病源此由饮水聚停不散。复因饮食相搏。致使结积在于胁下。有时弦旦起。或胀痛。或
喘息短气。故云癖结。脉紧实者癖结也。（出第二十卷中）
广济疗癖结心下硬痛。巴豆丸方。
巴豆（三枚去心皮熬） 杏仁（七枚去尖） 大黄（如鸡子大）
上三味。捣筛大黄。取巴豆杏仁别捣如膏。和大黄入。蜜和丸。空肚以饮服。如梧子七
丸。日一服。渐加以微利下病为度。忌生冷油腻。（出第二卷中）
千金野狼毒丸。主坚癖方。
野狼毒（五两涂姜汁炙） 半夏（三两洗） 杏仁（三两） 桂心（四两） 附子（二两
炮） 细辛
（二两） 椒（三两汗）
上七味捣筛。别捣杏仁蜜和饮。服如大豆二丸。（出第十一卷中）
救急中候黑丸。疗诸癖结痰饮等大良方。
桔梗（四分） 桂心（四分） 巴豆（八分） 芫花（十二分熬） 杏仁（五分）
上五味。先捣三药成末。别捣巴豆杏仁如膏合和。又捣一千杵。下蜜。又捣二千杵。丸
如胡豆。浆服一丸取利。可至二三丸。儿生十日欲痫发。可与一二丸如黍米。诸腹不快。体
中觉患便服之。得一两行利即好。
（肘后千金同服四神九下之亦得出第三卷中）
病源寒癖之为病。是饮水停积胁下 强是也。因遇寒即痛。所以谓之寒癖。脉弦而大者
寒癖也。（出第二十卷中）肘后疗腹中冷癖。水谷 结。心下停痰。两胁痞满。按之鸣转逆
害
饮食方。
大蟾蜍（一头去皮及腹中物支解之） 芒硝（大人用一升中人七合羸小五合）
上二味。以水七升。煮取四升。温服一升。一时顿服一升。若未下。更服一升。中人七
合。羸小五合。得下者止。后九日十日一遍作之。
又方
大黄（三两） 甘草（二两炙） 蜜（一升二合） 枣（二十七枚）
上四味切。以水四升。先煮三物。取二升一合。去滓纳蜜。
再上火煎令烊。分再服。忌海藻菘菜。
又方
巴豆（三十枚煮） 杏仁（二十枚） 桔梗（六分） 藜芦（四分炙） 皂荚（三分去
皮）
上五味捣。蜜和丸如胡豆。未食服一丸。日三。欲下病者服二丸。长将服百日都好瘥。
忌猪肉芦笋狸肉。（古今录验同并出第三卷中）
深师主久寒癖。胸满短气。心腹坚。呕吐。手足逆冷。时来时去。痛不欲食。食即
为患。心冷。引腰背强急。吴茱萸丸方。
吴茱萸（八分） 附子（三分炮） 浓朴（五分炙） 半夏（五分洗） 桂心（五分） 人
参（五
分） 矾石（五分熬） 枳实（五分炙） 干姜（五分）
上九味下筛蜜和。酒服如梧子二十丸。日三。不知。增之。（出第十六卷中）
延年白术丸。主宿冷癖气因服热药发热。心惊虚悸。下冷上热。不能食饮。频头风旋。
喜呕吐方。
白术（六分） 浓朴（两分炙） 人参（五分） 白芷（三分） 橘皮（四分） 防风
（五分）
吴茱萸（四分） 芎 （四分） 薯蓣（四分） 茯神（五分） 桂心（四分） 大麦 （四
分熬） 干
姜（四分） 防葵（四分炙） 甘草（五分炙）
上十五味捣筛。蜜和丸如梧桐子。酒服十五丸。日再。加至二十丸。（出第十六卷中）
The etiology stems from the accumulation and stagnation of drinking water that fails to disperse. Subsequently, due to the conflict between food and drink, masses form in the hypochondrium. Symptoms may arise at dawn, presenting as distending pain, or panting and shortness of breath; hence it is termed "Pi Jie" (masses). A tight and solid pulse indicates Pi Jie. (From Volume 20)
*Guangji Fang* treats Pi Jie causing hardness and pain below the heart. Ba Dou Wan Formula:
Ba Dou (Crotonis Fructus, three seeds, remove heart and skin, stir-fry) Xing Ren (Prunus Armeniacae Semen, seven seeds, remove tips) Da Huang (Rhei Radix et Rhizoma, size of a chicken egg)
Crush and sieve the Da Huang separately. Pound the Ba Dou and Xing Ren into a paste individually, mix with the Da Huang powder, and combine with honey to form pills. Take on an empty stomach with warm water, seven pills the size of Sophora japonica seeds. Administer once daily. Gradually increase the dosage until mild diarrhea expels the pathogen. Avoid raw, cold, and greasy foods. (From Volume 2)
*Qianjin Fang* Ye Lang Du Wan. Main formula for treating hard Pi Jie:
Ye Lang Du (Stellerae Radix, five liang, coat with ginger juice and roast) Ban Xia (Pinelliae Rhizoma, three liang, wash) Xing Ren (Prunus Armeniacae Semen, three liang) Gui Xin (Cinnamomi Ramulus, four liang) Fu Zi (Aconiti Lateralis Radix Praeparata, two liang, processed) Xi Xin (Asari Radix, two liang) Jiao (Zanthoxyli Pericarpium, three liang, sweat-treated)
Pound and sieve the seven ingredients. Separately pound the Xing Ren, mix with honey, and take with wine, two pills the size of soybeans. (From Volume 11)
*Jiuji Zhonghou* Hei Wan. A highly effective formula for treating various Pi Jie and phlegm-fluid retention:
Jie Geng (Platycodonis Radix, four fen) Gui Xin (Cinnamomi Ramulus, four fen) Ba Dou (Crotonis Fructus, eight fen) Yuan Hua (Genkwa Flos, twelve fen, stir-fry) Xing Ren (Prunus Armeniacae Semen, five fen)
First, pound the first three medicines into powder. Separately pound the Ba Dou and Xing Ren into a paste and mix well. Pound another one thousand times, add honey, and pound two thousand more times. Form pills the size of broad beans. Take one pill with gruel to induce purgation; the dose can be increased to two or three pills. For infants ten days old prone to epilepsy, give one or two pills the size of millet grains. For any abdominal discomfort or feeling unwell, take immediately. Recovery occurs after one or two bowel movements.
