病源鳖症者。谓腹内症结如鳖之形状也。有食鳖触冷不消而生症者。有食杂冷物不消变
化而作者。此皆脾胃气弱。而遇冷不能克消故也。症者。其病结成。推之不动移是也。（出
第十九卷中）
广济疗鳖症。服白马尿方。
白马尿一升五合。温服之。令尽瘥。
又方
白马尿（一升） 鸡子（三枚破取白）
上二味。于铛中煎取三合。空腹服之。不移时当吐出病。无所忌。（千金同）
又疗鳖症。蟹爪丸方。
蟹爪（三分） 附子（六分炮） 麝香（三分研） 半夏（六分） 生姜（四分屑） 鳖
甲（六分
炙） 防葵（六分） 郁李仁（八合）
上八味捣筛。蜜和为丸如梧子。空肚以酒下二十丸。日再服。以知为度。忌生冷猪肉苋
菜。（并出第二卷中）
集验疗鳖症伏在心下。手揣见头足。时时转者。并心腹宿症。及卒得症方。
白雌鸡一双。绝食一宿。明旦以膏熬饭饲之。取其屎。无问多少。以小便和之。于铜器
中火上熬令燥。捣筛服方寸匕。日四五服。消尽乃止。常饲鸡取屎瘥毕。杀鸡单食之。（肘
后同出第六卷中）
病源人有好哑米。（哑谨按说文于革切笑也集韵无此字但有饥乙革切饥也今详哑者饥
而喜食之义也下同）转久弥嗜。哑之若不得米。则胸中清水出。得米便止。米不消化。遂
生症结。其人常思米而不能饮食。久则毙人。（出第十九卷中）
广济疗米症。其疾常欲食米。若不得米。则胸中清水出方。
鸡屎（一升） 白米（五合）
上二味合炒。取米焦捣筛为散。用水一升。顿服取尽。少时即吐。吐出症如研米汁碎。
若无症即吐白沫痰水。乃憎米不复食之。无所忌。（千金同）
又疗米症久不疗。羸瘦以至死方。
葱白（两虎口切） 乌梅（三十枚碎）
上二味。以水三升。宿渍乌梅。使得极浓清晨啖葱白随饮乌梅汁令尽。顷之心腹烦。欲
吐。即令出之。三晨疗之。当吐去米症。瘥。无所忌。（并出第三卷中）
Pathogenesis: "Bie Zheng" (Turtle-shaped Mass) refers to an abdominal mass shaped like a turtle. It may arise from consuming turtle meat followed by exposure to cold, leading to indigestion; or it may result from the transformation of undigested mixed cold foods. These conditions are all due to weak Spleen and Stomach Qi, which fails to transform and digest when encountering cold. "Zheng" (Mass) denotes a pathological accumulation that is formed, cannot be pushed or moved. (From Volume 19)
Guangji Fang treats Bie Zheng with White Horse Urine Decoction:
White horse urine 1 sheng 5 he. Warm and administer orally until finished. The patient will recover.
Another prescription:
White horse urine (1 sheng), Egg white (3, broken to extract).
The above two ingredients are decocted in a pot until reduced to 3 he. Administer on an empty stomach. Within a short time, the pathogenic factor should be vomited out. No dietary restrictions apply. (Identical to Qianjin Fang)
Another prescription for Bie Zheng, Crab Claws Pill:
Crab claws (3 fen), Prepared Fuzi (Aconiti Lateralis Radix Praeparata, 6 fen), Moschus (3 fen, ground), Pinelliae Rhizoma (6 fen), Fresh Ginger (4 fen, minced), Testudinis Carapax et Plastrum (6 fen, roasted), Radix Saposhnikoviae (6 fen), Prunus Armeniaca Seed (8 he).
The above eight ingredients are crushed, sifted, and mixed with honey to form pills the size of mulberry seeds. Take 20 pills with wine on an empty stomach. Take twice daily. Discontinue when effective. Avoid raw/cold foods, pork, and Amaranthus. (All from Volume 2)
Jiyan Fang treats Bie Zheng where the mass lies under the heart, palpable as having head and feet, moving occasionally. Also treats chronic masses in the heart and abdomen, and sudden onset of masses:
Two female white chickens, fasted overnight. On the next morning, feed them rice fried in fat. Collect their feces, regardless of quantity. Mix with urine, dry over fire in a copper vessel, crush, and sift. Take one fangcun bi (a square-inch measure) per dose. Take 4-5 times daily. Continue until the mass dissolves. Keep raising chickens to collect feces. After recovery, slaughter the chicken and eat it alone. (Identical to Zhouhou Fang, from Volume 6)
Pathogenesis: Some individuals suffer from a specific pica for rice (Ya: According to Shuowen Jiezi, pronounced 'yu ge qie', meaning laugh; Ji Yun has no such character, only 'ji' pronounced 'yi ge qie', meaning hunger. Detailed analysis suggests 'Ya' here implies hunger coupled with a desire to eat, as used below). This condition persists for a long time, increasing the craving for rice. If rice is unavailable, clear fluid flows from the chest; obtaining rice stops this. The rice does not digest, eventually forming a mass. The person constantly desires rice but cannot eat normally. Prolonged suffering leads to death. (From Volume 19)
Guangji Fang treats Mi Zheng (Rice Mass), characterized by constant desire for rice, and if unavailable, clear fluid flows from the chest:
Chicken feces (1 sheng), White rice (5 he).
The above two ingredients are stir-fried together. When the rice is scorched, crush and sift into powder. Mix with 1 sheng of water and take all at once. Vomiting will occur shortly after. The expelled mass resembles ground rice juice fragments. If no mass exists, white foam and phlegm-water will be vomited. The patient will then detest rice and cease eating it. No dietary restrictions apply. (Identical to Qianjin Fang)
Another prescription for long-standing Mi Zheng leading to emaciation and death:
Scallion white (two tiger-mouth sizes, cut), Smoked Plum (30 pieces, crushed).
The above two ingredients are soaked in 3 sheng of water overnight to make the smoked plum juice very concentrated. In the early morning, consume the scallion white, followed immediately by drinking the smoked plum juice until finished. Soon, the heart and abdomen will feel distressed, inducing vomiting. Allow the patient to vomit. Treat for three consecutive mornings. The rice mass should be vomited out, resulting in recovery. No dietary restrictions apply. (All from Volume 3)