论曰阴气积于下，阳气盛于上，升降不时，则成痞结羸瘦。况服乳石者，饮食不节，将
适失度。热气炽于上，阴阳隔而不通，水谷之气不能润养肌体，则肌肉枯燥，胸膈痞塞，肠
胃胀满，久则正气衰微，日益羸瘦。固其宜也，治法当升降痞膈，调适阴阳，如此则痞者通，
石势息也。
治乳石，热盛虚弱，痞结羸瘦，调顺阴阳，去热益气。黄 汤方
黄 （锉） 人参 生干地黄（焙） 甘草（炙锉） 白芍药（各二两） 桂（去粗皮）
黄芩（
去黑心） 赤茯苓（去黑皮各一两） 升麻（三两）
上九味，粗捣筛，每服五钱匕，水一盏半，枣三枚擘破，生姜三片，同煎数沸，次下竹
叶七片，更煎三二沸，去滓取一盏，空心温服，日再。
治乳石发后，虚热羸乏，胸膈痞滞，心腹胀满，或腰痛肾沥。当归汤方
当归（切焙） 甘草（炙锉） 芎 远志（去心） 麦门冬（去心焙） 芍药 赤茯
苓（去黑
皮各二两） 生干地黄（焙四两） 黄芩（去黑心） 桂（去粗皮各一两） 五味子（三两）
上一十一味，粗捣筛，每服五钱匕，先以水五盏，入白羊肾一只，去筋膜切，煎至三盏，
去肾下药，入生姜一枣大拍碎，大枣三枚擘破，更煎至二盏，去滓分温二服，空心食前。
治乳石发，体黄瘦，不能饮食，心腹痞结，起居腰背急痛，嗜卧。半夏汤方
半夏（汤浸七遍焙） 黄芩（去黑心） 土瓜根（各二两） 赤茯苓（去黑皮三两） 桂
（去粗
皮） 枳壳（去瓤麸炒） 白术（各一两）
上七味，粗捣筛，每服五钱匕，水二盏生姜一枣大拍碎，枣二枚擘，煎至八分，去滓温
服，不拘时。
治乳石发动，心膈痞满，喘息微促，腹胁妨闷疼痛。大腹汤方
大腹皮（一两锉） 木香 枳壳（去瓤麸炒） 赤芍药 甘草（炙锉各半两） 前胡（去
芦头） 陈橘皮（汤浸去白焙） 赤茯苓（去黑皮各三分）
上八味，粗捣筛，每服三钱匕，水一盏，生姜一枣大拍碎，煎至七分，去滓温服，不拘
时。
治乳石发动，心膈痞满，腹内妨痛，不思饮食。桔梗汤方
桔梗（锉炒） 枳实（麸炒） 白术（各二两） 栀子仁（一两） 甘草（炙锉半两）
上五味，粗捣筛，每服五钱匕，水一盏半，生姜一枣大拍碎，煎至八分，去滓温服，不
拘时。
Discourse states: When Yin Qi (Yin Energy) accumulates in the lower part and Yang Qi (Yang Energy) is excessive in the upper part, if the ascending and descending functions are not timely, it results in Pi Jie (obstruction and knotting) and Lei Shou (emaciation). Moreover, those who consume Lu Shi (mineral drugs/stones) often fail to regulate their diet and lack proper lifestyle management. Heat Qi (Heat Energy) blazes in the upper body, causing Yin and Yang to be isolated and unable to communicate. The essence of food and water cannot moisten and nourish the tissues, leading to dry and rough muscles, chest and diaphragm obstruction, abdominal distension, and fullness. Over time, Zheng Qi (Upright Qi/Healthy Qi) becomes weak, and emaciation worsens day by day. This is indeed inevitable. The treatment method should focus on regulating the obstruction in the chest and diaphragm, and harmonizing Yin and Yang. In this way, the obstruction will clear, and the pathogenic potential of the mineral drugs will subside.
For treating heat excess and weakness caused by Lu Shi consumption, with Pi Jie and emaciation, aiming to smooth Yin and Yang, clear heat, and benefit Qi. Huang Tang (Yellow Decoction):
Huang [missing character, likely 黄芪 Astragali Radix] (cut), Renshen (Ginseng Radix et Rhizoma), Sheng Gan Di Huang (Rehmanniae Radix Recens, dried), Gan Cao (Licorice Radix et Rhizoma, roasted and cut), Bai Shao Yao (Paeoniae Radix Alba, each two liang), Gui Zhi (Cinnamomi Ramulus, bark removed), Huang Qin (Scutellariae Radix, black heart removed), Chi Fu Ling (Poria with Red Cortex, black skin removed, each one liang), Sheng Ma (Bupleuri Radix, three liang).
