论曰症之为病，虽有形证，推之不动，癖之为病，僻在胁肋，按之水鸣，此皆饮食留滞
所致也，不即治、日渐增长，盘结牢固，邪气日盛，令人正气衰微。累岁不已，甚则身瘦腹
大，名曰久积症癖。
治久积症癖，冷热不调，痰逆痞闷，心腹刺痛，喘满膨胀，泄利羸困，不思饮食。消积
丸方
代赭（ 醋淬三七遍研） 礞石（研各一两） 桂（去粗皮） 白茯苓（去黑皮） 青
橘皮（汤浸去白焙） 巴豆（去皮心膜压出油各半两） 京三棱（煨锉） 楝实肉（各一分）
砂（研三分）
上九味，捣研为末拌匀，酒煮面糊和丸，如梧桐子大，每服二丸至三丸，木香汤下。看
虚实加减。
治久积伏滞成块，妇人血癖血块，及产后败血不行，儿枕刺痛，小儿奶癖。常服利胸膈，
除伤滞，比金丸方
没药（研一钱） 五灵脂（研半两） 砂（研） 乳香（研各一钱半） 巴豆（一百
粒去皮心膜不出油烂
上七味，同研为细末，用大枣十枚去核，刮巴豆膏入在枣内。线缠了，慢火炙熟。去线
捣烂，与前项药末合匀，和捣成剂，丸如绿豆大，大人脏腑实者五丸，虚者三丸，小儿芥子
大，一岁三丸，五七岁以上七丸，十岁以上十丸，取积用烧皂子，浓煎汤放冷下，利胸膈用
枣一枚，烂嚼裹药干咽，不得嚼药，并临卧服，急患不拘时。
治久积癖气，心胸不和，呕吐痰逆，胁肋胀满疼痛，如神丸方
乌头（去皮脐） 干漆 干姜 桂（去粗皮各一两以上三味同为末） 砂（别研半两）
巴豆（半两
上六味合研令匀，取炊枣肉和成块，用湿纸浓裹，盐泥固济。浓一指许阴三日曝干，于
地坑子内，以火三斤簇烧，候火销半取出，看硬软捣细为丸，如小豆大，每服三丸至五丸，
木瓜汤下，不拘时。
治久积冷气，攻心腹疼痛，痰癖呕逆，腹胀不思饮食，肌肤瘦瘁，腰膝倦痛，下痢泄泻，
疟疾肠风，并妇人血海久冷无子，陈橘皮煎丸方
陈橘皮（汤浸去白焙十五两别捣罗为末） 巴戟天（去心） 石斛（去根） 牛膝（酒
浸切焙） 肉苁蓉（酒浸切焙） 鹿茸（去毛酒炙） 菟丝子（酒浸三日别捣焙） 杜仲（去
粗皮炙锉） 阳起石（酒浸研如粉） 浓朴（去粗皮生姜汁炙） 附子（炮裂去皮脐） 吴
茱萸（汤洗焙干炒） 当归（切焙） 干姜（炮） 京三棱（煨锉） 萆 （各三两） 甘
草（炙锉一两）
上一十七味，捣罗为末，先以好酒五碗。于银石器内，煎橘皮末令如饧。入诸药搅匀，
再捣三五百杵，稍干更入酒少许和丸，如小豆大，每服二十丸，至三十丸，空心温酒下，盐
汤亦得。
治脏腑久积，气块冷痞，不思饮食，沉香三棱煎丸方
沉香（锉） 人参（各一两） 京三棱（三两捣末用陈粟米醋五升 砂三分细研同入在
醋内搅化以
上四味，捣罗三味为末，入三棱 砂煎内。和匀成剂，如有余煎，更于火上慢熬同捣，
约千杵，丸如梧桐子大，每服三十丸，食前米饮下，妇人醋汤下、日再。
治久积症块。心腹胀满，胸膈不利，痰实胃胀， 砂丸方
砂（好者二钱研） 野狼毒（锉醋炒干） 芫花（醋浸一宿炒干） 干漆（炒烟出） 鳖
甲（去裙 醋炙各一两） 硫黄（好者一分研如粉） 巴豆（二七枚去皮心膜以好醋一升煮
令紫色）
上七味，捣研为末、和匀。煮面糊丸如豌豆大，每服三丸，食后临卧温生姜汤下。
治多年积气症癖。三棱丸方
京三棱（煨锉） 鸡爪三棱（煨锉） 陈橘皮（汤浸去白焙） 青橘皮（汤浸去白焙） 巴
豆（去皮心膜出油） 石三棱（煨锉各五两） 槟榔（十枚半生用半炮锉） 肉豆蔻（十枚
去壳醋浸二宿） 丁香 益智去（
上一十二味，捣研为末，醋煮面糊和丸，如梧桐子大，每服三丸，如当心气块，茱萸汤
下，左右气块，木香汤下，本脏气块， 香子汤下。
治久积食癖，心腹时发疼痛，胸膈不快，痰逆恶心，脏腑不调，不思饮食，或下利脓血，
里急后重，散恶气。逐结滞。丁香丸方
丁香 木香 桂（去粗皮） 阿魏（面裹煨去面研） 麝香（研） 硫黄（研） 水银
（二味于盏内结成沙子） 砂（研飞过） 粉霜（研） 胡粉（研各一分） 巴豆（去皮
心膜研取霜四钱）
上一十一味，捣罗三味为末，与八味合研匀细，用安息香半两 酒化滤过，入蜜少许，
重汤同熬、和剂。旋丸如梧桐子大，每服三丸至五丸，临卧煎生姜枣汤下。更看虚实加减，
取下积聚恶物为效。
治男子妇人远年积气，消磨症块，取虚中积癖。礞石丸方
礞石（半两青色者生用捣罗为细末） 砂（醋浸澄去砂石） 丁香 桂（去粗皮） 干
姜（炮各二两） 木香 京三棱（煨锉） 莪术（煨锉） 芫花（醋浸一宿炒焦） 猪牙皂
荚（去皮炙黑） 槟榔（煨锉为末） 肉豆蔻仁（各一两） 白豆蔻仁 青橘皮（汤浸去白
焙） 墨（烧八分熟各半两） 巴豆（一两半去皮心膜出油尽） 大黄（一两半半两生用半
两煨熟半两炒焦） 胡椒 粉霜（细研各半分）
上一十九味，各捣研为末，用醋三升浸 砂于银石器中，文武火熬二十沸。次入巴豆，
又熬五七沸，次入礞石京三棱末，又熬三五沸，次取白面二两。以无灰酒半升，调入药中，
又熬一两沸，次入大黄末。又熬三两沸，次下诸药末，不住用柳木杖子，搅匀候稠，捣千杵，
丸如绿豆大，每服三丸，不问男女长幼，心痛醋汤下，左胁下疼，煎姜枣汤下，右胁下疼，
煎木香汤下，妇人血癖血气，炒生姜醋汤下，久患冷痢，煎黄连汤下，小儿常服，冷水下，
