凡饮食留聚而为 痞者，或以生冷，或以风寒，或以忿怒气逆，或以劳倦饥馁而饮食叠进，不用消化则积
而成 矣。然胃气强者，必不致留聚饮食，而饮食之不能化者，必由脾肾气弱而然。所以治此者，宜酌虚实而
为攻补，庶乎得效也。诸治法详积聚门。宜参而用之。
立斋曰∶前证若形气虚弱，须先调补脾胃为主，而佐以消导；若形气充实，当先疏导为主，而佐以补脾
胃。若气壅血滞而不行者，宜用乌药散，散而行之。若脾气虚而血不行者，宜用四君、芎、归，补而行之。若
脾气郁而血不行者，宜用归脾汤，解而行之。若肝肾血燥而不行者，宜用加味逍遥散，清而行之。大抵食积痞
块之证，皆以邪气盛则实，精气夺则虚，但当养正辟邪，而积自除矣。虽曰坚者削之，客者除之，若胃气未
虚或可少用，若病久虚乏者，不宜轻用。
《良方》乌药散（见《古方八阵·和阵》）治血气壅滞，心腹作痛。
乌药 莪术（醋浸炒） 桂心 桃仁 当归 青皮 木香（等分）
上为末，每服二钱，热酒调下。
四君子汤（见血虚经乱）
归脾汤（见经不调）
加味逍遥散（见经不调）
瘕者，假也。所谓假者，谓其形虽若 而原无根窠，非若 痞之坚顽有形者也。盖有形者，或因血积，
或因食积，积有定形，所不可移易者也。无形者，病在气分，气逆则甚，气散则缓，聚散无根者也。惟其
无根，故能大能小，或左或右，或近胁肋而如臂如指，则谓之 癖；或下脐腹而为胀为急，则谓之疝瘕。《
难经》曰∶“病有积聚，何以别之？然积者阴气也，阴沉而伏；聚者阳气也，阳浮而动。故积者五脏之所
生，聚者六腑之所成也。”然则 由于积，积在阴分而有渊薮，故攻之非易；瘕由于聚，聚在阳分而犹乌合，
故散之非难。此 瘕之辨有如此，惟散之之法，却有因通、因塞之妙用，而人多莫之知也。
凡病在气分而无停蓄形积者，皆不可下。盖凡用下
者，可除有形而不可以除无形。若气因形滞者，去其积则气亦顺，自无不可。若全在无形气分，即下亦不去，
而适足以败正气也。宜切识之。
散气之法，只在行气，盖气行则散也。但行气之法，大有权宜，如气实则壅滞，宜破而行之；气闭则留
蓄，宜利而行之；气热则干涸，宜寒而行之；气寒则凝结，宜温而行之。此散气治瘕之大法也。然瘕聚之证，
使果气强力健，则流行不息，又何瘕聚之有？惟正气不行而后邪气得聚。经曰∶“邪之所凑，其气必虚。”故
凡为此病，必气虚者多，虚不知补，则正气不行，正气不行则邪气不散，安望其有瘳乎？但实者有
据，故显而易见，虚每似实，故隐而难知。此所以当辨其真也。
破气行气之剂，凡气实气壅之甚而为胀为痛者，宜排气饮、木香顺气散、木香调气散、四磨汤、诸七气汤
之类主之。若血中之气滞而为瘀为痛者，宜失笑散、通瘀煎、调经饮，甚者《良方》夺命丹。疝瘕气聚者，荔
香散，甚者天台乌药散。气结膀胱，小水不利者，小厘清饮、四苓散、五苓散。气结大肠，干秘不行者，搜风
顺气丸、麻仁丸；水亏血虚而秘滞者，济川煎。肝气逆而为聚者，解肝煎，兼火者，化肝煎。气聚兼热，火郁
不行者，抽薪饮、大厘清饮。寒滞不行，气结胀聚者，抑扶煎、和胃饮、丁香茯苓汤。三焦壅滞，气道不清而
中满肿胀者，廓清饮。痰饮水气停蓄胸胁而为吞酸呕逆者，苓术二陈煎、六安煎、和胃饮、括痰丸之类主之。
以上诸法，惟气实瘕聚者宜之，凡元气不足者，皆不可用。
排气饮（见经期腹痛）
《统旨》木香顺气散（见《古方八阵·和阵》治气滞腹痛胁痛。
木香 香附 槟榔 青皮 陈皮 枳壳 砂仁 浓朴（制） 苍术（各一钱） 炙甘草（五分）
水二钟，姜三片，煎八分，食远服。
《局方》木香调气散（见《古方八阵·和阵》）
木香 白檀香 白豆蔻 丁香（各二钱） 炙甘草 藿香（各八钱） 砂仁（四钱）
上为末，每服二钱，入盐少许，沸汤点服。
四磨汤（见《古方八阵·和阵》）治诸逆气。
沉香 乌药 枳实 槟榔
上四味，用白汤共磨，或下“养正丹”尤佳。一方用白酒磨。《济生方》用人参无枳实。本证加木香，即
名五磨饮。
七气汤（见《古方八阵·和阵》）治七情之气郁结于中，心腹绞痛不可忍，及不能饮食。
半夏（制五两） 人参 肉桂 甘草（炙各一两）
上，每服三、五钱，水一钟半，姜三片，煎八分服。
《三因》七气汤（即四七汤。见安胎）
加味七气汤（见《古方八阵·和阵》）
即前七气汤加浓朴、茯苓各等分。
《局方》七气汤（见《古方八阵·和阵》）治七情郁结，脏气互相刑克，阴阳不和，挥霍撩乱，吐
泻交作。
半夏（制） 浓朴 芍药 茯苓（各二钱） 人参 肉桂 橘红 紫苏
水二钟，加姜、枣煎服。
