前药煮。气滞，加香附二两，同前药煮。气虚者，加沉香半两另入。噤口痢，加莲肉二两去心，另入。
上自久积缓除条至此一十六方，皆纯是磨积之剂，必用补气血药相兼服之，纯用之致死，乃医杀之也，谨之。
惊风成块者。妙应丸加穿山甲、炒鳖甲烧各三钱，玄胡索、蓬术各四钱，每五十丸加至七十丸，以利为度。
（妙应丸即控涎丹，方见痰门。）
〔丹〕茶癖，喜吃茶及吃干茶者。
石膏 黄芩 升麻 为末，砂糖调服。
〔世〕酒积方，累效。
乌梅（肉，一两） 半夏曲（七钱） 青木香（四钱） 枳实（半两） 砂仁（半两） 杏仁（三钱） 巴霜（一
钱） 黄连（酒浸一宿，一两）
上为末，蒸饼丸，绿豆大。每八丸，白汤送下。
褚澄传云∶澄善医，为吴郡太守，百姓李道念以公事到郡。澄见谓曰∶汝有重病。答曰∶旧有冷病，至今
年久，众医不瘥。澄为诊曰∶汝病非冷非热，当是食白瀹鸡子过多所致。令取蒜一升煮食，吐一物如升，涎裹
之，开看是鸡雏，羽翅爪距具足，能行走。澄曰∶此未尽，更服余药。又吐得如向者有十三头，而病都瘥。
〔《衍》〕有人病心腹懑烦，弥二岁。诊曰∶腹有蛊，误食发而然。令饵雄黄一剂，少选吐一蛇如拇指，
无目，烧之有发气，乃愈。此杀毒虫之验也。
上二方，吐虫积之法也。
〔丹〕治食积死血痰积成块，在两胁，动作腹鸣嘈杂，眩运身热，时作时止。
黄连（一两半，用茱萸、益智仁同炒，止用黄连） 山栀（半两炒） 川芎 神曲 桃仁（去皮） 三
棱蓬术（各半两，并醋煮） 香附（童便浸） 山楂（各一两） 萝卜子（炒，一两半）
上面糊丸。又方有青皮半两，白芥子一两半炒。
治胁痛有块，龙荟丸（二钱半起料，方见治寒热）加姜黄、桃仁各半两。
上蜜丸服。
〔世〕小阿魏丸 治胁下积块。
三棱（醋炙，一两） 蓬术（醋制，一两） 青皮（醋制，二两） 胡椒（三钱） 木香（一两）
麝香（二分） 阿魏（二钱半）
上为末，醋煮陈仓米粉为丸，桐子大。
〔子和〕果园刘子平妻，腹中有块如瓢，十八年矣，经水断绝，诸法无措。戴人令一月之内，涌四次，下
六次，取去痰约一二桶，其中不化之物，有如葵叶煮烂鱼肠之状，涌时以木如意搅之，觉病积如括，渐渐而平。
及积既尽，块痕反洼如臼，略无少损。至是而面有童色，经水复行，若当年少，可以有子。
〔丹〕治块在何部分∶在中为痰饮，在右为食积，在左为血积。
润下丸 治痰积。（方见咳。）
阿魏丸 去诸积。
山楂 南星（皂角水，浸） 半夏（同南星浸） 麦芽 神曲 黄连（各一两） 连翘 阿魏（醋浸） 栝蒌
贝母（各半两） 风化硝 石碱 胡黄连 白芥子（各二钱半） 萝卜子（一两，蒸）
上为末，姜汁浸，炊饼丸。一方加香附、蛤粉治嗽。
〔罗〕破积导饮丸 治内有积块坚硬，饮食不消，心下痞闷。
木香 槟榔 陈皮（去白） 青皮（去白） 枳壳（麸炒） 枳实（麸炒） 广术（炮） 京三棱（炮）
半夏（汤洗七次） 神曲（炒） 麦 （炒） 茯苓 干姜 泽泻 甘草（炙。各五钱） 牵牛头末（六钱）
巴豆（三十枚，去皮心膜）
上为细末，入巴豆霜令匀，生姜汁打曲糊为丸，如桐子大。每服三十丸，温姜汤送下，食前。
〔无〕小三棱煎 治食症酒痞，血 气块，时发刺痛，全不思食，积滞不消，心腹坚胀，痰逆呕哕，噫酢吞酸。
京三棱 蓬术（各四两） 芜花（一两，去梗叶）
上同入瓮器中，用米醋五升浸满，封器口，以炭火煨令干，取出棱、术，将芫花以余醋炒令微焦，焙干为
末，醋糊丸，如绿豆大，每十五丸，生姜汤下。
〔罗〕神效五食汤丸 取虚实积气食，蛊胀，积块，水气，年深痞瘕，并皆治之。
大戟（刮去皮） 甘遂（生。各半两） 猪牙皂角（生，去皮子） 胡椒（生） 芫花（醋浸一宿，取出炒。
各二两） 巴豆（去皮膜心，醋煮二十沸，研，半两）
上件除巴豆杵罗为末，入巴豆再研匀，水煮面糊为丸，如绿豆大。每服五七丸，气实者十丸。夜卧水一盏，
入白米、白面、黑豆、生菜、猪肉各少许，煎至半盏，去渣，候汤温下药，取下。病忌油腻粘滑物。妇人有
胎者不可服。
〔《必效》〕疗癖。取车下李仁微汤退去皮及并仁者，与干面相拌，捣为饼，如面干和淡水，如常溲面法
作饼，大小一如病患掌，为二饼，微炙黄。至熟，空腹食一枚，当大利。如不利，更食一枚。或饮热粥汁，以
利为度。若至午后利不止，即以醋饮止之。利后当虚，病未尽者，量力一二日更进一服，以病尽为限。小儿亦
以意量之。不得食酪及牛马肉等，无不效。
〔丹〕保和丸 治食积酒积。（方见伤食。）
阿魏丸 治肉积及饱食停滞，胃壮者宜此，脾虚者勿服。
山楂 萝卜子 神曲 麦芽 陈皮 青皮 香附（各二两） 阿魏（一两，醋煮软，另研）
