论曰气之所积名曰积，其本在脏，阴气所生也，气之所聚名曰聚，其本在腑，阳之所生
也，脏病止而不移，腑病无所留止，是为积聚，虚劳之人，阴阳伤损，血气涩滞。不能宣通，
各随其腑脏之气而留结，故成积聚之病。
治虚劳心腹积聚，胁肋刺痛，肌体羸瘦，不欲饮食，及八风十二痹，气血不荣，久服身
体润泽，大通丸方
熟干地黄（焙半斤） 天门冬（去心焙） 白术（锉） 干姜（炮） 当归（切焙） 石
槲（去根）
菀（洗各一两半）
（生研各三分） 白芷（半两）
上一十八味，捣罗为末，炼蜜煮枣肉合和，丸如梧桐子大，每服二十丸，米饮下，日三
治虚劳心腹积聚，及百病邪气往来，厥逆抢心，羸瘦不能食，破积聚，乌头丸方
乌头（炮裂去皮脐一两） 前胡（去芦头） 蜀椒（去目并闭口者炒出汗） 黄芩（去
黑心）
黄连（去须）
朴（去粗皮姜汁炙）
上二十二味，捣罗为末，炼蜜和丸，如梧桐子大，每服二十丸，空心温酒下，日午临
卧再服。
治虚劳坚癖，腹胀羸瘦，食久不消，面色萎黄，四肢少力，陈橘皮丸方
陈橘皮（汤浸去白炒） 木香 浓朴（去粗皮姜汁浸） 槟榔（生锉） 硫黄（细研） 大
黄（
上六味，捣罗为末，炼蜜和丸，如梧桐子大，每服二十丸，温酒或米饮下。
治虚劳羸瘦，癖块不消，鳖甲丸方
鳖甲（去裙 醋炙） 枳壳（去瓤麸炒各三两） 大黄（锉炒一两） 白芍药（一两半）
上四味，捣罗为末，米醋煮面糊和丸，如梧桐子大，每服十丸，至十五丸，温酒下、日
再。
治虚劳积聚，心腹胀满，喘促气逆，面色萎黄，痰嗽心忪，不思饮食，大鳖甲丸方
鳖甲（一枚重二两去裙 醋炙） 柴胡（去苗） 大黄（湿纸裹煨） 熟干地黄（焙） 乌
梅（
茯苓（去
（焙） 京三棱（炮
黑心） 陈橘皮（汤浸去白
上二十六味，捣罗为末，炼蜜和丸，如梧桐子大，每服二十丸，至三十丸，温酒下、日
三。
治脾肾虚劳，心腹积气，面色萎黄，不思饮食，胸膈满闷，橘皮煎丸方
青橘皮（二两麸炒黄捣罗为末醋一盏半于银石器属性武火熬成膏） 木香 桂（去粗皮）
人参 诃黎勒皮（炒） 京三棱（炮锉） 藿香（去茎） 浓朴（去粗皮姜汁炙） 当归（切
焙） 萆
上一十二味，捣罗十一味为末，入橘皮煎内，捣三二百下，丸如梧桐子大，每服二十丸，
空心日午，温米饮下。
治冷劳心腹积聚，羸瘦盗汗，不思饮食，腹胀下痢，四肢无力，补真丸方
浓朴（去粗皮姜汁炙） 苍术（去皮米泔浸切焙各四两） 陈橘皮（汤浸去白焙） 石
斛（去
两） 丁香 鳖
归（切焙） 草豆蔻（
茱萸 杜仲（去粗皮炙锉） 补骨脂（炒各一两） 黄 （锉二两） 吴茱萸（半两汤洗三
遍焙干炒）
上二十五味，捣罗为末，煮枣肉和丸，如梧桐子大，每服二十丸，米饮下，日三。
治虚劳心下积聚，元气虚惫，脐下冷疼，绿云丸方
砂（研） 硫黄（研） 木香 槟榔（锉各半两） 附子（炮裂去皮脐二两） 京三
棱（煨锉
上七味，捣研为末，合研匀，酒煮面糊和丸，如小豆大，每服十丸，炒生姜酒下，日午
夜卧服，妇人血气，当归酒下。
治虚劳积聚不消，心腹妨闷，脾胃气滞，不思饮食，青金煮散方
青橘皮（汤浸去白炒） 白术 木香 姜黄 槟榔（锉） 郁李仁（汤浸去皮尖） 楝
实（锉
炒） 香子（炒） 人参 益智（去皮炒） 赤茯苓（去黑皮） 白牵牛（微炒各半两）
上一十二味，捣罗为散，每服二钱匕，水一盏，入生姜二片，盐一字，煎至七分。去滓
稍热空心服。
治虚劳积聚，满闷疼痛，及一切风劳冷气，积年不瘥，攻击四肢，遍体酸疼，面无颜
色，或即浮肿，脚膝虚肿，行步无力，大肠秘涩，常有结粪，膝冷腰疼，吃食无味。兼治妇
人虚冷血气，年深不愈，气攻四肢，心膈刺痛，经脉不调，面如蜡色，手足虚肿等，韭子丸
方
韭子（二两以醋汤煮后炒令如油麻者） 牛膝（酒浸切焙） 当归（切焙） 桂（去粗
皮） 干
姜（炮裂） 人参 芎 大黄（各半两） 巴豆（九十粒去皮心麸炒别研出油）
上九味，将八味捣罗为末，入巴豆旋旋调和令匀，次下熟蜜，和杵数千下，丸如梧桐子
大，每服空心，以温酒下二丸至三丸，取溏利为度。
治虚劳积聚，腹胁坚满，男子妇人，一切风劳冷气，头旋眼疼，手脚 痹，血风劳气，
攻击五脏四肢，筋脉掉动，面上习习似虫行，遍生疮癣，心膈烦闷，腹痛虚鸣，腰疼膝冷，
手足或冷或热。诸气刺痛，呕逆醋心，肠胃秘涩，肺气发动，耳复虚鸣，脚膝无力，仍治妇
人诸病，冷血劳气，发损面黄，气刺心腹，骨筋酸痛，经脉不调，经年逾月，或下过多，不
定，兼治冷热诸痢，香港脚水肿等，灵感丸方