《指迷》七气汤（见《古方八阵·和阵》）治七情相干，阴阳不得升降，气道雍滞，攻冲作疼，积
聚瘕胀满等证。
半夏 甘草（各七分半） 香附（钱半） 青皮 陈皮 桔梗 官桂 藿香 益智 莪术（煨各一钱）
上，每服三、五钱，姜三片，枣一枚，水煎服。《统旨》七气汤有三棱、玄胡索、姜黄、草豆蔻。无半
夏、桔梗。《济生》大七气汤有三棱，无半夏。
失笑散（见经期腹痛）
通痰煎（见经期腹痛）
调经饮（见经期腹痛）
夺命丹（见鬼胎）
荔香散（见《新方八阵·因阵》）治疝气痛极。凡在气分者，最宜用之。并治小腹气痛等证，神效。
又心腹久痛方如后。
荔枝核（炮微焦） 大茴香（等分炒）
上为末，用好酒调服二、三钱。如寒甚者，加制过吴茱萸，减半用之。凡心腹胃脘久痛，屡触屡发者，
惟妇人多有之，用荔核一钱，木香八分，为末，每服一钱，
清汤调服，数服除根。
《宝鉴》天台乌药散（见《古方八阵·和阵》）治小肠疝气，卒引脐腹疼痛。
乌药 木香 茴香（炒） 良姜（炒） 青皮（各半两） 槟榔（二个） 川楝子（十个） 巴豆（七十粒）
上将巴豆微打破，同川楝子加面炒黑，去面及巴豆不用，其余为细末，每服一钱，温酒下，甚者姜酒下。
小厘清饮（见白浊遗淋）
五苓散（见白浊遗淋）
四苓散即前五苓散去肉桂。（见《古方八阵·和阵》）
搜风顺气丸（见《古方八阵·和阵》）治痔漏，风热闭结，老人燥秘等证。
车前子（两半） 大麻子（微炒二钱） 大黄（五钱半生半熟） 牛膝（酒浸） 郁李仁 菟丝子（酒浸）
枳壳 山药（各二钱）
上为末，炼蜜丸桐子大，每服三十丸，温酒下。
麻仁丸（见《古方八阵·攻阵》）治大便秘结，胃实能食，小便热赤者。
芝麻（四两研取汁） 杏仁（四两去皮尖研如泥） 大黄（五两） 山栀（十两）
上为末，炼蜜入麻汁和丸，桐子大，每服五十丸，食前白汤下。
济川煎（见产后大便秘涩）
解肝煎（见安胎）
化肝煎（见崩淋经漏不止）
抽薪饮（见血热经早）
大厘清饮（见白浊遗淋）
抑扶煎（见《新方八阵·热阵》）治气冷阴寒或暴伤生冷致成泻痢。凡初起血气未衰，脾肾未败，
或胀痛，或呕恶，皆宜先用此汤。此胃关煎表里药也。宜察虚实用之，其有寒湿伤脏，霍乱邪实者，最宜用此。
浓朴 陈皮 乌药（各一钱五分） 猪苓（二钱） 泽泻（二钱） 炙甘草（一钱） 干姜（炮一、二钱）
吴茱萸（制五、七分）
水一钟半，煎七分，食远温服。如气滞痛甚者，加木香五、七分，或砂仁亦可。如血虚多痛者，加当归二
钱。如寒湿胜者，加苍术一钱半。
和胃饮（见经期腹痛）
杨氏 丁香茯苓汤（见《古方八阵·热阵》）治脾胃虚寒，宿食留滞，痞塞疼痛，气不升降，
以致呕吐涎沫或呕酸水，不思饮食。
半夏（制） 橘红 茯苓（各一两半） 丁香 附子（制） 肉桂 砂仁（各五钱） 干姜（炮）
木香（各一两）
每服四钱，水一钟半，姜七片，枣一枚，煎七分服。
廓清饮（见《新方八阵·和阵》）治三焦壅滞，
胸膈胀满，气道不清，小水不利，年力未衰，通身肿胀，或肚腹单胀，气实非水等证。
枳壳（二钱） 浓朴（一钱半） 大腹皮（一、二钱） 白芥子（五、七分或一、二钱） 萝卜子（生捣一钱，
如中，不甚胀，能食者，不必用此） 茯苓（连皮用二、三钱） 泽泻（二、三钱） 陈皮（一钱）
水一钟半，煎七分，食远温服。如内热多火，小水热数者，加栀子、木通各一、二钱。如身黄小水不利
者，加茵陈二钱。如小腹胀满，大便坚实不通者，加生大黄三、五钱。如肝滞胁痛者，加青皮。如气滞胸腹疼
痛者，加乌药、香附。如食滞者，加山楂、麦芽。
苓术二陈煎（见《新方八阵·和阵》）治痰饮水气停蓄心下，呕吐吞酸等证。
猪苓（一钱半） 白术（一、二钱） 泽泻（一钱半） 陈皮（一钱） 半夏（二、三钱） 茯苓（一钱半）
炙甘草（八分） 干姜（炒黄一、二钱）
水一钟半，煎服。如肝肾兼寒者，加肉桂一、二钱。
六安煎（见产后喘促）
括痰丸（见《新方八阵·和阵》）治一切停痰积饮，吞酸呕酸，胸胁胀闷疼痛等证。
半夏（制二两） 白芥子（二两） 干姜（炒黄一两） 猪苓（二两） 炙甘草（五钱） 陈皮（四两，
切碎用盐二钱入水中，庄浸一宿，晒干）
上为末，汤浸蒸饼为丸，绿豆大，每服一钱许，滚白汤送下。如胸胁疼痛者，加台乌药二两。
补气以行气之剂，如圣愈汤、参归汤、七福饮，皆能调心气之虚滞。五味异功散、参术汤能理心脾之气虚
不行。独参汤、参附汤能助肺以行五脏之治节。若脾胃气虚而滞者，惟六君子汤、归脾汤为宜。脾胃虚寒而滞
