（附诸虫痛）
心腹疼痛之症，非止一端。或有积、有聚、有虫、有食、有冷、有热。辨明症候，庶无误矣。经云∶五脏有五积，
六腑有六聚。肝之积，曰肥气，在左胁下，如覆杯，有头足，心之积，曰伏梁，起脐上，大如臂，上至心下；脾之积，
曰痞气，在胃中脘，覆大如盘；肺之积，曰息贲，在右胁下，覆如大杯，肾之积，曰奔豚，发于小腹，上至心下，若豚
状，或上或下无时。积者五脏之所生；聚者六腑之所成。积者积也，发有常处，其痛不离其部；聚者聚也，其痛止无常
处。经有九虫，婴儿脾气衰弱，肠胃脆薄，凡一切生冷之物，积之于中，久而不化，皆能为积，变生诸虫矣。再失于不
治，附食脏腑，内耗精血。其候面色 白，口吐清水，心腹时疼，肌肉消铄，变生疳疾矣。凡虫在人腹中，上旬头向上，
中旬横之，下旬头向下。欲取虫，须上旬五更时服药，至午前虫尽下矣，否则药不验矣。张子和云∶诸痛皆属于气，凡
一切心腹痛疾，当先理气为主。治热以寒，必因时而制伏；驱邪养正，须仗药力以成功。
指迷七气汤 治大小一切疼痛，诸般痞积，面色痿黄，肌体羸瘦，皆缘内有虫积，或好食生米，或好食泥土、
茶炭、酸咸等物，并效。
蓬术（醋炒） 三棱（醋炒） 藿香 甘草（炙） 官桂 桔梗（炒） 青皮（醋炒） 陈皮 益智仁 香附（醋
炒） 槟榔（各等分） 大黄（酒煨，多用五钱，少用二钱）
水一碗三分，煎三滚入大黄，再煎一滚，空心早服。日午后下虫鳖之物，用粥补之。
匀气散 治一切气痛，冷热不和，肚腹疼痛，呕吐吞酸，停滞生冷之物。
桔梗 藿香 陈皮（各三钱） 白豆蔻 砂仁 沉香 木香（各一钱二分） 丁香 茴香 良姜（各一钱） 玄胡
索（炒） 五灵脂（炒。各二钱）
为末，每服一二钱，视大小，用姜汤下。
冷气痛∶五积散（见中寒门。）加香附、紫苏、木香。
热症痛∶四苓散加山栀、木通、生地。
三棱丸 治男妇小儿，五积六聚， 瘕气块。
三棱（醋炒） 青皮（醋炒） 陈皮 蓬术（醋炒） 枳壳（麸炒） 枳实（麸炒） 萝卜子（炒） 香附（醋炒。
各一两） 神曲（炒） 麦芽（炒） 鳖甲（酥炙） 干漆（炒烟尽） 桃仁（炒研） 砂（绿豆甘草汤煮） 砂仁
归
尾木香（各三钱） 槟榔（二两） 山楂（一两五钱） 甘草（二钱）
为末，醋糊为丸，白滚汤下。
肥气丸 肝之积在左胁下，如覆杯，有头足。久不愈，令人发咳逆、 疟连岁不已。
浓朴（五钱，制） 黄连（七钱） 柴胡（二两） 花椒（四钱） 干姜（五分） 广术（二钱五分） 乌头（一
钱二分） 人参（二钱五分） 甘草（三钱） 昆布（二钱五分） 茯苓（一两） 皂角（一钱五分） 巴霜（五分，
制）
为末，炼蜜为丸。大人绿豆大，小儿麻子大。先二丸起，日增一丸。大便溏，再从二丸起，消大半，止服。
伏梁丸 心之积，起脐上，大如臂，上至心下。久不愈，令人病烦心。
黄连（一两五钱） 人参 浓朴（制。各五钱） 黄芩（二钱） 官桂（一钱） 干姜 菖蒲（各五分） 红豆（三
分） 茯苓 丹参（各一钱） 川乌头（五分） 巴豆（五分，制）
为末，蜜丸，服如前法。
痞气丸 脾积在胃脘，覆大如盘。久不愈，令人四肢不收，身发黄胆，饮食下为肌肤。
浓朴（四钱五分。制） 黄连（八钱） 茱萸（二钱） 黄芩（二钱） 茯苓（一钱五分） 泽泻（一钱二分） 人
参川乌头（各五分） 茵陈（酒炒） 干姜（炮） 砂仁（各一钱五分） 白术 官桂 巴豆（各四分） 川椒（五
分）
为末，炼蜜丸，服如前法，甘草汤下。
息贲丸 肺积在右胁下，大如覆杯。久不愈，令人洒淅寒热，喘咳发肺痈。
浓朴（八钱） 黄连（一两二钱） 干姜 茯苓 川椒（各二钱五分） 紫软（二钱五分） 桂心（一钱） 川乌
头（炮） 白豆蔻 桔梗 陈皮 三棱（各一钱） 天门冬（一钱） 人参（二钱） 青皮（五分） 巴霜（四分）
为末，炼蜜丸，服如前法，姜汤下。
以上四方，秋冬加浓朴，减黄连。
奔豚丸 肾积发于小腹，上至心下，若豚状，或上或下无时。久则令人咳逆，骨痿少气，及男子七疝，妇人
瘕、带下。
浓朴（一钱） 黄连（五钱） 泽泻 茯苓 菖蒲（各二钱） 乌头 丁香（各五钱） 川练肉（二钱） 玄胡索
（一钱五分） 全蝎（一钱，炙） 附子 独活（各一钱） 官桂（三分） 巴霜（四分，制）
为末，蜜丸，服如前法，姜汤下，盐汤亦可。
以上诸方，削坚积，破滞气，随症加减，性烈，非常服之剂。
灵应丹 治年久气积，痞块 瘕， 虫血鳖，马尾穿心，虾蟆牛头猿猴，寸白蛇形，诸样怪症，虫积，金、银、
铜、铁等物，及男妇十般水蛊，五种膈气，堕死胎，下瘀血，山岚瘴气，并服如神。
黑丑（四两） 使君肉（一两二钱） 槟榔（四两） 磨碎碾头（十二两） 鹤虱（一两二钱，晒干） 锡灰 雷
丸木香 芜荑（炒。各一两） 阿魏（一两，肉积用之）
为末，酒糊为丸，连须葱白汤空心下。大人三钱，小儿一二钱。午后看下何物，稀粥补之。
万病无忧散 治症同前。
黑丑（八两。四两，用巴豆四十粒纸包火煨，去豆不用） 大黄（二两） 槟榔（二两，鸡心者） 雷丸 芜荑（各
