夫积聚者。由五脏六腑所生也。而宿食不消者。盖脏腑为寒气所乘。脾胃虚冷。水谷不
化。
治积聚气。脾胃虚弱。不能化谷致宿食不消。胁胀痛。宜服京三棱散方。
京三棱（一两炮锉） 桂心（三分） 丁香（半两） 益智子（三分去皮） 木香（半
两） 大腹
皮
干姜
（
瓤焙）
赤
上件药。捣粗罗为散。每服二（三）钱。以水一中盏。入生姜半分。枣三枚。煎至六分。
去滓
治积聚宿食不消。四肢羸瘦乏力。宜服诃黎勒散方。
诃黎勒〔二（一）两煨用皮〕 附子（一两炮去皮脐） 草豆蔻（一两去皮） 白术（三
分） 当
归
（一）
两〕
去皮微
炒）
上件药。捣粗罗为散。每服三钱。以水一中盏。入生姜半分。枣三枚。煎至六分。去滓。
不
治积聚。宿食不消。腹胁下妨闷。四肢羸瘦。骨节酸疼。多有盗汗。宜服白术丸方
。
白术（一两） 黄 （一两锉） 牡蛎（一两烧为粉） 人参（一两去芦头） 赤茯苓
（一两）
川乌
芍药
（三分）
去裙 ）
紫菀（
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。以温酒下三十丸。
治积聚气。脾胃虚冷。宿食不消。心腹气滞。胀满疼痛。宜服木香丸方。
木香（三分） 白术（三分） 人参（三分去芦头） 赤茯苓（三分） 吴茱萸（半两
汤浸七遍
焙干微炒） 干姜（半两炮裂锉） 桂心（三分） 陈橘皮（一两汤浸去白瓤焙） 诃黎勒
（一两煨
用皮
川大
黄（一
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。以温酒下三十丸。
治积聚宿食不消。心腹胀满疼痛。宜服巴豆丸方。
巴豆（半两去皮心出油研入） 附子（一两炮裂去皮脐） 硫黄（一两半细研水飞过） 桂
心
（一
锉） 香墨
（半
上件药。捣罗为末。入巴豆。都研令匀。用糯米饭和丸。如小豆大。每服食前。以生姜
橘皮
治积聚气。宿食留滞。不能消化。丁香丸方。
丁香（半两） 木香（半两） 巴豆（一分去皮心去油研入） 乳香（半两） 硫黄（半
两细研
水飞）
上件药。捣罗为末。都研令匀。以酒煮神曲末为糊。和丸如小豆大。每服食前。以生姜
橘皮
又方。
木香（一两） 青橘皮（一两汤浸去白瓤焙） 肉豆蔻（三分去瓤） 巴豆（半两去皮
心去油
研入）
上件药。捣罗为末。入巴豆。研令匀。以醋煮饭和丸。如小豆大。每于食前。以生姜橘
皮汤
治积聚。宿食不消。虚羸腹胀。宜服此方。
肥皂荚（半两炙去皮子捣为末） 甘遂（三钱晒干生捣罗为末） 牵牛子（二钱生捣为
末）
上件药。一处更研细如面。患人二十以上。用药末一钱。用水温拌。用面捏作馄饨子十
枚。
良久
又方。
吴茱萸〔一（二）两汤浸七遍碎干微炒〕 巴豆（半两去皮心研如膏纸裹压去油）
上件药。先捣罗茱萸为末。以酽醋一大碗。浸茱萸末一宿。至来日。于银锅内熬。候茱
萸似
即住
Accumulation and mass disorders arise from the dysfunction of the Zang and Fu organs. The retention of undigested food is due to cold pathogenic factors invading the Zang and Fu organs, resulting in deficiency-cold of the Spleen and Stomach, which fails to transform water and grain.
For accumulation with Qi stagnation, Spleen and Stomach deficiency, inability to digest food leading to retained undigested food, and distending pain in the hypochondrium, it is appropriate to take Jing San Leng Powder (Caulis Bistortae Powder).
Ingredients: Caulis Bistortae (Jing San Leng) (1 liang, processed and crushed), Cinnamomi Ramulus (Gui Xin) (3 fen), Caryophylli Flos (Ding Xiang) (0.5 liang), Alpiniae Oxyphyllae Fructus (Yi Zhi Ren) (3 fen, peeled), Aucklandiae Radix (Mu Xiang) (0.5 liang), Arecae Pericarpium (Da Fu Pi), Zingiberis Rhizoma Recens (Gan Jiang) (roasted flesh), Chi Shao Yao (Red Peony Root) [Text is fragmented here].
The above ingredients are coarsely ground into a powder. Each dose consists of 2 qian (or 3 qian). Add one zhong of water, half a fen of fresh ginger, and three jujubes. Decoct until six parts remain, then strain.
For accumulation and retained undigested food causing emaciation and weakness in the four limbs, it is appropriate to take He Li Le Powder (Terminalia Chebula Powder).
Ingredients: Terminaliae Fructus (He Li Le) (2 liang or 1 liang, roasted, use peel), Aconiti Lateralis Radix Praeparata (Fu Zi) (1 liang, processed, peel and remove umbilical scar), Cardamomi Fructus Rotundus (Cao Dou Kou) (1 liang, peeled), Atractylodis Macrocephalae Rhizoma (Bai Zhu) (3 fen), Angelicae Sinensis Radix (Dang Gui) (1 liang, peeled and lightly stir-fried).
The above ingredients are coarsely ground into a powder. Each dose is 3 qian. Add one zhong of water, half a fen of fresh ginger, and three jujubes. Decoct until six parts remain, then strain.