者，必温胃饮、理中汤、五君子煎最佳。若虚在脾肾阴分，气有不行而或为痰饮、或为胀满、或为呕吐腹痛
等证，非理阴煎不可。若虚在血中之气而为滞为痛，微则四物汤，甚则五物煎、决津煎、大营煎方可。若肝肾
寒滞，小腹气逆而痛者，必暖肝煎以温之。若脾肾气虚，门户不要而为滞为痛者，必胃关煎
以固之。若元气下陷，滞而不升者，宜补中益气汤、举元煎以举之。若元气大虚，气化不行而滞者，
必五福饮、十全大补汤、大补元煎或六味回阳饮以培补之。以上皆补气行气之法也，亦不过为之筌蹄
云耳。而此中之用，诚有未可以言悉者。然常人之情，尤为气之滞者，惟破之、散之为宜，而反云补之必
不然也。不知客之强者，以主之弱；邪之胜者，以正之虚。凡今人之病，虚者最多，而用补者最少，治与病
违而欲以药济人，盖亦罕矣。即余以多虚少实谆谆为
言，而人亦未信，姑以人事喻之，其或可晓然乎。夫人之虚实，亦犹人之贫富，气实者若富翁，气虚者若贫
士。今人于千百中而富者其几？舍富之外，尽贫人矣。其多其少，即此类也。又有华其貌而罄其室者，人多难
测，亦此类也。但贫人之情，可益不可损，增一分犹然未足；削一分其窘何堪？使以潜消暗剥之术而加之，贫
寒窘乏之士阴移人祚，而人不之觉，亦甚堪怜矣。此道以仁为术，其可不以此为心乎？嗟乎！人生以气为主，
得气则生，失气则死。夫智者知人之命，不智者知人之病，若强不知以为知，而徒资便给，以人命为
尝试者，则其概可知矣。
东垣 圣愈汤(见《古方八阵·补阵》）治血虚心烦，睡卧不宁，或五心烦热。
人参 川芎 当归 熟地黄（酒拌蒸） 生地黄（酒拌） 黄 （炙各一钱）
上，水煎服。
参归汤（亦名人参汤。见调经论外备用方）
七福饮（见血虚经乱）
五味异功散（见恶阻）
参术汤（见《古方八阵·补阵》）治气虚颤掉，泄泻呕吐等证。
人参 白术 黄 （各二钱） 白茯苓 陈皮 炙甘草（各一钱）
甚者加附子一钱
水二钟，煎八分，食远服。
独参汤（见崩淋经漏不止）
严氏 参附汤（见《古方八阵·补阵》）治真阳不足，上气喘急，呃逆自利，脐腹疼痛，手足厥冷，
呕恶不食，自汗盗汗，气短头晕等证。
人参 制附子 用参须倍于附，或等分不拘，五钱或一两酌宜用，姜水煎服。
《良方》有丁香十五粒，名加减参附汤。
六君子汤（见经期腹痛）
归脾汤（见经不调）
温胃饮（见血虚经乱）
理中汤（见血虚经乱）
五君子煎（见崩淋经漏不止）
理阴煎（见血寒经迟）
四物汤（见经不调）
五物煎（见血寒论外方）
决津煎（见经期腹痛）
大营煎（见血热经早）
暖肝煎（见血 ）
胃关煎（见产后腹痛）
补中益气汤（见经不调）
举元煎（见崩淋经漏不止）
五福饮（见血热经早）
十全大补汤（见调经论外备用方）
大补元煎（见血热经早）
六味回阳饮（见《新方八阵·热阵》）治阴阳将脱等证。
Any condition where food stagnates and accumulates to form a *pi* mass (a sensation of fullness or obstruction without a distinct palpable lump) may result from consuming raw or cold foods, exposure to wind-cold, anger causing qi rebellion, or overeating while fatigued or hungry without proper digestion, leading to accumulation. However, if stomach qi is strong, food will not stagnate; the inability to digest food is necessarily due to weakness in spleen and kidney qi. Therefore, treatment should assess deficiency and excess to decide between purging and tonifying, which is likely to be effective. Detailed treatment methods are found in the "Accumulation and Gathering" section; refer to them for application.
