痛叫，小肠突出脐外五寸，交各二寸半，如竹节壶顶状。茎物交折长八九寸，明亮如灯笼，外症历来不经闻见。喻用黄
芩、阿胶二味，日进十余剂，三日始得小水，五日后水道清利，脐收肿消而愈。后门人问而明云∶夫一身之气，全阕于
肺，肺清则气行，肺浊则气壅。肺主皮毛，痘不成浆，肺热而津不行也。壳着于肉，名曰甲错。甲错者，多主肺痈。痈
者壅也，岂非肺气壅而然。与腹痛叫绝者，壅之甚也。壅甚则水道亦闭，是以其气横行其中，而小肠且为突出。至于外
肾弛长，其剩事矣。缘病已极中之极，惟单味多用，可以下行取效。故立方甚平，而奏功甚捷耳。试以格物之学，为子
广之。凡禽畜之类，有肺者有尿，无肺者无尿，故小道不利，而成肿满，清肺为急，此义前人阐发不到，后之以五苓
八正等方味治水者，总之未晤此旨。至于车水放塘，种种劫夺膀胱之剂，可不辨之于早欤？
嘉靖中，长州邹表之妻，患小腹下生一块，形如梅李，久则腐溃，始吐出若米粞之状，后又若蚬肉之状。以指捻
开，则有长发数条在内，名医竟不能治，遂致不起。蛇发瘕往往载于方书，或因食物相感，假血而成，理或有之，不可
指为妄诞也。
一人年二十三岁，膈有一点相引而痛，吸气觉皮急，此有污血也。滑石一两，桃仁、黄连各五钱，枳壳一两，炙甘
草二钱，为末，每服一钱五分，以萝卜自然汁煎饮之，一日五六服。
予里一妇，适咬针线，其针失口，未几入喉而下，茫无措置。一邻人云∶速当取蟾两目，用温水吞下，可相针头尾
而出，服之果验。又武林一童子，戏作吞针法，针亦入腹，治之亦如前而出。使蟾未有时，当往向南桑树底下，开落丈
许自有。
化痒汤
柴胡 栀子 天花粉（各三钱） 白芍（一两） 甘草（二钱）
水煎服。
调气和胃散
白豆蔻 木香 丁香 藿香 檀香 砂仁 甘草 苍术 浓朴 陈皮
水煎服。
木香调气散
木香 丁香 藿香 檀香 砂仁 白豆蔻 甘草
为末，沸汤入盐少许，调服二钱。
四七汤
人参 官桂 半夏（各一钱） 甘草（五分）
加姜煎。
藿香正气散
茯苓 白芷 苏叶 陈皮 桔梗 大腹皮 甘草 白术 浓朴 半夏（各两半） 藿香（三两） 前胡（一两半）
上每五钱，姜三片，枣一枚，水煎乘热服。
八味顺气散
白术 茯苓 青皮 陈皮 人参 白芷 乌药 甘草
水煎服。
八毒赤丸
雄黄 朱砂 矾石 附子（炮） 藜芦 巴豆（去油及筋膜） 丹皮（各一两） 蜈蚣一条（炙）
为末，蜜丸小豆大，水下七丸。
六味汤（即六味丸见耳门）
平胃散（见心神门）
患者疼痛呼叫，小肠突出于脐外五寸，相互交错各二寸半，形状如同竹节或壶盖。阴茎部位肿胀交折，长达八九寸，明亮如灯笼，这种外部症状历来未曾听闻见过。喻嘉言使用黄芩、阿胶两味药，每日服用十余剂，三天后开始有小便排出，五日后水道通畅清利，脐部收缩、肿胀消退而痊愈。门人询问其中道理，喻嘉言解释说：全身之气，全依赖肺气宣发肃降，肺清则气机运行通畅，肺浊则气机壅滞。肺主皮毛，痘疹不能成浆，是因为肺热导致津液不行。皮肤干燥如鳞甲交错，名为“甲错”。出现甲错，多主病为肺痈。痈，就是壅塞的意思，难道不是肺气壅滞所致吗？这与腹痛呼叫不止的情况一样，都是壅滞严重的表现。壅滞严重则水道也闭塞，因此气机在体内横行，小肠因而突出。至于外肾松弛延长，那是次要的伴随现象了。因为病情已经极度深重，只有单味药大量使用，才能引导药力下行取效。所以处方非常平和，但见效迅速。试着用格物致知的学问，为您广泛阐述一下。大凡禽畜之类，有肺的就有尿，没有肺的就没有尿，所以小便不利，就会形成肿满之症，清除肺热是当务之急，这个道理前人阐发得不够透彻，后来用五苓散、八正散等方剂治疗水湿病症的人，总之是没有领悟到这个宗旨。至于像车水放塘那样，种种劫夺膀胱的峻猛药剂，能不早点辨别清楚吗？
嘉靖年间，长州邹表之的妻子，患小腹下方生出一块肿块，形状像梅子李子，时间久了就腐烂溃破，起初吐出类似米渣的东西，后来又吐出类似蚬肉状的东西。用手指捻开，里面有几根长发，名医竟然无法治愈，最终导致死亡。蛇发瘕（腹中结块伴有毛发）往往记载于医书中，可能是因为食物相互作用，假借血液而成，道理上或许有此可能，不可指斥为荒诞不经。
有一人二十三岁，膈部有一点牵引作痛，吸气时感觉皮肤紧绷，这是体内有瘀血。用滑石一两，桃仁、黄连各五钱，枳壳一两，炙甘草二钱，研为细末，每次服用一钱五分，用萝卜自然汁煎服，一天服用五六次。
我乡里有一位妇人，不小心咬断了针线，针头掉入口中，不久进入喉咙并下行至腹部，茫然无措。一位邻居说：应当迅速取蟾蜍的两只眼睛，用温水吞下，可以引导针头从尾部排出，服药后果然验证有效。又有一个武林地方的童子，嬉戏模仿吞针法，针也进入腹部，治疗也是照这样做而排出。如果当时没有蟾蜍，应当前往向南的桑树底下，离地丈许的地方挖掘，自有蟾蜍可得。
化痒汤
柴胡、栀子、天花粉（各三钱），白芍（一两），甘草（二钱）。
水煎服。
调气和胃散
白豆蔻、木香、丁香、藿香、檀香、砂仁、甘草、苍术、浓朴、陈皮。
水煎服。
木香调气散
木香、丁香、藿香、檀香、砂仁、白豆蔻、甘草。
研为细末，沸水加入少许盐，调服二钱。
四七汤
人参、官桂、半夏（各一钱），甘草（五分）。
加生姜煎服。
藿香正气散
茯苓、白芷、苏叶、陈皮、桔梗、大腹皮、甘草、白术、浓朴、半夏（各一两半），藿香（三两），前胡（一两半）。
以上药物每用五钱，加生姜三片，大枣一枚，水煎趁热服用。
八味顺气散
白术、茯苓、青皮、陈皮、人参、白芷、乌药、甘草。
水煎服。
八毒赤丸
雄黄、朱砂、矾石、附子（炮制）、藜芦、巴豆（去油及筋膜）、丹皮（各一两），蜈蚣一条（炙烤）。
研为细末，蜂蜜炼制成小豆大小的丸剂，温水送服七丸。
