夫 癖不能食者。由脾胃虚弱。为邪气所搏故也。脾主摧伏水谷。以养四脏。荣于气血。
若
在于腹中。脾气虚弱。故不能食也。
治 癖气不能食。腹中痛。时嗽。四肢少力。桂心丸方。
桂心（一两） 诃黎勒皮（一两） 白术（一两） 浓朴（一两半去粗皮涂生姜汁炙令
香熟）
橘皮
吴茱
萸（
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服不计时候。以生姜枣汤下
三十
治 癖气发。即两胁急满。四肢烦闷。不能食。宜服槟榔丸方。
槟榔（一两） 枳壳（三分麸炒微黄去瓤） 桔梗（三分去芦头） 人参（三分去芦头）
白术
（半
黄（一两
锉碎
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服不计时候。以温酒下三十
丸。
治 癖气。腹胁痛。不能食。四肢少力。宜服木香丸方。
木香（三分） 诃黎勒（一两煨用皮） 黄 （一两锉） 鳖甲（一两涂醋炙令黄去裙
） 白
术（
汤浸去白
瓤焙
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服不计时候。以温酒下三十
丸。
治 癖气。不能食。心胁下满。四肢骨节酸疼。白术丸方。
白术（三分） 黄 （一两锉） 牡蛎（三分烧为粉） 人参（三分去芦头） 赤茯苓
（一两）
川乌
黎勒
皮（
葵（半
两）
去芦头）
上件药。捣罗为末。炼蜜和捣五七百杵。丸如梧桐子大。每服不计时候。以温酒下三十
丸。
治 癖气。不能食。四肢少力。人参丸方。
人参（一两去芦头） 白术（三分） 枳壳（三分麸炒微黄去瓤） 陈橘皮（半两汤浸
去白瓤
焙）
上件药。捣罗为末。炼蜜和捣三二百杵。丸如梧桐子大。每服不计时候。以温酒下三十
丸。
治 癖气。每发痛不能食。京三棱丸方。
京三棱（三两微煨锉） 益智子（一两去皮） 吴白术（一两） 木香（一两）
上件药。捣罗为散。每服三钱。以水一中盏。煎至五分。去滓。不计时候稍热服。
The condition of Pi (abdominal mass) leading to an inability to eat is caused by the deficiency and weakness of the Spleen and Stomach, where pathogenic factors invade and contend with the healthy Qi. The Spleen governs the breakdown and transformation of food and fluids to nourish the four Zang organs (Heart, Liver, Lung, Kidney), and generates Ying (Nutritive) and Wei (Defensive) Qi as well as Blood. If the pathogenic factor accumulates in the abdomen, the Spleen Qi becomes deficient, resulting in an inability to eat.
To treat Pi Qi causing an inability to eat, accompanied by abdominal pain, occasional coughing, and weakness in the four limbs, use Guixin Wan (Cinnamon Heart Pill).
Guixin (Cinnamomi Cortex, 1 liang) Helilepi (Pericarpium Terminaliae Chebulae, 1 liang) Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang) Houpo (Magnoliae Officinalis Cortex, 1.5 liang, remove coarse bark, apply fresh ginger juice, and roast until fragrant) Jupi (Citri Reticulatae Pericarpium) Wuzhuyu (Evodiae Fructus, 1 liang).
Crush and sieve the above herbs into powder. Mix with refined honey and pound for three to two hundred strokes to form pills the size of paulownia seeds. Take thirty pills at any time, washed down with a decoction of fresh ginger and jujube.
To treat the onset of Pi Qi, characterized by tightness and fullness in both hypochondria, restlessness in the four limbs, and an inability to eat, it is advisable to take Binglang Wan (Areca Seed Pill).
Binglang (Arecae Semen, 1 liang) Zhike (Aurantii Fructus Immaturus, 3 fen, stir-fry with bran until slightly yellow, remove pith) Jiegeng (Platycodonis Radix, 3 fen, remove radix tip) Renshen (Ginseng Radix, 3 fen, remove radix tip) Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang) Huangqi (Astragali Radix, 1 liang, cut into small pieces).
Crush and sieve the above herbs into powder. Mix with refined honey and pound for three to two hundred strokes to form pills the size of paulownia seeds. Take thirty pills at any time, washed down with warm wine.
To treat Pi Qi, accompanied by abdominal and hypochondrial pain, an inability to eat, and weakness in the four limbs, it is advisable to take Muxiang Wan (Costus Root Pill).
Muxiang (Aucklandiae Radix, 3 fen) Helile (Terminaliae Chebulae Fructus, 1 liang, roast and use the pericarp) Huangqi (Astragali Radix, 1 liang, cut into small pieces) Biejia (Testudinis Carapax et Plastrum, 1 liang, coat with vinegar and roast until yellow, remove skirt edges) Baizhu (Atractylodis Macrocephalae Rhizoma, 1 liang, soak in water, remove white pith, and dry).
Crush and sieve the above herbs into powder. Mix with refined honey and pound for three to two hundred strokes to form pills the size of paulownia seeds. Take thirty pills at any time, washed down with warm wine.
To treat Pi Qi, characterized by an inability to eat, fullness below the heart and hypochondria, and soreness and pain in the bone joints of the four limbs, use Baizhu Wan (Atractylodis Macrocephalae Rhizoma Pill).
Baizhu (Atractylodis Macrocephalae Rhizoma, 3 fen) Huangqi (Astragali Radix, 1 liang, cut into small pieces) Muli (Concha Ostreae, 3 fen, calcined into powder) Renshen (Ginseng Radix, 3 fen, remove radix tip) Chifuling (Poria Cum Radix Pini Rossea, 1 liang) Chuanwu (Aconiti Radix, 3 fen, processed) Helilepi (Pericarpium Terminaliae Chebulae, 1 liang) Kuizi (Abutilonis Semen, 0.5 liang, remove radix tip).
Crush and sieve the above herbs into powder. Mix with refined honey and pound for five to seven hundred strokes to form pills the size of paulownia seeds. Take thirty pills at any time, washed down with warm wine.
To treat Pi Qi, characterized by an inability to eat and weakness in the four limbs, use Renshen Wan (Ginseng Pill).
Renshen (Ginseng Radix, 1 liang, remove radix tip) Baizhu (Atractylodis Macrocephalae Rhizoma, 3 fen) Zhike (Aurantii Fructus Immaturus, 3 fen, stir-fry with bran until slightly yellow, remove pith) Chenjupi (Citri Reticulatae Pericarpium, 0.5 liang, soak in water, remove white pith, and dry).
Crush and sieve the above herbs into powder. Mix with refined honey and pound for three to two hundred strokes to form pills the size of paulownia seeds. Take thirty pills at any time, washed down with warm wine.
To treat Pi Qi, where each episode involves pain and an inability to eat, use Jingsanleng Wan (Curcuma Kwangsiensis Pill).
Jingsanleng (Curcumae Kwangsiensis Rhizoma, 3 liang, lightly roast and cut into small pieces) Yizhiren (Alpiniae Oxyphyllae Fructus, 1 liang, remove skin) Wubaizhu (Atractylodis Rhizoma, 1 liang) Muxiang (Aucklandiae Radix, 1 liang).
Crush and sieve the above herbs into a powder. Take 3 qian per dose. Add one zhong of water, boil until reduced to 0.5 zhong, strain, and drink while slightly warm at any time.