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Accumulation (Ji) is a pathological condition caused by the stagnation of Yin Qi, originating from dysfunction of the Zang organs. Gathering (Ju) results from the obstruction of Yang Qi, arising from disorders of the Fu organs. These conditions are generally caused by improper regulation of cold and heat, and irregular diet, leading to the accumulation and retention of Essence and Qi within the body.

For Accumulation Qi presenting with knotting and pain in the heart and abdomen, and difficulty in swallowing food and drink, the Biejia San (Turtle Shell Powder) formula is indicated.
Ingredients: Bie Jia (Testudinis Carapax et Plastrum, 1 liang, coated with vinegar, roasted until yellow, skirt removed); Jing San Leng (Sparganii Rhizoma, 1 liang, processed until cracked); Dang Gui (Angelicae Sinensis Radix, 0.5 liang, sliced and lightly stir-fried); Gui Xin (Cinnamomi Cortex, 0.5 liang); Chi Shao Yao (Paeoniae Radix Rubra, 0.5 liang); Chuan Da Huang (Rhei Radix et Rhizoma, 0.5 liang, sliced and lightly stir-fried).
Process the above herbs into 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, strain, and take warm before meals.

For Ji Qi presenting with hardness and tension in the abdomen and hypochondrium, fullness and distension in the chest and heart, and inability to eat, the Binglang San (Areca Seed Powder) formula is indicated.
Ingredients: Bing Lang (Arecae Semen, 1 liang); Jing San Leng (Sparganii Rhizoma, 1 liang, processed and sliced); Mu Xiang (Aucklandiae Radix, 1 liang); Gui Xin (Cinnamomi Cortex, 0.5 liang); Tao Ren (Persicae Semen, 1 liang, soaked in hot water, skin and tips removed, double kernels discarded, bran-fried until slightly yellow).
Process the above herbs into a powder. Take an appropriate amount, add 1 zhong of water and 0.5 fen of fresh ginger, decoct until 0.6 zhong remains, strain, and take warm before meals.

For Accumulation presenting with abdominal distension and pain, reduced appetite, and discomfort in the four limbs, the Wuzhuyu San (Evodiae Fructus Powder) formula is indicated.
Ingredients: Wu Zhu Yu (Evodiae Fructus, 1 liang, soaked in hot water seven times, dried and lightly stir-fried); Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1 liang); Dang Gui (Angelicae Sinensis Radix, 1 liang, sliced and lightly stir-fried); Zi Wan (Adenophorae Radix, 1 liang, buds removed); Zhi Shi (Aurantii Fructus Immaturus, 1 liang, bran-fried, albedo removed).
Process the above herbs into 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, strain, and take warm before meals.

For Accumulation Qi presenting with hardness like stone in the heart and abdomen, visible blue veins on the abdomen, and difficulty in swallowing food and drink, the Fangkui San (Radix Glehniae? Note: Fangkui usually refers to Conii Radix or Glehniae Radix depending on context, here likely Conii Radix based on toxicity profile in ancient texts, but standard WHO term for Fangkui is often associated with Conium) Powder formula is indicated.
Ingredients: Fang Kui (Conii Radix, 0.5 liang); Jie Geng (Platycodonis Radix, 3 qian, radicle removed); Chuan Po Xiao (Natrii Sulfas, 3 qian); Chuan Da Huang (Rhei Radix et Rhizoma, 3 qian, sliced and lightly stir-fried); Tao Ren (Persicae Semen, 0.5 liang, soaked in hot water, skin and tips removed, double kernels discarded, bran-fried until slightly yellow).
Process the above herbs into a powder. Take 3 qian per dose, add 1 zhong of water, decoct until 0.6 zhong remains, strain, and take warm before meals.

