脉
脉沉细为癖积。
病
天地气运，固有南北之殊。小儿病患，亦有彼此之异。北方小儿患癖积者，十恒八九；南方小儿
患癖疾者，百无二、三，是何谓而致之？盖南方水土薄弱，饮食柔软，易于克化，厥疾少矣；北方水土浓实，
面食坚硬，难于运动，厥疾生焉，亦由脾胃之不和也。故东垣以脾胃为人之主，脾胃和，一疾不生，亏则百
病生焉。小儿脾胃本自柔脆，脏腑尚且娇嫩，为之母者，多不知调护之法，惟务姑息之爱，不问咸酸甘肥之
味，瓜果生冷之物，及 粽湿面，油腻煎炙之类，诸股稠粘，干硬难化之物，顺其所欲，食之过多，损
伤脾胃，脾胃既伤，则不能消化水谷，水谷不化，则停滞而痰发。发热既久，则耗伤元气，元气虚，
则不能运动其血，血遂不行，
而停滞不散，留于胁肋之间，遂成血块，居于皮里膜外，不能移动，始则有如钱大。发热则日渐长，其形如
龟，如蛇，如猪肝、肺者，长短大小之不一也，内有血孔贯通，外有血筋盘固，其筋直通背脊之下，与脐相
对之间，有动脉之处，乃癖疾之根。夫人身之血脉，则昼夜循环无端，一周流及此，其血则贯入筋内，由筋
入孔，由孔入癖。盖癖得血养而渐长，邪得血助而渐盛，于是正气愈惫，而血愈枯矣，发为潮热，以致诸疾，
或头出虚汗，或胸前项下跳动，或肚大青筋，毛焦发坚，或面黄肌瘦，四肢干枯，淹延日久，则毒瓦斯发出，
变生诸症。有变为牙疳口臭，宣露出血者；有变为头面肿大，口鼻溃烂者；有变为一切疮毒，流脓出血者；
有变为肢体浮肿、腹胀、气喘者；有变为寒热往来，似疟非疟者；有变为痰嗽喘热，衄吐下血者；有变为呕吐
泻痢，脱肛下坠者；有变为心腹疼痛，疝气偏坠者。皆癖毒攻出之所致也。变证多端，难以悉举，乃
九死一生之病，非一方一法所能愈也。
治
治之先宜针灸之法，以断其根，使血不贯入筋内，则癖无血所养，癖即自败矣。外以膏药贴之，内以
汤丸攻之。大抵宜补脾、养气，以治其本，清热消块，以治其标，标本兼济。又当执其权衡，以量儿之壮弱，
病之轻重。若壮而轻者，则治标之药多于治本之剂；若弱而重者，治本之剂多于治标之药。大概肥儿丸、
乌金丸、阿魏丸、千金保童丸之类，乃半攻半补，平和之剂，宜对证选用，于针灸之后，可收十全之功也。
臣斯疾者，宜详究焉。
方
净府散（西园公方） 治小儿腹中癖块，发热口干，小便赤。
柴胡（一钱） 黄芩（八分） 半夏（姜汁浸炒，八分） 人参（二分） 白术（去芦，七
分） 白茯苓（去皮，一钱） 猪苓（七分） 泽泻（一钱） 三棱（煨，一钱） 莪术（煨，一
钱） 山楂肉（一钱） 胡黄连（三分） 甘草（三分）
上锉一剂，姜枣煎服。
抑肝扶脾散（云林制） 补元气，健脾胃，退热消癖。
人参（五分） 白术（土炒，八分） 茯苓（八分） 陈皮（六分） 青皮（炒，六分）
甘草（三分） 龙胆草（酒洗，八分） 白芥子（炒，八分） 柴胡（酒洗，三分） 山楂肉
（八分） 神曲（炒，六分） 黄连（姜汁炒，一钱） 胡黄连（三分）
上锉一剂，姜枣煎服。
肥儿丸（方见诸疳） 治癖疾如神。
乌金丸（徐副使传） 治癖块发热，一料除根。
牛黄（二钱） 芦荟（三钱） 琥珀（五钱） 胡黄连（五钱） 人参（六钱） 白术（乳汁
炒，六钱） 黄连（七钱） 槟榔（七钱） 三棱（醋煮，七钱） 莪术（醋煮，七钱） 地骨
皮（七钱） 水红花子（炒，七钱） 百草霜（三钱） 伏龙肝（三钱）
上为细末，糯米糊为丸，如绿豆大。每服三十丸，陈皮汤送下。
阿魏丸（鲍思斋传）
白术（五两，用酥油炒三两，土炒二两） 苍术（三两，米泔水浸二日，去皮，再用
芝麻二两同浸，磨下，取粉晒干） 半夏（姜制，一两） 白茯苓（去皮，一两） 陈皮（一
两） 黄连（酒炒，二两） 山楂（去核，一两） 麦芽（炒，一两） 枳实（面炒，二两） 萝
卜子（炒，二两） 当归（二两） 红花（一两） 楮实子（炒，二两） 牛黄（一钱） 水
红花子（炒，三两） 小桃红子（炒，三两） 芦荟（一两） 阿魏（一两） 酥油（二两）
人中白（火 ，五钱） 黄蜡（三两，二味同化入药末内） 桃仁（去皮，一两） 海带（二