一两）
各取净末，用皂角十两，去黑皮，水三碗，煮十滚，滤去渣为丸。大人三钱，小儿看大小茶汤下。
神应丸 治症同前。
黑丑（取头，三斤） 槟榔（十二两，鸡心） 使君肉（二两，生熟各半） 大黄（四两五钱） 木香 雷丸 锡
灰（炒） 芜荑（炒。各一两八钱）
为末，葱白煎汤，打糊为丸，空心葱白汤下。如前服。
遇仙丹 追虫取积。
槟榔 黑丑（炒。各二两半） 木香（五钱）
为末，磁罐收贮。上旬，空心，赤砂糖汤下。
得效方 治症同前。
白牵牛（四两，生熟各半） 白槟榔 蓬术（醋煮） 三棱（醋煮） 皂角（各五钱）
为末，醋糊为丸。看大小，赤砂糖汤下。
取癖丸 治一切 瘕、痞积、疟母，及男妇水蛊、膈气。
甘遂 蓬术 芫花 牵牛（炒） 官桂 五灵脂 青皮 桃仁（去皮尖，炒研） 木香（各二钱） 巴豆
（五分，制）
红丸子 治症同前。
山棱（醋炒） 蓬术（醋炒） 芫花 乌梅肉 桃仁（炒） 杏仁（炒去皮尖。各五钱） 朱砂（三钱） 巴豆（五
分，制）
为末，醋糊为丸，麻子大，朱砂为衣，白滚汤下。冷粥补之。
木香醒脾丸 治疳疾虚羸，虫积食积，肚腹作痛，兼治痞块水肿。
槟榔 枳壳（麸炒） 青皮（醋炒） 砂仁（各五钱） 丁香（二钱） 木香 使君肉（各三钱） 神曲 香附（醋
炒。各五钱） 芦荟（二钱） 胡连（六钱）
为末，健猪胆汁为丸，清米汤下。
消块丸 治气块、血块、积块，一切 瘕、痞积并效。
沉香 阿魏 全蝎（炙） 羌活（各二钱） 砂仁（三钱） 萝卜子（炒） 水红花（四钱） 土狗（二十个，瓦
上
焙干） 赤小豆（二钱）
为末，猪油去皮，捣烂为丸，麻子大。大人三十丸，小儿量大小，空心、午前，日服二次，酒下。
化虫丸 治一切虫积，心腹咬痛。小者化水，大者自下。
鹤虱草 胡粉 槟榔 枯矾 芜荑 黄连 石榴皮 雷丸（各五钱） 苦楝根皮（一两，晒干）
为末，糊丸，麻子大。每服白滚汤加油数点，空心下。
灵矾散 虫咬心痛，奄奄欲绝，服药必吐出虫而愈。
五灵脂（二钱） 白矾（五分）
水一盏，煎五分服。
夺命饮 治症同前，兼治中脘痛， 痛欲绝。
老葱头（七个入） 真香油（四两）同熬，葱枯为度，用油。候温服。
玉露膏 治 虫作痛。此药不吐、不泻，自令从大便成团而出。多止二服，少止一服，除根。真济世仙方也。
苦练皮（四两，东引不出土根洗净取皮） 使君子（连壳，二两，捶碎） 生姜（三两）
用水五碗，煎至二碗，去渣，加蜜四两，煎至一碗二三分，露星月下，空心，顿热，徐服之。渣再煎服。
沉香化气丸 治大小一切痞块气积。
香附（八两，四制） 白术（四两，炒） 枳实（二两，麸炒） 广皮（三两） 青皮（二两） 黄连（一两五钱，
姜制） 山栀（二两，姜炒） 胆星（一两） 半夏曲（一两五钱） 浓朴（一两五钱，制） 沉香（一两） 砂仁（七
钱） 木香（五钱）
水叠为丸。妇人气痞加吴茱萸、萝卜子各一两。
磨积丸 健脾开胃，消积理气，及男妇痞积并效。
黄连（一两五钱） 香附（二两，醋浸炒） 陈皮 青皮（炒） 三棱（醋炒） 蓬术（醋炒） 萝卜子（炒） 桃
仁（一两，炒去皮尖） 山楂（肉） 山栀（姜炒。各一两） 干姜（炮） 官桂（各三两）
为末，神曲糊丸，白滚汤下，米汤亦可。
脾积膏 治虫积腹痛。
鸡蛋（一个） 朱砂（三分） 巴豆（一粒，去油）
将蛋开一孔，入朱、豆搅匀，纸封口，饭上煮熟食。
贴痞灵应膏 治一切痞块。
蟾酥 黄蜡（各一两） 羚羊角 牛黄（各二分五厘） 砂（五厘） 巴豆（五分） 麝香（一分） 冰片（五
厘）
为末，糊丸，菜子大，每用一丸。先将扁头针，针痞块上，将药纳入，用膏药粘贴。一伏时揭起，其痞化水，待脓
水尽，方用调理脾胃药。
贴痞膏
大黄（一两） 雄黄（五两） 皮硝（一两） 水红花
为末，蒜煨熟，捣烂成膏，粘贴。
琥珀膏
大黄 皮硝（各等分）
蒜煨熟，捣膏敷上。
贴诸痞 瘕血块
白芥子 萝卜子 山栀 硫黄（各一两） 大黄（六钱） 郁金 滑石（各一钱）
为末，酒调如饼。贴患处，三炷香。
熨痞法 先将麸皮同盐炒热，熨病处。
白芥子 牵牛（各二钱） 大黄（三钱） 荞麦面（半合）
将烧酒将药入面调匀，用布摊贴患处。三炷香去之，又用∶
葱子（一两） 飞罗面（五钱） 阿魏（三钱） 麝香（半分）
细捶捣成膏，贴之。三日一换。
灸法 治痞块日久不消，随痞块上攒火灸，更妙。
中脘穴 在 骨下，取儿四指头是，灸五壮。
章门穴（在横骨外，直脐季胁端，侧卧，曲上足，举臂取。灸五壮）
脾俞穴（在十一椎下，两傍相等五分。灸七壮。）
(Attached: Various Worm Pains)
