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(One treatise, forty-four prescriptions, six moxibustion methods)

The treatise states: Diseases include "Ji" (accumulation) and "Ju" (aggregation). How can they be distinguished? The answer is: "Ji" belongs to Yin Qi; "Ju" belongs to Yang Qi. Therefore, Yin Qi is deep and latent, while Yang Qi is floating and active. When Qi accumulates and does not disperse, it is called "Ji"; when Qi gathers and scatters irregularly, it is called "Ju". Thus, "Ji" originates from the Zang organs (solid organs); "Ju" is formed by the Fu organs (hollow organs).

Regarding "Ji", which belongs to Yin Qi, its onset has a fixed location, pain does not leave its specific area, and there are definite upper and lower boundaries as well as left and right limits. Regarding "Ju", which belongs to Yang Qi, its onset has no fixed root, it does not stay or stop at any specific upper or lower point, and the pain has no fixed location; this is called "Ju". Therefore, one distinguishes between "Ji" and "Ju" based on these characteristics.

When meridians are affected by disease, pathogens enter the stomach and intestines, leading to accumulations in the five Zang organs, manifesting as Fuliang (Hidden Beam), Xiben (Panting Accumulation), Feiqi (Fat Qi), Piqi (Stagnant Qi), and Ben Tun (Running Piglet). How do accumulations develop from initial formation to completion? It is said: Accumulations begin with the contraction of cold, forming when rebellious Qi stagnates. How can one identify those prone to intestinal accumulations? It is said: If the skin is thin and lacks luster, and the muscles are not firm but soft and moist, the stomach and intestines are damaged. Weakness allows pathogenic factors to linger and accumulate, resulting in intestinal accumulation. Disordered cold and warmth cause pathogenic factors to temporarily subside; when they accumulate and stagnate, major aggregations arise.

If there is swelling in the waist, thighs, and legs, along with pain around the umbilicus, what disease is this? It is said: This disease is named Fuliang (Hidden Beam), which is the root of wind pathogens. It must not be manipulated; manipulation leads to difficulty in urination. Fullness and hardness in the lower abdomen with roots extending left, right, up, and down indicate Fuliang. Pus and blood are enclosed outside the stomach and intestines. It is difficult to treat; forceful pressing during treatment may cause death. Downward progression results in passing pus and blood; upward progression presses against the epigastrium causing dysphagia (diaphragm obstruction) and forms internal abscesses near the stomach. This is a chronic condition and difficult to cure. Lesions above the umbilicus are considered adverse; do not manipulate them. Quickly deplete their Qi so that it overflows into the large intestine.

This prescription treats accumulations of cold and heat in the five Zang organs, abdominal distension, borborygmus (intestinal rumbling), belching, inability of food to nourish muscles, and severe vomiting or regurgitation. For patients who have recovered from Taiyang Cold Damage (Shanghan) or cold malaria, to prevent recurrence, take five pills after meals. Those who consume alcohol may swallow ten pills. Regular use harmonizes bowel movements and urination and promotes muscle growth.

Ingredients: Dahuang (Rhubarb Radix et Rhizoma, processed), Qianhu (Peucedani Radix, each 2 liang), Xiaoshi (Natrii Sulfas), Tingli (Descurainiae Semen seu Lepidii Semen), Xingren (Prunus Armeniacae Semen Amarum, each 1 sheng), Nongpu (Magnoliae Officinalis Cortex), Fuzi (Aconiti Lateralis Radix Praeparata), Xixin (Asari Radix et Rhizoma, Banxia (Pinelliae Rhizoma, each 1 liang), Fuling (Poria, 0.5 liang).

The above ten ingredients are powdered, mixed with honey, and pounded for five thousand strokes. Take pills the size of wutong seeds, starting with five pills and gradually increasing to ten pills, adjusting until the desired effect is achieved.