128 问曰：病（有）结胸，有藏结，其状何如？答曰：寸脉浮，关脉沉，名曰结胸也。129 何为藏结？答曰：如结胸状，饮食如故，时时下利，寸脉浮，关脉小细沉紧，名曰藏结。舌上白苔滑者，难治。130 藏结无阳证，不往来寒热，其人反静，舌上苔滑者，不可攻也。131 病发于阳，而反下之，热入因作结胸。病发于阴，而反下之，因作痞也。所以成结胸者，以下之太早故也。结胸者，体亦强，如柔痉，下之则和，宜大陷胸丸。大陷胸丸方大黄半斤 葶苈子半斤（熬） 芒硝半斤 杏仁半斤（去皮尖，熬黑）上四味，捣筛二味，纳杏仁、芒硝，合研如脂，和散，取如弹丸一枚。别捣甘遂末一钱匕，白蜜二合，水二升，煮取一升，温顿服之，一宿乃下，如不下，更服，取下为效，禁如药法。132 结胸证，其脉浮大者，不可下，下之则死。133 结胸证悉具，烦躁者亦死。
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