两） 紫菜（三两） 干碱（炒，二两） 三棱（煨，一两） 莪术（煨，一两） 胡黄连（一两） 沉香（一两）
上炼蜜为丸，如梧桐子大。每二三十丸，水红花子煎汤送下。白汤、黄酒俱可。
千金保童丸〔批〕（按此方治癖退热，半攻半补之良剂也） 消癖化积，清
火退热，杀虫消疳，开膈除胀，养胃和脾进食，大人、小儿并宜服之。
人参（五钱） 白术（五钱） 茯苓（去皮，三钱半） 芦荟（一钱） 胡黄连（二钱）
黄连（炒，三钱半） 芜荑仁（三钱） 使君子（去壳，三钱半） 夜明砂（炒，三钱半）
蚵皮（二个，炒） 龙胆草（去芦，三钱半） 柴胡（三钱） 苍术（米泔水浸炒，三钱半）
青皮（炒，三钱半） 陈皮（三钱半） 砂仁（二钱半） 木香（三钱半） 槟榔（三钱半）
三棱（煨，三钱半） 莪术（煨，三钱半） 香附（炒，三钱半） 枳实（麸炒，三钱） 神曲
（炒，五钱） 山楂（去核，三钱半） 麦芽（炒，五钱） 萝卜子（炒，五钱） 水红花子
（炒，五钱） 加阿魏（二钱）
上为细末，猪胆汁为丸，如绿豆大。每三五十丸，食前米饮送下。此病切忌猪肉，宜食鸽子、虾蟆。
至宝丸（许昌僧传）
阿魏（二钱） 芦荟（二分） 天竺黄（二分） 雄黄（二分） 没药（二分） 穿山甲
（炒成珠，二分） 胡黄连（二分） 白草乌（童便浸一宿，二分） 砂（二分）
上为细末，用好酒和成一块，入铜锅内，再入酒半茶钟，熬成膏，勿令火大，恐伤药力。量可丸，取
出丸如豌豆大。每一丸黄酒化下，十岁以上，服二丸，临卧服，待其自然汗出，三日服一次，重者五、七服，
轻者三、三丸，热即退，块亦消。须要忌口。一方，加血竭二分，蟾酥三分，白草乌用三分，尤效。
一提金（秘方）
阿魏（箬炙，二钱） 血竭（一钱） 雄黄（一钱） 朱砂（一钱） 乳香（一钱） 没药
（一钱） 沉香（五分） 木香（五分） 天竺黄（五分） 芦荟（五分） 穿山甲（七片，炒成珠）
全蝎（一钱） 木鳖子（七个）
上为细末。每用五分，鸡子一个，小顶取破，将药入内，纸裹蒸熟，空心食之，神效。
妙灵散（杨见序传）
阿魏（箬炙，一钱） 芦荟（二钱半） 大黄（一钱） 天竺黄（一钱） 雷丸（二钱半，
甘草水浸半日，去皮，炒） 胡黄连（二钱） 蜈蚣（二条，大者一钱，红足者佳，瓦上
焙，去头足，地上出火毒） 干漆（五钱，砂锅慢火炒，放地上去火毒）
上为细末，用蜜水拌匀，置碗内，以猪尿泡封口，悬锅内重汤煮，半炷香为度，埋土中一宿，次日
取出。每服九厘，或茶或酒，或米汤下。
五黄丸（刘继洲传） 退热如神。
牛黄（一分） 芦荟（二分） 阿魏（二分） 天竺黄（一分） 雄黄（一钱） 胡黄连
（二分） 蜈蚣（二条，去头尾）
上为细末，黄蜡五钱，铁杓化开，为丸如绿豆大。每五、七丸，量儿大小，黄酒送下，或将黄蜡
煎鸡子入药于内，嚼吃亦可。
将军散（刘继洲传）〔批〕（按此方治癖专攻之剂）
川大黄（酒浸，蒸，五钱） 荞麦面（炒黄，三钱） 阿魏（一钱）
上为细末，每服三分，烧酒调服。
食物秘方（卢诚庵传） 此方治癖最效，宜多用之。
硼砂（二钱） 砂（二钱） 大黄（一两） 芒硝（一升）
用核桃一百个，敲损同药入，水二十碗，煮一炷香为度，取出，无时，令儿食之。
一方，用鸡子五个，阿魏五分，黄蜡一两，锅内煮一处，分
作十服，细嚼温水下，空心服，诸物不忌，腹中作痛无妨。十日后，大便下血，乃积化也。
一方， 砂一钱，硼砂一钱，木鳖子去壳五个，红花一钱半，蜈蚣一条，穿山甲五片，麸炒黄色
为末，合一处，用猪曹头肉一斤，煮熟切片，撒药，用瓷器盛肉药，锅内蒸烂，任意食之。
一方，急性子一两，川大黄一两，水红花子一两，各俱生用。上为细末，每用五钱，外皮硝一两，
拌匀，用白鹁鸽一只，去毛，屎，刮肠勿粘水，以布拭净，将末药装入内，线缝入锅内，水三碗，纸封口，用细
细火煮，令水干，将鸽子番复焙黄色，冷定。早晨食之，黄酒送下，时刻住热，三日后大便下血而愈，忌冷
物百日。（张可亭传）
一方，用鸽雏一只，事净， 砂四分，硼砂五分，为末，擦遍
