《病源论》云∶夫五脏调和则营卫气理,营卫气理则津液通流,虽复多饮水浆,不能为
病。
寒气,
《通玄》云∶ 癖之疾,亦不专于一。 病者肝之所生,癖病者脾之所成。 生于左,
癖成
脾
矣。
《龙门方》治 癖病、腹坚如石方∶
取苦瓠开口盛大,严醋满中,密塞口,釜中煮令极热,出瓠以熨坚处,冷即更煮,煮时
即作
《极要方》治 癖方∶
鳖甲〔(一名青衣)六分,炙〕 白术(六分) 桔梗〔(一名荠 )六分〕 枳壳(六
卜,炙)
上,以水六升,煮取一升六合,分温三服,忌猪鱼。
《千金方》治心上痰荫僻气吞酸半夏汤方∶
半夏(三两) 生姜(六两) 附子(一枚) 吴茱萸(三两)
四味,水五升,煮取二升半,分三服。
《葛氏方》治腹中冷癖、水谷 结,心下停痰,两胁痞满,按之鸣转,逆害饮食方∶
大黄(三两) 甘草(二两) 蜜(一升二合) 枣(二十七枚)
以水三升,煮枣,取一升,纳诸药,煮取一升七合,分再服。
又方∶茯苓一两,茱萸三两,捣蜜丸如梧子,服五丸,日三。
《医门方》疗 气冷痛,吐酸水,或因出热吃水得此病方∶
术 干姜(各二两) 橘皮 细辛 吴茱萸(各一两) 茯苓 人参(各二两半)
上,捣筛,蜜和为丸,空腹暖水下十五丸,加至二十丸,日二。
《广利方》理癖气腹痛两肋胁胀满食少方∶
柴胡(六分) 桔梗(八分) 通草(八分) 茯苓(六分) 赤夕药(四卜) 郁李
仁(四卜) 鳖甲(四分,炙,碎)
切,以水二大升,煎取九合,食后分温三服,如人行七
八里进一服,忌生冷人苋。
《广济方》疗癖结心下硬痛巴豆丸方∶
巴豆(三枚) 杏仁(七枚) 大黄(如鸡子大)
捣筛,蜜丸,空腹以饮服如梧子七丸,日一服。
According to *Zhu Bing Yuan Hou Lun* (Treatise on the Pathogenesis and Symptoms of All Diseases): When the functions of the five Zang organs are harmonious, Ying Qi (Nutritive Qi) and Wei Qi (Defensive Qi) circulate smoothly. When Ying Qi and Wei Qi circulate smoothly, body fluids flow freely. Even if one drinks large amounts of water or liquids, it will not cause disease.
According to *Tong Xuan Lun*: Pi Ji (accumulated masses) do not occur in a single fixed location. The pathological manifestations originate from the Liver, while the Pi Ji masses are formed by the Spleen. Those arising on the left side are Pi Ji formed by the Spleen.
*Long Men Fang* (Dragon Gate Formulas) for treating Pi Ji disease with an abdomen hard as stone:
Take a bitter gourd (*Lagenaria siceraria*), make a large opening at one end, fill it tightly with vinegar, seal the mouth densely, and boil it in a pot until extremely hot. Remove the gourd and apply it to the hardened area as a hot compress. When it cools, boil it again... [Note: The original text appears incomplete here, implying repeated heating and application].
*Ji Yao Fang* (Essential Formulas) for treating Pi Ji:
*Bie Jia* (Carapax et Plastrum Testudinis, also known as Qing Yi), 6 fen, roasted; *Bai Zhu* (Atractylodis Macrocephalae Rhizoma), 6 fen; *Jie Geng* (Platycodonis Radix, also known as Qi Ni), 6 fen; *Zhi Ke* (Aurantii Fructus Perfricatus), 6 fen, roasted.
Crush these ingredients. Add 6 sheng of water, decoct to obtain 1 sheng and 6 he. Divide into three warm doses. Avoid consuming pork and fish.
*Qian Jin Fang* (Prescriptions Worth a Thousand Gold) Banxia Decoction for treating phlegm-fluid retention under the heart, Pi Qi, and acid regurgitation:
*Ban Xia* (Pinelliae Rhizoma), 3 liang; *Sheng Jiang* (Zingiberis Rhizoma Recens), 6 liang; *Fu Zi* (Aconiti Lateralis Radix Praeparata), 1 piece; *Wu Zhu Yu* (Evodiae Fructus), 3 liang.
Take these four herbs, add 5 sheng of water, decoct to obtain 2 sheng and 5 he. Divide into three doses.
*Ge Shi Fang* (Ge's Formulas) for treating cold Pi Ji in the abdomen, accumulation of water and grain, phlegm retention under the heart, distension and fullness in both hypochondria, rumbling upon pressure, and interference with digestion:
*Da Huang* (Rhei Radix et Rhizoma), 3 liang; *Gan Cao* (Glycyrrhizae Radix et Rhizoma), 2 liang; *Mi* (Mel), 1 sheng and 2 he; *Zao* (Jujubae Fructus), 27 pieces.
Add 3 sheng of water, first decoct the jujubes to obtain 1 sheng of liquid. Add the other herbs and decoct to obtain 1 sheng and 7 he. Divide into two doses.
Another formula: *Fu Ling* (Poria), 1 liang; *Zhu Yu* (Evodiae Fructus), 3 liang. Pound together and mix with honey to form pills the size of wu zi (evodia seeds). Take 5 pills per dose, three times daily.
*Yi Men Fang* (Medical Gate Formulas) for treating cold Qi pain, vomiting of sour fluid, or this condition caused by heat followed by drinking cold water:
*Bai Zhu* (Atractylodis Macrocephalae Rhizoma) and *Gan Jiang* (Zingiberis Rhizoma), 2 liang each; *Ju Pi* (Citri Reticulatae Pericarpium), *Xi Xin* (Asari Radix et Rhizoma), and *Wu Zhu Yu* (Evodiae Fructus), 1 liang each; *Fu Ling* (Poria) and *Ren Shen* (Ginseng Radix), 2.5 liang each.
Pound and sieve these ingredients. Mix with honey to form pills. Take 15 pills with warm water on an empty stomach, increasing gradually to 20 pills. Take twice daily.
*Guang Li Fang* (Broad Benefit Formulas) for regulating Pi Qi abdominal pain, distension and fullness in both hypochondria, and poor appetite:
*Chai Hu* (Bupleuri Radix), 6 fen; *Jie Geng* (Platycodonis Radix), 8 fen; *Tong Cao* (Tetrapanacis Medulla), 8 fen; *Fu Ling* (Poria), 6 fen; *Chi Shao Yao* (Paeoniae Radix Rubra), 4 fen; *Yu Li Ren* (Pruni Semen), 4 fen; *Bie Jia* (Carapax et Plastrum Testudinis), 4 fen, roasted and crushed.
Cut into small pieces. Add 2 da sheng of water, decoct to obtain 9 he. Take in three warm doses after meals. If the patient walks about seven or eight li, take one dose. Avoid raw/cold foods and *Ren Xian* (Amaranthus tricolor leaves).
*Guang Ji Fang* (Broad Salvation Formulas) Badou Pills for treating Pi Ji accumulation causing hardness and pain under the heart:
*Ba Dou* (Crotonis Fructus), 3 pieces; *Xing Ren* (Armeniacae Semen Amarum), 7 pieces; *Da Huang* (Rhei Radix et Rhizoma), size of a chicken egg.
Pound and sieve. Mix with honey to form pills. Take 7 pills the size of wu zi with drink on an empty stomach, once daily.