Li Zhang said: For the above conditions, if the constitution and qi are weak, priority must be given to regulating and tonifying the spleen and stomach, assisted by digestive agents; if the constitution and qi are robust, priority should be given to unblocking and guiding, assisted by spleen and stomach tonics. If qi congestion and blood stasis prevent flow, use Wuyao San (Lindera Powder) to disperse and promote movement. If spleen qi deficiency prevents blood flow, use Sijunzi Tang (Four Gentlemen Decoction) with Chuanxiong and Danggui to tonify and promote flow. If spleen qi depression prevents blood flow, use Guipi Tang (Restore the Spleen Decoction) to resolve depression and promote flow. If liver and kidney blood dryness prevents flow, use Jiawei Xiaoyao San (Modified Free and Easy Wanderer Powder) to clear heat and promote flow. Generally, symptoms of food accumulation and masses follow the principle that "excess of pathogenic factors constitutes excess syndrome, loss of essence and qi constitutes deficiency syndrome." One should nourish righteousness (healthy qi) and repel pathogens, and the accumulation will naturally dissipate. Although ancient texts state "reduce what is hard, eliminate what is external," these harsh methods may be used sparingly only if stomach qi is not yet deficient. In cases of long-standing disease and deficiency, they should not be used lightly.
Wuyao San from *Liangfang* (see *Gufang Bazhen · He Zhen*) treats heart and abdominal pain caused by qi and blood congestion.
Ingredients: Wuyao (Linderae Radix), Ezhu (Curcumae Rhizoma, soaked in vinegar and stir-fried), Guixin (Cinnamomi Cortex), Taoren (Persicae Semen), Danggui (Angelicae Sinensis Radix), Qingpi (Citri Reticulatae Pericarpium Viride), Muxiang (Aucklandiae Radix) in equal parts.
Usage: Grind into powder. Take 2 qian per dose, mixed with hot wine.
Sijunzi Tang (see Blood Deficiency Menstrual Disorder)
Guipi Tang (see Irregular Menstruation)
Jiawei Xiaoyao San (see Irregular Menstruation)
*Jia* (gathering mass) means "false." The term "false" implies that although it appears to have shape, it originally lacks a fixed root, unlike *pi* masses which are hard, stubborn, and have definite form. Generally, conditions with definite form arise from blood accumulation or food accumulation; the accumulation has a fixed shape and cannot be moved. Conditions without definite form involve the qi level; symptoms worsen when qi rebels and ease when qi disperses, gathering and scattering without a root. Because it lacks a root, it can change size and location. If it appears near the hypochondrium like an arm or finger, it is called *pi* (specific type of gathering); if it occurs below the umbilicus causing distension or urgency, it is called *shan jia* (hernia/gathering mass). *Nan Jing* states: "Diseases have accumulation (*ji*) and gathering (*ju*). How to distinguish them? Accumulation belongs to yin qi, which is deep and latent; gathering belongs to yang qi, which is floating and active. Thus, accumulation arises from the five zang organs, while gathering is formed by the six fu organs." Since *pi* arises from accumulation, which resides in the yin aspect with deep roots, it is difficult to purge. *Jia* arises from gathering, which resides in the yang aspect and is loose like a mob, so it is not difficult to disperse. This distinguishes *pi* and *jia*. However, the method of dispersion involves subtle applications of promoting flow versus consolidating, which many do not understand.
For diseases at the qi level without stagnant有形 (form) accumulation, purgatives must not be used. Purgatives remove有形 accumulation but cannot remove无形 (formless) qi stagnation. If qi is obstructed by有形 accumulation, removing the accumulation allows qi to flow smoothly, and there is no problem. If the issue is purely at the无形 qi level, purgatives will fail to remove it and will only damage righteous qi. This point must be clearly understood.