The patient cried out in pain, with the small intestine protruding five cun outside the umbilicus, interlaced two and a half cun each, resembling bamboo nodes or the top of a pot. The penis was swollen and twisted, eight to nine cun long, bright as a lantern; such external symptoms had never been heard of before. Yu Jiayan used only Huangqin (Scutellariae Radix) and Ejiao (Colla Corii Asini), administering more than ten doses daily. After three days, urination began; after five days, the urinary pathway became clear and unobstructed, the umbilicus retracted, swelling subsided, and the patient recovered. A disciple asked for an explanation. Yu Jiayan replied: "The Qi of the entire body relies entirely on the Lung. When the Lung is clear, Qi moves freely; when the Lung is turbid, Qi becomes stagnant. The Lung governs the skin and hair. If acne-like eruptions fail to form pus, it is due to Lung heat preventing the flow of fluids. Skin dryness resembling scales is called 'Jiacuo' (crisscross scaling). Jiacuo often indicates Lung Abscess (Fei Yong). 'Yong' means obstruction. Is this not caused by Lung Qi stagnation? This is similar to severe abdominal pain and crying, which are also signs of extreme obstruction. Severe obstruction closes the water pathways, causing Qi to move horizontally within, leading to the protrusion of the small intestine. The flaccidity and elongation of the external kidneys are merely secondary phenomena. Since the disease has reached an extreme depth, only single herbs used in large doses can guide the medicinal action downward to achieve efficacy. Thus, the prescription is very mild, yet the effect is rapid. Let me explain this using the principles of investigating things. Generally speaking, among birds and beasts, those with lungs have urine, and those without lungs do not. Therefore, when urination is difficult, edema and fullness result. Clearing the Lung heat is urgent. This principle was not fully elucidated by predecessors. Those who later treated water-dampness disorders with formulas like Wuling San (Five-Ingredient Powder with Poria) or Bazheng San (Eight-Righteousness Powder) ultimately failed to grasp this essence. One should distinguish early from using harsh agents that forcibly drain the Bladder, akin to draining a pond."
In the middle of the Jiajing era, the wife of Zou Biaozhi from Changzhou suffered from a lump growing below the lower abdomen, shaped like a plum or a plumcot. Over time, it rotted and ulcerated, initially expelling material resembling rice dregs, and later resembling clam meat. When pinched open with fingers, several strands of long hair were found inside. Famous physicians could not cure it, and she eventually died. Shefa Jia (Snake-Hair Mass), often recorded in medical texts, may arise from food interactions generating blood stasis; this theory may have merit and should not be dismissed as absurd.
