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To treat various accumulations and masses formed by stagnant Qi in men and women, use 1 jin (approx. 500g) of raw *Qian Niu Zi* (Semen Impatientae) pounded into powder (8 liang), and the remaining dregs fried on a new tile until fragrant and cooled, then pounded again to obtain 4 liang of powder.

For treating abdominal distension, accumulations, and fixed masses (Zheng Jia), use 1 sheng of *Ting Li* (Semen Lepidii/Descurainiae) fried until yellow, soaked in 5 sheng of wine for seven days, taken orally, 3 he per day.

To treat Zheng (fixed masses with hard lumps), where there is a hard stone-like object in the abdomen causing stabbing pain, use 1 dou of dried *Hu Zhang Gen* (Rhizoma Polygoni Cuspidati) pounded, soaked in wine, and drunk, divided into three doses daily.

For the moxibustion/warming method for Zheng, use 3 sheng of *Zhu Yu* (Fructus Evodiae) crushed, mixed with wine, boiled, wrapped in cloth, and applied as a warm compress to the affected area. Reheat when cool and continue alternating applications.

To treat sudden and violent Zheng, where a hard stone-like mass exists in the abdomen causing excruciating pain, use a small bundle of *Shuo Di Gen* (Radix Akebiae/Radix Tetrastigminis - note: context implies a specific root, likely *Akebia* or similar vine root used in folk medicine), washed and drained, finely broken, soaked in 2 sheng of wine for three nights. Take 5 he to 1 sheng warm, three times daily. For faster results, warm the medicine in hot ashes until the flavor extracts, then take it. This medicine is non-toxic and highly effective.

To treat accumulations and masses, remove "San Shi" (Three Corpses/internal parasites/pathogenic factors), benefit Qi, and prolong life, use 2 liang of *Xiong Huang* (Realgar) powdered, subjected to water flotation nine times, placed in a new bamboo tube, and sealed with steamed dough... [text missing].

To treat Pi (lateral masses or pain), use 10 liang of *Da Huang* (Radix et Rhizoma Rhei) powdered, 3 sheng of vinegar, and 2 spoons of white honey, boiled together into pills the size of tung seeds. Take 30 pills per dose, washed down with ginger decoction, stopping when bowel movement occurs; reduce dose for children.

Another prescription: Use *Yu Li Ren* (Semen Pruni) soaked and peeled, mixed with flour and pounded into cakes. If too dry, add plain water. Make two cakes the size of the patient's palm, roast until yellow and cooked. Empty stomach... [text missing], stop the effect with vinegar and rice. If the disease is not fully resolved, administer another dose after one or two days, until cured. Avoid dairy and beef; this is invariably effective.

To treat Pi masses, parasitic accumulation, and horse poison sores, use *Ma Chi Xian* (Herba Portulacae) boiled with salt and vinegar in one bowl. Eat empty stomach; if parasites exist, they will be expelled. Apply the juice to the sore.

To treat abdominal Pi and other lumps, use urine from male sparrows mixed with equal parts of *Gan Jiang* (Rhizoma Zingiberis Recens), *Gui Xin* (Cortex Cinnamomi), and *Ai Ye* (Folium Artemisiae Argyi) into pills. Take 10 pills empty stomach with rice drink.

Another prescription: Use *Bie Jia* (Carapax et Plastrum Testudinis) calcined yellow, *He Le Le Pi* (Pericarpium Terminaliae Chebulae), and *Gan Jiang* (Rhizoma Zingiberis Recens) in equal parts into pills. Take 30 pills empty stomach.

To treat Bie Xia (a type of abdominal mass resembling a turtle), use the wash water from newly ripe red millet. Drink 1 sheng raw; cure within no more than three doses.

For a hard and large lower abdomen like a plate, chest fullness, ability to eat but inability to digest, use 1 fang cun bi of *Qu Mo* (Medicated Leaven). Take three times daily.

To treat Pi (obstruction/stagnation), boil freshwater ferns (*Jue Cai*) lightly in water. Consume for three days to expel foul matter; maintain a bland diet for one month thereafter.

Another prescription: Decoct *Guan Yin Liu* (Willow species) and expose to dew overnight. Drink several times at Wugeng (3-5 AM); Pi will dissipate.

Another prescription: Powder 4 liang of *Lu Fan* (Vitriolum Viride), wrap in 2 liang of flour dough, and steam. Mix with 10 walnut kernels, 24 apricot kernels (peeled and tipped), and 30 peppercorns. Pounded into paste, made into tung seed-sized pills. Take 20 pills empty stomach with warm wine. If pills are too hard, add cooked honey.

Another prescription: Shell 7 *Mu Bie Zi* (Semen Strychnos), pound into paste, mix well with good wine. Slice 4 liang of lean pork thinly, coat with medicine, roast, and have the patient smell and eat while warm. Self-cure after over a month of use. Avoid fried foods.

Moxibustion for Pi: On the midline of the lower back, four fingers width away. If Pi is on the left, moxa the right; if on the right, moxa the left. The acupoint should be level with the umbilicus.

