论曰癖气者、聚于两胁间。有时而痛是也。以其僻在肋下，故名癖气。又云、饮水过多
。或卧觉饮水复卧，久皆成癖，此由气脉不宣，水饮停积，寒气加之，故为是病。
治癖气胁肋妨满，腹胀痛，不思食，防葵丸方
防葵 柴胡（去苗） 赤芍药（各三分） 桂（去粗皮） 木香 当归（切焙） 五味
子（各半两） 鳖甲（去裙 醋炙一两半） 桔梗（炒一两） 大黄（蒸三遍锉炒一两一分）
京三棱（煨锉三分） 郁李仁（去皮一
上一十三味，捣罗为末。炼蜜和丸。如梧桐子大，每服二十丸，空心温酒下。
治癖气腹痛，两胁胀满。不思饮食，柴胡饮方
柴胡（去苗） 赤茯苓（去黑皮各三分） 赤芍药 鳖甲（去裙 醋炙） 郁李仁（去
皮各半两） 桔梗（炒） 木通（锉炒各一两）
上七味，粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓食后温服，日再。
治癖气在胁下痛，久不瘥。京三棱散方
京三棱（煨锉半斤） 枳壳（去瓤麸炒一两） 甘草（炙锉三两）
上三味，捣罗为散，每服三钱匕，入盐半字，沸汤点服，空心食前。
治癖气疼痛，腹胁胀满，发歇不定，不思饮食。 砂丸方
砂（醋一盏化尽熬成膏） 芫花（醋拌炒干） 干姜（炮） 京三棱（锉碎醋浸三宿
焙干各半两）
上四味。除 砂外，捣罗为末，入 砂，醋膏内和丸，如绿豆大。每服十丸。生姜橘皮
汤下，不计时候。
治食气癖块，胸膈噎塞，冷气攻刺，吐酸水，不美饮食，腹胁胀痛，气不升降。三棱丸
方
京三棱（炮锉） 芍药 桔梗（炒） 干姜（炮） 槟榔（生锉） 吴茱萸（汤浸焙干
炒） 乌头（炮裂去皮脐
醋炙一两半） 桃仁（汤浸去皮尖双仁麸
上一十一味，捣罗为末。酒煮面糊为丸。如梧桐子大，每服十五丸，炒橘皮盐汤下。如
酒食所伤，胸膈不快，腹胀醋心，熟水下。
治积年癖气，及气块上攻心腹。鳖甲丸方
鳖甲（去裙 醋炙一两） 干姜（炮半两） 京三棱（炮锉一两） 青橘皮（汤浸去白
焙半两） 巴豆（去
上五味，除巴豆外，捣罗为末，入巴豆膏和丸，如绿豆大，每服三丸至五丸，生姜汤下。
空心食前。
治癖气块聚。心胸痛，食不消，妇人带下淋沥，羸瘦困怠无力。温白丸方
乌头（炮裂去皮脐） 紫菀（去苗土） 吴茱萸（汤洗焙干炒） 菖蒲 柴胡（去苗） 浓
朴（去粗皮生姜汁炙） 桔梗（炒） 皂荚（酥炙去皮子） 赤茯苓（去黑皮） 干姜（炮）
黄连（去须） 蜀椒（去目并闭口炒出
上一十四味等分。除巴豆外，捣罗为末。入巴豆研匀，白蜜和。再杵千下。丸如梧桐子
大，每服三丸，不利渐加至七丸，十五日后，下恶脓血如鸡肝
治癖气积，气血结刺疼，木香 砂煎丸方
木香（一分） 砂（醋一盏化尽滤去砂石半两） 巴豆（去皮膜不出油研） 大黄（炮）
京三棱（生锉） 干漆（炒烟出） 青橘皮（汤浸去白焙） 蓬莪术（炮） 附子（炮裂去
皮脐） 桂（去粗皮） 干姜（炮各一分）
上一十二味。将大黄京三棱巴豆三味。各捣研为末。同于银石器内，以醋一升。煎一两
沸，次入 砂。同熬成膏，次将诸药捣罗为末，用膏和成剂，杵千下为丸，如绿豆大，每服
五丸，炒生姜汤下，结聚腹内气块痛，干姜汤或橘皮汤下。食冷面粘食不消成块聚，煮面汤
下，食牛羊鳖肉，成气块不散，各用本肉淡汁下。宿酒不消，温酒下。妇人诸般血气，当归
酒下，妊娠不得服。如要宣转，茶清下，加至七丸。小儿三丸。
治虚积，导滞气，消癖块，如意丸方
砂（半皂子大十二块） 巴豆（三十六枚去皮） 大枣（十二枚去复选六枚每枚各入
巴豆肉三枚 砂一块各用湿纸裹两重 火内煨焦侯有烟取出去纸于地上以盏子合定一宿出火
毒其余枣并
上五味。将已去核枣六枚，水煮熟同捣细，纳余药捣成膏，丸如绿豆大，每服五丸。煎
