其候浑身微热，不思饮食，昏昧神缓，抱着一似睡未觉，肚热足冷者。多因
吐泻大病及攻击之后而得此候，茅先生先用青金丸取积，后用匀气、醒脾散调理。
常服万灵丸、保童丸即愈。
〔王先生〕灵砂丹 下虚中积、脏腑虚滑泄泻，久经取转，里急后重，久积恶痢暴泻
久不止，神效。
通明 砂（一钱） 颗块辰砂（通明、有墙壁者，二钱半。各细研）
上二味，衮研极细，用黄蜡半两，先于盏内熔化，入去皮全巴豆三七粒煎，候
巴豆紫色为度，漉豆出，细研，入前二味再研匀，于黄蜡内三分取一，再熔成汁，
倾药入内，急搅令匀，刮入瓷合收之。每服，暴泻恶痢，旋绝三丸如绿豆大。浓
煎艾汤，先呷三五口，然后吞下。水泻，冷水吞下。如取积，每服三丸如梧桐子
大，浓煎甘草汤，放冷吞下，临卧服。其久积药随积下，其小可不动便安。
按∶既是虚，即不宜用峻剂取积，仍须用四君子、益黄散之类，相兼服之。
其候大便不通，风毒疮疖，喉闭 腮，咽中涎响。茅先生先用夺命散（急惊）吐下热
涎，后用匀气散、醒脾散调理。常服牛黄膏、天竺黄散（并实热）镇心丸即愈。
仲阳云∶积痛，口中气温，面色黄白，目无精光，或白睛多及多睡畏食，或
大便酸臭者，当磨积而痛自除，宜下积丸，甚者，白饼子下之，后和胃气，用
白术散（渴）、小沉香丸、感应丸治之。又有食积肚痛，有热者芍药甘草汤（腹痛）加干葛。
吐者加半夏、生姜，或加枳实亦效。
小沉香丸 和中顺气，进食消痰。
砂仁 蓬术（各四钱，煨） 香附子（去毛，炒，一两八钱） 舶上丁香皮（二两四钱） 沉香（六钱） 甘松
（去土，三两六钱） 益智仁（微炒，一两二钱） 甘草（炙，一两四钱）
上为细末，汤浸蒸饼丸，如桐子大。每服三十或四十丸，食后温姜汤下，或嚼破更妙。
Its manifestations include slight fever throughout the body, loss of appetite, mental dullness and lethargy, a state of being half-asleep, heat in the abdomen with cold feet. This condition often arises after severe vomiting and diarrhea or following aggressive treatments. Master Mao first used Qingjin Wan (Blue Gold Pill) to expel accumulations, followed by Yunqi San (Qi-Regulating Powder) and Xingpi San (Spleen-Awakening Powder) for regulation. Regular intake of Wanling Wan (Ten Thousand Efficacy Pill) and Bao Tong Wan (Child-Protecting Pill) leads to recovery.
[Lord Wang] Lingsha Dan (Cinnabar and Mercury Pill) effectively treats internal accumulations due to deficiency, as well as chronic loose stools and diarrhea caused by visceral deficiency and slipping. It is highly effective for tenesmus, long-standing foul dysentery, and sudden severe diarrhea that persists despite prolonged purgation.
Tongming Sha (Transparent Cinnabar Ore), 1 qian; Kuaichen Sha (Chunk Cinnabar, transparent and solid), 2.5 qian. (Both are finely ground separately). The two ingredients are further ground together until extremely fine. Half liang of yellow wax is melted in a cup. Three to seven whole, peeled Baidu Dou (Semina Crotonis) are added and boiled until they turn purple. The beans are filtered out and finely ground, then mixed with the previously prepared powder. One-third of this mixture is added to the remaining melted yellow wax, stirred quickly until uniform, and stored in a porcelain container. For acute diarrhea and foul dysentery, administer three pills the size of mung beans immediately. First sip 3-5 mouthfuls of strong mugwort decoction, then swallow the pills. For watery diarrhea, swallow with cold water. To expel accumulations, administer three pills the size of sophora seeds, swallowed with cooled licorice decoction before bedtime. The medication will pass with the accumulation; if bowel movements remain normal, the patient is at ease.
Note: Since this is a deficiency pattern, harsh purgatives should not be used to expel accumulations. Instead, Sijunzi Tang (Four Gentlemen Decoction) and Yihuang San (Yellow-Benefiting Powder) should be used in combination.
Manifestations include constipation, wind-toxic sores and boils, throat closure with swollen cheeks, and phlegm rales in the throat. Master Mao first used Duoming San (Life-Seizing Powder) [for acute convulsions] to induce vomiting and purging of hot phlegm, followed by Yunqi San and Xingpi San for regulation. Regular intake of Niuhuang Gao (Calculus Bovis Ointment), Tianzhu Huang San (Bambusa Textilis Ointment Powder) [both for excess heat patterns], and Zhenxin Wan (Heart-Calming Pill) leads to recovery.
Zhongyang (pseudonym of Qian Yi) stated: In cases of accumulation pain, the breath from the mouth is warm, the complexion is yellowish-white, the eyes lack luster, there may be excessive whites in the eyes, hypersomnia, aversion to food, or sour-smelling stools. The pain should resolve once the accumulation is ground down and expelled. Xiaji Wan (Accumulation-Expelling Pill) is indicated. For severe cases, Baibing Zi (White Cake Pill) can be used to purge, followed by harmonizing stomach qi using Baizhu San (Atractylodes Macrocephala Powder) [for thirst], Xiao Chenxiang Wan (Minor Agarwood Pill), and Ganying Wan (Resonance Pill). Additionally, for abdominal pain due to food accumulation with heat, Shaoyao Gancao Tang (Peony and Licorice Decoction) is modified with Gegen (Puerariae Radix). If vomiting occurs, add Banxia (Pinelliae Rhizoma) and Shengjiang (Zingiberis Rhizoma Recens); adding Zhishi (Aurantii Fructus Immaturus) is also effective.
Xiao Chenxiang Wan (Minor Agarwood Pill) harmonizes the middle jiao, regulates qi, promotes digestion, and resolves phlegm.
Sharen (Amomi Fructus), 4 qian; Pengzhu (Curcumae Rhizoma), 4 qian (both roasted); Xiangfuzi (Cyperi Rhizoma), de-haired and stir-fried, 1.8 liang; Bo Shang Dingxiang Pi (Clove Peel), 2.4 liang; Chenxiang (Aquilariae Lignum Resinatum), 6 qian; Gansong (Nardostachyos Radix et Rhizoma), cleaned of soil, 3.6 liang; Yizhiren (Alpiniae Oxyphyllae Fructus), lightly roasted, 1.2 liang; Gancao (Glycyrrhizae Radix et Rhizoma), honey-fried, 1.4 liang.
Grind all into a fine powder. Mix with steamed bread dough moistened with decoction to form pills the size of sophora seeds. Take 30-40 pills per dose, washed down with warm ginger tea after meals, or chewed thoroughly for better effect.