Symptoms of heart and abdominal pain are not limited to a single cause. They may arise from accumulation (Ji, solid masses), aggregation (Ju, mobile masses), parasites, food stagnation, cold pathogens, or heat pathogens. By clearly distinguishing the symptom patterns, errors can be avoided. The Classics state: The Five Zang organs have five types of Ji accumulations; the Six Fu organs have six types of Ju aggregations. The liver's Ji is called "Feiqi" (Fat Qi), located under the left hypochondrium, shaped like an inverted cup, with a head and feet; the heart's Ji is called "Fuliang" (Hidden Beam), starting above the umbilicus, as large as an arm, extending upward to below the heart; the spleen's Ji is called "Piqi" (Stagnant Qi), located in the middle of the epigastrium, covering an area as large as a plate; the lung's Ji is called "Xiben" (Gasp for Breath), located under the right hypochondrium, shaped like a large inverted cup; the kidney's Ji is called "Ben tun" (Rushing Pig), originating in the lower abdomen, extending upward to below the heart, resembling a running pig, moving up or down without fixed timing. Ji accumulations are generated by the Five Zang organs; Ju aggregations are formed by the Six Fu organs. Ji refers to accumulated matter, with a fixed onset location, and pain remains within its region; Ju refers to gathering and dispersing irregularly, with pain occurring in varying locations. The Classics record nine types of worms. Infants have weak spleen qi and fragile intestines and stomachs. Any raw or cold substances that accumulate internally and fail to digest over time can form accumulations, subsequently transforming into various parasites. If left untreated, the worms attach to the zang-fu organs, consuming essence and blood internally. Symptoms include a pale complexion, spitting clear saliva, intermittent heart and abdominal pain, emaciation, and progression to "Gan disease" (infantile malnutrition syndrome). Worms in the human abdomen face upward during the first ten days of the lunar month, lie horizontally during the second ten days, and face downward during the third ten days. To expel worms, medication must be taken at dawn (wugeng time) during