夫久积症癖者。因饮水气壅滞。遇寒热气相搏。便成症癖。在于两肋下。经久不瘥。乃
结聚
治久积症癖。气结不散。面色萎黄。羸瘦食少。宜服桃仁散方。
桃仁（一两汤浸去皮尖双仁麸炒微黄） 鳖甲（二两半涂醋炙令黄去裙 ） 京三棱（一
两
炮锉）
槟榔
（三分）
上件药。粗罗为散。每服三钱。以水一中盏。入生姜半分。煎至六分。去滓。不计时候。
温服。
治久积症癖气不散。胁下似覆杯。多吐酸水。面目萎黄。或腹中 痛。蓬莪术散方
。
蓬莪术（一两） 鳖甲（二两涂醋炙令黄去裙 ） 赤芍药（半两） 槟榔（一两） 肉
桂（一
两去
三棱（一
两炮
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分煎至六分。去滓。不计时候。
温服。
治久积症癖气不瘥散。令人羸瘦。不思饮食。京三棱丸方。
京三棱（二两微煨锉） 川乌头（二两炮裂去皮脐） 陈橘皮（二两汤浸去白瓤焙） 硼
砂
（一两
上件药。捣罗为末。入硼砂令匀。以醋煮面糊和丸。如梧桐子大。每于食前。以酒下十
丸
治久积症癖气不瘥。或于胁肋作块。形大如杯。或如鸡子。透皮肤。或时疼痛。
坚硬如石
麝香（一两细研） 蓬莪术（二两） 萆 （二两锉） 芫花（二两醋拌炒令黄） 神
曲（二两
炒令
炒令烟
出）
上件药。捣罗为末。入麝香研令匀。用醋煮面糊和丸。如梧桐子大。每于食前。以温酒
下十
治久积症癖。坚牢。羸瘦。不能饮食。宜服大黄丸方。
川大黄（二两锉碎微炒） 干姜（一两炮裂锉） 甜葶苈（一两半隔纸炒令紫色） 川
芒硝
（一两）
裂去皮
脐） 川乌
目及闭
口者微炒
上件药。捣罗为末。入研了药令匀。炼蜜和捣三二百杵。丸如绿豆大。每服不计时候。
以温
治久积症癖。腹满不能食。附子丸方。
附子（一两炮裂去皮脐） 巴豆（三十枚去皮心研纸裹压去油） 虫（五十枚微炒） 川
椒
（一
炒令紫
色）
上件药。捣罗为末。研入巴豆令匀。炼蜜和捣三二百杵。丸如梧桐子大。每服食前。以
温酒
治久积症癖。及一切恶气。并宜服巴豆丸方。
巴豆（一两去皮心研烂以醋二升熬成膏） 京三棱（一两微煨锉） 青橘皮（一两汤浸
去白
瓤焙）
墨
（半两）
上件药。京三棱干漆捣罗为末。入在巴豆醋内。同熬及一半。次入硼砂更熬令稠。然后
下大
块即
治久积症癖。及 气急痛方。
川乌头（二两炮裂去皮脐） 川椒（一两去目及闭口者微炒去汗）
上件药。捣罗为末。用鸡子白和丸。如麻子大。每服不计时候。以温酒下十丸。
治久积症癖不瘥。渐至羸弱。宜服此方。
上取雄鸡一只。饲之令肥。肥后却饿二日。以好朱砂一两。研令细。拌饭饲鸡。着板上
养。
治久积症癖及心腹鼓胀。并宜服此方。
上用乌牛尿五升。于银器中。微火煎如稀饧。每服空心。以热酒调下一匙。头服后当腹
中鸣
熨症癖方。\x
吴茱萸（一升） 川乌头〔二（三）两〕
上件药。捣碎。用醋拌炒。令热。分作二包。更番熨之。
For chronic accumulations and masses (Zhengji), they arise because drinking water causes Qi stagnation. When this encounters conflicting cold and heat pathogens, Zhengji forms. Located under the hypochondrium, if left untreated for a long time, it condenses into an accumulation.
To treat chronic Zhengji with stagnant Qi, sallow complexion, emaciation, and poor appetite, Taoren San (Peach Kernel Powder) is indicated.
Taoren (Peach Seed, 1 liang, soaked in hot water, skin and pointed end removed, retaining the double kernel, stir-fried with bran until slightly yellow); Biejia (Turtle Shell, 2.5 liang, brushed with vinegar and roasted until yellow, skirt removed); Jing Sanleng (Burreed Rhizome, 1 liang, processed and crushed); Binglang (Areca Seed, 0.3 liang).
The above herbs are coarsely sieved to make a powder. Each dose is 3 qian. Add one zhong of water and half a fen of fresh ginger, decoct until reduced to six parts. Strain off the dregs. Take warm at any time.
To treat chronic Zhengji where Qi does not dissipate, feeling like an inverted cup under the hypochondrium, frequent regurgitation of sour fluid, sallow face and eyes, or abdominal pain, Peng'ezhu San (Curcuma Longa Powder) is indicated.
Peng'ezhu (Curcuma Longa Rhizome, 1 liang); Biejia (Turtle Shell, 2 liang, brushed with vinegar and roasted until yellow, skirt removed); Chishaoyao (Red Peony Root, 0.5 liang); Binglang (Areca Seed, 1 liang); Rougui (Cinnamon Bark, 1 liang, outer bark removed); Jing Sanleng (Burreed Rhizome, 1 liang, processed).
