病源久癖谓因饮水过多。水气拥滞。遇寒热气相搏。便成癖。在于两胁下。经久不瘥。
乃结聚成形。段而起按之乃水鸣。积有岁年。故云久癖。（出第二十卷中）
集验疗冷热久癖。实不能下。虚满如水状方。
前胡（四两） 生姜（四两） 枳实（三两炙） 半夏（四两洗） 白术（三两） 茯
苓（四两）
上八味切。以水八升。煮取三升。分三服。（千金同出第六卷中）
古今录验曾青丸。疗久寒积聚。留饮宿食。天行伤寒者服之二十日愈。久服令人延年益
寿。殷仲堪云∶扁鹊曾青丸。疗久癖积聚。留饮宿食。天行伤寒。咳逆消渴。随病所在。久
病羸瘦。老小宜服药。或吐或下或汗出方。
曾青（二分） 寒水石（三分） 朴硝（二分） 茯苓（三分） 大黄（三分） 附子
（三分炮）
巴豆（二分）
上七味各异捣。下筛巴豆消相合。捣六千杵。次纳附子捣相得。次纳茯苓捣相得。次纳
大黄捣相得。次纳曾青捣相得。次纳寒水石捣相得。次纳蜜和捣千杵。大人服大豆二丸。小
儿五岁以下。如麻子一丸。二三岁见如黍米一丸。如服药以薄粉粥清下。当覆卧令汗出。吐
下气发作。服二丸。霍乱服三丸。泄痢不止。服一丸可至二丸。一方用曾青三分。忌猪肉冷
水芦笋大酢。（崔氏同出第十卷中）
[Background Information]
Book Title: *Waitai Miyao* (Essential Prescriptions Worth a Thousand Gold for Emergencies)
Author: Wang Tao
Dynasty: Tang Dynasty, Tianbao 11th Year
Chapter: Two Formulas for Long-standing Pi Masses
Category: Formulas
[English Translation]
According to the etiology of diseases, "long-standing Pi masses" (chronic accumulations) are caused by excessive drinking of water. The Qi of water becomes stagnant and obstructed; when it encounters cold and heat, these pathogenic factors clash and contend with each other, resulting in Pi disease located under both hypochondria. If this condition persists without healing, it condenses and takes shape, presenting as segmented protrusions that produce a gurgling sound upon palpation. Having accumulated over years, it is termed long-standing Pi mass. (From Volume 20)
The *Jiyan Fang* (Collected Verified Prescriptions) provides a formula for treating long-standing Pi masses involving cold and heat, where excess patterns cannot be purged downward, or deficiency patterns present with fullness resembling water retention.
Qianhu (Peucedani Radix, 4 liang), Shengjiang (Zingiberis Rhizoma Recens, 4 liang), Zhishi (Aurantii Fructus Immaturus, 3 liang, stir-fried), Banxia (Pinelliae Rhizoma Praeparatum, 4 liang, washed), Baizhu (Atractylodis Macrocephalae Rhizoma, 3 liang), Fuling (Poria, 4 liang).
Cut the above eight herbs. Decoct them in 8 sheng of water until 3 sheng remains. Divide into three doses. (Also found in Volume 6 of *Qianjin Fang*)
The *Gujin Luyan* (Records of Antiquity and Modern Times) presents Zengqing Wan (Chrysocolla Pill) for treating long-standing cold accumulations, retained fluids, and old food stagnation. It is effective for patients with epidemic febrile diseases or cold damage, who recover within twenty days of administration. Long-term use promotes longevity and health. Yin Zhongkan stated: Bian Que's Zengqing Wan treats long-standing Pi masses, accumulations, retained fluids, old food stagnation, epidemic febrile diseases, cough with counterflow qi, and xiao-ke (wasting-thirst syndrome). It treats according to the location of the disease. For those suffering from chronic illness and emaciation, as well as the elderly and children, medication is appropriate. Therapeutic methods may include inducing vomiting, purging downward, or inducing sweating.
Zengqing (Chrysocholum, 2 fen), Hanshuishi (Natron, 3 fen), Puxiao (Natrii Sulfas, 2 fen), Fuling (Poria, 3 fen), Dahuang (Rhei Radix et Rhizoma, 3 fen), Fuzi (Aconiti Lateralis Radix Praeparata, 3 fen, processed), Badou (Crotonis Fructus, 2 fen).
Grind each of the seven herbs separately. Sieve the powder. Mix the sieved Badou powder with the others. Pound for six thousand strokes. Then add Fuzi and pound until well combined. Next, add Fuling and pound until well combined. Then add Dahuang and pound until well combined. Next, add Zengqing and pound until well combined. Then add Hanshuishi and pound until well combined. Finally, mix with honey and pound for one thousand strokes. Adults take two pills the size of soybeans. Children under five years old take one pill the size of a hemp seed; children aged two to three take one pill the size of a millet grain. If the patient experiences vomiting or diarrhea after taking the medicine, stop further dosing after two pills. For cholera-like symptoms, take three pills. For persistent diarrhea and dysentery, take one pill, up to two pills maximum. Another version uses 3 fen of Zengqing. Avoid pork, cold water, reeds, and strong vinegar. (Also found in Volume 10 of Cui Shi's formulas)