鸽皱，碗盛入锅上，用瓦盆罩住四周，用芒硝半斤，封住，着火蒸之，任意食之。
一方，辰砂一钱， 砂一钱，硼砂一钱，阿魏一钱，三棱二钱，莪术二钱，全蝎一对，血竭五分，水
红花子炒三钱，共为末，皮硝半斤，水澄清，用鸽子一个，去毛、肠，将药一钱，撒在鸽子
内，上用硝水三碗，入罐蒸熟，食之，三服痊愈。（李桐峰传）
一方，威灵仙一两，刘寄奴一两，芒硝一两，为末，每用小鹁鸽一只，如法事净，去毛、肠，将前
药末二钱，装入鸽肚内，以线缝固，用酒、醋各一碗，同煮令干，取鸽去药，只吃鸽子二、三只，退
热，五、七只全消。
青黛丸（郭师傅传） 治小儿癖疾发热，上攻牙龈，腮颔肿痛，生
疮，及治诸热痰嗽，伤风身热，并痘疹出不快，身极热眼黄，皆可服。
青黛（水飞，二钱） 黄连（猪胆汁炒，二钱） 石膏（火 ，二钱） 连翘（去穣，三钱）
桔梗（一钱半） 升麻（一钱半） 黄芩（酒炒，二钱） 薄荷（二钱） 防风（二钱半） 半夏
（姜制，二钱） 牛胆南星（二钱） 贝母（二钱） 枳实（麸炒，一钱半） 莪术（醋炒，一钱
半） 木香（二钱） 槟榔（二钱） 香附（童便浸，三钱） 山楂肉（二钱） 砂仁（一钱半）
人参（去芦，一钱半） 白术（麸炒，三钱） 茯苓（去皮，三钱） 甘草（炙，一钱） 紫
苏（二钱） 麻黄（二钱）
上为细末，稀糊为丸，如绿豆大。每服五、七分，或一钱，量儿大小。身热薄荷汤下。咳嗽，五味子、
桑白皮汤下。头痛身热，川芎汤下。痘疹，酒下。伤风身热，麻黄紫苏汤下。又治大人伤酒、伤食、伤气、
伤风、头痛，每服百丸，姜汤下。
消毒散 治癖毒，上攻头面，腮颔肿起，疼痛，及一切恶毒疮肿如神。
白芷 郁金 大黄 天花粉 草乌 南星 贝母 木鳖子 白
芨黄柏 皂刺 锻石 甘草 石膏（各等分）
上为细末，同鸡子清调服立消，内服犀角化毒丹一、二丸，其肿痛立效。
清香散（张和川传） 治小儿癖疾，生牙疳，溃烂臭秽。
乳香 没药 轻粉（炒） 孩儿茶 象牙（焙黄） 象皮（烧灰） 红褐（烧灰）
海巴（焙干） 珍珠（焙黄，各等分）
上为细末，擦患处。登时痛止，生肌如神。
信甲绿袍散（贾兰峰传） 治小儿疳癖，牙龈臭烂，牙齿脱落，皮肉破坏。
红枣（五枚，去核，每一枣入人言一分，火 存性） 黄柏（五分） 青黛（三分）
穿山甲（五分，烧存性）
上为极细末，和匀，搽患处立效。
治癖疾，口内疳疮，牙齿臭烂。（周逢干传）
红枣（去核，每一枣入白砒一块在内，纸色炭，烧存性）
上用竹签，挑入患处，低头开口，流水连上数十遍，即日奏效。
治癖疾热毒，上攻腮颔，溃透，如盏口大。
象牙（一钱） 琥珀（一钱） 珍珠（一钱） 海巴（一钱） 人中白（即尿桶白霜，刮下一钱）
上为细末，掺入腮颔烂处，直待内将好之际，用利刀四围割破，见血一面，将大雄鸡冠割去齿，直劈开，
如患处一般大，乘热贴在患处，四围用生肌散，方见痈疖，敷之，令患者侧卧，患处向上，勿犯汤水大半日，
未用药之先，将饮食吃饱，次日方可食，其鸡冠要割得平正，四边要薄些，方得妥贴。
治癖气，上攻牙腮腐烂。（刘嵩皋传）
桃花信（一块，桑柴火内烧红，淬入细茶浓卤内，如此七次，去信） 雄黄一
块，研末，山茶卤内和匀）
上用鸡翎频扫患处，止痛生肌，立时见效。
玄武膏（方外人传） 治癖退热。
大黄（一两） 栀子（一两） 砂（一钱） 木鳖子（一两） 硼砂（一钱） 雄黄（一
钱，共为细末） 皮硝（一撮） 油核桃（二个） 大蒜（去皮，五片） 白花菜（晒干，四钱）
黑狗脑子（一个）
好烧酒一钟，将前六味药末，掺入后药内，同捣为饼，每用一饼，贴癖上，用热汤瓶，熨饼上，如
冷再换热瓶熨之。后用布帛扎住，贴二、三日去药，再停一、二日，再换一饼，根据前方用。忌生冷油腻发物。
红花膏（京师传）
Pulse
A deep and fine pulse indicates Pi Ji (accumulation of masses in the abdomen that are fixed and immovable).
