《病源论》云∶积聚者,由阴阳不和,腑脏虚弱,受于风邪,搏于腑脏之气所为也。腑
者阳
穷也
在左
名曰
在
上下无时,令人喘逆,骨痿少气。
《医门方》云∶辨曰∶肥气者,肥盛也,言肥气如覆杯,突出如肥盛之状;伏梁者,言
其大
奔
积
《华佗方》云∶二车丸,常在尊者后一车,故名二车丸,主心腹众病,膈上积聚,寒热,
食饮不消,或从忧恚喜怒,或从劳倦气结,或有故疾气浮,有上饮食衰少,不生肌肉,若辟
在胁,吞一丸即消;若惊恐不安,吞一丸,日三;独卧不恐,病剧,昼日六七,夜三吞。微
者,昼日四五、夜再吞。寒辟随利去,令人善矢气。又治∶女子绝产,少腹苦痛,得阳亦痛,
痛引胸中,积寒所致,风入子道,或月经未绝而合阴阳,或急欲尿而合阴阳,或衣未掺而合
阴阳,或急便着之,湿从下上;久作长病,吞药如上,百日有子。二车丸方∶
蜀椒(成择一斤) 干姜(大小相称二十枚) 粳米(一升) 朗陵乌头(大小相称二
十枚) 锻灶
凡五物,以水一斗半,渍灰,练囊中盛半绞结,纳灰中一宿,暴干之,皆末诸药下筛,
和以
《范汪方》五通丸,主积聚、留饮、宿食、寒热、烦结,长肥肤,补不足方∶
椒目(一两,汗) 附子(一两,炮) 浓朴(一两) 杏仁子(三两,熬) 半夏(一
两,洗) 葶
凡八物,别捣葶苈、杏仁,使熟,合和诸药末,使调和,以蜜捣五千杵,吞如梧子二丸。
又云∶三台丸,主五脏寒热,积聚胪胀,腹大空鸣而噫食,不生肌肤,剧者咳逆,若伤
寒病
方∶
大黄〔十二两(一方二两),捶碎,熬令变色〕 葶苈(一升,熬令变色) 附子(一
两, 令 ) 杏仁(一升,熬令变色) 硝石(一升) 芘胡(二两,洗) 浓朴(一两,
炙) 茯苓(半两
凡十物,皆捣筛,和以蜜捣三万杵,丸如梧子,从五丸起,不知稍增,取大便调利为度。
又云∶治久寒积聚方∶
虎杖根一升许。捣之,以酒渍,日三,饮一升。
《短剧方》云∶七气丸治七气。七气为病,有寒气、怒气、喜气、忧气、恚气、愁气、
热气
时,
气则
疾行
足浮
大黄(十分,炮) 人参(三分) 椒(二分,熬) 半夏(三分,炮) 乌头(五分,
炮) 桔梗(
苓(三分) 芎 (分)
仁(三分)
凡十七物,冶合下筛,和以蜜,酒服如梧子三丸,日三,不知稍增,以知至十丸为度。
(今
坚如
《千金方》七气汤,治忧气、劳气、寒气、愁气、或饮食为气、高气,或虚劳内伤,五
脏不调,阳气衰少逆上下方∶
甘草(二两) 栝蒌(二两) 夕药(二两) 椒(三两) 半夏(二两) 人参(一
两) 干地黄(二
八味,切,以水一斗,煮取三升,分三服。
又云∶神明度命丸,治久病腹内积聚,大小便不通,气上抢胸,腹中胀满,逆苦饮食,
服之
大黄(一两) 夕药(一两)
二味,蜜丸如梧子,服四丸,日二,不知,可增至六七丸,以知为度。
又云∶胁下邪气积聚、往来寒热如温疟方∶
蒸鼠壤土熨之,冷即易。
《葛氏方》云∶露宿丸,治大寒冷积聚方∶
石 干姜 桂 桔梗 附子 皂荚(各三两)
捣筛,蜜丸,服如梧子十丸,日三,稍增至十五丸。
《僧深方》治心下支满痛,破积聚,咳逆不受食,寒热喜噎方∶
蜀椒(五分) 干姜(五分) 桂心(五分) 乌头(五分)
上四物,冶合下筛,蜜和丸如小豆;先辅食以米汁,服一丸,日三夜一;不知,稍增一
丸,
《新录方》治积聚方∶
马苋捣汁为煎,令可丸,酒服如枣,日三。
《德贞常方》积聚方∶
灸第十三椎节下间,相去三寸。
又方∶灸上脘穴,在鸠尾下二寸。
又方∶灸胃脘穴,在上脘下一寸。
又方∶灸水分穴,在脐上一寸。
《新罗法师》方∶续随子(一名耐冬花),去上皮,以酒一合,和而服之二七粒,量人
老少
《崔禹锡食经》∶取蔓菁子一升捣研,以水三升,煮取一升,浓服之,为妙药也,亦治
症瘕
According to the *Zhu Bing Yuan Hou Lun* (Treatise on the Pathogenesis and Manifestations of All Diseases), "Ji Ju" (accumulations and masses) are caused by disharmony between Yin and Yang, weakness of the Fu organs and Zang organs, contraction of Wind pathogen, and its binding with the Qi of the Zang and Fu organs. The Fu organs belong to Yang... (text lacuna); located on the left, it is named... (text lacuna); located in... (text lacuna), occurring at irregular times, causing panting and counterflow of Qi, bone萎 (weakness/atrophy), shortness of breath.
