夫积聚者。由寒气在内所生也。血气虚弱。风邪搏于腑脏。寒多则气涩。气涩则生积聚
也。
根本。
左右胁
饮食不为
聚也。浮
治寒疝。积聚动摇。大者如鳖。小者如杯。乍来乍去。于胃管大肠不通。风寒则
腹鸣。心下
芫花〔一（二）两醋拌炒令干〕 椒目（一两） 半夏（半两汤洗七遍去滑） 川大黄
（一两
锉碎
两）
赤茯苓
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服。以温酒下七丸。日三服。
当
治心腹牢强寒疝。邪气往来。坚固积聚。苦寒烦闷。不得眠卧。夜苦汗出。大便坚
。小便不
桔梗（一两去芦头） 藜芦（一两去芦头微炙） 桂心（一两） 甜葶苈（一两微炒令
香） 附
子（
两锉
碎微
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每于食前。以温酒下十五丸。
治寒疝积聚。绕脐切痛。饮食不下。川乌头丸方。
川乌头（一两炮裂去皮脐） 吴茱萸（半两汤浸七遍焙干微炒） 京三棱（一两煨锉） 甘
草
（半
（一两汤浸
去皮
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服。以生姜汤下二十丸。日
三四
治寒疝冷气。心腹积聚。绕脐切痛。食饮不下。宜服附子丸方。
附子（一两炮裂去皮脐） 吴茱萸（一两汤浸七遍焙干微炒） 细辛（一两） 川乌头
（一两
炮裂
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服。以暖酒下二十丸。日三
四服
治寒疝积聚。结固不通。绕脐切痛。腹中胀满。风入五脏。忧患所积。用力不节
。筋脉劳伤
鳖甲（一两半涂醋炙微黄去裙 ） 甘草（半两炙微赤锉） 桂心（半两） 甜葶苈（半
两微
炒令
去皮脐）
槟
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每于食前。以生姜橘皮汤下二
十丸
治寒疝积聚。邪气往来。厥逆冲心痛。羸弱少气。不欲饮食。宜服吴茱萸丸方。\x
吴茱萸（一两） 赤芍药（半两） 细辛（一两） 前胡（一两去芦头） 干姜（一两
炮裂锉）
川乌
两） 芎
（
桂心
（
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每于食前。以粥饮服二十丸。
渐至
Accumulation and mass disorders arise from the presence of cold pathogenic factors within the body. When blood and qi are deficient, wind pathogens contend with the zang-fu organs. An excess of cold leads to stagnation of qi; such qi stagnation gives rise to accumulations and masses.
(The original text here contains fragments or layout errors: "Root. Left and right hypochondrium. Diet does not... Masses. Floating.")
For treating cold hernia (Han Shan) and accumulations/masses, symptoms manifest as moving lumps, large as a turtle, small as a cup, appearing intermittently. If it affects the stomach tube and large intestine causing obstruction, and one is exposed to wind-cold, abdominal borborygmus occurs, and the epigastrium... (The original text here is fragmented).
Yuanhua (Radix Genkwanis, 1 liang, stir-fried with vinegar until dry), Jiaomu (Semen Phellodendri, 1 liang), Banxia (Rhizoma Pinelliae Preparatum, 0.5 liang, washed seven times in decoction to remove slipperiness), Chuan Dahuang (Radix et Rhizoma Rhei, 1 liang, crushed), Chi Fuling (Poria, ... liang).
The above herbs are pounded, sifted into powder, mixed with refined honey, and beaten for three to two hundred strokes. Form pills the size of paulownia seeds. Each dose consists of seven pills taken with warm wine, three times daily. One should... (The original text here is fragmented).
For treating severe cold hernia of the heart and abdomen characterized by rigidity, where evil qi comes and goes forming solid accumulations, suffering from coldness and vexation, inability to sleep, night sweats, hard stool..., and urinary dysfunction... (The original text here is fragmented).