生姜汤下，小儿二丸至三丸，煎皂子汤下。临卧服。
治癖气结硬不消，胸胁胀闷，消癖丸方
巴豆（去皮心研压去油别研一分） 砂（酒一盏化尽慢火熬成膏半两） 猪牙皂荚（去
皮酥炙四
上三味。先将皂荚捣罗为末。入巴豆研匀。用 砂膏和丸，如绿豆大。每服一丸。食后
临卧粥饮下。
治丈夫妇人腹内癖气。郁李仁丸方
郁李仁（去皮） 京三棱（锉） 芫花 蓬莪术（锉） 木香（各一两）
上五味。用醋一升同煮。醋尽焙干。捣罗为末。面糊和丸。如绿豆大，每服三五丸。生
姜汤下、日三。
治男子妇人小儿，虚中癖气，脏腑不调，食饮不消，久致瘦弱，不可取转者。服之自然
安好。又治虚气膨胀，心胸闷滞，并妇人产后血积蓐劳瘦瘁甚者。鳖甲三棱丸方
鳖甲（九肋重四两以上者水浸洗去脊骨裙 醋浸一宿炙为末） 京三棱（水浸两宿锉醋
浸一宿焙干为末） 干漆（炒烟出各三两） 木香 干姜（炮） 补骨脂（炒） 槟榔（锉
为末） 没药（研） 砂（研）
上一十味。捣研为末。再同研匀，醋煮面糊为丸。如绿豆大。每服二十丸。生姜盐汤下，
妇人血病、醋汤下。
治癖气发歇。冲心、疼痛。不知人。蓬莪术散方
蓬莪术（煨锉半两） 胡椒（一分） 附子（炮裂去皮脐半两）
上三味。捣罗为散，每服半钱匕。醋汤调下，不计时候。
治癖气发歇，疼痛不可忍者，宜急服，应痛丸方
桂（去粗皮） 干漆（炒烟出） 京三棱（大者煨锉） 当归（切炒）
上四味等分，捣罗为末，醋煮面糊为丸。如梧桐子大。烧纸灰酒下十五丸。至二十丸。
治癖积，健脾胃。消宿滞。鳖甲大黄丸方
鳖甲（去裙 醋炙黄二两） 大黄（煨锉） 槟榔 附子（炮裂去皮脐） 麦 （炒各
一两） 乌药（锉） 诃黎勒（煨去核） 木香 白术 桂（去粗皮） 蓬莪术（炮锉） 京
三棱（炮锉各三分） 枳壳（去瓤麸炒） 吴茱萸（炒各半两）
上一十四味。并捣罗为末，后将 砂三两细研，醋三升滤去滓。将前药末平分，一半入
砂内搅和，于铫子内煎成膏，余药和丸。如梧桐子大，空心炒生姜盐汤下二十丸。
治冷癖、醋心呕逆，宿食不消。中酒后腹藏雷鸣。时发腹痛，一切虚冷等。温胃丸方
吴茱萸（汤洗醋炒） 陈曲（炒黄） 陈橘皮（汤浸去白焙） 白术 人参 桂（去粗
皮） 熟干地黄（焙）
上八味，捣罗为末，炼蜜和丸。如梧桐子大，空心饭饮下十丸。
Discourse states: Pi Qi (Pi Syndrome, a type of abdominal mass) is an accumulation located between the two hypochondria. It is characterized by intermittent pain. Because it resides obliquely in the subcostal region, it is named Pi Qi. It is also said that excessive drinking of water, or lying down to sleep immediately after drinking and then getting up to drink again repeatedly, can over time lead to Pi Qi. This condition arises from the obstruction of Qi and blood vessels, stagnation of fluid retention, and invasion of cold pathogenic factors, thus causing this disease.