柴胡（去苗） 防风（去叉） 紫菀（去苗土） 当归（切焙） 人参 赤茯苓（去黑
皮） 干
姜（炮裂） 桔梗（炒） 菖蒲 乌头（炮裂去皮脐） 浓朴（去粗皮生姜汁炙锉） 大黄 吴
茱萸
（汤洗焙干） 皂荚（去皮子酥炙） 蜀椒（去目并闭口炒出汗） 陈橘皮（去白炒） 郁
李仁（别
研） 黄连（去须炒） 巴豆（各半两去油研）
上一十九味，捣研为末，炼蜜和丸，如梧桐子大，每服空心酒饮任下五丸，取微利为度，
如风冷气人，长服此药最佳，又宜夜服。
治虚劳积滞，槟榔大黄汤方
槟榔（四枚锉） 大黄（锉） 甘草（各一两） 皂荚（一梃不 者）
上四味，俱生用，粗捣筛，用童子小便五盏，煎至三盏，去滓露一宿，分为三服，空心
一服，至日午不动再服，至申时不动更一服，皆冷服之，动利后，将药滓焙干。入木香半两，
捣为末，每服一钱，温米饮调下，不计时候，日服三服。
Discourse states: The accumulation of qi is called "Ji" (accumulation), rooted in the Zang organs, generated by Yin Qi. The gathering of qi is called "Ju" (mass), rooted in the Fu organs, generated by Yang Qi. Diseases of the Zang organs are fixed and do not move; diseases of the Fu organs have no fixed location. This is referred to as Ji Ju (accumulations and masses). In patients with Xu Lao (deficiency consumptive disease), Yin and Yang are damaged, and Blood and Qi become stagnant and sluggish, unable to circulate freely. Depending on the stagnation of Qi in the respective Zang or Fu organs, nodules form, thus resulting in the disease of Ji Ju.
Formula for Da Tong Wan (Great Unblocking Pill) to treat Ji Ju in the heart and abdomen due to Xu Lao, stabbing pain in the hypochondrium, emaciation of the body, loss of appetite, as well as Eight Winds and Twelve Bi syndromes, where Qi and Blood fail to nourish the muscles and skin. Long-term use will make the body lustrous and moist.
Prepared Rehmanniae Radix (Shu Di Huang) (half jin, baked), Asparagi Radix (Tian Men Dong) (heart removed, baked), Atractylodis Macrocephalae Rhizoma (Bai Zhu) (cut into pieces), Dried Ginger (Gan Jiang) (processed), Angelicae Sinensis Radix (Dang Gui) (sliced and baked), Lycopii Herba (Shi Hu E Yuan) (roots removed, washed, one and a half liang each), [Herbs for raw grinding] (three fen each), Angelicae Dahuricae Radix (Bai Zhi) (half liang).