the first ten days, so that by mid-morning all worms will be expelled; otherwise, the efficacy will be compromised. Zhang Zihe stated: All pains belong to qi stagnation. For all heart and abdominal pain diseases, regulating qi should be the primary approach. Treating heat with cold herbs requires adaptation to seasonal changes; expelling pathogens and supporting healthy qi relies on the power of medicine to succeed.
Zhimi Qiqi Tang (Seven-Qi Decoction for Guiding Confusion) treats all pains, both major and minor, various types of fullness and accumulation, sallow complexion, and emaciation. These conditions stem from internal worm accumulation, cravings for raw rice, dirt, tea charcoal, sour/salty substances, etc. This formula is effective for all such cases.
Curcuma phaeocaulis (Cu Chao, Vinegar-fried) equal parts, Curcuma zedoaria (Cu Chao, Vinegar-fried) equal parts, Agastache rugosa equal parts, Licorice root (Zhi, Roasted) equal parts, Cinnamon twig equal parts, Platycodon root (Chao, Fried) equal parts, Green tangerine peel (Cu Chao, Vinegar-fried) equal parts, Tangerine peel equal parts, Alpinia oxyphylla equal parts, Cyperus rotundus (Cu Chao, Vinegar-fried) equal parts, Areca seed equal parts, Rhubarb (Jiu Wei, Wine-baked, use 5 qian heavily or 2 qian lightly).
Use one bowl and three fen of water, boil three times, add Rhubarb, boil once more. Take on an empty stomach in the morning. In the afternoon, worms and feces will be expelled; replenish with congee.
Yunqi San (Harmonizing Qi Powder) treats all qi pains, disharmony of cold and heat, abdominal pain, vomiting with acid regurgitation, and stagnation of raw/cold foods.
Platycodon root equal parts (3 qian each), Agastache rugosa equal parts (3 qian each), Tangerine peel (Cu Chao, Vinegar-fried) equal parts (3 qian each), Cardamom, Amomum villosum, Agarwood, Aucklandia root (1.2 qian each), Clove, Fennel, Galangal (1 qian each), Corydalis (Chao, Fried) equal parts (2 qian each), Trogopterus dung (Wulingzhi) (Chao, Fried) equal parts (2 qian each).
