因胃中有火有痰。三因云∶中脘有饮则嘈,有宿食则痛。
二陈汤加南星、黄芩。治食郁有热吞酸。
面术丸 治吞酸嘈杂。
宿砂 陈皮 炒曲 苍术 曲丸。
方 治吞酸湿热所郁。
黄连(姜汁炒) 茱萸(炒) 苍术 茯苓 汤浸。
吐清水 苍术(陈壁土炒) 茯苓(一钱) 活石(炒) 白术(一钱半) 陈皮(五分) 煎服。
燥饮丸 治痰饮心痛。
干螺壳(墙土上者) 苍术 曲为丸。
木香丸 治腐气者,宿食也。
木香 蓬术 胡椒 半夏 干漆(炒烟尽各五钱) 宿砂 桂心 青皮(三两) 附子(炮
去皮脐) 山棱(醋炒) 白姜(一两)
上为末,蜜为丸如梧桐子大,每服五十丸,姜汤下。
感应丸 治同前。
肉豆蔻 川姜 百草霜(各二钱) 木香(一两) 荜澄茄 山棱 油(各一两) 巴
豆(百粒去皮) 蜡(四两) 杏仁(百粒去皮)
上除巴豆、杏仁外,为末,次下别研,巴、杏和匀,先将油煎蜡溶化,倾在
药内和成剂,入舂内杵千余下旋丸如绿豆大,每服三五丸,温汤送下。
脉来细而附骨者,乃积也。寸口见,积在胸;尺中见,积在气冲;关上见,
积在脐傍。左积左,右积右。脉二出,积在中央处其部。
脉浮而毛,按之辟易,胁下气逆,背相引痛,名肺积。
脉沉而芤,上下无常处,胸满悸,腹中热,名心积。
脉弦而细,两胁下痛,邪走心下,足肿寒重,名肝积。
脉沉而急,若脊与背相引痛,饥见饱减,名肾积。
脉浮大而长,饥减饱见,腹满泄呕,胫肿,名脾积。
寸口沉而横,胁下及腹中为横积。
脉小沉而实者,胸胃中有积聚不下食,食则吐。
脉沉而紧,若心下有寒时痛,有积聚。
关上脉大而尺寸细者,必心腹冷积。
脉弦,腹中急痛为瘕;脉细微者为 。
迟而滑,中寒有 结。驶而紧,积聚有击痛。
脉沉重中散者,寒食成 瘕;脉左转沉重者,病 在胸;脉右转不至寸口者,内有肉 。
盖积者,系于藏始终不移。聚者,系于府发痛转移,随气往来,如有坯块。
者,系于气;瘕者,系于血。
因外有寒,血脉凝涩,汁沫与血相搏则气聚而成积矣。
又因七情忧思伤心;重寒伤肺;愤怒伤肝;醉以入房,汗出当风伤脾;
困力过度入房,汗出入浴伤肾。皆藏气不平,凝血不散,汁沫相搏,蕴结成积。
又因食、酒、肉、水、涎、血、气入积,皆因偏爱停留不散,日久成积块,
在中为痰饮,在右为食积,在左为血积。
又有息积者,乃气息癖滞于胁下,不在脏腑荣卫之间,积久形成,气不干胃,
故不妨食,病者胁下满,气逆息难,频岁不已,名曰息积。
有肝积,名肥气,在左胁下如杯, ,连岁,中有血色。
有心积,名曰伏梁,起脐下,大如臂,上至心下,令人烦心,有大脓血在肠胃之外。
有肺积,名息贲,在右胁下,如杯,寒热喘嗽。
有脾积,名痞气,在胃脘,如盆,四肢不收,黄胆,饮食不为肌肤,其食冷物,阳气为湿蓄。
有肾积,名贲豚,发于小腹,上至心下,如豚状,上下喘逆骨痿。
寒者热之;结者散之;客者除之;留者行之;坚者削之;消摩之;咸
以之;苦以泻之;全真气而补之;随所利而行之。
五积丸
黄连(肝肾五钱;脾七钱;心肺一两五钱。) 浓朴(肝心脾五钱;肺肾八钱。) 川乌(肝肺一
钱;心肾脾五钱。) 干姜(肝心五分;肺肾钱半。) 茯苓(一钱五分。) 人参(脾肺肝二钱;心
五钱。) 巴豆霜(五分)
上为末,巴豆霜旋入蜜炼为丸如桐子大,初二丸,加至微溏。又有虚人不宜
攻,以蜡匮其药且久留磨积。
肝积加柴胡(二两) 皂角(二钱) 川椒(四钱) 昆布 莪术(各二钱半。)
心积加黄芩(三钱) 茯苓 桂 丹参 菖蒲(各一钱。)
肺积加桔梗 天门冬 山棱 青皮 陈皮 白豆蔻(各一钱) 川椒 紫菀(各一钱半。)
肾积加玄胡(三钱) 苦楝(三钱) 全蝎 附子(一钱) 泽泻(二钱) 独活(一钱) 菖蒲
(二钱) 桂(三分) 丁香(五分)
脾积加吴茱萸 宿砂 茵陈 芩(各二钱) 泽泻(一钱) 椒(五分)
