除了需要研磨的药物外，其余捣碎过罗成末，将研磨的药粉拌匀，用炼蜜调和制成丸药，大小如梧桐子。每次服用二十丸，临睡前用桑根白皮葱汤煎服送下。
治疗忧思积结导致的伏梁气的诃黎勒丸方：
诃黎勒（煨制去核）二两，槟榔（锉碎）三两半，赤茯苓（去黑皮）一两半，柴胡（去苗）一两半，枳壳（去瓤，麸炒）一两半，羚羊角（镑片）一两半，黄连（去须）一两半，防葵（锉碎）一两半，生姜（切片焙干）一两半，黄芩（去黑心）一两，大黄（锉碎炒）三两半，木通（锉碎）一两。
以上十二味药，捣碎过罗成末，用炼蜜调和制成丸药，大小如梧桐子。每次服用十丸，空腹用米饮送服，每日两次，逐渐增加至三十丸，以大便通畅为度。
Translation:
The treatise states: The *Neijing* (Classic of Internal Medicine) mentions that there is a disease characterized by fullness and hardness in the lower abdomen, with roots extending up, down, left, and right, named Fuliang (Hidden Beam). It contains large amounts of pus and blood, resides outside the intestines and stomach, and is considered incurable. If treated by forceful pressing, it often leads to death. It also states that some people experience swelling in the body, thighs, and legs, along with pain surrounding the umbilicus; this disease is named Fuliang, which is the root of wind pathogen. Wherever Qi gathers, it is called "Ju" (Gathering); where Qi accumulates and stagnates, it is called "Ji" (Mass). "Ju" belongs to Yang Qi, so it has no fixed location; "Ji" belongs to Yin Qi, so it has a fixed form. Fuliang is the accumulation of the Heart. It originates above the umbilicus, causing fullness and hardness in the lower abdomen with roots in all directions, containing large amounts of pus and blood outside the intestines and stomach, thus causing pain around the umbilicus. This is a disorder of Wind-Water interaction, leading to swelling of the body and thighs, hence named Fuliang because it hides within the body like a beam. Its manifestations vary in depth. If located above the umbilicus, it is a "Ni" (Rebellious) pattern, as the pathogenic factor rebels and moves upward; if located below the umbilicus, it is a "Cong" (Following) pattern, as the pathogenic factor follows the downward trend. The treatment method should not involve agitation; agitating it will cause disorders of difficult urination. Relevant discussions can be found in the chapter on Acupuncture Methods.
Formula for Treating Fuliang Accumulated Qi: Biejia Tang (Softshell Turtle Decoction)
Biejia (Carapax et Plastrum Testudinis, remove skirt, vinegar-fried until yellow) 1 liang, Jingsanleng (Rhizoma Sparganii, crushed) 1 liang, Dafu (Fructus Citri Grandis, crushed) 1 liang, Shaoyao (Radix Paeoniae Alba or Rubra, 1 liang), Danggui (Radix Angelicae Sinensis, sliced and dried) 1 liang, Chaihu (Radix Bupleuri, remove seedlings) 1 liang, Sheng Gan Dihuang (Radix Rehmanniae Preparata, fresh) 1 liang.
The above nine ingredients are coarsely pounded and sieved. Each dose consists of 3 qianbi (approx. 4.5g), boiled with one zhan (approx. 200ml) of water, adding half a qianbi of Muxiang powder (Radix Aucklandiae), decocted until reduced to 70%, strained, and taken warm on an empty stomach. Taken twice daily.