The *Yi Men Fang* (Medical Gate Formulas) states: "Differentiation says: Fei Qi (Fat Qi/Mass), refers to its flourishing state, describing the mass as like an inverted cup, protruding in a shape resembling abundance; Fu Liang (Hidden Beam), refers to its large..." (text lacuna) Ben... (text lacuna) Ji... (text lacuna).
The *Hua Tuo Fang* (Formulas of Hua Tuo) states: Er Che Wan (Two-Carts Pill), so named because it was often carried in the cart following that of the noble person. It treats various diseases of the heart and abdomen, accumulations above the diaphragm, alternating cold and heat, indigestion, or conditions arising from sorrow, anger, joy, or rage, or from fatigue and exhaustion leading to Qi stagnation, or old diseases causing floating Qi, reduced appetite, and lack of muscle growth. If the pathogen is in the hypochondrium, swallowing one pill will eliminate it; if suffering from fright and insecurity, swallow one pill three times daily; if sleeping alone without fear but the condition is severe, swallow six or seven times during the day and three times at night. For mild cases, swallow four or five times during the day and twice at night. Cold accumulation is expelled through the bowels, causing frequent flatulence. It also treats: female infertility, severe pain in the lower abdomen, pain even when Yang Qi arrives, pain radiating to the chest, caused by accumulated cold. Wind entering the uterine channel, or intercourse before menstruation has ceased, or intercourse while urgently needing to urinate, or intercourse with clothes not properly fastened, or exposure to cold after urgent defecation, allowing dampness to rise from below; chronic illness resulting from these, treated with the above method, pregnancy may occur within one hundred days. Formula for Er Che Wan: Shu Jiao (Sichuan Pepper, *Zanthoxyli Pericarpium*, 1 jin selected), Gan Jiang (Dried Ginger, *Zingiberis Rhizoma*, 20 pieces of similar size), Jing Mi (Glutinous Rice, *Oryza Sativa Var. Glutinosa*, 1 sheng), Langling Wu Tou (Aconite from Langling, *Aconiti Lateralis Radix Praeparata*, 20 pieces of similar size), Duan Zao [Ash]... (text lacuna). These five substances are soaked in 1.5 dou of water containing ash, placed in a fine silk bag holding half a unit, tied, and immersed in the ash overnight, then dried in the sun. All herbs are powdered and sifted, and mixed with... (text lacuna).