秋冬加朴一倍,减芩、连。
服人觉热加连;觉闷乱加桂;气短减朴。
肉积KT 砂 水银 阿魏。
酒积神曲 麦 。
水积甘遂 芫花 牵牛。
食积巴豆 礞石。
气积槟榔 木香。
血积虻虫 水蛭 桃仁 大黄。
涎积雄黄 腻粉。
癖积山棱 莪术。
鱼腥陈皮 紫苏 草果 丁香 桂心。
寒冷成积附子 硫黄 朴。
消块丸
山棱 莪术(削坚) 青皮 陈皮(破气) 香附(开气) 桃仁 红花(治血) 灵脂(破血) 牛膝(活
血) 二陈汤(开皮里膜外之痰) 石 (破痰块) 甘草 黄连(吴茱萸炒、益智子炒) 山楂(破食块)
上为末,醋糊为丸,用葵根、石 、白术汤下。
千金消食丸
硝石(六两) 大黄(半斤) 甘草 人参(三两)
上为细末,以三年苦酒三升,置竹筒中,以竹片三刻,先纳大黄,搅使微沸
尽一刻,乃下余药,又尽一刻,微火熬膏,丸桐子大,每三十丸。可消块,不令
人困。
经验丸 破块。
吴茱萸 黄连 木香 槟榔 桃仁 郁李仁 大承气加连、川芎;干葛
煎汤,下栝蒌、贝母、半夏、黄连丸极妙。
破痰块 苦参 瓜蒂 半夏 姜汁蜜丸。
破茶癖 石膏 黄芩 升麻 砂糖,调末服。
化气汤 治息积,癖于腹胁之下,腹满疼痛,呕吐酸水。
宿砂 桂心 木香 胡椒(一钱) 甘草(炙) 茴香(炒) 丁香 青皮 陈皮 莪术(炮
各五钱) 沉香(一钱)
上为末,生姜紫苏盐酒调下三钱。
散聚汤 治六聚,状如 瘕,随气上下,心腹绞痛,攻刺腰胁,喘咳满闷腹胀。
半夏 槟榔 归(三钱) 桂 杏仁(二两) 茯苓 附(炮去皮脐) 甘草 川芎 吴茱萸
朴枳壳(各一两)
大便秘加大黄。
三圣散 贴块。
锻石(未化者半斤,瓦器炒令淡黄红,候稍减热下。) 大黄(一两,就炉微炒,候凉入桂。) 桂心
(半两末,略炒,入米醋熬成膏,浓摊贴患处。)
又方 大黄 朴硝(各一两) 大蒜捣膏,和匀贴之,亦妙。
小儿奶癖 白芥子(研) 摊纸上贴。
Because there is fire and phlegm in the stomach. The *San Yin Fang* (Treatise on the Three Causes of Disease) states: If there is fluid retention in the Zhongwan (CV12) area, it causes jiao zuo (a sensation of hunger with discomfort); if there is retained food, it causes pain.
Er Chen Tang (Two-Aged Decoction) added with Nan Xing (Arisaema Cum Bile) and Huang Qin (Scutellaria Root). Treats swallowing acid due to food stagnation with heat.
Mian Zhu Wan (Flour and Atractylodes Pill). Treats swallowing acid and jiao zuo.
Formula: Su Sha (Amomum Fruit), Chen Pi (Citrus Peel), Chao Qu (Fried Medicated Leaven), Cang Zhu (Atractylodes Rhizome). Made into pills using Medicated Leaven as a binder.
This formula treats swallowing acid caused by damp-heat stagnation.