有妊者不得服，小儿以意减丸数。
治久虚积症癖。水银丸方
水银 豉（研） 礞石末（滴酒和匀瓷合内慢火逼干各半两） 京三棱（末） 石三棱
末鸡爪三棱末 腻粉 粉霜 白丁香末 砂（研各三钱） 肉豆蔻（去壳） 槟榔（各
二枚为末） 丹参（三钱研）
上一十三味，合研匀细，用枣肉和丸，如绿豆大，每服五丸，温水下，又一方、治丈夫
病，入 香补骨脂各一分，治妇人病患血竭没药各一分。
治远年症块积聚，木香丸方
木香 砂（研） 当归（切炒各一两） 礞石（研三分） 大黄（煨锉） 陈曲（不
者炒） 麦 （炒） 墨（研） 白面（各半两） 大戟（炒） 干漆（炒烟出） 腻粉
（各一分） 豉（少许） 巴豆仁（一两一分不出油研）
上一十四味，捣研为末，以腊月雪水。同捣三二百杵。丸如绿豆大，每服一丸，空心用
干柿烂嚼裹药，随所伤物煎汤下，不得吐津。
治男子妇人久积气块症癖，两胁下积冷，胸腹气刺痛，紫金丹方
铁滓（一斤淘净控干） 砂（二两） 硫黄（半斤水飞过）
上三味。先取铁滓硫黄二味，于瓷器内，用米醋一斗，慢火煎。候煎硫黄火上无焰，即
爆干，刮此二味入瓷合内，固济了，用大火 三度毕，取合内药，再用水飞，不用铁滓，控
硫黄令干，入细瓷合内，坐在平地，别用火一秤， 至火尽。取出入 砂二两，同研令细，
再入合内，用火一斤，就灰池中养三日放冷，取二两再入下项药。
砂（半两） 木香（末） 丁香（末） 腻粉（研） 丹砂（研） 肉豆蔻（去壳末）
干漆（炒烟尽研） 胡椒（末） 阿魏（用醋化面和作饼子烧熟为末各一钱） 砒霜（末一
字半）
上一十味研细，再同硫黄研匀，用酒醋各半煎五灵脂，薄面糊和丸，如梧桐子大。每服
从五丸，渐加至二十丸，以意加减服，若取积滞症癖。及酒食积急气冷气，一切滞气等疾，
更入后药。
巴豆仁（研一两） 大戟末（半两） 芫花末（半两） 草乌头末（一分） 五灵脂末
（一两） 腻粉（二钱）
上七味，以米酽醋二升已来铫子内熬成膏。便与前药末，搜为剂，丸如梧桐子大。量虚
实加减服，逐一丸加，用醋汤或茶清下。
治久积症癖，气攻左胁，如复杯，及妇人血瘕。蓬莪术丸方
蓬莪术（炒一两） 桂（去粗皮三分） 芍药 槟榔（锉） 枳壳（去瓤麸炒） 当归
（切焙） 木香 昆布（
上一十味，捣罗为末，炼蜜和丸，如梧桐子大，每服二十丸，煨姜木瓜汤下。
治五毒五积五劳，并一切气疾症癖块。及远年积，丁香丸方
丁香（半两） 附子（炮裂去皮脐） 乌头（炮裂去皮脐） 槟榔（锉） 芫花（醋炒）
大戟（炒） 甘遂（炒） 紫菀（去土各一分） 腻粉（研一分半） 砂（醋飞过焙干研
一两）
上一十味，先将八味，捣罗为细末，入研药和匀，面糊丸梧桐子大，每服七丸至十丸，
醋汤下。
治久积症癖不散，心下结痛，状如伏梁。三棱汤方
京三棱（炒） 鳖甲（醋炙去裙 ） 大腹（锉炒各一两） 桂（去粗皮） 芍药 陈
橘皮（去白焙） 当归（切焙枳壳去瓤麸炒） 高良姜（各三分） 木香 诃黎勒（煨去核
各半两）
上一十一味细锉，每服五钱匕，水一盏半，煎取八分，去滓温服。
治久癖块聚，心腹胀满，人参丸方
人参 玄参 沙参 丹参 防风（去叉） 苦参 附子（炮裂去皮脐各一两） 巴豆（去
皮心煮研出油三十枚） 蜀椒（去目并闭口炒出汗一合） 干姜（炮半两） 虫（三十枚
熬） 葶苈（微炒研一合）
上一十二味，捣研为末，炼蜜和丸，如梧桐子大，每食后米饮下一丸，未利再服。
治久癖结硬，两胁脐下坚如石，按下痛剧，食饮不下。鳖甲丸方
鳖甲（去裙 醋炙二两） 牛膝（酒浸切焙） 芎 防葵 当归（切焙） 干姜（炮）
桂（去粗皮） 附子（炮裂去皮脐） 甘草（炙各一两） 巴豆（二枚去皮心膜研） 大黄
（锉炒一两半）
上一十一味，捣罗为末，炼蜜和丸，梧桐子大，每服空心温酒下三丸，加至五丸，日二
服，以利为度。
治久积症瘕。鳖甲丸方
鳖甲（大者一枚净洗去筋膜里裹外面二三分浓上面用纸泥固济一风炉子安鳖甲在上面别
入桃仁半斤去尖皮双仁研以米醋四升无灰酒三升 砂三两同搅拌旋入向鳖甲中煎为膏取出用
合盛却将鳖甲去纸泥炙令黄色） 青橘皮（去白焙） 麦 （炒） 沉香（锉） 肉豆蔻（去
壳各三两） 丁香 木香 槟榔（一半生一半炒） 陈曲（炒） 京三棱（煨锉） 大黄黄
连（去须）
上五味。捣罗四味为末，与巴豆同研令匀，煮面糊和丸，如梧桐子大，每服一丸。空心
盐汤下，加至两丸，茶清下亦得，如有积滞，生姜橘皮汤下，要转冷茶下五丸，热茶投之。
治食症气聚不消，万金丸方
槟榔（锉） 肉豆蔻（去壳） 青橘皮（汤浸去白焙） 干姜（炮） 木香（各一两） 巴
豆（去皮心膜五十粒
上六味，捣罗五味为末，入巴豆同研令匀。研盐浸豉和丸，如梧桐子大，每服一二丸，
煎生姜橘皮汤下，良久以粥饮投之，以利为度。
治食症瘕癖聚，一切血结刺痛疾，黑金丸方
沉香（锉） 附子（炮裂去皮脐半两） 木香 青橘皮（汤浸去白焙） 干姜（炮） 细
墨（烧红醋研） 京三
漆（炒烟出 麝香（研各半分） 砂（研水飞
上一十三味，各捣研为末，将京三棱蓬莪术大黄 砂四味，用米醋煮烂，研作糊，入众
药末和丸，如梧桐子大，每服十丸至十五丸，姜汤下不拘时。
