论曰寒癖者、有癖积在胁下，遇寒即痛是也。此由饮冷过度。停积不散，能使气道升降。
胃府和调。则饮食消化。陈寒癖积，亦自去矣。
治寒癖积聚，巴豆丸方
巴豆（三七枚去皮心研纸裹压去油） 杏仁（五十枚汤浸去皮尖双仁炒令熟研如膏） 桔
梗（锉炒）
上五味，除研者外，捣罗为末，入研药拌匀。炼蜜和丸，如梧桐子大，每服食前、米饮
下一丸，日三服，欲利者服二丸。
治久寒癖积。胸胁痞满。心腹坚硬，短气呕逆，手足厥冷，腰背引痛，吴茱萸丸方
吴茱萸（汤洗七遍焙干炒一两） 附子（炮裂去皮脐半两） 浓朴（去粗皮生姜汁炙透）
桂（去粗皮） 白矾（烧令汁尽研如粉） 人参 半夏汤（洗去滑七遍焙干） 枳实（麸炒）
干姜（炮各三分）
上九味，捣研为末，炼蜜和丸，如梧桐子大。每服二十丸，空心温酒下。
治久寒宿癖，心腹刺痛，痰逆呕吐，饮食不消，下利羸瘦。白术丸方
白术 吴茱萸（汤洗七遍焙干炒各二两） 桔梗（炒一两） 当归（切焙） 赤茯苓（去
黑皮各一两） 干姜（炮二两） 桂（去粗皮） 附子（炮裂去皮脐） 生干地黄（焙） 细
辛（去苗叶） 椒（去目并闭口者炒出
上一十二味。捣罗为末，炼蜜和丸，如梧桐子大，每日空心温酒下二十丸。
治寒癖宿滞，食饮不消，千金丸方
丹参（去芦头半两） 干姜（炮二两） 附子（炮裂去皮脐） 人参 戎盐（研如粉各
半两） 半夏（汤洗去皮焙干一两半） 大黄（锉炒二两） 苦参（锉） 桂（去粗皮各半
两） 石膏（二两研如粉） 巴豆（三十枚
上一十一味。捣研为末。再同研匀。炼蜜和丸。如小豆大。每日食后温酒下三丸。
治寒癖、饮食不化，心下虚满如水状。枳实汤方
枳实（麸炒） 白术（各一两） 半夏（汤洗去滑曝干） 前胡（去芦头各二两） 桂
（去粗皮） 甘草（炙锉
上七味，粗捣筛，每服五钱匕，水一盏半，生姜一小块拍碎，同煎至八分，去滓温服，
空心日午临卧各一。
治寒冷癖积，虚中积滞，及下痢、心腹疼痛，木香丸方
木香 砂（研各半两） 附子（去皮脐生用） 高良姜 胡椒（各一分） 硫黄（研
半分） 巴豆（二十
上七味。捣研为末，再同研匀，用粟米饭和丸，如绿豆大，每服五丸。煎干柿汤下。临
卧服。
治寒癖留滞不消，葫芦巴丸方
葫芦巴 补骨脂（各一钱） 木香 香子（炒各一分） 楝实（炒半两） 砂（研
一钱） 铜绿（研一钱） 五灵脂（研） 腻粉（研各一分） 巴豆（三钱去皮心膜不出油
研） 草乌头（半两用麸和巴豆同炒黑
上一十一味，捣研为末。用楼葱汁和丸。如豌豆大。看虚实。炒盐酒下三五丸，空心服
治寒癖积气， 痛下利。大沉香煨姜丸方
沉香（一两半） 砂（研） 木香（各半两） 附子（一枚炮裂去皮脐） 黑三棱（炮
锉） 鸡爪三棱（炮锉） 京三棱（炮锉各半两） 青橘皮（汤浸去白焙） 当归（切焙各
一两）
上九味，捣研为末，酒煮面糊和丸，如小樱桃大。每服用生姜一块。剜作瓮子。入药一
丸，以湿纸裹煨令香熟。安地上出去火毒少时，细嚼盐汤下。
治寒癖虚冷，久积成块，进食化痰。解风秘。皂荚丸方
皂荚（不 者去黑皮并子涂酥炙） 肉苁蓉（酒浸一宿薄切焙干） 白芷 附子（炮裂
去皮脐各一
上四味。捣罗为末，炼蜜和丸，如梧桐子大，每服二十丸。温酒熟水任下。空心食前服。
如关隔服暖药不得者。服此便通快。
治寒癖积块。丁香丸方
丁香 沉香 附子（炮裂去皮脐） 砂（研各半两） 陈曲（末三两）
上五味。除 砂陈曲外。捣罗为末，用木瓜一枚大者，破开去瓤，入 砂于木瓜内。
甑上蒸烂。次入诸药末即研看软硬。次入陈曲末。看得所为丸。如梧桐子大。每服五丸。茶
汤或温酒嚼下。如要疏转。可服十丸。小儿一丸。
治冷癖气因服热药发热。心惊虚悸，下冷上热，头风呕逆。白术丸方
白术 陈橘皮去白焙各一两半 白芷（三分） 防风（去叉） 吴茱萸（汤洗七遍焙干）
芎 山芋 浓朴（去粗皮涂生汁炙熟） 桂（去粗皮） 大麦（锉炒） 干姜（炮） 防
葵（锉各一两） 甘草（炙锉） 茯
上一十五味，捣罗为末，炼蜜和丸，如梧桐子大，每日空心温酒下二十丸。
Commentary states: Cold Pi (Cold accumulation) refers to masses accumulating under the hypochondrium, which cause pain upon exposure to cold. This condition arises from excessive consumption of cold drinks, leading to the retention and stagnation of fluids, thereby obstructing the ascending and descending movement of Qi. If the Stomach Fu organ functions harmoniously and food and drink are digested properly, old cold pathogens and Pi accumulations will naturally dissipate.
