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The origin of accumulation (Ji) and gathering (Ju) diseases lies in the disharmony of Yin and Yang, weakness of the Fu and Zang organs, invasion by wind pathogenic factors, and the contention between these pathogens and the Qi of the Fu and Zang organs. The Fu organs belong to Yang, while the Zang organs belong to Yin. Yang Qi is floating and active, whereas Yin Qi is sinking and still. Accumulation (Ji) arises from Yin Qi within the five Zang organs; it originates without leaving its specific location, so its movement up and down has limits. Gathering (Ju) is formed by Yang Qi within the six Fu organs; thus, it lacks a fixed root, moves freely up and down without stopping, and its pain has no constant location. When various organs are affected by pathogens, accumulation or gathering does not initially form; only when the pathogenic factors remain stagnant and do not depart do they become accumulation or gathering.

The accumulation of the Liver is named "Fei Qi" (Fat Qi). It is located under the left hypochondrium, resembling an inverted cup with a head and feet. If not cured for a long time, it causes malaria that persists for years. It is contracted on Wu-Ji days during the late summer. Why is this so? Lung disease should transmit to the Liver, and Liver disease should transmit to the Spleen. However, the Spleen is prosperous in late summer, and a prosperous organ does not accept pathogens. The Liver wishes to return the pathogen to the Lung, but... [text implies rejection or inability to accept].

The accumulation of the Heart is named "Fu Liang" (Hidden Beam). It starts above the umbilicus, as large as an arm, extending upward to below the heart. It is contracted on Geng-Xin days in autumn. Why is this so? Kidney disease should transmit to the Heart, and Heart disease should transmit to the Lung. However, the Lung is prosperous in autumn, and a prosperous organ does not accept pathogens. The Heart wishes to return the pathogen to the Kidney, but the Kidney refuses to accept it, causing the pathogen to stagnate and form an accumulation. Thus, it is known that Fu Liang is contracted on Geng-Xin days in autumn.

The accumulation of the Spleen is named "Pi Qi" (Stagnant Qi). It is located in the epigastrium, covering an area as large as a plate. If not cured for a long time, it causes flaccidity of the four limbs, jaundice, and prevents food from nourishing the muscles. It is contracted on Ren-Gui days in winter. Why is this so? Liver disease should transmit to the Spleen, and Spleen disease should transmit to the Kidney. However, the Kidney is prosperous in winter, and a prosperous organ does not accept pathogens. The Spleen wishes to return the pathogen to the Liver, but the Liver refuses to accept it, causing the pathogen to stagnate and form an accumulation. Thus, it is known that Pi Qi is contracted on Ren-Gui days in winter.

The accumulation of the Lung is named "Xi Ben" (Panting Burden). It is located under the right hypochondrium, covering an area as large as a cup. If not cured for a long time, it causes chills and fever, wheezing, coughing, and may lead to lung abscess. It is contracted on Jia-Yi days in spring. Why is this so? Heart disease should transmit to the Lung, and Lung disease should transmit to the Liver. However, the Liver is prosperous in spring, and a prosperous organ does not accept pathogens. The Lung wishes to return the pathogen to the Heart, but the Heart refuses to accept it, causing the pathogen to stagnate and form an accumulation. Thus, it is known that Xi Ben is contracted on Jia-Yi days in spring.

The accumulation of the Kidney is named "Ben Tun" (Rushing Pig). It originates in the lower abdomen and extends upward to below the heart, resembling the running motion of a pig, moving up and down at irregular times. If not cured for a long time, it causes wheezing and counterflow qi, coldness in the bones... [text incomplete]. The pathogen wishes to return to the Spleen, but the Spleen refuses to accept it, causing the pathogen to stagnate and form an accumulation. Thus, it is known that Ben Tun is contracted on Bing-Ding days in summer. These are the five accumulations.