The method to disperse qi lies in moving qi, as moving qi leads to dispersion. However, the technique of moving qi requires flexibility: if qi is excessive and congested, use breaking methods to move it; if qi is closed and stagnant, use draining methods to move it; if qi is hot and dry, use cold methods to move it; if qi is cold and coagulated, use warm methods to move it. These are the general principles for dispersing qi to treat *jia*. However, in cases of *jia* gathering, if one truly has strong qi and robust health, qi flows continuously, and how could *jia* gather? Only when righteous qi fails to move do pathogenic factors gather. The Classic says: "Where pathogenic factors converge, righteous qi must be deficient." Therefore, most patients with this condition have qi deficiency. If deficiency is not treated with tonification, righteous qi will not move; if righteous qi does not move, pathogenic factors will not disperse, and recovery is impossible. Excess syndromes have clear evidence and are obvious; deficiency often mimics excess and is hidden and difficult to know. Hence, distinguishing true from false is essential.
Formulas for breaking and moving qi are suitable for severe qi excess and congestion causing distension and pain, such as Paqi Yin (Expel Qi Drink), Muxiang Shunqi San (Costus Regulating Qi Powder), Muxiang Tiaoqi San (Costus Regulating Qi Powder - Bureau Formula), Simo Tang (Four-Grind Decoction), and various Qiqi Tangs (Seven-Agents Decoctions). For qi stagnation within blood causing stasis and pain, use Shixiao San (Laughing Out Powder), Tongyu Jian (Unstuck Infusion), Tiaojing Yin (Regulate Menstruation Drink); for severe cases, Mingdan Dueming Dan (Life-Taking Pill). For *shan jia* qi gathering, use Lixiang San (Lychee Fragrance Powder); for severe cases, Tiantai Wuyao San (Tiantai Lindera Powder). For qi knotting in the bladder causing difficult urination, use Xiao Li Qing Yin (Minor Clearing Drink), Siling San (Four-Ingredient Powder), Wuling San (Five-Ingredient Powder). For qi knotting in the large intestine causing dry constipation, use Soufeng Shunqi Wan (Search Wind Regulate Qi Pill), Maren Wan (Hemp Seed Pill); for constipation due to water deficiency and blood deficiency, use Jichuan Jian (Crossing River Infusion). For liver qi rebellion causing gathering, use Jiegan Jian (Resolve Liver Infusion); if accompanied by fire, use Huagan Jian (Transform Fire Infusion). For qi gathering with heat and trapped fire, use Chouxin Yin (Draw Down Fuel Drink), Da Li Qing Yin (Major Clearing Drink). For cold stagnation preventing flow and qi knotting causing distension, use Yifu Jian (Suppress and Support Infusion), Hewei Yin (Harmonize Stomach Drink), Dingxiang Fuling Tang (Clove and Poria Decoction). For triple burner congestion, unclear qi pathways, and middle jiao fullness/swelling, use Kuqing Yin (Clear the Void Drink). For phlegm-fluid and water-qi stagnating in the chest/hypochondrium causing acid regurgitation and vomiting, use Lingzhu Erchen Jian (Poria-Atractylodes Two-Chen Infusion), Liu'an Jian (Six-Safe Infusion), Hewei Yin, Kutan Wan (Scatter Phlegm Pill). All the above methods are suitable only for qi-excess *jia* gathering; they must not be used for those with insufficient primal qi.
Paqi Yin (see Dysmenorrhea)
*Muzhi* Muxiang Shunqi San (see *Gufang Bazhen · He Zhen*, treats qi stagnation abdominal/hypochondriac pain).
Ingredients: Muxiang, Xiangfu, Binglang, Qingpi, Chenpi, Zhike, Sharen, Nongpo (processed), Cangzhu (1 qian each), Zhi Gancao (0.5 qian).
Usage: Water 2 zhong, ginger 3 slices, decoct to 0.8 zhong, take after meals.
*Bureau Formula* Muxiang Tiaoqi San (see *Gufang Bazhen · He Zhen*)
Ingredients: Muxiang, Baitanxiang, Baidoukou, Dingxiang (2 qian each), Zhi Gancao, Huoxiang (8 qian each), Sharen (4 qian).
Usage: Grind to powder. Take 2 qian per dose, add a little salt, mix with boiling water.
Simo Tang (see *Gufang Bazhen · He Zhen*), treats various rebellious qi.
Ingredients: Chenxiang, Wuyao, Zhishi, Binglang.
Usage: Grind the four ingredients together in white water, or add Yangzheng Dan for better effect. Another formula uses white wine for grinding. *Jisheng Fang* uses Renshen instead of Zhishi. Adding Muxiang to this condition creates Wu Mo Yin (Five-Grind Drink).
Qiqi Tang (see *Gufang Bazhen · He Zhen*), treats emotional qi knotting in the center, unbearable heart/abdominal colic, and inability to eat.