To treat Bie Xia, drink 1 zhan of white horse urine warm; it will dissipate.

Another prescription: Boil 1 sheng of white horse urine with 3 egg whites until reduced to 2 he. Take on an empty stomach in one dose; a small turtle will be vomited up shortly.

Another prescription: Use *Hu Fen* (Cerussa/Lead Carbonate) and millet wash water, taken warm; highly effective.

To treat She Pi (Snake Pi), caused by ingesting vegetables contaminated by snake essence/fluids or eating snake meat, resulting in snake-like formations in the abdomen and hunger with immediate vomiting: Use 1 *Chi Tou Wu Gong* (Scolopendra), powder it, divide into doses, and take with wine.

To treat Pi Qi masses, boil 1 turtle in 3 sheng of ash juice from mulberry wood until mushy. Remove bones, boil again until paste-like, make into tung seed-sized pills. Take 10 pills with food/drink.

To treat Qi Xia in men and women, characterized by a hard lower abdomen like a cup/plate, amenorrhea, tidal fever, or dysentery with emaciation: Pound 30 jin of *Di Huang* (Radix Rehmanniae Preparata) to extract juice. Mix with 1 jin of *Gan Xi* (Resina Taxodi) powder. Slow-fire boil and adjust, make into tung seed-sized pills. Take 5-7 pills anytime with warm wine.

To treat all types of accumulation and Qi distension with fullness in both hypochondria, regardless of duration: Use 3 liang *Da Huang* (Radix et Rhizoma Rhei), 1 liang *Qian Niu Zi* (Semen Impatientae) first powder, 3 qian *Nao Sha* (Sal Ammoniac), 0.5 liang *Zhi Zi* (Fructus Gardeniae), 2 qian *Qing Fen* (Calomelas). Powder together, form into thick cakes the size of small copper coins using refined honey. Chew 3 cakes slowly after meals, wash down with warm wine. If defecation is needed before sleep, supplement with congee. Adjust dosage based on deficiency or excess.

To treat accumulation causing heart/abdominal Pi pain and incessant vomiting: Burn 1 piece of *Zao Jiao* (Fructus Glycyrrhizae) 1 chi 2 cun long until charred but retaining nature. Cover with a basin on the ground, seal with soil to prevent smoke escape. Shell 12 *Ba Dou* (Semen Crotonis), stir-fry with 1 liang of flour until yellow, powder. Make into mung bean-sized pills with vinegar paste. Take 10 pills after meals with salt water; adjust dosage appropriately.

To treat Qi Pi located outside the membranes, flowing to both hypochondria, causing Qi rebellion and wheezing: Use 150 peppercorns, 2.5 qian *Mu Xiang* (Radix Aucklandiae, unroasted), 10 *Quan Xie* (Scorpio, venom removed). Powder, make into mung bean-sized pills with millet rice paste. Take 20 pills with tangerine peel decoction.

To treat all accumulations, Pi, Qi masses, and major/minor Jie Xiong (chest binding), with pain that cannot be pressed: Use *Nan Xing* (Rhizoma Arisaematis Cum Bile), *Ban Xia* (Rhizoma Pinelliae Preparata), *Yuan Hua* (Flos Genkwa), and *Zi Ran Tong* (Pyritum) raw, in equal parts. Powder, make into tung seed-sized pills with vinegar paste. Take 5-7 pills before meals with warm water.

For internal accumulation stagnation and toxic qi manifesting in warm spring weather: Use *Bing Lang* (Arecae Semen) and *Yu Li Ren* (Semen Pruni) in equal parts. Take 3 qian bi per dose, mixed with honey water, anytime.

For autumn-summer transition, prolonged night exposure outdoors, causing abdominal Pi feeling like stones inside: Use 0.5 sheng soybeans, 8 fen ginger. Boil in 2 sheng water until reduced to 1 sheng. Take in one dose for cure.

To treat Jiao Long Xia (Dragon Jellyfish Mass): Eat 3 sheng of Cold Food Rice (Han Shi Fan). Take 5 he per dose, three times daily. Eventually vomits out a dragon with head and tail.

To treat hardness under the heart like a plate: Use 1.5 qian *Zhi Shi* (Fructus Aurantii Immaturus) stir-fried with bran, 3 qian *Bai Zhu* (Rhizoma Atractylodis Macrocephalae). Boil in 1 cup of water until 0.7 cup remains. Take warm; hardness will disperse.

To treat abdominal Pi masses: Powder *Da Huang* (Radix et Rhizoma Rhei) and *Pu Xiao* (Natrii Sulfas) in equal parts. Mix with pounded garlic and scallions into a paste. Apply thickly on silk to the affected area; it will soften and dissipate.