Formula for Ba Dou Wan (Croton Seed Pill) to treat Cold Pi accumulation:
Ba Dou (Crotonis Fructus, 37 seeds, skin and heart removed, ground and pressed between paper to remove oil); Xing Ren (Armeniacae Semen Amarum, 50 seeds, soaked in hot water, skin and tip removed, double-kernel ones stir-fried until cooked and ground into a paste); Jie Geng (Platycodonis Radix, chopped and stir-fried).
The above five ingredients, except those already ground, are crushed, sifted into fine powder, and mixed with the ground medicines. Honey is refined and used to bind the mixture into pills the size of Sophora japonica seeds. Take one pill before meals, washed down with rice water, three times a day. For a stronger purgative effect, take two pills.
Formula for Wu Zhu Yu Wan (Evodia Fruit Pill) to treat long-standing Cold Pi accumulation, characterized by fullness and distension in the chest and hypochondrium, hardness of the heart and abdomen, shortness of breath, nausea and vomiting, cold limbs, and radiating pain in the lower back and waist:
Wu Zhu Yu (Evodiae Fructus, washed seven times in hot water, dried on a baking rack and stir-fried, 1 liang); Fu Zi (Aconiti Lateralis Radix Praeparata, cracked by frying, skin and umbilicus removed, 0.5 liang); Hou Po (Magnoliae Officinalis Cortex, coarse bark removed, roasted thoroughly with ginger juice); Gui Zhi (Cinnamomi Ramulus, coarse bark removed); Bai Fan (Alumen, burned until liquid evaporates and ground into powder); Ren Shen (Ginseng Radix et Rhizoma); Ban Xia (Pinelliae Rhizoma, washed in hot water seven times to remove slipperiness, dried on a baking rack); Zhi Shi (Immature Bitter Orange, stir-fried with bran); Gan Jiang (Zingiberis Rhizoma, fried, each 3 qian).
The above nine ingredients are crushed and ground into fine powder. Refined honey is used to form pills the size of Sophora japonica seeds. Take twenty pills at a time, washed down with warm wine on an empty stomach.
Formula for Bai Zhu Wan (Atractylodis Macrocephalae Radix Pill) to treat long-standing Cold Su Pi, characterized by stabbing pain in the heart and abdomen, phlegm reversal and vomiting, indigestion, diarrhea, emaciation:
Bai Zhu (Atractylodis Macrocephalae Radix); Wu Zhu Yu (Evodiae Fructus, washed seven times in hot water, dried on a baking rack and stir-fried, 2 liang each); Jie Geng (Platycodonis Radix, stir-fried, 1 liang); Dang Gui (Angelicae Sinensis Radix, sliced and dried on a baking rack); Chi Fu Ling (Poria with Red Wood, black skin removed, 1 liang each); Gan Jiang (Zingiberis Rhizoma, fried, 2 liang); Gui Zhi (Cinnamomi Ramulus, coarse bark removed); Fu Zi (Aconiti Lateralis Radix Praeparata, cracked by frying, skin and umbilicus removed); Sheng Gan Di Huang (Rehmanniae Radix, dried on a baking rack); Xi Xin (Asari Radix et Rhizoma, seedlings and leaves removed); Jiao (Zanthoxyli Pericarpium, eyes and closed-mouth ones removed, stir-fried to release oil).