Diagnosis via pulse: A tight pulse indicates accumulation; a floating and firm pulse indicates accumulation; a transverse pulse indicates accumulation under the hypochondrium; a small, deep, and solid pulse indicates accumulation in the stomach, where food is not accepted and vomited immediately after eating; a fine pulse adhering to the bone indicates accumulation. If the pulse manifests on the left, the accumulation is on the left; if on the right, the accumulation is on the right; if on both sides, the accumulation is in the center. [Text incomplete regarding location]. Cold skin... [Text incomplete]. Sinking and hollow pulse, moving up and down without fixed location, accompanied by palpitations, heat in the abdomen, red face, dry throat, irritability, heat in palms, and even hemoptysis, indicates convulsions and blood syncope. Symptoms improve in summer and worsen in winter... [Text incomplete]. Manifestations appear externally, abdominal fullness, vomiting, diarrhea, borborygmus, heavy limbs, edema and coldness of hands and feet, inability to lie down, indicating damage to muscles and yellow complexion. Diagnosis of Liver accumulation: wiry and fine pulse, pain in both hypochondria, pathogen moving to the epigastrium, coldness of shanks, hypochondriac pain radiating to the lower abdomen, hernia in men, strangury in women, lack of luster in the body, tendency to muscle cramps, dry and black nails, improvement in spring and worsening in autumn, blue complexion. Diagnosis of Kidney accumulation: sinking and rapid pulse, pain connecting the spine and waist, symptoms appearing when hungry and subsiding when full, low back pain, urgency in the lower abdomen, dry mouth, swollen and ulcerated throat, eye issues... [Text incomplete], coldness in bones, marrow syncope, forgetfulness, black complexion. Diagnosis of... [Text incomplete].

Moxibustion, hot compresses, acupuncture, and stone therapy have other specific formulas for nourishment and guidance, which are attached below. The health preservation method states: Place the left foot on top of the right foot to eliminate accumulation under the heart. Also: For accumulation under the heart, sit upright supporting the waist, face the sun and look up, slowly inhale through the mouth and swallow, repeat thirty times then stop. Open eyes. Also: Raise the right hand to the extreme left side to eliminate accumulation and old blood. Also: Close the mouth and breathe slightly, sit upright facing the prevailing Qi, open nostrils to inhale, direct the Qi to below the navel, exhale slightly through small openings twelve times to eliminate stagnation. Lower head and hold breath twelve times to digest food, making the body light and strong. Practicing in winter prevents cold. Also: Sit upright supporting the waist straight up, extend arms, raise palms, inhale through nose... [Text incomplete]. Also: In the morning, lie supine without peach wood, extend arms and legs, close eyes and mouth and hold breath to the limit, expand abdomen and feet, inhale into abdomen and raise feet double-fisted between two breaths, relax slightly before exhaling. Repeat: three times in spring, five in summer, seven in autumn, nine in winter, cleansing the five Zang organs, moistening the six Fu organs, curing all diseases. For abdominal accumulation, inflate the abdomen by inhaling until heat dissipates, breaking the mass, leading to cure. (From Fan Wang's Po Ji Wan formula for treating hard accumulations.)

Da Huang (Cortex Rhei Rhizoma, 1 jin), Mu Li (Concha Ostreae, 3 liang), Ning Shui Shi (Alumen, 1 liang), Shi Gao (Gypsum Fibrosum, 1 liang), Shi Zhong Ru (Larva Bombycis, 1 liang), Li Shi (Calcitum, 1 liang).

Crush the above six ingredients, sieve them, mix with honey, and form pills the size of wu zi (Syzygium aromaticum fruit). Take before meals, washed down with wine, three pills per dose, three times daily. If ineffective, increase gradually until effective.

Also, Shun Ni Wan, for treating long-standing cold accumulation with rebellious Qi and inability to eat.

Da Huang (10 parts), Huang Qin (Scutellariae Radix, 4 parts), Hou Po (Magnoliae Officinalis Cortex, 4 parts, processed with bran), Gan Di Huang (Rehmanniae Radix Praeparata, 4 parts), Gui Xin (Cinnamomi Ramulus, 4 parts), Hua Shi (Talcum, 4 parts).

Xing Zi (Armeniacae Semen Amarum, 2 parts), Huang Lian (Coptidis Rhizoma, 4 parts), Mai Dong (Ophiopogonis Radix, 4 parts, core removed).