For Accumulation Qi located in the abdomen and hypochondrium, presenting with pain in the chest and back, the Dahuang Wan (Rhubarb Pill) formula is indicated.
Ingredients: Chuan Da Huang (Rhei Radix et Rhizoma, 2 liang, sliced and lightly stir-fried); Tao Ren (Persicae Semen, 1.5 liang, soaked in hot water, skin and tips removed, double kernels discarded, bran-fried until slightly yellow); Bing Lang (Arecae Semen, 1.5 liang); Bie Jia (Testudinis Carapax et Plastrum, 1 liang, coated with vinegar, roasted until yellow, skirt removed, sliced).
Process the above herbs into fine powder, mix with paste made from flour boiled in vinegar to form pills the size of Sophora seeds. Take 20 pills before meals, washed down with a decoction of fresh ginger and tangerine peel.

For Accumulation Qi presenting with hardness and distension in the heart and abdomen, reduced intake of food and drink, sallow complexion, and emaciation, the Gan Xi Wan (Lac Cum Resina Pill) formula is indicated.
Ingredients: Gan Xi (Lac Cum Resina, 1 liang, crushed and roasted until smoke appears); Bie Jia (Testudinis Carapax et Plastrum, 1 liang, coated with vinegar, roasted until yellow, skirt removed); He Li Le Pi (Terminaliae Chebulae Pericarpium, 1 liang); Dang Gui (Angelicae Sinensis Radix, 1 liang, sliced and lightly stir-fried); Bai Zhu (Atractylodis Macrocephalae Rhizoma, 1 liang); Chuan Da Huang (Rhei Radix et Rhizoma, 2 liang, sliced and lightly stir-fried).
Process the above herbs into fine powder, mix with paste made from flour boiled in wine, pound 300-500 times to form pills the size of Sophora seeds. Take 30 pills before meals, washed down with rice gruel.

For long-standing Accumulation Qi that does not resolve, presenting with abdominal distension, poor appetite, and emaciation, the Jing San Leng Wan (Sparganii Rhizoma Pill) formula is indicated.
Ingredients: Jing San Leng (Sparganii Rhizoma, 1 liang, processed until cracked); Gui Xin (Cinnamomi Cortex, 1 liang); Chuan Da Huang (Rhei Radix et Rhizoma, 1.5 liang, sliced and lightly stir-fried); Bing Lang (Arecae Semen, 1.5 liang); Wu Zhu Yu (Evodiae Fructus, 0.5 liang, cleaned and lightly stir-fried); Tao Ren (Persicae Semen, 1 liang, soaked in hot water, skin and tips removed, vinegar-roasted until dry).
Process the above herbs into fine powder, mix with paste made from flour boiled in vinegar to form pills the size of Sophora seeds. Take 20 pills before meals, washed down with warm wine.

For Accumulation Qi that has persisted for a long time without dissolving, presenting with deficiency-type distension in the heart and abdomen and lack of desire to eat, the Biejia Jian Wan (Turtle Shell Decoction Pill) formula is indicated.
Ingredients: Bie Jia (Testudinis Carapax et Plastrum, 2 liang, coated with vinegar, roasted until yellow, skirt removed); Fang Kui (Conii Radix, 1 liang, sliced and roasted until yellow); Chuan Da Huang (Rhei Radix et Rhizoma, 2 liang, sliced and lightly stir-fried).
Process the above three herbs into fine powder, decoct with 2 sheng of vinegar until it becomes a paste. Prepare separately: Gan Xi (Lac Cum Resina, 1 liang, crushed and roasted until smoke appears), Gui Xin (Cinnamomi Cortex, 3 qian), Chuan Xiong (Ligustici Chuanxiong Rhizoma, 3 qian, sliced and lightly stir-fried, ground). Process these into fine powder, add to the previous paste, add a small amount of steamed cake, mix and pound 200-300 times to form pills the size of Sophora seeds. Take 15 pills before meals, washed down with warm wine.