上炊饼丸。
又方 龙荟丸加白鸽粪大，能消食积，或入保和丸。
〔罗〕流气丸 治五积六聚， 瘕癖块，留饮。
木香 川茴香（炒） 青皮 广术（炮） 陈皮（去白） 萝卜子（炒） 补骨脂（炒） 荜澄茄
砂仁 神曲（炒） 麦 （炒） 枳壳（麸炒。各一两） 牵牛（一两半） 槟榔（一两）
上为细末，面糊为丸，如桐子大。食后每服三十丸，细嚼白豆蔻仁一枚，白汤送下。
〔丹〕治血块丸。
海粉（醋煮） 三棱（醋煮） 蓬术 桃仁 红花 五灵脂 香附 石碱
上为丸，白术汤吞下。
〔《本》〕主症积满腹，诸药不瘥者。取白马尿服之愈。
〔世〕治腹中有块。猪腰子一双，切薄片，木鳖子肉一两，与猪腰片相间缚定，外用湿纸包，火内煨熟，
取出去纸，擂盆内捣如泥，入黄连末，和为丸，每服二十丸，乌梅甘草汤吞下。第二服二十五丸，三服三十丸，渐
加至以痛为度，大便利，其块自消，有神效。
〔《难》〕病有积有聚，何以别之？然，积者阴气也，聚者阳气也，故阴沉而伏，阳浮而动，气之所积名
曰积，气之所聚名曰聚，故积者五脏所生，聚者六腑所成也。积者阴气也，其始发有常处，其痛不离其部，上
下有所终始，左右有所穷处。聚者阳气也，其始发无根本，上下无所留止，其痛无常处，故谓之聚，故以是别
知积聚也。（五十五难 治聚法见末条。）
〔仲〕病有积有聚有谷气，何谓也？师曰∶积者，脏病也，终不移。聚者，腑也，发作有时，展转痛移，
为可治。谷气者，胁下痛，按之则愈，复发为谷气。
〔《素》〕青脉之至也，长而左右弹，有积气在心下支 ，名曰肝痹，得之寒湿，与疝同法，腰痛足清头
痛是也。（五脏生成篇）
〔《难》〕肝之积名曰肥气，在左胁下，如覆杯，有头足，久不愈，令人发咳逆， 疟，连岁不已，以季
夏戊己日得之。何以言之？肺病传肝，肝当传脾，脾季夏适王，王者不受邪，肝复欲还肺，肺不肯受，故留结
为积，故知肥气，以季夏戊己日得之。（五十六难）
肝脉微急为肥气，在胁下若覆杯。（全文见治虚实法。）
〔《素》〕赤脉之至也，喘而坚，诊曰有积气在中，时害于食，名曰心痹，得之外疾，思虑而心虚，故邪
从之。（五脏生成篇）帝曰∶病有少腹盛，上下左右皆有根，此为何病？可治否？岐伯曰∶病名曰伏梁。帝曰∶伏梁何
因而得之？岐伯曰∶裹大脓血，居肠胃之外，不可治，治之每切按之致死。帝曰∶然，何以故？岐伯曰∶此下
则因阴，必下脓血，上则迫胃脘，生膈侠胃脘内痈，此久病也，难治。居脐上为逆，脐下为从，勿动亟夺。（腹中论
王注云∶“生”当作“出”。林注云∶《太素》侠胃作便胃。）帝曰∶人有身体髀骨股 皆肿，环脐而痛，是
为何病？岐伯曰∶病名伏梁，此风根也。其气溢于大肠而着于肓，肓之原在脐下，故环脐而痛也。不可动之，动之
为水溺涩之病。（同上）
〔《难》〕心之积名曰伏梁，起脐上，大如臂，上至心下，久不愈，令人病烦心，以秋庚辛日得之。何以
言之？肾病传心，心当传肺，肺秋适王，王者不受邪，心复欲还肾，肾不肯受，故留结为积，故知伏梁以秋庚
辛日得之。（五十六难）
心脉微缓为伏梁，在心下，上下行时唾血。（全文见治虚实法。）
〔《素》〕黄脉之至也，大而虚，有积气在腹中，有厥气，名曰厥疝，女子同法，得之疾使四肢汗出当风
是也。（五脏生成篇“疝”当作“痞”字。）
〔《难》〕脾之积名曰痞气，在胃脘，覆大如盘，久不愈，令人四肢不收，发黄胆，饮食不为肌肤，以冬壬
癸日得之。何以言之？肝病传脾，脾当传肾，肾以冬适王，王者不受邪，脾复欲还肝，肝不肯受，故留结为积，
故知痞气以冬壬癸日得之。（五十六难）
脾脉微大为痞气，腹裹大脓血，在肠胃之外。（全文见治虚实法。）
〔《素》〕白脉之至也，喘而浮，上虚下实，惊，有积气在胸中，喘而虚，名曰肺痹寒热，得之醉而使内
也。（五脏生成篇 喘谓脉躁数也。）
〔《难》〕肺之积名曰息贲，在右胁下，覆大如杯。久不已，令人洒淅寒热，喘咳，发肺壅，以春甲乙日
得之。何以言之？心病传肺，肺当传肝，肝以春适王，王者不受邪，肺复欲还心，心不肯受，故留结为积，故
知息贲以春甲乙日得之。（五十六难）
肺脉滑甚为息贲，主气。（全文见虚实法。）
〔《素》〕黑脉之至也，上坚而大，有积气在小腹与阴，名曰肾痹，得之沐浴清水而卧是也。
〔《难》〕肾之积名曰贲豚，发于少腹，上至心下，若豚状，或下或上无时。久不已，令人喘逆骨痿少气，
以夏丙丁日得之。何以言之？脾病传肾，肾当传心，心以夏适王，王者不受邪，肾复欲还脾，脾不肯受，故留
结为积，故知贲豚以夏丙丁日得之。（五十六难）