Fang Kui Wan Formula for treating Pi Qi with fullness and discomfort in the hypochondria and chest, abdominal distension and pain, and loss of appetite:
Fang Kui (Radix Notopterygii), Chai Hu (Radix Bupleuri, remove seedlings), Chi Shao Yao (Radix Paeoniae Rubra, each 3 fen), Gui Zhi (Cortex Cinnamomi, remove rough bark), Mu Xiang (Radix Aucklandiae), Dang Gui (Radix Angelicae Sinensis, sliced and roasted), Wu Wei Zi (Fructus Schisandrae, each half liang), Bie Jia (Carapax et Plastrum Testudinis, remove skirt, vinegar-processed 1.5 liang), Jie Geng (Radix Platycodi, stir-fried 1 liang), Da Huang (Radix et Rhizoma Rhei, steamed three times, crushed and stir-fried 1 liang 1 fen), Jing San Leng (Rhizoma Sparganii, roasted and crushed 3 fen), Yu Li Ren (Semen Pruni).
The above thirteen ingredients are crushed, sifted into powder. Honey is refined and used to bind the powder into pills, sized like wutong seeds. Take 20 pills per dose, swallowed with warm wine on an empty stomach.
Chai Hu Yin Formula for treating Pi Qi with abdominal pain, fullness in both hypochondria, and loss of appetite:
Chai Hu (Radix Bupleuri, remove seedlings), Chi Fu Ling (Poria Cum Radix Pini, remove black skin, each 3 fen), Chi Shao Yao (Radix Paeoniae Rubra), Bie Jia (Carapax et Plastrum Testudinis, remove skirt, vinegar-processed), Yu Li Ren (Semen Pruni, remove skin, each half liang), Jie Geng (Radix Platycodi, stir-fried), Mu Tong (Caulis Akebiae, crushed and stir-fried, each 1 liang).
The above seven ingredients are coarsely crushed and sieved. Take 5 qian bi per dose, add 1.5 sheng of water, decoct until 0.8 sheng remains, filter out the dregs, and take warm after meals, twice daily.
Jing San Leng San Formula for treating Pi Qi located under the hypochondria with pain, persisting for a long time without cure:
Jing San Leng (Rhizoma Sparganii, roasted and crushed 0.5 jin), Zhi Ke (Fructus Aurantii, remove pulp, bran-fried 1 liang), Gan Cao (Radix Glycyrrhizae, processed and crushed 3 liang).
The above three ingredients are crushed, sifted into powder. Take 3 qian bi per dose, add a small amount of salt, and take with boiling water, on an empty stomach or before meals.
Nao Sha Wan Formula for treating Pi Qi with pain, abdominal and hypochondrial fullness, irregular attacks, and loss of appetite:
Nao Sha (Sal Nitri, dissolve in one sheng of vinegar, boil into paste), Yuan Hua (Flos Genkwa, mix with vinegar and stir-fry dry), Gan Jiang (Rhizoma Zingiberis, processed), Jing San Leng (Rhizoma Sparganii, crushed, soaked in vinegar for three nights, then dried, each half liang).
The above four ingredients. Except for Nao Sha, crush and sift the others into powder. Mix with Nao Sha and the vinegar paste to form pills, sized like mung beans. Take 10 pills per dose, swallow with Ginger and Tangerine Peel Decoction, at any time.