Grind into powder. Take 1-2 qian per dose, adjusted for age/size, washed down with ginger decoction.
Cold Qi Pain: Wuji San (Five-Accumulation Powder) (see Cold Damage Section). Add Cyperus rotundus, Perilla leaf, Aucklandia root.
Heat Symptom Pain: Siling San (Four-Ling Powder). Add Gardenia, Akebia stem, Rehmannia root.
Sanleng Wan (Sanleng Pill) treats men, women, and children suffering from five ji accumulations and six ju aggregations, or mass formations.
Curcuma zedoaria (Cu Chao, Vinegar-fried) equal parts (1 liang each), Green tangerine peel (Cu Chao, Vinegar-fried) equal parts (1 liang each), Tangerine peel, Curcuma phaeocaulis (Cu Chao, Vinegar-fried) equal parts (1 liang each), Bitter orange peel (Bran-fried) equal parts (1 liang each), Immature bitter orange (Bran-fried) equal parts (1 liang each), Radish seed (Chao, Fried) equal parts (1 liang each), Cyperus rotundus (Cu Chao, Vinegar-fried) equal parts (1 liang each), Medicated leaven (Chao, Fried), Malt (Chao, Fried), Soft-shelled turtle shell (Su Zhi, Grease-roasted), Dry lacquer (Chao until smoke ceases), Peach kernel (Chao and ground), Borax (Boiled in mung bean and licorice decoction), Amomum fruit, Angelica sinensis tail, Aucklandia root (3 qian each), Areca seed (2 liang), Hawthorn fruit (1.5 liang), Licorice root (2 qian).
Grind into powder, make pills with vinegar paste. Take with plain boiled water.
Feiqi Wan (Feiqi Pill) For liver accumulation located under the left hypochondrium, shaped like an inverted cup with head and feet. If chronic, it causes coughing, reverse qi, and recurrent malaria year after year.
Magnolia bark (5 qian, processed), Coptis rhizome (7 qian), Bupleurum root (2 liang), Sichuan pepper (4 qian), Dried ginger (5 fen), Curcuma phaeocaulis (2.5 qian), Aconite root (1.2 qian), Ginseng (2.5 qian), Licorice root (3 qian), Kelp (2.5 qian), Poria (1 liang), Gleditsia sinensis pod (1.5 qian), Croton seed oil cake (5 fen, processed).
Grind into powder, make pills with refined honey. Adult size: mung bean; Child size: sesame seed. Start with two pills, increasing by one pill daily. If loose stools occur, restart from two pills. Stop when the mass is largely resolved.
Fuliang Wan (Fuliang Pill) For heart accumulation, starting above the umbilicus, as large as an arm, extending to below the heart. If chronic, it causes mental restlessness.
Coptis rhizome (1.5 liang), Ginseng, Magnolia bark (processed) (5 qian each), Scutellaria root (2 qian), Cinnamon twig (1 qian), Dried ginger, Acorus root (5 fen each), Red bean (3 fen), Poria, Salvia root (1 qian each), Sichuan aconite root (5 fen), Croton seed (5 fen, processed).
Grind into powder, make pills with honey. Take as described above.
Piqi Wan (Piqi Pill) For spleen accumulation in the epigastrium, covering an area as large as a plate. If chronic, it causes limb weakness, jaundice, and failure of food to nourish the flesh.
Magnolia bark (4.5 qian, processed), Coptis rhizome (8 qian), Evodia fruit (2 qian), Scutellaria root (2 qian), Poria (1.5 qian), Alisma rhizome (1.2 qian), Ginseng, Sichuan aconite root (5 fen each), Yinchen (Artemisia capillaris) (Wine-fried), Dried ginger (Pao, Roasted), Amomum fruit (1.5 qian each), Atractylodes macrocephala, Cinnamon twig, Croton seed (4 fen each), Sichuan pepper (5 fen).
Grind into powder, make pills with refined honey. Take as described above, washed down with licorice decoction.
Xiben Wan (Xiben Pill) For lung accumulation under the right hypochondrium, as large as an inverted cup. If chronic, it causes chills and fever, wheezing, coughing, and lung abscess.