Etiology and Pathogenesis
The Qi and fortune of Heaven and Earth naturally differ between the North and South. Diseases in children also vary by region. In the North, eight or nine out of ten children suffer from Pi Ji; in the South, fewer than two or three out of a hundred suffer from Pi disease. What causes this? It is likely because the water and soil of the South are thin and weak, the diet is soft, and digestion is easy, so such diseases are rare. In the North, the water and soil are dense and solid, the food (wheat noodles) is hard, and digestion is difficult, so such diseases arise. This is also due to the disharmony of the Spleen and Stomach. Therefore, Li Dongyuan considered the Spleen and Stomach as the foundation of the human body. When the Spleen and Stomach are harmonious, no disease arises; when they are deficient, hundreds of diseases emerge. Children's Spleen and Stomach are inherently fragile, and their Zang-Fu organs are tender. Mothers often do not know the methods of care and nursing, indulging in excessive affection without regard for salty, sour, sweet, or rich flavors, nor for raw fruits, cold foods, zongzi, damp wheat noodles, greasy fried foods, or other sticky, dry, and hard-to-digest items. They satisfy the child's desires, leading to overeating, which damages the Spleen and Stomach. Once damaged, the Spleen and Stomach cannot digest food and fluids. Undigested food and fluids stagnate and generate Phlegm. Prolonged fever consumes Yuan Qi (Original Qi). When Yuan Qi is deficient, it cannot move Blood, causing Blood to stagnate and not disperse. It remains between the hypochondrium and ribs, eventually forming blood clots located between the skin and fascia, immovable. Initially, they are the size of a coin. With fever, they grow daily, taking shapes like turtles, snakes, pig liver, or lungs, varying in length and size. Inside, there are blood holes connecting them; outside, blood vessels coil and fix them. These vessels extend straight down to below the spine, opposite the umbilicus, where arterial pulsation occurs—this is the root of Pi disease. The blood vessels of the human body circulate day and night without end. When Qi and Blood flow to this area, Blood enters the vessels, then into the holes, and finally into the Pi mass. The Pi mass grows gradually by nourishment from Blood, and the pathogen strengthens with the assistance of Blood. Thus, Righteous Qi becomes more exhausted, and Blood becomes more depleted, manifesting as tidal fever and leading to various diseases. Symptoms may include spontaneous sweating on the head, throbbing in the chest or neck, abdominal distension with visible blue veins, dry and brittle hair, yellowish complexion with emaciation, and dry limbs. If prolonged, toxic factors emerge, causing diverse symptoms: some develop into dental gangrene with bad breath and bleeding gums; some into swelling of the head and face with ulceration of the mouth and nose; some into various sores and toxins with pus and bleeding; some into limb edema, abdominal distension, and asthma; some into alternating chills and fever resembling malaria but not quite; some into phlegm cough, wheezing, heat, epistaxis, hematemesis, and hematochezia; some into vomiting, diarrhea, dysentery, rectal prolapse, and bearing-down sensation; some into heart and abdominal pain, and hernia with unilateral descent. All these are caused by the attack and eruption of Pi toxin. There are numerous variations, difficult to list completely. This is a critical illness with nine deaths for every one survival, not curable by a single formula or method.
Treatment Principles
Treatment should first employ acupuncture and moxibustion to cut off the root, preventing Blood from entering the vessels, so that the Pi mass, deprived of Blood nourishment, will self-destruct. Externally apply plasters; internally administer decoctions and pills to attack the pathogen. Generally, tonify the Spleen and nourish Qi to treat the root, clear Heat and dissipate masses to treat the branch, addressing both simultaneously. One must weigh the situation according to the child's strength and the severity of the disease. If strong and mild, use more branch-treating herbs than root-tonifying ones; if weak and severe, use more root-tonifying herbs than branch-treating ones. Formulas such as Fei Er Wan (Child-Nourishing Pill), Wu Jin Wan (Black Gold Pill), A Wei Wan (Asafoetida Pill), and Qian Jin Bao Tong Wan (Thousand-Gold Child-Protecting Pill) are half-attacking, half-tonifying, and mild formulas. They should be selected according to the syndrome. After acupuncture, they can achieve complete success. I believe this disease warrants detailed study.
Formulas
Jing Fu San (Formula from Master Xi Yuan) treats abdominal Pi masses in children, fever, dry mouth, and red urine.
Chai Hu (Bupleuri Radix, 1 qian), Huang Qin (Scutellariae Radix, 8 fen), Ban Xia (Pinelliae Rhizoma processed with ginger juice, 8 fen), Ren Shen (Ginseng Radix et Rhizoma, 2 fen), Bai Zhu (Atractylodis Macrocephalae Rhizoma, degermed, 7 fen), Bai Fu Ling (Poria, peeled, 1 qian), Zhu Ling (Polyporus, 7 fen), Ze Xie (Alismatis Rhizoma, 1 qian), San Leng (Sparganii Rhizoma, roasted, 1 qian), E Zhu (Curcumae Rhizoma, roasted, 1 qian), Shan Zha Rou (Crataegi Fructus, 1 qian), Hu Huang Lian (Coptidis Teetae Rhizoma, 3 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, 3 fen).
Grind into one dose, decoct with Ginger and Jujube, and take orally.
Yi Gan Fu Pi San (Formula prepared by Yun Lin) tonifies Yuan Qi, strengthens Spleen and Stomach, reduces fever, and dissipates Pi.
Ren Shen (Ginseng Radix et Rhizoma, 5 fen), Bai Zhu (Atractylodis Macrocephalae Rhizoma stir-fried with earth, 8 fen), Fu Ling (Poria, 8 fen), Chen Pi (Citri Reticulatae Pericarpium, 6 fen), Qing Pi (Citri Reticulatae Pericarpium Viride, stir-fried, 6 fen), Gan Cao (Glycyrrhizae Radix et Rhizoma, 3 fen), Long Dan Cao (Gentianae Radix et Rhizoma, washed with wine, 8 fen), Bai Jie Zi (Sinapis Semen, stir-fried, 8 fen), Chai Hu (Bupleuri Radix, washed with wine, 3 fen), Shan Zha Rou (Crataegi Fructus, 8 fen), Shen Qu (Massae Fermentatae Medicinalis, stir-fried, 6 fen), Huang Lian (Coptidis Rhizoma, stir-fried with ginger juice, 1 qian), Hu Huang Lian (Coptidis Teetae Rhizoma, 3 fen).
Grind into one dose, decoct with Ginger and Jujube, and take orally.
Fei Er Wan (See Formulas for Various Gan Syndromes) treats Pi disease miraculously.
Wu Jin Wan (Passed down by Vice Commissioner Xu) treats Pi masses with fever; one course removes the root.