San Leng Wan Formula for treating food-Qi Pi masses, chest and diaphragm blockage, cold Qi attacking and stabbing, vomiting sour water, aversion to food, abdominal and hypochondrial distension and pain, and dysfunction of Qi ascending and descending:
Jing San Leng (Rhizoma Sparganii, processed and crushed), Shao Yao (Radix Paeoniae Alba/Rubra), Jie Geng (Radix Platycodi, stir-fried), Gan Jiang (Rhizoma Zingiberis, processed), Bing Lang (Arecae Semen, raw and crushed), Wu Zhu Yu (Fructus Evodiae, soaked in water, dried, and stir-fried), Wu Tou (Radix Aconiti Lateralis Preparata, cracked, remove skin and umbilicus, vinegar-processed 1.5 liang), Tao Ren (Semen Persicae, soaked in water, remove skin and tips, double-kernel ones removed, bran-fried).
The above eleven ingredients are crushed, sifted into powder. Use wine-boiled wheat paste as a binder to form pills, sized like wutong seeds. Take 15 pills per dose, swallow with stir-fried Tangerine Peel and Salt Water. If injured by wine and food, feeling uncomfortable in the chest and diaphragm, abdominal distension and acid reflux, swallow with cooked water.
Bie Jia Wan Formula for treating chronic Pi Qi and Qi masses attacking the heart and abdomen:
Bie Jia (Carapax et Plastrum Testudinis, remove skirt, vinegar-processed 1 liang), Gan Jiang (Rhizoma Zingiberis, processed half liang), Jing San Leng (Rhizoma Sparganii, processed and crushed 1 liang), Qing Ju Pi (Pericarpium Citri Reticulatae, soaked in water, remove white pith, dried half liang), Ba Dou (Semen Crotonis, remove skin and membrane).
The above five ingredients. Except for Ba Dou, crush and sift the others into powder. Mix with Ba Dou paste to form pills, sized like mung beans. Take 3 to 5 pills per dose, swallow with Ginger Decoction. On an empty stomach or before meals.
Wen Bai Wan Formula for treating Pi Qi masses gathering, chest and heart pain, indigestion, leukorrhea dripping in women, emaciation, fatigue, and weakness:
Wu Tou (Radix Aconiti Lateralis Preparata, cracked, remove skin and umbilicus), Zi Wan (Herba Asteris Tatarici, remove seedlings and soil), Wu Zhu Yu (Fructus Evodiae, washed in water, dried, and stir-fried), Chang Pu (Rhizoma Acori Tatarinowii), Chai Hu (Radix Bupleuri, remove seedlings), Hou Po (Cortex Magnoliae Officinalis, remove rough bark, processed with ginger juice), Jie Geng (Radix Platycodi, stir-fried), Zao Jiao (Fructus Gleditsiae Sinensis, fried in lard, remove skin and seeds), Chi Fu Ling (Poria Cum Radix Pini, remove black skin), Gan Jiang (Rhizoma Zingiberis, processed), Huang Lian (Rhizoma Coptidis, remove roots), Shu Jiao (Fructus Zanthoxyli, remove eyes and closed mouths, stir-fry to release oil).
The above fourteen ingredients are in equal proportions. Except for Ba Dou, crush and sift into powder. Mix evenly with ground Ba Dou, bind with white honey, and pound a thousand times. Form pills sized like wutong seeds. Take 3 pills per dose; if no diarrhea occurs, gradually increase to 7 pills. After fifteen days, discharge foul pus and blood resembling chicken liver.
Mu Xiang Nao Sha Jian Wan Formula for treating Pi Qi accumulation, Qi and Blood knotting with stabbing pain:
Mu Xiang (Radix Aucklandiae, 1 fen), Nao Sha (Sal Nitri, dissolve in one sheng of vinegar, filter out sand, 0.5 liang), Ba Dou (Semen Crotonis, remove skin and membrane, do not let oil escape, grind), Da Huang (Radix et Rhizoma Rhei, processed), Jing San Leng (Rhizoma Sparganii, raw and crushed), Gan Xi (Resina Taxodi, stir-fry until smoke appears), Qing Ju Pi (Pericarpium Citri Reticulatae, soaked in water, remove white pith, dried), E Zhu (Rhizoma Curcumae, processed), Fu Zi (Radix Aconiti Lateralis Preparata, cracked, remove skin and umbilicus), Gui Zhi (Cortex Cinnamomi, remove rough bark), Gan Jiang (Rhizoma Zingiberis, processed, each 1 fen).