治食症积气成块，胸膈痞闷，腹胁胀满，宿食不消，心腹疼痛，不能饮食，化积丸方
砂（无石者研） 芫花（炒） 巴豆（去皮心膜研如膏出油尽各半两） 干漆（炒烟
出一两） 乌头（炮裂去皮脐） 猪牙皂荚（去尖炙各三分以上除 砂巴豆外捣罗为末拌和
令匀用米醋三升于银石器内慢火熬成膏） 大黄（一两蒸熟焙干） 鳖甲（去裙 醋炙） 青
橘皮（汤浸去白焙） 京三棱（煨锉） 当归（切焙） 陈曲（炒各一两） 木香 桂（去
粗皮各三分）
上一十四味，捣罗八味，用前膏和丸，如绿豆大，每服二丸至三丸，茶酒任下，如取积，
量虚实加减。
治食症结块，疼痛发歇，化气消酒食 砂丸方
砂（细研） 干漆（炒烟出各一分） 木香 丁香 蓬莪术（煨锉） 京三棱（煨锉）
青橘皮（汤浸去白焙） 芫花（炒各半两） 肉豆蔻（五枚大者去壳） 巴豆（一分半去皮
心膜压出油）
上一十味，将米醋一碗，浸蓬莪术芫花三棱一宿后焙干，与五味同捣罗为末。入 砂巴
豆拌匀，醋煮面糊和丸，如大麻子大，每服三二丸，如要取转，看虚实加减，生姜汤下，妇
人血气，醋汤下，小儿疳气甘草汤下，男子膈气龙脑汤下，泻痢干姜汤下。
治食症气块 癖等疾。八灵丸方
京三棱（煨锉） 石三棱（煨锉） 鸡爪三棱（煨锉） 木香 槟榔（锉各一两） 肉
豆蔻（去壳半两）
上八味。捣罗六味为末，入巴豆霜 砂末拌匀。醋煮面糊。和丸如小豆大，每服五七丸。
丈夫生姜汤下，妇人醋汤下， 癖气，煎木香汤下。
Discussion states: The disease of "Zheng" (mass), although having a fixed shape and location, cannot be moved by pushing; the disease of "Pi" (lump), is located obliquely in the hypochondrium, and water sounds can be heard upon pressing. These diseases are all caused by the retention and stagnation of food and drink. If not treated immediately, they will gradually increase, knotting firmly, with pathogenic qi becoming stronger day by day, causing the body's righteous qi to weaken. Continuing for years without cessation, it may even lead to emaciation of the body and distension of the abdomen, named "Chronic Accumulation Zheng Pi" (Long-standing accumulation masses and lumps).
To treat Chronic Accumulation Zheng Pi, as well as symptoms caused by imbalance of cold and heat such as phlegm reversal, chest fullness, stabbing pain in the heart and abdomen, wheezing and chest distension, abdominal distension, diarrhea, weakness, and loss of appetite, use the Xiaoji Wan (Eliminate Accumulation Pill) formula.
Ingredients: Dai Zhe Shi (Hematite, calcined in vinegar seven times and ground), Meng Shi (Calamine, ground, each 1 liang), Guizhi (Cinnamon Twig, coarse bark removed), Baifuling (Poria, black skin removed), Qingjupi (Green Tangerine Peel, soaked in water, white pith removed, dried), Badou (Croton Seed, husk, heart, and membrane removed, oil pressed out, each half liang), Jingsanleng (Burreed Tuber, roasted and crushed), Lianshirou (Melia Fruit Flesh, each 1 fen), Sha (Realgar, ground, 3 fen).