Ingredients: Banxia (processed 5 liang), Renshen, Rougui, Zhi Gancao (1 liang each).
Usage: Take 3-5 qian per dose, water 1.5 zhong, ginger 3 slices, decoct to 0.8 zhong.
*Sanyin* Qiqi Tang (i.e., Siqi Tang. See Fetal Calming)
Jiawei Qiqi Tang (see *Gufang Bazhen · He Zhen*)
Is the previous Qiqi Tang plus Nongpo and Fuling in equal parts.
*Bureau Formula* Qiqi Tang (see *Gufang Bazhen · He Zhen*), treats emotional depression, mutual attacking of organ qi, yin-yang disharmony, sudden chaos, alternating vomiting and diarrhea.
Ingredients: Banxia (processed), Nongpo, Shaoyao, Fuling (2 qian each), Renshen, Rougui, Juhong, Zisu.
Usage: Water 2 zhong, add ginger and jujube, decoct and take.
*Zhimi* Qiqi Tang (see *Gufang Bazhen · He Zhen*), treats emotional interference, yin-yang failure to ascend/descend, qi pathway congestion, attacking pain, accumulation/gathering/distension.
Ingredients: Banxia, Gancao (0.75 qian each), Xiangfu (1.5 qian), Qingpi, Chenpi, Jiegeng, Guanzi, Huoxiang, Yizhi, Ezhu (roasted, 1 qian each).
Usage: Take 3-5 qian per dose, ginger 3 slices, jujube 1 piece, decoct in water. *Muzhi* Qiqi Tang includes Sanleng, Yuanhusuo, Jianghuang, Caodoukou, no Banxia/Jiegeng. *Jisheng* Da Qiqi Tang has Sanleng, no Banxia.
Shixiao San (see Dysmenorrhea)
Tongtan Jian (see Dysmenorrhea, note: text says Tongyu Jian earlier, here Tongtan)
Tiaojing Yin (see Dysmenorrhea)
Duming Dan (see Ghost Pregnancy)
Lixiang San (see *Xinfang Bazhen · Yin Zhen*), treats extreme hernia pain. Most suitable for conditions at the qi level. Also treats lower abdominal qi pain with miraculous effect.
Also, a formula for chronic heart/abdominal pain follows:
Lizhihe (roasted until slightly charred), Dahuixiang (equal parts, stir-fried).
Usage: Grind to powder, take 2-3 qian mixed with good wine. If cold is severe, add processed Wuzhuyu, use half the dose. For chronic heart/abdominal/epigastric pain that recurs frequently, common in women, use Lizhihe 1 qian, Muxiang 0.8 fen, grind to powder, take 1 qian per dose with clear soup. Several doses can cure the root.
*Baojian* Tiantai Wuyao San (see *Gufang Bazhen · He Zhen*), treats small intestine hernia, sudden pulling pain in umbilicus/abdomen.
Ingredients: Wuyao, Muxiang, Huixiang (fried), Liangjiang (fried), Qingpi (half liang each), Binglang (2 pieces), Chuanlianzi (10 pieces), Badou (70 grains).
Usage: Slightly break Badou, stir-fry with Chuanlianzi and flour until black, discard flour and Badou, grind remaining to fine powder. Take 1 qian per dose with warm wine; severe cases with ginger-wine.
Xiao Li Qing Yin (see White Turbidity/Dribbling Urination)
Wuling San (see White Turbidity/Dribbling Urination)
Siling San is Wuling San minus Rougui. (See *Gufang Bazhen · He Zhen*)
Soufeng Shunqi Wan (see *Gufang Bazhen · He Zhen*), treats hemorrhoids/fistula, wind-heat constipation, elderly dry constipation.
Ingredients: Cheqianzi (half liang), Damazi (lightly fried 2 qian), Dahuang (5.5 qian, half raw half cooked), Niuxi (wine-soaked), Yuziren, Tusizi (wine-soaked), Zhike, Shanyao (2 qian each).
Usage: Grind to powder, honey pills sized like paulownia seeds. Take 30 pills per dose with warm wine.
Maren Wan (see *Gufang Bazhen · Gong Zhen*), treats severe constipation, stomach excess with appetite, hot red urine.
Ingredients: Zhima (4 liang, pressed for juice), Xingren (4 liang, peeled/crushed to paste), Dahuang (5 liang), Shanzhi (10 liang).
Usage: Grind to powder, mix with honey and sesame juice, make pills sized like paulownia seeds. Take 50 pills per dose before meals with plain water.
Jichuan Jian (see Postpartum Constipation)
Jiegan Jian (See Fetal Calming)
Huagan Jian (See Metrorrhagia/Menorrhagia)
Chouxin Yin (See Early Menstruation due to Blood Heat)
Da Li Qing Yin (See White Turbidity/Dribbling Urination)
Yifu Jian (see *Xinfang Bazhen · Re Zhen*), treats cold qi/yin-cold or acute raw food injury causing dysentery/diarrhea. Suitable for early stage when blood/qi is not depleted and spleen/kidney function is intact, presenting with distension/pain or nausea/vomiting. This is the exterior-interior formula for Weiguan Jian. Use based on deficiency/excess; best for cold-damp damaging organs, cholera-like pathogenic excess.