Formula for Treating Heart Accumulation Fuliang: Renshen Wan (Ginseng Pill)
Renshen (Radix Ginseng) 1 liang, Chenjupi (Pericarpium Citri Reticulatae, soaked in water, white pith removed, dried, 2 liang pounded into powder, decocted with one sheng of vinegar into a paste), Shegan (Rhizoma Belamcandae) 1 liang, Ziran Tong (Pyritum, ground to powder) 1 liang, Jin Ya (Os Draconis, ground to powder) 1 liang, Zhike (Fructus Aurantii, pulp removed, bran-fried) 1 liang, Zhimu (Rhizoma Anemarrhenae, crushed) 1 liang, Danggui (Radix Angelicae Sinensis, sliced and dried) 1 liang, Xixin (Herba Asari, remove seedlings and leaves) 1 liang, Binglang (Semen Arecae, crushed) 1 liang, Shichangpu (Rhizoma Acori Tatarinowii, soaked in rice water overnight, sliced and dried) 1 liang, Yuanzhi (Radix Polygalae, heart removed) 1 liang, Chi Fuling (Poria cum Radice Polypori, black skin removed) 1 liang, Maimendong (Radix Ophiopogonis, heart removed and dried) 1 liang.
The above fourteen ingredients, excluding those requiring decoction or grinding, are pounded and sieved into fine powder. The decocted paste and ground powders are mixed evenly. Honey is refined and used to bind the mixture into pills the size of Sophora seeds. Each dose is 20 pills, taken on an empty stomach with decoction of fried ginger and black soybeans. Taken twice daily, gradually increasing to 30 pills.
Formula for Treating Fuliang Qi with Chest Stagnation Pain, Red and Scanty Urine, Palpitations, Restlessness, and Nightmares: Dansha Wan (Cinnabar Pill)
Dansha (Cinnabaris) 1 liang, Jin Ya (Os Draconis) 1 liang, Mayaxiao (Natrii Sulfas, these three ingredients ground together finely) 1 liang, Renshen (Radix Ginseng) 1 liang, Chi Fuling (Poria cum Radice Polypori, black skin removed) 1 liang, Maimendong (Radix Ophiopogonis, heart removed and dried) 1 liang, Shengma (Rhizoma Cimicifugae) 1 liang, Yuanzhi (Radix Polygalae) 1 liang.
The above ten ingredients, excluding those requiring grinding, are pounded and sieved into fine powder. The ground powders are mixed in evenly. Honey is refined and used to bind the mixture into pills the size of Sophora seeds. Each dose is 20 pills, taken before sleep with decoction of Sanggen Baipi (Cortex Morii Radicis) and scallion.
Formula for Treating Fuliang Qi Caused by Worry Accumulation: Helile Wan (Terminalia Pill)
Helile (Fructus Chebulae, baked, pitted) 2 liang, Binglang (Semen Arecae, crushed) 3.5 liang, Chi Fuling (Poria cum Radice Polypori, black skin removed) 1.5 liang, Chaihu (Radix Bupleuri, remove seedlings) 1.5 liang, Zhike (Fructus Aurantii, pulp removed, bran-fried) 1.5 liang, Lingyangjiao (Cornu Saigae Tataricae, shaved) 1.5 liang, Huanglian (Rhizoma Coptidis, remove whiskers) 1.5 liang, Fangkui (Radix Peucedani, crushed) 1.5 liang, Shengjiang (Rhizoma Zingiberis Recens, sliced and dried) 1.5 liang, Huangqin (Radix Scutellariae, remove black heart) 1 liang, Dahuang (Radix et Rhizoma Rhei, crushed and fried) 3.5 liang, Mutong (Caulis Akebiae, crushed) 1 liang.
The above twelve ingredients are pounded and sieved into fine powder. Honey is refined and used to bind the mixture into pills the size of Sophora seeds. Each dose is 10 pills, taken on an empty stomach with rice drink. Taken twice daily, gradually increasing to 30 pills, stopping when bowel movement becomes smooth.
Formula for Treating Fuliang Qi: Taonuo Wan (Dried Peach Fruit Pill)
Taonuo (Fructus Persicae Siccus) 1 liang.
The above single ingredient is pounded and sieved into powder. Each dose is 3 qianbi (approx. 4.5g), taken on an empty stomach with warm wine.