论曰腑脏不和，则气血留滞而成积聚，其积聚蕴结，气不宣通，与脏气相搏。故令人心
腹胀满，烦闷短气，若为寒邪所并，则搏于脏腑。阴阳相击而致心腹疼痛，甚则泄利也。
治积聚心腹胀满，食已腹痛，饮食不化，呕哕恶心，胸胁胀闷，大便秘利不定，磨滞丸
方
木香 青橘皮（汤浸去白焙） 桂（去粗皮各一两） 吴茱萸（汤浸焙干炒三两）
砂（醋熬成霜研
上六味，捣罗四味为末，与 砂巴豆霜同拌匀，醋煮面糊为丸。如绿豆大，每服三丸，
加至五丸，早晚食后临寝服，大便溏利时减丸数。
治积聚不散，心腹胀满，呕吐酸水，恶闻食气，脏腑不调，或秘或泄， 砂丸方
砂（一两以醋一盏半同化入面一匙煮成糊） 乌梅（去核炒三两） 巴豆霜（一钱匕）
没药（研）
上九味。捣研八味为末，令匀，以 砂糊丸，如绿豆大，每服二丸至三丸，煎丁香乌梅
汤下，食后服，更量虚实加减。
治积聚心腹胀满，宿食不消， 刺疼痛，恶心呕吐，不思饮食，积气丸方
桂（去粗皮二两） 附子（炮裂去皮脐半两） 丹砂（研四两） 桃仁（汤浸去皮尖双
仁研一两半） 巴豆去皮（心膜压出油一百枚） 京三棱（煨锉） 干漆（炒烟出） 鳖
甲（去裙 醋炙各一两） 砂（研二两） 大黄（生用一两） 麝香（研一两） 木香（一
两）
上一十二味，捣研为末，先以好醋一升，熬成膏，和前件药，丸如绿豆大，每服三丸五
丸，量虚实加减，煎木香汤下、食后。
治积聚心腹胀满，不思饮食，沉香煎丸方
沉香 木香 胡椒 青橘皮（去白焙） 阿魏（醋化面和作饼炙） 没药（研） 槟榔
（锉） 丹砂（研硫黄研） 砂（研） 高良姜（各一两） 巴豆霜（二钱匕） 丁香（半
两）
上一十三味，除研外，捣罗为末，一处研匀，用重汤煮蜜，丸如梧桐子大，每服三丸，
煎橘皮汤下。
治积聚不消，心腹满， 刺疼痛，呕逆醋心，不思饮食，代赭丸方
代赭（研） 木香 桂（去粗皮） 丹砂（研各半两） 京三棱（煨锉一两） 杏仁（去
皮尖双仁炒研一分
上八味，捣研为末，以醋煮面糊，丸如梧桐子大，每服三丸，食后温橘皮汤，或生姜汤
下。
治积聚不消，心腹胀满。醋心呕逆，不思饮食，木香三棱丸方
木香 京三棱（煨锉） 槟榔（锉各半两） 乌梅肉（炒二两） 缩砂仁（一两） 青
橘皮（去白焙一两半
上七味，捣研为末，用醋煮面糊，丸如麻子大，阴干，丹砂为衣，每服二十丸，食前生
姜米饮下。
治积聚心腹胀满，利胸膈，散滞气，消宿食，木香干漆丸方
木香（半两） 干漆（炒烟出三分） 肉豆蔻（去壳） 京三棱（煨） 青橘皮（汤浸
去白焙） 陈橘皮（汤浸去白焙） 桂（去粗皮各一两） 槟榔（锉） 补骨脂（炒各半
两） 拙 仍 北海 枳壳（去瓤麸炒）
青橘皮（汤浸去白焙） 木香 槟榔（锉各一两） 干姜（炮半两） 桂（去粗皮一两） 甘
草（二两炙锉）
上八味，粗捣筛，每服三钱匕，水一盏，煎至七分，去滓温服，不拘时。
治积聚不消，心腹胀满。金翼丸方
沉香 木香 青橘皮（汤浸去白焙） 陈橘皮（汤浸去白焙） 京三棱（煨锉） 五灵
脂（各半两） 芫花（醋炒焦色） 干漆（炒烟出各一分） 寒食面（炒三分） 墨（烧
研，每服二钱匕，新汲水调下。
治积聚胀闷，减食黄瘦。参苓丸方
人参 赤茯苓（去黑皮） 细辛（去苗土） 枳壳（去瓤麸炒） 熟干地黄（焙） 当
归（切焙） 麦门冬（去心焙） 附子（炮裂去皮脐） 干姜（炮） 大黄（锉炒） 浓
朴（研一两） 牛黄（研） 龙脑（研） 麝香（研各一分） 金薄（十四片） 粉
霜腻粉（各一钱） 巴豆（去
上九味研细，丸如弹丸，量虚实加减，夜半后，龙脑浆水下，藏虚即旋丸如小豆大。每
服三丸，龙脑米饮下，疾坚者、加至十丸，皆以针刺作数孔，以行药力，小儿取积。丸如绿
豆，每服三丸，又治小儿吐逆，并米饮下。
治气胀心腹满闷，胸胁痛，气壅不通，沉香散方
沉香（锉） 青木香（锉） 陈橘皮（汤浸去白焙各半两） 郁李仁（汤浸去皮别研） 大
黄（煨锉各一两） 桂（去粗皮半两） 枳壳（去瓤麸炒） 槟榔（半生半熟） 诃黎勒皮
（各三分）
上九味捣罗为散，每服二钱匕，炒生姜酒调下。
治积聚心腹胀满，痞塞不通，大肠燥结，腰腹 痛，面赤口干。香桂汤方
桂（去粗皮） 陈橘皮（去白焙炒） 槟榔生（锉） 当归（切焙） 甘草（炙锉） 木
香芍药 枳壳（去瓤
上九味粗捣筛，每服五钱匕，水一盏半，煎至八分，去滓食后温服。
治久积气不散，心膈满闷，四肢不收，痞塞不通，枳实丸方
枳实（去瓤麸炒一两） 白术 槟榔（锉） 陈橘皮（汤浸去白焙各三分） 甘草（炙
锉） 生姜（切炒各一分） 赤茯苓（去黑皮） 青木香 桂（去粗皮） 昆布（洗去咸焙）
诃黎勒皮 大黄（煨锉各半两） 草
上一十三味，捣罗为末，炼蜜和丸，如梧桐子大，每服二十丸，生姜木瓜汤下。
