开郁气，化痰健脾胃，消积止痛，攻补兼施，养正，积自除之意。
白术（炒） 茯苓 陈皮 青皮 砂仁 麦芽 山楂 甘草（各三分） 香附（炒） 神
曲（炒） 枳实（炒） 海粉 玄胡（各五分） 莪术 红花 上焦火郁加黄连；下焦火加
盐、姜、栀、柏；冷气作痛加沉香、木香各五分。 姜三片，水煎，空心服。
治久气积聚，状如症瘕，随气上下，发作有时，心腹绞痛，攻刺腰胁，小腹填胀，大小
便不利。
半夏 槟榔 当归 杏仁（去皮尖） 附子（炮去皮脐） 陈皮 茯苓 枳壳 浓朴（姜
制） 桂
治诸积聚，症瘕，痞块，久患大如杯。及黄瘦，宿水作声，朝暮咳嗽，积年冷气，腹下
盘痛，绞结冲心。及两胁彻背，连心疼痛，气绕脐下，状如虫咬不可忍。又治赤白痢疾，十
种水气，反胃呕逆，饮食多噎，是病皆疗。此药神效，不可具述。
草乌（炮） 黄连（各一两） 人参 防风 柴胡 川椒（去目及闭口者，炒出汗） 桔
梗甘草（炙） 川芎 枳壳（去穣炒） 干姜（炮） 贝母（去心） 生地 官桂 吴茱
萸（盐汤浸） 白茯 菖蒲（米泔浸） 浓朴（姜炒） 甘松（去土） 紫菀 鳖甲（醋炙
黄。各一两） 巴豆（一两二
上为末，面糊丸。量大小人，三五丸加至二三十丸，按病调引子送。久服积自除。
(This prescription aims to) relieve Qi stagnation, resolve phlegm, strengthen the Spleen and Stomach, eliminate accumulations and alleviate pain. It combines purging excess with tonifying deficiency, nurturing righteous Qi so that accumulations are naturally eliminated.
Bai Zhu (Atractylodis Rhizoma, stir-fried), Fu Ling (Poria), Chen Pi (Citri Reticulatae Pericarpium), Qing Pi (Citri Reticulatae Pericarpium Viride), Sha Ren (Amomi Fructus), Mai Ya (Hordei Fructus Germinatus), Shan Zha (Crataegi Fructus), Gan Cao (Glycyrrhizae Radix et Rhizoma) (each 3 fen), Xiang Fu (Cyperi Rhizoma, stir-fried), Shen Qu (Massa Medicata Fermentata, stir-fried), Zhi Shi (Aurantii Fructus Immaturus, stir-fried), Hai Fen (Calcariae Concha), Yan Hu Suo (Corydalis Rhizoma) (each 5 fen), E Zhu (Curcumae Rhizoma), Hong Hua (Carthami Flos). If there is Fire stagnation in the Upper Jiao, add Huang Lian (Coptidis Rhizoma); if there is Fire in the Lower Jiao, add salt, Sheng Jiang (Zingiberis Rhizoma Recens), Zhi Zi (Gardeniae Fructus), and Huang Bo (Phellodendri Cortex); if pain is caused by Cold Qi, add Chen Xiang (Aquilariae Lignum Resinatum) and Mu Xiang (Aucklandiae Radix), each 5 fen. Decoct with 3 slices of Sheng Jiang (Zingiberis Rhizoma Recens) in water, take on an empty stomach.
Treats long-standing Qi accumulation, resembling Zheng Jia (abdominal masses), moving up and down with Qi, occurring at specific times, causing severe cramping pain in the heart and abdomen, radiating to the waist and hypochondrium, lower abdominal fullness, and difficulty in urination and defecation.
Ban Xia (Pinelliae Rhizoma), Bing Lang (Arecae Semen), Dang Gui (Angelicae Sinensis Radix), Xing Ren (Armeniacae Semen Amarum, peeled and removed of kernels), Fu Zi (Aconiti Lateralis Radix Praeparata, processed, peeled and removed of umbilicus), Chen Pi (Citri Reticulatae Pericarpium), Fu Ling (Poria), Zhi Ke (Aurantii Fructus, immature), Hou Po (Magnoliae Officinalis Cortex, processed with ginger juice), Gui Zhi (Cinnamomi Ramulus).
Treats various accumulations, Zheng Jia (abdominal masses), and Pi Ku (obstructive masses); in chronic cases, the mass may be as large as a cup. Also treats sallow complexion and emaciation, sound of retained fluid moving, morning and evening cough, chronic Cold Qi, coiling pain below the abdomen, cramping pain rushing to the heart. Also treats pain from both hypochondria penetrating to the back, pain extending to the heart, Qi circling below the navel feeling like unbearable insect bites. Furthermore treats red and white dysentery, ten types of Water Qi diseases, regurgitation and vomiting, frequent choking during eating; this medicine treats all these conditions. Its efficacy is miraculous and cannot be fully described.
Ca Wu (Aconiti Kusnezoffii Radix, processed), Huang Lian (Coptidis Rhizoma) (each 1 liang), Ren Shen (Ginseng Radix), Fang Feng (Saposhnikoviae Radix), Chai Hu (Bupleuri Radix), Chuan Jiao (Zanthoxyli Pericarpium, remove eyes and closed ones, stir-fry until oil appears), Jie Geng (Platycodonis Radix), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-fried), Chuan Xiong (Ligustici Chuanxiong Rhizoma), Zhi Ke (Aurantii Fructus, remove albedo and stir-fry), Gan Jiang (Zingiberis Rhizoma, processed), Bei Mu (Fritillariae Bulbus, remove core), Sheng Di Huang (Rehmanniae Radix), Guan Gui (Cinnamomi Cortex), Wu Zhu Yu (Evodiae Fructus, soaked in salt water), Bai Fu Ling (Poria), Chang Pu (Acori Tatarinowii Rhizoma, soaked in rice wash water), Hou Po (Magnoliae Officinalis Cortex, stir-fried with ginger), Gan Song (Nardostachyos Radix et Rhizoma, cleaned), Zi Wan (Adenophorae Radix), Bie Jia (Testudinis Carapax et Plastrum, vinegar-processed to yellow) (each 1 liang), Ba Dou (Crotonis Fructus) (1 liang 2 qian).
Grind the above into powder, make pills with wheat paste. Dosage depends on age: start with 3-5 pills, gradually increase to 20-30 pills, taken with appropriate guiding decoction according to the disease. Long-term use will naturally eliminate accumulations.