Niu Huang (Calculus Bovis, 2 qian), Lu Hui (Aloe, 3 qian), Hu Po (Electrum, 5 qian), Hu Huang Lian (Coptidis Teetae Rhizoma, 5 qian), Ren Shen (Ginseng Radix et Rhizoma, 6 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma stir-fried with milk, 6 qian), Huang Lian (Coptidis Rhizoma, 7 qian), Bing Lang (Arecae Semen, 7 qian), San Leng (Sparganii Rhizoma boiled in vinegar, 7 qian), E Zhu (Curcumae Rhizoma boiled in vinegar, 7 qian), Di Gu Pi (Lycii Cortex, 7 qian), Shui Hong Hua Zi (Alternantherae Philoxeroidis Fructus, stir-fried, 7 qian), Bai Cao Shuang (Fuligo Silicea, 3 qian), Fu Long Gan (Haematitum, 3 qian).
Grind into fine powder, make pills with glutinous rice paste, size of mung beans. Take 30 pills each time, delivered with Chen Pi Decoction.
A Wei Wan (Passed down by Bao Sizhai)
Bai Zhu (Atractylodis Macrocephalae Rhizoma, 5 liang: stir-fried with butter 3 liang, stir-fried with earth 2 liang), Cang Zhu (Atractylodis Rhizoma, 3 liang: soaked in rice washing water for 2 days, peeled, then soaked with 2 liang sesame seeds, ground, powder extracted and dried), Ban Xia (Pinelliae Rhizoma processed with ginger, 1 liang), Bai Fu Ling (Poria, peeled, 1 liang), Chen Pi (Citri Reticulatae Pericarpium, 1 liang), Huang Lian (Coptidis Rhizoma stir-fried with wine, 2 liang), Shan Zha (Crataegi Fructus, pitted, 1 liang), Mai Ya (Hordei Fructus Germinatus, stir-fried, 1 liang), Zhi Shi (Immaturae Fortunellae Fructus stir-fried with flour, 2 liang), Luo Bo Zi (Raphani Semen, stir-fried, 2 liang), Dang Gui (Angelicae Sinensis Radix, 2 liang), Hong Hua (Carthami Flos, 1 liang), Chu Shi Zi (Celtidis Semen, stir-fried, 2 liang), Niu Huang (Calculus Bovis, 1 qian), Shui Hong Hua Zi (Alternantherae Philoxeroidis Fructus, stir-fried, 3 liang), Xiao Tao Hong Zi (Persicae Semen, stir-fried, 3 liang), Lu Hui (Aloe, 1 liang), A Wei (Asafoetida, 1 liang), Su You (Butter, 2 liang), Ren Zhong Bai (Urinae Calcina, calcined, 5 qian), Huang La (Beeswax, 3 liang: melt these two into the powder), Tao Ren (Persicae Semen, peeled, 1 liang), Hai Dai (Laminariae Thallus, 2 liang), Zi Cai (Porphyrae Thallus, 3 liang), Gan Jian (Sodi Carbonas, stir-fried, 2 liang), San Leng (Sparganii Rhizoma, roasted, 1 liang), E Zhu (Curcumae Rhizoma, roasted, 1 liang), Hu Huang Lian (Coptidis Teetae Rhizoma, 1 liang), Chen Xiang (Aquilariae Lignum Resinatum, 1 liang).
Make pills with refined honey, size of Sophora japonica seeds. Take 20-30 pills each time, delivered with Shui Hong Hua Zi Decoction. Plain water or yellow wine are acceptable.
Qian Jin Bao Tong Wan [Comment] (Note: This formula is an excellent half-attacking, half-tonifying agent for treating Pi disease and reducing fever.) Dissipates Pi and resolves accumulations, clears fire and reduces fever, kills parasites and resolves Gan syndromes, opens the diaphragm and relieves distension, nourishes the stomach, harmonizes the Spleen, and promotes appetite. Suitable for adults and children.
Ren Shen (Ginseng Radix et Rhizoma, 5 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 5 qian), Fu Ling (Poria, peeled, 3.5 qian), Lu Hui (Aloe, 1 qian), Hu Huang Lian (Coptidis Teetae Rhizoma, 2 qian), Huang Lian (Coptidis Rhizoma, stir-fried, 3.5 qian), Wu Yi Ren (Myrabolanae Chebulae Fructus, 3 qian), Shi Jun Zi (Quisqualis Fructus, shelled, 3.5 qian), Ye Ming Sha (Felis Tarsi, stir-fried, 3.5 qian), Ke Pi (Mantidis Oötheca, 2 pieces, stir-fried), Long Dan Cao (Gentianae Radix et Rhizoma, degermed, 3.5 qian), Chai Hu (Bupleuri Radix, 3 qian), Cang Zhu (Atractylodis Rhizoma soaked in rice washing water and stir-fried, 3.5 qian), Qing Pi (Citri Reticulatae Pericarpium Viride, stir-fried, 3.5 qian), Chen Pi (Citri Reticulatae Pericarpium, 3.5 qian), Sha Ren (Amomi Fructus Rotundus, 2.5 qian), Mu Xiang (Aucklandiae Radix, 3.5 qian), Bing Lang (Arecae Semen, 3.5 qian), San Leng (Sparganii Rhizoma, roasted, 3.5 qian), E Zhu (Curcumae Rhizoma, roasted, 3.5 qian), Xiang Fu (Cyperi Rhizoma, stir-fried, 3.5 qian), Zhi Shi (Immaturae Fortunellae Fructus stir-fried with bran, 3 qian), Shen Qu (Massae Fermentatae Medicinalis, stir-fried, 5 qian), Shan Zha (Crataegi Fructus, pitted, 3.5 qian), Mai Ya (Hordei Fructus Germinatus, stir-fried, 5 qian), Luo Bo Zi (Raphani Semen, stir-fried, 5 qian), Shui Hong Hua Zi (Alternantherae Philoxeroidis Fructus, stir-fried, 5 qian), add A Wei (Asafoetida, 2 qian).