Crush the above nine ingredients, sieve them, mix with honey, and form pills the size of wu zi. Take ten pills, twice daily after meals. If ineffective, increase gradually until effective.

Avoid: Yuan Yi (Chrysanthemi Indici Flos), raw scallion, pork.

Also, Chui Zao Wan, for treating abdominal accumulation, pathogenic factors, alternating chills and fever, and digestion issues.

Gan Suan (Kansui Radix, 1 fen), Rao Hua (Edelweissiae Radix, 1 fen), Yuan Hua (Genkwa Flos, 1 fen), Gui Xin (Cinnamomi Ramulus, 1 fen), Ba Dou (Crotonis Fructus, 1 fen), Xing Zi (Armeniacae Semen Amarum, 1 fen), Jie Geng (Platycodonis Radix, 1 fen).

Process Rao Hua and Yuan Hua until fragrant. Process Ba Dou and Xing Zi, remove skins, and fry until color changes. Grind each separately, sieve finely, mix, and form pills. Use white honey pounded ten thousand times. Take one pill the size of a mung bean, three times daily for long-term use. Increase dosage for cold damage. Causes vomiting above the diaphragm and diarrhea below. Children can take it; women can take it for general conditions. Named Chui Zao. Adjust dosage as needed. Avoid: pork, reed shoots, raw scallion. (From Volume 13).

Yan Nian Formula, for treating intra-abdominal accumulation, pi qi rushing to the heart, rib stiffness and fullness, frequent vomiting of water, inability to eat, and aversion to cold.

Bie Jia (Testudinis et Carapax Scutellae, 6 fen, processed), Fang Kui (Peucedani Radix, 4 fen), Ren Shen (Ginseng Radix, 4 fen), Qian Hu (Peucedani Radix, 4 fen), Jie Geng (Platycodonis Radix, 4 fen), Bing Lang (Arecae Semen, 8 fen), Bai Zhu (Atractylodis Macrocephalae Rhizoma, 8 fen), Da Huang (Cortex Rhei Rhizoma, 8 fen, processed), Gan Jiang (Zingiberis Rhizoma, 4 fen), Gan Cao (Glycyrrhizae Radix, 5 fen, processed), Wu Zhu Yu (Evodiae Fructus, 3 fen).

Crush the above fifteen ingredients, sieve them, mix with honey, and form pills the size of wu zi. Take fifteen pills per dose, washed down with wine, twice daily. Increase to thirty pills. Avoid: amaranth, pork, raw/cold fish, garlic.

Also, Bai Zhu Wan, for treating accumulation, pi qi, inability to eat, fullness in chest and hypochondria, soreness and pain in limbs and joints, and continuous night sweats.

Bai Zhu (Atractylodis Macrocephalae Rhizoma, 6 fen), Huang Qi (Astragali Radix, 6 fen), Mu Li (Concha Ostreae, 4 fen, processed), Ren Shen (Ginseng Radix, 6 fen), Fu Ling (Poria, 6 fen), Wu Tou (Aconiti Lateralis Radix Praeparata, 6 fen, processed).

Gan Jiang (Zingiberis Rhizoma, 6 fen), Shao Yao (Paeoniae Radix, 4 fen)... [Missing ingredient/dose]... (5 fen), Qian Hu (Peucedani Radix, 4 fen), Gan Cao (Glycyrrhizae Radix, 6 fen, processed), Fang Kui (Peucedani Radix, 3 fen), Bie Jia (Testudinis et Carapax Scutellae, 4 fen, processed), Zi Wan (Adenophorae Radix, 3 fen, processed), Bing Lang (Arecae Semen, 6 fen), Jie Geng (Platycodonis Radix, 3 fen).

Crush the above nineteen ingredients, sieve them, mix with honey, and form pills. Take twenty pills per dose on an empty stomach, washed down with wine, twice daily. Increase to thirty pills. Avoid: amaranth, peaches, plums, strong vinegar, pork, raw scallion. (From Volume 16).