Formula: Huang Lian (Coptis Rhizome, stir-fried with ginger juice), Zhu Yu (Evodia Fruit, stir-fried), Cang Zhu (Atractylodes Rhizome), Fu Ling (Poria). Decocted in water for oral administration.
For vomiting clear saliva: Cang Zhu (stir-fried with earth from old walls), Fu Ling (3g), Huo Shi (Fired Liver Stone/Cauline Soil, stir-fried), Bai Zhu (Atractylodes Macrocephala Rhizome, 4.5g), Chen Pi (Citrus Peel, 1.5g). Decocted and taken orally.
Zao Yin Wan (Drying Fluid Pill). Treats heart pain caused by phlegm-fluid retention.
Formula: Gan Luo Ke (Dried Snail Shell, those found on walls), Cang Zhu (Atractylodes Rhizome). Made into pills using Medicated Leaven as a binder.
Mu Xiang Wan (Costus Root Pill). Treats foul odors, which are caused by retained food.
Formula: Mu Xiang (Costus Root), E Zhu (Curcuma Rhizome), Hu Jiao (Black Pepper), Ban Xia (Pinellia Tuber), Gan Qi (Dry Lacquer, stir-fried until smoke ceases, each 15g), Su Sha (Amomum Fruit), Gui Xin (Cinnamon Twig Heart), Qing Pi (Unripe Citrus Peel, 90g), Fu Zi (Prepared Aconite Root, processed, peel and umbilical scar removed), San Leng (Polygonatum Rhizome, vinegar-fried), Bai Jiang (Dried Ginger, 30g).
Grind the above ingredients into powder, mix with honey to make pills the size of Sophora seeds. Take 50 pills per dose, washed down with ginger decoction.
Gan Ying Wan (Responsive Pill). Treats the same conditions as above.
Formula: Rou Dou Kou (Nutmeg), Chuan Jiang (Sichuan Ginger), Bai Cao Shuang (Soot from Kitchen Chimney, each 6g), Mu Xiang (Costus Root, 30g), Bi Cheng Qie (Long Pepper Fruit), San Leng (Polygonatum Rhizome), You (Oil, each 30g), Ba Dou (Croton Seed, 100 seeds, peeled), La (Beeswax, 120g), Xing Ren (Apricot Seed, 100 seeds, peeled).
Except for Ba Dou and Xing Ren, grind the other ingredients into powder. Grind Ba Dou and Xing Ren separately, then mix them evenly. First, melt the beeswax in oil, pour it into the medicinal powder, and mix into a paste. Pound the mixture over a thousand times in a mortar, then shape into pills the size of mung beans. Take 3-5 pills per dose, washed down with warm water.
When the pulse is fine and adheres deeply to the bone, it indicates Ji (accumulation). If seen at Cun Kou (radial artery near wrist crease), the accumulation is in the chest; if seen at Chi (radial artery distal to wrist crease), the accumulation is at Qi Chong (ST30); if seen at Guan (radial artery mid-point), the accumulation is beside the navel. Accumulations on the left correspond to the left side of the body, and on the right to the right side. If the pulse beats out from both sides, the accumulation is in the central region corresponding to that part.
If the pulse is floating and feathery, feeling empty when pressed, with qi rebelling under the hypochondrium and pulling pain in the back, it is named Fei Ji (Lung Accumulation).
If the pulse is sinking and hollow (Kou Mai), with no fixed location, chest fullness, palpitations, and heat in the abdomen, it is named Xin Ji (Heart Accumulation).
If the pulse is wiry and thin, with pain under both hypochondria, pathogenic factors moving to the epigastrium, swollen and cold/heavy feet, it is named Gan Ji (Liver Accumulation).
If the pulse is sinking and rapid, with pulling pain between the spine and back, worsening when hungry and improving when full, it is named Shen Ji (Kidney Accumulation).
If the pulse is floating, large, and long, improving when hungry and appearing when full, with abdominal fullness, diarrhea, vomiting, and calf swelling, it is named Pi Ji (Spleen Accumulation).
If the Cun Kou pulse is sinking and transverse, there is a transverse accumulation under the hypochondrium and in the abdomen.
If the pulse is small, sinking, and solid, there is accumulation in the chest and stomach preventing food intake, leading to vomiting after eating.
If the pulse is sinking and tight, and there is pain in the epigastrium due to cold, there is an accumulation.