Magnolia bark (8 qian), Coptis rhizome (1.2 liang), Dried ginger, Poria, Sichuan pepper (2.5 qian each), Purple soft herb (2.5 qian), Cinnamon heart (1 qian), Sichuan aconite root (Pao, Roasted), Cardamom, Platycodon root, Tangerine peel, Curcuma zedoaria (1 qian each), Asparagus tuber (1 qian), Ginseng (2 qian), Green tangerine peel (5 fen), Croton seed oil cake (4 fen).
Grind into powder, make pills with refined honey. Take as described above, washed down with ginger decoction.
For the above four formulas, add Magnolia bark and reduce Coptis rhizome in autumn and winter.
Bentun Wan (Bentun Pill) For kidney accumulation originating in the lower abdomen, extending to below the heart, resembling a pig, moving up or down without fixed timing. Chronic cases cause coughing, reverse qi, bone weakness, shortness of breath, seven types of hernia in men, and masses/leukorrhea in women.
Magnolia bark (1 qian), Coptis rhizome (5 qian), Alisma rhizome, Poria, Acorus root (2 qian each), Aconite root, Clove (5 qian each), Cornelian cherry fruit (2 qian), Corydalis (1.5 qian), Whole scorpion (1 qian, roasted), Aconite root, Angelica pubescens (1 qian each), Cinnamon twig (3 fen), Croton seed oil cake (4 fen, processed).
Grind into powder, make pills with honey. Take as described above, washed down with ginger decoction or salted water.
The above formulas are strong agents for breaking hard accumulations and stagnant qi, adjusted according to symptoms. They are potent and not for long-term daily use.
Lingying Dan (Spiritually Effective Elixir) Treats chronic qi accumulation, masses, worm/blood clots, horse-tail piercing the heart, toad/bull-head/ape shapes, tapeworm/snake forms, and other strange syndromes, worm accumulation, ingestion of metals (gold, silver, copper, iron), ten types of water distension in men and women, five types of diaphragm qi, retained dead fetus, stasis expulsion, mountain miasma. Administration yields miraculous results.
Black morning glory seed (4 liang), Quisqualis indica seed meat (1.2 liang), Areca seed (4 liang), Ground millstone dust (12 liang), Pyrethrum flower (1.2 liang, sun-dried), Tin ash, Volkameria root, Aucklandia root, Xanthium seed (Chao, Fried) (1 liang each), Asafoetida (1 liang, for meat accumulation).
Grind into powder, make pills with wine paste. Take on an empty stomach with green onion white decoction. Adults: 3 qian; Children: 1-2 qian. Observe expelled material in the afternoon; replenish with thin congee.
Wanbing Wuyou San (Ten-Thousand-Disease Carefree Powder) Treats symptoms as above.
Black morning glory seed (8 liang. Use 4 liang, bake 40 croton seeds wrapped in paper, remove beans, use only the husks), Rhubarb (2 liang), Areca seed (2 liang, chicken-heart shape), Volkameria root, Xanthium seed (1 liang each).
Take pure powders. Use 10 liang of Gleditsia sinensis pod, remove black skin, boil in three bowls of water for ten boils, filter dregs, and make pills. Adults: 3 qian; Children: adjust dose with tea/water.
Shenying Wan (Spiritually Responsive Pill) Treats symptoms as above.
Black morning glory seed (head portion, 3 jin), Areca seed (12 liang, chicken-heart shape), Quisqualis indica seed meat (2 liang, half raw/half cooked), Rhubarb (4.5 liang), Aucklandia root, Volkameria root, Tin ash (Chao, Fried), Xanthium seed (Chao, Fried) (1.8 qian each).
Grind into powder, make pills with green onion decoction paste. Take on an empty stomach with green onion decoction. Follow previous instructions.
Yuxian Dan (Immortal Meeting Elixir) Expels worms and removes accumulations.
Areca seed, Black morning glory seed (Chao, Fried) (2.5 liang each), Aucklandia root (5 qian).
Grind into powder, store in a porcelain jar. Take on an empty stomach with red sugar water during the first ten days of the lunar month.
Dexiao Fang (Effective Formula) Treats symptoms as above.