Ingredients: Nongpo, Chenpi, Wuyao (1.5 qian each), Zhuling (2 qian), Zexie (2 qian), Zhi Gancao (1 qian), Ganjiang (pounded 1-2 qian), Wuzhuyu (processed 0.5-0.7 qian).
Usage: Water 1.5 zhong, decoct to 0.7 zhong, take warm after meals. If severe qi stagnation pain, add Muxiang 0.5-0.7 qian or Sharen. If blood deficiency with much pain, add Danggui 2 qian. If cold-damp prevails, add Cangzhu 1.5 qian.
Hewei Yin (see Dysmenorrhea)
Yang's Dingxiang Fuling Tang (see *Gufang Bazhen · Re Zhen*), treats spleen/stomach deficiency-cold, retained food stagnation, pi-blockage pain, qi failure to ascend/descend, leading to vomiting saliva/acid water, loss of appetite.
Ingredients: Banxia (processed), Juhong, Fuling (1.5 liang each), Dingxiang, Fuzi (processed), Rougui, Sharen (5 qian each), Ganjiang (pounded), Muxiang (1 liang each).
Usage: Take 4 qian per dose, water 1.5 zhong, ginger 7 slices, jujube 1 piece, decoct to 0.7 zhong.
Kuqing Yin (see *Xinfang Bazhen · He Zhen*), treats triple burner congestion, chest/diaphragm fullness, unclear qi pathways, difficult urination, in young/middle-aged people with whole-body swelling or isolated abdominal distension, qi-excess non-water edema.
Ingredients: Zhike (2 qian), Nongpo (1.5 qian), Dafupi (1-2 qian), Baijiezi (0.5-0.7 qian or 1-2 qian), Luobozhi (raw crushed 1 qian; omit if middle qi is weak, not very distended, able to eat), Fuling (with peel 2-3 qian), Zexie (2-3 qian), Chenpi (1 qian).
Usage: Water 1.5 zhong, decoct to 0.7 zhong, take warm after meals. If internal heat/fire, hot frequent urination, add Zhizi, Mutong (1-2 qian each). If jaundice with difficult urination, add Yinchen 2 qian. If lower abdominal fullness, solid constipation, add raw Dahuang 3-5 qian. If liver stagnation hypochondriac pain, add Qingpi. If qi stagnation chest/abdominal pain, add Wuyao, Xiangfu. If food stagnation, add Shanzha, Maiya.
Lingzhu Erchen Jian (see *Xinfang Bazhen · He Zhen*), treats phlegm-fluid/water-qi stagnating in epigastrium, vomiting, acid regurgitation.
Ingredients: Zhuling (1.5 qian), Baizhu (1-2 qian), Zexie (1.5 qian), Chenpi (1 qian), Banxia (2-3 qian), Fuling (1.5 qian), Zhi Gancao (0.8 qian), Ganjiang (fried yellow 1-2 qian).
Usage: Water 1.5 zhong, decoct and take. If liver/kidney combined cold, add Rougui 1-2 qian.
Liu'an Jian (see Postpartum Panting)
Kutan Wan (see *Xinfang Bazhen · He Zhen*), treats all stagnant phlegm/fluid retention, acid regurgitation, chest/hypochondriac fullness/pain.
Ingredients: Banxia (processed 2 liang), Baijiezi (2 liang), Ganjiang (fried yellow 1 liang), Zhuling (2 liang), Zhi Gancao (5 qian), Chenpi (4 liang, chopped, soaked overnight in water with 2 qian salt, dried).
Usage: Grind to powder, mix with steamed bread dough made from water infusion, make pills sized like mung beans. Take approx. 1 qian per dose with boiling water. If chest/hypochondriac pain, add Tai Wuyao 2 liang.