Grind into fine powder, make pills with pig bile, size of mung beans. Take 30-50 pills before meals, delivered with rice drink. Pork is strictly forbidden for this disease; pigeon and toad are recommended.
Zhi Bao Wan (Passed down by Monk of Xuchang)
A Wei (Asafoetida, 2 qian), Lu Hui (Aloe, 2 fen), Tian Zhu Huang (Bambusae Tabulae, 2 fen), Xiong Huang (Realgar, 2 fen), Mo Yao (Myrrha, 2 fen), Chuan Shan Jia (Manis Squama, stir-fried until bubbling, 2 fen), Hu Huang Lian (Coptidis Teetae Rhizoma, 2 fen), Bai Cao Wu (Aconiti Kusnezoffii Radix, soaked in child's urine overnight, 2 fen), Niao Sha (Sal Ammoniac, 2 fen).
Grind into fine powder, mix with good wine into a block, place in a copper pot, add half a tea cup of wine, boil into a paste. Do not use high heat to avoid damaging medicinal power. When suitable for pill-making, remove and form pills size of peas. Dissolve one pill in yellow wine and take. For those over ten years old, take 2 pills before bed. Wait for natural sweating. Take once every three days. Severe cases: 5-7 doses; mild cases: 3 pills. Fever will subside, masses will dissipate. Strict dietary restrictions required. Alternative: add Xue Jie (Dragon's Blood, 2 fen), Chan Su (Toad Venom, 3 fen), use Bai Cao Wu (Aconiti Kusnezoffii Radix, 3 fen). More effective.
Yi Ti Jin (Secret Formula)
A Wei (Asafoetida grilled with bamboo leaf, 2 qian), Xue Jie (Dragon's Blood, 1 qian), Xiong Huang (Realgar, 1 qian), Zhu Sha (Cinnabar, 1 qian), Ru Xiang (Olibanum, 1 qian), Mo Yao (Myrrha, 1 qian), Chen Xiang (Aquilariae Lignum Resinatum, 5 fen), Mu Xiang (Aucklandiae Radix, 5 fen), Tian Zhu Huang (Bambusae Tabulae, 5 fen), Lu Hui (Aloe, 5 fen), Chuan Shan Jia (Manis Squama, 7 slices, stir-fried until bubbling), Quan Xie (Scorpio, 1 qian), Mu Bie Zi (Strychni Semen, 7 seeds).
Grind into fine powder. Use 5 fen each time, one egg, break small top, put medicine inside, wrap in paper and steam. Eat on empty stomach. Miraculous effect.
Miao Ling San (Passed down by Yang Jianxu)
A Wei (Asafoetida grilled with bamboo leaf, 1 qian), Lu Hui (Aloe, 2.5 qian), Da Huang (Rhei Radix et Rhizoma, 1 qian), Tian Zhu Huang (Bambusae Tabulae, 1 qian), Lei Wan (Wanariae Ovum, 2.5 qian: soak in Licorice water for half a day, peel, stir-fry), Hu Huang Lian (Coptidis Teetae Rhizoma, 2 qian), Wu Gong (Scolopendra, 2 segments: large ones 1 qian, red legs preferred, roast on tile, remove head and feet, bury in ground to remove fire toxicity), Gan Qi (Resina Toxicodendri, 5 qian: slow-fire roast in clay pot, place on ground to remove fire toxicity).
Grind into fine powder, mix evenly with honey water, place in bowl, seal with pig bladder, suspend in pot and boil in hot water for half an incense stick duration. Bury in earth overnight. Take next day. Take 9 li each time, delivered with tea, wine, or rice soup.
Wu Huang Wan (Passed down by Liu Jizhou) Reduces fever miraculously.
Niu Huang (Calculus Bovis, 1 fen), Lu Hui (Aloe, 2 fen), A Wei (Asafoetida, 2 fen), Tian Zhu Huang (Bambusae Tabulae, 1 fen), Xiong Huang (Realgar, 1 qian), Hu Huang Lian (Coptidis Teetae Rhizoma, 2 fen), Wu Gong (Scolopendra, 2 segments, remove head and tail).
Grind into fine powder, melt 5 qian Huang La (Beeswax) in iron spoon, make pills size of mung beans. Take 5-7 pills each time according to child's size, delivered with yellow wine. Or melt Huang La, cook egg, mix with medicine, and chew.
Jiang Jun San (Passed down by Liu Jizhou) [Comment] (Note: This formula is a specialized attacking agent for Pi disease.)
Chuan Da Huang (Rhei Radix et Rhizoma, soaked in wine, steamed, 5 qian), Qiao Mai Mian (Tartary Buckwheat Flour, stir-fried yellow, 3 qian), A Wei (Asafoetida, 1 qian).
Grind into fine powder. Take 3 fen each time, mixed with burning wine.
Food Secret Formula (Passed down by Lu Cheng'an) Most effective for Pi disease, recommend frequent use.
Peng Sha (Borax, 2 qian), Niao Sha (Sal Ammoniac, 2 qian), Da Huang (Rhei Radix et Rhizoma, 1 liang), Mang Xiao (Natrii Sulfas, 1 sheng).
Take 100 walnuts, crack them slightly, put together with medicine, add 20 bowls of water, boil for half an incense stick duration. Remove and let child eat at any time.
Alternative: Take 5 eggs, 5 fen A Wei (Asafoetida), 1 liang Huang La (Beeswax), boil together in pot, divide into 10 doses. Chew finely, deliver with warm water, take on empty stomach. No dietary restrictions. Abdominal pain is acceptable. After 10 days, blood in stool indicates accumulation resolution.