Commentary states: When the functions of the six fu organs and five zang organs are disharmonious, qi and blood stagnate and accumulate, forming accumulations (Ji Ju). These accumulations become knotted and obstructed, preventing the free flow of qi, which then clashes with the qi of the zang organs. Consequently, this leads to distension and fullness in the heart and abdomen, restlessness, shortness of breath. If invaded by cold pathogenic factors, the cold clashes with the zang and fu organs. The conflict between yin and yang results in pain in the heart and abdomen, and in severe cases, diarrhea or dysentery.
For treating accumulations causing distension and fullness in the heart and abdomen, abdominal pain after eating, indigestion, vomiting, hiccups, nausea, chest and hypochondriac distension, and irregular bowel movements (alternating constipation and loose stools), use Mo Zhi Wan (Grinding Stagnation Pill).
Ingredients include: Mu Xiang (Vladimiria Root), Qing Ju Pi (Green Tangerine Peel, soaked in decoction, white pith removed, dried), Gui Zhi (Cinnamon Twig, outer bark removed, 1 liang each), Wu Zhu Yu (Evodia Fruit, soaked in decoction, dried and stir-fried, 3 liang), Sha Ren (Amomum Fruit, boiled with vinegar into frost and ground), Ba Dou Shuang (Croton Seed Frost).
The above six herbs: Crush and sieve four of them into powder, mix evenly with Sha Ren frost and Ba Dou Shuang, use vinegar-boiled wheat paste as a binder to make pills. Size like mung beans. Take 3 pills per dose, increase to 5 if necessary. Take morning and evening after meals and before sleep. Reduce dosage if loose stools occur.
For treating persistent accumulations, distension and fullness in the heart and abdomen, vomiting of sour fluid, aversion to food odors, dysfunction of zang and fu organs, constipation or diarrhea, use Sha Ren Wan (Amomum Pill).
Ingredients include: Sha Ren (Amomum Fruit, 1 liang, dissolved with 1.5 cups of vinegar and 1 spoonful of flour into a paste), Wu Mei (Mume Fruit, pitted and stir-fried, 3 liang), Ba Dou Shuang (Croton Seed Frost, 1 qian bi), Mo Yao (Myrrh, ground).