If the Guan pulse is large while the Cun and Chi pulses are fine, there must be cold accumulation in the heart and abdomen.
If the pulse is wiry, with acute abdominal pain, it is Jia (fluctuating mass); if the pulse is fine and minute, it is Zheng (fixed mass). [Note: Original text has missing characters here, inferred as Zheng based on context].
If the pulse is slow and slippery, there is cold in the middle with knotting. If the pulse is rapid and tight, there is accumulation with striking pain.
If the pulse is heavy but scattered in the middle, cold and food have formed a Jia; if the pulse turns heavy to the left, the disease is in the chest; if the pulse turns right and does not reach the Cun Kou, there is internal flesh accumulation/polyps.
Generally, Ji (accumulation) is associated with the Zang organs and remains fixed. Ju (aggregation) is associated with the Fu organs, causes pain and moves, following the flow of qi, appearing like a lump.
Zheng [missing char] is related to qi; Jia is related to blood.
Due to external cold, blood vessels become congealed and sluggish. Body fluids (juice foam) contend with blood, causing qi to gather and form accumulation.
Also, due to seven emotions: worry and thought damage the Heart; severe cold damages the Lung; anger damages the Liver; drinking alcohol and having intercourse, sweating and exposing to wind damages the Spleen; excessive fatigue and intercourse, sweating and bathing damages the Kidney. All these cause imbalance of organ qi, coagulation of blood that does not disperse, contention of fluids and blood, leading to accumulation.
Also, due to food, wine, meat, water, saliva, blood, and qi entering and accumulating, all because of preference leading to stagnation and non-dispersion, forming masses over time. In the center, it becomes phlegm-fluid; on the right, food accumulation; on the left, blood accumulation.
There is also Xi Ji (Breath Accumulation), where breath stagnates under the hypochondrium, not between the zang-fu or ying-wei. After long accumulation, qi does not interfere with the stomach, so eating is not hindered. The patient feels fullness under the hypochondrium, rebellious qi, and difficult breathing, persisting for years, named Xi Ji.
There is Gan Ji (Liver Accumulation), named Fei Qi (Fat Qi), located under the left hypochondrium like a cup, [missing char], lasting for years, containing blood color inside.
There is Xin Ji (Heart Accumulation), named Fu Liang (Hidden Beam), starting below the navel, as large as an arm, extending up to the epigastrium, causing vexation, with large amounts of pus and blood outside the intestines and stomach.
There is Fei Ji (Lung Accumulation), named Xi Ben (Rising Breath), located under the right hypochondrium, like a cup, with chills, fever, wheezing, and coughing.
There is Pi Ji (Spleen Accumulation), named Pi Qi (Stagnant Qi), in the epigastrium, like a basin, with limbs unable to move, jaundice, food failing to nourish muscles. Eating cold foods causes yang qi to be obstructed by dampness.
There is Shen Ji (Kidney Accumulation), named Ben Tun (Rushing Pig), originating in the lower abdomen, rising to the epigastrium, feeling like a pig running, with upward rebellious qi, wheezing, and bone萎 (weakness).
Cold should be treated with heat; knots should be dispersed; invaders should be eliminated; stasis should be moved; hardness should be reduced; massage should be used to dissipate; salty flavors should soften; bitter flavors should purge; preserve true qi and tonify; act according to what is beneficial.
Wu Ji Wan (Five Accumulations Pill)
Formula: Huang Lian (Coptis Rhizome): 15g for Liver/Kidney, 21g for Spleen, 45g for Heart/Lungs. Hou Po (Magnolia Bark): 15g for Liver/Heart/Spleen, 24g for Lungs/Kidneys. Chuan Wu (Aconite Root): 3g for Liver/Lungs, 15g for Heart/Kidneys/Spleen. Gan Jiang (Dried Ginger): 1.5g for Liver/Heart, 4.5g for Lungs/Kidneys. Fu Ling (Poria): 4.5g. Ren Shen (Ginseng Root): 6g for Spleen/Lungs/Liver, 15g for Heart. Ba Dou Shuang (Croton Seed Frost): 1.5g.
Grind the above into powder. Mix Ba Dou Shuang into refined honey to make pills the size of Sophora seeds. Start with 2 pills, increasing until slight diarrhea occurs. For deficient persons, harsh purging is unsuitable; wrap the medicine in wax to keep it in the body longer to gradually dissolve accumulations.