Alternative: 1 qian Niao Sha (Sal Ammoniac), 1 qian Peng Sha (Borax), 5 shelled Mu Bie Zi (Strychni Semen), 1.5 qian Hong Hua (Carthami Flos), 1 Wu Gong (Scolopendra), 5 slices Chuan Shan Jia (Manis Squama), stir-fry with bran until yellow, grind to powder. Mix with 1 jin pork cheek meat, boil until cooked, slice, sprinkle powder. Store meat and powder in porcelain vessel, steam in pot until soft. Eat as desired.
Alternative: 1 liang Ji Xing Zi (Cardiospermi Halicacabum Fructus), 1 liang Chuan Da Huang (Rhei Radix et Rhizoma), 1 liang Shui Hong Hua Zi (Alternantherae Philoxeroidis Fructus), all raw. Grind to fine powder. Take 5 qian each time, mix with 1 liang outer bark Mang Xiao (Natrii Sulfas). Take one white pigeon, remove feathers and feces, scrape intestines without water, wipe clean with cloth. Stuff powder inside, sew with thread. Place in pot with 3 bowls of water, seal with paper. Simmer gently until water dries. Roast pigeon until yellow. Eat in morning, delivered with yellow wine. Fever stops immediately. Cure after 3 days with blood in stool. Avoid cold foods for 100 days. (Passed down by Zhang Keting)
Alternative: One young pigeon, cleaned. 4 fen Niao Sha (Sal Ammoniac), 5 fen Peng Sha (Borax), grind to powder. Rub thoroughly over pigeon wrinkles. Place in bowl in pot, cover with clay basin, seal with 0.5 jin Mang Xiao (Natrii Sulfas). Steam with fire. Eat as desired.
Alternative: 1 qian Chen Sha (Cinnabar), 1 qian Niao Sha (Sal Ammoniac), 1 qian Peng Sha (Borax), 1 qian A Wei (Asafoetida), 2 qian San Leng (Sparganii Rhizoma), 2 qian E Zhu (Curcumae Rhizoma), 1 pair Quan Xie (Scorpio), 5 fen Xue Jie (Dragon's Blood), 3 qian stir-fried Shui Hong Hua Zi (Alternantherae Philoxeroidis Fructus), grind to powder. 0.5 jin Pi Xiao (Natrii Sulfas), clarify with water. Take one pigeon, remove feathers and intestines. Sprinkle 1 qian medicine inside. Add 3 bowls nitre water, steam in jar until cooked. Eat. Cured after 3 doses. (Passed down by Li Tongfeng)
Alternative: 1 liang Wei Ling Xian (Clematidis Radix et Rhizoma), 1 liang Liu Ji Nu (Artemisiae Anomaliae Herba), 1 liang Mang Xiao (Natrii Sulfas), grind to powder. Take one small pigeon, clean as above. Stuff 2 qian powder inside, sew tight. Boil with 1 bowl wine and 1 bowl vinegar until dry. Remove pigeon, discard medicine. Eat 2-3 pigeons to reduce fever, 5-7 to fully dissipate.
Qing Dai Wan (Passed down by Master Guo) Treats pediatric Pi disease with fever attacking gums, swelling and pain of cheeks and jaw, sores, and various heat-phlegm coughs, wind-cold fever, slow eruption of measles/rubella, extreme fever, and yellow eyes.
Qing Dai (Indigo Naturalis, water-ground, 2 qian), Huang Lian (Coptidis Rhizoma stir-fried with pig bile, 2 qian), Shi Gao (Gypsum Fibrosum calcined, 2 qian), Lian Qiao (Forsythiae Fructus, remove pith, 3 qian), Jie Geng (Platycodonis Radix, 1.5 qian), Sheng Ma ( Cimicifugae Rhizoma, 1.5 qian), Huang Qin (Scutellariae Radix, wine-stir-fried, 2 qian), Bo He (Menthae Haplocalycis Herba, 2 qian), Fang Feng (Saposhnikoviae Radix, 2.5 qian), Ban Xia (Pinelliae Rhizoma processed with ginger, 2 qian), Niu Dan Nan Xing (Arisaematis Cum Bile, 2 qian), Bei Mu (Fritillariae Bulbus, 2 qian), Zhi Shi (Immaturae Fortunellae Fructus stir-fried with bran, 1.5 qian), E Zhu (Curcumae Rhizoma vinegar-stir-fried, 1.5 qian), Mu Xiang (Aucklandiae Radix, 2 qian), Bing Lang (Arecae Semen, 2 qian), Xiang Fu (Cyperi Rhizoma soaked in child's urine, 3 qian), Shan Zha Rou (Crataegi Fructus, 2 qian), Sha Ren (Amomi Fructus Rotundus, 1.5 qian), Ren Shen (Ginseng Radix et Rhizoma, degermed, 1.5 qian), Bai Zhu (Atractylodis Macrocephalae Rhizoma stir-fried with bran, 3 qian), Fu Ling (Poria, peeled, 3 qian), Gan Cao (Glycyrrhizae Radix et Rhizoma, honey-roasted, 1 qian), Zi Su (Perillae Folium, 2 qian), Ma Huang (Ephedrae Herba, 2 qian).
