污血成积，石瘕之属也。经云∶石瘕生于胞中，寒气客于子门，子门闭塞，气不得通，
恶血当泻不泻， 以留止，日以益大，如怀子状，可导而下。
经验桃奴丸
桃奴 延胡索 鼠粪 香附 官桂 砂仁 五灵脂 桃仁（去皮尖，各等分）
为末，每服三钱，温酒调下。
鸡矢醴散（《宣明》）
大黄 桃仁（去皮尖） 干鸡屎（各等分）
为末，每服二钱，水一盏，姜三片，煎汤调下。
夺命丹 治瘀血入胞衣，胀满难下。服此血即消，胞衣自下。
炮附子（半两） 牡丹皮（一两） 干漆（一两，碎之，炒令烟尽）
为末，醋一升，大黄末一两，同熬成膏，和匀丸如桐子大，温酒下五七丸。
（一名谷胀）
饮食过节，停滞中焦，其症吞酸嗳气，恶闻食臭，得食则益甚。经云∶饮食不节，起居
者，阴受之。阴受之则入五脏，入五脏则 满闭塞是也。是宜消而去之，甚则下之，所谓中满者，泻之于内也。
枳实导滞丸
大黄（一两） 枳实（麸炒） 黄芩 黄连（俱酒炒） 焦神曲（各五钱） 白术（土炒） 茯苓
（二钱）
为末，蒸饼为丸。
人参丸（《外台》） 疗久心腹痛胀，痰饮不下食。
人参 白术 枳实（各六分） 浓朴 青木香 大黄 槟榔（各六分） 茯苓（八分） 橘皮（五分）
蜜丸桐子大，生姜、大枣煎汤，送下二十丸，日二服，渐加至三十丸。
无碍丸 治脾病水横流，四肢胀满。
木香（五钱） 京三棱（炮） 蓬莪术（炮） 槟榔 郁李仁（汤浸去皮，各一两） 大腹皮（
为末，炒麦芽粉糊丸，桐子大，每服二十丸，生姜汤下。
瘀血形成积块，属于石瘕这一类病症。《内经》说：石瘕生于胞宫之中，寒气侵入子门（子宫口），导致子门闭塞，气机不能通畅，恶血应当排出却未能排出，因而停留积聚，日渐增大，状如怀孕，可以通过导引或攻下之法治疗。
经验桃奴丸
药材包括：桃奴、延胡索、鼠粪、香附、官桂、砂仁、五灵脂、桃仁（去皮尖，各等分）。
研为细末，每次服用三钱，用温酒调服。
鸡矢醴散（出自《宣明论方》）
药材包括：大黄、桃仁（去皮尖）、干鸡屎（各等分）。
研为细末，每次服用二钱，用水一盏，生姜三片，煎汤调服。
夺命丹 治疗瘀血进入胞衣，导致胀满难以排出。服用此药后瘀血即消散，胞衣自然脱落。
药材包括：炮附子（半两）、牡丹皮（一两）、干漆（一两，捣碎，炒至烟尽）。
研为细末，用醋一升，加入大黄末一两，共同熬制成膏，混合均匀制成如梧桐子大小的丸剂，每次温酒送服五至七丸。
（又称谷胀）
饮食无节制，停滞在中焦，症状表现为吞酸、嗳气，厌恶食物的气味，进食后症状加重。《内经》说：饮食不节，起居失常者，阴经受邪。阴经受邪则病入五脏，病入五脏则出现腹部胀满闭塞的情况。此时适宜采用消导法去除积滞，病情严重时使用泻下法，即所谓“中满者，泻之于内”的治疗原则。
枳实导滞丸
药材包括：大黄（一两）、枳实（麸炒）、黄芩、黄连（均用酒炒）、焦神曲（各五钱）、白术（土炒）、茯苓（二钱）。
研为细末，用蒸饼糊制作成丸剂。
人参丸（出自《外台秘要》） 治疗长久的心腹疼痛胀满，痰饮阻滞无法进食。
药材包括：人参、白术、枳实（各六分）、浓朴、青木香、大黄、槟榔（各六分）、茯苓（八分）、橘皮（五分）。
制成如梧桐子大小的蜜丸，用生姜、大枣煎汤送服二十丸，每日两次，逐渐增加至三十丸。
无碍丸 治疗脾病导致水湿横流，四肢胀满。
药材包括：木香（五钱）、京三棱（炮制）、蓬莪术（炮制）、槟榔、郁李仁（热水浸泡去皮，各一两）、大腹皮（此处原文缺失剂量，依惯例推测为适量或等分，但严格翻译需忠实原文，故略去具体剂量描述或视为未注明）。
研为细末，用炒麦芽粉糊制作成丸，如梧桐子大小，每次服用二十丸，用生姜汤送服。
Accumulation formed from stagnant blood belongs to the category of *Shi Jia* (Stone Leiomyoma). The Classics state: "Shi Jia arises in the uterus; cold pathogen invades the Zi Men (cervical os), causing obstruction, preventing Qi from circulating freely. Evil blood should be discharged but is not, thus remaining and accumulating, enlarging day by day, resembling pregnancy. It can be treated by guiding or purging."
