干漆（炒令烟尽） 大黄（炒，各一两） 琥珀 砂（研） 硝石（研） 莪术（各
三分） 红花 延胡索 桂心（各半两） 腻粉（一分） 巴豆（三、七粒，去皮、心，研
去油，用浆水二盏煎如饧）
上为细末，用枣肉和丸如梧桐子大，每服五丸。于日未出时，煎苏木汤吞下。量患人轻
重加减服之。
治妇人积年血症块不消，状若鬼胎之候。宜服琥珀丸。
琥珀（研） 桂心 牛膝 芫花（制） 槟榔 桃仁（炒，各三分） 生地黄 延胡索 当
归（各半两） 鳖甲 三棱 干漆（炒） 砂（各一两） 大黄（二两） 虻虫（四十九
枚，去翅足，炒） 水蛭（四十九枚，炒）
上为末，醋煮 砂为膏，入药末和，捣三、二百杵，丸如梧桐子大。每服十丸，空心，
温酒下。
治妇人积年症块不消。 砂丸。
砂 干漆 雄黄 水银（以少肥枣研无星） 雄雀粪（各一分） 巴豆（二粒，去油）
上研停，用枣肉丸如绿豆大，空心，当归酒下三丸，临卧再服，取下恶物为度。
理五积气癖及惊悟血积，症癖、血瘕、发歇攻刺疼痛，呕逆噎塞，心中迷闷，不醒人事，
及血臌、症瘕胀满、经脉不行者。（《灵苑方》）
芫花（去枝梗，取二两，用好米醋三升，煎至一升半，去滓不用，只将醋入石器内，入
砂霜一两，巴豆肉七粒，烂研，入醋内熬成膏，留丸药用效） 木香 没药（别研） 当
归桂心 荜茇（各一两） 槟榔（一分） 肉豆蔻（一枚，炮） 斑蝥（三枚，去头、足、
翅，糯米炒令焦黄，去米研细） 附子（一两半，用去皮）
上一十二味，除斑蝥、没药，余为细末，与斑蝥、没药一处合研令停，入前膏子内，
和捣千百杵，丸如赤豆大。初服一丸，用醋炒萝卜子令焦黑，以酒浸，同煎一、二沸，放温
吞下。渐加至五丸、七丸即止。如急卒血气攻心脾，以酒醋共一银盏，煎沸吞下。妇人血
瘕、症癖、结块攻心疼痛、闷绝，久医不效者，入禹余粮一两，火 、醋 七次，研细，和
药为丸，每服五丸，用苏木节二两细锉，酒三升，煎至七合，去滓，分为三服，吞药并进。
三服当汗出，则瘕随大小肠逐下，其病立瘥。人弱者，每服只二丸。如是丈夫元脏小肠气、
脾积气，症块等疾，即入丹砂一两细研和停，以生姜、盐汤吞下三丸。
【干漆丸】
干漆（炒至烟尽）一两，大黄（炒）一两，琥珀砂（研细）三分，硝石（研细）三分，莪术三分，红花半两，延胡索半两，桂心半两，腻粉一分，巴豆三至七粒（去皮、芯，研去油，用浆水二盏煎至如饴糖状）。
以上药物研为细末，用枣肉调和，制成梧桐子大小的丸剂。每次服用五丸。在日出之前，煎苏木汤送服。根据患者病情的轻重增减药量。
主治妇人多年形成的血积症块不消散，症状如同鬼胎的情况。适宜服用琥珀丸。
【琥珀丸】
琥珀（研细）三分，桂心三分，牛膝三分，芫花（炮制）三分，槟榔三分，桃仁（炒）三分，生地黄半两，延胡索半两，当归半两，鳖甲一两，三棱一两，干漆（炒）一两，硇砂（此处原文漏字，据上下文及方名推测为“硇砂”或指代前文矿物，但依原文仅列“砂”，结合后文“醋煮砂为膏”，实指硇砂/Nitrum）一两，大黄二两，虻虫四十九枚（去翅足，炒），水蛭四十九枚（炒）。
以上药物研为粉末，用醋煮硇砂成膏，加入药末混合，捣三四百下，制成梧桐子大小的丸剂。每次服用十丸，空腹时，用温酒送服。
主治妇人多年形成的症块不消散。即硇砂丸。
【第三首方】
硇砂一分，干漆一分，雄黄一分，水银一分（用少量肥枣研至无星点），雄雀粪一分，巴豆二粒（去油）。
以上药物共同研匀，用枣肉制成绿豆大小的丸剂。空腹时，用当归酒送服三丸，临睡前再服一次，以排出恶物为度。
【第四首方：没药丸】
理五积气癖及惊悟血积，症癖、血瘕，发作时攻刺疼痛，呕吐逆气噎塞，心中迷闷，不省人事，以及血臌、症瘕胀满、月经不通者。（出自《灵苑方》）
芫花（去枝梗，取二两，用好米醋三升，煎至一升半，去渣不用，只将醋倒入石器内，加入硇砂霜一两，巴豆肉七粒，烂研，放入醋中熬成膏，留作丸药用）一两半（注：此处原文排版混乱，通常此剂量指主药或特定步骤用量，依原文结构提取实体），木香一两，没药（另研）一两，当归一两，桂心一两，荜茇一两，槟榔一分，肉豆蔻一枚（炮制），斑蝥三枚（去头、足、翅，糯米炒至焦黄，去米研细），附子一两半（去皮）。
以上十二味药，除斑蝥、没药外，其余研为细末，与斑蝥、没药一起合研均匀，加入前述膏剂中，和捣千百下，制成赤豆大小的丸剂。初次服用一丸，用醋炒萝卜子至焦黑，以酒浸泡，同煎一至二沸，放温后吞服。逐渐加量至五丸、七丸即止。如果是急骤的血气攻心脾，用酒醋共一银盏，煎沸后吞服。妇人血瘕、症癖，结块攻心疼痛、昏厥，久治不效的，加入禹余粮一两，火煅、醋淬七次，研细，和药为丸，每次服用五丸，用苏木节二两细锉，酒三升，煎至七合，去渣，分三次服用，吞药并进。三次服药后应当出汗，则瘕随大小肠逐下，疾病立即痊愈。身体虚弱的人，每次只服二丸。如果是男子元脏小肠气、脾积气，症块等疾，则加入丹砂一两细研均匀，用生姜、盐汤送服三丸。