The above nine ingredients are crushed, ground into fine powder, and mixed evenly. They are combined with a paste made from boiling flour in wine to form pills the size of Sophora seeds. Each dose consists of 2 to 3 pills, taken with Muxiang Tang (Aucklandia Decoction). Dosage should be adjusted according to deficiency or excess.
To treat chronic accumulation stagnation forming masses, women's blood Pi and blood clots, as well as postpartum failure of lochia discharge causing "child pillow" stabbing pain, and children's milk Pi, use Bijin Wan (Golden Comparison Pill) formula. Regular use benefits the chest and diaphragm, removes food stagnation.
Ingredients: Moyao (Myrrh, ground, 1 qian), Wulingzhi (Trogopterus Feces, ground, half liang), Sha (Realgar, ground), Xuxiang (Frankincense, ground, each 1.5 qian), Badou (Croton Seed, 100 grains, husk, heart, and membrane removed, cooked until soft without releasing oil).
The above seven ingredients are ground together into a fine powder. Take ten red dates, remove the pits, and insert the Croton paste into the dates. Tie them with thread and roast slowly over low fire until cooked. Remove the thread, crush them, and mix evenly with the previous powder. Knead into a mass and form pills the size of mung beans. For adults with solid viscera, take 5 pills; for those with deficiency, take 3 pills. For children, make them the size of mustard seeds: 3 pills for one year old, 7 pills for five to seven years old, and 10 pills for ten years old. To expel accumulated pathogens, take with cold decoction of burnt soap pods; to benefit the chest and diaphragm, chew one date thoroughly, wrap the medicine in it, and swallow dry without chewing the medicine. Take before bed. For acute conditions, time does not matter.
To treat chronic accumulation Pi Qi, disharmony of the chest and heart, vomiting with phlegm reversal, and distending pain in the hypochondrium, use Rushen Wan (Like God Pill) formula.
Ingredients: Wutou (Aconite Root, skin and navel removed), Ganjiang (Dried Ginger), Guizhi (Cinnamon Twig, coarse bark removed, each 1 liang, these three first ground together into powder), Sha (Realgar, separately ground, half liang), Badou (Croton Seed, half liang).
The above six ingredients are mixed and ground evenly. Take the flesh of steamed dates to bind into a mass, wrap thickly in wet paper, and seal with salt mud. Dry in shade for three days, then sun-dry. Burn in a pit in the ground with three jin of fire. When the fire burns down by half, remove and check hardness/softness, then grind finely to form pills the size of small beans. Take 3 to 5 pills each time with Mugua Tang (Chaenomeles Decoction), at any time.
To treat chronic accumulation of cold qi attacking the heart and abdomen causing pain, phlegm Pi with vomiting and reversal, abdominal distension with loss of appetite, emaciated skin and muscles, soreness and pain in waist and knees, dysentery and diarrhea, malaria, intestinal wind, and women's long-standing cold in the Blood Sea leading to infertility, use Chenjupi Jian Wan (Aged Tangerine Peel Decoction Pill) formula.
Ingredients: Chenjupi (Aged Tangerine Peel, soaked in water, white pith removed, dried, 15 liang, separately ground into powder), Bajitian (Morinda Root, heart removed), Shihu (Dendrobium Stem, roots removed), Niuxi (Achyranthes Root, soaked in wine, cut and dried), Rongshong (Cistanche Stem, soaked in wine, cut and dried), Lurong (Deer Antler, hair removed, roasted in wine), Tusizi (Dodder Seed, soaked in wine for three days, separately ground and dried), Duzhong (Eucommia Bark, coarse bark removed, roasted and crushed), Yangqishi (Actinolite, soaked in wine and ground to powder), Houpo (Magnolia Bark, coarse bark removed, roasted with ginger juice), Fuzi (Prepared Aconite Child, cracked, skin and navel removed), Wuzhuyu (Evodia Fruit, washed in water, dried and stir-fried), Danggui (Angelica Sinensis, cut and dried), Ganjiang (Dried Ginger, prepared), Jingsanleng (Burreed Tuber, roasted and crushed), Bixie (Dioscorea Hypoglauca Rhizome, each 3 liang), Gancao (Licorice Root, roasted and crushed, 1 liang).
The above seventeen ingredients are ground into powder. First, take five bowls of good wine and decoct the Tangerine Peel powder in a silver or ceramic vessel until it resembles maltose. Add the other medicines, stir evenly, and pound 300-500 times. If slightly dry, add a little more wine and form pills the size of small beans. Take 20 to 30 pills each time with warm wine on an empty stomach; salt water is also acceptable.
To treat chronic accumulation in the viscera, cold Qi masses and痞 (fullness), and loss of appetite, use Chenxiang Sanleng Jian Wan (Agarwood and Burreed Decoction Pill) formula.
Ingredients: Chenxiang (Aquilaria Wood, crushed), Renshen (Ginseng Root, each 1 liang), Jingsanleng (Burreed Tuber, 3 liang, ground into powder, use five sheng of aged millet vinegar), Sha (Realgar, 3 fen, finely ground and added to vinegar to dissolve).
The above four ingredients: Grind three ingredients into powder, add Sanleng and Sha to the vinegar decoction. Mix evenly to form a mass. If there is remaining liquid, boil slowly on fire while pounding, about 1,000 times. Form pills the size of Sophora seeds. Take 30 pills each time before meals with rice drink. Women take with vinegar water, twice a day.
To treat chronic accumulation Zheng masses, abdominal distension and fullness, chest diaphragm discomfort, phlegm-solidity and stomach distension, use Sha Wan (Realgar Pill) formula.