For Liver Accumulation, add Chai Hu (Bupleurum Root, 60g), Zao Jiao (Gleditsia Spine, 6g), Chuan Jiao (Sichuan Pepper, 12g), Kun Bu (Kelp), E Zhu (Curcuma Rhizome, each 7.5g).
For Heart Accumulation, add Huang Qin (Scutellaria Root, 9g), Fu Ling (Poria), Gui (Cinnamon Twig), Dan Shen (Salvia Root), Chang Pu (Acorus Rhizome, each 3g).
For Lung Accumulation, add Jie Geng (Platycodon Root), Tian Men Dong (Asparagus Tuber), San Leng (Polygonatum Rhizome), Qing Pi (Unripe Citrus Peel), Chen Pi (Citrus Peel), Bai Dou Kou (White Cardamom, each 3g), Chuan Jiao (Sichuan Pepper), Zi Wan (Aster Root, each 4.5g).
For Kidney Accumulation, add Yan Hu Suo (Corydalis Rhizome, 9g), Ku Lian (Chinaberry Seed, 9g), Quan Xie (Scorpion), Fu Zi (Prepared Aconite Root, 3g), Ze Xie (Alisma Rhizome, 6g), Du Huo (Angelica Pubescens Root, 3g), Chang Pu (Acorus Rhizome, 6g), Gui (Cinnamon Twig, 0.9g), Ding Xiang (Clove, 1.5g).
For Spleen Accumulation, add Wu Zhu Yu (Evodia Fruit), Su Sha (Amomum Fruit), Yin Chen (Artemisia Capillaris), Qin (Scutellaria Root, each 6g), Ze Xie (Alisma Rhizome, 3g), Jiao (Pepper, 1.5g).
In autumn and winter, double the amount of Hou Po, reduce Qin and Lian.
If the patient feels hot after taking the medicine, increase Lian; if feeling stifled and confused, increase Gui; if short of breath, reduce Hou Po.
For Meat Accumulation: [Missing Char], Su Sha, Shui Yin (Mercury), A Wei (Asafetida).
For Wine Accumulation: Shen Qu (Medicated Leaven), Mai Ya (Barley Sprout).
For Water Accumulation: Gan Sui (Euphorbia Root), Yuan Hua (Genkwa Flower), Qian Niu (Morning Glory Seed).
For Food Accumulation: Ba Dou (Croton Seed), Meng Shi (Hematite).
For Qi Accumulation: Bing Lang (Areca Seed), Mu Xiang (Costus Root).
For Blood Accumulation: Meng Chong (Blue Bottle Fly), Shui Zhi (Leech), Tao Ren (Peach Seed), Da Huang (Rhubarb Root).
For Saliva/Phlegm Accumulation: Xiong Huang (Realgar), Ni Fen (Calomel).
For Pi Accumulation (hypochondriac mass): San Leng (Polygonatum Rhizome), E Zhu (Curcuma Rhizome).
For Fish/Fowl Accumulation: Chen Pi (Citrus Peel), Zi Su (Perilla Leaf), Cao Guo (Black Cardamom), Ding Xiang (Clove), Gui Xin (Cinnamon Twig Heart).
For Cold-induced Accumulation: Fu Zi (Prepared Aconite Root), Liu Huang (Sulfur), Hou Po (Magnolia Bark).
Xiao Kuai Wan (Mass Dissolving Pill)
Formula: San Leng (Polygonatum Rhizome), E Zhu (Curcuma Rhizome) [to cut hardness]; Qing Pi (Unripe Citrus Peel), Chen Pi (Citrus Peel) [to break qi]; Xiang Fu (Cyperus Rhizome) [to open qi]; Tao Ren (Peach Seed), Hong Hua (Carthamus Flower) [to treat blood]; Ling Zhi (Trogopterus Dung) [to break blood]; Niu Xi (Achyranthes Root) [to invigorate blood]; Er Chen Tang (Two-Aged Decoction) [to open phlegm in skin and membranes]; Shi [Missing Char, likely Hai Fu Shi] [to break phlegm masses]; Gan Cao (Licorice Root), Huang Lian (Coptis Rhizome, stir-fried with Wu Zhu Yu and Yi Zhi Ren); Shan Zha (Hawthorn Fruit) [to break food masses].
Grind into powder, make pills with vinegar paste. Take with decoction of Kui Gen (Mallow Root), [Missing Char], and Bai Zhu (Atractylodes Rhizome).
