治肝之积，在左胁下，如覆杯，有头足如龟鳖状，久不愈，发咳逆呕，其脉弦而细。
当归（头） 苍术（各一两半） 青皮（一两，炒） 蛇含石（醋 淬，七钱半） 三
棱莪术 铁孕粉（各三两，与三棱莪术同入醋，煮一伏时久）
上为细末，醋煮米糊为丸，如绿豆大，每服四十丸，用当归浸酒下，食远服。
治心积起脐上，至心大如臂，久不已，病烦心，身体髀股皆肿，环脐而痛，其脉沉而芤。
茯苓（去皮） 浓朴（去皮，姜制炒） 人参（去芦） 枳壳（去幅，麸炒） 三棱（煨）
半夏（汤泡七次） 白术（各等分）
上为细末，面糊和丸，如梧桐子大，每服五十丸，食远用米饮汤送下。
治息积，癖于腹胁之下，偏胀膨满，不妨饮食，诸药不能取，及治心脾疼痛，呕吐酸水，
丈夫小肠气，妇人血气痛。
方见气门
治脾积在胃脘，覆大如盘，久不愈，病四肢不仁，黄胆，饮食不为肌肤，心痛彻背，背
痛彻心，其脉浮大而长。
赤石脂（火 ，醋淬） 川椒（炒出汗） 干姜（炮，以上各二两） 桂心 附子（炮，
各半两） 大乌头（炮，去皮脐，二钱半）
上为细末，炼蜜和丸，如梧桐子大，以朱砂为衣，每服五十丸，食远用米汤送下。
治一切新久沉积气块，面黄羸瘦，症瘕积聚，口吐酸水，并皆治之，孕妇勿服。
槟榔（二个） 芫花 三棱 樟柳根 牛膝 黄连 广茂（以上各一两） 白牵牛 大
戟大黄 甘遂 青礞石 干姜 干漆（以上各半两） 砂（一钱） 肉豆蔻（二个） 巴
豆（生） 木香（各二钱半） 青皮 石菖蒲 陈皮（以上各三钱）
上为细末，醋糊为丸，如梧桐子大，每服一丸，临卧用红枣煎汤送下。有积者肚内作声
，病退为度。
木香通气丸 治 癖气滞，心腹痞满，呕逆咳嗽。此药顺气消痰，进饮食，散痞气。
木香 人参（各一两半） 陈皮 黑牵牛（各六两） 槟榔 丁香（各半两） 三棱（炮）
广术（炮，各三两） 木通 半夏（姜制炒） 茴香（炒） 神曲 麦 青皮（以上各二
两） 延胡索（一两）。
上为细末，米糊为丸，如小豆大，每服三四十丸，食后生姜汤送下，日进二服。
Treatment for Liver Accumulation (Ji): Located in the left hypochondrium, the mass resembles an inverted cup with head and foot structures like a turtle or crab. If untreated for a long time, it may induce coughing, regurgitation, and vomiting, with a wiry and thin pulse.
*Ingredients:* Danggui Tou (Radix Angelicae Sinensis Head) 1 liang 5 qian; Cangzhu (Rhizoma Atractylodis Macrocephalae) 1 liang 5 qian; Qingpi (Pericarpium Citri Reticulatae Viride) 1 liang, stir-fried; Shehanshi (Serpentinite) 7 qian 5 fen, quenched in vinegar; Sanleng (Rhizoma Sparganii); Ezhu (Rhizoma Curcumae Longae); Tieyunfen (Iron Ore Powder) 3 liang each. (Sanleng, Ezhu, and Tieyunfen are boiled together in vinegar for one *fu shi*, approx. 2 hours).
*Preparation & Administration:* Grind into fine powder. Use vinegar-boiled rice paste to form pills the size of mung beans. Take 40 pills per dose, administered with wine infused with Danggui, taken well after meals.
Treatment for Heart Accumulation: Originates above the umbilicus, extending to the heart region, sized like an arm. If persistent, it causes mental restlessness, swelling of the thighs and legs, and pain encircling the umbilicus. The pulse is deep and hollow (*Kou*).
*Ingredients:* Fuling (Poria), peeled; Houpo (Cortex Magnoliae Officinalis), peeled and stir-fried with ginger juice; Renshen (Radix Ginseng), rhizome removed; Zhike (Fructus Aurantii), pith removed and stir-fried with bran; Sanleng (Rhizoma Sparganii), roasted; Banxia (Rhizoma Pinelliae), soaked in boiling water seven times; Baizhu (Rhizoma Atractylodis Macrocephalae). All in equal proportions.
*Preparation & Administration:* Grind into fine powder. Use wheat flour paste to form pills the size of Sophora seeds. Take 50 pills per dose, administered with rice decoction well after meals.