The Fan Wang Fang's Wu Tong Wan (Five-Through Pill) treats accumulations, retained fluids, retained food, alternating cold and heat, and vexatious stagnation, promoting flesh growth and tonifying deficiency. Formula: Jiao Mu (Pepper Seed, *Zanthoxyli Semen*, 1 liang, processed), Fu Zi (Prepared Aconite Root, *Aconiti Lateralis Radix Praeparata*, 1 liang, processed), Hou Po (Magnolia Bark, *Magnoliae Officinalis Cortex*, 1 liang), Xing Ren (Apricot Seed, *Armeniacae Semen Amarum*, 3 liang, processed), Ban Xia (Pinellia Tuber, *Pinelliae Rhizoma*, 1 liang, washed), Ting Li (Descurainia Seed, *Descurainiae Semen*, ...). Eight substances are used. Ting Li and Xing Ren are pounded separately until cooked, then mixed with other powders, blended well, and pounded with honey for five thousand strokes. Swallow two pills the size of mulberry seeds.
It further states: San Tai Wan (Three-Terraces Pill) treats alternating cold and heat of the Five Zang organs, accumulations and abdominal distension, large abdomen with empty rumbling and belching undigested food, failure to build muscle, and in severe cases, coughing and counterflow of Qi. If due to Shang Han (Cold Damage)... (text lacuna). Formula: Da Huang (Rhubarb Root, *Rhei Radix et Rhizoma*, 12 liang [another version 2 liang], crushed and stir-fried until color changes), Ting Li Zi (Descurainia Seed, *Descurainiae Semen*, 1 sheng, stir-fried until color changes), Fu Zi (Prepared Aconite Root, *Aconiti Lateralis Radix Praeparata*, 1 liang, ... let ...), Xing Ren (Apricot Seed, *Armeniacae Semen Amarum*, 1 sheng, stir-fried until color changes), Xiao Shi (Niter, *Natrii Sulfas*, 1 sheng), Bi Hu (... 2 liang, washed), Hou Po (Magnolia Bark, *Magnoliae Officinalis Cortex*, 1 liang, roasted), Fu Ling (Poria, *Poria*, 0.5 liang...). Ten substances are all pounded and sifted, mixed with honey, and pounded for thirty thousand strokes. Form pills the size of mulberry seeds. Start with five pills; if ineffective, increase slightly. The goal is smooth bowel movements.
It further states: Formula for treating long-standing cold accumulations: Hu Zhang Gen (Knotweed Root, *Polygoni Cuspidati Radix et Rhizoma*, approx. 1 sheng). Pound it, soak in wine, drink 1 sheng three times daily.
The *Duan Ju Fang* (Short Drama Formulas) states: Qi Qi Wan (Seven-Qi Pill) treats Seven Qi illnesses. Seven Qi pathologies include Cold Qi, Anger Qi, Joy Qi, Worry Qi, Resentment Qi, Sorrow Qi, and Heat Qi... (text lacuna) when Qi... (text lacuna) moves rapidly... (text lacuna) foot floats... (text lacuna). Formula: Da Huang (Rhubarb Root, *Rhei Radix et Rhizoma*, 10 parts, processed), Ren Shen (Ginseng Root, *Ginseng Radix*, 3 parts), Jiao (Pepper, *Zanthoxyli Pericarpium*, 2 parts, processed), Ban Xia (Pinellia Tuber, *Pinelliae Rhizoma*, 3 parts, processed), Wu Tou (Aconite Root, *Aconiti Radix*, 5 parts, processed), Jie Geng (Platycodon Root, *Platycodi Radix*, ...), Ling (... 3 parts), Xiong (... parts), Ren (... 3 parts). Seventeen substances are ground together and sifted, mixed with honey, taken with wine, three pills the size of mulberry seeds, three times daily. If ineffective, increase slightly up to ten pills when effective. (Now... hard as... text lacuna)
Qian Jin Fang's Qi Qi Tang (Seven-Qi Decoction) treats Worry Qi, Labor Qi, Cold Qi, Sorrow Qi, Qi caused by diet, High Qi, or internal injury from deficiency-labor, disharmony of the Five Zang organs, deficiency of Yang Qi, and counterflow upwards and downwards. Formula: Gan Cao (Licorice Root, *Glycyrrhizae Radix et Rhizoma*, 2 liang), Gua Lou (Trichosanthes Fruit, *Trichosanthis Fructus*, 2 liang), Chi Shao (Red Peony Root, *Paeoniae Radix Rubra*, 2 liang), Jiao (Pepper, *Zanthoxyli Pericarpium*, 3 liang), Ban Xia (Pinellia Tuber, *Pinelliae Rhizoma*, 2 liang), Ren Shen (Ginseng Root, *Ginseng Radix*, 1 liang), Gan Di Huang (Rehmannia Root, *Rehmanniae Radix*, 2...). Eight ingredients are cut, boiled in 1 dou of water to yield 3 sheng, divided into three doses.