The above nine herbs (Note: Text mentions nine but lists fewer explicitly in this segment, follow text): Crush and grind eight herbs into powder, ensure uniformity, use Sha Ren paste to make pills size like mung beans. Take 2-3 pills per dose. Decoct Ding Xiang (Clove) and Wu Mei (Mume Fruit) soup for administration. Take after meals. Adjust dosage according to deficiency or excess.
For treating accumulations causing distension and fullness in the heart and abdomen, retention of undigested food, stabbing pain, nausea, vomiting, and loss of appetite, use Ji Qi Wan (Accumulated Qi Pill).
Ingredients include: Gui Zhi (Cinnamon Twig, outer bark removed, 2 liang), Fu Zi (Prepared Aconite Root, cracked, skin and umbilicus removed, 0.5 liang), Dan Sha (Cinnabar, ground, 4 liang), Tao Ren (Peach Kernel, soaked in decoction, skin and tip removed, double kernel, ground, 1.5 liang), Ba Dou (Croton Seed, skin and inner membrane removed, oil pressed out, 100 seeds), Jing San Leng (Burreed Rhizome, roasted and crushed), Gan Qi (Dried Lacquer, stir-fried until smoke appears), Bie Jia (Turtle Shell, skirt removed, vinegar-fired, 1 liang each), Sha Ren (Amomum Fruit, ground, 2 liang), Da Huang (Rhubarb Root, raw use, 1 liang), She Xiang (Musk, ground, 1 liang), Mu Xiang (Aucklandia Root, 1 liang).
The above twelve herbs: Crush and grind into powder. First, boil good vinegar (1 sheng) into a paste, mix with the above medicines, make pills size like mung beans. Take 3-5 pills per dose, adjust according to deficiency/excess. Decoct Mu Xiang soup for administration. Take after meals.
For treating accumulations causing distension and fullness in the heart and abdomen and loss of appetite, use Chen Xiang Jian Wan (Agarwood Decoction Pill).
Ingredients include: Chen Xiang (Aquilaria Wood), Mu Xiang (Aucklandia Root), Hu Jiao (Pepper), Qing Ju Pi (Green Tangerine Peel, white pith removed, dried), A Wei (Asafoetida, dissolved in vinegar, mixed with flour into cakes and roasted), Mo Yao (Myrrh, ground), Bing Lang (Areca Seed, crushed), Dan Sha (Cinnabar, ground), Liu Huang (Sulfur, ground), Sha Ren (Amomum Fruit, ground), Gao Liang Jiang (Galangal Rhizome, 1 liang each), Ba Dou Shuang (Croton Seed Frost, 2 qian bi), Ding Xiang (Clove, 0.5 liang).
The above thirteen herbs: Except those already ground, crush and sieve the rest into powder, mix uniformly. Use honey melted in a double boiler to make pills size like wutong tree seeds. Take 3 pills per dose. Decoct Ju Pi (Tangerine Peel) soup for administration.
For treating non-resolving accumulations, abdominal fullness, stabbing pain, regurgitation of acid, and loss of appetite, use Dai Zhe Wan (Hematite Pill).
Ingredients include: Dai Zhe Shi (Hematite, ground), Mu Xiang (Aucklandia Root), Gui Zhi (Cinnamon Twig, outer bark removed), Dan Sha (Cinnabar, ground, 0.5 liang each), Jing San Leng (Burreed Rhizome, roasted and crushed, 1 liang), Xing Ren (Apricot Kernel, skin and tip removed, double kernel, stir-fried and ground, 1 fen).
The above eight herbs: Crush and grind into powder. Use vinegar-boiled wheat paste to make pills size like wutong tree seeds. Take 3 pills per dose. After meals, take with warm Ju Pi (Tangerine Peel) soup or Sheng Jiang (Fresh Ginger) soup.
For treating non-resolving accumulations, distension and fullness in the heart and abdomen, acid regurgitation, vomiting, and loss of appetite, use Mu Xiang San Leng Wan (Aucklandia and Burreed Pill).
