（附论）
夫久 癖气者。本因邪气所生。不离阴阳之气。结蓄而成也。此皆由脏腑不调。脾胃
虚
弱。
时人多患此病。猝瘥极难。累月逾年。积聚成也。故名久 癖气也。
方
乌头丸（出圣惠方）治久 癖气。腹内积聚。邪气往厥逆。抢心心胸痞闷。
吐逆饮食。
川乌头（一两半） 吴茱萸（三分） 川椒（三分） 干姜（三分） 桂心（三分） 柴
胡（一两）
生姜 地黄（一两） 细辛（半两） 紫菀（半两） 人参（半两） 芎 （半两） 白术
（半两） 皂
每服
不计时候。温酒下二十丸。
京三棱丸（出圣惠方）治久 癖气。心腹胀满。时时攒连心背痛。宿食不
消。
呕吐不思饮食
京三棱（三分） 鳖甲（一两） 川大黄（一两半） 木香（半两） 当归（三分） 白
术（三分）
浓
两） 桂心
（一两） 槟榔（一两） 上件药捣罗为末。炼蜜和捣。五七百杵。丸如梧桐子大。每服不
拘时
候。以粥饮下三十丸。
大黄丸（出圣惠方）治久 癖气。发歇不定。肌肉消瘦。往往吐逆。肩背疼
痛宜服。
川大黄（二两锉碎微炒） 川朴硝（一两） 蓬莪术（二两） 诃黎勒（一两煨用皮） 桂
心
（三分）
（各二两
泥裹烧
纸裹压
去油）
每日
荜茇丸（出圣惠方）治久 癖气。或时呕哕。腹痛不能饮食。\x
荜茇（一两） 干姜（三分炮裂锉） 胡椒（三分） 桂心（三分） 人参（一两去芦
头） 陈橘
皮（
药捣罗为
末
(Attached Discussion)
The so-called "Jiu Pi Qi" (Long-standing Mass Qi Disorder) originates from the proliferation of pathogenic factors. It is formed by the accumulation and coagulation of Yin and Yang Qi. This condition arises from disharmony among the Zang-Fu organs and weakness of the Spleen and Stomach.
People in those times often suffered from this disease, which was extremely difficult to cure suddenly. It would persist for months or even years, forming accumulations, hence the name "Jiu Pi Qi."
Wutou Wan (Cuscuta Pill, sourced from *Shenghui Fang*), treats Jiu Pi Qi. Symptoms include abdominal accumulations, pathogenic factors moving back and forth causing Jue Ni (Cold Reversal), striking the heart and chest causing fullness and oppression, vomiting, and regurgitation of food.
Herbs: Chuan Wutou (Aconiti Lateralis Radix Praeparata, 1 liang 5 qian), Wuzhuyu (Evodiae Fructus, 3 fen), Chuanjiao (Zanthoxyli Pericarpium, 3 fen), Ganjiang (Zingiberis Rhizoma, 3 fen), Guixin (Cinnamomi Cortex, 3 fen), Chaihu (Bupleuri Radix, 1 liang), Shengjiang (Zingiberis Rhizoma Recens), Dihuang (Rehmanniae Radix, 1 liang), Xixin (Asari Radix et Rhizoma, 0.5 liang), Ziwan (Asternis Radix, 0.5 liang), Renshen (Ginseng Radix, 0.5 liang), Xiong (Ligustici Chuanxiong Rhizoma, 0.5 liang), Baizhu (Atractylodis Macrocephalae Rhizoma, 0.5 liang), Zaojiao (Gleditsiae Sinensis Spina, 0.5 liang).
Usage: Take each dose at any time, swallowing twenty pills with warm wine.
Jingsanleng Wan (Sparganii Rhizoma Pill, sourced from *Shenghui Fang*), treats Jiu Pi Qi. Symptoms include distension and fullness of the heart and abdomen, pain in the heart and back that occurs intermittently and radiates, indigestion of retained food, vomiting, and loss of appetite.
Herbs: Jingsanleng (Sparganii Rhizoma, 3 fen), Biejia (Testudinis Carapax et Plastrum, 1 liang), Chuan Dahuang (Rhei Radix et Rhizoma, 1 liang 5 qian), Muxiang (Aucklandiae Radix, 0.5 liang), Danggui (Angelicae Sinensis Radix, 3 fen), Baizhu (Atractylodis Macrocephalae Rhizoma, 3 fen), Houpo (Magnoliae Officinalis Cortex, 2 liang), Guixin (Cinnamomi Cortex, 1 liang), Binglang (Arecae Semen, 1 liang).
Preparation: The above herbs are pounded, sifted into powder, mixed with refined honey, and pounded for five to seven hundred strokes until uniform. Form into pills the size of paulownia seeds.
Usage: Take each dose at any time, swallowing thirty pills with rice broth.
Dahuang Wan (Rhei Radix et Rhizoma Pill, sourced from *Shenghui Fang*), treats Jiu Pi Qi. Symptoms include irregular onset and remission, emaciation, frequent vomiting and regurgitation, and pain in the shoulders and back. Suitable for such cases.
Herbs: Chuan Dahuang (Rhei Radix et Rhizoma, 2 liang, cut into pieces and lightly stir-fried), Chuan Puxiao (Natrii Sulfas, 1 liang), Peng Ezhu (Curcumae Longae Rhizoma, 2 liang), Helile (Terminaliae Chebulae Fructus, 1 liang, roasted, using only the peel), Guixin (Cinnamomi Cortex, 3 fen), Biba (Piperis Kadsurae Fructus, 2 liang each, wrapped in mud and burned), Badou (Crotonis Tiglii Semen, wrapped in paper and pressed to remove oil).
Usage: Daily... (Text interrupted here)
Biba Wan (Piperis Kadsurae Fructus Pill, sourced from *Shenghui Fang*), treats Jiu Pi Qi. Symptoms include occasional belching and retching, abdominal pain, and inability to eat.
Herbs: Biba (Piperis Kadsurae Fructus, 1 liang), Ganjiang (Zingiberis Rhizoma, 3 fen, processed until cracked and cut), Hujiao (Piperis Nigris Fructus, 3 fen), Guixin (Cinnamomi Cortex, 3 fen), Renshen (Ginseng Radix, 1 liang, removing the rhizome head), Chenpi (Citri Reticulatae Pericarpium, ...).
Preparation: Pound the herbs, sift into powder... (Text interrupted here)