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Accumulation and aggregation disorders in women: Accumulations (Ji) arise from the dysfunction of the Five Zang organs, while aggregations (Ju) result from the stagnation of Qi in the Six Fu organs. When Qi of the Zang organs condenses, it is termed "Accumulation"; when Qi of the Fu organs gathers intermittently, it is termed "Aggregation." The pain characteristic of Accumulation remains fixed in its location, whereas the pain of Aggregation has no constant site. Both conditions are caused by disharmony of Yin and Yang, where Wind-Cold pathogens invade the Zang-Fu organs, leading to these disorders.

For female patients with accumulation and aggregation of Qi in the heart and abdomen, accompanied by intermittent pain, impaired meridian circulation, gradual emaciation of the four limbs, decreased appetite, and abdominal distension, Fangkui San (Akebia Powder) is indicated.
Ingredients: Fangkui (Radix Akebiae, 1 liang), Muxiang (Radix Aucklandiae, 1 liang), Chuan Dahuang (Radix et Rhizoma Rhei, 2 liang, crushed and lightly stir-fried), Baizhu (Rhizoma Atractylodis Macrocephalae, 1 liang), Danggui (Radix Angelicae Sinensis, 1 liang, crushed and lightly stir-fried), Chishao Yao (Radix Paeoniae Rubra, 1 liang), Niuxi (Radix Achyranthis Bidentatae, 1 liang, radix removed), Guixin (Cortex Cinnamomi, 1 liang), Taoren (Semen Persicae, 1 liang, soaked in hot water, skin and pointed end removed, double-kernel bran-fried until slightly yellow).
Preparation and Administration: Crush the above ingredients and sieve through a coarse mesh to make a powder. Take 3 qian per dose, add 1 zhong of water and 0.5 fen of fresh ginger, decoct until 0.6 zhong remains, filter out the dregs, and take warm before meals.

For female patients with accumulation and aggregation of Qi causing hardness and distension in the heart and abdomen, occasional pain, emaciation, weakness, and inability to eat, Biejia San (Turtle Shell Powder) is indicated.
Ingredients: Biejia (Carapax et Plastrum Testudinis, 2 liang, coated with vinegar and roasted until yellow, skirt edges removed), Danggui (Radix Angelicae Sinensis, 2 liang, crushed and lightly stir-fried), Fangkui (Radix Akebiae, 1 liang), Guixin (Cortex Cinnamomi, 1 liang), Wuzhuyu (Fructus Evodiae, 0.5 liang, soaked in decoction seven times, baked dry and lightly stir-fried), Shaoyao (Radix Paeoniae, 1 liang, crushed and lightly stir-fried).
Preparation and Administration: Crush and sieve the above ingredients to make a powder. Take 3 qian per dose, add 1 zhong of water and 0.5 fen of fresh ginger, decoct until 0.6 zhong remains, filter out the dregs, and take warm before meals.

For female patients with accumulation and aggregation of Qi causing distending pain in the heart and abdomen, stagnant and obstructed meridians, painful and heavy sensations in the four limbs, and restlessness in sitting or lying down, Guijian San (Euonymus Powder) is indicated.
Ingredients: Guijian Yu (Ramulus Euonymi, 1 liang), Hupo (Electrum, 1 liang), Niu Lizi (Fructus Pruni Salicinae, 1 liang), Danggui (Radix Angelicae Sinensis, 1 liang, crushed and lightly stir-fried), Chuanshanjia (Squama Manis, 1 liang, coated with vinegar and roasted until yellow), Guixin (Cortex Cinnamomi, 1 liang), Taoren (Semen Persicae, 1 liang, soaked in hot water, skin and pointed end removed, double-kernel bran-fried until slightly yellow), Chuan Dahuang (Radix et Rhizoma Rhei, 1 liang, crushed and lightly stir-fried).
Preparation and Administration: Crush and sieve the above ingredients finely to make a powder. Take 2 qian per dose, mix with warm wine, and take before meals.

