治肝之积,在左胁下,如覆杯,有头足如龟鳖状,久久不愈,发咳逆呕,
疟连岁月不已,其脉弦而细。
青皮(炒,二两) 当归须 苍术(各一两半) 蛇含石( ,醋淬,三分) 蓬术(切) 三棱(切)
铁孕粉(各三两,与三棱、蓬术同入醋煮一伏时)
上为末,醋煮米糊丸,绿豆大。每服四十丸,当归浸酒下。
治心之积,起于脐上,上至心,大如臂,久久不已,病烦心,身体髀股皆肿,
环脐而痛,其脉沉而芤。
茯苓 浓朴(姜汁制炒) 人参 枳壳(麸炒去瓤) 白术 半夏(汤洗七次) 三棱(慢火
煨熟,乘热温治)
上等分,为末,煮糊丸,梧子大。米饮下二十丸,食前,日两服;作散,酒调服,绝胜。
治脾之积,在胃脘,覆大如盘,久久不愈,病四肢不收,黄瘅,饮食不为肌肤
,心痛彻背,背痛彻心,脉浮大而长。
大乌头(一分,炮去皮尖) 附子(半两,炮去皮脐) 赤石脂( ,醋淬) 川椒(炒出汗) 干
姜(炮,各二两) 桂心(半两)
上为末,蜜丸,如梧子大,朱砂为衣。每服五七丸,米汤下,渐至十丸。
治肺之积,在右胁下,大如覆杯,久久不愈,病洒洒寒热,气逆喘咳,发为肺
痈,其脉浮而毛。
半夏(汤七次) 吴茱萸(汤洗) 桂心(各二两半) 人参 甘草(炙) 桑白皮(炙) 葶苈(
炒,各二两半)
上为锉散。每服四钱,水一盏半,姜七片,枣两枚,煎七分,去滓,食前服。
Treatment for the accumulation of the Liver: The lesion is located under the left hypochondrium, resembling an inverted cup, with a head and feet like a turtle or crab. If not cured for a long time, it may manifest as cough with counterflow qi and vomiting, malaria persisting for years, and a wiry and fine pulse.
Qingpi (Stir-fried, 2 liang) Dangguixu (Danggui Xu, Radix Angelicae Sinensis Lateral Root) Cangzhu (1.5 liang each) Shehanshi (Copper Pyrite, treated with vinegar, 3 fen) Pengzhu (sliced) Sanleng (sliced)
Tieyunfen (3 liang each, boiled together with Sanleng and Pengzhu in vinegar for one shi [two hours])
Grind the above ingredients into powder, mix with rice paste made by boiling in vinegar to form pills the size of mung beans. Take 40 pills per dose, administered with wine infused with Danggui.
Treatment for the accumulation of the Heart: It originates above the umbilicus, extending upwards to the heart, large as an arm. If persistent, it causes vexation of the heart, swelling of the thighs and legs, pain surrounding the umbilicus, and a deep and hollow pulse.
Fuling (Poria) Nongpo (Magnoliae Officinalis Cortex, processed with ginger juice and stir-fried) Renshen (Ginseng Radix et Rhizoma) Zhike (Aurantii Fructus, bran-fried and pith removed) Baizhu (Atractylodis Macrocephalae Rhizoma) Banxia (Pinelliae Tuber, washed seven times in water) Sanleng (Sparganii Rhizoma, slow-fire roasted until cooked, pounded while hot)
Divide the above ingredients equally, grind into powder, and make pills with cooked paste, sized like wutong seeds. Take 20 pills before meals with millet drink, twice daily; alternatively, prepare as a powder and take with wine for superior efficacy.
Treatment for the accumulation of the Spleen: Located in the epigastrium, covering an area large as a plate. If prolonged, it leads to flaccidity of the four limbs, jaundice, inability of food and drink to nourish the muscles, heartache radiating to the back and backache radiating to the heart, and a floating, large, and long pulse.
Da Wutou (Aconiti Radix, processed, peel and tip removed, 1 fen) Fuzi (Aconiti Lateralis Radix Praeparata, processed, peel and navel removed, 0.5 liang) Chishizhi (Hematitum, treated with vinegar) Chuanjiao (Zanthoxyli Pericarpium, stir-fried until oil appears) Ganjiang (Zingiberis Rhizoma, processed, 2 liang each) Guixin (Cinnamomi Ramulus, 0.5 liang)
Grind the above into powder, make honey pills sized like wutong seeds, coated with Zhusha (Cinnabaris). Take 5-7 pills per dose with rice soup, gradually increasing to 10 pills.
Treatment for the accumulation of the Lung: Located under the right hypochondrium, large as an inverted cup. If persistent, it causes chills and fever, counterflow qi with wheezing and cough, developing into fei abscess (Lung Abscess), with a floating and hairy pulse.
Banxia (Pinelliae Tuber, washed seven times in water) Wuzhuyu (Evodiae Fructus, washed in water) Guixin (Cinnamomi Ramulus, 2.5 liang each) Renshen (Ginseng Radix et Rhizoma) Gancao (Glycyrrhizae Radix et Rhizoma, honey-roasted) Sangbaipi (Mori Cortex, honey-roasted) Tingli (Descurainiae Semen seu Lepidii Semen, stir-fried, 2.5 liang each)
Grind the above into coarse powder. Take 4 qian per dose, add 1.5 sheng of water, 7 slices of fresh ginger, and 2 jujubes. Decoct until reduced to 0.7 volume, strain, and take before meals.