[Qianxi Wan (Dry Resin Pill)]
Gambirae Resina (Ganxi) one liang, stir-fried until smoke ceases; Rhei Radix et Rhizoma (Dahuang) one liang, stir-fried; Succini Pulvis (Hupo Sha), ground, three qian; Natrii Sulfas (Xiaoshi), ground, three qian; Curcumae Zedoariae Rhizoma (Ezhu) three qian; Carthami Flos (Honghua) half liang; Corydalis Rhizoma (Yanhusuo) half liang; Cinnamomi Cortex (Guixin) half liang; Calomel (Nifen) one qian; Crotonis Fructus (Badou) 3-7 grains, peeled and cored, ground with oil removed, decocted in two cups of sour rice water until resembling maltose.
The above ingredients are ground into fine powder, mixed with jujube pulp to form pills the size of Sophora japonica seeds. Take five pills each time. Swallow with a decoction of Pterocarpus santalinus (Sumu) before sunrise. Adjust the dosage according to the severity of the patient's condition.
Indicated for women with chronic blood stasis masses that do not dissipate, presenting as if carrying a "ghost fetus." It is suitable to take Hupo Wan (Amber Pill).
[Hupo Wan (Amber Pill)]
Succinum (Hupo), ground, three qian; Cinnamomi Cortex (Guixin) three qian; Achyranthis Bidentatae Radix (Niuxi) three qian; Genkwa Flos (Yuanhua), processed, three qian; Arecae Semen (Binglang) three qian; Persicae Semen (Taoren), stir-fried, three qian; Rehmanniae Radix (Shengdihuang) half liang; Corydalis Rhizoma (Yanhusuo) half liang; Angelicae Sinensis Radix (Danggui) half liang; Testudinis Carapax et Plastrum (Biejia) one liang; Sparganii Rhizoma (Sanleng) one liang; Gambirae Resina (Qianxi), stir-fried, one liang; Natrii Chloridum Rubrum (Naosha/Nitrum), one liang; Rhei Radix et Rhizoma (Dahuang) two liang; Otitidis (Mengchong) 49 pieces, wings and feet removed, stir-fried; Hirudo (Shizhi) 49 pieces, stir-fried.