White morning glory seed (4 liang, half raw/half cooked), White areca seed, Curcuma phaeocaulis (Vinegar-boiled), Curcuma zedoaria (Vinegar-boiled), Gleditsia sinensis pod (5 qian each).
Grind into powder, make pills with vinegar paste. Adjust dose based on size, take with red sugar water.
Quxi Wan (Mass-Expelling Pill) Treats all masses, stationary accumulations, malaria-related splenomegaly, water distension, and diaphragm qi in men and women.
Kansui root, Curcuma phaeocaulis, Genkwa flower, Morning glory seed (Chao, Fried), Cinnamon twig, Trogopterus dung, Green tangerine peel, Peach kernel (skin/kernel removed, fried and ground), Aucklandia root (2 qian each), Croton seed (5 fen, processed).
Hongwanzi (Red Pill) Treats symptoms as above.
Curcuma zedoaria (Vinegar-fried), Curcuma phaeocaulis (Vinegar-fried), Genkwa flower, Dried plum flesh, Peach kernel (fried), Apricot kernel (fried, skin/kernel removed) (5 qian each), Cinnabar (3 qian), Croton seed (5 fen, processed).
Grind into powder, make pills with vinegar paste, size of sesame seeds, coat with cinnabar. Take with plain boiled water. Replenish with cold congee.
Muxiang Xingpi Wan (Aucklandia Spleen-Awakening Pill) Treats gan disease with emaciation, worm/food accumulation, abdominal pain, and also masses and edema.
Areca seed, Bitter orange peel (Bran-fried), Green tangerine peel (Vinegar-fried), Amomum fruit (5 qian each), Clove (2 qian), Aucklandia root, Quisqualis indica seed meat (3 qian each), Medicated leaven, Cyperus rotundus (Vinegar-fried) (5 qian each), Aloe vera (2 qian), Picrorhiza root (6 qian).
Grind into powder, make pills with bile from a vigorous pig. Take with clear rice soup.
Xiaokuai Wan (Mass-Dissolving Pill) Treats qi masses, blood masses, accumulation masses, all types of masses and stationary accumulations.
Agarwood, Asafoetida, Whole scorpion (roasted), Notopterygium root (2 qian each), Amomum fruit (3 qian), Radish seed (fried), Alternanthera philoxeroides (4 qian), Ground beetle (20, dried on tile), Adzuki bean (2 qian).
Grind into powder, mix with defatted lard, pound into paste, make pills size of sesame seeds. Adults: 30 pills; Children: adjust dose. Take on empty stomach/mid-morning, twice daily, with wine.
Huachong Wan (Worm-Dissolving Pill) Treats all worm accumulations, biting heart/abdominal pain. Small worms dissolve into water; large worms pass naturally.
Pyrethrum flower, Lead white, Areca seed, Calcined alum, Xanthium seed, Coptis rhizome, Pomegranate peel, Volkameria root (5 qian each), Melia azedarach root bark (1 liang, sun-dried).
Grind into powder, make pills with paste, size of sesame seeds. Each dose: plain boiled water with a few drops of oil, taken on an empty stomach.
Lingfan San (Spiritual Alum Powder) For worm-biting heart pain, critical condition. Medication induces vomiting of worms, leading to recovery.
Trogopterus dung (2 qian), White alum (5 fen).
Use one cup of water, boil to 0.5 cup, take.
Duoming Yin (Life-Seizing Drink) Treats symptoms as above, also treats Zhongwan pain, severe agony.
Old green onion bulb (7 pieces), True sesame oil (4 liang). Boil together until onions are withered, strain oil. Take when warm.
Yulu Gao (Jade Dew Ointment) Treats worm-induced pain. This medicine does not induce vomiting or diarrhea; worms exit intact via stool. Usually cured in 1-2 doses. Truly a celestial prescription for saving lives.
Polygonum multiflorum vine bark (4 liang, east-facing underground roots, cleaned), Quisqualis indica (with shell, 2 liang, crushed), Ginger (3 liang).
Boil in five bowls of water until two bowls remain, strain dregs, add four liang of honey, boil until one bowl and two-three fen remain. Leave exposed under stars/moon. Take hot on an empty stomach slowly. Reboil dregs and take.