For female patients with abdominal accumulations as large as a cup, migrating up and down, unbearable pain, belching with a fishy odor, alternating cold and heat in the four limbs, amenorrhea, and lochia discharge, [Formula Name Missing] is indicated.
Ingredients: Biejia (Carapax et Plastrum Testudinis, 1.5 liang, coated with vinegar and roasted until yellow, skirt edges removed), Lu Fengfang (Nidus Vespae, 1 liang, crushed and lightly stir-fried), Mudan (Cortex Moutan, 3 fen), Chuan Jiao (Pericarpium Zanthoxyli, 3 fen, eyes and peel/navel removed), Wuzhuyu (Fructus Evodiae, 0.5 liang, soaked in decoction seven times, baked dry and lightly stir-fried), Zaojia (Fructus Gleditsiae Sinensis, 1 liang, skin removed, coated with lard and roasted until yellow), Hupo (Electrum, 1 liang), Fangkui (Radix Akebiae, 1 liang).
Preparation and Administration: Crush and sieve the above ingredients into powder. Mix with refined honey and pound for 500-700 strokes to form pills the size of Sophora seeds. Take 10 pills with warm wine on an empty stomach and before evening meals daily.

For female patients with deficiency-cold, abdominal accumulations, irregular menstruation, frequent abdominal fullness, pulling pain around the umbilicus radiating to the lower back and limbs, alternating cold and heat, [Formula Name Missing] is indicated.
Ingredients: Biejia (Carapax et Plastrum Testudinis, 1.5 liang, coated with vinegar and roasted until yellow), Ganjiang (Rhizoma Zingiberis Recens, 1.5 liang, processed, cracked, and crushed), Chishizhi (Halloysit Rubra, 1 liang), Danshen (Radix et Rhizoma Salviae Miltiorrhizae, 1 liang), Daizhe (Haematitum, 3 fen), Fuzi (Radix Aconiti Lateralis Preparata, 1 liang, roasted until smoke appears), Dihuang (Radix Rehmanniae, 1 liang, sliced, baked, lightly stir-fried to remove moisture).
Preparation and Administration: Crush and sieve the above ingredients into powder. Mix with refined honey and pound for 500-700 strokes to form pills the size of Sophora seeds. Take 30 pills with warm wine on an empty stomach and before evening meals daily.

For female patients with deficiency-cold in the heart and abdomen, accumulation and aggregation, indigestion of retained food, attacking cold Qi, abdominal distension, and periumbilical pain, Zigui Wan (Purple Cinnamon Pills) is indicated.
Ingredients: Guixin (Cortex Cinnamomi, 1 liang), Wuzhuyu (Fructus Evodiae, 0.5 liang, soaked in decoction seven times, baked dry and lightly stir-fried), Changpu (Rhizoma Acori Tatarinowii, 0.5 liang), Zhuya Zaojia (Fructus Gleditsiae Sinensis, 0.5 liang, skin removed, coated with lard and roasted until yellow), Danggui (Radix Angelicae Sinensis, 3 fen, crushed and lightly stir-fried), Taoren (Semen Persicae, 1 liang, soaked in hot water, skin and pointed end removed, double-kernel bran-fried until slightly yellow).
Preparation and Administration: Crush and sieve the above ingredients into powder. Mix with refined honey and pound for 500-700 strokes to form pills the size of Sophora seeds. Take 20 pills with hot wine on an empty stomach and during attacks.

For female patients with deficiency-cold, blood and Qi accumulation, and pain, [Sha] Wan (Sand Pills) is indicated.
Ingredients: Naosha (Sal Ammoniac, 3 fen, finely ground), Baicaoshuang (Fuligo Silicea, 0.5 liang), Chuan Wutou (Radix Aconiti Kusnezoffii, 0.5 liang, processed, cracked, skin and navel removed), Pi Huang (Arsenicum, 1 fen), Lingxiaohua (Flos Campsis, 0.5 liang), Xiangmo (Ink Stick, 1 fen), Badou (Semen Crotonis, 1 fen, skin and heart removed, ground between paper to remove oil).
Preparation and Administration: Crush and sieve the above ingredients into powder. Add Badou frost and grind uniformly. Mix with soft rice to form pills the size of mung beans. Take 3 pills with warm wine before meals.