肾脉微急为沉厥奔豚，足不收，不得前后。（全文见治虚实法。）
〔垣〕肝之积，肥气丸，治积在左胁下，如覆杯，有头足，久不愈，令人咳逆 疟，连年不已。
浓朴（半两） 黄连（七钱） 柴胡（二两） 椒（去汗，目闭不用，四钱） 巴豆霜（五分） 川乌（炮，去皮
脐，一钱二分） 干姜（五分） 皂角（去皮弦子，煨，一钱半） 白茯苓（一钱半） 广术（炮） 昆布 人
参（各二钱半） 甘草（三钱）
上除茯苓、皂鱼、巴豆外，为极细末，再另研巴豆霜，旋旋入和匀，炼蜜丸，如桐子大，初服二丸，一日
加一丸，二日加二丸，渐加至大便微溏，再从两丸加服，周而复始。积减大半，勿服。
上后积药根据此法服之。春夏秋冬，另有加减法在各条下。秋冬，加浓朴一半，通前重一两，减黄连一钱半。
若治风痫，于一料中加人参、茯苓、菖蒲各三钱，黄连只根据春用七钱，虽秋冬不减，淡醋汤送下，空心服。
加减肥气丸 仲夏合此，治同前。
柴胡 浓朴（各半两） 黄连（一两） 川椒 甘草（各五分） 巴霜（三钱） 干姜（半两） 肉桂（二钱） 人
参（半两） 川乌（三钱）
上除巴豆末外，同为细末，旋入巴霜研匀，炼蜜丸，如桐子大。初服二丸，一日加一丸，二日加二丸，渐
加至大便微溏，再从二丸加服，淡醋汤下，空心服。利大便行。秋冬，去生姜半钱，加浓朴一倍，减黄连一半。
心之积，伏梁丸 治起脐上大如臂，上至心下，久不愈，令人心烦。
黄连（一两半） 人参（半两） 浓朴（去皮，姜制，半两） 黄芩（去皮，三钱） 肉桂（一钱） 干姜 巴豆
霜川乌（焙，去皮脐，各五分） 红豆 茯神（去皮。各一钱） 丹参（炮，一钱） 菖蒲（五分）
上除巴豆霜外为末，另研豆霜，旋入和匀，炼蜜为丸，如桐子大。初服二丸，一日加一丸，二日加二丸。
渐加至大便微溏，再从二丸加服，淡黄连汤下，食远，周而复始，即减半勿服。秋冬加浓朴半两，通前共
一两，减黄连半两，只用一两，黄芩不用。
脾之积，痞气丸 气在胃脘，腹大如盘，久不愈，令人四肢不收，发黄胆，饮食不为肌肤。
浓朴（制，半两） 黄连（去须，八钱） 吴茱萸（洗，二钱） 黄芩（二钱） 白茯苓（另为末） 泽泻（各一
钱）
巴豆霜（另研，四分） 干姜（炮，一钱五分） 白术（二钱） 川乌（炮，去皮脐，五分） 人参（一钱） 茵陈（一
钱半） 缩砂（一钱半） 桂（四分） 川椒（炒，五分）
上除巴豆霜、茯苓另研为末旋入外，余药同为细末，炼蜜为丸，如桐子大。初服二丸，一日加一丸，二日
加二丸，渐加至大便微溏，再从二丸加服，淡甘草汤下，食远，周而复始，积减大半，勿服。
加减痞气丸 孟秋合此。
黄芩（酒制，三分） 浓朴（一钱） 黄连（酒制） 半夏（各五分） 益智（三分） 吴茱萸（三分） 红花（五
The preceding medicines are boiled first. For Qi stagnation, add Cyperi Rhizoma (Xiangfu) two liang, and boil together with the preceding medicines. For Qi deficiency, add Aquilariae Lignum Resinatum (Chenxiang) half a liang, added separately (decocted or taken as powder). For Jin Kou Li (Dysentery with inability to eat), add Nelumbinis Semen (Lianrou) two liang with the heart removed, added separately.
From the section "Gradual Removal of Long-standing Accumulation" up to here, there are sixteen prescriptions in total. All are purely agents for grinding down accumulations. They must be taken concurrently with medicines that tonify Qi and Blood. Pure use of these will lead to death; this is iatrogenic killing. Be extremely cautious.
