论曰血气温则流通，寒则凝结，腹内结强者，风冷邪气积于腹中也，凝结而不散，与正
气相击，上下流走，或按之有根，状如复杯，食寒则腹中硬满，妨害饮食，留滞经久则变结
瘕。
治寒气结强，腹内疼痛。槟榔丸方
槟榔（锉） 芍药（赤者） 桂（去粗皮） 干漆（炒烟出） 京三棱（炮锉） 蓬莪
术（炮锉各一两）
上六味，捣罗为末，醋煮面糊，丸如鸡头大，丹砂为衣，每服一丸，生莱菔一块同嚼，
温熟水下，不拘时候。
治脾胃气不和，累有伤滞，腹内结强，食已腹痛，饮食不化，呕哕恶心，胸膈胀闷，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（汤洗焙干炒三两）
砂（醋熬成霜研炒一钱匕） 巴豆霜（炒半钱匕）
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，每服十丸，
加至十五丸，早晚食后临卧服，大便溏利，即减丸数。
治寒气结强，日久不消。丁香皮煮散方
丁香皮 京三棱（炮锉） 槟榔（生锉） 白术 姜黄 陈橘皮（汤浸去白焙） 当归
（切焙）
上八味，捣罗为散，每服二钱匕，水一盏，生姜一枣大切，煎至七分，去滓温服，日三
夜一。
治冷气不散，腹内结强，坚硬疼痛。白术散方
白术 浓朴（去粗皮生姜汁炙） 人参 吴茱萸（汤洗焙干炒） 白茯苓（去黑皮） 麦
（
上八味，捣罗为散，每服二钱匕，沸汤调下、日三。
治腹内结强，攻冲腹痛。木香丸方
木香 丁香（各一分） 肉豆蔻（去壳二枚） 补骨脂（炒） 荜澄茄 桂（去粗皮） 益
智（
芦巴（炒）
上一十三味，除 砂外，捣罗为末，入 砂和匀，稀面糊和丸，绿豆大，每服二十丸，
至三十丸，温酒下，不拘时候。
治冷气不散，腹内结强。青橘煮散方
青橘皮（汤浸去白焙） 益智（去皮炒） 乌头（炮裂去皮脐） 槟榔（生） 威灵仙
（去土）
上七味，捣罗为散，每服二钱匕，水一盏，入生姜三片，同煎至七分，温服、日三。
治冷气积聚，腹内结强、日久，攻筑腹内疼痛。丁香丸方
丁香 青橘皮（汤浸去白焙） 缩砂仁 桂（去粗皮） 木香（各半两） 槟榔（三枚
锉）
上七味，捣罗为末，醋煮面糊和丸，如绿豆大，每服二十丸，至三十丸，食后生姜汤下
治腹内结强，不可按抑，饮食不化。平胃丸方
杏仁（去双仁皮尖麸炒三十枚） 丹参（三两） 苦参 葶苈子（隔纸炒） 玄参（各
二两）
上七味，捣罗为末，炼蜜和丸，如梧桐子大，每服七丸，日三，以知为度。
Commentary states: Blood and Qi flow smoothly when warm, but coagulate and stagnate when cold. "Jieqiang within the abdomen" (abdominal hardness and rigidity with palpable masses) occurs because wind-cold pathogenic factors accumulate in the abdomen, coagulating and failing to dissipate. They clash with healthy Qi, moving up and down. Upon palpation, a root may be felt, resembling an inverted cup. Ingestion of cold food causes abdominal hardness and fullness, hindering diet. If the pathogen remains for a long time, it transforms into "Jiejia" (abdominal masses that are fixed in place and painful).
For treating Jieqiang caused by cold pathogen, accompanied by abdominal pain. Binglang Wan Formula:
Arecae Semen (Binglang, 槟榔) (crushed), Paeoniae Radix Rubra (Chishao, 赤芍) (red variety), Cinnamomi Ramulus (Guizhi, 桂枝) (coarse bark removed), Drynariae Rhizoma processed with dry lacquer (Ganqi, 干漆) (stir-fried until smoke emerges), Sparganii Rhizoma (Jingsanleng, 京三棱) (processed and crushed), Curcumae Longae Rhizoma (Pengelahu, 蓬莪术) (processed and crushed, each 1 liang).
The above six herbs are pounded, sifted into powder, mixed with vinegar-cooked wheat paste to form pills the size of chicken heads, coated with Cinnabar (Dansha, 丹砂). Take one pill per dose, chew together with a piece of fresh Raphani Fructus (Laifu, 莱菔), and swallow with warm boiled water. Time is not restricted.
For treating disharmony of Spleen and Stomach Qi, recurrent food stagnation, Jieqiang within the abdomen, abdominal pain after eating, indigestion, vomiting, belching, nausea, chest and diaphragm distension and stuffiness, and irregular bowel movements (either constipation or diarrhea). Mozhi Wan Formula:
Costi Rhizoma (Muxiang, 木香), Citri Reticulatae Pericarpium Viride (Qingjupi, 青橘皮) (soaked in hot water, white pith removed, dried), Cinnamomi Ramulus (Guizhi, 桂枝) (coarse bark removed, each 1 liang), Evodiae Fructus (Wuzhuyu, 吴茱萸) (washed in hot water, dried, stir-fried, 3 liang), Amomi Fructus Rotundus (Susharen, 缩砂仁) (simmered in vinegar until frost-like, ground, stir-fried, 1 qian bi), Crotonis Fructus processed with frost (Badoushuang, 巴豆霜) (stir-fried, half qian bi).