For female patients with deficiency-cold, blood and Qi accumulation, chest and abdominal oppression, prolonged amenorrhea, poor appetite, and emaciated limbs, Jianghuang Wan (Curcuma Pills) is indicated.
Ingredients: Jianghuang (Rhizoma Curcumae Longae, 3 fen), Mudan (Cortex Moutan, 0.5 liang), Chishao Yao (Radix Paeoniae Rubra, 0.5 liang), Guixin (Cortex Cinnamomi, 3 fen), Yuanhua (Flos Genkwa, 1 fen, mixed with vinegar and fried dry), Danggui (Radix Angelicae Sinensis, 0.5 liang), Muxiang (Radix Aucklandiae, 0.5 liang)... [Text incomplete].
Preparation and Administration: Crush and sieve the above ingredients into powder. Mix with refined honey and pound for 300-500 strokes to form pills the size of Sophora seeds. Take 7 pills with warm wine before meals.

For female patients with accumulation and aggregation, undispersed evil blood, frequent attacking pain in the heart and abdomen, pallor, and disharmony of the four limbs, Ganqi Wan (Dry Lacquer Pills) is indicated.
Ingredients: Ganqi (Resina Toxodendri, 1 liang, crushed and stir-fried until smoke appears), Chuanshanjia (Squama Manis, 1 liang, roasted until slightly yellow), Binglang (Semen Arecae, 3 fen), Ruxiang (Resina Olibani, 0.5 liang), Jing Sanleng (Rhizoma Sparganii, 0.5 liang, lightly processed and crushed), Guixin (Cortex Cinnamomi, 3 fen), Chuan Wutou (Radix Aconiti Kusnezoffii, 0.5 liang, processed, cracked, skin and navel removed), Naosha (Sal Ammoniac, 1 liang, pure, finely ground), Awei (Resina Asafetidae, 0.5 liang)... [Text incomplete].
Preparation and Administration: Crush and sieve the above ingredients into powder. Mix with refined honey to form pills the size of sesame seeds. Take 5 pills at any time with hot ginger wine; Danggui wine is also acceptable.

For female patients with accumulation and aggregation of Qi, heart and abdominal pain, sallow complexion, and inability to eat, Shexiang Wan (Musk Pills) is indicated.
Ingredients: Shexiang (Moschus, 0.5 liang, ground and added later), Muxiang (Radix Aucklandiae, 3 fen), Danggui (Radix Angelicae Sinensis, 3 fen, crushed and lightly stir-fried), Fuzi (Radix Aconiti Lateralis Preparata, 0.5 liang, processed, cracked, skin and navel removed), Xiangmo (Ink Stick, 3 fen)... [Text incomplete].
Preparation and Administration: Crush and sieve the above ingredients finely. Mix with the ground medicines uniformly. Use vinegar-boiled wheat paste to form pills the size of sesame seeds. Take 3 pills on an empty stomach with tangerine peel decoction, until foul stagnant matter is discharged.

For female patients with accumulation and aggregation of Qi that persists for a long time, Dahuang Wan (Rhubarb Pills) is indicated.
Ingredients: Chuan Dahuang (Radix et Rhizoma Rhei, 3 liang, crushed and lightly stir-fried), Biejia (Carapax et Plastrum Testudinis, 2 liang, coated with vinegar and roasted until yellow, skirt edges removed), Fangkui (Radix Akebiae, 1.5 liang), Hupo (Electrum, 1 liang), Ganqi (Resina Toxodendri, 1 liang, crushed and stir-fried until smoke appears).
Preparation and Administration: Crush and sieve the above ingredients finely. Boil 2 sheng of rice vinegar until thick, add a little flour, cook into a paste, and mix to form pills the size of Sophora seeds. Take 15 pills with warm wine before meals.

For female patients with accumulation and aggregation of Qi that persists for a long time, causing heart and abdominal pain, Caofen Wan (Grass Flour Pills) is indicated.
Ingredients: Feitianbai (Excrement Passeris Domesticis Masculini, 6 fen, collected in winter is best, stir-fried until extremely hot and made into powder), Shexiang (Moschus, 0.5 fen, finely ground), Badou (Semen Crotonis, 3 fen, skin and heart removed, pressed between paper to remove oil).
Preparation and Administration: Grind all ingredients uniformly. Mix with glutinous rice paste to form pills the size of Sophora seeds. Take 2 pills on an empty stomach with ginger soup.