For masses formed due to Wind Convulsion: Add Manis Squama (Chuanshanjia) and Testudinis Carapax et Plastrum (Biejia, stir-fried and calcined) three qian each, Corydalis Rhizoma (Yanhusuo) and Curcumae Radix (Pengru) four qian each per dose. Increase from fifty pills to seventy pills gradually, stopping when bowel movement becomes unobstructed.
(Note: Miaoying Wan is identical to Kongxian Dan; see the Phlegm section for the formula.)
[Zhu Danxi] Cha Pi (Tea Addiction): For those who enjoy drinking tea and eating dry tea leaves.
Gypsum Fibrosum (Shigao), Scutellariae Radix (Huangqin), and Cimicifugae Rhizoma (Shengma) are ground into powder and taken mixed with rock sugar.
[Worldly/Popular Formula] Jiu Ji (Alcohol Accumulation) Formula, repeatedly effective.
Mume Fructus (Wumei, flesh only) one liang, Banxia Qu (Fermented Pinellia) seven qian, Pseudostellariae Radix (Qingmuxiang) four qian, Aurantii Fructus Immaturus (Zhishi) half a liang, Amomi Fructus (Sharen) half a liang, Armeniacae Semen (Xingren) three qian, Crotonis Fructus (Bashuang/Ba Dou Shuang) one qian, Coptidis Rhizoma (Huanglian) one liang (soaked in wine overnight).
Grind all into powder, make pills using steamed bread dough, size of mung beans. Take eight pills at a time, washed down with plain warm water.
Chu Cheng said: Cheng was skilled in medicine and served as the Governor of Wu Commandery. A commoner, Li Daonian, came to the commandery on official business. Cheng saw him and said, "You have a severe illness." Li replied, "I have had a cold disease for many years, and no doctor has cured it." Cheng diagnosed him and said, "Your illness is neither cold nor heat; it is likely caused by consuming too many white-boiled chicken eggs." He instructed Li to take one sheng of garlic, cook it, and eat it. Li vomited an object the size of a sheng, wrapped in saliva. Upon opening it, it was a chick, complete with feathers, wings, and claws, capable of movement. Cheng said, "This is not all; take the remaining medicine." Thirteen more objects like the previous ones were vomited, and the illness completely resolved.
[Yanyi] Someone suffered from chest and abdominal fullness and irritability for two years. The diagnosis was: "There is a gu poison in the abdomen, caused by accidentally ingesting hair." He was instructed to take a dose of Realgar (Xionghuang). Soon after, he vomited a snake the thickness of a thumb, without eyes. Burning it produced the smell of burnt hair, and he recovered. This is proof of eliminating toxic insects.
The above two formulas represent methods for expelling worm accumulations.
[Zhu Danxi] Treating masses formed by food accumulation, stagnant blood, and phlegm accumulation, located in the hypochondrium. Symptoms include abdominal borborygmus and嘈杂 (discomfort/noise) upon movement, dizziness, fever, and symptoms that come and go intermittently.
Coptidis Rhizoma (Huanglian) one liang and half (stir-fried with Evodiae Fructus and Alpiniae Oxyphyllae Fructus, using only Huanglian), Gardeniae Fructus (Zhizi) half a liang (stir-fried), Ligustici Chuanxiong Rhizoma (Chuanxiong), Massae Fermentatae Medicinalis (Shenqu), Persicam Semen (Taoren, peeled), Bupleuri Radix (Sanleng) and Curcumae Radix (Pengru) half a liang each (simmered in vinegar), Cyperi Rhizoma (Xiangfu) (soaked in child's urine), Crataegi Fructus (Shanzha) one liang each, Raphani Semen (Luobuzi) stir-fried one liang and half.
Make pills using paste. Another formula adds Aurantii Fructus Pericarpium (Qingpi) half a liang and Sinapis Albae Semen (Baijiezi) one liang and half (stir-fried).
For hypochondriac pain with masses, use Longhui Wan (starting dose two qian and half; see treating chills and fever section) plus Curcumae Longae Rhizoma (Jianghuang) and Persicam Semen (Taoren) half a liang each.
Make pills with honey and take.
[Worldly/Popular Formula] Xiaoawei Wan, treating masses under the hypochondrium.
Bupleuri Radix (Sanleng) vinegar-roasted one liang, Curcumae Radix (Pengru) vinegar-processed one liang, Aurantii Fructus Pericarpium (Qingpi) vinegar-processed two liang, Piperis Fructus (Hujiao) three qian, Aucklandiae Radix (Muxiang) one liang, Moschus (Shexiang) two fen, Asafetidae Resina (Awei) two qian and half.
Grind into powder, make pills using rice flour paste boiled in vinegar, size of tung tree seeds.
[Zihe Zheng] The wife of Liu Ziping from Guoyuan had a mass in her abdomen the size of a ladle for eighteen years, with cessation of menstruation. Various methods failed. Dairen (Zihe Zheng's pseudonym) ordered her to induce vomiting four times and purge six times within one month. Approximately one or two buckets of phlegm were extracted. The undigested matter resembled boiled rotten okra leaves and fish intestines. During vomiting, a wooden stirring tool was used to agitate, feeling as if the accumulation was being scooped out, gradually flattening. Once the accumulation was completely gone, the scar of the mass became depressed like a mortar, with no damage. At this point, her face regained a youthful color, menstruation resumed, resembling her youth, and she could conceive children.
[Zhu Danxi] Regarding the location of masses: In the middle, it is fluid retention (Tan Yin); on the right, it is food accumulation; on the left, it is blood accumulation.