Jiegeng (Radix Platycodi, 1 liang, remove radicle), Lilü (Rhizoma Veratri, 1 liang, remove radicle, lightly roasted), Guixin (Cortex Cinnamomi, 1 liang), Tinglizi (Semen Lepidii et Descurainiae, 1 liang, lightly roasted until fragrant), Fuzi (Radix Aconiti Lateralis Preparata, ... liang, crushed, lightly...).
The above herbs are pounded, sifted into powder, mixed with refined honey, and beaten for three to two hundred strokes. Form pills the size of paulownia seeds. Take fifteen pills before meals with warm wine.
For treating cold hernia and accumulations with cutting pain around the umbilicus and inability to eat, use the Chuan Wutou Wan Formula:
Chuan Wutou (Radix Aconiti Kusnezoffii Preparata, 1 liang, processed, peel and navel removed), Wuzhuyu (Fructus Evodiae, 0.5 liang, soaked in water seven times, dried, lightly roasted), Sanleng (Rhizoma Sparganii, 1 liang, baked and crushed), Gancao (Radix Glycyrrhizae, half...), (... liang, soaked in water... peel...).
The above herbs are pounded, sifted into powder, mixed with refined honey, and beaten for three to two hundred strokes. Form pills the size of paulownia seeds. Take twenty pills with ginger decoction per dose, three to four times daily.
For treating cold hernia with cold qi, heart and abdominal accumulations, cutting pain around the umbilicus, and inability to eat/drink, take the Fuzi Wan Formula:
Fuzi (Radix Aconiti Lateralis Preparata, 1 liang, processed, peel and navel removed), Wuzhuyu (Fructus Evodiae, 1 liang, soaked in water seven times, dried, lightly roasted), Xixin (Herba Asari, 1 liang), Chuan Wutou (Radix Aconiti Kusnezoffii Preparata, 1 liang, processed...).
The above herbs are pounded, sifted into powder, mixed with refined honey, and beaten for three to two hundred strokes. Form pills the size of paulownia seeds. Take twenty pills with warm wine per dose, three to four times daily.
For treating cold hernia and accumulations, solid knots causing obstruction, cutting pain around the umbilicus, abdominal distension. Due to wind entering the five zang organs, accumulation of worry and grief, excessive exertion..., damaging sinews and vessels...
Biejia (Carapax et Plastrum Testudinis, 1.5 liang, coated with vinegar, roasted until slightly yellow, remove skirt edge), Gancao (Radix Glycyrrhizae, 0.5 liang, roasted until slightly red and crushed), Guixin (Cortex Cinnamomi, 0.5 liang), Tinglizi (Semen Lepidii et Descurainiae, 0.5 liang, lightly roasted until...), (... peel and navel removed), Binglang (Semen Arecae, ...).
The above herbs are pounded, sifted into powder, mixed with refined honey, and beaten for three to two hundred strokes. Form pills the size of paulownia seeds. Take twenty pills before meals with ginger and tangerine peel decoction.
For treating cold hernia and accumulations, wandering evil qi, cold extremities with rushing pain in the heart, emaciation and shortness of breath, loss of appetite, take the Wuzhuyu Wan Formula:
Wuzhuyu (Fructus Evodiae, 1 liang), Chi Shaoyao (Radix Paeoniae Rubra, 0.5 liang), Xixin (Herba Asari, 1 liang), Qianhu (Radix Peucedani, 1 liang, remove radicle), Ganjiang (Rhizoma Zingiberis, 1 liang, processed and crushed), Chuan Wu (Radix Aconiti Kusnezoffii, ... liang), Chuanxiong (Rhizoma Chuanxiong, ...), Guixin (Cortex Cinnamomi, ...).
The above herbs are pounded, sifted into powder, mixed with refined honey, and beaten for three to two hundred strokes. Form pills the size of paulownia seeds. Take twenty pills before meals with gruel drink, gradually increasing the dosage...