The above herbs are crushed and coarsely sieved to make a powder. Each dose is 3 qian. Add one zhong of water and half a fen of fresh ginger, decoct until reduced to six parts. Strain off the dregs. Take warm at any time.
To treat chronic Zhengji where Qi does not dissipate, causing emaciation and loss of appetite, Jingsanleng Wan (Burreed Pill) is indicated.
Jingsanleng (Burreed Rhizome, 2 liang, lightly roasted and crushed); Chuan Wutou (Aconite Lateral Root, 2 liang, processed until cracked, skin and umbilicus removed); Chenjupi (Aged Tangerine Peel, 2 liang, soaked in water, white pith removed, dried); Pengsha (Borax, 1 liang).
The above herbs are pounded and sieved into fine powder. Mix in the Pengsha evenly. Use vinegar-boiled wheat paste to bind into pills the size of Sophora seeds. Take ten pills before meals, washed down with wine.
To treat chronic Zhengji where Qi does not dissipate, sometimes forming lumps in the hypochondriac region as large as a cup or like a chicken egg, protruding through the skin, sometimes painful, hard as stone, Shexiang Wan (Musk Pill) is indicated.
Shexiang (Musk, 1 liang, finely ground); Peng'ezhu (Curcuma Longa Rhizome, 2 liang); Bixie (Dioscorea Hypoglauca Rhizome, 2 liang, crushed); Yuanhua (Genkwa Flower, 2 liang, mixed with vinegar and stir-fried until yellow); Shenqu (Medicated Leaven, 2 liang, stir-fried until smoke emerges).
The above herbs are pounded and sieved into fine powder. Mix in the Shexiang evenly. Use vinegar-boiled wheat paste to bind into pills the size of Sophora seeds. Take ten pills before meals, washed down with warm wine.
To treat chronic Zhengji that is firm and solid, causing emaciation and inability to eat, Dahuang Wan (Rhubarb Pill) is indicated.
Chuan Dahuang (Rhubarb Root, 2 liang, crushed and lightly stir-fried); Ganjiang (Dried Ginger, 1 liang, processed until cracked and crushed); Tiantingli (Semen Lepidii et Descurainiae, 1.5 liang, stir-fried between papers until purple); Chuan Mangxiao (Mirabilite, 1 liang); Fuzi (Prepared Aconite Lateral Root, 1 liang, processed until cracked, skin and umbilicus removed); Chuan Wutou (Aconite Lateral Root, 1 liang, those with eyes and closed mouths are lightly stir-fried).
The above herbs are pounded and sieved into fine powder. Mix with the already ground ingredients. Combine with refined honey and pound three to two hundred times. Form pills the size of mung beans. Take at any time, washed down with warm water.
To treat chronic Zhengji with abdominal fullness and inability to eat, Fuzi Wan (Aconite Pill) is indicated.
Fuzi (Prepared Aconite Lateral Root, 1 liang, processed until cracked, skin and umbilicus removed); Badou (Croton Seed, 30 seeds, skin and heart removed, ground and pressed between paper to remove oil); Mengchong (Bladder Fluke, 50 insects, lightly stir-fried); Chuanjiao (Sichuan Pepper, 1 liang, remove eyes and closed-mouth ones, lightly stir-fried to remove moisture).
The above herbs are pounded and sieved into fine powder. Grind in the Badou and mix evenly. Combine with refined honey and pound three to two hundred times. Form pills the size of Sophora seeds. Take before meals, washed down with warm wine.
To treat chronic Zhengji and all kinds of malignant Qi, Badou Wan (Croton Pill) is indicated.
Badou (Croton Seed, 1 liang, skin and heart removed, ground rotten, boiled with two sheng of vinegar into a paste); Jingsanleng (Burreed Rhizome, 1 liang, lightly roasted and crushed); Qingjupi (Green Tangerine Peel, 1 liang, soaked in water, white pith removed, dried); Ganqi (Dry Lacquer, 0.5 liang); Mo (Ink Stick, 0.5 liang).
The above herbs: Pound Jingsanleng and Ganqi into fine powder. Add to the Badou vinegar paste, boil together until reduced by half. Then add Pengsha and boil until thick. Finally add the large piece of Ink, boil until it becomes a paste.
To treat chronic Zhengji and acute Qi pain.
Chuan Wutou (Aconite Lateral Root, 2 liang, processed until cracked, skin and umbilicus removed); Chuanjiao (Sichuan Pepper, 1 liang, remove eyes and closed-mouth ones, lightly stir-fried to remove moisture).
The above herbs are pounded and sieved into fine powder. Bind with egg white into pills the size of sesame seeds. Take ten pills at any time, washed down with warm wine.
To treat chronic Zhengji that does not heal, gradually leading to weakness, this formula is indicated.
Select one rooster, feed it until fat. After fattening, starve it for two days. Take 1 liang of high-quality Zhusha (Cinnabar), grind finely, mix with rice, and feed to the chicken. Keep it on a board.
To treat chronic Zhengji and abdominal distension resembling drumming, this formula is indicated.
Take five sheng of urine from a black ox. In a silver vessel, simmer over low fire until it resembles thin maltose syrup. Take one spoonful on an empty stomach, mixed with hot wine. After the first dose, there should be borborygmus in the abdomen.
Formula for moxibustion/ironing treatment of Zhengji.
Wuzhuyu (Evodia Fruit, 1 sheng); Chuan Wutou (Aconite Lateral Root, 3 liang).
The above herbs are crushed, mixed with vinegar and stir-fried until hot. Divide into two bags. Alternate ironing the affected area.