A twenty-three-year-old man experienced pulling pain at one point in the diaphragm, with a sensation of tight skin upon inhalation, indicating the presence of stagnant blood. He was prescribed Shihuang (Talcum) 1 liang, Taoren (Peach Kernel) and Huanglian (Coptidis Rhizoma) 5 qian each, Zhike (Aurantii Fructus) 1 liang, and Zhigancao (Prepared Licorice Root) 2 qian. These were ground into powder. Each dose was 1.5 qian, decocted and drunk with natural radish juice, taken five to six times a day.
A woman in my hometown accidentally swallowed a needle while biting thread. The needle head disappeared down her throat and into her abdomen, leaving her helpless. A neighbor suggested: "Quickly take the eyes of a toad and swallow them with warm water; they will guide the needle out from the tail end." The treatment proved effective. Similarly, a boy in Wulin played a game of swallowing needles, and the needle entered his abdomen. He was treated in the same manner and expelled the needle. If toads were unavailable, one should go to the south side of mulberry trees and dig about one zhang deep, where toads can be found.
Huayang Tang (Itch-Relieving Decoction)
Chaihu (Bupleuri Radix), Zhizi (Gardeniae Fructus), Tianhuafen (Trichosanthis Radix) (each 3 qian); Baishao (Paeoniae Radix Alba) (1 liang); Gancao (Glycyrrhizae Radix et Rhizoma) (2 qian).
Decoct in water and take orally.
Tiaoqi Hewei San (Regulating Qi and Harmonizing Stomach Powder)
Baidoukou (Cardamomi Rotundae Fructus), Muxiang (Aucklandiae Radix), Dingxiang (Caryophylli Flos), Huoxiang (Agastaches Herba), Tanxiang (Santalum Album Lignum), Sharen (Amomi Fructus), Gancao (Glycyrrhizae Radix et Rhizoma), Cangzhu (Atractylodis Rhizoma), Nongpo (Moutan Cortex - *Note: Text says Nongpo, usually Houpo*), Chenpi (Citri Reticulatae Pericarpium).
Decoct in water and take orally.
Muxiang Tiaoqi San (Aucklandia Regulating Qi Powder)
Muxiang (Aucklandiae Radix), Dingxiang (Caryophylli Flos), Huoxiang (Agastaches Herba), Tanxiang (Santalum Album Lignum), Sharen (Amomi Fructus), Baidoukou (Cardamomi Rotundae Fructus), Gancao (Glycyrrhizae Radix et Rhizoma).
Grind into powder. Mix with boiling water and a little salt, then take 2 qian.
Siqi Tang (Four-Seven Decoction)
Renshen (Ginseng Radix), Guangui (Cinnamomi Ramulus), Banxia (Pinelliae Rhizoma) (each 1 qian); Gancao (Glycyrrhizae Radix et Rhizoma) (0.5 qian).
Decoct with ginger slices.
Huoxiang Zhengqi San (Agastache Rectifying Qi Powder)
Fuling (Poria), Baizhi (Angelicae Dahuricae Radix), Suye (Perillae Folium), Chenpi (Citri Reticulatae Pericarpium), Jiegeng (Platycodonis Radix), Dafupi (Arecae Catechu Pericarpium), Gancao (Glycyrrhizae Radix et Rhizoma), Baizhu (Atractylodis Macrocephalae Rhizoma), Nongpo (Magnoliae Officinalis Cortex), Banxia (Pinelliae Rhizoma) (each 1.5 liang); Huoxiang (Agastaches Herba) (3 liang); Qianhu (Peucedani Radix) (1.5 liang).
For every 5 qian of the mixture, add three slices of ginger and one jujube. Decoct in water and take hot.
Bawei Shunqi San (Eight-Ingredient Smooth Qi Powder)
Baizhu (Atractylodis Macrocephalae Rhizoma), Fuling (Poria), Qingpi (Citri Reticulatae Pericarpium Viride), Chenpi (Citri Reticulatae Pericarpium), Renshen (Ginseng Radix), Baizhi (Angelicae Dahuricae Radix), Wuyao (Linderae Radix), Gancao (Glycyrrhizae Radix et Rhizoma).
Decoct in water and take orally.
Badu Chi Wan (Eight-Toxic Red Pill)
Xionghuang (Realgar), Zhusha (Cinnabaris), Fanshi (Alumen), Fuzi (Aconiti Lateralis Radix Praeparata, processed), Lilu (Veratrum nigrum Rhizoma), Badou (Crotonis Fructus, oil and membrane removed), Danpi (Moutan Cortex) (each 1 liang); Wugong (Centipedae Corpus) one piece (roasted).
Grind into powder, mix with honey to form pills the size of adzuki beans. Take seven pills with water.
Liwei Tang (Six-Ingredient Decoction, i.e., Liwei Wan/Wuge Wan, see Ear Section)
Pingwei San (Peace the Stomach Powder, see Heart-Spirit Section)