Ingredients: Sha (Realgar, high quality, 2 qian, ground), Yelangdu (Stemona Root, crushed, stir-fried with vinegar until dry), Yuanhua (Genkwa Flower, soaked in vinegar overnight, stir-fried until dry), Ganqi (Dried Lacquer, stir-fried until smoke appears), Biejia (Softshell Turtle Shell, skirt removed, vinegar-roasted, each 1 liang), Liuhuang (Sulfur, high quality, 1 fen, ground to powder), Badou (Croton Seed, 14 grains, husk, heart, and membrane removed, boiled in one sheng of good vinegar until purple).
The above seven ingredients are crushed and ground into powder, mixed evenly. Boil flour paste to form pills the size of peas. Take 3 pills each time after meals and before bed with warm Ginger Water.
To treat long-standing accumulation of Qi and Zheng Pi, use Sanleng Wan (Burreed Pill) formula.
Ingredients: Jingsanleng (Burreed Tuber, roasted and crushed), Jizhao Sanleng (Chicken-claw Burreed Tuber, roasted and crushed), Chenjupi (Aged Tangerine Peel, soaked in water, white pith removed, dried), Qingjupi (Green Tangerine Peel, soaked in water, white pith removed, dried), Badou (Croton Seed, husk, heart, and membrane removed, oil pressed out), Shisanleng (Stone Burreed Tuber, roasted and crushed, each 5 liang), Binglang (Areca Seed, 10.5 grains, half raw, half roasted and crushed), RouDoukou (Nutmeg, 10 grains, shell removed, soaked in vinegar for two nights), Dingxiang (Clove), Yizhiren (Alpinia Oxyphylla Fruit, shell removed).
The above twelve ingredients are crushed and ground into powder. Use vinegar-boiled flour paste to form pills the size of Sophora seeds. Take 3 pills each time. For Qi masses in the center of the chest, take with Wuzhuyu Tang (Evodia Decoction); for left/right Qi masses, take with Muxiang Tang (Aucklandia Decoction); for organ-specific Qi masses, take with Huixiangzi Tang (Fennel Seed Decoction).
To treat chronic accumulation Food Pi, intermittent heart and abdominal pain, chest discomfort, phlegm reversal and nausea, visceral dysfunction, loss of appetite, or bloody dysentery with tenesmus, to disperse evil Qi and expel stagnation, use Dingxiang Wan (Clove Pill) formula.
Ingredients: Dingxiang (Clove), Muxiang (Aucklandia Root), Guizhi (Cinnamon Twig, coarse bark removed), Awei (Asafoetida, wrapped in dough, roasted, dough removed, ground), Shexiang (Musk, ground), Liuhuang (Sulfur, ground), Shuiyin (Mercury, these two formed sand-like grains in a cup), Sha (Realgar, ground and passed through water), Fen Shuang (White Lead Powder, ground), Fen Ru (Lead White, ground, each 1 fen), Badou (Croton Seed, husk, heart, and membrane removed, ground to take the霜/residue, 4 qian).
The above eleven ingredients: Grind three ingredients into powder, mix evenly with the other eight. Dissolve Ban Zhi Xiang (Benzoin Resin, half liang) in wine, filter, add a little honey, and boil together in a double boiler to form a mass. Form pills the size of Sophora seeds as needed. Take 3 to 5 pills each time before bed with Ginger and Jujube Decoction. Adjust dosage based on deficiency/excess. The goal is to expel accumulated evil substances.
To treat long-standing accumulation of Qi in men and women, dissipating Zheng masses, taking from deficiency-type accumulation Pi, use Mengshi Wan (Calamine Pill) formula.
Ingredients: Mengshi (Calamine, half liang, green color, used raw, ground to fine powder), Sha (Realgar, soaked in vinegar, settled to remove sand), Dingxiang (Clove), Guizhi (Cinnamon Twig, coarse bark removed), Ganjiang (Dried Ginger, prepared, each 2 liang), Muxiang (Aucklandia Root), Jingsanleng (Burreed Tuber, roasted and crushed), Ezhu (Curcuma Rhizome, roasted and crushed), Yuanhua (Genkwa Flower, soaked in vinegar overnight, stir-fried until scorched), Zhuya Zaojia (Zanthoxylum Fruit Pod, skin removed, roasted black), Binglang (Areca Seed, roasted, crushed to powder), Roudoukou Ren (Nutmeg Kernel, each 1 liang), Baidoukou Ren (Cardamom Kernel), Qingjupi (Green Tangerine Peel, soaked in water, white pith removed, dried), Mo (Inkstick, burned to 80% maturity, each half liang), Badou (Croton Seed, 1.5 liang, husk, heart, and membrane removed, oil completely pressed out), Dahuang (Rhubarb Root, 1.5 liang, half raw, half roasted, half stir-fried until scorched), Hujiao (Pepper), Fen Shuang (White Lead Powder, finely ground, each half fen).
The above nineteen ingredients are each crushed and ground into powder. Soak Sha (Realgar) in three sheng of vinegar in a silver/ceramic vessel, boil with medium-low fire for twenty boils. Then add Badou (Croton Seed), boil for five to seven boils. Then add Mengshi and Jingsanleng powders, boil for three to five boils. Then take two liang of white flour, mix with half sheng of unadulterated wine into the medicine, boil for one to two boils. Then add Dahuang powder, boil for two to three boils. Then add all other powders, stirring constantly with a willow stick until thick. Pound 1,000 times and form pills the size of mung beans. Take 3 pills each time, regardless of gender or age. For heart pain, take with vinegar water; for left hypochondriac pain, take with Ginger-Jujube Decoction; for right hypochondriac pain, take with Aucklandia Decoction; for women's blood Pi and Qi disorders, take with Stir-fried Ginger Vinegar Decoction; for chronic cold dysentery, take with Coptis Decoction; for children's regular use, take with cold water. Pregnant women must not take. Reduce dosage for children as appropriate.