For Accumulation Qi that has persisted for a long time without dissolving, presenting with abdominal and hypochondriac distension and pain, pale complexion, and discomfort in the four limbs, the Peng Sha Jian Wan (Borax Decoction Pill) formula is indicated.
Ingredients: Peng Sha (Borax, 2 liang, pure, finely ground; decocted with Yuan Hua powder and 1.5 sheng of vinegar until paste-like); Yuan Hua (Genkwa Flos, 1 liang, roasted until yellow, ground); Chuan Wu Tou (Aconiti Radix Lateralis Preparata, 0.5 liang, skin and navel removed, sliced and roasted until slightly yellow); Dang Gui (Angelicae Sinensis Radix, 0.5 liang).
Process the above herbs into fine powder, add to the previous paste, add a small amount of steamed cake, mix and pound 200-300 times to form pills the size of Sophora seeds. Take 15 pills before meals, washed down with warm wine.

For Accumulation Qi forming masses in the lower abdomen and hypochondrium, persisting for a long time without dissolving, with intermittent pain, the Ye Lang Du Wan (Stellerae Radix Pill) formula is indicated.
Ingredients: Ye Lang Du (Stellerae Radix, finely sliced, mixed with vinegar and roasted until dry); Yuan Hua (Genkwa Flos, mixed with vinegar and roasted until dry); Gan Xi (Lac Cum Resina, crushed and roasted until smoke appears); Xiong Que Fen (Excrement Passeris Domesticis Masculini, lightly stir-fried); Wu Ling Zhi (Trogopterori Faeces, 0.5 liang, roasted to remove sand and soil).
Process the above herbs into fine powder, mix thoroughly with the previously ground ingredients, use paste made from flour boiled in vinegar to form pills the size of Sophora seeds. Take on an empty stomach, washed down with vinegar water.

For Accumulation Qi persisting for many years without resolving, transforming into Consumption (Lao Zheng), presenting with intra-abdominal masses and pain, hypochondriac fullness, frequent vomiting of clear fluid, and difficulty swallowing, the Liu Huang Wan (Sulfur Pill) formula is indicated.
Ingredients: Liu Huang (Sulfur, 0.5 liang, finely ground); Peng Sha (Borax, 0.5 liang, pure, finely ground); Mu Xiang (Aucklandiae Radix, 0.5 liang, ground); Ba Dou (Crotonis Fructus, 49 kernels, skin removed, pulp taken). Preparation: Take one radish, hollow it out, place the Liu Huang and Peng Sha inside, cover with the radish top, wrap in paper, seal with good yellow clay, and bake. Remove the Ba Dou, grind evenly.
Process the ground Ba Dou, mix with paste made from flour boiled in vinegar to form pills the size of mung beans. Take 5 pills on an empty stomach with warm wine, and another dose after evening meal. Stop when diarrhea occurs.

For Accumulation Qi forming masses, Fangkui Wan (Fangkui Pill) formula.
Ingredients: Fang Kui (Conii Radix, 0.5 liang); Yuan Hua (Genkwa Flos, 0.5 liang, mixed with vinegar and roasted until dry); Gan Jiang (Zingiberis Rhizoma, 0.5 liang, processed until cracked and sliced); Bie Jia (Testudinis Carapax et Plastrum, 1 liang, coated with vinegar, roasted until yellow, skirt removed).
Process the above herbs into fine powder, mix in Peng Sha (Borax) evenly, decoct with 1 sheng of rice vinegar until thick, add the herb powders, simmer slowly with a small amount of steamed cake.

Another prescription.
Ingredients: Yuan Hua (Genkwa Flos, 1 liang); Jing San Leng (Sparganii Rhizoma, 1 liang); Qing Ju Pi (Citri Reticulatae Pericarpium Viride, 0.5 liang, soaked in hot water, albedo removed, dried); Gan Xi (Lac Cum Resina, 0.5 liang); Mu Xiang (Aucklandiae Radix, 0.5 liang); Chuan Da Huang (Rhei Radix et Rhizoma, 1 liang, sliced and lightly stir-fried).
Process the above herbs, crush them, decoct with 2 sheng of rice vinegar over low heat until the vinegar is exhausted, dry, process into fine powder, mix with paste made from flour boiled in vinegar to form pills the size of...