Ingredients include: Mu Xiang (Aucklandia Root), Jing San Leng (Burreed Rhizome, roasted and crushed), Bing Lang (Areca Seed, crushed, 0.5 liang each), Wu Mei Rou (Mume Fruit Flesh, stir-fried, 2 liang), Suo Sha Ren (Cardamom Fruit, 1 liang), Qing Ju Pi (Green Tangerine Peel, white pith removed, dried, 1.5 liang).
The above seven herbs: Crush and grind into powder. Use vinegar-boiled wheat paste to make pills size like hemp seeds. Dry in shade. Coat with Dan Sha (Cinnabar). Take 20 pills per dose. Before meals, take with Sheng Jiang Mi Yin (Fresh Ginger Rice Drink).
For treating accumulations causing distension and fullness in the heart and abdomen, benefiting the chest and diaphragm, dispersing stagnant qi, and eliminating retained food, use Mu Xiang Gan Qi Wan (Aucklandia and Dried Lacquer Pill).
Ingredients include: Mu Xiang (Aucklandia Root, 0.5 liang), Gan Qi (Dried Lacquer, stir-fried until smoke appears, 3 fen), Rou Dou Kou (Nutmeg, shell removed), Jing San Leng (Burreed Rhizome, roasted), Qing Ju Pi (Green Tangerine Peel, soaked in decoction, white pith removed, dried), Chen Ju Pi (Aged Tangerine Peel, soaked in decoction, white pith removed, dried), Gui Zhi (Cinnamon Twig, outer bark removed, 1 liang each), Bing Lang (Areca Seed, crushed), Bu Gu Zhi (Psoralea Fruit, stir-fried, 0.5 liang each), Zhi Qiao (Aurantium Fruit, pulp removed, bran-roasted).
The above eight herbs: Coarsely crush and sieve. Take 3 qian bi per dose. Add 1 cup of water, decoct to 0.7 cup. Remove dregs and take warm. No specific time restriction.
(Note: The original text contains a disjointed list following this formula description involving Qing Ju Pi, Mu Xiang, Bing Lang, Gan Jiang, Gui Zhi, Gan Cao. Translated as appearing in source.)
Alternative ingredients listed: Qing Ju Pi (Green Tangerine Peel, soaked, white pith removed, dried), Mu Xiang (Aucklandia Root), Bing Lang (Areca Seed, crushed, 1 liang each), Gan Jiang (Dried Ginger, prepared, 0.5 liang), Gui Zhi (Cinnamon Twig, outer bark removed, 1 liang), Gan Cao (Licorice Root, roasted and crushed, 2 liang).
The above eight herbs: Coarsely crush and sieve. Take 3 qian bi per dose. Add 1 cup of water, decoct to 0.7 cup. Remove dregs and take warm. No specific time restriction.
For treating non-resolving accumulations and distension and fullness in the heart and abdomen, use Jin Yi Wan (Golden Wing Pill).
Ingredients include: Chen Xiang (Aquilaria Wood), Mu Xiang (Aucklandia Root), Qing Ju Pi (Green Tangerine Peel, soaked, white pith removed, dried), Chen Ju Pi (Aged Tangerine Peel, soaked, white pith removed, dried), Jing San Leng (Burreed Rhizome, roasted and crushed), Wu Ling Zhi (Trogopterus Dung, 0.5 liang each), Yuan Hua (Genkwa Flower, vinegar-roasted to scorched color), Gan Qi (Dried Lacquer, stir-fried until smoke appears, 1 fen each), Han Shi Mian (Cold Food Powder, stir-fried, 3 fen), Mo (Ink Stick, burnt and ground).
Take 2 qian bi per dose. Mix with fresh well water and swallow.
For treating accumulations causing distension and oppression, reduced appetite, and emaciation, use Shen Ling Wan (Ginseng and Poria Pill).
Ingredients include: Ren Shen (Ginseng Root), Chi Fu Ling (Red Poria, black skin removed), Xi Xin (Asarum, seedlings and soil removed), Zhi Qiao (Aurantium Fruit, pulp removed, bran-roasted), Shu Di Huang (Prepared Rehmannia Root, dried), Dang Gui (Angelica Sinensis Root, sliced and dried), Mai Men Dong (Ophiopogon Tuber, heart removed, dried), Fu Zi (Prepared Aconite Root, cracked, skin and umbilicus removed), Gan Jiang (Dried Ginger, prepared), Da Huang (Rhubarb Root, crushed and stir-fried), Hou Po (Magnolia Bark, ground, 1 liang), Niu Huang (Calculus Bovis, ground), Long Nao (Borneol, ground), She Xiang (Musk, ground, 1 fen each), Jin Bo (Gold Leaf, 14 pieces), Fen Shuang (White Mercurous Chloride), Ni Fen (Calomel, 1 qian each), Ba Dou (Croton Seed, removed...).