Chenxiang Huaqi Wan (Agarwood Qi-Transforming Pill) Treats all major/minor masses and qi accumulations.
Cyperus rotundus (8 liang, four-times processed), Atractylodes macrocephala (4 liang, fried), Immature bitter orange (2 liang, bran-fried), Broad-leaf tangerine peel (3 liang), Green tangerine peel (2 liang), Coptis rhizome (1.5 liang, ginger-processed), Gardenia (2 liang, ginger-fried), Star fennel (1 liang), Pinellia leaven (1.5 liang), Magnolia bark (1.5 liang, processed), Agarwood (1 liang), Amomum fruit (7 qian), Aucklandia root (5 qian).
Make pills with water. For women with qi fullness, add Evodia fruit and radish seed (1 liang each).
Moji Wan (Accumulation-Grinding Pill) Strengthens spleen, opens appetite, resolves accumulation, regulates qi. Effective for male/female masses and accumulations.
Coptis rhizome (1.5 liang), Cyperus rotundus (2 liang, vinegar-soaked and fried), Tangerine peel, Green tangerine peel (fried), Curcuma zedoaria (vinegar-fried), Curcuma phaeocaulis (vinegar-fried), Radish seed (fried), Peach kernel (1 liang, fried, skin/kernel removed), Hawthorn fruit, Gardenia (ginger-fried) (1 liang each), Dried ginger (pao, roasted), Cinnamon twig (3 liang each).
Grind into powder, make pills with medicated leaven paste. Take with plain boiled water or rice soup.
Pi Ji Gao (Spleen Accumulation Plaster) Treats worm-induced abdominal pain.
Egg (one), Cinnabar (3 fen), Croton seed (one, oil removed).
Make a hole in the egg, insert cinnabar and croton seed, mix well, seal with paper, steam until cooked, and eat.
Tie Pi Lingying Gao (Spiritually Effective Mass-Adhering Plaster) Treats all masses.
Toad venom, Yellow beeswax (1 liang each), Antelope horn, Calculus bovis (0.25 liang each), Borax (0.05 liang), Croton seed (0.5 liang), Musk (0.1 liang), Borneol (0.05 liang).
Grind into powder, make pills size of rapeseed. Use one pill. First, prick the mass with a flat-headed needle, insert the medicine, and cover with a plaster. Remove after one watch (two hours). The mass dissolves into fluid. Wait for pus to drain completely, then treat with spleen/stomach-regulating medicines.
Tie Pi Gao (Mass-Adhering Plaster)
Rhubarb (1 liang), Realgar (5 liang), Mirabilite (1 liang), Alternanthera philoxeroides.
Grind into powder, roast garlic until soft, pound into paste, apply externally.
Hupo Gao (Amber Plaster)
Rhubarb, Mirabilite (equal parts).
Roast garlic until soft, pound into paste, apply externally.
Tie Zhu Pi Xiaxue Kuai (Plaster for Various Masses, Blood Clots)
White mustard seed, Radish seed, Gardenia, Sulfur (1 liang each), Rhubarb (6 qian), Turmeric, Talc (1 qian each).
Grind into powder, mix with wine to form a cake. Apply to affected area for duration of three incense sticks.
Yun Pi Fa (Steaming Method for Masses) First, stir-fry bran with salt until hot, and steam the affected area.
White mustard seed, Morning glory seed (2 qian each), Rhubarb (3 qian), Buckwheat flour (0.5 he).
Mix medicine with buckwheat flour using hot liquor, spread on cloth, and apply to affected area. Remove after three incense sticks. Then use:
Green onion seed (1 liang), Fine flour (5 qian), Asafoetida (3 qian), Musk (0.5 fen).
Pound finely into a paste, apply. Change every three days.
Moxibustion Method For stubborn masses that do not resolve over time, apply moxibustion directly over the mass for better effect.
Zhongwan Acupoint: Located below the xiphoid process. Measure four fingers width of the child. Moxa 5 cones.
Zhangmen Acupoint: Located outside the transverse process, level with the umbilicus at the end of the costal margin. Lie on side, flex upper leg, raise arm to locate. Moxa 5 cones.
Pishu Acupoint: Located below the 11th thoracic vertebra, 0.5 cun lateral. Moxa 7 cones.