Grind into fine powder, make pills with thin paste, size of mung beans. Take 5-7 fen or 1 qian each time according to child's size. For fever, deliver with Bo He (Menthae Haplocalycis Herba) decoction. For cough, deliver with Wu Wei Zi (Schisandrae Chinensis Fructus) and Sang Bai Pi (Mori Cortex) decoction. For headache and fever, deliver with Chuan Xiong (Ligustici Chuanxiong Rhizoma) decoction. For measles/rubella, deliver with wine. For wind-cold fever, deliver with Ma Huang (Ephedrae Herba) and Zi Su (Perillae Folium) decoction. Also treats adults with alcohol injury, food stagnation, Qi injury, wind-cold, headache. Take 100 pills each time, delivered with Ginger decoction.
Xiao Du San Treats Pi toxin attacking head and face, swelling and pain of cheeks and jaw, and all kinds of malignant sores and swellings.
Bai Zhi (Angelicae Dahuricae Radix), Yu Jin (Curcumae Longae Radix), Da Huang (Rhei Radix et Rhizoma), Tian Hua Fen (Trichosanthis Radix), Cao Wu (Aconiti Radix), Nan Xing (Arisaematis Rhizoma), Bei Mu (Fritillariae Bulbus), Mu Bie Zi (Strychni Semen), Bai Ji (Bletillae Rhizoma), Huang Bo (Phellodendri Cortex), Zao Ci (Gleditsiae Spina), Duan Shi (Calcitum), Gan Cao (Glycyrrhizae Radix et Rhizoma), Shi Gao (Gypsum Fibrosum) (Equal parts).
Grind into fine powder, mix with egg white and take. Immediate dissolution. Internally take 1-2 pills of Xi Jiao Hua Du Dan (Rhino Horn Detoxification Pill). Swelling and pain resolve immediately.
Qing Xiang San (Passed down by Zhang Hechuan) Treats pediatric Pi disease, dental gangrene, ulceration with foul odor.
Ru Xiang (Olibanum), Mo Yao (Myrrha), Qing Fen (Calomelas, stir-fried), Hai Er Cha (Camelliae Sinensis Leaf Tea), Xiang Ya (Elephantis Dentis, roasted yellow), Xiang Pi (Elephantis Cutis, burnt to ash), Hong He (Red Brown Ash, burnt to ash), Hai Ba (Sea Barnacle, dried), Zhen Zhu (Margarita, roasted yellow) (Equal parts).
Grind into fine powder, apply to affected area. Pain stops instantly, flesh regenerates miraculously.
Xin Jia Lv Pao San (Passed down by Jia Lanfeng) Treats pediatric Gan-Pi, foul-smelling rotting gums, tooth loss, skin and flesh destruction.
Hong Zao (Jujubae Fructus, 5 pieces, pitted, insert 1 fen Ren Yan [Human Urine Salt] into each, calcined), Huang Bo (Phellodendri Cortex, 5 fen), Qing Dai (Indigo Naturalis, 3 fen), Chuan Shan Jia (Manis Squama, 5 fen, calcined).
Grind into extremely fine powder, mix evenly, apply to affected area. Immediate effect.
Treating Pi disease, oral gan sores, foul-smelling rotting teeth. (Passed down by Zhou Fenggan)
Hong Zao (Jujubae Fructus, pitted, insert a piece of Bai Bi [White Arsenic] into each, burn until paper-colored carbon, calcined).
Use bamboo skewer to pick medicine and apply to affected area. Lower head, open mouth, rinse with flowing water dozens of times. Effective on the same day.
Treating Pi disease heat toxin attacking cheeks and jaw, ulcerated through, size of a cup mouth.
Xiang Ya (Elephantis Dentis, 1 qian), Hu Po (Electrum, 1 qian), Zhen Zhu (Margarita, 1 qian), Hai Ba (Sea Barnacle, 1 qian), Ren Zhong Bai (Urinae Calcina, scrape 1 qian).
Grind into fine powder, sprinkle into ulcerated cheeks/jaw. When healing begins, cut around with sharp knife until bleeding. Cut off tip of large rooster comb, split open to match lesion size. Apply hot to lesion. Surround with Sheng Ji San (Flesh-Generating Powder, see Carbuncle/Furuncle section). Patient lies on side, lesion up. Avoid water for half a day. Eat full meal before treatment. Next day resume eating. Comb must be cut flat and thin edges for proper adhesion.
Treating Pi Qi attacking teeth and cheeks causing rot. (Passed down by Liu Songgao)
Tao Hua Xin (Peach Blossom Crystal/Mica, 1 piece: red-hot in mulberry wood fire, quench in strong tea brine, repeat 7 times, discard crystal), Xiong Huang (Realgar, 1 piece, grind to powder, mix in tea brine).
Use chicken feather to sweep affected area frequently. Stops pain, generates flesh, immediate effect.
Xuan Wu Gao (Passed down by Fang Wai Ren) Treats Pi disease, reduces fever.
Da Huang (Rhei Radix et Rhizoma, 1 liang), Zhi Zi (Gardeniae Fructus, 1 liang), Niao Sha (Sal Ammoniac, 1 qian), Mu Bie Zi (Strychni Semen, 1 liang), Peng Sha (Borax, 1 qian), Xiong Huang (Realgar, 1 qian, grind these six together), Pi Xiao (Natrii Sulfas, a pinch), You Tao He (Oil Walnut, 2), Da Suan (Allii Sativi Bulbus, peeled, 5 slices), Bai Hua Cai (Brassicae Pekinensis var. Albescens, dried, 4 qian), Hei Gou Nao Zi (Canis Cerebrum, 1).
Mix first six powders into latter ingredients with 1 cup good liquor, pound into cake. Apply one cake to Pi mass. Iron with hot water bottle. Replace with hot bottle when cool. Bind with cloth, leave for 2-3 days, remove medicine. Rest 1-2 days, apply new cake. Follow previous instructions. Avoid cold, raw, greasy, and stimulating foods.
Hong Hua Gao (Passed down from Capital)