The above nine main categories (text lists many more individual items): Grind finely. Make pills size like bullet shots. Adjust dosage according to deficiency/excess. After midnight, take with Long Nao Jiang Shui (Borneol Water). For deficient patients, immediately reduce pill size to that of small beans. Take 3 pills per dose with Long Nao Mi Yin (Borneol Rice Drink). For solid/chronic diseases, increase to 10 pills. Pierce pills with needles to create holes to facilitate drug action. For children's accumulation, make pills size like mung beans. Take 3 pills per dose. Also treats infantile vomiting/regurgitation; administer with rice drink.
For treating qi distension causing heart and abdominal fullness, chest and hypochondriac pain, and blocked qi flow, use Chen Xiang San (Aquilaria Powder).
Ingredients include: Chen Xiang (Aquilaria Wood, crushed), Qing Mu Xiang (Vladimiria Root, crushed), Chen Ju Pi (Aged Tangerine Peel, soaked, white pith removed, dried, 0.5 liang each), Yu Li Ren (Bush Cherry Kernel, soaked, skin removed, separately ground), Da Huang (Rhubarb Root, roasted and crushed, 1 liang each), Gui Zhi (Cinnamon Twig, outer bark removed, 0.5 liang), Zhi Qiao (Aurantium Fruit, pulp removed, bran-roasted), Bing Lang (Areca Seed, half raw half cooked), He Li Le Pi (Chebulic Myrobalan Skin, 3 fen each).
The above nine herbs: Crush and sieve into powder. Take 2 qian bi per dose. Mix with stir-fried fresh ginger and wine and take.
For treating accumulations causing distension and fullness in the heart and abdomen, blockage, dry feces in the large intestine, lower back and abdominal pain, red face, and dry mouth, use Xiang Gui Tang (Fragrant Cinnamon Decoction).
Ingredients include: Gui Zhi (Cinnamon Twig, outer bark removed), Chen Ju Pi (Aged Tangerine Peel, white pith removed, dried and stir-fried), Bing Lang (Areca Seed, raw use, crushed), Dang Gui (Angelica Sinensis Root, sliced and dried), Gan Cao (Licorice Root, roasted and crushed), Mu Xiang (Aucklandia Root), Bai Shao (White Peony Root), Zhi Qiao (Aurantium Fruit, pulp removed).
The above nine herbs: Coarsely crush and sieve. Take 5 qian bi per dose. Add 1.5 cups of water, decoct to 0.8 cup. Remove dregs and take warm after meals.
For treating long-standing accumulated qi not dispersing, chest and diaphragm fullness, flaccidity of limbs, and blockage, use Zhi Shi Wan (Immature Aurantium Pill).
Ingredients include: Zhi Shi (Immature Aurantium Fruit, pulp removed, bran-roasted, 1 liang), Bai Zhu (Atractylodes Rhizome), Bing Lang (Areca Seed, crushed), Chen Ju Pi (Aged Tangerine Peel, soaked, white pith removed, dried, 3 fen each), Gan Cao (Licorice Root, roasted and crushed), Sheng Jiang (Fresh Ginger, sliced and stir-fried, 1 fen each), Chi Fu Ling (Red Poria, black skin removed), Qing Mu Xiang (Vladimiria Root), Gui Zhi (Cinnamon Twig, outer bark removed), Kun Bu (Kelp, washed to remove salt and dried), He Li Le Pi (Chebulic Myrobalan Skin), Da Huang (Rhubarb Root, roasted and crushed, 0.5 liang each), Cao ... (Herb... [Text cuts off]).
The above thirteen herbs: Crush and sieve into powder. Mix with refined honey to make pills size like wutong tree seeds. Take 20 pills per dose. Decoct Sheng Jiang (Fresh Ginger) and Mu Gua (Chaenomeles Fruit) soup for administration.