Runxia Wan, treating phlegm accumulation. (See cough section for formula.)
Awei Wan, removing various accumulations.
Crataegi Fructus (Shanzha), Arisaematis Rhizoma (Nanxing) (soaked in Gleditsiae Sinensis Fructus water), Pinelliae Rhizoma (Banxia) (soaked with Nanxing), Malto (Maiya), Massae Fermentatae Medicinalis (Shenqu), Coptidis Rhizoma (Huanglian) one liang each, Forsythiae Fructus (Lianqiao), Asafetidae Resina (Awei) (vinegar-soaked), Trichosanthis Fructus (Gualou) and Fritillariae Thunbergii Bulbus (Beimu) half a liang each, Natrii Sulfas Efflorescens (Fenghua Xiao), Natron (Shijian), Picrorhizae Rhizoma (Huhuanglian), Sinapis Albae Semen (Baijiezi) two qian and half each, Raphani Semen (Luobuzi) one liang (steamed).
Grind into powder, soak in ginger juice, make pills using steamed bread dough. Another formula adds Cyperi Rhizoma (Xiangfu) and Margarita (Ge Fen) to treat cough.
[Luo Tianyi] Poji Dao Yin Wan, treating hard internal masses, indigestion, and epigastric stuffiness.
Aucklandiae Radix (Muxiang), Arecae Semen (Binglang), Citri Reticulatae Pericarpium (Chenpi, pith removed), Aurantii Fructus Pericarpium (Qingpi, pith removed), Aurantii Fructus Immaturus (Zhiqiao, bran-fried), Aurantii Fructus Immaturus (Zhishi, bran-fried), Curcumae Radix (Guangzhu, processed), Bupleuri Radix (Jingsanleng, processed), Pinelliae Rhizoma (Banxia) (boiled water washed seven times), Massae Fermentatae Medicinalis (Shenqu, stir-fried), Hordeum Vulgare (Mai, stir-fried), Poria (Fuling), Zingiberis Rhizoma Recens (Ganjiang), Alismatis Rhizoma (Zexie), Glycyrrhizae Radix et Rhizoma (Gancao, honey-fried) five qian each, Phaseoli Semen (Qianniu) head powder six qian, Crotonis Fructus (Badou) thirty kernels (peeled, heart and membrane removed).
Grind into fine powder, mix evenly with Crotonis Fructus powder (Ba Dou Shuang), make pills using ginger juice and malt paste, size of tung tree seeds. Take thirty pills before meals, washed down with warm ginger soup.
[Worldly/Popular Formula] Xiao Sanleng Jian, treating food stagnation, alcohol痞 (Pi), blood and Qi masses, frequent stabbing pain, complete loss of appetite, uneliminated stagnation, hard and distended abdomen and epigastrium, rebellious phlegm, vomiting and hiccups, belching and acid regurgitation.
Bupleuri Radix (Jingsanleng) and Curcumae Radix (Pengru) four liang each, Genkwan Flower (Wuhua) one liang (stalks and leaves removed).
Place all together in a jar, submerge completely in five sheng of rice vinegar, seal the jar mouth, and simmer over charcoal fire until dry. Remove Sanleng and Pengru. Stir-fry Wuhua in the remaining vinegar until slightly charred, dry, and grind into powder. Make pills with vinegar paste, size of mung beans. Take fifteen pills, washed down with ginger soup.
[Luo Tianyi] Shenxiao Wushi Tang Wan, treating excess and deficiency Qi and food accumulations, gu distension, masses, water qi, chronic Pi and Jia, all of which it treats.
Euphorbiae Pekinensis Radix (Daji) (scraped skin), Kansui Radix (Gansui) raw, each half a liang, Ziziphi Spinosae Fructus (Zhuyazaojiao) raw, peeled and seeded, Piperis Fructus (Hujiao) raw, Genkwan Flower (Yuanhua) soaked in vinegar overnight then stir-fried, each two liang, Crotonis Fructus (Badou) peeled, heart and membrane removed, boiled in vinegar for twenty boils, ground, half a liang.
Pound and sieve all ingredients except Badou into powder. Add Badou and grind again until uniform. Make pills using water-boiled wheat paste, size of mung beans. Take five to seven pills at a time, ten pills for those with strong Qi. At bedtime, take one sheng of water, add a small amount of white rice, white flour, black beans, raw vegetables, and pork. Decoct until half a sheng remains, strain, and take the medicine when the decoction is warm to expel the pathogen. Patients should avoid greasy and sticky foods. Pregnant women must not take this.
[Bixiao Fang] Treating Pi accumulation. Take apricot kernels from under the cart wheel, blanch slightly to remove skin and seed coat. Mix with dry flour, pound into cakes. Like kneading dough with water, form cakes the size of the patient's palm, making two cakes. Lightly roast until yellow. When cooked, eat one cake on an empty stomach; profuse diarrhea should occur. If no diarrhea, eat another. Or drink hot porridge water, stopping when diarrhea occurs. If diarrhea persists past noon, stop it with vinegar drink. After diarrhea, the body will be deficient. If the disease is not fully resolved, take another dose after one or two days according to strength, until the disease is gone. Children's doses should be adjusted accordingly. Do not consume dairy or beef/horse meat. No failure in efficacy.
[Zhu Danxi] Baohe Wan, treating food and alcohol accumulation. (See Food Injury section for formula.)
Awei Wan, treating meat accumulation and food stagnation after overeating. Suitable for those with strong Stomach Qi; do not use for those with Spleen deficiency.