The above eighteen ingredients are crushed, sifted into powder, mixed with refined honey and jujube flesh, and formed into pills the size of paulownia seeds. Take twenty pills per dose, with rice drink, three times a day.
Formula for Wu Tou Wan (Aconite Pill) to treat Ji Ju in the heart and abdomen due to Xu Lao, wandering pathogenic factors from a hundred diseases, Jue Ni (reversal cold) rushing to the heart, emaciation and inability to eat, and breaking down accumulations.
Processed Aconiti Lateralis Radix Praeparata (Wu Tou) (cracked, skin and umbilicus removed, one liang), Peucedani Radix (Qian Hu) (radicle removed), Sichuan Pepper (Shu Jiao) (eyes and closed-mouth ones removed, fried until sweat appears), Scutellariae Radix (Huang Qin) (black heart removed), Coptidis Rhizoma (Huang Lian) (whiskers removed), [Magnoliae Officinalis Cortex - implied as Hou Po] (thick bark removed, processed with ginger juice).
The above twenty-two ingredients are crushed, sifted into powder, mixed with refined honey, and formed into pills the size of paulownia seeds. Take twenty pills per dose, with warm wine on an empty stomach, and again at noon and before bed.
Formula for Chen Ju Pi Wan (Aged Tangerine Peel Pill) to treat Jian Pi (hard nodules) due to Xu Lao, abdominal distension and emaciation, food stagnation, sallow complexion, and weakness in the four limbs.
Aged Tangerine Peel (Chen Ju Pi) (soaked in hot water, white pith removed, fried), Costus Root (Mu Xiang), Magnoliae Officinalis Cortex (Nong Po) (thick bark removed, soaked in ginger juice), Areca Seed (Bing Lang) (raw and cut), Sulfur (Liu Huang) (finely ground), Rhubarb (Da Huang) [Note: processing method implied].
The above six ingredients are crushed, sifted into powder, mixed with refined honey, and formed into pills the size of paulownia seeds. Take twenty pills per dose, with warm wine or rice drink.
Formula for Bie Jia Wan (Softshell Turtle Shell Pill) to treat Xu Lao with emaciation and persistent nodules.
Softshell Turtle Shell (Bie Jia) (apron removed, vinegar-processed), Aurantii Fructus (Zhi Ke) (pulp removed, bran-fried, three liang each), Rhubarb (Da Huang) (cut and fried, one liang), White Peony Root (Bai Shao Yao) (one and a half liang).
The above four ingredients are crushed, sifted into powder, mixed with rice vinegar and wheat paste, and formed into pills the size of paulownia seeds. Take ten to fifteen pills per dose, with warm wine, twice a day.
Formula for Da Bie Jia Wan (Great Softshell Turtle Shell Pill) to treat Ji Ju due to Xu Lao, abdominal fullness, shortness of breath and rebellious Qi, sallow complexion, phlegm-cough and palpitations, and loss of appetite.
Softshell Turtle Shell (Bie Jia) (one piece weighing two liang, apron removed, vinegar-processed), Bupleuri Radix (Chai Hu) (sprouts removed), Rhubarb (Da Huang) (wrapped in wet paper and baked), Prepared Rehmanniae Radix (Shu Di Huang) (baked), [Mume Fructus - implied], [Poria - implied], Curcuma Longae Rhizoma (Jing San Leng) (processed), Aged Tangerine Peel (Chen Ju Pi) (soaked in hot water, white pith removed).
The above twenty-six ingredients are crushed, sifted into powder, mixed with refined honey, and formed into pills the size of paulownia seeds. Take twenty to thirty pills per dose, with warm wine, three times a day.
Formula for Ju Pi Jian Wan (Tangerine Peel Decoction Pill) to treat Spleen and Kidney Xu Lao, accumulation of Qi in the heart and abdomen, sallow complexion, loss of appetite, and chest and diaphragm fullness.
Green Tangerine Peel (Qing Ju Pi) (two liang, bran-fried yellow, crushed into powder, decocted with one and a half cups of vinegar in a silver or earthenware vessel over high heat until it becomes a paste), Costus Root (Mu Xiang), Cinnamon Twig (Gui) (thick bark removed), Ginseng Radix et Rhizoma (Ren Shen), Chebulae Fructus Pericarpium (He Li Le Pi) (fried), Curcuma Longae Rhizoma (Jing San Leng) (processed and cut), Pogostemonis Herba (Huo Xiang) (stems removed), Magnoliae Officinalis Cortex (Nong Po) (thick bark removed, processed with ginger juice), Angelicae Sinensis Radix (Dang Gui) (sliced and baked), Dioscoreae Hypoglaucae Rhizoma (Bi Xie) [Note: text implies Bi Xie].