To treat chronic deficiency-type accumulation Zheng Pi, use Shuiyin Wan (Mercury Pill) formula.
Ingredients: Shuiyin (Mercury), Chi (Fermented Soybean, ground), Mengshi Mo (Calamine Powder, mixed with drops of wine, dried in a porcelain box over low fire, each half liang), Jingsanleng Mo (Burreed Powder), Shisanleng Mo (Stone Burreed Powder), Jizhao Sanleng Mo (Chicken-claw Burreed Powder), Nifen (Calomel), Fen Shuang (White Lead Powder), Baidingxiang Mo (White Clove Powder), Sha (Realgar, ground, each 3 qian), Roudoukou (Nutmeg, shell removed), Binglang (Areca Seed, each 2 grains, ground), Danshen (Salvia Root, 3 qian, ground).
The above thirteen ingredients are mixed and ground finely. Combine with date flesh to form pills the size of mung beans. Take 5 pills each time with warm water. Another prescription: for men's diseases, add Chenxiang (Aquilaria Wood) and Buguzhi (Psoralea Fruit) each 1 fen; for women's diseases, add Xuemei (Blood Eagle Bone) and Moyao (Myrrh) each 1 fen.
To treat long-standing Zheng masses and accumulation, use Muxiang Wan (Aucklandia Pill) formula.
Ingredients: Muxiang (Aucklandia Root), Sha (Realgar, ground), Danggui (Angelica Sinensis, cut and stir-fried, each 1 liang), Mengshi (Calamine, ground, 3 fen), Dahuang (Rhubarb Root, roasted and crushed), Chenqu (Aged Yeast, non-moldy, stir-fried), Mairen (Malt, stir-fried), Mo (Inkstick, ground), Baifan (Wheat Flour, each half liang), Daji (Euphorbia Root, stir-fried), Ganqi (Dried Lacquer, stir-fried until smoke appears), Nifen (Calomel, each 1 fen), Chi (Fermented Soybean, a little), Badou Ren (Croton Kernel, 1.1 liang, no oil released, ground).
The above fourteen ingredients are crushed and ground into powder. Use snow water from the twelfth lunar month to pound together 300-200 times. Form pills the size of mung beans. Take 1 pill each time on an empty stomach, wrapped in mashed dried persimmon, taken with decoction of the specific ingested item. Do not spit saliva.
To treat men and women with long-standing accumulation Qi masses and Zheng Pi, cold accumulation in both hypochondria, stabbing pain in chest and abdomen due to Qi, use Zijin Dan (Purple Gold Pellet) formula.
Ingredients: Tiezi (Iron Slag, one jin, washed clean and drained), Sha (Realgar, 2 liang), Liuhuang (Sulfur, half jin, water-washed).
The above three ingredients: First, take Tiezi and Liuhuang, place in a porcelain vessel, add one dou of rice vinegar, and simmer slowly. When the sulfur shows no flame on the fire, it becomes dry and pops. Scrape these two into a porcelain box, seal tightly, and roast intensely over high fire three times. Take the medicine from the box, wash again with water (without using Tiezi), drain Liuhuang until dry, put into a fine porcelain box, place on level ground, and burn with another weight of fire until exhausted. Take out, add 2 liang of Sha, grind finely together, put back in the box, burn with one jin of fire, and let cool in the ash pool for three days. Take 2 liang and add the following ingredients:
Sha (Realgar, half liang), Muxiang (Aucklandia Root, powder), Dingxiang (Clove, powder), Nifen (Calomel, ground), Dansha (Cinnabar, ground), Roudoukou (Nutmeg, shell removed, powder), Ganqi (Dried Lacquer, stir-fried until smoke ceases, ground), Hujiao (Pepper, powder), Aw ei (Asafoetida, dissolved in vinegar, mixed with flour to make cakes, roasted, ground, each 1 qian), Pishuang (Arsenic Trioxide, powder, half zi).
The above ten ingredients are ground finely, then mixed evenly with Sulfur. Decoct Wulingzhi (Trogopterus Feces) in half wine and half vinegar, mix with thin flour paste to form pills the size of Sophora seeds. Start with 5 pills, gradually increasing to 20 pills, adjusting as needed. To expel accumulation, Zheng Pi, acute Qi stagnation from alcohol/food, cold Qi, and all stagnant Qi diseases, add the following:
Badou Ren (Croton Kernel, ground, 1 liang), Daji Mo (Euphorbia Root Powder, half liang), Yuanhua Mo (Genkwa Flower Powder, half liang), Caowutou Mo (Wild Aconite Root Powder, 1 fen), Wulingzhi Mo (Trogopterus Feces Powder, 1 liang), Nifen (Calomel, 2 qian).
The above seven ingredients are boiled in over two sheng of strong rice vinegar in a pot until forming a paste. Mix with the previous powder to form pills the size of Sophora seeds. Adjust dosage based on deficiency/excess, adding one pill at a time. Take with vinegar water or tea infusion.
To treat chronic accumulation Zheng Pi, Qi attacking the left hypochondrium resembling an inverted cup, and women's blood Xia (masses), use Peng'ezhu Wan (Curcuma Pill) formula.
Ingredients: Peng'ezhu (Curcuma Rhizome, stir-fried, 1 liang), Guizhi (Cinnamon Twig, coarse bark removed, 3 fen), Shaoyao (Peony Root), Binglang (Areca Seed, crushed), Zhike (Bitter Orange, pulp removed, bran-roasted), Danggui (Angelica Sinensis, cut and dried), Muxiang (Aucklandia Root), Kunbu (Kelp).