Crataegi Fructus (Shanzha), Raphani Semen (Luobuzi), Massae Fermentatae Medicinalis (Shenqu), Malto (Maiya), Citri Reticulatae Pericarpium (Chenpi), Aurantii Fructus Pericarpium (Qingpi), Cyperi Rhizoma (Xiangfu) two liang each, Asafetidae Resina (Awei) one liang (softened in vinegar, ground separately).
Make pills using steamed bread dough.
Another formula: Longhui Wan plus large amounts of White Pigeon Droppings (Baigefen), capable of resolving food accumulation, or can be added to Baohe Wan.
[Luo Tianyi] Liuqi Wan, treating Five Accumulations and Six Gatherings, Jia Pi masses, and retained fluids.
Aucklandiae Radix (Muxiang), Foeniculi Fructus (Chuanhuixiang, stir-fried), Aurantii Fructus Pericarpium (Qingpi), Curcumae Radix (Guangzhu, processed), Citri Reticulatae Pericarpium (Chenpi, pith removed), Raphani Semen (Luobuzi, stir-fried), Psoraleae Fructus (Buguzhi, stir-fried), Libanotidis Fructus (Bichengqie), Amomi Fructus (Sharen), Massae Fermentatae Medicinalis (Shenqu, stir-fried), Hordeum Vulgare (Mai, stir-fried), Aurantii Fructus Immaturus (Zhiqiao, bran-fried) one liang each, Phaseoli Semen (Qianniu) one liang and half, Arecae Semen (Binglang) one liang.
Grind into fine powder, make pills with wheat paste, size of tung tree seeds. After meals, take thirty pills at a time, chew one cardamom seed (Baidoukou Ren) finely, and wash down with plain warm water.
[Zhu Danxi] Treatment for Blood Mass Pills.
Halloysit Rubrum (Haifen) (vinegar-boiled), Bupleuri Radix (Sanleng) (vinegar-boiled), Curcumae Radix (Pengru), Persicam Semen (Taoren), Carthami Flos (Honghua), Trogopterori Faeces (Wulingzhi), Cyperi Rhizoma (Xiangfu), Natron (Shijian).
Make pills, swallow with Angelicae Pubescentis Radix (Baizhu) decoction.
[Ben Cao] Mainly for Zhong Ji (Symptom Accumulation) filling the abdomen where other medicines fail. Take urine from a white horse and drink it to cure.
[Worldly/Popular Formula] Treating abdominal masses. One pair of pig kidneys, sliced thinly. One liang of Momordicae Semen (Mubiezi) flesh. Layer the kidney slices and Mubiezi flesh, tie them together, wrap externally in wet paper, and bake in fire until cooked. Remove and discard paper. Pound in a basin into a paste. Add Coptidis Rhizoma (Huanglian) powder and mix into pills. Take twenty pills at a time, swallowed with Wumei Gancao (Licorice) decoction. Second dose twenty-five pills, third dose thirty pills, gradually increasing until pain relief. Profuse bowel movement will cause the mass to dissipate naturally, with miraculous effect.
[Nan Jing] Diseases have Accumulation (Ji) and Gathering (Ju). How to distinguish them? Answer: Ji belongs to Yin Qi, Ju belongs to Yang Qi. Therefore, Yin is deep and static, Yang is floating and active. Where Qi accumulates, it is called Ji; where Qi gathers, it is called Ju. Thus, Ji arises from the Five Zang Organs, and Ju is formed by the Six Fu Organs. Ji is Yin Qi; its onset has a fixed location, pain does not leave its area, moving up and down with definite beginnings and ends, and having limits on left and right. Ju is Yang Qi; its onset has no root, no staying or stopping up or down, and pain has no fixed location, hence called Ju. Thus, they are distinguished by this. (Chapter 55, treatment for Ju is seen in the last section.)
[Zhang Zhongjing] Diseases have Ji, Ju, and Gu Qi. What does this mean? The Master said: Ji is a Zang disease, never moving. Ju is a Fu disease, occurring at specific times, with shifting pain, and is treatable. Gu Qi is pain in the hypochondrium, relieved by pressure, recurring as Gu Qi.
[Su Wen] When the Green Pulse arrives, long and flicking left and right, there is accumulated Qi supporting beneath the heart, named Liver Bi (Liver Obstruction). It results from Cold-Dampness, treated similarly to Shan (Hernia). Symptoms include lower back pain, cold feet, and headache. (Chapter on Generation of Five Viscera)
Emperor asked: There is a disease with fullness in the lower abdomen, rooted throughout up, down, left, and right. What is this disease? Is it treatable? Qibo answered: The disease is named Fuliang (Hidden Beam). Emperor asked: What causes Fuliang? Qibo answered: It wraps large amounts of pus and blood, residing outside the intestines and stomach. It is untreatable; attempting treatment by pressing often leads to death. Emperor asked: Why? Qibo answered: Pressing downward affects the Yin, inevitably causing pus and blood discharge downward. Pressing upward compresses the stomach, generating interior abscesses in the Diaphragm and beside the stomach. This is a chronic disease, difficult to treat. Located above the umbilicus is adverse; below is favorable. Do not move it or aggressively drain it. (Chapter on Abdominal Center. Wang Bing notes: "Sheng" should be "Chu". Lin Yi notes: Tai Su reads "Xia Wei" as "Bian Wei".) Emperor asked: Some people have swelling of the thighs and legs, and pain around the umbilicus. What disease is this? Qibo answered: The disease is named Fuliang. This is the root of Wind. Its Qi overflows into the Large Intestine and attaches to Huang (Tri-Jiao origin). The origin of Huang is below the umbilicus, hence pain around the umbilicus. Do not move it; moving it causes difficulty in urination. (Same chapter)
[Nan Jing] The Heart's accumulation is named Fuliang. It starts above the umbilicus, as large as an arm, extending up to below the heart. If not cured for a long time, it causes mental restlessness. It is contracted on Geng/Xin days in Autumn. Why? Kidney disease transmits to Heart; Heart should transmit to Lung. Lung is prosperous in Autumn, so the Prosperous does not accept Evil. Heart tries to return to Kidney, but Kidney refuses. Thus, it stays and knots to form an accumulation. Hence, Fuliang is known to be contracted on Geng/Xin days in Autumn. (Chapter 56)
Heart pulse slightly slow indicates Fuliang, located below the heart, traveling up and down with bloody sputum. (Full text in Treating Excess and Deficiency section.)