For accumulation, retained undigested food, stuffiness and oppression in the abdomen and hypochondrium, emaciation of the four limbs, soreness and pain in the bone joints, and frequent night sweats, it is appropriate to take Bai Zhu Pill (Atractylodis Macrocephalae Pill).
Ingredients: Atractylodis Macrocephalae Rhizoma (Bai Zhu) (1 liang), Astragali Membranacei Radix (Huang Qi) (1 liang, sliced), Ostreae Concha (Mu Li) (1 liang, calcined to powder), Ginseng Radix et Rhizoma (Ren Shen) (1 liang, removed rhizome base), Poria (Chi Fu Ling) (1 liang), Aconiti Radix (Chuan Wu) [Text fragmented], Paeoniae Radix Rubra (Shao Yao) (3 fen, removed root skirt), Asteris Tatarici Radix (Zi Wan) [Text fragmented].
The above ingredients are finely ground into powder. Mix with refined honey and pound 200-300 times until uniform. Form pills the size of paulownia seeds. Take 30 pills before meals with warm wine.
For accumulation with Qi stagnation, deficiency-cold of the Spleen and Stomach, retained undigested food, Qi stagnation in the heart and abdomen, distension, fullness, and pain, it is appropriate to take Mu Xiang Pill (Aucklandia Pill).
Ingredients: Aucklandiae Radix (Mu Xiang) (3 fen), Atractylodis Macrocephalae Rhizoma (Bai Zhu) (3 fen), Ginseng Radix et Rhizoma (Ren Shen) (3 fen, removed rhizome base), Poria (Chi Fu Ling) (3 fen), Evodiae Fructus (Wu Zhu Yu) (0.5 liang, soaked in decoction 7 times, dried, lightly stir-fried), Zingiberis Rhizoma (Gan Jiang) (0.5 liang, processed, cracked, sliced), Cinnamomi Ramulus (Gui Xin) (3 fen), Citri Reticulatae Pericarpium (Chen Ju Pi) (1 liang, soaked in decoction, white pith removed, dried), Terminaliae Fructus (He Li Le) (1 liang, roasted, use peel), Rheii Radix et Rhizoma (Da Huang) [Text fragmented].
The above ingredients are finely ground into powder. Mix with refined honey and pound 200-300 times until uniform. Form pills the size of paulownia seeds. Take 30 pills before meals with warm wine.
For accumulation and retained undigested food causing abdominal distension, fullness, and pain, it is appropriate to take Ba Dou Pill (Croton Seed Pill).
Ingredients: Crotonis Fructus (Ba Dou) (0.5 liang, peel and remove heart, express oil, grind and add), Aconiti Lateralis Radix Praeparata (Fu Zi) (1 liang, processed, peel and remove umbilical scar), Sulphur (Liu Huang) (1.5 liang, finely ground, water-floating method), Cinnamomi Ramulus (Gui Xin) [Text fragmented], Ink Stick (Xiang Mo) (0.5 liang) [Text fragmented].
The above ingredients are finely ground into powder. Add the prepared Croton seed and grind uniformly. Mix with glutinous rice paste to form pills the size of adzuki beans. Take before meals with Ginger and Tangerine Peel decoction [Text fragmented].
For accumulation with Qi stagnation, retention of undigested food, and inability to digest, it is appropriate to take Ding Xiang Pill (Clove Pill).
Ingredients: Caryophylli Flos (Ding Xiang) (0.5 liang), Aucklandiae Radix (Mu Xiang) (0.5 liang), Crotonis Fructus (Ba Dou) (1 fen, peel, remove heart, express oil, grind and add), Boswelliae Resina (Ru Xiang) (0.5 liang), Sulphur (Liu Huang) (0.5 liang, finely ground, water-floating method).
The above ingredients are finely ground into powder and mixed uniformly. Use fermented dough (Shen Qu) boiled in wine as a binder to form pills the size of adzuki beans. Take before meals with Ginger and Tangerine Peel decoction [Text fragmented].
Another prescription.
Ingredients: Aucklandiae Radix (Mu Xiang) (1 liang), Aurantii Fructus Viridis (Qing Ju Pi) (1 liang, soaked in decoction, white pith removed, dried), Myristicae Semen (Rou Dou Kou) (3 fen, remove pulp), Crotonis Fructus (Ba Dou) (0.5 liang, peel, remove heart, express oil, grind and add).
The above ingredients are finely ground into powder. Add the prepared Croton seed and grind uniformly. Mix with rice cooked in vinegar to form pills the size of adzuki beans. Take before meals with Ginger and Tangerine Peel decoction [Text fragmented].
For accumulation, retained undigested food, deficiency-emaciation, and abdominal distension, this prescription is appropriate.
Ingredients: Gleditsiae Sinensis Fructus (Fei Zao Jia) (0.5 liang, roasted, peel and remove seeds, grind to powder), Kansui Radix (Gan Sui) (3 qian, sun-dried, raw, ground to powder), Pharbitidis Semen (Qian Niu Zi) (2 qian, raw, ground to powder).
Mix all ingredients and grind finely like flour. For patients over 20 years old, take 1 qian of the powder. Moisten with water, shape into 10 wonton-like dumplings using flour dough. Leave for a while [Text fragmented, likely implies steaming or boiling].
Another prescription.
Ingredients: Evodiae Fructus (Wu Zhu Yu) (1 liang or 2 liang, soaked in decoction 7 times, crushed, dried, lightly stir-fried), Crotonis Fructus (Ba Dou) (0.5 liang, peel, remove heart, grind into paste, wrap in paper, press to remove oil).
First, grind the Evodia fruit into powder. Soak the powder in a large bowl of strong vinegar overnight. The next day, simmer in a silver pot until the Evodia reaches a specific consistency [Text fragmented, likely "until dry" or similar], then stop.