(*Zhouhou Fang* and *Qianjin Fang* also use "Si Shen Jiu" which can purge and expel pathogens; From Volume 3)
The etiology states that Han Pi (Cold Mass) is caused by the accumulation of drinking water in the hypochondrium, resulting in hardness and pain. It is called Cold Mass because pain occurs upon exposure to cold. A string-like and large pulse indicates Cold Mass. (From Volume 20) *Zhouhou Fang* treats cold mass in the abdomen, accumulation of water and grain, retained phlegm below the heart, fullness in both hypochondria, rumbling upon pressure, and obstruction of diet:
Da Chan Chu (Bufo bufo gargarizans, one head, remove skin and internal organs, dissect) Mang Xiao (Natrii Sulfas, one sheng for adults, seven he for medium build, five he for frail/small individuals)
Boil these two ingredients in seven sheng of water until four sheng remain. Take one sheng warm. If not purged, administer another sheng. For medium build, seven he; for frail/small, five he. Stop when purgation occurs. Repeat this preparation every nine or ten days thereafter.
Another formula:
Da Huang (Rhei Radix et Rhizoma, three liang) Gan Cao (Glycyrrhizae Radix et Rhizoma, two liang, roasted) Mi (Honey, one sheng two he) Zao (Jujubae Fructus, twenty-seven seeds)
Cut the four ingredients. Boil the first three in four sheng of water until two sheng one he remain. Remove dregs, add honey.
Reheat until honey melts. Divide into two doses. Avoid Algae (Haizao) and Brassica vegetables (Songcai).
Another formula:
Ba Dou (Crotonis Fructus, thirty seeds, boiled) Xing Ren (Prunus Armeniacae Semen, twenty seeds) Jie Geng (Platycodonis Radix, six fen) Li Lu (Veratri Radix, four fen, roasted) Zao Jia (Gleditsiae Sinensis Fructus, three fen, remove skin)
Pound the five ingredients, mix with honey to form pills the size of broad beans. Take one pill before meals, three times daily. To purge pathogens, take two pills. Long-term administration for one hundred days leads to recovery. Avoid pork, reeds, and civet meat. (*Gujin Luyan* same; From Volume 3)
*Shenshi Fang* treats chronic cold mass. Symptoms include chest fullness, shortness of breath, hardness of heart and abdomen, vomiting, cold extremities, intermittent pain, aversion to food, worsening upon eating, cold heart, pulling stiffness of waist and back. Wu Zhu Yu Wan Formula:
Wu Zhu Yu (Evodiae Fructus, eight fen) Fu Zi (Aconiti Lateralis Radix Praeparata, three fen, processed) Hou Po (Magnoliae Officinalis Cortex, five fen, roasted) Ban Xia (Pinelliae Rhizoma, five fen, wash) Gui Xin (Cinnamomi Ramulus, five fen) Ren Shen (Ginseng Radix, five fen) Fan Shi (Alumen, five fen, calcined) Zhi Shi (Aurantii Fructus Immaturus, five fen, roasted) Gan Jiang (Zingiberis Rhizoma, five fen)
Sieve the nine ingredients, mix with honey. Take twenty pills the size of Sophora japonica seeds with wine, three times daily. Increase dosage if ineffective. (From Volume 16)
*Yannian Fang* Bai Zhu Wan. Treats chronic cold mass qi, fever caused by taking hot medicines, palpitations with fright, cold lower body and hot upper body, inability to eat or drink, frequent headache and vertigo, and tendency to vomit:
Bai Zhu (Atractylodis Macrocephalae Rhizoma, six fen) Hou Po (Magnoliae Officinalis Cortex, two fen, roasted) Ren Shen (Ginseng Radix, five fen) Bai Zhi (Angelicae Dahuricae Radix, three fen) Ju Pi (Citri Reticulatae Pericarpium, four fen) Fang Feng (Saposhnikoviae Radix, five fen) Wu Zhu Yu (Evodiae Fructus, four fen) Xiong Qiong (Ligustici Chuanxiong Rhizoma, four fen) Shu Yao (Dioscoreae Rhizoma, four fen) Fu Shen (Poria with Hostwood, five fen) Gui Xin (Cinnamomi Ramulus, four fen) Da Mai (Hordei Fructus, four fen, stir-fry) Gan Jiang (Zingiberis Rhizoma, four fen) Fang Kui (Anemarrhenae Rhizoma, four fen, roasted) Gan Cao (Glycyrrhizae Radix et Rhizoma, five fen, roasted)
Pound and sieve the fifteen ingredients, mix with honey to form pills the size of Sophora japonica seeds. Take fifteen pills with wine, twice daily. Can increase to twenty pills. (From Volume 16)