Of the above twelve ingredients, eleven are crushed into powder. Mix with the tangerine peel paste, pound three or four hundred times, and form into pills the size of paulownia seeds. Take twenty pills per dose, on an empty stomach and at noon, with warm rice drink.
Formula for Bu Zhen Wan (Tonify True Pill) to treat Cold Lao with Ji Ju in the heart and abdomen, emaciation, night sweats, loss of appetite, abdominal distension, diarrhea, and weakness in the four limbs.
Magnoliae Officinalis Cortex (Nong Po) (thick bark removed, processed with ginger juice), Atractylodis Rhizoma (Cang Zhu) (skin removed, soaked in rice wash water, sliced and baked, four liang each), Aged Tangerine Peel (Chen Ju Pi) (soaked in hot water, white pith removed, baked), Dendrobii Caulis (Shi Hu) [Note: text incomplete], Clove Ding (Ding Xiang), Softshell Turtle Shell [Note: text incomplete], Angelicae Sinensis Radix (Dang Gui) (sliced and baked), Cardamomi Fructus (Cao Dou Kou) [Note: text incomplete], Corni Fructus (Zhu Yu), Eucommiae Cortex (Du Zhong) (thick bark removed, processed and cut), Psoraleae Fructus (Bu Gu Zhi) (fried, one liang each), Astragali Radix (Huang Qi) [Note: text says "Huang"], (cut, two liang), Evodiae Fructus (Wu Zhu Yu) (half liang, washed three times in hot water, dried, fried).
The above twenty-five ingredients are crushed, sifted into powder, mixed with boiled jujube flesh, and formed into pills the size of paulownia seeds. Take twenty pills per dose, with rice drink, three times a day.
Formula for Lv Yun Wan (Green Cloud Pill) to treat Ji Ju under the heart due to Xu Lao, exhaustion of Yuan Qi, and cold pain below the navel.
Cinnabar (Zhu Sha) [Note: text says "Sha"] (ground), Sulfur (Liu Huang) (ground), Costus Root (Mu Xiang), Areca Seed (Bing Lang) (cut, half liang each), Processed Aconiti Radix (Fu Zi) (cracked, skin and umbilicus removed, two liang), Curcuma Longae Rhizoma (Jing San Leng) (baked and cut) [Note: text incomplete].
The above seven ingredients are crushed and ground into powder, mixed evenly, and bound with wheat paste made by boiling in wine. Form into pills the size of small beans. Take ten pills per dose, with fried ginger wine, at noon and before bed. For women's blood and Qi disorders, take with Dang Gui wine.
Formula for Qing Jin Zhu San (Green Gold Boiled Powder) to treat Ji Ju due to Xu Lao that does not resolve, chest and abdominal oppression, Stomach and Spleen Qi stagnation, and loss of appetite.
Green Tangerine Peel (Qing Ju Pi) (soaked in hot water, white pith removed, fried), Atractylodis Macrocephalae Rhizoma (Bai Zhu), Costus Root (Mu Xiang), Turmeric Rhizome (Jiang Huang), Areca Seed (Bing Lang) (cut), Prunus Semen (Yu Li Ren) (soaked in hot water, skin and tip removed), Meliae Semen (Lian Shi) (cut) [Note: text incomplete], Fragrant Seed [Note: text incomplete] (fried), Ginseng Radix et Rhizoma (Ren Shen), Alpinia Oxyphylla Fructus (Yi Zhi) (skin removed, fried), Red Poria (Chi Fu Ling) (black skin removed), White Bindweed Root (Bai Qian Niu) (lightly fried, half liang each).
The above twelve ingredients are crushed into a powder. Take two qian bi per dose, add one cup of water, two slices of fresh ginger, and a pinch of salt. Decoct until three-tenths remain. Strain and drink while slightly warm on an empty stomach.
Formula for Jiu Zi Wan (Leek Seed Pill) to treat Ji Ju due to Xu Lao, fullness and pain, and all Wind-Lao cold Qi persisting for years, attacking the four limbs, causing generalized soreness, lack of luster in the face, edema, weak swelling of feet and knees, weakness in walking, constipation with hard stools, cold knees and lower back pain, and loss of taste. Also treats women's deficiency-cold blood and Qi disorders, chronic conditions, Qi attacking the four limbs, stabbing pain in the heart and diaphragm, irregular menstruation, waxy complexion, and weak swelling of hands and feet.