For food, alcohol, and Qi accumulations, various mass blocks, reverse regurgitation, dysphagia, vomiting, chest/diaphragm fullness, acid regurgitation, spitting clear water, sallow complexion, emaciation, poor appetite, five labors and seven injuries, mountain miasma, edema with accumulated heat, phlegm obstruction, carbuncles, painful swelling, strangury, female Gu swelling, chills/fever with sallow thinness, irregular menstruation, leukorrhea (red/white), ghost fetus, postpartum diseases, pediatric five malnourishments with worm accumulation, and accidental poisoning: All may take this formula. Use *Bing Lang* (Arecae Semen), *Da Huang* (Radix et Rhizoma Rhei), *Shang Lu* (Radix Phytolaccae), *Guan Zhong* (Rhizoma Cyrtomii) each 0.5 jin; *San Leng* (Rhizoma Sparganii) 6 liang; *E Zhu* (Rhizoma Curcumae) 4 liang; *Lei Wan* (Semen Omophori) and *Yuan Hua* (Flos Genkwa) each 2 liang. The above four ingredients are vinegar-boiled and dried. *Mu Xiang* (Radix Aucklandiae) 2 liang. *Qian Niu Zi* (Semen Impatientae) 2 jin, take 10 liang of first powder; 2 liang for medicine, 8 liang for coating. First, boil 1 jin of *Kou Lan Gen Pi* (Cortex Meliae Toosendan) in a bucket of water, boil several times, remove skin. Add 1 jin of *Zao Jiao* (Fructus Glycyrrhizae) de-seeded, boil several times, remove. Add 0.5 jin *Yin Chen* (Herba Artemisiae Scopariae), boil several times, remove. Add 4 liang *Huo Xiang* (Herba Agastaches), simmer slightly, cool, and clarify. Use small millet rice as the base, and the medicinal liquid to activate the powder into mung bean-sized pills. Take 3... [text missing] to remove accumulation; dissolve masses. Eat only during Chen/Si hours (7 AM - 11 AM). For deep diseases, repeat after two days. Avoid cold/raw, sour/salty, fish/noodles, greasy foods. Pregnant women must not take. Proven effective repeatedly.

Another prescription: *Guan Zhong* (Rhizoma Cyrtomii) 2 jin, *Qian Niu Zi* (Semen Impatientae) 1 jin, *Bing Lang* (Arecae Semen) 0.5 jin, *San Leng* (Rhizoma Sparganii) and *Peng Zhu* (Rhizoma Curcumae) each 4 liang, *Da Huang* (Radix et Rhizoma Rhei) 2 liang, *Lei Wan* (Semen Omophori) 0.5 liang, *Bai Zhi* (Radix Angelicae Dahuricae) and *Hui Xiang* (Fructus Foeniculi) each 1 liang. Powder. Separately, decoct *Zao Jiao* (Fructus Glycyrrhizae) and *Yin Chen* (Herba Artemisiae Scopariae) each 0.5 jin in strong soup. Mix with powder, pound over 1000 times, make into mung bean-sized pills. Take 0.5 liang per dose. Use *Zi Su* (Folium Perillae), *Zhi Ke* (Fructus Aurantii), *Cong Bai* (Scallion White), *Chen Pi* (Pericarpium Citri Reticulatae), *Tu Gua Gen* (Radix Trichosanthis Kirilovii) in equal parts, powder. Decoct 1.5 cups water to 1 cup, cool. Rise at Wugeng (3-5 AM)... [text missing].

Another prescription: Stir-fry 4 jin of Yellow Wine Qu until yellow. Soak 2 jin *Cang Zhu* (Rhizoma Atractylodis Lanceae) in rice wash water, slice, dry. Boil 1 jin *Zao Fan* (Alumen Rubrum) in 1 bowl of good vinegar until dry. Leave on the pot lid overnight on the ground, then powder. Make into tung seed-sized pills with wine/vinegar paste. Regular dose 30 pills, increase to 40-50. Take empty stomach with good wine or rice soup, three times daily. No taboos. Treats all kinds of mass blocks, weak spleen/stomach, indigestion, abdominal distension, sallow face, limb fatigue, soreness, weakness.

To treat old/new accumulations, Qi masses, edema, hernia (small intestine descent), beriberi/poison, dysphagia with regurgitation, heart/spleen pain, wheezing/cough, lung... [text missing], pediatric epilepsy/seizures: Use *Da Huang* (Radix et Rhizoma Rhei), 2 jin fire-roasted in Spring/Winter, 1.2 jin raw in Summer/Autumn; *Gan Cao* (Radix Glycyrrhizae) 0.5 jin roasted; *Qian Niu Zi* (Semen Impatientae) 12 liang; *Bing Lang* (Arecae Semen) 10 liang; *San Leng* (Rhizoma Sparganii) 4 liang; *Mu Xiang* (Radix Aucklandiae) 1 liang. Powder. Take 5 qian per dose. At early Wugeng, face East, mix with 1 cup cold water. By Si hour (9-11 AM)... [text missing] expel the root of the disease: green/red/white stool, or snakes, toads, centipedes, tangled threads, blood clots. Suitable for all seasons, safe for old and weak. Supplement with white congee after purging. Pregnant women must not take.