Experience Taonuo Pill
Ingredients: Taonuo (Peach Plum), Yanhusuo (Corydalis Rhizome), Shufen (Rat Feces), Xiangfu (Cyperus Rhizome), Guangui (Cinnamon Twig), Sharen (Amomum Fruit), Wulingzhi (Trogopterus Dung), Tao Ren (Peach Seed, peeled and slit, all in equal parts).
Grind into powder. Take 3 qian each time, mixed with warm wine for administration.
Jishi Li San (from *Xuanming Lun Fang*)
Ingredients: Dahuang (Rhubarb Root and Rhizome), Tao Ren (Peach Seed, peeled and slit), Gan Jishi (Dried Chicken Droppings, all in equal parts).
Grind into powder. Take 2 qian each time, mixed with a decoction made from one cup of water and three slices of fresh ginger.
Mingdan (Life-Extending Pill) Treats retained blood entering the placental membrane, causing distension and difficulty in expulsion. After taking this medicine, the blood dissipates, and the placental membrane falls off naturally.
Ingredients: Paofuzi (Prepared Aconite Lateralis Radix, half liang), Mudanpi (Tree Peony Bark, one liang), Ganqi (Dry Resin of Toxicodendron Officinale, one liang, crushed and stir-fried until smoke ceases).
Grind into powder. Add one sheng of vinegar and one liang of Dahuang powder, boil together into an ointment, mix evenly, and form pills the size of paulownia seeds. Take 5–7 pills with warm wine.
(Gu Zhang / Grain Distension)
Irregular diet leads to stagnation in the Middle Jiao. Symptoms include acid regurgitation, belching, aversion to food odors, and worsening after eating. The Classics state: "Irregular diet and improper living habits affect the Yin meridians. When Yin meridians are affected, pathogens enter the Five Zang organs. Entering the Zang organs results in abdominal fullness and obstruction." In such cases, it is appropriate to use resolving methods to eliminate stagnation; if severe, purgative methods should be used. This aligns with the principle: "For fullness in the center, drain from within."
Zhishi Daozhi Wan
Ingredients: Dahuang (Rhubarb Root and Rhizome, one liang), Zhishi (Immature Bitter Orange, bran-fried), Huangqin (Scutellaria Root), Huanglian (Coptis Rhizome, both fried with wine), Jiao Shenqu (Fried Medicated Leaven, five qian each), Baizhu (Atractylodes Macrocephala Rhizome, earth-fried), Fuling (Poria, two qian).
Grind into powder, make pills using steamed bread paste.
Ren Shen Wan (from *Waitai Miyao*) Treats chronic epigastric and abdominal pain with distension, where phlegm-fluid retention prevents food intake.
Ingredients: Renshen (Ginseng Root), Baizhu (Atractylodes Macrocephala Rhizome), Zhishi (Immature Bitter Orange, six fen each), Houpo (Magnolia Bark), Qingmuxiang (Aquilaria Wood), Dahuang (Rhubarb Root and Rhizome), Binglang (Areca Seed, six fen each), Fuling (Poria, eight fen), Ju Pi (Citrus Reticulata Peel, five fen).
Make honey pills the size of paulownia seeds. Take 20 pills with a decoction of fresh ginger and jujube, twice daily. Gradually increase to 30 pills.
Wu'ai Wan Treats Spleen disease where water-dampness flows horizontally, causing distension and fullness in the four limbs.
Ingredients: Muxiang (Vladimiria Root, five qian), Jingsanleng (Sparganium Rhizome, processed), Peng'ezhu (Curcuma Phaeocaulis Rhizome, processed), Binglang (Areca Seed), Yuliren (Burmese Plum Seed, soaked in hot water and peeled, one liang each), Dafupi (Areca Pericarp).
Grind into powder, make pills using fried malt powder paste, the size of paulownia seeds. Take 20 pills each time with a decoction of fresh ginger.