The above twelve ingredients. Take Da Huang, Jing San Leng, and Ba Dou separately crush and grind into powder. Place together in a silver or earthenware vessel, add one sheng of vinegar, boil once, then add Nao Sha and continue boiling into a paste. Sift the remaining herbs into powder, mix with the paste to form a dough, pound a thousand times, and form pills sized like mung beans. Take 5 pills per dose, swallow with stir-fried Ginger Decoction. For internal Qi mass accumulation and pain, swallow with Gan Jiang Decoction or Ju Pi Decoction. For cold noodles or sticky foods causing indigestion and mass formation, swallow with noodle cooking water. For beef, mutton, or turtle meat causing Qi masses that do not dissipate, swallow with the respective clear broth of the meat. For retained alcohol, swallow with warm wine. For various blood-Qi disorders in women, swallow with Dang Gui Wine. Pregnant women must not take this. To promote circulation and purgation, swallow with tea infusion, increasing to 7 pills. Children take 3 pills.
Ru Yi Wan Formula for treating deficiency accumulation, guiding stagnant Qi, and eliminating Pi masses:
Nao Sha (Sal Nitri, size of half a soap nut, 12 pieces), Ba Dou (Semen Crotonis, 36 kernels, peeled), Da Zao (Fructus Jujubae, 12 pieces, select 6, place 3 Ba Dou meats and 1 piece of Nao Sha in each, wrap in two layers of wet paper, roast in fire until smoky, remove paper, cover with a bowl on the ground overnight to eliminate fire toxicity, use remaining dates and...).
The above five ingredients. Take the six pitted dates, cook thoroughly in water, mash finely, incorporate the remaining medicines, grind into a paste, and form pills sized like mung beans. Take 5 pills per dose, swallow with Ginger Decoction. Children take 2 to 3 pills, swallow with Soap Nut Decoction. Take before going to bed.
Xiao Pi Wan Formula for treating hard Pi Qi masses that do not dissipate, chest and hypochondrial oppression:
Ba Dou (Semen Crotonis, remove skin and heart, grind, press to remove oil, separate grinding 1 fen), Nao Sha (Sal Nitri, dissolve in one sheng of wine, slowly boil into paste 0.5 liang), Zhu Ya Zao Jiao (Fructus Gleditsiae Sinatis, remove skin, fry in lard 4...).
The above three ingredients. First, crush and sift Zao Jiao into powder. Mix evenly with ground Ba Dou. Bind with Nao Sha paste to form pills, sized like mung beans. Take 1 pill per dose, swallow with porridge drink after meals and before bed.
Yu Li Ren Wan Formula for treating Pi Qi in the abdomen of men and women:
Yu Li Ren (Semen Pruni, remove skin), Jing San Leng (Rhizoma Sparganii, crushed), Yuan Hua (Flos Genkwa), E Zhu (Rhizoma Curcumae, crushed), Mu Xiang (Radix Aucklandiae, each 1 liang).
The above five ingredients. Boil together in one sheng of vinegar until dry, then dry and crush/sift into powder. Bind with wheat paste to form pills, sized like mung beans. Take 3 to 5 pills per dose, swallow with Ginger Decoction, three times daily.
Bie Jia San Leng Wan Formula for treating Pi Qi in deficiency states in men, women, and children, disharmony of zang-fu organs, indigestion, leading to emaciation, which cannot be forcefully purged. Taking this will naturally restore health. Also treats Qi distension, chest and heart oppression/stagnation, and severe postpartum blood stasis, confinement labor emaciation in women:
Bie Jia (Carapax et Plastrum Testudinis, nine-ribbed, weighing over 4 liang, soak in water, wash, remove spine bone and skirt, soak in vinegar overnight, process into powder), Jing San Leng (Rhizoma Sparganii, soak in water for two nights, crush, soak in vinegar overnight, dry and grind into powder), Gan Xi (Resina Taxodi, stir-fry until smoke appears, each 3 liang), Mu Xiang (Radix Aucklandiae), Gan Jiang (Rhizoma Zingiberis, processed), Bu Gu Zhi (Fructus Psoraleae, stir-fried), Bing Lang (Arecae Semen, crushed into powder), Mo Yao (Resina Myrrhae, ground), Nao Sha (Sal Nitri, ground).