Formulas for tonifying qi to move qi, such as Shengyu Tang, Shen Gui Tang, Qifu Yin, can regulate deficiency stagnation of heart qi. Wuwei Yigong San, Shen Zhu Tang can regulate deficiency stagnation of heart/spleen qi. Dushen Tang, Shen Fu Tang can assist lung qi to govern the regulation of the five zang. For spleen/stomach qi deficiency with stagnation, Liujunzi Tang, Guipi Tang are suitable. For spleen/stomach deficiency-cold with stagnation, Wenwei Yin, Lizhong Tang, Wu Junzi Jian are best. For deficiency in spleen/kidney yin aspect, where qi fails to move causing phlegm-fluid, distension, vomiting/abdominal pain, Liyin Jian is indispensable. For deficiency of qi within blood causing stagnation/pain, mild cases use Siwu Tang; severe cases use Wuwu Jian, Juejin Jian, Daying Jian. For liver/kidney cold stagnation with lower abdominal qi rebellion pain, Nuangan Jian is required to warm. For spleen/kidney qi deficiency with insecure orifices causing stagnation/pain, Weiguan Jian is required to consolidate. For primal qi sinking with stagnation failing to ascend, Buzhong Yiqi Tang, Juyuan Jian are suitable to lift. For severe primal qi deficiency with failed qi transformation causing stagnation, Wufu Yin, Shiquan Dabu Tang, Dabu Yuan Jian, or Liuwei Huiyang Yin are required to tonify. All above are methods of tonifying qi to move qi, serving merely as tools. Their application cannot be fully described in words. However, common human nature prefers breaking/dispersing for qi stagnation, rejecting tonification. They do not realize that pathogenic strength stems from host weakness; pathogenic victory stems from righteous deficiency. Modern diseases are mostly deficiency, yet tonification is rarely used. Treatment contrary to disease aims to heal, which is rare. Even though I earnestly advise regarding "mostly deficiency, little excess," people do not believe. Let me use a human analogy to clarify. Human deficiency/excess is like wealth/poverty. Qi-excess is like a rich man; qi-deficiency is like a poor scholar. Among thousands, how many are rich? Except for the rich, all are poor. The ratio of many to few is like this. There are also those who appear wealthy but are empty inside, hard to predict, also this category. But the poor can only benefit, not be harmed; adding a bit is still insufficient; subtracting a bit makes their distress unbearable. Using subtle depletion techniques on them, secretly transferring fortune to the poor and destitute without people noticing, is very pitiable. Medicine uses benevolence as its technique; how can one not hold this in heart? Alas! Life depends on qi; gaining qi means life, losing qi means death. The wise know a person's fate (qi), the foolish know only the disease. Those who pretend to know, merely providing convenience, treating human life as an experiment, their nature can be imagined.
Dongyuan Shengyu Tang (see *Gufang Bazhen · Bu Zhen*), treats blood deficiency with vexation, restless sleep, or five-palm heat.
Ingredients: Renshen, Chuanxiong, Danggui, Shudihuang (steamed with wine), Shengdihuang (soaked in wine), Huangqi (roasted, 1 qian each).
Usage: Decoct in water and take.
Shen Gui Tang (also known as Renshen Tang. See Supplementary Formulas for Menstrual Regulation Theory)
Qifu Yin (see Blood Deficiency Menstrual Disorder)
Wuwei Yigong San (see Morning Sickness)
Shen Zhu Tang (see *Gufang Bazhen · Bu Zhen*), treats qi deficiency tremors, diarrhea, vomiting.
Ingredients: Renshen, Baizhu, Huangqi (2 qian each), Baifuling, Chenpi, Zhi Gancao (1 qian each).
Severe cases add Fuzi 1 qian.
Usage: Water 2 zhong, decoct to 0.8 zhong, take after meals.
Dushen Tang (see Metrorrhagia/Menorrhagia)
Yan's Shen Fu Tang (see *Gufang Bazhen · Bu Zhen*), treats true yang deficiency, upper asthma/rapid breathing, hiccups, spontaneous diarrhea, umbilical/abdominal pain, cold limbs, nausea/vomiting/anorexia, spontaneous/diaphoresis, shortness of breath/dizziness.
Ingredients: Renshen, Zhi Fuzi. Use Renshen xu (shreds) double the amount of Fuzi, or equal parts, 5 qian or 1 liang as appropriate, decoct in ginger water.
*Liangfang* adds 15 Dingxiang, named Jiajian Shen Fu Tang.
Liujunzi Tang (see Dysmenorrhea)
Guipi Tang (see Irregular Menstruation)
Wenwei Yin (see Blood Deficiency Menstrual Disorder)
Lizhong Tang (see Blood Deficiency Menstrual Disorder)
Wu Junzi Jian (see Metrorrhagia/Menorrhagia)
Liyin Jian (see Cold Blood Delayed Menstruation)
Siwu Tang (see Irregular Menstruation)
Wuwu Jian (see Supplementary Formulas for Cold Blood Theory)
Juejin Jian (see Dysmenorrhea)
Daying Jian (see Early Menstruation due to Blood Heat)
Nuogan Jian (see Blood [text incomplete])
Weiguan Jian (see Postpartum Abdominal Pain)
Buzhong Yiqi Tang (see Irregular Menstruation)
Juyuan Jian (see Metrorrhagia/Menorrhagia)
Wufu Yin (see Early Menstruation due to Blood Heat)
Shiquan Dabu Tang (see Supplementary Formulas for Menstrual Regulation Theory)
Dabu Yuan Jian (see Early Menstruation due to Blood Heat)
Liuwei Huiyang Yin (see *Xinfang Bazhen · Re Zhen*), treats impending collapse of yin and yang.