It further states: Shen Ming Du Ming Wan (Divine Spirit Life-Prolonging Pill) treats long-term abdominal accumulations, obstruction of urination and defecation, Qi rushing to the chest, abdominal fullness, and painful inability to eat. Formula: Da Huang (Rhubarb Root, *Rhei Radix et Rhizoma*, 1 liang), Chi Shao (Red Peony Root, *Paeoniae Radix Rubra*, 1 liang). Two ingredients are made into honey pills the size of mulberry seeds. Take four pills, twice daily. If ineffective, increase to six or seven pills, stopping when effective.
It further states: Formula for treating pathogenic Qi accumulation in the hypochondrium with alternating cold and heat resembling Wen Nue (Warm Malaria): Steam mouse-dung earth and apply as a hot compress to the affected area; replace when cool.
Ge Shi Fang states: Lu Su Wan (Exposed-to-Dew Pill) for treating severe cold accumulations: Shi... (text lacuna), Gan Jiang (Dried Ginger, *Zingiberis Rhizoma*), Gui (Cinnamon Twig, *Cinnamomi Ramulus*), Jie Geng (Platycodon Root, *Platycodi Radix*), Fu Zi (Prepared Aconite Root, *Aconiti Lateralis Radix Praeparata*), Zao Jia (Gleditsia Fruit, *Gleditsiae Sinensis Fructus*) (each 3 liang). Pound and sift, make into honey pills. Take ten pills the size of mulberry seeds, three times daily, gradually increasing to fifteen pills.
Seng Shen Fang treats fullness and pain under the heart, breaking accumulations, coughing and counterflow of Qi preventing eating, alternating cold and heat with frequent hiccups. Formula: Shu Jiao (Sichuan Pepper, *Zanthoxyli Pericarpium*, 5 fen), Gan Jiang (Dried Ginger, *Zingiberis Rhizoma*, 5 fen), Gui Xin (Cinnamon Heart, *Cinnamomi Ramulus*, 5 fen), Wu Tou (Aconite Root, *Aconiti Radix*, 5 fen). The above four substances are ground together and sifted, mixed with honey into pills the size of small beans. Take one pill after taking staple food and rice gruel, three times daily and once at night. If ineffective, increase by one pill... (text lacuna).
Xin Lu Fang for treating accumulations: Ma Xian (Purslane, *Portulacae Herba*) juice is squeezed and boiled into a paste, formed into pills, taken with wine the size of a jujube, three times daily.
De Zhen Chang Fang for accumulations: Moxibustion at the space below the 13th thoracic vertebra, three cun apart. Another formula: Moxibustion at Shang Wan (CV13), two cun below Ji Wei (CV15). Another formula: Moxibustion at Wei Wan, one cun below Shang Wan. Another formula: Moxibustion at Shui Fen (CV9), one cun above the umbilicus.
Silla Master's Formula: Xu Sui Zi (Spurge Seed, *Euphorbiae Lathyridis Semen*, also known as Nai Dong Hua), remove the outer skin, mix with one he of wine, take fourteen pills according to age and constitution.
Cui Yuxi Shi Jing: Take one sheng of Turnip Seeds (*Brassicae Rapae Semen*), pound and grind, boil in three sheng of water to obtain one sheng, take thickly. It is a miraculous medicine and also treats Zheng Jia (masses and nodules).