The above ten ingredients. Crush and grind into powder, mix evenly, bind with vinegar-boiled wheat paste to form pills, sized like mung beans. Take 20 pills per dose, swallow with Ginger and Salt Decoction. For women's blood diseases, swallow with Vinegar Water.
E Zhu San Formula for treating Pi Qi attacks, rushing to the heart, pain, and unconsciousness:
E Zhu (Rhizoma Curcumae, roasted and crushed 0.5 liang), Hu Jiao (Fructus Piperis Longi, 1 fen), Fu Zi (Radix Aconiti Lateralis Preparata, cracked, remove skin and umbilicus 0.5 liang).
The above three ingredients are crushed, sifted into powder. Take half a qian bi per dose, mix with Vinegar Water and swallow, at any time.
Ying Tong Wan Formula for treating Pi Qi attacks with unbearable pain, should be taken urgently:
Gui Zhi (Cortex Cinnamomi, remove rough bark), Gan Xi (Resina Taxodi, stir-fry until smoke appears), Jing San Leng (Rhizoma Sparganii, large ones roasted and crushed), Dang Gui (Radix Angelicae Sinensis, sliced and stir-fried).
The above four ingredients in equal proportions, crushed, sifted into powder. Bind with vinegar-boiled wheat paste to form pills, sized like wutong seeds. Burn paper to ash, swallow 15 to 20 pills with wine.
Bie Jia Da Huang Wan Formula for treating Pi accumulation, strengthening spleen and stomach, eliminating retained stagnation:
Bie Jia (Carapax et Plastrum Testudinis, remove skirt, vinegar-processed until yellow 2 liang), Da Huang (Radix et Rhizoma Rhei, roasted and crushed), Bing Lang (Arecae Semen), Fu Zi (Radix Aconiti Lateralis Preparata, cracked, remove skin and umbilicus), Mai Fu (Triticum Vulgare Bran, stir-fried, each 1 liang), Wu Yao (Radix Linderae), He Le Le (Fructus Chebulae, roasted, remove pit), Mu Xiang (Radix Aucklandiae), Bai Zhu (Rhizoma Atractylodis Macrocephalae), Gui Zhi (Cortex Cinnamomi, remove rough bark), E Zhu (Rhizoma Curcumae, roasted and crushed), Jing San Leng (Rhizoma Sparganii, roasted and crushed, each 3 fen), Zhi Ke (Fructus Aurantii, remove pulp, bran-fried), Wu Zhu Yu (Fructus Evodiae, stir-fried, each half liang).
The above fourteen ingredients are all crushed, sifted into powder. Then grind 3 liang of Nao Sha finely, add three sheng of vinegar, filter out dregs. Divide the previous herb powder equally; mix half with the Nao Sha mixture, boil in a yao vessel into a paste. Use the remaining powder to form pills, sized like wutong seeds. Take 20 pills on an empty stomach with stir-fried Ginger and Salt Decoction.
Wen Wei Wan Formula for treating Cold Pi, acid regurgitation, vomiting, indigestion of retained food. After drinking alcohol, borborygmus in the abdomen. Occasional abdominal pain, and all deficiency-cold conditions:
Wu Zhu Yu (Fructus Evodiae, washed in water, stir-fried with vinegar), Chen Qu (Medicated Leaven, stir-fried yellow), Chen Ju Pi (Pericarpium Citri Reticulatae, soaked in water, remove white pith, dried), Bai Zhu (Rhizoma Atractylodis Macrocephalae), Ren Shen (Radix Ginseng), Gui Zhi (Cortex Cinnamomi, remove rough bark), Shu Di Huang (Radix Rehmanniae Preparata, dried).
The above eight ingredients are crushed, sifted into powder. Bind with refined honey to form pills, sized like wutong seeds. Take 10 pills on an empty stomach with rice drink.