The above six herbs: four are pounded and sifted into powder, then mixed evenly with Amomi Fructus Rotundus frost and Crotonis Fructus frost. Form pills using vinegar-cooked wheat paste, size of mung beans. Take 10 pills per dose, increasing to 15 pills. Take morning and evening after meals and before bed. If loose stools occur, reduce the number of pills.
For treating Jieqiang due to cold pathogen persisting for a long time without resolving. Dingpi San Decoction:
Syzygii Aromatica Fructus Pericarpium (Dingpipi, 丁香皮), Sparganii Rhizoma (Jingsanleng, 京三棱) (processed and crushed), Arecae Semen (Binglang, 槟榔) (raw, crushed), Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), Curcumae Longae Rhizoma (Jianghuang, 姜黄), Citri Reticulatae Pericarpium (Chenjupi, 陈橘皮) (soaked in hot water, white pith removed, dried), Angelicae Sinensis Radix (Danggui, 当归) (sliced, dried).
The above eight herbs are pounded and sifted into powder. Take 2 qian bi per dose, with 1 cup of water, add 1 slice of Zingiberis Rhizoma Recens (Shengjiang, 生姜) (cut the size of a jujube), decoct until 7/10 remains, strain, and take warm. Three times daily, once at night.
For treating stagnant cold pathogen, Jieqiang within the abdomen, hardness and pain. Baizhu San Powder:
Atractylodis Macrocephalae Rhizoma (Baizhu, 白术), Magnoliae Officinalis Cortex (Noupu, 厚朴) (coarse bark removed, roasted with ginger juice), Ginseng Radix et Rhizoma (Renshen, 人参), Evodiae Fructus (Wuzhuyu, 吴茱萸) (washed in hot water, dried, stir-fried), Poria (Baifuling, 白茯苓) (black skin removed), Hordeum Vulgare (Maiya/Mai, 麦/麦芽) [Text incomplete].
The above eight herbs (note: text lists fewer than eight explicitly) are pounded and sifted into powder. Take 2 qian bi per dose, mix with boiling water. Three times daily.
For treating Jieqiang within the abdomen, attacking pain in the abdomen. Muxiang Wan Formula:
Costi Rhizoma (Muxiang, 木香), Syzygii Aromatica Fructus (Dingxiang, 丁香) (each 1 fen), Myristicae Semen (Roudoukou, 肉豆蔻) (shell removed, 2 seeds), Psoraleae Fructus (Buguzhi, 补骨脂) (stir-fried), Piperis Kadsurae Fructus (Bidengqie, 荜澄茄), Cinnamomi Ramulus (Guizhi, 桂枝) (coarse bark removed), Alpiniae Oxyphyllae Fructus (Yizhi, 益智) [Text incomplete], Trigonellae Foenum-Graecum Semen (Luba, 芦巴) (stir-fried) [Text incomplete].
The above thirteen herbs (note: text lists fewer than thirteen explicitly), except for Amomi Fructus Rotundus (Susharen, 缩砂仁), are pounded and sifted into powder. Mix with Amomi Fructus Rotundus. Form pills with thin wheat paste, size of mung beans. Take 20 to 30 pills per dose, swallow with warm wine. Time is not restricted.
For treating stagnant cold pathogen, Jieqiang within the abdomen. Qingju San Decoction:
Citri Reticulatae Pericarpium Viride (Qingjupi, 青橘皮) (soaked in hot water, white pith removed, dried), Alpiniae Oxyphyllae Fructus (Yizhi, 益智) (skin removed, stir-fried), Aconiti Lateralis Radix Praeparata (Wutou, 乌头) (processed, cracked, skin and navel removed), Arecae Semen (Binglang, 槟榔) (raw), Clematidis Radix et Rhizoma (Weilingxian, 威灵仙) (cleaned of soil).
The above seven herbs are pounded and sifted into powder. Take 2 qian bi per dose, with 1 cup of water, add 3 slices of Zingiberis Rhizoma Recens (Shengjiang, 生姜), decoct until 7/10 remains, take warm. Three times daily.
For treating accumulation of cold qi, Jieqiang within the abdomen persisting for a long time, attacking and causing abdominal pain. Dingxiang Wan Formula:
Syzygii Aromatica Fructus (Dingxiang, 丁香), Citri Reticulatae Pericarpium Viride (Qingjupi, 青橘皮) (soaked in hot water, white pith removed, dried), Amomi Fructus Rotundus (Susharen, 缩砂仁), Cinnamomi Ramulus (Guizhi, 桂枝) (coarse bark removed), Costi Rhizoma (Muxiang, 木香) (each half liang), Arecae Semen (Binglang, 槟榔) (3 seeds, crushed).
The above seven herbs are pounded and sifted into powder. Form pills with vinegar-cooked wheat paste, size of mung beans. Take 20 to 30 pills per dose, swallow with ginger soup after meals.
For treating Jieqiang within the abdomen, intolerant to pressure, indigestion. Pingwei Wan Formula:
Pruni Armeniacae Semamarum (Xingren, 杏仁) (remove double kernels, skin, and tips, stir-fried with bran, 30 seeds), Salviae Miltiorrhizae Radix (Danshen, 丹参) (3 liang), Sophorae Flavescentis Radix (Kushen, 苦参), Lepidii Semen (Tinglizi, 葶苈子) (stir-fried between papers), Scrophulariae Radix (Xuanshen, 玄参) (each 2 liang).
The above seven herbs are pounded and sifted into powder. Form pills with refined honey, size of paulownia seeds. Take 7 pills per dose, three times daily. Stop when effective.