The above twelve ingredients are crushed, sifted into fine powder. Refined honey is used to form pills the size of Sophora japonica seeds. Take twenty pills daily on an empty stomach, washed down with warm wine.
Formula for Qian Jin Wan (Thousand Gold Pill) to treat Cold Pi and old stagnation, characterized by indigestion:
Dan Shen (Salviae Miltiorrhizae Radix et Rhizoma, rhizome head removed, 0.5 liang); Gan Jiang (Zingiberis Rhizoma, fried, 2 liang); Fu Zi (Aconiti Lateralis Radix Praeparata, cracked by frying, skin and umbilicus removed); Ren Shen (Ginseng Radix et Rhizoma); Rong Yan (Natrii Chlorum, ground into powder, 0.5 liang each); Ban Xia (Pinelliae Rhizoma, washed in hot water, skin removed, dried on a baking rack, 1.5 liang); Da Huang (Rhei Radix et Rhizoma, chopped and stir-fried, 2 liang); Ku Shen (Sophorae Flavescentis Radix, chopped); Gui Zhi (Cinnamomi Ramulus, coarse bark removed, 0.5 liang each); Shi Gao (Gypsum Fibrosum, 2 liang, ground into powder); Ba Dou (Crotonis Fructus, 30 seeds).
The above eleven ingredients are crushed and ground into fine powder, then ground together again to ensure uniformity. Refined honey is used to form pills the size of small beans. Take three pills after meals, washed down with warm wine daily.
Formula for Zhi Shi Tang (Immature Bitter Orange Decoction) to treat Cold Pi, characterized by inability to digest food and drink, and a sensation of emptiness and fullness in the epigastrium as if filled with water:
Zhi Shi (Immature Bitter Orange, stir-fried with bran); Bai Zhu (Atractylodis Macrocephalae Radix, 1 liang each); Ban Xia (Pinelliae Rhizoma, washed in hot water to remove slipperiness, sun-dried); Qian Hu (Peucedani Radix, rhizome head removed, 2 liang each); Gui Zhi (Cinnamomi Ramulus, coarse bark removed); Gan Cao (Licorice Root, roasted and chopped).
The above seven ingredients are coarsely crushed and sieved. Take five qian bi per dose, add one and a half cups of water, crush a small piece of fresh ginger, and decoct together until eight parts remain. Strain and take warm. Take once on an empty stomach, once at noon, and once before sleep.
Formula for Mu Xiang Wan (Costusbark Pill) to treat Cold Lingering Pi accumulation, deficiency with internal stagnation, dysentery, and abdominal pain:
Mu Xiang (Aucklandiae Radix); Sha Ren (Amomi Fructus Rotundus, ground, 0.5 liang each); Fu Zi (Aconiti Lateralis Radix, skin and umbilicus removed, raw use); Gao Liang Jiang (Galangal Rhizome); Hu Jiao (Piperis Longi Fructus, 1 fen each); Liu Huang (Sulfur, ground, 0.5 fen); Ba Dou (Crotonis Fructus, 20 seeds).
The above seven ingredients are crushed and ground into fine powder, then ground together again to ensure uniformity. Millet rice is used to bind the mixture into pills the size of mung beans. Take five pills per dose, washed down with decoction of dried persimmons. Take before bed.
Formula for Hu Lu Ba Wan (Trigonellae Semens Pill) to treat lingering and indigestible Cold Pi:
Hu Lu Ba (Trigonellae Semens); Bu Gu Zhi (Psoraleae Fructus, 1 qian each); Mu Xiang (Aucklandiae Radix); Xiang Zi (Baphicacanthi Fructus, stir-fried, 1 fen each); Lian Shi (Meliae Fructus, stir-fried, 0.5 liang); Sha Ren (Amomi Fructus Rotundus, ground, 1 qian); Tong Lv (Chalcanthite, ground, 1 qian); Wu Ling Zhi (Trogopterori Faeces, ground); Ni Fen (Calomel, ground, 1 fen each); Ba Dou (Crotonis Fructus, 3 qian, skin, heart, and membrane removed without releasing oil, ground); Cao Wu Tou (Aconiti Kusnezoffii Radix, 0.5 liang, stir-fried with bran and Ba Dou until black).
The above eleven ingredients are crushed and ground into fine powder. Scallion juice is used to bind the mixture into pills the size of pea seeds. Depending on the patient's deficiency or excess, take three to five pills washed down with salted wine. Take on an empty stomach.