The above ten ingredients are ground into powder, mixed with refined honey to form pills the size of Sophora seeds. Take 20 pills each time with Roasted Ginger and Chaenomeles Decoction.
To treat Five Poisons, Five Accumulations, Five Exhaustions, all Qi disorders, Zheng Pi masses, and long-standing accumulation, use Dingxiang Wan (Clove Pill) formula.
Ingredients: Dingxiang (Clove, half liang), Fuzi (Prepared Aconite Child, cracked, skin and navel removed), Wutou (Aconite Root, cracked, skin and navel removed), Binglang (Areca Seed, crushed), Yuanhua (Genkwa Flower, vinegar-roasted), Daji (Euphorbia Root, stir-fried), Gansui (Kansui Root, stir-fried), Ziwan (Adenophora Root, soil removed, each 1 fen), Nifen (Calomel, ground, 1.5 fen), Sha (Realgar, vinegar-washed, roasted dry, ground, 1 liang).
The above ten ingredients: First, grind eight ingredients into fine powder, mix with the ground medicines, and form pills with flour paste the size of Sophora seeds. Take 7 to 10 pills each time with vinegar water.
To treat chronic accumulation Zheng Pi that does not dissipate, knotting pain below the heart resembling Fu Liang (a mass like a beam), use Sanleng Tang (Burreed Decoction) formula.
Ingredients: Jingsanleng (Burreed Tuber, stir-fried), Biejia (Softshell Turtle Shell, vinegar-roasted, skirt removed), Dafu (Areca Petiole, crushed and stir-fried, each 1 liang), Guizhi (Cinnamon Twig, coarse bark removed), Shaoyao (Peony Root), Chenjupi (Aged Tangerine Peel, white pith removed, dried), Danggui (Angelica Sinensis, cut and dried), Zhike (Bitter Orange, pulp removed, bran-roasted), Gaoliangjiang (Galangal Root, each 3 fen), Muxiang (Aucklandia Root), Helile (Chebula Fruit, roasted, pitted, each half liang).
The above eleven ingredients are finely crushed. Take 5 qian bi per dose, add one and a half cups of water, decoct to obtain 0.8 cups, strain, and take warm.
To treat chronic Pi masses gathering, abdominal distension and fullness, use Renshen Wan (Ginseng Pill) formula.
Ingredients: Renshen (Ginseng Root), Xuanshen (Scrophularia Root), Shashen (Glehnia Root), Danshen (Salvia Root), Fangfeng (Saposhnikovia Root, fork removed), Kushen (Sophora Root), Fuzi (Prepared Aconite Child, cracked, skin and navel removed, each 1 liang), Badou (Croton Seed, husk, heart removed, boiled, ground, oil pressed out, 30 grains), Shujiao (Sichuan Pepper, eyes and closed mouths removed, stir-fried to release sweat, one he), Ganjiang (Dried Ginger, prepared, half liang), Chong (Ground Beetle, 30 grains, roasted), Tingli (Descurainia Seed, lightly roasted, ground, one he).
The above twelve ingredients are crushed and ground into powder, mixed with refined honey to form pills the size of Sophora seeds. Take one pill after meals with rice drink. If not purged, take again.
To treat chronic Pi hard knots, hardness under both hypochondria and umbilicus like stone, severe pain on pressure, inability to eat or drink, use Biejia Wan (Softshell Turtle Pill) formula.
Ingredients: Biejia (Softshell Turtle Shell, skirt removed, vinegar-roasted, 2 liang), Niuxi (Achyranthes Root, soaked in wine, cut and dried), Xiong (Ligusticum Chuanxiong), Fangkui (Phlogopheris Root), Danggui (Angelica Sinensis, cut and dried), Ganjiang (Dried Ginger, prepared), Guizhi (Cinnamon Twig, coarse bark removed), Fuzi (Prepared Aconite Child, cracked, skin and navel removed), Gancao (Licorice Root, roasted, each 1 liang), Badou (Croton Seed, 2 grains, husk, heart, and membrane removed, ground), Dahuang (Rhubarb Root, crushed and stir-fried, 1.5 liang).
The above eleven ingredients are ground into powder, mixed with refined honey to form pills the size of Sophora seeds. Take 3 pills each time on an empty stomach with warm wine, increasing to 5 pills. Take twice a day, stopping when purged.
To treat chronic accumulation Zheng Xia (masses), use Biejia Wan (Softshell Turtle Pill) formula.
Ingredients: Biejia (One large piece, cleaned of fascia, coated inside and out with thick paper mud, placed in a wind furnace, separately grind half jin of Tao Ren (Peach Kernel) removing tips, skins, and twin kernels, mix with four sheng of rice vinegar, three sheng of unadulterated wine, and three liang of Sha (Realgar), stir and pour into the turtle shell to decoct into a paste, take out and store in a container, then remove paper mud from turtle shell and roast until yellow), Qingjupi (Green Tangerine Peel, white pith removed, dried), Mairen (Malt, stir-fried), Chenxiang (Aquilaria Wood, crushed), Roudoukou (Nutmeg, shell removed, each 3 liang), Dingxiang (Clove), Muxiang (Aucklandia Root), Binglang (Areca Seed, half raw, half roasted), Chenqu (Aged Yeast, stir-fried), Jingsanleng (Burreed Tuber, roasted and crushed), Dahuang (Rhubarb Root), Huanglian (Coptis Rhizome, whiskers removed).
The above five categories of ingredients: Grind four ingredients into powder, mix evenly with Badou (Croton Seed), boil flour paste to form pills the size of Sophora seeds. Take one pill each time on an empty stomach with salt water, increasing to two pills. Tea infusion is also acceptable. If there is stagnation, take with Ginger and Tangerine Peel Decoction; to move cold, take five pills with cold tea, followed by hot tea.