The above nine ingredients are coarsely pounded and sieved. For each dose, take five qian bi (coin-sized scoops), add one dan and a half of water, three dates split open, and three slices of fresh ginger. Boil together for several boils, then add seven leaves of Zhu Ye (Bambusae Folium), boil for two or three more boils, remove dregs, obtain one dan of liquid, and take warm on an empty stomach, twice daily.
For treating post-Lu Shi syndrome characterized by deficiency-heat, emaciation and fatigue, chest and diaphragm stagnation, abdominal distension and fullness, or lower back pain and Shen Li (dribbling urine). Dang Gui Tang (Angelica Decoction):
Dang Gui (Angelicae Sinensis Radix, sliced and dried), Gan Cao (Licorice Radix et Rhizoma, roasted and cut), Xiong Qiong (Ligustici Chuanxiong Rhizoma), Yuan Zhi (Polygalae Radix, heart removed), Mai Men Dong (Ophiopogonis Radix, heart removed and dried), Shao Yao (Paeoniae Radix), Chi Fu Ling (Poria with Red Cortex, black skin removed, each two liang), Sheng Gan Di Huang (Rehmanniae Radix Recens, dried, four liang), Huang Qin (Scutellariae Radix, black heart removed), Gui Zhi (Cinnamoli Ramulus, bark removed, each one liang), Wu Wei Zi (Schisandrae Chinensis Fructus, three liang).
The above eleven ingredients are coarsely pounded and sieved. For each dose, take five qian bi, first add five dan of water, insert one white sheep kidney, remove fascia and slice, boil down to three dan, remove kidney and dregs, add one date-sized piece of crushed fresh ginger and three split dates, boil down to two dan, remove dregs, divide into two warm doses, take on an empty stomach or before meals.
For treating Lu Shi syndrome manifesting as yellow complexion and emaciation, inability to eat, heart and abdomen pi jie (knotting), acute pain in waist and back during movement, and lethargy. Ban Xia Tang (Pinellia Decoction):
Ban Xia (Pinelliae Rhizoma, soaked in boiling water seven times then dried), Huang Qin (Scutellariae Radix, black heart removed, each two liang), Tu Gua Gen (Trichosanthis Radix, three liang), Chi Fu Ling (Poria with Red Cortex, black skin removed), Gui Zhi (Cinnamomi Ramulus, bark removed, each one liang), Zhi Ke (Aurantii Fructus, pith removed, bran-fried), Bai Zhu (Atractylodis Macrocephalae Rhizoma, each one liang).
The above seven ingredients are coarsely pounded and sieved. For each dose, take five qian bi, add two dan of water, one date-sized piece of crushed fresh ginger, and two split dates. Boil down to eight-tenths, remove dregs, take warm, at any time.
For treating Lu Shi syndrome manifesting as heart and diaphragm fullness and obstruction, slight and rapid panting, and obstructive pain in abdomen and hypochondrium. Da Fu Tang (Arecae Pericarpium Decoction):
Da Fu Pi (Arecae Pericarpium, cut, one liang), Mu Xiang (Aucklandiae Radix), Zhi Ke (Aurantii Fructus, pith removed, bran-fried, one liang), Chi Shao Yao (Paeoniae Radix Rubra), Gan Cao (Licorice Radix et Rhizoma, roasted and cut, half liang), Qian Hu (Peucedani Radix, radicle removed), Chen Ju Pi (Citri Reticulatae Pericarpium, soaked in water, white pith removed, dried, one liang), Chi Fu Ling (Poria with Red Cortex, black skin removed, each three fen).
The above eight ingredients are coarsely pounded and sieved. For each dose, take three qian bi, add one dan of water, one date-sized piece of crushed fresh ginger. Boil down to seven-tenths, remove dregs, take warm, at any time.
For treating Lu Shi syndrome manifesting as heart and diaphragm fullness and obstruction, internal abdominal obstructive pain, and loss of appetite. Jie Geng Tang (Platycodon Decoction):
Jie Geng (Platycodonis Radix, cut and fried), Zhi Shi (Aurantii Fructus Immaturus, bran-fried, each two liang), Bai Zhu (Atractylodis Macrocephalae Rhizoma, two liang), Zhi Zi Ren (Gardeniae Semen, one liang), Gan Cao (Licorice Radix et Rhizoma, roasted and cut, half liang).
The above five ingredients are coarsely pounded and sieved. For each dose, take five qian bi, add one dan and a half of water, one date-sized piece of crushed fresh ginger. Boil down to eight-tenths, remove dregs, take warm, at any time.