Treatment for Xi Accumulation: The *Pi* mass is located below the abdomen and hypochondrium, causing unilateral abdominal distension and fullness without affecting appetite. It is resistant to other medications. Also treats Heart-Spleen pain, vomiting of sour fluid, male *Xiaochang Qi* (intestinal hernia), and female Blood-Qi pain.
*Reference:* See formula under "Qi Gate" section.
Treatment for Spleen Accumulation: Located in the epigastrium, covering an area as large as a plate. If persistent, it leads to insensitivity of the four limbs, jaundice, inability of food to nourish muscles, heart pain radiating to the back, and back pain radiating to the heart. The pulse is floating, large, and long.
*Ingredients:* Chishizhi (Halloysitum Rubrum) 2 liang, calcined and quenched in vinegar; Chuanjiao (Pericarpium Zanthoxyli) 2 liang, stir-fried until oil exudes; Ganjiang (Rhizoma Zingiberis) 2 liang, processed; Guixin (Cinnamomi Cortex) 0.5 liang; Fuzi (Radix Aconiti Lateralis Preparata) 0.5 liang, processed; Da Wutou (Radix Aconiti Kusnezoffii) 2 qian 5 fen, processed, skin and navel removed.
*Preparation & Administration:* Grind into fine powder. Use refined honey to form pills the size of Sophora seeds, coated with Zhusha (Cinnabaris). Take 50 pills per dose, administered with rice soup well after meals.
Treatment for all new or chronic stagnant Qi masses, sallow complexion, emaciation, *Zheng Jia* (masses and accumulations), and vomiting of sour fluid. Contraindicated in pregnancy.
*Ingredients:* Binglang (Arecae Semen) 2 pieces; Yuanhua (Flos Genkwa) 1 liang; Sanleng (Rhizoma Sparganii) 1 liang; Zhangliugen (Radix Broussonetiae Papyriferae) 1 liang; Niuxi (Radix Achyranthis Bidentatae) 1 liang; Huanglian (Rhizoma Coptidis) 1 liang; Guangmao (Rhizoma Curcumae Phaeocaulis) 1 liang; Baiqianniu (Semen Pharbitidis) 0.5 liang; Daji (Radix Euphorbiae Pekinensis) 0.5 liang; Dahuang (Radix et Rhizoma Rhei) 0.5 liang; Gansui (Radix Kansui) 0.5 liang; Qingmengshi (Calamina) 0.5 liang; Ganjiang (Rhizoma Zingiberis) 0.5 liang; Ganqi (Resina Dammaris) 0.5 liang; Sha (Borax) 1 qian; Roudoukou (Nucis Arecae Katsumadae) 2 pieces; Badou (Semen Crotonis Tiglii), raw; Muxiang (Radix Aucklandiae) 2 qian 5 fen; Qingpi (Pericarpium Citri Reticulatae Viride) 3 qian; Shichangpu (Rhizoma Acori Tatarinowii) 3 qian; Chenpi (Pericarpium Citri Reticulatae) 3 qian.
*Preparation & Administration:* Grind into fine powder. Use vinegar paste to form pills the size of Sophora seeds. Take 1 pill per dose, administered with red date decoction before sleep. Abdominal sounds indicate the expulsion of accumulation; continue until symptoms subside.
*Muxiang Tongqi Wan*: Treats *Pi* Qi stagnation, epigastric and abdominal fullness/stuffiness, vomiting, retching, and coughing. This formula promotes Qi flow, resolves phlegm, improves appetite, and dissipates stagnation.
*Ingredients:* Muxiang (Radix Aucklandiae) 1 liang 5 qian; Renshen (Radix Ginseng) 1 liang 5 qian; Chenpi (Pericarpium Citri Reticulatae) 6 liang; Heiqianniu (Semen Pharbitidis Nigrum) 6 liang; Binglang (Arecae Semen) 0.5 liang; Dingxiang (Flos Caryophylli) 0.5 liang; Sanleng (Rhizoma Sparganii), processed 3 liang; Guangshu (Rhizoma Curcumae Longae), processed 3 liang; Mutong (Caulis Akebiae Trifoliate) 2 liang; Banxia (Rhizoma Pinelliae), ginger-processed and stir-fried 2 liang; Huixiang (Fructus Foeniculi) 2 liang, stir-fried; Shenqu (Massa Medicata Fermentata) 2 liang; Maiya (Fructus Hordei Germinatus) 2 liang; Qingpi (Pericarpium Citri Reticulatae Viride) 2 liang; Yanhusuo (Rhizoma Corydalis) 1 liang.
*Preparation & Administration:* Grind into fine powder. Use rice paste to form pills the size of small beans. Take 30-40 pills per dose, administered with ginger-infused water after meals. Twice daily.