Leek Seeds (Jiu Zi) (two liang, boiled in vinegar water, then fried until oily like sesame seeds), Achyranthis Bidentatae Radix (Niu Xi) (soaked in wine, sliced and baked), Angelicae Sinensis Radix (Dang Gui) (sliced and baked), Cinnamon Twig (Gui) (thick bark removed), Dried Ginger (Gan Jiang) [Note: text says "Gan"], (cracked and fried), Ginseng Radix et Rhizoma (Ren Shen), Ligustici Chuanxiong Rhizoma (Xiong) [Note: text says "Xiong"], Rhubarb (Da Huang) (half liang each), Crotonis Fructus (Ba Dou) (ninety grains, skin and heart removed, bran-fried, oil pressed out separately).
Take eight of the above nine ingredients, crush into powder. Gradually mix in the Ba Dou oil until uniform. Then add prepared honey, pound thousands of times, and form into pills the size of paulownia seeds. On an empty stomach, take two to three pills with warm wine. Stop when loose stools occur.
Formula for Ling Gan Wan (Inspiration Pill) to treat Ji Ju due to Xu Lao, hardness and fullness in the abdomen and hypochondrium, applicable to both men and women. Treats all Wind-Lao cold Qi, dizziness, eye pain, numbness and bi-syndrome in hands and feet, Blood-Wind Lao Qi attacking the five Zang organs and four limbs, twitching of sinews and vessels, sensation of insects crawling on the face, generalized sores and tinea, chest and diaphragm irritability, abdominal pain with hollow sounds, lower back pain and cold knees, cold or hot hands and feet, stabbing pain from various Qi rebellions, vomiting and acid regurgitation, intestinal constipation, activation of Lung Qi, tinnitus, weakness of feet and knees. Also treats various women's diseases, cold-blood Lao Qi causing sallow complexion, Qi stabbing the heart and abdomen, bone and tendon soreness, irregular menstruation lasting months or years, excessive or irregular bleeding. Also treats various cold and hot dysentery, and Hong Kong Foot (podagra/edema).
Bupleuri Radix (Chai Hu) (sprouts removed), Saposhnikoviae Radix (Fang Feng) (forks removed), Asteris Radix (Zi Wan) (sprouts and soil removed), Angelicae Sinensis Radix (Dang Gui) (sliced and baked), Ginseng Radix et Rhizoma (Ren Shen), Red Poria (Chi Fu Ling) (black skin removed), Dried Ginger (Gan Jiang) (cracked and fried), Platycodonis Radix (Jie Geng) (fried), Acori Tatarinowii Rhizoma (Chang Pu), Processed Aconiti Radix (Wu Tou) (cracked, skin and umbilicus removed), Magnoliae Officinalis Cortex (Nong Po) (thick bark removed, processed with ginger juice and cut), Rhubarb (Da Huang), Evodiae Fructus (Wu Zhu Yu) [Note: text says "Wu Zhu Yu"] (washed in hot water, dried, fried), Gleditsiae Sinensis Fructus (Zao Jia) (skin and seeds removed, roasted with butter), Sichuan Pepper (Shu Jiao) (eyes and closed-mouth ones removed, fried until sweat appears), Aged Tangerine Peel (Chen Ju Pi) (white pith removed, fried), Prunus Semen (Yu Li Ren) (ground separately), Coptidis Rhizoma (Huang Lian) (whiskers removed, fried), Crotonis Fructus (Ba Dou) (half liang each, oil removed, ground).
The above nineteen ingredients are crushed and ground into powder, mixed with refined honey, and formed into pills the size of paulownia seeds. On an empty stomach, take five pills with wine. Stop when mild diarrhea occurs. For patients with Wind-Cold Qi, long-term use is best, preferably taken at night.
Formula for Bing Lang Da Huang Tang (Areca Seed and Rhubarb Decoction) to treat Xu Lao with stagnation.
Areca Seed (Bing Lang) (four pieces, cut), Rhubarb (Da Huang) (cut), Licorice Root (Gan Cao) (one liang each), Gleditsiae Sinensis Fructus (Zao Jia) (one pod, uninfested).
The above four ingredients are used raw, coarsely crushed and sieved. Decoct in five cups of urine from an uncircumcised boy until reduced to three cups. Strain and leave exposed overnight. Divide into three doses. Take one dose on an empty stomach. If no movement by noon, take another. If no movement by Shen hour (3-5 PM), take a third dose. All doses should be taken cold. After bowel movement, dry the dregs by baking. Add half liang of Costus Root (Mu Xiang), grind into powder. Take one qian per dose, mixed with warm rice drink, at any time, three times a day.