The above ingredients are ground into powder. Boil Naosha (Nitrum) in vinegar to make a paste, mix with the medicinal powder, and pound 300-400 times to form pills the size of Sophora japonica seeds. Take ten pills each time, on an empty stomach, swallowed with warm wine.
Indicated for chronic abdominal masses in women that do not dissipate. Also known as Naosha Wan.
[Third Formula]
Natrii Chloridum Rubrum (Naosha) one qian; Gambirae Resina (Qianxi) one qian; Realgar (Xionghuang) one qian; Hydrargyrum (Shuiyin) one qian (ground with a small amount of fatty jujube flesh until no shiny particles remain); Excrement of Male Sparrow (Xiongquefen) one qian; Crotonis Fructus (Badou) two grains (oil removed).
Grind all ingredients uniformly together. Form pills the size of mung beans using jujube pulp. Take three pills on an empty stomach with Danggui Jiu (Angelica Sinensis Wine), and take another dose before going to bed. Continue until foul matter is expelled.
[Fourth Formula: Moyao Wan (Myrrh Pill)]
Indicated for Li Wu Ji Qi Pi (accumulation of qi and masses in five regions) and blood stasis caused by fright, Xie Pi (masses due to pathogenic factors), Xue Jia (blood masses), paroxysmal stabbing pain, vomiting and regurgitation with dysphagia, mental confusion and dizziness, loss of consciousness, as well as Xue Gu (blood distension), abdominal fullness due to masses, and amenorrhea. (From *Lingyuan Fang*)
Genkwa Flos (Yuanhua) two liang (remove stems, decoct in three sheng of good rice vinegar until reduced to one and a half sheng, discard residue, keep only the vinegar. Add one liang of refined Naosha (Nitrum) frost and seven grains of Badou meat, grind thoroughly, and boil in the vinegar to form a paste for pill-making). Mugwort Wood (Muxiang) one liang; Myrrha (Moyao), separately ground, one liang; Angelicae Sinensis Radix (Danggui) one liang; Cinnamomi Cortex (Guixin) one liang; Pipernis Fructus (Bibo) one liang; Arecae Semen (Binglang) one qian; Myristicae Semen (Roudoukou) one piece, roasted; Mylabris (Banmao) three pieces (remove head, feet, and wings, stir-fry with glutinous rice until scorched yellow, remove rice and grind finely); Aconiti Lateralis Radix Praeparata (Fuzi) one and a half liang, peeled.
Of the twelve ingredients, except for Banmao and Moyao, grind the rest into fine powder. Mix with Banmao and Moyao thoroughly. Combine with the previously prepared paste and pound 1,000 times to form pills the size of adzuki beans. Initially take one pill. Stir-fry Raphani Semen (Luobozhong) with vinegar until scorched black, soak in wine, boil together for one or two boils, let cool slightly, and swallow. Gradually increase the dose to five or seven pills, then stop. In cases of acute blood and qi attacking the heart and spleen, decoct in a silver cup with equal parts wine and vinegar until boiling, then swallow. For women with Xue Jia, Xie Pi, painful masses attacking the heart causing fainting, unresponsive to long-term treatment, add Yuyuliang (Hematitum) one liang, calcined seven times with vinegar quenching, ground fine, and mixed into pills. Take five pills each time. Decoct two liang of finely cut Pterocarpus santalinus nodes (Sumu Jie) in three sheng of wine until reduced to seven he, strain, divide into three doses, and take with the pills. After three doses, sweating should occur, and the mass will be discharged through the large and small intestines, leading to immediate recovery. For weak individuals, take only two pills per dose. For men suffering from Yuan Zang Xiao Chang Qi (deficiency cold of the kidney and small intestine), Pi Ji Qi (spleen accumulation), or similar masses, add one liang of finely ground Dantasha (Cinnabar), and take three pills with ginger and salt water.