To treat Food Zheng Qi accumulation not digesting, use Wanjin Wan (Ten Thousand Gold Pill) formula.
Ingredients: Binglang (Areca Seed, crushed), Roudoukou (Nutmeg, shell removed), Qingjupi (Green Tangerine Peel, soaked in water, white pith removed, dried), Ganjiang (Dried Ginger, prepared), Muxiang (Aucklandia Root, each 1 liang), Badou (Croton Seed, husk, heart, and membrane removed, 50 grains).
The above six ingredients: Grind five ingredients into powder, mix evenly with Badou. Combine with salt-soaked fermented soybean to form pills the size of Sophora seeds. Take 1-2 pills each time with Ginger and Tangerine Peel Decoction. After some time, follow with porridge drink. Stop when purged.
To treat Food Zheng Xia Pi gathering, all blood-knotting stabbing pains, use Heijin Wan (Black Gold Pill) formula.
Ingredients: Chenxiang (Aquilaria Wood, crushed), Fuzi (Prepared Aconite Child, cracked, skin and navel removed, half liang), Muxiang (Aucklandia Root), Qingjupi (Green Tangerine Peel, soaked in water, white pith removed, dried), Ganjiang (Dried Ginger, prepared), Xi Mo (Fine Inkstick, burned red, ground in vinegar), Jingsanleng (Burreed Tuber), Peng'ezhu (Curcuma Rhizome), Dahuang (Rhubarb Root), Sha (Realgar, water-washed and ground), Ganqi (Dried Lacquer, stir-fried until smoke appears), Shexiang (Musk, ground, each half fen).
The above thirteen ingredients are each crushed and ground into powder. Take Jingsanleng, Peng'ezhu, Dahuang, and Sha, boil in rice vinegar until soft, grind into paste, mix with all other powders to form pills the size of Sophora seeds. Take 10-15 pills each time with Ginger Water, at any time.
To treat Food Zheng Qi accumulation forming masses, chest diaphragm fullness, abdominal and hypochondriac distension, undigested food, heart and abdominal pain, inability to eat, use Huaji Wan (Eliminate Accumulation Pill) formula.
Ingredients: Sha (Realgar, without stones, ground), Yuanhua (Genkwa Flower, stir-fried), Badou (Croton Seed, husk, heart, and membrane removed, ground to paste, oil pressed out, each half liang), Ganqi (Dried Lacquer, stir-fried until smoke appears, 1 liang), Wutou (Aconite Root, cracked, skin and navel removed), Zhuya Zaojia (Zanthoxylum Fruit Pod, tips removed, roasted, each 3 fen, these except Sha and Badou are ground into powder and mixed evenly, decocted in three sheng of rice vinegar in a silver/ceramic vessel over low fire until paste), Dahuang (Rhubarb Root, 1 liang, steamed, dried), Biejia (Softshell Turtle Shell, skirt removed, vinegar-roasted), Qingjupi (Green Tangerine Peel, soaked in water, white pith removed, dried), Jingsanleng (Burreed Tuber, roasted and crushed), Danggui (Angelica Sinensis, cut and dried), Chenqu (Aged Yeast, stir-fried, each 1 liang), Muxiang (Aucklandia Root), Guizhi (Cinnamon Twig, coarse bark removed, each 3 fen).
The above fourteen ingredients: Grind eight ingredients, combine with the previous paste to form pills the size of mung beans. Take 2-3 pills each time, with tea or wine as preferred. To expel accumulation, adjust dosage based on deficiency/excess.
To treat Food Zheng knotting masses, intermittent pain, transforming Qi, eliminating alcohol and food, use Sha Wan (Realgar Pill) formula.
Ingredients: Sha (Realgar, finely ground), Ganqi (Dried Lacquer, stir-fried until smoke appears, each 1 fen), Muxiang (Aucklandia Root), Dingxiang (Clove), Peng'ezhu (Curcuma Rhizome, roasted and crushed), Jingsanleng (Burreed Tuber, roasted and crushed), Qingjupi (Green Tangerine Peel, soaked in water, white pith removed, dried), Yuanhua (Genkwa Flower, stir-fried, each half liang), Roudoukou (Nutmeg, five large grains, shell removed), Badou (Croton Seed, 1.5 fen, husk, heart, and membrane removed, oil pressed out).
The above ten ingredients: Soak Peng'ezhu, Yuanhua, and Sanleng in one bowl of rice vinegar overnight, then dry. Grind with five other ingredients into powder. Mix evenly with Sha and Badou. Boil flour paste with vinegar to form pills the size of hemp seeds. Take 2-3 pills each time. To expel, adjust based on deficiency/excess. Take with Ginger Water; for women's Qi and Blood disorders, take with Vinegar Water; for children's malnutrition Qi, take with Licorice Water; for men's diaphragmatic Qi, take with Dragon Brain Water; for diarrhea/dysentery, take with Dried Ginger Water.
To treat Food Zheng Qi masses and Pi etc., use Baling Wan (Eight Spirits Pill) formula.
Ingredients: Jingsanleng (Burreed Tuber, roasted and crushed), Shisanleng (Stone Burreed Tuber, roasted and crushed), Jizhao Sanleng (Chicken-claw Burreed Tuber, roasted and crushed), Muxiang (Aucklandia Root), Binglang (Areca Seed, crushed, each 1 liang), Roudoukou (Nutmeg, shell removed, half liang).
The above eight ingredients: Grind six ingredients into powder, mix evenly with Badou Frost and Sha powder. Boil flour paste with vinegar to form pills the size of small beans. Take 5-7 pills each time. Men take with Ginger Water, women with Vinegar Water, Pi Qi with Aucklandia Decoction.