[Su Wen] When the Yellow Pulse arrives, large and deficient, there is accumulated Qi in the abdomen with Jue Qi, named Jue Shan (Jue Hernia/Pi). Women follow the same pattern. It results from exerting limbs while sweating and exposed to wind. (Chapter on Generation of Five Viscera. "Shan" should be "Pi".)
[Nan Jing] The Spleen's accumulation is named Pi Qi. It is in the epigastrium, covering an area as large as a plate. If not cured for a long time, it causes flaccidity of the four limbs, jaundice, and food failing to nourish the flesh. It is contracted on Ren/Gui days in Winter. Why? Liver disease transmits to Spleen; Spleen should transmit to Kidney. Kidney is prosperous in Winter, so the Prosperous does not accept Evil. Spleen tries to return to Liver, but Liver refuses. Thus, it stays and knots to form an accumulation. Hence, Pi Qi is known to be contracted on Ren/Gui days in Winter. (Chapter 56)
Spleen pulse slightly large indicates Pi Qi, with large pus and blood wrapped in the abdomen, outside the intestines and stomach. (Full text in Treating Excess and Deficiency section.)
[Su Wen] When the White Pulse arrives, panting and floating, upper deficiency and lower excess, fright, there is accumulated Qi in the chest, panting and deficient, named Fei Bi (Lung Obstruction) with chills and fever. It results from intercourse while drunk. (Chapter on Generation of Five Viscera. Panting refers to rapid and restless pulse.)
[Nan Jing] The Lung's accumulation is named Xi Ben. It is in the right hypochondrium, covering an area as large as a cup. If not cured for a long time, it causes aversion to cold and fever, panting and cough, and Lung obstruction. It is contracted on Jia/Yi days in Spring. Why? Heart disease transmits to Lung; Lung should transmit to Liver. Liver is prosperous in Spring, so the Prosperous does not accept Evil. Lung tries to return to Heart, but Heart refuses. Thus, it stays and knots to form an accumulation. Hence, Xi Ben is known to be contracted on Jia/Yi days in Spring. (Chapter 56)
Lung pulse slippery and excessive indicates Xi Ben, governing Qi. (Full text in Excess and Deficiency section.)
[Su Wen] When the Black Pulse arrives, firm and large upwards, there is accumulated Qi in the lower abdomen and Yin region, named Shen Bi (Kidney Obstruction). It results from bathing in cold water and lying down.
[Nan Jing] The Kidney's accumulation is named Ben Tun (Running Piglet). It originates in the lower abdomen, rising to below the heart, resembling a piglet. It moves up or down without fixed timing. If not cured for a long time, it causes panting, wheezing, bone萎 (flaccidity), and shortness of breath. It is contracted on Bing/Ding days in Summer. Why? Spleen disease transmits to Kidney; Kidney should transmit to Heart. Heart is prosperous in Summer, so the Prosperous does not accept Evil. Kidney tries to return to Spleen, but Spleen refuses. Thus, it stays and knots to form an accumulation. Hence, Ben Tun is known to be contracted on Bing/Ding days in Summer. (Chapter 56)
Kidney pulse slightly urgent indicates Chen Jue Ben Tun, with inability to move the feet and inability to pass urine or stool. (Full text in Treating Excess and Deficiency section.)
[Li Dongyuan] Liver Accumulation: Feiqi Wan, treating accumulation in the left hypochondrium, like an inverted cup, with head and feet, not curing for a long time, causing cough, asthma, and malaria year after year.
Magnoliae Officinalis Cortex (Houpo) half a liang, Coptidis Rhizoma (Huanglian) seven qian, Bupleuri Radix (Chaihu) two liang, Zanthoxyli Fructus (Jiao) (sweat removed, eyes closed/unusable, four qian), Crotonis Fructus Powder (Ba Dou Shuang) five fen, Aconiti Lateralis Radix Praeparata (Chuanwu) processed, peeled and navel removed, one qian two fen, Zingiberis Rhizoma Recens (Ganjiang) five fen, Gleditsiae Sinensis Fructus (Zaojiao) peeled, string and seeds removed, baked, one qian half, Poria (Fuling) one qian half, Curcumae Radix (Guangzhu) processed, Sargassum (Kunbu), Ginseng Radix et Rhizoma (Renshen) two qian half each, Glycyrrhizae Radix et Rhizoma (Gancao) three qian.