Formula for Da Chen Xiang Wei Jiang Wan (Large Agarwood Roasted Ginger Pill) to treat Cold Pi with accumulated Qi, pain accompanied by diarrhea:
Chen Xiang (Aquilariae Lignum Resinatum, 1.5 liang); Sha Ren (Amomi Fructus Rotundus, ground); Mu Xiang (Aucklandiae Radix, 0.5 liang each); Fu Zi (Aconiti Lateralis Radix Praeparata, one seed, cracked by frying, skin and umbilicus removed); Hei San Leng (Sparganii Rhizoma, fried and chopped); Ji Zhua San Leng (Sparganii Rhizoma, fried and chopped); Jing San Leng (Sparganii Rhizoma, fried and chopped, 0.5 liang each); Qing Ju Pi (Citri Reticulatae Pericarpium, soaked in hot water, white pith removed, dried); Dang Gui (Angelicae Sinensis Radix, sliced and dried on a baking rack, 1 liang each).
The above nine ingredients are crushed and ground into fine powder. Dough made from boiling flour in wine is used to bind the mixture into pills the size of small cherries. For each dose, take a piece of fresh ginger, hollow it out like a jar, insert one pill, wrap in wet paper, and roast until fragrant and cooked. Place on the ground to remove fire toxicity for a while, chew thoroughly, and wash down with salt water.
Formula for Zao Jia Wan (Gleditsiae Fructus Pill) to treat Cold Pi with deficiency-cold, long-term accumulation forming masses, difficulty eating requiring phlegm resolution, and wind constipation:
Zao Jia (Gleditsiae Fructus, non-borer ones, black skin and seeds removed, coated with lard and roasted); Rou Cong Rong (Cistanche Herba, soaked in wine overnight, thinly sliced and dried on a baking rack); Bai Zhi (Angelicae Dahuricae Radix); Fu Zi (Aconiti Lateralis Radix Praeparata, cracked by frying, skin and umbilicus removed, 1 liang each).
The above four ingredients are crushed, sifted into fine powder. Refined honey is used to form pills the size of Sophora japonica seeds. Take twenty pills per dose, washed down with warm wine or boiled water. Take on an empty stomach or before meals. In cases of Guan Ge syndrome where warm medicines cannot be tolerated, taking this medicine will bring relief and unblocking.
Formula for Ding Xiang Wan (Caryophylli Flos Pill) to treat Cold Pi with accumulated masses:
Ding Xiang (Caryophylli Flos); Chen Xiang (Aquilariae Lignum Resinatum); Fu Zi (Aconiti Lateralis Radix Praeparata, cracked by frying, skin and umbilicus removed); Sha Ren (Amomi Fructus Rotundus, ground, 0.5 liang each); Chen Qu (Medicated Leaven, powdered, 3 liang).
The above five ingredients, excluding Sha Ren and Chen Qu, are crushed and sifted into fine powder. Take one large papaya, break open and remove the pulp. Place the Sha Ren inside the papaya. Steam until soft and rotten. Then add the other powdered medicines and grind to check consistency. Finally, add the Chen Qu powder and adjust to the desired consistency for pill-making. Form pills the size of Sophora japonica seeds. Take five pills per dose, chew thoroughly with tea soup or warm wine. To promote circulation and movement, take ten pills. Children take one pill.
Formula for Bai Zhu Wan (Atractylodis Macrocephalae Radix Pill) to treat Cold Pi Qi obstruction causing fever after taking hot medicines, palpitations due to heart fright and deficiency, cold below and heat above, headache due to wind, and vomiting:
Bai Zhu (Atractylodis Macrocephalae Radix); Chen Pi (Citri Reticulatae Pericarpium, white pith removed and dried, 1.5 liang each); Bai Zhi (Angelicae Dahuricae Radix, 3 qian); Fang Feng (Saposhnikoviae Radix, forked branches removed); Wu Zhu Yu (Evodiae Fructus, washed seven times in hot water, dried on a baking rack); Xiong Duan (Ligustici Chuanxiong Rhizoma); Shan Yu (Dioscoreae Rhizoma); Hou Po (Magnoliae Officinalis Cortex, coarse bark removed, coated with raw ginger juice and roasted until cooked); Gui Zhi (Cinnamomi Ramulus, coarse bark removed); Da Mai (Hordei Fructus Germinatus, chopped and stir-fried); Gan Jiang (Zingiberis Rhizoma, fried); Fang Kui (Anemarrhenae Rhizoma, chopped, 1 liang each); Gan Cao (Licorice Root, roasted and chopped); Fu Ling (Poria).
The above fifteen ingredients are crushed, sifted into fine powder. Refined honey is used to form pills the size of Sophora japonica seeds. Take twenty pills daily on an empty stomach, washed down with warm wine.