Qian Jin Xiao Shi Wan (Thousand Gold Digestive Pill)
Formula: Xiao Shi (Niter, 180g), Da Huang (Rhubarb Root, 240g), Gan Cao (Licorice Root), Ren Shen (Ginseng Root, 90g).
Grind into fine powder. Place 3 sheng of three-year-old vinegar in a bamboo tube. Stir with a bamboo slice for three ke (approx. 45 mins). First add Da Huang, stir until slightly boiling, continue for one ke (15 mins). Then add remaining medicines, stir for another ke. Simmer over low heat to make a paste. Shape into Sophora seed-sized pills. Take 30 pills per dose. Can dissolve masses without causing exhaustion.
Jing Yan Wan (Experience Pill) Breaks masses.
Formula: Wu Zhu Yu (Evodia Fruit), Huang Lian (Coptis Rhizome), Mu Xiang (Costus Root), Bing Lang (Areca Seed), Tao Ren (Peach Seed), Yu Li Ren (Bush Cherry Seed). Or use Da Cheng Qi Tang (Major Order the Qi Decoction) added with Lian (Coptis) and Chuan Xiong (Ligusticum Rhizome); wash down Gua Lou (Trichosanthes Fruit), Bei Mu (Fritillaria Bulb), Ban Xia (Pinellia Tuber), Huang Lian (Coptis Rhizome) pills with Ge Gen (Kudzu Root) decoction. Very effective.
Break Phlegm Masses: Ku Shen (Sophora Root), Gua Di (Momordica Fruit), Ban Xia (Pinellia Tuber). Make pills with ginger juice and honey.
Break Tea Pi (Tea Stagnation): Shi Gao (Gypsum), Huang Qin (Scutellaria Root), Sheng Ma (Cimicifuga Rhizome), Sha Tang (Rock Sugar). Mix powder with sugar and take.
Hua Qi Tang (Qi Transforming Decoction) Treats Xi Ji (Breath Accumulation), stagnation under abdomen and hypochondrium, abdominal fullness and pain, vomiting sour water.
Formula: Su Sha (Amomum Fruit), Gui Xin (Cinnamon Twig Heart), Mu Xiang (Costus Root), Hu Jiao (Black Pepper, 3g), Zhi Gan Cao (Honey-fried Licorice Root), Hui Xiang (Fennel Fruit, stir-fried), Ding Xiang (Clove), Qing Pi (Unripe Citrus Peel), Chen Pi (Citrus Peel), E Zhu (Curcuma Rhizome, processed, each 15g), Chen Xiang (Agarwood, 3g).
Grind into powder. Take 9g per dose, mixed with fresh ginger, Zi Su (Perilla Leaf), salt, and wine.
San Ju Tang (Dispersing Aggregation Decoction) Treats Liu Ju (Six Aggregations), resembling Jia, moving up and down with qi, colicky pain in heart and abdomen, piercing pain in waist and hypochondrium, wheezing, cough, fullness, and abdominal distension.
Formula: Ban Xia (Pinellia Tuber), Bing Lang (Areca Seed), Dang Gui (Angelica Sinensis, 9g), Gui (Cinnamon Twig), Xing Ren (Apricot Seed, 60g), Fu Ling (Poria), Fu Zi (Prepared Aconite Root, processed, peel and umbilical scar removed), Gan Cao (Licorice Root), Chuan Xiong (Ligusticum Rhizome), Wu Zhu Yu (Evodia Fruit), Hou Po (Magnolia Bark), Zhi Ke (Bitter Orange Fruit, each 30g).
If constipation, add Da Huang (Rhubarb Root).
San Sheng San (Three Sages Powder) Apply to masses.
Formula: Duan Shi (Calcined Alum Stone, unrefined half jin [240g], stir-fry in earthenware until pale yellow-red, wait for heat to subside before adding others). Da Huang (Rhubarb Root, 30g, lightly stir-fry on stove, wait for cool before adding Gui). Gui Xin (Cinnamon Twig Heart, 15g powder, lightly stir-fry, add rice vinegar and boil into paste, spread thickly on affected area).
Another Formula: Da Huang (Rhubarb Root), Po Xiao (Mirabilite, each 30g). Mash garlic into paste, mix evenly, and apply. Also excellent.
Pediatric Nai Pi (Milk Stagnation): Bai Jie Zi (White Mustard Seed, ground). Spread on paper and apply.