Except for Fuling, Zaojiao, and Ba Dou, grind into very fine powder. Grind Ba Dou Shuang separately and mix in gradually. Make pills with refined honey, size of tung tree seeds. Initial dose two pills, increase by one pill daily, then two pills daily, gradually increasing until stools are slightly loose. Then restart from two pills and increase, cycling. Stop when accumulation reduces by more than half.
Subsequent accumulation medicines follow this method. Spring, Summer, Autumn, Winter have additional modification methods in their respective sections. In Autumn/Winter, add half the amount of Houpo, totaling one liang, and reduce Huanglian by one qian half.
To treat Wind Epilepsy, add Renshen, Fuling, and Acori Tatarinowii Rhizoma (Changpu) three qian each to one batch. Use Huanglian seven qian as in Spring, even in Autumn/Winter without reduction. Wash down with light vinegar decoction on an empty stomach.
Jiajian Feiqi Wan: Combined in Early Summer, treatment same as above.
Bupleuri Radix (Chaihu) and Magnoliae Officinalis Cortex (Houpo) half a liang each, Coptidis Rhizoma (Huanglian) one liang, Zanthoxyli Fructus (Chuanjiao) and Glycyrrhizae Radix et Rhizoma (Gancao) five fen each, Crotonis Fructus Powder (Bashuang) three qian, Zingiberis Rhizoma Recens (Ganjiang) half a liang, Cinnamomi Cortex (Rougui) two qian, Ginseng Radix et Rhizoma (Renshen) half a liang, Aconiti Lateralis Radix Praeparata (Chuanwu) three qian.
Except for Ba Dou powder, grind all into fine powder, mix in Bashuang gradually. Make pills with refined honey, size of tung tree seeds. Initial dose two pills, increase by one pill daily, then two pills daily, gradually increasing until stools are slightly loose. Restart from two pills, wash down with light vinegar decoction on an empty stomach. Promotes bowel movement. In Autumn/Winter, remove half a qian of fresh ginger, double Houpo, and halve Huanglian.
Heart Accumulation: Fuliang Wan, treating starting above the umbilicus as large as an arm, extending up to below the heart, not curing for a long time, causing mental restlessness.
Coptidis Rhizoma (Huanglian) one liang and half, Ginseng Radix et Rhizoma (Renshen) half a liang, Magnoliae Officinalis Cortex (Houpo) peeled, ginger-processed, half a liang, Scutellariae Radix (Huangqin) peeled, three qian, Cinnamomi Cortex (Rougui) one qian, Zingiberis Rhizoma Recens (Ganjiang), Crotonis Fructus Powder (Ba Dou Shuang), Aconiti Lateralis Radix Praeparata (Chuanwu) baked, peeled and navel removed, five fen each, Vitis Semen (Hongdou), Polygalae Radix (Fushen) peeled, one qian each, Salviae Miltiorrhizae Radix (Danshen) processed, one qian, Acori Tatarinowii Rhizoma (Changpu) five fen.
Except for Ba Dou Shuang, grind into powder. Grind Shuang separately, mix in gradually. Make pills with refined honey, size of tung tree seeds. Initial dose two pills, increase by one pill daily, then two pills daily. Gradually increase until stools are slightly loose. Restart from two pills, wash down with light Huanglian decoction, far from meals, cycling. Reduce dose by half and stop when accumulation reduces significantly. In Autumn/Winter, add half a liang of Houpo, totaling one liang, reduce Huanglian by half a liang, using only one liang, omit Huangqin.
Spleen Accumulation: Piqi Wan. Qi in the epigastrium, abdomen large as a plate, not curing for a long time, causing flaccidity of four limbs, jaundice, and food failing to nourish flesh.
Magnoliae Officinalis Cortex (Houpo) processed, half a liang, Coptidis Rhizoma (Huanglian) de-stammed, eight qian, Evodiae Fructus (Wuzhuyu) washed, two qian, Scutellariae Radix (Huangqin) two qian, Poria (Fuling) ground separately, Alismatis Rhizoma (Zexie) one qian each, Crotonis Fructus Powder (Ba Dou Shuang) ground separately, four fen, Zingiberis Rhizoma Recens (Ganjiang) processed, one qian five fen, Atractylodis Macrocephalae Rhizoma (Baizhu) two qian, Aconiti Lateralis Radix Praeparata (Chuanwu) processed, peeled and navel removed, five fen, Ginseng Radix et Rhizoma (Renshen) one qian, Artemisiae Scopariae Herba (Yinchen) one qian half, Amomi Fructus (Suosha) one qian half, Cinnamomi Cortex (Gui) four fen, Zanthoxyli Fructus (Chuanjiao) stir-fried, five fen.
Except for Ba Dou Shuang and Fuling which are ground separately and mixed in, grind remaining herbs into fine powder. Make pills with refined honey, size of tung tree seeds. Initial dose two pills, increase by one pill daily, then two pills daily. Gradually increase until stools are slightly loose. Restart from two pills, wash down with light Gancao decoction, far from meals, cycling. Stop when accumulation reduces by more than half.
Jiajian Piqi Wan: Combined in Early Autumn.
Scutellariae Radix (Huangqin) wine-processed, three fen, Magnoliae Officinalis Cortex (Houpo) one qian, Coptidis Rhizoma (Huanglian) wine-processed, Pinelliae Rhizoma (Banxia) five fen each, Alpiniae Oxyphyllae Fructus (Yizhi) three fen, Evodiae Fructus (Wuzhuyu) three fen, Carthami Flos (Honghua) five...